Control Previo y Transparencia Institucional

The objective of this article is to determine the relationship between prior control and management transparency in a public entity in Huancavelica. The methodology used was the quantitative approach, with a non-experimental design, correlational level, the study was applied in a population of 54 officials, reflecting for the first variable of 0.766 and the second variable of 0.741, with an excellent coefficient for both. variables, as well as the measurement scale of the instrument by Likert scale, the results are reflected in a reliability coefficient of in both variables, in conclusion the evaluated instruments show the existence of a positive correlation strength of r=0.572, allowing us to infer that the presence of prior control is usually associated with institutional transparency.El presente artículo tiene como objetivo determinar la relación del control previo y la transparencia institucional en una entidad pública de Huancavelica. La metodología que se utilizo fue de enfoque cuantitativo, con un diseño no experimental, de nivel correlacional, el estudio se aplicó en una población de 54 funcionarios, reflejando para la primera variable de 0,766 y la segunda variable de 0,741, con un coeficiente excelente para ambas variables, así como la escala de medición por medio de la escala de Likert, los resultados se reflejan en un coeficiente de fiabilidad del en ambas variables, concluyendo que los instrumentos evaluados muestran la existencia de una fuerza de correlación positiva de r=0,572, permitiendo inferir que la presencia de un control previo suele estar asociado con la transparencia institucional

Recursos Tecnológicos y Percepción Académico

The objective of this article is to determine the relationship between the technological resource and academic performance in students, the population was made up of 247 students, the sample was made up of 151 students who had at least virtual education for one year, the study was basic, level correlational, simple correlational descriptive design, the scientific method was used, the technique was the survey, the same questionnaire was applied and validated by expert judgment, reliability was determined using the Alpha Cronbach formula, yielding α = 0.888, finding a direct and significant relationship, it is concluded that Spearman's Rho coefficient is 0.587 and according to the Spearman correlation estimation scale, there is a considerable positive correlation..El presente artículo tiene como objetivo determinar la relación del recurso tecnológico y el rendimiento académico en estudiantes, la población estuvo conformado por 247 estudiantes, la muestra por 151 estudiantes que llevaron por lo menos educación virtual un año, el estudio fue de tipo básica, nivel correlacional, diseño descriptivo correlacional simple, se usó el método científico, la técnica fue la encuesta, se aplicó el cuestionario el mismo que fue validado por juicio de expertos, la confiabilidad se determinó mediante la fórmula Alpha Cronbach, arrojando α = 0.888, encontrándose una relación directa y significativa, se concluye que el coeficiente Rho de Spearman es de 0.587 y de acuerdo al baremo de estimación de la correlación de Spearman, existe una correlación positiva considerable

Evaluation of an integrated system for classification, assessment and comparison of services for long-term care in Europe: the eDESDE-LTC study

The harmonization of European health systems brings with it a need for tools to allow the standardized collection of information about medical care. A common coding system and standards for the description of services are needed to allow local data to be incorporated into evidence-informed policy, and to permit equity and mobility to be assessed. The aim of this project has been to design such a classification and a related tool for the coding of services for Long Term Care (DESDE-LTC), based on the European Service Mapping Schedule (ESMS). Methods. The development of DESDE-LTC followed an iterative process using nominal groups in 6 European countries. 54 researchers and stakeholders in health and social services contributed to this process. In order to classify services, we use the minimal organization unit or "Basic Stable Input of Care" (BSIC), coded by its principal function or "Main Type of Care" (MTC). The evaluation of the tool included an analysis of feasibility, consistency, ontology, inter-rater reliability, Boolean Factor Analysis, and a preliminary impact analysis (screening, scoping and appraisal). Results: DESDE-LTC includes an alpha-numerical coding system, a glossary and an assessment instrument for mapping and counting LTC. It shows high feasibility, consistency, inter-rater reliability and face, content and construct validity. DESDE-LTC is ontologically consistent. It is regarded by experts as useful and relevant for evidence-informed decision making. Conclusion: DESDE-LTC contributes to establishing a common terminology, taxonomy and coding of LTC services in a European context, and a standard procedure for data collection and international comparison

Vehículo Aéreo No Tripulado (VANT) una Herramienta para la Conservación de las Áreas Silvestres Protegidas del Paraguay (ASPs)

La falta de recursos humanos y logísticos dificultan en gran medida las actividades de monitoreo de Áreas Silvestres Protegidas tanto en áreas públicas como privadas. La utilización de vehículos aéreos no tripulados (VANT) como herramientas para el monitoreo podría complementar el trabajo de los guardaparques en las labores de patrullaje, especialmente en áreas remotas o de difícil acceso.CONACYT – Consejo Nacional de Ciencia y TecnologíaPROCIENCI

Clinical practice guideline of the spanish society of oral surgery for oral surgery in patients with coagulation disorders.

Background: The number of patients treated with coagulation disorders, and more specifically with anticoagulant therapy, has increased worldwide in recent years due to increased life expectancy in developed countries. The protocols for managing this type of patient in oral surgery has varied over recent years, especially after the appearance of new direct-acting oral anticoagulants (DOACs). The assessment of risk of bleeding in this type of patient when undergoing a surgical procedure continues to be a controversial issue for patients, dentists and general practitioners. The objective of this document is to offer recommendations, based on evidence, for decision making for patients with coagulopathies who require dental surgical intervention. Material and methods: Based on the indications of the "Preparation of Clinical Practice guidelines in the National Health System. Methodological manual", we gathered a group of experts who agreed on 15 PICO questions based on managing patients with coagulation disorders in dental surgical procedures, such as fitting of implants or dental extractions. Results: The 15 PICO questions were answered based on the available evidence, being limited in most cases due to the lack of a control group. Two of the PICO questions were answered by the experts with a grade C recommendation, while the rest were answered with grade D. Conclusions: The results of this review highlight the need to undertake well designed clinical trials with control groups and with a representative sample size

The Epidemiology of Injuries in Spanish Rugby Union División de Honor

Abstract Background: We describe and analyze injury incidence, severity, cause of injury, anatomical location, damaged tissue, injury recurrence, and the time and place at which injuries occur over the course of a season. Methods: An observational, descriptive, prospective, nomothetic, and multidimensional study was conducted during the 2018–2019 season with 258 players of the top semiprofessional rugby league in Spain (División de Honor de Rugby). Data were reported by the clubs’ medical services. Reported time-loss injuries were collected. Results: Overall exposure was 4100 h (137 matches), over 35 weeks of competition. A total of 288 injuries were reported, with three of these leading to withdrawal from the sport. A total average of 35.63 days was lost to injury. Overall time-loss injury incidence was 3.41 injuries/1000 h of exposure. Backs suffered 119 injuries corresponding to 3.80 injuries/1000 h of exposure, whilst forwards suffered 169 injuries with 4.27 injuries/1000 h of exposure. Severe injuries were the most frequent injury type. Conclusions: Outcomes confirm that more injuries take place during competition, with these also being more severe in nature. Contact injuries were most frequently suffered, above all, due to tackling or being tackled

Self-reported side effects after vaccination against COVID-19 in Honduras

Background: In December 2019, in the community of Wuhan, in Hubei, China, a series of atypical pneumonia cases with severe course was identified and the new disease was called COVID-19. By March 2020, the World Health Organization declared a pandemic. Understanding SARS-CoV2 genomic allowed the scientific community to develop vaccine candidates against COVID-19. Over 41 scientific groups conducted clinical trials to prove vaccines efficiency, efficacy, and safety.Method: A cross sectional retrospective study performed in Honduras since July 21st, 2021, to December 1st, 2021. This study included the population who received at least one dose of any COVID-19 vaccine. The data were collected using an online survey using Google Forms and a QR code to make it easier for the participants to access the survey and to avoid collecting any personal data from the participants. The symptoms were self-reported. A total of 2108 participants were included in the study through the online survey.Results: The average age of the participants was 34.61±11.129 years with higher frequency of people between 20-29 years old. In 60.7% of the cases, side effects were reported after the first dose of COVID-19 vaccine or in cases when only one dose was required. Only 1916 received a second dose of COVID-19 vaccine and 38.9% of them presented side effects after that second dose. The most common side effect is pain in the injection site (49.7% and 30.7%). The most common systemic side effects are fever (34.8% and 17.5%), headache (33.5% and 19.1%) and myalgia (32.8% and 17.6%). Conclusions: The side effects reported by the population after any vaccination against COVID-19 are mainly systemic effects like fever, myalgia and headache, while the most common local side effect is pain in the injection site. The rates of side effects are higher in females, and younger participants after both doses, the differences are statistically significant

Role of age and comorbidities in mortality of patients with infective endocarditis

[Purpose]: The aim of this study was to analyse the characteristics of patients with IE in three groups of age and to assess the ability of age and the Charlson Comorbidity Index (CCI) to predict mortality. [Methods]: Prospective cohort study of all patients with IE included in the GAMES Spanish database between 2008 and 2015.Patients were stratified into three age groups:<65 years,65 to 80 years,and ≥ 80 years.The area under the receiver-operating characteristic (AUROC) curve was calculated to quantify the diagnostic accuracy of the CCI to predict mortality risk. [Results]: A total of 3120 patients with IE (1327 < 65 years;1291 65-80 years;502 ≥ 80 years) were enrolled.Fever and heart failure were the most common presentations of IE, with no differences among age groups.Patients ≥80 years who underwent surgery were significantly lower compared with other age groups (14.3%,65 years; 20.5%,65-79 years; 31.3%,≥80 years). In-hospital mortality was lower in the <65-year group (20.3%,<65 years;30.1%,65-79 years;34.7%,≥80 years;p < 0.001) as well as 1-year mortality (3.2%, <65 years; 5.5%, 65-80 years;7.6%,≥80 years; p = 0.003).Independent predictors of mortality were age ≥ 80 years (hazard ratio [HR]:2.78;95% confidence interval [CI]:2.32–3.34), CCI ≥ 3 (HR:1.62; 95% CI:1.39–1.88),and non-performed surgery (HR:1.64;95% CI:11.16–1.58).When the three age groups were compared,the AUROC curve for CCI was significantly larger for patients aged <65 years(p < 0.001) for both in-hospital and 1-year mortality. [Conclusion]: There were no differences in the clinical presentation of IE between the groups. Age ≥ 80 years, high comorbidity (measured by CCI),and non-performance of surgery were independent predictors of mortality in patients with IE.CCI could help to identify those patients with IE and surgical indication who present a lower risk of in-hospital and 1-year mortality after surgery, especially in the <65-year group