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BACKGROUND: These clinical standards aim to provide guidance for diagnosis, treatment, and management of drug-susceptible TB in children and adolescents. METHODS: Fifty-two global experts in paediatric TB participated in a Delphi consensus process. After eight rounds of revisions, 51/52 (98%) participants endorsed the final document. RESULTS: Eight standards were identified: Standard 1, Age and developmental stage are critical considerations in the assessment and management of TB; Standard 2, Children and adolescents with symptoms and signs of TB disease should undergo prompt evaluation, and diagnosis and treatment initiation should not depend on microbiological confirmation; Standard 3, Treatment initiation is particularly urgent in children and adolescents with presumptive TB meningitis and disseminated (miliary) TB; Standard 4, Children and adolescents should be treated with an approp...
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Publicado 2011
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Conventional data envelopment analysis (DEA) for measuring the relative efficiency of a set of decision-making units (DMUs) requires the observations to have precise values. When observations are imprecise and represented by interval values, the efficiencies are also expected to reflect interval values. Several methods exist to calculate the interval overall and technical efficiencies, but such methods are unable to calculate the interval scale efficiency. The focus of this paper is the application of a two-level programming technique to formulate the problem of determining the bounds of the interval scale efficiency. The associated models are essentially nonlinear programs with only bound constraints for variables in a sophisticated form. Hence, one can modify the conventional quasi-Newton method for unconstrained nonlinear programming problems to solve the two-level programs. Two examp...
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Publicado 2024
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Adolescents account for an estimated 800,000 incident tuberculosis (TB) cases annually and are at risk for suboptimal adherence to TB treatment. Most studies of adolescent TB treatment adherence have used surveillance data with limited psychosocial information. This prospective cohort study aimed to identify risk factors for suboptimal adherence to rifampicin-susceptible TB treatment among adolescents (10-19 years old) in Lima, Peru. We collected psychosocial data using self-administered surveys and clinical data via medical record abstraction. Applying k-means cluster analysis, we grouped participants by psychosocial characteristics hypothesized to impact adherence. Then, we conducted mixed effects regression to compare suboptimal adherence-defined as <90% (missing >10% of doses)-between clusters. Treatment setting (facility vs. home) and drug formulation (single drug vs. fixed dose com...
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El presente informe de relevancia jurídica analizará los fundamentos, desarrollados por la Sala Especializada de Protección al Consumidor de INDECOPI, respecto de la reprogramación unilateral de créditos por entidades financieras en el marco de la normativa sectorial emitida por la Superintendencia de Banca, Seguros y AFP durante el contexto del estado de emergencia causado por la pandemia del COVID-19. De tal manera, se abordarán los conceptos de métodos comerciales coercitivos, deber de idoneidad, deber de información, así como el marco regulatorio para la modificaciones contractuales unilaterales por parte de entidades del sistema financiero. Ello, en el marco de lo analizado por la Sala y los puntos, donde a consideración del presente informe, debió haberse dado también un enfoque analítico. Posteriormente, se procederá analizar los requisitos para declarar procedente u...
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The global reach of certain events provides Communication Sciences researchers the unparalleled opportunity to think about the ethical role in generating, disseminating and feedback messages, in both traditional Media and social networks. Euphoria and enthusiasm are elements that surround this type of events and it is communicator responsibility to offer rigorous content that provides data and useful information to the audience, beyond “colorful”, superficial and easily forgettable reports. Being exhaustive and responsible does not necessarily mean being “boring” or turning away from the emotionality experienced in social context. Working with news components, communicator has the task of being consistent with their professional values, developing messages that contribute to the productive debate of issues, without exploiting prejudiced or stereotyped aspects, which only entangle...
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This paper details thematic, as well as style and graphic language in Público newspaper's covers (October 2007 - June 2008). We assume that poster design in Público covers, during the cited period, exploited many visual resources (familiar with publications aimed to young readers and users of portable technologies and multimedia) and helped to canalize a systematic critic to “conservative” political sectors in Spain, underlining the “progressive” nature of this newspaper.
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One of the key factors in the maturation of modern Journalism, during the 20th century, has been the evolution of Journalism Genres, especially in the Press. Their domain allowed the appropriately diffusion of data, opinions and analysis into informative, opinion and interpretative texts that respected different styles, but also complementary, if one takesVinto account the overall content of a publication. Within Latin American Journalism, this intention has resulted in tripartite classifications. Currently, the Press interrelates with the new communication platforms (contained in the changing spectrum of Digital Journalism) that constantly used multimedia Internet resources, the immediacy of virtual social networks and the Microblogging. Within this scenario, Journalism Genders take a new importance in Print Media (newspapers, supplements, journalistic magazines, among others), setting ...
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tesis de grado
El presente informe de relevancia jurídica analizará los fundamentos, desarrollados por la Sala Especializada de Protección al Consumidor de INDECOPI, respecto de la reprogramación unilateral de créditos por entidades financieras en el marco de la normativa sectorial emitida por la Superintendencia de Banca, Seguros y AFP durante el contexto del estado de emergencia causado por la pandemia del COVID-19. De tal manera, se abordarán los conceptos de métodos comerciales coercitivos, deber de idoneidad, deber de información, así como el marco regulatorio para la modificaciones contractuales unilaterales por parte de entidades del sistema financiero. Ello, en el marco de lo analizado por la Sala y los puntos, donde a consideración del presente informe, debió haberse dado también un enfoque analítico. Posteriormente, se procederá analizar los requisitos para declarar procedente u...
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Esta investigación se enfoca en el planeamiento estratégico basado en las pequeñas empresas para su crecimiento cuyo objetivo es tomar conocimiento de los avances a la fecha. Muchas de las empresas en Perú nacen a partir del emprendimiento y se basan en su experiencia, pero a medida que pasa el tiempo unas prosperan más que otras, por lo que deciden cambiar el rumbo estratégico de ellas y buscan asesoría profesional de un estratega para materializarla. Esto, implica que vean en esta herramienta un factor importante para el éxito. Los métodos recurridos han sido de observación, el analítico y el descriptivo en los cuales se recopiló, revisó, analizó y organizó la información referente al instrumento de gestión para utilizarlos como apoyo para fortalecer los conocimientos previos; para producir el actual trabajo se tomó como unidad de análisis 10 artículos científicos,...
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Publicado 2020
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Health sector organizations face problems of interrelation, stress and lack of motivation of the personnel, derived from the complexity of their tasks, structure, processes, and internal culture, which are the result of a disarticulated and disorganized national health system. To face these problems, talent management has become an element that generates value to create and promote new projects, create a good work environment, boost services, and generate customer satisfaction and loyalty, and commitment from the employees. Coaching has become a useful tool to establish a favorable work environment for the productive performance of employees. In this sense, the purpose of the study is to understand how coaching is implemented in an administrative staff in a Peruvian clinic. The aspects that contributed the most to an effective implementation were the style of the program, the connection ...
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Introducción: La memoria es la información almacenada en las neuronas la cual puede ser recuperada en el futuro para ser utilizada en condiciones adaptativas. La auto-percepción de la pérdida de la memoria misma puede ser un indicador útil para el tamizaje de deterioro cognitivo. Sin embargo, existen pocos estudios sobre auto-percepción de pérdida de la memoria y sus factores asociados. Objetivo: Evaluar si existe asociación entre bajos niveles de actividad física y la presencia de auto-percepción de pérdida de memoria. Métodos: Se realizó un estudio transversal mediante el análisis de datos secundarios del estudio titulado “Lanzamiento de un sustituto de la sal para reducir la presión arterial a nivel poblacional en Perú” donde se reclutó participantes de seis villas del departamento de Tumbes entre Abril y Julio del 2014. En el presente estudio, la variable resulta...
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tesis de grado
Publicado 2018
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Hereby, we study the Fast Retailing group, belonging to the fast fashion textile industry, located in the third place worldwide, after Zara (Inditex) and H&M. Among the diverse brands that compose this industry, we find UNIQLO, GU, PTT, CDC, among others; however, none of them has entered the Peruvian market yet, that is why through the research carried out at a macro and micro level, we propose an adequate strategy to enter this market. Fast Retailing with its most representative brand, UNIQLO, should enter the country through a wholly owned subsidiary, thus exercising control over all processes, ensuring its efficiency and the high quality in their garments. If this strategy is applied, it would be widely accepted by consumers, because it offers high quality and durability in their garments based on the use of technologies and at affordable prices. Likewise, it is recommended that Fast...