Los distintos regímenes laborales y sus implicancias en los trabajadores de las Microrredes de Salud Hunter y Socabaya, año 2020

Los objetivos planteados en el presente estudio fueron: analizar la existencia de los tres regímenes laborales en las Microrredes de Salud Hunter y Socabaya, y los derechos de los trabajadores, durante el año 2020. Analizar los diferentes regímenes laborales y su incidencia en el derecho a la remuneración, jornada laboral y trabajo remoto. Analizar si los regímenes laborales existentes en las Microrredes de Salud, inciden negativamente o afectan los derechos antes mencionados de sus trabajadores. El tipo de investigación es básica, pues se buscó alcanzar conocimientos en el área del derecho laboral. El enfoque fue cualitativo-cuantitativo, es decir cualitativos para analizar las variables y cuantitativo para sustentar las conclusiones en aspectos verificables de la realidad. Además, según el lugar donde se desarrolló es una investigación de campo pues se realizaron visitas a efecto de recopilar información y aplicar los instrumentos tales como cuestionario y entrevista. Pero también fue una investigación documental, dado que se revisó normas legales y otros documentos. Se concluyó que existen tres regímenes laborales de los trabajadores de la Microrred de salud Hunter y Socabaya, el régimen laboral del Decreto Legislativo 728, el régimen laboral del Decreto Legislativo 276 y el Decreto Legislativo 1057. Además, se aprobó la hipótesis en cuanto que si existe discriminación remunerativa entre trabajadores que realizan la misma función, pero que pertenecen a diferentes regímenes laborales. Se desaprobó la hipótesis en cuanto a que la existencia de estos tres regímenes afecta el derecho a la jornada de trabajo

A Detection of Sgr A* in the far infrared

We report the first detection of the Galactic Centre massive black hole, Sgr~A*, in the far infrared. Our measurements were obtained with PACS on board the \emph{Herschel} satellite at $100~\mathrm{\mu m}$ and $160~\mathrm{\mu m}$. While the warm dust in the Galactic Centre is too bright to allow for a direct detection of Sgr~A*, we measure a significant and simultaneous variation of its flux of $\Delta F_{\nu\widehat{=}160 ~\mathrm{\mu m}} = (0.27\pm0.06)~\mathrm{Jy}$ and $\Delta F_{\nu\widehat{=}100 ~\mathrm{\mu m}}= (0.16\pm0.10)~\mathrm{Jy}$ during one observation. The significance level of the $160 ~\mathrm{\mu m}$ band variability is $4.5\sigma$ and the corresponding $100 ~\mathrm{\mu m}$ band variability is significant at $1.6\sigma$. We find no example of an equally significant false positive detection. Conservatively assuming a variability of $25\%$ in the FIR, we can provide upper limits to the flux. Comparing the latter with theoretical models we find that 1D RIAF models have difficulties explaining the observed faintness. However, the upper limits are consistent with modern ALMA and VLA observations. Our upper limits provide further evidence for a spectral peak at $\sim 10^{12} ~ \mathrm{Hz}$ and constrain the number density of $\gamma \sim 100$ electrons in the accretion disk and or outflow.Comment: accepted for publication in AP

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Colección de las Obras sueltas, assi en prosa como en verso

Contén: I, Laurel de Apolo ; La Selva sin amor ; Silva al retrato de S. Magestad ; Epístola a Dom Michael de solis ; Sonetos ; XX Epístolas ; Elegía en la muerte de Balthasar Elisio de Medinilla. II, La Hermosura de Angélica ; La Philomena ; Descripción de la Tapada ; La Androneda. III, La Circe ; La Mañana de San Juan ; La Rosa Blanca ; La Dragontra ; Fiestas de Denia ; Poesías varias. IV, Corona Trágica ; Rimas Humanas ; Arte nuevo de hacer Comedias ; Poesías varias ; Discurso sen prosa sobre la Nueva Poesía ; Otras Poesías varias ; Questión sobre el Honor debido a la Poesía. V, El Peregrino en su Patri

Coleccion de las Obras Sueltas ...

Contén: XVI, Pastores de Belén. Prosas y versos divinos. XVII, Soliloquios amorosos de un alma a Dios ; Triumpho de la Fe en ... Japón ; Varios versos y prosas ; Dos Sonetos y dos Cartas ; Romances. XVIII, Fiestas del Ssmo. Sacramento, repartidas en doce Autos Sacramentales. XIX, Rimas Divinas y Humanas. Oración Ecclesiástica Funeral en las Exequias de Lope de Vega dicha por Fr. Francisco de Quintana en las honras de Lope de Vega. Oración funeral del Dr. Fernando Cardoso en la muerte de Lope de Vega. Egloga del Dr. Juan Antonio de la Peña a Lope de Veg

Colección de las Obras sueltas ...

Contén: VI, La Arcadia ; Prosas y versos. VII, La Dorotea ; Acción en prosa. VIII, Tomo de las Novelas. IX, La Vega del Parnaso, parte I. X, La Vega del Parnaso, parte II. XI El Isidro ; Poema Castellano. XII, Relación de las Fiestas ... en la Canonización de San Isidro. XIII, Trumphos Divinos con otras rimas Sacras. XIV, Jerusalén Conquistada, parte I. XV Jesuralén Conquistada, parte II ; La Virgen de la Almúdena, poema históric

Comedias escogidas de Frey Lope Felix de Vega Carpio

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