Pictogramas En El Desarrollo Del Lenguaje En Niños De Inicial En Una Institución Educativa, Caraz, 2021

El objetivo general de la investigación fue determinar el nivel de desarrollo del lenguaje con pictogramas en niños de inicial en una institución educativa, Caraz, 2021. Se utilizó como metodología el diseño no experimental, descriptivo simple, deductivo, de enfoque cuantitativo, como técnica se utilizó la encuesta y como instrumento de medición la prueba de Lenguaje Visual creado por Campos (2018), como muestra se consideró a 22 estudiantes de cinco años de la Institución Educativa N°88366 Santa Rosa de Catedral. La cual fue seleccionada mediante el muestreo no probabilístico intencional. Los resultados demostraron que el 40.91%, alcanzaron un nivel en inicio en el desarrollo del lenguaje con pictogramas. el 36.36% de los niños de inicial, alcanzaron un nivel de inicio en el desarrollo del lenguaje en el aspecto semántico con pictogramas y el 36.36% de los niños de inicial, alcanzaron un nivel un nivel en inicio en el desarrollo del lenguaje en el aspecto sintáctico con pictogramas. Se concluye que 40.91% de los niños de inicial de una Institución Educativa, Caraz – 2021, alcanzaron un nivel en inicio en el desarrollo del lenguaje con pictogramas.Tesi

como mitigar os riscos

A instável situação no Sahel tem gerado significativos riscos, especialmente aos países do sul de Europa. Muitos estão a ser os investimentos e os recursos para implementar uma situação que por vezes parece piorar. Para propor novas iniciativas que assegurem um melhor futuro realizou-se esta investigação, focada num país que é o fiel reflexo da situação no Sahel, o Mali. Caracterizado o Mali e os seus atores mais relevantes, selecionaram-se eventos chave, que foram analisados por especialistas para determinar as suas probabilidades. Com esses contributos, foram criados cenários através do software SMIC Prob Expert. Estes foram analisados para identificar medidas que permitirão mitigar os riscos da insegurança e instabilidade no país maliano. O estudo permitiu concluir que a probabilidade de um desfecho não desejado é alta. Felizmente, a tendência para o futuro é mais esperançosa. O evento Desenvolvimento Económico e Social revelou-se crucial e a elevada dependência entre os eventos faz com que todos sejam necessários para atingir a estabilidade, sendo o evento Controlo do Território o que apresentará mais dificuldades em ser atingido. A metodologia utilizada revelou-se uma ferramenta muito recomendável para a solução ou para o estudo de crises na área dos conflitos armados.The unstable situation in the Sahel creates significant risks, especially in the countries of southern Europe. Many are being the investments and the resources to implement a situation that sometimes seems to get worse. To propose new initiatives to ensure a better future, this work was developed, focusing specifically on a country which is a faithful reflection of what is happening in the Sahel, Mali. Characterized Mali and its most relevant actors, key events were selected and analysed by experts to determine their probabilities. With these contributions, scenarios were created through SMIC Prob Expert software. These were analysed to identify measures that will mitigate the risks of insecurity and instability. The study concluded that the likelihood of an undesired outcome is high. However, the trend for the future is more hopeful. The event Economic and Social Development has proved crucial and the high dependence between events makes all necessary to achieve stability. The Territory Control event will be the most difficult to achieve. The methodology used has proved to be a useful tool for solving or analysing crises and armed conflicts.N/

Medidas de protección y la violencia contra la mujer en el distrito de Los Olivos, 2023

La presente investigación tiene como objetivo determinar cómo las MP contribuyen a la reducción de violencia contra la mujer, en el distrito de Los Olivos, 2023; cuya metodología, fue de enfoque cualitativo, de tipo básica, de diseño de teoría fundamentada; teniendo como instrumentos, la guía entrevista aplicada a 10 expertos en derecho penal, y la ficha documental aplicada a 6 documentos jurisprudenciales y de derecho comparado. Se obtuvieron como resultados que no se cumplen ciertos estándares para la protección de la víctima, pese a ya tener MP, por lo cual es necesario buscar el retiro del agresor del domicilio, sobre todo en casos donde existe violencia física o sexual contra la mujer, donde el Juez de Familia tiene que actuar de forma inmediata, proporcional y razonable sobre un mandato judicial. De esta manera se concluye que las MP pueden reducir los índices de violencia contra la mujer si existe una actuación oportuna del Ministerio Público y la PNP, conforme a los alcances de la Ley N° 30364; además de un correcto llenado de la ficha de valoración de riesgo, para considerar el riesgo real de la persona víctima de violencia, sobre todo cuando el agresor puede reincidir

Fully automatic multi-temporal land cover classification using Sentinel-2 image data

[Abstract] The analysis of remote sensing images represents a highly important issue to be performed in many relevant fields such as climate change studies or land cover mapping. Traditional proposals usually identify the land cover classes from general related groups such as different tree species or different crop varieties. Additionally, these proposals commonly use information from a precise time span or season, not accounting for the variability of the data over the entire year, specially in regions with several seasons. In this work, we propose a multi-temporal classification system to identify and represent diverse land cover classes over any period of the entire year by using Sentinel-2 satellite image data. To this end, 526 representative samples were labelled from 5 complex and variable different land cover types over the Special Area of Conservation (SAC) Betanzos-Mandeo in the northwest of the Iberian Peninsula. The method achieves a satisfactory mean accuracy value of 84.0% for the testing set using the best configuration with a radial Support Vector Machine classifier. This system will be used in the study of the population connectivity of two threatened herptiles, but it can be easily extended to other species of interest in the future.Xunta de Galicia; ED431G/01Xunta de Galicia; ED431C 2016-04

Factores de riesgo asociados a mortalidad por paro cardiaco intraoperatorio en el Hospital Nacional Guillermo Almenara Irigoyen, 2011-2015

Introduction. The incidence and mortality of intraoperative cardiac arrest (PCI) are indicators of quality of care and efficiency in surgical centers. Objective. To determine the risk factors associated with mortality due to PCI in the Hospital Nacional Guillermo Almenara Irigoyen, Lima, Peru, during the years 2011 to 2015. Methods. An observational, descriptive and retrospective study of PCI occurred during the study period, where the relative risk was determined. Results. Between the years 2011 to 2015 there were 88 PCI out of a total of 74 096 surgeries performed; the incidence of PCI was 11,87 x 10 000 surgeries. Of the 88 PCI, 39 patients died (44,3%); the intraoperative mortality was 5,26 x 10 000 surgeries. The risk factors associated with mortality due to PCI were: CPR greater than 20 minIntroducción. La incidencia y mortalidad de paro cardiaco intraoperatorio (PCI) son indicadores de la calidad de atención y eficiencia en centros quirúrgicos. Objetivo. Determinar los factores de riesgo asociados a mortalidad por PCI en el Hospital Nacional Guillermo Almenara Irigoyen, Lima, Perú, durante los años 2011 a 2015. Métodos. Se realizó un estudio observacional, descriptivo y retrospectivo de PCI ocurridos en el periodo de estudio, donde se determinó el riesgo relativo. Resultados. Entre los años 2011 a 2015 ocurrieron 88 PCI de un total de 74 096 cirugías realizadas; la incidencia de PCI fue de 11,87 x 10 000 cirugías. De los 88 PCI, 39 pacientes fallecieron (44,3%); la mortalidad intraoperatoria fue 5,26 x 10 000 cirugías. Los factores de riesgo asociados a mortalidad por PCI fueron: RCP mayor de 20 minutos (RR: 3,9), clasificación ASA (RR: 3,4), cirugía cardiovascular (RR: 2,9), causas quirúrgicas (RR:2,9), etapa de mantenimiento anestésico (RR:2,0). Conclusiones. En el periodo de estudio la incidencia de PCI fue de 11,87 x 10 000 cirugías; los factores de riesgo asociados a mortalidad por PCI fueron la RCP mayor de 20 minutos, alto riesgo ASA, cirugía por enfermedad cardiovascular, eventos adversos relacionados con cirugías y mantenimiento anestésico

Editorial. Volumen 14, Número 1

El primer número de 2024 coincide con el fin de una etapa y el inicio de un proceso de cambios tendientes a afianzar la visión, presencia y difusión de nuestra revista. Actualmente nos encontramos frente al desafío de renovar la estructura de la publicación. Pasamos de la edición y presentación de los artículos en tres números anuales a la publicación continua. Esto implica que cuando un artículo ha culminado el proceso de edición (primera lectura, revisión por pares, correcciones solicitadas y maquetación) pasa a ser publicado y difundido de manera individual, sustituyendo la periodicidad que hasta ahora veníamos contemplando. Es esperable que esta modalidad de publicación contribuya a disminuir el tiempo de edición de los artículos y lleve al aumento en la difusión de las investigaciones

Lesiones y tratamiento en orofaringe asociadas al sars-cov-2

   COVID-19 is a communicable disease caused by severe acute respiratory syndrome (SARS-COV-2). The oral cavity is a route of entry for SARS-COV-2. Oral epithelial cells, taste buds, and glands play an important role as they express cellular entry factors for SARS-COV-2, such as angiotensin-converting enzyme 2 (ACE2) and type 2 transmembrane serine protease (TMPRSS2).Oropharyngeal manifestations were found in the oral cavity, mainly in the tongue and hard palate. In mild cases, the use of alcohol-free mouthwash Chlorhexidine 0.12%, antibiotic therapy, and in severe cases photobiomodulation therapy was indicated, in other cases the lesions disappeared as the disease subsided.The virus can be detected in saliva, even before symptoms of COVID-19 appear. Reducing oral viral load could lead to a lower risk of transmission mainly through salivary droplets or aerosols. The use of mouthwashes is intended to reduce the bacterial load in infected patients who come to dental care. Among them we have chlorhexidine used in two concentrations of 0.12% and 0.2%. Both were found to be effective. Another of them is cetylpyridinium chloride, there is evidence that its use reduces viral load in patients with COVID-19 for up to six hours. Povidone iodine has also been shown to reduce viral load as a 0.23% mouthwash for 15 seconds prior to dental consultation. Another of the rinses used for this purpose is 1% hydrogen peroxide, since SARS-COV2 is vulnerable to oxidation.   El COVID-19 es una enfermedad transmisible provocado por el síndrome respiratorio agudo severo (SARS-COV-2). La cavidad oral es una ruta de entrada para el SARS-COV-2.  Las células de epitelio oral, papilas gustativas y glándulas tienen un rol importante ya que expresan factores de entrada celular para el SARS-COV-2, como la Enzima convertidora de angiotensina 2 (ACE2) y Serina proteasa transmembrana de tipo 2 (TMPRSS2).Se encontraron manifestaciones orofaríngeas en la cavidad oral,  principalmente en la lengua y paladar duro. En los casos leves se indicó el uso  de enjuagatorio bucal sin alcohol Clorhexidina 0.12%, antibioterapia, y en casos graves terapia de photobiomodulation, en otros casos las lesiones desaparecieron  a medida  que cedia la enfermedad.El virus puede detectarse en la saliva, incluso antes de que aparezcan los síntomas del COVID-19. La reducción de la carga viral oral podría conducir a un menor riesgo de transmisión principalmente a través de las gotitas salivales o aerosoles. El uso de enjuagues bucales tiene por finalidad disminuir la carga bacteriana en pacientes infectados que acuden a  la atención odontológica. Entre ellos tenemos a la clorhexidina utilizada  en dos concentraciones de 0,12% y 0,2% . Se encontró que  ambos son efectivos. Otro de ellos es el cloruro de cetilpiridinio ,hay evidencia que su uso reduce la carga viral  en pacientes con COVID-19 hasta por seis horas. La yodo povidona también ha demostrado reducir la carga viral como enjuague bucal al 0,23% durante 15 segundos previa a la consulta odontología. Otro de los enjuagues  utilizado para este fin , es el peróxido de hidrogeno al 1%, ya que el SARS-COV2 es vulnerable a la oxidaciones .

Childhood Obesity as a Global Problem: a Cross-sectional Survey on Global Awareness and National Program Implementation

INTRODUCTION: The rising global epidemic of childhood obesity is a major public health challenge. Despite the urgency, there is a lack of data on the awareness and implementation of preventative measures. The aim of this study was to identify areas for improvement in the prevention and management of childhood obesity worldwide. METHODS: A cross-sectional electronic survey was distributed to 132 members of national pediatric societies of the International Pediatric Association. RESULTS: Twenty-eight (21.2%) participants, each from a different country across six World Health Organization (WHO) regions completed the survey. Most participants reported that national prevalence data of childhood obesity is available (78.6%), and the number increased during the Coronavirus disease-2019 pandemic (60.7%). In most countries (78.6%), the amount of sugar and salt in children's products is provided but only 42.9% enacted regulations on children-targeted advertising. Childhood obesity prevention programs from the government (64.3%) and schools (53.6%) are available with existing support from private or non-profit organizations (71.4%). Participants were aware of WHO's guidance concerning childhood obesity (78.6%), while fewer were aware of The United Nations International Children's Emergency Fund's (UNICEF) guidance (50%). Participants reported that WHO/UNICEF guidance acted as a reference to develop policies, regulations and national programs. However, progress was hindered by poor compliance. Lastly, participants provided suggestions on tackling obesity, with responses ranging from developing and reinforcing policies, involvement of schools, and prevention across all life stages. DISCUSSION AND CONCLUSION: There are different practices in implementing prevention measures to counter childhood obesity globally, particularly in statutory regulation on food advertising and national programs. While support and awareness was relatively high, implementation was hindered. This reflects the need for prompt, country-specific evaluation and interventions

Entrepreneurial intentions and entrepreneurship education to University students in Portugal

[EN] This article analyzes entrepreneurial intentions and motivations that encourage university students of Tourism to create their own company. Methodology is based on an empirical study, using a questionnaire adapted from a model of Veciana and Urbano (Actitudes de los estudiantes universitarios hacia la creación de empresas: un estudio empírico comparativo entre Catalunya y Puerto Rico. El emprendedor innovador y la creación de empresas de I + D + I, University of Valencia, pp 35 58, 2004), including the desirability and viability concepts. One hundred and sixty students answered the questionnaire from a total study population of 243 official Tourism degree students of the Superior Institute of Accounting and Management of Porto. This research finds out that the university students have a very positive perception about the desire to create their own company; a 90 % of students express their desire to do it, and 83.5 % express their intention. 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