Interpersonal Violence Victimization of Adolescents:Drug and Alcohol Culture vs. Family and Community Protections

Environments that place adolescents at risk of, and those that protect them from, interpersonal violence were examined. Following a mixed methods design, survey data from the 1999-2006 Welfare, Children, and Families: A Three-City Study, were supplemented with qualitative insights from five professionals who work with victims of violence. Of the ecological environments considered, being part of peer drug and alcohol culture, and to a lesser extent adolescent alcohol/drug use, posed the strongest IPV risk, as predicted by theories of social disorganization and differential association. Presence of fathers in the home and Latino background, while offering some protective buffer against IPV, as per social integration theories, were not as strong as the risks. These findings contributed to the field of violence in intimate relationships and offered important lessons to practitioners about paying attention to adolescent peer cultures. Future researchers should pay attention to adolescent peers, in their schools and in their neighborhoods, as well how cultures shape violence experiences, particularly underreporting of the same

Prematuridad, peso al nacer del neonato, y obesidad de la gestante como factor de riesgo de hipoglicemia neonatal

Se elaboró un estudio restrospectivo de casos y controles, con recién nacidos de ambos sexos, con y sin diagnóstico de hipoglicemia neonatal, atendidos en el Hospital Víctor Lazarte Echegaray del 2016 al 2017. A través de las historias clínicas se obtuvieron 43 casos y 43 controles, se hizo uso del análisis bivariado y multivariado para determinar asociación y factores de riesgo. Se halló significancia estadística con el sexo del neonato, prematuridad y muy bajo peso al nacer (p<0.05). El normopeso resultó ser un factor protector de hipoglicemia neonatal (p:0). En el análisis multivariado permanece sólo con significancia estadística el sexo masculino como factor de riesgo de hipoglicemia neonatal

3D printed implantable drug delivery devices for women’s health: Formulation challenges and regulatory perspective

Modern pharmaceutical interventions are shifting from traditional “one-size-fits-all” approaches toward tailored therapies. Following the regulatory approval of Spritam®, the first marketed drug manufactured using three-dimensional printing (3DP) technologies, there is a precedence set for the use of 3DP in the manufacture of pharmaceutical products. The involvement of 3DP technologies in pharmaceutical research has demonstrated its capabilities in enabling the customisation of characteristics such as drug dosing, release characteristics and product designs on an individualised basis. Nonetheless, research into 3DP implantable drug delivery devices lags behind that for oral devices, cell-based therapies and tissue engineering applications. The recent efforts and initiatives to address the disparity in women’s health is overdue but should provide a drive for more research into this area, especially using new and emerging technologies as 3DP. Therefore, the focus of this review has been placed on the unique opportunity of formulating personalised implantable drug delivery systems using 3DP for women’s health applications, particularly passive implants. An evaluation of the current landscape and key formulation challenges for achieving this is provided supplemented with critical insight into the current global regulatory status and its outlook

Satisfacción del usuario externo en relación a la calidad de atención de salud en el servicio de obstetricia. Clínica Gonzales. Cerro de Pasco, setiembre 2016

La presente investigación tuvo como objetivo determinar si existe relación entre el nivel de satisfacción del usuario externo y la calidad de atención de salud en el servicio de obstetricia de la Clínica Gonzales en el mes de setiembre del año 2016. Para esto se utilizó el método cuantitativo, no experimental, hipotético deductivo de diseño descriptivo correlacional. La muestra estuvo constituida por las pacientes que recibieron los servicios externos de obstetricia en el mes de setiembre del 2016. El instrumento utilizado para medir la satisfacción del cliente y la calidad de atención fue el cuestionario SERVQUAL modificada y adaptada por Cabello y Chirinos (2012). Los resultados encontrados permiten concluir: 1) En el presente estudio determino el nivel de satisfacción en las usuarias del servicio obstetricia Clínica Gonzales 2016, encontrando que un 70% estaba insatisfecho, un 5% satisfecho y un 25% muy satisfechos. Los altos niveles de satisfacción se explican por ser una institución privada de Salud siendo una alternativa con que cuenta la población no asegurada y la efectividad de sus profesionales en cuanto a sus problemas de salud. 2) La calidad de atención encontrada en las usuarias del servicio de obstetricia de la Clínica Gonzales fue lograda en un 30%. Las limitaciones que tiene la población son los costos a las consultas, materiales y medicina influyen en no lograr un mayor nivel de satisfacción, pues la población espera recibir una atención de calidad por los costos elevados. 3) Se demostró estadísticamente con un nivel de confianza del 95% que existe asociación entre la satisfacción del usuario y la calidad de atención. La intensidad de esta asociación estimada mediante el coeficiente de contingencia Chi Cuadrado es alta pues alcanzó un valor de 0.001362 con una confiabilidad del 95%

Garnet as Indicator of Pegmatite Evolution: The Case Study of Pegmatites from the Oxford Pegmatite Field (Maine, USA)

Almandine-spessartine garnets, from the Oxford County pegmatites and the Palermo No. 1 pegmatite, record significant compositional variations according to the degree of evolution of their hosting rock. Garnets from the most fractionated pegmatites (Mt. Mica, Berry-Havey, and Emmons) show the highest Mn, Nb, Ta, Zr, and Hf values, followed by those from the intermediate grade pegmatites (Palermo No. 1) and, finally, garnets from the barren pegmatites show the lowest values (Perham and Stop-35). Iron, Ca, and Mg contents follow an inverse order, with the highest contents in the latter pegmatites. Major element zoning shows increasing Mn values from core to rim in most garnet samples, while trace element zoning is not systematic except for some crystals which show a core to rim depletion for most of these elements. Chondrite normalized HREE (Heavy Rare Earth Elements) spectra show positive slopes for garnets from barren pegmatites, both positive and negative slopes for those associated with the intermediate pegmatite, and negative or flat slopes in garnets from the highly fractionated pegmatites. Ion exchange mechanisms, including Fe2+−1Mn2+1, (Fe2+, Mn2+)−1Si−1Li1P1; and, (Y, Ho3+)2(vac)1(Fe2+, Mn2+)−3, could explain most of the compositional variations observed in these garnets. These compositional variations are the reflection of the composition of the pegmatitic magma (barren pegmatites originate from a more ferromagnesian magma than fractionated pegmatites); and of the coexisting mineral phases competing with garnets to host certain chemical elements, such as biotite, schorl, plagioclase, apatite, Fe-Mn phosphates, Nb-Ta oxides, zircon, xenotime, and monazite.This research was funded by the Spanish Ministry of Economy, Industry and Competitiveness (project no. RTI2018‐094097‐B‐100, with ERDF funds), the University of the Basque Country UPV/EHU (grant no. GIU18/084) and the European Union’s Horizon 2020 Innovation Programme (grant agreement no. 869274, project GREENPEG: New Exploration Tools for European Pegmatite Green‐Tech Resources). Maine Mineral and Gem Museum (USA) also contributed economically

Garnet as Indicator of Pegmatite Evolution: The Case Study of Pegmatites from the Oxford Pegmatite Field (Maine, USA)

Almandine-spessartine garnets, from the Oxford County pegmatites and the Palermo No. 1 pegmatite, record significant compositional variations according to the degree of evolution of their hosting rock. Garnets from the most fractionated pegmatites (Mt. Mica, Berry-Havey, and Emmons) show the highest Mn, Nb, Ta, Zr, and Hf values, followed by those from the intermediate grade pegmatites (Palermo No. 1) and, finally, garnets from the barren pegmatites show the lowest values (Perham and Stop-35). Iron, Ca, and Mg contents follow an inverse order, with the highest contents in the latter pegmatites. Major element zoning shows increasing Mn values from core to rim in most garnet samples, while trace element zoning is not systematic except for some crystals which show a core to rim depletion for most of these elements. Chondrite normalized HREE (Heavy Rare Earth Elements) spectra show positive slopes for garnets from barren pegmatites, both positive and negative slopes for those associated with the intermediate pegmatite, and negative or flat slopes in garnets from the highly fractionated pegmatites. Ion exchange mechanisms, including Fe2+−1Mn2+1, (Fe2+, Mn2+)−1Si−1Li1P1; and, (Y, Ho3+)2(vac)1(Fe2+, Mn2+)−3, could explain most of the compositional variations observed in these garnets. These compositional variations are the reflection of the composition of the pegmatitic magma (barren pegmatites originate from a more ferromagnesian magma than fractionated pegmatites); and of the coexisting mineral phases competing with garnets to host certain chemical elements, such as biotite, schorl, plagioclase, apatite, Fe-Mn phosphates, Nb-Ta oxides, zircon, xenotime, and monazite.This research was funded by the Spanish Ministry of Economy, Industry and Competitiveness (project no. RTI2018-094097-B-100, with ERDF funds), the University of the Basque Country UPV/EHU (grant no. GIU18/084) and the European Union’s Horizon 2020 Innovation Programme (grant agreement no. 869274, project GREENPEG: New Exploration Tools for European Pegmatite Green-Tech Resources). Maine Mineral and Gem Museum (USA) also contributed economically

Influencia del clima organizacional sobre la satisfacción laboral en las enfermeras del servicio de emergencia del Hospital Víctor Ramos Guardia - Huaraz, 2018

El presente trabajo de investigación: Influencia del Clima organizacional sobre la Satisfacción Laboral en las enfermeras del Servicio de Emergencia del Hospital “Víctor Ramos Guardia” de Huaraz, tuvo como objetivo determinar la influencia del clima organizacional sobre la satisfacción laboral en las enfermeras, se utilizó el método de investigación no experimental, cuantitativo, transaccional y el diseño de investigación fue correlacional. El estudio tuvo una muestra de 34 enfermeros y los instrumentos utilizados fueron 2 encuestas; el primer clima organizacional y la segunda satisfacción laboral. Los resultados fueron: Clima organizacional el 55,9% de enfermeros percibe que es bueno, lo que explica que trabajan en un clima saludable, donde la cultura hospitalaria, el diseño del hospital y el potencial humano del servicio contribuyen a brindar una atención de calidad. Y con el 52,9%, la satisfacción laboral debido a que los enfermeros no sienten valorado su trabajo. Por lo tanto, la satisfacción laboral está influenciada por el clima organizacional en las enfermeras del servicio de Emergencia.The present work of investigation: Influence of the Organizational Climate on the Labor Satisfaction in nurses of the Service of Emergency of the Hospital "Víctor Ramos Guardia" of Huaraz, had as objective to determine the influence of the organizational climate on the labor satisfaction in the nurses, the non-experimental, quantitative, transactional research method was used and the research design was correlational. The study had a sample of 34 nurses and the instruments used were 2 surveys; the first organizational climate and the second job satisfaction. The results were: Organizational Climate 55.9% of nurses perceive that it is good, which explains that they work in a healthy climate, where the hospital culture, the design of the hospital and the human potential of the service contribute to providing quality care. And with 52.9%, the Labor Satisfaction because the nurses do not feel valued their work. Therefore, Job satisfaction is influenced by the organizational climate in nurses of the Emergency service.Tesi