Tópicos Sugeridos dentro de su búsqueda.
Tópicos Sugeridos dentro de su búsqueda.
Buscar alternativas:
para comunicado » para comunicar (Expander búsqueda), para comunidad (Expander búsqueda), para comunicas (Expander búsqueda)
comunicado el » comunicado de (Expander búsqueda), comunicacion el (Expander búsqueda), comunicadores en (Expander búsqueda)
el case » gel case (Expander búsqueda), del case (Expander búsqueda), el caso (Expander búsqueda)
para comunicado » para comunicar (Expander búsqueda), para comunidad (Expander búsqueda), para comunicas (Expander búsqueda)
comunicado el » comunicado de (Expander búsqueda), comunicacion el (Expander búsqueda), comunicadores en (Expander búsqueda)
el case » gel case (Expander búsqueda), del case (Expander búsqueda), el caso (Expander búsqueda)
1
artículo
Congenital chylotorax is a rare anomaly associated with high perinatal mortality when accompanied by hydrops fetalis. Thoracentesis and pleuroamniotic shunting have proven to be alternative successful options for antenatal treatment, but there is still controversy on which is first choice. In Peru there are no reports of similar cases treated in utero. We report a case of a 37½ weeks pregnancy affected with massive lateonset congenital chylotorax successfully treated by intrauterine thoracentesis. Adequate lung expansion was achieved, allowing the birth of a baby who did not present respiratory failure and did not require subsequent ventilatory support. This paper shows intrauterine thoracentesis is a viable treatment option for similar cases in Peru.
2
artículo
Congenital chylotorax is a rare anomaly associated with high perinatal mortality when accompanied by hydrops fetalis. Thoracentesis and pleuroamniotic shunting have proven to be alternative successful options for antenatal treatment, but there is still controversy on which is first choice. In Peru there are no reports of similar cases treated in utero. We report a case of a 37½ weeks pregnancy affected with massive lateonset congenital chylotorax successfully treated by intrauterine thoracentesis. Adequate lung expansion was achieved, allowing the birth of a baby who did not present respiratory failure and did not require subsequent ventilatory support. This paper shows intrauterine thoracentesis is a viable treatment option for similar cases in Peru.
3
artículo
It has presented two cases of endometrial sarcoma so far not been reported among us, to our knowledge. The histological picture of our cases is common to both. We believe this is a cancer that originates in endometrial stromal cells and malignant consider of its invasive and metastatic capacity. We consider appropriate the term Endometrial Sarcoma because it expresses the malignant nature of the lesion, its histogenesis and place of origin. We wish to draw attention to this entity with histologic features and very private clinics, separating adenomyosis and uterine stromal sarcoma no origin, for better recognition by the pathologist and institution of appropriate therapy.
4
artículo
It has presented two cases of endometrial sarcoma so far not been reported among us, to our knowledge. The histological picture of our cases is common to both. We believe this is a cancer that originates in endometrial stromal cells and malignant consider of its invasive and metastatic capacity. We consider appropriate the term Endometrial Sarcoma because it expresses the malignant nature of the lesion, its histogenesis and place of origin. We wish to draw attention to this entity with histologic features and very private clinics, separating adenomyosis and uterine stromal sarcoma no origin, for better recognition by the pathologist and institution of appropriate therapy.
5
artículo
Mr. Editor: We read with interest the article "Barriers to safe abortion under Peruvian law" published in the latest issue of its magazine (1). The article is in English version in Scielo-Peru, and in Spanish and English on the website of the magazine. In this regard we analyze the version published in English and found a translation error in two paragraphs that change the meaning of the statement in the article, and suggest the commission of crimes in public hospitals in Peru. Paragraphs presented in Table 1.
6
tesis de grado
Publicado 2025
Enlace
Enlace
El acceso al texto completo de la tesis estará habilitado el 11 de julio de 2028, por expresa disposición del autor.
7
tesis de grado
Publicado 2018
Enlace
Enlace
El objetivo fundamental de esta tesis, es mejorar la comunicación entre los padres de familia y la Institución educativa, ya que se determinó que las notificaciones como: los comunicados, entrevistas, inasistencias, incidencias y tareas a la mayoría de los padres les llega después de horas, días y en el peor de los casos nunca, por parte de sus menores hijos. Con la implementación de la aplicación móvil de alertas se quiere solucionar este gran problema. Dicho trabajo siguió un tipo de investigación interactiva, con un nivel integrativo, la cual permite crear una solución, apoyada en el uso de herramientas tecnológicas como la metodología ICONIX, modelado UML. Se utilizó la herramienta de Android Studio con su kit de desarrollo, en la base de datos MYSQL, bajo un lenguaje de programación orientado a objetos JAVA. El resultado del presente estudio se realizó sobre una pob...
8
tesis de grado
Publicado 2020
Enlace
Enlace
El presente trabajo de investigación tiene por finalidad demostrar la eficiencia del servicio de telecomunicaciones en los casos de emergencia, ya que nuestro país por su ubicación geográfica se encuentra expuesto a padecer desastres naturales que afectarían a los ciudadanos con pérdidas humanas y económicas, para ello una forma de salvaguardar a la población es contando con un sistema de telecomunicaciones de calidad que brinde información antes de la emergencia, que mantenga comunicados a los damnificados durante el desastre y no se pierda el servicio después del acontecimiento. Analizaremos el cumplimiento del Decreto Supremo 051-2010-MTC (Marco normativo general del sistema de comunicaciones en emergencia) y la normativa internacional en la materia.
9
artículo
Publicado 2025
Enlace
Enlace
Objetivo general: Mejorar la adopción de medidas para prevenir y corregir hechos adversos detallados en los informes de bajo la modalidad de control simultáneo realizados por unidades orgánicas de la Entidad Fiscalizadora Superior – EFS del Perú (CONTRALORÍA) a la Municipalidad Provincial de Huallaga y sus distritos, mediante la propuesta de mejora para su debida implementación, teniendo en cuenta el nivel de conocimiento, seguimiento y limitaciones para su debida implementación por parte de los trabajadores de la Entidad. Metodología: El estudio es descriptivo, con enfoque mixto, método teórico descriptivo, se utilizó el mapa de valor de la innovación de la Metodología Global 5F (Modelo EMOI) y la metodología 5W2H, para la planificación del reto de innovación, se utilizó información histórica y se aplicó encuestas y entrevistas. Resultados: Los funcionarios no cono...
10
Publicado 2021
Enlace
Enlace
El objetivo de este trabajo de investigaciòn es dar a conocer que la ordenación de los números planos puede considerarse como la asociación disjunta de dos de sus subconjuntos primarios: la ordenación de los números enteros y la ordenación de los racionales adecuados. Los números objetivos son vitales en el ámbito de las matemáticas, pero además, permiten mostrar esta realidad actual de forma aplicable a la dinámica cotidiana. Los números enteros pueden abordarse con tres documentaciones distintas: porciones, decimales y tasas. Por otra parte, los números enteros son un aumento de la disposición de los regulares, el cero y el negativo. Se pueden abordar en una recta numérica para su mejor ordenación. Se representa con la letra Z. Por otra parte, los enteros se denominan positivos razonables, cero o negativos. En el momento en que el numerador y el denominador son número...
11
artículo
Publicado 2013
Enlace
Enlace
Introduction: 395 confirmed cases of new influenza A (H1N1) cases and 15 deaths were reported in the Cusco Region during 2009. The case fatality rate of 3.8%, was well above national and international reports, becoming serious public health problem. Objective: To determine the risk factors associated with mortality novel influenza A (H1N1). Material and methods: a study of cases and controls was conducted in 3 hospitals in the city of Cusco, between Epidemiological Weeks 18-34, 2009. 15 confirmed cases and 45 controls were identified PCRtr. Considering "case" all confirmed case of novel influenza A (H1N1) hospitalized and died and "control" means a confirmed case of novel influenza A (H1N1) hospitalized and discharged alive. Results: Of 24 risk factors associated with mortality from New influenza A (H1N1) studied, the following were identified: start time greater antiviral treatment of 3...
12
artículo
Publicado 2013
Enlace
Enlace
Introduction: 395 confirmed cases of new influenza A (H1N1) cases and 15 deaths were reported in the Cusco Region during 2009. The case fatality rate of 3.8%, was well above national and international reports, becoming serious public health problem. Objective: To determine the risk factors associated with mortality novel influenza A (H1N1). Material and methods: a study of cases and controls was conducted in 3 hospitals in the city of Cusco, between Epidemiological Weeks 18-34, 2009. 15 confirmed cases and 45 controls were identified PCRtr. Considering "case" all confirmed case of novel influenza A (H1N1) hospitalized and died and "control" means a confirmed case of novel influenza A (H1N1) hospitalized and discharged alive. Results: Of 24 risk factors associated with mortality from New influenza A (H1N1) studied, the following were identified: start time greater antiviral treatment of 3...
13
artículo
Publicado 2013
Enlace
Enlace
Objectives: To determine our experience in applying the Fetal Medicine Foundation (FMF) algorithm for first trimester aneuploidy screening in an unselected population. Design: Descriptive, retrospective, cross-sectional study. Setting: Fetal Medicine Service, Clinica Santa Isabel, Lima, Peru. Participants: Pregnant women and their fetuses. Interventions: Between March 1 and September 24 2012, nuchal translucency (NT) was measured by transabdominal ultrasound in 324 women with 11-13+6 weeks’ pregnancies and crown-rump length (CRL) between 45.0-84.0 mm. Main outcome measures: Factibility of FMF algorithm in 11-13+6 weeks screening. Results: NT curve in relation to CRLs was consistent with the quadratic equation described by FMF, and measurements followed a normal distribution with median deviation 0.2 mm lower than expected. The percentage of values above the median was 43.3%. A TN >95th...
14
artículo
Publicado 2013
Enlace
Enlace
Objectives: To determine our experience in applying the Fetal Medicine Foundation (FMF) algorithm for first trimester aneuploidy screening in an unselected population. Design: Descriptive, retrospective, cross-sectional study. Setting: Fetal Medicine Service, Clinica Santa Isabel, Lima, Peru. Participants: Pregnant women and their fetuses. Interventions: Between March 1 and September 24 2012, nuchal translucency (NT) was measured by transabdominal ultrasound in 324 women with 11-13+6 weeks’ pregnancies and crown-rump length (CRL) between 45.0-84.0 mm. Main outcome measures: Factibility of FMF algorithm in 11-13+6 weeks screening. Results: NT curve in relation to CRLs was consistent with the quadratic equation described by FMF, and measurements followed a normal distribution with median deviation 0.2 mm lower than expected. The percentage of values above the median was 43.3%. A TN >9...
15
artículo
The aim of this prospective study was to demostrate that frequency of extrapulmonary tuberculosis at Daniel A. Carrión Hospital is higher than the one reported in the literature. We reviewed The Tuberculosis Control Program Registry and in-patient records from January 1990 to December 1995 . Patients with HIV co-infection were excluded. We fomad 3,304 cases of tuberculosis, 2,301 pulmonaryTBC (69.65%) and 1,003 extrapulmonary cases. Among extrapulmonary TBC, 629 (62.71%) were males and 374 (37.29%) to females.The most important sites were pleural (48.75%), lymphmodal (14.86%) and meningoencephalic (7.68%). We conclude that extrapulmonary TBC at HNDAC is higher than that reported in the national and foreign literature even without HIV co-infection. Prospective reports will be very important to evaluate the final evolution of this group of patients.
16
tesis de grado
Publicado 2020
Enlace
Enlace
La pandemia a causa del COVID-19 ha traído muchos cuestionamientos para las organizaciones de la salud. Denuncias por cobros excesivos, garantías para internar a los pacientes con tarifas desmesuradas y costos por medicamentos para el tratamiento contra el coronavirus inflados del valor original, han sido algunas de las declaraciones de los afectados. Este es el caso del Centro Médico Hospitalario San Pedro, quien ante esta situación, tuvo como respuesta emitir un comunicado dirigido solo para los medios de comunicación y fue calificado como poco empático y frío por la opinión pública. En el presente trabajo, hemos desarrollado un plan de comunicación con 3 objetivos principales, de los cuales se desprenden acciones que tienen como objetivo cumplir las necesidades latentes de la organización.
17
artículo
Publicado 2015
Enlace
Enlace
OBJECTIVES. To determine the experience in ambulatory abortion care. DESIGN. Clinical retrospective study. SETTING. Instituto Especializado Materno Perinatal (IEMP), Lima, Peru, a teaching hospital. PARTICIPANTS. Women with less than 12-week abortions. INTERVENTIONS. We analyzed abortions attended at our institution, in the period 1995-2004. We compared instrumental dilatation and curettage versus intrauterine manual aspiration (IUMA) as well as diagnosis justifying the surgical intervention and complications. MAIN OUTCOME MEASURES. Abortion surgical interventions and complications, counsel ing and costs. RESULTS. Between 1995 and 2004, 58 757 abortions were attended at IEMP, 19 295 (32,8%) of them ambulatory; in year 2004, 47,3% were ambulatory. Intrauterine manual aspiration was the most used method (92,1%); the few complications (1,87%) included insufficient IUMA, hematometra, post ab...
18
artículo
Publicado 2015
Enlace
Enlace
OBJECTIVES. To determine the experience in ambulatory abortion care. DESIGN. Clinical retrospective study. SETTING. Instituto Especializado Materno Perinatal (IEMP), Lima, Peru, a teaching hospital. PARTICIPANTS. Women with less than 12-week abortions. INTERVENTIONS. We analyzed abortions attended at our institution, in the period 1995-2004. We compared instrumental dilatation and curettage versus intrauterine manual aspiration (IUMA) as well as diagnosis justifying the surgical intervention and complications. MAIN OUTCOME MEASURES. Abortion surgical interventions and complications, counsel ing and costs. RESULTS. Between 1995 and 2004, 58 757 abortions were attended at IEMP, 19 295 (32,8%) of them ambulatory; in year 2004, 47,3% were ambulatory. Intrauterine manual aspiration was the most used method (92,1%); the few complications (1,87%) included insufficient IUMA, hematometra, post ab...
19
artículo
The Zika virus is a mosquito-borne flavivirus that has emerged as a significant threat in the region of the Americas, especially for pregnant women. Recent outbreaks in Central and South America have been associated with an increase in the incidence of microcephaly and other central nervous system abnormalities in newborns. There is a causal link between Zika infection during pregnancy and microcephaly and other neurological disorders. The region faces a probable epidemic with potential consequences for pregnant women and newborns. The epidemiology of the Zika virus, its threat to pregnancy, clinical consequences and impact on public health are reviewed. A number of features of the mechanisms of infection and dissemination sustain preventive interventions, diagnosis and management of the disease. It is important to intensify its epidemiological surveillance, and to work on prevention and...
20
tesis de maestría
Publicado 2021
Enlace
Enlace
Uno de los 17 objetivos de desarrollo sostenible, planteados por el Programa de Naciones Unidas para el Desarrollo y que deben alcanzar Perú y otras naciones conformantes de dicho organismo hacia el 2030, está relacionado con garantizar una vida sana y promover el bienestar para todos en todas las edades, siendo una de sus metas asociadas, el acceso a servicios de salud esenciales de calidad. Es por ello que constituye un reto para el Perú avanzar hacia la citada meta, y para lograrlo se debe mejorar, entre otros aspectos, la gestión de mantenimiento de equipos biomédicos, electromecánicos e infraestructura de los hospitales. La investigación efectuada ha permitido constatar que en el caso de los hospitales de Lima Metropolitana, niveles II y III, que cuentan con un órgano de control institucional dentro de su estructura organizacional, los procesos de gestión de mantenimiento d...
