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Sample records for judith kaur mayo

  1. Pritpal Kaur

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education. Pritpal Kaur. Articles written in Resonance – Journal of Science Education. Volume 17 Issue 5 May 2012 pp 497-504 Classroom. Transit of Venus: Quantitative Observing with Simple Equipment · N Rathnasree Pritpal Kaur · More Details Fulltext PDF. Volume 20 ...

  2. Ravneet Kaur Boparai

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education. Ravneet Kaur Boparai. Articles written in Resonance – Journal of Science Education. Volume 8 Issue 12 December 2003 pp 92-93 Research News. New Insights into Obesity · D D Bansal Ravneet Kaur Boparai · More Details Fulltext PDF ...

  3. Maks Kaur : "Uverenno idti dalshe!" / Max Kaur ; interv. Viktor Volohhov

    Index Scriptorium Estoniae

    Kaur, Max, 1969-

    2006-01-01

    Noor ja poliitikas aktiivselt tegev olnud Max Kaur jätkab Majandus- ja juhtimisinstituudi prorektorina. Senisest poliitilisest tegevusest, vene kultuuri arengust ja probleemidest Eestis, poliitikas osalejate keskmise vanuse langusest, isiklikest plaanidest

  4. Mig og Judith Butler

    DEFF Research Database (Denmark)

    Heede, Dag

    2015-01-01

    Essay om forfatterens akademiske og personlige møde med Judith Butler i temanummer i forbindelse med 25 års jubilæum for udgivelsen af Gender Trouble (1990).......Essay om forfatterens akademiske og personlige møde med Judith Butler i temanummer i forbindelse med 25 års jubilæum for udgivelsen af Gender Trouble (1990)....

  5. Tartu Jaani kiriku taastamisest / Kaur Alttoa

    Index Scriptorium Estoniae

    Alttoa, Kaur, 1947-

    2006-01-01

    Arhitekt Udo Tiirmaa, ARC Projekt. Insenerid: Heino Uuetalu, Kari Avellan. Kunstiajaloolane Kaur Alttoa. Valguslahendus: Üllar Võrno. Teostus: AS Rand ja Tuulberg, OÜ Wunibald. Kirik pühitseti 29. VI 2005. a. Ill: 2 joonist: plaan, vaade, 2 fotot, 8 värv. fotot

  6. Rapla KEK ja Tallinna TAB / Kaur Sarv, Intervjueerinud Triin Talk

    Index Scriptorium Estoniae

    Sarv, Kaur

    2014-01-01

    Raplas toimunud töötoa eestvedajateks olid Hollandi rühmituse "Failed Architecture" liikmed. Töötoa korraldajaks Kaur Sarv. Uuriti 1977. aastal valminud Rapla KEK'i hoonet. Peale töötoa toimumist olevat üks kohalik ärimees hoone ära ostnud

  7. Nurgapoliitik kavandab kasiinode alatut riigistamist / Max Kaur ; interv. Sulev Vedler

    Index Scriptorium Estoniae

    Kaur, Max, 1969-

    2007-01-01

    Edgar Savisaare endine nõunik Max Kaur esitleb röövkapitalismi ideed, et Eesti riik ei pikenda kasiinode tegevuslubasid ja võtab seejärel nende tegevuse odavalt üle. Kaart: Tallinna mängupõrgud 2007. Lisa

  8. Max Kaur vassib oma diplomitega / Ralf-Martin Soe

    Index Scriptorium Estoniae

    Soe, Ralf-Martin

    2008-01-01

    Eraülikooli prorektor Max Kaur kinnitas kohalikel valimistel allkirjaga, et on lõpetanud Moskva Riikliku Ülikooli, kuid pärast Äripäeva järelpärimist tunnistas selle info ekslikuks. Vt. samas: Vene ülikooli diplom 1200 dollariga; Ka Reimann valetas hariduse kohta

  9. What makes men and women identify with Judith? A Jungian mythological perspective on the feminist value of Judith today

    Directory of Open Access Journals (Sweden)

    Helen Efthimiadis-Keith

    2012-08-01

    Full Text Available Inspired by her student’s overwhelmingly positive interpretation of Judith as a model for women’s liberation in diverse African contexts – despite the debate around the feminist value of Judith-Judith – the author deals with what could possibly allow men and women, particularly the latter, to interpret Judith positively today. Given her interest in Jungian individuation theory and Ancient Near Eastern (ANE mythology, the author investigates the subject matter by exploring Judith’s relation to male and female individuation patterns, the myths of the hero’s quest and Demeter-Kore, and ANE warrior-goddess myths.

  10. Tartu Jaani kirik = The St John's Church in Tartu / Kaur Alttoa ; tõlk. Eric Dickens

    Index Scriptorium Estoniae

    Alttoa, Kaur, 1947-

    2000-01-01

    Kiriku ehitusloost, ajaloost, arhitektuurist, interjööridest. 1991. a. alanud kiriku taastamisest. Restaureerimisprojektist (arhitekt Udo Tiirmaa, insener H. Uuetalu, kunstiajaloolane Kaur Alttoa), terrakotaskulptuuride konserveerimisest. Ehitab firma "Wunibald". 9 ill

  11. Ideology and intertextuality: Intertextual allusions in Judith 16 | Nolte ...

    African Journals Online (AJOL)

    This article utilised the theory of intertextuality to investigate the way in which religious texts, specifically Judith 16, generate meaning in the act of the production of texts. The groundbreaking work on intertextuality done by Julia Kristeva served as the theoretical point of departure. Kristeva utilised Mikhail Bakhtin's literary ...

  12. Changing the Subject: Judith Butler's Politics of Radical Resignification.

    Science.gov (United States)

    Olson, Gary A.; Worsham, Lynn

    2000-01-01

    Notes that Judith Butler is arguably one of the world's most influential and innovative scholars dealing with questions of difference, identity, and the role of rhetoric in subject formation. Explores Butler's views on anti-intellectualism and identity relating to sexual orientation. Presents an interview examining many of Butler's writings. (SG)

  13. A Performative View of Gender Roles: Judith Butler

    OpenAIRE

    Çınar, Büşra

    2015-01-01

    This paper presented a view regarding to the concept of performativity in gender roles. This concept was supported with Judith Butler’s ideas and the embodiment of binary oppositions described in gender norms and gender roles. The normative structure of gender was determined through naturalization of norms and reproduction of these norms by society. This approval of heterosexuality in society was described with a feminist approach

  14. Judith Johnston, Victorian Women and the Economies of Travel

    OpenAIRE

    Sabiron, Céline

    2015-01-01

    The theme of the journey—taken both literally when it refers to a physical travel, and metaphorically in the sense of a translation between two cultures and languages—, has already been very much studied. Yet, if Judith Johnston refers to very influential past studies by Susan Bassnett and André Lefevere (Translation, History, and Culture, 1990), James Clifford (Routes: Travel and Translation in the Late Twentieth Century, 1997), and Michael Cronin (Across the Lines: Travel, Language, Transla...

  15. Hydrogeology of the Judith River Formation in southwestern Saskatchewan, Canada

    Science.gov (United States)

    Ferris, David; Lypka, Morgan; Ferguson, Grant

    2017-11-01

    The Judith River Formation forms an important regional aquifer in southwestern Saskatchewan, Canada. This aquifer is used for domestic and agricultural purposes in some areas and supports oil and gas production in other areas. As a result, the available data come from a range of sources and integration is required to provide an overview of aquifer characteristics. Here, data from oil and gas databases are combined with data from groundwater resource assessments. Analysis of cores, drill-stem tests and pumping tests provide a good overview of the physical hydrogeology of the Judith River Aquifer. Water chemistry data from oil and gas databases were less helpful in understanding the chemical hydrogeology due contamination of samples and unreliable laboratory analyses. Analytical modeling of past pumping in the aquifer indicates that decreases in hydraulic head exceeding 2 m are possible over distances of 10s of kilometers. Similar decreases in head should be expected for additional large withdrawals of groundwater from the Judith River Aquifer. Long-term groundwater abstraction should be limited by low pumping rates. Higher pumping rates appear to be possible for short-term uses, such as those required by the oil and gas industry.

  16. Cyber-Mobbing als verletzender Sprechakt im Sinne Judith Butlers

    Directory of Open Access Journals (Sweden)

    Katharina Luckner

    2012-12-01

    Full Text Available Dieser Beitrag widmet sich der Frage, inwiefern Cyber-Mobbing unter Bezugnahme auf Judith Butlers sprach- bzw. diskurstheoretisches Konzept als verletzender Sprechakt verstanden werden kann. Zu diesem Zweck werden in einem ersten Schritt die Besonderheiten von Cyber-Mobbing aufgezeigt und im Anschluss daran ein für diesen Text geeigneter Cyber-Mobbing-Begriff formuliert. Daraufhin erfolgt eine interpretative Auseinandersetzung mit der Butlerschen Konzeption verletzender Sprechakte, bevor anschließend anhand wesentlicher Schnittstellen herausgearbeitet wird, inwiefern Cyber-Mobbing als ein solcher verletzender sprachlicher Akt begriffen werden kann. Resümierend werden die zentralen Ergebnisse der Ausarbeitung zusammengefasst und es wird danach gefragt, welche Konsequenzen bzw. Folgen sich hieraus für ein mögliches verändertes Verständnis von Cyber-Mobbing ergeben.This Paper argues whether cyber bullying can be understood as violating speach act with reference to Judith Butler by starting with a definition of cyber bullying (respectively the term cyber 'mobbing' which is used synonymously in German speaking countries and an outline of Butler's theory. After that, the question of a new or different understanding of cyber bullying and its consequences is discussed.

  17. International market research at the Mayo Clinic.

    Science.gov (United States)

    Hathaway, M; Seltman, K

    2001-01-01

    Mayo Clinic has a long international history and has been providing care to international patients since its inception. Despite its history and reputation, however, the marketing staff continues to monitor the international market to gauge the level of awareness, reputation, and attractiveness of Mayo Clinic around the world. Here's a look at how one institution has used word-of-mouth marketing to maintain its global reputation.

  18. Synchronized analysis of testbeam data with the Judith software

    CERN Document Server

    McGoldrick, Garrin; Gorišek, Andrej

    2014-01-01

    The Judith software performs pixel detector analysis tasks utilizing two different data streams such as those produced by the reference and tested devices typically found in a testbeam. This software addresses and fixes problems arising from the desynchronization of the two simultaneously triggered data streams by detecting missed triggers in either of the streams. The software can perform all tasks required to generate particle tracks using multiple detector planes: it can align the planes, cluster hits and generate tracks from these clusters. This information can then be used to measure the properties of a particle detector with very fine spatial resolution. It was tested at DESY in the Kartel telescope, a silicon tracking detector, with ATLAS Diamond Beam Monitor modules as a device under test.

  19. Transformaciones performativas: agencia y vulnerabilidad en Judith Butler

    Directory of Open Access Journals (Sweden)

    Mónica Cano Abadía

    2015-02-01

    Full Text Available El objetivo de este artículo es analizar cómo la teoría de la performatividad de Judith Butler posibilita pensar la capacidad de acción y resistencia de los sujetos. Butler propone deconstruir la categoría de identidad a través de la performatividad, que nos permite pensarnos como sujetos en el límite, interdependientes y vulnerables. Al considerarnos como seres performativos y, además, vulnerables a nuestras interacciones tanto con el contexto como con las demás personas, todo cuestionamiento de las normas sociales que nos rodean llevarán irremediablemente a una transformación del propio yo. Esta transformación que comienza en nuestras propias identidades, conduce a otra manera de entender lo humano y a otra forma de plantear nuestras agencias políticas.

  20. Abrir posibilidades. Una conversación con Judith Butler

    Directory of Open Access Journals (Sweden)

    Patrícia Soley- Beltran

    2013-07-01

    Full Text Available Entrevista realizada a Judith Butler en París el 20 de junio de 2006 en la que se tratan diversos temas: la contribución de Butler al pensamiento de género y la materialidad del cuerpo, y su visión del feminismo de la diferencia; la regulación estatal del sistema de parentesco, la diferencia sexual y la reproducción; el matrimonio homosexual y la proliferación de prácticas sexuales y de parentesco no normativas; su lectura de la política exterior de Estados Unidos en relación al género, el feminismo y a la definición normativa de lo humano; su papel público como intelectual y activista; biopolítica y precariedad; escritura autobiográfica; art performance y performatividad; transexualidad y subversión.

  1. Eesti Päevaleht palus erinevate elualade esindajatel hinnata presidendikandidaatide ametissesobivust / Aivar Voog, Rein Ruutsoo, Kaur Hanson ; küsis Kai Kalamees

    Index Scriptorium Estoniae

    Voog, Aivar

    2001-01-01

    Presidendikandidaatide Toomas Savi, Andres Tarandi, Tunne Kelami, Peeter Kreitzbergi ja Peeter Tulviste kohta avaldavad arvamust Aivar Voog, Rein Ruutsoo, Kaur Hanson, Ivo Rull, Tarmu Tammerk, Mart Helme, Pavel Ivanov ja Jaan Kaplinski

  2. Judith hindab tasakaalu südame ja mõistuse vahel / Rita Puidet

    Index Scriptorium Estoniae

    Puidet, Rita

    2008-01-01

    Iisaku koguduse organistist Judith Kulverest, tema elust, õpingutest teatrikoolis, kohapealsest seltisielust, teatritegemisest ning näitlejast abikaasast Heino Kulverest, kes töötas Eesti Raadios kuuldemängude lavastajana

  3. The Awkward Academic: Why Judith Reads James in Joyce Carol Oates's "My Warszawa: 1980"

    Directory of Open Access Journals (Sweden)

    Kerry Sutherland

    2015-12-01

    Full Text Available Joyce Carol Oates’s short story “My Warszawa: 1980” follows the journey of well-respected academician Judith Horne as she travels to and within Poland to participate in an international conference on American culture. She has a vague connection to Poland, with remote family members who were killed in Auschwitz and a Jewish ancestry that can be seen in her features, but she considers these facts unimportant to who she is at the moment. She travels with her lover, who is as remote emotionally as her dead forbears are physically. The emotional connections she makes with the people and land begin to affect her well-ordered and controlled life, including her relationship with him. As they sit side by side on the plane to Poland, he attends to his work as journalist, typewriter on his lap, and Judith gazes at the landscape, an opened book on hers. It is Henry James’s The Awkward Age, unread, chosen by Judith with a logic she cannot recall. Why does Oates give James to Judith, and why does she choose this novel in particular to influence her? Nanda’s story is a warning to Judith, a red flag that unfolds as the younger girl’s ruin proceeds before her eyes, and Judith realizes that the man she loves will never marry her, just as Vanderbank refuses to propose to Nanda. Neither man is comfortable with a woman who is corrupted by knowledge that might undermine his need for authority in the relationship. Nanda understands her position too late, but Judith has time to reflect on her situation, and Oates leaves the story unfinished, with Judith on a plane home with Carl but not definitively resigned to the relationship.

  4. Judith Butler's theories: reflections for nursing research and practice.

    Science.gov (United States)

    Nagington, Maurice G

    2016-10-01

    Judith Butler is one of the most influential late 20th and early 21st century philosophers in regard to left wing politics, as well as an active campaigner for social justice within the United States and worldwide. Her academic work has been foundational to the academic discipline of queer theory and has been extensively critiqued and applied across a hugely wide range of disciplines. In addition, Butler's work itself is extensive covering topics such as gender, sexuality, race, literary theory, and warfare. This article can only serve as a taster for the potential application of her work in relation to nursing, which is in its infancy. This introduction covers three of the potentially most productive themes in Butler's work, namely power, performativity, and ethics. Each of these themes are critically explored in turn, sometimes in relation to their actual application in nursing literature, but also in relation to their potential for producing novel critiques of nursing practice. Suggestions are made about how Butler's work can develop nursing research and practice. The article concludes with a short summary of Butler's key works as well as suggested reading for people interested in examining how her theories have been applied across different academic settings. © 2016 John Wiley & Sons Ltd.

  5. Elton Mayo and Carl Rogers: A Tale of Two Techniques.

    Science.gov (United States)

    Mahoney, Kevin T.; Baker, David B.

    2002-01-01

    Compares the simultaneous emergence of Mayo's nonauthoritarian interviewing approach and Rogers' nondirective counseling approach. Examines the influence of Piaget on Mayo and reviews the Hawthorne studies. Concludes that differences in the approaches outweigh similarities. (Contains 21 references.) (SK)

  6. The Mayo Clinic Value Creation System.

    Science.gov (United States)

    Swensen, Stephen J; Dilling, James A; Harper, C Michel; Noseworthy, John H

    2012-01-01

    The authors present Mayo Clinic's Value Creation System, a coherent systems engineering approach to delivering a single high-value practice. There are 4 tightly linked, interdependent phases of the system: alignment, discovery, managed diffusion, and measurement. The methodology is described and examples of the results to date are presented. The Value Creation System has been demonstrated to improve the quality of patient care while reducing costs and increasing productivity.

  7. Análisis de los ácidos kaurénicos presentes en Espeletiopsis angustifolia Cuatrec. de los Andes venezolanos

    Directory of Open Access Journals (Sweden)

    Juan Carmona

    2010-05-01

    Full Text Available Analysis of kaurenic acids present in Espeletiopsis angustifolia Cuatrec. from the Venezuelan Andes. Leaves of Espeletiopsis angustifolia were collected at paramo of San José de Acequias (Mérida State at 2870 m.a.s.l. The dried leaves were minced and extracted with hexane-diethyl ether (3:1. This extract was shaken with 0.5 N NaOH to separate the acid fraction which was purified by flash chromatography. An aliquote of it was methylated with diazomethane and analyzed by GC-MS which permitted to identify ent-kaurenic acid (18.6%, ent-15α-O-isovaleroxy-kaur-16-en-19-oic acid (16.2%, ent-15α-hidroxy-kaur-16-en-19-oic acid (grandiflorolic acid, 9.2%, ent-kauranic acid (4.9%, ent-kaur-9(11,16-diene-19-oic acid (grandiflorenic acid, 4.5% and ent-15α-O-acetoxy-kaur-16-en-19-oic acid (3.4%. The neutral fraction yielded ent-kaur-16-en-19-ol (kaurenol, 32.7% and several long-chain wax n-alkanes with predominance of odd carbon number alkanes: heptacosane (38.3%, nonacosane (21.0% and entriacontane (4.6%

  8. Judith Husband: 'it's surprising what we can actually live without, other than air, water and food'. Interview by Laura Pacey.

    Science.gov (United States)

    Husband, Judith

    2013-05-01

    Judith Husband speaks to the BDJ about current challenges facing dentistry, the new BDA PEC and her love of social media site Twitter. The only catch is she has accepted the challenge issued by interviewer and fellow Twitter enthusiast Laura Pacey of answering every question, in 140 characters or less. Follow on Twitter @Judith_Husband and @The_BDJ.

  9. Teaching Feminist Theory via Philosophy: Political Implications of an Ontological Inquiry in Judith Butler's "Gender Trouble."

    Science.gov (United States)

    Artese, Brian

    Rather than begin an undergraduate class in feminist theory with the assertion that such theory is important because of its social implications--and then attempt to prove it--it is more effective to begin with a more neutral philosophical discussion that will act as a foundation for its premises. Judith Butler's essay "Gender Trouble"…

  10. Reconciling Divergent Perspectives: Judith Wallerstein, Quantitative Family Research, and Children of Divorce.

    Science.gov (United States)

    Amato, Paul R.

    2003-01-01

    Although Judith Wallerstein's research on children with divorced parents has been influential, many quantitative family scholars have criticized her methods and conclusions. This article provides examples from the Marital Instability Over the Life Course study to illustrate the magnitude of divorce effects and concludes with a call for a…

  11. Gender Undone: Subversion, Regulation and Embodiment in the Work of Judith Butler

    Science.gov (United States)

    Nayak, Anoop; Kehily, Mary Jane

    2006-01-01

    Judith Butler's philosophical writings on identity have provided inspiring, if occasionally "troubling", ways of rethinking gender. A key contribution has been the challenge to conventional social constructionist ideas and thinking on subjectivity. In developing a paradigm of performativity, Butler's work takes us beyond the territory of identity…

  12. Historicizing as a feminist practice : The places of history in Judith Butler’s constructivist theories

    NARCIS (Netherlands)

    Honkanen, K.

    2004-01-01

    The dissertation explores feminist uses of history and historicity. It discusses the way historicity is used in feminist constructivist arguments and it uses Judith Butler’s work as an example. The dissertation elaborates on the predominant theoretical requirement to historicize. It is a

  13. Judith Butler and the Public Dimension of the Body: Education, Critique and Corporeal Vulnerability

    Science.gov (United States)

    Vlieghe, Joris

    2010-01-01

    In this paper I discuss some thoughts Judith Butler presents regarding corporeal vulnerability. This might help to elucidate the problem of whether critical education is still possible today. I first explain why precisely the possibility of critique within education is a problem for us today. This is because the traditional means of enhancing a…

  14. Reconsiderations: We Got the Wrong Gal--Rethinking the "Bad" Academic Writing of Judith Butler

    Science.gov (United States)

    Birkenstein, Cathy

    2010-01-01

    It is hard to think of a writer whose work has been more prominently upheld as an example of bad academic writing than the philosopher and literary theorist Judith Butler. In 1998, Butler was awarded first prize in the annual Bad Writing Contest established by the journal "Philosophy and Literature," and early in 1999, was lampooned in an…

  15. ISOLATION OF ENT-KAUR-16-EN-19-OIC AND ENT-TRACHILOBAN-19-OIC ACIDS FROM THE SUNFLOWER HELIANTHUS ANNUUS L.DRY WASTE

    Directory of Open Access Journals (Sweden)

    Nicon Ungur

    2008-12-01

    Full Text Available A relatively simple method for isolation of the mixture of ent-kaur-16-en-19-oic (1 and ent-trachiloban-19-oic (2 acids from dry waste of sunflower processing has been elaborated, and it has been shown that the waste can serve as an accessible source of ent-kauranic and ent-trachilobanic diterpenoids.

  16. Against the Corporate Culture Ideology: An Interview with Peter Mayo

    Science.gov (United States)

    Suoranta, Juha

    2010-01-01

    This article presents an interview with Peter Mayo, author and expert in the field of sociology of adult education, on his major influences in this area, his books, and his views on the role of radical adult education and radical scholarship in the future. In the interview, Peter Mayo states that his initial view of adult education was quite a…

  17. Le nonne di Plaza de Mayo

    Directory of Open Access Journals (Sweden)

    Benedetta Calandra

    2006-11-01

    Full Text Available The article is focused on a specific case study of ‘motherist movement’ in Argentina during the last military rule (1976-1983: the Grandmothers of Plaza de Mayo. Blurring the boundaries between public and private realm, these old women, without a previous, soundly-based political conscience, were able to set up a transnational human rights movement, well known all over the world, while looking for their abducted grandchildren. A crucial issue, still, is: how far did this group go in terms of advocating womens’ rights? Could we really find a correspondence, as Jelin puts it, between ‘women for human rights’ and ‘women for women’s rights’? The answer, as the Argentinean case shows, seems to be not so straightforward.

  18. Modelling of thermal shock experiments of carbon based materials in JUDITH

    International Nuclear Information System (INIS)

    Ogorodnikova, O.V.; Pestchanyi, S.; Koza, Y.; Linke, J.

    2005-01-01

    The interaction of hot plasma with material in fusion devices can result in material erosion and irreversible damage. Carbon based materials are proposed for ITER divertor armour. To simulate carbon erosion under high heat fluxes, electron beam heating in the JUDITH facility has been used. In this paper, carbon erosion under energetic electron impact is modeled by the 3D thermomechanics code 'PEGASUS-3D'. The code is based on a crack generation induced by thermal stress. The particle emission observed in thermal shock experiments is a result of breaking bonds between grains caused by thermal stress. The comparison of calculations with experimental data from JUDITH shows good agreement for various incident power densities and pulse durations. A realistic mean failure stress has been found. Pre-heating of test specimens results in earlier onset of brittle destruction and enhanced particle loss in agreement with experiments

  19. Modelling of thermal shock experiments of carbon based materials in JUDITH

    Energy Technology Data Exchange (ETDEWEB)

    Ogorodnikova, O.V. [Forschungszentrum Juelich, EURATOM-Association, IWV-2, 52425 Juelich (Germany)]. E-mail: o.ogorodnikova@fz-juelich.de; Pestchanyi, S. [Forschungszentrum Karlsruhe, EURATOM-Associaton, IHM, 76021 Karlsruhe (Germany); Koza, Y. [Forschungszentrum Juelich, EURATOM-Association, IWV-2, 52425 Juelich (Germany); Linke, J. [Forschungszentrum Juelich, EURATOM-Association, IWV-2, 52425 Juelich (Germany)

    2005-03-01

    The interaction of hot plasma with material in fusion devices can result in material erosion and irreversible damage. Carbon based materials are proposed for ITER divertor armour. To simulate carbon erosion under high heat fluxes, electron beam heating in the JUDITH facility has been used. In this paper, carbon erosion under energetic electron impact is modeled by the 3D thermomechanics code 'PEGASUS-3D'. The code is based on a crack generation induced by thermal stress. The particle emission observed in thermal shock experiments is a result of breaking bonds between grains caused by thermal stress. The comparison of calculations with experimental data from JUDITH shows good agreement for various incident power densities and pulse durations. A realistic mean failure stress has been found. Pre-heating of test specimens results in earlier onset of brittle destruction and enhanced particle loss in agreement with experiments.

  20. Modelling of thermal shock experiments of carbon based materials in JUDITH

    Science.gov (United States)

    Ogorodnikova, O. V.; Pestchanyi, S.; Koza, Y.; Linke, J.

    2005-03-01

    The interaction of hot plasma with material in fusion devices can result in material erosion and irreversible damage. Carbon based materials are proposed for ITER divertor armour. To simulate carbon erosion under high heat fluxes, electron beam heating in the JUDITH facility has been used. In this paper, carbon erosion under energetic electron impact is modeled by the 3D thermomechanics code 'PEGASUS-3D'. The code is based on a crack generation induced by thermal stress. The particle emission observed in thermal shock experiments is a result of breaking bonds between grains caused by thermal stress. The comparison of calculations with experimental data from JUDITH shows good agreement for various incident power densities and pulse durations. A realistic mean failure stress has been found. Pre-heating of test specimens results in earlier onset of brittle destruction and enhanced particle loss in agreement with experiments.

  1. La nozione di performatività: un confronto tra Judith Butler e John L. Austin

    OpenAIRE

    Ginocchietti, Marianna

    2012-01-01

    Judith Butler’s investigation of gender identities – and of their being socially and culturally constructed – is grounded on the concept of performativity. In this paper I outline Butler’s elaboration of gender performativity in connection with John L. Austin’s analysis of performative utterances. The aim of this paper is to highlight the gap between these two elaborations of the notion of perfomativity which are usually understood as constituting a theoretical continuum.

  2. Tra Pirandello e Judith Butler:Forma e performatività nella narrativa di Marosia Castaldi

    OpenAIRE

    Giorgio, Adalgisa

    2008-01-01

    This article sets itself a number of challenges: 1. to make a daring comparison between the notions of identity and subjectivity held by Italian modernist author Luigi Pirandello and contemporary American feminist theorist Judith Butler. 2. to use the insights generated by this unusual yet entirely tenable comparison to interpret the engagement of contemporary author Marosia Castaldi with the postmodern loss of identity. 3. to bring to light some thematic lines across the oeuvre of a writer...

  3. Mayo Clinic Care Network: A Collaborative Health Care Model.

    Science.gov (United States)

    Wald, John T; Lowery-Schrandt, Sherri; Hayes, David L; Kotsenas, Amy L

    2018-01-01

    By leveraging its experience and expertise as a consultative clinical partner, the Mayo Clinic developed an innovative, scalable care model to accomplish several strategic goals: (1) create and sustain high-value relationships that benefit patients and providers, (2) foster relationships with like-minded partners to act as a strategy against the development of narrow health care networks, and (3) increase national and international brand awareness of Mayo Clinic. The result was the Mayo Clinic Care Network. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  4. El paro estudiantil de mayo de 1938

    Directory of Open Access Journals (Sweden)

    Orlando Moreno Martínez

    2009-07-01

    Full Text Available El presente artículo tiene como propósito analizar los sucesos ocurridos en la ciudad de Bogotá durante el paro estudiantil de mayo de 1938, programado para oponerse a algunas medidas de modernización y secularización educativa impuestas por el gobierno liberal del presidente Alfonso López Pumarejo. Específicamente, los estudiantes se levantaron contra el examen de revisión que se aplicaba al terminar la secundaria y el curso preparatorio que era un requisito para poder ingresar a la universidad. El escrito aborda la problemática suscitada por la reforma educativa, el desencadenamiento de la protesta estudiantil, las acciones desarrolladas por los estudiantes en la capital de la República, el impacto del movimiento en otras partes del país y las tendencias ideológicas que apoyaron el paro de estudiantes. A propósito de este último punto, si bien fue evidente el respaldo de la oposición conservadora, muchos estudiantes universitarios y de secundaria lucharon con convicción por lo que consideraron en su momento una arbitrariedad por parte del gobierno liberal.

  5. Pensadoras de peso: o pensamento de Judith Butler e Adriana Cavarero Thinkers that matter: on the thought of Judith Butler and Adriana Cavarero

    Directory of Open Access Journals (Sweden)

    Olivia Guaraldo

    2007-12-01

    Full Text Available O texto expõe o ponto de vista de duas grandes filósofas feministas da atualidade, Adriana Cavarero e Judith Butler, sobre subjetividade e relacionalidade, mostrando como ambas distanciaram-se dos temas específicos do feminismo de maneira a aprofundar e ampliar suas reflexões sobre política e ética. Questionando a tradição, Cavarero não compactua nem com o binarismo metafísico nem com a impessoalidade pós-moderna, combinando uma perspectiva feminista com a arendtiana da subjetividade embasada na relacionalidade. No entanto, diferentemente do pensamento de Cavarero, sob a perspectiva desconstrucionista de Butler a linguagem molda corpo e identidade. A subjetividade está presa às normas e valores sociais. Butler e Cavarero repensam a subjetividade, alinhando-se quanto à relacionalidade, ou seja, deslocando a política para longe do ser imune e realocando-a no ser vulnerável em relação com o outro e com os efeitos das regras e valores sociais impostos.The work presents the standpoint of two important contemporary feminist philosophers, Adriana Cavarero and Judith Butler, on subjectivity and relationality, showing how both moved away from the specific feminism motif in order to deepen and broaden their reflection on politics and ethics. Calling tradition into question, Cavarero agrees neither with the metaphysical binary, nor with the post-modern impersonality, combining a feminist and the arendtian perspectives of the subjectivity based on relationality. Contrary to Cavarero's thought, though, under Butler's deconstructionist standpoint language shapes body and identity. Subjectivity is "trapped" into social norms and values. Both Butler and Cavarero rethink subjectivity based on relationality, that is, displacing politics from the immune individual and reallocating it on the vulnerable individual in relation with the other and with the social rules and values imposed on them.

  6. SAFO IN SODOM: THE FEMALE WRITING OF JUDITH TEIXEIRA IN TIMES OF ORPHEUS

    Directory of Open Access Journals (Sweden)

    Jorge Valentim

    2013-04-01

    Full Text Available This essay aims a reading proposal of Judith Teixeira’s poetry, having as guiding bias her feminine writing under the sign of Sapho. From an ex­pression of confessed female homoeroticism, it will seek the understand­ing of his literary project, articulated in fictional creations of different masks. With this, it also aims to not only to affirm his name in the Por­tuguese modernism scenario, but also to point out a possible anticipation avant la lettre of some of the main demands of the contemporary feminist movements.

  7. Rezension zu: Judith Butler: Krieg und Affekt. Zürich u.a.: diaphanes 2009.

    Directory of Open Access Journals (Sweden)

    Rolf Löchel

    2009-10-01

    Full Text Available Seit einigen Jahren nimmt die gender-Theoretikerin Judith Butler in zunehmendem Maße auch Themen der politischen Ethik in den Blick. Ihre in den drei Texten des schmalen Bandes vorgetragene pazifistische Ideen und ihre Überlegungen angesichts des Irak-Kriegs, aber auch zur Burka oder der universellen Geltung von Menschenrechten sind allerdings nicht immer so originell oder gar überzeugend wie Butlers bahnbrechenden gender-theoretischen Entwürfe während der ersten Hälfte der 1990er Jahre.

  8. Vulnerability, gender norms and state violence: social ontology and sexual politics in the last Judith Butler

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    Eduardo Mattio

    2010-12-01

    Full Text Available In his recent work, Judith Butler has offered a reconsideration of “the human” that allow re-imagine the boundaries of political community. Underlining the common precariousness that characterizes “the human” and revealing the symbolic and material conditions that politically maximize that situation, Butler gives us useful tools not only to elucidate the selective mechanisms that produce "the human" but also to subvert the normative horizon that determined it. From such assumptions, I understand that one can propose some considerations that permit the design of sexual politics more responsive to the needs of the most precarious groups of LGBT collective.

  9. Hospital de La Misericordia, 6 de mayo de 1906 - 6 de mayo de 1981

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    Liborio Sánchez Avella

    1981-07-01

    Full Text Available El 6 de mayo de 1981 cumplió el Hospital de La Misericordia 75 años de haber iniciado sus labores. La idea de crear el Hospital se venía gestando desde comienzos de 1890. Obtuvo la Personería Jurídica el 23 de julio de 1897y el 25 de julio del mismo año colocó la primera piedra el Presidente de la República Miguel Antonio Caro. José Ignacio Barberi, su fundador, dejó un escrito en el cual relataba la historia de este Hospital. El mejor homenaje que se le puede hacer al Hospital y a José Ignacio Barberi, es transcribir las palabras que él dejó inéditas en 1940.

  10. Empowering Mayo Clinic Individualized Medicine with Genomic Data Warehousing

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    Iain Horton

    2017-08-01

    Full Text Available Individualized medicine enables better diagnoses and treatment decisions for patients and promotes research in understanding the molecular underpinnings of disease. Linking individual patient’s genomic and molecular information with their clinical phenotypes is crucial to these efforts. To address this need, the Center for Individualized Medicine at Mayo Clinic has implemented a genomic data warehouse and a workflow management system to bring data from institutional electronic health records and genomic sequencing data from both clinical and research bioinformatics sources into the warehouse. The system is the foundation for Mayo Clinic to build a suite of tools and interfaces to support various clinical and research use cases. The genomic data warehouse is positioned to play a key role in enhancing the research capabilities and advancing individualized patient care at Mayo Clinic.

  11. Empowering Mayo Clinic Individualized Medicine with Genomic Data Warehousing.

    Science.gov (United States)

    Horton, Iain; Lin, Yaxiong; Reed, Gay; Wiepert, Mathieu; Hart, Steven

    2017-08-22

    Individualized medicine enables better diagnoses and treatment decisions for patients and promotes research in understanding the molecular underpinnings of disease. Linking individual patient's genomic and molecular information with their clinical phenotypes is crucial to these efforts. To address this need, the Center for Individualized Medicine at Mayo Clinic has implemented a genomic data warehouse and a workflow management system to bring data from institutional electronic health records and genomic sequencing data from both clinical and research bioinformatics sources into the warehouse. The system is the foundation for Mayo Clinic to build a suite of tools and interfaces to support various clinical and research use cases. The genomic data warehouse is positioned to play a key role in enhancing the research capabilities and advancing individualized patient care at Mayo Clinic.

  12. Performance characteristics of the Mayo/IBM PACS

    Science.gov (United States)

    Persons, Kenneth R.; Gehring, Dale G.; Pavicic, Mark J.; Ding, Yingjai

    1991-07-01

    The Mayo Clinic and IBM (at Rochester, Minnesota) have jointly developed a picture archiving system for use with Mayo's MRI and Neuro CT imaging modalities. The communications backbone of the PACS is a portion of the Mayo institutional network: a series of 4-Mbps token rings interconnected by bridges and fiber optic extensions. The performance characteristics of this system are important to understand because they affect the response time a PACS user can expect, and the response time for non-PACS users competing for resources on the institutional network. The performance characteristics of each component and the average load levels of the network were measured for various load distributions. These data were used to quantify the response characteristics of the existing system and to tune a model developed by North Dakota State University Department of Computer Science for predicting response times of more complex topologies.

  13. Solving Guzman's Problem: "An Other" Narrative of "La Gran Familia Puertorriquena" in Judith Ortiz Cofer's "The Line of the Sun"

    Science.gov (United States)

    Waldron, John V.

    2009-01-01

    The first half of Judith Ortiz Cofer's novel "The Line of the Sun" (1989) narrates events that take place in the small fictional town of Salud, Puerto Rico, during the 1940s and 50s. In the second part of the novel, starting with chapter six, the readers see how two characters from the first half, Rafael and Ramona, and their young…

  14. LA NOCIÓN DE QUIASMO EN JUDITH BUTLER: PARA UNA BIOPOLÍTICA POSITIVA

    Directory of Open Access Journals (Sweden)

    Mabel Alicia Campagnoli

    2013-01-01

    Full Text Available El presente artículo rescata la noción de quiasmo, conceptualizada por Judith Butler, ya que a través de dicho concepto resulta imposible evadir el carácter corporal de la performatividad. A partir del quiasmo, realizamos una resignificación de la performatividad más atinada frente a su carácter corporal y a sus implicancias políticas. Nos concentramos en dos de éstas: una, respecto a la producción de conocimiento en ciencias sociales; otra, respecto a la participación en la vida sociopolítica. Se concluye que ambas convergen en una línea positiva de la biopolítica.

  15. El papel del travestismo en el pensamiento político de Judith Butler

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    Mariela Nahir Solana

    2014-11-01

    Full Text Available El objetivo de este artículo es examinar el papel del travestismo en la obra temprana de Judith Butler. Para ello, se mostrará la importancia del análisis de las actuaciones travestis en El género en disputa en relación con su concepción de la performatividad de género y de la subversión política. A su vez, se evaluarán algunas críticas a su pensamiento político, en general, y a su tratamiento de la parodia drag, en particular, y se demostrará de qué modo ambos tópicos han evolucionado en su libro posterior

  16. Study on Mobile Augmented Reality Adoption for Mayo Language Learning

    OpenAIRE

    Miranda Bojórquez, Erasmo; Vergara Villegas, Osslan Osiris; Cruz Sánchez, Vianey Guadalupe; García-Alcaraz, Jorge Luis; Favela Vara, Jesús

    2016-01-01

    This paper presents the results of a study applied to undergraduates in order to know how the cultural dimensions affect their perceptions of the acceptance and use of new technologies in a student-centered learning environment. A total of 85 undergraduate students from the Autonomous Indigenous University of Mexico (UAIM) participated in the study. Each student was asked to use a mobile augmented reality (MAR) application designed to learn Mayo language (language spoken in Northwestern Mexic...

  17. Remembering Joseph Mayo and His Contributions to Animal Science | Poster

    Science.gov (United States)

    By Carolynne Keenan, Guest Writer In the 1990s, when Joseph Mayo, D.V.M, ran out of gas leading coworkers home from a meeting in Bethesda, he pulled over to the side of the road on I-270 and waited for help. He didn’t have to wait long; within a few minutes a passing motorist took pity on the group of scientists and offered them a lift back to Fort Detrick.

  18. An Oral History Interview with MICHAEL M. CERNEA (interviewer: Judith Freidenberg

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    MICHAEL M. CERNEA

    2008-01-01

    Full Text Available The editors and editorial board of Human Organization are pleased to introduce readers to the following oral history interview with Michael M. Cernea, a development social scientist who has militated throughout his academic career and applied work for "putting people first", in the forefront of development projects and policies. Working for a long time for the promotion of anthropological and sociological knowledge, either in the activities of the World Bank or in the policies and programs of governments of both developed and developing countries, Dr. Cernea cleared pathways for applied social science that are sure to benefit people in development settings for many years to come. Undoubtedly many readers already know Dr. Cernea's work well, especially those of us who teach the anthropology of development or work in applied settings and organizations, but this interview embeds his broad body of work into a personal, human, and at times tragic context that opens with brushes with death, Nazi brutality, and exile. It also provides valuable insights for carrying out the work of development anthropologists within large-scale organizations and governments.This interview with Dr. Cernea was conducted by Dr. Judith Freidenberg, of the University of Maryland, on June 30, 2003, for the Society for Applied Anthropology Oral History Project, headquartered at the University of Kentucky Libraries. This Project aims to create, through the vehicle of oral histories, a record of the life, activities and experiences of number of selected scholars-anthropologists who devoted a great part of their scientific work to research, to applied work in different settings, to inducing development, including to hands-on work on crafting public social policies and actual development programs. The present transcript of the interview was reviewed by both participants for editorial purposes. Michael M. Cernea expanded some of his oral responses, for historical accuracy or to add

  19. Popis mnoha zápasů: diskurz, subjekt a moc v myšlení Judith Butlerové

    Czech Academy of Sciences Publication Activity Database

    Matonoha, Jan; Górská, M.

    2008-01-01

    Roč. 56, č. 6 (2008), s. 805-829 ISSN 0009-0468 Institutional research plan: CEZ:AV0Z90560517 Keywords : gender studies * Butler , Judith * discourse Subject RIV: AJ - Letters, Mass-media, Audiovision

  20. The trajectories of the concept of Life in Judith Butler’s thought

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    Adriana Zaharijević

    2017-07-01

    Full Text Available In this paper we propose to look into different meanings of livability and life in Judith butler’s thought. Although crucial for her early work (she points to it in her 1999 Introduction to Gender Trouble, the concept of livability as such emerges more often and in a more pronounced manner in her later books (from Undoing Gender and Precarious life to Towards a Performative Theory of Assembly. Our main question is: what is the thread that runs through different concepts of life in butler’s work? What are the links between abject, unlivable, precarious, ungrievable, jettisoned and dispossessed life? this raises further questions: the question of gradation of livability (which life matters and ‘how much’, and how to think this quantifiability of something so unquantifiable; and the question of universality (all lives matter. these questions obviously need to take into account the terms under which a life is qualified and counted as livable. such conditions encompass the norms that organize the possibility of recognition and the orders of recognizability and differential allocation of humanness. they encompass the ways in which we are constituted politically, but also in which this ‘we’ is social and bodily. the question of livable life is thus very much entangled with the issue of (individual agency, but also with what we as agents require “in order to maintain and reproduce the conditions of (our own livability” (Undoing Gender 2004: 39.

  1. On Judith Butler: A Phenomenology of Lived, narrated and Represented Embodiment

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    Olga Belmonte García

    2017-07-01

    Full Text Available In this paper we take Judith Butler’s thinking as a basis from which to consider the ideas of three authors. In our view, these authors complement Butler’s project of helping excluded people to fight for a dignified life, a “liveable life”; and specifically to the idea of using performative resignifications of discourses and practices. On one hand, we present the writings of Sarah Ahmed and Lanei Rodemeyer; they consider the spatiality and temporality of the lived body (Ahmed and the relationship between the lived body and discourse (Rodemeyer. In both cases, “pure phenomenology” (and not hermeneutics is applied to the question of sexual diversity. On the other hand, we delve into the works of Louise Bourgeois, for whom artistic creation is a way of exorcising pain and becoming free of socially constructed prisons. Starting from the paths opened by these authors, we believe that a phenomenology is possible in which there is place for what does not fit into the norm. this phenomenology would make it possible, on one side, to rend visibility to those who do not fit into the established norms and categories and, on another side, to contribute to a reformulation of discourse, such a transformation that allows the excluded to inhabit them. “Pure” phenomenology, that aims at going to “the things themselves” do not naturalise oppressions, but it is rather an ally to recognise, denounce and provide a reparation for them.

  2. Improvements in electron beam monitoring and heat flux flatness at the JUDITH 2-facility

    Energy Technology Data Exchange (ETDEWEB)

    Weber, Thomas, E-mail: weber.th@gmx.de [Forschungszentrum Jülich, Institute of Energy and Climate Research, Jülich (Germany); Bürger, Andreas; Dominiczak, Karsten; Pintsuk, Gerald [Forschungszentrum Jülich, Institute of Energy and Climate Research, Jülich (Germany); Banetta, Stefano; Bellin, Boris [Fusion for Energy, Josep Pla, 2, Torres Diagonal Litoral B3, 08019 Barcelona (Spain); Mitteau, Raphael; Eaton, Russell [ITER Organization, Route de Vinon-sur-Verdon, CS 90 046, 13067 St Paul Lez Durance Cedex (France)

    2015-10-15

    Highlights: • Monitoring of the much faster electron beam motion by IR camera through a synchronized frame triggering. • Estimation of the heat flux generated by electron beam guns based on calorimetry and FEM simulations. • Consideration of the inclined electron beam loading of rectangular-shaped objects. - Abstract: Three beryllium-armoured small-scale mock-ups and one semi-prototype for the ITER first wall were tested by the electron beam facility JUDITH 2 at Forschungszentrum Jülich. Both testing campaigns with cyclic loads up to 2.5 MW/m{sup 2} are carried out in compliance with the extensive quality and management specifications of ITER Organization (IO) and Fusion for Energy (F4E). Several dedicated calibration experiments were performed before the actual testing in order to fulfil the testing requirements and tolerances. These quality requests have been the motivation for several experimental setup improvements. The most relevant results of these activities, being the electron beam monitoring and the heat flux flatness verification, will be presented.

  3. Improvements in electron beam monitoring and heat flux flatness at the JUDITH 2-facility

    International Nuclear Information System (INIS)

    Weber, Thomas; Bürger, Andreas; Dominiczak, Karsten; Pintsuk, Gerald; Banetta, Stefano; Bellin, Boris; Mitteau, Raphael; Eaton, Russell

    2015-01-01

    Highlights: • Monitoring of the much faster electron beam motion by IR camera through a synchronized frame triggering. • Estimation of the heat flux generated by electron beam guns based on calorimetry and FEM simulations. • Consideration of the inclined electron beam loading of rectangular-shaped objects. - Abstract: Three beryllium-armoured small-scale mock-ups and one semi-prototype for the ITER first wall were tested by the electron beam facility JUDITH 2 at Forschungszentrum Jülich. Both testing campaigns with cyclic loads up to 2.5 MW/m"2 are carried out in compliance with the extensive quality and management specifications of ITER Organization (IO) and Fusion for Energy (F4E). Several dedicated calibration experiments were performed before the actual testing in order to fulfil the testing requirements and tolerances. These quality requests have been the motivation for several experimental setup improvements. The most relevant results of these activities, being the electron beam monitoring and the heat flux flatness verification, will be presented.

  4. Optimizing the patient transport function at Mayo Clinic.

    Science.gov (United States)

    Kuchera, Dustin; Rohleder, Thomas R

    2011-01-01

    In this article, we report on the implementation of a computerized scheduling tool to optimize staffing for patient transport at the Mayo Clinic. The tool was developed and implemented in Microsoft Excel and Visual Basic for Applications and includes an easy-to-use interface. The tool allows transport management to consider the trade-offs between patient waiting time and staffing levels. While improved staffing efficiency was a desire of the project, it was important that patient service quality was also maintained. The results show that staffing could be reduced while maintaining historical patient service levels.

  5. Radon in dwellings the national radon survey Galway and Mayo

    International Nuclear Information System (INIS)

    McGarry, A.T.; Fennell, S.G.; Mackin, G.M.; Madden, J.S.; O'Colmain, M.

    1999-07-01

    This report presents the results of the final phase of the National Radon Survey carried out by the Radiological Protection Institute of Ireland. The counties included in this phase are Galway and Mayo. The average radon concentrations for the houses measured in these counties were 112 Bq/m 3 and 100 Bq/m 3 , respectively. The measurement data were grouped on the basis of the 10 km grid squares of the Irish National Grid System and used to predict the percentage of dwellings in each grid square which exceeds the Reference Level of 200 Bq/m 3 . Grid squares where this percentage is predicted to be 10% or higher are designated High Radon Areas. The health effects of exposure to high radon levels are discussed and recommendations are made regarding both new and existing dwellings. (author)

  6. Judith Butler: Die Macht der Geschlechternormen und die Grenzen des Menschlichen. Frankfurt am Main: Suhrkamp Verlag 2009

    Directory of Open Access Journals (Sweden)

    Ruben Marc Hackler

    2009-07-01

    Full Text Available Judith Butler beschäftigt sich in dieser Aufsatzsammlung mit den politischen und rechtlichen Anliegen von Homo- und Transsexuellen. Im Mittelpunkt stehen die Menschenrechte und die gesetzlichen Bestimmungen, durch die homosexuelle Paare bei der Familiengründung benachteiligt werden. Der Bedarf nach einer theoretisch gehaltvollen Kritik und nach praktischen Verbesserungen ist groß. Exemplarisch analysiert Butler den öffentlich verhandelten Fall einer operativen Geschlechtsveränderung, in dem weder die Kritiker/-innen noch die Befürworter/-innen ausreichend darauf eingingen, was sich die betroffene Person wünschte. Ein Schwachpunkt des Bandes liegt im vieldeutigen Gebrauch des Begriffs Gender.Judith Butler focuses in this collection of essays on the political and legal concerns of homo- and transsexuals. She concentrates on human rights and statutory provisions through which homosexual pairs are discriminated against in family planning. There exists a great need for a theoretically rich critique and for practical improvements. Butler exemplarily analyses the publically debated case of an operative sex change, in which neither the critics nor the supporters sufficiently notes the concerned person’s own wishes. The weakness of the volume lies in the ambiguous use of the term gender.

  7. Characterization and evaluation of an oral microemulsion containing the antitumor diterpenoid compound ent-11alpha-hydroxy-15-oxo-kaur-16-en-19-oic-acid.

    Science.gov (United States)

    Lu, Yingnian; Wu, Kefeng; Li, Li; He, Yuhui; Cui, Liao; Liang, Nianci; Mu, Bozhong

    2013-01-01

    The objective of this study was to develop an oral microemulsion formulation of the antitumor diterpenoid agent, ent-11α-hydroxy-15-oxo-kaur-16-en-19-oic-acid (henceforth referred to as 5F), to enhance its bioavailability and evaluate its hepatotoxicity. Pseudoternary phase diagrams showed that the optimal microemulsion formulation contained 45% water, 10% castor oil as the oil phase, 15% Cremophor EL as the surfactant, and 30% as a cosurfactant mixture of 1,2-propanediol and polyethylene glycol (PEG)-400 (2:1, w/w). The microemulsion preparation was characterized and its droplet diameter was within 50 nm. Release of 5F in vitro from the microemulsion was slightly increased compared with a suspension containing the same amount of active drug. Pharmacokinetic parameters in vivo indicated that bioavailability was markedly improved, with the relative bioavailability being 616.15% higher for the microemulsion than for the suspension. Toxicity tests showed that the microemulsion had no hepatotoxicity in mice. These results suggest the potential for 5F microemulsion to be administered by the oral route.

  8. Characterization and evaluation of an oral microemulsion containing the antitumor diterpenoid compound ent-11alpha-hydroxy-15-oxo-kaur-16-en-19-oic-acid

    Directory of Open Access Journals (Sweden)

    Lu Y

    2013-05-01

    Full Text Available Yingnian Lu,1,2 Kefeng Wu,2 Li Li,2 Yuhui He,2 Liao Cui,2 Nianci Liang,2 Bozhong Mu11Department of Chemistry, East China University of Science and Technology, Shanghai, 2Guangdong Key Laboratory for Research and Development of Natural Drugs, Guangdong Medical College, Zhanjiang, People’s Republic of ChinaAbstract: The objective of this study was to develop an oral microemulsion formulation of the antitumor diterpenoid agent, ent-11a-hydroxy-15-oxo-kaur-16-en-19-oic- acid (henceforth referred to as 5F, to enhance its bioavailability and evaluate its hepatotoxicity. Pseudoternary phase diagrams showed that the optimal microemulsion formulation contained 45% water, 10% castor oil as the oil phase, 15% Cremophor EL as the surfactant, and 30% as a cosurfactant mixture of 1,2-propanediol and polyethylene glycol (PEG-400 (2:1, w/w. The microemulsion preparation was characterized and its droplet diameter was within 50 nm. Release of 5F in vitro from the microemulsion was slightly increased compared with a suspension containing the same amount of active drug. Pharmacokinetic parameters in vivo indicated that bioavailability was markedly improved, with the relative bioavailability being 616.15% higher for the microemulsion than for the suspension. Toxicity tests showed that the microemulsion had no hepatotoxicity in mice. These results suggest the potential for 5F microemulsion to be administered by the oral route.Keywords: antitumor, diterpenoid, microemulsion, pharmacokinetics, toxicity

  9. Current Perspectives on Desmoid Tumors: The Mayo Clinic Approach

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    Scott Okuno

    2011-08-01

    Full Text Available Desmoid tumors are a rare group of locally aggressive, non malignant tumors of fibroblastic origin that can lead to significant morbidity due to local invasion. Despite advances in the understanding of these tumors, their natural history is incompletely understood and the optimal treatment is still a matter of debate. Local control is the main goal of treatment and there has been a change in philosophy regarding the management of these tumors from aggressive surgical resection to function preservation. A multidisciplinary approach is essential to plan local control with acceptable morbidity. The current Mayo Clinic algorithm for the treatment of these tumors is based on institutional experience and the available evidence in the literature: asymptomatic/non progressive lesions away from vital structures are managed with observation and regular imaging; primary or recurrent desmoid tumors which are symptomatic or progressive or near vital structures are managed with wide surgical resection when wide surgical margins are possible with minimal functional and cosmetic loss. When positive or close surgical margins are likely, surgical resection with adjuvant radiotherapy or definitive radiotherapy is preferred. If likely functional or cosmetic deficit is unacceptable, radiotherapy is the treatment of choice. Unresectable lesions are considered for radiotherapy, chemotherapy or newer modalities however an unresectable lesion associated with a painful, functionless, infected extremity is managed with an amputation.

  10. Current Perspectives on Desmoid Tumors: The Mayo Clinic Approach

    International Nuclear Information System (INIS)

    Joglekar, Siddharth B.; Rose, Peter S.; Sim, Franklin; Okuno, Scott; Petersen, Ivy

    2011-01-01

    Desmoid tumors are a rare group of locally aggressive, non malignant tumors of fibroblastic origin that can lead to significant morbidity due to local invasion. Despite advances in the understanding of these tumors, their natural history is incompletely understood and the optimal treatment is still a matter of debate. Local control is the main goal of treatment and there has been a change in philosophy regarding the management of these tumors from aggressive surgical resection to function preservation. A multidisciplinary approach is essential to plan local control with acceptable morbidity. The current Mayo Clinic algorithm for the treatment of these tumors is based on institutional experience and the available evidence in the literature: asymptomatic/non progressive lesions away from vital structures are managed with observation and regular imaging; primary or recurrent desmoid tumors which are symptomatic or progressive or near vital structures are managed with wide surgical resection when wide surgical margins are possible with minimal functional and cosmetic loss. When positive or close surgical margins are likely, surgical resection with adjuvant radiotherapy or definitive radiotherapy is preferred. If likely functional or cosmetic deficit is unacceptable, radiotherapy is the treatment of choice. Unresectable lesions are considered for radiotherapy, chemotherapy or newer modalities however an unresectable lesion associated with a painful, functionless, infected extremity is managed with an amputation

  11. Study on Mobile Augmented Reality Adoption for Mayo Language Learning

    Directory of Open Access Journals (Sweden)

    Erasmo Miranda Bojórquez

    2016-01-01

    Full Text Available This paper presents the results of a study applied to undergraduates in order to know how the cultural dimensions affect their perceptions of the acceptance and use of new technologies in a student-centered learning environment. A total of 85 undergraduate students from the Autonomous Indigenous University of Mexico (UAIM participated in the study. Each student was asked to use a mobile augmented reality (MAR application designed to learn Mayo language (language spoken in Northwestern Mexico. Afterwards, the students responded to a survey with items concerning the use and technology acceptance and about cultural dimensions of individualism and uncertainty avoidance. Structural equation modeling (SEM was used to analyze the data collected from students. Results provide evidence that the individualism contributes positively to perceived ease of use of the MAR app, and uncertainty avoidance has no impact. The findings showed that the MAR system could be easily used if it includes a natural way to promote collaborative work. In addition, to gain the trust of students, the uncertainty avoidance needs to be reduced by enriching the help information offered for app use.

  12. Clinical aspects of the Mayo/IBM PACS project

    Science.gov (United States)

    Forbes, Glenn S.; Morin, Richard L.; Pavlicek, William

    1991-07-01

    A joint project between Mayo Clinic and IBM to develop a picture archival and communications system has been under development for three years. This project began as a potential solution to a pressing archival problem in magnetic resonance imaging. The project has grown to encompass a much larger sphere of activity including workstations, image retrieval, and report archival. This report focuses on the clinical aspects involved in the design, development, and implementation of such a system. In particular, emphasis is placed on the clinical impact of the system both inside and outside of the radiology department. The primary concerns have centered on fidelity of archival data, ease of use, and diagnostic efficacy. The project to date has been limited to neuroradiology practice. This group consists of nine staff radiologists and fellows. Administrative policy decisions regarding the accessibility and available of digital data in the clinical environment have been much more difficult and complex than originally conceived. Based on the observations thus far, the authors believe the system will become a useful and valuable adjunct to clinical practice of radiology.

  13. Postradiation sarcoma of bone: review of 78 Mayo Clinic cases

    Energy Technology Data Exchange (ETDEWEB)

    Weatherby, R.P.; Dahlin, D.C.; Ivins, J.C.

    1981-05-01

    Postradiation sarcoma of bone is an uncommon but serious sequela of radiation therapy. Seventy-eight Mayo Clinic patients have been treated for sarcomas arising in irradiated bones. They received their initial radiotherapy for a wide variety of nonneoplastic and neoplastic conditions, both benign and malignant. Thirty-five sarcomas arose in bone that was normal at the time of radiotherapy, and 43 arose in irradiated preexisting osseous lesions. The latent period between radiotherapy and diagnosis of sarcoma averaged 14.3 years. Ninety percent of the postradiation sarcomas were either osteosarcomas or fibrosarcomas; chondrosarcoma, malignant (fibrous) histiocytoma, malignant lymphoma, Ewing's tumor, and metastasizing chondroblastoma also occurred. Prompt radical surgery, when feasible, is usually the treatment of choice for the sarcoma. About 30% of patients with sarcomas of the extremities or craniofacial bones survived 5 years without recurrence; there were no disease-free survivors among patients with tumors of the vertebral column, pelvis, or shoulder girdle. The low risk of sarcoma following radiotherapy for the treatment of cancer should not be a contraindication to its use in these patients; however, radiation therapy for benign bone tumors should be reserved for lesions that are not amenable to surgical treatment. An unusual case is also reported herein in which a fibrosarcoma was discovered in the humerus of a patient who had received radiotherapy 55 years previously for a verified osteosarcoma in the same site.

  14. Postradiation sarcoma of bone: review of 78 Mayo Clinic cases

    International Nuclear Information System (INIS)

    Weatherby, R.P.; Dahlin, D.C.; Ivins, J.C.

    1981-01-01

    Postradiation sarcoma of bone is an uncommon but serious sequela of radiation therapy. Seventy-eight Mayo Clinic patients have been treated for sarcomas arising in irradiated bones. They received their initial radiotherapy for a wide variety of nonneoplastic and neoplastic conditions, both benign and malignant. Thirty-five sarcomas arose in bone that was normal at the time of radiotherapy, and 43 arose in irradiated preexisting osseous lesions. The latent period between radiotherapy and diagnosis of sarcoma averaged 14.3 years. Ninety percent of the postradiation sarcomas were either osteosarcomas or fibrosarcomas; chondrosarcoma, malignant (fibrous) histiocytoma, malignant lymphoma, Ewing's tumor, and metastasizing chondroblastoma also occurred. Prompt radical surgery, when feasible, is usually the treatment of choice for the sarcoma. About 30% of patients with sarcomas of the extremities or craniofacial bones survived 5 years without recurrence; there were no disease-free survivors among patients with tumors of the vertebral column, pelvis, or shoulder girdle. The low risk of sarcoma following radiotherapy for the treatment of cancer should not be a contraindication to its use in these patients; however, radiation therapy for benign bone tumors should be reserved for lesions that are not amenable to surgical treatment. An unusual case is also reported herein in which a fibrosarcoma was discovered in the humerus of a patient who had received radiotherapy 55 years previously for a verified osteosarcoma in the same site

  15. Being Bodies, Thinking Bodies. Judith Butler's Critiques to the Cartesian Scepticism and Contemporary Constructivism and Some Clarifications about her Understanding of Human Existence

    Directory of Open Access Journals (Sweden)

    Isabel G. Gamero Cabrera

    2017-07-01

    Full Text Available In this paper, I analyse Judith Butler’s recent critics against the Cartesian scepticism and the posTmodern constructivism (indentified by Preciado and Haraway’s works, in order to explain Butler’s distance from constructivism and, at the same time, to assert the ethical and potentially universal dimension of her defence of the precarious lives.

  16. Judith Butler y Ernesto Laclau: debates sobre la subjetividad, el psicoanálisis y la política

    Directory of Open Access Journals (Sweden)

    Mariela Peller

    Full Text Available Este artículo considera algunos ejes de la discusión teórica entre Ernesto Laclau y Judith Butler. En particular, se analizan los modos en que estos autores definen las categorías de sujeto y de identidad, preguntándose por las implicancias que los usos de ciertos conceptos del psicoanálisis tienen para esas definiciones. Esta pregunta por los modos de comprender la subjetividad y la identidad se enlaza con una discusión más amplia sobre la trascendencia de ciertas categorías de análisis de lo social y lo cultural. De esta forma, el artículo se enfoca en los contrapuntos teóricos entre los autores sobre categorías tales como universalidad, política e historicidad.

  17. Feminismo, identidade e gênero em Judith Butler: apontamentos a partir de “problemas de gênero”

    Directory of Open Access Journals (Sweden)

    Flávio Henrique Firmino

    2017-06-01

    Full Text Available Pretende-se nesse artigo acompanhar a proposta inicial de Judith Butler em Problemas de Gênero, de que o gênero não é uma essência nem uma construção social, mas uma produção do poder. Tomando o feminismo como mote para discutir inicialmente a identidade, vemos sua questão se expandir para o gênero, em geral, e chegar à própria noção de sujeito. A partir da crítica genealógica de Michel Foucault e de sua noção de poder, Butler pretende realizar uma crítica das categorias de identidade e, especificamente, da identidade enquanto fundamento da ação política do feminismo.

  18. Mida mõtleb professor Andrew Mayo? / Anne-Mari Ernesaks

    Index Scriptorium Estoniae

    Ernesaks, Anne-Mari

    2005-01-01

    PARE koordinaator tutvustab tuntud inimkapitali ideoloogi Andrew Mayo raamatut "Ettevõtte inimväärtus". Raamatu autori hinnangul on tänapäeva organisatsioonides juhtimise olulisim ülesanne inimese juhtimine varana. Lisa: Konverents

  19. Juditos ir Salomėjos mitologinių įvaizdžių metamorfozė: nuo antitezės iki sintezės = The metamorphosis of Judith's and Salome's mythological images: from antithesis to synthesis

    OpenAIRE

    Jekentaitė-Kuzmickienė, Leonarda

    2006-01-01

    The famous representative of the Vienna Secession, Gustav Klimt, painted two pictures that show a beautiful woman holding a man’s head in her hand. The paintings are called Judith I and Judith II, but sometimes one of them is called ‘Salome’. This article uses Biblical mythology as the basis of an analysis of the paradoxical coalescing of these two different characters. Judith – a Jewish heroine – has seduced and killed Holofern to save her nation from inevitable destruction. In the Old Testa...

  20. Butler, Judith. Violencia de Estado, guerra, resistencia. Por una nueva política de la izquierda. Madrid: Katz Editores, 2011

    Directory of Open Access Journals (Sweden)

    Juan Antonio Fernández Manzano

    2015-07-01

    Full Text Available This book is the transcript of a conference that Judith Butler (Ohio, 1956 gave in Barcelona in April 2010 together with an in-depth interview. Both texts, addressed to an educated reader, not necessarily specialized in political philosophy revolve around the role the left can play in the defense of the most vulnerable in view of the present forms of oppression, exclusion and violence.

  1. A new ankylosaurine dinosaur from the Judith River Formation of Montana, USA, based on an exceptional skeleton with soft tissue preservation

    Science.gov (United States)

    Arbour, Victoria M.; Evans, David C.

    2017-05-01

    The terrestrial Judith River Formation of northern Montana was deposited over an approximately 4 Myr interval during the Campanian (Late Cretaceous). Despite having been prospected and collected continuously by palaeontologists for over a century, few relatively complete dinosaur skeletons have been recovered from this unit to date. Here we describe a new genus and species of ankylosaurine dinosaur, Zuul crurivastator, from the Coal Ridge Member of the Judith River Formation, based on an exceptionally complete and well-preserved skeleton (ROM 75860). This is the first ankylosaurin skeleton known with a complete skull and tail club, and it is the most complete ankylosaurid ever found in North America. The presence of abundant soft tissue preservation across the skeleton, including in situ osteoderms, skin impressions and dark films that probably represent preserved keratin, make this exceptional skeleton an important reference for understanding the evolution of dermal and epidermal structures in this clade. Phylogenetic analysis recovers Zuul as an ankylosaurin ankylosaurid within a clade of Dyoplosaurus and Scolosaurus, with Euoplocephalus being more distantly related within Ankylosaurini. The occurrence of Z. crurivastator from the upper Judith River Formation fills a gap in the ankylosaurine stratigraphic and geographical record in North America, and further highlights that Campanian ankylosaurines were undergoing rapid evolution and stratigraphic succession of taxa as observed for Laramidian ceratopsids, hadrosaurids, pachycephalosaurids and tyrannosaurids.

  2. Travestismos comparados. Una aplicación etnográfica de la perspectiva de Judith Butler

    Directory of Open Access Journals (Sweden)

    M. Cabrapán Duarte

    2014-12-01

    Full Text Available Las autoras de este artículo integramos un proyecto de investigación cuyo objetivo es analizar las articulaciones de subjetividad y agencia que se producen a partir del entramado de los clivajes étnico, de clase, de género y de edad. Partimos de entender que ninguno de estos clivajes opera separado de los demás sino que las subjetividades y las agencias emergen de una trama en la que los posicionamientos que visibilizan alguno de los clivajes implican otros que operan sin ser visibles. Tomamos como instrumentos conceptuales dos propuestas teóricas de Judith Butler. La primera de ellas tiene que ver con el debate en el campo de la teoría feminista por los supuestos etnocéntricos que subyacen al postulado de que la diferencia de género es anterior a otras diferencias y constituye una esfera autónoma de relaciones. La segunda es el uso de la metáfora del travestismo para analizar casos en los que la rearticulación de subjetividad falla en la materialización de la norma que es necesaria para completar la identificación. Con estos instrumentos teóricos analizaremos travestismos de género, clase, edad y etnicidad en Río Negro y Chubut.

  3. El ejercicio performativo de la ciudadanía a partir de la teoría de Judith Butler

    Directory of Open Access Journals (Sweden)

    Paula Bedin

    2015-07-01

    Full Text Available En el presente artículo se abordan los aportes de Judith Butler en torno al concepto de ciudadanía. Si bien Butler no ha desarrollado una teoría sistemática de la ciudadanía se sostiene que su concepción puede ser reconstruida a partir de su propuesta de ontología social y su interpretación de la contradicción performativa. Para probar esta afirmación, en primer lugar, se realiza dicha reconstrucción. En segundo lugar, se deriva de esta reconstrucción un modo original para pensar el ejercicio de la ciudadanía en los términos de la contradicción performativa. En tercer lugar, se evaluará la conveniencia de este punto de vista para comprender las demandas ciudadanas radicales en la actualidad. Como ejemplo se analizará la demanda de la legalización del aborto en Argentina. En la medida en que esta demanda incluye la realización de abortos medicamentosos, expresa el ejercicio de un derecho que las mujeres aún no poseen legalmente.

  4. Género, cuerpo, poder y resistencia. Un diálogo crítico con Judith Butler

    Directory of Open Access Journals (Sweden)

    Marya Hinira Sáenz Cabezas

    2017-01-01

    Full Text Available El presente artículo dialoga críticamente con la teoría del género y el poder de Judith Butler, con el fin de indagar por las limitaciones en la comprensión de las prácticas de resistencia que se derivan de ella. Para esto se hace uso, por una parte, de la metodología de historias de vida, la cual permite que la reflexión se alimente de cinco experiencias de personas trans; y por la otra, de los desarrollos de la teoría feminista contemporánea. Se sostiene que Butler no responde satisfactoriamente a la pregunta acerca de cuál es la base material que permite la emergencia de las resistencias a las normas de género, y se propone la noción de cuerpo deseante para dar solución a este vacío y explicar por qué las prácticas de resistencia no deben ser pensadas solamente como posibilitadas por los resquicios que deja el poder.

  5. Vulnerabilität. Erläuterungen zu einem Schlüsselbegriff im Denken Judith Butlers

    Directory of Open Access Journals (Sweden)

    Pistrol Florian

    2016-07-01

    Full Text Available Im neueren Denken Judith Butlers nimmt der Begriff der Vulnerabilität eine Schlüsselrolle ein. Kaum eines der vielen Themen, denen sich die US-amerikanische Autorin seit der Jahrtausendwende widmet, kann ohne Kenntnis ihrer Überlegungen zu diesem Terminus angemessen verstanden werden. Der Versuch einer Rekonstruktion ihrer Konzeption von Vulnerabilität steht allerdings vor der Schwierigkeit, dass Butlers Gedanken hierzu über zahlreiche Texte hinweg verstreut sind, wobei bisweilen unterschiedliche Aspekte betont und verschiedene Schwerpunktsetzungen vorgenommen werden. Im vorliegenden Beitrag werden Butlers vulnerabilitätstheoretische Ausführungen in gebündelter Weise dargestellt und interpretiert. Dabei wird (1 die Bedeutsamkeit von Butlers Überlegungen zur Vulnerabilität für ihre Vorstellung von Körperlichkeit aufgewiesen, (2 der Zusammenhang von Vulnerabilität und Anerkennung erläutert und (3 gezeigt, welche ethischen Erwägungen Butler ausgehend von ihrer Anerkennungskonzeption und ihrem Denken der Vulnerabilität anstellt und inwiefern Vulnerabilität und politische Handlungsfähigkeit einander nicht ausschließen. Abschließend wird (4 Butlers Vulnerabilitätsverständnis mit einigen kritischen Rückfragen konfrontiert.

  6. The Enterprise Data Trust at Mayo Clinic: a semantically integrated warehouse of biomedical data.

    Science.gov (United States)

    Chute, Christopher G; Beck, Scott A; Fisk, Thomas B; Mohr, David N

    2010-01-01

    Mayo Clinic's Enterprise Data Trust is a collection of data from patient care, education, research, and administrative transactional systems, organized to support information retrieval, business intelligence, and high-level decision making. Structurally it is a top-down, subject-oriented, integrated, time-variant, and non-volatile collection of data in support of Mayo Clinic's analytic and decision-making processes. It is an interconnected piece of Mayo Clinic's Enterprise Information Management initiative, which also includes Data Governance, Enterprise Data Modeling, the Enterprise Vocabulary System, and Metadata Management. These resources enable unprecedented organization of enterprise information about patient, genomic, and research data. While facile access for cohort definition or aggregate retrieval is supported, a high level of security, retrieval audit, and user authentication ensures privacy, confidentiality, and respect for the trust imparted by our patients for the respectful use of information about their conditions.

  7. 78 FR 14528 - Mayo Hydropower, LLC, Avalon Hydropower, LLC; Notice of Application for Transfer of License, and...

    Science.gov (United States)

    2013-03-06

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Project No. 11169-029] Mayo Hydropower, LLC, Avalon Hydropower, LLC; Notice of Application for Transfer of License, and Soliciting Comments and Motions To Intervene On November 20, 2012, Mayo Hydropower, LLC (transferor) and Avalon Hydropower...

  8. The Arabic Version of the Mayo-Portland Adaptability Inventory 4: A Validation Study

    Science.gov (United States)

    Hamed, Razan; Tariah, Hashem Abu; Malkawi, Somaya; Holm, Margo B.

    2012-01-01

    The Mayo-Portland Adaptability Inventory 4 (MPAI-4) is a valid and reliable assessment tool to detect clinical impairments in patients with acquired brain injury. The tool is widely used by rehabilitation therapists worldwide, given its good psychometric properties and its availability in several languages. The purpose of this study was to…

  9. Exploring the uncertainties of early detection results: Model-based interpretation of mayo lung project

    NARCIS (Netherlands)

    L. Shi (Lu); H. Tian (Haijun); W.J. McCarthy (William); B. Berman (Barbara); S. Wu (Shinyi); R. Boer (Rob)

    2011-01-01

    textabstractBackground: The Mayo Lung Project (MLP), a randomized controlled clinical trial of lung cancer screening conducted between 1971 and 1986 among male smokers aged 45 or above, demonstrated an increase in lung cancer survival since the time of diagnosis, but no reduction in lung cancer

  10. Prácticas de crianza y educación inicial en la etnia Mayo

    Directory of Open Access Journals (Sweden)

    Ángel Vera Noriega

    2010-01-01

    Full Text Available En el artículo se describen las características de las prácticas de crianza en una comunidad mayo y se realiza un análisis documental del Modelo de Educación Inicial no Escolarizada del CONAFE. Ello con la finalidad de contrastar los resultados de la práctica de crianza con las competencias esperadas de los padres y niños que asisten al programa y con base en ello, identificar la eficacia de la implementación del programa para la reproducción social en la etnia mayo. Participaron cincuenta madres y niños de la comunidad indígena mayo "El Júpare" ubicada en el municipio de Huatabampo, al sur de Sonora. Los instrumentos utilizados fueron Índice de Estrés Parental (Abidin, 1990, Interacción Padre-Hijo-Madre (Peña, 2004, Estimulación del Niño en el Hogar (Caldwell y Bradley, 1967 y Escala del Desarrollo Integral del niño (Atkin, 1987. En la evaluación del desarrollo, 54% de los niños presentan un desarrollo normal, 26% rrollo en riesgo y en 20% se detectan problemas. El programa de Educación Inicial no Escolarizado requiere de modificaciones sustantivas para responder a las prácticas de crianza que se desarrollan en la etnia mayo.

  11. Validation of the Mayo Clinic Staging System in Determining Prognoses of Patients With Perihilar Cholangiocarcinoma

    NARCIS (Netherlands)

    Coelen, Robert J. S.; Gaspersz, Marcia P.; Labeur, Tim A.; van Vugt, Jeroen L. A.; van Dieren, Susan; Willemssen, François E. J. A.; Nio, Chung Y.; Ijzermans, Jan N. M.; Klümpen, Heinz-Josef; Groot Koerkamp, Bas; van Gulik, Thomas M.

    2017-01-01

    BACKGROUND & AIMS: Most systems for staging perihilar cholangiocarcinoma (PHC) have been developed for the minority of patients with resectable disease. The recently developed Mayo Clinic system for staging PHC requires only clinical and radiologic variables, but has not yet been validated. We

  12. Kaalul kroonist rohkem / Max Kaur

    Index Scriptorium Estoniae

    Kaur, Max, 1969-

    2004-01-01

    Autori hinnangul tuleks eelmise rahareformiga kaasnenud paanika vältimiseks alustada ühiskonnas varakult debatti eurole üleminekuks ning avaldada sarnaselt vanadele liikmesriikidele eelnevalt hindasid nii kroonides kui eurodes

  13. Rapla keskuse remake / Kaur Sarv

    Index Scriptorium Estoniae

    Sarv, Kaur

    2013-01-01

    2. Tallinna arhitektuuribiennaali satelliit - Rapla KEK-i hoone (Rapla Okta Centrum) taaskasutamise töötuba, selle tulemused ja ettepanekud. Töötuba aitas korraldada Hollandi urbanistide rühmitus Failed Architecture

  14. Construindo Vera Cruz e desconstruindo gênero: aproximações entre Pedro Almodóvar e Judith Butler

    Directory of Open Access Journals (Sweden)

    Carla Rodrigues

    Full Text Available Este artigo aproxima as proposições de desconstrução da distinção sexo/gênero tal qual proposta por Judith Butler com as questões apresentadas no filme A pele que habito, do cineasta Pedro Almodóvar. Neste diálogo, o trabalho debate questões como o diagnóstico de disforia de gênero e o problema da essencialização das categorias feminino/masculino e sua binaridade, a partir dos quais tematiza a normatividade de gênero e a autonomia do sujeito diante das normas.

  15. Judith Shakespeare – Undead or Alive? On Kajsa Dahlberg’s Artist Book A Room of One’s Own / A Thousand Libraries

    DEFF Research Database (Denmark)

    Sørensen, Trine Friis

    2015-01-01

    This short essay conducts a reading of Kajsa Dahlberg's artist book A Room of One's Own / A Thousand Libraries, which compiles all underlinings and marginal notes made by readers of library copies of the Swedish translation of Virginia Woolf's essay, 'A Room of One's Own', over half a century. Ri....... Riffing on thought experiments described by Derrida and Woolf, I argue that Dahlberg’s work envisions a way to accomplish what Woolf could only dream about—namely to bring back Judith Shakespeare, an imaginary sister of William Shakespeare that Woolf evokes in her essay....

  16. Di-and tri-hydroxylated Kaurane derivatives from microbial transformation of Ent-Kaur-16-En-19-Ol by Cephalosporium aphidicola and their allelopathic activity on Lactuca sativa (lettuce)

    International Nuclear Information System (INIS)

    Rocha, D.; Takahashi, J.A.; Boaventura, M.A.D.

    2009-01-01

    The use of microorganisms to induce chemical modifications in organic molecules is a very useful tool in organic synthesis, to obtain biologically active substances. The fungus Cephalosporium aphidicola is known by its ability to hydroxylate several skeleton positions of many classes of organic compounds. In this work, the microbial transformation of ent-kaur-16-en-19-01 (1) by C. aphidicola, afforded two hydroxylated compounds, ent-kauran-16β,19-diol (2) and ent-kauran-16β,17,19-triol (3). Their structures were established by 1D and 2D-NMR studies. Both compounds were tested for their action on the growth of radical and shoot of Lactuca sativa. (author)

  17. Di-and tri-hydroxylated Kaurane derivatives from microbial transformation of Ent-Kaur-16-En-19-Ol by Cephalosporium aphidicola and their allelopathic activity on Lactuca sativa (lettuce)

    Energy Technology Data Exchange (ETDEWEB)

    Rocha, D.; Takahashi, J.A.; Boaventura, M.A.D. [Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG (Brazil). Dept. de Quimica], e-mail: dianadb@netuno.lcc.ufmg.br

    2009-01-15

    The use of microorganisms to induce chemical modifications in organic molecules is a very useful tool in organic synthesis, to obtain biologically active substances. The fungus Cephalosporium aphidicola is known by its ability to hydroxylate several skeleton positions of many classes of organic compounds. In this work, the microbial transformation of ent-kaur-16-en-19-01 (1) by C. aphidicola, afforded two hydroxylated compounds, ent-kauran-16{beta},19-diol (2) and ent-kauran-16{beta},17,19-triol (3). Their structures were established by 1D and 2D-NMR studies. Both compounds were tested for their action on the growth of radical and shoot of Lactuca sativa. (author)

  18. Comparison of the EZ-Cap recapper with the Mayo recapper for the prevention of needlesticks.

    Science.gov (United States)

    Dewhirst, Chad A; Hung, Joseph C

    2008-09-01

    The purpose of this project was the development of a device that improves the design of our current capping block, the Mayo recapper. The major challenges for design and improvement included creating a device that is simple to use and can be applied throughout our department. We wanted a recapper device that increased safety and minimized the potential for needlesticks. Simplicity was another important factor, along with versatility and low cost. A new recapper, called EZ-Cap, was developed, and a comparison study was conducted to evaluate the pros and cons of the EZ-Cap recapper and the Mayo recapper. Nuclear medicine technologists (n = 10) in our department used each device when administering patient injections. At the conclusion of their patient injection rotation, they recorded on a survey sheet the pros and cons of each device. The results of this survey were used to evaluate the effectiveness, comfort level during use, and safety of each recapping device. We used a 2-level scoring system to help determine which device was more favorable. The first level focused on comfort and convenience and was given a score of +1 or -1. The second level focused on safety and was given a score of +2 or -2. Because we believed that safety was a high priority for our capping blocks, this level received a higher score than the first level. The Mayo recapper was the device preferred by 9 of 10 technologists surveyed. The EZ-Cap recapper had several technical issues that made it difficult to use and that could potentially lead to safety concerns. According to our scoring system, the Mayo recapper received a score of +9 for its pros and -4 for its cons. By comparison, the EZ-Cap recapper received a score of +7 for its pros and -16 for its cons. Our results show that the Mayo recapper was the device of choice because its pros outweighed its cons. However, we will continually improve the effectiveness of the Mayo recapper to prevent needlesticks.

  19. Butler, Judith, Undoing Gender

    Directory of Open Access Journals (Sweden)

    Anabela Rocha

    2012-10-01

    Full Text Available O conceito de “gender” de Butler (Gender Trouble, 1990 foi um forte ponto de viragem nos estudos queer uma vez que torna radicalmente claro que o género não é uma essência já feita que seria vivenciada pelos sujeitos mas sim um permanente fazer pela sua própria reiteração performativa, que poderia subverter ou não os padrões dualistas hegemónicos. Undoing Gender tem a particularidade de reflectir radicalmente sobre os riscos que correm aqueles que desconstroem esses padrões. Trata-se de uma ...

  20. Hillary Clinton / Judith Warner

    Index Scriptorium Estoniae

    Warner, Judith

    1994-01-01

    Kõige mõjuvõimsam naine maailmas - algus EA 22. veebruar 1994. May/4,11,18,25 lk. 22;22;22;21; Jun/1,8,15,22,29 lk. 21; Jul/6,13,20,27 21; Aug/3,10,17,24,31 lk. 21; Sep/7,14,21,28 lk. 21; Oct/5,12,19 lk. 21

  1. Bibliotecas y sociedad: interpretación en torno a la visión social bibliotecológica en el pensamiento de Judith Licea

    Directory of Open Access Journals (Sweden)

    Felipe Meneses Tello

    2010-07-01

    Full Text Available El enfoque interpretativo de la visión social de la bibliotecóloga mexicana Judith Licea se articuló en tres esferas: 1. bibliotecas y sociedad excluyente, 2. bibliotecas y sociedad incluyente, 3. bibliotecas y sociedad plural. Mediante dos esquemas que van de lo general a lo particular, se configuró el pensamiento de Judith Licea en torno a esas tres dimensiones. Este análisis concluye que la óptica social bibliotecológica de la autora hace posible tejer una serie de categorías asociadas a lo que hoy se denomina bibliotecología social; asimismo, que la idea homogénea en la esfera de la gestión de servicios bibliotecarios y de información debe quedar atrás para dar paso a la idea diferenciada. También se desprende del estudio que los profesionales de la biblioteca tienen un gran reto en los procesos formales, informales y continuos de enseñanza-aprendizaje.

  2. Dr Albert L. Rhoton Jr's Time at the Mayo Clinic: The Beginnings of a Remarkable Career.

    Science.gov (United States)

    Rayan, Tarek; Carlson, Matthew L; Piepgras, David G; Link, Michael J; Van Gompel, Jamie J

    2017-08-09

    Dr Albert L. Rhoton Jr became the focal point of neurosurgery's evolution in understanding the intricate and complex microanatomy of the human brain over the last 4 decades. His pioneering work on cadaveric specimens proved to be a pivotal endeavor in the pursuit to better understand the complex microsurgical anatomy of cranial surgery. This paper details his early career at the Mayo Clinic in Rochester, Minnesota. A comprehensive review and synthesis of data acquired from the institutional historical archives including the Annual Reports to the Executive Committee, the Reports to the Board of Directors, the MAYOVOX Newsletter, the illustration archives of the Mayo Clinic Division of Creative Media, staff biographies, curriculum vitae, personal interviews, as well as full-text journal articles, and book publications was performed. Dr Rhoton was engaged in a busy clinical practice as a young staff at the Mayo Clinic. Records show he focused on tackling complex intracranial pathologies along with numerous basic research and neuroanatomy projects that became a major part of his life's work and passion. He was a great teacher and friend to countless individuals and his work will continue to impact and improve the care provided to neurosurgery patients for generations to come. Copyright © 2017 by the Congress of Neurological Surgeons.

  3. Patient quality of life in the Mayo Clinic Care Transitions program: a survey study

    Directory of Open Access Journals (Sweden)

    Faucher J

    2016-08-01

    Full Text Available Joshua Faucher,1 Jordan Rosedahl,2 Dawn Finnie,3 Amy Glasgow,3 Paul Takahashi4 1Mayo Medical School, Mayo Clinic College of Medicine, 2Division of Biomedical Statistics and Informatics, Department of Health Science Research, Mayo Clinic, 3Center for the Science of Health Care Delivery, 4Division of Primary Care Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN, USA Background: Transitional care programs are common interventions aimed at reducing medical complications and associated readmissions for patients recently discharged from the hospital. While organizations strive to reduce readmissions, another important related metric is patient quality of life (QoL. Aims: To compare the relationship between QoL in patients enrolled in the Mayo Clinic Care Transitions (MCCT program versus usual care, and to determine if QoL changed in MCCT participants between baseline and 1-year follow-up. Methods: A baseline survey was mailed to MCCT enrollees in March 2013. Those who completed a baseline survey were sent a follow-up survey 1 year later. A cross-sectional survey of usual care participants was mailed in November 2013. We included in our analysis 199 participants (83 in the MCCT and 116 in usual care aged over 60 years with multiple comorbidities and receiving primary care. Primary outcomes were self-rated QoL; secondary outcomes included self-reported general, physical, and mental health. Intra- and intergroup comparisons of patients were evaluated using Pearson’s chi-squared analysis. Results: MCCT participants had more comorbidities and higher elder risk assessment scores than those receiving usual care. At baseline, 74% of MCCT participants reported responses of good-to-excellent QoL compared to 64% after 1 year (P=0.16. Between MCCT and usual care, there was no significant difference in self-reported QoL (P=0.21. Between baseline and follow-up in MCCT patients, and compared to usual care, there were no significant

  4. Rezension zu: Juliane Witzke: Paratext Literaturkritik Markt. Inszenierungspraktiken der Gegenwart am Beispiel Judith Hermanns. Würzburg: Verlag Königshausen & Neumann 2017.

    Directory of Open Access Journals (Sweden)

    Sandra Folie

    2017-06-01

    Full Text Available Juliane Witzke untersucht am Beispiel von Judith Hermanns Œuvre (1998–2014 die paratextuellen Inszenierungsstrategien der Gegenwart. Ihre Monographie schließt nicht nur eine Forschungslücke im Hinblick auf die wissenschaftliche Auseinandersetzung mit der Autorin, sondern bereichert auch die methodologische Fachdiskussion innerhalb der Literaturwissenschaften; ihr Analyseinstrumentarium ist vielseitig einsetzbar. Eine besondere Stärke der Untersuchung stellt zudem die umfassende Berücksichtigung medialer Veränderungen (z. B. Leser_innen als Kritiker_innen dar. Die immer wieder angesprochenen Genderaspekte – insbesondere die Interpretation von Hermanns gewandelter Strategie als erfolgreiche Inszenierung von ‚Natürlichkeit‘ – hätten stellenweise einer eingehenderen gendertheoretischen Reflexion bedurft.

  5. Critical Mass als performative Kritik der städtischen Verkehrspolitik? Fahrradfahren mit Judith Butler auf dem Gepäckträger

    Directory of Open Access Journals (Sweden)

    Anke Strüver

    2015-11-01

    Full Text Available Obwohl die meisten deutschen Großstädte über eine sehr schlechte Radverkehrsinfrastruktur verfügen, gewinnent innerstädtisches Radfahren und ein Engagement für das Rad als gleichberechtigtes Verkehrsmittel stark an Bedeutung. Als Indiz für dieses Engagement gelten in Hamburg die monatlichen Critical Mass Radfahrten unter dem Motto „We aren’t blocking traffic… we are traffic!“. Der Beitrag fragt vor diesem Hintergrund, inwiefern die Critical Mass als Aktionsform in Hamburg den Diskurs der autogerechten Stadt, die Straßenverkehrspolitik und die dominante räumliche Ordnung in Frage stellen kann und ob die Critical Mass als performative Kritik der normativen Ordnung im Sinne Judith Butlers verstanden werden kann.

  6. Judith Preissle: The Coming of Age of a Qualitative Researcher: The Impact of Qualitative Research in Education Past, Present, and Future

    Directory of Open Access Journals (Sweden)

    Robert B. Faux

    2004-09-01

    Full Text Available This conversation centers on the development of the thought and career of Judith PREISSLE. The conversation deals with PREISSLE's formal education and training and the challenges she faced as she embarked on an academic career. In this part of PREISSLE's ac­count we are given a sense of how qualitative ap­proaches to doing research began to take shape and emerge in academics, with the attendant challenges. The conversation then focuses on PREISSLE's current work at the University of Georgia, Athens, Georgia, USA. She shares her ex­periences at Georgia and the burgeoning of qual­itative research in the curriculum, and the nurturing of new students as they pursue research utilizing qualitative methods. Finally, PREISSLE shares some philosophical insights concerning qualitative research and speculates about the future. URN: urn:nbn:de:0114-fqs0403206

  7. Salida de campo a Etang de Fournelet (Francia) el 1 de mayo de 1954

    OpenAIRE

    Valverde Gómez, José Antonio, 1926-2003

    2008-01-01

    Salida de campo a Etang de Fournelet, seguramente cerca a la reserva natural de La Camarga, en el delta del río Ródano (Provenza), el 1 de mayo de 1954, de la que se anotaron observaciones sobre las siguientes aves: Actitis hypoleucos (Andarríos chico, llamado Actynioides hypoleucus por el autor), Circus aeruginosus (Aguilucho lagunero occidental), Himantopus himantopus (Cigüeñuela común), Motacilla flava (Lavandera boyera), Saxicola rubetra (Tarabilla norteña), Sylvia conspicillata (Curruca ...

  8. Bringing human resources to the table: utilization of an HR balanced scorecard at Mayo Clinic.

    Science.gov (United States)

    Fottler, Myron D; Erickson, Eric; Rivers, Patrick A

    2006-01-01

    Rather than viewing HR as a critical driver of organizational strategy and outcomes, most health care organizations see HR as a drain on the organization's bottom line. Only by aligning HR with the organizational strategy will HR leaders truly get a seat at the leadership table. HR professionals can overcome impediments and gain a seat at the table by learning the language of business and the ways in which organizational leaders use data to drive their decisions. This article shows how Mayo Clinic uses the popular Balanced Scorecard approach to align its measures of HR performance to the organization's strategic plan.

  9. Antimycobacterial activity of medicinal plants used by the Mayo people of Sonora, Mexico.

    Science.gov (United States)

    Coronado-Aceves, Enrique Wenceslao; Sánchez-Escalante, José Jesús; López-Cervantes, Jaime; Robles-Zepeda, Ramón Enrique; Velázquez, Carlos; Sánchez-Machado, Dalia Isabel; Garibay-Escobar, Adriana

    2016-08-22

    Tuberculosis (TB) is an infectious disease mainly caused by Mycobacterium tuberculosis (Mtb), which generates 9 million new cases worldwide each year. The Mayo ethnicity of southern Sonora, Mexico is more than 2000 years old, and the Mayos possess extensive knowledge of traditional medicine. To evaluate the antimycobacterial activity levels of extracts of medicinal plants used by the Mayos against Mtb and Mycobacterium smegmatis (Msm) in the treatment of TB, respiratory diseases and related symptoms. A total of 34 plant species were collected, and 191 extracts were created with n-hexane, dichloromethane, ethyl acetate (EtOAc), methanol and water. Their minimum inhibitory concentrations (MICs) and minimum bactericidal concentrations (MBCs) were determined against Mtb H37Rv using the microplate alamar blue assay (MABA) and against Msm using the resazurin microplate assay (REMA) at 6 and 2 days of exposure, respectively, and at concentrations of 250-1.9µg/mL (n-hexane extracts) and 1000-7.81µg/mL (extracts obtained with dichloromethane, EtOAc, methanol and water). Rhynchosia precatoria (Willd.) DC. (n-hexane root extract), Euphorbia albomarginata Torr. and A. Gray. (EtOAc shoot extract) and Helianthus annuus L. (n-hexane stem extract) were the most active plants against Mtb H37Rv, with MICs of 15.6, 250, 250µg/mL and MBCs of 31.25, 250, 250µg/mL, respectively. R. precatoria (root) was the only active plant against Msm, with MIC and MBC values of ≥250µg/mL. None of the aqueous extracts were active. This study validates the medicinal use of certain plants used by the Mayo people in the treatment of TB and related symptoms. R. precatoria, E. albomarginata and H. annuus are promising plant sources of active compounds that act against Mtb H37Rv. To our knowledge, this is the first time that their antimycobacterial activity has been reported. Crude extracts obtained with n-hexane, EtOAc and dichloromethane were the most active against Mtb H37Rv. Copyright © 2016

  10. 8 de Mayo ... día internacional de la mujer

    OpenAIRE

    Gutiérrez González, Acela Elena

    1987-01-01

    Al movimiento feminista lo podemos dividir en dos etapas. La primera corresponde a su lucha por la igualdad de derechos civiles que concluye en los países europeos y Norteamérica con la finalización de la segunda guerra mundial. La segunda etapa es política. En Latinoamérica surge con el nacimiento de la revolución cubana. En los países europeos, como consecuencia de la Primavera de Praga, el Mayo Francés y la oposición de los jóvenes norteamericanos a intervenir militarmente en la autodeterm...

  11. The Pine Ridge-Mayo National Aeronautics and Space Administration Telemedicine Project: Program Activities and Participant Reactions

    Science.gov (United States)

    Kottke, T. E.; Little Finger, L.; Trapp, M. A.; Panser, L. A.; Novotny, P. J.

    1996-01-01

    OBJECTIVE: To determine the response of participants to the Pine Ridge-Mayo National Aeronautics and Space Administration telemedicine project. DESIGN: We describe a 3-month demonstration project of medical education and clinical consultations conducted by means of satellite transmission. Postparticipation questionnaires and a postproject survey were used to assess the success of the activity. MATERIAL AND METHODS: Patients and employees at the Pine Ridge Indian Health Service Hospital in southwestern South Dakota and employees at Mayo Clinic Rochester participated in a telemedicine project, after which they completed exit surveys and a postproject questionnaire to ascertain the acceptability of this mode of health care. RESULTS: Almost all Pine Ridge and Mayo Clinic participants viewed the project as beneficial. The educational sessions received favorable evaluations, and almost two-thirds of the patients who completed evaluations thought the consultation had contributed to their medical care. More than 90% of the respondents from Pine Ridge and more than 85% of the respondents from Mayo Clinic Rochester said that they would recommend participation in this project to others. More than 90% of respondents from Pine Ridge and 80% of Mayo respondents agreed with the statement that the project should continue. CONCLUSION: These data suggest that a program of clinical consultation services, professional education, and patient education available by telemedicine might be viewed as beneficial.

  12. Smoking trends amongst young doctors of a tertiary care hospital - Mayo Hospital, Lahore - Pakistan

    International Nuclear Information System (INIS)

    Chudhary, M.K.; Younis, M.; Bukhari, M.H.

    2011-01-01

    The World Health Organization cites tobacco use as one of the biggest public health threats the world has ever faced. Tobacco is the number one preventable cause of disability and death. Tobacco has many negative health effects which many of the smokers know them well. In Pakistan tobacco use is common in general public and the health professionals don't lack behind this habit. To study the smoking trends amongst young doctors of Mayo Hospital. Questionnaire based descriptive study. This study was conducted at the Institute of Chest Medicine, Mayo Hospital - A tertiary care hospital affiliated with King Edward Medical University, Lahore. Out of 250 doctors, 180 (72%) were males and 70 (28%) were female. Amongst 180 male doctors 97 (53.88%) were smokers and 83 (46.21%) were non smokers. Amongst 70 female doctors 8 (11.43%) were smokers and 62 (88.57%) were non smokers. Smoking is common among male young doctors but it is less common in female doctors. (author)

  13. The Prince Edward Island-Mayo Clinic connection: Malcolm B. Dockerty and Lewis B. Woolner.

    Science.gov (United States)

    Wright, James R

    2014-03-01

    Malcolm B. Dockerty and Lewis B. Woolner, 2 preeminent mid-20th-century surgical pathologists, spent their entire careers at the Mayo Clinic. Both were raised in poverty on potato farms only 49 miles apart in Canada's smallest province (Prince Edward Island); both were educated in 1-room schools and graduated as gold medalists from Prince Edward Island's only college and then from Maritime Canada's only medical school; both then trained at the Mayo Clinic. To explore the lives and accomplishments of these 2 important surgical pathologists. Standard historiographic methods were used to explore primary and secondary historical sources. Both became world-renowned general surgical pathologists, one developing subspecialty expertise in gynecologic pathology and the other in cytopathology, pulmonary pathology, and thyroid/parathyroid pathology. Both were prolific authors with h-indices higher than 40, and between them, they published more than 750 peer-reviewed papers and book chapters. As educators, they trained hundreds of pathology and surgery residents/fellows who disseminated their knowledge around the world. Both were fascinated by poetry from childhood and could quote the classics from memory. One wrote poetry throughout his entire life and even used it to teach pathology and serve as his memoir; the other strongly preferred the classics and in jest called his colleague "a (minor) poet." Both received postretirement honorary doctorates from their alma maters. Dockerty died in 1987; Woolner celebrates his 100th birthday on November 17, 2013. Every pathologist should know of these 2 pioneering surgical pathologists.

  14. Building a protocol expressway: the case of Mayo Clinic Cancer Center.

    Science.gov (United States)

    McJoynt, Terre A; Hirzallah, Muhanad A; Satele, Daniel V; Pitzen, Jason H; Alberts, Steven R; Rajkumar, S Vincent

    2009-08-10

    Inconsistencies and errors resulting from nonstandard processes, together with redundancies, rework, and excess workload, lead to extended time frames for clinical trial protocol development. This results in dissatisfaction among sponsors, investigators, and staff and restricts the availability of novel treatment options for patients. A team of experts from Mayo Clinic formed, including Protocol Development Unit staff and management from the three Mayo Clinic campuses (Florida, Minnesota, and Arizona), a systems and procedures analyst, a quality office analyst, and two physician members to address the identified deficiencies. The current-state process was intensively reviewed, and improvement steps were taken to accelerate the development and approval of cancer-related clinical trials. The primary goal was to decrease the time from receipt of a new protocol through submission to an approving authority, such as the National Cancer Institute or institutional review board. Using the Define, Measure, Analyze, Improve, Control (DMAIC) framework infused with Lean waste-reduction methodologies, areas were identified for improvement, including enhancing first-time quality and processing new studies on a first-in/first-out basis. The project was successful in improving the mean turnaround time for internally authored protocols (P Lean methodologies is an effective tool to structure the definition, planning, analysis, and implementation of significant process changes.

  15. Strategic performance management: development of a performance measurement system at the Mayo Clinic.

    Science.gov (United States)

    Curtright, J W; Stolp-Smith, S C; Edell, E S

    2000-01-01

    Managing and measuring performance become exceedingly complex as healthcare institutions evolve into integrated health systems comprised of hospitals, outpatient clinics and surgery centers, nursing homes, and home health services. Leaders of integrated health systems need to develop a methodology and system that align organizational strategies with performance measurement and management. To meet this end, multiple healthcare organizations embrace the performance-indicators reporting system known as a "balanced scorecard" or a "dashboard report." This discrete set of macrolevel indicators gives senior management a fast but comprehensive glimpse of the organization's performance in meeting its quality, operational, and financial goals. The leadership of outpatient operations for Mayo Clinic in Rochester, Minnesota built on this concept by creating a performance management and measurement system that monitors and reports how well the organization achieves its performance goals. Internal stakeholders identified metrics to measure performance in each key category. Through these metrics, the organization links Mayo Clinic's vision, primary value, core principles, and day-to-day operations by monitoring key performance indicators on a weekly, monthly, or quarterly basis.

  16. Mayo Alliance Prognostic Model for Myelodysplastic Syndromes: Integration of Genetic and Clinical Information.

    Science.gov (United States)

    Tefferi, Ayalew; Gangat, Naseema; Mudireddy, Mythri; Lasho, Terra L; Finke, Christy; Begna, Kebede H; Elliott, Michelle A; Al-Kali, Aref; Litzow, Mark R; Hook, C Christopher; Wolanskyj, Alexandra P; Hogan, William J; Patnaik, Mrinal M; Pardanani, Animesh; Zblewski, Darci L; He, Rong; Viswanatha, David; Hanson, Curtis A; Ketterling, Rhett P; Tang, Jih-Luh; Chou, Wen-Chien; Lin, Chien-Chin; Tsai, Cheng-Hong; Tien, Hwei-Fang; Hou, Hsin-An

    2018-06-01

    To develop a new risk model for primary myelodysplastic syndromes (MDS) that integrates information on mutations, karyotype, and clinical variables. Patients with World Health Organization-defined primary MDS seen at Mayo Clinic (MC) from December 28, 1994, through December 19, 2017, constituted the core study group. The National Taiwan University Hospital (NTUH) provided the validation cohort. Model performance, compared with the revised International Prognostic Scoring System, was assessed by Akaike information criterion and area under the curve estimates. The study group consisted of 685 molecularly annotated patients from MC (357) and NTUH (328). Multivariate analysis of the MC cohort identified monosomal karyotype (hazard ratio [HR], 5.2; 95% CI, 3.1-8.6), "non-MK abnormalities other than single/double del(5q)" (HR, 1.8; 95% CI, 1.3-2.6), RUNX1 (HR, 2.0; 95% CI, 1.2-3.1) and ASXL1 (HR, 1.7; 95% CI, 1.2-2.3) mutations, absence of SF3B1 mutations (HR, 1.6; 95% CI, 1.1-2.4), age greater than 70 years (HR, 2.2; 95% CI, 1.6-3.1), hemoglobin level less than 8 g/dL in women or less than 9 g/dL in men (HR, 2.3; 95% CI, 1.7-3.1), platelet count less than 75 × 10 9 /L (HR, 1.5; 95% CI, 1.1-2.1), and 10% or more bone marrow blasts (HR, 1.7; 95% CI, 1.1-2.8) as predictors of inferior overall survival. Based on HR-weighted risk scores, a 4-tiered Mayo alliance prognostic model for MDS was devised: low (89 patients), intermediate-1 (104), intermediate-2 (95), and high (69); respective median survivals (5-year overall survival rates) were 85 (73%), 42 (34%), 22 (7%), and 9 months (0%). The Mayo alliance model was subsequently validated by using the external NTUH cohort and, compared with the revised International Prognostic Scoring System, displayed favorable Akaike information criterion (1865 vs 1943) and area under the curve (0.87 vs 0.76) values. We propose a simple and contemporary risk model for MDS that is based on a limited set of genetic and clinical variables

  17. Clinical use of the Mayo-Portland Adaptability Inventory in rehabilitation after paediatric acquired brain injury.

    Science.gov (United States)

    Oddson, Bruce; Rumney, Peter; Johnson, Patricia; Thomas-Stonell, Nancy

    2006-11-01

    The Mayo-Portland Adaptability Inventory (MPAI; designed to be administered by clinicians) is a popular measure of disability following head injury in adults. Its acceptability, validity, and reliability were assessed for use with children. There were 335 children and adolescents (215 males, 120 females) aged between 1 and 19 years at injury (median age 9y 8mo [SD 5y]) in our sample. The test was acceptable to respondents, rapidly and easily administered, and required only small modifications. It demonstrated validity against client and parent reports of major symptoms. It demonstrated test-retest reliability within the limitations of our data and excellent interrater accord. Consequently, the MPAI is recommended for paediatric use for evaluating rehabilitation needs and therapy outcome.

  18. The conversion to electronic hospital notes at Mayo Clinic. Overcoming barriers and challenges.

    Science.gov (United States)

    Andreen, Debra L; Dobie, Linda J; Jasperson, Jan C; Lucas, Thomas A; Wubbenhorst, Cathryn L

    2010-01-01

    This article describes the conversion to electronic hospital notes at a large, multi-specialty group practice: Mayo Clinic in Rochester, Minnesota. Because of the size of the institution and the barriers to the adoption of electronic notes, the process was a gradual one that took several years. Making a convincing case for change to institutional leaders and maintaining their support was crucial to success. Equally vital was the careful investigation of user requirements and the development of software features that allowed providers to complete their notes quickly in the fast-paced hospital environment. Care providers discovered the value of having immediate access to legible hospital notes throughout the campus and from remote locations.

  19. Mary as Mother in the Flores de Mayo in Poblacion, Oslob

    Directory of Open Access Journals (Sweden)

    Patricia Marion Y. Lopez

    2016-06-01

    Full Text Available The paper reflects on the meanings of the Flores de Mayo ritual as performed in a town on the southeastern coast of Cebu through the examination of Mary as a “semantically open” symbol. The essay illustrates how ideas about Mary are constructed through the discourse of the Church and are in turn, reinforced through a Church-instituted and regulated ritual. An analysis of selected elements of the ritual however, reveals that the symbol of Mary has the potential to hold “other” kinds of meanings that slip in between “official” and “unofficial” discourses, highlighting how Mary continues to be a negotiated field between church authorities and the popular faithful.

  20. The Social Media DNA of Mayo Clinic-and Health Care.

    Science.gov (United States)

    Kotsenas, Amy L; Aase, Lee; Arce, Makala; Timimi, Farris K; Dacy, Matthew; Young, Colleen; Wald, John T

    2018-01-01

    Hippocrates' admonition and the medical community's aversion to risk have caused many physicians and institutions to resist participation in modern social media sites such as Facebook (Facebook, Inc, Menlo Park, California, USA), Twitter (Twitter Inc, San Francisco, California, USA), and YouTube (San Mateo, California, USA). However, because Mayo Clinic's founders were champions of analog social networking, it was among the earliest hospitals worldwide to create official accounts on these digital platforms. A proper understanding of the traditional mechanisms of knowledge diffusion in medicine and of the nature of social media sites should help professionals see and embrace the opportunities for positive engagement in social media. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  1. The Mayo Clinic Arizona Spasmodic Dysphonia Experience: A Demographic Analysis of 718 Patients.

    Science.gov (United States)

    Patel, Alpen B; Bansberg, Stephen F; Adler, Charles H; Lott, David G; Crujido, Lisa

    2015-11-01

    Analyze demographic data collected over a 25-year experience of 718 patients with spasmodic dysphonia (SD) who have been treated with botulinum toxin-A (BoNT-A) and compare our data with previously published studies. Seven hundred eighteen patients with SD were treated with 6621 BoNT-A injections at Mayo Clinic Arizona between 1989 and 2014. All patients were treated by the same physician team. Background demographic data for each patient were recorded. Of 718 patients, 557 patients were female (77.6%). Six hundred sixty of 718 (91.8%) patients had adductor SD (AdSD), and 58 of 718 (8.1%) patients had abductor SD (AbSD). Average age of onset was 51 years. Of 718 patients, 378 (52.6%) had vocal tremor (VT); VT was present in 54.4% of AdSD patients and 32.1% of AbSD patients. Thirty-seven of 718 (5.2%) patients had other dystonias, including cervical dystonia (2.3%), blepharospasm (1.4%), limb dystonia (1.1%), and oromandibular dystonia (0.3%). A positive family history of SD was present in only 6 of 718 patients (0.8%) and of other dystonias in 11 of 718 patients (1.5%). Spasmodic dysphonia is a chronic and potentially disabling focal laryngeal dystonia. The Mayo Clinic Arizona SD experience compares to prior reports and reveals a female preponderance, onset in middle age, infrequent hereditary pattern, high co-occurrence of VT, and low co-occurrence of other dystonias. © The Author(s) 2015.

  2. The US Supreme Court in Mayo v. Prometheus - Taking the fire from or to biotechnology and personalized medicine?

    DEFF Research Database (Denmark)

    Minssen, Timo; Nilsson, David

    2012-01-01

    On 20 March 2012, the US Supreme Court handed down its much awaited patent eligibility- ruling in the dispute between Prometheus Laboratories Inc (“Prometheus”), acting as plaintiffs, and Mayo Medical Laboratories (“Mayo”), as alleged infringers of Prometheus’ licensed patents. This case review w...

  3. The fragility of identity: about the internal experience of gender in Law N° 26.743 Reflections from Pierre Bourdieu and Judith Butler

    Directory of Open Access Journals (Sweden)

    Lucía Inés Coppa

    2014-12-01

    Full Text Available The following article intends to approach some aspects of bourdiean thoughts in order to develop an approach to the notion of gender and the way in which – within an androcentric symbolic order and a normative heterosexual matrix – function these diagrams in the way gender makes up the subjective corporal form. From those notions, we want to reflect about the emergency of sexual identities that transgress the cultural precepts around gender founded in doxic experience. Likewise, we will sketch a brief reference among inconscient dimension across psychoanalytical tradition and performative theory across Judith Butler in the feminists debates.Through this conceptual framework we will attempt to examine how may the dominant representations of femininity, androcentric and heterosexually regulated, influence the identity formation of a feminine transsexual person, founded in the morphological ideal which has sustenance in the man-woman dichotomy, leaving the questioning open about the ways that the transgressive assumption of sex of what appears like the order of things may take in a binomic gender matrix, examining the reception of this debates in te Gender Identity Law N° 26.743

  4. Morbidity and mortality pattern of hospitalized children with measles at mayo hospital, lahore (epidemic 2013)

    International Nuclear Information System (INIS)

    Javed, T.; Bibi, A.

    2014-01-01

    Major outbreak of measles took place in Punjab recently (2013), leading on to increase in hospitalized cases of measles in children wards, with unacceptably high morbidity and mortality. The aim of this study was to find out morbidity and mortality pattern of hospitalized cases of measles and associated factors. Design: Prospective case series conducted at Pediatric Department Mayo Hospital, Lahore for 7 months, i.e. from 1st Jan to 31st Jul 2013 Methods:A total of 628 cases of measles were admitted in the children ward, Unit II, Mayo Hospital, Lahore from Jan-Jul 2013. The diagnosis was assigned using WHO criteria. Cases were admitted through emergency on 24 hour basis and managed in HDU and Measles isolation section. Chest X-Ray and blood complete examination was done in all cases. Complications were noted and managed along with eye consultations where necessary. Data was recorded in a predesigned proforma and entered in computer. Results: 628 admitted cases were enrolled, with comparable sex distribution, having mean age 30.8+-26.25 months and mean weight 9.69+-4.14 Kg. Eighty three percent cases were below 6 years of age (33% <1 year), 71% cases were under weight and 68% were wasted (WHO classification). Sixty six percent cases had not received measles vaccination, 144 (23%) cases had received a single dose and 71 cases (12.2%) had received two doses before admission. Majority of cases belonged to Lahore city and its peri-urban areas (83%). Pneumonia (80%), diarrhea (37%), and encephalitis (7.7%) were common complications. Eye complications (corneal ulcers, keratitis, perforation and blindness) were seen in 7.3% cases. Being under weight, H/O improper measles immunization, presence of anemia, pneumonia and encephalitis were statistically significant risk factors for mortality. The case fatality rate was 8.76%. Conclusion:Recent Measles outbreak further highlights the importance of strengthening the need for routine and mass vaccination for all children. In a

  5. Evaluation of adjuvant chemoradiation therapy for ampullary adenocarcinoma: the Johns Hopkins Hospital - Mayo Clinic collaborative study

    International Nuclear Information System (INIS)

    Narang, Amol K; Haddock, Michael G; Donohue, John H; Schulick, Richard D; Wolfgang, Christopher L; Cameron, John L; Herman, Joseph M; Miller, Robert C; Hsu, Charles C; Bhatia, Sumita; Pawlik, Timothy M; Laheru, Dan; Hruban, Ralph H; Zhou, Jessica; Winter, Jordan M

    2011-01-01

    The role of adjuvant chemoradiation therapy for ampullary carcinoma is unknown. Previous literature suggests that certain populations with high risk factors for recurrence may benefit from adjuvant chemoradiation. We combined the experience of two institutions to better delineate which patients may benefit from adjuvant chemoradiation. Patients who underwent curative surgery for ampullary carcinoma at the Johns Hopkins Hospital (n = 290; 1992-2007) and at the Mayo Clinic (n = 130; 1977-2005) were reviewed. Patients with <60 days of follow-up, metastatic disease at surgery, or insufficient pathologic data were excluded. The final combined study consisted of 186 patients (n = 104 Johns Hopkins, n = 82 Mayo). Most patients received 5-FU based chemoradiation with conformal radiation. Cox proportional hazards models were used for survival analysis. Median overall-survival was 39.9 months with 2- and 5-year survival rates of 62.4% and 39.1%. On univariate analysis, adverse prognostic factors for overall survival included T3/T4 stage disease (RR = 1.86, p = 0.002), node positive status (RR = 3.18, p < 0.001), and poor histological grade (RR = 1.69, p = 0.011). Patients who received adjuvant chemoradiation (n = 66) vs. surgery alone (n = 120) showed a higher rate of T3/T4 stage disease (57.6% vs. 30.8%, P < 0.001), lymph node involvement (72.7% vs. 30.0%, P < 0.001), and close or positive margins (4.6% vs. 0.0%, P = 0.019). Five year survival rates among node negative and node positive patients were 58.7% and 18.4% respectively. When compared with surgery alone, use of adjuvant chemoradiation improved survival among node positive patients (mOS 32.1 vs. 15.7 mos, 5 yr OS: 27.5% vs. 5.9%; RR = 0.47, P = 0.004). After adjusting for adverse prognostic factors on multivariate analysis, patients treated with adjuvant chemoradiation demonstrated a significant survival benefit (RR = 0.40, P < 0.001). Disease relapse occurred in 37.1% of all patients, most commonly metastatic

  6. Environmental iodine intake and pattern of thyroid diseases: experience at nuclear medicine centre, Mayo Hospital (abstract)

    International Nuclear Information System (INIS)

    Elahi, S.; Khan, M.; Rasool, S.; Khalid, A.; Tasneem, A.

    2011-01-01

    To know level of iodine intake in women residing in Lahore and correlate it with pattern of thyroid diseases found in women referred to Centre for Nuclear Medicine (CENUM), Mayo Hospital. Iodine intake status was determined by urinary iodine (UI) excretion by Sandell-Kolthoff reaction. Thyroid related hormones (FT4, FT3 and TSH) were measured by radioimmunoassay. In 110 non-pregnant euthyroid women (age 20-36 year) average iodine intake was 66.3 +- 14.4 mu g/L (range: 30-98 mu g/dL). All women were iodine deficient (UI 22.0 pmol/L and TSH greater or equal to 0.1mIU/L) was detected in 580(10.8%) women and hypothyroidism (FT4 0.4mIU/L) was found in 271(5.1%) women. Thus incidence of hyperthyroidism was almost double than that of hypothyroidism. Low iodine intake is manifested as increased incidence of hyperthyroidism. (author)

  7. The Minimal Clinically Important Difference for the Mayo-Portland Adaptability Inventory.

    Science.gov (United States)

    Malec, James F; Kean, Jacob; Monahan, Patrick O

    To determine the Minimal Clinically Important Difference (MCID) and Robust Clinically Important Difference (RCID) of the Mayo-Portland Adaptability Inventory-4 (MPAI-4) as measures of response to intervention. Retrospective analysis of existing data. Both distribution- and anchor-based methods were used to triangulate on the MCID and to identify a moderate, that is, more robust, level of change (RCID) for the MPAI-4. These were further evaluated with respect to clinical provider ratings. Data for individuals with acquired brain injury in rehabilitation programs throughout the United States in the OutcomeInfo Database (n = 3087) with 2 MPAI-4 ratings. MPAI-4, Supervision Rating Scale, Clinician Rating of Global Clinical Improvement. Initial analyses suggested 5 T-score points (5T) as the MCID and 9T as the RCID. Eighty-one percent to 87% of clinical raters considered a 5T change and 99% considered a 9T change to indicate meaningful improvement. 5T represents the MCID for the MPAI-4 and 9T, the RCID. Both values are notably less than the Reliable Change Index (RCI). While the RCI indicates change with a high level of statistical confidence, it may be insensitive to change that is considered meaningful by providers and participants as indicated by the MCID.

  8. Further psychometric evaluation and revision of the Mayo-Portland Adaptability Inventory in a national sample.

    Science.gov (United States)

    Malec, James F; Kragness, Miriam; Evans, Randall W; Finlay, Karen L; Kent, Ann; Lezak, Muriel D

    2003-01-01

    To evaluate the internal consistency of the Mayo-Portland Adaptability Inventory (MPAI), further refine the instrument, and provide reference data based on a large, geographically diverse sample of persons with acquired brain injury (ABI). 386 persons, most with moderate to severe ABI. Outpatient, community-based, and residential rehabilitation facilities for persons with ABI located in the United States: West, Midwest, and Southeast. Rasch, item cluster, principal components, and traditional psychometric analyses for internal consistency of MPAI data and subscales. With rescoring of rating scales for 4 items, a 29-item version of the MPAI showed satisfactory internal consistency by Rasch (Person Reliability=.88; Item Reliability=.99) and traditional psychometric indicators (Cronbach's alpha=.89). Three rationally derived subscales for Ability, Activity, and Participation demonstrated psychometric properties that were equivalent to subscales derived empirically through item cluster and factor analyses. For the 3 subscales, Person Reliability ranged from.78 to.79; Item Reliability, from.98 to.99; and Cronbach's alpha, from.76 to.83. Subscales correlated moderately (Pearson r =.49-.65) with each other and strongly with the overall scale (Pearson r=.82-.86). Outcome after ABI is represented by the unitary dimension described by the MPAI. MPAI subscales further define regions of this dimension that may be useful for evaluation of clinical cases and program evaluation.

  9. Factor analysis of the Mayo-Portland Adaptability Inventory: structure and validity.

    Science.gov (United States)

    Bohac, D L; Malec, J F; Moessner, A M

    1997-07-01

    Principal-components (PC) factor analysis of the Mayo-Portland Adaptability Inventory (MPAI) was conducted using a sample of outpatients (n = 189) with acquired brain injury (ABI) to evaluate whether outcome after ABI is multifactorial or unifactorial in nature. An eight-factor model was derived which explained 64-4% of the total variance. The eight factors were interpreted as representing Activities of Daily Living, Social Initiation, Cognition, Impaired-Self-awareness/Distress, Social Skills/ Support, Independence, Visuoperceptual, and Psychiatric, respectively. Validation of the Cognition factor was supported when factor scores were correlated with various neuropsychological measures. In addition, 117 patient self-rating total scores were used to evaluate the Impaired Self-awareness/Distress factor. An inverse relationship was observed, supporting this factor's ability to capture the two-dimensional phenomena of diminished self-awareness or enhanced emotional distress. A new subscale structure is suggested, that may allow greater clinical utility in understanding how ABI manifests in patients, and may provide clinicians with a better structure for implementing treatment strategies to address specific areas of impairment and disability for specific patients. Additionally, more precise measurement of treatment outcomes may be afforded by this reorganization.

  10. Mapping the Mayo-Portland adaptability inventory to the international classification of functioning, disability and health.

    Science.gov (United States)

    Lexell, Jan; Malec, James F; Jacobsson, Lars J

    2012-01-01

    To examine the contents of the Mayo-Portland Adaptability Inventory (MPAI-4) by mapping it to the International Classification of Functioning, Disability and Health (ICF). Each of the 30 scoreable items in the MPAI-4 was mapped to the most precise ICF categories. All 30 items could be mapped to components and categories in the ICF. A total of 88 meaningful concepts were identified. There were, on average, 2.9 meaningful concepts per item, and 65% of all concepts could be mapped. Items in the Ability and Adjustment subscales mapped to categories in both the Body Functions and Activity/Participation components of the ICF, whereas all except 1 in the Participation subscale were to categories in the Activity/Participation component. The items could also be mapped to 34 (13%) of the 258 Environmental Factors in the ICF. This mapping provides better definition through more concrete examples (as listed in the ICF) of the types of body functions, activities, and participation indicators that are represented by the 30 scoreable MPAI-4 items. This may assist users throughout the world in understanding the intent of each item, and support further development and the possibility to report results in the form of an ICF categorical profile, making it universally interpretable.

  11. The Mayo-Portland Participation Index: A brief and psychometrically sound measure of brain injury outcome.

    Science.gov (United States)

    Malec, James F

    2004-12-01

    To evaluate the internal consistency, interrater agreement, concurrent validity, and floor and ceiling effects of the 8-item Participation Index (M2PI) of the Mayo-Portland Adaptability Inventory (MPAI). M2PI data derived from MPAIs completed independently by the people with acquired brain injury undergoing evaluation, their significant others, and rehabilitation staff were submitted to Rasch Facets analysis to determine the internal consistency of each independent rater group and of composite measures that combined rater groups. Correlations with the full-scale MPAI were examined to assess concurrent validity, as was interrater agreement. Outpatient rehabilitation in academic physical medicine and rehabilitation department. People with acquired brain injury (N=134) consecutively seen for evaluation, significant others, and evaluating staff. Not applicable. The MPAI and M2PI. The M2PI showed satisfactory internal consistency, concurrent validity, interrater agreement, and minimal floor and ceiling effects, although evidence of rater bias was also apparent. Composite indices showed more desirable psychometric properties than ratings by individual rater groups. The M2PI, particularly in composite indices and with attention to rater biases, provides an outcome measure with satisfactory psychometric qualities and the potential to represent the varying perspectives of people with acquired brain injury, significant others, and rehabilitation staff.

  12. Exploring the uncertainties of early detection results: model-based interpretation of mayo lung project

    Directory of Open Access Journals (Sweden)

    Berman Barbara

    2011-03-01

    Full Text Available Abstract Background The Mayo Lung Project (MLP, a randomized controlled clinical trial of lung cancer screening conducted between 1971 and 1986 among male smokers aged 45 or above, demonstrated an increase in lung cancer survival since the time of diagnosis, but no reduction in lung cancer mortality. Whether this result necessarily indicates a lack of mortality benefit for screening remains controversial. A number of hypotheses have been proposed to explain the observed outcome, including over-diagnosis, screening sensitivity, and population heterogeneity (initial difference in lung cancer risks between the two trial arms. This study is intended to provide model-based testing for some of these important arguments. Method Using a micro-simulation model, the MISCAN-lung model, we explore the possible influence of screening sensitivity, systematic error, over-diagnosis and population heterogeneity. Results Calibrating screening sensitivity, systematic error, or over-diagnosis does not noticeably improve the fit of the model, whereas calibrating population heterogeneity helps the model predict lung cancer incidence better. Conclusions Our conclusion is that the hypothesized imperfection in screening sensitivity, systematic error, and over-diagnosis do not in themselves explain the observed trial results. Model fit improvement achieved by accounting for population heterogeneity suggests a higher risk of cancer incidence in the intervention group as compared with the control group.

  13. Brief Report: Cancer Immunotherapy in Patients With Preexisting Rheumatic Disease: The Mayo Clinic Experience.

    Science.gov (United States)

    Richter, Michael D; Pinkston, Olga; Kottschade, Lisa A; Finnes, Heidi D; Markovic, Svetomir N; Thanarajasingam, Uma

    2018-03-01

    To determine the risk of rheumatic disease flare and adverse effects in patients with preexisting rheumatic disease who were receiving immune checkpoint inhibitor (ICI) therapy. A retrospective medical record review was performed to identify all patients who received ICI therapy at Mayo Clinic in Rochester, Minnesota between 2011 and 2016 (~700 patients). Those with a preexisting rheumatic disease were identified using specific diagnostic codes. Sixteen patients were identified (81% female, median age 68.5 years). The most common rheumatic diseases were rheumatoid arthritis (n = 5), polymyalgia rheumatica (n = 5), Sjögren's syndrome (n = 2), and systemic lupus erythematosus (n = 2). Seven patients were receiving immunosuppressive therapy or glucocorticoids for their rheumatic disease at the time of initiation of the ICI. The primary malignancies were melanoma (n = 10), pulmonary (n = 4), or hematologic (n = 2). In most cases, ICIs were offered only after failure of several other therapies. Immune-related adverse effects (IRAEs) occurred in 6 patients, and all were treated successfully with glucocorticoids and discontinuation of the ICI therapy. There were no significant differences in time from cancer diagnosis to immunotherapy, duration of immunotherapy, age, or sex between the patients with and those without IRAEs. To our knowledge, this represents the largest single-center cohort of patients with rheumatic diseases who were exposed to modern cancer immunotherapy. Only a minority of these patients experienced a flare of their preexisting rheumatic disease or any other IRAE. © 2017, American College of Rheumatology.

  14. Elemental composition of Usnea sp lichen from Potter Peninsula, 25 de Mayo (King George) Island, Antarctica

    International Nuclear Information System (INIS)

    Bubach, Débora; Catán, Soledad Perez; Di Fonzo, Carla; Dopchiz, Laura

    2016-01-01

    Several pollutants, which include metals, are present in the Antarctic atmosphere, snow, marine and terrestrial organisms. This work reports the elements incorporated by Usnea sp thalli in Potter Peninsula, 25 de Mayo (King George) Island, South Shetlands, Antarctica. Geological origin was analyzed as possible sources of elements. For this purpose, correlations were done using a geochemical tracer, principal component analysis and enrichment factors were computed. Lithophile elements from particulate matter were present in most of the sampling sites. Bromine, Se and Hg showed the highest enrichment factors suggesting other sources than the particulate matter. Mercury values found in Usnea sp were in the same range as those reported for Deception Island (South Shetlands) and remote areas from the Patagonia Andes. - Highlights: • Hg enrichment factor was higher in ASPA than in human settlements area. • The elemental composition in Usnea sp from Antarctica reflected the human influence. • Bromine, Ca, Sr, Se, Fe, Hg and K contents indicated origins natural and anthropic. • The data will be considered as baselines for Potter Peninsula, King George Island. - This study provides recent element contents in Usnea sp from Potter Peninsula, South Shetland Islands, Antarctica. Some of them are the first concentration reported by Argentina.

  15. Laryngeal Schwannoma: A Case Presentation and Review of the Mayo Clinic Experience.

    Science.gov (United States)

    Romak, Jonathan J; Neel, H Bryan; Ekbom, Dale C

    2017-01-01

    The aim of this study was to clarify the nature of laryngeal schwannomas through review of the experience of a single institution during a 104-year period. This is a retrospective case series. The Mayo Clinic, Rochester, Minnesota clinical and surgical pathology database was reviewed for the years 1985-2011. Four cases of laryngeal schwannoma were identified. These cases were pooled with a previously published series of laryngeal schwannomas treated at our institution between 1907 and 1986. The characteristics of all 11 cases were studied, and relevant literature was reviewed. A total of 11 cases of schwannoma of the larynx were identified. The mean age at presentation was 48 years (range 12-73 years). The most common presenting symptoms were dysphonia and dysphagia. The most frequently involved primary site was the false vocal fold (six patients), followed by the aryepiglottic fold (three), epiglottis (two), subglottis (two), ventricle (one), true vocal fold (one) and postcricoid region (one). The mean maximal tumor diameter was 2.5 cm. In all but one case, surgical excision was curative with no recurrence during recorded follow up ranging from 1 to 17 years. Laryngeal schwannomas, although rare, should be considered in the differential diagnosis of laryngeal tumors. They occur most frequently in the false vocal fold and present most commonly with dysphonia and/or dysphagia. Surgical excision is the treatment of choice. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  16. El valor de los servicios ambientales en la cuenca baja del río Mayo

    Directory of Open Access Journals (Sweden)

    Alma Angelina Haro Martínez

    2015-01-01

    Full Text Available en este trabajo se presentan los resultados de la valora-ción económica de los servicios ambientales, para la cuencabaja del río Mayo, en Sonora, en el noroeste de México,donde las actividades económicas han impactado severa-mente y sustituido los ecosistemas naturales en la mayorparte del territorio. La metodología utilizada consistió en ladelimitación de los servicios en función de su distribuciónespacial y, en algunos casos, se usaron componentes de losecosistemas como proxy. Se compararon nueve servicios,que abarcan los cuatro grupos de funciones ecosistémicas(regulación, soporte, provisión y cultural. Los cálculos sebasaron en valores estimados de mercado por servicio y porunidad de área. Esto generó nueve mapas individuales y unodonde se integra el valor total por unidad de área.

  17. Lichen planus affecting the female genitalia: A retrospective review of patients at Mayo Clinic.

    Science.gov (United States)

    Fahy, Caoimhe M R; Torgerson, Rochelle R; Davis, Mark D P

    2017-12-01

    Genital or vulval lichen planus (VLP) may have a disabling effect on a patient's quality of life. Evidence-based management guidelines are lacking for VLP. We sought to review clinical presentation and treatment of patients who received a diagnosis of VLP. The 100 consecutive patients who received a diagnosis of VLP at Mayo Clinic between January 1, 1997, and December 31, 2015, were reviewed retrospectively. Descriptive statistics were used for data analysis. Fisher's exact test and the Wilcoxon rank sum test were used for analysis of categorical and continuous variables, respectively. All statistical tests were 2 sided, with the α level set at .05 for statistical significance. The time to diagnosis for 49% of patients was more than 1 year. Three patients (3%) had vulval dysplasia, including invasive squamous cell carcinoma. Sixty-eight patients (68%) had multisite lichen planus disease. Eleven patients (11%) had disease remission. Dermatology was the lead specialty for 9 of these cases of remission. This was a retrospective, small-cohort study. A low frequency of disease remission was seen in patients with VLP. Patients with lichen planus benefit considerably from dermatology consultation. Further research is warranted to establish high-quality, evidence-based guidelines for multidisciplinary management of this challenging disease. Copyright © 2017 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  18. Mohs micrographic surgery for the treatment of hidradenocarcinoma: the Mayo Clinic experience from 1993 to 2013.

    Science.gov (United States)

    Tolkachjov, Stanislav N; Hocker, Thomas L; Hochwalt, Phillip C; Camilleri, Michael J; Arpey, Christopher J; Brewer, Jerry D; Otley, Clark C; Roenigk, Randall K; Baum, Christian L

    2015-02-01

    Hidradenocarcinoma (HAC) is a rare malignant adnexal neoplasm with reported metastatic potential and undefined optimal treatment. To review clinical characteristics and outcomes of patients with HAC treated with Mohs micrographic surgery (MMS). The authors performed a retrospective chart review of patients with HAC treated by MMS at Mayo Clinic from 1993 to 2013, recording patient demographics, tumor characteristics, MMS stages to clearance, follow-up, recurrence, metastasis, and mortality. Ten patients underwent MMS for HAC more than 20 years. The average age was 62.8 years, with 6 females and 4 males. Occipital scalp was the most common location (40%), followed by extremities (30%) and face (20%). In 5 of 7 cases (71%), "cyst" was the working clinical diagnosis. The average preoperative lesion area was 3.18 cm, with an average of 1.5 MMS stages required for clearance. Mean postoperative follow-up was 7 years (range, 5-205 months). No tumors treated with MMS recurred, metastasized, or led to disease-related mortality. Mohs micrographic surgery seems to be a useful treatment modality for HAC. This is the largest reported series of HAC treated with MMS with long-term follow-up.

  19. Polyphenolic substrates and dyes degradation by yeasts from 25 de Mayo/King George Island (Antarctica).

    Science.gov (United States)

    Rovati, José I; Pajot, Hipólito F; Ruberto, Lucas; Mac Cormack, Walter; Figueroa, Lucía I C

    2013-11-01

    Antarctica offers a range of extreme climatic conditions, such as low temperatures, high solar radiation and low nutrient availability, and constitutes one of the harshest environments on Earth. Despite that, it has been successfully colonized by ’cold-loving’ fungi, which play a key role in decomposition cycles in cold ecosystems. However, knowledge about the ecological role of yeasts in nutrient or organic matter recycling/mineralization remains highly fragmentary. The aim of this work was to study the yeast microbiota in samples collected on 25 de Mayo/King George Island regarding the scope of their ability to degrade polyphenolic substrates such as lignin and azo dyes. Sixty-one yeast isolates were obtained from 37 samples, including soil, rocks, wood and bones. Molecular analyses based on rDNA sequences revealed that 35 yeasts could be identified at the species level and could be classified in the genera Leucosporidiella, Rhodotorula, Cryptococcus, Bullera and Candida. Cryptococcus victoriae was by far the most ubiquitous species. In total, 33% of the yeast isolates examined showed significant activity for dye decolorization, 25% for laccase activity and 38% for ligninolytic activity. Eleven yeasts did not show positive activity in any of the assays performed and no isolates showed positive activity across all tested substrates. A high diversity of yeasts were isolated in this work, possibly including undescribed species and conspicuous Antarctic yeasts, most of them belonging to oligotrophic, slow-growing and metabolically diverse basidiomycetous genera.

  20. Delusional infestation is typically comorbid with other psychiatric diagnoses: review of 54 patients receiving psychiatric evaluation at Mayo Clinic.

    Science.gov (United States)

    Hylwa, Sara A; Foster, Ashley A; Bury, Jessica E; Davis, Mark D P; Pittelkow, Mark R; Bostwick, J Michael

    2012-01-01

    Delusional infestation, which encompasses both delusions of parasitosis and delusions of infestation with inanimate objects (sometimes called Morgellons disease), has been said to represent a distinct and encapsulated delusion, that is, a stand-alone diagnosis. Anecdotally, we have observed that patients with delusional infestation often have one or more psychiatric comorbid conditions and that delusional infestation should not be regarded as a stand-alone diagnosis. The purpose of this study was to identify whether patients with delusional infestation have psychiatric comorbid conditions. We therefore identified patients who had been formally evaluated in the Department of Psychiatry during their visit to Mayo Clinic. We retrospectively searched for and reviewed the cases of all patients with delusional infestation seen from 2001 through 2007 at Mayo Clinic, Rochester, Minnesota, and who underwent psychiatric evaluation. The diagnoses resulting from psychiatric evaluation were analyzed. During the 7-year study period, 109 patients seen for delusional infestation at Mayo Clinic were referred to the Department of Psychiatry, 54 (50%) of whom actually followed through with psychiatric consultation. Of these 54 patients, 40 (74%) received additional active psychiatric diagnoses; 14 patients (26%) had delusional infestation alone. Abnormal personality traits were rarely documented. Most patients with delusional infestation have multiple coexisting or underlying psychiatric disorders. Therefore, evaluation by a psychiatrist, when possible, is advised for all patients with delusional infestation. Copyright © 2012 The Academy of Psychosomatic Medicine. Published by Elsevier Inc. All rights reserved.

  1. Think big, start small, move fast a blueprint for transformation from the Mayo Clinic Center for Innovation

    CERN Document Server

    LaRusso, Nicholas; Farrugia, Gianrico

    2015-01-01

    The Only Innovation Guide You Will Ever Need--from the Award-Winning Minds at Mayo Clinic. A lot of businesspeople talk about innovation, but few companies have achieved the level of truly transformative innovation as brilliantly--or as famously--as the legendary Mayo Clinic. Introducing Think Big, Start Small, Move Fast, the first innovation guide based on the proven, decade-long program that’s made Mayo Clinic one of the most respected and successful organizations in the world. This essential must-have guide shows you how to: Inspire and ignite trailblazing innovation in your workplace Design a new business model that’s creative, collaborative, and sustainable Apply the traditional scientific method to the latest innovations in "design thinking" Build a customized toolkit of the best practices, project portfolios, and strategies Increase your innovation capacity--and watch how quickly you succeed These field-tested techniques grew out of the health care industry but are designed ...

  2. Quality improvement education incorporated as an integral part of critical care fellows training at the Mayo Clinic.

    Science.gov (United States)

    Kashani, Kianoush B; Ramar, Kannan; Farmer, J Christopher; Lim, Kaiser G; Moreno-Franco, Pablo; Morgenthaler, Timothy I; Dankbar, Gene C; Hale, Curt W

    2014-10-01

    The Accreditation Council for Graduate Medical Education emphasizes quality improvement (QI) education in residency/fellowship training programs. The Mayo Clinic Combined Critical Care Fellowship (CCF) program conducted a pilot QI education program to incorporate QI training as a required curriculum for the 2010-2011 academic year. CCF collaborated with the Mayo Quality Academy to customize and teach the existing Mayo Quality Fellows curriculum to the CCF fellows with the help of two quality coaches over five months starting July 2010. All fellows were to achieve Bronze and Silver certification prior to graduation. Silver required passing four written exams and submitting a health care QI project. Five projects were selected on the basis of the Impact-Effort Prioritization matrix, and DMAIC (Define, Measure, Analyze, Improve, and Control) methodology was used to complete the projects. The primary outcome was to assess learners' satisfaction, knowledge, and skill transfer. All 20 fellows were Bronze certified, and 14 (70%) were Silver certified by the time of graduation. All five QI projects were completed and showed positive impacts on patient safety and care. Surveys showed improved learner satisfaction. Graduates felt the QI training improved their QI skills and employment and career advancement. The QI curriculum had appropriate content and teaching pace and did not significantly displace other important clinical core curriculum topics. The pilot was successfully implemented in the CCF program and now is in the fourth academic year as an established and integral part of the fellowship core curriculum.

  3. Outcomes and patterns of failure of sarcomatoid carcinoma of the larynx: The Mayo Clinic experience.

    Science.gov (United States)

    Gamez, Mauricio E; Jeans, Elizabeth; Hinni, Michael L; Moore, Eric; Young, Geoffrey; Ma, Daniel; McGee, Lisa; Buras, Matthew R; Patel, Samir H

    2018-02-01

    Sarcomatoid carcinoma is a rare variant of squamous cell carcinoma of the head and neck. No consensus exists on its management. Our aim was to present our outcomes. Retrospective study. Median follow-up 45 months. There were 38 patients with pathologically confirmed sarcomatoid carcinoma of the larynx treated at the Mayo Clinic from 1990 to 2014. Statistical analysis of overall survival (OS), progression-free survival (PFS), and local control (LC) were conducted using the Kaplan-Meier method. The majority of patients were elderly males (92%) with a smoking history (74%) presenting with early-stage disease (71%). Surgery alone was the primary treatment in 27 patients (71%). Nine patients (25%) were treated with adjuvant radiation due to initial stage or high-risk pathologic features. Median radiation dose to the primary/surgical bed was 65 Gy (range, 60.3-75.0 Gy). A total of 15 patients (39%) had tumor recurrence, majority being local (n = 12). Sixty percent (n = 9) had multiple local recurrences. Five-year OS, PFS, and LC were 63%, 46%, and 72%, respectively. Subgroup analysis by stage I versus higher stages (II-IV) showed an OS of 80% versus 43% (P = .030), PFS of 65% versus 18% (P = .003), and LC of 84% versus 57% (P = .039). Sarcomatoid carcinoma of the larynx is rare, and frequently presents at an early stage in older men with history of smoking. Based on our outcomes and patterns of failure, it appears early-stage tumors are treated appropriately with single-modality therapy, whereas more advanced tumors require multimodality therapy. Validation in a larger cohort is warranted. 4. Laryngoscope, 128:373-377, 2018. © 2017 The American Laryngological, Rhinological and Otological Society, Inc.

  4. Mayo-Portland adaptability inventory: comparing psychometrics in cerebrovascular accident to traumatic brain injury.

    Science.gov (United States)

    Malec, James F; Kean, Jacob; Altman, Irwin M; Swick, Shannon

    2012-12-01

    (1) To evaluate the measurement reliability and construct validity of the Mayo-Portland Adaptability Inventory, 4th revision (MPAI-4) in a sample consisting exclusively of patients with cerebrovascular accident (CVA) using single parameter (Rasch) item-response methods; (2) to examine the differential item functioning (DIF) by sex within the CVA population; and (3) to examine DIF and differential test functioning (DTF) across traumatic brain injury (TBI) and CVA samples. Retrospective psychometric analysis of rating scale data. Home- and community-based brain injury rehabilitation program. Individuals post-CVA (n=861) and individuals with TBI (n=603). Not applicable. MPAI-4. Item data on admission to community-based rehabilitation were submitted to Rasch, DIF, and DTF analyses. The final calibration in the CVA sample revealed satisfactory reliability/separation for persons (.91/3.16) and items (1.00/23.64). DIF showed that items for pain, anger, audition, and memory were associated with higher levels of disability for CVA than TBI patients; whereas, self-care, mobility, and use of hands indicated greater overall disability for TBI patients. DTF analyses showed a high degree of association between the 2 sets of items (R=.92; R(2)=.85) and, at most, a 3.7 point difference in raw scores. The MPAI-4 demonstrates satisfactory psychometric properties for use with individuals with CVA applying for interdisciplinary posthospital rehabilitation. DIF reveals clinically meaningful differences between CVA and TBI groups that should be considered in results at the item and subscale level. Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  5. Los acontecimientos de mayo del 68 y la lucha antipsiquiátrica

    Directory of Open Access Journals (Sweden)

    Valentín Galván García

    2009-12-01

    Full Text Available Los movimientos de detracción a la psiquiatría clásica no nacieron hasta la década de los años 60. Las reflexiones comunes de sociólogos, filósofos, políticos, psiquiatras y enfermos mentales coincidieron en un severo replanteamiento del saber psiquiátrico y de las prácticas propugnadas. El término propuesto en 1967 por David Cooper fue el estandarte de estos nuevos planteamientos. Con anterioridad al movimiento psiquiátrico, en 1961, se publicaron dos textos fundamentales: Internados de Erving Goffman y la Historia de la locura de Michel Foucault. Ambas obras, hasta entonces, conocidas exclusivamente en el ámbito académico, por lo que sus enfoques y problemáticas tuvieron escasa repercusión hasta los acontecimientos de Mayo del 68, los cuales propiciaron unas condiciones más favorables para su discurso.________________________ABSTRACT:The movements back to the classical psychiatry weren’t born until the 60 ths decade. The common thoughts of sociologists, philosophers, politicians, psychiatrists and mentally sick people joined together a strict reconsideration of the phychiatric knowledge and the proposed training. The word “antipsychiatry” proposed in 1967 by David Cooper was the flagship of these new thoughts. Before the psychiatric movement, in 1961, two main books were published: Asylums by Erving Goffman and History of mandess by Michel Foucault. Both books, until then, were known exclusively in the academic field, for its focus and problems had little repercussion until the May 68 events, which encouraged more favourable conditions for its speech.  

  6. Syndrome of rapid onset end stage renal disease in incident Mayo Clinic chronic hemodialysis patient

    Directory of Open Access Journals (Sweden)

    M. A. C. Onuigbo

    2014-01-01

    Full Text Available Despite decades of research, a full understanding of chronic kidney disease (CKD-end stage renal disease (ESRD progression remains elusive. The common consensus is a predictable, linear, progressive and time-dependent decline of CKD to ESRD. Acute kidney injury (AKI on CKD is usually assumed to be transient, with recovery as the expected outcome. AKI-ESRD association in current nephrology literature is blamed on the so-called "residual confounding." We had previously described a relationship between AKI events and rapid onset yet irreversible ESRD happening in a continuum in a high-risk CKD cohort. However, the contribution of the syndrome of rapid onset-ESRD (SORO-ESRD to incident United States ESRD population remained conjectural. In this retrospective analysis, we analyzed serum creatinine trajectories of the last 100 consecutive ESRD patients in 4 Mayo Clinic chronic hemodialysis units to determine the incidence of SORO-ESRD. Excluding 9 patients, 31 (34% patients, including two renal transplant recipients, had SORO-ESRD: 18 males and 13 females age 72 (range 50-92 years. Precipitating AKI followed pneumonia (8, acutely decompensated heart failure (7, pyelonephritis (4, post-operative (5, sepsis (3, contrast-induced nephropathy (2, and others (2. Time to dialysis was shortest following surgical procedures. Concurrent renin angiotensin aldosterone system blockade was higher with SORO-ESRD - 23% versus 5%, P = 0.0113. In conclusion, SORO-ESRD is not uncommon among the incident general US ESRD population. The implications for ESRD care planning, AV-fistula-first programs, general CKD care and any associations with renal ageing/senescence warrant further study.

  7. Cigarette smoking and health care professionals at Mayo Hospital, Lahore, Pakistan

    International Nuclear Information System (INIS)

    Malik, A.K.; Chaudhry, A.; Karamat, A.; Arif, N.; Cheema, M.A.; Rauf, A.

    2010-01-01

    Objectives: To observe the frequency of cigarette smoking in doctors and paramedics and study various variables associated with it. Methods: An anonymous questionnaire was given to randomly selected 250 Doctors and 250 Paramedics at Mayo Hospital in 2009. Information about demographic characteristics, smoking status in family, number of cigarettes smoked per day, influence for starting smoking, reason for continuation of smoking and use of nicotine replacement therapy was obtained. Results: A total of 234 questionnaires from doctors and 207 from paramedics were received back (88.2% response rate). There were 280 males (163 Doctors; 117 Paramedics) and 161 females (71 Doctors; 90 Paramedics). Eighty seven (37.18%) Doctors and 74 (35.74%) Paramedics were smokers with 82 (50.31%) male doctors and 5 (7.04%) females. Similar results were obtained in Paramedics 72 (61.53%) males and 2 (2.22%) females. Of the smokers, majority started smoking between 11-20 years age with 39 (44.83%) Doctors and 48 (64.86%) Paramedics. Twenty three (26.44%) Doctors and 31 (41.89%) Paramedics smoked 11-20 cigarettes per day. Smoking was initiated due to the influence of friends by 48 (55.17%) Doctors and 56 (75.68%) Paramedics. Most smokers, 29 (33.33%) Doctors and 33 (44.59%) Paramedics found use of cigarette smoking as 'Relaxing'. Addiction was the main reason for difficulty in quitting cigarette smoking as reported by 33 (37.93%) Doctors and 31 (41.89%) Paramedics. Of the smokers, 61(70.11%) doctors and 50 (32.43%) paramedics had no intention to quit smoking in the next 6 months. Conclusion: A significant number of doctors and paramedics, especially males, in Pakistan smoke cigarettes, which requires proper attention. (author)

  8. Complex Fibroadenoma and Breast Cancer Risk: A Mayo Clinic Benign Breast Disease Cohort Studya

    Science.gov (United States)

    Nassar, Aziza; Visscher, Daniel W.; Degnim, Amy C.; Frank, Ryan D.; Vierkant, Robert A.; Frost, Marlene; Radisky, Derek C.; Vachon, Celine M.; Kraft, Ruth A.; Hartmann, Lynn C.; Ghosh, Karthik

    2015-01-01

    Purpose To examine the breast cancer risk overall among women with simple fibroadenoma or complex fibroadenoma and to examine the association of complex fibroadenoma with breast cancer through stratification of other breast cancer risks. Methods The study included women aged 18 to 85 years from the Mayo Clinic Benign Breast Disease Cohort who underwent excisional breast biopsy from 1967 through 1991. Within this cohort, women who had fibroadenoma were compared to women who did not have fibroadenoma. Breast cancer risk (observed vs expected) across fibroadenoma levels was assessed through standardized incidence ratios (SIRs) by using age- and calendar-stratified incidence rates from the Iowa Surveillance, Epidemiology, and End Results registry. Analyses were performed overall, within subgroups of involution status, with other demographic characteristics (age, year of biopsy, indication for biopsy, and family history), and with histologic characteristics, including overall impression (nonproliferative disease, proliferative disease without atypia [PDWA], or atypical hyperplasia). Results Fibroadenoma was identified in 2,136 women (noncomplex, 1,835 [85.9%]; complex, 301 [14.1%]). SIR for noncomplex fibroadenoma was 1.49 (95% CI, 1.26–1.74); for complex fibroadenoma, it was 2.27 (95% CI, 1.63–3.10) (test for heterogeneity in SIR, P=.02). However, women with complex fibroadenoma were more likely to have other, concomitant high-risk histologic characteristics (eg, incomplete involution and PDWA). In analyses stratified by involution status and PDWA, complex fibroadenoma was not an independent risk marker for breast cancer. Conclusions Complex fibroadenoma does not confer increased breast cancer risk beyond other established histologic characteristics. PMID:26264469

  9. Complex fibroadenoma and breast cancer risk: a Mayo Clinic Benign Breast Disease Cohort Study.

    Science.gov (United States)

    Nassar, Aziza; Visscher, Daniel W; Degnim, Amy C; Frank, Ryan D; Vierkant, Robert A; Frost, Marlene; Radisky, Derek C; Vachon, Celine M; Kraft, Ruth A; Hartmann, Lynn C; Ghosh, Karthik

    2015-09-01

    The purpose of this study is to examine the breast cancer risk overall among women with simple fibroadenoma or complex fibroadenoma and to examine the association of complex fibroadenoma with breast cancer through stratification of other breast cancer risks. The study included women aged 18-85 years from the Mayo Clinic Benign Breast Disease Cohort who underwent excisional breast biopsy from 1967 through 1991. Within this cohort, women who had fibroadenoma were compared to women who did not have fibroadenoma. Breast cancer risk (observed versus expected) across fibroadenoma levels was assessed through standardized incidence ratios (SIRs) by using age- and calendar-stratified incidence rates from the Iowa Surveillance, Epidemiology, and End Results registry. Analyses were performed overall, within subgroups of involution status, with other demographic characteristics (age, year of biopsy, indication for biopsy, and family history), and with histologic characteristics, including overall impression [nonproliferative disease, proliferative disease without atypia (PDWA), or atypical hyperplasia]. Fibroadenoma was identified in 2136 women [noncomplex, 1835 (85.9%); complex, 301 (14.1%)]. SIR for noncomplex fibroadenoma was 1.49 (95% CI 1.26-1.74); for complex fibroadenoma, it was 2.27 (95% CI 1.63-3.10) (test for heterogeneity in SIR, P = .02). However, women with complex fibroadenoma were more likely to have other, concomitant high-risk histologic characteristics (e.g., incomplete involution and PDWA). In analyses stratified by involution status and PDWA, complex fibroadenoma was not an independent risk marker for breast cancer. Complex fibroadenoma does not confer increased breast cancer risk beyond other established histologic characteristics.

  10. Nurse practitioners and physician assistants: preparing new providers for hospital medicine at the mayo clinic.

    Science.gov (United States)

    Spychalla, Megan T; Heathman, Joanne H; Pearson, Katherine A; Herber, Andrew J; Newman, James S

    2014-01-01

    Hospital medicine is a growing field with an increasing demand for additional healthcare providers, especially in the face of an aging population. Reductions in resident duty hours, coupled with a continued deficit of medical school graduates to appropriately meet the demand, require an additional workforce to counter the shortage. A major dilemma of incorporating nonphysician providers such as nurse practitioners and physician assistants (NPPAs) into a hospital medicine practice is their varying academic backgrounds and inpatient care experiences. Medical institutions seeking to add NPPAs to their hospital medicine practice need a structured orientation program and ongoing NPPA educational support. This article outlines an NPPA orientation and training program within the Division of Hospital Internal Medicine (HIM) at the Mayo Clinic in Rochester, MN. In addition to a practical orientation program that other institutions can model and implement, the division of HIM also developed supplemental learning modalities to maintain ongoing NPPA competencies and fill learning gaps, including a formal NPPA hospital medicine continuing medical education (CME) course, an NPPA simulation-based boot camp, and the first hospital-based NPPA grand rounds offering CME credit. Since the NPPA orientation and training program was implemented, NPPAs within the division of HIM have gained a reputation for possessing a strong clinical skill set coupled with a depth of knowledge in hospital medicine. The NPPA-physician model serves as an alternative care practice, and we believe that with the institution of modalities, including a structured orientation program, didactic support, hands-on learning, and professional growth opportunities, NPPAs are capable of fulfilling the gap created by provider shortages and resident duty hour restrictions. Additionally, the use of NPPAs in hospital medicine allows for patient care continuity that is otherwise missing with resident practice models.

  11. Primary hyperparathyroidism surgical management since the introduction of minimally invasive parathyroidectomy: Mayo Clinic experience.

    Science.gov (United States)

    Grant, Clive S; Thompson, Geoffrey; Farley, David; van Heerden, Jon

    2005-05-01

    Minimally invasive parathyroidectomy (MIP) for primary hyperparathyroidism (HPT) has equal cure and recurrence rates as standard cervical exploration. Changes in the management of primary HPT have occurred since introducing MIP including localization, anesthesia, intraoperative parathyroid hormone monitoring, and indications for parathyroidectomy. Cohort analysis of 1361 consecutive patients with primary HPT operated on at the Mayo Clinic, Rochester, Minn, from June 1998 through March 2004. Mean follow-up, 25 months. Tertiary referral center. One thousand three hundred sixty-one patients operated on for primary HPT, excluding 160 patients who were reoperated on. Standard cervical exploration MIP. Cure, recurrence, localization, anesthesia, hospitalization, intraoperative parathyroid hormone level monitoring, contraindications to MIP, surgical indications, assessment of osteoporosis and osteopenia, postoperative patient assessment of general patient health, and operative satisfaction. Cure of primary HPT for both conventional exploration and MIP was 97%; only 1 patient who underwent MIP had a potential recurrence. Imaging sensitivity and positive predictive values were as follows: sestamibi scintigraphy, 86% and 93%; ultrasonography, 61% and 87%, respectively. Usage of general vs local anesthesia with intravenous sedation was 46% and 49%, respectively, in patients w ho underwent MIP; 46% were dismissed as outpatients, 49% had single-night stays. The accuracy of intraoperative parathyroid hormone level monitoring was as follows: 98% (8% had true-negative results); the frequency of multiple gland disease was 13%. Accounting for causes precluding MIP, an estimated 60% to 70% of all patients would be eligible for MIP. By preoperative assessment, 79% had osteoporosis-osteopenia; 58% with postoperative bone mineral density measurements were improved. More than 85% were satisfied with the results of their operation. With high-quality localization and intraoperative

  12. Recursos florísticos de la cuenca baja del río mayo, Sonora

    Directory of Open Access Journals (Sweden)

    Julio César Duarte Ruiz

    2014-06-01

    Full Text Available En México se presentan prácticamente todos los grandes tipos de vegetación que existen en el mundo y su distribución a menudo es compleja. El objetivo del trabajo consistió en realizar un listado de la flora silvestre ribereña del Río Mayo, localizado en el sur del estado de Sonora, para conocer su composición. La recolección de especímenes se realizó mediante la técnica de intercepción o línea de Canfield (1941, en 15 sitios con dos repeticiones sumando 30 transectos. Se encontraron un total de 40 familias, 79 géneros y 99 especies. Las familias mejor representadas fueron: Leguminoseae, Cactaceae, Gramineae, Compositae, Chenopodiaceae, Salicaceae, Solanaceae, Euphorbiaceae, Amaranthaceae y Asteraceae. La dominante fue Leguminoseae con vegetación de bosque espinoso compuesta por Acacia cymbispina, Acacia farnesiana, Parkinsonia aculeata y Prosopis juliflora. Resulta perceptible la pérdida de flora debido al cambio de uso de suelo. Especies representativas de la zona riparia como Populus fremontii y Salix bonplandiana están desapareciendo por alteración del ecosistema. Poblaciones de mangle como Rhizophora mangle y Conocarpus erectus están disminuidas. El área estudiada es rica en especies a pesar de la perturbación. La diversidad varía de acuerdo al gradiente altitudinal y el número de especies guarda relación con los géneros y familias recolectadas. La agricultura, acuicultura, ganadería, la industria pesquera y la urbanización, son los giros que causan mayor afectación en los ecosistemas

  13. Lectura crítica de Mauro Rucovsky, Martín de (2016). Cuerpos en escena. Materialidad y cuerpo sexuado en Judith Butler y Paul B. Preciado : Madrid: Egales. 209 páginas

    OpenAIRE

    Campagnoli, Mabel Alicia

    2017-01-01

    El libro Cuerpos en escena brinda una exégesis de las propuestas teóricas de Judith Butler y de Paul B. Preciado sobre los cuerpos sexuados, su articulación con el género y la problemática relación entre materialidad y lenguaje. Luego de caracterizar la teoría performativa de Butler, se detiene en las críticas que Preciado le realiza al considerarla meramente discursiva y desapegada del cuerpo, para mostrar su inexactitud. Muestra, en todo caso, cómo el filósofo continúa la perspectiva ...

  14. Strandbergi imekangas tootmiseks valmis / Kaur Maran

    Index Scriptorium Estoniae

    Maran, Kaur

    2017-01-01

    Materjaliteadlased Marek Strandeberg ja Katrin Idla leiutasid kanga, millelt pinnalt radari välja kiiratud elektromagnetlained ei peegeldu tagasi ja kaitsevad nii objekte avastamise eest. Kanga eesmärgiks on muuta lennuk, tank või võitleja vaenlase radarile nähtamatuks. Senised katsetused on olnud edukad ning nüüd loodetakse kaitseministeeriumi hinnangut ja võimalikke tellimusi

  15. Plaadid / Kaur Garshnek, Maris Meiesaar, Tiiu Laks

    Index Scriptorium Estoniae

    Garšnek, Kaur, 1983-

    2008-01-01

    Uutest heliplaatidest Holst Singers ja Stephen Layton, Stephen "Rockferry", Queens Of Stone Age "Era Vulgaris Tour Edition", "Crystal Castles", Operator Please "Yes Yes Vindictive", Morcheeba "Dive Deep"

  16. "Lilja 4-everi" õppetund / Kaur Kender

    Index Scriptorium Estoniae

    Kender, Kaur, 1971-

    2003-01-01

    Suures osas Paldiskis filmitud Rootsi mängufilm "Lilja 4-ever" : režissöör Lukas Moodysson. Filmi peategelase Lilja saatuse võrdlus markii de Sade'i romaani "Justine ehk Vooruse õnnetused" nimitegelase omaga

  17. [Konverentsi "Goethe Tartus" ettekandekogumikest] / Kairit Kaur

    Index Scriptorium Estoniae

    Kaur, Kairit

    2001-01-01

    Arvustus: Triangulum. Germanistisches Jahrbuch '99 für Estland, Lettland und Litauen. Sonderheft: Goethe. Sechste Folge / hrsg. Claus Sommerhage. Tartu, 1999 ; Eesti Goethe Seltsi aastaraamat II: Goethe Tartus : konverentsi "Goethe Tartus (1999) ettekanded. Tartu : Eesti Goethe Selts, 2000

  18. RELACIONES HÍDRICAS Y TEMPERATURAS ALTAS EN FRIJOL DEL TIPO "FLOR DE MAYO"

    Directory of Open Access Journals (Sweden)

    Edwin Javier Barrios-Gómez

    2011-01-01

    Full Text Available Se estudió el efecto del déficit hídrico del suelo y temperatura alta del aire en las relaciones hídricas y temperatura del dosel del cultivo (Tc, rendimiento de semilla (RS y sus componentes en 8 variedades de frijol del tipo "Flor de Mayo" (FM y una variedad criolla. Se realizaron 3 experimentos de campo; Montecillo en riego (MR con la aplicación de agua de la siembra a la madurez, Montecillo en secano (MS con la lluvia como fuente única de humedad y Celaya en secano (CS con lluvia y 2 riegos suplementarios en floración. Se utilizó una dosis de fertilización de 80 kg.ha-1 de nitrógeno y 40 kg.ha-1 de fósforo. En MR el potencial hídrico foliar ( =-0,33 Mpa, osmótico ( =-1,26 Mpa y de turgencia y (P=0,93 Mpa fue más alto que en CS ( =-0,77, =-1,36 y P=0,59 Mpa y MS ( =-1,22, =-1,57 y P=0,35 Mpa; MS, con mayor deficiencia hídrica del suelo, tuvo mayor reducción en y , y mayor grado de ajuste osmótico (AO=0,70 Mpa. El AO estuvo positiva y significativamente asociado con RS y biomasa aérea final (BMAF en los 2 ambientes de secano. La Tc en MR (26,7°C fue más baja que en CS (30,8°C y MS (36,6°C; el estrés por calor se agudizó con el descenso en el contenido hídrico de las plantas en el ambiente más seco (MS; Tc se relacionó negativa y significativamente con y en MS. La alta Tc también tuvo efecto significativo en la producción de BMAF y RS y sus componentes; la alta Tc redujo el RS, BMAF, número de vainas normales.m-2 (VN.m-2 y peso de 100 semillas (P100S en 12,5, 10,7, 10,2 y 3,4% por cada ºC (-1 ºC de aumento en la Tc, respectivamente.

  19. Environmental pollution in Mayo area and its impact on people health

    International Nuclear Information System (INIS)

    Omer, N. H.

    2003-04-01

    The study undertook the pollution problem in Mayo area, south of the Green Belt. This is considered to have come about as a result of legal and illegal planning and the re-planning of the squatter settlements, plus the area that lies in the vicinity of the sanitary drainage pool. The study identified the factors and causes of the pollutants.The study also studied the effects of these pollutants on health. The objectives of the study were to identify the factors of environmental pollution in the area, the role of the people in the environmental pollution, the negative consequences of this pollution on people in the area, the attempts of the local authorities in fighting the area's pollution and improving the habitat. The study depended on some scientific approaches such as the historic method and the descriptive statistics method. Information was collected from primary and secondary sources. The researcher depended on field work such as direct observation, personal interviews and filling questionnaire which were prepared for data allocation. The study concluded that the environmental pollution is an out come of many factors that inter link with each other. One of the most important factors is the low economic level of the people, and its effects on the poor and deteriorating living environment and the planning of the area placing it near the sources of environmental pollution at the green belt. In addition to the negative role played by the areas inhabitants in relation to getting rid of environmental pollutants of the area, which has in turn led to the outbreak of environmental diseases that reside in the area, specially malaria and diarrhea. The researcher views that one of the most important recommendations that this study has come out of with is the general planning that takes into consideration the health, economic natural and environmental aspects. These are necessities that will participate in the decline and end of the spreading of these pollutants and what

  20. Decline in Weight and Incident Mild Cognitive Impairment: Mayo Clinic Study of Aging

    Science.gov (United States)

    Alhurani, Rabe E.; Vassilaki, Maria; Aakre, Jeremiah; Mielke, Michelle M.; Kremers, Walter K.; Machulda, Mary M.; Geda, Yonas E.; Knopman, David S.; Peterson, Ronald C.; Roberts, Rosebud O.

    2016-01-01

    IMPORTANCE Unintentional weight loss has been associated with risk of dementia. Since mild cognitive impairment (MCI) is a prodromal stage for dementia, we sought to evaluate whether changes in weight and body mass index (BMI) may predict incident MCI. OBJECTIVE To investigate the association of change in weight and BMI with risk of MCI. DESIGN, SETTING, AND PARTICIPANTS A population-based, prospective study of participants aged 70 years and older from the Mayo Clinic Study of Aging. Maximum weight and height in midlife (aged 40 to 65 years old) were retrospectively ascertained from the medical records of participants using a medical records linkage system. MAIN OUTCOMES MEASURES Participants were evaluated for cognitive outcomes of normal cognition, MCI, or dementia at baseline and prospectively assessed for incident events at each 15-month evaluation. The association of rate of change in weight and body mass index with risk of MCI was investigated using proportional hazards models. RESULTS Over a mean follow-up of 4.4 years, 524 of 1895 cognitively normal participants developed incident MCI. The mean (standard deviation) rate of weight change per decade from midlife to study entry was greater for individuals who developed incident MCI vs. those who remained cognitively normal (−2.0 (5.1) vs. −1.2 (4.9) kg; p = 0.006). A greater decline in weight per decade was associated with an increased risk of incident MCI (hazard ratio [HR] 95% confidence interval [CI], 1.04 [1.02, 1.06], p weight loss of 5 kg/decade corresponds to a 24% increase in risk of MCI (HR=1.24). Higher decline in BMI per decade was also associated with incident MCI (HR, 1.08, 95% CI = [1.03, 1.13], p = 0.003). CONCLUSIONS AND RELEVANCE These findings suggest that declining weight from midlife to late-life is a marker for MCI and may help identify persons at increased risk for MCI. PMID:26831542

  1. La jornada de reconciliación nacional del 5 de mayo de 1958

    Directory of Open Access Journals (Sweden)

    Félix Hernández

    2008-01-01

    Full Text Available En la segunda mitad de la década de los cincuenta la dictadura franquista atravesaba un período de crisis, ante la gravedad de la situación socio-económica que atravesaba el país, es en este contexto en el que el Partido Comunista de España decidió convocar una jornada de movilización contra la dictadura, a la que denominó Jornada de Reconciliación Nacional, para el 5 de mayo de 1958, pese a estar precedida de un período de fuertes protestas sociales los resultados de la misma fueron muy modestos, en este hecho influyeron el propio aislamiento en que se encontraban los comunistas dentro de la oposición antifranquista, como el miedo a la represión, mientras el franquismo continuaría recibiendo el apoyo de las instituciones políticas y grupos sociales sobre las que se asentaba asi como sus apoyos exteriores, lo que le permitiría imponer sus propias soluciones y sobrevivir hasta la muerte del dictador.In the second half of the fifties, the Franco dictatorship was going through a period of crisis given the gravity of the socioeconomic situation that the country was facing. It is in this context that the Spanish Communist Party decided to call mobilization day against dictatorship, which he called National Reconciliation Day, for the 5th of May 1958. Although it was preceded by a period of strong social protest, the results of it were very modest.In this event influenced the isolation itself in which the Communists were inside the anti-Franco opposition, as the fear of repression. While the Franco´s regime would continue receiving the support of political institutions and social groups on which was laid down as well as their external supports, which would enable it to impose its own solutions and survive until the dictator’s death.

  2. Deluges of Grandeur: Water, Territory, and Power on Northwest Mexico’s Río Mayo, 1880-1910

    Directory of Open Access Journals (Sweden)

    Jeffrey M. Banister

    2011-02-01

    Full Text Available Northwest Mexico’s irrigation landscape, known today as El Distrito de Riego 038, or El Valle del Mayo, issues from historical struggles to build an official order out of a diverse world of signs, symbols, processes, places, and peoples. It is the ancestral home of the Yoreme (Mayo, an indigenous group for whom colonisation and agricultural development have meant the loss of autonomy and of the seasonal mobility required to subsist in an arid land. It is also the birthplace of President Álvaro Obregón, a one-time chickpea farmer who transformed late-19th century irrigation praxis into the laws and institutions of 20th century water management. Reshaping territory for the ends of centralising ('federalising' water resources has always proved exceedingly difficult in the Mayo. But this was particularly so in the beginning of the federalisation process, a time of aggressive modernisation under the direction of President Porfirio Díaz (1876-1910. Research on Mexican hydraulic politics and policy, with some important exceptions, has tended to focus on the scale and scope of centralisation. Scholars have paid less attention to the moments and places where water escapes officials’ otherwise ironclad grasp. This paper explores water governance (and state formation more broadly in the late 19th century, on the eve of Mexico’s 1910 Revolution, as an ongoing, ever-inchoate series of territorial claims and projects. Understanding the weaknesses and incompleteness of such projects offers critical insight into post-revolutionary and/or contemporary hydraulic politics.

  3. Review of Adjuvant Radiochemotherapy for Resected Pancreatic Cancer and Results From Mayo Clinic for the 5th JUCTS Symposium

    International Nuclear Information System (INIS)

    Miller, Robert C.; Iott, Matthew J.; Corsini, Michele M.

    2009-01-01

    Purpose: To present an overview of Phase III trials in adjuvant therapy for pancreatic cancer and review outcomes at the Mayo Clinic after adjuvant radiochemotherapy (RT/CT) for resected pancreatic cancer. Methods and Materials: A literature review and a retrospective review of 472 patients who underwent an R0 resection for T1-3N0-1M0 invasive carcinoma of the pancreas from 1975 to 2005 at the Mayo Clinic, Rochester, MN. Patients with metastatic or unresectable disease at the time of surgery, positive surgical margins, or indolent tumors and those treated with intraoperative radiotherapy were excluded from the analysis. Median radiotherapy dose was 50.4Gy in 28 fractions, with 98% of patients receiving concurrent 5-fluorouracil- based chemotherapy. Results: Median follow-up was 2.7 years. Median overall survival (OS) was 1.8 years. Median OS after adjuvant RT/CT was 2.1 vs. 1.6 years for surgery alone (p = 0.001). The 2-y OS was 50% vs. 39%, and 5-y was 28% vs. 17% for patients receiving RT/CT vs. surgery alone. Univariate and multivariate analysis revealed that adverse prognostic factors were positive lymph nodes (risk ratio [RR] 1.3, p < 0.001) and high histologic grade (RR 1.2, p < 0.001). T3 tumor status was found significant on univariate analysis only (RR 1.1, p = 0.07). Conclusions: Results from recent clinical trials support the use of adjuvant chemotherapy in resected pancreatic cancer. The role of radiochemotherapy in adjuvant treatment of pancreatic cancer remains a topic of debate. Results from the Mayo Clinic suggest improved outcomes after the administration of adjuvant radiochemotherapy after a complete resection of invasive pancreatic malignancies.

  4. Reconstrucción de la memoria Colectiva: Madres y Abuelas de Plaza de Mayo : Relatos del Futuro

    OpenAIRE

    Coria, Carla

    2013-01-01

    El Proyecto de Extensión Universitaria "Madres y Abuelas de Plaza de Mayo" fue realizado por el Taller de Producción Audiovisual I de la Facultad de Periodismo y Comunicación Social de la Universidad Nacional de La Plata. Su objetivo fue relevar y compilar relatos audiovisuales de las madres y abuelas víctimas del terrorismo de Estado en la Argentina para socializar sus experiencias de vida, fomentar la participación política y el compromiso de la comunidad universitaria. El present...

  5. Las madres de Plaza de Mayo: à memória do sangue, o legado ao revés

    OpenAIRE

    Maria Fernanda Garbero de Aragão Ponzio

    2009-01-01

    O contexto da Argentina da década de setenta é o cenário de personagens e narrativas que emergem do medo e permanecem, até os dias atuais, em posições de resistência e enfrentamento. Nessa paisagem marcada pela opressão do Estado militar, nascem as Madres de Plaza de Mayo, originadas pela tragédia do desaparecimento forçado de seus filhos. Investidas pela maternidade, elas rompem com a esfera privada para desestabilizar a esfera pública e questionar a memória de um país maculad...

  6. Streptococo del grupo B en mujeres embarazadas atendidas en el Centro de Salud Primero de Mayo. Abril-Agosto 2007

    OpenAIRE

    Dubón Méndez, Nancy; Altamirano González, Marjorie del Socorro; Alemán Rivera, Teresa de Jesús

    2008-01-01

    Streptococos del grupo B (SGB) es una de las principales causas de muertes neonatales en todo el mundo y esta directamente relacionada con la colonización materna al momento del parto. Se realizó un estudio descriptivo de corte transversal que incluyó un total de 120 mujeres embarazadas atendidas en el Centro de Salud 1ro. de mayo-León, con el objetivo de identificar la frecuencia de streptococo del grupo B, debido a que la identificación de esta bacteria influye positivamente en la prevenció...

  7. Actitud del gobierno ante el 1º de mayo, desde 1890 hasta la Segunda República

    Directory of Open Access Journals (Sweden)

    Lucía Rivas Lara

    1988-01-01

    Full Text Available El 1° de Mayo, cuyo origen estuvo en la aspiración obrera a la jornada de ocho horas, se celebró por primera vez en Estados Unidos en 1886, después de muchos años de lucha de los trabajadores en los diversos países por el acortamiento de las jornadas, dado que hasta entonces habían sido de 12 a 16 horas según los lugares. Pero este 1° de mayo de 1886 tuvo un nacimiento espontáneo entre los trabajadores anarquistas norteamericanos, merced a la decisión de un congreso de la Federación Americana del Trabajo (AFL, sin perspectiva de continuidad ni trascendencia más allá de sus fronteras. No obstante, en el marco de su país tuvo un notable éxito consiguiendo con él muchos trabajadores la jornada de ocho horas, y sirviendo de precedente.

  8. ¿Por qué le llaman género cuando quieren decir sexo? Una aproximación a la teoría de la performatividad de Judith Butler

    Directory of Open Access Journals (Sweden)

    Gil Rodríguez, Eva Patricia

    2002-11-01

    Full Text Available This text pretends to be an approach from Social Psychology to Butler's theory on the performativity of gender. In contemporary feminist thinking "sex" is usually associated with "nature", and "gender" with "culture" and social dimensions o sex categories; so sex and gender are presented like opposite concepts. Judith Butler proposes in her writings a deconstruction of this dichotomy: she explains that sex is also a social construction and, in consequence, sex would have been gender all the time. This text also studies possible contributions from the theory on performativity to a theory on the subjectivity in Social Psychology; in this sense it's fundamental her defence of the "paradoxical" possibility of social transformation starting from the social categories that constitute us and, at the same time, subordinate us too.

  9. Judith Will: Familienförderung im Sozialrecht. Eine Darstellung familienfördernder Leistungen, ihrer Defizite und Reformmöglichkeiten. Hamburg: Verlag Dr. Kovač 2009.

    Directory of Open Access Journals (Sweden)

    Arne Duncker

    2010-07-01

    Full Text Available In ihrer sehr gut strukturierten Arbeit über gegenwärtige sowie zukünftig neu zu schaffende famlienfördernde Leistungen im Sozialrecht gibt Judith Will einen ausführlichen und weitgehend vollständigen Überblick über sämtliche wesentlichen Sozialleistungen zur Familienförderung. Will untersucht außerdem eine Reihe von Reformansätzen und Lösungsmodellen, mit welchen den bestehenden Defiziten begegnet werden soll, und neigt dabei zu einer Lösung, welche auf den Ausbau von Dienstleistungen für Familien setzt, z. B. durch Ausbau und qualitative Verbesserung öffentlicher Kinderbetreuung in Kindergärten, Krippen und Horten. Dies trage auch zu verbesserten Erwerbschancen für Frauen sowie zur Vermeidung von Familienarmut bei.In her very well structured work of social justice on the existing benefits intended to support families as well as those to be created in the future, Judith Will offers a comprehensive and (for the most part complete overview of all the essential social benefits needed for family support. Will examines, moreover, a series of proposals for reform and solution models, with which the existing deficits should be approached. She leans toward a solution that banks on the expansion of family services, for example through the qualitative improvement of public childcare in kindergartens, day cares, and after school care. This would also significantly better the earning chances for women and help to avoid family poverty.

  10. Gastrointestinal helminths of Gentoo penguins (Pygoscelis papua) from Stranger Point, 25 de Mayo/King George Island, Antarctica.

    Science.gov (United States)

    Diaz, Julia Inés; Fusaro, Bruno; Longarzo, Lucrecia; Coria, Néstor Rubén; Vidal, Virginia; Jerez, Silvia; Ortiz, Juana; Barbosa, Andrés

    2013-05-01

    The aim of this work is to contribute to the knowledge of gastrointestinal parasites of the Gentoo penguin (Pygoscelis papua) from 25 de Mayo/King George Island (South Shetlands, Antarctica). Gastrointestinal tracts of 37 fresh dead individuals (21 chicks, 10 juveniles, and 6 adults) were collected from December 2006 to February 2012 and examined for macroparasites. Four adult parasite species were found: one Cestoda species (Parorchites zederi), two Nematoda species (Stegophorus macronectes and Tetrameres wetzeli), and one Acanthocephalan (Corynosoma shackletoni). Two species of immature acanthocephalans, Corynosoma hamanni and Corynosoma bullosum, were found in a single host. This is the first record of Tetrameres wetzeli in Gentoo penguins. The low parasite richness observed could be related to the stenophagic and pelagic diet of this host species which feeds almost exclusively on krill.

  11. Assessment of anosognosia in persons with frontal lobe damage: clinical utility of the Mayo-Portland Adaptability Inventory (MPAI).

    Science.gov (United States)

    Murrey, G J; Hale, F M; Williams, J D

    2005-08-10

    To determine if the Mayo-Portland Adaptability Inventory (MPAI) demonstrates clinical utility in differentiating between persons with severe TBI and frontal lobe damage/anosognosia and persons with mild TBI and no frontal lobe damage. Forty-three persons with TBI and documented frontal lobe damage (mean age = 34; mean time since injury = 5.2 years) and 69 persons with mild TBI and no frontal lobe damage (mean age = 34.3; mean time since injury = 4.8 4.8 years). MPAI. Total inventory and select sub-category difference scores were significantly greater in the frontal lobe group than in the non-frontal lobe group. However, as expected, there was no significant difference between the two groups on the mobility sub-category difference scores. The MPAI appears to be potentially clinically useful in assessing for frontal lobe damage and associated anosognosia in patients with TBI.

  12. Implementation of a model of quality control program in the radiodiagnostic service at the general hospital Dos de Mayo

    International Nuclear Information System (INIS)

    Acosta Reginfo, N.; Ramirez Quijada, R.

    1998-01-01

    In order to implement a model of quality control program, the General Hospital Dos de Mayo was selected, since it manages a specialized radiology service - defined according to the OMS criteria - This radiology service attends nearly 60 % of total patients of the Hospital. This program intends to be a model for application to another hospitals havings similar characteritics, since any formal quality control program has been implemented in neither private nor public hospitals in the country. The model, while allowing to make measurements of main parameters, also allows to verify that radiation doses to patients, radiation workers and public trend to a level as low as reasonably achievable, and also to yield images with enough diagnostic quality, and to induce work environment with shared responsibility and commitment

  13. Salinity monitoring using remote sensing in the 038 Rio Mayo Irrigation District. Sonora, Mexico, by remote sensing

    International Nuclear Information System (INIS)

    Pulido Madrigal, L.; Gonzalez Meraz, J.

    2009-01-01

    a soil salinity survey was carried out in the Rio Mayo irrigation district (ID) in 1996, using satellite imagery along with and EM-38 electromagnetic (EM) device. Data from Landsat TM imagery were calibrated with field data, according to the Plant Indicator methodology. This methodology yielded a partial salinity map of the ID, but including only those areas where indicator crops were cultivated. The remaining non-mapped areas were surveyed with an EM-38 electromagnetic device, generating a second partial salinity map. Both partial maps were integrated to get a complete soil salinity map of the ID. In 2001, another soil salinity survey was carried out using solely the EM device. The results of both methodologies were analyzed, resulting in less affected areas in 2001 compared too those obtained in 1996. (Author) 4 refs.

  14. Lower and Middle Ordovician conodonts of Laurentian affinity from blocks of limestone in the Rosroe Formation, South Mayo Trough, western Ireland and their palaeogeographic implication

    DEFF Research Database (Denmark)

    Stouge, Svend; Harper, David A. T.; Sevastopulo, George D.

    2016-01-01

    The Middle Ordovician Rosroe Formation consists of some 1350m of coarse, mainly siliciclastic to volcaniclastic sedimentary rocks, deposited in a submarine fan environment, and is restricted to the southern limb of the South Mayo Trough, western Ireland. Discrete allochthonous blocks, reaching 5m...

  15. Harmonizing and consolidating the measurement of patient-reported information at health care institutions: a position statement of the Mayo Clinic

    Directory of Open Access Journals (Sweden)

    Eton DT

    2014-02-01

    Full Text Available David T Eton,1,2 Timothy J Beebe,1,2 Philip T Hagen,3 Michele Y Halyard,4 Victor M Montori,1,5 James M Naessens,1,2 Jeff A Sloan,6 Carrie A Thompson,7 Douglas L Wood1,81Division of Heath Care Policy and Research, Department of Health Sciences Research, 2Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, 3Department of Preventive, Occupational, and Aerospace Medicine, Mayo Clinic, Rochester, MN, 4Department of Radiation Oncology, Mayo Clinic, Scottsdale, AZ, 5Knowledge and Evaluation Research Unit, 6Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, 7Division of Hematology, Department of Medicine, 8Center for Innovation, Mayo Clinic, Rochester, MN, USAAbstract: Patient-reported outcomes (PROs capture how patients perceive their health and their health care; their use in clinical research is longstanding. Today, however, PROs increasingly are being used to inform the care of individual patients, and document the performance of health care entities. We recently wrote and internally distributed an institutional position statement titled "Harmonizing and Consolidating the Measurement of Patient-Reported Outcomes at Mayo Clinic: A Position Statement for the Center for the Science of Health Care Delivery". The statement is meant to educate clinicians, clinical teams, and institutional administrators about the merits of using PROs in a systematic manner for clinical care and quality measurement throughout the institution. The present article summarizes the most important messages from the statement, describing PROs and their use, identifying practical considerations for implementing them in routine practice, elucidating potential barriers to their use, and formulating strategies to overcome these barriers. The lessons learned from our experience – including pitfalls, challenges, and successes – may inform other health care institutions that are interested in

  16. Rasch measurement analysis of the Mayo-Portland Adaptability Inventory (MPAI-4) in a community-based rehabilitation sample.

    Science.gov (United States)

    Kean, Jacob; Malec, James F; Altman, Irwin M; Swick, Shannon

    2011-05-01

    The precise measurement of patient outcomes depends upon clearly articulated constructs and refined clinical assessment instruments that work equally well for all subgroups within a population. This is a challenging task in those with acquired brain injury (ABI) because of the marked heterogeneity of the disorder and subsequent outcomes. Although essential, the iterative process of instrument refinement is often neglected. This present study was undertaken to examine validity, reliability, dimensionality and item estimate invariance of the Mayo-Portland Adaptability Inventory - 4 (MPAI-4), an outcome measure for persons with ABI. The sampled population included 603 persons with traumatic ABI participating in a home- and community-based rehabilitation program. Results indicated that the MPAI-4 is a valid, reliable measure of outcome following traumatic ABI, which measures a broad but unitary core construct of outcome after ABI. Further, the MPAI-4 is composed of items that are unbiased toward selected subgroups except where differences could be expected [e.g., more chronic traumatic brain injury (TBI) patients are better able to negotiate demands of transportation than more acute TBI patients]. We address the trade-offs between strict unidimensionality and clinical applicability in measuring outcome, and illustrate the advantages and disadvantages of applying single-parameter measurement models to broad constructs.

  17. Outcome prediction in home- and community-based brain injury rehabilitation using the Mayo-Portland Adaptability Inventory.

    Science.gov (United States)

    Malec, James F; Parrot, Devan; Altman, Irwin M; Swick, Shannon

    2015-01-01

    The objective of the study was to develop statistical formulas to predict levels of community participation on discharge from post-hospital brain injury rehabilitation using retrospective data analysis. Data were collected from seven geographically distinct programmes in a home- and community-based brain injury rehabilitation provider network. Participants were 642 individuals with post-traumatic brain injury. Interventions consisted of home- and community-based brain injury rehabilitation. The main outcome measure was the Mayo-Portland Adaptability Inventory (MPAI-4) Participation Index. Linear discriminant models using admission MPAI-4 Participation Index score and log chronicity correctly predicted excellent (no to minimal participation limitations), very good (very mild participation limitations), good (mild participation limitations), and limited (significant participation limitations) outcome levels at discharge. Predicting broad outcome categories for post-hospital rehabilitation programmes based on admission assessment data appears feasible and valid. Equations to provide patients and families with probability statements on admission about expected levels of outcome are provided. It is unknown to what degree these prediction equations can be reliably applied and valid in other settings.

  18. Comparability of Mayo-Portland Adaptability Inventory ratings by staff, significant others and people with acquired brain injury.

    Science.gov (United States)

    Malec, James F

    2004-06-01

    To determine the internal consistency, reliability and comparability of the Mayo-Portland Adaptability Inventory (MPAI-4) and sub-scales completed by people with acquired brain injury (ABI), family and significant others (SO) and rehabilitation staff. 134 people with ABI consecutively seen for outpatient rehabilitation evaluation. MPAI-4 protocols based on independent ratings by the people with ABI undergoing evaluation, SO and rehabilitation staff were submitted to Rasch Facets analysis to determine the internal consistency of the overall measure and sub-scales (Ability, Adjustment and Participation indices) for each rater group and for a composite measure based on all rater groups. Rater agreement for individual items was also examined. Rasch indicators of internal consistency were entirely within acceptable limits for 3-rater composite full scale and sub-scale measures; these indicators were generally within acceptable limits for measures based on a single rater group. Item agreement was generally acceptable; disagreements suggested various sources of bias for specific rater groups. The MPAI-4 possesses satisfactory internal consistency regardless of rating source. A composite measure based on ratings made independently by people with ABI, SO and staff may serve as a 'gold standard' for research purposes. In the clinical setting, assessment of varying perspectives and biases may not only best represent outcome as evaluated by all parties involved but be essential to developing effective rehabilitation plans.

  19. The Mayo Portland Adaptability Inventory-4 outcome measure is superior to UK FIM+FAM in a British military population.

    Science.gov (United States)

    McGilloway, Emer; Mitchell, James; Dharm-Datta, Shreshth; Roberts, Andrew; Tilley, Haydn; Etherington, John

    2016-01-01

    The aim of this study was to identify the most appropriate rehabilitation outcome measure for use in a young adult population with acquired brain injury. A 2-year prospective study of patients admitted to a UK military neuro-rehabilitation unit with acquired brain injury to compare the appropriateness of the Functional Independence Measure/Functional Assessment Measure (FIM+FAM) vs the Mayo-Portland Adaptability Inventory Version 4 (MPAI-4) in assessing outcomes. Patients were assessed at admission, discharge and at 4-month follow-up using FIM+FAM and MPAI-4. The FIM+FAM total motor score showed a marked ceiling affect, 42% of patients scored the maximum on admission rising to 80% at discharge. The MPAI-4 did not show significant ceiling effects. The other sub-scales of FIM+FAM and MPAI-4 were generally comparable, no more than 17% achieved ceiling at follow-up. This is the first comparative study of FIM+FAM and MPAI-4 in a young adult military population following acquired brain injury. All patients showed improvements in both outcome measures following intensive inpatient rehabilitation. However, the MPAI-4 did not show ceiling effects in motor scores. This measure was, therefore, found to be more appropriate in the cohort.

  20. Klebsiella pneumoniae nueva Delhi metalo-betalactamasa en el Hospital Nacional Dos de Mayo: Lima, Perú

    Directory of Open Access Journals (Sweden)

    Cristhian Resurrección-Delgado

    Full Text Available La emergencia de enterobacterias productoras de carbapenemasas de tipo Nueva Delhi Metalo beta-lactamasas (NDM, representan, hoy en día, un verdadero problema de salud pública mundial. La presencia de este mecanismo de resistencia limita o anula las opciones terapéuticas para combatir a estas bacterias. En Latinoamérica, las cifras son cada vez más elevadas, pues se reportan en Guatemala, Colombia, Chile, Argentina, entre otros. Perú no ha descrito, hasta la fecha, la presencia de este patrón de resistencia; sin embargo, desde hace varios años se presume de su existencia. Se describen nueve casos de Klebsiella pneumoniae NDM, como agentes infecciosos o colonizantes, en pacientes críticamente enfermos, en su mayoría con patología neuroquirúrgica, del Hospital Nacional Dos de Mayo, en Lima - Perú. Los pacientes de la serie descrita a continuación, representan los primeros reportes de Klebsiella pneumoniae NDM en el Perú.

  1. Relatively High Complication and Revision Rates of the Mayo® Metaphysical Conservative Femoral Stem in Young Patients.

    Science.gov (United States)

    Rutenberg, Tal Frenkel; Warshevski, Yaniv; Gold, Aviram; Shasha, Nadav; Snir, Nimrod; Chechik, Ofir; Dolkart, Oleg; Eilig, Dynai; Herman, Amir; Rath, Ehud; Kramer, Moti; Drexler, Michael

    2018-05-08

    The Mayo metaphysical conservative femoral stem (Zimmer, Warsaw, Indiana) is a wedge-shaped implant designed to transfer loads proximally, reduce femoral destruction, and enable the preservation of bone stock in the proximal femur. Thus, it is a potentially preferred prosthesis for active, non-elderly patients who may require additional future surgeries. This retrospective case study analyzed the outcomes of consecutive patients who underwent total hip replacements with this stem between May 2001 and February 2013. All patients underwent clinical assessment, radiological evaluation for the presence and development of radiolucent lines, and functional assessment (numerical analog scale, Harris hip score, and Short Form-12 questionnaire). Ninety-five hips (79 patients) were available for analysis. The patients' mean age was 43 years (range, 18-64 years), and the mean follow-up was 97 months (range, 26.9-166 months). The postoperative clinical assessments and functional assessments revealed significant improvements. Sixteen patients (20.3%) had 18 orthopedic complications, the most common of which were an intraoperative femoral fracture and implant dislocation requiring revision surgeries in 10 hips (10.5%). Radiological analysis revealed evidence of femoral remodeling in 64 (67.4%) implants, spot welds (neocortex) in 35 (36.8%), and osteolysis in 3 (3.2%). These results suggest that the conservative hip femoral implant has an unacceptable complication rate for non-elderly patients. [Orthopedics. 201x; xx(x):xx-xx.]. Copyright 2018, SLACK Incorporated.

  2. El primero de mayo en la ciudad de México en los tiempos de la revolución.

    Directory of Open Access Journals (Sweden)

    Anna Ribera Carb\\u00F3

    2006-01-01

    Full Text Available De entre las tradiciones inventadas por los trabajadores del mundo, la más exitosa es, sin duda, la del Primero de Mayo que sirvió para cohesionar a grupos obreros de distinta denominación ideológica y a crear entre ellos conciencia de clase como ninguna otra. En México la conmemoración empezó a realizarse de manera tardía. Fue en 1913 cuando se organizó en la ciudad de México la primera manifestación masiva a partir de la iniciativa de la Casa del Obrero Mundial fundada un año antes y vinculada al pensamiento anarcosindicalista. Fue justamente con esta manifestación que la clase obrera empezó a construir su propio espacio en la capital del país y convirtió a la Casa del Obrero Mundial en un elemento fundamental del entramado político de la Revolución Mexicana.

  3. ¿Por qué le llaman género cuando quieren decir sexo? Una aproximación a la teoría de la performatividad de Judith Butler

    Directory of Open Access Journals (Sweden)

    Eva Patricia Gil Rodríguez

    2002-11-01

    Full Text Available Este artículo pretende constituir una aproximación desde la Psicología Social a la teoría de la performatividad de género de Judith Butler. Si bien dentro del pensamiento feminista contemporáneo se ha venido asociando la categoría "sexo" al ámbito de lo natural y la categoría "género" a la dimensión cultural y socialmente construida de las categorías asociadas al sexo (siendo presentados ambos términos como un par de opuestos, Butler efectúa en su obra una deconstrucción de dicha dicotomía, mostrando como el sexo es ya de por sí una construcción social que, por tanto, ha sido género todo el tiempo. En este texto también se intenta indagar en la aportación que la teoría de performatividad puede suponer para una teoría de la subjetividad en psicología social; para ello resulta fundamental la defensa que Butler hace de la aparentemente paradójica posibilidad de transformación social a partir de las categorías sociales que, a la vez que nos conforman como sujetos, nos están subordinando.

  4. Los movimientos sociales en la transición democrática. El caso de las Madres de Plaza de Mayo: sentimiento y discurso

    Directory of Open Access Journals (Sweden)

    Martín D'ALESSANDRO

    2009-11-01

    Full Text Available RESUMEN: El presente artículo hace un repaso por el surgimiento y consolidación de Madres de Plaza de Mayo como movimiento social que inició sus actividades cuestionando la lucha antisubversiva emprendida por la dictadura militar argentina. Plantea además como este movimiento ha sufrido una radicalización de su discurso en la época de la transición a la democracia, cuando se desarrolla el enjuiciamiento de las Juntas Militares, y a partir de ese momento deciden enfrentarse al "sistema burgués". El discurso de Madres de Plaza de Mayo es inicialmente ético y moral para posteriormente adquirir matices de izquierda.ABSTRACT: This article analyzes the emergence and consolidation of the "Madres de Plaza de Mayo" as a social movement which initiated its action questioning the repressive policies led by the Argentine military dictatorship. It shows how the "Madres" undertook a radicalization of its discourse during the democratic transition, as the military "Juntas" were tried by Argentine courts. At this moment, the "Madres" dcided to struggle against the "bourgeois system." The discourse of the Madres was initially ethical and moral, and it became later left wing oriented.

  5. A Study of the anthropometric and demographical profile of patients presenting with coronary artery disease at Mayo Hospital, Lahore

    International Nuclear Information System (INIS)

    Qureshi, N.S.; Hanif, A.; Akhtar, B.; Bhatti, T.A.; Lutfullah; Iqbal, M.; Khaled, Z.N.; Bakhshi, I.M.; Khan, B.Z.

    2010-01-01

    Coronary artery disease (CAD) is very common in the South Asian sub-continent, yet there is relatively little published research available from these countries. Although we have a very active Cardiology Department in Mayo Hospital, Lahore, there is a parallel need for documentation of the data generated and its analysis for research and publication. This study was carried out to gain an insight into the nature of the risk factors and presentation of CAD in patients coming to our setup. Objectives: The objective was to study the relation of CAD with anthropometric (BMI, waist circumference, waist . to . height ratio) and demographical (age and gender) factors. Methodology: This study was carried out in the Department of Cardiology, Mayo Hospital, Lahore, for a duration of 17 months. We collected the required information (such as name, gender, and family history, demographical data and anthropometric measurements) on a prescribed proforma, managed and then analyzed accordingly. Results: In this study there were 302 (80.5%) males and 73 (19.5%) females. The number of males was significantly higher (p-value 0.000), but the frequency of different diagnoses was statistically the same in both males and females, i.e. p-value = 0.062. According to the WHO recommended criteria for the BMI of South Asian populations, there were 9(2.4%) people who were under weight, among these 7 (77.8%) were males and 2 (22.2%) were females patients. Out of 302 males, 7(2.3%) were under weight, 36 (11.9%) were of normal weight, 115 (38.1%) were overweight and the rest of 144 (47.7%) were obese. Among 73 females, 2 (2.7%) were under weight, 8 (11%) had normal weight, 15 (20.5%) were overweight and 48 (65.8%) were obese. The proportion of obesity was more in females in this study, p-value (0.000). The mean waist circumference of all patients was 95.57 +- 17.14 cm with a range of 53 - 190 cm. The waist circumference was statistically higher in males than females, p-value = 0.000. In 7 under

  6. Referencias: mayo de 1964

    Directory of Open Access Journals (Sweden)

    Boletín Cultural y Bibliográfico Banco de la República

    1964-05-01

    Full Text Available Don Isidoro Laverde Amaya desempeñó en el campo de la inteligencia todos los oficios imaginables, desde el relato histórico hasta la crítica literaria, pasando por la poesía, la biografía, el teatro, el cuento y el periodismo.

  7. Cuerpo y género: apuntes para pensar prácticas eróticas de mujeres jóvenes. Aportes de Judith Butler y Pierre Bourdieu.

    Directory of Open Access Journals (Sweden)

    María Celeste Bianciotti

    2011-05-01

    Full Text Available El artículo trabaja sobre dos conceptos: el de habitus, de Pierre Bourdieu, y el de performatividad de género, de Judith Butler, los cuales se desarrollan con el objetivo de comprender prácticas de seducción de jóvenes universitarias que viven en la ciudad de Córdoba, Argentina. Los discursos de estas jóvenes respecto de sus propias prácticas eróticas se analizan bajo los aportes de cada uno de los conceptos, mientras que los mismos se desarrollan en conversación y tensión con los datos empíricos recabados. En dichas prácticas el cuerpo ocupa un rol central: el cuerpo se muestra, se estiliza, desea e intenta ser deseado, significa y (resignifica… A la par, tanto en el concepto de habitus como en el de performatividad de género, el cuerpo ocupa un rol central, siendo lugar de somatización de las relaciones de poder -en el primero-, y medio y agente de devenires identitarios -en el segundo-. Una pregunta transversaliza el ensayo: de qué formas estas jóvenes están sujetándose/sometiéndose al orden heteronormativo de dominación masculina y qué posibilidades de desobediencia y transgresión de mandatos socio-culturales tienen en el marco de sus propias prácticas de seducción, usos y disfrutes del cuerpo.

  8. Using laser ablation-inductively coupled plasma-mass spectrometry (LA-ICP-MS) to explore geochemical taphonomy of vertebrate fossils in the upper cretaceous two medicine and Judith River formations of Montana

    Science.gov (United States)

    Rogers, R.R.; Fricke, H.C.; Addona, V.; Canavan, R.R.; Dwyer, C.N.; Harwood, C.L.; Koenig, A.E.; Murray, R.; Thole, J.T.; Williams, J.

    2010-01-01

    Laser ablation-inductively coupled plasma-mass spectrometry (LA-ICP-MS) was used to determine rare earth element (REE) content of 76 fossil bones collected from the Upper Cretaceous (Campanian) Two Medicine (TMF) and Judith River (JRF) Formations of Montana. REE content is distinctive at the formation scale, with TMF samples exhibiting generally higher overall REE content and greater variability in REE enrichment than JRF samples. Moreover, JRF bones exhibit relative enrichment in heavy REE, whereas TMF bones span heavy and light enrichment fields in roughly equal proportions. TMF bones are also characterized by more negative Ce anomalies and greater U enrichment than JRF bones, which is consistent with more oxidizing diagenetic conditions in the TMF. Bonebeds in both formations show general consistency in REE content, with no indication of spatial or temporal mixing within sites. Previous studies, however, suggest that the bonebeds in question are attritional assemblages that accumulated over considerable time spans. The absence of geochemical evidence for mixing is consistent with diagenesis transpiring in settings that remained chemically and hydrologically stable during recrystallization. Lithology-related patterns in REE content were also compared, and TMF bones recovered from fluvial sandstones show relative enrichment in heavy REE when compared with bones recovered from fine-grained floodplain deposits. In contrast, JRF bones, regardless of lithologic context (sandstone versus mudstone), exhibit similar patterns of REE uptake. This result is consistent with previous reconstructions that suggest that channel-hosted microfossil bonebeds of the JRF developed via the reworking of preexisting concentrations embedded in the interfluve. Geochemical data further indicate that reworked elements were potentially delivered to channels in a recrystallized condition, which is consistent with rapid adsorption of REE postmortem. Copyright ?? 2010, SEPM (Society for

  9. The Italian version of the Mayo-Portland Adaptability Inventory-4. A new measure of brain injury outcome.

    Science.gov (United States)

    Cattelani, R; Corsini, D; Posteraro, L; Agosti, M; Saccavini, M

    2009-12-01

    The assessment of major obstacles to community integration which may result from an acquired brain injury (ABI) is needed for rational planning and effective management of ABI patients' social adjustment. Currently, such a generally acceptable measure is not available for the Italian population. This paper reports the translation process, the internal consistency, and the inter-rater reliability data for the Italian version of the Mayo-Portland Adaptability Inventory-4 (MPAI-4), a useful measure with highly developed and well documented psychometric properties. The MPAI-4 is specifically designed to assess socially relevant aspects of physical status and cognitive-behavioural competence following ABI. It is a 29-item inventory which is divided into three subdomains (Abilities, Adjustment, and Participation indices) covering a reasonably representative range Twenty ABI patients with at least one-year discharge from the rehabilitation facilities were submitted to the Italian MPAI-4. They were independently rated by two different rehabilitation professionals and a family member/significant other serving as informant (SO). Internal consistency was assessed by calculating the Cronbach's alpha values. Inter-rater agreement for individual items was statistically examined by determining the interclass correlation coefficient (ICC). In addition to the 8% of perfectly correspondent sentences, a clear prevalence (75.5%) of minor semantic variations and formal variations with no semantic value at the sentence-to-sentence matching was found. Full-scale Cronbach's alpha was 0.951 and 0.947 for the two professionals (rater #1 and rater #2, respectively), and was 0.957 for the family member serving as informant (rater #3). Full-Scale ICC (2.1) between professionals and SOs was 0.804 (CI=95%; lower-upper bound=0.688-0.901). The Italian MPAI-4 shares many psychometric features with the original English version, demonstrates both good internal consistency and good inter

  10. Quantifying the importance of disease burden on perceived general health and depressive symptoms in patients within the Mayo Clinic Biobank.

    Science.gov (United States)

    Ryu, Euijung; Takahashi, Paul Y; Olson, Janet E; Hathcock, Matthew A; Novotny, Paul J; Pathak, Jyotishman; Bielinski, Suzette J; Cerhan, James R; Sloan, Jeff A

    2015-07-03

    Deficits in health-related quality of life (HRQOL) may be associated with worse patient experiences, outcomes and even survival. While there exists evidence to identify risk factors associated with deficits in HRQOL among patients with individual medical conditions such as cancer, it is less well established in more general populations without attention to specific illnesses. This study used patients with a wide range of medical conditions to identify contributors with the greatest influence on HRQOL deficits. Self-perceived general health and depressive symptoms were assessed using data from 21,736 Mayo Clinic Biobank (MCB) participants. Each domain was dichotomized into categories related to poor health: deficit (poor/fair for general health and ≥3 for PHQ-2 depressive symptoms) or non-deficit. Logistic regression models were used to test the association of commonly collected demographic characteristics and disease burden with each HRQOL domain, adjusting for age and gender. Gradient boosting machine (GBM) models were applied to quantify the relative influence of contributors on each HRQOL domain. The prevalence of participants with a deficit was 9.5 % for perception of general health and 4.6 % for depressive symptoms. For both groups, disease burden had the strongest influence for deficit in HRQOL (63 % for general health and 42 % for depressive symptoms). For depressive symptoms, age was equally influential. The prevalence of a deficit in general health increased slightly with age for males, but remained stable across age for females. Deficit in depressive symptoms was inversely associated with age. For both HRQOL domains, risk of a deficit was associated with higher disease burden, lower levels of education, no alcohol consumption, smoking, and obesity. Subjects with deficits were less likely to report that they were currently working for pay than those without a deficit; this association was stronger among males than females. Comorbid health burden has the

  11. Evolución y letalidad por endocarditis infecciosa en pacientes atendidos en el Hospital Nacional Dos de Mayo

    Directory of Open Access Journals (Sweden)

    Evelyn Sánchez

    2006-06-01

    Full Text Available Objetivo: Evaluar la evolución y letalidad de los pacientes portadores de endocarditis infecciosa, así como la presencia de complicaciones y la influencia de estas sobre la mortalidad. Diseño: Estudio longitudinal no concurrente. Lugar: Servicio de cardiología del Hospital 2 de Mayo, hospital universitario. Pacientes: Pacientes con diagnóstico de endocarditis infecciosa. Intervenciones: Se revisó las historias clínicas de los pacientes con diagnóstico de endocarditis infecciosa atendidos entre junio de 1999 y junio de 2005. Se evaluó los criterios clínicos, de laboratorio y ecocardiográficos (criterios de Duke empleados en el diagnóstico. Para el análisis estadístico, se realizó el análisis descriptivo y comparativo con el empleo de las pruebas de Fisher y t de Student y la comparación de las curvas de Kaplan Meier, para evaluar la supervivencia a través de la prueba de rango logarítmico. Principales medidas de resultados: Evaluación de supervivencia: Complicaciones y mortalidad en pacientes en endocarditis infecciosa. Resultados: Se estudió 75 pacientes, la edad promedio fue 42,1±20,4 años, 66,7% del sexo masculino. El 93,3% tenía cardiopatía de base. La presentación clínica incluyó insuficiencia cardiaca congestiva (73,3%, encefalopatía (17,3% y fenómenos embólicos (50,6%. Se evaluó la evolución de los parámetros de laboratorio, evidenciándose deterioro de la función renal. El ecocardiograma evidenció presencia de vegetaciones en 97,3% y complicaciones, como rotura valvar (8%, abscesos valvares (4%. Durante la evolución, se sometió a cirugía a 14,7%. La letalidad general fue 14,7%, la cual estuvo influenciada por el número de complicaciones, en particular las complicaciones sépticas y renales, que impactaron de igual manera en la probabilidad de supervivencia de estos pacientes. Conclusiones: Se registró una letalidad general de 14,7%. La probabilidad de supervivencia se vio afectada

  12. Tumors and tumor - like lesions of the oro - facial region at Mayo hospital, Lahore - a five year study

    International Nuclear Information System (INIS)

    Riaz, N.; Warriach, R.A.

    2011-01-01

    The oro-facial region including the oral cavity, the maxilla and mandible and related tissues can be the site of a multitude of neoplastic conditions. These tumours have a predilection for the entire facial region; however, odontogenic tumours tend to affect the mandible more than the maxilla. We report results from a retrospective study spanning five years on the frequency, clinical presentation, sites and character of orofacial tumors seen in the main referral hospital of Pakistan. Patients and Methods: Records of consecutive patients of all age and sex seen by the author's team at the Department of Oral and Maxillofacial Surgery, Mayo Hospital with tumours affecting the oro-facial region from January 2005 to December 2009 were retrieved, coded and entered into a database. The data were then analyzed by age, sex, presenting signs and symptoms, site of lesion, and their histology. Results: A total of 237 patients with oro-facial swellings were retrieved from the registry. The complete data set was obtained for 189 patients, comprising 108 (57.9%) males and 81 (42%) females. The most common clinical presenting features were mandibular facial swelling (63%), intra-oral swelling (55%), and ulceration (29%). The tumors were found in the mandible 67 (35%), buccal mucosa 33 (17%), floor of the mouth 22 (11%) and tongue 29 (15%). The remainder making up almost 20% was found in the palate, submandibular region, pre auricular region and lips. Ninety three (49.2%) of the patients presented with lesions that were classified as malignant of which 64 (69%) were diagnosed as squamous cell carcinoma (SCC). seventy (37.0%) had benign odontogenic tumors and twenty six (13.7%) had non-odontogenic tumor - like lesions. Sixty - four (69%) of malignant tumors were squamous cell carcinoma; sixty four (86.4%) of the benign odontogenic tumors were classified as ameloblastoma. The mean age at presentation of all lesions was 40.4 years with over 50% of benign lesions in patients aged

  13. Determining the association between retinopathy and metabolic syndrome in patients with type 2 diabetes mellitus visiting Mayo Hospital, Lahore

    Energy Technology Data Exchange (ETDEWEB)

    Ghani, U; Niaz, Z; Cheema, T M; Abaidullah, S; Salman, S; Latif, F [King Edward Medical University, Mayo Hospital, Lahore (Pakistan). Dept. of Diabetic Mellitus

    2010-04-15

    Introduction: The metabolic syndrome is a cluster of metabolic abnormalities including abdominal obesity, glucose intolerance, hypertension and dyslipidemia. Diabetic retinopathy is common sequel of diabetes. Objective: To determine the frequency of retinopathy in patients of type 2 diabetes metabolic syndrome. Study Design; Descriptive study. This study was conducted in diabetic clinic of Mayo Hospital, Lahore, from January 17, 2007 to July 16,2007. Methods; Three hundred and sixty patients fulfilling the inclusion criteria were selected for this study and divided into two groups. (Diabetes and with metabolic syndrome) Demographic data of each patient including age, sex, height and weight were collected. Each patient was interviewed about the duration, treatment and complications of diabetes. Data were analyzed by SPSS. P value was calculated by Chi Square test. Results; In group I, the mean height was 1.60 +- 0.08 meters, mean weight was 68.82 +- 7.36 kilograms and mean BMI was 26.38 +- 1.10 kg/m2 and In group II, the mean height was 1.56 +- 0.12 meters, mean weight was 81.58 +- 9.85 kilograms and mean BMI was 33.80 +- 3.61 kg/m/sup 2/. In group I micro aneurysms, dot hemorrhages, blot hemorrhages and hard exudates were found in 12.22% patients. In group II, micro aneurysms, dot hemorrhages, blot hemorrhages and hard exudates were found in 25% patients (p 0.0028). In group I, there were 10.56% patients in which cotton wool spots were found and in group II there were 11.67% patients in which cotton wool spots were found (p 0.0358). In group I, there were 2.78% patients in which new blood vessel formation were found and in group II there were 4.44% patients in which new blood vessel formation was found (p 0.625). Conclusion; It is concluded from this study that frequency of retinopathy is high in patients with metabolic syndrome as compared to patients without metabolic syndrome. (author)

  14. Determining the association between retinopathy and metabolic syndrome in patients with type 2 diabetes mellitus visiting Mayo Hospital, Lahore

    International Nuclear Information System (INIS)

    Ghani, U.; Niaz, Z.; Cheema, T.M.; Abaidullah, S.; Salman, S.; Latif, F.

    2010-01-01

    Introduction: The metabolic syndrome is a cluster of metabolic abnormalities including abdominal obesity, glucose intolerance, hypertension and dyslipidemia. Diabetic retinopathy is common sequel of diabetes. Objective: To determine the frequency of retinopathy in patients of type 2 diabetes metabolic syndrome. Study Design; Descriptive study. This study was conducted in diabetic clinic of Mayo Hospital, Lahore, from January 17, 2007 to July 16,2007. Methods; Three hundred and sixty patients fulfilling the inclusion criteria were selected for this study and divided into two groups. (Diabetes and with metabolic syndrome) Demographic data of each patient including age, sex, height and weight were collected. Each patient was interviewed about the duration, treatment and complications of diabetes. Data were analyzed by SPSS. P value was calculated by Chi Square test. Results; In group I, the mean height was 1.60 +- 0.08 meters, mean weight was 68.82 +- 7.36 kilograms and mean BMI was 26.38 +- 1.10 kg/m2 and In group II, the mean height was 1.56 +- 0.12 meters, mean weight was 81.58 +- 9.85 kilograms and mean BMI was 33.80 +- 3.61 kg/m/sup 2/. In group I micro aneurysms, dot hemorrhages, blot hemorrhages and hard exudates were found in 12.22% patients. In group II, micro aneurysms, dot hemorrhages, blot hemorrhages and hard exudates were found in 25% patients (p 0.0028). In group I, there were 10.56% patients in which cotton wool spots were found and in group II there were 11.67% patients in which cotton wool spots were found (p 0.0358). In group I, there were 2.78% patients in which new blood vessel formation were found and in group II there were 4.44% patients in which new blood vessel formation was found (p 0.625). Conclusion; It is concluded from this study that frequency of retinopathy is high in patients with metabolic syndrome as compared to patients without metabolic syndrome. (author)

  15. Utility of the Mayo-Portland adaptability inventory-4 for self-reported outcomes in a military sample with traumatic brain injury.

    Science.gov (United States)

    Kean, Jacob; Malec, James F; Cooper, Douglas B; Bowles, Amy O

    2013-12-01

    To investigate the psychometric properties of the Mayo-Portland Adaptability Inventory-4 (MPAI-4) obtained by self-report in a large sample of active duty military personnel with traumatic brain injury (TBI). Consecutive cohort who completed the MPAI-4 as a part of a larger battery of clinical outcome measures at the time of intake to an outpatient brain injury clinic. Medical center. Consecutively referred sample of active duty military personnel (N=404) who suffered predominantly mild (n=355), but also moderate (n=37) and severe (n=12), TBI. Not applicable. MPAI-4 RESULTS: Initial factor analysis suggested 2 salient dimensions. In subsequent analysis, the ratio of the first and second eigenvalues (6.84:1) and parallel analysis indicated sufficient unidimensionality in 26 retained items. Iterative Rasch analysis resulted in the rescaling of the measure and the removal of 5 additional items for poor fit. The items of the final 21-item Mayo-Portland Adaptability Inventory-military were locally independent, demonstrated monotonically increasing responses, adequately fit the item response model, and permitted the identification of nearly 5 statistically distinct levels of disability in the study population. Slight mistargeting of the population resulted in the global outcome, as measured by the Mayo-Portland Adaptability Inventory-military, tending to be less reflective of very mild levels of disability. These data collected in a relatively large sample of active duty service members with TBI provide insight into the ability of patients to self-report functional impairment and the distinct effects of military deployment on outcome, providing important guidance for the meaningful measurement of outcome in this population. Copyright © 2013 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  16. NASA/DARPA advanced communications technology satellite project for evaluation of telemedicine outreach using next-generation communications satellite technology: Mayo Foundation participation.

    Science.gov (United States)

    Gilbert, B K; Mitchell, M P; Bengali, A R; Khandheria, B K

    1999-08-01

    To describe the development of telemedicine capabilities-application of remote consultation and diagnostic techniques-and to evaluate the feasibility and practicality of such clinical outreach to rural and underserved communities with limited telecommunications infrastructures. In 1992, Mayo Foundation (Rochester, Minn, Jacksonville, Fla, and Scottsdale, Ariz), the National Aeronautics and Space Administration, and the Defense Advanced Research Projects Agency collaborated to create a complex network of fiberoptic landlines, video recording systems, satellite terminals, and specially developed data translators linking Mayo sites with other locations in the continental United States on an on-demand basis. The purpose was to transmit data via the asynchronous transfer mode (ATM) digital communications protocol over the Advanced Communications Technology Satellite. The links were intended to provide a conduit for transmission of data for patient-specific consultations between physicians, evaluation of medical imagery, and medical education for clinical staffs at remote sites. Low-data-rate (LDR) experiments went live late in 1993. Mayo Clinic Rochester successfully provided medical consultation and services to 2 small regional medical facilities. High-data-rate (HDR) experiments included studies of remote digital echocardiography, store-and-forward telemedicine, cardiac catheterization, and teleconsultation for congenital heart disease. These studies combined landline data transmission with use of the satellite. The complexity of the routing paths and network components, immaturity of available software, and inexperience with existing telecommunications caused significant study delays. These experiments demonstrated that next-generation satellite technology can provide batch and real-time imagery for telemedicine. The first-generation of the ATM and satellite network technology used in these experiments created several technical problems and inconveniences that should

  17. Incidencia de anemia ferropénica y factores asociados en las gestantes del distrito de Rapayan, Ancash, Perú: Periodo mayo 2010 - marzo 2011

    OpenAIRE

    Vite Gutiérrez, Flor Yessenia

    2011-01-01

    Objetivo: Conocer la incidencia de anemia ferropénica y factores asociados en la gestación en el distrito de Rapayan, Ancash, Perú. Material y método: estudio prospectivo, analítico y longitudinal en 39 gestantes del distrito de Rapayán, provincia de Huari, departamento de Ancash, Perú durante el periodo comprendido entre mayo 2010 y marzo del 2011. Se procedió a tomar muestras de sangre del total de la muestra n= 39 gestantes, durante los tres trimestres con el fin de controlar los niveles d...

  18. Point Judith, Rhode Island, Breakwater Risk Assessment

    Science.gov (United States)

    2015-08-01

    output stations. Beach zones considered included the sandy beach to the west side of the HoR, which had significant dune features and was fronting...time dependency for crest height and wave parameters is assumed, hc = total damaged crest height of structure from toe , Lp is the local wave length...computed using linear wave theory and Tp, h is the toe depth, hc’ = total undamaged crest height of structure from toe , At = area of structure enclosed

  19. Mediationsgesetze in Südosteuropa / Judith Knieper

    Index Scriptorium Estoniae

    Knieper, Judith

    2011-01-01

    Lepitusmenetluse seadustest Albaanias, Bosnias ja Hertsegoviinas, Makedoonias, Kosovos, Horvaatias, Montenegros ja Serbias. ELi direktiivist (2008/52) vahendusmenetluse teatavate aspektide kohta tsiviil- ja kaubandusasjades

  20. Informe Ana Libertad Baratti de la Cuadra : Informe de Radio Universidad Nacional de La Plata sobre la recuperación de la nieta número 115, por Abuelas de Plaza de Mayo

    OpenAIRE

    Pigeau, Nora; Barnes de Carlotto, Estela; Lovazzano, Eduardo; Velazco, Luis; Cuadra, Estela de la; Cardoso, Miriam

    2014-01-01

    Informe de Radio Universidad Nacional de La Plata sobre el hallazgo de la nieta número 115, recuperada por Abuelas de Plaza de Mayo: Ana Libertad Baratti de la Cuadra. El 22 de agosto de 2014 la ciudad de La Plata y el país entero celebró el encuentro de la nieta de la co-fundadora y primera presidenta de la Asociación Abuelas de Plaza de Mayo, Alicia “Licha” Zubasnabar de De la Cuadra: apareció Ana Libertad Baratti de la Cuadra. Héctor Carlos Baratti y de Elena de la Cuadra fueron se...

  1. Diluvios de grandeza: agua, territorio y poder en el río Mayo en el noroeste de México, 1880-1910

    Directory of Open Access Journals (Sweden)

    Jeffrey M. Banister

    2012-01-01

    Full Text Available El actual distrito de riego 038 o valle del Mayo, que forma parte del espacio de riego del noroeste de México, surge de luchas históricas por construir un orden oficial en un mundo diverso de signos, símbolos, procesos, lugares y personas. Es el hogar ancestral de los yoremes (mayos, un grupo indígena para el que la colonización y el desarrollo agrícola han significado la pérdida de autonomía y de la movilidad estacional que requieren para subsistir en un terreno árido. Es el lugar donde nació el presidente Álvaro Obregón, otrora productor de garbanzo, que transformó las prácticas de riego de fines del siglo xix en las leyes e instituciones para la administración del agua del siglo xx. Reconfigurar el territorio con el fin de centralizar ("federalizar" los recursos hídricos ha probado ser excesivamente difícil en la zona del Mayo, pero esto fue así en particular al inicio del proceso de federalización, una época de modernización dinámica bajo la dirección del presidente Porfirio Díaz (1876-1910. La investigación sobre la política hidráulica de México, con algunas importantes excepciones, ha tendido a enfocarse en la centraliza- ción. Los estudiosos le han prestado menor atención a los momentos y lugares en los que el agua escapa al control de las autoridades. Este trabajo explora la importancia de la administración del agua (y más ampliamente la formación del Estado a finales del siglo xix, en vísperas de la Revolución Mexicana de 1910, como una serie continua, siempre incipiente de derechos y proyectos relativos a las tierras. Entender las debilidades e incompetencias de dichos proyectos ofrece un discernimiento crucial acerca de la política hidráulica posrevolucionaria o contemporánea.

  2. Los motines de mayo de 1909. Inmigrantes y nativos en el mercado laboral de Lima a comienzos del siglo XX

    Directory of Open Access Journals (Sweden)

    2000-01-01

    manifestaciones, cómo los sectores populares nativos podían influir sobre la marcha de la economía y de la política, muchas veces para su propio beneficio. En este intento, las muchedumbres nativas de Lima de principios del siglo XX desarrollaron una cotidiana lucha que tenía como escenario el mercado de trabajo que, a veces, llegaba a niveles altos de violencia como en las asonadas de mayo de 1909 en el que, como se apreciará en el artículo que sigue, los trabajadores chinos fueron blanco de las agresiones de una multitud que consideraba que los orientales desplazaban a nacionales y además contribuían a la depreciación del salario. THE MAY 1909 RIOTS. IMMIGRANTS AND NATIONALS IN THE LABOUR MARKET OF LIMA AT THE BEGINNING OF THE 20TH CENTURY. This article is part of a larger study that seeks to contribute to our understanding of a crucial period of peruvian history, 1890-1920. The study of urban riots allows us to analyze how a society that was going through the first stages of a modernization process, produced a form of lower-class protest characterized by the destruction of property, the lack of a permanent form of organization, certain manifestations of racial outrage, and above all, notions of legitimacy sanctioned by tradition. In addition, the study of urban riots allows us to understand how lower classes could influence economic and political developments, often for their own benefit. In this attempt, the native masses of early 20th century Lima carried on a daily struggle whose scenario was the labor market witch, on occasion, was characterized by high levels of violence, such as the May 1909 riots. As the article details, Chinese people were the target of the crowd’s fury, due to the belief that Chinese workers were displacing locals from their jobs and were a factor in the overall decline in salary rates.

  3. Refining a measure of brain injury sequelae to predict postacute rehabilitation outcome: rating scale analysis of the Mayo-Portland Adaptability Inventory.

    Science.gov (United States)

    Malec, J F; Moessner, A M; Kragness, M; Lezak, M D

    2000-02-01

    Evaluate the psychometric properties of the Mayo-Portland Adaptability Inventory (MPAI). Rating scale (Rasch) analysis of MPAI and principal component analysis of residuals; the predictive validity of the MPAI measures and raw scores was assessed in a sample from a day rehabilitation program. Outpatient brain injury rehabilitation. 305 persons with brain injury. A 22-item scale reflecting severity of sequelae of brain injury that contained a mix of indicators of impairment, activity, and participation was identified. Scores and measures for MPAI scales were strongly correlated and their predictive validities were comparable. Impairment, activity, and participation define a single dimension of brain injury sequelae. The MPAI shows promise as a measure of this construct.

  4. Plaadid / Kaur Garshnek, Mart Niineste, Tui Hirv...[jt.

    Index Scriptorium Estoniae

    2008-01-01

    Uutest heliplaatidest Tuule Kann/Jaak Sooäär "Õhtu ilu", The Mars Volta "The Bedlam In Goliath", Eva Dahlgren "Petroleum Och Tang", Lenny Kravitz "It's Time For A Love revolution", "Flyleaf ", New Project "Ultraviolent Light"

  5. Tallinna rannaala üldplaneering / Kaur Lass, Merje Muiso

    Index Scriptorium Estoniae

    Lass, Kaur, 1973-

    2004-01-01

    Paljassaare ja Russalka vahelise rannaala üldplaneeringu kehtestamist Tallinna Linnavalitsuse poolt on oodata 2004. a. kevadel. Vaatluse all: kesklinn, tööstuspiirkond, Paljassaare poolsaar, mere ja linna side, linnaehituslike reeglite seadmine, detailplaneeringute koostamise reeglid, arhitektuurikonkursid, sadamad, infrastruktuur

  6. Plaadid / Kaur Garshnek, Ave Randviir, Priit Pruul...[jt.

    Index Scriptorium Estoniae

    2007-01-01

    Uutest heliplaatidest Jaak Sooäär, Raul Vaigla, Tanel Ruben "No99 Jazzklubis", Black Strobe "Burn Your Own Church", The Quantic Soul Orchestra "Tropidelico", Uni "Kosmikud II", Bugge Wesseltoft "IM", Gabrielle "Always"

  7. Baltisaksa naiste esimesed luulekogud ja -põimikud / Kairit Kaur

    Index Scriptorium Estoniae

    Kaur, Kairit

    2011-01-01

    Lähemalt vaadeldakse kolme luulekogu: Benigna Gottliebe "Suurt ristikandjat" (1777), Elisa von der Recke "Suursuguse Kuramaa daami vaimulikke laule" (1780) ning "preili von Grafina" tuntud luuletajanna värsipõimikut ajakirjas "Nordische Miscellaneen" - "Ühe kõrgemast seisusest liivimaalanna mitmesuguseid luuletusi ja laule" (1781)

  8. The Mayo Dysphagia Questionnaire-30: documentation of reliability and validity of a tool for interventional trials in adults with esophageal disease.

    Science.gov (United States)

    McElhiney, Judith; Lohse, Matthew R; Arora, Amindra S; Peloquin, Joanna M; Geno, Debra M; Kuntz, Melissa M; Enders, Felicity B; Fredericksen, Mary; Abdalla, Adil A; Khan, Yulia; Talley, Nicholas J; Diehl, Nancy N; Beebe, Timothy J; Harris, Ann M; Farrugia, Gianrico; Graner, Darlene E; Murray, Joseph A; Locke, G Richard; Grothe, Rayna M; Crowell, Michael D; Francis, Dawn L; Grudell, April M B; Dabade, Tushar; Ramirez, Angelica; Alkhatib, MhdMaan; Alexander, Jeffrey A; Kimber, Jessica; Prasad, Ganapathy; Zinsmeister, Alan R; Romero, Yvonne

    2010-09-01

    The aim of this study was to develop the Mayo Dysphagia Questionnaire-30 Day (MDQ-30), a tool to measure esophageal dysphagia, by adapting items from validated instruments for use in clinical trials, and assess its feasibility, reproducibility, and concurrent validity. Outpatients referred to endoscopy for dysphagia or seen in a specialty clinic were recruited. Feasibility testing was done to identify problematic items. Reproducibility was measured by test-retest format. Concurrent validity reflects agreement between information gathered in a structured interview versus the patients' written responses. The MDQ-30, a 28-item instrument, took 10 min (range = 5-30 min) to complete. Four hundred thirty-one outpatients [210 (49%) men; mean age = 61 years] participated. Overall, most concurrent validity kappa values for dysphagia were very good to excellent with a median of 0.78 (min 0.28, max 0.95). The majority of reproducibility kappa values for dysphagia were moderate to excellent with a median kappa value of 0.66 (min 0.07, max 1.0). Overall, concurrent validity and reproducibility kappa values for gastroesophageal reflux disease (GERD) symptoms were 0.81 (95% CI = 0.72, 0.91) and 0.66 (95% CI = 0.55, 0.77), respectively. Individual item percent agreement was generally very good to excellent. Internal consistency was excellent. We conclude that the MDQ-30 is an easy-to-complete tool to evaluate reliably dysphagia symptoms over the last 30 days.

  9. Acción colectiva y políticas públicas. El caso de la masacre del 16 de mayo de 1998

    Directory of Open Access Journals (Sweden)

    Manuelita Barrios Rodríguez

    2017-05-01

    Full Text Available En 1998 sucedió la masacre del 16 de mayo en Barrancabermeja, que significó el ingreso de los grupos paramilitares al territorio y el incremento de la violencia. Como respuesta, las organizaciones sociales presentes en la ciudad realizaron diversas acciones colectivas, que trascendieron este hecho a un tema de interés nacional e internacional. El presente artículo es el resultado de una investigación triangular que utilizó técnicas cuantitativas y cualitativas de recolección de información. El análisis se realizó desde el enfoque del mesoanálisis, a través del cual se estudió la definición de la masacre como un problema público, y su inserción dentro del ciclo de política pública, que fue visibilizado por la acción colectiva y los medios de comunicación, generando un efecto búmeran.

  10. The Utility of the Mayo-Portland Adaptability Inventory Participation Index (M2PI) in US Military Veterans With a History of Mild Traumatic Brain Injury.

    Science.gov (United States)

    OʼRourke, Justin; Critchfield, Edan; Soble, Jason; Bain, Kathleen; Fullen, Chrystal; Eapen, Blessen

    2018-05-31

    To examine the utility of the Mayo-Portland Adaptability Inventory-4th Edition Participation Index (M2PI) as a self-report measure of functional outcome following mild traumatic brain injury (mTBI) in US Military veterans. Department of Veterans Affairs Polytrauma Rehabilitation Center specialty hospital. On hundred thirty-nine veterans with a history of self-reported mTBI. Retrospective cross-sectional examination of data collected from regular clinical visits. M2PI, Neurobehavioral Symptoms Inventory with embedded validity measures, Posttraumatic Stress Disorder Checklist-Military Version. Forty-one percent of the sample provided symptom reports that exceeded established cut scores on embedded symptom validity tests. Invalid responders had higher levels of unemployment and endorsed significantly greater functional impairment, posttraumatic stress symptoms, and postconcussive complaints. For valid responders, regression analyses revealed that self-reported functioning was primarily related to posttraumatic stress complaints, followed by postconcussive cognitive complaints. For invalid responders, posttraumatic stress complaints also predicted self-reported functioning. Caution is recommended when utilizing the M2PI to measure functional outcome following mTBI in military veterans, particularly in the absence of symptom validity tests.

  11. Reconciliación de Malí; mayo en Kidal, inflexión en la segunda fase del proceso

    Directory of Open Access Journals (Sweden)

    Juan Carlos Castilla

    2015-01-01

    Full Text Available La reconciliación es uno de los retos de la consolidación de la paz. El ejercicio de la soberanía por parte de las instituciones locales, puede originar diferencias con las organizaciones internacionales durante la transformación del conflicto. El desafío es coordinar estrategias y medidas en el tiempo. El proceso de reconciliación comenzó en Malí con un gobierno de transición. Durante el año 2014, el gobierno ha tratado de impulsar el proceso, en un contexto en el que se han reproducido los enfrentamientos tribales, se han dado nuevos choques entre el MNLA y las Fuerzas Armadas malíes, y dónde sigue influyendo la actividad terrorista yihadista. IBK se refirió a aspectos fundamentales para el futuro inmediato del proceso tras los acontecimientos de mayo en Kidal. Tras estos acontecimientos, las negociaciones de paz se desarrollan con la mediación argelina. La complementariedad entre la justicia nacional y la internacional será una de las claves, lo que a su vez puede interrelacionar con la potencial re-integración futura de excombatientes.

  12. Hoy hace: la erupción del Rincón de la Vieja el 8 de mayo de 1991

    Directory of Open Access Journals (Sweden)

    Soto Bonilla, Gerardo

    2005-08-01

    Full Text Available Uno de los eventos volcánicos importantes del siglo XX en Costa Rica fue el ocurrido el 8 de mayo del año 1991 en el Volcán Rincón de la Vieja. A continuación, se muestra la información recopilada en la serie Hoy hace. concerniente a la emergencia suscitada en esa ocasión. Se incluye una relación de las principales observaciones reportadas con respecto al Volcán desde el año 1765 hasta el año 1998. El documento explica el mecanismo de la erupción principal y enlista las actividades posteriores que se dieron One of the important volcanic events of the 20th Century in Costa Rica was the one of May 8, 1991 at the Rincón de la Vieja Volcano. Following, it shows the information collected in the series Today in History (Hoy hace related to the emergency generated at that moment. It includes a relation to the main observations reported in regards to the Volcano from the year 1765 to the year 1998. The document explains the mechanism of the main eruption and lists the posterior activities

  13. Benthic diatoms from Potter Cove, 25 de Mayo (King George) Island, Antarctica: Mucilage and glucan storage as a C-source for limpets

    Science.gov (United States)

    Daglio, Yasmin; Sacristán, Hernán; Ansaldo, Martín; Rodríguez, María C.

    2018-03-01

    Biofilms were allowed to develop on ceramic tiles placed in closed containers on the shore of Potter Cove, 25 de Mayo (King George) Island. Water pumping from the cove inside the containers extended for 25 days. Diatoms were the dominant microalgae in these biofilms, which were removed from a set of tiles to a) characterize the extracellular mucilage, b) carry out floristic determination and c) perform grazing experiments with the limpet Nacella concinna. Biofilms mucilaginous matrix consisted of proteins and carbohydrates. Room temperature aqueous extraction of the freeze-dried material rendered a fraction enriched in the storage glucan chrysolaminarin, its identity confirmed by methylation structural analyses. Hot water extracted products showed greater heterogeneity in monosaccharide composition, including glucose, mannose, galactose, fucose, xylose and rhamnose. Diatom identification revealed that Pseudogomphonema kamtschaticum was the dominant species followed by several Navicula species, Nitzschia pellucida and Synedra kerguelensis. Photographical survey of colonized tiles placed in glass flasks together with a specimen of Nacella concinna exhibited between 5 and 30% removal of the biofilms coverage after 24 h of exposure to the limpet, suggesting that EPS and chrysolaminarin constitute a C-source for the gastropod.

  14. La identidad en la encrucijada: la comunidad galesa del Chubut y las conmemoraciones del Centenario y Bicentenario de la Revolución de Mayo

    Directory of Open Access Journals (Sweden)

    Geraldine Lublin

    2013-12-01

    Full Text Available El presente artículo se propone rastrear a grandes rasgos la relación ―especial‖ entre el estado nacional argentino y, a partir de 1958, la provincia de Chubut por una parte y los colonos galeses que se establecieron en Chubut desde 1865 y sus descendientes por otra, a través del análisis de la posición de la colectividad galesa del Chubut en dos momentos históricos destacados: el Centenario y el Bicentenario de la Revolución de Mayo (1810. Al corresponderse el perfil de los galeses con la idea de poblaciones "civilizadas" que las autoridades pretendían impulsar en desmedro de los legítimos pobladores originales, estas políticas dieron lugar a una fuerte identificación histórica de la Provincia de Chubut con la llamada "gesta galesa". Se generó asimismo una peculiar dinámica triangular de las relaciones estatales, cuya evolución a través del tiempo ha desembocado en la actual promoción de la identidad chubutense como el resultado de la fusión de las culturas de los tehuelches originarios y los colonos galeses.

  15. The association between peripheral total IGF-1, IGFBP-3, and IGF-1/IGFBP-3 and functional and cognitive outcomes in the Mayo Clinic Study of Aging.

    Science.gov (United States)

    Wennberg, Alexandra M V; Hagen, Clinton E; Machulda, Mary M; Hollman, John H; Roberts, Rosebud O; Knopman, David S; Petersen, Ronald C; Mielke, Michelle M

    2018-06-01

    Levels of insulin-like growth factor (IGF)-1, IGF-binding protein (IGFBP)-3, and their ratio in the blood may be useful for monitoring those at risk of cognitive and functional decline. However, the association between IGF measures and functional and cognitive outcomes has been mixed, and the associations may vary by sex. The present study investigated the cross-sectional, sex-specific associations between serum measures total IGF-1, IGFBP-3, and the IGF-1/IGFBP-3 ratio, gait speed, and cognition in 1320 cognitively unimpaired participants aged 50-95 years enrolled in the Mayo Clinic Study of Aging. We used multivariable linear regression models to determine the association between IGF measures and gait speed or cognitive test performance by sex. IGF measures were not associated with cognitive or functional performance among men. Among women, higher levels of log total IGF-1 and IGFBP-3 were associated with better performance in attention, visuospatial, and global cognitive domains, independent of the gait speed. These findings suggest that among women, IGF measures are associated with cognition, and these associations are independent of function. Copyright © 2018 Elsevier Inc. All rights reserved.

  16. Progress assessed with the Mayo-Portland Adaptability Inventory in 604 participants in 4 types of post-inpatient rehabilitation brain injury programs.

    Science.gov (United States)

    Eicher, Vicki; Murphy, Mary Pat; Murphy, Thomas F; Malec, James F

    2012-01-01

    To compare progress in 4 types of post-inpatient rehabilitation brain injury programs. Quasiexperimental observational cohort study. Community and residential. Individuals (N=604) with acquired brain injury. Four program types within the Pennsylvania Association of Rehabilitation Facilities were compared: intensive outpatient and community-based rehabilitation (IRC; n=235), intensive residential rehabilitation (IRR; n=78), long-term residential supported living (SLR; n=246), and long-term community-based supported living (SLC; n=45). With the use of a commercial web-based data management system developed with federal grant support, progress was examined on 2 consecutive assessments. Mayo-Portland Adaptability Inventory (MPAI-4). Program types differed in participant age (F=10.69, PMPAI-4 score (F=6.89, PMPAI-4 score and chronicity were significantly associated with the second MPAI-4 rating. On average, SLR participants were 9.1 years postinjury compared with 5.1 years for IRR, 6.0 years for IRC, and 6.8 years for SLC programs. IRR participants were more severely disabled per MPAI-4 total score on admission than the other groups. Controlling for these variables, program types varied significantly on second MPAI-4 total score (F=5.14, P=.002). Both the IRR and IRC programs resulted in significant functional improvement across assessments. In contrast, both the SLR and SLC programs demonstrated relatively stable MPAI-4 scores. Results are consistent with stated goals of the programs; that is, intensive programs resulted in functional improvements, whereas supported living programs produced stable functioning. Further studies using data from this large, multiprovider measurement collaboration will potentially provide the foundation for developing outcome expectations for various types of postacute brain injury programs. Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  17. Development of an Educational Game to Set Up Surgical Instruments on the Mayo Stand or Back Table: Applied Research in Production Technology.

    Science.gov (United States)

    Paim, Crislaine Pires Padilha; Goldmeier, Silvia

    2017-01-10

    Existing research suggests that digital games can be used effectively for educational purposes at any level of training. Perioperative nursing educators can use games to complement curricula, in guidance and staff development programs, to foster team collaboration, and to give support to critical thinking in nursing practice because it is a complex environment. To describe the process of developing an educational game to set up surgical instruments on the Mayo stand or back table as a resource to assist the instructor in surgical instrumentation training for students and nursing health professionals in continued education. The study was characterized by applied research in production technology. It included the phases of analysis and design, development, and evaluation. The objectives of the educational game were developed through Bloom's taxonomy. Parallel to the physical development of the educational game, a proposed model for the use of digital elements in educational game activities was applied to develop the game content. The development of the game called "Playing with Tweezers" was carried out in 3 phases and was evaluated by 15 participants, comprising students and professional experts in various areas of knowledge such as nursing, information technology, and education. An environment was created with an initial screen, menu buttons containing the rules of the game, and virtual tour modes for learning and assessment. The "digital" nursing student needs engagement, stimulation, reality, and entertainment, not just readings. "Playing with Tweezers" is an example of educational gaming as an innovative teaching strategy in nursing that encourages the strategy of involving the use of educational games to support theoretical or practical classroom teaching. Thus, the teacher does not work with only 1 type of teaching methodology, but with a combination of different methodologies. In addition, we cannot forget that skill training in an educational game does not

  18. Eventos de Mayo (May Events).

    Science.gov (United States)

    Toro, Leonor; Pla, Myrna

    Designed as a resource for teachers, this booklet, written in Spanish, contains brief information on seven May events: La Semana de la Educacion (first Friday in May), Harry S. Truman (May 8), Dia de las Madres (second Sunday in May), Luis Llorens Torres (May 14), La Cruz Roja (May 21), John F. Kennedy (May 29), and El Dia De Conmemoracion (May…

  19. Pygoscelis antarcticus feathers as bioindicator of trace element risk in marine environments from Barton Peninsula, 25 de Mayo (King George) Island, Antarctica.

    Science.gov (United States)

    Catán, Soledad Perez; Bubach, Debora; Di Fonzo, Carla; Dopchiz, Laura; Arribére, Maria; Ansaldo, Martin

    2017-04-01

    We report the contents of elements in feathers of Chinstrap penguin (Pygoscelis antarcticus), which had not been informed up to now, such as silver and bromine and others listed as hazardous by the United States Environmental Protection Agency as arsenic, cobalt, chromium, and mercury. Analyses of the element concentrations in feathers, adult and chicken, from Barton Peninsulas at 25 de Mayo (King George) Island, South Shetlands, were made by Instrumental Neutron Activation Analysis. Samarium, lanthanum a, thorium, and uranium concentrations in Chinstrap penguin feathers were below 0.1 mg/kg. This suggests that the elements in feather do not come from atmospheric particles surface deposition. Arsenic (0.120 ± 0.050 mg/kg) and cobalt (0.030 ± 0.020 mg/kg) concentrations were lower than the reports for other colony of Chinstrap penguins, and essential elements as iron (26 ± 12 mg/kg), zinc (78.0 ± 5.3 mg/kg), and chromium (0.51 ± 0.27 mg/kg) were in the same range while Se (2.90 ± 0.65 mg/kg) content were the lowest reported. Mercury (0.43 ± 0.21 mg/kg), chromium (0.210 ± 0.060 mg/kg), and silver (0.083 ± 0.003 mg/kg) in chicks tended to be lower than in adults. Iron, cobalt, and arsenic concentrations in feathers found in this study were the lowest compared to measurements were in several penguin species in Antarctica. These results confirm to feathers like effective indicators for the trace elements incorporated in the penguins and it provide a data set which can adds to the baseline for bioindication studies using feathers.

  20. Virus influenza y el diagnóstico diferencial de sintomáticos febriles en la costa norte del Perú (Mayo, 2001

    Directory of Open Access Journals (Sweden)

    Yvonne Torres de Yon

    2004-01-01

    Full Text Available Objetivo: Identificar el virus influenza y otros agentes etiológicos relacionados con la presentación de síndrome febril en los departamentos de Piura, Tumbes, Lambayeque y La Libertad, en mayo de 2001. Material y Métodos: Estudio descriptivo, transversal. Incluye pacientes febriles que acudieron a los puestos de salud centinelas y que presentaban fiebre mayor de 38°C y gota gruesa negativa. Se obtuvieron dos muestras de sangre con un intervalo de 15-45 días. Se registró la sintomatología asociada a fiebre, y se determinó la presencia de anticuerpos mediante pruebas serológicas para dengue, influenza, sarampión y rubéola, además de pruebas para aislamiento y tipificación viral. Resultados: Se registraron 174 pacientes, 58,6% de ellos mujeres, siendo el grupo etáreo más frecuente de menores de 16 años (32,2%. Además de la fiebre se informaron como síntomas más frecuentes el dolor de cabeza (90,1% y dolor de huesos (81,9%. En 89 pacientes (51,1% se pudo obtener muestras de sueros pareados, los cuales fueron incluidos en el estudio serológico; 62 pacientes (69,6% presentaron serología positiva para dengue, 53 (59,5% para influenza y sólo uno (1,1% para rubéola. Conclusiones: El diagnóstico diferencial de pacientes sintomáticos febriles en los departamentos de la costa norte del Perú, luego de descartarse malaria, debe incluir además entre otras etiologías al virus influenza. Un diagnóstico diferencial adecuado permitirá un tratamiento precoz y efectivo. Se hace necesario implementar la vigilancia epidemiológica para mejorar el diagnóstico diferencial en sintomáticos febriles, que incluya a influenza.

  1. Inventario y evaluación semidetallada de los recursos de suelos, forestales y uso actual de la tierra de la cuenca alta del río Mayo: sector río Tumbaro - río Avisado

    OpenAIRE

    Oficina Nacional de Evaluación de Recursos Naturales

    1983-01-01

    Determina a nivel de semidetalle, el potencial y grado de utilización de los recursos suelos y forestales, así como el uso actual de la tierra de la cuenca alta del río Mayo, sector río Túmbaro - río Avisado, situada en el Norte del departamento de San Martín. El estudio, fue ejecutado en un sector con potencial agropecuario y comprendió una profundización del conocimiento de los recursos relacionados con estas actividades, con el fin de establecer y reordenar asentamientos humanos, formular ...

  2. Prevalencia de enteroparasitosis y factores asociados en niños escolares de la unidad educativa “Eudófilo Álvarez” cantón Sucúa, comunidad de Cumbatza, mayo- octubre 2014.

    OpenAIRE

    Espinoza Díaz, Cristóbal Ignacio; Astudillo González, Odalis; Cabrera Medina, Henry

    2014-01-01

    La parasitosis intestinal es responsable de una morbilidad considerable en el mundo entero, se presenta frecuentemente con síntomas no específicos y altas tasas de prevalencia. Objetivo: Establecer la prevalencia y factores asociados de enteroparásitos en los niños en edad escolar de la Unidad Educativa “Eudófilo Álvarez” comunidad de Cumbatza, cantón Sucúa en el período de Mayo- Octubre de 2014, previo a un Análisis Situacional de Salud realizado. Materiales y métodos: Se realizó un e...

  3. Factores que interviene en la aplicación de medidas de bioseguridad del profesional de enfermería del Servicio de Centro Quirúrgico del Hospital Nacional Dos de Mayo

    OpenAIRE

    Camacuari Cárdenas, Feliman Salome

    2017-01-01

    Determina los factores que intervienen en la aplicación de medidas de bioseguridad del profesional de enfermería del Servicio de Centro Quirúrgico (SCQ) del Hospital Nacional Dos de Mayo (HNDM). Estudio de tipo cuantitativo, método descriptivo de corte transversal. La población en estudio está constituida por 30 profesionales de enfermería que laboran en el SCQ. La técnica utilizada es la encuesta y el instrumento un cuestionario estructurado. Se llega a la conclusión que los factores desfavo...

  4. The Prevalence of Cardiovascular Disease Risk Factors and the Framingham Risk Score in Patients Undergoing Percutaneous Intervention Over the Last 17 Years by Gender: Time-trend Analysis From the Mayo Clinic PCI Registry

    Directory of Open Access Journals (Sweden)

    Moo-Sik Lee

    2014-07-01

    Full Text Available Objectives: This study aims to investigate trends of cardiovascular disease (CVD risk factor profiles over 17 years in percutaneous coronary intervention (PCI patients at the Mayo Clinic. Methods: We performed a time-trend analysis within the Mayo Clinic PCI Registry from 1994 to 2010. Results were the incidence and prevalence of CVD risk factors as estimate by the Framingham risk score. Results: Between 1994 and 2010, 25 519 patients underwent a PCI. During the time assessed, the mean age at PCI became older, but the gender distribution did not change. A significant trend towards higher body mass index and more prevalent hypercholesterolemia, hypertension, and diabetes was found over time. The prevalence of current smokers remained unchanged. The prevalence of ever-smokers decreased among males, but increased among females. However, overall CVD risk according to the Framingham risk score (FRS and 10-year CVD risk significantly decreased. The use of most of medications elevated from 1994 to 2010, except for β-blockers and angiotensin converting enzyme inhibitors decreased after 2007 and 2006 in both baseline and discharge, respectively. Conclusions: Most of the major risk factors improved and the FRS and 10-year CVD risk declined in this population of PCI patients. However, obesity, history of hypercholesterolemia, hypertension, diabetes, and medication use increased substantially. Improvements to blood pressure and lipid profile management because of medication use may have influenced the positive trends.

  5. Evidence for Nb-Ta Occurrences in the Syn-Tectonic Pan-African Mayo Salah Leucogranite (Northern Cameroon: Constraints from Nb-Ta Oxide Mineralogy, Geochemistry and U-Pb LA-ICP-MS Geochronology on Columbite and Monazite

    Directory of Open Access Journals (Sweden)

    Periclex Martial Fosso Tchunte

    2018-04-01

    Full Text Available The Mayo Salah pluton, which is located in the North-Cameroon domain of Central African Bold Belt (CAFB, is emplaced as a laccolith in volcano-sedimentary schists of Poli series, and displays features of Rare-metal Granite (RMG. It is made of two main rock groups: (1 the metaluminous barren muscovite granite (MsG and (2 the Nb-Ta bearing peraluminous leucogranite (MsL which expresses four subtypes. The evolved Rare-element MsL is subalkaline, slightly peraluminous (ASI = 1.01–1.21, and it displays flat REE chondrite-normalized patterns with a strong negative Eu anomaly (Eu/Eu* = 0.02–0.20. It belongs to the peraluminous low phosphorus Rare-element Granites and L-type igneous rocks, as shown by the relatively low Zr/Hf (4.8–14 and Nb/Ta (1.4–9.0 ratios and the positive slope of the Zr-Hf-Nb-Ta profile in spider diagrams. The rare-element-bearing mineral is represented by columbite-group minerals (CGM and other Nb-Ta-oxides (Nb-rutile and pyrochlore supergroup minerals. The CGM is classified as Mn-columbite, with Ta# and Mn# ratios increasing from core to rim. Two stages of mineralization are identified; the earliest stage (CGM-I consists in scattered tabular or prismatic euhedral grains that were related to magmatic fractionation. The latest stage (CGM-II is expressed as a Ta-rich Mn hydrothermal CGM episode represented as rims and/overgrowths around and/or as veinlet crosscutting CGM-I or in cleavage planes of muscovite. The U-Pb dating of columbite and monazite of the Mayo Salah leucogranite indicates a late-Neoproterozoic magmatic-hydrothermal mineralization event from 603.2 ± 5.3 to 581.6 ± 7.2 Ma, as consistent with both late D2 to D3 events that were recorded in the CAFB in Cameroon, and the associated continental collision environment. The Nb-Ta mineralization of the Mayo Salah pluton provides evidence for the presence of RMG in Northern Cameroon of CAFB, and its temporal association with the youngest period of metallogenic epoch

  6. Memorias sociales y familiares de la dictadura cívico-militar: narrativas biográficas de integrantes de la asociación Abuelas de Plaza de Mayo

    Directory of Open Access Journals (Sweden)

    Miriam Elizabeth Kriger

    2017-06-01

    Puede volverse una memoria fuerte o débil según la coyuntura y el papel que le otorguen el Estado y la sociedad. Se presentan aquí narrativas biográficas de tres miembros de la asociación Abuelas de Plaza de Mayo, surgidas de entrevistas presenciales semiestructuradas y en profundidad realizadas ad hoc, en las cuales se ponen en juego estas memorias en diferentes registros. Se muestran fragmentos selectos para establecer las modalidades de reconocimiento de sus hijos desaparecidos y las tensiones entre su identidad juvenil y su condición militante.

  7. Ideology and intertextuality: Intertextual allusions in Judith 16

    Directory of Open Access Journals (Sweden)

    S. Philip Nolte

    2011-10-01

    We know now that a text is not a line of words releasing a single ‘theological’ meaning (the ‘message’ of the Author-God but a multi-dimensional space in which a variety of writings, none of them original, blend and clash. The text is a tissue of quotations drawn from the innumerable centres of culture. (Barthes, cited in Beal 1992:27

  8. The Voices of Women in the Night: Veronica and Judith

    Directory of Open Access Journals (Sweden)

    Shirley Walker

    2017-06-01

    Full Text Available quite often leave the radio playing all night on the bedside table; my only company in an all too empty house. It shuts out the noises of the night: the cry of the great owl in the rain-forest trees, the scurrying of possums on the roof, or the rustle of the neighbourhood carpet snake, a beautiful multi-coloured python, slithering into or out of the roof-space. I’m used to him (or her. She’s harmless —just another presence in the night.

  9. Cuerpos singulares: Una lectura desde el pensamiento de Judith Butler

    OpenAIRE

    Galé Moyano, María José; Burgos Díaz, Elvira

    2013-01-01

    La aproximación que constituye este trabajo se inicia en la vacilación al respecto de la inserción del propio cuerpo, mi cuerpo, en distintos contextos vitales, de un cuestionamiento de la identidad a lo largo de la vida. Ello supondría un alejamiento de la pretendida objetividad en función de la cual el cuerpo vivo que investiga se comprende como algo ajeno a lo estudiado, una abstracción capaz de aproximarse sin una biografía previa, sin una configuración corporal concreta, a aquello que co...

  10. Judith Perera: 'Nuclear Power in Europe'-A review

    International Nuclear Information System (INIS)

    Pavel, Eugeniu

    2000-01-01

    The book published by Financial Time Energy, London 1999, presents the history of nuclear power and its current status in both Eastern and Western Europe. The book extends on 370 pages and is structured in 8 chapters, annexes, a glossary of terms and references. Romanian nuclear power is represented by the Cernavoda NPP Unit 1 commissioned in December 1996. Till September 1999 the production of Cernavoda NPP amounted up to 15,271 TWh with a internal consumption lower than 8%, which covered 10-14% of the total electric energy demand of Romania, at a 12 to 14 USD/MWh production cost. The statistical data show that: - with the highest nuclear energy quota appears US, namely with 28.1% of world nuclear power production; - in a classification on countries, Lithuania and France appear on the first place, namely with 77.2% and 75.8%, respectively, as share of nuclear energy in the total national energy production. A review of the reactor types mostly used world wide show that the PWR is the most used technology in France, Japan, USA and several other countries. The chapter two presents the performances of different reactor types among which AGR, BWR and PWR, the load factor of which appears to be the highest. The problems of fuel cycles, fuel conversion, enrichment and production are treated in Chapter 3. The following chapter presents the economic aspects of nuclear power, the energy costs being a pro in the public debates on the future of nuclear energy. A detailed analysis on the environmental impact of nuclear power production is given in Chapter 6. The situation of nuclear sector throughout Europe is shown in the following chapter while the last one is devoted to the main European power companies implied in the nuclear industry. In conclusion, the prospects of nuclear energy in Europe are reviewed by taking into account factors like: public acceptance, costs, competition, waste management, fuel market, safety environmental issues, in-service life, personnel qualification

  11. Ideology and intertextuality: Intertextual allusions in Judith 16

    African Journals Online (AJOL)

    2011-10-03

    Oct 3, 2011 ... structures such as nature and natural phenomena, movies, music, paintings, ... redeemer God known in history' and links it to what is said ...... drama of reading, Indiana studies in biblical literature, Indiana University Press,.

  12. Lembit-Kaur Stöör teeb isevärki maju / Lembit-Kaur Stöör ; interv. Epp Lankots

    Index Scriptorium Estoniae

    Stöör, Lembit-Kaur, 1976-

    2008-01-01

    Büroos KOKO Arhitektid töötav arhitekt L.-K. Stöör A. Kõresaare ja R. Kotovi poolt asutatud büroost, oma eeskujudest arhitektuuris, Tallinna Inglise Kolledzhi juurdeehitusest (koos M. Maistega, sisearhitektid: L. Lindvere, L. Murula, R. Paling), konstruktor T. Tammerik), 2007. a. Kultuurkapitali arhitektuuri sihtkapitali objektibreemia võitnud Tallinna sünagoogist (koos Tõnis Kimmeliga, sisearhitektid: L. Lindvere, R. Paling), Kuldala elamurajoonist (koos M. Maistega)

  13. Ecological validity of the screening module and the Daily Living tests of the Neuropsychological Assessment Battery using the Mayo-Portland Adaptability Inventory-4 in postacute brain injury rehabilitation.

    Science.gov (United States)

    Zgaljardic, Dennis J; Yancy, Sybil; Temple, Richard O; Watford, Monica F; Miller, Rebekah

    2011-11-01

    The assessment of ecological validity of neuropsychological measures is an area of growing interest, particularly in the postacute brain injury rehabilitation (PABIR) setting, as there is an increasing demand for clinicians to address functional and real-world outcomes. In the current study, we assessed the predictive value of the Screening module and the Daily Living tests of the Neuropsychological Assessment Battery (NAB) using clinician ratings from the Mayo-Portland Adaptability Inventory-4 (MPAI-4) in patients with moderate to severe traumatic brain injury. Forty-seven individuals were each administered the NAB Screening module (NAB-SM) and the NAB Daily Living (NAB-DL) tests following admission to a residential PABIR program. MPAI-4 ratings were also obtained at admission. Linear regression analysis was used to examine the association between these functional and neuropsychological assessment measures. We replicated prior work (Temple at al., 2009) and expanded evidence for the ecological validity of the NAB-SM. Furthermore, our findings support the ecological validity of the NAB-DL Bill Payment, Judgment, and Map Reading tests with regards to functional skills and real-world activities. The current study supports prior work from our lab assessing the predictive value of the NAB-SM, as well as provides evidence for the ecological validity for select NAB-DL tests in patients with moderate to severe traumatic brain injury admitted to a residential PABIR program.

  14. Staged residential post-acute rehabilitation for adults following acquired brain injury: A comparison of functional gains rated on the UK Functional Assessment Measure (UK FIM+FAM) and the Mayo-Portland Adaptability Inventory (MPAI-4).

    Science.gov (United States)

    Jackson, Diana; Seaman, Karla; Sharp, Kristylee; Singer, Rachel; Wagland, Janet; Turner-Stokes, Lynne

    2017-01-01

    To compare the UK Functional Assessment Measure (UK FIM+FAM) and Mayo-Portland Adaptability Inventory (MPAI-4) as measures of functional change in patients with brain injury receiving a staged residential post-acute community-based rehabilitation programme. Longitudinal cohort study of consecutive admissions (N = 42) over 3 years. Patients were assessed at admission and discharge/annual review. We examined groups according to stage of independence on admission: Maximum support (stages 1 and 2: N = 17); moderate/maximum self-care/household support (stage 3: N = 15); minimal self-care and moderate household/community support (stages 4-6: N = 10). Median (IQR) age: 50 (37-56) years. Male:female ratio: (71%:29%). Aetiology: stroke (50%), traumatic (36%) and other brain injuries (14%). Both tools demonstrated significant gains in overall scores and all subscales (p MPAI-4 was more sensitive to changes in adjustment and participation for clients admitted in the later stages (4-6). The UK FIM+FAM and MPAI-4 provide complementary evaluation across functional tasks ranging from self-care to participation. This study supports their use for longitudinal outcome evaluation in community residential rehabilitation services that take patients at different stages of recovery.

  15. Immediate postoperative tracheal extubation in a liver transplant recipient with encephalopathy and the Mayo end-stage liver disease score of 41: A CARE-compliant case report revealed meaningful challenge in recovery after surgery (ERAS) for liver transplantation.

    Science.gov (United States)

    Li, Jianbo; Wang, Chengdi; Chen, Nan; Song, Jiulin; Sun, Yan; Yao, Qin; Yan, Lunan; Yang, Jiayin

    2017-11-01

    Immediate postoperative tracheal extubation (IPTE) is one of the most important subject in recovery after surgery (ERAS) for liver transplantation. However, the criteria for IPTE is not uniform at present. We reported a successful IPTE in a liver transplant recipient with encephalopathy and a high Mayo end-stage liver disease (MELD) score of 41, which beyond the so-called criteria reported in the literature. The patient was 48-year-old man, admitted in September 2016 for end-stage liver cirrhosis secondary to hepatitis B. End-stage liver cirrhosis secondary to hepatitis B with encephalopathy and a high MELD score of 41. He was involved in our ERAS project and was extubated at the end of the liver transplantation in the operating room. As a result, the patient was not reintubated and had an excellent postoperative recovery, staying in intensive care unit (ICU) for just 2 days and discharged home on day 10. We believed IPTE in liver transplant recipients with severe liver dysfunction is a meaningful challenge in ERAS for liver transplantation. Our case and literature review suggest 3 things: IPTE in liver transplantation is generally feasible and safe; the encephalopathy or high MELD score should not be the only limiting factor; and a more systematic predicting system for IPTE in liver transplantation should be addressed in future studies. Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.

  16. Gold and uranium metallogenesis in the framework of Neo-proterozoic crust growth and differentiation: example of the Mayo-Kebbi Massif (Chad) in the Central Africa Orogenic belt

    International Nuclear Information System (INIS)

    Mbaguedje, Diondoh

    2015-01-01

    The Mayo Kebbi massif located in southwestern Chad between the Congo craton in the South, the West African craton in the west and the Sahara meta-craton to the east exposes a segment of Neo-proterozoic juvenile crust accreted in the Central African orogenic belt during the Pan African orogeny. It consists of two greenstone belts (Zalbi and Goueygoudoum) separated by the May Kebbi calc-alkaline batholith complexes and intruded by calc-alkaline high-K granitic plutons. The whole is covered by Phanerozoic sedimentary formations. The greenstone belts contain sulphide zones hosted mainly by meta-plutonic rocks (granodiorites) and meta-basalts and meta-volcaniclastics. The mineralization comprises pyrite, pyrrhotite, arsenopyrite, chalcopyrite, pentlandite, pentlandite silver, pentlandite cobaltiferous, sphalerite, cobaltite. These sulphides are disseminated, aggregated in form of layers or are filling veins and cracks. The greenstones also contain quartz veins with calcite and chlorite comprising a mineralization made of pyrite, chalcopyrite, galena and gold. Gold is present both as native crystals and as electrum. The high-K calc-alkaline Zabili granitic pluton hosts uranium mineralization related to a superposition of: (1) ductile deformation and metasomatic alteration implying the interaction between magmatic minerals with a Na-rich fluid, of potential magmatic origin, coeval to the main deposition of uranium oxides, followed by (2) brittle deformation and deposition of secondary hydrated uranium silicates involving a Na-Ca-rich fluid. We propose that these uranium mineralizations represent the extreme expression of crustal differentiation as a result of Pan-African reworking of a Neo-proterozoic juvenile crustal segment. (author) [fr

  17. «God save us from more revolutions»: the Aranjuez Mutiny and the Dos de Mayo uprising in the light of Count Fernán Núñez’s widow | «Dios nos libre de más revoluciones»: el Motín de Aranjuez y el Dos de Mayo vistos por la condesa viuda de Fernán Núñez

    Directory of Open Access Journals (Sweden)

    Antonio Calvo Maturana

    2011-12-01

    Full Text Available This essay’s objective is to analyse a direct and unpublished testimony of the two biggest Spanish historical events of 1808: the Mutiny of Aranjuez and Dos de Mayo Uprising. With this purpose we present to the public a collection of letters written by Maria Esclavitud Sarmiento, Countess of Fernan Nuñez, and found in the French National Archives of Paris. In this lady’s correspondence we can appreciate the fears, the hopes and the speculations lived and suffered by the people from Madrid during this period. Thanks to this source we have access to the impressions of an eyewitness (a woman, something even more interesting and unusual who was in constant relation with the current situation, gathering news and rumours, sometimes already obsolete in the next letter because of the frenetic political situation. By her contacts with well-informed people (such as her son, the count of Fernan Nuñez, or members of government like Pedro Cevallos or Eusebio Bardaji, the widow countess offers interesting information about the most important figures and events of this year: Ferdinand VII (his rise to the throne and the preparation for his trip to Bayonne, Napoleon (his arrival to Spain and his recognition, or not, of the new king, Manuel Godoy (his imprisonment and his delivery to French authorities, Charles IV (the renounce of his claim and his posterior regret and Marie Louise of Parme (many rumours related to her dark legend. | El objetivo de este trabajo es ofrecer al lector un testimonio directo e inédito de lo acontecido en Madrid durante los dos grandes hitos históricos españoles de 1808: el Motín de Aranjuez y el Dos de Mayo. Para ello utilizaremos principalmente unas cartas de María Esclavitud Sarmiento, condesa viuda de Fernán Núñez, encontradas en los Archivos Nacionales de París. Esta dama de la alta nobleza reflejó en su correspondencia los miedos, esperanzas y especulaciones que asaltaron a la sociedad madrileña del momento. De

  18. Claremount Nursing Home, Claremount, Claremorris, Mayo.

    LENUS (Irish Health Repository)

    Mc Hugh, N

    2017-08-01

    We describe the case of a 20-year-old rower presenting with an uncommon condition of Proliferative Myositis (PM) affecting the Latissimus Dorsi (LD). PM is a rare, benign tumour infrequently developing in the upper back. Its rapid growth and firm consistency may mistake it for sarcoma at presentation. Therefore, careful multidisciplinary work-up is crucial, and should involve appropriate radiological and histopathological investigations. Here, we propose the aetiology of LD PM to be persistent myotrauma induced by repetitive rowing motions. Symptoms and rate of progression ultimately determine the management which includes surveillance and\\/or conservative resection. There have been no documented cases of recurrence or malignant transformation.

  19. Mayo AVC Registry and BioBank

    Science.gov (United States)

    2018-03-05

    Arrhythmogenic Right Ventricular Cardiomyopathy; Cardiomyopathies; Heart Diseases; Cardiovascular Diseases; Sudden Cardiac Arrest; Sudden Cardiac Death; Arrhythmogenic Right Ventricular Dysplasia; Arrhythmogenic Ventricular Cardiomyopathy; Familial Dilated Cardiomyopathy; Cardiovascular Abnormalities

  20. Claremount Nursing Home, Claremount, Claremorris, Mayo.

    LENUS (Irish Health Repository)

    Reeves, Emer P

    2012-01-01

    The pathogenesis of lung disease in cystic fibrosis is characterised by decreased airway surface liquid volume and subsequent failure of normal mucociliary clearance. Mucus within the cystic fibrosis airways is enriched in negatively charged matrices composed of DNA released from colonizing bacteria or inflammatory cells, as well as F-actin and elevated concentrations of anionic glycosaminoglycans. Therapies acting against airway mucus in cystic fibrosis include aerosolized hypertonic saline. It has been shown that hypertonic saline possesses mucolytic properties and aids mucociliary clearance by restoring the liquid layer lining the airways. However, recent clinical and bench-top studies are beginning to broaden our view on the beneficial effects of hypertonic saline, which now extend to include anti-infective as well as anti-inflammatory properties. This review aims to discuss the described therapeutic benefits of hypertonic saline and specifically to identify novel models of hypertonic saline action independent of airway hydration.

  1. Transforming Research Management Systems at Mayo Clinic

    Science.gov (United States)

    Smith, Steven C.; Gronseth, Darren L.

    2011-01-01

    In order for research programs at academic medical centers and universities to survive and thrive in the increasingly challenging economic, political and regulatory environment, successful transformation is extremely important. Transformation and quality management techniques are increasingly well established in medical practice organizations. In…

  2. El mundo del libro: mayo de 1979

    Directory of Open Access Journals (Sweden)

    Agustín Rodríguez Garavito

    1979-05-01

    Full Text Available En el documento se presentan las reseñas de los siguientes títulos: -Cayetano Betancur. Manual del ciudadano. Brevarios Colombianos. Ediciones del Banco de la República. -Alberto Duarte French. Guía practica del derecho de familia. Editorial Temis. Librería. 1978. -Abel Naranjo Villegas. Generaciones colombianas. Brevarios Colombianos. Ediciones Banco de la República. Artes Gráficas Centro Don Bosco. -Flor Alba Uribe Marin. Historia de la pequeña Nubia y su Mercenaria virginidad. Ediciones Tercer mundo. Bogotá, Colombia. -Abelardo Forero Benavides. El siglo XIX. Galería de sombras. Nariño, Bolívar, Santander, Obando, Mosquera, Nuñez. Fundación Centenario del Banco de Colombia. 1978. Impreso por Litoformas de Colombia. -Luis Duque Gómez. Introducción al pasado aborigen. Brevarios Colombianos. Banco de la República. Talleres Editorial Retina. Bogotá. Colombia. -Dibujos de Sergio Trujillo Magnenat. Texto de Germán Rubiano Caballero. Biblioteca Fundación Centenario del Banco de Colombia. -Mauro Torres. Tensión en la Unidad familiar. Padres e hijos. Edición Tercer Mundo. Bogotá, Colombia. -Ciro Medina. Antología. Editado por el Banco de América Latina. Impreso por Publicaciones Cultural Ltda. Bogotá, Colombia.

  3. El mundo del libro: Mayo de 1966

    Directory of Open Access Journals (Sweden)

    Agustín Rodríguez Garavito

    1966-05-01

    Full Text Available -DIARIO. Por Hernando Téllez. -DIAS DE BELLO EN CARACAS. Por Héctor Parra Márquez- Italigráfica. Caracas. -CON LOS POBRES DE AMÉRICA. Pensamiento político de Tomic, Montoro, Cornejo, Caldera y Frei. -ACTUALIDADES "ECOPETROL". Publicaciones de Relaciones de ECOPETROL. -REMINISCENCIAS DE SANTAFE Y BOGOTÄ. Por José María Cordovez Moure, Biblioteca Shering. Bogotá. Colombia. -EL ESTADO FUERTE. Por Alfonso López Michelsen, Ediciones Populibro. -LA EDUCACIÓN EN COLOMBIA. Por Alejandro Bernal Escobar, Andrés Benoit, Bertha Corredor e Isaac Wust. Oficina Internacional de Investigaciones Sociales de FERE-Lovaina-Bélgica. -LA PICUA SE VA. Por Lucy Barco de Valderrama. Ediciones Lerner.

  4. El mundo del libro: mayo de 1963

    Directory of Open Access Journals (Sweden)

    Agustín Rodríguez Garavito

    1963-05-01

    Full Text Available El documento presenta las reseñas de los siguientes títutlos: Huellas -Por Luis Ernesto Puyana. Bucaramanga, Colombia. Panorama del Folklore Venezolano. Biblioteca de Cultura Universitaria - Caracas. Vitral de Bruma. Helvia de Bodmer. Editorial Antares. Bogotá. Una introducción al arte. F. Gil Tovar. La Mala Hora. Gabriel García Márquez. Premio Literario ESSO. 1961. Camus el Justo. C. Hourdin. Editorial Estela. Barcelona, España. Don Antonio Nariño. Fernando Galvis Salazar. -Drama en once cuadros. Bogotá, Colombia.

  5. Six heads of origin of sternocleidomastoid muscle: a rare case | Kaur ...

    African Journals Online (AJOL)

    A morphological variation in the origin of the right sternocleidomastoid muscle was encountered during routine dissection of the neck for undergraduate students. We found six heads of the sternocleidomastoid muscle, two sternal and four clavicular heads. The two sternal heads were lying side by side, while two clavicular ...

  6. NYYD-festivali peakülaline on Mark-Anthony Turnage / Kaur Garshnek

    Index Scriptorium Estoniae

    Garšnek, Kaur, 1983-

    2007-01-01

    20. oktoobril Estonia kontserdisaalis toimuvast briti helilooja teose ettekandest. 21. oktoobril toimuvast festivali lõppkontserdist Estonia kontserdisaalis, kus ettekandele tuleb Helena Tulve pala "Extinction des chses vues"

  7. "Aktsioon kuubis" mõjus õõnsalt / Kaur Garšnek

    Index Scriptorium Estoniae

    Garšnek, Kaur, 1983-

    2009-01-01

    31. jaanuaril Niguliste kirikus toimunud Pärnu nüüdismuusika päevade ja "In Graafika 2009" ühisfestivali lõpetavast performance'ist "Aktsioon kuuvis II: Dimensioonid", mis põhines Uku Masingu näidendi "Palimplatsid" epiloogil

  8. Kui avatud on Tallinna avalik ruum? = How public are Tallinn's public places? / Georgiana Varna, Kaur Sarv

    Index Scriptorium Estoniae

    Varna, Georgiana

    2012-01-01

    Eesti Kunstiakadeemia arhitektuuriteaduskonnas toimunud seminaril "From the ancient agora to Facebook - how public are public places?" osalenud tudengid analüüsisid Tallinna avaliku ruumi avalikkust, s.t. headust, kasutades Georgiana Varna "Avaliku ruumi mudelit". Hinnati Tammsaare parki, Rotermanni kvartali väljakut ja Raekoja platsi 26. jaanuaril 2012

  9. Riik läks Natura-alade moodustamisel üle piiri / Kaur Lass

    Index Scriptorium Estoniae

    Lass, Kaur, 1973-

    2008-01-01

    Natura-alade moodustamisel on riik Eestis ületanud oma volitusi ja kahjustanud maaomanike huve, jättes teostamata keskkonna uuringud Natura-alade määramisel. Vt. samas: Vaidlus: spaa viis kohtusse

  10. Teekond iseenda juurde : Sissejuhatus "Filosoofi reisipäevikusse" / Ute Gahrlings ; tõlk. Kairit Kaur

    Index Scriptorium Estoniae

    Gahrlings, Ute

    2003-01-01

    Baltisaksa filosoofist ja publitsististist krahv Hermann von Keyserlingist (1880-1946) ja tema 1911. aastal toimunud ümbermaailamareisist. Tõlke allikas: Einführungen in das Reisetagebuch eines Philosophen. (Käsikiri)

  11. Kasumit kasvatanud Eesti Energia hinnatõusutaotlusest ei tagane / Kaur Paves

    Index Scriptorium Estoniae

    Paves, Kaur

    2011-01-01

    Ettevõtte puhaskasumist, osaluse müügist Jordaania tütarettevõttes, elektri müügist avatud turgudel, elektrihinna tõusu taotlemisest ja uuest kliendiinfosüsteemist. Skeem: Energiahiid teenis hästi

  12. Aasta pärast on Eestil uus valitsus / Max Kaur

    Index Scriptorium Estoniae

    Kaur, Max, 1969-

    2003-01-01

    Autori sõnul on Res Publica uus poliitika osutunud euroremonditud vanaks poliitikaks ning ta ennustab, et järgmiseks sügiseks on Eestil uus valitsuskoalitsioon, mille peaminister on keskerakondlane

  13. Comment on “The role of interbasin groundwater transfers in geologically complex terranes, demonstrated by the Great Basin in the western United States”: report published in Hydrogeology Journal (2014) 22:807–828, by Stephen T. Nelson and Alan L. Mayo

    Science.gov (United States)

    Masbruch, Melissa D.; Brooks, Lynette E.; Heilweil, Victor M.; Sweetkind, Donald S.

    2015-01-01

    The subject article (Nelson and Mayo 2014) presents an overview of previous reports of interbasin flow in the Great Basin of the western United States. This Comment is presented by authors of a cited study (comprising chapters in one large report) on the Great Basin carbonate and alluvial aquifer system (GBCAAS; Heilweil and Brooks 2011; Masbruch et al. 2011; Sweetkind et al. 2011a, b), who agree that water budget imbalances alone are not enough to accurately quantify interbasin flow; however, it is proposed that statements made in the subject article about the GBCAAS report are inaccurate. The Comment authors appreciate the opportunity to clarify some statements made about the work.

  14. Relación del sentimiento de soledad y el estado de salud de los adultos mayores que acuden al Centro Médico Tierra Nueva, mediante la aplicación del cuestionario Sf 36 y escala este , periodo febrero-mayo del 2015”.

    OpenAIRE

    Cantuña Tapuyo, Cristina De Los Ángeles

    2015-01-01

    Antecedentes: Estudios revelan correlación de la soledad en el deterioro de salud. La presente investigación, tiene como objetivo general, analizar la relación del sentimiento de soledad y el estado de salud de los adultos mayores que acuden al Centro Médico Tierra Nueva, en los meses de Febrero a Mayo del 2015. Metodología: Es un estudio de tipo transversal analítico. Se estudió 165 adultos mayores, con la aplicación de la escala ESTE y cuestionario SF 36. Para el análisis de los datos se...

  15. Seguimiento domiciliario a la madre adolescente y su recién nacido durante el puerperio. Hospital de Engativá ESE II nivel. Marzo – Mayo de 2009 / Household monitoring to the teen mother and her newborn during the postpartum period. Engativá hospital E.S.E II level March - May 2009

    OpenAIRE

    Rocha Velásquez , Vivian Gisell; Puentes López, Miguel Antonio

    2009-01-01

    El trabajo: “SEGUIMIENTO DOMICILIARIO A LA MADRE ADOLESCENTE Y SU RECIÉN NACIDO DURANTE EL PUERPERIO. HOSPITAL DE ENGATIVÁ ESE II NIVEL. MARZO – MAYO DE 2009”, es una estrategia del cuidado de enfermería, para identificar y evaluar riesgos y signos de alarma permitiendo planear y ejecutar intervenciones en el hogar apoyando a madres adolescentes en la recuperación de su salud, el aprendizaje en la crianza de sus hijos con el apoyo de la familia, identificando los riesgos tempranamente que pue...

  16. Co-operation Agreement. The Text of the Agreement of 25 May 1998 between the International Atomic Energy Agency and the Brazilian-Argentine Agency for Accounting and Control of Nuclear Materials; Acuerdo de Cooperacion. Texto del Acuerdo de 25 de Mayo de 1998 entre el Organismo Internacional de Energia Atomica y la Agencia Brasileno-Argentina de Contabilidad y Control de Materiales Nucleares

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-06-30

    The text of the Co-operation Agreement between the International Atomic Energy Agency and the Brazilian-Argentine Agency for Accounting and Control of Nuclear Materials is reproduced herein for the information of all Members. The Agreement entered into force on 25 May 1998, pursuant to Article 8 [Spanish] El texto del Acuerdo de Cooperacion entre el Organismo Internacional de Energia Atomica y la Agencia Brasileno-Argentina de Contabilidad y Control de Materiales Nucleares se reproduce en el presente documento para informacion de todos los Miembros. El Acuerdo entro en vigor el 25 de mayo de 1998 en conformidad con lo dispuesto en el articulo 8.

  17. La acuicultura frente a los impactos de la actividad agrícola en la calidad de los servicios ambientales de la cuenca del río mayo. Una propuesta para su abordaje desde la economía ecológica.

    OpenAIRE

    Isaac Shamir Rojas Rodríguez; Vidal Salazar Solano

    2018-01-01

    Objetivo: diseñar una estrategia interdisciplinaria para el análisis de los impactos ambientales de la actividad agrícola, sobre la eficiencia del sistema productivo acuícola en la cuenca del Río Mayo. Metodología: exploración de experiencias científicas en el tratamiento de la contaminación para su síntesis, en un modelo de intervención a nivel de cuenca hidrológica, en alineación con los criterios de la economía ecológica. Se ha utilizado como referente el análisis de la cuenca mexicana del...

  18. Meediaajastu arhitektid = Architects in the Media Era / Pedro Gadanho ; interv. Tõnis Kimmel, Kaur Stöör

    Index Scriptorium Estoniae

    Gadanho, Pedro

    2002-01-01

    Intervjuu 2002. a. märtsis Tallinnas Rotermanni soolalaos eksponeeritud briti arhitektuurinäituse "Space Imvaders" kuraatori P. Gadanhoga. Arhitekti tööst ja rollist kaasaegsetes linlikes protsessides, lühidalt Eesti büroodest jm

  19. A European in the Soviet era: architectural historian Villem Raam / Kaur Alttoa, Juhan Kilumets ; intervjueerinud Eero Epner

    Index Scriptorium Estoniae

    Alttoa, Kaur, 1947-

    2010-01-01

    Kunstiajaloolasest Villem Raamist, kelle põhiline uurimisvaldkond oli keskaegne arhitektuur. Villem Raami elust, uurimismeetoditest, kontaktidest, tähtsamatest objektidest, mida ta uuris, tema arhiivist ja tähtsusest uurijana

  20. Kuldala elamurajoon Rae vallas Harjumaal / Lembit-Kaur Stöör, Margus Maiste, Raivo Kotov...[jt.

    Index Scriptorium Estoniae

    2008-01-01

    joonised: vaade, I-IV korruse plaan (2), planeeringu makett, 5 värv. fotot: 3 välis- ja 2 sisevaadet; fotod: Kaido Haagen; arhitektuurne projekt: KOKO Arhitektid.; autorid: L.-K. Stöör, M. Maiste, R. Kotov, T. Kimmel, hoonete projekteerimine: L.-K. Stöör, M. Maiste, Olga Batuhtina, maastikuarhitektuur: Margit Kärner

  1. Thermal shock tests with beryllium coupons in the electron beam facility JUDITH

    International Nuclear Information System (INIS)

    Roedig, M.; Duwe, R.; Schuster, J.L.A.

    1995-01-01

    Several grades of American and Russian beryllium have been tested in high heat flux tests by means of an electron beam facility. For safety reasons, major modifications of the facility had to be fulfilled in advance to the tests. The influence of energy densities has been investigated in the range between 1 and 7 MJ/m 2 . In addition the influence of an increasing number of shots at constant energy density has been studied. For all samples, surface profiles have been measured before and after the experiments. Additional information has been gained from scanning electron microscopy, and from metallography

  2. Judith Butler y la formación melancólica del sujeto

    Directory of Open Access Journals (Sweden)

    Patricia Romano

    1999-01-01

    Althusser respecto a los efectos psíquicos del poder y los efectos formativos de la prohibición, por considerarlos un apoyo para su tesis sobre la incorporación melancólica. Finalmente, se considera el alcance que esta autora atribuye a la identificación melancólica en la formación del género.

  3. Towards a Research Framework for Race in Education: Critical Race Theory and Judith Butler

    Science.gov (United States)

    Chadderton, Charlotte

    2013-01-01

    There has been much debate around the extent to which post-structuralist theory can be applied to critical research. In this article, it is argued that aspects of the two approaches can be combined, resulting in productive tensions that point towards a possible new framework for researching race and racism in education in the UK. The article…

  4. "The Very Unrecognizability of the Other": Edith Stein, Judith Butler, and the Pedagogical Challenge of Empathy

    Science.gov (United States)

    Kukar, Polina

    2016-01-01

    There is no standard definition of empathy, but the concept is assumed to be innately pro-social and teachable regardless of factors such as power dynamics or other manifestations of social injustice within a society. Such assumptions in discursive practices, whether academic, popular, or pedagogical, obscure the emergence of two important…

  5. H10788: NOS Hydrographic Survey , Point Judith, Rhode Island, 1997-11-05

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The National Oceanic and Atmospheric Administration (NOAA) has the statutory mandate to collect hydrographic data in support of nautical chart compilation for safe...

  6. VALIDACIÓN DE LA PLACA BRUXCHECKER COMO MEDIO DIAGNÓSTICO DE BRUXISMO, COMPARADA CON MODELOS DE ESTUDIO EN LA CLÍNICA DE LA UNIVERSIDAD COOPERATIVA DE COLOMBIA, SEDE BOGOTÁ, DURANTE EL PERIODO COMPRENDIDO ENTRE FEBRERO Y MAYO DEL 2011

    Directory of Open Access Journals (Sweden)

    Claudia Liliana Cabrera Bello

    2012-12-01

    Full Text Available Introducción: El bruxismo es un trastorno del movimiento del sistema masticatorio, caracterizado por apriete,rechinamiento y golpeteo dentario. La ausencia de un elemento diagnóstico para evaluar el patrón de contactos oclusales y diagnosticar el grado de bruxismo llevó a realizar un estudio investigativo para validar la placa bruxchecker. Objetivos: En este estudio se validó la placa bruxchecker como medio diagnóstico para valorar la presencia y ubicación de las interferencias oclusales durante los episodios de bruxismo. Materiales y métodos: Se realizó un estudio de evaluación de pruebas diagnósticas, en una población de 35 pacientes mayores de 18 años que asistieron por primera vez a la clínica de ortodoncia correctiva de la Universidad Cooperativa de Colombia sede Bogotá entre febrero y mayo de  2011, se compararon las marcas en las placas Bruxchecker con los desgastes de las caras oclusales encontrados en los modelos de estudio para determinar la concordancia entre los diagnósticos. Resultados: La placa bruxchecker clasificó correctamente de cada 100 enfermos a 96 y de cada 100 sanos a 57. El valor predictivo positivo es del 96% y del 57% el valor predictivo negativo. La prevalencia de bruxismo medida con la placa  fue de 80% en la población. Conclusiones: Se concluye que la placa es una adecuada herramienta para diagnosticar bruxismo.

  7. VALIDACIÓN DE LA PLACA BRUXCHECKER COMO MEDIO DIAGNÓSTICO DE BRUXISMO, COMPARADA CON MODELOS DE ESTUDIO EN LA CLÍNICA DE LA UNIVERSIDAD COOPERATIVA DE COLOMBIA, SEDE BOGOTÁ, DURANTE EL PERIODO COMPRENDIDO ENTRE FEBRERO Y MAYO DEL 2011

    Directory of Open Access Journals (Sweden)

    Claudia Liliana Cabrera Bello

    2012-07-01

    Full Text Available Introducción: El bruxismo es un trastorno del movimiento del sistema masticatorio, caracterizado por apriete,rechinamiento y golpeteo dentario. La ausencia de un elemento diagnóstico para evaluar el patrón de contactos oclusales y diagnosticar el grado de bruxismo llevó a realizar un estudio investigativo para validar la placa bruxchecker. Objetivos: En este estudio se validó la placa bruxchecker como medio diagnóstico para valorar la presencia y ubicación de las interferencias oclusales durante los episodios de bruxismo. Materiales y métodos: Se realizó un estudio de evaluación de pruebas diagnósticas, en una población de 35 pacientes mayores de 18 años que asistieron por primera vez a la clínica de ortodoncia correctiva de la Universidad Cooperativa de Colombia sede Bogotá entre febrero y mayo de  2011, se compararon las marcas en las placas Bruxchecker con los desgastes de las caras oclusales encontrados en los modelos de estudio para determinar la concordancia entre los diagnósticos. Resultados: La placa bruxchecker clasificó correctamente de cada 100 enfermos a 96 y de cada 100 sanos a 57. El valor predictivo positivo es del 96% y del 57% el valor predictivo negativo. La prevalencia de bruxismo medida con la placa  fue de 80% en la población. Conclusiones: Se concluye que la placa es una adecuada herramienta para diagnosticar bruxismo.

  8. La salud bucal en los jóvenes de la Corporación de Residencias Universitarias 10 de mayo: una aproximación desde la determinación social con énfasis en pertenencia étnica

    Directory of Open Access Journals (Sweden)

    Shirley Andrade Benavides

    2012-09-01

    Full Text Available Objetivo: Investigar la determinación social de la salud bucal de los estudiantes universitarios pertenecientes a comunidades indígenas y afrocolombianos del sur occidente del país, domiciliarios de las Residencias Universitarias 10 de Mayo. Métodos: Se realizo un estudio descriptivo con apoyo en una encuesta individual fundamentada en la Determinación Social, DS. Resultados: La mayor parte de la población es de género femenino y presenta mejor salud bucal que los hombres. Esto se explica por los cambios alimentarios, culturales y sociales, así como el choque con nuevas formas de pensamiento. La mayoría pierde acceso a las Empresas Promotoras de Salud (EPS y subsisten solo con la cobertura de los servicios de bienestar universitario y en algunos casos con apoyo de otros servicios sociales. Conclusiones: La desigualdad social y la falta de acceso a políticas de equidad en salud determinan la salud bucal y el bienestar humano. Aunque se pudo constatar que cuentan con la información sobre cuidado en salud bucal, las condiciones de acceso a la educación son mínimas y tienen otras prioridades. Si bien la calidad de vida del individuo y sunúcleo familiar se puede mejorar, se reconoce que la salud bucal puede aportar a este propósito hábitos saludables de higiene, alimentación y autocuidados. Recomendaciones: Es necesario ampliar la cobertura de servicios de salud de los universitarios y especialmente de los grupos étnicos considerados minoría. Se deben hacer realidad los planteamientos de reconocimiento a las minorías por parte del gobierno. Es necesario un acompañamiento oportuno en primeros semestres.

  9. Elaboración y aplicación de una guía de técnicas plásticas fiorella para desarrollar las habilidades de motricidad fina en los niños y niñas del centro infantil del Buen Vivir “Aida Chávez” del barrio central de la parroquia matriz del cantón Guamote, provincia de Chimborazo en el período mayo-diciembre del 2013.

    OpenAIRE

    Cayán Moreno, Inés Yolanda

    2015-01-01

    El tema del presente trabajo de investigación es: Elaboración y aplicación de una Guía de Técnicas Plásticas “Fiorella” para desarrollar las habilidades de motricidad fina en los niños y niñas del Centro Infantil del Buen Vivir “Aida Chávez” del Barrio Central de la parroquia Matriz del cantón Guamote, provincia de Chimborazo en el período Mayo-Diciembre del 2013, con el objetivo de Demostrar, Evidenciar e Identificar cómo la elaboración y aplicación de la Guía de Técnicas Plásticas “Fiorel...

  10. St. Brendan's High Support Unit, Mulranny, Westport, Mayo.

    LENUS (Irish Health Repository)

    Sheehan, Aisling

    2015-02-01

    Nursing is experiencing a significant deficit in research capacity needed to meet future global healthcare demands-there is a call to double the number of nurses and healthcare professionals with a doctorate.

  11. An Academic Healthcare Twitter Account: The Mayo Clinic Experience.

    Science.gov (United States)

    Widmer, R Jay; Engler, Nicole B; Geske, Jeffrey B; Klarich, Kyle W; Timimi, Farris K

    2016-06-01

    With more than 300 million monthly active users, Twitter is a powerful social media tool in healthcare, yet the characterization of an academic healthcare Twitter account remains poor to date. We assessed basic gender and geographic data on the account's "followers," as well as categorization of each tweet based on content type. We analyzed the impressions, engagements, retweets, favorites, replies, hashtag clicks, and detail expansions using both Sprinklr and Twitter Analytics. Over a period of 12 months, the account amassed 1,235 followers, with 54 percent being male and 68 percent residing in the United States. Of the 1,635 tweets sent out over the life of the account, we report more than 382,464 impressions, 6,023 engagements, 1,255 retweets, 776 favorites, and 1,654 embedded media clicks in this period. When broken down by tweet category, publication tweets garnered the highest engagement with an estimated mean number of clicks per tweet of 8.2 ± 81.9. Original content had higher total engagement per tweet than retweeted material (2.8 ± 9.2 vs. 0.2 ± 0.9 engagements per tweet; p < 0.0001). Tweets regarding internal, national, and continuing medical education events had similar engagement. Herein is the first publication within the medical literature describing a "case series" of cardiovascular tweets over 12 months. We highlight a rapidly emerging group of interactive followers, a successful means by which to disseminate and engage in breaking topics throughout the cardiovascular field, and the importance of combining physician-led knowledge with intermittent marketing messages.

  12. Libros colombianos raros y curiosos Mayo de 1961

    Directory of Open Access Journals (Sweden)

    Ignacio Rodríguez Guerrero

    1961-05-01

    Full Text Available FALLON DIEGO. (1834-1905. Arte de leer, escribir y dictar música. Sistema alfabético por Diego Fallon comparado con la notación conocida. Obra destinada para servir de texto de enseñanza. Bogotá, 1885. Imprenta musical de Diego Fallon. 18 x 27. p. 308.

  13. St. Augustine's Community Nursing Unit, Cathedral Road, Ballina, Mayo.

    LENUS (Irish Health Repository)

    Nicholl, Honor

    2014-04-01

    In 2010\\/12 an innovative children\\'s palliative care interprofessional educational project funded by the Irish Hospice Foundation was undertaken in a University faculty (Trinity College Dublin). This initiative responded to international educational recommendations to meet the palliative care needs of children. The project involved the development and delivery of 3 standalone modules at Master\\'s level and a substantive research evaluation of the project to examine stakeholders and students perspectives to provide an insight into their experiences and to gather data for future developments. The research evaluation was conducted in two parts, part one sought students\\' evaluation and part two sought stakeholders\\

  14. D'Alton Community Nursing Unit, Claremorris, Mayo.

    LENUS (Irish Health Repository)

    Hurley, Deirdre A

    2009-01-01

    BACKGROUND: Chronic low back pain (CLBP) is a persistent disabling condition with rising significant healthcare, social and economic costs. Current research supports the use of exercise-based treatment approaches that encourage people with CLBP to assume a physically active role in their recovery. While international clinical guidelines and systematic reviews for CLBP support supervised group exercise as an attractive first-line option for treating large numbers of CLBP patients at low cost, barriers to their delivery include space and time restrictions in healthcare settings and poor patient attendance. The European Clinical Guidelines have identified the need for research in the use of brief\\/minimal contact self-activation interventions that encourage participation in physical activity for CLBP. Walking may be an ideally suited form of individualized exercise prescription as it is easy to do, requires no special skills or facilities, and is achievable by virtually all ages with little risk of injury, but its effectiveness for LBP is unproven. METHODS AND DESIGN: This study will be an assessor-blinded randomized controlled trial that will investigate the difference in clinical effectiveness and costs of an individualized walking programme and a supervised general exercise programme compared to usual physiotherapy, which will act as the control group, in people with chronic low back pain. A sample of 246 patients will be recruited in Dublin, Ireland through acute general hospital outpatient physiotherapy departments that provide treatment for people with CLBP. Patients will be randomly allocated to one of the three groups in a concealed manner. The main outcomes will be functional disability, pain, quality of life, fear avoidance, back beliefs, physical activity, satisfaction and costs, which will be evaluated at baseline, and 3, 6 and 12 months [follow-up by pre-paid postage]. Qualitative telephone interviews and focus groups will be embedded in the research design to obtain feedback about participants\\' experiences of the interventions and trial participation, and to inform interpretation of the quantitative data. Planned analysis will be by intention to treat (quantitative data) and thematic analysis (qualitative data) DISCUSSION: The trial will evaluate the effectiveness of a walking programme and a supervised general exercise programme compared to usual physiotherapy in people with CLBP. TRIAL REGISTRATION: Current controlled trial ISRCTN17592092.

  15. Reseñas de libros: mayo de 1964

    Directory of Open Access Journals (Sweden)

    Antonio Panesso Robledo

    1964-05-01

    Full Text Available El documento presenta las reseñas de los siguientes títulos: Eric J. Hobsbawm. Las Revoluciones Burguesas. (The Age of Revolutions Gabriel García Marquez. Notas sobre la Mala Hora. Montaña, Antonio: Cuando termine la lluvia. Bogotá, Ediciones Tecer Mundo, 1963. 194 págs. Beinhauer Werner: El español coloquial. Madrid, Editorial Gredos, 1963. 445 págs. Hatzfeld, Helmut: Estudios sobre el barroco. Madrid, Editorial Gredos, 1964. 487 págs.

  16. Adjuvant therapy for ampullary carcinomas: The Mayo Clinic experience

    International Nuclear Information System (INIS)

    Bhatia, Sumita; Miller, Robert C.; Haddock, Michael G.; Donohue, John H.; Krishnan, Sunil

    2006-01-01

    Purpose: To determine the effects of adjuvant radiotherapy and chemotherapy for carcinoma of the ampulla of Vater. Methods and Materials: We retrospectively reviewed the records of 125 patients who underwent definitive surgery for carcinomas involving the ampulla of Vater between April 1977 and February 2005 and who survived more than 50 days after surgery. Twenty-nine of the patients also received adjuvant radiotherapy (median dose, 50.4 Gy in 28 fractions) with concurrent 5-fluorouracil chemotherapy. Adverse prognostic factors were investigated, and overall survival (OS) and local and distant failure were estimated. Results: Adverse prognostic factors for decreased OS by univariate analysis included lymph node (LN) involvement, locally advanced tumors (T3/T4), and poor histologic grade. By multivariate analysis, positive LN status (p = 0.02) alone was associated with decreased OS. The addition of adjuvant radiotherapy and chemotherapy improved OS for patients with positive LN (p = 0.01). Median survival for positive LN patients receiving adjuvant therapy was 3.4 years, vs. 1.6 years for those with surgery alone. Conclusions: The addition of adjuvant radiotherapy and 5-fluorouracil chemotherapy may improve OS in patients with LN involvement. The effect of adjuvant therapy on outcomes for patients with poor histologic grade or T3/T4 tumors without LN involvement could not be assessed

  17. St. Fionnan's Community Nursing Unit, Achill Sound, Mayo.

    LENUS (Irish Health Repository)

    Murphy, JFA

    2012-05-01

    ‘Jading’ is a process of exhaustion in which apathy and cynicism replace the drive to be responsive and caring. ‘Burnout’ a term first coined in the psychology literature in 1974 was based on Graham Greene’s novel ‘A Burnt-Out Case1. It is the umbrella description for disengagement in the workplace setting characterised by withdrawal, denial and inefficiency. There is an alienation from the pressures of work. Marshall and Kasman2 defined it as ‘the loss of motivation for creative thought’. It is the opposite of engagement which is associated with energy and optimism. People who experience all 3 symptoms- emotional exhaustion, negative attitude towards patients, reduced sense of personal accomplishment- have the greatest degree of burnout. It doesn’t get better by being ignored. These processes have serious consequences for the individual involved and the hospital that they work in. The doctor underperforms and the Unit becomes dysfunctional There is decreased quality of care, increased absenteeism, and high staff turnover. There is an inability to make decisions and a failure to set priorities.

  18. St Anne's Private Nursing Home, Sonnagh, Charlestown, Mayo.

    LENUS (Irish Health Repository)

    De Lappe, Niall

    2009-01-01

    BACKGROUND: With the exception of M. tuberculosis, little has been published on the problems of cross-contamination in bacteriology laboratories. We performed a retrospective analysis of subtyping data from the National Salmonella Reference Laboratory (Ireland) from 2000-2007 to identify likely incidents of laboratory cross contamination. METHODS: Serotyping and antimicrobial susceptibility testing was performed on all Salmonella isolates received in the NSRL. Phage typing was performed on all S. Typhimurium and S. Enteritidis isolates while multi-locus variance analysis (MLVA) was performed on selected S. Typhimurium isolates. Pulsed field gel electrophoresis (PFGE) using the PulseNet standard protocol was performed on selected isolates of various serovars. RESULTS: Twenty-three incidents involving fifty-six isolates were identified as likely to represent cross contamination. The probable sources of contamination identified were the laboratory positive control isolate (n = 13), other test isolates (n = 9) or proficiency test samples (n = 1). CONCLUSION: The scale of laboratory cross-contamination in bacteriology is most likely under recognized. Testing laboratories should be aware of the potential for cross-contamination, regularly review protocols to minimize its occurrence and consider it as a possibility when unexpected results are obtained.

  19. Panel. Violencia, Sociedad y Salud. Foro del 11 de Mayo

    Directory of Open Access Journals (Sweden)

    Academia Nacional de Medicina

    1995-12-01

    Full Text Available

    Académico GUSTAVO CRISTO SALDIVIA. Me llama la atención, al ver todo el temario del Foro, que no hay un tema sobre violencia burocrática. No hemos visto lo que de violencia externa pasa a la violencia intrafamiliar. El ciudadano que llega a las puertas de las autoridades y se encuentra con la violencia burocrática, no puede llegar al hogar sino a ejercer violencia, porque está frustrado, porque las autoridades no le remediaron su situación, porque lo trataron como a un cualquiera, porque le negaron la condición de ciudadano, porque le cerraron las puertas. La gente necesita horarios de atención y los burócratas ponen horario de “despacho”.

    Académico JORGE GARCÍA GÓMEZ. El 99% somos católicos y no existe lucha religiosa pero, me pregunto ¿Por qué nos matamos tanto entre católicos? ¿Por qué todos los comunicadores sociales no van a la cárcel si no hacen sino promover crímenes, sexo, violencia? En todos los países del mundo son horas enteras dedicadas a la salud, a la protección familiar.

    En nuestro medio no se estimulan la alimentación materna ni la vacunación. Se presentan 24 horas de TV en las que se habla solamente de crímenes, de violencia. ¿Por qué no los obligan a tener programas de salud? Que a Bienestar Familiar le den horas enteras para estos 35.000 niños abandonados. Las estadísticas de Colombia son dramáticas en relación con los muertos diarios.

    Pregunta el Académico GARCÍA GÓMEZ: ¿Cree usted que el derecho a la intimidad, consagrado por la Constitución de 1991, haya estimulado la violencia intrafamiliar y el estado de impunidad de la misma?

    Respuesta de la doctora MARÍA CRISTINA OCAMPO DE HERRÁN. Van en direcciones distintas la voluntad del constituyente y las situaciones reales de violencia cotidiana. El derecho a la intimidad protege un derecho fundamental: el derecho del ser humano a tener un libre desarrollo de su personalidad. Esto está asociado con la ética. E 1 derecho de cada uno va exactamente hasta donde llegue el derecho del otro. Recuerda los derechos de Abater.

    El de Etica para Amador y política para Amador, donde este filósofo español hace una reflexión en torno a qué es la ética. “La ética no es otra cosa -le dice a su hijo- que el ejercicio de la libertad. Si no hubiera lugar a escoger, tampoco habría lugar para la ética, porque no habría lugar a discernir, al libre albedrío, a diferenciar entre lo bueno y lo malo, como entre maltratar al otro o cuidar del otro”.

    Padre FRANCISCO DE Roux. Yo tengo la convicción, en cuanto a ética política, que esta guerra que ya lleva 35 años es absolutamente perversa, porque falla en el primer criterio de la ética política: los métodos que se están usando deben ser convincentes y cuando un método se vuelve contraproducente, cuando produce lo contrario de lo que se está buscando, hay que entrar a revisarlo con mucha seriedad...

  20. 2013 Suwannee River Water Management District Lidar: Mayo (FL)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Light Detection and Ranging (LiDAR) dataset is a survey of Suwannee River G12PD00242 1.0 Meter LiDAR Survey Area 4, Classified Point Cloud, in north-central...

  1. Adjuvant Therapy for Gallbladder Carcinoma: The Mayo Clinic Experience

    International Nuclear Information System (INIS)

    Gold, Douglas G.; Miller, Robert C.; Haddock, Michael G.; Gunderson, Leonard L.; Quevedo, Fernando; Donohue, John H.; Bhatia, Sumita; Nagorney, David M.

    2009-01-01

    Purpose: To analyze the effect of adjuvant chemoradiotherapy on gallbladder carcinoma. Methods and Materials: We retrospectively reviewed the records from consecutive patients who underwent R0 resection of gallbladder carcinoma between January 1, 1985, and December 31, 2004. Patients had either Stage I (T1-T2N0M0) or Stage II (T3N0M0 or T1-T3N1M0) disease. Patients undergoing adjuvant therapy received 5-fluorouracil chemotherapy concurrently with radiotherapy (median dosage, 50.4 Gy in 28 fractions). Adverse prognostic factors and the effect of adjuvant treatment on overall survival (OS) were evaluated. Results: A total of 73 patients were included in the analysis; of these, 25 received adjuvant chemoradiotherapy. On univariate analysis, no adverse prognostic factors for OS reached statistical significance, but trends were noted for Stage N1 vs. N0 (p = .06), Nx vs. N0 (p = .09), Stage T3 vs. T1-T2 (p = .06), and histologic findings other than adenocarcinoma (p = .13). The median OS for patients receiving adjuvant chemoradiotherapy vs. surgery alone was 4.8 years and 4.2 years, respectively (log-rank test, p = .56). However, a significantly greater percentage of patients receiving adjuvant chemoradiotherapy had Stage II disease (p <.001). In the multivariate Cox model, increasing T and N category and histologic findings other than adenocarcinoma were significant predictors of decreased OS. Additionally, adjuvant chemoradiotherapy was a significant predictor of improved OS after adjusting for these prognostic factors (hazard ratio for death, 0.3; 95% confidence interval, 0.13-0.69; p = .004). Conclusion: After adjusting for the stage parameters and histologic findings, our data suggest that adjuvant chemoradiotherapy might improve OS for patients with gallbladder cancer.

  2. Friars Lodge Nursing Home, Convent Road, Ballinrobe, Mayo.

    LENUS (Irish Health Repository)

    Murphy, JFA

    2011-01-01

    Lack of sleep has well established effects on physiological, cognitive and behavioural functionality. Sleep deprivation can adversely affect clinical performance as severely as alcohol according to some sources. Sleep deficiency may be due to loss of one night’s sleep or repeated interruptions of sleep. Chronic sleep degrades the ability to recognise one’s ability to recognise the impairments induced by sleep loss. The problem of sleep deprivation has vexed acute medical practice for decades. Improvement has been painfully slow. The problem is that all 168 hours throughout every week of every year have to be covered and there are a finite number of doctors to shoulder the burden. There are many strongly held views about how best to provide night-time and week-end care. Constructive innovations are thin on the ground. The biggest gap is between administration and doctors with financial considerations being the limiting factor. It is, however, generally accepted on all sides that sleep loss and fatigue can have adverse effects on both patients and doctors.

  3. Mayo del 68 y los católicos catalanes

    Directory of Open Access Journals (Sweden)

    Martínez Hoyos, Francisco

    2013-06-01

    Full Text Available In 1968, the catalonian Church lived in a full post-council crisis. The most progressive sections felt themselves disappointed because the expected changes after the Second Vatican Council did not achieve. The parisian events affect this ecclesiastic context, which is accentuated by division and the marxism influence. This article is focused on the responses of Alfonso Carlos Comín, «El Ciervo» magazine and the clergy represented by the «Correspondència» review.En 1968, la Iglesia catalana vivía en plena crisis postconciliar. Los sectores más progresistas se sentían decepcionados porque no se habían producido los cambios que esperaban tras el Vaticano II. Los acontecimientos parisinos inciden sobre este contexto eclesial, marcado por la división y el influjo del marxismo. El artículo se centra en las reacciones de Alfonso Carlos Comín, El Ciervo y el clero representado por la revista Correspondència.

  4. Marian House Alzheimer Unit, Main Street, Ballindine, Mayo.

    LENUS (Irish Health Repository)

    Crosby, David A

    2017-06-06

    To determine the median interpregnancy maternal weight change between first and second pregnancies, and second and third pregnancies and to assess the impact of this weight change on pregnancy outcome in a cohort of women with a macrosomic first delivery.

  5. St Anne's Private Nursing Home, Sonnagh, Charlestown, Mayo.

    LENUS (Irish Health Repository)

    Malone, Helen

    2014-03-01

    A major goal of nursing and midwifery is the delivery of evidence-based practice. Consequently, it is essential for the quality and safety of patient\\/client care that policy makers, educators and practitioners are aware of the presence of potential systematic bias in research practice and research publications so that only sound evidence translates into practice. The main aim of this paper is to highlight the need for ongoing awareness of the potential presence of systematic bias in research practice, to explore commonly reported types of systematic bias and to report some methods that can be applied to minimise systematic bias in research.

  6. Violencia, Sociedad y Salud. Foro del 11 de Mayo

    Directory of Open Access Journals (Sweden)

    Academia Nacional de Medicina

    1995-12-01

    Full Text Available

    Introducción

    La Academia Nacional de Medicina, consciente de su alta responsabilidad social y del deber moral que tiene, como máximo organismo asesor del Gobierno en lo relacionado con la salud, consideró necesario e inaplazable promover un estudio a fondo sobre el problema de la violencia en Colombia, ante el notable recrudecimiento de este preocupante flagelo, que la coloca entre los países más violentos del mundo, y frente a las circunstancias manifiestas de progresiva agresividad que afecta a la familia, al individuo, al funcionario público, a la autoridad, y que ha convertido al delincuente común, al guerrillero y al narcotraficante en crueles destructores de la tranquilidad ciudadana.

    Las graves implicaciones de la violencia sobre la salud del individuo y de la comunidad, no sólo desde el punto de vista psicológico y físico, sino de las consecuencias notables sobre los pre-supuestos del sector y sobre el desarrollo y la economía nacionales, además de la mala imagen internacional, exigen una acción frontal contra este flagelo, de todos los estamentos gubernamentales y privados y los esfuerzos decisivos de la universidad, de las organizaciones gremiales y científicas, en una palabra de todos los conglomerados representativos, entre los cuales la Academia juega papel de liderazgo.

    Organismos Internacionales, liderados por la Organización Panamericana de la Salud, convocaron a fines del año pasado a representantes de los países Americanos para tratar el tema de la violencia y sus implicaciones sobre la sociedad, en particular sobre la salud. En la importante Conferencia Interamericana celebrada en Washington, revisaron a profundidad aspectos como el de la violencia como problema de salud pública, la democracia sin violencia, la cultura de paz para el siglo XXI, la economía política de la no violencia, la construcción de las relaciones sociales no violentas.

    La trascendental reunión concluyó con una histórica declaración en la cual se convocó a los gobiernos, a las comunidades, a la sociedad, a las organizaciones de todo orden, a un esfuerzo conjunto, objetivo y práctico, que debe iniciarse de inmediato con la motivación a todos los niveles y el desplazamiento de todos los recursos posibles...

  7. Friars Lodge Nursing Home, Convent Road, Ballinrobe, Mayo.

    LENUS (Irish Health Repository)

    McGrath, Bridget

    2012-01-01

    This study explored registered psychiatric nurses\\' (RPNs\\') interactions and level of empathy towards service users with a diagnosis of borderline personality disorder (BPD). A qualitative approach was used, and 17 RPNs were interviewed using a semistructured interview schedule incorporating the "staff-patient interaction response scale" (SPIRS). Four themes emerged following data analysis: "challenging and difficult," "manipulative, destructive and threatening behaviour," "preying on the vulnerable resulting in splitting staff and other service users," and "boundaries and structure." Additionally, low levels of empathy were evident in the majority of participants\\' responses to the SPIRS. The findings provide further insight on nurses\\' empathy responses and views on caring for service users with BPD and further evidence for the need for training and education for nurses in the care of service users diagnosed with BPD.

  8. Queen of Peace Nursing Home, Churchfield, Knock, Mayo.

    LENUS (Irish Health Repository)

    Ryan, Ruth CM

    2011-10-24

    Abstract Background Dendritic cells (DCs) connect innate and adaptive immunity, and are necessary for an efficient CD4+ and CD8+ T cell response after infection with Mycobacterium tuberculosis (Mtb). We previously described the macrophage cell death response to Mtb infection. To investigate the effect of Mtb infection on human DC viability, we infected these phagocytes with different strains of Mtb and assessed viability, as well as DNA fragmentation and caspase activity. In parallel studies, we assessed the impact of infection on DC maturation, cytokine production and bacillary survival. Results Infection of DCs with live Mtb (H37Ra or H37Rv) led to cell death. This cell death proceeded in a caspase-independent manner, and without nuclear fragmentation. In fact, substrate assays demonstrated that Mtb H37Ra-induced cell death progressed without the activation of the executioner caspases, 3\\/7. Although the death pathway was triggered after infection, the DCs successfully underwent maturation and produced a host-protective cytokine profile. Finally, dying infected DCs were permissive for Mtb H37Ra growth. Conclusions Human DCs undergo cell death after infection with live Mtb, in a manner that does not involve executioner caspases, and results in no mycobactericidal effect. Nonetheless, the DC maturation and cytokine profile observed suggests that the infected cells can still contribute to TB immunity.

  9. Marian House Alzheimer Unit, Main Street, Ballindine, Mayo.

    LENUS (Irish Health Repository)

    Sotthibundhu, Areechun

    2016-01-01

    Cellular reprogramming is a stressful process, which requires cells to engulf somatic features and produce and maintain stemness machineries. Autophagy is a process to degrade unwanted proteins and is required for the derivation of induced pluripotent stem cells (iPSCs). However, the role of autophagy during iPSC maintenance remains undefined.

  10. Conservative management of pineal tumors - Mayo clinic experience

    International Nuclear Information System (INIS)

    Laws, E.R.; Abay, E.O.; Forbes, G.S.; Grado, G.L.; Bruckman, J.E.; Scott, M.

    1984-01-01

    The typical pineal tumor occurs in an adolescent boy with subacute increased intracranial pressure and Parinaud's syndrome. Diagnosis is confirmed by CT scanning, and long-term survival usually following shunting and radiation therapy. Direct surgical methods for successful treatment of suitable pineal tumors have evolved and may be utilized with relatively low risk in appropriate cases

  11. Detection of metabolites in Flor de Mayo common beans (Phaseolus ...

    African Journals Online (AJOL)

    katia

    2012-07-10

    Jul 10, 2012 ... beans involves beneficial effects of inoculation on plant growth and development parameters and can be taken ..... deficit as a driver of the mutualistic relationship between the fungus ... Utilization of the plant hormone indole-.

  12. Queen of Peace Nursing Home, Churchfield, Knock, Mayo.

    LENUS (Irish Health Repository)

    Teljeur, Conor

    2010-01-01

    BACKGROUND: Estimating the supply of GPs into the future is important in forecasting shortages. The lengthy training process for medicine means that adjusting supply to meet demand in a timely fashion is problematic. This study uses Ireland as a case study to determine the future demand and supply of GPs and to assess the potential impact of several possible interventions to address future shortages. METHODS: Demand was estimated by applying GP visit rates by age and sex to national population projections. Supply was modelled using a range of parameters derived from two national surveys of GPs. A stochastic modelling approach was adopted to determine the probable future supply of GPs. Four policy interventions were tested: increasing vocational training places; recruiting GPs from abroad; incentivising later retirement; increasing nurse substitution to enable practice nurses to deliver more services. RESULTS: Relative to most other European countries, Ireland has few GPs per capita. Ireland has an ageing population and demand is estimated to increase by 19% by 2021. Without intervention, the supply of GPs will be 5.7% less than required in 2021. Increasing training places will enable supply to meet demand but only after 2019. Recruiting GPs from overseas will enable supply to meet demand continuously if the number recruited is approximately 0.8 per cent of the current workforce per annum. Later retirement has only a short-term impact. Nurse substitution can enable supply to meet demand but only if large numbers of practice nurses are recruited and allowed to deliver a wide range of GP services. CONCLUSIONS: A significant shortfall in GP supply is predicted for Ireland unless recruitment is increased. The shortfall will have numerous knock-on effects including price increases, longer waiting lists and an increased burden on hospitals. Increasing training places will not provide an adequate response to future shortages. Foreign recruitment has ethical considerations but may provide a rapid and effective response. Increased nurse substitution appears to offer the best long-term prospects of addressing GP shortages and presents the opportunity to reshape general practice to meet the demands of the future.

  13. St Anne's Private Nursing Home, Sonnagh, Charlestown, Mayo.

    LENUS (Irish Health Repository)

    Kent, B D

    2011-05-01

    We present the case of a 54-year old woman referred to our service with an unusual presentation of an under-diagnosed condition. A life-long non-smoker, she was referred to respiratory services by our emergency department with a left sided pneumothorax, progressive dyspnoea on exertion, and recurrent chest infections. Subsequent investigation yielded findings consistent with Mounier-Kuhn syndrome (Tracheobronchomegaly), a condition characterised by marked dilatation of the proximal airways, recurrent chest infection, and consequent emphysema and bronchiectasis. Although rarely diagnosed, some degree of Mounier-Kuhn syndrome may occur in up to 1 in 500 adults.

  14. SISMOS DEL 11 DE MAYO DE 2011 EN LORCA

    Directory of Open Access Journals (Sweden)

    Juan Bautista Martínez Guevara

    2011-01-01

    Full Text Available Los sismos son un fenómeno recurrente en esta zona. Un análisis inicial de datos de los terremotos acaecidos en Lorca, nos permiten apuntar lecciones que deberíamos aprender para la evaluación del riesgo sísmico (peligrosidad, vulnerabilidad y costo, incorporarlas a la norma de construcción sismorresistente, y hacer que el período de resiliencia fuese lo más corto y menos costoso posible. Todo ello permitiría gestionar mejor los futuros planes de protección civil.

  15. CARACTERÍSTICAS, DINÁMICA Y CAUSAS DEL MOVIMIENTO EN MASA DEL BARRIO EL SOCORRO (31 DE MAYO DE 2008 EN MEDELLÍN CHARACTERISTICS, DYNAMICS AND CAUSES OF THE MOMENT IN MAS OF THE DISTRICT EL SOCORRO (MAY 31, 2008 IN MEDELLÍN

    Directory of Open Access Journals (Sweden)

    Édier Aristizábal

    2008-12-01

    Full Text Available El presente artículo describe las causas y dinámica del movimiento en masa del día 31 de mayo de 2008 en la parte alta del barrio San Pedro, sector Las Peñitas del municipio de Medellín, el cual dejó un saldo trágico de 27 personas muertas y 16 lesionadas, además de la destrucción de 20 viviendas del barrio El Socorro. Sumado a Rosellón (1927, Media Luna (1954, Santo Domingo (1974, Villatina (1987 y El Barro (2005, corresponde a uno de los eventos más trágicos que han golpeado el valle de Aburrá en toda su historia. Para la caracterización del área del evento se utilizaron estudios previos realizados por diferentes instituciones de reconocido prestigio; para la caracterización, descripción de la dinámica predominante del evento y sus causas se usaron evidencia de campo recolectada en recorridos sobre el terreno e inspección visual el mismo día en que ocurrió, de forma tal que no se modificara por las labores propias de rescate, y finalmente se recurrió a los datos de precipitación de diferentes estaciones hidrometeorológicas de Empresas Públicas de Medellín (EPM y del Instituto de Hidrología, Meteorología y Estudios Ambientales de Colombia (IDEAM, con el fin de evaluar la influencia de la lluvia como elemento desencadenante. El evento inicial fue clasificado como un deslizamiento rotacional simple en dirección noreste, con una longitud aproximada de 60 m, el cual, debido a la saturación del material, se transformó en un movimiento tipo flujo de escombros que avanzó 140 m en dirección SE y NE. Como causas del evento se encuentran las pobres condiciones geomecánicas del material fuente y la cantidad de lluvia acumulada precedente de los últimos 15 días y antecedente del día 30 de mayo, cuando en tan solo 2 horas y 30 minutos cayeron 83,3 mm sobre la ciudad.The article presents the causes and dynamic of the mass movement which occurred on May 31, 2008 in the higher part of San Pedro settlement, called Las Pe

  16. Morbilidad dermatológica en la unidad sanitaria "1o de mayo", Lanús Este, Buenos Aires, agosto de 2009 a enero de 2010 Dermatological morbididad in the sanitary unit "May, 1st", East Lanus, Buenos Aires, August, 2009 to January, 2010

    Directory of Open Access Journals (Sweden)

    CI Martínez Berré

    2010-06-01

    Full Text Available Las enfermedades cutáneas suponen un porcentaje muy significativo de la carga asistencial en la consulta de atención primaria. Los objetivos son: determinar la frecuencia de las enfermedades cutáneas como motivo de consulta en atención primaria y caracterizarlas. Se realizó un estudio observacional, descriptivo y de corte transversal, realizado del 1o de Agosto de 2009 al 31 de Enero de 2010, en la Unidad Sanitaria "1o de Mayo" de Lanús Este, Buenos Aires. Las consultas por enfermedad dermatológica representaron el 5,36% de todas las consultas recibidas (n=10 388, en el centro de salud para el mismo período. El rango de edad entre 20-34 años presentó mayor número de consultas 29,98% (n=167. El 65,35% (n=364 eran mujeres. El 42,73% (n=238 de los pacientes se agruparon en cinco diagnósticos: eczema (17,59%, n=98, escabiosis (8,08%, n=45, acné (6,82%, n= 38, reacción alérgica (5,75%, n= 32 y forúnculos (4,49%, n=25. Dermatitis y eczema fueron el grupo más diagnosticado. El segundo grupo más frecuente en adultos fue trastorno de los apéndices de la piel, a expensas del acné (8% vs 3,82%. En niños el segundo grupo más detectado fue enfermedades infecciosas y parasitarias, a expensas de la escabiosis (13,38% vs 6%. El acné y la escabiosis fueron más frecuentes en Agosto que en Enero (meses representativos de invierno y verano respectivamente. En el verano las reacciones alérgicas fueron cuatro veces más frecuentes y los forúnculos se sextuplicaron. Las enfermedades dermatológicas representan un porcentaje elevado de la actividad asistencial en la consulta de atención primaria.The cutaneous diseases ocuppy a very significative proportion of the daily consultation in primary care. The objective is to determine the frequency of the cutaneous diseases as a motive of consultation in primary care and to characterize them. An observational and descriptive study, of transverse cut, was performed between August 1st, 2009 and

  17. Michel Foucault, Judith Butler, y los cuerpos e identidades críticas, subversivas y deconstructivas de la Intersexualidad

    Directory of Open Access Journals (Sweden)

    González Vázquez, Araceli

    2009-06-01

    Full Text Available Intersexuality is considered a critical, subversive and deconstructive tool for the categories of sex and gender, in particular from social constructivist theoretical positions well nurtured by post-estructuralist rethoric. The purpose of this article is to discuss the reception of Foucault’s thought in studies on Intersexuality, explain his concepts and how they are incorporated, and which ideas they contribute to destabilizing or reifying within the current debates.

    La Intersexualidad es considerada una herramienta de crítica, subversión y deconstrucción de las categorías sexo y género, singularmente desde posiciones ligadas al constructivismo social y muy nutridas por las retóricas postestructuralistas. La propuesta de este artículo es la de discutir la recepción del pensamiento de Michel Foucault en los estudios sobre la Intersexualidad, y explicar qué conceptos y cómo se incorporan, y qué ideas contribuyen a desestabilizar o reificar dentro de estos debates.

  18. Väär vastandus: vastus Seyla Benhabibile ja Judith Butlerile / Nancy Fraser ; tõlk. Merilin Sikk

    Index Scriptorium Estoniae

    Fraser, Nancy

    2006-01-01

    Benhabibi-Butleri mõttevahetus tekitab autori arvates väära vastanduse ning ebavajalikke polarisatsioone. Feministid ei pea valima kriitilise teooria ja poststrukturalismi vahel, selle asemel võiks rekonstrueerida kumbagi lähenemist viisil, et see teisega sobituks, leiab autor

  19. Additions to the early construction history of the Kuressaare Bishop's Castle / Garel Püüa, Guido Toos, Kaur Alttoa, Villu Kadakas

    Index Scriptorium Estoniae

    2013-01-01

    2012. aastal lõpetati kolm aastat kestnud väliuuringud Kuressaare piiskopilinnuse territooriumil. 2012. aasta välitööd keskendusid Kuressaare pealinnuse uurimisele. Esmalt on Kuressaares ehitatud ringmüüriga kastelli. Kastell-linnust pole kunagi valmis ehitatud. Tööd on miskipärast ootamatult katkenud. Seejärel on hakatud ehitama konvendihoonet. Koos konvendihoone rajamisega on toimunud esimese ringmüüri ehitus ja arvatavasti 14. sajandi lõpukümnenditel on hakatud kaevama vallikraavi ja rajama dolomiitplokkidest kontreskarpi. Maapinna tõstmine väljaspool vallikraavi toimus tõenäoliselt 14. sajandi lõpul 15. sajandi algul

  20. Ka Vanapagan on inimene ehk analyze that : Eesti kõige levinum teatrivorm on trikiteater, mis kasutab inimeste lõbustamiseks trikke / Kaur Kender

    Index Scriptorium Estoniae

    Kender, Kaur, 1971-

    1999-01-01

    Trikkidest, palaganist ja heast huumorist Eesti teatris. Meeldejäävate hea huumori näidete hulgas on nimetatud John Patrikcu" Grupipilti", Eino Baskini lavastuses Vanalinnastuudios (1983), esile toodud Vello Jansoni mängu;Thomas Bernhardi "Harjumuse jõudu"(1998) Eesti Draamateatris, lavastaja Lembit Peterson, esile toodud Aarne Üksküla mängu, ja A. H. Tammsaare järgi tehtud lavastust "Põrgupõhja uus Vanapagan" Eesti Humanitaarinstituudi teatriõppetooli üliõpilaste esituses Kirjanike Majas

  1. 1α,6β,7β,11α,15β-Pentahydroxy-7α,20-epoxy-ent-kaur-16-ene

    Directory of Open Access Journals (Sweden)

    Chuang Feng

    2010-02-01

    Full Text Available The title compound, C20H30O6, a natural ent-kaurane diterpenoid, named nervosanin B, was obtained from the medicinal plant Isodon serra. It is composed of four rings with the expected trans and cis junctions. One of the six-membered rings is in a chair conformation, the other two are in boat conformations and the five-membered ring adopts an evenlope conformation. The molecules stack along the a axis and are linked together by intermolecular O—H...O hydrogen bonds. Two intramolecular O—H...O interactions also occur.

  2. 15α,20β-Dihydroxy-6β-methoxy-6,7-seco-6,20-epoxy-1,7-olide-ent-kaur-16-ene

    Directory of Open Access Journals (Sweden)

    Fu-Lin Yan

    2010-04-01

    Full Text Available The title compound, C21H30O6, a natural ent-kaurane diterpenoid, was obtained from the medicinal plant Isodon serra. The five rings in the molecule exhibit the expected cis and trans junctions. The three six-membered rings adopt chair, twist-boat and boat conformations, while two five-membered rings adopt envelope conformations. There are two molecules in the asymmetric unit, related by a non-crystallographic twofold screw axis; the main difference is in the different degrees of distortion of ring B. In the crystal, the molecules are linked by intermolecular O—H...O hydrogen bonds, forming chains along the b axis.

  3. 6β-Acetoxy-1α,7β,11β,15β-tetrahydroxy-7α,20-epoxy-ent-kaur-16-ene

    Directory of Open Access Journals (Sweden)

    Fu-Lin Yan

    2010-02-01

    Full Text Available The title compound, C22H32O7, a natural ent-kaurane diterpenoid also referred to as Maoyecrystal F, was obtained from the medicinal plant Isodon nervosa. There are four rings with the expected cis and trans junctions. Cyclohexane ring A adopts a chair conformation, rings B and C adopt boat conformations, while the five-membered ring has an envelope conformation. The molecules stack along the a axis in the crystal and are linked together by intermolecular O—H...O hydrogen bonds.

  4. Ärikinnisvara on paljudel ettevõtetel endiselt ülehinnatud / Kaur-Kaspar Kulli, Tõnu Luts, Andres Hall, Margus Tinno

    Index Scriptorium Estoniae

    2009-01-01

    Ettevõte, kus ei ole kinnisvarainvesteeringuid 2007. aastaga võrreldes vähemalt 30% madalama hinnaga kajastatud, hoiab tõenäoliselt bilansis ülehinnatud varasid, mistõttu kannatab finantsaruandluse usaldusväärsus

  5. African Journal of Biotechnology - Vol 14, No 21 (2015)

    African Journals Online (AJOL)

    Evaluation of antioxidant and antimutagenic potential of Justicia adhatoda leaves extract · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. A Kaur, D Kaur, S Arora, 1807-1819 ...

  6. Journal of Genetics | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Home; Journals; Journal of Genetics. ANUPAM KAUR. Articles written in Journal of Genetics. Volume 95 Issue 3 September 2016 pp 505-513 RESEARCH ARTICLE. Maternal MTHFR polymorphism (677 C–T) and risk of Down's syndrome child: meta-analysis · AMANDEEP KAUR ANUPAM KAUR · More Details Abstract ...

  7. Anesthesia Practice in Pediatric Radiation Oncology: Mayo Clinic Arizona's Experience 2014-2016.

    Science.gov (United States)

    Khurmi, Narjeet; Patel, Perene; Koushik, Sarang; Daniels, Thomas; Kraus, Molly

    2018-02-01

    Understanding the goals of targeted radiation therapy in pediatrics is critical to developing high quality and safe anesthetic plans in this patient population. An ideal anesthetic plan includes allaying anxiety and achieving optimal immobilization, while ensuring rapid and efficient recovery. We conducted a retrospective chart review of children receiving anesthesia for radiation oncology procedures from 1/1/2014 to 7/31/2016. No anesthetics were excluded from the analysis. The electronic anesthesia records were analyzed for perianesthetic complications along with efficiency data. To compare our results to past and current data, we identified relevant medical literature covering a period from 1984-2017. A total of 997 anesthetic procedures were delivered in 58 unique patients. The vast majority of anesthetics were single-agent anesthesia with propofol. The average duration of radiation treatment was 13.24 min. The average duration of anesthesia was 37.81 min, and the average duration to meet discharge criteria in the recovery room was 29.50 min. There were seven instances of perianesthetic complications (0.7%) and no complications noted for the 80 CT simulations. Two of the seven complications occurred in patients receiving total body irradiation. The 5-year survival rate for pediatric cancers has improved greatly in part due to more effective and targeted radiation therapy. Providing an anesthetic with minimal complications is critical for successful daily radiation treatment. The results of our data analysis corroborate other contemporary studies showing minimal risk to patients undergoing radiation therapy under general anesthesia with propofol. Our data reveal that single-agent anesthesia with propofol administered by a dedicated anesthesia team is safe and efficient and should be considered for patients requiring multiple radiation treatments under anesthesia.

  8. Early experience of a fall and fracture prevention clinic at Mayo General Hospital.

    LENUS (Irish Health Repository)

    Hanley, A

    2010-06-01

    Falls in the elderly are a significant public health problem. Previous studies have shown that most falls are multifactorial and an efficacious way of reducing the risk of falling is provided by a falls clinic.

  9. Comparative analysis of fracture characteristics of the developing mandible: the Mayo Clinic experience.

    Science.gov (United States)

    Siwani, Rizwan; Tombers, Nicole M; Rieck, Kevin L; Cofer, Shelagh A

    2014-07-01

    To review and compare the epidemiology and treatment of mandibular fractures in subgroups of a pediatric population. We conducted a retrospective review of pediatric patients (age, ≤18 years) with mandibular fractures treated at our institution from January 1996 through November 2011. We identified 122 patients (93 [76%] male) with 216 mandibular fractures. The prevalent mechanisms of injury were motor vehicle accidents (n=52 [43%]), sports injuries (n=24 [20%]), and assault (n=13 [11%]). The most common fracture sites were subcondylar, parasymphyseal, angle, and body. Two patients (2%) were treated conservatively by observation only, 67 (55%) underwent maxillomandibular fixation alone, 41 (34%) underwent maxillomandibular fixation with plate fixation, and 7 (5.7%) underwent plate fixation only. The average duration of maxillomandibular fixation was 26 days (range, 7-49 days). Complications occurred in 11 patients (9.0%) over a mean follow-up of 92 days (range, 21-702 days). Fifty patients (41.0%) had comorbid conditions or a history of mental illness at the time of injury, including attention deficit hyperactivity disorder (n=11 [9%]), mental disorders other than attention deficit hyperactivity disorder (n=23 [19%]), and asthma (n=17 [14%]). Twenty-six patients (21%) had a history of substance use, the most common being tobacco (n=18 [15%]), alcohol (n=13 [11%]), and marijuana (n=11 [9%]). Treatment approach and outcomes were affected by age and fracture characteristics. In addition, a marked proportion of this cohort had preexisting mental disorders and history of substance use, which may have implications on treatment approach. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  10. Mayo del 68, cuarenta años después. Entre herencias y controversias.

    Directory of Open Access Journals (Sweden)

    Virginie Laurent.

    2009-08-01

    Full Text Available Was May of ´68 a revolt or revolution? Was it a student movement or a working-class one? Was May of ´68 French or global in character? May of ´68, which combined unprecedented student protests with a massive general strike, left a strong imprint on the political, social, and cultural development of French society. Starting with a contextualization of the “facts,” this article reflects on the direct and indirect effects, as well as controversies, that May of ´68 still generates forty years later. It emphasizes the way that young people today perceive the events of period and how May of ´68 was at the center of the 2007 French presidential campaign.

  11. A designated centre for people with disabilities operated by Western Care Association - Mayo

    LENUS (Irish Health Repository)

    Harrison, Peter

    2017-06-01

    The experimental gingivitis study of Löe et al.1 demonstrated a cause and effect relationship between plaque accumulation and gingival inflammation, and helped to establish plaque\\/biofilm as the primary risk factor for gingivitis. When healthy individuals withdrew oral hygiene efforts, gingival inflammation ensued within 21 days in all subjects. Once effective plaque removal was recommenced, clinical gingival health was quickly re-established – indicating that plaque-associated inflammation is modifiable by plaque control. As current consensus confirms that gingivitis and periodontitis may be viewed as a continuum of disease,2 the rationale for achieving effective plaque control is clear.

  12. A designated centre for people with disabilities operated by Western Care Association, Mayo

    LENUS (Irish Health Repository)

    Breen, Patricia

    2010-01-01

    Formative evaluation is conducted in the early stages of system implementation to assess how it works in practice and to identify opportunities for improving technical and process performance. A formative evaluation of a teleneurophysiology service was conducted to examine its technical and sociological dimensions.

  13. Catheter-based intervention for pulmonary vein stenosis due to fibrosing mediastinitis: The Mayo Clinic experience

    Directory of Open Access Journals (Sweden)

    Shiva P. Ponamgi

    2015-09-01

    Conclusions: We describe the largest reported case series of catheter-based intervention for PV stenosis in FM. Although catheter-based therapy improved hemodynamics, short-term vascular patency, and patient symptoms, the rate of life-threatening complications, restenosis, and mortality associated with these interventions was found to be high. Despite these associated risks, catheter-based intervention is the only palliative option available to improve quality of life in severely symptomatic patients with PV stenosis and FM. Patients with PV stenosis and FM (especially those with bilateral disease have an overall poor prognosis in spite of undergoing these interventions due to the progressive and recalcitrant nature of the disease. This underscores the need for further innovative approaches to manage this disease.

  14. Radiotherapy for malignancy in patients with scleroderma: The Mayo Clinic experience

    International Nuclear Information System (INIS)

    Gold, Douglas G.; Miller, Robert C.; Petersen, Ivy A.; Osborn, Thomas G.

    2007-01-01

    Purpose: To determine the frequency of acute and chronic adverse effects in patients with scleroderma who receive radiotherapy for treatment of cancer. Methods and Materials: Records were reviewed of 20 patients with scleroderma who received radiotherapy. Acute and chronic toxic effects attributable to radiotherapy were analyzed, and freedom from radiation-related toxicity was calculated. Results: Of the 20 patients, 15 had acute toxic effects, with Grade 3 or higher toxicity for 3 patients. Seven patients had self-limited Grade 1 or 2 radiation dermatitis, and no patient had Grade 3 or higher radiation dermatitis. Thirteen patients had chronic toxic effects, with Grade 3 or higher chronic toxicity for 3 patients. The median estimated time to any grade chronic toxicity was 0.4 years, and the median estimated time to Grade 3 or higher chronic toxicity has not been reached. Conclusions: The results suggest that although some patients with scleroderma treated with radiation experience considerable toxic effects, the occurrence of Grade 3 or higher toxicity may be less than previously anticipated

  15. The Aztec, Frida Kahlo, and Cinco de Mayo: Mexico in Children's Literature

    Science.gov (United States)

    Bauml, Michelle; Field, Sherry L.

    2012-01-01

    The authors provide an overview of children's books published in the United States during the last decade (2000-2010) that deal with Mexico and Mexican people. Suggested guidelines for selecting quality books and a list of award-winning titles are included as resources for teaching about Mexico. (Contains 2 tables and 4 figures.)

  16. A designated centre for people with disabilities operated by Western Care Association, Mayo

    LENUS (Irish Health Repository)

    Mc Hugh, Sheena M

    2014-09-01

    In 2006, the Health Service Executive (HSE) in Ireland established an Expert Advisory Group (EAG) for Diabetes, to act as its main source of operational policy and strategic advice for this chronic condition. The process was heralded as the starting point for the development of formal chronic disease management programmes. Although recommendations were published in 2008, implementation did not proceed as expected. Our aim was to examine the development of recommendations by the EAG as an instrumental case study of the policy formulation process, in the context of a health system undergoing organisational and financial upheaval.

  17. A designated centre for people with disabilities operated by Western Care Association, Mayo

    LENUS (Irish Health Repository)

    MacFarlane, Anne

    2011-11-19

    Abstract Background Implementation researchers have attempted to overcome the research-practice gap in e-health by developing tools that summarize and synthesize research evidence of factors that impede or facilitate implementation of innovation in healthcare settings. The e-Health Implementation Toolkit (e-HIT) is an example of such a tool that was designed within the context of the United Kingdom National Health Service to promote implementation of e-health services. Its utility in international settings is unknown. Methods We conducted a qualitative evaluation of the e-HIT in use across four countries--Finland, Norway, Scotland, and Sweden. Data were generated using a combination of interview approaches (n = 22) to document e-HIT users\\' experiences of the tool to guide decision making about the selection of e-health pilot services and to monitor their progress over time. Results e-HIT users evaluated the tool positively in terms of its scope to organize and enhance their critical thinking about their implementation work and, importantly, to facilitate discussion between those involved in that work. It was easy to use in either its paper- or web-based format, and its visual elements were positively received. There were some minor criticisms of the e-HIT with some suggestions for content changes and comments about its design as a generic tool (rather than specific to sites and e-health services). However, overall, e-HIT users considered it to be a highly workable tool that they found useful, which they would use again, and which they would recommend to other e-health implementers. Conclusion The use of the e-HIT is feasible and acceptable in a range of international contexts by a range of professionals for a range of different e-health systems.

  18. A designated centre for people with disabilities operated by Western Care Association, Mayo

    LENUS (Irish Health Repository)

    Ryan, M A

    2017-06-01

    The Irish National Consent Policy (NCP)¹ proposes that the legal requirement for consent extends to all forms of interventions, investigations and treatment, carried out on or behalf of the Health Service Executive (HSE). This study employs a quantitative descriptive approach to investigate the practices for obtaining consent for an identified group of routine neonatal procedures in neonatal facilities throughout Ireland. The BAPM (British Association of Perinatal Medicine)² guidelines were identified as ‘gold standard’ for the purposes of this study. The results indicated a lack of consistency between participating units pertaining to the modes of consent utilised and notable variances from ‘gold standard’ guidelines. Unanimity was evident for 3 procedures only (administering BCG, 6-in-1, and donor breast milk to infant). Significant findings related to EEG with video recordings, MRI\\/CT and gastro intestinal imaging, screening of an infant with suspected substance abuse or retinopathy of prematurity screening (ROP), administration of Vitamin K, and the carrying out of a lumbar puncture.

  19. Multiple sclerosis, brain radiotherapy, and risk of neurotoxicity: The Mayo Clinic experience

    International Nuclear Information System (INIS)

    Miller, Robert C.; Lachance, Daniel H.; Lucchinetti, Claudia F.; Keegan, B. Mark; Gavrilova, Ralitza H.; Brown, Paul D.; Weinshenker, Brian G.; Rodriguez, Moses

    2006-01-01

    Purpose: The aim of this study was a retrospective assessment of neurotoxicity in patients with multiple sclerosis (MS) receiving external beam radiotherapy (EBRT) to the brain. Methods and Materials: We studied 15 consecutively treated patients with MS who received brain EBRT. Neurologic toxicity was assessed with the Common Toxicity Criteria v.3.0. Results: Median follow-up for the 5 living patients was 6.0 years (range, 3.3-27.4 years). No exacerbation of MS occurred in any patient during EBRT. Five patients had Grade 4 neurologic toxicity and 1 had possible Grade 5 toxicity. Kaplan-Meier estimated risk of neurotoxicity greater than Grade 4 at 5 years was 57% (95% confidence interval, 27%-82%). Toxicity occurred at 37.5 to 54.0 Gy at a median of 1.0 year (range, 0.2-4.3 years) after EBRT. Univariate analysis showed an association between opposed-field irradiation of the temporal lobes, central white matter, and brainstem and increased risk of neurotoxicity (p < 0.04). Three of 6 cases of toxicity occurred in patients treated before 1986. Conclusions: External beam radiotherapy of the brain in patients with MS may be associated with an increased risk of neurotoxicity compared with patients without demyelinating illnesses. However, this risk is associated with treatment techniques that may not be comparable to modern, conformal radiotherapy

  20. A designated centre for people with disabilities operated by Western Care Association, Mayo

    LENUS (Irish Health Repository)

    O’Connor, R

    2017-11-01

    Malaria is the most serious parasitic infection. At our institution over a two year period there were treatment errors in 18% (n=3) of cases. The aim of this multidisciplinary study was to ensure appropriate and timely treatment of malaria by implementation of a cluster of interventions: reconfiguration of existing guidelines, provision of prescribing information; delivery of education sessions to front-line staff and enabling rapid access to medication. Staff feedback was assessed through a questionnaire. Perceived benefits gained included awareness of guidelines (91%, n= 39), how to diagnose (81%, n =35), how to treat (86%, n=37), that treatment must be prompt (77%, n=33) and where to find treatment out of hours (84%, n=36). ‘Others’ perceived benefits (5% n= 2) noted referred to treatment in pregnancy. Going forward, a programme of on-going staff education, repeated audits of guideline compliance and promotion of reporting of medication errors should help ensure that these benefits are sustained

  1. Biblioteca Luis Angel Arángo Sala de Conciertos : mayo de 1968

    Directory of Open Access Journals (Sweden)

    Simón Galindo M.

    1968-05-01

    Full Text Available Nuevamente asistimos, el día 2, a la actuación de la Orquesta de Cámara del Conservatorio de la Universidad Nacional, luego de un receso de casi medio año; es el caso de hacer notar el esmero de ejecución, resultado de un pulido y tesonero trabajo de preparación de los programas que el grupo presenta al público, bajo la dirección de Ernesto Díaz. Son los integrantes, en casi su totalidad, alumnos avanzados del conservatorio, pero cuando actúan, como nos consta, lo hacen en un nivel mucho más elevado, comparable, por cierto, al de los grandes y tradicionales conjuntos que más pesan en el arte de la música de cámara.

  2. AbbeyBreaffy Nursing Home, Dublin Road (N5), Castlebar, Mayo.

    LENUS (Irish Health Repository)

    O'Caoimh, Rónán

    2015-09-01

    Few case-finding instruments are available to community healthcare professionals. This review aims to identify short, valid instruments that detect older community-dwellers risk of four adverse outcomes: hospitalisation, functional-decline, institutionalisation and death. Data sources included PubMed and the Cochrane library. Data on outcome measures, patient and instrument characteristics, and trial quality (using the Quality In Prognosis Studies [QUIPS] tool), were double-extracted for derivation-validation studies in community-dwelling older adults (>50 years). Forty-six publications, representing 23 unique instruments, were included. Only five were externally validated. Mean patient age range was 64.2-84.6 years. Most instruments n=18, (78%) were derived in North America from secondary analysis of survey data. The majority n=12, (52%), measured more than one outcome with hospitalisation and the Probability of Repeated Admission score the most studied outcome and instrument respectively. All instruments incorporated multiple predictors. Activities of daily living n=16, (70%), was included most often. Accuracy varied according to instruments and outcomes; area under the curve of 0.60-0.73 for hospitalisation, 0.63-0.78 for functional decline, 0.70-0.74 for institutionalisation and 0.56-0.82 for death. The QUIPS tool showed that 5\\/23 instruments had low potential for bias across all domains. This review highlights the present need to develop short, reliable, valid instruments to case-find older adults at risk in the community.

  3. Present status and future directions of the Mayo/IBM PACS project

    Science.gov (United States)

    Morin, Richard L.; Forbes, Glenn S.; Gehring, Dale G.; Salutz, James R.; Pavlicek, William

    1991-07-01

    This joint project began in 1988 and was motivated by the need to develop an alternative to the archival process in place at that time (magnetic tape) for magnetic resonance imaging and neurological computed tomography. In addition, this project was felt to be an important step in gaining the necessary clinical experience for the future implementation of various aspects of electronic imaging. The initial phase of the project was conceived and developed to prove the concept, test the fundamental components, and produce performance measurements for future work. The key functions of this phase centered on attachment of imaging equipment (GE Signa) and archival processes using a non-dedicated (institutionally supplied) local area network (LAN). Attachment of imaging equipment to the LAN was performed using commercially available devices (Ethernet, PS/2, Token Ring). Image data were converted to ACR/NEMA format with retention of the vendor specific header information. Performance measurements were encouraging and led to the design of following projects. The second phase has recently been concluded. The major features of this phase have been to greatly expand the network, put the network into clinical use, establish an efficient and useful viewing station, include diagnostic reports in the archive data, provide wide area network (WAN) capability via ISDN, and establish two-way real-time video between remote sites. This phase has heightened both departmental and institutional thought regarding various issues raised by electronic imaging. Much discussion regarding both present as well as future archival processes has occurred. The use of institutional LAN resources has proven to be adequate for the archival function examined thus far. Experiments to date have shown that use of dedicated resources will be necessary for retrieval activities at even a basic level. This report presents an overview of the background present status and future directions of the project.

  4. Valorization of non-timber forest products in Mayo- Rey (North ...

    African Journals Online (AJOL)

    SARAH

    2016-12-31

    Dec 31, 2016 ... Analyses on food uses indicates that 40 respondents use them as recipes involve fruits and 11 use ... Agricultural production in tropical Africa in general ... for food while land productivity declined (World Bank, 1984; 2002). .... A total of 54 species that are .... of biodiversity, contributed to the maintenance of.

  5. A designated centre for people with disabilities operated by Western Care Association, Mayo

    LENUS (Irish Health Repository)

    Sorensen, Kristine

    2012-01-25

    Abstract Background Health literacy concerns the knowledge and competences of persons to meet the complex demands of health in modern society. Although its importance is increasingly recognised, there is no consensus about the definition of health literacy or about its conceptual dimensions, which limits the possibilities for measurement and comparison. The aim of the study is to review definitions and models on health literacy to develop an integrated definition and conceptual model capturing the most comprehensive evidence-based dimensions of health literacy. Methods A systematic literature review was performed to identify definitions and conceptual frameworks of health literacy. A content analysis of the definitions and conceptual frameworks was carried out to identify the central dimensions of health literacy and develop an integrated model. Results The review resulted in 17 definitions of health literacy and 12 conceptual models. Based on the content analysis, an integrative conceptual model was developed containing 12 dimensions referring to the knowledge, motivation and competencies of accessing, understanding, appraising and applying health-related information within the healthcare, disease prevention and health promotion setting, respectively. Conclusions Based upon this review, a model is proposed integrating medical and public health views of health literacy. The model can serve as a basis for developing health literacy enhancing interventions and provide a conceptual basis for the development and validation of measurement tools, capturing the different dimensions of health literacy within the healthcare, disease prevention and health promotion settings.

  6. A designated centre for people with disabilities operated by Western Care Association, Mayo

    LENUS (Irish Health Repository)

    Szucs, Szilard

    2012-06-27

    AbstractBackgroundPeripheral nerve blocks are effective in treating acute pain, thereby minimizing the requirement for opiate analgesics. Fractured neck of femur (FNF) is a common, painful injury. The provision of effective analgesia to this cohort is challenging but an important determinant of their functional outcome. We investigated the analgesic efficacy of continuous femoral nerve block (CFNB) in patients with FNF.MethodsFollowing institutional ethical approval and with informed consent, patients awaiting FNF surgery were randomly allocated to receive either standard opiate-based analgesia (Group 1) or a femoral perineural catheter (Group 2). Patients in Group 1 received parenteral morphine as required. Those in Group 2 received a CFNB comprising a bolus of local anaesthetic followed by a continuous infusion of 0.25% bupivacaine. For both Groups, rescue analgesia consisted of intramuscular morphine as required and all patients received paracetamol regularly. Pain was assessed using a visual analogue scale at rest and during passive movement (dynamic pain score) at 30 min following first analgesic intervention and six hourly thereafter for 72 hours. Patient satisfaction with the analgesic regimen received was recorded using verbal rating scores (0-10). The primary outcome measured was dynamic pain score from initial analgesic intervention to 72 hours later.ResultsOf 27 recruited, 24 patients successfully completed the study protocol and underwent per protocol analysis. The intervals from recruitment to the study until surgery were similar in both groups [31.4(17.7) vs 27.5(14.2) h, P = 0.57]. The groups were similar in terms of baseline clinical characteristics. For patients in Group 2, pain scores at rest were less than those reported by patients in Group 1 [9.5(9.4) vs 31(28), P = 0.031]. Dynamic pain scores reported by patients in Group 2 were less at each time point from 30 min up to 54 hours [e.g at 6 h 30.7(23.4) vs 67.0(32.0), P = 0.004]. Cumulative morphine consumption over 72 h was less in Group 2. Patient satisfaction scores were greater in Group 2 [9.4(1.1) vs 7.6(1.8), P = 0.014].ConclusionsCFNB provides more effective perioperative analgesia than a standard opiate-based regimen for patients undergoing fixation of FNF. It is associated with lesser opiate use and greater patient satisfaction.

  7. The U.S. Role in Global Security: The Mayo Clinic, Not the Emergency Room

    National Research Council Canada - National Science Library

    Hillen, John

    1998-01-01

    While many different proposals have been put forward outlining a post-Cold War security identity for the United States, most do not characterize an American role in terms of either excessive activism...

  8. Stress Induced Cardiomyopathy Triggered by Acute Myocardial Infarction: A Case Series Challenging the Mayo Clinic Definition.

    Science.gov (United States)

    Christodoulidis, Georgios; Kundoor, Vishwa; Kaluski, Edo

    2017-08-28

    BACKGROUND Various physical and emotional factors have been previously described as triggers for stress induced cardiomyopathy. However, acute myocardial infarction as a trigger has never been reported. CASE REPORT We describe four patients who presented with an acute myocardial infarction, in whom the initial echocardiography revealed wall motion abnormalities extending beyond the coronary distribution of the infarct artery. Of the four patients identified, the mean age was 59 years; three patients were women and two patients had underlying psychiatric history. Electrocardiogram revealed ST elevation in the anterior leads in three patients; QTc was prolonged in all cases. All patients had ≤ moderately elevated troponin. Single culprit lesion was found uniformly in the proximal or mid left anterior descending artery. Initial echocardiography revealed severely reduced ejection fraction with relative sparing of the basal segments, whereas early repeat echocardiography revealed significant improvement in the left ventricular function in all patients. CONCLUSIONS This is the first case series demonstrating that acute myocardial infarction can trigger stress induced cardiomyopathy. Extensive reversible wall motion abnormalities, beyond the ones expected from angiography, accompanied by modest elevation in troponin and marked QTc prolongation, suggest superimposed stress induced cardiomyopathy.

  9. The state of the science of whole blood: lessons learned at Mayo Clinic.

    Science.gov (United States)

    Stubbs, James R; Zielinski, Martin D; Jenkins, Donald

    2016-04-01

    AABB Standards specify that ABO group-specific whole blood is the only acceptable choice for whole blood transfusions. Although universal donor group O stored whole blood (SWB) was used extensively by the military during the wars of the mid-twentieth century, its use has fallen out of favor and has never been used to great extent in the civilian trauma population. Interest in the use of whole blood has been renewed, particularly in light of its potential value in far-forward military and other austere environments. Evidence of preserved platelet function in SWB has heightened enthusiasm for a "one stop shop" resuscitation product providing volume, oxygen carrying capacity, and hemostatic effects. Experience with universal donor group O SWB is required to ascertain whether its use will be an advance in trauma care. Described here is the process of establishing a universal donor group O SWB at a civilian trauma center in the United States. © 2016 AABB.

  10. Autopistas: AU-1 25 de Mayo y AU-6 Perito Moreno

    Directory of Open Access Journals (Sweden)

    Editorial, Equipo

    1981-02-01

    Full Text Available Highways AU-1 and AU-6, approximately 17 km. long, were constructed for the purpose of solving the serious traffic problems in Buenos Aires, a city of nine million inhabitants and an evergrowing number of cars. A computer program was created for the design based on the geometric shape of the highway and the position of the supports. Using this, all elements composing the structure were calculated and the framework was sized. This programme made it possible to complete a stretch of 150 metres per week. The very rapid construction was carried out through self-supporting arches made of metallic beams held in place by brackets. The brackets were fitted in specially designed grooves in the major supports of the highway.

    Las autopistas AU-1 y AU-6, con una longitud aproximada de 17 km, se realizaron con objeto de resolver el grave problema de infraestructura vial del Municipio de Buenos Aires, ciudad de nueve millones de habitantes y con un parque de vehículos en rápido crecimiento. Para el proyecto se creó un programa de ordenador con el que, partiendo de la definición geométrica de la autopista y de la posición de las pilas, se calculan todos los elementos que componen la estructura y se dimensionan las armaduras. Este programa permitió proyectar un tramo (150 m por semana. La construcción, a un ritmo muy rápido, se llevó a cabo mediante cimbras autoportantes compuestas por vigas metálicas apoyadas sobre ménsulas, las cuales a su vez apoyan en unos nichos dejados en las pilas.

  11. Systemic Lupus Erythematosus, Radiotherapy, and the Risk of Acute and Chronic Toxicity: The Mayo Clinic Experience

    International Nuclear Information System (INIS)

    Pinn, Melva E.; Gold, Douglas G. M.; Petersen, Ivy A.; Osborn, Thomas G.; Brown, Paul D.; Miller, Robert C.

    2008-01-01

    Purpose: To determine the acute and chronic toxic effects of radiotherapy in patients with systemic lupus erythematosus (SLE). Methods and Materials: Medical records of 21 consecutive patients with SLE, who had received 34 courses of external beam radiotherapy and one low-dose-rate prostate implant, were retrospectively reviewed. Patients with discoid lupus erythematosus were excluded. Results: Median survival was 2.3 years and median follow-up 5.6 years. Eight (42%) of 19 patients evaluable for acute toxicity during radiotherapy experienced acute toxicity of Grade 1 or greater, and 4 (21%) had acute toxicity of Grade 3 or greater. The 5- and 10-year incidence of chronic toxicity of Grade 1 or greater was 45% (95% confidence interval [CI], 22-72%) and 56% (95% CI, 28-81%), respectively. The 5- and 10-year incidence of chronic toxicity of Grade 3 or greater was 28% (95% CI, 18-60%) and 40% (95% CI, 16-72%), respectively. Univariate analysis showed that chronic toxicity of Grade 1 or greater correlated with SLE renal involvement (p < 0.006) and possibly with the presence of five or more American Rheumatism Association criteria (p < 0.053). Chronic toxicity of Grade 3 or greater correlated with an absence of photosensitivity (p < 0.02), absence of arthritis (p < 0.03), and presence of a malar rash (p < 0.04). Conclusions: The risk of acute and chronic toxicity in patients with SLE who received radiotherapy was moderate but was not prohibitive of the use of radiotherapy. Patients with more advanced SLE may be at increased risk for chronic toxicity

  12. Informe sobre bartonellosis: presentado a la academia nacional de medicina, el 23 de mayo de 1939

    OpenAIRE

    Franco F., Roberto; Almanzar V., Pedro José

    2012-01-01

    La Comision nombrada hace poco más de un mes para estudiar el trabajo preliminar del Académico doctor Patiño Camargo, sobre Bartonellosis en Colombia, aspira con el presente informe, no solo a cumplir Ia determinación del Presidente de la Academia Nacional de Medicina, sino a satisfacer el plausible deseo del autor -claramente expresado- de someter a discusión el estudio en referencia. Convencidos estamos de que encuadra en el espíritu de esta Corporación, la discusión serena de tópicos cient...

  13. La Violencia en la Vejez. Violencia, sociedad y salud. Foro del 25 de Mayo

    Directory of Open Access Journals (Sweden)

    Alvaro Enrique Urrea

    1995-12-01

    Full Text Available

    “Me dicen viejo, pero yo no creo que sea viejo. No. Yo creo que, en elfondo, los viejos son todas esas gentes que me creen viejo. Ellos tan solo piensan en morir, mas no en vivir. Por eso es que el viejo es viejo, y el joven, joven, y yo quiero vivir”.

    Las “violencias” más obvias no son forzosamente las más graves, ni las más generalizadas. Así, si bien oímos continuamente los medios de comunicación reportar los repetidos asesinatos, masacres, violaciones que han convertido nuestra nación en uno de los países más violentos del mundo, pocos, muy pocos, son los que se percatan de la violencia interna que nos asedia en nuestras vidas cotidianas y que, a largo plazo, sesgan de modo mucho más hondo a nuestras comunidades.

    “Pocas veces nos detenemos a pensar en el alto porcentaje de violencia que ha invadido nuestras vidas personales. No conversar con el cónyuge es violencia. No respetar a la personalidad de las demás personas del hogar es violencia. No escuchar es violencia. “Dar caramelo” es violencia, Imponer a los gritos es violencia. El expresar: “yo soy el dueño” o “aquí mando yo” es violencia. Mentir es violencia.

    No solamente en las relaciones familiares y laborales se da la violencia. La violencia se da en muchas formas. También en las calles, pitar, pasarse el semáforo en rojo, atropellar la fila, no poner direccionales, tirar basuras, son todos hechos violentos (… La violencia es la suma de las muchísimas violencias individuales”l.

    Esa es la que llamaremos la violencia de rutina, aquella en la cual ya no nos percatamos, por ser de uso común y repetido: la violación continua del espacio personal, los insultos injustificados en la calle, los insultos injustificados en el trabajo, en la casa, los gritos a nuestros hijos, las intolerancias -para con el vecino- en una noche de fiesta, las represalias por supuestas ofensas del cónyuge, los absurdos actos de posesión por lo que consideramos como nuestro.

    En esa medida, suele decirse que el trato y la consideración que se les suministra a los niños y a los ancianos, más particularmente, reflejan en toda su dimensión la verdadera humanidad de una sociedad. En Colombia, tal como en muchos otros países tercermundistas capitalizados, el viejo conforma un rubro de la comunidad que poco o ningún espacio posee; vive con excesiva frecuencia en el abandono y el desinterés de sus conciudadanos; se le abandona en un Asilo, en un Hogar Geriátrico, en un Ancianato, se le pega, se le ignora, se le denigra, exaspera y molesta. ¿No es el anciano, en fin de cuentas, un producto terminal que está en la antesala de la muerte? ¿No sería una pérdida de tiempo invertir dineros y humanidad en una población con estas características? Si bien podríamos afirmar que en el respeto a la dignidad está la clase de un pueblo, los esquemas productivistas del sistema capitalista han modificado el fin primero de la organización social de las comunidades humanas: eso es, auxiliarse y apoyarse mutuamente en búsqueda de un crecimiento integral.

    Aunque tan solo e16% de los 35’000.0002 de los habitantes de la población colombiana posee más de sesenta años3,4, es decir alrededor del’ 800.000 personas: la cifra tenderá, con el tiempo, a aumentar paulatinamente, a medida que se genere una inversión gradual de la pirámide de edad. Se calcula para el año 2000 que Europa Occidental contará con 203 ancianos por cada mil habitantes, mientras que para Colombia se proyecta tan solo sesenta por miP lo cual, si bien nos muestra una notable y significativa diferencia, es necesario considerar que no poseemos ni siquiera en estas circunstancias la infraestructura necesaria para hacerle frente a nuestras propias necesidades.

    En Santafé de Bogotá, 0,84% de los mayores de 60 años se encuentran institucionalizados en Hogares Geriátricos o Asilos de carácter público o privado de caridad o de lucro, laico o propiedad de comunidades religiosas, lo cual representa aproximadamente una cifra de 3.0405 ancianos con un promediodeedadde75,6años de edad, es decir muy por encima del promedio nacional. Vale la pena resaltar que tan sólo 22% de estos 3.000 ancianos son de sexo masculino, dato que no solamente demuestra que la mujer es más longeva, sino que también indica el mayor índice de abandono entre las mismas y su mayor número de solterismo, a menudo parcialmente debido a la naturaleza del trabajo que realizaban en su periodo activo (empleadas del servicio, agricultoras, mujeres de hogar, etc..

    La tendencia a la institucionalización es cada vez mayor, y se hace urgente buscar mecanismos con el fin de invertir el proceso. Sin embargo, se calcula que al menos 3.000 ancianos, en la sola capital de la República, están buscando, infructuosamente, ingresar en algún Hogar...

  14. Patterns in deer-related traffic injuries over a decade: the Mayo clinic experience

    Directory of Open Access Journals (Sweden)

    Smoot Dustin L

    2010-08-01

    Full Text Available Abstract Background Our American College of Surgeons Level 1 Trauma Center serves a rural population. As a result, there is a unique set of accidents that are not present in an urban environment such as deer related motor vehicle crashes (dMVC. We characterized injury patterns between motorcycle/all-terrain vehicles (MCC and automobile (MVC crashes related to dMVC (deer motor vehicle crash with the hypotheses that MCC will present with higher Injury Severity Score (ISS and that it would be related to whether the driver struck the deer or swerved. Methods The records of 157 consecutive patients evaluated at our institution for injury related to dMVC from January 1st, 1997 to December 31st, 2006 were reviewed from our prospectively collected trauma database. Demographic, clinical, and crash specific parameters were abstracted. Injury severity was analyzed by the Abbreviated Injury Scale score for each body region as well as the overall Injury Severity Score (ISS. Results Motorcycle crashes presented with a higher median ISS than MVCs (14 vs 5, p Within the MVC group, there was no difference between swerving and hitting the deer in any AIS group. Forty-seven percent of drivers were not wearing seat belts which resulted in similar median ISS (6 vs 5 and AIS of all body regions. Conclusions Motorcycle operators suffered higher ISS. There were no significant differences in median ISS if a driver involved in a deer-related motor vehicle crash swerved rather than collided, was helmeted, or restrained.

  15. Animal-assisted therapy at Mayo Clinic: The time is now.

    Science.gov (United States)

    Creagan, Edward T; Bauer, Brent A; Thomley, Barbara S; Borg, Jessica M

    2015-05-01

    The animal-human bond refers to an emotional, almost existential, relationship between animals and people. From the time of antiquity, domestic animals were an important source of economic vitality, but with the changing cultural landscape, the companion animal has become a faithful friend. Overwhelming anecdotal evidence supports the healing power of this relationship. We summarize the emerging literature on the neurobiochemical and cardiovascular benefits of companion pet ownership. We address the peer-reviewed data from myriad journal articles assessing the impact of the companion animal on the quality and often the length of life of select patients. Copyright © 2015 Elsevier Ltd. All rights reserved.

  16. Drogas Psicoactivas y Violencia Violencia, Sociedad y Salud. Foro del 25 de Mayo

    Directory of Open Access Journals (Sweden)

    Harold Sandoval Bernal

    1995-12-01

    Full Text Available

    Se ha asumido con carácter de axioma y como producto de la percepción simplista que hasta hace poco prevaleció, una inseparable relación de causa efecto entre el consumo de drogas psicoactivas y la generación de violencia, habiendo reducido el análisis de esos dos fenómenos y desconocido la compleja naturaleza que les es propia. De igual forma, al aludir a las repercusiones de la adicción, opera en el imaginario colectivo una asociación casi automática con la violencia que genera la actividad del narcotráfico.

    Si bien existen nexos que vinculan esos fenómenos, es preciso aproximamos a un análisis menos apriorístico y más riguroso.

    Al superar la perspectiva unidimensional con la cual se abordó por largo tiempo la problemática de las drogas, para dar paso a una concepción holística que la asume de manera integral, como un fenómeno polimorfo que es más síntoma que origen de los grandes conflictos que agobian al hombre contemporáneo, es preciso atender y conjurar las verdaderas causas que conducen a la drogadicción y las que sirven, por su parte, de origen o incitan a la violencia.

    El inusitado incremento del consumo de estupefacientes en sociedades altamente industrializadas, en las que se ha logrado superar la polarización social y la extrema pobreza, con una significativa realización del hoy revaluado Estado del Bienestar, pone de manifiesto, sin embargo, la honda crisis de valores, la desarticulación de los lazos afectivos y en general el extrañamiento del individuo frente a una sociedad que lo cosifica, inhibiendo el despliegue de sus mejores potencialidades.

    Se trata entonces de una sentida crisis de la cultura, un intrincado momento histórico en el que si bien la tecnología ha ido liberando las manos del hombre, permitiéndole mejorar su nivel de vida material en relación con épocas precedentes, le ha conducido, por otra parte, a concentrar la energía que antes canalizaba en el trabajo físico y que hoy represa en esos laberintos de concreto en los que se han convertido las megalópolis de nuestro tiempo, verdaderos centros de hacinamiento y soledad, que no ofrecen reales alternativas e idóneas válvulas de escape a su tensión.

    Si la cultura del éxito y la eficiencia, improntas del nuevo orden mundial, sirve de acicate al acuciante fenómeno del consumo, en el mundo subdesarrollado las extremas condiciones de pobreza, el agudo desempleo, la escasa movilidad social y la débil presencia institucional, exacerban generalmente la violencia en el orden familiar, en el ámbito de la educación, en el espacio laboral y en el universo social y son causa, también, de una creciente demanda de drogas, sean éstas ilícitas o socialmente aceptadas.

    Conviene abordar la fenomenología de las drogas, no como un contaminante exógeno que invade súbitamente el tejido social y corroe las entrañas de la civilización, porque ello sería asumir que la droga es el problema que genera el consumo, con lo cual se estaría desconociendo la grave crisis estructural que amenaza al individuo y lo insta a buscar evasores o atajos, para distanciarse o adaptarse a una realidad que no comprende porque le es ajena, constreñido como está por el frenesí del consumismo, la avidez compulsiva por el poder y el éxito, cuando no a tratar simplemente de sobrevivir en una sociedad que bloquea la espiral, por la que circulan los individuos, en la necesaria dinámica de la movilidad social.

    El verdadero problema es la relación asimétrica del hombre y su entorno, la inconexidad entre sus expectativas y las posibilidades reales que su medio cultural le ofrece, la desarticulación de los lazos afectivos que lo vinculan con la especie.

    Un predicamento similar puede aplicarse a la etiología de la violencia. A ésta se le ha percibido a lo largo de la historia, como simple manifestación de instintos aún no domeñados por la civilización. Al hombre violento y a la violencia en general, nos hemos limitado en situarlos como antítesis del modelo del bien, dejando de lado las complejas causas que activan o exasperan nuestras tendencias agresoras.

    La violencia está presente en nuestra condición natural, como de igual forma se hallan en el sustrato humano tendencias opuestas que la sopesan y que son finalmente las que se deben fortalecer, a través de procesos de humanización y solidaridad...

  17. Drogas Psicoactivas y Violencia Violencia, Sociedad y Salud. Foro del 25 de Mayo

    OpenAIRE

    Harold Sandoval Bernal

    1995-01-01

    Se ha asumido con carácter de axioma y como producto de la percepción simplista que hasta hace poco prevaleció, una inseparable relación de causa efecto entre el consumo de drogas psicoactivas y la generación de violencia, habiendo reducido el análisis de esos dos fenómenos y desconocido la compleja naturaleza que les es propia. De igual forma, al aludir a las repercusiones de la adicción, opera en el imaginario colectivo una asociación casi automática con la violencia que genera la ...

  18. The fragility of identity: about the internal experience of gender in Law N° 26.743. Reflections from Pierre Bourdieu and Judith Butler

    OpenAIRE

    Coppa, Lucia Inés

    2014-01-01

    En el presente artículo se propone sobrevolar algunos aspectos del pensamiento bourdieano para realizar aproximaciones a la noción de género y al modo en que –dentro de un orden simbólico androcéntrico y una matriz normativa heterosexual- operan estos esquemas en el modo en que el género se constituye e introyecta en la formación subjetiva corporizada. A partir de dichas nociones se buscará reflexionar sobre la emergencia de identidades sexuales que disrumpen los preceptos culturales entorno ...

  19. Cuerpos en escena. Materialidad y cuerpo sexuado en Judith Butler y Paul B. Preciado de Martín De Mauro Rucovsky

    OpenAIRE

    Ramírez, Antonieta

    2017-01-01

    La creciente tendencia hacia la desmaterialización de la realidad, de las relaciones y de los mismos sujetos en el mundo que habitamos es motivo suficiente para que Martín De Mauro plantee la pregunta sobre si “¿el cuerpo, o cualquier modalidad material del cuerpo es puro efecto del lenguaje?” (p. 26). Su inquietud tiene como principal motivo la “sospecha generalizada de una pérdida o menosprecio del cuerpo como realidad, naturaleza y materia sexuada” (p. 29), por lo que, para dirimir esta su...

  20. Globalization(s), privatization(s),constitutionalization, and statization: icons and experiences of sovereignty in the 21 st century / Judith Resnik

    Index Scriptorium Estoniae

    Resnik, Judith

    2013-01-01

    Uuritakse, mida saavad demokraatlikud riigid põhiseaduslikult pakkuda, milleks rahvusvahelised korporatsioonid ja ülemaailme valitsemistava võimeline pole. Valitsuse pakutavatest teenustest, mis on ühtlasi kodanike sotsiaalsed õigused

  1. Gustavo Lozano Contreras Bogotá, 22 de Mayo De 1938 - Bogotá, 10 de julio de 2000

    Directory of Open Access Journals (Sweden)

    González Garavito Favio Antonio

    2001-12-01

    Full Text Available Sin duda alguna, el profesor Lozano fue uno de los mejores conocedores de la Flora de Colombia. Explorador de prácticamente todos los ecosistemas de nuestro país, colectó y estudió rigurosamente miles de plantas. Como resultado, dejó plasmado su conocimiento en varios libros y en numerosas publicaciones en revistas nacionales y extranjeras. Son notables los nuevos hallazgos y contribuciones en el conocimiento de las familias Bromeliaceae, Campanulaceae, Fagaceae, Hamamelidaceae, Juglandaceae, Magnoliaceae, Melastomataceae y Metteniusaceae, entre otras. Además, fue pionero en el estudio de la ecología de robledales y de páramos.

  2. Rasch Measurement Analysis of the Mayo-Portland Adaptability Inventory (MPAI-4) in a Community-Based Rehabilitation Sample

    OpenAIRE

    Kean, Jacob; Malec, James F.; Altman, Irwin M.; Swick, Shannon

    2011-01-01

    The precise measurement of patient outcomes depends upon clearly articulated constructs and refined clinical assessment instruments that work equally well for all subgroups within a population. This is a challenging task in those with acquired brain injury (ABI) because of the marked heterogeneity of the disorder and subsequent outcomes. Alhough essential, the iterative process of instrument refinement is often neglected. This present study was undertaken to examine validity, reliability, dim...

  3. Volumen 15, Mayo de 20171LA MEDIACIÓN PENAL Y EL NUEVO MODELO DE JUSTICIA RESTAURATIVA

    Directory of Open Access Journals (Sweden)

    Mª Auxiliadora García Fernández

    2017-06-01

    Full Text Available his paper aims to analyze the role of mediation and its relationship with Restorative Justice, which is born with the political-criminal movement in favor of the victim and the recovery of the role of the victim in the criminal process, assuming the starting point of a New conception of applicable justice, having as main intervention instrument the figure of mediation.

  4. Klebsiella pneumoniae nueva Delhi metalo-betalactamasa en el hospital nacional Dos de Mayo. Lima, Perú

    OpenAIRE

    Resurrección-Delgado, Cristhian; Servicio de Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú. Médico infectólogo; Montenegro-Idrogo, Juan José; Servicio de Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú. Facultad de Medicina. Universidad Nacional Mayor de San Marcos. Lima, Perú. médico residente de Infectología; Chiappe-Gonzalez, Alfredo; Servicio de Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú. Médico infectólogo; Vargas-Gonzales, Renzo; Servicio de Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú. Facultad de Medicina. Universidad Nacional Mayor de San Marcos. Lima, Perú. médico residente de Infectología; Cucho-Espinoza, Carolina; Servicio de Microbiología, Hospital Nacional Dos de Mayo. Lima, Perú. médico patólogo clínico; Mamani-Condori, Dick Henry; Servicio de Microbiología, Hospital Nacional Dos de Mayo. Lima, Perú. tecnólogo médico; Huaroto-Valdivia, Luz María; Servicio de Microbiología, Hospital Nacional Dos de Mayo. Lima, Perú. médico patólogo clínico

    2017-01-01

    The emergence of Enterobacteria producing carbapenemases of type New Delhi Metalo beta-lactamases (NDM), represent, today, a real problem of world public health. The presence of this resistance mechanism limits or nullifies the therapeutic options to combat these bacteria. In Latin America, the figures are getting higher, as they are reported in Guatemala, Colombia, Chile, Argentina, among others. Peru has not, to date, described the presence of this resistance pattern; however for several ye...

  5. Making Canada a destination for medical tourists: why Canadian provinces should not try to become "Mayo Clinics of the North".

    Science.gov (United States)

    Turner, Leigh

    2012-05-01

    When Canadian researchers examine the subject of medical tourism, they typically focus on ethical, social, public health and health policy issues related to Canadians seeking health services in other countries. They emphasize study of Canada as a departure point for medical tourists rather than as a potential destination for international patients. Several influential voices have recently argued that provincial healthcare systems in Canada should market health services to international patients. Proponents of marketing Canada as a destination for medical tourists argue that attracting international patients will generate revenue for provincial healthcare systems. Responding to such proposals, I argue that there are at least seven reasons why provincial health systems in Canada should not dedicate institutional, financial and health human resources to promoting themselves as destinations for medical tourists.

  6. Radiological safety analysis of the nuclear medicine service at the 'Hospital Nacional Dos de Mayo'/Peru

    International Nuclear Information System (INIS)

    Acosta R, N.; Ramirez Q, R.

    1996-01-01

    For the purpose of applying for installation licenses for nuclear medicine, as it is required by the peruvian Law, it is necessary to make an analysis of safety and protection of the installation and its procedures, so that the technical criteria can be satisfied. Previous information includes a description of activities that employs I 131 and Tc 99m in the diagnosis and treatment. A description of the installations, surrounding areas and construction details is performed, especially in hot zones. The safety analysis takes into account the normal operation risk in terms of doses for each process or operation that is executed (for example: division, fraction, extraction, dilution, etc),the operation time and the frequency. The annual doses are not more than 5,88 mSv for diagnostics and 5 mSv in therapy. In accidental situations, events of individual contamination, spills, fire and explosion, which are the most likely to happen, have been taken into account. Due to these events, the doses are between 5.5 mSv and 0.53 mSv under reasonable assumptions. In view of the possibility of these normal and potential doses, it is necessary the implementation of procedures and specifications to complete the protection in the practice. The documents were evaluated and the installation license was granted. (authors). 7 refs., 1 fig

  7. La libertad de expresión bajo el régimen chavista: mayo de 2007

    Directory of Open Access Journals (Sweden)

    Antonio Pasquali

    2007-01-01

    Full Text Available En su primera parte, el presente texto aboga por una más actual y compleja lectura del concepto de libertad de expresión, que tome en cuenta la praxis real antes de la mera noción jurídica, las nuevas determinantes tecnológicas y las connotaciones contemporáneas de expresión. Sus resultados son aplicados en su segunda sección, que describe el estado real de la libertad de expresión en Venezuela en el 2007, un país en rápida evolución política donde tal noción, aún nominalmente respetada de jure, lo es cada día menos de facto. Esta sección incluye un breve estado del arte empírico, un análisis de los nuevos equilibrios acceso/ participación y otro más sobre la aplicación en el país de la parte operativa del artículo 19 de la Declaración Universal de los Derechos del Hombre.

  8. The Mayo Clinic experience with Morel-Lavallée lesions: establishment of a practice management guideline.

    Science.gov (United States)

    Nickerson, Terry P; Zielinski, Martin D; Jenkins, Donald H; Schiller, Henry J

    2014-02-01

    Although uncommon, Morel-Lavallée lesions (also called closed degloving injuries) are associated with considerable morbidity in trauma patients. There is lack of consensus regarding proper management of these lesions. Management options include nonoperative therapies, along with percutaneous and operative techniques. We sought to define the factors associated with failure of percutaneous aspiration to better identify patients requiring immediate operative management. We retrospectively searched our prospectively collected database for patient records containing the terms Morel-Lavallée, closed degloving injury, or posttraumatic seroma from February 2, 2004, through December 23, 2011. Treatment methods included compression wraps or observation (nonoperative management), percutaneous aspiration, or operative management with incision/drainage or formal debridement of skin and soft tissues that resulted in wound vacuum-assisted closure placement and/or split-thickness skin graft (operative management). The treatment groups were compared using univariate analysis and χ testing. We identified 79 patients with 87 Morel-Lavallée lesions in the setting of trauma. Most were caused by motor vehicle collisions (25%). No difference was observed between the treatment groups in sex, body mass index, anticoagulation treatment, diabetes mellitus, smoking history, or alcohol use. The percutaneous aspiration group had higher rates of recurrence (56% vs. 19% and 15% in nonoperative and operative groups, respectively). The percentage of patients who had aspiration of more than 50 mL of fluid was higher for lesions that recurred than for lesions that resolved (83% vs. 33%, p = 0.02). Aspiration of more than 50 mL of fluid from Morel-Lavallée lesions was much more common among lesions that recurred (83%) than among those that resolved (33%). We therefore recommend that aspiration of more than 50 mL of fluid from a Morel-Lavallée lesion prompts operative intervention. We have now adopted this as a practice management guideline. Therapeutic/care management study, level III.

  9. Descriptive Analysis of Medication Administration During Inpatient Cardiopulmonary Arrest Resuscitation (from the Mayo Registry for Telemetry Efficacy in Arrest Study).

    Science.gov (United States)

    Snipelisky, David; Ray, Jordan; Matcha, Gautam; Roy, Archana; Dumitrascu, Adrian; Harris, Dana; Bosworth, Veronica; Clark, Brooke; Thomas, Colleen S; Heckman, Michael G; Vadeboncoeur, Tyler; Kusumoto, Fred; Burton, M Caroline

    2016-05-15

    Advanced cardiovascular life support guidelines exist, yet there are variations in clinical practice. Our study aims to describe the utilization of medications during resuscitation from in-hospital cardiopulmonary arrest. A retrospective review of patients who suffered a cardiopulmonary arrest from May 2008 to June 2014 was performed. Clinical and resuscitation data, including timing and dose of medications used, were extracted from the electronic medical record and comparisons made. A total of 94 patients were included in the study. Patients were divided into different groups based on the medication combination used during resuscitation: (1) epinephrine; (2) epinephrine and bicarbonate; (3) epinephrine, bicarbonate, and calcium; (4) epinephrine, bicarbonate, and epinephrine drip; and (5) epinephrine, bicarbonate, calcium, and epinephrine drip. No difference in baseline demographics or clinical data was present, apart from history of dementia and the use of calcium channel blockers. The number of medications given was correlated with resuscitation duration (Spearman's rank correlation = 0.50, p resuscitation durations compared to that of the other groups (p resuscitation efforts for in-hospital cardiopulmonary arrests. Increased duration and mortality rates were found in those resuscitations compared with epinephrine alone, likely due to the longer resuscitation duration in the former groups. Copyright © 2016 Elsevier Inc. All rights reserved.

  10. Quality initiatives: improving patient flow for a bone densitometry practice: results from a Mayo Clinic radiology quality initiative.

    Science.gov (United States)

    Aakre, Kenneth T; Valley, Timothy B; O'Connor, Michael K

    2010-03-01

    Lean Six Sigma process improvement methodologies have been used in manufacturing for some time. However, Lean Six Sigma process improvement methodologies also are applicable to radiology as a way to identify opportunities for improvement in patient care delivery settings. A multidisciplinary team of physicians and staff conducted a 100-day quality improvement project with the guidance of a quality advisor. By using the framework of DMAIC (define, measure, analyze, improve, and control), time studies were performed for all aspects of patient and technologist involvement. From these studies, value stream maps for the current state and for the future were developed, and tests of change were implemented. Comprehensive value stream maps showed that before implementation of process changes, an average time of 20.95 minutes was required for completion of a bone densitometry study. Two process changes (ie, tests of change) were undertaken. First, the location for completion of a patient assessment form was moved from inside the imaging room to the waiting area, enabling patients to complete the form while waiting for the technologist. Second, the patient was instructed to sit in a waiting area immediately outside the imaging rooms, rather than in the main reception area, which is far removed from the imaging area. Realignment of these process steps, with reduced technologist travel distances, resulted in a 3-minute average decrease in the patient cycle time. This represented a 15% reduction in the initial patient cycle time with no change in staff or costs. Radiology process improvement projects can yield positive results despite small incremental changes.

  11. Journal of Genetics | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Home; Journals; Journal of Genetics. PARVEEN CHHUNEJA. Articles written in Journal of Genetics. Volume 91 Issue 2 August 2012 pp 155-161 Research Article. Introgression of a leaf rust resistance gene from Aegilops caudata to bread wheat · Amandeep Kaur Riar Satinder Kaur H. S. Dhaliwal Kuldeep Singh Parveen ...

  12. Sadhana | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Home; Journals; Sadhana. MANPREET KAUR. Articles written in Sadhana. Volume 41 Issue 12 December 2016 pp 1463-1472. Stokes flow of micropolar fluid past a viscous fluid spheroid with non-zero boundary condition for microrotation · M KRISHNA PRASAD MANPREET KAUR · More Details Abstract Fulltext PDF.

  13. Journal of Genetics | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Author Affiliations. NEHA SUDHIR1 TAJINDER KAUR2 ARCHANA BERI3 ANUPAM KAUR1. Department of Human Genetics, Guru Nanak Dev University, Amritsar 143 005, India; Hartej Hospital and Nursing Home, Amritsar 143 005, India; Beri Maternity Hospital, Southend Beri Fertility and IVF, Amritsar 143 005, India ...

  14. Journal of Chemical Sciences | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Home; Journals; Journal of Chemical Sciences. Aruna Bhatia. Articles written in Journal of Chemical Sciences. Volume 123 Issue 4 July 2011 pp 443-451. Synthesis of 4-aryl-4,5-dihydro-1-indeno[1,2-]pyrimidines by Biginelli condensation and their antibacterial activities · Ramandeep Kaur Monika Bansal Balbir Kaur ...

  15. India's Urban war: Through the Smoke

    DEFF Research Database (Denmark)

    Kaur, Ravinder

    2008-01-01

    The assimilation of India's urban terror attacks into a global narrative of Islamist violence carries the danger that their domestic social and historical roots will be missed, says Ravinder Kaur.......The assimilation of India's urban terror attacks into a global narrative of Islamist violence carries the danger that their domestic social and historical roots will be missed, says Ravinder Kaur....

  16. Journal of Chemical Sciences | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Home; Journals; Journal of Chemical Sciences. Navneet Kaur. Articles written in Journal of Chemical Sciences. Volume 126 Issue 1 January 2014 pp 49-54. Anthraquinone-based demultiplexer and other multiple operations at the molecular level · Navneet Kaur Subodh Kumar · More Details Abstract Fulltext PDF.

  17. Journal of Chemical Sciences | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Home; Journals; Journal of Chemical Sciences. Damanjit Kaur. Articles written in Journal of Chemical Sciences. Volume 112 Issue 6 December 2000 pp 623-629 Physical and Theoretical. Theoretical studies on the conformations of selenamides · Rajnish Moudgil Damanjit Kaur Rachita Vashisht Prasad V Bharatam.

  18. Judith Butler en Argentina. Recepción y polémicas en torno a la teoría de la performatividad del género

    Directory of Open Access Journals (Sweden)

    Nayla Luz Vacarezza

    2017-10-01

    por más de dos décadas. Su recepción no fue uniforme ya que, en cada país de habla hispana, estuvo condicionada por el interés y las resistencias que generaron sus arriesgadas tesis en los feminismos y en los Estudios de Género, por los anacronismos propios de la traducción y por las dinámicas propias de la academia y de la industria editorial. En Argentina, las primeras traducciones de textos de Butler comienzan a publicarse y circular en la década del noventa en revistas que no estaban totalmente dedicadas a la teoría o al quehacer académico, pero tampoco al activismo desprovisto de conceptos y modos de pensar académicos. Este artículo explora las distintas vías de recepción, lectura y utilización de los conceptos de la teoría de la performatividad del género en Argentina, así como también las polémicas que se generaron en torno a ella, focalizando sobre las tensiones y los cruces entre el activismo y la academia, dos campos que propongo pensar como espacios de disputas con fronteras mucho más frágiles y porosas de lo que muchas veces se supone.

  19. Gaja von Sychowski: Geschlecht und Bildung. Beiträge der Gender-Theorie zur Grundlegung einer Allgemeinen Pädagogik im Anschluss an Judith Butler und Richard Hönigswald. Würzburg: Verlag Königshausen & Neumann 2011.

    Directory of Open Access Journals (Sweden)

    Sahra Dornick

    2012-11-01

    Full Text Available In der Veröffentlichung ihrer Habilitationsschrift geht Gaja von Sychowski das Vorhaben an, eine Allgemeine Pädagogik im Kontext poststrukturalistischen Denkens zu entwerfen. Damit greift sie nicht nur ein längst überfälliges Thema auf, es gelingt ihr zudem, dieses auf höchstem theoretischem Niveau zu bearbeiten. Die formalistische Konsequenz, mit der die Autorin ihre Forschung vorantreibt, ist dabei jedoch zwiespältig: Zwar schlägt sie durch die Reduzierung von Komplexität Brücken zwischen verschiedenen Disziplinen, andererseits verliert Geschlecht, wenn es schließlich unter Performanz subsumiert wird, an Bedeutung, und es entsteht so der Grundriss einer Allgemeinen Pädagogik, in welcher die subjektkonstituierende Macht von Geschlecht unterschlagen wird.In the publication of her professorial dissertation, Gaja von Sychowski intends to design a general pedagogy within the context of poststructuralist thinking. In doing so, she not only addresses a long overdue topic, but she also succeeds in elaborating it on a most abstract level. However, the formalistic consistency that the author uses to advance her research is ambivalent: on the one hand, the reduction of complexity bridges gaps between different disciplines, on the other hand, gender loses meaning if it is eventually subsumed under performance. Consequently, an outline of a general pedagogy, which omits the subject-constituting power of gender, emerges.

  20. Kuldala elamurajoon : Rae vald, Harjumaa = Kuldala Residential Community : Rae municipality, Harju County / Triin Ojari

    Index Scriptorium Estoniae

    Ojari, Triin, 1974-

    2008-01-01

    Arhitektuurne projekt: KOKO Arhitektid. Kutsutud konkurss 2004, autorid: Lembit-Kaur Stöör, Margus Maiste, Raivo Kotov, Tõnis Kimmel. Hoonete projekteerimine: Lembit-Kaur Stöör, Margus Maiste, Olga Batuhtina. Maastikuarhitektuur: Margit Kärner. Projekt: 2005-2006. Lembit-Kaur Stöör arhitektuurikonkursist, planeeringust, elamute arhitektuurist, fassaadidest, ehitusest, sisehoovist. Joonised: vaade, I-IV korruse plaan (2), planeeringu makett, 5 värv. fotot: 3 välis- ja 2 sisevaadet

  1. Personas y comunidades: Actas del Segundo Congreso Internacional de Buenas Prácticas en Patrimonio Mundial: (29 -30 de abril, 1 y 2 de mayo de 2015)

    OpenAIRE

    Castillo Mena, Alicia R. (ed.)

    2015-01-01

    Este volumen está compuesto por una introducción y los textos de las comunicaciones y pósteres del congreso internacional, con una participación de 30 países y casi 100 centros de investigación. Recoge un documento de Buenas Prácticas sobre el tema.

  2. Manual de valoración de puestos de trabajo en las áreas funcionales de la empresa Comercial Salvador Pacheco Mora, a mayo de 2009

    OpenAIRE

    Hermida Sánchez, Gabriel Gerardo; Piedra Pulla, Diego Armando

    2009-01-01

    El tema de este trabajo de tesis es Manual de Valoración de puestos de Trabajo en la empresa "Salvador Pacheco Mora", se escogió este tema porque la mayoría de organizaciones en el país no cuentan con un manual de valoración que les permita establecer la jerarquía de cada uno de los puestos y determinar escalas remunerativas justas y equitativas. La principal razón que abaliza está investigación se fundamenta en el hecho de que Comercial Salvador Pacheco Mora no cuenta con un manual de va...

  3. The 2 + 1 paradigm: an efficient algorithm for central reading of Mayo endoscopic subscores in global multicenter phase 3 ulcerative colitis clinical trials.

    Science.gov (United States)

    Ahmad, Harris A; Gottlieb, Klaus; Hussain, Fez

    2016-02-01

    Despite its importance and potential impact in clinical trials, central reading continues to be an under-represented topic in the literature about inflammatory bowel disease (IBD) clinical trials. Although several IBD studies have incorporated central reading to date, none have fully detailed the specific methodology with which the reads were conducted. Here we outline key principles for designing an efficient central reading paradigm for an ulcerative colitis (UC) study that addresses regulatory, operational and clinical expectations. As a step towards standardization of read methodology for the growing number of multicenter phase 3 clinical trials in IBD, we have applied these principles to the design of an optimal read methodology that we call the '2 + 1 paradigm.' The 2 + 1 paradigm involves the use of both site and central readers, validated scoring criteria and multiple measures for blinding readers, all of which contribute to reducing bias and generating a reliable endoscopic subscore that reflects endoscopic disease severity. The paradigm can be utilized while maintaining a practical workflow compatible with an operationally feasible clinical trial. The 2 + 1 paradigm represents a logical approach to endoscopic assessment in IBD clinical trials, one that should be considered attractive to prospective sponsors, contract research organizations, key opinion leaders and regulatory authorities and be ready for implementation and further evaluation. © The Author(s) 2015. Published by Oxford University Press and the Digestive Science Publishing Co. Limited.

  4. Los modelos de gestión en el cumplimiento de los objetivos empresariales. Caso de Estudio: Cia. de Transportes 27 de Mayo S.A.

    Directory of Open Access Journals (Sweden)

    Angela Alexandra Díaz Cadena

    2018-03-01

    Full Text Available Las PYMES en Ecuador no aplican un modelo de gestión administrativa, y esto se sustenta porque en el país el mayor porcentaje de las empresas son pequeñas, medianas y micro empresas (PYMES, por lo que la consecuencia de la carencia de un modelo de gestión afecta a la eficiencia laboral y la gestión de sus procesos. El objetivo del presente estudio es dar a conocer la importancia del empleo de los modelos de gestión en las pequeñas y micro empresas, tomando en consideración diferentes posiciones teóricas para el diseño de un modelo de gestión que podría aplicarse en las PYMES del Ecuador.

  5. Avisos publicitarios y Revolución de Mayo en la prensa gráfica. El Día, 1943-1958.

    Directory of Open Access Journals (Sweden)

    Guillermo O. Quinteros.

    2010-09-01

    Full Text Available This article analyzes the advertising associated with the celebration of the Revolution of May 25, 1810 as a form of discourse that tries to sell and also influence the reader by using the newspaper as a strategic vehicle. These ads analyzed were published in the daily newspaper, El Día, of La Plata (Argentina between 1943 and 1958. The exercise shows that during this period there was a variety of advertising discourses that, by referring to values associated with the Revolution, suggest particular political interests in accord with the changing historical context.

  6. Conocimientos y prácticas sobre la nueva influenza A (H1N1) en trabajadores de salud y pacientes ambulatorios, Perú (mayo 2009)

    OpenAIRE

    Jeannette Ávila; César V. Munayco; Jorge Gomez; Juan Nunura; Jerónimo Canahuiri

    2009-01-01

    Con el objetivo de determinar el nivel de conocimientos, las actitudes y prácticas de los pacientes y del personal de salud a inicios de la pandemia de la nueva Influenza A H1N1, desarrollamos un estudio descriptivo de corte transversal en establecimientos del Ministerio de Salud del Perú (MINSA) sobre 313 usuarios y 244 trabajadores de 4 ciudades del país. El 38% de los pacientes encuestados asocia la nueva Influenza A (H1N1) con los cerdos o aves, un 17% no reconoce que la transmisión es de...

  7. Formación de Escuelas Lectoras de Padres de Familia en los novenos años del Colegio Experimental "24 de Mayo", de Quito

    OpenAIRE

    Mora Witt, Matilde

    2009-01-01

    La presente tesis estudia la formación de Escuelas Lectoras de Padres de Familia en los novenos años del Colegio Experimental “24 de Mayo” de la ciudad de Quito. En el Capítulo 1 está la Introducción, en ella se presenta la formulación del problema, la pregunta clave, los objetivos que se persiguen, la justificación, el método de investigación y los instrumentos y técnicas de la misma. En el Capítulo 2 se encuentra el Enfoque y Marco Conceptual. En este capítulo se analiz...

  8. Necesidades y demandas laborales de los empleadores de psicólogos/as clínicos, los meses de mayo a octubre de 2015

    OpenAIRE

    Torres Linares, Mayly Pastora

    2016-01-01

    Psychology in Ecuador is undergoing a process of change and transformation, both socially and educationally, based on the analysis carried out by the Government and its decision to modify the academic structure at the country’s universities. These changes are based on an analysis of the pedagogical model which is used for the teaching of Psychology in this country. With regard to clinical psychology, the need to broaden the knowledge of psychologists and clinical psyc...

  9. Burning mouth syndrome: results of screening tests for vitamin and mineral deficiencies, thyroid hormone, and glucose levels-experience at Mayo Clinic over a decade.

    Science.gov (United States)

    Morr Verenzuela, Claudia S; Davis, Mark D P; Bruce, Alison J; Torgerson, Rochelle R

    2017-09-01

    Burning mouth syndrome (BMS) is a disorder characterized by chronic mouth pain in the absence of objective clinical abnormalities. Vitamin or mineral deficiencies may have a role in BMS, but data regarding the prevalence and relevance of hematinic deficiencies are conflicting. We aimed to determine the frequency of specific laboratory abnormalities in patients with BMS. We retrospectively reviewed the results of screening blood tests in patients with BMS at our institution between January 2003 and December 2013. Among 659 patients with BMS, the most common decreased values or deficiencies were vitamin D 3 (15%), vitamin B 2 (15%), vitamin B 6 (5.7%), zinc (5.7%), vitamin B 1 (5.3%), thyrotropin (TSH) (3.2%), vitamin B 12 (0.8%), and folic acid (0.7%). Laboratory values for fasting blood glucose and TSH were increased in 23.7% and 5.2%, respectively. In patients with symptoms of BMS, our results suggest it is reasonable to screen for fasting blood glucose, vitamin D (D 2 and D 3 ), vitamin B 6 , zinc, vitamin B 1 , and TSH. Deficiencies of vitamin B 12 and folic acid were rare (<1% abnormal). © 2017 The International Society of Dermatology.

  10. Biocrónica: recorriendo el trapecio Amazónico una experiencia inolvidable, del 27 de abril al 6 de mayo del 2009.

    Directory of Open Access Journals (Sweden)

    Angie Andrea Delgadillo

    2009-07-01

    Full Text Available Esta bio- crónica muestra la práctica de Campo realizada por estudiantes de de sexto semestre en Licenciatura en Biología en el marco del Componente Interacción, donde a través de esta experiencia se retoma el Concepto “Interacción” de manera Multidisciplinar y responde de manera parcial a preguntas orientadoras como ¿Cuál es la noción de territorio de los  diferentes actores sociales de la región? Así mismo se trabajan aspectos de área de la biología como el concepto de Interacción Biología y productividad en ecosistemas.

  11. Making Canada a Destination for Medical Tourists: Why Canadian Provinces Should Not Try to Become “Mayo Clinics of the North”

    Science.gov (United States)

    Turner, Leigh

    2012-01-01

    When Canadian researchers examine the subject of medical tourism, they typically focus on ethical, social, public health and health policy issues related to Canadians seeking health services in other countries. They emphasize study of Canada as a departure point for medical tourists rather than as a potential destination for international patients. Several influential voices have recently argued that provincial healthcare systems in Canada should market health services to international patients. Proponents of marketing Canada as a destination for medical tourists argue that attracting international patients will generate revenue for provincial healthcare systems. Responding to such proposals, I argue that there are at least seven reasons why provincial health systems in Canada should not dedicate institutional, financial and health human resources to promoting themselves as destinations for medical tourists. PMID:23634159

  12. Outcomes of patients with loco-regionally recurrent or new primary squamous cell carcinomas of the head and neck treated with curative intent reirradiation at Mayo Clinic

    International Nuclear Information System (INIS)

    Curtis, Kelly K.; Ross, Helen J.; Garrett, Ashley L.; Jizba, Theresa A.; Patel, Ajay B.; Patel, Samir H.; Wong, William W.; Halyard, Michele Y.; Ko, Stephen J.; Kosiorek, Heidi E.; Foote, Robert L.

    2016-01-01

    We reviewed outcomes of patients with loco-regionally recurrent (LRR) or new primary (NP) squamous cell carcinoma of the head and neck (SCCHN) treated at our institution with reirradiation (RRT). Patients received definitive RRT (DRRT) or post-operative RRT following salvage surgery (PRRT) from 2003 to 2011. Measured survival outcomes included loco-regional relapse free survival (LRFS) and overall survival (OS). Among 81 patients (PRRT, 42; DRRT, 39), median PRRT and DRRT doses were 60 Gy (12–70 Gy) and 69.6 Gy (48–76.8 Gy). The majority of patients received IMRT-based RRT (n = 77, 95 %). With median follow-up of 78.1 months (95 % CI, 56–96.8 months), 2-year OS was 53 % with PRRT and 48 % with DRRT (p = 0.12); 23 % of patients were alive at last follow-up. LRFS at 2 years was 60 %, and did not differ significantly between PRRT and DRRT groups. A trend toward inferior LRFS was noted among patients receiving chemotherapy with RRT versus RRT alone (p = 0.06). Late serious toxicities were uncommon, including osteoradionecrosis (2 patients) and carotid artery bleeding (1 patient, non-fatal). OS of PRRT- and DRRT-treated patients in this series appears superior to the published literature. We used IMRT for the majority of patients, in contrast to several series and trials previously reported, which may account in part for this difference. Future studies should seek to improve outcomes among patients with LRR/NP SCCHN via alternative therapeutic modalities such as proton radiotherapy and by incorporating novel systemic agents

  13. La consolidación y difusión de un mito fundacional: La Revolución de Mayo en los textos escolares, 1880-1905

    Directory of Open Access Journals (Sweden)

    Marta Mercedes Poggi

    2010-11-01

    Full Text Available The process of nation building of Argentina had as foundations two projects closely linked, one historiographical and other educational. Both projects build a new historical memory that had an important broadcaster in textbooks. These books acted as inventories of what was necessary to know about Argentina. History and memory offered a vital value to the May Revolution, and the educational system history texts contributed to the construction and broadcast of it as a foundational myth functional to the model of citizenship developed since 1880.

  14. Timectomía como tratamiento de miastenia gravis: Experiencia en el Hospital Nacional Dos de Mayo. Lima, Perú

    Directory of Open Access Journals (Sweden)

    Julio VASQUEZ KOBASHIGAWA

    2006-10-01

    Full Text Available La timectomía es una opción terapéutica en el manejo de la miastenia gravis (MG. Aunque existe controversia sobre las indicaciones quirúrgicas y el mejor momento para operar, la timectomía se mantiene como un procedimiento seguro y efectivo para el tratamiento de MG. Aquí revisamos nuestra experiencia con esta operación en pacientes con esta enfermedad, y comparamos nuestros resultados con aquellos publicados en la literatura.

  15. Diagnosis and Management of Waldenström Macroglobulinemia: Mayo Stratification of Macroglobulinemia and Risk-Adapted Therapy (mSMART) Guidelines 2016.

    Science.gov (United States)

    Kapoor, Prashant; Ansell, Stephen M; Fonseca, Rafael; Chanan-Khan, Asher; Kyle, Robert A; Kumar, Shaji K; Mikhael, Joseph R; Witzig, Thomas E; Mauermann, Michelle; Dispenzieri, Angela; Ailawadhi, Sikander; Stewart, A Keith; Lacy, Martha Q; Thompson, Carrie A; Buadi, Francis K; Dingli, David; Morice, William G; Go, Ronald S; Jevremovic, Dragan; Sher, Taimur; King, Rebecca L; Braggio, Esteban; Novak, Ann; Roy, Vivek; Ketterling, Rhett P; Greipp, Patricia T; Grogan, Martha; Micallef, Ivana N; Bergsagel, P Leif; Colgan, Joseph P; Leung, Nelson; Gonsalves, Wilson I; Lin, Yi; Inwards, David J; Hayman, Suzanne R; Nowakowski, Grzegorz S; Johnston, Patrick B; Russell, Steven J; Markovic, Svetomir N; Zeldenrust, Steven R; Hwa, Yi L; Lust, John A; Porrata, Luis F; Habermann, Thomas M; Rajkumar, S Vincent; Gertz, Morie A; Reeder, Craig B

    2017-09-01

    Waldenström macroglobulinemia (WM), an IgM-associated lymphoplasmacytic lymphoma, has witnessed several practice-altering advances in recent years. With availability of a wider array of therapies, the management strategies have become increasingly complex. Our multidisciplinary team appraised studies published or presented up to December 2015 to provide consensus recommendations for a risk-adapted approach to WM, using a grading system. Waldenström macroglobulinemia remains a rare, incurable cancer, with a heterogeneous disease course. The major classes of effective agents in WM include monoclonal antibodies, alkylating agents, purine analogs, proteasome inhibitors, immunomodulatory drugs, and mammalian target of rapamycin inhibitors. However, the highest-quality evidence from rigorously conducted randomized clinical trials remains scant. Recognizing the paucity of data, we advocate participation in clinical trials, if available, at every stage of WM. Specific indications exist for initiation of therapy. Outside clinical trials, based on the synthesis of available evidence, we recommend bendamustine-rituximab as primary therapy for bulky disease, profound hematologic compromise, or constitutional symptoms attributable to WM. Dexamethasone-rituximab-cyclophosphamide is an alternative, particularly for nonbulky WM. Routine rituximab maintenance should be avoided. Plasma exchange should be promptly initiated before cytoreduction for hyperviscosity-related symptoms. Stem cell harvest for future use may be considered in first remission for patients 70 years or younger who are potential candidates for autologous stem cell transplantation. At relapse, retreatment with the original therapy is reasonable in patients with prior durable responses (time to next therapy ≥3 years) and good tolerability to previous regimen. Ibrutinib is efficacious in patients with relapsed or refractory disease harboring MYD88 L265P mutation. In the absence of neuropathy, a bortezomib-rituximab-based option is reasonable for relapsed or refractory disease. In select patients with chemosensitive disease, autologous stem cell transplantation should be considered at first or second relapse. Everolimus and purine analogs are suitable options for refractory or multiply relapsed WM. Our recommendations are periodically updated as new, clinically relevant information emerges.

  16. Evaluación de los niveles de estrés crónico del recurso humano de la Microrred de Pachacamac, mayo 2012

    OpenAIRE

    Collado, Noemí; Figueroa, Jazmín

    2013-01-01

    Objetivos: Medir los niveles de estrés crónico en el recurso Humano de la Microrred de Pachacamac. Definir la relación entre los niveles de satisfacción laboral y los niveles de estrés o agotamiento. Comparar los niveles de estrés entre los trabajadores asistenciales y administrativos. Diseño: Estudio descriptivo, trasversal. Institución: Facultad de Medicina, UNMSM. Participantes: Trabajadores de salud. Intervenciones: En 54 trabajadores de salud -8 administrativos, 42 asistenciales y 4 que ...

  17. UNA PRIMERA APROXIMACIÓN A LA LEY DE REGULACIÓN DE LAS CONSULTAS POPULARES LOCALES EN ANDALUCÍA 2/2001, DE 3 DE MAYO

    Directory of Open Access Journals (Sweden)

    José Luis Rodríguez Rodríguez

    2011-06-01

    Full Text Available Sumario: I. INTRODUCCIÓN. II. EL RÉGIMEN JURÍDICO DE LAS CONSULTAS POPULARES. III. CONSIDERACIONES SOBRE ASPECTOS GENERALES DE LA LEY 2/2001, REGULADORA DE LAS CONSULTAS POPULARES LOCALES EN ANDALUCÍA. 1. El objeto de la convocatoria. 2. El sufragio universal, el cuerpo electoral, la acreditación del derecho de sufragio y la circunscripción electoral. 3. La Administración Electoral. Las Juntas Electorales. 4. Legislación supletoria. IV. DESARROLLO DEL PROCESO ANTES DE LA CONVOCATORIA DE CONSULTA POPULAR. 1. La iniciativa de la consulta. 2. Verificación de los requisitos en iniciativas de consulta de los vecinos. 3. La información pública. 4. Acuerdo de celebración. 5. Tramitación de la preceptiva autorización de la consulta. V. CONVOCATORIA DE LA CONSULTA POPULAR Y DESARROLLO POSTERIOR DEL PROCESO HASTA LA VOTACIÓN. 1. La convocatoria. VI. VOTACIÓN, ESCRUTINIO GENERAL Y PROCLAMACIÓN DE RESULTADOS. 1. Constitución de las Mesas. 2. Votación y escrutinio. 3. El escrutinio general y proclamación de resultados. VII. CONCLUSIONES.

  18. EL CONTRATO SOCIAL DEL MÉDICO ANTE EL DESASTRE DE LA SALUD Pronunciamiento de la Academia Nacional de Medicina 9 de mayo de 2011

    Directory of Open Access Journals (Sweden)

    Academia Nacional de Medicina

    2011-04-01

    Full Text Available

    Con el advenimiento de la atención “gerenciada” de la salud (managed care que implantó en Colombia la Ley 100 de diciembre 23 de 1993 se ha pretendido modificar el contrato social del médico, sustituir el imperativo hipocrático de considerar ante todo el bien del paciente por una pretendida “justicia distributiva” que ha llevado a Colombia al actual desastre en el sistema de atención de la salud. Economistas de la llamada escuela neoliberal que preconizan la privatización con ánimo de lucro y la mano invisible del mercado como los factores supremos de desarrollo y regulación y propenden por el debilitamiento del Estado y de las instituciones de carácter público, han manejado directa o indirectamente el sistema de salud. Esto tal vez ilustra lo inexplicable: a los 17 años de la creación del Sistema General de Seguridad Social en Salud (SGSSS todavía no existe un sistema de información con registro único, y la Superintendencia Nacional de Salud es extremadamente débil y continúa adscrita al Ministerio de la Protección Social, dando amplio campo de acción a las aseguradoras, que más bien son intermediarios financieros. Se debe tener en cuenta que un sistema de salud es, en esencia, un sistema de información, y que al crear el mercado de la salud se requerían mecanismos de vigilancia y control muy fuertes. Ni sistema de información, ni adecuada vigilancia, ni estricto control ha tenido el actual sistema de salud colombiano. Sin embargo, la Academia Nacional de Medicina, por ley órgano consultor del Gobierno, ha advertido repetidamente tales fallas desde hace años.

    El modelo de la atención “gerenciada” de la salud significa un cambio profundo en uno de los pilares de la estructura de la sociedad, el de la atención de la salud, y altera en forma dramática tanto el ejercicio de la medicina como la esencia misma de la profesión, con detrimento de la calidad de la atención. En efecto, el modelo actual rompe el imperativo hipocrático e interfiere con la autonomía profesional. “Tradicionalmente el profesionalismo médico, enmarcado en un riguroso código de ética y deontología que define su compromiso moral y de servicio a la sociedad, ejercido a través de larelación médico-paciente, ha sido el fundamento de la atención de la salud. La medicina es la más intensamente moral de las actividades humanas, por cuanto su objetivo es el beneficio del individuo y de la colectividad” (1. Además, la medicina es la más rigurosamente autorregulada y autocontrolada entre todas las profesiones.

  19. Conocimientos y prácticas sobre la nueva influenza A (H1N1 en trabajadores de salud y pacientes ambulatorios, Perú (mayo 2009

    Directory of Open Access Journals (Sweden)

    Jeannette Ávila

    2009-07-01

    Full Text Available Con el objetivo de determinar el nivel de conocimientos, las actitudes y prácticas de los pacientes y del personal de salud a inicios de la pandemia de la nueva Influenza A H1N1, desarrollamos un estudio descriptivo de corte transversal en establecimientos del Ministerio de Salud del Perú (MINSA sobre 313 usuarios y 244 trabajadores de 4 ciudades del país. El 38% de los pacientes encuestados asocia la nueva Influenza A (H1N1 con los cerdos o aves, un 17% no reconoce que la transmisión es de persona a persona, asimismo, entre el 35% a 50% utiliza la mano para cubrirse nariz y boca al estornudar o toser y no tiene práctica de higiene de manos. En el caso del personal de salud, el 99% advierte la transmisión humana y el 86% conoce la definición de caso sospechoso de Influenza A (H1N1. Entre el 83% y 95% de los trabajadores encuestados reconocen las medidas de protección individual recomendadas por el MINSA. En ambos grupos la televisión es el medio más visto (60% y por dónde recibe mayor información sobre Influenza A (H1N1, además, en los trabajadores de salud, un medio frecuente de información sobre el tema también es el internet (11%.

  20. Rakverlased esinesid klavessiinifestivalil

    Index Scriptorium Estoniae

    2008-01-01

    Muusika- ja kunstikooli Kaur klavessiiniõpilased esinesid Tallinnas Eesti Teatri- ja Muusikamuuseumis kontserdil "Con spirito" VI rahvusvahelise klavessiinifestivali raames, järgmisena on Kauri kooli klavessiiniklassil plaanis osaleda EKSTi "IX ajalooliste klahvpillide suvelaagris" 25.-29. juunini Juurus

  1. Kuidas Sander Saarmets kosmosest maailma vallutama kipub / Moon Meier

    Index Scriptorium Estoniae

    Meier, Moon

    2007-01-01

    Eesti Muusika- ja Teatriakadeemias elektronmuusika erialal õppivast Sander Saarmetsast kui noorest heliloojast, kes on siiani oma nime teinud ulmemuusika ringkondades. Kommenteerivad sõber, muusik, ulmeplaatide boss Aivar Tõnso ja Muschraumi kitarrist Kaur Garšnek

  2. Propagation characteristics of ion-acoustic double layer in ...

    Indian Academy of Sciences (India)

    Harvinder Kaur

    2017-07-24

    Jul 24, 2017 ... in multicomponent inhomogeneous auroral zone plasma. HARVINDER KAUR1 .... in characterizing the physics of the nonlinear waves. [49–55]. Experimental and .... (23) is due to ionization effects. In order to obtain the.

  3. Organizing Committee Panel of Referees 193

    Indian Academy of Sciences (India)

    , Panjab University. Vipin Bhatnagar, Panjab University. M M Gupta, Panjab University. Manjit Kaur, Panjab University. C N Kumar, Panjab University. Kuldeep Kumar, Panjab University (Secretary). G Rajasekaran, IMSc, Chennai.

  4. President 2001 / interv. Kai Kalamees

    Index Scriptorium Estoniae

    2001-01-01

    Eesti Päevaleht palus erinevate elualade esindajatel hinnata presidendikandidaatide ametisse sobivust (Savi, Tarand, Kelam, Kreitzberg, Tulviste). Vastavad: Aivar Voog, Rein Ruutsoo, Kaur Hanson, Ivo Rull, Tarmo Tammerk, Mart Helme, Pavel Ivanov, Jaan Kaplinski. Diagrammid

  5. Genetic controls on starch amylose content in wheat and rice grains

    Indian Academy of Sciences (India)

    2014-04-07

    Apr 7, 2014 ... cuboid in appearance and smaller than wheat or maize. (figure 3; Kaur et al. 2007). ..... gaps in our knowledge. Due to the hexaploid ...... Makino A 2011 Photosynthesis, grain yield, and nitrogen utilization in rice and wheat.

  6. Eesti 3D jaoks kitsas / Virge Haavasalu

    Index Scriptorium Estoniae

    Haavasalu, Virge

    2009-01-01

    Produktsioonifirma Digitaalne Sputnik: Kaur ja Kaspar Kallas tegelevad filmide produtseerimise ning 3D digitaalkaamerate tootearendusega (Silicon Imaging LLC). Vendade Kallaste 3D-kaamerast. Kommenteerib Eesti Filmi Sihtasutuse direktor Marge Liiske

  7. Спортивный блок Английского колледжа, Таллинн = The sports facility of the Englich College, Tallinn / Мария Фадеева

    Index Scriptorium Estoniae

    Фадеева, Мария

    2008-01-01

    Tallinna Inglise Kolledži uuest spordihoonest. Projekt valmis firmas KOKO Arhitektid (Kaur Stöör, Margus Maiste, Andrus Kõresaar). Interjööri kujundasid Liis Lindvere, Raili Paling, Liisi Murula

  8. Psühholoog Pulver: uskumatu. Kurb. Õõvastav / Aleksander Pulver ; intervjueerinud Tiina Jõgeda

    Index Scriptorium Estoniae

    Pulver, Aleksander, 1956-

    2009-01-01

    Vestlus Tallinna Ülikooli psühholoogia instituudi direktori Aleksander Pulveriga pedofiilia teemal. Psühholoogi seisukohavõtud laste õiguste kaitsjana ja koolihariduse uuendajana silma paistnud Kaur Hansoni pedofiiliasüüdistuste kohta

  9. Kaks kuud Kalev SPA-s / kommenteerinud Julia Kurbat, Natalia Nazarenko-Kiivikas, Margit Lipstuhl

    Index Scriptorium Estoniae

    2012-01-01

    Kahe spordiharrastaja Kaur Sau ja Kadri Sõggeli seatud eesmärkidest 2012. aastal ja kehalisest arengust treenides kaks kuud mõnes Tallinna spordiklubis. Treeningutest Kalev Spa Hotel & Water Park'i nimekandvas spordi- ja vabaajakeskuses

  10. Optical, mechanical and TEM assessment of titania-doped Bi2V1 ...

    Indian Academy of Sciences (India)

    and mechanical parameters to their structural properties. Band gap has also ..... band absorption, Urbach tails and weak tails, which are residual below gap ..... Solids 358. 2589. Kaur G 2012c Investigations on interfacial interaction of glass.

  11. Pramana – Journal of Physics | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    independent search for new physics at D0 experiment · Md Naimuddin ... Precision measurement of neutrino oscillation parameters at INO-ICAL detector · Daljeet Kaur Md Naimuddin Sanjeev Kumar Verma · More Details Abstract Fulltext PDF.

  12. Tartu Jaani kiriku terrakotaskulptuurid

    Index Scriptorium Estoniae

    2004-01-01

    10 fotot Kaur Alttoalt. Maarja võidukaare kohalt, Mooses, eestpalujad Maarja ja Ristija Johannes peaportaalilt, arvatav evangelist Johannes, portree peadefriisilt, daam tanuga, skulptuurid kesklöövi lõunaseinal, torni poolfiguur

  13. Maakera kaubamärk liitus külmhoonega / Hindrek Riikoja

    Index Scriptorium Estoniae

    Riikoja, Hindrek

    2006-01-01

    10. jaanuaril teatas Nordic Foods ettevõtte üleminekust Tallinna Külmhoone omandusse ning kolm varasemat Nordic Foodsi omanikku - Kuldar Leis, Katre Kõvask ja Silver Kaur - said osaluse Külmhoones

  14. Ilmus põhjalik raamat intellektuaalsest omandist / Pirjo Ant, Kairi Kurisoo ; intervjueerinud Mari Sarv

    Index Scriptorium Estoniae

    Ant, Pirjo

    2009-01-01

    Autorid räägivad intellektuaalsest omandist ja oma raamatust: Kurisoo, Kairi ; Kaur, Viive ; Ant, Pirjo. Intellektuaalne omand. Tallinn : Äripäeva Kirjastus, 2009. (Juht ja seadus. Äripäeva raamat)

  15. Diversity of coprophilous species of Panaeolus (Psathyrellaceae, Agaricales) from Punjab, India

    OpenAIRE

    AMANDEEP KAUR; N.S. ATRI; MUNRUCHI KAUR

    2014-01-01

    Kaur A, Atri NS, Kaur M. 2014.Diversity of coprophilous species of Panaeolus (Psathyrellaceae, Agaricales) from Punjab, India. Biodiversitas 15: 115-130. An account of 16 Panaeolus species collected from a variety of coprophilous habitats of Punjab state in India is described and discussed. Out of these, P. alcidis, P. castaneifolius, P. papilionaceus var. parvisporus, P. tropicalis and P. venezolanus are new records for India while P. acuminatus, P. antillarum, P. ater, P. solidipes, and P. ...

  16. Rebaudiosides T and U, minor C-19 xylopyranosyl and arabinopyranosyl steviol glycoside derivatives from Stevia rebaudiana (Bertoni) Bertoni.

    Science.gov (United States)

    Perera, Wilmer H; Ghiviriga, Ion; Rodenburg, Douglas L; Alves, Kamilla; Bowling, John J; Avula, Bharathi; Khan, Ikhlas A; McChesney, James D

    2017-03-01

    Two diterpene glycosides were isolated from a commercial Stevia rebaudiana leaf extract. One was found to be 13-[(2-O-β-d-glucopyranosyl-3-O-β-d-glucopyranosyl-β-d-glucopyranosyl)oxy]ent-kaur-16-en-19-oic acid-(2-O-β-d-xylopyranosyl-3-O-β-d-glucopyranosyl- β-d-glucopyranosyl) ester (rebaudioside T), whereas the other was determined to be 13-[(2-O-β-d-glucopyranosyl-3-O-β-d-glucopyranosyl-β-d-glucopyranosyl)oxy]ent-kaur-16-en-19-oic acid-(6-O-α-l-arabinopyranosyl-β-d-glucopyranosyl) ester (rebaudioside U). In addition, five C-19 sugar free derivatives were prepared and identified as follows: 13-[(2-O-α-l-rhamnopyranosyl-β-d-glucopyranosyl)]oxy]kaur-16-en-19-oic acid (dulcoside A 1 ); 13-[(2-O-β-d-xylopyranosy-3-O-β-d-glucopyranosyl-β-d-glucopyranosyl)oxy]kaur-16-en-19-oic acid; 13-[(2-O-β-d-xylopyranosyl-β-d-glucopyranosyl-)oxy]kaur-16-en-19-oic acid; 13-[(2-O-β-d-glucopyranosyl-3-O-β-d-glucopyranosyl-β-d-xylopyranosyl-)oxy]kaur-16-en-19-oic acid (rebaudioside R 1 ) and 13-[(2-O-6-deoxy-β-d-glucopyranosyl-3-O-β-d-glucopyranosyl-β-d-glucopyranosyl)oxy]kaur-16-en-19-oic acid, respectively. Chemical structures were determined by NMR experiments. HPLC analyses were also useful to differentiate different steviol-C13 sugar substituent patterns by elution position. Copyright © 2016 Elsevier Ltd. All rights reserved.

  17. Proceedings of the MICOM Logistics Research and Development Workshop (2nd) Held in Huntsville, Alabama on 27-28 August 1991

    Science.gov (United States)

    1991-09-01

    Robert H ................................................................ 205-842-6408 Quartullo, Judith A...301-320-7225 Weissman, Vanessa M ......................................................... 205-876-1697 Wetheral

  18. Annual Conference on Human Retrovirus Testing (7th) held in Chicago, IL on March 3-5, 1992

    Science.gov (United States)

    1993-04-05

    Ph.D.; Charles Sehable, M.S.; Judith Wethers , M.S.; Judith Wilber, Ph.D. This conference was supported, in part, by a firancial graot from the...Westerman Bill Roberts Judith Wethers , M.S. U Col Chester Roberts, Ph.D. Julianne Wiese Jeanette V Roman Helen Wiprud Gene F Robertson, Ph.D. JoAnn L Yee...RHgmor Thorstensson, Ph.D., National Judith Wethers , M.S., Director of Testing Bacteriological Lab Services. Retrovirology Lab.. New York Ralph

  19. 77 FR 50102 - Sunshine Act Meeting Notice

    Science.gov (United States)

    2012-08-20

    ..., Inc. Draft Advisory Opinion 2012-30: Revolution Messaging, LLC. Audit Division Recommendation... the meeting date. PERSON TO CONTACT FOR INFORMATION: Judith Ingram, Press Officer, Telephone: (202...

  20. Memoria, restitución y prácticas de la transmisión: El Archivo Biográfico Familiar de Abuelas de Plaza de Mayo

    Directory of Open Access Journals (Sweden)

    Horacio Medina

    2013-06-01

    Full Text Available In this paper we will place testimonial voices, as survivor narrative, in the frame of "identity" ruin caused by the practices of appropriation of children during the last military dictatorship in Argentina. We analyze an ethnographic corpus of the tasks performed by the “Familiar Biographical Archives” of “Abuelas de  Plaza de Mayo” Association. We discuss the conflict of the "identity" narrated by "others" that leads to the threshold of an autobiographical enunciation. This work of memory and transmission gives a "subjective", but also ethical and political, sense to the process of "restitution".

  1. Detección de las complicaciones en los pacientes diabéticos que asisten a la unidad básica la libertad, durante los meses de abril y mayo del año 2006

    Directory of Open Access Journals (Sweden)

    Elisa Katie Vergel-Arevalo

    2006-12-01

    Full Text Available La diabetes continua siendo uno de los mayores problemas de salud pública en el mundo, coma consecuencia de complicaciones tales como neuropatías, oftalmopatias, nefropatías, Hipertensión Arterial (HTA, alteraciones micro y macrovasculares. La presente revisión pretende exponer las complicaciones encontradas en una muestra de 14 pacientes diabéticos de la Unidad Básica la Libertad de la ciudad de Cúcuta (Colombia, con el objetivo de detectar tempranamente las complicaciones propias de la Diabetes. El principal respaldo de esta investigación se basa en los grandes estudios epidemiológicos que han demostrado que el control adecuado de la glicemia previene o retarda las complicaciones. Al valorar los pacientes diabéticos se tomaron variables sociodemográficas como sexo, edad, estrato, ocupación y nivel educativo; alteraciones en los niveles de glicemia casual en sangre, en el estado neurológico, oftalmológico, factores que puedan propiciar pie diabético, antecedentes de complicaciones agudas, valores de presión arterial y prácticas como dieta balanceada y ejercicios

  2. Factores que inciden en la violencia e inseguridad contra las mujeres en el sector de la Av. 24 de mayo de la ciudad de Quito, experiencias de las redes locales de atención y prevención.

    OpenAIRE

    Cáceres Gallardo, Lidia Guadalupe; Guayasamín Narváez, Alioska De Los Ángeles; Oviedo Díaz, Ruth Margarita

    2015-01-01

    Around the world violence against women is rooted in many different ways of discrimination, inequality and oppression interrelated and deeply linked to patriarchal power. This is a persistent problem and unacceptable phenomenon. Violence against women is a consistent pattern of explotation, domination and power. Gender discrimination is the cause of violence against women, social norms and gender stereotypes come to perpetuate this phenomenon. Because of the impact that violence has on ...

  3. Las elecciones legislativas del 25 de mayo y primeros de junio de 1997. Intento de explicación del fracaso de la derecha clásica en Francia

    Directory of Open Access Journals (Sweden)

    FREDERIQUE CHADEL

    1999-01-01

    Full Text Available El artículo presenta los resultados de las elecciones legislativas de junio de 1997 en Francia, insistiendo más particularmente en la consiguiente crisis organizativa de los partidos de la derecha moderada. Lo que fue presentado como un acontecimiento singular, un hundimiento de la derecha moderada francesa, es más bien, en términos electorales, un reequilibrio entre bloques, después de una dominación excepcional (pro el número de diputados de cuatro años de la UDF y del RPR. Estos comicios siguen, pues, con la regla de la alternancia en el poder, que se produce sistemáticamente en todas las elecciones legislativas desde 1981, y marcan, cada vez más, un divorcio entre la clase política y los electores. Si los resultados, en términos de escaños, son poco originales respecto a la historia electoral francesa de estos últimos años, lo que es novedoso es la reacción que causaron en el espacio electoral de la derecha moderada francesa: una derrota moral que puso en cuestión los liderazgos y las alianzas entre partidos. Estas elecciones legislativas, seguidas poco después por las regionales, iniciaron indudablemente una nueva era para la derecha, un período de transición organizativa y directiva.

  4. El abuso de las drogas, una perspectiva internacional. Ponencia presentada para la reunión anual de la Asociación Psiquiátrica Americana -Chicago, mayo 18, 2000

    OpenAIRE

    Ismael Roldán

    2000-01-01

    En esta ponencia se describen las áreas sociales afectadas por el tráfico en Colombia, se discute el impacto del consumo y los enfoques epidemiológicos para su tratamiento. Lo más importante para la sociedad colombiana es ganar legitimidad plena para el Estado como medio para construir escenarios sociales basados en la confianza. La confianza en las instituciones de protección ciudadana es la mejor garantía contra las acciones de la criminalidad asociada al tráfico de drogas. Desde el punto d...

  5. El abuso de las drogas, una perspectiva internacional. Ponencia presentada para la reunión anual de la Asociación Psiquiátrica Americana -Chicago, mayo 18, 2000

    Directory of Open Access Journals (Sweden)

    Ismael Roldán

    2000-04-01

    Full Text Available En esta ponencia se describen las áreas sociales afectadas por el tráfico en Colombia, se discute el impacto del consumo y los enfoques epidemiológicos para su tratamiento. Lo más importante para la sociedad colombiana es ganar legitimidad plena para el Estado como medio para construir escenarios sociales basados en la confianza. La confianza en las instituciones de protección ciudadana es la mejor garantía contra las acciones de la criminalidad asociada al tráfico de drogas. Desde el punto de vista colombiano, este fenómeno tiene su mayor peso social concentrado en el circuito de producción pese al crecimiento del consumo interno. Los estudios recientes sobre Colombia muestran el impacto social del tráfico en los más variados circuitos de la sociedad, en sus instituciones y en las redes sociales. El consumo, si bien afecta un sector de la población desde el punto de vista médico y de la salud, es relativamente circunscrito, como veremos.

  6. Specialized consultant in radiological safety to the Reforma peripheral clinic, PEMEX. - I. - May-June of 2003; Asesoria especializada en seguridad radiologica a la clinica periferica Reforma, PEMEX.- I.- Mayo-Junio de 2003

    Energy Technology Data Exchange (ETDEWEB)

    Torres P, A.; Garcia A, J.; Rodriguez A, F

    2003-07-15

    The Reforma peripheral clinic, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the clinic can conserve its respective sanitary license.(Author)

  7. Los debates del Estatuto de Autonomía de Cataluña en las cortes republicanas (mayo-agosto de 1932. El idioma catalán y el sistema escolar

    Directory of Open Access Journals (Sweden)

    Xavier Tornafoch Yuste

    2008-12-01

    Full Text Available La discusión del Estatuto de Cataluña en el marco de la constitución del nuevo régimen republicano, surgido de las elecciones municipales del 12 de abril de 1931, evidenció las diferencias que persistían en el seno de la comunidad política española sobre esta cuestión. Los partidos republicanos catalanes, decididamente favorables al autogobierno de Cataluña se enfrentaron en las Cortes a la mayoría de organizaciones españolas, de derecha y de izquierda, reacias a conceder una autonomía política a la región catalana. Los dos aspectos que más debate suscitaron fueron la oficialidad del idioma catalán y el sistema escolar. Esta polémica parlamentaria se llevó a cabo entre los meses d emayo y agosto del año 1932._____________________ABSTRACT:The discusion of the Statute of Catalonia in the framework of the constitution of the new one republican state, arisen of the lections of April 12, 1931, showed the differences that persisted in the breast of the political community Spanish on this question. The republican parties Catalonians, determined favorable to self-government of Catalonia they were faced in the Courts to the Spanish majority of organizations, of riht and of left, reluctant to grant a political autonomy to the Catalonian region. The two aspects that more debates stirred up were the official character of the Catalonian language and the school system. This parliamentary polemics was carried out among the months of May and August of the year 1932.

  8. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. I. - May-June of 2003; Asesoria especializada en seguridad radiologica al hospital central norte de alta especialidad, PEMEX I.- Mayo-Junio de 2003

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Camacho V, B.; Rodriguez A, F

    2003-09-15

    The north central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  9. Capacidad para tomar decisiones frente al Consentimiento Informado de personas que potencialmente participarían en estudios clínicos experimentales para la industria farmacéutica. Barranquilla (Colombia. Mayo-noviembre de 2009

    Directory of Open Access Journals (Sweden)

    Gloria Cecilia Visbal Illera

    2010-01-01

    Full Text Available Objetivo: Determinar el grado de capacidad para tomar decisiones frente al consentimiento informado de personas que potencialmente participarian en ensayos clínicos experimentales para la industria farmacéutica en la ciudad de Barranquilla. Materiales y métodos: Estudio descriptivo transversal, muestra de 100 pacientes con diagnóstico de hipertensión arterial y diabetes mellitus Tipo II; se aplicó el consentimiento informado. Se utilizó el instrumento de evaluación de competencias Competence Assessment Toolfor Clinical Research MacCAT-CR. Se calcularon estadísticas descriptivas y pruebas no paramétricas, como la prueba Ji cuadrada y la prueba de la mediana; se decidió con base en los valores de p de las respectivas pruebas. Resultados: No se encontró entendimiento de la naturaleza del estudio; ninguno obtuvo puntaje del 100% en las preguntas formuladas. El 76% de los participantes mostró un menor entendimiento de la naturaleza y propósito del estudio y un 84% no comprendió que podrían verse afectados, sin embargo, la mayoría participó. El 62% no entendió que el propósito del investigador no era proporcionar medicación, sino investigar eficacia, tolerancia y efectos de un medicamento en estudio en los seres humanos. Conclusiones: La autonomía para decidir participar en los estudios clínicos experimentales se debe basar en la confianza, cooperación, ética, diálogo, apertura al cambio y la regulación colectiva, entendiendo el proceso de consentir, aquel en que la información trasciende más allá que la de un simple formato que busca la aceptación y legalización de la información que se ha suministrado.

  10. Conocimientos y prácticas frente a la exposición solar y tamizaje de cáncer de piel. Medellín, mayo - junio de 2000

    Directory of Open Access Journals (Sweden)

    Marta Gaviria

    2001-04-01

    Full Text Available

    El melanoma maligno cutáneo ha mostrado en las últimas décadas un aumento en su incidencia; para 1992 ésta fue de 1:105, ientras que para el año 2000 se esperaba una incidencia de 1:75. Aunque estudios epidemiológicos internacionales evidencian que la exposición a la radiación solar constituye la principal causa de melanoma en poblaciones de piel blanca, la distribución de éste por sitio corporal o está estrechamente relacionada con las áreas de máxima exposición sino que compromete áreas intermitentemente expuestas. Para que se desarrolle el cáncer de piel se requiere una combinación de factores constitucionales y ambientales. Entre las características
    fenotípicas se encuentran: el color claro de la piel, la incapacidad para broncearse, cabello de color rojo o amarillo y la presencia de efélides en la infancia. En cuanto a los factores ambientales, la depleción de la capa de ozono por los clorofluorocarbonos liberados hacia la atmósfera por los envases de aerosol, los aires acondicionados y los
    refrigeradores, puede aumentar la cantidad de radiación ultravioleta ue alcanza la superficie terrestre incrementando la incidencia de estos tumores. en personas con trabajos al aire libre y alta exposición recreativa al sol; en dichas personas se encuentra una mayor incidencia de cáncer de piel, disminuyendo progresivamente la edad de aparición de esta enfermedad.

     

     

  11. Nivel de consumo diario de frutas y verduras en escolares con sobrepeso y obesidad del primer y segundo grado de primaria de la Institución Educativa Particular San Andrés. Lima. Mayo 2011

    OpenAIRE

    Alfaro, katherine

    2013-01-01

    Objetivos: Determinar el nivel de consumo diario de frutas y verduras en escolares con sobrepeso y obesidad de primer y segundo grado de nivel primario de la IEP San Andrés. Diseño: Estudio descriptivo, transversal, observacional y prospectivo. Institución: Institución Educativa Particular San Andrés. Participantes: Veintisiete escolares con sobrepeso y 33 con obesidad, de primer y segundo grado de nivel primaria. Intervenciones: Aplicación de formato de frecuencia de consumo de frutas y verd...

  12. Experimental hematology: theoretical and practical course, Madrid 31th may to 4th june 1993. Hematologia experimental: curso tecnico practico, Madrid, 31 de mayo a 4 de junio 1993

    Energy Technology Data Exchange (ETDEWEB)

    Bueren, J.A.; Tejero Ortega, C. (eds.)

    1993-01-01

    This book contains the lectures of hematology course held in Madrid. The main scope of conferences are: 1.- Hematopoiesis: regulation, growing ionizing radiations, damage and radiation effects. 2.- Radioprotection: stem cells of mouse 3.- Genetic: hematopoietic pathology 4.- Stem cells

  13. Análisis de contenido del noticiario CNI Canal 40 (durante la tercera semana del mes de mayo referente a las campañas electorales para diputados federales

    Directory of Open Access Journals (Sweden)

    Rafael Espinosa

    2004-01-01

    Full Text Available En las sociedades democráticas, cada persona tiene necesidad de conocer lo que sucede en su entorno para poder definir con libertad su voto. Esta libertad sólo se logra cuando los ciudadanos disponen de información que les permite elegir entre varias opciones. Basado en este principio, el autor realiza un monitoreo al noticiario principal de CNI Canal 40 con el fin de observar y analizar su participación dentro del proceso electoral federal del año 2003 en México.

  14. Prevalencia de caries severa temprana de la infancia en pacientes que acuden a la clínica de la especialidad en Odontopediatría UAEM de Febrero 2006-Mayo del 2012

    OpenAIRE

    Ramírez Elenes, Laura Cristina

    2013-01-01

    1571 expedientes fueron analizados, 1335 correspondieron a niños con CSTI. La prevalencia de caries fue de 85%, 699 (52.4%) del sexo masculino y 636 (47.6%) del sexo femenino. El grupo de edad más afectado por CTIS fue el de 37 a 48 meses en ambos géneros.

  15. Report on the Fourth Reactor Refueling. Laguna Verde Nuclear Central. Unit 1. April-May 1995; Informe de la Cuarta Recarga de Combustible. Central Laguna Verde. Unidad 1. Abril-Mayo 1995

    Energy Technology Data Exchange (ETDEWEB)

    Mendoza L, A; Flores C, E; Lopez G, C P.F.

    1996-12-31

    The fourth refueling of the Unit 1 of Laguna Verde Nuclear Central was executed in the period of April 17 to May 31 of 1995 with the participation of a task group of 358 persons, included technicians and radiation protection officials and auxiliaries.The radiation monitoring and radiological surveillance to the workers was present length ways the refueling process and always attached to the ALARA criteria. The check points for radiation levels were set at: primary container or dry well, reloading floor, decontamination room (level 10.5), turbine building and radioactive waste building. To take advantage of the refueling process, rooms 203 and 213 of the turbine buildings were subject to inspection and maintenance work in valves, heaters and drains of heaters. Management aspects as personnel selection and training, costs, and countable are also presented in this report. Owing to the high cost of man-hour of the members of the ININ staff, its participation in the refueling process was in smaller number than years before. (Author).

  16. Krigens splittelse af det kropslige fællesskab

    DEFF Research Database (Denmark)

    Krejberg, Kasper Green

    2015-01-01

    Judith Butlers kritik af krigen mod terror opfordrer os til at bryde med de rammer, der styrer vores tænkning og sansning......Judith Butlers kritik af krigen mod terror opfordrer os til at bryde med de rammer, der styrer vores tænkning og sansning...

  17. Gipskroppe som performance

    DEFF Research Database (Denmark)

    Holm, Henrik

    2010-01-01

    Analyse af den Kgl. Afstøbningssamlings nøgne gipsfigurer og samlingens nedtur igennem historien, med Judith Butler og andres performativitetsteorietiske begrebsapparat som metode.......Analyse af den Kgl. Afstøbningssamlings nøgne gipsfigurer og samlingens nedtur igennem historien, med Judith Butler og andres performativitetsteorietiske begrebsapparat som metode....

  18. Química de especies del genero espeletia Espeletia killipii - Espeletia tunjana

    Directory of Open Access Journals (Sweden)

    Rubén Darío Torrenegra

    2010-07-01

    Full Text Available De las partes aéreas de 2 especies del género Espeletia se aislaron compuestos del tipo diterpeno Acido (-i-Kaur-9( 11, 16-dien-19-oico, el (-Kaur-16-en-19-ol, los terpenos friedeiina, sitosterol-estigmasterol, y dos sesquiterpenlactonas del tipo melampólido, Acetato de Longipilin y Polimatin B. Los últimos compuestos no reportados hasta el momento en la química del género Espeletia. Del extracto etanólico se identificaron dos flavonoides: Quercetina y 3-metoxiquercetina.

  19. Book reviews / Carolina Pihelgas, Peeter Helme and Jan Kaus

    Index Scriptorium Estoniae

    Pihelgas, Carolina, 1986-

    2016-01-01

    Arvustus: Sommer, Lauri. Kunagi: 2008-2015. Räestu [Võrumaa] : Tiivaalune, 2015 ; Rooste, Jürge. Ideaalne abikaasa. Saarde ; Pärnu : [Jumalikud Ilmutused], 2015 ; Ruitlane, Olavi. Vee peal. Tallinn : ZA/UM, 2015 ; Riismaa, Kaur. Pühamägi. Tallinn : Verb, 2015 ; Riismaa, Kaur. Pimeda mehe aiad. Tallinn : Tänapäev, 2015 ; Raud, Rein. Täiusliku lause surm. Tallinn : Mustvalge Kirjastus, 2015 ; Matsin, Paavo. Gogoli disko. Viljandi : Lepp ja Nagel, 2015 ; Lennuk, Urmas. Ükskord Eestimaal. Viljandi : Ugala Teater, 2015

  20. Diversity of coprophilous species of Panaeolus (Psathyrellaceae, Agaricales from Punjab, India

    Directory of Open Access Journals (Sweden)

    AMANDEEP KAUR

    2014-10-01

    Full Text Available Kaur A, Atri NS, Kaur M. 2014.Diversity of coprophilous species of Panaeolus (Psathyrellaceae, Agaricales from Punjab, India. Biodiversitas 15: 115-130. An account of 16 Panaeolus species collected from a variety of coprophilous habitats of Punjab state in India is described and discussed. Out of these, P. alcidis, P. castaneifolius, P. papilionaceus var. parvisporus, P. tropicalis and P. venezolanus are new records for India while P. acuminatus, P. antillarum, P. ater, P. solidipes, and P. sphinctrinus are new reports for north India. Panaeolus subbalteatus and P. cyanescens are new records for Punjab state. A key to the taxa exploredis also provided.

  1. Terpenoid constituents from leaves of Guarea kunthiana

    International Nuclear Information System (INIS)

    Garcez, Fernanda R.; Garcez, Walmir S.; Bazzo, Rita de Cassia; Silva, Ana Francisca G. da; Resende, Ubirazilda M.

    2004-01-01

    From leaves of Guarea kunthiana one new kaurene diterpene (ent-kaur-16-en-2-one) was isolated along with eight known diterpenes (ent-kaur-16-ene, ent-3α- and 3β-hydroxykaur-16-ene, kolavelool, kolavenol, kolavenal, ent-13-epi-manoyloxide and (-)-nephthenol), four sesquiterpenes (alismol, alismoxide, spathulenol and 4β,10α-aromadendranediol), polyprenol-12 and α- and δ-tocopherols. Kolavenal is reported for the first time as a natural product, as well as the occurrence of cembrane- and ent-kaurane-type diterpenes in the Meliaceae. (author)

  2. Marati maja müük võib olla aasta suurtehing / Kadrin Karner

    Index Scriptorium Estoniae

    Karner, Kadrin

    2008-01-01

    Kinnisvarafond Baltic Property Trust ostis Tallinnas Marati hoone. Müüja, Prisma Prindi Kinnisvara juhi Urmas Osila sõnul on tegemist selle aasta suurima tehinguga. Vt. samas: Marati hoone Tartu mnt 63; Baltic Property Trust. Kommenteerivad Kaur-Kaspar Kull ja Ruben Gornischeff

  3. Journal of Biosciences | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Home; Journals; Journal of Biosciences. Anil K Gupta. Articles written in Journal of Biosciences. Volume 27 Issue 7 December 2002 pp 703-714 Review Article. Applications of inulin and oligofructose in health and nutrition · Narinder Kaur Anil K Gupta · More Details Abstract Fulltext PDF. Inulin and oligofructose belong to a ...

  4. Metro Plaza tõi Viru väljakule LED-valguse hõõguva tuledemängu / Maris Meiessaar

    Index Scriptorium Estoniae

    Meiessaar, Maris

    2009-01-01

    2009. a. alguses Tallinnas Viru väljak 2 valmivast ärihoonest ja selle klaasfassaadide valgustusest. Ärihoone seisab 19. saj. ehitatud maja muinsuskaitse all oleva fassaadi taga. Autorid: büroo KOKO Arhitektid arhitektid Raivo Kotov ja Lembit-Kaur Stöör ning sisearhitektid Liis Lindvere ja Raili Paling. Ehitaja: Facio Ehitus

  5. Tallinna Inglise Kolledzhi spordihoone : Pärnu mnt. 13/Estonia pst. 10 = Tallinn English College sports building : Pärnu mnt. 13/Estonia pst. 10 / Liina Jänes

    Index Scriptorium Estoniae

    Jänes, Liina, 1977-

    2008-01-01

    Arhitektid: Lembit-Kaur Stöör, Margus Maiste, Andrus Kõresaar. Sisearhitektid: Liisi Murula, Raili Paling, Liis Lindvere. Peatöövõtja: Skanska EMV AS. I korruse plaan, 3 värv. välisvaadet, 3 sisevaadet

  6. Moodulmaja Passion M1 = Passion group prefab house / Hannelore Kääramees

    Index Scriptorium Estoniae

    Kääramees, Hannelore

    2013-01-01

    Hannelore Kääramehe (Arhitekt 11) kujundatud eramu interjöör (Haapsalu mnt. 7c, Vasalemma, Harjumaa). Hoone projekteeris Eero Endjärv (Arhitekt 11). Arhitekt Kaur Talpsepa arvamus. Lühidalt sisearhitekt Hannelore Kääramehest

  7. Short outlines of books by Estonian authors / Rutt Hinrikus, Janika Kronberg

    Index Scriptorium Estoniae

    Hinrikus, Rutt, 1946-

    2001-01-01

    Mari Vallisoo. Ainsuse olevik; Andrus Kivirähk. Rehepapp; Toomas Vint. Elamise sulnis õudus; Andreas Oplatka. Lennart Meri - Eestile elatud elu; Mari Saat. Sinikõrguste tuultes; Eeva Park. Pääse karussellile; Hando Runnel. Mõistatused; Jaan Kaplinski. Kirjutatud; Contra [Konnula, Margus]. Suusamütsi tutt; Triin Soomets. Soon; Ervin Õunapuu. Surmaminejad lasevad tervitada; Kaur Kender. Ebanormaalne

  8. P N Kotru

    Indian Academy of Sciences (India)

    Volume 33 Issue 4 August 2010 pp 377-382 Electrical Properties. Dielectric and thermal studies on gel grown strontium tartrate pentahydrate crystals ... High resolution X-ray diffraction studies on unirradiated and irradiated strontium hexaferrite crystals · Balwinder Kaur Monita Bhat F Licci Ravi Kumar K K Bamzai P N Kotru.

  9. Resonance – Journal of Science Education | News

    Indian Academy of Sciences (India)

    What is Transit? B S Shylaja · More Details Fulltext PDF. pp 493-496 Classroom. On a Definite Integral of the Fractional Part Function · Koundinya Vajjha · More Details Fulltext PDF. pp 497-504 Classroom. Transit of Venus: Quantitative Observing with Simple Equipment · N Rathnasree Pritpal Kaur · More Details Fulltext ...

  10. Sisekaitseakadeemia peahoone võistlus / Ülar Mark

    Index Scriptorium Estoniae

    Mark, Ülar, 1968-

    2016-01-01

    Artiklis on antud ülevaade võistlusele esitatud töödest. Esimese preemia sai töö "Faalanks" (autorid: Illimar Truverk, Janar Toomesso, Katrin Vannas, Sander Paljak, Kristjan Lind, Hannelore Kääramees, Kaur Käärma, Siim Tiigimägi, Edgar Kaare, Terje Ong ja Liina Einla)

  11. Kolmikpointi reklaam häirib vaimulikke / Enn Uus

    Index Scriptorium Estoniae

    Uus, Enn

    2001-01-01

    Radiolinja Kolmikpointi mobiiltelefoni sooduspaketi reklaam vannist vastu vaatava neiu ja kahe noormehega häirib kirikuringkondi vaimuliku ametiriietuse kasutamise ja perekonnaväärtuste labastamise tõttu. Kampaania autor on reklaamibüroo Zoom. Reklaamibüroo töötaja Kaur Hansoni kommentaar

  12. Photoluminescence, trap states and thermoluminescence decay ...

    Indian Academy of Sciences (India)

    Administrator

    Photoluminescence, trap states and thermoluminescence decay process study of Ca2MgSi2O7 : Eu. 2+. , Dy. 3+ phosphor. RAVI SHRIVASTAVA*, JAGJEET KAUR, VIKAS DUBEY and BEENA JAYKUMAR. Govt. VYT PG Autonomous College, Durg 491 001, (C.G.) India. MS received 9 July 2013; revised 5 December 2013.

  13. The Improved Estimation of Ratio of Two Population Proportions

    Science.gov (United States)

    Solanki, Ramkrishna S.; Singh, Housila P.

    2016-01-01

    In this article, first we obtained the correct mean square error expression of Gupta and Shabbir's linear weighted estimator of the ratio of two population proportions. Later we suggested the general class of ratio estimators of two population proportions. The usual ratio estimator, Wynn-type estimator, Singh, Singh, and Kaur difference-type…

  14. Fulltext PDF

    Indian Academy of Sciences (India)

    92 New Insights into Obesity o 0 Bansal and Ravneet Kaur Boparai. BOOK REVIEWS. 94 How we Invented the Airplane. C 5 Yogananda. Front Cover. Wright Brothers first flight. •••• J . .... 1. 08 .......... -- (Credit: Courtesy of Special Collections and Archives,. Wright State University). Back Cover. (Colour scheme for cover by ...

  15. D D Bansal

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education. D D Bansal. Articles written in Resonance – Journal of Science Education. Volume 8 Issue 12 December 2003 pp 92-93 Research News. New Insights into Obesity · D D Bansal Ravneet Kaur Boparai · More Details Fulltext PDF ...

  16. Optical, mechanical and TEM assessment of titania-doped Bi2V1 ...

    Indian Academy of Sciences (India)

    2016-08-26

    Aug 26, 2016 ... Home; Journals; Bulletin of Materials Science; Volume 37; Issue 7. Optical, mechanical and TEM assessment of titania-doped Bi2V1−TiO5.5−δ bismuth vanadate oxides. Gurbinder Kaur Gary Pickrell Vishal Kumar Om Prakash Pandey Kulvir Singh Daniel Homa. Volume 37 Issue 7 December 2014 pp ...

  17. Resonance – Journal of Science Education | Indian Academy of ...

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 17; Issue 5. Transit of Venus: Quantitative Observing with Simple Equipment. N Rathnasree Pritpal Kaur. Classroom Volume 17 Issue 5 May 2012 pp 497-504. Fulltext. Click here to view fulltext PDF. Permanent link:

  18. Optical, mechanical and TEM assessment of titania-doped Bi2V1 ...

    Indian Academy of Sciences (India)

    Author Affiliations. Gurbinder Kaur1 Gary Pickrell1 Vishal Kumar1 2 Om Prakash Pandey3 Kulvir Singh3 Daniel Homa1. Department of Material Science and Engineering, Holden Hall, Virginia Tech, Blacksburg, Virginia 24060, USA; Sri Guru Granth Sahib World University, Fategarh Sahib 140 406, India; School of Physics ...

  19. Sadhana | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Home; Journals; Sadhana. G DEEP. Articles written in Sadhana. Volume 43 Issue 2 February 2018 pp 20. Biomedical image retrieval using microscopic configuration with local structural information · G DEEP L KAUR S GUPTA · More Details Abstract Fulltext PDF. This paper focusses on the use of microscopic configuration ...

  20. Virumaa noored on filmifestivalil sanitarideks / Maria Uuetoa

    Index Scriptorium Estoniae

    Uuetoa, Maria

    2008-01-01

    Pärnu 22. dokumentaal- ja antropoloogiafilmide festivalil töötavad vabatahtlike filmisanitaridena neli Rakvere noormeest : Karl Robert Saaremäe, Kaur Teder, Peeter Tiimus ja Ringo Ramul. Nende ülesanne on filmida kõike, mis Pärnus valesti

  1. Some extensions and applications of Eisenstein Irreducibility ...

    Indian Academy of Sciences (India)

    Page 1. Some extensions and applications of Eisenstein Irreducibility. Criterion. Sudesh Kaur Khanduja ..... Beginning from the individual theorems, I grew ac- customed to delve more deeply into their relationships and to grasp whole theories as a single entity. That is how I conceived the idea of mathematical beauty .

  2. Taastatud Jaani kiriku interjöörid 21. sajandi kontekstis / Krista Kodres

    Index Scriptorium Estoniae

    Kodres, Krista, 1957-

    2006-01-01

    Tartu Jaani kiriku interjööridest. Kunstiajaloolane Kaur Alttoa. Sisekujundajad: Tea Tammelaan, Malle Jürgenson, Krista Lepland. Terrakotaskulptuure on konserveerinud, algul koos sakslastega (Sven Wallasch, keemik Eberhard Wendler), Eve Alttoa. Fassaadiskulptuuride koopiad valmistab Isabel Aaso. Ka Urmo Rausi akendeprojektist

  3. Erythrocyte Osmotic Fragility and Excitability Score in Rabbit fed ...

    African Journals Online (AJOL)

    olayemitoyin

    protect cells against oxidative stress in rats (Wang et al., 2000) and ... method, total red blood cell (RBC) count, total leukocyte (WBC) count .... maturative stages of the erythroblast (pluripotent stem cells) involved in cell formation (Kaur and. Kapoor, 2005). ... effect of zinc on chlorpyrifos- induced erythrocyte fragility in wistar ...

  4. Research Paper ISSN 0189-6016©2008

    African Journals Online (AJOL)

    AJTCAM

    identified as (ent)-kaur-16-en-19-oic acid (KA) and (ent)-pimara-8, 15-dien-19-oic acid (PA). Both compounds were significantly effective regarding analgesics, hypothermia, duration of pentobarbital-induced anesthesia, and depression of locomotor activity enhanced by methamphetamine at doses of 300 mg/kg (KA) and ...

  5. UNCORRECTED PROOF

    Indian Academy of Sciences (India)

    Detrimental effect of expression of Bt endotoxin Cry1Ac on in vitro regeneration, in vivo growth and development of tobacco and cotton transgenics. PREETI RAWAT, AMARJEET KUMAR SINGH, KRISHNA RAY, BHUPENDRA CHAUDHARY,. SANJEEV KUMAR, TARU GAUTAM, SHAVETA KANORIA, GURPREET KAUR, ...

  6. Sokoto Journal of Veterinary Sciences - Vol 11, No 1 (2013)

    African Journals Online (AJOL)

    Prevalence of parasitic infections of stray cats in Jammu, India · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. S Borkataki, R Katoch, P Goswami, R Godara, JK Khajuria, A Yadav, R Kaur, 1-6. http://dx.doi.org/10.4314/sokjvs.v11i1.1 ...

  7. Three-dimensional Morphology and X-ray Scattering Structure of ...

    Indian Academy of Sciences (India)

    Aqueous tert-Butanol Mixtures: A Molecular Dynamics Study. SUPREET KAUR and ... In addition to this, we also observe dimers and small clusters of water molecules in the TBA-rich regime. ... formed MC18 and subsequently MD19,20 simulation studies for ... such analysis on water-TBA structure has not been reported in ...

  8. Otlitshnõi sportzal / Urmas Oja

    Index Scriptorium Estoniae

    Oja, Urmas, 1981-2012

    2007-01-01

    Tallinna Inglise Kolledzhi spordihoonest (Pärnu mnt. 13). Ehituse peatöövõtja: Skanska EMV. Arhitektid: Margus Maiste ja Kaur Stöör, AB KOKO. Ehituse kestus: juuni 2005-aprill 2007. 2 värv. välis- ja 2 sisevaadet

  9. Ängist kirgastumiseni / Aita Kivi

    Index Scriptorium Estoniae

    Kivi, Aita, 1954-

    2000-01-01

    Sisu : Frank McCourt. Jah, on küll; Kaur Kender. Ebanormaalne; Arnon Grunberg. Helesinised esmaspäevad; Melvin Burgess. Saast; Louis de Bernières. Kapten Corelli mandoliin; Jaergen-Frantz Jacobsen. Barbara; Jayne Ann Krentz. Sügavad veed; Enno Tammer. Uppumatu Estonia

  10. Pramana – Journal of Physics | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    ... preformed cluster model (PCM). pp 623-638 Research Articles. Design and fabrication of a time-of-flight spectrometer for studies of multiple ionization of gases by charged particle impact .... pp 703-711 Brief Reports. Current correlation functions of ideal Fermi gas at finite temperature · R P Kaur K Tankeshwar K N Pathak.

  11. Journal of Chemical Sciences | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Home; Journals; Journal of Chemical Sciences; Volume 125; Issue 3. Application of chalcones in heterocycles synthesis: Synthesis of 2-(isoxazolo, pyrazolo and pyrimido) substituted analogues of 1,4-benzodiazepin-5-carboxamides linked through an oxyphenyl bridge. N Kaur D Kishore. Volume 125 Issue 3 May 2013 pp ...

  12. Nad ikka said selle Kärdla vana elektrijaama tööle / Bianca Mikovitš

    Index Scriptorium Estoniae

    Mikovitš, Bianca

    2009-01-01

    Siret Paju lavastusest "Ei teki ega kao" Kärdla elektrijaamas. Näidendi autorid Kerli Adov, Jaan Aps, Liis Lukk, Hiri Müüripeal, Siim Nurklik ja Kaur Riismaa. Projekti käivitas MTÜ Arhipelaag eesotsas Ere Naadiga

  13. Journal of Chemical Sciences | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Home; Journals; Journal of Chemical Sciences. N Kaur. Articles written in Journal of Chemical Sciences. Volume 125 Issue 3 May 2013 pp 555-560. Application of chalcones in heterocycles synthesis: Synthesis of 2-(isoxazolo, pyrazolo and pyrimido) substituted analogues of 1,4-benzodiazepin-5-carboxamides linked ...

  14. Neutral current cross-section measurement at low Q and high y with ...

    Indian Academy of Sciences (India)

    2012-11-11

    Nov 11, 2012 ... energy, Ee, and polar angle, θe, of the scattered electron [1]. Q2 e = 2Ee Ee ... Prabhdeep Kaur and low-energy-running (LER) samples. ... to the combined detector-level predictions from the Monte Carlo (MC) models. Good.

  15. Journal of Chemical Sciences | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    mercury(II)]2 complex · Tarlok S Lobana Amarjeet Singh Mandeep Kaur Alfonso Castineiras · More Details Abstract Fulltext PDF. Reaction of mercury(II) diiodide with triphenyl selenophosphorane-Se (1:1 mole ratio) in acetone followed by ...

  16. Baltika Moetänav = Baltika Fashion Street

    Index Scriptorium Estoniae

    2010-01-01

    Tallinnas Veerenni 24 asuvast Baltika Moetänava sisearhitektuursest lahendusest. Autorid: Maire Milder, Ott Kangur, Ülo-Tarmo Stöör, Maris Kerge, Kaur-Lembit Stöör, Pärtel Eelma, Pekka Porkanen, Lauri Eltermaa

  17. Diterpenoids from Isodon parvifolius

    Directory of Open Access Journals (Sweden)

    Libin Yang

    2015-06-01

    Full Text Available A new ent-kaurane diterpenoid, 2 β , 3 β , 6 β , 11 β -tetraacetoxy -ent -kaur-16 β - methy-15-one (1, along with three kown diterpenoids, hebeirubescensin L (2, rabescensin C (3, and trichokaurin (4 were isolated from the leaves of Isodon parvifolius. Their structures were elucidated on the basis of spectroscopic methods and literatures.

  18. Euroopa tellisepreemia 2006 / Triin Ojari

    Index Scriptorium Estoniae

    Ojari, Triin, 1974-

    2006-01-01

    Viinis toimunud Euroopa tellisarhitektuuri auhindade Brick'06 kätteandmisel märgiti ära Tartu Jaani kiriku taastamine (arhitekt Udo Tiirmaa, kunstiajaloolane Kaur Alttoa). Esimene koht: Ungari Pecsi linna Barbakani väljaku elu- ja ärikompleks (arhitektid Ferenc Csagoly, Ferenc Keller). Teine koht: kiriku rekonstruktsioon raamatukoguks Madridis (arhitekt Jose Ignacio Rodriguez)

  19. Fotonäitus koduta loomade heaks / Indrek Galetin, Kerttu Rakke, Angela Aak ... [jt.

    Index Scriptorium Estoniae

    Galetin, Indrek

    2009-01-01

    Rotermani kvartalis 22.05.2009 avatud Indrek Galetini fotonäitus "Amour - Lemmikloomade eri". Kodutute loomade abistamiseks 20.07.2009 oksjonil müüdavate piltide valmimist kommenteerivad fotograaf ja modellid Kerttu Rakke, Angela Aak ja Max Kaur

  20. Journal of Biosciences | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Microstructural abnormalities of uncinate fasciculus as a function of impaired cognition in schizophrenia: A DTI study · SADHANA SINGH KAVITA SINGH RICHA TRIVEDI SATNAM GOYAL PRABHJOT KAUR NAMITA SINGH TRIPTISH BHATIA SMITA N DESHPANDE SUBASH KHUSHU · More Details Abstract Fulltext PDF.

  1. Kultuuriminister Signe Kivi moodustas rahvusvahelise ekspertkomisjoni...

    Index Scriptorium Estoniae

    2001-01-01

    Komisjon, kuhu kuuluvad Maie Raun, Mart Kalm, Kaur Alttoa, Juhani Jaeger Eestist, vitraažikunsti eksperdid Ake Nisbeth Rootsist ja Andreas Dierig Saksamaalt, annab hinnangu Urmo Rausi Tartu Jaani kiriku vitraažiprojektile. Prooviakna ja kavanditega tutvutakse Tartus 17.-21. IX

  2. Milline on ilus maja? / Sulev Oll

    Index Scriptorium Estoniae

    Oll, Sulev, 1964-

    2008-01-01

    Ilusatest majadest ja arhitektuurikonkursside võiduprojektidest. Konkursist "Brick Award". Tallinna sünagoog valiti rahvusvahelise tellisarhitektuuri aastaraamatusse "brick'08" (arhitektid Lembit-Kaur Stöör, Andrus Kõresaar, Tõnis Kimmel arhitektuuribüroost KOKO Arhitektid). Loetletud konkursi "Aasta betoonehitis" võitjad läbi aegade. Kommenteerivad Margit Mutso, Emil Urbel

  3. African Journal of Biotechnology - Vol 11, No 83 (2012)

    African Journals Online (AJOL)

    Genetic diversity among selected genotypes of almond Prunus dulcis Miller D.A. Webb assessed by random amplified polymorphic DNA (RAPD) markers · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. Deepka Sharma, Rajinder Kaur, Krishan Kumar, SatyaVrat ...

  4. Iga hetk peab teadma, mis ettevõttes toimub / Imbi Ernits-Kaljuste

    Index Scriptorium Estoniae

    Ernits-Kaljuste, Imbi, 1963-

    2008-01-01

    Tulemusjuhtimise juurutamisest maailma juhtivas bio-innovatsiooniga tegelevas tootmisettevõttes Novozymes. Skeem: Maailma juhtiva ensüümide tootja Novozymesi kvaliteedisüsteem jälgib pidevalt üheksat näidikut. Lisa: Novozymesi tulemusjuhtimissüsteem. Vt. samas: Kaur Kivirähk. Kvaliteedisüsteemid tolmuvad riiulil

  5. Eesti kirjandussuve nägu / Barbi Pilvre

    Index Scriptorium Estoniae

    Pilvre, Barbi, 1963-

    2000-01-01

    Raud, Rein. Pisiasjad, mis omavd tähtsust. Tln. : Tuum, 2000; Kender, Kaur. Ebanormaalne. Tln. : Eks, 2000; Õunapuu, Ervin. Väike palveraamat. Tln. : Umara, 2000 ; Hellerma, Kärt. Kassandra. Tln. : Hotger, 2000 ; Park, Eeva. Pääse karussellile. Tln. ; Huma, 2000 ; Tammann, Tiina. Tihe udu Tallinnas. Tln. : Perioodika, 2000

  6. 2623-IJBCS-Article-Gadji Alahou André

    African Journals Online (AJOL)

    hp

    1. Alahou André Gabazé GADJI1,2*, Ossey Bernard YAPO1, Kouabenan ABO2,. Ladji MEITE1, Agnès Eude Yves GNAGNE1, Satinder Kaur BRAR 3 et. Rajeshwar Dayal TYAGI4. 1Laboratoire des Sciences de l'Environnement (LSE), Unité de ...

  7. Eesti lühifilm sai erootikapreemia

    Index Scriptorium Estoniae

    2005-01-01

    Itaalias Montecatini lühifilmide festivalil sai kategoorias "Eros in short films" parima filmi auhinna lühimängufilm "Ring" : stsenaristid : Andrus Tuisk, Urmas Lennuk, Kaur Kender : režissöör Andrus Tuisk : osades Lembit Ulfsak, Merle Palmiste ja Karl Annus : Tuisk Film - Parunid ja Vonid 2004

  8. Diterpenoids and phenolics from pseudopanax simplex

    Directory of Open Access Journals (Sweden)

    JOHN W. VAN KLINK

    2006-02-01

    Full Text Available An ethanolic extract of Pseudopanax simplex yielded kaempferol-3,7-di-O-rhamnopyranoside, chlorogenic acid, maltol glucoside, ent-kaur-16-en-18-acid, and 4R,5S,9R,10S,13S-ent-pimara-7,15-dien-19-oic acid. Full NMR data for the last compound are reported for the first time.

  9. Metro Plaza za fasadom Rotermanna / Viktoria Jürmann

    Index Scriptorium Estoniae

    Jürmann, Viktoria

    2008-01-01

    Pandi nurgakivi Tallinnas Viru väljaku äärde rajatavale büroohoonele Metro Plaza. Säilitatakse vana fassaad, mille tõttu kujuneb hoone Viru väljaku ja Mere puiestee poolsel küljel kaetud galerii jalakäijatele. Projekteerisid Raivo Kotov ja Kaur Stöör

  10. Tallinna uus sünagoog = The New Tallinn Synagogue / Triin Ojari

    Index Scriptorium Estoniae

    Ojari, Triin, 1974-

    2007-01-01

    Arhitektid: KOKO Arhitektid - Andrus Kõresaar (loovjuht), Kaur Stöör, Tõnis Kimmel. Konstruktor: Toomas Tammerik. Sisekujundus: Liis Lindvere, Raili Paling (KOKO Arhitektid). Tellija: Eesti Juudiusu Kogudus. Projekt: 2005-2006, valmis: 2007. II korruse plaan, lõige, 2 välisvaadet, sisevaade

  11. Effects of carbon and nitrogen sources on the induction and ...

    African Journals Online (AJOL)

    Effects of carbon and nitrogen sources on the induction and repression of chitinase enzyme from Beauveria bassiana isolates. Priyanka Dhar, Gurvinder Kaur. Abstract. Beauveria bassiana a natural soil borne insect pathogen is being used effectively these days in integrated pest management system. Foliar application of ...

  12. Pramana – Journal of Physics | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Articles written in Pramana – Journal of Physics. Volume 58 Issue 5-6 May-June 2002 pp 799-802 Superconductivity. Microwave absorption studies of MgB2 superconductor · M K Bhide R M Kadam M D Sastry Ajay Singh Shashwati Sen Manmeet Kaur D K Aswal S K Gupta V C Sahni · More Details Abstract Fulltext PDF.

  13. In vitro plant regeneration in rough lemon (Citrus jambhiri Lush) by ...

    African Journals Online (AJOL)

    Jane

    2011-10-17

    Oct 17, 2011 ... H S Rattanpal*1, Gagandeep Kaur2 and Monika Gupta2 ... Seeds were extracted from ripe fruits of rough lemon. ... extract and additional dose of 25 g/l sucrose. ..... important grapefruit cultivar Rio Red (Citrus paradise Macf.).

  14. Soomes ilmusid eesti raamatud

    Index Scriptorium Estoniae

    2004-01-01

    Mehis Heinsaare "Härra Pauli kroonikad" ("Herra Paulin aikakirja"), tõlkinud Mika Keränen ; "Tallinnasta pois", eesti groteskse novelli antoloogia, autorid Olavi Ruitlane, Jüri Ehlvest, Aapo Ilves, Andrus Kivirähk, Kerttu Rakke, Peeter Sauter, Mehis Heinsaar, Matt Barker, Eeva Park, Kaur Kender, Veiko Märka, Urmas Vadi ja Ervin Õunapuu

  15. Application of chalcones in heterocycles synthesis: Synthesis of 2 ...

    Indian Academy of Sciences (India)

    556. N Kaur and D Kishore gel G plates in the solvent system benzene–methanol ... in ice water (100mL) and stirred for 30min until the reaction mixture reached to ... acetate (0.033mol) in glacial acetic acid was refluxed for 5h. The reaction ...

  16. [Literaturwerkstatt Berlin`i loodud ja koordineeritud rahvusvaheline kaasaegse luule portaal

    Index Scriptorium Estoniae

    2014-01-01

    42 riigi kirjandusorganisatsioonide ühistöö varal täienevas kaasaegse luule portaalis http://www.lyrikline.org saab kuulata ja lugeda 1000 luuletaja loomingut ja neist 11 on eesti autorid: Elo Viiding, Maarja Kangro, Jürgen Rooste, Birk Rohelend, Kaur Riismaa, Indrek Mesikepp, Maria Lee, Asko Künnap, Hasso Krull, Veronika Kivisilla ja Igor Kotjuh

  17. On teil mõnda seksiga raamatut kah? / Tauno Vahter

    Index Scriptorium Estoniae

    Vahter, Tauno

    2001-01-01

    Arvustus: Bukowski, Charles. Naised / inglise k. tlk. Peeter Sauter. Tallinn : Hotger, 2001 ; Bukowski, Charles. Postkontor / inglise k. tlk. Kaur Kender. Tallinn : Hotger, 2001 ; Jerofejev, Venedikt. Moskva-Petushki / vene k. tlk. Ott Arder. 2. tr. Tallinn Tänapäev, 2001 ; Jerofejev, Venedikt. Psühhopaadi märkmed / vene k. tlk. Igor Kurve. Tallinn : Tänapäev, 2001

  18. Milline on meie vaimu seis / Mati Sirkel

    Index Scriptorium Estoniae

    Sirkel, Mati

    2002-01-01

    Eesti kirjanike ja kirjanduse kajastamisest meedias. Vastukajad: Raudnask, Valve. Mula nagu muda // Postimees (2002) 22. okt., lk. 12 (Kirjad); Kender, Kaur. Tüütu ja tülikas armastus // Postimees (2002) 28. okt., lk. 13 (Arvamus); Kadastik, Mart. Kenderi seadus - avameelselt armastusest // Postimees (2002) 30. okt., lk. 13; Berg, Maimu. Geniaalsuse asemel nahaalsus //Postimees (2002) 2. nov., lk. 9

  19. Pramana – Journal of Physics | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    When observed spectrum of a diatomic molecule is expressed in terms of the Dunham coefficients 00, 10, 20, 01, and 11 only, dissociation energy of the molecule is given by 00 + 10 2 /(-420). Kaur and Mahajan [1] have used the Dunham coefficients 10, 20, 01, and 11, for 15 vibrational states of 12 ...

  20. Journal of Biosciences | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Home; Journals; Journal of Biosciences. PRABHJOT KAUR. Articles written in Journal of Biosciences. Volume 40 Issue 2 June 2015 pp 355-364 Articles. Functional and structural abnormalities associated with empathy in patients with schizophrenia: An fMRI and VBM study · Sadhana Singh Shilpi Modi Satnam Goyal ...

  1. Korsten : tellimata tellised = Chimney : an outside job / Andres Aule

    Index Scriptorium Estoniae

    Aule, Andres

    2012-01-01

    Aap Kaur Suvi kavandatud Tallinna linnainstallatsioonide festivali "LIFT11" installatsioonist "Korsten", mis pidi seisnema Tauno Kangro skulptuuri "Lõbus korstnapühkija" ümber ajutise telliskorstna ehitamises. Lift11 jättis selle installatsiooni ära, kuid ootamatult sai "Korsten" kodanikualgatusena 8. IX 2011 teoks

  2. Pramana – Journal of Physics | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Home; Journals; Pramana – Journal of Physics. Ajay Singh. Articles written in Pramana – Journal of Physics. Volume 58 Issue 5-6 May-June 2002 pp 799-802 Superconductivity. Microwave absorption studies of MgB2 superconductor · M K Bhide R M Kadam M D Sastry Ajay Singh Shashwati Sen Manmeet Kaur D K Aswal ...

  3. Fitness: Tips for Staying Motivated

    Science.gov (United States)

    Healthy Lifestyle Fitness Fitness is for life. Motivate yourself with these practical tips. By Mayo Clinic Staff Have ... 27, 2015 Original article: http://www.mayoclinic.org/healthy-lifestyle/fitness/in-depth/fitness/art-20047624 . Mayo Clinic ...

  4. Asthma Treatment: Do Complementary and Alternative Approaches Work?

    Science.gov (United States)

    ... of Privacy Practices Notice of Nondiscrimination Manage Cookies Advertising Mayo Clinic is a not-for-profit organization and proceeds from Web advertising help support our mission. Mayo Clinic does not ...

  5. Ear Infection Treatment: Do Alternative Therapies Work?

    Science.gov (United States)

    ... of Privacy Practices Notice of Nondiscrimination Manage Cookies Advertising Mayo Clinic is a not-for-profit organization and proceeds from Web advertising help support our mission. Mayo Clinic does not ...

  6. Fractures (Broken Bones): First Aid

    Science.gov (United States)

    First aid Fractures (broken bones) Fractures (broken bones): First aid By Mayo Clinic Staff A fracture is a ... 10, 2018 Original article: http://www.mayoclinic.org/first-aid/first-aid-fractures/basics/ART-20056641 . Mayo Clinic ...

  7. Sick Baby? When to Seek Medical Attention

    Science.gov (United States)

    ... of Privacy Practices Notice of Nondiscrimination Manage Cookies Advertising Mayo Clinic is a not-for-profit organization and proceeds from Web advertising help support our mission. Mayo Clinic does not ...

  8. Norovirus Infection

    Science.gov (United States)

    ... quarters, such as in nursing homes Staying in hotels, resorts, cruise ships or other destinations with many ... ended. By Mayo Clinic Staff . Mayo Clinic Footer Legal Conditions and Terms Any use of this site ...

  9. What Are the Risks of Sitting Too Much?

    Science.gov (United States)

    ... movement — even leisurely movement — can be profound. For starters, you'll burn more calories. This might lead ... trademarks of Mayo Foundation for Medical Education and Research. © 1998-2018 Mayo Foundation for Medical Education and ...

  10. Smallpox

    Science.gov (United States)

    ... smallpox could someday be used as a biological warfare agent. No cure or treatment for smallpox exists. ... logo are trademarks of Mayo Foundation for Medical Education and Research. © 1998-2018 Mayo Foundation for Medical ...

  11. Acai Berry Products: Do They Have Health Benefits?

    Science.gov (United States)

    ... Policy Notice of Privacy Practices Notice of Nondiscrimination Advertising Mayo Clinic is a not-for-profit organization and proceeds from Web advertising help support our mission. Mayo Clinic does not ...

  12. Ultrasound guided local steroid injection versus extracorporeal ...

    African Journals Online (AJOL)

    Nayera Saber

    2011-12-17

    Dec 17, 2011 ... inflammatory drugs; PF, plantar fasciitis; Mayo CSS, Mayo clinical scoring system. .... and the recruitment of appropriate stem cells ;leading to an enhancement .... Paired sample Student's t-test was done to compare between.

  13. Vitamin B-12 and Depression: Are They Related?

    Science.gov (United States)

    ... al. Nutritional aspects of depression. Cellular Physiology and Biochemistry. 2015;37:1029. Vitamin B12. Natural Medicines. https:// ... Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. © 1998-2018 Mayo Foundation for ...

  14. End of Life (Supporting a Terminally Ill Loved One)

    Science.gov (United States)

    ... Clergy may also be of great help if religion is important to the patient. You can encourage ... logo are trademarks of Mayo Foundation for Medical Education and Research. © 1998-2018 Mayo Foundation for Medical ...

  15. Body Lice

    Science.gov (United States)

    ... to live in crowded, unclean conditions. They include: War refugees Homeless people Victims of natural disasters Dogs, ... logo are trademarks of Mayo Foundation for Medical Education and Research. © 1998-2018 Mayo Foundation for Medical ...

  16. First-Aid Kits: Stock Supplies That Can Save Lives

    Science.gov (United States)

    ... notepad and waterproof writing instrument Emergency space blanket Cell phone with solar charger Sunscreen Insect repellant Whistle Check ... logo are trademarks of Mayo Foundation for Medical Education and Research. © 1998-2018 Mayo Foundation for Medical ...

  17. Dwarfism

    Science.gov (United States)

    ... people with dwarfism in modern movies often includes stereotypes. Misconceptions can impact a person's self-esteem and ... logo are trademarks of Mayo Foundation for Medical Education and Research. © 1998-2018 Mayo Foundation for Medical ...

  18. Well-Baby Exam: What to Expect during Routine Checkups

    Science.gov (United States)

    ... is available when you need it can offer peace of mind. Shelov SP, et al. Basic infant ... logo are trademarks of Mayo Foundation for Medical Education and Research. © 1998-2018 Mayo Foundation for Medical ...

  19. The impact of neurologic complications on outcome after heart transplantation

    NARCIS (Netherlands)

    van de Beek, Diederik; Kremers, Walter; Daly, Richard C.; Edwards, Brooks S.; Clavell, Alfredo L.; McGregor, Christopher G. A.; Wijdicks, Eelco F. M.

    2008-01-01

    OBJECTIVE: To study neurologic complications after heart transplant. DESIGN: Retrospective cohort study. SETTING: Cardiac transplant program at Mayo Clinic, Rochester, Minnesota. PATIENTS: We retrospectively studied 313 patients who underwent heart transplant at Mayo Clinic Rochester from January 1,

  20. Hypothermia: First Aid

    Science.gov (United States)

    ... t give the person alcohol or cigarettes. Alcohol hinders the rewarming process, and tobacco products interfere with ... logo are trademarks of Mayo Foundation for Medical Education and Research. © 1998-2018 Mayo Foundation for Medical ...