Programa Pensión 65 y condiciones de vida de los usuarios del centro poblado Carmen Alto, Nuevo Imperial- Cañete, año 2019.

El objetivo de este trabajo de investigación fue titulada “Programa Pensión 65 y condiciones de vida de los usuarios del centro poblado Carmen Alto, Nuevo Imperial- Cañete, año 2019”, fue una investigación de tipo correlacional, que utilizó el diseño descriptivo. Trabajó con una muestra de 87 beneficiarios. El estudio comprueba que existe correlación estadísticamente significativa de 0,850; por lo que las variables se relacionan de manera lineal. Considerando el coeficiente de determinación, se tiene que las condiciones de vida de los usuarios están determinadas en un 72,2% por el Programa Pensión 65 del centro poblado Carmen Alto, Nuevo Imperial- Cañete, durante el año 2019.The objective of this research work was entitled "Pension 65 Program and living conditions of the users of the Carmen Alto populated center, Nuevo Imperial-Cañete, year 2019", it was a correlational type research, which used the descriptive design. He worked with a sample of 87 beneficiaries. The study confirms that there is a correlation statistically significant of 0.850; So the variables are related in a way linear. Considering the coefficient of determination, we have that the conditions of 72.2% of the life of the users are determined by the Pension 65 Program of the Carmen Alto populated center, Nuevo Imperial- Cañete, during the year 2019.ChosicaEscuela de Posgrad

El clima organizacional y su relación con la atención al usuario en la Municipalidad distrital de Querocoto - Chota - Cajamarca y la Municipalidad distrital de Motupe - Lambayeque - Lambayeque, Agosto - Mayo 2014

El propósito de esta investigación ha sido determinar si existe relación entre el clima organizacional y la atención al usuario brindada por los trabajadores de las Municipalidades Distritales de Querocoto y Motupe. Consistió en una investigación Correlacional. La población estuvo conformada por 20 trabajadores en la Municipalidad Distrital de Querocoto y 78 trabajadores Municipalidad Distrital de Motupe. Para el logro de los objetivos planteados se procedió a la aplicación de dos cuestionarios: el primer cuestionario para determinar el clima organizacional que constó de 43 preguntas y un segundo cuestionario para determinar la atención al usuario con 20 preguntas. Dichos instrumentos respectivamente han sido sometidos a un juicio de expertos. En cuanto al Clima Organizacional los resultados obtenidos evidencian que en la Municipalidad Distrital de Querocoto se registró que el 50% (10) de los trabajadores consideran que alcanza un nivel Adecuado mientras que el restante 50% (10) sienten que se halla a un nivel Inadecuado. Por su parte en la Municipalidad de Motupe el 55%(53) de sus trabajadores consideró que se halla a un nivel Adecuado y el 45% (35) de ellos halló un nivel inadecuado. La variable Atención al Usuario nos muestra que en la Municipalidad de Querocoto se registró que el 55% (11) de los trabajadores consideran que el nivel de atención brindado estaba en Desarrollo mientras que el restante 45% (9) lo percibió como de un nivel sobresaliente. En tanto que en la Municipalidad de Motupe el 50% (39) de los trabajadores calificaron al nivel de atención como En Desarrollo y el 50% (39) restante como Sobresaliente. Luego de la investigación y de haber procesado la información se encuentra que con 95% de confianza aseveramos que sí existe relación entre el nivel de Clima Organizacional y el nivel de Atención al usuario en los trabajadores de las Municipalidades distritales de Querocoto y Motupe

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Mechanochemical Synthesis and Crystal Structure of the Lidocaine-Phloroglucinol Hydrate 1:1:1 Complex

Molecular complexation is a strategy used to modify the physicochemical or biopharmaceutical properties of an active pharmaceutical ingredient. Solvent assisted grinding is a common method used to obtain solid complexes in the form of cocrystals. Lidocaine is a drug used as an anesthetic and for the treatment of chronic pain, which bears in its chemical structure an amide functional group able to form hydrogen bonds. Polyphenols are used as cocrystal coformers due to their ability to form O–H···X (X = O, N) hydrogen bond interactions. The objective of this study was to exploit the ability of phloroglucinol to form molecular complexes with lidocaine by liquid assisted grinding. The formation of the complex was confirmed by the shift of the O–H and C=O stretching bands in the IR spectra of the polycrystalline ground powders, suggesting the formation of O–H···O=C hydrogen bonds. Hydration of the complexes also was confirmed by IR spectroscopy and by powder X-ray diffraction. The molecular structure was determined by single crystal X-ray diffraction

Juzgados y Tribunales Federales del Estado de México en el siglo XIX: selección de expedientes

Los diez juicios transcritos en esta obra reflejan temas históricos de gran interés de la época: reclutamiento forzoso al Ejército; pena de muerte por sublevación indígena; desamortización de bienes eclesiásticos; desamortización de bienes civiles; falsificación de moneda; nueva religión; incidencias y rebeliones contra el gobierno federal; daño a las vías del ferrocarril y libertad de cultos. Dichos temas históricos son también representativos de las controversias y los delitos federales más comunes que fueron conocidos por los Juzgados de Distrito y los Tribunales de Circuito del país

Externado de Psiquiatría - ME220 - 202101

Curso de especialidad de la carrera de medicina, de carácter principalmente práctico además de clases teóricas, del ciclo 11 en el que los estudiantes, con un previo conocimiento de la entrevista en salud mental y las características psicopatológicas de los trastornos mentales, al establecer un adecuado diagnóstico de salud mental, definirán la conducta medica apropiada a seguir según el nivel de atención que corresponda. El curso de Externado Medico de Psiquiatría busca desarrollar la competencia específicas de la carrera de Práctica Clínica: Diagnóstico (nivel 3

NEOTROPICAL CARNIVORES: a data set on carnivore distribution in the Neotropics

Mammalian carnivores are considered a key group in maintaining ecological health and can indicate potential ecological integrity in landscapes where they occur. Carnivores also hold high conservation value and their habitat requirements can guide management and conservation plans. The order Carnivora has 84 species from 8 families in the Neotropical region: Canidae; Felidae; Mephitidae; Mustelidae; Otariidae; Phocidae; Procyonidae; and Ursidae. Herein, we include published and unpublished data on native terrestrial Neotropical carnivores (Canidae; Felidae; Mephitidae; Mustelidae; Procyonidae; and Ursidae). NEOTROPICAL CARNIVORES is a publicly available data set that includes 99,605 data entries from 35,511 unique georeferenced coordinates. Detection/non-detection and quantitative data were obtained from 1818 to 2018 by researchers, governmental agencies, non-governmental organizations, and private consultants. Data were collected using several methods including camera trapping, museum collections, roadkill, line transect, and opportunistic records. Literature (peer-reviewed and grey literature) from Portuguese, Spanish and English were incorporated in this compilation. Most of the data set consists of detection data entries (n = 79,343; 79.7%) but also includes non-detection data (n = 20,262; 20.3%). Of those, 43.3% also include count data (n = 43,151). The information available in NEOTROPICAL CARNIVORES will contribute to macroecological, ecological, and conservation questions in multiple spatio-temporal perspectives. As carnivores play key roles in trophic interactions, a better understanding of their distribution and habitat requirements are essential to establish conservation management plans and safeguard the future ecological health of Neotropical ecosystems. Our data paper, combined with other large-scale data sets, has great potential to clarify species distribution and related ecological processes within the Neotropics. There are no copyright restrictions and no restriction for using data from this data paper, as long as the data paper is cited as the source of the information used. We also request that users inform us of how they intend to use the data