3 research outputs found
INTIPLAZA
El proyecto bajo el nombre de Intiplaza muestra su viabilidad mediante el desarrollo de una plataforma web que se encarga de conectar emprendimientos peruanos del rubro textil y accesorios de moda con clientes de ambos sexos pertenecientes a los NSE B y C. Por un lado, a causa de la pandemia COVID-19 muchos jĂłvenes decidieron emprender para generar sus propios ingresos y sobrellevar la crisis econĂłmica que está atravesando el paĂs. Por otro lado, se identificĂł que por motivo de la coyuntura actual y el trabajo remoto muchas personas optan por realizar sus compras mediante páginas web, ya que esta es rápida, segura, sencilla y eficaz.
Para el desarrollo del proyecto se realizaron diversas evaluaciones y análisis de los factores que nos ayudaron a determinar la viabilidad de Intiplaza como empresa. Entre ellos se destacan los requerimientos de ambos segmentos de clientes, las intenciones de compra, las estrategias de marketing y publicidad a realizar, y por último el presupuesto y el plan de inversión estimado.The project under the name intiplaza shows its viability through a website developed to connect small businesses of the clothing and accessories industry and customers male and female of the upper-middle economic class and middle economic class. On one hand, due to the pandemic covid19, many people decided to start up their new business as a source of extra income and overcome the economic crisis of the country. On the other hand, due to the current situation and casual work many people have opted to shop online since it's fast, safe, easy and efficient.
For the development of this project, many evaluations have been done and a deep analysis of the factors have helped to determine the viability of intiplaza as a business. Among them, we have the requirements of both customer groups, the intention of purchase, marketing strategies and advertising and last but not least, budgeting and an estimated investment plan.Trabajo de investigaciĂł
Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study
Summary
Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally.
Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies
have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of
the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income
countries globally, and identified factors associated with mortality.
Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to
hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis,
exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a
minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical
status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary
intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause,
in-hospital mortality for all conditions combined and each condition individually, stratified by country income status.
We did a complete case analysis.
Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital
diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal
malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome
countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male.
Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3).
Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income
countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups).
Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome
countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries;
p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients
combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11],
p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20
[1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention
(ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety
checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed
(ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of
parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65
[0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality.
Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome,
middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will
be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger
than 5 years by 2030