The Patient Protection and Affordable Care Act: a new dedication to primary care

The Patient Protection and Affordable Care Act drastically transforms the United States healthcare infrastructure. This law, passed in 2008, will shift financial incentives, payment methods, policies, and, in fact, the very way our physicians practice medicine. Currently, the US ranks 1st in healthcare costs, but 37th in healthcare service in the world. It is estimated that there are between 35-42 million uninsured Americans that ultimately cost 50 billion in taxpayer dollars annually. The 4,033 behemoth of a law sets the groundwork to provide high quality healthcare to all Americans with either insufficient or no insurance. Although it will affect every aspect of healthcare and medicine, this paper will assess the changes being made in primary care. The renewed dedication to family medicine provides the foundation to create a more cost efficient healthcare system and a healthier America. We will review the current state of primary care, assess the provisions enacted by the Patient Protection and Affordable Care Act, and evaluate future goals of family medicine. Ultimately the Affordable Care Act attempts to boost primary care, focus on prevention, and use research-based policies in order to lower healthcare costs and provide accessible healthcare. In order to do so, the United States needs to address the insufficiencies of the previous healthcare system and re-evaluate our healthcare expenditures

Predictive brain signals best predict upcoming and not previous choices

10.3389/fpsyg.2014.00406Frontiers in Psychology5MAY40

Correlación entre el modelo Iota-Adnex y el estudio anatomopatológico en el diagnóstico de tumores de ovario en el Hospital Nacional Alberto Sabogal Sologuren durante el periodo julio 2018 a abril 2021

Cuando uno piensa en neoplasias ginecológicas mortales, el cáncer de cuello uterino o cáncer de mama es a menudo, lo primero que me viene a la mente. Sin embargo, es posible que la mayoría desconozca que el cáncer de ovario puede ser el más letal de todos los cánceres reproductivos femeninos

Manual chronostasis: Tactile perception precedes physical contact

When saccading to a silent clock, observers sometimes think that the second hand has paused momentarily. This effect has been termed chronostasis and occurs because observers overestimate the time that they have seen the object of an eye movement. They seem to extrapolate its appearance back to just prior to the onset of the saccade rather than the time that it is actually fixated on the retina. Here, we describe a similar effect following an arm movement: subjects overestimate the time that their hand has been in contact with a newly touched object. The illusion's magnitude suggests backward extrapolation of tactile perception to a moment during the preceding reach. The illusion does not occur if the arm movement triggers a change in a continuously visible visual target: the time of onset of the change is estimated correctly. We hypothesize that chronostasis-like effects occur when movement produces uncertainty about the onset of a sensory event. Under these circumstances, the time at which neurons with receptive fields that shift in the temporal vicinity of a movement change their mappings may be used as a time marker for the onset of perceptual properties that are only established later

Uso de la estrategia del role-play para mejorar la Expresión Oral en Inglés en los Estudiantes de una Institución Pública, Pucallpa-2021

Esta investigación tuvo como objetivo general establecer la influencia del uso de la estrategia del role-play para la mejora la expresión oral en estudiantes del cuarto grado de educación secundaria de la institución educativa Comercio Nº 64; fue una investigación aplicada, con diseño experimental, cuasi experimental con una muestra de 40 estudiantes de 4to grado secundaria, distribuidos en 2 grupos, aplicándose como técnica la observación y el instrumento la lista de cotejo, contando con una fiabilidad de 0.84 se concluye que el uso de la estrategia roleplay influye significativamente en la mejora de la expresión oral de los estudiantes del cuarto grado de educación secundaria de la Institución Educativa Comercio Nº 64, 2021, ya que, en el postest el promedio del nivel expresión oral en inglés de los estudiantes , del grupo control 10.53 y experimental 30.48 y en cuanto a la prueba de (U-Mann-Whitney: .500 y z= 5,427), ρ = .000 y ρ < 0.05: por lo que los estudiantes del grupo experimental presentaron mejores resultados en sus niveles de expresión oral en inglés después del uso de la estrategia del role-play

Liderazgo directivo y desempeño laboral docente en la Institución Educativa Sagrado Corazón de Jesús, Chota en el año 2022

La presente investigación tuvo como objetivo general la relación que se presenta entre el liderazgo directivo y el desempeño laboral docente en la Institución Educativa Sagrado Corazón de Jesús, Chota en el año 2022; corresponde a una investigación cuantitativa de tipo básico de diseño no experimental correlacional, para lo cual se tomó una población de 32 docentes de la Institución Educativa Sagrado Corazón de Jesús de Chota, de donde se extrajo una muestra intencionada de 32 docentes, a quienes se aplicaron dos encuestas una sobre liderazgo directivo y la otra sobre desempeño laboral docente, por ser una muestra paramétrica, para la correlación de variables se calculó el coeficiente de correlación de Pearson, el mismo que arrojó un valor de 0,870 y un sig bilateral de 0,000, con lo cual se demuestra que se presenta entre las variables liderazgo directivo y desempeño laboral docente una correlación altamente significativa

Spatial consequences of bridging the saccadic gap

We report six experiments suggesting that conscious perception is actively redrafted to take account of events both before and after the event that is reported. When observers saccade to a stationary object they overestimate its duration, as if the brain were filling in the saccadic gap with the post-saccadic image. We first demonstrate that this illusion holds for moving objects, implying that the perception of time, velocity, and distance traveled become discrepant. We then show that this discrepancy is partially resolved up to 500 ms after a saccade: the perceived offset position of a post-saccadic moving stimulus shows a greater forward mislocalization when pursued after a saccade than during pursuit alone. These data are consistent with the idea that the temporal bias is resolved by the subsequent spatial adjustment to provide a percept that is coherent in its gist but inconsistent in its detail