984 resultados para 657.45
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La estandarización de procesos es un instrumento que busca conjugar de una manera coherente y organizada, los esfuerzos y recursos para que se entienda como una actitud de todas las personas que interactúan dentro de la Organización, con el fin de
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A raíz de la Reforma de la Seguridad Social (ley 10/91 - Ley 60/91- Ley100/93 y sus decretos reglamentarios), las instituciones de salud se vieron en la necesidad de crear estrategias completas de servicio, con el fin de adaptarse a las nuevas exigen
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Actualmente el sector salud está atravesando su mayor crisis. No son ajenos a ésta las entidades promotoras de salud, las cuales vienen presentando desde su creación grandes pérdidas económicas.
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Debido a la importancia que ha adquirido el tema ambiental dentro de las empresas y en la mente y los hábitos de consumo de los compradores, es importante saber que existe una normatividad la cual sugiere a las compañías cumplir con algunos parámetros
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Este trabajo de investigación, realizado como requisito parcial para optar por el título de Auditor en Salud, propone un Modelo de Auditoría para el paciente consultador crónico en Susalud E.P.S., partiendo del análisis de la problemática de la
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The recent development of indoor wireless local area network (WLAN) standards at 2.45 GHz and 5 GHz has led to increased interest in propagation studies at these frequency bands. Within the indoor environment, human body effects can strongly reduce the quality of wireless communication systems. Human body effects can cause temporal variations and shadowing due to pedestrian movement and antenna- body interaction with portable terminals. This book presents a statistical characterisation, based on measurements, of human body effects on indoor narrowband channels at 2.45 GHz and at 5.2 GHz. A novel cumulative distribution function (CDF) that models the 5 GHz narrowband channel in populated indoor environments is proposed. This novel CDF describes the received envelope in terms of pedestrian traffic. In addition, a novel channel model for the populated indoor environment is proposed for the Multiple-Input Multiple-Output (MIMO) narrowband channel in presence of pedestrians at 2.45 GHz. Results suggest that practical MIMO systems must be sufficiently adaptive if they are to benefit from the capacity enhancement caused by pedestrian movement.
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Background The preservation of meniscal tissue is important to protect joint surfaces. Purpose We have an aggressive approach to meniscal repair, including repairing tears other than those classically suited to repair. Here we present the medium- to long-term outcome of meniscal repair (inside-out) in elite athletes. Study Design Case series; Level of evidence, 4. Methods Forty-two elite athletes underwent 45 meniscal repairs. All repairs were performed using an arthroscopically assisted inside-out technique. Eighty-three percent of these athletes had ACL reconstruction at the same time. Patients returned a completed questionnaire (including Lysholm and International Knee Documentation Committee [IKDC] scores). Mean follow-up was 8.5 years. Failure was defined by patients developing symptoms of joint line pain and/or locking or swelling requiring repeat arthroscopy and partial meniscectomy. Results The average Lysholm and subjective IKDC scores were 89.6 and 85.4, respectively. Eighty-one percent of patients returned to their main sport and most to a similar level at a mean time of 10.4 months after repair, reflecting the high level of ACL reconstruction in this group. We identified 11 definite failures, 10 medial and 1 lateral meniscus, that required excision; this represents a 24% failure rate. We identified 1 further patient who had possible failed repairs, giving a worst-case failure rate of 26.7% at a mean of 42 months after surgery. However, 7 of these failures were associated with a further injury. Therefore, the atraumatic failure rate was 11%. Age and size and location of the tears were not associated with a higher failure rate. Medial meniscal repairs were significantly more likely to fail than lateral meniscal repairs, with a failure rate of 36.4% and 5.6%, respectively (P < .05). Conclusion Meniscal repair and healing are possible, and most elite athletes can return to their preinjury level of activity.
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Contribution to a curated book of Australian 45rpm single covers. This contribution is a discussion about the possibilities afforded by available technologies in the late 70s in the production of music-related artwork: record covers, posters, handbills etc.