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ODS 3: Salud y bienestar. Garantizar una vida sana y promover el bienestar de todos a todas las edades
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1
artículo
Publicado 2021
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Background: Obesity in children and adolescents has increased exponentially around the world. Furthermore, the COVID-19 pandemic has led to a higher pediatric obesity rate. The excess adipose tissue generates a dysregulation of adiponectin, ghrelin, and leptin, among others. Metabolic alterations can develop cardiovascular disease, dyslipidemias, arterial hypertension, type 2 diabetes mellitus, nonalcoholic fatty liver disease, sleep disorders, and higher risk of COVID-19 severity. Obesity has different therapeutic approaches such as behavioral weight loss programs, pharmacologic treatments, and surgical procedures. Therefore, timely diagnosis and treatment are important to decrease the mortality in obesity among pediatric population.
2
artículo
Publicado 2021
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Obesity in children and adolescents has increased exponentially around the world. Furthermore, the COVID-19 pandemic has led to a higher pediatric obesity rate. The excess adipose tissue generates a dysregulation of adiponectin, ghrelin, and leptin, among others. Metabolic alterations can develop cardiovascular disease, dyslipidemias, arterial hypertension, type 2 diabetes mellitus, nonalcoholic fatty liver disease, sleep disorders, and higher risk of COVID-19 severity. Obesity has different therapeutic approaches such as behavioral weight loss programs, pharmacologic treatments, and surgical procedures. Therefore, timely diagnosis and treatment are important to decrease the mortality in obesity among pediatric population.
3
artículo
Publicado 2024
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Objectives: Determine obstetric complications during childbirth in adolescents treated at an Altoandino Hospital in 2022. Material and method: Descriptive, observational, retrospective and cross-sectional. The sample consisted of 39 adolescents who presented complications in the three periods of childbirth. A data collection form and the documentary analysis technique were used, and the data were processed with the statistical program IBM SPSS Statistics for Windows Version 28.0. Results: During the effacement and dilation period, complications included: 23.1% premature rupture of membranes, 20.5% prolonged labor, 15.4% preeclampsia, 10.3% cephalopelvic disproportion, 7.7% childbirth prolonged and 2.6% cephalopelvic disproportion. During the expulsion period, the complications observed were: 10.3% shoulder dystocia and tears, 5.1% problems with the umbilical cord and 2.6% shoulder d...
4
artículo
Publicado 2019
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Decision making in mining is a complicated process. Decisions regarding the sizing and allocation of the fleet of trucks to different mines, considering the compliance with production and the total objective cost, are of paramount importance to mining companies as this directly affects their profits. This document presents a model of goal programming (based on linear programming) to optimize mining operations in underground mining taking into account three goals: (a) To minimize deviations from the target production of different minerals, (b) to minimize the surplus of the total designated operating cost and (c) to maximize the use of concentrator plants’ maximum capacity. The model determines the number of trucks needed and provides the optimal allocation to each mine while addressing the goals and limitations of the mining operation. The proposed model was validated using real data f...
5
artículo
Publicado 2019
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Decision making in mining is a complicated process. Decisions regarding the sizing and allocation of the fleet of trucks to different mines, considering the compliance with production and the total objective cost, are of paramount importance to mining companies as this directly affects their profits. This document presents a model of goal programming (based on linear programming) to optimize mining operations in underground mining taking into account three goals: (a) To minimize deviations from the target production of different minerals, (b) to minimize the surplus of the total designated operating cost and (c) to maximize the use of concentrator plants’ maximum capacity. The model determines the number of trucks needed and provides the optimal allocation to each mine while addressing the goals and limitations of the mining operation. The proposed model was validated using real data f...
6
artículo
Publicado 2024
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Budget programs are implemented in response to previously identified and defined problems; Therefore, the Ministry of Health carries out the maternal and neonatal program, planning a structured strategy, based on available evidence in critical points of maternal and newborn sexual and reproductive health; Likewise, the need to direct budgetary resources, improving the efficiency and effectiveness of spending that impact program activities, reducing complications of pregnancy, childbirth and puerperium; being the objective to propose the Friendly Model of the maternal and neonatal program for the effective execution of public expenditure in a hospital in Piura-2023. A quantitative, applied, non-experimental, descriptive-exploratory, cross-sectional and purposeful methodology was used, recruiting a census sample of 80 health workers, applying the survey technique, using a correlational inf...
7
artículo
Publicado 2021
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Objective:To describe the characteristics of acute complications of diabetes in patients attending the emergency service of a third- level general hospital. Material and methods: Descriptive and prospective study in patients who attended the Emergency Service of the Arzobispo Loayza National Hospital (HNAL), Lima, between September 2019 and March 2020, with acute complications of diabetes mellitus. The demographic, clinical, laboratory and destination characteristics of the patient were recorded. Data were analyzed with the STATA 14 program. Results: 22 patients with some acute complications of DM were admitted to the emergency room. Fifteen patients had hyperglycemic crises and seven had hypoglycemia. Of the patients with hyperglycemic crises, 12 (80%) were ketoacidosis and 3 (20%) were hyperosmolar. 46,7% had newly diagnosed diabetes.The most frequent trigger was infections in 60%. 50%...
8
artículo
Publicado 2021
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Introduction: The internship in obstetrics is 6 to 10 months, depending on the university. The clinical obstetrician instructors of the high-risk obstetric service (ARO) observed that this variation affected the acquisition of skills required of the interns in the care of obstetric complications. It was decided to implement an educational program for obstetric interns from different universities focused on the acquisition of five basic competencies for the care of obstetric complications. Objective: To introduce the use of educational tools to guarantee the unified clinical instruction of obstetric interns in the ARO rotation, as well as to guide and evaluate the progressive acquisition of basic competencies and skills for the care of obstetric complications. Materials and Methods: Pre-experimental study, carried out in 12 obstetric interns from public and private universities, rotating ...
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artículo
Publicado 2019
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Introduction: Prenatal care is the main tool for prevention of complications of pregnancy, childbirth and the puerperium. Nevertheless, rates of deaths and diseases related to gestation remain unacceptably high, especially in developing countries. Objective: To describe the conditions of access to prenatal care in a primary care center in the city of Pasto, Nariño, Colombia. Methods: We conducted a descriptive, cross-sectional study. We interviewed twenty-four women with gestational age between 36 and 40 weeks, attending prenatal care at the Pandiaco Health Center, level I of care in Pasto City, Colombia, during the year 2015. The data obtained were analyzed with the statistical software SPSS 16.0 for Windows. Results: Approximately 50% of pregnant women had less than four prenatal care visits during pregnancy. Labor, home, children care, and economic burden were referred as the main ba...
10
artículo
Publicado 2020
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Objective: Neuroaxial analgesia is the most effective technique to treat labor pain, however, there are still concerns regarding the undesirable effects. Objective: To evaluate the association between epidural analgesia maintained by programmed intermittent epidural boluses (PEIB) and maternal perinatal complications. Materials and methods: Observational, analytical study of Cohort type in pregnant women between 18 and 35 years, in labor with cervical dilation of 4 centimeters or more, grouped in two cohorts according to administration or not of epidural analgesia: In pregnant women of Group A, administered bolus epidural analgesia, with maintenance by BEIP with bupivacaine 0.0625% and fentanyl 25 ug in 10cc every 60 minutes; in pregnant women of group B, epidural analgesia was not administered. Results: The duration of the dilation and expulsion period was longer in the group...
11
artículo
Publicado 2020
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Objective: Neuroaxial analgesia is the most effective technique to treat labor pain, however, there are still concerns regarding the undesirable effects. Objective: To evaluate the association between epidural analgesia maintained by programmed intermittent epidural boluses (PEIB) and maternal perinatal complications. Materials and methods: Observational, analytical study of Cohort type in pregnant women between 18 and 35 years, in labor with cervical dilation of 4 centimeters or more, grouped in two cohorts according to administration or not of epidural analgesia: In pregnant women of Group A, administered bolus epidural analgesia, with maintenance by BEIP with bupivacaine 0.0625% and fentanyl 25 ug in 10cc every 60 minutes; in pregnant women of group B, epidural analgesia was not administered. Results: The duration of the dilation and expulsion period was longer in the group...
12
artículo
Publicado 2022
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Hybrid prostheses in total edentulous patients have improved their quality of life, is essential to know survival and possible complications, to offer reliable treatment. Objectives: to evaluate and record the survival and complications of hybrid prostheses in total edentulous CDD-UPCH patients. Material and methods: descriptive study, observational, retrospective, cross-sectional. Medical records of 37 patients (45 prostheses) installed from 2013 to 2016 were reviewed, data were recorded in Microsoft®Excel2016 and exported to the StataV15 statistical program. A univariate percentage analysis was used for the survival rate and biomechanical complications, and chi2 or Fisher’s exact for the association with variables. Results: Survival (years) was higher: female sex, young patients, installed in upper arches, with early loading and having natural teeth as the antagonist. The most frequ...
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objeto de conferencia
Publicado 2020
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Teaching design patterns has proved to be a complicated topic in software engineering courses. Practitioners require mastering this technique in order to develop higher-quality programs. As part of the experiment, we used pair programming practice to solve this problem in an undergraduate classroom activity, aiming that finding the best pair configuration based on previous programming skills and character affinity, would lead us to better results. The experiment was divided into five rounds, increasing the complexity every each exercise. Afterward, we compared the score obtained by the students in the mid-term exam with last semester scores, resulting in an improvement of 0.37 points with the previous semester, which was 12.3% of the highest score (3 points).
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artículo
Publicado 2022
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The science courses are and will be the basis of the students' knowledge, in this sense the mathematics course is considered the most important course because in its content it presents topics related to calculus, making their learning of vital importance in the design of educational processes. Finance a review of the state of the art we find a series of works dedicated to being able to enhance the mechanisms used for teaching, from the use of scientific calculators to reaching certain computer programs of common use, in this work a methodology is developed to be able to enhance the programming skills that teachers have in a specific area of programming, where we can consider any programming language but also any computer tool such as Excel spreadsheets. The methodology proposes the organization of topics as specific theories, such as algebra, arithmetic, trigonometry, geometry, where sp...
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artículo
Publicado 2023
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We intend to analyze how migrant parents in Santiago de Chile mean their exercise of parental responsibility and examine how this exercise is perceived from the perspective of the professionals of the Chile Crece Contigo (hereinafter ChCC) system. For this, interviews were conducted with Latin American migrant families with children up to five years old, a discussion group and interviews with those in charge of the stimulation rooms of the Family Health Centers of the Metropolitan Region. Showing that migrant parents make decisions in relation to their children about what they consider to mean the proper exercise of parental responsibility, where the best interest of children prevails as motivation. On the other hand, that the support provided by the State in the exercise of parenting has different views from the perspective of parents, highlighting parental responsibility as a duty and ...
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artículo
Publicado 2019
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Objectives: To determine the predicting factors of the macrosomia and a predicting model will be elaborated. Also, to describe the complications those have, the new born and the mother during the vaginaldelivery.Methodology: For the data summary in the present study, clinical histories were used and the necessary information was registered, then the results were analyzed using the statistical program SPSS. Results: The only factors that predicted the macrosomia of isolated form were the uterine heightgreater to 34 cm. (44%) and masculine fetal sex (5%), these, like other predicting factors acquire greater orsmaller force according to the relation that settles down, reason why was elaborated fluxogram in whichthe probability for fetal macrosomia was observed.Between the complications we found the following thing: 21,1% of the cases of macrosomia presentedprolonged delivery; the 2,9% of ma...
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artículo
Publicado 2023
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The indiscriminate use of antimicrobials in pediatric intensive care units (PICU) can complicate the effectiveness of treatments. A tertiary pediatric hospital in Peru implemented an antimicrobial stewardship program (ASP) in its PICU. Our objective was to compare patients' survival before and after the ASP implementation in the study site's five PICU. Methods: We conducted a retrospective cohort observational study. The first group consisted of patients treated from mid-2016 to early 2017 (n=611), and the second group consisted of patients treated from late 2017 to mid-2018 (n=567). Results: Following the implementation of the ASP, we did not identify differences in PICU length of stay but observed variations in the duration of treatment with certain restricted antimicrobials. Additionally, we did not find a difference in survival after implementing the ASP in either crude or adjust...
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tesis de grado
Publicado 2017
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El trabajo académico presentado, trata de un proyecto de investigación realizado con el objetivo de determinar la influencia de los cuidados de enfermería en la disminución de las complicaciones del neonato en el Servicio de Cuidados Intensivos Neonatal del Hospital Cayetano Heredia durante el primer trimestre del 2017, se utilizara para su desarrollo el método descriptivo, diseño correlacional, tipo cuantitativo, trabajándose para tal efecto en una muestra de 25 madres de los neonatos, que se encuentran hospitalizados en la unidad de cuidados intensivo neonatal del Hospital Cayetano Heredia. Para su elaboración se revisó la literatura existente, respecto a los cuidados de enfermería que requiere el neonato en la unidad de cuidados intensivos. Para la recolección de datos se aplicará un instrumento que es el cuestionario de 30 preguntas cerradas, el mismo que será previament...
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artículo
Publicado 2025
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Objective: To describe the characteristics of peripherally inserted central catheter (PICC) use in patients admitted to the neonatal intensive care unit of the Instituto Nacional Materno Perinatal (Lima, Peru) during 2023. Methods: A descriptive, longitudinal, retrospective study was conducted. Information on the variables of interest was obtained from the PICC insertion and follow-up registry documented in each patient’s medical record. Statistical analysis was performed using STATA v.15.0 software. The study was approved by the hospital's Research Ethics Committee. Results: A total of 137 PICCs were inserted in the same number of patients. Most PICCs were inserted in preterm infants (<36 weeks) (89.8%), with a birth weight of <1,000 g (39.4%), requiring invasive mechanical ventilation (78.1%), and with a diagnosis of hyaline membrane disease (48.9%). The primary indication for ...
20
artículo
Publicado 2002
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Objetives: To determine the main factors for desertion from the Arterial Hypertension Program. Setting: Chiclayo Almanzor Aguinaga National Hospital. Design: Analytical case-control study. Material and methods: Cases were 126 patients who deserted for over 6 months and controls the 252 patients who continued in the program, paired for sex, age, place of referral and hypertension level; patients with complications or adscription changes were excluded. A domiciliary survey was applied. Results: Low knowledge about hypertension was the main factor (OR: 15.31), including desinterest in monthly control (OR: 14,6), treatment negligence when both arterial blood pressure returned to normality (OR: 13,8) or when asymptomatic (OR: 13,2), all meaning inappropiate illness consciousness. Other factors found were: No change in life style (OR: 4,5), and colateral drug effects (OR: 1,9); there was no as...
