Utilidad de los cortes sagitales y multiplanares no ortogonales en la tomografía computarizada de base del cráneo

Tradicionalmente la TC de la base del cráneo ha incluido dos proyecciones, axial y coronal. Sin embargo, cuando un cirujano se dispone a abordar lesiones en esta área se encuentra que en algunas situaciones la disección no se realiza en un plano axial ni coronal, razón por la cual evaluamos la utilidad de los cortes sagitales y multiplanares

THE INCLUSIVE HUMAN TRAFFICKING CHECKLIST: A DIALECTICAL METHODOLOGY OF MEASUREMENT

The identification of victims of human trafficking and consequential service provision is characterized by a significant disconnection between the estimated prevalence of this issue and the number of cases identified. The current dissertation introduces the Inclusive Human Trafficking Checklist (IHTC) as a screening measure, evaluates the appropriateness of the instrument, evaluates whether there are differences in assessment based on the participant’s profession, level of knowledge, and training, and assesses if users of the instrument perceive it as useful. A total of 201 participants were asked to rate three vignettes predetermined by experts to qualify as a either human trafficking case or not. The participants were placed in three conditions: business as usual (use of the Rescue and Restore instrument), utilization of the IHTC with and without training. The results revealed a statistically significant level of agreement between the expert’s diagnostic and the application of the IHTC. While there was an improvement in identification in the group with training, the difference was found to have a small effect size. The results also revealed an improvement on identification of cases when utilizing the IHTC. Participants who utilized the IHTC showed an increased ability to identify elements of identity-based vulnerabilities as well as elements of fraud, which according to the results, are distinctive variables in cases of human trafficking. In terms of the perceived utility, the results revealed higher mean scores for the groups utilizing the IHTC when compared to the business as usual condition. These findings suggest that the IHTC improves appropriate identification of cases and that it is perceived as a useful instrument. The application of the IHTC as a counseling and legal instrumentation utilized for conceptualization and intervention of human trafficking cases is discussed as an opportunity for enhancement of victim well-being, engagement and activism

Stability and guarantees of labor rights of officials and employees of the judicial branch in Colombia

Mediante el presente artículo se pretende exponer la situación laboral de los funcionarios y empleados del sector judicial en un contexto social, político y económico, dentro de las posturas del nuevo derecho constitucional. La función de administrar justicia en las últimas décadas ha generado grandes debates internacionales, nacionales y locales; asimismo, la globalización y la lucha de los funcionarios judiciales por la protección de sus derechos laborales -dada por la evasión y omisión del Gobierno frente a estos temas- han desembocado en estudios académicos de toda índole, en los que se ha procurado establecer la importancia de la Rama Judicial y las garantías laborales de estos funcionarios. Desde la concepción de los nuevos Estados constitucionales, la función del juez tiene importancia como sujeto social con características específicas.This article aims to explain the labor status of officials and employees of the judicial branch in a social, political, and economic context, within the provisions of the new constitutional law. The task of administering justice in recent decades has generated major international, national, and local debates. Similarly, globalization and the struggle of judicial officers to protect their labor rights—given the evasive attitude and neglect of the Government regarding these topics—have resulted in all kinds of academic studies, seeking to establish the importance of the judicial branch and labor guarantees of judicial officials. Since the beginning of the new constitutional states, the role of the judge as a social subject with specific characteristics has been of great importance

Imagen social de los profesionales contables a partir de las representaciones graficas (caricaturas), aparecidas en publicaciones gremiales norteamericanas

Establecer a través del análisis del contenido de la imagen los diferentes tipos de rasgos delos contadores públicos permite develar, a través del examen de las imágenes, un conjunto de rasgos que permitan establecer una serie de elementos y/o características que se encuentran al interior de las ideas plasmadas en las gráficas por cada uno de los diferentes dibujantes y que a su vez son la cristalizan las principales características del contador público.Pregrad

Microinsurance: Does Traditional Regulation Apply?

Microinsurance--insurance services for low-income households--has emerged as a phenomenon in recent years. This Policy Notes draws attention to the need for an effective regulatory and supervision framework for said phenomenon to assure access of low-income households to insurance and to maintain the soundness of the insurance industry.microinsurance, mutual benefit associations

Asthma and Peak Flow Assessments Based on NHLBI Asthma Guidelines

Background: Asthma exacerbations are consequences of poor asthma control. Asthma guidelines-grounded interventions can improve adherence to asthma guidelines and assessments in primary care settings. The goals of asthma management are to optimize asthma control, minimize the risk of asthma exacerbations, and minimize the adverse effects of asthma medications. Local Problem: A primary care practice in Northern California had frequent office visits for acute asthma symptoms. Ongoing asthma control monitoring is a key performance indicator of high-quality asthma care. Methods: The quality improvement evidence-based observational project examined the effectiveness of interventions. The pre-and post-survey assessments collected clinician knowledge and adherence, and results were analyzed with descriptive statistics, paired t-test, and the binomial test. SPSS version 29.0.2.0 was employed for all calculations. Interventions: Implement the National Heart, Lung, and Blood Institute (NHLBI) asthma guidelines-based clinician education and asthma toolkit to improve adherence and promote elements of asthma guidelines. Results: In terms of self-efficacy, the mean difference in comfort level increased from 7.00 to 9.17, and was statistically significant (p = 0.041, p \u3c 0.05). For knowledge, all participants achieved perfection on all knowledge questions, which was statistically significant from chance expectations (p\u3c0.031). There was already a strong agreement with over 80% alignment on the vital instrument ongoing monitoring and 100% advocacy towards adherence to asthma guidelines. The degree of agreement and advocacy were sustained post-intervention, which indicates a commitment to asthma guidelines-grounded interventions. Conclusion: The multimodal interventions of clinician education and asthma toolkit exemplified the necessity of quality improvement efforts to improve comfort level to abide by asthma guidelines and promote elements of asthma guidelines, especially when faced with barriers to adherence. Future endeavors should build upon these efforts, concentrating on a chart review and asthma guidelines-grounded education across a larger sample size. Keywords: Asthma guidelines, peak flow, asthma severity, asthma assessments, asthma control, asthma management, primary care, quality improvemen

Health sciences and inclusive pedagogy: a qualitative study exploring educational practices for students with disabilities at Spanish universities

The number of people with disabilities who study at university is rising. Previous studies have revealed that it is not enough simply to provide these students with access to university, it is also important to guarantee their retention and suc cess. This article explores participants’ actions and their appraisals of their teaching practice in relation to disability in campus-based education. The study was conducted with 19 Spanish faculty members from the Health Sciences who were nominated by their students with disabilities for having contributed to their inclusion. We carried out a qualitative study based on individual, in depth, semi-structured interviews. We analysed the data progressively, using a system of catego ries and codes. The results section outlines the actions taken by faculty members upon learning that they were going to be teaching a student with disabilities, analysing what specific meas ures they took in accordance with the type of dis ability in question, and what they found most rewarding and most difficult or unpleasant about their experience with these students in the classroom. The study concludes that the voices of these faculty members may encourage other col leagues to rethink their actions in the classroom and engage in more inclusive practices.Spanish State Research AgencyFEDER funds European UnionMinistry of Economy and Competitiveness of Spai

Desescolarización en el municipio de Soacha

El motivo de analizar el tema surge del hecho que este municipio tiene uno de los índices de nivel educativo, más bajos del departamento de Cundinamarca y del país, ubicándolos por debajo de la media nacional, que ya es bastante baja con respecto a los países desarrollados. Por esto, se van a describir factores como el desplazamiento forzado y la pobreza, junto con todo lo que llevan consigo, como la violencia, los embarazos a temprana edad, el abuso de sustancias psicoactivas, entre otras. Posteriormente se va a revisar el plan de desarrollo del municipio para ver si busca atacar la problemática expuesta

Exploring the beliefs of Spanish teachers who promote the development of inclusive pedagogy

ABSTRACT This article explores the beliefs of 25 Spanish primary education teachers who develop inclusive pedagogy when planning and implementing actions for all students. We used a qualitative methodology and the data were gathered through semi structured and in-depth interviews. We analysed the data using an inductive coding system. The results revealed the beliefs of the participants about diversity and inclusive education, their professional self-concept, how they understood learning and their beliefs about their self-efficacy as teachers. These teachers showed a humanistic perspective that welcomes diversity and they felt responsible for the presence, learning, happiness and success of all their students