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basis function » based function (Expander búsqueda), brain function (Expander búsqueda)
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1
tesis de grado
Publicado 2022
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El internado se da el último año de la carrera de medicina humana, es una etapa de transición entre ser alumnos y médicos, donde no solo se deben adquirir nuevos conocimientos teóricos y prácticos; sino también consolidarlos, nos encontramos en nuestras prácticas hospitalarias y formamos una relación estrecha con nuestros pacientes, todo esto es esencial para tener un mejor desarrollo como futuros médicos y seres humanos. Esta última etapa de alumnos se ha visto modificada por la coyuntura actual causada por el COVID 19. Sin embargo, en este trabajo se plasma no solo los casos clínicos más comunes o de mayor interés del internado, sino son las experiencias vividas como internos de medicina humana en el Hospital Naval: Centro Médico Naval C.M.S.T desde mayo del 2021 a abril del 2022. Se eligieron treinta casos de los que considero obtuve los aprendizajes más significati...
2
artículo
This paper deals with some of the issues that affect the understanding and functioning of descriptive psychopathology (DP). The latter remains the language of description in psychiatry and the basis for her nosological constructs. DP makes assumptions concerning the nature of its object and its underlying causes (i.e. makes use of the medical model). DP needs historical, clinical and numerical recalibration. It is suggested that in some cases, and against traditional psychometric principles, some instruments will have to be constructed that show flexibility and can be varied according to the descriptive needs presented by individual cases.
3
artículo
This paper deals with some of the issues that affect the understanding and functioning of descriptive psychopathology (DP). The latter remains the language of description in psychiatry and the basis for her nosological constructs. DP makes assumptions concerning the nature of its object and its underlying causes (i.e. makes use of the medical model). DP needs historical, clinical and numerical recalibration. It is suggested that in some cases, and against traditional psychometric principles, some instruments will have to be constructed that show flexibility and can be varied according to the descriptive needs presented by individual cases.
4
tesis de maestría
Publicado 2023
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Antiguamente los programas que resguardan la salud de los trabajadores iniciaban con el proceso de las evaluaciones médicos ocupacionales. Posteriormente estás evaluaciones se fueron delimitando con el puesto de trabajo y específicamente a ciertas exposiciones que se puedan presentar durante la jornada laboral. Las evaluaciones médico ocupacionales podían ser realizadas por todos los médicos y en algunos países sólo por aquellos que contaban con alguna autorización. Seguidamente se fueron instalando servicios de salud en los lugares de trabajo los cuales tenían como finalidad realizar estas evaluaciones, cuidar al trabajador de problemas cuyo origen sea laboral y velar por el estado general de salud. Las evaluaciones de la salud de los trabajadores son la base de cualquier programa de prevención en salud y tienen como objetivo determinar anomalías permitiendo una intervenció...
5
tesis de grado
Publicado 2025
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La luxación rotuliana o patelar es un trastorno ortopédico caracterizado por el desplazamiento de la rótula fuera de su ubicación habitual dentro de la tróclea femoral, lo que puede ocasionar osteoartritis, cojera y dolor. En perros, más del 75% de los casos corresponden a luxaciones de tipo medial, mientras que menos del 25% son laterales (1). Aproximadamente la mitad de los afectados experimentan esta condición en ambas rodillas, lo que provoca principalmente incomodidad y pérdida de la función de la articulación. A mediano y largo plazo, puede desarrollarse una enfermedad articular inflamatoria y degenerativa en ambos tipos de desplazamiento de la rótula. Por ello, es fundamental resaltar el impacto de esta patología en los caninos, determinando datos actuales sobre su frecuencia y la asociación con factores predisponentes. La luxación rotuliana puede tener un orig...
6
artículo
Publicado 2023
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Background: Mental disorders are alterations in several functional domains of human beings that trigger greater morbidity and mortality if not adequately addressed. The International Classification of Diseases 11th Edition (ICD11) is a recently approved modern global system to guide clinical practice for these disorders and other conditions. State of the art: Despite the imminent implementation of this system in member states, the guidelines on its scientific basis, practice and importance in public health have been published in a scattered manner, with a mainly psychiatric medical target audience, hence, it is necessary to unify these guidelines in a single text. Therefore, the objective of this review was to analyze three associated aspects: (a) current knowledge of the subject, (b) its application in psychological practice, and (c) reflection on the implications for public health poli...
7
tesis de grado
Publicado 1996
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The Ministry of Health, as Rector of the Technical-Normative Actions for the. Adequate provision of Maternal and Perinatal Health services, has considered formulating the standards in coordination and with the. Participation of the institutions and institutions involved in this type of actions, the Perinatal Maternal Program, a subsidiary body of the Women and Children Program, established by D.S. 002-92-SA of 18.08.92 in fulfillment of its functions to contribute to achieve a significant reduction in maternal perinatal morbidity and mortality., Has considered within its Operative Plan, the standardization for the strengthening and development of activities with Risk criteria that may be adequate according to regional, sub-regional and local reality. In our environment, we are adapting ourselves, that the norms imparted by the governing body, are adapted to our reality since sometimes we...
8
artículo
Publicado 2008
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After reviewing key concepts on the issue, the author defines what institutional ethics is and outlines its functions within the organizational culture and dynamics of a health care institution. He points out that solidarity and justice constitute their fundamental basis intertwined in a good communication net. Finally, he sets forth that whenever institutional ethics is affected and stress in the working place occurs, the alteration of the three aforementioned variables leads to the most evident manifestations of this condition.
9
artículo
Publicado 2008
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After reviewing key concepts on the issue, the author defines what institutional ethics is and outlines its functions within the organizational culture and dynamics of a health care institution. He points out that solidarity and justice constitute their fundamental basis intertwined in a good communication net. Finally, he sets forth that whenever institutional ethics is affected and stress in the working place occurs, the alteration of the three aforementioned variables leads to the most evident manifestations of this condition.
10
artículo
Publicado 2020
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Peru is a varied and convulsed country, and our republican history is a proof for that. The Peruvian health system has just been built during the 20th century. However, its development has been continuously affected by inadequate government policies and by corrosive and constant corruption acts. Now, in the 21st century, the health system has undergone some sort of reconstruction, but still with a very low budget and continuing venal practices that impede its proper functioning. This paper attempts to describe the anthropological basis underlying the human actions leading to corruption. It also reviews some of the main corruption modalities within the whole Peruvian healthcare system, a fragmented entity both in its public area and in its private counterpart. Also, some influencing factors are dealt with, as it is the case for the pharmaceutical industry. The resulting situation of the P...
11
artículo
Publicado 2020
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Peru is a varied and convulsed country, and our republican history is a proof for that. The Peruvian health system has just been built during the 20th century. However, its development has been continuously affected by inadequate government policies and by corrosive and constant corruption acts. Now, in the 21st century, the health system has undergone some sort of reconstruction, but still with a very low budget and continuing venal practices that impede its proper functioning. This paper attempts to describe the anthropological basis underlying the human actions leading to corruption. It also reviews some of the main corruption modalities within the whole Peruvian healthcare system, a fragmented entity both in its public area and in its private counterpart. Also, some influencing factors are dealt with, as it is the case for the pharmaceutical industry. The resulting situation of the P...
12
artículo
Publicado 2012
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Introduction: A negative disposition influences the attitudes of health care professionals, since this is often based on erroneous assumptions about the usefulness of chronological age as a functional marker or with respect to elderly persons' ability to contribute to society. Material and Method: This is a study for validating an instrument, the Kogan's attitudes towards older people, and to determine attitudes towards the elderly in primary health care personnel in Tumbes. Results: A language validation was performed, the instrument was assessed by specifically appointed raters, and its reliability was also determined. Finally, the validated survey was administered to primary health care workers in Tumbes Health Direction. A 0,81 concordance coefficient (kappa) between translators and re-translators was found. The validity of the instrument was estimated on the basis of the assessment ...
13
artículo
Publicado 2012
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Introduction: A negative disposition influences the attitudes of health care professionals, since this is often based on erroneous assumptions about the usefulness of chronological age as a functional marker or with respect to elderly persons' ability to contribute to society. Material and Method: This is a study for validating an instrument, the Kogan's attitudes towards older people, and to determine attitudes towards the elderly in primary health care personnel in Tumbes. Results: A language validation was performed, the instrument was assessed by specifically appointed raters, and its reliability was also determined. Finally, the validated survey was administered to primary health care workers in Tumbes Health Direction. A 0,81 concordance coefficient (kappa) between translators and re-translators was found. The validity of the instrument was estimated on the basis of the assessment ...
14
artículo
Publicado 2018
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Objective: To determine the association between the exposure to scuba diving during military service and the development of neurocognitive disorders in elderly people. Materials and methods: A retrospective analytical study, derived from the database analysis of the study "Fragility and functional dependence in older adults" conducted between 2010 and 2015 on an outpatient basis by the staff of the geriatrics service of the Centro Médico Naval del Perú (Peruvian Naval Medical Center). The chi-square test, p<0.05 and 95 % CI were used to establish said association, and the Poisson model was used as regression model. Results: A total of 1,020 participants were analyzed. Three hundred twenty-two (322 [42.42 %]) participants were between 71 and 80 years of age. Two hundred forty (240 [31.62 %]) had neurocognitive disorders. Factors associated with neurocognitive disorders were: age ran...
15
artículo
Publicado 2008
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Introduction: The anatomy of labial fissure is different for each patient, and many authors have described modifications of the traditional techniques aiming at obtaining individualized designs with less incisions and better results. Reichert-Millards technique is perhaps the surgical approach most frequently used by surgeons all over the world for the management of labial fissures; however, there are some limitations when using this method when trying to obtain an individual design of the fissure to be repaired. Consequently, some modifications for Millards approach on the basis of the Lima Outreach Center severity classification and the shape of the nasal filter were proposed. Objective: To propose a combination of Millards and Reicherts approaches based on the natural lines of the lips and the severity of the labial fissure, while trying to obtain a more individ...
16
artículo
Publicado 2008
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Introduction: The anatomy of labial fissure is different for each patient, and many authors have described modifications of the traditional techniques aiming at obtaining individualized designs with less incisions and better results. Reichert-Millards technique is perhaps the surgical approach most frequently used by surgeons all over the world for the management of labial fissures; however, there are some limitations when using this method when trying to obtain an individual design of the fissure to be repaired. Consequently, some modifications for Millards approach on the basis of the Lima Outreach Center severity classification and the shape of the nasal filter were proposed. Objective: To propose a combination of Millards and Reicherts approaches based on the natural lines of the lips and the severity of the labial fissure, while trying to obtain a more individ...