Plan estratégico para el Agente BCP del Banco de Crédito del Perú 2014-2017

El Agente BCP es un innovador canal de atención implementada por el Banco de Crédito del Perú (BCP) desde el año 2005 con el fin de proveer de servicios bancarios a los clientes y no clientes. Esta solución, que en su forma genérica se le conoce como cajeros corresponsales, ha sido implementada exitosamente en otros países de la región acercando los servicios bancarios a la población que no contaba con una agencia bancaria cerca de sus casas o centros de trabajo. El BCP, con esta iniciativa eficiente en costos, busca ampliar sus canales de atención con la finalidad de captar a más clientes, descongestionar sus agencias y contribuir con la inclusión financiera. En el año 2005 se inicia el proyecto con la instalación de 63 Agentes BCP en localidades cercanas a la ciudad de Lima y para el año 2013, se contabilizaron 5.820 Agentes BCP a nivel nacional, lo que representa el 22,2% de mercado nacional de agentes corresponsales, quedando demostrado la viabilidad de este nuevo canal de atención y el liderazgo alcanzado por el BCP en el rubro de canales de atención. A través del análisis estratégico se identificaron las oportunidades y amenazas, así como las fortalezas y debilidades a las cuales se enfrenta el Agente BCP. En concordancia con el resultado de este análisis, se elaboraron las estrategias de crecimiento que permitan la continuidad del modelo de negocio. De igual manera, se logra identificar la ventaja competitiva de este modelo de negocio, que es el valor de marca del BCP. El planeamiento estratégico de la presente tesis tiene como eje principal en determinar la viabilidad de la continuidad del Agente BCP en el periodo 2014-2017. Las estrategias planteadas permitirán la expansión y crecimiento de la red de Agentes BCP a nivel nacional, manteniendo su liderazgo, conservando el posicionamiento de marca alcanzado y fortaleciendo su propuesta de valor. Por consiguiente, este plan estratégico plantea desarrollar las estrategias genéricas de penetración de mercado y desarrollo de producto con la finalidad de conservar la posición dominante en el marcado, en el cual los servicios bancarios brindados por el Agente BCP funcionen en una plataforma confiable, innovadora y ágil, de utilidad para todos sus clientes

Fostering a Culture of Innovation: A Case Study of Elementary School Principals in Costa Rica

To help promote a culture of innovation, the Ministry of Education andthe Ministry of Science, Technology, and Telecommunication of Costa Rica estab-lished a national executive decree requiring all public schools in the country partic-ipate in the National Program of Science and Technology Fairs (NPSTF). This casestudy examines the role of five elementary school principals in Costa Rica in implementing and preparing their schools for the NPSTF initiative. Principals played threesignificant roles: the motivator of teachers and students; acquirer of NPSTF resources;and the organizer of NPSTF committees and coalitions to help train and finance theinitiative. It is recommended the Ministry of Education establish a budget solely ded-icated to support infrastructure and professional development for NPSTF while aligning goals with all stakeholders

Prevalencia de calcificaciones de la arteria carótida de pacientes mayores de 40 años en radiografías panorámicas digitales del Centro Radiológico de la Clínica Estomatológica de la Universidad Privada Antenor Orrego. Trujillo, 2014-2015

Objetivo: Determinar la prevalencia de calcificaciones de la arteria carótida de pacientes mayores de 40 años en radiografías panorámicas digitales del centro de radiológico de la Clínica Estomatológica de la Universidad Privada Antenor Orrego. Trujillo, 2014-2015. Pacientes y métodos: El estudio descriptivo incluyó un total de 100 radiografías panorámicas digitales de pacientes mayores de 40 años del centro de radiológico de la Clínica Estomatológica de la Universidad Privada Antenor Orrego, las cuales fueron utilizadas para determinar la prevalencia de calcificaciones de la arteria carótida. Resultados: La prevalencia de calcificaciones de la arteria carótida es de 11%. Los pacientes del sexo masculino presentan prevalencia del 12.5%, el mayor número de calcificaciones se encuentra entre 80-89 años con una prevalencia de 16.7% y se encontró una igualdad de calcificaciones de la arteria carótida en el lado izquierdo y bilateral con una prevalencia de 4%. Conclusión: Los resultados permiten concluir que la prevalencia de calcificaciones de la arteria carótida es de 11%, con una prevalencia del 12.5% para el sexo masculino y 10.3% para el femenino. Con respecto a la edad se encontró calcificaciones de la arteria carótida en los rangos de 40-49 años con una prevalencia del 12.5%, de 50-59 años 7.9%, de 60-69 años 14.3%, de 70-79 de 9.1% y de 80-89 años 16.7%. Según localización, 4% de las calcificaciones se ubicaron en el lado izquierdo y bilateral a la vez y el 3% en el lado derecho.Objective: To determine the prevalence of calcifications of the carotid artery of patients older than 40 years in digital panoramic radiographs of the radiological center of the Stomatology Clinic of the Antenor Orrego Private University. Trujillo, 2014-2015. Patients and methods: The descriptive study included a total of 100 digital panoramic radiographs of patients older than 40 years of age from the radiological center of the Stomatology Clinic of the Antenor Orrego Private University, which were used to determine the prevalence of calcifications of the carotid artery. Results: The prevalence of calcifications of the carotid artery is 11%. Male patients presented a prevalence of 12.5%, the greatest number of calcifications was found between 80-89 years with a prevalence of 16.7%, and an equality of calcifications of the carotid artery on the left and bilateral side was found with a prevalence of 4%. Conclusion: The results allow concluding that the prevalence of calcifications of the carotid artery is 11%, with a prevalence of 12.5% for males and 10.3% for females. Regarding age, calcifications of the carotid artery were found in the 40-49 age range with a prevalence of 12.5%, 50-59 years 7.9%, 60-69 years 14.3%, 70-79 of 9.1% and from 80-89 years 16.7%. According to location, 4% of the calcifications were located on the left side and bilateral at the same time and 3% on the right side.Tesi

CULTURA PADRÃO DE SEGREGAÇÃO HUMANA? CULTURA PADRÃO DE EDUCAÇÃO-HUMANIZAÇÃO?

Otexto se propõe a entender como os campos da cultura e da educação-humanização se reforçam na história. Também tem sido campos de tensões políticas e pedagógicas. Na primeira parte do trabalho nos interrogamos sobre como a cultura tem sido colocada à serviço do padrão político de segregação humana. Tensões políticas entre cultura nacional e cultura-educação popular. Mitos culturais fundantes legitimantes das segregações étnicas, raciais e do padrão de humanos in-humanos. Na segunda parte nos interrogamos sobre a cultura como padrão de educação, de libertação. Paulo Freire critica a invasão cultural como dominação política mas, sobretudo destaca as resistências culturais como matrizes de emancipação, humanização. A cultura sintetiza as tensões políticas. Síntese cultural

Dolor músculo-esquelético en pacientes con enfermedad renal crónica

ResumenIntroducciónEl dolor músculo-esquelético crónico (DMEC) es un síntoma muy frecuente en pacientes con enfermedad renal crónica (ERC), y contribuye de forma importante al deterioro de la calidad de vida.ObjetivosDeterminar la prevalencia y características clínicas asociadas al DMEC en pacientes con ERC avanzada no en diálisis, analizar su relación con otros síntomas urémicos y su significado pronóstico.Material y métodosEstudio transversal en el que se analizó la sintomatología urémica de pacientes no seleccionados remitidos por ERC estadio 4 y 5 prediálisis. Para caracterizar aquellos que presentaban DMEC, además de los datos demográficos, antropométricos, la comorbilidad y la función renal, también se recogieron parámetros de inflamación, ácido úrico, metabolismo óseo-mineral incluyendo 25-hidroxi-colecalciferol (25-OHCC), creatincinasa, y fármacos de potencial interés como alopurinol, estatinas y agentes estimulantes de eritropoyetina.ResultadosSe incluyó a 1.169 pacientes con edad media de 65±15 años; el 54% eran hombres. Un 38% de los pacientes refería DMEC, y este síntoma fue más frecuente en mujeres que en hombres (49 vs. 28%; p<0,0001). La debilidad muscular, prurito, calambres, equimosis, insomnio, edemas y disnea fueron los síntomas más frecuentemente asociados al DMEC. No se observaron asociaciones significativas entre niveles de creatincinasa, 25-OHCC, tratamiento con alopurinol, estatinas o agentes estimulantes de eritropoyetina con DMEC. Los mejores determinantes de DMEC fueron: mujer, mayor, obesa, con comorbilidad (sobre todo diabetes, insuficiencia cardiaca o EPOC), y marcadores de inflamación elevados (proteínaC reactiva y leucocitos no neutrófilos).Aunque los pacientes con DMEC tenían una peor supervivencia, un análisis multivariante con ajuste simple a datos demográficos descartó que el DMEC fuera un determinante independiente de la mortalidad.ConclusionesEl DMEC es muy prevalente en pacientes con ERC avanzada, y se asocia con otros síntomas comunes de la uremia crónica. Al igual que en la población general, características como sexo femenino, edad avanzada, obesidad y comorbilidad están más frecuentemente asociados al DMEC. La elevación de los marcadores de inflamación asociada al DMEC podría ser un hallazgo relevante para explicar su patogenia.AbstractIntroductionChronic musculoskeletal pain (CMP) is a very common symptom in patients with chronic kidney disease (CKD), and is associated with a significant deterioration in quality of life.AimsTo determine the prevalence and clinical characteristics associated with CMP in patients with advanced CKD not on dialysis, and to analyse their relation with other uraemic symptoms and their prognosis significance.Material and methodsCross-sectional study to analyse the uraemic symptoms of an unselected cohort of patients with CKD stage 4-5 pre-dialysis. In order to characterise patients with CMP, demographic and anthropometric data were collected, as well as data on comorbidities and kidney function. In addition, inflammatory parameters, uric parameters, bone mineral metabolism including 25-hydroxycholecalciferol (25-OHCC), creatine kinase and drugs of potential interest including allopurinol, statins and erythropoiesis-stimulating agents were recorded.ResultsThe study group consisted of 1169 patients (mean age 65±15 years, 54% male). A total of 38% of patients complained of CMP, and this symptom was more prevalent in women than in men (49 vs. 28%; P<.0001). Muscle weakness, pruritus, muscle cramps, ecchymosis, insomnia, oedema and dyspnoea were the most common symptoms associated with CMP. There were no significant associations between serum levels of creatine kinase, 25-OHCC, treatment with allopurinol, statins or erythropoiesis-stimulating agents and CMP. The female gender, elderly age, obesity, comorbidity (mainly diabetes, heart failure or COPD), and elevated levels of inflammatory markers (C-reactive protein and non-neutrophilic leukocytes) were the best determinants of CMP.While patients with CMP showed a worse survival rate, a multivariate analysis adjusted for demographic data ruled out the independent association of CMP with mortality.ConclusionsCMP is highly prevalent in patients with advanced CKD and is associated with other common symptoms of chronic uraemia. As with the general population, elderly age, the female gender, obesity and some comorbid conditions are the best determinants of CMP. Increased inflammatory markers commonly observed in patients with CMP may have a relevant role in its pathogenesis

Paulo Freire: Um outro paradigma de humano e de infância

A Nestas análises, indaga-se: as Outras Infâncias Oprimidas, resistentes às desumanizações como realidade histórica, afirmando-se humanas, não desconstroem o paradigma único hegemônico de humano e de infância? A história da infância não é outra quando são reconhecidas as outras infâncias oprimidas como sujeitos de história? A história da educação, da pedagogia não é obrigada a se redefinir quando outras infâncias oprimidas se afirmam sujeitos de outras pedagogias de oprimidos? São essas as interrogações das infâncias oprimidas que instigam Giorgio Agambem, no seu livro Infância e História; Philippe Ariès, em História Social da Criança e da Família; Del Priore, em História da Criança no Brasil. São também interrogações das outras infâncias oprimidas que instigam Paulo Freire, sobretudo, na Pedagogia do Oprimido. Indagações essas, postas pelas infâncias oprimidas para as políticas educativas, para as teorias pedagógicas e para a invenção das identidades docentes educadoras

Genetic and Structural Implications of Bacteriophage P1 Assembly and Infection

Coliphage P1 has been involved in major advances of molecular and microbiological tools. Nonetheless, modern molecular and microscopy applications have not been applied to further understand bacteriophage P1. Structural work to understand the P1 virion was conducted in the 1980’s but has not been pursued since then. Furthermore, while the defense against restriction system of P1 has been observed to be packaged into the P1 virion in the stepwise manner, little is known about the genetic underpinnings of the anti-restriction system. In this work, mass-spectrometry was used to better understand P1 structural proteins. A combination of mass-spectrometry and bioinformatics suggested an appropriate role for P1 proteins identified by mass-spectrometry. I also report on the effects genetic manipulation have on the defense against restriction system, and to identify key motifs that are responsible for the anti-restriction activity. In addition, I report on the capsid localization signal of a key anti-restriction enzyme and demonstrate the capsid localization signal is sufficient to package mCherry into the P1 capsid. Finally, I report on a novel prong protein located on the P1 central spike. This prong protein is encoded by upfB and the lack of the prongs from the P1 virion result in an observable difference in infection of V. cholerae and particular Enterobacteriaceae. This work provides a foundation for the P1 structural identity as well as a basis to explore the defense against restriction system in further detail. Additionally, the identification of the P1 prong and its open reading frame can be used to identify homologous genes in other bacteriophage backgrounds

Sex Difference in Cardiorespiratory Stress from High-Intensity Interval Exercise

High-intensity interval exercise is time efficient and has similar cardiorespiratory health benefits as moderate-intensity continuous exercise. However, the prescription of high-intensity exercise may differ between men and women due to sex differences in cardiovascular function. PURPOSE: Therefore, the objective of this study was to examine whether sex differences exist for absolute and relative oxygen uptake (VO2) and heart rate (HR) when exercise was performed at a percentage of maximal cycling work rate measured in watts (Wmax). METHODS: We recruited 8 active college-aged participants (5 men, 3 women). Participants completed an incremental maximal exercise test on a cycle ergometer while VO2, HR, and Wmax were recorded. On a separate day, participants completed a high intensity interval session (4 min bouts with 3 min active recovery) prescribed at 65%Wmax for each bout and at 15%Wmax for the recovery. VO2, HR, and W were averaged from the last minute of each exercise bout for analysis using an independent t-test for sex comparisons. Data are reported in means ± standard deviations and significance was set at PRESULTS: Men exercised at a greater absolute workload than women during interval exercise (191±14 vs. 95±15 W; P2 was higher in men than women during exercise (2.7±0.4 vs. 1.5±0.3 L/min; PP=0.23). Relative VO2 (67±11 vs. 74±6 %VO2max; P=0.15) and HR (95±3 vs. 93±3 %HRmax; P=0.30) were also similar during exercise between sexes. CONCLUSION: In summary, these preliminary data suggest prescribing high-intensity interval exercise at a percentage of maximal work rate results in similar relative cardiorespiratory stress between men and women

Digital Architecture for a Trace Gas Sensor Platform

A digital architecture has been implemented for a trace gas sensor platform, as a companion to standard analog control electronics, which accommodates optical absorption whose fractional absorbance equivalent would result in excess error if assumed to be linear. In cases where the absorption (1-transmission) is not equivalent to the fractional absorbance within a few percent error, it is necessary to accommodate the actual measured absorption while reporting the measured concentration of a target analyte with reasonable accuracy. This requires incorporation of programmable intelligence into the sensor platform so that flexible interpretation of the acquired data may be accomplished. Several different digital component architectures were tested and implemented. Commercial off-the-shelf digital electronics including data acquisition cards (DAQs), complex programmable logic devices (CPLDs), field-programmable gate arrays (FPGAs), and microcontrollers have been used to achieve the desired outcome. The most completely integrated architecture achieved during the project used the CPLD along with a microcontroller. The CPLD provides the initial digital demodulation of the raw sensor signal, and then communicates over a parallel communications interface with a microcontroller. The microcontroller analyzes the digital signal from the CPLD, and applies a non-linear correction obtained through extensive data analysis at the various relevant EVA operating pressures. The microcontroller then presents the quantitatively accurate carbon dioxide partial pressure regardless of optical density. This technique could extend the linear dynamic range of typical absorption spectrometers, particularly those whose low end noise equivalent absorbance is below one-part-in-100,000. In the EVA application, it allows introduction of a path-length-enhancing architecture whose optical interference effects are well understood and quantified without sacrificing the dynamic range that allows quantitative detection at the higher carbon dioxide partial pressures. The digital components are compact and allow reasonably complete integration with separately developed analog control electronics without sacrificing size, mass, or power draw

Las competencias gerenciales y la gestión organizacional en la Municipalidad Distrital de San Martin de Porres 2018

La presente investigación tiene como objetivo general determinar la relación entre las competencias gerenciales y la gestión organizacional Municipalidad San Martin de Porres, año 2018. La metodología aplicada en la investigación responde al enfoque cuantitativo, proceso deductivo, tipo básico, alcances descriptivos correlaciónales porque explican la relación entre variables. La muestra estuvo conformada por 132 trabajadores. Se utilizó un cuestionario con 42 preguntas. La confiabilidad aprobó con 0.915 en competencias gerenciales y 0.924 en gestión organizacional mediante el coeficiente de Crombach, considerado como de Alta confiabilidad. El resultado del análisis descriptivo comprobó que perciben un nivel regular predominante 43.9%, el nivel bueno 25.0% y nivel bajo el 31.1% en la competencias gerenciales. En la gestión organizacional el preponderante es el nivel poco eficiente 39.4, nivel eficiente 27.3%, el nivel deficiente 33.3%. El estadístico inferencial mediante Rho Spearman evidencio un coeficiente de relación positiva considerable y significativa cuyo valor fue (r= 0,848 y P= 0,000) directamente proporcional entre la competencias gerenciales y la gestión organizacional, así mismo el (Sig. = 0,000< 0,05) la decisión opugnar la hipótesis nula y aprobar la hipótesis general. Esta investigación deriva en gran medida de la inquietud por conocer y proponer alternativas de mejora para los que dirigen en organizaciones municipales, para ello se emplea el uso de competencias gerenciales