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Over the past few years, some Indecopi decision-making bodies specialized in consumer protection have requested information from various financial entities about the passive operations of complaining consumers, within the framework of a sanctioning administrative procedure. This requirement is legally invalid, as it violates the pro hominem constitutional principle, the material truth principle and the consent principle in matters of personal data. However, if the financial entity provides said information in the context indicated above, it could not be penalized, since one of the exemptions from liability provided in the General Administrative Procedure Law would be configured.
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Coronavirus disease (COVID-19) is highly transmissible through respiratory droplets, saliva, and aerosol particles. Infection can lead to severe acute respiratory syndrome and trigger multi-organ failure and death. Most clinical dental procedures involve contact with saliva or the generation of aerosols with saliva and blood. These airborne particles increase the risk of transmission by COVID-19 between dentists and patients. Thus, dentistry must adopt procedures to reduce transmission during dental procedures. Although these strategies may not be directly applicable to all institutions due to cultural, social, geographical, and economic differences, the underlying principles and implemented strategies remain relevant and can be adopted or modified by the institutions dealing with the current COVID-19 outbreak. The purpose of this article is to discuss one of the principal sources of COV...
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Objective. To describe cardiac surgeries, their approaches, and determine operative mortality according to the type of surgery and the main complications recorded within 30 days postoperatively, performed at the National Cardiovascular Institute of Peru. Materials and methods. A descriptive study was conducted on all patients over 18 years of age who underwent cardiovascular surgery at the National Cardiovascular Institute “Carlos Alberto Peschiera Carrillo”. Results. During the year 2022, a total of 503 cardiac surgeries were performed. Of the patients undergoing surgery, 63.6% (320) were males. Isolated valvular surgery, primarily aortic or mitral valve replacement, was the most frequent surgical procedure, with 136 surgeries (27.0%). This was followed by myocardial revascularization surgery with 110 procedures (21.9%). Throughout the year, there were 23 deaths, resulting in an ove...
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Objective. To describe cardiac surgeries, their approaches, and determine operative mortality according to the type of surgery and the main complications recorded within 30 days postoperatively, performed at the National Cardiovascular Institute of Peru. Materials and methods. A descriptive study was conducted on all patients over 18 years of age who underwent cardiovascular surgery at the National Cardiovascular Institute “Carlos Alberto Peschiera Carrillo”. Results. During the year 2022, a total of 503 cardiac surgeries were performed. Of the patients undergoing surgery, 63.6% (320) were males. Isolated valvular surgery, primarily aortic or mitral valve replacement, was the most frequent surgical procedure, with 136 surgeries (27.0%). This was followed by myocardial revascularization surgery with 110 procedures (21.9%). Throughout the year, there were 23 deaths, resulting in an ove...
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Introduction: In the Surgical treatment of giant omphalocele and gastroschisis and recommended the complementary treatment with prosthetic synthetic patch in order to prevent the compartmental syndrome. But this prosthetic materials are get out seven a twelve days post surgery. Objectives: This study has the goal to determinate the usefulness of a porcine pericardium treated with 1 % glutaraldehyde , surgically applied on a defect in the abdominal wall. Matrial and method: The study was carry on in Experimental Surgery Unit at the National Child Hospital , we've had 30 rats Holtzmann with weights between 200 and 300 grams. The porcine pericardium sterile obtained was treated with 1% glutaraldehyde. The animals were anesthesied with ketamine 50 mg/ kg and Xilascina 12 mgs/kg IM Atropine 0.2 mgs/Kilo IM. Using sterile surgical technical a rectangular area of 3 x 1 centimeter of the abdomin...
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Objective: To determine the standard surgical times of the four most common general surgery procedures (unilateral inguinal hernioplasty, bilateral inguinal hernioplasty, umbilical hernioplasty and cholecystectomy) in a second-level hospital and to estimate the probability of extending the time of each of the procedures. Efficiency is a widely studied subject in economics. It involves the need for fewer elements in the production of a certain level of goods and services. Therefore, it is extremely important to consider it in the field of surgery. Materials and methods: An observational, descriptive and retrospective study. It used the operating room records from 2017 to 2019 of the General Surgery service in a second-level hospital. Based on this information, the time required for each procedure was standardized using the mean for each one (umbilical hernioplasty, unilateral or bilateral...
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Introduction: In the Surgical treatment of giant omphalocele and gastroschisis and recommended the complementary treatment with prosthetic synthetic patch in order to prevent the compartmental syndrome. But this prosthetic materials are get out seven a twelve days post surgery. Objectives: This study has the goal to determinate the usefulness of a porcine pericardium treated with 1 % glutaraldehyde , surgically applied on a defect in the abdominal wall. Matrial and method: The study was carry on in Experimental Surgery Unit at the National Child Hospital , we've had 30 rats Holtzmann with weights between 200 and 300 grams. The porcine pericardium sterile obtained was treated with 1% glutaraldehyde. The animals were anesthesied with ketamine 50 mg/ kg and Xilascina 12 mgs/kg IM Atropine 0.2 mgs/Kilo IM. Using sterile surgical technical a rectangular area of 3 x 1 centimeter of the abdomin...
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Introduction: Duodenal perforations are an uncommon adverse event during ERCP. Patients can develop significant morbidity and mortality. Even though surgery has been used to manage duodenal complications, therapeutic endoscopy has seen significant advances. Objective: To compare endoscopic approach with surgical intervention in patients with duodenal perforations post-ERCP. Material and Methods: prospective randomized study in a tertiary center with 23 patients divided in 2 groups. Within 12 hours after the event, the patients underwent endoscopic or surgical approach. Endoscopic approach included closure of the perforation with endoclips and SEMS. Surgical repair included hepaticojejunostomy, suture of the perforation or duodenal suture. The success was defined as closure of the defect. Secondary outcomes included mortality, adverse events, days of hospitalization and costs. Results: Th...
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The opening of Peru to foreign markets in the past 20 years is a consequence of the signature of several Free Trade Agreements (FTA) with our main partners in business, both on a bilateral and multilateral level. In this article, on the one hand, important changes to customs regulations concerning obligations arose from the signature of several FTA will be analyzed and, on the other hand, a comparative analysis regarding regulations about facilitation of commerce and customs procedures contained in FTA signed with our main Asian partners in business will be developed.
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The opening of Peru to foreign markets in the past 20 years is a consequence of the signature of several Free Trade Agreements (FTA) with our main partners in business, both on a bilateral and multilateral level. In this article, on the one hand, important changes to customs regulations concerning obligations arose from the signature of several FTA will be analyzed and, on the other hand, a comparative analysis regarding regulations about facilitation of commerce and customs procedures contained in FTA signed with our main Asian partners in business will be developed.
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The management of inflammatory bowel disease (IBD) is mainly medical, however, more than 70% of patients with Crohn's disease (CD) and 25% with ulcerative colitis (UC) will require surgery during their lifetime. Objective: To evaluate medical, surgical management and evolution in patients with moderate-to-severe IBD. Materials and methods: Observational, descriptive, retrospective study from January 2011 to December 2019 in the Gastroenterology Service of the Guillermo Almenara Irigoyen National Hospital, Lima-Peru. Results: Twenty two patients with IBD, 17 with CD and 5 with UC were included. Male predominance (59%). Emergency surgery was performed in 35.2% and 60% of patients with CD and UC, respectively. Stenosis and toxic megacolon were the most frequent indications. According to the type of surgery, hemicolectomy (41%) and intestinal resection (41%) were the most frequently p...
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The elderly, often frail, are patients susceptible to numerous complications, both immediate and in the short, medium and long term, following surgical interventions. Depending on their comorbidities, a comprehensive approach should be taken to achieve the best condition of the organs prior to surgery and attempt to maintain it during and after the intervention. Considering the statistical strength of negative outcomes, specifically mortality in elderly patients undergoing major surgery, is truly a challenge. This even extends to other fields such as bioethics, raising a dilemma about dysthanasia when resorting to certain risky interventions in those with a fearful life prognosis. Recently, interesting evidence estimating the incidence, mortality risk and factors associated with negative outcomes in elderly patients undergoing major surgery has been published, suggesting possible modific...
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Between July 10, 1973 to September 30, 1974, inclusive, 183 vaginal operative procedures were performed pelvic dystopia in the Gynecology Department of the Central Hospital No. 2 among them being the front and back colporrhaphy the most commonly used. Bladder drainage system used was the retention Foley catheter type, administering antibiotics prophylactically. They were seen as more important immediate post operative complications urinary tract infection (38.2%) and reimplantation catheter (29.5%). The methods proposed in the prevention of these complications are reviewed.
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tesis de grado
El objetivo de la investigación fue determinar si existe relación entre factores de riesgo y las complicaciones postquirúrgicas de apendic ectomía en pacientes mayores de 18 años del Hospital II Essalud de Huamanga, en la ciudad de Ayacucho, 2022. El tipo de investigación fue básica con diseño no experimental, transversal, correlacional y retrospectivo, con una muestra de 148 pacientes interv enidos quirúrgicamente por apendicectomía desde el 1 de enero hasta el 31 de diciembre, considerando los criterios de exclusión e inclusión. Los datos fueron recolectados a través de la revisión de historias clínicas con la ayuda de un instrumento validado por expertos. Así mismo, se realizó un análisis de datos estadístico bivariado (Chi - cuadrado) para poder determinar la asociación entre los factores y las complicaciones. Finalmente, según los hallazgos, se evidenciaron que ...
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La investigación tiene como objetivo analizar la normativa y los procedimientos de despacho aduanero implementados por SUNAT y cómo influye en la dinámica de los distintos operadores de comercio exterior; identificando en primer lugar a los operadores que participan en la cadena logística, los regímenes aduaneros, las modalidades de despacho aduanero, para finalmente identificar aquellas operaciones aduaneras que, de alguna manera, traban la facilitación al comercio internacional, los cuales tendrían un impacto negativo en las operaciones aduaneras en la cadena logística del comercio exterior. La investigación alcanzó un nivel descriptivo y correlacional, basada en la información obtenida de SUNAT y de la literatura especializada. Como resultado de la investigación, se logró determinar que es necesario llevar a cabo la adecuación de ciertas actividades operativas y aduanera...
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The research aims to analyze the regulations and procedures of customs clearance implemented by SUNAT and how it influences the dynamics of the different foreign trade operatos; firstly identifying the operators involved in the logistics chain, custom regimes, customs clearance modalities, to finally identify those customs operations that in some way obstruct the facilitation of international trade, which would have a negative impact on the operations Customs in the foreign trade logistics chain. The research reached a descriptive and correlational level, based on the information obtained from SUNAT and the specialized literature. As a result of the investigation it was possible to determine that it is necessary to carry out the adaptation of certain operational and customs activities of the foreign trade logistics chain since our country is in a frank process of growth and dynamization ...
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Mexico is one of the leading citrus producers worldwide. This work presents an analysis for improving the citrus waxing process in a company dedicated to this activity, located in the town of Álamo, Temapache, in the northern part of the state of Veracruz, Mexico. This study used the ten approaches to operations analysis to find areas of opportunity where the company could improve; the implementation of lean manufacturing tools such as 5s, Kaizen, and autonomous maintenance was suggested to optimize the waxing process. As a result of this analysis, an improvement proposal was developed regarding simplifying operating procedures, improving the handling of materials, and optimal use of equipment, allowing the company to be more efficient and productive.
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Mexico is one of the leading citrus producers worldwide. This work presents an analysis for improving the citrus waxing process in a company dedicated to this activity, located in the town of Álamo, Temapache, in the northern part of the state of Veracruz, Mexico. This study used the ten approaches to operations analysis to find areas of opportunity where the company could improve; the implementation of lean manufacturing tools such as 5s, Kaizen, and autonomous maintenance was suggested to optimize the waxing process. As a result of this analysis, an improvement proposal was developed regarding simplifying operating procedures, improving the handling of materials, and optimal use of equipment, allowing the company to be more efficient and productive.
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tesis de grado
El Instituto Nacional de Radio y Televisión del Perú es un organismo público cuya finalidad es la difusión de contenidos educativos, culturales e informativos. Su principal fortaleza es la cobertura que tiene debido a las más de 300 retransmisoras de televisión y 50 retransmisora de radio. Presenta dificultades en el proceso de gestión de operatividad de estaciones, el cual se lleva a cabo bajo un procedimental tradicional, registro en una hoja de cálculo que contiene todas las mediciones que hacen los jefes de las filiales cuyo objetivo es conocer la potencia con la cual están operando esos equipos en relación a la potencia máxima que puede operar.
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In the University faculties, as in every organization, there are Organizational entities that have functions related to human resource management, such as the administrative management, academic department, faculties, even the committee assessment and the theaching improvement. In the context described above, our interest is to develope a study concerned with the following objectives: To have an assignment system charge of the professors of the Mathematic Science Faculty, in particular in the Operational Research deparment, which guarantees an objective and impartial distribution that will allow to select the suitable professor to teach a particular course, with this purpose, it has been formulated a linear program model. Moreover, we set out a Markov's chain which translate in a transition probability matrix the changes of category of the permanent professor of the Mathematic Science Fa...