El conocimiento sobre la no adherencia de métodos anticonceptivos ¿Podría disminuir la mortalidad? Knowledge about non-adherence to contraceptive methods Could it decrease mortality?

Introduction: In Peru, 78.1% of women between the ages of 15 and 49 use a contraceptive method, which is diminished by various factors associated with non-adherence to the contraceptive method, thus producing unwanted pregnancies and the spread of sexually transmitted diseases. Objective: To determine the factors associated with non-adherence to contraceptive methods in women of childbearing age in Peru according to ENDES 2021. Methods: Observational, analytical and cross-sectional study. The information used is found in the ENDES 2021 public database. The population of this research is made up of Peruvian women between the ages of 15 and 49. Statistical analysis was performed with the statistical program SPSS version 26.0. The qualitative variables were represented in a univariate table with frequencies and coefficients of variation. The approved statistical significance value was p <0.05 with 95% confidence intervals. Results: 43.7% of women did not adhere to the contraceptive method. There was a significant association for the variables: area of rural residence (Rpa 1.05 IC 1 – 1.1), separated marital status (Rpa 1.1, IC 1 – 1.1), widow marital status (Rpa 1.3, IC 1.1 – 1.5), cohabiting marital status ( Rpa 1.1, IC 1.1 – 1.2) , poor wealth index (Rpa 1.03, IC 0.9 – 1.0) Conclusions: The factors associated with non-adherence to contraceptive methods in women of childbearing age in Peru, which are significantly associated are: Rural area of residence, separate marital status, widow and cohabitant and have a poor wealth index.Introducción: : En el Perú el 78,1% de mujeres entre 15 a 49 años utilizan un método anticonceptivo, lo cual se ve mermado por diversos factores asociados a la no adherencia al método anticonceptivo, generando así embarazos no deseados y contagio de enfermedades de transmisión sexual. Objetivo: Determinar los factores asociados a la no adherencia de métodos anticonceptivos en mujeres en edad fértil en el Perú según la ENDES 2021. Métodos: Estudio de tipo observacional, analítico y transversal. La información utilizada se encuentra en la base de datos pública de la ENDES 2021. La población de esta investigación está constituida por mujeres peruanas de 15 a 49 años. El análisis estadístico se realizó con el programa estadístico SPSS versión 26,0. Las variables cualitativas fueron representadas en una tabla univariada con frecuencias y coeficientes de variación. El valor de significancia estadística aprobado fue de p <0,05 con intervalos de confianza al 95%. Resultados:El 43,7% de mujeres no tuvieron adherencia al método anticonceptivo. Hubo asociación significativa para las variables: área de residencia rural (Rpa 1,05, IC 1 – 1,1) , estado civil separada (Rpa 1,1, IC 1 – 1,1) , estado civil viuda (Rpa 1,3, IC 1,1 – 1.5), estado civil conviviente (Rpa 1,1, IC 1,1 – 1,2), índice de riqueza pobre(Rpa 1,03, IC 0,9 – 1,0). Conclusiones: Los factores asociados a la no adherencia de métodos anticonceptivos en mujeres de edad fértil en el Perú, los cuales se asocian de manera significativa son: El área de residencia rural, el estado civil separada, viuda y conviviente y poseer un índice de riqueza pobre

Parâmetros de resfriamento de frutas e hortaliças de diferentes dimensões em um sitema com água fria

The cooling of fruits and vegetables in hydrocooling system can be a suitable technique. This work aimed to define cooling time for fruits and vegetables of different sizes, presenting practical indexes that could be used to estimate cooling time for produce with similar characteristics. Fruits (orange melon-Cucumis melo, mango-Mangifera indica, guava-Psidium guajava, orange-Citrus sinensis Osbeck, plum-Prunus domestica, lime-Citrus limon, and acerola-Prunus cerasus) and vegetables (cucumber-Cucumis sativus, carrot-Daucus carota, and green bean-Phaseolus vulgaris), were cooled in a hydrocooling system at 1°C. The volume of fruits and vegetables ranged between 8.18 cm³ and 1,150.35 cm³, and between 13.06 cm³ and 438.4 cm³, respectively. Cooling time varied proportionally to produce volume (from 8.5 to 124 min for fruits, and from 1.5 to 55 min, for vegetables). The relationship between volume and time needed to cool fruits (from 1.03 min cm-3 to 0.107 min cm-3) and vegetables (from 0.06 min cm-3 to 0.12 min cm-3) is an index that could be used to estimate cooling time for fruits and vegetables with similar dimensions as those presented in this work.O resfriamento com água gelada pode ser uma técnica adequada para frutas e hortaliças frescas. Este trabalho teve como objetivo obter o tempo de resfriamento de frutas e hortaliças de dimensões diferentes, e apresentar índices práticos que possam ser usados para estimar o tempo de resfriamento de produtos com características semelhantes. Frutas (melão-Cucumis melo, manga-Mangifera indica, goiaba-Psidium guajava, laranja-Citrus sinensis Osbeck, ameixa-Prunus domestica, limão-Citrus limon e acerola-Malpighia glabra) e hortaliças (pepino-Cucumis sativus, cenoura-Daucus carota e vagem-Phaseolus vulgaris), foram resfriadas num sistema por imersão em água à 1°C. O volume das frutas oscilou de 1150,35 cm³ a 8,18 cm³ e das hortaliças entre 438,4 cm³ a 13,06 cm³. O tempo de resfriamento variou proporcionalmente com o volume dos frutos, de 8,5 min até 124 min (frutas) e de 1,5 min até 55 min (hortaliças). Foi calculado o índice relacionando volume e tempo de resfriamento das frutas (1,03 min cm-3 a 0,107 min cm-3) e hortaliças (0,06 min cm-3 a 0,12 min cm-3), que pode ser usado para a estimativa do tempo de resfriamento de frutas e hortaliças com dimensões semelhantes

Parâmetros de resfriamento de frutas e hortaliças de diferentes dimensões em um sitema com água fria

The cooling of fruits and vegetables in hydrocooling system can be a suitable technique. This work aimed to define cooling time for fruits and vegetables of different sizes, presenting practical indexes that could be used to estimate cooling time for produce with similar characteristics. Fruits (orange melon-Cucumis melo, mango-Mangifera indica, guava-Psidium guajava, orange-Citrus sinensis Osbeck, plum-Prunus domestica, lime-Citrus limon, and acerola-Prunus cerasus) and vegetables (cucumber-Cucumis sativus, carrot-Daucus carota, and green bean-Phaseolus vulgaris), were cooled in a hydrocooling system at 1°C. The volume of fruits and vegetables ranged between 8.18 cm³ and 1,150.35 cm³, and between 13.06 cm³ and 438.4 cm³, respectively. Cooling time varied proportionally to produce volume (from 8.5 to 124 min for fruits, and from 1.5 to 55 min, for vegetables). The relationship between volume and time needed to cool fruits (from 1.03 min cm-3 to 0.107 min cm-3) and vegetables (from 0.06 min cm-3 to 0.12 min cm-3) is an index that could be used to estimate cooling time for fruits and vegetables with similar dimensions as those presented in this work.O resfriamento com água gelada pode ser uma técnica adequada para frutas e hortaliças frescas. Este trabalho teve como objetivo obter o tempo de resfriamento de frutas e hortaliças de dimensões diferentes, e apresentar índices práticos que possam ser usados para estimar o tempo de resfriamento de produtos com características semelhantes. Frutas (melão-Cucumis melo, manga-Mangifera indica, goiaba-Psidium guajava, laranja-Citrus sinensis Osbeck, ameixa-Prunus domestica, limão-Citrus limon e acerola-Malpighia glabra) e hortaliças (pepino-Cucumis sativus, cenoura-Daucus carota e vagem-Phaseolus vulgaris), foram resfriadas num sistema por imersão em água à 1°C. O volume das frutas oscilou de 1150,35 cm³ a 8,18 cm³ e das hortaliças entre 438,4 cm³ a 13,06 cm³. O tempo de resfriamento variou proporcionalmente com o volume dos frutos, de 8,5 min até 124 min (frutas) e de 1,5 min até 55 min (hortaliças). Foi calculado o índice relacionando volume e tempo de resfriamento das frutas (1,03 min cm-3 a 0,107 min cm-3) e hortaliças (0,06 min cm-3 a 0,12 min cm-3), que pode ser usado para a estimativa do tempo de resfriamento de frutas e hortaliças com dimensões semelhantes.655658Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP

Factors that make difficult the development of the communication ability of the students in the 11th year A at Rigoberto Lopez Perez Institute in the 3rd District of the Department of Managua during the II Semester of 2016

This research was conducted at Rigoberto Lopez Perez Institute on the use of English as a foreign language. It takes as the main approach the communicative skill or speaking. And it addresses the different problems or hindrances that make difficulty the development of the communicative skill in the students of the 11th year A. It also approaches the strategies and methods and teaching resources used by the teacher to set an English environment. Therefore, it is vital to conduct this investigation, because the obtained information can help to overcome weaknesses and improve the English teaching system at Rigoberto Lopez Perez Institute. Also, it can provide guidelines for the English professor to improve his teaching methods and strategies. All this is done to benefit students with a better teaching-learning quality. This research main objective is to increase future performance in high school students. In addition, it also brings a warning for bilingual teachers to prevent repeating the same mistakes over and over in the future practice of teaching. Moreover, between the specific objectives these research paper addresses to be external factors (noise), teaching strategies, effectiveness of teaching resources and interest of the students to use English. This paper presents as essential the important role of interest in students to overcome their fears to speak and practice the foreign language whether inside or outside the classroom. And it is urged to the teacher to take advantage of the student’s interest to develop the activities and tasks

Marco de desarrollo basado en ITIL V4 para gestionar los incidentes y requerimientos a cargo del area de sistemas d ela Universidad Privada de Piura

El presente estudio de investigación se caracterizó por tener como objetivo principal diagnosticar los servicios de información de la Universidad de Piura que permita la implementación de un marco de desarrollo basado en ITIL V4 para la gestión de incidentes, requerimientos y satisfacción de los usuarios. El estudio siguió un diseño pre-experimental, de tipo aplicada, de alcance explicativa y propositiva la población estuvo conformada por 7,783 incidencias y 2,797 solicitudes o requerimientos, mientras que la muestra estuvo constituida por 367 incidentes y 338 requerimientos. Los instrumentos que se aplicaron fue la guía de análisis documental y un check list. Los principales hallazgos fueron que antes de la implementación del ITIL V4, la gestión de incidentes (51%) y requerimientos (30%) fue deficiente, pero está situación cambió cuando se ejecutó en el área de sistemas de la UDEP el ITIL V4, ya que la gestión mejoró al evidenciar que se lograron atender un 89% de las incidencias y un 92% de los requerimientos. Se concluyó que la implementación de un marco de desarrollo basado en ITIL 4.0 mejora la gestión de los incidentes, requerimientos y satisfacción de los usuarios del área de sistemas de la Universidad de Piura.The present research study was characterized by having as its main objective to diagnose the information services of the University of Piura that allows the implementation of a development framework based on ITIL V4 for the management of incidents, requirements and user satisfaction. The study followed a pre experimental design, of an applied type, with an explanatory and proactive scope. The population consisted of 7,783 incidents and 2,797 requests or requirements, while the sample consisted of 367 incidents and 338 requirements. The instruments that were applied were the documentary analysis guide and a check list. The main findings were that before the implementation of ITIL V4, the management of incidents (51%) and requirements (30%) was deficient, but this situation changed when ITIL V4 was executed in the UDEP systems area, since that management improved by showing that 89% of the incidents and 92% of the requirements were addressed. It was concluded that the implementation of a development framework based on ITIL 4.0 improves the management of incidents, requirements and user satisfaction in the systems area of the University of Piura.Tesi

The performance of social responsible investing from retail investors' perspective: international evidence

This paper investigates the performance of socially responsible investment (SRI) portfolios compared to conventional investments. Adopting a retail investor's perspective, we provide evidence of SRI financial performance at the worldwide level as well as at the regional level, for five regions (North America, Europe except UK, UK, Pacific region and emerging markets). Our results show that the performance of global SRI portfolios is higher than conventional investments. Moreover, we observe differences in the financial performance of regional SRI portfolios in the overall period and, in particular, in bear markets. These results suggest that country-specific factors may affect the relationship between corporate social and financial performance

Waist circumference in Liver Disease

Background Central fat accumulation is important in Non-alcoholic Fatty Liver Disease (NAFLD) etiology. It is unknown weather any commonly used waist circumference (WC) measurement protocol (mp), as whole and central fat accumulation marker, is preferable for patients with NAFLD. The present study sought to find a preferable WC mp to be used in patients with NAFLD, based on three-fold criterion. Material and methods Body fat (BF) was assessed through Dual Energy X-ray Absorptiometry (DXA) in 28 patients with NAFLD (19 males, 51 + 13 yrs, and 9 females, 47 + 13 yrs). WC was measured using four different WC mp (WC1-narrowest torso, WC2- just above iliac crest, WC3- mid-distance between iliac crest and last rib and WC4- at the umbilicus). Results All WC measurements were highly correlated particularly with central BF depots, including trunk BF (r=0.78; r=0.82; r=0.82; r=0.84; respectively for WC1, WC2, WC3 and WC4) abdominal BF (r=0.78; r=0.78; r=0.80; r=0.72; respectively for WC1, WC2, WC3 and WC4) and central abdominal BF (r=0.76; r=0.77; r=0.78; r=0.68; respectively for WC1, WC2, WC3 and WC4), controlling for age, sex and body mass index. There were no differences between the correlation coefficients obtained between all studied WC measurements and each whole and central analyzed BF variable. Conclusion All studied WC mp seem suitable for use in patients with NAFLD, particularly as central BF clinical assessment tool, though not interchangeably. Hence biological and precision criteria alone did not sanction the superiority of any WC mp. Practical criteria may endorse WC measured at the iliac crest.info:eu-repo/semantics/publishedVersio

Waist-to-Hip Ratio is Related to Body Fat Content and Distribution Regardless of the Waist Circumference Measurement Protocol, in Non-Alcoholic Fatty Liver Disease Patients

Central accumulation and distribution of body fat (BF) is an important cardiometabolic risk factor. Waist-to-hip ratio (WHR), commonly elevated in non-alcoholic fatty liver disease (NAFLD) patients, has been endorsed as a risk related marker of central BF content and distribution, but no standardized waist circumference measurement protocol (WCmp) has been proposed. We aimed to investigate whether using different WCmp affects the strength of association between WHR and BF content and distribution in NAFLD patients. BF was assessed with Dual Energy X-ray Absorptiometry (DXA) in 28 NAFLD patients (19 males, 51 ± 13 yrs, and 9 females, 47 ± 13 yrs). Waist circumference (WC) was measured using four different WCmp (WC1: minimal waist; WC2: iliac crest; WC3: mid-distance between iliac crest and lowest rib; WC4: at the umbilicus) and WHR was calculated accordingly (WHR1, WHR2, WHR3 and WHR4, respectively). High WHR was found in up to 84.6% of subjects, depending on the WHR considered. With the exception of WHR1, all WHR correlated well with abdominal BF (r=0.47 for WHR1; r=0.59 for WHR2 and WHR3; r=0.58 for WHR4) and BF distribution (r=0.45 for WHR1; r=0.56 for WHR2 and WHR3; r=0.51 for WHR4), controlling for age, sex and body mass index (BMI). WHR2 and WHR3 diagnosed exactly the same prevalence of high WHR (76.9%). The present study confirms the strong relation between WHR and central BF, regardless of WCmp used, in NAFLD patients. WHR2 and WHR3 seemed preferable for use in clinical practice, interchangeably, for the diagnosis of high WHR in NAFLD patients.co-financed by national funds through the Programa Operacional do Alentejo (ALENT-07-0262-FEDER-001883)info:eu-repo/semantics/publishedVersio