CLIMA ORGANIZACIONAL E INCIDENCIA DEL MOBBING LABORAL EN LOS DOCENTES DE LA FACULTAD DE CIENCIAS DE LA EDUCACIÓN DE LA UNHEVAL 2013

Con el propósito de determinar la relación entre mobbing (acoso laboral) y clima organizacional, se realizó una investigación de tipo descriptiva y correlacional en la cual se tomó 21 docentes de la Facultad de Ciencias de la Educación de la UNHEVAL. Los sujetos de la muestra estuvieron conformado por docentes de las ocho carreras profesionales de la Facultad sin distinción de género, condición laboral, categoría docente. Esta investigación se llevó a cabo a través de un muestreo no probabilístico, de modo que de un total de 80 profesores de la Facultad, se constituyó una muestra de 21 docentes. Se utilizaron dos instrumentos con el fin de determinar dicha relación, para detectar el acoso laboral se aplicó la Escala Cisneros como herramienta de valoración del Mobbing de Iñaki/ Piñuel y para medir el clima organizacional se utilizó el Cuestionario para medir el clima organizacional de MINSA 2008-2011. Los resultados muestran Al comparar los valores de la X2calculada con el de la X2 tabla Se tiene que el valor calculado de la X2= 2,376 menor que el valor de la X2 Tabla= 3,84. En consecuencia se acepta el Ho, que afirma que entre Mobbing y clima organizacional no existe relación alguna

NIVEL DE AUTOESTIMA Y ACTITUDES HACIA LAS MATEMÁTICAS EN ALUMNOS DEL PRIMER AÑO DE LA CARRERA PROFESIONAL DE EDUCACIÓN PRIMARIA DE LA UNIVERSIDAD NACIONAL HERMILIO VALDIZÁN, 2014

Con el propósito de determinar la relación entre nivel de autoestima y actitudes hacia las matemáticas, se realizó una investigación de tipo descriptiva y correlacional en la cual se tomó como muestra a 32 alumnos del primer año de la Carrera Profesional de Educación Primaria, de la UNHEVAL. Esta investigación se llevó a cabo a través de un muestreo no probabilístico, de modo que trabajamoscon todos por ser accesible. Se utilizaron dos instrumentos con el fin de determinar dicha relación. Para medir el nivel de autoestima de los estudiantes se utilizó la Escala de autoestima de Coopersmith, versión adulto y para medir la actitud que tienen hacia las matemáticas, se utilizó la Escala de actitud hacia las matemáticas de Bazán y Sotero de la UNALM. Los resultados fueron, al comparar los valores de X2 calculada, con el de la X2 tabla, se tiene que el valor calculado de la X2= 40.207 mayor que el valor de la X2 Tabla= 9.488. En consecuencia, con un nivel de significancia α=0.05 y con 4gl se rechaza la Ho, y se confirma en consecuencia la hipótesis de trabajo, que existe una relación directa entre dichas variables: nivel de autoestima y actitudes hacia las matemáticas en la muestra de estudio

Intervention program to strengthen self-esteem in high school students in an educational institution in Pucallpa – Ucayali

The purpose of this study is to demonstrate that the intervention program strengthens self-esteem in students in the fourth year of secondary school at the following educational institutions: Libertadores de América, Willam Dayer Ampudia, Agropecuario Ega, Nuestra Señora de las Mercedes and Emilio Marko Jara Schenone, Pucallpa - Ucayali. It is based on Carl Roger's humanistic theory. The type of study is explanatory, aiming to establish the causes of the events, occurrences or phenomena being studied. The population consisted of 243 students in the fourth grade of high school, where 180 students correspond to the sample selected by non-probabilistic purposive sampling, of which 90 students are the control group and 90 students are the experimental group. Of the results obtained in the pretest of the development of self-esteem in the control group, 85.6% were at a low level. While in the experimental group, 61.1% were in a medium level of self-esteem. In the post-test of the control group, 78.9% were at a medium-low level of self-esteem. While in the experimental group, 94.4% were located in a medium-high level of self-esteem, confirmed by the hypothesis test Zc > Zt, where z=

Aplicación del programa de entrenamiento nous para mejorar habilidades sociales, en alumnos del primer año de la Facultad De Ciencias de la Educación de la UNHEVAL, Huánuco 2005-2006

La investigación, consistió en comprobar la efectividad del Programa de Entrenamiento de habilidades sociales “Nous”, en los estudiantes del primer año de diferentes especialidades en la Facultad de Educación de la Universidad Nacional Hermilio valdizan (UNHEVAL), la muestra de estudio fue 82 alumnos, con diseño de un solo grupo y con pre y postest. Luego de haber sido sometidos al tratamiento con el programa “Nous”, los alumnos cambiaron positivamente en sus comportamientos sociales, se mostraron empáticos, asertivos, comunicativos, lo que indica una mejora considerable de sus habilidades sociales

Predictors of Response to Exclusive Enteral Nutrition in Newly Diagnosed Crohn´s Disease in Children: PRESENCE Study from SEGHNP

Exclusive enteral nutrition (EEN) has been shown to be more effective than corticosteroids in achieving mucosal healing in children with Crohn´s disease (CD) without the adverse effects of these drugs. The aims of this study were to determine the efficacy of EEN in terms of inducing clinical remission in children newly diagnosed with CD, to describe the predictive factors of response to EEN and the need for treatment with biological agents during the first 12 months of the disease. We conducted an observational retrospective multicentre study that included paediatric patients newly diagnosed with CD between 2014–2016 who underwent EEN. Two hundred and twenty-two patients (140 males) from 35 paediatric centres were included, with a mean age at diagnosis of 11.6 ± 2.5 years. The median EEN duration was 8 weeks (IQR 6.6–8.5), and 184 of the patients (83%) achieved clinical remission (weighted paediatric Crohn’s Disease activity index [wPCDAI] 15 mg/L and ileal involvement tended to respond better to EEN. EEN administered for 6–8 weeks is effective for inducing clinical remission. Due to the high response rate in our series, EEN should be used as the first-line therapy in luminal paediatric Crohn’s disease regardless of the location of disease and disease activityS

Hyperoxemia and excess oxygen use in early acute respiratory distress syndrome : Insights from the LUNG SAFE study

Publisher Copyright: © 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.Background: Concerns exist regarding the prevalence and impact of unnecessary oxygen use in patients with acute respiratory distress syndrome (ARDS). We examined this issue in patients with ARDS enrolled in the Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) study. Methods: In this secondary analysis of the LUNG SAFE study, we wished to determine the prevalence and the outcomes associated with hyperoxemia on day 1, sustained hyperoxemia, and excessive oxygen use in patients with early ARDS. Patients who fulfilled criteria of ARDS on day 1 and day 2 of acute hypoxemic respiratory failure were categorized based on the presence of hyperoxemia (PaO2 > 100 mmHg) on day 1, sustained (i.e., present on day 1 and day 2) hyperoxemia, or excessive oxygen use (FIO2 ≥ 0.60 during hyperoxemia). Results: Of 2005 patients that met the inclusion criteria, 131 (6.5%) were hypoxemic (PaO2 < 55 mmHg), 607 (30%) had hyperoxemia on day 1, and 250 (12%) had sustained hyperoxemia. Excess FIO2 use occurred in 400 (66%) out of 607 patients with hyperoxemia. Excess FIO2 use decreased from day 1 to day 2 of ARDS, with most hyperoxemic patients on day 2 receiving relatively low FIO2. Multivariate analyses found no independent relationship between day 1 hyperoxemia, sustained hyperoxemia, or excess FIO2 use and adverse clinical outcomes. Mortality was 42% in patients with excess FIO2 use, compared to 39% in a propensity-matched sample of normoxemic (PaO2 55-100 mmHg) patients (P = 0.47). Conclusions: Hyperoxemia and excess oxygen use are both prevalent in early ARDS but are most often non-sustained. No relationship was found between hyperoxemia or excessive oxygen use and patient outcome in this cohort. Trial registration: LUNG-SAFE is registered with ClinicalTrials.gov, NCT02010073publishersversionPeer reviewe

Immunocompromised patients with acute respiratory distress syndrome: Secondary analysis of the LUNG SAFE database

Background: The aim of this study was to describe data on epidemiology, ventilatory management, and outcome of acute respiratory distress syndrome (ARDS) in immunocompromised patients. Methods: We performed a post hoc analysis on the cohort of immunocompromised patients enrolled in the Large Observational Study to Understand the Global Impact of Severe Acute Respiratory Failure (LUNG SAFE) study. The LUNG SAFE study was an international, prospective study including hypoxemic patients in 459 ICUs from 50 countries across 5 continents. Results: Of 2813 patients with ARDS, 584 (20.8%) were immunocompromised, 38.9% of whom had an unspecified cause. Pneumonia, nonpulmonary sepsis, and noncardiogenic shock were their most common risk factors for ARDS. Hospital mortality was higher in immunocompromised than in immunocompetent patients (52.4% vs 36.2%; p &lt; 0.0001), despite similar severity of ARDS. Decisions regarding limiting life-sustaining measures were significantly more frequent in immunocompromised patients (27.1% vs 18.6%; p &lt; 0.0001). Use of noninvasive ventilation (NIV) as first-line treatment was higher in immunocompromised patients (20.9% vs 15.9%; p = 0.0048), and immunodeficiency remained independently associated with the use of NIV after adjustment for confounders. Forty-eight percent of the patients treated with NIV were intubated, and their mortality was not different from that of the patients invasively ventilated ab initio. Conclusions: Immunosuppression is frequent in patients with ARDS, and infections are the main risk factors for ARDS in these immunocompromised patients. Their management differs from that of immunocompetent patients, particularly the greater use of NIV as first-line ventilation strategy. Compared with immunocompetent subjects, they have higher mortality regardless of ARDS severity as well as a higher frequency of limitation of life-sustaining measures. Nonetheless, nearly half of these patients survive to hospital discharge. Trial registration: ClinicalTrials.gov, NCT02010073. Registered on 12 December 2013

Immunocompromised patients with acute respiratory distress syndrome : Secondary analysis of the LUNG SAFE database

The aim of this study was to describe data on epidemiology, ventilatory management, and outcome of acute respiratory distress syndrome (ARDS) in immunocompromised patients. Methods: We performed a post hoc analysis on the cohort of immunocompromised patients enrolled in the Large Observational Study to Understand the Global Impact of Severe Acute Respiratory Failure (LUNG SAFE) study. The LUNG SAFE study was an international, prospective study including hypoxemic patients in 459 ICUs from 50 countries across 5 continents. Results: Of 2813 patients with ARDS, 584 (20.8%) were immunocompromised, 38.9% of whom had an unspecified cause. Pneumonia, nonpulmonary sepsis, and noncardiogenic shock were their most common risk factors for ARDS. Hospital mortality was higher in immunocompromised than in immunocompetent patients (52.4% vs 36.2%; p < 0.0001), despite similar severity of ARDS. Decisions regarding limiting life-sustaining measures were significantly more frequent in immunocompromised patients (27.1% vs 18.6%; p < 0.0001). Use of noninvasive ventilation (NIV) as first-line treatment was higher in immunocompromised patients (20.9% vs 15.9%; p = 0.0048), and immunodeficiency remained independently associated with the use of NIV after adjustment for confounders. Forty-eight percent of the patients treated with NIV were intubated, and their mortality was not different from that of the patients invasively ventilated ab initio. Conclusions: Immunosuppression is frequent in patients with ARDS, and infections are the main risk factors for ARDS in these immunocompromised patients. Their management differs from that of immunocompetent patients, particularly the greater use of NIV as first-line ventilation strategy. Compared with immunocompetent subjects, they have higher mortality regardless of ARDS severity as well as a higher frequency of limitation of life-sustaining measures. Nonetheless, nearly half of these patients survive to hospital discharge. Trial registration: ClinicalTrials.gov, NCT02010073. Registered on 12 December 2013