La globalización ha ido transformando los entornos laborales, promoviendo la interacción entre distintas culturas y sistemas de valores. En este contexto, las organizaciones enfrentan el reto de gestionar de manera eficaz las diferentes culturas para así fortalecer su desempeño a nivel global. Este artículo tiene como propósito principal identificar y examinar las estrategias más eficaces para enfrentar estas diferencias, mediante una revisión sistemática de literatura basada en los lineamientos PRISMA 2020. Para ello se seleccionaron 24 estudios académicos relevantes, publicados entre los años 2014 y 2024, los cuales fueron extraídos de bases de datos como Scopus, Web of Science, Science Direct y EBSCO. Los hallazgos revelan que cuando se implementan correctamente, las estrategias identificadas favorecen no solo la convivencia entre trabajadores de distintas culturas, sino que también promueven la innovación, la productividad y el compromiso organizacional. Entre estas estrategias más destacadas se encuentran la capacidad intercultural, el liderazgo inclusivo, la comunicación adaptativa y la incorporación de la diversidad en las políticas corporativas. Casos de éxito en empresas como Google, Siemens, Unilever y Sony evidencian la aplicabilidad real de estas prácticas. Se concluye que una diversidad cultural bien gestionada puede convertirse en un recurso valioso que impulse el crecimiento, la sostenibilidad y la ventaja competitiva para las empresas internacionales.

Dengue remains a major public health challenge in Peru, where recurrent outbreaks show marked variation in clinical presentation. This systematic review and meta-analysis synthesized available evidence to quantify the frequency and variability of dengue manifestations in Peruvian patients and to identify clinically relevant patterns for early recognition. We systematically searched PubMed, Scopus, Embase, Web of Science, ScienceDirect, Google Scholar, Virtual Health Library, and Scielo for observational studies published between 1993 and January 2025. Two reviewers independently selected studies, extracted data, and assessed methodological quality. Pooled prevalence estimates with 95% confidence intervals (CIs) were calculated using random-effects models. Twenty-eight studies including 4418 patients were analyzed. The most frequent manifestations were fever (95%; 95% CI: 90–98%), headache (86%; 95% CI: 80–91%), malaise (82%; 95% CI: 71–91%), myalgia (69%; 95% CI: 58–79%), arthralgia (64%; 95% CI: 56–73%), and retro-orbital pain (56%; 95% CI: 47–66%). Gastrointestinal symptoms were also common, including nausea/vomiting (40%; 95% CI: 33–48%) and abdominal pain (33%; 95% CI: 21–45%), whereas hemorrhagic and severe manifestations were less frequent, such as hematemesis (6%; 95% CI: 2–10%), petechiae (6%; 95% CI: 2–10%), jaundice (3%; 95% CI: 1–7%), and melena (1%; 95% CI: 0–6%). Heterogeneity was high across most outcomes (I² generally >90%), suggesting substantial between-study variability. This heterogeneity is likely related to differences in geographic region, outbreak period, circulating serotypes, diagnostic methods, and case severity definitions across studies. These findings highlight a consistent core symptom profile of dengue in Peru while also demonstrating important clinical variability. This information may support earlier clinical suspicion, triage, and surveillance in endemic settings. However, pooled estimates should be interpreted cautiously given the high heterogeneity, moderate methodological rigor of included studies, and lack of individual-level data. Future analyses stratified by region, study period, and diagnostic method are needed to generate more clinically precise estimates.

Introduction: Academic procrastination is a common self-regulatory difficulty in higher education and may be related to how strongly students engage with academic work. This study examined the association between academic procrastination and academic engagement among dental students at a Peruvian university. Methods: We conducted a cross-sectional analytical study using 426 complete records from the Lima, Chiclayo, and Arequipa campuses of Universidad de San Martín de Porres. Academic procrastination was represented by a 12-item PASS-derived score, and academic engagement by the 17-item UWES-Student total score and its vigor, dedication, and absorption dimensions. Internal consistency was estimated with Cronbach’s alpha, and associations were evaluated using Spearman’s rho with 95% bootstrap confidence intervals. Results: Cronbach’s alpha was 0.954 for the procrastination score, 0.962 for total engagement, 0.912 for vigor, 0.883 for dedication, and 0.912 for absorption. Higher procrastination was moderately associated with lower total engagement (rho = −0.424, 95% CI -0.503 to −0.341; p < 0.001) and lower vigor (rho = −0.425, 95% CI -0.503 to −0.341; p < 0.001). Inverse associations were also observed for dedication (rho = −0.397, 95% CI -0.475 to −0.309; p < 0.001) and absorption (rho = −0.385, 95% CI -0.464 to −0.298; p < 0.001). Conclusion: Greater academic procrastination was consistently associated with lower academic engagement in this multicampus sample. Because the study was cross-sectional and based on self-report, the findings do not establish causality or demonstrate that any form of procrastination is adaptive.