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1
artículo
Publicado 2015
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Municipal employees have come under fire for poor performance and conduct in their work as some engage in corruption and others are not qualified enough to discharge their duties to the required levels. Employee training and development has become one of the key aspects in improving employee performance in organisations thus leading to improved organizational performance and growth. The study investigated the relationship between the quality of employee training and development on service delivery in a selected municipality with data collected from 150 employees. The results indicated the need for effective employee training and development systems and processes to achieve improved employee performance thus improved provision of basic services to the communities.
2
tesis de grado
Publicado 2024
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The lack of adequate infrastructure for most of the roads and routes in Peru, has generated a saturation of the roads and longer transport times, which affects the state health sector presenting frequent situations of shortages of medicines for urgent and emergency cases nationwide due to various factors such as the use of ambulances used for the delivery of medicines in a very congested road infrastructure. This research proposes an emergency medicine distribution model to reduce delivery time and costs using drones (remotely piloted unmanned aerial vehicles). The distribution of medicines to thirteen medical posts using 4 ambulances in the northern area of Lima was analyzed and the results were compared with the distribution of medicines using 21 drones, providing care to 313,248 emergency cases, demonstrating the reduction of delivery times and costs. It can be concluded that the use ...
3
artículo
Publicado 2024
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This is a descriptive study on the maternal population in Huaraz City at 3052 m in the central highlands of the Departament of Ancash. Objetive: to record sociodemographic characteristics of pregnant women, and conditions associated with pregnancy, delivery and newborn children. Materials and methods: cross-sectional and descriptive study based on history records from the pregnancies attended from 2001 to 2005 at the Hospital Víctor Ramos Guardia, City of Huaraz. The sample included 10 354 deliveries, at from 28 to 42 weeks of pregnancy. Results: The mean hemoglobin value was 12,84 g/dL (± 1,36). According to Ministry of Health (MINSA) guidelines which correct hemoglobin values according to altitude of residence, the prevalence of anemia was 49,67 %. Out of all mothers, 42 % were primiparas, 48% had had several pregnancies, and a low percentage of women had great mult...
4
artículo
Publicado 2023
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Objective: To determine the relationship of sociodemographic factors and the risk of premature delivery in pregnant women of the Sergio Bernales hospital in the period of 2019-2020. Materials and methods: Observational, analytical, retrospective, and case-control study sought to quantify the relationship between sociodemographic factors and the risk of preterm birth. A review of medical records corresponding to the Gynecology-Obstetrics service of the Sergio Bernales Hospital was used. The data obtained were studied using the SPSS program and an association was sought using bivariate analysis. Results: From the study of 300 pregnant women, the analysis was carried out for 100 pregnant women with a diagnosis of preterm birth who constituted the cases and 200 pregnant women as the control group. In the bivariate analysis, it was found that preterm birth was associated with rural or foreign...
5
artículo
Publicado 2023
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Objective: To determine the relationship of sociodemographic factors and the risk of premature delivery in pregnant women of the Sergio Bernales hospital in the period of 2019-2020. Materials and methods: Observational, analytical, retrospective, and case-control study sought to quantify the relationship between sociodemographic factors and the risk of preterm birth. A review of medical records corresponding to the Gynecology-Obstetrics service of the Sergio Bernales Hospital was used. The data obtained were studied using the SPSS program and an association was sought using bivariate analysis. Results: From the study of 300 pregnant women, the analysis was carried out for 100 pregnant women with a diagnosis of preterm birth who constituted the cases and 200 pregnant women as the control group. In the bivariate analysis, it was found that preterm birth was associated with rural or foreign...
6
tesis de grado
Publicado 2024
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En un mundo tan cambiante donde la tecnología está tomando más protagonismo en el rubro de consumo masivo y el consumidor es más reacio a las rutinas tradicionales, diferentes empresas están migrando a aplicativos móviles con el fin de potenciar la experiencia de compra y, al mismo tiempo, tener como nueva fuente de información a las bases de CRM, además de expandir el alcance de sus campañas. El uso y desarrollo del CRM se encuentra en una fase de masificación, así que el presente caso propone mostrar los pasos a seguir para desarrollar una campaña enfocada a la nueva línea de baño de la marca líder de pañales en el Perú con el apoyo de la base de datos de su portal web, que llamaremos “Abrazos” para el presente trabajo, considerando también la base de datos existente del aplicativo de delivery; para luego ser utilizado en promocionales de aplicativos móviles de d...
7
artículo
Objective: To establish the usefulness of cervicovaginal interleukin-6 concentrations for the prediction of preterm delivery. Design: Case-control study. Setting: Hospital Central “Dr. Urquinaona”, Maracaibo, Venezuela. Participants: Patients with preterm delivery (group A), as cases, and pregnant women with term delivery (group B), considered as controls. Interventions: Cervicovaginal secretion samples were obtained from both the external cervical os and vaginal fornix between 24 and 28 weeks of pregnancy. All patients were followed until delivery. Main outcome results: General characteristics, cervicovaginal interleukin-6 concentrations, and prognostic efficacy. Results: Mean gestational age at measurement of interleukin-6 cervicovaginal concentrations was 26.2 +/- 1.1 weeks in group A and 25.9 +/- 1.1 weeks in group B (p = ns). There were no significant differences in maternal age...
8
artículo
OBJETIVE: To determine the risk factors of preterm birth. DESIGN. Case control study. Setting: Maternal Perinatal Institute during the first trimester of 1996. MATERIAL AND METHODS: One hundred and sixty-five patients with preterm birth and 330 controls. RESULTS: The absence of prenatal control (OR= 14,4 and P < 0,01), born in the highland (OR= 2,26; P= 0, 001) and jungle (OR= 3,33; P= 0, 013), living in a poverty district (OR= 2,52; P= 0,05), previous preterm births (OR= 1,62; P< 0,05), obstetrical diagnosis of third trimester hemorrhage (OR= 17,33; P= 0, 00001), preterm rupture of membranes (OR= 7,29; P = 0,000001), acute fetal distress (OR= 3,63; P= 0, 005), breech presentation (OR=2,89; P= 0,021), preeclampsia (OR=1,92; P= 0,05) and twin pregnancy (OR= 2,26; P= 0, 09) were risk factors for preterm birth. CONCLUSIÓN: Third trimester hemorrhage, preterm rupture of membranes, acute fet...
9
artículo
OBJETIVE: To determine the risk factors of preterm birth. DESIGN. Case control study. Setting: Maternal Perinatal Institute during the first trimester of 1996. MATERIAL AND METHODS: One hundred and sixty-five patients with preterm birth and 330 controls. RESULTS: The absence of prenatal control (OR= 14,4 and P < 0,01), born in the highland (OR= 2,26; P= 0, 001) and jungle (OR= 3,33; P= 0, 013), living in a poverty district (OR= 2,52; P= 0,05), previous preterm births (OR= 1,62; P< 0,05), obstetrical diagnosis of third trimester hemorrhage (OR= 17,33; P= 0, 00001), preterm rupture of membranes (OR= 7,29; P = 0,000001), acute fetal distress (OR= 3,63; P= 0, 005), breech presentation (OR=2,89; P= 0,021), preeclampsia (OR=1,92; P= 0,05) and twin pregnancy (OR= 2,26; P= 0, 09) were risk factors for preterm birth. CONCLUSIÓN: Third trimester hemorrhage, preterm rupture of membranes, acu...
10
artículo
Introduction: Caesarean sections carry maternal and perinatal risks. Objective: To determine thefactors associated with cesarean delivery in patients treated in the gynecology obstetrics service atthe Hospital Militar Central, in the 2014-2018 period. Methods: Analytical, retrospective, case-controlstudy; the population was vaginal or caesarean deliveries attended during the years 2014 to 2018. Thesampling was systematic, and the sample size was 988 deliveries of which 329 were caesarean sections.Chi-square and logistic regression tests were applied to calculate the odds ratio; The analysis was carriedout with the statistical program SPSS 23. Results: In pregnant women, previous caesarean section wasa factor associated with caesarean section (OR = 1.55, 95% CI = 1.12-2.15); neither age, gestational age,nor prenatal controls were a factor associated with caesarean section (p>0.05). Edu...
11
artículo
OBJECTIVES: To identify, beliefs, attitudes, knowledge and practices that limit the accessibility to the institutional delivery. DESIGN: Operational research, qualitative. MATERIALS AND METHODS: Women of childbearing age who live in peri-urban and rural areas of Rioja. The sampling of the population was non-probability of accidental type. RESULTS: The protestors consider pregnancy as a normal event, with no impact on their activities. Delivery care takes place outside of a health institution in the not necessarily conditioned environment, with a share of the husband or mother. Delivery is preferred squatting or kneeling position. Women see health services do not respect their customs and in some cases abuse is added. If care establishment, care provider is preferred by women. economic factors and geographic accessibility are identified. CONCLUSIONS: Acceptance of hospital births in the s...
12
artículo
OBJECTIVES: To identify, beliefs, attitudes, knowledge and practices that limit the accessibility to the institutional delivery. DESIGN: Operational research, qualitative. MATERIALS AND METHODS: Women of childbearing age who live in peri-urban and rural areas of Rioja. The sampling of the population was non-probability of accidental type. RESULTS: The protestors consider pregnancy as a normal event, with no impact on their activities. Delivery care takes place outside of a health institution in the not necessarily conditioned environment, with a share of the husband or mother. Delivery is preferred squatting or kneeling position. Women see health services do not respect their customs and in some cases abuse is added. If care establishment, care provider is preferred by women. economic factors and geographic accessibility are identified. CONCLUSIONS: Acceptance of hospital births in the s...
13
tesis de grado
Publicado 2023
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El Producto Interno Bruto (PIB) de América Latina y el Caribe representa aproximadamente el 70% del sector manufacturero. El suministro de productos es vital para las empresas de consumo masivo debido al consumo de la población. Mejorar la logística de la cadena de valor maximiza las oportunidades comerciales. Los productos de higiene se venden bien. La escasez de palés impide la entrega. Este estudio propone un modelo que integra el marco Lean Six Sigma, los principios de Lean Manufacturing y el informe A3 como herramientas de comunicación y seguimiento para garantizar el éxito de la mejora. El aumento de paletas permite una entrega más rápida del producto. El modelo integrado utiliza el diseño para Six Sigma y herramientas de trabajo estandarizadas para diseñar el nuevo proceso y la metodología de reporte A3 para mostrar la importancia del problema, las contramedidas propues...
14
artículo
Publicado 2015
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Objectives: To determine factors associated with abdominal delivery in pregnant women at term with prelabor rupture of membranes (PROM). Design: Descriptive retrospective case-control study. Setting: Hospital Nacional Cayetano Heredia, Lima, Peru. Participants: Pregnant women at term with PROM. Interventions: Study done in 140 women with prelabour rupture of membranes at 37 or more weeks’ gestation with no specific maternal or fetal contraindications to labor induction; 70 were control and 70 cases. Data were obtained from medical records. Main outcome measures: Factors associated to abdominal delivery. Results: Univariate analysis found uterine cervix status and preeclampsia as significant cesarean section risk factors. The final multivariable model analysis found maternal age, Bishop score less than 4, and preeclampsia as risk factors. The number of previous births was found as a pro...
15
artículo
Publicado 2015
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Objectives: To determine factors associated with abdominal delivery in pregnant women at term with prelabor rupture of membranes (PROM). Design: Descriptive retrospective case-control study. Setting: Hospital Nacional Cayetano Heredia, Lima, Peru. Participants: Pregnant women at term with PROM. Interventions: Study done in 140 women with prelabour rupture of membranes at 37 or more weeks’ gestation with no specific maternal or fetal contraindications to labor induction; 70 were control and 70 cases. Data were obtained from medical records. Main outcome measures: Factors associated to abdominal delivery. Results: Univariate analysis found uterine cervix status and preeclampsia as significant cesarean section risk factors. The final multivariable model analysis found maternal age, Bishop score less than 4, and preeclampsia as risk factors. The number of previous births was found as a pro...
16
artículo
We present the case of a eutocic, uncomplicated delivery in a patient positive for COVID-19. The patient, a 33-year-old woman, 39 weeks pregnant, who had received prenatal care in a private clinic, presented in labor, coughing, without any other symptoms. She was diagnosed with COVID-19 by rapid test, IgM (+) and IgG (-). We isolated the patient and provided personal protective equipment following our clinic’s protocol. Delivery was managed according to obstetric conditions, applying epidural anesthesia in the active phase; the baby was born without complications. Nor skin-to-skin contact nor delayed umbilical cord clamping were performed. Mother and child were discharged without complications after the newborn completed the required isolation period, testing negative for COVID-19. Telephone follow-up was performed. The healthcare team followed the recommended protocol to man...
17
artículo
Publicado 2024
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This is a descriptive study on the maternal population in Huaraz City at 3052 m in the central highlands of the Departament of Ancash. Objetive: to record sociodemographic characteristics of pregnant women, and conditions associated with pregnancy, delivery and newborn children. Materials and methods: cross-sectional and descriptive study based on history records from the pregnancies attended from 2001 to 2005 at the Hospital Víctor Ramos Guardia, City of Huaraz. The sample included 10 354 deliveries, at from 28 to 42 weeks of pregnancy. Results: The mean hemoglobin value was 12,84 g/dL (± 1,36). According to Ministry of Health (MINSA) guidelines which correct hemoglobin values according to altitude of residence, the prevalence of anemia was 49,67 %. Out of all mothers, 42 % were primiparas, 48% had had several pregnancies, and a low percentage of women had great mult...
18
artículo
Publicado 2020
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Introduction: Cesarean delivery was an option initially reserved for cases where vaginal delivery could compromise the life of the pregnant woman or the fetus. Due to diverse socioeconomic or cultural causes, cesarean delivery has become more accepted as an elective birth procedure. The WHO has established a marginal cesarean rate of 15% in primary cesarean deliveries, as higher rates do not decrease fetal morbidity and mortality. Worldwide, there have been rates as high as 21% (European countries), and 36% in Peru in 2015. Objectives: To determine the frequency of cesarean section and the most frequent indications in a public teaching hospital. Methods: Descriptive, retrospective series of case studies of patients who underwent elective or emergency cesarean section between January 2013 and December 2017 at a public teaching hospital in Lima, Peru. Results: The frequency of c...
19
artículo
Association between either vaginal and cesarean section delivery with cervical cancer and precursors
Publicado 2015
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OBJETIVE: To determine whether there is a greater relationship between women with vaginal delivery than women conparto caesarean presentation of squamous cervical cancer and its precursors. DESIGN: Case-control study conducted at Regional Hospital of Trujillo, Peru. MATERIAL AND METHODS: It was considered as cases 177 women with clinical and histopathological diagnosis of cervical cancer and its precursors met in 2000 to 2012. Controls were constituted by 179 women without a diagnosis of cervical cancer treated at the same hospital and who they had had vaginal or caesarean deliveries excclusivamente. To determine which characteristics are associated with cervical cancer multivariate analysis was applied, taking as predictors age, parity, mode of delivery and age of first intercourse. Then, a logistic regression analysis was performed to determine which variables constitute risk factors....
20
artículo
Association between either vaginal and cesarean section delivery with cervical cancer and precursors
Publicado 2015
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OBJETIVE: To determine whether there is a greater relationship between women with vaginal delivery than women conparto caesarean presentation of squamous cervical cancer and its precursors. DESIGN: Case-control study conducted at Regional Hospital of Trujillo, Peru. MATERIAL AND METHODS: It was considered as cases 177 women with clinical and histopathological diagnosis of cervical cancer and its precursors met in 2000 to 2012. Controls were constituted by 179 women without a diagnosis of cervical cancer treated at the same hospital and who they had had vaginal or caesarean deliveries excclusivamente. To determine which characteristics are associated with cervical cancer multivariate analysis was applied, taking as predictors age, parity, mode of delivery and age of first intercourse. Then, a logistic regression analysis was performed to determine which variables constitute risk factors....
