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  • 16% sparen
    von Dervisyan Cuellar López
    37,00 €

    Bladder cancer is a common disease and manifests itself in two forms: low-grade superficial tumor and high-grade invasive neoplasia. A prospective longitudinal descriptive observational study was conducted in the Urology Department of the Arnaldo Milían Castro Hospital from October 2019 to October 2023. The study population consisted of all patients (242) diagnosed with this disease. Bladder cancer affects people older than 70 years of age, male, retired, white, with a family history of bladder cancer. Hematuria was the main symptom and smoking was a risk factor for its presentation. Bilateral hydronephrosis was observed when face, neck and both sides were affected.

  • 16% sparen
    von Mauro Guzmán Lemus
    37,00 €

    This work on the definition of the concept of "Quality Higher Education" stems from an essay conducted in the module in the formation of doctor in "Regency and Educational Policy" at the University of Baja California Norte, Campus Tepic, Nayarit, Mexico.This concept was the subject of study by several expert authors in higher education according to reference sources in the integration of these multidisciplinary works.

  • 15% sparen
    von José María Bonich
    34,00 €

    There is a growing trend in the intention to implement social inclusion, from supranational organizations such as the UN, the OAS, the EU, etc. and all countries that adhere to the Universal Declaration of Human Rights. This trend is bearing fruit, in some areas more than in others. In relation to health rights, important advances have been made, such as the recognition of HIV or diabetes treatment. In the field of mental health, there are also significant initiatives from governmental and NGO spheres that promote inclusion for mental disability. Schizophrenia is also an important cause of mental disability but is excluded from most rehabilitation and inclusion programs. The intention of this update is not only to improve the quality of life of patients, their families and their environment, but also to promote inclusion devices, tools and skills for patients, families and mainly the therapeutic team that should promote them.

  • 15% sparen
    von Ramiro Mac Donald
    34,00 €

    This book is a compilation of writings elaborated over several years and they have in common that they were put through a semiotic scanner. Reading them will be useful for anyone interested in social and political life, because they represent analytical schemes that can be applied to the everyday reality of any society; they focus specifically on contemporary Guatemala and are semiotic exercises that seek to be shared with the academic community in the area of communication, and at the same time with those who wish to get started in this exciting field of this theoretical application. Cultural, social and political issues are addressed, because semiotics allows us to study, as Eco said, any cultural fact (in the broad sense of the word) as a communicative process, since a whole system of signification that supports it prevails. Semiotics is a discipline that dives into and scrutinises the symbolic networks of everyday life, drawing on various areas of knowledge. Applying the semiotic scanner to these issues was a fascinating task, to re-signify the scaffolding of the dominant powers (and their loopholes) always with the academic attitude of research.

  • 15% sparen
    von Abel Federico Pérez Hernández
    34,00 €

    In this book you will find text related to the most prominent learning styles in the current literature. It shows results obtained from the application of the CHAEA questionnaire to a group of university students. Here you will find a practical guide to apply it in an easy way in your university teaching activities. In addition, bibliographical references are provided for recent works whose authors are leading researchers in the field of learning styles.

  • 16% sparen
    von Carlos Antonio Fernández
    46,00 €

    The evolution of geopolitical thought has been brought about by the incorporation of new dimensions and areas of competence to the basic discipline. Parallel to this, the centrality of a phenomenon has intensified, namely, the concern for knowledge and direct and total control of the "psyche" of people.All the arsenal and the theoretical and methodological devices contemplated in Geopolitics, in order to achieve its destiny, its existence and its meaning, must lead to a concrete fact, which is the domination and control of the will that a group of men exercise over others.

  • 15% sparen
    von Elva Rosa Gonzales Guevara
    34,00 €

    According to Latin American researchers, resilience tells us that it is the capacity that people have to excel in the face of adversity; but it should also be considered that resilience is the opportunity to improve in the face of negative experiences, recognising limitations, whether affective or cognitive, and transforming them into opportunities to move forward; the Pan American Health Organisation points out that resilience is inherent to each individual, as someone unique who possesses the potential to face adversity and emerge stronger; The promotion of resilience is also the responsibility of all adults who have the role of protecting, guiding and sheltering a growing adolescent who needs the support of an adult to continue strengthening his or her abilities.

  • 15% sparen
    von Natalia Bretón Diez
    34,00 €

  • 19% sparen
    von Vladimir Starovojtov
    61,00 €

    Any complex things can be explained simply. The book uses new logical approaches to present all the key topics of philosophy in simple verbal forms, quite understandable to a high school student.The book contains new philosophical insights into the human psyche. Its main feature is that it presents a number of ideas about the structure and functioning of the psyche. In particular, new philosophical theories of mind, concept, association, intuition, perception, attention, recognition, understanding, etc. The idea of creating intelligent devices with artificial psyche is developed here. All this is made possible by information theory and the theory of dialectical logic, which were developed in book one. All these are bright results of the new dialectical approach.The scientific significance of the book lies in the fact that it is a convenient means of interdisciplinary seminar for scientists of various private sciences, and contains a number of new scientific ideas.

  • 16% sparen
    von Sonia Chouaieb
    37,00 €

    Myeloproliferative neoplasia are clonal hematological malignancies characterized by excessive proliferation of blood cells. They group together different entities and can be classified according to the presence or absence of BCR-ABL rearrangement. We distinguish between chronic myeloid leukemia, classic BCR-ABL1-negative neoplasia including primary polycythemia; primary myelofibrosis and essential thrombocythemia; chronic neutrophilic leukemia; chronic eosinophilic leukemia (without further specification) and unclassifiable myeloproliferative neoplasia. This book is a review of what is known about myeloproliferative neoplasia and what has been learned so far.

  • 15% sparen
    von Cruz García Lirios
    34,00 €

    The concept of consensual stewardship derives from the governance or capacity of a political system to guide the allocation of resources to solve a problem of scarcity or scarcity that affects the daily lives of current generations or the capacities of other generations in the future. Consensual stewardship is a dialogical, decision-oriented system for managing resources in a way that reduces the ecological footprint without compromising the capabilities of future generations. Consensual management has four dimensions: economic, political, social and environmental, and they are indicated by their degree of efficiency, equity, fairness and balance. Consensual management favours a relationship between the four dimensions rather than the predominance of one over another.

  • 15% sparen
    von Juan Camilo Julio Contreras
    34,00 €

    The implementation and use of digital marketing is of paramount importance for the growth of organisations, as the world is constantly changing. The internet, social networks and e-commerce are booming and it is of vital importance that organisations know how to take advantage of this opportunity and develop in this medium, thus satisfying the needs of customers more easily and generating a closeness between organisation and customer.

  • 18% sparen
    von Eduardo Reyna Villasmil
    59,00 €

    Pre-eclampsia is a multisystem disorder that affects 2-8% of pregnancies and is a leading cause of maternal and perinatal morbidity and mortality worldwide. Recent research has improved the understanding of the pathogenesis of this potentially life-threatening condition, especially in the treatment aspects. However, despite these advances, therapeutic options remain limited and there are currently no effective pharmacological interventions available. Complications associated with pre-eclampsia can be reduced by using protocols for early treatment of complications using appropriate guidelines. Nitroglycerin patches are very popular and some researchers claim that their use can facilitate external cephalic version, vaginal delivery and manual exploration of the uterus and have proposed their use as a tocolytic. This book discusses the potential effects of nitroglycerin patch use on haemodynamic and inflammatory parameters in pre-eclamptic women.

  • 19% sparen
    von Mario Perossa
    69,00 €

    A cryptocurrency is a non-physical and decentralized digital asset where the monetary authority does not intervene. Its creation is due to encryption techniques without the existence of a central server, which provides security and control over its generation. Its nature is global since it transcends all borders and its popularity is increasing day by day.Somehow, as fintechs allow new technologies to improve traditional banking and provide centralized financial support, decentralized finance (DeFi) emerges as a tool to execute transactions in a secure, fast, direct and decentralized way.Before Bitcoin, it was not possible to conceive of a scarce and tradable digital asset over the internet without an entity responsible for keeping track of that property and all transactions occurring on the network.

  • 15% sparen
    von Maria Claudia Hoyos Morales
    34,00 €

    This research investigates, through a quantitative methodology, the political, economic and socio-demographic factors that explain the levels of transparency in the governorates of Colombia's departments. It attempts to identify whether there is a variation in the Departmental Transparency Index (ITD) over the years and by department, and also seeks to explain the causes of these variations by means of socio-demographic, political and economic variables.

  • 18% sparen
    von Walter Spencer Viveros Viveros
    51,00 €

    This text is the result of a research process in the classroom. Using the research method (Gil, 1993); (Gil and Martínez, 1987); (Gil and Guzmán, 1993), (Porlán, 1998). In the same vein, it was proposed through the qualitative ethnographic approach with a sample of 4 students as novice researchers and the teacher acting as the research director, to develop scientific competences in situations of molecular biology and biotechnology. On the other hand, this experience shows how scientific knowledge can be generated in schools. In this way, scientific literacy is generated and the pupils are also able to formulate hypotheses, control variables, recognise laboratory material, use microscopy techniques, deduce, infer, predict, formulate questions, seek answers to questions and present the results of the process. Finally, the results of the research show: the mastery of conceptual, attitudinal and procedural aspects of science, this text is a possibility for methodological, pedagogical and didactic reflection in pre-university education.

  • 15% sparen
    von Luis Daniel Rocha Eastman
    34,00 €

    There is currently an ideological hegemony throughout the Western world: the hegemony of the "gender perspective", which has been influencing the social sciences for some years now. Legal science does not escape its field of influence. However, the Marxist origin of this perspective translates into an incompatibility in its application due to the political-ideological characteristics of the concept of "Gender" and the objective-scientific basis on which Criminal Law must be based.

  • 16% sparen
    von Ariana Marín Araya
    37,00 €

    Third molars, wisdom teeth or wisdom teeth is a daily topic in our dental practice.Many dentists have wondered about the evolution of these teeth, the same doubts that I also had and that is why I was inspired to carry out this study. This research was carried out during the pandemic period (2020-2022), a complicated time for everyone in many aspects. It was a time that helped us become aware of the importance of our family.

  • 16% sparen
    von Sonia Chouaieb
    37,00 €

    The provision of medical biology consulting services is part of the development of the medicalization of the profession. It covers pre-analytical, analytical and post-analytical processes. This activity has become increasingly important in the diagnosis and management of patients with haemostasis disorders, and in monitoring their treatment. The implementation of a well-organized advice policy for the various recipients helps to strengthen the laboratory's involvement in patient care. The aim of this work is to propose guidelines to be followed in order to master the process of providing hemostasis advice.

  • 16% sparen
    von Janelle Christie
    46,00 €

    This research aims to provide innovation with regard to the obligation of means and the obligation of results in doctor-patient contracts, focusing the study on two specific medical procedures, which by their nature and characteristics represent a point of rupture and distinction between the obligations that the medical professional must guarantee, namely: medical-aesthetic procedures when they are performed for cosmetic reasons or merely for beautifying purposes, and when they are performed for corrective purposes. Establishing the nature of the contract that arises prior to a medical treatment is essential for the determination of the liability regime of the medical professional towards his patient, clearly establishing the contractual guidelines and the obligations to which the medical professional is subject.

  • 15% sparen
    von Oscar Silva Marrufo
    34,00 €

    Lettuce is a vegetable plant that has been well accepted in the diet of consumers all over the world; it is a fundamental part of the freshness of a dish and represents a food of high nutritional value and organic balance. In Mexico, the largest lettuce production is in the months of August and September with more than 400 thousand tonnes per year. One of the best known varieties is iceberg lettuce, which has the main quality of having a crunchy texture and a watery flavour.

  • 16% sparen
    von Mateo Estrada Echeverri
    46,00 €

    I consider that the research question is based on three interrelated perspectives: How does one live and co-live with death? Can an artefact be created that mediates and functions as a source of experience based on the representation of the phenomenon of death? What happens when images that represent and allude to the same subject, namely death, are placed together in the same virtual space? My aim was to try to achieve a polyphonic tetralogue between images, based on this mediating artefact. To achieve different degrees of representation of how we experience death, through the conformation of this visual set of images, in the hope that it will confront the viewer with the body of images. It shows common places of our coexistence with death through the representation of death. It is about the Lacanian problem of the signifier: a signifier never defines absolutely; it only points, and tries to envelop the black hole that is the word, and that finally does not fail to show us the Lack, the Lost Object.

  • 15% sparen
    von Jenny Soledad García Zamora
    34,00 €

    Is portal hypertension a relevant issue today, and what advances have been made in recent years? This review describes in a simple way, the concepts related to portal hypertension and one of its most common complications: gastrointestinal haemorrhage, in its wide spectrum of presentation, addressing from pathophysiology, diagnosis, treatment and prevention, so it is a useful work for those who have contact with the patient from the first level of care to high specialisation.

  • 15% sparen
    von Ricardo Adrian Francisco R. Gomez
    34,00 €

    This book had the objective of determining the relationship between the implementation of a mobile application with virtual reality and the promotion of tourism through the visualisation and description of the tourist sites of Iquitos in 2018. The research belongs to the descriptive type and the design was non-experimental Transactional. The population consisted of national and foreign tourists visiting the city of Iquitos, the sample was represented by 50 tourists chosen for convenience.

  • 18% sparen
    von Irma Ramos Rodríguez
    50,00 €

    In the last 20 years the prevalence of obesity has tripled worldwide, Mexico is one of the countries most affected by this problem. Obesity is a multifactorial disease conditioned by genetic, social and environmental factors, however, there are two fundamental conditions that are associated to the presence of this disorder: bad eating habits and sedentary lifestyle. The diet of Mexicans has recently changed, the consumption of sugars and saturated fats is increasing, and people are becoming less and less physically active, conditions that lead individuals to gain weight. People who work in the tianguis are a risk group to develop this disorder, because they remain most of their working day in the same position, without making movements, in addition to working for more than eight hours a day, not having established schedules to eat their food and consuming them in the street.

  • 15% sparen
    von Ismael Soto-López
    34,00 €

    From the moment we get up in the morning, we are in contact with different materials with which we coexist in our daily lives, such as cleaning products, clothing, food, transport, etc., which we consider to be harmless, but when we observe them carefully, we realise that many of them are not so harmless and that when we use them frequently, we realise that they have become our daily poison.

  • 16% sparen
    von Kitita Natalia Padilla Rojas
    46,00 €

    Analysis of Information Management in a technical educational services company will help you to understand how the proper handling of data should be carried out in the following five stages: acquisition, processing, storage, retrieval and distribution, by applying the methodology of the qualitative approach. The results obtained from the analysis of information management in the technical educational services company indicated that for its acquisition it is channelled through digital media, then it is transformed for a specific purpose and, depending on the needs, it is materialised in different actions such as reports or classes, subsequently, it is stored in databases, virtual folders and, in some cases, physical files, to finally be distributed depending on the process and its requirement.

  • 15% sparen
    von Romina Tripodi
    34,00 €

    In 2016, the Environmental Engineering course at the National University of Tres de Febrero launched the "Social Wind Turbine" project. The aim of the project is the design and construction of low-power wind turbines to be installed in low-income communities. Reused materials are used for their construction. As a contribution to the aforementioned project, the aim of this work is the design and construction, at an experimental level, of an electrical energy generation system to be installed in these wind turbines.

  • 15% sparen
    von Marina del Carmen Osorio Aquino
    34,00 €

    Breast milk is the best food for the baby as it has all the proteins, vitamins, minerals, etc., that the baby needs for its development and growth. It brings benefits to both the mother and the baby, for the mother it can be pointed out a better recovery from childbirth and postpartum, less risk of haemorrhages, cancer, among others. For the baby, it prevents gastrointestinal and respiratory problems, obesity, among others. Breastfeeding strengthens the emotional bond between mother and baby. Unfortunately, most mothers do not breastfeed their children for aesthetic reasons, lack of time, among other factors, and some mothers only breastfeed for a short time. The WHO states that the ideal is to breastfeed exclusively until 6 months of age and then start giving fruit and vegetables in the form of porridge. Breastfeeding can continue until 2 years of age.

  • 16% sparen
    von Milton Gabinetti
    46,00 €

    The challenges facing teachers in secondary school classrooms must be considered in the light of the new information and communication technologies that have burst onto the contemporary educational scene and are here to stay with us for good. The true active protagonists of the teaching and learning process, who are none other than the learners, bring new tools into the classroom as digital natives, which must be used collaboratively to build knowledge.

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