Plan de marketing y su impacto en las ventas de la Empresa Comercial CyC SAC de la ciudad de Trujillo - 2016

La presente tesis tuvo como objetivo desarrollar e implementar un plan de marketing para mejorar las ventas de la empresa Comercial C&C SAC en el distrito de Trujillo. Para la evaluación del presente trabajo, realizamos encuestas con una muestra de 107 clientes, lo cual determinó que, a pesar de la calidad de los productos y la asesoría técnica brindada, existen deficiencias en la atención y el tiempo de espera en la entrega de los productos, además los resultados de la encuesta, nos evidencia un alto grado de desconocimiento de la marca, lo que genera deficiencia en el posicionamiento de la empresa. La investigación evidencia la necesidad de implementar un plan de marketing que permita captar nuevos clientes e incrementar las ventas. En el presente trabajo, se utilizó el análisis FODA, creando planes de acción, para poner en práctica estrategias del marketing, mix, de posicionamiento, diferenciación y estrategias FO, FA, DO, DA. El estudio de la empresa de Comercial C&C SAC, determinó que la empresa no cuenta con un plan de marketing, y con la aplicación de éste, tendrá un impacto positivo en el incremento de las ventas de la empresa Comercial C&C SAC de la Ciudad de Trujillo 2016.This thesis’s aim was to develop and implement a marketing plan to improve sales at Comercial C & C SAC Company in the district of Trujillo. The evaluation of this study demanded the application of surveys with a sample of 107 customers, which determined that, despite the quality of products and provided technical advice, there are deficiencies in the service and queue time in the delivery of products, and the survey results show a high degree of lack of knowledge of the brand, generating deficiency in the company positioning. The research evidence the need of implementing a plan of marketing that allow capture new customers and increase them sales. In the present study, we used the FODA analysis, creating action plans, to implement the marketing strategies, mix, positioning, differentiation and strategies FO, FA, DO, DA. The study of the company's Comercial C & C SAC, determined that the company hasn´t a marketing plan, and with the application of this, will have a positive impact on the increase in the sales of the company Comercial C & C SAC of the city of Trujillo 2016.Tesi

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