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Sample records for oral integral para

  1. Integrative review on oral cancer

    Directory of Open Access Journals (Sweden)

    Luana Kelle Batista Moura

    2014-12-01

    Full Text Available Objetivo: Analisar estudos nacional e internacional sobre o câncer bucal. Método: Trata-se de uma revisão integrativa da literatura. Foram selecionados 28 artigos que atenderam aos critérios de inclusão da pesquisa. Os dados foram processados no software IRAMUTEC e analisados pela classificação hierárquica descendente com base no dendograma. Resultados: Foram apresentados em 05 classes, a saber: 1-A prevenção e o tratamento das morbidades orais. 2- A reabilitação do paciente com câncer de boca. 3-Qualidade de vida dos pacientes em terapia para câncer bucal. 4- A equipe profissional multidisciplinar de saúde nos cuidados de prevenção do câncer oral. 5- O rastreio do câncer oral para diminuição da prevalência. Conclusão: O câncer oral é um grave problema de saúde pública no Brasil e no mundo.  Há necessidade de maiores investimentos nas pesquisas relacionadas com o câncer bucal e implementação das políticas públicas para o rastreio do câncer oral e diminuição da prevalência.

  2. Sistema integral para viviendas unifamiliares -SIVIM-

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    Drágula, Josef

    1984-07-01

    Full Text Available The Integral System for Multi-family Housing —SIVIM— is a proposition combining a structural solution and a functional one. In the first, techniques developed in civil construction for reinforced concrete technology are incorporated in the production of buildings. The second one proposes a spatial solution appropriate to the users’ requirements. Thus, with this proposition, the aims of constructing mass, low-cost housing are maintained in countries with tropical climatesEl Sistema Integral para Viviendas Multifamiliares —SIVIM— es una proposición que combina una solución estructural y una solución funcional. En la primera, se incorporan técnicas desarrolladas en la construcción civil, para la tecnología del hormigón armado, a la producción de edificaciones. La segunda, propone una solución espacial apropiada a los requerimientos de los usuarios. Se mantiene así con esta proposición, las metas de la construcción masiva y del bajo costo de la vivienda en países de clima tropical

  3. Miltefosina oral para el tratamiento de la leishmaniasis

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    Jaime Soto

    2006-10-01

    Full Text Available La pérdida de la eficacia, las dificultades para su administración y el incremento en la frecuenciay la severidad de los efectos secundarios de las sales de antimonio pentavalente han forzadola búsqueda de un medicamento que pueda remplazarlas en el tratamiento de la leishmaniasis.Los estudios adelantados con medicamentos inyectables, orales y tópicos han arrojadoresultados inconsistentes y de poca utilidad en el Nuevo Mundo. Desde 1998 lahexadecilfosfocolina (miltefosina viene siendo utilizada con éxito en India en enfermos conleishmaniasis visceral y en 1999 se iniciaron los estudios clínicos en Colombia en pacientescon leishmaniasis cutánea. A la fecha se han tratado mas de 2.500 pacientes en India(leishmaniasis visceral por L. donovani y Colombia (leishmaniasis cutánea por L. panamensisy se han logrado tasas de curación superiores a 91% a la dosis recomendada de 2,5 mg / kgpeso / día durante 28 días continuos, sin que haya diferencia en la respuesta entre pacientesnuevos y los que presentan fallas o recaídas después de recibir antimoniales. En Guatemalala respuesta fue de 53% ( 33% para L. braziliensis, 60% para L. mexicana mientras que la deL. tropica en Afganistán fue de 63%. Pacientes con leishmaniasis cutánea difusa, leishmaniasismucosa y con co-infección por HIV+, han tenido una buena respuesta inicial pero deberecordarse la tendencia a recaer que tienen estos pacientes. Entre el 35% al 60% de lospacientes presentan reacciones adversas gastrointestinales leves y 10% al 20% hacenelevación leve de transaminasas y creatinina.

  4. Integrate oral communication with technical writing: Towards a rationale

    Science.gov (United States)

    Skelton, T.

    1981-01-01

    Integrating oral communication and technical writing instruction, to give students the opportunity to learn and practice interpersonal skills, is proposed. By linking speech and writing the importance of small-group interaction in developing transferrable ideas is acknowledged. Three reasons for integration are examined: workday activities, application of role-taking to writing, and conflict resolution. Four advantages of integration are stated.

  5. Preditores para o câncer oral no Brasil

    OpenAIRE

    RIBEIRO, Isabella Lima Arrais; NÓBREGA, Johnys Berton Medeiros da; VALENÇA, Ana Maria Gondim; CASTRO, Ricardo Dias de

    2017-01-01

    Abstract Introduction The incidence of lip, oral cavity and oropharynx cancer in Brazil is one of the highest worldwide. Objective This study aimed to identify predictors for oral cancer in Brazil between 2010 and 2013. Method Through a time series study in which 14,959 primary head and neck cancer diagnoses were evaluated. The variables of interest were gender, age, race, education level, family history of cancer, alcohol consumption, smoking, and previous cancer diagnosis. The outcome va...

  6. Tissue integration in oral and maxillo-facial reconstruction

    International Nuclear Information System (INIS)

    Van Steenberghe, D.

    1986-01-01

    These proceedings on tissue-integrated prostheses in the rehabilitation of the head and neck area cover both basic scientific and clinical aspects in intra- as well as extra-oral applications. Also the discussions and conclusions of the 'State-of-the-Art' meeting are included. (Auth.)

  7. ESTRATEGIA INTEGRAL PARA PyMES INNOVADORAS

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    Jairo Sanchez Quintero

    2003-07-01

    Full Text Available La administración y la planeación prospectivas, La planeación estratégica y la logística englobanlas necesidades de direccionamiento estratégico de las empresas a nivel mundial. Estos tres elementos  actúan como un trípode. Es decir, si falta uno de ellos no podrá haber estabilidad. La prospectiva aporta el análisis y construcción de escenarios futuros además del análisis de actores. La planeación estratégica (unida a la prospectiva permite el análisis de las variables internas y externas para formular los propósitos (misión, visión, objetivos y metas, las estrategias, los planes de acción y los indicadores de desempeño y logro, tanto para la empresa en su totalidad como para cada área de la misma en particular. Finalmente, la logística permite agregar valor e integrar los procesos transversales de la empresa, ya que se ocupa del mejoramiento de actividades desde la compra de materias primas o insumos hasta la distribución y el servicio al cliente en actividades de postventa. En este artículo, se presentan los hallazgos centrales de la investigación exploratoria sobre planeación prospectiva, estratégica y logística. Dicho estudio se concentra en una muestra de 29 empresas del sector de alimentos de Bogotá (19 empresas de lácteos y 10 de conservas y aplican una metodología de estudio de caso e Investigación y acción a cuatro empresas. El análisis de esta muestra empresarial y la revisión Bibliográfica realizada sentaron las bases para el diseño de la guía y la herramienta de mejora continua en estrategia, que forma parte de la caja de herramientas, fruto del trabajo del grupo PyMES, EAN durante el último año.

  8. A linguagem oral como elemento integrante da brincadeira Oral language as an integral component of play

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    Dânia Monteiro Vieira Costa

    2011-04-01

    Full Text Available Este texto discute a importância da brincadeira infantil para o desenvolvimento da linguagem oral nas crianças. É o desdobramento de pesquisa que investigou o trabalho com a linguagem em uma instituição educativa infantil que atende crianças de 2 a 6 anos de idade. O estudo de caso utilizou como técnica de coleta dos dados a observação participante. Conclui que as crianças recriam, nas brincadeiras, situações vivenciadas nas diversas esferas de comunicação humana das quais participam e, portanto, que as brincadeiras são de natureza cultural. Acentua, ainda, a importância do trabalho colaborativo para o desenvolvimento infantilThis paper discusses the importance of children's play in the development of oral language. It is the unfolding of a research whose aim was to assess language acquisition by 2 to 6 year-old children enrolled at an early childhood education institution. This case study uses participant observation as a data collection method. It concludes that, while playing, children recreate the situations they experience in the diverse spheres of human communication in which they take part and, therefore, their playing activities are cultural in nature. It further stresses the importance of collaborative work in child development

  9. COMPUESTOS DE HIERRO PARA SUPLEMENTACIÓN ORAL: PRINCIPIOS Y AVANCES -REVISIÓN SISTEMATICA

    OpenAIRE

    PEREZ M, Lina J.; TOBÓN, Gloria

    2006-01-01

    Se presenta una revisión que abarca los principales aspectos sobre la absorción oral del hierro (fuentes y captación) y sus funciones en el organismo, centrándose en la tendencia actual de utilizar complejos o quelatos de este metal con ligandos orgánicos para el tratamiento oral por deficiencia del mismo (monosacáridos, aminoácidos y ácidos carboxílicos de bajo peso molecular), ya que estos compuestos aumentan la biodisponibilidad del hierro y disminuyen los efectos adversos que presentan su...

  10. Plaque reduction over time of an integrated oral hygiene system.

    Science.gov (United States)

    Nunn, Martha E; Ruhlman, C Douglas; Mallatt, Philip R; Rodriguez, Sally M; Ortblad, Katherine M

    2004-10-01

    This article compares the efficacy of a prototype integrated system (the IntelliClean System from Sonicare and Crest) in the reduction of supragingival plaque to that of a manual toothbrush and conventional toothpaste. The integrated system was compared to a manual toothbrush with conventional toothpaste in a randomized, single-blinded, parallel, 4-week, controlled clinical trial with 100 subjects randomized to each treatment group. There was a low dropout rate, with 89 subjects in the manual toothbrush group (11% loss to follow-up) and 93 subjects in the integrated system group (7% loss to follow-up) completing the study. The Turesky modification of the Quigley and Hein Plaque Index was used to assess full-mouth plaque scores for each subject. Prebrushing plaque scores were obtained at baseline and at 4 weeks after 14 to 20 hours of plaque accumulation. A survey also was conducted at the conclusion of the study to determine the attitude toward the two oral hygiene systems. The integrated system was found to significantly reduce overall and interproximal prebrushing plaque scores over 4 weeks, both by 8.6%, demonstrating statistically significant superiority in overall plaque reduction (P = .002) and interproximal plaque reduction (P < .001) compared to the manual toothbrush with conventional toothpaste, which showed no significant reduction in either overall plaque or interproximal plaque. This study demonstrates that the IntelliClean System from Sonicare and Crest is superior to a manual toothbrush with conventional toothpaste in reducing overall plaque and interproximal plaque over time.

  11. Memorias convocadas. Los concursos de testimonios como fuente para la historia oral contemporánea

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    Jorge E. Aceves Lozano

    2008-01-01

    Full Text Available El uso de documentos personales en las ciencias sociales y en la historia en particular es un recurso para la investigación interesada en el conocimiento del punto de vista de los sujetos sociales. La búsqueda de estos acervos no siempre es fácil, por lo que en este trabajo se propone reconsiderar un procedimiento para la producción de acervos testimoniales mediante la convocatoria a concursos de testimonios. El método propuesto se basa en la experiencia y enfoque de la historia oral y de vida, en México y en otras latitudes. Se mencionan sus aportes y algunos problemas para el aprovechamiento de estas fuentes testimoniales.

  12. Administrative Challenges to the Integration of Oral Health With Primary Care

    Science.gov (United States)

    Maxey, Hannah L.; Randolph, Courtney; Gano, Laura; Kochhar, Komal

    2017-01-01

    Inadequate access to preventive oral health services contributes to oral health disparities and is a major public health concern in the United States. Federally Qualified Health Centers play a critical role in improving access to care for populations affected by oral health disparities but face a number of administrative challenges associated with implementation of oral health integration models. We conducted a SWOT (strengths, weaknesses, opportunities, and threats) analysis with health care executives to identify strengths, weaknesses, opportunities, and threats of successful oral health integration in Federally Qualified Health Centers. Four themes were identified: (1) culture of health care organizations; (2) operations and administration; (3) finance; and (4) workforce. PMID:27218701

  13. Uso de videos para la comprensión oral del idioma francés

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    Michelle Serrano León

    2012-10-01

    Full Text Available El artículo presenta los resultados de una investigación en la enseñanza del francés. El propósito fue verificar si el uso de videos educativos como herramienta para la instrucción del francés promueve la adquisición de la habilidad de comprensión oral y apoya para que los alumnos adquieran actitudes de seguridad y confianza con este idioma. La investigación se desarrolló en un curso de francés de la Universidad Tecnológica de Tecámac en México, de enero a marzo de 2011; los alumnos tuvieron acceso a videos durante cuatro semanas y los pudieron revisar a través de Moodle, plataforma utilizada como depositario de contenidos y recursos del curso. El nivel estudiado del idioma fue A1, con base en el "Marco de referencia europeo para las lenguas". La investigación manejó un enfoque cuantitativo, de tipo experimental, con una muestra aleatoria simple, con base en el método de diseño con pre-test y post-test y grupo de control. Los resultados muestran que el uso de videos educativos en las clases de francés sí son una herramienta educativa e instruccional que ayudan a que los alumnos obtengan la práctica necesaria en la habilidad de comprensión oral y, de esa forma, adquieran actitudes de seguridad y confianza en ellos mismos para su manejo comunicativo interpersonal.

  14. Integrating Preclinical and Clinical Oral Diagnosis and Radiology.

    Science.gov (United States)

    Rhodus, Nelson L.; Brand, John W.

    1988-01-01

    A program providing second-year dental students with early experience in direct patient contact in an oral diagnosis/oral radiology clinic was well received by both students and faculty and was found to develop desirable skills and qualities in the students participating. (MSE)

  15. Estimulación del lenguaje oral. Algunas actividades y recursos para el andamiaje del lenguaje oral en un aula de 0 a 3 años

    OpenAIRE

    Carrión Villanueva, Ana

    2016-01-01

    La estimulación del lenguaje oral supone un apoyo fundamental para el desarrollo de los niños en las aulas de Educación Infantil. El lenguaje forma parte del desarrollo cognitivo, nos permite comunicarnos con los demás y satisfacer las necesidades humanas, siendo la base de futuros aprendizajes que comienzan en la etapa de Educación Infantil. Por ello, este Trabajo de Fin de Grado, aborda la estimulación del lenguaje oral en las edades comprendidas entre cero y tres años. Se van a presen...

  16. Utilización de implantes oseointegrados orales para prótesis orbitaria: Caso clínico

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    Gonzalo Borgia

    Full Text Available Resumen: La constante evolución de la Implantología en los últimos años, ha logrado que el implante oseointegrado, sea un medio de anclaje eficaz y seguro, para las prótesis buco-maxilo-faciales. Los altos índices de éxito, que surgen de los estudios clínicos, confirman que los implantes oseointegrados son el tratamiento de elección para determinados pacientes1. El objetivo de este trabajo es la presentación de un caso clínico, en el que se instalaron implantes orales, para anclaje de una prótesis orbitaria. El paciente fue atendido en la Facultad de Odontología de la Universidad de la República, en el Servicio de Prótesis Buco Maxilo Facial, conjuntamente con el Departamento de Implantología Oral y MaxiloFacial

  17. An Integrated Evaluation of Nonspeech Oral Motor Treatments

    Science.gov (United States)

    Powell, Thomas W.

    2008-01-01

    Purpose: This article functions as an epilogue to the clinical forum examining the use of nonspeech oral motor treatments (NSOMTs) to remediate speech sound disorders in children. Method: Conclusions to eight clinical questions are formed based on the findings that were reported in the clinical forum. Theoretical and clinical challenges are also…

  18. ART integration in oral health care systems in Latin American countries as perceived by directors of oral health

    Directory of Open Access Journals (Sweden)

    Oswaldo Ruiz

    2009-01-01

    Full Text Available The aim of this study was to carry out a situation analysis of: a prevalence of ART training courses; b integration of ART into the oral healthcare systems and; c strengths and weaknesses of ART integration, in Latin American countries. MATERIALS AND METHODS: A structured questionnaire, consisting of 18 questions, was emailed to directors of national or regional oral health departments of all Latin American countries and the USA. For two countries that had not responded after 4 weeks, the questionnaire was sent to the Dean of each local Dental School. The questions were related to ART training courses, integration of ART in the dental curriculum and the oral healthcare system, barriers to ART implementation in the public health system and recommendations for ART implementation in the services. Factor analysis was used to construct one factor in the barrier-related question. Means and percentages were calculated. RESULTS: The response rate, covering 55% of all Latin American countries, was 76%. An ART training course had been given in all Latin American countries that responded, with more than 2 having been conducted in 64.7% of the respondent countries. ART was implemented in public oral health services in 94.7 % of the countries, according to the respondents. In 15.8% of the countries, ART was applied throughout the country and in 68.4%, in some areas or regions of a country. ART had been used for more, or less, than three years in 42.1% and 47.4% of the countries, respectively. Evaluation and monitoring activities to determine the effectiveness of ART restorations and ART sealants had been carried out in 42.1% of the countries, while evaluation training courses had taken place in only 3 countries (15.8%. Respondents perceived the "increase in the number of treated patients" as the major benefit of ART implementation in public oral health services. The major perceived barrier factors to ART implementation were "operator opinion" and "high

  19. Exploring the potential of laser capture microdissection technology in integrated oral biosciences.

    Science.gov (United States)

    Thennavan, A; Sharma, M; Chandrashekar, C; Hunter, K; Radhakrishnan, R

    2017-09-01

    Laser capture microdissection (LCM) is a high-end research and diagnostic technology that helps in obtaining pure cell populations for the purpose of cell- or lesion-specific genomic and proteomic analysis. Literature search on the application of LCM in oral tissues was made through PubMed. There is ample evidence to substantiate the utility of LCM in understanding the underlying molecular mechanism involving an array of oral physiological and pathological processes, including odontogenesis, taste perception, eruptive tooth movement, oral microbes, and cancers of the mouth and jaw tumors. This review is aimed at exploring the potential application of LCM in oral tissues as a high-throughput tool for integrated oral sciences. The indispensable application of LCM in the construction of lesion-specific genomic libraries with emphasis on some of the novel molecular markers thus discovered is also highlighted. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  20. Creación de materiales didácticos orales para la clase de lengua para la traducción

    OpenAIRE

    González Royo, Carmen; Chiapello, Stefania; Martín Sánchez, Teresa; Pascual Escagedo, Consuelo; Puigdevall Balafuy, Núria; Mura, G. Angela; Regagliolo, Alberto

    2016-01-01

    “Creación de materiales didácticos orales para la clase de lengua para la traducción” (3546) es una red que, desde una perspectiva de investigación-acción, investiga la implementación de materiales docentes para los currículos de lengua y traducción en las asignaturas de E/LE e I/LE en los grados de Lenguas Extranjeras y Traducción e Interpretación de la Universidad de Alicante, Università Suor Orsola Benincasa de Nápoles y Università degli Studi di Salerno. A partir de los materiales produci...

  1. Plan integral de negocios para la Empresa Rodeport

    OpenAIRE

    Banegas Lucero, Tania Maribel; Tacuri Flores, Diana Patricia

    2007-01-01

    El siguiente trabajo de investigación está dividido en 5 capítulos los cuales son de suma importancia para el desarrollo y aplicación de las estrategias para la empresa Rodeport. En el primer capítulo se habla sobre los conceptos principales de un área funcional muy importante en cualquier organización y esta es FINANZAS. La cual habla la manera en que la gente asigna recursos y divide el dinero, los costos que intervienen en esta área para el cálculo pero sobre todo, los principales estad...

  2. [Oral maxillofacial-head and neck tumor and holistic integrative medicine].

    Science.gov (United States)

    Zhang, C P

    2017-08-09

    The advance of clinical diagnosis and treatment in oral and maxillofacial-head and neck tumors has been through the process of specialization and multidisciplinary cooperation. In most cases, a single discipline cannot meet the requirements of diagnosis and treatment, which needs the cooperation of oral and maxillofacial surgery, otolaryngology and oncology approach and therapeutic method such as surgery, radiotherapy and chemotherapy. Holistic integrative medicine aims at integrating the most effective clinical practice experience and patients' individual situation and prognosis, establishing new medical mode conforming to the modern concept and fulfilling the medical system adapting to the specific characteristics of the diseases.

  3. Integrity of the oral tissues in patients with solid-organ transplants.

    Science.gov (United States)

    Rojas, Gonzalo; Bravo, Loreto; Cordero, Karina; Sepúlveda, Luis; Elgueta, Leticia; Díaz, Juan Carlos; Urzúa, Blanca; Morales, Irene

    2012-01-01

    The relationship between the use of immunosuppressants in solid-organ transplant patients and oral tissue abnormalities has been recognized. The objective of this study was to determine the state of oral tissue integrity in renal, heart, and liver transplant patients who are on continuous medical and dental control. Forty patients of both sexes were clinically evaluated at the Clinical Hospital of the University of Chile to identify pathologies of oral mucosa, gingival enlargement (GE), decayed, missing, filled teeth (DMFT) index, and salivary flow. The average age of the transplant subjects was 49.4 years, and the age range was 19 to 69 years. Most subjects maintained a good level of oral hygiene, and the rate mean of DMFT was 14.7. The degree of involvement of the oral mucosa and GE was low (10%). Unlike other studies, the frequency of oral mucosal diseases and GE was low despite the fact that these patients were immunosuppressed. Care and continuous monitoring seem to be of vital importance in maintaining the oral health of transplant patients.

  4. Integrity of the Oral Tissues in Patients with Solid-Organ Transplants

    Directory of Open Access Journals (Sweden)

    Gonzalo Rojas

    2012-01-01

    Full Text Available The relationship between the use of immunosuppressants in solid-organ transplant patients and oral tissue abnormalities has been recognized. The objective of this study was to determine the state of oral tissue integrity in renal, heart, and liver transplant patients who are on continuous medical and dental control. Forty patients of both sexes were clinically evaluated at the Clinical Hospital of the University of Chile to identify pathologies of oral mucosa, gingival enlargement (GE, decayed, missing, filled teeth (DMFT index, and salivary flow. The average age of the transplant subjects was 49.4 years, and the age range was 19 to 69 years. Most subjects maintained a good level of oral hygiene, and the rate mean of DMFT was 14.7. The degree of involvement of the oral mucosa and GE was low (10%. Unlike other studies, the frequency of oral mucosal diseases and GE was low despite the fact that these patients were immunosuppressed. Care and continuous monitoring seem to be of vital importance in maintaining the oral health of transplant patients.

  5. Criterios para una acompañamiento familiar integral, con orientación personalista, para instituciones educativas

    OpenAIRE

    Marroquín Valdiviezo, Carmen Isabel del Pilar

    2016-01-01

    Frente a la crisis familiar que vivimos actualmente, la presente investigación cualitativa buscó proponer los criterios para un acompañamiento familiar integral, con orientación personalista, para instituciones educativas. En un primer momento, hemos identificado las bases teóricas: las perspectivas de la persona desde el personalismo y las teorías psicológicas sobre las familias. Dichas bases nos han permitido conocer diversas posturas en torno a la persona y su vínculo familiar. Además, se ...

  6. MEAPA - Integrated methodology for alternative energy sources map pin in the State of Para - Brazil; MEAPA - Metodologias integradas para o mapeamento de energias alternativas no Estado do Para

    Energy Technology Data Exchange (ETDEWEB)

    Monteiro, Claudio; Lopes, J. Pecas; Va, Kowk P.; Herold, Helmut [Instituto de Engenharia de Sistemas e Computadores (INESC), Porto (Portugal). Power System Unit. E-mail: cmonteiro@inescn.pt; Rocha, Brigida; Pinheiro, Helten; Rocha, Olavo [Para Univ., Belem, PA (Brazil). Dept. de Engenharia Eletrica. E-mail: rocha@interconect.com.br; Silva, Isa O. [Para Univ., Belem, PA (Brazil). Dept. de Meteorologia; Moraes, Sinfronio [Para Univ., Belem, PA (Brazil). Dept. de Mecanica

    1999-07-01

    This paper describes the MEAPA project for the development of methodologies which support the renewable energy sources integration in the Marajo island - Para - Brazil. The methodologies used will be described including the construction of a geographical database, renewable resources (wind, solar and biomass) mapping, transport costs, cost of electric power produced by various systems and electrification sceneries and comparison of electrification solutions.

  7. Integrating Maternal and Children's Oral Health Promotion into Nursing and Midwifery Practice- A Systematic Review.

    Directory of Open Access Journals (Sweden)

    Reham Abou El Fadl

    Full Text Available Globally, oral diseases contribute to major disease problems and oral health disparities persistently exist amongst vulnerable population groups. Two contributory factors to these challenges are the shortage of dental practitioners and the characteristic separation between the medical and dental professions. Nurses and midwives, in particular, are in a potentially excellent position to assist in basic oral health services such as dental health education and intraoral screening. We aimed to assess the effectiveness of integrating promotion of oral health of young children and their mothers into nursing and midwifery practice.Seven electronic databases including CENTRAL, EMBASE, MEDLINE, GLOBAL HEALTH, CINHAL, Scopus, and Web of Science were systematically searched whereas conference proceedings and theses were retrieved via PROQUEST. Only randomized, non-randomized trials and observational studies on preventive oral health programs delivered by nurses or midwives in healthcare settings or through home visits were included. Two investigators reviewed full-text articles independently to decide on eligibility for inclusion. Quality assessment was done using Cochrane tool for risk of bias for randomized trials and Downs and Black assessment tool for all other studies. Out of 3162 retrieved records, twenty one trials on oral health interventions incorporated into standard nursing practice were reviewed. Eighteen programs reported significant positive outcomes including reduction in caries experience, better oral hygiene and dietary habits and increased rates of dental visits amongst young children as reported by their caregivers.Incorporating oral health promotion into nursing practice is a promising initiative for reducing oral health disparities by contributing to a downward trend in caries experience and increased access to dental care especially amongst the poor disadvantaged communities.

  8. Developing and Integrating Courseware for Oral Presentations into ESP Learning Contexts

    Science.gov (United States)

    Tsai, Shu-Chiao

    2010-01-01

    This study reports on the development of ESP (English for Specific Purposes) multimedia courseware on oral presentations, and its integration into self-study learning and elective courses for students with different English proficiencies, as one solution to problems in ESP courses in Taiwan. The courseware design is based on Mayer's multimedia…

  9. Nuevas soluciones para hidratación oral New solutions for oral rehydration therapy (ORT: a review

    Directory of Open Access Journals (Sweden)

    Carlos A. Bernal Parra

    1995-02-01

    Full Text Available

    La hidratación oral es uno de los descubrimientos médicos más importantes del siglo veinte; su base fisiológica es el transporte acoplado de sodio y otros solutos, que favorece el ingreso de agua a las células del intestino. El suero de hidratación oral (SHO con la fórmula recomendada por la Organización Mundial de la Salud (OMS, utiliza como so luto transportador la glucosa. Su osmolaridad es ligeramente mayor que la de los líquidos corporales: 311 mOsm/L.

    ORT solution with the composition recommended by the World Health Organization, is one of the most important medical advances of the present century; it has, however, some drawbacks that may partly explain why it is used with a lower frequency than it is desirable. In order to overcome such limitations other substances have been tried for the preparation of OR solutions; the ideal preparation should both hydrate and prevent further dehydration, decrease the volume of stools and the duration of diarrhea and provide some nutrients. The following substances have been tried for the preparation of oral solution: glycine, glutamine, alanine, rice and other cereals, maltodextrines, protein hydrolysates and low osmolarity solutions; in light of the results obtained so far, these products offer no advantage over the standard solution.

  10. Connections and Integration: Oral Traditions/Quantum Paradigm

    Directory of Open Access Journals (Sweden)

    Dolors Collellmir

    2013-01-01

    Full Text Available This paper begins by mentioning the deep connections between art and science and how these connections, which in certain periods of time had been practically ignored, have recently received much consideration. The present attention comes from specialists in different fields of science and humanities and the conclusions/solutions that they bring can be regarded as means of integrating. The paper briefly refers to examples in the visual arts which illustrate Einstein’s discovery of the double nature of light. Then it focuses on the possible relationships between literature and quantum mechanics. The novels Potiki and Benang, both from the Pacific region, are good examples to help us realize that notions concerning space-time that had been part of indigenous knowledge for centuries are now validated by recent scientific discoveries: the uncertainty principle and the principle of no-locality among others. Thus, native literatures that had been analysed in the frame of the traditions of their respective cultures, or even within the parameters of magic realism, can now acquire a new and stimulating dimension.

  11. Núcleo integral para producción porcina

    OpenAIRE

    Bazzano, Carlos

    2012-01-01

    La propuesta surgió de la necesidad de lograr un producto interconectado que mejore la organización de la producción porcina y simplifique el trabajo del productor. La finalidad era mantener una producción a campo y construir un producto trasladable y de rápido armado y traslado, que permita relacionar las parcelas y los elementos para centralizar los puntos de observación y los comederos. (Párrafo extraído del texto a modo de resumen) Facultad de Bellas Artes

  12. Barriers and facilitators in the integration of oral health into primary care: a scoping review.

    Science.gov (United States)

    Harnagea, Hermina; Couturier, Yves; Shrivastava, Richa; Girard, Felix; Lamothe, Lise; Bedos, Christophe Pierre; Emami, Elham

    2017-09-25

    This scoping study has been conducted to map the literature and provide a descriptive synthesis on the barriers and facilitators of the integration of oral health into primary care. Grounded in the Rainbow conceptual model and using the Levac et al six-stage framework, we performed a systematic search of electronic databases, organisational websites and grey literature from 1978 to April 2016. All publications with a focus on the integration of oral health into primary care were included except commentaries and editorials. Thematic analyses were performed to synthesise the results. From a total of 1619 citations, 58 publications were included in the review. Barrier-related themes included: lack of political leadership and healthcare policies; implementation challenges; discipline-oriented education; lack of continuity of care and services and patients' oral healthcare needs. The facilitators of integration were supportive policies and resources allocation, interdisciplinary education, collaborative practices between dental and other healthcare professionals, presence of local strategic leaders and geographical proximity. This work has advanced the knowledge on the barriers and facilitators at each integration domain and level, which may be helpful if the healthcare organisations decide to integrate oral health and dental services into primary care. The scoping review findings could be useful for both dental and medical workforce and allied primary healthcare providers. They could also guide the development of healthcare policies that support collaborative practices and patient-centred care in the field of primary care. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  13. A linguagem integral: um caminho para o desenvolvimento da linguagem

    Directory of Open Access Journals (Sweden)

    Goodman, Kenneth

    1992-01-01

    Full Text Available O presente artigo apresenta uma nova perspectiva de ensino da linguagem: a linguagem integral (whole language. Essa nova perspectiva deriva das respostas à pergunta: quando é fácil e quando é difícil aprender um idioma. O professor deve aprender constantemente das crianças: fora da escola, com o propósito de satisfazer suas próprias necessidades. Os mestres podem trabalhar as crianças, respeitando seu crescimento, o que ocorre na escola apóia e amplia o que ocorre antes e fora dela. Os programas de "liguagem integral" incluem tudo: linguagem, cultura, comunidade, alunos e mestres. Nesse tipo de ensino é fundamental a motivação: o aluno deve praticar muito e estar disposto a assumir riscos: mas, principalmente, deve ter a capacidade e o poder de usar a leitura e a escrita

  14. Human T-Lymphotropic virus (HTLV type I in vivo integration in oral keratinocytes

    Directory of Open Access Journals (Sweden)

    Martha C Domínguez

    2011-03-01

    Full Text Available Although the infection of HTLV-1 to cell components of the mouth have been previously reported, there was not until this report, a detailed study to show the characteristics of such infection. From 14 Tropical Spastic Paraparesis/ HTLV-1-Associated Myelopathy (HAM/TSP patients and 11 asymptomatic carrier individuals (AC coming from HTLV-1 endemic areas of southwest Pacific of Colombia, infected oral mucosa cells were primary cultured during five days. These cell cultures were immunophenotyped by dual color fluorescence cell assortment using different lymphocyte CD markers and also were immunohistochemically processed using a polyclonal anti-keratin antibody. Five days old primary cultures were characterized as oral keratinocytes, whose phenotype was CD3- /CD4-/CD8-/CD19-/CD14-/CD45-/A575-keratin+. From DNA extracted of primary cultures LTR, pol, env and tax HTLV-1 proviral DNA regions were differentially amplified by PCR showing proviral integration. Using poly A+ RNA obtained of these primary cultures, we amplify by RT-PCR cDNA of tax and pol in 57.14% (8/14 HAM/TSP patients and 27.28% (3/11 AC. Tax and pol poly A+ RNA were expressed only in those sIgA positive subjects. Our results showed that proviral integration and viral gene expression in oral keratinocytes are associated with a HTLV-1 specific local mucosal immune response only in those HTLV-1 infected individuals with detectable levels of sIgA in their oral fluids. Altogether the results gave strong evidence that oral mucosa infection would be parte of the systemic spreading of HTLV-1 infection.

  15. UNA PROPUESTA PARA EL ANÁLISIS Y LA CONTEXTUALIZACIÓN DE LA ENTREVISTA DE HISTORIA ORAL

    Directory of Open Access Journals (Sweden)

    Gerardo Necoechea Gracia

    2014-12-01

    Full Text Available El presente ensayo subraya la importancia del análisis y contextualización de los recuerdos vertidos en una entrevista de historia oral, señalando que esta es una de las características que distinguen la historia oral de otras maneras de trabajar con la memoria. El historiador oral lleva a cabo el examen crítico de la fuente, como lo hace con fuentes documentales escritas, prestando atención a las particularidades de la memoria y la oralidad que definen la fuente, y la peculiaridad de la entrevista que produce la fuente. El ensayo propone que para llevar a cabo el análisis es necesario observar cómo la narración de recuerdos maneja el tiempo y el espacio, cómo el narrador presenta su yo y las redes sociales en las que se desenvuelve, y cómo la narración privilegia el relato de anécdotas para desplegar símbolos y significados que dan coherencia a lo vivido. Esta es una primera parte de análisis, con el fin de comprender el sentido cabal del documento integro que es la entrevista. La segunda parte consiste en situar la entrevista y el relato en contexto, tanto el contexto histórico de lo relatado como el contexto del tiempo y las condiciones de producción de lo que es en realidad una conversación histórica. Ello nos permite entender la entrevista como un documento cultural de su época.

  16. Effects of integrated dental care on oral treatment needs in residents of nursing homes older than 70 years

    NARCIS (Netherlands)

    Gerritsen, Paul; Cune, Marco; van der Bilt, Andries; Abbink, Jan; de Putter, Cornelis

    2015-01-01

    Aim: To determine effects of integrated dental care in older nursing home residents. Methods: In three nursing homes offering integrated dental care, we studied the oral treatment need of 355 residents older than 70 years. To determine effects of integrated care, we discriminated between short-stay

  17. Farmacos orales para el control quimico de las biopeliculas dentales (placa bacteriana

    Directory of Open Access Journals (Sweden)

    Rodrigo Abello Moreno

    2013-12-01

    Full Text Available La placa dentobacteriana o biopelicula es la responsable de patologias clinicas como la caries dental, gingivitis y enfermedad periodontal, por lo tanto productos con agentes germicidas actuan en la prevencion de la biopelicula dental cuando las medidas de higiene oral no son las mas apropiadas.

  18. Integrative Approach to Facilitate Fracture Healing: Topical Chinese Herbal Paste with Oral Strontium Ranelate

    Directory of Open Access Journals (Sweden)

    Wing-Sum Siu

    2017-01-01

    Full Text Available Strontium ranelate (SrR is one of the pharmaceutical agents reported to be effective on the promotion of fracture healing. This study aimed to evaluate the integrative effect of the oral SrR with a topical Chinese herbal paste, namely, CDR, on facilitation of bone healing. The in vivo efficacy was evaluated using rats with tibial fracture. They were treated with either CDR topically, or SrR orally, or their combined treatments. The in vivo results illustrated a significant additive effect of CDR on SrR in increasing the yield load of the fractured tibia. The in vitro results showed that neither SrR nor CDR exhibited a cytotoxic effect on UMR106 and bone-marrow stem cell (BMSC, but both of them increased the proliferation of BMSC at low concentrations. The combination of CDR at 200 μg/mL with SrR at 200 or 400 μg/ml also showed an additive effect on increasing the ALP activity of BMSC. Both SrR and CDR alone reduced osteoclast formation, and the effective concentration of SrR to inhibit osteoclastogenesis was reduced in the presence of CDR. This integrative approach by combining oral SrR and topical CDR is effective in promoting fracture healing properly due to their additive effects on proosteogenic and antiosteoclastogenic properties.

  19. Integrated approach to oral health in aged care facilities using oral health practitioners and teledentistry in rural Queensland.

    Science.gov (United States)

    Tynan, Anna; Deeth, Lisa; McKenzie, Debra; Bourke, Carolyn; Stenhouse, Shayne; Pitt, Jacinta; Linneman, Helen

    2018-04-16

    Residents of residential aged care facilities are at very high risk of developing complex oral diseases and dental problems. Key barriers exist in delivering oral health services to residential aged care facilities, particularly in regional and rural areas. A quality improvement study incorporating pre- and post chart audits and pre- and post consultation with key stakeholders, including staff and residents, expert opinion on cost estimates and field notes were used. One regional and three rural residential aged care facilities situated in a non-metropolitan hospital and health service in Queensland. Number of appointments avoided at an oral health facility Feedback on program experience by staff and residents Compliance with oral health care plan implementation Observations of costs involved to deliver new service. The model developed incorporated a visit by an oral health therapist for screening, education, simple intervention and referral for a teledentistry session if required. Results showed an improvement in implementation of oral health care plans and a minimisation of need for residents to attend an oral health care facility. Potential financial and social cost savings for residents and the facilities were also noted. Screening via the oral health therapist and teledentistry appointment minimises the need for a visit to an oral health facility and subsequent disruption to residents in residential aged care facilities. © 2018 National Rural Health Alliance Ltd.

  20. Saúde oral: um desafio para a equipe de saúde

    Directory of Open Access Journals (Sweden)

    Vera Lúcia de Oliveira Gomes

    2001-03-01

    Full Text Available Esta pesquisa teve como objetivo desvelar o conhecimento dos formandos dos cursos de Enfermagem e Medicina de uma Universidade do Rio Grande do Sul acerca da promoção da Saúde Oral. Participaram do estudo 58 acadêmicos, sendo 26 do Curso de Enfermagem e 32 do Curso de Medicina, estes responderam a um questionário com três perguntas semi-estruturadas. Através da triangulação constatamos que esse conhecimento entre os formandos dos referidos cursos é deficitário. Sabemos que é grande a dificuldade de acesso da população infantil carente aos gabinetes dentários, por esse motivo, acreditamos ser indispensável que os profissionais de Enfermagem e Medicina tenham conhecimentos referentes à promoção de saúde oral em crianças.

  1. Modelo Promotora para mejorar la salud oral: un estudio exploratorio entre diversas comunidades

    OpenAIRE

    Dávila LaCruz, María Elena; Tomar, Scott L.

    2017-01-01

    The Promotora Model is an educational strategy that has been used to improve the health of underserved populations. We have implemented this exploratory model in a clinical site in Collier County, Florida. The main objective of this study was to increase parents’/guardians’ knowledge and ability to improve their children’s oral health through educational strategies delivered in both English and Spanish. Families with children age 5 years or younger, most of whom were on a waiting list for den...

  2. Plan de clase para la enseñanza de la integral del trabajo

    Directory of Open Access Journals (Sweden)

    Jorge Flores

    2014-06-01

    Full Text Available El propósito de este trabajo fue presentar un plan de clase, fundamentado en la Teoría Conceptual Combinada de Gilles Fauconnier y Mark Turner, para enseñar la integral del trabajo, siguiendo el modelo instruccional de Robert Gagné. Para el diseño de esta clase se utilizó la red de integración conceptual entre la integral de una función, dominio de la Matemática y la integral del trabajo, dominio de la Física. Luego se diseñó el plan de clase, el cual se fundamenta en la presentación y evaluación de la instrucción y su correspondiente retroalimentación.

  3. Protocolo para el Abordaje Integral de la Violencia Sexual desde el Sector Salud

    OpenAIRE

    Cuevas Garavito, Aura; Pinilla Moya, Fernando; Barrios Acosta, Miguel; Gómez Sánchez, Pio Iván; Vásquez Rojas, Rafael; Cárdenas Rivera, Miguel Eduardo; Pardo Sierra, Fideligno; Urrego Mendoza, Zulma Consuelo; Ángel Muller, Edith; Cuervo Maldonado, Sonia; Macana Tuta, Neidy; Espitia Cruz, Martha Isabel; Torres, Petty Janeth; Botia, Luis; Hernández Molina, Luz Mery

    2008-01-01

    La Secretaría Distrital de Salud, como institución responsable de ejecutar políticas de salud pública, está comprometida con la promoción del buen trato y la prevención y atención de la violencia sexual. Cumpliendo con sus funciones dentro del actual Sistema General de Seguridad Social en Salud, la Secretaría Distrital de Salud ha creado el presente documento, Protocolo para el abordaje integral de la violencia sexual desde el Sector Salud, para brindar herramientas a las instituciones públic...

  4. BALANCED SCORECARD PARA EMPRENDEDORES: DESDE EL MODELO CANVAS AL CUADRO DE MANDO INTEGRAL

    OpenAIRE

    JOSÉ MANUEL SÁNCHEZ VÁZQUEZ; MARÍA LUISA VÉLEZ ELORZA; PEDRO ARAÚJO PINZÓN

    2016-01-01

    El Cuadro de Mando Integral (BSC) y el modelo Canvas pueden enlazarse como herramientas complementarias para los emprendedores. La primera desarrolla objetivos y medidas operativas en cuatro perspectivas principales para alcanzar la misión y estrategia. La segunda ha supuesto una (re-)evolución en la generación de modelos de negocio, estableciendo nueve apartados que reflejan su lógica. En el artículo se desarrolla un modelo de trabajo que, partiendo de la necesidad de dispo - ner de un B...

  5. Desarrollo de la formulación de cefalexina 250 mg granulado para suspensión oral

    Directory of Open Access Journals (Sweden)

    Roxana Martínez Fernández

    2002-04-01

    Full Text Available Se desarrolló la formulación de la cefalexina 250 mg como granulado para suspensión oral. Se utilizó la vía húmeda para la preparación del granulado, teniendo en cuenta los resultados de la caracterización físico-química realizada a las materias primas empleadas. Los resultados de los análisis físico-químicos y microbiológicos del producto terminado fueron satisfactorios. Se realizó un estudio de estabilidad en vida de estante durante 18 meses, con el que se pudo comprobar que la formulación obtenida es estable durante el tiempo estudiado a temperatura entre 15 y 25 °C y durante 7 d después de reconstituido y mantenido en refrigeración. El medicamento cumple con las especificaciones de calidad descritas en la USP 24.The formulation of cephalexin 250 mg was developed as a granulate for oral suspension. The humid way was used for the preparation of the granulate, taking into account the results of the physicochemical characterization of the raw materials used. The results of the physicochemical and microbiological analyses of the finished product were satisfactory. A shelf life stability study was conducted for 18 months that made possible to prove that the formulation obtained was stable during the studied time at temperatures between 15 and 25 ºC and for 7 days after being reconstituted and kept in refrigeration. The drug meets the quality specifications described in the USP 24.

  6. Cuadro de Mando Integral para la implementación curricular por competencias para una institución universitaria

    Directory of Open Access Journals (Sweden)

    Juan Eduardo Jiménez Vásquez

    2014-01-01

    Full Text Available Se presentan los resultados de una investigación, cuyo foco era proponer una metodología de control y gestión para una implementación curricular por competencias, en una institución universitaria. En este camino, nos pareció que la propuesta de la metodología de gestión denominada Balanced Scorecard – BSC, de los autores Kaplan y Norton, presentaba características que, si bien estaban orientadas al mundo empresarial y de negocios, era factible realizar las adaptaciones necesarias a una institución educativa. Según los resultados encontrados en esta investigación, la metodología de BSC a través del Cuadro de Mando Integral, puede contribuir significativamente al éxito de la implantación curricular por competencias, en que es posible identificar los aspectos esenciales de la implementación y advertir oportunamente las situaciones que afectan su cumplimiento, de manera de realizar las acciones correctivas, para asegurar el éxito de la implementación.

  7. Modelo integral de productividad, aspectos importantes para su implementación

    Directory of Open Access Journals (Sweden)

    Jorge Eduardo Medina Fernández de Soto

    2010-08-01

    Full Text Available El Modelo Integral busca la optimización de la productividad, a partir de los objetivos estratégicos empresariales y el análisis y mejoramiento de la propuesta de valor para el cliente, identificando el nivel de operación óptimo y los recursos tangibles realmente necesarios. También identifica los procesos empresariales de creación de valor y es una guía hacia el desarrollo de la propuesta de valor. Además, analiza las inversiones necesarias para las nuevas propuestas de valor, buscando un crecimiento estratégico sostenible. El artículo explica en primer lugar los fundamentos y componentes del modelo y luego algunos aspectos importantes para su implementación.

  8. The Teaching of Listening as an Integral Part of an Oral Activity: An Examination of Public-Speaking Texts

    Science.gov (United States)

    Adams, W. Clifton; Cox, E. Sam

    2010-01-01

    This article presents the results of a content analysis of 10 current public-speaking textbooks to determine the nature and extent to which they teach listening in an integrated approach with public speaking as an oral activity. Lewis and Nichols (1965) predicted that listening would increasingly be taught especially in an integrated approach with…

  9. An Integrated Loop Model of Corrective Feedback and Oral English Learning: A Case of International Students in the United States

    Science.gov (United States)

    Lee, Eun Jeong

    2017-01-01

    The author in this study introduces an integrated corrective feedback (CF) loop to schematize the interplay between CF and independent practice in L2 oral English learning among advanced-level adult ESL students. The CF loop integrates insights from the Interaction, Output, and Noticing Hypotheses to show how CF can help or harm L2 learners'…

  10. [Holistic integrative medicine: application in prevention and treatment of oral mucosal diseases].

    Science.gov (United States)

    Jin, X; Xie, L; Zhao, X; Li, J; Zeng, X; Chen, Q M

    2017-08-09

    Holistic integrative medicine (HIM), as one of the important ideas in the field of medicine, arouses great concern recently. HIM regards the human body as a whole, turns data and evidence in medical research back to facts, integrates technologies and experience developed in clinical research into medical skills. The repeated practices at the levels of fact, experience, and medical skills will generate true knowledge to solve the wide spread problems brought by linearized thinking and fragmented knowledge. With the development of highly divided medical disciplines, how to utilize and practice HIM has become a common concern of the medical community. Specialization of stomatology, which is a first level discipline like medicine, has also become a trend for years. However, holistic concept cannot be overlooked, especially in the development of oral medicine. This article aims at the communication and exchange of knowledge about HIM among dental professionals. In order to serve the patients better, the authors look forward to practicing the HIM concept in the field of oral medicine through the efforts of us all.

  11. Los corpus discursivos orales como herramienta didáctica para los niveles iniciales

    Directory of Open Access Journals (Sweden)

    Violeta Nica

    2012-01-01

    Full Text Available Actualmente, trabajar con muestras de habla real a la hora de enseñar un idioma extranjero es un hecho muy frecuente en especial en los niveles intermedios-altos (B2, C1. Sin embargo, el input realia autentica es una herramienta que también se podría aprovechar para los niveles iniciales, dado que, en estos niveles no se enseñan solo palabras aisladas, sino que también se trabaja a partir de un contexto.

  12. Los corpus discursivos orales como herramienta didáctica para los niveles iniciales

    Directory of Open Access Journals (Sweden)

    Violeta Nica

    2012-08-01

    Full Text Available Actualmente, trabajar con muestras de habla real a la hora de enseñar un idioma extranjero es un hecho muy frecuente en especial en los niveles intermedios-altos (B2, C1. Sin embargo, el input realia autentica es una herramienta que también se podría aprovechar para los niveles iniciales, dado que, en estos niveles no se enseñan solo palabras aisladas, sino que también se trabaja a partir de un contexto.

  13. ParaExp Using Leapfrog as Integrator for High-Frequency Electromagnetic Simulations

    Science.gov (United States)

    Merkel, M.; Niyonzima, I.; Schöps, S.

    2017-12-01

    Recently, ParaExp was proposed for the time integration of linear hyperbolic problems. It splits the time interval of interest into subintervals and computes the solution on each subinterval in parallel. The overall solution is decomposed into a particular solution defined on each subinterval with zero initial conditions and a homogeneous solution propagated by the matrix exponential applied to the initial conditions. The efficiency of the method depends on fast approximations of this matrix exponential based on recent results from numerical linear algebra. This paper deals with the application of ParaExp in combination with Leapfrog to electromagnetic wave problems in time domain. Numerical tests are carried out for a simple toy problem and a realistic spiral inductor model discretized by the Finite Integration Technique.

  14. From theoretical concepts to policies and applied programmes: the landscape of integration of oral health in primary care.

    Science.gov (United States)

    Harnagea, Hermina; Lamothe, Lise; Couturier, Yves; Esfandiari, Shahrokh; Voyer, René; Charbonneau, Anne; Emami, Elham

    2018-02-15

    Despite its importance, the integration of oral health into primary care is still an emerging practice in the field of health care services. This scoping review aims to map the literature and provide a summary on the conceptual frameworks, policies and programs related to this concept. Using the Levac et al. six-stage framework, we performed a systematic search of electronic databases, organizational websites and grey literature from 1978 to April 2016. All relevant original publications with a focus on the integration of oral health into primary care were retrieved. Content analyses were performed to synthesize the results. From a total of 1619 citations, 67 publications were included in the review. Two conceptual frameworks were identified. Policies regarding oral heath integration into primary care were mostly oriented toward common risk factors approach and care coordination processes. In general, oral health integrated care programs were designed in the public health sector and based on partnerships with various private and public health organizations, governmental bodies and academic institutions. These programmes used various strategies to empower oral health integrated care, including building interdisciplinary networks, training non-dental care providers, oral health champion modelling, enabling care linkages and care coordinated process, as well as the use of e-health technologies. The majority of studies on the programs outcomes were descriptive in nature without reporting long-term outcomes. This scoping review provided a comprehensive overview on the concept of integration of oral health in primary care. The findings identified major gaps in reported programs outcomes mainly because of the lack of related research. However, the results could be considered as a first step in the development of health care policies that support collaborative practices and patient-centred care in the field of primary care sector.

  15. Dificultades para la transferencia en el aprendizaje del concepto de integral

    OpenAIRE

    Gómez, Alfonso

    2004-01-01

    Son muchas las causas para que se dificulte la transferencia del concepto de integral, entre ellas está en primer lugar la no abstracción del concepto de integral y luego deficiencias en la aplicación de la transferencia cercana o en la falta u olvido de conceptos previos. Nuestro trabajo docente debe pro-curar que el alumno progresivamente avance de la transferencia cercana a la lejana hasta comprender el concepto reintegral, y no dedicar demasiado tiempo a la mecánica de encontrar antideriv...

  16. Uso de software libre para el aprendizaje de la integral definida

    OpenAIRE

    Medina, Mabel Azucena; Rubio, Héctor Eduardo

    2013-01-01

    Se desarrolla la experiencia de una unidad didáctica en el marco de la teoría de Brousseau y de la Enseñanza para la Comprensión. El Tópico Generativo es la integral definida. Las Metas de Comprensión son la definición de la integral definida y las formas de evaluación de la integral definida. Los Desempeños de Comprensión son actividades autónomas de evaluación de integrales definidas. El propósito de esta actividad es que los alumnos comprendan que pueden calcular aproximadamente una integr...

  17. Administração oral de peptídios e proteínas: I. Estratégias gerais para aumento da biodisponibilidade oral Oral delivery system for peptides and proteins: I. Approaches to improve oral bioavailability

    Directory of Open Access Journals (Sweden)

    Catarina Silva

    2002-06-01

    Full Text Available Existem, atualmente, centenas de peptídios e proteínas com ação terapêutica. Os obstáculos inerentes à sua administração oral têm impulsionado a investigação de estratégias capazes de os ultrapassar. Nesta revisão são abordados estes dois aspectos. A microencapsulação, pela sua versatilidade, sobressai entre as demais estratégias, afirmando-se como escolha potencial na administração oral de fármacos peptídicos.There are hundreds of peptides and proteins clinically relevant. The difficulties associated with their oral administration have been responsible for the major efforts in developing ways to improve oral bioavailability. Both these subjects are described in this review. The potentiality of microencapsulation presents this technique as a privileged approach for the oral delivery of peptide and protein drugs.

  18. LA GESTIÓN INTEGRADA PARA UN ENVEJECIMIENTO ACTIVO. INTEGRATED MANAGEMENT FOR ACTIVE AGEING

    Directory of Open Access Journals (Sweden)

    Dra. Maribel León Fernández

    2015-12-01

    Full Text Available En el año 2000, nace el Programa de Atención Integral de la Persona Adulta Mayor (PAIPAM del Centro de Estudios Generales, en la Universidad Nacional, Heredia, Costa Rica, como un proyecto integrado, con el fin de promover el envejecimiento activo por medio de la ejecución de acciones en docencia, investigación, extensión y la producción. Para el 2011, se reformula con la creación de dos proyectos nuevos adscritos (UNAVIDA y “La cultura y la Expresión Artística como ente de desarrollo en Personas Adultas Mayores: Grupos Culturales y Artísticos” y es así como, por medio de la gestión integrada de acciones de las distintas áreas del quehacer universitario, promovida por el primero de estos proyectos, se concentran esfuerzos mediante ejes transversales como la salud, la sensibilización y la intergeneracionalida, y desde la interacción con distintas poblaciones, instituciones y organizaciones sociales. Los resultados han sido altamente beneficiosos, tanto para el quehacer (maximizacón de recursos como para las personas que participan en él, quienes han encontrado oportunidades de aprendizaje y desarrollo integral muy variadas y de calidad.

  19. Biologic and clinical aspects of integration of different bone substitutes in oral surgery: a literature review.

    Science.gov (United States)

    Zizzari, Vincenzo Luca; Zara, Susi; Tetè, Giulia; Vinci, Raffaele; Gherlone, Enrico; Cataldi, Amelia

    2016-10-01

    Many bone substitutes have been proposed for bone regeneration, and researchers have focused on the interactions occurring between grafts and host tissue, as the biologic response of host tissue is related to the origin of the biomaterial. Bone substitutes used in oral and maxillofacial surgery could be categorized according to their biologic origin and source as autologous bone graft when obtained from the same individual receiving the graft; homologous bone graft, or allograft, when harvested from an individual other than the one receiving the graft; animal-derived heterologous bone graft, or xenograft, when derived from a species other than human; and alloplastic graft, made of bone substitute of synthetic origin. The aim of this review is to describe the most commonly used bone substitutes, according to their origin, and to focus on the biologic events that ultimately lead to the integration of a biomaterial with the host tissue. Copyright © 2016 Elsevier Inc. All rights reserved.

  20. Propuesta de un programa de intervención psicopedagógica para trabajar el lenguaje oral en Educación Infantil

    OpenAIRE

    Echaide-Larrayoz, Nerea

    2015-01-01

    Con este Trabajo Fin de Máster (TFM) pretendemos ofrecer tanto a las familias como al profesorado una herramienta útil para el desarrollo del lenguaje oral en el segundo ciclo de la etapa de Educación Infantil. Así mismo, queremos transmitir la importancia de una adecuada estimulación y detección en el desarrollo del lenguaje oral, haciendo especial hincapié en la prevención de posibles alteraciones en el lenguaje. Por otro lado, queremos ofrecerles tanto al psicopedagogo del centro como al e...

  1. BALANCED SCORECARD PARA EMPRENDEDORES: DESDE EL MODELO CANVAS AL CUADRO DE MANDO INTEGRAL

    Directory of Open Access Journals (Sweden)

    JOSÉ MANUEL SÁNCHEZ VÁZQUEZ

    2016-01-01

    Full Text Available El Cuadro de Mando Integral (BSC y el modelo Canvas pueden enlazarse como herramientas complementarias para los emprendedores. La primera desarrolla objetivos y medidas operativas en cuatro perspectivas principales para alcanzar la misión y estrategia. La segunda ha supuesto una (re-evolución en la generación de modelos de negocio, estableciendo nueve apartados que reflejan su lógica. En el artículo se desarrolla un modelo de trabajo que, partiendo de la necesidad de dispo - ner de un BSC, relaciona su diseño con la información recogida previamente en el modelo Canvas, señalando su mutua necesidad.

  2. Kinetic energy of solid and liquid para-hydrogen: a path integral Monte Carlo simulation

    International Nuclear Information System (INIS)

    Zoppi, M.; Neumann, M.

    1992-01-01

    The translational (center of mass) kinetic energy of solid and liquid para-hydrogen have been recently measured by means of Deep Inelastic Neutron Scattering. We have evaluated the same quantity, in similar thermodynamic conditions, by means of Path Integral Monte Carlo computer simulation, modelling the system as composed of a set of spherical molecules interacting through a pairwise additive Lennard-Jones potential. In spite of the crude approximations on the interaction potential, the agreement is excellent. The pressure was also computed by means of the same simulations. This quantity, compared with the equation of state for solid para-hydrogen given by Driessen and Silvera, gives an agreement of a lesser quality and a negative value for the liquid state. We attribute this discrepancy to the limitations of the Lennard-Jones potential. (orig.)

  3. [The Common Risk Factor Approach - An Integrated Population- and Evidence-Based Approach for Reducing Social Inequalities in Oral Health].

    Science.gov (United States)

    Heilmann, A; Sheiham, A; Watt, R G; Jordan, R A

    2016-10-01

    Worldwide, non-communicable diseases including dental caries and periodontal diseases, remain a major public health problem. Moreover, there is a social gradient in health across society that runs from the top to the bottom in a linear, stepwise fashion. Health promoting behaviours become more difficult to sustain further down the social ladder. Oral health inequalities also exist in Germany. Earlier explanations of social inequalities have mainly focused on individual lifestyle factors, ignoring the broader social determinants of health and disease. Until recently, the dominant approaches to general health promotion focused on actions to reduce specific diseases, separating oral health from general health. An alternative approach is the common risk factor approach (CRFA) where risk factors common to a number of major chronic diseases, including diseases of the mouth and teeth, are tackled. The CRFA focuses on the common underlying determinants of health to improve the overall health of populations, thereby reducing social inequalities. The main implication of the CRFA for oral health policies is to work in partnership with a range of other sectors and disciplines. Oral health issues need to be integrated with recommendations to promote general health. Improvements in oral health and a reduction in oral health inequalities are more likely by working in partnership across sectors and disciplines using strategies that focus upstream on the underlying determinants of oral diseases. © Georg Thieme Verlag KG Stuttgart · New York.

  4. Administrative Challenges to the Integration of Oral Health With Primary Care: A SWOT Analysis of Health Care Executives at Federally Qualified Health Centers.

    Science.gov (United States)

    Norwood, Connor W; Maxey, Hannah L; Randolph, Courtney; Gano, Laura; Kochhar, Komal

    Inadequate access to preventive oral health services contributes to oral health disparities and is a major public health concern in the United States. Federally Qualified Health Centers play a critical role in improving access to care for populations affected by oral health disparities but face a number of administrative challenges associated with implementation of oral health integration models. We conducted a SWOT (strengths, weaknesses, opportunities, and threats) analysis with health care executives to identify strengths, weaknesses, opportunities, and threats of successful oral health integration in Federally Qualified Health Centers. Four themes were identified: (1) culture of health care organizations; (2) operations and administration; (3) finance; and (4) workforce.

  5. Integrating Oral Health with Non-Communicable Diseases as an Essential Component of General Health: WHO's Strategic Orientation for the African Region.

    Science.gov (United States)

    Varenne, Benoit

    2015-05-01

    In the context of the emerging recognition of non-communicable diseases (NCDs), it has never been more timely to explore the World Health Organization (WHO) strategic orientations on oral health in the WHO African region and to raise awareness of a turning point in the search for better oral health for everyone. The global initiative against NCDs provides a unique opportunity for the oral health community to develop innovative policies for better recognition of oral health, as well as to directly contribute to the fight against NCDs and their risk factors. The WHO African region has led the way in developing the first regional oral health strategy for the prevention and control of oral diseases integrated with NCDs. The support of the international oral health community in this endeavor is urgently needed for making a success story of this initiative of integrating oral health into NCDs.

  6. Hipoglicemiantes orales para el tratamiento de la diabetes mellitus gestacional: Revisión sistemática de la literatura

    OpenAIRE

    Pavlovic B,Milenko; Carvajal C,Jorge

    2013-01-01

    Antecedentes: La diabetes mellitus gestacional (DMG) se asocia a mayor riesgo materno y perinatal. El manejo habitual de ésta patología es la dieta, el ejercicio y la insulina. Los hipoglicemiantes orales (HGO) son una terapia emergente para el tratamiento de la DMG. Objetivos: Realizar una revisión sistemática de toda la evidencia tipo I disponible acerca del uso de HGO para tratamiento de DMG y realizar un metaanálisis de los resultados maternos y perinatales significativos. Resultados: Die...

  7. Avaliação da toxicidade oral subcrônica da bixina para ratos Oral toxicity assessment of annatto in rats

    Directory of Open Access Journals (Sweden)

    Ana Rita Pedreira Lapa Bautista

    2004-06-01

    Full Text Available A bixina em pó (30% de bixina, proveniente das sementes de urucum (Bixa orellana L., foi administrada, por gavagem, a ratos Wistar, 10 animais de cada sexo, na concentração de 0,01±0,006% de bixina/dia, em óleo de milho, cinco dias por semana, durante 13 semanas, com o objetivo de verificar a toxicidade da substância-teste para essa espécie animal. A grupos controle (10 animais por sexo, foi administrado óleo de milho, para comparação. Durante o período de exposição, foram registrados o peso absoluto corpóreo, o ganho de peso, o consumo de ração e a eficiência alimentar, bem como realizadas as avaliações clínica e oftalmoscópica. Antes da eutanásia, os animais foram anestesiados (éter etílico e submetidos a exames hematológicos de rotina e bioquímicos (glicose, creatinina, colesterol total, triglicérides, asparagina transaminase e g-glutamil transaminase. Durante o exame necroscópico, fígado, rins, baço, adrenais e testículos foram excisados e pesados. O estudo histológico foi realizado em amostras de fígado e rins dos animais expostos e respectivos controles. A análise estatística dos parâmetros de peso, hematológicos e bioquímicos mostrou algumas diferenças significativas entre os grupos teste e controle, as quais não parecem estar relacionadas à exposição. Não foram observadas alterações clínicas, comportamentais, necroscópicas e histológicas. Nas condições do estudo, a bixina não produziu efeitos tóxicos nos animais expostos.The aim of the investigation was to determine the possible health hazards of bixin (30% from annatto (Bixa orellana L. origin to rats. A concentration of 0.01±0.006%/day of bixin in corn oil was administered to 20 Wistar rats (10 per sex, through the oral route (gavage over a period of 13 weeks. A group of untreated animal (10 per sex acting as a control (corn oil was used for comparision. Body weight, body weight gain, feed consumption and feed efficiency were

  8. Improved Adherence Rates and Clinical Outcomes of an Integrated, Closed-Loop, Pharmacist-Led Oral Chemotherapy Management Program.

    Science.gov (United States)

    Muluneh, Benyam; Schneider, Molly; Faso, Aimee; Amerine, Lindsey; Daniels, Rowell; Crisp, Brett; Valgus, John; Savage, Scott

    2018-06-01

    To address the growing use of oral anticancer therapy, an integrated, closed-loop, pharmacist-led oral chemotherapy management program was created within an academic medical center. An integrated, closed-loop, pharmacy-led oral chemotherapy management program was established. From September 2014 until June 2015, demographic information, rates of adherence, patient understanding of treatment, pharmacist interventions, patient and provider satisfaction, and molecular response rates in patients with chronic myeloid leukemia (CML) were collected. After full implementation, 107 patients were enrolled in our oral chemotherapy management program from September 2014 until June 2015. All patients were educated before starting oral chemotherapy, and using pre- and postassessment tests, comprehension of oral chemotherapy treatment increased from 43% to 95%. Patient-reported adherence was 86% and 94.7% for the GI/breast and malignant hematology patient populations, respectively, and these were validated with medication possession ratio, revealing adherence rates of 85% and 93.9% for the GI/breast and malignant hematology patient populations, respectively. A total of 350 encounters with a clinical pharmacist and 318 adverse effects were reported, which led to 235 interventions. This program led to a higher major molecular response rate (83%) in our CML population compared with published clinical trials (average major molecular response rates, 40% and 60% with 1- and 2-year follow-up, respectively). An innovative model was developed and resulted in improved patient knowledge regarding oral chemotherapy, improved adherence rates that exceeded nationally established thresholds, and superior major molecular response outcomes for patients with CML compared with published literature. As a result, this model has produced the gold standard in managing patients receiving oral chemotherapy.

  9. Heat integration of fractionating systems in para-xylene plants based on column optimization

    International Nuclear Information System (INIS)

    Chen, Ting; Zhang, Bingjian; Chen, Qinglin

    2014-01-01

    In this paper, the optimization of xylene fractionation and disproportionation units in a para-xylene plant is performed through a new method for systematic design based on GCC (grand composite curve) and CGCC (column grand composite curve). The distillation columns are retrofitted by CGCC firstly. Heat Integration between the columns and the background xylene separation process are then explored by GCC. We found that potential retrofits for columns suggested by CGCC provide better possibilities for further Heat Integration. The effectiveness of the retrofits is finally evaluated by means of thermodynamics and economic analysis. The results show that energy consumption of the retrofitted fractionating columns decreases by 7.13 MW. With the improved thermodynamic efficiencies, all columns operate with less energy requirements. Coupled with Heat Integration, the energy input of the para-xylene plant is reduced by 30.90 MW, and the energy outputs are increased by 17 MW and 58 MW for generation of the 3.5 MPa and 2.5 MPa steams. The energy requirement after the Heat Integration is reduced by 12% compared to the original unit. The retrofits required a fixed capital cost of 6268.91 × 10 3  $ and saved about 24790.74 × 10 3  $/year worth of steam. The payback time is approximately 0.26 year for the retrofits. - Highlights: • A new method for systematic design is proposed to improve energy saving of the PX plant in retrofit scenarios. • An optimization approach is developed to identify maximum heat recovery in distillation columns. • An efficient Heat Integration procedure of the PX plant is addressed based on the optimal retrofitted distillation columns. • The energy consumption is reduced by 12% after improvement to an industrial case

  10. Propuesta de Cuadro Mando Integral para la Agencia de Viajes Destinos S.A.

    OpenAIRE

    Hernández Gómez, Christian

    2006-01-01

    Tesis de maestría -- Universidad de Costa Rica. Posgrado en Administración y Dirección de Empresas. Maestría Profesional en Administración y Dirección de Empresas con énfasis en Gerencia, 2006 El objetivo general de esta investigación es diseñar un plan de Cuadro de Mando Integral para la generación de indicadores de gestión, con el fin de optimizar la toma de decisiones de los ejecutivos de la Agencia de Viajes Destinos S. A. y así mejorar la ren...

  11. Modelo de gestión integral para centros comerciales pequeños

    OpenAIRE

    Molina Saquicela, Mónica Andrea

    2013-01-01

    Desarrollar un modelo de gestión integral diseñado a la medida de las necesidades de los centros comerciales pequeños, tomando como base para su implementación al Centro Comercial Plaza de las Américas, servirá como una herramienta clave que ayudará a su equipo gerencial, a través de un manejo planificado y el aprovechamiento de sus diferenciadores, lograr un crecimiento a lo largo del tiempo, así como un mejor posicionamiento en la mente del consumidor y una mayor participación en el mercado...

  12. Oral antioxidant treatment partly improves integrity of human sperm DNA in infertile grade I varicocele patients.

    Science.gov (United States)

    Gual-Frau, Josep; Abad, Carlos; Amengual, María J; Hannaoui, Naim; Checa, Miguel A; Ribas-Maynou, Jordi; Lozano, Iris; Nikolaou, Alexandros; Benet, Jordi; García-Peiró, Agustín; Prats, Juan

    2015-09-01

    Infertile males with varicocele have the highest percentage of sperm cells with damaged DNA, compared to other infertile groups. Antioxidant treatment is known to enhance the integrity of sperm DNA; however, there are no data on the effects in varicocele patients. We thus investigated the potential benefits of antioxidant treatment specifically in grade I varicocele males. Twenty infertile patients with grade I varicocele were given multivitamins (1500 mg L-Carnitine, 60 mg vitamin C, 20 mg coenzyme Q10, 10 mg vitamin E, 200 μg vitamin B9, 1 μg vitamin B12, 10 mg zinc, 50 μg selenium) daily for three months. Semen parameters including total sperm count, concentration, progressive motility, vitality, and morphology were determined before and after treatment. In addition, sperm DNA fragmentation and the amount of highly degraded sperm cells were analyzed by Sperm Chromatin Dispersion. After treatment, patients showed an average relative reduction of 22.1% in sperm DNA fragmentation (p = 0.02) and had 31.3% fewer highly degraded sperm cells (p = 0.07). Total numbers of sperm cells were increased (p = 0.04), but other semen parameters were unaffected. These data suggest that sperm DNA integrity in grade I varicocele patients may be improved by oral antioxidant treatment.

  13. Expedited Development of Diphenhydramine Orally Disintegrating Tablet through Integrated Crystal and Particle Engineering.

    Science.gov (United States)

    Wang, Chenguang; Hu, Shenye; Sun, Changquan Calvin

    2017-10-02

    A palatable direct compression (DC) orally disintegrating tablet (ODT) product of a bitter drug, diphenhydramine (DPH), was developed using an integrated crystal and particle engineering approach. A DPH salt with a sweetener, acesulfame (Acs), DPH-Acs, was synthesized and its solid state properties were comprehensively characterized. Tablet formulation composition and compaction parameters were optimized by employing material sparing techniques. In vivo disintegration time, bitterness, and grittiness of the final ODT product, were evaluated by a taste panel. Physical stability of the ODT tablets was assessed to identify appropriate storage conditions. Phase-pure DPH-Acs exhibited significantly better tabletability and palatability than DPH-HCl. A DC formulation was designed and optimized to obtain a new ODT product with good manufacturability and excellent product characteristics, including fast in vivo disintegration, and acceptable bitterness and grittiness. A new ODT product of DPH with excellent pharmaceutical properties was successfully developed using 15 g of DPH and in two months. This example shows that integrated crystal and particle engineering is an effective approach for developing high quality ODT products using the DC process.

  14. Suplemento artesanal oral: uma proposta para recuperação nutricional de crianças e adolescentes com câncer Homemade oral supplement: a proposal for the nutritional recovery of children and adolescents with cancer

    Directory of Open Access Journals (Sweden)

    Fernanda Rodrigues Alves

    2010-10-01

    Full Text Available Objetivo Avaliar o impacto do suplemento oral artesanal na recuperação do estado nutricional de pacientes com desnutrição leve, grave e com risco nutricional. Métodos Propuseram-se oito receitas de suplementos visando ofertar entre 30,0% e 35,0% do gasto energético total. Os pacientes com desnutrição grave (grupo B receberam o suplemento oral por duas semanas, e os demais pacientes (grupo A, por quatro semanas. Para a comparação dos resultados obtidos com o emprego do suplemento oral artesanal, foram utilizados dados referentes a um protocolo anterior, com o mesmo desenho, entretanto, com a utilização de suplemento oral industrializado. Resultados O suplemento oral artesanal fica muito aquém no que diz respeito a alguns micronutrientes, entretanto é cinco vezes mais barato do que a preparação com o suplemento oral industrializado. Os pacientes do grupo A com suplemento oral artesanal apresentaram 88,0% de resposta positiva na semana de avaliação, enquanto os com suplemento oral industrializado tiveram 84,0%. No grupo B, foram recuperados 22,0% dos pacientes com suplemento oral artesanal e 25,0% do grupo com suplemento oral industrializado, não apresentando, portanto, diferença significante. Comparando o impacto do industrializado com o do artesanal na prega cutânea tricipital e circunferência do braço, verificou-se que o suplemento oral industrializado no grupo A apresentou melhores resultados que o suplemento oral artesanal, e no grupo B, esse efeito observado na prega cutânea não foi significante (p=0,16. Os consumos de energia e de proteína, assim como a evolução nutricional, foram semelhantes entre suplemento oral industrializado e suplemento oral artesanal. Apenas a composição corpórea no grupo A com suplemento oral industrializado apresentou melhores resultados. Conclusão Os resultados apresentados neste estudo sugerem que o emprego da terapia com suplemento artesanal seja uma opção capaz de auxiliar na

  15. Asentamientos precarios: Una aproximación para su mejoramiento integral y prevención

    Directory of Open Access Journals (Sweden)

    Erik Vergel Tovar

    2010-07-01

    Full Text Available El artículo plantea seis razones para abordar el fenómeno de los asentamientos precarios desde la planeación y gestión urbana; describe algunas estrategias desarrolladas en el contexto internacional y colombiano frente al fenómeno, enfocándose el recientemente aprobado documento Conpes 3604 “Lineamientos para la consolidación de la política de mejoramiento integral de barrios MIB” y sus implicaciones. Adicionalmente, brinda lineamientos en relación con el aporte por parte de los estudiantes y profesionales de la arquitectura y el urbanismo frente a las estrategias de mejoramiento y prevención del fenómeno de los asentamientos precarios. Finalmente, el artículo brinda algunas conclusiones frente a los retos que plantean los productos del documento Conpes y propone algunas recomendaciones acerca de las alternativas para generar oferta de suelo y vivienda asequible a los hogares de bajos ingresos como parte de procesos de renovación y expansión urbana.

  16. Mensajería instantánea móvil: Whatsapp y su potencial para desarrollar las destrezas orales

    Directory of Open Access Journals (Sweden)

    2017-01-01

    Full Text Available La presente investigación analiza los beneficios de la comunicación mediante teléfonos móviles para desarrollar las destrezas orales de los estudiantes en la segunda lengua. Un total de 80 estudiantes españoles que realizaban un curso de inglés nivel B1 en la Universidad de Almería participaron en el estudio. De acuerdo con el tipo de tratamiento, los sujetos fueron divididos en dos grupos, experimental y control. Mediante la creación de un grupo de «Whatsapp», 40 de dichos sujetos participaron en una interacción oral diaria durante 6 meses. Las muestras recogidas en la aplicación, así como un examen oral, fueron utilizados para analizar el grado en que los estudiantes desarrollan la destreza oral y los tipos y desencadenantes que dan lugar a episodios relacionados con el lenguaje en los chats orales. Este estudio se centra en la interacción utilizando un análisis mixto y un eje temporal con el fin de medir las diferencias entre los grupos analizados. Los resultados demuestran mejoras significativas en cuanto a la competencia oral en los alumnos del grupo en el que se implementó la actividad, siendo las negociaciones de significado el episodio relacionado con el lenguaje más común durante la interacción. Cabe destacar la accesibilidad que la mensajería móvil confiere a los alumnos, pues son capaces de negociar el significado, reflexionar y evaluar sus propias actuaciones mediante interacción real y feed-back.

  17. Integration of oral health in primary health care through motivational interviewing for mothers of young children: A pilot study.

    Science.gov (United States)

    Batra, Manu; Shah, Aasim Farooq; Virtanen, Jorma I

    2018-01-01

    Early childhood caries (ECC) continues to affect children worldwide. In India, primary health centers (PHCs) comprises the primary tier where Accredited Social Health Activist (ASHA) provide integrated curative and preventive health care. The aim of the study was to pilot test the integration of oral health in primary health care through motivational interviewing (MI) for mothers of young children provided by ASHAs. The pilot study was conducted in Kashipur, Uttarakhand. From the six PHCs in Kashipur, three were randomly selected, one each was assigned to MI group, traditional health education group, and control group. From 60 mothers with 8-12 months child, ASHAs of all three groups gathered mother's knowledge regarding child's oral health using close-ended questionnaire and diagnosed clinical risk markers of ECC in children and ASHAs of Group A and B imparted the oral health education as per their training. The comparison of ASHA's performances on the MI training competency pre- and post-test showed an overall average of 74% improvement in post-test scores. Interexaminer reliability of the parallel clinical measurements by 6 ASHAs and the investigator for the maxillary central incisors showed 93% of agreement for both dental plaque and dental caries assessment with 0.86 and 0.89 kappa values, respectively. The health education through MI is feasible and can be cost-effective by utilization of ASHAs at PHCs to provide the oral health education to mothers which will in turn improve the oral health status of children.

  18. Estrategia de comunicación integral de mercadotecnia para una ONG con enfoque educativo.

    Directory of Open Access Journals (Sweden)

    Diana Davila Ruiz

    2014-01-01

    Full Text Available Alianza Para La Educación México A.C is a non-governmental, non-profit organization founded in 2008 and established in Monterrey, Nuevo Leon, México. Its mission is to be an agent of change in society working with individuals and institutions, providing resources and tools for students living in adverse economic conditions, so they can have access to college and postgraduate education. The need to attract more donations is imperative considering that each year new students are integrated into the program and the costs are becoming more difficult to cover. This research aims to develop an integrated marketing communication strategy with the purpose of helping the organization to raise funds. The research methodology consisted of several deep interviews to different audiences related to the work of the organization, the audiences were: private foundations, individuals as donors, corporate social responsibility offices from well-known companies, and college students awarded with scholarships. The main recommendations for the organization derived from this research are: to have an active board of directors, the development and implementation of a website where donors can monitor the performance of the organization through general reports, to implement a public relations program that will allow to expand the efforts through strategic alliances, and to raise awareness among the students about the importance of giving back to Alianza para la Educación México A.C.

  19. Propuesta para la enseñanza del concepto de integral, un acercamiento visual con GeoGebra

    OpenAIRE

    López, Armando

    2010-01-01

    La enseñanza del concepto de integral en la educación media superior es considerada clave del curso Cálculo Integral, de la Reforma Integral del Bachillerato como lo señalan los programas de estudio del bachillerato tecnológico SEP (2008). Los nuevos programas demandan una metodología centrada en el aprendizaje, donde los conocimientos previos deben ser el preámbulo para adentrarse al estudio de conceptos clave, por lo que es importante proponer actividades para abordar estos conceptos enmarc...

  20. Critérios clínicos utilizados por profissionais para liberação de dieta via oral em pacientes adultos hospitalizados

    OpenAIRE

    Furmann, Natalli; Costa, Francine Marson

    2015-01-01

    Resumo:OBJETIVO:identificar critérios clínicos utilizados por profissionais para liberação de alimentação via oral em pacientes hospitalizados que apresentam risco para disfagia.MÉTODOS:participaram do estudo 48 profissionais que atuam em dois hospitais gerais de uma cidade do interior do Paraná. Os dados foram coletados por meio da aplicação de um questionário.RESULTADOS:100% dos profissionais consideram o nível de consciência importante para a deglutição, apenas 52,2% vê a importância da pr...

  1. TOLD LIKE IT IS! AN EVALUATION OF AN INTEGRATED ORAL DEVELOPMENT PILOT PROJECT

    Directory of Open Access Journals (Sweden)

    David Barr

    2005-09-01

    Full Text Available Much established pedagogical and CALL (computer-assisted language learning research advocates an integrated constructivist approach to the use of technology in language learning. This paper reports on a pilot project delivered to first year undergraduate French students. The project aim was to deliver a blend of collaborative and individual learning through a combination of CALL programs and online activities alongside traditional face-to-face conversation classes. Using quantitative analysis of a pre- and posttest and a variety of questionnaires, this project assessed student progress in developing oral skills across two groups, one (the treatment group using technology and the other (the comparison group being a traditional conversation class. Each group covered the same content and underwent the same assessment procedures. In addition, through qualitative analysis measures, the project evaluated the role played by additional variables in the learning process, as well as student and staff reactions to the two approaches. The study concludes by showing that while progress was made by both groups, the progress made by those not using technology was significantly greater than that made by students using technology over a short-term study. It also highlights the need for developing pedagogy to ensure that CALL-based teaching goes beyond rehearsal activity to achieve message-orientated communication.

  2. El estudio literario: componente necesario para una formación integral.

    Directory of Open Access Journals (Sweden)

    Luis Arrieta Meza

    2014-02-01

    Full Text Available A través del presente artículo se presenta una perspectiva del desarrollo del fenómeno literario dentro de su desenvolvimiento histórico, con el objetivo de demostrar como la literatura es un proceso dinámico y que dado su carácter superestructural, guarda estrecha relación con la base socioeconómica de todo conglomerado humano. Igualmente, se muestra como en cada una de sus etapas de desarrollo, contribuye a configurar una identidad del hombre en cuanto a sus distintas dimensiones; es decir, es un valioso instrumento para la búsqueda de una verdadera formación integral del individuo humano.

  3. El estudio literario: componente necesario para una formación integral.

    Directory of Open Access Journals (Sweden)

    Luis Arrieta Meza

    2014-03-01

    Full Text Available A través del presente artículo se presenta una perspectiva del desarrollo del fenómeno literario dentro de su desenvolvimiento histórico, con el objetivo de demostrar como la literatura es un proceso dinámico y que dado su carácter superestructural, guarda estrecha relación con la base socioeconómica de todo conglomerado humano. Igual-mente, se muestra como en cada una de sus etapas de desarrollo, contribuye a configurar una identidad del hombre en cuanto a sus distintas dimensiones; es decir, es un valioso instrumento para la búsqueda de una verdadera formación integral del individuo humano.

  4. Uso crônico de anticoagulante oral: implicações para o controle de níveis adequados Uso crónico de anticoagulante oral implicaciones para el control de niveles adecuados Constant use of oral anticoagulants: implications in the control of their adequate levels

    Directory of Open Access Journals (Sweden)

    Francieli Giachini Esmerio

    2009-11-01

    Full Text Available FUNDAMENTO: Dosagens inapropriadas e subterapêuticas anticoagulantes podem resultar em sérias complicações tromboembólicas. O uso dessa terapêutica requer especial atenção e precisa de um acompanhamento clínico e laboratorial rigoroso. OBJETIVO: Identificar fatores associados ao controle adequado dos níveis de anticoagulação oral, verificando o conhecimento e a percepção dos pacientes relacionados à terapêutica empregada. MÉTODOS: Estudo transversal que incluiu 140 pacientes acompanhados no ambulatório de anticoagulação oral, de novembro de 2005 a junho de 2006. Um questionário estruturado foi elaborado e aplicado para obtenção de características clínicas, conhecimento sobre a terapêutica, adesão ao tratamento (teste de Morisky e percepção do paciente. RESULTADOS: As principais indicações para uso do anticoagulação oral foram fibrilação atrial (61,4% e prótese metálica (55%. O tempo de uso variou entre 24 e 72 meses, e o femprocumona (58% foi o mais empregado. Em relaçãoà percepção da terapêutica, 95% dos pacientes mencionaram preocupação com o uso diário dessa medicação. A realização periódica de exames de sangue (21,4% e a tomada rigorosa de anticoagulação oral (12,8% foram compreendidas como limitantes. Observou-se conhecimento adequado entre os pacientes com international normalized ratio (INR fora da faixa (64% e na aderência entre os pacientes com INR dentro da faixa terapêutica (54%, porém sem significância estatística. CONCLUSÃO: Os resultados deste estudo demonstraram uma prevalência de pacientes em uso de anticoagulação oral com o INR dentro dos valores ideais, embora tenha sido grande a porcentagem de pacientes não-aderentes à terapêutica. O conhecimento insatisfatório quanto à terapêutica empregada e ao autocuidado torna-se evidente nessa população.FUNDAMENTO: Dosis inapropiadas y subterapéuticas anticoagulantes pueden resultar en serias complicaciones tromboemb

  5. ORAL HEALTH ATTENTION IN HOSPITAL LEVEL: REPORT OF EXPERIENCES OF EDUCATION/SERVICE INTEGRATION IN DENTISTRY

    Directory of Open Access Journals (Sweden)

    Andréa Silvia Walter de Aguiar

    2010-07-01

    Full Text Available A healthy mouth is closely linked to general health and quality of life. Oral Health Education actions are extremely important in encouraging the practice of oral hygiene by the population. It is essential that actions related to oral health issues in hospitalized patients be developed by means of educational and preventive methods. In this context, students from the Extension Project of the Dentistry Course of the Federal University of Ceará saw the needs of patients of Dr. José Frota Institute for the collective actions in oral hygiene. The activities began in November 2007, being held on Sundays by 15 students divided into groups with regard to implementing the feelings of teamwork and the exchange of fun activities for the practice of solidarity. Guidelines on oral hygiene were made through the use of macro models, folders, mirrors, fluoridated toothpastes and brushes of teeth. All observations were recorded on a specific form - since the sociodemographic data to the oral health conditions in order to know the reality under an epidemiology look and make it possible to propose oral health policy in the Instituition. A total of 385 patients were assisted in two years of operation. It was founded that the prolonged hospitalization and/or obstruction of the self implementation means that oral hygiene is not prioritized, requiring the implementation of educational activities in a work environment even uncommon to the surgeon-dentist, but very promising for the designs of Dentistry, the hospital environment.

  6. Integration of oral health in primary health care through motivational interviewing for mothers of young children: A pilot study

    Directory of Open Access Journals (Sweden)

    Manu Batra

    2018-01-01

    Full Text Available Introduction: Early childhood caries (ECC continues to affect children worldwide. In India, primary health centers (PHCs comprises the primary tier where Accredited Social Health Activist (ASHA provide integrated curative and preventive health care. The aim of the study was to pilot test the integration of oral health in primary health care through motivational interviewing (MI for mothers of young children provided by ASHAs. Subjects and Methods: The pilot study was conducted in Kashipur, Uttarakhand. From the six PHCs in Kashipur, three were randomly selected, one each was assigned to MI group, traditional health education group, and control group. From 60 mothers with 8–12 months child, ASHAs of all three groups gathered mother's knowledge regarding child's oral health using close-ended questionnaire and diagnosed clinical risk markers of ECC in children and ASHAs of Group A and B imparted the oral health education as per their training. Results: The comparison of ASHA's performances on the MI training competency pre- and post-test showed an overall average of 74% improvement in post–test scores. Interexaminer reliability of the parallel clinical measurements by 6 ASHAs and the investigator for the maxillary central incisors showed 93% of agreement for both dental plaque and dental caries assessment with 0.86 and 0.89 kappa values, respectively. Conclusion: The health education through MI is feasible and can be cost-effective by utilization of ASHAs at PHCs to provide the oral health education to mothers which will in turn improve the oral health status of children.

  7. DESARROLLO DE UNA NUEVA TÉCNICA ENDOSCÓPICA PARA EL TRATAMIENTO DE LA ACALASIA: POEM (PER-ORAL ENDOSCOPIC MYOTOMY)

    OpenAIRE

    Mejía M,Ricardo; León F,Felipe; Donoso D,Andrés; Pimentel M,Fernando; Ibáñez A,Luis; Sharp P,Allan

    2014-01-01

    La Acalasia es el trastorno motor primario más frecuente del esófago. Existen diversas alternativas para el tratamiento de esta enfermedad, siendo el gold standard actual la miotomía de Heller laparoscópica. Durante los últimos años, con el desarrollo de técnicas endoscópicas avanzadas, se ha desarrollado una nueva técnica endoscópica para el tratamiento de esta patología; la técnica POEM (del inglés: Per Oral Endoscopic Myotomy). Hoy en día pocos centros en el mundo realizan esta técnica, co...

  8. In vitro investigation of the integration depth of oral fluids and disinfectants into alginate impressions.

    Science.gov (United States)

    Surna, Rimas; Junevicius, Jonas; Rutkauskas, Evaldas

    2009-01-01

    The objective of this work is to prove that oral cavity fluids diffuse into alginate mass of impressions. In addition, the information is presented on the subject that disinfectants used for alginate impressions disinfection not only diffuse into alginate mass but penetrate deeper than oral cavity fluids. Three examination groups were formed for the research, the results of which evidenced how deeply oral cavity fluids and disinfectants 'Alpha Guard GF' and 'Orbis' could possibly diffuse into alginate impression material 'Kromopan 100'. In the first examination group ten impressions from the upper jaw dental arch and mucosa were taken, firstly colouring oral cavity fluids with a special colouring tablet MIRA-2-TON (Hager Werken). Cuts were randomly selected from impressions and scanned aiming to establish the depth of the coloured oral cavity fluid penetration. In the second and the third examination groups taken alginate impressions were accordingly soaked in 'Alpha Guard GF' and 'Orbis' with pigment and later randomly selected cuts were scanned in the same manner as in the first research group. RESULTS. The research results establish that coloured dental cavity fluids maximum diffuse into alginate impression is up to 540 microm with the presence of 95% of discolouring while disinfectants 'Alpha Guard GF' and 'Orbis' accordingly diffuse into alginate mass up to 710 microm and 870 microm with the presence of 95% of discolouring. CONCLUSIONS. The results obtained show that disinfectants using them according to the recommendations of a manufacturer, diffuse into alginate mass deeper than oral cavity fluids at the time of impressions taking.

  9. Estrategia para el manejo integral de residuos sólidos urbanos en el municipio de Jilotepec, México.

    OpenAIRE

    2013-01-01

    Proyecto Terminal Profesional en el que se propone una planificación a futuro de la elaboración de una estrategia adecuada para el manejo integral de residuos sólidos urbanos sustentable, con el fin de alcanzar un estándar ambiental adecuado en el manejo de residuos.

  10. Claves para el Desarrollo del Plan de Convivencia en los Centros Educativos desde una Perspectiva Integral

    Directory of Open Access Journals (Sweden)

    Juan Carlos Torrego

    2014-02-01

    Full Text Available Este artículo muestra las principales conclusiones obtenidas en una investigación realizada en un centro de Educación Secundaria de Madrid (España. Su propósito ha sido conocer y comprobar cómo se están desarrollando en la práctica, los planteamientos que sobre convivencia se han realizado desde marcos de intervención global, como el que se propone en el Modelo Integrado (Torrego, 2006, 2008, así como identificar aspectos claves para el desarrollo de planes de convivencia en los centros educativos. Es una investigación cualitativa, realizada mediante un diseño de Estudio de Caso Único, donde se han combinado técnicas de análisis de documentos y datos, con la realización de entrevistas en profundidad a diversos miembros de la comunidad educativa. El interés del caso radica en que el centro trata la convivencia desde una perspectiva global, sobre la base del citado modelo integrado y en que destaca por los buenos resultados obtenidos en la mejora de la convivencia en los últimos años. Las conclusiones ponen de manifiesto la importancia de abordar la convivencia desde una perspectiva integral acorde con las características del contexto, que contemple aspectos curriculares, estructuras específicas para la mejora de la convivencia y que promueva la participación democrática de la comunidad educativa; además se evidencia la necesidad de una formación específica en convivencia, el papel central de la acción tutorial y de las metodologías cooperativas. Los aspectos detectados que precisan un mayor desarrollo son: la generalización de la formación en convivencia a todo el alumnado, la profundización en las medidas curriculares, la mejora de la acción tutorial y la generación de recursos adecuados para intervenir en los casos del alumnado con más dificultades.

  11. Estudo de fibras alimentares em frutas e hortaliças para uso em nutrição enteral ou oral Study of dietary fibre in fruits and vegetables for use in oral or enteral diets

    Directory of Open Access Journals (Sweden)

    Edma Maria de Araújo

    2010-03-01

    Full Text Available Dietas enterais com alimentos convencionais são usadas em nutrição domiciliar para fornecer macronutrientes, obter dietas individualizadas e de menor custo. O objetivo deste trabalho foi estudar frutas e hortaliças (alface, berinjela, cenoura, chicória, goiaba e tamarindo como fontes de fibras alimentares solúveis e insolúveis para serem usadas em nutrição enteral ou suplemento nutricional oral. As hortaliças e frutas foram adicionadas a uma formulação enteral domiciliar e também preparadas em solução com água. Foram determinadas a composição centesimal, as fibras solúveis e insolúveis dos alimentos, a atividade de água e o pH das formulações. Foram realizados testes de gotejamento das formulações com os alimentos experimentais. A melhor proporção de alimento/dieta enteral domiciliar foi de 100 g/2 L para dieta enteral e de 150 g/2 L para suplemento nutricional oral (ingestão por boca. As quantidades de cada alimento adicionadas à formulação enteral equivalem a duas porções (100 g diárias de cada alimento para 2 L e 2000 kcal. A maior contribuição para aumentar a quantidade de fibras foi da goiaba e a menor, da berinjela. Os valores de atividade de água ficaram entre 0,95 e 1,00, indicando que as dietas são susceptíveis à contaminação microbiana. Nessas condições, devem ser consumidas imediatamente após o preparo.Enteral diets based on conventional foods are used in domestic nutritional therapy to provide macronutrients, obtain individualised diets and to lower costs. Eggplant, carrot, chicory, lettuce, guava and tamarind were studied as sources of soluble and insoluble fibers for use in enteral diets or as oral nutritional supplements, added to a domestic enteral formulation and also prepared in aqueous solution. The following physical-chemical characteristics were determined: soluble and insoluble fibers, proximate composition, pH and water activity. Drip tests were carried out with the formulas

  12. La actuación del profesor para el desarrollo de habilidades de expresión oral en estudiantes universitarios: resultados de una estrategia didáctica

    Directory of Open Access Journals (Sweden)

    Dania Rosa León Meneses

    2007-12-01

    Full Text Available La mayoría de los estudiantes arriban al nível superior con dificultades de comunicación oral y escrita, carencia que afecta su permanência en los diferentes cursos. También es común que el cuerpo docente no posea La preparación para ofrecer tratamiento adecuado a esta necesidad de formación de los profesionales. En el artículo se ofrecen los resultados de la aplicación de una estratégia didáctica para el desarrollo de habilidades de expresión oral en estudiantes atletas de la Facultad de Cultura Física de Sancti Spiritus, Cuba. Se combina la preparación de los profesores y las acciones transversales realizadas por el colectivo pedagógico para La superación de deficiencias en la construcción oral. En las conclusiones de la investigación se revela la pertinencia de la estrategia para el desarrollo de la expresión oral en alumnos universitarios, así como la satisfacción de estudiantes y profesores con las acciones realizadas. La estrategia puede ser adaptada y recontextualizada para su implementación en otras facultades o carreras universitarias, como parte de un esfuerzo conjunto de los docentes para la mejora continua de la formación de los egresados

  13. In vivo oral imaging with integrated portable photoacoustic microscopy and optical coherence tomography

    Science.gov (United States)

    Qin, Wei; Qi, Weizhi; Jin, Tian; Guo, Heng; Xi, Lei

    2017-12-01

    Oral diseases, especially oral cancers, are becoming serious health problems in humans. To image vasculatures and structures simultaneously in the human oral cavity which are tightly associated with various oral diseases, we develop a dual-modality portable optical resolution photoacoustic microscopy (ORPAM) and optical coherence tomography (OCT) system. This system utilizes a new rotary scanning mechanism and a compact design of the imaging head, making it portable and free of translation of the imaging interface or samples. Through the phantom experiments, both modalities yield high lateral resolutions of 8.1 μm (ORPAM) and 8.56 μm (OCT), respectively. The axial resolutions are measured to be 116.5 μm for ORPAM and 6.1 μm for OCT. In vivo imaging of a mouse ear was carried out to evaluate the performance of the system in biological tissues. In addition, in vivo oral imaging of a healthy human lip and monitoring recovery progress of a lip ulcer demonstrate the clinical potential of this system.

  14. Modelo integral para la evaluación de la calidad de la accesibilidad al contenido web

    OpenAIRE

    Gallardo, Cecilia Elizabeth; Funes, Ana; Ahumada, Hernán César

    2016-01-01

    El presente trabajo, que se enmarca en el área del Aseguramiento de la Calidad del Software, busca dar respuesta a la necesidad de contar con un modelo integral o marco de referencia que permita conceptualizar y, posteriormente, evaluar la accesibilidad al contenido web. Para tal fin, se propone, por un lado, el desarrollo de un modelo de conceptos de calidad correspondiente a la subcaracterística Accesibilidad del modelo de calidad de la norma ISO 25010, para lo cual se analizarán las Pau...

  15. Suplementos orais artesanais desenvolvidos para pacientes com câncer: análise descritiva Homemade oral supplements for patients with cancer: descriptive analysis

    Directory of Open Access Journals (Sweden)

    Adriana Garófolo

    2010-08-01

    Full Text Available OBJETIVO: Descrever a elaboração de oito formulações de suplementos artesanais orais desenvolvidos para aumentar o consumo de energia, proteínas e micronutrientes de pacientes com câncer, analisar seu valor nutricional e avaliar a apreciação do sabor, testando dois tipos de lipídeos. MÉTODOS: Os suplementos foram desenvolvidos com base em quatro ingredientes alimentares: leite, ovos, açúcares e óleos para recuperação nutricional. As formulações foram calculadas pelo programa de apoio à nutrição NUTWIN e seu valor nutricional foi comparado às recomendações para pacientes com câncer para macronutrientes e às Ingestões Diárias Recomendadas para micronutrientes. Por meio de degustação, os suplementos foram testados para verificação do sabor quando preparados com óleo ou margarina. RESULTADOS: A quantidade de energia por mililitro variou de 1,35 a 2,17kcal, tendo 39% a 59% de carboidrato, 11% a 13% de proteína e 30% a 49% de lipídeo, fornecendo em média 43% e 77% da recomendação de energia e proteína, respectivamente. Vitaminas C e K, ácido fólico e manganês apresentaram 15% de adequação em relação às recomendações. Com relação ao sabor, 78% dos pacientes que experimentaram com óleo e 85% dos que experimentaram com margarina relataram sabor bom, sem diferença estatística entre os tipos de suplementos. CONCLUSÃO: A avaliação do sabor demonstrou que a maioria dos pacientes considerou o suplemento com sabor bom. Essas taxas foram superiores quando testados com margarina. Os resultados sugerem que o uso de suplementos orais artesanais pode ser uma alternativa viável em situações onde não há recursos suficientes para aquisição dos industrializados.OBJECTIVE: This study aimed to describe the development of eight formulations of homemade oral supplements that propose to increase the energy, protein and micronutrient intakes of patients with cancer, analyze its nutritional value and assess its

  16. Reflexões sobre as abordagens linguísticas para o estudo da narrativa oral = Reflections on linguistic approaches to the study of oral narrative

    Directory of Open Access Journals (Sweden)

    Flannery, Mércia Regina de Santana

    2011-01-01

    Full Text Available Dada a ubiquidade do discurso narrativo e suas propriedades textuais, seu estudo permite a análise de várias relações, tanto no espaço criado pelo(s narrador(es no mundo da estória, quanto no universo das relações entre os participantes do evento onde emerge. Esta atenção à narrativa tem fomentado, na linguística moderna, várias abordagens e metodologias. Este artigo propõe uma reflexão teórica a cerca dos tratamentos linguísticos que têm sido propostos para se estudar a narrativa, recapitulando desde o então inovador trabalho de Labov e Waletzky (1967, a sociolinguística interacional e a análise da conversa, à atual abordagem das ‘pequenas estórias’ (Georgakopoulou, 2007

  17. Development of oral CTL vaccine using a CTP-integrated Sabin 1 poliovirus-based vector system.

    Science.gov (United States)

    Han, Seung-Soo; Lee, Jinjoo; Jung, Yideul; Kang, Myeong-Ho; Hong, Jung-Hyub; Cha, Min-Suk; Park, Yu-Jin; Lee, Ezra; Yoon, Cheol-Hee; Bae, Yong-Soo

    2015-09-11

    We developed a CTL vaccine vector by modification of the RPS-Vax system, a mucosal vaccine vector derived from a poliovirus Sabin 1 strain, and generated an oral CTL vaccine against HIV-1. A DNA fragment encoding a cytoplasmic transduction peptide (CTP) was integrated into the RPS-Vax system to generate RPS-CTP, a CTL vaccine vector. An HIV-1 p24 cDNA fragment was introduced into the RPS-CTP vector system and a recombinant poliovirus (rec-PV) named vRPS-CTP/p24 was produced. vRPS-CTP/p24 was genetically stable and efficiently induced Th1 immunity and p24-specific CTLs in immunized poliovirus receptor-transgenic (PVR-Tg) mice. In challenge experiments, PVR-Tg mice that were pre-immunized orally with vRPS-CTP/p24 were resistant to challenge with a lethal dose of p24-expressing recombinant vaccinia virus (rMVA-p24). These results suggested that the RPS-CTP vector system had potential for developing oral CTL vaccines against infectious diseases. Copyright © 2015 Elsevier Ltd. All rights reserved.

  18. Metodología para la estimación de costos directos de la atención integral para enfermedades no trasmisibles

    Directory of Open Access Journals (Sweden)

    Nancy Castillo

    Full Text Available Enfermedades como la diabetes mellitus (DM y la hipertensión arterial (HTA generan altos costos y son la causa más frecuente de mortalidad en la región de las Américas. En el caso del Perú, dados los cambios demográficos y epidemiológicos, y particularmente el aumento alarmante del sobrepeso y la obesidad, la carga de estas enfermedades tiene un crecimiento constante que implica la necesidad de asignar cada vez más recursos financieros a los servicios de salud. Los costos de la atención integral de estas enfermedades y sus complicaciones representan una carga económica que debe ser considerada por las instituciones de salud al elaborar su presupuesto. Con ese propósito, la Organización Panamericana de la Salud (OPS ha apoyado al Ministerio de Salud (MINSA con la realización de un estudio para la estimación de estos costos. En el presente artículo se describe esquemáticamente la metodología desarrollada para la estimación de los costos directos en la atención integral de la DM e HTA en los servicios de salud del MINSA y gobiernos regionales.

  19. Integral system for computer aided design of power line transmission towers; Sistema integral para el diseno asistido por computadora de torres de transmision

    Energy Technology Data Exchange (ETDEWEB)

    Nagore, Gabriel [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

    1987-12-31

    The profitable use of the advantages offered by the computer aided design, through the integral system for the structural design of power transmission towers (SIDETT) will contribute to facilitate and improve the design of the structures that link the electric power generation centers with the consumers. [Espanol] El aprovechamiento de las ventajas que ofrece el diseno asistido por computadora, a traves del sistema integral para el diseno estructural de torres de transmision (SIDETT), contribuira a agilizar y mejorar el diseno de las estructuras que enlazan los centros de generacion de energia electrica con los consumidores.

  20. Integral system for computer aided design of power line transmission towers; Sistema integral para el diseno asistido por computadora de torres de transmision

    Energy Technology Data Exchange (ETDEWEB)

    Nagore, Gabriel [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

    1986-12-31

    The profitable use of the advantages offered by the computer aided design, through the integral system for the structural design of power transmission towers (SIDETT) will contribute to facilitate and improve the design of the structures that link the electric power generation centers with the consumers. [Espanol] El aprovechamiento de las ventajas que ofrece el diseno asistido por computadora, a traves del sistema integral para el diseno estructural de torres de transmision (SIDETT), contribuira a agilizar y mejorar el diseno de las estructuras que enlazan los centros de generacion de energia electrica con los consumidores.

  1. La Narración oral: Alternativa para el desarrollo de una experiencia educativa con perspectivas de género

    Directory of Open Access Journals (Sweden)

    Marianela Rosa Peña Lora

    2015-01-01

    Full Text Available El trabajo que se presenta explica el carácter de la experiencia pedagógica realizada en la Universidad de Ciencias Médicas de Santiago de Cuba, referida a la creación de una Cátedra de Oralidad con enfoque de género, que tiene como objetivo contribuir a la gestión y desarrollo de prácticas y procesos sociales de carácter educativo/comunicacional y a los procesos formativos que de ello se derivan, así como desarrollar una reflexión crítica sobre el papel de la mujer en la experiencia narrativa de la vida cotidiana y en el rescate de la palabra en diferentes contextos educativos y socioculturales. En la implementación de la cátedra, organizada en áreas de desarrollo: "Historia de la Universidad de Ciencias Médicas"; "La narrativa oral y la relación interdisciplinaria"; "La medicina narrativa"; "La narración oral como arte y conducta ex-presivo-comunicativa", la transversali-dad del enfoque de género aparece como una estrategia metodológica que desde un planteamiento sistémico vislumbra todo el proceso educativo que posibilita el desarrollo de las habilidades básicas del pensamiento y comunicación basadas en la narración oral. En las conclusiones se expresa cómo el logro de estos objetivos ha transcurrido por un conjunto de actividades en las esferas de la docencia, investigación y extensión, donde además de abordar los aspectos teóricos, se ha realizado una reflexión compartida como construcción y experiencia sociocultural que permitió un intercambio de saberes, experiencias y participación a través de la narración oral, la cual se ha proyectado como espacio abierto para el aprendizaje, experiencia esencialmente humana y estrategia para la investigación.

  2. Effects of the creatine oral supplement in handball players to improve jump EFECTO DEL SUPLEMENTO ORAL DE CREATINA A JUGADORES DE BALONMANO PARA LA MEJORA DEL SALTO

    Directory of Open Access Journals (Sweden)

    P. Padial

    2010-09-01

    Full Text Available

    The knowledge of the efficiency creatine supplements for the improvement of the performanceis the main motive that it has carried us to accomplish this study. There is a huge controversy in this regard. To prove its efficiency have been used N = 10 (20 ± 2y (82Kg.± 5Kg. trained subjects, Team Handbal players (1st National Division. The protocol has been the following: They have been divided the subjects in two groups G1 = 5 and G2= 5 in a random way. To the G1 have been administered 4 x 5 g per day of creatine monohydratate (CRH2O during five days. To the G2 (control group has been administered glucose. A pretest and a posttest were done after ending the feed. In the tests were controlled the following parameters: SJ and CMJ in a platform of pressure and the corporal weight in kgs. Al the subjects accomplished the same training (6 days of training: 3 of them destined to improve strength. Once completed t Student for independent samples, the results did not show meaningful improvements in the variables analyzed. These results demonstrate that an increase in the capacity of the fosfogenolitic route by exogenous way it is not possible in explosive movements in Team handbal players.
    KEY WORDS: Handbal, Supplements Creatine, Training, Explosive Power.

     

    El conocimiento de la efectividad de los suplementos de creatina para la mejora del rendimiento es el principal motivo que nos ha llevado a realizar este estudio. La controversia existente al respecto es grande. Para comprobar su eficacia se han utilizado N = 10 (20 ± 2 a. (82 Kg. ± 5 kgr. sujetos entrenados, jugadores de balonmano (1ª División Nacional. El protocolo seg uido ha sido el siguiente: Se han dividido los sujetos en dos grupos G1 = 5 y G2= 5 de forma aleatoria. Al G1 se le han administrado 4 x 5 g./día de creatina monohidratada (CRH20 durante cinco d

  3. An integrated management tool for rockfall evaluation along transportation corridors: the ParaChute research project

    Science.gov (United States)

    Cloutier, Catherine; Locat, Jacques; Mayers, Mélanie; Noël, François; Turmel, Dominique; Jacob, Chantal; Dorval, Pierre; Bossé, François; Gionet, Pierre; Jaboyedoff, Michel

    2016-04-01

    Rockfall is a significant hazard along linear infrastructures due to the presence of natural and man-made rock slopes. Knowing where the problematic rockfalls source areas are is of primary importance to properly manage and mitigate the risk associated to rockfall along linear infrastructures. The aim of the ParaChute research project is to integrate various technologies into a workflow for rockfall characterization for such infrastructures, using a 220 km-long railroad as the study site which is located on Québec's North Shore, Canada. The objectives of this 3-year project which started in 2014 are: (1) to optimize the use of terrestrial, mobile and airborne laser scanners data into terrain analysis, structural geology analysis and rockfall susceptibility rating, (2) to further develop the use of unmanned aerial vehicles (UAV) for photogrammetry applied to rock cliff characterization, and (3) to integrate rockfall simulation studies into a rock slope classification system similar to the Rockfall Hazard Rating System. Firstly, based on laser scanner data and aerial photographs, the morpho-structural features of the terrain (genetic material, landform, drainage, etc.) are mapped. The result can be used to assess all types of mass movements. Secondly, to guide field work and decrease uncertainty of various parameters, systematic rockfall simulations and a first structural analysis are made from point clouds acquired by mobile and airborne laser scanner. The simulation results are used to recognize the rock slopes that have potentially problematic rockfall paths, meaning they could reach the linear infrastructure. Other rock slopes are not included in the inventory. Field work is carried out to validate and complete the rock slopes characterization previously made from remote sensing technique. Because some or parts of cliffs are not visible or accessible from the railroad, we are currently developing the use of photogrammetry by UAV in order to complete the

  4. Desarrollo del cuadro de mando integral para la unidad de mantenimiento de plantas de tratamiento de la EMAAP-Q

    OpenAIRE

    Ramírez, Jaime

    2010-01-01

    Este trabajo de investigación, formula y proporciona las pautas para la implementación del Cuadro de Mando Integral (CMI) en la Unidad de mantenimiento de Plantas. El CMI le servirá a la EMAAP-Q, como una herramienta de control estratégico que permitirá mejorar los niveles de calidad y productividad en la prestación del servicio de mantenimiento de Plantas de tratamiento. 1. NATURALEZA Y FUNDAMENTOS DEL CUADRO DE MANDO INTEGRAL 2. LA EMPRESA METROPOLITANA DE ALCANTARILLADO ...

  5. Formulações com alimentos convencionais para nutrição enteral ou oral Formulations for enteral or oral nutrition using conventional foods

    Directory of Open Access Journals (Sweden)

    Edma M. Araújo

    2006-09-01

    Full Text Available A nutrição enteral domiciliar é um tratamento econômico e seguro usado na prevenção da desnutrição e manutenção da qualidade de vida. Nesse estudo, foi analisada a formulação FCM (CARVALHO et al. 1992 e foram desenvolvidas formulações (F1 e F2 para obter quantidades e qualidade dos componentes conforme literatura. As fórmulas foram desenvolvidas com alimentos convencionais de baixo custo, factíveis de preparo em domicílio, disponíveis em regiões menos desenvolvidas, onde as dietas industrializadas não são comercializadas. Foram determinadas propriedades como viscosidade, osmolalidade, gotejamento e valor nutricional. As fórmulas F1 e F2 apresentaram menor viscosidade e distribuição calórica (proteína 14%, gordura 33%, carboidrato 53%, fibra alimentar (8,16 g/2 L e densidade calórica (1 kcal/mL melhores que FCM (proteína 19%, gordura 33%, carboidrato 48%, fibra alimentar 4,68 g/2 L e densidade calórica 0,87 kcal. As fórmulas F1 e F2 apresentaram soluções mais fluidas que FCM, gotejamento de 60 80 gotas/minuto. As osmolalidades ficaram isotônicas. A adição de fubá de milho, Soymilk® e Nidex® melhoraram o valor nutritivo e a fluidez de F1 e F2, viabilizando a administração de maior quantidade em menor tempo. As formulações F1 e F2 são opções para uma individualização de dieta enteral normal por gastrostomia em terapia domiciliar.Home enteral nutrition is a safe, economic treatment used in the prevention of malnutrition and in the maintenance of life quality. In this study the formulation FCM (CARVALHO et al., 1992 was analysed, and the formulations F1 and F2 developed, aiming at obtaining the component quantities and qualities cited in the literature. The formulations were developed using low cost conventional foods, easy to prepare domestically and available in less developed regions where industrialised diets are not commercialised. The viscosity, osmolality, dripping properties and nutritive value

  6. La ciudad de los prodigios somos nosotros. Actividades de expresión oral a partir de lecturas: una propuesta creativa para los alumnos

    Directory of Open Access Journals (Sweden)

    Eugenio Gillani Martín

    2012-08-01

    Full Text Available Entre los cometidos que tenemos los profesores en el nivel de enseñanza en el que trabajo, enseñanza de lenguas extranjeras (LE en escuelas oficiales de idiomas (E.O.I., están también la práctica de la comprensión escrita y el fomento de la lectura,  tanto en el aula como fuera de ella. Existe, al respecto, el hábito de  proponer a los alumnos, a lo largo del curso y de forma más o  menos obligatoria, la lectura en casa de cuentos y novelas que, posteriormente, se utilizarán en clase para actividades de análisis  lingüístico (generalmente sobre contenidos gramaticales, léxicos, estructuras sintácticas, modelos textuales, etc., o como estímulo para escribir resúmenes y redacciones y, cómo no, como objeto de evaluación de competencia en la expresión oral.

  7. Integration of Pathway Knowledge and Dynamic Bayesian Networks for the Prediction of Oral Cancer Recurrence.

    Science.gov (United States)

    Kourou, Konstantina; Papaloukas, Costas; Fotiadis, Dimitrios I

    2017-03-01

    Oral squamous cell carcinoma has been characterized as a complex disease which involves dynamic genomic changes at the molecular level. These changes indicate the worth to explore the interactions of the molecules and especially of differentially expressed genes that contribute to cancer progression. Moreover, based on this knowledge the identification of differentially expressed genes and related molecular pathways is of great importance. In the present study, we exploit differentially expressed genes in order to further perform pathway enrichment analysis. According to our results we found significant pathways in which the disease associated genes have been identified as strongly enriched. Furthermore, based on the results of the pathway enrichment analysis we propose a methodology for predicting oral cancer recurrence using dynamic Bayesian networks. The methodology takes into consideration time series gene expression data in order to predict a disease recurrence. Subsequently, we are able to conjecture about the causal interactions between genes in consecutive time intervals. Concerning the performance of the predictive models, the overall accuracy of the algorithm is 81.8% and the area under the ROC curve 89.2% regarding the knowledge from the overrepresented pre-NOTCH Expression and processing pathway.

  8. En torno al nombre adjetivo en el discurso oral de los niños escolares costarricenses: lineamientos para su enseñanza

    Directory of Open Access Journals (Sweden)

    Marielos Murillo Rojas

    2001-01-01

    Full Text Available Diversos ámbitos e instituciones suelen manifestar que los niños y jóvenes costarricenses carecen de destrezas suficientes para expresar y comprender textos. Por ello, se han generado una serie de estudios relacionadas con la competencia lingüística del educando costarricense, entre ellos el LEBAESCO (base de este estudio, que pretende registrar el léxico básico de los escolares ticos. El artículo se aboca en particular a la amplitud de adjetivos que los escolares emplean, y registra algunos aspectos teóricos que sustentan la conceptualización y clasificación de dicha categoría. Asimismo, se recoge una muestra que comprende textos orales emitidos por niños entre los 7 y 14 años de edad, tanto de escuelas públicas como privadas. Posteriormente, se categorizaron y analizaron los adjetivos empleados y registrados en LEBAESCO. Según los datos arrojados por el artículo, se concluye que es importante que el sistema educativo costarricense dedique mayor espacio y énfasis a la enseñanza de la lengua materna, no solo en el estudio de la dimensión de categoría gramatical del adjetivo, en este caso, sino como instrumento para el enriquecimiento léxico. De igual manera, se debe tener en cuenta que el LEBAESCO puede facilitar la planificación de la enseñanza para el diseño de estrategias de incorporación al sistema educativo.

  9. En torno al nombre adjetivo en el discurso oral de los niños escolares costarricenses: Lineamientos para su enseñanza

    Directory of Open Access Journals (Sweden)

    Murillo Rojas, Marielos

    2001-12-01

    Full Text Available Diversos ámbitos e instituciones suelen manifestar que los niños y jóvenes costarricenses carecen de destrezas suficientes para expresar y comprender textos. Por ello, se han generado una serie de estudios relacionadas con la competencia lingüística del educando costarricense, entre ellos el LEBAESCO (base de este estudio, que pretende registrar el léxico básico de los escolares ticos. El artículo se aboca en particular a la amplitud de adjetivos que los escolares emplean, y registra algunos aspectos teóricos que sustentan la conceptualización y clasificación de dicha categoría. Asimismo, se recoge una muestra que comprende textos orales emitidos por niños entre los 7 y 14 años de edad, tanto de escuelas públicas como privadas. Posteriormente, se categorizaron y analizaron los adjetivos empleados y registrados en LEBAESCO. Según los datos arrojados por el artículo, se concluye que es importante que el sistema educativo costarricense dedique mayor espacio y énfasis a la enseñanza de la lengua materna, no solo en el estudio de la dimensión de categoría gramatical del adjetivo, en este caso, sino como instrumento para el enriquecimiento léxico. De igual manera, se debe tener en cuenta que el LEBAESCO puede facilitar la planificación de la enseñanza para el diseño de estrategias de incorporación al sistema educativo.

  10. Integrity and stability of oral liposomes containing bile salts studied in simulated and ex vivo gastrointestinal media.

    Science.gov (United States)

    Hu, Shunwen; Niu, Mengmeng; Hu, Fuqiang; Lu, Yi; Qi, Jianping; Yin, Zongning; Wu, Wei

    2013-01-30

    The objective of this study was to investigate the integrtity and stability of oral liposomes containing glycocholate (SGC-Lip) in simulated gastrointestinal (GI) media and ex vivo GI media from rats in comparison with conventional liposomes (CH-Lip) composed of soybean phosphatidylcholine and cholesterol. Membrane integrity of liposomes was evaluated by monitoring calcein release, particle size and distribution in different simulated GI media. The stability of liposomes encapsulating insulin was investigated in simulated GI fluids containing pepsin or pancreatin and ex vivo GI enzyme fluids. Simulated GI media with low pH or physiological bile salts resulted in significant increase in calcein release, but dynamic laser scattering data showed that the size and distribution were generally stable. SGC-Lip retained the major amount of the initially encapsulated insulin as compared with CH-Lip in simulated GI fluids (SGF, FaSSGF, SIF and FeSSIF-V2). SGC-Lip retained respectively 17.1% and 20.5% of the initially encapsulated insulin in ex vivo GI fluid, which were also significantly more than CH-Lip. These results suggested that SGC-Lip could protect insulin from degradation to some degree during their transit through the gastrointestinal tract and contributed to enhanced oral absorption. Copyright © 2012 Elsevier B.V. All rights reserved.

  11. Oral lysine clonixinate in the acute treatment of migraine: a double-blind placebo-controlled study Clonixinato de lisina oral para o tratamento agudo da migrânea: estudo duplo-cego e placebo-controlado

    Directory of Open Access Journals (Sweden)

    Abouch V. Krymchantowski

    2001-03-01

    Full Text Available Several oral nonsteroidal anti-inflammatory drugs (NSAIDs are effective to treat migraine attacks. Lysine clonixinate (LC is a NSAID derived from nicotinic acid that has proven to be effective in various pain syndromes such as renal colic and muscular pain. The aim of this double-blind, placebo-controlled study was to evaluate the efficacy of oral LC compared to placebo in the acute treatment of migraine. Sixty four patients with the diagnosis of migraine, according to the IHS criteria, were studied prospectively. Patients received LC or placebo once the headache reached moderate or severe intensity for 6 consecutive attacks. With regard to the moderate attacks, LC was superior than placebo after 1, 2 and 4 hours. The consumption of other rescue medications after 4 hours was significantly higher in the placebo group. With regard to the severe attacks, there was no difference between the active drug group and the placebo group concerning headache intensity and consumption of other rescue medications. We conclude that the NSAID lysine clonixinate is effective in treating moderately severe migraine attacks. It is not superior than placebo in treating severe migraine attacks.Alguns antinflamatórios não esteroidais (AINEs são eficazes para o tratamento de crises de migrânea. O clonixinato de lisina (CL é um AINE derivado do ácido nicotínico comprovadamente eficaz no tratamento de várias síndromes dolorosas como a cólica renal e a dor muscular. O objetivo deste estudo duplo-cego placebo-controlado foi avaliar a eficácia do CL oral comparado ao placebo no tratamento agudo da migrânea. Sessenta e quatro pacientes com o diagnóstico de migrânea, de acordo com os critérios da Sociedade Internacional de Cefaléia (IHS, foram estudados prospectivamente. Os pacientes receberam CL ou placebo quando a cefaléia atingiu a intensidade moderada ou severa em 6 crises consecutivas. Para as crises moderadas, o CL foi superior ao placebo em 1, 2 e 4

  12. Cistinosis en pacientes adolescentes y adultos: Recomendaciones para la atención integral de la cistinosis

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    Gema Ariceta

    2015-05-01

    Conclusiones: Disponer de un documento de referencia para la atención integral de la cistinosis constituye una herramienta de soporte para los profesionales de la salud que asisten a estos pacientes. Los principales pilares en los que se sustenta son: a el enfoque multidisciplinar, b la adecuada monitorización de la enfermedad y control de los niveles de cistina intraleucocitarios, c la importancia de la adherencia al tratamiento con cisteamina y d la promoción del autocuidado del paciente mediante programas de educación en la enfermedad. Todo ello conducirá, en una segunda fase, a la elaboración de un modelo de transición coordinado entre los servicios de pediatría y de adultos que contemple las necesidades específicas de la cistinosis.

  13. Escuela integral de desarrollo de liderazgo (EIDL) para el colegio Montessori

    OpenAIRE

    Velasquez Zapata, Margarita Maria

    2013-01-01

    El propósito de este trabajo es plantear el desarrollo de una escuela de liderazgo para jóvenes preadolescentes y adolescentes del Colegio Montessori, institución de carácter privado, con sede en Medellín. El colegio está centrado en el planteamiento de un proyecto en la temática del liderazgo escolar, a partir del diseño de un programa de desarrollo de liderazgo para jóvenes del Colegio Montessori de Medellín, teniendo en cuenta los elementos conceptuales, procedimentales y estratégicos ...

  14. Programa de formación integral para los catequistas del Oratorio Don Bosco de Cuenca

    OpenAIRE

    Rojas, Paola

    2012-01-01

    En el Oratorio se cuenta con una escuela de catequistas que planifica temas de acuerdo a las necesidades de los jóvenes en ese momento, sin embargo no son procesuales; debido a que no existe una propuesta de formación para catequistas de oratorios salesianos, ni tampoco existe una planificación, ni programa de formación para dicha escuela. La formación siempre será importante y más aún cuando a cargo de los catequistas están otras personas, y depende mucho de ellos los cimie...

  15. DIAGNÓSTICO Y PROPUESTA PARA UNA GESTIÓN INTEGRAL DEL RIESGO EN EL VALLE DE ABURRA: RED RIESGOS

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    ARISTIZÁBAL EDIER

    2010-05-01

    Full Text Available A partir del análisis de la situación organizacional de las diferentes instituciones en el Valle de Aburrá frente a la reducción de desastres y emergencias asociadas con los fenómenos de origen natural y antrópico, el Área Metropolitana del Valle de Aburrá, como autoridad ambiental y entidad planificadora, hace una propuesta que pretende articular todas las entidades, organizaciones e instituciones públicas y privadas hacia una gestión integral del riesgo, y la cual denominó: Red para la Gestión del Riesgo en el Valle de Aburrá, Red Riesgos. Red Riesgos es un sistema organizacional abierto de carácter interinstitucional para orientar y coordinar las políticas y acciones de análisis y reducción de riesgos, preparación y ejecución de la respuesta y recuperación en casos de desastre y emergencias en el Valle de Aburrá. Como instrumento estratégico de la Red, se formuló el Plan Regional para la Gestión del Riesgo en el Valle de Aburrá que contiene las acciones que se deben ejecutar para la reducción de desastres y el manejo óptimo de los mismos y se diseñó el Sistema Integrado de Información para dar soporte a los diferentes procesos de gestión de la Red.

  16. Integration of basic sciences and clinical sciences in oral radiology education for dental students.

    Science.gov (United States)

    Baghdady, Mariam T; Carnahan, Heather; Lam, Ernest W N; Woods, Nicole N

    2013-06-01

    Educational research suggests that cognitive processing in diagnostic radiology requires a solid foundation in the basic sciences and knowledge of the radiological changes associated with disease. Although it is generally assumed that dental students must acquire both sets of knowledge, little is known about the most effective way to teach them. Currently, the basic and clinical sciences are taught separately. This study was conducted to compare the diagnostic accuracy of students when taught basic sciences segregated or integrated with clinical features. Predoctoral dental students (n=51) were taught four confusable intrabony abnormalities using basic science descriptions integrated with the radiographic features or taught segregated from the radiographic features. The students were tested with diagnostic images, and memory tests were performed immediately after learning and one week later. On immediate and delayed testing, participants in the integrated basic science group outperformed those from the segregated group. A main effect of learning condition was found to be significant (pbasic sciences integrated with clinical features produces higher diagnostic accuracy in novices than teaching basic sciences segregated from clinical features.

  17. GUIA METODOLOGICA PARA UN MANEJO INTEGRAL COSTERO APLICADO A PEHUEN CO (ARGENTINA

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    María Luján Bustos

    2017-03-01

    Os planos de gestão costeira integrada (GCI na Argentina são quase inexistentes. No Sul da província de Buenos Aires (Argentina, o planejamento por causa da intensidade da erosão costeira, que afeta especialmente as áreas urbanizadas, é necessário. É fundamental ainda traçar estratégias de GCI que possam ser aplicadas em toda a área de forma sustentável. Neste processo, a participação e o compromisso dos atores sociais são fundamentais. Por esta razão, um guia metodológico foi construído para uma GCI com participação social e aplica-se à localidade de Pehuen Co. Obteve-se como resultado que a erosão costeira e a sazonalidade do turismo são os pilares tanto para a visão científica quanto para a social. Sobre isso, foram delineadas ações e estratégias a curto, médio e longo prazos e indicadores de acompanhamento. Concluiu-se que é necessário o compromisso das autoridades locais, trabalhando em conjunto com as partes interessadas, para o bom funcionamento do GCI. Palavras-chave: Gestão Integrada Costeira; Indicadores Ambientais; Erosão; Sazonalidade do Turismo; Pehuen Co (Argentina.

  18. O papel da odontologia na equipe interdisciplinar: contribuindo para a atenção integral ao idoso

    OpenAIRE

    Shinkai Rosemary Sadami Arai; Del Bel Cury Altair Antoninha

    2000-01-01

    Este trabalho bibliográfico teve por objetivo discutir a atuação da odontologia na atenção integral à saúde do idoso, considerando-se a necessidade da abordagem interdisciplinar. É apresentada a atual situação da odontologia geriátrica e os problemas que ocorrem no Brasil pela falta de estudos específicos e de recursos humanos capacitados em geriatria e gerontologia dentro da odontologia. São destacadas as interações entre as diversas profissões de saúde e a odontologia, para a promoção de sa...

  19. Estudio para el diseño de un cuadro de mando integral en una empresa del sector servicios

    OpenAIRE

    Cunill Clua, Leonard

    2011-01-01

    Este estudio tiene como objetivo describir y analizar los procesos de una empresa de servicios. Una vez analizados se diseñará un cuadro de mandos integral para controlarlos y monitorizarlos con el fin de alcanzar los objetivos y metas fijados por la estrategia de la empresa. El objetivo de este proyecto es realizar un estudio que consiste en analizar y describir una empresa de servicios dedicada al diseño de instalaciones industriales y ejecuciones de obra. Una vez analizada la empresa in...

  20. DIAGNÓSTICO Y PROPUESTA PARA UNA GESTIÓN INTEGRAL DEL RIESGO EN EL VALLE DE ABURRA: RED RIESGOS

    OpenAIRE

    ARISTIZÁBAL EDIER; VARGAS RICHARD

    2010-01-01

    A partir del análisis de la situación organizacional de las diferentes instituciones en el Valle de Aburrá frente a la reducción de desastres y emergencias asociadas con los fenómenos de origen natural y antrópico, el Área Metropolitana del Valle de Aburrá, como autoridad ambiental y entidad planificadora, hace una propuesta que pretende articular todas las entidades, organizaciones e instituciones públicas y privadas hacia una gestión integral del riesgo, y la cual denominó: Red para la Gest...

  1. The Effect of an Integrated Course Cluster Learning Community on the Oral and Written Communication Skills and Technical Content Knowledge of Upper-Level College of Agriculture Students

    Science.gov (United States)

    Barnett, Cynthia; Miller, Greg; Polito, Thomas A.; Gibson, Lance

    2009-01-01

    The purpose of this quasi-experimental study was to determine if upper-level college students who participated in AgPAQ, an integrated course cluster learning community, would demonstrate enhanced learning in the areas of oral communication, written communication, and agronomic/economic technical content knowledge. The population (N = 182)…

  2. Courseware Integration into Task-Based Learning: A Case Study of Multimedia Courseware-Supported Oral Presentations for Non-English Major Students

    Science.gov (United States)

    Tsai, Shu-Chiao

    2011-01-01

    This study reports on the integration of English for Specific Purposes (ESP) multimedia courseware for oral presentations into a self-learning and elective program for non-English major students in an English as a Foreign Language (EFL) setting. A computer-aided instruction approach, combined with a task-based learning approach, was adopted.…

  3. Estrategia integral de formación para la mejora continua de la calidad de los servicios de salud

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    Laura Magaña Valladares

    2015-05-01

    Full Text Available El sistema de salud mexicano ha tenido logros importantes que se reflejan en la mejora creciente del nivel de salud. Empero, la heterogeneidad en la calidad de los servicios y su repercusión en la salud de diferentes grupos poblacionales continúan siendo un reto. Los costos de fallos en la calidad representan de 20 a 40% del gasto de los sistemas de salud. Es necesario desarrollar la capacidad organizacional para implementar sistemas de gestión de calidad que permitan identificar, evaluar, superar y prevenir los retos del sistema de salud. Para ello, se propone una estrategia integral de formación de recursos humanos basada en competencias y responsabilidades, que incluye programas de pregrado, posgrado y educación continua para favorecer el ejercicio efectivo de la función de calidad en los diversos niveles de responsabilidad del sistema de salud. La estrategia responde a las necesidades del sistema mexicano, pero puede ser adaptada a diferentes sistemas y contextos.

  4. Estudos de mucoadesão no trato gastrointestinal para o aumento da biodisponibilidade oral de fármacos Mucoadhesion studies in the gastrointestinal tract to increase oral drug bioavailability

    Directory of Open Access Journals (Sweden)

    Felipe Oliveira Varum

    2008-12-01

    Full Text Available A biodisponibilidade oral de muitos fármacos é limitada pelo tempo de residência das formas farmacêuticas ao longo do trato gastrointestinal. A mucoadesão tem sido proposta como forma de prolongar o tempo de residência em determinada zona, contribuindo para o aumento do efeito terapêutico dos fármacos. O estômago e o intestino delgado têm sido preferencialmente os alvos de estudo da mucoadesão, tendo sido observados resultados promissores em ensaios in vitro. Contudo, alguns ensaios em humanos, usando a técnica de γ-cintigrafia, têm revelado o insucesso da mucoadesão como forma de aumentar o tempo de contacto de formulações no trato gastrointestinal superior. A falta de correlação in vitro/in vivo pode ser atribuída à complexidade do trato gastrointestinal humano. Muitos dos modelos in vitro reproduzem apenas em parte as condições observadas in vivo. Outros fatores, tais como a motilidade, o pH, a espessura e a taxa de renovação de muco, presença de enzimas e alimentos, não têm sido simulados em ensaios in vitro. A taxa de renovação do muco, a sensibilidade aos estímulos secretores e a motilidade são mais baixas no cólon que no estômago e intestino delgado. Portanto, a mucoadesão no cólon poderá constituir um conceito mais bem sucedido. Contudo, são necessários mais estudos quer em modelos animais quer em humanos para avaliar o seu verdadeiro potencial. Além disso, são necessários estudos de farmacocinética para determinar a libertação e posterior absorção do fármaco a partir do sistema mucoadesivo.The oral bioavailability of many drugs can be limited by the residence time of pharmaceutical dosage forms in the gastrointestinal tract. Mucoadhesion has been proposed as a method to increase residence time at a specific area, hence increasing the therapeutic effect of drugs. Most research efforts on mucoadhesion have focused on the stomach and small intestine, with promising results observed from in in

  5. Development and characterization of orally-disintegrating films for propolis delivery Desenvolvimento e caracterização de filmes de desintegração para liberação oral de própolis

    Directory of Open Access Journals (Sweden)

    Josiane Gonçalves Borges

    2013-02-01

    apresentaram comportamento plástico. Observou-se também aumento da solubilidade à 25 ºC e redução do ângulo de contato, bem como do tempo de desintegração. Observou-se ainda, que os todos filmes apresentaram concentração considerável de fenóis e estrutura interna porosa. Desta forma, maiores concentrações de colágeno apresentaram matrizes poliméricas mais hidrofílicas, mais solúveis e com menor tempo de dissolução o que favorece a utilização destes materiais como carreadores de componentes ativos para liberação na cavidade oral.

  6. A contagem oral como pré-requisito para a aquisição do conceito de número com crianças pré-escolares Oral counting as a pre-requisite for the acquisition of the concept of number with pre-scholars

    Directory of Open Access Journals (Sweden)

    Giseli Monteiro

    2002-01-01

    Full Text Available A contagem oral como pré-requisito para aquisição do conceito de número foi ensinada através do procedimento de escolha de acordo com o modelo com crianças pré-escolares. Aos dois grupos foram ensinadas as relações de equivalência entre número e quantidade, porém a contagem oral foi ensinada apenas para o Grupo Experimental. No treino foram utilizados estímulos impressos (números, palavras e figuras e auditivos (ditado. Ambos os grupos foram, então, submetidos a diferentes condições de teste para verificar o efeito da contagem oral. Na generalização foi utilizado um jogo de dominó. O desempenho dos sujeitos que foram submetidos ao ensino da contagem oral foi superior ao dos sujeitos que não passaram por esse procedimento. É discutida a importância da contagem oral na aquisição do conceito de número, sendo apontada como facilitadora no estabelecimento de relações de equivalência de estímulos não diretamente ensinadas (generalização.The oral counting as a pre-requisite for the acquisition of the concept of number taught through procedure of matching to sample with pre-scholars. To both groups were taught the equivalence relations between number and quantity, whereas the oral counting was taught just to the Experimental Group (EG. In training were used printed stimuli (numbers, words and figures and words dictated by the research. After that, both groups' subjects were assessed to different conditions of testing to evaluate the effects the oral counting. Lastly, all the subjects (CG and EG were given the Generalization Test I and Generalization Test II (game of domino, made out of all the relations. The behavior of subjects submitted to the training of oral counting was superior in relation of the subject's behavior that no submitted to that procedure. The importance of oral counting in the acquisition of the concept of numbers related to the setting up of the relations number-quantity is discussed, being the oral

  7. O Percurso de uma entrevista no Jornal: alguns procedimentos lingüístico-discursivos na passagem do oral para o escrito e suas conseqüências para a interpretação da enunciação

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    Valéria Aparecida Galioti Silva Prado

    2008-12-01

    Full Text Available A passagem da modalidade oral para a escrita, procedimento freqüentena comunicação humana e, em especial para esta pesquisa, na imprensa escrita,produz alterações no discurso. O presente trabalho procura reconhecer algumas estratégias lingüístico-discursivas utilizadas pelos jornalistas na transmissão danotícia, analisando o percurso de uma entrevista, do seu pronunciamento oral atésua publicação no jornal, para verificar em que medida tais estratégias podem servir de instrumento de manipulação de idéias, além de buscar diferenças no trato da notícia nos dois jornais analisados, levando-se em conta o comprometimento de um deles com a fonte de informação.

  8. Plan de apoyo integral para el desempeño escolar de los alumnos (paidea)

    OpenAIRE

    Morales Ramírez, María Ascensión

    2016-01-01

    Existe una gran preocupación en torno a que los alumnos vean obstaculizada su trayectoria escolar, debido, entre otros factores, a los relacionados con su situación socioeconómica y de salud, los bajos niveles de interés por sus estudios y la escasa claridad en cuanto a las expectativas para la conclusión de los mismos. Así, por ejemplo, el Plan de Desarrollo Universitario señala que más de una tercera parte de los alumnos de nuevo ingreso a la Universidad Nacional Autónoma de México (UNAM), ...

  9. Identification of Differentially Expressed Genes Induced by Aberrant Methylation in Oral Squamous Cell Carcinomas Using Integrated Bioinformatic Analysis

    Directory of Open Access Journals (Sweden)

    Xiaoqi Zhang

    2018-06-01

    Full Text Available Oral squamous cell carcinoma (OSCC is a malignant disease. Methylation plays a key role in the etiology and pathogenesis of OSCC. The goal of this study was to identify aberrantly methylated differentially expressed genes (DEGs in OSCCs, and to explore the underlying mechanisms of tumorigenesis by using integrated bioinformatic analysis. Gene expression profiles (GSE30784 and GSE38532 were analyzed using the R software to obtain aberrantly methylated DEGs. Functional enrichment analysis of screened genes was performed using the DAVID software. Protein–protein interaction (PPI networks were constructed using the STRING database. The cBioPortal software was used to exhibit the alterations of genes. Lastly, we validated the results with the Cancer Genome Atlas (TCGA data. Twenty-eight upregulated hypomethylated genes and 24 downregulated hypermethylated genes were identified. These genes were enriched in the biological process of regulation in immune response, and were mainly involved in the PI3K-AKT and EMT pathways. Additionally, three upregulated hypomethylated oncogenes and four downregulated hypermethylated tumor suppressor genes (TSGs were identified. In conclusion, our study indicated possible aberrantly methylated DEGs and pathways in OSCCs, which could improve the understanding of the underlying molecular mechanisms. Aberrantly methylated oncogenes and TSGs may also serve as biomarkers and therapeutic targets for the precise diagnosis and treatment of OSCCs in the future.

  10. Integrated logistic support analysis system; Sistema de analisis y gestion para el apoyo logistrico integrado

    Energy Technology Data Exchange (ETDEWEB)

    Carnicero Iniguez, E J; Garcia de la Sen, R. [Empresarios Agrupados, A.I.E., Madrid (Spain)

    1993-12-15

    Integrating logic support into a system results in a large volume of information having to be managed which can only be achieved with the help of computer applications. Both past experience and growing needs in such tasks have led Emperesarios Agrupados to undertake an ambitious development project which is described in this paper. (author)

  11. Offshore system for integration of the wind energy; Sistema offshore para integracao de energia eolica

    Energy Technology Data Exchange (ETDEWEB)

    Decker, Jan de [3E, Brussels (Belgium); Tambke, Jens [Universidade de Oldemburg (Germany). ForWind; Voelker, J. [Dena - Agencia Alema de Energia (Germany); Michalowska-Knap, Katarzyna [Instituto de Energia Renovavel (Poland)

    2010-09-15

    The Offshore Grid project aims to analyze the conditions required for the development of an offshore transmission network to integrate renewable energy (wind) to the national electrical systems, securely and efficiently. Regulatory aspects, technical, economic and political are considered, that will help the various players in the industry to have a common view on the offshore power grids in Europe.

  12. South American energy integration: new perspectives; Novas perspectivas para a integracao energetica sul-americana

    Energy Technology Data Exchange (ETDEWEB)

    Silva, Jose Malhaes da [Malhaes da Silva Consultoria Ltda., Rio de Janeiro, RJ (Brazil); Salomao, Luiz Alfredo [Universidade Candido Mendes, Rio de Janeiro, RJ (Brazil). Escola de Politicas Publicas e Governo

    2008-07-01

    This paper analyses the South American energy integration, the advantages related to this process as well as the existing obstacles . What is the scope in terms of projects and initiatives, and the role of political and institutional barriers to be overcome. (author)

  13. Propuesta de un modelo integral de competitividad economica para las empresas del municipio de Nuevo Laredo

    Directory of Open Access Journals (Sweden)

    Hernandez F.

    2005-01-01

    Full Text Available Esta investigación está orientada a la solución del problema de lograr el crecimiento,la competitividad y la internacionalización de las empresas locales mediante el aprovechamiento efectivo de la propuesta del Modelo Integral de Competitividad Económica (MICE, en las Empresas y Organizaciones del Municipio de Nuevo Laredo.

  14. Aplicación para la gestión integral de contratos de compras

    OpenAIRE

    Pardo Durán, Carlos

    2011-01-01

    El proyecto que se presenta a continuación trata sobre el diseño, desarrollo e implementación de una base de datos interna diseñada específicamente para “COPERAMA”, la 1º plataforma de Compras del sector hotelero en España y la 2º en Europa. La aplicación, cuyo nombre es “COPERACCESS”, está destinada a un entorno web y consta de los siguientes módulos: 1- Datos Maestros: Este es el módulo que se encarga del registro en el sistema de los diferentes proveedores y clientes que trabajan ...

  15. Avaliação da estimulação sensório-motora-oral na transição da alimentação enteral para a via oral plena em recém-nascidos pré-termo Evaluation of sensory-motor-oral stimulation in the transition from gastric tube to full oral feeding in preterm newborns

    Directory of Open Access Journals (Sweden)

    Magda Aline Bauer

    2009-12-01

    Full Text Available OBJETIVOS: avaliar a influência da estimulação sensório-motora-oral (SMO sobre o ganho de peso, tempo para realizar a transição da sonda para a via oral e, indiretamente, sobre a alta hospitalar de pré-termos. MÉTODOS: estudo de intervenção, do tipo ensaio clínico controlado, que incluiu 24 pré-termos, internados na UTI Neonatal do Hospital Universitário de Santa Maria, Rio Grande do Sul, Brasil, entre maio de 2007 e março de 2008, alocados, por sorteio, em grupo estimulado (GE e controle (GC. A análise das diferenças entre os grupos foi testada utilizando o teste t-Student independente e exato de Fisher (valor de pOBJECTIVES: to evaluate the influence of sensory-motor-oral (SMO stimulation on weight gain, the time taken to make the transition from tube-to oral feeding and, indirectly, on the duration of hospitalization of preterm infants. METHODS: a controlled clinical intervention study was carried out with 24 preterm infants hospitalized in the Neonatal ICU of the Santa Maria University Hospital in the State of Rio Grande do Sul, Brazil, between May 2007 and March 2008, divided randomly into a treatment (TG and control group (CG. The analysis of the differences between the groups was tested using Student's independent t-test and Fisher's exact test (with a p value <0.05. RESULTS: there was no statistical difference in terms of anthropometrical measurements, although the daily weight gain was higher in the TG (p=0.16. The TG group made a full transition from tube-to oral feeding on average 1.6 days earlier than the CG, 83.3% of the children in the TG making the transition within seven days, compared to only 38.9% of the control group. There was no difference in terms of the length of stay in hospital between the two groups (p=0.48. CONCLUSIONS: SMO stimulation was likely to lead to a swifter transition from tube-to oral feeding, without any adverse effect on weight gain in preterm newborns. No influence on the length of stay in

  16. Implementación de un sistema integral de seguridad y Salud Ocupacional en Construcción de obras Viales para la Región Puno

    OpenAIRE

    Sardón Rojas, Freddy Antonio

    2015-01-01

    El presente trabajo brinda criterios y herramientas para la elaboración e implementación de un sistema integral de seguridad y salud ocupacional en construcción de obras viales para la Región Puno, tomando como referencia el Sistema Internacional de Gestión de Seguridad y Salud OHSAS 18001 y la normativa peruana vigente en materia de seguridad y salud en el trabajo para el sector construcción; entre las más importantes la nueva Ley 29783 ” Ley de seguridad y salud en e...

  17. Interprofessional faculty development: integration of oral health into the geriatric diabetes curriculum, from theory to practice

    Directory of Open Access Journals (Sweden)

    Dounis G

    2013-12-01

    -training interprofessional team building knowledge improved significantly. The health care faculty post-training attitude scores improved significantly, with heightened awareness of the unique oral–systemic care needs of older adults with type 2 diabetes, supporting an interprofessional team approach to care management. In addition, the health care faculty viewed communication across disciplines as being essential and interprofessional training as being vital to the core curriculum of each discipline. Significant improvement occurred in the perception survey items for team accountability and use of uniform terminology to bridge communication gaps.Conclusion: Attitude, knowledge, and perceptions of health care faculty regarding interprofessional team building and the team approach to management of the oral–systemic manifestations of chronic disease in older adults was improved. Uniform language to promote communication across health professionals, care settings, and caregivers/patients, was noted. Interprofessional team building/care planning should be integrated in core curricula.Keywords: team building, patient-centered care, oral–systemic, older adults

  18. O papel da odontologia na equipe interdisciplinar: contribuindo para a atenção integral ao idoso

    Directory of Open Access Journals (Sweden)

    Shinkai Rosemary Sadami Arai

    2000-01-01

    Full Text Available Este trabalho bibliográfico teve por objetivo discutir a atuação da odontologia na atenção integral à saúde do idoso, considerando-se a necessidade da abordagem interdisciplinar. É apresentada a atual situação da odontologia geriátrica e os problemas que ocorrem no Brasil pela falta de estudos específicos e de recursos humanos capacitados em geriatria e gerontologia dentro da odontologia. São destacadas as interações entre as diversas profissões de saúde e a odontologia, para a promoção de saúde, prevenção específica e reabilitação de pacientes idosos, com ênfase na importância da comunicação e troca de informações.

  19. O papel da odontologia na equipe interdisciplinar: contribuindo para a atenção integral ao idoso

    Directory of Open Access Journals (Sweden)

    Rosemary Sadami Arai Shinkai

    Full Text Available Este trabalho bibliográfico teve por objetivo discutir a atuação da odontologia na atenção integral à saúde do idoso, considerando-se a necessidade da abordagem interdisciplinar. É apresentada a atual situação da odontologia geriátrica e os problemas que ocorrem no Brasil pela falta de estudos específicos e de recursos humanos capacitados em geriatria e gerontologia dentro da odontologia. São destacadas as interações entre as diversas profissões de saúde e a odontologia, para a promoção de saúde, prevenção específica e reabilitação de pacientes idosos, com ênfase na importância da comunicação e troca de informações.

  20. Solução oral escalonada de misoprostol para indução do parto: estudo piloto Titrated oral solution of misoprostol for labour induction: a pilot study

    Directory of Open Access Journals (Sweden)

    Alex Sandro Rolland Souza

    2010-05-01

    Full Text Available OBJETIVO: avaliar a efetividade e a segurança da administração de uma nova formulação de misoprostol em solução por via oral, com doses escalonadas, para indução do parto de feto vivo a termo. MÉTODOS: realizou-se um estudo multicêntrico, do tipo ensaio clínico, aberto, não-randomizado, no período de Julho a Dezembro de 2008. Foram incluídas 30 pacientes com indicação de indução do trabalho de parto, a termo, com feto vivo, índice de Bishop 5. Foram excluídas mulheres com cicatriz uterina, cardiotocografia alterada, gestação múltipla, restrição de crescimento fetal, hemorragia genital e presença de tumores, ulcerações ou malformações genitais. A dose inicial da solução oral foi de 20µg/h de misoprostol, nas primeiras 6 horas, aumentando em 20µg/h de misoprostol a cada 6 horas, se o trabalho de parto não fosse deflagrado, até uma dose máxima de 80µg/h, nas primeiras 24 horas, mantendo a dose máxima (80µg/h por mais 24 horas, se necessário. RESULTADOS: o trabalho de parto foi induzido satisfatoriamente em 96,7% das gestantes. O intervalo entre a primeira dose e o início das contrações uterinas foi de 3,8±1,8 horas, enquanto o intervalo entre a dose inicial e o parto variou entre 6 e 24 horas. A frequência de parto vaginal foi de 80% (n=24. A maioria das gestantes iniciou o trabalho de parto com a dose de 20µg/h (60%; n=18. A taquissistolia ocorreu em 13,3% das gestações e líquido meconial foi detectado em 20% dos casos. Houve dois casos de escore de Apgar PURPOSE: to test effectiveness and safety of the oral administration of a new misoprostol formulation in titrated doses for the induction of delivery of a live fetus at term. METHODS: an open pilot multicenter, non-randomized clinical trial was conducted from July to December 2008. A total of 30 patients with indications for induction of labor were included. The patients had a live fetus, Bishop score 5. Exclusion criteria were previous uterine

  1. Evaluation of a integral systems greenhouse - solar dryer for small growers; Evaluacion de un sistema integral invernadero - secadero solar para pequenos productores

    Energy Technology Data Exchange (ETDEWEB)

    Garcia, Victor O; Iriarte, Adolfo A [INENCO, Universidad Nacional de Catamarca, Catamarca (Argentina); Carabajal, Dante; Sabadzija, Gabriela; Tomalino, Luis [E.E.A. INTA, Catamarca, Catamarca (Argentina)

    2000-07-01

    Due to poor yielding capacity in the province of Catamarca, Argentina, it is necessary to improve solar drying systems in order to have a better quality final product. It is also essential to divide the costs of infrastructure with other complementary activities because of the need to make drying methods profitable. The system proposed in this work is a dryer-greenhouse with a double purposed macrotunnel greenhouse: during Winter it is used as a yielding system, and in Summer it is prepared to fulfill the functions of a solar dryer. The crops evaluated in winter were: small vegetable marrow (Curcubita maxima L), melon (Cucumis melo), ad cucumber (Cucuis sativus). Crop cycle, harvest time and tield in Kg/m were determined for each species. The assessment of the dryer was made using pepper for paprika observation of the thermal behavior of the product during drying and its final quality. The product obtained had a very good quality in color, taste and aroma with a classification of extra quality according to the Argentine Nutritional Code and the 7541 ISO Standard. Drying time decreased considerably compared to that observed in open air drying, 1995, 1996 and 1997 campaigns were economically assessed, and an evaluation of investments in five years was also conducted obtaining a positive VAN and a TIR above the cost of the best alternative for money expenditure. This integrated system is valid alternative in a sustainable production for small growers. [Spanish] Debido a las caracteristicas productivas de la Provincia de Catamarca Argentina, es necesario optimizar los procesos del secado solar teniendo en cuenta la calidad final del producto. Ademas, debido a la necesidad de rentabilizar los metodos de secado, imprescindible repartir los costos de infraestructura con otro tipo de actividad complementaria. El sistema propuesto en este trabajo es un invernadero secadero que utiliza un invernadero macrotunel que cumple una doble funcion, durante el invierno se usa como

  2. Analysis of integrity and risk for onshore pipelines; Analise de integridade e risco para dutos onshore

    Energy Technology Data Exchange (ETDEWEB)

    Lima, Marco Aurelio [Det Norske Veritas (DNV), Rio de Janeiro, RJ (Brazil)

    2008-07-01

    The increasing expansion of the oil and gas industry in Brazil, the current legal requirements relating to security, health and environment in the industrial installations, is necessary that the companies, responsible by the operation of pipelines for oil and gas transport, adopt efficient techniques to assure the operational continuity of these of trustworthy form and insurance. To fulfill this important function it is important that the companies implement a management program to control and register the integrity of the pipelines during the all operational life cycle. Inside of this context of management of the integrity of pipelines, the DNV developed the software ORBIT Pipeline with the intention to serve as an important tool to monitor the technique and security condition of the pipeline, to define the frequency and content technician of the inspection program and to recommend the work of intervention or repair in pipeline when necessary. Additionally to these activities that are carried through directly in the ORBIT Pipeline, also an evaluation of the activity of third part and the land/soil movement is made inside of the systematic for analysis of integrity and risk for onshore pipelines performed by DNV. (author)

  3. Los sistemas de información para el cuadro de mando integral en pequeñas y medianas empresas industriales en Maracaibo - Estado Zulia.

    OpenAIRE

    Kunath, Irene; Alizo, María Alexandra; Graterol, Angela

    2008-01-01

    Presentación. Presentation. Rengifo, Diana Economía / Economy: Los sistemas de información para el cuadro de mando integral en pequeñas y medianas empresas industriales en Maracaibo - estado Zulia. The systems of information for the of integral control design in small and medium companies industrial in Maracaibo, Zulia state. Kunath Irene; Alizo, María Alexandra; Graterol, Angela. Educación / Education: Los hipermapas. Alternativa pedagógica y didáctica para la...

  4. EDUCAÇÃO INTEGRAL E ESPIRITUALIDADE: OS BENEFÍCIOS DESSA RELAÇÃO PARA UMA FORMAÇÃO INTEGRAL DO SER HUMANO

    Directory of Open Access Journals (Sweden)

    Thiago Dutra

    2017-07-01

    Full Text Available A educação integral com tempo estendido para sete horas diárias e um enfoque multidimensional do ser humano, se coloca como a concepção defendida pela legislação educacional brasileira e por pensadores contemporâneos do processo educacional, tais como Anísio Teixeira e Paulo Freire. O educando deve ser encarado enquanto ser complexo, formado por dimensões física, emocional, mental, social, cultural, e espiritual, sendo necessário que a educação foque no seu desenvolvimento integral. Na sociedade materialista de hoje a dimensão espiritual ficou excluída do ambiente escolar, ou delegada à marginalidade, o artigo procura demonstrar os benefícios e as possibilidades de desenvolvê-la na educação formal, levando em consideração os estudos de diversos autores, tais como Jean Piaget, Carl Jung, Ubiratan D’Ambrosio, entre outros.

  5. Population pharmacokinetic model of THC integrates oral, intravenous, and pulmonary dosing and characterizes short- and long-term pharmacokinetics.

    Science.gov (United States)

    Heuberger, Jules A A C; Guan, Zheng; Oyetayo, Olubukayo-Opeyemi; Klumpers, Linda; Morrison, Paul D; Beumer, Tim L; van Gerven, Joop M A; Cohen, Adam F; Freijer, Jan

    2015-02-01

    Δ(9)-Tetrahydrocannobinol (THC), the main psychoactive compound of Cannabis, is known to have a long terminal half-life. However, this characteristic is often ignored in pharmacokinetic (PK) studies of THC, which may affect the accuracy of predictions in different pharmacologic areas. For therapeutic use for example, it is important to accurately describe the terminal phase of THC to describe accumulation of the drug. In early clinical research, the THC challenge test can be optimized through more accurate predictions of the dosing sequence and the wash-out between occasions in a crossover setting, which is mainly determined by the terminal half-life of the compound. The purpose of this study is to better quantify the long-term pharmacokinetics of THC. A population-based PK model for THC was developed describing the profile up to 48 h after an oral, intravenous, and pulmonary dose of THC in humans. In contrast to earlier models, the current model integrates all three major administration routes and covers the long terminal phase of THC. Results show that THC has a fast initial and intermediate half-life, while the apparent terminal half-life is long (21.5 h), with a clearance of 38.8 L/h. Because the current model characterizes the long-term pharmacokinetics, it can be used to assess the accumulation of THC in a multiple-dose setting and to forecast concentration profiles of the drug under many different dosing regimens or administration routes. Additionally, this model could provide helpful insights into the THC challenge test used for the development of (novel) compounds targeting the cannabinoid system for different therapeutic applications and could improve decision making in future clinical trials.

  6. Acné conglobata. Protocolo para la atención integral

    Directory of Open Access Journals (Sweden)

    Raquel Rojas-Bruzón

    2012-01-01

    Full Text Available Se realizó una revisión documental relacionada con aspectos genético clínicos y epidemiológicos del acné conglobata y que unido a la experiencia de los autores sobre el tema, permitió integrar el conocimiento teórico práctico y dar como producto una clasificación clínica epidemiológica del acné conglobata, cuyo resultado final fue la elaboración de un protocolo de actuación integral en la enfermedad, contextualizado y personalizado, con el objetivo de revertir a los pacientes de estadios complicados de la enfermedad a otros menos complicados.

  7. Path integral centroid molecular dynamics simulations of semiinfinite slab and bulk liquid of para-hydrogen

    Energy Technology Data Exchange (ETDEWEB)

    Kinugawa, Kenichi [Nara Women`s Univ., Nara (Japan). Dept. of Chemistry

    1998-10-01

    It has been unsuccessful to solve a set of time-dependent Schroedinger equations numerically for many-body quantum systems which involve, e.g., a number of hydrogen molecules, protons, and excess electrons at a low temperature, where quantum effect evidently appears. This undesirable situation is fatal for the investigation of real low-temperature chemical systems because they are essentially composed of many quantum degrees of freedom. However, if we use a new technique called `path integral centroid molecular dynamics (CMD) simulation` proposed by Cao and Voth in 1994, the real-time semi-classical dynamics of many degrees of freedom can be computed by utilizing the techniques already developed in the traditional classical molecular dynamics (MD) simulations. Therefore, the CMD simulation is expected to be very powerful tool for the quantum dynamics studies or real substances. (J.P.N.)

  8. Turismo médico: generalidades para su comprensión integral

    OpenAIRE

    Daniel Martínez Chaves

    2016-01-01

    Se plantea un estudio sobre el desarrollo del turismo médico, con su enfoque teórico, epistemológico y crítico, y con un formato lógico y concreto, que permita al lector comprender la complejidad de modo mesurado y técnico. Posterior a esto, se aborda cómo implementar los conceptos y sus características al plano práctico (metodología), sus variables y las interrelaciones de estas en forma integral u holística. Se concluye con la propuesta de un método heurístico de diseño propio del investiga...

  9. Algoritmo del murciélago virtual en el desarrollo de la Integral de Duhamel para sistemas estructurales con un grado de libertad

    Directory of Open Access Journals (Sweden)

    Sergio Vanegas

    2013-01-01

    Full Text Available En este artículo se propone el uso del algoritmo de optimización de murciélagos virtuales para resolver la Integral de Duhamel en sistemas dinámicos con un grado de libertad. Se desarrollaron ejercicios a titulo demostrativo, para el cálculo de máximos globales. Los resultados fueron muy comparables, tanto en precisión, como en exactitud frente a aquellos obtenidos por otros métodos de cálculo. Se utilizó igualmente el acelerograma del sismo de Chile (2010, para el que se reporta la respuesta dinámica y el desplazamiento máximo. Se variaron para estos ejemplos la cantidad de murciélagos virtuales notándose su influencia sobre el tiempo de computación.

  10. Control glucémico y metabólico integral: dos metas complementarias para el paciente diabético

    Directory of Open Access Journals (Sweden)

    Alicia Alayón

    2008-01-01

    Conclusión: Es insuficiente la medida aislada de HbA1c como evaluadora del estado metabólico integral del paciente diabético. Es necesario fortalecer las estrategias para reducir el riesgo cardiovascular en esta población.

  11. Fuerza Aérea Colombiana: El cuadro de mando integral, orientación para su aplicación en la institución

    Directory of Open Access Journals (Sweden)

    Andrés Velásquez

    2006-07-01

    Full Text Available Caso de aplicación del Cuadro de Mando Integral para que los gerentes de las empresas colombianas conozcan sus bondades y establezcan un contraste con una aplicación en una organización altamente jerárquica como la Fuerza Aérea Colombiana

  12. LA EDUCACION AMBIENTAL COMO ESPACIO FAVORABLE PARA EL DESARROLLO INTEGRAL (Pag: 146-152

    Directory of Open Access Journals (Sweden)

    María José Ortiz Torres

    2012-12-01

    Full Text Available El presente artículo desarrolla la relación intrínseca que involucra la educación ambiental con el desarrollo de la educación en el afecto en los jóvenes. A pesar de que el texto desarrolla este planteamiento a partir de una actividad de trabajo emocional en el grado octavo (801, jornada mañana, en el colegio Orlando Fals Borda, como práctica pedagógica, no resulta de interés describir la actividad sino las reflexiones que giran en torno al tema central. La relación entre educación ambiental y educación en el afecto posibilita entender las responsabilidades colectivas que permiten el desarrollo integral de un sujeto en un contexto dado. Este ensayo pretende abordar algunas de estas reflexiones alrededor de la formación de los sujetos con conciencia ambiental

  13. Integrating a Nurse-Midwife-Led Oral Health Intervention Into CenteringPregnancy Prenatal Care: Results of a Pilot Study.

    Science.gov (United States)

    Adams, Sally H; Gregorich, Steven E; Rising, Sharon S; Hutchison, Margaret; Chung, Lisa H

    2017-07-01

    National and professional organizations recommend oral health promotion in prenatal care to improve women's oral health. However, few prenatal programs include education about oral health promotion. The objective of this study was to determine if women receiving a brief, low-cost, and sustainable educational intervention entitled CenteringPregnancy Oral Health Promotion had clinically improved oral health compared to women receiving standard CenteringPregnancy care. Women attending CenteringPregnancy, a group prenatal care model, at 4 health centers in the San Francisco Bay Area, participated in this nonrandomized controlled pilot study in 2010 to 2011. The intervention arm received the CenteringPregnancy Oral Health Promotion intervention consisting of two 15-minute skills-based educational modules addressing maternal and infant oral health, each module presented in a separate CenteringPregnancy prenatal care session. The present analysis focused on the maternal module that included facilitated discussions and skills-building activities including proper tooth brushing. The control arm received standard CenteringPregnancy prenatal care. Dental examinations and questionnaires were administered prior to and approximately 9 weeks postintervention. Primary outcomes included the Plaque Index, percent bleeding on probing, and percent of gingival pocket depths 4 mm or greater. Secondary outcomes were self-reported oral health knowledge, attitudes (importance and self-efficacy), and behaviors (tooth brushing and flossing). Regression models tested whether pre to post changes in outcomes differed between the intervention versus the control arms. One hundred and one women participated in the study; 49 were in the intervention arm, and 52 were in the control arm. The control and intervention arms did not vary significantly at baseline. Significant pre to post differences were noted between the arms with significant improvements in the intervention arm for the Plaque Index

  14. Guia de atencion integral para la prevencion, deteccion temprana y tratamiento de las complicaciones del embarazo: Sección de Toxoplasmosis

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    Jorge Alberto Cortes

    Full Text Available Resumen Como parte de la Guia de atencion integral para la prevencion, deteccion temprana y tratamiento de las complicaciones del embarazo, desarrollada y financiada por el Departamento de Ciencia, Tecnologia e Innovacion, Colciencias, y el Ministerio de Salud y Proteccion Social de Colombia, se seleccionó a la infeccion por Toxoplasma para el desarrollo de recomendaciones para su prevencion, diagnostico y tratamiento. La infeccion por Toxoplasma gondii (T. gondii durante el embarazo puede resultar en graves complicaciones para el feto y dejar importantes secuelas al recien nacido. Se realizo una guia basada en la mejor evidencia disponible en la literatura cientifica, con especial pertinencia a la informacion colombiana. Un consenso de expertos en parasitologia, ginecologia, neonatologia e infectologia, tanto de adultos como pediatrica, desarrollo las recomendaciones. Se propone que las recomendaciones de esta guia de atencion integral sean utilizadas por los profesionales de salud de los programas de atencion del embarazo del pais con el fin de disminuir la morbilidad y mortalidad atribuible a esta enfermedad. Se formulan recomendaciones especificas para el diagnostico desde el primer trimestre, consejos de prevencion en las mujeres no infectadas, identificacion de la infeccion del feto o del recien nacido y recomendaciones de tratamiento en estos escenarios.

  15. Indicadores de calidad para un examen teórico de la especialidad de medicina general integral

    Directory of Open Access Journals (Sweden)

    Ernesto Sánchez Hernández

    2015-02-01

    Full Text Available Se realizó un estudio descriptivo y transversal combinado con enfoques cualitativos, a fin de evaluar la calidad de los exámenes de control parcial aplicados a 30 médicos de primero y segundo años residentes en medicina general integral, que laboraban en el Hospital Clinicoquirúrgico Docente "Dr. Joaquín Castillo Duany" de Santiago de Cuba, durante el año 2014. Se emplearon métodos teóricos, empíricos y de procesamiento estadístico en el análisis de los instrumentos de evaluación. Ambos exámenes teóricos presentaron diferencias y similitudes constatadas a través de indicadores, tales como número de horas asignadas al contenido y cantidad de incisos empleados en la exploración, índice de dificultad por temáticas y preguntas, así como nivel de discriminación y consistencia interna del instrumento, todo lo cual ofreció validez y confiabilidad para el sistema de evaluación del aprendizaje

  16. Esporte e lazer e sua contribuição para o desenvolvimento dos alunos na educação integral

    Directory of Open Access Journals (Sweden)

    Greice Kellen de Souza Fortunato

    2016-06-01

    Full Text Available A educação é um dos fatores fundamentais para transformar a sociedade numa sociedade melhor para se viver, mais justa e igualitária. Para tanto, faz-se necessário investir nesse campo. E a educação em tempo integral surge como possibilidade de contribuir para o fortalecimento e melhorias dessa educação que já amplia a carga horária dos alunos nas escolas, e tem como objetivo, entre tantos, oferecer e desenvolver atividades socioeducativas no contra turno escolar de modo a articular as atividades típicas escolares à vida em sociedade.  A educação em tempo integral tem como finalidade contribuir para o fortalecimento, melhorias e qualidade na educação. Um segundo turno na escola oferece ao aluno maiores oportunidades, como oficinas de esporte e lazer que fortalecem um pouco mais a qualidade dessa educação, desenvolvendo o ser humano de forma integral. A presente pesquisa refere-se às atividades de esporte e lazer oferecidas e desenvolvidas no contra turno de uma escola municipal, cujo objetivo geral foi descobrir se tais atividades contribuem para o crescimento e desenvolvimento individual e social dos estudantes. A partir deste, os objetivos específicos foram primeiramente estudar o Projeto Político Pedagógico dessa escola, descobrir quais atividades esportivas e de lazer são oferecidas aos alunos, bem como o espaço físico disponibilizado para a realização dessas atividades, e descobrir que contribuição a relação Educação Integral X Esporte e Lazer proporciona aos alunos inseridos nessa modalidade de ensino. Metodologicamente, optou-se por pesquisa de caso, em que os sujeitos da pesquisa são dois professores de Educação Física, coordenadora e a gestora de uma escola municipal do município de Lucas do Rio Verde-MT que oferece educação em tempo integral. Utilizou-se a técnica da entrevista semiestruturada e com um roteiro a seguir, onde as respostas dos entrevistados foram gravadas em áudio e

  17. Diseño metodológico de manejo integral para la sustentabilidad de cuencas : caso de estudio la cuenca de los Twin Streams, Auckland, Nueva Zelanda

    OpenAIRE

    Torrecillas Núñez, Cruz Elisa

    2016-01-01

    Tesis (Doctor en Ciencias Agropecuarias)--UNC- Facultad de Ciencias Agropecuarias, 2016. El objetivo de este estudio fue establecer una metodología de manejo integral para la sustentabilidad de cuencas de los Twin Streams, Nueva Zelanda y que al mismo tiempo sirva como un modelo para otras cuencas. El mérito de los trabajos realizados reside en la originalidad metodológica que incluye un enfoque sistémico y que contempla las interacción entre causa-e...

  18. Soja integral processada em dietas para codornas japonesas em postura Processed whole soybean in diets for laying Japanese quails

    Directory of Open Access Journals (Sweden)

    Sergio Luiz de Toledo Barreto

    2010-09-01

    Full Text Available Objetivou-se avaliar o desempenho de codornas japonesas na fase de postura alimentadas com dietas contendo soja integral processada. Utilizaram-se 320 codornas japonesas fêmeas com 29 semanas de idade e peso inicial de 186,1 ± 4,0 g, distribuídas em delineamento inteiramente casualizado, com oito repetições, cada uma com dez aves por unidade experimental. As dietas foram isocalóricas e isonutritivas para proteína bruta, lisina digestível, metionina + cistina digestível, cálcio, fósforo disponível e sódio. Assim, foram avaliadas uma dieta controle, à base de milho e farelo de soja, e outras três, com substituição parcial do farelo de soja por soja integral tostada, extrusada ou micronizada, de modo que a soja integral forneceu 50% da proteína bruta proporcionada pelo farelo de soja na dieta controle. Não foram observadas diferenças na produção e na massa de ovos, na conversão alimentar, na viabilidade das aves, na porcentagem de ovos comercializáveis, no peso específico dos ovos, na porcentagem de gema e de albúmen nem na porcentagem de casca dos ovos. A substituição de farelo de soja por soja integral tostada ocasionou redução no consumo de ração. Não foram observadas diferenças nos parâmetros estudados quando o farelo de soja foi substituído por soja integral extrusada. A substituição de farelo de soja por soja integral micronizada reduziu a variação de peso corporal das codornas, resultando em perda de peso das aves. O farelo de soja pode ser substituído, em 50% da proteína, por soja integral tostada ou extrusada em dietas para codornas japonesas em postura. Entretanto, a substituição do farelo de soja por soja integral micronizada, em 50% da proteína, é desaconselhável, pois piora o desempenho, ocasionando principalmente perda de peso das aves.This work aimed at evaluating the performance of Japanese quails fed diets with processed whole soybean during the laying phase. It was used 320 Japanese

  19. Clonixinato de lisina oral para o tratamento agudo da migrânea: estudo duplo-cego e placebo-controlado

    OpenAIRE

    Krymchantowski, Abouch V.; Barbosa, Jackeline S.; Cheim, Celia; Alves, Luiz A.

    2001-01-01

    Several oral nonsteroidal anti-inflammatory drugs (NSAIDs) are effective to treat migraine attacks. Lysine clonixinate (LC) is a NSAID derived from nicotinic acid that has proven to be effective in various pain syndromes such as renal colic and muscular pain. The aim of this double-blind, placebo-controlled study was to evaluate the efficacy of oral LC compared to placebo in the acute treatment of migraine. Sixty four patients with the diagnosis of migraine, according to the IHS criteria, wer...

  20. Produção de conhecimento sobre narrativas orais: contribuições para as investigações em linguagem infantil Production of knowledge on oral narratives: contributions to research on child language

    Directory of Open Access Journals (Sweden)

    Jáima Pinheiro de Oliveira

    2013-02-01

    Full Text Available Este estudo tem como objetivo indicar um panorama geral sobre a produção de conhecimento no que tange os padrões para o desenvolvimento da narrativa oral, nos últimos quatro anos por meio de uma revisão bibliográfica sistematizada, voltada para a temática de intervenção em linguagem infantil, com o uso de narrativas orais. A revisão foi realizada em uma única etapa, com critérios específicos, utilizando os seguintes descritores: narrativas, narrativa, narrativas de crianças, linguagem e desenvolvimento, linguagem oral, habilidades linguísticas, linguagem falada, linguagem infantil, narração/narração de histórias e linguagem. O período considerado foi de 2007 a 2011. Foram obtidos 900 registros, dentre os quais, nove (1% atenderam aos critérios estabelecidos para análise. A maioria dos estudos relacionou-se com análises psicolinguísticas. Apenas um estudo utilizou método experimental. No período considerado foram produzidos poucos estudos abordando narrativas orais infantis; a sua grande maioria levou em consideração, fundamentalmente, aspectos cognitivos e linguísticos no processo de desenvolvimento da habilidade narrativa; a grande maioria das pesquisas foi realizada com crianças que possuem algum tipo de alteração em seu desenvolvimento linguístico. Considera-se que a produção de conhecimento, em relação ao desenvolvimento de narrativas orais infantis, exige, atualmente, um olhar voltado para as intervenções que utilizem metodologia experimental. Por fim, considera-se que é necessária uma atenção maior em relação ao desenvolvimento típico da habilidade narrativa.The purpose of this study is to indicate an overview about knowledge production regarding the standards for the development of oral narrative in the past four years through a systematic literature review, focused on intervention thematic in child language, with the use of oral narratives. The review was held in a single step, with specific

  1. Produção de conhecimento sobre narrativas orais: contribuições para as investigações em linguagem infantil Production of knowledge on oral narratives: contributions to research on child language

    Directory of Open Access Journals (Sweden)

    Jáima Pinheiro de Oliveira

    2012-01-01

    Full Text Available Este estudo tem como objetivo indicar um panorama geral sobre a produção de conhecimento no que tange os padrões para o desenvolvimento da narrativa oral, nos últimos quatro anos por meio de uma revisão bibliográfica sistematizada, voltada para a temática de intervenção em linguagem infantil, com o uso de narrativas orais. A revisão foi realizada em uma única etapa, com critérios específicos, utilizando os seguintes descritores: narrativas, narrativa, narrativas de crianças, linguagem e desenvolvimento, linguagem oral, habilidades linguísticas, linguagem falada, linguagem infantil, narração/narração de histórias e linguagem. O período considerado foi de 2007 a 2011. Foram obtidos 900 registros, dentre os quais, nove (1% atenderam aos critérios estabelecidos para análise. A maioria dos estudos relacionou-se com análises psicolinguísticas. Apenas um estudo utilizou método experimental. No período considerado foram produzidos poucos estudos abordando narrativas orais infantis; a sua grande maioria levou em consideração, fundamentalmente, aspectos cognitivos e linguísticos no processo de desenvolvimento da habilidade narrativa; a grande maioria das pesquisas foi realizada com crianças que possuem algum tipo de alteração em seu desenvolvimento linguístico. Considera-se que a produção de conhecimento, em relação ao desenvolvimento de narrativas orais infantis, exige, atualmente, um olhar voltado para as intervenções que utilizem metodologia experimental. Por fim, considera-se que é necessária uma atenção maior em relação ao desenvolvimento típico da habilidade narrativa.The purpose of this study is to indicate an overview about knowledge production regarding the standards for the development of oral narrative in the past four years through a systematic literature review, focused on intervention thematic in child language, with the use of oral narratives. The review was held in a single step, with specific

  2. The comparison of two methods to obtain human oral keratinocytes in primary culture; Comparacao de dois metodos de obtencao celular para cultura primaria de queratinocitos bucais humanos

    Energy Technology Data Exchange (ETDEWEB)

    Klingbeil, Maria Fatima Guarizo

    2006-07-01

    The therapeutic procedures frequently used in oral treatments for the pathological diseases are surgical, resulting in failures of the mucosal continuity.The possibility to obtain transplantable oral epithelia from an in vitro cell culture opens new utilization perspectives not only to where it comes from, but also as a reconstructive material for other parts of the human body, such as: urethra, epithelia corneo-limbal, cornea, ocular surface. Many researchers still use controversial methods for obtaining cells. It was therefore evaluated and compared the efficiency in both methods: enzymatic and direct explant to obtain oral keratinocytes from human oral mucosa. Fragments of intra oral epithelial tissues from healthy human subjects, undergoing dental surgeries, were donated to the research project. The keratinocytes were cultivated over a feeder-layer from a previously irradiated 3T3 Swiss albino fibroblasts. In this study it was compared the time needed in the cell obtention, the best cell amount between both methods, the life-span, the cell capacity to form an in vitro epithelia and its morphologic structure. The results in the assessment of both methods have shown the possibility to obtain keratinocytes from a small oral fragment, but at the same time we may verify the advantages and peculiar restrictions for each one of both analyzed methods. (author)

  3. Programas no formales para la atención integral a la niñez en Costa Rica: aciertos y limitaciones

    Directory of Open Access Journals (Sweden)

    María Lourdes Cañas Calvo

    2007-01-01

    Full Text Available Los programas no formales de atención integral para los infantes menores de siete años, surgen principalmente debido a dos factores, la inserción de la mujer en el campo laboral y la necesidad de los Estados de velar por la calidad de vida de esta población. De esta manera, en Costa Rica se crean los Centros de Nutrición y Atención Integral y los Hogares Comunitarios, programas no formales de atención a la niñez en los cuales se basó la investigación que sustenta el presente artículo. Esta tiene como objetivo general “Analizar el servicio que ofrecen los programas estatales no formales Hogares Comunitarios del Consejo de Atención Integral, Centros Infantiles de Nutrición y Atención Integral del Ministerio de Salud”. Para ello se utilizó una metodología descriptiva, que brinda un detalle de los aciertos y limitaciones de los programas anteriormente señalados. Se pudo comprobar el esfuerzo que realizan los encargados de los programas por brindar una atención de calidad a la población infantil costarricense; sin embargo, se encuentran limitados por distintos factores lo cual hace evidente la necesidad de que sean reestructurados y que reciban mayor apoyo por parte del Estado para su fortalecimiento.

  4. El juego simbólico: medio para el desarrollo de la competencia oral en el área de lengua inglesa. Una propuesta didáctica

    OpenAIRE

    Cabarrocas-Estrella, Núria

    2016-01-01

    Con el presente trabajo se pretende elaborar una propuesta didáctica basada en los beneficios de la utilización del juego simbólico en el aula de lengua extranjera. El objetivo que perseguimos es aprovechar el potencial didáctico del juego para la mejora de la competencia comunicativa en Inglés, en alumnos de tercer curso del segundo ciclo de educación infantil. Para ello, en primer lugar se ha llevado a cabo una recerca bibliográfica para descubrir y analizar los factores que intervienen ...

  5. Avaliação do exame citopatológico como método para diagnosticar a paracoccidioidomicose crônica oral Evaluation of cytopathologic exam for diagnosis of oral chronic paracoccidioidomycosis

    Directory of Open Access Journals (Sweden)

    Marcelo Sivieri de Araújo

    2003-06-01

    Full Text Available Com o objetivo de avaliar o exame citológico esfoliativo no diagnóstico das lesões orais da paracoccidioidomicose, foram estudados oito portadores desta doença. Em todos os casos, demonstrou-se o fungo através de esfregaços citológicos corados com impregnação pela prata Gomori-Grocott. Conclui-se que a citologia esfoliativa oral é um método diagnóstico útil e válido na paracoccidioidomicose, podendo auxiliar no controle terapêutico das formas orais desta micose.With the aim of evaluating exfoliative cytology for the diagnosis of paracoccidioidomycosis oral lesions, eight patients that presented the disease were studied. The presence of fungi was demonstrated in all these cases. It was concluded that the oral exfoliative cytology exam can be effectively used in the diagnosis of paracoccidioidomycosis and contribute to the therapeutic control of oral forms of this mycosis.

  6. Memoryscape: how audio walks can deepen our sense of place by integrating art, oral history and cultural geography

    OpenAIRE

    Butler, Toby

    2007-01-01

    This article is concerned with the history and practice of creating sound walks or ‘memoryscapes’: outdoor trails that use recorded sound and spoken memory played on a personal stereo or mobile media to experience places in new ways. In this relatively new and rapidly evolving field, the author brings together works from music, sound art, oral history and cultural geography as a starting point to understanding how such trails can give us a more sophisticated and nuanced experience of places. ...

  7. Produção de farinha de banana verde (Musa spp. para aplicação em pão de trigo integral

    Directory of Open Access Journals (Sweden)

    Bruna Andina Andrade

    2017-11-01

    Full Text Available Resumo A farinha de banana verde (FBV é uma alternativa viável para o aproveitamento dos frutos e possui alto teor de amido resistente (AR, que apresenta papel fisiológico similar ao das fibras alimentares. O objetivo deste trabalho foi produzir FBV de dois genótipos de bananeira (Prata e Caturra, além de selecionar aquele com maior teor de AR, para posterior substituição de parte da farinha de trigo integral por FBV, em uma formulação de pão de fôrma integral. Para a produção das farinhas, os frutos foram descascados, cortados em rodelas e estas foram submersas em uma solução de ácido ascórbico e ácido cítrico, sendo então distribuídas em bandejas e secas a 50 °C, por 7 horas, e moídas. As farinhas foram submetidas às análises de composição proximal e determinação do teor de AR. Posteriormente, foram processados pães integrais com a substituição de 10%, 15% e 20% de farinha de trigo integral pela FBV que obteve o maior teor de AR. Os pães controle e aquele que apresentou maior teor de AR e boas características tecnológicas, como volume específico, dureza e cor, foram submetidos aos testes sensoriais de aceitação e intenção de compra. O teor de AR encontrado para as FBV Prata e Caturra foram 24,1% e 13,7%, respectivamente. O pão com substituição de 15% de farinha de trigo integral por FBV foi escolhido para a análise sensorial. As formulações controle e com 15% de FBV atingiram Índices de Aceitação Sensorial de 88,7% e 82,1%, respectivamente. A atitude dos avaliadores foi positiva, segundo a qual 56% dos avaliadores “comprariam frequentemente” ou “comprariam sempre” o pão com 15% de FBV, não tendo sido observada rejeição para nenhuma das formulações.

  8. El Manual FIM, Modelo de Excelencia Organizacional: un Instrumento para Proyectos de Asistencia Técnica Integral a PYMES (The FIM Manual for organizational excellence: an instrument for integral techniques assistance to SMEs

    Directory of Open Access Journals (Sweden)

    Francisco Javier Rodríguez Sánchez

    2012-12-01

    Full Text Available La complejidad creciente del entorno en que se desenvuelvenlas empresas hace necesario que éstas desarrollencapacidades para mejorar su competitividad para alcanzar laexcelencia y afrontar con garantías los nuevos retos. Con laevolución del principio de “excelencia”, se dio paso a una nociónmás amplia e integradora, la cual se incluye en modelosde excelencia organizacional como el Modelo EFQM (de laEuropean Foundation for Quality Management o el del PremioMalcolm Baldrige. Esos modelos permiten conceptuar hitos yfases de desarrollo para realizar proyectos para el mejoramientocompetitivo de las empresas. En este artículo se presenta elManual FIM, en su cuarta revisión, coherente con los citadosmodelos, como instrumento para medir la capacidad de gestiónde la calidad y la productividad de las pequeñas y medianasempresas. Su metodología, particularizada para estas empresasen Venezuela, permite el despliegue de proyectos de asistenciatécnica integral, que se desenvuelven en un entorno complejoy cambiante.   ABSTRACT The environment´s growing complexity requires thatcompanies develop capabilities to improve their competivenessto reach excellence and be able to adequately face newchallenges. The evolution of the widest and most coveringexcellence definition is expressed by organizational excellencestandards such as the “EFQM model” or the “MalcolmBaldrige Prize”. These models specify the developmentphases and milestones for projects striving to achievecompetitive improvement in any company. This articleexamines the “FIM Manual” Ver. 4, similar to the abovementioned models, when used as an instrument to measurethe managing and production capabilities of small and mediumsize enterprises (SMEs. Its methodology, adapted forVenezuelan SMEs, allows its application in integral technicalassistance projects being developed in a changing andcomplex environment.

  9. Strengthening of oral health systems

    DEFF Research Database (Denmark)

    Petersen, Poul Erik

    2014-01-01

    is either due to low availability and accessibility of oral health care or because oral health care is costly. In all countries, the poor and disadvantaged population groups are heavily affected by a high burden of oral disease compared to well-off people. Promotion of oral health and prevention of oral...... diseases must be provided through financially fair primary health care and public health intervention. Integrated approaches are the most cost-effective and realistic way to close the gap in oral health between rich and poor. The World Health Organization (WHO) Oral Health Programme will work......Around the globe many people are suffering from oral pain and other problems of the mouth or teeth. This public health problem is growing rapidly in developing countries where oral health services are limited. Significant proportions of people are underserved; insufficient oral health care...

  10. La expresión oral y los libros de texto. Estudio de los manuales escolares de Ed. Primaria para conocer el número de actividades orales de las distintas editoriales

    Directory of Open Access Journals (Sweden)

    Miriam Suárez Ramírez

    2016-01-01

    Full Text Available We all know the importance of oral and communication skills and the difficulties presented by our children and youth to make use of them. On the other hand , we continue checking the importance of exercise textbooks or textbooks in schools. To this it is added that still too often teachers still considers these textbooks or textbooks as the main resource to organize their teaching - learning process. We believe the textbooks or textbooks remain a very important tool for students and teachers weight. So, what these books or manuals will propose what then put into practice in the school daily. So we've looked at the primary sch ool textbooks that are present in various colleges Ed. To analyze the extent to propose activities that develop oral expression of students.

  11. Integrating Visualization Applications, such as ParaView, into HEP Software Frameworks for In-situ Event Displays

    Science.gov (United States)

    Lyon, A. L.; Kowalkowski, J. B.; Jones, C. D.

    2017-10-01

    ParaView is a high performance visualization application not widely used in High Energy Physics (HEP). It is a long standing open source project led by Kitware and involves several Department of Energy (DOE) and Department of Defense (DOD) laboratories. Futhermore, it has been adopted by many DOE supercomputing centers and other sites. ParaView is unique in speed and efficiency by using state-of-the-art techniques developed by the academic visualization community that are often not found in applications written by the HEP community. In-situ visualization of events, where event details are visualized during processing/analysis, is a common task for experiment software frameworks. Kitware supplies Catalyst, a library that enables scientific software to serve visualization objects to client ParaView viewers yielding a real-time event display. Connecting ParaView to the Fermilab art framework will be described and the capabilities it brings discussed.

  12. Integrating Visualization Applications, such as ParaView, into HEP Software Frameworks for In-situ Event Displays

    Energy Technology Data Exchange (ETDEWEB)

    Lyon, A. L. [Fermilab; Kowalkowski, J. B. [Fermilab; Jones, C. D. [Fermilab

    2017-11-22

    ParaView is a high performance visualization application not widely used in High Energy Physics (HEP). It is a long standing open source project led by Kitware and involves several Department of Energy (DOE) and Department of Defense (DOD) laboratories. Futhermore, it has been adopted by many DOE supercomputing centers and other sites. ParaView is unique in speed and efficiency by using state-of-the-art techniques developed by the academic visualization community that are often not found in applications written by the HEP community. In-situ visualization of events, where event details are visualized during processing/analysis, is a common task for experiment software frameworks. Kitware supplies Catalyst, a library that enables scientific software to serve visualization objects to client ParaView viewers yielding a real-time event display. Connecting ParaView to the Fermilab art framework will be described and the capabilities it brings discussed.

  13. Evaluación de la competencia profesional de residentes de Medicina General Integral para la atención a la familia

    Directory of Open Access Journals (Sweden)

    M. Rocha-Vázquez

    Full Text Available Introducción. El proceso de evaluación de las competencias para diagnóstico de necesidades de aprendizaje es un elemento de vital importancia para el perfeccionamiento continuo del personal de salud; por ello, el presente trabajo pretendió evaluar la competencia de los residentes de Medicina General Integral en la atención a la familia, área de acción de estos profesionales de la salud. Sujetos y métodos. Para lograr el objetivo propuesto se ejecutó una investigación de evaluación, con diseño cuanticualitativo, en la Facultad de Ciencias Médicas de Cienfuegos, desde noviembre de 2005 a enero de 2007. De un total de 64 residentes de segundo año se seleccionaron 25 de manera aleatoria, que representan el 39% del total, a los cuales se les aplicó un examen de competencia, y cada uno de ellos efectuó dos visitas a la familia. Resultados. Sólo el 11,8% de los residentes aprobó el examen aplicado; las mayores dificultades se centraron en los temas de intervención familiar, evaluación del funcionamiento familiar y determinación de la salud familiar. De igual forma se constataron deficiencias en la ejecución de las visitas a la familia en cuanto a cumplimiento de sus principios, violación de etapas e intervenciones necesarias, fundamentalmente. Conclusiones. Con los instrumentos aplicados y los criterios asumidos para esta investigación se observa un muy bajo nivel de competencia de los residentes para la atención a la familia, lo que alerta de que deben diseñarse e implementarse estrategias inmediatas para revertir esta situación.

  14. Farelo integral de arroz parboilizado submetido a armazenamento prolongado para alimentação de codornas de corte

    Directory of Open Access Journals (Sweden)

    Nadja Naiara Pereira Farias

    2014-06-01

    Full Text Available O objetivo deste trabalho foi avaliar a estabilidade oxidativa do farelo integral de arroz parboilizado (FIAP durante o armazenamento e os efeitos do seu uso na alimentação de codornas de corte. Foram utilizados 245 animais com sete dias de idade, de ambos os sexos, distribuídos em delineamento inteiramente casualizado, com cinco tratamentos, em arranjo fatorial 2x2+1, e sete repetições de sete aves. Avaliaram-se os seguintes tratamentos: dieta controle, sem adição de FIAP; e níveis de inclusão, na dieta controle, de 10 e 20% de FIAP armazenado por 180 dias (FIAPA ou de FIAP novo (FIAPN. Houve oxidação lipídica do FIAP durante o armazenamento, e o índice de acidez foi de 4,25 e 63,50 (% em ácido oleico e o de peróxido foi de 15,64 e 38,28 meq kg-1 para FIAPN e FIAPA, respectivamente. A inclusão do FIAP resultou em menor digestibilidade da matéria seca e do nitrogênio e em maior valor de energia metabolizável da ração, em comparação à ração controle. A inclusão de 20% de FIAPA resultou em menor energia metabolizável da ração do que a adição do FIAPN. As inclusões não influenciaram desempenho, características da carcaça, pesos relativos do fígado e do pâncreas, e crescimento e qualidade óssea. O FIAPA, mesmo com rancidez, pode ser utilizado na alimentação de codornas de corte em níveis de até 20% de inclusão.

  15. Dental students’ perceptions of undergraduate clinical training in oral and maxillofacial surgery in an integrated curriculum in Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Mahmoud Al-Dajani

    2015-09-01

    Full Text Available Purpose: The aim was to understand dental students’ experiences with oral and maxillofacial surgery (OMS teaching, their confidence levels in performing routine dento-alveolar operations, and the relationship between the students’ confidence level and the number of teeth extracted during the clinical practice. Methods: The survey questionnaire was distributed to 32 students at Aljouf University College of Dentistry, Saudi Arabia during their fourth and fifth year in 2015. Respondents were asked to rate 19 items, which represent a student’s confidence in performing routine surgical interventions, using a four-point Likert scale (1=very little confidence, 4=very confident. A multivariate regression was computed between average confidence and the variables: weekly hours devoted to studying oral and maxillofacial surgery, college grade point average, and the total number of teeth extracted. Results: The response rate was 100%. Students revealed the highest level of confidence in giving local anesthesia (96.9%, understanding extraction indications (93.8%, and performing simple extractions (90.6%. Less confidence was shown with handling difficult extractions (50.0%, extracting molars with separation (50.0% or extracting third molars (56.3%. The average confidence in performing surgical procedures was 2.88 (SD=0.55, ranging from 1.79 to 3.89. A given student’s confidence increased with an increase in the total number of teeth extracted (P=0.003. Conclusion: It reveals a significant impact of undergraduate clinical training on students’ confidence in performing oral and maxillofacial surgery clinical procedures: The more clinical experience the students had, the more confidence they reported.

  16. Caracterización electroquímica de dos materiales de implante tipo titanio para aplicaciones en implantología oral

    OpenAIRE

    Echavarría Velásquez, Alejandro Iván; Arroyave Posada, Carlos Enrique

    2002-01-01

    Se presentan los resultados de las evaluaciones electroquímicas para dos materiales de implante certificados para uso odontológico: aleación Ti 6Al 4V (TAV) y titanio comercialmente puro (Ti) en solución de Ringer y en solución de saliva artificial, por medio de las técnicas de espectroscopia de impedancia electroquímica (EIS) y curvas de polarización potenciodinámicas (CP). Los resultados EIS mostraron que los arcos exhibidos en los diagramas de Nyquist disminuyen con el tiempo de inmersión....

  17. Problemática de la recogida y anotación de una base de datos oral para el gallego

    OpenAIRE

    González Rei, Begoña; Cardenal López, Antonio; Docío Fernández, Laura; García Mateo, Carmen

    2001-01-01

    La creciente demanda de los denominados "teleservicios" requiere la recogida de bases de datos adecuadas para entrenar y evaluar los sistemas de reconocimiento automático de voz. Para lenguas habladas por grandes poblaciones se disponen en el mercado de bases de datos útiles que permiten la implementación de reconocedores. Sin embargo, las lenguas minoritarias sufren la falta de tales bases de datos por lo que casi cualquier investigación en el ámbito de las tecnologías del habla que se centr...

  18. Hospitalização integral para tratamento dos transtornos alimentares: a experiência de um serviço especializado

    Directory of Open Access Journals (Sweden)

    Raphaela Fernanda Muniz Palma

    2013-01-01

    Full Text Available OBJETIVO: Descrever as características da hospitalização integral para o tratamento de transtornos alimentares em um serviço especializado de Ribeirão Preto, SP. MÉTODOS: Foram revisados todos os prontuários dos pacientes em seguimento pelo serviço, de 1982 até 2011, especialmente aqueles que tiveram indicação de internação integral. Foram coletados dados sociodemográficos e referentes ao diagnóstico. RESULTADOS: No período referido, 186 pacientes receberam atendimento pelo serviço e, desses, 44,6% (n = 83 foram internados para tratamento. Ao longo do tempo, houve redução na relação atendimento/internação, passando de 77,7% para 36,2% dos casos. A média de internações foi de 1,9 ± 3,9 vezes, e 73,5% (n = 61 dos pacientes foram hospitalizados apenas uma vez. A duração média da internação, independentemente do número de hospitalizações, foi de 70,6 ± 115,9 dias (variação de 3 a 804 dias. A predominância foi do sexo feminino, raça branca, solteira, sem filhos e com idade média de 23,3 ± 10,8 anos. O diagnóstico predominante foi de anorexia nervosa (85,5%, sobretudo em seu tipo restritivo (54,2%. As indicações mais frequentes para internação foram para realização de terapia nutricional (50,9%, seguida da investigação do quadro clínico (30,1% e por causa de depressão e/ou ideação suicida (10,9%. CONCLUSÃO: A hospitalização integral é uma modalidade terapêutica necessária para o tratamento desses quadros, e sua frequência foi considerada significativa, porém diminuiu ao longo do tempo. Esse resultado pode ser explicado pela tendência de desospitalização a partir da reforma psiquiátrica, do diagnóstico e tratamento mais precoces e da experiência adquirida pelos profissionais do serviço ao longo dos anos.

  19. Estudo de vocábulos para avaliação de crianças com deficiência sem linguagem oral

    Directory of Open Access Journals (Sweden)

    Andréa Carla Paura

    2014-03-01

    Full Text Available Pesquisadores da área de comunicação suplementar e alternativa consideram a falta de instrumentos para avaliar crianças e jovens com necessidade complexa de comunicação. Este trabalho objetivou selecionar vocábulos para um instrumento de avaliação do repertório de vocabulário de crianças não-oralizadas com idade de dois a 11 anos e 11 meses. Para a seleção dos vocábulos foram realizados três estudos. O primeiro estudo identificou e descreveu instrumentos disponíveis para avaliação do vocabulário receptivo e suas listas de vocábulos. O segundo estudo identificou e descreveu pesquisas que apresentaram inventários ou listas de vocábulos empregados por crianças e seus parceiros de comunicação. O terceiro estudo identificou o vocabulário relatado por pais e professores. Os vocábulos identificados nos três estudos foram analisados de acordo com: o número de ocorrência dos vocábulos; a classificação do sistema Picture Communication Symbols e uma classificação semântica e sintática. A partir dos estudos foram estabelecidos como critérios para a seleção dos vocábulos: os 45 vocábulos presentes nos três estudos; os vocábulos que tiveram ocorrência maior ou igual a cinco, considerando os três estudos, representando 167 (14,14% vocábulos; os vocábulos que estiveram presentes no estudo 1 ou 2, mas que foram citados pelas famílias, 183 (19,37% de 945 vocábulos ou pelas professoras 108 (11,43% de 945 vocábulos. A lista de vocábulos apresentou 269 itens, classificadas em 18 temas semânticos e sintático e representa um instrumento inicial para profissionais da saúde e educação estabelecerem metas para a avaliação inicial de crianças e jovens usuários de sistemas de comunicação suplementar e alternativa.

  20. Oral Cancer

    Science.gov (United States)

    Oral cancer can form in any part of the mouth. Most oral cancers begin in the flat cells that cover the ... your mouth, tongue, and lips. Anyone can get oral cancer, but the risk is higher if you are ...

  1. Integrated pharmacokinetics of major bioactive components in MCAO rats after oral administration of Huang-Lian-Jie-Du-Tang.

    Science.gov (United States)

    Zhu, Huaxu; Qian, Zhilei; Li, Huan; Guo, Liwei; Pan, Linmei; Zhang, Qichun; Tang, Yuping

    2012-05-07

    Huang-Lian-Jie-Du-Tang (HLJDT, or Oren-gedoku-to in Japanese), an important multi-herb remedy in China and other Asia countries, has been used clinically to treat cerebral ischemia for decades. According to the previous studies we have reported, an HPLC method was developed and validated for determination of berberine, palmatine, baicalin, baicalein and geniposide simultaneously in MCAO rat plasma after administration of HLJDT aqueous extract. A classified integral pharmacokinetic method was put forward after having compared the integrated concentration-time profile with that of single component. An AUC based weighting approach was used for integrated principle. The results indicated the classified integral pharmacokinetic profile of index components from HLJDT could reveal the pharmacokinetic behavior of original components, and was corresponding to the holistic pharmacological effects of anti-ischemia with HLJDT. This study was aimed to explore an approach that could be applied to integrate the pharmacokinetic behavior of different components derived from HLJDT. The integrated pharmacokinetic results also provided more information for further understanding of the clinical cerebrovascular disease in use of HLJDT. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  2. PIAHO: una herramienta para la prevención de hábitos orales deletéreos (protocolo de incorporación apropiada de hábitos orales)

    OpenAIRE

    Villanueva,Pía

    2014-01-01

    Objetivo presentar una herramienta de prevención de malos hábitos orales, llamado PIAHO. Métodos se comparan los diagnósticos obtenidos de la prueba subjetiva PeNaF con los diagnósticos de resistencia nasal obtenidos por la prueba objetiva de rinomanometria. Se estudian las relaciones entre la incorporación de consistencias, herramientas y elección de posturas durante la alimentación y los diferentes tipos de deglución. Basados tanto en, los re...

  3. Relatos de experiencias: Trabajar con entrevistas, historia oral ¿Quién narra y para quién? Sobre la (in corrección del cuestionario y otros cuestiones metodológicas

    Directory of Open Access Journals (Sweden)

    Patricia Graciela Sepúlveda

    2016-07-01

    Full Text Available En este artículo se realiza un trabajo reflexivo respecto de las tensiones presentes en la producción de un texto conversacional producto de entrevistas de historia oral y pretende analizar evasivas, subtextos y tropos que los entrevistados utilizan para filtrar, resistir o manejar en la interacción. Se inscribe en una investigación que combinó la perspectiva de género y memoria, y que buscaba analizar un período de la historia reciente de nuestro país a través de los testimonios de sus protagonistas. Se hace hincapié, a través de fragmentos que funcionan como disparadores, en el trabajo interpretativo de relatos sobre experiencias. Relatos que nos permiten acceder a tensiones, temporalidades, significados, agencia y subjetividad.

  4. Las transiciones escolares: una oportunidad de desarrollo integral para niños y niñas

    Directory of Open Access Journals (Sweden)

    Sara Victoria Alvarado

    2009-01-01

    Full Text Available En este artículo presentamos los resultados de una investigación sobre las transiciones educativas del hogar al centro de cuidado y de éste al preescolar y la primaria en niños y niñas indígenas de la comunidad Embera Chamí en Riosucio, Caldas, Colombia. Conceptualizamos las transiciones como momentos críticos de cambio que viven los niños y las niñas al pasar de un ambiente a otro, abriendo oportunidades para su desarrollo humano y su aprendizaje para la vida y la escuela, en un estudio de caso cualitativo con enfoque histórico hermenéutico. Los resultados aportan elementos importantes para comprender diversas visiones sobre las transiciones, evidenciando distanciamientos y tensiones entre actores, escenarios y prácticas. Concluimos que las articulaciones son un elemento clave en este proceso.

  5. Oral pilocarpine for radiation-induced xerostomia: integrated efficacy and safety results from two prospective randomized clinical trials

    International Nuclear Information System (INIS)

    Rieke, John W.; Hafermann, Mark D.; Johnson, Jonas T.; LeVeque, Francis G.; Iwamoto, Ryan; Steiger, Barry W.; Muscoplat, Charles; Gallagher, Susan C.

    1995-01-01

    Purpose: Pilocarpine hydrochloride administered in either a fixed-dose or in a dose-titration protocol three times a day for 12 weeks was evaluated for its ability to relieve symptoms of postradiation xerostomia and to improve saliva production. The studies were randomized, double-blind, placebo-controlled, multicenter clinical trials. A total of 369 patients who had received at least 40 Gy of radiation to the head and neck with clinically significant xerostomia were enrolled in the two studies. In the dose-titration study, 162 patients were enrolled and they received a thrice daily regimen of 2.5 mg tablets for first 4 weeks, 5.0 mg tablets for the second 4 weeks, and 10.0 mg tablets for last 4 weeks of a 12-week study. Patients in the titration study were allowed to down titrate following at least one dose escalation to alleviate bothersome side effects, if any. In the fixed dose study, 207 patients received either placebo, 5.0 mg, or 10.0 mg tablets t.i.d. for 12 weeks. Methods and Materials: Patients were evaluated for symptomatic relief by responding to questionnaires using visual analog scales and categorical questions; and, for saliva production by sialometry. Questionnaires measured relief of intraoral dryness, improvement in overall condition (global response), oral discomfort, difficulty in speaking, chewing and swallowing, denture wearing, and usage of artificial saliva. Evaluations were conducted at baseline, and weeks 4, 8, and 12. Results: There were statistically significant improvements in salivary flow in pilocarpine treatment groups vs. placebo. There was a significant improvement in the overall 'global' condition of xerostomia associated with the use of pilocarpine in both studies. In the fixed-dose study, there were significant improvements in oral dryness, mouth comfort, ability to speak, and reduction in the use of oral comfort agents. The dose-titration study showed improvements in dryness that approached significance (p = 0.057) and a

  6. Plan de negocio para la creación de una empresa de manejo integral de residuos solidos

    OpenAIRE

    Barahona Pardo, Liliana

    2012-01-01

    El presente proyecto es el resultado del análisis efectuado sobre el sector del reciclaje en Bogotá y las oportunidades identificadas para la creación de nuevos negocios a partir de las necesidades existentes. Donde cobra importancia la concientización y la optimización de los procesos productivos promoviendo la clasificación desde la fuente para lograr el máximo aprovechamiento y valorización de los residuos producidos por medianas y grandes empresas, logrando un mejoramiento del medio amb...

  7. Algunas consideraciones sobre la alimentación del lactante para la conservación de su salud bucal Some considerations on infant feeding for the preservation of oral health

    Directory of Open Access Journals (Sweden)

    Yanelis Urgellés Pérez

    2012-04-01

    Full Text Available La salud bucodental constituye un componente de la salud general de los seres humanos, vital para el adecuado crecimiento y desarrollo de niños y adolescentes, asociado a diferentes factores, tales como: nutrición, comunicación, fonación, estética y autoestima. La mejor manera de lograrlo, es con un correcto cepillado y la prevención de hábitos nocivos, entre los cuales figuran: uso de biberón, consumo de alimentos molidos, chupeteo de dedos y tetes, así como respiración bucal. A partir de esta reflexión se revisó la bibliografía biomédica disponible sobre algunos aspectos elementales de la alimentación en el primer año de vida, entre los que se encuentran: tipos de lactancia y ablactación, todo ello desde un enfoque estomatológico para acentuar la importancia de alimentar correctamente al lactante, con vistas a mantener su salud bucal.Oral dental health constitutes a component of the overall health of humans, vital for proper growth and development of children and adolescents, associated with different factors such as nutrition, communication, speech, appearance and self-esteem. The best way of achieving this is with correct brushing and prevention of harmful habits, including baby's bottle use, ground food consumption, sucking fingers and tetes, and mouth breathing. From this reflection available biomedical literature on some basic aspects of food in the first year of life was reviewed, including types of breastfeeding and ablactation, all from the stomatological approach to emphasize the importance of properly feeding the infants in order to maintain their oral health.

  8. Visita domiciliaria familiar: estrategia didáctica para la formación integral del personal médico

    Directory of Open Access Journals (Sweden)

    Liliana Adela Zuliani-Arango

    2015-01-01

    Full Text Available La dificultad de abordar el proceso Salud-Enfermedad desde lo biopsicosocial, hapromovido otras estrategias para favorecer la formación integral en el futuro profesional de la salud.En esta investigación buscamos como objetivo comprender la importancia de la visita domiciliariafamiliar como estrategia didáctica para la formación integral de los estudiantes y las estudiantes-años 2006 a 2011-, de pregrado de Medicina de la Universidad de Antioquia, Medellín, Colombia.Es un estudio cualitativo histórico hermenéutico fenomenológico, que implica sistematización decaso y revisión documental con análisis ético, efectuado a 36 participantes entre estudiantes ydocentes, en entrevistas, grupos focales y observaciones participantes. Resultados y conclusiones: lavisita domiciliaria familiar es la estrategia didáctica que facilita la mirada integral en la formacióndel estudiante o la estudiante y mejora la relación médico-paciente, genera compromiso social yresponsabilidad en su quehacer médico-puericultor.

  9. Efectos de la mediación oral para la resolución de conflictos comunicativos en aulas de inglés de Educación Primaria con presencia de alumnado extranjero

    Directory of Open Access Journals (Sweden)

    Natalia Barranco Izquierdo

    2017-01-01

    Full Text Available Las autoras de esta investigación parten de la premisa relativa al estatus particular, potencial y efectivo de la mediación oral como un eje vertebrador de la comunicación durante el proceso de enseñanza/aprendizaje. Dan cuenta -­‐movilizando procedimientos y estrategias propias de la investigación interpretativa-­‐, de las potencialidades de la mediación oral en la resolución o evitación de los conflictos comunicativos que tienen lugar en el discurso de enseñanza/ aprendizaje de inglés, en aulas de Educación Primaria con presencia de alumnado extranjero. Destacan sus efectos en las actividades comunicativas de la lengua planificadas para el aula, en la perspectiva última de la formación del profesorado, a quien corresponde el logro de la integración socioeducativa de este alumnado.

  10. Comparison between E-test and CLSI broth microdilution method for antifungal susceptibility testing of Candida albicans oral isolates Comparação entre E-test e o método da microdiluição do CLSI para teste de susceptibilidade a antifúngicos de isolados orais de Candida albicans

    Directory of Open Access Journals (Sweden)

    Cristiane Yumi Koga-Ito

    2008-02-01

    Full Text Available Thirty Candida albicans isolated from oral candidosis patients and 30 C. albicans isolated from control individuals were studied. In vitro susceptibility tests were performed for amphotericin B, fluconazole, 5-flucytosine and itraconazole through the Clinical and Laboratorial Standards Institute (CLSI reference method and E test system. The results obtained were analyzed and compared. MIC values were similar for the strains isolated from oral candidosis patients and control individuals. The agreement rate for the two methods was 66.67% for amphotericin B, 53.33% for fluconazole, 65% for flucytosine and 45% for itraconazole. According to our data, E test method could be an alternative to trial routine susceptibility testing due to its simplicity. However, it can not be considered a substitute for the CLSI reference method.Trinta Candida albicans isoladas de pacientes portadores de candidose oral e 30 Candida albicans isoladas de indivíduos controle foram estudadas. Testes de susceptibilidade in vitro foram realizados com anfotericina B, fluconazol, 5-flucitosina e itraconazol pelo método do Clinical and Laboratorial Standars Institute (CLSI e por E-test. Os resultados obtidos foram analisados e comparados. Os valores de CIM foram semelhantes para amostras isoladas de pacientes portadores de candidose oral e indivíduos controle. A concordância entre os dois métodos foi de 66,7% para a anfotericina B, 53,33% para o fluconazol, 65% para a flucitosina e 45% para o itraconazol. De acordo com estes resultados, o método do E-test poderia ser uma alternativa para a triagem de casos de rotina pela sua simplicidade. Entretanto, este método não pode ser considerado como um substituto para o método de referência do CLSI.

  11. Logística Integral: Una alternativa para crear valor y ventajas competitivas en las pequeñas y medianas empresas (pymes) del Sector Calzado

    OpenAIRE

    Villarreal Segoviano, Francisco Javier

    2012-01-01

    En este documento se plantea la ventaja competitiva como el resultado que las empresas buscan lograr en un contexto global y de hipercompetitividad; para lograr esto se necesitan estrategias que impulsen esas ventajas competitivas en un ambiente cambiante y dinámico, una de estas estrategias es la logística integral, que busca el equilibrio de la estructura de la cadena de valor de negocio y lograr una interacción y operación eficiente de las áreas de una manera en que las actividades proyect...

  12. Metodología integral para el proceso de enseñanza-aprendizaje de la Poonsae Taeguek en la iniciación del Taekwondo

    OpenAIRE

    Bonilla Valdivieso, Celia María

    2017-01-01

    La presente investigación, luego del diseño de una metodología integral aplicada al proceso de enseñanza-aprendizaje del Poomsae Taeguek, determinó si la misma influye sobre la mejora de la técnica mencionada en 20 niños de 10-12 años de edad, sexo masculino. Para constatar la mejora, se han evaluado indicadores tales como Evolución Técnica, Explosividad, Secuencia General, Equilibrio y Acoplamiento a dos grupos dispuestos, uno experimental (B) y otro de control (A), determinando la existenci...

  13. Diagnóstico y propuesta para una gestión integral del riesgo en el valle de aburra: red riesgos

    OpenAIRE

    ARISTIZÁBAL, EDIER; VARGAS, RICHARD

    2010-01-01

    A partir del análisis de la situación organizacional de las diferentes instituciones en el Valle de Aburrá frente a la reducción de desastres y emergencias asociadas con los fenómenos de origen natural y antrópico, el Área Metropolitana del Valle de Aburrá, como autoridad ambiental y entidad planificadora, hace una propuesta que pretende articular todas las entidades, organizaciones e instituciones públicas y privadas hacia una gestión integral del riesgo, y la cual denominó: Red para la Gest...

  14. Diagnóstico y propuesta para una gestión integral del riesgo en el Valle de Aburrá: red riesgos.

    OpenAIRE

    Aristizábal, Edier; Vargas, Richard; Mesa Sánchez, Óscar José

    2008-01-01

    A partir del análisis de la situación organizacional de las diferentes instituciones en el Valle de Aburrá frente a la reducción de desastres y emergencias asociadas con los fenómenos de origen natural y antrópico, el Área Metropolitana del Valle de Aburrá, como autoridad ambiental y entidad planificadora, hace una propuesta que pretende articular todas las entidades, organizaciones e instituciones públicas y privadas hacia una gestión integral del riesgo, y la cual denominó: Red para la Gest...

  15. La integración regional latinoamericana a partir de las oportunidades para el progreso (The Latin American regional integration based on its opportunities for progress

    Directory of Open Access Journals (Sweden)

    Jhoner Perdomo

    2016-12-01

    Full Text Available El objetivo de un Estado debería ser la ampliación de oportunidades y capacidades para que la ciudadanía promueva resultados que permitan el desarrollo humano. En este sentido, los países se integran en bloques para fortalecer sus políticas, dar respuestas a las demandas sociales y mejorar la calidad de vida de sus habitantes. Por ello, la conformación de alianzas presume que quienes las conforman poseen elementos y objetivos en común. Se realiza un ejercicio a países de la región latinoamericana, mediante un análisis discriminante utilizando indicadores multidimensionales, cuyo objetivo es determinar cuáles son las condiciones que permiten diferenciar los respectivos convenios en la región, para nuestro análisis: MERCOSUR, ALBA y Alianza del Pacifico. | The goal of a state should be expanding opportunities and capabilities citizenship to promote results that enable human development. In this regard, countries integrate into blocks to strengthen their policies, to respond to social demands and improve the quality of life of its inhabitants. Therefore the formation of alliances presumes that those who make them possess elements and objectives in common. An exercise is performed to countries in the Latin American region, using the discriminant analysis using multidimensional indicators, which aims to determine what are the conditions that allow differentiating blocks in the region, for our analysis: MERCOSUR, ALBA and Pacific Alliance.

  16. La música como parte integral de la oferta turística cultural para un nicho de mercado

    Directory of Open Access Journals (Sweden)

    Guadalupe Revilla

    2016-01-01

    Full Text Available La música ha pasado de ser un componente que ayuda a promocionar un destino turístico y su imagen y una parte del ambiente turístico a ser el principal motivo de viaje de turistas culturales que buscan experiencias más significativas y de mayor calidad que el turista de masas. Existen pocos estudios de este tipo de turista, por lo que con el objetivo de explorar las opiniones de jóvenes sobre este tipo de turismo en México. Las personas encuestadas reconocen que la música es un motivo importante para viajar, pero creen más importante a la música como un componente de la experiencia total o como un elemento para promocionar la cultura del destino. Turismo musical, turismo cultural, nichos de mercado, interpretaciones musicales. Music tourism, cultural tourism, market niche, musical performances

  17. Desafío para las Direcciones de Comunicación: un modelo integral para la sostenibilidad socio-ambiental y emocional/ Challenge for Public Relations management: a comprehensive model for the socio–environmental and emotional sustainability

    Directory of Open Access Journals (Sweden)

    Hernán Dinamarca

    2011-11-01

    Full Text Available En las dos últimas décadas, las empresas han sido interpeladas por el desafío de lasostenibilidad. La Responsabilidad Social (RS, en estricto sentido histórico, es laactualización en las empresas de la exigencia social de sostenibilidad. Hoy son inviables lasempresas que no asuman una manera sustentable de actuar en lo ambiental y derelacionarse respetuosamente con las comunidades (licencia social para operar. Estoconlleva desafíos para sus direcciones de comunicaciones. Las comunicación y laresponsabilidad social se intersectan estratégicamente porque la triada emergente operaasí: (una comunicación (en transparencia (coherencia entre el decir y el hacer, es condiciónde la sostenibilidad de las empresas. Nuestra propuesta es un modelo de comunicaciónintegral para la sostenibilidad, que opera en dos grandes dominios interrelacionados: lasostenibilidad socio-ambiental y la emocional./During the last two decades, companies have been questioned by the challenges presentedby sustainability. Social Responsibility (SR, in a strict historical sense, is an update of the social demands for sustainability taken to sphere of companies. Today companies areunviable if they do not assume a sustainable way of acting on environmental issues, as wellas in respectful relationships with communities (social license to operate. This bringschallenges for the Public Relations. Communications and SR strategically intersect eachother, because the emerging triad operates as follows: (a communication (in transparency(consistency between saying and doing, is a condition of sustainability of the companies.Our proposal is an integral communication model for sustainability, which operates in twointerrelated domains: socio-environmental sustainability and emotional sustainability.

  18. Aspectos biofarmacêuticos da formulação de medicamentos para neonatos: fundamentos da complexação de indometacina com hidroxipropil-beta-ciclodextrina para tratamento oral do fechamento do canal arterial Biopharmaceutical aspects of drug formulation for neonatology: rational for indomethacin's complexation with hydroxypropyl-beta-cyclodextrin to treat patent ductus arteriosus

    Directory of Open Access Journals (Sweden)

    Ana Cristina Ribeiro Rama

    2005-09-01

    Full Text Available A terapêutica farmacológica em recém-nascidos confronta-se, por um lado, com um organismo sujeito a marcadas alterações biológicas, resultantes da composição orgânica e da maturação funcional, que decorre a diferentes graus em crianças com a mesma idade, determinando modificações no perfil farmacocinético e farmacodinâmico e, por outro lado, com a necessidade efetiva da utilização de fármacos. Para dar resposta à necessidade de tratamento destes doentes, recorre-se à utilização de medicamentos "off label", sendo esta uma prática com um elevado risco de segurança e de eficácia, na ausência de informação acerca da estabilidade, solubilidade e biodisponibilidade. Considerou-se, assim, que a utilização de derivados das ciclodextrinas altamente solúveis em água seria uma alternativa para a formulação de preparações líquidas aquosas de fármacos fracamente solúveis, aliada à melhoria de biodisponibilidade e de segurança. Esta revisão pretende fundamentar a possibilidade de recurso à complexação de indometacina com hidroxipropil-beta-ciclodextrina, com o objetivo de melhorar as características de biodisponibilidade e de segurança e permitir a administração por via oral para o tratamento farmacológico do fechamento do canal arterial em prematuros ou em recém-nascidos com esta patologia.Pharmacological therapy for newborns is faced on one hand, with an organism characterized by biological differences and functional immaturity with various grades of evolution for the same age, implying changes on the pharmacokinetic and pharmacodinamic medicine profiles. On the other hand, there is the effective need for pharmacotherapy. The "off label" use of medicines is therefore the only thing left to do, having in mind the risk of using therapeutic agents not studied for this special group of people. On this context it has been considered the use of cyclodextrin derivatives like hydroxypropyl-beta-cyclodextrin as an

  19. Tradução intermodal, intersemiótica e interlinguística de textos escritos em Português para a Libras oral

    Directory of Open Access Journals (Sweden)

    Ronice Müller de Quadros

    2015-10-01

    Full Text Available http://dx.doi.org/10.5007/2175-7968.2015v35nesp2p354 Neste artigo apresentamos alguns tipos de tradução envolvidos na tradução de textos em português para a língua brasileira de sinais (Libras.  Discutimos esses diferentes tipos e destacamos a tradução intermodal, específica das traduções que envolvem uma língua de sinais. A tradução intermodal trata de aspectos visuais e operacionais implicados na tradução para Libras em forma de vídeo e aspectos linguísticos essencialmente visuais-espaciais que envolvem o uso do espaço em línguas de modalidade visual-espacial, ou seja, línguas de sinais. Neste artigo, apresentamos uma análise das implicações da modalidade a partir de exemplos de tradução realizados no contexto do Curso de Letras Libras da Universidade Federal de Santa Catarina (UFSC.

  20. Uma abordagem metodológica para o desenvolvimento de sistemas automatizados e integrados de manufatura A methodological approach to automated and integrated manufacturing systems development

    Directory of Open Access Journals (Sweden)

    Marco Antonio Busetti de Paula

    2008-01-01

    Full Text Available Este trabalho apresenta uma metodologia de projeto aplicada a sistemas automatizados e integrados de manufatura. A metodologia consiste em um desenvolvimento cíclico de três etapas - modelagem, síntese e implementação - até o atendimento da aplicação demandada para o sistema real, resultando no projeto do sistema automatizado integrado. Esta forma de desenvolvimento permite uma revisão contínua dos resultados obtidos em cada etapa. Para testar e validar a metodologia, é apresentado um exemplo de re-projeto de um protótipo de sistema de manufatura em função da necessidade de inserção de um novo produto.This paper presents a methodology of project applied to automated and integrated manufacturing systems. The methodology consists of a cyclic three stages development - modeling, synthesis and implementation - till the accomplishment of the application required by the real system, resulting in the project of the automated and integrated system. This kind of development allows a continuous revision of the results of each stage. To submit to a test and to validate the methodology, it is given an example of a re-project of a prototype of a manufacturing system at the time of the introduction of a new product on the market.

  1. Sobre os obstáculos discursivos para a atenção integral e humanizada à saúde de pessoas transexuais

    Directory of Open Access Journals (Sweden)

    Rodrigo Borba

    Full Text Available Este artigo problematiza alguns obstáculos discursivos para o cuidado integral e humanizado à saúde de pessoas transexuais no Processo Transexualizador brasileiro. Para tanto, faz-se o cotejamento das experiências de Agnes, uma participante da Clínica de Gênero da UCLA na década de 1950, e Vitória, atual usuária de um dos programas de transgenitalização brasileiros, com instâncias classificadoras. Argumenta-se que, embora estejam temporal e geograficamente distantes, Agnes e Vitória engajam-se em performances identitárias muito semelhantes balizadas por uma política narrativo-essencialista que patologiza e homogeneíza as transexualidades. Defende-se que tal política pode ser desafiada por microrresistências narrativo-performativas, i.e., histórias de vida que mostrem às instâncias classificadoras/diagnosticadoras in situ as multiplicidades que constituem nossa vida generificada e possam, enfim, produzir, performativamente, novos regimes identitários em consonância com a fragmentação que nos é constitutiva. Com isso, argumenta-se que a despatologização da transexualidade é central para a construção de relações intersubjetivas entre equipes médicas e usuários/as transexuais baseadas em confiança mútua, salientando, assim, seu potencial para a humanização do cuidado à saúde.

  2. Integration

    DEFF Research Database (Denmark)

    Emerek, Ruth

    2004-01-01

    Bidraget diskuterer de forskellige intergrationsopfattelse i Danmark - og hvad der kan forstås ved vellykket integration......Bidraget diskuterer de forskellige intergrationsopfattelse i Danmark - og hvad der kan forstås ved vellykket integration...

  3. Aportes de la propuesta filosófica-antropológica de Rudolf Allers para el planteamiento de una psicología integral

    Directory of Open Access Journals (Sweden)

    Juan Carlos Tuppia Samamé

    2010-01-01

    Full Text Available Objetivo. Describir y analizar las principales propuestas del Dr. Rudolf Allers, para el desarrollo de una psicología integral de la persona humana. Método. Estudio de revisión teórica que tuvo como unidades de análisis artículos teóricos y libros de Rudolf Allers, provenientes de la pesquisa en bases de datos y bibliotecas locales; las fuentes para el análisis de la Antropología Teológica la constituyeron textos claves del magisterio de la Iglesia. Resultados. Estudios actuales han mostrado la baja consideración en la Psicología Contemporánea de la realidad espiritual para la explicación de la salud psicológica y de la experiencia humana en general. Estas evidencias investigativas parecen indicar una marginación de la dimensión espiritual en los ambientes profesionales de la American Psychological Association (APA y en los psicólogos que trabajan bajo los lineamientos de esta asociación. Conclusiones. En la obra del Allers se evidenció un esfuerzo concreto y consistente por aportar a la edificación de una psicología abierta a lo trascendente que conciba al ser humano como unidad bio-psico-espiritual y que integre las verdades sobre la persona y el mundo que brotan de la revelación bíblica de perspectiva católica en el ejercicio de la profesión.

  4. Programas no formales para la atención integral a la niñez en costa rica: aciertos y limitaciones

    Directory of Open Access Journals (Sweden)

    Usaga Vargas, Diana Marcela

    2007-12-01

    Full Text Available Resumen: Los programas no formales de atención integral para los infantes menores de siete años, surgen principalmente debido a dos factores, la inserción de la mujer en el campo laboral y la necesidad de los Estados de velar por la calidad de vida de esta población. De esta manera, en Costa Rica se crean los Centros de Nutrición y Atención Integral y los Hogares Comunitarios, programas no formales de atención a la niñez en los cuales se basó la investigación que sustenta el presente artículo. Esta tiene como objetivo general “Analizar el servicio que ofrecen los programas estatales no formales Hogares Comunitarios del Consejo de Atención Integral, Centros Infantiles de Nutrición y Atención Integral del Ministerio de Salud”. Para ello se utilizó una metodología descriptiva, que brinda un detalle de los aciertos y limitaciones de los programas anteriormente señalados. Se pudo comprobar el esfuerzo que realizan los encargados de los programas por brindar una atención de calidad a la población infantil costarricense; sin embargo, se encuentran limitados por distintos factores lo cual hace evidente la necesidad de que sean reestructurados y que reciban mayor apoyo por parte del Estado para su fortalecimiento.Abstract: Informal education programs that are oriented to children under seven years arise because of two main reasons: women becoming part of the workforce and governments pursuing a better quality of life for this population. In this way, the country establishes the “Centros de Nutrición y Atención Integral” and “Hogares Comunitarios”, informal child education programs, which served as the basis of this research. The main objective of this research is to “analize the service that Hogares Comunitarios of the “Consejo de Atención Integral” and “Centros Infantiles de Nutrición y Atención Integral” affiliated to the Ministry of Health offer as examples of non formal governmental education programs. A

  5. Economic aspects for South America energy integration; Aspectos economicos para a integracao energetica da America do Sul

    Energy Technology Data Exchange (ETDEWEB)

    Vela, Jorge Alberto Alcala; Cardozo, Fernando Simoes [ELETROBRAS, Rio de Janeiro, RJ (Brazil)

    2008-07-01

    Expansion of the internal market and external, production on a large scale and more dynamic economic growth would be the consequences of a regional integration in South America. However, due to the specific characteristics of South America this process did not occur. Many attempts were made through the years with the creation of institutions that tried to promote the integration of different forms of South America. This article analyses the current economic conditions in which this initiative is to achieve an energy integration, which seems feasible given the provision expresses the presidents of South American countries before a possible rationing of energy. Through analysis of the results it may be concluded that there is a growing demand for energy in all countries, which should be resolved first in order not to cut the development of South America. The main economic aspects which affect the process of integrating energy are the commercial structures of energy, the energy complementarities, the degree of development of infrastructure for interconnection, the industrial structure and conformation electric business. However, an immediate solution would be to boost bilateral integration energy projects and construction of transmission lines that interconnect the regional stations for the supply of electric energy. Moreover, as the conditions are not improved political and economic and there is no compatible models between technical institutions and legal and administrative, will not be achieved significant progress in the process of regional energy integration of South America. (author)

  6. Anestesia para el tratamiento intraparto extraútero (EXIT) en fetos con diagnóstico prenatal de malformaciones cervical y oral: relato de casos

    OpenAIRE

    Helfer, Daniel Corrêa [UNIFESP; Clivatti, Jefferson [UNIFESP; Yamashita, Américo Massafuni [UNIFESP; Moron, Antonio Fernandes [UNIFESP

    2012-01-01

    JUSTIFICATIVA E OBJETIVOS: O feto com diagnóstico pré-natal de massa cervical, ou qualquer outra doença que obstrua as vias aéreas, não deve ser abordado de forma convencional por apresentar dois desafios ao médico assistente logo após o parto: o tempo limitado para se estabelecer o acesso a vias aéreas potencialmente difíceis e a ausência de anestesia do neonato caso seja necessária instrumentação das vias aéreas. O procedimento EXIT (ex utero intrapartum treatment - EXIT procedure) consiste...

  7. Oral myiasis

    Directory of Open Access Journals (Sweden)

    Thalaimalai Saravanan

    2015-01-01

    Full Text Available Myiasis is a pathologic condition in humans occurring because of parasitic infestation. Parasites causing myiasis belong to the order Diptera. Oral myiasis is seen secondary to oral wounds, suppurative lesions, and extraction wounds, especially in individuals with neurological deficit. In such cases, neglected oral hygiene and halitosis attracts the flies to lay eggs in oral wounds resulting in oral myiasis. We present a case of oral myiasis in 40-year-old male patient with mental disability and history of epilepsy.

  8. El estrés oxidativo en la enfermedad cardiovascular: evidencias para un tratamiento más integral

    OpenAIRE

    Livan Delgado Roche; Gregorio Martínez Sánchez

    2009-01-01

    La revolución que se produjo en las áreas de la salud en el mundo durante el siglo XX, o lo que se ha dado en llamar la transición epidemiológica, ha hecho que la población mundial envejezca y con ello las enfermedades crónicas no trasmisibles, aparezcan cada vez con mayor frecuencia. Entre estas, las enfermedades cardiovasculares, específicamente las del corazón, son las de mayor incidencia. El oxígeno es esencial para la vida, pero posee una paradoja en los organismos que lo utilizan. Este ...

  9. [Integrity].

    Science.gov (United States)

    Gómez Rodríguez, Rafael Ángel

    2014-01-01

    To say that someone possesses integrity is to claim that that person is almost predictable about responses to specific situations, that he or she can prudentially judge and to act correctly. There is a closed interrelationship between integrity and autonomy, and the autonomy rests on the deeper moral claim of all humans to integrity of the person. Integrity has two senses of significance for medical ethic: one sense refers to the integrity of the person in the bodily, psychosocial and intellectual elements; and in the second sense, the integrity is the virtue. Another facet of integrity of the person is la integrity of values we cherish and espouse. The physician must be a person of integrity if the integrity of the patient is to be safeguarded. The autonomy has reduced the violations in the past, but the character and virtues of the physician are the ultimate safeguard of autonomy of patient. A field very important in medicine is the scientific research. It is the character of the investigator that determines the moral quality of research. The problem arises when legitimate self-interests are replaced by selfish, particularly when human subjects are involved. The final safeguard of moral quality of research is the character and conscience of the investigator. Teaching must be relevant in the scientific field, but the most effective way to teach virtue ethics is through the example of the a respected scientist.

  10. LA GESTIÓN INTEGRAL DE LOS RESIDUOS SÓLIDOS URBANOS EN JUÁREZ: LECCIONES INNOVADORAS PARA OTROS MUNICIPIOS

    Directory of Open Access Journals (Sweden)

    Ismael Couto Benítez

    2012-06-01

    Full Text Available El arribo de la iniciativa privada a la gestión integral de residuos sólidos urbanos en el municipio de Ciudad Juárez promovió un nuevo mecanismo institucional para operar un servicio público que ha cumplido las expectativas de mejora y eficiencia establecidos por los indicadores de gerenciamiento para el servicio de limpieza pública, además de solventar el problema de la falta de presupuesto para el mantenimiento y renovación del equipo de recolección de basura. Este documento aborda, a partir de una revisión histórica de datos y entrevistas con los directivos de la empresa PASA y los funcionarios del gobierno municipal de Juárez, el modelo en que se gestó y la forma en que opera el servicio de limpia en uno de los cinco municipios más poblados de México. A partir de esta experiencia, se asumen nuevos retos para la administración de los servicios públicos municipales a partir de prácticas de negociación, calidad en el servicio, rendición de cuentas y control gubernamental.   ABSTRACT The integration of the private sector into comprehensive management of urban solid waste in the municipality of Ciudad Juárez shows a new institutional mechanism to operate a public service that has fulfilled the improvement and efficiency expectations established by managerial indicators for public sanitation services, in addition to overcoming the lack of budget provision for maintenance and renewal of waste collection equipment. By means of a historical revision of data as well as interviews with both executive directors of a garbage-collecting firm called PASA and officials of the municipal government of Ciudad Juárez, this document approaches the waste collection model that was created as well as the way in which the garbage collection service operates in one of the five most populated municipalities in Mexico. Based on this experience, the management of municipal public services assumed new challenges by using negotiation practices

  11. Risk Assessment Integrated QbD Approach for Development of Optimized Bicontinuous Mucoadhesive Limicubes for Oral Delivery of Rosuvastatin.

    Science.gov (United States)

    Javed, Md Noushad; Kohli, Kanchan; Amin, Saima

    2018-04-01

    Statins are widely prescribed for hyperlipidemia, cancer, and Alzheimer's disease but are facing some inherent challenges such as low solubility and drug loading, higher hepatic metabolism, as well as instability at gastric pH. So, relatively higher circulating dose, required for exerting the therapeutic benefits, leads to dose-mediated severe toxicity. Furthermore, due to low biocompatibility, high toxicity, and other regulatory caveats such as product conformity, reproducibility, and stability of conventional formulations as well as preferentially higher bioabsorption of lipids in their favorable cuboidal geometry, enhancement in in vivo biopharmaceutical performance of Rosuvastatin could be well manifested in Quality by Design (QbD) integrated cuboidal-shaped mucoadhesive microcrystalline delivery systems (Limicubes). Here, quality-target-product-profile (QTPPs), critical quality attributes (CQAs), Ishikawa fishbone diagram, and integration of risk management through risk assessment matrix for failure mode and effects analysis (FMEA) followed by processing of Plackett-Burman design matrix using different statistical test for the first time established an approach to substantiate the claims that controlling levels of only these three screened out independent process variables, i.e., Monoolein (B = 800-1100 μL), Poloxamer (C = 150-200 mg), and stirring speed (F = 700-1000 rpm) were statistically significant to modulate and improve the biopharmaceutical performance affecting key attributes, viz., average particle size (Y 1  = 1.40-2.70 μ), entrapment efficiency (Y 2  = 62.60-88.80%), and drug loading (Y 3  = 0.817-1.15%), in QbD-enabled process. The optimal performance of developed Limicubes exhibited an average particle size of 1.8 ± 0.2 μ, entrapment efficiency 80.32 ± 2.88%, and drug loading 0.93 ± 0.08% at the level of 1100 μL (+ 1), 200 mg (+ 1), and 700 rpm (- 1) for Monoolein, Poloxamer, and stirring

  12. Experiencias para la capacitación de recursos humanos en salud para la atención integral de víctimas de violencia en una zona urbano marginal de Lima, Perú Experiences in the training of health human resources for the integral care of the victims of violence in a suburban area of Lima, Peru

    Directory of Open Access Journals (Sweden)

    Fausto Garmendia

    2010-12-01

    Full Text Available En el año 2003, en la Facultad de Medicina de la Universidad Nacional Mayor de San Marcos, se creó el Programa Permanente de Capacitación para la Atención Integral de las Víctimas de la Violencia, y viene realizando programas de capacitación de recursos humanos para la atención integral de las víctimas de violencia. En ese sentido, se consideró necesario desarrollar una metodología para profesionales de la salud, identificando sus necesidades de capacitación y sus condiciones de trabajo en lo relacionado a este tipo de atenciones. Es en ese contexto, que el año 2004, se delineó un estudio de línea de base en la Microrred de Salud Huaycán, al este de la ciudad de Lima; el cual comprendió diversas etapas con un enfoque multisectorial con el objetivo de identificar las necesidades de capacitación de los profesionales de salud, así como la evaluación del soporte logístico y administrativo para el desarrollo de actividades de capacitación a diversos niveles. En el presente artículo se expone, de modo sucinto, los procedimientos y principales resultados encontrados. Se evidenció que la población de Huaycán se encontraba afectada por las secuelas de la violencia política; no obstante, los servicios de salud tienen recursos limitados para realizar una adecuada atención de estas personas, emerge la necesidad de capacitación en varias esferas; existen condiciones administrativas y logísticas para efectuar estas actividades. Consideramos que esta metodología facilitará construir productos e instrumentos para una adecuada y específica capacitación para la atención integral en salud a las víctimas de la violencia.In the year 2003, in the Faculty of Medicine of the Universidad Nacional Mayor de San Marcos, the Permanent Program of Training for the Integral Attention of the Victims of Violence was created, has been training human resources for the comprehensive health care to victims of violence. In this sense, we was

  13. Integración de saberes para el desarrollo de la competencia comunicativa Integrating knowledge to foster communicative competence

    Directory of Open Access Journals (Sweden)

    Lourdes de la Caridad Cabrera Reyes

    2017-05-01

    Full Text Available The paper describes the findings of a research intended to foster the communicative competence of first year students of bachelors in Education and Language Teaching. The study of the bibliography allows the construction of a framework related to the integration of knowledge, by examining documents it was possible to establish the integrative nucleus, and modeling allows the design of the proposal, whereas the procedures of the action-research approach lead the practical introduction of the proposal and controlling its results. The paper offers the integrative nucleus for communicative competence training, the definition and proposition of comprehensive lesson needed to pursue it and the impact of the proposal on a sample of students with low levels of communicative competence. Keywords:verbal communication, language instruction, language skills, language enrichment.

  14. Analytical reasoning for the energetic integration at the South America; Ponderacao analitica para a integracao energetica na America do Sul

    Energy Technology Data Exchange (ETDEWEB)

    Udaeta, Miguel Edgar Morales; Burani, Geraldo Francisco; Faga, Murilo Tadeu Weneck; Oliva, Cidar Ramon Rocha [Universidade de Sao Paulo (USP), SP (Brazil). Inst. de Eletrotecnica e Energia]|[Universidade de Sao Paulo (USP), SP (Brazil). Dept. de Engenharia de Energia e Automacao Eletricas. Grupo de Energia]. E-mail: udaeta@pea.usp.br

    2006-07-01

    This paper intends to show the present program for the energetic integration, formulates the involved countries disposition and analyses the bases for strengthening of the energy relationships across the frontiers. For that purpose, the paper starts from the perception that the present situation of the energy industry of some South American countries shows the context and role of energetic integration. The Argentine established a significant infrastructure for negotiation with their neighbors. Although the integration make possible the access to the scale economies and to share reserves, it is not so clear concerning to the business itself referred to legal questions, the regulation and the long term contracts and that is the point when appears the sovereign barriers and internal priorities, proved by recent cases of the Argentine (lack of natural gas) and Bolivia (surplus of natural gas)

  15. Oral cancer

    Science.gov (United States)

    Cancer - mouth; Mouth cancer; Head and neck cancer; Squamous cell cancer - mouth; Malignant neoplasm - oral ... National Cancer Institute. PDQ lip and oral cavity cancer ... September 25, 2015. www.cancer.gov/types/head-and-neck/hp/lip- ...

  16. Oral Ketamine

    African Journals Online (AJOL)

    Oral Ketamine: A Four-years Experience in ... Key words: Oral Ketamine, Premedication and Oncology. .... form of a letter published in 19835. .... Acta. Anaesthesiol Scandinavica, 1998; 42: 750-758. 4. Murray P. Substitution of another opioid ...

  17. Desarrollo de la formulación de la suspensión oral de ibuprofeno 100 mg/5 mL para uso pediátrico Development of formulation for oral suspension Ibuprofen 100 mg/5mL for pediatric use

    Directory of Open Access Journals (Sweden)

    Nilia de la Paz Martín-Viaña

    2009-08-01

    Full Text Available Se empleó el método de prueba y error para el desarrollo de la formulación de la suspensión oral de ibuprofeno 100 mg/5 mL para uso pediátrico; se estudió su estabilidad químico-física por el método acelerado y de vida de estante; se envasó en frasco de vidrio ámbar por 120 mL y se almacenó a temperatura ambiente. Se realizó el estudio reológico y la determinación de la viscosidad aparente, además, se efectuó el estudio microbiológico a través de la prueba de efectividad de preservativo antimicrobiano y el conteo microbiano; se comprobó la seguridad del producto mediante el estudio toxicológico. Todos los resultados cumplieron con los límites de calidad establecidos en la literatura científica, USP 30, para este tipo de forma farmacéutica. Se concluye que el medicamento desarrollado está correctamente formulado, desde el punto de vista galénico con un tiempo de vida útil de 24 meses bajo las condiciones estudiadas.Authors used the test and error method to develop the formulation of Ibuprofen oral suspension (100 mg/5 mL for pediatric use. Its chemical-physic stability was studied through accelerated method and shelf life. It was bottled in amber glass small bottles by 120 mL, and it was stored at room temperature. A rheology study and assessment of apparent viscosity was made as well as a microbiologic one by test of effectiveness of antimicrobial preservative and the microbial count. Product safe was verified by toxicology study. All results fulfilled quality limits established in scientific literature, USP 30, for this type of pharmaceutical method. We conclude that drug developed is correctly formulated, from the doctoral point of view with a time of useful life of 24 months under study conditions.

  18. Relatos orais de famílias de imigrantes japoneses: elementos para a história da educação brasileira Japanese families oral history: topics for the history of Brazilian education

    Directory of Open Access Journals (Sweden)

    Zeila de Brito Fabri Demartini

    2000-08-01

    Full Text Available Este artigo dá continuidade a uma reflexão que vimos realizando há muitos anos sobre a estruturação do campo educacional paulista e as diferentes formas pelas quais a procura pela escolarização tem se configurado para diferentes setores da população rural e urbana no estado de São Paulo. Focalizamos aqui o segmento representado pelas famílias de imigrantes japoneses que vieram para São Paulo a partir de 1908. Apresentamos os resultados obtidos em estudo sobre as famílias de imigrantes japoneses na cidade de São Paulo, sendo que os relatos orais foram a fonte privilegiada que permitiu, de um lado, apreender as visões e vivências educacionais desse grupo, e, de outro, obter informações valiosas sobre a ainda desconhecida rede de escolas "japonesas" criadas por esse grupo na sociedade paulistana.This paper continues a long lasting research that analyses the educational field in São Paulo and the different forms assumed by the need of instruction of different sectors of the rural and urban population. We focus on the segment represented by the Japanese immigrants' families which came to São Paulo from 1908. We present the results obtained by means of oral reports, a privileged source for collecting data. It allowed, on the one hand, to seize the educational representations and practices of these Japanese groups and, on the other hand, to obtain valuable information about the still unknown Japanese school-net created by this group within São Paulo society.

  19. An integral term adaptive neural control of fed-batch fermentation biotechnological process; Control neuronal adaptable con termino integral para un proceso biotecnologico de fermentacion por lote alimentado

    Energy Technology Data Exchange (ETDEWEB)

    Baruch, Ieroham; Hernandez, Luis Alberto; Barrera Cortes, Josefina [Centro de Investigacion y de Estudios Avanzados, Instituto Politecnico Nacional, Mexico D.F. (Mexico)

    2005-07-15

    A nonlinear mathematical model of aerobic biotechnological process of a fed-batch fermentation system is derived using ordinary differential equations. A neurocontrol is applied using Recurrent Trainable Neural Network (RTNN) plus integral term; the first network performs an approximation of the plant's output; the second network generates the control signal so that the biomass concentration could be regulated by the nutrient influent flow rate into the bioreactor. [Spanish] Un modelo matematico no lineal de un proceso biotecnologico aerobio de un sistema de fermentacion por lote alimentado es presentado mediante ecuaciones diferenciales ordinarias. Es propuesto un control utilizando dos redes neuronales recurrentes entrenables (RNRE) con la adicion de un termino integral; la primera red representa un aproximador de la salida de la planta y la segunda genera la senal de control tal que la concentracion de la biomasa pueda ser regulada mediante la alimentacion de un flujo con nutrientes al biorreactor.

  20. Integrated genomic analyses identify KDM1A's role in cell proliferation via modulating E2F signaling activity and associate with poor clinical outcome in oral cancer.

    Science.gov (United States)

    Narayanan, Sathiya Pandi; Singh, Smriti; Gupta, Amit; Yadav, Sandhya; Singh, Shree Ram; Shukla, Sanjeev

    2015-10-28

    The histone demethylase KDM1A specifically demethylates lysine residues and its deregulation has been implicated in the initiation and progression of various cancers. However, KDM1A's molecular role and its pathological consequences, and prognostic significance in oral cancer remain less understood. In the present study, we sought to investigate the expression of KDM1A and its downstream role in oral cancer pathogenesis. By comparing mRNA expression profiles, we identified an elevated KDM1A expression in oral tumors when compared to normal oral tissues. In silico pathway prediction identified the association between KDM1A and E2F1 signaling in oral cancer. Pathway scanning, functional annotation analysis and In vitro assays showed the KDM1A's involvement in oral cancer cell proliferation and the cell cycle. Moreover, real time PCR and luciferase assays confirmed KDM1A's role in regulation of E2F1 signaling activity in oral cancer. Elevated KDM1A expression is associated with poor clinical outcome in oral cancer. Our data indicate that deregulated KDM1A expression is positively associated with proliferative phenotype of oral cancer and confers poor clinical outcome. These cumulative data suggest that KDM1A might be a potential diagnostic and therapeutic target for oral cancer. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  1. Development of an administrative system for an integral program of safety and occupational hygiene; Desarrollo de un sistema administrativo para un programa integral de seguridad e higiene ocupacional

    Energy Technology Data Exchange (ETDEWEB)

    Dominguez R, J

    2004-07-01

    The objective of the present investigation thesis will be to provide a clear application of the basic elements of the administration for the elaboration of an integral program of security and occupational hygiene that serves like guide for the creation of new programs and of an internal integral regulation, in the matter. For the above mentioned the present work of thesis investigation besides applying those basic elements of the integral administration will be given execution to the normative one effective as well as the up-to-date concepts of security and hygiene for that the present thesis will be based on these premises that guided us for the elaboration of the program of security and occupational hygiene and that it will serve like base to be applied in all the areas of the National Institute of Nuclear Research and in special in those that are certifying for the system of administration of quality ISO 9001:2000 that with their implantation the objectives were reached that the Institute it has been traced in their general politics. It is necessary to make mention that the Institute has a primordial activity that is the one of to make Research and Development in nuclear matter for the peaceful uses of the nuclear energy, for that that with a strong support of the conventional areas of the type industrial the institutional objectives are achieved, for what is in these areas where the present thesis investigation is developed, without stopping to revise and to apply the nuclear normativity. (Author)

  2. PROPUESTA DIDÁCTICA PARA EL DESARROLLO DEL PROCESO DE ENSEÑANZA APRENDIZAJE DEL CÁLCULO INTEGRAL EN UNA VARIABLE

    Directory of Open Access Journals (Sweden)

    Rogelio Acosta González

    2014-08-01

    Full Text Available La integral definida es el concepto clave del cálculo integral en una variable. Favorecer su aprendizaje es el objetivo fundamental de la propuesta didáctica que se presenta. Un sistema de principios teóricos-metodológicos, que se aplica en tres etapas, constituye el fundamento conceptual de la propuesta. En la primera etapa se establece la secuencia del contenido. En la segunda etapa se elaboran los medios didácticos necesarios: un folleto (en formato pdf, un sistema de hojas de trabajo (pdf, una colección de ejemplos de integrales definidas calculadas por métodos geométricos (en Power Point y una serie de actividades concebidas con el Software de Geometría Dinámica GeoGebra (formato ggb. La tercera etapa se concreta con la puesta en práctica en el proceso de enseñanza aprendizaje de la Matemática I para carreras de Ciencias Técnicas.PALABRAS CLAVE: Cálculo integral; GeoGebra; métodos geométricosDIDACTIC PROPOSAL FOR THE DEVELOPMENT OF THE TEACHING-LEARNING PROCESS OF INTEGRAL CALCULATION IN A VARIABLEABSTRACTThe definite integral is the key concept of the integral calculus in one variable. Deepen their learning is the fundamental objective of the didactic proposal presented. A system of theoretical and methodological principles, applied in three stages, is the conceptual foundation of the proposal. In the first step the content sequence is established. In the second step, the necessary teaching aids are elaborated: a brochure (in pdf format, a set of worksheets (pdf, a collection of examples of definite integrals calculated by geometrical methods (in Power Point and a series of activities designed with GeoGebra Dynamic Geometry Software (ggb format. The third stage takes shape with the implementation in the teaching - learning process of the subject Mathematics I for the Technical Sciences career.KEYWORDS: Integral Calculus; Geogebra; geometrical methods

  3. El estrés oxidativo en la enfermedad cardiovascular: evidencias para un tratamiento más integral

    Directory of Open Access Journals (Sweden)

    Livan Delgado Roche

    2009-04-01

    Full Text Available La revolución que se produjo en las áreas de la salud en el mundo durante el siglo XX, o lo que se ha dado en llamar la transición epidemiológica, ha hecho que la población mundial envejezca y con ello las enfermedades crónicas no trasmisibles, aparezcan cada vez con mayor frecuencia. Entre estas, las enfermedades cardiovasculares, específicamente las del corazón, son las de mayor incidencia. El oxígeno es esencial para la vida, pero posee una paradoja en los organismos que lo utilizan. Este elemento desempeña una función importante como aceptor final de electrones durante la respiración celular, pero también constituye el punto de partida para un tipo de daño celular conocido como estrés oxidativo. La experiencia clínica y los estudios prospectivos constituyen una herramienta de gran utilidad, lo cual ha permitido establecer una asociación entre el estrés oxidativo y las enfermedades cardiovasculares, se plantea que este es un evento precoz en el desarrollo de la disfunción endotelial y de la subsecuente afección cardiovascular. En el presente trabajo se realizó una revisión bibliográfica actualizada sobre la función del estrés oxidativo y las especies reactivas de oxígeno en la fisiopatología de estas enfermedades.

  4. Modelo integral para la administración de información escolar en escuelas primarias públicas en México con un sistema de información

    OpenAIRE

    Israel Patiño Galván; Martín Verduzco Rodríguez

    2014-01-01

    El presente trabajo es el resultado de investigaciones científicas y tecnológicas realizadas en sector educativo primario público, cuyo objetivo es crear un modelo integral para la administración de información escolar con Criptografía de datos, mediante un sistema de información. El cual permitirá colaborar con alternativas tecnologías integrales, para sistematizar los procesos operativos y administrativos en dicho sector. Para el desarrollo y culminación de esta investigación se emplearon m...

  5. PROJETO DE UM CONTROLADOR PROPORCIONAL-INTEGRAL PARA O SISTEMA DE CONTROLE DE QUALIDADE DO AR E DE UM NOVO SISTEMA DE CONTROLE HVAC

    Directory of Open Access Journals (Sweden)

    Millene Caroline Albino de Oliveira

    2015-09-01

    Full Text Available Uma sala do Perlstein Hall, da Illinois Institute of Techonology, (Chicago, IL, USA possui um sistema de aquecimento, ventilação e ar condicionado (em inglês – HVAC equipado com um sensor de gás carbônico, cujo intuito é regular diretamente a qualidade do ar e assegurar que a sala esteja em condições aceitáveis. Este procedimento, porém, pode colocar uma carga extra no sistema HVAC e aumentar o consumo de energia. Desta forma, o objetivo principal do trabalho foi o desenvolvimento e a aplicação de uma estratégia de controle de temperatura e concentração de CO2 para o sistema em questão, utilizando um controlador Proporcional-Integral (PI. Dados coletados em testes realizados na sala foram utilizados para a estimação dos parâmetros das funções de transferência e dos controladores. Inicialmente, os controladores foram testados separadamente e, em seguida, em conjunto. Pode-se observar que o controlador PI obteve bons resultados, apesar do overshoot e oscilações do sistema já observados pela literatura, conseguindo atingir o set point desejado de temperatura de 70°F e de concentração de CO2 de 150 ppm. Palavras-chave: HVAC, Controle, controlador PI.

  6. Propuesta de un modelo de gestión integral para la Universidad de San Buenaventura seccional Medellín

    OpenAIRE

    Castaño Gutiérrez, Valentina

    2014-01-01

    Ubicación en Biblioteca USB Medellín (San Benito): CD-3101t .--Grupo de Investigación en Estudios Interdisciplinarios sobre Educación (ESINED).-- Línea de Investigación: Gestión Educativa - Currículo.-- Área: gestión universitaria.--Tema: modelo de gestión El objetivo de este proyecto fue realizar una propuesta para la Universidad de San Buenaventura Seccional Medellín de un modelo integral de gestión que le permitiese la planeación, organización, ejecución y seguimiento de sus procesos. D...

  7. Integrated O&M for energy generation and exchange facilities; O&M integral para instalaciones de generación e intercambio de energía

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2016-07-01

    Ingeteam Service, part of the Ingeteam Group, is a leading company in the provision of integrated O&M services at energy generation and exchange facilities worldwide. From its head office in the Albacete Science and Technology Park, it manages the work of the 1,300 employees that make up its global workforce, rendering services to wind farms, PV installations and power generation plants. In addition, it maintains an active participation strategy in a range of R&D+i programmes that improve the existing technologies and are geared towards new production systems and new diagnostic techniques, applied to renewables installation maintenance. (Author)

  8. INTEGRAÇÃO DE DADOS MULTIFONTES PARA MAPEAMENTOS TEMÁTICOS - INTEGRATION OF MULTISOURCES DATA FOR THEMATIC MAPPING

    Directory of Open Access Journals (Sweden)

    Maria Luiza Osório Moreira; Levindo Cardoso Medeiros; Heitor Faria da Costa

    2007-12-01

    Full Text Available The use of images is fundamental in mapping works. The compositions of multisources images, approachedin this work, is based in some methods previously known in literature, as derived products of the classicIHS transformation. Such techniques of integration of several nature data, have already being spread fromthe end of the 80s and they have successfully been used until today. To evaluate the integration of radardata with multispectral passive satellite data, thematic mapping and cartographic bases constitutes themain objective of this work.The fusion techniques data originated from different sources (multisourceshave been used thoroughly with the intention of generating a final product of good visual quality, for thequantitative and qualitative analyses and for the procedures of visual interpretation in general. Besides, itreduces the costs of field works. Those techniques reached a wide variety of applications inside of thegroup of disciplines within the Earth Sciences.

  9. Uso de tecnologias digitais para o Ensino a Distância da compreensão e produção oral em língua inglesa por computador/WEB

    Directory of Open Access Journals (Sweden)

    Samuel de Carvalho Lima

    2013-08-01

    Full Text Available Considerando o recente panorama de pesquisas que refletem a relação e o compromisso da Linguística Aplicada (LA com os fenômenos que envolvem o uso das relativamente novas Tecnologias de Informação e Comunicação (TIC, este trabalho propõe investigar propostas de atividades on-line para a oferta de ensino da compreensão e produção oral em língua inglesa como língua estrangeira mediado por computador/web, tendo em vista o uso das tecnologias digitais que medeiam a realização do ensino. O tratamento dos dados suscitou a elaboração do catálogo de uso e frequência das tecnologias em que os exemplares das propostas de atividades on-line se encontravam ancorados, o que expressa a forma como os educadores integram os recursos digitais em suas práticas pedagógicas.

  10. Sistema integral para el diseño e implementación de control asistido por computadora

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    David L. Leal

    2016-04-01

    Full Text Available Resumen: En este trabajo se presenta el desarrollo de un sistema de adquisición de datos y control altamente interactivo, de bajo costo, y basado en un computador personal. El sistema está constituido por un hardware basado en un microcontrolador y un software basado en estándares abiertos. El software utiliza programación de diagramas de bloques como base para el diseño teórico e implementación de un sistema de control, con la finalidad de hacer que la programación sea sencilla y rápida. Una característica importante del sistema es la capacidad de ejecutar control embebido sin la intervención del computador personal, lo cual permite control en tiempo real. Adicionalmente, tiene capacidad de ampliación para crear un sistema de monitoreo y control distribuido por medio del Bus CAN, como interfaz de comunicación. En este trabajo también se expone la implementación del sistema desarrollado en diferentes plantas. Abstract: In this paper, the development of a highly interactive, low-cost, and personal computer based data acquisition and control system is presented. The system includes an embedded microcontroller based hardware and an open-standards software. The software uses block diagram programming as the base for the theoretical design and implementation of the control system, which makes the programming simple and fast. An important feature of this system is that it can execute an embedded control without the personal computer intervention, which facilitates the implementation of real-time control. Additionally, the system has the capacity to expand in order to create a distributed monitoring and control system by using a CAN bus as a communication interface. It is also shown in this paper the implementation of the developed system in different plants. Palabras clave: Entornos de experimentación, Sistemas embebidos o empotrados, Microcontroladores, Sistemas de tiempo real., Keywords: Experimentation environments, embedded or

  11. Oral candidosis in relation to oral immunity.

    Science.gov (United States)

    Feller, L; Khammissa, R A G; Chandran, R; Altini, M; Lemmer, J

    2014-09-01

    Symptomatic oral infection with Candida albicans is characterized by invasion of the oral epithelium by virulent hyphae that cause tissue damage releasing the inflammatory mediators that initiate and sustain local inflammation. Candida albicans triggers pattern-recognition receptors of keratinocytes, macrophages, monocytes and dendritic cells, stimulating the production of IL-1β, IL-6 and IL-23. These cytokines induce the differentiation of Th17 cells and the generation of IL-17- and/or IL-22-mediated antifungal protective immuno-inflammatory responses in infected mucosa. Some immune cells including NKT cells, γδ T cells and lymphoid cells that are innate to the oral mucosa have the capacity to produce large quantities of IL-17 in response to C. albicans, sufficient to mediate effective protective immunity against C. albicans. On the other hand, molecular structures of commensal C. albicans blastoconidia, although detected by pattern-recognition receptors, are avirulent, do not invade the oral epithelium, do not elicit inflammatory responses in a healthy host, but induce regulatory immune responses that maintain tissue tolerance to the commensal fungi. The type, specificity and sensitivity of the protective immune response towards C. albicans is determined by the outcome of the integrated interactions between the intracellular signalling pathways of specific combinations of activated pattern-recognition receptors (TLR2, TLR4, Dectin-1 and Dectin-2). IL-17-mediated protective immune response is essential for oral mucosal immunity to C. albicans infection. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  12. Integrated Water Resources Management for Sustainable Irrigation at the Basin Scale Manejo Integrado de Recursos Hídricos para Riego Sustentable a Nivel de Cuenca

    Directory of Open Access Journals (Sweden)

    Max Billib

    2009-12-01

    Full Text Available The objective of this paper is to review the state of art on integrated water resources management (IWRM approaches for sustainable irrigation at the basin scale under semi-arid and arid climatic conditions, with main emphasis on Latin America, but including case studies of other semi-arid and arid regions in the world. In Latin America the general concept of IWRM has proved to be hard to implement. Case studies recommend to develop the approach from lower to upper scale and oriented at the end-user. As IWRM is an interdisciplinary approach and used for very different objectives, the main emphasis is given to IWRM approaches for sustainable irrigation and their environmental aspects. The review shows that in Latin America the environmental impact is mostly analysed at the field level, the impact on the whole basin is less considered. Many publications present the development of models, advisory services and tools for decision support systems at a high technical level. Some papers present studies of environmental aspects of sustainable irrigation, especially for salt affected areas. Multi-criteria decision making models are developed for irrigation planning and irrigation scenarios are used to show the impact of different irrigation management decision. In general integrated approaches in Latin America are scarce.El objetivo de esta publicación es revisar el estado del arte de los diferentes enfoques que se han usado para lograr un manejo integrado de los recursos hídricos (MIRH asociados a una agricultura de riego sustentable a nivel de cuenca en condiciones áridas y semiáridas, con énfasis en Latinoamérica, pero incluyen casos de estudio de otras regiones similares del mundo. En Latinoamérica el concepto general de MIRH ha resultado difícil de implementar. De los estudios de casos, se recomienda desarrollar este enfoque desde una escala menor a una mayor orientándose al usuario final. MIRH es un enfoque interdisciplinario usado para

  13. Programa integral para la producción de alimentos en el contexto del Desarrollo Local.: La experiencia del municipio Yaguajay, Cuba. Integral program for food production in the context of Local Development: The experience of the Yaguajay municipality, Cuba

    Directory of Open Access Journals (Sweden)

    Sinaí Boffill

    2009-06-01

    Full Text Available El artículo brinda la experiencia de un programa para la producción local de alimentos en el municipio Yaguajay, provincia de Sancti Spíritus, que puede servir de referencia a otros municipios con similares características. Dicho programa abarca las empresas pecuaria y de cultivos varios, la empresa agropecuaria y forestal, así como las cooperativas campesinas. Se desarrolla en el contexto del Macroproyecto Yaguajay, a partir del complejo ECOCIST, que integra Educación Superior-Conocimiento-Tecnología-Innovación-Sociedad para fortalecer las interrelaciones con instituciones del conocimiento en el proceso de su apropiación social en un territorio. El programa integral para la producción local de alimentos surge en el año 2004, posee 29 tareas, insertadas en cuatro subprogramas (Pecuario, Cultivos Varios, Forestal y Frutal, e Industrial, se ejecuta mediante proyectos y prioriza la adopción de tecnologías y la capacitación, a partir de la interacción con universidades, centros de investigación y otras organizaciones. Entre los resultados se destacan el autoabastecimiento de leche fresca, la mejora del rebaño vacuno y de su base alimentaria, el desarrollo de la ganadería ovina, porcina y cunícola, municipio de Referencia Nacional en Agricultura Urbana, producción de biopesticidas y la estrategia de eliminación de plantas leñosas indeseables.The paper presents the experience of a program for local food production in the Yaguajay municipality, Sancti Spiritus province, which can be reference for other municipalities with similar characteristics. Such program involves the livestock production and mixed crops enterprises, livestock production and forestry enterprise, as well as farmer cooperatives. It is developed in the context of the Yaguajay Macroproject, from the ECOCIST complex, which integrates Higher Education-Knowledge-Technology-Innovation-Society to enhance the interrelations with knowledge institutions in the process of

  14. BETTER ORAL HEALTH TO ALL

    Directory of Open Access Journals (Sweden)

    Heikki Murtomaa

    2016-12-01

    The behavioral science experts are of opinion that only comprehensive and integrated common-risk-factor-based health promotion activities can enhance oral health and its equity as a part of general health. Are health professionals ready to assume their responsibility for promoting better oral health?

  15. Utilización del programa de visualización molecular RasMol como estrategia didáctica para la integración del contenido curricular "proteínas" Utilization of the molecular visualization program RasMol as a didactic strategy for the integration of the curricular content "proteins"

    Directory of Open Access Journals (Sweden)

    M.A. Riera

    2010-09-01

    Full Text Available Introducción. Los programas de visualización permiten profundizar el conocimiento teórico sobre la estructura proteica. Este trabajo tiene por finalidad familiarizar al alumno con el manejo del programa de visualización molecular RasMol v. 2.7.2 para el análisis de proteínas, ya que integra conocimientos previos y persigue otros objetivos generales de la formación universitaria. Materiales y métodos. El trabajo se contextualizó considerando el eje integrador de las materias. Además, se articuló con los contenidos conceptuales y procedimentales de la temática "Niveles estructurales de las proteínas". En primer lugar, se seleccionaron actividades que permitieran evaluar aspectos vinculados con la formación general pretendida para este nivel de la enseñanza formal, como expresión escrita y oral, interpretación de textos científicos en idioma inglés y manejo de base de datos bibliográficos. Resultados y conclusiones. El 70% de los alumnos pudo realizar las actividades de manera satisfactoria. La mayoría de los grupos enfatizó tanto las cuestiones teóricas como las netamente inherentes al manejo del programa. El 30% tuvo problemas de expresión oral y escrita. Se notaron algunas dificultades en la interpretación de los modelos teóricos planteados y en la interpretación del idioma inglés, pero también hubo desconocimiento previo de la temática y falta de iniciativa para la búsqueda de material complementario. Se propone la inclusión de algunas revisiones en idioma nativo, sin perjuicio de los textos en inglés, y ejemplos más sencillos de manera introductoria para los programas de visualización, con una paulatina incorporación de ejemplos más complejos que requieran lectura complementaria.Introduction. Visualizations programs allow to analyze deeply theoretical knowledge of protein structure. The aim of this work was to familiarize the students with the molecular visualization program RasMol v. 2.7.2 for protein

  16. Evaluación de la competencia profesional de residentes de Medicina General Integral para la atención a la familia Evaluation of the professional competition of residents of Integral General Medicine for the attention to the family

    Directory of Open Access Journals (Sweden)

    M. Rocha-Vázquez

    2010-03-01

    Full Text Available Introducción. El proceso de evaluación de las competencias para diagnóstico de necesidades de aprendizaje es un elemento de vital importancia para el perfeccionamiento continuo del personal de salud; por ello, el presente trabajo pretendió evaluar la competencia de los residentes de Medicina General Integral en la atención a la familia, área de acción de estos profesionales de la salud. Sujetos y métodos. Para lograr el objetivo propuesto se ejecutó una investigación de evaluación, con diseño cuanticualitativo, en la Facultad de Ciencias Médicas de Cienfuegos, desde noviembre de 2005 a enero de 2007. De un total de 64 residentes de segundo año se seleccionaron 25 de manera aleatoria, que representan el 39% del total, a los cuales se les aplicó un examen de competencia, y cada uno de ellos efectuó dos visitas a la familia. Resultados. Sólo el 11,8% de los residentes aprobó el examen aplicado; las mayores dificultades se centraron en los temas de intervención familiar, evaluación del funcionamiento familiar y determinación de la salud familiar. De igual forma se constataron deficiencias en la ejecución de las visitas a la familia en cuanto a cumplimiento de sus principios, violación de etapas e intervenciones necesarias, fundamentalmente. Conclusiones. Con los instrumentos aplicados y los criterios asumidos para esta investigación se observa un muy bajo nivel de competencia de los residentes para la atención a la familia, lo que alerta de que deben diseñarse e implementarse estrategias inmediatas para revertir esta situación.Introduction. The process of evaluation of the competitions for diagnostic of learning necessities is an element of vital importance for the personnel's of health continuous improvement, it is for it that the present work sought to evaluate the competition of the residents of Integral General Medicine in the attention to the family, area of these professionals' of the health action. Subjects and

  17. Modelo para la asignación de terrenos en el marco de la Reforma Rural Integral

    Directory of Open Access Journals (Sweden)

    Karen Rocío Martínez Lancheros

    2017-01-01

    Full Text Available El conflicto interno en Colombia tiene como posibles causas la tenencia de tierras o el factor agrario, ya que se encuentran estrechamente relacionados con las necesidades b·sicas de tenencia de vivienda, fuentes de alimentaciÛn e ingresos. Al surgimiento de movimientos armados se le atribuye un alto contenido de reivindicaciÛn por una reforma en la distribuciÛn de las tierras. Estos factores explican que uno de los puntos centrales tratados en la Mesa de Conversaciones de La Habana entre el Gobierno y las FARC-EP es la creaciÛn de una Reforma Rural Integral. A partir de la metodologÌa de Checkland, este artÌculo propone un modelo matem·tico que permita asignar segmentos de tierras a los diferentes beneficiarios del programa de acceso integral y uso de tierras en el marco de dicha reforma, aplicando criterios de selecciÛn basados en cobertura. Los resultados incluyen dos escenarios de aplicaciÛn con diferentes mÈtricas de valoraciÛn de proyectos productivos, en los cuales se evidencia la forma en la cual podrÌan ser asignados los predios baldÌos en la zona del oriente del departamento de Antioquia, Colombia.

  18. Aerobic bacterial microflora of Broad-snouted caiman (Caiman latirostris oral cavity and cloaca, originating from Parque Zoológico Arruda Câmara, Paraíba, Brazil Microflora bacteriana aeróbica da cavidade oral e cloaca de jacaré-de-papo-amarelo (Caiman latirostris procedentes do Zoológico de João Pessoa, PB, Brasil

    Directory of Open Access Journals (Sweden)

    J.S.A. Silva

    2009-03-01

    Full Text Available The objective of this study was to isolate and identify the aerobic bacterial microflora from the oral cavity mucosa and cloaca's samples, collected from Broad-snouted caiman (Caiman latirostris, born and bred in captivity at Parque Zoológico Arruda Câmara, João Pessoa, Paraíba, Brazil. The most common bacteria were Staphylococcus sp. (14.74%, Corynebacterium sp. (13.68%, Escherichia coli (13.68% and Shigella sp. (11.58%, and the less common were Citrobacter sp. (1.05%, Klebsiella pneumoniae (1.05% and Salmonella sp. (1.05%.This emphasizes the importance of these microorganisms' participation in infectious processes (sepsis and injuries caused by crocodilians.O presente estudo teve como objetivo isolar e identificar a microflora bacteriana aeróbica presente na mucosa da cavidade oral e da cloaca de exemplares de jacarés-de-papo-amarelo (Caiman latirostris nascidos e criados em cativeiro no Parque Zoológico Arruda Câmara, localizado na cidade de João Pessoa - PB. As bactérias mais freqüentes foram Staphylococcus sp. (14,74%, Corynebacterium sp.(13,68%, Escherichia coli (13,68% e Shigella sp. (11,58%, e as menos prevalentes foram Citrobacter sp.(1,05%, Klebsiella pneumoniae (1,05% e Salmonella sp. (1,05%. Ressalta-se a importância da participação desses microrganismos em processos infecciosos (septicemias e em feridas provocadas por crocodilianos.

  19. Programa para la atención medica integral a niños expuestos a contaminación ambiental por sustancias radiactivas

    Directory of Open Access Journals (Sweden)

    Carlos Dotres Martínez

    1995-04-01

    Full Text Available Se elaboró un programa de atención médica integral masiva a niños procedentes de zonas afectadas por contaminación ambiental. Este incluyó, la selección de los niños, su clasificación según el grado de afectación, los niveles de atención médica brindada de acuerdo con la experiencia cubana del médico de la familia y el Programa Materno-Infantil, así como los objetivos que perseguía. Dicho programa contempló también la medición de radiaciones y estimación de pronósticos, chequeo clínico y de laboratorio general y especializado según los casos, acciones psicológicas para la limitación del daño de la salud mental, así como la atención estomatológica. Se estableció un subsistema novedoso y multidisciplinario de organización de atención médica integral, el cual se basó en la experiencia del Sistema Nacional de Salud de Cuba.

  20. Estilo arquitectónico para el sistema integrado de gestión Cedrux (Architectonical style for the management integrated system CEDRUX

    Directory of Open Access Journals (Sweden)

    Yusnier Matos Arias

    2013-06-01

    Full Text Available Resumen Cedrux es un sistema integrado de gestión que se desarrolla en la Universidad de las Ciencias Informáticas (La Habana. Este sistema posee tres características que los identifican: es un sistema integral, modular y adaptable. Durante su desarrollo se ha determinado la necesidad de diagnosticar dichas características a partir de análisis automatizados sobre su arquitectura en diferentes fases de su construcción. Para automatizar los análisis arquitectónicos es necesario antes: definir el estilo arquitectónico, formalizarlo de manera que pueda ser interpretado por un sistema informático, definir las métricas correspondientes e implementar una herramienta que permita aplicarlas. Este trabajo muestra la definición del estilo arquitectónico de Cedrux como primer paso en el desarrollo de la herramienta para el análisis arquitectónico del mismo. Se basa en la definición del vocabulario arquitectónico y las restricciones estructurales, sintácticas y semánticas de los elementos que conforman la arquitectura. Finalmente se exponen las ideas del trabajo futuro a partir de los resultados mostrados. Abstract Cedrux is an integrated management system that is developed at the University of Computer Sciences (La Habana. This system has three identifying characteristics: it is integral, modular and adaptable. During its development, the need to diagnose these features has arisen from the automated analysis of their architecture at different stages of its construction. In order to automate the architectural analysis it is first necessary to a define the architectural style, b formalize it so that it can be interpreted by a computer system, c define relevant metrics and d implement a tool to apply them. This paper provides a definition of Cedrux architectural style as the first step in the development of that analytical tool. This is based on the definition of architectural vocabulary, together with structural, syntactic and semantic

  1. Aspectos básicos del pterigion para médicos generales integrale Basic features of Pterigium for integral general physicians

    Directory of Open Access Journals (Sweden)

    Eduardo Rojas Álvarez

    2009-12-01

    Full Text Available Introducción: el pterigion constituye un motivo de consulta en la atención primaria de salud, es importante que el médico general integral sea capaz de asumir una óptima conducta ante un caso de pterigion, su seguimiento posoperatorio, y más aún, tener las herramientas suficientes para trazar estrategias de prevención y promoción de salud respecto al tema. Objetivo: describir los aspectos básicos del pterigion que debe conocer un médico general integral. Métodos: se realizó un estudio exploratorio sobre los aspectos conceptuales, etiopatogénicos, epidemiológicos, clínicos y terapéuticos del pterigion, en la literatura impresa y digital disponible del tema, durante el mes de mayo de 2007. Resultados: conceptualmente el pterigion es una degeneración corneal no involutiva que parte de la conjuntiva bulbar. El conocimiento de sus factores de riesgo es un elemento imprescindible para la proyección de estrategias de promoción y prevención de salud. El cuadro clínico reúne un espectro que va desde lo asintomático hasta molestias oculares relacionadas con afectación del eje visual. El diagnóstico diferencial del pterigion debe establecerse siempre en la práctica médica, en primer lugar con la pinguécula, para evitar errores diagnósticos. Conclusiones: el cumplimiento del tratamiento posoperatorio en el área de salud contribuye a la disminución del índice de recidivas.Introduction: Pterigium is a reason for consultation of health primary care, it is important that integral physician be able to assume a optimal behavior in face of a case of pterigium, its postoperative follow-up, and even more, to have available the tools enough to design the health prevention and promotion strategies regarding the subject. Objective: To describe the basic features of pterigium known by integral general physician. Methods: During May, 2007, a exploratory study was conducted on conceptual, etiological and pathogenic, epidemiologic, clinical

  2. Guide to integrated management systems for industrial maintenance contractors; Guia de sistemas de gestao integrada para contratadas de manutencao industrial

    Energy Technology Data Exchange (ETDEWEB)

    Ruella, Nildemar Correa [PETROBRAS, Rio de Janeiro, RJ (Brazil); Lima, Gilson Brito Alves [Universidade Federal Fluminense (UFF), Niteroi, RJ (Brazil)

    2004-07-01

    Presentation of an integrated management systems guide to hired of services of industrial maintenance with base in the management systems normative requisites and guides of the quality (ISO 9001, ISO 9004, ISO TS 29001 e API SPEC Q1), of environmental management systems (ISO 14001 and ISO 14004), of safety and occupational health management systems (BSI BS 8800, BSI OHSAS 18001, BSI OHSAS 18002 and ILO OSH 2001), of social accountability (SA 8000 and Implementation Guide of the SA 8000), publications and recommended practices (API RP 76, API RP 2220, API RP 2221, API Publ 9100 Publ A/B, API RP 760, API RP 761, AS/NZS 4581, CCS OAUPE009, ARPEL Guide N. 1, OGP Report No. 6.36/210, OGP Report No. 6.64/291, etc) and success experiences in the Brazil petroleum and gas industry. (author)

  3. Propuesta de un cuadro de mando integral para la companía industrias Guapán

    OpenAIRE

    Rojas Chica, Hernán Marcelo

    2007-01-01

    La compañía Industrias Guapán S.A. es una empresa productora de cemento puzolánico PORTLAN 1P. Opera desde 1965; el año 2003 elaboró su Plan Estratégico. Generalmente la Planificación Estratégica en las compañías no alcanza los resultados esperados como lo afirman Robert S. Kaplan y David P. Norton creadores del Cuadro de Mando Integral. De la evaluación de los resultados en la aplicación del Plan Estratégico en Guapán se establece que de sus objetivos estratégicos la mayoría se encuentran...

  4. Atenção primária à saúde e a construção de sentidos para a saúde bucal: leitura construcionista social sobre discursos de idosos Primary healthcare and the construction of meanings for oral health: a social constructionist interpretation of discourses by the elderly

    Directory of Open Access Journals (Sweden)

    Alexandre Favero Bulgarelli

    2012-08-01

    Full Text Available A odontologia mostra-se, na atualidade, aberta à construção de novos sentidos para saúde bucal. Esta abertura vem ao encontro da produção social da saúde e mostra a contextualização de aspectos sociais, históricos dos diversos saberes para as diferentes comunidades. O objetivo da presente pesquisa foi construir sentidos para a saúde bucal com um grupo de idosos, propondo uma aproximação entre os discursos trazidos por idosos e o Construcionista Social. Assim, foram entrevistados 14 idosos cadastrados em uma Unidade de saúde da família na cidade de Ribeirão Preto (SP no primeiro semestre de 2010 e identificados dois Repertórios Interpretativos, por meio da Análise de Discurso, que mostraram as relações existentes entre 1-Deficiência de informação e assistência odontológica na infância, e 2-Atenção Primária à Saúde construindo o sentido da saúde bucal. Concluiu-se que o Construcionismo Social vem colaborar epistemologicamente para a construção de sentidos para saúde bucal e que a Atenção Primaria à Saúde é essencial para valorização e cuidado com a saúde que permite a construção de sentidos para a saúde bucal por parte de idosos, gerando condições para autocuidado e atitudes saudáveis.Dentistry is nowadays open to new ideas about the constructions of meanings for oral health. This openness tallies with the social production of health and shows the need to contextualize the social, historical and sundry knowledge in the development of oral health for different communities. The scope of this research is to build meanings for oral health with a group of elderly people. With this in mind, we propose an approximation between the discourses of the elderly on oral health and the Social Constructionist discourse. Thus, we interviewed 14 elderly people registered with a Family Health Unit in Ribeirão Preto in the State of São Paulo in the first semester of 2010. This enabled us to identify two

  5. Atenção primária à saúde e a construção de sentidos para a saúde bucal: leitura construcionista social sobre discursos de idosos Primary healthcare and the construction of meanings of oral health: a social constructionist interpretation of discourses of the elderly

    Directory of Open Access Journals (Sweden)

    Alexandre Favero Bulgarelli

    2012-05-01

    Full Text Available A odontologia mostra-se, na atualidade, aberta à construção de novos sentidos para saúde bucal. Esta abertura vem ao encontro da produção social da saúde e mostra a contextualização de aspectos sociais e históricos dos diversos saberes na construção da saúde bucal para as diferentes comunidades. O objetivo da presente pesquisa foi construir sentidos para a saúde bucal com um grupo de idosos. Nesta perspectiva, propôs-se uma aproximação entre os discursos sobre saúde bucal de idosos e o Construcionista Social. Assim, foram entrevistados 14 idosos cadastrados em uma Unidade de saúde da família na cidade de Ribeirão Preto/SP, no primeiro semestre de 2010, e identificados dois Repertórios Interpretativos, por meio da Análise de Discurso, que mostraram as relações existentes entre 1-Deficiência de informação e assistência odontológica na infância, e 2-Atenção Primária à Saúde construindo o sentido da saúde bucal. Concluiu-se que o Construcionismo Social vem colaborar epistemologicamente para a construção de sentidos para saúde bucal e que a Atenção Primaria à Saúde é essencial para a valorização e o cuidado com a saúde que permite a construção de sentidos para a saúde bucal por parte de idosos, gerando condições para autocuidado e atitudes saudáveis.Dentistry currently reveals itself to be open to new ideas about the construction of meanings for oral health. This openness leads to the social production of health revealing the contextualization of the social and historical aspects of the sundry knowledge in the development of oral health for different communities. With this research, we seek to build meanings for oral health with a group of elderly people. With this objective in mind, we propose an approximation between discourses on oral health mentioned by the elderly and the Social Constructionist discourse. We interviewed 14 elderly people enrolled in a Family Health Unit in Ribeirão Preto

  6. Procedimiento para evaluar el impacto de la capacitación en la Empresa Constructora Integral de Mayabeque/ Procedure to evaluate the impact of the training at the Empresa Constructora Integral de Mayabeque

    Directory of Open Access Journals (Sweden)

    Migdalia Palmero-Peña

    2012-09-01

    Full Text Available En la actualidad se exige cada vez más, destinar importantes recursos a la preparación de los directivos para hacerlos más competentes en su trabajo y de esa manera, contribuir a lograr un mejor desempeño en la organización. Este trabajo se concibe en la Empresa Constructora Integral de Mayabeque, con el objetivo central de elaborar un procedimiento para evaluar el impacto de la capacitación de sus cuadros y reservas, basado en la Norma Cubana de Gestión del Capital Humano, que contribuya a elevar el desempeño de sus directivos y el de la organización. El procedimiento puede ser útil como herramienta para ser aplicada con sistematicidad, teniendo en cuenta los principios del proceso de capacitación, el cumplimiento de las premisas que se abordan en el trabajo, así como la secuencia de pasos, responsabilidades, el establecimiento de indicadores y la aplicación de instrumentos de medición; pero, por sobre todas las cosas, si se tiene en cuenta como mecanismo de retroalimentación y mejora continua del proceso de evaluación del impacto de la capacitación de los directivos./ Nowadays, it is becoming increasingly important the demand related to assign significant resources to the task of preparing managers to make them more competent in their work and in that way, to contribute to the improvement of performance within the organization. This work is conceived in the Empresa Constructora Integral de Mayabeque, with the main objective of elaborating a procedure to evaluate the impact of the training of managers and their substitutes, which contributes to increase the performance level of them and the organization itself; based on the Cuban Regulations regarding the Human Capital Management. The procedure could be useful if it is applied as a systematic tool, taking as a starting point the principles of the training process, the achievement of the premises treated in this work, as well as the sequence of steps, responsibilities, the

  7. Modelo para la valoración integral de tecnologías de electrificación rural;Model for Integral valuation of technologies for rural electrification.

    Directory of Open Access Journals (Sweden)

    Ciaddy Gina Rodríguez Borges

    2015-06-01

    Full Text Available En el presente trabajo se desarrolla un modelo para la valoración integral de distintas tecnología de electrificación rural, basado fundamentalmente en el comportamiento de los sistemas híbridos que emplean fuentes renovables de energía, considerando múltiples criterios, tales como: el porcentaje de generación diesel requerido, costo de la energía equivalente, valor presente neto, costo de operación y mantenimiento, riesgos de la instalación y facilidad de gestión del sistema. Se estudian ocho sistemas energéticos, dimensionados para ofrecer una calidad similar a la extensión de red, que pueden satisfacer distintos escenarios de recursos energéticos y consumos de energía desde 20 hasta 320 kWh/día, y se emplea el modelo matemático desarrollado en un caso práctico, a través del cual se demuestra la facilidad que presenta para valorar tecnologías de electrificación rural, ameritando solo tres datos característicos de la comunidad: la irradiación solar promedio, la velocidad de vientos y el consumo de energía estimada.In this work it is developed a model for the integral valuation of different technology of rural electrification, the study of the behavior of the hybrid systems was emphasized with the use of renewable energy sources and it was considered multiple approaches for the valuation, such as: the percentage of required generation diesel, cost of the equivalent energy, net present value, operation cost and maintenance, risks of the installation and easiness of administration of the system. A group of eight sized energy systems was studied to offer a similar quality to the one given by the net extension net, with which it can satisfy energy consumptions from 20 up to 320 kWh/day, estimating the behavior of the proposed systems for different scenarios of energy resources readiness. The developed mathematical pattern allows valuing technologies for rural electrification using three characteristic data of the community

  8. Modelo de la Escuela de Ciclismo para la formación integral de los ciclistas de alto Rendimiento Deportivo en Guayaquil - Ecuador

    Directory of Open Access Journals (Sweden)

    Maritza Paula

    2015-10-01

    Full Text Available A nivel internacional el Ciclismo se ha colocado en unos de los peldaños más relevantes. El Ciclismo deporte espectáculo se ha diversificado en sus modalidades Olímpicas. En el mundo en la formación de los Atletas del Ciclismo solo se realiza el entrenamiento deportivo, es decir se tiende a hacer al hombre y la mujer una máquina que maneja otra máquina. En los tiempos actuales están ocurriendo profundos cambios tecnológicos en el área del ciclismo. La globalización es una variable relevante a tener en cuenta como resultado inevitable del desarrollo histórico de la sociedad, sus fuerzas productivas y el desarrollo de la ciencia y la técnica. El desarrollo del deporte en Latinoamérica incluido el Ciclismo tiene que estar a tono con las tendencias innovadoras que se están desarrollando en este “Cambio de Época”. El paradigma que debe regir en nuestros países es el rescate de los principios del amateurismo, adecuados a las condiciones económicas actuales y cuya base de realización debe ser un paradigma humanista. Un modelo de escuela para cualquier deporte y en particular para el ciclismo, debe contener en su concepción una triada obligatoria: la formación ciudadana, la formación cultural general integral, la formación deportivas estructuradas y coherentemente desarrolladas

  9. Integrated energy resources planning for Sao Paulo state region; Proposicao para o interior paulista do planejamento integrado de recursos

    Energy Technology Data Exchange (ETDEWEB)

    Udaeta, Miguel Edgar Morales; Ino, William Takanori; Grimoni, Jose Aquiles Baeso; Galvao, Luiz Claudio Ribeiro [Universidade de Sao Paulo (USP), SP (Brazil). Dept. de Engenharia de Energia e Automacao Eletricas. Grupo de Energia], e-mail: udaeta@pea.usp.br

    2004-07-01

    The present work has in view the elaboration of projections based on IRP (Integrated Energy Resources Planning) in order to propose an alternative of sustainable development to one region of the State of Sao Paulo. Using the data of the region, gathered in the past years by several researches of the GEPEA-USP, scenarios of the development and consume of energy have been created. In these scenarios, two possibilities to supply the demand of the region were considered: energy of clean sources and/or renewable as well as energy of sources that have lower costs. In order to simulate the behavior of several factors of the offer and demand, the LEAP (Long-range Energy Alternatives Planning) has been used. Both scenarios have vantages and disadvantages, but the clean sources scenario certainly could supply the needs of the region for the next twenty years. Uncertainties in longer periods make the forecasts no much reliable, because changes in both, demand and offer, could invalidate the study. The best is an accompaniment of the sector's behavior in order to make shorter projections, ten years for example, to set the generator estate and policies of consumption. Long forecasts are good to show the limits of the system and the reserve to preview emergency situations as occurred in 2001 with shortness of water supply and consequently broke of energy catering. (author)

  10. Integrated energy resources planning for Sao Paulo state region; Proposicao para o interior paulista do planejamento integrado de recursos

    Energy Technology Data Exchange (ETDEWEB)

    Udaeta, Miguel Edgar Morales; Ino, William Takanori; Grimoni, Jose Aquiles Baeso; Galvao, Luiz Claudio Ribeiro [Universidade de Sao Paulo (USP), SP (Brazil). Dept. de Engenharia de Energia e Automacao Eletricas. Grupo de Energia], e-mail: udaeta@pea.usp.br

    2004-07-01

    The present work has in view the elaboration of projections based on IRP (Integrated Energy Resources Planning) in order to propose an alternative of sustainable development to one region of the State of Sao Paulo. Using the data of the region, gathered in the past years by several researches of the GEPEA-USP, scenarios of the development and consume of energy have been created. In these scenarios, two possibilities to supply the demand of the region were considered: energy of clean sources and/or renewable as well as energy of sources that have lower costs. In order to simulate the behavior of several factors of the offer and demand, the LEAP (Long-range Energy Alternatives Planning) has been used. Both scenarios have vantages and disadvantages, but the clean sources scenario certainly could supply the needs of the region for the next twenty years. Uncertainties in longer periods make the forecasts no much reliable, because changes in both, demand and offer, could invalidate the study. The best is an accompaniment of the sector's behavior in order to make shorter projections, ten years for example, to set the generator estate and policies of consumption. Long forecasts are good to show the limits of the system and the reserve to preview emergency situations as occurred in 2001 with shortness of water supply and consequently broke of energy catering. (author)

  11. Integrated management system best practices in radioecological laboratories; Sistema de gestao integrado: melhores praticas para laboratorios radioecologicos

    Energy Technology Data Exchange (ETDEWEB)

    Carvalho, Claudia Aparecida Zerbinatti de

    2010-07-01

    The research aims to study the best practices to support a conceptual proposal for IMS - Integrated Management System (quality, environment, safety and health) applicable to Radioecology laboratories. The research design is organized into the following steps: in a first step, it was developed the bibliographic and documentary research in IMS, survey and study of standards (QMS ISO 9000 (2005), ISO 9001 (2008), ISO 9004 (2000), EMS ISO 14001 (2004) and OHSMS OHSAS 18001 (2007) and OHSAS 18002 (2008)), identification and characterization of processes in Radioecology Laboratories and study of best practices methodology and benchmarking; in the second stage of the research it was developed a case study (qualitative research, with questionnaires via e-mail and interviews, when possible), preceded by a survey and selection of international and national radioecology laboratories and then these laboratories were contacted and some of them agreed to participate in this research; in the third stage of the research it was built the framework of best practices that showed results that could support the conceptual proposal for the IMS Radioecology Laboratory; the fourth and final stage of research consisted in the construction of the proposed conceptual framework of SGI for Radioecology Laboratory, being then achieved the initial objective of the research. (author)

  12. FUNCIONALIDADES DE SISTEMAS DE PLANIFICACIÓN DE RECURSOS EMPRESARIALES PARA CADENAS DE SUMINISTRO / FUNCTIONALITIES OF ENTERPRISE RESOURCE PLANNING SYSTEMS FOR SUPPLY CHAIN INTEGRATION

    Directory of Open Access Journals (Sweden)

    Dania Pérez-Armayor

    2013-05-01

    Full Text Available En la actualidad los sistemas de planificación de recursos empresariales, además de facilitar las relaciones y la eficiencia intra-empresarial, incluyen elementos para viabilizar la colaboración entre empresas, como respuesta a la necesidad de las organizaciones de agruparse en cadenas de suministro. En consecuencia, el Ministerio de la Informática y las Comunicaciones, junto a otras organizaciones cubanas, están proyectando el desarrollo de un sistema de planificación de recursos empresariales desarrollado en el país (Sistema Cedrux, incluyendo funcionalidades que soporten la integración de cadenas de suministro. Este trabajo se centra en el análisis de funcionalidades que debe poseer el Sistema Cedrux para facilitar una gestión de la cadena de suministro exitosa. Para complementar este análisis fueron realizadas búsquedas bibliográficas y entrevistas a personal participante en el desarrollo de Cedrux. Como resultado se propone la configuración de los módulos acorde al rol de la empresa en la cadena, incluyendo módulos de gestión de cadenas de suministroAbstractNowadays, enterprise resource planning systems (ERP systems, in addition to help improving the relations and the intra-enterprise efficiency, include elements that facilitate inter-enterprise cooperation in response to the need for organizations to come together in supply chains. As a consequence, the Ministry of Informatics and Communications, along with other Cuban organizations, are planning the development of an ERP system developed in Cuba (named Cedrux system, which includes functionalities that support the integration of supply chains. This paper aims to analyze the functionalities that Cedrux should have in order to support a successful supply chain management. Bibliographic searches and interviews to Cedrux developers were conducted, in order to complement this analysis. As a result is suggested the inclusion of modules for supply chain management and the

  13. Dual renin-angiotensin system blockade plus oral methylprednisone for the treatment of proteinuria in IgA nephropathy Doble bloqueo del sistema renina-angiotensina más metilprednisona oral para el tratamiento de la proteinuria en la nefropatía por IgA

    Directory of Open Access Journals (Sweden)

    Hernán Trimarchi

    2007-10-01

    Full Text Available Renin-angiotensin system inhibition is a widely accepted approach to initially deal with proteinuria in IgA nephropathy, while the role of immunosuppressants remains controversial in many instances. A prospective, uncontrolled, open-label trial was undertaken in patients with biopsy-proven IgA nephropathy with proteinuria > 0.5 g/day and normal renal function to assess the efficacy of a combination treatment of angiotensin converting enzyme inhibitors plus angiotensin receptor blockers enalapril valsartan coupled with methylprednisone to decrease proteinuria to levels below 0.5 g/day. Twenty patients were included: Age 37.45 ± 13.26 years (50% male; 7 patients (35% were hypertensive; proteinuria 2.2 ± 1.86 g/day; serum creatinine 1.07 ± 0.29 mg/dl; mean follow-up 60.10 ± 31.47 months. IgA nephropathy was subclassified according to Haas criteria. Twelve patients (60% were class II; seven (35% were class III and one (5% class V. All patients received dual reninangiotensin system blockade as tolerated. Oral methylprednisone was started at 0.5 mg/kg/day for the initial 8 weeks and subsequently tapered bi-weekly until the maintenance dose of 4 mg was reached. Oral steroids were discontinued after 24 weeks (6 months of therapy but renin-angiotensin inhibition remained unchanged. At 10 weeks of therapy proteinuria decreased to 0.15 ± 0.07 g/day (P El doble bloqueo del sistema renina-angiotensina con inhibidores de la enzima convertidora de angiotensina junto a bloqueadores del receptor tipo I de angiotensina II es aceptado como tratamiento en la proteinuria de la nefropatía por IgA, ya que el rol de los inmunosupresores continúa siendo controvertido. Estudio prospectivo, no controlado, abierto para pacientes con nefropatía por IgA con proteinurias >0.5 g/día y creatininas séricas <1.4 mg/dl, para evaluar la eficacia de tratamiento de enalapril más valsartán asociado a metilprednisona vía oral para disminuir las proteinurias a <0.5 g

  14. CONSTRUCCIÓN NARRATIVA EN LA HISTORIA ORAL

    Directory of Open Access Journals (Sweden)

    Darío Muñoz Onofre

    2003-01-01

    Full Text Available Desde una mirada transdisciplinar, que articula componentes de orden epistemológico, ético y metodológico, este artículo presenta un análisis integral de tres momentos de la producción narrativa de la historia oral: primero, muestra su prefiguración tanto en las anécdotas e historias fragmentarias que circulan en la cultura como en los planes que formula el investigador antes de desarrollar su estudio; segundo, examina su configuración en la entrevista y los relatos que resultan de ésta; tercero, describe algunos procedimientos para integrar los relatos obtenidos en una trama narrativa global, la cual se propone como el resultado final de las investigaciones que acuden a la historia oral.

  15. Oral Hygiene

    DEFF Research Database (Denmark)

    Sørensen, Marie Toftdahl; Villadsen, Dorte Buxbom

    The aim of the study was to explore how adults with schizo- phrenia describe their lived experiences with oral hygiene. 23 adults with schizophrenia were interviewed within a period of four months in late 2015. Transcriptions of the interviews were analysed using the Reflective Lifeworld Research...... health care professionals and adults with schizophrenia in order to improve oral health, well-being and recovery....

  16. Oral Hygiene

    DEFF Research Database (Denmark)

    Villadsen, Dorte Buxbom; Sørensen, Marie Toftdahl

    2017-01-01

    The aim of the study is to explore how adults with schizophrenia describe their lived experiences with oral hygiene. 23 adults with schizophrenia were interviewed within a period of four months in late 2015. Transcriptions of the interviews were analysed using the Reflective Lifeworld Research ph...... health care professionals and adults with schizophrenia in order to improve oral health, well-being and recovery....

  17. MODELOS INTEGRAL E DE PONTO CRÍTICO PARA ESTIMAR DANOS NO RENDIMENTO E SEUS COMPONENTES PELA MELA NA CULTURA DO FEIJOEIRO

    Directory of Open Access Journals (Sweden)

    Felipe Rafael Garcés Fiallos

    2014-04-01

    Full Text Available Atualmente não existem estudos sobre os danos ocasionados por Rhizoctonia solani Khun [teleomorfo Thanatephorus cucumeris (Frank Donk] nos componentes de rendimento do feijoeiro (Phaseolus vulgaris L., pelo que o objetivo deste trabalho foi quantificar a redução no rendimento de grãos e seus componentes de rendimento causados pela infecção natural de mela, em diferentes materiais genéticos de feijão, na safra agrícola de verão 2011, no município de Quevedo, Los Rios, Equador. O delineamento experimental foi em blocos casualizados, com sete tratamentos e quatro repetições. Utilizou-se as linhas Cf4 0-0-2-1, Cf6 0-0-4-9, Cf6 0-0-4-8, SER 03 e SER 08, e duas variedades estrangeiras FTS Soberano e BRS Valente. Foram quantificadas a incidência (% e severidade em percentagem e número de lesões folíolo-1, sendo esses valores obtidos integralizados na área abaixo da curva de progresso da doença (AACPD. Também foi quantificado o número de lesões folíolo-1 durante os estágios reprodutivos R7 e R8. Após a colheita, foi quantificado o número de nós, vagens e grãos por planta e de grãos por vagem por planta, assim como rendimento (kg ha-1. Para estimar os danos causados pela doença foram utilizados os modelos de ponto crítico e integral, realizando a análise de regressão entre a intensidade da doença (variáveis independentes, e o rendimento de grãos e seus componentes (variáveis dependentes, obtendo-se as equações da função de dano. Os resultados da presente pesquisa mostraram que os modelos de ponto crítico e integral são uma ferramenta importante para estimar danos pela mela nos componentes de rendimento, sendo mais evidente no número de grãos por plantas (p<0.01.

  18. Integration of vitamin A supplementation with the expanded program on immunization does not affect seroconversion to oral poliovirus vaccine in infants.

    NARCIS (Netherlands)

    R.D. Semba; M. Muhilal; N.E. Mohgaddam (Nasrin); Z. Munasir; A. Akib; D. Permaesih; M.S. Muherdiyantiningsih; A.D.M.E. Osterhaus (Albert)

    1999-01-01

    textabstractChildhood immunization programs may provide infrastructure for delivering vitamin A supplements to infants in developing countries. The effect of giving vitamin A, an immune enhancer, on antibody responses to trivalent oral poliovirus vaccine (TOPV) is unknown. A

  19. Transmissão oral da doença de Chagas pelo consumo de açaí: um desafio para a Vigilância Sanitária / Oral transmission of Chagas disease by consumption of açaí: a challenge for Health Surveillance

    Directory of Open Access Journals (Sweden)

    Renata Trotta Barroso Ferreira

    2014-11-01

    Full Text Available Até o ano de 2004, a ocorrência de doença de Chagas aguda (DCA por transmissão oral, relacionada ao consumo de alimentos, constituía um evento pouco conhecido ou investigado. Atualmente tornou-se frequente na região amazônica e está relacionada à ocorrência de surtos recentes em diversos estados brasileiros. Os casos recentes notificados no Brasil de DCA estão relacionados ao consumo do suco de açaí, considerado um alimento essencial na dieta da população da Região Norte e muito apreciado nos demais estados brasileiros e em outros países. O objetivo deste trabalho foi destacar os novos desafios a serem enfrentados pelos órgãos de saúde pública na prevenção da transmissão da doença de Chagas pelo consumo de açaí. Apesar de existirem importantes estratégias sendo implementadas pelo Brasil no combate à doença de Chagas transmitida via alimento, ainda há a necessidade de incentivos à pesquisa para que conhecimentos gerados auxiliem na compreensão da transmissão oral e sua melhor interpretação epidemiológica, de prevenção e controle. A implementação das Boas Práticas de Higiene, Boas Práticas de Manufatura e a aproximação entre instituições de ciência e os produtores de açaí também poderão contribuir na solução deste problema. -----------------------------------------------------------------------------------------------The occurrence of acute Chagas disease (ACD by oral transmission related to food consumption, untill 2004, was a little known or investigated event. Currently becomes frequent in the Amazon region and is related to the occurrence of recent outbreaks in several states. Recent cases in Brazil of ACD are related to the consumption of acai juice, considered essencial food in the diet of the population in the Northern Region. The acai berry has been appreciated both for its nutritional value, as by its characteristic flavor, ceasing to be consumed in the producing regions, extending

  20. Transmissão oral da doença de Chagas pelo consumo de açaí: um desafio para a Vigilância Sanitária / Oral transmission of Chagas disease by consumption of açaí: a challenge for Health Surveillance

    Directory of Open Access Journals (Sweden)

    Maria Regina Branquinho

    2014-11-01

    Full Text Available Até o ano de 2004, a ocorrência de doença de Chagas aguda (DCA por transmissão oral, relacionada ao consumo de alimentos, constituía um evento pouco conhecido ou investigado. Atualmente tornou-se frequente na região amazônica e está relacionada à ocorrência de surtos recentes em diversos estados brasileiros. Os casos recentes notificados no Brasil de DCA estão relacionados ao consumo do suco de açaí, considerado um alimento essencial na dieta da população da Região Norte e muito apreciado nos demais estados brasileiros e em outros países. O objetivo deste trabalho foi destacar os novos desafios a serem enfrentados pelos órgãos de saúde pública na prevenção da transmissão da doença de Chagas pelo consumo de açaí. Apesar de existirem importantes estratégias sendo implementadas pelo Brasil no combate à doença de Chagas transmitida via alimento, ainda há a necessidade de incentivos à pesquisa para que conhecimentos gerados auxiliem na compreensão da transmissão oral e sua melhor interpretação epidemiológica, de prevenção e controle. A implementação das Boas Práticas de Higiene, Boas Práticas de Manufatura e a aproximação entre instituições de ciência e os produtores de açaí também poderão contribuir na solução deste problema. ========================================== The occurrence of acute Chagas disease (ACD by oral transmission related to food consumption, untill 2004, was a little known or investigated event. Currently becomes frequent in the Amazon region and is related to the occurrence of recent outbreaks in several states. Recent cases in Brazil of ACD are related to the consumption of acai juice, considered essencial food in the diet of the population in the Northern Region. The acai berry has been appreciated both for its nutritional value, as by its characteristic flavor, ceasing to be consumed in the producing regions, extending throughout the brazilian territory and even exported to

  1. 'Integration'

    DEFF Research Database (Denmark)

    Olwig, Karen Fog

    2011-01-01

    , while the countries have adopted disparate policies and ideologies, differences in the actual treatment and attitudes towards immigrants and refugees in everyday life are less clear, due to parallel integration programmes based on strong similarities in the welfare systems and in cultural notions...... of equality in the three societies. Finally, it shows that family relations play a central role in immigrants’ and refugees’ establishment of a new life in the receiving societies, even though the welfare society takes on many of the social and economic functions of the family....

  2. Effects of nutrition on oral health

    OpenAIRE

    G A Agbelusi

    2010-01-01

    Nutrition represents a summation of intake, absorption, storage and utilization of foods by the tissues. Oral tissues are one of the most sensitive indicators of nutritional state of the body. Nutritional deficiencies are associated with changes in the integrity (health and appearance) of the oral structures/ tissues and these changes are frequently the first clinical signs of deficiency. Nutrition affects oral health and oral health affects nutrition. The effects of malnutrition can be s...

  3. A oralidade e a escritura na literatura infantil: referencial teórico para a hora do contoThe orality and the writing on child literature: theory to fairy tale time

    Directory of Open Access Journals (Sweden)

    Clarice Fortkamp Caldin

    2002-05-01

    Full Text Available Research on theoretical aspects of orality and writing. It presents a historical sketch of the narrators of tales and detaches the social function performed by the reader as co-author of tales. It increases the value of fairytales as cathartic and important to the development of the child psychism. It shows the commitment and the critic vision of Brazilian contemporary fairytales. It suggests an integration of librarians and teachers at the fairytale time.Aborda aspectos teóricos sobre a oralidade e a escritura. Apresenta um esboço histórico dos narradores de histórias e destaca seu papel social. Pressupõe o leitor como co-autor da obra literária. Valoriza os contos de fadas como catárticos e necessários ao desenvolvimento do psiquismo infantil. Mostra o compromisso com a verossimilhança e a visão crítica da brasilidade dos textos infantis contemporâneos. Sugere integração de bibliotecários e professores na Hora do Conto.

  4. Oral leukoplakia

    DEFF Research Database (Denmark)

    Holmstrup, Palle; Dabelsteen, Erik

    2016-01-01

    The idea of identifying oral lesions with a precancerous nature, i.e. in the sense of pertaining to a pathologic process with an increased risk for future malignant development, of course is to prevent frank malignancy to occur in the affected area. The most common oral lesion with a precancerous...... nature is oral leukoplakia, and for decades it has been discussed how to treat these lesions. Various treatment modalities, such as systemic therapies and surgical removal, have been suggested. The systemic therapies tested so far include retinoids, extracts of green tea, inhibitors of cyclooxygenase-2...

  5. Propuesta de teorías integradoras para la cefalogénesis y sus malformaciones Proposal of integrative theories for cephalogenesis and their malformations

    Directory of Open Access Journals (Sweden)

    Dadonim Vila Morales

    2013-03-01

    Full Text Available En las teorías embriogénicas de las malformaciones del macizo craneofacial es frecuente encontrar explicaciones simplistas, que no aluden a la biología celular, ni molecular de sus fisiopatologías. El propósito de esta investigación fue describir las teorías de la cefalogénesis y sus malformaciones craneofaciales, como requisito para proponerteorías integradoras que favorezcan su mejor comprensión. Se realizó una revisión biobliográfica sobre el tema de la cefalogénesis y las concepciones científicas actuales concernientes a las teorías de las malformaciones congénitas craneofaciales. Se realizó una revisión en Internet, en el periodo comprendido entre diciembre de 2011 y enero de 2012. Se analizaron los artículos de revistas de la Web of Sciences que trataron este tema desde el año 2006 hasta el 2012 en los buscadores Google academico, Hinari, Scopus, Scielo y Medline. Como resultado se obtuvieron 131 artículos que fueron tamizados; pero el estudio se ciñó solo a 43 artículos que enfocaron estas temáticas de manera más integral. Se consideraron reduccionitas o incompletas las teorías hasta ahora expuestas. Por tal motivo se propusieron teorías holístico-sinérgicas de la cefalogénesis y sus malformaciones.Frequently is possible to find simplistic explanations regarding the embriogenics theories of craniofacial malformations, without any explanation about cellular or molecular biology of this physiopathology process. The purpose of this investigation was to provide elements to allow the understanding of cephalogenesis as to value theories of cephalogenesis and craniofacial malformations and to suggest an integrative theory. A bibliographic study was carried out about cephalogenesis, and current scientific conceptions on theories of craniofacial congenital malformations. An Internet exploring was made during December of 2011 to January of 2012. Was evaluated the Web of Sciences reports related those topics published

  6. Oral cancer.

    Science.gov (United States)

    Gerson, S J

    1990-01-01

    In the U.S. oral cancer accounts for 2.1% of all cancers and 1% of cancer deaths. Two to three times as many males as females are affected. Blacks have more intra-oral cancer than whites, and their incidence and mortality rates have increased in recent years. The etiologic process very likely involves several factors. The major etiologic agents are tobacco (all types) and alcoholic beverages. Herpes simplex virus, human papilloma virus, and Candida have been implicated. Host factors include poor state of dentition, nutritional aberrations, cirrhosis of liver, lichen planus, and immunologic impairmant. Cellular changes include amplification of some oncogenes, alterations in antigen expression, production of gamma-glutamyl transpeptidase, and disturbance of keratin and involucrin production. Experimentally, cancer is readily produced on the hamster cheek pouch and rat oral mucosa. Unlike oral cancer in humans, most experimental lesions are exophytic, and they rarely metastasize.

  7. Oral sex.

    Science.gov (United States)

    1996-04-05

    The Gay and Lesbian Medical Association urges HIV prevention specialists to regard male-to-male oral-genital sex as a low-risk activity and concentrate instead on the danger of unprotected anal intercourse. According to the association, the confusion and mixed messages surrounding oral sex are harming efforts to encourage gay men to make rational choices about truly risky behavior. The recommendations appear in the association's position paper issued March 19, 1996.

  8. Logística Integral: Una alternativa para crear valor y ventajas competitivas en las pequeñas y medianas empresas (pymes del Sector Calzado

    Directory of Open Access Journals (Sweden)

    Francisco Javier Villarreal Segoviano

    2012-01-01

    Full Text Available En este documento se plantea la ventaja competitiva como el resultado que las empresas buscan lograr en un contexto global y de hipercompetitividad; para lograr esto se necesitan estrategias que impulsen esas ventajas competitivas en un ambiente cambiante y dinámico, una de estas estrategias es la logística integral, que busca el equilibrio de la estructura de la cadena de valor de negocio y lograr una interacción y operación eficiente de las áreas de una manera en que las actividades proyecten la creación de valor en las empresas pequeñas y medianas del sector calzado. Las operaciones de una empresa pequeña y mediana tienen un contexto particular en donde presentan ventajas y desventajas, que pueden consolidar o no a una empresa en el plano internacional; previo a esto se necesita plantear la aplicación de la Logística que impulse al cambio y a la consolidación de la creación de valor en el negocio. Se aplicaron sesenta (60 encuestas a empresas pyme adheridas a la cámara de calzado y con la base de datos de COFOCE (Coordinadora de Fomento al Comercio Exterior del Estado de Guanajuato, en donde además de aplicar la encuesta, se hacía un recorrido por las instalaciones y se platicaba de forma informal la realidad y contexto de la empresa, y que generaba también información cualitativa útil. Con ello, se pretendió conocer la realidad de las pequeñas y medianas empresas en León, Gto., identificar los aspectos necesarios para revertir esas desventajas identificadas, como la falta del desarrollo de una logística, la ausencia de planeación estratégica, aplicación de las tecnología de la información y comunicación, falta de competitividad internacional y la falta de creación de valor a lo largo de la cadena de valor del negocio.

  9. Oral Cancer Screening

    Science.gov (United States)

    ... decrease the risk of oral cavity and oropharyngeal cancer. Oral cavity, pharyngeal, and laryngeal cancer are diseases in ... and treatment of oral cavity, pharyngeal, and laryngeal cancer: Oral Cavity and Oropharyngeal Cancer Prevention Lip and Oral ...

  10. Gestión integral de seguridad de infraestructuras críticas para las organizaciones locales alineadas a las normas IRAM ISO IEC 27.001 y 27.002

    OpenAIRE

    Navarro, Mirta Elizabeth; Becerra, María del Carmen

    2013-01-01

    Con esta propuesta de gestión integral diseñada para la protección de la información alineada a la norma IRAM ISO IEC 27001, 27002 y a las tendencias y normas de seguridad informática, consistente en la creación y adopción de un marco regulatorio que favorezca la identificación y protección de las infraestructuras estratégicas y críticas de la U.N.S.J., se favorecerá la colaboración entre los diversos sectores públicos y privados, para el desarrollo de estrategias y estructuras adecuadas para...

  11. The Oral Paradigm and Snapchat

    Directory of Open Access Journals (Sweden)

    Oren Soffer

    2016-09-01

    Full Text Available In this short essay, I argue that the ephemeral nature of emerging instant-messaging applications, such as Snapchat, applies an oral paradigm. While online discourse of computer-mediated communication shares many qualities with oral communication, the case of ephemeral applications is unique, as the oral features are already integrated in the application technology design and as orality is often implemented on highly visual products. Snapchat applies technology that fades visual contents as if they were spoken words fading in the air after utterance. Moreover, Snapchat’s promise to delete all messages from its database after they are viewed echoes a key characteristic of primary oral culture: that is, the inability (and in our case, the obligation not to store knowledge. In this, Snapchat demonstrates counter-logic to the contemporary grammar of new media, which is based on information aggregation.

  12. Modelo de dirección estratégica para el departamento de Medicina General Integral Model of strategical management for the Department of General Comprehensive Medicine

    Directory of Open Access Journals (Sweden)

    Alcides Abad Ochoa Alonso

    2005-12-01

    Full Text Available La creciente complejidad del proceso organizacional del Departamento de Medicina General Integral, de la Facultad de Ciencias Médicas “Mariana Grajales Coello” de Holguín, evidenció la necesidad de una intervención de carácter estratégico, capaz de guiar la gestión del cambio y de facilitar la sostenibilidad de las estrategias en curso en el departamento. Valiéndose de métodos de investigación científica, como son, el dialéctico, la modelación y la triangulación, y otros propios de las ciencias de la administración, se construyó un modelo de dirección estratégica específico para este departamento. El proyecto de intervención concebido es producto del análisis crítico de los modelos de dirección estratégica estudiados, y de la introducción de momentos, procedimientos y técnicas adecuados a las condiciones del departamento. Los enfoques rectores del proceso, aplicados en el modelo construido, permiten una mayor integración entre los niveles estratégico, táctico y operativo, con el consiguiente impacto esperado sobre la eficacia y la eficiencia en el alcance de los objetivos.The increasing complexity of the organizational process of the Department of General Comprehensive Medicine of “Mariana Grajales Coello” Faculty of Medical Sciences, in Holguin , evidenced the need of an intervention of strategical character capable of guiding the change management and of facilitating the sustainability of the strategies under way in the department. By using methods of scientific research, such as the dialectic methods, modeling, triangulation and others characteristic of the management science, it was constructed a specific model of strategical management for this department.The intervention project created is the result of the critical analysis of studied strategic management models, and of the introduction of moments, procedures and techniques adjusted to the conditions of the department. The ruling approaches of the

  13. Dispensacion de anticonceptivos hormonales orales

    OpenAIRE

    Molinero Crespo, Ana María; Diego Martinez , Cristina de; Méndez Mora-Figueroa, Pilar; Esteso, Pilar; García Valiente, Paloma; González, Ana; Peiró Martínez, Alicia; Pérez Martín, Vanessa

    2010-01-01

    El 80% de las mujeres españolas en edad fértil utilizan métodos anticonceptivos. Los anticonceptivos orales hormonales son los que obtienen mayor grado de satisfacción entre las usuarias siendo el segundo método utilizado. Método Estudio observacional descriptivo en 7 farmacias de la Comunidad de Madrid. Durante seis meses (enero-junio de 2009) se realizó una entrevista en el mostrador a las usuarias de métodos anticonceptivos hormonales orales para conocer qué tipo de paciente los dema...

  14. Oral candidiasis.

    Science.gov (United States)

    Millsop, Jillian W; Fazel, Nasim

    2016-01-01

    Oral candidiasis (OC) is a common fungal disease encountered in dermatology, most commonly caused by an overgrowth of Candida albicans in the mouth. Although thrush is a well-recognized presentation of OC, it behooves clinicians to be aware of the many other presentations of this disease and how to accurately diagnose and manage these cases. The clinical presentations of OC can be broadly classified as white or erythematous candidiasis, with various subtypes in each category. The treatments include appropriate oral hygiene, topical agents, and systemic medications. This review focuses on the various clinical presentations of OC and treatment options. Copyright © 2016 Elsevier Inc. All rights reserved.

  15. Oral myiasis

    Directory of Open Access Journals (Sweden)

    Treville Pereira

    2010-01-01

    Full Text Available Myiasis is a relatively rare condition arising from the invasion of body tissues or cavities of living animals or humans by maggots or larvae of certain species of flies. It is an uncommon clinical condition, being more frequent in underdeveloped countries and hot climate regions, and is associated with poor hygiene, suppurative oral lesions; alcoholism and senility. Its diagnosis is made basically by the presence of larvae. The present article reports a case of oral myiasis involving 20 larvae in a patient with neurological deficiency.

  16. A multicenter, open-label, pilot study evaluating the functionality of an integrated call center for a digital medicine system to optimize monitoring of adherence to oral aripiprazole in adult patients with serious mental illness

    Directory of Open Access Journals (Sweden)

    Kopelowicz A

    2017-10-01

    Full Text Available Alex Kopelowicz,1 Ross A Baker,2 Cathy Zhao,2 Claudette Brewer,3 Erica Lawson,3 Timothy Peters-Strickland2 1David Geffen School of Medicine, University of California, Los Angeles, CA, 2Otsuka Pharmaceutical Development and Commercialization Inc., Princeton, NJ, 3Otsuka Pharmaceutical Development and Commercialization Inc., Rockville, MD, USA Background: Medication nonadherence is common in the treatment of serious mental illness (SMI and leads to poor outcomes. The digital medicine system (DMS objectively measures adherence with oral aripiprazole in near-real time, allowing recognition of adherence issues. This pilot study evaluated the functionality of an integrated call center in optimizing the use of the DMS. Materials and methods: An 8-week, open-label, single-arm trial at four US sites enrolled adults with bipolar I disorder, major depressive disorder, and schizophrenia on stable oral aripiprazole doses and willing to use the DMS (oral aripiprazole + ingestible event marker [IEM], IEM-detecting skin patch, and software application. Integrated call-center functionality was assessed based on numbers and types of calls. Ingestion adherence with prescribed treatment (aripiprazole + IEM during good patch wear and proportion of time with good patch wear (days with ≥80% patch data or detected IEM were also assessed. Results: All enrolled patients (n=49 used the DMS and were included in analyses; disease duration overall approached 10 years. For a duration of 8 weeks, 136 calls were made by patients, and a comparable 160 calls were made to patients, demonstrating interactive communication. The mean (SD number of calls made by patients was 2.8 (3.5. Approximately half of the inbound calls made by patients occurred during the first 2 weeks and were software application- or patch-related. Mean ingestion adherence was 88.6%, and corresponding good patch wear occurred on 80.1% of study days. Conclusion: In this pilot study, the integrated call center

  17. Composição centesimal, lisina disponível e digestibilidade in vitro de proteínas de fórmulas para nutrição oral ou enteral Proximate composition, available lysine and in vitro digestibility of proteins in formulae for oral or enteral nutrition

    Directory of Open Access Journals (Sweden)

    Edma M. Araújo

    2005-12-01

    Full Text Available Ultimamente tem-se verificado aumento do uso de nutrição enteral (NE em domicílio, objetivando reduzir custos e melhorar a qualidade de vida. Contudo, é importante monitorar o valor nutricional das dietas. Nesse estudo foram avaliadas as formulações F1 e F2 (ARAÚJO; GALEAZZI, 1999 contendo carne bovina, ovo (F1, chicória, cenoura, fubá de milho, extrato hidrossolúvel de soja, óleo de soja, Nidex® e sal, para uso em NE ou oral domiciliar, objetivando obter dados mais confiáveis e seguros. Foram determinadas: composição centesimal, digestibilidade in vitro e lisina disponível. As composições centesimais (base seca foram as seguintes: F1: calorias 454,69, umidade 79,29±0,07, proteína 17,04±0,06, lipídios 14,85±0,11, carboidratos 63,22, fibra alimentar solúvel 0,67±0,66 e insolúvel 1,65±0,73, cinzas 2,57±0,01; F2: calorias 463,92, umidade 78,96±0,09, proteína 16,56±0,09, lipídios 15,12±0,20, fibra alimentar solúvel 1,09±0,11 e insolúvel 1,84±0,09, carboidratos 65,40 e cinzas 2,63±0,08. A distribuição calórica mostrou-se adequada. Os teores de lisina eram 80 mg/g de proteína para F1 e 139 para F2. A digestibilidade (% das proteínas foi 95 para F1 e 93 para F2. As formulações são factíveis de preparo em domicílio, possuem fontes de proteína de boa qualidade, baixo custo, podendo atender às necessidades nutricionais de indivíduos em terapia nutricional domiciliar e promover a recuperação nutricional.Recently the use of home enteral nutrition (EN has increased, aimed at reducing costs and improving the quality of life. Monitoring the nutritional value of these diets is therefore important. In this study the formulations F1 and F2 (ARAÚJO; GALEAZZI, 1999 containing beef, egg (F1, chicory, carrot, corn grits, ater-soluble soybean extract, soybean oil, Nidex ater-soluble soybean extract, soybean oil, Nidex® and salt, ere evaluated for use in home EN, aiming at obtaining more reliable, safer data. The

  18. O processo de integração regional: fronteiras abertas para os trabalhadores do Mercosul The process of regional integration: open borders for Mercosul workers

    Directory of Open Access Journals (Sweden)

    Sonia de Camargo

    2010-12-01

    Full Text Available O que me proponho neste trabalho é discutir o tema da livre circulação dos trabalhadores no Mercosul, levando-se em conta que esta liberdade - diferentemente de outras que aparecem como objetivos essenciais a serem alcançados no processo de integração desta sub-região - não faz parte do texto do Tratado de Assunção, assinado em março de 1991. Esta ausência é reveladora, na medida em que a liberdade de circulação de pessoas constitui um dos elementos que evidencia com maior clareza a existência de um processo de integração, na medida em que afeta diretamente a vida dos cidadãos assegurando seu livre trânsito dentro do bloco e oportunidades iguais entre os nacionais e não nacionais. No texto do referido Tratado, a integração aparece limitada à circulação de capitais, bens e serviços, liberdade assegurada pela eliminação de qualquer medida que possa prejudicá-la. Partindo dessa discussão, pretendo examinar quais os avanços institucionais já alcançados no sentido da criação de políticas que, concretamente, conduzam à abertura de fronteiras entre os países do Mercosul por meio das quais seus cidadãos - neste caso, os trabalhadores - possam se deslocar livremente e residir em seu local de trabalho. Para tanto, acredito que conhecer a experiência da União Europeia possa ser de grande utilidade.My proposal for this article is to discuss the free mobility of workers inside the Mercosul block, bearing in mind that this liberty, in the contrary of others issues that arise as essential aims to be reached in the integration process of the region, wasn't incorporated in the Assunção Treaty, signed in march 1991. This absence is revealing in the sense that the liberty of circulation of persons is one of the elements that show with more evidence the existence of an integration process as it affects directly the life of its citizens ensuring their free displacement inside the region and equal opportunities among

  19. National Maternal and Child Oral Health Resource Center

    Science.gov (United States)

    ... State Offices Search the Organizations Database Center for Oral Health Systems Integration and Improvement (COHSII) COHSII is a ... needs of the MCH population. Brush Up on Oral Health This monthly newsletter provides Head Start staff with ...

  20. Oral calcitonin

    Directory of Open Access Journals (Sweden)

    Hamdy RC

    2012-09-01

    Full Text Available Ronald C Hamdy,1,2 Dane N Daley11Osteoporosis Center, College of Medicine, East Tennessee State University, 2Veterans Affairs Medical Center, Johnson City, TN, USAAbstract: Calcitonin is a hormone secreted by the C-cells of the thyroid gland in response to elevations of the plasma calcium level. It reduces bone resorption by inhibiting mature active osteoclasts and increases renal calcium excretion. It is used in the management of postmenopausal osteoporosis, Paget's disease of bone, and malignancy-associated hypercalcemia. Synthetic and recombinant calcitonin preparations are available; both have similar pharmacokinetic and pharmacodynamic profiles. As calcitonin is a peptide, the traditional method of administration has been parenteral or intranasal. This hinders its clinical use: adherence with therapy is notoriously low, and withdrawal from clinical trials has been problematic. An oral formulation would be more attractive, practical, and convenient to patients. In addition to its effect on active osteoclasts and renal tubules, calcitonin has an analgesic action, possibly mediated through β-endorphins and the central modulation of pain perception. It also exerts a protective action on cartilage and may be useful in the management of osteoarthritis and possibly rheumatoid arthritis. Oral formulations of calcitonin have been developed using different techniques. The most studied involves drug-delivery carriers such as Eligen® 8-(N-2hydroxy-5-chloro-benzoyl-amino-caprylic acid (5-CNAC (Emisphere Technologies, Cedar Knolls, NJ. Several factors affect the bioavailability and efficacy of orally administered calcitonin, including amount of water used to take the tablet, time of day the tablet is taken, and proximity to intake of a meal. Preliminary results looked promising. Unfortunately, in two Phase III studies, oral calcitonin (0.8 mg with 200 mg 5-CNAC, once a day for postmenopausal osteoporosis and twice a day for osteoarthritis failed to

  1. Oral care.

    Science.gov (United States)

    Hitz Lindenmüller, Irène; Lambrecht, J Thomas

    2011-01-01

    Adequate dental and oral hygiene may become a challenge for all users and especially for elderly people and young children because of their limited motor skills. The same holds true for patients undergoing/recovering from chemo-/radiotherapy with accompanying sensitive mucosal conditions. Poor dental hygiene can result in tooth decay, gingivitis, periodontitis, tooth loss, bad breath (halitosis), fungal infection and gum diseases. The use of a toothbrush is the most important measure for oral hygiene. Toothbrushes with soft bristles operated carefully by hand or via an electric device help to remove plaque and to avoid mucosal trauma. A handlebar with a grip cover can be helpful for manually disabled patients or for those with reduced motor skills. In case of oral hygiene at the bedside or of patients during/after chemo-/radiotherapy a gauze pad can be helpful for gently cleaning the teeth, gums and tongue. The use of fluoride toothpaste is imperative for the daily oral hygiene. Detergents such as sodium lauryl sulphate improve the cleaning action but may also dehydrate and irritate the mucous membrane. The use of products containing detergents and flavouring agents (peppermint, menthol, cinnamon) should therefore be avoided by bedridden patients or those with dry mouth and sensitive mucosa. Aids for suitable interdental cleaning, such as dental floss, interdental brushes or dental sticks, are often complicated to operate. Their correct use should be instructed by healthcare professionals. To support dental care, additional fluoridation with a fluoride gel or rinse can be useful. Products further containing antiseptics such as chlorhexidine or triclosan reduce the quantity of bacteria in the mouth. For patients undergoing or having undergone radio-/chemotherapy, a mouthwash that concomitantly moisturizes the oral mucosa is advisable. Copyright © 2011 S. Karger AG, Basel.

  2. CURVAS ANAMÓRFICAS DE ÍNDICE DE SITIO PARA PLANTACIONES DE Pinus caribaea Morelet var. caribaea Barret y Golfari DE LA EMPRESA FORESTAL INTEGRAL MACURIJE (EFI EN LA PROVINCIA DE PINAR DEL RÍO, CUBA

    Directory of Open Access Journals (Sweden)

    Héctor Barrero-Medel

    2011-01-01

    Full Text Available En el trabajo se seleccionó el mejor modelo para la obtención de curvas anamórficas de índice de sitio para la especie Pinus caribaea Morelet var. caribaea Barret y Golfari, en las condiciones de la Empresa Forestal Integral Macurije, perteneciente a los municipios Guane y Mantua de la provincia de Pinar del Río. Para ello se utilizó el registro de los datos de 14 parcelas permanentes establecidas en el año 2006 con mediciones consecutivas efectuadas y distribuidas en las diferentes Unidades Básicas de Producción Forestal (UBPF, 256 parcelas temporales distribuidas al azar en todo el patrimonio de la empresa y el inventario de la ordenación realizado en los años 2002-2003. El método de construcción del sistema de curvas de índice de sitio empleado mediante el principio anamórfico fue el de regresión anidada aplicado por Bailey y Clutter (1976 y descrito por Alder (1980 como método de regresión jerárquica con estimador de pendiente común. Como resultado del ajuste se obtuvieron las ecuaciones para la altura dominante (Ho para los 13,16, 19, 22, 25 y 28 metros a la edad base de 35 años, así como la ecuación para la determinación del índice de sitio.

  3. Utilización de harina de yuca y soya integral cocida en dietas con dos formas de presentación para lechones de prelevante

    Directory of Open Access Journals (Sweden)

    Yaruro Maria Liliana

    1988-12-01

    Full Text Available En lechones de prelevante (35 días 20kg se evaluó al reemplazo de 50 y 100% del maíz por harina de yuca en combinación con torta de soya y soya integral cocida (SIC. Presentada en forma de harina y peletizada. En ensayo tuvo un arreglo factorial de 2 x 2 x 2 + 1 ,5 replicaciones. Las unidades experimentales o camadas estuvieron constituidas por lo menos por 6 lechones puros o cruzados de las razas Yorkshire, Landrace y Duroc. No hubo diferencias (P<0.05 en consumo de alimento, aumento de peso, conversión alimenticia y edad para alcanzar 20 kg de peso debidas al reemplazo del maíz en la dieta. Hubo diferencias (P<0.01 en aumento de peso a tribuidas a la fuente de proteína de la dieta, produciendo mejores rendimientos la torta de soya + aceite que el grano cocido. Hubo diferencias (P < 0.01 en el consumo de alimento debidas a la forma de presentación del alimento. Las dietas en harina produjeron mejores rendimientos en consumo de alimento y aumento de peso, mientras que la conversión alimenticia fue mejor en las dietas peletizadas. Económicamente la mejor alternativa constituye la dieta con 100010 harina de yuca + torta de soya.In postweaning pigs (35 days, 20 kg was evaluated the replacement 50 % and 100 % of corn by cassava meal, using soybean meal (SBM and whole coocked soybean in a meal or pelleted diet. The experiment was conducte with a complete random design and a factorial arrangement 2 x 2 x 2 + 1 and 5 replications. Each experimental unit was constitutive for a Iitter with a minimum of 6 piglets, pure and (or crossbred (Yorkshire, Duroc, Landrace. Diets were formulated to meet the nutrient requirements followed by NRC (1979, except energy requirements (3600 Kcal M.E. /kg. Were no differences (P< 0.05 in feed consumption, weight gain, feed conversion and days to reach 20kg live wight in pigs due to the replacement of 50 % and 100 % of corn by cassava meal, there were differences(P<0.05 in weight gain due to the protein source

  4. Sistema para distribuição integrada de contêineres cheios e vazios An empty and full containers integrated distribution system

    Directory of Open Access Journals (Sweden)

    Denise Lindstrom Bandeira

    2008-12-01

    Full Text Available Este artigo apresenta um modelo de rede integrado combinando realocação de contêineres vazios e operações de transbordo de contêineres cheios e vazios, visando auxiliar gestores no tratamento do desequilíbrio normalmente existente entre quantidades de contêineres de exportação e de importação. Na rede, os nós representam clientes, companhias de leasing, portos e depósitos em terra; os arcos representam rotas de transporte. O modelo matemático subjacente opera em estágios. Primeiro, a demanda de contêineres vazios é ajustada, considerando suprimentos e demandas globais. A seguir, um modelo de transbordo determina a solução de mínimo custo, utilizando programação linear. Os roteiros de transporte são registrados e controlados dinamicamente, repetindo os estágios ciclicamente, para um dado horizonte de tempo. O modelo é flexível, permitindo a configuração de vários parâmetros. Um sistema de simulação foi implementado utilizando parâmetros gerados aleatoriamente, a fim de avaliar a complexidade do modelo, testar diferentes soluções e verificar a formulação matemática.This paper presents an integrated network model combining empty containers assignment, and empty and full containers transhipment operations, aiming to help managers to deal with the typically unbalanced trading export and import containers. In the network, nodes represent customers, leasing companies, harbors and warehouses; while arcs represent transportation routes. The underlying mathematical model operates in stages. First, the demand for empty containers is adjusted, considering global customers supplies and demands. Next, a transhipment model determines the minimal cost solution, using linear programming. The transportation routes are registered and dynamically controlled, cycling through the stages, for a given time horizon. The model is flexible, allowing several parameters to be configured. A simulation system was implemented using

  5. Design and integration of an essay model for motorcycles within the project of emissions norm for the federal district government, Mexico; Diseno e integracion de un modulo de ensayos para motocicletas para el proyecto de normativa de emisiones del GDF

    Energy Technology Data Exchange (ETDEWEB)

    Rincon Gomez, Pedro Ignacio

    2004-02-15

    el fin de estudiar las emisiones de los vehiculos que poseen motores de combustion interna. Para poder hacer esto se vale de diferentes instrumentos de medicion, como son: analizadores de gases, dinamometros, etc. Algunos instrumentos o dispositivos que solo pueden adquirirse en el extranjero son disenados en este laboratorio con la asesoria de la Coordinacion de Instrumentacion del Instituto de Ingenieria. El desarrollo de estos dispositivos permite que el laboratorio cuente cada vez con mas equipo util adecuado a sus necesidades. En la presente tesis se muestra el desarrollo de un proyecto del Laboratorio de Control de Emisiones; se trata de la instrumentacion electronica de un banco dinamometrico para motocicletas, con el fin de cooperar en la generacion de la Norma Oficial Mexicana de emisiones contaminantes de este tipo de vehiculos, en conjunto con las autoridades gubernamentales del Distrito Federal. Para poder hacer esto se diseno por completo este dispositivo, de modo que pudieran hacerse mediciones automaticas de velocidad, distancia, tiempo, par, potencia, concentraciones de oxigeno, bioxido de carbono, monoxido de carbono, oxidos de nitrogeno e hidrocarburos, para generar una base de datos. En el desarrollo de este proyecto se utilizo una computadora personal y una tarjeta de adquisicion de datos para adquirir las senales electronicas de sensores de par y velocidad. El software que se utiliza para controlar la tarjeta de adquisicion de datos fue desarrollado con un software de desarrollo de uso dedicado para instrumentacion, lo que permitio generar un instrumento virtual muy versatil y de facil manejo. Actualmente el banco dinamometrico para motocicletas opera como un instrumento mas del laboratorio y se piensa que en el futuro pueda formar parte del equipo en un centro de verificacion para este tipo de vehiculos.

  6. Oral Health and Aging

    Science.gov (United States)

    ... please turn JavaScript on. Feature: Oral Health and Aging Oral Health and Aging Past Issues / Summer 2016 Table of Contents Jerrold ... they may need. Read More "Oral Health and Aging" Articles Oral Health and Aging / 4 Myths About ...

  7. Collective prenatal consultation: a new proposal for comprehensive health care Consulta pre-natal colectiva: una nueva propuesta para la atención integral Consulta coletiva de pré-natal: uma nova proposta para uma assistência integral

    Directory of Open Access Journals (Sweden)

    Lucia Helena Garcia Penna

    2008-02-01

    Full Text Available This article describes the Collective Prenatal Consultation as a new healthcare methodology, which is performed according to government standards, but collectively. Relaxation and sensitization techniques are used, as well as group dynamics, including a collective exam of the pregnant women. The Collective Consultation is carried out in a welcoming environment, which provides clarification and socialization of experiences and information, centered on those women. The healthcare professional records every obstetric parameter and behavior in the patient's prenatal card and history file. Priority is given to the principle of integrality and citizenship, with the aim to break the biomedical care paradigm, thus favoring humanized and comprehensive care to the women.Consiste en la descripción de la Consulta Pre-Natal Colectiva como una nueva metodología asistencial, la cual es realizada siguiendo los estándares gubernamentales, no obstante de forma colectiva. Se utilizan técnicas de relajación, sensibilización y dinámicas de grupo, incluyendo el examen colectivo de las gestantes en un lugar acogedor, informativo y socializador de experiencias e informaciones, en el cual la gestante es protagonista. En la Consulta Colectiva el profesional registra todos los parámetros y conductas obstétricas en el carnet e historia peri-natal, priorizando los principios de atención integral y ciudadanía, buscando romper con el paradigma asistencial-biomédico y favoreciendo para una atención humanizada e integral de la mujer.Este estudo consiste na descrição da Consulta Coletiva de Pré-Natal como nova metodologia assistencial, a qual é realizada seguindo os padrões governamentais, porém, coletivamente. Utilizou-se técnicas de relaxamento e de sensibilização e dinâmicas de grupo, incluindo o exame coletivo das gestantes em um espaço acolhedor, esclarecedor e socializador de experiências e informações, em que a gestante é protagonista. Na

  8. Promovendo a interação face a face através de webquests: um estudo de caso sobre inglês com propósitos especificos para turismo Fostering face to face oral interaction through webquests: a case study in ESP for tourism

    Directory of Open Access Journals (Sweden)

    Jesus Garcia Laborda

    2010-06-01

    Full Text Available Os webquests têm sido utilizados para pesquisar uma variedade de temas. De acordo com Lacina (2007, um webquest é um tipo de atividade de pesquisa baseada no uso da tecnologia. Desenvolvida por Bernie Dodge e Tom March, extrai informação de Internet e é um exercício institucional poderoso tanto para os professores quanto para os estudantes. Webquests também contribuem para a aprendizagem e experiência pessoal (MADEIRAS et al., 2004. Este estudo pretende ilustrar o processo e os benefícios da utilização de webquests em contextos de formação para promover a comunicação oral em âmbitos profissionais. Os resultados foram obtidos em um experimento desenvolvido na Universidad Politécnica de Valencia durante o curso acadêmico de 2006-2007 com os estudantes do curso de Turismo. Durante o experimento, os resultados foram analisados a cada três meses (novembro, fevereiro e maio. As conclusões deste estudo sugerem diversos benefícios da utilização de webquests em classe para o desenvolvimento profissional e aprendizagem da língua.Webquests have been used for some time to research a variety of topics. According to Lacina (2007, a webquest is an inquiry-based technology activity designed by Bernie Dodge and Tom March in which information is usually drawn from the Internet, and is a powerful instructional exercise both for teachers and students.Webquests enhance personal and experiential learning (WOODS et al., 2004. This case study intends to illustrate the process and benefits of using webquests as a way to promote professional oral communication in training contexts. This paper reports on a study done at the Polytechnic University of Valencia during the 2006-2007 academic year of the use of webquests with sophomore students of Travel and Tourism. Three observations were carried out during November, February and May. The findings suggest the benefits of using webquests in the classroom for professional development and language

  9. Integración de las tecnologías de la información y la comunicación para la enseñanza de la lengua Integration of Information and Communication Technologies for Language Teaching

    Directory of Open Access Journals (Sweden)

    Yudi Herrera

    2007-12-01

    Full Text Available En el presente artículo se realiza una revisión sobre la integración de las TIC para la enseñanza de la lengua. Este texto se estructura en tres secciones en las cuales se promueve el uso educativo de las nuevas tecnologías como herramientas cognitivas, es decir, cuya funcionalidad sea ampliar, potenciar y reorganizar las capacidades de los estudiantes no como simple contenedor o transmisor de información. Además se presenta una propuesta de análisis del software educativo desde el enfoque pedagógico, privilegiando a aquellos que promuevan el aprendizaje reflexivo. Finalmente, se describen tres propuestas para integrar las TIC para la enseñanza de las lenguas por medio de simuladores, WebQuest y Wikis.This article presents a review of the integration of ICT in language teaching. This text is structured into three sections which promote the educational use of new technologies as cognitive tools, in other words expand the functions of cognitive tools, enhance and reorganize the capabilities of students not as a mere container or transmitter of information. In addition, this article presents an analysis of educational software from the pedagogical approach, focusing on those that promote reflexive learning. Finally, three proposals are discussed for the integrating of ICT for teaching languages through simulators, WebQuest and Wikis.

  10. Lexías utilizadas por los estudiantes de noveno año del período lectivo 2009 del Instituto de Educación Integral para referirse a personas homosexuales

    Directory of Open Access Journals (Sweden)

    Ronald Campos López

    2010-01-01

    Full Text Available Se identifican las lexías utilizadas para referirse a las personas homosexuales por los estudiantes de noveno del período lectivo 2009 del Instituto de Educación Integral de Las Nubes, Coronado, Costa Rica; esto con el fin de determinar la frecuencia de uso, situaciones comunicativas y carácter semántico de estas palabras, según la conceptualización constructivista de esta retícula social cerrada (los adolescentes. A partir de estos datos, se analiza el nivel ideológico de aceptación y rechazo de estos jóvenes hacia la comunidad homosexual en general. Al final, se brindan criterios y recomendaciones a los docentes para el aprovechamiento y discusión sobre el uso de estas palabras en el aula.

  11. La educación y atención integral para el desarrollo de la niñez menor de 3 años en Costa Rica: una deuda del estado costarricense

    Directory of Open Access Journals (Sweden)

    Cárdenas Leitón, Helvetia

    2016-01-01

    Full Text Available Este es un artículo derivado de un proceso de investigación en el marco del Doctorado en Educación de la Universidad Estatal a Distancia, cuyo tema versó sobre La educación y atención integral para el desarrollo de la niñez menor de 3 años en Costa Rica. Cabe resaltar que el acercamiento al tema se realizó desde el paradigma cualitativo y el método de análisis elegido fue el hermenéutico-dialéctico, el cual permitió profundizar en algunos documentos, así como interpretar el discurso de las personas actuantes. Para la recopilación de la información se utilizó el análisis documental de diferentes fuentes bibliográficas, las propuestas programáticas existentes en el país para la atención de este grupo poblacional, la Política Nacional para la Niñez y Adolescencia y el Código de Niñez y Adolescencia, la entrevista en profundidad y grupos focales con especialistas en diversas áreas que tienen filiaciones con esta población, las personas que atienden a las niñas y los niños menores de 3 años. Entre las principales conclusiones que se obtuvieron se evidencia que la intervención con la niñez menor de 3 años, requiere la participación de toda la sociedad, de un sistema que integre lo privado y diferentes sectores (salud, educación, servicios sociales y la coordinación de diferentes instituciones que generen servicios de calidad a la niñez.

  12. LA EDUCACIÓN Y ATENCIÓN INTEGRAL PARA EL DESARROLLO DE LA NIÑEZ MENOR DE 3 AÑOS EN COSTA RICA: UNA DEUDA DEL ESTADO COSTARRICENSE

    Directory of Open Access Journals (Sweden)

    Helvetia Cárdenas Leitón

    2016-01-01

    Full Text Available Este es un artículo derivado de un proceso de investigación en el marco del Doctorado en Educación de la Universidad Estatal a Distancia, cuyo tema versó sobre La educación y atención integral para el desarrollo de la niñez menor de 3 años en Costa Rica. Cabe resaltar que el acercamiento al tema se realizó desde el paradigma cualitativo y el método de análisis elegido fue el hermenéutico-dialéctico, el cual permitió profundizar en algunos documentos, así como interpretar el discurso de las personas actuantes. Para la recopilación de la información se utilizó el análisis documental de diferentes fuentes bibliográficas, las propuestas programáticas existentes en el país para la atención de este grupo poblacional, la Política Nacional para la Niñez y Adolescencia y el Código de Niñez y Adolescencia, la entrevista en profundidad y grupos focales con especialistas en diversas áreas que tienen filiaciones con esta población, las personas que atienden a las niñas y los niños menores de 3 años. Entre las principales conclusiones que se obtuvieron se evidencia que la intervención con la niñez menor de 3 años, requiere la participación de toda la sociedad, de un sistema que integre lo privado y diferentes sectores (salud, educación, servicios sociales y la coordinación de diferentes instituciones que generen servicios de calidad a la niñez.

  13. Desarrollo de una metodología para la gestión integral de un software altamente cambiante. Caso de estudio: La Farmacia Española

    OpenAIRE

    Calvín-Tienza, Paloma

    2014-01-01

    Muchas son las metodologías creadas y diseñadas para la gestión de desarrollos de software pero pocas para gestionar el proceso de creación, mantenimiento y soporte del mismo. Dentro del marco de las prácticas derivadas del Manifiesto Ágil el presente trabajo pretende crear una metodología con procedimientos y buenas prácticas que gestione las diferentes áreas funcionales de soporte a clientes y desarrollo de un producto de software con un alto nivel evolutivo. Tras la identifi...

  14. Elements for an integrated resource planning in the framework of river basins: a study for the Cuiaba River Basin; Elementos para um planejamento integrado de recursos no ambito de bacias hidrograficas: um estudo para a bacia do rio Cuiaba

    Energy Technology Data Exchange (ETDEWEB)

    Dorileo, Ivo Leandro; Bajay, Sergio Valdir [Universidade Estadual de Campinas (NIPE/UNICAMP), SP (Brazil). Nucleo Interdisciplinar de Planejamento Energetico. Dept. de Energia], e-mail: ildorileo@sigmanet.com.br, e-mail: bajay@fem.unicamp.br

    2008-07-01

    A new approach in energy planning in Brazil, IRP - Integrated Resources Planning for River Basins, gathers three main determinants of development: water, electricity and piped gas. This paper argues, briefly, the need of this planning, of indicative character, integrated with the River Basin Plans, and it presents a retrospective analysis concerning water, electricity and LPG demands of the economy sectors from Cuiaba River Basin region, priority elements to aid the prospective studies and to carry out process related to the IRP. (author)

  15. Teaching the Past through Oral History.

    Science.gov (United States)

    Dillon, Pattie

    2000-01-01

    Discusses oral history as a means to connect national events with the lives of individual people. Relates the information from student oral term paper interviews, focusing on topics such as the Vietnam War, the Great Depression, civil rights and school integration, and the assassination of President John F. Kennedy. (CMK)

  16. HELICOBACTER PYLORI EN LA FLORA BACTERIANA ORAL

    OpenAIRE

    Moromi Nakata, Hilda

    2014-01-01

    No hay duda de la relación existente entre enfermedades orales con otras enfermedades sistémicas. En tal contexto, las bacterias de la flora bacteriana oral, que alcanzan alrededor de 350 especies, para la mayoría de tales bacterias no se ha demostrado un rol específico, conociéndose sí una clara relación entre los Estreptococos orales (Streptococcus sanguis, Strecoccus mutans, Streptococcus sobri nus) y Actinobacillus actinomycetencomitans, entre otros, con la endocarditis bacteriana; así co...

  17. Comprensión y producción oral y escrita en la enseñanza del español para los tres ciclos de la educación secundaria mexicana: entre lo deseable y lo posible

    Directory of Open Access Journals (Sweden)

    Gilberto Fregoso Peralta

    2015-12-01

    Full Text Available Se reporta el análisis de tres libros vigentes para la enseñanza del idioma español en los cursos respectivos de la asignatura, dentro del nivel educativo secundario mexicano. Motivaron la pesquisa dos propósitos: explorar sus contenidos e implementación, así como estimar si tal proceso sentaba un precedente idóneo para el trayecto académico posterior, ello al constatar de manera cotidiana las limitaciones que en materia de dominio del lenguaje muestran nuestros alumnos de licenciatura y posgrado, tanto en la comprensión como en la producción oral y escrita. El resultado plantea un dilema susceptible de alimentar una polémica oportuna, de un lado, la propuesta en cuanto a contenidos y didáctica es ambiciosa, compleja y requiere el acceso a recursos lo mismo simbólicos que tecnológicos sofisticados, actuales y probablemente eficaces en ámbitos donde se disponga de ellos, de otro, para muchos entornos de nuestra realidad socioeconómica nacional sería excesiva, incumplible, descontextualizada

  18. Encouraging Teenagers to Improve Speaking Skills through Games in a Colombian Public School (Motivación de adolescentes para mejorar su expresión oral mediante el juego en un colegio público colombiano)

    Science.gov (United States)

    León, William Urrutia; Cely, Esperanza Vega

    2010-01-01

    Our project was implemented with tenth grade students of a public school located in the Usme Zone in Bogotá. We decided to develop this action research project because we were concerned about our students' difficulties when attempting to speak English. They felt inhibited with activities that involved oral interaction mainly because they were…

  19. Integrated analysis of oral tongue squamous cell carcinoma identifies key variants and pathways linked to risk habits, HPV, clinical parameters and tumor recurrence [version 1; referees: 2 approved

    Directory of Open Access Journals (Sweden)

    Neeraja Krishnan

    2015-11-01

    Full Text Available Oral tongue squamous cell carcinomas (OTSCC are a homogeneous group of tumors characterized by aggressive behavior, early spread to lymph nodes and a higher rate of regional failure. Additionally, the incidence of OTSCC among younger population (<50yrs is on the rise; many of whom lack the typical associated risk factors of alcohol and/or tobacco exposure. We present data on single nucleotide variations (SNVs, indels, regions with loss of heterozygosity (LOH, and copy number variations (CNVs from fifty-paired oral tongue primary tumors and link the significant somatic variants with clinical parameters, epidemiological factors including human papilloma virus (HPV infection and tumor recurrence. Apart from the frequent somatic variants harbored in TP53, CASP8, RASA1, NOTCH and CDKN2A genes, significant amplifications and/or deletions were detected in chromosomes 6-9, and 11 in the tumors. Variants in CASP8 and CDKN2A were mutually exclusive. CDKN2A, PIK3CA, RASA1 and DMD variants were exclusively linked to smoking, chewing, HPV infection and tumor stage. We also performed a whole-genome gene expression study that identified matrix metalloproteases to be highly expressed in tumors and linked pathways involving arachidonic acid and NF-k-B to habits and distant metastasis, respectively. Functional knockdown studies in cell lines demonstrated the role of CASP8 in a HPV-negative OTSCC cell line. Finally, we identified a 38-gene minimal signature that predicts tumor recurrence using an ensemble machine-learning method. Taken together, this study links molecular signatures to various clinical and epidemiological factors in a homogeneous tumor population with a relatively high HPV prevalence.

  20. [Oral microbiota: a promising predictor of human oral and systemic diseases].

    Science.gov (United States)

    Xin, Xu; Junzhi, He; Xuedong, Zhou

    2015-12-01

    A human oral microbiota is the ecological community of commensal, symbiotic, and pathogenic microorganisms found in human oral cavity. Oral microbiota exists mostly in the form of a biofilm and maintains a dynamic ecological equilibrium with the host body. However, the disturbance of this ecological balance inevitably causes oral infectious diseases, such as dental caries, apical periodontitis, periodontal diseases, pericoronitis, and craniofacial bone osteomyelitis. Oral microbiota is also correlated with many systemic diseases, including cancer, diabetes mellitus, rheumatoid arthritis, cardiovascular diseases, and preterm birth. Hence, oral microbiota has been considered as a potential biomarker of human diseases. The "Human Microbiome Project" and other metagenomic projects worldwide have advanced our knowledge of the human oral microbiota. The integration of these metadata has been the frontier of oral microbiology to improve clinical translation. By reviewing recent progress on studies involving oral microbiota-related oral and systemic diseases, we aimed to propose the essential role of oral microbiota in the prediction of the onset, progression, and prognosis of oral and systemic diseases. An oral microbiota-based prediction model helps develop a new paradigm of personalized medicine and benefits the human health in the post-metagenomics era.

  1. Diseño de un sistema de control integral para optimizar el manejo de inventarios en las bodegas de la Empresa Belcorp-Ecuador, dedicada a la comercialización de cosmeticos, ubicada en Quito, provincia de Pichincha.

    OpenAIRE

    Cazco Sánchez, Manuel Santiago

    2011-01-01

    La presente tesis consiste en el desarrollo del diseño de un sistema de control integral para optimizar el manejo de inventarios en las bodegas de la empresa Belcorp-Ecuador, dedicada a la comercialización de cosméticos, ubicada en Quito, provincia de Pichincha. La empresa Belcorp-Ecuador con siete años de trayectoria en el país y más de 40 años a nivel internacional, considera necesario tener un mayor control en el manejo de sus inventarios; A pesar de tener una estructura sólida, con una...

  2. Propuesta de un Sistema Integral de Salud Penitenciaria (SISPE) para efectivizar la rehabilitación social. Caso Centro de Rehabilitación Social de Varones Quito No. 2

    OpenAIRE

    González Escudero, Marco Antonio, Dr.

    2003-01-01

    Hoy en día la salud se considera un estado integral de bienestar social, mental y físico, más que la simple ausencia de enfermedades o dolencias. En la declaración de Alma-Atá de 1978, los países miembros de la OMS se comprometieron con el lema "Salud para todos". El principio rector de todos los departamentos de salud locales, estatales, provinciales, regionales y nacionales es lograr esta meta de la manera más completa y rápida posible.1; Entendiendo la Salud como el eq...

  3. Reflexions on oral health in Brazil

    Directory of Open Access Journals (Sweden)

    Anya Pimentel Gomes Fernandes Vieira Meyer

    2013-12-01

    , the study showed, as previously described, a prevalence of caries still significant in several age groups assessed, as well as significant regional differences in the prevalence and severity of dental caries. These findings indicate the need for policies aimed at equity in the attention and innovative actions of promotion and prevention, which should also be sensitive to regional differences promotion and prevention. The promotion of oral health is embedded within a broad concept of health bthat transcends the mere technical dimension of the dentistry sector, integrating it into other collective health practices. It expresses the construction of healthy public policies directed to all people in the community, as well as policies that create opportunities for access to actions of health promotion and prevention, ensuring the availability of appropriate basic dental care. The oral health practices, starting from epidemiological references, have been reorganized in order to reduce inequities and give social responses to oral health problems and needs of the population, based on the principles of the Sistema Único de Saúde - SUS (Unified Health System, which brings in its very essence a guarantee of qualified access and integration of health services(6. However, the actions of health assistance, promotion and prevention should be evaluated in order to substantiate their effectiveness, efficiency and effectiveness, and extend them to other regions. Vieira-da-Silva(7 reports a relation between evaluation and ‘the process of determining the effort, merit or worth of something, or the value associated with the product of that process’. For the author, the assessment is considered important, firstly because it is associated with the possibility and need for interventions to modify health frameworks and, secondly, for taking into account the difficulties faced by these same practices to alter epidemiological indicators of morbidity and mortality in many other

  4. Use of a lactic acid plus lactoserum intimate liquid soap for external hygiene in the prevention of bacterial vaginosis recurrence after metronidazole oral treatment Uso do ácido láctico com lactoserum em sabonete líquido íntimo para higiene externa na prevenção da recorrência de vaginose bacteriana após tratamento oral com metronidazol

    Directory of Open Access Journals (Sweden)

    M. Valeria Bahamondes

    2011-08-01

    uso de acido láctico com lactoserum em sabonete líquido iniciado imediatamente após o tratamento com metronidazol oral e qualidade de vida das participantes. MÉTODOS: Um total de 123 mulheres com dianóstico de VB com ao menos três dos seguintes critérios: 1 leucorreia vaginal homogênea sem inflamação de vagina ou vulva; 2 pH vaginal ≥ 4,5; 3 teste positivo de Whiff; e 4 "clue cells" em mais de 20% das células epiteliais na vagina. O escore de Nugent ≥ 4 na bacterioscopia vaginal também foi usado. Após o diagnóstico de VB, metronidazol 500 mg oral foi ministrado durante 7 dias. Pacientes curados da VB foram instruídos a usar 7,5 a 10 mL de acido láctico com lactoserum em sabonete líquido uma vez ao dia para higiene da genitália externa. Três visitas de controle foram agendadas (30, 60 e 90 dias; ± 5 dias. Um questionário foi aplicado na forma de escala visual análoga (EVA em todas as visitas sobre: 1 nível de conforto na região genital; 2 mau odor na genitália; 3 conforto na relação sexual; 4 satisfação com higiene íntima; e 5 autoestima. RESULTADOS: Noventa e duas (74,8% mulheres iniciaram o uso de ácido láctico com lactoserum líquido na visita 1. Na visita 2, 3 e 4 foram 84, 62 e 42 mulheres para avaliação, respectivamente. A taxa de recorrência da VB foi 19,0%, 24,2% e 7,1%, respectivamente nas três visitas e candidíase vaginal foi observada em cinco mulheres. Qualidade de vida foi avaliada em 42 mulheres que completaram as quatro visitas agendadas e houve uma melhora significativa nos cinco domínios avaliados. CONCLUSÃO: O uso de acido láctico com lactoserum em sabonete líquido para higiene externa intima pode ser uma opção para a prevenção da recorrência de VB após tratamento e cura com metronidazol oral

  5. Sucrose concentration and pH in liquid oral pediatric medicines of long-term use for children Concentración de sacarosa y pH en medicamentos líquidos pediátricos para uso a largo plazo por vía oral

    Directory of Open Access Journals (Sweden)

    Isabela Albuquerque Passos

    2010-02-01

    Full Text Available OBJECTIVES: To determine the pH and sucrose concentrations (SC of pediatric liquid drugs of long-term use by children in order to evaluate the potential risk for dental caries and dental erosion. METHODS: After assessing the pH, we analyzed 71 aqueous medicine samples for sucrose by the Lane-Eynon general volumetric method. The pH and SC values (mean ± standard deviation (SD were calculated according to therapeutic action. RESULTS: The highest and the lowest SC values (mean ± SD were found in respiratory (37.75% ± 17.23% and endocrine drugs (11.97% ± 15.16% (p 0.05. The overall pH (mean ± SD was 5.89 ± 2.02 (range 2.3 ± 0.01 to 10.6 ± 0.02. In products with acidic pH, the SC (mean ± SD was significantly lower (22.14% ± 15.72% than in nonacidic medicines (39.22% ± 15.82% (p OBJETIVOS: Determinar el pH y las concentraciones de sacarosa de medicamentos pediátricos líquidos de uso oral a largo plazo, para evaluar el riesgo potencial de caries y erosión dental. MÉTODOS: Se analizaron 71 muestras de medicamentos líquidos; después de evaluar el pH, se determinó la sacarosa por el método volumétrico de Lane&Eynon. El pH y los valores de sacarosa (media ± desviación estándar [DE] se calcularon de acuerdo con la acción terapéutica. RESULTADOS: El valor de sacarosa más alto (media ± DE se encontró en los medicamentos respiratorios (37,75% ± 17,23% y el más bajo en los endocrinos (11,97% 15,16% ± (p 0,05. El pH general fue 5,89 ± 2,02 (recorrido 2,3 ± 0,01 a 10,6 ± 0,02. La sacarosa fue significativamente inferior en los productos con el pH ácido (22,14% ± 15,72% que en los medicamentos no ácidos (39,22% ± 15,82% (p < 0,001. CONCLUSIONES: Los medicamentos pediátricos estudiados tienen una concentración de sacarosa alta y un pH bajo, los cuales varían según la clase terapéutica, la dosis diaria y la marca. Cuando estos medicamentos se ingieren con frecuencia, se debe tener cuidado con la caries y la erosión dental

  6. Head, Neck, and Oral Cancer

    Medline Plus

    Full Text Available ... Extractions and Other Oral Surgeries Extractions and Other Oral Surgeries Oral and maxillofacial surgeons surgically treat the soft ... Extractions and Other Oral Surgeries Extractions and Other Oral Surgeries Oral and maxillofacial surgeons surgically treat the soft ...

  7. Towards understanding oral health

    NARCIS (Netherlands)

    Zaura, E.; ten Cate, J.M.

    2015-01-01

    During the last century, dental research has focused on unraveling the mechanisms behind various oral pathologies, while oral health was typically described as the mere absence of oral diseases. The term ‘oral microbial homeostasis' is used to describe the capacity of the oral ecosystem to maintain

  8. The energy geopolitics interests: the Initiative for South American Regional Integration - ISARI; Os interesses da geopolitica energetica: a Iniciativa para Integracao Regional Sul Americana - IIRSA

    Energy Technology Data Exchange (ETDEWEB)

    Jeronymo, Alexandre; Roig, Carla de Almeida; Guerra, Sinclair Mallet Guy [Universidade Federal do ABC (UFABC), Santo Andre, SP (Brazil). Programa de Pos-Graduacao em Energia], e-mail: alexandre.jeronymo@ufabc.edu.br, e-mail: carla.roig@ufabc.edu.br, e-mail: sguerra@ufabc.edu.br

    2008-07-01

    This work adds itself to the debates on the project Integration of South America Regional Infrastructure - ISARI. Its focus is related with Energy Geopolitics and the South America integration under the world system of commodities production. The ISARI, as a project oriented to the viability of low value aggregated which should be transported from the south american continent for consumption at the world market.

  9. El Manual FIM, Modelo de Excelencia Organizacional: un Instrumento para Proyectos de Asistencia Técnica Integral a PYMES (The FIM Manual for organizational excellence: an instrument for integral techniques assistance to SMEs)

    OpenAIRE

    Rodríguez Sánchez, Francisco Javier; Gómez Navarro, Tomás

    2012-01-01

    La complejidad creciente del entorno en que se desenvuelvenlas empresas hace necesario que éstas desarrollencapacidades para mejorar su competitividad para alcanzar laexcelencia y afrontar con garantías los nuevos retos. Con laevolución del principio de “excelencia”, se dio paso a una nociónmás amplia e integradora, la cual se incluye en modelosde excelencia organizacional como el Modelo EFQM (de laEuropean Foundation for Quality Management) o el del PremioMalcolm Baldrige. Esos modelos permi...

  10. Uma metodologia para a condução do processo associado ao projeto organizacional de sistemas de operações integradas A methodology to drive the integrated operations system organizational design process

    Directory of Open Access Journals (Sweden)

    Edson Pinheiro de Lima

    2004-01-01

    Full Text Available Em sistemas de operações integradas, os reais benefícios da integração só podem ser obtidos e reconhecidos se o projeto e a estrutura organizacional decorrente se tornam compatíveis com a mudança a ser introduzida. Além disso, há a necessidade de se desenvolver uma metodologia para a condução da atividade de projeto, o que inclui a sua gestão e instrumentalização. Da definição de um modelo de referência para o projeto organizacional, desenvolve-se a racionalidade do processo de projetar. A partir desta racionalidade e dos seus elementos constituintes, identifica-se uma abordagem metodológica que tenha a completude necessária, no sentido de se manter a coerência entre a estrutura e a mudança a ser introduzida, bem como de servir como instrumento para a sua operacionalização. Portanto, afora desenvolver a racionalidade do processo de projetar, destaca-se como contribuição deste trabalho a identificação de uma abordagem que, além de definir um processo de gestão da atividade de projeto organizacional, orientando a sua instrumentalização, poderá servir como uma estratégia para o refinamento e a validação do modelo. Tal metodologia contribui para a construção de uma Teoria Organizacional de Projeto para os sistemas organizacionais, em particular para os sistemas de operações integradas.The real benefits of integration, in an integrated operations system, can only be obtained and recognized if the implemented organizational design and structure are compatible with the introduced change. Besides the development of a methodology to drive the design task is needed, including its management and operationalization. From the reference model definition for the organizational design, it is developed the design process rationality. From this rationality and its constituent elements, it is identified a methodological approach that encompass the needed completeness, in the sense to sustain the coherence between the

  11. An integrated, quality by design (QbD) approach for design, development and optimization of orally disintegrating tablet formulation of carbamazepine.

    Science.gov (United States)

    Mishra, Saurabh M; Rohera, Bhagwan D

    2017-11-01

    The objective of the present study was to design and develop a formulation for orally disintegrating tablets (ODTs) of carbamazepine using quality by design principles. The target product profile (TPP) and quality target product profile (QTPP) of ODTs were identified. Risk assessment was carried out by leveraging prior knowledge and experience to define the criticality of factors based on their impact by Ishikawa fishbone diagram and preliminary hazard analysis tool. Box-Behnken response surface methodology was used to study the effect of critical factors on various attributes of ODTs. The independent factors selected were compression pressure (X 1 ), concentration of sublimating agent (volatile material) (X 2 ), disintegrant concentration (X 3 ) and the responses were tablet crushing strength, tablet porosity, disintegration time, water absorption time, tablet friability and drug dissolution. ANOVA and lack of fit test illustrated that selected independent variables had significant effect on the response variables, and excellent correlation was observed between actual and predicted values. Optimization by desirability function indicated that compression pressure, X 1 (1534 lbs), ammonium bicarbonate concentration, X 2 (7.68%) and Kollidon ® CL-SF concentration, X 3 (6%) were optimum to prepare ODT formulation of carbamazepine of desired attributes complying with QTPP. Thus, in the present study, a high level of assurance was established for ODT product quality and performance.

  12. Integrative genomic and functional analysis of human oral squamous cell carcinoma cell lines reveals synergistic effects of FAT1 and CASP8 inactivation.

    Science.gov (United States)

    Hayes, Tyler F; Benaich, Nathan; Goldie, Stephen J; Sipilä, Kalle; Ames-Draycott, Ashley; Cai, Wenjun; Yin, Guangliang; Watt, Fiona M

    2016-12-01

    Oral squamous cell carcinoma (OSCC) is genetically highly heterogeneous, which contributes to the challenges of treatment. To create an in vitro model that accurately reflects this heterogeneity, we generated a panel of HPV-negative OSCC cell lines. By whole exome sequencing of the lines and matched patient blood samples, we demonstrate that the mutational spectrum of the lines is representative of primary OSCC in The Cancer Genome Atlas. We show that loss of function mutations in FAT1 (an atypical cadherin) and CASP8 (Caspase 8) frequently occur in the same tumour. OSCC cells with inactivating FAT1 mutations exhibited reduced intercellular adhesion. Knockdown of FAT1 and CASP8 individually or in combination in OSCC cells led to increased cell migration and clonal growth, resistance to Staurosporine-induced apoptosis and, in some cases, increased terminal differentiation. The OSCC lines thus represent a valuable resource for elucidating the impact of different mutations on tumour behaviour. Copyright © 2016 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

  13. Gestión integral de un Proyecto de Reconstrucción Virtual para una exposición en un Museo

    Directory of Open Access Journals (Sweden)

    Diego Sagasti Mota

    2010-05-01

    Full Text Available En los trabajos de reconstrucción histórica, la exactitud, fidelidad y rigor histórico de lo que se muestra es un elemento esencial. Cada vez más, la reconstrucción virtual está tomando una posición de relevancia en las exposiciones y museos de arqueología. Los modeladores y programadores de la reconstrucción virtual están ganando importancia a la hora de crear una exposición, pero necesitan de un asesoramiento continuo por parte de los arqueólogos para que la reconstrucción final sea ajustada a la realidad. Nosotros presentamos nuestro proyecto de creación de la parte virtual de una exposición para el museo arqueológico de Vitoria (Spain, utilizando diferentes tipos de medios para reconstruir y contar la historia de los hombres que poblaron el norte de la península Ibérica desde el 300.000 a.d.C hasta la actualidad.

  14. Pautas orientadoras para la promoción de la salud bucal en la primera infancia para profesionales de salud

    Directory of Open Access Journals (Sweden)

    Gloria Esperanza González C.

    2012-11-01

    Full Text Available La salud bucal es parte integral de la salud general del individuo. Lasafecciones bucales más prevalentes en niños son las alteraciones delcrecimiento y desarrollo bucodental, y la caries. Las primeras, generalmente están relacionadas con hábitos orales nocivos, patronesalimentarios inadecuados y la adquisición tardía de funciones comola masticación que generan maloclusiones. La caries, enfermedadcrónica más frecuente en la infancia, causa graves consecuencias enla salud del niño como dolor, infecciones faciales, hospitalizacionesy consultas frecuentes a los servicios de urgencia. Se pretende proponer una guía que permita detectar tempranamente los factoresde riesgo para la caries de infancia temprana y maloclusiones a losprofesionales de salud que entran tempranamente en contacto conel bebé y su familia para la promoción de salud bucal. Es esencial elcuidado de la salud oral de la madre gestante incentivando la lactanciamaterna como factor protector sobre la salud general y bucal delrecién nacido.

  15. Planejamento reabilitador por professores de prótese dentária para pacientes com seqüela de doença periodontal = Oral rehabilitation planning for patients with periodontal disease sequela by prosthodontics faculty

    Directory of Open Access Journals (Sweden)

    Baldisserotto, Simone Michielon

    2006-01-01

    Full Text Available A doença periodontal avançada destrói os tecidos de suporte dentário e pode levar a perda dentária que torna necessária uma reabilitação protética que devolva função e estética. Objetivo: Analisar o planejamento reabilitador selecionado por professores de Prótese Dentária de faculdades de Odontologia brasileiras para dois Casos Clínicos de pacientes parcialmente edentados e com experiência anterior de doença periodontal avançada. Materiais e métodos: Foram enviados para 45 professores selecionados aleatoriamente, via carta, dois relatos de casos Clínicos acompanhados de fotografias intrabucais, modelos articulados e levantamento radiográfico periapical. Por meio de um questionário estruturado, foram dadas opções de tratramento que incluíam desde a reabilitação com próteses fixas e removíveis convencionais até implanto-suportadas, desconsiderando os aspectos econômicos. Resultados: Quinze professores consentiram em participar do estudo (33,3% de taxa de resposta. As opções protéticas frente aos Casos Clínicos foram as seguintes: para os arcos superiores e inferiores, 50% dos professores participantes sugeriram a reabilitação por próteses convencionais e 50% sugeriram próteses implanto-suportadas. Conclusões: Várias alternativas de planejamento foram apresentadas para ambos os Casos Clínicos, mostrando a diversidade de técnicas escolhidas para pacientes parcialmente edentados e com seqüelas de doença periodontal

  16. A paradigm for developing a comprehensive treatment protocol for survivors of domestic violence Paradigma para crear un protocolo terapéutico integral destinado a las sobrevivientes de violencia doméstica

    Directory of Open Access Journals (Sweden)

    Henry Espinoza

    2005-02-01

    Full Text Available En este trabajo se propone un paradigma para crear un protocolo terapéutico integral destinado a las sobrevivientes de episodios de violencia en el hogar. El paradigma propuesto exige que las organizaciones y grupos sociales que más tienen que lidiar con la violencia doméstica tengan una mayor participación en este sentido y una mayor vinculación entre sí. La atención sanitaria es un componente indispensable del tratamiento integral de sobrevivientes de la violencia doméstica, como también lo son el sistema jurídico, las agencias que velan por el cumplimiento de la ley, las agencias que proveen servicios sociales, las escuelas, los medios de difusión y las iglesias. Para que los servicios estén bien integrados, tanto las agencias como las comunidades donde estas agencias prestan sus servicios tendrán que llegar a un común entendimiento del problema de la violencia doméstica, compartir metas y tener un mismo paradigma de trabajo conjunto. Un paradigma de este tipo podría comprender la puesta en marcha, mediante una colaboración entre agencias, de actividades de promoción, prevención, tratamiento y seguimiento de sobrevivientes, y de medición de resultados inmediatos y en el largo plazo.

  17. Oral dirofilariasis

    Directory of Open Access Journals (Sweden)

    Mahija Janardhanan

    2014-01-01

    Full Text Available Filariasis affecting animals can rarely cause infections in human beings through the accidental bite of potential vectors. The resulting infection in man, known as zoonotic filariasis occur worldwide. Human dirofilariasis, the most common zoonotic filariasis, is caused by the filarial worm belonging to the genus Dirofilaria. Dirofilarial worms, which are recognized as pathogenic in man can cause nodular lesions in the lung, subcutaneous tissue, peritoneal cavity or eyes. Oral dirofilariasis is extremely rare and only a few cases have been documented. We report an interesting case of dirofilariasis due to Dirofilaria repens involving buccal mucosa in a patient who presented with a facial swelling. The clinical features, diagnostic issues and treatment aspects are discussed. This paper stresses the importance of considering dirofilariasis as differential diagnosis for subcutaneous swelling of the face, especially in areas where it is endemic.

  18. Oral dirofilariasis.

    Science.gov (United States)

    Janardhanan, Mahija; Rakesh, S; Savithri, Vindhya

    2014-01-01

    Filariasis affecting animals can rarely cause infections in human beings through the accidental bite of potential vectors. The resulting infection in man, known as zoonotic filariasis occur worldwide. Human dirofilariasis, the most common zoonotic filariasis, is caused by the filarial worm belonging to the genus Dirofilaria. Dirofilarial worms, which are recognized as pathogenic in man can cause nodular lesions in the lung, subcutaneous tissue, peritoneal cavity or eyes. Oral dirofilariasis is extremely rare and only a few cases have been documented. We report an interesting case of dirofilariasis due to Dirofilaria repens involving buccal mucosa in a patient who presented with a facial swelling. The clinical features, diagnostic issues and treatment aspects are discussed. This paper stresses the importance of considering dirofilariasis as differential diagnosis for subcutaneous swelling of the face, especially in areas where it is endemic.

  19. Evaluating an integrated pilot model for post-treatment of RAP effluent using Spirodela Sp. Evaluación de un modelo piloto integrado para postratamiento del efluente del RAP utilizando Spirodela sp.

    Directory of Open Access Journals (Sweden)

    Aguilar Acevedo Fernanda

    2006-12-01

    Full Text Available

    Integrated residual water treatment systems try to reduce organic matter and nutrients and reuse by-produets generated during the process. An integrated pilot model was constructed with Spirodela sp. to complement the Bolivariana University's current residual water treatment plant's efficieney in removing nutrients. This was evaluated for its efficieney in removing nutrients (ammoniacal nitrogen and phosphorus and total and faecal coliforms using different depths of water. 77.07% efficieney was obtained for ammoniacal nitrogen, 97.10% for total phosphorus, 98.56% for faecal coliforms and 96.4% for total coliforms.

    Key words: biological treatment, residual water, nutrient removal.

    Los sistemas integrados de tratamiento de aguas residuales buscan la disminución de materias orgánicas y nutrientes, además de la reutilización de los subproductos generados en el proceso. Para complementar la eficiencia de remoción de nutrientes del actual tratamiento de las aguas residuales de la Universidad Pontificia Bolivariana Bucaramanga se construyó un modelo piloto integrado con Spirodela sp., el cual fue evaluado para medir la eficiencia en remoción de nutrientes (nitrógeno y fósforo, coliformes totales y fecales, con diferentes alturas de lámina de agua; los resultados reportaron eficiencias hasta de 77.07% para nitrógeno amoniacal, 97.10% fósforo total, 98.56% coliformes fecales y 96.4% coliformes totales.

    Palabras clave: aguas residuales, tratamiento biológico, remoción de nutrientes.

  20. Oral sex, oral health and orogenital infections

    Directory of Open Access Journals (Sweden)

    Rajiv Saini

    2010-01-01

    Full Text Available Oral sex is commonly practiced by sexually active male-female and same-gender couples of various ages, including adolescents. The various type of oral sex practices are fellatio, cunnilingus and analingus. Oral sex is infrequently examined in research on adolescents; oral sex can transmit oral, respiratory, and genital pathogens. Oral health has a direct impact on the transmission of infection; a cut in your mouth, bleeding gums, lip sores or broken skin increases chances of infection. Although oral sex is considered a low risk activity, it is important to use protection and safer sex precautions. There are various methods of preventing infection during oral sex such as physical barriers, health and medical issues, ethical issues and oral hygiene and dental issues. The lesions or unhealthy periodontal status of oral cavity accelerates the phenomenon of transmission of infections into the circulation. Thus consequences of unhealthy or painful oral cavity are significant and oral health should be given paramount importance for the practice of oral sex.

  1. Por uma teoria integradora para a compreensão da realidade Por una teoría integradora para la comprensión de la realidad For an integrative theory for understanding the reality

    Directory of Open Access Journals (Sweden)

    Carlos Tadeu Grzybowski

    2010-06-01

    Full Text Available O presente artigo visa suscitar uma reflexão crítica sobre a utilização do paradigma cartesiano nas ciências denominadas humanas e questiona a utilização dos modelos epistemológicos de causa e efeito nesta área. Contempla um estudo sobre o enfoque sistêmico, indicando que este não surgiu do vazio, mas na evolução da própria ciência na tentativa de explicação dos fenômenos complexos. Para uma melhor compreensão do tema, destacam-se os conceitos principais deste novo paradigma e se propõe um detalhamento do paradigma da complexidade como uma das expressões mais relevantes e atuais do enfoque sistêmico. Conclui-se levantando algumas críticas que têm surgido ao modelo.El artículo presente busca proporcionar una reflexión crítica sobre el uso del paradigma Cartesiano en las ciencias humanas y cuestiona el uso del modelo epistemológico de causa y efecto en esta área. Contempla un estudio en el enfoque sistémico, mientras indicando que lo mismo no surge en el vacío, pero en la evolución de la propia ciencia en el esfuerzo de explicación de los fenómenos complejos. Para una mejor comprensión del tema, son destacados los conceptos principales de este nuevo paradigma, y se propone una especificación del paradigma de la complejidad como una de las expresiones más pertinentes y actuales del enfoque sistémico. Se concluye con el levantamiento de algunas críticas que se hacen al modelo.The present article intends to provide a critical reflection on the use of the Cartesian paradigm in the human sciences. It questions the use of the epistemological models of cause and effect, based on a study on the systemic focus which has not appeared in an emptiness, but rather in the evolution of science itself, in an attempt to explain the complex phenomena. For a better understanding of the theme, some main concepts of this new paradigm are brought to light. Moreover, this study brings forward details of the paradigm of complexity

  2. AVANÇOS E PERSPECTIVAS DA RENAME APÓS NOVOS MARCOS LEGAIS: O DESAFIO DE CONTRIBUIR PARA UM SUS ÚNICO E INTEGRAL

    Directory of Open Access Journals (Sweden)

    José Miguel do Nascimento Júnior

    2015-10-01

    Full Text Available Objetivos: O presente artigo tem por objetivo descrever o processo de atualização da Relação Nacional de Medicamentos Essenciais (RENAME, contextualizando-o à luz de novos marcos legais do Sistema Único de Saúde (SUS. Métodos: Trata-se de um estudo descritivo, de natureza crítica-reflexiva, estruturado em dois momentos: a o processo de atualização da RENAME com a instituição dos novos marcos legais e b discussão dos avanços, desafios e perspectivas da RENAME com o advento dos marcos legais descritos. Resultados: Discute-se a nova concepção da RENAME e sua harmonização com as diretrizes do SUS, discorrendo sobre aspectos dos processos de incorporação, de responsabilização pelo financiamento e de pactuação interfederativa, e seus impactos no acesso aos medicamentos. Conclusões: As mudanças nos marcos legais contribuíram para a aproximação das políticas de incorporação tecnológica e de assistência farmacêutica no âmbito do SUS, tornando a nova RENAME um instrumento importante para a qualificação da gestão e para a garantia do acesso a medicamentos eficazes, efetivos e seguros à população brasileira. Descritores: Medicamentos Essenciais; Assistência Farmacêutica; Gestão em Saúde; Financiamento da Assistência à Saúde; Sistema Único de Saúde.  

  3. Eficacia y seguridad de la terbinafina oral en pauta intermitente o pulsátil versus pauta continua para el tratamiento de la onicomicosis en mayores de 18 años

    Directory of Open Access Journals (Sweden)

    Ernesto Andrade Cerquera

    2016-01-01

    Conclusiones. La terbinafina intermitente tiene menor éxito de cura clínica y micológica que la continua; su RR corregido demuestra que la pauta intermitente es 13% menos eficiente que la continua. Clínicamente los hallazgos son significativos pero estadísticamente falta poder en los estudios y un mayor tamaño de muestra agrupado para mejorar la evidencia.

  4. Epitextos digitales como estrategia LIJ 2.0 para la formación integral en Didáctica de la Lengua y la Literatura

    OpenAIRE

    Rovira-Collado, José; Llorens García, Ramón Francisco

    2017-01-01

    En el contexto universitario, desde el área de Didáctica de la Lengua y la Literatura, se plantea la formación literaria del futuro profesorado de Educación Infantil, Educación Primaria o Educación Secundaria Obligatoria desde un punto de partida fundamental: la motivación. Para ello, se establecen diversos objetivos: reforzar el interés del alumnado por la lectura literaria a partir de la Literatura Infantil y Juvenil, desarrollar su competencia lectoliteraria y ampliar su competencia digita...

  5. El cuadro de mando integral y los sistemas normativos de gestión. análisis para la pyme chilena

    OpenAIRE

    Nelson Saldias Seguel; Carlos Torres Navarro

    2007-01-01

    El presente artículo entrega una descripción de los factores contingentes que generalmente ayudan a dar vida a la PYME nacional. Posteriormente se describen algunos elementos comunes que caracterizan la configuración y funcionamiento de estas organizaciones, donde se destacan elementos como la improvisación y falta de adecuación de los factores de producción a la estrategia del negocio, lo que redunda en un bajo desempeño. Para combatir ésta última deficiencia se sugiere utilizar los modelos ...

  6. Lodos de depuradora : una visión integral para su posible aplicación a suelos desde una perspectiva agrícola

    OpenAIRE

    Murcia Navarro, Francisco José

    2013-01-01

    Dentro de los usos que se puede ofrecer a los lodos EDAR, debido a que contienen una cantidad elevada de materia orgánica y un más que aceptable contenido en elementos nutricionales, es su consideración (siempre que no hayan elementos en contra que introduzcan toxicidad) como enmiendas orgánicas o incluso, como fertilizantes orgánicos, susceptibles de ser reciclados en los suelos y conseguir para los mismos una mejora en productividad, fertilidad, y por tanto un su calidad. Precisamente, en z...

  7. Caminhos para a permacultura popular: Experiência de formação do grupo sauipe – saúde integral em permacultura

    OpenAIRE

    Santos, Marcelo Loures; Barbosa, Willer Araujo; Caon, Kyvia Gregório

    2012-01-01

    O presente trabalho se propõe a discutir as contribuições da Permacultura através da perspectiva da educação popular. Parte-se da premissa que há diferentes movimentos que buscam solucionar problemas diante da atual situação de desequilíbrio sócio-ambientais, por isso faz-se necessário encontrar alternativas para se alcançar a urgente sustentabilidade das ações humanas. Dentre elas, apresenta-se a Permacultura, a Agroecologia e a Ecopedagogia. Em específico trataremos da experiência desenvolv...

  8. Contribuição dos recursos culturais para a terapia comunitária integrativa na visão do terapeuta Contribución de los recursos culturales para la Terapia Comunitaria Integrativa en la visión del lo terapeuta Contribution of cultural resources for Community Integrative Therapy in the vision of therapist

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    Danielle Samara Tavares de Oliveira

    2011-09-01

    concluye que los recursos culturales es importante para el trabajo del terapeuta pues, fortalece vínculos e ajuda la persona a resignificar su sufrimiento.This study aims to investigate the contribution of cultural resources to Community-Based Integrative Care (CBIC, to consolidate it as a model of community-based mental health and a political strategy for local health, and to identify the cultural strategies most used in CBIC sessions. This is a qualitative study, conducted in the city of João Pessoa, state of Paraíba, Brazil, with ten therapists. We used semi-structured interviews and a field diary, from September, 2008, to March, 2009, then proceeded to the interpretive analysis of the data. It was evident that the inclusion of cultural resources contributes to the consolidation of CBIC, for it reclaims and strengthen values, and it underscores the personal and social identity of individuals, encouraging effective participation. The main cultural resources used were music, dynamics and prayers. The conclusion was that cultural resources are an important resource for the work of the therapist, for it strengthens bonds and helps people to give a new meaning to their suffering.

  9. Sistema de Gestão Integrado (SGI e os benefícios para o setor siderúrgico / Integrated management system and benefits for steel industry

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    Clauciana Schmidt Bueno de Moraes

    2013-12-01

    Full Text Available O Sistema de Gestão Integrado tem o papel de unificar os processos de qualidade, gestão ambiental, segurança, saúde ocupacional e responsabilidade social. A gestão integrada desses sistemas torna mais eficiente a implantação das políticas, objetivos, processos, procedimentos e práticas do que por meio de sistemas de gestão individuais para cada processo de uma organização. Este trabalho explicita como isto ocorre analisando as características desse sistema e fazendo uma avaliação dos benefícios de sua aplicação. Adicionalmente, aborda questões relativas aos impactos e as mudanças necessárias no que se refere aos requisitos abordados em cada sistema. Conclui que o SGI garante respostas às exigências das regulamentações cada vez mais rigorosas, respeito ao meio ambiente, compromisso permanente com a saúde e a segurança das pessoas no trabalho, e satisfação do cliente. O SGI utiliza sistemas compatíveis integrados com o intuito de obter resultados cada vez melhores para as organizações que o adote.

  10. ELEMENTOS PARA LA VALORACIÓN INTEGRAL DE LOS RECURSOS NATURALES: UN PUENTE ENTRE LA ECONOMÍA AMBIENTAL Y LA ECONOMÍA ECOLÓGICA

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    RODRÍGUEZ ROMERO PAULO CESAR

    2012-07-01

    Full Text Available El predominio de las valoraciones de los recursos naturales basadas en cifras económicas ha generado una infravaloración de los beneficios reales que obtienen las sociedades de la naturaleza, causada por el desconocimiento de la complejidad de las funciones ecológicas y por ignorar la integralidad de los subsistemas que componen el ambiente. Ante tal panorama, resulta imperante encontrar puentes conceptuales entre las ciencias ambientales para llenar los vacíos en los métodos de valoración, recurriendo a la pluralidad de escalas de medición, a la participación de los actores involucrados y al principio de precaución frente a los límites de la conmensurabilidad de la naturaleza. El presente ensayo explora los conceptos del valor y las metodologías de valoración desde los enfoques de la Economía Ambiental (EA y la Economía Ecológica (EE, para posteriormente proponer una integración de métodos valorativos que tengan en cuenta la complementariedad y complejidad de las relaciones de valor en la naturaleza. La propuesta de valorar integralmente los bienes y servicios ecosistémicos (BSE contribuye a que las decisiones políticas se ajusten de mejor forma a la realidad ambiental.

  11. Importancia de la educación y comunicación para la prevención y manejo integral de la otitis media

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    Jorge Parra-Camacho

    2017-01-01

    Full Text Available La otitis media aguda (OMA desde una perspectiva de salud pública genera implicaciones sociales y económicas a pesar de ser una de las causas prevenibles de discapacidad auditiva a nivel mundial. Afecta a la población en general y se presenta en un alto porcentaje en la primera infancia. Se destaca la importancia de la educación y comunicación en la promoción de la salud y la prevención de la OMA por parte de los profesionales encargados de dicho proceso desde la Atención Primaria en Salud (APS, quienes debe orientar su actuar para implementar estrategias y metodologías guiadas al aprendizaje de la comunidad sobre hábitos saludables y sobre la modificación de actitudes que vayan en contravía de este propósito. De manera adicional, se requiere una mejor comprensión de las conductas que desencadenan una entidad como la OMA en los familiares y personas cercanas a quien la padece para lograr adherencias a las pautas terapéuticas recomendadas por parte de los cuidadores primarios, basados en una mejor comprensión de la entidad. Se concluye que mediante la comunicación efectiva y la educación pertinente, se puede generar un impacto en la disminución de morbimortalidad por OMA en la comunidad.

  12. Modelo integral para la administración de información escolar en escuelas primarias públicas en México con un sistema de información

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    Israel Patiño Galván

    2014-09-01

    Full Text Available El presente trabajo es el resultado de investigaciones científicas y tecnológicas realizadas en sector educativo primario público, cuyo objetivo es crear un modelo integral para la administración de información escolar con Criptografía de datos, mediante un sistema de información. El cual permitirá colaborar con alternativas tecnologías integrales, para sistematizar los procesos operativos y administrativos en dicho sector. Para el desarrollo y culminación de esta investigación se emplearon metodologías científicas y tecnologías, por un lado en la parte Cientifica los métodos de investigación de campo, análisis y síntesis, inducción, Sistémico - estructural - funcional, y por otra parte la metodología tecnológica de intervención y de ciclo de vía orientado a objetos, además de la recopilación de información, el marco teórico y contextual que avaló la propuesta. Por otra parte, los resultados arrogados fueron contundentes ya que la propuesta mejoró la  administración de información, en particular de las calificaciones de los alumnos, la agilización, disposición y control de información. Finalmente, la conclusión a la que se llego fue clara ya que la investigación realizada confirma con la hipótesis planteada y responde a la pregunta de investigación, la cual consistió en cuestionar la importancia de la creación de un Modelo integral para la administración de información escolar con criptografía de datos, mediante un sistema de información. En este mismo sentido, es de vital importancia continuar con la aportación de alternativas científicas y tecnológicas integrales con fundamento en la investigación, que sirvan de apoyo a los procesos administrativos y operativos del sector educativo.

  13. PROTOTIPO DE UN SISTEMA INTEGRADO DIGITAL PARA LA CLASIFICACIÓN DE COBERTURAS Y USOS DE LA TIERRA A NIVEL DE FINCA BANANERA DIGITAL INTEGRATED SYSTEM FOR THE CLASSIFICATION OF LAND COVER AND USE TO BANANA FARM LEVEL

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    Darío Antonio Castañeda Sánchez

    2006-06-01

    Full Text Available Se desarrolló un prototipo de un sistema integral para la clasificación de coberturas y usos de la tierra, aplicable a los sistemas bananeros. Este se basó en dos criterios, el de la participación comunitaria y el del sensoramiento remoto. El primero se fundamenta en la incorporación del conocimiento que tiene la comunidad de su entorno mediante talleres y cartografía social, el segundo propone el empleo de herramientas tecnológicas de bajo costo para el levantamiento de las coberturas y uso de la tierra, como la adquisición de fotografías aéreas de baja altitud usando un sistema conformado por una cometa o globo, un equipo para la adquisición de las imágenes y un equipo de control en tierra. La propuesta fue aplicada mediante un estudio de caso en una finca bananera ubicada en la región de Urabá (Colombia. El análisis de imágenes permitió la agrupación de las coberturas en clases o grupos y con el aporte de la participación comunitaria se describieron los usos para cada cobertura. Finalmente se hizo un análisis de las normas ambientales relacionadas con la distribución espacial de las coberturas, hallándose por ejemplo áreas de retiro del cultivo respecto a recursos o zonas vulnerables así como su cumplimiento o no de la normatividad.An integrated system was developed for the classification of land cover and use that is applicable to banana systems. It was based on two criteria; community participation and remote sensing. The former is based upon incorporation of the knowledge that the community has regarding its surroundings through workshops and social cartography; the latter proposes the use of low cost technological tools for establishing land covers and uses, such as acquiring low altitude aerial photographs using a system comprised of a kite or balloon, equipment for image acquisition, and ground based control equipment. The proposal was applied through a case study in a banana plantation located in the Urab

  14. Reforma integral para mejorar el desempeño del sistema de salud en México Comprehensive reform to improve health system performance in Mexico

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    Julio Frenk

    2007-01-01

    Full Text Available A pesar de haber alcanzado una esperanza de vida promedio de 75 años, similar a la de países más desarrollados, México ingresó al siglo XXI con un sistema de salud marcado por su incapacidad para ofrecer protección financiera en salud a más de la mitad de su población. Esto es resultado y causa de las desigualdades sociales que han caracterizado el proceso de desarrollo en México. Varias limitaciones estructurales han dificultado el funcionamiento y limitado el avance de su sistema de salud. Consciente de que la falta de protección financiera era su principal debilidad, México ha emprendido una reforma estructural para mejorar el desempeño del sistema de salud mediante el establecimiento del Sistema de Protección Social en Salud (SPSS, el cual ha introducido nuevas reglas de financiamiento e incentivos. La principal innovación de la reforma ha sido el Seguro Popular de Salud, el componente de aseguramiento del SPSS dirigido al financiamiento de la atención médica para todas aquellas familias, en su mayoría pobres, que históricamente habían sido excluidas de la seguridad social. La reforma ha permitido un incremento significativo en la inversión pública en salud, al tiempo que realinea los incentivos para garantizar una atención de mayor calidad técnica e interpersonal. En este trabajo se describen las principales características y los resultados iniciales de este esfuerzo de reforma de México, y se derivan algunas lecciones para otros países que consideren llevar a cabo transformaciones a su sistema de salud en circunstancias de desafío similares.Despite having achieved an average life expectancy of 75 years, much the same as that of more developed countries, Mexico entered the 21st century with a health system mared by its failure to offer financial protection in health to more than half of its citizens; this was both a result and a cause of the social inequalities that have marked the development process in Mexico

  15. Natural gas markets integration in the Southern Cone: analysis of interests and stakeholders; Perspectivas para a integracao gasifera no Cone Sul: uma analise dos principais interesses e interessados

    Energy Technology Data Exchange (ETDEWEB)

    Villas Boas, Marina Vieira [PETROBRAS, Rio de Janeiro, RJ (Brazil)

    2004-07-01

    Natural gas has been recently gaining importance in the world energy mix especially because of its economical and environmental advantages but also because of technological and geopolitical issues. In the Southern Cone, natural gas demand shall maintain its upward trend in the next years mainly due to its use in power generation. This region owns significant natural gas reserves and, at the same time, a growing and with high potential market. In this scenario, natural gas markets integration is seen simultaneously as an opportunity and a necessity as it can contribute to demand and production interconnection, price competitiveness and security of supply. Nevertheless, there are important barriers to the consolidation of natural gas market integration in the Southern Cone region that have to be overcome. For the natural gas markets integration to be a sustainable project it is necessary to identify the major stakeholders and their interests and pursue a balance between them. (author)

  16. Historia oral y comunicación:Aportes para la construcción de una teoría dialógica y crítica de la pedagogía del maestro

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    Juan Felipe Nieto Molina

    2017-12-01

    Full Text Available The debates held in the last decades about the importance of social media inclusion as a background element within schools, have enabled us to visualize a series of pedagogical Works which have transformed the pedagogical teachers ́interventions in the classrooms. The concern about producing alternating curricula that can respond to the immediately needs of the educational contexts, have managed to recover the community members voices to contribute in conflict soutions and in the quality of education improvement. However, the social and cultural challenges posed by this century, invite us to create inclusive pedagogical interventions which involve the sight of military conflict victims, LGBT community, afrodescendants and others, in order to contribute in a peace and dialogue society construction. Consequently, this work that is a product of a theoretical reflection aims to analyze a sort of conceptual contributions which may allow us to take the oral history and the critical pedagogy as key elements in the teachers ́education and the change of the instructional interventions. It must be made clear, however, that the following article represents a serie of comtemplationstaken from authors of critical theory, critical pedagogy, oral history and communication –education, which make posible reconstruct meeting áreas and not-meeting ones, to think about teachers as intellectually twenty first century converters

  17. Initial studies of integrated resources planning for the Sustainable Development Reserve Mamiraua; Estudos iniciais de planejamento integrado para a RDSM (Reserva de Desenvolvimento Sustentavel de Mamiraua)

    Energy Technology Data Exchange (ETDEWEB)

    Gimenes, Andre Luiz Veiga; Udaeta, Miguel Edgar Morales; Burani, Geraldo Francisco; Galvao, Luiz Claudio Ribeiro [Universidade de Sao Paulo (USP), SP (Brazil). Dept. de Engenharia de Energia e Automacao Eletricas. Grupo de Energia], e-mail: udaeta@pea.usp.br

    2004-07-01

    This study evaluates the energy strategies for the Reserva de Desenvolvimento Sustentavel Mamiraua (RDSM) through a prior analysis of Integrated Resource Planning. Therefore, the following steps were executed: raising the possibilities for electricity generation in RDSM; general characterization of the uses of electric power in communities to a scaling of the total needs of energy; classification of the options found and determining the technologies that suit the region. The Integrated Resource Planning proposal to RDSM intends to test its validity in a real case, in a context where traditional planning has been ineffective, confirming the need for planning in remote areas and lack of infrastructure and electricity. (author)

  18. Evaluación inicial de sistemas integrados para la producción de alimentos y energía en Cuba Initial evaluation of integrated systems for food and energy production in Cuba

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    F. R Funes-Monzote

    2011-12-01

    Full Text Available La investigación tuvo el objetivo de definir una tipología de sistemas integrados de producción de alimentos y energía con enfoque agroecológico, en Cuba. Los resultados se basan en una evaluación preliminar del comportamiento de fincas integradas pertenecientes al proyecto internacional Biomas-Cuba. Se describe una metodología que puede servir como base para futuras evaluaciones de la relación diversidad-eficiencia energética-productividad, en la búsqueda de tipologías que sirvan para caracterizar, de la manera más precisa posible, dichos sistemas integrados. La metodología permitió la cuantificación del comportamiento de la diversidad, la eficiencia energética y la productividad de 25 sistemas de producción en diferentes estadios de conversión y distribuidos en la zona occidental, la central y la oriental de Cuba. Los indicadores evaluados (previamente validados en Cuba para este tipo de estudio y el uso de métodos de cálculo empírico y estadística multivariada permitieron identificar y caracterizar tres tipos fundamentales de sistemas integrados, a los cuales se les denominó BIOMAS-1A, BIOMAS-1B y BIOMAS-1C. Los resultados de los indicadores, así como el análisis de las semejanzas y diferencias entre los diferentes tipos constituyen elementos a tener en cuenta para posteriores estudios en sistemas integrados de alimentos y energía con un mayor número de fincas.The objective of the study was to define a typology of integrated food and energy production systems with agroecological approach, in Cuba. The results are based on a preliminary evaluation of the performance of integrated farms belonging to the international project Biomas-Cuba. A methodology is described which can be helpful as basis for future evaluations of the diversity-efficiency-energy-productivity relationship, in the search for typologies that can characterize, as accurately as possible, such integrated systems. The methodology allowed quantifying the

  19. Strengthening of Oral Health Systems: Oral Health through Primary Health Care

    Science.gov (United States)

    Petersen, Poul Erik

    2014-01-01

    Around the globe many people are suffering from oral pain and other problems of the mouth or teeth. This public health problem is growing rapidly in developing countries where oral health services are limited. Significant proportions of people are underserved; insufficient oral health care is either due to low availability and accessibility of oral health care or because oral health care is costly. In all countries, the poor and disadvantaged population groups are heavily affected by a high burden of oral disease compared to well-off people. Promotion of oral health and prevention of oral diseases must be provided through financially fair primary health care and public health intervention. Integrated approaches are the most cost-effective and realistic way to close the gap in oral health between rich and poor. The World Health Organization (WHO) Oral Health Programme will work with the newly established WHO Collaborating Centre, Kuwait University, to strengthen the development of appropriate models for primary oral health care. PMID:24525450

  20. Una educación integral para los médicos de la Universidad de Buenos Aires: las propuestas de José Ramos Mejía y Bernardo Houssay entre 1870-1940

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    von Stecher, Pablo

    2016-06-01

    Full Text Available At the end of nineteenth century, certain Argentinean doctors who taught medicine at the Universidad de Buenos Aires considered that students had to develop an integral knowledge able to outweigh the medicine subjects. Consequently, not only have they tried to inculcate this wide knowledge into the students -which included literature and art concepts- but have also promoted the advantages of the physical activity -derived from sports- as necessary to strengthen the students, allowing them to face such extensive career and, in this way, increase the feelings of friendship and brotherhood. In 1920, Bernardo Houssay, renowned Argentinean doctor and Nobel Prize winner (in 1947, again insisted on the need of an exhaustive education and a harmonious development for the medicine student, for which he suggested building a University campus in Buenos Aires. Therefore, this paper analyzes the attempts of training the students in different practices and widening their knowledge beyond the strictly medical concepts. It also looks into the different projects (political, social in connection with the purposes above mentioned which were supported during those years in Argentina.Hacia fines del siglo XIX, algunos médicos argentinos que enseñaban en la Facultad de Medicina de la Universidad de Buenos Aires entendían que los estudiantes y futuros médicos debían ser formados en un saber integral, que superara las materias clínicas. De este modo, intentaron inculcarles el conocimiento de las letras y el arte, pero también promovieron las ventajas del desarrollo físico, forjado en las prácticas deportivas, necesario para fortalecer a los alumnos ante una carrera de tal magnitud y para acrecentar los sentimientos de confraternidad y camaradería. Hacia la década de 1920, Bernardo Houssay, célebre médico argentino y ganador del premio Nobel (en 1947, volvía a insistir sobre la necesidad de una educación integral del estudiante de medicina y propon

  1. Plantas medicinais usadas para a saúde bucal pela comunidade do bairro Santa Cruz, Chapada dos Guimarães, MT, Brasil Medicinal plants used for oral health in the Santa Cruz neighborhood, Chapada dos Guimarães, Mato Grosso State, Brazil

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    Aneliza Meireles Borba

    2006-12-01

    Full Text Available Em Mato Grosso, populações tradicionais recorrem ao uso de espécies vegetais como alternativa terapêutica. Na cidade de Chapada dos Guimarães, o bairro Santa Cruz se destaca por abrigar famílias nascidas em áreas urbanas ou rurais que conservam esses conhecimentos transmitidos por gerações. Esta pesquisa tem como objetivo o levantamento das plantas medicinais utilizadas pela comunidade local, indicações terapêuticas, preparos e modos de uso visando a manutenção e recuperação da saúde bucal. Foram entrevistados 40 residentes, através de abordagem qualitativa, usando entrevista semi-estruturada. As espécies catalogadas foram depositadas para identificação no UFMT/Herbário Central. Foram citadas 87 espécies pertencentes a 48 famílias utilizadas na saúde bucal, encontradas no bioma Cerrado ou cultivadas nas residências. Conforme as afecções bucais citadas, as espécies utilizadas são: para erupção dentária: camomila (Matricaria chamomilla L.; candidíases, estomatites, gengivites e afta: açafrão (Crocus sativus L.; dor de dente: arnica-da-serra (Brickelia brasiliensis (Spreng. Robinson. A folha foi a parte da planta mais usada e o chá, por decocção, modo de preparo mais comum. Pessoas idosas, líderes comunitários, parteiras e benzedeiras entrevistados apresentaram um maior conhecimento sobre o assunto. Constatou-se que a comunidade utiliza espécies vegetais, nativas do cerrado ou exóticas, com finalidade terapêutica para manutenção e recuperação da saúde bucal, sendo uma alternativa tradicional, econômica e atuante.In the State of Mato Grosso, traditional populations turn to the use of many plant species as a therapeutic alternative. In the city of Chapada dos Guimarães, the Santa Cruz neighborhood is well known for harboring families from urban and rural communities who preserve this knowledge passed down through many generations. The objective of this research was to survey the medicinal plants used

  2. Intervenções de enfermagem para o cuidado de pacientes com artrite: revisão integrativa da literatura Intervenciones de enfermería para el cuidado de pacientes con artritis: revisión integradora Nursing interventions for the care of patients with arthritis: an integrative review

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    Daniella Soares dos Santos

    2012-12-01

    son eficaces para controlar el dolor y la discapacidad funcional. Llegamos a la conclusión de que existe un conjunto de intervenciones que pueden apoyar la práctica de la enfermería basada en la evidencia para los ancianos con artritis.This integrative review aimed to analyze the scientific literature related to nursing care for patients with arthritis. Twelve experimental studies were included, randomized and controlled, published in CINAHL, MEDLINE, SciELO and LILACS databases, using the controlled keywords "arthritis" and "nursing". The results indicated the effectiveness of music therapy, neuromuscular electrical stimulation, therapeutic touch and guided imagery associated with relaxation, for the treatment of pain. Being treated by a specialist nurse increased satisfaction with care, improved the impact of the disease and increased the demand for health services. Specific educational programs for people with arthritis stimulated the practice of physical exercises and those targeted to people with chronic conditions in general were effective to control pain and functional disability. We conclude that there is a set of interventions that can support the practice of evidence-based nursing for the elderly people with arthritis.

  3. El cuadro de mando integral y los sistemas normativos de gestión. análisis para la pyme chilena

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    Nelson Saldias Seguel

    2007-07-01

    Full Text Available El presente artículo entrega una descripción de los factores contingentes que generalmente ayudan a dar vida a la PYME nacional. Posteriormente se describen algunos elementos comunes que caracterizan la configuración y funcionamiento de estas organizaciones, donde se destacan elementos como la improvisación y falta de adecuación de los factores de producción a la estrategia del negocio, lo que redunda en un bajo desempeño. Para combatir ésta última deficiencia se sugiere utilizar los modelos de gestión normativos en conjunto con otros, que son complementarios, obteniendo importantes sinergias que permitirán que los procesos de negocio y trabajo sean efectivamente mejorados, mantenidos y alineados con la estrategia global de la organización. Se entregan finalmente también algunas propuestas para facilitar la adopción de los nuevos sistemas de gestión por parte de las PYME, resaltando los beneficios por el posible incremento de la competitividad y el mejor acceso al financiamiento. This article describes some of the most common contingency’s factors which helps chilean’s SME to born and grow up. Lately, some common elements that describes the frame and performance of those organizations are characterized, being detached elements like improvisation and misalign between strategy and production assets (including human resources; facts that drives SME to low performance. To fight against this negative facts, the use of prescriptive-normative managements models connected with others non prescriptive but complementary, is suggested. This frame will enable SME to obtain synergy, a real business process improvement and the alignment of them with organization’s strategy. Finally, the article gives some proposals to facilitate the new SME’s management system adoption, detaching the benefits from competitiveness’s improvement and the better access to financing.

  4. Implementación de sistemas de gestión integral sustentable para destinos turísticos, caso de estudio Parque Nacional Natural Utría, playa La Aguada – Colombia

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    Fernando Gutiérrez-Fernández

    2016-03-01

    Full Text Available En el presente proyecto se diseñó e implementó un sistema de gestión integral sustentable para playa La Aguada, en tres niveles de gestión: estratégico, táctico y operacional; ya que se comparó dicha playa con una organización. Para el diseño del sistema, el primer paso fue determinar los requisitos establecidos en la NTS TS 001-2, que es la norma correspondiente en Colombia a la certificación de destinos turísticos de playa. Esta certificación busca mejorar, no solo las condiciones en el ámbito ambiental, sino que exista una transversalidad entre el componente ambiental, el socio-cultural, el económico y el de seguridad, contribuyendo al progreso y al mejoramiento de la calidad de vida de la comunidad anfitriona que se involucra directamente con la actividad del turismo. Playa La Aguada, se encuentra ubicada en el Parque Nacional Natural de Utría en el Departamento de Choco – Colombia y como destino turístico, tiene un principal atractivo que es el avistamiento de ballenas Jorobadas o Yubartas (Megaptera novaeangliae Sin embargo, en los últimos años esta actividad se ha visto complementada por la realización de otro tipo de actividades eco turísticas, para lo cual la Unidad Administrativa Especial del Sistema de Parques Nacionales Naturales ha construido cabañas de alojamiento y un centro de visitantes. Por lo que esta se ha convertido en el lugar donde se recibe la mayor cantidad de visitantes, en el área natural y cuyo flujo se da durante todo el año; de manera que es necesario trabajar en su organización, buscando que el turismo no se convierta a futuro en una actividad perjudicial.

  5. El aprendizaje del ajedrez mediante la Educación Física, para la formación integral de los estudiantes de carreras pedagógicas

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    Rolando Díaz Cruz

    2009-03-01

    Full Text Available El trabajo contribuye a solucionar una realidad en el Instituto Superior Pedagógico, el mismo tuvo como el objetivo la elaboración de una monografía sobre la enseñanza del Ajedrez, la cual les permite a los estudiantes  profundizar en los elementos básicos e históricos relacionados con la temática, además de su formación como hombre nuevo  en la sociedad, con un pensamiento más flexible y creativo que les permita una mejor comprensión de los problemas de la vida actual.Este producto es el resultado de un profundo y extenso trabajo de sistematización y estudio  de documentos relacionados con esta materia, que fueron estudiados por los autores y clasificados en correspondencia con sus aportes científicos. Constituye un instrumento de consulta para el estudio y profundización, lo cual hace que se puedan cumplir las orientaciones del programa de Educación Física relacionadas con el Ajedrez, así como para docentes en general y en particular para estudiantes en formación de carreras pedagógicas. Dentro de los principales resultados esperados están: motivar la práctica del deporte Ajedrez en los estudiantes de carreras pedagógicas como componente de su formación integral.

  6. Integration of a platform based in field bus (profibus), for the development of process control systems; Integracion de una plataforma basada en bus de campo PROFIBUS, para el desarrollo de sistemas de control de procesos

    Energy Technology Data Exchange (ETDEWEB)

    Islas Perez, Eduardo; Arroyo Figueroa, Gustavo; Villavicencio Ramirez, Alejandro [Instituto de Investigaciones Electricas, Cuernavaca (Mexico)

    1994-03-01

    The integration of a computer platform for the process sequential control system development and validation of some processes of thermoelectric generation, which are constituted by operations of the logic-sequential type. The platform is composed of a process simulator, a sequence tester, a logic programmable controller, and an operational computer. All these elements are interconnected through a field bus type PROFIBUS (Process Field Bus) (Standard DIN 19245). This platform has been used for the elaboration and evaluation of the operational sequence and control of demineralization, reverse osmosis, and condensate polishing water treatment plants, which are simulated in a personal computer. [Espanol] Se presenta la integracion de una plataforma de computo para el desarrollo y validacion de sistemas de control secuencial de algunos procesos de generacion termoelectrica, los cuales estan constituidos por operaciones de tipo logico-secuencial. La plataforma esta compuesta por un simulador del proceso, un probador de secuencias, un controlador logico programable y una computadora de operacion. Todos estos elementos estan interconectados a traves de un bus de campo tipo PROFIBUS (Process Field Bus), (Estandar DIN 19245). Esta plataforma se ha utilizado para elaborar y validar la programacion de las secuencias de operacion y control de plantas de tratamiento de agua por desmineralizacion, osmosis inversa y pulidores de condensados, las cuales se tienen simuladas en una computadora personal

  7. A Ética do cuidado na educação infantil: um olhar diferenciado para a formação educacional integral da criança.

    OpenAIRE

    Marilan Negrão Borges Luz Gomes

    2011-01-01

    Uma reflexão sobre a formação educacional integral da criança na Educação Infantil relacionada à necessidade da prática da ética do cuidado no fazer pedagógico nas instituições de Educação Infantil visualizando a formação de um adulto no futuro com construção ética em seu agir pessoal e social. O primeiro capítulo traça um caminho até a ética do cuidado. Para tanto, conceitua ética, distingue ética de moral e apresenta a construção ética e moral da ...

  8. Multi-technology control centre to integrate 460 MW renewables; Centro de control multitecnología para la integración de 460 MW renovables

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2016-07-01

    The new RWE Innogy Aersa Control Centre that has been certified to act as an interface with CECRE (the Renewable Energy Control Centre) since February 2015, connects RWE’s 20 renewable energy facilities with REE, the Spanish Electricity Grid. As a result, it ensures that wind farms, in addition to hydropower and solar plants, can inject the energy generated by its 460 MW installed safely and with no penalties. Green Eagle Solutions, a provider of software solutions for renewable energy companies, has collaborated with RWE in the development of this Control Centre, meeting the high standards of quality and safety required by RWE. This centre uses CompactSCADA® technology to integrate power generation facilities that need to be integrated in a Control Centre to communicate with REE’s CECRE. (Author)

  9. Expert systems for integrity management in a crude oil pipeline; Sistemas expertos para gestion de integridad en sistemas de transporte de petroleo

    Energy Technology Data Exchange (ETDEWEB)

    Martinez, M.P.; Pini, J. [Oldelval S.A., General Roca RN (Argentina)]. E-mail: mmartine@oldelval.com.ar; jpini@oldelval.com.ar; Rossi, J.P.; Pellicano, A. [Sintec S.A., Mar del Plata, Buenos Aires (Argentina)]. E-mail: icesing@infovia.com.ar

    2003-07-01

    The study and modeling of corrosion processes aim at the accomplishment of three primary objectives: to increase safety operation margins, to reduce maintenance costs and to optimize available resources. The Integrity Expert System is based on a statistical propagation model of defects reported by high resolution magnetic inspection tool (MFL), fed with the information provided by corrosion sensors, repair interventions, field surveys and future inspections. As model results, defect depth, remaining strength and failure probability distributions were obtained. From the analysis, feasible courses of action were established: a medium term repair plan, an internal inspection program and both monitoring and mitigation technologies. System implementation in OLDELVAL was translated into two major effects of importance for the company integrity program: reduction in the pipeline probability of failure by corrosion by means of programmed repairs and optimization of the internal inspection investment plan by mans of an alternative programming. (author)

  10. Strategic drivers for oil business model: vertical integration versus spin-off; Direcionadores estrategicos para o modelo de negocios petroliferos: integracao vertical versus spin-off

    Energy Technology Data Exchange (ETDEWEB)

    Araujo, Gregorio da Cruz; Szpigel, Pedro [Petroleo Brasileiro S.A. (PETROBRAS), Rio de Janeiro, RJ (Brazil)

    2012-07-01

    The recent spin-offs of Marathon (2011) and ConocoPhillips (2012), as well as other breakups between the upstream and downstream segments announced by the smaller oil companies during the past year, raised questions about one of the main and oldest paradigms of oil industry: the vertical integration. Corporate spin-off is not a new phenomenon in the industry in general, but only very recently has got prominence in the oil industry. The objective of this paper is to analyze the factors that motivate corporate restructuring in the oil industry, leading to strategic decisions that strengthen the vertical integration or that lead to break the value chain. The key point is whether there will be contagion among majors due to the movement of CononoPhillips, starting a new trend in the industry, or whether the restructuring already done will be only restricted to the specific needs of certain oil companies. (author)

  11. INTEGRACIÓN DE COMPONENTES COM DE MATLAB/SIMULINK EN EL ENTORNO CASE XBDK, PARA EL MODELADO DE SISTEMAS DE CONFORMACIÓN DE HAZ MATLAB/SIMULINK COM COMPONENT INTEGRATION FOR XBDK CASE ENVIRONMENT, ORIENTED TO BEAMFORMING APLICATIONS

    Directory of Open Access Journals (Sweden)

    Mariano Raboso Mateos

    2009-04-01

    Full Text Available En este artículo se describe la interfaz de acceso a Matlab desde la plataforma XBDK (XML-Based Beamforming Development Kit. La contribución más novedosa es la utilización del lenguaje de script Tcl/Tk para el acceso al entorno Matlab utilizando las interfaces COM, ofrecidas por el servicio Matlab Automation Server. La utilización de lenguajes de script tiene innumerables ventajas a la hora de diseñar, construir y depurar prototipos o automatizar procesos. Muchas de las herramientas que se utilizan hoy en día para procesado de señal de una u otra manera permiten la utilización de lenguajes de script. La combinación de un lenguaje de script, con la posibilidad de acceder de forma detallada a los servicios de Matlab, proporciona una manera flexible, rápida y potente, de integrar servicios en una herramienta CASE integrada como XBDK.This paper describes Matlab access within the XBDK (XML-Based Beamforming Development Kit platform. A well-known script language named Tcl/Tk has been used to perform Matlab COM interfacing, a powerful and little known mechanism, provided by Matlab Automation Server. Automation processing or prototype development, take advantage from script languages such Tcl/Tk. Most recent digital signal processing tools, provide mechanisms to be invoked by script languages. A language script plus COM integration, performs a detail, flexible, quick and powerful mechanism to provide services for a CASE integrated development environment such XBDK.

  12. Tecnologías de la Información y las Comunicaciones: “Sistema Integral para el Control de Espacios Naturales y Rurales”

    OpenAIRE

    Viñals Blasco, María José; Hernández Franco, Carlos; Muñoz García, Salvador

    2003-01-01

    The paper presents an "Integral System for the Control of Natural and Rural Spaces" based on the Technologies of Information and Communications (TIC) applied to the tourist activity. The tourism, as other sectors, cannot be stayed foreign to the changes that the TIC permit as far as the increase of the competitiveness, the possibility of supplying new services to the user, the increase of the quality and the efficiency, diminution of costs, a promotion much more effective , etc. The TIC appli...

  13. Sistemas certificáveis de gestão ambiental e da qualidade: práticas para integração em empresas do setor moveleiro Environmental and quality certifiable management systems: guidelines for integration

    Directory of Open Access Journals (Sweden)

    Paulo Fernando Fuzer Grael

    2010-03-01

    Full Text Available O principal objetivo deste artigo é propor, a partir do referencial teórico e de um estudo de caso em uma empresa moveleira, práticas para integração de sistemas certificáveis de gestão ambiental e da qualidade. A coleta de dados do estudo de caso se deu por meio de entrevistas semiestruturadas com o responsável direto pelos dois sistemas e com alguns colaboradores-chave do nível operacional, além de análise documental e de visitas in loco. Ao final deste artigo, são propostas práticas para integração desses sistemas, relacionadas aos seguintes elementos: alta administração; apoio administrativo, financeiro e pessoal; serviço de consultoria; coordenação do programa de integração; interface entre os sistemas; capacitação técnico-gerencial; sistema de liderança, prospecção, avaliação e desenvolvimento de fornecedores; sistema de informação; indicadores; comunicação com o cliente, e integração contínua.Based on theoretical references and a case study centered on a furniture company, the main objective of this paper is to propose practices for integration of environmental and quality certifiable management systems. The case study data was collected via semi-structured interviews with those directly responsible for the two systems and some key collaborators at operational level, via document analysis and in loco observation. Finally, some practices are proposed to integrate these systems relating to the following elements: top-level administration; administrative, financial and personal support; consulting service; coordination of the integration program; interface between systems; technical-managerial training; leadership system; search, evaluation and development of suppliers; information system; indicators; communication with the customer; and continuous integration.

  14. Construcción de equipos de apoyo docente para Ingeniería Química: una alternativa de aprendizaje integral

    Directory of Open Access Journals (Sweden)

    Edgar Mauricio Vargas

    2004-11-01

    Full Text Available Los ingenieros químicos analizan simultáneamente los fenómenos de transporte de materia, calor y movimiento. En el aprendizaje de estos fenómenos, es importante conocer y manejar los modelos matemáticos para aplicarlos al diseño de equipos basados en estas operaciones unitarias. La verificación experimental de estos modelos refuerza notablemente su comprensión. Existe en el mercado una oferta de equipos a escala de laboratorio o planta piloto para ilustrar diversas operaciones unitarias. Estos equipos, de costo relativamente elevado, suelen ser poco versátiles, en el sentido de que el usuario solo puede realizar un conjunto limitado de experimentos con cada equipo. Surge entonces la oportunidad de enfrentar el desarrollo de este tipo de sistemas en un ambiente académico, en un equipo liderado por un profesor y apoyado por estudiantes de último semestre de la carrera, utilizando el espacio de su proyecto de grado. De esta forma, se pueden obtener equipos altamente versátiles, interconectables entre sí, con calidad comercial y a menor costo. Para los estudiantes involucrados en el desarrollo, el beneficio es evidente pues logran llevar a la práctica ejercicios de diseño, construcción y puesta a punto de equipos típicos de la Ingeniería Química. Además, el conocimiento y la tecnología se apropian localmente, facilitando su adaptación a las necesidades del entorno y disminuyendo la dependencia tecnológica./ Chemical engineers simultaneously analyze mass, heat and movement transport phenomena. In the learning process of these phenomena, it is fundamental to know the mathematical models of these unit operations for application in the equipment design. The experimental validation of these models strongly supports their understanding. There are a number of commercial educational equipment for illustrate several unit operations at laboratory or pilot plant scales. These products, usually with high cost, tend to have low versatility

  15. Leguminosa no controle integrado de plantas daninhas para aumentar a produtividade da laranja-'Pêra' Legume plants in the integrated weeds control to improve orange 'Pera' yield

    Directory of Open Access Journals (Sweden)

    JOSÉ EDUARDO B. DE CARVALHO

    2002-04-01

    Full Text Available Objetivou-se avaliar a produtividade da laranja-'Pêra', em dois ecossistemas, considerando dois diferentes manejos de solo para o controle integrado de plantas daninhas. O experimento foi instalado nos municípios de Rio Real e Conceição do Almeida, Bahia, no período de 1994 a 1999, em área total de 6000 m², em cada local. O manejo utilizado pelo produtor constou de três capinas manuais nas linhas de plantio e três gradagens nas entrelinhas, enquanto o manejo proposto utilizou como cobertura vegetal o feijão-de-porco (Canavalia ensiformes L., nas entrelinhas do pomar, associado a uma subsolagem. O controle químico das plantas daninhas nas linhas do pomar foi realizado duas vezes ao ano com glifosate. O manejo proposto apresentou melhores resultados em relação ao manejo do produtor nos dois municípios para todos os parâmetros analisados: peso do fruto, número de frutos por planta e produtividade. Em Conceição do Almeida, o sistema proposto foi 56,8% mais produtivo que o do produtor e, em Rio Real, 64,9%.Aimed to evaluate the productivity of sweet orange "Pera" grown considering two different ecosystems and under two soil management systems to control weeds. This work was carried out at the cities of Rio Real and Conceição de Almeida, Bahia State, during the period from 1994 to 1999. The soil management used by the farmer comprised three hoeings within planting lines and three harrowings between the planting lines. The new soil management proposed used a green cover of pig beans (Canavalia ensiformes, L. between the planting lines along with subsoiling, associated with a chemical control of the weeds by Gliphosate, on the planting lines, twice a year. The soil management proposed yielded better results than the farmer soil management at both ecosystems for fruit weight of fruit, number, and plant productivity. At Conceição do Almeida and Rio Real the proposed soil management was 56,8% and 64,9%, respectively, superior than the

  16. Radar, geologic, airborne gamma ray and Landsat TM digital data integration for geological mapping of the Estrela granite complex (Para State)

    International Nuclear Information System (INIS)

    Cunha, Edson Ricardo Soares Pereira da

    2002-01-01

    This work is focused on the geotectonic context of the Carajas Mineral Province, Amazon Craton, which represents the most important Brazilian Mineral Province and hosts iron, cooper, gold, manganese and nickel deposits. At the end of Archean age, during the techno-metamorphic evolution, moderated alkaline granitoids were generated, such as, Estrela Granite Complex (EGC). This work has used digital integration products with the purpose of study the granite suite, its host rock, and the surrounded area. The digital integrated data were gamma-ray and geological data with satellite images (SAR-SAREX e TM-Landsat). The geophysics data, originally in 32 bits and grid format, were interpolated and converted to 8 bits images. The geological data (facies map) was digitalized and converted to a raster format. The remote sensing images were geometrically corrected to guarantee an accuracy on the geological mapping. On the data processing phase, SAR images were digital integrated with gamma-ray data, TM-Landsat image and the raster facies map. The IHS transformation was used as the technique to integrate the multi-source data. On the photogeological interpretation, SAR data were extremely important to permit the extraction of the main tectonic lineaments which occur on the following directions: +/- N45W, +/- N70W, +/- NS, +/- N20E, +/- N45E e +/- N75E. This procedure was done both in analogic and automatic form, being the automatic process more useful to complement information in the extracting process. Among the digital products generated, SAR/GAMA products (uranium, thorium and total count) were the ones that give the most important contribution. The interpretation of the SAR/GAMA's products added to the field campaign have allowed to map the limits of units that occur in the region and four facies of the Estrela Granite Complex were detected. The origin of the granite suite might be related to a magmatic differentiation or to distinct intrusion pulses. The use of the

  17. World Workshop on Oral Medicine VI

    DEFF Research Database (Denmark)

    Brailo, Vlaho; Firriolo, Francis John; Tanaka, Takako Imai

    2015-01-01

    OBJECTIVES: To assess the current scope and status of Oral Medicine-specific software (OMSS) utilized to support clinical care, research, and education in Oral Medicine and to propose a strategy for broader implementation of OMSS within the global Oral Medicine community. STUDY DESIGN...... were being used for education, and three were multipurpose. Clinical software was being utilized as databases developed to integrate of different type of clinical information. Research software was designed to facilitate multicenter research. Educational software represented interactive, case......-orientated technology designed for clinical training in Oral Medicine. Easy access to patient data was the most commonly reported advantage. Difficulty of use and poor integration with other software was the most commonly reported disadvantage. CONCLUSIONS: The OMSS presented in this paper demonstrate how information...

  18. POTENCIAL DOS RECURSOS EDUCACIONAIS ABERTOS PARA INTEGRAÇÃO DAS TECNOLOGIAS E CONVERGÊNCIA ENTRE AS MODALIDADES NA UFSM. POTENTIAL OF OPEN EDUCATIONAL RESOURCES FOR TECHNOLOGY INTEGRATION AND CONVERGENCE BETWEEN THE MODALITIES AT UFSM

    Directory of Open Access Journals (Sweden)

    Elena Maria Mallmann

    2013-11-01

    Full Text Available O foco de análise é a implementação e o fomento de práticas escolares, para potencializar a integração das tecnologias e a convergência entre as modalidades na Universidade Federal de Santa Maria (UFSM, Brasil, por meio de Recursos Educacionais Abertos. Objetivamos sistematizar princípios conceituais e práticas que balizam a utilização de recursos educacionais abertos, com vistas a maximizar diálogo e produção curricular mediados por tecnologias. Os procedimentos metodológicos de pesquisa-ação (planejamento participativo, observação e questionários survey geraram dados para análise referente à programação e à problematização de Recursos Educacionais Abertos, em cursos de graduação e pós-graduação mediados pelo Moodle institucional. Os resultados de acoplamento da pesquisa à ação didático-metodológica inovadora na UFSM evidenciam crescimento exponencial na programação semanal de recursos e atividades de estudo no Moodle. A afirmação conclusiva destaca que a disponibilização e o suporte técnico institucional de tecnologias em rede ampliam condições para integração e convergência entre as modalidades, especialmente no âmbito dos recursos educacionais abertos como hipertextos programados em html. The analysis focus is the implementation and the fomentation of school practices in order to enhance the technology integration and the convergence between the modalities at the Federal University of Santa Maria (UFSM, Brazil, through open educational resources. We aimed to systematize conceptual principles and practices that beacon the use of open educational resources, aspiring to maximize dialogue and curricular production mediated by technologies. The action research methodological procedures (participatory planning, observation and survey questionnaires generated analysis data relative to the programming and problematization of open educational resources, in undergraduate and graduate courses mediated

  19. OralCard: a bioinformatic tool for the study of oral proteome.

    Science.gov (United States)

    Arrais, Joel P; Rosa, Nuno; Melo, José; Coelho, Edgar D; Amaral, Diana; Correia, Maria José; Barros, Marlene; Oliveira, José Luís

    2013-07-01

    The molecular complexity of the human oral cavity can only be clarified through identification of components that participate within it. However current proteomic techniques produce high volumes of information that are dispersed over several online databases. Collecting all of this data and using an integrative approach capable of identifying unknown associations is still an unsolved problem. This is the main motivation for this work. We present the online bioinformatic tool OralCard, which comprises results from 55 manually curated articles reflecting the oral molecular ecosystem (OralPhysiOme). It comprises experimental information available from the oral proteome both of human (OralOme) and microbial origin (MicroOralOme) structured in protein, disease and organism. This tool is a key resource for researchers to understand the molecular foundations implicated in biology and disease mechanisms of the oral cavity. The usefulness of this tool is illustrated with the analysis of the oral proteome associated with diabetes melitus type 2. OralCard is available at http://bioinformatics.ua.pt/oralcard. Copyright © 2013 Elsevier Ltd. All rights reserved.

  20. Segurança e produção: um modelo para o planejamento e controle integrado Safety and production: an integrated planning and control model

    Directory of Open Access Journals (Sweden)

    Tarcisio A. Saurin

    2002-01-01

    Full Text Available Este artigo apresenta um modelo de planejamento e controle da segurança no trabalho (PCS integrado ao processo de planejamento e controle da produção (PCP. O modelo foi desenvolvido por meio de dois estudos empíricos em obras industriais, adotando-se a pesquisa ação como estratégia de pesquisa. Os requisitos de segurança são integrados ao PCP em três níveis hierárquicos deste processo. No nível de longo prazo, o planejamento da segurança é configurado pelo desenvolvimento de análises preliminares de risco dos processos construtivos. A atualização e detalhamento da implantação destes planos é então feita por meio de sua integração aos níveis de médio e curto prazo do PCP.This paper presents a safety planning and control model (SPC that has been integrated to the production planning and control process. The model was developed through two action research empirical studies in industrial construction projects. Safety requirements are integrated into three hierarchical levels of planning and control process. At the long-term level, safety planning is featured by preliminary hazard analysis of construction processes. These plans are updated and detailed through its integration into both medium-term and short-term planning levels.

  1. Modelo de contabilidad integral para la Comunidad Salesiana de Uzhupud del cantón Paute en el período 2009-2010

    OpenAIRE

    Juela Fajardo, Norma Verónica; Mejía Arce, Fanny Elizabeth; Muñoz Ávila, Carmen Alexandra

    2009-01-01

    Es una propuesta que contempla el diseño de un modelo de contabilidad integral el cual comprende dos clases importantes como son; la Financiera y Administrativa, la primera será la encargada de emitir los resultados lógicos matemáticos, dentro de la cual se desarrollarán dos tipos de contabilidad según las necesidades tales como la de Servicios y la de Costos Agrarios y Agroindustriales. La contabilidad Administrativa permitirá la consolidación de los resultados de la contabilidad Financiera ...

  2. [Oral complications of chemotherapy of malignant neoplasms].

    Science.gov (United States)

    Obralić, N; Tahmiscija, H; Kobaslija, S; Beslija, S

    1999-01-01

    Function and integrity disorders of the oral cavity fall into the most frequent complication of the chemotherapy of leucemias, malignant lymphomas and solid tumors. Complications associated with cancer chemotherapy can be direct ones, resulting from the toxic action of antineoplastic agents on the proliferative lining of the mouth, or indirect, as a result of myelosuppression and immunosuppression. The most frequent oral complications associated with cancer chemotherapy are mucositis, infection and bleeding. The principles of prevention and management of oral complications during cancer chemotherapy are considered in this paper.

  3. Análise crítica sobre especialidades médicas e estratégias para integrá-las ao Sistema Único de Saúde (SUS A critical analysis of medical specialities and strategies for their integration into the Unified National Health System in Brazil (SUS

    Directory of Open Access Journals (Sweden)

    Gastão Wagner de Sousa Campos

    1997-01-01

    Full Text Available Identificou-se relativa liberdade dos médicos brasileiros para criação de novas especialidades médicas, havendo, em conseqüência, progressiva fragmentação do trabalho em saúde, verificando-se também crescente diminuição da importância e mesmo da capacidade resolutiva das especialidades-raízes: clínica médica, pediatria, cirurgia geral e gineco-obstetrícia. Propõem-se dois conceitos operativos para redefinição da abrangência e da responsabilidade do trabalho médico: Campo de competência e Núcleo de Competência. São também levantadas diretrizes para reforma das políticas de formação e de incorporação de especialistas ao SUS.The implementation of medical specialization in Brasil has been relatively free of constraints. There has thus been a progressive fragmentation of medical work. The so-called root specialities are losing both their strength and clinical problem-solving capacity. Two operational concepts are proposed for achieving better administration of medical responsibilities and the role of medical professionals: 1 field of competence and 2 core competence. General goals are suggested for reforming specialized training and integration of specialists into the Unified National Health System.

  4. Integral healthcare model for treating problems caused by alcohol and other drugs: perceptions of users, their companions and practitioners O modelo de atenção integral à saúde para tratamento de problemas decorrentes do uso de álcool e outras drogas: percepções de usuários, acompanhantes e profissionais

    Directory of Open Access Journals (Sweden)

    Maristela Moraes

    2008-02-01

    Full Text Available Based on an integral healthcare model for the users of alcohol and other drugs, the expansion of Brazil's Psycho-Social Care Centers - Alcohol and Drugs (CAPS-AD is guided by the acknowledgement of users as citizens rather than patients, aiming at social reinsertion through an intersectoral approach and damage control, as well as other principles designed to build up integral healthcare services that are fair and egalitarian. This paper examines alcohol and drug users, their companions and healthcare practitioners in terms of the existing healthcare model, through a study conducted at two Psycho-Social Care Centers - Alcohol and Drugs in Recife, Pernambuco State. Focus groups, participative observation and documentary surveys were used to analyze the daily work routines at these Centers, exploring player perceptions and therapeutic projects. The findings indicate that users are still perceived as being ill, with medicalization and other traces of care models not used since the Psychiatric Reform. Social reinsertion was perceived as the main obstacle in integral healthcare. Restructuring this practice seems necessary, in order to break away from a culture of prejudice, exclusion and illness, as well as control models based on hospital-centric psychiatry.No Brasil, a expansão dos CAPS-AD, baseada em um modelo de atenção integral à saúde de usuários de álcool e outras drogas, preconiza a passagem da idéia de doentes para a de cidadãos; reinserção social e intersetorialidade das ações; adoção da redução de danos e outros princípios para atenção integral justa e equânime; entretanto, a literatura aponta para manutenção da lógica de controle que surge com o saber médico do século XVIII. O objetivo desse trabalho foi investigar a percepção de usuários, acompanhantes e profissionais, acerca do modelo de atenção à saúde de usuários de drogas. O estudo foi realizado em CAPS-AD de Recife (PE, com grupos focais, observa

  5. Modelo de auditoría integral para pequeñas Cooperativas de Ahorro y Crédito ecuatorianas

    Directory of Open Access Journals (Sweden)

    Veloz-Navarrete, Fernando

    2017-08-01

    Full Text Available The present research presents the implementation of the "Integral Audit" which is assumed as a management tool for small Ecuadorian Saving and Credit Cooperatives located in segment 4 according to the classification of the Popular and Solidary System. The new thing lies in the adoption of common auditing practices, applied to small entities that can be either of control and prevention, management, compliance and financial. The transdisciplinary approach is presented as a strategy and method to achieve more successful results according to Edgar Morín; by adopting and interweaving these techniques in a complementary way into a single instrument, they provide with the steps of the audit process for timely decision-making and strategic reorientation in a simplified, coherent and relevant way. It is proposed the "integral audit" as a monitoring tool for business management that responds in the pertinence of decision making, given the characteristics and particularities of these types of companies, where management is a strategic and decisive process for the success and performance of them.

  6. Monte Carlo method for dose calculation due to oral X-rays; Coeficientes de conversao para calculo de doses devidos a radiografias odontologicas utilizando o metodo de Monte Carlo

    Energy Technology Data Exchange (ETDEWEB)

    Loureiro, Eduardo Cesar de Miranda

    1998-06-01

    The increasing utilization of oral X-rays, especially in youngsters and children, calls for the assessment of equivalent doses in their organs and tissues. With this purpose, a Monte Carlo code was adapted to simulate an X-ray source irradiating phantoms of the MIRD-5 type with different ages (10, 15 and 40 years old) to calculate the conversion coefficients which transform the exposure at skin to equivalent doses at several organs and tissues of interest. In order to check the computer program, simulations were performed for adult patients using the original code (ADAM.FOR developed at the GSF-Germany) and the adapted program (MCDRO.PAS). Good agreement between results obtained with both codes was observed. Irradiations of the incisive, canine and molar teeth were simulated. The conversion factors were calculated for the following organs and tissues: thyroid, active bone narrow (head and whole body), bone (facial skeleton, cranium and whole body), skin (head and whole body) and crystalline. Based on the obtained results, it follows that the younger the patient and the larger the field area, the higher the dose in assessed organs and tissues. The variation of the source-skin distance does not change the conversion coefficients. On the other hand, the increase in the voltage applied to the X-ray tube causes an increase in the calculated conversion coefficients. (author)

  7. Integral analysis of the drill string dynamic behaviour to optimize drilling operation; Analise integrada do comportamento dinamico da coluna para otimizacao de perfuracao

    Energy Technology Data Exchange (ETDEWEB)

    Lima, Araken [Smith International do Brasil, Macae, RJ (Brazil); Placido, Joao C.R.; Percy, Joseir G.; Falcao, Jose; Freire, Helena; Ono, Eduardo H.; Masculo, Miguel S. [PETROBRAS S.A., Rio de Janeiro, RJ (Brazil); Azuaga, Denise; Frenzel, Mark [Smith International Inc., Houston, TX (United States)

    2008-07-01

    For a performance preview of a drilling system is necessary a dynamic and integrated modeling for understanding all system forces resulting from the combination of the rock strength, cut structure action, drilling parameters, BHA and all others drilling components. This study must predict, for the drill string, vibrations and torsions, from bit to surface, its origins and its effects, and provides the best way to reduce these vibrations, determining the best bit, BHA and drilling parameters. Thereby, this study eliminates the trial and error approach and the operation risks. This paper aims to present studies of optimization for two drilling wells conducted in Brazil, one in Santos Basin and other in Campos Basin, and compares the numerical simulations results with the data from drilling operations. (author)

  8. Evaluación del proceso integral para la obtención de aceite esencial y pectina a partir de la cáscara de naranja Integral evaluation process for obtaining pectin and essential oil

    Directory of Open Access Journals (Sweden)

    Ivonne Cerón-Salazar

    2011-06-01

    Full Text Available En este trabajo se presentó la extraccion de aceite esencial y pectina a partir dela cascara de naranja (Citrus sinensis como un proceso integral. Se realizó elproceso de extracción utilizando un simulador comercial adaptandose al procesoreal. Se realizaron pruebas experimentales con un kilogramo de cáscara de naranja procesado a las mismas condiciones de la simulacion con el fin de comparar los rendimientos obtenidos, logrando una concordancia aceptable. Posteriormente se escaló el proceso a una tonelada. Como resultado no solo se demuestran las ventajas del proceso integral, sino tambien la posibilidadde su implementacion a nivel industrial. Se concluye ademas que las tecnicas de simulacion son una herramienta poderosa que permite minimizar tiempo,costos y experimentacion en el diseñode procesos como los de extraccion de aceite esencial y pectina.In this paper, an alternative for essential oil and pectin extraction from orange peel (Citrus sinensis as an integral process was presented. The extraction units were simulated using commercial simulator software for real process conditions. Experimental tests were carried out with a kilogram of orange peel with the same conditions used in of the simulation with the aim of comparing the experimental and calculated yields. Subsequently, the process was scaled to 1000 kg. Advantages of the integrated process and its possibilities of implementation at industrial level were showed. Moreover, it was concluded that simulation techniques are powerful tools that allows minimizing time, costs and experimentation in the design of processes such as essential oil extraction and pectin extraction.

  9. Effects of the infrared diode low intensity laser therapy for oral mucositis: a clinical trial; Estudo clinico dos efeitos do laser diodo de baixa intensidade de emissao infravermelha para casos de mucosite bucal

    Energy Technology Data Exchange (ETDEWEB)

    Freire, Maria do Rosario Santos

    2004-07-01

    Chemotherapy associated or not with radiotherapy and surgery may be used for treating patients presenting some pathogenies such as cancer. Many side effects are visibly in the mouth in several forms as a consequence of this treatment and oral mucositis is the most common, with great prevalence, causing degrees of morbidity and even death. This research is about improving the quality of life for these patients by using of laser radiation through a GaAlAs active medium, in a continuous manner, with a low power ( 60 mW), the diode laser acting at 780 nm wavelength infrared, with a energy density 7,5 J/cm{sup 2} and 6,0 J/cm{sup 2}, for the therapeutic and preventive groups respectively, and a third control group without radiation. Two protocols were studied in patients during 5-fluorouracil chemotherapic regime and combinations, because nowadays polychemotherapy is used, an associations of drugs, for a neoadjuvant treatment, adjuvant, potentionalize or palliative means, for the chemotherapy treatment. In a context of 60 patients, 16 patients had received the laser irradiations doses, 10 days for the therapeutic protocols and 11 days for the preventive irradiations. The therapeutic group presented a 50% of the total healing process and significant decrease in symptoms of pain (VAS=0 with p =0,01). For the preventive irradiations (D-5, D, D+5), that means the day of the QT, 5 days before the chemotherapy regime starts until 5 days later, only 1 patient had some kind of ulceration during more than four months of control. Results of the present study showed to be effective and promising for both employed protocols, therapeutic and preventive. Further studies must be developed in order to improve the present results. (author)

  10. Diseño de un sistema para el aprovechamiento integral de la cáscara de arroz; Design of a system for integral use of the rice husk

    Directory of Open Access Journals (Sweden)

    Michel Errasti Cabrera

    2015-04-01

    Full Text Available El presente trabajo tiene como objetivo realizar el diseño de un horno que permitirá la combustión controlada de la cáscara de arroz para obtener una ceniza con propiedades puzolánicas; el cual es un producto demandado para la elaboración de materiales refractarios y como adición reactiva en los hormigones de altas prestaciones. El estudio estará centrado en la CPA productora de arroz “Eulalio García”, donde se pretende aprovechar la energía térmica de los gases de la combustión en distintos procesos agroindustriales. Los resultados muestran que la dimensión volumétrica de la cámara de combustión será de 0,72×0,72×1,06 m, mientras que la altura y el diámetro de la chimenea serán de 6,40 m y 0,42 m, respectivamente. El coeficiente de exceso de aire será de 1,55 y el volumen de aire a suministrar 4,34 m3/kgCA. La eficiencia del horno se estimó en 86,63 % y el calor útil en 10585,74 kJ/kgCA. The present paper aims to make the design of a furnace that allow controlled burning of rice husk for obtain a pozzolanic ash, which is a product demanded for the production of refractory materials and as an reactive addition in high performance concretes. The study will focus on CPA "Eulalio Garcia", which aims to exploit the thermal energy from the combustion gases in different agro-industrial processes. The results show that the volumetric dimension of the combustion chamber will be 0.72 × 0.72 × 1.06 m, while the height and diameter of the stack will be of 6.40 m and 0.42 m, respectively. The excess air ratio will be 1.55 and the volume of air to provide 4.34 m3/kgCA. Furnace efficiency was estimated to be 86.63 % and useful heat in 10585.74 kJ / KgCA.

  11. Sample of learners and teachers perception on the implementation of the affectivity and integral sexuality in the Costa Rican Educational Program Percepción de una muestra de educandos y docentes sobre la implementación del programa educación para la afectividad y la sexualidad integral

    Directory of Open Access Journals (Sweden)

    Giselle León León

    2013-04-01

    Full Text Available The case study focuses on the relevance of the Affectivity and Integral Sexuality in the Costa Rican Educational Program (EAIS implementation. This program was proposed by the Ministry of Public Education (MEP in 2013. It was implemented using a mixed approach under a dominant mixed classification. To gather data for the different study categories (knowledge of the topic, teaching models, and methodological strategies, a questionnaire was applied to nineteen students and some semi-structured interviews were carried out for five Science teachers from a high school within the Costa Rican Metropolitan Area. Some contributions were emphasized in matrices (charts and contrasted through of triangulation both of theory and participants. Within the main conclusions stands out the relevance of programs for the effectiveness and integral sexuality supported by professionals in education and the learning population of the study. In addition, it was identified that the participants’ ´knowledge of the study (learners and instructors was merely biological oriented.Recibido 12 de enero de 2013 • Corregido 08 de marzo de 2013 • Aceptado 13 de marzo de 2013La investigación versa sobre la pertinencia de la implementación del programa Educación para la Afectividad y la Sexualidad Integral (EASI propuesto por el Ministerio de Educación Pública de Costa Rica (MEP, a partir del año 2013. Esta se realizó  con el enfoque mixto, en la clasificación de mixto dominante. Para recopilar la información de las categorías del estudio (nivel de conocimiento del tema, modelos de enseñanza y estrategias metodológicas, se aplicó un cuestionario a diecinueve estudiantes (11 de sétimo y 8 de noveno año y se realizaron entrevistas semi-estructuradas a 5 docentes de enseñanza de las ciencias de un colegio diurno del área metropolitana costarricense. Algunos de los aportes fueron resaltados en matrices (tablas y contrastados mediante la triangulación de

  12. Oral contraceptives induced hepatotoxicity

    OpenAIRE

    B. Akshaya Srikanth; V. Manisree

    2013-01-01

    Oral Contraceptives are the pharmacological agents used to prevent pregnancy. These are divided as the combined and progestogen methods and are administered orally, transdermally, systemically and via vaginal route. All these methods contain both oestrogen and progestogen. Vigorous usage of oral contraceptives and anabolic steroids as associated with cholestasis, vascular lesions and hepatic neoplasm. Benign hepatic neoplasms are clearly associated with oral contraceptives. In this article we...

  13. Oral vaccination of fish

    OpenAIRE

    Embregts, Carmen W.E.; Forlenza, Maria

    2016-01-01

    The limited number of oral vaccines currently approved for use in humans and veterinary species clearly illustrates that development of efficacious and safe oral vaccines has been a challenge not only for fish immunologists. The insufficient efficacy of oral vaccines is partly due to antigen breakdown in the harsh gastric environment, but also to the high tolerogenic gut environment and to inadequate vaccine design. In this review we discuss current approaches used to develop oral vaccines fo...

  14. Los procesos de lectoescritura desde la filosofía del lenguaje integral. Teoría y práctica (Autora: Lupita Chaves Salas, Instituto de Investigación para el Mejoramiento de la Educación Costarricense, 2004

    Directory of Open Access Journals (Sweden)

    Marta Eugenia Sánchez-González

    2004-12-01

    Full Text Available Publicación: Los procesos de lectoescritura desde la filosofía del lenguaje integral. Teoría y práctica (Autora: Lupita Chaves Salas, Instituto de Investigación para el Mejoramiento de la Educación Costarricense, 2004

  15. Diseño del modelo integral colaborativo para el desarrollo ágil de software en las empresas de la zona centro-occidente en México

    Directory of Open Access Journals (Sweden)

    José Luis Cendejas Valdéz

    2014-01-01

    Full Text Available El principal problema en el desarrollo de software es generar aplicaciones que no acaban satisfaciendo las necesidades y objetivos de las organizaciones (clientes. El desarrollo de software en la actualidad no impacta directamente a los objetivos y metas que tienen planeadas las organizaciones, es decir el software se desarrolla por expertos de tecnologías de la información (TI que se dedican a realizar los procesos de análisis, diseño y desarrollo para la creación de nuevas herramientas tecnológicas (software. Sin embargo, no se hacen acompañar por expertos de los procesos de la organización que contribuyan al óptimo funcionamiento del software. Dichos desarrollos deben de estar respaldados y basarse en algún modelo o metodología que ayude a generar software de calidad, en donde el grupo multidisciplinario que interviene en el desarrollo del software no acabe trabajando para la metodología elegida, sino la metodología para el proyecto. De ahí la necesidad de generar modelos que ayuden a las pequeñas y medianas empresas de México al desarrollo pertinente de software a la medida. Este estudio propone un modelo para el desarrollo ágil de software, el cual se basa en la percepción de expertos en esta área. El modelo que se propone a continuación se denomina “Modelo de desarrollo de software integral colaborativo” (MDSIC y ofrece a los expertos una manera sencilla de interactuar con él a través de cinco niveles que brindan las mejores prácticas en el desarrollo de software; además dichos niveles consideran las funciones principales que propone el Project Management Institute (PMI, lo que permite generar software de calidad alineado con los objetivos de la organización (planeación estratégica. El MDSIC evalúa la calidad del software a través de una serie de indicadores que se deben de contemplar para el óptimo funcionamiento de un software, estos indicadores están fundamentados por estándares de calidad en el

  16. Amiloidosis bucal Oral amyloidosis

    Directory of Open Access Journals (Sweden)

    Isabella Lima Arrais Ribeiro

    2012-03-01

    Full Text Available A amiloidose é uma doença complexa rara de difícil diagnóstico que ocorre devido à deposição de substância amilóide no meio extracelular. Ao ser diagnosticado na cavidade bucal, deve-se monitorar o paciente a fim de avaliar possíveis complicações sistêmicas da doença. Diante disso, o objetivo do presente estudo é relatar um caso de amiloidose oral em uma paciente do gênero feminino de 72 anos de idade. Baseado nos sinais clínicos observados, a hipótese diagnóstica foi de fibroma traumático. Após realização de biópsia e exame histopatológico, o diagnóstico foi de amiloidose oral, o que foi confirmado com a coloração do espécime com o reagente vermelho congo. Depósitos de amilóide foram encontrados no tecido conjuntivo, na avaliação através da luz polarizada, que apresentou birrefringência. Tal achado foi preocupante, já que a amiloidose geralmente acomete diversos tecidos levando a comprometimentos sistêmicos. Por essa razão a paciente foi encaminhada a procurar atendimento médico. No entanto, houve abandono do tratamento e a mesma veio a óbito 6 meses após o diagnóstico da doença. Lesões orais aparentemente simples podem revelar doenças raras e de difícil tratamento. O diagnóstico preciso e acompanhamentos médicos são fundamentais na sobrevida do paciente.La amiloidosis es una enfermedad compleja, rara, de difícil diagnóstico, que ocurre debido al depósito de sustancia amiloidea en medio extracelular. Al ser diagnosticada en la cavidad bucal, el paciente debe tener supervisión médica para evaluar las posibles complicaciones sistémicas de la enfermedad. El objetivo del presente estudio fue presentar un caso de amiloidosis bucal en un paciente del género femenino de 72 años de edad. Basados en las señales clínicas observadas, la hipótesis diagnóstica fue de un fibroma traumático. Después de la realización de una biopsia y del examen histopatológico, el diagnóstico fue de amiloidosis

  17. Oral vaccination of fish

    NARCIS (Netherlands)

    Embregts, Carmen W.E.; Forlenza, Maria

    2016-01-01

    The limited number of oral vaccines currently approved for use in humans and veterinary species clearly illustrates that development of efficacious and safe oral vaccines has been a challenge not only for fish immunologists. The insufficient efficacy of oral vaccines is partly due to antigen

  18. Head, Neck, and Oral Cancer

    Medline Plus

    Full Text Available ... to detect oral cancer during your routine dental examinations. Don't risk it. Perform an oral cancer ... oral cancer self-exam each month. An oral examination is performed using a bright light and a ...

  19. El Sistema Nacional Integrado de Salud en Uruguay y los desafíos para la Atención Primaria The Integrated National Healthcare System in Uruguay and the challenges for Primary Healthcare

    Directory of Open Access Journals (Sweden)

    Ana Sollazzo

    2011-06-01

    Full Text Available El artículo aborda resultados del análisis panorámico de la Atención Primaria en Salud (APS en Uruguay en Uruguay en 2009, en el marco de un estudio multicéntrico con objetivo de identificar posibilidades para reorientar la Atención Primaria en Salud (APS como estrategia para alcanzar sistemas de salud universales, considerando la segmentación del sistema y la fragmentación en la provisión. La metodología incluyó análisis documental, entrevistas con informantes clave y triangulación de fuentes de información. Los resultados se presentan en base al modelo analítico construido en cinco dimensiones: conducción, financiamiento, recursos, integralidad e intersectorialidad de la APS. A nivel macro se observa la reciente reforma sectorial con creación de un Sistema Nacional Integrado de Salud (SNIS que favorece el desarrollo de la APS desde una concepción integradora. Se han definido acciones que apuntan a superar la segmentación del sistema y la fragmentación de los cuidados. Sin embargo a nivel operativo la segmentación presente antes del SNIS, así como el bajo nivel de coordinación de los cuidados no se han modificado aún. Esto se relaciona con la capacidad de gestión y factores organizacionales. La falta de recursos humanos adecuados para la implementación de la estrategia de APS, se identifica como factor relevante.The article examines the results of the overview of PHC (Primary Healthcare in Uruguay in 2009, within the context of the multicentric study of PHC with a view to identifying possibilities of redefining PHC as a strategy to achieve universal healthcare systems, taking into account the healthcare system's segmentation and fragmentation. The methodology included document analysis, key informant interviews and triangulation of information sources. The results presented are based on the analytical model structured in five dimensions: delivery, financing, resources, and integrated and intersectoral PHC. At the macro

  20. Global policy for improvement of oral health in the 21st century--implications to oral health research of World Health Assembly 2007, World Health Organization

    DEFF Research Database (Denmark)

    Petersen, Poul Erik

    2009-01-01

    The World Health Organization (WHO) Global Oral Health Programme has worked hard over the past 5 years to increase the awareness of oral health worldwide as oral health is important component of general health and quality of life. Meanwhile, oral disease is still a major public health problem...... in high income countries and the burden of oral disease is growing in many low- and middle income countries. In the World Oral Health Report 2003, the WHO Global Oral Health Programme formulated the policies and necessary actions to the continuous improvement of oral health. The strategy is that oral...... disease prevention and the promotion of oral health needs to be integrated with chronic disease prevention and general health promotion as the risks to health are linked. The World Health Assembly (WHA) and the Executive Board (EB) are supreme governance bodies of WHO and for the first time in 25 years...

  1. Integrated System Validation Usability Questionnaire: Computerized Procedures; Desarrollo del Cuestionario de Facilidad de Uso para la Validación de Sistemas Integrados: Procedimientos de Operacion

    Energy Technology Data Exchange (ETDEWEB)

    Garcés, Ma. I.; Torralba, B.

    2015-07-01

    The Research and Development (R&D) project on “Theoretical and Methodological Approaches to Integrated System Validation of Control Rooms, 2014-2015”, in which the research activities described in this report are framed, has two main objectives: to develop the items for an usability methodology conceived as a part of the measurement framework for performance-based control room evaluation that the OECD Halden Reactor Project will test in the experiments planned for 2015; and the statistical analysis of the data generated in the experimental activities of the Halden Man-Machine Laboratory (HAMMLAB) facility, with previous usability questionnaires, in 2010 and 2011. In this report, the procedure designed to meet the first goal of the project is described, in particular, the process followed to identify the items related to operating procedures, both computer and paper-based, one of the elements to be included in the usability questionnaire. Three phases are performed, in the first one, the approaches developed by the United States Nuclear Regulatory Commission, NRC, are reviewed, the models used by the nuclear industry and their technical support organizations, mainly, the Electric Power Research Institute, EPRI, are analyzed, and scientist advances are also explored. In the remaining stages, general and specific guidelines for computerized and paper-based procedures are compared and criteria for the preliminary selection of the items that should be incorporated into the usability questionnaire are defined. This proposal will be reviewed and adapted by the Halden Reactor Project to the design of the specific experiments performed in HAMLAB.

  2. Las fuentes orales en la Enseñanza Superior. // Oral sources in Higher Education

    Directory of Open Access Journals (Sweden)

    Guadalupe Trigueros Gordillo

    2014-12-01

    Full Text Available (ES El interés por la historia presente ha llevado a considerar la historia oral como una herramienta que trasciende la investigación histórica para convertirse en una práctica de creación de patrimonio histórico. Planteamos la necesidad de utilizarlo como recurso docente y de su conservación. Parte de un marco teórico que enmarca el concepto y caracteres de las fuentes orales, sus posibilidades didácticas en las materias relacionadas con la Historia de la educación, como medio para la recuperación de la memoria escolar. Para ello se presenta el instrumento de recogida de datos, el análisis y una muestra de los resultados. // (EN People interest in the present history has led to consider the oral history as a tool that transcends the historical research to become a practice of historical heritage creation. We raise the need to use it as a teaching resource and to provide its preservation. It is based on a theoretical framework that frames the concept and characters from oral sources and its educational possibilities in matters related to the History of Education, as a way for the recovery of memory concerning schools. For that reason, the author introduces the instrument of data collection, the analysis of the subject and a sample of the results.

  3. ORGANIZATIONAL GOOD PRACTICES FOR THE INTEGRATION OF THE ICT IN THE EDUCATION SYSTEM OF EXTREMADURA BUENAS PRÁCTICAS ORGANIZATIVAS PARA LA INTEGRACIÓN DE LAS TIC EN EL SISTEMA EDUCATIVO EXTREMEÑO

    Directory of Open Access Journals (Sweden)

    Mª José Sosa Díaz

    2010-02-01

    Full Text Available The present paper tries to release some organizational Good Practices for the integration of the ICT's carried out by the Education System in Extremadura. For this, in a first moment, a theoretical review about the concept of Good Practices has been done, establishing some indicators which permit us identify Good Practices regarding the application of the ICT within Primary and Secondary schools, and specially pointing out the indicators that refer to organizational aspects in the educational establishments and classrooms. Secondly, the politics for the integration of New Technologies conducted by Junta de Extremadura are analyzed, emphasizing the figure of the ICT Coordinator as a quality measure, as well as the technological tools for school management and controlling the classes. Finally, we present the results obtained from several interviews that were made to different members of the school community, all in a broader investigation where diverse case studies of Primary and Secondary schools considered as Good Practices with ICT were effectuated.En el presente trabajo se pretende dar a conocer Buenas Prácticas de tipo organizativo para la integración de las TIC que ha llevado a cabo el Sistema Educativo Extremeño. Para ello, en un primer momento, se ha realizado una revisión teórica sobre el concepto de Buenas Prácticas, estableciendo algunos indicadores que nos permitan identificar Buenas Prácticas en el uso de las TIC en los centros educativos de Primaria y Secundaria, y destacando especialmente aquellos indicadores que hacen referencia a aspectos organizativos del centro y de las aulas. En segundo lugar, se ha efectuado un análisis de la política de integración de las tecnologías que ha llevado a cabo la Junta de Extremadura, enfatizando en la figura del/la Coordinador/a TIC como medida de calidad, así como en las herramientas tecnológicas de gestión del centro y control del aula. Por último, se presentan algunos resultados

  4. Essentials of oral cancer.

    Science.gov (United States)

    Rivera, César

    2015-01-01

    Oral cancer is one of the 10 most common cancers in the world, with a delayed clinical detection, poor prognosis, without specific biomarkers for the disease and expensive therapeutic alternatives. This review aims to present the fundamental aspects of this cancer, focused on squamous cell carcinoma of the oral cavity (OSCC), moving from its definition and epidemiological aspects, addressing the oral carcinogenesis, oral potentially malignant disorders, epithelial precursor lesions and experimental methods for its study, therapies and future challenges. Oral cancer is a preventable disease, risk factors and natural history is already being known, where biomedical sciences and dentistry in particular are likely to improve their poor clinical indicators.

  5. Resultados gestacionais e neonatais em mulheres com rastreamento positivo para diabetes mellitus e teste oral de tolerância à glicose - 100g normal Gestational and neonatal outcomes in women with positive screening for diabetes mellitus and 100g oral glucose challenge test normal

    Directory of Open Access Journals (Sweden)

    Patricia Moretti Rehder

    2011-02-01

    Full Text Available OBJETIVO: avaliar a frequência de resultados gestacionais e neonatais desfavoráveis em mulheres com rastreamento positivo e diagnóstico negativo para diabetes mellitus gestacional. MÉTODOS: trata-se de um estudo de corte transversal, retrospectivo e descritivo realizado entre 2000 e 2009. Foram incluídas no estudo 409 gestantes com rastreamento positivo para diabetes mellitus. As variáveis estudadas foram: maternas (idade, índice de massa corpórea, antecedente de cesárea, macrossomia ou diabetes mellitus em gestação anterior, antecedente pessoal e familiar de diabetes mellitus e hipertensão arterial crônica e neonatais (poli-hidrâmnio, idade gestacional por ocasião do parto, prematuridade, cesárea, recém-nascido (RN grande para idade gestacional (GIG, macrossomia, índice de Apgar, síndrome do desconforto respiratório, hipoglicemia e hiperbilirrubinemia. Inicialmente foi realizada análise descrita uni e multivariada para a ocorrência de fatores de risco e desfechos neonatais. Foram descritas as prevalências e respectivos intervalos de confiança a 95%. RESULTADOS: em 255 (62,3% das gestantes a via de parto foi cesárea. Quanto aos resultados perinatais, 14,2% dos RN foram classificados como prematuros e 19,3% dos RN como GIG. Os fatores de risco correlacionados com RN GIG foram sobrepeso ou obesidade, idade materna e antecedente de macrossomia em gestação anterior. CONCLUSÕES: na população com fatores de risco positivos ou glicemia de jejum alterada na primeira consulta do pré-natal, mesmo com curva glicêmica normal observa-se taxa de RN GIG elevada assim como índice de cesárea acima dos valores habitualmente presentes nas populações consideradas de baixo risco. As grávidas com tais características constituem um grupo diferenciado.PURPOSE: to determine the prevalence of adverse gestational and neonatal outcomes in women with a positive screening and negative diagnosis for gestational diabetes mellitus (GDM

  6. DISEÑO DE UN PROCEDIMIENTO PARA REALIZAR EL AUTOCONTROL DEL SISTEMA DE GESTIÓN INTEGRADO DE CAPITAL HUMANO / DESIGN OF A PROCEDURE TO DEVELOP THE SELF-CONTROL TO THE INTEGRATED HUMAN CAPITAL MANAGEMENT SYSTEM

    Directory of Open Access Journals (Sweden)

    Roxana González-Alvarez

    2012-01-01

    Full Text Available La investigación considera como caso de estudio la experiencia de la Empresa Comercializadora de Combustibles de Cienfuegos (ECC, la cual trabaja en implantar el Sistema de Gestión Integrada de Capital Humano (SGICH desde el año 2008. En el presente artículo se exponen los resultados del proceso de autocontrol realizado al SGICH en la ECC, visualizando las experiencias obtenidas desde el comienzo del proceso de implantación del Modelo de Gestión Integrada de Capital Humano. El autocontrol se realiza utilizando la metodología del ciclo Deming y las herramientas propias que plantea el modelo (tecnología de diagnóstico, así como entrevistas, tormenta de ideas, revisión de documentos, técnicas de normación de competencias, de mapeo de proceso y trabajo con expertos. Para el procesamiento de los datos obtenidos se utiliza el paquete estadístico SPSS versión 16.0 y el Microsoft Excel. Finalmente, se propone un procedimiento enfocado a facilitar el desarrollo del autocontrol al SGICH como proceso de mejora continua y que, además, permita la certificación de la empresa según los requisitos de las Normas Cubanas 3000.The investigation takes as a case of study the experience of Cienfuegos's Fuel Trading Company (ECC, which works in the implementation of the Integrated Human Capital Management System since 2008. This system is integrated by eight processes, being the self-control one of them. The results of the self-control process to the human capital management system in the ECC are exposed in the present article, visualizing the experiences obtained from the beginning of the implementation process of the Integrated Human Capital Management Model. The self-control is carried out using the methodology of the Deming cycle and the very own tools that are presented by the model (technology of diagnostic, as well as others: interviews, brainstorming, review of documents, techniques of regulation of competences, mapping of processes and the

  7. Screening for oral cancer.

    Science.gov (United States)

    Jitender, Solanki; Sarika, Gupta; Varada, Hiremath R; Omprakash, Yadav; Mohsin, Khan

    2016-11-01

    Oral cancer is considered as a serious health problem resulting in high morbidity and mortality. Early detection and prevention play a key role in controlling the burden of oral cancer worldwide. The five-year survival rate of oral cancer still remains low and delayed diagnosis is considered as one of the major reasons. This increases the demand for oral screening. Currently, screening of oral cancer is largely based on visual examination. Various evidence strongly suggest the validity of visual inspection in reducing mortality in patients at risk for oral cancer. Simple visual examination is accompanied with adjunctive techniques for subjective interpretation of dysplastic changes. These include toluidine blue staining, brush biopsy, chemiluminescence and tissue autofluorescence. This review highlights the efficacy of various diagnostic methods in screening of oral cancer. © 2016 Old City Publishing, Inc.

  8. Independent dose calculation in IMRT for the Tps Iplan using the Clarkson modified integral; Calculo independiente de dosis en IMRT para el TPS Iplan usando la integral modificada de Clarkson

    Energy Technology Data Exchange (ETDEWEB)

    Adrada, A.; Tello, Z.; Garrigo, E.; Venencia, D., E-mail: jorge.alberto.adrada@gmail.com [Instituto Privado de Radioterapia, Obispo Oro 423, X5000BFI Cordoba (Argentina)

    2014-08-15

    Intensity-Modulated Radiation Therapy (IMRT) treatments require a quality assurance (Q A) specific patient before delivery. These controls include the experimental verification in dose phantom of the total plan as well as dose distributions. The use of independent dose calculation (IDC) is used in 3D-Crt treatments; however its application in IMRT requires the implementation of an algorithm that allows considering a non-uniform intensity beam. The purpose of this work was to develop IDC software in IMRT with MLC using the algorithm proposed by Kung (Kung et al. 2000). The software was done using Matlab programming. The Clarkson modified integral was implemented on each flowing, applying concentric rings for the dose determination. From the integral of each field was calculated the dose anywhere. One time finished a planning; all data are exported to a phantom where a Q A plan is generated. On this is calculated the half dose in a representative volume of the ionization chamber and the dose at the center of it. Until now 230 IMRT planning were analyzed carried out ??in the treatment planning system (Tps) Iplan. For each one of them Q A plan was generated, were calculated and compared calculated dose with the Tps, IDC system and measurement with ionization chamber. The average difference between measured and calculated dose with the IDC system was 0.4% ± 2.2% [-6.8%, 6.4%]. The difference between the measured and the calculated doses by the pencil-beam algorithm (Pb) of Tps was 2.6% ± 1.41% [-2.0%, 5.6%] and with the Monte Carlo algorithm was 0.4% ± 1.5% [-4.9%, 3.7%]. The differences of the carried out software are comparable to the obtained with the ionization chamber and Tps in Monte Carlo mode. (author)

  9. Assistência integral à saúde da criança no Brasil: implicações para o ensino e a prática da enfermagem pediátrica

    Directory of Open Access Journals (Sweden)

    Semiramis Melani Melo Rocha

    1997-07-01

    Full Text Available Neste artigo, as autoras discutem o significado que vem sendo atribuído ao termo assistência integral a saúde da criança e do adolescente, apontando suas várias interpretações em busca de superar a fragmentação da assistência. Inicialmente, apresentam as articulações entre o movimento de proteção à criança e a sociedade em geral, em seguida, as diretrizes políticas da assistência à criança e ao adolescente no Brasil contemporâneo. Na segunda parte, discutem as estratégias da enfermagem para apreender a criança em seus aspectos biológicos, em sua subjetividade e em sua dimensão social. Concluem que as necessidades atuais de assistência à criança hospitalizada convergem para: - a apreensão da criança em seus aspectos orgânicos e em sua subjetividade;- o envolvimento dos pais e da família no processo de promoção, prevenção, diagnóstico, terapêutica, e de reabilitação; - organização do trabalho em equipes multidisciplinares e multiprofissionais; - compreensão das instituições de saúde como espaços de produção de serviços onde se estabelecem relações sociais complexas. Portanto, a assistência integral não pode ser tomada de uma forma idealizada, no plano teórico, como uma mistura de referenciais teóricos que vão desde a ecologia até biologia molecular. Ela implica em um árduo trabalho de construção concreta e cotidiana de interação, com determinação política de implementar mudanças.In this paper the authors discuss the meaning that has been attributed to the term "integral care of children's and adolescents's health", highlighting its several interpretations, with a view to overcoming fragmentation of care. To start with, they present the articulations by the movement for children protection with the society as a whole, following with the political policies for the care of children land adolescents in Brazil. In the second part, they discuss nursing strategies to view children as to

  10. Oral biopsy: Oral pathologist′s perspective

    Directory of Open Access Journals (Sweden)

    K L Kumaraswamy

    2012-01-01

    Full Text Available Many oral lesions may need to be diagnosed by removing a sample of tissue from the oral cavity. Biopsy is widely used in the medical field, but the practice is not quite widespread in dental practice. As oral pathologists, we have found many artifacts in the tissue specimen because of poor biopsy technique or handling, which has led to diagnostic pitfalls and misery to both the patient and the clinician. This article aims at alerting the clinicians about the clinical faults arising preoperatively, intraoperatively and postoperatively while dealing with oral biopsy that may affect the histological assessment of the tissue and, therefore, the diagnosis. It also reviews the different techniques, precautions and special considerations necessary for specific lesions.

  11. Diagnosis and recommendation integrated system (DRIS of soybean seed oil content Sistema integrado de diagnose e recomendação (DRIS para diagnóstico do teor de óleo em grão de soja

    Directory of Open Access Journals (Sweden)

    Alfredo Castamann

    2012-12-01

    Full Text Available The Diagnosis and Recommendation Integrated System (DRIS can improve interpretations of leaf analysis to determine the nutrient status. Diagnoses by this method require DRIS norms, which are however not known for oil content of soybean seeds. The aims of this study were to establish and test the DRIS method for oil content of soybean seed (maturity group II cultivars. Soybean leaves (207 samples in the full flowering stage were analyzed for macro and micro-nutrients, and the DRIS was applied to assess the relationship between nutrient ratios and the seed oil content. Samples from experimental and farm field sites of the southernmost Brazilian state Rio Grande do Sul (28° - 29° southern latitude; 52° -53° western longitude were assessed in two growing seasons (2007/2008 and 2008/2009. The DRIS norms related to seed oil content differed between the studied years. A unique DRIS norm was established for seed oil content higher than 18.68 % based on data of the 2007/2008 growing season. Higher DRIS indices of B, Ca, Mg and S were associated with a higher oil content, while the opposite was found for K, N and P. The DRIS can be used to evaluate the leaf nutrient status of soybean to improve the seed oil content of the crop.O Sistema Integrado de Diagnose e Recomendação (DRIS pode melhorar a interpretação da análise foliar, contribuindo com a avaliação do estado nutricional. Para diagnósticos obtidos com esse método, é imprescindível que as normas DRIS sejam previamente estabelecidas, o que ainda não foi efetuado para o teor de óleo do grão de soja. Os objetivos deste trabalho foram estabelecer as normas DRIS e avaliar esse método, em relação ao teor de óleo do grão de soja (cultivares do grupo II de maturação. Foram determinados os teores de macro e de micronutrientes de 207 amostras de folhas dessa cultura, coletadas no estádio do pleno florescimento, e avaliada a relação entre a razão dos nutrientes e o teor de óleo no

  12. O papel da odontologia na equipe interdisciplinar: contribuindo para a atenção integral ao idoso The role of dentistry in the interdisciplinary team: contributing to comprehensive health care for the elderly

    Directory of Open Access Journals (Sweden)

    Rosemary Sadami Arai Shinkai

    2000-12-01

    Full Text Available Este trabalho bibliográfico teve por objetivo discutir a atuação da odontologia na atenção integral à saúde do idoso, considerando-se a necessidade da abordagem interdisciplinar. É apresentada a atual situação da odontologia geriátrica e os problemas que ocorrem no Brasil pela falta de estudos específicos e de recursos humanos capacitados em geriatria e gerontologia dentro da odontologia. São destacadas as interações entre as diversas profissões de saúde e a odontologia, para a promoção de saúde, prevenção específica e reabilitação de pacientes idosos, com ênfase na importância da comunicação e troca de informações.This literature review focuses on dentistry's role in comprehensive health care for the elderly. The authors discuss the need for an interdisciplinary approach. They begin by analyzing the current situation in geriatric dentistry and related problems in Brazil, relating primarily to the lack of specific studies and human resources with training in geriatrics and gerontology. The authors emphasize interactions between dentistry and other health professions for health promotion, specific prevention, and rehabilitation of elderly patients, with special attention to the importance of communication and information exchange.

  13. Análisis Integral de los Usos del Territorio para el Desarrollo de Zonas Degradadas por la Minería: El Entorno de Portmán (La Unión

    Directory of Open Access Journals (Sweden)

    Patricia Esteve-Guirao

    2017-12-01

    Full Text Available La bahía de Portmán, SE de la Península Ibérica, alberga el escenario de uno de los mayores desastres ambientales del litoral mediterráneo: la colmatación de la bahía provocada por el vertido de toneladas de estériles de minería al mar durante más de treinta años. El análisis de los valores del entorno y el estudio del potencial de desarrollo de la bahía se plantea con el objetivo de obtener alternativas de planificación de un desarrollo local sostenible y respetuoso con el entorno. Se han realizado dos fases de análisis: la primera a través de un estudio sectorial, más pormenorizado; la segunda fase de análisis, con una evaluación global de los usos del suelo para determinar los condicionantes y las oportunidades de desarrollo del entorno de Portmán. El análisis integral llevado a cabo proporciona una visión del espacio en todo su conjunto, y permite definir categorías territoriales en relación a los posibles desarrollos en forma de proyectos residenciales y turísticos, que quedan definidas como: limitantes, condicionantes principales y condicionantes adicionales.

  14. Provision of oral health care services in Tanzania: implementation ...

    African Journals Online (AJOL)

    Oral health is integral to general health. Those with ill health are at greater risk of oral diseases that, in turn further complicate their overall health. The experience of pain, endurance of dental abscesses, problems with eating and chewing, embarrassment about the shape or missing of teeth, discoloured or damaged teeth ...

  15. Acolhimento institucional de crianças e adolescentes: gestão para proteção integral e defesa de cidadania http://dx.doi.org/10.15601/1983-7631/rt.v9n16p70-82

    Directory of Open Access Journals (Sweden)

    Liziane Vasconcelos Teixeira Lima

    2016-06-01

    Full Text Available Resumo O presente artigo aborda a gestão das entidades de acolhimento institucional para crianças e adolescentes, que enfrentam, hoje, o desafio de um processo de reordenamento institucional a partir das normativas oficiais. Como metodologia, procede a uma revisão bibliográfica para embasar uma discussão sobre a gestão das entidades. Inicialmente, contextualiza a mudança, na política pública para a criança e o adolescente, do paradigma da situação irregular para a doutrina da proteção integral. Analisa a atual necessidade do reordenamento institucional e as dificuldades das entidades de acolhimento nesse processo. Buscando contribuir para a superação dessas dificuldades, apresenta o projeto político-pedagógico como elemento central no processo de reordenamento institucional, na perspectiva da promoção e defesa dos direitos das crianças e adolescentes. Nessa direção, oferece elementos para a gestão e a qualidade do serviço: organização do prontuário da criança/adolescente e elaboração do fluxograma que orienta o atendimento.     

  16. para palmito

    Directory of Open Access Journals (Sweden)

    Francisco Paulo Chaimsohn

    2007-01-01

    Full Text Available Densidades de siembra, arreglos espaciales y fertilización en pejibaye (Bactris gasipaes cv Diamantes-10 para palmito. La investigación se llevó a cabo en la Estación Experimental Los Diamantes (Guápiles, Costa Rica, el 3 de octubre del 2003, cuyo objetivo fue la evaluación del efecto de diferentes densidades de siembra (3.333, 5.000 y 6.666 plantas/ha, arreglos espaciales, y diversos métodos de fertilización (química, orgánica, sobre el crecimiento de las plantas de pejibaye para producción de palmito. Se consideraron las variables diámetro y altura del tallo primario y el número de hojas y rebrotes como indicadores de producción. El período de evolución abarcó sólo los primeros 25 meses de crecimiento en el campo. El número de hojas, la altura y el diámetro del tallo no mostraron diferencias de respuesta relevantes. Sólo el número de rebrotes disminuyó al aumentar la densidad de la población, cuando se midió a los 15 meses de edad. El efecto de la fertilización se hizo evidente después de la primera cosecha, realizada a los 20 meses, debido al aumento de la competencia entre plantas, ahora más desarrolladas. Fue entonces cuando la fertilización química indujo la producción de un mayor número y vigor de los rebrotes. Sin embargo, las prácticas evaluadas 25 meses después de la siembra, no habían infl uido hasta ese momento en el número de palmitos cosechados, ni tampoco había afectado las características físicas de los sectores foliar y caulinar del palmito.

  17. Oral manifestations of lupus.

    Science.gov (United States)

    Menzies, S; O'Shea, F; Galvin, S; Wynne, B

    2018-02-01

    Mucosal involvement is commonly seen in patients with lupus; however, oral examination is often forgotten. Squamous cell carcinoma arising within oral lupoid plaques has been described, emphasizing the importance of identifying and treating oral lupus. We undertook a retrospective single-centre study looking at oral findings in patients attending our multidisciplinary lupus clinic between January 2015 and April 2016. A total of 42 patients were included. The majority of patients were female (88%) and had a diagnosis of discoid lupus erythematosus (62%). Half of the patients had positive oral findings, 26% had no oral examination documented, and 24% had documented normal oral examinations. Our findings suggest that oral pathology is common in this cohort of patients. Regular oral examination is warranted to identify oral lupus and provide treatment. Associated diseases such as Sjogren's syndrome may also be identified. Patients should be encouraged to see their general dental practitioners on a regular basis for mucosal review. Any persistent ulcer that fails to respond to treatment or hard lump needs urgent histopathological evaluation to exclude malignant transformation to squamous cell carcinoma.

  18. Systematic review of oral cryotherapy for management of oral mucositis caused by cancer therapy.

    Science.gov (United States)

    Peterson, Douglas E; Ohrn, Kerstin; Bowen, Joanne; Fliedner, Monica; Lees, Judith; Loprinzi, Charles; Mori, Takehiko; Osaguona, Anthony; Weikel, Dianna S; Elad, Sharon; Lalla, Rajesh V

    2013-01-01

    This systematic review analyzed the strength of the literature and defined clinical practice guidelines for the use of oral cryotherapy for the prevention and/or treatment of oral mucositis caused by cancer therapy. A systematic review on relevant oral cryotherapy studies indexed prior to 31 December 2010 was conducted by the Mucositis Study Group of the Multinational Association of Supportive Care in Cancer/International Society for Oral Oncology (MASCC/ISOO) using OVID/MEDLINE, with publications selected for review based on defined inclusion and exclusion criteria. Findings from the reviewed studies were integrated into guidelines based on the overall level of evidence for each intervention. Guidelines were classified into three types: recommendation, suggestion, or no guideline possible. Twenty-two clinical studies and two meta-analyses were analyzed. Results were compared with the MASCC/ISOO guidelines published in 2007. The recommendation for the use of oral cryotherapy to prevent oral mucositis in patients receiving bolus fluorouracil (5-FU) was maintained, in agreement with the 2007 guidelines. A suggestion for use of oral cryotherapy to prevent oral mucositis in patients receiving high-dose melphalan as conditioning regimen with or without total body irradiation for HCST was revised from the 2007 guidelines. No guideline was possible for any other intervention, due to insufficient evidence. The evidence continues to support the use of oral cryotherapy for prevention of oral mucositis in patients receiving bolus 5-FU chemotherapy or high-dose melphalan. This intervention is consistent with the MASCC/ISOO guidelines published in 2007. The literature is limited by the fact that utilization of a double-blind study design is not feasible. Future studies that compare efficacy of oral cryotherapy with other mucositis agents in patients receiving chemotherapy with relatively short plasma half-lives would be useful.

  19. Cuadro de mando integral para el diseño y validación de instrumentos para valorar el desempeño académico de docentes The balance score card for the construction and validation of instruments to measure professors'academic performance

    Directory of Open Access Journals (Sweden)

    Alexis Tejedor de León

    2010-01-01

    Full Text Available La valoración de la labor docente es un pilar de la acreditación universitaria. En un momento, particularmente sensible relacionado a esta tendencia global y a la imagen que emerge de las diferentes unidades académicas y adminsitrativas, se torna importante, no solamente, recolocar el asunto de conocer si éstas ponen en práctica aquello que realmente enseñan, sino también conocer el grado de satisfacción de los" stakeholders" sobre los procesos de enseñanza-aprendizaje a nivel universitario. En este contexto, esta investigación tiene como objetivo diseñar y validar instrumentos dirigidos a explorar el entorno de la labor académica del docente universitario del Centro Regional de Veraguas de la Universidad Tecnológica de Panamá, considerando como ejes dimensionales la planificación, el desarrollo y las actividades psicopedagógicas propias de la labor académica. Para la realización de la investigación se utilizó la metodología del Cuadro de Mando Integral en las etapas de planificación estratégica del programa de evaluación académico y se utilizó la técnica Delphi para la validación de contenido y de constructo de los instrumentos. En la validación de la confiabilidad se determinó el valor Alpha de Cronbach utilizándose el programa para la PC de SPSS® para la toma de decisones.The evaluation of faculty work is a pillar in university accreditation. Moreover, particularly in a period sensitive to this tendency of faculty work evaluation and the image that emerges from the different academic and administrative units, it is important not only to restate the subject of whether what is taught is also put into practice, but also to know the degree of satisfaction expressed by the stakeholders in the teaching and learning process at the higher education level. In this context, the research aim is to develop and validate the instruments directed to explore the internal academic environment of the faculty at the Veraguas

  20. Professional competences of nurse to work in Intensive Care Units: an integrative review Competencias profesionales de los enfermeros para trabajar en Unidades de Cuidados Intensivos: una revisión integradora Competência profissional do enfermeiro para atuar em Unidades de Terapia Intensiva: uma revisão integrativa

    Directory of Open Access Journals (Sweden)

    Silvia Helena Henriques Camelo

    2012-02-01

    Full Text Available This study aimed to identify and analyze nurses' competences to work at Intensive Care Units-ICU. An integrative review method was used, and data were collected in LILACS, SciELO and BDENF, from August to October 2010. Ten articles were identified, published in the last 12 years. Data grouping permitted the construction of thematic units related to nurses' competences: nursing care management, high-complexity nursing care delivery, decision making, leadership, communication, continuing/permanent education, human resource management, material resource management. The professional competences identified can support the outline of guidelines to constitute the profile of nursing working in intensive care units and drive/mobilize the improvement of nursing care practices.Este estudio tuvo como objetivo identificar y analizar las competencias de las enfermeras para actuar en Unidades de Cuidados Intensivos-UCI. Se utilizó el método de revisión integradora, y la recolección de datos se realizó a través de la base de datos LILACS, SciELO BDENF, entre agosto y octubre de 2010. Se identificaron 10 artículos, y el cotejo de los datos permitió la construcción de las siguientes unidades temáticas relacionadas con las habilidades de las enfermeras: gestionar los cuidados de enfermería, realizar los cuidados de enfermería más complejos, la toma de decisiones, el liderazgo, la comunicación, la educación continua y permanente y la gestión de recursos humanos y materiales. Las habilidades identificadas en este estudio sirven como una guía para formar el perfil de la enfermera que trabaja en unidades de cuidados intensivos-UCI y por lo tanto representan la línea de orientación que puede aumentar/movilizar la mejoría de las prácticas de atención recibidas por este profesional.Este estudo teve como objetivo analisar as competências profissionais dos enfermeiros em Unidades de Terapia Intensiva (UTI. Utilizou-se o método de revis

  1. Tecnologias de enfermagem para promoção do aleitamento materno: revisão integrativa da literatura Tecnologías de enfermería para promover la lactancia materna: revisión integradora Nursing technologies to promote breastfeeding: integrative literature review

    Directory of Open Access Journals (Sweden)

    Emanuella Silva Joventino

    2011-03-01

    Full Text Available Objetivou-se realizar uma revisão integrativa da literatura sobre os tipos de tecnologias que o enfermeiro tem desenvolvido ou que o mesmo poderia utilizar para a promoção do aleitamento materno. Realizou-se em outubro de 2009 uma busca com os descritores aleitamento materno (breastfeeding, enfermagem (nursing e tecnologia (technology nas bases: CINAHL, Scopus, PubMed e LILACS. Encontraram-se 127 referências, das quais dez participaram da análise por atenderem aos critérios de seleção do estudo. Verificou-se que a maioria dos estudos (6 - 60% foi encontrada no Pubmed, na língua inglesa (8 - 80% e não citou o tipo de estudo (4 - 40%. Identificaram-se 13 tipos de tecnologias para o cuidado, classificadas como dura (8 - 61,5% e leve (5 - 38,5%, cujo principal público-alvo foi mães de crianças (9 - 90%, sendo a tecnologia mais utilizada o vídeo/filmagem (4 - 40%. Assim, deve-se estimular o uso de tecnologias, sobretudo as consideradas leves e leves-duras, por serem práticas, facilmente desenvolvidas e aplicáveis.El objetivo fue hacer una revisión integradora sobre los tipos de tecnologías que el enfermero ha desarrollado o que lo mismo podrá utilizarse para la promoción de la lactancia materna. Llevado a cabo en octubre de 2009 por meio de una búsqueda con los descriptores: lactancia materna (breastfeeding, enfermería (nursing y tecnología (technology en las bases: CINAHL, Scopus, PubMed y LILACS. Se han encontrado 127 referencias, de las cuales diez participaron del análisis por cumpriren los criterios de selección del estudio. Se encontró que la mayoría (60 - 60% de los estudios fue encontrada en PubMed, en inglés (80 - 80% y no se mencionó el tipo de estudio (4 - 40%. Se identificaron trece tipos de tecnologías para el cuidado, clasificadas como dura (8 a 61,5% y leve (5 a 38,5%, cuyo principal público fue las madres de los niños (90-90%, y la tecnología más utilizada fue de vídeo / cine (4 - 40%. Por lo tanto

  2. Oral Assessment Kit, Levels II & III. Draft.

    Science.gov (United States)

    Agrelo-Gonzalez, Maria; And Others

    The assessment packet includes a series of oral tests to help develop speaking as an integral part of second language instruction at levels II and III. It contains: 8 mini-tests for use at level II; 9 mini-tests for use at level III; a rating scale and score sheet masters for evaluating performance on these tests; and a collection of suggested…

  3. Integral transformation of the Navier-Stokes equations for laminar flow in channels of arbitrary two-dimensional geometry; Transformacao integral das equacoes de Navier-Stokes para escoamento laminar em canais de geometria bidimensional arbitraria

    Energy Technology Data Exchange (ETDEWEB)

    Perez Guerrero, Jesus Salvador

    1996-12-31

    Laminar developing flow in channels of arbitrary geometry was studied by solving the Navier-Stokes equations in the stream function-only formulation through the Generalized Integral Transform Technique (GITT). The stream function is expanded in an infinite system based on eigenfunctions obtained by considering solely the diffusive terms of the original formulation. The Navier-Stokes equations are transformed into an infinite system of ordinary differential equations, by using the transformation and inversion formulae. For computational purposes, the infinite series is truncated, according to an automatic error control procedure. The ordinary differential is solved through well-established scientific subroutines from widely available mathematical libraries. The classical problem of developing flow between parallel-plates is analysed first, as for both uniform and irrotational inlet conditions. The effect of truncating the duct length in the accuracy of the obtained solution is studied. A convergence analysis of the results obtained by the GITT is performed and compared with results obtained by finite difference and finite element methods, for different values of Reynolds number. The problem of flow over a backward-facing step then follows. Comparisons with experimental results in the literature indicate an excellent agreement. The numerical co-validation was established for a test case, and perfect agreement is reached against results considered as benchmarks in the recent literature. The results were shown to be physically more reasonable than others obtained by purely numerical methods, in particular for situations where three-dimensional effects are identified. Finally, a test problem for an irregular by shoped duct was studied and compared against results found in the literature, with good agreement and excellent convergence rates for the stream function field along the whole channel, for different values of Reynolds number. (author) 78 refs., 24 figs., 14 tabs.

  4. Integral transformation of the Navier-Stokes equations for laminar flow in channels of arbitrary two-dimensional geometry; Transformacao integral das equacoes de Navier-Stokes para escoamento laminar em canais de geometria bidimensional arbitraria

    Energy Technology Data Exchange (ETDEWEB)

    Perez Guerrero, Jesus Salvador

    1995-12-31

    Laminar developing flow in channels of arbitrary geometry was studied by solving the Navier-Stokes equations in the stream function-only formulation through the Generalized Integral Transform Technique (GITT). The stream function is expanded in an infinite system based on eigenfunctions obtained by considering solely the diffusive terms of the original formulation. The Navier-Stokes equations are transformed into an infinite system of ordinary differential equations, by using the transformation and inversion formulae. For computational purposes, the infinite series is truncated, according to an automatic error control procedure. The ordinary differential is solved through well-established scientific subroutines from widely available mathematical libraries. The classical problem of developing flow between parallel-plates is analysed first, as for both uniform and irrotational inlet conditions. The effect of truncating the duct length in the accuracy of the obtained solution is studied. A convergence analysis of the results obtained by the GITT is performed and compared with results obtained by finite difference and finite element methods, for different values of Reynolds number. The problem of flow over a backward-facing step then follows. Comparisons with experimental results in the literature indicate an excellent agreement. The numerical co-validation was established for a test case, and perfect agreement is reached against results considered as benchmarks in the recent literature. The results were shown to be physically more reasonable than others obtained by purely numerical methods, in particular for situations where three-dimensional effects are identified. Finally, a test problem for an irregular by shoped duct was studied and compared against results found in the literature, with good agreement and excellent convergence rates for the stream function field along the whole channel, for different values of Reynolds number. (author) 78 refs., 24 figs., 14 tabs.

  5. Radiation induced oral mucositis

    Directory of Open Access Journals (Sweden)

    P S Satheesh Kumar

    2009-01-01

    Full Text Available Patients receiving radiotherapy or chemotherapy will receive some degree of oral mucositis The incidence of oral mucositis was especially high in patients: (i With primary tumors in the oral cavity, oropharynx, or nasopharynx; (ii who also received concomitant chemotherapy; (iii who received a total dose over 5,000 cGy; and (iv who were treated with altered fractionation radiation schedules. Radiation-induced oral mucositis affects the quality of life of the patients and the family concerned. The present day management of oral mucositis is mostly palliative and or supportive care. The newer guidelines are suggesting Palifermin, which is the first active mucositis drug as well as Amifostine, for radiation protection and cryotherapy. The current management should focus more on palliative measures, such as pain management, nutritional support, and maintenance, of good oral hygiene

  6. World Health Organization global policy for improvement of oral health--World Health Assembly 2007

    DEFF Research Database (Denmark)

    Petersen, Poul Erik

    2008-01-01

    The World Health Organization (WHO) Global Oral Health Programme has worked hard over the past five years to increase the awareness of oral health worldwide as an important component of general health and quality of life. Meanwhile, oral disease is still a major public health problem in high income...... countries and the burden of oral disease is growing in many low- and middle income countries. In the World Oral Health Report 2003, the WHO Global Oral Health Programme formulated the policies and the necessary actions for the improvement of oral health. The strategy is that oral disease prevention...... and the promotion of oral health needs to be integrated with chronic disease prevention and general health promotion as the risks to health are linked. The World Health Assembly (WHA) and the Executive Board (EB) are supreme governance bodies of WHO and for the first time in 25 years oral health was subject...

  7. Oral microbiota and cancer

    OpenAIRE

    Meurman, Jukka H.

    2010-01-01

    Inflammation caused by infections may be the most important preventable cause of cancer in general. However, in the oral cavity the role of microbiota in carcinogenesis is not known. Microbial populations on mouth mucosa differ between healthy and malignant sites and certain oral bacterial species have been linked with malignancies but the evidence is still weak in this respect. Nevertheless, oral microorganisms inevitably up-regulate cytokines and other inflammatory mediators that affect the...

  8. Seletividade de agrotóxicos usados na produção integrada de maçã para adultos de Trichogramma pretiosum Side effects of pesticides used in integrated production of apple in adults of Trichogramma pretiosum

    Directory of Open Access Journals (Sweden)

    Cristiane Gindri Manzoni

    2006-10-01

    Full Text Available O objetivo deste trabalho foi avaliar a seletividade de 12 agrotóxicos usados na produção integrada de maçã, em laboratório (temperatura 25±1ºC, umidade relativa 70±10% e fotófase de 14 horas, tendo-se exposto adultos de Trichogramma pretiosum a resíduos secos dos agrotóxicos, na máxima dosagem recomendada para uso em campo, e tendo-se posteriormente mensurado o número de ovos parasitados por fêmea. Reduções no parasitismo, em relação à testemunha (água, foram utilizadas para classificar os agrotóxicos em inócuo (99%. Foram inócuos os acaricidas Envidor (espirodiclofeno, Kendo 50 SC (fenpiroximato e Ortus 50 SC (fenpiroximato, os fungicidas Antracol 700 PM (propinebe, Midas BR (famoxadona + mancozebe, Palisade (fluquinconazol, Persist SC (mancozebe e Systhane PM (miclobutanil e o inseticida Mimic 240 SC (tebufenozida; o herbicida Polaris (glifosato foi levemente nocivo; os herbicidas Finale (glufosinato sal de amônio e Roundup Original (glifosato foram moderadamente nocivos a T. pretiosum.The objective of this work was to evaluate the side effects of 12 pesticides used in the integrated production of apple, in laboratory (25±1ºC temperature, 70±10% relative humidity and 14 hours photophase, exposing adults of Trichogramma pretiosum to fresh dry pesticide film, in the maximum dosage recommended for field use, with subsequent assessement of the number of eggs parasitized per female. The reduction in the parasitism, compared with the control (water, was used to classify the pesticides as harmless (99%. The acaricides Envidor (spirodiclofen, Kendo 50 SC (fenpyroximate and Ortus 50 SC (fenpyroximate, the fungicides Antracol 700 PM (propineb, Midas BR (famoxadone + mancozeb, Palisade (fluquinconazole, Persist SC (mancozeb and Systhane PM (myclobutanil and the insecticide Mimic 240 SC (tebufenozide were harmless; the herbicide Polaris (glyphosate was slightly harmful; the herbicides Finale (gluphosinate-ammonium and Roundup

  9. Simulación de operaciones y línea de balance: herramientas integradas para la toma de decisiones Simulation operations and line of balance: integrated tools for

    Directory of Open Access Journals (Sweden)

    Harlem Acevedo

    2011-06-01

    Full Text Available Este artículo presenta la implementación conjunta de la simulación de operaciones y de las líneas de balance como herramientas que contribuyen a mejorarla eficiencia de la planeación de proyectos de la construcción, donde su integración ha sido escasa en el ámbito nacional e internacional. El artículo exponelos resultados de la simulación de las actividades asociadas a la etapa de estructura, armado y fundida de muros y losa, en una edificación en altura. Se modela el sistema de acuerdo con la forma como se ejecuta el proyecto por parte de los constructores y con la ayuda de las líneas de balance se generandos escenarios alternativos con el fin de comparar los tiempos y los costos promedios de terminación del proyecto. En el primer escenario se aprovechala holgura hallada en el sistema actual con relación a los tiempos de iniciación de actividades, sin cambiar la cantidad de recursos humanos y de equipo. Ensegundo escenario, se aumenta levemente la cantidad de recursos humanos y se incrementa en un 25% la cantidad de equipo de formaletería para muros y losa. A partir de los resultados, las empresas disponen de una metodología para la planeación y la selección del escenario adecuado, de acuerdo con suconveniencia.This paper presents the joint implementation of the simulation of operations and lines of balance, as tools that help to improve the efficiency in construction project planning, where the integration of these tools has been scarce in the national and international field. This paper expounds the simulation results of the activities associated with the construction works of structure, assembly and casting of walls and slab, in a multi–story building. The construction system is modeled, according to the way it is done by the company, and with the help of the lines of balance, generating two alternative scenarios in order to compare the times and the average costs of project completion. The first scenario takes advantage

  10. Educação para a Saúde: discutindo uma prática pedagógica integral com jovens em situação de risco Health Education: discussing an integral pedagogical practice with young people at risk

    Directory of Open Access Journals (Sweden)

    Jamile Silva Guimarães

    2012-12-01

    Full Text Available Este artigo objetivou analisar os fundamentos teórico-metodológicos de uma prática educativa integral em saúde promovida por uma ONG junto a jovens em situação de risco pessoal e social. Foram realizadas entrevistas em profundidade com seis participantes, observação sistemática das atividades educativas e pesquisa documental de textos, reportagens e vídeos no blog institucional. Articulando métodos diversos, esta ação educativa promove o diálogo e uma dinâmica de problematização, trabalhando em grupos cooperativos e fortalecendo relações horizontais entre os jovens e os educadores. Os resultados apontam para a formação de uma postura reflexiva que permitiu aos jovens ressignificar tabus e mitos sobre questões de saúde e compreender melhor a si mesmos, constituindo-se como sujeito. A análise crítica da informação mostra-se essencial para que se estabeleça uma relação entre o conhecimento e seu valor para a vida, e, por conseguinte, a saúde. O sentido construído é parâmetro de escolhas e motor de ações de autocuidado. Ao criar condições para que o jovem reflita e explore conceitos e procedimentos sociais e de saúde, esta prática educativa lhe oportuniza construir uma visão sobre a saúde e o significado de ser saudável. Conclui-se que o desenvolvimento da capacidade de análise, discernimento e decisão recursa ao jovem para organizar e conduzir sua vida pessoal e coletiva, de forma mais crítica, autônoma e participativa.This article aims at analyzing the theoretical and methodological fundamentals of an integral educational experience of practice in health promoted by an NGO with youngsters at personal and social risk. In-depth interviews were conducted with six participants, as well as systematic observation in educational activities and research in documents, reports and videos on the institutional blog. Articulating different methods, this educational activity promotes dialogue and a dynamics of

  11. Utilización de la historia oral para el aprendizaje de contenidos históricos en Educación Secundaria y su relación con la identidad local, la motivación y el autoconcepto social

    Directory of Open Access Journals (Sweden)

    Alex Ibañez-Etxeberria

    2016-03-01

    Full Text Available La enseñanza de la historia en entornos formales es un campo en transformación, donde la enseñanza tradicional memorística, va dejando poco a poco paso a otro tipo de enseñanza de la historia más práctica, en el que el uso de fuentes, y el recurso a programas externos de apoyo, es cada vez más habitual. Uno de estos recursos, son los programas de historia oral basados en testimonios personales, que permiten llevar experiencias cercanas en el espacio geográfico y lejas en el tiempo a las aulas, y trabajar contenidos históricos y conceptos como la identidad local. Esta investigación de corte experimental y metodología cuantitativa, busca indagar desde su carácter exploratorio, en  la incidencia que pueden tener este tipo de programas en la adquisición de contendidos de carácter histórico en alumnado de educación secundaria, y su relación con algunas variables psicosociales. Para ello se ha trabajado sobre el programa educativo “Barakaldo ayer...” (País Vasco, España, y se ha analizado si tras la participación en el mismo, se producen cambios en el conocimiento de contenidos conceptuales sobre la historia minero-industrial general y de la zona, así como en la motivación hacia el estudio de la historia, el autoconcepto social o la identificación con lo local. Los resultados, dentro de las limitaciones propias, confirman el avance del alumnado en el conocimiento de contenidos conceptuales, y un aumento de la identidad en clave local. Para el autoconcepto, se registran mejoras en la dimensión responsabilidad social. Finalmente, no se registra ningún aumento motivacional significativo.

  12. Towards understanding oral health.

    Science.gov (United States)

    Zaura, Egija; ten Cate, Jacob M

    2015-01-01

    During the last century, dental research has focused on unraveling the mechanisms behind various oral pathologies, while oral health was typically described as the mere absence of oral diseases. The term 'oral microbial homeostasis' is used to describe the capacity of the oral ecosystem to maintain microbial community stability in health. However, the oral ecosystem itself is not stable: throughout life an individual undergoes multiple physiological changes while progressing through infancy, childhood, adolescence, adulthood and old age. Recent discussions on the definition of general health have led to the proposal that health is the ability of the individual to adapt to physiological changes, a condition known as allostasis. In this paper the allostasis principle is applied to the oral ecosystem. The multidimensionality of the host factors contributing to allostasis in the oral cavity is illustrated with an example on changes occurring in puberty. The complex phenomenon of oral health and the processes that prevent the ecosystem from collapsing during allostatic changes in the entire body are far from being understood. As yet individual components (e.g. hard tissues, microbiome, saliva, host response) have been investigated, while only by consolidating these and assessing their multidimensional interactions should we be able to obtain a comprehensive understanding of the ecosystem, which in turn could serve to develop rational schemes to maintain health. Adapting such a 'system approach' comes with major practical challenges for the entire research field and will require vast resources and large-scale multidisciplinary collaborations. 2015 S. Karger AG, Basel

  13. Global Oral Health Inequalities

    Science.gov (United States)

    Garcia, I.; Tabak, L.A.

    2011-01-01

    Despite impressive worldwide improvements in oral health, inequalities in oral health status among and within countries remain a daunting public health challenge. Oral health inequalities arise from a complex web of health determinants, including social, behavioral, economic, genetic, environmental, and health system factors. Eliminating these inequalities cannot be accomplished in isolation of oral health from overall health, or without recognizing that oral health is influenced at multiple individual, family, community, and health systems levels. For several reasons, this is an opportune time for global efforts targeted at reducing oral health inequalities. Global health is increasingly viewed not just as a humanitarian obligation, but also as a vehicle for health diplomacy and part of the broader mission to reduce poverty, build stronger economies, and strengthen global security. Despite the global economic recession, there are trends that portend well for support of global health efforts: increased globalization of research and development, growing investment from private philanthropy, an absolute growth of spending in research and innovation, and an enhanced interest in global health among young people. More systematic and far-reaching efforts will be required to address oral health inequalities through the engagement of oral health funders and sponsors of research, with partners from multiple public and private sectors. The oral health community must be “at the table” with other health disciplines and create opportunities for eliminating inequalities through collaborations that can harness both the intellectual and financial resources of multiple sectors and institutions. PMID:21490232

  14. Oral microbiota and cancer

    Directory of Open Access Journals (Sweden)

    Jukka H. Meurman

    2010-08-01

    Full Text Available Inflammation caused by infections may be the most important preventable cause of cancer in general. However, in the oral cavity the role of microbiota in carcinogenesis is not known. Microbial populations on mouth mucosa differ between healthy and malignant sites and certain oral bacterial species have been linked with malignancies but the evidence is still weak in this respect. Nevertheless, oral microorganisms inevitably up-regulate cytokines and other inflammatory mediators that affect the complex metabolic pathways and may thus be involved in carcinogenesis. Poor oral health associates statistically with prevalence of many types of cancer, such as pancreatic and gastrointestinal cancer. Furthermore, several oral micro-organisms are capable of converting alcohol to carcinogenic acetaldehyde which also may partly explain the known association between heavy drinking, smoking, poor oral health and the prevalence of oral and upper gastrointestinal cancer. A different problem is the cancer treatment-caused alterations in oral microbiota which may lead to the emergence of potential pathogens and subsequent other systemic health problems to the patients. Hence clinical guidelines and recommendations have been presented to control oral microbiota in patients with malignant disease, but also in this area the scientific evidence is weak. More controlled studies are needed for further conclusion.

  15. African Journal of Oral Health Sciences

    African Journals Online (AJOL)

    The African Journal of Oral Health Sciences is devoted to research into oral diseases and encourages a multidisciplinary approach. Emphasis is on oral pathology, oral microbiology, oral medicine, oral physiology and biochemistry and related clinical sciences.

  16. Desarrollo de un plan de intervención integral para reducir la exposición al plomo y otros contaminantes en el centro minero de la Oroya, perú

    OpenAIRE

    Instituto Nacional de Salud

    2005-01-01

    Fuente: Centros de Control y Prevención de Enfermedades; Centro Nacional para la Salud Ambiental; Agencia para el Registro de Sustancias Tóxicas y Enfermedades. USAID Misión Perú. La Oroya, Perú es la sede de una fundición de metales que ha estado funcionado por más de 80 años. En octubre de 2003, la Agencia para el Desarrollo Internacional del gobierno de los Estados Unidos (U.S. Agency for Internacional Development, USAID) le pidió al Centro para el control y la Prevención de Enfermedade...

  17. Integrating oral health into Haiti's National Health Plan: from disaster relief to sustainable development Integración de la salud bucodental en el Plan Nacional de Salud de Haití: de la ayuda en casos de desastre al desarrollo sostenible

    Directory of Open Access Journals (Sweden)

    Saskia Estupiñán-Day

    2011-11-01

    Full Text Available In 2010, Haiti suffered three devastating national emergencies: a 7.0 magnitude earthquake that killed over 200 000 and injured 300 000; a cholera outbreak that challenged recovery efforts and caused more deaths; and Hurricane Tomas, which brought additional destruction. In the aftermath, the Pan American Health Organization (PAHO reoriented its technical cooperation to face the myriad of new challenges and needs. Efforts included support and technical assistance to the Ministry of Health and Population of Haiti and coordination of actions by the United Nations Health Cluster. This Special Report focuses specifically on the PAHO Regional Oral Health Program's call to action in Haiti and the institutional partnerships that were developed to leverage resources for oral health during this critical time and beyond. To date, achievements include working with Haiti's private sector, dental schools, public health associations, and other stakeholders, via the Oral Health of Haiti (OHOH Coalition. The OHOH aims to meet the immediate needs of the dental community and to rebuild the oral health component of the health system; to provide dental materials and supplies to oral health sites in affected areas; and to ensure that the "Basic Package of Health Services" includes specific interventions for oral health care and services. The experience in Haiti serves as a reminder to the international community of how important linking immediate/short-term disaster-response to mid- and longterm strategies is to building a health system that provides timely access to health services, including oral health. Haiti's humanitarian crisis became an important time to rethink the country's health system and services in terms of the right to health and the concepts of citizenship, solidarity, and sustainable development.En el 2010, Haití padeció tres emergencias nacionales devastadoras: un terremoto de 7,0 de magnitud que causó la muerte de 200 000 personas y

  18. Oral Communication and Technical Writing: A Reconsideration of Writing in a Multicultural Era

    Science.gov (United States)

    Cibangu, Sylvain K.

    2009-01-01

    This article investigates the status of orality in the history of technical communication. The article calls for orality as an integral part and driving force of technical writing. The article brings to light the misconceptions that have led to a diminished role of oral communication in technical writing. The article shows the implications of oral…

  19. The promotion of oral health in health-promoting schools in KwaZulu ...

    African Journals Online (AJOL)

    Background. Oral health promotion is a cost-effective strategy that can be implemented at schools for the prevention of oral diseases. The importance and value of school-based interventions in children has been identified in South Africa (SA). Although oral health strategies include integrated school-based interventions, ...

  20. Sarcoidosis: Oral and extra-oral manifestation

    Directory of Open Access Journals (Sweden)

    Sanjay Gupta

    2015-01-01

    Full Text Available Sarcoidosis is a multisystem granulomatous disease, which is usually associated with the formation of noncaseating granulomas in affected tissues and organs. It is mostly present with bilateral hilar lymphadenopathy, pulmonary infiltration, ocular, and cutaneous lesions. Oral manifestations of this disease are relatively rare. The present case report shows a 40-year-old male with lesions in the soft tissue of oral cavity (buccal mucosa, gingiva, and palate and a diagnosis of sarcoidosis was established following hematological, biochemical and pulmonary function tests, chest radiograph, and histopathological investigation.

  1. Diseño de una estrategia integral para la gestión de la investigación en el Centro de Inmunología y Productos Biológicos de Camagüey An integrated strategy design for managing research at Camagüey's Center of Immunology and Biological Products

    Directory of Open Access Journals (Sweden)

    Imilla Casado Hernández

    2009-12-01

    Full Text Available El desarrollo del pensamiento sobre gestión de la actividad científica en los Centros de Educación Superior es el resultado de los nuevos imperativos ante la tendencia del cambio del paradigma universitario. En este contexto, la gestión de la investigación constituye la forma más eficiente para el cumplimiento de las estrategias propuestas por las instituciones en la necesaria meta de alcanzar la pertinencia reclamada por la sociedad. El fundamento de dicho proceso es la definición de su rol dentro de la estrategia institucional; sobre esta base, se establecen los criterios de prioridad correspondientes. En los centros vinculados al ambiente universitario, una de las principales limitaciones puede estar relacionada con los débiles lazos entre la universidad y dichos centros de investigación. En el presente trabajo se diseña una Estrategia Integral para proporcionar una inserción adecuada del Centro de Inmunología y Productos Biológicos en la actividad investigativa del Instituto Superior de Ciencias Médicas de Camagüey. Además, se realiza un enfoque teórico de la gestión de la investigación que da salida integral a las demandas realizadas desde la práctica. Dicho centro de investigación debe convertirse en una institución dinamizadora que promueva el cambio desde adentro, estableciendo conexiones que le permitan de cierta forma provocar un posible cambio en el ámbito externo.At Higher Education Centers, the development of science management is the result of new requirements before the changing trends of the university paradigm. In this context, research management has become the most efficient way of carrying out strategies proposed by institutions to respond to society's demands. This process bases on the definition of its role within the institutional strategy; subsequently, the corresponding priority criteria are established. A weak linkage between the university and the research center is one of the main limitations of

  2. Integração de técnicas de solo, plantas e animais para recuperar áreas degradadas Integration of techniques of soil, plants and animals for restoration of degraded areas

    Directory of Open Access Journals (Sweden)

    Brigite Regensburger

    2008-09-01

    Full Text Available Este trabalho trata da recuperação de áreas degradadas pela mineração da fração argila em Doutor Pedrinho-SC. O estudo utilizou técnicas para integrar o solo, as plantas e os animais. Testaram-se dois níveis de topografia, regular e irregular, dois níveis de adubação, orgânica e química, e dois níveis de serapilheira, com e sem. A espécie arbórea selecionada foi a leguminosa Mimosa scabrella (bracatinga. Poleiros artificiais foram instalados na área a fim de incrementar o número de sementes provenientes de áreas vizinhas pelos devidos dispersores. Aos nove meses de avaliação, a partir das análises químicas de solo, não foram verificados incrementos nutricionais. A bracatinga apresentou índice de sobrevivência superior a 92%, enquanto que a cobertura do solo pela copa das árvores foi significativamente superior para os tratamentos que receberam serapilheira, com valores maiores de 67%. Apesar de a cobertura do solo pela revegetação natural não apresentar diferença, em geral, houve tendência da mesma ser maior nos tratamentos com topografia regular. Os poleiros artificiais foram responsáveis pela vinda de vinte e uma sementes pertencentes a seis morfoespécies distintas. Entre as doze famílias botânicas de plantas espontâneas identificadas, a maior parte apresentou síndrome de polinização zoofilica, dispersão de sementes anemocórica e hábito herbáceo. Conclui-se que a bracatinga, a abubação orgânica e/ou química, a serapilheira e os poleiros artificiais são indicados para utilização em programas de recuperação de áreas degradadas semelhantes ao deste estudo. Estudos complementares são necessários para avaliar a pertinência ou não do uso da topografia irregular em programas de recuperação de áreas degradadas.This paper is about the restoration of areas degraded by clay mining in Doutor Pedrinho/ Brasil, state of Santa Catarina. The study employs techniques that integrate soil, plants and

  3. ARTEFACTOS DIALÓGICOS: UNA PROPUESTA PARA INTEGRAR LA EDUCACIÓN DE ARTES MUSICALES Y VISUALES (DIALOGIC ARTIFACTS: A PROPOSAL TO INTEGRATE THE EDUCATION OF MUSICAL AND VISUAL ARTS

    Directory of Open Access Journals (Sweden)

    Arenas Navarrete Mario

    2011-08-01

    Full Text Available Resumen:El propósito de este ensayo es realizar una propuesta para crear unidades de integración de artes musicales y visuales a través de la participación de estudiantes desde 12 a 17 años de edad, aproximadamente, en la creación de “Artefactos Dialógicos”, es decir, esculturas sonoras cinéticas e interactivas. La particularidad de estas instalaciones-esculturas es que establecen y explicitan diversos tipos de diálogos con la naturaleza. Corresponden a la cristalización de un proceso iniciado el año 1986 en el Departamento de Música de la Universidad de La Serena, Chile, caracterizado por la defensa de la transversalidad disciplinar, en oposición al especialismo. Han participado estudiantes universitarios y niños de su Escuela Experimental de Música; profesores, artistas visuales, compositores e investigadores. La pretensión de que estudiantes construyan estos artefactos, conlleva cumplir como requisito, su empoderamiento, el desarrollo de su capacidad de agencia y creatividad, para que, en colaboración con profesores de diferentes asignaturas artísticas, científicas y humanísticas, incluyan en la mirada estética, la configuración material y estructural de estos aparatos, integrando, así, racionalismo y expresividad. Todo ello, visualizado a través del filtro epistémico que otorga la educación intercultural, de tal modo de atrapar y proyectar ancestros, gestos, modos, iconografías,2 idiolectos,3 identidades y patrimonio.Abstract: In this essay, we propose to create units of integration of the musical and visual arts through the participation of students ranging approximately from 12 to 17 years of age, for the creation of the "Dialogical Artifacts", i.e., kinetic and interactive sound sculptures. The particularity of these artifacts lies on the fact that they establish and explicit different types of dialogues with nature from a transversal perspective of the curriculum. This initiative was taken for the first

  4. TRADICIÓN INVESTIGATIVA Y CONSTRUCTOS PARA COMPRENDER ASPECTOS DE LA INSERCIÓN PROFESIONAL DOCENTE: PLURALISMO CULTURAL, ACULTURACIÓN, SHOCK CULTURAL (RESEARCH TRADITION AND CONSTRUCTS TO UNDERSTAND ASPECTS OF TEACHER PROFESSIONAL INTEGRATION: CULTURAL PLURALISM, ACCULTURATION, CULTURAL SHOCK

    Directory of Open Access Journals (Sweden)

    D' Antoni Maurizia

    2010-12-01

    Full Text Available Resumen:El fenómeno de la interculturalidad le impone a la academia cambios y reflexiones nuevas. En el presente ensayo reflexiono sobre los conceptos base que puedan guiar una investigación sobre inserción profesional de docentes extranjeros y extranjeras en la Universidad de Costa Rica (UCR. Sobresale el concepto de aculturación. Luego, tomo en cuenta el concepto de shock cultural y cómo Michael Winkelman resume la tradición de estudios sobre el tema, contrastándola con aportes de diversos estudiosos. Finalmente presento la visión de Paulo Freire, y de otros autores que comparten su visión del mundo, sobre qué es cultura y me sirvo de su aporte para analizar críticamente el concepto de shock cultural. Concluyo que, a pesar de la utilidad que puedan tener conceptos como shock cultural o inteligencia cultural, interesa más una visión de la cultura que tenga como punto de referencia el contexto.Abstract:The phenomenon of multiculturalism imposes to the academic world changes and new ideas. In this essay I reflect on the basic concepts that can guide research on professional integration of foreign teachers at the University of Costa Rica. The concept of acculturation appears to be the most important. Then I take into account the concept of culture shock and how Michael Winkelman synthesizes the tradition of studies on the subject, contrasting that contribution with contributions from other authors. Finally I present the vision of Paulo Freire, and other authors who share his approach, on what culture is. I am using their input to critically analyze the concept of cultural shock. I conclude that, although concepts such as cultural shock or cultural intelligence may be helpful, more interested in a vision of culture that that has as its reference point the context.

  5. Oral cavity and jaw

    International Nuclear Information System (INIS)

    Solntsev, A.M.; Koval', G.Yu.

    1984-01-01

    Radioanatome of oral cavity and jaw is described. Diseases of the teeth, jaw, large salivary glands, temporo-mandibular articulation are considered. Roentgenograms of oral cacity and jaw of healthy people are presented and analyzed as well as roentgenograms in the above-mentioned diseases

  6. Oral Microbiology and Immunology

    DEFF Research Database (Denmark)

    Dahlén, Gunnar; Fiehn, Nils-Erik; Olsen, Ingar

    , dental assistants and trainees may find it a useful source of reference. The contents are based on general microbiology and immunology. Oral microbiology is given particular attention, with examples relevant to oral infectious diseases. Each chapter opens with a relatively short pre-reading section...

  7. Brachytherapy for oral cancer

    International Nuclear Information System (INIS)

    Monzen, Yoshio; Ajimu, Akira; Morikawa, Minoru; Hayashi, Nobuyuki; Yoshida, Shintarou; Ashizawa, Kazuto; Hayashi, Kuniaki; Ikenaga, Kouji; Sakamoto, Ichirou.

    1988-01-01

    13 cases with oral cancer were treated using brachytherapy at the Department of Radiology, Nagasaki University Hospital from September 1985 to February 1988. Among 11 cases of tongue cancer, T1 and T2 cases were well controlled by radiation therapy using 226 Ra needles. Cancer of oral floor and buccal mucosa were controlled by the use of 192 Au grains. (author)

  8. Estabilidad de las gotas orales de picosulfato de sodio Stability of sodium picosulphate oral drops

    Directory of Open Access Journals (Sweden)

    María Teresa Herrera Santi

    2008-08-01

    Full Text Available Las gotas orales de picosulfato de sodio son muy efectivas en el tratamiento del estreñimiento agudo y crónico en paciente de todas las edades. Se realizó un estudio de estabilidad de una formulación de picosulfato de sodio, para su administración por vía oral, que cumpliera con los requisitos de calidad exigidos para el producto, como: características organolépticas, pH, valoración y conteo microbiológico. Como resultado se logró una formulación con un tiempo de vida útil de 12 meses, a temperatura ambiente de 30 ± 2 °C. Se mantuvieron invariables sus características físicas, químicas y microbiológicas durante el estudio de estabilidad realizado.The oral drops of sodium picosulphate are very effective in the treatment of acute and chronic constipation in patients of all ages. It was conducted a stability study of a formulation of sodium picosulphate for its oral administration that meets all the quality requirements demanded for the product, such as: organoleptic characteristics, pH, assessment and microbiological count. As a result, it was attained a formulation with a time of useful life of 12 months, at an ambient temperature of 30 ± 2 °C. Its physical, chemical and microbiological characteristics remained invariable during the stability study

  9. Factores determinantes para una acción ambiental positiva de la Gestión Integral de Residuos (GIR en el cantón de Guácimo, Costa Rica

    Directory of Open Access Journals (Sweden)

    Rooel Campos-Rodríguez

    2014-11-01

    Se espera que la información obtenida en esta investigación le sirva a la Municipalidad de Guácimo para tomar decisiones públicas sostenibles, que involucren a la comunidad en un trabajo colaborativo para que gestionen adecuadamente los residuos sólidos del cantón.

  10. Head, Neck, and Oral Cancer

    Medline Plus

    Full Text Available ... Oral Surgeries Facial Cosmetic Surgery Facial Injury / Trauma Surgery Obstructive Sleep Apnea (OSA) Oral, Head and Neck Pathology TMJ and Facial Pain Wisdom Teeth Management Procedures Anesthesia Anesthesia Oral and maxillofacial surgeons are ...

  11. American Academy of Oral Medicine

    Science.gov (United States)

    ... Statements Newsletters AAOM: Representing the Discipline of Oral Medicine Oral Medicine is the discipline of dentistry concerned with the ... offers credentialing, resources and professional community for oral medicine practitioners. Our membership provides care to thousands. We ...

  12. What Is an Oral Piercing?

    Science.gov (United States)

    ... to your desktop! more... What Is an Oral Piercing? Article Chapters What Is an Oral Piercing? print full article print this chapter email this article Oral piercing can cause pain, swelling, infection, drooling, taste loss, ...

  13. Literatura Oral Hispanica (Hispanic Oral Literature).

    Science.gov (United States)

    McAlpine, Dave

    As part of a class in Hispanic Oral Literature, students collected pieces of folklore from various Hispanic residents in the region known as "Siouxland" in Iowa. Consisting of some of the folklore recorded from the residents, this paper includes 18 "cuentos y leyendas" (tales and legends), 48 "refranes" (proverbs), 17…

  14. Os ensinos da educação para a saúde na prevenção de HIV-Aids: subsídios teóricos para a construção de uma práxis integral Lessons from health education for HIV/Aids prevention: theoretical elements for the construction of a new integrated praxis

    Directory of Open Access Journals (Sweden)

    Edgar Merchán-Hamann

    1999-01-01

    Full Text Available Foi constatado um contraste entre as práticas de educação em saúde e a reflexão teórica sobre as mesmas (modelos. Enquanto as primeiras têm tido um desenvolvimento considerável em estratégias, metodologias e modalidades, a segunda permanece reducionista, fragmentadora e atrelada à psicologia comportamentalista. Apontam-se como maiores problemas de tais modelos o individualismo, a alteridade nas relações educador-educando, a passividade do educando, a falta de contextualidade macrossocial e cultural, bem como a ênfase em comportamentos. Propõe-se uma práxis baseada em dez níveis de integração de dimensões múltiplas do ser humano: 1 a complexidade dos objetos requer interdisciplinaridade; 2 concepção holística; 3 integração das duas dimensões de percepção (vivência e expressão (ação em uma linguagem integral; 4 inserção da prática em contextos reais; 5 constatação do continuum indivíduo-coletivo; 6 educação simétrica, dialogal e ativa; 7 integração de processos intelectuais-cognitivos e afetivo-volitivos; 8 visão de riscos como vulnerabilidades de coletivos capazes de iniciativa e organização; 9 visão lúdica que inclui o real imaginado nos jogos de papéis; 10 contemplação do outro e da diversidade. Enfatiza-se o aspecto político da educação como promotora de cidadania e de mudança social.There is an evident contrast between health education practices and theoretical reflection concerning them as models. Health education practices have undergone considerable development in terms of strategies, methods, and modalities, while theoretical models have remained deficient, reductionist, fragmentary, and focused on behavior rather than social practices. Major problems include individualism, asymmetrical "teacher-student" relationships, students as passive objects of practices, lack of social and cultural contextualism, and excessive focus on factual behavior. We propose a praxis based on ten levels of

  15. Evaluation of community-based oral health promotion and oral disease prevention--WHO recommendations for improved evidence in public health practice

    DEFF Research Database (Denmark)

    Petersen, Poul Erik; Kwan, Stella

    2004-01-01

    Systematic evaluation is an integral part of the organisation and delivery of community oral health care programmes, ensuring the effectiveness of these community-based interventions. As for general health promotion programmes the common problems from effectiveness reviews of oral health...... a challenge to oral health professionals to integrate community oral health programmes into a wider health agenda. Public health research focusing on the development of evaluation methodologies has identified a variety of issues including the importance of using pluralistic evaluation approaches (quantitative...... of the evaluation of oral health promotion and oral disease prevention programmes. The aims of the workshop were to: (1) identify common problems and challenges in evaluating community-based oral health interventions; (2) explore developments in the evaluation approaches in public health; (3) share experiences...

  16. Head, Neck, and Oral Cancer

    Medline Plus

    Full Text Available ... Oral and maxillofacial surgeons surgically treat the soft tissues of the face, mouth ... involving skin, muscle, bone and cartilage finely attune the oral and maxillofacial ...

  17. Examining the association between oral health and oral HPV infection.

    Science.gov (United States)

    Bui, Thanh Cong; Markham, Christine M; Ross, Michael Wallis; Mullen, Patricia Dolan

    2013-09-01

    Oral human papillomavirus (HPV) infection is the cause of 40% to 80% of oropharyngeal cancers; yet, no published study has examined the role of oral health in oral HPV infection, either independently or in conjunction with other risk factors. This study examined the relation between oral health and oral HPV infection and the interactive effects of oral health, smoking, and oral sex on oral HPV infection. Our analyses comprised 3,439 participants ages 30 to 69 years for whom data on oral HPV and oral health were available from the nationally representative 2009-2010 National Health and Nutrition Examination Survey. Results showed that higher unadjusted prevalence of oral HPV infection was associated with four measures of oral health, including self-rated oral health as poor-to-fair [prevalence ratio (PR) = 1.56; 95% confidence interval (CI), 1.25-1.95], indicated the possibility of gum disease (PR = 1.51; 95% CI, 1.13-2.01), reported use of mouthwash to treat dental problems in the past week (PR = 1.28; 95% CI, 1.07-1.52), and higher number of teeth lost (Ptrend = 0.035). In multivariable logistic regression models, oral HPV infection had a statistically significant association with self-rated overall oral health (OR = 1.55; 95% CI, 1.15-2.09), independent of smoking and oral sex. In conclusion, poor oral health was an independent risk factor of oral HPV infection, irrespective of smoking and oral sex practices. Public health interventions may aim to promote oral hygiene and oral health as an additional measure to prevent HPV-related oral cancers.

  18. El cine en E/LE: explotación didáctica de “Te doy mis ojos” (Icíar Bollaín, 2003 para el trabajo del español oral (conversacional y coloquial

    Directory of Open Access Journals (Sweden)

    Carmen Azuar Bonastre

    2009-01-01

    Full Text Available El objetivo primordial de esta propuesta es propiciar el desarrollo y aprendizaje del lenguaje oral (conversacional y coloquial por medio del material cinematográfico.La destreza oral suele ser el objetivo último de todo estudiante; en ésta, el dominio delos recursos de la conversación, que es el prototipo discursivo de lo oral, se hacen imprescindibles, así como los del lenguaje coloquial, variedad más auténtica de lo oral,con suma frecuencia de uso en el español actual.

  19. Oral Thrush (For Parents)

    Science.gov (United States)

    [Skip to Content] for Parents Parents site Sitio para padres General Health Growth & Development Infections Diseases & Conditions Pregnancy & Baby Nutrition & Fitness Emotions & Behavior School & Family ...

  20. Efeito de lubrificantes sobre a integridade da sonda de Foley e implicações no tamponamento nasal para epistaxe Effect of lubricants on the integrity of the Foley catheter and their implications in nasal packing for epistaxis

    Directory of Open Access Journals (Sweden)

    Fernando P. Gaspar-Sobrinho

    2004-06-01

    Full Text Available O tamponamento nasal para epistaxe é comumente realizado com gaze lubrificada e sonda de Foley. O balonete de Foley, de látex, pode ser dissolvido pela vaselina ou parafina; entretanto, estes são excipientes de várias pomadas e cremes. OBJETIVO: Avaliar o efeito de potenciais lubrificantes sobre a integridade da sonda de Foley. FORMA DE ESTUDO: Experimental. MATERIAL E MÉTODO: Balonetes de 80 sondas foram eqüitativamente distribuídos e mantidos sob tração em contato com um dos seguintes produtos: duas pomadas, três cremes, um gel, vaselina e gaze seca, e inspecionados a cada 24 horas por cinco dias. Os lubrificantes foram testados quanto a hidrossolubilidade. RESULTADOS: Vinte balonetes romperam-se, dos grupos vaselina e uma pomada. Os produtos não associados à degeneração da sonda mostraram-se hidrossolúveis, a despeito da presença de petrolato. DISCUSSÃO: Conjectura-se que a gaze do tampão nasal anterior com lubrificante hidrofóbico contendo petrolato, justaposto ao balonete de Foley, pode lesá-lo. CONCLUSÕES: Considerando-se apenas a inocuidade à sonda de Foley, os cremes e a pomada Furacin® poderiam ser indicados para lubrificar a gaze do tampão nasal anterior associado ao balonete de Foley. Nossos resultados sugerem que cremes, pomadas e géis hidrossolúveis preservam a integridade da sonda de Foley, ainda que contenham derivados do petróleo.Nasal packing for epistaxis is usually carried out using lubricated gauze and a Foley catheter. Lubricants such as Vaseline or paraffin can dissolve the Foley balloon of latex; however, they are excipients of various ointments and creams. AIM: To evaluate the effect of potential lubricants on the Foley catheter. STUDY DESIGN: Experimental. MATERIAL AND METHOD: Balloons from eighty Foley catheters were distributed into groups of equal size and kept under traction in contact with one of eight different products: two ointments, three creams, one gel, Vaseline and dry gauze. The

  1. Prevention of gingival trauma : Oral hygiene devices and oral piercings

    NARCIS (Netherlands)

    Hoenderdos, N.L.

    2017-01-01

    Maintaining healthy teeth and soft oral tissues for life is important. Oral hygiene devices and oral piercings can damage the soft oral tissues. This thesis investigates the safety of manual toothbrushes, interdental brushes and rubber bristles interdental cleaners by analysing the gingival abrasion

  2. Cromolyn Oral Inhalation

    Science.gov (United States)

    ... your doctor.Cromolyn oral inhalation helps to prevent asthma attacks (sudden episodes of shortness of breath, wheezing, and coughing) but will not stop an asthma attack that has already started. Your doctor will prescribe ...

  3. Intravenous versus oral etoposide

    DEFF Research Database (Denmark)

    Ali, Abir Salwa; Grönberg, Malin; Langer, Seppo W.

    2018-01-01

    High-grade gastroenteropancreatic neuroendocrine neoplasms (GEP-NENs, G3) are aggressive cancers of the digestive system with poor prognosis and survival. Platinum-based chemotherapy (cisplatin/carboplatin + etoposide) is considered the first-line palliative treatment. Etoposide is frequently...... administered intravenously; however, oral etoposide may be used as an alternative. Concerns for oral etoposide include decreased bioavailability, inter- and intra-patient variability and patient compliance. We aimed to evaluate possible differences in progression-free survival (PFS) and overall survival (OS......) in patients treated with oral etoposide compared to etoposide given as infusion. Patients (n = 236) from the Nordic NEC study were divided into three groups receiving etoposide as a long infusion (24 h, n = 170), short infusion (≤ 5 h, n = 33) or oral etoposide (n = 33) according to hospital tradition. PFS...

  4. Fostering oral presentation performance

    NARCIS (Netherlands)

    Ginkel, van Stan; Gulikers, Judith; Biemans, Harm; Mulder, Martin

    2017-01-01

    Previous research revealed significant differences in the effectiveness of various feedback sources for encouraging students’ oral presentation performance. While former studies emphasised the superiority of teacher feedback, it remains unclear whether the quality of feedback actually differs

  5. Oral Cancer Foundation

    Science.gov (United States)

    ... Get involved Understanding Dental Research People Resources About Understanding Events Get involved Dental Research Resources Contact Sitemap The Oral Cancer Foundation admin 2017-11-12T16:49:25+ ...

  6. A educação do corpo para o "soldado integral", "forte de físico, culto de cérebro e grande de alma" The education of the body for an "integral soldier", "physically strong, intelligent and soul superior"

    Directory of Open Access Journals (Sweden)

    Renata Duarte Simões

    2012-06-01

    Full Text Available Este estudo reflete sobre o treinamento paramilitar realizado pela Milícia Integralista, unidade armada da Ação Integralista Brasileira (AIB, principal partido de extrema direita no Brasil da década de 1930, no sentido de formar o "soldado integral", "forte de físico, culto de cérebro e grande de alma". Analisa os números do jornal Monitor Integralista, periódico doutrinário e prescritivo do movimento, encontrado no Arquivo Público e Histórico do Município de Rio Claro, SP, e o jornal A Offensiva, que se encontra microfilmado na Biblioteca Nacional no Rio de Janeiro. Concluiu que o objetivo de Plínio Salgado, Chefe Nacional da AIB, era treinar verbalmente, por meio de discursos, de propaganda boca a boca e pelo voto, ou corporalmente, pela luta armada e corporal, os integralistas para torná-los aptos a defender as causas do movimento.This study examines the paramilitary training carried out by the Integralist Militia (Milícia Integralista, unit of the Brazilian Integralist Action (Ação Integralista Brasileira, AIB of the extreme right wing political party in Brazil in the 1930s. The training was aimed to create the "integral soldier", a "physically strong, intelligent and soul superior" one. The study analyzes issues of the newspaper "Monitor Integralista", a prescriptive and dogmatic journal of the movement, found in the Public and History Archives of the city of Rio Claro, State of São Paulo, and in the "A Offensiva" newspaper, microfilmed an archived at the National Library of Rio de Janeiro. It concludes that Plínio Salgado's goal, the National Head of the AIB, was to train, by using verbal persuasion, speeches, word of mouth and by vote, by force and physical combat, the integralists to defend the causes of the movement.

  7. Control del cáncer en el Perú: un abordaje integral para un problema de salud pública Cancer control in Peru: a comprehensive approach to a public health issue

    Directory of Open Access Journals (Sweden)

    Gustavo Sarria-Bardales

    2013-03-01

    Full Text Available El cáncer como problema de salud pública es complejo y cambiante, obliga a afrontarlo mediante una estrategia integral, transversal, coherente y sostenible basada en experiencias previas y proyectadas al alarmante incremento que muestra esta condición a nivel global. Es imprescindible buscar y respetar consensos, impulsar nuevas tecnologías e investigar estrategias con sensibilidad cultural adecuadas a las comunidades y en las cuales éstas participen activamente. Se hace impostergable reforzar el componente educacional e introducir las nuevas tecnologías de información y comunicación, reforzando el sistema desde el nivel primario de atención. Nuestro objetivo debe ser la disminución de la morbimortalidad por cáncer en el mediano y largo plazo. En este artículo se describen algunas de las medidas implementadas para este fin. Consideramos que todas las estrategias de prevención del cáncer deben aplicarse en el contexto de actividades transversales orientadas a prevenir otras enfermedades crónicas, con criterio de salud públicaCancer as a public health issue is changing and complex. It calls for a comprehensive, coherent and horizontal strategy based on previous experiences and considering the alarming increase of this condition worldwide. Therefore, it is imperative to reach and respect consensuses, to promote new technologies and study culturally sensitive strategies that adapt to the communities and involve people to actively participate. Likewise, strengthening the educational component and introducing new information and communication technologies cannot wait, while strengthening the system, from the primary health care level at the same time. Our goal should be to reduce cancer morbidity and mortality rates in the medium and long terms. This article describes some of the measures implemented for that purpose. We consider that all cancer preventive strategies should be applied in the context of transversal activities oriented

  8. Primera Jornada de Actualización en Patología Oral y Maxilofacial

    Directory of Open Access Journals (Sweden)

    Claudia Patricia Peña Vega

    2017-01-01

    Full Text Available Dedicamos las Lecturas recobradas a las memorias de la “Primera Jornada de Actualización en Patología Oral Y Maxilofacial” de las Facultades de Odontología y Medicina de la Universidad Nacional de Colombia, realizado en septiembre 30 al 01 de octubre del año 2016, bajo la coordinación de la profesora asociada del Departamento de Salud Oral de la universidad Nacional de Colombia, Claudia Patricia Peña Vega. El objetivo general del encuentro fue realizar una jornada académica integral de actualización en el campo de la Patología Oral y Maxilofacial dirigida a los estudiantes, residentes, egresados, profesores, y profesionales odontólogos, médicos, de las diferentes especialidades de interés en el área de la Patología General y Oral que fortalezcan la interdisciplinariedad del diagnóstico en un contexto clínico, académico e investigativo. Con el propósito de actualizar a los odontólogos y médicos en el estado del arte, avances tecnológicos y científicos en los diferentes campos de la Patología Oral y Maxilofacial, fortaleciendo académica y científicamente el campo de la Patología Oral y Maxilofacial, enmarcado como ámbito importante del conocimiento de la Patología General. Proporciona y difunde el Servicio de diagnóstico histopatológico en la Facultad de Odontología de la Universidad Nacional de Colombia. Todo esto, con el objetivo de crear un espacio académico para la presentación de casos clínicos y discusión de temas de interés, con la participación de diferentes expertos Patólogos de diferentes instituciones y creando nexos y vínculos académicos, hospitalarios y científicos con el Departamento de Patología de la Universidad Nacional de Colombia y la Sección Académica de Patología de la Faculta de Odontología de la Universidad Nacional de Colombia.

  9. Maintaining women's oral health.

    Science.gov (United States)

    McCann, A L; Bonci, L

    2001-07-01

    Women must adopt health-promoting strategies for both general health and the oral cavity, because the health of a woman's body and oral cavity are bidirectional. For general health-maintenance strategies, dental practitioners should actively advise women to minimize alcohol use, abstain from or cease smoking, stay physically active, and choose the right foods to nourish both the body and mind. For oral health-maintenance strategies, dental practitioners should advise women on how to prevent or control oral infections, particularly dental caries and periodontal diseases. Specifically, women need to know how to remove plaque from the teeth mechanically, use appropriate chemotherapeutic agents and dentifrices, use oral irrigation, and control halitosis. Dental practitioners also need to stress the importance of regular maintenance visits for disease prevention. Adolescent women are more prone to gingivitis and aphthous ulcers when they begin their menstrual cycles and need advice about cessation of tobacco use, mouth protection during athletic activities, cleaning orthodontic appliances, developing good dietary habits, and avoiding eating disorders. Women in early to middle adulthood may be pregnant or using oral contraceptives with concomitant changes in oral tissues. Dental practitioners need to advise them how to take care of the oral cavity during these changes and how to promote the health of their infants, including good nutrition. Older women experience the onset of menopause and increased vulnerability to osteoporosis. They may also experience xerostomia and burning mouth syndrome. Dental practitioners need to help women alleviate these symptoms and encourage them to continue good infection control and diet practices.

  10. ON ORAL CANCER

    Directory of Open Access Journals (Sweden)

    P. V. Svetitsky

    2012-01-01

    Full Text Available The paper analyzes a rise in the incidence of oral cancer in the Rostov Region since the 1990s. The study has indicated that this rise is associated with regional population growth due to the forced migrants after the collapse of the USSR. Financial problems, unbalanced nutrition, poor oral hygiene, and depression in this group of patients have contributed to the higher incidence of precancers and cancers.

  11. Oral vs. salivary diagnostics

    Science.gov (United States)

    Marques, Joana; Corby, Patricia M.; Barber, Cheryl A.; Abrams, William R.; Malamud, Daniel

    2015-05-01

    The field of "salivary diagnostics" includes studies utilizing samples obtained from a variety of sources within the oral cavity. These samples include; whole unstimulated saliva, stimulated whole saliva, duct saliva collected directly from the parotid, submandibular/sublingual glands or minor salivary glands, swabs of the buccal mucosa, tongue or tonsils, and gingival crevicular fluid. Many publications state "we collected saliva from subjects" without fully describing the process or source of the oral fluid. Factors that need to be documented in any study include the time of day of the collection, the method used to stimulate and collect the fluid, and how much fluid is being collected and for how long. The handling of the oral fluid during and post-collection is also critical and may include addition of protease or nuclease inhibitors, centrifugation, and cold or frozen storage prior to assay. In an effort to create a standard protocol for determining a biomarker's origin we carried out a pilot study collecting oral fluid from 5 different sites in the mouth and monitoring the concentrations of pro- and anti-inflammatory cytokines detected using MesoScaleDiscovery (MSD) electrochemiluminesence assays. Our data suggested that 3 of the cytokines are primarily derived from the submandibular gland, while 7 of the cytokines come from a source other than the major salivary glands such as the minor salivary glands or cells in the oral mucosae. Here we review the literature on monitoring biomarkers in oral samples and stress the need for determining the blood/saliva ratio when a quantitative determination is needed and suggest that the term oral diagnostic be used if the source of an analyte in the oral cavity is unknown.

  12. Immunologically mediated oral diseases

    OpenAIRE

    Jimson, Sudha; Balachader, N.; Anita, N.; Babu, R.

    2015-01-01

    Immune mediated diseases of oral cavity are uncommon. The lesions may be self-limiting and undergo remission spontaneously. Among the immune mediated oral lesions the most important are lichen planus, pemphigus, erythema multiformi, epidermolysis bullosa, systemic lupus erythematosis. Cellular and humoral mediated immunity play a major role directed against epithelial and connective tissue in chronic and recurrent patterns. Confirmatory diagnosis can be made by biopsy, direct and indirect imm...

  13. Determinants of Oral Health: Does Oral Health Literacy Matter?

    OpenAIRE

    Naghibi Sistani, Mohammad Mehdi; Yazdani, Reza; Virtanen, Jorma; Pakdaman, Afsaneh; Murtomaa, Heikki

    2013-01-01

    Objective. To evaluate oral health literacy, independent of other oral health determinants, as a risk indicator for self-reported oral health. Methods. A cross-sectional population-based survey conducted in Tehran, Iran. Multiple logistic regression analysis served to estimate the predictive effect of oral health literacy on self-reported oral health status (good versus poor) controlling for socioeconomic and demographic factors and tooth-brushing behavior. Results. In all, among 1031 partici...

  14. Oral Carcinogenesis and Oral Cancer Chemoprevention: A Review

    OpenAIRE

    Tanaka, Takuji; Tanaka, Mayu; Tanaka, Takahiro

    2011-01-01

    Oral cancer is one of the major global threats to public health. The development of oral cancer is a tobacco-related multistep and multifocal process involving field cancerization and carcinogenesis. The rationale for molecular-targeted prevention of oral cancer is promising. Biomarkers of genomic instability, including aneuploidy and allelic imbalance, are possible to measure the cancer risk of oral premalignancies. Understanding of the biology of oral carcinogenesis will yield important adv...

  15. Oral microbiome and oral and gastrointestinal cancer risk

    OpenAIRE

    Ahn, Jiyoung; Chen, Calvin Y.; Hayes, Richard B.

    2012-01-01

    A growing body of evidence implicates human oral bacteria in the etiology of oral and gastrointestinal cancers. Epidemiological studies consistently report increased risks of these cancers in men and women with periodontal disease or tooth loss, conditions caused by oral bacteria. More than 700 bacterial species inhabit the oral cavity, including at least 11 bacterial phyla and 70 genera. Oral bacteria may activate alcohol and smoking-related carcinogens locally or act systemically, through c...

  16. Position of the Academy of Nutrition and Dietetics: oral health and nutrition.

    Science.gov (United States)

    Touger-Decker, Riva; Mobley, Connie

    2013-05-01

    It is the position of the Academy of Nutrition and Dietetics that nutrition is an integral component of oral health. The Academy supports integration of oral health with nutrition services, education, and research. Collaboration between dietetics practitioners and oral health care professionals is recommended for oral health promotion and disease prevention and intervention. Scientific and epidemiological data suggest a lifelong synergy between diet, nutrition, and integrity of the oral cavity in health and disease. Oral health and nutrition have a multifaceted relationship. Oral infectious diseases, as well as acute, chronic, and systemic diseases with oral manifestations, impact an individual's functional ability to eat and their nutrition status. Likewise, nutrition and diet can affect the development and integrity of the oral cavity and progression of oral diseases. As knowledge of the link between oral and nutrition health increases, dietetics practitioners and oral health care professionals must learn to provide screening, education, and referrals as part of comprehensive client/patient care. The provision of medical nutrition therapy, including oral and overall health, is incorporated into the Standards of Practice for registered dietitians and dietetic technicians, registered. Inclusion of didactic and clinical practice concepts that illustrate the role of nutrition in oral health is essential in education programs for both professional groups. Collaborative endeavors between dietetics, dentistry, medicine, and allied health professionals in research, education, and delineation of practice roles are needed to ensure comprehensive health care. The multifaceted interactions between diet, nutrition, and oral health in practice, education, and research in both dietetics and dentistry merit continued, detailed delineation. Copyright © 2013 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

  17. Ethnicity and oral cancer.

    Science.gov (United States)

    Scully, C; Bedi, R

    2000-09-01

    Oral squamous-cell carcinoma, the main type of oral cancer, is among the ten most common cancers in the world. The aims of this paper were first, to consider whether there was evidence of marked ethnic variations in the incidence, management, and survival of oral cancer, and then, to review possible explanations for these variations. Evidence from the literature suggests that there is marked, inter-country variation in both the incidence and mortality from oral cancer. There is also growing evidence of intracountry ethnic differences, mostly reported in the UK and USA. These variations among ethnic groups have been attributed mainly to specific risk factors, such as alcohol and tobacco (smoking and smokeless), but dietary factors and the existence of genetic predispositions may also play a part. Variations in access to care services are also an apparent factor. The extent of ethnic differences in oral cancer is masked by the scarcity of information available. Where such data are accessible, there are clear disparities in both incidence and mortality of oral cancer between ethnic groups.

  18. Head, Neck, and Oral Cancer

    Medline Plus

    Full Text Available ... find out more. Oral, Head and Neck Pathology Oral, Head and Neck Pathology Close to 49,750 Americans will be diagnosed ... find out more. Oral, Head and Neck Pathology Oral, Head and Neck Pathology Close to 49,750 Americans will be diagnosed ...

  19. Head, Neck, and Oral Cancer

    Science.gov (United States)

    ... find out more. Oral, Head and Neck Pathology Oral, Head and Neck Pathology Close to 49,750 Americans will be diagnosed ... find out more. Oral, Head and Neck Pathology Oral, Head and Neck Pathology Close to 49,750 Americans will be diagnosed ...

  20. Infecção oral pelo HPV e lesões epiteliais proliferativas associadas HPV oral infection and proliferative epithelial associated lesions

    Directory of Open Access Journals (Sweden)

    Cíntia Tereza Lima Ferraro

    2011-08-01

    Full Text Available Os papilomavírus humanos (HPVs pertencem à família Papillomaviridae e seu ciclo de vida é diretamente ligado à diferenciação das células epiteliais do hospedeiro. Possuem seis genes que se expressam precocemente e dois genes que se expressam tardiamente, sendo denominados respectivamente E (early e L (late. O ácido desoxirribonucleico (DNA viral dentro da célula do hospedeiro pode assumir duas formas: epissomal e integrada. O HPV tem como alvo as células basais de epitélios escamosos, em particular da área genital, onde está associado ao carcinoma da cérvice uterina. Na boca, o HPV está associado a papiloma escamoso oral, condiloma acuminado, verruga vulgar e hiperplasia epitelial focal. Entretanto, seu papel na carcinogênese oral é ainda controverso, sendo também identificado como agente etiológico de alguns carcinomas de células escamosas de cabeça e pescoço. A infecção pelo HPV pode agir sinergicamente com agentes carcinogênicos, como o tabaco e o álcool. Pelo menos 150 subtipos diferentes de HPV já foram identificados, sendo que 25 têm sido detectados em lesões orais. Considerando a relevância do tema para a melhor compreensão da infecção oral pelo HPV, o objetivo desta atualização é rever os aspectos relevantes da biologia do HPV, com ênfase na relação HPV-ceratinócitos, e a importância dos dados clínicos e histopatológicos na definição diagnóstica das lesões orais possivelmente associadas ao HPV.Papillomaviruses belong to the family Papillomaviridae and their life cycle is directly linked to the differentiation of host epithelial cells. They have six genes that are expressed earlier and two genes that are expressed later in their life cycle, named respectively E (early and L (late. Host cell viral DNA can take two forms: episomal and integrated. The human papillomavirus (HPV targets the basal cells of squamous epithelia, particularly from the genital area, which is associated with uterine

  1. Case Report Form for oral health assessments: methodological considerations

    Directory of Open Access Journals (Sweden)

    Joana Christina Carvalho

    2012-01-01

    Full Text Available Information on the oral health condition of the target population is required to enable the development of policy strategies for oral health promotion. This information needs to be substantiated by reliable data obtained through regular oral health assessments. Countries around the world have set up oral health data-registration systems that monitor the oral health of the population. These systems are either integrated in the public oral health care service or in national surveys conducted on a regular basis. This paper describes the conception and development of a Case Report Form for oral health assessments and introduces a recently developed electronic data-registration system for data capture in oral health surveys. The conception and development of a Case Report Form poses a number of challenges to be overcome. In addition to ensuring the scientific quality of its contents, several requirements need to be met. In the framework of national oral health surveys, handwritten data capture has proven accurate, but entails an important workload related to the printing and transporting of the forms, data transfer and storage of the forms, as well as the time required to perform these tasks. On the other hand, electronic data capture enables time saving and better performance. However, the advantages of this system may not be fully acknowledged by general practitioners, and their motivation to employ information and communication technologies may need to be encouraged. In the long term, the inclusion of electronic data registration in university training is probably the best strategy to achieve this.

  2. Integrated project delivery, an alternative to the usual form of construction work in Spain = Métodos colaborativos, un cambio para la construcción en España

    Directory of Open Access Journals (Sweden)

    Miguel Ángel Álvarez

    2017-12-01

    Full Text Available The productivity of the construction sector in Spain is very low, as compared to other economic sectors, as with other countries in our environment. It takes us to a deep reflection on whether we are doing things right and what improvements can we introduce to increase production. These improvements must necessarily be technological and methodological, since there is a good training of the equipment both at the managerial level, as well as at the technical and in most of the labour levels, it is to exploit the full potential of new IT tools, especially Building Information Modelling (BIM and the new methodologies that, from the industry, look for greater efficiency of the process and the elimination of all type of losses, like Lean Construction. A change of mentality, necessary to rethink the way of work in which we have been working for so many centuries, as the only possible paradigm, to replace confrontation as a way of producing construction through collaboration between all the agents involved in the work. We will speak in this article about Integrated Project Delivery (IPD, as one of the Lean methodologies that enable a profound improvement, we will see its definition, its essential components, and how it application can positively influence the construction process in Spain as it has already demonstrated in others. Resumen La productividad del sector de la construcción en España es muy baja, tanto comparativamente con otros sectores económicos, como con la de otros países de nuestro entorno. Se hace necesaria una profunda reflexión sobre si estamos haciendo bien las cosas y qué mejoras podemos introducir para incrementar la producción. Estas mejoras han de ser necesariamente tecnológicas y metodológicas, ya que existe una buena capacitación de los equipos tanto a nivel directivo, como en la escala técnica y en muchos casos en la laboral, es decir, se trata de aprovechar todo el potencial de las nuevas herramientas inform

  3. PRESSING MORTALITY RATE THROUGH SCREENING oral cancer

    Directory of Open Access Journals (Sweden)

    L. K. Widnyani Wulan Laksmi

    2013-09-01

    Full Text Available Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 Based on World Health Organization (WHO data, oral cancer is one of malignancy with the highest mortality. In USA, there are more than 30.000 new cases every year. We can find many risk factors of oral cancer in our daily living. Moreover, it’s easy to find the main risk factors in our society, they are smoking, alcohol consumption, tobacco consumtion, viral infection, and bad oral hygiene. For the early stadium, Five-years survival rate is about 82% and 61% for all stadium. But, more than 50% of oral cancer has been distributed (metastatic regionally and also into the other organ far away from the oral itself when it’s detected. It will decrease 5-years survival rate to be less than 50%. So that, it’s really important to detect the oral cancer at the earlier stadium. Screening is the way to find the earlier stadium. Screening is done by some methods, start from the anamnesis, physical examination, toluidine blue staining, endoscopy, cytology, telomerase examination, and also PET-scan if it’s possible (because of the financial reasons. /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;}

  4. Una pedagogía para la educación integral en la obra de Pedro Poveda: desarrollo de las capacidades y actitudes físicas A pedagogy for the integral education in the Poveda's work: capacities and physical attitudes development

    Directory of Open Access Journals (Sweden)

    Angela DEL VALLE

    2013-09-01

    Full Text Available El conocimiento de la necesidad de la educación física y su inclusión en el plan de estudios experimenta un lento proceso de evolución. Pedro Poveda puede ser incluido entre los que fomentan, en los inicios del siglo XX, los movimientos de renovación en términos de desarrollo integral de la persona. Desde el comienzo Poveda incluye la educación física en los programas formativos. Lo cual se percibe tanto en sus escritos como en la aplicación concreta: en las Academias y Centros Pedagógicos. La educación física remite a ejercicios gimnásticos, actividad lúdica dirigida, juegos, deportes, excursiones, dar un paseo, ocupa un espacio en el horario escolar porque «ayuda a generar energía, física y mental... es importante cuidar el bienestar físico... en necesario educar integralmente». En los centros inspirados en la Pedagogía de Poveda «se concede gran importancia a la educación física», tal como plantea el Directorio del Instituto Femenino Católico en 1923. En la primera Asamblea General de 1928 se asumió como tema de estudio, y concluyó con una recomendación al Gobierno en 1930 para que se implantara la educación física en las escuelas primarias, así como que se formara a los profesores para dirigirla adecuadamente.Generally speaking,the acknowledgement of the need of physical education and its inclusion in the plan of studies underwent a slow process.Pedro Poveda,in this regard,can be counted among those who fostered, at the beginning of the 20th century, the movements of renewal in terms of the integral development of the person. From the very start, Poveda included physical education in his formative programmes. This is seen both in his writings as well as in concrete implementation: in the Academies and Pedagogical Centres. Physical education,whether it refers to exercises, gymnastics, directed play and games, sports, excursions or taking a walk, occupied a space in the school's timetable because «they help

  5. ORAL MYIASIS CONVERTING TO ORAL SQUAMOUS CELL CARCINOMA

    Directory of Open Access Journals (Sweden)

    Akshay

    2015-10-01

    Full Text Available INTRODUCTION: Oral Myiasis, a condition of infestation of the body by fly larvae (maggots is a rare pathology in humans. It is associated with poor oral hygiene, alcoholism, senility, suppurating lesions, severe halitosis. It is seen frequently in tropical countries and hot climatic regions. The reported cases in literature of oral Myiasis associated with oral cancer are few. The treatment is a mechanical removal of the maggots but a systemic treatment with Ivermectin, a semi - synthetic macrolide antibiotic, has been used successfully for treatment for oral m yiasis. We present a case of 55 yr old male alcoholic patient with oral myiasis with extensive proliferative growth of oral cavity. Our patient was managed with manual debridement and administration of systemic ivermect in along with antibiotic coverage. Incisional biopsy of the proliferative lesion showed well differentiated squamous cell carcinoma. Thus our patient showed presence of oral myiasis in association with oral squamous cell carcinoma.

  6. Diseño de un plan estratégico para el centro de transferencia y desarrollo de tecnologías (CTT) de la Universidad Central del Ecuador, con aplicación del modelo gerencial cuadro de mando integral (CMI) y determinar su presupuesto financiero

    OpenAIRE

    Morales Puruncajas, Mario Iván

    2014-01-01

    La investigación presente se sustenta en cinco grandes ámbitos desarrollándose a partir del diagnóstico situacional, el análisis estratégico, direccionamiento y formulación estratégica, la programación y ejecución de la planificación, el diseño del Cuadro de Mando Integral y la evaluación financiera del presupuesto requerido para la inversión en el proyecto. El análisis situacional, aborda la relación directa o indirecta del macro y micro entorno en el que se desenvuelve la organización. Para...

  7. Communication among Oral Bacteria

    Science.gov (United States)

    Kolenbrander, Paul E.; Andersen, Roxanna N.; Blehert, David S.; Egland, Paul G.; Foster, Jamie S.; Palmer, Robert J.

    2002-01-01

    Human oral bacteria interact with their environment by attaching to surfaces and establishing mixed-species communities. As each bacterial cell attaches, it forms a new surface to which other cells can adhere. Adherence and community development are spatiotemporal; such order requires communication. The discovery of soluble signals, such as autoinducer-2, that may be exchanged within multispecies communities to convey information between organisms has emerged as a new research direction. Direct-contact signals, such as adhesins and receptors, that elicit changes in gene expression after cell-cell contact and biofilm growth are also an active research area. Considering that the majority of oral bacteria are organized in dense three-dimensional biofilms on teeth, confocal microscopy and fluorescently labeled probes provide valuable approaches for investigating the architecture of these organized communities in situ. Oral biofilms are readily accessible to microbiologists and are excellent model systems for studies of microbial communication. One attractive model system is a saliva-coated flowcell with oral bacterial biofilms growing on saliva as the sole nutrient source; an intergeneric mutualism is discussed. Several oral bacterial species are amenable to genetic manipulation for molecular characterization of communication both among bacteria and between bacteria and the host. A successful search for genes critical for mixed-species community organization will be accomplished only when it is conducted with mixed-species communities. PMID:12209001

  8. [Oral health in pregnancy].

    Science.gov (United States)

    Blagojević, Duska; Brkanić, Tatjana; Stojić, Sinisa

    2002-01-01

    Good oral health care during pregnancy is essential but often overlooked factor of dental growth as well as of other structures of oral cavity. Pregnancy is the time when conscious approach to preventive oral care should increase. Preventive measures during pregnancy mean usage of fluorides, special dietary measures and increased oral hygiene habits. Preventive measures in pregnant women have one goal: providing conditions for development of fetal teeth as well as preventing tooth decay in pregnant women. The optimal period for introducing preventive measures is the first trimester of pregnancy. Because of hormonal alterations there is an increased incidence of dental diseases: gingivitis and low salivary pH (inflammation and bleeding gums). Eating habits of pregnant women may lead to frequent snacking on candy or other decay-promoting foods, thereby increasing the risk of caries. However, very poor oral health, possible dental complications and their consequences to the health as well as emotional status represent very strong reasons for activation of dental health care in this period.

  9. The Oral Microbiota.

    Science.gov (United States)

    Arweiler, Nicole B; Netuschil, Lutz

    2016-01-01

    The oral microbiota represents an important part of the human microbiota, and includes several hundred to several thousand diverse species. It is a normal part of the oral cavity and has an important function to protect against colonization of extrinsic bacteria which could affect systemic health. On the other hand, the most common oral diseases caries, gingivitis and periodontitis are based on microorganisms. While (medical) research focused on the planktonic phase of bacteria over the last 100 years, it is nowadays generally known, that oral microorganisms are organised as biofilms. On any non-shedding surfaces of the oral cavity dental plaque starts to form, which meets all criteria for a microbial biofilm and is subject to the so-called succession. When the sensitive ecosystem turns out of balance - either by overload or weak immune system - it becomes a challenge for local or systemic health. Therefore, the most common strategy and the golden standard for the prevention of caries, gingivitis and periodontitis is the mechanical removal of this biofilms from teeth, restorations or dental prosthesis by regular toothbrushing.

  10. Oral health during pregnancy.

    Science.gov (United States)

    Silk, Hugh; Douglass, Alan B; Douglass, Joanna M; Silk, Laura

    2008-04-15

    Oral health care in pregnancy is often avoided and misunderstood by physicians, dentists, and patients. Evidence-based practice guidelines are still being developed. Research suggests that some prenatal oral conditions may have adverse consequences for the child. Periodontitis is associated with preterm birth and low birth weight, and high levels of cariogenic bacteria in mothers can lead to increased dental caries in the infant. Other oral lesions, such as gingivitis and pregnancy tumors, are benign and require only reassurance and monitoring. Every pregnant woman should be screened for oral risks, counseled on proper oral hygiene, and referred for dental treatment when necessary. Dental procedures such as diagnostic radiography, periodontal treatment, restorations, and extractions are safe and are best performed during the second trimester. Xylitol and chlorhexidine may be used as adjuvant therapy for high-risk mothers in the early postpartum period to reduce transmission of cariogenic bacteria to their infants. Appropriate dental care and prevention during pregnancy may reduce poor prenatal outcomes and decrease infant caries.

  11. Canine oral melanoma.

    Science.gov (United States)

    Bergman, Philip J

    2007-05-01

    Melanoma is the most common oral malignancy in the dog. Oral and/or mucosal melanoma has been routinely considered an extremely malignant tumor with a high degree of local invasiveness and high metastatic propensity. Primary tumor size has been found to be extremely prognostic. The World Health Organization staging scheme for dogs with oral melanoma is based on size, with stage I = or = 4cm tumor and/or lymph node metastasis, and stage IV = distant metastasis. Median survival times for dogs with oral melanoma treated with surgery are approximately 17 to 18, 5 to 6, and 3 months with stage I, II, and III disease, respectively. Significant negative prognostic factors include stage, size, evidence of metastasis, and a variety of histologic criteria. Standardized treatments such as surgery, coarse-fractionation radiation therapy, and chemotherapy have afforded minimal to modest stage-dependent clinical benefits and death is usually due to systemic metastasis. Numerous immunotherapeutic strategies have been employed to date with limited clinical efficacy; however, the use of xenogeneic DNA vaccines may represent a leap forward in clinical efficacy. Oral melanoma is a spontaneous syngeneic cancer occurring in outbred, immunocompetent dogs and appears to be a more clinically faithful therapeutic model for human melanoma; further use of canine melanoma as a therapeutic model for human melanoma is strongly encouraged. In addition, the development of an expanded but clinically relevant staging system incorporating the aforementioned prognostic factors is also strongly encouraged.

  12. Análise crítica sobre especialidades médicas e estratégias para integrá-las ao Sistema Único de Saúde (SUS

    Directory of Open Access Journals (Sweden)

    Gastão Wagner de Sousa Campos

    1997-01-01

    Full Text Available Identificou-se relativa liberdade dos médicos brasileiros para criação de novas especialidades médicas, havendo, em conseqüência, progressiva fragmentação do trabalho em saúde, verificando-se também crescente diminuição da importância e mesmo da capacidade resolutiva das especialidades-raízes: clínica médica, pediatria, cirurgia geral e gineco-obstetrícia. Propõem-se dois conceitos operativos para redefinição da abrangência e da responsabilidade do trabalho médico: Campo de competência e Núcleo de Competência. São também levantadas diretrizes para reforma das políticas de formação e de incorporação de especialistas ao SUS.

  13. Recognition of oral spelling is diagnostic of the central reading processes.

    Science.gov (United States)

    Schubert, Teresa; McCloskey, Michael

    2015-01-01

    The task of recognition of oral spelling (stimulus: "C-A-T", response: "cat") is often administered to individuals with acquired written language disorders, yet there is no consensus about the underlying cognitive processes. We adjudicate between two existing hypotheses: Recognition of oral spelling uses central reading processes, or recognition of oral spelling uses central spelling processes in reverse. We tested the recognition of oral spelling and spelling to dictation abilities of a single individual with acquired dyslexia and dysgraphia. She was impaired relative to matched controls in spelling to dictation but unimpaired in recognition of oral spelling. Recognition of oral spelling for exception words (e.g., colonel) and pronounceable nonwords (e.g., larth) was intact. Our results were predicted by the hypothesis that recognition of oral spelling involves the central reading processes. We conclude that recognition of oral spelling is a useful tool for probing the integrity of the central reading processes.

  14. Diseño de estrategia pedagógica para el desarrollo de la competencia investigativa del médico en especialización en medicina general integral

    OpenAIRE

    Escobar Yéndez, Nilia Victoria; Plasencia Asorey, Carolina; Almaguer Delgado, Alcides J

    2012-01-01

    La universidad debe preservar, desarrollar y promover la cultura de la humanidad a través de sus procesos sustantivos y vínculo con la sociedad, lo cual puede lograr a través de la investigación científica, que constituye además una función esencial de la salud pública, donde el quehacer investigativo se interrelaciona dialécticamente con los procesos de formación de pregrado y posgrado para ese fin. Según los referentes teóricos revisados para esta obra, la función investigativa presenta ins...

  15. DNA Checkerboard Method for Bacterial Pathogen Identification in Oral Diseases

    OpenAIRE

    Nascimento, Cássio do; Issa, João Paulo Mardegan; Watanabe, Evandro; Ito, Izabel Yoko

    2006-01-01

    This work aim to show by literature review the principal characteristics of the DNA checkerboard method for bacterial pathogens identification in oral diseases, showing the most varieties uses and applications of this technique Este trabajo tiene como objetivo, presentar en una revisión de la literatura, las principales características del método de chequeo del DNA para la identificación de bacterias patógenas en la cavidad oral, mostrando las diferentes utilizaciones y aplicaciones de est...

  16. Oral pregnancy tumor

    Directory of Open Access Journals (Sweden)

    Shailesh M Gondivkar

    2010-01-01

    Full Text Available Pyogenic granuloma is one of the inflammatory hyperplasias seen in the oral cavity. This term is a misnomer because the lesion is unrelated to infection and in reality arises in response to various stimuli such as low-grade local irritation, traumatic injury, or hormonal factors. It predominantly occurs in the second decade of life in young females, possibly because of the vascular effects of female hormones. Clinically, oral pyogenic granuloma is a smooth or lobulated exophytic lesion manifesting as small, red erythematous growth on a pedunculated or sometimes sessile base, which is usually hemorrhagic. Although excisional surgery is the treatment of choice , some other treatment protocols such as the use of Nd:YAG laser, flash lamp pulsed dye laser, cryosurgery, intralesional injection of ethanol or corticosteroids, and sodium tetradecyl sulfate sclerotherapy have been proposed. We present the case of a 25-year-old pregnant woman with large oral pyogenic granuloma.

  17. EDUCAÇÃO SOCIOAMBIENTAL, HISTÓRIA ORAL E FORMAÇÃO DOCENTE: A construção de um projeto de ensino com pescadores

    Directory of Open Access Journals (Sweden)

    Juniele Rabelo Almeida

    2018-06-01

    Full Text Available O objetivo da proposta é refletir sobre a construção de um projeto de ensino para educação básica no entrecruzamento das dimensões metodológicas do trabalho com educação socioambiental e história oral. A prática e pesquisa em ensinode História pode integrar saberes escolares e comunitários – contribuindo para a formação de professores em nível superior e visando a melhoria da qualidade da educação pública. O escopo do conteúdo que será tratado no capítulo percorre a elaboração de ações educativas relacionadas à formação continuada de professores de História e alunos da educação básica em projetos de história oral (construção de roteiros, gravação de entrevistas e criação de acervos - história oral com pescadores artesanais de Itaipu – Niterói/RJ. Busca-se oportunidade para criação de ações educacionais preocupadas com as dimensões da educação socioambiental - contribuindo para o ensino de história e para prática docente na educação básica.   PALAVRAS-CHAVE: Educação socioambiental; história oral; formação docente.     ABSTRACT The purpose of the proposal is to reflect on the construction of a teaching project for basic education in the cross-linking of the methodological dimensions of work with socio-environmental education and oral history. The practice and research in History teaching can integrate school and community knowledge - contributing to the formation of teachers at a higher level and aiming at improving the quality of public education. The scope of the content that will be dealt with in the chapter covers the elaboration of educational actions related to the continuing education of History teachers and students of basic education in oral history projects (construction of scripts, recording of interviews and creation of collections - oral history with fishermen Handicrafts of Itaipu - Niterói / RJ. We seek an opportunity to create educational actions concerned with

  18. Integral physics data for fast-reactor design; Donnees de physique integrale intervenant dans les etudes de reacteur a neutrons rapides; Integral'nye fizicheskie dannye dlya raschetov reaktorov na bystrykh nejtronakh; Datos fisicos integrales para el diseno de reactores rapidos

    Energy Technology Data Exchange (ETDEWEB)

    Loewenstein, W B; Meneghetti, D [Argonne National Laboratory, Argonne, IL (United States)

    1962-03-15

    subcriticos, de las diversas magnitudes fisicas que presentan interes practico u/o teorico. Esas magnitudes fisicas caracterizan al sistema y permiten comprenderlo. Las mediciones mencionadas se refieren a la masa critica, el factor de forma del cuerpo, las razones de deteccion, los espectros neutronicos, los experimentos de sustitucion de materiales, la economia del reflector, la vida de los neutrones, el {alpha} de Rossi y otras magnitudes analogas. Los autores examinan estos datos y definen su campo de aplicacion. Demuestran que existen limites de validez para los resultados experimentales y analiticos en ciertos estudios espectrales y de criticidad. Proponen algunas investigaciones experimentales y analiticas que podrian constituir el objeto de futuros trabajos y que contribuirian a colmar la laguna entre la teoria y la experimentacion en los sistemas 'conocidos'. Al mismo tiempo, entre dichas investigaciones sugeridas se incluyen algunas tendientes a asentar sobre bases mas firmes la fisica de los modelos de reactores de potencia reproductores rapidos. (author) [Russian] Dlya sostavlennogo nedavno razdela o fizike reaktorov na bystrykh nejtronakh, kotoryj dolzhen vojti v vypuskaemoe vtoroe izdanie 'Postoyannye fiziki reaktorov', potrebovalos' sobrat' material po imeyushchimsya ehksperimental'ny m integral'nym dannym. Pri vklyuchenii v sostavlennyj razdel integral'nykh dannykh o fizike reaktorov na bystrykh nejtronakh, pomimo fakta ikh nalichiya, za osnovu byli vzyaty dva kriteriya: 1. ehti dannye polucheny iz otnositel'no prostykh sistem, kotorye pozvolyayut provodit' prostye teoreticheskie analizy; 2. slozhnye sistemy, kotorye yavlyayutsya prototipami ili modelyami, predstavlyayut osnovnoj interes dlya ehnergeticheskikh bystrykh reaktorov. Pervyj kriterij byl prinyat dlya togo, chtoby dat' perechen' integral'nykh dannykh takikh sistem, imeyushchikh ochen' obshchee primenenie dlya proverki parametrov secheniya i metodov raschetov. Vtoroj kriterij daet imeyushchiesya

  19. Shared Oral Care

    DEFF Research Database (Denmark)

    Hede, Børge; Elmelund Poulsen,, Johan; Christophersen, Rasmus

    2014-01-01

    Shared Oral Care - Forebyggelse af orale sygdomme på plejecentre Introduktion og formål: Mangelfuld mundhygiejne hos plejekrævende ældre er et alment og veldokumenteret sundhedsproblem, der kan føre til massiv udvikling af tandsygdomme, og som yderligere kan være medvirkende årsag til alvorlige...... ressourceanvendelse er muligt at skabe en betydeligt forbedret mundhygiejne hos plejekrævende ældre Key words: Geriatric dentistry, nursing home, community health services, prevention, situated learning...

  20. Oral lichen planus

    International Nuclear Information System (INIS)

    Rasool, S.; Katpar, S.; Ali, A.

    2007-01-01

    Lichen planus is a mucocutaneous dermatological disorder, with intraoral manifestation. Skin lesions prevail with oral mucosal lesions. Prevalence of lichen planus, as an oral pre-malignant lesion, is 1-2 % population. Lateral border, dorsal tongue, gingiva, hard palate and vermilion border are common sites and lesions appear as reticular, plaque-like and papular intraoral types. Skin presents with pururitic, polygonal papules. Atrophic and erosive are the known intraoral pre-malignant types. A case report is presented, which responded well to steroid therapy. (author)

  1. Desenvolvimento e validação de método analítico para a determinação de sulfassalazina em suspensão oral: comparação do método espectrofotométrico e de cromatografia líquida de alta eficiência (CLAE

    Directory of Open Access Journals (Sweden)

    Mayre Aparecida Borges da Costa

    2012-01-01

    Full Text Available Sulfasalazine is a prodrug used in the treatment of the Chron's disease and rheumatoid arthritis. Two analytical methods for analysis of sulfasalazine in oral suspension were validated using Spectrophotometric and HPLC. There is not any pharmacopoeic method to assay sulfasalazine in oral suspension. The methods are insurance and fast execution for the quality control. Both, suspension and tablets 500 mg (Azulfin® had been analyzed by methods using UV/VIS and HPLC and the results were satisfactory.

  2. LA ORALIDAD COMO PARTE DE LA INVESTIGACIÓN HISTÓRICA: DE LAS FUENTES ORALES A LA LLAMADA HISTORIA ORAL

    Directory of Open Access Journals (Sweden)

    José Ignacio Reyes González

    2010-03-01

    Full Text Available El artículo profundiza en uno de los temas más polémicos de la investigación histórica, lo relacionado con el reconocimiento del valor de las fuentes orales para reconstruir la historia. Se exponen los argumentos que fundamentan la necesidad de darle el espacio que merece la historia oral, así como la connotación que esto puede tener para la enseñanza de la disciplina.

  3. Rationale for the prevention of oral diseases in primary health care: an international collaborative study in oral health education.

    Science.gov (United States)

    Bourgeois, Denis M; Phantumvanit, Prathip; Llodra, Juan Carlos; Horn, Virginie; Carlile, Monica; Eiselé, Jean-Luc

    2014-10-01

    Ensuring that members of society are healthy and reaching their full potential requires the prevention of oral diseases through the promotion of oral health and well-being. The present article identifies the best policy conditions of effective public health and primary care integration and the actors who promote and sustain these efforts. In this review, arguments and recommendations are provided to introduce an oral health collaborative promotion programme called Live.Learn.Laugh. phase 2, arising from an unique partnership between FDI World Dental Federation, the global company Unilever plc and an international network of National Dental Associations, health-care centres, schools and educators populations. © 2014 FDI World Dental Federation.

  4. Curriculum influence on interdisciplinary oral health education and practice.

    Science.gov (United States)

    Clark, Melinda; Quinonez, Rocio; Bowser, Jonathan; Silk, Hugh

    2017-06-01

    Oral diseases are very prevalent across the lifespan and impact overall health, yet are largely preventable. The Smiles for Life (SFL) curriculum was created to educate healthcare providers about oral disease and support integration of oral health and primary care. This study examines SFL's influence on clinical practice and education. Surveys were sent to registered users of SFL. Users who self-identified as direct care providers (DCPs), or educators, were included in the analysis. Survey response rate was 18 percent, with 87 percent identifying as DCPs and 13 percent as educators. Across professions, 85 percent of DCPs reported SFL influencing their practice to some degree, with variance among profession type and experience. DCPs most commonly reported that SFL led them to improve how they conduct oral health activities, with 60 percent performing the activity more skillfully following completion of SFL. Fluoride varnish application was the most common practice behavior initiated, and caries risk assessments was the oral health activity affected to the greatest degree. A majority of educators (94 percent) reported that SFL led them to incorporate or enhance oral health in their teaching. SFL helped educators emphasize the importance of oral health, improved their ability to teach content, raised motivation, and reduced barriers to teaching oral health. Data supports that SFL is positively influencing oral health practice across professions, especially in areas of caries risk assessment and fluoride varnish application. SFL improves the frequency and quality with which DCPs and educators participate in oral health activities, and facilitates oral health inclusion in primary care. © 2017 American Association of Public Health Dentistry.

  5. Modelo hipercubo integrado a um algoritmo genético para análise de sistemas médicos emergenciais em rodovias The hypercube queuing model integrated to a genetic algorithm to analyze emergency medical systems on highways

    Directory of Open Access Journals (Sweden)

    Ana Paula Iannoni

    2006-04-01

    Full Text Available O modelo hipercubo, conhecido na literatura de problemas de localização de sistemas servidor para cliente, é um modelo baseado em teoria de filas espacialmente distribuídas e aproximações Markovianas. O modelo pode ser modificado para analisar os sistemas de atendimentos emergenciais (SAEs em rodovias, considerando as particularidades da política de despacho destes sistemas. Neste estudo, combinou-se o modelo hipercubo com um algoritmo genético para otimizar a configuração e operação de SAEs em rodovias. A abordagem é efetiva para apoiar decisões relacionadas ao planejamento e operação destes sistemas, por exemplo, em determinar o tamanho ideal para as áreas de cobertura de cada ambulância, de forma a minimizar o tempo médio de resposta aos usuários e o desbalanceamento das cargas de trabalho das ambulâncias. Os resultados computacionais desta abordagem foram analisados utilizando dados reais do sistema Anjos do Asfalto (rodovia Presidente Dutra.The hypercube model, well-known in the literature on problems of server-to-customer localization systems, is based on the spatially distributed queuing theory and Markovian analysis approximations. The model can be modified to analyze Emergency Medical Systems (EMSs on highways, considering the particularities of these systems' dispatching policies. In this study, we combine the hypercube model with a genetic algorithm to optimize the configuration and operation of EMSs on highways. This approach is effective to support planning and operation decisions, such as determining the ideal size of the area each ambulance should cover to minimize not only the average time of response to the user but also ambulance workload imbalances, as well as generating a Pareto efficient boundary between these measures. The computational results of this approach were analyzed using real data Anjos do Asfalto EMS (which covers the Presidente Dutra highway.

  6. Inequalities in oral health and oral health promotion

    OpenAIRE

    Moysés, Samuel Jorge

    2012-01-01

    This article offers a critical review of the problem of inequalities in oral health and discusses strategies for disease prevention and oral health promotion. It shows that oral health is not merely a result of individual biological, psychological, and behavioral factors; rather, it is the sum of collective social conditions created when people interact with the social environment. Oral health status is directly related to socioeconomic position across the socioeconomic gradient in almost all...

  7. Relojes de agua, una oportunidad para calcular integrales

    OpenAIRE

    Thiabut, Elena

    2007-01-01

    Este artículo propone una investigación sobre clepsidras (relojes de agua) para alumnos de 2º de bachillerato. El cálculo integral será la clave para descubrir cómo la geometría de los recipientes condiciona el funcionamiento de estos mecanismos milenarios.

  8. Probiotics as oral health biotherapeutics.

    Science.gov (United States)

    Saha, Shyamali; Tomaro-Duchesneau, Catherine; Tabrizian, Maryam; Prakash, Satya

    2012-09-01

    Oral health is affected by its resident microorganisms. Three prominent oral disorders are dental caries, gingivitis and periodontitis, with the oral microbiota playing a key role in the initiation/progression of all three. Understanding the microbiota and the diseases they may cause is critical to the development of new therapeutics. This review is focused on probiotics for the prevention and/or treatment of oral diseases. This review describes the oral ecosystem and its correlation with oral health/disease. The pathogenesis and current prevention/treatment strategies of periodontal diseases (PD) and dental caries (DC) are depicted. An introduction of probiotics is followed by an analysis of their role in PD and DC, and their potential role(s) in oral health. Finally, a discussion ensues on the future research directions and limitations of probiotics for oral health. An effective oral probiotic formulation should contribute to the prevention/treatment of microbial diseases of the oral cavity. Understanding the oral microbiota's role in oral disease is important for the development of a therapeutic to prevent/treat dental diseases. However, investigations into clinical efficacy, delivery/dose optimization, mechanism(s) of action and other related parameters are yet to be fully explored. Keeping this in mind, investigations into oral probiotic therapies are proving promising.

  9. Oral higiene effectiveness in smoker and non smoker young adults

    OpenAIRE

    Feser, Gustavo; Funosas, Esteban; Marí, Gonzalo; Escovich, Livia

    2003-01-01

    Para este estudio se escogió una muestra probabilística de una población de adultos jóvenes cursantes de cuarto año de la carrera de odontología de la Facultad de Odontología de Rosario, Argentina. Los objetivos fueron: determinar la prevalencia de fumadores en este grupo poblacional y luego establecer el grado de eficacia en la higiene oral llevada a cabo por este grupo de estudiantes. En una primera etapa, para determinar la prevalencia de fumadores se tomaron 150 alumnos de cuarto año y me...

  10. Abordagem integrada da saúde bucal de droga-dependentes em processo de recuperação Integrated approach to the oral health of drug-addicted undergoing rehabilitation

    Directory of Open Access Journals (Sweden)

    Érica Del Peloso Ribeiro

    2002-09-01

    Full Text Available No atual contexto de uso crescente e precoce de drogas (fármacos recreacionais, legais ou não, a finalidade deste trabalho foi avaliar as condições de saúde bucal de 102 indivíduos, do sexo masculino, da instituição de recuperação Esquadrão da Vida, em Bauru - SP. O diagnóstico desta condição foi feito por meio da experiência de cárie (CPOD, placa bacteriana (PHP, índice gengival e teste de fluxo salivar. Objetivou-se também a implantação e verificação da eficácia de um programa educativo-preventivo. A idade média dos internos foi de 29,17 anos (dp = 11,40; n = 95. Dos internos (n = 102, 72,54% tinham o hábito de comer entre as refeições e 69,60% não utilizavam fio dental. O CPOD observado foi de 14,88 (dp = 6,38; n = 86 e, quando correlacionado à idade, obteve-se r = 0,55 (p Considering the current context of increasing and early utilization of licit or illicit drugs (habit-forming substances, the aim of this study was to evaluate the oral health conditions of 102 males from the Esquadrão da Vida rehabilitation center, in Bauru, São Paulo, Brazil. The evaluation was carried out by means of the assessment of caries experience (DMFT, dental plaque (PHP, gingival index and salivary flow. This study also aimed at instituting an educational-preventive program and evaluating its efficacy. The subjects’ mean age was 29.17 years (sd = 11.40; n = 95. From all subjects (n = 102, 72.54% had the habit of eating between meals, and 69.60% did not utilize dental floss. The observed DMFT was 14.88 (sd = 6.38; n = 86. The initial PHP was 2.34 (sd = 0.69; n = 14 and, after 3 months, it was reduced to 1.91 (sd = 0.74; n = 14. The initial salivary flow was 1.31 ml/min (sd = 0.7; n = 97. Due to the fluctuation of this group, only 13 of the original subjects were reevaluated after 3 months, when a salivary flow of 1.13 ml/min (sd = 0.49 was registered. The initial gingival index and PHP presented r = 0.30 (p = 0.002 - statistically

  11. Oral hygiene practices and risk of oral leukoplakia | Macigo | East ...

    African Journals Online (AJOL)

    Objective: To determine the influence of oral hygiene habits and practices on the risk of developing oral leukoplakia. Design: Case control study. Setting: Githongo sublocation in Meru District. Subjects: Eighty five cases and 141 controls identified in a house-to-house screening. Results: The relative risk (RR) of oral ...

  12. Metabolomic Studies of Oral Biofilm, Oral Cancer, and Beyond

    Directory of Open Access Journals (Sweden)

    Jumpei Washio

    2016-06-01

    Full Text Available Oral diseases are known to be closely associated with oral biofilm metabolism, while cancer tissue is reported to possess specific metabolism such as the ‘Warburg effect’. Metabolomics might be a useful method for clarifying the whole metabolic systems that operate in oral biofilm and oral cancer, however, technical limitations have hampered such research. Fortunately, metabolomics techniques have developed rapidly in the past decade, which has helped to solve these difficulties. In vivo metabolomic analyses of the oral biofilm have produced various findings. Some of these findings agreed with the in vitro results obtained in conventional metabolic studies using representative oral bacteria, while others differed markedly from them. Metabolomic analyses of oral cancer tissue not only revealed differences between metabolomic profiles of cancer and normal tissue, but have also suggested a specific metabolic system operates in oral cancer tissue. Saliva contains a variety of metabolites, some of which might be associated with oral or systemic disease; therefore, metabolomics analysis of saliva could be useful for identifying disease-specific biomarkers. Metabolomic analyses of the oral biofilm, oral cancer, and saliva could contribute to the development of accurate diagnostic, techniques, safe and effective treatments, and preventive strategies for oral and systemic diseases.

  13. Oral Hygiene and Oral Flora Evaluation in Psychiatric Patients in ...

    African Journals Online (AJOL)

    Conclusions: The oral hygiene of most patients was insufficient. The presence of Gram‑negative Bacilli growth in the oral flora can be explained by poor hand hygiene. These findings suggest that it is useful to educate individuals about oral hygiene and hand hygiene and to inform the staff and families about this issue.

  14. The New Orality: Oral Characteristics of Computer-Mediated Communication.

    Science.gov (United States)

    Ferris, Sharmila Pixy; Montgomery, Maureen

    1996-01-01

    Considers the characteristics of orality and literacy developed in the work of scholars such as Walter Ong to consider computer-mediated communication (CMC) as the potential site of a "new orality" which is neither purely oral or literate. Notes that the medium of CMC is writing, which has traditionally represented the…

  15. Metabolomic Studies of Oral Biofilm, Oral Cancer, and Beyond.

    Science.gov (United States)

    Washio, Jumpei; Takahashi, Nobuhiro

    2016-06-02

    Oral diseases are known to be closely associated with oral biofilm metabolism, while cancer tissue is reported to possess specific metabolism such as the 'Warburg effect'. Metabolomics might be a useful method for clarifying the whole metabolic systems that operate in oral biofilm and oral cancer, however, technical limitations have hampered such research. Fortunately, metabolomics techniques have developed rapidly in the past decade, which has helped to solve these difficulties. In vivo metabolomic analyses of the oral biofilm have produced various findings. Some of these findings agreed with the in vitro results obtained in conventional metabolic studies using representative oral bacteria, while others differed markedly from them. Metabolomic analyses of oral cancer tissue not only revealed differences between metabolomic profiles of cancer and normal tissue, but have also suggested a specific metabolic system operates in oral cancer tissue. Saliva contains a variety of metabolites, some of which might be associated with oral or systemic disease; therefore, metabolomics analysis of saliva could be useful for identifying disease-specific biomarkers. Metabolomic analyses of the oral biofilm, oral cancer, and saliva could contribute to the development of accurate diagnostic, techniques, safe and effective treatments, and preventive strategies for oral and systemic diseases.

  16. Imaging in oral cancers

    International Nuclear Information System (INIS)

    Arya, Supreeta; Chaukar, Devendra; Pai, Prathamesh

    2012-01-01

    Oral cavity squamous cell cancers form a significant percentage of the cancers seen in India. While clinical examination allows direct visualization, it cannot evaluate deep extension of disease. Cross-sectional imaging has become the cornerstone in the pretreatment evaluation of these cancers and provides accurate information about the extent and depth of disease that can help decide the appropriate management strategy and indicate prognosis. Early cancers are treated with a single modality, either surgery or radiotherapy while advanced cancers are offered a combination of surgery, radiotherapy and chemotherapy. Imaging can decide resectability, help plan the precise extent of resection, and indicate whether organ conservation therapy should be offered. Quality of life issues necessitate preservation of form and function and pretreatment imaging helps plan appropriate reconstruction and counsel patients regarding lifestyle changes. Oral cavity has several subsites and the focus of the review is squamous cancers of the gingivobuccal region, oral tongue and retromolar trigone as these are most frequently encountered in the subcontinent. References for this review were identified by searching Medline and PubMed databases. Only articles published in English language literature were selected. This review aims to familiarize the radiologist with the relevant anatomy of the oral cavity, discuss the specific issues that influence prognosis and management at the above subsites, the optimal imaging methods, the role of imaging in accurately staging these cancers and in influencing management. A checklist for reporting will emphasize the information to be conveyed by the radiologist

  17. IDEA: Stimulating Oral Production.

    Science.gov (United States)

    Easley, Jacob J.

    1995-01-01

    Presents daily activities that facilitate complete sentence response, promote oral production, and aid the learning of vocabulary in foreign-language classes. Because speech is the primary form of communication in the foreign-language classroom, it is important to stimulate students to converse as soon as possible. (Author/CK)

  18. Fluoride and Oral Health

    DEFF Research Database (Denmark)

    O'Mullane, D M; Baez, R J; Jones, S

    2016-01-01

    and strategies is noteworthy. This updated version of ‘Fluoride and Oral Health’ has adopted an evidence-based approach to its commentary on the different fl uoride vehicles and strategies and also to its recommendations. In this regard, full account is taken of the many recent systematic reviews published...

  19. Oral Health and Women

    Centers for Disease Control (CDC) Podcasts

    2009-05-12

    This women's health podcast focuses on the importance of maintaining good oral health during pregnancy.  Created: 5/12/2009 by Office of Women’s Health (OWH) and National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 5/12/2009.

  20. History of oral contraception.

    Science.gov (United States)

    Dhont, Marc

    2010-12-01

    On the 50th birthday of the pill, it is appropriate to recall the milestones which have led to its development and evolution during the last five decades. The main contraceptive effect of the pill being inhibition of ovulation, it may be called a small miracle that this drug was developed long before the complex regulation of ovulation and the menstrual cycle was elucidated. Another stumbling block on its way was the hostile climate with regard to contraception that prevailed at the time. Animal experiments on the effect of sex steroids on ovulation, and the synthesis of sex steroids and orally active analogues were the necessary preliminaries. We owe the development of oral contraceptives to a handful of persons: two determined feminists, Margaret Sanger and Katherine McCormick; a biologist, Gregory Pincus; and a gynaecologist, John Rock. Soon after the introduction of the first pills, some nasty and life-threatening side effects emerged, which were due to the high doses of sex steroids. This led to the development of new preparations with reduced oestrogen content, progestins with more specific action, and alternative administration routes. Almost every decade we have witnessed a breakthrough in oral contraception. Social and moral objections to birth control have gradually disappeared and, notwithstanding some pill scares, oral contraceptives are now one of the most used methods of contraception. Finally, all's well that ends well: recent reports have substantiated the multiple noncontraceptive health benefits paving the way for a bright future for this 50-year-old product.