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Sample records for kaiser permanente system

  1. Kaiser Permanente's performance improvement system, Part 1: From benchmarking to executing on strategic priorities.

    Science.gov (United States)

    Schilling, Lisa; Chase, Alide; Kehrli, Sommer; Liu, Amy Y; Stiefel, Matt; Brentari, Ruth

    2010-11-01

    By 2004, senior leaders at Kaiser Permanente, the largest not-for-profit health plan in the United States, recognizing variations across service areas in quality, safety, service, and efficiency, began developing a performance improvement (PI) system to realizing best-in-class quality performance across all 35 medical centers. MEASURING SYSTEMWIDE PERFORMANCE: In 2005, a Web-based data dashboard, "Big Q," which tracks the performance of each medical center and service area against external benchmarks and internal goals, was created. PLANNING FOR PI AND BENCHMARKING PERFORMANCE: In 2006, Kaiser Permanente national and regional continued planning the PI system, and in 2007, quality, medical group, operations, and information technology leaders benchmarked five high-performing organizations to identify capabilities required to achieve consistent best-in-class organizational performance. THE PI SYSTEM: The PI system addresses the six capabilities: leadership priority setting, a systems approach to improvement, measurement capability, a learning organization, improvement capacity, and a culture of improvement. PI "deep experts" (mentors) consult with national, regional, and local leaders, and more than 500 improvement advisors are trained to manage portfolios of 90-120 day improvement initiatives at medical centers. Between the second quarter of 2008 and the first quarter of 2009, performance across all Kaiser Permanente medical centers improved on the Big Q metrics. The lessons learned in implementing and sustaining PI as it becomes fully integrated into all levels of Kaiser Permanente can be generalized to other health care systems, hospitals, and other health care organizations.

  2. Systemic implementation strategies to improve hypertension: the Kaiser Permanente Southern California experience.

    Science.gov (United States)

    Sim, John J; Handler, Joel; Jacobsen, Steven J; Kanter, Michael H

    2014-05-01

    The past decade has seen hypertension improving in the United States where control is approximately 50%. Kaiser Permanente has mirrored and exceeded these national advances in control. Integrated models of care such as Kaiser Permanente and the Veterans Administration health systems have demonstrated the greatest hypertension outcomes. We detail the story of Kaiser Permanente Southern California (KPSC) to illustrate the success that can be achieved with an integrated health system model that uses implementation, dissemination, and performance feedback approaches to chronic disease care. KPSC, with a large ethnically diverse population of more than 3.6 million, has used a stepwise approach to achieve control rates greater than 85% in those recognized with hypertension. This was accomplished through systemic implementations of specific strategies: (1) capturing hypertensive members into a hypertension registry; (2) standardization of blood pressure measurements; (3) drafting and disseminating an internal treatment algorithm that is evidence-based and is advocating of combination therapy; and (4) a multidisciplinary approach using medical assistants, nurses, and pharmacists as key stakeholders. The infrastructure, support, and involvement across all levels of the health system with rapid and continuous performance feedback have been pivotal in ensuring the follow-through and maintenance of these strategies. The KPSC hypertension program is continually evolving in these areas. With these high control rates and established infrastructure, they are positioned to take on different innovations and study models. Such potential projects are drafting strategies on resistant hypertension or addressing the concerns about overtreatment of hypertension.

  3. A retrospective analysis of health systems in Denmark and Kaiser Permanente

    DEFF Research Database (Denmark)

    Frølich, Anne; Schiøtz, Michaela L; Strandberg-Larsen, Martin;

    2008-01-01

    ABSTRACT: BACKGROUND: To inform Danish health care reform efforts, we compared health care system inputs and performance and assessed the usefulness of these comparisons for informing policy. METHODS: Retrospective analysis of secondary data in the Danish Health Care System (DHS) with 5.3 million...... citizens and the Kaiser Permanente integrated delivery system (KP) with 6.1 million members in California. We used secondary data to compare population characteristics, professional staff, delivery structure, utilisation and quality measures, and direct costs. We adjusted the cost data to increase...... comparability. RESULTS: A higher percentage of KP patients had chronic conditions than did patients in the DHS: 6.3% vs. 2.8% (diabetes) and 19% vs. 8.5% (hypertension), respectively. KP had fewer total physicians and staff compared to DHS, with134 physicians/100,000 individuals versus 311 physicians/100...

  4. Kaiser Permanente's performance improvement system, part 3: multisite improvements in care for patients with sepsis.

    Science.gov (United States)

    Whippy, Alan; Skeath, Melinda; Crawford, Barbara; Adams, Carmen; Marelich, Gregory; Alamshahi, Mezhgan; Borbon, Josefina

    2011-11-01

    In 2008, Kaiser Permanente Northern California implemented an initiative to improve sepsis care. Early detection and expedited implementation of sepsis treatment bundles that include early goal-directed therapy (EGDT) for patients with severe sepsis were implemented. In a top-down, bottom-up approach to performance improvement, teams at 21 medical centers independently decided how to implement treatment bundles, using a "playbook" developed by rapid cycle pilot testing at two sites and endorsed by a sepsis steering committee of regional and medical center clinical leaders. The playbook contained treatment algorithms, standardized order sets and flow charts, best practice alerts, and chart abstraction tools. Regional mentors and improvement advisers within the medical centers supported team-building and rapid implementation. Timely and actionable data allowed ongoing identification of improvement opportunities. A consistent approach to performance improvement propelled local rapid improvement cycles and joint problem solving across facilities. The number of sepsis diagnoses per 1,000 admissions increased from a baseline value of 35.7 in July 2009 to 119.4 in May 2011. The percent of admitted patients who have blood cultures drawn who also have a serum lactate level drawn increased from a baseline of 27% to 97% in May 2011. The percent of patients receiving EGDT who had a second and lower lactate level within six hours increased from 52% at baseline to 92% in May 2011. Twenty-one cross-functional frontline teams redesigned processes of care to provide regionally standardized, evidence-based treatment algorithms for sepsis, substantially increasing the identification and risk stratification of patients with suspected sepsis and the provision of a sepsis care bundle that included EGDT.

  5. Something is amiss in Denmark: A comparison of preventable hospitalisations and readmissions for chronic medical conditions in the Danish Healthcare system and Kaiser Permanente

    DEFF Research Database (Denmark)

    Schiøtz, Michaela Louise; Price, Mary; Frølich, Anne

    2011-01-01

    As many other European healthcare systems the Danish healthcare system (DHS) has targeted chronic condition care in its reform efforts. Benchmarking is a valuable tool to identify areas for improvement. Prior work indicates that chronic care coordination is poor in the DHS, especially in comparison...... with care in Kaiser Permanente (KP), an integrated delivery system based in the United States. We investigated population rates of hospitalisation and readmission rates for ambulatory care sensitive, chronic medical conditions in the two systems....

  6. Investing in Obesity Treatment: Kaiser Permanente's Approach to Chronic Disease Management.

    Science.gov (United States)

    Tsai, Adam G; Histon, Trina; Donahoo, W Troy; Hashmi, Shahid; Murali, Sameer; Latare, Peggy; Oliver, Lajune; Slovis, Jennifer; Grall, Sarah; Fisher, David; Solomon, Loel

    2016-09-01

    Kaiser Permanente, an integrated health care delivery system in the USA, takes a "whole systems" approach to the chronic disease of obesity that begins with efforts to prevent it by modifying the environment in communities and schools. Aggressive case-finding and substantial investment in intensive lifestyle modification programs target individuals at high risk of diabetes and other weight-related conditions. Kaiser Permanente regions are increasingly standardizing their approach when patients with obesity require treatment intensification using medically supervised diets, prescription medication to treat obesity, or weight loss surgery.

  7. Complete care at Kaiser Permanente: transforming chronic and preventive care.

    Science.gov (United States)

    Kanter, Michael H; Lindsay, Gail; Bellows, Jim; Chase, Alide

    2013-11-01

    In 2004 Kaiser Permanente Southern California (KPSC) recognized the potential to improve the quality of care. Healthcare Effectiveness Data and Information Set (HEDIS) performance was below what regional leadership aspired to achieve, exceeding the 90th national percentile on only 15 of 34 measures. Beginning in 2005 regional leadership identified several system opportunities to enhance evidence-based, person-focused care. DEVELOPMENT OF COMPLETE CARE: KPSC developed and implemented a comprehensive delivery system redesign and expanded and integrated existing clinical information systems, decision support, work flows, and self-management support-collectively referred to as Complete Care. The goal of Complete Care is to transform care for healthy members, those with chronic conditions, and those with multiple comorbidities. To date, KPSC has applied Complete Care to 26 chronic conditions and areas of preventive and wellness care. Implemented in all care settings and optimizing the roles of all health care team members to maximal scope of practice, Complete Care provides evidence-based, person-focused care addressing a large set of protocol-based health needs for every individual during every encounter within the health care system. On 51 HEDIS metrics, KPSC improvement using Complete Care averaged 13.0%, compared with 5.5% improvement in the national HEDIS 50th percentile. Implementation of Complete Care at KPSC was followed by six-year quality gains that outpaced changes in the HEDIS national percentiles for many measures. Additional care gaps have been included in proactive office encounter checklists; these relate to elder care, advance directives, posthospital care, immunizations, health maintenance, and pregnancy care.

  8. Kaiser Permanente's "metadata-driven" national clinical intranet.

    Science.gov (United States)

    Dolin, R H; Boles, M; Dolin, R; Green, S; Hanifin, S; Hochhalter, B; Inglesis, R; Ivory, M; Levy, D; Nadspal, K; Rae, M A; Rucks, C J; Snyder, A; Stibolt, T; Stiefel, M; Travis, V

    2001-01-01

    This paper describes the approach taken to build Kaiser Permanente's national clinical intranet. A primary objective for the site is to facilitate resource discovery, which is enabled by the use of "metadata", or data (fields and field values) that describe the various resources available. Users can perform full text queries and/or fielded searching against the metadata. Metadata serves as the organizing principle of the site--it is used to index documents, sort search results, and structure the site's table of contents. The site's use of metadata--what it is, how it is created, how it is applied to documents, how it is indexed, how it is presented to the user in the search and the search results interface, and how it is used to construct the table of contents for the web site--will be discussed in detail. The result is that KP's national clinical intranet has coupled the power of Internet-like full text search engines with the power of MedLine-like fielded searching in order to maximize search precision and recall. Organizing content on the site in accordance with the metadata promotes overall consistency. Issues currently under investigation include how to better exploit the power of the controlled terminology within the metadata; whether the value gained is worth the cost of collecting metadata; and how automatic classification algorithms might obviate the need for manual document indexing.

  9. Kaiser Permanente-Sandia National Health Care Model: Phase 1 prototype final report. Part 2 -- Domain analysis

    Energy Technology Data Exchange (ETDEWEB)

    Edwards, D.; Yoshimura, A.; Butler, D.; Judson, R.; Mason, W.; Napolitano, L.; Mariano, R. [Sandia National Labs., Livermore, CA (United States); Eddy, D.; Schlessinger, L. [Kaiser Permanente, Pasadena, CA (United States)

    1996-11-01

    This report describes the results of a Cooperative Research and Development Agreement between Sandia National Laboratories and Kaiser Permanente Southern California to develop a prototype computer model of Kaiser Permanente`s health care delivery system. As a discrete event simulation, SimHCO models for each of 100,000 patients the progression of disease, individual resource usage, and patient choices in a competitive environment. SimHCO is implemented in the object-oriented programming language C{sup 2}, stressing reusable knowledge and reusable software components. The versioned implementation of SimHCO showed that the object-oriented framework allows the program to grow in complexity in an incremental way. Furthermore, timing calculations showed that SimHCO runs in a reasonable time on typical workstations, and that a second phase model will scale proportionally and run within the system constraints of contemporary computer technology.

  10. The impact of removing financial incentives from clinical quality indicators : longitudinal analysis of four Kaiser Permanente indicators

    NARCIS (Netherlands)

    Lester, H.; Schmittdiel, J.; Selby, J.; Fireman, B.; Campbell, S.M.; Lee, J.; Whippy, A.; Madvig, P.

    2010-01-01

    OBJECTIVE: To evaluate the effect of financial incentives on four clinical quality indicators common to pay for performance plans in the United Kingdom and at Kaiser Permanente in California. DESIGN: Longitudinal analysis. SETTING: 35 medical facilities of Kaiser Permanente Northern California, 1997

  11. Kaiser Permanente/Sandia National health care model. Phase I prototype final report. Part 1 - model overview

    Energy Technology Data Exchange (ETDEWEB)

    Edwards, D.; Yoshimura, A.; Butler, D.; Judson, R. [and others

    1996-11-01

    This report describes the results of a Cooperative Research and Development Agreement between Sandia National Laboratories and Kaiser Permanente Southern California to develop a prototype computer model of Kaiser Permanente`s health care delivery system. As a discrete event simulation, SimHCO models for each of 100,000 patients the progression of disease, individual resource usage, and patient choices in a competitive environment. SimHCO is implemented in the object-oriented programming language C++, stressing reusable knowledge and reusable software components. The versioned implementation of SimHCO showed that the object-oriented framework allows the program to grow in complexity in an incremental way. Furthermore, timing calculations showed that SimHCO runs in a reasonable time on typical workstations, and that a second phase model will scale proportionally and run within the system constraints of contemporary computer technology. This report is published as two documents: Model Overview and Domain Analysis. A separate Kaiser-proprietary report contains the Disease and Health Care Organization Selection Models.

  12. Breaching the security of the Kaiser Permanente Internet patient portal: the organizational foundations of information security.

    Science.gov (United States)

    Collmann, Jeff; Cooper, Ted

    2007-01-01

    This case study describes and analyzes a breach of the confidentiality and integrity of personally identified health information (e.g. appointment details, answers to patients' questions, medical advice) for over 800 Kaiser Permanente (KP) members through KP Online, a web-enabled health care portal. The authors obtained and analyzed multiple types of qualitative data about this incident including interviews with KP staff, incident reports, root cause analyses, and media reports. Reasons at multiple levels account for the breach, including the architecture of the information system, the motivations of individual staff members, and differences among the subcultures of individual groups within as well as technical and social relations across the Kaiser IT program. None of these reasons could be classified, strictly speaking, as "security violations." This case study, thus, suggests that, to protect sensitive patient information, health care organizations should build safe organizational contexts for complex health information systems in addition to complying with good information security practice and regulations such as the Health Insurance Portability and Accountability Act (HIPAA) of 1996.

  13. Kaiser Permanente Northern California: current experiences with internet, mobile, and video technologies.

    Science.gov (United States)

    Pearl, Robert

    2014-02-01

    The US health care system has been slow to adopt Internet, mobile, and video technologies, which have the capability to engage patients in their own care, increase patients' access to providers, and possibly improve the quality of care while reducing costs. Nevertheless, there are some pockets of progress, including Kaiser Permanente Northern California (KPNC). In 2008 KPNC implemented an inpatient and ambulatory care electronic health record system for its 3.4 million members and developed a suite of patient-friendly Internet, mobile, and video tools. KPNC has achieved many successes. For example, the number of virtual "visits" grew from 4.1 million in 2008 to an estimated 10.5 million in 2013. This article describes KPNC's experience with Internet, mobile, and video technologies and the obstacles faced by other health care providers interested in embracing them. The obstacles include the predominant fee-for-service payment model, which does not reimburse for virtual visits; the considerable investment needed to deploy these technologies; and physician buy-in.

  14. A quarter century of hospice care: the southern california kaiser permanente experience.

    Science.gov (United States)

    Milch, Mario; Brumley, Richard D

    2005-01-01

    Kaiser Permanente (KP) has been a pioneer in the development of hospice services in the United States. Since 1978, when hospice services were introduced in the KP Southern California Region, they have been gradually expanded to benefit thousands of patients and their families. However, important barriers to timely, appropriate utilization of hospice care remain. A pilot project conducted in our TriCentral Service Area has shown that palliative care-a newer development in end-of-life care-can be cost-effective in addition to being beneficial for patients and their families. Efforts are underway to emulate this model of care at other KP facilities. Availability of both home-based and inpatient palliative care services can expand the number and type of patients who, as they near the end of life, can benefit from effective symptom control and other support.

  15. Promoting policy and environmental change using photovoice in the Kaiser Permanente Community Health Initiative.

    Science.gov (United States)

    Kramer, Leila; Schwartz, Pamela; Cheadle, Allen; Borton, J Elaine; Wright, Merrick; Chase, Charlie; Lindley, Corina

    2010-05-01

    Creative ways must be found to engage both community residents and political leaders around policy and environmental solutions to public health issues. Photovoice is a community-based, participatory approach to documentary photography that provides people with training on photography, ethics, critical discussion, and policy advocacy. Photovoice projects have been implemented across the nation as part of Kaiser Permanente's Community Health Initiative-a community-based obesity prevention effort. This article focuses on the first Photovoice project implemented in three communities in Colorado. Photovoice themes related to healthy eating and active living include a lack of access to healthy food choices in stores and schools, unsafe street crossings and sidewalks, and the need to redevelop certain areas to encourage safe recreation. The involvement of policy leaders in the project combined with several dissemination activities has contributed to healthier food offerings in schools and neighborhoods and city planning efforts that emphasize walkability and access to healthy food, and park revitalization.

  16. Kaiser Permanente Northern California pregnancy database: Description and proof of concept study.

    Science.gov (United States)

    Zerbo, Ousseny; Chan, Berwick; Goddard, Kristin; Lewis, Ned; Bok, Karin; Klein, Nicola P; Baxter, Roger

    2016-11-04

    We describe the establishment of a dynamic database linking mothers to newborns with the goal of studying vaccine safety in both pregnant women and their children and provide results of a study utilizing this database as a proof of concept. All Kaiser Permanente Northern California (KPNC) live births and their mothers were eligible for inclusion in the pregnancy database. We used the medical record number (MRN), a unique identifier, to retrieve information about events that occurred during the pregnancy and at delivery and linked this same MRN to newborns for post-partum follow up. We conducted a retrospective cohort study to evaluate the association between receipt of tetanus, diphtheria and acellular pertussis (Tdap) vaccine during pregnancy and fever 0-3days after the first dose of diphtheria tetanus and acellular pertussis (DTaP) vaccine in the infant. The study included infants who were born at ⩾37weeks gestation from January 1, 2009 - October 1, 2015 and who received their first DTaP vaccine between 6 and 10weeks of age. We utilized diagnostic codes from inpatient, emergency department, outpatient clinics, and telephone calls. We identified fever using ICD 9 code 780.6, recorded temperature ⩾101 degree Fahrenheit, or parental report. The database contained the starting and ending date of each pregnancy and basic demographic characteristics of mothers and infants. There were 859,699 women and 873,753 children in the database as of January 2016. The proof of concept study included 148,699 infants. In a multivariable logistic regression analysis, Tdap vaccination during pregnancy was not associated with infant fever 0-3daysafter first dose of DTaP (adjusted odds ratio=0.92, 95% CI 0.82-1.04). The KPNC pregnancy database can be used for studies investigating exposure during pregnancy and outcomes in mothers and/or infants, particularly monitoring vaccine safety and effectiveness. Copyright © 2016 Elsevier Ltd. All rights reserved.

  17. Development of a Computerized Intravenous Insulin Application (AutoCal) at Kaiser Permanente Northwest, Integrated into Kaiser Permanente HealthConnect: Impact on Safety and Nursing Workload

    OpenAIRE

    Olinghouse, Christine

    2012-01-01

    Context: The electronic medical record, HealthConnect, at the Kaiser Sunnyside Medical Center in the Northwest used scanned paper protocols for intravenous insulin administration. A chart review of 15 patients on intravenous insulin therapy using state-of-the-art paper-based column protocols revealed 40% deviation from the protocol. A time study of experienced nurses computing the insulin dose revealed an average of 2 minutes per calculation per hour to complete.

  18. How Kaiser Permanente uses video ethnography of patients for quality improvement, such as in shaping better care transitions.

    Science.gov (United States)

    Neuwirth, Esther B; Bellows, Jim; Jackson, Ana H; Price, Patricia M

    2012-06-01

    Keeping patients and caregivers at the center of quality improvement is critical. Kaiser Permanente's Care Management Institute adapted video ethnography to achieve this aim, using video to capture interviews with-and observations of-patients and caregivers, identify patient-centered improvement opportunities, and communicate them effectively to clinical and administrative leaders and front-line staff. This method is particularly effective for helping understand the needs of frail elders, patients nearing the end of life, those with multiple chronic conditions, and other vulnerable people who are not well represented in focus groups and patient advisory councils. As part of an initiative to improve care transitions for elders with heart failure, video ethnography contributed to greatly reduced thirty-day hospital readmission rates, helping reduce readmissions at one medical center from 13.6 percent to 9 percent in six months. It also helped improve the reliability of the readmissions reduction program. When embedded within an established quality improvement framework, video ethnography can be an effective tool for innovating new solutions, improving existing processes, and spreading knowledge about how best to meet patient needs.

  19. The fetal heart rate collaborative practice project: situational awareness in electronic fetal monitoring-a Kaiser Permanente Perinatal Patient Safety Program Initiative.

    Science.gov (United States)

    MacEachin, S Rachel; Lopez, Connie M; Powell, Kimberly J; Corbett, Nancy L

    2009-01-01

    Electronic fetal monitoring has historically been interpreted with wide variation between and within disciplines on the obstetric healthcare team. This leads to inconsistent decision making in response to tracing interpretation. To implement a multidisciplinary electronic fetal monitoring training program, utilizing the best evidence available, enabling standardization of fetal heart rate interpretation to promote patient safety. Local multidisciplinary expertise along with an outside consultant collaborated over a series of meetings to create a multimedia instructional electronic fetal monitoring training program. After production was complete, a series of conferences attended by nurses, certified nurse midwives, and physician champions, from each hospital, attended to learn how to facilitate training at their own perinatal units. All healthcare personnel across the Kaiser Permanente perinatal program were trained in NICHD nomenclature, emergency response, interpretation guidelines, and how to create local collaborative practice agreements. Metrics for program effectiveness were measured through program evaluations from attendees, the Safety Attitudes Questionnaire. Program evaluations rendered very positive scores from both physicians and clinicians. Comparing baseline to 4 years later, the perception of safety from the staff has increased over 10% in 5 out of the 6 factors analyzed. Active participation from all disciplines in this training series has highlighted the importance of teamwork and communication. The Fetal Heart Rate Collaborative Practice Project continues to evolve utilizing other educational modalities, such as online EFM education and unit-based interdisciplinary tracing reviews.

  20. Incidence of Norovirus and Other Viral Pathogens That Cause Acute Gastroenteritis (AGE among Kaiser Permanente Member Populations in the United States, 2012-2013.

    Directory of Open Access Journals (Sweden)

    Scott P Grytdal

    Full Text Available Noroviruses and other viral pathogens are increasingly recognized as frequent causes of acute gastroenteritis (AGE. However, few laboratory-based data are available on the incidence of AGE caused by viral pathogens in the U.S. This study examined stool specimens submitted for routine clinical diagnostics from patients enrolled in Kaiser Permanente (KP health plans in metro Portland, OR, and the Maryland, District of Columbia, and northern Virginia geographic areas to estimate the incidence of viral enteropathogens in these populations. Over a one-year study period, participating laboratories randomly selected stools submitted for routine clinical diagnostics for inclusion in the study along with accompanying demographic and clinical data. Selected stools were tested for norovirus, rotavirus, sapovirus, and astrovirus using standardized real-time RT-PCR protocols. Each KP site provided administrative data which were used in conjunction with previously published data on healthcare utilization to extrapolate pathogen detection rates into population-based incidence rates. A total of 1,099 specimens collected during August 2012 to September 2013 were included. Mean age of patients providing stool specimens was 46 years (range: 0-98 years. Noroviruses were the most common viral pathogen identified among patients with AGE (n = 63 specimens, 6% of specimens tested. In addition, 22 (2% of specimens were positive for rotavirus; 19 (2% were positive for sapovirus; and 7 (1% were positive for astrovirus. Incidence of norovirus-associated outpatient visits was 5.6 per 1,000 person-years; incidence of norovirus disease in the community was estimated to be 69.5 per 1,000 person-years. Norovirus incidence was highest among children 65 years (outpatient incidence = 7.8 per 1,000 person-years; community incidence = 75.8 per 1,000 person-years. Outpatient incidence rates of rotavirus, sapovirus, and astrovirus were 2.0, 1.6, 0.6 per 1,000 person

  1. Incidence of Norovirus and Other Viral Pathogens That Cause Acute Gastroenteritis (AGE) among Kaiser Permanente Member Populations in the United States, 2012-2013.

    Science.gov (United States)

    Grytdal, Scott P; DeBess, Emilio; Lee, Lore E; Blythe, David; Ryan, Patricia; Biggs, Christianne; Cameron, Miriam; Schmidt, Mark; Parashar, Umesh D; Hall, Aron J

    2016-01-01

    Noroviruses and other viral pathogens are increasingly recognized as frequent causes of acute gastroenteritis (AGE). However, few laboratory-based data are available on the incidence of AGE caused by viral pathogens in the U.S. This study examined stool specimens submitted for routine clinical diagnostics from patients enrolled in Kaiser Permanente (KP) health plans in metro Portland, OR, and the Maryland, District of Columbia, and northern Virginia geographic areas to estimate the incidence of viral enteropathogens in these populations. Over a one-year study period, participating laboratories randomly selected stools submitted for routine clinical diagnostics for inclusion in the study along with accompanying demographic and clinical data. Selected stools were tested for norovirus, rotavirus, sapovirus, and astrovirus using standardized real-time RT-PCR protocols. Each KP site provided administrative data which were used in conjunction with previously published data on healthcare utilization to extrapolate pathogen detection rates into population-based incidence rates. A total of 1,099 specimens collected during August 2012 to September 2013 were included. Mean age of patients providing stool specimens was 46 years (range: 0-98 years). Noroviruses were the most common viral pathogen identified among patients with AGE (n = 63 specimens, 6% of specimens tested). In addition, 22 (2%) of specimens were positive for rotavirus; 19 (2%) were positive for sapovirus; and 7 (1%) were positive for astrovirus. Incidence of norovirus-associated outpatient visits was 5.6 per 1,000 person-years; incidence of norovirus disease in the community was estimated to be 69.5 per 1,000 person-years. Norovirus incidence was highest among children 65 years (outpatient incidence = 7.8 per 1,000 person-years; community incidence = 75.8 per 1,000 person-years). Outpatient incidence rates of rotavirus, sapovirus, and astrovirus were 2.0, 1.6, 0.6 per 1,000 person-years, respectively; community

  2. Risk of Cardiovascular Disease Associated with a Restless Legs Syndrome Diagnosis in a Retrospective Cohort Study from Kaiser Permanente Northern California.

    Science.gov (United States)

    Van Den Eeden, Stephen K; Albers, Kathleen B; Davidson, Julie E; Kushida, Clete A; Leimpeter, Amethyst D; Nelson, Lorene M; Popat, Rita; Tanner, Caroline M; Bibeau, Kristen; Quesenberry, Charles P

    2015-07-01

    Recent cross-sectional studies suggest that restless legs syndrome (RLS) may be associated with an increased prevalence of cardiovascular disease (CVD) comorbidity or risk factors. We evaluated whether primary or secondary RLS was associated with an increased risk of incident cardiovascular disease in a retrospective cohort study within Kaiser Permanente Northern California (KPNC). We identified members of KPNC with primary RLS and secondary RLS between 1999 and 2008 by an algorithm that incorporated longitudinal clinical records related to the diagnosis and treatment of RLS and comorbidities. We then matched each RLS case with up to 50 individuals with no clinical records of RLS by age, sex, race/ethnicity, zip code, and membership duration. For the analyses we excluded any individual with coronary artery disease (CAD: angina, acute myocardial infarction, coronary revascularization procedure, CAD death), CVD (CAD plus stroke), and hypertension at baseline. New cardiovascular events were determined from clinical records. Follow-up ended at an outcome event, disenrollment from KPNC, or death, whichever occurred earliest. There were over 473,358 person-y of follow-up in this cohort analysis with a mean follow-up time of 3.91 y and range from 6 mo to 12 y. Survival analysis techniques, including survival curves and proportional hazard regression models, were used to assess the association between RLS status and CVD. There were 7,621 primary RLS and 4,507 secondary RLS cases identified and included in the study. In general, primary RLS cases were younger and had less comorbidity than secondary RLS cases. During the follow-up period, CVD was diagnosed in 478 primary RLS cohort members, CAD was diagnosed in 310, and hypertension events were identified in 1,466. Diagnosis in secondary RLS cohort members was made during the follow-up period with 451, 338, and 598 CVD, CAD, and hypertension events, respectively. Subjects with primary RLS had a similar risk of incident CVD

  3. Kaiser captures spirit of games.

    Science.gov (United States)

    Herreria, J

    1998-01-01

    With a multi-media campaign, Kaiser Permanente blitzed its market area by becoming a sponsor of the Nike World Masters Games. The advertising campaign promoted Kaiser as the exclusive health care sponsor. Company officials are counting on this campaign to leverage the health care institution's commitment to the community. In addition to the advertising, Kaiser searched for local athletes to represent its "play the sports for life" theme. As part of a promotion to award 200 athlete sponsorships to the Games, Kaiser's own master athletes were invited to tell their stories. Some of the members shared stories about such topics as experiencing an accident, receiving assistance from a Kaiser physician and incorporating a lifestyle of sport for rehabilitation. From the hundreds of letters received, two members and one employee were selected for the television spots. The sporting event reinforces Kaiser's philosophy of fitness-oriented lifestyles among its members. The Nike World Masters Games are the largest participatory multi-sport competition in the world, gathering together more than 25,000 men and women from more than 100 countries.

  4. Moderately premature infants at Kaiser Permanente Medical Care Program in California are discharged home earlier than their peers in Massachusetts and the United Kingdom

    Science.gov (United States)

    Profit, J; Zupancic, J A F; McCormick, M C; Richardson, D K; Escobar, G J; Tucker, J; Tarnow‐Mordi, W; Parry, G

    2006-01-01

    Objective To compare gestational age at discharge between infants born at 30–34+6 weeks gestational age who were admitted to neonatal intensive care units (NICUs) in California, Massachusetts, and the United Kingdom. Design Prospective observational cohort study. Setting Fifty four United Kingdom, five California, and five Massachusetts NICUs. Subjects A total of 4359 infants who survived to discharge home after admission to an NICU. Main outcome measures Gestational age at discharge home. Results The mean (SD) postmenstrual age at discharge of the infants in California, Massachusetts, and the United Kingdom were 35.9 (1.3), 36.3 (1.3), and 36.3 (1.9) weeks respectively (p  =  0.001). Compared with the United Kingdom, adjusted discharge of infants occurred 3.9 (95% confidence interval (CI) 1.4 to 6.5) days earlier in California, and 0.9 (95% CI −1.2 to 3.0) days earlier in Massachusetts. Conclusions Infants of 30–34+6 weeks gestation at birth admitted and cared for in hospitals in California have a shorter length of stay than those in the United Kingdom. Certain characteristics of the integrated healthcare approach pursued by the health maintenance organisation of the NICUs in California may foster earlier discharge. The California system may provide opportunities for identifying practices for reducing the length of stay of moderately premature infants. PMID:16449257

  5. An Empirical Kaiser Criterion.

    Science.gov (United States)

    Braeken, Johan; van Assen, Marcel A L M

    2016-03-31

    In exploratory factor analysis (EFA), most popular methods for dimensionality assessment such as the screeplot, the Kaiser criterion, or-the current gold standard-parallel analysis, are based on eigenvalues of the correlation matrix. To further understanding and development of factor retention methods, results on population and sample eigenvalue distributions are introduced based on random matrix theory and Monte Carlo simulations. These results are used to develop a new factor retention method, the Empirical Kaiser Criterion. The performance of the Empirical Kaiser Criterion and parallel analysis is examined in typical research settings, with multiple scales that are desired to be relatively short, but still reliable. Theoretical and simulation results illustrate that the new Empirical Kaiser Criterion performs as well as parallel analysis in typical research settings with uncorrelated scales, but much better when scales are both correlated and short. We conclude that the Empirical Kaiser Criterion is a powerful and promising factor retention method, because it is based on distribution theory of eigenvalues, shows good performance, is easily visualized and computed, and is useful for power analysis and sample size planning for EFA. (PsycINFO Database Record

  6. THE SYSTEM OF NAVAL EDUCATION IN KAISER GERMANY IN LATE 19th - EARLY 20th CENTURIES

    Directory of Open Access Journals (Sweden)

    Stanislav Nikolaevich Sinegubov

    2015-01-01

    Full Text Available The article gives a brief description of the system of naval education in Imperial Germany, which was formed in the late 19th century, highlights its advantages enhancing the high level of training specialists for the new fleet which was constructed in the country. The emphasis is on the process of staffing the non-commissioned officers’ corps on the basis of the sea cadets’ school. There was a great need for this educational institution to develop the Navy of the II Reich. The authorities encouraged a big annual enrollment of sea cadets introducing a wide range of social benefits, such as: free-of-charge education, full governmental support during the period of studies, good professional training that would guarantee not only job on a warship, but also career growth in future. Another important attractive aspect was that students were constantly under the control of officers who raised their wards in traditional moral values. All this attracted to naval schools young people, particularly from socially vulnerable strata of German society. The article considers special features of training and educating future officers at the Naval College and the Naval Academy in Kiel, which already had the elite character.

  7. Self-Management Support to People with Type 2 Diabetes - A comparative study of Kaiser Permanente and the Danish Healthcare System

    DEFF Research Database (Denmark)

    Schiøtz, Michaela Louise; Strandberg-Larsen, Martin; Frølich, Anne

    2012-01-01

    En væsentlig del af kronikeromsorgen i et sundhedsvæsen er også at understøtte egenomsorgen. Egenomsorg omfatter fx, at patienten kender til, hvad der kan optimere behandlingsindsatsen, herunder ændring af livsstil, kendskab til sundhedsvæsenets tilbud, og at deltage aktivt i at koordinere og sik...

  8. Kaiser Family Foundation - Content Search

    Data.gov (United States)

    U.S. Department of Health & Human Services — Chartpacks, chartbooks, factsheets, reports, and slide presentations bring Kaiser Family Foundation information to life, and can be easily incorporated into your...

  9. Kaiser-Bessel basis for particle-mesh interpolation

    Science.gov (United States)

    Gao, Xingyu; Fang, Jun; Wang, Han

    2017-06-01

    In this work, we introduce the Kaiser-Bessel interpolation basis for the particle-mesh interpolation in the fast Ewald method. A reliable a priori error estimate is developed to measure the accuracy of the force computation in correlated charge systems, and is shown to be effective in optimizing the shape parameter of the Kaiser-Bessel basis in terms of accuracy. By comparing the optimized Kaiser-Bessel basis with the traditional B -spline basis, we demonstrate that the former is more accurate than the latter in part of the working parameter space, say, a relatively small real-space cutoff, a relatively small reciprocal space mesh, and a relatively large truncation of basis. In some cases, the Kaiser-Bessel basis is found to be more than one order of magnitude more accurate.

  10. The permanental process

    DEFF Research Database (Denmark)

    McCullagh, Peter; Møller, Jesper

    2006-01-01

    We extend the boson process first to a large class of Cox processes and second to an even larger class of infinitely divisible point processes. Density and moment results are studied in detail. These results are obtained in closed form as weighted permanents, so the extension i called a permanental...... process. Temporal extensions and a particularly tractable case of the permanental process are also studied. Extensions of the fermion process along similar lines, leading to so-called determinantal processes, are discussed....

  11. On the relation between Kaiser-Bessel blob and tube of response based modelling of the system matrix in iterative PET image reconstruction.

    Science.gov (United States)

    Lougovski, Alexandr; Hofheinz, Frank; Maus, Jens; Schramm, Georg; van den Hoff, Jörg

    2015-05-21

    We investigate the question of how the blob approach is related to tube of response based modelling of the system matrix. In our model, the tube of response (TOR) is approximated as a cylinder with constant density (TOR-CD) and the cubic voxels are replaced by spheres. Here we investigate a modification of the TOR model that makes it effectively equivalent to the blob model, which models the intersection of lines of response (LORs) with radially variant basis functions ('blobs') replacing the cubic voxels. Implications of the achieved equivalence regarding the necessity of final resampling in blob-based reconstructions are considered. We extended TOR-CD to a variable density tube model (TOR-VD) that yields a weighting function (defining all system matrix elements) which is essentially identical to that of the blob model. The variable density of TOR-VD was modelled by a Gaussian and a Kaiser-Bessel function, respectively. The free parameters of both model functions were determined by fitting the corresponding weighting function to the weighting function of the blob model. TOR-CD and the best-fitting TOR-VD were compared to the blob model with a final resampling step (BLOB-RS) and without resampling (BLOB-NRS) in phantom studies. For three different contrast ratios and two different voxel sizes, resolution noise curves were generated. TOR-VD and BLOB-NRS lead to nearly identical images for all investigated contrast ratios and voxel sizes. Both models showed strong Gibbs artefacts at 4 mm voxel size, while at 2 mm voxel size there were no Gibbs artefacts visible. The spatial resolution was similar to the resolution with TOR-CD in all cases. The resampling step removed most of the Gibbs artefacts and reduced the noise level but also degraded the spatial resolution substantially. We conclude that the blob model can be considered just as a special case of a TOR-based reconstruction. The latter approach provides a more natural description of the detection process and

  12. del establecimiento permanente

    Directory of Open Access Journals (Sweden)

    V. Ma. Antonieta Martin Granados

    2002-01-01

    Full Text Available A pesar de que en México se han realizado adiciones a la legislación en materia civil y mercantil relacionadas con el uso de medios electrónicos como instrumentos para realizar actos jurídicos, éstas resultan insuficientes, pues nada se ha hecho en materia procesal, penal y laboral, entre otras. En este trabajo se presentan, en materia fiscal, algunas consideraciones acerca del concepto de establecimiento permanente tanto en la legislación mexicana como en el Convenio Modelo (CM de la Organización para la Cooperación y Desarrollo Económico (OCDE y se argumenta que a pesar de que la definición de la legislación mexicana es mucho más amplia que la que se encuentra en el mencionado convenio, el comercio electrónico presenta algunos retos para determinar el lugar en donde residen las partes involucradas, el lugar en donde se celebran las operaciones y se pagan o cobran, sobre todo tratándose de servicios o adquisición de bienes intangibles. Por último, se señala que en materia fiscal es necesario que las autoridades mexicanas permitan el uso de la factura electrónica

  13. Risk of cancer in Asian Americans: a Kaiser Permanente cohort study.

    Science.gov (United States)

    Tran, H Nicole; Li, Yan; Udaltsova, Natalia; Armstrong, Mary Anne; Friedman, Gary D; Klatsky, Arthur L

    2016-10-01

    To supplement published cohort data about incident cancer in Asian Americans (Asians) including risk of specific Asian ethnic groups. A cohort study in 124,193 persons (13,344 Asians) with baseline examination data in 1978-1985 used Cox proportional hazards models with seven covariates to estimate hazard ratios (HRs) and 95 % confidence intervals (CIs). Through 2012 cancer was diagnosed in 18,687 persons including 1,522 Asians. Compared to Whites, the HR (CIs) for any cancer in Asians was 0.8 (0.7-0.9, p risk was stronger for men (HR = 0.7, p risks with p risk, especially in women. HRs for specific Asian groups versus Whites follow: Chinese = 0.9 (p risk than Whites, and South Asians had lower risk than any other racial/ethnic group. Asians had lower cancer risk than Whites, due to lower risk of several cancer types. Each Asian ethnic group had lower risk than Whites with South Asians at the lowest risk.

  14. Simultaneous control of diabetes mellitus, hypertension, and hyperlipidemia in 2 health systems.

    Science.gov (United States)

    Schroeder, Emily B; Hanratty, Rebecca; Beaty, Brenda L; Bayliss, Elizabeth A; Havranek, Edward P; Steiner, John F

    2012-09-01

    Many individuals with diabetes mellitus, hypertension, and hyperlipidemia have difficulty achieving control of all 3 conditions. We assessed the incidence and duration of simultaneous control of hyperglycemia, blood pressure, and low-density lipoprotein cholesterol in patients from 2 health care systems in Colorado. We performed a retrospective cohort study of adults at Denver Health and Kaiser Permanente Colorado with diabetes mellitus, hypertension, and hyperlipidemia from 2000 through 2008. Over a median of 4.0 and 4.4 years, 16% and 30% of individuals at Denver Health and Kaiser Permanente achieved the primary outcome (simultaneous control with a glycosylated hemoglobin (HbA(1c)) diabetes mellitus, hypertension, and hyperlipidemia was uncommon and generally transient. Less stringent goals had a relatively large effect on the proportion achieving simultaneous control. Individuals who simultaneously achieve multiple treatment goals may provide insight into self-care strategies for individuals with comorbid health conditions.

  15. The Kaiser Wilhelm Society under National Socialism

    CERN Document Server

    Sachse, Carola; Walker, Mark

    2009-01-01

    During the first part of the twentieth century, German science led the world. The most important scientific institution in Germany was the Kaiser Wilhelm Society, including institutes devoted to different fields of scientific research. These researchers were not burdened by teaching obligations and enjoyed excellent financial and material support. When the National Socialists came to power in Germany, all of German society, including science, was affected. The picture that previously dominated our understanding of science under National Socialism from the end of the Second World War to the recent past - a picture of leading Nazis ignorant and unappreciative of modern science and of scientists struggling to resist the Nazis - needs to be revised. This book surveys the history of Kaiser Wilhelm Institutes under Hitler, illustrating definitively the cooperation, if not collaboration, between scientists and National Socialists in order to further the goals of autarky, racial hygiene, war, and genocide.

  16. Kaiser-Bessel Basis for the Particle-Mesh Interpolation

    CERN Document Server

    Gao, Xingyu; Wang, Han

    2016-01-01

    In this work, we introduce the Kaiser-Bessel interpolation basis for the particle-mesh interpolation in the fast Ewald method. A reliable a priori error estimate is developed to measure the accuracy of the force computation, and is shown to be effective in optimizing the shape parameter of the Kaiser-Bessel basis in terms of accuracy. By comparing the optimized Kaiser-Bessel basis with the traditional B-spline basis, we demonstrate that the former is more accurate than the latter in part of the working parameter space, saying a relatively small real space cutoff, a relatively small reciprocal space mesh and a relatively large truncation of basis. In some cases, the Kaiser-Bessel basis is found to be more than one order of magnitude more accurate. Therefore, it is worth trying the Kaiser-Bessel basis in the simulations where the computational accuracy of the electrostatic interaction is critical.

  17. CERN Expositions permanentes version courte

    CERN Multimedia

    2016-01-01

    Visites Explorez les questions de la physique contemporaine que les physiciens du CERN tentent de résoudre. Dans l'Univers, tout est fait de particules. Mais d'où viennent-elles ? Quelles sont les lois qui régissent leur comportement ? Découvrez les immenses outils utilisés par les physiciens du CERN, comme le fameux LHC, et comprenez comment chaque élément de ces accélérateurs fonctionne. Le CERN vous invite à percer les mystères de l'Univers et à découvrir son travail à travers diverses visites guidées et expositions permanentes, toutes gratuites. En groupe, avec des amis, individuellement, à pied, en vélo, venez découvrir le CERN ou explorez-le virtuellement. Bienvenue !

  18. On the Matrix Formulation of Kaiser's Varimax Criterion.

    Science.gov (United States)

    Neudecker, H.

    1981-01-01

    A full-fledged matrix derivation of Sherin's matrix formulation of Kaiser's varimax criterion is provided. Matrix differential calculus is used in conjunction with the Hadamard (or Schur) matrix product. Two results on Hadamard products are presented. (Author/JKS)

  19. Comment on: "Technical note: Consistent calculation of aquatic gross production from oxygen triple isotope measurements" by Kaiser (2011

    Directory of Open Access Journals (Sweden)

    D. P. Nicholson

    2011-10-01

    Full Text Available Kaiser (2011 has introduced an improved method for calculating gross productivity from the triple isotopic composition of dissolved oxygen in aquatic systems. His equation avoids approximations of previous methodologies, and also accounts for additional physical processes such as kinetic fractionation during invasion and evasion at the air-sea interface. However, when comparing his new approach to previous methods, Kaiser inconsistently defines the biological end-member with the result of overestimating the degree to which the various approaches of previous studies diverge. In particular, for his base case, Kaiser assigns a 17O excess to the product of photosynthesis (17δP that is too low, resulting in his result being ~30 % too high when compared to previous equations. When this is corrected, I find that Kaiser's equations are consistent with all previous study methodologies within about ±20 % for realistic conditions of metabolic balance (f and gross productivity (g. A methodological bias of ±20 % is of similar magnitude to current uncertainty in the wind-speed dependence of the air-sea gas transfer velocity, k, which directly impacts calculated gross productivity rates as well. While previous results could and should be revisited and corrected using the proposed improved equations, the magnitude of such corrections may be much less than implied by Kaiser.

  20. ESTRATEGIAS DE APRENDIZAJE QUE PERMITEN APRENDER PERMANENTE

    Directory of Open Access Journals (Sweden)

    Ronald Feo

    2012-01-01

    Full Text Available At present, a decade of the century, educational systems have been impacted by requirements of the scientific, technological, and social of the millennium. These requirements can include autonomy in learning and an eminent propensity to form a subject of high intellectual level, to develop skills and values that enable them to reach and bind to the same level of scientific, technological and social with few difficulties in personal and professional levels permanently, and therefore, it is essential in-depth approach to the academic curricula of higher education to describe and interpret the processes used by their students, allowing them to learn and, on that basis, generate a broad and deep cognitive phenomena, affective, emotional and social vision to rebuild the consent of school learning to the demands of the millennium, with an emphasis on learning strategies and lifelong learning. The methodology used was based on the interpretive paradigm, based on phenomenology as the fundamental basis of the procedures that can process the information collected from key informants, who were 7 college students. The most important contributions of the confined research that students construct their learning strategies through social interaction, specifically with fellow students and the teacher, it is important to note that cultural influences represented in the beliefs, support, and motivation, encourage lifelong learning, so is very important to update the curricula of higher education through cross-cutting strategies that promote learning and, in turn, recognize that the support and motivation are companions and natural triggers of learning.En la actualidad, a una década del siglo XXI, los sistemas educativos han sido impactados por exigencias propias del avance científico, tecnológico y social del milenio. Entre esas exigencias se pueden mencionar la autonomía en el aprendizaje y una eminente propensión a la formación de un sujeto a nivel

  1. Kilometer-scale Kaiser effect identified in Krafla volcano, Iceland

    Science.gov (United States)

    Heimisson, Elías Rafn; Einarsson, Páll; Sigmundsson, Freysteinn; Brandsdóttir, Bryndís.

    2015-10-01

    The Krafla rifting episode in 1975-1984, consisted of around 20 inflation-deflation events within the Krafla caldera, where magma accumulated during inflation periods and was intruded into the transecting fissure swarm during brief periods of deflation. We reanalyze geodetic and seismic data from the rifting episode and perform a time-dependent inversion of a leveling time series for a spherical point source in an elastic half-space. Using the volume change as a proxy for stress shows that during inflation periods the seismicity rate remains low until the maximum inflation of previous cycles is exceeded thus exhibiting the Kaiser effect. Our observations demonstrate that this phenomenon, commonly observed in small-scale experiments, is also produced in kilometer-scale volcanic deformation. This behavior sheds new light on the relationship between deformation and seismicity of a deforming volcano. As a consequence of the Kaiser effect, a volcano may inflate rapidly without significant changes in seismicity rate.

  2. Specialty pharmaceuticals care management in an integrated health care delivery system with electronic health records.

    Science.gov (United States)

    Monroe, C Douglas; Chin, Karen Y

    2013-05-01

    The specialty pharmaceuticals market is expanding more rapidly than the traditional pharmaceuticals market. Specialty pharmacy operations have evolved to deliver selected medications and associated clinical services. The growing role of specialty drugs requires new approaches to managing the use of these drugs. The focus, expectations, and emphasis in specialty drug management in an integrated health care delivery system such as Kaiser Permanente (KP) can vary as compared with more conventional health care systems. The KP Specialty Pharmacy (KP-SP) serves KP members across the United States. This descriptive account addresses the impetus for specialty drug management within KP, the use of tools such as an electronic health record (EHR) system and process management software, the KP-SP approach for specialty pharmacy services, and the emphasis on quality measurement of services provided. Kaiser Permanente's integrated system enables KP-SP pharmacists to coordinate the provision of specialty drugs while monitoring laboratory values, physician visits, and most other relevant elements of the patient's therapy. Process management software facilitates the counseling of patients, promotion of adherence, and interventions to resolve clinical, logistic, or pharmacy benefit issues. The integrated EHR affords KP-SP pharmacists advantages for care management that should become available to more health care systems with broadened adoption of EHRs. The KP-SP experience may help to establish models for clinical pharmacy services as health care systems and information systems become more integrated.

  3. An Interview with Matthew Kaiser on Competition and Play

    Directory of Open Access Journals (Sweden)

    Sean Scanlan

    2014-05-01

    Full Text Available An Interview with Matthew Kaiser on Competition and Play, by Sean Scanlan. Matthew Kaiser, the author of The World in Play: Portraits of a Victorian Concept (Stanford UP, 2012 says that “[c]ompetition is the disease from which modern life suffers,” and that “[c]ompetition is the only cure” for this suffering. This contradictory pairing seems to get at the heart of his thesis: play, as a totalizing, umbrella-like concept, emanates from a host of philosophical, political, and scientific work produced by Victorians who posed many of their ideas of play in sports metaphors, competitive logics, and narratives of struggle. Kaiser goes beyond the dichotomy of competition and play/competition or play, by stating “I’m interested in the totalizing potential of both concepts, the way that play, or competition for that matter, swallows the world whole, becomes in the minds of so many people, the organizing principle of reality, whether of culture or nature or consciousness, or of all three.”

  4. Genetics as a modernization program: biological research at the Kaiser Wilhelm Institutes and the political economy of the Nazi State.

    Science.gov (United States)

    Gausemeier, Bernd

    2010-01-01

    During the Third Reich, the biological institutes of the Kaiser Wilhelm Society (KWG, Kaiser-Wilhelm-Gesellschaft) underwent a substantial reorganization and modernization. This paper discusses the development of projects in the fields of biochemical genetics, virus research, radiation genetics, and plant genetics that were initiated in those years. These cases exemplify, on the one hand, the political conditions for biological research in the Nazi state. They highlight how leading scientists advanced their projects by building close ties with politicians and science-funding organizations and companies. On the other hand, the study examines how the contents of research were shaped by, and how they contributed to, the aims and needs of the political economy of the Nazi system. This paper therefore aims not only to highlight basic aspects of scientific development under Nazism, but also to provide general insights into the structure of the Third Reich and the dynamics of its war economy.

  5. El Programa Nacional de Formacion y Capacitacion Permanente

    National Research Council Canada - National Science Library

    Rodriguez Manrique, Catherine Paola

    2010-01-01

    Este articulo presenta una sistematizacion de las caracteristicas mas relevantes del Programa Nacional de Formacion y Capacitacion Permanente implementado por el Ministerio de Educacion del Peru desde...

  6. Determinantal and Permanental Representation of Generalized Fibonacci Polynomials

    CERN Document Server

    Sahin, Adem

    2011-01-01

    In this paper, we give some determinantal and permanental representations of Generalized Fibonacci Polynomials by using various Hessenberg matrices. These results are general form of determinantal and permanental representations of k sequences of the generalized order-k Fibonacci and Pell numbers.

  7. Een passie voor precisie: Frederik Kaiser en het instrumentarium van de Leidse Sterrewacht

    Directory of Open Access Journals (Sweden)

    Hans Hooijmaijers

    2011-06-01

    Full Text Available Passion for precision. Frederik Kaiser and the instrumentation of Leiden ObservatoryFrederik Kaiser (1808-1872 was one of the most inspiring directors of the Leiden astronomical observatory. In Dutch astronomy he introduced a systematic observing and research program. Furthermore he succeeded in founding a new observatory after years of struggle. This paper describes how Kaiser's urge for precision led the way in his research, in his selection of instruments and in the design of the new observatory.Kaiser was educated in astronomy by his uncle, the Amsterdam mathematician and astronomer Jan Frederik Keijser. He introduced young Frederik also into the world of instruments, theory and influential persons. At the age of eighteen Frederik succeeded in getting appointed as an observer at Leiden Observatory. However, the bad relationship with its director and the lousy state of the instruments at this observatory made observing almost impossible. Instead, Frederik took up a study in physics and mathematics at Leiden University. In 1835 Kaiser's chances turned with the predicted return of Halley's comet. With borrowed equipment, Kaiser observed the comet at home. More important, Kaiser had rightfully predicted the perihelium-passage of the comet (the closest approach to the sun. His calculation differed only two hours with the actual moment. This exact computation enhanced Kaiser's reputation as a scholar and led in 1837 to his appointment as director of the Leiden Observatory.From the very outset Kaiser tried to incorporate 'statistal astronomy' in his research, imitating German scientists as Gauss, Bessel, Encke and Hansen. He therefore applied for a new observatory and instruments, but in first instance only some money for new instruments was granted. For his research on double stars and the trajectories of comets Kaiser bought some new instruments, like a Fraunhofer refractor with a precision micrometer and two transit instruments. In his

  8. Soil carbon and nitrogen mineralization under different tillage systems and Permanent Groundcover cultivation between Orange trees Mineralização do carbono e nitrogênio sob diferentes preparos de solo e coberturas permanentes intercalares em pomar de laranjeira

    Directory of Open Access Journals (Sweden)

    Elcio Liborio Balota

    2011-06-01

    Full Text Available The objective of this work was to evaluate the alterations in carbon and nitrogen mineralization due to different soil tillage systems and groundcover species for intercropped orange trees. The experiment was established in an Ultisol soil (Typic Paleudults originated from Caiuá sandstone in northwestern of the state of Paraná, Brazil, in an area previously cultivated with pasture (Brachiaria humidicola. Two soil tillage systems were evaluated: conventional tillage (CT in the entire area and strip tillage (ST with a 2-m width, each with different groundcover vegetation management systems. The citrus cultivar utilized was the 'Pera' orange (Citrus sinensis grafted onto a 'Rangpur' lime rootstock. The soil samples were collected at a 0-15-cm depth after five years of experiment development. Samples were collected from under the tree canopy and from the inter-row space after the following treatments: (1 CT and annual cover crop with the leguminous Calopogonium mucunoides; (2 CT and perennial cover crop with the leguminous peanut Arachis pintoi; (3 CT and evergreen cover crop with Bahiagrass Paspalum notatum; (4 CT and cover crop with spontaneous B. humidicola grass vegetation; and (5 ST and maintenance of the remaining grass (pasture of B. humidicola. The soil tillage systems and different groundcover vegetation influenced the C and N mineralization, both under the tree canopy and in the inter-row space. The cultivation of B. humidicola under strip tillage provided higher potential mineralization than the other treatments in the inter-row space. Strip tillage increased the C and N mineralization compared to conventional tillage. The grass cultivation increased the C and N mineralization when compared to the others treatments cultivated in the inter-row space.No presente trabalho, foi avaliada a mineralização do Carbono e Nitrogênio devido ao cultivo intercalar de diferentes coberturas permanentes em pomar de laranjeira. O experimento foi

  9. Nutrição e produção da laranjeira "Folha Murcha" em porta-enxertos e plantas de cobertura permanente na entrelinha Nutrition and yield of the 'Folha Murcha' orange in rootstocks and groundcover management systems

    Directory of Open Access Journals (Sweden)

    Jonez Fidalski

    2006-06-01

    Full Text Available O estado nutricional e a produção de citros não são conhecidos para as diferentes combinações copa/porta-enxertos e plantas de coberturas permanente na entrelinha. O estudo foi instalado em um experimento de laranjeira "Folha Murcha" [Citrus sinensis (L. Osb.] com oito anos de idade, conduzido entre 1997 a 2002, no município de Paranavaí, região Noroeste do Paraná. O solo corresponde a um Argissolo Vermelho distr��fico típico textura areia/franco arenoso. O delineamento experimental foi de blocos ao acaso, sendo os tratamentos constituídos por sete porta-enxertos: limoeiro "Cravo", limoeiro "Rugoso da África", limoeiro "Volcameriano", tangerineira "Cleópatra", tangerineira "Sunki", citrangeiro "C-13" e Trifoliata, com três plantas em cada parcela experimental. As repetições foram constituídas por três blocos com a cobertura Paspalum notatum e por um bloco com Arachis pintoi. Foram avaliados os teores dos nutrientes foliares e a produção de frutos da laranjeira "Folha Murcha". O manejo das entrelinhas com a leguminosa elevou os teores de N à faixa excessiva nas folhas do porta-enxerto limoeiro "Cravo", e reduziu a produção de frutos da laranjeira "Folha Murcha" em relação à gramínea. Nas entrelinhas com gramínea, a produção de frutos da laranjeira "Folha Murcha" foi dependente das safras agrícolas e dos teores foliares de Ca, Mg e Zn. A absorção máxima de Ca pelas folhas de laranjeira "Folha Murcha" precede a de Mg e Zn. Nestas condições, os porta-enxertos tangerineira "Cleópatra" e limoeiro "Rugoso da África" apresentaram maior produção de frutos de laranjeira "Folha Murcha".The nutritional status and yield of citrus are not known for different canopy/rootstocks and soil groundcover management systems. The study was set up in a 8-year-old 'Folha Murcha' [Citrus sinensis (L. Osb.] orange experiment, and was carried out from 1997 to 2002 in Paranavai, in the northwest region of the state of Parana

  10. El establecimiento permanente en un contexto virtual

    Directory of Open Access Journals (Sweden)

    Andrés Mauricio Rengifo

    2002-01-01

    Full Text Available La inmediatez, la informalidad y la total irrelevancia de la localización, la distancia y los límites nacionales son ventajas innegables del comercio en Internet. Al mismo, tiempo, son características que plantean interrogantes para los Estados, quienes, conscientes de la importancia de controlar el volumen y la magnitud de las operaciones realizadas en red (al gravarlas directa o indirectamente pueden conseguir fuentes de ingreso para el mantenimiento de las estructuras y la financiación de gastos gubernamentales se cuestionan cuál debe ser el sujeto pasivo de las obligaciones tributarias en un mercado donde las empresas están deslocalizadas o aún, no existen físicamente. El presente artículo aporta a la resolución del problema tras un completo estudio del concepto de establecimiento Permanente de carácter virtual, elaborado por la Organización para la Cooperación y el Desarrollo Económico.

  11. El establecimiento permanente en un contexto virtual

    Directory of Open Access Journals (Sweden)

    Andrés Mauricio Rengifo

    2002-06-01

    Full Text Available La inmediatez, la informalidad y la total irrelevancia de la localización, la distancia y los límites nacionales son ventajas innegables del comercio en Internet. Al mismo, tiempo, son características que plantean interrogantes para los Estados, quienes, conscientes de la importancia de controlar el volumen y la magnitud de las operaciones realizadas en red (al gravarlas directa o indirectamente pueden conseguir fuentes de ingreso para el mantenimiento de las estructuras y la financiación de gastos gubernamentales se cuestionan cuál debe ser el sujeto pasivo de las obligaciones tributarias en un mercado donde las empresas están deslocalizadas o aún, no existen físicamente. El presente artículo aporta a la resolución del problema tras un completo estudio del concepto de establecimiento Permanente de carácter virtual, elaborado por la Organización para la Cooperación y el Desarrollo Económico.

  12. Roh- und Werkstoffe für die Autarkie. Textilforschung in der Kaiser-Wilhelm-Gesellschaft

    OpenAIRE

    Präsidentenkommission; Luxbacher, Günther

    2004-01-01

    Der Beitrag untersucht die wissenschaftliche Organisation und die Zielsetzung der textilen Roh- und Werkstoff-Forschung in Deutschland in der ersten Hälfte des 20. Jahrhunderts aus der Perspektive der Kaiser-Wilhelm-Gesellschaft (KWG). Der erste Teil analysiert längsschnittartig die Zeit von 1914 bis zum Vierjahresplan, der zweite Teil legt den Schwerpunkt auf das 1938 neu gegründete Kaiser-WilhelmInstitut (KWI) für Bastfaserforschung. Die KWG verstand die forschungspolitische Expansionsc...

  13. Properties and simulation of α-permanental random fields

    DEFF Research Database (Denmark)

    Møller, Jesper; Rubak, Ege Holger

    An α-permanental random field is briefly speaking a model for a collection of random variables with positive associations, where α is a positive number and the probability generating function is given in terms of a covariance or more general function so that density and moment expressions are given...... by certain α-permanents. Though such models possess many appealing probabilistic properties, many statisticians seem unaware of  α-permanental random fields and their potential applications. The purpose of this paper is first to summarize useful probabilistic results using the simplest possible setting...

  14. Frederik Kaiser (1808-1872, een gekweld man met een missie

    Directory of Open Access Journals (Sweden)

    Huib Zuidervaart

    2011-06-01

    Full Text Available Frederik Kaiser (1808-1872, a tormented man with a missionThe Leiden astronomer Kaiser has been instrumental for the rise of Dutch astronomy in the late nineteenth-century. His career was impressive. In 1826, without any formal university education, he began at the Leiden Astronomical Observatory as an ordinary observer. Through his work in astronomy he obtained an honorary doctorate, which enabled him in 1838 to become director of the observatory. In 1844 he was appointed full professor and in the academic year 1857/1858 he even became Rector Magnificus of Leiden University. In 1860 he even saw the fulfillmentof his life-long dream: the opening of a brand new astronomical observatory. However, in spite of these obvious professional successes, Kaiser's personal life was full of melancholy. This paper investigates Kaiser's personality, using correspondence with his family, as well as testimonies written down by his students and other contemporaries. Among others, we demonstrate the way in which Kaiser used his personal network, as well as his fierce continuous – and often publicly expressed – complaining, as a successful strategy in establishing his new astronomical observatory.

  15. Heart rate calculation from ensemble brain wave using wavelet and Teager-Kaiser energy operator.

    Science.gov (United States)

    Srinivasan, Jayaraman; Adithya, V

    2015-01-01

    Electroencephalogram (EEG) signal artifacts are caused by various factors, such as, Electro-oculogram (EOG), Electromyogram (EMG), Electrocardiogram (ECG), movement artifact and line interference. The relatively high electrical energy cardiac activity causes EEG artifacts. In EEG signal processing the general approach is to remove the ECG signal. In this paper, we introduce an automated method to extract the ECG signal from EEG using wavelet and Teager-Kaiser energy operator for R-peak enhancement and detection. From the detected R-peaks the heart rate (HR) is calculated for clinical diagnosis. To check the efficiency of our method, we compare the HR calculated from ECG signal recorded in synchronous with EEG. The proposed method yields a mean error of 1.4% for the heart rate and 1.7% for mean R-R interval. The result illustrates that, proposed method can be used for ECG extraction from single channel EEG and used in clinical diagnosis like estimation for stress analysis, fatigue, and sleep stages classification studies as a multi-model system. In addition, this method eliminates the dependence of additional synchronous ECG in extraction of ECG from EEG signal process.

  16. Educação Permanente em Saúde no Brasil: educação ou gerenciamento permanente?

    Directory of Open Access Journals (Sweden)

    Cristiane Lopes Simão Lemos

    2016-03-01

    Full Text Available Resumo O objetivo do estudo foi analisar a concepção e os fundamentos da Educação Permanente em Saúde (EPS constante da Política Nacional de Educação Permanente em Saúde (PNEPS no Brasil. A metodologia baseou-se na análise de documentos do Ministério da Saúde e de artigos científicos relacionados. Constatou-se que a concepção da EPS na PNEPS transcende um significado pedagógico, respondendo a um processo de reestruturação dos serviços diante das novas demandas do modelo. Justamente no momento em que o trabalho se encontra cada vez mais instável e precarizado, o Ministério da Saúde apresenta um discurso sobre uma gestão inovadora, dando centralidade à questão da EPS. A ideia não é de educação permanente, mas de gerenciamento permanente. Ao contrário de um instrumento de transformação radical, a EPS converte-se em uma ideologia que seduz pela sua aparência de novidade pedagógica.

  17. A Study of Physician Knowledge and Experience with Autism in Adults in a Large Integrated Healthcare System

    Science.gov (United States)

    Zerbo, Ousseny; Massolo, Maria L.; Qian, Yinge; Croen, Lisa A.

    2015-01-01

    We conducted an online survey of adult health care providers at Kaiser Permanente Northern California and semi-structured interviews with a subset of physicians. The survey assessed providers' ability to recognize autism spectrum disorder (ASD), asked them to rate their autism knowledge, comfort level in treating affected patients, and evaluated…

  18. Experimental and numerical study of the Kaiser effect in cyclic Brazilian tests with disk rotation

    CSIR Research Space (South Africa)

    Lavrov, A

    2002-04-01

    Full Text Available Sensitivity of the Kaiser effect to the deviations of the directions of sigma(1)-principal stress experienced by rock in Successive loading cycles has an important impact on the application of this effect for stress measurements in rocks. The paper...

  19. Site support program plan for ICF Kaiser Hanford Company, Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-10-01

    This document is the general administrative plan implemented by the Hanford Site contractor, ICF Kaiser Hanford Company. It describes the mission, administrative structure, projected staffing, to be provided by the contractor. The report breaks out the work responsibilities within the different units of the company, a baseline schedule for the different groups, and a cost summary for the different operating units.

  20. Avaliação do índice de danos permanentes através de SLICC/ACR-DI em pacientes com mais de cinco anos de diagnóstico de lúpus eritematoso sistêmico Cumulative organ damage evaluation using SLICC/ACR-DI in patients with more than five years of systemic lupus erythematosus

    Directory of Open Access Journals (Sweden)

    Elaine Marcelina Claudio Sella

    2004-04-01

    Full Text Available OBJETIVO: avaliar a freqüência dos diferentes tipos de lesões irreversíveis que ocorrem em pacientes com lúpus eritematoso sistêmico (LES com mais de cinco anos de doença. MÉTODOS: noventa pacientes do sexo feminino com diagnóstico de LES há mais de cinco anos foram avaliadas quanto às lesões irreversíveis em órgãos e/ou sistemas, através da aplicação do índice de dano do Systemic Lupus International Collaborating Clinics/American College of Rheumatology (SLICC/ACR-DI. RESULTADOS: a média de idade das pacientes foi 38 ± 10 anos (60% da cor branca e o tempo de diagnóstico de LES foi 128 ± 59 meses; a média do número de critérios do ACR foi 7 ± 1 e a média dos escores do SLICC/ACR-DI foi 2 ± 2. Setenta e dois por cento das pacientes apresentaram SLICC/ ACR-DI > 1. Houve tendência à associação estatística entre idade atual mais avançada e presença de lesões permanentes (p=0,06. Não observamos associação estatisticamente significante entre idade na época do diagnóstico de LES, tempo de doença ou número de critérios do ACR e presença de danos permanentes (p > 0,05. Foi encontrada associação significante entre lesão discóide e presença de dano irreversível (p=0,049 e entre presença de anticorpos antidsDNA e lesão irreversível (p=0,013. Quanto aos tipos de danos permanentes, relatamos alterações cardiovasculares em 21%, dermatológicas em 21%, musculoesqueléticas em 17%, gonadais em 16%, neuropsiquiátricas em 13%, oculares em 12%, renais em 12%, vasculares periféricas em 10%, pulmonares em 6%, endócrinas em 6% e malignidades em 3% dos casos. Não houve associação estatisticamente significante entre tempo de uso de prednisona e presença de alteração irreversível (p=0,725, entretanto, houve associação estatisticamente significante entre maior dose cumulativa de prednisona e danos permanentes (p=0,013. Houve tendência à associação estatística entre menor tempo de uso de agentes

  1. Le tecnologie mobili dell’apprendimento permanente, il progetto MOTILL

    Directory of Open Access Journals (Sweden)

    Marco Arrigo

    2013-03-01

    Full Text Available In questo articolo vengono presentati alcuni dei risultati del progetto MOTILL. MOTILL, ovvero «Le Tecnologie Mobili nell’apprendimento permanente: buone pratiche», è un progetto finanziato dalla Comunità Europea, nell’ambito del National Lifelong Learning Strategies (NLLS. Il progetto, durato un anno e terminato a Marzo 2010, si è focalizzato sull’uso delle tecnologie mobili in contesti di lifelong learning (LLL. L’articolo sarà dedicato a una breve introduzione del progetto, dei suoi obiettivi e delle azioni portate avanti, e a un rapido riassunto dei principali risultati ottenuti, i quali sono stati resi disponibili online alla comunità scientifica e diffusi ai policy makers impegnati nei programmi di apprendimento permanente.

  2. Intersection local times, loop soups and permanental Wick powers

    CERN Document Server

    Jan, Yves Le; Rosen, Jay

    2017-01-01

    Several stochastic processes related to transient Lévy processes with potential densities u(x,y)=u(y-x), that need not be symmetric nor bounded on the diagonal, are defined and studied. They are real valued processes on a space of measures \\mathcal{V} endowed with a metric d. Sufficient conditions are obtained for the continuity of these processes on (\\mathcal{V},d). The processes include n-fold self-intersection local times of transient Lévy processes and permanental chaoses, which are `loop soup n-fold self-intersection local times' constructed from the loop soup of the Lévy process. Loop soups are also used to define permanental Wick powers, which generalizes standard Wick powers, a class of n-th order Gaussian chaoses. Dynkin type isomorphism theorems are obtained that relate the various processes. Poisson chaos processes are defined and permanental Wick powers are shown to have a Poisson chaos decomposition. Additional properties of Poisson chaos processes are studied and a martingale extension is obt...

  3. The birth of Kaiser William II (1859-1941) and his birth injury.

    Science.gov (United States)

    Jacoby, M G

    2008-08-01

    This paper describes the events leading up to the birth of Kaiser William II in 1859. There is a full description of the clinical aspects of his breech delivery that resulted in an Erb-Duchenne palsy. The later physical and psychological effects of his paralysed left arm are discussed fully, as are the comments about Dr Eduard Arnold Martin (1799-1875), the obstetrician who delivered him.

  4. Evaluation Techniques of Creating Coherence in Poems of Kaiser Aminpour Relying on the Theory of Halliday’s Linguistics

    Directory of Open Access Journals (Sweden)

    Reza Sattari

    2016-05-01

    Full Text Available AbstractOne of the linguistics theories that are utilized in present age in the analysis of literary texts is the theory of Halliday’s linguistics which is called theory of systemic - functional linguistics. Halliday’s theory in the second half of the twentieth century, in contrast to the "generative linguistics" approach, which is based on formal language like a mental and individual phenomenon.    Hallidayan called the semantic, literal, syntax and logical relationship of words as coherence of a text and believes that the coherence of the text, includes all the semantic relations by which, every piece of speech or writing can serve as text. Hence, cohesion, referred to relations that relates all elements of a sentence to the elements of other sentences. From Hallidayan's  point of view, elements of coherence of a text are divided into two parts: grammatical and lexical. Grammatical cohesion includes factors such as referrals, replacements, removals and relevancy, and lexical coherence includes repetition and collocation in literary language.   Kaiser is one of the contemporary famous poets that have composed many poets in different molds of poetry. Kaiser Manipur's poems benefit the integration due to the poet's fluency in Persian and his familiarity with the vocabulary and grammatical and lexical capacities of Persian literature. In this research, we have studied the cohesion in Kaiser Manipur's poems from two views of lexical and grammatical by using Holidaying theory of coherence as well as the techniques that the poet has applied to reach the cohesion in his poems.    The method of research in the present paper is descriptive-analytical and all the information and data has been collected from the sources of library and electronic. In this paper, we first briefly discussed the Holidaying coherence theory, and then, with a special approach to this theory, the most important techniques that Kaiser Manipur has

  5. Flexibilidad laboral: ¿fin del trabajo permanente?

    Directory of Open Access Journals (Sweden)

    Carmen Añez Hernández

    2016-05-01

    Full Text Available Los trabajos transitorios o atípicos, siguen posicionándose y funcionando trastocando la protección del sistema de regulación y protección del trabajo permanente. De ahí, la importancia de reflexionar teóricamente sobre el tema. Para su desarrollo se plantean los siguientes objetivos: demostrar que la flexibilización laboral ha incidido en la ruptura de las relaciones laborales, caracterizar como la subcontratación laboral encubre dichas relaciones, analizar el despido laboral y sus consecuencias en los trabajadores. El artículo se desarrolló teóricamente, especialmente tomando como referencia autores como: Bravo (2010, Quintero (2010, González (2012 De La Garza (2007, Ugarte (2007, entre otros, lo cual permitió analizar la temática abordada. Los resultados reflejan que dicha estrategia está impulsando la agudización de las condiciones precarias de los derechos laborales, con lo cual se está ante un capitalismo irracional, que tiene como propósito que los trabajadores sufraguen los efectos de las pretensiones de los capitalistas por conseguir mayores tasas de ganancia y niveles más altos de productividad. En consecuencia, la flexibilización de las relaciones laborales está destinada a ocultar los derechos de los trabajadores, agudizar el despido laboral, y propiciar el fin de un trabajo permanente.

  6. Wireless system for location of permanent faults by short circuit current monitoring in electric power distribution network; Sistema wireless para localizacao de faltas permanentes atraves da monitoracao da corrente de curto-circuito em redes de distribuicao de energia eletrica

    Energy Technology Data Exchange (ETDEWEB)

    Machado, A.G.; Correa, A.C.; Machado, R.N. das M.; Ferreira, A.M.D.; Pinto, J.A.C. [Instituto Federal de Educacao, Ciencia e Tecnologia do Para (IFPA), Belem, PA (Brazil)], E-mail: alcidesmachado000@yahoo.com.br; Barra Junior, W. [Universidade Federal do Para (UFPA), Belem, PA (Brazil). Inst. de Tecnologia. Faculdade de Engenharia Eletrica], E-mail: walbarra@ufpa.br

    2009-07-01

    This paper presents the development of an automatic system for permanent short-circuits location in medium voltage (13.8 kV) electric power system distribution feeders, by indirect monitoring of the line current. When a permanent failure occurs, the developed system uses mobile telephony (GSM) text messages (SMS) to inform the power company operation center where the failure most likely took place. With this information in real time, the power company operation center may provide the network restoration in a faster and efficient way. (author)

  7. Reliability assessment of permanent downhole monitoring systems (PDG/TPT) in Marlim Field; Avaliacao da confiabilidade de sistemas de monitoramento permanente de fundo de pocos (PDG/TPT) no Campo de Marlim

    Energy Technology Data Exchange (ETDEWEB)

    Frota, Helder Mamede; Destro, Wagner [PETROBRAS, Rio de Janeiro, RJ (Brazil)

    2004-07-01

    This work is related to the reliability engineering, specifically, to the analysis of data lifetime and to the failure modeling of Permanent Downhole Gauge monitoring systems (PDG/TPT) in Marlim field, Campos Basin. These systems are composed of pressure and temperature sensors installed in oil wells and connected, by umbilicals, to their production platforms. The raising of the main failure causes in these systems, in 12-year operation, served as the basis to describe their driving parameters, foreseeing their behavior for the following years, considering the reliability theory of systems. It was obtained the pattern of the operations and extracted the wanted information: types and failure modeling, systems survival time and the Mean Time Between Failures (MTBF). This methodology permits the comparison among the components performance from several manufacturers. The results can be used in economical analysis, in oil field management, in maintenance prediction and in reliability studies. The area of failure modeling in association with these systems lifetime is the focus of this study. (author)

  8. La formació permanent del professorat a Suïssa. Entre les reformes del sistema i la professionalització de l’ofici Continuing training for teachers in Switzerland. Between reforming the system and professionalising teaching La formación permanente del profesorado en Suiza. Entre las reformas del sistema y la profesionalización del oficio

    Directory of Open Access Journals (Sweden)

    Monica Gather Thurler

    2011-09-01

    permanente s’inscrit dans une conception globale qui (a considère comme un objectif primordial le développement durable des compétences professionnelles individuelles et collectives, (b se donne à elle-même les moyens pour identifier, prendre en compte et gérer les niveaux de connaissances ainsi que les ressources humaines et matérielles existantes, et (c parvienne à engager l’ensemble des agents impliqués dans une recherche collective et coopérative fondée sur l’analyse réflexive des pratiques. Finalement, dans la troisième partie, l’article ébauche un modèle de développement professionnel qui situe les stratégies actuelles de la formation permanente dans un cadre de complémentarité constructive, et il donne quelques exemples de réalisations concrètesThe article contains a critical description of the Swiss teacher training system. The first part presents a résumé of the institutional situation in Switzerland in the area of teacher training. This situation is the result of a reform, begun in the 1990’s, which has led in most cantons to the setting up of teacher training universities. The second part argues that the problems currently faced by the education systems can only be solved if continuing training is part of an overall approach which (a considers as a primary aim the development of individual and group professional skills; (b provides itself with the means to identify, take into consideration and manage existing levels of knowledge and human and material resources, and (c manages to commit all the stakeholders involved to cooperative joint research based on reflective analysis of practices. Finally, the third part outlines a model for professional development which places current in-service training strategies on a constructively complementary basis, giving some examples of actual casesEl artículo describe de manera crítica el sistema de formación docente suizo. En la primera parte se presenta de forma sintética la realidad

  9. El descubrimiento de la educación permanente

    Directory of Open Access Journals (Sweden)

    José Antonio Fernández

    2000-01-01

    Full Text Available El título alude a la reciente moda de utilizar el concepto "educación a lo largo de la vida" en todos los documentos de la Unión Europea, como si de algo nuevo se tratara. En los años 70, en el marco de la UNESCO y del Consejo de Europa, varias iniciativas y propuestas desarrollaron con vigor la idea de la educación permanente, como principio inspirador del cambio de los sistemas educativos, que parecía ya entonces inaplazable para superar la disociación entre la escuela y la vida actual en todas sus dimensiones. Entre los siglos XVIII y primera década del XX los reformadores educativos españoles de todo signo hicieron de la continuidad educativa una de las claves del cambio, pero las reformas ambicionadas no cuajaron o fueron efímeras. Las dos grandes leyes de reforma de la educación en España (1970 y 1989 también declararon inspirarse en los principios de la educación permanente. Sin embargo, las reformas no han hecho, en la práctica, sino añadir nuevas discontinuidades entre los niveles y las modalidades educativas y entre la educación adquirida y las necesidades de las personas para vivir y trabajar hoy. Otra lectura de la LOGSE permitiría, sin nuevas leyes, retomar el cambio educativo en la línea del aprendizaje significativo y útil a lo largo de la vida

  10. Mudança permanente: fonte de penosidade no trabalho?

    Directory of Open Access Journals (Sweden)

    Jean-Luc Metzger

    Full Text Available Este artigo se propõe a examinar as possíveis condições para a melhoria duradoura da saúde psíquica dos trabalhadores. Para fazê-lo, após ter sintetizado as principais causas imediatas dos problemas psicossociais, recolocamo-los no contexto contemporâneo caracterizado pela renovação incessante dos dispositivos técnicos e de gestão. Assim, compreender os fenômenos dos problemas psicossociais no trabalho implica em se interessar pelos efeitos da mudança permanente. Precisamente, para considerarmos, de forma geral, estes efeitos sobre a saúde, elaboramos uma grade de análise a partir da herança da sociologia do trabalho e da noção de trabalho instituição (proposta por Lallement. Esta grade de análise é, em seguida, utilizada em situações empíricas variadas (hospitais, universidades, empresas multinacionais para demonstrarmos que a mudança permanente engendra uma polarização dos indivíduos. Certos trabalhadores perdem seu vínculo com o trabalho e assim iniciam um processo de degradação de sua saúde, enquanto outros tiram proveito do movimento e permanecem em boa saúde. Enfim, a mudança perpétua é explicada como resultado de dinâmicas próprias ao campo da gestão e de uma postura reificante específica da abordagem racionalizadora. Assim, a fim de melhorar de forma duradoura a saúde psíquica no trabalho, é necessário intervir no coração das relações sociais.

  11. The Nazi symbiosis: politics and human genetics at the Kaiser Wilhelm Institute.

    Science.gov (United States)

    Berez, Thomas M; Weiss, Sheila Faith

    2004-12-01

    The case of the Kaiser Wilhelm Institute for Anthropology, Human Heredity and Eugenics (KWIA), from its inception in Weimar Republic Germany to its apogee under the rule of the Third Reich, is an example of how politics and human heredity can function as mutually beneficial resources. Whether it was a result of the Nazi bureaucrats' desire to legitimize their racial policy through science, or the KWIA personnel's desire to secure more funding for their research, the symbiotic relationship that developed between human genetics and Nazi politics could help explain why many scientists in the Third Reich undertook research projects that wholly transgressed the boundaries of morally acceptable science.

  12. Steady state analysis and Eastern power system dynamic PDVSA EyP considering incorporating Furrial and PIGAP II generation plants; Analisis en regimen permanente y dinamico del sistema electrico de PDVSA EyP Oriente considerando la incorporacion de las plantas de generacion Furrial y PIGAP II

    Energy Technology Data Exchange (ETDEWEB)

    Rodriguez, S [Universidad Nacional Experimental Politecnica, Antonio Jose de Sucre, Guayana, Bolivar (Venezuela)]. E-mail: sergiodrg200@gmail.com; Vasquez, C [Petroleos de Venezuela S.A., Maturin, Monagas (Venezuela)]. E-mail: vasquezcp@pdvsa.com

    2013-03-15

    This paper is focused on steady state and dynamic analysis of Eastern Power System of Petroleum of Venezuela S.A. (PDVSA) Exploration and Production, considering new single cycle gas turbine power plants in Punta de Mata and El Furrial operational areas that will start up in 2015. Network operating conditions were determined, specifically the behavior of power flows and voltage profiles in normal condition of operation and under Contingencies N-1 in PDVSA Power System, as well as the short-circuit levels at all buses of the transmission network. Afterward, it was evaluated the impact on the network caused by the starting of the biggest motor in the system, considering island operation, verifying that it's necessary to maintain the interconnection with the National Electric System. For motor starting study, machine dynamic model was determined by mean of parameters estimation of its equivalent circuit, as well as the application of nonlinear regression methods in order to obtain load model using the information supplied by the manufacturer. [Spanish] El presente trabajo esta enfocado al analisis del comportamiento en regimen permanente y dinamico del sistema electrico de Petroleos de Venezuela S.A. (PDVSA) Exploracion y Produccion Oriente, considerando la incorporacion de nuevas Plantas de Generacion Termoelectricas de Ciclo Simple a Gas que entraran en operacion en las areas operacionales de Punta de Mata y El Furrial para el ano 2015. Se determinaron las condiciones de operacion de la red, especificamente el comportamiento de los flujos de potencia y perfiles de voltaje en Condicion Normal de operacion y bajo Contingencias N-1 dentro del Sistema de PDVSA, asi como el incremento en los niveles de cortocircuito en todas las barras de la red de transmision. Luego se evaluo el impacto en la red originado por el arranque del motor de mayor capacidad considerando la posible operacion en isla del sistema, determinandose que es necesario operar interconectado con el

  13. Energy-modelled climb and climb-dash - The Kaiser technique. [reviewed for Me 262 jet fighter aircraft trajectories

    Science.gov (United States)

    Merritt, S. R.; Cliff, E. M.; Kelley, H. J.

    1985-01-01

    F. Kaiser's germinal 1944 report on his 'resultant-height' concept, now known as energy modelling, is reviewed. The data base for the Me. 262 jet fighter is recreated via spline-lattice representation of specific excess power. Minimum-time and 'distance'-climb trajectories are generated in an attempt to check Kaiser's results. Agreement is good for the minimum-time calculations but only qualitative agreement is obtained for the mysterious 'distance climbs' whose documentation is fragmentary. The character of optimal climb-dash trajectories in energy approximation is examined and illustrated.

  14. Armouring facility? Nuclear-weapon and reactor reseach at the Kaiser-Wilhelm Institute for Physics; Eine Waffenschmiede? Kernwaffen- und Reaktorforschung am Kaiser-Wilhelm-Institut fuer Physik

    Energy Technology Data Exchange (ETDEWEB)

    Hachtmann, R. (ed.); Walker, M.

    2005-07-01

    The Kaiser Wilhelm Institute for Physics is best known as the place where Werner Heisenberg worked on nuclear weapons for Hitler. Although this is essentially true, there is more to the story. At the start of World War II this institute was taken over by the German Army Ordnance to be the central, but not exclusive site for a research project into the economic and military applications of nuclear fission. The Army physicist Kurt Diebner was installed in the institute as its commissarial director. Heisenberg was affiliated with the institute as an advisor at first, and became the director in 1942. Heisenberg and his colleagues, including in particular Karl-Heinz Hoecker, Carl Friedrich von Weizsaecker, and Karl Wirtz, worked on nuclear reactors and isotope separation with the clear knowledge that these were two different paths to atomic bombs [Atombomben]. However, they were clearly ambivalent about what they were doing. New documents recently returned from Russian archives shed new light on this work and the scientists' motivations. (orig.)

  15. Depressão permanente e disritmia do lobo temporal

    Directory of Open Access Journals (Sweden)

    Eneida Baptistete Matarazzo

    1976-06-01

    Full Text Available Após revisão bibliográfica a respeito da depressão de origem epilética, a autora conclui que são citadas as formas pré-ictal, ictal, pós-ictal e inter-ictal. Esta última, denominada por Grecu e Kalman "depressão temporal episódica", é descrita como tendo duração de horas, dias ou semanas. No presente trabalho são analisados 2 casos com depressão episódica, 1 com depressão duradoura (3 anos e posteriormente episódica, e um outro com depressão duradoura (13 anos. O estudo clínico comparativo dos 4 casos, o resultado eletrencefalográfico e a resposta ao tratamento antiepilético permitem concluir que tanto as manifestações episódicas como as duradouras tinham etiologia epilética, sendo a disritmia localizada na área temporal. Baseada no estudo fenomenológico dos casos, a autora admite a hipótese de que as depressões epiléticas tenham quadro clínico característico que permite distingui-las das depressões de outra etiologia e sugere para as formas duradouras a denominação "depressão temporal permanente".

  16. Manejo quirurgico y ortodontico del incisivo central permanente impactado en posicion ectopica: reporte de un caso

    National Research Council Canada - National Science Library

    Truque Martinez, Oscar Gerardo; Longlax Triana, Maria Carolina; Bendahan Alvarez, Zita Carolina; Ramirez Rodriguez, Katherine

    2014-01-01

    ... en odontologia pediatrica de la Universidad El Bosque para exodoncia de un incisivo central superior permanente. La paciente tenia antecedentes de trauma dentoalveolar a los 7 anos de edad y ventana quirurgica para erupcion del diente 21...

  17. Reassessment of the taxonomic position of Iranocypris typhlops Bruun & Kaiser, 1944 (Actinopterygii, Cyprinidae).

    Science.gov (United States)

    Farashi, Azita; Kaboli, Mohammad; Rezaei, Hamid Reza; Naghavi, Mohammad Reza; Rahimian, Hassan; Coad, Brian W

    2014-01-01

    The Iranian cave barb (Iranocypris typhlops Bruun & Kaiser, 1944) is a rare and endemic species of the family Cyprinidae known from a single locality in the Zagros Mountains, western Iran. This species is "Vulnerable" according to the IUCN Red List and is one of the top four threatened freshwater fish species in Iran. Yet, the taxonomic position of I. typhlops is uncertain. We examined phylogenetic relationships of this species with other species of the family Cyprinidae based on the mitochondrial cytochrome b gene. Our results show that I. typhlops is monophyletic and is sister taxon of a cluster formed by Garra rufa (Heckel, 1843) and Garra barreimiae (Fowler & Steinitz, 1956) within a clade that includes other species of the genus Garra. Based on previous molecular and morphological studies, as well as our new results, we recommend that I. typhlops should be transferred to the genus Garra Hamilton, 1822.

  18. Reassessment of the taxonomic position of Iranocypris typhlops Bruun & Kaiser, 1944 (Actinopterygii, Cyprinidae

    Directory of Open Access Journals (Sweden)

    Azita Farashi

    2014-01-01

    Full Text Available The Iranian cave barb (Iranocypris typhlops Bruun & Kaiser, 1944 is a rare and endemic species of the family Cyprinidae known from a single locality in the Zagros Mountains, western Iran. This species is “Vulnerable” according to the IUCN Red List and is one of the top four threatened freshwater fish species in Iran. Yet, the taxonomic position of I. typhlops is uncertain. We examined phylogenetic relationships of this species with other species of the family Cyprinidae based on the mitochondrial cytochrome b gene. Our results show that I. typhlops is monophyletic and is sister taxon of a cluster formed by Garra rufa (Heckel, 1843 and Garra barreimiae (Fowler & Steinitz, 1956 within a clade that includes other species of the genus Garra. Based on previous molecular and morphological studies, as well as our new results, we recommend that I. typhlops should be transferred to the genus Garra Hamilton, 1822.

  19. Funções de pedotransferência para as curvas de retenção de água e de resistência do solo à penetração em sistemas de manejo com plantas de cobertura permanente em citros Pedotransfer functions for the soil water retention and soil resistance to penetration under groundcover management systems in citrus

    Directory of Open Access Journals (Sweden)

    Jonez Fidalski

    2007-10-01

    Full Text Available A qualidade do solo em sistemas de manejo pode ser avaliada por indicadores simples ou por equações de pedotransferências. O objetivo deste estudo foi obter funções de pedotransferência (FPT para as curvas de retenção de água (CRA e de resistência do solo à penetração (CRP, em sistemas de manejo com plantas de cobertura permanente nas entrelinhas de laranjeira "Pêra". Avaliaram-se três tratamentos: gramínea Paspalum notatum roçada, leguminosa Arachis pintoi e vegetação espontânea com herbicida, em um Argissolo Vermelho distrófico latossólico, no noroeste do Paraná. Em maio de 2003, foram coletadas 216 amostras indeformadas de solo sob o rodado e o entrerrodado a 0,05-0,10m de profundidade. Avaliaram-se a densidade do solo (Ds, o teor de carbono orgânico (CO, o teor de água e a resistência do solo à penetração (RP para ajustar as curvas de CRA e CRS em diferentes potenciais mátricos. As FPT foram dependentes da Ds, CO e tratamento para o ajuste das CRA (R²=0,94 e CRS (R²=0,87. O manejo da vegetação espontânea com herbicida aumenta a compactação do solo, reduz a retenção de água e aumenta a RP. A leguminosa reduz a retenção de água do solo e aumenta a RP, e a gramínea melhora a qualidade física e hídrica do solo nas entrelinhas. Alternativamente, as FPT exigem apenas as determinações dos teores de água e Ds para as CRA e CRS.The soil quality in management systems can be assessed by simple indicators or pedrotransfer functions. This study was aimed at obtaining pedotransfer function (PTF's such as the soil water retention curve (SWRC and the soil resistance to penetration curve (SRPC, under interrows groundcover management systems of the 'Pêra' orange. Three treatments were evaluated: bahiagrass mowed Paspalum notatum, perennial peanut Arachis pintoi and spontaneous vegetation with herbicide, in a Typic Paleudult, northwestern Paraná, Brazil. In May 2003, two hundred and sixteen undisturbed soil

  20. Economic burden related to chemotherapy-related adverse events in patients with metastatic breast cancer in an integrated health care system

    Directory of Open Access Journals (Sweden)

    Rashid N

    2016-10-01

    Full Text Available Nazia Rashid,1 Han A Koh,2 Hilda C Baca,3 Kathy J Lin,1 Susan E Malecha,4 Anthony Masaquel5 1Drug Information Services, Kaiser Permanente, Downey, 2Southern California Permanente Medical Group, Kaiser Permanente, Bellflower, 3Pharmacy Analytical Services, Kaiser Permanente, Downey, 4US Medical Affairs, Genetech Inc., San Francisco, 5Health Economics and Outcomes, Genentech Inc., San Francisco, CA, USA Background: Breast cancer is treated with many different modalities, including chemotherapy that can be given as a single agent or in combination. Patients often experience adverse events from chemotherapy during the cycles of treatment which can lead to economic burden.Objective: The objective of this study was to evaluate costs related to chemotherapy-related adverse events in patients with metastatic breast cancer (mBC in an integrated health care delivery system.Methods: Patients with mBC newly initiated on chemotherapy were identified and the first infusion was defined as the index date. Patients were ≥18 years old at time of index date, had at least 6 months of health plan membership and drug eligibility prior to their index date. The chemotherapy adverse events were identified after the index date and during first line of chemotherapy. Episodes of care (EOC were created using healthcare visits. Chart review was conducted to establish whether the adverse events were related to chemotherapy. Costs were calculated for each visit, including medications related to the adverse events, and aggregated to calculate the total EOC cost.Results: A total of 1,682 patients with mBC were identified after applying study criteria; 54% of these patients had one or more adverse events related to chemotherapy. After applying the EOC method, there were a total of 5,475 episodes (4,185 single episodes [76.4%] and 1,290 multiple episodes [23.6%] related to chemotherapy-related adverse events. Within single episodes, hematological (1,387 EOC, 33

  1. Beyond Kaiser bias: mildly non-linear two-point statistics of densities in distant spheres

    CERN Document Server

    Uhlemann, C; Kim, J; Pichon, C; Bernardeau, F; Pogosyan, D; Park, C; L'Huillier, B

    2016-01-01

    Simple parameter-free analytic bias functions for the two-point correlation of densities in spheres at large separation are presented. These bias functions generalize the so-called Kaiser bias to the mildly non-linear regime for arbitrary density contrasts. The derivation is carried out in the context of large deviation statistics while relying on the spherical collapse model. A logarithmic transformation provides a saddle approximation which is valid for the whole range of densities and shown to be accurate against the 30 Gpc cube state-of-the-art Horizon Run 4 simulation. Special configurations of two concentric spheres that allow to identify peaks are employed to obtain the conditional bias and a proxy to BBKS extrema correlation functions. These analytic bias functions should be used jointly with extended perturbation theory to predict two-point clustering statistics as they capture the non-linear regime of structure formation at the percent level down to scales of about 10 Mpc/h at redshift 0. Conversely...

  2. PROCESSING ECG SIGNAL WITH KAISER WINDOW- BASED FIR DIGITAL FILTERS BY

    Directory of Open Access Journals (Sweden)

    Mbachu C.B

    2011-08-01

    Full Text Available Heart attacks mostly occur in people who suffer from heart or heart-relate diseases if these diseases are not detected early enough and treated. There is therefore the need for a reliable means of detecting these diseases to save the patients from these attacks which are increasing in proportion all over the world. Electrocardiography (ECG, which is the electrical activity of the heart, generates a signal referred to as ECG signal or simply ECG and the shape of this signal tells much about the condition of the heart of a patient. Naturally the ECG signal gets distorted by different artifacts which must be removed otherwise it will convey an incorrect information regarding the patients heart condition. The work in this paper is the design of FIR digital filters with Kaiser Window to remove the interferences or the artifacts. Three filters are considered: low pass, high pass and notch filters. Each filter is used to filter the raw noisy ECG signal after which the three filters are used in cascade. Results are observed and recorded in each case, using FDA tool.

  3. Um teste direto da teoria de renda permanente: o caso brasileiro

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    Fábio Augusto Reis Gomes

    2012-01-01

    Full Text Available O presente artigo busca averiguar se a teoria da renda permanente (TRP é capaz de explicar a evolução do consumo no Brasil através de um teste direto com base em revisões de consumo induzidas por inovações na renda. De acordo com a TRP, o consumo reage às mudanças na renda na medida em que a renda corrente contem informação sobre a renda permanente. Para mensurar esta relação, foi estimado um modelo ARIMA (p,1,q para a renda corrente e, como resultado, foi possível verificar se as revisões de consumo e renda permanente se assemelham. Por fim, a TRP foi rejeitada.

  4. Formación Permanente de los Docentes de Educación Infantil en Amorebieta

    OpenAIRE

    De-la-Vega-Dañobeitia, Agurtzane

    2013-01-01

    Dotar al colectivo docente que imparte en la etapa de Educación Infantil de una formación permanente o desarrollo profesional efectivo supone asegurarse buena parte del éxito educativo de los niños, y que estos adquieran las competencias necesarias para su desarrollo integral. En base a esta reflexión, y bajo la coyuntura social actual, en este trabajo examinamos la formación permanente de los maestros de Infantil de la localidad vizcaína de Amorebieta. Los resultados obtenidos por el estudio...

  5. Beyond Kaiser bias: mildly non-linear two-point statistics of densities in distant spheres

    Science.gov (United States)

    Uhlemann, C.; Codis, S.; Kim, J.; Pichon, C.; Bernardeau, F.; Pogosyan, D.; Park, C.; L'Huillier, B.

    2017-04-01

    We present simple parameter-free analytic bias functions for the two-point correlation of densities in spheres at large separation. These bias functions generalize the so-called Kaiser bias to the mildly non-linear regime for arbitrary density contrasts and grow as b(ρ) - b(1) ∝ (1 - ρ-13/21)ρ1 + n/3 with b(1) = -4/21 - n/3 for a power-law initial spectrum with index n. We carry out the derivation in the context of large-deviation statistics while relying on the spherical collapse model. We use a logarithmic transformation that provides a saddle-point approximation that is valid for the whole range of densities and show its accuracy against the 30 Gpc cube state-of-the-art Horizon Run 4 simulation. Special configurations of two concentric spheres that allow us to identify peaks are employed to obtain the conditional bias and a proxy for the BBKS extremum correlation functions. These analytic bias functions should be used jointly with extended perturbation theory to predict two-point clustering statistics as they capture the non-linear regime of structure formation at the per cent level down to scales of about 10 Mpc h-1 at redshift 0. Conversely, the joint statistics also provide us with optimal dark matter two-point correlation estimates that can be applied either universally to all spheres or to a restricted set of biased (over- or underdense) pairs. Based on a simple fiducial survey, we show that the variance of this estimator is reduced by five times relative to the traditional sample estimator for the two-point function. Extracting more information from correlations of different types of objects should prove essential in the context of upcoming surveys like Euclid, DESI and WFIRST.

  6. Reservorios subcutáneos venosos centrales permanentes. Complicaciones Permanent subcutaneous reservoirs: Complications

    Directory of Open Access Journals (Sweden)

    R. Calvo

    2004-04-01

    Full Text Available Objetivos: Describir las complicaciones surgidas en 100 pacientes en los que hemos colocado sistemas implantables a nivel central (Port-a-cath. Material y métodos: Estudio transversal con recogida de datos mediante un muestreo aleatorio sistemático de 100 pacientes, en los que analizamos la edad, sexo, la patología por la que se le implanta, el tipo de catéter, la vía de acceso elegida y las complicaciones. Resultados: Tras realizar en todos los casos un control biológico y radiológico, se ha encontrado una incidencia de complicaciones del 6% (3 complicaciones mecánicas, 2 por mala manipulación y una complicación de tipo infeccioso. Conclusiones: Tras estos resultados en nuestro servicio, constatamos una baja incidencia de complicaciones, manteniendo las ventajas que ofrece un acceso permanente a una vía central.Objectives: To describe complications found in 100 patients to which central implanted systems (Port-a-cath were placed. Material and methods: Cross-sectional study with data gathered through a systematic randomized sampling of 100 patients, in which age, gender, pathology requiring implanted systems, type of catheter, elected route of access and complications. Results: After performing to all the patients a biological and radiological control, a complication rate of 6% was found (3 mechanical complications, 2 complications associated to poor handling and 1 infectious complication. Conclusions: After these results obtained in our service, we evidenced a low incidence of complications, thus confirming the benefits provided by a permanent access to a central route.

  7. La incapacidad permanente y su impacto en el sistema español de Seguridad Social

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    César Luis Gómez Garcillán

    Full Text Available Se analizan datos de incapacidad permanente de los últimos años en la seguridad social. Conclusiones: El desglose provincial muestra grandes diferencias a nivel territorial cuyo origen o motivación no se puede determinar actualmente en tanto no se dispone de dos parámetros básicos, el código de diagnóstico de la patología principal determinante de la incapacidad permanente y el código identificativo de la actividad laboral (profesión habitual del interesado que permitirían realizar un análisis fiable de la situación. Entre los factores que podrían incidir de alguna manera en la mayor o menor incidencia de la incapacidad permanente, podemos analizar dos grandes componentes, la población protegida y su composición a nivel de regímenes y la iniciativa en la incoación de los procedimientos. El grupo de provincias con una incidencia más elevada en incapacidad permanente acusa tasas de paro también más elevadas que el grupo con incidencia menor. La tendencia en el número de procedimientos de IP incoados resulta claramente a la baja con una caída de más del 9% en cinco años. El INSS desestima un porcentaje creciente de los mismos, la razón de ese comportamiento no reside en una valoración restrictiva o más exigente por parte de la gestora, sino porque se instruyen menos procesos de incapacidad permanente y porque va tomando mayor protagonismo en la iniciativa de incoación el procedimiento a instancia de parte, cuyo porcentaje de desestimación es el más elevado.

  8. Seismicity and Deformation of Krafla Volcano, Iceland. Intervals of Low Seismicity Rate during Rapid Inflation Explained By the Kaiser Effect.

    Science.gov (United States)

    Heimisson, E. R.; Einarsson, P.; Sigmundsson, F.; Brandsdottir, B.

    2014-12-01

    The Krafla central volcano in NE-Iceland produced about 20 dike intrusions during a rifting episode 1975-1984. These intrusions were always preceded by inflation of the caldera. Once a dike started propagating rapid deflation was observed. The first deflation event began in December 1975 with a dike traveling laterally from the magma chamber. Leveling measurements revealed subsidence of 2 m close to the deflation center. In February 1976 a stage of inflation began and at the same time the seismicity rate in the caldera rose in good correlation with the inflation. A small intrusion started propagating in late September 1976 which was accompanied by maximum subsidence of about 14 cm. However in the next 3 inflation and deflation cycles the inflation periods were almost aseismic until the inflation level of previous cycle was exceeded. At that point a sharp increase in the caldera earthquake count was observed. This phenomenon was observed until late April 1977 when a fissure eruption occurred inside the caldera. By inverting leveling data from 87 stations for a Mogi source and regarding the volume change of the source as a measure of stress we suggest that this phenomenon can be explained by the Kaiser effect. The Kaiser effect is well known from rock mechanics where under cyclic loading and unloading rocks, and other materials, induce dramatic increase in acoustic emissions when the load exceeds that of previous cycles. Krafla demonstrated the same effect while the external stress field was not significantly changed during the aforementioned 3 inflation/deflation cycles. This condition was disturbed when eruption occurred inside the caldera. The state of stress in the vicinity of the magma chamber was changed and subsequent inflation periods were not accompanied by significant seismicity. These results indicate that the Kaiser effect is an important part of understanding the relationship between deformation and seismicity in active volcanoes. The importance of

  9. Teager-Kaiser Energy and Higher-Order Operators in White-Light Interference Microscopy for Surface Shape Measurement

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    Abdel-Ouahab Boudraa

    2005-10-01

    Full Text Available In white-light interference microscopy, measurement of surface shape generally requires peak extraction of the fringe function envelope. In this paper the Teager-Kaiser energy and higher-order energy operators are proposed for efficient extraction of the fringe envelope. These energy operators are compared in terms of precision, robustness to noise, and subsampling. Flexible energy operators, depending on order and lag parameters, can be obtained. Results show that smoothing and interpolation of envelope approximation using spline model performs better than Gaussian-based approach.

  10. "Presumed fair: Ironic effects of organizational diversity structures": Correction to Kaiser et al. (2013).

    Science.gov (United States)

    2016-06-01

    Reports an error in "Presumed fair: Ironic effects of organizational diversity structures" by Cheryl R. Kaiser, Brenda Major, Ines Jurcevic, Tessa L. Dover, Laura M. Brady and Jenessa R. Shapiro (Journal of Personality and Social Psychology, 2013[Mar], Vol 104[3], 504-519). In the article, a raw data merging error in one racial discrimination claim condition from Experiment 6 inadvertently resulted in data analyses on an inaccurate data set. When the error was discovered by the authors and corrected, all analyses reported in Experiment 6 for claim validity, seriousness of the claim, and support for the claimant were inaccurate and none were statistically significant. The conclusions should be altered to indicate that participants with management experience who reflected on their own workplace diversity policies did not show the predicted effects. The literature review, remaining five studies, and remaining conclusions in the article are unaffected by this error. Experiment 6 should also report that 26.4% (not 26.4.7%) of participants had a graduate degree and eight participants (not 8%) did not provide educational data. Experiment 5 should have referred to the claim validity measure as a six-item measure ( .92) rather than a five-item measure; analyses on claim validity are accurate in text. Table 2's note should have said standard errors, not standard deviations. (The following abstract of the original article appeared in record 2012-31077-001.) This research tests the hypothesis that the presence (vs. absence) of organizational diversity structures causes high-status group members (Whites, men) to perceive organizations with diversity structures as procedurally fairer environments for underrepresented groups (racial minorities, women), even when it is clear that underrepresented groups have been unfairly disadvantaged within these organizations. Furthermore, this illusory sense of fairness derived from the mere presence of diversity structures causes high

  11. Effect of electrode contact area on the information content of the recorded electrogastrograms: An analysis based on Rényi entropy and Teager-Kaiser Energy

    Science.gov (United States)

    Alagumariappan, Paramasivam; Krishnamurthy, Kamalanand; Kandiah, Sundravadivelu; Ponnuswamy, Mannar Jawahar

    2017-06-01

    Electrogastrograms (EGG) are electrical signals originating from the digestive system, which are closely correlated with its mechanical activity. Electrogastrography is an efficient non-invasive method for examining the physiological and pathological states of the human digestive system. There are several factors such as fat conductivity, abdominal thickness, change in electrode surface area etc, which affects the quality of the recorded EGG signals. In this work, the effect of variations in the contact area of surface electrodes on the information content of the measured electrogastrograms is analyzed using Rényi entropy and Teager-Kaiser Energy (TKE). Two different circular cutaneous electrodes with approximate contact areas of 201.14 mm2 and 283.64 mm2, have been adopted and EGG signals were acquired using the standard three electrode protocol. Further, the information content of the measured EGG signals were analyzed using the computed values of entropy and energy. Results demonstrate that the information content of the measured EGG signals increases by 6.72% for an increase in the contact area of the surface electrode by 29.09%. Further, it was observed that the average energy increases with increase in the contact surface area. This work appears to be of high clinical significance since the accurate measurement of EGG signals without loss in its information content, is highly useful for the design of diagnostic assistance tools for automated diagnosis and mass screening of digestive disorders.

  12. Time-sensitivity of the Kaiser effect of acoustic emission in limestone and its application to measurements of in-situ stress

    Institute of Scientific and Technical Information of China (English)

    Jin Yan; Qi Zili; Chen Mian; Zhang Guangqing; Xu Guangqiang

    2009-01-01

    Measuring in-situ stress by using the Kaiser effect in rocks has such advantages as time-efficiency, low cost and little limitation, but the precision of the method is dependent on rock properties and delay time of the measurement.In this paper, experiments on the Kaiser effect in limestones were performed, and it was found that the limestones had good ability to retain a memory of their recent stress history and high time-sensitivity.The longer the experiment was delayed from the extraction of the stone, the larger the Felicity ratio was.As the Felicity ratio approached 1, significant Kaiser effect was observed.In-situ stress should be determined by the limestone measurements when the delay time was 40-120 days.Finally, the in-situ stress in a limestone formation could be successfully measured in practice.

  13. Reply to Nicholson's comment on "Consistent calculation of aquatic gross production from oxygen triple isotope measurements" by Kaiser (2011

    Directory of Open Access Journals (Sweden)

    J. Kaiser

    2012-08-01

    Full Text Available The comment by Nicholson (2011a questions the "consistency" of the "definition" of the "biological end-member" used by Kaiser (2011a in the calculation of oxygen gross production. "Biological end-member" refers to the relative oxygen isotope ratio difference between photosynthetic oxygen and Air-O2 (abbreviated 17δP and 18δP for 17O/16O and 18O/16O, respectively. The comment claims that this leads to an overestimate of the discrepancy between previous studies and that the resulting gross production rates are "30% too high". Nicholson recognises the improved accuracy of Kaiser's direct calculation ("dual-delta" method compared to previous approximate approaches based on 17O excess (17Δ and its simplicity compared to previous iterative calculation methods. Although he correctly points out that differences in the normalised gross production rate (g are largely due to different input parameters used in Kaiser's "base case" and previous studies, he does not acknowledge Kaiser's observation that iterative and dual-delta calculation methods give exactly the same g for the same input parameters (disregarding kinetic isotope fractionation during air-sea exchange. The comment is based on misunderstandings with respect to the "base case" 17δP and 18δP values. Since direct measurements of 17δP and 18δPdo not exist or have been lost, Kaiser constructed the "base case" in a way that was consistent and compatible with literature data. Nicholson showed that an alternative reconstruction of 17δP gives g values closer to previous studies. However, unlike Nicholson, we refrain from interpreting either reconstruction as a benchmark for the accuracy of g. A number of publications over the last 12 months

  14. Aproximación teórica al estudio de los procesos migratorios permanentes

    OpenAIRE

    Simón Pedro Izcara Palacios

    2013-01-01

    La economía, la sociología y la geografía han proporcionado esquemas teóricos que explican la migración permanente. La teoría económica neoclásica, la nueva economía de la migración laboral, la teoría del capital social, la teoría transnacional y la teoría del mercado laboral dual ofrecen explicaciones parciales y contradictorias de la migración permanente. Por ello, la comprensión de por qué migrantes laborales que llegaron para trabajar de manera temporal se quedaron permanentemente en la s...

  15. La struttura tecnica di supporto e il Gruppo di Lavoro per lo sviluppo dei Database geotopografici del Comitato Permanente per i Sistemi Geografici del CISIS

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    Piepaolo Milan

    2013-06-01

    Full Text Available Il Comitato Permanente per i Sistemi Geografici del CISIS ha istituito una struttura tecnica e costituito un gruppo di lavoro finalizzato a supportare le Regioni nell’implementazione dei loro Database geotopografici per garantire una corretta applicazione della recente normativa nazionale e sovranazionale.The CISIS Committee on Geographical Systems has establisheda technical group and has formed a working group aimed at supporting Regions in the implementation of theirTopographic Database to ensure the proper application of therecent national and international standards.

  16. Los juristas y la verdad: triunfos y derrotas de una investigación permanente

    Directory of Open Access Journals (Sweden)

    Andrea Errera

    2013-12-01

    Full Text Available ¿Existen verdades últimas, absolutas, que puedan ser puestas como fundamento de todo sistema normativo? El presente artículo nos muestra cómo la respuesta a este interrogante ha sido el motor constante de la evolución y de las transformaciones del derecho, respuesta, por lo demás, ligada históricamente al choque permanente entre derecho natural y derecho positivo.

  17. Los juristas y la verdad: triunfos y derrotas de una investigación permanente

    OpenAIRE

    Andrea Errera

    2013-01-01

    ¿Existen verdades últimas, absolutas, que puedan ser puestas como fundamento de todo sistema normativo? El presente artículo nos muestra cómo la respuesta a este interrogante ha sido el motor constante de la evolución y de las transformaciones del derecho, respuesta, por lo demás, ligada históricamente al choque permanente entre derecho natural y derecho positivo.

  18. Motores sin escobillas:accionamientos sincronos autopilotados, excitados con imanes permanentes

    OpenAIRE

    1991-01-01

    Los accionamientos síncronos autopilotados excitados con imanes permanentes están ocupando posiciones relevantes en el mercado de los accionamientos eléctricos. En el presente artículo, tras una descripción morfológica de las máquinas síncronas autopilotadas, se hace una clasificación de los diferentes tipos actualmente comercializados y una exposición de sus principales aplicaciones industriales.

  19. Los juristas y la verdad: triunfos y derrotas de una investigación permanente

    Directory of Open Access Journals (Sweden)

    Andrea Errera

    2013-12-01

    Full Text Available ¿Existen verdades últimas, absolutas, que puedan ser puestas como fundamento de todo sistema normativo? El presente artículo nos muestra cómo la respuesta a este interrogante ha sido el motor constante de la evolución y de las transformaciones del derecho, respuesta, por lo demás, ligada históricamente al choque permanente entre derecho natural y derecho positivo.

  20. A EDUCAÇÃO PERMANENTE NO DESENVOLVIMENTO DE COMPETÊNCIAS DOS PROFISSIONAIS DE ENFERMAGEM

    Directory of Open Access Journals (Sweden)

    Nádia Chiodelli Salum

    2014-01-01

    Full Text Available : Este estudio tuvo por objetivo reconocer el potencial de la educación permanente en el desarrollo de competencias técnicas, relacionales/comunicacionales y ética/políticas de los profesionales de enfermería. Tratase de una investigación cualitativa realizada con doce profesionales de enfermería. La recolección de datos se llevó a cabo a través de análisis de documento, entrevista y observación. Los datos fueron analizados con base en categorías predeterminadas: competencia técnica, competencia relacional/comunicacional y competencia ética/política. Los resultados demuestran que la educación permanente contribuye de manera significativa al desarrollo de competencias de los profesionales. Apuntan para el predominio de la dimensión técnica como modo de garantizar seguridad y reconocimiento profesional. Las dimensiones relacionales/comunicacionales y ético/políticas también son consideradas y contribuyen en el relacionamiento interpersonal y en la forma de organización del trabajo. El proceso de educación permanente que incluye las diversas dimensiones favorece la integración de los profesionales en el mundo de cambios e es uno de los aspectos que potencializan dicho proceso.

  1. Aproximación teórica al estudio de los procesos migratorios permanentes

    Directory of Open Access Journals (Sweden)

    Simón Pedro Izcara Palacios

    2013-01-01

    Full Text Available La economía, la sociología y la geografía han proporcionado esquemas teóricos que explican la migración permanente. La teoría económica neoclásica, la nueva economía de la migración laboral, la teoría del capital social, la teoría transnacional y la teoría del mercado laboral dual ofrecen explicaciones parciales y contradictorias de la migración permanente. Por ello, la comprensión de por qué migrantes laborales que llegaron para trabajar de manera temporal se quedaron permanentemente en la sociedad receptora debe sustentarse en enfoques interdisciplinarios. El artículo explora el alcance de los principales marcos teóricos de la migración permanente para entender por qué algunos jornaleros que llegaron a Tamaulipas para trabajar en la naranja durante la temporada de la pizca se quedaron permanentemente.

  2. ‘God is groot en wij begrijpen Hem niet’: Kaisers populaire sterrenkunde en het einde van de fysiko-theologie

    Directory of Open Access Journals (Sweden)

    Frans van Lunteren

    2011-06-01

    Full Text Available Frederik Kaiser, popular astronomy, and the decline of natural theologyThroughout his remarkable career the Leiden astronomer Frederik Kaiser (1808-1872 struggled to revive Dutch astronomy, which at the time was rather moribund. His efforts comprised mobilizing public support through popularization. In spite of a lack of illustrations, his popular Starry Sky (1844 proved immensely successful with the general public. This work differed in many respects from earlier Dutch popular writings, and helped to establish the new genre of popular science. Kaiser enunciated his idiosyncratic views on popularization in a lecture which he later published as a brochure. Whereas his research reflects the shift from the dilettante to the professional scientist in being focussed on precision measurement, his popular work likewise testified to the transition from natural philosophy to modern science. Charged with the task of composing a natural theological work on astronomy, the deeply religious Kaiser, wriggled his way through the text. Feeling unable to advance the usual arguments, he finally found refuge in the book of Job: 'Behold, God is great and we know him not'. Arguably, the rise of popular science and the decline of natural theology were intimately connected.

  3. Die Christenverfolgungen und die Kaiser-verfolger bei den Lateiniscen Christistlichen Historikern des 4. und 5. Jahrhunderts

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    Aleš Maver

    2008-07-01

    Full Text Available Die Abhandlung behandelt die Schilderung der Christenverfolgungen im römischen Reich und der als Christenverfolger eingestuften Kaiser in der lateinischen christlichen Historiographie des 4. und 5. Jahrhunderts, vor allem bei Laktanz, Orosius, Sulpicius Severus und Augustin in seinem Gottesstaat. Den Schwerpunkt bildet dabei der Vergleich zweier meist verbreiteten Schemen, wobei eine bei Lesern einen mehr oder weniger expliziten Eindruck erweckt, dass der Sieg des Christentums unter Konstantin auch das Ende der eigentlichen Christenverfolgungen bedeutet, die andere, vor allem von Augustin vertreten, aber sieht in den antichristlichen Maßnahmen eine Konstante der Geschichte des christlichen Volkes. Zuerst wird auf die Vorgeschichte solcher Vorstellungen aufmerksam gemacht, wobei besonders Melito von Sardes und Tertullian einbezogen werden. Die beiden zählten nur sehr wenige Kaiser zu den Christenverfolgern, und zwar diejenigen, die auch in der heidnischen Tradition als schlechte Herrscher gesehen wurden. Diese Methode, nur schlechte Kaiser als Verfolger erscheinen zu lassen, fand später eine ziemlich breite Nachahmung. Sie wurde auch von Laktanz und dem jungen Euseb übernommen. Die Darstellung des Laktanz in seiner Schrift Über die Todesarten der Verfolger bildet eigentlich eine klassische Verwirklichung dieses Verfahrens. Der ehemalige Rhetoriklehrer wollte nämlich nur diejenigen römischen Herrscher als Christenfeinde schildern, die auch in Augen der senatsnahen Historiographie problematisch erscheinen und zugleich auch eines schmachvollen Todes gestorben waren. Daher gab er die Zahl der Verfolgungen mit nur sechs an. Zu den Christenverfolgern zählte er Nero, Domitianus, Decius, Valerianus, Aurelianus sowie die Tetrarchen. Bei Decius und einigermaßen auch bei Aurelianus wich er damit von der heidnischen Historiographie ab, da diese vor allem Decius als einen guten Kaiser schilderte. Einen ähnlichen Standpunkt vertrat offensichtlich

  4. Educação permanente em saúde: metassíntese

    Directory of Open Access Journals (Sweden)

    Fernanda Luppino Miccas

    2014-02-01

    Full Text Available OBJETIVO : Realizar metassíntese da literatura sobre os principais conceitos e práticas relacionados à educação permanente em saúde. MÉTODOS : Foi realizada busca bibliográfica de artigos originais nas bases de dados PubMed, Web of Science, Lilacs, IBECS e SciELO, utilizando os seguintes descritores: “ public health professional education ”, “ permanent education”, “continuing education ”, “ permanent education health ”. De um total de 590 artigos identificados, após os critérios de inclusão e exclusão, foram selecionados 48 para análise, os quais foram submetidos à análise individual, análise comparativa, análise com critérios de agrupamentos de elementos-chave e submetidos à metassíntese. RESULTADOS : Os 48 artigos originais foram classificados como elementos-chave em quatro unidades temáticas: 1 Concepções; 2 Estratégias e dificuldades; 3 Políticas públicas; e 4 Instituições formadoras. Foram encontradas três concepções principais de educação permanente em saúde: problematizadora e focada no trabalho em equipe, diretamente relacionada à educação continuada e educação que se dá ao longo da vida. As principais estratégias para efetivação da educação permanente foram a problematização, manutenção de espaços para a educação permanente e polos de educação permanente. O maior fator limitante foi relacionado à gerência direta ou indireta. Foram indicadas a necessidade de implementação e manutenção de políticas públicas, além de disponibilidade de recursos financeiros e de recursos humanos. As instituições formadoras teriam necessidade de articular ensino e serviço para a formação de egressos críticos-reflexivos. CONCLUSÕES : A articulação educação e saúde encontra-se pautada tanto nas ações dos serviços de saúde, quanto de gestão e de instituições formadoras. Assim, torna-se um desafio implementar processos de ensino-aprendizagem que sejam respaldados

  5. Caring Science: Transforming the Ethic of Caring-Healing Practice, Environment, and Culture within an Integrated Care Delivery System.

    Science.gov (United States)

    Foss Durant, Anne; McDermott, Shawna; Kinney, Gwendolyn; Triner, Trudy

    2015-01-01

    In early 2010, leaders within Kaiser Permanente (KP) Northern California's Patient Care Services division embarked on a journey to embrace and embed core tenets of Caring Science into the practice, environment, and culture of the organization. Caring Science is based on the philosophy of Human Caring, a theory articulated by Jean Watson, PhD, RN, AHN-BC, FAAN, as a foundational covenant to guide nursing as a discipline and a profession. Since 2010, Caring Science has enabled KP Northern California to demonstrate its commitment to being an authentic person- and family-centric organization that promotes and advocates for total health. This commitment empowers KP caregivers to balance the art and science of clinical judgment by considering the needs of the whole person, honoring the unique perception of health and healing that each member or patient holds, and engaging with them to make decisions that nurture their well-being. The intent of this article is two-fold: 1) to provide context and background on how a professional practice framework was used to transform the ethic of caring-healing practice, environment, and culture across multiple hospitals within an integrated delivery system; and 2) to provide evidence on how integration of Caring Science across administrative, operational, and clinical areas appears to contribute to meaningful patient quality and health outcomes.

  6. LA FORMACIÓN AMBIENTAL PERMANENTE DEL DIRECTIVO EDUCACIONAL DEL SIGLO XXI

    Directory of Open Access Journals (Sweden)

    Mavel Moré Estupiñán

    2013-12-01

    Full Text Available La situación ambiental actual impone nuevos retos a los sistemas educativos, entre ellos el de incorporar la educación ambiental para el desarrollo sostenible al proceso pedagógico en los diferentes subsistemas de educación. Para lograr este propósito, es decisivo el rol del directivo educacional, desde la implementación del sistema de dirección institucional. Por ello, la formación ambiental de este profesional constituye un imperativo y se declara como problema científico de la presente investigación, que se sustenta teórica y metodológicamente en los fundamentos de la formación ambiental permanente del directivo educacional y delimita como objetivo: proponer un Modelo para orientar hacia el desarrollo sostenible este proceso. Garantizan el cumplimiento del objetivo, el empleo de métodos teóricos, estadísticos y/o de procesamiento matemático y empíricos, de corte cuantitativo y cualitativo, que se articulan a partir de las técnicas de la investigación-acción-participativa. El Modelo constituye la contribución a la teoría pedagógica y son aportes de significación práctica los programas de las formas organizativas de la formación permanente. El criterio de la práctica, como resultado de la sistematización de una secuencia de ciclos, y las valoraciones de diferentes evaluadores confirman la pertinencia, relevancia y efectividad del Modelo de formación ambiental permanente del directivo educacional.

  7. Inovação financeira e consumo : a hipótese do rendimento permanente

    OpenAIRE

    Duarte, Joshua Dias

    2015-01-01

    Trabalho de projeto do mestrado em Economia (Economia Financeira), apresentado à Faculdade de Economia da Universidade de Coimbra, sob a orientação de João Alberto Sousa Andrade. Tomando em linha de conta a crescente importância de inovações financeiras nos últimos anos torna-se relevante explicar qual o impacto das mesmas sobre o consumo. Recorrendo à hipótese do rendimento permanente tentamos criar uma ponte entre a inovação financeira e o consumo através do efeito que esta exerce sobre ...

  8. Flora vascular de humedales permanentes y transitorios bonaerenses (Buenos Aires, Argentina)

    OpenAIRE

    2014-01-01

    Este trabajo presenta un análisis de las fitocenosis y listas actualizadas de la flora vascular (con excepción de las Poaceae) de dos humedales permanentes, La Balandra y la Isla Santiago, y de varios humedales temporarios (arroyo Rodríguez, arroyo El Gato, y otros) de las zonas costeras del Río de La Plata (provincia de Buenos Aires, Argentina). El estudio se basó en el trabajo de campo y el seguimiento estacional de las comunidades silvestres entre los años 2005 y 2011, con un registro de 1...

  9. Asistencia circulatoria permanente en la insuficiencia cardíaca crónica refractaria

    Directory of Open Access Journals (Sweden)

    Enrique Pérez de la Sota

    2011-07-01

    En el presente artículo se analizan diversos aspectos relacionados con la asistencia ventricular permanente como son la experiencia recogida con los distintos dispositivos a lo largo de los años, las complicaciones y morbilidad asociada a ellos o los diferentes ensayos clínicos realizados. Se hace un especial hincapié en la selección de pacientes para terapia definitiva y en las escalas de riesgo específicas para asistencia ventricular, y se consideran también brevemente otras opciones de asistencia a largo plazo menos empleadas como el corazón artificial total o las microbombas implantables.

  10. Las TIC y la diversidad docente. Actitudes del profesorado de Educación Permanente

    OpenAIRE

    Fernández Batanero, José María

    2014-01-01

    En esta comunicación se presentan las conclusiones de un estudio cuyo objetivo ha sido determinar las actitudes del profesorado de educación permanente de adultos de la comunidad autónoma de Andalucía, hacia el uso e integración de las Tecnologías de la Información y Comunicación (TIC) en sus respectivos centros. El diseño de investigación es de tipo descriptivo mixto. Las técnicas utilizadas para la recogida de información han sido el cuestionario y la entrevista en profundida...

  11. Luxações intrusivas em dentes decíduos e permanentes jovens

    OpenAIRE

    Lopes, Célia Gabriela da Silva

    2009-01-01

    Monografia apresentada à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Medicina Dentária Este trabalho científico foi realizado no âmbito da conclusão do curso de Licenciatura em Medicina Dentária na Universidade Fernando Pessoa e teve como principal objectivo, a realização de uma revisão bibliográfica acerca das luxações intrusivas em dentes decíduos e permanentes jovens. Os objectivos particulares foram: classificar na sua gener...

  12. Traumatismos en dentición temporal: repercusión en su sucesor permanente

    OpenAIRE

    2016-01-01

    Falta palabras clave Objetivo: Revisión bibliográfica de la literatura sobre los diferentes tratamientos realizados en los traumatismos de los dientes temporales necróticos traumatizados, su pronóstico a largo plazo y posibles efectos adversos sobre la mineralización o alteración en la cronología eruptiva de la dentición permanente. Material y métodos: Se realizó un estudio observacional analítico retrospectivo de casos y controles con monitorización clínica y radiológica a largo plazo par...

  13. Biopoder e UPPs: alteridade na experiência do policiamento permanente em comunidades cariocas

    OpenAIRE

    Thiago Benedito Livramento Melicio; Janaina Rodrigues Geraldini; Pedro Paulo Gastalho de Bicalho

    2012-01-01

    O artigo visa refletir sobre a experiência do efetivo policial permanente em dois conjuntos de comunidades cariocas, inserido no escopo das Unidades de Polícia Pacificadora (UPP). Foram realizados dois estudos exploratórios, em agosto e dezembro de 2010. Na esteira do conceito foucaultiano de biopoder, discute-se a UPP como rede de relações de poder que a compõe e a legitima, pensando-se o local em que se instala, a política de Estado a que responde, os atores com que opera e as produções his...

  14. Traumatismos en dentición temporal: repercusión en su sucesor permanente

    OpenAIRE

    Huertas López, María Dolores

    2016-01-01

    Falta palabras clave Objetivo: Revisión bibliográfica de la literatura sobre los diferentes tratamientos realizados en los traumatismos de los dientes temporales necróticos traumatizados, su pronóstico a largo plazo y posibles efectos adversos sobre la mineralización o alteración en la cronología eruptiva de la dentición permanente. Material y métodos: Se realizó un estudio observacional analítico retrospectivo de casos y controles con monitorización clínica y radiológica a largo plazo par...

  15. Evolución y concepto de la educación permanente en España

    Directory of Open Access Journals (Sweden)

    Beatriz Medina Ferrer

    2013-01-01

    Full Text Available Esta investigación tiene como objetivo analizar la educación permanente en España a través del análisis de su evolución y de su concepción histórica. En lo metodológico se aplica el estudio documental. Son muchas las definiciones que se han ido generando sobre este tema, el profundo análisis y la consecuente comprensión ha permitido la propuesta de tres concepciones propias de la educación permanente, en la controvertida relación con la educación de adultos. A manera de conclusiones se expone que el desarrollo evolutivo del concepto de educación permanente en España con relación a la educación de adultos, ha permitido entrever tres novedosas percepciones conceptuales que ofrecen una visión panorámica del contexto que encuadra en la actualidad a la educación permanente. Se concluye además que el estado futuro de la educación permanente dependerá en gran medida de una estrategia interinstitucional y participativa que se adapte a los cambios sociales del entorno.

  16. Extraccion del primer molar permanente como una alternativa en el tratamiento de ortodoncia.(Reporte de Casos)(Perspectiva general del procedimiento medico)

    National Research Council Canada - National Science Library

    Oberti, Giovanni; Rey, Diego; Sierra, Angela

    2012-01-01

    La extraccion de primeros molares permanentes es una alternativa de tratamiento en algunos casos de ortodoncia como aquellos que presentan apinamiento moderado, biprotrusion, mordidas abiertas, clase...

  17. um pólo de educação permanente em saúde

    Directory of Open Access Journals (Sweden)

    Maria Elisabeth Kleba

    2007-01-01

    Full Text Available Este artículo relata la experiencia de un curso de capacitación para consejeros municipales desarrollado en ciudades de la región del Polo de Educación Permanente del Oeste de Santa Catarina, utilizando un abordaje problematizador. Los cursos tuvieron como principal objetivo, calificar la actuación de los consejeros en la gestión de las políticas públicas en los municipios, favoreciendo la intervención crítica y promoviendo el intercambio de experiencias, además de la articulación entre distintos actores comprometidos con la construcción de las políticas de la región. Como resultados resaltamos, el intercambio de conocimientos y experiencias, la ampliación del acceso a las informaciones y otras herramientas para el análisis de la situación y para la tomada de decisiones. Queda como desafío, el fortalecimiento del compromiso de los actores con el propio proceso de educación permanente, para lo que sería fundamental la creación de un espacio de referencia – administrativo y pedagógico – con la disponibilidad de recursos e informaciones.

  18. Educación permanente y continua en una perspectiva de integridad del ser

    Directory of Open Access Journals (Sweden)

    Izabel Cristina Feijó de Andrade

    2014-12-01

    Full Text Available Este artículo buscó discutir las articulaciones y distinciones entre los conceptos de educación permanente y educación continua de modo que favorezca la perspectiva de integridad del ser, vínculo que requiere saberes hasta entonces poco privilegiados en las Universidades y que demandan el rescate de dimensiones basadas en la experiencia, la didáctica y la existencia del educador, tanto individual, comportamental, cultural, social y espiritual. Consideramos que las nociones de educación permanente y educación continua poseen elementos entrelazables que nos permiten desarrollar la capacidad de reaccionar críticamente por medio de una relación autoformativa. Las revisiones teóricas implementadas permitieron algunas consideraciones sobre los procesos formativos actuales y las prácticas de profesores rumbo a una Educación para la Integridad. Concluimos provisoriamente que las aproximaciones y distinciones entre EP y EC pueden proporcionar a los profesores la toma de conciencia de su vinculación todo/parte y del sentido de la vida.

  19. Mediación de la cultura docente en los proyectos de formación permanente

    Directory of Open Access Journals (Sweden)

    ROSA AMAYA-DE REBOLLEDO

    2010-01-01

    Full Text Available La formación permanente del docente juega un papel clave en el cambio educativo; sin embargo, su concreción práctica representa un reto epistemológico y metodológico. La problemática ha sido abordada desde diferentes ángulos, en los cuales la relación entre cultura docente y formación permanente no ha sido claramente desvelada. En este artículo, que constituye un avance en la investigación de tesis doctoral de la Facultad de Ciencias de la Educación de la Universidad de Carabobo, se analiza por qué la cultura docente necesita ser reconocida como una realidad dinámica, dialéctica y relacional que afecta la calidad de la formación permanente del docente venezolano.

  20. Measuring integrated care

    DEFF Research Database (Denmark)

    Strandberg-Larsen, Martin

    2011-01-01

    respond to these needs, patients and providers face the multiple challenges of today's healthcare environment. Decision makers, planners and managers need evidence based policy options and information on the scope of the integrated care challenges they are facing. The US managed care organization Kaiser...... Permanente has been put forward as an example for European healthcare systems to follow, although the evidence base is far from conclusive. The thesis has five objectives: 1) To contribute to the understanding of the concept of integration in healthcare systems and to identify measurement methods to capture...... and performance of the Danish healthcare system and the managed care organization Kaiser Permanente, California, US. 5) To compare primary care clinicians' perception of clinical integration in two healthcare systems: Kaiser Permanente, Northern California and the Danish healthcare system. Further to examine...

  1. Reply to Nicholson's comment on "Consistent calculation of aquatic gross production from oxygen triple isotope measurements" by Kaiser (2011

    Directory of Open Access Journals (Sweden)

    J. Kaiser

    2011-10-01

    Full Text Available The comment by Nicholson (2011a questions the "consistency" of the "definition" of the "biological end-member" used by Kaiser (2011a in the calculation of oxygen gross production. "Biological end-member" refers to the relative oxygen isotope ratio difference between photosynthetic oxygen and Air-O2 (abbreviated 17δP and 18δP for 17O/16O and 18O/16O, respectively.

    This comment has no merit for the following reasons: (a the isotopic composition of photosynthetic oxygen cannot be "defined", it can only be measured, modelled or calculated based on other data; (b the isotopic composition of photosynthetic oxygen was not "defined" in Kaiser (2011a, but derived from published measurements; (c the published measurements themselves were inconsistent and no single result could be identified as best; (d since no best value could be identified, a hypothetical base case was constructed in a way that was consistent with previous publications; (e the values of 17δP=−11.646‰ and 18δP=−22.835‰ assumed for the base case are compatible with the experimental evidence published before the paper of Kaiser (2011a; (f even if the "biological end-member" was based on a definition, there could be no argument about the "consistency" of this definition – as per its nature, a definition is arbitrary.

    The qualification of base case gross production values as being "30 % too high" must therefore also be rejected. Even though recently revised measurements of the relative 17O/16O isotope ratio difference between VSMOW and Air-O2, 17δVSMOW (Barkan and Luz, 2011, do support lower estimates of gross production, our own measurements disagree with these revised 17δVSMOW values. If scaled for differences in 18

  2. Dental caries characteristics in the first permanent molar in school age children. Comportamiento de la caries dental en el primer molar permanente en escolares.

    Directory of Open Access Journals (Sweden)

    Ana Gloria Vázquez de León

    2009-04-01

    Full Text Available Background: Dental caries is one of the main health problems in children. The first permanent molar presents caries more frequently than any other. Objective: To describe the characteristics of dental caries in the first permanent molars in children between 6 and 13 years-old, and to assess oral hygiene and knowledge about the subject in all the patients treated in the stomatology consultation Barrio adentro “El Guapo”, from November 2005 to March 2006. Methods: A descriptive, transversal study showed that most of the patients had dental caries. It was proved that many of them had, at least, on of the first molars affected by dental caries. The quotient first molar affected/ patient was higher than one. Results: There was a decrease in the percentage of healthy permanent first molars. Poor oral hygiene prevailed, with a medium knowledge level on the subject. Most of the parents didn´t know about the first molar dental cavity. Conclusions: It was needed to perform educative tasks aimed at this age group to avoid further damage to this important tooth, central for the development of the stomatognathic system.Fundamento: La caries dental continúa siendo el principal problema de salud de la población infantil. El diente

  3. Factores asociados a la formación permanente del profesorado de Educación Secundaria en Asturias

    OpenAIRE

    Paula González-Vallinas; David Oterino; José Luis San Fabián

    2007-01-01

    Este estudio se centra en la formación del profesorado y explora las relaciones existentes entre la formación permanente y diversas características del profesorado y de los centros de educación secundaria en Asturias. Como resultado de una investigación basada en el análisis de datos secundarios cuantitativos del profesorado, alumnado y municipios de Asturias, se obtiene una radiografía de la formación permanente de su profesorado (modalidad y materia de formación). Se realizan...

  4. Demonstration of shield-type longwall supports at York Canyon Mine of Kaiser Steel Corporation. Final technical report A

    Energy Technology Data Exchange (ETDEWEB)

    Lawrence, R.G.; King, R.

    1980-04-01

    This report represents work on a program that was originated by the USBM of the Department of the Interior and was transferred to the Department of Energy on October 1, 1977. A demonstration with the Government funded Hemscheidt 320 HSL caliper type shield supports was conducted at three longwall panels of Kaiser Steel Corporation's York Canyon Mine. The purpose of this longwall demonstration was to provide the US coal industry with information on all aspects of shield longwall mining in high seams. The demonstration provided a working model for the coal industry and during the project, 350 people from the industry, schools, and government agencies visited the demonstration. They were provided with a first hand knowledge of a working shield longwall. The demonstration showed that the control of large coal lumps may be a problem in the mining of coal seam thicker than 8 feet. Mining with shield type supports provided good working conditions and a safe working environment. The shield requires very little maintenance and has a high mechanical availability.

  5. La formación permanente del profesorado ante los nuevos retos del sistema educativo universitario

    Directory of Open Access Journals (Sweden)

    María Jesús PÉREZ CURIEL

    2005-01-01

    Full Text Available En la actualidad, las relaciones que se establecen entre la sociedad y la universidad están cambiando con gran rapidez. La sociedad exige de la universidad otro tipo de formación más conforme con las demandas actuales. La adaptación de la universidad a estos cambios pasa en la actualidad por la implantación de un espacio educativo europeo como primera respuesta. Dicho proyecto involucra por igual a todos los actores: alumnado, personal administrativo y profesorado. En cuanto al profesorado, por su parte, se hace necesaria una verdadera formación permanente, basada en la definición y puesta en práctica de una serie de competencias generales y específicas.

  6. Tratamiento de un molar permanente inmaduro necrótico mediante pulpotomía

    OpenAIRE

    Boj Quesada, Juan Ramón; Cortés Lillo, Olga; Canalda Sahli, Carlos

    1995-01-01

    Se describe un caso que afecta al primer molar permanente inferior derecho, con tumefacción, fluctuación y fístula , con ápices no cerrados. El tratamiento de elección hubiese sido una técnica clásica de apicoformación con hidróxido de calcio. Pero por motivos de colaboración, se realizó una pulpotomía con hidróxido de calcio. Tras los controles radiológicos a los 3 meses, al año y al año y medio se comprobó que continuaba el desarrollo radicular y finalizaba el cierre apical.

  7. La formació permanent del professorat a Itàlia Continuing training for teachers in Italy La formación permanente del profesorado en Italia

    Directory of Open Access Journals (Sweden)

    Silvia Rosato

    2011-09-01

    formation du professorat, il explique comment l’on tente de passer d’une formation basée sur les titres et les diplômes et sur le développement et la promotion individuels à un système de formation permanente orienté vers le développement des compétences d’enseignement. Les modalités de formation actuelles sont mises en question, de même que le système d’orientation et celui d’organisation de la formation, tout en pariant pour un modèle lié aux municipalités et aux centres scolaires.This article is structured in three parts. The first is a detailed analysis of the educational context in Italy, underlining the distinctive feature of the training contract. Second, a historical view is given of how initial and continuing training for Italian teachers have developed, then going into the complex organisation of the continuing training system. The third part contains a critical analysis of the system, highlighting the multitude of ongoing issues. Special emphasis is placed on the position of the process of educational change in the country and the weight carried by practices from other European countries in Italy. With regard to teacher training, it explains the efforts being made to move from a training based on individual qualification, practice and development to a system of continuing training oriented towards developing teaching skills. Current forms of training are questioned, as well as the system of orientation and organisation of the training, while advocating a model linked to the municipality and individual schools.El artículo se estructura en tres partes: en primer lugar, se analiza con detalle el contexto educativo en Italia, incidiendo en la particularidad del contrato de aprendizaje; en segundo lugar, se da una visión histórica de lo que ha sido la formación inicial y permanente del profesorado italiano, para adentrarse posteriormente en la compleja organización del sistema de formación permanente, y, en tercer lugar, se hace un an

  8. Effects of limestone quarrying and cement-plant operations on runoff and sediment yields in the Upper Permanente Creek basin, Santa Clara County, California

    Science.gov (United States)

    Nolan, K.M.; Hill, B.R.

    1989-01-01

    High sediment loads below headwater areas of the Permanente Creek drainage basin, Santa Clara County, California, have caused flood-control problems in downstream lowland areas. Measured sediment yields in Permanente Creek, which drains areas affected by limestone quarrying and cement-plant operations, were 14 times greater than yields from the West Fork Permanente Creek, which primarily drains parkland. Part of this large disparity in yields is the result of higher runoff/unit of drainage area in the Permanente Creek Basin. Results of rainfall-runoff modeling indicate that the tendency for higher runoff from Permanente Creek results from natural differences in basin physiography. Runoff during periods of high streamflow (when most sediment is transported) is dominated by subsurface flow, which is not affected by human activities. Although artificial features created by human activities seem to have had only minor effects on runoff, they apparently have had major effects on sediment availability. Artificial features accounted for 273 acres (89%) of the 307 acres of active erosional landforms mapped in 1984. Increased availability of sediment in the Permanente Creek basin appears to be indicated by elevated intercepts of sediment-transport curves. A comparison of sediment-transport curves for the West Fork Permanente Creek with similar curves for the Permanente Creek basin under natural conditions suggests that the sediment yield from Permanente Creek is about 3.5 times higher than it would be under natural basin conditions. The increased yield apparently is due to an increase in sediment availability rather than an increase in runoff. (USGS)

  9. CONTROL DE GESTIÓN: DIMENSIONES Y DIAGNÓSTICO PERMANENTE

    Directory of Open Access Journals (Sweden)

    Maritza Hernández Torres

    2003-04-01

    Full Text Available

    Los actuales entornos competitivos en los que se desarrolla la actividad empresarial, junto a la necesidad de responder de forma adecuada a los continuos cambios y constante incertidumbre a los que las organizaciones han de enfrentarse, conllevan una significativa modificación en lo que a la gestión empresarial se refiere, resultando esencial en este sentido, el papel del control de gestión, que como elemento del proceso de dirección, es el que más contribuye a mejorar las actuaciones de cualquier sistema. Las empresas deben tomar decisiones estratégicas adecuadas que permitan alcanzar alguna ventaja competitiva en la búsqueda de la excelencia empresarial a través de un proceso flexible de mejora continua. Para contribuir a tal propósito, en el presente trabajo se realizan algunas reflexiones acerca del control de gestión, abarcando desde el enfoque clásico hasta el moderno, su evolución y situación en las organizaciones cubanas; así como, el análisis de sus dimensiones soportado en un procedimiento para su permanente diagnóstico en correspondencia con las particularidades en que las diferentes empresas desarrollan su actividad.

  10. Del cataclismo de la revolución a la resistencia permanente

    Directory of Open Access Journals (Sweden)

    Pablo Lazo Briones

    2011-01-01

    Full Text Available El presente artículo discute la posibilidad del tránsito de la revolución, como momento social de extrema violencia, a la resistencia organizada de forma permanente en los ámbitos de grupos disidentes contra la "totalidad" que los confina a un estatus de dependencia pasiva. En contra de la fetichización de la revolución en los discursos de Stalin o Mussolini, se esgrimen algunos argumentos de Nietzsche, Arendt, JeanLuc Nancy y Derrida para proponer un movimiento imaginario de resistencia como desarme y dislocamiento de la totalidad represiva que habla con palabras revolucionarias. El argumento adquiere un sesgo latinoamericano al incorporar tesis de José Vasconcelos en la discusión. Al final, desde la recuperación hegeliana de la Sittlichkeit por parte de Charles Taylor, se apuesta por un "nosotros" que sea actor de una resistencia política intersticial y no cíclica, propositiva e imaginaria y no pasiva

  11. EDUCAÇÃO PERMANENTE EM ENFERMAGEM E A INTERFACE COM A OUVIDORIA HOSPITALAR

    Directory of Open Access Journals (Sweden)

    Raquel Costa Rodrigues de Souza

    2010-01-01

    Full Text Available Se trata de un estudio descriptivo-exploratorio, con enfoque cualitativo, cuyo objetivo fue investigar las demandas de los usuarios del servicio de Defensoría del Pueblo relacionadas con la asistencia de enfermería y discutir su contribución para la educación permanente. La investigación se desarrolló en hospital público federal, con notoriedad en realización de procedimientos diagnósticos y terapéuticos de alta complejidad en Ortopedia. La recolección de datos se basó en la técnica de análisis documental, incluyendo la gestión de informaciones y materiales, de las demandas de los usuarios que figuran en los registros de la Oficina de Defensoría del Pueblo, relativos al año 2009, (total de 3.895 declaraciones. Hemos clasificado las declaraciones recibidas- en este estudio- según la naturaleza de la comunicación: elogio, pedido de información, queja, sugerencia y denuncia. Hemos considerado la importancia del Servicio de Defensoría del Pueblo para mejorar la actuación de enfermería, teniendo en cuenta las contribuciones extraídas del contexto de las demandas y que la relación interdisciplinar permite percibir y evaluar las necesidades evidenciadas.

  12. La cátedra abierta y permanente de Ética

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    Ana María Caballero

    2015-06-01

    Full Text Available La Cátedra Abierta y Permanente de Ética se propuso como un espacio de discusión y reflexión ético-política para debatir las diferentes corrientes del pensamiento axiológico y político, que propicie la resignificación de las representaciones culturales y sociales de sentido que permitan desarrollar una mirada socio histórica sobre las relaciones entre educación, ética y cultura colombiana, de tal manera que los estudiantes de la Universidad Pedagógica Nacional asuman una conciencia clara de su función como actores sociales en la construcción de la sociedad civil, la democracia, la promoción y la defensa de los derechos humanos, el crecimiento económico y el desarrollo social. La formación de valores morales que fundamenten una ética cívica parte del conocimiento de la realidad nacional y global, de la autoconciencia de cada individuo que aspira a constituirse en un ser autónomo usando su pensamiento crítico y participando en la construcción de la democracia, como modelo de gobierno que garantiza las libertades individuales, propiciando espacios para la conquista de los ideales de libertad, equidad, solidaridad y tolerancia, que permitan la convivencia ciudadana y la construcción de la nacionalidad colombiana.

  13. Estrategias del Teatro del Oprimido para la formación permanente del profesorado

    Directory of Open Access Journals (Sweden)

    Tomás Motos-Teruel

    2012-01-01

    Full Text Available Este artículo relata una experiencia y su valoración de formación permanente del profesorado basada en el aprendizaje vivencial utilizando como estrategia metodológica el Teatro del Oprimido (TO para estimular y favorecer la reflexión sobre la práctica educativa. Sus objetivos básicos fueron dar a conocer la formulación teórica y la metodología del TO y hacer la transferencia de las estrategias metodológicas vivenciadas a la práctica docente. El estudio se ha planteado desde una óptica cualitativa con el estudio de caso único. Y como resultados más destacables hay que reseñar el interés y la percepción de la utilidad personal y profesional del TO como instrumento de reflexión sobre la acción y generador de clima positivo. El Teatro del Oprimido es una formulación teórica y un método estético cuya teoría y praxis están inspiradas en la Pedagogía del Oprimido de Paulo Freire, utiliza las técnicas dramáticas como un instrumento eficaz para la comprensión y la búsqueda de alternativas a problemas sociales, interpersonales e individuales.

  14. Las Lesson Study en Andalucía: un modelo de formación permanente

    Directory of Open Access Journals (Sweden)

    Rosa M.ª Caparrós Vida

    2015-01-01

    Full Text Available El presente artículo ofrece los resultados de un estudio de casos desarrollado en el marco de un proyecto de investigación I+D de la Universidad de Málaga a través de una de las modalidades de formación permanente ofertadas por un Centro de Formación del Profesorado, bajo la demanda de un grupo de docentes de una escuela de la comarca de la Axarquía en Málaga. Las Lesson Study se convierten en el eje del estudio de los procesos de comprensión y reconstrucción del conocimiento práctico de una maestra de 1º de primaria sobre la enseñanza y el aprendizaje de la lectura y escritura, encontrando evidencias significativas sobre cómo esta estrategia metodológica y de investigación contribuye a la reconstrucción del mismo.

  15. Biopoder e UPPs: alteridade na experiência do policiamento permanente em comunidades cariocas

    Directory of Open Access Journals (Sweden)

    Thiago Benedito Livramento Melicio

    2012-12-01

    Full Text Available O artigo visa refletir sobre a experiência do efetivo policial permanente em dois conjuntos de comunidades cariocas, inserido no escopo das Unidades de Polícia Pacificadora (UPP. Foram realizados dois estudos exploratórios, em agosto e dezembro de 2010. Na esteira do conceito foucaultiano de biopoder, discute-se a UPP como rede de relações de poder que a compõe e a legitima, pensando-se o local em que se instala, a política de Estado a que responde, os atores com que opera e as produções históricas das relações entre Estado e territórios populares. O campo de análise constitui-se, assim, nas práticas e saberes localizados no cotidiano e nos efeitos produzidos com a presença do policial na paisagem da favela. Se novas regras são trazidas com as UPPs, novas identificações são mobilizadas e as modulações de conjunto abrem lacunas, o governo de si não se produz sozinho, mas combina-se com diversidades na gestão da vida.

  16. Analysis on the integration in the educational system of the ICT: institutional projects and permanent training Análisis sobre la integración en el sistema educativo de las TIC: proyectos institucionales y formación permanente

    Directory of Open Access Journals (Sweden)

    Javier Rodríguez Torres

    2012-11-01

    Full Text Available Throughout this work we wanted to analyze some of the speeches that are implicit or explicit in teacher training on curriculum integration of ICT. This task responds to the discovery of the interests and values that guide rational action and the principles that serve as a framework to develop proposals with ICT and its impact on the professional development of teachers in a school.  We approach the realization of institutional projects for integration into the educational system of ICT and its impact and consequences of teacher education. Projects designed by the agencies and institutions of national and regional level, where analysis and reflection on the role of ICT in education, and more specifically, teacher education does not require addressing the role of these resources from the perspective of innovation and improvement. This is because the dominant discourses in relation to the integration of ICT in education, associate without more, technology and innovation. When this issue is more complex, given the implications that such discourses have on their teaching practices.A lo largo de este trabajo hemos querido analizar algunos de los discursos que están implícitos o explícitos en la formación del profesorado sobre la integración curricular de las TIC. Esta tarea responde al descubrimiento de los intereses y valores que orientan la racionalidad y los principios de acción que sirven como marco de referencia para desarrollar propuestas formativas con las TIC, y su incidencia en el desarrollo profesional de los docentes en un centro escolar.  Afrontamos la concreción de los Proyectos institucionales para la integración en el sistema educativos de las TIC y sus repercusiones y consecuencias en la formación docente. Proyectos diseñados por los organismos e instituciones de ámbito  nacional y regional, donde analizar y reflexionar en torno al papel de las TIC en la educación, y más concretamente, en la formación del profesorado

  17. A Hospital Is Not Just a Factory, but a Complex Adaptive System-Implications for Perioperative Care.

    Science.gov (United States)

    Mahajan, Aman; Islam, Salim D; Schwartz, Michael J; Cannesson, Maxime

    2017-07-01

    Many methods used to improve hospital and perioperative services productivity and quality of care have assumed that the hospital is essentially a factory, and therefore, that industrial engineering and manufacturing-derived redesign approaches such as Six Sigma and Lean can be applied to hospitals and perioperative services just as they have been applied in factories. However, a hospital is not merely a factory but also a complex adaptive system (CAS). The hospital CAS has many subsystems, with perioperative care being an important one for which concepts of factory redesign are frequently advocated. In this article, we argue that applying only factory approaches such as lean methodologies or process standardization to complex systems such as perioperative care could account for difficulties and/or failures in improving performance in care delivery. Within perioperative services, only noncomplex/low-variance surgical episodes are amenable to manufacturing-based redesign. On the other hand, complex surgery/high-variance cases and preoperative segmentation (the process of distinguishing between normal and complex cases) can be viewed as CAS-like. These systems tend to self-organize, often resist or react unpredictably to attempts at control, and therefore require application of CAS principles to modify system behavior. We describe 2 examples of perioperative redesign to illustrate the concepts outlined above. These examples present complementary and contrasting cases from 2 leading delivery systems. The Mayo Clinic example illustrates the application of manufacturing-based redesign principles to a factory-like (high-volume, low-risk, and mature practice) clinical program, while the Kaiser Permanente example illustrates the application of both manufacturing-based and self-organization-based approaches to programs and processes that are not factory-like but CAS-like. In this article, we describe how factory-like processes and CAS can coexist within a hospital and how

  18. Formaci??n permanente y desarrollo de la identidad reflexiva del profesorado desde las perspectivas grupal e individual

    OpenAIRE

    2014-01-01

    En este art??culo se sintetizan las principales caracter??sticas de determinados recursos pedag??gicos para la formaci??n permanente del profesorado como instrumentos coadyuvantes en el desarrollo de una identidad profesional reflexiva. Para ello, nos apoyamos en tres conceptos b??sicos: (1) la importancia de la formaci??n reflexiva del docente a lo largo de la carrera profesional; (2) los principales recursos para desarrollar una formaci??n reflexiva de manera colegiada; y (3) los principale...

  19. Desarrollo de la formación permanente del profesorado en la provincia de Guadalajara: un estudio de caso

    Directory of Open Access Journals (Sweden)

    Ricardo PIÑA SARMIENTO

    2014-11-01

    Full Text Available El profesorado, una vez concluida su carrera, no puede contentarse con la Formación Inicial recibida. Del intento de adaptar el Sistema Educativo al devenir cultural y socioeconómico surge la necesidad de la Formación Permanente del Profesorado. Dicho modelo de Formación Permanente debe partir de una reflexión del profesorado sobre su práctica docente. Con este artículo hemos querido analizar el modelo de Formación Permanente del Profesorado en la Comunidad de Castilla-La Mancha, y concretamente en la provincia de Guadalajara, como factor de calidad en el desempeño de las funciones docentes de hoy en día. Para ello, hemos llevado a cabo un estudio de caso basado en una metodología descriptiva y cuantitativa, donde hemos procedido a describir no sólo las características de los CEP, sino también los cursos que se han desarrollado a lo largo de estos últimos años en estos centros (centrándonos fundamentalmente en los cursos relacionados con las TIC y la Educación Musical en Educación Primaria. Las conclusiones derivadas del estudio muestran cómo a lo largo de estos años ha habido una gran oferta de cursos, fundamentalmente relacionados con las TIC, pero una escasez de oferta formativa relacionada con la Música.

  20. Malignancy rates in a large cohort of patients with systemically treated psoriasis in a managed care population.

    Science.gov (United States)

    Asgari, Maryam M; Ray, G Thomas; Geier, Jamie L; Quesenberry, Charles P

    2017-04-01

    Moderate to severe psoriasis often requires treatment with systemic agents, many of which have immunosuppressive properties and could increase cancer risk, including nonmelanoma skin cancer (NMSC). We sought to estimate the overall malignancy rate (excluding NMSC) and NMSC rate among 5889 patients with systemically treated psoriasis. We identified a cohort of adult Kaiser Permanente Northern California health plan members with psoriasis diagnosed from 1998 to 2011 and treated with at least 1 systemic antipsoriatic agent and categorized them into ever-biologic or nonbiologic users. Malignancy rates were calculated per 1000 person-years of follow-up with 95% confidence intervals (CI). Crude and confounder-adjusted hazard ratios (aHRs) were calculated using Cox regression. Most biologic-exposed members were treated with TNF-alfa inhibitors (n = 2214, 97%). Overall incident cancer rates were comparable between ever-biologic as compared to nonbiologic users (aHR 0.86, 95% CI 0.66-1.13). NMSC rates were 42% higher among individuals ever exposed to a biologic (aHR 1.42, 95% CI 1.12-1.80), largely driven by increased cutaneous squamous cell carcinoma risk (aHR 1.81, 95% CI 1.23-2.67). No information was available on disease severity. We found increased incidence of cutaneous squamous cell carcinoma among patients with systemically treated psoriasis who were ever exposed to biologics, the majority of which were TNF-alfa inhibitors. Increased skin cancer surveillance in this population may be warranted. Copyright © 2016 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  1. Geoprocessing applied to the phytosociological survey in permanent plots El geo-procesamiento aplicado al levantamiento fito-sociológico en parcelas permanentes Geoprocessamento aplicado ao levantamento fitossociológico em parcelas permanentes

    Directory of Open Access Journals (Sweden)

    Luiz Gilberto Bertotti

    2009-12-01

    Full Text Available The goal with this work was to create a georeferenced data bank to follow the phytosociological changes of types of trees along the time and its geographic distribution in the field of study. To the phytosociological survey permanent parcels were plotted in the field of study along the floodplain of the rivers Carro Quebrado and Cascavel, both located in the Campus of the Universidade Estadual do Centro Oeste (UNICENTRO – CEDETEG, in Guarapuava city, Parana state. In each part the attributes analyzed were: sociologic position (SP; class of crown (CC; characteristics of trees (CT; quality conditions of the trunk (QCT; conditions (Cs. These parts were put into spaces with use of the Global Positioning System (GPS and the data were sent to the SPRING software with the intention to build a cadastral data bank to follow and analyze the development of the local vegetation. The creation of this data bank allowed following the development of trees in a time scale, showing the evolution of the part of the forest studied.Este trabajo en su objeto pretende crear un banco de informaciones geo-referenciado para acompañar los cambios fitosociológicos de los indivíduos arbóreos a lo largo del tiempo y su distribuccíon geográfica en el área del estudio. Demarcamos parcelas permanentes a lo largo de la planicie de inundación de los rios “Carro  Quebrado” y Cascavel” que están localizados en el campus de la Universidad Estadual Del Centro Oeste del Estado del Paraná, municipalidad de Guarapuava ( UNICENTRO –CEDETEG.En cada parcela de tierra separada evaluamos distintos atributos: PS: localización sociológica; CC: tipo de copa; CA: características de los árboles; CCT: condiciones de calidad del tronco; Cs: otras condiciones.  Estas parcelas fueron especializadas a partir de la utilización del Sistema de  Pocsicionamiento Global (GPS y todos los datos fuero exportados para el sftware SPRING a fin de construir el banco de informaciones

  2. Characteristics of Resistant Hypertension in a Large Ethnically Diverse Hypertension Population of an Integrated Health System

    Science.gov (United States)

    Sim, John J.; Bhandari, Simran K.; Shi, Jiaxiao; In Liu, Lu A.; Calhoun, David A.; McGlynn, Elizabeth A.; Kalantar-Zadeh, Kamyar; Jacobsen, Steven J.

    2013-01-01

    Objective To evaluate the prevalence and characterize resistant hypertension from a large representative population with successful hypertension management and reliable health information. Patient and Methods We performed a cross sectional study using clinical encounter, laboratory, and administrative information from the Kaiser Permanente Southern California health system during 1/1/2006–12/31/2007. From individuals age >17 years with hypertension, resistant hypertension was identified and prevalence determined. Multivariable logistic regression was used to calculate odds ratios (OR) with adjustments for demographics, clinical variables, and medication use. Results Among 470,386 hypertensive individuals, 12.8% were identified as resistant representing15.3% of those on medications. Overall, 37,061 (7.9%) had uncontrolled hypertension while on ≥ 3 medicines. OR (95% confidence interval) for resistant hypertension were greater for black race (1.68, 1.62–1.75), older age (1.11, 1.10–1.11 for every 5 year increase), males (1.06, 1.03–1.10), and obesity (1.46, 1.42–1.51). Medication adherence rates were higher in resistant hypertension (93 vs 90%, phypertension. Conclusion Within a more standardized hypertension treatment environment, we observed a rate of resistant hypertension comparable to past studies using more fragmented data sources. Past observations have been limited due to non-representative populations, reliability of the data, heterogeneity of the treatment environments, and less than ideal control rates. This cohort which was established with an electronic medical record based approach has the potential to provide a better understanding of resistant hypertension and outcomes. PMID:24079679

  3. Depressão permanente e disritmia do lobo temporal Permanent depression and temporal lobe epilepsy

    Directory of Open Access Journals (Sweden)

    Eneida Baptistete Matarazzo

    1976-06-01

    Full Text Available Após revisão bibliográfica a respeito da depressão de origem epilética, a autora conclui que são citadas as formas pré-ictal, ictal, pós-ictal e inter-ictal. Esta última, denominada por Grecu e Kalman "depressão temporal episódica", é descrita como tendo duração de horas, dias ou semanas. No presente trabalho são analisados 2 casos com depressão episódica, 1 com depressão duradoura (3 anos e posteriormente episódica, e um outro com depressão duradoura (13 anos. O estudo clínico comparativo dos 4 casos, o resultado eletrencefalográfico e a resposta ao tratamento antiepilético permitem concluir que tanto as manifestações episódicas como as duradouras tinham etiologia epilética, sendo a disritmia localizada na área temporal. Baseada no estudo fenomenológico dos casos, a autora admite a hipótese de que as depressões epiléticas tenham quadro clínico característico que permite distingui-las das depressões de outra etiologia e sugere para as formas duradouras a denominação "depressão temporal permanente".Making a bibliographic review about epileptic depression, the Author found that ictal, pre, post-ictal and inter-ictal forms are described. The last one, named by Grecu and Kalman "Episodic temporal depression", is accepted as lasting for hours, days or weeks. The present work analyses two patients with episodic depression, one with permanent (3 years and later episodic form and another one with permanent depression only (13 years. The comparative study of the 4 patients, the EEG results and the effect of antiepileptic treatment permise to conclude that even the episodic and the permanent depression were of epileptic etiology, with temporal lobe localisation. Based on the symptomatology found in the 4 patients, the Author admits the hypothesis that the epileptic depression is characteristic and that it should be possible to distinghish it, clinically, from other depressions. It is suggested, for this permanent form

  4. Reparaties als een hedendaagse uiting van de permanente revolutie. Een standpunt

    Directory of Open Access Journals (Sweden)

    Francio Guadeloupe

    2014-12-01

    permanente revolutie waarbij zowel externe als interne vormen van ontmenselijking worden bestreden. De roep naar herstelbetaling is dan onderdeel van de beweging die een waardig Nederland en een waardige wereld probeert te scheppen.

  5. Control para máquinas de CA de imanes permanentes con FEM arbitraria, sin sensores mecánicos

    OpenAIRE

    De Angelo, Cristian Hernán

    2004-01-01

    En este trabajo de tesis se proponen nuevas soluciones a dos problemáticas de control de máquinas de corriente alterna con imanes permanentes: la minimización del ripple de par y la eliminación de sensores mecánicos de posición y/o velocidad. Para minimizar el ripple de par, producido por formas de onda de fem inducida no sinusoidales ni trapezoidales, se propone una nueva técnica para realizar la regulación de las corrientes de la máquina, basado en las ideas de control vectorial, lo que per...

  6. Lo permanente en lo efímero: Pabellones de Exposiciones Universales, hitos de la arquitectura de la segunda posguerra

    OpenAIRE

    Méndez-Navia García, Vega

    2016-01-01

    Los Pabellones de las Exposiciones Universales suelen considerarse dentro de las arquitecturas efímeras, pero habría que puntualizar que toda construcción tiene su tiempo y su periodo de extinción pudiendo ser éstos indefinidos, lo permanente en lo efímero. Muchas de las obras míticas del siglo XX existieron sólo durante unos meses, en escenarios efímeros, modificando el curso de la arquitectura con unas pocas imágenes, lo que llevaría a cuestionar si las circunstancias por las que no han sob...

  7. Graves consecuencias por desconocimiento de la presencia del primer molar permanente en la boca de un niño

    OpenAIRE

    Zubiarrain, C. V.; Vicente, D.; Iriquin, María Soledad

    2015-01-01

    La desinformación de familias y niños sobre la importancia del estado bucal en la dentición temporaria/permanente y la presencia del PMP como iniciador de la dentición mixta, hacen que la caries avance y no sea detectada de manera temprana para controlar el daño. Por ello es de vital importancia practicar la odontología restauradora y una odontología preventiva realizando campañas de concientización de la relevancia del primer molar definitivo y prevención bucal en los colegios, como agentes ...

  8. Caracterización de la rigidez positiva y negativa aportada por imanes permanentes como soportes de estructuras esbeltas

    OpenAIRE

    González Morán, David

    2016-01-01

    El presente trabajo pretende estudiar el uso de imanes permanentes como resortes mecánicos para variar la rigidez, aumentándola o disminuyéndola. Este uso tendría la ventaja de que además de poder variar la rigidez de una estructura, también variaría su frecuencia, ya que es dependiente la una de la otra. Para poder validar el estudio, se ha realizado un modelo experimental que consiste en una viga de aluminio a la cual se la han añadido unos imanes y se ha ido registrando como varía la...

  9. Formación permanente de educadores : Desafíos latinoamericanos. Notas de análisis

    OpenAIRE

    Tello, César Gerónimo

    2005-01-01

    En las notas de análisis que presentamos, intentamos dar cuenta de cierta parte del camino que venimos recorriendo en cuanto a la complejidad de situaciones que se instalan en el escenario de la FORMACIÓN DOCENTE latinoamericana. Particularmente en este artículo pretendemos abordar una temática que se ha desplegado a escala mundial; nos referimos al paradigma de la Formación permanente. El eje estructurante del mismo se halla en la nueva concepción que adquirió en los país...

  10. Antenatal Ultrasound and Risk of Autism Spectrum Disorders

    Science.gov (United States)

    Grether, Judith K.; Li, Sherian Xu; Yoshida, Cathleen K.; Croen, Lisa A.

    2010-01-01

    We evaluated antenatal ultrasound (U/S) exposure as a risk factor for autism spectrum disorders (ASD), comparing affected singleton children and control children born 1995-1999 and enrolled in the Kaiser Permanente health care system. Among children with ASD (n = 362) and controls (n = 393), 13% had no antenatal exposure to U/S examinations;…

  11. [The history of the Kaiser Wilhelm Society during the Third Reich. Interim reports of the president's commission of the Max Planck Society].

    Science.gov (United States)

    Weber, M M

    2002-11-01

    In 1997 the Max Planck Society set up a presidential commission to do research on the historical development of its precursor organization, the Kaiser Wilhelm Society (KWG), during the Third Reich. This paper presents some of the important results given in the interim reports of this commission that are relevant to psychiatry. It focuses on brain research, anthropology, psychiatric genetics, and the role of the well-known biochemist Adolf Butenandt. In general, the interim reports reflect the numerous links between the biomedical research of the KWG and the institutions of the National Socialist (Nazi) state. However, they do not yet allow a final historical assessment as to the complex situation of this field of research during National Socialism.

  12. Going beyond the Kaiser redshift-space distortion formula: a full general relativistic account of the effects and their detectability in galaxy clustering

    CERN Document Server

    Yoo, Jaiyul; Seljak, Uros; Zaldarriaga, Matias

    2012-01-01

    Kaiser redshift-space distortion formula describes well the clustering of galaxies in redshift surveys on small scales, but there are numerous additional terms that arise on large scales. Some of these terms can be described using Newtonian dynamics and have been discussed in the literature, while the others require proper general relativistic description that was only recently developed. Accounting for these terms in galaxy clustering is the first step toward tests of general relativity on horizon scales. The effects can be classified as two terms that represent the velocity and the gravitational potential contributions. Their amplitude is determined by effects such as the volume and luminosity distance fluctuation effects and the time evolution of galaxy number density and Hubble parameter. We compare the Newtonian approximation often used in the redshift-space distortion literature to the fully general relativistic equation, and show that Newtonian approximation accounts for most of the terms contributing ...

  13. 岩石单轴压缩试验Kaiser效应实质的研究%NATURE OF KAISER EFFECT OF ROCKS UNDER UNIAXIAL CYCLIC LOADING

    Institute of Scientific and Technical Information of China (English)

    樊运晓

    2000-01-01

    Past experimental evidence indicates that rock on certain conditions exhibits the Kaiser effect(KE)when it is loaded,and the KE of rock has ability to remember its maximum previous state parameters including stress,axial strain and transverse strain.At the same time the accuracy of state parameters′ KE is different with loading stages.Recent experiment indicates that rock also has ability to remember its maximum previous physical parameters such as bulk strain,Young′s module and Poisson′s ratio.“Young′s module memory”which is of both accuracy and stability shows the best among the three physical parameters.Furthermore,the experiment result shows“Young′s module memory”not to be affected by time factor.It demonstrates that the nature of Kaiser effect is memory of its previous physical behavior.%岩石Kaiser效应具有记忆先前应力、纵向应变和横向应变的能力,记忆的准确程度随加载阶段不同而不同。为了解Kaiser效应的记忆实质,通过岩石单轴压缩试验确定Kaiser效应对体积应变、弹性模量和泊松比三项物性参数的记忆能力。结果表明,岩石Kaiser效应具有记忆先前物性参数的能力,其中尤以对弹性模量的记忆能力表现为最好,而且受时间因素影响不大,说明岩石Kaiser效应的实质是对其内部物理特性的记忆。

  14. Comunidades Virtuales de Práctica: una alternativa a la formación permanente del profesorado mediante la tutoría entre iguales

    OpenAIRE

    2015-01-01

    [ES]Se estudia la formación que adquiere el profesorado al participar en la comunidad virtual de práctica "Internet en el Aula", conociendo si se presenta ante el profesorado como una alternativa capaz de satisfacer sus necesidades de formación permanente, mediada por la tutoría entre iguales que se produce en el intercambio de conocimientos que se realizan en su seno. Con la finalidad de proporcionar datos, a tener en cuenta al organizar la nueva formación permanente del profesorado en l...

  15. DIFERENTES MOMENTOS DE ESTABLECIMIENTO DEL ANIEGO PERMANENTE EN EL CULTIVO DEL ARROZ (Oryza sativa L.) Y SU INFLUENCIA SOBRE EL RENDIMIENTO, SUS COMPONENTES Y EL CONTROL DE MALEZAS

    OpenAIRE

    R. Polón; Yanet Parra; R. I. Castro; R. Morejón

    2001-01-01

    En la Estación Experimental del Arroz "Los Palacios", durante tres años en campo, se desarrolló un estudio para determinar el momento de establecimiento del aniego permanente en el cultivo sin afectar los rendimientos. Los resultados arrojaron que los diferentes momentos en que se establecieron los aniegos permanentes no afectaron significativamente el rendimiento agrícola y sus componentes, lográndose una reducción en los días de riego. En cuanto al comportamiento del ciclo, se pudo observar...

  16. Un estudio de las concepciones docentes acerca de la formación permanente Um estudo das concepções docentes sobre a formação permanente A Survey of Teachers' Thoughts on Continuing Education

    Directory of Open Access Journals (Sweden)

    Irene Marina Macera

    2012-12-01

    Full Text Available Este trabajo presenta las concepciones docentes acerca de su formación permanente. Se identificaron distintos puntos de análisis relacionados con la antigüedad en la profesión, intereses metodológicos, intereses de actualización de conocimientos, intereses de incorporación de nuevos saberes y, por último, el lugar que ocupa la formación en la subjetividad docente. En los inicios de la docencia, la formación permanente funciona y se concibe como un modo de mantenerse activos mientras se insertan en el mercado laboral. En cambio, para los docentes que ya tienen una trayectoria, esta se concibe como una fuga del trabajo, un recurso que en ocasiones le otorga sentido al trabajo, asumiendo de este modo un lugar subjetivo importante en el quehacer docente. Pero, cualquiera que sea la motivación, la adquisición de nuevos saberes es la razón más antigua que los docentes asumen para formarse.Este trabalho apresenta as concepções docentes sobre sua formação permanente. Identificaram-se diferentes pontos de análise relacionados com a antiguidade na profissão, interesses metodológicos, interesses de atualização de conhecimentos, interesses de incorporação de novos saberes e, por último, o lugar que a formação ocupa na subjetividade docente. No início da docência, a formação permanente funciona e se concebe como um modo de se manterem ativos enquanto se inserem no mercado de trabalho. Em compensação, para os docentes que já têm uma trajetória, esta se concebe como uma fuga do trabalho, um recurso que em ocasiões outorga sentido ao trabalho e assume, desse modo, um lugar subjetivo importante no fazer docente. Contudo, qualquer que seja a motivação, a aquisição de novos saberes é a razão mais antiga que os docentes assumem para se formar.This study delves into what teachers think about their own continuing education. Different points of analysis are identified with respect to seniority in the profession

  17. Inmunización y militarización del cuerpo social en Colombia: el Estado en emergencia permanente

    Directory of Open Access Journals (Sweden)

    Juan Pablo Aranguren Romero

    2015-12-01

    Full Text Available En este artículo analizo cómo las estrategias de guerra contrainsurgente emprendidas en Colombia durante las décadas de los sesenta y los setenta recrean un dispositivo inmunitario en donde la nación es entendida como un cuerpo social amenazado e infectado por ideologías comunistas y en donde su seguridad y protección contra los actos violentos, suponen la administración de la violencia. Sostengo que este dispositivo inmunitario, opera bajo una lógica autodestructiva y una noción de amenaza deslocalizada que incentivó la militarización de la sociedad, la gestión del miedo y el sostenimiento de un Estado en emergencia permanente. Hechos que, a su vez, permitieron la apelación a la excepcionalidad constitucional como forma de gobierno normalizada.

  18. Medicina baseada em evidências: instrumento para educação médica permanente entre psiquiatras?

    Directory of Open Access Journals (Sweden)

    Isabela Yuri Tsuji

    Full Text Available INTRODUÇÃO: O médico atualizado pode oferecer o melhor cuidado ao paciente e evitar consequências negativas que a defasagem científica pode acarretar. OBJETIVOS: Identificar os meios de atualização utilizados pelos psiquiatras brasileiros; avaliar seus conhecimentos sobre Medicina Baseada em Evidências (MBE e sua utilização na educação permanente. MÉTODO: Estudo transversal realizado no XXIV Congresso Brasileiro de Psiquiatria. Os participantes (n = 188 responderam um questionário anônimo autoaplicado, com 28 perguntas sobre características sociodemográficas, fontes e periodicidade de atualização, e conhecimentos sobre MBE. RESULTADOS: Para atualização de conhecimentos, 98,3% utilizavam os congressos brasileiros; 97,9% as revistas nacionais; 93,9% os livros-texto; 89,9% as revistas das indústrias farmacêuticas; 63,5% os consensos brasileiros; 63,3% a base de dados Medline; 56,7% as revistas internacionais; e 35% a Biblioteca Cochrane. Os fatores estatisticamente significativos associados com bom conhecimento sobre MBE foram estar graduados há menos de dez anos (p < 0,001, usar o Medline (p < 0,009 e a Biblioteca Cochrane (p < 0,03 como fonte de busca de literatura médica. CONCLUSÕES: Os psiquiatras fazem pouco uso da melhor fonte de evidência para educação médica permanente e continuada, havendo, assim, menor benefício aos pacientes na tomada de decisão clínica.

  19. COMPETENCIAS EMPRENDEDORAS DEL ALUMNADO DE EDUCACIÓN PERMANENTE DE ADULTOS EN ANDALUCÍA. PERCEPCIÓN DEL PROFESORADO

    Directory of Open Access Journals (Sweden)

    José Ma. Fernández Batanero

    2017-01-01

    Full Text Available En el presente trabajo analizamos la percepción que tiene el profesorado de Educación Permanente de Personas Adultas en Andalucía (España acerca del grado de presencia de competencias emprendedoras en su alumnado. Para dar respuesta al objetivo planteado adoptamos un diseño de investigación de tipo descriptivo, donde el enfoque de recolección y análisis de datos se ha definido como mixto, en el que se integran técnicas cualitativas (entrevistas en profundidad y cuantitativas (cuestionario. Para la validación del cuestionario, se utilizó la técnica de juicio de expertos, seleccionados mediante el procedimiento de «Coeficiente de competencia experta» o «Coeficiente K». El análisis de la fiabilidad del cuestionario a través de la prueba de Cronbach fue de 0,957. El cuestionario ha sido respondido por 549 profesores y profesoras de Centros de Educación Permanente de Andalucía y se han realizado 23 entrevistas en profundidad a informantes claves (directores de centros y coordinadores de sección. Los resultados muestran con claridad la percepción, tanto del profesorado como de aquellos que ejercen el ejercicio de la dirección, que el alumnado de estos centros educativos no están lo suficientemente preparados para iniciar por su cuenta un proyecto empresarial, a pesar de cursar contenidos curriculares de cultura emprendedora. Consideran que aún no poseen las competencias emprendedoras necesarias para crear y gestionar eficazmente un proyecto empresarial, constituyendo la falta de creatividad uno de los mayores obstáculos para dicho fin. Así mismo, se desprende del estudio la escasa incidencia que ejercen los programas de cultura emprendedora que se desarrollan en este tipo de centros.

  20. Simulación del Comportamiento Dinámico de un Pequeño Aerogenerador de Imán Permanente Sin Multiplicador en operación autónoma haciendo uso del MatLab

    Directory of Open Access Journals (Sweden)

    Osley López González

    2011-10-01

    Full Text Available En este trabajo los autores hacen uso del software MATLAB SIMULINK versión 7.7.0.471 R2008b para el análisis del comportamiento de un sistema generación eólico de 2 kW autónomo sin multiplicador con generador de imanes permanentes y batería de Plomo-ácido. Se utilizan para ello los modelos de los generadores de imanes permanentes, batería, convertidores así como otros elementos del sistema eléctrico existente en el toolbox SimPowerSystems de este software y se obtiene y discute el comportamiento dinámico de las variables del conjuntoturbina-generador, las variables del bus de directa, así como también las variables de la carga, ante diferentes condiciones de trabajo del sistema. Los resultados basados en simulaciones muestran el correcto funcionamiento de todas las variables de control que regulan el sistema generador eólico-elemento almacenador-carga eléctrica consumida, cuando se somete a perturbaciones típicas como lo son la variación en racha del viento y variación de la carga repentina. The utilization of the popular software MATLAB SIMULINK 7.7.0.471 in order to analyze a 2kW Direct driven Permanent Magnet generator for wind turbine in autonomous operation, including battery of Lead-acid is exposed by the authors. The existent models of the SimPowerSystems MATLAB toolbox are used in order to obtain and discuss the dynamic behavior of the principal variables under different conditions of work of the system.

  1. Improving Blood Pressure Control through a Clinical Pharmacist Outreach Program in Diabetes Patients in Two-High Performing Health Systems: The Adherence and Intensification of Medications (AIM) Cluster Randomized Controlled Pragmatic Trial

    Science.gov (United States)

    Heisler, Michele; Hofer, Timothy P.; Schmittdiel, Julie A.; Selby, Joe V.; Klamerus, Mandi L.; Bosworth, Hayden B.; Bermann, Martin; Kerr, Eve A.

    2013-01-01

    Background Even in high performing health systems, some hypertensive patients with diabetes have persistent poor blood pressure (BP) control. Medication nonadherence and lack of medication intensification contribute to this poor control. We examined whether the Adherence and Intensification of Medications (AIM) intervention, a targeted pharmacist-led intervention that combined state-of-the-art elements found in efficacy studies to lower BP, could improve BP among diabetes patients with persistent hypertension and poor refill adherence or insufficient medication intensification. Methods and Results We conducted a prospective, multi-site cluster randomized pragmatic trial with randomization of 16 primary care teams at five medical centers (3 Veterans Affairs [VA] and 2 Kaiser Permanente [KP]) to the AIM intervention or usual care. The primary outcome was the relative change in systolic blood pressure (SBP) measurements, comparing 1,797 eligible intervention team patients to 2,303 eligible control team patients, between the 6-months preceding and the 6-months following the 14-month intervention period. We examined shorter-term changes in SBP as a secondary outcome. In our primary analysis, the intervention group SBP change from 6-months prior to 6-months after the 14-month intervention period was approximately the same as the control group, declining approximately 9 mm Hg in both groups. SBP lowering occurred more rapidly among eligible intervention team patients, with mean SBPs 2.4 mm Hg lower (95% CI: −3.4 to −1.5; p<.001) immediately after the intervention than those achieved by eligible control patients. Conclusions The AIM program more rapidly lowered SBPs among eligible intervention patients, but there was no significant difference in blood pressure between intervention and control patients 6 months following the intervention period. These findings show the importance of rigorously evaluating in different real-life clinical settings programs found in

  2. ["A decision meaning a new foundation...": from the Kaiser Wilhelm Institute for Anthropology, Human Genetics and Eugenics to the Max Planck Institute for Molecular Genetics].

    Science.gov (United States)

    Sachse, Carola

    2011-01-01

    The Max Planck Institute for Molecular Genetics (MPIMG) in Berlin-Dahlem dates its establishment to 1964. Its homepage makes no mention of its predecessor institutes, the Kaiser Wilhelm Institute for Anthropology, Human Genetics and Eugenics (KWIA) and the subsequent MPI for Comparative Genetics and Hereditary Pathology (MPIVEE). This article traces the two critical phases of transition regarding the constellations of academic staff, institutional and epistemic ruptures and continuities specific to the era. Only one of the five department heads from the final war years, Hans Nachtsheim, remained a researcher within the Max Planck Society (MPG); he nevertheless continued to advocate the pre-war and wartime eugenic agenda in the life sciences and social policy. The generational change of 1959/60 became a massive struggle within the institute, in which microbial genetics (with Fritz Kaudewitz) was pitted against human genetics (with Friedrich Vogel) and managed to establish itself after a fresh change in personnel in 1964/65. For the Dahlem institute, this involved a far-reaching reorientation of its research, but for the genetically oriented life sciences in the Max Planck Society as a whole it only meant that molecular biology, which was already being pursued in the West German institutes, gained an additional facility. With this realignment of research traditions, the Society was able to draw a line under the Nazi past without having to address it head-on.

  3. Human genetics and politics as mutually beneficial resources: The case of the Kaiser Wilhelm Institute for Anthropology, Human Heredity and Eugenics during the Third Reich.

    Science.gov (United States)

    Weiss, Sheila Faith

    2006-01-01

    This essay analyzes one of Germany's former premier research institutions for biomedical research, the Kaiser Wilhelm Institute for Anthropology, Human Heredity and Eugenics (KWIA) as a test case for the way in which politics and human heredity served as resources for each other during the Third Reich. Examining the KWIA from this perspective brings us a step closer to answering the questions at the heart of most recent scholarship concerning the biomedical community under the swastika: (1) How do we explain why the vast majority of German human geneticists and eugenicists were willing to work for the National Socialist state and, at the very least, legitimized its exterminationist racial policy; and (2) what accounts for at least some of Germany's most renowned medically trained professionals' involvement in forms of morally compromised science that wholly transcend the bounds of normal scientific practice? Although a complete answer to this question must await an examination of other German biological research centers, the present study suggests that during the Nazi period the symbiotic relationship between human genetics and politics served to radicalize both. The dynamic between the science of human heredity and Nazi politics changed the research practice of some of the biomedical sciences housed at the KWIA. It also simultaneously made it easier for the Nazi state to carry out its barbaric racial program leading, finally, to the extermination of millions of so-called racial undesirables.

  4. Time of arrival estimation based on improved teager-kaiser operator%基于改进Teager-Kaiser算子的来波时间估计

    Institute of Scientific and Technical Information of China (English)

    刘立红; 冷文; 王安国

    2014-01-01

    Teager-Kaiser (TK)算子对噪声比较敏感,当噪声存在时,TK算法对信号到达时间(time of Arrival,TOA)的估计精度比较低,结合多径信道特点,对TK算子进行了改进.改进算法通过对相关曲线进行高次方累积,增大相关曲线中TOA点对应的输出值,从而降低噪声对输出信号的影响,提高了TOA的估计精度,同时根据TOA点所对应相关曲线的位置特性,限定信号数据范围,不仅可以有效地降低改进算法的计算复杂度,还可以进一步提高TOA的估计精度.对多径信道模型的仿真结果表明,该改进算法对TOA估计的精度明显优于TK算法,特别是在噪声比较严重的情况下,TOA估计精度得到很大的提高.

  5. Caries dental aguda del primer molar permanente en niños de 12 años

    Directory of Open Access Journals (Sweden)

    Daniel Enrique Reyes Romagosa

    Full Text Available Introducción: el primer molar permanente es considerado la llave de la oclusión dentaria, la presencia de caries en éste es elevada, lo que dificulta el logro de las metas trazadas por organizaciones de salud a nivel mundial en este grupo de edad. Objetivo: determinar el comportamiento de la caries dental aguda en primer molar permanente en una población de 12 años de edad atendida en la Clínica Estomatológica Santa Cruz de la Parroquia Goaigoaza. Métodos: se realizó un estudio descriptivo transversal en la Clínica Estomatológica Santa Cruz. Parroquia Goaigoaza, municipio Puerto Cabello, estado Carabobo, en el período comprendido entre abril del 2009 a abril 2010. Se seleccionaron 97 pacientes de 12 años de edad los que constituyeron el universo y la muestra. Acudieron a la consulta por dolor debido a la presencia de caries dental aguda. Se registraron las variables: edad, sexo, grado clínico de la caries dental, estímulos externos que provocaron dolor, la cara dental y la arcada dentaria más afectadas. La información fue recogida mediante interrogatorio y examen clínico. Resultados: el sexo masculino representó el 63,9 %. La caries dental de 3er grado estuvo presente en un 68 %. Los estímulos externos que provocaron dolor fueron: el frío presente en 75,2 % y los alimentos dulces en 69,1 % en ambos sexos. El primer molar inferior derecho resultó más afectado (46,4 % que el izquierdo (36,1 %, así como la arcada dentaria inferior (25,8 % y la cara oclusal (64,9 %. Conclusiones: predominaron el sexo masculino y la caries dental aguda de 3er grado. El frío y los alimentos dulces fueron los estímulos externos más frecuentes. Los más afectados resultaron el primer molar inferior derecho, la cara oclusal y la arcada dentaria inferior.

  6. Estudo Morfológico e Morfométrico da Mama de Ratas em Estro Permanente, Tratadas com Danazol

    Directory of Open Access Journals (Sweden)

    Shida Jorge Yoshinori

    2001-01-01

    Full Text Available Objetivo: estudar os efeitos do danazol sobre a mama da rata em estro permanente. Métodos: os animais foram divididos em três grupos: os do grupo A (n = 12 receberam água (placebo, como grupo controle; os do grupo B (n = 13 foram expostos a 20 mg/kg de danazol por dia; os do grupo C (n = 10 foram expostos a 80 mg/kg de danazol por dia. A droga foi administrada durante 35 dias consecutivos. O estudo microscópico dos cortes avaliou a distribuição ductal e acinar. A histometria da relação ducto/estroma foi feita baseada nos princípios da estereologia, com ocular k-10X da Zeiss, com retículo de integração (Integrationsplatte I-retículo de Weibel de 25 hits, com aumento final de 100 vezes. Para cada lâmina estudada, foram contados 10 campos aleatórios, num total de 250 pontos. O teste aplicado foi a análise de variância por postos de Kruskal-Wallis, para comparar os três grupos em relação ao número médio de alvéolos e ductos nas mamas (alfa = 0,05. Resultados: em todos os grupos, os lóbulos apresentaram ao estudo morfológico alvéolos revestidos com células cúbicas com núcleos na sua porção central ou basal. Pequenas quantidades de material eosinofílico foram observadas em alguns casos na sua luz. À morfometria (magnificação de 100X encontraram-se em média 28,6 ductos/10 campos no grupo A, 28,4 no grupo B e 29,2 no grupo C (análise de Kruskal-Wallis: Hcrit = 0,1. As médias dos números de alvéolos /10 campos foram 5,9 (grupo A, 9,3 (grupo B e 6,5 (grupo C (Kruskal-Wallis Hcrit = 2.9, sem diferença significativa entre os grupos. Conclusão: o danazol não causou nenhuma alteração significante na morfologia e morfometria do epitélio das mamas das ratas em estro permanente.

  7. Valoración "in vitro" de las fuerzas de adhesión de un sistema adhesivo convencional y otro autograbante en esmalte de dientes temporales y permanentes

    OpenAIRE

    Herrera Martínez, Gilberto de Jesús

    2011-01-01

    El presente trabajo trata de aportar más información sobre un nuevo adhesivo autograbante a esmalte de dientes temporales y permanentes. El objetivo es valorar las fuerzas de adhesión en MPa de los sistemas adhesivos (convencional y autograbante),en el esmalte de dientes temporales y permanentes. Métodos: utilizando una muestra de 160 dientes (temporales y permanentes)a nivel de la estructura del esmalte, divididos en cuatro grupos, no tomándose en cuenta para el criterio de selección la p...

  8. Valoración "in vitro" de las fuerzas de adhesión de un sistema adhesivo convencional y otro autograbante en esmalte de dientes temporales y permanentes

    OpenAIRE

    Herrera Martínez, Gilberto de Jesús

    2012-01-01

    El presente trabajo trata de aportar más información sobre un nuevo adhesivo autograbante a esmalte de dientes temporales y permanentes. El objetivo es valorar las fuerzas de adhesión en MPa de los sistemas adhesivos (convencional y autograbante),en el esmalte de dientes temporales y permanentes. Métodos: utilizando una muestra de 160 dientes (temporales y permanentes)a nivel de la estructura del esmalte, divididos en cuatro grupos, no tomándose en cuenta para el criterio de selección la p...

  9. Historias de vida de mujeres afincadas de forma permanente en situación de exclusión social

    Directory of Open Access Journals (Sweden)

    Gabriela Moriana Mateo

    2016-07-01

    Full Text Available Este artículo presenta parte de los resultados de un trabajo de campo etnográfico realizado en distintos centros de Servicios Sociales Especializados para mujeres de la Generalitat Valenciana. Su objetivo es conocer los tipos de violencia y los factores de exclusión social que subyacen en las historias de vida de las mujeres institucionalizadas. La metodología de investigación utilizada ha sido de índole cualitativa. Se ha realizado observación participante y entrevistas tanto informales como biográficas que, junto con documentos personales e informes sociales, han permitido elaborar 15 historias de vida. Aunque en esta aproximación tan sólo se analizan las cuatro afincadas en la situación de exclusión social de forma permanente. Respecto a los resultados, cabe señalar que en las trayectorias vitales analizadas subyacen distintos factores de exclusión social que afectan tanto a los hombres como a las mujeres, pero también importantes factores específicos de género, como la violencia contra las mujeres intrafamiliar y de género.

  10. Prevalência e determinantes de oclusopatias nas dentições decídua, mista e permanente na cidade do Natal/RN

    OpenAIRE

    2006-01-01

    O propósito deste estudo foi verificar a prevalência de oclusopatias, bem como dos seus determinantes nas dentições decídua, mista e permanente na cidade de Natal/RN. Para tanto, foi realizado um estudo seccional com crianças de 5, 8 e 12 anos (n=765). A prevalência geral de oclusopatias, observando-se as três dentições, foi de 76,5%. No que se refere à prevalência para cada dentição obteve-se 75,5% para a dentição decídua, 84,8% e 70,5% para as dentições mista e permanente, respectivamente. ...

  11. Educação Permanente no cotidiano da Atenção Básica no Mato Grosso do Sul

    Directory of Open Access Journals (Sweden)

    Jacinta de Fátima Franco Pereira Machado

    Full Text Available O artigo analisou as ações de Educação Permanente em Saúde na Atenção Básica em Mato Grosso do Sul, Brasil, na perspectiva de 184 equipes participantes da primeira fase do Programa de Melhoria do Acesso e da Qualidade (PMAQ, de junho de 2012 a fevereiro de 2013. Entre as ações de Educação Permanente, os cursos presenciais foram mais prevalentes, seguidos por troca de experiência, teleducação, ensino à distância e tutoria/preceptoria, tanto na capital quanto no interior. As ações de planejamento e apoio à gestão foram mais prevalentes na capital. As ações de apoio da gestão estavam diretamente relacionadas com o planejamento e a organização do processo de trabalho.

  12. La aspiración de Brasil al asiento permanente en el Consejo de Seguridad de la Organización de las Naciones Unidas: un breve panorama

    Directory of Open Access Journals (Sweden)

    Renata de Melo Rosa

    2009-12-01

    Full Text Available Este artículo analiza la posición de Brasil frente a la aspiración de un asiento permanente al Consejo de Seguridad de las Naciones Unidas. Los esfuerzos entabulados por Brasil en el escenario internacional, los discursos del primer rango del gobierno, así como un protagonismo más acelerado frente a los vecinos latino-americanos confirman esta aspiración. Pero, Brasil aún enfrenta serios problemas internos de seguridad nacional y tendrá que enfrentar otros compañeros regionales también, aspirantes a un assiento de miembro permanente en el Consejo de Seguridad de la ONU, como Canadá, por ejemplo. La ocupación del assiento temporario en el bienio de 2010-2011 también es uno de los factores analizados en este trabajo.

  13. Nuevos retos para el profesorado de secundaria obligatoria: formación permanente para la atención a la diversidad en las aulas

    Directory of Open Access Journals (Sweden)

    NÚRIA GINÉ

    2009-01-01

    Full Text Available La llegada reciente de alumnos inmigrantes a los centros educativos en España ha enfrentado al profesorado a nuevos retos. El presente artículo pone de manifiesto cuáles son estos nuevos retos que afrontan los docentes de la etapa de Educación Secundaria Obligatoria, ESO, a partir de sus propias voces, para conocer las necesidades formativas derivadas de esta situación educativa, con el fin de hacer propuestas de formación permanente para los docentes, como apoyo institucional en la atención de la diversidad de alumnado que coexiste en las aulas. Utilizando como método el estudio de casos múltiples hemos analizado e interpretado la información que conduce a conclusiones prácticas, con muchas posibilidades de ser tenidas en cuenta para la formación permanente de los implicados.

  14. EL DESARROLLO PROFESIONAL MEDIANTE LA FORMACION PERMANENTE DE LOS PROFESORES CUBANOS DE MATEMÁTICA Y CIENCIAS PARA TRABAJAR EN PAISES DE HABLA INGLESA

    Directory of Open Access Journals (Sweden)

    Noelio Vázquez Vargas

    2014-12-01

    Full Text Available Este artículo trata sobre el desarrollo profesional. Se presenta un estudio histórico sobre la enseñanza del inglés con fines específicos (IFE durante la formación permanente de los profesores cubanos de Matemática y Ciencias, además, se presentan las competencias básicas de los profesores de estas asignaturas, teniendo en cuenta el criterio de diferentes autores.

  15. UNA STAZIONE GPS SEMI-PERMANENTE PER IL POSIZIONAMENTO RTK IN REAL TIME

    OpenAIRE

    Chiorboli, Andrea

    2009-01-01

    In the field of the GNSS (Global Navigation Satellite System) with the NavStar GPS and Glonass systems it is already known and common the RTK real time positioning method. The RTK involves two, or more, GNSS receivers, the first one called Master set up on a landmark, and the second one, or ones, called Rover/s, used for the land surveying of the unkown points. At the beginning, the data link for the transmission of the differential correction from the Master to the Rover/s was...

  16. O ESTADO DA ARTE NA AMBIÊNCIA DA INTERNET: COMO ESTÁ A PRODUÇÃO SOBRE EDUCAÇÃO PERMANENTE DO ASSISTENTE SOCIAL?

    Directory of Open Access Journals (Sweden)

    Nilsen Aparecida Vieira Marcondes

    2015-08-01

    Full Text Available A qualificação profissional no âmbito da docência, pesquisa e intervenção passa, necessariamente, pela educação permanente. Para elaboração deste “estado da arte” de natureza exploratória e descritiva, utilizou-se de categorias para análise, categorias estas representadas pelos seguintes descritores: “educação permanente”, “formação continuada”, “capacitação”, “reciclagem profissional”, “SUAS”, “NOB-RH/SUAS” e “serviço social”.  A abordagem se configura como bibliográfica e quanti-qualitativa. Nessa direção, analisou-se criticamente a literatura acerca da educação permanente do assistente social no contexto do Sistema Único de Assistência Social, após regulamentação da Norma Operacional Básica de Recursos Humanos. A tendência da produção científica demonstra que tematizar questões referentes à educação permanente vem se constituindo como um grande desafio.

  17. Formation des enseignants dans une perspective d'education permanente au benin

    Science.gov (United States)

    Agboton, Sébastien; Moussa, Yaya Mede

    1994-05-01

    The history of teacher training in Benin, which provides evidence of social and cultural change, suggests that a system of lifelong education should be introduced which unites formal, non-formal and informal education, all of which already exist in embryo. The education originally given to every member of society was a continuing progression from initiate to initiator, a lifelong education that involved, among other things, knowledge of agricultural production. This traditional system was disrupted by the reorganization of teacher training after 1945. Recurrent training of teachers remained inadequate because of limited external funding for in-service training, the lack of teachers, the suspension of recruitment and the closure of teacher training colleges. The 1975 reform, through the initiative known as Operation Education and Development, envisaged links between school and social environment, allying intellectual work with production. This meant a radical change in the role of the teacher, who was confronted with technical advance and was obliged to enter a difficult continuing process of self-training. Furthermore, population growth and the restrictions imposed by the World Bank have brought about developments in both lifelong learning and apprenticeship. These two elements are brought together under an initiative known as Production Scolaire Artisanale, designed for out-of-school learners and artisans. The author concludes that the creation of a coherent system of voluntary education would be possible in a society that was itself favourably disposed to education.

  18. Necesidades y motivaciones de los estudiantes de educación permanente en España. El caso del Centro de Educación Permanente Valle del Guadiato en Córdoba

    Directory of Open Access Journals (Sweden)

    Beatriz del V. Medina F

    2013-05-01

    Full Text Available El objetivo de la investigación en la que está basado el artículo fue identificar las necesidades y las motivaciones de los estudiantes del Centro de Educación Permanente (CEPER Valle del Guadiato de Córdoba, España. Se parte de diferentes teorías para su fundamentación, como las aportadas por Maslow (2005, McClelland (1989, García Aretio (1988, Paz (1984, Palladino (1981, entre otros. Se utilizó la metodología comparada cuyas unidades de comparación se corresponden con las unidades espaciales, que en este estudio son los municipios: Belmez, Espiel, Fuente Obejuna, Peñarroya-Pueblonuevo, Villanueva del Rey y Villaviciosa de Córdoba. Para la recogida de datos se utiliza el estudio documental, el cuestionario escrito y la observación cualitativa. El universo poblacional del CEPER Valle del Guadiato lo conformaron 606 personas adultas del período escolar 2011-2012 (592 estudiantes, 14 maestros, siendo la muestra de 265 personas (251 estudiantes, 14 maestros. Entre las principales conclusiones destacan que las necesidades sociales, laborales y personales de los estudiantes del Centro objeto de estudio se derivan básicamente del deseo de aprender, del deseo de superación personal, y del interés por el tema. Las motivaciones giran en torno a la oportunidad de ocupar sus tiempos libres, a la posibilidad de tener mejores oportunidades de encontrar trabajo, y al apoyo de la familia.

  19. Advanced Launch System (ALS) Space Transportation Expert System Study

    Science.gov (United States)

    1991-03-01

    CONTROL ELECTRONICS DEVELOPMENT ENGR CONTROL SYSTEMS DEVELOPMENT BRANCH DAVID K. BOWSER ASST CHIEF FLIGHT CONTROL DIVISION IF YOUR ADDRESS HAS CHANGED...Routers) to Processed Facts ato Conclusions. high& -- %sm memcry) omands . lee requestslevel KNOWLEDGE-BASE SYSTEMS Internal World (Layered Structure) kw...Kaiser, Gail E. and David Garlan ttl: MELDIng Data Flow and Object Oriented Programming - OPSLA 󈨛 Proceedings, October 1987 -eoories: Object Oriented

  20. The HIV Care Cascade Measured Over Time and by Age, Sex, and Race in a Large National Integrated Care System.

    Science.gov (United States)

    Horberg, Michael Alan; Hurley, Leo Bartemeier; Klein, Daniel Benjamin; Towner, William James; Kadlecik, Peter; Antoniskis, Diana; Mogyoros, Miguel; Brachman, Philip Sigmund; Remmers, Carol Louise; Gambatese, Rebecca Claire; Blank, Jackie; Ellis, Courtney Georgiana; Silverberg, Michael Jonah

    2015-11-01

    HIV care cascades can evaluate programmatic success over time. However, methodologies for estimating cascade stages vary, and few have evaluated differences by demographic subgroups. We examined cascade performance over time and by age, sex, and race/ethnicity in Kaiser Permanente, providing HIV care in eight US states and Washington, DC. We created cascades for HIV+ members' age ≥13 for 2010-2012. We measured "linkage" (a visit/CD4 within 90 days of being diagnosed for new patients; ≥1 medical visit/year if established); "retention" (≥2 medical visits ≥60 days apart); filled ART (filled ≥3 months of combination ART); and viral suppression (HIV RNA age, and race/ethnicity. We found men had statistically (p age was associated (p care results improved over time, but significant differences exist by patient demographics. Specifically, retention efforts should be targeted toward younger patients and blacks; women, blacks, and Latinos require greater ART prescribing.

  1. NO RUMO DA "COMUNITARIZAÇÃO" DA SEGURANÇA E DEFESA DA UNIÃO EUROPEIA MEDIANTE A COOPERAÇÃO ESTRUTURADA PERMANENTE? HEADING FOR THE APPLICATION OF THE "COMMUNITY METHOD" TO SECURITY AND DEFENCE OF THE EUROPEAN UNION BY MEANS OF PERMANENT STRUCTURED COOPERATION?

    Directory of Open Access Journals (Sweden)

    ABEL LAUREANO

    2012-12-01

    Full Text Available Resumo: O Tratado de Lisboa (na linha do malogrado Tratado Constitucional veio, como término de várias iniciativas entretanto ocorridas, prever o mecanismo da cooperação estruturada permanente. Procura-se, com esse mecanismo, viabilizar o advento duma vanguarda de Estados-Membros, eventualmente apta a formar o embrião dum futuro sistema autóctone de defesa da União Europeia. A cooperação estruturada permanente representa um passo no sentido da "comunitarização" da segurança e defesa da União Europeia, quedando-se contudo indiscutivelmente apartada do arquétipo comunitário. Só o futuro mostrará se a cooperação estruturada permanente poderá vir a dotar a União Europeia com uma política de segurança e defesa assente no "método comunitário".Abstract: The Treaty of Lisbon, in line with the failed Constitutional Treaty and in the sequence of several initiatives which had taken place, came to provide for the mechanism of permanent structured cooperation. The goal of this mechanism is to enable the arising of a vanguard of Member States, eventually ready to form the embryo of a future European Union's exclusive defence system. Although permanent structured cooperation represents a step towards the application of the "community method" to security and defence of the European Union, it doesn't still fit in that pattern. Only future can tell, if permanent structured cooperation is likely to provide the European Union with a security and defence policy based on the "community method".

  2. La incapacidad permanente en una empresa pública en el periodo 1995-2009 Permanent incapacity in a public company from 1995-2009

    Directory of Open Access Journals (Sweden)

    José Carlos Marchena Aparicio

    2011-09-01

    Full Text Available Objetivos: La cuantificación de las relaciones entre salud, medio laboral y capacidad para el trabajo nos permite descifrar aspectos importantes de la incapacidad permanente. Este trabajo tiene como objetivo describir las características de la población trabajadora de la Diputación Provincial de Cádiz a la que se le concedió una incapacidad permanente en el periodo 1995-2009. Métodos: Se llevó a cabo un estudio descriptivo retrospectivo sobre el total de trabajadores/as con incapacidad permanente en el periodo descrito que considera las siguientes variables: sexo, edad, antigüedad, tipo de ocupación, causa de la incapacidad permanente, días de incapacidad temporal y número de incapacidades temporales concedidas en los 5 años previos, recogidas a través de archivos documentales. Resultados: El número de incapacidades permanentes concedidas ascendió a 192. Un 53,1% fueron mujeres; funcionarios el 59,9%; la edad de concesión fue de 54,06 años de media con 24,98 años de antigüedad en la empresa; el tipo de trabajo en el que más incapacidad permanente se concedieron es el manual, 44,8%; El tipo de patología más frecuente de incapacidad permanente fueron las enfermedades músculo-esqueléticas (29,7%, neoplasias (23,4% y trastornos mentales (18,8%, asociándose significativamente dicha variable con el sexo (p=0,006, el tipo de trabajo desempeñado (p=0,007, la edad de concesión (pObjectives: The quantifying relationship between health, working environment and work capacity allows us to unravel important aspects of permanent incapacity (PI. One of the objectives of this study is to describe working population characteristics of the Provincial Council of Cadiz who were granted permanent incapacity from 1995 to 2009. Method: A retrospective descriptive study was carried out amongst all the workers with PI in the period described with the following variables taken into account: gender, age, time working for the company, type of

  3. Henry J. Kaiser Family Foundation

    Science.gov (United States)

    ... KFF.org Twitter Facebook Email Where President-elect Donald Trump Stands on 6 Health Care Issues Health Costs ... About Immigration and Muslims in a Time of Donald Trump The Missing Debate Over Rising Health-Care Deductibles ...

  4. Medline Plus

    Full Text Available ... Male Incontinence: The Male Sling (Kaiser Permanente San Diego Medical Center, San Diego, CA, 6/20/2014) Simultaneous Inflatable Penile Prosthesis ( ... Male Incontinence: The Male Sling (Kaiser Permanente San Diego Medical Center, San Diego, CA, 6/20/2014) ...

  5. Obtención del Valor Genético Predicho en Animales Incluyendo el Efecto del Medio Ambiente Permanente Obtención del Valor Genético Predicho en Animales Incluyendo el Efecto del Medio Ambiente Permanente

    Directory of Open Access Journals (Sweden)

    Mauricio Valencia Posadas

    2012-02-01

    Full Text Available The genetic improvement of the animals based in productive records and genealogical information, is a fundamental mechanism to increase the economic income of the commercial farms, through the estimation of the predicted breeding values (VGP’s. The VGP’s allows the identification of animals genetically superior to be used as parents of the next generation. In many parts of the world the best linear unbiased predictor procedure (MPLI is used as an animal model, for its appropriate properties, to obtain the VGP’s. In these models the permanent environment effect is usually included in order to increase the accuracy of the VGP’s. In this work a developed example is presented using supposed data to obtain VGP’s with the MPLI procedure and an animal model where the methodology, interpretation and use of the VGP’s are shown.El mejoramiento genético de los animales, con base en los registros de rendimiento e información genealógica, es un mecanismo fundamental para incrementar los rendimientos económicos de las explotaciones comerciales, a partir de la estimación de valores genéticos predichos (VGP’s. Los VGP permiten identificar a los animales genéticamente superiores de una forma objetiva, para que sean utilizados como padres de la siguiente generación. En muchas partes del mundo se utiliza el procedimiento del mejor predictor lineal insesgado (MPLI con un modelo animal por sus adecuadas propiedades para obtenerlos VGP’s. En dichos modelos se suele incluir el efecto del medio ambiente permanente con el objeto de incrementar la precisión de los VGP’s. En este trabajos e presenta un ejemplo desarrollado utilizando datos supuestos para obtener VGP’s con el procedimiento MPLI y un modelo animal, donde se muestra la metodología, interpretación y uso que tienen los VGP’s.

  6. Vaccines and the risk of multiple sclerosis and other central nervous system demyelinating diseases.

    Science.gov (United States)

    Langer-Gould, Annette; Qian, Lei; Tartof, Sara Y; Brara, Sonu M; Jacobsen, Steve J; Beaber, Brandon E; Sy, Lina S; Chao, Chun; Hechter, Rulin; Tseng, Hung Fu

    2014-12-01

    Because vaccinations are common, even a small increased risk of multiple sclerosis (MS) or other acquired central nervous system demyelinating syndromes (CNS ADS) could have a significant effect on public health. To determine whether vaccines, particularly those for hepatitis B (HepB) and human papillomavirus (HPV), increase the risk of MS or other CNS ADS. A nested case-control study was conducted using data obtained from the complete electronic health records of Kaiser Permanente Southern California (KPSC) members. Cases were identified through the KPSC CNS ADS cohort between 2008 and 2011, which included extensive review of medical records by an MS specialist. Five controls per case were matched on age, sex, and zip code. Vaccination of any type (particularly HepB and HPV) identified through the electronic vaccination records system. All forms of CNS ADS were analyzed using conditional logistic regression adjusted for race/ethnicity, health care utilization, comorbid diseases, and infectious illnesses before symptom onset. We identified 780 incident cases of CNS ADS and 3885 controls; 92 cases and 459 controls were females aged 9 to 26 years, which is the indicated age range for HPV vaccination. There were no associations between HepB vaccination (odds ratio [OR], 1.12; 95% CI, 0.72-1.73), HPV vaccination (OR, 1.05; 95% CI, 0.62-1.78), or any vaccination (OR, 1.03; 95% CI, 0.86-1.22) and the risk of CNS ADS up to 3 years later. Vaccination of any type was associated with an increased risk of CNS ADS onset within the first 30 days after vaccination only in younger (vaccines with MS or any other CNS ADS, which argues against a causal association. The short-term increase in risk suggests that vaccines may accelerate the transition from subclinical to overt autoimmunity in patients with existing disease. Our findings support clinical anecdotes of CNS ADS symptom onset shortly after vaccination but do not suggest a need for a change in vaccine policy.

  7. CERN expositions permanentes

    CERN Multimedia

    2016-01-01

    Explore by yourself the issues CERN's physicists are trying to solve: given that the entire universe is made of particles, where do they come from? Why do they behave in the way they do? Discover the massive apparatus used by physicists at CERN, like the LHC, and see how each part works. And if you have more time on site, follow the LHC circuit at ground level to understand in situ this giant machine. Enter our exhibitions. Welcome!

  8. A nova gestão pública na Inglaterra: a permanente instabilidade da reforma neoliberal

    Directory of Open Access Journals (Sweden)

    David Hall

    2015-09-01

    Full Text Available RESUMO: A reforma da educação na Inglaterra tem sido intimamente associada a um programa mais amplo da nova gestão pública, centrado na reforma dos serviços públicos. Este artigo analisa as características deste programa de reformas inspirado na NGP, tendo em vista que o sistema educacional inglês se deslocou de uma forma cívica e de proteção social ("cívico-welfarista" para um modo em que o neoliberalismo despontou em ascendência. Atenção particular é dada tanto aos aspectos centralizadores da reforma, em que tem havido um acentuado aumento na intervenção do governo central na educação, quanto aos aspectos descentralizadores da reforma, incluindo a criação de escolas como unidades de negócios e a mercantilização da educação em termos mais gerais. As origens das reformas estão situadas em uma construção discursiva de uma crise educacional, inspirada na Nova Direita, que encontrou posterior expressão em uma série de alterações na legislação que emergiram de e cimentaram um consenso educacional trans-político-partidário que já perdura por mais de trinta anos neste contexto. Este artigo examina os efeitos dessas reformas da NGP na educação na Inglaterra, e as continuidades e descontinuidades entre as diferentes administrações políticas, considerando que a Inglaterra passou por sucessivas ondas de reformas até chegarmos a um período pós-NGP. Concluímos que a permanente instabilidade do sistema educacional inglês pode ser identificado nas tensões que atingem o próprio âmago do processo da NGP, de formas que, antecipamos, continuarão a perturbar um setor rapidamente privatizador.

  9. Requerimientos establecidos por las normas ISO para papeles permanentes Established requirements for ISO standards for permanent papers

    Directory of Open Access Journals (Sweden)

    Juan Facundo Araujo

    2011-06-01

    Full Text Available El patrimonio documental nacional e internacional se encuentra en su gran mayoría en soporte papel. A partir de la industrialización en la manufactura de dicho material se ha producido papel con niveles de acidez, que sumado a otros factores, ha sido causante del deterioro de este tipo de patrimonio documental. En las últimas décadas, con la incorporación de nuevos procesos dentro de la producción papelera se ha resuelto en parte dicha problemática. El organismo internacional de normalización ISO ha redactado dos normas al respecto: la norma ISO 9706 e ISO 11108. Con la difusión y recomendación de uso del papel permanente para la conservación del patrimonio documental a largo plazo, se hace imprescindible conocer dicha normativa e informarse al respecto. En el presente artículo se describen las variables en la fabricación del papel que influyen en la permanencia de los papeles. También se determinan los conceptos y antecedentes que rodean ambas normas ISO, así como las características principales y partes que componen las mismas. Como anexo se consigna un glosario con los principales términos técnicos utilizados.Most of the national and international documentary heritage are on paper. From industrialization in the manufacture of such material, paper with acidity levels has been produced which, together with other factors, has been causing the deterioration of this type of documentary heritage. In recent decades, with the incorporation of new paper production processes this problem has been partly solved. The international standards organism ISO has drafted two rules in this connection: ISO 9706 and ISO 11108. With the spread and recommendation for the use of permanent paper for preservation of documentary heritage in the long term, it is essential to know the standards and be well informed. This article describes the variables in the manufacture of paper that influence the permanence of the papers. It also identifies the

  10. Construção de descritores para o processo de educação permanente em atenção básica Building descriptors for the permanent basic care education process

    Directory of Open Access Journals (Sweden)

    Rosita Saupe

    2007-11-01

    Full Text Available Educação permanente e atenção básica fazem parte do sistema de saúde brasileiro desde suas origens. Recentemente estas políticas públicas foram atualizadas, gerando um movimento inovador de construção de conhecimento visando apoiar sua implementação e consolidação. Este estudo, através de uma metodologia quantitativa, procurou evidenciar os principais descritores que devem orientar os processos de educação permanente em atenção básica. O método é originário da Universidade da Carolina do Norte. É desenvolvido em duas etapas. Os dados apresentados neste artigo dizem respeito à primeira etapa, que inclui as seguintes fases: elaboração de um diagrama com todos os componentes a serem avaliados; sua análise por um grupo de especialistas, indicando o que deve ser mantido, retirado ou incluído; avaliação por juízes, utilizando escala Likert de 1 a 5; verificação da concordância entre os juízes. O diagrama foi decomposto em quatro dimensões, procurando responder as seguintes questões: para quem? - audiências ou população alvo; o quê? - módulos de conteúdos e experiências de aprendizagem; para quê? - competências a serem desenvolvidas; e como? - metodologia a ser priorizada. Os resultados evidenciaram a procedência dos descritores propostos e avaliados, constituindo em material que pode contribuir para a tomada de decisão sobre educação permanente em atenção básica.Permanent education and basic care have been part of the Brazilian health system from the beginning. These public policies were recently updated, leading to an innovative knowledge construction movement to support their implementation and consolidation. This study, which used a quantitative approach, attempted to single-out the main descriptors that must guide the permanent basic care education processes. The method originated at the University of North Carolina and is carried out in two stages. The data shown in this article concern the

  11. Respostas fisiológicas da laranjeira 'Pêra' aos sistemas de manejo de cobertura permanente do solo nas entrelinhas Physiological responses of orange trees to permanent groundcover vegetation types

    Directory of Open Access Journals (Sweden)

    Jonez Fidalski

    2008-06-01

    Full Text Available A presença de plantas de cobertura permanente nas entrelinhas dos pomares pode comprometer a absorção de água e a fisiologia das laranjeiras. O objetivo deste estudo foi caracterizar as relações entre as variáveis fisiológicas das folhas das laranjeiras e o teor de água de um Argissolo Vermelho distrófico latossólico textura arenosa/média em sistemas de cobertura permanente do solo na entrelinha com gramínea "grama mato-grosso" ou "batatais" (Paspalum notatum, leguminosa amendoim forrageiro (Arachis pintoi e vegetação espontânea. O estudo foi realizado em um experimento de laranjeira 'Pêra', instalado em 1993, em Alto Paraná, no noroeste do Paraná. Entre 1999 a 2002, foram realizadas determinações do teor de água em camadas de solo estratificadas em 10 e 20 cm até 1 m de profundidade no centro da entrelinha e no limite da projeção da copa das laranjeiras, complementadas com medidas da taxa de fotossíntese, da condutância estomática e do potencial da água das folhas das laranjeiras. As respostas fisiológicas das folhas da laranjeira 'Pêra' apresentaram dependência específica aos teores de água das camadas de solo e dos sistemas de manejo da cobertura permanente nas entrelinhas. A condutância estomática das folhas da laranjeira dependeu dos teores de água da camada subsuperficial de textura média manejada com a leguminosa no centro da entrelinha. O potencial da água nas folhas da laranjeira mostrou-se dependente dos teores de água do solo na camada superficial arenosa sob o manejo da gramínea no centro da entrelinha e no limite da projeção da copa das laranjeiras. A manutenção das entrelinhas vegetadas com a gramínea no horizonte superficial arenoso aumentou a disponibilidade de água para as laranjeiras.The presence of a groundcover in-between tree rows in orange orchards can affect the water uptake and physiology of the orange trees. The objective of this study was to characterize the relationships

  12. Análisis morfométrico de los conductos radiculares del segundo molar superior permanente : evaluación comparativa entre grupos etarios.

    OpenAIRE

    Urrutia García, Daniel Alejandro

    2014-01-01

    Conocer el terreno donde se va a actuar es un requisito esencial para que el endodoncista pueda actuar con eficiencia. El segundo molar superior permanente (2MSP) es, quizás, una de las piezas más complejas y, a su vez, menos descripta en la literatura clásica respecto a su morfología externa y la configuración interna de sus conductos radiculares; sumando a esta carencia de información específica, los cambios que la edad producen en los mismos. El presente trabajo pretende analizar compara...

  13. Avances en materia de regulación mercantil y civil del comercio electrónico en México y los aspectos fiscales del establecimiento permanente

    OpenAIRE

    V. Ma. Antonieta Martin Granados

    2002-01-01

    A pesar de que en México se han realizado adiciones a la legislación en materia civil y mercantil relacionadas con el uso de medios electrónicos como instrumentos para realizar actos jurídicos, éstas resultan insuficientes, pues nada se ha hecho en materia procesal, penal y laboral, entre otras. En este trabajo se presentan, en materia fiscal, algunas consideraciones acerca del concepto de establecimiento permanente tanto en la legislación mexicana como en el Convenio Modelo (CM) de la Organi...

  14. Actitudes docentes y buenas prácticas con TIC del profesorado de Educación Permanente de Adultos en Andalucía

    OpenAIRE

    Fernández Batanero, José María; Torres González, José Antonio

    2015-01-01

    El presente artículo recoge los resultados de un estudio cuyo objetivo ha sido determinar las actitudes del profesorado de educación permanente de adultos de la comunidad autónoma de Andalucía, hacia el uso e integración de las Tecnologías de la Información y Comunicación (TIC) en sus respectivos centros, al mismo tiempo que identificar aquellos factores que favorecen el desarrollo de buenas prácticas. El diseño de investigación es de tipo descriptivo mixto. Las técnicas utiliz...

  15. Competencias emprendedoras del alumnado de educación permanente de Andalucía. Percepción del profesorado

    OpenAIRE

    Fernández Batanero, José María; Reyes Rebollo, Miguel María

    2015-01-01

    En el presente trabajo analizamos la percepción que tiene el profesorado de Educación Permanente de Personas Adultas en Andalucía (España) acerca del grado de presencia de competencias emprendedoras en su alumnado. Para dar respuesta al objetivo planteado adoptamos un diseño de investigación de tipo descriptivo, donde el enfoque de recolección y análisis de datos se ha definido como mixto, en el que se integran técnicas cualitativas (entrevistas en profundidad) y cuantitativas (cuestionario)....

  16. Factores asociados a pielonefritis y daño renal permanente en niños con primera infección febril del tacto urinario

    OpenAIRE

    Duarte Pérez, María Caridad

    2015-01-01

    La pielonefritis aguda (PNA) en la infancia, se asocia a la presencia de malformaciones nefro-urológicas y a un mayor riesgo de cicatrices renales, de ahí el interés de realizar el presente estudio prospectivo, longitudinal, descriptivo y analítico, con el objetivo de determinar los factores asociados con la misma y el daño renal permanente (DRP), en pacientes pediátricos con la primera infección febril del tracto urinario, que ingresaron en el Hospital Pediátrico “Juan Manuel Márquez”, del a...

  17. Estudo epidemiológico de 261 dentes permanentes avulsionados de pacientes tratados em um serviço de urgência odontológica

    OpenAIRE

    Guedes,Orlando Aguirre

    2012-01-01

    Objetivo: Avaliar os aspectos epidemiológicos e fatores clínicos da avulsão de dentes permanentes. Material e Método: A amostra do estudo era composta por 170 pacientes (261 dentes avulsionados) atendidos no Serviço de Urgência Odontológica da Faculdade de Odontologia da Universidade Federal de Goiás, entre os anos de 2000 e 2008. As seguintes informações foram retiradas dos registros odontológicos de cada paciente: gênero, idade, fator etiológico, distribuição sazonal, grupo dentário, número...

  18. Diagnóstico e análise de avarias em geradores síncronos de imanes permanentes aplicados em turbinas eólicas

    OpenAIRE

    Santos, Bruno Miguel Gomes dos

    2012-01-01

    A presente dissertação versa sobre os modos de avarias mais comuns em geradores síncronos de ímanes permanentes (GSIP), aplicados em turbinas eólicas, suas causas e consequências. Por conseguinte, serão referidos os métodos de diagnóstico mais utilizados para a detecção dessas avarias, será também modelizado o GSIP no funcionamento normal e em modo de avaria e por fim será efectuada a validação experimental desse mesmo modelo.

  19. Educação permanente e qualidade da assistência à saúde: aprendizagem significativa no trabalho da enfermagem

    OpenAIRE

    Fernanda Maria do Carmo da Silveira Neves de Oliveira; Emiliane Cunha Ferreira; Neide Angelica Rufino; Maria da Soledade Simeão dos Santos

    2011-01-01

    El objetivo de este artículo es analizar la educación permanente en la práctica de la enfermería. En la actualidad, existe preocupación por los cambios introducidos en la estructura de enseñanza y la aplicación de metodologías activas para capacitar profesionales de salud. En el artículo se reflexiona sobre aspectos cotidianos de la enfermería y la manera actual de suministrar o proporcionar información tecnocientífica al enfermero durante la práctica en el hospital, tratando de enriquecer la...

  20. Avalia??o biof?sica para o gerenciamento ambiental da ?rea de preserva??o permanente da bacia hidrogr?fica do Puraquequara

    OpenAIRE

    Pereira, Vanessa de Moura

    2013-01-01

    A floresta amaz?nica abriga a maior diversidade de plantas e animais dentre todos os biomas da Terra. Representa os ecossistemas de maior riqueza e diversidade no planeta e realiza servi?os ambientais de grande relev?ncia. Entretanto, mudan?as nesses ecossistemas v?m ocorrendo intensamente ? medida que aumenta a ocupa??o humana. Com a cria??o de ?reas de preserva??o permanentes, objetiva-se promover a prote??o do ambiente natural dessas ?reas que devem obrigatoriamente estar co...

  1. Parálisis facial permanente: corrección quirúrgica con la técnica de Labbé

    Directory of Open Access Journals (Sweden)

    Rubén Yangali

    2008-12-01

    Full Text Available La parálisis facial genera un gran déficit estético y funcional. Las diversas técnicas quirúrgicas han ido evolucionando, a fin de corregir este defecto de la forma más estructural y fisiológica posible. Consideramos que la mioplastia de alargamiento del temporal constituye actualmente la técnica de elección para corregir los casos de parálisis facial permanente.

  2. Busca autônoma por educação permanente e consolidação da identidade profissional crítica

    OpenAIRE

    Nilsen Aparecida Vieira Marcondes; Elisa Maria Andrade Brisola; Edna Maria Querido de Oliveira Chamon

    2015-01-01

    Refletir acerca da educação permanente como possibilitadora de aprimoramento intelectual, na perspectiva da competência profissional e da consolidação da identidade profissional crítica do assistente social, emerge como necessidade no atual contexto histórico, no qual o dinamismo societário caminha apressadamente.  Por meio de uma pesquisa qualitativa, utilizando-se da história oral, através de entrevista semiestruturada, alcançou-se conhecimento sobre as formas utilizadas pelos profissionais...

  3. La representación parlamentaria en América latina. Las comisiones permanentes y los partidos en el congreso

    Directory of Open Access Journals (Sweden)

    Luisa BÉJAR

    2009-04-01

    Full Text Available RESUMEN: El principal argumento de este escrito es que la heterogeneidad de los diseños institucionales que prima en el campo electoral en América Latina (Carroll y Shugart, 2005 también se reproduce en el parlamentario. El perfil morfológico del sistema de comisiones propio de cada Congreso y el lugar que la ley les asigna en el proceso legislativo son prueba evidente de ello. Mientras el marco normativo de algunas legislaturas no deja lugar a dudas en cuanto a la intención de delegar en los partidos las decisiones encomendadas a estos cuerpos; en otros casos, ello ocurre en menor medida. En los casos formalmente ceñidos a una lógica de partido, por otra parte, se alientan esquemas de delegación de corte muy diverso. En este escrito se revisa el acomodo institucional del sistema de comisiones de la Cámara Baja en: Argentina; Bolivia; Brasil; Colombia; Chile; México; Paraguay; República Dominicana y Uruguay. En este sentido, el estudio examina tanto la importancia concedida a su trabajo, como algunos aspectos de su morfología que afectan la estructura de incentivos que acota el desarrollo del proceso legislativo. Asimismo, se analizan los procedimientos utilizados en cada Congreso para enfrentar los problemas de acción colectiva. Por último, se presentan algunas ideas para la elaboración de una futura taxonomía sobre la relación que guardan en la región los partidos y las comisiones permanentes del Congreso.ABSTRACT: The main argument of this paper is that the heterogeneity of the institutional framework that prevails in Latin America’s electoral field (Carroll y Shugart, 2005, also reproduces itself in the parliamentary one. This is proved by the morphologic profile of each Congress’ commission system and the place that the law assigns to the system. While some legislative frameworks clearly intend to delegate to parties the decisions entrusted to this bodies; in other cases, this takes place in a less important way. In

  4. Biomasa microbiana y actividad ureasa del suelo en una pradera permanente pastoreada de Chile Soil microbial biomass and urease activity in a grazed permanent pasture from Chile

    Directory of Open Access Journals (Sweden)

    Pedro Antonio Núñez Ramos

    2012-12-01

    Full Text Available En los sistemas de pasturas; la productividad de la pradera puede estar influenciada por el manejo; debido a su impacto sobre los microorganismos del suelo y el reciclaje de nutrientes. El objetivo de este trabajo fue evaluar la biomasa microbiana (BM del suelo asociada al nitrógeno (BMN; carbono (BMC y la actividad ureasa (AU en una pradera permanente del sur de Chile. Entre la primavera de 2005 y el invierno de 2006 fueron evaluados dos sistemas de pastoreo: pastoreo intenso (PI; pastoreo suave (PS y un tratamiento control (C. El diseño fue en bloques al azar con tres repeticiones. En relación a los valores promedios medidos de las variables en pre y post pastoreo; se produjo un incremento en los contenidos de CB en un 21,8 y 8,6% para PI y PS; mientras que en el control fue sólo de 1,9%. Los contenidos de NB también fueron incrementados en un 16 y 19% para PI y PS; respectivamente en comparación con el control (4%. La actividad ureasa aumentó en 13 y 27% para PI y PS; respectivamente en comparación con el control (5%. El pastoreo; produce un flujo más alto de residuos orgánicos en el suelo; lo que estimula la actividad de la biomasa microbiana y; por tanto; aumentó la AU y los contenidos de CB y NB. Esto sugiere que; en los sistemas de pastoreo; se mejora la fertilidad biológica de los suelos y la disponibilidad de nutrientes.In pasture systems, management practices can affect pasture productivity differently due to their impact on soil microorganisms and nutrient cycling. The objective of this study was to evaluate the relationship between soil microbial biomass (MB nitrogen (MBN, carbon (MBC and urease activity (UA in a permanent pasture in southern Chile. Two grazing systems were evaluated between spring 2005 and winter 2006 : heavy grazing (HG, light grazing (LG and a control treatment (C. Treatments were arranged in a randomized block design with three replications. Concerning the average values of the variables measured at

  5. Pacific Tracker 2 - expert system (PacTrac2-ES) behavioural assessment and intervention tool for the Pacific Kids DASH for Health (PacDASH) study.

    Science.gov (United States)

    Novotny, Rachel; Nigg, Claudio; McGlone, Katalina; Renda, Gloria; Jung, Noah; Matsunaga, Masako; Karanja, Njeri

    2013-10-01

    The Pacific Tracker (PacTrac) is a computer program designed to analyse food intakes of individuals from the Pacific Region. PacTrac's original output included servings of daily intake of food groups according to the United States Food Guide Pyramid, nutrient intake recommendations, and a comparison to other national nutrition recommendations. PacTrac was made available for public use through the Hawaii Foods website (hawaiifoods.hawaii.edu). PacTrac2 is an updated and expanded version of PacTrac that uses the United States MyPyramid/MyPlate food groups in household units of daily intake, rather than servings. In addition, the PacTrac2 includes a physical activity analysis tool which quantifies minutes of physical activities and their intensities based on energy estimates from the compendium of physical activity and research on children. An Expert System (ES) - a computerised decision tree to guide behaviour change - was developed using information on self-efficacy and stage of readiness to change, and the fruit and vegetable intake and physical activity information from PacTrac2. The ES produces reports for the child, the parent/guardian, and the child's physician with child-specific strategies, targeted behavioural information, and feedback tailored to the child. PacTrac2-ES was designed for the Pacific Kids DASH for Health (PacDASH) intervention study, conducted in the Kaiser Permanente health care system in Hawaii. The intervention is based on the child's self-efficacy and stage of readiness to change intake of fruits and vegetables and physical activity, with a goal of maintaining body weight to prevent obesity. The intervention is complemented with stage-based mailers addressing the environment for physical activity and fruit and vegetable intake and newsletters that address related behaviours (sedentary activity and a DASH eating approach). This project is the first to expand the PacTrac to contain children's foods and physical activities from the Pacific

  6. Construcción narrativa de los vínculos de familias sustitutas permanentes del programa aldeas infantiles SOS Bogotá

    Directory of Open Access Journals (Sweden)

    Carlos Arturo Castelblanco

    2012-07-01

    Full Text Available Abstract This article presents a research intervention from a systemic approach-constructivist-constructionist based on the conversational narrative - the phenomenon is to understand the narrative construction of permanent substitute families of the ONG children’s villages SOS Bogota-Colombia in relation to the senses of family identity, belonging, permanence and organizational process associated with the construction of possibilities of welfare and autonomy. Participated two foster families consisting of mother, aunt, nine children or young people, as well as juvenile companions, the psychosocial team and management of the organization. The approach is qualitative design of conversational scenarios and reflective equipment. As results is understandable experience to link families based in the relational discursive dynamics, narrated, lived and validated in multiple ways and strategies against the dilemmas that live to build family in an organizational context. It redefines the concept of family as well, seeing it now as a metaphor, generative system where they develop and strengthen the dimensions of being, allowing their emancipation. It also covers the conversational narrative as reflective gear construction itself, which accounts for the self-adaptive learning context recursive structures in language. Resumen El presente artículo expone una investigación-intervención desde un enfoque sistémico-constructivista-construccionista basado en la narrativa conversacional, cuyo objeto consistió en comprender la construcción narrativa de los vínculos de las familias sustitutas permanentes de la ONG Aldeas Infantiles SOS Bogotá-Colombia, en relación con los sentidos de identidad familiar, pertenencia, permanencia y proceso organizacional, asociados a la construcción de posibilidades de bienestar y autonomía. Participaron dos familias sustitutas, constituidas por madre, tía social y nueve niños o jóvenes, además de acompa

  7. Blended learning en la formación permanente del profesorado . Aportaciones de asesores de formaci ón sobre modalidades formativas

    Directory of Open Access Journals (Sweden)

    Antonio Paniagua

    2017-01-01

    Full Text Available La revisión de los sistemas educativos en España pone de manifiesto la necesidad de encontrar nuevos enfoques en la formación permanente del profesorado de los niveles previos a la Universidad. Este estudio toma la experiencia de un grupo de asesores de formación permanente para realizar un análisis cualitativo de las ventajas e inconvenientes de las modalidades de formación que se emplean tradicionalmente y definir los parámet ros básicos de modalidades más acordes con las necesidades del profesorado como sucede con el proceso combinado propuesto por el paradigma de blended learning. A través de una metodología abierta, los participantes reflexionan libremente sobre estas materi as, llegando a conclusiones similares a las de otros estudios realizados hasta la fecha. El tratamiento de estos relatos se realiza informáticamente para favorecer una interpretación precisa de los datos recopilados.

  8. Busca autônoma por educação permanente e consolidação da identidade profissional crítica

    Directory of Open Access Journals (Sweden)

    Nilsen Aparecida Vieira Marcondes

    2015-12-01

    Full Text Available Refletir acerca da educação permanente como possibilitadora de aprimoramento intelectual, na perspectiva da competência profissional e da consolidação da identidade profissional crítica do assistente social, emerge como necessidade no atual contexto histórico, no qual o dinamismo societário caminha apressadamente.  Por meio de uma pesquisa qualitativa, utilizando-se da história oral, através de entrevista semiestruturada, alcançou-se conhecimento sobre as formas utilizadas pelos profissionais de Serviço Social na busca autônoma por educação permanente. Os resultados do estudo apontam que a totalidade dos entrevistados é unânime em afirmar que a qualificação continuada é de suma importância para a consolidação da identidade profissional crítica, potencialização das competências e das atribuições privativas dos assistentes sociais, contribuindo, assim, para a efetivação do Projeto Ético-Político da profissão, além de portar a tendência de se repercutir positivamente no alcance da qualidade dos serviços prestados.

  9. Qualidade física do solo em pomar de laranjeira no noroeste do paraná com manejo da cobertura permanente na entrelinha Soil physical quality in an orange orchard in northwestern parana as affected by groundcover management

    Directory of Open Access Journals (Sweden)

    Jonez Fidalski

    2007-06-01

    Full Text Available O tráfego de máquinas e a compactação do solo ocorrem próximo à copa das plantas de citros, aumentando as restrições físicas do solo ao crescimento das raízes. Estratégias de manejo incluem o uso de coberturas permanentes do solo nas entrelinhas de pomares de laranjeira, mas são desconhecidos os seus efeitos na qualidade física do solo. O objetivo deste estudo foi quantificar o impacto de sistemas de manejo com cobertura permanente do solo em alguns indicadores de qualidade física do solo em um pomar de laranjeira. O estudo foi realizado em um experimento de longa duração de laranjeira 'Pêra' sobre limoeiro 'Cravo' com sistemas de cobertura permanente do solo nas entrelinhas, no município de Alto Paraná, noroeste do Paraná, em um Argissolo Vermelho distrófico latossólico, com horizonte superficial de textura arenosa. Os tratamentos de cobertura permanente nas entrelinhas com a gramínea mato-grosso ou batatais (Paspalum notatum manejada com roçada e a leguminosa amendoim forrageiro (Arachis pintoi foram comparados ao manejo tradicional, em que a vegetação espontânea foi dessecada com herbicida pós-emergente. O delineamento experimental utilizado foi de bloco ao acaso com três repetições. Em maio de 2003, a amostragem de solo foi realizada sob rodado e entrerrodado das máquinas nas entrelinhas do pomar. As amostras indeformadas de solo obtidas no centro da camada de 0-15 cm de profundidade foram utilizadas para determinação dos seguintes indicadores: conteúdo de água na capacidade de campo, porosidade total do solo e densidade do solo, a partir dos quais foram estimados os indicadores capacidade de aeração do solo e capacidade de armazenamento de água do solo. Amostras de solo deformadas foram coletadas nas camadas de 0-5 e 10-15 cm de profundidade, para determinação dos teores de C orgânico do solo e cálculo da taxa de estratificação de C orgânico do solo. Os indicadores de qualidade do solo

  10. Implementing the Electronic Medical Record in the Exam Room: The Effect on Physician-Patient Communication and Patient Satisfaction

    OpenAIRE

    Nagy, Vivian Tong; Kanter, Michael H

    2007-01-01

    With the implementation of the electronic medical record—called HealthConnect—in all exam rooms throughout the Kaiser Permanente health care delivery system, how computers in the exam room affects physician-patient communication is a new concern. Patient satisfaction scores were obtained for all primary and specialty care physicians in a large medical center in Southern California to determine how scores changed as physicians started using HealthConnect in the exam room. Results show no signi...

  11. Modèle mathématique pour l'étude des équilibres physico-chimiques de permanentes.

    Science.gov (United States)

    Chiodi, F

    1989-12-01

    Résumé La plupart des permanentes du commerce sont constituées d'acide thioglycolique (éventuellement associéà l'acide thiolactique), neutralisé par l'ammoniac, elles sont additionnées de carbonate d'ammonium comme tampon. Le système peut etre traité comme la neutralisation d'un mélange d'acides thioglycolique et carbonique par l'ammoniac, et il est complètement défini par trois paramètres, trois concentrations, ou deux concentrations et le pH, ou trois paramètres analytiques indépendants. Les calculs théoriques de l'équilibre sont compliqués du fait qu'il s'agit de l'équilibre de deux diacides faibles neutralisés par une base faible. Un modèle mathématique développé exclusivement par des équations théoriques permet l'interprétation des équilibres et la réalisation des calculs fiable pour la préparation des formules remplissant certaines caractéristiques. Le modèle permet de réaliser facilement des simulations en faisant varier les concentrations, les acides (par la voie des constantes de dissociation) ou d'associer différents acids et/ou bases organiques ou minérales. Une application complémentaire du modèle est de tracer la courbe dérivée à la courbe de neutralisation et de cette façon mesurer l'effet tampon en différents points par la mesure de sa pente. Synopsis Mathematical model for the study of physico-chemical equilibria in permanent wave solutions Most waving lotions on the market are prepared with thioglycolic acid (eventually associated with thiolactic acid) neutralized with ammonium hydroxide and buffered with ammonium bicarbonate. The system can be treated as the neutralization of a mix of carbonic acid and thioglycolic acid by ammonia and it is completely defined by three parameters: three concentrations; or two concentrations and pH; or three independent analytical parameters. Theoretical calculations of the equilibrium are difficult because the equilibrium involves at least two weak acids with a weak base

  12. Valoración de las fases de calcificación de la dentición permanente. Estudio seccional en radiografías panorámicas.

    OpenAIRE

    Martinez Aldama, Gloria

    2015-01-01

    VALORACIÓN DE LAS FASES DE CALCIFICACIÓN DE LA DENTICIÓN PERMANENTE. ESTUDIO SECCIONAL DE RADIOGRAFÍAS PANORÁMICAS El OBJETIVO es llegar a conocernos mejor a nosotros mismos. Hicimos un estudio observacional para proveer datos radiográficos sobre el desarrollo postnatal de los siete dientes mandibulares inferiores izquierdos permanentes, los cuáles podrían usarse como norma para la referencia en la valoración de la edad en odontología clínica y forense, antropología e investigaciones....

  13. Valoración de las fases de calcificación de la dentición permanente. Estudio seccional en radiografías panorámicas.

    OpenAIRE

    Martinez Aldama, Gloria

    2015-01-01

    VALORACIÓN DE LAS FASES DE CALCIFICACIÓN DE LA DENTICIÓN PERMANENTE. ESTUDIO SECCIONAL DE RADIOGRAFÍAS PANORÁMICAS El OBJETIVO es llegar a conocernos mejor a nosotros mismos. Hicimos un estudio observacional para proveer datos radiográficos sobre el desarrollo postnatal de los siete dientes mandibulares inferiores izquierdos permanentes, los cuáles podrían usarse como norma para la referencia en la valoración de la edad en odontología clínica y forense, antropología e investigaciones....

  14. Primary Care Providers' Views of Recent Trends in Health Care Delivery and Payment. Findings from the Commonwealth Fund/Kaiser Family Foundation 2015 National Survey of Primary Care Providers.

    Science.gov (United States)

    2015-08-01

    A new survey from The Commonwealth Fund and The Kaiser Family Foundation asked primary care providers--physicians, nurse practitioners, and physician assistants--about their experiences with and reactions to recent changes in health care delivery and payment. Providers' views are generally positive regarding the impact of health information technology on quality of care, but they are more divided on the increased use of medical homes and accountable care organizations. Overall, providers are more negative about the increased reliance on quality metrics to assess their performance and about financial penalties. Many physicians expressed frustration with the speed and administrative burden of Medicaid and Medicare payments. An earlier brief focused on providers' experiences under the ACA's coverage expansions and their opinions about the law.

  15. Experiences and Attitudes of Primary Care Providers Under the First Year of ACA Coverage Expansion: Findings from the Kaiser Family Foundation/Commonwealth Fund 2015 National Survey of Primary Care Providers.

    Science.gov (United States)

    2015-06-01

    A new survey from The Kaiser Family Foundation and The Commonwealth Fund asked primary care providers--physicians, nurse practitioners, and physician assistants--about their views of and experiences with the Affordable Care Act (ACA) and other changes in health care delivery and payment, as well as their thoughts on the future of primary care. In this first brief based on the survey, many providers reported seeing an increased number of patients since the coverage expansions went into effect, but not an accompanying compromise in quality of care. A large majority of primary care providers are satisfied with their medical practice, but a substantial percentage of physicians expressed pessimism about the future of primary care. Similar to the population overall, providers' views of the ACA are divided along party lines. A second brief will report on providers' reactions to other changes occurring in primary care delivery and payment.

  16. Neuropathological research at the "Deutsche Forschungsanstalt fuer Psychiatrie" (German Institute for Psychiatric Research) in Munich (Kaiser-Wilhelm-Institute). Scientific utilization of children's organs from the "Kinderfachabteilungen" (Children's Special Departments) at Bavarian State Hospitals.

    Science.gov (United States)

    Steger, Florian

    2006-09-01

    During National Socialism, the politically motivated interest in psychiatric genetic research lead to the founding of research departments specialized in pathological-anatomical brain research, the two Kaiser Wilhelm-Institutes (KWI) in Berlin and Munich. The latter was indirectly provided with brain material by Bavarian State Hospitals, to three of which "Kinderfachabteilungen" (Special Pediatric Units) were affiliated. As children became victims of the systematically conducted child "euthanasia" in these Special Pediatric Units, this paper will address the question whether and to which extent the organs from victims of child "euthanasia" were used for (neuro-) pathological research at the KWI in Munich. By means of case studies and medical histories (with focus on the situation in Kaufbeuren-Irsee), I will argue that pediatric departments on a regular base delivered slide preparations, that the child "euthanasia" conduced in these departments systematically contributed to neuropathological research and that slide preparations from victims of child "euthanasia" were used in scientific publications after 1945.

  17. Race/Ethnicity and Adoption of a Population Health Management Approach to Colorectal Cancer Screening in a Community-Based Healthcare System.

    Science.gov (United States)

    Mehta, Shivan J; Jensen, Christopher D; Quinn, Virginia P; Schottinger, Joanne E; Zauber, Ann G; Meester, Reinier; Laiyemo, Adeyinka O; Fedewa, Stacey; Goodman, Michael; Fletcher, Robert H; Levin, Theodore R; Corley, Douglas A; Doubeni, Chyke A

    2016-11-01

    Screening outreach programs using population health management principles offer services uniformly to all eligible persons, but racial/ethnic colorectal cancer (CRC) screening patterns in such programs are not well known. To examine the association between race/ethnicity and the receipt of CRC screening and timely follow-up of positive results before and after implementation of a screening program. Retrospective cohort study of screen-eligible individuals at the Kaiser Permanente Northern California community-based integrated healthcare delivery system (2004-2013). A total of 868,934 screen-eligible individuals 51-74 years of age at cohort entry, which included 662,872 persons in the period before program implementation (2004-2006), 654,633 during the first 3 years after implementation (2007-2009), and 665,268 in the period from 4 to 7 years (2010-2013) after program implementation. A comprehensive system-wide long-term effort to increase CRC that included leadership alignment, goal-setting, and quality assurance through a PHM approach, using mailed fecal immunochemical testing (FIT) along with offering screening at office visits. Differences over time and by race/ethnicity in up-to-date CRC screening (overall and by test type) and timely follow-up of a positive screen. Race/ethnicity categories included non-Hispanic white, non-Hispanic black, Hispanic/Latino, Asian/Pacific Islander, Native American, and multiple races. From 2004 to 2013, age/sex-adjusted CRC screening rates increased in all groups, including 35.2 to 81.1 % among whites and 35.6 to 78.0 % among blacks. Screening rates among Hispanics (33.1 to 78.3 %) and Native Americans (29.4 to 74.5 %) remained lower than those for whites both before and after program implementation. Blacks, who had slightly higher rates before program implementation (adjusted rate ratio [RR] = 1.04, 99 % CI: 1.02-1.05), had lower rates after program implementation (RR for period from 4 to 7 years = 0.97, 99 % CI: 0

  18. La Educación Permanente en Bibliotecología y Archivología: relato de una experiencia universitaria en Uruguay (1994-2001

    Directory of Open Access Journals (Sweden)

    Edelweiss Zahn

    2013-12-01

    Full Text Available Se indica cómo han variado los roles de la información y la situación relativa de las unindades de información, la producción tecnológica de vías alternativas del almacenamiento documental, tales como las bilbiotecas virtuales o digitales, los archivos y museos electrónicos. El avance de la investigación y del conocimiento en cualquier disciplina, el crecimiento de expectativas y necesidades de formación y actualización por parte de los profesionales, nuevos requerimientos y desafíos en el ámbito laboral y social, y la implantación generalizada de nuevas tecnologías, se han conjugado para obligar a una reflexión profunda de las instituciones responsables de formación especializada. En las Universidades se plantean al menos tres niveles educativos: el grado, los posgrados, y la educación continua o permanente que involucre conocimientos teórico-prácticos y metodológicos, que contribuya a mejorar el desempeño y la jerarquía profesional en la línea de conocimientos "just in time", y que habilite a niveles superiores de conocimiento y a la investigación disciplinaria. Se define y caracteriza la eduación permanente como fenómeno educativo. Se relata el proceso de institucionalización de la Educación Permanente en la Universidad de la República y en la Escuela Universitaria de Bibliotecología y Ciencias Afines en particular. Se desarrollar criterios y políticas académicos, formas de financiación del programa, su evaluación y su proección a futuro. Se presentan datos estadísticos sobre cursos, profesores, y participantes en el período 1994-2001 en la EUBCA     

  19. Educação permanente e qualidade da assistência à saúde: aprendizagem significativa no trabalho da enfermagem

    Directory of Open Access Journals (Sweden)

    Fernanda Maria do Carmo da Silveira Neves de Oliveira

    2011-01-01

    Full Text Available El objetivo de este artículo es analizar la educación permanente en la práctica de la enfermería. En la actualidad, existe preocupación por los cambios introducidos en la estructura de enseñanza y la aplicación de metodologías activas para capacitar profesionales de salud. En el artículo se reflexiona sobre aspectos cotidianos de la enfermería y la manera actual de suministrar o proporcionar información tecnocientífica al enfermero durante la práctica en el hospital, tratando de enriquecer la asistencia de enfermería mediante la educación permanente. Se describen las prácticas trasformadoras aplicadas por el enfermero asistencial como elemento facilitador del proceso enseñanza-aprendizaje. Se lleva a cabo una revisión amplia de las bases de datos informáticas. En consecuencia, la selección de los textos se basa en los criterios de inclusión y exclusión, y dio origen a 50 artículos científicos. En años recientes, la educación permanente se introdujo como un método en el área de la salud, convirtiéndose en un aspecto indispensable en las prácticas de formación, atención, gestión, formulación de políticas públicas y control social. Así se estableció la idea de cuidado total y se trasformaron e integraron los saberes y las prácticas en el ámbito real del público al que va dirigido. Se concluye que la motivación para actualizar permanentemente la práctica profesional del equipo de enfermería prevé la aplicación de un instrumento interdisciplinario de solubilidad que promueva la visibilidad de las acciones por los clientes y sus familias.

  20. Educação permanente em saúde e no trabalho de enfermagem: perspectiva de uma práxis transformadora Educación permanente en salud y en el trabajo de enfermería: perspectiva de una praxis transformadora Permanent education in health and nursing work: perspective of a transformative praxis

    Directory of Open Access Journals (Sweden)

    Luiz Anildo Anacleto da Silva

    2010-09-01

    Full Text Available Trata-se de uma reflexão teórica que tem por objetivo estimular os leitores a repensar o papel da educação permanente dos sujeitos-trabalhadores da saúde e de enfermagem na perspectiva do desenvolvimento individual e coletivo, por meio da práxis transformadora. Procurou-se fazer uma articulação reflexiva dos princípios da práxis transformadora apresentada pelo filósofo Adolfo Sánchez Vázquez com os preceitos de educação permanente em saúde e no trabalho de enfermagem. Tal articulação apresenta uma concepção educativa em prol da conscientização dos sujeitos-trabalhadores sobre as distintas contribuições pessoais, sociais, relacionais e institucionais que podem advir das diferentes formas de perceber e exercer a educação permanente em saúde e no trabalho da enfermagem.Se trata de una reflexión teórica que tiene el objetivo de estimular los lectores a repensar el papel de la educación permanente de los sujetos-trabajadores de la salud y de la enfermería en la perspectiva del desarrollo individual y colectivo a través de la praxis transformadora. Hicimos una reflexión buscando articular los principios de la praxis transformadora presentado por el filósofo Adolfo Sánchez Vázquez con los preceptos de la educación permanente en salud y en el trabajo de la enfermería. Esta articulación presenta un concepto educativo en favor de la concienciación de los sujetos-trabajadores acerca de las distintas contribuciones personales, sociales, relacionales e institucionales que se puede resultar de diferentes maneras de percibir y ejercer la educación permanente en salud y en el trabajo de la enfermería.This is a theoretical reflection which the objective to encourage readers to rethink the role of permanent education of the subject-worker health and nursing in the perspective of individual and collective development through transformative praxis. We tried to make a thoughtful articulation about principles of

  1. Movements of permanent health education triggered by the training of facilitators Movimientos de la educación permanente en salud desencadenados a partir de la formación de facilitadores Movimentos da educação permanente em saúde, desencadeados a partir da formação de facilitadores

    Directory of Open Access Journals (Sweden)

    Cinira Magali Fortuna

    2011-04-01

    Full Text Available This study mapped the movements of Permanent Health Education in the region of Araraquara, São Paulo, Brazil, begun by the Permanent Health Education Facilitators program, promoted by the Ministry of Health and the National School of Public Health. This qualitative study was grounded on the theoretical framework of institutional and schizoanalysis. Data were collected from operative groups of individuals who finished the program. The results were grouped into two plans: micropolitics and organization. Micropolitics indicates the production of different concepts concerning permanent education and different ways to establish it. Autonomy and control and also a tenuous relationship between tutorship and autonomy were highlighted, in the plan of organization. In conclusion, the program was an important device that suffered captures/overcoding but also produced changes in practice.Se tuvo por objetivo cartografiar los movimientos de educación permanente en salud, en la región de Araraquara, Sao Paulo, Brasil, iniciados a partir del curso de Facilitadores de Educación Permanente en Salud, del Ministerio de la Salud y Escuela Nacional de Salud Pública. Es un estudio de abordaje cualitativo, sustentado por el referencial teórico del análisis institucional en la línea esquizoanalítica, siendo los datos recolectados mediante grupos operativos con alumnos terminando el referido curso. Los resultados fueron agrupados en dos planos: micropolítica y organización. Con relación a la micropolítica, apuntan que hubo producción de diferentes conceptos sobre educación permanente y diferentes formas de institucionalización de la misma. En el plano de la organización se destacan la autonomía y el control y también la tenue relación entre tutela y autonomía. Concluimos que el curso fue un importante dispositivo que sufrió capturas, pero también produjo cambios en las prácticas.Tem-se, aqui, por objetivo, cartografar os movimentos de educa

  2. Mediación de la cultura docente en los proyectos de formación permanente (Mediation of culture teaching in lifelong learning projects (Médiation de la culture de l'enseignant dans les projets de formation continue (Mediação da cultura docente nos projectos de formação permanente

    Directory of Open Access Journals (Sweden)

    Rosa Amaya-de Rebolledo

    2010-12-01

    Full Text Available ResumenLa formación permanente del docente juega un papel clave en el cambio educativo; sin embargo, su con- creción práctica representa un reto epistemológico y metodológico. La problemática ha sido abordada des- de diferentes ángulos, en los cuales la relación entre cultura docente y formación permanente no ha sido claramente desvelada. En este artículo, que constituye un avance en la investigación de tesis doctoral de la Facultad de Ciencias de la Educación de la Universidad de Carabobo, se analiza por qué la cultura docente necesita ser reconocida como una realidad dinámica, dialéctica y relacional que afecta la calidad de la for- mación permanente del docente venezolano.AbstractThe continuous training of the teacher plays a key role in educational change; however, to take it to the practice rep- resents an epistemological and meth- odological challenge. The problem has been approached from different angles, where the relation between culture of the teacher and continuous training has not been clearly discussed. In this article, which constitutes an advance in the investigation of doctoral thesis of the Faculty of Sciences of the Education of Carabobo's University, it is analyzed why the culture of the teacher needs to be recognized as a dynamic reality, dialectic and relational that affects the quality of the continuous training in Venezuelan.RésuméLa formation continue des enseignants joue un rôle essentiel dans le changement éducatif, cependant, sa concrétion prati- que représente un défi épistémologique et méthodologique. La problématique a été envisagée dès perspectives différen- tes, dans lesquelles la relation entre la culture de l'enseignant et la formation continue n'a pas encore été nettement dévoilée. Dans cet article, qui constitue une avance dans la recherche de thèse doctorale de la Faculté de Sciences de l'Éducation de l'Université de Carabobo, on

  3. Determinação experimental da condutividade e difusividade térmica de grãos em regime permanente

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    PARK Kil Jin

    1999-01-01

    Full Text Available Foram determinadas experimentalmente em regime permanente a difusividade e a condutividade térmica de materiais biológicos. O equipamento com termopares de Cobre-Constantan dispostos radialmente no interior do cilindro conectados a uma unidade registradora de dados acoplados a um microcomputador fornece a leitura das temperaturas dos termopares. Os valores obtidos de difusividade (1,12x10-4 m2/s e condutividade térmica (0,138W/moC para o trigo (Triticum aestivum e os valores de difusividade (1,67x10-4 m2/s e condutividade térmica (0,122W/moC para o arroz em casca (Orysa sativaconcordam com os valores encontrados nos ASAE STANDARTS [1], demonstrando a funcionalidade do equipamento.

  4. REFORMAS EDUCATIVAS Y FORMACIÓN PERMANENTE DEL PROFESORADO EN LA ÚLTIMA OBRA DE JULIA VARELA: MEMORIA Y OLVIDO

    Directory of Open Access Journals (Sweden)

    Alberto Luís Gómez

    2009-01-01

    Full Text Available En este artículo se analizan la complejidad del proceso de construcción de los Centros de Profesores y el papel desempeñado por una diversidad de instancias y personas que, desde distintos puntos de vista, defendieron su articulación dentro del más amplio campo de la formación permanente del profesorado español entre 1983 y 1990. Habiendo tomado como punto de partida de nuestras reflexiones el último libro de Julia Varela ¿Las reformas educativas a debate (1982-2006¿ defendemos tanto su interés como la asimetría existente entre la relevancia política de esta obra y su debilidad historiográfica.

  5. TICS en la formación inicial y permanente del profesorado educación especial: Universidad de Costa Rica

    OpenAIRE

    Echeverría Sáenz, Ana Cristina

    2011-01-01

    La Escuela de Orientación y Educación Especial de la Universidad de Costa Rica requiere conocer cómo mejorar la formación inicial y permanente del profesorado de Educación Especial, y la innovación educativa, en el campo de las Tecnologías de la Información y la Comunicación. El presente trabajo pretende realizar un análisis de las TIC, a partir de la opinión del profesorado y de los estudiantes universitarios de Educación Especial sobre: a) la función qué tienen las herramientas tecnológi...

  6. As áreas de preservação permanente no Brasil: a percepção de especialistas

    OpenAIRE

    Neiva, Sigrid de Aquino

    2009-01-01

    As larguras das áreas de preservação permanente (APP) ao longo dos cursos d’água estipuladas pelo Código Florestal, assim como as variáveis técnicas que podem afetá-las foram a inspiração para a realização desta pesquisa. O Código Florestal, lei nº 4.771, de 15 de setembro de 1965, foi estabelecido com o intuito de manter florestas nativas nas propriedades rurais, estabelecendo o limite de propriedade. Definiu áreas que seriam de proteção perpétua por lei (APP e RL) e em que deveriam se...

  7. Estrategia pedagógica de contenido humanista en la formación permanente del profesor de medicina general Integral de la Facultad Dr.Salvador Allende

    OpenAIRE

    Güemez Junco , Francisca

    2014-01-01

    Las condiciones del mundo actual, amenazan la existencia humana y colocan en un primer plano el problema del hombre y sus valores, planteando a la formación de profesionales la contradicción entre la formación humanista y la formación tecnocrática. La formación Médica enfrenta dificultades para la formación humanista. El profesor encargado de la formación médica carece de preparación en su formación inicial y permanente para el desempeño de la función docente educativa. La presente investigac...

  8. As determinantes da implantação do inventário permanente em Portugal: um estudo empírico

    OpenAIRE

    Almeida, José Joaquim Marques de; Coimbra, Pedro; Larguinho, Manuela

    2004-01-01

    O Decreto-lei n.º 79/2003, de 23 de Abril, aperfeiçoa o Decreto-lei n.º 44/99, de 12 de Fevereiro, ambos foram emitidos pelo Ministério das Finanças de Portugal, e determinam, por razões de gestão, a obrigatoriedade da adopção do inventário permanente a um vasto conjunto de empresas portuguesas, dos sectores comercial, serviços ou industrial. Pressupõem, ex-ante, que a aplicação do supracitado inventário permite a determinação directa do custo das vendas, o aperfeiçoamento do sistema de co...

  9. Respuesta a seis dosis de P y de cal en el establecimiento de praderas permanentes en dos tipos de suelos gallegos a monte

    OpenAIRE

    Mombiela, Francisco A.; Mateo, Mª Elisa

    2011-01-01

    La deficiencia en P y la acidez son dos de los componentes de la fertilidad química del suelo, que más limitan el establecimiento de praderas permanentes en terrenos gallegos a monte. En este trabajo se examina el efecto de 6 dosis de P (0, 10, 20, 40, 80 y 160 Kg. P/Ha. y 6 de cal (0; 0,75; 1,5; 3; 6 y 12 Tm. C03Ca/Ha.) sobre la producción de materia seca de una pradera mixta (raigrás inglés, raigrás italiano, trébol blanco y trébol violeta) en un suelo sobre granito (M. San Antón) y otro so...

  10. Deformación permanente de materiales granulares en pavimentos flexibles: estado del conocimiento Permanent strain of granular materials in flexible pavements: state of the art

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    Hugo Alexánder Rondón

    2009-01-01

    Full Text Available Diversos estudios han sido desarrollados en el área de los pavimentos para comprender el comportamiento elastoplástico que experimentan materiales granulares bajo carga cíclica. Este es el segundo de dos artículos que presentan el estado del conocimiento de investigaciones desarrolladas en esta área. Basado en una amplia revisión bibliográfica, este artículo da cuenta de la forma como ha sido estudiado el fenómeno de deformación permanente en materiales granulares empleados para conformar capas de base y sub-base de estructuras de pavimentos flexibles. Además, se exponen y se discuten los factores que afectan la resistencia a la deformación permanente y la evolución de las ecuaciones matemáticas desarrolladas para predecir la deformación que experimentan estos materiales bajo carga cíclica. Un estado del conocimiento sobre el comportamiento resiliente de estos materiales es presentado en el primer artículo (Rondón y Reyes, 2007.Several studies have been conducted in pavement field for trying to understand the elastoplastic behavior experienced by granular materials under a cyclic load. This is the second out of two articles which show state-of-the-art of researches conducted in this field. Based on a wide literature review, this article accounts for the way how permanent strain phenomenon has been studied in granular materials used for creating base and sub-base layers of flexible pavement structures. Besides, this article displays and discusses factors which affect resistance to permanent strain and evolution of mathematical equations developed for predicting that strain experienced by these materials under a cyclic load. A state-of-the-art about resilient behavior of these materials has been presented in the first article (Rondón and Reyes, 2007.

  11. Política de Educação Permanente em Saúde: análise de sua implementação

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    Katerine Gonçalves Moraes

    2015-12-01

    Full Text Available Introdução: A política nacional de educação permanente em saúde define novas diretrizes para a gestão democrática na área da educação na saúde, tais como: a gestão participativa, o protagonismo dos trabalhadores e usuários e o fortalecimento do controle social. Objetivo: Analisar o processo de implementação da Política de Educação Permanente em Saúde no Distrito Federal, Brasil. Métodos: Estudo de caso utilizando a teoria da política pública foi realizado no Distrito Federal, envolvendo 24 participantes chave responsáveis pela gestão e implementação dessa política. Resultados: Os achados apontam para um modelo centralizado de gestão com pouca participação de outros segmentos da sociedade civil, obstáculos de financiamento devido a questões burocráticas e desvalorização dos espaços de execução da política. Conclusão: Pode-se concluir que as mudanças políticas e de gestão não têm sido realizadas com a amplitude necessária para a construção coletiva do conhecimento nos serviços de saúde.

  12. Nuevos retos para el profesorado de secundaria obligatoria: formación permanente para la atención a la diversidad en las aulas (New challenges for teachers of compulsory secondary: lifelong learning for attention to diversity in the classrooms (Nouveaux défis pour le professorat de secondaire obligatoire :formation permanente pour l’attention à la diversité dans la salle de classe (Novos desafios para os professores do ensino médio obrigatório: formação permanente para a atenção à diversidade na sala de aula

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    Mar Prats

    2009-12-01

    Full Text Available La llegada reciente de alumnos inmigrantes a los centros educativos en España ha enfrentado al profesorado a nuevos retos. El presente artículo pone de manifiesto cuáles son estos nuevos retos que afrontan los docentes de la etapa de Educación Secundaria Obligatoria, ESO, a partir de sus propias voces, para conocer las necesidades formativas derivadas de esta situación educativa, con el fin de hacer propuestas de formación permanente para los docentes, como apoyo institucional en la atención de la diversidad de alumnado que coexiste en las aulas. Utilizando como método el estudio de casos múltiples hemos analizado e interpretado la información que conduce a conclusiones prácticas, con muchas posibilidades de ser tenidas en cuenta para la formación permanente de los implicados.

  13. El desenvolupament professional permanent del professorat a Anglaterra Continuing professional development for teachers in England El desarrollo profesional permanente del profesorado en Inglaterra

    Directory of Open Access Journals (Sweden)

    Brenda Gay

    2011-09-01

    écentes, il examine l’efficacité des différents types de développement professionnel de l’enseignement. Un des aspects mis en avant dans cet article est le passage d’une formation basée sur l’acquisition de connaissances spécifiques de la matière de spécialité à une formation qui recherche un développement des compétences d’enseignement.This article explains teacher training in England, starting with a brief description of the education system and a historical review of initial teacher training. It then goes on to discuss a series of issues concerning continuing professional development for teachers. Special attention is given to some of the contradictions within the system. Firstly, it is pointed out that there is often a conflict between professional teacher development as seen from the point of view of the individual and what is envisaged in the school development plan. Secondly, the variety of training service providers and types of financing are reviewed and finally, on the basis of evidence provided by recent research studies, the effectiveness of different types of professional teacher development is appraised. An aspect which is highlighted in this article is the changeover from a training based on the acquisition of knowledge specific to the specialist subject to a model which seeks to develop teaching skills.Este artículo explica la formación docente en Inglaterra, a partir de una breve descripción del sistema educativo y un repaso histórico a la formación inicial del profesorado. A continuación, se examinan una serie de cuestiones relativas al desarrollo profesional permanente del docente. Se hace especial incidencia en algunas de las dicotomías del sistema: en primer lugar, se señala que a menudo existe un conflicto entre el desarrollo profesional docente considerado desde el punto de vista del individuo y lo que contempla el plan de desarrollo de la escuela; en segundo lugar, se pasa revista a la variedad de proveedores de servicios

  14. Resultados da correção cirúrgica da exotropia permanente em pacientes amblíopes e não-amblíopes

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    Adriana Valim Portes

    2011-08-01

    Full Text Available A exotropia permanente (XT acomete cerca de 1 a 2% da população. Seu tratamento é clínico: antiambliogênico e correção dos erros refrativos, e cirúrgico. O objetivo do tratamento cirúrgico é alinhar os olhos na posição primária do olhar, proporcionando melhor resultado estético. Há muito tempo diversos autores estudam os fatores pré, per e pós-operatórios relacionados ao resultado cirúrgico, uma vez que a taxa de sucesso varia de 60 a 80%. Ainda são poucos os estudos que comparam a presença de ambliopia como fator de influência no resultado final. OBJETIVO: Comparar o resultado cirúrgico dos pacientes amblíopes e não-amblíopes submetidos à cirurgia de correção de XT. MÉTODOS: Análise retrospectiva de 37 prontuários de pacientes amblíopes (Grupo A e não-amblíopes (Grupo B submetidos à correção cirúrgica de XT por retrocessoressecção monocular, sendo avaliados os registros pós-operatórios imediatos e tardios. Idade: grupo A 24,7 ± 14,2 anos, grupo B 22,6 ±18,6 anos; Desvio pré-operatório: grupo A 29,1± 7,2Δ, grupo B 28,4 ± 6,8Δ. RESULTADOS: A taxa de sucesso foi de 60% e 100% (p<0,05, no pós-operatório imediato e 50% e 82,3% (p=0,082, no pós-operatório final, nos grupos A e B, respectivamente. Não houve diferença significante quanto aos desvios pós-operatórios imediatos, tardios e variação do desvio. CONCLUSÃO: Pode-se concluir que o grupo B mostrou melhor resultado no pós-operatório imediato; porém não houve diferença no resultado cirúrgico de correção de exotropia permanente entre pacientes amblíopes e não-amblíopes no período pós-operatório de seis meses.

  15. ESTUDIO DE LA AGRODIVERSIDAD TEMPORAL Y PERMANENTE EN FINCAS DE LA PALMA, PINAR DEL RÍO Y GIBARA, HOLGUÍN

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    Dania Vargas Blandino

    2011-01-01

    Full Text Available Actualmente, debido a la actividad antropogénica y aldesarrollo industrial, se está produciendo una erosión de la diversidadbiológica, incluida la agrodiversidad manejada por los agricultores.En Cuba, a partir de la década de los 90, se produjo un periodo detransición de la agricultura, donde se pasó al rescate de las variedadescriollas de los principales cultivos en el sector estatal y a formas deproducción con un enfoque agroecológico, para adaptarnos a lacrisis que tuvo el país. En el siguiente estudio se evaluó en doslocalidades la agrodiversidad temporal y permanente (plantas leñosascon más de 3 m de altura mantenida y manejada en las fincas porlos agricultores. Se hizo un inventario de la agrodiversidad porlocalidad, donde se muestrearon las áreas de cada parcela de cultivoy las de árboles, para calcular los índices de diversidad Margalef yShannon Weaver, y conocer la riqueza y representatividad de lasespecies dentro de la finca. Se observó que las fincas de Pinar delRío son más diversas en cuanto a riqueza y representatividad de lasespecies de los cultivos temporales y permanentes que las deHolguín; también las áreas de cultivos de especies perennes paralas dos localidades son más equilibradas en cuanto a riqueza yrepresentatividad en la finca que las de cultivos temporales, debidoa que en estos se practica más el monocultivo y se ve en cada fincaun cultivo principal. Se evidenció que los agricultores son capacesde conservar la agrodiversidad, principalmente las especies criollaso locales. Con este estudio se abordaron dos métodos de trabajo(inventario de especies y cálculo de los índices de diversidad y seobtuvieron resultados similares para ambos lugares, donde las áreasde arboledas son más estables que las de cultivos temporales.

  16. Human heredity and politics: A comparative institutional study of the Eugenics Record Office at Cold Spring Harbor (United States), the Kaiser Wilhelm Institute for Anthropology, Human Heredity, and Eugenics (Germany), and the Maxim Gorky Medical Genetics Institute (USSR).

    Science.gov (United States)

    Adams, Mark B; Allen, Garland E; Weiss, Sheila Faith

    2005-01-01

    Despite the fact that much has been written in recent years about the science of heredity under the Third Reich, there is as yet no satisfying analysis of two central questions: What, if anything, was peculiarly "Nazi" about human genetics under National Socialism? How, under whatever set of causes, did at least some of Germany's most well-known and leading biomedical practioners become engaged in entgrenzte Wissenschaft (science without moral boundaries)? This paper attempts to provide some answers to these two questions comparing three institutes that studied eugenics and human heredity in the 1920s and 1930s: the Eugenics Record Office at Cold Spring Harbor, New York, directed by Charles B. Davenport; the Kaiser Wilhelm Institute for Anthropology, Human Heredity and Eugenics, in Berlin, directed by Eugen Fischer; and the Maxim Gorky Medical Genetics Institute in Moscow, directed by Solomon G. Levit. The institutes are compared on the basis of the kind and quality of their research in eugenics and medical genetics, organizational structure, leadership, patronage (private or state), and the economic-social-political context in which they functioned.

  17. Propuesta de un plan permanente de relaciones públicas para educar adolescentes sobre los riesgos que existen en las redes sociales

    Directory of Open Access Journals (Sweden)

    Gina Gilbert Toral

    2014-06-01

    redes sociales, utilizadas como un medio de comunicación altamente efectivo; hoy en día existe un notorio cambio en la manera en que los adolescentes se relacionan e interactúan entre sí, se evidencia que los niños a temprana edad adquieren dominio sobre las redes sociales y el internet en general, por lo que están expuestos a peligros de tipo psicológico, tales como: ciberbullying, sexting, grooming y morphing. Por lo antes expuesto, y con el fin de incidir de manera positiva en los adolescentes, el presente trabajo de investigación propone la creación de un plan permanente de relaciones públicas, que entre otras actividades conlleva: charlas de psicología, talleres de concientización, la elaboración de un código de conducta online que minimice los riesgos, y finalmente el desarrollo de campañas en internet y medios tradicionales.

  18. Trabajo con Comunidades y Grupos: Dominación y resistencia. Procesos que nos llevan a plantear tareas permanentes y cotidianas

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    Teresita Cordero Cordero

    2006-05-01

    Full Text Available Este trabajo presenta algunas ideas con respecto a las tareas permanentes y cotidianas, que se sugieren considerar en el trabajo colectivo en las comunidades y con los grupos en los que participamos. La convivencia humana, como práctica socio-cultural se convierte en una de las vivencias más complejas e importantes que son capaces de gestar lo que en el mundo actual llamamos organización, cumpliendo la función de ser un medio eficaz para resolver necesidades de todo tipo. As los procesos colectivos de relación y configuración de las acciones, se realizan por las posibilidades de recrear, crear y potenciar los espacios grupales. No obstante, lo ideal que puede significar el trabajo colectivo, este suele estar permanentemente desafiado por avances y retrocesos, ingresos y salidas de personas, por conflictos y acuerdos que se resuelven o no, así como, por la acción práctica mediada por el contexto social, histórico, político y económico en que se desenvuelve. Las ideas surgen de la experiencia de la autora, en conjunto con grupos de mujeres organizadas, en la atención infantil comunitaria. Este material se presentó en el contexto del Séptimo Congreso de Psicología de la Liberación, celebrado en Liberia, Costa Rica en noviembre del 2005.

  19. Aporte del Tribunal Permanente de Revisión al proceso de integración del MERCOSUR: reflexiones orientadas hacia la sociedad civil del MERCOSUR

    Directory of Open Access Journals (Sweden)

    Carlos Hugo Centurión

    2017-04-01

    Full Text Available La función que compete al Tribunal Permanente de Revisión-TPR en el Mercado Común del Sur-MERCOSUR, y más específicamente en cuanto a su real contribución a nuestro proceso integracionista, tuvo y tiene opiniones divididas. La función y utilidad de este órgano, así como la del mismo MERCOSUR, tiene simpatizantes y detractores en todos los Estados Partes. Muchas veces, las opiniones que se muestran contrarias y desfavorables son fruto del desconocimiento; otras son producto de aquello sobre lo cual se cree tener suficientes elementos de juicio cuando en realidad es todo lo contrario. En el presente artículo, el autor pretende ubicar al lector, sean estos operadores del Derecho, o ciudadanos con inquietudes de la Sociedad Civil Organizada, y partiendo de determinados ejemplos prácticos –a modo de análisis desde la casuística– dejar a criterio de la gente disipar las dudas que pudieran existir.

  20. La formación inicial y permanente del profesorado de Educación Física a través del practicum

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    Herminia María García Ruso

    2013-05-01

    Full Text Available En este artículo se muestran los aspectos más importantes del desarrollo de un proyecto de innovación educativa realizado durante las prácticas de enseñanza. En el proyecto intervinieron cuatro alumnos, futuros maestros especialistas de Educación Física, cuatro tutoras y dos supervisoras. Trataremos de exponer, con cierto matiz descriptivo, las fases seguidas en la realización de un proyecto de investigación-acción, los objetivos formulados, la metodología empleada, la elaboración de una unidad didáctica de expresión corporal y el análisis e interpretación de la información. Finalmente, explicaremos las conclusiones que giran alrededor de tres ejes: la relación de la Universidad y los Centros Educativos, la relación del supervisor y el tutor, y la valoración del propio seminario de investigación-acción como herramienta para la investigación y la formación inicial y permanente del profesorado.

  1. Técnica para identificar faltas transitorias y permanentes en líneas de transmisión, utilizando la transformada Wavelet

    Directory of Open Access Journals (Sweden)

    Miguel Martínez

    2009-01-01

    Full Text Available En el presente documento, se presenta un algoritmo que permite distinguir de forma clara y precisa, las faltas transitorias de las permanentes. Adicionalmente se determina el instante de extinción del arco secundario, para así evitar o controlar de forma efectiva y segura la operación de reconexión monofásica en sistemas de transporte de energía. El método de identificación se basa en la determinación de las características de alta frecuencia que posee la señal de tensión de la fase en falta antes del despeje y de la corriente en una fase sana y las relaciona de forma independiente mediante una auto-correlación cruzada. Para el análisis de la señal y extracción de los componentes de alta frecuencia, se ha utilizado la transformada Wavelet. El algoritmo propuesto se probó en un sistema base de 380 kV, funcionando de forma correcta en todos los escenarios planteados y logrando una identificación precisa en los primeros 25 ms de la falta.

  2. A indeterminação sob suspeita no cinema brasileiro contemporâneo: os distintos casos de Filmefobia e Pan-cinema permanente

    Directory of Open Access Journals (Sweden)

    Ilana Feldman

    2011-01-01

    Full Text Available Dentre alguns filmes brasileiros recentes - sobretudo aqueles tomados por documentais - que investem na autoficção e na problematização das próprias prerrogativas, colocando sob suspeita seus procedimentos ou produzindo suas próprias esquivas, privilegiaremos Filmefobia (Kiko Goifman, 2009 e Pan-cinema permanente (Carlos Nader, 2008, que, a despeito de suas evidentes diferenças e de seus distintos efeitos estéticos e políticos, operam em um horizonte biopolítico de indeterminação: tais como o trânsito entre autenticidade e encenação, pessoa e personagem, experiência e jogo, vida e performance, documentário e ficção. Longe do simples elogio às potencias estéticas da indeterminação, que, como veremos, podem operar politicamente como condição do cinismo e de toda sorte de estados de exceção, trata-se de colocar o conceito sob suspeição.

  3. Impacto de la Educación Permanente en Salud en la calidad de las prácticas de atención hospitalaria

    Directory of Open Access Journals (Sweden)

    Fernando Martinicorena

    2004-01-01

    Full Text Available Con el propósito de evaluar el impacto de la Educación Permanente en Salud (EPS sobre la calidad de las prácticas de atención en los Hospitales del Subsector Público de la Provincia de Buenos Aires, durante 2001 se realizó una investigación descriptiva cuyos resultados se exponen en este artículo. Se presentan las conclusiones obtenidas de tres áreas indagadas: la percepción de la prácticas del trabajador una vez capacitado con estrategias de EPS, la evaluación de los diseños de Planes de Estudios y el impacto de ambos sobre la Calidad de las Prácticas de Atención hospitalaria. Finalmente, se realizan algunas recomendaciones dirigidas a los sectores Técnico-políticos para la implementación de estrategias descentralizadas de capacitación a trabajadores de la Salud, a los Equipos de Capacitación en Salud que organizan, planifican, monitorean y evalúan los Planes de estudios utilizados, y a los responsables del diseño de políticas educativas en salud, enfocadas en el impacto que producen en la calidad de las prácticas de atención hospitalaria en la provincia.

  4. A Origem Histórica do Conceito de Área de Preservação Permanente no Brasil

    Directory of Open Access Journals (Sweden)

    Glaucus Vinicius Biasetto Ribeiro

    2011-01-01

    Full Text Available A nossa atualidade vem sendo marcada por uma crescente preocupação com as questões ligadas ao meio ambiente e com a preservação do nosso planeta. De uma maneira geral o aquecimento global, a influência antrópica, a degradação de ambientes naturais, os processos ecológicos, a biodiversidade, a sustentabilidade, bem como a cidadania ambiental tem se tornado temas de discussão nas diversas esferas de convívio social.Dentro da história brasileira podemos identificar uma série de regramentos de caráter ambiental considerando-se como marco a Lei 4.771 de 15 de setembro de 1965, que instituiu o novo Código Florestal Brasileiro. Ao longo do presente artigo procuraremos investigar a origem da conceituação das áreas de preservação permanentes, tema alvo de grandes discussões na atualidade, tal qual surgiu e foi inserida na legislação brasileira, procurando recuperar esse aspecto específico da história do Brasil.

  5. Prevalência de cárie em dentes permanentes de escolares do Município de São Paulo, SP, 1970-1996

    Directory of Open Access Journals (Sweden)

    Paulo C Narvai

    2000-04-01

    Full Text Available OBJETIVO: Estudar a evolução da prevalência de cárie em dentes permanentes da população infantil do Município de São Paulo, SP, no período 1970-1996, com base em levantamento epidemiológico em escolares das redes pública e privada de ensino. MÉTODOS: Utilizando metodologia recomendada pela Organização Mundial da Saúde, foram examinados 2.491 escolares de 103 unidades das redes de ensino público e privado. Foi obtida amostra probabilística, com base no cadastro das escolas do município. Os elementos amostrais foram identificados ao acaso. RESULTADOS: Observou-se que de uma situação de prevalência "muito alta" de cárie dentária nos anos 60 e 70, a população de referência evoluiu positivamente, na idade-índice de 12 anos, para um quadro de "baixa" prevalência. CONCLUSÃO: Entre 1986 e 1996 o declínio na cárie dentária, aos 12 anos de idade, foi da ordem de 68,2% entre escolares do Município de São Paulo.

  6. Prevalência de cárie em dentes permanentes de escolares do Município de São Paulo, SP, 1970-1996

    Directory of Open Access Journals (Sweden)

    Narvai Paulo C

    2000-01-01

    Full Text Available OBJETIVO: Estudar a evolução da prevalência de cárie em dentes permanentes da população infantil do Município de São Paulo, SP, no período 1970-1996, com base em levantamento epidemiológico em escolares das redes pública e privada de ensino. MÉTODOS: Utilizando metodologia recomendada pela Organização Mundial da Saúde, foram examinados 2.491 escolares de 103 unidades das redes de ensino público e privado. Foi obtida amostra probabilística, com base no cadastro das escolas do município. Os elementos amostrais foram identificados ao acaso. RESULTADOS: Observou-se que de uma situação de prevalência "muito alta" de cárie dentária nos anos 60 e 70, a população de referência evoluiu positivamente, na idade-índice de 12 anos, para um quadro de "baixa" prevalência. CONCLUSÃO: Entre 1986 e 1996 o declínio na cárie dentária, aos 12 anos de idade, foi da ordem de 68,2% entre escolares do Município de São Paulo.

  7. CRONOLOGÍA DE ERUPCIÓN DENTARIA PERMANENTE EN NIÑOS DE 6 A 13 AÑOS DE LA ISLA TAQUILE - PUNO EN RELACIÓN CON EL ESTADO NUTRICIONAL, 2013

    OpenAIRE

    2014-01-01

    ResumenEl propósito del estudio fue relacionar la cronología de la erupción dentaria permanente con el estado nutricional. La hipótesis estableció que el estado nutricional si guarda relación con la cronología de la erupción dentaria permanente. Se examinaron 178 escolares (entre varones y mujeres) de 6 a 13 años de la Isla Taquile, en el mes de Octubre del 2013. Se determinó el estado nutricional mediante el índice de masa corporal según su edad, relación talla según edad y clasificación de ...

  8. Paralelo entre educação permanente em saúde e administração complexa Paralelo entre la Educación permanente en salud y administración compleja Parallel between Permanent education and health administration complex

    Directory of Open Access Journals (Sweden)

    Simone Coelho Amestoy

    2010-06-01

    Full Text Available A educação é um processo político, no qual a sociedade opera de forma constante sobre o desenvolvimento da pessoa, com intuito de integrá-la ao modo de ser vivente. O estudo representa uma reflexão-teórica a partir de um paralelo entre as diretrizes da Política Nacional de Educação Permanente em Saúde e os princípios norteadores da Administração Complexa. A partir de um breve resgate bibliográfico, buscou-se contextualizar a Política, bem como essa nova forma de administração baseada na autonomia, cooperação, agregação e auto-organização. Defende-se que esta aproximação entre educação permanente e administração complexa poderá facilitar a realização do cuidado em enfermagem e saúde, bem como as atividades gerenciais, impulsionar a autonomia, além do crescimento pessoal, profissional e organizacional.La educación es un proceso político, en el cual la sociedad opera de forma constante sobre el desarrollo de la persona, con objetivo de integrarla al modo de ser viviente. El estudio representa una reflexión-teórica a partir de un paralelo entre las directrices de la Política Nacional de Educación Permanente en Salud y los principios norteadores de la Administración Compleja. A partir de uno breve rescate bibliográfico, se buscó contextualizar la Política, bien como esa nueva forma de administración basada en la autonomía, cooperación, agregación y auto-organización. Se defiende que esta relación entre educación permanente y administración compleja podrá facilitar la aproximación del cuidado en enfermería y salud, bien como las actividades gerenciales, impulsar la autonomía, además del crecimiento personal, profesional y organizacional.Education is a political process, in which the society operates consistently on the development of the individual, aiming to integrate it into the way of living being. The present work represents a theoretical reflection, from a parallel between the guidelines

  9. Permanent education in health. An instrument to enhance interpersonal relations in nursing work La educación permanente en salud. Instrumento potenciador de las relaciones interpersonales del trabajo en enfermería Educação permanente em saúde. Instrumento potencializador das relações interpessoais no trabalho da enfermagem

    Directory of Open Access Journals (Sweden)

    Juliane Portella Ribeiro

    2012-08-01

    Full Text Available This is a reflexive study about the need to adopt Permanent Education in Health, as an instrument capable of transforming interpersonal relations in nursing work, as it values and respect collective construction with a view to the qualification of care. Privileging specialization programs only, with a focus on work techniques, on educative processes, as a training strategy for health services, ends up reinforcing the fragmentation of care, teams and the work process. In conclusion, Permanent Education in Health serves not only as teaching and learning practice to update and transform practices, but also influences team relations, transforming joint action processes and, at the same time, implying each subject-worker involved in health practices.Se trata de un estudio reflexivo sobre la necesidad de adoptar la Educación Permanente en Salud, como un instrumento capaz de transformar las relaciones interpersonales en el trabajo de la enfermería, ya que valora y respeta la construcción colectiva para la calificación de la atención. Privilegiar sólo la especialización con direccionalidad en la técnica del trabajo en los procesos educativos, como estrategia de capacitación para los servicios de salud, acaba por reforzar la fragmentación del cuidado, de los equipos y del proceso de trabajo. Se concluye que la Educación Permanente en Salud, además de servir como práctica de enseñanza y aprendizaje para la actualización y transformación de las prácticas, actúa en las relaciones del equipo, transformando los procesos de acción conjunta y, al mismo tiempo, implicando cada sujeto-trabajador involucrado en las prácticas de salud.Se trata de um estudo reflexivo sobre a necessidade de adotar a Educação Permanente em Saúde, como um instrumento capaz de transformar as relações interpessoais no trabalho da enfermaria, já que, valoriza e respeita a construção coletiva, para a qualificação do atendimento. Privilegiar só a especializa

  10. Program for analysis of permanent status and voltage stability; Programa para analisis de estado permanente y estabilidad de tension

    Energy Technology Data Exchange (ETDEWEB)

    Fernandez Krekeler, Ubaldo [Administracion Nacional de Electricidad (ANDE), Asuncion (Paraguay)]. E-mail: ufernandez@ieee.org; Cardozo Sanchez, Freddy [Mirant Americas (United States)

    2001-07-01

    In this work is presented a computational tool to evaluate voltage stability based on statistical analysis techniques. This tool was developed in MATLAB and implements routines through which the Q-V y P-V curves can be obtained, as well as the system self-values in relation to a determined operation point.

  11. Prevalência de oclusopatia na dentição decídua e permanente de crianças na cidade de São Paulo, Brasil, 1996

    Directory of Open Access Journals (Sweden)

    Paulo Frazão

    Full Text Available O objetivo deste estudo foi estimar a prevalência de oclusopatia na dentição decídua e permanente de crianças de escolas públicas e privadas do Município de São Paulo, SP, Brasil, em 1996. A condição oclusal foi classificada em três categorias: normal, leve e moderada/severa conforme os critérios da Organização Mundial da Saúde. Os resultados referem-se a 985 exames em crianças de 5 e 12 anos de idade. A prevalência das oclusopatias foi alta, aumentando de 48,97 ± 4,53% na dentição decídua a 71,31 ± 3,95% na dentição permanente, sendo que a proporção de oclusopatia moderada/severa foi quase duas vezes maior na dentição permanente (OR = 1,87; IC95% = 1,43-2,45; p < 0,001. Quanto ao sexo e ao tipo de estabelecimento de ensino, não foram observadas diferenças estatisticamente significativas nas idades estudadas. Diferenças estatísticas associadas aos grupos étnicos denotam a complexidade e diversidade da oclusão na população e sugerem que estudos longitudinais devem ser realizados.

  12. Prevalência de oclusopatia na dentição decídua e permanente de crianças na cidade de São Paulo, Brasil, 1996

    Directory of Open Access Journals (Sweden)

    Frazão Paulo

    2002-01-01

    Full Text Available O objetivo deste estudo foi estimar a prevalência de oclusopatia na dentição decídua e permanente de crianças de escolas públicas e privadas do Município de São Paulo, SP, Brasil, em 1996. A condição oclusal foi classificada em três categorias: normal, leve e moderada/severa conforme os critérios da Organização Mundial da Saúde. Os resultados referem-se a 985 exames em crianças de 5 e 12 anos de idade. A prevalência das oclusopatias foi alta, aumentando de 48,97 ± 4,53% na dentição decídua a 71,31 ± 3,95% na dentição permanente, sendo que a proporção de oclusopatia moderada/severa foi quase duas vezes maior na dentição permanente (OR = 1,87; IC95% = 1,43-2,45; p < 0,001. Quanto ao sexo e ao tipo de estabelecimento de ensino, não foram observadas diferenças estatisticamente significativas nas idades estudadas. Diferenças estatísticas associadas aos grupos étnicos denotam a complexidade e diversidade da oclusão na população e sugerem que estudos longitudinais devem ser realizados.

  13. Desarrollo y/o cambio de la noción de objeto permanente y causalidad operatoria: evidencia empírica en el primer año de vida

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    Elda Cerchiaro

    2013-06-01

    Full Text Available Este estudio examina la construcción de la noción de objeto permanente en el primer año de vida, a partir de la polémica sobre dos perspectivas de la naturaleza del cambio: cambio en el desarrollo y cambio cognitivo. Usando un diseño longitudinal-transversal, tareas adaptadas de la subescala de objeto permanente y causalidad operatoria de la escala Uzgiris-Hunt (Uzgiris & Hunt, 1975 fueron presentadas a 110 niños entre edades de 0, 3, 6 y 9 meses, residentes en tres ciudades de Colombia. Los resultados mostraron tres tipos deestrategias: (a No resolutorio; (b Exploratorio y (c Resolutorio, que siguen diferentes trayectorias en los desempeños de los niños. Esto permite afirmar que las conquistas adaptativas del desarrollo cognitivo cohabitan con la variabilidad de estrategias. El uso de estrategias revela ajustes y transformaciones de programas deacción que consolidan la noción de objeto permanente no necesariamente con la edad, pero con procesos de autorregulación. La evidencia empírica aporta a la comprensión de las relaciones entre la emergencia de la novedad en el desarrollo y la variabilidad de desempeños.

  14. Estrategias del Teatro del Oprimido para la formación permanente del profesorado (Strategies from the Theatre of the Oppressed for Permanent Training of Teaching Staff (Stratégies du théâtre de l'opprimé pour la formation permanente du corps d'enseignants (Estratégias do teatro do oprimido para a formação permanente do professorado

    Directory of Open Access Journals (Sweden)

    Tomás Motos-Teruel

    2012-06-01

    Full Text Available ResumenEste artículo relata una experiencia y su valoración de forma- ción permanente del profesorado basada en el aprendizaje vi- vencial utilizando como estrategia metodológica el Teatro del Oprimido (TO para estimular y favorecer la reflexión sobre la práctica educativa. Sus objetivos básicos fueron dar a conocer la formulación teórica y la metodología del TO y hacer la trans- ferencia de las estrategias metodológicas vivenciadas a la práctica docente. El estudio se ha planteado desde una óptica cualitativa con el estudio de caso único. Y como resultados más destacables hay que reseñar el interés y la percepción de la utili- dad personal y profesional del TO como instrumento de reflexión sobre la acción y generador de clima positivo. El Teatro del Opri- mido es una formulación teórica y un método estético cuya teo- ría y praxis están inspiradas en la Pedagogía del Oprimido de Paulo Freire, utiliza las técnicas dramáticas como un instrumen- to eficaz para la comprensión y la búsqueda de alternativas a problemas sociales, interpersonales e individuales.AbstractThis paper describes an experience and its as- sessment for application in permanent training of teaching staff, based on experiential learning and using the Theatre of the Oppressed (TO to stimu- late the thought about educational practice. The principal aims were to bring to the attention the theory and methodology of TO and to transfer its experiential methodological strategies to educa- tion practice. The study was designed as a quali- tative analysis of a single case study. The principal results include the interest and perception of use- fulness both at personal and professional levels, of TO as an instrument of thought and a generator of positive environments. The Theatre of the Oppres- sed is a theoretic concept and aesthetic method, the theory and praxis of which are inspired by Paulo Freire's Pedagogy of the Oppressed. It uses dra- ma techniques as

  15. Measuring integrated care.

    Science.gov (United States)

    Strandberg-Larsen, Martin

    2011-02-01

    The positive outcomes of coordination of healthcare services are to an increasing extent becoming clear. However the complexity of the field is an inhibiting factor for vigorously designed trial studies. Conceptual clarity and a consistent theoretical frame-work are thus needed. While researchers respond to these needs, patients and providers face the multiple challenges of today's healthcare environment. Decision makers, planners and managers need evidence based policy options and information on the scope of the integrated care challenges they are facing. The US managed care organization Kaiser Permanente has been put forward as an example for European healthcare systems to follow, although the evidence base is far from conclusive. The thesis has five objectives: 1) To contribute to the understanding of the concept of integration in healthcare systems and to identify measurement methods to capture the multi-dimensional aspects of integrated healthcare delivery. 2) To assess the level of integration of the Danish healthcare system. 3) To assess the use of joint health plans as a tool for coordination between the regional and local level in the Danish healthcare system. 4) To compare the inputs and performance of the Danish healthcare system and the managed care organization Kaiser Permanente, California, US. 5) To compare primary care clinicians' perception of clinical integration in two healthcare systems: Kaiser Permanente, Northern California and the Danish healthcare system. Further to examine the associations between specific organizational factors and clinical integration within each system. The literature was systematically searched to identify methods for measurement of integrated healthcare delivery. A national cross-sectional survey was conducted among major professional stake-holders at five different levels of the Danish healthcare system. The survey data were used to allow for analysis of the level of integration achieved. Data from the survey were

  16. Current situation of the study on Kaiser effect of rock acoustic emission in in-situ stress measurement%声发射Kaiser效应在地应力测量中的应用现状

    Institute of Scientific and Technical Information of China (English)

    李利峰; 邹正盛; 张庆

    2011-01-01

    Based on periodical literature, the statistics of papers on accoustic emission since recent twenty years were made. The principle and mechanism of acoustic emission, space positioning for the samples were presented.With the theory of elastic mechanics, six direction and four direction methods in space for in-sim measurement using the rock acoustic emission were derived. There are two sampling methods according to the different methods.Influence factors of acoustic emission in in-sim stress measurement, determining method of Kaiser Point and treatment technique for signal and noise were systematically expounded. Two methods which are different from the traditional in-situ measurement are introduced. Problems and research trend of the in-situ stress measurement using acoustic emission were analyzed.%对近20年来岩石声发射测量地应力的研究现状进行了分析,介绍了声发射的原理和机理及试样的空间定位方法.利用弹性力学原理推导了声发射方法测定地应力的空间6向和4向的计算过程,对应有两种常用的取样方式.系统地阐述了影响声发射地应力测量的因素、Kaiser点的确定方法以及信噪处理技术,简单介绍了不同于传统利用声发射测量地应力的另外两种方法.对声发射测量地应力中存在的问题和研究趋势进行了分析.

  17. Áreas de preservação permanente na legislação ambiental brasileira Areas of permanent preservation in brazilian environmental legislation

    Directory of Open Access Journals (Sweden)

    Luís Antônio Coimbra Borges

    2011-07-01

    Full Text Available A Área de Preservação Permanente (APP, principal área protegida instituída por norma jurídica no Brasil, foi criada pelo Código Florestal (Lei 4.771 em 1965. Por sua importância ecológica e fornecimento de bens e serviços ambientais ao homem, as APPs são reconhecidas por suas funções técnicas como áreas que devem ser preservadas. Muitas interpretações divergem do espírito da criação da Lei, seja pelo preciosismo linguístico ou pelo uso distorcido da hermenêutica O objetivo desta pesquisa foi analisar os principais pontos conflituosos do entendimento, da interpretação e da instituição das Áreas de Preservação Permanente. Concluiu-se que há, na literatura, pertinentes interpretações contrárias ao espírito da norma jurídica que institui as APPs; as APPs devem ser preservadas e, em caso de degradação, a legislação deixa patente que o passivo ambiental deve ser sanado; a intocabilidade das APPs não é inexorável, pois o CONAMA, em alguns casos, pode definir critérios para sua utilização; as intervenções em APP, permitidas por lei nos casos de utilidade pública, interesse social e atividade eventual e de baixo impacto ambiental necessitam de melhor regulamentação.The Permanent Preservation Area (PPA, the main protected area established by law in Brazil, was established by the Forest Code (Law 4771 in 1965. Due to their ecological importance and provision of environmental goods and services to humans, the PPAs are recognized for their technical functions as areas that should be preserved. Many of these differing interpretations of the spirit of the law occur depending on the language preciosism and the distorted use of hermeneutics. The objective of this research was to analyze the main points of conflict in the interpretation, understanding and establishment of permanent preservation areas. It was concluded that there is in literature interpretations contrary to the spirit of the legal rule establishing

  18. TEACHING STRATEGY FOR LIFELONG LEARNING INSTITUTE TEACHERS COLLEGE OF TECHNOLOGY CUMANÁ / ESTRATEGIA PEDAGÓGICA PARA LA FORMACIÓN PERMANENTE DE LOS DOCENTES DEL INSTITUTO UNIVERSITARIO DE TECNOLOGÍA DE CUMANÁ

    Directory of Open Access Journals (Sweden)

    Zuley Margarita León de Hernández

    2012-07-01

    Full Text Available Teaching strategy for lifelong learning institute teachers college of technology Cumaná, is displayed in the educational process productive and service, with social situations of professional practices that are being valued by the group of teachers and guardians of practice, Powered by the method of service for productive learning teacher training, with procedures that allow the projection of the methodological didactic work for self-education and self-improvement(between teachers, between students, between teachers and students and between teachers and recruitment firms, reflection is directed to mobilize personal and group resources in productive and service contexts. The strategy is structured and applied through a case study. It was formed by the same structural and functional design of the strategy, revealing, as a training system, the essential relationships for the deployment of professional performance of teachers of the university institute of technology. RESUMENLa estrategia pedagógica para la formación permanente de los docentes en los institutos universitarios de tecnología, se despliega en el proceso docente educativo productivo y de servicio, con situaciones sociales de prácticas profesionales que son objeto de valoración por el grupo de profesores y tutores de la práctica, potenciado por el método formativo productivo de servicio para la formación del docente, con procedimientos que permiten la proyección del trabajo didáctico metodológico para la autoeducación y el autoperfeccionamiento (entre docentes, entre estudiantes, entre docentes y estudiantes, y entre docentes y empresas empleadoras., reflexión que se dirige a movilizar los recursos personales y grupales en contextos productivos y de servicio. La estrategia se estructura y aplica a través de un estudio de casos. Mediante el mismo se conformó el diseño estructural y funcional de la estrategia, revelando, como un sistema didáctico, las relaciones

  19. Prevalência de cárie em dentes permanentes de escolares do Município de São Paulo, SP, 1970-1996 Dental caries prevalence in permanent teeth of schoolchildren in Brazil, 1970-1996

    Directory of Open Access Journals (Sweden)

    Paulo C Narvai

    2000-04-01

    Full Text Available OBJETIVO: Estudar a evolução da prevalência de cárie em dentes permanentes da população infantil do Município de São Paulo, SP, no período 1970-1996, com base em levantamento epidemiológico em escolares das redes pública e privada de ensino. MÉTODOS: Utilizando metodologia recomendada pela Organização Mundial da Saúde, foram examinados 2.491 escolares de 103 unidades das redes de ensino público e privado. Foi obtida amostra probabilística, com base no cadastro das escolas do município. Os elementos amostrais foram identificados ao acaso. RESULTADOS: Observou-se que de uma situação de prevalência "muito alta" de cárie dentária nos anos 60 e 70, a população de referência evoluiu positivamente, na idade-índice de 12 anos, para um quadro de "baixa" prevalência. CONCLUSÃO: Entre 1986 e 1996 o declínio na cárie dentária, aos 12 anos de idade, foi da ordem de 68,2% entre escolares do Município de São Paulo.OBJECTIVE: To assess the evolution of dental caries in permanent teeth of schoolchildren in S. Paulo City, Brazil, during the period of 1970-1996. METHODS: The World Health Organization methodology for oral health surveys was applied in 2,491 shoolchildren, both male and female from 103 public and private schools. A probabilistic sample stratified by age, school category, and city zones was obtained by the Education State Service data system. Computational resources were used. RESULTS: Data from the 1996 S.Paulo survey were compared with others data provided by studies such as the one conducted in the same city and the reference-population in the second half of the 20th century. In the 60s and 70s the DMF-T Index among 12-year-old schoolchildren was around 7.0. In 1986 it was 6.5 and in 1996 it was registered 2.1, a decline of 68%. CONCLUSION: Dental caries in permanent teeth among S. Paulo City 12-year-old schoolchildren changed from a "very high" to "low" prevalence.

  20. Contação de história: tecnologia cuidativa na educação permanente para o envelhecimento ativo

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    Nadia Pinheiro da Costa

    Full Text Available RESUMO Objetivo: avaliar pertinência e efetividade da tecnologia cuidativo-educacional "contação de histórias" como estratégia no cultivo do envelhecimento ativo (EA para usuários idosos de uma Unidade Básica de Saúde (UBS, da Amazônia. Método: Pesquisa Convergente Assistencial (PCA, realizada em UBS de Belém, estado do Pará, com oito idosas para testagem da tecnologia. Aplicou-se questionário de avaliação do EA e WHOQOL - breve, avaliação de qualidade de vida. Após capacitação com vistas à educação permanente, idosas contaram histórias para uma plateia que se manifestou respondendo à pergunta: "O que você tirou dela para a sua vida?" Resultados: histórias populares contadas provocaram reações das quais emergiram as categorias: Solidariedade; Respeito ao outro; Imaginação, sonhos, esperança e Cultura do imaginário amazônida. Tal prática resultou positiva, com mudança na qualidade de vida das idosas, no domínio psicológico. Conclusão: "contação de histórias" revelou-se uma tecnologia inovadora, recurso pertinente e efetivo à educação em saúde, especialmente para o envelhecimento ativo.

  1. A incorporação dos Laudos arbitrais do Tribunal Permanente de Revisão do MERCOSUL e o direito brasileiro

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    Aline Rosado Targino da Nóbrega

    2016-08-01

    Full Text Available O MERCOSUL, com o intuito de majorar a sua integração, criou o Tribunal Permanente de Revisão, para poder solucionar controvérsias pacificamente. Assim, este artigo científico tem o objetivo de trazer a discussão acerca do modo de incorporação a que os laudos arbitrais, oriundos do TPR, devem adotar no Direito brasileiro. A metodologia adotada foi a pesquisa qualitativa (Direito Internacional e Direito Constitucional. As fontes de pesquisa foram: bibliografia especializada, a Constituição da República Federativa do Brasil; a análise de tratados e protocolos internacionais e jurisprudências, referentes ao tema – sempre, por meio do método dedutivo. Ficou verificado que esses laudos não devem seguir o caminho dos tratados internacionais, devido à distinção de suas naturezas jurídicas, como também não devem seguir o caminho das sentenças estrangeiras, pois essas vêm do Direito estrangeiro. Portanto, seguindo o princípio pacta sunt servanda, os laudos arbitrais, resultantes de uma corte ou de um tribunal arbitral internacional, como o TPR, devem ter um caminho próprio para incorporação que dê executividade e eficácia a eles, o que deve ser, a posteriori, discutido pelas autoridades competentes, pelas comunidades jurídica e acadêmica.

  2. Morfologia radicular da dentição permanente de Sapajus apella: morfometria, anatomia macroscópica, ultraestrutura e propriedades físicas

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    Luanna Melo Pereira Fernandes

    2014-08-01

    Full Text Available O objetivo desse trabalho foi contribuir com o estudo anatômico, morfométrico, ultraestrutural e propriedades físicas dos dentes permanentes do primata Sapajus apella. Para tal, foram utilizados 10 animais adultos e machos. Os dentes foram avaliados quanto ao seu comprimento e quanto à anatomia radicular externa e interna considerando número de raízes e canais, forma e direção radicular e forma do canal, assim como análise da densidade e diâmetro tubular do canal radicular, composição e microdureza dentinária. A anatomia radicular desse primata apresentou especificidades, como o número de raízes do segundo pré-molar superior e a presença do terceiro pré-molar. Quanto à densidade e o diâmetro dos túbulos dentinários, observou-se uma diminuição do número e diâmetro de túbulos ao longo do canal radicular, havendo diferença estatisticamente significante ao se comparar o terço apical com as regiões cervical e média, padrão de densidade e tamanho semelhantes a dentes humanos. Semelhanças também foram encontradas com dentes humanos quando comparados os valores de microdureza e proporção de elementos químicos encontrados na dentina radicular.

  3. Espécies potenciais para recuperação de áreas de preservação permanente no Planalto Catarinense

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    Paula Iaschitzki Ferreira

    Full Text Available Com o objetivo de selecionar espécies para programas de recuperação em Áreas de Preservação Permanente no Planalto Catarinense foi realizado o levantamento da composição florística e da estrutura fitossociológica e, a caracterização dos grupos ecológicos e síndromes de dispersão das espécies ocorrentes nestes locais. A área de estudo, fazenda Campo de Dentro, localiza-se no município de Otacílio Costa (SC, onde foi empregado o método de quadrantes, em 20 transecções compostas por 20 pontos amostrais. As espécies que apresentaram os maiores valores de importância, potenciais para recuperação, foram Sebastiania commersoniana (Baill. L.B.Sm. & Downs; Mimosa scabrella Benth.; Cinnamomum amoenum (Nees & Mart. Kosterm.; Lithraea brasiliensis Marchand, Ocotea pulchella (Nees & Mart. Mez; Ilex paraguariensis A.St.-Hil.; Matayba elaeagnoides Radlk.; Ilex theezans Mart. exReissek e Vernonanthura discolor (Spreng. H.Rob., que representam os diferentes grupos ecológicos, destacando-se a zoocoria como síndrome de dispersão. A alta diversidade de espécies arbóreas evidencia a riqueza desses locais que, muitas vezes, são negligenciados em projetos de recuperação.

  4. Estratificação e caracterização ambiental da área de preservação permanente do Rio Guandu/RJ

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    Samara Salamene

    2011-04-01

    Full Text Available O Rio Guandu é a principal fonte de abastecimento de água da região metropolitana do Rio de Janeiro, atendendo a, aproximadamente, nove milhões de pessoas. Este trabalho estratificou e caracterizou ambientalmente a Área de Preservação Permanente (APP do Rio Guandu (faixa marginal de 100m, através da análise de aerofotos digitais não convencionais, obtidas a partir de uma câmera digital de pequeno formato, adaptada a um helicóptero (as aerofotos foram agrupadas em mosaicos para facilitar as etapas do geoprocessamento. A região correspondente a APP foi estratificada em quatro ambientes com características ecológicas distintas: Ambiente 1 (leito encaixado, Ambiente 2 (várzea fluvial, Ambiente 3 (planície aluvionar e Ambiente 4 (fluviomarinho. A partir da sobreposição dos mapas de uso da terra, da proximidade da área urbano-industrial e da vegetação nativa, foi gerado um mapa do grau de degradação dos ambientes. Os usos predominantes foram pastagem (38% e agricultura (18%. Os fragmentos florestais totalizaram apenas 11,6% da APP. Segundo a metodologia utilizada, o Ambiente 4 apresentou 51% de sua área, com um grau alto a muito alto de degradação, e o Ambiente 3 apresentou melhor estado de conservação em comparação aos demais. Os resultados sugeriram que a predominância das atividades agropecuárias, a proximidade de grandes centros urbanos e a área muito reduzida dos fragmentos florestais na APP do Rio Guandu podem comprometer a qualidade desse manancial.

  5. Caracterização das atividades educativas de trabalhadores de enfermagem na ótica da educação permanente

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    Adriana Marques da Silva

    2009-09-01

    Full Text Available Este estudo discute a reciprocidade entre práticas de saúde e educativas e objetiva caracterizar os trabalhadores deenfermagem e suas atividades educativas em região do município de São Paulo. Estudo exploratório-descritivoquantitativo, realizado em 18 serviços de saúde entre 2005/2006, cuja coleta de dados foi feita por meio de entrevistae aplicação de dois formulários. Identificou-se que 84,8% dos trabalhadores de enfermagem atuam nos hospitais epronto socorro (PS; 22,5% são enfermeiros, 15,2%, técnicos de enfermagem (TE e 62,3%, auxiliares deenfermagem (AE. Das 245 ações educativas mapeadas, 78,4% são realizadas nos hospitais e PS,predominantemente, focadas na recuperação da saúde; 46,9% estão direcionadas aos enfermeiros, 39,6% aosenfermeiros, TE e AE e 13,5%, aos TE e AE; 21,2% ações utilizam estratégias tradicionais de ensino e 15,1%, asparticipativas; 69% têm duração de 01-20h; 55,5% são realizadas fora do serviço. Apesar de predominar atividadeseducativas voltadas aos enfermeiros, orientadas para recuperação da saúde, com utilização de estratégias de ensinotradicionais, a presença de ações ancoradas no cotidiano de trabalho, remete à concepção de educação permanente eassinala possibilidades de mudança da abordagem das práticas educativas de trabalhadores na perspectiva daintegralidade da saúde e do cuidado integral de enfermagem.

  6. Estimación de la carga de enfermedad por incapacidad laboral permanente en España durante el período 2009-2012

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    María Andrée López

    2014-01-01

    Full Text Available Fundamentos: La incapacidad laboral permanente (IP supone una importante carga social y económica. El objetivo de este estudio fue estimar la carga de enfermedad debida a la IP en España. Métodos: A partir de la Muestra Continua de Vidas Laborales (MCVL se imputó como diagnóstico de la IP (2009-2012 el de la incapacidad temporal (IT iniciada en 2009 en los individuos que cumplieron dos criterios: larga duración de la IT y corta duración del período entre la IT y la IP. Para los casos con diagnóstico imputado se calculó la carga de enfermedad por IP a partir de los años potenciales de vida laboral perdidos (APVLP, definidos como la diferencia entre la edad de jubilación (65 años y la edad de inicio de la IP. Resultados: Según la MCVL, 163.135 (13,6% personas sufrieron de IT en 2009, de las cuáles a 4.738 (0,39% se le reconoció una IP entre 2009-2012. Se pudo establecer el diagnóstico de IP en 3.073 (64,9% casos. Las causas más frecuentes de IP fueron los trastornos musculo-esqueléticos (27,4% y mentales (11,6% que, asimismo, produjeron mayor cantidad de APVLP por IP: 11.086 (26,5% y 7.052 (16,9%, respectivamente. Los trastornos mentales destacaron por producir IP a edades más jóvenes (mediana=49 años. Conclusiones: Los trastornos mentales y los musculo-esqueléticos representaron la mayor carga de enfermedad en individuos en situación de IP.

  7. Facilitating Physician Access to Medical Reference Information

    OpenAIRE

    2005-01-01

    Context: Computer-based medical reference information is augmenting—and in some cases, replacing—many traditional sources. For Kaiser Permanente (KP) physicians, this change presents both advantages and obstacles to finding medical reference information.

  8. Defectos del esmalte, caries en dentición primaria, fuentes de fluoruro y su relación con caries en dientes permanentes Enamel defects, caries in primary dentition and fluoride sources: relationship with caries in permanent teeth

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    Ana Alicia Vallejos-Sánchez

    2007-06-01

    Full Text Available Objetivo: Explorar la relación entre la presencia de defectos del esmalte (DE, la experiencia de caries en la dentición temporal, y la exposición a diversas fuentes de fluoruros, con la presencia de caries en la dentición permanente de niños con dentición mixta. Material y métodos: Se realizó un estudio transversal en 713 sujetos de 6-9 años de edad de 4 escuelas de Campeche, México, mediante un cuestionario dirigido a las madres, y un examen clínico bucal a los niños. La variable dependiente fue la prevalencia de caries en la dentición permanente. Resultados: El promedio de dientes temporales cariados, extraídos y obturados (ceod y dientes permanentes cariados, perdidos y obturados (CPOD fue de 2,48 (2,82 (ceod > 0 = 58,9% y 0,40 (0,98 (CPOD > 0 = 18,2%, respectivamente. El índice SiC (índice de caries significativa, calculado en la dentición temporal fue de 5,85 para los niños de 6 años de edad. En el análisis de regresión logística multivariado permanecieron significativas, después de ajustar por variables de exposición a fluoruros, la mayor edad (odds ratio [OR] = 2,99, el ceod > 0 (OR = 5,46, la menor escolaridad de la madre (OR = 1,57 y una interacción entre sexo y defectos del esmalte. Conclusiones: Las caries en la dentición temporal y permanente fueron relativamente menores que las observaciones publicadas por otros estudios en México. Los resultados confirmaron que la caries en la dentición temporal se asoció fuertemente con la caries en la dentición permanente. No hubo una relación significativa entre las fuentes de fluoruro y la caries dental en la dentición permanente.Objective: To examine the relationship between the presence of enamel defects, dental caries in primary teeth, and exposure to various fluoride technologies and the presence of dental caries in permanent teeth in children with mixed dentition. Materials and methods: A cross-sectional study was conducted in 713 children aged 6-9 years old

  9. Suspended sediment entrainment estimation in unsteady turbulent flows by means of a stochastic meted; Computo de la incorporacion de sedimento en suspension en flujos turbulentos no permanentes utilizando un enfoque estocastico

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    Rodriguez, Jose Fernando; Garcia, Marcelo Horacio [Universidad de Illinois (United States); Admiraal, David Mark [Universidad de Nebraska en Lincoln (United States)

    2001-06-01

    bibliografia, pero todas ellas han sido derivadas para condiciones de flujo permanente y uniforme. La bondad de estas relaciones para predecir tasas de incorporacion en flujos no permanentes no ha sido demostrada y tampoco se ha intentado desarrollar una formulacion general que sea aplicable tanto en condiciones permanentes como no permanentes. El enfoque tradicional relacionada la incorporacion de sedimento con el esfuerzo de corte asociado con la friccion de grano en una forma deterministica, proveyendo solo una relacion entre valores medios. Una alternativa es considerar el esfuerzo de corte y la incorporacion como magnitudes estocasticas turbulentas y expresarlas en terminos de sus funciones de densidad de probabilidad (PDF). De esta manera se pueden obtener estadisticos de la incorporacion a partir de las PDF del esfuerzo de corte tanto en situaciones de flujos permanentes como no permanentes, dado que el efecto de la impermanencia esta implicito en el PDF. Esta nueva metodologia fue usada para estimar la incorporacion de sedimento debido al paso de embarcaciones en los rios Mississippi e Illinois. Al usar una expansion en cumulantes de bajo orden para describir la PDF del esfuerzo de corte y una version generalizada de la relacion de incorporacion de Garcia y Parker, se obtuvo una expresion para el promedio de la incorporacion, en funcion del promedio, varianza, asimetria y kurtosis del esfuerzo de corte. Los resultados se comparan satisfactoriamente con valores mencionados en la literatura.

  10. Prevalencia de defectos del desarrollo del esmalte en los incisivos permanentes de escolares: un estudio fotográfico en el Sur de Brasil

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    Renata Barbieri Bogo

    2011-01-01

    presencia de DDE en los incisivos permanentes de los escolares en el sur de Brasil fue alta, es importante que el cirujano dentista sea capaz de diagnosticar e identificar los posibles factores etiológicos.

  11. Cenários ambientais para o ordenamento territorial de áreas de preservação permanente no município de Sorocaba, SP

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    Kaline de Mello

    2014-04-01

    Full Text Available Este estudo objetivou analisar a importância das Áreas de Preservação Permanente (APP para a manutenção dos remanescentes florestais no município de Sorocaba, SP. O mapa desses remanescentes foi elaborado com base em fotografias aéreas de 2006, e mapas de hidrografia e de declividade foram usados para determinação das APP. Compararam-se dois cenários: real (mata atual e ideal (mata atual acrescida da restauração das APP, com base em métricas da paisagem. Os resultados indicaram que 19% do município se enquadra como APP e, dessa área, apenas 45% possui cobertura florestal. As APP preservadas representam 50% do total de cobertura florestal da paisagem. A restauração das APP representaria aumento de 16,68% para 28% de cobertura florestal da paisagem e possibilitaria o surgimento de fragmentos maiores que 3.000 ha, enquanto no cenário real os maiores fragmentos atingem 300 ha. Os remanescentes florestais se apresentaram intimamente ligados às APP: margens de rios, áreas alagáveis e encostas, onde a ocupação urbana foi dificultada e existe o instrumento legal de proteção. Esse quadro evidencia que as APP possuem papel fundamental na conservação florestal em um município bastante urbanizado, onde as áreas naturais sofrem muita pressão. A avaliação dos cenários mostrou que a incorporação dos dispositivos legais no planejamento e ordenamento territorial subsidia as estratégias voltadas para a manutenção de hábitats naturais e, consequentemente, a diminuição dos efeitos negativos sobre a biodiversidade. Entretanto, as mudanças recentes no Código Florestal podem representar um retrocesso no cenário ambiental nacional diante da crescente urbanização.

  12. Consumo no Brasil: teoria da renda permanente, formação de hábito e restrição à liquidez

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    Fábio Augusto Reis Gomes

    2004-09-01

    Full Text Available Este artigo analisa a série de consumo agregado do Brasil. Como usual, investiga-se, primeiramente, a aplicabilidade da hipótese do passeio aleatório do consumo, derivada teoricamente a partir das hipóteses de ciclo de vida/renda permanente e expectativas racionais (TRP. Utilizando a decomposição de Beveridge e Nelson (1981 verificamos que o consumo apresenta, além de uma tendência estocástica, uma parte cíclica estacionaria, o que não é compatível com a TRP. Este resultado está em conformidade com o resultado de Reis et alii (1998 de que grande parte da população brasileira está restrita a consumir sua renda corrente, existindo um ciclo comum entre consumo e renda. Em uma tentativa de gerar um processo estocástico para o consumo compatível com a evidência empírica introduzimos formação de hábito nas preferências de um consumidor representativo. No entanto, o processo daí derivado não se mostrou significativo diante da possibilidade dos consumidores serem restritos à liquidez.This article analyzes the behavior of aggregate consumption series in Brazil. As usual, the random walk hypothesis of consumption, derived theoretically from the life cycle/permanent income and rational expectations hypothesis (PIH, is tested. The Beveridge e Nelson (1981 decomposition indicates that the consumption series has a stochastic trend and a cyclical stationary component, incompatible with the PIH. This result is in line with Reis et alii (1998, who concluded that a large fraction of Brazilian people is credit constrained, which generates a common cycle between consumption and income. Following, we introduce habit formation in the preference of a representative consumer in order to attempt to produce a process of consumption compatible with the empirical evidence. However, such a process does not prove itself statistically significant amidst the possibility of credit constraint consumers.

  13. Primer molar permanente: historia de caries en un grupo de niños entre los 5 y 11 años frente a los conocimientos, actitudes y prácticas de sus madres.

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    Jorge Tascón

    2009-11-01

    Full Text Available OBJETIVO: Describir la historia de caries del primer molar permanente en niños entre 5 y 11 años y los conocimientos, actitudes y prácticas de sus madres. INTRODUCCIÓN: La caries es una enfermedad de origen multifactorial, se inicia tras la erupción dental y determina un reblandecimiento de los tejidos duros del diente. El primer molar permanente erupciona entre los 5 y 7 años de edad, no tiene predecesor y es uno de los dientes más afectados por esta enfermedad. MATERIALES Y MÉTODOS: Para este estudio descriptivo de corte transversal, se seleccionaron 50 niños entre los 5 y 11 años y sus madres. El índice COP se usó para identificar la historia de caries del primer molar permanente. Para la recolección de datos se utilizó un cuestionario semi-estructurado de 21 ítems. RESULTADOS: Del total de madres 34% respondió que los dientes definitivos erupcionan entre los seis y siete años; 54% refirieron que los dientes temporales son poco importantes porque se van a caer. El 100% de las madres respondió que es importante llevar a su hijo cada seis meses al odontólogo y 34% cambian el cepillo de dientes de su hijo, cuando las cerdas han perdido la forma. CONCLUSIONES: Casi todas las madres no saben la importancia del primer molar, y desconocen la edad en que éste erupciona Gran proporción de los niños presentan un alto porcentaje de primeros molares cariados, obturados, y perdidos. Pese a que las actitudes de las madres con respecto a la higiene oral son favorables, las prácticas no lo son.

  14. Primer molar permanente: historia de caries en un grupo de niños entre los 5 y 11 años frente a los conocimientos, actitudes y prácticas de sus madres

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    Jorge Eduardo Tascón

    2005-12-01

    Full Text Available Objetivo: Describir la historia de caries del primer molar permanente en niños entre 5 y 11 años y los conocimientos, actitudes y prácticas de sus madres. Introducción: La caries es una enfermedad de origen multifactorial, se inicia tras la erupción dental y determina un reblandecimiento de los tejidos duros del diente. El primer molar permanente erupciona entre los 5 y 7 años de edad, no tiene predecesor y es uno de los dientes más afectados por esta enfermedad. Materiales y métodos: Para este estudio descriptivo de corte transversal, se seleccionaron 50 niños entre los 5 y 11 años y sus madres. El índice COP se usó para identificar la historia de caries del primer molar permanente. Para la recolección de datos se utilizó un cuestionario semi-estructurado de 21 ítems. Resultados: Del total de madres 34% respondió que los dientes definitivos erupcionan entre los seis y siete años; 54% refirieron que los dientes temporales son poco importantes porque se van a caer. El 100% de las madres respondió que es importante llevar a su hijo cada seis meses al odontólogo y 34% cambian el cepillo de dientes de su hijo, cuando las cerdas han perdido la forma. Conclusiones: Casi todas las madres no saben la importancia del primer molar, y desconocen la edad en que éste erupciona Gran proporción de los niños presentan un alto porcentaje de primeros molares cariados, obturados, y perdidos. Pese a que las actitudes de las madres con respecto a la higiene oral son favorables, las prácticas no lo son.

  15. Hacia un espacio europeo de aprendizaje para toda la vida. Evolución y desarrollo de la Educación Permanente en la Unión Europea.

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    Fernando López Noguero

    2008-01-01

    Full Text Available En sus inicios, la Unión Europea (UE concedió una mínima importancia a la educación en el marco de los derechos y las políticas sociales europeas, aumentando su peso paulatinamente, como comprobaremos en la propia evolución de la Educación Permanente en la UE, desarrollo que hemos dividido en cuatro etapas fundamentales. Así, desde la proclamación del Año Europeo de la Educación y la Formación Permanentes en 1996, en el que se fomentó en el seno de la UE el concepto de aprendizaje durante toda la vida, la Educación Permanente ha cambiado radicalmente en Europa hacia una nueva realidad que se ha dado en llamar “Espacio Europeo de Aprendizaje para toda la vida”, que analizamos en profundidad a través del análisis de la legislación y programas educativos existentes en la UE. ------------------------------------------------------------------------ In its early years, the European Union (EU granted a minimal importance to education in the framework of rights and social policies in Europe, increasing its weight gradually, as we Hill check on the evolution of Continuing Education in EU development which we have divided into tour Basic stages. So we will check how, since the proclamation of the European Year of Education and Training Standing in 1996, which fostered within the EU the concept of lifelong learning, Continuing Education has changed dramatically in Europe towards a new reality that has been termed a “European Area Learning for Life” which analyzed in depth through the analysis of legislation and educational programs existing in the EU.

  16. Permanent education: a tool to think and act in nursing work Educación permanente: una herramienta para pensar y actuar en el trabajo de enfermería Educação permanente: uma ferramenta para pensar e agir no trabalho de enfermagem

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    Carlos Alberto Caciquinho Ricaldoni

    2006-12-01

    Full Text Available This research is important to the extent that it contributes to reflections on educational actions directed at nursing workers, focusing on the purpose, instruments and subjects responsible for care. The general aim was to analyze the effects of permanent education actions on nursing care quality at a large private hospital in Belo Horizonte, Minas Gerais, Brazil. We carried out a qualitative study in the framework of dialectics. Data were collected from two nurses and seventeen nursing auxiliaries and technicians who worked on the eighth and ninth floor and from the nurse manager. The results showed that education is not articulated with the work process and that professionals need management improvement, permitting teaching through problem-raising. The role of nursing professionals needs to be reviewed in the context of the work process, together with training based on the permanent education strategy.La importancia de esta investigación es que contribuye a la reflexión sobre acciones educativas dirigidas a trabajadores de enfermería, con énfasis en la finalidad del cuidado, los instrumentos utilizados para la realización del cuidado y los sujetos/trabajadores de enfermería responsables por el cuidado. El objetivo de la investigación fue analizar los efectos de las acciones de educación permanente en la calidad de la atención de enfermería, en un hospital privado de grande porte, en Belo Horizonte - Brasil. El estudio utilizó la aproximación cualitativa, orientada por la corriente filosófica de la dialéctica. Los sujetos de la investigación fueron 02 enfermeros, 17 auxiliares y técnicos de enfermería del 8º y 9º piso y la jefe de los servicios de enfermería. Los resultados revelaron que las acciones educativas no están articuladas al proceso de trabajo de enfermería, apuntando la necesidad de mejorar la función gerencial de las enfermeras para que ellas asuman las acciones educativas en las unidades asistenciales, utiliz

  17. Kaiser Ferdinand III. (1608–1657)

    OpenAIRE

    HENGERER, Mark

    2012-01-01

    Ferdinand III. inherited the Thirty Years' war from its father, Ferdinand II.. In the centre of his reign, the war ended in 1648 with the Peace of Westphalia and thereby the long time of the confessional arguments going along with denomination questions. The Peace of Westphalia was at the same time an important stage in the decay of the alliance of the Spanish and Austrian Habsburger which had emerged under Karl of the V. and which had polarised Europe about for one century. Now the Peace hel...

  18. Fatores sociais, comportamentais e biológicos associados à presença de placa dentária na superfície oclusal de primeiros molares permanentes

    OpenAIRE

    Seabra, Larissa de Carvalho Santa Rita; Melo, Raquel Rossete; Gomes, Viviane Elisângela; Oliveira,Ana Cristina; Ferreira, Efigênia Ferreira

    2016-01-01

    Objetivo: Analisar os fatores socioeconômicos, biológicos e comportamentais associados à presença de placa bacteriana na superfície oclusal de primeiros molares permanentes de escolares. Materiais e Métodos: Por meio de um estudo transversal, foram investigados 272 pais/responsáveis e suas respectivas crianças, de 6 a 8 anos de idade, de duas escolas públicas de um município de grande porte da região Sudeste do Brasil, selecionados por conveniência. A variável dependente foi a presença de pla...

  19. Análisis de los efectos de la nocturnidad laboral permanente y de la rotación de turnos en el bienestar, la satisfacción familiar y el rendimiento perceptivo-visual de los trabajadores

    OpenAIRE

    Sánchez González, Juan Manuel

    2004-01-01

    En este estudio se analizan los efectos de la nocturnidad laboral permanente y de la rotación de turnos en el bienestar personal, material, laboral y sexual-afectivo, en la satisfacción familiar y en el rendimiento perceptivo-visual de los trabajadores. Se estudian las relaciones existentes entre el dominio familiar y el laboral, y también la incidencia de los problemas médicos, el salario, consumo de medicamentos, conductas de salud, tipología circadiana, duración de la jornada laboral, real...

  20. La cláusula general del establecimiento permanente, la distinción entre el agente dependiente e independiente en el artículo 5 MC OCDE y la polémica figura del comisionista

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    Pedrosa López, José Carlos

    2016-01-01

    Desde sus orígenes, el establecimiento permanente ha sido una de los elementos fundamentales en el contexto de la fiscalidad internacional. Este trabajo, tras ofrecer una visión de su evolución histórica, analiza los elementos principales de su cláusula general y de la cláusula de agencia. Expone la figura del agente dependiente e independiente y plantea la problemática derivada de la incierta calificación jurídica del comisionista.

  1. Uso de las TIC (tecnologías de la información y de la comunicación) en la formación inicial y permanente del profesorado

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    Gras Martí, Albert; Mendoza Rodríguez, José; Cano Villalba, Marisa; Milachay Vicente, Yuri; Martínez Sebastián, Bernat

    2004-01-01

    Abordaremos brevemente cuatro cuestiones: ¿Cómo pueden contribuir las TIC a la formación inicial y permanente del profesorado? ¿Por qué es imprescindible que el profesorado actual esté familiarizado con las TIC? ¿Hay ejemplos que muestren que las TIC mejoran el proceso de enseñanza / aprendizaje? ¿Qué necesita saber el profesor para llevar las TIC al aula y a su quehacer docente, y sentirse suficientemente cómodo con ellas? Comentaremos algunos ejemplos ~e aplicación de las TIC en la enseñanz...

  2. Endodoncia regenerativa: utilización de fibrina rica en plaquetas autóloga en dientes permanentes vitales con patología pulpar. Revisión narrativa de la literatura*

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    Tatiana Ramírez Giraldo; Henry Sossa Rojas

    2014-01-01

    Actualmente una de las mayores controversias en el tratamiento de dientes permanentes con diagnóstico de pulpitis está en la decisión de realizar una Terapia Pulpar Vital (TPV) o un tratamiento convencional de conductos. Diferentes estudios han reportado que se pueden obtener resultados previsibles mediante la realización de una TPV. El éxito del tratamiento dependerá de una adecuada comprensión de la  biología pulpar, un estricto protocolo de tratamiento y una adecuada selección del caso. Co...

  3. Formación del formador de personas adultas: de la realización profesional a la transformación permanente de los entornos comunitarios

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    Antonio MEDINA RIVILLA

    2009-11-01

    Full Text Available RESUMEN: La formación y actualización permanente es un deber y un derecho de los formadores, y un compromiso de las administraciones e instituciones educativas. Los modelos y estrategias de formación del formador se han ido adaptando a las situaciones en las que actúan los formadores. Entre los modelos que más hemos desarrollado con los formadores destacamos:El proceso de autoconocimiento e identidad profesional desde la narrativa justificada de la propia autobiografía formativa.La construcción del saber práctico.El proceso de desarrollo profesional en equipo, con apoyo entre colegas.La creación de una cultura de colaboración. Estas amplias perspectivas se complementan con la transformación de la práctica reflexiva individualizada, que facilita el avance del conocimiento profesional y la madurez formativa de los formadores.Estas perspectivas se integran en un modelo pensativo-colaborativo, fundamentado en un proceso de indagación continua y de avance del saber profesional en coherencia con las teorías implícitas de los formadores/as. El formador/a ha de encontrar las claves para diseñar su itinerario de profesionalización y vivirlo en continua mejora y diálogo con colegas, abierto a las demandas de la comunidad y a los retos -sociolaborales, necesitados de un aprendizaje a lo largo de la vida.ABSTRACT: The formation and permanent update is a duty and a right of the forming ones, and a commitment of the administrations and educational institutions. The models and strategies of formation of the forming one have been adapting to situations in which they actuate the forming ones. Among the models that more we have developed with the forming ones we stand out:The process of self-knowledge and identity professional from the narrative of the own formative autobiography.The construction of to know practically.The process of professional development in equipment, with support between colleagues.The creation of a culture of collaboration

  4. L'EVOLUTION DU DESIGN DES SYSTEMES DE PILOTAGE DE LA PERFORMANCE DANS LES HOPITAUX : UNE QUETE PERMANENTE DE L'EFFICIENCE ORGANISATIONNELLE

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    Rouhana, Rima; Van Caillie, Didier

    2008-01-01

    International audience; Notre communication vise (1) à dresser un historique de l'évolution du design des systèmes de contrôle de gestion (CDG) et, essentiellement, des systèmes de pilotage de la performance (SPP) en contexte hospitalier; (2) à en inférer, dans une perspective contingente, la nature de ses principaux facteurs contingents; et (3) à synthétiser l'ensemble dans un modèle contingent conceptuel permettant de comprendre comment le système de contrôle de gestion des institutions hos...

  5. Necessidades e dificuldades de tutores e facilitadores para implementar a política de educação permanente em saúde em um município de grande porteno estado do Paraná, Brasil

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    Fernanda de Freitas Mendonça

    2011-09-01

    Full Text Available Para o fortalecimento da política de Educação Permanente em Saúde (EPS, tutores e facilitadores de educação permanente em saúde foram formados. No intuito de desvendar suas necessidades e dificuldades durante o processo de implementação da EPS, foi desenvolvida uma pesquisa qualitativa com nove tutores e dez facilitadores de EPS de Londrina, estado do Paraná. Como instrumento de coleta de dados foi realizada a entrevista semiestruturada, e os dados foram analisados conforme análise de discurso proposta por Martins e Bicudo. Entre as necessidades, destaca-se a institucionalização da EPS, e, como dificuldade, a persistência de práticas hegemônicas. Com base nos resultados é necessário consolidar a EPS por meio de sua prática nos serviços de saúde, pois só dessa maneira, tutores, facilitadores e demais profissionais de saúde terão capacidade de superar as limitações que permeiam o processo de implementação da EPS.

  6. Necessidades e dificuldades de tutores e facilitadores para implementar a política de educação permanente em saúde em um município de grande porteno estado do Paraná, Brasil

    Directory of Open Access Journals (Sweden)

    Fernanda de Freitas Mendonça

    Full Text Available Para o fortalecimento da política de Educação Permanente em Saúde (EPS, tutores e facilitadores de educação permanente em saúde foram formados. No intuito de desvendar suas necessidades e dificuldades durante o processo de implementação da EPS, foi desenvolvida uma pesquisa qualitativa com nove tutores e dez facilitadores de EPS de Londrina, estado do Paraná. Como instrumento de coleta de dados foi realizada a entrevista semiestruturada, e os dados foram analisados conforme análise de discurso proposta por Martins e Bicudo. Entre as necessidades, destaca-se a institucionalização da EPS, e, como dificuldade, a persistência de práticas hegemônicas. Com base nos resultados é necessário consolidar a EPS por meio de sua prática nos serviços de saúde, pois só dessa maneira, tutores, facilitadores e demais profissionais de saúde terão capacidade de superar as limitações que permeiam o processo de implementação da EPS.

  7. Rendimiento y composición mineral del forraje de una pradera permanente fertilizada con magnesio Yield and forage mineral composition of a permanent pasture fertilized with magnesium

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    Oscar Balocchi

    2001-10-01

    Full Text Available Como una alternativa de manejo agronómico de la hipomagnesemia en rebaños a pastoreo se estudió, durante dos años, el efecto de la fertilización magnésica (0, 24, 48 y 96 kg ha-1 año-1 de Mg sobre la concentración de magnesio, calcio, potasio y sodio y sus relaciones en la materia seca del forraje cosechado de una pradera permanente compuesta por Lolium perenne y Trifolium repens. El ensayo se realizó en un suelo Hapludand (Serie Valdivia con un nivel inicial de 0,8 cmol c kg-1 de Mg. No se detectó un efecto de la fertilización magnésica sobre la producción de materia seca de la pradera, pero la concentración de magnesio en la materia seca se incrementó proporcionalmente a la dosis de magnesio aplicada. Considerando el promedio ponderado anual el aumento de la concentración de magnesio fue de 0,006 y 0,012 g kg-1 de materia seca por cada kg de magnesio aplicado, durante el primero y segundo año, respectivamente. La fertilización magnésica disminuyó la concentración de calcio, pero no afectó la concentración de potasio ni de sodio en la materia seca del forraje cosechado. Las relaciones entre Ca/Mg, K/Mg y Na/Mg en general disminuyeron en la medida que aumentó la dosis de fertilización con magnesio.This research was conducted for two years to evaluate magnesium fertilizer application (0, 24, 48 and 96 kg ha-1 year-1 of Mg on a permanent pasture composed by Lolium perenne and Trifolium repens as an agronomic alternative of hypomagnesaemia management in grazing herds. The effect on magnesium, calcium, potassium and sodium concentration in the pasture dry matter and the ratio between cations were evaluated. The research was carried out on an Hapludand (Valdivia serie with an initial available magnesium content of 0.8 cmol c kg-1. Pasture dry matter production was not affected by magnesium fertilization, nevertheless, the concentration of magnesium in the pasture dry matter increased proportionally to the magnesium applied. A

  8. Voces de Complementariedad: una Nueva Propuesta Para la Prevención de la Violencia en el Ámbito de la Educación Permanente

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    Cecilia Vicentini

    2003-01-01

    Full Text Available Se realizó una investigación de carácter cualitativo para demostrar que exis-te necesidad en este nuevo siglo de construir un nuevo pensamiento racional a través de la práctica de la complementariedad si queremos disminuir los niveles de violencia en el planeta. Hasta ahora hemos aceptado un mundo basado en polaridades y opuestos y hemos hecho la guerra porque no podemos aceptar las diferencias entre las personas. Hemos aceptado vivir en un mundo dividido donde la separación es vista como algo normal, como el resultado de la prácti-ca de viejas formas de pensamiento; esta situación es una de las causas princi-pales de la violencia hoy día, estamos tan distantes unos de otros que no pode-mos construir espacios comunes donde encontramos y estar juntos El objetivo principal del estudio fue proponer la necesidad de la complemen-tariedad a través de la construcción de puentes entre los seres humanos, entre hombres y mujeres, entre grupos en conflicto dentro de una nación y entre naciones. Nosotros, como seres humanos, necesitamos participar en la cons-trucción de nuevas realidades, necesitamos desarrollar el poder de imaginar y sonar nuevas formas de existencia en el planeta tierra. De Beauport es una experta educativa emergente que propone un modelo de inteligencias múltiples como camino de prevención de la violencia; ella plantea que hay 3 obstáculosp rincipales a la paz: la creencia de que para resolver los conflictos debemos utili-zar la fuerza, sea mental o física; el manejo inadecuado del miedo y las frustra-ciones y la práctica de un dualismo que ocasiona que la gente se vea como opuestos y en permanente confrontación. Estos tres factores forman la plataforma del presente estudio, realizado en el contexto de una sociedad muy polarizada en el aspecto político, en el cual la violencia se está convirtiendo en una situación crítica: la sociedad venezolana. El objetivo principal del estudio fue experimentar estrategias para

  9. Educação Permanente em SBV e SAVC: impacto no conhecimento dos profissionais de enfermagem Educación permanente en SBV y SAV: impacto en el conocimiento de los profesionales de enfermería Permanent Education in BLS and ACLS: impact on the knowledge of nursing professionals

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    Sandro Gonçalves de Lima

    2009-12-01

    Full Text Available FUNDAMENTO: O conhecimento teórico e as habilidades práticas das equipes de Suporte Básico de Vida (SBV e Suporte Avançado de Vida (SAV estão entre os determinantes mais importantes das taxas de sucesso em reanimação cardiopulmonar. OBJETIVO: Avaliar o impacto de um programa permanente de treinamento em SBV e SAV no conhecimento dos profissionais de enfermagem. MÉTODO: Estudo de corte transversal. A população foi composta por profissionais de enfermagem de um hospital de nível terciário. Foram realizadas avaliações antes e após o treinamento. Abordaram-se pontos críticos das diretrizes do International Liaison Committee on Resuscitation (ILCOR. RESULTADOS: Foram avaliados 213 profissionais (76 enfermeiros, 35,7%; 38 auxiliares, 17,8%; e 99 técnicos, 46,7%. As médias na avaliação pré-curso foram estatisticamente diferentes (pFUNDAMENTO: El conocimiento teórico y las habilidades prácticas de los equipos de Soporte Básico de Vida (SBV y Soporte Avanzado de Vida (SAV están entre los determinantes más importantes de los índices de éxito en reanimación cardiopulmonar. OBJETIVO: Evaluar el impacto de un programa permanente de entrenamiento en SBV y SAV en el conocimiento de los profesionales de enfermería. MÉTODO: Estudio de corte transversal. La población estaba compuesta por profesionales de enfermería de un hospital de nivel terciario. Se realizaron evaluaciones antes y después del entrenamiento. Se abordaron puntos críticos de las directrices del International Liaison Committee on Resuscitation (ILCOR. RESULTADOS: Se evaluaron 213 profesionales (76 enfermeros, 35,7%, 38 auxiliares, 17,8% y 99 técnicos, 46,7%. Los promedios en la evaluación previa al curso fueron estadísticamente diferentes (pBACKGROUND: The theoretical knowledge and practical skills of the Basic Life Support (BLS and the Advanced Life Support (ALS are among the most important determining factors of the cardiopulmonary reanimation success rates

  10. Prevalence of Childhood and Adolescent Overweight and Obesity from 2003 to 2010 in an Integrated Health Care Delivery System

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    Scott Gee

    2013-01-01

    Full Text Available An observational study of the Kaiser Permanente Northern California (KPNC BMI coding distributions was conducted to ascertain the trends in overweight and obesity prevalence among KPNC members aged 2–19 between the periods of 2003–2005 and 2009-2010. A decrease in the prevalence of overweight (−11.1% change and obesity (−3.6% change and an increase in the prevalence of healthy weight (+2.7% change were demonstrated. Children aged 2–5 had the greatest improvement in obesity prevalence (−11.5% change. Adolescents aged 12–19 were the only age group to not show a decrease in obesity prevalence. Of the racial and ethnic groups, Hispanics/Latinos had the highest prevalence of obesity across all age groups. The KPNC prevalence of overweight and obesity compares favorably to external benchmarks, although differences in methodologies limit our ability to draw conclusions. Physician counseling as well as weight management programs and sociodemographic factors may have contributed to the overall improvements in BMI in the KPNC population. Physician training, practice tools, automated BMI reminders and performance feedback improved the frequency and quality of physician counseling. BMI screening and counseling at urgent visits, in addition to well-child care visits, increased the reach and dose of physician counseling.

  11. Orden de emergencia de la dentición permanente en niños del municipio de Santa Clara: Parte II Emergence order of permanent dentition in children from the Santa Clara municipality: Part II

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    Armando San Miguel Pentón

    2011-09-01

    Full Text Available Se realizó un estudio epidemiológico descriptivo transversal de la dentición permanente en la provincia de Santa Clara desde el año 2005 al año 2009, con el objetivo de determinar el orden de emergencia de la dentición permanente. El universo fue de 45 724 infantes de ambos sexos entre los 4 y 14 años de edad. La muestra fue de 1 769 individuos. Se hallaron los percentiles de emergencia y a partir del percentil 50 se estableció el orden. Se compararon los dientes para cada grupo eruptivo y se estudió la simetría. Se estableció el orden de emergencia. Hubo diferencias para el orden entre los sexos, hemiarcadas y con las tablas de otros autores. Los dientes más simétricos fueron los incisivos y los primeros molares. Se concluyó que no siempre los dientes inferiores brotaron antes que sus homólogos superiores, los incisivos y primeros molares son los más simétricos en el brote. El primer diente permanente en emerger fue el incisivo central inferior o el primer molar inferior. Lo más frecuente fue que los caninos superiores e inferiores brotaran después que las primeras bicúspides.A cross-sectional, descriptive and epidemiologic study was conducted of the permanent dentition of children from Santa Clara municipality from 2005 to 2009 to determine the emergence order of permanent dentition. Universe included 45 724 infants of both sexes aged between 4 and 14. Sample included 1 769 subjects. There were emergence percentiles and from the 50 percentile the order was established. The teeth for each eruptive group were compared and symmetry was studied, establishing the emergence order. There were order differences between both sexes, hemiarcades and with the tables from other authors. The more symmetric teeth were the incisives and the first molars. We conclude that not always the lower teeth erupt before the upper ones, the incisives and first molars are the more symmetric in eruption. The first erupted permanent tooth may be the

  12. Modelos clínico-dosimétricos predictivos del control bioquímico del cáncer de próstata órgano-confinado tratado mediante implantes radiactivos permanentes

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    Polo Rubio, José Alfredo

    2007-01-01

    DE TESIS DOCTORAL: La braquiterapia permanente con semillas radiactivas es una técnica aplicada desde los inicios del siglo XX, y que ha conocido un renacimiento durante la década de 1980. Numerosos estudios han mostrado una relación entre algunos parámetros dosimétricos y los resultados clínicos.HIPÓTESIS Y OBJETIVOS DE ESTA TESIS:La combinación de factores clínicos y dosimétricos permite la elaboración de modelos predictivos del control bioquímico del cáncer de próstata órgano-confinado tra...

  13. Efeito transversal da placa lábio-ativa aberta e fixa associada à extensão lingual de canino decíduo a primeiro molar permanente: estudo em modelos digitais

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    Lara, Tulio Silva

    2011-01-01

    Introdução: O objetivo do presente estudo clínico foi avaliar as dimensões transversais do arco dentário inferior com o uso da placa lábio-ativa aberta e fixa associada à extensão lingual de canino decíduo a primeiro molar permanente. Métodos: A amostra constou de 14 pacientes no estágio de dentadura mista e com idade média de oito anos e seis meses. Todos os pacientes realizaram expansão rápida da maxila e expansão lenta do arco inferior com a placa lábio-ativa. Modelos de gesso foram obtido...

  14. A influência da perda bilateral do primeiro molar inferior permanente na morfologia dentofacial: um estudo cefalométrico The influence of bilateral lower first permanent molar loss on dentofacial morfology: a cephalometric study

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    David Normando

    2010-12-01

    Full Text Available OBJETIVO: avaliar as alterações cefalométricas em pacientes com perda bilateral do primeiro molar inferior permanente. MÉTODOS: foram analisadas 68 telerradiografias laterais de pacientes de consultórios particulares. A amostra foi dividida em dois grupos pareados quanto ao sexo e idade - 34 indivíduos sem perdas (grupo controle e 34 com perda bilateral do primeiro molar inferior permanente (grupo com perda. Foram excluídos da amostra pacientes que haviam perdido outros dentes que não o primeiro molar inferior, casos de agenesia e pacientes com menos de 16 anos de idade. Buscou-se avaliar somente indivíduos que tivessem relatado a perda há pelo menos 5 anos. RESULTADOS: demonstraram que a perda bilateral do primeiro molar inferior permanente leva ao suave fechamento do ângulo GnSN (P=0,05, um giro anti-horário do plano oclusal (P=0,0001, uma suave diminuição da altura facial anteroinferior (P=0,05, uma acentuada inclinação lingual (P=0,04 e retrusão dos incisivos inferiores (P=0,03. Por outro lado, a perda bilateral do primeiro molar inferior permanente não foi capaz de influenciar a relação maxilomandibular no sentido anteroposterior (P=0,21, a quantidade de mento (P=0,45, a inclinação dos incisivos superiores (P=0,12 e a posição anteroposterior dos incisivos superiores (P=0,46. CONCLUSÃO: a perda bilateral dos primeiros molares inferiores é capaz de produzir alterações marcantes no posicionamento dos incisivos inferiores e no plano oclusal, além de uma suave redução vertical da faceOBJECTIVE: To evaluate cephalometric changes in patients after bilateral loss of lower first permanent molar teeth. METHODS: Sixty-eight lateral radiographs of patients from private practices were analyzed. The sample was divided into two groups matched for age and gender: 34 individuals without loss (control group and 34 presenting with bilateral loss of lower first permanent molar teeth (loss group. Patients who had lost teeth other

  15. Acoplamiento de la hidráulica de pozos y la teoría de bombas para la determinación de caudales en régimen permanente

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    Espert Alemany, Vicent; Baeza Arnau, I.; López Patiño, G.; Martínez Solano, F. Javier

    2000-01-01

    En el presente artículo se estudia el punto de funcionamiento de un campo de pozos que extraen agua de un acuífero cautivo trabajando en régimen permanente. El método de cálculo propuesto es un acoplamiento entre las ecuaciones de la hidráulica de pozos y la teoría de bombas hidráulicas, teniendo en cuenta además las características de la instalación que alimenta cada una de las bombas. Se plantea un sistema de ecuaciones no lineal, a resolver por métodos numéricos, el cual proporciona el ...

  16. Bloqueo AV de alto grado transitorio por compromiso nodal y acción vagal en un deportista. ¿Es necesaria la electroestimulación cardíaca permanente?

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    Pablo A. Chiale

    2005-01-01

    Full Text Available Un deportista de 26 años, asintomático, fue evaluado por bloqueo AV de larga data con pausas nocturnas de hasta 4,7 segundos. El estudio electrofisiológico mostró bloqueo AV suprahisiano de segundo grado tipo Mobitz I con prueba de ajmalina negativa. En el ECG Holter, el mayor grado de bloqueo AV coincidió con la frecuencia sinusal más baja. El hallazgo se interpretó como lesión crónica nodal AV, de etiología indeterminada, con paroxismos de bloqueo AV por acción vagal. No se indicó electroestimulación cardíaca permanente y se le permitió continuar con actividad física.

  17. Acerca de la competencia consultiva del Tribunal Permanente de Revisión del Mercosur y de la experiencia del Poder Judicial del Uruguay en la tramitación de opiniones consultivas

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    Jorge Chediak González

    2014-08-01

    Full Text Available En el MERCOSUR no existe un Tribunal de Justicia, de allí la trascendencia de la labor que los órganos jurisdiccionales nacionales desarrollan, en la interpretación y aplicación del Derecho Comunitario en el orden interno. En esa labor juega un papel central la tarea consultiva conferida en el ámbito mercosuriano a su Tribunal Permanente de Revisión. La experiencia uruguaya en la tramitación de las opiniones consultivas, desde el año 2007 al 2012, ha sido de solamente dos solicitudes de Opinión Consultiva. El desafío actual lo constituye la adopción de políticas judiciales que incentiven a nuestros jueces a acudir a esta herramienta cuando tengan a su decisión un litigio en que resulte aplicable alguna norma del MERCOSUR.

  18. Defectos del esmalte, caries en dentición primaria, fuentes de fluoruro y su relación con caries en dientes permanentes Enamel defects, caries in primary dentition and fluoride sources: relationship with caries in permanent teeth

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    Ana Alicia Vallejos-Sánchez; Carlo Eduardo Medina-Solís; Juan Fernando Casanova-Rosado; Gerardo Maupomé; Alejandro José Casanova-Rosado; Mirna Minaya-Sánchez

    2007-01-01

    Objetivo: Explorar la relación entre la presencia de defectos del esmalte (DE), la experiencia de caries en la dentición temporal, y la exposición a diversas fuentes de fluoruros, con la presencia de caries en la dentición permanente de niños con dentición mixta. Material y métodos: Se realizó un estudio transversal en 713 sujetos de 6-9 años de edad de 4 escuelas de Campeche, México, mediante un cuestionario dirigido a las madres, y un examen clínico bucal a los niños. La variable dependient...

  19. Importância das Áreas de Preservação Permanente (APP) ripárias para a mastofauna no nordeste do Estado de São Paulo

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    Roberta Montanheiro Paolino

    2015-01-01

    Dada a crescente ameaça à biodiversidade pela destruição e fragmentação dos habitats naturais, sobre-exploração, poluição e introdução de espécies exóticas invasoras, alguns veículos legais buscam preservá-la, como a instituição das Áreas de Preservação Permanente (APP) no Brasil. Elas têm sido alvo de grande discussão quanto à sua configuração com a aprovação da Lei Nº 12.651/2012, a qual alterou o Código Florestal Brasileiro. Assim, este trabalho visa avaliar se as APPs estão sendo capazes ...

  20. A educação permanente e suas contribuições na constituição do profissional e nas transformações do cuidado de enfermagem

    OpenAIRE

    Salum,Nádia Chiodelli

    2007-01-01

    Tese (doutorado) - Universidade Federal de Santa Catarina, Centro de Ciências da Saúde. Programa de Pós-Graduação em Enfermagem. Este estudo teve como objetivo analisar as contribuições que a educação permanente traz para a transformação do profissional nas dimensões pessoal, profissional e institucional e sua contribuição para a transformação do cuidado e da prática de enfermagem. Trata-se de uma pesquisa qualitativa, de caráter avaliativo, em razão do caráter complexo da natureza do estu...

  1. Parliament representation in Latin America. The permanent commissions and the parties in Congress La representación parlamentaria en América latina. Las comisiones permanentes y los partidos en el congreso

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    Luisa BÉJAR

    2009-04-01

    delegación de corte muy diverso. En este escrito se revisa el acomodo institucional del sistema de comisiones de la Cámara Baja en: Argentina; Bolivia; Brasil; Colombia; Chile; México; Paraguay; República Dominicana y Uruguay. En este sentido, el estudio examina tanto la importancia concedida a su trabajo, como algunos aspectos de su morfología que afectan la estructura de incentivos que acota el desarrollo del proceso legislativo. Asimismo, se analizan los procedimientos utilizados en cada Congreso para enfrentar los problemas de acción colectiva. Por último, se presentan algunas ideas para la elaboración de una futura taxonomía sobre la relación que guardan en la región los partidos y las comisiones permanentes del Congreso.ABSTRACT: The main argument of this paper is that the heterogeneity of the institutional framework that prevails in Latin America’s electoral field (Carroll y Shugart, 2005, also reproduces itself in the parliamentary one. This is proved by the morphologic profile of each Congress’ commission system and the place that the law assigns to the system. While some legislative frameworks clearly intend to delegate to parties the decisions entrusted to this bodies; in other cases, this takes place in a less important way. In the cases formally related with a party logic, on the other hand, diverse delegation schemes are encouraged. In this article we analyze the institutional framework of the commission systems of the low chamber in: Argentina; Bolivia; Brazil; Colombia; Chile; Mexico; Paraguay; Dominican Republic and Uruguay. In this sense, this work examines the importance given to their job and some aspects of its morphology that affect the structure of incentives that narrows the development of the legislative process. We also analyze the procedures used by each Congress to solve its problems of collective action. Lastly, some ideas for the elaboration of a future taxonomy on the relationship between parties and permanent commissions in

  2. Avaliação da microdureza superficial do esmalte e da dentina de dentes bovinos e humanos: permanentes e decíduos = Surface microhardness evaluation of enamel and dentin in bovine and human teeth: permanent and deciduous

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    Donassollo, Tiago Aurélio

    2007-01-01

    Full Text Available O objetivo desse estudo foi testar a microdureza superficial do esmalte (E e da dentina (D em molares humanos decíduos (grupo d, molares humanos permanentes (grupo p e incisivos bovinos (grupo b. Foram selecionados 4 espécimes de cada tipo de dente os quais foram mantidos em solução salina até o teste. Os espécimes foram incluídos em uma matriz com resina e polidos com papel metalográfico (até granulação 600 para planificar o esmalte. O teste de dureza Knoop foi realizado em um microdurômetro com carga de 200 g, sendo realizadas 5 leituras (10 s de endentação por dente. Os espécimes foram novamente submetidos ao polimento para expor dentina (próxima ao LAD, sendo novas leituras realizadas. Os dados foram submetidos à análise estatística (testes ANOVA e Tukey. Os valores médios de dureza (kg/mm2 e desvio padrão foram os seguintes: Ed 338 ± 30,1; Ep 341 ± 32,8; Eb 326 ± 25,5; Dd 104 ± 9,7; Dp 93,3 ± 8,7; Db 91,2 ± 7,3. A dureza do esmalte foi maior que a da dentina nos três tipos de dentes (p < 0,001. Considerando o tipo de substrato, não houve diferenças estatísticas, ou seja, os valores de dureza para esmalte ou dentina foram similares para dentes humanos decíduos e permanentes e dentes bovinos

  3. Implantação das mesas nacionais de negociação permanente do Sistema Único de Saúde em secretarias estaduais e municipais de saúde

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    Carinne Magnago

    Full Text Available Resumo O objetivo deste artigo é avaliar a implantação da mesa de negociação permanente e identificar os entraves e os avanços decorridos dos processos de negociação no âmbito dos estados e dos municípios brasileiros. O método usado foi estudo descritivo e exploratório, de abrangência nacional. A coleta de dados se deu em 2012 e 2013, por meio de survey com 519 gestores de saúde e grupos focais com 49 gestores e 11 integrantes da Mesa Nacional de Negociação Permanente. Dados foram analisados por estatística descritiva e por análise de conteúdo. Verificou-se existência de 132 mesas de negociação, das quais apenas 87 estão em funcionamento. Os principais motivos para não implantação das mesas são a falta de assessoria técnica e a utilização de outras ferramentas para negociação do trabalho. As principais mudanças nas relações de trabalho em decorrência da atuação das mesas de negociação foram a realização de concursos e de processos seletivos públicos, políticas de desprecarização do trabalho e a implantação de planos de cargos, carreiras e salários. Conclui-se que apesar da potencialidade das mesas como dispositivos de negociação, sua implantação e seu pleno funcionamento esbarram em grandes desafios.

  4. Historia poblacional, orígenes africanos y microevolución de los actuales afro-colombianos inferidos desde caracteres epigenéticos en la dentición decidua y permanente

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    Delgado Burbano, Miguel E.

    2006-01-01

    Full Text Available Setenta y cinco rasgos coronales no-métricos en la dentición permanente y decidua fueron registrados en 178 modelos dentales de individuos afro-colombianos pertenecientes a la comunidad de Guapi. Se recolectaron datos comparativos de 33 grupos africanos, otro grupo afro-estadounidense en la dentición permanente, en 4 grupos afro-americanos y otros 12 grupos de diferente ascendencia étnica, en la dentición decidua. Un análisis multivariado de componentes principales basado en frecuencias dentales, mostró que los afro-colombianos poseen gran afinidad genética con el Africa Sub-Sahariana, específicamente con grupos del Occidente, del Oriente y del Sur-Oriente africano. Este mismo análisis detectó una marcada divergencia dental con las poblaciones Norafricanas. Los resultados de esta investigación concuerdan con recientes estudios genéticos, basados en marcadores de ADNmt. A pesar que la dentición es evolutivamente conservativa y estable en una escala diacrónica corta, se concluyó que en 400 años de microevolución de los africanos en Colombia, su pool genético original se ha modificado levemente, debido a la influencia de presiones selectivas y flujo génico interétnico, con nativos americanos y grupos de origen caucásico. Se sugiere que los grupos afro-descendientes del Norte, Centro y Sur de América poseen historias poblacionales y evolutivas distintas, debido tanto a procesos de diferenciación fenotípica regional y local como a orígenes geográficos y étnicos diferentes.

  5. Vigilancia y control en criaderos temporales y permanentes de culícidos en Villa Clara (Vigilance and control in temporal and permanent breeding ground of mosquitoes in Villa Clara

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    Janhad L. Rodríguez Mendieta

    2006-07-01

    Full Text Available El trabajo se desarrolló en la Unidad Provincial de Vigilancia y Lucha Antivectorial de la provincia de Villa Clara, en el período comprendido entre el primero de julio al primero de noviembre del 2005. Para el mismo se representaron gráficamente los 304 criaderos permanentes y 218 temporales de culícidos; distribuidos en los 13 municipios de dicha provincia. Se tomaron muestras de cuerpos de agua (28 criaderos existentes en los 13 municipios de la provincia para detectar la Densidad Larvaria según la metodología del cucharón. Se determinaron las principales especies de culícidos que habitan en la provincia y se compararon dos métodos (Temephos al 2% y peces de control para estos vectores, determinándose el costo – riesgo del Temephos al 2%, el Bacillus thurigiensis y los peces como métodos de control de mosquitos mediante una ponderización. Los datos primarios se procesaron en el sistema computarizado Excel del paquete Office XP y para el procesamiento estadístico de la efectividad de cada tratamiento se empleó la prueba de comparación de proporciones del paquete Statgraphics plus 4.1, ambos sistemas sustentados en WindowsÒ. Los resultados muestran que las especies de mosquitos más difundidas en la provincia son: el Anopheles albimanus, el Aedes mediovitatus, el Aedes scapularis, el Aedes confinis, el Culex quinquefasciatus, el Culex nigripalpus y el Culex corniger; además, los resultados demuestran la superioridad del control con peces sobre el control con Temephos ya que es más eficiente (99% versus 87% para p < 0.01 en el control de culícidos. La vigilancia con peces (no gastos en divisas y $ 1 035.08 MN es más económica que el Temephos (847 500 CUC y $ 12 490.96 MN y que el Bacillus thurigiensis (6 328 cuc y $ 8 280.64 MN. Se concluye que los peces constituyen un efectivo control para las poblaciones de culícidos, recomendando el uso de los mismos por todos los beneficios que estos representan. This work was

  6. Educação permanente com os auxiliares de enfermagem da Estratégia Saúde da Família em Sobral, Ceará Continuing education with nursing assistants from the Family Health Strategy in Sobral, Ceará

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    Aldiania Carlos Balbino

    2010-10-01

    Full Text Available A proposta da Política Nacional de Educação Permanente em Saúde (PNEPS é a formação e o desenvolvimento dos trabalhadores para o Sistema Único de Saúde (SUS. A partir desse pressuposto, o objetivo deste estudo foi analisar a percepção dos auxiliares de enfermagem sobre o processo de Educação Permanente (EP que vem sendo realizado pela Escola de Formação em Saúde da Família Visconde de Sabóia (EFSFVS em Sobral, Ceará, Brasil. Desenvolveu-se um estudo exploratório-descritivo de natureza qualitativa com dez auxiliares de enfermagem que participaram pelo menos uma vez das atividades de EP desenvolvidas pela Coordenação de EP de Sobral. Os dados foram coletados por meio da técnica de grupo focal, e os resultados, analisados a partir do discurso do sujeito coletivo. Os resultados evidenciaram que houve mudanças na prática dos auxiliares de enfermagem após a inserção destes nas atividades de EP através do apoderamento e aperfeiçoamento de competências (habilidades, atitudes e conhecimentos. Destarte, faz-se necessária a permanência desses trabalhadores no processo de EP, assim como de avaliação sistemática nesse processo, para que se alcance uma prática profissional eficiente e transformadora, pelo aprender constante, qualificando a atenção à saúde.The proposal set forth by the National Policy on Continuing Education in Health (PNEPS is to train and develop workers for the Unified Health System (SUS. Based on this assumption, the purpose of this study was to analyze the perceptions nursing assistants have about the Continuing Education (CE process being carried out by the Visconde de Sabóia School for Education in Family Health (EFSFVS, in Sobral, state of Ceará, Brazil. A qualitative descriptive-exploratory study was undertaken involving ten nursing assistants who participated at least once in the CE activities undertaken by the Sobral CE Coordination. Data were collected through focus group techniques, and

  7. Diagnosis of the permanent preservation areas in the watersheds of municipal district of Bandeirantes, Paraná, Brazil / Diagnóstico das áreas de preservação permanente das microbacias hidrográficas do município de Bandeirantes – Paraná

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    Otávio Jorge Grigoli Abi Saab

    2009-10-01

    Full Text Available The expansion of the agricultural limits, the industrial development and the increase of populations indexes demanded substantial increases in the production of victuals. These factors took to the growing degradation of the natural resources. The devastation of the areas of forests along the rivers and streams, around the riverhead and tops of hills, in the past, they force its recomposition, for law force, as permanent preservation areas (PPA’s. This work had for objective to define the watersheds of the municipal district of Bandeirantes – PR, Brazil, to measure the permanent preservation areas, total and existent, along the courses of water, riverhead and top of hills and to identify the conflict use of the soil in these areas. The geographical information system was used SPRING 4.1, image of Landsat ETM+, bands 2, 3, 4 and 5, cartographic base of the IBGE, scale 1:50000 and aerial pictures, scale 1:25000. It was verified that the municipal district presents 8,6% of PPA’s with ciliary forest, being 11,38%, referring 8,21% and 5,25% to rivers, streams and riverhead, respectively. Referring PPA’s meets of top of hills and in superiors slopes at 100%, they have equivalent area for 24,94 ha and 8,7 ha, however 100% of these areas are without forest. The watersheds that presented smaller index of PPA’s was those with better agricultural aptitude.A expansão das fronteiras agrícolas, o desenvolvimento industrial e o aumento dos índices populacionais demandaram aumentos substanciais na produção de alimentos. Estes fatores levaram à degradação crescente dos recursos naturais. A devastação das áreas de florestas ao longo dos rios e córregos, entorno das nascentes e topos de morros, no passado, obrigam sua recomposição, por força de lei, como áreas de preservação permanente (APP. Este trabalho teve por objetivo delimitar as microbacias do município de Bandeirantes, mensurar as áreas de preservação permanente, total e

  8. DELIMITAÇÃO DE ÁREAS DE PRESERVAÇÃO PERMANENTE DETERMINADAS PELO RELEVO : APLICAÇÃO DA LEGISLAÇÃO AMBIENTAL EM DUAS MICROBACIAS HIDROGRÁFICAS NO ESTADO DE GOIÁS

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    Raphael de Oliveira Borges

    2012-02-01

    Full Text Available A conservação das áreas de preservação permanente sofre com o desrespeito principalmente pelo seu desconhecimento, a aplicação da lei não é fácil devido à imprecisão de seus limites espaciais. O presente artigo discute a interpretação e a aplicação da legislação, na determinação dos limites das Áreas de Preservação Permanente relacionadas ao relevo. O objetivo consistiu em indicar todas as categorias previstas, em duas microbacias hidrográficas, a do Ribeirão João Leite e a do Ribeirão Extrema, mananciais hídricos para abastecimento de dois centros urbanos, respectivamente, Goiânia e Barro Alto, procurando o resultado da efetiva área de preservação permanente e dos conflitos decorrentes de seus usos. Foram mapeadas oito categorias de APP, as quais se repetiram nas duas bacias: faixas marginais de 30m e 50m nos cursos d’água; faixas marginais de lagoas/reservatórios; raio marginal de 50m nas nascentes; recuo de 100m nas bordas de tabuleiros; topos de morro; linhas de cumeada e as escarpas. Também foram elaborados os mapas de uso e ocupação das duas bacias, para cruzamento com os de APP. Destes mapas, constatou-se que na Bacia do Ribeirão João Leite, apenas 22,23% encontram-se recobertos por remanescentesde vegetação, principalmente Florestas Estacionais Deciduais e Semideciduais: verifica-se o predomínio das pastagens, que alcançam 65% da área. Já no Ribeirão Extrema, 43,62% estão cobertos por remanescentes, principalmente Cerrado Típico e Cerradão; também ocorre o predomínio das pastagens, abrangendo 48,34%. Em relação às APP, no Ribeirão João Leite, o total correspondeu a 18,25% de sua área, já no Ribeirão Extrema, 26,82%, sendo a classe dos topos de morro a predominante em ambas. Percebe-se uma discrepância entre os padrões de uso e ocupação: no Ribeirão João Leite 62,07% de todas as APP estão sob uso; no Ribeirão Extrema esse cenário é bem diferente, com 78,2% de preserva

  9. INDICACIONES DE ESTIMULACIÓN ELÉCTRICA TRANSITORIA, COMPLICACIONES Y NECESIDAD DE ESTIMULACIÓN CARDÍACA PERMANENTE / Use of temporary cardiac pacing, its complications and need for permanent cardiac pacing

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    Humberto Ramos González

    2013-07-01

    Full Text Available Resumen: Introducción: La estimulación cardíaca temporal está indicada en diversas situaciones de extrema urgencia, en pacientes con bradiarritmias graves y bloqueos aurículo-ventriculares de II o III grados.Su indicación siempre se considera ante la presencia de síntomas como: compromiso hemodinámico importante, que no responde a los medicamentos, y poca tolerancia el ritmo lento. Objetivo: Describir las principales indicaciones de estimulación eléctrica transitoria que pueden llevar a la estimulación eléctrica permanente, así como las complicaciones que se presentan al utilizarla. Método: Se realizó un estudio descriptivo donde se estudiaron 266 pacientes de 281 ingresados en el Hospital "Arnaldo Milián Castro", a los cuales se les implantó un marcapasos transitorio. Se describen las indicaciones y complicaciones del procedimiento. Resultados: Se observó un mayor número de indicaciones de estimulación eléctrica transitoria cuando aumenta la edad de la población en estudio, 45,86 % para los mayores de 80 años. El sexo femenino predominó (156 pacientes, con una relación mujer-hombre de 1,56:1. La causa degenerativa (42,1 % fue la mayor indicación de estimulación eléctrica permanente. La punción de vasos no deseados fue la complicación más frecuente (7,1 %. Conclusiones: La indicación de estimulación eléctrica transitoria es más frecuente en los mayores de 80 años, principalmente por causa degenerativa, que finalmente lleva a la estimulación eléctrica permanente. El porcentaje de complicaciones no se muestra elevado cuando se tiene en cuenta que este procedimiento no se realizó bajo visión fluoroscópica. / Abstract: Introduction: Temporary cardiac pacing is used in various extreme emergency situations, in patients with severe bradyarrhythmias and second and third degree atrioventricular block. Its use is always considered when there are symptoms such as a significant hemodynamic compromise, not responding

  10. Evaluation of the neuroprotective effect of ketoprofen on rats submitted to permanent focal brain ischemia Avaliação do efeito neuroprotetor do cetoprofeno em ratos submetidos à isquemia cerebral focal permanente

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    Manoel Nunes da Silva

    2007-12-01

    Full Text Available OBJECTIVE: To study the neurobehavioral, biochemical and histopathological consequences of permanent focal brain ischemia, and the putative neuroprotective action of ketoprofen. METHOD: One-hundred-and-three Wistar rats divided into groups A and B were respectively submitted to 48 hours and 15 days of ischemia. Each group was divided into 4 subgroups: ischemic not treated, ischemic treated, sham not treated, and sham treated. Ischemic animals had the left middle cerebral artery coagulated. Ketoprofen was administered to treated subgroups 15 minutes before arterial coagulation (manipulation in the sham group. RESULTS: Exploratory activity and defecation were reduced in all ischemic animals in the first postoperative days and constant histopathological changes were observed in each group. The total brain glutamate levels were higher in treated animals 48 hours after surgery. CONCLUSION: No clear parallelism among behavioral, biochemical and histopathological findings was observed. Ketoprofen demonstrated no neuroprotective effect on the behavioral or histopathological aspects of focal permanent brain ischemia.OBJETIVO: Estudar as conseqüências comportamentais, bioquímicas e histopatológicas da isquemia cerebral focal permanente e o possível efeito neuroprotetor do cetoprofeno. MÉTODO: Foram utilizados 103 ratos Wistar, divididos em grupos A e B, submetidos, respectivamente, a 48 horas e a 15 dias de isquemia. Cada grupo foi dividido em 4 subgrupos: isquêmico não tratado; isquêmico tratado; sham não tratado; sham tratado. Nos animais isquêmicos foi coagulada a artéria cerebral média esquerda. Os subgrupos tratados receberam cetoprofeno 15 minutos antes da oclusão ou manipulação arterial. RESULTADOS: Os animais isquêmicos reduziram a atividade exploratória e as evacuações nos primeiros dias pós-operatórios e mostraram alterações histopatológicas constantes em cada grupo. As concentrações do glutamato total 48 horas após a

  11. Efeitos do tamoxifeno e dos estrogênios conjugados no epitélio mamário de ratas em estro permanente Effects of tamoxifen and conjugated estrogens on the mammary epithelium of rats in persistent estrus

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    Benedito Borges da Silva

    2000-02-01

    Full Text Available Objetivo: avaliar as alterações morfológicas e morfométricas produzidas pelo tamoxifeno e pelos estrogênios conjugados no epitélio mamário de ratas em estro permanente. Métodos: foram utilizadas 33 ratas adultas, induzidas a estro permanente com 1,25 mg de propionato de testosterona e divididas ao acaso em três grupos: GI -- que receberam apenas água, servindo como controle (n = 12; GII -- tratadas com 500 mig de tamoxifeno diariamente (n = 10; GIII -- tratadas com 30 mig de estrogênios conjugados ao dia (n = 11. O primeiro par mamário abdômino-inguinal dos animais foi extirpado e processado para estudo morfológico e morfométrico. Os dados foram analisados estatisticamente pela análise de variância por postos de Kruskal-Wallis (p Purpose: to evaluate the morphologic and morphometric alterations produced by tamoxifen and conjugated estrogens in the mammary epithelium of rats in persistent estrus. Methods: thirty-three adult female rats in persistent estrus induced with 1.25 mg testosterone propionate were divided at random into three groups: GI -- which received only water, control group (n = 12; GII -- treated with 500 mug tamoxifen daily (n = 10; GIII -- treated with 30 mug conjugated estrogens per day (n = 11. The first inguinal-abdominal pair of mammary glands of the animals was extirpated and processed for morphologic and morphometric study. Data were analyzed statistically by the Kruskal-Wallis rank analysis of variance (p < 0.05. Results: the morphologic study revealed signs of epithelial atrophy and the morphometric study showed a statistically significant reduction in the mean number of ducts and alveoli in groups II (10.1 and 1.9, respectively and III (11.1 and 3.5, respectively compared to group I (25.0 and 6.6, respectively. There was no significant difference between groups II and III. Conclusions: the results of this study indicate that tamoxifen as well as conjugated estrogens at the tested doses produced mammary

  12. MAPAS DE CONHECIMENTO E MEMORIZAÇÃO PERMANENTE DE CONHECIMENTO E APRENDIZADO: UMA PROPOSTA DE NOVAS FERRAMENTAS NO AUXÍLIO DO RESGATE DO IDOSO À AUTOESTIMA E CIDADANIA

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    Rubens Barbosa Filho

    2013-09-01

    Full Text Available Este artigo apresenta uma proposta de um conjunto de ferramentas voltadas para o trabalho de resgate da cidadania de pessoas idosas por meio da recuperação da autoestima e inserção do idoso ao ambiente familiar e social. Essa ferramenta: Mapas de Conhecimento, tem como objetivo auxiliar o idoso na efetivação do processo de resgate da memória, principalmente a memória recente. Ao longo da vida, o idoso vai acumulando conhecimentos e técnicas de manipulação mecânica, matemática e lógica do meio onde atuou. Por outro lado, o hemisfério direito, o qual é responsável pela abstração, pela criatividade, arte e sentimentos, fica menos sobrecarregado e com grande potencial para aprendizado e memorização. Diante desse cenário, as ferramentas propostas, e originais, constituídas por um Mapa de Conhecimento (o qual possui um raio de conhecimento e uma área de ignorância e uma técnica de memorização efetiva e permanente, denominada por Memorização Permanente de Aprendizado 2n, vêm contribuir no sentido de integrar os dois hemisférios para efetivação de todos os processos envolvendo raciocínio e memorização. As ferramentas propostas, e amplamente testadas, utilizam uma regra temporal efetiva de reforço da informação que se quer perpetuar, a qual, agregada a outra estratégia e recurso visual, faz com que os hemisférios direito e esquerdo do cérebro trabalhem em conjunto no armazenamento e resgate da informação. Este trabalho contribui na sugestão de se utilizar as ferramentas propostas, as quais, se associadas às técnicas e metodologias tradicionais aplicadas à memorização e aprendizado dos idosos, conforme experiência obtida pela equipe desta pesquisa, podem levar os cuidadores dos idosos a atingirem resultados satisfatórios no resgate do idoso à cidadania.

  13. ÁREAS DE PRESERVAÇÃO PERMANENTE E CONFLITOS AMBIENTAIS NO MUNICÍPIO DE BARÃO DE COTEGIPE (RS: UMA ANÁLISE COM AUXÍLIO DAS GEOTECNOLOGIAS

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    Franciele Francisca Marmentini Rovani

    2012-12-01

    Full Text Available O espaço geográfico, resultado de contínuas transformações, apresenta seu ambiente natural fragilizado, por causa, sobretudo, do uso inadequado da terra, da degradação de ecossistemas florestais e da devastação de áreas de vegetação nativa e de preservação permanente. Atualmente, a utilização das geotecnologias tem contribuído significativamente para a identificação e delimitação dessas áreas fragilizadas, para posterior implementação de ações de planejamento e gestão ambiental. Deste modo, a presente pesquisa objetivouanalisar o uso da terra, as áreas de preservação permanente (APPs e as áreas de conflitos com APPs nos anos de 2000 e 2010, no município de Barão de Cotegipe (RS, por meio de técnicas de Sensoriamento Remoto e dos Sistemas de Informações Geográficas (SIGs. Para a elaboração dos mapas temáticos utilizaram-se imagensde satélite e a programação em LEGAL no software Spring versão 5.0.6. Como resultado, verificou-se que os principais usos da terra são de culturas agrícolas e florestas. As APPs representaram 12,77% da área total do município, no entanto, nos anos de 2000 e 2010, mais da metade dessas áreas, 7,80% e 7,31% respectivamente, estavam em conflitos com áreas agricultáveis e campos. Esses resultados apontam a falta de preservação das áreas protegidas por lei, bem como a sua degradação. Ações de planejamento e gestão ambiental no municípiopodem minimizar os impactos causados pela dinâmica da ação humana no meio.

  14. Educació permanent, compromís i experiències de la praxi Educación permanente, compromiso y experiencias de la praxis Continuing education, commitment and practical experiences

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    Pep Aparicio Guadas

    2013-04-01

    Full Text Available El concepte i la pràctica de l'educació permanent s'ha anat convertint en un dispositiu de contenció i/o dominació en els diferents contextos institucionals en els que es du a terme i caldria recuperar i restituir les seves valències alliberadores o emancipadores, tot posant-lo en relació i combinació amb les pràctiques socials de llibertat que es produeixen als diversos àmbits territorials i organitzacionals de la vida humana, revalorant els processos d'autoformació i autoorientació, en singular i en comú. ____________________________________________________ Le concept et la pratique de l'éducation permanente se sont convertis en un dispositif de contention et/ou de domination dans les différents contextes institutionnels dans lesquels elle est réalisée. Il faudrait par conséquent récupérer et restituer ses valences libératoires, émancipatrices, etc. en les mettant en relation et en les combinant avec les pratiques sociales de liberté qui existent dans les divers domaines territoriaux et organisationnels de la vie humaine, et en revalorisant les processus d'autoformation et d'auto-orientation, seul et en commun.El concepto y la práctica de la educación permanente se ha ido convirtiendo en un dispositivo de contención y/o dominación en los diferentes contextos institucionales en los que está realizándose y cabría recuperar y restituir sus valencias liberadoras, emancipadoras, etc. poniéndolo en relación y combinación con las prácticas sociales de libertad que se dan en los diversos ámbitos territoriales y organizacionales de la vida humana, revalorizando los procesos de autoformación y autoorientación, en singular y en común.The concept and practice of continuing education has become a mechanism for containment and/or control in the various institutional contexts in which it is used. It is essential to restore its value for liberation and empowerment, among other factors. It should be associated and combined

  15. Má oclusão Classe I de Angle tratada com extrações de primeiros molares permanentes Angle Class I malocclusion treated with extraction of first permanent molars

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    Ivan Tadeu Pinheiro da Silva

    2010-08-01

    Full Text Available A má oclusão Classe I de Angle é caracterizada por uma relação anteroposterior normal nos molares, que pode ou não estar acompanhada por alterações esqueléticas - nos planos vertical ou transverso - ou dentárias. A biprotrusão, revelada pela inclinação acentuada dos incisivos superiores e inferiores para vestibular, somada ao trespasse horizontal excessivo, faz com que o paciente fique mais exposto a traumas dentários, além de causar comprometimento estético. A escolha dos dentes a serem extraídos para a correção, geralmente, recai sobre os primeiros ou segundos pré-molares, devido à sua posição na arcada. Contudo, a extração do primeiro molar permanente, em função de algum comprometimento, por cárie ou restauração extensa, pode ser uma alternativa, proporcionando a manutenção de um dente hígido em detrimento de outro já manipulado. O presente caso, tratado de maneira incomum, pela extração dos quatro primeiros molares permanentes, foi apresentado à Diretoria do Board Brasileiro de Ortodontia e Ortopedia Facial (BBO, representando a categoria 2, como parte dos requisitos para a obtenção do título de diplomado pelo BBO.Angle Class I malocclusion is characterized by normal anteroposterior molar relationship, which may or may not be accompanied by skeletal changes-in the vertical or transverse planes-or dental changes. Bimaxillary dental protrusion, characterized by pronounced labial inclination of maxillary and mandibular incisors combined with excessive overjet, expose patients to dental trauma and compromise aesthetics. In deciding which teeth to extract for Class I correction the first or second premolars are usually selected due to their location in the dental arch. However, the extraction of a first permanent molar compromised by caries or extensive restoration may be an alternative that ensures the preservation of a healthy tooth instead of one that has already been manipulated. This case, treated in

  16. Mapeamento das Áreas de Preservação Permanente (APP do município de Santo Antônio do Pinhal, SP: um subsídio à preservação ambiental

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    Getulio Teixeira Batista

    2007-04-01

    Full Text Available O mapeamento das Áreas de Preservação Permanente (APPs do município de Santo Antônio do Pinhal, SP, situado em uma área de grande interesse imobiliário na região serrana da Mantiqueira Paulista, especialmente pela proximidade do município turístico de Campos do Jordão, SP, deu-se, inicialmente, com o intuito de se produzir documentos cartográficos voltados a subsidiar as ações das autoridades ambientais responsáveis pela preservação destas áreas de APPs, já previstas na Lei 4.771/65 e, regulamentadas pelas Resoluções CONAMA 302 e 303/2002. Nesse contexto, este trabalho teve como objetivo a delimitação de APPs, na escala de 1:50.000, apoiado na utilização de técnicas no estado da arte das ferramentas computacionais de geoprocessamento e no tratamento de informações espaciais contidas em documento cartográfico oficial da Federação (Cartas Topográficas do IBGE na Escala de 1:50.000. Os resultados da análise e o mapeamento das áreas de preservação permanente do município de Santo Antônio do Pinhal demonstraram, em especial, duas situações de maior atenção: em primeiro lugar, destaca-se que as APPs abrangem uma área de 7.218 ha, equivalentes a 52,2% da área total do município, um aspecto muito positivo do ponto de vista ambiental, porém extremamente restritivo em relação ao uso do solo. Em segundo, a ocorrência de APPs de Topo de Morro em uma área de 4.227 ha, correspondentes a 30,7% da área total do município, o que demonstra o caráter restritivo ao uso da terra imposto por essa classe de APPs, especialmente em regiões com relevo ondulado como no domínio dos Mares de Morros em que se insere a área estudada.

  17. Limites e possibilidades do ensino à distância (EaD na educação permanente em saúde: revisão integrativa

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    Adriane das Neves Silva

    2015-04-01

    Full Text Available Trata-se de um estudo sobre o uso do ensino a distância (EaD como uma estratégia de ensino na educação permanente em saúde (EPS, que teve como objetivo identificar e analisar os limites e possibilidades do uso da EaD na EPS. Estudo de revisão integrativa. O resultado aponta que a EaD é uma estratégia inovadora possível e potencial para a EPS, facilitando o desenvolvimento da aprendizagem dentro ou fora da instituição de saúde, porém é evidente a escassez de pesquisas na área. As limitações para a realização dos programas estão relacionadas à variável tempo, preparação para lidar com as tecnologias e importância do tutor como facilitador da aprendizagem. Conclui-se que o uso da EaD tem tido uma importante contribuição para o desenvolvimento dos recursos humanos em saúde, seja no processo de formação e/ou no processo contínuo de conhecimento.

  18. Endodoncia regenerativa: utilización de fibrina rica en plaquetas autóloga en dientes permanentes vitales con patología pulpar. Revisión narrativa de la literatura*

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    Tatiana Ramírez Giraldo

    2014-07-01

    Full Text Available Actualmente una de las mayores controversias en el tratamiento de dientes permanentes con diagnóstico de pulpitis está en la decisión de realizar una Terapia Pulpar Vital (TPV o un tratamiento convencional de conductos. Diferentes estudios han reportado que se pueden obtener resultados previsibles mediante la realización de una TPV. El éxito del tratamiento dependerá de una adecuada comprensión de la  biología pulpar, un estricto protocolo de tratamiento y una adecuada selección del caso. Con este fin, diferentes materiales han sido sugeridos. Recientemente se ha utilizado la Fibrina Rica en Plaquetas, biomaterial que cumple con propiedades biológicas para lograr una mayor rapidez y adecuada cicatrizacion del tejido. Es necesario desarrollar tratamientos dirigidos a preservar la vitalidad de la pulpa, evitando recurrir como primera opción al tratamiento convencional de conductos, teniendo como objetivo conservar o regenerar el complejo dentino pulpar.

  19. DELIMITAÇÃO E PROTEÇÃO DAS ÁREAS DE PRESERVAÇÃO PERMANENTE DE CHAPADAS: ESTUDO DE CASO DA MINERAÇÃO DE AREIA EM ENCOSTAS NO NORTE DE MINAS GERAIS

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    Vitor Vieira Vasconcelos

    2011-12-01

    Full Text Available A mineração de areia de encosta para construção civil, na região Norte de Minas Gerais, tem causado uma séria de conflitos sócio-ambientais. A Polícia Ambiental e os órgãos de licenciamento ambiental têm encontrado dificuldades técnicas e administrativas para lidar com a situação. Este artigo apresenta uma proposta de utilização de técnicas de geoprocessamento e topografia, integradas à interpretação do direito ambiental, com fins de abordar os problemas citados de forma mais eficiente. Enfatiza-se, especialmente, a delimitação e a proteção de Áreas de Preservação Permanente de bordas de chapadas, onde ocorre tipicamente a mineração de areia de encosta. Por fim, apresentam-se propostas que auxiliem na transição para um modelo mais sustentável da mineração para construção civil na Região Norte de Minas Gerais.

  20. Polos de educação permanente em saúde: uma análise da vivência dos atores sociais no norte do Paraná

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    Sônia Cristina Stefano Nicoletto

    Full Text Available A política de Educação Permanente em Saúde (EPS destina-se ao desenvolvimento dos trabalhadores da saúde. Pretendendo analisar o processo de implantação e desenvolvimento da política no Paraná, uma pesquisa qualitativa, envolvendo as seis regiões do estado, está sendo concluída. Este artigo refere-se aos primeiros resultados da região norte, focalizando a categoria "vivenciando a EPS". Em dezembro de 2006 realizaram-se dois grupos focais, envolvendo representantes da gestão, formação, atenção e participação. Os dados foram submetidos a análise temática de conteúdo. Nas primeiras aproximações com EPS surgiram sentimentos de desconfiança e resistência e o polo foi compreendido como meio de viabilizar cursos e fonte de financiamento. Observaram-se diversidade de interesses e pouca capacidade de negociação. No transcorrer do processo, os integrantes do estudo começaram a conversar, refletir e participar. Experimentaram positivamente o trabalho em equipe. Esta vivência permitiu reconhecer a potencialidade da EPS em articular e mobilizar diferentes atores.

  1. Una política acertada y la formación permanente del profesorado, claves en el impulso de los centros tic de Andalucía (España

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    María Amor PÉREZ RODRÍGUEZ

    2011-11-01

    Full Text Available En este trabajo se exponen algunos de los resultados de una investigación llevada a cabo en Andalucía (España para evaluar el impacto de la política de innovación educativa desarrollada por el gobierno de la región, mediante la implantación masiva de las Tecnologías de la Información y Comunicación (TIC en centros de enseñanza de Primaria y Secundaria (Centros TIC. En concreto, se analizan las implicaciones de la administración educativa y de los centros ante las medidas de impulso para la integración de las TIC, no sólo a nivel institucional en cuanto a organización de centros, sino también en lo que se refiere a acciones de formación permanente del profesorado y las implicaciones y repercusiones en los procesos de enseñanza-aprendizaje.

  2. Polos de educação permanente em saúde: uma análise da vivência dos atores sociais no norte do Paraná

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    Sônia Cristina Stefano Nicoletto

    2009-09-01

    Full Text Available A política de Educação Permanente em Saúde (EPS destina-se ao desenvolvimento dos trabalhadores da saúde. Pretendendo analisar o processo de implantação e desenvolvimento da política no Paraná, uma pesquisa qualitativa, envolvendo as seis regiões do estado, está sendo concluída. Este artigo refere-se aos primeiros resultados da região norte, focalizando a categoria "vivenciando a EPS". Em dezembro de 2006 realizaram-se dois grupos focais, envolvendo representantes da gestão, formação, atenção e participação. Os dados foram submetidos a análise temática de conteúdo. Nas primeiras aproximações com EPS surgiram sentimentos de desconfiança e resistência e o polo foi compreendido como meio de viabilizar cursos e fonte de financiamento. Observaram-se diversidade de interesses e pouca capacidade de negociação. No transcorrer do processo, os integrantes do estudo começaram a conversar, refletir e participar. Experimentaram positivamente o trabalho em equipe. Esta vivência permitiu reconhecer a potencialidade da EPS em articular e mobilizar diferentes atores.

  3. Diagnóstico ambiental e delimitação de Áreas de Preservação Permanente em um assentamento rural = Environmental diagnosis and delimitation of PPAs (Permanent Preservation Areas in a rural settlement

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    Nelson Alexandre Fagundes

    2008-01-01

    Full Text Available Leia-se neste artigo a tentativa de diagnosticar, delimitar e situar as Áreas de Preservação Permanentes e de Reserva Legal dentro de um assentamento rural, do Incra; visando à experimentação de ferramentas de geoprocessamento para a restauração das matas ribeirinhas, pela delimitação destas áreas, respeitando a legislação ambiental vigente, e partindo de uma ampla avaliação ambiental descritiva da paisagem, encontrada no Projeto de Assentamento Federal Capela. Um diagnóstico da paisagem local é apresentado na forma de um memorial fotográfico. Neste trabalho, serão delimitadas e quantificadas somente asAPP’s de entorno de corpos d’água.This article aims to diagnose, demarcate and situate Permanent Preservation Areas and Legal Reserves within an Incra Rural Settlement. This effort was conducted while testing the effective application of geoprocessing tools in the restoration of riparian forests and the delimitation of these areas, in accordance withexisting environmental legislation, and based on a broad descriptive environmental evaluation of the local landscape, located at the Capela Federal Settlement Project. A landscape diagnosis is shown in a photographic memorial as well. For this study, only the PPAs surrounding water bodies will be delimited and quantified.

  4. La formación permanente en competencia digital docente y la mejora de la calidad del centro educativo desde la perspectiva de los docentes: un estudio de caso

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    Mercè Gisbert Cervera

    2015-07-01

    Full Text Available La sociedad del s. XXI demanda sistemas educativos flexibles y con capacidad de adaptación constante, capaces de hacer frente a las necesidades formativas, en forma de competencias, propias de un ciudadano que utiliza las TIC de forma natural y habitual en su vida cotidiana. Para ello se precisa de docentes competentes digitales que puedan formar a estas nuevas generaciones de ciudadanos. La formación permanente en TIC de los maestros, además de necesaria, dado el carácter dinámico de la tecnología, es un elemento de mejora de la calidad institucional de los centros educativos. Este trabajo, realizado a partir de una investigación-acción, evidencia que el propio centro de trabajo es capaz de organizar y diseñar su plan de formación, como parte de un proceso más amplio de mejora de la calidad basado en la incorporación de las TIC. A la vez, gestiona los ejes articuladores de una estrategia formativa que facilita la transferencia de ésta a la actividad del docente y aumenta la calidad del centro como institución. 

  5. La difícil precisión de la noción de establecimiento permanente a través de la cláusula del agente dependiente (STS de 12 de enero de 2012, Caso Roche)

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    Ribes Ribes, Aurora

    2012-01-01

    La autora examina críticamente la Sentencia del Tribunal Supremo español de 12 de enero de 2012, recaída al hilo del Caso Roche, en relación con la determinanción de la existencia o no de establecimiento permanente a efectos fiscales, a través de la precisión de la cláusula del agente dependiente.

  6. Empatía, habilidades de colaboración interprofesional y aprendizaje médico permanente en residentes españoles y latinoamericanos que inician los programas de formación médica especializada en España. Resultados preliminares

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    Montserrat San-Martín

    2017-01-01

    Conclusiones: Los resultados confirman observaciones preliminares y ponen en evidencia la asociación positiva que existe entre la empatía y las habilidades de trabajo colaborativo interprofesional. En médicos latinoamericanos que inician su formación en hospitales españoles, el mayor desarrollo de las habilidades de aprendizaje médico permanente parece influir positivamente en el desarrollo de otras competencias de interés profesional.

  7. An update on the use of Atripla® in the treatment of HIV in the United States

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    Michael A Horberg

    2010-06-01

    Full Text Available Michael A Horberg1, Daniel B Klein21HIV Interregional Initiative, Kaiser Permanente, Oakland, California, USA; 2Department of Infectious Diseases, Kaiser Permanente Hayward Medical Center, Hayward, California, USAAbstract: Atripla® (Gilead Sciences Inc, Foster City, CA, USA and Bristol-Myers Squibb, New York City, NY, USA is a coformulated single pill composed of efavirenz, emtricitabine, and tenofovir disoproxil, intended as a once-daily potent combination antiretroviral therapeutic agent. Its efficacy is equivalent to the 3 component drugs taken in a combination as single medications. The coformulated antiretroviral regimen can be quite effective in patients whose human immunodeficiency virus is sensitive to all 3 components of Atripla. However, women at risk of pregnancy, already pregnant, or nursing mothers should not take Atripla, due to the teratogenic potential of the efavirenz moiety. Adverse effects are similar to those seen with the constituent medications, including potential central nervous system effects and renal toxicity. Since its US Food and Drug administration approval, prescriptions for Atripla have increased steadily.Keywords: tenofovir, efavirenz, emtricitabine, antiretroviral therapy

  8. Evaluación de simulación de incapacidad laboral permanente mediante el Sistema de Evaluación Global (SEG

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    Mariana Abeledo

    2011-07-01

    Full Text Available Research on credibility and faking is essential in different areas of psychology and especially in the forensic field. The investigations performed by Arce and Farina are recognised as being among the most notable of all the existing investigations, with the development of the Global Evaluation System (GES that has been found to be especially effective in assessing the credibility of testimony and malingering mental health cases. The application of this procedure to 20 people accused under the judicial system of Social Security fraud for malingering a permanent work incapacity by way of a mental disorder, showed that the procedure described in the GES was effective for the correct classification of the malingers. Furthermore, data supported the categorising of malingers, consisting of whole malingers (those mentally healthy that effectively simulate a permanent work incapacity, partial malingers (those with temporary or no mental work incapacity disease, who claim for a permanent work incapacity, over malingers (those with permanent work incapacity mental disorders who exaggerate the severity of their mental health and incompetent malingers (those who claimed to have permanent work incapacity but in their mental health assessment, were observed to have no mental health disorder.. Protocols for the forensic evaluation of malingering fitted to each categorization derived from the results obtained. The theoretical and practical implications of forensic assessment are discussed.

  9. Conception d’une méthode destinée à promouvoir l’implantation de bandes herbeuses extensives dans les prairies permanentes en Wallonie

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    Pierre Ozer

    2007-01-01

    Full Text Available Conception of a method to promote extensive grassy headland’s establishment in permanent meadows of the Walloon Region. In accordance with agriculture evolution in Europe, the Walloon Region has emphasized the importance of buffer zones in agricultural parcels since many years. Consequently, one of the agri-environmental measures in force at the present time concerns extensive grassland strips settlement in agricultural parcels. Buffer zones preserve river quality, reduce soil erosion, diversify landscapes and promote biodiversity. With a Geographic Information System (GIS based on the Integrated Administration and Control System (IACS of the Walloon General Directorate of Agriculture, it is possible to detect parcel sections where farmers can introduce extensive strips in accordance with legal specifications in order to benefit of grants. Results of the new method are presented in a diagnostic table which includes an indicator expressing the total grantable strips length (in meters at the exploitation scale. Its calculation is based on existing strips, surface and location of permanent meadow parcels. Results are completed with cartographic representation of settlement’s possibilities for each exploitation. These two complementary tools – diagnostic table and geographical map – can be very useful to manage agricultural exploitations.

  10. Isolamento das veias pulmonares em pacientes com fibrilação atrial permanente secundária a valvopatia mitral Isolation of the pulmonary veins in patients with permanent atrial fibrillation secondary to mitral valve disease

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    Gustavo G. Lima

    2004-04-01

    Full Text Available OBJETIVO: Analisar a eficácia do isolamento cirúrgico das veias pulmonares para restabelecer ritmo sinusal em pacientes com fibrilação atrial secundária à doença mitral. MÉTODOS: 33 pacientes com indicação de correção cirúrgica da valva mitral e com fibrilação atrial permanente, foram submetidos ao isolamento cirúrgico das veias pulmonares, sendo 67% mulheres. Média de idade de 56,3±10 anos, classe funcional NYHA pré-operatória de 3,2±0,6, tamanho de átrio esquerdo de 5,5± 0,9 cm, fração de ejeção de 61,3±13%. A técnica cirúrgica consistiu de incisão circunferencial ao redor das 4 veias pulmonares, excisão do apêndice atrial esquerdo e de incisão perpendicular desde a borda inferior da incisão, isolando as veias pulmonares, até o ânulo da valva mitral. Arritmias precoces foram tratadas, agressivamente, com cardioversão. RESULTADOS: O seguimento médio foi de 23,9±17 meses e ocorreram 3 óbitos no pós-operatório. Dez pacientes necessitaram de cardioversão elétrica no pós-operatório; 87% apresentavam ritmo sinusal na última consulta e 33% estavam em uso de amiodarona. CONCLUSÃO: Isolamento das veias pulmonares associado à cirurgia da valva mitral é uma técnica efetiva e segura na manutenção de ritmo sinusal em pacientes com fribilação atrial permanente.OBJECTIVE: To assess the efficacy of surgical isolation of the pulmonary veins for re-establishing sinus rhythm in patients with atrial fibrillation secondary to mitral valve disease. METHODS: Thirty-three (67% were women patients with permanent atrial fibrillation and indication for surgical correction of the mitral valve underwent surgical isolation of the pulmonary veins. Their mean age was 56.3±10 years, preoperative NYHA functional class was 3.2±0.6, left atrial size was 5.5±0.9 cm, and ejection fraction was 61.3±13%. The surgical technique consisted of a circumferential incision surrounding the 4 pulmonary veins, excision of the left

  11. Occlusal caries diagnosis in permanent teeth: an in vitro study Diagnóstico de cárie oclusal em dentes permanentes: estudo in vitro

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    Gisele Angnes

    2005-12-01

    Full Text Available The reduction in caries prevalence has not occurred uniformly for all dental surfaces. As the occlusal surfaces are still the most likely sites for the development of lesions, new methods of diagnosis are still being evaluated. This study compared a laser fluorescence (LF system (DIAGNOdent with the Ekstrand’s visual system for in vitro detection of occlusal caries. A total of 57 extracted molars with macroscopically intact occlusal surfaces were selected. Two-examiners assessed 110 sites by visual inspection (VI and LF. After ten days from the first measurement, all teeth were re-evaluated through the same methods by each examiner. Caries extension was histologically assessed (X 40. The methods were compared by means of sensitivity, specificity, intra- and inter-examiner reproducibility and area under the ROC curve. The kappa’s test showed good intra- and inter-examiner reproducibility for both methods. VI and LF showed similar sensitivities for both examiners, however, VI showed higher specificities than LF. The overall analysis, as demonstrated by the area under the ROC curve, showed that VI had a better performance than the LF device. It was concluded that the Ekstrand’s visual system is more reliable than the LF device. LF should be considered only as an adjuvant for occlusal caries diagnosis.A redução da prevalência de cáries não ocorreu uniformemente para todas as superfícies dentárias. Como as superfícies oclusais ainda são as mais susceptíveis ao desenvolvimento de lesões, novos métodos de diagnóstico ainda estão sendo avaliados. Este estudo comparou um sistema de fluorescência a laser (DIAGNOdent - DD com o método visual de Ekstrand na detecção de cárie oclusal. Um total de 57 terceiros molares com superfícies oclusais macroscopicamente intactas foram selecionados. Dois examinadores examinaram 110 sítios por inspecção visual (IV e DD. Após dez dias da primeira mensuração, todos os dentes foram novamente

  12. Modelagem da vida de fadiga e do acúmulo de deformações permanentes em pavimentos asfálticos por meio de um modelo de dano contínuo

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    Victor Ferreira Teixeira

    2009-10-01

    Full Text Available

    É sabido que as condições das rodovias brasileiras têm grande impacto sobre a economia nacional. Diante disso, nasce a necessidade de uma busca por métodos de análise de pavimentos que possam prever com maior precisão as falhas as quais o pavimento está submetido. Dentre os principais métodos utilizados atualmente, pode-se citar os métodos puramente empíricos e aqueles mecanístico-empíricos que fazem uso da resposta estrutural do pavimento. A aprimoração de técnicas numéricas como o Método dos Elementos Finitos (MEF ou o Método dos Elementos de Contorno (MEC tem feito com que os métodos mecanístico-empíricos ganhem cada vez mais espaço e sejam mais usados no dimensionamento de pavimentos. O presente trabalho apresenta um modelo mecanístico que considera a evolução do dano causado pelos carregamentos e, conseqüentemente, possibilita uma melhor simulação da vida de fadiga da camada asfáltica. O modelo também possibilita uma melhor modelagem do acúmulo de deformação permanente nos pavimentos através do uso da Teoria da Viscoelasticidade, permitindo assim avaliar as duas principais falhas dos pavimentos flexíveis.

  13. Evaluation of accessory furcation canals of permanent mandibular molars using radiography and clearing = Avaliação do canal cavo-interradicular em molares inferiores permanentes através de Rx e diafanização

    Directory of Open Access Journals (Sweden)

    Harb, Leandro José Corrêa

    2010-01-01

    Full Text Available Objetivo: Avaliar a presença do canal cavo-interradicular em molares inferiores permanentes através de radiografias e diafanização. Metodologia: A amostra foi constituída por 344 molares inferiores re-hidratados, preparados e armazenados individualmente em recipientes de vidro. A presença do canal cavo-interradicular foi investigada por um único operador treinado usando lupa (4x para as radiografias e microscópio óptico odontológico (30x para as amostras diafanizadas. Microscopia eletrônica de varredura (MEV foi usada para verificar diferenças morfológicas do assoalho pulpar. Resultados: A análise radiográfica mostrou que 9% das amostras tinham uma zona levemente radiolúcida, 2% mostravam uma imagem sugestiva, e 89% das amostras não tinham nenhuma evidência. Pela diafanização, o canal não foi encontrado nas amostras avaliadas. Pela MEV, as amostras recém extraídas mostraram com canalículos dentinários uniformes; as demais apresentaram pequenos sítios com canalículos uniformes. Conclusão: O exame radiográfico não foi o melhor método de diagnóstico; a diafanização é um excelente método avaliativo, pois permite a visualização tridimensional da anatomia interna dental em pesquisas in vitro

  14. Tipo de arcada y plano terminal molar de la dentición temporal y su correlación con las clases de maloclusión de la dentición permanente

    Directory of Open Access Journals (Sweden)

    Ana Pascual Serna

    2015-12-01

    Full Text Available El objetivo fue establecer la correlación del tipo de arcada y plano terminal molar de la dentición temporal con las clases de maloclusión de Angle en niños de 5 años de edad que acuden al Hospital Nacional “Daniel Alcides Carrión”de Cerro de Pasco, 2010 - 2011. La investigación se desarrolló bajo un diseño descriptivo longitudinal prospectivo. La muestra estuvo conformada por 40 niños escogidos por muestreo no probabilístico. Se realizó inicialmente la evaluación clínica del tipo de arcada y plano terminal molar de la dentición temporal y posteriormente al erupcionar las primeras molares permanentes se verificó la correlación con las clases de maloclusión de Angle, el tratamiento estadístico de la hipótesis fue con la Chi Cuadrada. Entre los resultados podemos mencionar que existe diferencia estadística significativa para asumir que el tipo de plano terminal molar y tipo de arcada de la dentición temporal se correlaciona con las clases de maloclusión de Angle, teniendo en consideración que la X2c=12,724>X2t = 9,488(4gl-95 %, rechazándose la Ho. En conclusión, el tipo de plano terminal molar recto y el tipo de arcada abierta de la dentición temporal se relaciona con mayor frecuencia con la normoclusión y la Clase I de maloclusión. Mientras que el tipo de plano terminal molar escalón mesial y el tipo de arcada cerrada de la dentición temporal se relaciona con la Clase III de maloclusión.

  15. La inclusión educativa de alumnos con discapacidades graves y permanentes en la Unión Europea. [Educational inclusion of students with severe and permanent disabilities in the European Union

    Directory of Open Access Journals (Sweden)

    López-Torrijo, Manuel

    2009-06-01

    Full Text Available This article presents a comparative study of the care of students with severe and permanent educational needs in the six EU countries with greater rates of educational inclusion, (Italy, Greece, Portugal, Norway, Cyprus and Iceland. Such study has been done bearing in mind the following indicators: Analysis of educational needs, identification of deficit, schooling of students in Specific Centres for Special Education, legislative frame, responsibility for schooling and rendering of services, frame and models of schooling, state and functions of Specific Centres of Special Education, curricula of the inclusion, Human resources, family role and funding. From the aforementioned lines are deduced the trends in policies and educational practices carried out are followed. Conclude the necessary changes for the improvement of the future educational educational inclusion. Este artículo presenta un estudio comparado de la atención realizada a los alumnos con discapacidades graves y permanentes en los seis países de la UE que presentan mayores índices de inclusión educativa (Italia, Grecia, Portugal, Noruega, Chipre e Islandia. Dicho estudio está realizado teniendo en cuenta los siguientes indicadores: concepción de las necesidades educativas especiales, identificación de los déficit, alumnado escolarizado en Centros Específicos de Educación Especial, marco legislativo, responsabilidad de escolarización y prestación de servicios, modelo y modalidades de escolarización, estado y funciones de los Centros Específicos de Educación Especial, currículo de la inclusión, recursos humanos, papel de las familias y financiación. De ahí se deducen las tendencias en las políticas y las prácticas educativas realizadas y se concluyen los cambios necesarios para mejorar la inclusión educativa en un futuro.

  16. Avaliação do programa de excelência gerencial: a percepção dos militares do corpo permanente da Escola Preparatória de Cadetes do Exército Brasileiro

    Directory of Open Access Journals (Sweden)

    Rogério da Silva Nunes

    2010-08-01

    Full Text Available Este trabalho procura discutir a implementação do Programa de Excelência Gerencial do Exército Brasileiro (PEG-EB na Escola Preparatória de Cadetes do Exército (EsPCEx, identificar a importância do programa e mostrar a percepção dessa implantação pelo corpo permanente de oficiais e praças. Os militares apresentaram sua percepção em relação ao programa e sua implantação através dos sete critérios da qualidade do Programa de Qualidade do Governo Federal (PQGF. O trabalho caracteriza a organização pesquisada: missão, visão de futuro, síntese dos valores, deveres, ética e os principais aspectos da evolução da estrutura organizacional. Foi aplicado um instrumento de pesquisa com 53 assertivas, referentes aos critérios adotados pelo PEG-EB, em 175 militares pertencentes ao quadro complementar de Oficiais (QCO e o Serviço Técnico Temporário (STT da EsPCEx, com uma escala do tipo Likert, graduada de zero a quatro. Os resultados foram tabulados com técnicas de análise multivariada, realizada através de um pacote estatístico (SPSS e mostra a percepção dos participantes do programa de qualidade em relação a cada um dos critérios adotados pelo PEG-EB.

  17. MERCOSUL: do sistema de solução de controvérsias à solicitação de opiniões consultivas ao Tribunal Permanente de Revisão pelo Judiciário Brasileiro

    Directory of Open Access Journals (Sweden)

    Cássia Cavalcante de Oliveira Nogueira

    2014-08-01

    Full Text Available O Sistema de Solução de Controvérsias do Mercosul é regido atualmente pelo “Protocolo de Olivos”. A sua grande inovação foi a criação de um Tribunal Permanente de Revisão encarregado de julgar, em grau de recurso, as decisões proferidas pelos Tribunais ad hoc, sendo que o principal objetivo do Protocolo é reforçar o caráter jurisdicional do sistema, sem deixar de lado as negociações diplomáticas. No âmbito da integração jurídica, econômica e política dos países integrantes do bloco, a criação do TPR é um passo a frente rumo à integração e internacionalização das relações jurídicas. As opiniões consultivas vêm protagonizar um importante cenário do direito de integração do Mercosul, de forma que uma vez utilizado, esse instituto tende a facilitar a interpretação e a aplicação das normativas do bloco, contribuindo para o desenvolvimento de um Sistema de Harmonização Jurídica. No Brasil, observa-se que a nossa Constituição carece ainda do instituto da supranacionalidade quanto às normas do bloco. Porém não há como se negar que o processo de integração do Mercosul é uma realidade, que políticas são realizadas cada vez mais pelo Estado, o que vem repercutindo de forma direta nas esferas jurídicas dos cidadãos.

  18. Reflexos das alterações no Código Florestal Brasileiro em Áreas de Preservação Permanentes de duas propriedades rurais em Itu e Sarapuí, SP

    Directory of Open Access Journals (Sweden)

    Luiz Carlos de Faria

    2014-07-01

    Full Text Available Discussões sobre a legislação florestal brasileira se intensificaram nos últimos anos e conduziram a edição de um novo Código Florestal Brasileiro. O objetivo desse trabalho foi realizar um estudo comparativo das Áreas de Preservação Permanente (APPs de propriedades rurais localizadas em Itu e Sarapuí, SP, conforme a Lei Federal n°12.651/12, Lei Federal n°4.771/65 e as Resoluções CONAMA 302 e 303. Delimitou-se as áreas de APPs utilizandose cartas topográficas do Instituto de Geografia e Cartografia (IGC em escala de 1:10.000, ortofoto georeferenciada do ano 2005, em escala de 1:30.000, e verificações de campo. Os resultados mostraram que houve redução nas áreas de APPs nas duas propriedades, sendo de 20,97% para 17,81% da área total do imóvel para a propriedade de Itu e de 23,16% para 8,11% para a propriedade de Sarapuí. As recentes modificações no Código Florestal Brasileiro reduziram as APPs de alguns elementos da paisagem nas duas propriedades avaliadas. Também houve fragmentação da APP no entorno de cursos d´água em uma das propriedades. De modo geral, os fatores que mais contribuíram para esse resultado foram a diminuição na largura estabelecida para APPs de cursos de água em áreas consolidadas, a dispensa de estabelecimento de APP em nasc

  19. Implantación transarterial de un electrodo de marcapaso permanente en ventrículo izquierdo, como complicación rara de esta cirugía

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    Yirleydis Desdin Hernández

    2015-11-01

    Full Text Available Se  presenta el caso de una mujer de 48 años de edad, que recibió hace más de cuatro  años un implante de marcapaso permanente (MPP por bloqueo AV de 3er grado, y que desde los inicios de esta  cirugía ha estado muy sintomática, con cuadros de mareos recurrentes y un accidente cerebro vascular tromboembólico. En el EKG de 12 derivaciones se encontró un hallazgo que llamó la atención, se trataba de complejos electro estimulados con morfología de bloqueo de rama derecha (BRD, esto hizo sospechar de que al no tener una gran dilatación del ventrículo derecho se trataba entonces de una implantación inadecuada del electrodo en el ventrículo izquierdo. Una radiografía  de tórax PA a distancia tele y lateral izquierda, así como un estudio de ecocardiografía bidimensional, confirmó la implantación del electrodo en el VI vía arteria subclavia derecha. La paciente se trató con anticoagulación, dada su negativa de retirarlo quirúrgicamente,  y desde entonces ha estado asintomática por alrededor de un año y con una función del MPP normal. Este hecho refleja la necesidad de realizar EKG de 12 derivaciones posoperatorio a todos los casos de implante de MPP, dado lo fácil que resulta resolver esta complicación en esta etapa, convirtiéndose después de los seis meses en un serio problema de solución quirúrgica, generalmente.

  20. Le rôle de la Conférence permanente des Ministres européens de l'éducation dans la motivation de la politique européenne de l’éducation

    Directory of Open Access Journals (Sweden)

    Alfonso Diestro Fernández

    2010-11-01

    Full Text Available La politique de l'éducation en Europe a atteint un niveau de convergence et de performance, qui personne osaient s'aventurer dans le début du projet de développe et intégration européenne, initié par le Conseil de l'Europe (1949 et la Communauté européenne (1957. Dans ce processus de collaboration entre les États, la Conférence permanente des ministres européens de l'Éducation (CPMEE a pris un rôle protagoniste, depuis sa première réunion en 1959. Par la suite, le CPMEE entreprendre un processus de dialogue, qui visait à établir une politique de coopération dans le domaine de l'éducation. Doucement, elle devient peu à peu comme le forum paneuropéen de dialogue et de rencontre des politiques de l’éducation pour l'excellence, dont ils sont issus et coordonnée les principaux actions européennes de l'éducation. Elle a également donné une impulsion décisif au programme d'éducation du COE, cela signifiait aussi que enclave synergique qui a nourri la politique communautaire en matière d'éducation. Toutefois, la mise en place de la politique communautaire finira en délimitant le rôle de la Conférence, en particulier, après de la signature de le Traité sur l'Union européenne à Maastricht. Cet article met l'accent sur l'important travail du CPMEE jusqu'en 1992, lorsque l'UE a assumé le rôle principal de la politique de l'éducation en Europe.

  1. SISTEMA DE APOIO À GESTÃO DE ÁREAS VERDES NA PRESERVAÇÃO PERMANENTE DE CORPOS HÍDRICOS URBANOS

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    Adriano Bressane

    2016-01-01

    Full Text Available ABSTRACT The conservation of urban green areas is among the key strategies for achieving healthy and sustainable cities. However, the multiplicity of the involved factors requires an integrated analysis by means of a logical and structured procedure . Therefore, t his article aims to present the proposal for a decision support system for the management of green areas in public domain , in areas of permanent preservation of urban water bodies. For its development , guidelines of the plannning method through scenario s were adopted, by which the aspects related to the problem and routing solutions were analysed . The main used material s correspond to the works of technical literature and legislation, raised through search terms along with bibliographic and legislative seats. From the analysis of these materials, we studied the actual functions of these areas of permanent preservation and the factors affecting their performance and protection. As a result, we obtained a structured model in key decision for the selection of the location alternatives and their function - space capability .

  2. Physician-owned Surgical Hospitals Outperform Other Hospitals in the Medicare Value-based Purchasing Program

    Science.gov (United States)

    Ramirez, Adriana G; Tracci, Margaret C; Stukenborg, George J; Turrentine, Florence E; Kozower, Benjamin D; Jones, R Scott

    2016-01-01

    Background The Hospital Value-Based Purchasing Program measures value of care provided by participating Medicare hospitals while creating financial incentives for quality improvement and fostering increased transparency. Limited information is available comparing hospital performance across healthcare business models. Study Design 2015 hospital Value-Based Purchasing Program results were used to examine hospital performance by business model. General linear modeling assessed differences in mean total performance score, hospital case mix index, and differences after adjustment for differences in hospital case mix index. Results Of 3089 hospitals with Total Performance Scores (TPS), categories of representative healthcare business models included 104 Physician-owned Surgical Hospitals (POSH), 111 University HealthSystem Consortium (UHC), 14 US News & World Report Honor Roll (USNWR) Hospitals, 33 Kaiser Permanente, and 124 Pioneer Accountable Care Organization affiliated hospitals. Estimated mean TPS for POSH (64.4, 95% CI 61.83, 66.38) and Kaiser (60.79, 95% CI 56.56, 65.03) were significantly higher compared to all remaining hospitals while UHC members (36.8, 95% CI 34.51, 39.17) performed below the mean (p UHC members (mean =1.99, p<0.0001) while Kaiser Permanente hospitals had lower case mix value (mean =1.54, p<0.0001). Re-estimation of TPS did not change the original results after adjustment for differences in hospital case mix index. Conclusions The Hospital Value-Based Purchasing Program revealed superior hospital performance associated with business model. Closer inspection of high-value hospitals may guide value improvement and policy-making decisions for all Medicare Value-Based Purchasing Program Hospitals. PMID:27502368

  3. Educação à Distância como estratégia para a educação permanente em saúde: possibilidades e desafios Educación a la Distancia como estratégia para la educación permanente en salud: posibilidades y desafíos Distance Education as strategy for permanent education in health: possibilities and challenges

    Directory of Open Access Journals (Sweden)

    Marluce Alves Nunes Oliveira

    2007-10-01

    Full Text Available Este estudo objetivou refletir sobre a importância da Educação Permanente em Saúde (EPS na promoção do processo de mudança nos docentes da UEFS; estabelecer estratégias para a promoção da EPS e apontar as possibilidades e os desafios para a operacionalização da EAD como estratégia para a EPS. Estudo de revisão bibliográfica. O resultado aponta que a EPS é uma das estratégias para a formação do profissional através de trabalhos coletivos entre os docentes. Como possibilidade: EAD possibilita construir um novo estilo na formação. Desafios: necessidade de conhecimento para utilizar as novas tecnologias da informação e comunicação; dificuldade de acesso a estas tecnologias; escassez de tempo para desenvolver as atividades do curso. Apreendemos que a EAD apresenta nova perspectiva para EPS.Este estudio buscó reflexionar al respecto de la importancia de la Educación Permanente em Salud (EPS em la promoción del proceso de cambios em los docentes de la Universidad Estatal de Feira de Santana (UEFS; establecer estratégias para la promoción de la EPS y apuntar las posibilidades y los desafíos para la operacionalización de la Educación a la Distancia (EAD como estratégia para la EPS. Estudio de una revización bibliográfica. El resultado apunta a que la EPS és una de las estratégias para la formación del profesional por médio de trabajos colectivos entre los docentes. Como posibilidad: EAD posibilita construir um nuevo estilo em lá formación. Desafíos: necesidad de conocimiento para utilizar las nuevas tecnologíes de la información y comunicación; dificultad de acceso a estas tecnologias; poco tiempo para desarrollar las actividades del curso. Aprendimos que la EAD presenta nueva perspectiva para la EPS.The point of this study is to reflect about how important Permanent Education in Health (PEH is in the promotion of the changes process of professors of UEFS; to establish strategies to promote PEH and show the

  4. L’acceptabilité de la déclaration et de la Vie de Jean de Labadie. Entre vérifications et approbations permanentes

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    Sophie Houdard

    2011-12-01

    Full Text Available Jean de Labadie (1610-1674 est inclassable pour l’historiographie qui ne sait pas si elle doit prendre au sérieux sa vie, sa doctrine, ses pérégrinations dans l’Europe confessionnelle du xviie siècle. Ancien jésuite, devenu pasteur calviniste, il suscite la réprobation violente ou l’enthousiasme de ses disciples. D’Amiens, à Montauban où il devient pasteur, de Genève aux Pays-Bas, où il fonde la « Communauté des Saints », il trace le parcours chaotique d’un homme atypique qui déjoue les limites de ce qui est acceptable dans le cadre d’une confession religieuse, non sans critiquer lui-même les manières de vivre et de précher de ceux dont il partage un moment la vie religieuse et sociale. Sans jamais stabiliser une doctrine, Labadie élabore un régime variable de ce qui est probable (qu’on peut approuver et acceptable : ses « déclarations » et sa vie écrite se substituent, comme on voudrait le montrer, au régime stable de la confession de foi pour élaborer une vérité religieuse à la fois vraie et dépendante du contexte de son écriture et de sa réception.Jean de Labadie (1610-1674 is unclassifiable for historiographers, who do not know whether to take seriously his life, his doctrine, and his pilgrimages in seventeenth century confessional Europe. A Jesuit who became a Calvinist pastor, he provokes either the fierce disapproval or the enthusiasm of his disciples. From Amiens, Montauban where he became a pastor to Geneva, and Netherlands where he founded the “Community of Saints”, one can trace the chaotic course of an unusual man who pushed the limits of what was acceptable within the framework of a religious confession, not without criticizing the ways of living and of preaching about those with whom he shared temporarily a religious and sociable existence. Never establishing a rigid doctrine, Labadie created a flexible system of what was probable and acceptable: his “declarations” and his

  5. Permanente homoseksuele verhoudings van liefde en trou

    Directory of Open Access Journals (Sweden)

    J Potgieter

    2006-09-01

    Full Text Available In this article, the argument is made that homosexual relationships of love and commitment was known by the writers of the Bible. Though definitions like �gay� or �homosexuality� was not known, sexual identity was known. According to the anthropology of the Mediterranean people, somebody�s identity was found in the way he or she lived: �If I have a homosexual relationship, then my identity was homosexual�. This article shows that permanent homosexual relationships of love and commitment were known among the Greek philosophers. People like Plato, Aristotle and Pausanius had permanent homosexual partners. Even Paul knew about permanent homosexual relationships of love and commitment. Sufficient evidence has been found in cities like Rome, Corinth and Ephesus on the existence of such relationships.

  6. LA ENTREVISTA, UN DIÁLOGO PERMANENTE.

    Directory of Open Access Journals (Sweden)

    Yolanda Puyana V.

    2012-04-01

    Full Text Available El objeto del presente artículo es mostrar tres escenarios sobre la entrevista que son útiles para la docencia y acción profesional de trabajo social. Se busca profundizar sobre la entrevista desde diferentes perspectivas teóricas y metodológicas. En primer término, se tratará el enfoque humanista de Karl Rogers y la mirada etnográfica de Roberta Greene. En segundo término, se esboza el aporte de Sigmud Freud. Finalmente se señala la contribución a la entrevista del modelo sistémico de la Escuela de Terapia Familiar de Milán.

  7. Tuberculosis Extremadamente Drogorresistente (XDR: una Amenaza Permanente

    Directory of Open Access Journals (Sweden)

    Virginia Victoria Cortez Romero

    2009-06-01

    Full Text Available La tuberculosis (TB es una enfermedad que afecta al mundo entero, sobretodo a países pobres. Durante mucho tiempoconstituyó la primera causa de muerte por enfermedades infecciosas a nivel mundial, siendo después superada por la pandemiadel VIH/SIDA. Ahora, nuevamente la tuberculosis ha tomado importancia por el surgimiento de cepas multidrogorresistentesen cuyo extremo de letalidad esta la tuberculosis extremadamente drogoresistente (TB XDR.

  8. El establecimiento permanente en un contexto virtual

    OpenAIRE

    Andrés Mauricio Rengifo

    2002-01-01

    La inmediatez, la informalidad y la total irrelevancia de la localización, la distancia y los límites nacionales son ventajas innegables del comercio en Internet. Al mismo, tiempo, son características que plantean interrogantes para los Estados, quienes, conscientes de la importancia de controlar el volumen y la magnitud de las operaciones realizadas en red (al gravarlas directa o indirectamente pueden conseguir fuentes de ingreso para el mantenimiento de las estructuras y la financiación de ...

  9. De permanente groene revolutie van Swaminathan

    NARCIS (Netherlands)

    Fresco, L.O.; Rabbinge, R.

    2015-01-01

    Het weekblad Time kwalificeerde hem als een van de twintig meest invloedrijke Aziaten van de twintigste eeuw: ‘The father of the Green Revolution used his skills in genetic engineering and his powers of persuasion to make famine an unfamiliar word in Asia’. Tegelijkertijd wees hij al vroeg op de gev

  10. Fashion, Gender and Sexuality:On Fashion and Cultural Studies by Susan B Kaiser%时尚·性别·性取向-读苏珊·B·凯瑟的《时尚与文化研究》

    Institute of Scientific and Technical Information of China (English)

    史亚娟; 但沐霖

    2015-01-01

    美国著名服装心理学家苏珊·B·凯瑟在《时尚与文化研究》一书中引用“风格—时尚—装扮循环”这一理论,分析了文化在服装生产、销售、消费、时尚主体构成等各个环节之间的流动,同样也将这一循环运用到时尚与性别和性取向问题的研究中来,认为风格—时尚—装扮对于性别主体的身分建构和主体定位具有重要意义,并有助于调和疏导异性恋异装行为和同性恋恐惧症带来的文化焦虑。%Mr. Susan Kaiser, the American famous clothing social psychologist, makes use of the the-ory of “circuit of style-fashion-dress” to analyze the lfow of culture in the circuit which is com-posed of clothing production, distribution, consume and the fashion subject in her newly published book entitled Fashion and Cultural Studies. She also applies this theory to the examination of the relationship between fashion, gender and sexuality and thinks that style-fashion-dress is not only of great signiifcance to the construction of gender identity and subject position, but also helps to adjust and navigate the cultural anxiety resulted from cross-dress and homopho-bia.

  11. ANÁLISE DA CORRELAÇÃO ENTRE AS VARIÁVEIS DE DENSIFICAÇÃO DO COMPACTADOR GIRATÓRIO SUPERPAVE E A RESISTÊNCIA À DEFORMAÇÃO PERMANENTE EM MISTURAS ASFÁLTICAS CONVENCIONAIS E COM UTILIZAÇÃO DE RESÍDUOS

    Directory of Open Access Journals (Sweden)

    Felipe Coutinho Onofre

    2011-09-01

    Full Text Available

    Quando se comparam as metodologias de dosagem Superpave e Marshall de misturas asfálticas, uma das vantagens da primeira é a obtenção do gráfico de compactação. Tem sido verificado para misturas densas e contínuas do tipo Concreto Asfáltico (CA que determinadas áreas observadas nesse gráfico podem diferenciar estas misturas quanto à trabalhabilidade e à resistência à deformação permanente. No presente estudo, os parâmetros Compaction Densification Index (CDI e Traffic Densification Index (TDI foram utilizados como indicadores da compactabilidade. Desenvolveu-se um estudo de correlação entre estas variáveis e a resistência à deformação permanente de misturas asfálticas. Foram avaliadas três misturas asfálticas contendo: (i apenas agregados graníticos, (ii 50% de agregados graníticos e 50% de escória de aciaria e (iii 50% de agregados graníticos e 50% de Resíduo de Construção e Demolição (RCD. As variáveis escolhidas para determinação da resistência à deformação permanente foram o ensaio uniaxial de carga repetida (amostras compactadas para dois percentuais de Volume de vazios e o ensaio com um simulador de tráfego do tipo LCPC. Foi utilizado também o Processamento Digital de Imagens (PDI para a determinação da esfericidade dos agregados estudados, propriedade que influencia na resistência à deformação permanente. Os resultados indicam que as variáveis CDI e TDI podem ser usadas como parâmetros de estudo para prever a resistência à deformação permanente, mesmo para misturas com utilização de resíduos. A caracterização pela técnica do PDI mostrou que o agregado de origem granítica possui uma forma menos próxima a uma esfera em relação aos res

  12. Overview on the permanent magnets technology of rare earth based on Nd-Fe-B; Panorama general sobre tecnologia de imanes permanentes de tierras raras a base de Nd-Fe-B

    Energy Technology Data Exchange (ETDEWEB)

    Rosales Vazquez, Maria Ines [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

    1990-12-31

    In this paper the technological development in the area of permanent magnetic materials, is shown, from the 1930`s when the first aluminum-nickel-cobalt (Al-Ni-Co) magnets appeared. As a result of the continuous worldwide research in this field, it was made known, during the 1980`s decade of a new type of magnets based on Neodymium (Nd). In accordance with the outstanding magnetic properties of these magnets, at the Instituto de Investigaciones Electricas (IIE), their development was initiated, focussed on the stages and parameters definition of their manufacturing process. Up to now, the research has been oriented to the preparation of magnets of the isotropic agglutinated type and the manufacturing process encompasses the following stages: a) Alloy preparation; b) Microcrystals obtainment; c) Magnet preparation. The preliminary results that have been obtained in the magnetic characterization show that the quality of the prepared magnets is comparable to the quality of the imported magnets and/or to the ones other research groups report. [Espanol] En este trabajo se muestra el desarrollo tecnologico del area de materiales magneticos permanentes a partir de los anos treinta en que surgieron los primeros imanes de aluminio-niquel-cobalto (Al-Ni-Co). Como resultado de la constante investigacion a nivel mundial en ese campo, durante el decenio de los ochenta se informo en torno a un nuevo tipo de imanes a base de neodimio (Nd). Atendiendo a las propiedades magneticas sobresalientes de estos imanes, en el Instituto de Investigaciones Electricas (IIE), se inicio el desarrollo de los mismos, enfocandolo a la definicion de las etapas y parametros del proceso de fabricacion. Hasta ahora, la investigacion se ha orientado a la preparacion de imanes de tipo isotropico aglutinado y el proceso de fabricacion comprende las etapas: a) preparacion de la aleacion; b) obtencion de microcristales, y c) preparacion de los imanes. Los resultados preliminares que se han obtenido en la

  13. Frequency, duration and predictors of bronchiolitis episodes of care among infants ≥32 weeks gestation in a large integrated healthcare system: a retrospective cohort study

    Science.gov (United States)

    2012-01-01

    Background Bronchiolitis is common in the first two years of life and is the most frequent cause of hospitalization in this age group. No previous studies have used an episode-of-care analysis to describe the frequency, duration, and predictors of bronchiolitis episodes of care during the first two years. Methods We conducted a retrospective cohort study of 123,264 infants ≥32 weeks gestation born at 6 Northern California Kaiser Permanente hospitals between 1996 and 2002. We used electronic medical records to concatenate hospital, emergency department and outpatient health care encounters for bronchiolitis into discrete episodes of care. We used descriptive statistics to report frequency and duration of bronchiolitis episodes and used logistic regression to assess the effect of gestational age and other clinical and demographic predictors on the outcome of bronchiolitis episodes. Results Among all infants, the rate of bronchiolitis episodes was 162 per 1000 children during the first 2 years of life; approximately 40% required >1 day of medical attention with a mean duration of 7.0 ± 5.9 days. Prematurity was associated with increased risk of bronchiolitis episodes and longer duration. Bronchiolitis episodes rates per 1000 infants were 246 for 32–33 weeks gestational age, 204 for 34–36 weeks, and 148–178 for >36 weeks. Male gender, African-American and Hispanic race/ethnicity, and parental history of asthma were associated with an increased risk of having a bronchiolitis episode and/or longer duration. Conclusions Bronchiolitis episodes of care are frequent during the first two years of life and the duration ranges from 1 to 27 days. Prematurity was associated with more frequent and longer duration of bronchiolitis episodes of care, which may reflect illness severity and/or perceived vulnerability. PMID:22682080

  14. Ranked Levels of Influence Model: Selecting Influence Techniques to Minimize IT Resistance

    Science.gov (United States)

    Bartos, Christa E.; Butler, Brian S.; Crowley, Rebecca S.

    2010-01-01

    Implementation of electronic health records (EHR), particularly computerized physician/provider order entry systems (CPOE), is often met with resistance. Influence presented at the right time, in the right manner, may minimize resistance or at least limit the risk of complete system failure. Combining established theories on power, influence tactics, and resistance, we developed the Ranked Levels of Influence model. Applying it to documented examples of EHR/CPOE failures at Cedars-Sinai and Kaiser Permanente in Hawaii, we evaluated the influence applied, the resistance encountered, and the resulting risk to the system implementation. Using the Ranked Levels of Influence model as a guideline, we demonstrate that these system failures were associated with the use of hard influence tactics that resulted in higher levels of resistance. We suggest that when influence tactics remain at the soft tactics level, the level of resistance stabilizes or de-escalates and the system can be saved. PMID:20176135

  15. Preceptoria de território, novas práticas e saberes na estratégia de educação permanente em saúde da família: o estudo do caso de Sobral, CE Preceptorship of territory, new practices and knowledge in the strategy of continuing education in family health strategy: the case study of Sobral, Ceara, Brazil

    Directory of Open Access Journals (Sweden)

    Rosani Pagani

    2012-05-01

    Full Text Available O presente trabalho pretende apresentar um novo ator no Sistema Único de Saúde - o preceptor de território - bem como discutir sua atuação. Com a implantação da Estratégia Saúde da Família, bastante se tem discutido sobre o desafio de formar profissionais para atuarem neste modelo através de educação permanente em saúde. Nesse processo, o município de Sobral, CE, criou em 1999 a residência multiprofissional e a preceptoria de território; em 2001, a Escola de Formação em Saúde da Família Visconde de Sabóia. Este estudo teve como objetivos analisar a implantação e a atuação da preceptoria de território, descrevendo o processo de trabalho dos preceptores e identificando suas competências; além disso, descreveu-se o processo de educação permanente desenvolvido na Estratégia de Saúde da Família em Sobral. Utilizou-se uma abordagem qualitativa do tipo estudo de caso, com os seguintes instrumentos: entrevistas, questionários e grupo focal. Para a organização os dados foram analisados através da técnica do Discurso do Sujeito Coletivo (DSC. Entre os achados do estudo, identifica-se o preceptor de território como um profissional que atua diretamente com os residentes nos territórios das equipes da estratégia de saúde da família, destacando-se por suas amplas competências. Entre estas, podem ser mencionados conhecimentos conceituais nos campos da saúde coletiva e das relações humanas, bem como conhecimento e desenvoltura na utilização de métodos de ensino (problematização, educação permanente em saúde e educação popular. Deve também ser capaz de desenvolver relações harmônicas e de participação. O debate vem auxiliando o preceptor de território de Sobral a estabelecer seu papel e consolidar sua função de educador na construção do SUS.This paper aims to present a new actor in the Health's Unique System of Brazil (SUS, the preceptor of territory, and discuss his performance. The

  16. Tecnologias emissoras de radiação ionizante e a necessidade de educação permanente para uma práxis segura da enfermagem radiológica Tecnologías emisoras de radiación ionizante y la necesidad de la educación permanente para una praxis segura de la enfermería radiológica Issuing technologies of ionizing radiation and the need of permanent education for a safe praxis in radiological nursing

    Directory of Open Access Journals (Sweden)

    Rita de Cássia Flôr

    2009-10-01

    Full Text Available Refletir acerca das tecnologias radiológicas e da necessidade da educação permanente que aborde temas relacionados com a aplicação das radiações ionizantes na práxis da enfermagem radiológica é mister, haja vista o avanço tecnológico que revolucionou as práticas em saúde e conseqüentemente a assistência de enfermagem, pois essas tecnologias incidem fortemente sobre o trabalho e a qualificação do trabalhador. Esta reflexão discorre sobre as áreas de atuação da enfermagem radiológica nos Serviços de Radiologia e Diagnóstico por Imagem (SRDI, assim como a necessidade da educação permanente para a práxis segura nessa especialidade. Apresenta estudos de alguns autores acerca dessas necessidades, principalmente no que tange à proteção radiológica e à necessidade de qualificação desses trabalhadores.Reflexionar acerca de las tecnologías radiológicas y la necesidad de una educación permanente que aborde temas relacionados con la aplicación de radiaciones ionizantes en la praxis de la enfermería radiológica es fundamental, en virtud del avance tecnológico que revolucionó las prácticas en la salud y, consecuentemente, la asistencia de la enfermería, pues esas tecnologías inciden fuertemente sobre el trabajo y la calificación del trabajador. Esta reflexión discurre sobre las áreas de actuación de la enfermería radiológica en los Servicios de Radiología y Diagnóstico por Imagen (SRDI, así como la necesidad de una educación permanente para la praxis segura en esta especialidad, de la misma forma que los estudios de algunos autores son presentados en relación a estas necesidades; principalmente en lo que se refiere a la protección radiológica y a la necesidad de calificación de esos trabajadores.Reflecting about radiological technologies and the need for permanent education to address issues related to the application of ionizing radiation on radiological nursing practice is of a great importance

  17. Fistulación y canulación permanente del compartimento 1 (Rumen en Llamas (Lama glama Permanent fistulation and cannulation of compartment 1 (Rumen of the Llama (Lama glama

    Directory of Open Access Journals (Sweden)

    R. Cabrera

    2000-01-01

    Full Text Available Para realizar estudios de evaluación nutricional de recursos alimentarios potencialmente utilizables por la Llama y relacionarlos con características ruminales de estos animales, hemos practicado fistulaciones permanentes del compartimento 1 (rumen. Cuatro llamas hembras de un peso promedio de 65 kg, fueron fistuladas usando la técnica quirúrgica descrita por Cabrera y col. (1980, 1997. Los animales se mantuvieron sin alimento por 72 h, se atropinizaron, y anestesiaron con Ketamina (Ketostop® i.m. 10 mg/k de peso y se infiltraron localmente con lidocaína al 2%. Se removió un trozo circular de piel de diez cm de diámetro de la fosa lumbar izquierda y los planos musculares subyacentes se separaron usando disección obtusa. El peritoneo fue abierto y la pared ruminal fijada al borde de la piel usando puntos en "U", cuidando de mantener siempre el peritoneo entre las dos capas. Finalmente, el circulo de pared ruminal comprendido entre las suturas, fue removido y la zona fue tratada con Qemispray®. La fístula, fue inmediatamente cerrada con una cánula de goma tipo 10 C (Bar Diamond,Inc., Parma, Idaho, U.S.A. Durante cinco días los animales fueron tratados con antibióticos (I.M. y las suturas fueron removidas al séptimo día. Los animales soportaron muy bien el procedimiento quirúrgico y se adaptaron adecuadamente a la cánula. Actualmente los animales han completado 24 meses de operados sin que hubieran presentado ningún problema derivado de ello, excepto por pequeñas fugas de contenido ruminal en algunas de las cánulas, de escasa trascendenciaTo carry out nutritional evaluation of potentially useful feedstuffs and related ruminal metabolic studies in Llama, we have performed permanent fistulations of compartment 1 (rumen in this specie. Four adult female llamas with a mean weight of 100 kg were fistulated using the surgical technique described by Cabrera et al. (1980, 1997. They were kept without food for 72 hr., atropinized and

  18. Leguminosas herbáceas perenes para utilização como coberturas permanentes de solo na Caatinga Mineira Perennial herbaceous legumes used as permanent cover cropping in the Caatinga Mineira

    Directory of Open Access Journals (Sweden)

    Ricardo Borges Teodoro

    2011-06-01

    Full Text Available O presente trabalho objetivou avaliar o comportamento e as potencialidades de leguminosas herbáceas perenes para o uso como cobertura permanente em solos da região da Caatinga Mineira, Médio Vale do Jequitinhonha, MG, visando a introdução dessas plantas de cobertura em áreas agrícolas. O experimento foi conduzido de dezembro de 2008 a julho de 2009. O delineamento experimental foi em blocos ao acaso, com seis tratamentos e quatro repetições. Os tratamentos foram constituídos pelas leguminosas: cudzu tropical (Pueraria phaseoloides, calopogônio (Calopogonium mucunoides, amendoim forrageiro (Arachis pintoi, soja perene (Glycine wightii, estilosantes (Stylosanthes capitata, Stylosanthes macrocephala e pela testemunha (sem a presença de leguminosa. Foram avaliados os seguintes parâmetros: emergência das plântulas; taxa de cobertura do solo; promoção da retenção de umidade e temperatura do solo; capacidade de inibição da vegetação espontânea; potencial de deposição de folhas e de aporte de macronutrientes pela senescência de folhas; produção total de fitomassa seca e acúmulo de macronutrientes na parte aérea. A cobertura plena do solo foi alcançada pelo calopogônio, amendoim forrageiro e cudzu tropical. O calopogônio conferiu maior capacidade de retenção da umidade e inibição das plantas espontâneas. Em todos os tratamentos com leguminosas a temperatura do solo foi inferior à testemunha, a partir dos 120 dias de ciclo. Na região da Caatinga Mineira, as leguminosas perenes calopogônio e cudzu tropical, podem contribuir significativamente para o incremento de nitrogênio, aporte de outros macronutrientes (K, P, Ca e Mg e incremento da matéria orgânica do solo.The study objective was to evaluate the performance and potential of perennial herbaceous legumes for use as permanent soil cover in the Caatinga Mineira region MG, Brazil, for the introduction of these cover crops in agricultural areas. The experimental

  19. Textura do solo e a estimativa do teor de água no ponto de murcha permanente com psicrômetro Soil texture and the estimation by Dewpoint Potential Meter of water retention at wilting point

    Directory of Open Access Journals (Sweden)

    Vilson Antonio Klein

    2010-07-01

    Full Text Available A determinação do volume de água disponível às plantas é fundamental para o correto manejo da irrigação e definição quanto ao uso dos solos agrícolas. Os principais fatores que exercem influência na retenção e disponibilidade de água às plantas são a textura e a estrutura do solo. O objetivo deste trabalho foi quantificar a influência da textura na retenção da água, na condição de ponto de murcha permanente (PMP das plantas (-1,5MPa, sendo utilizado um psicrômetro modelo WP4-T. Determinaram-se a textura de 100 amostras de solo e o teor de água no PMP. Os resultados indicaram que, em potenciais maiores que -1,0MPa, o psicrômetro mostrou-se pouco preciso, não se recomendando a sua utilização nessa condição. O PMP aumentou de 0,059 para 0,29g g-1, quando o teor de argila aumentou de 120 para 779g kg-1. Obteve-se um bom ajuste dos resultados do teor de água no PMP em função do teor de argila do solo, e 91% da variação do teor de água no PMP puderam ser atribuídos à variação no teor de argila. Conclui-se que o psicrômetro é um equipamento que pode ser utilizado para determinar o PMP, e a equação PMP (g g-1=0,0003*Argila (g kg-1+0,0118 pode ser utilizada para estimar o PMP.The determination of the available water to plants is essential to right irrigation management and definition regarding the use in agricultural soils. The main factors that exert influence on retention and availability of water to plants are texture and soil structure. The aim of this study was to quantify the influence of the texture on water retention in the condition of permanent wilting point (PWP of plants (-1,5MPa using a WP4-T Dewpoint Potentia Meter. The texture of 100 soil sample and soil moisture at PWP was determined. Results indicated that, in potentials higher than -1,0MPa, WP4-T seemed not very precise, therefore its use is not recommended in this condition. PWP increased from 0,059 to 0,29g g-1, while the clay content

  20. Fluorose dentária em incisivos superiores permanentes em crianças de escola pública do Rio de Janeiro, RJ Dental fluorosis in upper permanent incisors of public schoolchildren in Rio de Janeiro, Brazil

    Directory of Open Access Journals (Sweden)

    Branca Heloísa de Oliveira

    2001-06-01

    Full Text Available OBJETIVO: Determinar a prevalência e a intensidade de fluorose dentária em crianças com idade entre 7 e 12 anos. MÉTODOS: A população de estudo foi constituída por 266 crianças matriculadas em uma escola pública do Município do Rio de Janeiro, RJ. As crianças tinham idades entre 7 e 12 anos e foram selecionadas pelo método de amostragem aleatória simples. Todos os exames foram feitos entre os meses de agosto e dezembro de 1999 por um único examinador treinado e calibrado (Kappa = 0,92. Depois da obtenção do consentimento dos pais, as crianças tiveram seus incisivos superiores permanentes inspecionados sob luz natural. Os dentes foram previamente limpos e secos com rolos de algodão. Os critérios de Russel foram empregados, no diagnóstico diferencial, entre fluorose dentária e opacidades decorrentes de outras causas. O índice de Thylstrup e Fejerskov foi utilizado na determinação da intensidade de fluorose. RESULTADOS: A prevalência de fluorose foi igual a 7,9% (IC 95%, 5,0-11,8. A intensidade variou de 1 a 3, sendo que 77% dos dentes afetados tiveram registros de grau 1. CONCLUSÃO: A fluorose dentária não se constitui em problema de saúde pública para a população estudada.OBJECTIVE: To assess the prevalence and severity of dental fluorosis in children aged 7 to 12. METHODS: The study population comprised 266 children aged 7 to 12 years, enrolled in a public school in the city of Rio de Janeiro, Brazil, selected using a simple random sample method. All examinations were carried out between August and December 1999 by a single trained and calibrated examiner (Kappa = 0.92. After obtaining their parents' consent the children had their upper permanent incisors examined under natural light. Their teeth were previously cleaned and dried with cotton rolls. The differential diagnosis between milder forms of dental fluorosis and nonfluoride enamel opacities was made according to Russel's diagnostic criteria. The severity of

  1. Análise comparativa de envoltórios para drenos tubulares em condições de fluxo não-permanente Comparative analysis of envelopes for tubular drains under non-steady state flow conditions

    Directory of Open Access Journals (Sweden)

    Denise M. de Almeida

    2001-04-01

    Full Text Available Com esta pesquisa, objetivou-se avaliar a eficiência de envoltórios em drenos tubulares sob condições de fluxo não-permanente; para tanto, foram utilizados, em tanques de alvenaria, os envoltórios de geotêxteis XT-4, XT-2, bidim OP-30 e bidim OP-20, envelopes de brita no 1, com espessuras de 0,05, 0,10 e 0,15 m, além de um tratamento com ausência de envoltório. As variáveis-resposta utilizadas para se testar os tratamentos consistiram da lâmina drenada num tempo de 30 min, da massa de areia carreada após este tempo de drenagem e do desempenho hidráulico dos drenos, com base no cálculo da resistência de entrada ao fluxo e da relação entre vazão e carga hidráulica a 0,55 m da interface solo-dreno. As lâminas drenadas não diferiram estatisticamente a nível de 5% de probabilidade; no entanto, os geotêxteis bidim OP-20 e XT-4 mostraram-se, nesta ordem, como as melhores opções, face à análise de desempenho e se considerando os aspectos custo e facilidade de instalação. Quanto à análise da variável carreamento de areia, verificou-se a influência da espessura do envoltório ao se analisar os tratamentos com brita, além da opção das mantas, como excelente filtro. Os dados de resistência de entrada demonstraram a importância do uso de envoltórios ao se comparar o tratamento sem envoltório (r ent = 0,0102 d m-1 com o tratamento brita 0,15m (r ent = 0,0032 d m-1 cuja redução foi de 68,7%.The aim of the research was to evaluate the performance of eight types of envelopes installed around tubular drains in a horizontal tank model, with the treatments bidim OP-20, bidim OP-30, XT-2 and XT-4, 0.15, 0.10 and 0.05 m thick gravel and the treatment drain without a wrapper. The response-variables for the treatments used consisted of the depth of water drained in thirty minutes, the mass of sediment transported by the water during this same time interval and the hydraulic performance of the drains based on the entrance

  2. Site support program plan for ICF Kaiser Hanford Company

    Energy Technology Data Exchange (ETDEWEB)

    Dieterle, S.E.

    1996-09-27

    The Fiscal Year (FY) 1997 Inftastructure Program Site Support Program Plan (SSPP) addresses the mission objectives, workscope, work breakdown structures (WBS), management approach, and resource requirements for the Infrastructure Program. Attached to the plan are appendices that provide more detailed information associated with scope definition.

  3. Parents, Children & Media: A Kaiser Family Foundation Survey

    Science.gov (United States)

    Rideout, Victoria

    2007-01-01

    Over the past few years, media use among children and teens has become more prevalent than ever. With the launch of the iPod, the explosion in instant messaging, the birth of mobile video and YouTube, and the advent of social networking sites like MySpace, young people are rarely out of contact, or out of reach of the media. Meanwhile,…

  4. 美国的KAISER DARRIN跑车

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Howard‘Dutch' Darrin是众多摇滚明星中最有战后汽车设计天赋的一个。他为劳斯莱斯(Rolls-Royce)、希斯巴诺·苏莎(Hispano-Suiza)以及派克特(Packard)开创了客户定制外形设计的先河,所有这一系列的汽车都要打上"Styled by Darrin"(Darrin设计)的标签,他甚至还为自己设计了

  5. The basics of repeats in Kaiser Aminpur’s poems

    Directory of Open Access Journals (Sweden)

    Ahmad Ghanipour Malekshah

    2016-09-01

    Sometimes the repetition of words, phonemes, etc with the aim of affecting them musically will stimulate audience's emotion and in some other situation the musical capacity of words, phonemes cause the establishment of repetition.  Furthermore, the aesthetic pleasure which is produced from musical repetition along with emotion and feeling in Aminpour poem's as a stylistic feature can be reviewed and analyzed.

  6. Educação permanente com agentes comunitários de saúde: uma proposta de cuidado com crianças asmáticas Continuing education with community health agents: a proposal for care of asthmatic children

    Directory of Open Access Journals (Sweden)

    Maria Wanderleya de Lavor Coriolano

    2012-06-01

    Full Text Available O uso de metodologias ativas nos processos de formação dos trabalhadores de saúde é uma diretriz recomendada na Política Nacional de Educação Permanente em Saúde (PNEPS para trabalhadores do Sistema Único de Saúde (SUS. Neste estudo, formulou-se uma intervenção educativa para agentes comunitários de saúde (ACS sobre cuidados dirigidos a crianças/famílias com asma. O objetivo é descrever uma ação educativa com agentes comunitários de saúde sobre conhecimentos relacionados à asma, adotando as diretrizes da PNEPS no contexto da atenção primária. Tratase de estudo 'quantiqualitativo', com avaliação préteste e pósteste autopreenchida pelos agentes comunitários de saúde, além de metodologias ativas em três grupos focais vivenciais, que tiveram sua trajetória gravada e transcrita para posterior análise de dados, com uso da técnica análise de conteúdo na modalidade temática proposta por Bardin. Os conhecimentos dos ACS sobre mitos relacionados à asma apontaram acréscimo após a ação educativa. Dos grupos focais emergiram as temáticas: Educação em saúde para prevenção das doenças respiratórias; Significado atribuído à asma; Bombinhas: desmistificando conceitos; Fatores desencadeantes para asma; Adaptando cuidados preventivos; Avaliando os conhecimentos construídos. A utilização de metodologias ativas favoreceu o desenvolvimento de competências por parte dos ACS, despertando motivação na abordagem educativa junto às crianças/famílias com asma.The use of active methods in the health worker training process is a guideline that is recommended under the National Continuing Education in Health Policy (PNEPS for National Health System (SUS employees. In this study, the authors created an educational intervention for community health agents (CHA regarding care aimed at children/families with asthma. The aim is to describe an educational action involving community health workers about asthmarelated

  7. Medidas lineares dos estágios de desenvolvimento da dentição permanente humana usando Tomografia Computadorizada de Feixe Cônico: um estudo preliminar Linear measurements of human permanent dental development stages using Cone-Beam Computed Tomography: a preliminary study

    Directory of Open Access Journals (Sweden)

    Carlos Estrela

    2010-10-01

    Full Text Available OBJETIVO: determinar as medidas lineares dos estágios de desenvolvimento da dentição permanente humana, usando tomografia computadorizada de feixe cônico (TCFC. MÉTODOS: este estudo foi desenvolvido a partir de bancos de dados de clínicas radiológicas privadas, envolvendo 18 pacientes (13 do sexo masculino, 5 do sexo feminino, com idades variando entre 3 e 20 anos. As imagens das TCFC foram obtidas por meio do sistema i-CAT e medidas com uma função específica do programa desse mesmo sistema. Duzentos e trinta e oito dentes foram analisados, em diferentes estágios de desenvolvimento, nos planos coronal e sagital. O método foi baseado na delimitação e mensuração das distâncias entre pontos anatômicos correspondentes ao desenvolvimento das coroas e raízes dentárias. A partir dos valores obtidos, pôde-se desenvolver um modelo quantitativo para se avaliar os estágios inicial e final de desenvolvimento para todos os grupos dentários. RESULTADOS E CONCLUSÕES: as medidas obtidas dos diferentes grupos dentários estão de acordo com as estimativas das investigações publicadas previamente. As imagens por TCFC dos diferentes estágios de desenvolvimento podem contribuir no diagnóstico, planejamento e resultado dos tratamentos em diversas especialidades odontológicas. As dimensões das coroas e das raízes dentárias podem ter importantes aplicações clínicas e em pesquisas, constituindo uma técnica não invasiva que contribui com estudos in vivo. Entretanto, mais estudos são recomendados a fim de minimizar possíveis variáveis metodológicas.OBJECTIVE: To determine the linear measurements of human permanent dentition development stages using Cone-Beam Computed Tomography. METHODS: This study was based on databases of private radiology clinics involving 18 patients (13 male and 5 female, with age ranging from 3 to 20 years. Cone-Beam Computed Tomography (CBCT images were acquired with i-CAT system and measured with a

  8. Association between clinical parameters and the presence of active caries lesions in first permanent molars Associação entre parâmetros clínicos e a presença de lesões ativas de cárie em primeiros molares permanentes

    Directory of Open Access Journals (Sweden)

    Juliana Maria Quaglio

    2006-12-01

    Full Text Available The aim of the present study was to evaluate the association between clinical parameters and the presence of active caries lesions on the occlusal surface of first permanent molars. Forty eight children (5.8-13.8 years-old with at least one first permanent molar present were selected. The clinical parameters evaluated were gender, age, DMF-T and dmf-t, presence of active white spots in other teeth, general plaque index, tooth's dental arch (upper or lower, tooth's side (right or left, presence of visible plaque and eruption degree of the first permanent molars. The first permanent molars were evaluated through visual inspection by two examiners in order to assess the presence of active or inactive caries lesions on the occlusal surface. Univariate and multivariate analyses for determination of the association between clinical parameters and the presence of active caries lesions in these teeth were performed. The presence of active white spots in other teeth was associated with the presence of active caries lesions in the first permanent molars, in both univariate and multivariate analyses (Odds ratio = 8.8 and 1.9, respectively. The presence of abundant visible plaque on the occlusal surface of the first permanent molars (Odds ratio = 3.5 in the univariate analysis, and 3.9 in the multivariate one also presented a significant association. In conclusion, the presence of active white spots in other teeth and the presence of considerable visible plaque were associated with the presence of active caries lesions on the occlusal surfaces of first permanent molars.O objetivo do presente trabalho foi avaliar a associação entre parâmetros clínicos e presença de lesões ativas de cárie sobre a superfície oclusal de primeiros molares permanentes. Quarenta e oito crianças (5,8-13,8 anos com pelo menos um primeiro molar permanente foram selecionadas. Os parâmetros clínicos avaliados foram sexo, idade, CPO-D e ceo-d, presença de manchas brancas

  9. Placental Vascular Tree as Biomarker of Autism/ASD Risk

    Science.gov (United States)

    2012-09-01

    U UU 31 19b. TELEPHONE NUMBER (include area code ) Award Number 10-1-0626 Table of Contents...the graph nodes from the labeled branch points and the graph edges based from the connecting vessel tracing lines, which also codes vascular...Bloomberg SPH , Baltimore MD, MIND Institute UC Davis, Sacramento CA, Kaiser Permanente, Oakland, CA. Hypothesis. We hypothesize that vascular

  10. An Immediate and Long-Term Study of a Temperament and Parent-Child Interaction Therapy Based Community Program for Preschoolers with Behavior Problems

    Science.gov (United States)

    Pade, Hadas; Taube, Daniel O.; Aalborg, Annette E.; Reiser, Paul J.

    2006-01-01

    The immediate and long-term effects of a Parent Child Interaction Therapy (PCIT) derived program offered at a Kaiser Permanente facility were evaluated. There were 73 participants in the initial sample and 23 in the 5-6 year follow-up sample. Child behaviors improved significantly immediately following treatment and some improvements were…

  11. Adapting to change: the advantage of modular clinic design.

    Science.gov (United States)

    Arsenault, Bruce

    2004-01-01

    Architects have applied modular design concepts for years. Projects benefiting most are those where a few room types are repeated often. Ambulatory care facilities are excellent candidates because this project type typically consists of a large number of rooms that can be standardized. The new Kaiser Permanente Santa Clara Medical Office Building illustrates the benefits and flexibility of modular design.

  12. Joint Venture Arrangement for RN to BSN: A Model of Synergy between Academia and Service.

    Science.gov (United States)

    Bargagliotti, L. Antoinette; And Others

    1991-01-01

    Joint venture among educational and practice institutions is well on its way toward becoming the norm in nursing education and practice. Kaiser Permanente and the University of San Francisco School of Nursing offer a venture that allows registered nurses to pursue a bachelor of science in nursing degree. (JOW)

  13. Maternal Infection during Pregnancy and Autism Spectrum Disorders

    Science.gov (United States)

    Zerbo, Ousseny; Qian, Yinge; Yoshida, Cathleen; Grether, Judith K.; Van de Water, Judy; Croen, Lisa A.

    2015-01-01

    We conducted a nested case-control study including 407 cases and 2,075 frequency matched controls to investigate the association between maternal infections during pregnancy and risk of autism spectrum disorders (ASD). Cases, controls, and maternal infections were ascertained from Kaiser Permanente Northern California clinical databases. No…

  14. Engaging Youth in Learning about Healthful Eating and Active Living: An Evaluation of Educational Theater Programs

    Science.gov (United States)

    Cheadle, Allen; Cahill, Carol; Schwartz, Pamela M.; Edmiston, John; Johnson, Sarah; Davis, Larry; Robbins, Curtis

    2012-01-01

    Objective: To compare knowledge gains and knowledge retention of healthful eating and active living behaviors in elementary school children participating in Educational Theatre Programs (ETP). Methods: The study sample included 47 schools (2,915 third- or fourth-grade students) in 8 Kaiser Permanente regions. Children's knowledge of 4 healthful…

  15. Joint Venture Arrangement for RN to BSN: A Model of Synergy between Academia and Service.

    Science.gov (United States)

    Bargagliotti, L. Antoinette; And Others

    1991-01-01

    Joint venture among educational and practice institutions is well on its way toward becoming the norm in nursing education and practice. Kaiser Permanente and the University of San Francisco School of Nursing offer a venture that allows registered nurses to pursue a bachelor of science in nursing degree. (JOW)

  16. Language Barrier May Keep Some Hispanics from Good Diabetes Care

    Science.gov (United States)

    ... Another study in the same issue of the journal was led by Melissa Parker of Kaiser Permanente in Oakland, Calif. Her team found that blood sugar control could improve for Hispanic type 2 diabetes patients with limited English skills -- but only when they switched from a primary ...

  17. Community Resources for Promoting Youth Nutrition and Physical Activity

    Science.gov (United States)

    Moore, Kelly R.; McGowan, Melissa K.; Donato, Karen A.; Kollipara, Sobha; Roubideaux, Yvette

    2009-01-01

    Childhood obesity is a national public health crisis. The National Diabetes Education Program (NDEP), the National Institutes of Health and Kaiser Permanente have developed community tools and resources for children and families to lower their risk for obesity through healthier, active lifestyles. The authors describe innovative practices and…

  18. “I Want to Keep the Personal Relationship With My Doctor”: Understanding Barriers to Portal Use among African Americans and Latinos

    Science.gov (United States)

    Allen, Jill Y; Poole, Dolly; Tieu, Lina; Kanter, Michael H; Garrido, Terhilda

    2016-01-01

    Background Despite the widespread implementation of electronic health records (EHRs), there is growing evidence that racial/ethnic minority patients do not use portals as frequently as non-Hispanic whites to access their EHR information online. This differential portal use could be problematic for health care disparities since early evidence links portal use to better outcomes. Objective We sought to understand specific barriers to portal use among African American and Latino patients at Kaiser Permanente, which has had a portal in place for over a decade, and broad uptake among the patient population at large. Methods We conducted 10 focus groups with 87 participants in 2012 and 2013 among African American and Latino Kaiser Permanente members in the mid-Atlantic, Georgia, and Southern California regions. Members were eligible to participate if they were not registered for portal access. Focus groups were conducted within each racial/ethnic group, and each included individuals who were older, had a chronic disease, or were parents (as these are the three biggest users of the portal at Kaiser Permanente overall). We videotaped each focus group and transcribed the discussion for analysis. We used general inductive coding to develop themes for major barriers to portal use, overall and separately by racial/ethnic group. Results We found that lack of support was a key barrier to initiating portal use in our sample—both in terms of technical assistance as well as the fear of the portal eroding existing personal relationships with health care providers. This held true across a range of focus groups representing a mix of age, income, health conditions, and geographic regions. Conclusions Our study was among the first qualitative explorations of barriers to portal use among racial/ethnic subgroups. Our findings suggest that uniform adoption of portal use across diverse patient groups requires more usable and personalized websites, which may be particularly important for

  19. Prevalência de oclusopatia na dentição decídua e permanente de crianças na cidade de São Paulo, Brasil, 1996 Malocclusion prevalence in the deciduous and permanent dentition of schoolchildren in the city of São Paulo, Brazil, 1996

    Directory of Open Access Journals (Sweden)

    Paulo Frazão

    2002-10-01

    Full Text Available O objetivo deste estudo foi estimar a prevalência de oclusopatia na dentição decídua e permanente de crianças de escolas públicas e privadas do Município de São Paulo, SP, Brasil, em 1996. A condição oclusal foi classificada em três categorias: normal, leve e moderada/severa conforme os critérios da Organização Mundial da Saúde. Os resultados referem-se a 985 exames em crianças de 5 e 12 anos de idade. A prevalência das oclusopatias foi alta, aumentando de 48,97 ± 4,53% na dentição decídua a 71,31 ± 3,95% na dentição permanente, sendo que a proporção de oclusopatia moderada/severa foi quase duas vezes maior na dentição permanente (OR = 1,87; IC95% = 1,43-2,45; p The purpose of this study was to estimate the prevalence of malocclusion in deciduous and permanent dentition of schoolchildren enrolled in public and private schools in the city of Sao Paulo, Brazil, in 1996. Occlusal conditions were classified as normal, mild, and moderate/severe according to World Health Organization criteria. The results refer to 985 schoolchildren ages five and 12 years. Prevalence of malocclusion was high, increasing from 48.97 ± 4.53% in the deciduous dentition to 71.31 ± 3.95% in the permanent dentition. The proportion of moderate/severe malocclusion was nearly twice as great in the second dentition (OR = 1.87; 95% CI = 1.43-2.45; p < 0.001. No significant difference was observed according to gender or public vs. private school. Statistically significant differences were associated with ethnicity, indicating the complexity and diversity of occlusion in the population and suggesting the need for longitudinal studies.

  20. Identifying organisational principles and management practices important to the quality of health care services for chronic conditions

    DEFF Research Database (Denmark)

    Frølich, Anne

    2012-01-01

    are limited, it is necessary to identify efficient methods to improve the quality of care. Comparing health care systems is a well-known method for identifying new knowledge regarding, for instance, organisational methods and principles. Kaiser Permanente (KP), an integrated health care delivery system...... in the U.S., is recognized as providing high-quality chronic care; to some extent, this is due to KP's implementation of the chronic care model (CCM). This model recommends a range of evidence-based management practices that support the implementation of evidence-based medicine. However, it is not clear...... which management practices in the CCM are most efficient and in what combinations. In addition, financial incentives and public reporting of performance are often considered effective at improving the quality of health care services, but this has not yet been definitively proved....

  1. Irrompimento do primeiro molar permanente em crianças de 5 e 6 anos de idade: implicações da análise longitudinal para prevenção da cárie oclusal Emergence of the first permanent molar in 5-6-year-old children: implications from a longitudinal analysis for occlusal caries prevention

    Directory of Open Access Journals (Sweden)

    Paulo Frazão

    2011-06-01

    Full Text Available O tempo de irrompimento dentário é essencial para o planejamento de medidas de prevenção da cárie oclusal. Com a ampliação do ensino fundamental de oito para nove anos de duração, um número maior de crianças entre cinco e seis anos de idade é incluído na primeira série do ensino fundamental. OBJETIVO: O objetivo foi estimar as tendências do irrompimento dos primeiros molares permanentes em meninos e meninas de 5 e 6 anos de idade. MÉTODOS: Em estudo longitudinal, espaços dentários de 497 crianças de 60 meses e mais de idade foram examinados quatro vezes por um dentista calibrado (kappa > 0,97 durante 18 meses. O primeiro molar permanente foi considerado irrompido quando qualquer parte de sua superfície podia ser tocada por uma sonda de ponta esférica. A idade dos participantes foi medida em meses. Intervalos para 95% de confiança dos valores de prevalência e incidência foram apurados conforme o sexo para três coortes etárias: 60,0 a 65,9; 66,0 a 71,9; 72,0 a 77,9 meses. A razão entre as taxas de incidência foi estimada por meio de análise de regressão de Poisson. RESULTADOS: A maioria das crianças entre 66,0 e 71,9 meses e entre 72,0 e 77,9 meses tem pelo menos um molar permanente irrompido. No grupo de 66,0 a 71,9 meses, de cada três crianças pelo menos uma apresentou os quatro primeiros molares permanentes irrompidos. CONCLUSÃO. As tendências de irrompimento observadas justificam a necessidade da adoção de medidas de vigilância e de proteção específica em relação à lesão de cárie oclusal.The timing of tooth emergence is of considerable importance in the planning of prevention of occlusal caries. OBJECTIVE: The aim was to estimate the trends of emergence of the first permanent molars in girls and boys between 5-6 years of age, since more children are included in the first grade after Brazilian elementary education has been extended from eight to nine years of duration. METHODS: Dental spaces of 497

  2. Inclusión educativa de alumnos con discapacidades graves y permanentes : análisis de un modelo : la Comunidad Valenciana (España = Educational inclusion of students with severe and permanent disabilities : analysis of a model : the Region of Valencia

    Directory of Open Access Journals (Sweden)

    Manuel López-Torrijo

    2014-09-01

    Full Text Available Este artículo analiza la inclusión educativa del alumnado con discapacidades graves y permanentes en la Comunidad Valenciana (España a través de los siguientes indicadores: concepción de las discapacidades graves y permanentes; responsabilidad de la escolarización y prestación de servicios; marco normativo; identificación, valoración y atención temprana; incidencia en la población; modelos y modalidades de escolarización; propuesta curricular; Centros y Unidades Específicos de Educación Especial; recursos personales y materiales; papel de las familias y financiación. Utiliza el método descriptivo en la revisión legislativa, documental, y bibliográfica, así como en el análisis de las fuentes estadísticas. Concluye señalando las mejoras inmediatas aplicables para una inclusión educativa real y de calidad.This article analyzes the educational inclusion of students with severe and permanent disabilities in the Region of Valencia with the following indicators: design of severe and permanent disabilities, regulatory framework, responsibility for providing schooling and services, identification and assessment of deficits, prevalence, proposed curriculum (model and modalities of care, special schools, human and material resources, role of families and funding. It utilizes the descriptive method in the legislative, documental and bibliographic revision, as well as in the analysis of statistical sources. The analysis concludes by pointing out the challenges that must guide future improvements to achieve a true educational equality.

  3. Effect of the quality of health care on permanent inability secondary to femoral fractures due to occupational accidents Efecto de la calidad de la atención médica en los casos de fractura de fémur con incapacidad permanente secundaria a accidentes de trabajo

    Directory of Open Access Journals (Sweden)

    Santiago Salinas-Tovar

    2001-04-01

    . In workers having femoral fractures, it is important to consider timely medical care and early rehabilitation, to reduce the high incidence and prevalence of this medical problem in Mexico. The English version of this paper is available too at: http://www.insp.mx/salud/index.htmlOBJETIVO: Construir y validar un indicador para evaluar la calidad de la atención en casos de fractura femoral, así como evaluar la contribución de la calidad de la atención como determinante de incapacidad parcial permanente, secundaria a fracturas femorales debidas a accidentes laborales. MATERIAL Y MÉTODOS: El diseño del instrumento se hizo en varias etapas con la colaboración de expertos y se validó usando criterios implícitos y análisis factorial. El estudio fue de tipo casos y controles; los casos fueron 108 trabajadores activos, con incapacidad parcial permanente por fractura femoral, en tanto que los controles fueron 94 trabajadores activos con fractura femoral pero sin incapacidad parcial permanente. Se construyó un modelo de regresión logística para analizar la asociación entre la calidad de la atención y la incapacidad parcial permanente, ajustando por otras variables de importancia. RESULTADOS: El indicador final de calidad de la atención se construyó con los siguientes factores: atención oportuna, manejo prequirúrgico, manejo quirúrgico y complicaciones. La calificación final mayor a 229 puntos se consideró como buena calidad de la atención y la de 229 o menos puntos, como mala. Cuarenta y ocho (44% casos y 66 (70% controles recibieron buena calidad de la atención. El riesgo de incapacidad parcial permanente fue casi tres veces mayor entre los trabajadores con mala calidad de la atención (RM 2.95; IC 95% 1.5-5.5. El modelo multivariado mostró que la incapacidad parcial permanente se asoció con fracturas expuestas, fracturas epifisiarias, reenvío a cirugía, menos de 90 días de rehabilitación y atención médica deficiente. CONCLUSIONES: Se validó el

  4. Effects-Based Operations at the Operational Level of War: Exploring the Living System Alternative

    Science.gov (United States)

    2008-04-24

    Henry J. Kaiser Family Foundation, “The Global HIV/AIDS Timeline.” http://www.kff.org/ hivaids /timeline/hivtimeline.cfm (accessed 16 March 2008). 28...The Henry J. Kaiser Family Foundation, “The Global HIV/AIDS Timeline.” http://www.kff.org/ hivaids /timeline/hivtimeline.cfm (accessed 16 March

  5. Suzanne F. Delbanco on the Leapfrog Group and employer purchasing power. Interview by Pamela K. Scarrow.

    Science.gov (United States)

    Delbanco, Suzanne F

    2004-01-01

    Suzanne F. Delbanco, PhD MPH, is the first executive director of The Leapfrog Group, founded by the Business Roundtable. The Leapfrog Group's goal is to mobilize employer purchasing power to initiate breakthrough improvements in the safety, quality, and overall value of healthcare for American consumers. The group's growing consortium of more than 155 Fortune 500 companies and other large private and public healthcare purchasers provides health benefits to more than 34 million Americans; these companies spend more than 62 billion dollars on healthcare annually. Dr. Delbanco is a member of the National Committee for Quality Assurance Purchaser Advisory Council and a board member of Bridges to Excellence. Before joining The Leapfrog Group, she was a senior manager at the Pacific Business Group on Health (PBGH), where she worked on the quality team. Prior to joining PBGH, she worked on reproductive health policy and the changing healthcare marketplace initiative at the Henry J. Kaiser Family Foundation. She has also consulted on health insurance coverage in the temporary employment industry and on the first statewide survey in California of MediCal beneficiaries, and worked as a community Liaison for Kaiser Permanente during the establishment of one of California's first County Organized Health Systems. She holds a PhD in public policy from the Goldman School of Public PoLicy and a MPH from the School of Public Health at the University of California, Berkeley.

  6. Gestão de recursos financeiros da educação permanente em saúde: desafio das comissões de integração ensino-serviço Management of financial resources of permament education in health: challenge of the in-service learning integration committees

    Directory of Open Access Journals (Sweden)

    Laura Camargo Macruz Feuerwerker

    2013-06-01

    Full Text Available A utilização dos recursos financeiros da educação permanente em saúde (EPS no Brasil, mesmo seguindo a dinâmica estabelecida no Pacto de Gestão, ainda configura-se como um problema nesse contexto. O objetivo foi analisar como ocorre a gestão dos recursos financeiros da Política Nacional de Educação Permanente em duas Comissões Permanentes de Integração Ensino-Serviço (CIES, em Santa Catarina. Estudo qualitativo, do tipo pesquisa participante, realizado através da adequação da Investigação Temática de Paulo Freire, de maio-dezembro/2009, com 56 membros de duas CIES que, após a formação de círculos de investigação, participaram das etapas: levantamento dos temas geradores, codificação, decodificação e desvelamento crítico da realidade. A observação participante e o diálogo foram as principais técnicas de coleta de informações. Os resultados indicam que as CIES se assemelham nas problemáticas relacionadas à gestão de recursos destinados à política, sendo a burocratização, a indefinição de formas de gestão financeira e a morosidade que permeiam as estruturas regionais responsáveis pela gestão dos recursos são os principais fatores explicitados. Os participantes apresentam como possibilidades de mudança a elaboração de ações de EPS sobre a gestão de recursos financeiros em nível estadual.Despite adhering to the dynamics established in the Management Pact, the use of financial resources of Permanent Education in Health (PEH still features as a problem in Brazil. This study analyzes how the management of these financial resources by two Permanent In-Service Learning Integration Committees (ICLS evolves in the State of Santa Catarina, Brazil. It involves a qualitative, participatory research study adapted from Paulo Freire's Thematic Research conducted with 56 members from two ICLS between May and December 2009. After setting up the research groups, the members participated in the stages of theme

  7. Seasonal dynamics of larvae and adults of two Enochrus Thomson (Coleóptera: Hydrophilidae species in temporary and permanent water bodies of an urban park in Buenos Aires Dinámica estacional de larvas y adultos de dos especies de Enochrus Thomson (Coleoptera: Hydrophilidae en cuerpos de agua temporarios y permanentes en un parque urbano de Buenos Aires

    Directory of Open Access Journals (Sweden)

    BARBARA BYTTEBIER

    2012-09-01

    Full Text Available The dynamics of Enochrus variegatus (Steinheil and Enochrus vulgaris (Steinheil in temporary pools and permanent ponds were studied in an urban park of Buenos Aires, Argentina. Samples were collected from both types of habitats weekly throughout one year, and variables like water surface and vegetation cover were recorded. In permanent ponds, adults of both species were found throughout the study period, while in temporary pools their presence depended on the availability of water. Differences in their reproductive seasons and breeding sites were observed. Enochrus vulgaris was characterized by an opportunistic strategy, and its larvae were detected in both types of habitats, associated mainly with spring and summer temperatures. Conversely, E. variegatus larvae were recorded almost exclusively in temporary pools, during the winter and spring seasons. In permanent ponds, both species were associated with vegetation cover, which could be related to the availability of refuges from fish predators. First instar larvae showed the highest abundance and were captured more frequently, in consecutive weeks and simultaneously with third instar larvae, suggesting that the two populations studied are not synchronized in oviposition time or development of immature stages. In several occasions, second instar larvae of both species were captured in a pool that had been dry during the previous sampling date, suggesting that they had not hatched from fresh laid eggs. Our findings show that adults of these species are capable of dispersal to and from temporary pools to avoid drought. In addition, their larval stages may also be able to resist drought in the pools by burrowing into the substrate.Se estudió la dinámica de Enochrus variegatus (Steinheil y Enochrus vulgaris (Steinheil en ambientes acuáticos temporarios y permanentes de un parque de Buenos Aires, Argentina. Las muestras fueron colectadas semanalmente a lo largo de un año en ambos tipos de

  8. Identificação de conflito de uso da terra em áreas de preservação permanente no entorno do parque nacional do Caparaó, Estado de Minas Gerais Identification of land use conflicts in permanent preservation áreas in the surroundings of the Caparaó national park, Minas Gerais State, Brazil

    Directory of Open Access Journals (Sweden)

    Fernando Soares de Oliveira

    2008-10-01

    Full Text Available Este estudo teve como objetivos elaborar um mapa de uso da terra com base nas imagens do satélite IKONOS II, delimitar de maneira automática as áreas de preservação permanente e identificar a ocorrência de conflitos de usos, tendo como referência legal o Código florestal e a Resolução n.º 303 do CONAMA. A pesquisa foi desenvolvida na entorno do Parque Nacional do Caparaó, pertencente aos municípios de Alto Jequitibá, Alto Caparaó, Caparaó e Espera Feliz, todos situados no estado de Minas Gerais. Utilizando os recursos disponíveis no geoprocessamento, foi possível mapear 8 classes de uso da terra e delimitar as áreas de preservação permanente situadas em áreas com altitudes superior a 1.800 metros (8,42 ha, no terço superior dos morros (18,67 ha; encostas com declividade superior a 45 graus (92,96 ha; nascentes e suas respectivas áreas de contribuição (1.989,44 ha; margens dos cursos d´água com largura inferior a 10 metros (3.957,19 ha; e no terço superior das sub-bacias (6.031,54 ha, perfazendo um total de 12.098,22 ha (48,06% da área total da bacia. A área de uso indevido correspondeu a 8.922,91 ha (73,75%, sendo as classes cafezal (5.183,43 ha e pastagem (3.650,74 ha as principais ocorrências nessas áreas. Apenas 2.160,69 ha (18,40% das áreas de preservação permanente estão protegidas por vegetação nativa.The objective of this work was to prepare a map of land use based on the IKONOS II sattelite images, to automatically determine the permanent preservation areas and to identify the occurrence of use conflicts, using as legal reference the Forest Code and the nº 303 Resolution of the CONAMA. The research was developed around the Caparaó National Park, in lands of the municipalities of Alto Jequitibá, Alto Caparaó, Caparaó and Espera Feliz, all of them located in the State of Minas Gerais. Using the resources available in the geographic processing, it was possible to map 8 classes of land use and to

  9. Prevalência de defeitos de esmalte e sua relação com cárie dentária nas dentições decídua e permanente, Indaiatuba, São Paulo, Brasil Prevalence of enamel defects and the relationship to dental caries in deciduous and permanent dentition in Indaiatuba, São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Rosana H. Schlittler Hoffmann

    2007-02-01

    Full Text Available Os objetivos deste estudo foram verificar a prevalência de hipoplasia, opacidade demarcada e fluorose dentária em escolares nas dentições decídua e permanente e verificar a associação entre a presença desses defeitos de esmalte e a cárie dentária. A amostra foi de 624 pré-escolares de 5 anos e 309 escolares de 12 anos. A prevalência de cárie dentária foi avaliada por meio dos índices ceod e CPOD, e a prevalência dos defeitos de esmalte, com o índice DDE. A fluorose dentária foi medida pelos critérios do índice de Dean. O teste do qui-quadrado foi usado para verificar a associação e a razão de chances, analisando a força e a direção da associação. Aos cinco anos de idade, em crianças com experiência de cárie, houve associação positiva entre cárie dentária e defeitos de esmalte. Entretanto, na dentição permanente, apenas a hipoplasia e a opacidade demarcada foram associadas à cárie. Os resultados deste estudo indicaram maior chance de crianças virem a ter cárie, tanto na dentição decídua como na permanente, na presença de defeitos de esmalte, porém mais estudos são necessários para a comprovação dessa associação.The aim of this study was to determine the prevalence of hypoplasia, demarcated opacity and dental fluorosis among schoolchildren with deciduous and permanent dentition. The association between enamel defects and dental caries was also verified. The sample consisted of 624 schoolchildren aged 5 and 309 aged 12. The dmft and DMFT indexes were used to assess dental caries prevalence, DDE to assess enamel defects, and Dean to assess fluorosis. Chi-squared test was used to test significance (p < 0.05 and odds ratio to analyze prevalence of dental caries and enamel defects. A positive association between dental caries and enamel defects (hypoplasia, demarcated opacity and dental fluorosis was observed for schoolchildren aged 5. However, only hypoplasia and demarcated opacity were associated

  10. Aspectos hidrológicos da recuperação florestal de áreas de preservação permanente ao longo dos corpos de água. Hydrological aspects of Forest recuperation of permanent preservation areas along water bodies.

    Directory of Open Access Journals (Sweden)

    Luiz Felipe SALEMI

    2011-06-01

    Full Text Available A ocupação desordenada do solo, assim como a ausência de práticas conservacionistas, têm levado à degradação dos recursos naturais. Nesse contexto, tem se atribuído às florestas ripárias presentes nas áreas de preservação permanente o efeito de uma panaceia na proteção dos recursos hídricos. Neste artigo, por meio de uma revisão, tenta-se esclarecer os efeitos hidrológicos da recuperação das florestas situadas nessas áreas, no que concerne à quantidade de água e à manutenção dos recursos hídricos no contexto de microbacias hidrográficas. Mostra-se a influência das florestas, de uma maneira geral, sobre a quantidade de água e o regime de vazão em bacias hidrográficas. Na sequência, evidencia-se que as florestas ripárias possuem efeito hidrológico similar ao das florestas de uma maneira geral. Entretanto, com o objetivo de garantir a proteção dos recursos hídricos, salienta-se que, para bacias com cobertura do solo diferente de florestas naturais, mais importante do que restaurar florestas nas áreas de preservação permanente é manter altas taxas de infiltração de água no solo. Nesse sentido, como as bacias hidrográficas são heterogêneas em vários aspectos (tipos de solos, declividade, uso da terra não é possível obter uma proteção efetiva e integral da água simplesmente realizando o plantio de espécies características de zonas ripárias em áreas de preservação permanente, mas sim manejando bacias hidrográficas como um todo. Por último, apontam-se algumas lacunas sobre as quais a hidrologia pode ajudar a ampliar o conhecimento do papel hidrológico das florestas ripárias em microbacias hidrográficas.The lack of soil occupation planning, as well as the absence of soil conservation, have caused natural resources degradation. In this context, riparian forests located within the permanent preservation areas are described as a panacea for water resources protection. In this paper, we

  11. Educação permanente em saúde e as Diretrizes Curriculares Nacionais para Educação das relações étnico-raciais e para ensino de História e Cultura Afro-Brasileira e Africana

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    Rosana Batista Monteiro

    Full Text Available Resumo Este texto é um ensaio sobre algumas contribuições que o curso de especialização em Saúde da Mulher Negra pode ter produzido para a abordagem dos conteúdos relacionados nas Diretrizes Curriculares Nacionais para a Educação das Relações Étnico-raciais e para o Ensino de História e Cultura Afro-brasileira e Africana, bem como em atenção à Política Nacional de Saúde Integral da População Negra, com destaque para a educação permanente. A partir de breve contextualização sobre o debate no campo das relações raciais e ações afirmativas no Brasil passamos a apresentar a organização e funcionamento do curso, destacando seus objetivos, conteúdos, estratégias. Com foco nos profissionais da saúde, o curso contou com significativa presença de profissionais da educação básica pública, municipal e estadual, das cidades de São Luís e Pinheiro, no Maranhão, implicando a discussão do tema saúde da população negra (especialmente da mulher negra no âmbito da escola. O curso propiciou a elaboração de projetos de pesquisa relacionados diretamente com o atendimento à saúde de mulheres negras e sua relação com processos formativos de profissionais da área da saúde, bem como educação escolar e saúde de mulheres negras. Pode-se concluir, ainda que provisoriamente, que o curso, na perspectiva da educação permanente, resultou em estratégia eficaz para o desenvolvimento de conteúdos relacionados às DCNERER e, especialmente, de viabilização de implementação da Política Nacional de Saúde Integral da População Negra, realizadas ou desencadeadas nos serviços de saúde pelos cursistas.

  12. Avaliação continuada da educação permanente na atenção à criança na estratégia saúde da família Continuous evaluation of permanent education concerning child care as part of the family health strategy

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    Katia Virginia de Oliveira Feliciano

    2008-03-01

    Full Text Available Este artigo apresenta a avaliação continuada do trabalho realizado e os resultados que podem ser atribuídos à educação permanente na atenção à criança, desenvolvida junto às equipes de saúde da família, com gerência compartilhada pelo Programa de Extensão Comunitária do Instituto Materno Infantil Prof. Fernando Figueira (IMIP, e Secretarias Municipais de Saúde do Recife e Olinda, em Pernambuco, Brasil. Com apoio de consultores externos, o grupo executor realizou reflexão crítica sistemática, orientada pelas categorias desempenho, efeitos e efetividade, visando aprimorar o trabalho em seu decorrer. As fontes de informação foram os registros diários do grupo e das equipes e as percepções sobre o trabalho. Apesar da dificuldade de transformar em rotina as mudanças alcançadas, a educação permanente tem qualificado a atenção à criança. A satisfação das equipes reforça o sentimento de sua fecundidade e operacionalidade.This article presents a continuous evaluation of work involving permanent education regarding childcare and the results that can be attributed to it, as carried out by family health teams managed jointly by the Community Outreach Program of the Instituto Materno Infantil Prof. Fernando Figueira, IMIP and the Municipal Departments of Health of the city Recife and the city of Olinda, State of Pernambuco, Brazil. With the support of external consultants, the group carried out systematic critical reflection, organized around the categories of performance, effects and effectiveness, with a view to enhancing the work under way. The sources of information used were the daily registers of the group and the teams and their views regarding the work. Despite the difficulty of transforming the changes brought about into routines, continuous education seems to have improved the quality of childcare. The satisfaction the teams feel corroborates this feeling that this work is both feasible and productive.

  13. Robotic system for glovebox size reduction

    Energy Technology Data Exchange (ETDEWEB)

    KWOK,KWAN S.; MCDONALD,MICHAEL J.

    2000-03-02

    The Intelligent Systems and Robotics Center (ISRC) at Sandia National Laboratories (SNL) is developing technologies for glovebox size reduction in the DOE nuclear complex. A study was performed for Kaiser-Hill (KH) at the Rocky Flats Environmental Technology Site (RFETS) on the available technologies for size reducing the glovebox lines that require size reduction in place. Currently, the baseline approach to these glovebox lines is manual operations using conventional mechanical cutting methods. The study has been completed and resulted in a concept of the robotic system for in-situ size reduction. The concept makes use of commercially available robots that are used in the automotive industry. The commercially available industrial robots provide high reliability and availability that are required for environmental remediation in the DOE complex. Additionally, the costs of commercial robots are about one-fourth that of the custom made robots for environmental remediation. The reason for the lower costs and the higher reliability is that there are thousands of commercial robots made annually, whereas there are only a few custom robots made for environmental remediation every year. This paper will describe the engineering analysis approach used in the design of the robotic system for glovebox size reduction.

  14. Reliability evolution of permanent downhole gauges for Campos Basin sub sea wells; Evolucao da confiabilidade de sistemas de monitoramento permanente de pressao e temperatura de fundo de pocos submarinos na Bacia de Campos

    Energy Technology Data Exchange (ETDEWEB)

    Frota, Helder Mamede [PETROBRAS, Campos dos Goytacases, RJ (Brazil). E e P Engenharia de Producao. Unidade de Negocio da Bacia de Campos; Destro, Wagner [PETROBRAS, Rio de Janeiro, RJ (Brazil). E e P Servicos. Unidade de Servicos Submarinos-Equipamentos Submarinos], e-mail: wdestro@petrobras.com.br

    2007-06-15

    This work is related to the reliability engineering, specifically, to the analysis of data lifetime and to the failure modeling of permanent downhole gauge monitoring systems (PDG) in 12 oil fields in Campos basin, Brazil. These systems are composed of pressure and temperature sensors installed in oil wells and connected, by umbilicals, to their production platforms. The raising of the main failure causes in these systems, in 10-year operation, served as the basis to describe their driving parameters, foreseeing their behavior for the following years, considering the reliability theory of systems. It was obtained the pattern of the operations and extracted the wanted information: types and failure modeling, systems survival time and the mean time between failures (MTBF). This methodology permits the comparison among the components performance from several manufacturers. The results can be used in economical analysis, in oil field management, in maintenance prediction and in reliability studies. The area of failure modeling in association with these systems lifetime is the focus of this study. Based on these findings, recommendations have been made to achieve reliability improvements from design stage to service operation. (author)

  15. Atividades educativas de trabalhadores na atenção primária: concepções de educação permanente e de educação continuada em saúde presentes no cotidiano de Unidades Básicas de Saúde em São Paulo

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    Marina Peduzzi

    2009-09-01

    Full Text Available Esta pesquisa tem o objetivo de analisar a prática de atividades educativas de trabalhadores da saúde em Unidade Básica de Saúde (UBS segundo as concepções de educação permanente em saúde (EPS e de educação continuada (EC, processo de trabalho em saúde e enfermagem, trabalho em equipe e integralidade. Estudo do tipo transversal, realizado em dez UBS do Município de São Paulo, por meio de entrevista dirigida com 110 informantes-chave, representantes de todas as categorias profissionais e equipes das UBS, sobre as atividades educativas desenvolvidas em 2005. As informações foram classificadas segundo categorias operacionais para cada variável de estudo, com base no referencial teórico. Os trabalhadores relataram 396 atividades educativas, que revelam a complementaridade das concepções de EPS e EC. De acordo com a perspectiva do Sistema Único de Saúde (SUS e da transformação das práticas de saúde, coloca-se a necessidade de ampliação do debate em torno da EPS como política pública.

  16. Atividades educativas de trabalhadores na atenção primária: concepções de educação permanente e de educação continuada em saúde presentes no cotidiano de Unidades Básicas de Saúde em São Paulo

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    Marina Peduzzi

    Full Text Available Esta pesquisa tem o objetivo de analisar a prática de atividades educativas de trabalhadores da saúde em Unidade Básica de Saúde (UBS segundo as concepções de educação permanente em saúde (EPS e de educação continuada (EC, processo de trabalho em saúde e enfermagem, trabalho em equipe e integralidade. Estudo do tipo transversal, realizado em dez UBS do Município de São Paulo, por meio de entrevista dirigida com 110 informantes-chave, representantes de todas as categorias profissionais e equipes das UBS, sobre as atividades educativas desenvolvidas em 2005. As informações foram classificadas segundo categorias operacionais para cada variável de estudo, com base no referencial teórico. Os trabalhadores relataram 396 atividades educativas, que revelam a complementaridade das concepções de EPS e EC. De acordo com a perspectiva do Sistema Único de Saúde (SUS e da transformação das práticas de saúde, coloca-se a necessidade de ampliação do debate em torno da EPS como política pública.

  17. Qualificação de processos de gestão e atenção no município de Caaporã, PB: relatos de tutoria de educação permanente em saúde

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    Yuri Wanderley Cavalcanti

    Full Text Available Objetivou-se relatar a formação em Educação Permanente em Saúde (EPS de Equipes de Saúde da Família (ESF do município de Caaporã - PB. Os problemas identificados dizem respeito a dificuldades de acesso dos usuários, fragilidade do vínculo com a comunidade e ausência de ações educativas e preventivas. As intervenções propostas envolvem a reorientação das estratégias de acesso, integração entre a ESF e comunidade e a redistribuição das tarefas entre os membros da ESF. Os resultados revelam a eliminação da fila de espera para o atendimento, o fortalecimento do vínculo com a comunidade e a introdução de ações preventivas na ESF. A EPS em Caaporã contribuiu para modificar as práticas de gestão e atenção em saúde.

  18. systems

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    Alexander Leonessa

    2000-01-01

    Full Text Available A nonlinear robust control-system design framework predicated on a hierarchical switching controller architecture parameterized over a set of moving nominal system equilibria is developed. Specifically, using equilibria-dependent Lyapunov functions, a hierarchical nonlinear robust control strategy is developed that robustly stabilizes a given nonlinear system over a prescribed range of system uncertainty by robustly stabilizing a collection of nonlinear controlled uncertain subsystems. The robust switching nonlinear controller architecture is designed based on a generalized (lower semicontinuous Lyapunov function obtained by minimizing a potential function over a given switching set induced by the parameterized nominal system equilibria. The proposed framework robustly stabilizes a compact positively invariant set of a given nonlinear uncertain dynamical system with structured parametric uncertainty. Finally, the efficacy of the proposed approach is demonstrated on a jet engine propulsion control problem with uncertain pressure-flow map data.

  19. Driving and control strategies in alternative current machines of permanent magnet with non-sinusoidal flux; Estrategias de acionamento e controle em maquinas CA de ima permanente com fluxo nao senoidal

    Energy Technology Data Exchange (ETDEWEB)

    Monteiro, Jose Roberto Boffino de Almeida

    1997-07-01

    The aim of this work is to study and analyze the torque performance of brush less machines with non-sinusoidal distributed magnetic fluxes. The machine type considered is a surface mount permanent magnet brush less machine. Three mathematical models for the machine are considered: the per stator phase, the vectorial and the linear second order speed-voltage models. Machines with different stator windings are compared including the permanent magnet synchronous machines with sinusoidal distributed stator windings. The torque outputs of these machines are obtained considering two kinds of open loop driving systems: one with a six-pulse waveform and other with a sinusoidal waveform. Finally, a vectorial control is proposed for the non-sinusoidal machines. The torque ripple as well the overall performance of non-sinusoidal machines with vectorial control is compared to that of sinusoidal machines. (author)

  20. Perda precoce de molares permanentes e fatores associados em escolares de 9, 12 e 15 anos da rede pública municipal de Campina Grande, Estado da Paraíba, Brasil = Early loss of permanent molars and associated factors in schoolchildren aged 9, 12 and 15 years attending public schools in Campina Grande, Paraíba State, Brazil

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    Francineide Guimarães Carneiro de Melo

    2011-01-01

    Full Text Available Este estudo avaliou a perda precoce de molares permanentes em escolares da rede pública de Campina Grande, Estado da Paraíba, com idades de nove, 12 e 15 anos. A amostra compreendeu 873 escolares, aleatoriamente selecionados. O instrumento de coleta consistiu de um questionário e de uma ficha clínica. As variáveis do estudo compreenderam os aspectos relativos à perda dentária (tipo de elemento dental, localização na arcada dentária e a região do arco, à prevenção e à autopercepção em saúde bucal. A análise estatística compreendeu a distribuição de frequências e os testes do Qui-quadrado e Exato de Fisher. Os resultados revelaram a prevalência de 17,2% de perda dentária, sem diferenças entre os sexos, frequência de escovação e palestra educativa (p > 0,05. Os elementos dentários 36 (42,5% e 46 (33,9% foram os mais frequentemente perdidos. Observou-se a associação positiva entre perda dentária e as variáveis idade, visita ao cirurgião-dentista (OR = 2,19; IC95%: 1,35-3,59, satisfação com o sorriso (OR = 0,40; IC95%: 0,24-0,65 e a dificuldade na mastigação (OR = 2,16; IC95%: 1,48- 3,16. Conclui-se que a prevalência da perda precoce de molares permanentes foi elevada, sendo necessária a imediata adoção de ações curativas a fim de reduzir a perda precoce desses elementos dentários.This study evaluate the early loss of permanent molars in schoolchildren aged 9, 12 and 15 years attending public schools in the city of Campina Grande, Paraíba State, Brazil. The sample was composed of 873 randomly selected schoolchildren. The instrument for data collection was a questionnaire and a clinical chart. The following variables were analyzed: tooth loss (tooth type, localization in the dental arch and region of the arch, prevention and selfperception of oral health. The statistical analysis was done by frequency distribution and the chisquare and fisher’s exact tests were used. The results showed a prevalence of

  1. Educação permanente de profissionais de saúde em instituições públicas hospitalares Educación en el trabajo de los profisionales de la salud en hospitales públicos Permanent education of health professionals in public hospital organizations

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    Daisy Maria Rizatto Tronchin

    2009-12-01

    Full Text Available Estudo exploratório-descrito cujos objetivos foram identificar, caracterizar e analisar as atividades educativas desenvolvidas com profissionais de saúde, à luz das concepções de integralidade, trabalho em equipe e educação permanente. A coleta de dados ocorreu em três hospitais do Município de São Paulo, através de entrevista dirigida a informantes-chave, representantes de todas as categorias profissionais. As entrevistas foram gravadas e transcritas, as informações sistematizadas em categorias operacionais e armazenadas em banco de dados. Os resultados mostram que predominaram atividades educativas voltadas às ações de recuperação da saúde, com participação de profissionais de áreas específicas, revelando um distanciamento da concepção de integralidade e de trabalho em equipe. Concluiu-se que as ações de educação dos profissionais de saúde reiteram o modelo clínico de assistência individual, com fragmentação das ações. Recomenda-se que elas sejam repensadas como estratégia integradora de saberes, capazes de promover a integralidade na atenção hospitalar.Estudio exploratorio-descriptivo cuyos objetivos fueron identificar, caracterizar y analisar las actividades educativas desarrolladas con profisionales de la salud, a la luz de concepciones de integralidad, trabajo en equipo y educación permanente.La colecta de datos ocurrió en tres hospitales del Municipio de São Paulo, a través de entrevista dirigida a informantes-clave, representantes de todas las categorías profisionales. Las entrevistas fueron grabadas y transcritas, las informaciones sistematizadas en categorías operacionales y almacenadas en banco de datos. Los resultados muestran que predominaron las actividades educativas hacia acciones de recuperación de la salud, con participación de profisionales de áreas específicas, revelando un distanciamiento de la concepción de integralidad y de trabajo en equipo. Concluyóse que las acciones de

  2. Análisis de la simetría del tamaño dentario mesiodistal de la misma muestra en dentición mixta y permanente: Estudio longitudinal Analysis of symmetry mesiodistal size teeth in mixed and permanent dentition in the same sample: A longitudinal study

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    M.D. Austro Martínez

    2004-12-01

    Full Text Available En el presente trabajo se estudian los diámetros mesiodistales de los dientes temporales y permanentes de la misma muestra y se analiza la existencia de simetría entre dientes homólogos. Dicho estudio fue realizado inicialmente sobre una muestra de 267 niños con dentición mixta, 90 (34% niñas y 177 (66% niños, de Andalucía Oriental, con edades comprendidas entre 8 y 10 años, transcurridos cuatro años volvimos a analizar a los mismos niños con dentición permanente, y sólo obtuvimos una muestra de 171, de los cuales 69 (40% eran niñas y el 102 (60% niños, con una edad media de 12 años y un rango de 11 a 13 años, el 21 % de la muestra tenía 11 años, el 46,29% presentaba una edad de 12 y el 32% de 13 años, utilizándose como criterios de selección, que no tuvieran alteraciones morfológicas, pérdida dentarias, apiñamientos importantes, entre otros factores. El tamaño dentario se midió, como la máxima distancia entre los puntos de contacto mesial-distal de la corona, utilizándose un calibre de punta fina, con una precisión de 0,1 mm. Todas las mediciones fueron realizadas por el mismo observador, directamente en boca, utilizando luz natural y espejos desechables. El análisis estadístico incluyó pruebas como la "t" de Student, con un nivel de significación estadística de pIn the present work is analysed the mesiodistal diameters of the temporal and permanent teeth of the same sampie to calculate the symmetry. The first sample was 267 children, 90 girls (34% and 177 (66% boys from Oriental Andalusia, aged between 8 and 10 years old. After four years, we analysed the same children with permanent teething and we obtained just a sample of 171, 69 girls (40% and 102 (60% boys, with an average age of 12 years and a range from 11 to 13 years, using as criteria selection not having morphological alteration, teeth loss, important congestions, between other elements. The teething dimension was measured as the maximum distance

  3. The political economics of the permanent war and the political economics of the nuclear war. Strategic approaches for Latin America; La economia politica de la guerra permanente y la economia politica de la guerra nuclear. Aproximaciones estrategicas para America Latina

    Energy Technology Data Exchange (ETDEWEB)

    Gomez L, I.I

    2005-07-01

    This work treats on the hypothesis that the American imperialism uses its nuclear arsenal for reforming geographical spaces that allow him to impel its economic development in the context of the progressive exhaustion of the natural resources of the planet and of the ferocious dispute for market niches and investment destinations, and like the political and military decisions crawl to the different scenarios of economic competition. In the chapter 1 it is insinuated like has been reproduced the Warlike-industrial Complex (CBI) American from the second world postwar period until the present time in the idea of explaining like it is that it is valorized to the capital in scale enlarged starting from the denominated sector producing of destruction means and understanding that the system specifically capitalist is a system where continually the is destroyed previously taken place to manufacture a new merchandise in a luck of creative destruction. In the chapter 2, the topic of the specific contradictions of the CBI is approached that disable him to be the tip of lance of the world imperialism. The chapter 3 try on the productive linkages in the production of nuclear bombs, as well as in the production of the vectors of nuclear transportation and on the implications derived for the world security of the different industries associated to the nuclear energy (as the petroleum, the electricity, the natural gas) and to the transportation vectors of these locating which you/they are the different States where the world supremacy is disputed and that they have like one of its so many negotiation-confrontation letters its nuclear strategic arsenals. What is looked for in a thermonuclear war is the enemy's total elimination, from their offensive capacity, their defensive capacity, until their supplies, their reservations, etc., with the result that the chapters 4 and 5 of this thesis are presented to offer a better understanding that they mean the nuclear arsenals in the

  4. Aspectos morfológicos da junção escamo-colunar de ratas em estro permanente e tratadas com associação de estrogênio e glicocorticóide Morphological aspects of the squamocolumnar junction of rats in permanent estrus treated with an association of estrogen and glucocorticoid

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    Flávia Cilene Maciel da Cruz

    2004-09-01

    Full Text Available OBJETIVO: avaliar o efeito da associação de dexametasona com estrogênio sobre a junção escamo-colunar (JEC de ratas em estro permanente e ovariectomizadas (Ovx. MÉTODOS: trinta ratas foram divididas em seis grupos com cinco animais cada: GEF em estro fisiológico, tendo recebido propilenoglicol (veículo; GOVX em estro fisiológico com ovariectomia e tratadas com o veículo; GEP em estro permanente (EP; GEPOVX em EP, Ovx e tratadas com veículo; GESTR - em EP, Ovx e tratadas com 10 mg/dia de benzoato de estradiol e GDEXAR em EP, Ovx e tratadas com 10 mg/dia de benzoato de estradiol e 0,8 mg/dia de dexametasona. O EP foi induzido com 1,25 mg/animal de propionato de testosterona logo após o nascimento. Após 90 dias, as ratas foram ovariectomizadas nos grupos GOVX, GEPOVX, GESTR e GDEXAR. Após 21 dias de castração, os animais foram tratados por cinco dias consecutivos. No final do experimento, todos os animais foram sacrificados e o útero removido para rotina histológica. RESULTADOS: a JEC do GEP tinha limites irregulares e pouco nítidos, com vários brotamentos em direção da lâmina própria, bem como redução do número de leucócitos comparado a GEF. A JEC do GOVX e do GEPOVX se mostrou pouco nítida, com epitélio cúbico na parte endometrial e diminuição das camadas do epitélio escamoso, com atrofia estromal. No GESTR, a JEC apresentou-se bem mais desenvolvida que nos grupos GOVX e GEPOVX, mas assemelhando-se mais ao GEP devido aos limites pouco nítidos e aumento dos brotamentos. Já no GDEXAR, a JEC foi bem delimitada, se aproximando do aspecto do GEF. CONCLUSÃO: nossos dados sugerem que a dexametasona associada ao estrogênio seria importante na restauração da morfologia normal da JEC em ratas que foram previamente induzidas a estro permanente e subseqüentemente submetidas a castração.PURPOSE: to evaluate the effects of estradiol benzoate associated with dexamethasone on the squamocolumnar junction (SCJ of rats in

  5. Diseño y construcción de un molde permanente utilizando un software por elementos finitos Design and construction of a permanent mold using finite element software

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    Fausto Oviedo Fierro

    2013-06-01

    -practicalapplication for a piece of aluminum that will be built, and consists in the analysis of the functionsand stresses to which it is submitted. The metal mold is designed specifically for the mentionedpieces using “VULCAN” which is based on the Finite Element Method (FEM. The simulation isperformed in three stages of the fusion process: filling, solidification and cooling. The filling isconsidered slow enough so that there are not expected to be greater turbulences and that thepieces are completely filled. Solidification is analyzed as an optimal process, avoiding defects oflack of material in the mold cavity (shrinkage. In the cooling stage, deformations and residualstresses are analyzed. At the same time, every result is validated analytically. With thisinformation the final geometry of the metal mold is defined and the alloy which will be used is confirmed. Subsequently, a CAD-CAM-CAE system is used for the design and development ofthe mold, and the aluminum pieces (knobs obtained are tested.

  6. Estimulación paraseptal permanente. Indicaciones y seguimiento

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    Luis D. Barja

    2010-01-01

    Full Text Available RESUMENIntroducciónSe ha demostrado que la estimulación definitiva en el ápex del ventrículo derecho provocadisincronía ventricular izquierda y eventualmente deterioro contráctil y ello ha llevado a labúsqueda de otros sitios alternativos de estimulación.Las indicaciones y los resultados de la estimulación septal, así como las dificultades técnicasdel implante, se encuentran actualmente en estudio.ObjetivosAnalizar la indicación, la factibilidad y el seguimiento en un grupo de pacientes conestimulación septal parahisiana.Material y métodosSe evaluaron 22 pacientes con edades entre 27 y 68 años, con complejo QRS angosto sintrastorno de conducción intraventricular, con indicación de marcapasos. Se utilizaroncatéteres comunes para la aurícula con fijación activa y catéteres con vaina deflectable parala estimulación septal. Durante el implante y el seguimiento se midieron los umbrales y laamplitud de la onda R.ResultadosLos umbrales durante el implante fueron menores de 2 voltios/0,50 mseg y la onda R mayorde 5 mV.El tiempo de implante promedio de los catéteres convencionales fue de 30 ± 10 min y el delos catéteres especiales, de 15 ± 5 min. El seguimiento promedio fue de 24 meses. Losumbrales crónicos fueron de 2,5 ± 1,5 voltios con una amplitud de onda R media de 5 ± 2voltios. Hubo un desplazamiento durante el seguimiento.ConclusionesLa estimulación septal parahisiana presentó un índice bajo de complicaciones. El uso decatéteres y vainas especiales redujo el tiempo de implante. La ubicación parahisiana secaracterizó por umbrales más altos y amplitud de la onda R menor que en la comunicadadurante estimulación convencional. La estimulación septal parahisiana sería una alternativaválida para evitar la disincronía producida por la estimulación del ventrículo derecho enpacientes sin trastornos de la conducción intraventricular.REV ARGENT CARDIOL 2010;78:118-122.

  7. Teatro y cine: un permanente diálogo intermedial

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    Pérez Bowie, José Antonio

    2004-04-01

    Full Text Available Se intenta trazar una panorámica de las aportaciones teóricas más significativas sobre las relaciones entre teatro y cine, con especial atención a algunas de las producidas recientemente en el ámbito español. En un primer apartado se lleva a cabo un recorrido somero sobre los principales problemas que plantea el cotejo de ambos medios y en los dos siguientes se abordan respectivamente los problemas planteados por adaptación de los textos teatrales al cine y la influencia ejercida por éste, a partir de determinado momento de su desarrollo, sobre el arte escénico. Este último apartado se completa con el análisis, a título de ejemplo, de un caso concreto: la producción de los comediógrafos de la denominada «la otra generación del 27».…

  8. La educacion permanente del maestro (Continuing Teacher Education).

    Science.gov (United States)

    Blat, Gimeno J.

    1971-01-01

    This article discusses the importance of continuing education for teachers and various aspects of the problem which should be considered. The role and function of the teacher is discussed; continuing education must assist in developing the teacher's ability to fulfill that role. The ever-changing demands on the teacher mean that the teacher's…

  9. Traumatismos dentales en dentición permanente.

    OpenAIRE

    Mallqui Herrada, Luis Lincoln; Facultad de Estomatología de la Universidad Peruana Cayetano Heredia. Lima,; Hernández-Añaños, Juan Felipe; Facultad de Estomatología de la Universidad Peruana Cayetano Heredia. Lima,

    2014-01-01

    Los traumatismos dentales en los últimos años han mostrado una alta predominancia reportada en estudios poblacionales, siendo la edad principalmente comprometida entre los 8 y 12 años, afectandomayormente al sexo masculino, por lo que representa actualmente un serio problema de salud pública.Se clasifican en fracturas coronarias, luxaciones y avulsiones Estos traumatismos son causadas en su mayoría por caídas y actividades deportivas como el ciclismo, siendo las fracturas coronarias no compli...

  10. Orlando Fals Borda: el permanente compromiso de un innovador

    Directory of Open Access Journals (Sweden)

    Humberto J. Cubides C

    1995-04-01

    Full Text Available Este ensayo pretende contribuir al conocimiento de la vida y obra del primero y mas influyente sociólogo del país. Orlando Fals ha sido inspirador de la Acción Comunal y de la Reforma Agraria en Colombia, impulsor de asociaciones de campesinos, directivo y profesor universitario investigador, periodista, miembro de la Asamblea Nacional Constituyente y reciente Secretario de la Comisión de Ordenamiento Territorial. Igualmente, autor de varios de los principales textos de sociología rural, historia regional, Investigación Acción Participativa -método del cual es parcialmente creador, así como sobre el fenómeno de la violencia.

  11. ORLANDO FALS BORDA: EL PERMANENTE COMPROMISO DE UN INNOVADOR

    Directory of Open Access Journals (Sweden)

    Humberto J. Cubides C

    1995-01-01

    Full Text Available Este ensayo pretende contribuir al conocimiento de la vida y obra del primero y mas influyente sociólogo del país. Orlando Fals ha sido inspirador de la Accion Comunal y de la Reforma Agraria en Colombia, impulsor de asociaciones de campesinos, directivo y profesor universitario investigador, periodista, miembro de la Asamblea Nacional Constituyente y reciente Secretario de la Comisión de Ordenamiento Territorial. Igualmente, autor de varios de los principales textos de sociología rural, historia regional, Investigación Acción Participativa -método del cual es parcialmente creador-, así como sobre el fenómeno de la violencia.

  12. Traumatismos dentales en dentición permanente.

    OpenAIRE

    Mallqui Herrada, Luis Lincoln; Facultad de Estomatología de la Universidad Peruana Cayetano Heredia. Lima,; Hernández-Añaños, Juan Felipe; Facultad de Estomatología de la Universidad Peruana Cayetano Heredia. Lima,

    2014-01-01

    Los traumatismos dentales en los últimos años han mostrado una alta predominancia reportada en estudios poblacionales, siendo la edad principalmente comprometida entre los 8 y 12 años, afectandomayormente al sexo masculino, por lo que representa actualmente un serio problema de salud pública.Se clasifican en fracturas coronarias, luxaciones y avulsiones Estos traumatismos son causadas en su mayoría por caídas y actividades deportivas como el ciclismo, siendo las fracturas coronarias no compli...

  13. Lawrence Kohlberg, una obra en permanente construcción

    Directory of Open Access Journals (Sweden)

    Jaime Yañez Canal

    2012-08-01

    Full Text Available Este artículo, resultado de investigación documental del grupo Estudios sobre el Desarrollo Sociomoral, presenta un análisis sobre la historia y la evolución intelectual de Lawrece Kohlberg, pionero de la Psicología del Desarrollo Moral. Específicamente, el análisis de su obra gira alrededor de tres tópicos: la filosofía moral, la psicología del desarrollo y la pedagogía.

  14. Secure E-mailing Between Physicians and Patients

    OpenAIRE

    Garrido, Terhilda; Meng, Di; Wang, Jian J.; Palen, Ted E; Kanter, Michael H.

    2014-01-01

    Secure e-mailing between Kaiser Permanente physicians and patients is widespread; primary care providers receive an average of 5 e-mails from patients each workday. However, on average, secure e-mailing with patients has not substantially impacted primary care provider workloads. Secure e-mail has been associated with increased member retention and improved quality of care. Separate studies associated patient portal and secure e-mail use with both decreased and increased use of other health c...

  15. The Case for Unit-Based Teams: A Model for Front-line Engagement and Performance Improvement

    OpenAIRE

    Cohen, Paul M; Ptaskiewicz, Mark; Mipos, Debra

    2010-01-01

    Unit-based teams (UBTs)—defined as natural work groups of physicians, managers, and frontline staff who work collaboratively to solve problems, improve performance, and enhance quality—were established by the 2005 national agreement between Kaiser Permanente (KP) and the Coalition of KP Unions. They use established performance-improvement techniques and employee-engagement principles (including social-movement theory) to achieve clinical and operational goals. UBT members identify performance...

  16. Foods That Help You Lose Weight

    Institute of Scientific and Technical Information of China (English)

    刘伟业

    1995-01-01

    "There are no magic foods," says Kelly Streit,health-education instructor at Kaiser Permanente Medical Care Program in Portland,Ore. "But there are foods that, because of their taste, texture or density, can help you lose weight. " That’s the idea behind the following foods, which trick your body into feeling satisfied with far less fat and fewer calories than it’s used to.

  17. Human Papillomavirus Genotyping After Denaturation of Specimens for Hybrid Capture 2 Testing: Feasibility Study for the HPV Persistence and Progression Cohort†

    OpenAIRE

    2007-01-01

    Human papillomavirus (HPV) genotyping could be clinically useful, depending on the results of large, prospective studies like the HPV Persistence and Progression cohort. The cohort is based on genotyping and follow-up of Hybrid Capture-positive women at Kaiser Permanente, Northern California. HPV DNA testing by Hybrid Capture 2 requires denaturation with alkali, possibly damaging the DNA for optimal PCR-based genotyping. A feasibility study was conducted on paired aliquots of anonymized speci...

  18. Streamlining the accounts payable function with EDI.

    Science.gov (United States)

    Huntley, G; Shride, T; McLure, M L; Moynihan, J J

    1997-01-01

    Kaiser Permanente of Southern California is expanding its use of EDI as a way to enhance the efficiency of its procurement effort and reduce administrative costs. Based on the results of surveys of key suppliers, Kaiser executives identified four EDI-based process improvements: 1) using the X12 832 standard to reconcile contracting data, which can eliminate up to 33 percent of mismatches among purchase orders, invoices, and receiving documents; 2) using procurement cards for many purchases, which can eliminate 20 percent of all invoices and related check payments; 3) using the X12 810 standard to obtain electronic invoices from Kaiser's largest suppliers; and 4) implementing the X12 820 standard, which lowers both supplier and claims payment costs.

  19. A Educação Permanente em Saúde como estratégia pedagógica de transformação das práticas: possibilidades e limites Continuing Education in Health as a pedagogical strategy to transform the practice: possibilities and limits

    Directory of Open Access Journals (Sweden)

    Josiane Vivian Camargo de Lima

    2010-10-01

    Full Text Available Para contribuir com a transformação das práticas profissionais, foi desenvolvido um curso a distância para facilitadores de Educação Permanente em Saúde, e de Londrina participaram mais de 150 profissionais. Este estudo visa analisar as contribuições desse curso, sob a ótica dos participantes. Tratase de uma pesquisa quanti-qualitativa, e a coleta dos dados se deu a partir de grupos focais e entrevista semiestruturada. As discussões do grupo focal e da entrevista foram gravadas e transcritas, e as questões fechadas processadas pelo programa Epi Info. Os resultados apontam que o curso possibilitou a instituição de espaços coletivos de reflexão das práticas e promoveu a integração das equipes. As facilidades e dificuldades referiram-se à garantia de espaço, tempo, material e apoio, porém a motivação, interesse e participação também foram destacados. Conclui-se que houve contribuição para uma prática mais humanizada e acolhedora dos profissionais de saúde, tanto da gestão como do cuidado.To contribute to transforming professional practices, we created a distance learning course for Continuing Education in Health facilitators. Upwards of 150 professionals from Londrina took part in the course. This study aims to examine the contributions of this course from the participants' perspective. This is a quantitative and qualitative survey, and data were collected from focus groups and semistructured interviews. The focus group discussions and interviews were taped and transcribed, and the closed questions processed using the Epi Info software. The results indicate that the course allowed the deployment of collective spaces for reflection on practices and drove team integration. The facilities and difficulties involved securing space, time, material and support, but motivation, interest and participation were also highlighted. It is concluded that a contribution was made to a more humane, welcoming practice among both

  20. Prevalência, necessidade de tratamento e fatores predisponentes do traumatismo na dentição permanente de escolares de 11 a 13 anos de idade Prevalence, treatment needs, and predisposing factors for traumatic injuries to permanent dentition in 11-13-year-old schoolchildren

    Directory of Open Access Journals (Sweden)

    J. Traebert

    2004-04-01

    Full Text Available Este estudo objetivou determinar a prevalência do traumatismo dentário na dentição permanente e observar associações com fatores predisponentes. Foi realizado um estudo transversal com escolares de 11 a 13 anos de Biguaçu, Santa Catarina, Brasil. Os exames foram realizados por um cirurgião-dentista utilizando os mesmos critérios do Children's Dental Health Survey do Reino Unido. Foram observados tipo de dano, tratamento providenciado e necessidade, overjet incisal, adequabilidade da cobertura labial, idade, sexo e nível de educação dos pais. Foram examinadas 2.260 crianças e as prevalências encontradas foram: 10,4%, 10,6% e 11,2% aos 11, 12 e 13 anos, respectivamente. A necessidade de tratamento foi de 6,3 incisivos por mil examinados. Escolares do sexo masculino e com overjetmaior que 5mm tiveram mais traumatismo dentário do que escolares do sexo feminino e com overjetincisal até 5mm. Cobertura labial inadequada e nível de educação dos pais não estiveram estatisticamente associados com o traumatismo dentário. Concluiu-se que ser do sexo masculino ou ter um overjetincisal maior do que 5mm aumenta a chance de sofrer traumatismo dentário.The objective of this study was to assess the prevalence of traumatic injuries to the permanent incisors and the association with clinical predisposing factors and parents' schooling. A cross-sectional survey was conducted with schoolchildren aged 11 to 13 years in Biguaçu, Brazil. Dental examinations were conducted by a dentist, and the criteria for traumatic dental injuries used in the children's dental health survey in the United Kingdom were adopted. the study recorded the type of damage sustained, treatment performed or needed, the size of incisal overjet, and whether lip coverage was adequate. Socio-demographic data included sex, age, and parents' level of schooling. a total of 2,260 children were examined, and prevalence rates were 10.4%, 10.6%, and 11.2% in 11, 12, and 13-year

  1. systems

    Directory of Open Access Journals (Sweden)

    Patrick L. Brockett

    1978-01-01

    Full Text Available Suppose S={{Xnj,   j=1,2,…,kn}} is an infinitesimal system of random variables whose centered sums converge in law to a (necessarily infinitely divisible distribution with Levy representation determined by the triple (γ,σ2,M. If {Yj,   j=1,2,…} are independent indentically distributed random variables independent of S, then the system S′={{YjXnj,j=1,2,…,kn}} is obtained by randomizing the scale parameters in S according to the distribution of Y1. We give sufficient conditions on the distribution of Y in terms of an index of convergence of S, to insure that centered sums from S′ be convergent. If such sums converge to a distribution determined by (γ′,(σ′2,Λ, then the exact relationship between (γ,σ2,M and (γ′,(σ′2,Λ is established. Also investigated is when limit distributions from S and S′ are of the same type, and conditions insuring products of random variables belong to the domain of attraction of a stable law.

  2. system

    Science.gov (United States)

    Garcilazo, H.; Valcarce, A.; Vijande, J.

    2017-07-01

    Using local central Yukawa-type Malfliet-Tjon interactions reproducing the low-energy parameters and phase shifts of the nn system, and the latest updates of the nΛ and ΛΛ Nijmegen ESC08c potentials, we study the possible existence of a bound state. Our results indicate that the is unbound, being just above threshold. We discuss the role played by the 1 S 0 nn repulsive term of the Yukawa-type Malfliet-Tjon interaction. Supported by COFAA-IPN (México), Ministerio de Economía, Industria y Competitividad and EU FEDER (FPA2013-47443, FPA2015-69714-REDT, FPA2016-77177), Junta de Castilla y León (SA041U16) and Generalitat Valenciana PrometeoII/2014/066

  3. SYSTEM

    Directory of Open Access Journals (Sweden)

    K. Swarnalatha

    2013-01-01

    Full Text Available Risk analysis of urban aquatic systems due to heavy metals turns significant due to their peculiar properties viz. persis tence, non-degradab ility, toxicity, and accumulation. Akkulam Veli (AV, an urba n tropical lake in south India is subjected to various environmental stresses due to multiple waste discharge, sand mining, developmental activities, tour ism related activitie s etc. Hence, a comprehensive approach is adopted for risk assessment using modified degree of contamination factor, toxicity units based on numerical sediment quality guidelines (SQGs, and potentialecological risk indices. The study revealed the presence of toxic metals such as Cr, C d, Pb and As and the lake is rated under ‘low ecological risk’ category.

  4. Estudo clínico e epidemiológico de pacientes submetidos a implante de marcapasso cardíaco artificial permanente: comparação dos portadores da doença de Chagas com os de doenças degenerativas do sistema de condução Clinical and epidemiological characteristics of patients with Chagas' disease submitted to permanent cardiac pacemaker implantation

    Directory of Open Access Journals (Sweden)

    Roberto Costa

    2004-06-01

    Full Text Available OBJETIVO: Estudar os pacientes portadores de marcapasso cardíaco artificial permanente, comparando as características clínicas e epidemiológicas dos portadores da doença de Chagas com a dos portadores de doenças degenerativas do sistema de condução. MÉTODO: Foram analisados 57.632 procedimentos cadastrados no Registro Brasileiro de Marcapassos, realizados no período de 1995 a 2003, sendo: 25.648 pacientes portadores da doença de Chagas e 31.984, de doenças degenerativas. A comparação das características dessas populações foi feita pelos testes do Qui-quadrado e t-Student com nível de significância de 5%. RESULTADOS: Houve predomínio da doença de Chagas na região Centro-Oeste, nos implantes iniciais. Nas reoperações, a população chagásica representou maioria também no Sudeste. A idade dos pacientes chagásicos foi 58,6 ± 15,3 e 59,3 ± 14,8 anos, respectivamente para implantes iniciais e reoperações, e, nos não chagásicos, 73,5 ± 12,6 e 73,7 ± 13,5. Não foi notada diferença na distribuição entre os dois sexos. Houve maior ocorrência de síncopes, pré-síncopes e bloqueio atrioventricular com QRS largo nos pacientes chagásicos e de tonturas, insuficiência cardíaca e QRS estreito nos não chagásicos. O modo de estimulação ventricular foi utilizado em 60% e 63% nos implantes iniciais e em 77% e 76% das reoperações, respectivamente para os pacientes chagásicos e não chagásicos. A depleção da bateria por desgaste normal foi o principal motivo para reoperação dos pacientes, tendo ocorrido em 76,1% e 79,6% das reoperações, respectivamente para chagásicos e não chagásicos. CONCLUSÕES: Os dados analisados demonstraram diferenças significativas nas características clínicas e demográficas das populações estudadas.OBJECTIVE: To study patients with permanent cardiac pacemakers, comparing the clinical and epidemiological characteristics of patients with Chagas' disease versus the ones with

  5. Large-scale right-slip displacement on the East San Francisco Bay Region fault system, California: Implications for location of late Miocene to Pliocene Pacific plate boundary

    Science.gov (United States)

    McLaughlin, R.J.; Sliter, W.V.; Sorg, D.H.; Russell, P.C.; Sarna-Wojcicki, A. M.

    1996-01-01

    A belt of northwardly younging Neogene and Quaternary volcanic rocks and hydrothermal vein systems, together with a distinctive Cretaceous terrane of the Franciscan Complex (the Permanente terrane), exhibits about 160 to 170 km of cumulative dextral offset across faults of the East San Francisco Bay Region (ESFBR) fault system. The offset hydrothermal veins and volcanic rocks range in age from .01 Ma at the northwest end to about 17.6 Ma at the southeast end. In the fault block between the San Andreas and ESFBR fault systems, where volcanic rocks are scarce, hydrothermal vein system ages clearly indicate that the northward younging thermal overprint affected these rocks beginning about 18 Ma. The age progression of these volcanic rocks and hydrothermal vein systems is consistent with previously proposed models that relate northward propagation of the San Andreas transform to the opening of an asthenospheric window beneath the North American plate margin in the wake of subducting lithosphere. The similarity in the amount of offset of the Permanente terrane across the ESFBR fault system to that derived by restoring continuity in the northward younging age progression of volcanic rocks and hydrothermal veins suggests a model in which 80-110 km of offset are taken up 8 to 6 Ma on a fault aligned with the Bloomfield-Tolay-Franklin-Concord-Sunol-Calaveras faults. An additional 50-70 km of cumulative slip are taken up ??? 6 Ma by the Rogers Creek-Hayward and Concord-Franklin-Sunol-Calaveras faults. An alternative model in which the Permanente terrane is offset about 80 km by pre-Miocene faults does not adequately restore the distribution of 8-12 Ma volcanic rocks and hydrothermal veins to a single northwardly younging age trend. If 80-110 km of slip was taken up by the ESFBR fault system between 8 and 6 Ma, dextral slip rates were 40-55 mm/yr. Such high rates might occur if the ESFBR fault system rather than the San Andreas fault acted as the transform margin at this time

  6. Educação no trabalho na atenção primária à saúde: interfaces entre a educação permanente em saúde e o agir comunicativo Work education in primary health care: interfaces between permanent education in health and the communicative action

    Directory of Open Access Journals (Sweden)

    Jaqueline Alcântara Marcelino da Silva

    2011-12-01

    Full Text Available O trabalho em saúde e a educação no trabalho constituem-se com uma dupla dimensão - ação instrumental e intersubjetividade. OBJETIVO: Analisar as concepções de educação que fundamentam as atividades educativas de trabalhadores da saúde na atenção primária. MÉTODO: Estudo de abordagem qualitativa realizado em duas unidades básicas de saúde do município de São Paulo, por meio de entrevista semiestruturada gravada com 36 informantes-chave, representativos de cada categoria profissional dos serviços, incluindo o segmento gerencial e o de trabalhadores da saúde. Os dados foram analisados com a técnica de análise de conteúdo temática com base no quadro teórico: processo de trabalho em saúde, teoria do agir comunicativo, educação continuada (EC, educação permanente em saúde (EPS e integralidade, os quais permitiram a construção das categorias empíricas: educação instrumental/tradicional e educação comunicativa/emancipatória. Resultados: Os resultados mostram o predomínio da concepção de educação no trabalho como construção coletiva do saber a partir da realidade de trabalho, pertinentes à EPS que se pretende instituir para a mudança das práticas e do modelo assistencial biomédico. Contudo, alguns depoentes expressam uma concepção de educação instrumental com ênfase em ações técnicas e de atualização do saber, que se aproxima da EC. CONCLUSÃO: Os resultados evidenciam a convivência das duas concepções de educação de trabalhadores - instrumental e comunicativa com o predomínio da segunda, que mostra a capilaridade da política de EPS entre os trabalhadores de saúde das UBS e a necessidade de aprofundar o debate para consolidar a prática educativa no cotidiano de trabalho.Health work and work education are a double dimension - instrumental action and intersubjectivity. OBJECTIVE: To analyze the conceptions of education that support educational activities of health care workers in

  7. Estratégias de educação permanente em saúde na percepção dos profissionais de Vigilância Sanitária | Strategies of continuing health education in the perception of the sanitary surveillance professionals

    Directory of Open Access Journals (Sweden)

    Irene França Guimarães

    2016-02-01

    Full Text Available Trata-se de um estudo que aborda a expansão de um serviço em consequência da descentralização das ações de Vigilância Sanitária (VISA para a esfera municipal. Objetivo: Identificar a utilização da Educação Permanente em Saúde na VISA de um município do estado do Rio de Janeiro. Método: Estudo descritivo, com abordagem qualitativa. A coleta de informações aconteceu no primeiro semestre de 2014, por meio de grupo focal com a equipe de VISA de um município. Como critério de inclusão para participação na pesquisa estabeleceu-se os profissionais lotados na VISA municipal e o critério exclusão utilizado foi funcionários que não tiverem disponibilidade para participarem da coleta de dados. Para tratamento dos dados foi utilizada a análise de conteúdo método proposto por Bardin. Os resultados traduziram a presença da utilização de metodologia tradicional de ensino nos processos educativos, com limitação para o diálogo e sem proposta para construção de espaços coletivos de reflexão, distantes da problematização do processo de trabalho e de concepções que não são desejáveis para a EPS. Espera-se que a pesquisa possa contribuir para a inserção da EPS no serviço de VISA, proporcionando encontros que permitam o exercício de um modelo educativo diferente daquele que os profissionais estão habituados. ============================================== This is a study that addresses the expansion of a service as a result of decentralization of actions of Sanitary Surveillance (VISA to the municipal level. Objectives: To identify the use of continuing health education in the VISA of a municipality in Rio de Janeiro. Method: The study is descriptive and employs a qualitative approach. Information was gathered during the first half of 2014 through focus groups connected with a municipality’s VISA team. As inclusion criterion for participation in the research was established professionals crowded in the municipal

  8. O projeto "Cuidando do Cuidador": a experiência de educação permanente em saúde do Centro de Saúde Escola de Botucatu The project "Caring for the Carer": the experience of permanent education in health care at the Health Centre Escola de Botucatu

    Directory of Open Access Journals (Sweden)

    Antonio Pithon Cyrino

    2004-09-01

    Full Text Available A experiência aqui relatada nasce de crises e tensões presentes no cotidiano de trabalho de um serviço de atenção primária à saúde. Surge, também, do esforço em transformar esse conflito em 'cuidado' dirigido ao conjunto da equipe. Para tanto, duas vivências que se estruturam para responder a tais desafios conformaram um projeto mais amplo de educação permanente em saúde, o "Cuidando do cuidador". Essa iniciativa buscou mobilizar e fazer circular valores e sentimentos que, usualmente, são pouco considerados em processos de educação no trabalho. Ao dar visibilidade a estas dimensões intersubjetivas, foi possível tornar presentes questões essenciais para pensar o papel de cuidador de que deve estar investido o profissional de saúde. Com o uso de recursos sociodramáticos em diferentes espaços do projeto, viabilizou-se, ainda, um movimento de sensibilização que se inicia no profissional e em sua identidade como pessoa, passa pelo reconhecimento do outro (colega de trabalho e paciente e chega a um coletivo mais amplo, o institucional. O desenvolvimento do projeto ajudou a entender que a humanização de nossos serviços exige, igualmente, reconhecer que nós, cuidadores, também somos frágeis e humanos.The experience narrated here had its origin in the crises and tensions present in the everyday work of a basic health care unit. It was also the result of an effort to change conflict into "care" for the entire team. For this purpose, two practices that were structured to respond to these challenges gave origin to a wider project in permanent health education, called "Caring for the Carer". This initiative attempted to encourage and propagate values and feelings that are normally ignored in processes of education at work. By giving visibility to these inter-subjective dimensions, it was possible to bring to light some essential issues related to the role of carer that should be assumed by the health professional. With the help

  9. Avaliação cefalométrica dos efeitos do aparelho Herbst no tratamento da deficiência mandibular na dentadura permanente Cephalometric evaluation of the effect of the Herbst appliance in the treatment of the mandibular retrognathism in the permanent dentition

    Directory of Open Access Journals (Sweden)

    OmarGabriel da Silva Filho

    2007-12-01

    Full Text Available OBJETIVO: o objetivo do presente estudo cefalométrico retrospectivo consistiu em investigar os efeitos induzidos pelo aparelho Herbst, complementados pela mecânica ortodôntica com aparelho Straight wire e elásticos de Classe II, na correção da má oclusão Classe II, divisão 1, Padrão II, com deficiência mandibular, na dentadura permanente. METODOLOGIA: foram traçadas telerradiografias iniciais (idade média de 12 anos e 10 meses e finais (idade média de 14 anos e 8 meses de 18 pacientes, 12 meninos e 6 meninas, para quantificar o comportamento de 12 grandezas cefalométricas representativas da posição sagital das bases apicais, convexidade facial, rotação mandibular e posição sagital dos incisivos superiores e inferiores. O tempo médio de tratamento foi de 22,5 meses, sendo 9,8 meses com o aparelho Herbst e 13 meses com a mecânica ortodôntica subseqüente. RESULTADOS E CONCLUSÕES: os resultados registraram: 1 ausência de influência no comportamento da maxila; 2 avanço mandibular; 3 redução na convexidade facial; 4 preservação da inclinação do plano mandibular e 5 presença de compensação dentária, sobretudo nos incisivos inferiores (vestibularização. Reitera-se, portanto, o fato de que, mesmo com aparelho ortopédico fixo, é mais previsível e mais fácil obter compensação dentária do que remodelação esquelética na correção ortopédica da deficiência mandibular.AIM: The purpose of the current cephalometric study was to investigate the effects induced by the Herbst appliance followed by fixed orthodontic Straight wire mechanics and Class I elastics to correct a Class II division 1 malocclusion with a mandibular deficiency in the permanent dentition. MATERIAL AND METHODS: Initial (mean age of 12 years and 10 months and final (mean age of 14 years and 8 months cephalometric radiographs of 12 boys and 6 girls were traced to measure 12 cephalometric measurements that represented the sagittal position of

  10. Association Between Thyroid Disease and Uveitis: Results From the Pacific Ocular Inflammation Study.

    Science.gov (United States)

    Borkar, Durga S; Homayounfar, Gelareh; Tham, Vivien M; Ray, Kathryn J; Vinoya, Aleli C; Uchida, Aileen; Acharya, Nisha R

    2017-06-01

    Common pathophysiological mechanisms may be responsible for immune dysregulation in both thyroid disease and uveitis. Studies investigating a possible association are limited. To determine the association between thyroid disease and uveitis. A retrospective, population-based case-control study was conducted from January 1, 2006, to December 31, 2007, among 217 061 members of the Kaiser Permanente Hawaii health system during the study period. A clinical diagnosis of uveitis was determined through a query of the electronic medical record followed by individual medical record review for confirmation by a uveitis specialist. Thyroid disease was determined based on International Classification of Diseases, Ninth Revision, coding. Two control groups were chosen at a 4:1 ratio for comparison with patients with uveitis. A logistic regression analysis was performed with uveitis as the main outcome variable and thyroid disease as the main predictor variable, while adjusting for age, sex, race, smoking status, and history of autoimmune disease. Data analysis was conducted between 2014 and 2016. A diagnosis of thyroid disease among patients with uveitis and respective controls. Of the 224 patients with uveitis (127 women and 97 men; mean [SD] age, 54.1 [17.8] years) identified during the study period, 29 (12.9%) had a diagnosis of thyroid disease, compared with 62 of 896 patients (6.9%) in the control group (P = .01) and 78 of 896 patients (8.7%) in the ophthalmology clinic control group (P = .06). Using the general Kaiser Permanente Hawaii population control group, patients who had thyroid disease had a 1.7-fold (95% CI, 1.03-2.80; P = .04) higher odds of having uveitis compared with patients who did not have thyroid disease when controlling for age, sex, race, smoking status, and autoimmune disease. A similar association was found using the ophthalmology clinic control group (odds ratio, 1.8; 95% CI, 1.1-2.9; P = .02) while adjusting for these factors

  11. Comportamento das variedades de algodoeiro IAC 13-1, IAC 16 e IAC 17 em ensaio permanente de adubação com superfosfato simples Behavior of São Paulo cotton varieties "IAC 13-1", "IAC 16" and "IAC 17" in a permanent field trial with ordinary superphosphate

    Directory of Open Access Journals (Sweden)

    Nelson Machado da Silva

    1979-01-01

    Full Text Available Visando à avaliação do aproveitamento de nutrientes fornecidos através de sucessivas adubações com superfosfato simples, foi conduzido, durante três anos agrícolas, ensaio permanente de campo em latossolo roxo ácido, de baixa fertilidade, com as variedades paulistas de algodão IAC 13-1, IAC 16 e IAC 17. Adotou-se o esquema de parcelas subdivididas, sendo os tratamentos distribuídos em blocos ao acaso com quatro repetições. As parcelas maiores foram ocupadas pelas doses 0, 225, 450 e 675kg/ha de superfosfato simples, enquanto as subparcelas o foram pelas variedades. A gleba experimental recebeu aplicação de corretivo de acidez antes do primeiro plantio e adubações anuais de nitrogênio e potássio nas doses fixas de 50 a 75kg/ha de N e K2O, respectivamente. Análise de amostra de solo colhida no terceiro ano de estudo revelou sensíveis acréscimos nos teores de fósforo e de cálcio, decorrentes do uso contínuo de superfosfato simples. A adubação concorreu significativamente para aumentar a concentração de cálcio do limbo foliar e diminuir a de potássio; as concentrações de fósforo e de magnésio foram também influenciadas favoravelmente. Constatou-se antagonismo entre cálcio e potássio e entre magnésio e potássio. A variedade IAC 17 apresentou concentrações de N, P, S, Ca e K superiores às demais. O cultivo do algodoeiro no primeiro ano revelou-se antieconômico em função da baixa reação das plantas ao emprego do adubo e às desfavoráveis condições de comercialização do produto. No segundo e terceiro anos de acúmulo de superfosfato simples, os efeitos sobre a produção foram crescentes, o que sugere a conveniência do uso de dosagens maiores do produto em novos ensaios a serem efetuados, e estudos de outros modos de aplicação de adubo. A variedade IAC 17 demonstrou maior capacidade de aproveitamento do superfosfato simples acumulado através dos anos.The São Paulo cotton varieties IAC 13-1, IAC

  12. [Wilhelm Liepmann (1878-1939)--the fate of a gynecologist between the Kaiser Reich and Fascism].

    Science.gov (United States)

    Schneck, P

    1984-01-01

    The paper gives a bioergographical survey on the German obstetrician and gynaecologist Wilhelm Liepmann. He was Ass. Professor at the Berlin university. Later he became director of the German Women-Institute, which was founded by the Hauptverband der Krankenkassen. In 1933 Liepmann had to emigrate to Turkey, where he got the chair of gynaecology at the university of Istanbul.

  13. Population Genetic Structure of the Endangered Kaiser's Mountain Newt, Neurergus kaiseri (Amphibia: Salamandridae.

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    Hossein Farasat

    Full Text Available Species often exhibit different levels of genetic structuring correlated to their environment. However, understanding how environmental heterogeneity influences genetic variation is difficult because the effects of gene flow, drift and selection are confounded. We investigated the genetic variation and its ecological correlates in an endemic and critically endangered stream breeding mountain newt, Neurergus kaiseri, within its entire range in southwestern Iran. We identified two geographic regions based on phylogenetic relationships using Bayesian inference and maximum likelihood of 779 bp mtDNA (D-loop in 111 individuals from ten of twelve known breeding populations. This analysis revealed a clear divergence between northern populations, located in more humid habitats at higher elevation, and southern populations, from drier habitats at lower elevations regions. From seven haplotypes found in these populations none was shared between the two regions. Analysis of molecular variance (AMOVA of N. kaiseri indicates that 94.03% of sequence variation is distributed among newt populations and 5.97% within them. Moreover, a high degree of genetic subdivision, mainly attributable to the existence of significant variance among the two regions is shown (θCT = 0.94, P = 0.002. The positive and significant correlation between geographic and genetic distances (r = 0.61, P = 0.002 following controlling for environmental distance suggests an important influence of geographic divergence of the sites in shaping the genetic variation and may provide tools for a possible conservation based prioritization policy for the endangered species.

  14. Improved SNR of MST RADAR Signals by Cosine Hyperbolic Window over Kaiser Window

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    Prof. B. Ramesh Reddy Dr. A. Subbarami Reddy Dr. P. Chandrashekar Reddy

    2012-02-01

    Full Text Available In this paper, the effect of window shape parameter “” in Cosine Hyperbolic Window Function on the SNR values of MST RADAR returns has been investigated. Six sets of multibeam observations of the lower atmosphere made by the Indian Mesosphere-Stratosphere-Troposphere (MST RADAR are used for the result analysis. Prior to the Fourier Transformation, the in-phase and quadrature components of the RADAR echo samples are weighted with the recently proposed new class of adjustable window based on the Cosine Hyperbolic Window Function. The effects of data weighting with the variation of the window shape parameter “” of the Cosine Hyperbolic Window Function is presented. It is observed that the increase of “” increases the SNR values and a good improvement is reported. Optimum value of the shape parameter “” for the Cosine Hyperbolic Window Function is suggested to analyze the MST RADAR signals. The results also shows that, the improvement of SNR of noisy data due to the effect of side lobe reduction and demands for the design of optimal windows.

  15. La formació permanent del professorat a Catalunya. Una visió a través del tractament de la formació de formadors i formadores en els plans institucionals Continuing training for teachers in Catalonia. An overview of the approach to training trainers in institutional plans La formación permanente del profesorado en Cataluña. Una visión a través del tratamiento de la formación de formadores/as en los planes institucionales

    Directory of Open Access Journals (Sweden)

    M. Teresa Colén

    2011-09-01

    Full Text Available L’article fa un recorregut històric pels plans de formació permanent del professorat d’infantil, primària i secundària a Catalunya. Centra l’anàlisi de l’evolució de la formació permanent en el tractament que els diferents plans de formació han fet de la figura del formador de formadors. Aquest element permet anar establint els aspectes que han suposat els moments de canvi. Es veu el progressiu distanciament de la formació de les universitats i la creixent institucionalització dels plans de formació. També s’exposa la dicotomia entre els objectius que es plantegen i l’escassa preparació i consideració que els plans atorguen a aquests professionals, deixant en un limbe poc definit les funcions, responsabilitats i atribucions que se’ls atorga ______________________________________________ L’article fait un parcours historique des plans de formation permanente des enseignants des écoles maternelles, primaires et secondaires en Catalogne. Il centre l’analyse de l’évolution de la formation permanente sur le traitement que les différents plans de formation ont fait de la figure du formateur de formateurs. Cet élément permet d’établir petit à petit les différents aspects qu’ont constitués les moments de changement. On y voit le distanciement progressif de la formation des universités et la croissante institutionnalisation des plans de formation. Il expose aussi la dichotomie entre les objectifs qui sont envisagés et les préparation et considération faibles que les plans accordent à ces professionnels, laissant dans le flou les fonctions, les responsabilités ainsi que les attributions qui leur sont accordéesThis article gives a historical survey of the in-service training plans for nursery, primary and secondary school teachers in Catalonia. It concentrates on analysing the development of in-service training in terms of how the different training plans have approached the figure who trains the

  16. An Emergent Research and Policy Framework for Telehealth.

    Science.gov (United States)

    Edmunds, Margo; Tuckson, Reed; Lewis, Joy; Atchinson, Brian; Rheuban, Karen; Fanberg, Hank; Olinger, Lois; Rosati, Robert; Austein-Casnoff, Cheryl; Capistrant, Gary; Thomas, Latoya

    2017-01-01

    Telehealth is a fast-growing sector in health care, using a variety of technologies to exchange information across locations and to improve access, quality, and outcomes across the continuum of care. Thousands of studies and hundreds of systematic reviews have been done, but their variability leaves many questions about telehealth's effectiveness, implementation priorities, and return on investment. There is an urgent need for a systematic, policy-relevant framework to integrate regulatory, operational, and clinical factors and to guide future investments in telehealth research and practice. An invited multidisciplinary group of 21 experts from AcademyHealth, the American Telemedicine Association (ATA), Kaiser Permanente Institute for Health Policy (KP), and the Physician Insurers Association of America (PIAA) met to review and discuss the components of a draft framework for policy-relevant telehealth research. The framework was revised and presented in a challenge workshop at Concordium 2016, and some additional refinements were made. The current framework encompasses the regulatory and payment policy context for telehealth, delivery system factors, and outcomes of telehealth interventions. Based on the feedback at Concordium 2016, the framework seems to have potential to help educate policymakers, payers, and health systems about the value of telehealth and to frame discussions about implementation barriers, including risk management concerns, technology costs, and organizational culture. However, questions remain about how to disseminate and use the framework to help coordinate policy, research, and implementation efforts in the delivery system.

  17. The social cost of electrical energy and its impact in a national economic development under an electrical system in permanent expansion; O Custo social da energia eletrica e seus impactos no desenvolvimento economico nacional sob um sistema eletrico em permanente expansao

    Energy Technology Data Exchange (ETDEWEB)

    Miranda, Vinicius de Holanda [Centrais Eletricas Brasileiras (ELETROBRAS), Rio de Janeiro, RJ (Brazil)

    2010-07-01

    Traditionally, prices for a product or service are defined through the market, according to classical economic theories, on the assumption that there is freedom of choice by the agents involved. If the product is not essential, prices higher than consumer's willingness to pay will lead them to reduce consumption, so that, for consumption to grow again, the prices have to fall. This is a cyclical behavior that tends to oscillate around an average price of balance, and goods which have this behavior are, therefore, called elastic with respect to price. When the good or service is essential, it's said that there is a 'market failure', considering that his appropriation incur price fixing by the agent who operates, sells or is in the condition of 'natural monopoly' (for interconnected electric grids of transmission and distribution), because, although consumers could theoretically reduce its consumption as a response to rising prices, as it depends on even the good (which is essential for most activities) and even who provides it (since he has no freedom of choice), the reduction of the level of consumption is conditioned to specific circumstances, in particular the power consumption associated with residential buildings of occasional occupation or industrial consumption, which depends on the levels of seasonal production. In this case, unlike the non-essential goods, it's said to be an inelasticity of demand in relation to price, which impacts are discussed in the present paper. (author)

  18. National healthcare capital project benchmarking--an owner's perspective.

    Science.gov (United States)

    Kahn, Noah

    2009-01-01

    Few sectors of the economy have been left unscathed in these economic times. Healthcare construction has been less affected than residential and nonresidential construction sectors, but driven by re-evaluation of healthcare system capital plans, projects are now being put on hold or canceled. The industry is searching for ways to improve the value proposition for project delivery and process controls. In other industries, benchmarking component costs has led to significant, sustainable reductions in costs and cost variations. Kaiser Permanente and the Construction Industry Institute (CII), a research component of the University of Texas at Austin, an industry leader in benchmarking, have joined with several other organizations to work on a national benchmarking and metrics program to gauge the performance of healthcare facility projects. This initiative will capture cost, schedule, delivery method, change, functional, operational, and best practice metrics. This program is the only one of its kind. The CII Web-based interactive reporting system enables a company to view its information and mine industry data. Benchmarking is a tool for continuous improvement that is capable not only of grading outcomes; it can inform all aspects of the healthcare design and construction process and ultimately help moderate the increasing cost of delivering healthcare.

  19. Infections Requiring Hospitalization as Predictors of Pediatric-Onset Crohn’s Disease and Ulcerative Colitis

    Directory of Open Access Journals (Sweden)

    Susan Hutfless

    2015-01-01

    Full Text Available Objectives. To assess the relationship between infections and the risk of pediatric-onset inflammatory bowel disease (IBD. Methods. We conducted a nested case-control study of 501 incident cases aged ≤17 years and 9,442 controls who were members of Kaiser Permanente Northern California for at least one consecutive year between 1996 and 2006. IBD was confirmed and the incidence date was adjudicated by pediatric gastroenterologists. Hospitalized infections were identified from the principal diagnosis code of electronic inpatient records. Medications to treat infections were identified during the hospitalization. Conditional logistic regression was used to assess the associations between hospitalized infections, medications, and Crohn’s disease and ulcerative colitis. Results. In the year prior to diagnosis, both hospitalized infection of any system (OR 6.3; 95% CI 1.6–23.9 and hospitalized intestinal infection (OR 19.4; 95% CI 2.6–143.2 were associated with CD. Hospitalized infections of any system were inversely associated with UC after excluding the year prior to diagnosis (OR 0.4; 95% CI 0.2–0.9. No UC case had a hospitalized gastrointestinal infection prior to diagnosis. Conclusion. Infections appear to play opposite roles prior to the diagnosis of CD and UC. Infections may be associated with an increased risk of CD and a decreased risk of UC.

  20. De la reflexión personal a la reflexión crítica en equipo : Aprendizaje Permanente en Equipo, un modelo para una práctica reflexiva y democrática en la primera infancia = From self-reflection to critical team reflection : Permanent Learning in Teams, a model towards a reflective and democratic praxis in Early Childhood Education

    Directory of Open Access Journals (Sweden)

    Ana del Barrio

    2014-01-01

    Full Text Available El modelo Aprendizaje Permanente en Equipo apoya a los profesionales y equipos directivos de la primera infancia a desarrollar una actitud crítica y reflexiva sobre el conocimiento y la práctica. El modelo, desarrollado durante un proyecto de dos años de investigación práctica, fue llevado a cabo por Bureau MUTANT (2007-2008 y coconstruido con cuatro centros de atención y educación a la primera infancia. El proyecto puso énfasis en el desarrollo de un proceso de reflexión, a distintos niveles en estos centros, para mejorar la calidad profesional. La coconstrucción del modelo ha contribuido al fortalecimiento de los procesos de aprendizaje individuales y de equipo. También dio lugar a una mayor satisfacción y compromiso hacia el trabajo entre los educadores. Sin embargo, dos condiciones se hacen imprescindibles para obtener resultados positivos: la necesidad de crear tiempo estructural para facilitar la práctica reflexiva y la supervisión sistemática de los equipos de educadores.The model Permanent Learning in Teams -as professional learning communities- is a practical approach that early childhood professionals and their coaches support to develop a critical reflective attitude on their knowledge and praxis. The model was developed during a two years action research project conducted by Bureau MUTANT (2007-2008 and co-constructed with four childcare-providing organizations. The project focused on the development of a reflexion process at all levels in these organizations - educators, team leaders and management and staff at central level - to improve professional quality. The coconstruction of the model contributed to strengthening the individual and team learning processes. It also led to more pleasure, enthusiasm and increased commitment towards the work of educators. However, two important conditions have to be in place within early childhood organizations: Structural time to facilitate the reflection process and team coaching.

  1. The human factor: the critical importance of effective teamwork and communication in providing safe care.

    Science.gov (United States)

    Leonard, M; Graham, S; Bonacum, D

    2004-10-01

    Effective communication and teamwork is essential for the delivery of high quality, safe patient care. Communication failures are an extremely common cause of inadvertent patient harm. The complexity of medical care, coupled with the inherent limitations of human performance, make it critically important that clinicians have standardised communication tools, create an environment in which individuals can speak up and express concerns, and share common "critical language" to alert team members to unsafe situations. All too frequently, effective communication is situation or personality dependent. Other high reliability domains, such as commercial aviation, have shown that the adoption of standardised tools and behaviours is a very effective strategy in enhancing teamwork and reducing risk. We describe our ongoing patient safety implementation using this approach within Kaiser Permanente, a non-profit American healthcare system providing care for 8.3 million patients. We describe specific clinical experience in the application of surgical briefings, properties of high reliability perinatal care, the value of critical event training and simulation, and benefits of a standardised communication process in the care of patients transferred from hospitals to skilled nursing facilities. Additionally, lessons learned as to effective techniques in achieving cultural change, evidence of improving the quality of the work environment, practice transfer strategies, critical success factors, and the evolving methods of demonstrating the benefit of such work are described.

  2. Integrated health care for patients with motor neurone disease.

    Science.gov (United States)

    Brewah, Helen

    This article presents the findings from a study trip to Kaiser Permanente (KP), a private healthcare provider in the USA. The aim of the trip was to understand how healthcare integration is managed in KP and how this might help patients in the UK with motor neurone disease (MND). This article makes reference to the American and British healthcare systems, identifying the simple differences between health economies, and their impact on health care, with specific reference to MND. The trip was undertaken as part of the author's ongoing work on how patients with MND rate services delivered by the multidisciplinary team (MDT) in the UK. The author's community matron role involves caring for patients with long-term conditions (LTCs) including long-term neurological conditions (LTNCs). In executing this role and in service delivery to patients with LTNCs, specifically MND, the author noticed a lack of robust integration, highlighting the need to consider and address the various contributory factors. This article presents a literature review and analyses the role of the MDT including specialist neurological professionals in executing duties and in delivering healthcare services to patients diagnosed with MND. The implications for practice are also presented along with areas for practice development.

  3. Overview of the consortium of hospitals advancing research on tobacco (chart

    Directory of Open Access Journals (Sweden)

    Riley William T

    2012-08-01

    Full Text Available Abstract Background The Consortium of Hospitals Advancing Research on Tobacco (CHART is a network of six projects and a research coordinating unit funded by the National Heart, Lung, and Blood Institute, the National Cancer Institute, the National Institute on Drug Abuse, and the National Institutes of Health (NIH Office of Behavioral and Social Science Research. The CHART projects will assess the effectiveness and cost-effectiveness of smoking cessation interventions initiated during hospitalization and continued post-discharge. Methods/design Along with a seventh project funded previously under the NIH Challenge grants, the CHART projects will assess smoking cessation strategies delivered to approximately 10,000 hospitalized smokers across a geographically diverse group of nearly 20 private, public, academic, and community hospitals. The CHART research coordinating unit at Kaiser Permanente Center for Health Research provides organizational and data coordination support, facilitating the development of common measures for combining data from multiple CHART projects. Discussion The targeted enrollment in CHART, if achieved, will represent the largest, most diverse pooled dataset of hospitalized smokers receiving smoking cessation assistance, and is designed to contribute to the dissemination and implementation of smoking cessation interventions provided by hospital systems.

  4. eHealth Advances in Support of People with Complex Care Needs: Case Examples from Canada, Scotland and the US.

    Science.gov (United States)

    Gray, Carolyn Steele; Mercer, Stewart; Palen, Ted; McKinstry, Brian; Hendry, Anne

    2016-01-01

    Information technology (IT) in healthcare, also referred to as eHealth technologies, may offer a promising solution to the provision of better care and support for people who have multiple conditions and complex care needs, and their caregivers. eHealth technologies can include electronic medical records, telemonitoring systems and web-based portals, and mobile health (mHealth) technologies that enable information sharing between providers, patients, clients and their families. IT often acts as an enabler of improved care delivery, rather than being an intervention per se. But how are different countries seeking to leverage adoption of these technologies to support people who have chronic conditions and complex care needs? This article presents three case examples from Ontario (Canada), Scotland and Kaiser Permanente Colorado (United States) to identify how these jurisdictions are currently using technology to address multimorbidity. A SWOT (strengths, weaknesses, opportunities, threats) analysis is presented for each case and a final discussion addresses the future of eHealth for complex care needs. The case reports presented in this manuscript mark the foundational work of the Multi-National eHealth Research Partnership Supporting Complex Chronic Disease and Disability (the eCCDD Network); a CIHR-funded project intended to support the international development and uptake of eHealth tools for people with complex care needs.

  5. Can health care teams improve primary care practice?

    Science.gov (United States)

    Grumbach, Kevin; Bodenheimer, Thomas

    2004-03-10

    In health care settings, individuals from different disciplines come together to care for patients. Although these groups of health care personnel are generally called teams, they need to earn true team status by demonstrating teamwork. Developing health care teams requires attention to 2 central questions: who is on the team and how do team members work together? This article chiefly focuses on the second question. Cohesive health care teams have 5 key characteristics: clear goals with measurable outcomes, clinical and administrative systems, division of labor, training of all team members, and effective communication. Two organizations are described that demonstrate these components: a private primary care practice in Bangor, Me, and Kaiser Permanente's Georgia region primary care sites. Research on patient care teams suggests that teams with greater cohesiveness are associated with better clinical outcome measures and higher patient satisfaction. In addition, medical settings in which physicians and nonphysician professionals work together as teams can demonstrate improved patient outcomes. A number of barriers to team formation exist, chiefly related to the challenges of human relationships and personalities. Taking small steps toward team development may improve the work environment in primary care practices.

  6. Evaluation Following Staggered Implementation of the "Rethinking Critical Care" ICU Care Bundle in a Multicenter Community Setting.

    Science.gov (United States)

    Liu, Vincent; Herbert, David; Foss-Durant, Anne; Marelich, Gregory P; Patel, Anandray; Whippy, Alan; Turk, Benjamin J; Ragins, Arona I; Kipnis, Patricia; Escobar, Gabriel J

    2016-03-01

    To evaluate process metrics and outcomes after implementation of the "Rethinking Critical Care" ICU care bundle in a community setting. Retrospective interrupted time-series analysis. Three hospitals in the Kaiser Permanente Northern California integrated healthcare delivery system. ICU patients admitted between January 1, 2009, and August 30, 2013. Implementation of the Rethinking Critical Care ICU care bundle which is designed to reduce potentially preventable complications by focusing on the management of delirium, sedation, mechanical ventilation, mobility, ambulation, and coordinated care. Rethinking Critical Care implementation occurred in a staggered fashion between October 2011 and November 2012. We measured implementation metrics based on electronic medical record data and evaluated the impact of implementation on mortality with multivariable regression models for 24,886 first ICU episodes in 19,872 patients. After implementation, some process metrics (e.g., ventilation start and stop times) were achieved at high rates, whereas others (e.g., ambulation distance), available late in the study period, showed steep increases in compliance. Unadjusted mortality decreased from 12.3% to 10.9% (p Rethinking Critical Care implementation. The mean duration of mechanical ventilation and hospital stay also did not demonstrate incrementally greater declines after implementation. Rethinking Critical Care implementation was associated with changes in practice and a 12-15% reduction in the odds of short-term mortality. However, these findings may represent an evaluation of changes in practices and outcomes still in the midimplementation phase and cannot be directly attributed to the elements of bundle implementation.

  7. Evaluation of SHM System Produced by Additive Manufacturing via Acoustic Emission and Other NDT Methods

    Directory of Open Access Journals (Sweden)

    Maria Strantza

    2015-10-01

    Full Text Available During the last decades, structural health monitoring (SHM systems are used in order to detect damage in structures. We have developed a novel structural health monitoring approach, the so-called “effective structural health monitoring” (eSHM system. The current SHM system is incorporated into a metallic structure by means of additive manufacturing (AM and has the possibility to advance life safety and reduce direct operative costs. It operates based on a network of capillaries that are integrated into an AM structure. The internal pressure of the capillaries is continuously monitored by a pressure sensor. When a crack nucleates and reaches the capillary, the internal pressure changes signifying the existence of the flaw. The main objective of this paper is to evaluate the crack detection capacity of the eSHM system and crack location accuracy by means of various non-destructive testing (NDT techniques. During this study, detailed acoustic emission (AE analysis was applied in AM materials for the first time in order to investigate if phenomena like the Kaiser effect and waveform parameters used in conventional metals can offer valuable insight into the damage accumulation of the AM structure as well. Liquid penetrant inspection, eddy current and radiography were also used in order to confirm the fatigue damage and indicate the damage location on un-notched four-point bending AM metallic specimens with an integrated eSHM system. It is shown that the eSHM system in combination with NDT can provide correct information on the damage condition of additive manufactured metals.

  8. Analysis of uncertainties, associated to the calculating hypothesis, in discharge tables for high flows estimating, based on mathematics models for calculating water surface profiles fore steady gradually varied flow; Analisis de las incertidumbres, asociadas a las hipotesis de calculo, en la estimacion de curvas de gasto para crcidas, basada en el empleo de modelo matematico de calculo hidraulico en regimen permanente

    Energy Technology Data Exchange (ETDEWEB)

    Aldana Valverde, A. L.; Gonzalez Rodriguez, J. C.

    1999-08-01

    In this paper are analyzed some of the most important factors which can influence on the results of calculating water surface profiles for steady gradually varied flow. In this case, the objective of this kind of modeling, has been the estimation of discharges tables for high flows of river station gages connected to the hydrologic automatic information system (SAIH) of the Confederacion Hidrografica del Sur de Espana, system named red Hidrosur. (Author) 3 refs

  9. Produtividade de ratos Wistar em diferentes sistemas de acasalamento Productivity of Wistar rats in different mating systems

    Directory of Open Access Journals (Sweden)

    Vania Gomes de Moura Mattaraia

    2012-08-01

    Full Text Available O objetivo foi avaliar a produtividade e uniformidade da produção de ratos Wistar (Rattus norvegicus em três sistemas de acasalamento: monogâmico permanente, com um casal mantido permanentemente em cada gaiola; poligâmico permanente, com duas matrizes e um macho, mantidos permanentemente em cada gaiola; e poligâmico temporário, em que o macho foi mantido na gaiola com duas matrizes até a certificação de cada cópula e, em seguida, foi retirado, retornando após o desmame das ninhadas. Para isso, 69 fêmeas de 90 dias de idade (matrizes foram aleatoriamente distribuídas nos três grupos. As avaliações compreenderam cinco ciclos reprodutivos por matriz. Foram obtidas ninhadas mais pesadas a desmama no sistema poligâmico temporário. Além disso, não houve mortalidade de matrizes neste sistema, o que é um indicador importante de bem estar animal. No sistema monogâmico permanente, o intervalo de tempo necessário para produzir um filhote desmamado por matriz foi menor que nos sistemas poligâmicos. Deve-se considerar, no entanto, que este sistema requer o dobro do número de gaiolas e de machos reprodutores que os poligâmicos. Portanto, o sistema poligâmico temporário pode ser recomendado nas colônias de expansão e produção de ratos Wistar, com a ressalva de que necessita de mão de obra qualificada para identificação de cópula nas matrizes e manejo de rotação dos machos.The objective was to evaluate the productivity and production uniformity of Wistar female rats (Rattus norvegicus submitted to three mating systems: permanent monogamous, with a couple permanently maintained in each cage, permanent polygamous, with two females and one male permanently maintained in each cage, and temporary polygamous in which a male was maintained in a cage with two females until each mating was verified and was removed afterwards, returning after both litters were weaned. For that, 69 90-days-old females were randomly assigned to three

  10. Lessons in redesigning a quality program across the continuum.

    Science.gov (United States)

    Brown, Diane Storer; Church, Lauri; Heywood, Terry; Hills, John F; McCarthy, Sarah; Serway, Cindy

    2003-01-01

    The Kaiser Permanente North East Bay service area redesigned its quality program beginning in 1995, to better mirror how care was provided across the continuum. The old model had evolved over time, was based on departmental structure, and did not focus on all patient populations. The purpose of this article is to describe the redesign process, the quality model implemented, and future directions, with the hope that the lessons learned will provide other healthcare quality professionals some of the knowledge needed and, perhaps, the courage to "design" their quality programs.

  11. Model-based benefit-risk assessment: can Archimedes help?

    Science.gov (United States)

    Krishna, R

    2009-03-01

    In December 2008, the US Food and Drug Administration issued a new draft Guidance for Industry on Diabetes Mellitus--evaluating cardiovascular risk in new antidiabetic therapies to treat Type 2 diabetes. This guidance comes at a time when recent discussions have focused on delineation of cardiovascular risk reduction for new antidiabetic drugs. Computational tools that can enable early prediction of cardiovascular risk are reviewed with specific reference to Archimedes (Kaiser Permanente), with an aim of proposing a model-based solution and enabling decisions to be made as early as possible in the drug development value chain.

  12. Does Consuming Sugar and Artificial Sweeteners Change Taste Preferences?

    Science.gov (United States)

    Bartolotto, Carole

    2015-01-01

    Americans consume 22.3 teaspoons of added caloric sweeteners a day. Sweeteners range from 180 to 13,000 times sweeter than sugar. In summer 2014, 20 people from Kaiser Permanente California facilities cut out all added sugars and artificial sweeteners for 2 weeks: 95% of participants found that sweet foods and drinks tasted sweeter or too sweet, 75% found that other foods tasted sweeter, and 95% said moving forward they would use less or even no sugar. Additionally, 86.6% of participants stopped craving sugar after 6 days.

  13. Managing E-mail Interactions with Patients: A Discussion with Clinicians in Evaluating the Personal Health Link Project.

    Science.gov (United States)

    Serrato, Carl A; Retecki, Sally

    2004-01-01

    One software feature in the Personal Health Link (PHL) Project allows members of Kaiser Permanente to send secure e-mail messages to clinicians and staff. As an early step in the PHL evaluation process, a group of primary care physicians met to discuss their opinions and experiences with e-mail interactions with patients and to suggest strategies for effectively managing these e-mail interactions. Most clinicians spoke from their experience with e-mail interactions with patients in a conventional e-mail environment; only one clinician in the group was using PHL.

  14. The Origin of the United Nations "Global Counter-Terrorism System"

    Directory of Open Access Journals (Sweden)

    William B. Messmer

    2010-11-01

    Full Text Available Este artículo explica los orígenes de sistema global antiterrorista de las Naciones Unidas. Nosotros argüimos que tres factores determinan las características de un sistema descentralizado y de estados centralizados. El primero es la reacción de la ONU contra los ataques terroristas del 11 de septiembre de 2001. El segundo factor es la cada vez mayor relevancia de las redes de gobierno transnacional. La tercera fuerza son los intereses y los asuntos del Consejo de Seguridad permanente, que últimamente determina la arquitectura del sistema.9/11, United Nations, Security Council, transnacional governance networks,counter-terrorism system.___________________________ABSTRACT:This article explains the origins of the United Nations’ global counter-terrorism system. We argue that three factors shaped the system’s decentralized and state-centered characteristics. The first is the UN’s reactions to terrorism prior to the attacks of 11 September 2001. The second factor is the growing relevance of transnational governance networks. The third force is the interests and concerns of the Security Council’s permanent representative interests, which ultimately shaped the system’s architecture.Keywords: 9/11; United Nations; Security Council; transnacional governance networks; counter-terrorism system

  15. A new web-based system to improve the monitoring of snow avalanche hazard in France

    Science.gov (United States)

    Bourova, Ekaterina; Maldonado, Eric; Leroy, Jean-Baptiste; Alouani, Rachid; Eckert, Nicolas; Bonnefoy-Demongeot, Mylene; Deschatres, Michael

    2016-05-01

    Snow avalanche data in the French Alps and Pyrenees have been recorded for more than 100 years in several databases. The increasing amount of observed data required a more integrative and automated service. Here we report the comprehensive web-based Snow Avalanche Information System newly developed to this end for three important data sets: an avalanche chronicle (Enquête Permanente sur les Avalanches, EPA), an avalanche map (Carte de Localisation des Phénomènes d'Avalanche, CLPA) and a compilation of hazard and vulnerability data recorded on selected paths endangering human settlements (Sites Habités Sensibles aux Avalanches, SSA). These data sets are now integrated into a common database, enabling full interoperability between all different types of snow avalanche records: digitized geographic data, avalanche descriptive parameters, eyewitness reports, photographs, hazard and risk levels, etc. The new information system is implemented through modular components using Java-based web technologies with Spring and Hibernate frameworks. It automates the manual data entry and improves the process of information collection and sharing, enhancing user experience and data quality, and offering new outlooks to explore and exploit the huge amount of snow avalanche data available for fundamental research and more applied risk assessment.

  16. Perda precoce de molares permanentes e fatores associados em escolares de 9, 12 e 15 anos da rede pública municipal de Campina Grande, Estado da Paraíba, Brasil - doi: 10.4025/actascihealthsci.v33i1.8373 Early loss of permanent molars and associated factors in schoolchildren aged 9, 12 and 15 years attending public schools in Campina Grande, Paraíba State, Brazil - doi: 10.4025/actascihealthsci.v33i1.8373

    Directory of Open Access Journals (Sweden)

    Sérgio D’Avila Lins Bezerra Cavalcanti

    2011-05-01

    Full Text Available Este estudo avaliou a perda precoce de molares permanentes em escolares da rede pública de Campina Grande, Estado da Paraíba, com idades de nove, 12 e 15 anos. A amostra compreendeu 873 escolares, aleatoriamente selecionados. O instrumento de coleta consistiu de um questionário e de uma ficha clínica. As variáveis do estudo compreenderam os aspectos relativos à perda dentária (tipo de elemento dental, localização na arcada dentária e a região do arco, à prevenção e à autopercepção em saúde bucal. A análise estatística compreendeu a distribuição de frequências e os testes do Qui-quadrado e Exato de Fisher. Os resultados revelaram a prevalência de 17,2% de perda dentária, sem diferenças entre os sexos, frequência de escovação e palestra educativa (p > 0,05. Os elementos dentários 36 (42,5% e 46 (33,9% foram os mais frequentemente perdidos. Observou-se a associação positiva entre perda dentária e as variáveis idade, visita ao cirurgião-dentista (OR = 2,19; IC95%: 1,35-3,59, satisfação com o sorriso (OR = 0,40; IC95%: 0,24-0,65 e a dificuldade na mastigação (OR = 2,16; IC95%: 1,48-3,16. Conclui-se que a prevalência da perda precoce de molares permanentes foi elevada, sendo necessária a imediata adoção de ações curativas a fim de reduzir a perda precoce desses elementos dentários.This study evaluate the early loss of permanent molars in schoolchildren aged 9, 12 and 15 years attending public schools in the city of Campina Grande, Paraíba State, Brazil. The sample was composed of 873 randomly selected schoolchildren. The instrument for data collection was a questionnaire and a clinical chart. The following variables were analyzed: tooth loss (tooth type, localization in the dental arch and region of the arch, prevention and self-perception of oral health. The statistical analysis was done by frequency distribution and the chi-square and fisher’s exact tests were used. The results showed a prevalence of

  17. Cooperación interjurisdiccional en el MERCOSUR: La primera solicitud de opinión consultiva de la Corte Suprema de Justicia de la Nación argentina al Tribunal Permanente de Revisión del MERCOSUR: el caso Sancor

    Directory of Open Access Journals (Sweden)

    Luciano Donadio

    2010-01-01

    Full Text Available This article discusses the request for an advisory opinion originated in Case "Sancor c/ Dirección General de Aduanas". This case emerged from the resolution of the Argentine Ministry of Economy which set export duties of 5% to certain milk products, without discriminating the destination of them, i.e. including members and as well as non-members of the Southern Common Market (MERCOSUR. In this way, and after a long judicial process, in October 2009 Argentina’s Supreme Court of Justice (CSJN requested an advisory opinion to the Permanent Review Court of the MERCOSUR, asking the question "Does the Treaty of Asunción require Member States of MERCOSUR the obligation not to impose duties on exports of goods which are originated in one of them and which have another Member State as its final destination?" This article describes the historical circumstances surrounding the Argentine governmental measure, and then analyzes three specific issues related to the request of the advisory opinion by the Supreme Court: 1 the place of international law in the Argentine legal system, 2 the procedural legitimacy of the decision of the Court, and 3 some substantial topics involved in the requested advisory opinion.

  18. Políticas públicas para educação de jovens e adultos no Brasil: a permanente (reconstrução da subalternidade - considerações sobre os Programas Brasil Alfabetizado e Fazendo Escola Public policy for youth and adult education in Brazil: non-commission permanent (rebuilding - considerations about Literate Brazil and Doing School Programs

    Directory of Open Access Journals (Sweden)

    Sonia Maria Rummert

    2007-01-01

    adult education represent reorganization of the same logic that always guided youth and adult education policy in Brazil; a policy that consists in sociability necessity of capital itself. Thus, compensatory and superficial education policies reinforces non-commission of educational proposals for working class by economical reorganization that produces structural unemployment and new ideological formulations centered on enterprising and employment. This text focuses Literate Brazil Program as well as Doing School Program inside the complex of govern policy for education, intending to clear up how much such policy reasserts selective and excluding characteristics of Brazilian public education system.

  19. Diagnóstico do estado nutricional dos atletas da Equipe Olímpica Permanente de Levantamento de Peso do Comitê Olímpico Brasileiro (COB Diagnostico del estado nutricional de los deportistas del equipo olímpico nacional de levantamiento de pesas del Comité Olímpico Brasileño (COB Diagnosis of the nutritional status of the Weight Lifting Permanent Olympic Team athletes of the Brazilian Olympic Committee (COB

    Directory of Open Access Journals (Sweden)

    Carlos Augusto Costa Cabral

    2006-12-01

    Full Text Available Objetivou-se neste estudo diagnosticar o estado nutricional da Equipe Olímpica Permanente de Levantamento de Peso do Comitê Olímpico Brasileiro (COB. A amostra foi composta por 24 atletas, na faixa etária entre 16 e 23 anos, sendo 12 do sexo masculino (19,7 ± 2,4 anos e 12 do feminino (19,2 ± 1,8 ano. Realizou-se o seguinte procedimento para o diagnóstico do estado nutricional: análise da adequação da ingestão de energia e dos macronutrientes - carboidratos (CHO, lipídios (LIP e proteínas (PRO -, por meio dos métodos Recordatório de 24 horas e Questionário de Freqüência de Consumo Alimentar, além da caracterização do perfil antropométrico. Os resultados da avaliação dietética indicaram que a distribuição energética entre os macronutrientes encontra-se adequada sendo de 54 ± 6,8% (CHO; 28,5 ± 5,9% (LIP; e 14,5 ± 3,4% (PRO para os homens e 56,3 ± 4,7% (CHO; 28,6 ± 4,6% (LIP; e 13,7 ± 2,4% (PRO para a equipe feminina. Entretanto, quanto ao consumo energético total, 83% dos atletas estavam com ingestão energética abaixo dos valores recomendados, considerando o alto nível de atividade física, promovendo deficiência calórica diária. O percentual de gordura corporal dos atletas do sexo masculino (3,6 ± 0,7% indicou que todos estavam abaixo do padrão de referência, enquanto 58% dos esportistas do sexo feminino apresentavam excesso de gordura (17,9 ± 5,8%. Tem-se, como conclusão, que, apesar de os desportistas avaliados terem realizado distribuição energética adequada entre os macronutrientes, esta ainda não foi suficiente para suprir as exigências energéticas da modalidade, necessitando assim de orientação nutricional.El objetivo de este estudio fue diagnosticar el estado nutricional de los deportistas del equipo olímpico nacional de levantamiento de pesas del Comité Olímpico Brasileño (COB. La muestra estuvo compuesta por 24 deportistas, con edades entre 16 y 23 años, siendo 12 hombres (19,7

  20. Kaiserkult und Stadt. Kultstätten für römische Kaiser in Asia und Galatia

    OpenAIRE

    Süß, Jürgen

    2015-01-01

    In dieser Studie werden Kaiserkultstätten in den römischen Provinzen Asia und Galatia hinsichtlich ihrer Lage, urbanistischen Einbindung, Form und Ausstattung untersucht. Auf diese Weise wird deutlich, wie sich der römische Herrscherkult auf das antike Stadtbild auswirkte und welches Bild von den Kaisern vermittelt wurde. Ein weiterer Teil befasst sich mit den Stiftern und Förderern der Bauprojekte. Dabei kommen römische wie einheimische Interessen zum Vorschein.

  1. Fingerprint test data report: FM 5064J (Kaiser) lots No. 1 (K) - No. 4 (K). [resin matrix composites

    Science.gov (United States)

    1986-01-01

    Quality control tests are presented for resin matrix and carbon-carbon composites. Tests performed are filler test, resin test, prepregs test, and fabric test. The test results are presented in chart form.

  2. David oder Salomon? : Studien zur Rezeptionsgeschichte Kaiser Ludwigs des Frommen in der Historiographie des 9. bis 13. Jahrhunderts

    OpenAIRE

    Nelsen-Minkenberg, Heike

    2004-01-01

    The thesis refers to the history of reception of emperor Louis the Pious in historiographic literature from Carolingian times up to the 13th century. Louis’ contemporaries – like Thegan, Astronomus, Nithard and Ermoldus Nigellus – understand his reign as presence, which they try to influence. Political support or opposition is expressed by the omission or misrepresentation of facts. During the following generations, the reign of Louis the Pious is taken as a recent and still influential past ...

  3. An approach to fault diagnosis of reciprocating compressor valves using Teager-Kaiser energy operator and deep belief networks

    NARCIS (Netherlands)

    Tran, V.T.; Thobiani, Faisal Al; Ball, Andrew David

    2014-01-01

    This paper presents an approach to implement vibration, pressure, and current signals for fault diagnosis of the valves in reciprocating compressors. Due to the complexity of structure and motion of such compressor, the acquired vibration signal normally involves transient impacts and noise. This

  4. Trends in hospital bed utilisation in New Zealand 1989 to 2006: more or less beds in the future?

    Science.gov (United States)

    Malcolm, Laurence

    2007-10-26

    Reduction in hospital bed utilisation has been a key factor in controlling costs in recent decades in many health systems, including New Zealand's. This paper has the following aims: to analyse trends in hospital bed utilisation from 1988 to 2006; to examine variation between district health boards (DHBs); to consider factors which may explain the trends observed; to compare the results with international trends; and to discuss future need for beds and factors affecting this need, including the integrated DHB system. Ministry of Health Hospital Throughput reports for 1988/89 to 2005/06 were accessed and present standardised, filtered, and truncated data on discharges, average length of stay (ALOS), bed days, and DHB comparisons. Data on beds were also obtained from the Private Surgical Hospitals Association. Rates of utilisation were calculated using Statistics New Zealand and the Ministry of Health population data. Australian, UK, and US comparisons were obtained. The New Zealand data showed a continuing rise in discharge rates, especially case weighted. This was almost entirely due to the increase in day patients. There was a marked downward trend in bed day rates due to a more than 50% decline in the ALOS and a corresponding decline in bed availability. There was a marked variation between DHBs in standardised discharge ratios in 2005/06, with low rates indicating potential benchmarks to which higher utilisation DHBs might aspire. New Zealand was well ahead of both Australia and the UK National Health System (NHS) in reducing bed utilisation but comparisons with Kaiser Permanente indicated that DHBs could potentially, even dramatically, reduce bed utilisation through reducing admissions. The findings point to important progress in New Zealand in containing costs associated with hospital bed utilisation. Future strategies need to focus strongly on reducing hospital admissions through PHO action to provide community alternatives and chronic disease management.

  5. Acute pyelonephritis in pregnancy: an 18-year retrospective analysis.

    Science.gov (United States)

    Wing, Deborah Ann; Fassett, Michael John; Getahun, Darios

    2014-03-01

    We sought to describe the incidence of acute pyelonephritis in pregnancy, and to assess its association with perinatal outcomes in an integrated health care system. A retrospective cohort study was performed using medical records on 546,092 singleton pregnancies delivered in all Kaiser Permanente Southern California hospitals from 1993 through 2010. These medical records include the perinatal service system along with inpatient and outpatient encounter files. Adjusted odd ratios (ORs) and 95% confidence intervals (CIs) were used to estimate associations. The incidence of acute antepartum pyelonephritis was 0.5% (2894/543,430). Women with pyelonephritis in pregnancy were more likely to be black or Hispanic, young, less educated, nulliparous, initiate prenatal care late, and smoke during pregnancy. Pregnancies of women with pyelonephritis compared to those without were more likely to be complicated by anemia (26.3% vs 11.4%; OR, 2.6; 95% CI, 2.4-2.9), septicemia (1.9% vs 0.03%; OR, 56.5; 95% CI, 41.3-77.4), acute pulmonary insufficiency (0.5% vs 0.04%; OR, 12.5; 95% CI, 7.2-21.6), acute renal dysfunction (0.4% vs 0.03%; OR, 16.5; 95% CI, 8.8-30.7), and spontaneous preterm birth (10.3% vs 7.9%; OR, 1.3; 95% CI, 1.2-1.5). Most of the preterm births occurred between 33-36 weeks (9.1%). We characterize the incidence of pyelonephritis in an integrated health care system where routine prenatal screening for asymptomatic bacteriuria is employed. Maternal complications are commonly encountered and the risk of preterm birth is higher than the baseline obstetric population. Copyright © 2014 Mosby, Inc. All rights reserved.

  6. Association between personal health record enrollment and patient loyalty.

    Science.gov (United States)

    Turley, Marianne; Garrido, Terhilda; Lowenthal, Alex; Zhou, Yi Yvonne

    2012-07-01

    To examine the association between patient loyalty, as measured by member retention in the health plan, and access to My Health Manager (MHM), Kaiser Permanente's PHR, which is linked to its electronic health record, KP HealthConnect. We conducted a retrospective cohort observational quality improvement project from the third quarter of 2005 to the fourth quarter of 2008 for approximately 394,000 Kaiser Permanente Northwest members. To control for self-selection bias, we used propensity scores to perform exact 1-to-1 matching without replacement between MHM users and nonusers. We estimated retention rates of the matched data and assessed the association between MHM use and retention versus voluntary termination. We also estimated odds ratios of significant variables impacting member retention. The probability of remaining a member or being involuntarily terminated versus voluntary termination was 96.7% for users (95% confidence interval [CI], 96.6%-96.7%) and 92.2% for nonusers (95% CI, 92.1%-92.4%; P loyalty, retention is critical to healthcare organizations.

  7. Bacteria, some permanent tenants Space Station; Bacteria, unos inquilinos permanentes de la estacion espacial

    Energy Technology Data Exchange (ETDEWEB)

    Diaz, B.

    2015-07-01

    Vacuum cleaners to operate the vacuum or rags with ethanol they are the products of cleaning of the astronauts. Is there tight spaces fully sterilized? It seems not, even in the Space Station International (ISS). When it comes to bacteria, they are able to travel more than 400 kilometers housed in costumes, bodies and interior of the astronauts themselves and settle in a enclosed space where-unlike in a {sup c}leanroom 'terrestre- the air is not recycled. A NASA study has found an abundance of bacteria 'opportunists' which, although harmless on Earth, they might derivasen cause infections in inflammations or skin irritations. Not forgetting those fungi that could damage or affect the infrastructure equipment space. (Author)

  8. Formación permanente para el profesorado de ciencias en un CEP

    OpenAIRE

    2009-01-01

    Esta aportación expone la línea formativa que se está llevando a cabo, desde el curso 2005-2006, para el profesorado de áreas del ámbito científico-tecnológico en sus diferentes etapas educativas no universitarias, en el Centro del Profesorado de Málaga, como respuesta a la demanda que la sociedad actual plantea a la función docente. El Plan de Actuación se programa teniendo en cuenta la realidad de nuestros centros, sus dificultades, problemáticas y logros, así como las competencias profesio...

  9. El Programa Nacional de Formación y Capacitación Permanente (Pronafcap)

    OpenAIRE

    Catherine Paola Rodríguez Manrique

    2010-01-01

    This article describes the main characteristics of the Teacher Training National Program that is leading by the Peruvian government since 2007 addresses to basic education teachers. Previous public training programs to teachers have mentioned as backgrounds of the present Program. In addition the author focuses on the political, pedagogy, economics, and assessment dimensions of the Program. Este artículo presenta una sistematización de las características más relevantes del Programa Nacion...

  10. NORMAS DE DIAGNOSTICO (DRIS) PARA LA FERTILIZACIÓN DE LAS PRADERAS PERMANENTES

    OpenAIRE

    Rodriguez, Maria; Besga Salazar, Julia; Besga Salazar, Gerardo

    2011-01-01

    El análisis foliar, bien a través del nivel crítico de nutrientes o de los rangos de suficiencia, ha sido ampliamente usado en el pasado para diagnosticar el estado nutritivo de los cultivos. Como solución para resolver los problemas asociados con estos dos sistemas, BEAUFILB desarrolló el Sistema Integrado de Diagnóstico y Recomendación (DRIS). Se han obtenido las normas DRIS para el trébol blanco a partir de una base de datos proveniente de resultados de experimentos de fertilización establ...

  11. Los estudios sobre conflicto armado y paz: un campo en evolucion permanente.

    Directory of Open Access Journals (Sweden)

    Carlo Nasi.

    2005-07-01

    Full Text Available The pervasive effect of armed conflicts on affected societies has kept scholars busy around the world. Since the end of the Cold War in particular, the number of explanatory efforts attributing armed conflict not only to the bipolar confrontation among the world’s super powers but to complex internal and external political, economic, and social dynamics of conflict-ridden countries has increased. In Colombia, decades of armed conflict have nurtured a prolific academic production. This article identifies some of the main lines of research on the topic of armed conflicts and peace studies. It suggests that with the passage of time, the literature has gained in complexity, diversity, and sophistication, displaying a notorious capacity to adapt and transform in the face of new conceptual and empirical challenges.

  12. Sensitivity of permanent meadows areas. Preliminary report; Sensibilite des zones de prairies permanentes. Rapport preliminaire

    Energy Technology Data Exchange (ETDEWEB)

    Pourcelot, L

    2006-07-01

    The objective of this work proposed in the framework of the S.E.N.S.I.B. project on the permanent meadows areas is to compare the sensitivity of these surfaces and cheese maker sector which are associated with them, and to identify the processes which determine this sensitivity. The realization of this objective will lean on certain data of activities acquired recently by the I.R.S.N. (compartments: soils, herb, milk and cheese), as well as on new measures, on three sites: Saint-Laurent-de-Geris ( West), Beaune-Le-Froid ( center), and Massif of Jura (East). Two scales of transfers observation and sensitivity are retained. In a first time, the sensitivity of meadows areas will studied at the regional scale, from data acquired in the Massif du Jura ( between 300 and 1200 metres up). In a second time, a study will allow to compare the sensitivity of three areas retained (West, Center, East) at the national scale. The expertise will be focused on the factors of sensitivity of the transfer soil-herb and the factors of sensitivity bound to the cheese makers sectors. The data of the already available zones of study create strong variabilities of the rates of {sup 137}Cs transfer in the interfaces soil / herb and herb / milk, letting suppose that the nature of soils, the quantity and the quality of food ingested by the cattle constitutes dominating factors of sensitivity. Besides, the size of the basin of milk collection, extremely variable from a site of study in the other one, has to influence the contamination of cheeses and as such, it establishes an important factor of sensitivity of the cheese makers sector. (N.C.)

  13. Hydrodynamic analysis of propellers under steady state operation; Analise hidrodinamica de propulsores em regime permanente

    Energy Technology Data Exchange (ETDEWEB)

    Conceicao, Carlos Antonio Levi da; Troyman, Antonio Carlos Ramos [Universidade Federal, Rio de Janeiro, RJ (Brazil). Programa de Engenharia Oceanica

    1995-07-01

    Surface panel method has been applied to the propeller analysis. For the propeller modeling, the boss and blades surfaces have been discretized in quadrilateral panels with dipoles and sources constant distributions. The surface of the blade wakes have been represented by panels with dipole constant distributions. This discussion focused only the propeller under steady state operation.

  14. Microdureza del esmalte dental en incisivos centrales permanentes de dos genotipos bovinos

    Directory of Open Access Journals (Sweden)

    Jorge Cabrera A

    2011-04-01

    Full Text Available Objetivo. Evaluar la microdureza del esmalte dental de novillos criollos de origen patagónico y cruza índica criados en ambientes diferentes. Materiales y métodos. Se utilizaron dientes incisivos centrales derechos de novillos adultos: ocho Criollos Patagónicos (GCP y siete Cruzas Índicas (GCI. Para cada diente se definió una transecta central recorriendo el diente desde el borde externo del esmalte hacia la dentina y se midió la dureza en tres profundidades equidistantes: a 30 μ del borde exterior (P1, a 30 μ previos a la conexión amelodentinaria (P3 y P2 equidistante entre P1 y P3. Las mediciones de microdureza se realizaron con un microdurómetro Shimadzu modelo HMV-2 y se expresaron en unidades Vickers. Para el análisis se utilizó un modelo de regresión aleatoria. Se empleó el criterio de información de Akaike para la elección de la estructura de las matrices asociadas a los efectos aleatorios. Para el análisis estadístico se empleó el procedimiento PROC MIXED de SAS, y un nivel de significación del 5%. Resultados. No se detectó falta de paralelismo entre los grupos (p>0.05, con lo cual se ajustaron rectas de igual pendiente en cada grupo. La dureza media del esmalte disminuyó al aumentar la profundidad de la medición para ambos genotipos. Se observó heterogeneidad en la variabilidad de los grupos. Conclusiones. El GCP presentó mayor dureza pero fue el de mayor variabilidad. Se confirma la disminución de la dureza media con el aumento de la profundidad en el esmalte independientemente del genotipo y el ambiente.

  15. El tribunal permanente de justicia penal internacional: un punto de vista uruguayo

    Directory of Open Access Journals (Sweden)

    Héctor Gros Espiell

    2015-09-01

    Full Text Available No puede dudarse de la importancia jurídica y política -para el desarrollo del Derecho Internacional, para el futuro de los Derechos Humamos y para las relaciones internacionales en general- de la adopción en Roma, en julio de 1998, del proyecto del Estatuto de un Tribunal de Justicia Internacional

  16. Los juristas y la verdad: triunfos y derrotas de una investigacion permanente

    National Research Council Canada - National Science Library

    Errera, Andrea

    2013-01-01

    ...? El presente articulo nos muestra como la respuesta a este interrogante ha sido el motor constante de la evolucion y de las transformaciones del derecho, respuesta, por lo demas, ligada historicamente...

  17. El Programa Nacional de Formación y Capacitación Permanente (Pronafcap

    Directory of Open Access Journals (Sweden)

    Catherine Paola Rodríguez Manrique

    2010-12-01

    Full Text Available This article describes the main characteristics of the Teacher Training National Program that is leading by the Peruvian government since 2007 addresses to basic education teachers. Previous public training programs to teachers have mentioned as backgrounds of the present Program. In addition the author focuses on the political, pedagogy, economics, and assessment dimensions of the Program.

  18. LOS caminos de la educación cívico-moral. Un debate permanente

    Directory of Open Access Journals (Sweden)

    Andrés SORIANO

    2009-11-01

    Full Text Available RESUMEN: En el último cuarto de siglo, los estudios y proyectos sobre educación moral han experimentado un notable desarrollo. Tanto en el marco de las experiencias prácticas como en el de la reflexión teórica, los planteamientos se han multiplicado exponencialmente y en distintos países esta preocupación ha adoptado dinámicas y perspectivas diferentes. Con el nombre o la forma que sea, no hay concepción en el campo educativo que no considere la importancia central de la educación moral. En este trabajo, se han seleccionado algunas temáticas, debates y autores que nos parecen representativos de las tendencias actuales en educación moral y hemos planteado una discusión con respecto a dos cuestiones básicas: cuáles deben ser los caminos y los contenidos de la educación cívica y ética, y qué aspectos deben considerarse para formar moralmente a las personas desde una perspectiva integral.ABSTRACT: In the last twenty-five years, studies and projects on moral and political education have undergone remarkable development. The principles have been exponentially multiplied in both the framework of practical experiences and in the theoretical field. Also, in different countries this concern has adopted different dynamics and perspectives. Whatever its name and form, there is no conception in the educational field that does not take into consideration the central importance of moral and political education. In this work, some issues, debates and authors, all of them representative of current trends in moral and political education, have been selected and we have raised a discussion with respect to two basic questions: which must be the ways and the contents of civic and ethical education, and which aspects must be considered in order to educate people morally from an integral perspective.SOMMAIRE: Dans les années 70 du XXe siècle, les études et les projets versant sur l'éducation morale ont connu un notable développement. Soit dans le cadre des expériences pratiques soit dans celui de la réflexion théorique, les approches se sont multipliées exponentiellement et ont adopté différentes perspectives et dynamiques selon les pays. Quelque soit le nom ou la forme acquis, tous les champs pédagogiques considèrent l'éducation morale d'une importance fondamentale. Dans ce travail, quelques thématiques, débats et auteurs nous semblant représentatifs des tendance actuelles ont été sélectionnés et une discussion sur deux questions de base est lancée: en premier lieu, quels devraient être les routes et les contenus de l'éducation civique et éthique et, en second lieu, quels aspects devraient être pris en considération pour former moralement les individus d'après une perspective intégrale.

  19. Educación permanente y continua en una perspectiva de integridad del ser

    Directory of Open Access Journals (Sweden)

    Simón Alberto Illescas Prieto

    2015-12-01

    Full Text Available La universidad del siglo XXI está cada vez más necesitada de enfrentar los desafíos que la sociedad contemporánea le impone, sobre todo lo relacionado con la producción y la transmisión de la cultura y la formación de profesionales que demandan una elevada preparación desde lo científico y lo investigativo. Por lo que cada vez más, se precisa generar en las instituciones de educación superior, desde la docencia y la investigación una relación articulada entre la teoría y la práctica en los escenarios reales de actuación de los futuros profesionales, con la intención de que los estudiantes universitarios tengan un desarrollo de sus habilidades investigativas. Los autores de este trabajo presentan un grupo de reflexiones teóricas sobre el tema y acciones prácticas orientadas a contribuir al desarrollo de las habilidades investigativas y a la búsqueda de la integración de los saberes que posibilite la formación integral de los futuros profesionales de la carrera de Psicología de la Universidad de Guayaquil, Ecuador.

  20. Metodo para montaje permanente de huevos de helmintos enteroparasitos Definitive preservation of helminthic eggs

    Directory of Open Access Journals (Sweden)

    Victor Muñoz

    1990-04-01

    Full Text Available Se comunican resultados obtenidos empleando Medio de Hoyer para el montaje de huevos de helmintos enteroparásitos, destinado a preparaciones para colecciones docentes y/o de investigación. La utilización de esta técnica en muestras fecales conteniendo huevos de A. lumbricoides, T. trichiura, Uncinaria sp., Taenia sp., Diphyllobothrium sp., H. nana, H. diminuta y F. hepática, permitió la correcta observación de ellos en lecturas iniciadas a las 24 horas y mantenidas hasta 180 días después.The results using the Hoyer method for examining eggs of helminths enteroparasites are presented. This method is particularly swited for teaching and on research purposes. Using this technique in fecal sample containing eggs of A.lumbricoides, T. trichiura, Uncinaria sp., Taenia sp., Diphyllobothrium sp., H. nana, H. diminuta and F. hepática allowed the correct identification of then after 24 hours up to 180 days after the samples were obtained.

  1. Permanenter Ausnahmezustand? Über Carl Schmitt, die Demokratie und das Getriebe der Zeit

    OpenAIRE

    Kaempfer, Wolfgang

    1996-01-01

    Die Struktur der Zeit ist – um es mit einem Heideggerschen Paradoxon zu sagen – das 'unverborgene Verborgene'. Sie läßt sich an den Erscheinungen nicht ablesen wie die Uhrzeit, sondern muß erschlossen werden. Dazu bedarf es des Rückgangs. Die Struktur der Zeit, so wie sie sich heute bietet, ist nicht erst »von gestern«. Sie hatte eine lange Inkubationszeit. Funktion und Dysfunktion der zeitgenössischen Demokratie lassen sich nicht verstehen, wenn wir diese Inkubationszeit unber...

  2. Manejo quirurgico y ortodontico del incisivo central permanente impactado en posicion ectopica: reporte de un caso

    National Research Council Canada - National Science Library

    Truque Martinez, Oscar Gerardo; Longlax Triana, Maria Carolina; Bendahan Alvarez, Zita Carolina; Ramirez Rodriguez, Katherine

    2014-01-01

    ... de germenes dentarios, perdida prematura de dientes temporales, retencion prolongada o anquilosis de dientes temporales, antecedentes de trauma maxilar, presencia de fisuras congenitas, quistes y tumores odontogenicos, cambios de habitos alimenticios, dientes supernumerarios que obstruyen la erupcion, fibrosis gingival o problemas de origen...

  3. Traumatismo dentário em dentição permanente jovem

    OpenAIRE

    2014-01-01

    Projeto de Pós-Graduação/Dissertação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Medicina Dentária Introdução: Estudos epidemiológicos indicam que o traumatismo dentário é um problema significativo em jovens 8-15 anos e que a sua incidência em determinadas faixas etárias pode ultrapassa o da cárie dentária e da doença periodontal. Deste modo, o traumatismo dentário é sinónimo de um problema de saude pública em que o seu aumento se...

  4. Quantum mechanics interpretation: scalled debate; La interpretacion de la teoria cuantica: un debate permanente

    Energy Technology Data Exchange (ETDEWEB)

    Sanchez Gomez, J. L.

    2000-07-01

    This paper discusses the two main issues of the so called quantum debate, that started in 1927 with the famous Bohr-Einstein controversy; namely non-separability and the projection postulate. Relevant interpretations and formulations of quantum mechanics are critically analyzed in the light of the said issues. The treatment is focused chiefly on fundamental points, so that technical ones are practically not dealt with here. (Author) 20 refs.

  5. Permanente sakrale Neuromodulation mittels InterStim®: Ergebnisse einer Anwendungsbefragung zu aktuellen technischen Entwicklungen

    Directory of Open Access Journals (Sweden)

    Sievert KD

    2007-01-01

    Full Text Available In den vergangenen über 20 Jahren wurde die sakrale Neuromodulation als klinische Therapie etabliert. Die anfängliche Indikation wurde ständig erweitert und umfaßt heute verschiedene Formen der Blasen- und Stuhlentleerungsstörung sowie eingeschränkt die Schmerztherapie im kleinen Becken. Fortwährend wurde die Technik der Implantation verbessert und die zur Verfügung stehende Hardware verkleinert. Als Resultat der konsequenten Weiterentwicklung wurde im letzten Jahr der miniaturisierte InterStim® II vorgestellt und dessen klinischer Einsatz durch versierte Operateure der unterschiedlichsten Disziplinen mittels einer internetbasierten Befragung beurteilt. Durch die Verwendung des InterStim® II werden im Vergleich zum InterStim® die operative Invasivität mit der Operationszeit und daraus resultierend der postoperative Schmerz gesenkt. Die neue Fernbedienung läßt einen weiteren Anstieg der Akzeptanz erwarten, da durch das Display der Fernbedienung der Patient die Einstellungen kontrollieren kann. Die weitere Miniaturisierung mit gleichzeitig erweiterter Programmierbarkeit des Implantates, der direkten Verbindung von Elektrode und Impulsgeber mit einer einzelnen Schraube verbessert die Option der Neuromodulation weiter. Die Entwicklungen unterstützen den minimal-invasiven Aspekt der InterStim®-Therapie, wodurch die Möglichkeit der ambulanten Therapieoption gegeben sein könnte. Es bleibt abzuwarten, ob die Therapie der Neuromodulation durch die erweiterten Programmiermöglichkeiten für den einzelnen Patienten in Zukunft noch individueller im chronischen Einsatz optimiert werden kann.

  6. Alpina: Innovación permanente para «sorprender» al cliente

    Directory of Open Access Journals (Sweden)

    Mauricio Nieto Potes

    2006-07-01

    Full Text Available Proceso llevado a cabo por ALPINA en el desarrollo de nuevos productos, incluyendo estudios de mercado y marketing, estudios de factibilidad técnica y la coherencia del producto con el enfoque de la empresa.

  7. Intérêt faunistique de la prairie permanente pâturée

    OpenAIRE

    Granval, P.; B. Muys; Leconte, D.

    2000-01-01

    Les prairies ont pour la faune sauvage une triple fonction en tant que lieu d'alimentation, de reproduction ou de refuge. Elles contribuent au maintien de la biodiversité animale, sous réserve de pratiques agricoles conciliables avec le maintien de ces fonctions, vitales pour la faune sauvage... Les prairies alimentent et accueillent le gibier herbivore. Mais par leur richesse en lombrics, elles contribuent également à l'alimentation de nombreuses autres espèces (oiseaux, mammifères, repti...

  8. ESQUEMA FLUX-SPLINE APLICADO A PROBLEMAS DIFUSIVOS TRIDIMENSIONAIS EM REGIME PERMANENTE

    Directory of Open Access Journals (Sweden)

    Paulo César Oliveira

    1999-12-01

    Full Text Available RESUMO Este trabalho teve por finalidade apresentar um esquema de discretização mais eficiente que o tradicional esquema de diferenças centrais, denominado Flux-Spline, a fim de simular, numericamente, problemas tridimensionais governados por difusão. A eficiência do esquema proposto foi avaliada por meio da resolução de problemas-teste com solução analítica conhecida. Verificou-se que tal esquema possui características adequadas de precisão e, portanto, uma opção recomendável para a solução de problemas difusivos tridimensionais.

  9. Avaliação de dentes decíduos e permanentes traumatizados

    OpenAIRE

    Macari, Karina Silva Moreira [UNESP

    2004-01-01

    É alta a incidência de traumatismos dentários principalmente nas crianças e nos adolescentes, sendo freqüente a ocorrência de complicações em decorrência destes traumas. Assim, realizou-se um estudo clínico e radiográfico de dentes anteriores decíduos e permane ntes traumatizados e também de dentes sucessores a decíduos traumatizados de crianças atendidas na Faculdade de Odontologia de Araçatuba - UNESP e na Fundação Educacional de Barretos - FEB, analisando a ocorrência de seqüelas e os fato...

  10. Identifying Factors Influencing the Establishment of a Health System Reform Plan in Iran's Public Hospitals

    Directory of Open Access Journals (Sweden)

    Rasul Fani khiavi

    2016-09-01

    Full Text Available In today's world, health views have found a wider perspective in which non-medical expectations are particularly catered to. The health system reform plan seeks to improve society's health, decrease treatment costs, and increase patient satisfaction. This study investigated factors affecting the successful establishment of a health system reform plan. A mixed qualitative – quantitative approach was applied to conduct to explore influential factors associated with the establishment of a health system reform plan in Iran's public hospitals. The health systems and approaches to improving them in other countries have been studied. A Likert-based five-point questionnaire was the measurement instrument, and its content validity based on content validity ratio (CVR was 0.87. The construct validity, calculated using the factorial analysis and Kaiser Mayer Olkin (KMO techniques, was 0.964, which is a high level and suggests a correlation between the scale items. To complete the questionnaire, 185 experts, specialists, and executives of Iran’s health reform plan were selected using the Purposive Stratified Non Random Sampling and snowball methods. The data was then analyzed using exploratory factorial analysis and SPSS and LISREL software applications. The results of this research imply the existence of a pattern with a significant and direct relationship between the identified independent variables and the dependent variable of the establishment of a health system reform plan. The most important indices of establishing a health system reform plan, in the order of priority, were political support; suitable proportion and coverage of services presented in the society; management of resources; existence of necessary infrastructures; commitment of senior managers; constant planning, monitoring, and evaluation; and presentation of feedback to the plan's executives, intrasector/extrasector cooperation, and the plan’s guiding committee. Considering the

  11. Design and implementation of population-based specialty care programs.

    Science.gov (United States)

    Botts, Sheila R; Gee, Michael T; Chang, Christopher C; Young, Iris; Saito, Logan; Lyman, Alfred E

    2017-09-15

    The development, implementation, and scaling of 3 population-based specialty care programs in a large integrated healthcare system are reviewed, and the role of clinical pharmacy services in ensuring safe, effective, and affordable care is highlighted. The Kaiser Permanente (KP) integrated healthcare delivery model allows for rapid development and expansion of innovative population management programs involving pharmacy services. Clinical pharmacists have assumed integral roles in improving the safety and effectiveness of high-complexity, high-cost care for specialty populations. These roles require an appropriate practice scope and are supported by an advanced electronic health record with disease registries and electronic surveillance tools for care-gap identification. The 3 specialty population programs described were implemented to address variation or unrecognized gaps in care for at-risk specialty populations. The Home Phototherapy Program has leveraged internal partnerships with clinical pharmacists to improve access to cost-effective nonpharmacologic interventions for psoriasis and other skin disorders. The Multiple Sclerosis Care Program has incorporated clinical pharmacists into neurology care in order to apply clinical guidelines in a systematic manner. The KP SureNet program has used clinical pharmacists and data analytics to identify opportunities to prevent drug-related adverse outcomes and ensure timely follow-up. Specialty care programs improve quality, cost outcomes, and the patient experience by appropriating resources to provide systematic and targeted care to high-risk patients. KP leverages an integration of people, processes, and technology to develop and scale population-based specialty care. Copyright © 2017 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

  12. Telephone-Based Coaching.

    Science.gov (United States)

    Boccio, Mindy; Sanna, Rashel S; Adams, Sara R; Goler, Nancy C; Brown, Susan D; Neugebauer, Romain S; Ferrara, Assiamira; Wiley, Deanne M; Bellamy, David J; Schmittdiel, Julie A

    2017-03-01

    Many Americans continue to smoke, increasing their risk of disease and premature death. Both telephone-based counseling and in-person tobacco cessation classes may improve access for smokers seeking convenient support to quit. Little research has assessed whether such programs are effective in real-world clinical populations. Retrospective cohort study comparing wellness coaching participants with two groups of controls. Kaiser Permanente Northern California, a large integrated health care delivery system. Two hundred forty-one patients who participated in telephonic tobacco cessation coaching from January 1, 2011, to March 31, 2012, and two control groups: propensity-score-matched controls, and controls who participated in a tobacco cessation class during the same period. Wellness coaching participants received an average of two motivational interviewing-based coaching sessions that engaged the patient, evoked their reason to consider quitting, and helped them establish a quit plan. Self-reported quitting of tobacco and fills of tobacco cessation medications within 12 months of follow-up. Logistic regressions adjusting for age, gender, race/ethnicity, and primary language. After adjusting for confounders, tobacco quit rates were higher among coaching participants vs. matched controls (31% vs. 23%, p Coaching participants and class attendees filled tobacco-cessation prescriptions at a higher rate (47% for both) than matched controls (6%, p coaching was as effective as in-person classes and was associated with higher rates of quitting compared to no treatment. The telephonic modality may increase convenience and scalability for health care systems looking to reduce tobacco use and improve health.

  13. Study protocol: The Adherence and Intensification of Medications (AIM study - a cluster randomized controlled effectiveness study

    Directory of Open Access Journals (Sweden)

    Selby Joe

    2010-10-01

    Full Text Available Abstract Background Many patients with diabetes have poor blood pressure (BP control. Pharmacological therapy is the cornerstone of effective BP treatment, yet there are high rates both of poor medication adherence and failure to intensify medications. Successful medication management requires an effective partnership between providers who initiate and increase doses of effective medications and patients who adhere to the regimen. Methods In this cluster-randomized controlled effectiveness study, primary care teams within sites were randomized to a program led by a clinical pharmacist trained in motivational interviewing-based behavioral counseling approaches and authorized to make BP medication changes or to usual care. This study involved the collection of data during a 14-month intervention period in three Department of Veterans Affairs facilities and two Kaiser Permanente Northern California facilities. The clinical pharmacist was supported by clinical information systems that enabled proactive identification of, and outreach to, eligible patients identified on the basis of poor BP control and either medication refill gaps or lack of recent medication intensification. The primary outcome is the relative change in systolic blood pressure (SBP measurements over time. Secondary outcomes are changes in Hemoglobin A1c, low-density lipoprotein cholesterol (LDL, medication adherence determined from pharmacy refill data, and medication intensification rates. Discussion Integration of the three intervention elements - proactive identification, adherence counseling and medication intensification - is essential to achieve optimal levels of control for high-risk patients. Testing the effectiveness of this intervention at the team level allows us to study the program as it would typically be implemented within a clinic setting, including how it integrates with other elements of care. Trial Registration The ClinicalTrials.gov registration number is NCT

  14. Accreditation Council for Graduate Medical Education Core Competencies at a Community Teaching Hospital: Is There a Gap in Awareness?

    Science.gov (United States)

    Al-Temimi, Mohammed; Kidon, Michael; Johna, Samir

    2016-01-01

    Reports evaluating faculty knowledge of the Accreditation Council for Graduate Medical Education (ACGME) core competencies in community hospitals without a dedicated residency program are uncommon. Faculty evaluation regarding knowledge of ACGME core competencies before a residency program is started. Physicians at the Kaiser Permanente Fontana Medical Center (N = 480) were surveyed for their knowledge of ACGME core competencies before starting new residency programs. Knowledge of ACGME core competencies. Fifty percent of physicians responded to the survey, and 172 (71%) of respondents were involved in teaching residents. Of physicians who taught residents and had complete responses (N = 164), 65 (39.7%) were unsure of their knowledge of the core competencies. However, most stated that they provided direct teaching to residents related to the knowledge, skills, and attitudes stated in each of the 6 competencies as follows: medical knowledge (96.3%), patient care (95.7%), professionalism (90.7%), interpersonal and communication skills (86.3%), practice-based learning (85.9%), and system-based practice (79.6%). Physician specialty, years in practice (1-10 vs > 10), and number of rotations taught per year (1-6 vs 7-12) were not associated with knowledge of the competencies (p > 0.05); however, full-time faculty (teaching 10-12 rotations per year) were more likely to provide competency-based teaching. Objective assessment of faculty awareness of ACGME core competencies is essential when starting a residency program. Discrepancy between knowledge of the competencies and acclaimed provision of competency-based teaching emphasizes the need for standardized teaching methods that incorporate the values of these competencies.

  15. Association Between Neighborhood Supermarket Presence and Glycated Hemoglobin Levels Among Patients With Type 2 Diabetes Mellitus.

    Science.gov (United States)

    Zhang, Y Tara; Mujahid, Mahasin S; Laraia, Barbara A; Warton, E Margaret; Blanchard, Samuel D; Moffet, Howard H; Downing, Janelle; Karter, Andrew J

    2017-05-16

    We estimated associations between neighborhood supermarket gain or loss and glycemic control (assessed by glycated hemoglobin (HbA1c) values) in patients from the Kaiser Permanente Northern California Diabetes Registry (n = 434,806 person-years; 2007-2010). Annual clinical measures were linked to metrics from a geographic information system for each patient's address of longest residence. We estimated the association between change in supermarket presence (gain, loss, or no change) and change in HbA1c value, adjusting for individual- and area-level attributes and according to baseline glycemic control (near normal, Supermarket loss was associated with worse HbA1c trajectories for those with good, moderate, and poor glycemic control at baseline, while supermarket gain was associated with marginally better HbA1c outcomes only among patients with near normal HbA1c values at baseline. Patients with the poorest baseline HbA1c values (≥9.0%) had the worst associated changes in glycemic control following either supermarket loss or gain. Differences were not clinically meaningful relative to no change in supermarket presence. For patients with type 2 diabetes mellitus, gaining neighborhood supermarket presence did not benefit glycemic control in a substantive way. The significance of supermarket changes on health depends on a complex interaction of resident, neighborhood, and store characteristics. © The Author 2017. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  16. Initial persistence with antihypertensive therapies is associated with depression treatment persistence, but not depression.

    Science.gov (United States)

    Schmittdiel, Julie A; Dyer, Wendy; Uratsu, Connie; Magid, David J; O'Connor, Patrick J; Beck, Arne; Butler, Melissa; Ho, Michael P; Vazquez-Benitez, Gabriela; Adams, Alyce S

    2014-06-01

    The purpose of this study was to examine the relationship between the presence of clinical depression and persistence to drug therapy treatment for depression with early nonpersistence to antihypertensive therapies in a large, diverse cohort of newly treated hypertension patients. Using a hypertension registry at Kaiser Permanente Northern California, the authors conducted a retrospective cohort study of 44,167 adults (18 years and older) with hypertension who were new users of antihypertensive therapy in 2008. We used multivariate logistic regression analysis to model the relationships between the presence of clinical depression and early nonpersistence (defined as failing to refill the first prescription within 90 days after the end of the first fill days' supply) to antihypertensive therapies, controlling for sociodemographic and clinical risk factors. Within the group of 1484 patients who had evidence of clinical depression in the 12 months prior to the initiation of antihypertensive therapy, the authors examined the relationship between drug therapy treatment for depression and 6-month persistence with antidepressant therapy with early nonpersistence with antihypertensive therapies. No association was found between the presence of clinical depression and early nonpersistence to antihypertensive therapies after adjustment for individual demographic and clinical characteristics and neighborhood-level socioeconomic status. However, among the subset of 1484 patients with documented evidence of clinical depression in the 12 months prior to the initiation of antihypertensive therapy, being prescribed and persistence with antidepressant therapy was strongly associated with lower odds of early nonpersistence to antihypertensive medications (odds ratio, 0.64; confidence interval, 0.42-0.96). In an integrated delivery system, the authors found that treatment for depression was associated with higher levels of antihypertensive persistence. Improving quality of depression

  17. Automated Assay of Telomere Length Measurement and Informatics for 100,000 Subjects in the Genetic Epidemiology Research on Adult Health and Aging (GERA) Cohort

    Science.gov (United States)

    Lapham, Kyle; Kvale, Mark N.; Lin, Jue; Connell, Sheryl; Croen, Lisa A.; Dispensa, Brad P.; Fang, Lynn; Hesselson, Stephanie; Hoffmann, Thomas J.; Iribarren, Carlos; Jorgenson, Eric; Kushi, Lawrence H.; Ludwig, Dana; Matsuguchi, Tetsuya; McGuire, William B.; Miles, Sunita; Quesenberry, Charles P.; Rowell, Sarah; Sadler, Marianne; Sakoda, Lori C.; Smethurst, David; Somkin, Carol P.; Van Den Eeden, Stephen K.; Walter, Lawrence; Whitmer, Rachel A.; Kwok, Pui-Yan; Risch, Neil; Schaefer, Catherine; Blackburn, Elizabeth H.

    2015-01-01

    The Kaiser Permanente Research Program on Genes, Environment, and Health (RPGEH) Genetic Epidemiology Research on Adult Health and Aging (GERA) cohort includes DNA specimens extracted from saliva samples of 110,266 individuals. Because of its relationship to aging, telomere length measurement was considered an important biomarker to develop on these subjects. To assay relative telomere length (TL) on this large cohort over a short time period, we created a novel high throughput robotic system for TL analysis and informatics. Samples were run in triplicate, along with control samples, in a randomized design. As part of quality control, we determined the within-sample variability and employed thresholds for the elimination of outlying measurements. Of 106,902 samples assayed, 105,539 (98.7%) passed all quality control (QC) measures. As expected, TL in general showed a decline with age and a sex difference. While telomeres showed a negative correlation with age up to 75 years, in those older than 75 years, age positively correlated with longer telomeres, indicative of an association of longer telomeres with more years of survival in those older than 75. Furthermore, while females in general had longer telomeres than males, this difference was significant only for those older than age 50. An additional novel finding was that the variance of TL between individuals increased with age. This study establishes reliable assay and analysis methodologies for measurement of TL in large, population-based human studies. The GERA cohort represents the largest currently available such resource, linked to comprehensive electronic health and genotype data for analysis. PMID:26092717

  18. Temporal Trends in Chorioamnionitis by Maternal Race/Ethnicity and Gestational Age (1995–2010

    Directory of Open Access Journals (Sweden)

    Michael J. Fassett

    2013-01-01

    Full Text Available Objective. To characterize trends in chorioamnionitis (CAM by maternal race/ethnicity and gestational age. Study Design. We examined trends in CAM from 1995–2010 among singleton births in all Kaiser Permanente Southern California hospitals (. Data were extracted from Perinatal Service System and clinical utilization records. Gestational age- and race/ethnicity-specific biannual diagnosis rates were estimated using the Poisson regression after adjusting for potential confounding factors. Results. Overall diagnosis rates of CAM increased from 2.7% in 1995-1996 to 6.0% in 2009-2010 with a relative increase of 126% (95% confidence intervals [CI] 113%–149%. From 1995-1996 to 2009-2010, CAM increased among the Whites (1.8% to 4.3%, -value for trend <.001, Blacks (2.2% to 3.7%, -value for trend <.001, Hispanics (2.4% to 5.8%, -value for trend <.001, and Asian/Pacific Islanders (3.6% to 9.0%, -value for trend <.001. The adjusted relative percentage change in CAM from 1995-1996 to 2009-2010 was for Whites [preterm 21% (9%–78%, term 138% (108%–173%], for Blacks [preterm 24% (−9%–81%, term 62% (30%–101%], for Hispanics [preterm 31% (3%–66%, term 135% (114%–159%], and for Asian/Pacific Islanders [preterm 44% (9%–127%, term 145% (109%–188%]. Conclusion. The findings suggest that CAM diagnosis rate has increased for all race/ethnic groups. This increase is primarily due to increased diagnosis at term gestation.

  19. Timely detection of localized excess influenza activity in Northern California across patient care, prescription, and laboratory data.

    Science.gov (United States)

    Greene, Sharon K; Kulldorff, Martin; Huang, Jie; Brand, Richard J; Kleinman, Kenneth P; Hsu, John; Platt, Richard

    2011-02-28

    Timely detection of clusters of localized influenza activity in excess of background seasonal levels could improve situational awareness for public health officials and health systems. However, no single data type may capture influenza activity with optimal sensitivity, specificity, and timeliness, and it is unknown which data types could be most useful for surveillance. We compared the performance of 10 types of electronic clinical data for timely detection of influenza clusters throughout the 2007/08 influenza season in northern California. Kaiser Permanente Northern California generated zip code-specific daily episode counts for: influenza-like illness (ILI) diagnoses in ambulatory care (AC) and emergency departments (ED), both with and without regard to fever; hospital admissions and discharges for pneumonia and influenza; antiviral drugs dispensed (Rx); influenza laboratory tests ordered (Tests); and tests positive for influenza type A (FluA) and type B (FluB). Four credible events of localized excess illness were identified. Prospective surveillance was mimicked within each data stream using a space-time permutation scan statistic, analyzing only data available as of each day, to evaluate the ability and timeliness to detect the credible events. AC without fever and Tests signaled during all four events and, along with Rx, had the most timely signals. FluA had less timely signals. ED, hospitalizations, and FluB did not signal reliably. When fever was included in the ILI definition, signals were either delayed or missed. Although limited to one health plan, location, and year, these results can inform the choice of data streams for public health surveillance of influenza.

  20. Evaluation following staggered implementation of the ‘Rethinking Critical Care’ ICU care bundle in a multi-center community setting

    Science.gov (United States)

    Liu, Vincent; Herbert, David; Foss-Durant, Anne; Marelich, Gregory P.; Patel, Anandray; Whippy, Alan; Turk, Benjamin J; Ragins, Arona I; Kipnis, Patricia; Escobar, Gabriel J

    2016-01-01

    Objective To evaluate process metrics and outcomes following implementation of the ‘Rethinking Critical Care’ (RCC) ICU care bundle in a community setting. Design, Setting, and Patients Patients admitted to the intensive care unit (ICU) at three hospitals in the Kaiser Permanente Northern California integrated healthcare delivery system between January 1, 2009 and August 30, 2013. Interventions and Measurements The RCC ICU care bundle is designed to reduce potentially preventable complications by focusing on the management of delirium, sedation, mechanical ventilation, mobility, ambulation, and coordinated care. RCC implementation occurred in a staggered fashion between October 2011 and November 2012. We measured implementation metrics based on electronic medical record data and evaluated the impact of implementation on mortality with multivariable regression models. Main Results We evaluated 24,886 first ICU episodes in 19,872 patients. After implementation, some process metrics (e.g., ventilation start and stop times) were achieved at high rates while others (e.g., ambulation distance), available late in the study period, showed steep increases in compliance. Unadjusted mortality decreased from 12.3% to 10.9% (p-value<0.01) before and after implementation, respectively. The adjusted odds ratio for hospital mortality after implementation was 0.85 (95% confidence interval, 0.73–0.99) and for thirty-day mortality was 0.88 (95% CI, 0.80–0.97) compared with before implementation. However, the mortality rate trends were not significantly different before and after RCC implementation. The mean duration of mechanical ventilation and hospital stay also did not demonstrate incrementally greater declines after implementation. Conclusions RCC implementation was associated with changes in practice and a 12% to 15% reduction in the odds of short-term mortality. However, these findings may represent an evaluation of changes in practices and outcomes still in the mid