Journal of Microbiology & Health Education
http://journalmhe.org/ojs3/index.php/jmhe
<p><strong>Contact an editor</strong>: Send a message to Journal JM&HE on <strong>WhatsApp</strong>: <a href="https://wa.me/message/HS3MEGI4MZC2H1">https://wa.me/message/HS3MEGI4MZC2H1</a></p> <p>The Journal of Microbiology & Health Education (JM&HE) is an international journal, intended for the publication of original scientific articles, clinical case, short paper, research note, case report, dissertations and review.</p> <p>JM&HE is an independent, on-line publication with annational and international editorial board. JM&HE is open access with no cost to view or download articles and reasonable cost for publication of research artcles, making JM&HE easily availiable to scientists from resource restricted regions.</p> <p>The Journal is intended to publish original contributions covering different aspects of:</p> <p>- <strong>Microbiology</strong>; basic, clinical (bacteriology, parasitology, mycology and virology), industrial (biotechnology), environmental, food, sanitary and agricultural</p> <p>- <strong>Food safety and food toxicology, science and technology</strong></p> <p>- <strong>Education for health</strong>; safety, infection prevention, therapy and pharmacotherapeutic monitoring of infections, epidemiology of infections, health education (personal hygiene and health care), healthy eating, drug use and prevention of multi-drug microbial resistance, risk analysis and risk factors that favor the infection.</p> <p>Sometimes submitted manuscripts need Editorial improvements that require consultation between the authors and the editorial board. JM&HE has a speacilized editorial staff, the Area Coeditors Committee, to work with authors from developing countries to generate an aritcle that meets international publication standards. This may include editing for english, reorganization of the manuscript, or even suggestions on experimental design. Working in an interactive manner, the Area Coeditors Committee and the authors, will be able to achieve not only a manuscript at international standards but also the exchange of ideas and methods for publishing in other international journals.</p>AMESalud A.C.en-USJournal of Microbiology & Health EducationCover, printing data, editorial committee and index
http://journalmhe.org/ojs3/index.php/jmhe/article/view/57
<p>Cover, printing data, editorial committee and index</p>Elvira D. Jacobi Salazar
Copyright (c) 2023 Journal of Microbiology & Health Education
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2023-10-312023-10-3153327340Evidence-Based Psychology and Psychological Treatment for Obsessive Compulsive Disorder
http://journalmhe.org/ojs3/index.php/jmhe/article/view/86
<p>This article shows a single case intervention in a patient with a diagnosis of obsessive compulsive disorder in comorbidity with panic attack. For the treatment, therapies with empirical evidence were implemented. In the evaluation phase, the clinical interview, ISRA Miguel and Cano, Y-BOCS Goodman's and STAI of Spielberger, Gorsuch and Lushene were used. Once proposed intervention objectives are applied cognitive behavioral therapy and exposure therapy and prevention of response. The intervention was developed in 22 sessions, using techniques of psychoeducation, exposure, cognitive restructuring and breathing. At the end of the treatment, the intrusions and compulsions were reduced considerably, as well as the recognition of physiological responses predating panic attacks. These results are proportional to the available scientific evidence that supports the high levels of effectiveness of these therapies for the intervention of these disorders.</p>Maria José Tapias Ricardo Adriana Rendon David
Copyright (c) 2023 Journal of Microbiology & Health Education
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2023-10-312023-10-3153582601Biomaterials, applications in medicine and their health regulation in Ecuador
http://journalmhe.org/ojs3/index.php/jmhe/article/view/82
<p><strong>Introduction:</strong> Biomaterials are synthetic or natural chemical elements or compounds, which have the characteristic of being compatible with cells, tissues or organs. This property is called biocompatibility, they are frequently used in the health field, specifically in dentistry, traumatology, ophthalmology, etc., which is why they are regulated by health authorities. <strong>Objective</strong>: The purpose of this research is to identify the presence of biomaterials, since the beginnings of medicine, for the production of articles, instruments and artifacts used in the diagnosis, curative or palliative treatment of an abnormal physical disorder or its symptoms and its health regulation. <strong>Method</strong>: Descriptive study using the systematic review methodology of Scielo, Sciendirect, Pubmed articles, texts, regulations for registration of medical devices and guides from the International Medical Device Regulators Forum (IMDRF). <strong>Results:</strong> A systematic review of 18 scientific texts with information on biomaterials, their applications and regulation was carried out. <strong>Conclusions:</strong> Biomaterials are essential in the health field, but it is necessary to establish effective controls to guarantee safety and effectiveness.</p>Diego Paúl Moreno P.Elvia Cecilia Freire C.
Copyright (c) 2023 Journal of Microbiology & Health Education
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2023-10-312023-10-3153533545Silent enemy of health: review of the health effects of exposure to benzene
http://journalmhe.org/ojs3/index.php/jmhe/article/view/83
<p>Benzene is a monoaromatic hydrocarbon whose physicochemical characteristics give it the ability to easily dissolve and disperse a large number of compounds; it is also used as an additive to increase the octane rating of gasoline, and part of it is emitted into the atmosphere through combustion. Inhalation and dermal contact constitute the main routes of exposure to benzene, where it is distributed especially to the bone marrow, liver, kidney, brain and adipose tissue, causing toxic effects in these tissues. Anemia is one of the first disorders to appear, caused by a decrease in the production of red blood cells and the development of acute myeloid leukemia due to chronic exposure. At service stations it is common to observe the use of gasoline without adequate protection by workers, therefore, it is important to carry out frequent evaluations of exposed personnel, in order to take measures to preserve their health. This review shows the main scientific findings of various researchers around the world who have tried to alert and raise awareness among the population of all the health effects that overexposure to this organic solvent can cause.</p>Johanna GarcíaDaniel FlorentinoBibi Nazila AliFranklin Jesús Pacheco Coello
Copyright (c) 2023 Journal of Microbiology & Health Education
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2023-10-312023-10-3153546555Expert Judgment
http://journalmhe.org/ojs3/index.php/jmhe/article/view/84
<p>The objective of this review article is to present the expert judgment method by which a detailed evaluation of a specific topic is carried out by qualified experts in the area in question. Therefore, a rigorous investigation was carried out on the judgment of experts, which is a strategy used for the evaluation and validation of an investigation to verify reliability. For this, various experts specialized in a specific topic are used, these experts are selected according to their experience, level of knowledge, study. Consequently, expert judgment is a useful but imperfect method, which is why it must be used with caution and accuracy, taking into account the various tools (tables, indicators, questionnaires, etc.) that the expert uses.</p>Erick Ernesto Aguilar Altamirano
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2023-10-312023-10-3153556570Lean Six-Sigma and their importance in continuous quality improvement in the clinical laboratory
http://journalmhe.org/ojs3/index.php/jmhe/article/view/85
<p>In clinical laboratories, the combination of Lean and Six Sigma methodologies can generate significant improvements in quality, productivity and patient safety, the implementation of these methodologies can help laboratories reduce errors, minimize waste and increase efficiency in the provision of diagnostic services, the use of Lean and Six Sigma methodologies can also help laboratories meet regulatory requirements and Accreditation standards, ensuring that patients receive accurate and reliable test results, applying Lean and Six Sigma methodologies in clinical laboratories can lead to better patient outcomes and greater satisfaction with laboratory services. The objective of this research was to analyze the application of Lean Six Sigma in the clinical laboratory and how this methodology intervenes in the continuous improvement of quality in the Clinical Laboratory. The study is of design and type systematic documentary and bibliographic review, since searches were carried out in the various scientific databases: pubmed, scielo, Sciencedirect. The results indicate that Lean and Six Sigma process improvement methodologies are adequate to help achieve 98% laboratory efficiency. It was concluded that Lean Six Sigma is a powerful methodology that can help clinical laboratories improve their processes.</p>William Antonio Lino VillacresesLorena Anahis Lino Villacreses Jose Humberto Guaman Guanca
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2023-10-312023-10-3153571581Effect of the Biosynthesis of Silver Nanoparticles (AgNPs) and Lithium (LiNPs), obtained by reduction with Quercetin, on the proliferation of a strain of Staphylococcus aureus (ATCC 25923) and Klebsiella pneumoniae (ATCC 700603)
http://journalmhe.org/ojs3/index.php/jmhe/article/view/58
<p><strong>Introduction</strong>: The growing resistance to antibiotics has led to the design and evaluation of new alternatives against various pathogens of clinical interest, including <em>Staphylococcus aureus</em> <em>Klebsiella pneumoniae</em>. Among these alternatives are the so-called metallic nanoparticles, which have exhibited interesting antimicrobial potential. <strong>Objective</strong>: The study aimed to evaluate the effect of the biosynthesis of silver nanoparticles (AgNPs) and Lithium (LiNPs) on the proliferation of a strain of <em>S. aureus</em> and <em>K. pneumoniae</em>. Methodology: AgNPs and LiNPs were synthesized using lithium and silver salts and quercetin as a reducing agent. These NPs were characterized by scanning electron microscopy (SEM). To evaluate the antimicrobial effect of the NPs, a range of concentrations was established (0.2; 0.4; 0.6; 0.8; and 1 mg/mL). The bacteria were exposed to these concentrations by taking optical density readings every 60 min for 6 h at 600 nm and one at 24 h to calculate the minimum inhibitory concentration (MIC).<strong>Results</strong>: The AgNPs had a size of 38 nm and 36 nm for the LiNPs, both with spherical morphology and certain aggregations. For all the concentrations evaluated, inhibition of bacterial growth was observed with a minimum inhibitory contraction (MIC) close to 0.8 mg/mL-AgNPs and 0.6 mg/mL-LiNPs against S. aureus and 1 mg/mL- AgNPs and 0.6 mg/mL-LiNPs against K. pneumoniae. <strong>Conclusions</strong>: The biosynthesis of metallic nanoparticles constitutes a future alternative for the treatment of bacterial infections. AgNPs and LiNPs exhibited excellent performance against <em>S. aureus</em> and <em>K. pneumoniae</em> over the entire range of concentrations.</p>Franklin Jesús Pacheco-CoelloMichelina ReaPatricia Reinoza
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2023-10-312023-10-3153341348Clinical and laboratory characteristics of patients with COVID-19 hospitalized in intensive care in a locality in Venezuela
http://journalmhe.org/ojs3/index.php/jmhe/article/view/54
<p>COVID-19 is a disease that has a varied clinical spectrum from asymptomatic to severe symptoms. Because it is an emerging disease, the continuous contribution of clinical and epidemiological data is convenient for public health. The objective of this research work was to describe the clinical and laboratory characteristics of patients with COVID-19 in intensive care in a Venezuelan region for which there is no information in this regard. The study, a short report, was descriptive and prospective of patients with COVID-19 hospitalized in an intensive care unit, whose sample was 27 patients in whom the following were described: age, sex, clinical parameters, pathological history, laboratory results. , radiological tests and hospitalization data. The findings reveal that the most affected were 52.8±18.6 years old, with a body mass index of 23.1±4.3, diabetic and hypertensive, with abnormal liver enzymes and parameters such as: LDH, CRP, Bun, D-dimer and glycemia, SaO2 of 70 % and in tachypnea. It is concluded that advanced age is an important risk factor, as well as diabetes mellitus and arterial hypertension. That the SaO2 is less than 90 % in those with poor clinical evolution, with a predominance of the bilateral ground glass radiological pattern and alteration of liver enzymes (towards an increase), as well as for LDH, CRP, fibrinogen, BUN, D-dimer , glycemia and leukocytes.</p>Adriana RojasLeidy VergaraMaría Vielma de ValbuenaAlvaro RojasDaniel BastidasGilberto Bastidas
Copyright (c) 2023 Journal of Microbiology & Health Education
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2023-10-312023-10-3153349357Efficacy of a Dynamic and Static Flexibility Program on Joint Range of Motion in High-Performance Athletes
http://journalmhe.org/ojs3/index.php/jmhe/article/view/59
<p><strong>Objectives</strong>: The amplitude of joint movement was evaluated by means of Goniometry and muscle tests such as Ober's test, Thomas' test, Ely's test, shoulder flexion-extension test and the trunk flexion-extension test. <strong>Methods</strong>: The research was of a quantitative approach, longitudinal, temporal, uninterrupted design in two repeated measures, that is, pre-test and post-test with a control group, it had the participation of 27 Lucha Libre athletes, they were assigned into 3 groups, group A performed dynamic stretching, group B, static stretching, and group C (control) who performed regular training. Participants in the intervention group exercised 5 times a week for 2 months, with a total of 24 sections. <strong>Results</strong>: The amplitude of the joint movement of group A, had greater significance with an increase in the amplitude of 16 movements, by 31.3%, followed by group B with the improvement in 7 joint movements by 13.7% and finally group C with only 3 increase in range of joint movement, by 5.8%. The results of the Levene, Kruskal-Wallis, Mann-Withney, and Wilcoxon statistical tests showed that there were significant differences in the variables. <strong>Conclusion</strong>: The implementation of the flexibility program achieved an increase in the amplitude of joint movement between the POST measurement with respect to the PRE. Dynamic stretching being more effective.</p>Keily Catherine Puerta MateusGisela del Carmen Castro VillanuevaCarlos Alberto Severiche SierraLesbia Rosa Tirado Amador
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2023-10-312023-10-3153358367Collaborative Online International Learning: Research and the Development of Soft Skills
http://journalmhe.org/ojs3/index.php/jmhe/article/view/60
<p>The current reality, framed by technological advancements and the development of Artificial Intelligence, has established new forms of interaction among individuals across all dimensions of being. In this context, higher education institutions bear the responsibility to create learning environments that stay at the forefront of scientific advancements. Furthermore, from a human perspective, there's an evident need for an education that fosters soft skills such as critical thinking, innovation, teamwork, systemic thinking, conflict resolution, and more. In line with this, in 2023, a collaboration between Universidad César Vallejo (Peru) and Corporación Universitaria Minuto de Dios (Colombia) launched the COIL (Collaborative Online International Learning) project. This initiative aimed to develop soft skills and strengthen research processes within the course titled "Analysis of Research Outcomes". The primary goal was to promote internationalization of the curriculum as a means of redefining inclusive, equitable, and innovative educational practices. The COIL methodology was applied, and a qualitative research method was employed to describe and explain the skills acquired through two data collection instruments: 1) documentary analysis and 2) questionnaire. The research findings suggest that the mirrored classes taught using the COIL methodology facilitated meaningful experiences in the development of intercultural skills, digital competencies, and significant learnings in educational research.</p>Andrés Felipe Gallego HurtadoMaría Érica Meneses Castañeda
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2023-10-312023-10-3153368377Quality of Life in Adults with Epilepsy: A Cross-Sectional Study in the District of Cartagena de Indias (Colombian Caribbean)
http://journalmhe.org/ojs3/index.php/jmhe/article/view/61
<p><strong>Objective:</strong> To establish the level of health-related quality of life in adult individuals with epilepsy at an institution in Cartagena. <strong>Methods:</strong> This research was conducted with a cross-sectional approach. The study population consisted of adults aged 19 to 60 years with a diagnosis of epilepsy but without significant cognitive impairments or epilepsy surgeries, and with no contraindications for completing the scale. The QOLIE-10 (Quality of Life in Epilepsy Inventory-10) was used as a reference to assess the quality of life and identify potential deficiencies. <strong>Results:</strong> The total evaluated population was 139, with 79 males and 60 females, indicating that 56.8% of the population were male. In the study group, 71.9% belonged to stratum 1, 20.9% to stratum 2, 6.5% to stratum 3, and one participant from stratum 6, representing 0.7%. The average age was 20 years, with a higher percentage of singles (33.8%) and unemployed individuals (47.5%). Regarding quality of life, 43.9% responded that things had gone "QUITE WELL" with a frequency score of 61, and 45.3% reported things going "WELL AND BADLY EQUALLY" with a frequency score of 63. <strong>Conclusion:</strong> The majority of participants consistently feel full of energy and only occasionally express feeling discouraged or sad. Anticonvulsant medications do not pose problems for their mobility, and they do not experience difficulties in memory, work, or social life. They rarely or never experience physical issues caused by the medications or mental problems provoked by anticonvulsants. They are not overly worried about experiencing a seizure in the last four weeks, despite the current pandemic situation.</p>Mely Barrios CerpaEsmeria Tapia CaezGisella Castro VillanuevaAlejandro Jose Madero Casadiego Carlos Alberto Severiche Sierra
Copyright (c) 2023 Journal of Microbiology & Health Education
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2023-10-312023-10-3153378388Therapeutic potential of the genus Hibiscus: An in vitro analysis of the biological activity of aqueous extracts of five species
http://journalmhe.org/ojs3/index.php/jmhe/article/view/62
<p><strong>Introduction: </strong>Among the plant genera that have been studied for their medicinal use is the genus <em>Hibiscus </em>spp., belonging to the <em>Malvaceae </em>family, which are shrubs or trees, and less frequently herbs. Of this genus, the most representative and studied species is <em>Hibiscus sabdariffa</em>, also known in various parts of the world as Jamaica rose, Abyssinian rose or Jamaica flower. <strong>Objective:</strong> considering the importance of this genus in traditional medicine, the objective was to characterize and evaluate the antioxidant potential by a chemical and a biological method, of aqueous extracts of five species of the <em>Hibiscus genus</em>. <strong>Materials and methods:</strong> The extracts were prepared using calyxes of <em>H. sabdariffa</em> and dehydrated petals of the species, <em>H. rosa-sinensis, H. arnottianus, H. cannabinus</em> and <em>H. mutabilis</em>. UV/Visible characterization was carried out and the antioxidant activity was determined by the DPPH method and by the Inhibition of the hemolytic effect of two xenobiotics (hydrogen peroxide and calcium carbonate). <strong>Results:</strong> The tests evaluating the antihemolytic activity of the extracts showed that the species <em>H. sabdariffa</em> and <em>H. cannabinus </em>presented greater protection when used diluted 1/4 and 1/8, with a statistical difference (**p<0. 05) with respect to the hemolysis control constituted by H<sub>2</sub>O<sub>2</sub>. In relation to the antihemolytic effect in the presence of CaCO<sub>3</sub>, a similar behavior was observed for the <em>H. sabdariffa</em> and <em>H. cannabinus</em> species. For <em>H. rosa-sinensis</em> there was a decrease in hemolysis in the last two dilutions of the extract. <strong>Conclusion:</strong> although plants contribute and inspire science, it is vital to inform the general population of the possible toxic effects of these plants and their correct use.</p>Haydimar Páez Franklin Jesús Pacheco Coello
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2023-10-312023-10-3153389400Analysis of Correlation between Interest and Academic Performance in the subject of Physics versus Comprehensive Performance in Secondary Education Students
http://journalmhe.org/ojs3/index.php/jmhe/article/view/63
<p>This study investigates the correlation between interest and academic performance in the field of physics, compared to overall performance among secondary school students. Nine students with high performance in physics were selected from the twelfth grade at Cerro Iglesias College, Ngäbe Buglé Comarca. Out of these, five chose not to participate in the study. The remaining four students underwent a test involving multiple-choice questions, puzzles, and case analyses related to modern physics theories. These students were divided into two categories: those with a strong interest in physics but with regular performance in other subjects, and those with comprehensive performance in both physics and other subjects. The results indicated that students with comprehensive performance outperformed students solely focused on physics in terms of analytical and problem-solving skills. These findings underscore the importance of comprehensiveness in learning, demonstrating that while interest is crucial, excellence requires the application and integration of multidisciplinary knowledge.</p>Iván Gómez Samudio
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2023-10-312023-10-3153401405Voices and Perspectives: A Narrative Analysis of the Ruling of the Supreme Court of Justice of Panama Against Equal Marriage
http://journalmhe.org/ojs3/index.php/jmhe/article/view/65
<p>This article delves into a comprehensive analysis of the ruling issued by the Supreme Court of Justice of the Republic of Panama on February 16, 2023, which marked a pivotal point by rejecting the possibility of recognizing same-sex marriage in the country. Using a qualitative research approach under a narrative design, it immerses itself in the exploration of the diverse voices and perspectives that converged in this decision, aiming to shed light on its coherence with the framework of international human rights law. In this analysis, it delves into the narratives that shaped the Supreme Court's stance, unraveling the arguments presented by both the actors involved in the ruling and those with expertise in human rights matters. Additionally, the ruling is contextualized within the legal and jurisprudential coordinates, both at the national and international levels, to paint a comprehensive and contextualized picture. The findings of this research lay bare that the Supreme Court opted for a succinct and literal interpretation of the relevant legal provisions, largely overlooking the broader context and fundamental principles enshrined in the American Convention on Human Rights. It is evident that this restrictive interpretation is in direct discord with the standards established in the inter-American human rights sphere, particularly concerning the principles of equality and non-discrimination. This analysis highlights a gap between the interpretive perspective of the Supreme Court and the jurisprudence set forth by the Inter-American Court of Human Rights, an entity that advocates for an evolutionary and dynamic approach to interpreting rights. Consequently, the obtained results raise a set of questions that transcend the boundaries of legality and jurisprudence. The Court's determination, despite conflicting with inter-American human rights standards, casts doubt on the role and function of the judicial branch in safeguarding and promoting equality and non-discrimination. This analysis prompts contemplation on the intersection between judicial decision-making and the international normative framework, emphasizing the complexity entailed in interpreting human rights in an ever-changing world. Ultimately, the struggle for equality and non-discrimination in the context of same-sex marriage reveals the pressing need for a profound consideration of the diverse narratives and arguments presented in the judicial realm, alongside an unwavering commitment to international human rights standards and principles.</p>Iván Gómez Samudio
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2023-10-312023-10-3153406410Intestinal Parasitosis and Epidemiological Factors Under the Age of 11 Years of the Morro Solar-Jaén Health Center, September-November, 2017
http://journalmhe.org/ojs3/index.php/jmhe/article/view/64
<p>The present investigation has like general objective to determine the presence of intestinal parasitosis and its relation with epidemiological factors in minors of 11 years attended in the Center of Health Morro Solar - Jaén during the period from September to November of the 2017. A correlational descriptive study was realized - Cross-sectional causal, for the statistical analysis, the Chi-square test was used in the SPSS Program, version 22. A survey was applied and 3 fecal samples of 357 children were collected, which were processed using techniques: direct with saline solution physiological, Lugol and the Spontaneous Tube Sedimentation Technique. In the results, 52.7% of children under 11 had intestinal parasitosis, the most frequent parasite being the protozoan <em>Giardia lamblia</em> (31.4%). There is a statistical relationship between the presence of intestinal parasitosis with the following epidemiological factors: The age of 0 to 5 years with 60.6%, the male sex was more frequent with 55.9%, in socioeconomic conditions 89.4% have an income lower than 750 soles, 59.0% have a secondary level of education of the father or mother and in sanitary conditions 46.8% do not consume drinking water and have inadequate hygienic habits.</p>Leticia Leaní Pérez EstelaJuan Enrique Arellano Ubillús
Copyright (c) 2023 Journal of Microbiology & Health Education
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2023-10-312023-10-3153411419Residual antibiotic activity of expired amikacin versus Bacillus clausii
http://journalmhe.org/ojs3/index.php/jmhe/article/view/66
<p><em>Bacillus clausii</em> is a typical soil bacteria, therefore it can serve as a useful bioindicator to estimate the impact of drugs on the soil microbiota and to infer the impact on this ecosystem due to contamination with inappropriately discarded drugs. The objective of this work was to evaluate the residual antibiotic activity of amikacins in expired medications versus <em>Bacillus clausii</em> to determine the permanence of its bioactivity after the expiration date; To this end, the minimum inhibitory concentration of expired amikacins was measured by the dilution method in microplates using MTT as a growth revealer; It was observed that medications up to 60 months after expiration maintain significant antibiotic activity versus <em>B. clausii</em>, which is why they still affect the microbial ecology of soil bacteria exposed to this type of medication.</p>Rafael Manuel de Jesús Mex-AlvarezMaría Magali Guillen-MoralesPatricia Margarita Garma-QuenDavid Yanez-Nava Dianelly M. Medina-Garcia Roger Enrique Chan-Martínez
Copyright (c) 2023 Journal of Microbiology & Health Education
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2023-10-312023-10-3153420425Development of critical thinking according to Robert Stenberg's theory of successful intelligence
http://journalmhe.org/ojs3/index.php/jmhe/article/view/67
<p>The main objective of this research was to explore the development of critical thinking in students of the Bachelor's Degree in Humanities and Spanish Language through the application of Robert Sternberg's Theory of Successful Intelligence. For this purpose, a qualitative methodology was used with a design of action research to deepen the process of developing critical thinking in this group of students, therefore, a pedagogical strategy was carried out that allowed deepening critical thinking from successful theory in the chosen informants, who were 12 undergraduate students. In mention. Regarding the results collected, they revealed that the pedagogical approach based on Sternberg's Theory of Successful Intelligence has had a positive impact on the development of students' critical thinking, since a significant increase in the students' ability to critically analyze, evaluate and synthesize information. Additionally, improvements were identified in their ability to solve complex problems, argue effectively, and apply critical thinking in academic and everyday contexts.</p>Yenny Johana Calderón Albarracín
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2023-10-312023-10-3153426437Evaluation of Sustainability and its Impact on Business and Maritime Law in the Panama Canal
http://journalmhe.org/ojs3/index.php/jmhe/article/view/68
<p>"The Panama Canal”, one of the most crucial navigational routes in the world, has undergone a significant transformation in recent decades. This artificial waterway that connects the Atlantic Ocean to the Pacific Ocean has been a fundamental axis for international trade and has played a crucial role in Panama's regional economy and the world. The expansion of the canal, inaugurated in 2016 with the opening of the Cocolí and Agua Clara locks, has increased its capacity and allowed larger vessels to pass through, boosting global trade and having a direct impact on Panama's economy. However, this expansion has also raised environmental concerns that deserve a detailed assessment. The increase in ship traffic and the expansion of port facilities have led to a higher risk of oil spills and the alteration of surrounding marine ecosystems. Furthermore, the intensive use of water in the locks and the consequent alteration of natural water flows have raised concerns about the availability of water resources in the region. This article aims to evaluate the current state of sustainability in the operations of the Panama Canal, addressing its impacts in three key areas: the environment, the economy, and society. Regarding the environment, it is essential to assess and mitigate the negative impacts generated by the canal's expansion. This includes measures to protect marine and terrestrial biodiversity in the surrounding areas, as well as the implementation of sustainable technologies and practices in water resource management and oil spill prevention. Additionally, close monitoring of water quality in the locks is necessary to ensure that adverse effects on aquatic ecosystems are not occurring. In terms of the economy, there is no doubt that the Panama Canal plays a vital role in global trade and the regional economy. However, it is necessary to evaluate whether economic benefits are distributed equitably and whether there are opportunities to strengthen the participation of local communities in the canal's value chain. Furthermore, strategies to diversify Panama's economy and reduce its dependence on the canal as a primary source of income should be considered. Concerning society, it is important to assess how canal operations impact local communities in terms of employment, infrastructure, and quality of life. Opportunities to improve infrastructure and services in areas near the canal must be identified, ensuring that local communities receive tangible benefits from its presence. The evaluation of sustainability in the operations of the Panama Canal is essential to address emerging challenges and ensure its long-term viability. This involves identifying best practices and implementing concrete recommendations to improve sustainability in the environmental, economic, and social areas. Furthermore, it underscores the importance of cooperation among various stakeholders, including the government of Panama, international organizations, businesses, and civil society, as well as the need for continuous innovation to address the challenges and opportunities presented by this crucial waterway for global trade.</p>Iván Gómez Samudio
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2023-10-312023-10-3153438442Development of a system for the detection of cutaneous leishmaniasis using artificial intelligence
http://journalmhe.org/ojs3/index.php/jmhe/article/view/69
<p>Leishmaniasis is a parasitic disease spread by the bite of infected mosquitoes of the <em>Lutzomyia</em> genus. Colombia is considered one of the Latin American countries with a high incidence of this, with Cutaneous Leishmaniasis being the most common form, representing a public health problem. , since their lesions can vary widely in appearance and characteristics, making their diagnosis and identification difficult. Currently, there is a need to create a database that documents the lesions of the disease and the history of the affected population in the Norte de Santander department, which is why it is necessary to establish new detection techniques and preliminary diagnosis of the disease. Because conventional techniques may present limitations in terms of sensitivity, specificity and ease of use. This proposal is aimed at the development and implementation of a system for detecting the disease by applying artificial intelligence techniques that can play a role in the early identification of Cutaneous Leishmaniasis, by analyzing the digital signals of skin lesions, and In this way, with the help of the web application created, contribute to the processing and storage of information about this disease, to finally be able to validate the reliability of the learning system through laboratory tests.</p> <p> </p>Heber Armando Pabón CondeIvaldo Torres ChávezMayra Yurley Parada BotíaCristhian Manuel Durán Acevedo
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2023-10-312023-10-3153443451Relationship between knowledge and attitude of workers about the vaccine against COVID-19 of the Provincial Hospital of Acobamba, 2021
http://journalmhe.org/ojs3/index.php/jmhe/article/view/70
<p>The objective of this research is to determine the relationship between the knowledge and attitude of workers about the vaccine against COVID-19 of the Provincial Hospital of Acobamba, 2021; is a field study, cross-sectional, descriptive, quantitative-qualitative and non-experimental design that used, as data collection instruments, a Questionnaire and a Scale with an internal reliability (- Cronbach) of 0.90 and 0.97, respectively. Likewise, the Spearman Rho test was used to determine the relationship between knowledge and attitude with a level of statistical significance (p <0.05); regarding the results, it was obtained that of a total of 101 workers, the average age was 39.07 (± 10.82) years, 66.3% were women, 56.4% were single, 35.6% indicated that they had two children, 67.3% said they had no antecedent COVID-19; 89.1% were healthcare personnel, 45.5% worked a morning / afternoon shift, 52.5% worked more than five years ago and 79.2% worked 12 hours or more. 76.2% reported high knowledge and 50.5% indicated acceptance of the COVID-19 vaccine. It was determined that knowledge and attitude regarding the COVID-19 vaccine are not related, concluding that the level of knowledge about the COVID-19 vaccine of the workers of the Acobamba Provincial Hospital is not related to the type of attitude.</p>Juan Enrique Arellano UbillusSindy Yahaira Garcés IgnacioJuan Alberto Villegas LozanoRobert Manuel Fernández Guerrero Alex Vilder Guerrero Becerra
Copyright (c) 2023 Journal of Microbiology & Health Education
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2023-10-312023-10-3153452458Development of interpretive competence through the integration of RED that stimulates Multiple Intelligences in the fourth grade of the Children's Psychopedagogical Unit of Girón
http://journalmhe.org/ojs3/index.php/jmhe/article/view/71
<p>The textual interpretation processes that are developed in the fourth grade of IE Children's Psychopedagogical Unit of the municipality of Giron demonstrate the need to strengthen interpretive competence through the integration of RED that stimulate the multiple intelligences of fourth grade students. In response, a research design is developed from a mixed approach with a descriptive scope and a nature of participation and action, which is structured in 4 methodological phases: diagnostics, design, implementation and evaluation of the pedagogical proposal where the benefits that students perceive with the digital tools for the development of interpretive competence are evaluated to strengthen their formative process. According to the chi-square independence test to examine the relationship between the performance level of interpretive competence between the pretest and postest tests was established a chi-square statistic is 16,092, with the value p is 0.00006 and significant in p < 0.05. It is therefore concluded that the null hypothesis HO is rejected. In this way, pedagogical intervention to stimulate multiple intelligences with the integration of RED strengthens the interpretive competence of students.</p>Leydi Yaned Suarez Caicedo
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2023-10-312023-10-3153459477Leadership tactics to address the mental health of high school students in the virtual post-pandemic era
http://journalmhe.org/ojs3/index.php/jmhe/article/view/72
<p>The virtual post-pandemic era has posed significant challenges in the educational field, and one of the most critical aspects is the mental well-being of secondary school students. For this reason, leadership in this context becomes essential, since educators and school administrators they must adopt effective strategies to address the concerns and emotional needs of young people who have experienced an abrupt transition to online education. This article explores key leadership tactics that can help address student mental health in the virtual post-pandemic era. These tactics are not only critical to student well-being, but also contribute to creating an educational environment. In which they can prosper academically and develop comprehensively. In an increasingly digital and connected world, leadership in education is not simply limited to the management of academic processes, but involves a deep understanding of the emotional and social needs of students, the global health crisis has accentuated the importance of this dimension of educational leadership, as young people face emotional challenges such as isolation, anxiety and virtual fatigue, school leaders who take a proactive approach to caring for students' mental health can make a significant difference in their lives and in the quality of the education they receive.</p> <p> </p>Yamile Ávila FernándezSandra Viviana Fonseca Aguirre Fonseca Aguirre Paola Andrea Quiroga Carrero
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2023-10-312023-10-3153478486Intrabus Project
http://journalmhe.org/ojs3/index.php/jmhe/article/view/73
<p>This article introduces the "Intrabus Project," a thesis proposing an innovative and disruptive solution in response to the global pandemic situation, with a particular focus on Central America. The project, scheduled for execution in 2022 over a period of 3 to 6 months, centers around the creation of an educational and training bus. This bus will travel to various regions in Panama, Costa Rica, and Nicaragua in its first phase and expand to other Central American countries in 2023 and 2024. Subsequently, there is a vision to implement a similar model in Peru, Ecuador, and Colombia in a third phase. The team behind the "Intrabus Project" will consist of local trainers, supported by technical assistance from European trainers. This collaborative approach aims to give the project an international dimension, providing practical training programs to various groups affected by the pandemic, including the unemployed, women, youth, and students. The goal is to equip these communities with international knowledge that they can apply in their respective home regions. Furthermore, there is a focus on aligning with the 17 principles of the United Nations Sustainable Development Goals (SDGs), ensuring a comprehensive and sustainable approach to training and empowering local communities.</p>Francisco Javier Moreno García
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2023-10-312023-10-3153487490The lack of updates in Neuroscience influences the personal and academic development of university tutors
http://journalmhe.org/ojs3/index.php/jmhe/article/view/74
<p>This article is based on the experience of a Professor/Tutor who teaches in various Master's and MBA programs in Spain, specifically in the fields of Human Resources and Neuropsychology. It highlights the lack of knowledge about Neuroscience among the teaching staff, most of whom come from humanities backgrounds, which limits their ability to integrate this knowledge into their teaching areas. The author has contributed to a discussion forum in the field of Human Resources with topics related to Neuroscience applied to work and personal life, receiving a positive response from students who see a direct connection between Emotional Intelligence and the business environment. The motivation for conducting a research thesis that explores the influence of Neuroscience on current academic education is presented. The aim is to provide suggestions without radically altering the educational approach, with the intention of improving the quality of teaching and learning, emphasizing the relevance of Neuroscience in the academic and business fields.</p>M. Agustina Gómez Rodríguez
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2023-10-312023-10-3153491494Comparative study of the specific weights of risk factors in low birth weight of four health service institutions
http://journalmhe.org/ojs3/index.php/jmhe/article/view/75
<p>This article introduces the "Intrabus Project," a thesis proposing an innovative and disruptive solution in response to the global pandemic situation, with a particular focus on Central America. The project, scheduled for execution in 2022 over a period of 3 to 6 months, centers around the creation of an educational and training bus. This bus will travel to various regions in Panama, Costa Rica, and Nicaragua in its first phase and expand to other Central American countries in 2023 and 2024. Subsequently, there is a vision to implement a similar model in Peru, Ecuador, and Colombia in a third phase. The team behind the "Intrabus Project" will consist of local trainers, supported by technical assistance from European trainers. This collaborative approach aims to give the project an international dimension, providing practical training programs to various groups affected by the pandemic, including the unemployed, women, youth, and students. The goal is to equip these communities with international knowledge that they can apply in their respective home regions. Furthermore, there is a focus on aligning with the 17 principles of the United Nations Sustainable Development Goals (SDGs), ensuring a comprehensive and sustainable approach to training and empowering local communities.</p>José Franco Monsreal
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2023-10-312023-10-3153495498Diagnostic study of the functioning of conciliation courts in conflict management in BENIN: Cases of Atlantic-Littoral Courts
http://journalmhe.org/ojs3/index.php/jmhe/article/view/76
<p>Access to justice for all strata of society has been a constant concern for political actors, the public, civil society, NGOs, and development partners worldwide. In Canada, this concern has been central in the legal discourse for over thirty years. Judicial reform has become a priority in international donor peace interventions, aligning with the growing challenges related to conflict prevention and resolution. In Benin, conciliation courts play a vital role in dispute resolution and fostering dialogue between conflicting parties. However, despite the proliferation of these courts, questions persist regarding their effectiveness and impact on grievance management, especially in the Atlantic and coastal departments. There is no common approach among all stakeholders regarding their utility and operation. Issues related to their functioning and influence in conflict management in the region will be addressed. The study titled "Diagnostic Study of the Operation of Conciliation Courts in Conflict Management in BENIN: CASES FROM THE ATLANTIC-LITTORAL COURTS" aims to shed light on these critical aspects and contribute to a deeper understanding of the situation in Benin.</p>Boni Sylvain Akpone Akpone
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2023-10-312023-10-3153499502Philosophical Analysis of Discourses in the Main Ecuadorian Television News Programs Regarding Crime from the Philosophy of Language and its Influence on the InterSubjectivity of the Residents of Bakker II Neighborhood in the City of Quito, Ecuador
http://journalmhe.org/ojs3/index.php/jmhe/article/view/77
<p>This thesis aims to conduct a philosophical analysis of the discourses surrounding crime presented in Ecuadorian television news programs and their influence on the intersubjectivity of residents in the Bakker II neighborhood in Quito, Ecuador. By adopting a philosophical perspective on language, this research introduces a fresh approach to the study of crime, offering a deeper understanding of the topic. It is important to note that previous studies on crime have primarily emerged from fields such as sociology, anthropology, jurisprudence, and psychology, but have rarely delved into the discourse used by the media when addressing crime. This thesis seeks to bridge this gap by exploring how the discourses in the main Ecuadorian television news programs impact the realm of intersubjectivity among Bakker II residents in Quito. The philosophy of language delves into the fundamental aspects of discourse, including its meaning, signification, and its relationship with thought and the social context in which the discourse emerges. The research is organized into four chapters: the first chapter sets the research direction, the problem statement, the general objective, and the specific objectives.</p>Andres Eduardo Gudiño Tello
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2023-10-312023-10-3153503506Development of a First Aid Training Program for Teachers in General Basic Education Centers
http://journalmhe.org/ojs3/index.php/jmhe/article/view/78
<p>In all levels of the education system, the importance of providing a comprehensive education to students is emphasized. However, this principle should also extend to teachers, as they are responsible for delivering it. While our education system encourages continuous professional development among educators, the focus tends to revolve around curricular content, language proficiency, teaching techniques, and technological innovation. A critical aspect is often overlooked: knowledge and practice of first aid. Teachers in general basic education centers regularly encounter unforeseen situations involving students, such as fainting, seizures, injuries, and accidents. Unfortunately, in most cases, they lack the necessary knowledge or confidence to provide immediate assistance, potentially endangering students' well-being. Given that students spend a significant portion of their day under the care of teachers, it is imperative that educators and even administrative staff, together comprising the educational community, possess the skills to administer first aid. Consequently, providing first aid training to the teaching staff plays a fundamental role in creating a safe environment and offering support in case of accidents. It is essential to identify common accidents that occur in educational settings, understand their consequences and impact, and familiarize teachers with techniques to minimize future complications. Additionally, evaluating the current level of knowledge among teachers regarding first aid is crucial.</p>Manuel Aronategui
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2023-10-312023-10-3153507510Summative Assessment of Learning in the educational training process received by students with significant curricular adaptations in the First and Second cycles of General Basic Education at Las Gravilias School, Alajuela Province, Costa Rica
http://journalmhe.org/ojs3/index.php/jmhe/article/view/79
<p>The scientific article focuses on the evolution of the Costa Rican educational system in the context of catering to students with special educational needs, particularly those requiring significant curriculum adaptations. The educational history of Costa Rica is characterized by a consistent commitment to equality and inclusion, from the establishment of the Santo Tomás Teaching House in 1840 to the declaration of public interest in 1944 for the education of children with special needs. The educational system has developed specialized services, such as integrated classrooms, fixed and itinerant support, to cater to students with multiple disabilities, learning difficulties, intellectual disabilities, among others. Nowadays, primary school students receive a comprehensive education tailored to their individual needs, involving curriculum adaptations. These adaptations are categorized into three types: access, non-significant, and significant. Education professionals work to ensure that students benefit from these supports and receive an education in line with their requirements. Evaluation is conducted in both a summative and formative manner, following the guidelines of the Ministry of Public Education.</p>Juan Carlos Ulloa Siles
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2023-10-312023-10-3153511515Fortalezas del Carácter, Resiliencia y Estrategias de Afrontamiento, predicen la Satisfacción con la Vida, el Crecimiento Postraumático y el Malestar Psicológico en personas expuestas al COVID-19
http://journalmhe.org/ojs3/index.php/jmhe/article/view/80
<p>This article focuses on Positive Psychology, an emerging field in psychology that centers on the positive aspects of the human experience. Throughout history, various pathologies have been treated, but it is only in recent times that attention has been given to the stability of mental health. The COVID-19 pandemic has exacerbated global mental health issues. The research delves into how character strengths, coping strategies, and resilience can predict life satisfaction, post-traumatic growth, and psychological distress in this context. Positive Psychology is considered to play a crucial role in addressing these problems and promoting emotional well-being in a world affected by the COVID-19 pandemic.</p>Allal El Mansouri Nhiri
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2023-10-312023-10-3153516519Hoover Delgado's PERPET model for strengthening orality
http://journalmhe.org/ojs3/index.php/jmhe/article/view/81
<p>The objective of this research was to analyze the incidence of Hoover Delgado's PERPET model in strengthening the orality of the Pre-University students of the Faculty of Education of the University of Pamplona, which is based on what was mentioned by the MEN (1996). where the importance of oral competence is stipulated, and by Delgado's theory (2015) which is the conceptual basis of this research. For the above, we start from a qualitative methodology, with an Action Research design for which direct observation and interviews are taken as techniques for data collection; The key informants are 7 students from the aforementioned institution, allowing them to improve verbal communication skills, which is essential for their academic and professional development. As a result, the strengthening of orality was obtained, through its characterization, the design and application of the implemented teaching strategy. It is noteworthy that the designed strategy is based on a continuous and sustainable approach to the development of orality, which implies a long-term process that seeks to foster confidence, clarity and effectiveness in students' oral communication.</p>Rocio del Pilar Diaz Villamizar
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2023-10-312023-10-3153520532Constitutional Guarantee in Venezuela and Latin America, Constitutionalism in the International Order, Luigi Ferrajoli's Thesis: Critics. The Dynamics of Law and Deontics. Nomodynamic Interpretation of Deontic Systems
http://journalmhe.org/ojs3/index.php/jmhe/article/view/87
<p>The present Investigation has as its substantive purpose the study of constitutional guarantees, to ensure the effective protection of fundamental rights and equality before the law of all citizens, in addition to safeguarding the effective control of State power by citizens. Said dense work is based on the idea that the law must be an instrument to guarantee fundamental rights because it considers that these rights are essential for human dignity and for peaceful and just coexistence in a democratic society, it is; attached to the theme: political and legal sciences, international politics, its substantive purpose is to carry out an ethnohistorical reflection on the profile of the State as a diplomatic, guaranteeing, jurisdictional entity in relation to other figures that, in the regional and international arena, have as an objective, the protection of people. In the same way, a review of the postulates of Ferrajoli is made, as well as the importance of the jurisdictional guarantee as a means to protect the fundamental rights of people against state power, which has had a great influence on the way in which understands the role of courts and justice in democratic societies We will do this reflective analysis hand in hand with documentary ethnohistory and having as a context of interpretation, understanding and explanation the hermeneutic space of legal epochal knowledge and how it was thought and put into practice by that society whose impact still resonates in the culture of Latin America today.</p>Danny Francis Gómez Romero
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2023-10-312023-10-3153602626Antropología Sustentable Latinoamericana: Trazabilidad del Pensamiento Transcomplejo: Tratados Internacionales en el Contexto del Cambio Climático, Derecho Humano - Medio Ambiente
http://journalmhe.org/ojs3/index.php/jmhe/article/view/88
<p>La presente investigación tiene como finalidad sustantiva el estudio del bioderecho sustentable latinoamericano, como principios Marco al Consejo de los Derechos Humanos en las Naciones Unidas 2018; estableciendo las obligaciones básicas de los Estados en virtud del derecho relativo a los derechos humanos en relación con el disfrute de un medio ambiente sin riesgos, limpio, saludable y sustentable basado en postulados del autor J. Knox. Se reflexiona en torno a la importancia del cambio climático como una de las mayores amenazas a los derechos humanos y al medio ambiente en Latinoamérica. Se utilizó una metodología etnohistórica arquetípica simbólica, el cual tiene implicaciones directas e indirectas en todos los derechos humanos, como el derecho a la vida, salud, el agua potable y la alimentación; se analiza el papel de los tratados internacionales en la protección y promoción del derecho humano y su relación - medio ambiente. Se establecen numerosos tratados que abordan aspectos específicos del cambio climático, como el Protocolo de Kioto, Acuerdo de París, otros. Se realiza una antropología histórica de los postulados de Knox, como medio para proteger los derechos fundamentales de las personas frente al poder estatal, lo que ha tenido una gran influencia en la forma en que se entiende el papel de los tribunales y de la justicia en las sociedades democráticas. Se concluye con la aplicación efectiva de estos tratados; siendo un desafío, ya que los países no siempre cumplen con sus obligaciones y las medidas para hacer frente al cambio climático suelen ser insuficientes. Este análisis reflexivo se realizó de la mano de la etnohistoria documental y teniendo como con-texto de interpretación, comprensión y explicación el espacio hermenéutico jurídico del conocimiento epocal, cómo éste fue pensado y puesto en práctica por aquella sociedad cuyo impacto aún resuena en la cultura Sustentable de Latinoamérica actual.</p>Danny Francis Gómez Romero
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2023-10-312023-10-3153627639A look at the thoughts of Simón Rodríguez Master of Master
http://journalmhe.org/ojs3/index.php/jmhe/article/view/89
<p>The purpose of this essay is to analyze the thoughts on educational matters that Simón Rodríguez, known as Samuel Robinson, left us as a legacy, who in addition to being the teacher of our Liberator Simón Bolívar was known as the teacher of Latin America. Not only did he think about the education of boys, but also of girls, he felt that the pedagogy was ours, for the benefit of all Latin Americans, that is why he called it our American pedagogy. It can be said that from the moment he made the decision to be a teacher, he always thought about the most dispossessed and in his thoughts educated the teacher, therefore, Simón Rodríguez's ideas should be a teaching in the training of adolescents. in secondary education in Venezuela.</p>Eladia Marcano de Blanco
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2023-10-312023-10-3153640650Language difficulties on educational environments
http://journalmhe.org/ojs3/index.php/jmhe/article/view/90
<p>Being a frequent but very little addressed issue, language difficulties in the educational environment are in the majority of things that have already been prevented or rehabilitated to improve the quality of communication to learn an early age of the student. Nowadays you should be clear about your basic concept, types of disorders in turn its causes, how to be diagnosed through standardized assessments and get an idea of the intervention or referral, also see the role of people who interact With the Child creating a comprehensive model for advancement and improvement of language in the educational field.</p>Ramiro Enrique Campos González
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2023-10-312023-10-3153651656Anthropology of Latin American Sustainable Knowledge: postulates of Capra, Maturana and Sen
http://journalmhe.org/ojs3/index.php/jmhe/article/view/91
<p>The purpose of this Research is the study of sustainable human development, to ensure the effective protection of fundamental rights and equality before the law of all citizens and their protection of the environment. This reflection is based on the ethnohistorical approach to capabilities: developed by Capra, Maturana and Sen (1990), these paradigms propose that development should focus on the expansion of individual capabilities; assigned to the theme: perspective of sustainable human development in the knowledge society, its substantive purpose is to carry out an archetypal archaeological reflection of the profile that the being has as a diplomatic, guaranteeing, jurisdictional entity in relation to other figures that, in the regional and International, its objective is the protection of people, the environment and the new understanding of life. Likewise, a review is made of the postulates of Capra, Maturana and Sen as well as the importance of jurisdictional guarantee as a means to protect the fundamental rights of people against state power, which has had a great influence on the way in which the role of courts and justice in democratic societies is understood and how this was thought and put into practice by that society whose impact still resonates in the sustainable archetypal culture of Latin America.</p>Danny Francis Gómez Romero
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2023-10-312023-10-3153657665Clinical audiology from the analysis of signs and symptoms
http://journalmhe.org/ojs3/index.php/jmhe/article/view/92
<p>Clinical Audiology is an area of audiology that deals with the study and treatment of hearing-related disorders. Hearing is a fundamental sense in our daily lives, since it allows us to communicate, enjoy music and especially alerts us to possible dangerous situations. The goal of Clinical Audiology is to evaluate and diagnose hearing problems that can affect people of all ages. This field of study and practice is of vital importance, since hearing is one of the most used senses in our daily lives. In this article we will analyze its importance from the user's signs and symptoms.</p>Ramiro Enrique Campos González
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2023-10-312023-10-3153666668Interoperability in health sciences
http://journalmhe.org/ojs3/index.php/jmhe/article/view/93
<p>Interoperability in the health context refers to the ability of health information systems and devices to share, exchange and use data in a consistent and secure manner, regardless of its origin or the system used. It involves the use of common standards, standardized terminologies, and security practices to facilitate the efficient exchange of medical information. Interoperability enables seamless communication between different healthcare systems and professionals, improving care coordination, reducing medical errors, increasing efficiency, and improving the quality of patient care. Additionally, it ensures that data is available when and where it is needed, promoting more patient-centered healthcare and facilitating research and analysis of clinical data. Interoperability is essential for a modern and effective healthcare system, improving both individual care and overall public health.</p>Ramiro Enrique Campos González
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2023-10-312023-10-3153669672