Abstract: Satisfaction is decisive for an international company decides the hiring of logistics services. Therefore, in the present investigation the objective is to identify the factors that affect the satisfaction of the client. A quantitative method is used through a factorial analysis and ordinary least squares. The results indicate that satisfaction depends on factors such as quality of service, loyalty and partially on information and communication technologies. The limitations presented by the work may be the willingness on the part of the respondents to respond to the measurement instrument. The findings are useful for companies that provide logistics services in terms of developing strategies focused on generating greater trust and, therefore, customer loyalty. The originality and relevance of the study are in the contributions of a model for decision making.

Resumen: La satisfacción es determinante para que una empresa internacional decida la contratación de servicios logísticos. Por lo cual, en la presente investigación se busca como objetivo identificar los factores que afectan a la satisfacción del cliente. Se utiliza un método cuantitativo a través de un análisis factorial y de mínimos cuadrados ordinarios. Los resultados indican que la satisfacción depende de factores como la calidad en el servicio, la lealtad y parcialmente de las tecnologías de la información y comunicación. Las limitaciones que se presentan el trabajo puede ser la disposición por parte de los encuestados al responder el instrumento de medición. Los hallazgos son útiles para las empresas que brindan servicios de logística en cuanto a desarrollar estrategias enfocadas a generar mayor confianza y, por lo tanto, lealtad del cliente. La originalidad y relevancia del estudio están en las aportaciones de un modelo para la toma de decisiones.

ABSTRACT Introduction The development of new surgical techniques and medical devices, like therapeutical multimodal approaches has allowed for better outcomes on patients with rectal cancer (RCa). Owing to that, an increased awareness and investment towards better outcomes regarding patients’ sexual and urinary function has been recently observed. Aim Evaluate and characterize the sexual dysfunction of patients submitted to surgical treatment for RCa. Materials and Methods An observational retrospective study including all male patients who underwent a surgical treatment for RCa between January 2011 December 2014 (n=43) was performed, complemented with an inquiry questionnaire to every patient about its sexual habits and level of function before and after surgery. Discussion All patients were male, with an average of 64yo. (range 42-83yo.). The surgical procedure was a rectum anterior resection (RAR) in 22 patients (56%) and an abdominoperineal resection (APR) in 19(44%). Sixty three percent described their sexual life as important/very important. Sexual function worsening was observed in 76% (65% with complains on erectile function, and 27% on ejaculation). Fourteen patients (38%) didn't resume sexual activity after surgery. Increased age (p=0.007), surgery performed (APR) (p=0.03) and the presence of a stoma (p=0.03) were predictors of ED after surgery. A secondary analysis found that the type of surgery (APR) (p=0.04), lower third tumor's location (p=0.03) and presence of comorbidities (p=0.013) (namely, smokers and diabetic patients) were predictors of de novo ED after surgery. Conclusions This study demonstrated the clear negative impact in sexual function of patients submitted to a surgical treatment for RCa. Since it is a valued feature for patients, it becomes essential to correctly evaluate/identify these cases in order to offer an adequate therapeutical option.

Abstract This article presents a study of 124 micro and small family businesses belonging to a dairy cooperative in the highlands of Jalisco, Mexico. the aim is to identify the impact of intellectual capital on the participation of its partners. the theoretical review raises the intellectual capital as a driver of competitiveness in organizations, three indicators that allow measurement are identified: human capital, structural and relational. A survey was conducted and the results were analyzed using multiple linear regression, identifying producers have benefited strengthening human capital and structural, generated a positive impact on the competitiveness of their business.

Resumen Este artículo presenta un estudio realizado a 124 micro y pequeñas empresas familiares pertenecientes a una cooperativa lechera de los Altos de Jalisco, México. El objetivo es identificar el impacto que tiene el capital intelectual en la participación de sus socios. La revisión teórica plantea al capital intelectual como un impulsor de la competitividad en las organizaciones, identificando tres indicadores que permiten su medición: el capital humano, estructural y relacional. Se realizó una encuesta y se analizaron los resultados a través de una regresión lineal múltiple, identificando que los productores se han beneficiado en el fortalecimiento de su capital humano y del estructural, generando así un impacto positivo en la competitividad de sus negocios.

INTRODUÇÃO: Apesar da incidência mundial de cancro gástrico estar a diminuir, este permanece a segunda causa de morte por cancro (700,000/ano). Deste modo, a prevenção do cancro gástrico é uma estratégia essencial para o controlo desta patologia. Para a prevenção primária do cancro gástrico, a sensibilização pública dos factores de risco e a necessidade da alteração dos hábitos de vida são passos fundamentais. Em Portugal, ainda não se realizaram estudos para perceber o nível de conhecimento da etiopatogenia e necessidade de rastreio desta patologia, por parte da nossa população. OBJECTIVOS: Este estudo baseia-se num inquérito populacional com o objectivo de fornecer informação sobre o nível de consciência da população do concelho de Vila Nova de Gaia, acerca dos factores de risco para o desenvolvimento do cancro gástrico. MATERIAL E MÉTODOS: O inquérito foi entregue para preenchimento livre aos utentes referenciados para Pequena Cirurgia no Centro Hospitalar de Vila Nova de Gaia/Espinho E.P.E., entre Março e Setembro de 2010. A análise estatística foi realizada recorrendo ao programa PASW 18. RESULTADOS E CONCLUSÕES: Após a análise estatística dos dados, constatamos que a maioria dos inquiridos não tem percepção da elevada incidência de cancro gástrico na nossa população. Cerca de 65% pensa que a taxa de mortalidade por esta patologia é moderada, sendo que 42% acredita ter um baixo ou muito baixo risco de desenvolver cancro gástrico. Todos estes factores reunidos podem conduzir a uma baixa preocupação da nossa população relativamente a esta patologia. Por outro lado, verificou-se que os principais factores de risco apontados pelos participantes foram o álcool, a úlcera gástrica e o tabaco. Apenas 13% referiram a infecção por Helicobacter pylori. Deste modo, para possibilitar uma prevenção primária do cancro gástrico eficaz, é essencial que a população tenha conhecimento acerca dos factores de risco potencialmente reversíveis. Este conhecimento e a realização de um rastreio nos indivíduos de alto risco poderiam reduzir a taxa de mortalidade por cancro gástrico

INTRODUCTION: Despite a decline in the worldwide incidence of gastric cancer, it remains the second leading cause of cancer death (700.000/year). Thus, the prevention of gastric cancer is an essential strategy for controlling this disease. For primary prevention of gastric cancer, public awareness of risk factors and the need to change the habits of life are essential steps. In Portugal, no studies have been conducted so far to assess the level of knowledge of the etiopathogenesis and the awareness concerning the need for screening of this disease in our population. OBJECTIVES: This study is based on a population survey aimed to provide information on the level of awareness of the population of the district of Vila Nova de Gaia, about the risk factors for the development of gastric cancer. MATERIAL AND METHODS: The inquiry given to patients was sent to Minor Surgical Procedures, of the Centro Hospitalar de Vila Nova de Gaia/Espinho E.P.E., from March to September 2010. Statistical analysis was performed using the program PASW 18. RESULTS AND CONCLUSIONS: After statistical analysis, we found that most of the responders had no perception of the high incidence of gastric cancer in our population. About 65% think that the mortality rate of this disease is moderate, and 42% believed to have a low or very low risk of developing gastric cancer. All these factors together can lead to a low concern regarding this disease. Moreover, it was found that the main risk factors mentioned by participants were alcohol, gastric ulcer and tobacco. Only 13% reported infection by Helicobacter pylori as a risk factor for gastric cancer. Thus, to allow a efficient primary prevention of gastric cancer, it is essential that the public have knowledge about the risk factors that are potentially reversible. This knowledge and the screening in high-risk individuals could reduce the mortality rate for gastric cancer.

Introduction. Identifying etiology in children with pneumonia requires time and technical resources, not always available. Therefore, the initial management of pneumonia is often based on clinical, laboratory, and/or radiographic data. Clinical prediction rules based on a combination of factors could increase diagnostic accuracy. Objective. To validate the diagnostic accuracy of a clinical prediction rule (Bacterial Pneumonia Score, BPS) to distinguish bacterial from viral pneumonia in children. Population and methods. This observational, diag- nostic test evaluation study was performed among January 2004 and December 2006. Children aged 1 month to 15 years old, hospitalized for pneumonia in whom a bacterial or viral etiology was identified were included. Children with chronic pulmonary disease, congenital heart disease, admission to the intensive care unit, underlying immunologic disease, mixed viral and bacterial infection, or inability to identify viral or bacterial pathogens were excluded. Admission data were recorded (age, temperature, WBC count and chest radiograph evaluation). BPS was then calculated (range -3 to 15 points), taking into account that a BPS ≥4 suggests bacterial pneumonia. Results. We included 82 patients aged 1 to 96 months with pneumonia (79% viral and 21% bacterial). A BPS ≥ 4 predicted bacterial pneumonia with sensibility: 94%, specificity: 34%, positive predictive value: 27%, and negative predictive value: 95%. Conclusion. The BPS was accurate on identifying most children with bacterial pneumonia, who required antibiotic therapy.

Introducción. Determinar el agente etiológico en niños con neumonía no es simple; requiere técnicas y tiempo que muchas veces no están disponibles. Por lo tanto, la decisión terapéutica inicial suele basarse en elementos clínicos, radiológicos y de laboratorio. El empleo de reglas de predicción clínica que combinan varios de estos elementos puede incrementar la capacidad diagnóstica. Objetivo. Evaluar la capacidad diagnóstica de una escala de puntaje para predecir etiología en niños con neumonía (Bacterial Pneumonia Score, BPS). Población, material y método. Estudio observacional, retrospectivo, de evaluación de una prueba diagnóstica, llevado a cabo entre enero de 2004 y diciembre de 2006. Se incluyeron pacientes de 1 mes a 15 años de edad hospitalizados por neumonía, con diagnóstico etiológico confirmado (viral o bacteriano). Se excluyeron aquellos con enfermedad pulmonar crónica, cardiopatía congénita, inmunodeficiencia, requerimiento de cuidados intensivos, infecciones mixtas o falta de diagnóstico etiológico. Se registraron datos del ingreso (edad, temperatura, hemograma y evaluación de radiografía de tórax). Con los datos mencionados se calculó el BPS (intervalo de -3 a 15 puntos), donde un valor ≥ 4 sugiere etiología bacteriana. Resultados. Se incluyeron 82 pacientes con edades entre 1 y 96 meses (79% etiología viral y 21% bacteriana). Un valor de BPS ≥ 4 mostró sensibilidad: 94%, especificidad: 34%, valor predictivo positivo: 27% y valor predictivo negativo: 95%. Conclusión. El BPS presentó una buena capacidad para identificar a la gran mayoría de los niños con infección bacteriana, que requieren antibióticos.