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Thesis Subjects > Engineering Europe University of Atlantic > Teaching > Final Master Projects
Ibero-american International University > Teaching > Final Master Projects
Cerrado Español La mortalidad y la incidencia por cáncer en el mundo, en Chile y en la Macro Región Sur, a la que se circunscribe este proyecto, ha crecido sostenidamente en los últimos 25 años, lo que lo convierte en un problema de salud pública. Por ello, el Ministerio de Salud Chileno insta a los Servicios de Salud, a intencionar esfuerzos para fortalecer la Red Asistencial Oncológica, a fin de resolver la demanda terapéutica, especialmente en quimioterapia y radioterapia, mejorando así el acceso y oportunidad a los tratamientos para el cáncer. El diseño de proyecto seleccionado como tipología de estudio, tiene como objetivo proponer un Diseño para la Red Oncológica Terapéutica para la Macro Región Sur, traducido en carteras terapéuticas más resolutivas para pacientes oncológicos y en mapas de derivación que cambian el actual flujo de pacientes que ingresan a tratamiento en cada Servicio de Salud involucrado. La metodología que utiliza el estudio comprende recopilación bibliográfica y estadística de daño por cáncer, a nivel de país y de la red asistencial analizada, a fin de explicitar la importancia del proyecto. La estadística de incidencia por cáncer, se utiliza para realizar un estudio de oferta y demanda, determinando brechas de prestaciones y recursos asistenciales necesarios para su resolución. Los resultados más relevantes, corresponden a la magnitud de la demanda de recursos asistenciales estimados, que superan en forma importante a la oferta existente. Es así como, la demanda sillones para quimioterapia es 2,6 veces la oferta, la demanda de camas hospitalarias para pacientes con cáncer es 3,9 veces la oferta y la demanda de aceleradores lineales es 4,5 veces la oferta. Estos resultados son la base del Diseño de Red, que aborda la reestructuración de la atención terapéutica en la Red Oncológica Macro Regional Sur y sus mapas de derivación, aportando además el fundamento para que los Servicios de Salud involucrados como Gestores de Red, planifiquen y gestionen su resolución. De las conclusiones más relevantes, consignar que la propuesta de Diseño de Red es sólo el punto de partida para las intervenciones que deben ser planificadas en conjunto por el colectivo los Servicios de Salud de la Red Macro Regional Sur. La tarea mayor, será el levantamiento de los proyectos de inversión en aquellos establecimientos que modifican su cartera de servicios para aumentar resolutividad, y luego, la gestión de los recursos financieros y humanos para la ejecución e implementación de los mismos. Otro importante esfuerzo, corresponderá a la formación de los profesionales médicos requeridos, ya que el sistema chileno de formación de especialidades médicas, presenta importantes restricciones, exigiendo que cada Servicio de Salud gestione cada cupo directamente con Minsal. Finalmente señalar que, se requiere que Minsal aborde la ampliación del registro poblacional de cáncer, ya que éste sólo existe en 5 de 29 Servicios de Salud, información de gran utilidad para una mayor precisión de la demanda. metadata Bahamonde Obreque, Cecilia Edith mail cecilia.b.43@gmail.com (2022) Español. Masters thesis, UNSPECIFIED.

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Abstract

La mortalidad y la incidencia por cáncer en el mundo, en Chile y en la Macro Región Sur, a la que se circunscribe este proyecto, ha crecido sostenidamente en los últimos 25 años, lo que lo convierte en un problema de salud pública. Por ello, el Ministerio de Salud Chileno insta a los Servicios de Salud, a intencionar esfuerzos para fortalecer la Red Asistencial Oncológica, a fin de resolver la demanda terapéutica, especialmente en quimioterapia y radioterapia, mejorando así el acceso y oportunidad a los tratamientos para el cáncer. El diseño de proyecto seleccionado como tipología de estudio, tiene como objetivo proponer un Diseño para la Red Oncológica Terapéutica para la Macro Región Sur, traducido en carteras terapéuticas más resolutivas para pacientes oncológicos y en mapas de derivación que cambian el actual flujo de pacientes que ingresan a tratamiento en cada Servicio de Salud involucrado. La metodología que utiliza el estudio comprende recopilación bibliográfica y estadística de daño por cáncer, a nivel de país y de la red asistencial analizada, a fin de explicitar la importancia del proyecto. La estadística de incidencia por cáncer, se utiliza para realizar un estudio de oferta y demanda, determinando brechas de prestaciones y recursos asistenciales necesarios para su resolución. Los resultados más relevantes, corresponden a la magnitud de la demanda de recursos asistenciales estimados, que superan en forma importante a la oferta existente. Es así como, la demanda sillones para quimioterapia es 2,6 veces la oferta, la demanda de camas hospitalarias para pacientes con cáncer es 3,9 veces la oferta y la demanda de aceleradores lineales es 4,5 veces la oferta. Estos resultados son la base del Diseño de Red, que aborda la reestructuración de la atención terapéutica en la Red Oncológica Macro Regional Sur y sus mapas de derivación, aportando además el fundamento para que los Servicios de Salud involucrados como Gestores de Red, planifiquen y gestionen su resolución. De las conclusiones más relevantes, consignar que la propuesta de Diseño de Red es sólo el punto de partida para las intervenciones que deben ser planificadas en conjunto por el colectivo los Servicios de Salud de la Red Macro Regional Sur. La tarea mayor, será el levantamiento de los proyectos de inversión en aquellos establecimientos que modifican su cartera de servicios para aumentar resolutividad, y luego, la gestión de los recursos financieros y humanos para la ejecución e implementación de los mismos. Otro importante esfuerzo, corresponderá a la formación de los profesionales médicos requeridos, ya que el sistema chileno de formación de especialidades médicas, presenta importantes restricciones, exigiendo que cada Servicio de Salud gestione cada cupo directamente con Minsal. Finalmente señalar que, se requiere que Minsal aborde la ampliación del registro poblacional de cáncer, ya que éste sólo existe en 5 de 29 Servicios de Salud, información de gran utilidad para una mayor precisión de la demanda.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Diseño de Redes Asistenciales, Modelo de Gestión Oncológico, Redes Integradas de los Servicios de Salud, Plan Nacional de Cáncer, Demanda Estimada de Prestaciones en Salud
Subjects: Subjects > Engineering
Divisions: Europe University of Atlantic > Teaching > Final Master Projects
Ibero-american International University > Teaching > Final Master Projects
Date Deposited: 31 Oct 2023 23:30
Last Modified: 31 Oct 2023 23:30
URI: https://repositorio.uneatlantico.es/id/eprint/1447

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<a href="/10290/1/Influence%20of%20E-learning%20training%20on%20the%20acquisition%20of%20competences%20in%20basketball%20coaches%20in%20Cantabria.pdf" class="ep_document_link"><img class="ep_doc_icon" alt="[img]" src="/10290/1.hassmallThumbnailVersion/Influence%20of%20E-learning%20training%20on%20the%20acquisition%20of%20competences%20in%20basketball%20coaches%20in%20Cantabria.pdf" border="0"/></a>

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Influence of E-learning training on the acquisition of competences in basketball coaches in Cantabria

The main aim of this study was to analyse the influence of e-learning training on the acquisition of competences in basketball coaches in Cantabria. The current landscape of basketball coach training shows an increasing demand for innovative training models and emerging pedagogies, including e-learning-based methodologies. The study sample consisted of fifty students from these courses, all above 16 years of age (36 males, 14 females). Among them, 16% resided outside the autonomous community of Cantabria, 10% resided more than 50 km from the city of Santander, 36% between 10 and 50 km, 14% less than 10 km, and 24% resided within Santander city. Data were collected through a Google Forms survey distributed by the Cantabrian Basketball Federation to training course students. Participation was voluntary and anonymous. The survey, consisting of 56 questions, was validated by two sports and health doctors and two senior basketball coaches. The collected data were processed and analysed using Microsoft® Excel version 16.74, and the results were expressed in percentages. The analysis revealed that 24.60% of the students trained through the e-learning methodology considered themselves fully qualified as basketball coaches, contrasting with 10.98% of those trained via traditional face-to-face methodology. The results of the study provide insights into important characteristics that can be adjusted and improved within the investigated educational process. Moreover, the study concludes that e-learning training effectively qualifies basketball coaches in Cantabria.

Producción Científica

Josep Alemany Iturriaga mail josep.alemany@uneatlantico.es, Álvaro Velarde-Sotres mail alvaro.velarde@uneatlantico.es, Javier Jorge mail , Kamil Giglio mail ,

Alemany Iturriaga

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Do ICT firms manage R&D differently? Firm-level and macroeconomic effects on corporate R&D investment: Empirical evidence from a multi-countries context

Technological firms invest in R&D looking for innovative solutions but assuming high costs and great (technological) uncertainty regarding final results and returns. Additionally, they face other problems related to R&D management. This empirical study tries to determine which of the factors favour or constrain the decision of these firms to engage in R&D. The analysis uses financial data of 14,619 ICT listed companies of 22 countries from 2003 to 2018. Additionally, macroeconomic data specific for the countries and the sector were used. For the analysis of dynamic panel data, a System-GMM method is used. Among the findings, we highlight that cash flow, contrary to the known theoretical models and empirical evidences, negatively impacts on R&D investment. Debt is neither the right source for R&D funding, as the effect is also negative. This suggests that ICT companies are forced to manage their R&D activities differently, relying more on other funding sources, taking advantage of growth opportunities and benefiting from a favourable macroeconomic environment in terms of growth and increased business sector spending on R&D. These results are similar in both sub-sectors and in all countries, both bank- and market based. The exception is firms with few growth opportunities and little debt.

Producción Científica

Inna Alexeeva-Alexeev mail inna.alexeeva@uneatlantico.es, Cristina Mazas Pérez-Oleag mail cristina.mazas@uneatlantico.es,

Alexeeva-Alexeev

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Isoflavones Effects on Vascular and Endothelial Outcomes: How Is the Gut Microbiota Involved?

Isoflavones are a group of (poly)phenols, also defined as phytoestrogens, with chemical structures comparable with estrogen, that exert weak estrogenic effects. These phytochemical compounds have been targeted for their proven antioxidant and protective effects. Recognizing the increasing prevalence of cardiovascular diseases (CVD), there is a growing interest in understanding the potential cardiovascular benefits associated with these phytochemical compounds. Gut microbiota may play a key role in mediating the effects of isoflavones on vascular and endothelial functions, as it is directly implicated in isoflavones metabolism. The findings from randomized clinical trials indicate that isoflavone supplementation may exert putative effects on vascular biomarkers among healthy individuals, but not among patients affected by cardiometabolic disorders. These results might be explained by the enzymatic transformation to which isoflavones are subjected by the gut microbiota, suggesting that a diverse composition of the microbiota may determine the diverse bioavailability of these compounds. Specifically, the conversion of isoflavones in equol—a microbiota-derived metabolite—seems to differ between individuals. Further studies are needed to clarify the intricate molecular mechanisms behind these contrasting results.

Producción Científica

Samuele Laudani mail , Justyna Godos mail , Giovanni Luca Romano mail , Lucia Gozzo mail , Federica Martina Di Domenico mail , Irma Dominguez Azpíroz mail irma.dominguez@unini.edu.mx, Raquel Martínez Díaz mail raquel.martinez@uneatlantico.es, Francesca Giampieri mail francesca.giampieri@uneatlantico.es, José L. Quiles mail jose.quiles@uneatlantico.es, Maurizio Battino mail maurizio.battino@uneatlantico.es, Filippo Drago mail , Fabio Galvano mail , Giuseppe Grosso mail ,

Laudani

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Could Celiac Disease and Overweight/Obesity Coexist in School-Aged Children and Adolescents? A Systematic Review

Background: Celiac disease (CD) is a multifactorial, immune-mediated enteropathic disorder that may occur at any age with heterogeneous clinical presentation. In the last years, unusual manifestations have become very frequent, and currently, it is not so uncommon to diagnose CD in subjects with overweight or obesity, especially in adults; however, little is known in the pediatric population. This systematic review aims to evaluate the literature regarding the association between CD and overweight/obesity in school-age children. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. An electronic database search of articles published in the last 20 years in English was carried out in Web of Sciences, PubMed, and Medline. The quality of the included studies was assessed by using the STrengthening the Reporting of OBservational studies in Epidemiology statement. Results: Of the 1396 articles identified, 9 articles, investigating overweight/obesity in children/adolescents affected by CD or screening CD in children/adolescents with overweight/obesity, met the inclusion criteria. Overall, the results showed that the prevalence of overweight or obesity in school-age children (6–17 years) affected by CD ranged between 3.5% and 20%, highlighting that the coexistence of CD with overweight/obesity in children is not uncommon as previously thought. Conclusion: Although CD has been historically correlated with being underweight due to malabsorption, it should be evaluated also in children with overweight and obesity, especially those who have a familiar predisposition to other autoimmune diseases and/or manifest unusual symptoms of CD.

Producción Científica

Rachele De Giuseppe mail , Francesca Bergomas mail , Federica Loperfido mail , Francesca Giampieri mail francesca.giampieri@uneatlantico.es, Giorgia Preatoni mail , Valeria Calcaterra mail , Hellas Cena mail ,

De Giuseppe

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Effects of enzymatic treatment on the in vitro digestion and fermentation patterns of mulberry fruit juice: A focus on carbohydrates

The aim of this study was to investigate the effects of enzymatic treatments (pectinase, pectin lyase, and cellulase) on the in vitro digestion and fermentation characteristics of whole mulberry fruit juice. The analysis focused on changes in carbohydrate properties within the black mulberry fruit matrix during simulated digestion and fermentation. Human fecal microbiota were collected and introduced to the fruit matrix to monitor the fate of both soluble and insoluble polysaccharides during fermentation. The results revealed that enzymatic treatments enhanced the solubilization of carbohydrates from mulberry fruits, with pectinase showing the most significant effect. Throughout the process of in vitro digestion, there was a gradual increase in the percentage of solubilized carbohydrates from the mulberry juice substrate. The digested suspensions underwent dialysis to remove degradation fragments, and a lower quantity of carbohydrate in the enzyme-treated groups compared to the control. Polysaccharide populations with varying molecular weights (Mw) were obtained from the soluble fractions of mulberry residues for subsequent fermentation. An increase in Mw of soluble polysaccharides was detected by HPSEC during fermentation in certain cases. The gut microbiota demonstrated the ability to convert specific insoluble fractions into soluble components, which were subsequently subjected to microbial utilization. Enzymatic treatments during mulberry juice preparation can potentially positively impact health by influencing gut microbiota and short-chain fatty acid (SCFA) modulations. Enzymes could serve as valuable tools for producing functional fruit and vegetable juices, with the need to specify processing conditions for specific raw materials remaining a subject of further investigation.

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Peihuan Luo mail , Jian Ai mail , Yuxin Wang mail , Songen Wang mail , Henk A. Schols mail , Hauke Smidt mail , Maurizio Battino mail maurizio.battino@uneatlantico.es, Weibin Bai mail , Lingmin Tian mail ,

Luo