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https://purl.org/pe-repo/ocde/ford#5.02.04
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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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https://purl.org/pe-repo/ocde/ford#3.02.26
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https://purl.org/pe-repo/ocde/ford#5.03.01
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1
artículo
In recent decades, the advances in the management of functional mitral regurgitation (MR), makes knowledge of this disease extremely important to the clinical cardiologist, as it has an increasing prevalence in patients older than 50 years. The objective of this article is to review the pathophysiological bases of MR, in order to differentiate its mechanism, and to correlate them with the clinical, hemodynamic, and imaging findings that assess the severity of the disease. These data are relevant for the adequate selection of the patient and the opportune moment of the therapeutic interventions, which involves a multidisciplinary team in decision-making to achieve the greatest benefit within the treatment options of this pathology.
2
artículo
In recent decades, the advances in the management of functional mitral regurgitation (MR), makes knowledge of this disease extremely important to the clinical cardiologist, as it has an increasing prevalence in patients older than 50 years. The objective of this article is to review the pathophysiological bases of MR, in order to differentiate its mechanism, and to correlate them with the clinical, hemodynamic, and imaging findings that assess the severity of the disease. These data are relevant for the adequate selection of the patient and the opportune moment of the therapeutic interventions, which involves a multidisciplinary team in decision-making to achieve the greatest benefit within the treatment options of this pathology.
3
tesis doctoral
Publicado 2024
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Mycobacterium tuberculosis (Mtb) sigue siendo uno de los patógenos más mortales a nivel mundial, a pesar de ser una enfermedad prevenible. La tuberculosis (TB) se trata con una combinación de cuatro medicamentos antituberculosos de primera línea: rifampicina (RIF), isoniacida, pirazinamida y etambutol, para cepas sensibles a los medicamentos. Entre estos, la RIF es uno de los agentes más potentes para controlar la enfermedad. Sin embargo, la resistencia a la RIF conlleva la aparición de casos de TB resistente a la RIF (RR-TB) o multidrogo resistente (MDR-TB). El mecanismo principal de resistencia implica mutaciones en el gen rpoB, que es responsable de aproximadamente el 95% de los casos. No obstante, todavía se están identificando otros mecanismos moleculares y condiciones que podrían contribuir a la propagación de las poblaciones RR-TB y MDR-TB. Esta investigación doctoral s...
4
artículo
This paper pretends to analyze the functioning and the limitations of some legal tools that the Peruvian state has posed as a part of his normative answer to the grave phenomenon of illegal gold mining, organized form of criminality whose utilities have surpassed the ones of drug trafficking. With this purpose, two axes of analysis has been proposed with incidence upon the illegal commercialization of gold: (i) the criminal tools, which specifically involve the crimes of illegal mining, clandestine commerce and money laundering; and (ii) the administrative tools, which involve the Legislative Decrees N° 1103 and 1107, the Supreme Decrees N° 012-2012-EM and N° 17-2009-MTC, among others. The authors have noticed several legislative policy errors in these elements and therefore implement recommendations to increase the global effectiveness of the regulation.
5
artículo
Publicado 2019
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Carious lesions have been the main cause of premature loss of dental pieces in the deciduous dentition, there are a number of treatments which are focused on the prevention of the dental organ, to restore the anatomy of the dental pieces or the exodontics thereof. The premature loss of individual or multiple way can trigger disorders such as: limitation in basic functions, decrease in the length of the dental arches, and reach the point of decreasing the child's self-esteem. The case of a 6-year-old male patient with mixed, asymptomatic dentition, with the diagnosis of dental caries, pulp pathology and dental position anomaly is presented. The following procedures were performed; Pulpectomies, simple restorations and exodontics, to culminate in the placement of a functional orthopedic device. Upon completion of the treatment, the objective was to preserve the dental structure, bone suppo...
6
artículo
Publicado 2025
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This case report highlights the dental rehabilitation of a patient with controlled diabetes mellitus, emphasizing the importance of oral health in overall well-being. The treatment involved periodontal therapy, fixed and removable prostheses, and precision attachments to restore aesthetics and masticatory function. Significant improvements in oral health, function, and quality of life were achieved, along with stabilization of periodontal health after five months of follow-up. The case underscores the role of proper masticatory function in preventing malnutrition, especially in diabetic patients, where poorly controlled oral health can exacerbate systemic conditions. An interdisciplinary approach is critical in addressing both functional and aesthetic needs, improving both oral and systemic health outcomes for diabetic patients.
7
artículo
Obesity is a global pandemic with serious consequences for public health, directly associatedwith vascular diseases, diabetes, dementia, osteoarthritis, increased mortality and functionaldisability. In older adults, the diagnosis and management of obesity require specific considerations that differ from approaches applied to younger populations. The relationship between agingand obesity is particularly complex and multifactorial, sharing common pathways associated with chronic disease and systemic inflammatory processes. Interventions should focus on the individual, carefully evaluating the impact on both functional and intrinsic capacities, while also considering the expected time to achieve therapeutic benefits. Beyond changes in body mass index and weight, therapeutic strategies should primarily aim to reduce fat mass while simultaneously improving muscle mass and functionality. This ...
8
artículo
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...
9
artículo
Publicado 2025
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The sequence of a comprehensive oral rehabilitation is described in a patient with generalized loss of tooth structure, highlighting the importance of restoring stomatognathic system function through a multidisciplinary approach. The patient was a 57-year-old woman diagnosed with occlusal disharmony, generalized attrition due to parafunction, mild dental crowding, defective restorations, carious lesions, and partial mandibular edentulism. Treatment was performed in two phases: initially, an esthetic mini-JIG was used, and occlusion was stabilized by increasing the vertical dimension using stamped composite resins restorations. In the second phase, veneers, vonlays, and implant-supported crowns were placed in the maxilla, along with a removable partial denture in the mandible, followed by delivery of a protective occlusal splint. The combination of analog and digital techniques allowed fo...
10
artículo
The lie has fallen into disrepute. It is thought that you should always tell the truth and that turns you into a virtuous moral agent. Usually it is thought that Kant proposes an exhaustive and stubborn truth, however, it would have to prove the necessity and function of the lie within language, therefore the image of Cassandra will be taken, the Trojan princess who despite she always tell the truth nobody really believed in her. The possibility of a dialogue between Cassandra and Kant assumes the universality of the human condition.
11
artículo
Publicado 2021
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Background: Heterotopic ossification (OH) is a complication described in patients with neurological damage. Case report: Patient who suffered a multiple trauma and traumatic brain injury (TBI), with fractures and neurological deficit secondary to TBI, who presented several heterotopic ossifications (OH) during his evolution that compromised the achievement of functional objectives. The main manifestation was swelling and limitation of the articular range (RA) for the extension of the left hip and knee, which kept the lower left limb (MI) flexed, preventing standing and walking. He was diagnosed as osteoma secondary to neurological trauma and received structured medical management, which included surgical intervention: “resection of the osteoma and tenotomy in hamstrings”, obtaining improvement of the joint range, chieving standing and walking with biomechanical support. Discussion: T...
12
artículo
Publicado 2014
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Objective: This is to develop the architectural design of the type III hospital in Colonel Gregorio Albarracin Lanchipa District, to overcome the shortage of health infrastructure, enabling better service, so a comprehensive health system and better quality of life for population. Method: For the study and development Descriptive research was used to obtain information on health issues in the field of study. Experimental design was also used, allow to propose an adequate hospital infrastructure for the city of Tacna. Finally interviews, l iterature exploration, photographic record and reliable cases projects were conducted. Results: The study site needs to improve care medical facilities and that has no infrastructure to specialized care, the same may have radii of service, catering to the population of districts closest to this, both in infrastructure and specialized equipment and other...
13
artículo
Publicado 2014
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Objective: This is to develop the architectural design of the type III hospital in Colonel Gregorio Albarracin Lanchipa District, to overcome the shortage of health infrastructure, enabling better service, so a comprehensive health system and better quality of life for population. Method: For the study and development Descriptive research was used to obtain information on health issues in the field of study. Experimental design was also used, allow to propose an adequate hospital infrastructure for the city of Tacna. Finally interviews, l iterature exploration, photographic record and reliable cases projects were conducted. Results: The study site needs to improve care medical facilities and that has no infrastructure to specialized care, the same may have radii of service, catering to the population of districts closest to this, both in infrastructure and specialized equipment and other...
14
artículo
Publicado 2023
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The aim of the present study was to examine the relationship between students’ cognitive and self-regulatory strategies, academic engagement, and academic achievement in higher education, analyzing the mediating role of reading comprehension. Different tasks to assess the constructs were administered to 209 students (Mage = 21.71; SD = 4.36). The students' GPA was used as a measure of academic achievement. Significant associations were found between cognitive and self-regulation strategies, academic engagement, reading comprehension, and students' GPA. In addition, a positive association was found between cognitive and self-regulation strategies and academic engagement. Finally, the structural equation model showed that cognitive and self-regulation strategies and academic engagement have direct effects on students' GPA. Additionally, an indirect effect of cognitive and self-regulation...
15
artículo
Publicado 2015
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Since the 1990s, the discourse of interculturality has become important in thecountries of the region, to the point of achieving constitutional recognitionand presence in educational policies. This formalization interculturality makesthe challenge of sustaining the system from within the original spirit that drivestransformer. However, in our educational system it seems to dominate the useof functional interculturality that has not produced the expected changes. Thisessay argues about the possibility of returning a critical intercultural concrete fromeducation. It proposes a comprehensive experience as the founding act of thispedagogy. And it does from ideas developed education José María Arguedas
16
artículo
Publicado 2015
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Since the 1990s, the discourse of interculturality has become important in thecountries of the region, to the point of achieving constitutional recognitionand presence in educational policies. This formalization interculturality makesthe challenge of sustaining the system from within the original spirit that drivestransformer. However, in our educational system it seems to dominate the useof functional interculturality that has not produced the expected changes. Thisessay argues about the possibility of returning a critical intercultural concrete fromeducation. It proposes a comprehensive experience as the founding act of thispedagogy. And it does from ideas developed education José María Arguedas
17
artículo
Publicado 2017
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A pesar de las últimas modificaciones en reformas educativas dentro del país, los planes curriculares y constantes renovaciones de programas con la finalidad de resolver el rezago educativo que se reflejan en las estadísticas nacionales, los resultados siguen siendo desfavorables. Esto conlleva a la reflexión y análisis para generar e implementar nuevas formas y estrategias de enseñanza. El presente trabajo tiene como propósito exponer el diseño de una propuesta alternativa de planeación y la elaboración de materiales de apoyo, desarrollada de acuerdo con el segundo bloque de estudios de sexto grado de primaria, en dos aprendizajes esperados contenidos en el currículo formal de educación básica, centrado en la interacción en la enseñanza-aprendizaje y de acuerdo con diversos niveles de aptitud funcional. Posteriormente se sometió a un proceso de pilotaje y revisión por e...
18
artículo
Publicado 2017
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Objetivo: Determinar las variables de la Valoración Geriátrica Integral (VGI), predictoras de mortalidad a los seis meses del alta de pacientes hospitalizados en la Unidad Geriátrica de Agudos (UGA) del Hospital Nacional Guillermo Almenara Irigoyen. Materiales y métodos: Se realizó un estudio observacional, prospectivo, longitudinal en la Unidad Geriátrica de Agudos del Hospital Nacional Guillermo Almenara Irigoyen (HNGAI) durante julio de 2015 a enero de 2016. Se recogieron las variables (características generales [edad, sexo, estancia hospitalaria] y la valoración geriátrica integral [comorbilidad, valoración funcional, valoración afectiva, valoración cognitiva y valoración socio-familiar]) de las historias clínicas de geriatría y se realizó un seguimiento telefónico de la mortalidad a los seis meses del alta. Resultados: La población del estudio estuvo conformada por...
19
artículo
Publicado 2024
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The most controversial institution incorporated into the Criminal Procedure Code of 2004 was the sentence of the acquitted, which is the power that the Superior Criminal Chamber has, when resolving the appeal that may have been filed against a previous acquittal sentence issued in favor of the accused (first instance), in being able to amend it in a conviction against this same procedural subject (second instance), sentencing decision that originally could only be questioned by means of the appeal of cassation. However, the national legislator, through Law No. 31592 of October 26th 2022, has decided to briefly reform this adjective norm, where the legal novelty is that this convicted person has the possibility of challenging his sentence via a new appeal, in which the Criminal Chamber of the Supreme Court is enabled to act as a judicial instance, this according to the exclusive rules of ...
20
artículo
Publicado 2024
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The most controversial institution incorporated into the Criminal Procedure Code of 2004 was the sentence of the acquitted, which is the power that the Superior Criminal Chamber has, when resolving the appeal that may have been filed against a previous acquittal sentence issued in favor of the accused (first instance), in being able to amend it in a conviction against this same procedural subject (second instance), sentencing decision that originally could only be questioned by means of the appeal of cassation. However, the national legislator, through Law No. 31592 of October 26th 2022, has decided to briefly reform this adjective norm, where the legal novelty is that this convicted person has the possibility of challenging his sentence via a new appeal, in which the Criminal Chamber of the Supreme Court is enabled to act as a judicial instance, this according to the exclusive rules of ...
