Planeamiento estratégico del mango en la región Piura 2017-2022

Actualmente el mango es reconocido a escala mundial como uno de los frutos tropicales con mayor valor, lo cual se vio reflejado en el incremento gradual de su demanda en los últimos años; siendo la Región Piura a nivel nacional una de las principales muestras de este crecimiento, lo cual le otorgó un papel predominante, no sólo por su importante tendencia de crecimiento, sino porque su desarrollo aportó al crecimiento económico y social del país. Si bien la Región Piura tiene grandes ventajas para el impulso del sector del mango gracias a sus suelos fértiles, su variedad de climas, sus características geográficas y su ventana comercial; estas ventajas se vieron opacadas por las debilidades propias de la actividad agrícola en el país como la falta de inversión en infraestructura y tecnología, así como el escaso nivel de asociatividad existente entre los productores del sector. El presente trabajo se desarrolla el planeamiento estratégico del Sector Mango de la Región Piura, para lo cual se ha realizado un análisis tanto externo, como interno, y por supuesto también competitivo del mango de la región, lo cual permitió establecer objetivos a corto y largo plazo así como crear estrategias que se deben llevar a cabo para consolidar a Piura como la principal región productora y exportadora de mango fresco del Perú al año 2022. La importancia de este trabajo radica en el hecho de que la actividad del sector se concentró en las zonas rurales de Piura, donde se congrega la mayor proporción de la pobreza de la región, por lo que con el presente trabajo se busca generar un impulso en el desarrollo progresivo de la condición de vida de los productores agrícolas del sector, asi como aumentar los ingresos para la región mediante la creación de más puestos de trabajo .Mango has been recognized worldwide as one of the most valued tropical fruits, reflecting the progressive growth of its demand in recent years, with the Piura Region being the main exponent of this growth, giving it a predominant role at the national level, not only for its important growth trend, but also because its development contributes to the economic and social growth of the country. Although the Piura Region presents competitive and comparative advantages for the development of the mango sector thanks to its fertile soils, variety of climates, its geographical characteristics and its commercial window; these advantages are overshadowed by internal weaknesses in the sector, such as the lack of investment in infrastructure and technology, as well as the low level of association among mango producers. The present work develops the strategic planning of the Mango Sector of the Piura Region, for which an external, internal, and competitive analysis of mango in the region has been carried out, making it possible to establish long-term objectives and strategies that must be implemented to consolidate Piura as the main mango producing and exporting region from Peru, to the year 2022. The importance of this work lies in the fact that the activity of the sector is concentrated in the rural areas of Piura, where the largest proportion of the region's poverty is gathered, therefore, the present work seeks to generate an impulse in the progressive growth in the quality of life of the producers, the creation of new and better jobs and in the increase of the income for the Piura Region.Tesi

Delayed colorectal cancer care during covid-19 pandemic (decor-19). Global perspective from an international survey

Background The widespread nature of coronavirus disease 2019 (COVID-19) has been unprecedented. We sought to analyze its global impact with a survey on colorectal cancer (CRC) care during the pandemic. Methods The impact of COVID-19 on preoperative assessment, elective surgery, and postoperative management of CRC patients was explored by a 35-item survey, which was distributed worldwide to members of surgical societies with an interest in CRC care. Respondents were divided into two comparator groups: 1) ‘delay’ group: CRC care affected by the pandemic; 2) ‘no delay’ group: unaltered CRC practice. Results A total of 1,051 respondents from 84 countries completed the survey. No substantial differences in demographics were found between the ‘delay’ (745, 70.9%) and ‘no delay’ (306, 29.1%) groups. Suspension of multidisciplinary team meetings, staff members quarantined or relocated to COVID-19 units, units fully dedicated to COVID-19 care, personal protective equipment not readily available were factors significantly associated to delays in endoscopy, radiology, surgery, histopathology and prolonged chemoradiation therapy-to-surgery intervals. In the ‘delay’ group, 48.9% of respondents reported a change in the initial surgical plan and 26.3% reported a shift from elective to urgent operations. Recovery of CRC care was associated with the status of the outbreak. Practicing in COVID-free units, no change in operative slots and staff members not relocated to COVID-19 units were statistically associated with unaltered CRC care in the ‘no delay’ group, while the geographical distribution was not. Conclusions Global changes in diagnostic and therapeutic CRC practices were evident. Changes were associated with differences in health-care delivery systems, hospital’s preparedness, resources availability, and local COVID-19 prevalence rather than geographical factors. Strategic planning is required to optimize CRC care