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En la presente revisión, y apoyándonos en nuestra experiencia en el Hospital Comarcal de Jaca, intentaremos poner de relieve y discutir los beneficios y los problemas que generan las unidades de cirugía sin ingreso. Analizaremos los distintos tipos de programas ambulatorios y los modelos de unidad quirúrgica, mostrando sus ventajas e inconvenientes. Por último, intentaremos proponer diversas líneas para mejorar la calidad ofertada, la satisfacción del usuario y la relación coste / efectividad de los procesos quirúrgicos.
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The article reaffirms the positive effects of immigration in the long term, however, with the intention of emphasizing the problems that arise in the short term, regarding the recent Venezuelan immigration in Peru. These problems derive due to the characteristics of the economy, as well as the nature of a large informal sector or the deficit of physical capital and public infrastructure. It is worth to note that the duration of these problems will depend on the quality of the public policies that will be implemented to achieve the benefits of immigration. Finally, some policy recommendations are proposed.
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The author develops four problems of interpretation of the national regulation regarding the prescription of the sanctioning power of the State, presenting the development that each one of them has deserved in the time of validity of Law No. 27444, Law of General Administrative Procedure.
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The author develops four problems of interpretation of the national regulation regarding the prescription of the sanctioning power of the State, presenting the development that each one of them has deserved in the time of validity of Law No. 27444, Law of General Administrative Procedure.
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It is a fact well documented by economic theory that high and durable inflation has a negative effect on economic growth, but that as the effects on the latter decline, they are non-linear. This work answers two research questions related to the works that have studied this empirical relationship in the last three decades. The first is about its external validity: How useful are they to predict the economic evolution of emerging countries? Simulating the growth of a sample of emerging markets for the past 20 years from these models, we found high and disparate prediction errors and therefore certain drawbacks when generalizing their conclusions. Understanding why this happens gives rise to the second question, linked to the internal validity of the models: What unresolved problems exist in the estimates carried out by the authors? the answer is that there are problems of specification,...
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The problem of safe obstetrical care has special relevance in recent years due to the interest of health professionals in reducing adverse events and improving healthcare. However, this is pursued in complex, uncertain and variable scenarios and risks, where human behavior may increase the probability of error. We often have to make short term decisions when attending two patients simultaneously – mother and fetus-, and the mother expects a deferential treatment during pregnancy, delivery and the puerperium. These processes involve multiple activities and tasks, and failures may occur. Faced with the paradigm change of involving the patient in the care and decision making process, we have to provide them with the most complete evidence, to avoid contingencies and to obtain the best possible results.
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Here we will try to deal with the meaning of terms, more precisely the factors that influence, if they do not determine, the meaning of our words. To do this we will use texts classified as “philosophical” as well as “literary”.
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The essay analyzes the role that time plays in the single specific transaction, in order to revisit the classic category of long-term contracts. In this perspective, considering the variety of interests involved, the author reexamines the structuralist traditional concept of durable obligations related to a continuing and repeated prevision, aiming to associate long-term contracts mainly to the functional divisibility of the whole contract itself, to the concrete cause realized by negotiation through the time, to a dynamic consideration of the interests that parties would achieve through the duration. Therefore, the main idea of the proposed analysis is that a careful investigation only of the contractual interests of the parties, aside from any abstract and typological approach, can offer a convincing way of solving problems about the still discussed nature of long-term contr...
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In this work we are concerned with the existence of strong solutions and exponential decay of the total energy for the initial boundary value problem associated with the quasilinear wave equation with nonlinear source and boundary damping term. The results are proved by means of the potential well method, the multiplier technique and suitable unique continuation theorem for the wave equation with the variable coefficient.
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We study the blow-up in finite time of the local solutions to the mixed problem for a type of nonlinear Kirchhoff's equation with damping term.
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We study the blow-up in finite time of the local solutions to the mixed problem for a type of nonlinear Kirchhoff's equation with damping term.
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In present work, we study the existence and uniqueness of local solutions for the mixed problem relative to a system of viscoelastic nonlinear Kirchhoff's equation with dissipative term.
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In present work, we study the existence and uniqueness of local solutions for the mixed problem relative to a system of viscoelastic nonlinear Kirchhoff's equation with dissipative term.
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The study of phraseology is an advanced direction of teaching methods of Russian as a foreign language. Any non-native speaker embarking on a study of Russian is faced with the problems of understanding the phraseological units that the Russian language is replete with. Language learners experience particular difficulties when using phraseological units with the color designation component “black” in a real-life communicative situation. The problem of understanding the phraseology of the Russian language is associated with the fact that representatives of different countries have knowledge of the phraseology of their native language that encompasses regional geography, linguoculturological, national concepts, which often do not coincide with similar phenomena in the Russian environment. This paper scientifically substantiates the methodological system for working with phraseological ...
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This work analyzes the technical problem in which the discourse of inclusive education has become through the lack of ethical responsibility of educational provision, a liberal argument that reinforces the permanent defense of rights while the conditions of oppression and domination conceived in terms of injustice continue to operate strongly in the life of each person and community. The objective of this work is to document how educational policies, knowledge production and teacher training, put on the rhetorical costume of the special or rather, the neo-special, to justify the sense of the inclusive. Although the special is a form of inclusion, inclusion is not necessarily a form of the special, it is a cultural revolution, a space for the production of other worlds, of fracture and permanent challenge of pedagogical knowledge. The lack of analytical rigor of these educational policies...
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In present work, we study the blow-up infinite time of solutions to the mixed problem relative to a system of viscoelastic nonlinear Kirchhoff's equatious with dissipative term.
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En el presente trabajo, estudiamos la singularidad en tiempo finito de las soluciones del problema mixto para un tipo de ecuación de onda degenerada no lineal con término disipativo.
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This study systematized information on the size of sexual abuse, reviews the history, symptoms in the short and long term impact on mental health, as well as risk behaviors in this population, prevalence, detection consequences. While there is no limit to being a victim of sexual abuse, the age of greatest risk is at the stage of puberty, probably because at this age express the changes in physical and sexual development as well as the expansion of space socialization. The high number of dysfunctional families, points out the importance in our environment have these events in the genesis of this problem. In particular when the maternal model is a non-assertive woman, oppressed victim of domestic assault, unable to transmit behavioral skills to help their daughters to protect themselves.Sexual assault can occur in unpopulated areas and remote, but also in public places, crowded and close....
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This study systematized information on the size of sexual abuse, reviews the history, symptoms in the short and long term impact on mental health, as well as risk behaviors in this population, prevalence, detection consequences. While there is no limit to being a victim of sexual abuse, the age of greatest risk is at the stage of puberty, probably because at this age express the changes in physical and sexual development as well as the expansion of space socialization. The high number of dysfunctional families, points out the importance in our environment have these events in the genesis of this problem. In particular when the maternal model is a non-assertive woman, oppressed victim of domestic assault, unable to transmit behavioral skills to help their daughters to protect themselves.Sexual assault can occur in unpopulated areas and remote, but also in public places, crowded and close....
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In the present work, we study a non-homogeneous second order partial hyperbolic differential equation, its canonical form, its resolution using D’Alembert’s formula and  Green’s theorem. Only mixed initial conditions that are not homogeneous are required to solve this problem. There are several physical problems that lead to this type of mathematical model, so this technique of resolution contributes to the knowledge of finding explicit solutions of problems such as two-dimensional wave type. Within the results the explicit solution of three cases is generated: regarding the homogeneity and non-homogeneity of the initial conditions and the term source, from the point of view of analytical solution for continuous functions.