Planeamiento estratégico de la alcachofa

El plan estratégico de la Alcachofa tiene como objetivo principal establecer las estrategias que le permitan impulsar su desarrollo y llevar al país a ser reconocido como el segundo exportador a nivel mundial, contribuyendo así al desarrollo económico y respetando las políticas que rigen la protección, cuidado del medio ambiente y bienestar de la sociedad. Asimismo, un punto a favor para la producción de la Alcachofa son los precios altos que se pagan en el mercado internacional ya que este producto es comercializado en forma de conserva por la gran demanda principalmente de Estados Unidos y algunos países de Europa como España y Francia, manteniendo un ritmo creciente debido al reconocimiento de sus altas propiedades nutritivas. El presente documento muestra como resultado de la evaluación externa e interna de la Alcachofa, 30 factores, que serán el input para definir un conjunto de estrategias, políticas, objetivos a corto plazo, objetivos de largo plazo y métricas de evaluación estratégica que lleven a la Alcachofa a lograr la visión trazada al 2023The main purpose of the Artichoke strategic plan is to establish the strategies that allow it to encourage its development and lead Peru to be acknowledged as the second exporting country worldwide, thus contributing to the economic development and following the policies governing the protection, environmental care and wellness of the society. Additionally, the high prices paid in the international market for the Artichoke are an additional plus seeing that this product is traded as canned foods due to the high demand mainly in the United States and some European countries such as Spain and France, while maintaining an increasing pace due to its nutritional properties acknowledgement. As a result of the external and internal evaluation of the Artichoke, this document shows 30 factors, that will be the input to define a set of strategies, policies, short-tem goals, long-term goals and strategic assessment metrics that lead to the vision of the Artichoke for 2023Tesi

Global attitudes in the management of acute appendicitis during COVID-19 pandemic: ACIE Appy Study

Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a snapshot of worldwide approaches to appendicitis. Methods: The Association of Italian Surgeons in Europe designed an online survey to assess the current attitude of surgeons globally regarding the management of patients with acute appendicitis during the pandemic. Questions were divided into baseline information, hospital organization and screening, personal protective equipment, management and surgical approach, and patient presentation before versus during the pandemic. Results: Of 744 answers, 709 (from 66 countries) were complete and were included in the analysis. Most hospitals were treating both patients with and those without COVID. There was variation in screening indications and modality used, with chest X-ray plus molecular testing (PCR) being the commonest (19\ub78 per cent). Conservative management of complicated and uncomplicated appendicitis was used by 6\ub76 and 2\ub74 per cent respectively before, but 23\ub77 and 5\ub73 per cent, during the pandemic (both P < 0\ub7001). One-third changed their approach from laparoscopic to open surgery owing to the popular (but evidence-lacking) advice from expert groups during the initial phase of the pandemic. No agreement on how to filter surgical smoke plume during laparoscopy was identified. There was an overall reduction in the number of patients admitted with appendicitis and one-third felt that patients who did present had more severe appendicitis than they usually observe. Conclusion: Conservative management of mild appendicitis has been possible during the pandemic. The fact that some surgeons switched to open appendicectomy may reflect the poor guidelines that emanated in the early phase of SARS-CoV-2