Plan de gestión para el manejo de proyectos de infraestructura en el municipio de Tatumbla.

Tesis Materias > Ingeniería Universidad Europea del Atlántico > Docencia > Trabajos finales de Máster Cerrado Español El presente proyecto tiene como tema de estudio, el mal manejo de los proyectos de infraestructura vial en la municipalidad de Tatumbla, Honduras por parte de la actual gestión liderada por el alcalde Municipal y dar una solución a esta problemática que afecta directamente a los pobladores del municipio e indirectamente a los turistas que visitan el mismo. En el marco teórico se expondrán diferentes definiciones e información que serán de gran utilidad a la hora de acercarnos al problema de investigación, como ser; gestión de proyectos, tipos de organizaciones, ciclo de vida de un proyecto, entre otros. En el marco empírico, se plantea una investigación proyectiva, donde se emplea un diseño no experimental de tipo transaccional, con el objetivo de identificar el problema desde su raíz y que han realizado las autoridades para mejorarlo. Al definir estos puntos, se brinda una propuesta para solucionar el problema que la administración de la municipalidad tiene en el manejo de los proyectos de infraestructura y lograr el mayor aprovechamiento de los recursos económicos que el gobierno de Honduras o entes internacionales destinan a dichos proyectos. Tras la investigación se concluye que la municipalidad de Tatumbla ha venido trabajando con un esquema de gestión de proyectos empírico hace más de 10 años, impidiendo que sus pobladores se vean beneficiados con más proyectos para mejorar la infraestructura vial del municipio, lo que fortalecería el desarrollo económico y turístico del municipio. Se cumplieron todos los objetivos específicos de investigación: se identificaron las principales deficiencias de la municipalidad de Tatumbla en la gestión de sus proyectos, se recopilo la información necesaria para elaborar el plan de gestión de proyectos de infraestructura vial, se investigó cual es el impacto económico que genera la carencia de un plan de gestión de proyectos y por último se realizó la propuesta de un plan de gestión de proyectos que se acople a las necesidades del municipio para corregir los errores que se estaban cometiendo. metadata Gomez Martinez, Grazzia Daniela mail grazzia42@gmail.com (2022) Plan de gestión para el manejo de proyectos de infraestructura en el municipio de Tatumbla. Masters thesis, SIN ESPECIFICAR.

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Resumen

El presente proyecto tiene como tema de estudio, el mal manejo de los proyectos de infraestructura vial en la municipalidad de Tatumbla, Honduras por parte de la actual gestión liderada por el alcalde Municipal y dar una solución a esta problemática que afecta directamente a los pobladores del municipio e indirectamente a los turistas que visitan el mismo. En el marco teórico se expondrán diferentes definiciones e información que serán de gran utilidad a la hora de acercarnos al problema de investigación, como ser; gestión de proyectos, tipos de organizaciones, ciclo de vida de un proyecto, entre otros. En el marco empírico, se plantea una investigación proyectiva, donde se emplea un diseño no experimental de tipo transaccional, con el objetivo de identificar el problema desde su raíz y que han realizado las autoridades para mejorarlo. Al definir estos puntos, se brinda una propuesta para solucionar el problema que la administración de la municipalidad tiene en el manejo de los proyectos de infraestructura y lograr el mayor aprovechamiento de los recursos económicos que el gobierno de Honduras o entes internacionales destinan a dichos proyectos. Tras la investigación se concluye que la municipalidad de Tatumbla ha venido trabajando con un esquema de gestión de proyectos empírico hace más de 10 años, impidiendo que sus pobladores se vean beneficiados con más proyectos para mejorar la infraestructura vial del municipio, lo que fortalecería el desarrollo económico y turístico del municipio. Se cumplieron todos los objetivos específicos de investigación: se identificaron las principales deficiencias de la municipalidad de Tatumbla en la gestión de sus proyectos, se recopilo la información necesaria para elaborar el plan de gestión de proyectos de infraestructura vial, se investigó cual es el impacto económico que genera la carencia de un plan de gestión de proyectos y por último se realizó la propuesta de un plan de gestión de proyectos que se acople a las necesidades del municipio para corregir los errores que se estaban cometiendo.

Tipo de Documento: Tesis (Masters)
Palabras Clave: PMBOK,Gestion de proyectos,proyectos
Clasificación temática: Materias > Ingeniería
Divisiones: Universidad Europea del Atlántico > Docencia > Trabajos finales de Máster
Depositado: 20 Oct 2023 23:30
Ultima Modificación: 20 Oct 2023 23:30
URI: https://repositorio.uneatlantico.es/id/eprint/940

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Effects of a 12-week multicomponent exercise programme on physical function in older adults with cancer: Study protocol for the ONKO-FRAIL randomised controlled trial

Introduction Cancer in older adults is often associated with functional limitations, geriatric syndromes, poor self-rated health, vulnerability, and frailty, and these conditions might worsen treatment-related side effects. Recent guidelines for patients with cancer during and after treatment have documented the beneficial effects of exercise to counteract certain side effects; however, little is known about the role of exercise during cancer treatment in older adults. Materials and Methods This is a multicentre randomised controlled trial in which 200 participants will be allocated to a control group or an intervention group (the sample size has been calculated to detect a clinical difference of 1 point in Short Physical Performance Battery (SPPB) score, assuming an α error of 0.05, a β error of 0.20, and a 10 % loss rate). Patients aged ≥70 years, diagnosed with any type of solid cancer and candidates for systemic treatment are eligible. Subjects in the intervention group are invited to participate in a 12-week supervised multicomponent exercise programme in addition to receiving usual care. Study assessments are conducted at baseline and three months. The primary outcome measure is physical function as assessed by the SPPB. Secondary outcome measures include comprehensive geriatric assessment scores (including social situation, basic and instrumental activities of daily living, cognitive function, depression, nutritional status, polypharmacy, geriatric syndromes, pain, and emotional distress), anthropometric characteristics, frailty status, physical fitness, physical activity, cognitive function, quality of life, fatigue, and nutritional status. Study assessments also include analysis of inflammatory, endocrine, and nutritional mediators in serum and plasma as potential frailty biomarkers at mRNA and protein levels and multiparametric flow cytometric analysis to measure immunosenescence markers on T and NK cells. Discussion This study seeks to extend our knowledge on exercise interventions during systemic anticancer treatment in patients over 70 years of age. Results from this research will guide the management of older adults during systemic treatment in hospitals seeking to enhance the standard of care.

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Background Post-kala-azar dermal leishmaniasis (PKDL) is a skin condition that can become a complication in about 15 % of patients who have had kala-azar. Despite its significance, treatment options for PKDL are still limited. This systematic review and meta-analysis aim to evaluate the efficacy of amphotericin B for this condition. Methods PubMed, Embase, Cochrane, and Web of Science databases were searched for randomized controlled trials (RCTs) that reported the efficacy of Liposomal Amphotericin B in the treatment of PKDL. This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Events per 100 observations with 95 % confidence intervals were performed for outcomes. Results Nine studies with 639 patients were included, the treatment durations ranging from 7 to 60 days. The mean age ranged from 9.2 to 31.0 years, and 359 patients were male. The PKDL treatment with liposomal amphotericin B resulted in a cure rate of 91.36 % (95 % CI: 76.60-97.15). However, a relapse was observed in 11.42 % (95 % CI: 6.20-20.8) of patients. Adverse events were common, with hepatic enzyme elevation (ALT/AST) being the most frequent (61.75 %; 95 % CI: 21.81–90.33), followed by fever in 29.93 % of cases (95 % CI: 5.09–77.30). Among the more serious side effects, decreased serum potassium was observed in 19.27 % (95 % CI: 3.84–58.82), and increased serum creatinine, indicative of nephrotoxicity, occurred in 15.08 % (95 % CI: 3.97–43.27). Nausea or vomiting, although less severe, affected 12.36 % of patients (95 % CI: 4.81–28.25). Conclusions These findings highlight that while liposomal amphotericin B is a potent therapeutic option for PKDL, its administration requires careful management and clinical vigilance to optimize outcomes and minimize risks.

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