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Introduction. Hip fractures are a group of frequent pathologies in frail older adults, with a negative impact on functionality. Objective. To determine the clinical, functional, mental, and social characteristics based on the comprehensive geriatric assessment. Methods. 445 patients were evaluated, comorbidity was measured with the Charlson index, baseline functional state with the Barthel index and the Lawton and Brody scale, mental state with the Pfeiffer questionnaire, delirium using the Confusion Assessment Method and social assessment with the Gijón Socio-Family Scale. Categorical variables were presented as absolute value and percentage and continuous variables as mean and standard deviation. Results. The female sex represented 71.5%, the average age in women was 81.58 years and in men 82.58 years. Visual impairment was 48.8% and hearing impairment 46.1%. 46% had more than one com...
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This article provides evidence on the growing interest of Latin American cinema in hip hop. The cinematographic narration of these films portrays the lives of young people from popular classes who face situations marked by violence and deep social inequalities, through the practice of rap, break dance, graffiti and DJing, components of this culture. The article provides a recount of films and documentaries, made in eight Latin American countries, in the last decade. Analyzes above all three films released in 2021: This is how I grew up, by the mexican filmmaker Jos Macías; Cato, by argentine director Peta Rivero y Hornos; and The city of beasts, by colombian movie maker Henry Rincón. He argues that these provide a realistic and critical aesthetic reflection and confluent with de descolonial perspective of their respective societies, as well as a reading of a priority social sector such...
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OBJECTIVES: To review the main features of hip replacements, both partial and total, performed at the Hospital Nacional Guillermo Almenara, Lima-Peru, between 1995-1997. METHODS: a descriptive, cross-sectional, observational and partially prospective review of 232 clinical records from 325 surgical hip replacements. RESULTS: Patients with ages between 59 and 70 years old (60% females), most of them were homeworkers and come from Lima. Coxofemoral artrosis was the commonest etiology conducing to a total arthroplasty, and femoral head fracture the cause of partial arthroplasty. The most frequent short term complication was surgical wound infection, being S. epidermidis the main pathogenic microorganism isolated, and the most frequent long-term complication was dislocation of the implant. Mortality, as direct cause, was uncommon, and it is associated to patient self-characteristics. Total r...
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Objective. To determine whether the use of antihypertensives is associated with reduced risk of nontraumatic hip fracture in patients at Hospital Belén de Trujillo, 2017-2022. Methods. A retrospective, analytical, cross-sectional study was conducted. According to the selection criteria, 160 adult patients were included and divided into 2 groups: with or without nontraumatic hip fracture; then, the prevalence ratio and the chi-square statistical test were applied. Results. Mean age and frequency of osteoporosis were significantly higher in the group of patients with hip fracture (p < 0.05). The consumption of thiazide antihypertensives was a protective factor for non-traumatic hip fracture, with a prevalence ratio of 0.29, which was significant (p < 0.05). The use of beta-blockers was a protective factor for non-traumatic hip fracture, with a prevalence ratio of 0.30, which was sig...
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Innovative hip implants should be designed in accordance with biomechanical models of the proximal femur and take into account both body weight and muscle action in order to improve usability and biomimetic performance. This article proposes a finite element analysis of the proximal femur using both cortical and trabecular regions and employing transverse isotropic properties with standardized loads taken from active and young patients. Maximum principal stresses are plotted to show the mechanical behavior of the femur and grouped to evaluate stress shielding. Tsai-Wu and the maximum principal stress fields are useful for finding the areas more prone to failure and analyzing the influence of the stems on femoral mechanics. Other parameters, such as the stem material, absence of neck and osteotomy level, are explained. This paper is expected to provide a guide for designers and surgeons o...
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In recent years, many mechanisms have been developed to help people with reduced mobility, especially for people with injuries that impede the mobility of the lower part with respect to the hip. That is why this work presents the design of a passive hip-based exoskeleton of a standard size so that it can be used in the rehabilitation area. Most hip exoskeletons make a strong call on walking assistance rather than on the stability of the user, so the design is adjusted to the stability, the objective of this work is to design a self-balancing exoskeleton with control by sensors that detect the hip rotation and send a signal to the microcontroller which assists the movement of the hip, allowing the servos to move according to the degrees detected by the sensor. In addition, the exoskeleton has been designed using CAE software, using aluminum elements to provide lightness and robustness to ...
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La investigación ofrece una reflexión comparativa sobre la presencia política de los colectivos de Hip Hop en los distritos mencionados, analizando los elementos sobre los que se construyen sus discursos y prácticas, como la identidad barrial, y cómo esta identidad fortalece su sentido de agencia social a través de un enfoque de "trabajo desde el barrio, para el barrio y con el barrio". El estudio examina cómo estos colectivos de Lima Metropolitana y el Callao se apropian de los espacios públicos, promoviendo identidad y agencia social en entornos desfavorables. A través de historias de vida y observación participante, se profundiza en las experiencias y motivaciones de los jóvenes, y cómo expresan su identidad barrial mientras buscan cambios sociales en sus barrios a través de prácticas artísticas-educativas y organizativas. Estos colectivos, mediante el Hip Hop, generan ...
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Consumers increasingly demand products in their diets that not only provide the nutrients required for a healthy life, they are also preferably those that can complement with beneficial health properties. In recent decades it has been recognized rosehip, Rosa and Rosa canina the rubiginosa as fruits contain many nutraceutical properties. This paper reviews the research papers carried the Rosehip from the point of view of their importance of their consumption and their health benefits; describing the chemical, physical and biochemical characteristics such as content of phenolic compounds, fatty acids, linoleic acid, mineral; and other important also from an industrial point of view, such as antioxidants, pigments, among other compounds. According to the information collected, the Rosehip is a source of micronutrients including vitamin C and lycopene, also delivering a good nutritional val...
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Consumers increasingly demand products in their diets that not only provide the nutrients required for a healthy life, they are also preferably those that can complement with beneficial health properties. In recent decades it has been recognized rosehip, Rosa and Rosa canina the rubiginosa as fruits contain many nutraceutical properties. This paper reviews the research papers carried the Rosehip from the point of view of their importance of their consumption and their health benefits; describing the chemical, physical and biochemical characteristics such as content of phenolic compounds, fatty acids, linoleic acid, mineral; and other important also from an industrial point of view, such as antioxidants, pigments, among other compounds. According to the information collected, the Rosehip is a source of micronutrients including vitamin C and lycopene, also delivering a good nutritional val...
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Aim: To assess the association between high waist-to-hip ratio (WHR) levels and insulin resistance (IR) or hyperinsulinemia after oral glucose tolerance test (OGTT) in a sample of normal-weight women. Methods: We conducted an analytical cross-sectional study in euthyroid non-diabetic women, who attended the outpatient service of a private clinic in Lima-Peru from 2012 to 2016. Participants were divided in two groups according to the presence or absence of high WHR levels, IR or hyperinsulinemia after OGTT. We considered WHR values > 0.85 as high levels. IR was defined as a Homeostasis Model Assessment (HOMA-IR) value > 2.39 and hyperinsulinemia after OGTT as a serum insulin value ≥ 80μU/mL after 120 min of 75-g glucose intake. We elaborated crude and adjusted Poisson generalized linear models to evaluate the association between high WHR levels and IR or hyperinsulinemia after OGTT and...
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Este documento busca indagar sobre la participación de las raperas en la escena musical del hip hop en Lima. Atravesando el contexto del desarrollo del feminismo en el Perú y en Latinoamérica —en el sentido de hablar de la existencia de un rap femenino latinoamericano— se busca analizar la participación de las mujeres en el movimiento hip hop. Tomando en cuenta también la interacción entre el arte, las luchas sociales y el feminismo, es que finalmente se busca identificar los discursos feministas generados desde el contenido lírico de las canciones de raperas feministas limeñas. Desde el trabajo de campo, recolección de información en eventos y material fonográfico, hasta las entrevistas a cuatro raperas destacadas dentro de la escena limeña del hip-hop es que se busca retratar la realidad del papel de la mujer en el movimiento hip hop. Así mismo se indaga en la probabil...
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Este documento busca indagar sobre la participación de las raperas en la escena musical del hip hop en Lima. Atravesando el contexto del desarrollo del feminismo en el Perú y en Latinoamérica —en el sentido de hablar de la existencia de un rap femenino latinoamericano— se busca analizar la participación de las mujeres en el movimiento hip hop. Tomando en cuenta también la interacción entre el arte, las luchas sociales y el feminismo, es que finalmente se busca identificar los discursos feministas generados desde el contenido lírico de las canciones de raperas feministas limeñas. Desde el trabajo de campo, recolección de información en eventos y material fonográfico, hasta las entrevistas a cuatro raperas destacadas dentro de la escena limeña del hip-hop es que se busca retratar la realidad del papel de la mujer en el movimiento hip hop. Así mismo se indaga en la probabil...
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Introduction: Hip fracture in the elderly is the most common cause of hospitalization in the trauma department, causing repercussion in several clinical areas, affecting its independence. Objective: To determine the prognostic factors of poor evolution in the study population. Methods: Ambispective,correlational and non-experimental study was designed. The population consisted of all patients over 65 years of age who underwent surgery for hip fracture between January 2014 and July 2015 at the Central Hospital of the Pruvian Air Force (F.A.P). The magnitude of the association was quantified using the oddsratio, and a multivariate analysis was performed on the significant variables and a 6-month follow-up was performed. Results: The variables identified with a strong association with poor evolution were: age greater than 75 years (OR = 3,750 CI: 1,275-11,026 p = 0,016), high comorbidi...
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OBJECTIVES: To determine the clinical and epidemiological characteristics in older adults with hip fracture in a hospital in Lima, Peru. METHOD: Case series type study carried out in the trauma department of the PNP Central Hospital “Luis N. Saenz” during the period 2015-2018. Medical records of patients diagnosed with hip fracture were reviewed. RESULTS: A total of medical records were included. A predominance was found in the female sex (54.3%) and in patients over 80 years old (45%). Most of these events occurred at home (81.4%). Intertrochanteric fractures were the most frequent (60%), especially on the right side (51.4%), osteosynthesis was the most used therapeutic option (62.1%). Pain (92%) and functional impotence (91.4%) were the characteristic clinical presentation of hip fractures, and arterial hypertension was the most common associated pathology (52.2%). CONCLUSIONS: Hip...
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The hip femoral stem is vital in ensuring patient support and mobility, and research into the femoral stem is critical for improving the durability and strength of orthopedic prostheses. Using the finite element method, this paper evaluates a femoral stem’s static, transient, and fatigue behaviors using three different materials: Ti-6Al-4V, CoCr alloy, and AISI 316L. ANSYS Mechanical software was used to perform the static analysis, evaluate deformations and stresses, and perform the transient analysis to simulate dynamic loading conditions. In addi-tion, a fatigue analysis was conducted to determine the resistance to repetitive load cycles. The results showed that the stresses and strains in the transient analysis were higher than in the static analysis because the transient analysis considers dynamic and time-varying loads. In addition, the Ti-6Al-4V material exhibits higher fatigue ...
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OBJECTIVES: To determine the clinical and epidemiological characteristics in older adults with hip fracture in a hospital in Lima, Peru. METHOD: Case series type study carried out in the trauma department of the PNP Central Hospital “Luis N. Saenz” during the period 2015-2018. Medical records of patients diagnosed with hip fracture were reviewed. RESULTS: A total of medical records were included. A predominance was found in the female sex (54.3%) and in patients over 80 years old (45%). Most of these events occurred at home (81.4%). Intertrochanteric fractures were the most frequent (60%), especially on the right side (51.4%), osteosynthesis was the most used therapeutic option (62.1%). Pain (92%) and functional impotence (91.4%) were the characteristic clinical presentation of hip fractures, and arterial hypertension was the most common associated pathology (52.2%). CONCLUSIONS: Hip...
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Enmiendas de la Versión 1: - Aclaramos uno de los métodos, usamos '1994 Harvard' en el resumen, la introducción, los métodos y las tablas 2-4 - Brindamos detalles de las características de la esperanza de vida de los métodos GBD de 2015 en la introducción y los métodos. - Eliminamos la estimación del tamaño de la muestra en la sección de métodos. - Proporcionamos reflexiones sobre las diferencias entre los subgrupos de edad y sexo en la discusión.
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La globalización y el avance de las tecnologías permitieron la expansión y desarrollo del hip hop dentro del territorio nacional. Estos hechos dieron resultado en una evolución del género, lo que significó una serie de cambios y el surgimiento de nuevas características en el ámbito musical. El presente trabajo académico toma como foco principal a las nuevas manifestaciones del hip hop peruano, y el objetivo axial radica en identificar y analizar las características de estas manifestaciones a nivel de composición y producción musical. Debido a la evolución del género, se propone como hipótesis la existencia de un subgénero dentro del hip hop que se caracteriza por sus canciones con temáticas conectadas con el ámbito emocional y experiencias humanas, su forma de comunicación accesible y cercana hacia el público, su uso de elementos repetitivos, su balance entre lo meló...