Gestión estratégica para optimizar la calidad en atención en el área de odontología de una institución pública, 2022

La presente investigación tuvo como objetivo determinar la relación que existe entre la gestión estratégica y la calidad de atención en el área de odontología de una institución pública, 2022. Se trata de un estudio de metodología de tipo básica, de diseño no experimental, descriptivo y correlacional. La muestra fue de 96 personas que laboran dentro del área de odontología de una institución pública. Se utilizo como técnica a la encuesta y los instrumentos son dos cuestionarios para la gestión estratégica y calidad de atención (Torres, 2022), en donde el índice de confiabilidad del primer cuestionario fue una puntuación de Alpha de Cronbach= 0,845 y para el segundo cuestionario un α =0,857. Los resultados obtenidos mostraron que hay una correlación entre ambas variables con una significancia igual a y una correlación de variables del Rho= 0.594. Concluyendo que existe una relación moderada positiva entre la gestión estratégica y la calidad de atención en el área de odontología de una institución pública, 2022

Eficacia de la distracción audiovisual en ansiedad dental y dolor en niños que acuden a un centro odontológico, Lima 2021

La presente investigación tuvo como objetivo determinar la eficacia de la distracción mediante realidad virtual en la ansiedad dental y dolor en niños que acuden a un centro odontológico, Lima 2021. Se trata de un estudio básico, experimental, descriptivo, longitudinal y prospectivo. Se utilizó el Test de Venham para evaluar la ansiedad y la Escala de Wong Baker para evaluar el dolor en 132 niños de 6 a 12 años. Los resultados evidenciaron que los niveles de ansiedad y dolor disminuyeron en un 74% y 76% respectivamente, los niños de 10 a 12 años y los de 6 a 9 años coincidieron al no tener dolor con 37.88% con la aplicación de distracción mediante realidad virtual. Concluyendo que la técnica de distracción mediante realidad virtual fue eficaz en la disminución de la ansiedad dental y al dolor con en niños 6 a 12 años

Effects of Supplemental Colostrum Intake to Jersey Calves after 24 hr of Birth on Health and Growth

The objective of this research was to determine the effect feeding colostrum supplements (CS) beyond the 24-hour gut closure period would have on Jersey calves, specifically its impact on serum protein concentrations and growth rate. Twenty calves were assigned to either the control or treatment group. Calves assigned to the control group (n=14) received regular milk replacer, while calves in the treatment group (n=6) received colostrum supplement added to their regular milk replacer twice daily for the next 14 days of life, each feeding containing 10 g of immunoglobulin G (IgG). Dams whose colostrum IgG level met or exceeded the minimum requirement (60 g/100mL IgG) were included in the study. Calf body weight (BW) and wither height (WH) were measured weekly, and fecal, and respiratory scores were recorded tri-weekly up until the time of weaning (56 days of age). Blood samples were drawn on days 1, 7 and 14 to assess serum protein concentrations. The treatment group calves exhibited on average higher WH than the control group (P=0.03), while BW, starter intake, and fecal scores showed no significant differences. Both treatment and control groups-maintained serum protein levels above the 5.5 g/100 mL threshold. Administering CS did not significantly alter serum protein concentrations on days 7 and 14, and a decline in these concentrations was noted as the calves aged. Without CS, a more pronounced disparity in serum protein levels might have emerged by day 14, suggesting a potential benefit of CS, especially under challenging environmental conditions. Further studies with additional animal numbers are required to confirm these findings.No embargoAcademic Major: Animal Science

Arbor Groves 41HO02 Final Report

Arbor Groves, located in the heart of the Piney Woods and west of multiple large bodies of fresh water, was most likely a sanctuary for woodland animals and early Americans. In fact, artifacts from the Clovis period (ca. 10,000 BP) to the modern era have been excavated from the site. Most of the artifacts excavated during the 2016 field season dated to the late Archaic period (8000-500 BC) to the early Woodlands period (beginning approximately 500 BC). The amount of lithic debris and projectile points found strongly suggest that Arbor Groves was a lithic manufacturing site. The manufacture of projectile points and other tools result in many lithic flakes discarded from the parent material (Morrow 1996). Because manufacturing and disposing of the waste are often in the same area, evidence for these sites also include the presence of broken projectiles, cores, and various pecked cobbles. Rarely does one find complete points or the hammerstone and tools used to produce the objects, as those are carried by the maker

447. AP20187-Inducible Insulin-Like Effects in Diabetic Muscle and Liver Transduced with AAV

Diabetes Mellitus, characterized by insulin deficiency (type I) or resistance (type II), derives from insulin action impairments in hormone target tissues: muscle, liver and adipocytes. Insulin regulates metabolism and glucose homeostasis through binding to a specific membrane receptor (IR) with tyrosine kinase activity. Induction of the insulin receptor signaling in hormone target cells may represent a tool to rescue glucose homeostasis in both insulin and insulin receptor deficiencies. Recently we have described that homodimerization of the chimeric insulin receptor LFv2IRE induced by the small dimerizer drug AP20187 results in insulin like actions in hepatocytes trasduced with adeno-associated viral vectors (AAV)

From the atomic scale to the bulk: Ultra high temperature evaluation of metal diborides MB2 (M = Ta, Ti, Hf, Zr, Nb)

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Asociación entre el consumo de desayuno, estado nutricional y riesgo cardiovascular en escolares chilenos de 6 a 9 años edad

Introduction: In Chile, childhood obesity is a public health problem, being the bad eating habits and the decrease of physical activity the main causes. The objective of this study was to explore the association between nutritional status, cardiovascular risk and breakfast consumption in schoolchildren in Santiago, Chile.Material and Methods: Cross-sectional study. The sample consisted of 434 schoolchildren of both sexes from an educational establishment in Santiago, Chile. The nutritional status was determined with the evaluation of weight, height and waist circumference. To describe the breakfast consumption, a survey developed for this study was applied.Results: 30,2% of school children are obese and 26,7% are overweight according to BMI. 25,3% are classified as having abdominal obesity risk and 31,2% have abdominal obesity according to waist circumference. 18,9% do not eat breakfast every day. Compared to the childen who always eat breakfast, the risk of obesity was higher in those who never consumed (Odds ratio (OR): 1,9 [(IC) del 95%: 0,91-2,97] p = 0,11), the same as the risk of abdominal obesity (Odds ratio (OR): 1,66 [(IC) del 95%: 0,91-2,97] p = 0,32).Conclusions: There is a high prevalence of excess malnutrition accompanied by a significant percentage of schoolchildren who do not eat breakfast daily. Schoolchildren who do not eat breakfast every day have a higher risk of obesity.Introducción: En Chile la obesidad infantil es un problema de salud pública, siendo los malos hábitos de alimentación y la disminución de la actividad física las principales causas. El objetivo de este estudio fue explorar la asociación entre el estado nutricional, riesgo cardiovascular y el consumo de desayuno en escolares de Santiago de Chile. Material y métodos: Estudio de corte transversal. La muestra estuvo constituida por 434 escolares de ambos sexos de un establecimiento educacional de Santiago de Chile. El estado nutricional se determinó con la evaluación de peso, estatura y circunferencia cintura. Para describir el consumo de desayuno se aplicó una encuesta elaborada para este estudio. Resultados: El 30,2% de los escolares presenta obesidad y el 26,7% tiene sobrepeso según IMC. El 25,3% se clasifica con riesgo de obesidad abdominal y el 31,2% presenta obesidad abdominal según circunferencia cintura. El 18,9% de los evaluados no consume desayuno todos los días. En comparación con los sujetos que consumen siempre desayuno, el riesgo de obesidad fue mayor en aquellos escolares que nunca consumían desayuno (Odds ratio (OR): 1,9 [(IC) del 95%: 0,91-2,97] p = 0,11), al igual que el riesgo de obesidad abdominal (Odds ratio (OR): 1,66 [(IC) del 95%: 0,91-2,97] p = 0,32).Conclusiones: Existe una elevada prevalencia de malnutrición por exceso acompañado de un porcentaje importante de escolares que no toma desayuno diariamente. Los escolares que no consumen desayuno todos los días tienen un mayor riesgo de obesidad

Meta-Narrative Synthesis: The Effectiveness of Diagnosing and Treating Melanoma with Micrographically Oriented Histograph Surgery MOHS Technique

This meta-narrative synthesis highlights the effectiveness of diagnosing and treating melanoma with Micrographically Oriented Histography Surgery (MOHS) technique. Initiating the questions: What techniques does MOHS surgery involve when diagnosing and treating non-metastasized Melanoma? How will it provide positive outcomes for the patient? The significance of using MOHS excision technique and diagnosis of localized facial melanoma compared to traditional cancer excision techniques is designed to remove affected tissue while preserving anatomical facial structure in an aesthetic fashion. Providing an overview of the technique’s diagnostic professional capabilities as well as its strengths, limitations, improvement for upcoming studies, and potential prognosis. Melanoma, a cancerous mutation of pigmented skin cells that quickly metastasizes, requires MOHS unique invasive surgical excision techniques. As well, a multitude of synchronous skillful dermatology surgeons and histotechnologists. MOHS comparative factors include the ability for onsite treatment and diagnosis. Individual cases that qualify for MOHS treatment include the location and development of the melanoma, histological assessment, and post-operative aid. This analysis was intended to find information on MOHS and did so utilizing a meta-analysis research process. Search parameters include the skill set of the medical professional and requirements for the surgery. The research was to investigate the involved procedures and diagnosis of non-metastasized melanoma on the face, while maintaining minimal tissue damage. Standardizing MOHS procedure and expanding access for patients seeking successful cancer removal with low risk for surgical recurrence.https://openworks.mdanderson.org/rmps24/1006/thumbnail.jp

The Community Ecology of Herbivore Regulation in an Agroecosystem: Lessons from Complex Systems

AbstractWhether an ecological community is controlled from above or below remains a popular framework that continues generating interesting research questions and takes on especially important meaning in agroecosystems. We describe the regulation from above of three coffee herbivores, a leaf herbivore (the green coffee scale, Coccus viridis), a seed predator (the coffee berry borer, Hypothenemus hampei), and a plant pathogen (the coffee rust disease, caused by Hemelia vastatrix) by various natural enemies, emphasizing the remarkable complexity involved. We emphasize the intersection of this classical question of ecology with the burgeoning field of complex systems, including references to chaos, critical transitions, hysteresis, basin or boundary collision, and spatial self-organization, all aimed at the applied question of pest control in the coffee agroecosystem

The Maunakea Spectroscopic Explorer Book 2018

(Abridged) This is the Maunakea Spectroscopic Explorer 2018 book. It is intended as a concise reference guide to all aspects of the scientific and technical design of MSE, for the international astronomy and engineering communities, and related agencies. The current version is a status report of MSE's science goals and their practical implementation, following the System Conceptual Design Review, held in January 2018. MSE is a planned 10-m class, wide-field, optical and near-infrared facility, designed to enable transformative science, while filling a critical missing gap in the emerging international network of large-scale astronomical facilities. MSE is completely dedicated to multi-object spectroscopy of samples of between thousands and millions of astrophysical objects. It will lead the world in this arena, due to its unique design capabilities: it will boast a large (11.25 m) aperture and wide (1.52 sq. degree) field of view; it will have the capabilities to observe at a wide range of spectral resolutions, from R2500 to R40,000, with massive multiplexing (4332 spectra per exposure, with all spectral resolutions available at all times), and an on-target observing efficiency of more than 80%. MSE will unveil the composition and dynamics of the faint Universe and is designed to excel at precision studies of faint astrophysical phenomena. It will also provide critical follow-up for multi-wavelength imaging surveys, such as those of the Large Synoptic Survey Telescope, Gaia, Euclid, the Wide Field Infrared Survey Telescope, the Square Kilometre Array, and the Next Generation Very Large Array.Comment: 5 chapters, 160 pages, 107 figure