La investigación se planteó como propósito: Examinar los procesos administrativos disciplinarios a trabajadores de la UGEL 07, San Borja. En la introducción para el sustento teórico de la investigación se consideró la Ley N° 30057, Ley Servir que tiene por finalidad es regir las actividades , valores y principios de las funciones de las personas que trabajan en el estado la cual reúne el trato disciplinario de las instituciones públicas del estado.. en la metodológica para tal efecto se aplicó el tipo de investigación orientada a la interpretación debido a que ha ayudado a comprender de manera profunda a interpretar las experiencias de los afectados de la aplicación de las sentencias de la ley servir, de enfoque cualitativo y de diseño fenomenológico, tipo de investigación orientado a la interpretación de los resultados expresado en las entrevistas, el escenario se rea...

La investigación tuvo como objetivo general, determinar la calidad de las sentencias de primera y segunda instancia sobre, el proceso de otorgamiento de escritura pública según los parámetros normativos, doctrinarios y jurisprudenciales pertinentes, en el expediente N°, 11980-2009-0-1801-JR-CI-49 del Distrito Judicial de, Lima 2018. Es de tipo, cuantitativo cualitativo, nivel exploratorio descriptivo, y diseño no experimental, retrospectivo y transversal. La recolección de datos se realizó, de un expediente seleccionado mediante muestreo por conveniencia, utilizando las técnicas de la observación, y el análisis de contenido, y una lista de cotejo, validado mediante juicio de expertos. Los resultados revelaron que la calidad de la parte expositiva, considerativa y resolutiva, pertenecientes a: la sentencia de primera instancia fueron de rango: muy alta y muy alta; y de la sente...

Serous ovarian cystadenoma is a type of tumor derived from the superficial celomic epithelium. Giant ovarian cysts are those that are more than 10 cm in diameter or that extend above the navel. In the literature, some cases of giant ovarian cysts have been mentioned sporadically, especially in postmenopausal patients. Serous tumors are commonly benign in 70-80%, 5-10% have a malignant potential limit, and 20-25% are malignant. Only 10-20% of cases are bilateral.  They occur in adults of all ages, with reported mean ages of 40 to 60 years. The case of a 79-year-old postmenopausal woman with a giant left ovarian cyst measuring 14x11x7.5 cm and 794 g of weight containing serous fluid is reported. He came to the clinic for presenting colic-type pelvic pain irradiated to the lumbar region for 4 months with a history of chronic arterial hypertension.. Considering the age and status of men...

Serous ovarian cystadenoma is a type of tumor derived from the superficial celomic epithelium. Giant ovarian cysts are those that are more than 10 cm in diameter or that extend above the navel. In the literature, some cases of giant ovarian cysts have been mentioned sporadically, especially in postmenopausal patients. Serous tumors are commonly benign in 70-80%, 5-10% have a malignant potential limit, and 20-25% are malignant. Only 10-20% of cases are bilateral.  They occur in adults of all ages, with reported mean ages of 40 to 60 years. The case of a 79-year-old postmenopausal woman with a giant left ovarian cyst measuring 14x11x7.5 cm and 794 g of weight containing serous fluid is reported. He came to the clinic for presenting colic-type pelvic pain irradiated to the lumbar region for 4 months with a history of chronic arterial hypertension.. Considering the age and status of men...

Postmenopausal women in the presence of abnormal uterine bleeding spontaneously and unexpectedly requires rigorous evaluation to determine the source of the bleeding. The most common cause of postmenopausal bleeding is endometrial atrophy and endometrial polyp; however, must be ruled endometrial cancer is the cause in about 10 percent of patients. The gold standard for evaluating the endometrium is transvaginal ultrasonography and endometrial biopsy, which are two key components that help reach an accurate diagnosis.

Postmenopausal women in the presence of abnormal uterine bleeding spontaneously and unexpectedly requires rigorous evaluation to determine the source of the bleeding. The most common cause of postmenopausal bleeding is endometrial atrophy and endometrial polyp; however, must be ruled endometrial cancer is the cause in about 10 percent of patients. The gold standard for evaluating the endometrium is transvaginal ultrasonography and endometrial biopsy, which are two key components that help reach an accurate diagnosis.

Objective: To evaluate the obstetric outcome of pregnant women with advanced maternal age (EMA) treated at the NationalMaternal Perinatal Institute. Materials and methods: Observational, descriptive and retrospective study of 321 maternaloutgoings occurred during the period from January 1 to June 30, 2016.

Objective. To identify perinatal outcomes in pregnant women with advanced maternal age (EMA) treated at the NationalMaternal Perinatal Institute. Materials and methods. Observational, descriptive and retrospective study of 321 maternaloutgoings occurred during the period from January 1 to June 30, 2016.

The genitourinary syndrome of menopause clinically is evident 4 to 5 years after menopause, and objective changes arepresent in 25-50% of all postmenopausal women. The most frequent symptoms are vaginal dryness ( 75%), dyspareunia(38%), and vaginal itching, vaginal discharge and pain (15%); and the diagnosis is based on clinical criteria. The principlestherapeutic are based on the restoration of urogenital physiology and relief of symptoms; including non-hormonal / lubricanttherapeutic options, systemic hormonal therapy, local estrogen therapy and other alternatives. The genitourinary syndromeof menopause is one of the most important determinants of sexual function and urogenital health, with a significant impact onthe quality of life related to female health.

Objective: To evaluate the obstetric outcome of pregnant women with advanced maternal age (EMA) treated at the NationalMaternal Perinatal Institute. Materials and methods: Observational, descriptive and retrospective study of 321 maternaloutgoings occurred during the period from January 1 to June 30, 2016.

Objective. To identify perinatal outcomes in pregnant women with advanced maternal age (EMA) treated at the NationalMaternal Perinatal Institute. Materials and methods. Observational, descriptive and retrospective study of 321 maternaloutgoings occurred during the period from January 1 to June 30, 2016.

The genitourinary syndrome of menopause clinically is evident 4 to 5 years after menopause, and objective changes arepresent in 25-50% of all postmenopausal women. The most frequent symptoms are vaginal dryness ( 75%), dyspareunia(38%), and vaginal itching, vaginal discharge and pain (15%); and the diagnosis is based on clinical criteria. The principlestherapeutic are based on the restoration of urogenital physiology and relief of symptoms; including non-hormonal / lubricanttherapeutic options, systemic hormonal therapy, local estrogen therapy and other alternatives. The genitourinary syndromeof menopause is one of the most important determinants of sexual function and urogenital health, with a significant impact onthe quality of life related to female health.

Introduction: Uterine rupture in the context of placenta accreta spectrum poses a significant clinical challenge with critical implications for maternal and fetal health. Early diagnosis and timely intervention in patients with risk factors, such as a history of cesarean deliveries and placenta previa, are essential to prevent severe complications. Case presentation: This report describes the case of a 36-year-old woman with a history of two cesarean sections, who presented at 30 weeks of gestation with acute abdominal pain. Evaluation revealed placenta previa with placental invasion and hemoperitoneum. During exploratory laparotomy, uterine rupture was confirmed, leading to a cesarean delivery and subsequent hysterectomy, resulting in a favorable maternal outcome and neonatal survival. Conclusion: This case underscores the importance of standardized protocols in specialized centers and ...

Introduction: Uterine rupture in the context of placenta accreta spectrum poses a significant clinical challenge with critical implications for maternal and fetal health. Early diagnosis and timely intervention in patients with risk factors, such as a history of cesarean deliveries and placenta previa, are essential to prevent severe complications. Case presentation: This report describes the case of a 36-year-old woman with a history of two cesarean sections, who presented at 30 weeks of gestation with acute abdominal pain. Evaluation revealed placenta previa with placental invasion and hemoperitoneum. During exploratory laparotomy, uterine rupture was confirmed, leading to a cesarean delivery and subsequent hysterectomy, resulting in a favorable maternal outcome and neonatal survival. Conclusion: This case underscores the importance of standardized protocols in specialized centers and ...

The evaluation of quality of life should focus mainly on the patient’s perception of her state of health, being an activeparticipant in this process. Instruments for measuring health-related quality of life (HRQL) can be classified into genericinstruments that measure multiple areas or domains and that are applicable to all individuals, regardless of the pathologythat affects them; And specific instruments, which are those that measure the functioning of the patient in one or severalareas and are characterized by paying particular attention to those symptoms or problems specific to a particular diseaseand those areas considered to be most affected, being only applicable to patients Specific. In daily clinical practice it is usefulto evaluate: improvement of clinical diagnosis, individualization and prioritization of treatments, improving the doctor-patientrelationship, and monitoring c...

Fetal growth restriction (RCF) is a clinical circumstance in which the fetus does not express its genetic potential for growth and as a final result a decrease in body weight occurs, which is below the 10th percentile for gestational age, in a selected growth curve. Among the etiological factors include: maternal, fetal and placental causes. It is classified as Precocious and late. The appropriate time for delivery is determined by gestational age and fetal condition.

The evaluation of quality of life should focus mainly on the patient’s perception of her state of health, being an activeparticipant in this process. Instruments for measuring health-related quality of life (HRQL) can be classified into genericinstruments that measure multiple areas or domains and that are applicable to all individuals, regardless of the pathologythat affects them; And specific instruments, which are those that measure the functioning of the patient in one or severalareas and are characterized by paying particular attention to those symptoms or problems specific to a particular diseaseand those areas considered to be most affected, being only applicable to patients Specific. In daily clinical practice it is usefulto evaluate: improvement of clinical diagnosis, individualization and prioritization of treatments, improving the doctor-patientrelationship, and monitoring c...

Fetal growth restriction (RCF) is a clinical circumstance in which the fetus does not express its genetic potential for growth and as a final result a decrease in body weight occurs, which is below the 10th percentile for gestational age, in a selected growth curve. Among the etiological factors include: maternal, fetal and placental causes. It is classified as Precocious and late. The appropriate time for delivery is determined by gestational age and fetal condition.