Objective: Present different flap alternatives when performing microvascular free-flap reconstruction in acute hard-to-heal wounds. Method: A retrospective review of patients whose acute hard-to-heal wounds were treated with microvascular free-flap reconstruction. Data on demographics, wound aetiology, diagnostic, previous treatment, free-flap type, free-flap size, complications and follow up were analysed. Results: A total of 20 patients received microvascular free-flap reconstruction. The median age was 39.5 years. Twenty free-flap reconstructions were performed. These included: 3 cross-leg free flap, 1 cross-leg vascular cable bridge flap, 2 fibula osteocutaneous flap, 6 anterolateral thigh (ALT) flap, 3 thoracodorsal artery perforator (TDAP) flap, 3 fasciomyocutaneous flap, and 2 femoral artery fasciocutaneous flap. A patient required microvascular anastomosis due to hematoma; the rest did not present complications during their postoperative. Previous treatment included negative pressure wound therapy (12 patients) and surgical debridement with silver hydrogel dressings (8 patients). Conclusion: Hard-to-heal wounds can be unresponsive to traditional wound healing practices or local flaps. They often require free-flap reconstruction, using tissues similar to those compromised. Microvascular techniques can be an effective alternative. CONFLICT OF INTEREST None.

This research project modeled and simulated a ventilation system at a Mining Concession, obtaining real-time information regarding the fans used to ventilate the mine. The simulation was developed using the VENTSIM 5 software, which also helped define the number of fans and the operating parameters required, field information, mine dimensions, the mining method, production, geothermal gradient, gas emission, air stream, and air pressure. In addition, the results from software operation revealed the need to open chimneys and use fans. Furthermore, the results also suggest that a specialist dedicated to ventilation and fan maintenance must be hired to formalize mining operations as per the Occupational Safety and Health Mining Regulations from Executive Action No. 024-2016-EM as this Mining Concession is currently operating without license.

This research document on technological development is aimed at workers in small companies, those that are developing well and soon to emerge as companies that will be positioned at the top of their labor sector. Starting from the problem at present with respect to the bad manipulation of loads it is arranged to solve the problem with established objectives to try to correct the corporal posture at the time of lifting an object with a machine that replaces the functions of the worker. The design and the solution was made based on the requirements of the worker, workers who have the need to load objects at a certain height, here the man-machine relationship, demands and desires that help to achieve the general objective are analyzed. In addition, it has the main function of this machine: To lift heavy objects of up to 150 kg of mass, this due to the implementation of a hydraulic piston in the lifting platform. The appropriate solution is an adaptation of a platform in the form of a truck forming an angle of 47.17 between the structure of the truck and the horizontal surface, this position is the most adequate so that the back does not suffer injuries during the handling of loads at work. The results give assurance that it is a machine of reliability and easy handling since it only requires an operator to control the objects and a flat position on the back without damaging the spine.

In the Peruvian market there is a great demand for the improvement of the service and quality of the products, that is why many SMEs look for low-cost alternatives that allow them to optimize their activities and thus be able to assure the quality of the service. The problem is that there are many difficulties when implementing tools or techniques due to high costs or lack of knowledge, therefore a productivity model is proposed focused on six sigma and lean manufacturing methodologies in order to adapt the needs of SMEs with 4 phases can analyze, design, implement and monitor requirements in order to reduce mismanagement of service quality, cost savings and decrease product returns.