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Portfolio of Intern Lucero del Carmen Flores Osorio's Experience During the Period February to December 2024 in Two Ministry of Health Hospitals in Lima
No full textPor solicitud de la empresa u organización que facilitó información para la elaboración del trabajoObjetivo: este trabajo tiene como finalidad describir los casos clínicos más relevantes que el interno analizó durante su Internado Médico, llevado a cabo entre febrero de 2024 y noviembre de 2024 en el Hospital de Emergencias José Casimiro Ulloa y Hospital Nacional Docente Madre Niño San Bartolomé
Metodología: se realizó un estudio descriptivo centrado en los 30 casos clínicos atendidos que considero me dejaron aprendizajes significativos y la experiencia profesional adquirida durante las rotaciones de Medicina Interna, Pediatría, Cirugía y Gineco-Obstetricia en las mencionadas instituciones durante el período señalado.
Resultados: se presentan los 30 casos clínicos más significativos tratados por el interno, destacando los diferentes enfoques aplicados según las características de la población y su contexto social. El manejo se orientó hacia una atención integral, priorizando el bienestar del paciente.
Conclusiones: el internado médico representa una etapa crucial en la formación de todo profesional de la salud, permitiendo adquirir la experiencia y objetividad necesarias para ejercer la profesión. Las rotaciones realizadas en las tres instituciones mencionadas resultaron fundamentales para el desarrollo profesional y personal del interno, fomentando actitudes empáticas y asertivas en la atención de los pacientes.Objective: This study aims to describe the most relevant clinical cases analyzed by the intern during their Medical Internship, conducted between February 2024 and November 2024 at the José Casimiro Ulloa Emergency Hospital and the National Teaching Hospital Madre Niño San Bartolomé.
Methodology: A descriptive study was carried out, focusing on the 30 clinical cases attended, which were considered to have provided significant learning experiences and professional growth during rotations Internal Medicine, Pediatrics, Surgery, and Gynecology-Obstetrics at the institutions during the specified period. Results: The 30 most significant clinical cases treated by the intern are presented, highlighting the various approaches applied based on the characteristics of the population and their social context. The management was focused on providing comprehensive care, prioritizing the patient's well-being.
Conclusions: The medical internship is a crucial stage in the training of any healthcare professional, allowing for the acquisition of necessary experience and objectivity in practicing the profession. The rotations carried out in the three mentioned institutions were essential for the intern's professional and personal development, fostering empathetic and assertive attitudes in patient care.Trabajo de Suficiencia Profesiona
Boletin informativo del Grupo Global Supply Chain Management
No full textLogísfera es la segunda edición de una revista académica del grupo GSCM de Ingeniería Industrial UPC, enfocada en cadenas de suministro peruanas. Sirve como plataforma de intercambio entre académicos, profesionales y estudiantes. Esta edición analiza la transformación de la infraestructura logística del Perú en las últimas décadas como factor clave para mejorar la competitividad y el desarrollo sostenible del país
High-density concrete using the barite material for structural elements used in health entities, Trujillo
No full textEn los últimos años las entidades de salud como los hospitales, además de necesitar concretos de alta resistencia, hay áreas en las que se deben utilizar concretos de alta densidad tal es el caso de las salas de rayos X, pues, es indispensable proteger a los usuarios directos y de ambientes continuos ante la radiación emitida por los dispositivos utilizados, ya que deterioran el ADN.
Por ello, el objetivo de la presente investigación es determinar el efecto del concreto de alta densidad utilizando el material barita para elementos estructurales empleados en entidades de salud en la ciudad de Trujillo.
Este estudio se basa en una metodología experimental que abarca desde la obtención de materiales, análisis de los agregados, diseño de mezclas de concreto patrón y concreto con dosificaciones de 10%, 20% y 30% de barita como reemplazo parcial del AF, ensayos físicos y mecánicos del concreto considerando un total de 48 muestras para el ensayo de RC y 16 muestras para el ensayo de succión capilar.
De los resultados obtenidos, se encontró como óptimo al concreto que tiene un 30% de barita como reemplazo del AF, el cual incrementa en 3.30 % el PU del concreto respecto al concreto sin tratamiento; asimismo, reduce la RC a los 28 días de edad en un 13.01% respecto a la muestra patrón pero logra sobrepasar con facilidad la resistencia de diseño; y en cuanto a la succión capilar, alcanza los valores más desfavorables con un incremento promedio del ritmo inicial y secundario de absorción de agua de 328.13% y 162.5% respectivamente en cuanto a los valores alcanzados por el concreto sin tratamiento; sin embargo se plantea corregir esta última propiedad mediante el uso de aditivos impermeabilizantes.In recent years, health entities such as hospitals, in addition to needing high-resistance concrete, there are areas in which high-density concrete must be used, such as the case of X-ray rooms, since it is essential to protect patients. direct users and continuous environments due to the radiation emitted by the devices used, since they deteriorate ADN.
Therefore, the objective of this research is to determine the effect of high-density concrete using the barite material for structural elements used in health entities in the city of Trujillo.
This study is based on an experimental methodology that ranges from obtaining materials, analysis of aggregates, design of mixtures of standard concrete and concrete with dosages of 10%, 20% and 30% of barite as a partial replacement of AF, physical tests and concrete mechanics considering a total of 48 samples for the RC test and 16 samples for the capillary suction test.
From the results obtained, concrete that has 30% barite was found to be optimal as a replacement for AF, which increases the PU of the concrete by 3.30% compared to untreated concrete; Likewise, it reduces the CR at 28 days of age by 13.01% compared to the standard sample but easily exceeds the design resistance; and regarding capillary suction, it reaches the most unfavorable values with an average increase in the initial and secondary rate of water absorption of 328.13% and 162.5% respectively in terms of the values reached by untreated concrete; However, it is proposed to correct this last property through the use of waterproofing additives.TesisODS 3: Salud y bienestarODS 9: Industria, innovación e infraestructuraODS 6: Agua limpia y saneamient
Corporate Social Responsibility for building Reputation in MYPES companies
No full textLa Responsabilidad Social Corporativa (RSC) ha adquirido una relevancia creciente en la construcción de la reputación corporativa, especialmente en un entorno digital altamente competitivo. Sin embargo, su implementación en las MYPE sigue siendo limitada debido a restricciones gerenciales, financieras y a la falta de estrategias claras para su gestión. Este estudio busca analizar como la RSC influye en la reputación de las MYPE a través de redes sociales como Linkedln, desde la perspectiva de los colaboradores de MAQ DEPOT. Se empleó un paradigma interpretativo con una enfoque cualitativa mediante un diseño estudio de caso, lo que posibilita una recolección de información con entrevistas semiestructuradas para conocer, comprender, contrastar e interpretar las diversas opiniones, percepciones y experiencias de los colaboradores. El grupo de entrevistados fue el 100% de los colaboradores, cada uno con al menos 1 año de experiencia en relación al rubro industrial. Los resultados indican que la percepción de la RSC en la construcción de la reputación de MAQ DEPOT en Linkedln está fuertemente vinculada a la asociación de marca con la gerente general y a la sostenibilidad. Los colaboradores identifican que la presencia y liderazgo de la gerente general en la plataforma refuerzan la imagen de la empresa, otorgándole credibilidad y cercanía con su audiciencia. Así mismo, la sostenibilidad fortalece la identidad corporativa y mejora la reputación de la empresa. Las prácticas de Resporabilidad Social Corporativa son sumamente importantes para las Mype en la formación de una reputación corporativa en entornos digitales, así como la importancia de una estrategia de RSC bien gestionada para mejorar la percepción de la empresa.Corporate Social Responsibility (CSR) has become increasingly important in building corporate reputation, especially in a highly competitive digital environment. However, its implementation in MSMEs remains limited due to managerial and financial restrictions and the lack of clear strategies for its management. This study seeks to analyze how CSR influences the reputation of MSMEs through social networks such as LinkedIn, from the perspective of MAQ DEPOT employees. An interpretive paradigm was used with a qualitative approach through a case study design, which enables the collection of information with semi-structured interviews to learn about, understand, contrast and interpret the various opinions, perceptions and experiences of employees. The interview group was 100% of employees, each with at least 1 year of experience in the industrial sector. The results indicate that the perception of CSR in building MAQ DEPOT's reputation on LinkedIn is strongly linked to the brand association with the general manager and to sustainability. The collaborators identify that the presence and leadership of the general manager on the platform reinforce the image of the company, granting it credibility and closeness to its audience. Likewise, sustainability strengthens the corporate identity and improves the reputation of the company. Corporate Social Responsibility practices are extremely important for SMEs in the formation of a corporate reputation in digital environments, as well as the importance of a well-managed CSR strategy to improve the perception of the company.TesisODS 9: Industria, innovación e infraestructuraODS 8: Trabajo decente y crecimiento económicoODS 4: Educación de calida
Insulin resistance indices or scores used in adults with associated metabolic pathologies. Scoping Review
No full textAntecedentes: La resistencia a la insulina (RI) es un factor clave en el desarrollo de enfermedades metabólicas como la diabetes mellitus tipo 2, el síndrome metabólico y la disfunción metabólica asociada a enfermedad hepática grasa. Aunque el clamp hiperinsulinémico euglucémico es el estándar de oro para su medición, su complejidad y costo limitan su aplicación clínica. Este estudio identifica y analiza los índices y scores utilizados para estimar la RI de manera accesible en distintas poblaciones. Métodos: Se realizó un scoping review siguiendo la metodología PRISMA-ScR, con una búsqueda sistemática en ocho bases de datos científicas. Se analizaron los estudios seleccionados en base a criterios de elegibilidad que emplearan cualquier método para medir la RI, evaluando la validez de los scores y el riesgo de sesgo con la herramienta QUADAS-2. Resultados: Se identificaron 27 scores en 41 artículos, de los cuales 7 compararon sus resultados con el clamp hiperinsulinémico, los cuales fueron validados en poblaciones con síndrome metabólico y personas sanas. Ningun estudio fue calificado con bajo riesgo de sesgo. Entre los más utilizados destacan HOMA-IR, índice TyG y QUICKI. Se observó una amplia variabilidad en los puntos de corte, lo que podría afectar su aplicabilidad clínica. Conclusiones: Los índices de RI utilizados en patologías metabólicas fueron 27 reportados en este estudio y resultan ser una alternativa viable al clamp hiperinsulinémico-euglucémico, pero requieren mayor validación y estandarización. Son necesarios estudios adicionales para mejorar su precisión diagnóstica y facilitar su integración en la práctica clínica, optimizando el manejo de la RI.Background: Insulin resistance (IR) is a key factor in the development of metabolic diseases such as type 2 diabetes mellitus, metabolic syndrome, and metabolic dysfunction-associated fatty liver disease. Although the hyperinsulinemic-euglycemic clamp is the gold standard for its measurement, its complexity and cost limit its clinical application. This study identifies and analyzes the indices and scores used to estimate IR in an accessible manner across different populations. Methods: A scoping review was conducted following the PRISMA-ScR methodology, with a systematic search in eight scientific databases. The selected studies were analyzed based on eligibility criteria that included any method for measuring IR, assessing the validity of the scores and the risk of bias using the QUADAS-2 tool. Results: A total of 27 scores were identified in 41 articles, of which 7 compared their results with the hyperinsulinemic-euglycemic clamp and were validated in populations with metabolic syndrome and healthy individuals. No study was rated as low risk of bias. The most commonly used indices included HOMA-IR, the TyG index, and QUICKI. A wide variability in cutoff points was observed, which may affect their clinical applicability. Conclusions: The 27 IR indices reported in this study provide a viable alternative to the hyperinsulinemic-euglycemic clamp but require further validation and standardization. Additional studies are needed to improve their diagnostic accuracy and facilitate their integration into clinical practice, optimizing IR management.TesisODS 9: Industria, innovación e infraestructuraODS 4: Educación de calidadODS 8: Trabajo decente y crecimiento económic
What Abductor Repair Technique Provides the Best Functional Outcomes After Proximal Femur Endoprosthetic Reconstruction for Oncologic Indications? A Systematic Review
No full textBackground: There is conflicting data regarding the optimal abductor mechanism (AM) repair technique after resection of proximal femur tumors. We sought to compare functional outcomes following tumor resection and reconstruction with proximal femoral replacement based on the AM repair technique utilized. Methods: We conducted a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. We established two study groups based on AM repair technique as follows: soft-tissue reattachment (STr) and greater trochanter preservation (GTp). In the STr group, the gluteus medius and minimus muscles were reattached to the endoprosthesis, whereas in the GTp group, the greater trochanter and gluteal tendons were preserved. The STr group was further subdivided into direct and indirect reattachments. Weighted means adjusting for sample size were calculated. Results: A total of 658 patients from 12 articles were included. Patients who had STr displayed higher Musculoskeletal Tumor Society scores (75 versus 67.3%, P < 0.001), lower rates of Trendelenburg gait (33.9 versus 52.4%, P < 0.01), and ambulation with assistive devices (30.4 versus 54.9%, P < 0.001) compared to the GTp group. Within the STr group, indirect reattachment was associated with higher Musculoskeletal Tumor Society scores (87.2 versus 70.1%, P < 0.001) and lower rates of Trendelenburg gait (3.8 versus 36.3%, P < 0.001) and ambulation with assistive devices (0 versus 42.4%, P < 0.001) compared to direct reattachment. The reattachment hardware failure rate in GTp was 15%. Conclusion: A STr provided superior functional outcomes compared to GTp in tumor-related proximal femoral replacement. From a functional outcome perspective, the use of indirect STr was better compared to direct STr. Level of Evidence: III.Revisión por paresODS 9: Industria, innovación e infraestructuraODS 3: Salud y bienestarODS 4: Educación de calida
Communication and Learning: Social Representations of Religion: The Lord of Miracles and the Virgin of Guadalupe
No full textIntroduction: In Lima and Mexico we analyze the social representations of religion as an expression of communication in the case of El Señor de los Milagros, in the first, and the Virgin of Guadalupe, in the second. Methodology: Qualitative, non-experimental design, we apply the interview technique to Peruvian and Mexican citizens who are believers and devotees of both deities and finally, to specialists in the subject of Catholic religion. Results: The social representations of religion are framed in communication processes with common elements such as: faith, prayer, devotion, security, miracles, protection, support, dogma, collective resource and sense of belonging. Discussion: The deities studied transcend time and culture multidimensionally; The collective's roots in them channel the expression of their feelings in religious practices such as pilgrimage, faith and miracle. Conclusions: The social representations of religion are expressions of communication processes through their devotion: the procession in El Señor de los Milagros, and the pilgrimage in the Virgin of Guadalupe. They are spaces of interaction and expression of their religious beliefs and are transmitted to their families and communities intergenerationally.ODS 4: Educación de calidadODS 3: Salud y bienestarODS 5: Igualdad de géner
Gender moderating role in the relationship between leader humility and employee psychological empowerment
No full textThe gender difference in leadership and subordinates’ empowerment has been a controversial topic studied in several countries. This study examines how gender moderates the relationship between the perceived leader humility and the subordinate psychological empowerment in a country that scores high in the power distance index. Four dyads were studied considering leader gender, male or female, and subordinate gender: M-M, F-M, M-F, F-F. Four hypotheses were tested with a questionnaire applied to 253 MBA students in Ecuador. Multi-group analysis was used with the bootstrapping technique. It was found that gender had a significant moderating effect in three of the studied relationships, being the M-M and F-M dyads the ones that presented the highest correlations. The results showed that male subordinates value humility attributes in their leaders, whether male or female, while the relationship was not significant for the F-F dyad.ODS 5: Igualdad de géneroODS 3: Salud y bienestarODS 4: Educación de calida
Design of medicinal plant stalls to promote tourism in the modelo de Chiclayo market
No full textEste proyecto surge de la necesidad de promover uno de los
puntos más emblemáticos, aunque poco difundidos, del centro
de Chiclayo: el sector herbolario del Mercado Modelo. Reconocido
por su importancia en la venta de plantas medicinales, debido a su
amplia oferta de especies naturales y elementos relacionados con
el misticismo. Sin embargo, el sector enfrenta varios problemas que
afectan la experiencia del usuario y limitan su atractivo como destino
turístico Durante el levantamiento de información y análisis de la situación
actual, se identi caron una serie de problemas signi cativos, tales
como el limitado acceso vehicular, el deterioro de las estructuras,
el amontonamiento de productos, la circulación limitada, entre
otros. Estos problemas subrayan la necesidad de una intervención
estructural integral. Mediante el diseño interior, se ha desarrollado
una nueva distribución que crea zonas y actividades especí cas,
transformando el sector herbolario en un espacio funcional
y visualmente atractivo. Esta renovación no solo mejorará la
experiencia del visitante, sino que también fomentará el turismo local
e internacional y potenciará el comercio en la región, contribuyendo
al desarrollo económico y cultural del área.This project arises from the need to promote one of the most emblematic, although little disseminated, points of the centre of Chiclayo:
the herbal sector of the Model Market. Recognised for its importance in the sale of medicinal plants, due to its wide range of natural species and elements related to mysticism. However, the sector faces
several problems that aect the user experience and limit its attractiveness as a tourist destination. During thE collection of information and analysis of the current
situation, a series of signicant problems were identied, such as limited vehicular access, the deterioration of structures, the piling
of products, limited circulation, among others. These problems emphasise the need for comprehensive structural intervention.
Through interior design, a new distribution has been developed that creates specic zones and activities, transforming the herbal sector
into a functional and visually attractive space. This renewal will not only improve the visitor’s experience, but will also promote local and
international tourism and enhance trade in the region, contributing to the economic and cultural development of the areaTrabajo de Suficiencia Profesiona
Parents’ beliefs about parental and school disciplinary strategies in students of the 3rd grade of primary school in a Private Educational Institution in Lima, 2024
No full textEl presente trabajo de investigación tiene por objetivo dar a conocer las creencias de los padres de familia sobre las estrategias disciplinarias parentales y escolares en estudiantes del 3er grado de primaria en una I.E.P. de Lima. En la actualidad, la disciplina escolar es relevante, puesto que, a lo largo de los años han surgido cambios en la forma de corregir el comportamiento inadecuado de los alumnos replanteando la orientación de una disciplina tradicional hacia una disciplina positiva. Asimismo, es importante que las estrategias disciplinarias del centro educativo estén alineadas con la disciplina parental. El estudio es de tipo básico, de ruta de investigación cualitativa fenomenológica, con un método de muestreo no probabilístico por conveniencia dirigido a 10 participantes, utilizando las entrevistas a profundidad semiestructuradas para la recolección de datos. Los resultados mostraron que, los padres de familia desconocen las estrategias disciplinarias que se aplican en el centro educativo para manejar los problemas de conducta, lo cual, evidencia una falta de comunicación oportuna entre los miembros del colegio y los padres de familia. Se concluye que, resulta relevante que el centro educativo habilite los canales adecuados para lograr un diálogo constante con los padres de familia sobre las estrategias disciplinarias y así poder trabajar de forma colaborativa con estos hacia la mejora de la conducta de los niños.This research aims to make known parents’ beliefs on parental and school disciplinary strategies in students of 3rd grade of primary school, in a private school of Lima. Currently, school discipline is relevant due to the changes that have taken place throughout the years, in the way inadequate behavior of students is corrected, thus reevaluating the orientation of traditional discipline towards positive discipline. Additionally, it is important that the disciplinary strategies from the school align with the parental discipline. This is a basic study, with a qualitative and phenomenological approach, using a non-probability convenience sampling applied to 10 participants, and semi-structured in-depth interviews to collect the data. The results revealed that parents are unaware of the disciplinary strategies applied at the school to deal with behavioral problems, which demonstrates a lack of timely communication between the school members and parents. To conclude, it is relevant for the school to provide the adequate channels to enable a constant dialog with parents about the disciplinary strategies, and to work collaboratively with them towards the improvement of the children's behavior.Trabajo de investigació