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575.574  Articles
1 of 57.558 pages  |  10  records  |  more records»
Astrotourism consists of activities focused on observing night skies and celestial phenomena in natural spaces, which contributes to communities’ involvement, empowerment and participation and to regional development. In addition to documenting the increa... see more

The trend in investigating how teachers apply assessment in EFL classroom has been at the momentum. Using systematic literature review and PRISMA protocol, as many as 44 research articles during this past ten years were found. Their findings are beneficia... see more

The development of the global economy has caused people's living standards to increase and the production of domestic waste has also increased from year to year. The population of big cities that have limited environmental carrying capacity, causing the w... see more

Cancer Cérvico Uterino en la Tercera Edad: P. del Río, 2005-2008 / Cervical Cancer in the aged: Pinar del Río, 2005-2008Cancer Cérvico Uterino en la Tercera Edad: P. del Río, 2005-2008 / Cervical Cancer in the aged: Pinar del Río, 2005-2008El propósito del presente trabajo ha sido caracterizar epidemiológica y clínicamente al cáncer cérvicouterino en la tercera edad en Pinar del Río. Método: Diseño observacional, descriptivo, transversal. Universo: Mujeres de 60 años y más de la región oeste de la Provincia Pinar del Río que tuvieron biopsias que interesaban el cuello uterino. Variables: edad, motivo de consulta, diagnóstico, rendimiento citológico, incidencia y mortalidad (por 100000 mujeres de ese grupo de edades) y letalidad en %. Resultados: Los motivos principales de consulta fueron la lesión macroscópica y el sangrado posmenopáusico. Predominó el subgrupo de 60-64 años (rango 60-94). Casi el 50% tenía lesiones cervicales. La citología mostró una sensibilidad de 9,8%, especificidad de 96,5%, valor predictivo positivo de 71.4% y el negativo de 54.7%. El carcinoma escamoso invasor (CINV) en cualquiera de sus estadios presentó una incidencia promedio anual de 57,4; el adenocarcinoma endocervical (AEC) de 8,0 y el adenocarcinoma endometrial (AEM), 35.6. No hubo diferencias de edad (F=0.52; p = 0.76). El carcinoma escamoso in situ tuvo una incidencia anual 10,2. La mortalidad anual por CINV fue de 14,3 y por AEC, 3,6, mientras que por AEM fue de 11,3. La letalidad mayor se observó en el AEC (54.5 %), Conclusiones. Las mujeres de la tercera edad aportan lesiones malignas con altas tasas de mortalidad y letalidad por lo que deben ser priorizadas ante cualquier signo macroscópico o sangrado posmenopáusico. Debe hacerse un seguimiento más continuo en la mujer antes de arribar a 60 años para evitar la morbilidad y la muerte. Palabras clave: cáncer del cuello uterino, anciano, lesiones ABSTRACT With the purpose of analyzing the state of the art in cervical cancer and precursor lesions a review of articles and research papers on the topic of the last five years was performed. Other original papers and articles considering level i-ii of medical evidence were reviewed. The medical literatures browsed on line were published on: Cochrane, Dynamed, Evidence-based Medicine Updates, New England Journal of Medicine, J Clinical Oncology, Medscape, PubMed, and the International Agency of Cancer in France. The following aspects were revised: definitions, epidemiology, etiology, risk factors, cytology, colposcopy, histopathology, classification, clinical stages, treatments, prevention, health promotion and social problems. Cervical Cancer is a preventable and curable disease, which is sexually transmitted by Human Papillomavirus having an annual higher incidence and prevalence; despite the screening programs it is still a health problem. Alternatives of screening are needed and they should be adequate to the local necessities, establishing a sustainable prevention and treatment to diminish the social and economic burden derived from this problem. Key words: cervix neoplasms, wounds and injuries, aged.

ABSTRACT With the purpose of analyzing the state of the art in cervical cancer and precursor lesions a review of articles and research papers on the topic of the last five years was performed. Other original papers and articles considering level i-ii ... see more

The purpose of this paper is twofold: on the one hand, it presents a yearlong study (2016-2017) that reports on the design and implementation of a module assessment through a peer review process(BOSTOCK, 2000;TOPPING 2000; FALCHIKOV, 2005) Using Turnitin,... see more

One of the promising technologies to support the application of mathematics learning is augmented reality (AR). It is considered an important pedagogical tool that allows an increasing understanding of challenging ideas at most levels of education. This a... see more

This study identified teacher challenges in the implementation of the individualized education plan (IEP) for special educational needs (SEN) children with learning disabilities (LD). A systematic literature review (SLR) was conducted to identify and... see more

1 of 57.558 pages  |  10  records  |  more records»