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1
artículo
Publicado 2019
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Introduction. According to the National Institute of Statistics and Informatics (INEI), in 2017 there were three million people with disabilities in our country. Of these, 5% have a significant functional limitation, so they have to require a caregiver; who can see affected his physical and emotional activity, and eventually, they get sick. Objective. To establish the relationship between the burden of the caregiver and level of functionality of the person with disabilities. Methods. 50 caregivers and 50 people with disabilities were included. The Functional Independence Measure (FIM) is an accepted instrument for measuring disability, in three categories: complete dependence, relative dependence and independence. The Zarit and Zarit Test measures the burden of caregiver; classifying it into three categories: absence of burden, light burden and intense&...
2
artículo
Publicado 2021
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Objective: To compare the professional performance of the health establishments with essential obstetric and neonatal functions from Lima with respect provincie during September-October of 2015. Materials and methods: It´s a cross- sectional analytical investigation conducted in 350 health establishments with essential obstetric-neonatal functions I-II (FONE I-II) database based on national surveys conducted by the National Institute of Statistics and Informatics (INEI) during 2015. New variables were created from the databases to determinate the gynecology staff´s professional performance and analyzed the data with the R statistical software and the IBM SPSS Statistics 25 using the chi-square test. Results: The investigation showed that midwifes were the healthl staff who most frequently attended vaginal births, both in Lima (62.9%) and in provinces (91.4%). With respect to the partog...
3
artículo
Publicado 2021
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Objective: To compare the professional performance of the health establishments with essential obstetric and neonatal functions from Lima with respect provincie during September-October of 2015. Materials and methods: It´s a cross- sectional analytical investigation conducted in 350 health establishments with essential obstetric-neonatal functions I-II (FONE I-II) database based on national surveys conducted by the National Institute of Statistics and Informatics (INEI) during 2015. New variables were created from the databases to determinate the gynecology staff´s professional performance and analyzed the data with the R statistical software and the IBM SPSS Statistics 25 using the chi-square test. Results: The investigation showed that midwifes were the healthl staff who most frequently attended vaginal births, both in Lima (62.9%) and in provinces (91.4%). With respect to the partog...
4
artículo
Publicado 2020
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El objetivo consistió en determinar si liderazgo y la motivación se relacionan con la efectividad funcional en la EmpresaoPrestadora deoServicios “Chavín” S. A. en el 2019. Método se utilizó una investigación aplicada, diseño nooexperimental, deonivel correlacionali- causal; la población de 170 trabajadores, y la muestra probabilística fue igual a 118; con criterios de inclusión y exclusión. Laotécnica fue laoencuesta y el instrumento, el cuestionariooestructurado, debidamente validados por el juicio de expertos, la confiabilidad se obtuvo por el estadístico Alpha de Crombach. Obteniendo como resultado una relación directa y moderada entre el liderazgo y la efectividad funcional; así como la motivación y la efectividad funcional. Por lo que llegamos a la conclusión, que se ha determinado una correlación directa alta (r=0.652) muy significativo (p<0.01) entre Lide...
5
tesis de grado
Publicado 2020
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Esta investigación se enfoca en cómo el Quality Function Deployment QFD permite transmitir los requerimientos de los clientes, a los procesos y al diseño de los productos o servicios con el fin de que estos requerimientos sean expresados en lo que realmente valora el cliente y mejorar su competitividad en el mercado. Esta investigación presenta como el QFD fue modificándose comprendiendo las necesidades que se presentan, como lo fue en el sector de servicios que no encontraba una solución de cómo satisfacer las expectativas de los clientes y su fidelización, también se señala las diferentes fases del QFD las cuales permitirán un mejor entendimiento de cómo se da la relación entre los requerimientos de los clientes y las especificaciones técnicas, además de señalar los diferentes beneficios y limitaciones de esta herramienta.
6
artículo
Purpose – This paper aims to test the hypothesis that the effect of production slowdown on labour demand can be muted by labour hoarding. Design/methodology/approach – This study adopts a production function approach, using data from Malta, a small state in the EU. Findings – The results confirm the hypothesis and indicate that firms are normally prepared to employ and dismiss more workers in the long run than in the short run. Practical implications – This finding has important implications for developed countries, including that labour hoarding can be of certain relevance in times of economic slowdown as shocks are absorbed by internal flexibility. Originality/value – The results of this study add on to the existing literature in two ways. First, this study compares two industries–manufacturing and financial services–for which the former sector received support to hoard l...
7
artículo
The purpose of this paper is to study the possible morphological and functional abnormalities of the small intestine in patients undergoing antrectomy and vagotomy for duodenal ulcer. The relevant literature is scarce and this has led us to undertake a comprehensive study in patients admitted to the Gastroenterology Service of the Hospital Obrero de Lima . Studies on intestinal biopsy in ulcer patients who have been subjected to different types of operation : gastrectomy, vagotomy and pyloroplasty , but none in patients with antrectomy and truncal vagotomy . It is this circumstance which gives originality to this work, so the study of Ia digestive capacity of the patient and the other with a remote monitoring post-operative data is added . We do not intend to judge the advantages and disadvantages of certain types of operation; We have just finalized the search for intestinal disorders ....
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artículo
OBJECTIVE: The absence of an universal classification for hyperthyroidisms (HT), give rise to inadequate interpretation of series and trials, and prevents decision making. We offer a tentative classification based on gammagrafic and functional findings. MATERIAL AND METHODS: Clinical records from patients who underwent thyroidectomy in our Department since 1967 to 1997 were reviewed. Those with functional measurements of hyperthyroidism were considered. All were managed according to the same preestablished guidelines. RESULTS: HT was the surgical indication in 694 (27,1%) of the 2559 thyroidectomies. Based on gammagraphic studies, we classified HTs in: Parenchymatous Increased-Uptake, which could be Diffuse, Diffuse with Cold Nodules or Diffuse with at least one Nodule, and Nodular Increased-Uptake (Autonomous Functioning Thyroid Nodes [AFTN]), divided into Solitary AFTN or Toxic Adenoma...
9
artículo
Publicado 2018
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Several anthropogenic pressures are threatening biodiversity and may increase in the next years, altering ecological processes and ecosystem services. Biological collections offer a rich source of information to develop studies of functional ecology and biodiversity conservation. Key information related to morphology, physiology and life history could be obtained through functional traits provided by specimens in biological collections. Additionally, museum collections present a great potential for document changes of habitat disturbance, using response/effect framework, functional diversity measures, and fluctuating asymmetry approaches. Despite limitations of specimens in data such as abundance, imprecisions in specimen´s georeferencing, errors in taxonomic identification and the poor preservation state of some specimens, biological collections contain vast data banks, which could be ...
10
artículo
Publicado 2018
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Several anthropogenic pressures are threatening biodiversity and may increase in the next years, altering ecological processes and ecosystem services. Biological collections offer a rich source of information to develop studies of functional ecology and biodiversity conservation. Key information related to morphology, physiology and life history could be obtained through functional traits provided by specimens in biological collections. Additionally, museum collections present a great potential for document changes of habitat disturbance, using response/effect framework, functional diversity measures, and fluctuating asymmetry approaches. Despite limitations of specimens in data such as abundance, imprecisions in specimen´s georeferencing, errors in taxonomic identification and the poor preservation state of some specimens, biological collections contain vast data banks, which could be ...
11
artículo
This project focuses on presenting a reference model based on tools already created to automate the process of performing functional tests during the evaluation of the quality of the developed product. This automation includes the evaluation of certain automated test management tools and automated functional testing.Software development and computer provide quality service is what is currently achieved with functional tests made in the development stage. This process is very important and critical part in the development process and must be done with greater efficiency and better efficiency. During the project the current processes that are part of the application development methodology, both theoretically and in practice met. Automation tools and methodologies for testing were evaluated. It was considered very important that both methodological solutions and technical support aspects s...
12
artículo
Publicado 2018
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Civil service policy has fulfilled five years of effective implementation and has data that evidence its progress until the present. Precisely, this article seeks to address the phase of implementation of said public policy, the process of transit to La Ley SERVIR regime´s, trying to provide an approximation of the results that would have throw this new attempt to start a reform in the human resources of the Peruvian State following the case of the nineteen ministries.The analysis will have as its central core twelve grouped variables in three dimensions: organizational characteristics of the ministry, normativity characteristics and tools of transit, and leadership in the ministry´s transit process. Thus, considering said variables, it will be evident that the degree of progress of the ministries manage to be explained in an important way by a number of people that provide their ...
13
tesis de grado
This research work will analyze the implementation of the QFD approach for the design of services in the hotel sector in Lima, Peru, in order to provide a new and improved delivery of this service, based on the growing trend of virtual commerce. In the first chapter, the formulation of the research question of the new approach to be provided by the hotel sector after the increase of e-commerce given the social confinement is presented, the description of the QFD concept, the objectives (general and specific) and the variables are also mentioned. The second chapter deals with the conceptual framework, where the important key words of the research work are mentioned; and the referential framework, which is given by the research sources used. Then, in the third chapter, the scope of the research, the collection of information through the survey and its research design are explained. Then, i...
14
artículo
Publicado 2022
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More than 45 years of IEP/TP research and a few focused on IEP/TP functions or roles. Yet, the quality of an IEP/TP relies on the functions that it fulfills to satisfy the needs of its different users (Petitdemange,1985). The Quebec Ministry of Education (MEQ, 2004) and the Office of Special Education and Rehabilitative Services within the U.S. Department of Education (in Eichler, 1999) explicitly identified and described six to seven IEP/TP functions. However, a literature review and practising environments highlighted a greater number of functions. The goal of this research is to identify the different functions that an IEP/TP should fulfill in regard to the different needs of its diverse users. With the use of pedagogical value analysis method (PVA), results show a synthesis of more than 700 functions organized in an IEP/TP Functional Specification Matrix (FSM). The IEP /TP FSM is use...
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16
artículo
Publicado 2024
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Objective: To determine the association between frailty syndrome and family functioning among older adults with diabetic retinopathy. Materials and methods: An analytical and cross-sectional study conducted among patients diagnosed with diabetic retinopathy. The ophthalmology department diagnosed diabetic retinopathy through pupil dilation, using tetracaine and an ophthalmoscope. Three groups were determined using the FRAIL questionnaire: frail, prefrail and nonfrail; the sample sizes were 39, 64 and 76, respectively, matched by age. The study variables included age, sex, education, marital status and occupation. Additionally, the time since the diagnosis of diabetic retinopathy was measured. Furthermore, the type of family was determined according to Huerta’s classification, which identifies nuclear family, extended family, composite extended family, single-parent family and blended f...
17
artículo
Publicado 2020
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Objetive: To describe the characteristics of Acute Kidney Injury (AKI) in hospitalized patients in a tertiary-level hospital from January to April of 2016. Material and methods: Retrospective descriptive study that included patients admitted to medical ward and Intensive Care Unit. AKI diagnosis and severity stage were established according to Kidney Disease: Improving Global Outcomes criteria. Kidney function at discharge was evaluated by estimating the glomerular filtration rate (GFR). Results: Overall frequency of AKI was 64.83%. In the medical ward, frequency was 57.06% and in ICU, 88.14%. Overall mortality was 27.45%. The proportion of patients with AKI who had anemia, diabetes and chronic kidney disease was 84.97%, 20.92% and 19.61%, respectively. According to severity stage, the overall frequency was stage 3: 46.41%, stage 1: 30.07% and stage 2: 23.53%. The most frequent categorie...
18
artículo
Publicado 2024
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The impact of the global COVID-19 pandemic on health systems has created a chaotic scenario, severely hindering the ability to meet health needs and negatively affecting the provision of health services to the population. This prolonged health crisis has exposed the collapse of health systems and their lack of institutional capacity to effectively address health emergencies. This situation is largely attributable to the segmentation and fragmentation rooted in the regional structure of these systems. Meanwhile, limited progress has been made in evaluating their performance. One of the primary objectives of health systems is universal health coverage. Nevertheless, achieving this goal requires the implementation of strategies aimed at strengthening these systems through the evaluation of their performance and the promotion of international health security. In this context, essential publi...
19
tesis de grado
Publicado 2019
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La presente investigación tiene por objetivo determinar el nivel de calidad de vida de los adultos mayores que se atienden en el Centro de Salud Soritor, del distrito de Soritor, provincia de Moyobamba – región San Martín de mayo a julio de 2018. El estudio es de tipo descriptivo, con un diseño no experimental y con un enfoque cuantitativo de acuerdo al manejo de los datos.
20
tesis de grado
Publicado 2022
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En los últimos años, la necesidad de análisis sobre grandes volúmenes de datos se ha vuelto cada vez más importante. Esto llega a ser sumamente útil en la toma de decisiones estratégicas sobre diferentes aplicaciones. De esta manera, se deben diseñar mecanismos apropiados para realizar el tratamiento de datos y su integración con diferentes plataformas para aprovechar las ventajas que éstas nos brindan. En el presente trabajo, se muestra una arquitectura que trabaja sobre servicios cloud para realizar una migración de datos almacenados en Big Query a un motor de analítica como Elasticsearch y aprovechar su potencial en operaciones de consulta, inserción y despliegue de visualizaciones. Esto se logra por medio del uso de Cloud Functions y Pub/Sub. La integración de estas plataformas mediante la arquitectura propuesta, mostró una efectividad del 100% al trasladar los datos d...
