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This monographic work is situated in the field of Basic Education, specifically in the area of Language and Literature. The purpose of the study was to theoretically demonstrate how reading comprehension influences the academic performance of children in Secondary Education through documentary research, in addition to proposing strategies that contribute to improving reading comprehension. This monograph is divided into three fundamental chapters in which reading comprehension, academic performance and the relationship between them are theoretically addressed. Reading comprehension is understood as a process in which the reader uses strategies to understand the message of the texts and relate them to their previous knowledge and experiences, while academic performance is considered as a qualitative and quantitative assessment of everything achieved in the teaching-learning process. Finally, it was evidenced that reading comprehension significantly influences the academic performance of Basic Education students in all areas of knowledge. For this reason, it is necessary to develop activities that strengthen reading comprehension, which will help students to function adequately not only in the academic sphere but also in the social and personal sphere

La presente investigación sobre “Propuesta de mejora del sistema logístico en la empresa comercializadora y distribuidora Racser SA. – Cajamarca, para la reducción de costos”, pretende realizar la recopilación de teoría del sistema logístico haciendo especial énfasis en tres áreas como son aprovisionamiento, almacenamiento y distribución, con el objetivo de identificar el impacto que tiene el sistema logístico en una empresa de comercialización y distribución como Racser S.A Además, con el fin de contrastar dicha teoría con la práctica, se ha desarrollado indicadores logísticos en las tres áreas ya antes mencionadas para así mostrar proyecciones así como algunos datos reales del sistema logísticos y el impacto que intervienen en los costos en este proceso. Se realizó un diagnostico general del sistema logístico abarcando las áreas relacionada con el mismo, realizando diagramas de Ishikawa para poder identificar el problema con mayor grado de severidad, relacionar sus causas y efectos y así proponer una solución a cada problema identificado, por otro lado la propuesta de elaboración de Flujogramas por área y diagramas de procesos ayudará a la estandarización de tiempos en las actividades realizadas y reordenamiento del proceso que estas siguen para evitar tiempos muertos y seguir procesos estándares en cada una de las áreas. La presentación de datos reales y proyecciones por medio de indicadores logísticos servirán para identificar los sobrecostos que existen en el proceso logístico que sigue la empresa y con ello se podrá hacer un seguimiento constante para mitigar el porcentaje de costos innecesario que desembolsa la empresa. Dentro del sistema logístico, una de las propuesta es también implementar un nuevo software, un sistema más acorde al rubro de la empresa y que pueda ayudar a mostrar con claridad los problemas en lo que el sistema logístico está incurriendo con respecto al registro de la información. Es por ello que se propone un software que involucre compra, The present research on "proposal for the improvement of the logistics system in the marketing and distribution company Racser SA. "-Cajamarca, for the reduction of costs", seeks to make collection of theory of the logistic system with special emphasis on three areas that comprise it supply, storage and distribution, in order to identify the impact that has the logistics system in a company's marketing and distribution as Racser S.A in addition, in order to contrast the theory with practice logistic indicators has been developed in three areas already mentioned above to show real data of the logistics system and costs involved in this process. Was a diagnosis general logistics system covering areas related to the same, making diagrams of Ishikawa in order to identify the problem with higher degree of severity, relate their causes and effects and propose a solution to each problem identified, on the other hand the proposal of developing flowcharts for area and process diagrams help the standardization of time in activities and reorganization of the process that they follow to avoid downtimes and follow processes standards in each of the areas, so also will be solution to common in these same hidden costs. The presentation of actual data and projections through logistic indicators serve to identify cost overruns that exist in the logistics process that follows the company and thereby a constant monitoring can be done to alleviate the unnecessary costs percentage that disburses the company. The proposal to implement a new software, one system more consistent with the business of the company and that it can show clearly the problems in what is repeating the logistic system. Therefore, that proposes a software involving purchases, sales, payments, storage and management, since with them would have greater control in the logistics system and it would be easier to identify any problems in the system. In the chapter on diagnosis, results and discussion, you will se

Background: glycosylated hemoglobin is a test often used in the evaluation of diabetes mellitus. It is not known what would be the effectiveness of the test in patients with diabetic nephropathy and chronic kidney disease (CKD) who have anemia. Objective: to determinate relationship between the presence of anemia and glycosylated hemoglobin valuesin patients with diabetic nephropathy and CKD in José Carrasco Arteaga Hospital of Cuenca in 2013. Methodological design: this is an analytical, quantitative, cohort study. The sample was composed with 135 patients, 41 had anemia (exposed cohort) and 94 without anemia (unexposed cohort) . The main variables analyzed were the presence of anemia and levels of glycosylated hemoglobin. The data was obtained through an interview with the patients and their digital clinical history, based on which, a form is filled, after the information was transferred to the computer for further analysis with Excel Microsoft , SPSS, Minitab15 programs. Results: the mean value of the glycosylated hemoglobin was 8.3 % in the total number of individuals included in the study, whereas in the group with anemia was 7.4 % and in the group without anemia turned 8, 7%, a difference that was statistically significant ( p < 0.05 ) , in addition to also establish a cause- effect , patients with anemia have most likely lower glycosylated Hb values compared to patients without anemia ( RR > 1 CI 1.02 to 6.73 , p < 0.05). The validity of the glycosylated hemoglobin test, used to monitor the control of diabetes mellitus and CKD may be diminished if a patient develops anemia Conclusion: it was determined that patients with anemia have lower glycosylated hemoglobin values. The utility of this test may be decreased in controlling the anemic patient with diabetes mellitus and CKD. KEY WORDS: GLYCOSYLATED HEMOGLOBIN A, CHRONIC KIDNEY FAILURE, DIABETES MELLITUS, ANEMIA, DIABETIC NEPHROPATHY.