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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
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.
5
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 ...
6
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 ...
7
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 ...
8
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.
9
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...
10
artículo
Publicado 2025
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In Mexico, a high percentage of young people experience symptoms of generalized anxiety, which are associated with difficulties in executive functions (EF). However, previous studies have shown inconsistent results, as they often rely solely on either objective or subjective measures. Therefore, this study focused on analyzing the relationship between generalized anxiety and EF using both a neuropsychological battery and a self-report questionnaire, in order to provide a more comprehensive understanding of cognitive functioning in adolescents. A quantitative, non-experimental, cross-sectional, correlational, and explanatory design was employed. The sample consisted of 96 adolescents between 12 and 15 years old from the state of Puebla, Mexico. A total of 10.41% of participants presented severe symptoms of generalized anxiety. A significant relationship was found between anxiety and one o...
11
artículo
Publicado 2019
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Introduction. According to the National Institute of Statistics and Informatics (INEI), in 2017 there were three million people with disabilities in our country. Of these, 5% have a significant functional limitation, so they have to require a caregiver; who can see affected his physical and emotional activity, and eventually, they get sick. Objective. To establish the relationship between the burden of the caregiver and level of functionality of the person with disabilities. Methods. 50 caregivers and 50 people with disabilities were included. The Functional Independence Measure (FIM) is an accepted instrument for measuring disability, in three categories: complete dependence, relative dependence and independence. The Zarit and Zarit Test measures the burden of caregiver; classifying it into three categories: absence of burden, light burden and intense&...
12
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...
13
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...
14
artículo
Publicado 2024
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This systematic review aims to conduct a comprehensive analysis of research that proposes executive functions (EFs) as a pathway to understanding the individual factors that support aggressive behavior (AB) and, consequently, contribute to the maintenance of bullying dynamics within school contexts. The search for articles was conducted in databases such as Web of Science, Scopus, and PubMed. Specifically, studies were selected that analyzed the contribution of EFs to AB or the role of perpetrator in bullying situations, conducted in the last 10 years with samples ranging from 4 to 12 years of age. The final result of the search yielded 11 articles, through which it was identified that while EFs contribute to the development of aggressive behavior, their impact may vary depending on the subtype of aggression evaluated. Thus, superior or inferior executive performance can translate into d...
15
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.
16
tesis de grado
Publicado 2025
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El objeto de estudio de la presente investigación fue analizar de qué manera la tutela jurisdiccional efectiva, puede coadyuvar a la materialización del derecho a la tenencia compartida; bajo un enfoque cuantitativo y de diseño teoría fundamentada, logrando así obtener que la actividad jurisdiccional sea decisiva para la materialización del derecho a la Tenencia Compartida, pues esta garantizará que ambos padres tengan las condiciones ideales para desarrollar la tenencia bajo los cánones de una vida digna. Asimismo, pretende promover el ejercicio del derecho a la paternidad responsable, es decir, el actuar consciente de cada uno de los padres en la educación integral de sus hijos permitirá forjarse un futuro personal, familiar, académico y/o laboral; finalmente, incide en el libre desarrollo de la personalidad y proyecto de vida de cada uno de sus hijos, quienes podrán arrib...
17
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...
18
artículo
The purpose of this paper is to study the possible morphological and functional abnormalities of the small intestine in patients undergoing antrectomy and vagotomy for duodenal ulcer. The relevant literature is scarce and this has led us to undertake a comprehensive study in patients admitted to the Gastroenterology Service of the Hospital Obrero de Lima . Studies on intestinal biopsy in ulcer patients who have been subjected to different types of operation : gastrectomy, vagotomy and pyloroplasty , but none in patients with antrectomy and truncal vagotomy . It is this circumstance which gives originality to this work, so the study of Ia digestive capacity of the patient and the other with a remote monitoring post-operative data is added . We do not intend to judge the advantages and disadvantages of certain types of operation; We have just finalized the search for intestinal disorders ....
19
artículo
Publicado 2020
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The research objective was to establish the relationship that exists between family functioning and the levels of learning achievement of the students of the Alipio Ponce Vásquez Educational Institution in Puerto Maldonado. The research approach was quantitative, the design was non-experimental and the descriptive type was cross-sectional correlational. The population was made up of all the fifth and sixth grade students of the primary level of the Alipio Ponce Vásquez Educational Institution and a sample of 96 students was used, which was obtained by means of a probability sampling. The technique used for data collection was the survey, in the case of the variable family functioning and the documentary analysis in the case of the variable levels of learning achievement. On the other hand, the data collection instruments were the Family Cohesion and Adaptability Assessment Scale and th...
20
artículo
Publicado 2020
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The research objective was to establish the relationship that exists between family functioning and the levels of learning achievement of the students of the Alipio Ponce Vásquez Educational Institution in Puerto Maldonado. The research approach was quantitative, the design was non-experimental and the descriptive type was cross-sectional correlational. The population was made up of all the fifth and sixth grade students of the primary level of the Alipio Ponce Vásquez Educational Institution and a sample of 96 students was used, which was obtained by means of a probability sampling. The technique used for data collection was the survey, in the case of the variable family functioning and the documentary analysis in the case of the variable levels of learning achievement. On the other hand, the data collection instruments were the Family Cohesion and Adaptability Assessment Scale and th...