Diligencias preliminares y celeridad procesal en el delito de omision a la asistencia familiar, en la fiscalia de Huancayo, 2021

La presente tesis parte del problema: ¿De qué manera la apertura de diligencias preliminares afecta la celeridad procesal en el delito omisión a la asistencia familiar en la quinta Fiscalía Provincial Penal Corporativa de Huancayo, 2021?, teniendo como objetivo determinar de qué manera la apertura de diligencias preliminares afecta la celeridad procesal en el delito omisión a la asistencia familiar en la quinta Fiscalía Provincial Penal Corporativa de Huancayo, 2021. La investigación tiene como método general el método inductivo deductivo, se encuentra ubicada en la investigación de tipo aplicada, bajo el enfoque cuantitativo; en el nivel explicativo; con un diseño de investigación no experimental, explicativo transeccional. Para la etapa de ejecución de la investigación se utilizó como técnicas de recolección de datos la encuesta y se elaboró el cuestionario que se aplicó a la muestra que estuvo conformada por 30 Fiscales de la quinta Fiscalía Provincial Penal Corporativa de Huancayo. Los resultados nos permitieron contrastar y corroborar nuestra hipótesis planteada esto es que la apertura de diligencias preliminares afecta significativamente la celeridad procesal en el delito omisión a la asistencia familiar

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries