This document appears to be a record of grades for students in the third level of the Epidemiology course at the University of Guayaquil School of Medicine. It lists 44 students with their grades in 10 categories that were used to calculate a final grade out of 23 points. The grades ranged from 0.2 to 2.1 in the individual categories, with final calculated grades ranging from 9.5 to 19.4 out of 23.