1
tesis de grado
Publicado 2017
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El presente proyecto tiene como finalidad instalar un negocio que sea sostenible en el tiempo y que se encuentre orientado a la elaboración y fabricación de Carteras de Fibra de Piña para Mujeres de 18 hasta los 55 años que sean de nivel socioeconómico A y B. Hacemos una premisa para mencionar que a nivel Latinoamérica no existe ninguna empresa que se encargue de realizar este tipo de trabajos. El principal objetivo es atender las necesidades de las mujeres debido a que la condición de estudiantes, ama de casa y ejecutivas puedan adquirir este tipo de producto para cubrir necesidades y expectativas de los diversos estilos de vida. La Cartera de Fibra de Piña es considerada como un producto ecológico y está enfocado básicamente en el desarrollo del estilo de la mujer peruana y su satisfacción emocional, desarrollando un estilo sutil y personalizado y cuya duración del product...
2
artículo
Publicado 2024
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BACKGROUND AND OBJECTIVES: The efficacy of our current approach to incorporating intracranial pressure (ICP) data into pediatric severe traumatic brain injury (sTBI) management is incompletely understood, lacking data from multicenter, prospective, randomized studies. The National Institutes of Health-supported Benchmark Evidence from Latin America-Treatment of Raised Intracranial Pressure-Pediatrics trial will compare outcomes from pediatric sTBI of a management protocol based on ICP monitoring vs 1 based on imaging and clinical examination without monitoring. Because no applicable comprehensive management algorithms for either cohort are available, it was necessary to develop them. METHODS: A consensus conference involving the 21 intensivists and neurosurgeons from the 8 trial sites used Delphi-based methodology to formulate management algorithms for both study cohorts. We included rec...
3
artículo
Publicado 2023
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BACKGROUND AND OBJECTIVES: Traumatic brain injury (TBI) is a major global public health problem. It is a leading cause of death and disability in children and adolescents worldwide. Although increased intracranial pressure (ICP) is common and associated with death and poor outcome after pediatric TBI, the efficacy of current ICP-based management remains controversial. We intend to provide Class I evidence testing the efficacy of a protocol based on current ICP monitor-based management vs care based on imaging and clinical examination without ICP monitoring in pediatric severe TBI. METHODS: A phase III, multicenter, parallel-group, randomized superiority trial performed in intensive care units in Central and South America to determine the impact on 6-month outcome of children aged 1-12 years with severe TBI (age-Appropriate Glasgow Coma Scale score ?8) randomized to ICP-based or non-ICP-b...
4
artículo
Publicado 2024
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BACKGROUND AND OBJECTIVES: The efficacy of our current approach to incorporating intracranial pressure (ICP) data into pediatric severe traumatic brain injury (sTBI) management is incompletely understood, lacking data from multicenter, prospective, randomized studies. The National Institutes of Health-supported Benchmark Evidence from Latin America-Treatment of Raised Intracranial Pressure-Pediatrics trial will compare outcomes from pediatric sTBI of a management protocol based on ICP monitoring vs 1 based on imaging and clinical examination without monitoring. Because no applicable comprehensive management algorithms for either cohort are available, it was necessary to develop them. METHODS: A consensus conference involving the 21 intensivists and neurosurgeons from the 8 trial sites used Delphi-based methodology to formulate management algorithms for both study cohorts. We included rec...
