Modelo de negocio “Uroomie”

En este trabajo podrán encontrar un plan general para la idea de negocio denominada Urommie la cual es un aplicativo en el que jóvenes que residan en Lima Metropolitana van a poder encontrar departamentos en modo roommate de forma segura y ordenada y a su vez las personas que deseen poner en alquiler sus inmuebles tengan un intermediario en el cual apoyarse en temas financieros y legales. Nuestro objetivo con este modelo de negocio es poder brindar seguridad tanto a los jóvenes que van a alquilar un cuarto como a los arrendatarios que van a poder en alquilar su inmueble, brindándoles un aplicativo fácil de usar que cuenta con filtros de seguridad y pólizas que cubren daños para así garantizar una experiencia grata por ambas partes. Para poder ejecutar nuestro plan de negocio hemos llevado a cabo distintas acciones como validaciones tanto de negocio como de mercado, acciones reales de marketing y la elaboración de un pan financiero donde evaluaremos los resultados para confirmar que esta idea de negocio sea rentable y sostenible en el tiempo.In this work you will find a general plan for the business idea called Urommie which is an application in which young people residing in Metropolitan Lima will be able to find apartments in roommate mode in a safe and orderly manner and in turn people who wish to rent their properties have an intermediary in which to rely on financial and legal issues. Our goal with this business model is to provide security to both young people who are going to rent a room and tenants who will be able to rent their property, providing them with an easy-to-use application that has security filters and policies that cover damages to ensure a pleasant experience for both parties. In order to execute our business plan, we have carried out different actions such as business and market validations, real marketing actions and the elaboration of a financial plan where we will evaluate the results to confirm that this business idea is profitable and sustainable over time.Trabajo de investigació

Marketing Plan for the Bocare Dental Clinic - Lima, Peru

El número de clínicas dentales en Perú ha experimentado un notable incremento, lo que se traduce en una mayor competencia en el mercado. Este fenómeno se debe a diversos factores, tales como los avances tecnológicos, los cambios en el comportamiento del consumidor y la creciente inversión en el sector salud. Además, los consumidores actuales están más informados y son más exigentes respecto a los servicios que reciben. Por ello, es fundamental atraerlos mediante estrategias de marketing digital y tradicional. En este contexto, se ha desarrollado un plan de marketing para la clínica odontológica Bocare, con el objetivo de captar nuevos pacientes, fidelizarlos y fortalecer su posicionamiento en el mercado. En el presente estudio, se ha definido el segmento objetivo de la clínica Bocare, creando un perfil detallado del "buyer persona". Para ello, se realizaron entrevistas a profundidad, lo que permitió recolectar información valiosa y proponer mejoras basadas en las opiniones de los pacientes. Como resultado, se propuso un rebranding del logo y eslogan de la clínica, con el fin de mantener su relevancia y atractivo para el segmento objetivo. Por ello, se definieron estrategias en cuanto a precios, distribución y comunicación, con el propósito de resaltar el valor y la calidad de los servicios ofrecidos, expandir la presencia de la clínica en diferentes áreas geográficas y aumentar su visibilidad en el mercado. Finalmente, se realizó la evaluación económica del plan de marketing para conocer si es viable la propuesta.The number of dental clinics in Peru has experienced a notable increase, resulting in greater market competition. This phenomenon is attributed to various factors, such as technological advancements, changes in consumer behavior, and growing investment in the health sector. Additionally, today's consumers are more informed and demanding regarding the services they receive. Therefore, it is essential to attract them through both digital and traditional marketing strategies. In this context, a marketing plan has been developed for the Bocare dental clinic, with the aim of attracting new patients, retaining them, and strengthening its market positioning. In this study, the target segment for Bocare clinic has been defined by creating a detailed profile of the "buyer persona." To achieve this, in-depth interviews were conducted, allowing for the collection of valuable information and the proposal of improvements based on patient feedback. As a result, a rebranding of the clinic's logo and slogan was proposed to maintain its relevance and appeal to the target segment. Therefore, strategies regarding pricing, distribution, and communication were defined with the purpose of highlighting the value and quality of the services offered, expanding the clinic's presence in different geographic areas, and increasing its visibility in the market. Finally, an economic evaluation of the marketing plan was conducted to determine the viability of the proposal.Trabajo de Suficiencia ProfesionalODS 8: Trabajo decente y crecimiento económicoODS 10: Reducción de las desigualdadesODS 12: Producción y consumo responsabl

Colombian surgical outcomes study insights on perioperative mortality rate, a main indicator of the lancet commission on global surgery – a prospective cohort studyResearch in context

Summary: Background: Surgical care holds significant importance in healthcare, especially in low and middle-income countries, as at least 50% of the 4.2 million deaths within the initial 30 days following surgery take place in these countries. The Lancet Commission on Global Surgery proposed six indicators to enhance surgical care. In Colombia, studies have been made using secondary data. However, strategies to reduce perioperative mortality have not been implemented. This study aims to describe the fourth indicator, perioperative mortality rate (POMR), with primary data in Colombia. Methods: A multicentre prospective cohort study was conducted across 54 centres (hospitals) in Colombia. Each centre selected a 7-day recruitment period between 05/2022 and 01/2023. Inclusion criteria involved patients over 18 years of age undergoing surgical procedures in operating rooms. Data quality was ensured through a verification guideline and statistical analysis using mixed-effects multilevel modelling with a case mix analysis of mortality by procedure-related, patient-related, and hospital-related conditions. Findings: 3807 patients were included with a median age of 48 (IQR 32–64), 80.3% were classified as ASA I or II, and 27% of the procedures had a low-surgical complexity. Leading procedures were Orthopedics (19.2%) and Gynaecology/Obstetrics (17.7%). According to the Clavien–Dindo scale, postoperative complications were distributed in major complications (11.7%, 10.68–12.76) and any complication (31.6%, 30.09–33.07). POMR stood at 1.9% (1.48–2.37), with elective and emergency surgery mortalities at 0.7% (0.40–1.23) and 3% (2.3–3.89) respectively. Interpretation: The POMR was higher than the ratio reported in previous national studies, even when patients had a low–risk profile and low-complexity procedures. The present research represents significant public health progress with valuable insights for national decision-makers to improve the quality of surgical care. Funding: This work was supported by Universidad del Rosario and Fundación Cardioinfantil-Instituto de Cardiología grant number CTO-057-2021, project-ID IV-FGV017

Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study

Background Current management practices and outcomes in weaning from invasive mechanical ventilation are poorly understood. We aimed to describe the epidemiology, management, timings, risk for failure, and outcomes of weaning in patients requiring at least 2 days of invasive mechanical ventilation. Methods WEAN SAFE was an international, multicentre, prospective, observational cohort study done in 481 intensive care units in 50 countries. Eligible participants were older than 16 years, admitted to a participating intensive care unit, and receiving mechanical ventilation for 2 calendar days or longer. We defined weaning initiation as the first attempt to separate a patient from the ventilator, successful weaning as no reintubation or death within 7 days of extubation, and weaning eligibility criteria based on positive end-expiratory pressure, fractional concentration of oxygen in inspired air, and vasopressors. The primary outcome was the proportion of patients successfully weaned at 90 days. Key secondary outcomes included weaning duration, timing of weaning events, factors associated with weaning delay and weaning failure, and hospital outcomes. This study is registered with ClinicalTrials.gov, NCT03255109. Findings Between Oct 4, 2017, and June 25, 2018, 10 232 patients were screened for eligibility, of whom 5869 were enrolled. 4523 (77·1%) patients underwent at least one separation attempt and 3817 (65·0%) patients were successfully weaned from ventilation at day 90. 237 (4·0%) patients were transferred before any separation attempt, 153 (2·6%) were transferred after at least one separation attempt and not successfully weaned, and 1662 (28·3%) died while invasively ventilated. The median time from fulfilling weaning eligibility criteria to first separation attempt was 1 day (IQR 0–4), and 1013 (22·4%) patients had a delay in initiating first separation of 5 or more days. Of the 4523 (77·1%) patients with separation attempts, 2927 (64·7%) had a short wean (≤1 day), 457 (10·1%) had intermediate weaning (2–6 days), 433 (9·6%) required prolonged weaning (≥7 days), and 706 (15·6%) had weaning failure. Higher sedation scores were independently associated with delayed initiation of weaning. Delayed initiation of weaning and higher sedation scores were independently associated with weaning failure. 1742 (31·8%) of 5479 patients died in the intensive care unit and 2095 (38·3%) of 5465 patients died in hospital. Interpretation In critically ill patients receiving at least 2 days of invasive mechanical ventilation, only 65% were weaned at 90 days. A better understanding of factors that delay the weaning process, such as delays in weaning initiation or excessive sedation levels, might improve weaning success rates

Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study

Background: Current management practices and outcomes in weaning from invasive mechanical ventilation are poorly understood. We aimed to describe the epidemiology, management, timings, risk for failure, and outcomes of weaning in patients requiring at least 2 days of invasive mechanical ventilation. Methods: WEAN SAFE was an international, multicentre, prospective, observational cohort study done in 481 intensive care units in 50 countries. Eligible participants were older than 16 years, admitted to a participating intensive care unit, and receiving mechanical ventilation for 2 calendar days or longer. We defined weaning initiation as the first attempt to separate a patient from the ventilator, successful weaning as no reintubation or death within 7 days of extubation, and weaning eligibility criteria based on positive end-expiratory pressure, fractional concentration of oxygen in inspired air, and vasopressors. The primary outcome was the proportion of patients successfully weaned at 90 days. Key secondary outcomes included weaning duration, timing of weaning events, factors associated with weaning delay and weaning failure, and hospital outcomes. This study is registered with ClinicalTrials.gov, NCT03255109. Findings: Between Oct 4, 2017, and June 25, 2018, 10 232 patients were screened for eligibility, of whom 5869 were enrolled. 4523 (77·1%) patients underwent at least one separation attempt and 3817 (65·0%) patients were successfully weaned from ventilation at day 90. 237 (4·0%) patients were transferred before any separation attempt, 153 (2·6%) were transferred after at least one separation attempt and not successfully weaned, and 1662 (28·3%) died while invasively ventilated. The median time from fulfilling weaning eligibility criteria to first separation attempt was 1 day (IQR 0-4), and 1013 (22·4%) patients had a delay in initiating first separation of 5 or more days. Of the 4523 (77·1%) patients with separation attempts, 2927 (64·7%) had a short wean (≤1 day), 457 (10·1%) had intermediate weaning (2-6 days), 433 (9·6%) required prolonged weaning (≥7 days), and 706 (15·6%) had weaning failure. Higher sedation scores were independently associated with delayed initiation of weaning. Delayed initiation of weaning and higher sedation scores were independently associated with weaning failure. 1742 (31·8%) of 5479 patients died in the intensive care unit and 2095 (38·3%) of 5465 patients died in hospital. Interpretation: In critically ill patients receiving at least 2 days of invasive mechanical ventilation, only 65% were weaned at 90 days. A better understanding of factors that delay the weaning process, such as delays in weaning initiation or excessive sedation levels, might improve weaning success rates. Funding: European Society of Intensive Care Medicine, European Respiratory Society