We present the results of an up-to-date review on climacteric, menopause, post menopause, epidemiology, pathophysiology and clinical presentation concepts. It is necessary to consider these aspects in order to adequately treat hypoestrogenism characterizing this group of patients.

In order to determine the incidence, causes and risk factors associated to fetal death, trying to establish what the change would be in the study population if a factor is neutralized, a prospective study of the cohort type was held in the National Hospital Cayetano Heredia, based on the analysis of perinatal data computer system of all births in the years 1992 - 1993. 192 stillbirths found a total of 8309 births, fetal death rate of 23.1 per 1000 born. The causes of death are infection (28%), hemorrhage (20%) and toxemia (14%). Risk factors of fetal death are: kill-multiparity (RR 2.3), induced labor (RR = 3.5), CPN (RR = 4), breech presentation (RR = 5.1), maternal diseases (RR = 5.5), preterm delivery (RR = 17). Maternal disease, the most important were: bleeding in the second quarter (RR = 19), preterm delivery (RR = 10.6), HTT (RR = 8.5), other infections (RR = 5.8) , eclampsia (RR ...

Prospective longitudinal cohort type study done at the obstetrical service of Cayetano Heredia National Hospital, 1992 to December 1994 to determine the caracteristics and risks of deliveries in adolescents. Reviewing the informatic system data bank, we determined that 15% of deliveries attended were in adolescents; 52% lacked prenatal complications, especially premature rupture and preeclampsia. Abdominal delivery occurred between 14 and 24 %, especially due to cephalopelvic disproportion, breech presentation and preeclampsia. Height in less than 16 years girls was smaller than in the other groups (p<0,05). Risks for early adolescents were unstable union, nulliparity, preeclampsia, cephalopelvic disproportion, low birtweight and prematurity. For late adolescents, unstable union, nulliparity, preeclampsia and cephalopelvic disproportion.

OBJECTIVES: To determine the factors of maternal and fetal risks that are associated with premature birth. Material and Methods: A retrospective, comparative, case-control, based on medical records and interviews of patients whose births were attended at the Cayetano Heredia National Hospital between January 1 and March 31, 2003. Study was included all cases (106 premature) and controls (term 1325) that occurred in the study period. In the statistical evaluation the multivariate analysis (logistic regression) was used; thus the odds ratio (ratio of products) and the confidence interval for each variable was determined. The significance level used was 95% (p <0.05]. RESULTS: maternal risk factors were age <20 years, history of prematurity, inadequate prenatal care, urinary tract infection, premature rupture of membranes, and preeclampsia-eclampsia antepartum haemorrhage and fetal risk fac...

OBJECTIVES: To determine the factors of maternal and fetal risks that are associated with premature birth. Material and Methods: A retrospective, comparative, case-control, based on medical records and interviews of patients whose births were attended at the Cayetano Heredia National Hospital between January 1 and March 31, 2003. Study was included all cases (106 premature) and controls (term 1325) that occurred in the study period. In the statistical evaluation the multivariate analysis (logistic regression) was used; thus the odds ratio (ratio of products) and the confidence interval for each variable was determined. The significance level used was 95% (p <0.05]. RESULTS: maternal risk factors were age <20 years, history of prematurity, inadequate prenatal care, urinary tract infection, premature rupture of membranes, and preeclampsia-eclampsia antepartum haemorrhage and fetal ri...

We present the results of an up-to-date review on climacteric, menopause, post menopause, epidemiology, pathophysiology and clinical presentation concepts. It is necessary to consider these aspects in order to adequately treat hypoestrogenism characterizing this group of patients.

Los factores que condicionan la viabilidad de los consultorios de enfermería, son aquellas condiciones positivas que favorecen al enfermero a crear, desarrollar, y sostener un consultorio de forma privada, amparado en la ley del trabajo privado del enfermero. Dichos factores se dimensionan en Políticos – legales, sociales, económicos, tecnológicos y humanos. El objetivo de la investigación es determinar los factores que condicionan la viabilidad de los consultorios de enfermería en Lima 2020. La metodología, tipo aplicativo, de enfoque cuantitativo, de alcance descriptivo. La población es de 30 enfermeros de distintos hospitales y centros da salud a quienes se le aplico la encuesta Factores que condicionan la viabilidad de los consultorios de enfermería. Como resultado obtenido los factores políticos legales (100% de los encuestados que son Licenciados en enfermería, 93,33% ...

El presente trabajo académico denominado Informe de Monitoreo, Acompañamiento y Evaluación (MAE) para mejorar la práctica docente en la competencia actúa y piensa matemáticamente del Área de Matemática del VI ciclo de Educación secundaria de la Institución Educativa N° 81017 – “Santa Edelmira” del distrito de Víctor Larco - UGEL 03 Trujillo Nor Oeste– La Libertad, corresponde al producto final del proceso de formación sobre buenas prácticas y plan de acción del Diplomado en Gestión Escolar y Segunda Especialidad en Gestión Escolar con Liderazgo Pedagógico, Item 04 – La Libertad. El trabajo académico ha sido realizado porque expresa la finalidad de la Segunda Especialidad en Gestión Escolar con Liderazgo Pedagógico que es la de fortalecer competencias y desempeños de los directivos de IE públicas para incrementar su idoneidad y capacidad para evaluar y dar...

Esta investigación formuló como propósito principal determinar de qué manera el coaching empresarial influye en el compromiso organizacional de los trabajadores de la Municipalidad Provincial de Huaura, 2023. Se elaboró un estudio de enfoque cuantitativo, de diseño no experimental transeccional y de nivel correlacional, para el cual se diseñó un cuestionario, que expuso una fiabilidad de 0.945 y que fue administrado a 130 trabajadores administrativos, de los 190 pertenecientes a las áreas administrativas de la entidad. Con una Sig. por debajo al 0.05, se presentó una correlación moderada de un valor r = 0.680 que permitió corroborar y aprobar que el coaching empresarial influye en el compromiso organizacional de los trabajadores de la Municipalidad Provincial de Huaura, 2023. En virtud de ello, se sintetiza que a medida que se gestionen y practiquen las herramientas del coach...

Matrices, determinantes y sistemas de ecuaciones lineales tiene como objetivo fundamental que los conceptos de estos tres grandes temas puedan ser aplicados y desarrollados en los diferentes procedimientos de cálculo. En lo que fue posible se incluyeron las nociones básicas, como los procedimientos de cálculo, los que deben quedar siempre en la mente de los alumnos para futuras aplicaciones en diferentes campos de acción, como la ingeniería, economía, administración, contabilidad, psicología y otros.

La intención al publicar esta colección de Ejercicios y problemas de Matemática Básica II es contribuir con la preparación de cientos de estudiantes universitarios, ávidos de encontrar ejercicios y problemas planteados en aÑos anteriores. Los alumnos siempre buscan conocer qué se propuso como tema de la práctica ó examen en años pasados, y muchas veces los que ya aprobaron les afirman que fue fácil. En verdad es fácil cuando se estudia, y para ello buscan, muchas veces sin resultado, los temas que se propusieron en anteriores oportunidades. Precisamente, con la intención de ayudarlos, se ha reunido en esta colección todos los enunciados que se presentaron durante un quinquenio

OBJETIVE: To determine the growth curve of the fetal cerebellum in uncomplicated pregnancies. DESIGN: Prospective, cross-sectional study. MATERIALS AND METHODS: the transverse cerebellar diameter was determined in 1050 fetuses of mothers without pregnancy complications cde. The study was conducted at the Department of Obstetrics ultrasound Edgardo Rebagliati Martins National Hospital, EsSalud, Lima, Peru. For statistical analysis, s used the Epi-Info 6.0 program. RESULTS: A growth curve gradual and progressive fetal cerebellum to 40 weeks was obtained, when it seems slow their growth. Erta growth curve seemed more remarkable than biparietal growth curves, abdominal circumference and femur in the same population. Compared with a foreign population of cerebellar growth curve he showed some differences after 28 weeks of gestation. CONCLUSIONS: The growth curve of intrauterine fetal cerebel...

Two groups of patients were studied, 126 between 1979 and 1981 and 109 between 1994 and 1995, with similar characteristics. No significant differences were found with age of patients, parity, pregnancy induced hypertension, duration of gestation, newborn weight, but cesarean section and IUGR increased lately and newborns less than 1500 g decreased. Puerperal morbidity was higher with cesarean section. Maternal mortality was nil and perinatal mortality decreased, with prevalence of prematurity. Fetal mortality was 50% or more when less than 1000 g, but early neonatal mortality newborns less than 1500 g decreased from 80% to 46,7%.

OBJETIVE: To determine the growth curve of the fetal cerebellum in twin or impaired fetal development pregnancy. DESIGN: Prospective, cross Preliminary study. MATERIALS AND METHODS: the transverse cerebellar diameter was determined in 73 pairs of twin fetuses, 13 fetuses with IUGR and 12 large for gestational age fetuses. The study was conducted at the Department of Obstetrics ultrasound Edgardo Rebagliati Martins National Hospital, EsSalud, Lima, Peru. For statistical analysis, the Epi-Info version 6.0 software was used. RESULTS: The growth curve of cerebellar diameter (DC) found in fetal twins seemed somewhat higher than in singleton pregnancy until week 30, after growing at a similar rate of singleton pregnancy; the correlation coefficient was r = 0.89 and confidence limits 95%, 0.83