En el camino evolutivo de la cultura y la civilización, la agricultura fue, sin lugar a dudas, la base fundamental y el requisito condicionante.

La presente tesis, titulada "La Autoridad Religiosa y el Delito de Acoso Sexual en el Perú, 2023", tiene como objetivo determinar si el ejercicio de la autoridad religiosa constituye un agravante en los casos de acoso sexual en el Perú durante el año 2023. Se trata de una investigación de enfoque cualitativo que facilita un análisis exhaustivo de la naturaleza del problema identificado, abordando las deficiencias en la regulación del acoso sexual perpetrado por autoridades religiosas en el país. Este enfoque cualitativo permite capturar de manera detallada y enriquecedora los puntos de vista expresados por los entrevistados, contribuyendo así a una comprensión profunda de los temas relacionados con la investigación. La posición de autoridad religiosa puede agravar casos de acoso sexual en Perú, ya que su influencia abarca dimensiones espirituales, políticas, económicas, cul...

La presente tesis se basó en el proponer medidas de control para minimizar los riesgos disergonómicos presentes en las actividades de comercialización de gas doméstico previamente evaluados en la empresa Somos Gas E.I.R.L. Hoy en día el minimizar riesgos disergonómicos no es tan considerado en las pequeñas empresas, debido a que tratarlos implica una inversión sumamente considerable. Esto también se debe a desconocimiento por parte de las empresas, que al reducir estos riesgos se puede generar beneficios en la empresa, tanto a nivel personal, económico, social. Se realizó un diagnostico situacional de la empresa del caso de estudio, donde se menciona e interpreta el nivel de impacto que los riesgos disergonómicos identificados en el IPER podrían ocasionar. La evaluación se basa en analizar las actividades de comercialización de gas doméstico de una manera global, utilizan...

263p.

To evaluate epidemiological, prognostic factors and survival of adenocarcinoma of the cervix. DESIGN: Retrospective study of 648 patients diagnosed with adenocarcinoma of the cervix at the Institute of Neoplastic Diseases from 1985 to 1994. RESULTS: adenocarcinoma accounted for 6.5% of all cervical cancers. The mean age was 49 years (range 19-89 years). Multiparity occurred in 89%. It was associated with pregnancy in 1.6% of cases. The most common symptom was abnormal vaginal bleeding in 94%. The proportion of EC-I was 11%, 50% EC-II, EC-III 36% and 5% EC-IV. The most common histological subtype was squamous cell carcinoma (47.5%). The main treatment modality was radiation therapy (90%) and surgery (4.8%), especially for the early stages; the combination of surgery plus radiation therapy was used in 3.9% of patients. The overall life of 5 years was 68.5% and 62.6% 10 years, similar to pa...

189 p.

Laparoscopic surgery has had an incursion in gynecologic oncology since the 80s. Its applicability is yet controversial, but last few years evidence allows strong consideration of the technique without forgetting possible adverse effects and consequences of an inadequate management. Methods: We reviewed literature data on indications, long time results, comparative studies and advances. We present our own experience. Results: The literature points out the feasibility and advantages of laparoscopy over laparotomy with regards to intraoperatory bleeding, postoperative pain, post surgical hospitalization days and reincorporation to daily activities. Survival results are similar. Extraperitoneal aortic lymphadenectomy is a new useful tool in the management of gynecologic tumors. Laparoscopy is amply used in uterine, endometrial and ovarian cancer treatment. New techniques are being developed...

Endometrial cancer is one of the most frequent gynecological neoplasms. In our country it represents the third gynecological neoplasia following cervical and ovarian cancer. Most patients are seen in early stages of the disease, as uterine bleeding is an early manifestation. Among the endometrial cancer surgical approaches, midline laparotomy allows surgical staging. Vaginal approach in cases of marked obesity has limitations. Laparoscopy is a surgical technique of growing interest, with more evidence in the literature on its feasibility and advantages.

Laparoscopic surgery has had an incursion in gynecologic oncology since the 80s. Its applicability is yet controversial, but last few years evidence allows strong consideration of the technique without forgetting possible adverse effects and consequences of an inadequate management. Methods: We reviewed literature data on indications, long time results, comparative studies and advances. We present our own experience. Results: The literature points out the feasibility and advantages of laparoscopy over laparotomy with regards to intraoperatory bleeding, postoperative pain, post surgical hospitalization days and reincorporation to daily activities. Survival results are similar. Extraperitoneal aortic lymphadenectomy is a new useful tool in the management of gynecologic tumors. Laparoscopy is amply used in uterine, endometrial and ovarian cancer treatment. New techniques are being developed...

Endometrial cancer is one of the most frequent gynecological neoplasms. In our country it represents the third gynecological neoplasia following cervical and ovarian cancer. Most patients are seen in early stages of the disease, as uterine bleeding is an early manifestation. Among the endometrial cancer surgical approaches, midline laparotomy allows surgical staging. Vaginal approach in cases of marked obesity has limitations. Laparoscopy is a surgical technique of growing interest, with more evidence in the literature on its feasibility and advantages.