Desde el inicio del siglo XX, las unidades de salud se han esmerado en convertirse en unidades con niveles de satisfacción al usuario excelentes. Ante tal situación, se identificaron factores que influyen en la satisfacción del usuario mayor de 18 años que acudan a citas de consulta externa de las diferentes especialidades durante el año 2018, en relación con la atención del personal de enfermería en el Centro de Especialidades Central Guayas. Se obtuvieron datos de cómo el usuario recibe la atención del personal, qué tipo de saludo recibe al llegar a la estación de enfermería, la consejería sobre la medicación, tramites y consulta, lo cual permitió reconocer fortalezas y falencias del personal. Se propone realizar en los centros de salud un seminario taller motivacional.
We report the period, eccentricity, and mass determination for the Transiting Exoplanet Survey Satellite (TESS) single-transit event candidate TOI-222, which displayed a single 3000 ppm transit in the TESS 2-min cadence data from Sector 2. We determine the orbital period via radial velocity measurements (P = 33.9 d), which allowed for ground-based photometric detection of two subsequent transits. Our data show that the companion to TOI-222 is a low-mass star, with a radius of 0.18(-0.10)(+0.39) R-circle dot and a mass of 0.23 +/- 0.01 M-circle dot. This discovery showcases the ability to efficiently discover long-period systems from TESS single-transit events using a combination of radial velocity monitoring coupled with high-precision ground-based photometry. ; Swiss National Science Foundation (SNSF) Geneva University Swiss National Science Foundation (SNSF) Science & Technology Facilities Council (STFC) ST/M001962/1 ST/S002642/1 Science & Technology Facilities Council (STFC) ST/L000733/1 ST/P000495/1 ST/N000757/1 ST/P000312/1 1226157 STFC via an Ernest Rutherford Fellowship ST/R00384X/1 MIT's Kavli Institute Austrian Research Promotion Agency (FFG) 859724 Comisión Nacional de Investigación Científica y Tecnológica (CONICYT) PB06 CONICYT-PFCHA, Chile 21191829 Millennium Institute of Astrophysics (MAS) Comisión Nacional de Investigación Científica y Tecnológica (CONICYT) CONICYT FONDECYT 1161218 3180246 1171208 Ministry for the Economy, Development, and Tourism's Programa Iniciativa Científica Milenio IC120009 European Research Council (ERC) 681601 ERC under the European Union 320964 Australian Research Council LE160100001 DP180100972 Mount Cuba Astronomical Foundation University of Texas at Austin UNSW Australia MIT Nanjing University George Mason University University of Louisville University of California System University of Florida NASA's Science Mission directorate University of Southern Queensland
We report the discovery of a warm Neptune and a hot sub-Neptune transiting TOI-421 (BD-14 1137, TIC 94986319), a bright (V = 9.9) G9 dwarf star in a visual binary system observed by the Transiting Exoplanet Survey Satellite (TESS) space mission in Sectors 5 and 6. We performed ground-based follow-up observations-comprised of Las Cumbres Observatory Global Telescope transit photometry, NIRC2 adaptive optics imaging, and FIbre-fed Echelle Spectrograph, CORALIE, High Accuracy Radial velocity Planet Searcher, High Resolution echelle Spectrometer, and Planet Finder Spectrograph high-precision Doppler measurements-and confirmed the planetary nature of the 16 day transiting candidate announced by the TESS team. We discovered an additional radial velocity signal with a period of five days induced by the presence of a second planet in the system, which we also found to transit its host star. We found that the inner mini-Neptune, TOI-421 b, has an orbital period of P-b = 5.19672 +/- 0.00049 days, a mass of M-b = 7.17 +/- 0.66 M-circle plus, and a radius of R-b = R-circle plus, whereas the outer warm Neptune, TOI-421 c, has a period of P-c = 16.06819 +/- 0.00035 days, a mass of M-c = 16.42(-1.04)(+1.06)M(circle plus), a radius of R-c = 5.09(-0.15)(+0.16)R(circle plus), and a density of rho(c) = 0.685(-0.072)(+0.080) cm(-3). With its characteristics, the outer planet (rho(c) = 0.685(-0.0072)(+0.080) cm(-3)) is placed in the intriguing class of the super-puffy mini-Neptunes. TOI-421 b and TOI-421 c are found to be well-suited for atmospheric characterization. Our atmospheric simulations predict significant Ly alpha transit absorption, due to strong hydrogen escape in both planets, as well as the presence of detectable CH4 in the atmosphere of TOI-421 c if equilibrium chemistry is assumed. ; KESPRINT collaboration, an international consortium devoted to the characterization and research of exoplanets discovered with space-based missions NASA's Science Mission directorate NASA High-End Computing (HEC) Program through the NASA Advanced Supercomputing (NAS) Division at Ames Research Center National Aeronautics & Space Administration (NASA) European Research Council (ERC) 817540 European Research Council under the European Union's Horizon 2020 research and innovation program 832428 CRT foundation 2018.2323 Comision Nacional de Investigacion Cientifica y Tecnologica (CONICYT) CONICYT FONDECYT 3180246 Millennium Science Initiative, Chilean Ministry of Economy IC120009 Comision Nacional de Investigacion Cientifica y Tecnologica (CONICYT) CONICYT FONDECYT 1171208 Irish Research Council for Science, Engineering and Technology GOIPD/2018/659 Swedish National Space Agency DNR 65/19 136/13 Australian Research Council 170100521 NASA through Caltech/JPL grant RSA-1006130 NASA through TESS Guest Investigator Program 80NSSC19K1727 Alfred P. Sloan Foundation National Aeronautics & Space Administration (NASA) 80NSSC18K1585 80NSSC19K0379 National Science Foundation (NSF) AST1717000 Spanish Government RYC-2015-17697 FPI-SO from the Spanish Ministry of Economy and Competitiveness (MINECO) SEV-2015-0548-17-2 BES-2017-082610 National Aeronautics & Space Administration (NASA) NNX17AF27G HeisingSimons foundation PLATO grant GOLF CNES grant CONICYT-PFCHA/Doctorado Nacional, Chile 21140646 German Research Foundation (DFG) PA525/18-1 PA525/19-1 PA525/20-1 HA3279/12-1 RA714/14-1 National Aeronautics & Space Administration (NASA)
