Perspectivas de Comunidades Educativas sobre la violencia y su incidencia en Centros Escolares de municipios de la Zona Norte del departamento de San Miguel, 2013

Las perspectivas de los miembros de las comunidades educativas en relación a la violencia y su incidencia en los centros escolares, hacen referencia a aquellos episodios que no son originados por vínculos o prácticas propias de la escuela, sino que tienen o buscan a la institución educativa como escenario. La violencia escolar, es aquella que se produce en el marco de los vínculos propios de la comunidad educativa y en el ejercicio de los roles de quienes la conforman: padres, alumnos, docentes, directivos. Son el producto de mecanismos institucionales que constituyen prácticas violentas y/o acentúan situaciones de violencia social. El objetivo de este trabajo es identificar cuáles son los factores externos, problemáticas internas de incidencia de la violencia social hacia las instituciones educativas y las estrategias de abordaje a la problemática. La investigación tuvo como base el método mixto es decir, se propuso realizar un estudio con diseño paralelo o de conducción simultánea cualitativa y cuantitativa, de cuya información se realizaron interpretaciones sobre el problema investigado. Los resultados obtenidos se han clasificado en niveles: inferior medio y superior, en los cuales se concluye que la mayor preocupación de los miembros de las comunidades educativas de los centros escolares de los municipios de la zona norte del departamento de San Miguel, es la de los factores externos de la violencia como: la violencia generada por las maras, la inseguridad en los centros escolares y el temor que generan la presencia de grupos delincuenciale

Análisis de la competitividad del sistema extensivo de producción ovina de pequeña escala en el sureste hidalguense.

The objective of this study was to evaluate the comparative advantage of grazing in the competitiveness of the small-scale sheep production system in Singuilucan, Hidalgo, Mexico. For this purpose, data from 51 production units were analyzed, chosen from a simple random sampling. The information was obtained through an interview with 120 questions, organized into technical variables, economic aspects and social aspects of the producer. The Policy Analysis Matrix (PAM) was used to analyze the impact of grazing on competitiveness, in two scenarios: in the first, the low cost structure was studied under the traditional form of production, which uses grazing as feeding basis; while in the second, the cost was simulated by counting the purchase of feed, as well as hiring workforce. The results revealed that grazing as a feeding basis (real scenario), instead of commercial feed (simulated scenario), increases the profitability of the sheep system in 53%, which translates into a cost reduction (32%) and an increase in the utility of $10,830 (ten thousand eight hundred thirty pesos per farm) for each productive cycle of four months. The high dependency on grazing and family workforce observed in the simulated scenario indicate that the small-scale sheep production in Singuilucan could be vulnerable, if the micro-regional advantages that these factors contribute were to be lost, which would translate into a competitive reduction of approximately 62$10,830 (diez mil ochocientos treinta pesos promedio por granja) por cada ciclo productivo de cuatro meses. La alta dependencia del pastoreo y mano de obra familiar observada en el escenario simulado, indican que la producción ovina de pequeña escala en Singuilucan, podría ser vulnerable, si perdiera las ventajas microregionales que le aportan estos factores, lo cual, se traduciría en una reducción competitiva de aproximadamente 62%

Libro digital de Matemática Básica: (MA420) Línea Ingeniería

Recurso académico elaborado por el Departamento de Ciencias para el curso de Matemática Básica para ingeniería (MA420). Universidad Peruana de Ciencias Aplicadas.Este texto, al cual llamaremos libro digital, está diseñado para utilizarse en el curso de Matemática Básica para ingeniería (MA420), curso que se dicta en la Universidad Peruana de Ciencias Aplicadas (UPC). El contenido obedece a un objetivo fundamental: preparar adecuadamente a los alumnos para llevar con éxito los cursos siguientes en cada una de sus carreras y por lo tanto contiene temas que servirán de base a los mismos, además que la metodología usada obedece a un aprestamiento que el alumno adquirirá para lograr su adaptación al proceso universitario

Compromising between European and US allergen immunotherapy schools: Discussions from GUIMIT, the Mexican immunotherapy guidelines

Background: Allergen immunotherapy (AIT) has a longstanding history and still remains the only disease-changing treatment for allergic rhinitis and asthma. Over the years 2 different schools have developed their strategies: the United States (US) and the European. Allergen extracts available in these regions are adapted to local practice. In other parts of the world, extracts from both regions and local ones are commercialized, as in Mexico. Here, local experts developed a national AIT guideline (GUIMIT 2019) searching for compromises between both schools. Methods: Using ADAPTE methodology for transculturizing guidelines and AGREE-II for evaluating guideline quality, GUIMIT selected 3 high-quality Main Reference Guidelines (MRGs): the European Academy of Allergy, Asthma and Immunology (EAACI) guideines, the S2k guideline of various German-speaking medical societies (2014), and the US Practice Parameters on Allergen Immunotherapy 2011. We formulated clinical questions and based responses on the fused evidence available in the MRGs, combined with local possibilities, patient's preference, and costs. We came across several issues on which the MRGs disagreed. These are presented here along with arguments of GUIMIT members to resolve them. GUIMIT (for a complete English version, see Supplementary data) concluded the following: Results: Related to the diagnosis of IgE-mediated respiratory allergy, apart from skin prick testing complementary tests (challenges, in vitro testing and molecular such as species-specific allergens) might be useful in selected cases to inform AIT composition. AIT is indicated in allergic rhinitis and suggested in allergic asthma (once controlled) and IgE-mediated atopic dermatitis. Concerning the correct subcutaneous AIT dose for compounding vials according to the US school: dosing tables and formula are given; up to 4 non-related allergens can be mixed, refraining from mixing high with low protease extracts. When using European extracts: the manufacturer's indications should be followed; in multi-allergic patients 2 simultaneous injections can be given (100% consensus); mixing is discouraged. In Mexico only allergoid tablets are available; based on doses used in all sublingual immunotherapy (SLIT) publications referenced in MRGs, GUIMIT suggests a probable effective dose related to subcutaneous immunotherapy (SCIT) might be: 50–200% of the monthly SCIT dose given daily, maximum mixing 4 allergens. Also, a table with practical suggestions on non-evidence-existing issues, developed with a simplified Delphi method, is added. Finally, dissemination and implementation of guidelines is briefly discussed, explaining how we used online tools for this in Mexico. Conclusions: Countries where European and American AIT extracts are available should adjust AIT according to which school is followed

Anafilaxia en niños y adultos: prevención, diagnóstico y tratamiento

La anafilaxia es una condición que requiere asistencia inmediata para su resolución, se puede presentar en diferentes entornos: consultorio, hospital, escuela, hogar o en algún otro espacio público. La información aquí contenida forma parte de lineamientos conocidos sobre prevención, diagnóstico y tratamiento. Se abordan aspectos epidemiológicos, desencadenantes, factores de riesgo y cofactores; se explican de una manera didáctica los mecanismos fisiopatológicos que se traducen en fenotipos de presentación. Se enfatiza el diagnóstico clínico con base en criterios ya establecidos, se mencionan clasificaciones para evaluar la gravedad de la reacción, así como el rol de las pruebas clínicas o de laboratorio. Como aspectos de relevancia, se abordan el tratamiento de primera elección con adrenalina, instrucciones sobre autoinyectores y diferentes elementos para el tratamiento complementario y de segunda elección. También se refieren aspectos a considerar al dar de alta a un paciente y medidas de seguimiento, con un énfasis preventivo en la comunidad. Finalmente, se menciona el abordaje en el consultorio de alergia para decidir sobre opciones de inmunomodulación. ABSTRACT Anaphylaxis is a condition that requires immediate assistance for its resolution, it can occur in different settings: office, hospital, school, home or some other public space. The information contained herein forms part of known guidelines on prevention, diagnosis and treatment. Epidemiological aspects, triggers, risk factors and co-factors are addressed; physiopathological mechanisms that are translated into presentation phenotypes are explained in a didactic way. Clinical diagnosis is emphasized based on established criteria, classifications are mentioned to evaluate the severity of the reaction, as well as the role of clinical or laboratory tests. As relevant aspects, the first choice treatment with adrenaline, instructions on auto-injectors and different elements for the complementary and second choice treatment are dealt with. They also refer to aspects to consider when discharging a patient and followup measures, with a preventive emphasis on the community. Finally, the allergy clinic approach to deciding on immunomodulation options is mentione

Juxtaposing BTE and ATE – on the role of the European insurance industry in funding civil litigation

One of the ways in which legal services are financed, and indeed shaped, is through private insurance arrangement. Two contrasting types of legal expenses insurance contracts (LEI) seem to dominate in Europe: before the event (BTE) and after the event (ATE) legal expenses insurance. Notwithstanding institutional differences between different legal systems, BTE and ATE insurance arrangements may be instrumental if government policy is geared towards strengthening a market-oriented system of financing access to justice for individuals and business. At the same time, emphasizing the role of a private industry as a keeper of the gates to justice raises issues of accountability and transparency, not readily reconcilable with demands of competition. Moreover, multiple actors (clients, lawyers, courts, insurers) are involved, causing behavioural dynamics which are not easily predicted or influenced. Against this background, this paper looks into BTE and ATE arrangements by analysing the particularities of BTE and ATE arrangements currently available in some European jurisdictions and by painting a picture of their respective markets and legal contexts. This allows for some reflection on the performance of BTE and ATE providers as both financiers and keepers. Two issues emerge from the analysis that are worthy of some further reflection. Firstly, there is the problematic long-term sustainability of some ATE products. Secondly, the challenges faced by policymakers that would like to nudge consumers into voluntarily taking out BTE LEI

Search for stop and higgsino production using diphoton Higgs boson decays

Results are presented of a search for a "natural" supersymmetry scenario with gauge mediated symmetry breaking. It is assumed that only the supersymmetric partners of the top-quark (stop) and the Higgs boson (higgsino) are accessible. Events are examined in which there are two photons forming a Higgs boson candidate, and at least two b-quark jets. In 19.7 inverse femtobarns of proton-proton collision data at sqrt(s) = 8 TeV, recorded in the CMS experiment, no evidence of a signal is found and lower limits at the 95% confidence level are set, excluding the stop mass below 360 to 410 GeV, depending on the higgsino mass

Penilaian Kinerja Keuangan Koperasi di Kabupaten Pelalawan

This paper describe development and financial performance of cooperative in District Pelalawan among 2007 - 2008. Studies on primary and secondary cooperative in 12 sub-districts. Method in this stady use performance measuring of productivity, efficiency, growth, liquidity, and solvability of cooperative. Productivity of cooperative in Pelalawan was highly but efficiency still low. Profit and income were highly, even liquidity of cooperative very high, and solvability was good

Severe early onset preeclampsia: short and long term clinical, psychosocial and biochemical aspects

Preeclampsia is a pregnancy specific disorder commonly defined as de novo hypertension and proteinuria after 20 weeks gestational age. It occurs in approximately 3-5% of pregnancies and it is still a major cause of both foetal and maternal morbidity and mortality worldwide1. As extensive research has not yet elucidated the aetiology of preeclampsia, there are no rational preventive or therapeutic interventions available. The only rational treatment is delivery, which benefits the mother but is not in the interest of the foetus, if remote from term. Early onset preeclampsia (<32 weeks’ gestational age) occurs in less than 1% of pregnancies. It is, however often associated with maternal morbidity as the risk of progression to severe maternal disease is inversely related with gestational age at onset2. Resulting prematurity is therefore the main cause of neonatal mortality and morbidity in patients with severe preeclampsia3. Although the discussion is ongoing, perinatal survival is suggested to be increased in patients with preterm preeclampsia by expectant, non-interventional management. This temporising treatment option to lengthen pregnancy includes the use of antihypertensive medication to control hypertension, magnesium sulphate to prevent eclampsia and corticosteroids to enhance foetal lung maturity4. With optimal maternal haemodynamic status and reassuring foetal condition this results on average in an extension of 2 weeks. Prolongation of these pregnancies is a great challenge for clinicians to balance between potential maternal risks on one the eve hand and possible foetal benefits on the other. Clinical controversies regarding prolongation of preterm preeclamptic pregnancies still exist – also taking into account that preeclampsia is the leading cause of maternal mortality in the Netherlands5 - a debate which is even more pronounced in very preterm pregnancies with questionable foetal viability6-9. Do maternal risks of prolongation of these very early pregnancies outweigh the chances of neonatal survival? Counselling of women with very early onset preeclampsia not only comprises of knowledge of the outcome of those particular pregnancies, but also knowledge of outcomes of future pregnancies of these women is of major clinical importance. This thesis opens with a review of the literature on identifiable risk factors of preeclampsia