Análisis del costo del manejo conservador del evento cerebrovascular isquémico en el Hospital Nacional Rosales, en pacientes ingresados durante el año 2014

El evento cerebrovascular (ECV) constituye una carga clínica y económica para cada sistema de salud, generando la búsqueda de estrategias terapéuticas efectivas con alta rentabilidad. Se clasifican en 2 grupos; hemorrágicos e isquémicos. El 80 % son de tipo isquémico. La incidencia mundial es de 1.5 a 4 casos por cada 1,000 habitantes. En El Salvador para el año 2005 el ECV se ubicaba en la tercera causa de muerte hospitalaria. Actualmente el tratamiento del ECV se basa en 2 apartados: el tratamiento agudo y la prevención de recurrencias. Materiales y métodos: se realizó un estudio de decisión-análisis, de datos retrospectivos tomados de fuentes documentales de pacientes con ECV isquémicos ingresados de enero a diciembre de 2015 en el Hospital Nacional Rosales (HNR). Resultados: se incluyeron 79 expedientes. Obteniendo un costo promedio de $569.77 por día de estancia. El costo de estudios diagnósticos por paciente fue de $379.06 USD, con un promedio de estancia de 7.46 días por paciente sin complicaciones y de $11.12 con complicaciones asociadas y con una mortalidad de 13.85 %. Conclusión: el ECV isquémico manejado conservadoramente, sin la administración de trombolisis con Alteplasa, considerada el manejo médico con mejor evidencia (I A), genera altos costos hospitalarios en el HNR.

Language-based Techniques for Practical and Trustworthy Secure Multi-party Computations

Secure Multi-party Computation (MPC) enables a set of parties to collaboratively compute, using cryptographic protocols, a function over their private data in a way that the participants do not see each other's data, they only see the final output. Typical MPC examples include statistical computations over joint private data, private set intersection, and auctions. While these applications are examples of monolithic MPC, richer MPC applications move between "normal" (i.e., per-party local) and "secure" (i.e., joint, multi-party secure) modes repeatedly, resulting overall in mixed-mode computations. For example, we might use MPC to implement the role of the dealer in a game of mental poker -- the game will be divided into rounds of local decision-making (e.g. bidding) and joint interaction (e.g. dealing). Mixed-mode computations are also used to improve performance over monolithic secure computations. Starting with the Fairplay project, several MPC frameworks have been proposed in the last decade to help programmers write MPC applications in a high-level language, while the toolchain manages the low-level details. However, these frameworks are either not expressive enough to allow writing mixed-mode applications or lack formal specification, and reasoning capabilities, thereby diminishing the parties' trust in such tools, and the programs written using them. Furthermore, none of the frameworks provides a verified toolchain to run the MPC programs, leaving the potential of security holes that can compromise the privacy of parties' data. This dissertation presents language-based techniques to make MPC more practical and trustworthy. First, it presents the design and implementation of a new MPC Domain Specific Language, called Wysteria, for writing rich mixed-mode MPC applications. Wysteria provides several benefits over previous languages, including a conceptual single thread of control, generic support for more than two parties, high-level abstractions for secret shares, and a fully formalized type system and operational semantics. Using Wysteria, we have implemented several MPC applications, including, for the first time, a card dealing application. The dissertation next presents Wys*, an embedding of Wysteria in F*, a full-featured verification oriented programming language. Wys* improves on Wysteria along three lines: (a) It enables programmers to formally verify the correctness and security properties of their programs. As far as we know, Wys* is the first language to provide verification capabilities for MPC programs. (b) It provides a partially verified toolchain to run MPC programs, and finally (c) It enables the MPC programs to use, with no extra effort, standard language constructs from the host language F*, thereby making it more usable and scalable. Finally, the dissertation develops static analyses that help optimize monolithic MPC programs into mixed-mode MPC programs, while providing similar privacy guarantees as the monolithic versions.

Between Nation and State: Albanian Associations from Ottoman Origins to a Communist Party, 1880 - 1945

This dissertation addresses the broader antecedents of the Communist Party of Albania (CPA) as one of a number of associations whose experience was central to Albanian political history. This long experience dates back to the informal national associations formed in the Ottoman Empire of the late nineteenth century. The dissertation examines the role of these associations which, pursuing language rights and political representation through imperial state reforms, set a pattern that struggled to connect nation and state, rather than asserting the territorial demands for a nation-state familiar across the region. Starting out in the Ottoman Empire, but then maturing in the Albanian diaspora in Romania, Bulgaria, Egypt and the United States, this dissertation shows politically significant processes of longer-term adaptation that created informal associations as institutional structures able to channel collective action. It then traces the reframing of these patterns through their destruction in the Balkan Wars and the First World War to the emergence of communist associations in the interwar period and beyond. This dissertation is a sustained study that traces long-term Ottoman imperial political legacies in the Albanian successor state. The story of the associations, based on hitherto unexamined archival documents, shows that the Albanians possessed a far greater capacity for political mobilization that previously acknowledged by historians. Moreover, the dissertation successfully challenges the conventional wisdom that portrays the Albanians as irreparably divided along sectarian and regional faultlines. It finds that Albanian national activism was civic in character rather than ethnic as elsewhere in the Balkans. The Albanians fought to remain within a multinational framework because this afforded them political security, social advancement and potential economic growth. In the late Ottoman period, this political objective was manifested in the acceptance of the supranational imperial order whereas during the Second World War, in the aspiration to become members of the Comintern internationalist movement. Another important find, is the newly-discovered evidence concerning the founding of the CPA and its wartime conduct as an organization created and led by the Albanians themselves, albeit with Yugoslav ideological assistance under the transnational umbrella of the Comintern.

Physiotherapy practices and third party payers: issues in professional ethics in British Columbia

[À l'origine dans / Was originally part of : ESPUM - Dép. médecine sociale et préventive - Travaux et publications]

Physiotherapy practices and third party payers: issues in professional ethics in the Prairie provinces

[À l'origine dans / Was originally part of : ESPUM - Dép. médecine sociale et préventive - Travaux et publications]

Physiotherapy practices and third party payers: issues in professional ethics in Ontario

[À l'origine dans / Was originally part of : ESPUM - Dép. médecine sociale et préventive - Travaux et publications]

Physiotherapy practices and third party payers: issues in professional ethics in the Atlantic provinces

[À l'origine dans / Was originally part of : ESPUM - Dép. médecine sociale et préventive - Travaux et publications]

Physiotherapy practices and third party payers: issues in professional ethics in the Northern territories

[À l'origine dans / Was originally part of : ESPUM - Dép. médecine sociale et préventive - Travaux et publications]

Physiotherapy practices and third party payers: issues in professional ethics in Quebec

[À l'origine dans / Was originally part of : ESPUM - Dép. médecine sociale et préventive - Travaux et publications]

Don’t expect me to vote for you just because I like you, even if you do make me feel warm inside: a comparison of the validity of non-ipsative measures of party support

The inclusion of non-ipsative measures of party preference (in essence ratings for each of the parties of a political system) has become established practice in mass surveys conducted for election studies. They exist in different forms, known as thermometer ratings or feeling scores, likes and dislikes scores, or support propensities. Usually only one of these is included in a single survey, which makes it difficult to assess the relative merits of each. The questionnaire of the Irish National Election Study 2002 (INES2002) contained three different batteries of non-ipsative party preferences. This paper investigates some of the properties of these different indicators. We focus in particular on two phenomena. First, the relationship between non-ipsative preferences and the choices actually made on the ballot. In Ireland this relationship is more revealing than in most other countries owing to the electoral system (STV) which allows voters to cast multiple ordered votes for candidates from different parties. Second, we investigate the latent structure of each of the batteries of party preferences and the relationships between them. We conclude that the three instruments are not interchangeable, that they measure different orientations, and that one –the propensity to vote for a party– is by far preferable if the purpose of the study is the explanation of voters’ actual choice behaviour. This finding has important ramifications for the design of election study questionnaires.

Leadership and the Labour Party:narrative and performance

The relationships between narrative and leadership, between rhetoric and performance, between doctrine and its voicing, are crucial to party politics and are underrated by both practising politicians and scholars. This study analyses the ‘performance of leadership’ in the UK Labour Party, and what this means for a new approach to understanding politics. The main focus of this study is the five-year leadership of Ed Miliband, 2010-2015. The fortunes of the party and the party leadership can be apprehended as a series of performed rhetorical events. A political leader’s persona is a construction that performs – rather like an actor – in the political space. The author identifies and analyses the architecture and the modalities of leadership persona construction and performance in contemporary politics.

The significant role of third-party logistics (3pl) operators as fosterers of organizational performance in colombian companies

La eliminación de barreras entre países es una consecuencia que llega con la globalización y con los acuerdos de TLC firmados en los últimos años. Esto implica un crecimiento significativo del comercio exterior, lo cual se ve reflejado en un aumento de la complejidad de la cadena de suministro de las empresas. Debido a lo anterior, se hace necesaria la búsqueda de alternativas para obtener altos niveles de productividad y competitividad dentro de las empresas en Colombia, ya que el entorno se ha vuelto cada vez más complejo, saturado de competencia no sólo nacional, sino también internacional. Para mantenerse en una posición competitiva favorable, las compañías deben enfocarse en las actividades que le agregan valor a su negocio, por lo cual una de las alternativas que se están adoptando hoy en día es la tercerización de funciones logísticas a empresas especializadas en el manejo de estos servicios. Tales empresas son los Proveedores de servicios logísticos (LSP), quienes actúan como agentes externos a la organización al gestionar, controlar y proporcionar actividades logísticas en nombre de un contratante. Las actividades realizadas pueden incluir todas o parte de las actividades logísticas, pero como mínimo la gestión y ejecución del transporte y almacenamiento deben estar incluidos (Berglund, 2000). El propósito del documento es analizar el papel de los Operadores Logísticos de Tercer nivel (3PL) como promotores del desempeño organizacional en las empresas colombianas, con el fin de informar a las MIPYMES acerca de los beneficios que se obtienen al trabajar con LSP como un medio para mejorar la posición competitiva del país.

Los cambios del sistema político colombiano en virtud de los preceptos de Arend Lijphart y sus efectos en la oposición durante el periodo 2006 – 2013

El interés principal de esta monografía es demostrar, cómo dentro del marco institucional colombiano, cambió el tipo de Democracia en dos periodos de gobierno, y cómo dicho cambio afectó negativamente al sistema de partidos y específicamente a los partidos de oposición. Esto será analizado desde la teoría de Arend Lijphart sobre Democracia mayoritaria y Democracia consensual, incluyendo dentro del análisis, el marco institucional donde se desenvuelve el sistema político colombiano. Para un mayor entendimiento de la temática, se realiza un recuento de la institucionalidad de los partidos políticos en Colombia desde su formación hasta el día de hoy, prestando principal interés a los periodos de Gobierno comprendidos entre 2006 y 2013.

La influencia del Blues en la configuración y creación de The Black Panther Party en Estados Unidos (1966)

El trabajo a continuación tiene como objetivo mostrar cómo la música ha estado ligada al afroamericano desde su llegada al continente Americano en 1800, y cómo ha sido usada para lograr una transformación político-social que permitiría alcanzar la igualdad de trato en Estados Unidos durante la mitad del siglo XX. Se observará la evolución del Blues desde sus raíces y la introducción del R&B como expresión de pensamiento, ideas y experiencias utilizado por The Black Panther Party en la escena social negra de la época. Para lograr el objetivo anteriormente mencionado, se utilizará la Teoría de Campos de Pierre Bourdieu, junto con los conceptos de Capital y Habitus.

Alcances y limitaciones de los análisis sobre personajes históricos: balance del libro de David L. Chandler. Juan José de Aycinema. Idealista conservador de la Guatemala del siglo XIX

IntroducciónDurante la última década ha existido una proliferación de estudios sobre la historia de Centroamérica entre los que destacan las investigaciones que lleva a cabo el Centro de Investigaciones Regionales de Mesoamérica y que han contribuído a desentrañar temáticas relevantes para el conjunto de la historia de la región, La obra que comentamos ha sido publicada por este Centro dentro de la Serie Monográfica y fue ralizada por el profesor estadounidense Dr. David L. Chandler.