Actitud docente hacia la inclusión escolar y el proceso de adaptación curricular en dos Instituciones Educativas inclusivas de la UGEL 03- 2013

La presente investigacion titulada “Actitud docente hacia la inclusión escolar y el proceso de adaptación curricular en dos instituciones educativas inclusivas de la UGEL 03-2013”, tuvo como finalidad conocer la relación existente entre la actitud docente hacia la inclusión escolar y el proceso de adaptación curricular. El tipo de investigación es aplicada, el diseño de estudio utilizado fue el no experimental, transversal, correlacional, se trabajó con una población de 28 docentes inclusivos por lo que no fue necesario utilizar una muestra de estudio, el instrumento aplicado a los docentes encuestados fueron dos cuestionarios. El primero referido a la variable I “actitud docente hacia la inclusión escolar” y el segundo referido a la variable II “proceso de adaptación curricular. En esta investigación se obtuvieron como resultado luego de un proceso de análisis de datos que, no hay significatividad y no existe relación entre la actitud docente hacia la inclusión escolar y el proceso de adaptación curricular en dos instituciones educativas inclusivas de la UGEL 03-2013. Así se pudo concluir que las actitudes que más se observaron en los docentes de aulas inclusivas son las neutrales

Relación del control interno con la cultura organizacional de los funcionarios de la Municipalidad Provincial de Cajamarca – 2018

RESUMEN La presente tesis, RELACIÓN DEL CONTROL INTERNO CON LA CULTURA ORGANIZACIONAL DE LOS FUNCIONARIOS DE LA MUNICIPALIDAD PROVINCIAL DE CAJAMARCA – 2018, considera que el control interno es muy importante para resguardar el patrimonio público, minimizando los riesgos, sin embargo, en la Municipalidad Provincial de Cajamarca existe problemas administrativos, el personal desconoce el Sistema de Control Interno, asociado a una débil cultura organizacional. El objetivo de la presente investigación fue determinar la relación del Control Interno y la Cultura Organizacional de los Funcionarios de la Municipalidad Provincial de Cajamarca – 2018. El diseño de acuerdo al estudio y método es No Experimental, descriptivo, transversal, correlacional y aplicada, siendo la variable independiente (Control Interno) y la variable dependiente (Cultura Organizacional), con una población de 90 funcionarios de la Municipalidad Provincial de Cajamarca, elegidos de 4 áreas con mayor riesgo de fraude; la muestra tomada es de tipo No Probabilístico por Conveniencia, aplicando la encuesta como técnica y el cuestionario como instrumento. De los resultados obtenidos en la presente investigación se concluye que existe riesgo medio de materializarse un presunto fraude. Recomendando: propiciar el Control Interno y la Cultura Organizacional, mostrando interés por mantenerlo a través de políticas, reuniones, charlas y capacitaciones constantes. PALABRAS CLAVE: riesgo medio, débil cultura organizacional, probabilidad de riesgo medio.ABSTRACT This thesis, RELATION OF INTERNAL CONTROL WITH THE ORGANIZATIONAL CULTURE OF THE OFFICIALS OF THE PROVINCIAL MUNICIPALITY OF CAJAMARCA - 2018, considers that the internal control is very important to safeguard the public patrimony, minimizing the risks, nevertheless, in the Provincial Municipality of Cajamarca exists administrative problems, the personnel does not know the Internal Control System, associated to a weak organizational culture. The objective of the present investigation was to determine the relation of the Internal Control and the Organizational Culture of the Officials of the Provincial Municipality of Cajamarca - 2018. The design according to the study and method is Non-Experimental, descriptive, transversal, correlational and applied, being the independent variable (Internal Control) and the dependent variable (Organizational Culture), with a population of 90 officials of the Provincial Municipality of Cajamarca, chosen from 4 areas with the highest fraud risk; the sample taken is of the Non-Probabilistic for Convenience type, applying the survey as a technique and the questionnaire as an instrument. From the results obtained in the present investigation it is concluded that there is a medium risk of materializing an alleged fraud. Recommending: promote Internal Control and Organizational Culture, showing interest in maintaining it through policies, meetings, talks and constant training. KEYWORDS: internal control, organizational culture, medium risk

Importance of orthogeriatric care in patients with hip fracture. About a case.

La fractura de cadera es un problema sociosanitario grave, la prevalencia aumenta con la edad y susceptibilidad al sexo femenino. Incrementa el riesgo de mortalidad, dependencia e institucionalización en adultos mayores. Se reporta el caso de una mujer de 80 años que acude a emergencia de un hospital de segundo nivel con una fractura intertrocantérica izquierda, asociada a comorbilidad cardíaca controlada, buena relación familiar, sin alteración en la esfera cognitiva, independiente para las actividades básicas e instrumentales de la vida diaria. Se realiza artroplastia de cadera izquierda, sin valoración pre y postquirúrgica por Geriatría, ni intervención de fisioterapia, es dada de alta hospitalaria a las 48 horas luego de la cirugía, sin plan de intervención domiciliaria. Paciente fallece a los 6 meses en el domicilio, con deterioro funcional, úlceras por presión y encamamiento. La importancia de la ortogeriatría como modelo de atención con enfoque interdisciplinario tiene como finalidad reducir la estancia hospitalaria, evitar complicaciones pre y postoperatorias, recuperar la funcionalidad previa con tratamientos en relación con la necesidad del adulto mayor logrando autonomía y reinserción social.Hip fracture is a serious social health problem, the prevalence increases with age and susceptibility to the female sex. It increases the risk of mortality, dependency and institutionalization in older adults. The case of an 80-year-old woman who comes to the emergency room of a second-level hospital with a left intertrochanteric fracture, associated with controlled cardiac comorbidity, good family relationship, without alteration in the cognitive sphere, independent for basic and instrumental activities is reported. of daily life. Left hip arthroplasty was performed, without pre and post-surgical evaluation by Geriatrics, or physiotherapy intervention, she was discharged from hospital 48 hours after surgery, without a home intervention plan. Patient died at 6 months at home, with functional deterioration, pressure ulcers and bedridden. The importance of orthogeriatrics as a model of care with an interdisciplinary approach aims to reduce hospital stay, avoid pre and postoperative complications, recover previous functionality with treatments in relation to the need of the elderly, achieving autonomy and social reintegration

Red iberoamericana de intercambio académico en estudios ambientales (UMA-PIMA): seis años ampliando las oportunidades formativas de estudiantes de grado a ambos lados del Atlantico

PIMA es el Programa de Intercambio y Movilidad Académica para estudiantes de grado promovido por la Organización de Estados Iberoamericanos (OEI), que cuenta con el apoyo de la Secretaría General de Universidades, Investigación y Tecnología de la Junta de Andalucía. Este programa está estructurado en redes temáticas constituidas por instituciones de educación superior de al menos tres países integrantes del programa. Los objetivos principales del programa son el fortalecimiento de la relación interinstitucional en el campo de la enseñanza superior, dándole una dimensión iberoamericana, y el facilitar a los estudiantes de grado el conocimiento de otras realidades universitarias existentes mediante su incorporación durante cuatro meses a otra universidad iberoamericana, con la garantía del reconocimiento académico de los estudios cursados. Desde el curso 2013-2014, y de manera ininterrumpida hasta la actualidad, la Universidad de Málaga (UMA) coordina la red PIMA Red Iberoamericana de Intercambio Académico en Estudios Ambientales. Esta red ha estado formada desde sus inicios por la Universidad Federal da Bahía (UFBA) (Brasil), la Universidad Nacional Santiago Antúnez de Mayolo (UNASAM) (Perú) y la UMA, si bien sufrió la baja de la Universidad de Guadalajara (México) y la incorporación de la Escuela Superior Politécnica del Litoral (ESPOL) (Ecuador) de manera reciente. Esta red PIMA se centra en movilidades de estudiantes que cursan grados de estudios ambientales, como los Grados en Biología y Ciencias Ambientales, e Ingeniería Ambiental. Hasta el momento más de veinte estudiantes de cuatro nacionalidades diferentes se han beneficiado de las ayudas económicas que aporta esta red PIMA, para que cursen un semestre en otra institución iberoamericana. El presente trabajo analiza los perfiles de los estudiantes y las características académicas de sus movilidades.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

Dietary patterns related to biological mechanisms and survival after breast cancer diagnosis: results from a cohort study

BackgroundInflammatory, insulin and oestrogenic pathways have been linked to breast cancer (BC). We aimed to examine the relationship between pre-diagnostic dietary patterns related to these mechanisms and BC survival.MethodsThe diabetes risk reduction diet (DRRD), inflammatory score of diet (ISD) and oestrogen-related dietary pattern (ERDP) were calculated using dietary data from the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Cox proportional hazards models were used to assess associations between dietary patterns and overall mortality and competing risk models for associations with BC-specific mortality.ResultsWe included 13,270 BC cases with a mean follow-up after diagnosis of 8.6 years, representing 2340 total deaths, including 1475 BC deaths. Higher adherence to the DRRD score was associated with lower overall mortality (HR1-SD 0.92; 95%CI 0.87-0.96). Greater adherence to pro-inflammatory diets was borderline associated with 6% higher mortality HR1-SD 1.06; 95%CI 1.00-1.12. No significant association with the oestrogen-related dietary pattern was observed. None of the dietary patterns were associated with BC-specific mortality.ConclusionsGreater adherence to an anti-diabetic and anti-inflammatory diet prior to diagnosis is associated with lower overall mortality among BC survivors. Long-term adherence to these dietary patterns could be a means to improve the prognosis of BC survivors

Breast and Prostate Cancer Risks for Male BRCA1 and BRCA2 Pathogenic Variant Carriers Using Polygenic Risk Scores

Background: Recent population-based female breast cancer and prostate cancer polygenic risk scores (PRS) have been developed. We assessed the associations of these PRS with breast and prostate cancer risks for male BRCA1 and BRCA2 pathogenic variant carriers. Methods: 483 BRCA1 and 1318 BRCA2 European ancestry male carriers were available from the Consortium of Investigators of Modifiers of BRCA1/2 (CIMBA). A 147-single nucleotide polymorphism (SNP) prostate cancer PRS (PRSPC) and a 313-SNP breast cancer PRS were evaluated. There were 3 versions of the breast cancer PRS, optimized to predict overall (PRSBC), estrogen receptor (ER)-negative (PRSER-), or ER-positive (PRSER+) breast cancer risk. Results: PRSER+ yielded the strongest association with breast cancer risk. The odds ratios (ORs) per PRSER+ standard deviation estimates were 1.40 (95% confidence interval [CI] =1.07 to 1.83) for BRCA1 and 1.33 (95% CI = 1.16 to 1.52) for BRCA2 carriers. PRSPC was associated with prostate cancer risk for BRCA1 (OR = 1.73, 95% CI = 1.28 to 2.33) and BRCA2 (OR = 1.60, 95% CI = 1.34 to 1.91) carriers. The estimated breast cancer odds ratios were larger after adjusting for female relative breast cancer family history. By age 85 years, for BRCA2 carriers, the breast cancer risk varied from 7.7% to 18.4% and prostate cancer risk from 34.1% to 87.6% between the 5th and 95th percentiles of the PRS distributions. Conclusions: Population-based prostate and female breast cancer PRS are associated with a wide range of absolute breast and prostate cancer risks for male BRCA1 and BRCA2 carriers. These findings warrant further investigation aimed at providing personalized cancer risks for male carriers and informing clinical management.Peer reviewe

Plasma lipid profiles discriminate bacterial from viral infection in febrile children

Fever is the most common reason that children present to Emergency Departments. Clinical signs and symptoms suggestive of bacterial infection are often non-specific, and there is no definitive test for the accurate diagnosis of infection. The 'omics' approaches to identifying biomarkers from the host-response to bacterial infection are promising. In this study, lipidomic analysis was carried out with plasma samples obtained from febrile children with confirmed bacterial infection (n = 20) and confirmed viral infection (n = 20). We show for the first time that bacterial and viral infection produces distinct profile in the host lipidome. Some species of glycerophosphoinositol, sphingomyelin, lysophosphatidylcholine and cholesterol sulfate were higher in the confirmed virus infected group, while some species of fatty acids, glycerophosphocholine, glycerophosphoserine, lactosylceramide and bilirubin were lower in the confirmed virus infected group when compared with confirmed bacterial infected group. A combination of three lipids achieved an area under the receiver operating characteristic (ROC) curve of 0.911 (95% CI 0.81 to 0.98). This pilot study demonstrates the potential of metabolic biomarkers to assist clinicians in distinguishing bacterial from viral infection in febrile children, to facilitate effective clinical management and to the limit inappropriate use of antibiotics

Evidence of spatial clustering of childhood acute lymphoblastic leukemia cases in Greater Mexico City: report from the Mexican Inter-Institutional Group for the identification of the causes of childhood leukemia

BackgroundA heterogeneous geographic distribution of childhood acute lymphoblastic leukemia (ALL) cases has been described, possibly, related to the presence of different environmental factors. The aim of the present study was to explore the geographical distribution of childhood ALL cases in Greater Mexico City (GMC).MethodsA population-based case-control study was conducted. Children <18 years old, newly diagnosed with ALL and residents of GMC were included. Controls were patients without leukemia recruited from second-level public hospitals, frequency-matched by sex, age, and health institution with the cases. The residence address where the patients lived during the last year before diagnosis (cases) or the interview (controls) was used for geolocation. Kulldorff’s spatial scan statistic was used to detect spatial clusters (SCs). Relative risks (RR), associated p-value and number of cases included for each cluster were obtained.ResultsA total of 1054 cases with ALL were analyzed. Of these, 408 (38.7%) were distributed across eight SCs detected. A relative risk of 1.61 (p<0.0001) was observed for the main cluster. Similar results were noted for the remaining seven ones. Additionally, a proximity between SCs, electrical installations and petrochemical facilities was observed.ConclusionsThe identification of SCs in certain regions of GMC suggest the possible role of environmental factors in the etiology of childhood ALL

Hyperoxemia and excess oxygen use in early acute respiratory distress syndrome : Insights from the LUNG SAFE study

Publisher Copyright: © 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.Background: Concerns exist regarding the prevalence and impact of unnecessary oxygen use in patients with acute respiratory distress syndrome (ARDS). We examined this issue in patients with ARDS enrolled in the Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) study. Methods: In this secondary analysis of the LUNG SAFE study, we wished to determine the prevalence and the outcomes associated with hyperoxemia on day 1, sustained hyperoxemia, and excessive oxygen use in patients with early ARDS. Patients who fulfilled criteria of ARDS on day 1 and day 2 of acute hypoxemic respiratory failure were categorized based on the presence of hyperoxemia (PaO2 > 100 mmHg) on day 1, sustained (i.e., present on day 1 and day 2) hyperoxemia, or excessive oxygen use (FIO2 ≥ 0.60 during hyperoxemia). Results: Of 2005 patients that met the inclusion criteria, 131 (6.5%) were hypoxemic (PaO2 < 55 mmHg), 607 (30%) had hyperoxemia on day 1, and 250 (12%) had sustained hyperoxemia. Excess FIO2 use occurred in 400 (66%) out of 607 patients with hyperoxemia. Excess FIO2 use decreased from day 1 to day 2 of ARDS, with most hyperoxemic patients on day 2 receiving relatively low FIO2. Multivariate analyses found no independent relationship between day 1 hyperoxemia, sustained hyperoxemia, or excess FIO2 use and adverse clinical outcomes. Mortality was 42% in patients with excess FIO2 use, compared to 39% in a propensity-matched sample of normoxemic (PaO2 55-100 mmHg) patients (P = 0.47). Conclusions: Hyperoxemia and excess oxygen use are both prevalent in early ARDS but are most often non-sustained. No relationship was found between hyperoxemia or excessive oxygen use and patient outcome in this cohort. Trial registration: LUNG-SAFE is registered with ClinicalTrials.gov, NCT02010073publishersversionPeer reviewe