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Sample records for previous studies los

  1. On the Tengiz petroleum deposit previous study

    International Nuclear Information System (INIS)

    Nysangaliev, A.N.; Kuspangaliev, T.K.

    1997-01-01

    Tengiz petroleum deposit previous study is described. Some consideration about structure of productive formation, specific characteristic properties of petroleum-bearing collectors are presented. Recommendation on their detail study and using of experience on exploration and development of petroleum deposit which have analogy on most important geological and industrial parameters are given. (author)

  2. Estudios previos cursados y género de los maestros de primaria en formación: efectos sobre la resolución de problemas / Pre-service primary teachers' gender and studies previously undertaken: effects on problem solving

    Directory of Open Access Journals (Sweden)

    Alexandre Caballer Alonso

    2014-10-01

    Full Text Available Resumen: Este trabajo analiza la influencia del género y los estudios previos cursados en la resolución de problemas. Se utilizó un diseño experimental con dos variables independientes (género y estudios previos y una variable dependiente (puntuación en los problemas. Se administró un cuadernillo con dos problemas de diferente estructura a 66 estudiantes de tercer curso del Grado de Maestro en Educacion Primaria de la misma Facultad (Facultad de Magisterio de la Universidad de Valencia, España. Los resultados de los análisis de varianza simple muestran que: a los estudiantes de sexo masculino resuelven el problema difícil con más éxito que las estudiantes, b los estudiantes que han cursado bachillerato no resuelven los problemas significativamente mejor que los que no lo han cursado y, c los estudiantes que siguieron un itinerario en 4º de la ESO con Física y Química resuelven significativamente mejor los problemas que los restantes. Abstract: This study analyses the influence of gender and studies previously undertaken on problem-solving. An experimental design was used with two independent variables (gender and studies previously undertaken and one dependent variable (scores in the problems. A booklet containing two word problems that differ from each other in structure was administered to 66 third-year pre-service primary teachers from the same Faculty (Faculty of Teacher Training, University of Valencia, Spain. The results of the analyses of variance simple showed that: a men undergraduate students solve the difficult problem more successfully than women undergraduate students, b students who had completed post-compulsory secondary education do not solve the problems significantly better than the others, and c students who had studied physics and chemistry in the tenth grade at high school solve the problems significantly better than the others.

  3. Personality disorders in previously detained adolescent females: a prospective study

    NARCIS (Netherlands)

    Krabbendam, A.; Colins, O.F.; Doreleijers, T.A.H.; van der Molen, E.; Beekman, A.T.F.; Vermeiren, R.R.J.M.

    2015-01-01

    This longitudinal study investigated the predictive value of trauma and mental health problems for the development of antisocial personality disorder (ASPD) and borderline personality disorder (BPD) in previously detained women. The participants were 229 detained adolescent females who were assessed

  4. Air monitoring data reveal previously unknown contamination at radioactive waste disposal area, Los Alamos National Laboratory

    International Nuclear Information System (INIS)

    Kraig, D.H.; Conrad, R.C.

    2000-01-01

    Air monitoring at Area G, the low-level radioactive waste disposal area at Los Alamos National Laboratory, revealed increased air concentrations of 239 Pu and 241 Am at one location along the north boundary. This air monitoring location is a couple of meters north of a dirt road used to access the easternmost part of Area G. Air concentrations of 238 Pu were essentially unaffected which was puzzling because both 238 Pu and 239 Pu are present in the local, slightly contaminated soils. Air concentrations of these radionuclides increased about a factor of ten in early 1995 and remained at those levels until the first quarter of 1996. During the spring of 1996 air concentrations again increased by a factor of about ten. No other radionuclides were elevated, and no other Area G stations showed elevations of these radionuclides. After several formal meetings did not provide an adequate explanation for the elevations, a gamma-survey was performed and showed a small area of significant contamination just south of the monitor location. We found that in February 1995, a trench for a water line had been dug within a meter or so of the air stations. Then, during early 1996, the dirt road was rerouted such that its new path was directly over the unknown contamination. It appears that the trenching brought contaminated material to the surface and caused the firs rise in air concentrations and then the rerouting of the road over the contamination caused the second rise, during 1996. We also found that during 1976 and 1977 contaminated soils from the clean-up of an old processing facility had been spread over the filled pits in the vicinity of the air monitors. These soils, which were probably the source of the air contamination, were very low in 238 Pu which explains why we saw very little 238 Pu in the increased air concentrations. A layer of gravel and sand was spread over the contaminated area. Although air concentrations of 239 Pu and 241 Am dropped considerably, they have

  5. Radon anomalies prior to earthquakes (1). Review of previous studies

    International Nuclear Information System (INIS)

    Ishikawa, Tetsuo; Tokonami, Shinji; Yasuoka, Yumi; Shinogi, Masaki; Nagahama, Hiroyuki; Omori, Yasutaka; Kawada, Yusuke

    2008-01-01

    The relationship between radon anomalies and earthquakes has been studied for more than 30 years. However, most of the studies dealt with radon in soil gas or in groundwater. Before the 1995 Hyogoken-Nanbu earthquake, an anomalous increase of atmospheric radon was observed at Kobe Pharmaceutical University. The increase was well fitted with a mathematical model related to earthquake fault dynamics. This paper reports the significance of this observation, reviewing previous studies on radon anomaly before earthquakes. Groundwater/soil radon measurements for earthquake prediction began in 1970's in Japan as well as foreign countries. One of the most famous studies in Japan is groundwater radon anomaly before the 1978 Izu-Oshima-kinkai earthquake. We have recognized the significance of radon in earthquake prediction research, but recently its limitation was also pointed out. Some researchers are looking for a better indicator for precursors; simultaneous measurements of radon and other gases are new trials in recent studies. Contrary to soil/groundwater radon, we have not paid much attention to atmospheric radon before earthquakes. However, it might be possible to detect precursors in atmospheric radon before a large earthquake. In the next issues, we will discuss the details of the anomalous atmospheric radon data observed before the Hyogoken-Nanbu earthquake. (author)

  6. Rancidity inhibition study in frozen whole mackerel (scomber scombrus by a previous plant extract treatment.

    Directory of Open Access Journals (Sweden)

    Aubourg, Santiago P.

    2005-09-01

    Full Text Available The effect of flaxseeds (Linum usitatissimum on rancidity development in frozen whole mackerel (Scomber scombrus was studied. For it, fresh mackerel were dipped in flaxseeds aqueous extract during 60 min, frozen at –80 ºC during 24 hours and kept frozen (–20 ºC up to 12 months. Sampling was carried out on the initial material and at months 1, 3, 5, 7, 9 and 12 of frozen storage at –20 ºC. A parallel experiment with non treated fish was carried out in the same conditions. Rancidity development was measured by several biochemical indices (free fatty acids, peroxides, conjugated dienes and trienes, secondary oxidation products and lipoxygenase activity and complemented by the sensory analysis (skin, flesh odour, consistency and flesh appearance. As a result of the previous antioxidant treatment, peroxides showed to breakdown faster (pSe ha estudiado el efecto del lino (Linum usitatissimum en el desarrollo de rancidez en caballa entera congelada (Scomber scombrus. Para ello, caballas frescas fueron sumergidas en extractos acuosos de semillas de lino durante 60 min, congeladas a -80 ºC durante 24 h y mantenidas congeladas ( -20 ºC durante 12 meses. Se tomaron muestras del material inicial y tras 1, 3, 5, 7, 9 y 12 meses de congelación a -20 ºC . Un experimento paralelo con pescado no tratado fue llevado acabo en las mismas condiciones. El desarrollo de la rancidez fue medido por varios índices bioquímicos (ácidos grasos libres, peróxidos, dienos y trienos conjugados, productos secundarios de oxidación y actividad lipoxigenasa y completado con análisis sensorial (piel, olor de la carne, consistencia y apariencia de la carne. Como resultado del tratamiento antioxidante, los peróxidos se degradaron más rápidos (p < 0.05 después del mes 7, y por tanto, contenidos mayores (p < 0.05 de dienos y trienos conjugados pudieron ser detectados en el pescado tratado. El tratamiento antioxidante también condujo a un

  7. 40 CFR 152.93 - Citation of a previously submitted valid study.

    Science.gov (United States)

    2010-07-01

    ... Data Submitters' Rights § 152.93 Citation of a previously submitted valid study. An applicant may demonstrate compliance for a data requirement by citing a valid study previously submitted to the Agency. The... the original data submitter, the applicant may cite the study only in accordance with paragraphs (b...

  8. Summary of Previous Chamber or Controlled Anthrax Studies and Recommendations for Possible Additional Studies

    Energy Technology Data Exchange (ETDEWEB)

    Piepel, Gregory F.; Amidan, Brett G.; Morrow, Jayne B.

    2010-12-29

    This report and an associated Excel file(a) summarizes the investigations and results of previous chamber and controlled studies(b) to characterize the performance of methods for collecting, storing and/or transporting, extracting, and analyzing samples from surfaces contaminated by Bacillus anthracis (BA) or related simulants. This report and the Excel are the joint work of the Pacific Northwest National Laboratory (PNNL) and the National Institute of Standards and Technology (NIST) for the Department of Homeland Security, Science and Technology Directorate. The report was originally released as PNNL-SA-69338, Rev. 0 in November 2009 with limited distribution, but was subsequently cleared for release with unlimited distribution in this Rev. 1. Only minor changes were made to Rev. 0 to yield Rev. 1. A more substantial update (including summarizing data from other studies and more condensed summary tables of data) is underway

  9. Los Alamos controlled-air incineration studies

    International Nuclear Information System (INIS)

    Koenig, R.A.; Warner, C.L.

    1983-01-01

    Current regulations of the Environmental Protection Agency (EPA) require that PCBs in concentrations greater than 500 ppM be disposed of in EPA-permitted incinerators. Four commercial incineration systems in the United States have EPA operating permits for receiving and disposing of concentrated PCBs, but none can accept PCBs contaminated with nuclear materials. The first section of this report presents an overview of an EPA-sponsored program for studying PCB destruction in the large-scale Los Alamos controlled-air incinerator. A second major FY 1983 program, sponsored by the Naval Weapons Support Center, Crane, Indiana, is designed to determine operating conditions that will destroy marker smoke compounds without also forming polycyclic aromatic hydrocarbons (PAHs), some of which are known or suspected to be carcinogenic. We discuss the results of preliminary trial burns in which various equipment and feed formulations were tested. We present qualitative analyses for PAHs in the incinerator offgas as a result of these tests

  10. Matched cohort study of external cephalic version in women with previous cesarean delivery.

    Science.gov (United States)

    Keepanasseril, Anish; Anand, Keerthana; Soundara Raghavan, Subrahmanian

    2017-07-01

    To evaluate the efficacy and safety of external cephalic version (ECV) among women with previous cesarean delivery. A retrospective study was conducted using data for women with previous cesarean delivery and breech presentation who underwent ECV at or after 36 weeks of pregnancy during 2011-2016. For every case, two multiparous women without previous cesarean delivery who underwent ECV and were matched for age and pregnancy duration were included. Characteristics and outcomes were compared between groups. ECV was successful for 32 (84.2%) of 38 women with previous cesarean delivery and 62 (81.6%) in the control group (P=0.728). Multivariate regression analysis confirmed that previous cesarean was not associated with ECV success (odds ratio 1.89, 95% confidence interval 0.19-18.47; P=0.244). Successful vaginal delivery after successful ECV was reported for 19 (59.4%) women in the previous cesarean delivery group and 52 (83.9%) in the control group (P<0.001). No ECV-associated complications occurred in women with previous cesarean delivery. To avoid a repeat cesarean delivery, ECV can be offered to women with breech presentation and previous cesarean delivery who are otherwise eligible for a trial of labor. © 2017 International Federation of Gynecology and Obstetrics.

  11. Study of some physical aspects previous to design of an exponential experiment

    International Nuclear Information System (INIS)

    Caro, R.; Francisco, J. L. de

    1961-01-01

    This report presents the theoretical study of some physical aspects previous to the design of an exponential facility. The are: Fast and slow flux distribution in the multiplicative medium and in the thermal column, slowing down in the thermal column, geometrical distribution and minimum needed intensity of sources access channels and perturbations produced by possible variations in its position and intensity. (Author) 4 refs

  12. Study of functional-performance deficits in athletes with previous ankle sprains

    Directory of Open Access Journals (Sweden)

    hamid Babaee

    2008-04-01

    Full Text Available Abstract Background: Despite the importance of functional-performance deficits in athletes with history of ankle sprain few, studies have been carried out in this area. The aim of this research was to study relationship between previous ankle sprains and functional-performance deficits in athletes. Materials and methods: The subjects were 40 professional athletes selected through random sampling among volunteer participants in soccer, basketball, volleyball and handball teams of Lorestan province. The subjects were divided into 2 groups: Injured group (athletes with previous ankle sprains and healthy group (athletes without previous ankle sprains. In this descriptive study we used Functional-performance tests (figure 8 hop test and side hop test to determine ankle deficits and limitations. They participated in figure 8 hop test including hopping in 8 shape course with the length of 5 meters and side hop test including 10 side hop repetitions in course with the length of 30 centimeters. Time were recorded via stopwatch. Results: After data gathering and assessing information distributions, Pearson correlation was used to assess relationships, and independent T test to assess differences between variables. Finally the results showed that there is a significant relationship between previous ankle sprains and functional-performance deficits in the athletes. Conclusion: The athletes who had previous ankle sprains indicated functional-performance deficits more than healthy athletes in completion of mentioned functional-performance tests. The functional-performance tests (figure 8 hop test and side hop test are sensitive and suitable to assess and detect functional-performance deficits in athletes. Therefore we can use the figure 8 hop and side hop tests for goals such as prevention, assessment and rehabilitation of ankle sprains without spending too much money and time.

  13. Data from studies of previous radioactive waste disposal in Massachusetts Bay

    International Nuclear Information System (INIS)

    Curtis, W.R.; Mardis, H.M.

    1984-12-01

    This report presents the results of studies conducted in Massachusetts Bay during 1981 and 1982. Included are data from: (1) a side scan sonar survey of disposal areas in the Bay that was carried out by the National Oceanic and Atmospheric Administration (NOAA) for EPA; (2) Collections of sediment and biota by NOAA for radiochemical analysis by EPA; (3) collections of marketplace seafood samples by the Food and Drug Administration (FDA) for radioanalysis by both FDA and EPA; and (4) a radiological monitoring survey of LLW disposal areas by EPA to determine whether there should be any concern for public health resulting from previous LLW disposals in the Bay

  14. A longitudinal study of plasma insulin and glucagon in women with previous gestational diabetes

    DEFF Research Database (Denmark)

    Damm, P; Kühl, C; Hornnes, P

    1995-01-01

    OBJECTIVE: To investigate whether plasma insulin or glucagon predicts later development of diabetes in women with gestational diabetes mellitus (GDM). RESEARCH DESIGN AND METHODS: The subjects studied were 91 women with diet-treated GDM and 33 healthy women. Plasma insulin and glucagon during a 50...... at follow-up (2 had insulin-dependent diabetes mellitus, 13 had non-insulin-dependent diabetes mellitus, and 12 had impaired glucose tolerance). Compared with the control subjects, women with previous GDM had relatively impaired insulin secretion (decreased insulinogenic index and delayed peak insulin...... for subsequent development of overt diabetes (logistic regression analysis). CONCLUSIONS: Women who develop GDM have a relative insulin secretion deficiency, the severity of which is predictive for later development of diabetes. Furthermore, our data indicate that their relatively reduced beta-cell function may...

  15. Case-control study for colorectal cancer genetic susceptibility in EPICOLON: previously identified variants and mucins

    Directory of Open Access Journals (Sweden)

    Moreno Victor

    2011-08-01

    Full Text Available Abstract Background Colorectal cancer (CRC is the second leading cause of cancer death in developed countries. Familial aggregation in CRC is also important outside syndromic forms and, in this case, a polygenic model with several common low-penetrance alleles contributing to CRC genetic predisposition could be hypothesized. Mucins and GALNTs (N-acetylgalactosaminyltransferase are interesting candidates for CRC genetic susceptibility and have not been previously evaluated. We present results for ten genetic variants linked to CRC risk in previous studies (previously identified category and 18 selected variants from the mucin gene family in a case-control association study from the Spanish EPICOLON consortium. Methods CRC cases and matched controls were from EPICOLON, a prospective, multicenter, nationwide Spanish initiative, comprised of two independent stages. Stage 1 corresponded to 515 CRC cases and 515 controls, whereas stage 2 consisted of 901 CRC cases and 909 controls. Also, an independent cohort of 549 CRC cases and 599 controls outside EPICOLON was available for additional replication. Genotyping was performed for ten previously identified SNPs in ADH1C, APC, CCDN1, IL6, IL8, IRS1, MTHFR, PPARG, VDR and ARL11, and 18 selected variants in the mucin gene family. Results None of the 28 SNPs analyzed in our study was found to be associated with CRC risk. Although four SNPs were significant with a P-value ADH1C (OR = 1.63, 95% CI = 1.06-2.50, P-value = 0.02, recessive, rs1800795 in IL6 (OR = 1.62, 95% CI = 1.10-2.37, P-value = 0.01, recessive, rs3803185 in ARL11 (OR = 1.58, 95% CI = 1.17-2.15, P-value = 0.007, codominant, and rs2102302 in GALNTL2 (OR = 1.20, 95% CI = 1.00-1.44, P-value = 0.04, log-additive 0, 1, 2 alleles], only rs3803185 achieved statistical significance in EPICOLON stage 2 (OR = 1.34, 95% CI = 1.06-1.69, P-value = 0.01, recessive. In the joint analysis for both stages, results were only significant for rs3803185 (OR = 1

  16. Case-control study for colorectal cancer genetic susceptibility in EPICOLON: previously identified variants and mucins

    International Nuclear Information System (INIS)

    Abulí, Anna; Morillas, Juan D; Rigau, Joaquim; Latorre, Mercedes; Fernández-Bañares, Fernando; Peña, Elena; Riestra, Sabino; Payá, Artemio; Jover, Rodrigo; Xicola, Rosa M; Llor, Xavier; Fernández-Rozadilla, Ceres; Carvajal-Carmona, Luis; Villanueva, Cristina M; Moreno, Victor; Piqué, Josep M; Carracedo, Angel; Castells, Antoni; Andreu, Montserrat; Ruiz-Ponte, Clara; Castellví-Bel, Sergi; Alonso-Espinaco, Virginia; Muñoz, Jenifer; Gonzalo, Victoria; Bessa, Xavier; González, Dolors; Clofent, Joan; Cubiella, Joaquin

    2011-01-01

    Colorectal cancer (CRC) is the second leading cause of cancer death in developed countries. Familial aggregation in CRC is also important outside syndromic forms and, in this case, a polygenic model with several common low-penetrance alleles contributing to CRC genetic predisposition could be hypothesized. Mucins and GALNTs (N-acetylgalactosaminyltransferase) are interesting candidates for CRC genetic susceptibility and have not been previously evaluated. We present results for ten genetic variants linked to CRC risk in previous studies (previously identified category) and 18 selected variants from the mucin gene family in a case-control association study from the Spanish EPICOLON consortium. CRC cases and matched controls were from EPICOLON, a prospective, multicenter, nationwide Spanish initiative, comprised of two independent stages. Stage 1 corresponded to 515 CRC cases and 515 controls, whereas stage 2 consisted of 901 CRC cases and 909 controls. Also, an independent cohort of 549 CRC cases and 599 controls outside EPICOLON was available for additional replication. Genotyping was performed for ten previously identified SNPs in ADH1C, APC, CCDN1, IL6, IL8, IRS1, MTHFR, PPARG, VDR and ARL11, and 18 selected variants in the mucin gene family. None of the 28 SNPs analyzed in our study was found to be associated with CRC risk. Although four SNPs were significant with a P-value < 0.05 in EPICOLON stage 1 [rs698 in ADH1C (OR = 1.63, 95% CI = 1.06-2.50, P-value = 0.02, recessive), rs1800795 in IL6 (OR = 1.62, 95% CI = 1.10-2.37, P-value = 0.01, recessive), rs3803185 in ARL11 (OR = 1.58, 95% CI = 1.17-2.15, P-value = 0.007, codominant), and rs2102302 in GALNTL2 (OR = 1.20, 95% CI = 1.00-1.44, P-value = 0.04, log-additive 0, 1, 2 alleles], only rs3803185 achieved statistical significance in EPICOLON stage 2 (OR = 1.34, 95% CI = 1.06-1.69, P-value = 0.01, recessive). In the joint analysis for both stages, results were only significant for rs3803185 (OR = 1.12, 95% CI = 1

  17. A study about the interest and previous contact of high school students with Astronomy

    Science.gov (United States)

    Carvalho, C. L.; Zanitti, M. H. R.; Felicidade, B. L.; Gomes, A. D. T.; Dias, E. W.; Coelho, F. O.

    2016-04-01

    The currently problems in Astronomy teaching in Brazilian Basic Education contrast with the space, and the popularity that astronomical themes have in various media in the country. In this work, we present the results of a study about the interest, and previous contact of high school students from a public school in the city of "São João del-Rei"/MG with topics related to Astronomy. The study and the pedagogical intervention were carried out by students of the PIBID/CAPES/UFSJ. The intervention was performed through an oral exposition with the students' participation, followed by the use of the Stellarium program. The results suggest the majority of students surveyed are interested in Astronomy, and have had some contact with the area. However, some inconsistencies in their responses were identified and examined. The implications for research and for Astronomy Education are discussed. We also make some considerations about relationship between the lack of specific knowledge and the misinformation as one possible reason for the little interest of students in various areas of Science.

  18. Fire Risk Scoping Study: Investigation of nuclear power plant fire risk, including previously unaddressed issues

    International Nuclear Information System (INIS)

    Lambright, J.A.; Nowlen, S.P.; Nicolette, V.F.; Bohn, M.P.

    1989-01-01

    An investigation of nuclear power plant fire risk issues raised as a result of the USNRC sponsored Fire Protection Research Program at Sandia National Laboratories has been performed. The specific objectives of this study were (1) to review and requantify fire risk scenarios from four fire probabilistic risk assessments (PRAs) in light of updated data bases made available as a result of USNRC sponsored Fire Protection Research Program and updated computer fire modeling capabilities, (2) to identify potentially significant fire risk issues that have not been previously addressed in a fire risk context and to quantify the potential impact of those identified fire risk issues where possible, and (3) to review current fire regulations and plant implementation practices for relevance to the identified unaddressed fire risk issues. In performance of the fire risk scenario requantifications several important insights were gained. It was found that utilization of a more extensive operational experience base resulted in both fire occurrence frequencies and fire duration times (i.e., time required for fire suppression) increasing significantly over those assumed in the original works. Additionally, some thermal damage threshold limits assumed in the original works were identified as being nonconservative based on more recent experimental data. Finally, application of the COMPBRN III fire growth model resulted in calculation of considerably longer fire damage times than those calculated in the original works using COMPBRN I. 14 refs., 2 figs., 16 tabs

  19. Steam sterilization of previously-assembled laparoscopic instruments Esterilización por vapor de los instrumentos laparoscópicos previamente armados Esterilização pelo vapor dos instrumentos laparoscópicos previamente montados

    Directory of Open Access Journals (Sweden)

    Tamara Carolina de Camargo

    2008-01-01

    Full Text Available Video-laparoscopy represents one of the greatest surgical advances in the recent past. Reprocessable laparoscopic instruments are complex devices that, if completely disassembled for sterilization, would cause problems for the surgical teams at the moment of their use in the surgery. The method of choice for the sterilization of this equipment is saturated steam under pressure. The goal of this review was to describe the state-of-the-art in the search for safe results in autoclaving the previously-assembled reprocessable laparoscopic instruments, since they are difficult to assemble at the moment of surgery. The PUBMED database was consulted, using controlled and free keywords, as well as their combinations, without time or language restrictions. The study investigating the exact issue of this research found contamination in both assembled (1/24 and disassembled (1/30 instruments, demonstrating equivalent risks. In view of the results and considering the lack of studies, a new experimental laboratory study is recommended, using a contamination challenge.El video-laparoscopía representa uno de los mayores avances en el área de la cirugía en los últimos tiempos. Los instrumentos laparoscópicos reprocesables son artículos complejos, que si son esterilizados totalmente desarmados ocasionan trastornos a los equipos quirúrgicos en el momento de su utilización en el campo operatorio. El método de elección para la esterilización de esos instrumentos es el vapor saturado bajo presión. El objetivo de esta revisión fue describir el estado del arte en búsqueda de los resultados de la seguridad en el autoclavado del instrumental laparoscópico reprocesable, previamente armado, teniendo presente las dificultades de su montaje en el momento de la cirugía. Se consultó la base de datos PUBMED, usando vocablos controlados, libres y la combinación de ambos, sin restricción de tiempo e idioma. Fueron localizados apenas dos artículos que

  20. Floristic studies at the Los Medanos site

    International Nuclear Information System (INIS)

    Anon.

    1981-01-01

    Prior to the growing season of 1980, the floristic/vegetational studies involved an area covering more than 120 square miles having several major soil and vegetation types. 1980 studies concentrated on a few square miles surrounding ERDA 9. The goal of the 1980 work was to obtain as much additional floristic data as possible, in part to determine if the summer flora could recover from the prolonged summer dry spell to provide a significant fall flora. Another goal was to assess the fall vegetation in terms of taxa present during this season as well as distribution, density and phenology of these taxa. Special attention was given to measuring the acorn biomass on shinnery oak (Quercus havardii) because this is an important component of the late summer and autumn food chain and may influence small mammal densities. The flora of the 1980 growing season showed considerable variation from more typical or normal flora at the WIPP site. Lack of rainfall at the opportune time and lower than normal temperatures account for this variation

  1. The biomechanics of running in athletes with previous hamstring injury: A case-control study.

    Science.gov (United States)

    Daly, C; Persson, U McCarthy; Twycross-Lewis, R; Woledge, R C; Morrissey, D

    2016-04-01

    Hamstring injury is prevalent with persistently high reinjury rates. We aim to inform hamstring rehabilitation by exploring the electromyographic and kinematic characteristics of running in athletes with previous hamstring injury. Nine elite male Gaelic games athletes who had returned to sport after hamstring injury and eight closely matched controls sprinted while lower limb kinematics and muscle activity of the previously injured biceps femoris, bilateral gluteus maximus, lumbar erector spinae, rectus femoris, and external oblique were recorded. Intergroup comparisons of muscle activation ratios and kinematics were performed. Previously injured athletes demonstrated significantly reduced biceps femoris muscle activation ratios with respect to ipsilateral gluteus maximus (maximum difference -12.5%, P = 0.03), ipsilateral erector spinae (maximum difference -12.5%, P = 0.01), ipsilateral external oblique (maximum difference -23%, P = 0.01), and contralateral rectus femoris (maximum difference -22%, P = 0.02) in the late swing phase. We also detected sagittal asymmetry in hip flexion (maximum 8°, P = 0.01), pelvic tilt (maximum 4°, P = 0.02), and medial rotation of the knee (maximum 6°, P = 0.03) effectively putting the hamstrings in a lengthened position just before heel strike. Previous hamstring injury is associated with altered biceps femoris associated muscle activity and potentially injurious kinematics. These deficits should be considered and addressed during rehabilitation. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  2. Effect of Previous Irradiation on Vascular Thrombosis of Microsurgical Anastomosis: A Preclinical Study in Rats

    Science.gov (United States)

    Gallardo-Calero, Irene; López-Fernández, Alba; Romagosa, Cleofe; Vergés, Ramona; Aguirre-Canyadell, Marius; Soldado, Francisco; Velez, Roberto

    2016-01-01

    Background: The objective of the present investigation was to compare the effect of neoadjuvant irradiation on the microvascular anastomosis in cervical bundle using an experimental model in rats. Methods: One hundred forty male Sprague–Dawley rats were allocated into 4 groups: group I, control, arterial microanastomosis; group II, control, venous microanastomosis; group III, arterial microanastomosis with previous irradiation (20 Gy); and group IV, venous microanastomosis with previous irradiation (20 Gy). Clinical parameters, technical values of anastomosis, patency, and histopathological parameters were evaluated. Results: Irradiated groups (III and IV) and vein anastomosis groups (II and IV) showed significantly increased technical difficulties. Group IV showed significantly reduced patency rates (7/35) when compared with the control group (0/35). Radiotherapy significantly decreased the patency rates of the vein (7/35) when compared with the artery (1/35). Groups III and IV showed significantly reduced number of endothelial cells and also showed the presence of intimal thickening and adventitial fibrosis as compared with the control group. Conclusion: Neoadjuvant radiotherapy reduces the viability of the venous anastomosis in a preclinical rat model with a significant increase in the incidence of vein thrombosis. PMID:27975009

  3. Late preterm birth and previous cesarean section: a population-based cohort study.

    Science.gov (United States)

    Yasseen Iii, Abdool S; Bassil, Kate; Sprague, Ann; Urquia, Marcelo; Maguire, Jonathon L

    2018-02-21

    Late preterm birth (LPB) is increasingly common and associated with higher morbidity and mortality than term birth. Yet, little is known about the influence of previous cesarean section (PCS) and the occurrence of LPB in subsequent pregnancies. We aim to evaluate this association along with the potential mediation by cesarean sections in the current pregnancy. We use population-based birth registry data (2005-2012) to establish a cohort of live born singleton infants born between 34 and 41 gestational weeks to multiparous mothers. PCS was the primary exposure, LPB (34-36 weeks) was the primary outcome, and an unplanned or emergency cesarean section in the current pregnancy was the potential mediator. Associations were quantified using propensity weighted multivariable Poisson regression, and mediating associations were explored using the Baron-Kenny approach. The cohort included 481,531 births, 21,893 (4.5%) were LPB, and 119,983 (24.9%) were predated by at least one PCS. Among mothers with at least one PCS, 6307 (5.26%) were LPB. There was increased risk of LPB among women with at least one PCS (adjusted Relative Risk (aRR): 1.20 (95%CI [1.16, 1.23]). Unplanned or emergency cesarean section in the current pregnancy was identified as a strong mediator to this relationship (mediation ratio = 97%). PCS was associated with higher risk of LPB in subsequent pregnancies. This may be due to an increased risk of subsequent unplanned or emergency preterm cesarean sections. Efforts to minimize index cesarean sections may reduce the risk of LPB in subsequent pregnancies.

  4. Phase III Study of Cabozantinib in Previously Treated Metastatic Castration-Resistant Prostate Cancer: COMET-1.

    Science.gov (United States)

    Smith, Matthew; De Bono, Johann; Sternberg, Cora; Le Moulec, Sylvestre; Oudard, Stéphane; De Giorgi, Ugo; Krainer, Michael; Bergman, Andries; Hoelzer, Wolfgang; De Wit, Ronald; Bögemann, Martin; Saad, Fred; Cruciani, Giorgio; Thiery-Vuillemin, Antoine; Feyerabend, Susan; Miller, Kurt; Houédé, Nadine; Hussain, Syed; Lam, Elaine; Polikoff, Jonathan; Stenzl, Arnulf; Mainwaring, Paul; Ramies, David; Hessel, Colin; Weitzman, Aaron; Fizazi, Karim

    2016-09-01

    Cabozantinib is an inhibitor of kinases, including MET and vascular endothelial growth factor receptors, and has shown activity in men with previously treated metastatic castration-resistant prostate cancer (mCRPC). This blinded phase III trial compared cabozantinib with prednisone in patients with mCRPC. Men with progressive mCRPC after docetaxel and abiraterone and/or enzalutamide were randomly assigned at a two-to-one ratio to cabozantinib 60 mg once per day or prednisone 5 mg twice per day. The primary end point was overall survival (OS). Bone scan response (BSR) at week 12 as assessed by independent review committee was the secondary end point; radiographic progression-free survival (rPFS) and effects on circulating tumor cells (CTCs), bone biomarkers, serum prostate-specific antigen (PSA), and symptomatic skeletal events (SSEs) were exploratory assessments. A total of 1,028 patients were randomly assigned to cabozantinib (n = 682) or prednisone (n = 346). Median OS was 11.0 months with cabozantinib and 9.8 months with prednisone (hazard ratio, 0.90; 95% CI, 0.76 to 1.06; stratified log-rank P = .213). BSR at week 12 favored cabozantinib (42% v 3%; stratified Cochran-Mantel-Haenszel P < .001). rPFS was improved in the cabozantinib group (median, 5.6 v 2.8 months; hazard ratio, 0.48; 95% CI, 0.40 to 0.57; stratified log-rank P < .001). Cabozantinib was associated with improvements in CTC conversion, bone biomarkers, and post-random assignment incidence of SSEs but not PSA outcomes. Grade 3 to 4 adverse events and discontinuations because of adverse events were higher with cabozantinib than with prednisone (71% v 56% and 33% v 12%, respectively). Cabozantinib did not significantly improve OS compared with prednisone in heavily treated patients with mCRPC and progressive disease after docetaxel and abiraterone and/or enzalutamide. Cabozantinib had some activity in improving BSR, rPFS, SSEs, CTC conversions, and bone biomarkers but not PSA outcomes. © 2016 by

  5. Radon diffusion coefficients for soils. Previous studies and their application to uranium-bearing wastes

    International Nuclear Information System (INIS)

    Sasaki, Tomozo; Gunji, Yasuyoshi; Iida, Takao

    2008-01-01

    Radon diffusion in soils has been studied over the years by many researchers. The application of such studies to the evaluation of radiation exposure caused by radon from uranium-bearing wastes disposed in a shallow land site is very important. The present paper surveyed closely relevant studies and elucidated the inherent nature of radon diffusion in terms of the definition of radon diffusion coefficients. Then, basic features of measurement methods for determining radon diffusion coefficients in soils were explained. Furthermore, theoretical aspects of radon diffusion in soils were discussed in terms of microscopic radon diffusion in soils and large-scale radon diffusion through cover soil defects for uranium mill tailings. Finally, in order to apply the radon diffusion studies to uranium-bearing waste disposal in shallow land sites, new challenges were presented: elucidation of radon diffusion in uranium-bearing wastes and cover-soil cracks, and demonstration of the validity of applying only radon diffusion in the evaluation of radiation exposure caused by radon, which would come through Japanese cover soils for uranium-bearing waste disposal. (author)

  6. Interbirth interval and history of previous preeclampsia: a case–control study among multiparous women

    OpenAIRE

    Harutyunyan, Arusyak; Armenian, Haroutune; Petrosyan, Varduhi

    2013-01-01

    Abstract Background Preeclampsia is a disorder with a reported incidence of 2%-8% among all pregnancies, accounting for more than 50,000 deaths worldwide each year. In low- and middle- income countries maternal/perinatal morbidity and mortality associated with preeclampsia are high due to the lack of proper prenatal and hospital care and limited access to neonatal intensive care. The objectives of our study were to determine the association of long in...

  7. A Review of Previous Studies on Information Processing in Career Decision Making among University Students

    OpenAIRE

    池田, 智子; Satoko, Ikeda

    2018-01-01

    This review of the researches of career choice of Japanese university students focused the studies on decision-making theory conducted in Japan. The present review suggested the necessity of examination of the effect of self-efficacy about career information search on the process of career choice. It is also needed to examine the relationship between specific self-efficacy about career information search and career decision-making self-efficacy, moreover, general self-efficacy.

  8. A Comment Upon Previous Studies on 3-D Boundary Layer Transition

    OpenAIRE

    ÇARPINLIOĞLU, Melda Özdinç

    2014-01-01

    The common feature of the experimental studies upon 3-D boundary layer development on swept flat plates cited in the available literature is the application of streamwise and/or spanwise pressure gradients. In fact; presence of the pressure gradients was suggested to be vital for having crossflow effective in 3-D boundary layer transition. In the presented paper here, this idea is questioned evaluating the results of an experimental investigation conducted on swept flat plates under the ab...

  9. Neuropsychiatric and cardiometabolic comorbidities in patients with previously diagnosed Cushing's disease: a longitudinal observational study

    OpenAIRE

    Dimopoulou, C; Geraedts, V; Stalla, G K; Sievers, C

    2015-01-01

    INTRODUCTION: Only few studies have systematically investigated neuropsychiatric aspects in patients with Cushing's disease (CD). Pain syndromes have been described in patients with pituitary adenomas, but so far no systematical investigation has been conducted in patients with CD. Additionally, CD has an association with cardiometabolic comorbidities which ultimately leads to increased morbidity and mortality. Long-term treatment of the hypercortisolic state cannot prevent the persistence of...

  10. A New Zealand based cohort study of anaesthetic trainees' career outcomes compared with previously expressed intentions.

    Science.gov (United States)

    Moran, E M L; French, R A; Kennedy, R R

    2011-09-01

    Predicting workforce requirements is a difficult but necessary part of health resource planning. A 'snapshot' workforce survey undertaken in 2002 examined issues that New Zealand anaesthesia trainees expected would influence their choice of future workplace. We have restudied the same cohort to see if that workforce survey was a good predictor of outcome. Seventy (51%) of 138 surveys were completed in 2009 compared with 100 (80%) of 138 in the 2002 survey. Eighty percent of the 2002 respondents planned consultant positions in New Zealand. We found 64% of respondents were working in New Zealand (P New Zealand based respondents but only 40% of those living outside New Zealand agreed or strongly agreed with this statement (P New Zealand but was important for only 2% of those resident in New Zealand (P New Zealand were predominantly between NZ$150,000 and $200,000 while those overseas received between NZ$300,000 and $400,000. Of those that are resident in New Zealand, 84% had studied in a New Zealand medical school compared with 52% of those currently working overseas (P < 0.01). Our study shows that stated career intentions in a group do not predict the actual group outcomes. We suggest that 'snapshot' studies examining workforce intentions are of little value for workforce planning. However we believe an ongoing program matching career aspirations against career outcomes would be a useful tool in workforce planning.

  11. Fundamental symmetry studies at Los Alamos using epithermal neutrons

    International Nuclear Information System (INIS)

    Bowman, C.D.; Bowman, J.D.; Yuan, V.W.

    1988-01-01

    Fundamental symmetry studies using intense polarized beams of epithermal neutrons are underway at the LANSCE facility of the Los Alamos National Laboratory. Three classes of symmetry experiments can be explored: parity violation, and time reversal invariance violation for both parity-violating and parity-conserved observables. The experimental apparatus is described and performance illustrated with examples of recent measurements. Possible improvements in the facilities and prospective experiments are discussed. 15 refs., 10 figs

  12. Descontaminação prévia de materiais médico-cirúrgicos: estudo da eficácia de desinfetantes químicos e água e sabão Descontaminación prévia de los instrumentos médico-quirúrgicos: estudio de la eficacia de desinfectantes químicos y agua y jabón Previous descontamination of the medical surgical materials: study of the efficiency of chemical disinfectants and water and soap

    Directory of Open Access Journals (Sweden)

    Adenícia Custódia Silva e Souza

    1998-07-01

    agua y jabón, presentó redución de microorganismos a niveles considerados adecuados para descontaminación previa.In this experimental study we compared the previous descontamination efficacy of the medical surgical materials by the use of chemical disinfectants and the mechanical cleaning with water and soap, as well as verified the organic material interference in these procedures. To carry out this study, we used surgical pincers under contamination with: Staphylococcus aureus ATCC-6538, Salmonella cholerae suis ATCC-10708, and Pseudomonas aeruginosa ATCC-15442 in presence and absence of organic matter (fetal bovine serum. The following treatments: glutaraldehyde 2%, sodium hypochlorite 1%, hydrogen peroxide 6%, alcohol 70% and the mechanical cleaning with water and soap were compared with eight repetitions in a total of 480 observations. In the described conditions, the disinfectants had a good efficacy in the previous descontamination of the medical surgical materials and a less inativation by the organic material. The mechanical cleaning with water and soap showed a reduction of the microrganism to safe levels, considered adequate for previous descontamination.

  13. Life cycle impact assessment of ammonia production in Algeria: A comparison with previous studies

    Energy Technology Data Exchange (ETDEWEB)

    Makhlouf, Ali, E-mail: almakhsme@gmail.com; Serradj, Tayeb; Cheniti, Hamza

    2015-01-15

    In this paper, a Life Cycle Analysis (LCA) from “cradle to gate” of one anhydrous ton of ammonia with a purity of 99% was achieved. Particularly, the energy and environmental performance of the product (ammonia) were evaluated. The eco-profile of the product and the share of each stage of the Life Cycle on the whole environmental impacts have been evaluated. The flows of material and energy for each phase of the life cycle were counted and the associated environmental problems were identified. Evaluation of the impact was achieved using GEMIS 4.7 software. The primary data collection was executed at the production installations located in Algeria (Annaba locality). The analysis was conducted according to the LCA standards ISO 14040 series. The results show that Cumulative Energy Requirement (CER) is of 51.945 × 10{sup 3} MJ/t of ammonia, which is higher than the global average. Global Warming Potential (GWP) is of 1.44 t CO{sub 2} eq/t of ammonia; this value is lower than the world average. Tropospheric ozone precursor and Acidification are also studied in this article, their values are: 549.3 × 10{sup −6} t NMVOC eq and 259.3 × 10{sup −6} t SO{sub 2} eq respectively.

  14. Life cycle impact assessment of ammonia production in Algeria: A comparison with previous studies

    International Nuclear Information System (INIS)

    Makhlouf, Ali; Serradj, Tayeb; Cheniti, Hamza

    2015-01-01

    In this paper, a Life Cycle Analysis (LCA) from “cradle to gate” of one anhydrous ton of ammonia with a purity of 99% was achieved. Particularly, the energy and environmental performance of the product (ammonia) were evaluated. The eco-profile of the product and the share of each stage of the Life Cycle on the whole environmental impacts have been evaluated. The flows of material and energy for each phase of the life cycle were counted and the associated environmental problems were identified. Evaluation of the impact was achieved using GEMIS 4.7 software. The primary data collection was executed at the production installations located in Algeria (Annaba locality). The analysis was conducted according to the LCA standards ISO 14040 series. The results show that Cumulative Energy Requirement (CER) is of 51.945 × 10 3 MJ/t of ammonia, which is higher than the global average. Global Warming Potential (GWP) is of 1.44 t CO 2 eq/t of ammonia; this value is lower than the world average. Tropospheric ozone precursor and Acidification are also studied in this article, their values are: 549.3 × 10 −6 t NMVOC eq and 259.3 × 10 −6 t SO 2 eq respectively

  15. Ifosfamide in previously untreated disseminated neuroblastoma. Results of Study 3A of the European Neuroblastoma Study Group.

    Science.gov (United States)

    Kellie, S J; De Kraker, J; Lilleyman, J S; Bowman, A; Pritchard, J

    1988-05-01

    A prospective study of the effectiveness of ifosfamide as a single agent in the management of previously untreated patients with Evans stage IV neuroblastoma was undertaken. Eighteen children aged more than 1 year were treated with ifosfamide (IFX) 3 g/m2 daily for 2 days immediately after diagnosis and 3 weeks later. Treatment was continued with combination chemotherapy using vincristine, cyclophosphamide, cisplatinum and etoposide (OPEC) or a variant. Mesna (2-mercaptoethane sulphonate) was given to all patients during IFX treatment to prevent urotoxicity. Eight of the 18 patients (44%) responded to IFX. Nine had greater than 66% reduction in baseline tumor volume. Of 15 evaluable patients with raised pre-treatment urinary catecholamine excretion, six (40%) achieved greater than 50% reduction in pretreatment levels. Two of 10 patients evaluable for bone marrow response had complete clearance. Toxicity was mild in all patients. Upon completing 'first line' therapy, only four patients (22%) achieved a good partial remission (GPR) or complete response (CR). Median survival was 11 months. There was a lower rate of attaining GPR and shortened median survival in patients receiving phase II IFX before OPEC or variant, compared to patients with similar pre-treatment characteristics treated with OPEC from diagnosis in an earlier study.

  16. Seismic vulnerability study Los Alamos Meson Physics Facility (LAMPF)

    International Nuclear Information System (INIS)

    Salmon, M.; Goen, L.K.

    1995-01-01

    The Los Alamos Meson Physics Facility (LAMPF), located at TA-53 of Los Alamos National Laboratory (LANL), features an 800 MeV proton accelerator used for nuclear physics and materials science research. As part of the implementation of DOE Order 5480.25 and in preparation for DOE Order 5480.28, a seismic vulnerability study of the structures, systems, and components (SSCs) supporting the beam line from the accelerator building through to the ends of die various beam stops at LAMPF has been performed. The study was accomplished using the SQUG GIP methodology to assess the capability of the various SSCs to resist an evaluation basis earthquake. The evaluation basis earthquake was selected from site specific seismic hazard studies. The goals for the study were as follows: (1) identify SSCs which are vulnerable to seismic loads; and (2) ensure that those SSCs screened during die evaluation met the performance goals required for DOE Order 5480.28. The first goal was obtained by applying the SQUG GIP methodology to those SSCS represented in the experience data base. For those SSCs not represented in the data base, information was gathered and a significant amount of engineering judgment applied to determine whether to screen the SSC or to classify it as an outlier. To assure the performance goals required by DOE Order 5480.28 are met, modifications to the SQUG GIP methodology proposed by Salmon and Kennedy were used. The results of this study ire presented in this paper

  17. Review of epidemiologic studies at Los Alamos National Laboratory

    International Nuclear Information System (INIS)

    Voelz, G.L.; Wilkinson, G.S.; Acquavella, J.F.; Reyes, M.; McInroy, J.F.

    1982-01-01

    Epidemiologic studies at Los Alamos are directed toward understanding potential health risks associated with activities pertaining to national energy and defense needs. Currently this research focuses on evaluating the effects of plutonium exposure in man. The major programs consist of (1) epidemiologic studies of the incidence of disease and mortality among plutonium and other workers at six Department of Energy (DOE) contractor facilities (Los Alamos, Rocky Flats, Mound, Savannah River, Hanford, and Oak Ridge), and (2) measurement of plutonium and other radionuclides in human tissues. Currently, investigations of mortality for Pantex workers and the surrounding general population are also being conducted for DOE in support of an Environment Impact Statement. This paper places emphasis on the activities of the national epidemiologic study of plutonium workers. The purpose of the plutonium workers study is to: (1) investigate whether adverse health effects are associated with exposures to plutonium, (2) explore whether adverse health effects are associated with exposure to transuranic elements, other radioisotopes, and hazardous substances that are found in nuclear facilities making routine use of plutonium, and (3) to describe in detail the nature of such health effects should they be discovered

  18. Estimating the effect of current, previous and never use of drugs in studies based on prescription registries

    DEFF Research Database (Denmark)

    Nielsen, Lars Hougaard; Løkkegaard, Ellen; Andreasen, Anne Helms

    2009-01-01

    of this misclassification for analysing the risk of breast cancer. MATERIALS AND METHODS: Prescription data were obtained from Danish Registry of Medicinal Products Statistics and we applied various methods to approximate treatment episodes. We analysed the duration of HT episodes to study the ability to identify......PURPOSE: Many studies which investigate the effect of drugs categorize the exposure variable into never, current, and previous use of the study drug. When prescription registries are used to make this categorization, the exposure variable possibly gets misclassified since the registries do...... not carry any information on the time of discontinuation of treatment.In this study, we investigated the amount of misclassification of exposure (never, current, previous use) to hormone therapy (HT) when the exposure variable was based on prescription data. Furthermore, we evaluated the significance...

  19. An fMRI study of neuronal activation in schizophrenia patients with and without previous cannabis use

    Directory of Open Access Journals (Sweden)

    Else-Marie eLøberg

    2012-10-01

    Full Text Available Previous studies have mostly shown positive effects of cannabis use on cognition in patients with schizophrenia, which could reflect lower neurocognitive vulnerability. There are however no studies comparing whether such cognitive differences have neuronal correlates. Thus, the aim of the present study was to compare whether patients with previous cannabis use differ in brain activation from patients who has never used cannabis. The patients groups were compared on the ability to up-regulate an effort mode network during a cognitive task and down-regulate activation in the same network during a task-absent condition. Task-present and task-absent brain activation was measured by functional magnetic resonance neuroimaging (fMRI. Twenty-six patients with a DSM-IV and ICD-10 diagnosis of schizophrenia were grouped into a previous cannabis user group and a no-cannabis group. An auditory dichotic listening task with instructions of attention focus on either the right or left ear stimulus was used to tap verbal processing, attention and cognitive control, calculated as an aggregate score. When comparing the two groups, there were remaining activations in the task-present condition for the cannabis group, not seen in the no-cannabis group, while there was remaining activation in the task-absent condition for the no-cannabis group, not seen in the cannabis group. Thus, the patients with previous cannabis use showed increased activation in an effort mode network and decreased activation in the default mode network as compared to the no-cannabis group. It is concluded that the present study show some differences in brain activation to a cognitively challenging task between previous cannabis and no-cannabis schizophrenia patients.

  20. Ecological baseline studies in Los Alamos and Guaje Canyons County of Los Alamos, New Mexico. A two-year study

    Energy Technology Data Exchange (ETDEWEB)

    Foxx, T.S. [comp.

    1995-11-01

    During the summers of 1993 and 1994, the Biological Resource Evaluations Team (BRET) of the Environmental Protection Group (ESH-8) conducted baseline studies within two canyon systems, Los Alamos and Guaje Canyons. Biological data was collected within each canyon to provide background and baseline information for Ecological Risk models. Baseline studies included establishment of permanent vegetation plots within each canyon along the elevational gradient. Then, in association with the various vegetation types, surveys were conducted for ground dwelling insects, birds, and small mammals. The stream channels associated with the permanent vegetation plots were characterized and aquatic macroinvertebrates collected within the stream monthly throughout a six-month period. The Geographic Position System (GPS) in combination with ARC INFO was used to map the study areas. Considerable data was collected during these surveys and are summarized in individual chapters.

  1. Pinon Pine Tree Study, Los Alamos National Laboratory: Source document

    International Nuclear Information System (INIS)

    Gonzales, G.J.; Fresquez, P.R.; Mullen, M.A.; Naranjo, L. Jr.

    2000-01-01

    One of the dominant tree species growing within and around Los Alamos National Laboratory (LANL), Los Alamos, NM, lands is the pinon pine (Pinus edulis) tree. Pinon pine is used for firewood, fence posts, and building materials and is a source of nuts for food--the seeds are consumed by a wide variety of animals and are also gathered by people in the area and eaten raw or roasted. This study investigated the (1) concentration of 3 H, 137 Cs, 90 Sr, tot U, 238 Pu, 239,240 Pu, and 241 Am in soils (0- to 12-in. [31 cm] depth underneath the tree), pinon pine shoots (PPS), and pinon pine nuts (PPN) collected from LANL lands and regional background (BG) locations, (2) concentrations of radionuclides in PPN collected in 1977 to present data, (3) committed effective dose equivalent (CEDE) from the ingestion of nuts, and (4) soil to PPS to PPN concentration ratios (CRs). Most radionuclides, with the exception of 3 H in soils, were not significantly higher (p < 0.10) in soils, PPS, and PPN collected from LANL as compared to BG locations, and concentrations of most radionuclides in PPN from LANL have decreased over time. The maximum net CEDE (the CEDE plus two sigma minus BG) at the most conservative ingestion rate (10 lb [4.5 kg]) was 0.0018 mrem (0.018 microSv). Soil-to-nut CRs for most radionuclides were within the range of default values in the literature for common fruits and vegetables

  2. Dexamethasone intravitreal implant in previously treated patients with diabetic macular edema : Subgroup analysis of the MEAD study

    OpenAIRE

    Augustin, A.J.; Kuppermann, B.D.; Lanzetta, P.; Loewenstein, A.; Li, X.; Cui, H.; Hashad, Y.; Whitcup, S.M.; Abujamra, S.; Acton, J.; Ali, F.; Antoszyk, A.; Awh, C.C.; Barak, A.; Bartz-Schmidt, K.U.

    2015-01-01

    Background Dexamethasone intravitreal implant 0.7?mg (DEX 0.7) was approved for treatment of diabetic macular edema (DME) after demonstration of its efficacy and safety in the MEAD registration trials. We performed subgroup analysis of MEAD study results to evaluate the efficacy and safety of DEX 0.7 treatment in patients with previously treated DME. Methods Three-year, randomized, sham-controlled phase 3 study in patients with DME, best-corrected visual acuity (BCVA) of 34?68 Early Treatment...

  3. Youth suicide: an insight into previous hospitalisation for injury and sociodemographic conditions from a nationwide cohort study.

    Science.gov (United States)

    Zambon, Francesco; Laflamme, Lucie; Spolaore, Paolo; Visentin, Cristiana; Hasselberg, Marie

    2011-06-01

    This study investigates the degree to which a previous hospitalisation for injury of any intent is a risk of subsequent youth suicide and whether this association is influenced by family socioeconomic status or economic stress. A nationwide register-based cohort study was conducted covering all Swedish subjects born between January 1977 and December 1991 (N=1,616,342, male/female ratio=1.05). The cohort subjects were followed-up from January 1998 to December 2003, when aged 7-26 years. Poisson regression and the likelihood ratio test (95% CI) were used to assess the age-adjusted effect of hospitalisation for injuries of various intent on youth suicide and its effect once adjusted for family sociodemographic and social circumstances. Each set of exposures was associated independently and significantly with suicide mortality. Being hospitalised for self-inflicted injuries or injuries of undetermined intent was associated with a risk of suicide 36 to 47 times, respectively, that of subjects never hospitalised in the period under study (95% CI 28.36 to 45.58 and 26.67 to 83.87 for self-inflicted injuries and for events of undetermined intent, respectively; overall psuicide (RR 3.08; 95% CI 2.26 to 4.19). These effects were solid and not substantially altered after adjustment for family demographic and socioeconomic circumstances. A strong association exists between previous hospitalisation for injury of any intent and youth suicide. The association is robust and unaltered by family socioeconomic circumstances.

  4. Los Angeles International Airport Runway Incursion Studies: Phase III--Center-Taxiway Simulation

    Science.gov (United States)

    Madson, Michael D.

    2004-01-01

    Phase III of the Los Angeles International Airport Runway Incursion Studies was conducted, under an agreement with HNTB Corporation, at the NASA Ames FutureFlight Central (FFC) facility in June 2003. The objective of the study was the evaluation of a new center-taxiway concept at LAX. This study is an extension of the Phase I and Phase II studies previously conducted at FFC. This report presents results from Phase III of the study, in which a center-taxiway concept between runways 25L and 25R was simulated and evaluated. Phase III data were compared objectively against the Baseline data. Subjective evaluations by participating LAX controllers were obtained with regard to workload, efficiency, and safety criteria. To facilitate a valid comparison between Baseline and Phase III data, the same scenarios were used for Phase III that were tested during Phases I and II. This required briefing participating controllers on differences in airport and airline operations between 2001 and today.

  5. Previous Fractures at Multiple Sites Increase the Risk for Subsequent Fractures: The Global Longitudinal Study of Osteoporosis in Women

    Science.gov (United States)

    Gehlbach, Stephen; Saag, Kenneth G.; Adachi, Jonathan D.; Hooven, Fred H.; Flahive, Julie; Boonen, Steven; Chapurlat, Roland D.; Compston, Juliet E.; Cooper, Cyrus; Díez-Perez, Adolfo; Greenspan, Susan L.; LaCroix, Andrea Z.; Netelenbos, J. Coen; Pfeilschifter, Johannes; Rossini, Maurizio; Roux, Christian; Sambrook, Philip N.; Silverman, Stuart; Siris, Ethel S.; Watts, Nelson B.; Lindsay, Robert

    2016-01-01

    Previous fractures of the hip, spine, or wrist are well-recognized predictors of future fracture, but the role of other fracture sites is less clear. We sought to assess the relationship between prior fracture at 10 skeletal locations and incident fracture. The Global Longitudinal Study of Osteoporosis in Women (GLOW) is an observational cohort study being conducted in 17 physician practices in 10 countries. Women ≥ 55 years answered questionnaires at baseline and at 1 and/or 2 years (fractures in previous year). Of 60,393 women enrolled, follow-up data were available for 51,762. Of these, 17.6%, 4.0%, and 1.6% had suffered 1, 2, or ≥3 fractures since age 45. During the first 2 years of follow-up, 3149 women suffered 3683 incident fractures. Compared with women with no prior fractures, women with 1, 2, or ≥ 3 prior fractures were 1.8-, 3.0-, and 4.8-fold more likely to have any incident fracture; those with ≥3 prior fractures were 9.1-fold more likely to sustain a new vertebral fracture. Nine of 10 prior fracture locations were associated with an incident fracture. The strongest predictors of incident spine and hip fractures were prior spine fracture (hazard ratio 7.3) and hip (hazard ratio 3.5). Prior rib fractures were associated with a 2.3-fold risk of subsequent vertebral fracture, previous upper leg fracture predicted a 2.2-fold increased risk of hip fracture; women with a history of ankle fracture were at 1.8-fold risk of future fracture of a weight-bearing bone. Our findings suggest that a broad range of prior fracture sites are associated with an increased risk of incident fractures, with important implications for clinical assessments and risk model development. PMID:22113888

  6. Previous experiences and emotional baggage as barriers to lifestyle change - a qualitative study of Norwegian Healthy Life Centre participants.

    Science.gov (United States)

    Følling, Ingrid S; Solbjør, Marit; Helvik, Anne-S

    2015-06-23

    Changing lifestyle is challenging and difficult. The Norwegian Directorate of Health recommends that all municipalities establish Healthy Life Centres targeted to people with lifestyle issues. Little is known about the background, experiences and reflections of participants. More information is needed about participants to shape effective lifestyle interventions with lasting effect. This study explores how participants in a lifestyle intervention programme describe previous life experiences in relation to changing lifestyle. Semi-structured qualitative in-depth interviews were performed with 23 participants (16 women and 7 men) aged 18 - 70 years. The data were analysed using systematic text condensation searching for issues describing participants' responses, and looking for the essence, aiming to share the basis of life-world experiences as valid knowledge. Participants identified two main themes: being stuck in old habits, and being burdened with emotional baggage from their previous negative experiences. Participants expressed a wish to change their lifestyles, but were unable to act in accordance with the health knowledge they possessed. Previous experiences with lifestyle change kept them from initiating attempts without professional assistance. Participants also described being burdened by an emotional baggage with problems from childhood and/or with family, work and social life issues. Respondents said that they felt that emotional baggage was an important explanation for why they were stuck in old habits and that conversely, being stuck in old habits added load to their already emotional baggage and made it heavier. Behavioural change can be hard to perform as psychological distress from life baggage can influence the ability to change. The study participants' experience of being stuck in old habits and having substantial emotional baggage raises questions as to whether or not Healthy Life Centres are able to help participants who need to make a lifestyle

  7. Everolimus for Previously Treated Advanced Gastric Cancer: Results of the Randomized, Double-Blind, Phase III GRANITE-1 Study

    Science.gov (United States)

    Ohtsu, Atsushi; Ajani, Jaffer A.; Bai, Yu-Xian; Bang, Yung-Jue; Chung, Hyun-Cheol; Pan, Hong-Ming; Sahmoud, Tarek; Shen, Lin; Yeh, Kun-Huei; Chin, Keisho; Muro, Kei; Kim, Yeul Hong; Ferry, David; Tebbutt, Niall C.; Al-Batran, Salah-Eddin; Smith, Heind; Costantini, Chiara; Rizvi, Syed; Lebwohl, David; Van Cutsem, Eric

    2013-01-01

    Purpose The oral mammalian target of rapamycin inhibitor everolimus demonstrated promising efficacy in a phase II study of pretreated advanced gastric cancer. This international, double-blind, phase III study compared everolimus efficacy and safety with that of best supportive care (BSC) in previously treated advanced gastric cancer. Patients and Methods Patients with advanced gastric cancer that progressed after one or two lines of systemic chemotherapy were randomly assigned to everolimus 10 mg/d (assignment schedule: 2:1) or matching placebo, both given with BSC. Randomization was stratified by previous chemotherapy lines (one v two) and region (Asia v rest of the world [ROW]). Treatment continued until disease progression or intolerable toxicity. Primary end point was overall survival (OS). Secondary end points included progression-free survival (PFS), overall response rate, and safety. Results Six hundred fifty-six patients (median age, 62.0 years; 73.6% male) were enrolled. Median OS was 5.4 months with everolimus and 4.3 months with placebo (hazard ratio, 0.90; 95% CI, 0.75 to 1.08; P = .124). Median PFS was 1.7 months and 1.4 months in the everolimus and placebo arms, respectively (hazard ratio, 0.66; 95% CI, 0.56 to 0.78). Common grade 3/4 adverse events included anemia, decreased appetite, and fatigue. The safety profile was similar in patients enrolled in Asia versus ROW. Conclusion Compared with BSC, everolimus did not significantly improve overall survival for advanced gastric cancer that progressed after one or two lines of previous systemic chemotherapy. The safety profile observed for everolimus was consistent with that observed for everolimus in other cancers. PMID:24043745

  8. Los Estudios Culturales, la Historiografía y los sectores subalternos Cultural studies, Historiography and the subaltern sectors

    Directory of Open Access Journals (Sweden)

    María Mercedes Tenti

    2012-06-01

    Full Text Available El propósito de este trabajo es indagar la relación entre los Estudios Culturales y la Historiografía, en particular los modos en que esta última aborda la problemática de los sectores subalternos. Una amplia franja de actores sociales no se visibilizan en la mayoría de los trabajos historiográficos, contribuyendo a ratificar imágenes preconcebidas por posturas tradicionales. Corrientes emergentes en las últimas décadas ponen énfasis en estas nuevas formas de abordaje. El planteo de una 'nueva historia' se nutre de aportes interdisciplinarios. A fines del siglo pasado, nuevos actores -que no eran visibles en el campo historiográfico- comenzaron a emerger 'desde abajo', poniendo de relieve el relativismo cultural subyacentes en los relatos históricos. Frente al surgimiento de estos focos de interés, el principal problema al que se enfrentan los historiadores es el de las fuentes, por un lado, y el de la metodología, por otro. Con respecto al primero, nuevas lecturas e interpelaciones a la documentación oficial permiten sacar a luz la palabra de los sectores subalternos. Si bien no se debe perder de vista que estos documentos no contienen la voz directa de los protagonistas -mediada por el escribiente- ésta puede ser interpretada al interior del texto, dentro del contexto. El testimonio oral de los actores y de su entorno constituye también un aporte importante para descubrir el pasado de aquellos y aquellas que no figuran en los registros oficiales. La tradición oral comenzó a ocupar un espacio relevante a la hora de desentrañar el pasado de pueblos ágrafos o de grupos que no tienen incorporada la tradición de la cultura escrita. Los registros fotográficos y audiovisuales, las letras de cancioneros populares, las novelas y el cinematógrafo, ofrecen otras fuentes que permiten acercarnos a la subalternidad, a través de nuevas metodologías aportadas por el trabajo interdisciplinario.The purpose of this work is to research

  9. Doxorubicin and ifosfamide combination chemotherapy in previously treated acute leukemia in adults: a Southwest Oncology Group pilot study.

    Science.gov (United States)

    Ryan, D H; Bickers, J N; Vial, R H; Hussein, K; Bottomley, R; Hewlett, J S; Wilson, H E; Stuckey, W J

    1980-01-01

    The Southwest Oncology Group did a limited institutional pilot study of the combination of doxorubicin and ifosfamide in the treatment of previously treated adult patients with acute leukemia. Thirty-four patients received one or two courses of the combination. All patients had received prior chemotherapy and 32 had received prior anthracycline chemotherapy. Three patients died before their responses could be fully evaluated. Fourteen patients achieved complete remission (41%) and one patient achieved partial remission. The complete remission rate was 27% for patients with acute myeloblastic leukemia (myelomonoblastic leukemia, monoblastic leukemia, and erythroleukemia) and 89% for patients with acute lymphocytic and undifferentiated leukemia (ALL). Toxic effects included severe hematologic reactions in 33 of 34 patients, hematuria in six patients, altered sensorium in one patient, and congestive heart failure in one patient. The safety of the combination was established and toxic side effects of this therapy were tolerable. The 89% complete remission rate for previously treated patients with ALL suggests that the combination of doxorubicin and ifosfamide may be particularly effective in ALL.

  10. The suitability of XRF analysis for compositional classification of archaeological ceramic fabric: A comparison with a previous NAA study

    International Nuclear Information System (INIS)

    Padilla, R.; Espen, P. van; Torres, P.P. Godo

    2006-01-01

    The main drawbacks of EDXRF techniques, restricting its more frequent use for the specific purpose of compositional analysis of archaeological ceramic fabric, have been the insufficient sensitivity to determine some important elements (like Cr, REE, among others), a somewhat worse precision and the inability to perform standard-less quantitative procedures in the absence of suitable certified reference materials (CRM) for ceramic fabric. This paper presents the advantages of combining two energy dispersive X-ray fluorescence methods for fast and non-destructive analysis of ceramic fabric with increased sensitivity. Selective polarized excitation using secondary targets (EDPXRF) and radioisotope excitation (R-XRF) using a 241 Am source. The analytical performance of the methods was evaluated by analyzing several CRM of sediment type, and the fitness for the purpose of compositional classification was compared with that obtained by using Instrumental Neutron Activation Analysis in a previous study of Cuban aborigine pottery

  11. The suitability of XRF analysis for compositional classification of archaeological ceramic fabric: A comparison with a previous NAA study

    Energy Technology Data Exchange (ETDEWEB)

    Padilla, R. [Centro de Aplicaciones Tecnologicas y Desarrollo Nuclear (CEADEN), Laboratorio de Analisis Quimico, Calle 30 no. 502, Playa, Ciudad Habana (Cuba)]. E-mail: roman.padilla@infomed.sld.cu; Espen, P. van [University of Antwerp (Belgium); Torres, P.P. Godo [Centro de Antropologia, Havana (Cuba)

    2006-02-03

    The main drawbacks of EDXRF techniques, restricting its more frequent use for the specific purpose of compositional analysis of archaeological ceramic fabric, have been the insufficient sensitivity to determine some important elements (like Cr, REE, among others), a somewhat worse precision and the inability to perform standard-less quantitative procedures in the absence of suitable certified reference materials (CRM) for ceramic fabric. This paper presents the advantages of combining two energy dispersive X-ray fluorescence methods for fast and non-destructive analysis of ceramic fabric with increased sensitivity. Selective polarized excitation using secondary targets (EDPXRF) and radioisotope excitation (R-XRF) using a {sup 241}Am source. The analytical performance of the methods was evaluated by analyzing several CRM of sediment type, and the fitness for the purpose of compositional classification was compared with that obtained by using Instrumental Neutron Activation Analysis in a previous study of Cuban aborigine pottery.

  12. Treatment satisfaction with paliperidone extended-release tablets: open-label study in schizophrenia patients dissatisfied with previous antipsychotic medication

    Directory of Open Access Journals (Sweden)

    Yang FD

    2017-04-01

    Full Text Available Fu De Yang,1 Juan Li,1 Yun Long Tan,1 Wei Ye Liang,1 Rongzhen Zhang,1 Ning Wang,1 Wei Feng,1 Shangli Cai,2 Jian Min Zhuo,2 Li Li Zhang2 1Beijing Hui-Long-Guan Hospital, 2Department of Medical Affairs, Xian Janssen Pharmaceutical Ltd, Beijing, People’s Republic of China Objective: The aim of this study was to evaluate the changes in treatment satisfaction after switching to paliperidone extended-release (ER in Chinese schizophrenia patients dissatisfied with their previous antipsychotic treatment.Methods: In this 8-week, open-label, single-arm, multicenter, prospective study, 1,693 patients dissatisfied with previous antipsychotic medication were enrolled and switched to paliperidone ER tablets (3–12 mg/d based on clinical judgment. The primary efficacy end point was change in Medication Satisfaction Questionnaire (MSQ score from baseline to week 8. The secondary end points included percentage of patients with MSQ score ≥4, as well as changes in Clinical Global Improvement-Severity (CGI-S and Personal and Social Performance (PSP scores.Results: MSQ scores increased significantly from baseline (mean [standard deviation {SD}]: 2.48 [0.55] to week 8 (5.47 [0.89], P<0.0001; primary end point, full analysis set. The percentage of patients with MSQ score ≥4 was 95.9% at week 8, indicating that most of the patients were satisfied with their treatment. Significant (P<0.0001 improvements from baseline to week 8 were noted in CGI-S score (2.37 [1.20] and PSP score (25.5 [15.0]. A total of 174 (10.28% patients experienced adverse events (AEs. The most common (>10 patients events were extrapyramidal disorder (n=84, 4.96%, poor quality sleep (n=18, 1.06% and akathisia (n=13, 0.77%. The majority of AEs were mild to moderate in severity. No deaths occurred.Conclusion: Treatment satisfaction improved after switching to paliperidone ER from the previous antipsychotic in Chinese patients with schizophrenia. Keywords: atypical antipsychotics, open label

  13. Value and reliability of findings from previous epidemiologic studies in the assessment of radiation-related cancer risks. Pt. 3

    International Nuclear Information System (INIS)

    Frasch, G.; Martignoni, K.

    1990-01-01

    The theories put forward here are predominantly based on pooled data from previous studies in a number of cohorts made up by mostly non-average individuals. These studies were carried out by various researchers and differed in procedures and aims. Factors of major importance to the validity and reliability of the conclusions drawn from this study are pointed out. In one chapter some light is thrown on factors known to bear a relation to the incidence of radiation-induced cancer of the breast, even though at present this can only very vaguely be described on a quantitative basis. These factors include fractionated dose regimens, pregnancies and parturitions, menarche, menopause, synergisms as well as secondary cancer of the breast. The available body of evidence suggests that exposure of each of 1 million women to a dose of 10 mGy (rad) can be linked with approx. 3 additional cases of mammary cancer reported on an average per year after the latency period. The fact that there is some statistical scatter around this value is chiefly attributable to age-related causes at the beginning of exposure. Differences in ethnic and cultural characteristics between the populations investigated appeared to be less important here. (orig./MG) [de

  14. Barriers to postpartum screening for type 2 diabetes: a qualitative study of women with previous gestational diabetes.

    Science.gov (United States)

    Rafii, Forough; Rahimparvar, Seyedeh Fatemeh Vasegh; Mehrdad, Neda; Keramat, Afsaneh

    2017-01-01

    Risk of developing type 2 diabetes is increased in women with previous gestational diabetes mellitus (GDM). Postpartum glycemic screening is recommended in women with recent GDM. But this screening rate is low and the reasons are unclear. The aim of this study was to explore the experiences of Iranian women with recent GDM on barriers of postpartum screening for diabetes. This qualitative study was conducted in Tehran, Iran in 2016. Semi-structured interview was used for data collection. 22 women with recent GDM were interviewed. These women gave birth in Tehran hospitals at a minimum of 6 months before interview. The missed screening defined as not attending to laboratory for Fasting Blood Sugar and/or Oral Glucose Tolerance Test, 6 week to 6 month after their child birthing. The data was analyzed by content analysis method. Themes and sub-themes that illustrated the barriers to postpartum diabetes screening were: inadequate education (about developing diabetes in the future, implementation of the screening, and glucometer validity in diagnosis of diabetes), perceiving the screening as difficult (feeling comfortable with the glucometer, poor laboratory conditions, issues related to the baby/babies, and financial problems), improper attitudes toward the screening (unwilling to get diagnosed, not giving priority to oneself, having false beliefs) and procrastination (gap to intention and action, self-deception and self-regulation failure). Women with recent GDM reported several barriers for postpartum diabetes screening. This study help to develop the evidence-based interventions for improving this screening rate.

  15. A Flexible-Dose Study of Paliperidone ER in Patients With Nonacute Schizophrenia Previously Treated Unsuccessfully With Oral Olanzapine.

    Science.gov (United States)

    Kotler, Moshe; Dilbaz, Nesrin; Rosa, Fernanda; Paterakis, Periklis; Milanova, Vihra; Smulevich, Anatoly B; Lahaye, Marjolein; Schreiner, Andreas

    2016-01-01

    The goal of this study was to explore the tolerability, safety, and treatment response of switching from oral olanzapine to paliperidone extended release (ER). Adult patients with nonacute schizophrenia who had been treated unsuccessfully with oral olanzapine were switched to flexible doses of paliperidone ER (3 to 12 mg/d). The primary efficacy outcome was a ≥ 20% improvement in Positive and Negative Syndrome Scale (PANSS) total scores from baseline to endpoint for patients who switched medications because of lack of efficacy with olanzapine and noninferiority versus previous olanzapine treatment (mean endpoint change in PANSS total scores vs. baseline of ≤ 5 points) for patients who switched for reasons other than lack of efficacy. Safety and tolerability were assessed by monitoring adverse events, extrapyramidal symptoms, and weight change. Of 396 patients, 65.2% were men, mean age was 40.0 ± 12.0 years, and 75.5% had paranoid schizophrenia. Among the patients whose main reason for switching was lack of efficacy, an improvement in the PANSS total score of ≥ 20% occurred in 57.4% of patients. Noninferiority was confirmed for each subgroup of patients whose main reason for switching was something other than lack of efficacy. Paliperidone ER was generally well tolerated. Extrapyramidal symptoms as measured by total Extrapyramidal Symptom Rating Scale scores showed statistically significant and clinically relevant improvements at endpoint, the average weight decreased by 0.8 ± 5.2 kg at endpoint, and a clinically relevant weight gain of ≥ 7% occurred in 8.0% of patients. Paliperidone ER flexibly-dosed over 6 months was well tolerated and associated with a meaningful clinical response in patients with nonacute schizophrenia who had previously been unsuccessfully treated with oral olanzapine.

  16. Pilot Study of an Individualised Early Postpartum Intervention to Increase Physical Activity in Women with Previous Gestational Diabetes

    Directory of Open Access Journals (Sweden)

    Harold David McIntyre

    2012-01-01

    Full Text Available Optimal strategies to prevent progression towards overt diabetes in women with recent gestational diabetes remain ill defined. We report a pilot study of a convenient, home based exercise program with telephone support, suited to the early post-partum period. Twenty eight women with recent gestational diabetes were enrolled at six weeks post-partum into a 12 week randomised controlled trial of Usual Care (n=13 versus Supported Care (individualised exercise program with regular telephone support; n=15. Baseline characteristics (Mean ± SD were: Age  33±4  years; Weight 80 ± 20 kg and Body Mass Index (BMI 30.0±9.7 kg/m2. The primary outcome, planned physical activity {Median (Range}, increased by 60 (0–540 mins/week in the SC group versus 0 (0–580 mins/week in the UC group (P=0.234. Walking was the predominant physical activity. Body weight, BMI, waist circumference, % body fat, fasting glucose and insulin did not change significantly over time in either group. This intervention designed to increase physical activity in post-partum women with previous gestational diabetes proved feasible. However, no measurable improvement in metabolic or biometric parameters was observed over a three month period.

  17. Patterns and Determinants of Treatment Seeking among Previously Untreated Psychotic Patients in Aceh Province, Indonesia: A Qualitative Study

    Directory of Open Access Journals (Sweden)

    Marthoenis Marthoenis

    2016-01-01

    Full Text Available Immediate treatment of first-episode psychosis is essential in order to achieve a positive outcome. However, Indonesian psychiatric patients often delay accessing health services, the reason for which is not yet fully understood. The current study aimed to understand patterns of treatment seeking and to reveal determinants of the delay in accessing psychiatric care among first-time user psychotic patients. Qualitative interviews were conducted with sixteen family members who accompanied the patients to a psychiatric hospital. Many families expressed beliefs that mental illness appertains to village sickness and not hospital sickness; therefore, they usually take the patients to traditional or religious healers before taking them to a health professional. They also identified various factors that potentially delay accessing psychiatric treatment: low literacy and beliefs about the cause of the illness, stigmatisation, the role of extended family, financial problems, and long distance to the psychiatric hospital. On the other hand, the family mentioned various factors related to timely help seeking, including being a well-educated family, living closer to health facilities, previous experience of successful psychotic therapy, and having more positive symptoms of psychosis. The findings call for mental health awareness campaigns in the community.

  18. A Questionnaire Study on the Attitudes and Previous Experience of Croatian Family Physicians toward their Preparedness for Disaster Management.

    Science.gov (United States)

    Pekez-Pavliško, Tanja; Račić, Maja; Jurišić, Dinka

    2018-04-01

    To explore family physicians' attitudes, previous experience and self-assessed preparedness to respond or to assist in mass casualty incidents in Croatia. The cross-sectional survey was carried out during January 2017. Study participants were recruited through a Facebook group that brings together family physicians from Croatia. They were asked to complete the questionnaire, which was distributed via google.docs. Knowledge and attitudes toward disaster preparedness were evaluated by 18 questions. Analysis of variance, Student t test and Kruskal-Wallis test t were used for statistical analysis. Risk awareness of disasters was high among respondents (M = 4.89, SD=0.450). Only 16.4 of respondents have participated in the management of disaster at the scene. The majority (73.8%) of physicians have not been participating in any educational activity dealing with disaster over the past two years. Family physicians believed they are not well prepared to participate in national (M = 3.02, SD=0.856) and local community emergency response system for disaster (M = 3.16, SD=1.119). Male physicians scored higher preparedness to participate in national emergency response system for disaster ( p =0.012), to carry out accepted triage principles used in the disaster situation ( p =0.003) and recognize differences in health assessments indicating potential exposure to specific agents ( p =0,001) compared to their female colleagues. Croatian primary healthcare system attracts many young physicians, who can be an important part of disaster and emergency management. However, the lack of experience despite a high motivation indicates a need for inclusion of disaster medicine training during undergraduate studies and annual educational activities.

  19. Previous injuries and some training characteristics predict running-related injuries in recreational runners: a prospective cohort study.

    Science.gov (United States)

    Hespanhol Junior, Luiz Carlos; Pena Costa, Leonardo Oliveira; Lopes, Alexandre Dias

    2013-12-01

    What is the incidence of running-related injuries (RRIs) in recreational runners? Which personal and training characteristics predict RRIs in recreational runners? Prospective cohort study. A total of 200 recreational runners answered a fortnightly online survey containing questions about their running routine, races, and presence of RRI. These runners were followed-up for a period of 12 weeks. The primary outcome of this study was running-related injury. The incidence of injuries was calculated taking into account the exposure to running and was expressed by RRI/1000 hours. The association between potential predictive factors and RRIs was estimated using generalised estimating equation models. A total of 84 RRIs were registered in 60 (31%) of the 191 recreational runners who completed all follow-up surveys. Of the injured runners 30% (n=18/60) developed two or more RRIs, with 5/18 (28%) being recurrences. The incidence of RRI was 10 RRI/1000 hours of running exposure. The main type of RRI observed was muscle injuries (30%, n=25/84). The knee was the most commonly affected anatomical region (19%, n=16/84). The variables associated with RRI were: previous RRI (OR 1.88, 95% CI 1.01 to 3.51), duration of training although the effect was very small (OR 1.01, 95% CI 1.00 to 1.02), speed training (OR 1.46, 95% CI 1.02 to 2.10), and interval training (OR 0.61, 95% CI 0.43 to 0.88). Physiotherapists should be aware and advise runners that past RRI and speed training are associated with increased risk of further RRI, while interval training is associated with lower risk, although these associations may not be causative. Copyright © 2013 Australian Physiotherapy Association. Published by Elsevier B.V. All rights reserved.

  20. Evaluation of the national health surveillance program of workers previously exposed to asbestos in Spain (2008 Evaluación del programa integral de vigilancia de la salud de los trabajadores que han estado expuestos a amianto en España (2008

    Directory of Open Access Journals (Sweden)

    Montserrat García Gómez

    2012-02-01

    Full Text Available Objectives: Although asbestos was banned in Spain in 2001, monitoring the health of previously-exposed workers is required. In 2002 the Ministry of Health and the autonomous regions of Spain planned a health surveillance program for workers exposed to asbestos (Programa de Vigilancia de la Salud de los Trabajadores Expuestos al Amianto [PIVISTEA] with employers' organizations, trade unions and scientific societies. The aim of this study was to evaluate the PIVISTEA to improve its effectiveness. Methods: A questionnaire with indicators for the year 2008 was sent to Spain's 17 autonomous regions, as well as to the autonomous cities of Ceuta and Melilla. The results were analyzed by evaluating the compliance of each program with the activities established by the PIVISTEA. Results: In December 2008, a total of 22,158 workers from 14 autonomous regions and 306 companies were included in the program. The program had been started in 88% of the regions but surveillance activities remained scarce in 24%. Fifty-seven percent of the autonomous regions (69% of the total number of workers provided the information requested. Seven autonomous regions provided data on the relationship between the diseases found and asbestos exposure. Only 5% of these diseases entitled affected individuals to receive compensation for occupational diseases. Conclusions: The health surveillance of workers previously exposed to asbestos in Spain, as well as medical-legal recognition of diseases caused by exposure at work, remain in adequate. Although the trend is positive, the effectiveness of many regional programs is limited, and inter-regional inequalities among affected workers have been detected.Objetivos: Después de la prohibición del amianto en España en 2001, resulta necesario vigilar la salud de los trabajadores expuestos en el pasado. En 2002, el Ministerio de Sanidad y las Comunidades Autónomas consensuaron un Programa de Vigilancia de la Salud de los Trabajadores

  1. Blood donations from previously transfused or pregnant donors: a multicenter study to determine the frequency of alloexposure.

    Science.gov (United States)

    Rios, Jorge A; Schlumpf, Karen S; Kakaiya, Ram M; Triulzi, Darrell J; Roback, John D; Kleinman, Steve H; Murphy, Edward L; Gottschall, Jerome L; Carey, Patricia M

    2011-06-01

    Transfusion-related acute lung injury (TRALI) mitigation strategies include the deferral of female donors from apheresis platelet (PLT) donations and the distribution of plasma for transfusion from male donors only. We studied the implications of these policies in terms of component loss at six blood centers in the United States. We collected data from allogeneic blood donors making whole blood and blood component donations during calendar years 2006 through 2008. We analyzed the distribution of donations in terms of the sex, transfusion and pregnancy histories, and blood type. A TRALI mitigation policy that would not allow plasma from female whole blood donors to be prepared into transfusable plasma components would result in nearly a 50% reduction in the units of whole blood available for plasma manufacturing and would decrease the number of type AB plasma units that could be made from whole blood donations by the same amount. Deferral of all female apheresis PLT donors, all female apheresis PLT donors with histories of prior pregnancies, or all female apheresis PLT donors with histories of prior pregnancies and positive screening test results for antibodies to human leukocyte antigens (HLAs) will result in a loss of 37.1, 22.5, and 5.4% of all apheresis PLT donations, respectively. A TRALI mitigation policy that only defers female apheresis PLT donors with previous pregnancies and HLAs would result in an approximately 5% decrease in the inventory of apheresis PLTs, but would eliminate a large proportion of components that are associated with TRALI. © 2010 American Association of Blood Banks.

  2. PCNL - a comparative study in nonoperated and in previously operated (open nephrolithotomy/pyelolithotomy patients - a single-surgeon experience

    Directory of Open Access Journals (Sweden)

    Rahul Gupta

    2011-12-01

    Full Text Available PURPOSE: Re-procedure in patients with history of open stone surgery is usually challenging due to the alteration in the retroperitoneal anatomy. The aim of this study was to determine the possible impact of open renal surgery on the efficacy and morbidity of subsequent percutaneous nephrolithotomy (PCNL. MATERIALS AND METHODS: From March 2009 until September 2010, 120 patients underwent PCNL. Of these, 20 patients were excluded (tubeless or bilateral simultaneous PCNL. Of the remaining 100, 55 primary patients were categorized as Group 1 and the remaining (previous open nephrolithotomy as Group 2. Standard preoperative evaluation was carried out prior to intervention, Statistical analysis was performed using SPSS v. 11 with the chi-square test, independent samples t-test, and Mann-Whitney U test. A p-value < 0.05 was taken as statistically significant. RESULTS: Both groups were similar in demographic profile and stone burden. Attempts to access the PCS was less in Group 1 compared to Group 2 (1.2 + 1 2 vs 3 + 1.3 respectively and this was statistically significant (p < 0.04. However, the mean operative time between the two groups was not statistically significant (p = 0.44. Blood transfusion rate was comparable in the two groups (p = 0.24. One patient in Group 2 developed hemothorax following a supra-11th puncture. Remaining complications were comparable in both groups. CONCLUSION: Patients with past history of renal stone surgery may need more attempts to access the pelvicaliceal system and have difficulty in tract dilation secondary to retroperitoneal scarring. But overall morbidity and efficacy is same in both groups.

  3. Sunburn and sun-protective behaviors among adults with and without previous nonmelanoma skin cancer: a population-based study

    Science.gov (United States)

    Fischer, Alexander H.; Wang, Timothy S.; Yenokyan, Gayane; Kang, Sewon; Chien, Anna L.

    2016-01-01

    Background Individuals with previous nonmelanoma skin cancer (NMSC) are at increased risk for subsequent skin cancer, and should therefore limit UV exposure. Objective To determine whether individuals with previous NMSC engage in better sun protection than those with no skin cancer history. Methods We pooled self-reported data (2005 and 2010 National Health Interview Surveys) from US non-Hispanic white adults (758 with and 34,161 without previous NMSC). We calculated adjusted prevalence odds ratios (aPOR) and 95% confidence intervals (95% CI), taking into account the complex survey design. Results Individuals with previous NMSC versus no history of NMSC had higher rates of frequent use of shade (44.3% versus 27.0%; aPOR=1.41; 1.16–1.71), long sleeves (20.5% versus 7.7%; aPOR=1.55; 1.21–1.98), a wide-brimmed hat (26.1% versus 10.5%; aPOR=1.52; 1.24–1.87), and sunscreen (53.7% versus 33.1%; aPOR=2.11; 95% CI=1.73–2.59), but did not have significantly lower odds of recent sunburn (29.7% versus 40.7%; aPOR=0.95; 0.77–1.17). Among subjects with previous NMSC, recent sunburn was inversely associated with age, sun avoidance, and shade but not sunscreen. Limitations Self-reported cross-sectional data and unavailable information quantifying regular sun exposure. Conclusion Physicians should emphasize sunburn prevention when counseling patients with previous NMSC, especially younger adults, focusing on shade and sun avoidance over sunscreen. PMID:27198078

  4. Laparoscopy After Previous Laparotomy

    Directory of Open Access Journals (Sweden)

    Zulfo Godinjak

    2006-11-01

    Full Text Available Following the abdominal surgery, extensive adhesions often occur and they can cause difficulties during laparoscopic operations. However, previous laparotomy is not considered to be a contraindication for laparoscopy. The aim of this study is to present that an insertion of Veres needle in the region of umbilicus is a safe method for creating a pneumoperitoneum for laparoscopic operations after previous laparotomy. In the last three years, we have performed 144 laparoscopic operations in patients that previously underwent one or two laparotomies. Pathology of digestive system, genital organs, Cesarean Section or abdominal war injuries were the most common causes of previouslaparotomy. During those operations or during entering into abdominal cavity we have not experienced any complications, while in 7 patients we performed conversion to laparotomy following the diagnostic laparoscopy. In all patients an insertion of Veres needle and trocar insertion in the umbilical region was performed, namely a technique of closed laparoscopy. Not even in one patient adhesions in the region of umbilicus were found, and no abdominal organs were injured.

  5. Radioimmunotherapy with Y-90-epratuzumab in patients with previously treated B-cell lymphoma. A fractionated dose-escalation study

    International Nuclear Information System (INIS)

    Linden, O.; Cavallin-Stahl, E.; Tennvall, J.; Hindorf, C.; Olsson, T.; Strand, S.E.; Stenberg, L.; Wingardh, K.

    2002-01-01

    Aim: Fractionated RIT may improve outcome by decreasing heterogeneity in absorbed dose and by increasing therapeutic window. The humanised anti-CD22 antibody, Epratuzumab, (Immunomedics, Inc., Morris Plains, NJ) can be given repeatedly with minimal risk of neutralising Ab (HAHA), making fractionated treatment with 90 Y-labelled epratuzumab possible. Materials and Methods: Patients with previously treated B-cell lymphoma received increasing number (2-4) of weekly infusions of 90 Y-epratuzumab. Patients received either 185 MBq/m 2 per infusion (group A), or, if they had a history of high-dose chemotherapy with stem-cell rescue, 92.5 MBq/m 2 per infusion (group B). The first infusion included 150 MBq of 111 Indium for scintigraphic verification of tumour targeting and dosimetry. 1.5 mg/kg epratuzumab was administered with each infusion. The treatment could be repeated once after 3 m. Results: Of 23 patients, 16 in group A and 6 in group B were evaluable for response. The RR in group A was 62% objective response (OR) and 25% CR/CRu. One patient in group B showed OR. OR was seen in aggressive and indolent lymphoma. Response was also long-lasting and event-free survival of patients showing CR/CRu was 14 to 25+ months. In group A all seven patient, receiving three infusions, showed less than grade 3 platelet and neutrophil toxicity, except for two patients suffering grade 3 neutropenia. Of five patients with 4 weekly infusions there were two patients with dose-limiting haematological toxicity (DLT), both recently treated with high dose cytosar before RIT. With criteria used the maximal tolerated dose was three infusions 185 MBq/m 2 . In group B no patient suffered DLT and one patient exhibited OR. Seven patients were retreated after 3 months with minor toxicity, but improvement in OR in two cases. No patient has developed HAHA. CD22 expression on tumour cells, as assessed by flow cytometry, is available in 18 of 22 patients. In group A, seven of eight patients with

  6. Study of polyelectrolytes for Los Alamos National Laboratory. Final report

    International Nuclear Information System (INIS)

    Labonne, N.

    1994-11-01

    To assess the safety of a potential radioactive waste repository, analysis of the fluid solution containing low levels of activity need to be performed. In some cases, the radioactivity would be so weak (3--30 pCi/L) that the solution must be concentrated for measurement. For this purpose, Los Alamos National Laboratory scientists are synthesizing some water soluble polyelectrolytes, which, because they are strong complexing agents for inorganic cations, can concentrate the radioelements in solution. To assist in characterization of these polyelectrolytes, the author has performed experiments to determine physico-chemical constants, such as pKa values and stability constants. The complexation constants between both polyelectrolytes and europium were determined by two methods: solvent extraction and ion exchange. Results are presented

  7. Teaching case studies on earthquake preparedness efforts in the transportation sector, Los Angeles metropolitan area.

    Science.gov (United States)

    2013-01-01

    Through the development of a Harvard Kennedy School case study (intended for : use as curriculum in graduate-level and executive education programs), this project : examines earthquake preparedness and planning processes in the Los Angeles : metropol...

  8. Is Acropora palmata recovering? A case study in Los Roques National Park, Venezuela.

    Science.gov (United States)

    Croquer, Aldo; Cavada-Blanco, Francoise; Zubillaga, Ainhoa L; Agudo-Adriani, Esteban A; Sweet, Michael

    2016-01-01

    Eight years ago (2007), the distribution and status of Acropora palmata was quantified throughout Los Roques archipelago in Venezuela. The aim was to produce a baseline study for this species which combined population genetics with demographic data. The results highlighted that A. palmata had the potential to recover in at least 6 out of 10 sites surveyed. Recovery potential was assumed to be high at sites with a relatively high abundance of the coral, low disease prevalence, high genetic diversity, and high rates of sexual reproduction. However, as noted, Zubillaga et al. (2008) realized recovery was still strongly dependent on local and regional stressors. In 2014 (this study), the status of A. palmata was re-evaluated at Los Roques. We increased the number of sites from 10 in the original baseline study to 106. This allowed us to assess the population status throughout the entirety of the MPA. Furthermore, we also identified local threats that may have hindered population recovery. Here, we show that A. palmata now has a relatively restricted distribution throughout the park, only occurring in 15% of the sites surveyed. Large stands of old dead colonies were common throughout the archipelago; a result which demonstrates that this species has lost almost 50% of its original distribution over the past decades. The majority of corals recorded were large adults (∼2 m height), suggesting that these older colonies might be less susceptible or more resilient to local and global threats. However, 45% of these surviving colonies showed evidence of partial mortality and degradation of living tissues. Interestingly, the greatest increase in partial mortality occurred at sites with the lowest levels of protection ([Formula: see text]; df = 4, p palmata in sites that had previously been categorized as having a high potential for recovery. One explanation for this continued decline may be due to the fact that over the past 10 years, two massive bleaching events have

  9. Is Acropora palmata recovering? A case study in Los Roques National Park, Venezuela

    Directory of Open Access Journals (Sweden)

    Aldo Croquer

    2016-01-01

    Full Text Available Eight years ago (2007, the distribution and status of Acropora palmata was quantified throughout Los Roques archipelago in Venezuela. The aim was to produce a baseline study for this species which combined population genetics with demographic data. The results highlighted that A. palmata had the potential to recover in at least 6 out of 10 sites surveyed. Recovery potential was assumed to be high at sites with a relatively high abundance of the coral, low disease prevalence, high genetic diversity, and high rates of sexual reproduction. However, as noted, Zubillaga et al. (2008 realized recovery was still strongly dependent on local and regional stressors. In 2014 (this study, the status of A. palmata was re-evaluated at Los Roques. We increased the number of sites from 10 in the original baseline study to 106. This allowed us to assess the population status throughout the entirety of the MPA. Furthermore, we also identified local threats that may have hindered population recovery. Here, we show that A. palmata now has a relatively restricted distribution throughout the park, only occurring in 15% of the sites surveyed. Large stands of old dead colonies were common throughout the archipelago; a result which demonstrates that this species has lost almost 50% of its original distribution over the past decades. The majority of corals recorded were large adults (∼2 m height, suggesting that these older colonies might be less susceptible or more resilient to local and global threats. However, 45% of these surviving colonies showed evidence of partial mortality and degradation of living tissues. Interestingly, the greatest increase in partial mortality occurred at sites with the lowest levels of protection ( ${X}_{o}^{2}=5.4> {X}_{c}^{2}=4.5$ X o 2 = 5.4 > X c 2 = 4.5 ; df = 4, p {X}_{\\mathrm{cri}}^{2}=15.5$ X exp 2 = 126.8 > X cri 2 = 15.5 ; df = 8; p < 0.05 in the density of A. palmata in sites that had previously been categorized as having a

  10. A case study of IMRT planning (Plan B) subsequent to a previously treated IMRT plan (Plan A)

    International Nuclear Information System (INIS)

    2Department of Radiation Oncology, Fraser Valley Centre, BC Cancer Agency, Surrey, British Columbia (Canada))" data-affiliation=" (Department of Medical Physics and 2Department of Radiation Oncology, Fraser Valley Centre, BC Cancer Agency, Surrey, British Columbia (Canada))" >Cao, F; 2Department of Radiation Oncology, Fraser Valley Centre, BC Cancer Agency, Surrey, British Columbia (Canada))" data-affiliation=" (Department of Medical Physics and 2Department of Radiation Oncology, Fraser Valley Centre, BC Cancer Agency, Surrey, British Columbia (Canada))" >Leong, C; 2Department of Radiation Oncology, Fraser Valley Centre, BC Cancer Agency, Surrey, British Columbia (Canada))" data-affiliation=" (Department of Medical Physics and 2Department of Radiation Oncology, Fraser Valley Centre, BC Cancer Agency, Surrey, British Columbia (Canada))" >Schroeder, J; 2Department of Radiation Oncology, Fraser Valley Centre, BC Cancer Agency, Surrey, British Columbia (Canada))" data-affiliation=" (Department of Medical Physics and 2Department of Radiation Oncology, Fraser Valley Centre, BC Cancer Agency, Surrey, British Columbia (Canada))" >Lee, B

    2014-01-01

    Background and purpose: Treatment of the contralateral neck after previous ipsilateral intensity modulated radiation therapy (IMRT) for head and neck cancer is a challenging problem. We have developed a technique that limits the cumulative dose to the spinal cord and brainstem while maximizing coverage of a planning target volume (PTV) in the contralateral neck. Our case involves a patient with right tonsil carcinoma who was given ipsilateral IMRT with 70Gy in 35 fractions (Plan A). A left neck recurrence was detected 14 months later. The patient underwent a neck dissection followed by postoperative left neck radiation to a dose of 66 Gy in 33 fractions (Plan B). Materials and Methods: The spinal cord-brainstem margin (SCBM) was defined as the spinal cord and brainstem with a 1.0 cm margin. Plan A was recalculated on the postoperative CT scan but the fluence outside of SCBM was deleted. A further modification of Plan A resulted in a base plan that was summed with Plan B to evaluate the cumulative dose received by the spinal cord and brainstem. Plan B alone was used to evaluate for coverage of the contralateral neck PTV. Results: The maximum cumulative doses to the spinal cord with 0.5cm margin and brainstem with 0.5cm margin were 51.96 Gy and 45.60 Gy respectively. For Plan B, 100% of the prescribed dose covered 95% of PTVb1. Conclusion: The use of a modified ipsilateral IMRT plan as a base plan is an effective way to limit the cumulative dose to the spinal cord and brainstem while enabling coverage of a PTV in the contralateral neck.

  11. Evaluation of a rapid dipstick (Crystal VC for the diagnosis of cholera in Zanzibar and a comparison with previous studies.

    Directory of Open Access Journals (Sweden)

    Benedikt Ley

    Full Text Available The gold standard for the diagnosis of cholera is stool culture, but this requires laboratory facilities and takes at least 24 hours. A rapid diagnostic test (RDT that can be used by minimally trained staff at treatment centers could potentially improve the reporting and management of cholera outbreaks.We evaluated the Crystal VC™ RDT under field conditions in Zanzibar in 2009. Patients presenting to treatment centers with watery diarrhea provided a stool sample for rapid diagnostic testing. Results were compared to stool culture performed in a reference laboratory. We assessed the overall performance of the RDT and evaluated whether previous intake of antibiotics, intravenous fluids, location of testing, and skill level of the technician affected the RDT results.We included stool samples from 624 patients. Compared to culture, the overall sensitivity of the RDT was 93.1% (95%CI: 88.7 to 96.2%, specificity was 49.2% (95%CI: 44.3 to 54.1%, the positive predictive value was 47.0% (95%CI: 42.1 to 52.0% and the negative predictive value was 93.6% (95%CI: 89.6 to 96.5%. The overall false positivity rate was 50.8% (213/419; fieldworkers frequently misread very faint test lines as positive.The observed sensitivity of the Crystal VC RDT evaluated was similar compared to earlier versions, while specificity was poorer. The current version of the RDT could potentially be used as a screening tool in the field. Because of the high proportion of false positive results when field workers test stool specimens, positive results will need to be confirmed with stool culture.

  12. Los Neutrinos Los Neutrinos

    Directory of Open Access Journals (Sweden)

    Julián Félix

    2012-02-01

    Full Text Available From all the proposals to understand the structure of matter, and the way the natural world is conformed, the one about neutrinos is the most enigmatic, abstract, and foreign to immediate experience; however, this is the one that has delved more deeply over the nearly eighty years since it was formulated by Wolfgang Pauli –in 1930- as a radical proposition to understand nucleon decay, and the decay of other particles, without the violation of the principle of conservation of energy and momentum at subatomic level. This proposition has evolved through the years, and from Pauli’s original idea only the basic elements remain.This article contains the tale of the hypothesis of neutrinos, its early history, its evolution up to present day, and the efforts done nowadays to study them. In summary, this is the physics of neutrinos. De todas las propuestas para entender la estructura de la materia, y la conformación del mundo natural, los neutrinos es la más enigmática, abstracta, y ajena a la experiencia inmediata; sin embargo, es la que más hondo ha ido calando a lo largo de los ya casi ochenta años de haber sido formulada por Wolfgang Pauli –en el año 1930- como una medida radical para entender el decaimiento de los nucleones, y otras partículas, sin que se violara el principio de la conservación de la energía y del momento a nivel subatómico. La propuesta ha evolucionado a lo largo de los años, y de la idea original de Pauli ya sólo lo básico permanece. En este artículo está el relato de la hipótesis de los neutrinos, su historia primera, su evolución hasta el presente, los esfuerzos que en la actualidad se realizan para estudiarlos. En breve, ésta es la física de los neutrinos.

  13. Studies in iodine metabolism: 33 year summary, 1948-1979 (as previously submitted) with appendix, 1979-1982

    International Nuclear Information System (INIS)

    Middlesworth, L.V.

    1982-01-01

    The results of research into iodine metabolism from 1948 to 1982 are summarized. Study areas included the monitoring of iodine 131 from fallout in the thyroid glands of cattle and humans, the biological functions and metabolism of thyroid hormones, and methods to reduce the retention of radioiodine in the thyroid

  14. CHRONOVAC VOYAGEUR: A study of the immune response to yellow fever vaccine among infants previously immunized against measles.

    Science.gov (United States)

    Goujon, Catherine; Gougeon, Marie-Lise; Tondeur, Laura; Poirier, Béatrice; Seffer, Valérie; Desprès, Philippe; Consigny, Paul-Henri; Vray, Muriel

    2017-10-27

    For administration of multiple live attenuated vaccines, the Advisory Committee on Immunization Practices recommends either simultaneous immunization or period of at least 28days between vaccines, due to a possible reduction in the immune response to either vaccine. The main objective of this study was to compare the immune response to measles (alone or combined with mumps and rubella) and yellow fever vaccines among infants aged 6-24months living in a yellow fever non-endemic country who had receivedmeasles and yellow fever vaccines before travelling to a yellow fever endemic area. A retrospective, multicenter case-control study was carried out in 7 travel clinics in the Paris area from February 1st 2011 to march 31, 2015. Cases were defined as infants immunized with the yellow fever vaccine and with the measles vaccine, either alone or in combination with mumps and rubella vaccine, with a period of 1-27days between each immunization. For each case, two controls were matched based on sex and age: a first control group (control 1) was defined as infants having received the measles vaccine and the yellow fever vaccine simultaneously; a second control group (control 2) was defined as infants who had a period of more than 27days between receiving the measles vaccine and yellow fever vaccine. The primary endpoint of the study was the percentage of infants with protective immunity against yellow fever, measured by the titer of neutralizing antibodies in a venous blood sample. One hundred and thirty-one infants were included in the study (62 cases, 50 infants in control 1 and 19 infants in control 2). Of these, 127 (96%) were shown to have a protective titer of yellow fever antibodies. All 4 infants without a protective titer of yellow fever antibodies were part of control group 1. The measles vaccine, alone or combined with mumps and rubella vaccines, appears to have no influence on humoral immune response to the yellow fever vaccine when administered between 1 and 27

  15. Structural Study and Evaluation of Previous Restoration Work of Mohammad 'Ali Pasha Mosque at the Citadel in Cairo

    Directory of Open Access Journals (Sweden)

    dr.Yaser Yehya Amin Abdel-Aty

    2011-01-01

    Full Text Available Mohammad 'Ali Pasha Mosque at the Citadel in Cairo is considered one of the main landmarks in Egypt. It majestically stands at a northwestern bend of the Citadel and it is visible from numerous locations in Cairo. It has become the symbol of the Citadel, to the point that its name is given to the whole complex in the colloquial Egyptian parlance. This paper studies analytically the static and dynamic structural behavior of this great mosque using computer numerical modeling techniques, to reach the main reasons for past cracking and failures in its domed-roof and other structural elements, which occurred by the end of 19th Century. A number of 3D-models are analyzed to study the mosque, in both original and after restoration conditions, under static (i.e. dead and live loads and dynamic (i.e. Eigenvector modal analysis, response-spectrum and time-history cases of loading. Besides, structural evaluation of major restoration project, in 1930s, is conducted to determine the current structural safety status of the mosque

  16. Comparative study of a novel application of automated HR HPV assay and stability in a previously untested Preservative media.

    Science.gov (United States)

    Morel, Mike E; McBride, Simon E; Gomez, Maria P

    2017-12-01

    The suitability and stability of cervical cells in Novaprep media (NHQ) for certain HPV assays is unknown. We evaluated the accuracy of an automated HPV assay (Abbott RealTime HR HPV) for cervical cells prepared in NHQ and NHQ with a pre-treatment to mimic a worst case clinical use, compared to the assay manufacturers media; repeatability and reproducibility of HPV results and the stability of detectable HPV in NHQ over time compared to CE marked liquid based cytology preservatives. Cell lines were used to simulate patient samples. Cells stored in NHQ produced accurate, repeatable and reproducible results. Stability in NHQ was comparable to the best performing LBC, with at least 7 months' stability at 18-25°C, 2-8°C, -20°C and -80°C; and at least 3 months' stability at 40°C. Similar results were obtained for pre-treated NHQ except only 3.5 months' stability at 18-25°C. Cell line samples in all media and concentrations tested were detected appropriately by the assay. Based on this first stage validation analytical study, cervical cells stored in NHQ are suitable for the Realtime HPV assay. There should be no reservations for inclusion of NHQ in any further validation and clinical performance evaluation of this assay. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

  17. Comparative study of a novel application of automated HR HPV assay and stability in a previously untested Preservative media

    Directory of Open Access Journals (Sweden)

    Mike E. Morel

    2017-12-01

    Full Text Available Background: The suitability and stability of cervical cells in Novaprep media (NHQ for certain HPV assays is unknown. Methods: We evaluated the accuracy of an automated HPV assay (Abbott RealTime HR HPV for cervical cells prepared in NHQ and NHQ with a pre-treatment to mimic a worst case clinical use, compared to the assay manufacturers media; repeatability and reproducibility of HPV results and the stability of detectable HPV in NHQ over time compared to CE marked liquid based cytology preservatives. Cell lines were used to simulate patient samples. Results: Cells stored in NHQ produced accurate, repeatable and reproducible results. Stability in NHQ was comparable to the best performing LBC, with at least 7 months’ stability at 18–25 °C, 2–8 °C, −20 °C and −80 °C; and at least 3 months’ stability at 40 °C. Similar results were obtained for pre-treated NHQ except only 3.5 months’ stability at 18–25 °C. Cell line samples in all media and concentrations tested were detected appropriately by the assay. Conclusions: Based on this first stage validation analytical study, cervical cells stored in NHQ are suitable for the Realtime HPV assay. There should be no reservations for inclusion of NHQ in any further validation and clinical performance evaluation of this assay. Keywords: HPV, Preservative, Sample stability, Automated HR HPV assay

  18. Summary of recent studies of soil plutonium in the Los Alamos and Trinity Site environs

    International Nuclear Information System (INIS)

    Nyhan, J.W.; Hakonson, T.E.

    1976-01-01

    The first plutonium was sent to the Los Alamos Scientific Laboratory (LASL) in 1944 from the Oak Ridge and Hanford reactors for use in synthesizing the first atomic bomb, which was subsequently detonated at Trinity Site in New Mexico. During the last 32 years the LASL has developed an outstanding capability in many scientific fields required to support research in weapons technology and in other uses of nuclear energy. The fabrication and experimental activities required for this effort have resulted in additions of plutonium in industrial effluents to Los Alamos soils, just as the Trinity soils received fallout plutonium after the 1945 Trinity detonation. Formal radioecology-soils studies relative to soil-actinide relationships has been mainly field-oriented and complements transuranic research dealing with the biota of several study areas. The current soil actinide research performed within three liquid effluent-receiving areas at Los Alamos and along the fallout pathway of Trinity, the first nuclear detonation, are summarized

  19. Las periodistas desde los estudios del periodismo: perfiles profesionales de las mujeres en los medios informativos=Female journalists from journalism studies: professional profiles of women in Media

    Directory of Open Access Journals (Sweden)

    Adriana Amado

    2017-06-01

    Full Text Available Resumen Varios estudios de género se ocuparon de las representaciones simbólicas de la mujer en los medios, es decir, la mujer como objeto de los contenidos mediáticos, pero son menos los que analizan su rol como productora de contenidos informativos. Dos investigaciones globales sobre periodismo ofrecen datos para describir las condiciones profesionales de las periodistas en Argentina. La contextualización con estudios similares realizados en otros países permite elaborar un perfil actualizado de las mujeres en la prensa argentina y revisar cuestiones teóricas y metodológicas de los estudios de periodismo que puedan aportar precisiones conceptuales a la discusión que vienen dando los estudios de género sobre este tema.   Abstract Gender media researches have focused on women’s symbolic representation in the media, that is to say, women as object of media contents. In some cases, the research looks for data about participation of women as news producer. Data from global journalism studies describe professional conditions of women journalists in Argentina. These results will allow comparisons among several countries in order to elaborate an accurate profile of women in argentine press. Besides, this article would like to review some theoretical and methodological concepts of journalism studies to enrich gender studies perspective.

  20. Study of plaster finishes on San Pedro de los Francos church at Calatayud

    Directory of Open Access Journals (Sweden)

    Sánchez de Rojas, Mª I

    2007-06-01

    Full Text Available This study of the plaster finishes on San Pedro de los Francos Church at Calatayud revealed, firstly, the stratigraphic sequence based on the interpretation of the bonding interfaces; and secondly, the evolution of placement techniques from mudéjar style textured and painted false stonework (15th century to the smooth plastering and paint typical of later phases. Finally, scanning electron microscope (SEM, energy dispersive X-ray microanalysis (EDX and X-ray diffraction (XRD studies showed that gypsum and anhydrite are the main components of both binder and aggregate in these mortars. In other words, they constitute traditional multiphase plasters whose coarser particles or aggregate were a byproduct of the artisanal manufacturing process.El estudio de los enlucidos de la iglesia de San Pedro de los Francos de Calatayud ha permitido demostrar, en primer lugar, la secuencia estratigráfica mediante la lectura de la interfase de adherencia; en segundo lugar, la evolución de las técnicas de aplicación, desde el enlucido mudéjar, un fingido de piedra agramilado y pintado (siglo XV, hasta los enlucidos lisos y pinturas aplicados posteriormente. Y, finalmente, a través de los estudios de microscopía electrónica de barrido (SEM, microanálisis por energía dispersiva de rayos X (EDX y de difracción de rayos X (DRX, se ha determinado que son morteros en los que tanto el conglomerante como el árido son yeso y anhidrita, que correspondería a un yeso tradicional multifase, cuyos granos más gruesos analizados como áridos proceden del producto obtenido artesanalmente.

  1. Status of the experimental studies of the electron cloud at the Los Alamos proton storage ring

    International Nuclear Information System (INIS)

    Macek, R.J.; Browman, A.A.; Borden, M.J.; Fitzgerald, D.H.; McCrady, R.C.; Spickermann, T.J.; Zaugg, T.J.

    2003-01-01

    The electron cloud (EC) at the Los Alamos Proton Storage Ring (PSR) has been studied extensively for the past several years with an overall aim to identify and measure its important characteristics, the factors that influence these characteristics, and to relate these to the two-stream (e-p) transverse instability long observed at PSR. Some new results since PAC2001 are presented.

  2. Polychlorinated biphenyl exposure, diabetes and endogenous hormones: a cross-sectional study in men previously employed at a capacitor manufacturing plant.

    Science.gov (United States)

    Persky, Victoria; Piorkowski, Julie; Turyk, Mary; Freels, Sally; Chatterton, Robert; Dimos, John; Bradlow, H Leon; Chary, Lin Kaatz; Burse, Virlyn; Unterman, Terry; Sepkovic, Daniel W; McCann, Kenneth

    2012-08-29

    Studies have shown associations of diabetes and endogenous hormones with exposure to a wide variety of organochlorines. We have previously reported positive associations of polychlorinated biphenyls (PCBs) and inverse associations of selected steroid hormones with diabetes in postmenopausal women previously employed in a capacitor manufacturing plant. This paper examines associations of PCBs with diabetes and endogenous hormones in 63 men previously employed at the same plant who in 1996 underwent surveys of their exposure and medical history and collection of bloods and urine for measurements of PCBs, lipids, liver function, hematologic markers and endogenous hormones. PCB exposure was positively associated with diabetes and age and inversely associated with thyroid stimulating hormone and triiodothyronine-uptake. History of diabetes was significantly related to total PCBs and all PCB functional groupings, but not to quarters worked and job score, after control for potential confounders. None of the exposures were related to insulin resistance (HOMA-IR) in non-diabetic men. Associations of PCBs with specific endogenous hormones differ in some respects from previous findings in postmenopausal women employed at the capacitor plant. Results from this study, however, do confirm previous reports relating PCB exposure to diabetes and suggest that these associations are not mediated by measured endogenous hormones.

  3. Quantifying the influence of previously burned areas on suppression effectiveness and avoided exposure: A case study of the Las Conchas Fire

    Science.gov (United States)

    Matthew P. Thompson; Patrick Freeborn; Jon D. Rieck; Dave Calkin; Julie W. Gilbertson-Day; Mark A. Cochrane; Michael S. Hand

    2016-01-01

    We present a case study of the Las Conchas Fire (2011) to explore the role of previously burned areas (wildfires and prescribed fires) on suppression effectiveness and avoided exposure. Methodological innovations include characterisation of the joint dynamics of fire growth and suppression activities, development of a fire line effectiveness framework, and...

  4. Study of some physical aspects previous to design of an exponential experiment; Estudio de algunos aspectos fisicos previos al diseno de una experiencia exponencial

    Energy Technology Data Exchange (ETDEWEB)

    Caro, R; Francisco, J L. de

    1961-07-01

    This report presents the theoretical study of some physical aspects previous to the design of an exponential facility. The are: Fast and slow flux distribution in the multiplicative medium and in the thermal column, slowing down in the thermal column, geometrical distribution and minimum needed intensity of sources access channels and perturbations produced by possible variations in its position and intensity. (Author) 4 refs.

  5. A cross-sectional study of tuberculosis drug resistance among previously treated patients in a tertiary hospital in Accra, Ghana: public health implications of standardized regimens.

    Science.gov (United States)

    Forson, Audrey; Kwara, Awewura; Kudzawu, Samuel; Omari, Michael; Otu, Jacob; Gehre, Florian; de Jong, Bouke; Antonio, Martin

    2018-04-02

    Mycobacterium tuberculosis drug resistance is a major challenge to the use of standardized regimens for tuberculosis (TB) therapy, especially among previously treated patients. We aimed to investigate the frequency and pattern of drug resistance among previously treated patients with smear-positive pulmonary tuberculosis at the Korle-Bu Teaching Hospital Chest Clinic, Accra. This was a cross-sectional survey of mycobacterial isolates from previously treated patients referred to the Chest Clinic Laboratory between October 2010 and October 2013. The Bactec MGIT 960 system for mycobactrerial culture and drug sensitivity testing (DST) was used for sputum culture of AFB smear-positive patients with relapse, treatment failure, failure of smear conversion, or default. Descriptive statistics were used to summarize patient characteristics, and frequency and patterns of drug resistance. A total of 112 isolates were studied out of 155 from previously treated patients. Twenty contaminated (12.9%) and 23 non-viable isolates (14.8%) were excluded. Of the 112 studied isolates, 53 (47.3%) were pan-sensitive to all first-line drugs tested Any resistance (mono and poly resistance) to isoniazid was found in 44 isolates (39.3%) and any resistance to streptomycin in 43 (38.4%). Thirty-one (27.7%) were MDR-TB. Eleven (35.5%) out of 31 MDR-TB isolates were pre-XDR. MDR-TB isolates were more likely than non-MDR isolates to have streptomycin and ethambutol resistance. The main findings of this study were the high prevalence of MDR-TB and streptomycin resistance among previously treated TB patients, as well as a high prevalence of pre-XDR-TB among the MDR-TB patients, which suggest that first-line and second-line DST is essential to aid the design of effective regimens for these groups of patients in Ghana.

  6. Is email a reliable means of contacting authors of previously published papers? A study of the Emergency Medicine Journal for 2001.

    Science.gov (United States)

    O'Leary, F

    2003-07-01

    To determine whether it is possible to contact authors of previously published papers via email. A cross sectional study of the Emergency Medicine Journal for 2001. 118 articles were included in the study. The response rate from those with valid email addresses was 73%. There was no statistical difference between the type of email address used and the address being invalid (p=0.392) or between the type of article and the likelihood of a reply (p=0.197). More responses were obtained from work addresses when compared with Hotmail addresses (86% v 57%, p=0.02). Email is a valid means of contacting authors of previously published articles, particularly within the emergency medicine specialty. A work based email address may be a more valid means of contact than a Hotmail address.

  7. Previous dropout from diabetic care as a predictor of patients' willingness to use mobile applications for self-management: A cross-sectional study.

    Science.gov (United States)

    Yamaguchi, Satoko; Waki, Kayo; Tomizawa, Nobuko; Waki, Hironori; Nannya, Yasuhito; Nangaku, Masaomi; Kadowaki, Takashi; Ohe, Kazuhiko

    2017-07-01

    Preventing dropout is crucial in managing diabetes. Accordingly, we investigated whether patients who had dropped out of diabetic care are suitable candidates for the use of mobile technologies - such as smartphone applications - to support self-management (mHealth), which might help prevent dropout. We carried out a cross-sectional study in Tokyo, Japan. Patients aged 20 years or older who were clinically diagnosed as diabetic and who regularly visited the outpatient unit at the University of Tokyo Hospital were recruited between August 2014 and March 2015. Data were collected through face-to-face structured interviews, physical measurements and medical records. Participants were asked whether they were willing to use mHealth after being shown DialBetics - an mHealth application for diabetics - as an example, and about their history of dropout and previous mHealth experience. Data were analyzed by multivariate logistic regression models. Of 307 patients with type 1 and type 2 diabetes, 34 (11.1%) had previously dropped out from diabetic care. Multivariate analysis identified previous mHealth experience as a negative predictor of dropout (odds ratio 0.211, P = 0.023). Of those 34 patients, 27 (79.4%) expressed willingness to use mHealth, a significantly higher percentage than for those who had never dropped out (51.5%, P = 0.002). After adjusting for confounders, history of dropout remained a strong predictor of willingness (odds ratio 3.870, P = 0.004). Patients who previously dropped out of diabetic care are suitable candidates for mHealth. Future studies must evaluate whether mHealth is effective for preventing repeated dropout and improving glycemic control among this population. © 2016 The Authors. Journal of Diabetes Investigation published by Asian Association for the Study of Diabetes (AASD) and John Wiley & Sons Australia, Ltd.

  8. Mortality and cardiovascular risk associated with different insulin secretagogues compared with metformin in type 2 diabetes, with or without a previous myocardial infarction: a nationwide study

    DEFF Research Database (Denmark)

    Schramm, Tina Ken; Gislason, Gunnar Hilmar; Vaag, Allan

    2011-01-01

    Aims The impact of insulin secretagogues (ISs) on long-term major clinical outcomes in type 2 diabetes remains unclear. We examined mortality and cardiovascular risk associated with all available ISs compared with metformin in a nationwide study. Methods and results All Danish residents >20 years......, initiating single-agent ISs or metformin between 1997 and 2006 were followed for up to 9 years (median 3.3 years) by individual-level linkage of nationwide registers. All-cause mortality, cardiovascular mortality, and the composite of myocardial infarction (MI), stroke, and cardiovascular mortality...... associated with individual ISs were investigated in patients with or without previous MI by multivariable Cox proportional-hazard analyses including propensity analyses. A total of 107 806 subjects were included, of whom 9607 had previous MI. Compared with metformin, glimepiride (hazard ratios and 95...

  9. Community-Based Health and Exposure Study around Urban Oil Developments in South Los Angeles

    Directory of Open Access Journals (Sweden)

    Bhavna Shamasunder

    2018-01-01

    Full Text Available Oilfield-adjacent communities often report symptoms such as headaches and/or asthma. Yet, little data exists on health experiences and exposures in urban environments with oil and gas development. In partnership with Promotoras de Salud (community health workers, we gathered household surveys nearby two oil production sites in Los Angeles. We tested the capacity of low-cost sensors for localized exposure estimates. Bilingual surveys of 205 randomly sampled residences were collected within two 1500 ft. buffer areas (West Adams and University Park surrounding oil development sites. We used a one-sample proportion test, comparing overall rates from the California Health Interview Survey (CHIS of Service Planning Area 6 (SPA6 and Los Angeles County for variables of interest such as asthma. Field calibrated low-cost sensors recorded methane emissions. Physician diagnosed asthma rates were reported to be higher within both buffers than in SPA6 or LA County. Asthma prevalence in West Adams but not University Park was significantly higher than in Los Angeles County. Respondents with diagnosed asthma reported rates of emergency room visits in the previous 12 months similar to SPA6. 45% of respondents were unaware of oil development; 63% of residents would not know how to contact local regulatory authorities. Residents often seek information about their health and site-related activities. Low-cost sensors may be useful in highlighting differences between sites or recording larger emission events and can provide localized data alongside resident-reported symptoms. Regulatory officials should help clarify information to the community on methods for reporting health symptoms. Our community-based participatory research (CBPR partnership supports efforts to answer community questions as residents seek a safety buffer between sensitive land uses and active oil development.

  10. El problema del abandono de los estudios universitarios. [The dropout problem in university study

    Directory of Open Access Journals (Sweden)

    Lidia Cabrera

    2006-07-01

    Full Text Available This article focuses on the dropout of university students, which in some cases can be as high as 50%. This study presents and analyses the dropout rates that are found in several Spanish universities. Using the results of national and international studies as background and the findings from our own investigation, we present a theoretical framework that identifies the definition of dropouts, the causes, the explanatory models and solutions used to understand this issue. The article concludes by presenting a critical perspective of university learning in relation to the social role that universities represent, and addresses the actual processes of change, particularly in light of the European convergence. En este artículo se analiza el fenómeno problemático del abandono de los estudios universitarios, que alcanza hasta el 50% en algunas titulaciones. Para ello, partimos de la presentación y análisis de los porcentajes de abandono de distintas universidades españolas. Posteriormente, al amparo de distintos estudios nacionales e internacionales, y nuestros resultados de investigación, elaboramos un perfil teórico que contempla: definición, causas, modelos explicativos y soluciones. Finalmente, ofrecemos una perspectiva crítica de la enseñanza universitaria, en relación al papel social que esta representa, y en relación a los actuales procesos de cambio, sobre todo el proceso de convergencia europea.

  11. Acceleration and Orientation Jumping Performance Differences Among Elite Professional Male Handball Players With or Without Previous ACL Reconstruction: An Inertial Sensor Unit-Based Study.

    Science.gov (United States)

    Setuain, Igor; González-Izal, Miriam; Alfaro, Jesús; Gorostiaga, Esteban; Izquierdo, Mikel

    2015-12-01

    Handball is one of the most challenging sports for the knee joint. Persistent biomechanical and jumping capacity alterations can be observed in athletes with an anterior cruciate ligament (ACL) injury. Commonly identified jumping biomechanical alterations have been described by the use of laboratory technologies. However, portable and easy-to-handle technologies that enable an evaluation of jumping biomechanics at the training field are lacking. To analyze unilateral/bilateral acceleration and orientation jumping performance differences among elite male handball athletes with or without previous ACL reconstruction via a single inertial sensor unit device. Case control descriptive study. At the athletes' usual training court. Twenty-two elite male (6 ACL-reconstructed and 16 uninjured control players) handball players were evaluated. The participants performed a vertical jump test battery that included a 50-cm vertical bilateral drop jump, a 20-cm vertical unilateral drop jump, and vertical unilateral countermovement jump maneuvers. Peak 3-dimensional (X, Y, Z) acceleration (m·s(-2)), jump phase duration and 3-dimensional orientation values (°) were obtained from the inertial sensor unit device. Two-tailed t-tests and a one-way analysis of variance were performed to compare means. The P value cut-off for significance was set at P handball athletes with previous ACL reconstruction demonstrated a jumping biomechanical profile similar to control players, including similar jumping performance values in both bilateral and unilateral jumping maneuvers, several years after ACL reconstruction. These findings are in agreement with previous research showing full functional restoration of abilities in top-level male athletes after ACL reconstruction, rehabilitation and subsequent return to sports at the previous level. Copyright © 2015 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

  12. De novo adamantinomatous craniopharyngioma presenting anew in an elderly patient with previous normal CT and MRI studies: A case report and implications on pathogenesis

    Directory of Open Access Journals (Sweden)

    Amy Walker, B.S.

    2015-09-01

    Full Text Available Adamantinomatous craniopharyngiomas are histologically benign epithelial tumors which arise from embryonic remnants of the craniopharyngeal duct and Rathke’s pouch. They are thought to have a congenital origin and are histologically unique from papillary craniopharyngioma. We describe the case of an elderly male who presented with symptoms related to a large craniopharyngioma with previously normal brain magnetic resonance and computed tomography imaging studies. These findings dispute the embryogenic theory that craniopharyngiomas observed in adults develop from the persistent slow growth of embryonic remnants.

  13. Impact of Availability and Use of ART/PMTCT Services on Fertility Desires of Previously Pregnant Women in Rakai, Uganda: A Retrospective Cohort Study.

    Science.gov (United States)

    Litwin, Lindsay E; Makumbi, Frederick E; Gray, Ronald; Wawer, Maria; Kigozi, Godfrey; Kagaayi, Joseph; Nakigozi, Gertrude; Lutalo, Tom; Serwada, David; Brahmbhatt, Heena

    2015-07-01

    To assess fertility desires by availability and use of antiretroviral therapy and prevention of mother-to-child transmission (ART/PMTCT) services in Rakai, Uganda. Retrospective analyses of longitudinal data from the Rakai Community Cohort Study. Study participants were retrospectively identified and categorized by HIV status. Availability of ART/PMTCT services in Rakai was defined in three periods: (1) pre-ART/PMTCT (ART/PMTCT rollout (2005-2006), and (3) universal ART/PMTCT (>2006); and use of ART/PMTCT was coded as yes if the woman received services. Trends in fertility desires were assessed by χ. "Modified" Poisson regression was performed using generalized linear models with a log link and Poisson family to estimate prevalence rate ratios (PRRs) and 95% confidence intervals (CIs) of desire for another child among previously and currently pregnant women; PRRs were adjusted for demographic and behavioral factors. A total of 4227 sexually active women in Rakai, including 436 HIV+ women, contributed 13,970 observations over 5 survey rounds. Fertility desires increased in the population in the ART/PMTCT rollout [adjusted (adj.) PRR: 1.08, 95% CI: 1.04 to 1.13] and the universal availability periods (adj. PRR: 1.11, 95% CI: 1.08 to 1.14) compared with pre-ART/PMTCT period. A total of 862 woman observations used ART/PMTCT services. Fertility desires were similar among ART/PMTCT service users and nonusers in cross-sectional analysis (adj. PRR: 0.84, 95% CI: 0.62 to 1.14) and 1 year after ART/PMTCT use (adj. PRR: 1.27, 95% CI: 0.83 to 1.94). Availability of ART/PMTCT may increase fertility desires of previously pregnant women in Rakai, Uganda. Use of ART/PMTCT services was not correlated with fertility desires of previously or current pregnant women.

  14. Outcome of secondary high-grade glioma in children previously treated for a malignant condition: A study of the Canadian Pediatric Brain Tumour Consortium

    International Nuclear Information System (INIS)

    Carret, Anne-Sophie; Tabori, Uri; Crooks, Bruce; Hukin, Juliette; Odame, Isaac; Johnston, Donna L.; Keene, Daniel L.; Freeman, Carolyn; Bouffet, Eric

    2006-01-01

    Background and purpose: Reports of secondary high-grade glioma (HGG) in survivors of childhood cancer are scarce. The aim of this study was to review the pattern of diagnosis, the treatment, and outcome of secondary pediatric HGG. Patients and methods: We performed a multi-center retrospective study among the 17 paediatric institutions participating in the Canadian Pediatric Brain Tumour Consortium (CPBTC). Results: We report on 18 patients (14 males, 4 females) treated in childhood for a primary cancer, who subsequently developed a HGG as a second malignancy. All patients had previously received radiation therapy +/- chemotherapy for either acute lymphoblastic leukaemia (n = 9) or solid tumour (n = 9). All HGG occurred within the previous radiation fields. At the last follow-up, 17 patients have died and the median survival time is 9.75 months. Conclusion: Although aggressive treatment seems to provide sustained remissions in some patients, the optimal management is still to be defined. Further documentation of such cases is necessary in order to better understand the pathogenesis, the natural history and the prevention of these tumours

  15. Vitamin D deficiency in medical patients at a central hospital in Malawi: a comparison with TB patients from a previous study.

    Directory of Open Access Journals (Sweden)

    Yamikani Mastala

    Full Text Available OBJECTIVES: To determine the prevalence of vitamin D deficiency (VDD in adult medical, non-tuberculous (non-TB patients. To investigate associations with VDD. To compare the results with a similar study in TB patients at the same hospital. DESIGN: Cross-sectional sample. SETTING: Central hospital in Malawi. PARTICIPANTS: Adult non-TB patients (n = 157, inpatients and outpatients. OUTCOME MEASURES: The primary outcome was the prevalence of VDD. Potentially causal associations sought included nutritional status, in/outpatient status, HIV status, anti-retroviral therapy (ART and, by comparison with a previous study, a diagnosis of tuberculosis (TB. RESULTS: Hypovitaminosis D (≤75 nmol/L occurred in 47.8% (75/157 of patients, 16.6% (26/157 of whom had VDD (≤50 nmol/L. None had severe VDD (≤25 nmol/L. VDD was found in 22.8% (23/101 of in-patients and 5.4% (3/56 of out-patients. In univariable analysis in-patient status, ART use and low dietary vitamin D were significant predictors of VDD. VDD was less prevalent than in previously studied TB patients in the same hospital (68/161 = 42%. In multivariate analysis of the combined data set from both studies, having TB (OR 3.61, 95%CI 2.02-6.43 and being an in-patient (OR 2.70, 95%CI 1.46-5.01 were significant independent predictors of VDD. CONCLUSIONS: About half of adult medical patients without TB have suboptimal vitamin D status, which is more common in in-patients. VDD is much more common in TB patients than non-TB patients, even when other variables are controlled for, suggesting that vitamin D deficiency is associated with TB.

  16. Plantar pressure in diabetic peripheral neuropathy patients with active foot ulceration, previous ulceration and no history of ulceration: a meta-analysis of observational studies.

    Science.gov (United States)

    Fernando, Malindu Eranga; Crowther, Robert George; Pappas, Elise; Lazzarini, Peter Anthony; Cunningham, Margaret; Sangla, Kunwarjit Singh; Buttner, Petra; Golledge, Jonathan

    2014-01-01

    Elevated dynamic plantar pressures are a consistent finding in diabetes patients with peripheral neuropathy with implications for plantar foot ulceration. This meta-analysis aimed to compare the plantar pressures of diabetes patients that had peripheral neuropathy and those with neuropathy with active or previous foot ulcers. Published articles were identified from Medline via OVID, CINAHL, SCOPUS, INFORMIT, Cochrane Central EMBASE via OVID and Web of Science via ISI Web of Knowledge bibliographic databases. Observational studies reporting barefoot dynamic plantar pressure in adults with diabetic peripheral neuropathy, where at least one group had a history of plantar foot ulcers were included. Interventional studies, shod plantar pressure studies and studies not published in English were excluded. Overall mean peak plantar pressure (MPP) and pressure time integral (PTI) were primary outcomes. The six secondary outcomes were MPP and PTI at the rear foot, mid foot and fore foot. The protocol of the meta-analysis was published with PROPSERO, (registration number CRD42013004310). Eight observational studies were included. Overall MPP and PTI were greater in diabetic peripheral neuropathy patients with foot ulceration compared to those without ulceration (standardised mean difference 0.551, 95% CI 0.290-0.811, pdiabetic peripheral neuropathy with a history of foot ulceration compared to those with diabetic neuropathy without a history of ulceration. More homogenous data is needed to confirm these findings.

  17. Los Alamos National Laboratory case studies on decommissioning of research reactors and a small nuclear facility

    International Nuclear Information System (INIS)

    Salazar, M.D.

    1998-01-01

    Approximately 200 contaminated surplus structures require decommissioning at Los Alamos National Laboratory. During the last 10 years, 50 of these structures have undergone decommissioning. These facilities vary from experimental research reactors to process/research facilities contaminated with plutonium-enriched uranium, tritium, and high explosives. Three case studies are presented: (1) a filter building contaminated with transuranic radionuclides; (2) a historical water boiler that operated with a uranyl-nitrate solution; and (3) the ultra-high-temperature reactor experiment, which used enriched uranium as fuel

  18. Los Alamos National Laboratory case studies on decommissioning of research reactors and a small nuclear facility

    Energy Technology Data Exchange (ETDEWEB)

    Salazar, M.D.

    1998-12-01

    Approximately 200 contaminated surplus structures require decommissioning at Los Alamos National Laboratory. During the last 10 years, 50 of these structures have undergone decommissioning. These facilities vary from experimental research reactors to process/research facilities contaminated with plutonium-enriched uranium, tritium, and high explosives. Three case studies are presented: (1) a filter building contaminated with transuranic radionuclides; (2) a historical water boiler that operated with a uranyl-nitrate solution; and (3) the ultra-high-temperature reactor experiment, which used enriched uranium as fuel.

  19. Phase II study of a 3-day schedule with topotecan and cisplatin in patients with previously untreated small cell lung cancer and extensive disease

    DEFF Research Database (Denmark)

    Sorensen, M.; Lassen, Ulrik Niels; Jensen, Peter Buhl

    2008-01-01

    INTRODUCTION: Treatment with a topoisomerase I inhibitor in combination with a platinum results in superior or equal survival compared with etoposide-based treatment in extensive disease small cell lung cancer (SCLC). Five-day topotecan is inconvenient and therefore shorter schedules of topotecan...... and cisplatin are needed. The aim of this phase II study was to establish the response rate and response duration in chemo-naive patients with SCLC receiving a 3-day topotecan and cisplatin schedule. METHODS: Simons optimal two-stage design was used. Patients with previously untreated extensive disease SCLC...... age was 59 (range 44-74), 79% had performance status 0 or 1. Thirty-one patients completed all six cycles. Grade 3/4 anemia, neutrocytopenia, and thrombocytopenia were recorded in 9.5%, 66.7%, and 21.4% of patients, respectively. Fourteen percent of patients experienced neutropenic fever. No episodes...

  20. EXPERIMENTAL CHALLENGE STUDY OF FV3-LIKE RANAVIRUS INFECTION IN PREVIOUSLY FV3-LIKE RANAVIRUS INFECTED EASTERN BOX TURTLES (TERRAPENE CAROLINA CAROLINA) TO ASSESS INFECTION AND SURVIVAL.

    Science.gov (United States)

    Hausmann, Jennifer C; Wack, Allison N; Allender, Matthew C; Cranfield, Mike R; Murphy, Kevin J; Barrett, Kevin; Romero, Jennell L; Wellehan, James F X; Blum, Stella A; Zink, M Christine; Bronson, Ellen

    2015-12-01

    The Maryland Zoo in Baltimore experienced an outbreak of Frog virus-3 (FV3)-like ranavirus during the summer of 2011, during which 14 of 27 (52%) of its captive eastern box turtles (Terrapene carolina carolina) survived. To assess survival, immunity, and viral shedding, an experimental challenge study was performed in which the surviving, previously infected turtles were reinfected with the outbreak strain of FV3-like ranavirus. Seven turtles were inoculated with virus intramuscularly and four control turtles received saline intramuscularly. The turtles were monitored for 8 wk with blood and oral swabs collected for quantitative polymerase chain reaction (qPCR). During that time, one of seven (14%) inoculated turtles and none of the controls (0%) died; there was no significant difference in survival. Clinical signs of the inoculated turtles, except for the turtle that died, were mild compared to the original outbreak. Quantitative PCR for FV3-like ranavirus on blood and oral swabs was positive for all inoculated turtles and negative for all controls. The turtle that died had intracytoplasmic inclusion bodies in multiple organs. Three inoculated and two control turtles were euthanized at the end of the study. No inclusion bodies were present in any of the organs. Quantitative PCR detected FV3-like ranavirus in the spleen of a control turtle, which suggested persistence of the virus. The surviving five turtles were qPCR-negative for FV3-like ranavirus from blood and oral swabs after brumation. Quantitative PCR for Terrapene herpesvirus 1 found no association between ranavirus infection and herpesvirus loads. In conclusion, previously infected eastern box turtles can be reinfected with the same strain of FV3-like ranavirus and show mild to no clinical signs but can shed the virus from the oral cavity.

  1. Trial of labour and vaginal birth after previous caesarean section: A population based study of Eastern African immigrants in Victoria, Australia.

    Science.gov (United States)

    Belihu, Fetene B; Small, Rhonda; Davey, Mary-Ann

    2017-03-01

    Variations in caesarean section (CS) between some immigrant groups and receiving country populations have been widely reported. Often, African immigrant women are at higher risk of CS than the receiving population in developed countries. However, evidence about subsequent mode of birth following CS for African women post-migration is lacking. The objective of this study was to examine differences in attempted and successful vaginal birth after previous caesarean (VBAC) for Eastern African immigrants (Eritrea, Ethiopia, Somalia and Sudan) compared with Australian-born women. A population-based observational study was conducted using the Victorian Perinatal Data Collection. Pearson's chi-square test and logistic regression analysis were performed to generate adjusted odds ratios for attempted and successful VBAC. Victoria, Australia. 554 Eastern African immigrants and 24,587 Australian-born eligible women with previous CS having singleton births in public care. 41.5% of Eastern African immigrant women and 26.1% Australian-born women attempted a VBAC with 50.9% of Eastern African immigrants and 60.5% of Australian-born women being successful. After adjusting for maternal demographic characteristics and available clinical confounding factors, Eastern African immigrants were more likely to attempt (OR adj 1.94, 95% CI 1.57-2.47) but less likely to succeed (OR adj 0.54 95% CI 0.41-0.71) in having a VBAC. There are disparities in attempted and successful VBAC between Eastern African origin and Australian-born women. Unsuccessful VBAC attempt is more common among Eastern African immigrants, suggesting the need for improved strategies to select and support potential candidates for vaginal birth among these immigrants to enhance success and reduce potential complications associated with failed VBAC attempt. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

  2. Biomarker-driven trial in metastatic pancreas cancer: feasibility in a multicenter study of saracatinib, an oral Src inhibitor, in previously treated pancreatic cancer

    International Nuclear Information System (INIS)

    Arcaroli, John; Quackenbush, Kevin; Dasari, Arvind; Powell, Rebecca; McManus, Martine; Tan, Aik-Choon; Foster, Nathan R; Picus, Joel; Wright, John; Nallapareddy, Sujatha; Erlichman, Charles; Hidalgo, Manuel; Messersmith, Wells A

    2012-01-01

    Src tyrosine kinases are overexpressed in pancreatic cancers, and the oral Src inhibitor saracatinib has shown antitumor activity in preclinical models of pancreas cancer. We performed a CTEP-sponsored Phase II clinical trial of saracatinib in previously treated pancreas cancer patients, with a primary endpoint of 6-month survival. A Simon MinMax two-stage phase II design was used. Saracatinib (175 mg/day) was administered orally continuously in 28-day cycles. In the unselected portion of the study, 18 patients were evaluable. Only two (11%) patients survived for at least 6 months, and three 6-month survivors were required to move to second stage of study as originally designed. The study was amended as a biomarker-driven trial (leucine rich repeat containing protein 19 [LRRC19] > insulin-like growth factor-binding protein 2 [IGFBP2] “top scoring pairs” polymerase chain reaction [PCR] assay, and PIK3CA mutant) based on preclinical data in a human pancreas tumor explant model. In the biomarker study, archival tumor tissue or fresh tumor biopsies were tested. Biomarker-positive patients were eligible for the study. Only one patient was PIK3CA mutant in a 3′ untranslated region (UTR) portion of the gene. This patient was enrolled in the study and failed to meet the 6-month survival endpoint. As the frequency of biomarker-positive patients was very low (<3%), the study was closed. Although we were unable to conclude whether enriching for a subset of second/third line pancreatic cancer patients treated with a Src inhibitor based on a biomarker would improve 6-month survival, we demonstrate that testing pancreatic tumor samples for a biomarker-driven, multicenter study in metastatic pancreas cancer is feasible

  3. Women's decision-making processes and the influences on their mode of birth following a previous caesarean section in Taiwan: a qualitative study.

    Science.gov (United States)

    Chen, Shu-Wen; Hutchinson, Alison M; Nagle, Cate; Bucknall, Tracey K

    2018-01-17

    Vaginal birth after caesarean (VBAC) is an alternative option for women who have had a previous caesarean section (CS); however, uptake is limited because of concern about the risks of uterine rupture. The aim of this study was to explore women's decision-making processes and the influences on their mode of birth following a previous CS. A qualitative approach was used. The research comprised three stages. Stage I consisted of naturalistic observation at 33-34 weeks' gestation. Stage II involved interviews with pregnant women at 35-37 weeks' gestation. Stage III consisted of interviews with the same women who were interviewed postnatally, 1 month after birth. The research was conducted in a private medical centre in northern Taiwan. Using a purposive sampling, 21 women and 9 obstetricians were recruited. Data collection involved in-depth interviews, observation and field notes. Constant comparative analysis was employed for data analysis. Ensuring the safety of mother and baby was the focus of women's decisions. Women's decisions-making influences included previous birth experience, concern about the risks of vaginal birth, evaluation of mode of birth, current pregnancy situation, information resources and health insurance. In communicating with obstetricians, some women complied with obstetricians' recommendations for repeat caesarean section (RCS) without being informed of alternatives. Others used four step decision-making processes that included searching for information, listening to obstetricians' professional judgement, evaluating alternatives, and making a decision regarding mode of birth. After birth, women reflected on their decisions in three aspects: reflection on birth choices; reflection on factors influencing decisions; and reflection on outcomes of decisions. The health and wellbeing of mother and baby were the major concerns for women. In response to the decision-making influences, women's interactions with obstetricians regarding birth choices

  4. Petrographic study and preliminary conceptual model of the Ixtlan de los Hervores geothermal zone, Michoacan, Mexico; Estudio petrografico y modelo conceptual preliminar de la zona geotermica de Ixtlan de los Hervores, Michoacan, Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Viggiano-Guerra, Julio C; Gutierrez-Negrin, Luis C.A [Comision Federal de Electricidad (Mexico)

    2007-10-15

    Petrographic studies of cuttings from the shallow well Ixtlan 2, drilled in the Ixtlan de los Hervores geothermal zone, State of Michoacan, Mexico, at a maximum depth of 159 meters, together with results of previous exploration studies, allow to delineate a preliminary conceptual model of the probable geothermal system. It is formed by a wide-fracture zone system, with low topographic relief and shallow water level. Its hydrothermal fluids are of sodium-chloride type, neutral pH, silica oversaturated in the discharge and with temperatures between 125 and 225 degrees Celsius, based on the geothermometry and the hydrothermal mineral assemblage encountered in the well. The assemblage of laumontite + quartz + calcite + chlorite/smectite + pyrite is typical for the zeolitic facies, beneath of which it is possible to encounter the epidote-wairakite facies, with higher temperatures. The favorable conditions of the zone allow to recommend continuation of exploration in the same. [Spanish] El estudio petrografico de muestras de canal de la perforacion del pozo somero Ixtlan 2, con una profundidad maxima de 159 metros y ubicado en la zona geotermica de Ixtlan de Los Hervores, Michoacan, Mexico, aunado a los resultados de estudios previos de exploracion superficial, han permitido la configuracion de un modelo conceptual preliminar del probable yacimiento geotermico. Se trata de un sistema zona de fractura ancha, bajo relieve y nivel freatico somero, con fluidos hidrotermales de tipo clorurado-sodico, pH neutro, sobresaturados de silice en la descarga, y con temperatura entre 125 y 225 grados Celsius, de acuerdo con la geotermometria + cuarzo + calcita + clorita/esmectita + pirita es tipica de la facies zeolitica, debajo de la cual podria hallarse la facies de epidota-wairakita, con temperaturas mas altas. Las condiciones favorables de la zona permiten recomendar la continuacion de la exploracion en la misma.

  5. Four Forensic Entomology Case Studies: Records and Behavioral Observations on Seldom Reported Cadaver Fauna With Notes on Relevant Previous Occurrences and Ecology.

    Science.gov (United States)

    Lindgren, Natalie K; Sisson, Melissa S; Archambeault, Alan D; Rahlwes, Brent C; Willett, James R; Bucheli, Sibyl R

    2015-03-01

    A yearlong survey of insect taxa associated with human decomposition was conducted at the Southeast Texas Applied Forensic Science (STAFS) facility located in the Center for Biological Field Studies of Sam Houston State University in Huntsville, TX. During this study, four insect-cadaver interactions were observed that represent previously poorly documented yet forensically significant interactions: Syrphidae maggots colonized a corpse in an aquatic situation; Psychodidae adults mated and oviposited on an algal film that was present on a corpse that had been recently removed from water; several Panorpidae were the first insects to feed upon a freshly placed corpse in the autumn; and a noctuid caterpillar was found chewing and ingesting dried human skin. Baseline knowledge of insect-cadaver interactions is the foundation of forensic entomology, and unique observations have the potential to expand our understanding of decomposition ecology. © The Author 2015. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  6. Late tamoxifen in patients previously operated for breast cancer without postoperative tamoxifen: 5-year results of a single institution randomised study

    International Nuclear Information System (INIS)

    Veronesi, Andrea; Miolo, GianMaria; Magri, Maria D; Crivellari, Diana; Scalone, Simona; Bidoli, Ettore; Lombardi, Davide

    2010-01-01

    A population of breast cancer patients exists who, for various reasons, never received adjuvant post-operative tamoxifen (TAM). This study was aimed to evaluate the role of late TAM in these patients. From 1997 to 2003, patients aged 35 to 75 years, operated more than 2 years previously for monolateral breast cancer without adjuvant TAM, with no signs of metastases and no contraindication to TAM were randomized to TAM 20 mg/day orally for 2 years or follow-up alone. Events were categorized as locoregional relapse, distant metastases, metachronous breast cancer, tumours other than breast cancer and death from any causes, whichever occurred first. The sample size (197 patients per arm, plus 10% allowance) was based on the assumption of a 30% decrease in the number of events occurring at a rate of 5% annually in the 10 years following randomization. Four hundred and thirty-three patients were randomized in the study (TAM 217, follow-up 216). Patients characteristics (TAM/follow-up) included: median age 55/55 years, median time from surgery 25/25 months (range, 25-288/25-294), in situ carcinoma 18/24, oestrogen receptor (ER) positive in 75/68, negative in 70/57, unknown in 72/91 patients. Previous adjuvant treatment included chemotherapy in 131/120 and an LHRH analogue in 11/13 patients. Thirty-six patients prematurely discontinued TAM after a median of 1 month, mostly because of subjective intolerance. Eighty-three events (TAM 39, follow-up 44) occurred: locoregional relapse in 10/8, distant metastases in 14/16, metachronous breast cancer in 4/10, other tumours in 11/10 patients. Less ER-positive secondary breast cancers occurred in the TAM treated patients than in follow-up patients (1 vs 10, p = 0.005). Event-free survival was similar in both groups of patients. This 5-year analysis revealed significantly less metachronous ER-positive breast cancers in the TAM treated patients. No other statistically significant differences have emerged thus far

  7. Dipeptidyl Peptidase-4 Inhibitor Sitagliptin Prevented Weight Regain in Obese Women with Polycystic Ovary Syndrome Previously Treated with Liraglutide: A Pilot Randomized Study.

    Science.gov (United States)

    Ferjan, Simona; Janez, Andrej; Jensterle, Mojca

    2017-12-01

    Weight loss is often nonsustainable after liraglutide cessation. The present study is the first insight into the potential prevention of weight regain in obese subjects who have been withdrawn from liraglutide. We evaluated whether dipeptidyl peptidase-4 (DPP-4) inhibitor sitagliptin in adjunct to metformin prevents body weight regain more effectively than metformin alone in obese polycystic ovary syndrome (PCOS) previously treated with liraglutide. A 12-week prospective randomized open-label study was conducted with 24 obese women with PCOS who had been pretreated with liraglutide 3.0 mg due to antiobesity management (aged 34.3 ± 6.8 years, body mass index [BMI] 36.3 ± 5.2 kg/m 2 , mean ± standard deviation). They were randomized to combined treatment (COMBO) with sitagliptin 100 mg per day (QD) and metformin (MET) 1000 mg twice daily (BID) (n = 12) or MET 1000 mg BID (n = 12). Lifestyle intervention was promoted in both groups. The primary outcome was change in anthropometric measures of obesity. Women treated with MET regain 4.7 ± 2.7 kg (P = 0.002) compared with a 0.9 ± 2.5 kg in COMBO (P = 0.147). BMI increased for 1.7 ± 0.9 kg/m 2 in MET (P = 0.002) compared with 0.3 ± 0.8 kg/m 2 increase in COMBO (P = 0.136). MET group regain 4.5% ± 2.5% of body weight as opposed to 0.8% ± 2.6% in COMBO. The between-treatment differences were significant for weight change (P weight change (P weight regain in obese women with PCOS previously treated with liraglutide.

  8. A feasibility study for a one-megawatt pulsed spallation source at Los Alamos National Laboratory

    International Nuclear Information System (INIS)

    Pynn, R.

    1994-01-01

    Over the past two decades, high-intensity proton accelerators have been designed and developed to support nuclear physics research and defense applications. This technology has now matured to the point where it can support simultaneous and cost-effective exploitation of a number of important areas of both basic and applied science. Examples include neutron scattering, the production of radioisotopes, tests of technologies to transmute nuclear waste, radiation damage studies, nuclear physics, and muon spin research. As part of a larger program involving these and other areas, a team at Los Alamos National Laboratory has undertaken a feasibility study for a 1-MW pulsed spallation neutron source (PSS) based on the use of an 800-MeV proton linac and an accumulator ring. In January 1994, the feasibility study was reviewed by a large, international group of experts in the design of accelerators and neutron spallation targets. This group confirmed the viability of the proposed neutron source. In this paper, I describe the approach Los Alamos has taken to the feasibility study, which has involved a synergistic application of the Laboratory's expertise in nuclear science and technology, computation, and particle-beam technologies. Several examples of problems resolved by the study are described, including chopping of low-energy proton beam, interactions between H - particles and the stripper foil used to produce protons for injection into an accumulator ring, and the inclusion of engineering realities into the design of a neutron production target. These examples are chosen to illustrate the breadth of the expertise that has been brought to bear on the feasibility study and to demonstrate that there are real R ampersand D issues that need to be resolved before a next-generation spoliation source can be built

  9. In vitro evaluation of oestrogenic/androgenic activity of the serum organochlorine pesticide mixtures previously described in a breast cancer case–control study

    International Nuclear Information System (INIS)

    Rivero, Javier; Luzardo, Octavio P.; Henríquez-Hernández, Luis A.; Machín, Rubén P.; Pestano, José; Zumbado, Manuel; Boada, Luis D.; Camacho, María; Valerón, Pilar F.

    2015-01-01

    Some organochlorine pesticides (OCs) have been individually linked to breast cancer (BC) because they exert oestrogenic effects on mammary cells. However, humans are environmentally exposed to more or less complex mixtures of these organochlorines, and the biological effects of these mixtures must be elucidated. In this work we evaluated the in vitro effects exerted on human BC cells by the OC mixtures that were most frequently detected in two groups of women who participated in a BC case–control study developed in Spain: healthy women and women diagnosed with BC. The cytotoxicity, oestrogenicity, and androgenicity of the most prevalent OC mixtures found in healthy women (H-mixture) and in BC patients (BC-mixture) were tested at concentrations that resembled those found in the serum of the evaluated women. Our results showed that both OC mixtures presented a similar oestrogenic activity and effect on cell viability, but BC-mixture showed an additional anti-androgenic effect. These results indicate that although the proliferative effect exerted by these mixtures on human breast cells seems to depend mainly on their oestrogenic action, the BC-mixture might additionally induce cell proliferation due to its anti-androgenic activity, therefore increasing the carcinogenic potential of this mixture. The findings of this study demonstrate that subtle variations in the composition of a mixture may induce relevant changes in its biological action. - Highlights: • E-screen and A-screen of two mixtures of organochlorine pesticides (OCP) • Assay concentrations based on a previous breast cancer case–control study • Only non-cytotoxic concentrations assayed • Both OCP mixtures induce proliferation mediated by oestrogen receptor. • OCP mixture of breast cancer patients exhibits additional androgenic activity.

  10. In vitro evaluation of oestrogenic/androgenic activity of the serum organochlorine pesticide mixtures previously described in a breast cancer case–control study

    Energy Technology Data Exchange (ETDEWEB)

    Rivero, Javier; Luzardo, Octavio P., E-mail: octavio.perez@ulpgc.es; Henríquez-Hernández, Luis A.; Machín, Rubén P.; Pestano, José; Zumbado, Manuel; Boada, Luis D.; Camacho, María; Valerón, Pilar F.

    2015-12-15

    Some organochlorine pesticides (OCs) have been individually linked to breast cancer (BC) because they exert oestrogenic effects on mammary cells. However, humans are environmentally exposed to more or less complex mixtures of these organochlorines, and the biological effects of these mixtures must be elucidated. In this work we evaluated the in vitro effects exerted on human BC cells by the OC mixtures that were most frequently detected in two groups of women who participated in a BC case–control study developed in Spain: healthy women and women diagnosed with BC. The cytotoxicity, oestrogenicity, and androgenicity of the most prevalent OC mixtures found in healthy women (H-mixture) and in BC patients (BC-mixture) were tested at concentrations that resembled those found in the serum of the evaluated women. Our results showed that both OC mixtures presented a similar oestrogenic activity and effect on cell viability, but BC-mixture showed an additional anti-androgenic effect. These results indicate that although the proliferative effect exerted by these mixtures on human breast cells seems to depend mainly on their oestrogenic action, the BC-mixture might additionally induce cell proliferation due to its anti-androgenic activity, therefore increasing the carcinogenic potential of this mixture. The findings of this study demonstrate that subtle variations in the composition of a mixture may induce relevant changes in its biological action. - Highlights: • E-screen and A-screen of two mixtures of organochlorine pesticides (OCP) • Assay concentrations based on a previous breast cancer case–control study • Only non-cytotoxic concentrations assayed • Both OCP mixtures induce proliferation mediated by oestrogen receptor. • OCP mixture of breast cancer patients exhibits additional androgenic activity.

  11. Evaluation of the Widal tube agglutination test for the diagnosis of typhoid fever among children admitted to a rural hdospital in Tanzania and a comparison with previous studies

    Directory of Open Access Journals (Sweden)

    Malahiyo Rajabu

    2010-06-01

    Full Text Available Abstract Background The diagnosis of typhoid fever is confirmed by culture of Salmonella enterica serotype Typhi (S. typhi. However, a more rapid, simpler, and cheaper diagnostic method would be very useful especially in developing countries. The Widal test is widely used in Africa but little information exists about its reliability. Methods We assessed the performance of the Widal tube agglutination test among febrile hospitalized Tanzanian children. We calculated the sensitivity, specificity, positive predictive value (PPV, and negative predictive value (NPV of various anti-TH and -TO titers using culture-confirmed typhoid fever cases as the "true positives" and all other febrile children with blood culture negative for S. typhi as the "true negatives." Results We found that 16 (1% of 1,680 children had culture-proven typhoid fever. A single anti-TH titer of 1:80 and higher was the optimal indicator of typhoid fever. This had a sensitivity of 75%, specificity of 98%, NPV of 100%, but PPV was only 26%. We compared our main findings with those from previous studies. Conclusion Among febrile hospitalized Tanzanian children with a low prevalence of typhoid fever, a Widal titer of ≥ 1:80 performed well in terms of sensitivity, specificity, and NPV. However a test with improved PPV that is similarly easy to apply and cost-efficient is desirable.

  12. Caring for women wanting a vaginal birth after previous caesarean section: A qualitative study of the experiences of midwives and obstetricians.

    Science.gov (United States)

    Foureur, Maralyn; Turkmani, Sabera; Clack, Danielle C; Davis, Deborah L; Mollart, Lyndall; Leiser, Bernadette; Homer, Caroline S E

    2017-02-01

    One of the greatest contributors to the overall caesarean section rate is elective repeat caesarean section. Decisions around mode of birth are often complex for women and influenced by the views of the doctors and midwives who care for and counsel women. Women may be more likely to choose a repeat elective caesarean section (CS) if their health care providers lack skills and confidence in supporting vaginal birth after caesarean section (VBAC). To explore the views and experiences of providers in caring for women considering VBAC, in particular the decision-making processes and the communication of risk and safety to women. A descriptive interpretive method was utilised. Four focus groups with doctors and midwives were conducted. The central themes were: 'developing trust', 'navigating the system' and 'optimising support'. The impact of past professional experiences; the critical importance of continuity of carer and positive relationships; the ability to weigh up risks versus benefits; and the language used were all important elements. The role of policy and guidelines on providing standardised care for women who had a previous CS was also highlighted. Midwives and doctors in this study were positively oriented towards assisting and supporting women to attempt a VBAC. Care providers considered that women who have experienced a prior CS need access to midwifery continuity of care with a focus on support, information-sharing and effective communication. Copyright © 2016 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

  13. Gefitinib plus cisplatin and radiotherapy in previously untreated head and neck squamous cell carcinoma: A phase II, randomized, double-blind, placebo-controlled study

    International Nuclear Information System (INIS)

    Gregoire, Vincent; Hamoir, Marc; Chen Changhu; Kane, Madeleine; Kawecki, Andrzej; Julka, Pramod K.; Wang, Hung-Ming; Prasad, Srihari; D'Cruz, Anil K.; Radosevic-Jelic, Ljiljana; Kumar, Rejnish R.; Korzeniowski, Stanislaw; Fijuth, Jacek; Machiels, Jean-Pascal; Sellers, Mark V.; Tchakov, Ilian; Raben, David

    2011-01-01

    Background and purpose: To assess the efficacy and safety of gefitinib given concomitantly and/or as maintenance therapy to standard cisplatin/radiotherapy for previously untreated, unresected, stage III/IV non-metastatic SCCHN. Materials and methods: In this phase II, double-blind, study, 226 patients were randomized to gefitinib 250 mg/day, 500 mg/day or placebo in two phases: a concomitant phase (gefitinib or placebo with chemoradiotherapy), followed by a maintenance phase (gefitinib or placebo alone). Primary endpoint was local disease control rate (LDCR) at 2 years; secondary endpoints were LDCR at 1 year, objective response rate, progression-free survival, overall survival, and safety and tolerability. Results: Gefitinib (250 and 500 mg/day) did not improve 2-year LDCR compared with placebo either when given concomitantly with chemoradiotherapy (32.7% vs. 33.6%, respectively; OR 0.921, 95% CI 0.508, 1.670 [1-sided p = 0.607]) or as maintenance therapy (28.8% vs. 37.4%, respectively; OR 0.684, 95% CI 0.377, 1.241 [1-sided p = 0.894]). Secondary efficacy outcomes were broadly consistent with the 2-year LDCR results. In both doses, gefitinib was well-tolerated and did not adversely affect the safety and tolerability of concomitant chemoradiotherapy. Conclusion: Gefitinib was well-tolerated, but did not improve efficacy compared with placebo when given concomitantly with chemoradiotherapy, or as maintenance therapy alone.

  14. The Los Angeles TEAM Study: personal exposures, indoor-outdoor air concentrations, and breath concentrations of 25 volatile organic compounds.

    Science.gov (United States)

    Wallace, L; Nelson, W; Ziegenfus, R; Pellizzari, E; Michael, L; Whitmore, R; Zelon, H; Hartwell, T; Perritt, R; Westerdahl, D

    1991-04-01

    The U.S. Environmental Protection Agency and the California Air Resources Board studied the exposures of 51 residents of Los Angeles, California, to 25 volatile organic chemicals (VOCs) in air and drinking water in 1987. A major goal of the study was to measure personal, indoor, and outdoor air concentrations, and breath concentrations of VOCs in persons living in households that had previously been measured in 1984. Other goals were to confirm the marked day-night and seasonal differences observed in 1984; to determine room-to-room variability within homes; to determine source emission rates by measuring air exchange rates in each home; and to extend the coverage of chemicals by employing additional sampling and analysis methods. A total of 51 homes were visited in February of 1987, and 43 of these were revisited in July of 1987. The results confirmed previous TEAM Study findings of higher personal and indoor air concentrations than outdoor concentrations of all prevalent chemicals (except carbon tetrachloride); higher personal, indoor, and outdoor air concentrations in winter than in summer; and (in winter only) higher outdoor concentrations at night than in the daytime. New findings included the following: (1) room-to-room variability of 12-hour average concentrations was very small, indicating that a single monitor may be adequate for estimating indoor concentrations over this time span; (2) "whole-house" source emission rates were relatively constant during both seasons, with higher rates for odorous chemicals such as p-dichlorobenzene and limonene (often used in room air fresheners) than for other classes of chemicals; (3) breath concentrations measured during morning and evening were similar for most participants, suggesting the suitability of breath measurements for estimating exposure in the home; (4) limited data obtained on two additional chemicals-toluene and methylene chloride-indicated that both were prevalent at fairly high concentrations and that

  15. Los usos del testimonio en los estudios de la memoria. El caso de las violaciones masivas a los derechos humanos en la Argentina (Testimony uses in memory studies. The case of gross violations to human rights in Argentina

    Directory of Open Access Journals (Sweden)

    Julieta Mira

    2017-12-01

    Full Text Available The memory study as an interdisciplinary field in Latin-America has been constructing and consolidating from the nineties of the 20th Century; which gained a driving force from the need to approach the topics regarding the political violence and the massive human rights violations perpetrated by the last military dictatorships. The testimony emerges as a favoured source from which reconstruct the memory of diverse historical-political events, as those linked with gross human rights violations. Taking in advance this challenging opportunity, the research work with testimony requires the comprehension of the sense and the uses, the scope and the limitations of the actors´ (survivors speech as witnesses of violence. This article proposes itself a complex and critical approach to the testimony from a methodological perspective, focused in the case of the last Argentine dictatorship (1976-1983.El campo interdisciplinario de estudio sobre la memoria en Latinoamérica se fue conformando y consolidando desde los años noventa del siglo XX; el cual fue impulsado desde la necesidad de abordar las temáticas relativas a la violencia política y a las violaciones masivas a los derechos humanos en las últimas dictaduras militares. El testimonio emerge como una fuente privilegiada a partir de la cual reconstruir la memoria de diversos sucesos histórico-políticos, como aquellos vinculados a graves violaciones a los derechos humanos. Ante esta desafiante oportunidad, el trabajo de investigación con el testimonio precisa la comprensión del sentido y de los usos, del alcance y de las limitaciones de la palabra de los actores que fueron testigos (supervivientes de violencia. Este artículo se propone desde una mirada metodológica un acercamiento complejo y crítico al testimonio haciendo foco en el caso de la última dictadura militar en la Argentina (1976-1983. DOWNLOAD THIS PAPER FROM SSRN: http://ssrn.com/abstract=3055033

  16. Prevalence of pain in the head, back and feet in refugees previously exposed to torture: a ten-year follow-up study

    DEFF Research Database (Denmark)

    Olsen, Dorthe Reff; Montgomery, Edith; Bøjholm, Søren

    2007-01-01

    AIM: To estimate change over 10 years concerning the prevalence of pain in the head, back and feet, among previously tortured refugees settled in Denmark, and to compare associations between methods of torture and prevalent pain at baseline and at 10-year follow-up. METHODS: 139 refugees previous...... associated with the type and bodily focus of the torture. This presents a considerable challenge to future evidence-based development of effective treatment programs....

  17. Immunogenicity and safety of tetravalent dengue vaccine in 2-11 year-olds previously vaccinated against yellow fever: randomized, controlled, phase II study in Piura, Peru.

    Science.gov (United States)

    Lanata, Claudio F; Andrade, Teresa; Gil, Ana I; Terrones, Cynthia; Valladolid, Omar; Zambrano, Betzana; Saville, Melanie; Crevat, Denis

    2012-09-07

    In a randomized, placebo-controlled, monocenter, observer blinded study conducted in an area where dengue is endemic, we assessed the safety and immunogenicity of a recombinant, live, attenuated, tetravalent dengue vaccine candidate (CYD-TDV) in 2-11 year-olds with varying levels of pre-existing yellow-fever immunity due to vaccination 1-7 years previously. 199 children received 3 injections of CYD-TDV (months 0, 6 and 12) and 99 received placebo (months 0 and 6) or pneumococcal polysaccharide vaccine (month 12). One month after the third dengue vaccination, serotype specific neutralizing antibody GMTs were in the range of 178-190 (1/dil) (versus 16.7-38.1 in the control group), a 10-20 fold-increase from baseline, and 94% of vaccines were seropositive to all four serotypes (versus 39% in the control group). There were no vaccine-related SAEs. The observed reactogenicity profile was consistent with phase I studies, with severity grade 1-2 injection site pain, headache, malaise and fever most frequently reported and no increase after subsequent vaccinations. Virologically confirmed dengue cases were seen after completion of the 3 doses: 1 in the CYD-TDV group (N=199), and 3 in the control group (N=99). A 3-dose regimen of CYD-TDV had a good safety profile in 2-11 year olds with a history of YF vaccination and elicited robust antibody responses that were balanced against the four serotypes. Copyright © 2012 Elsevier Ltd. All rights reserved.

  18. A phase II study of VP-16-ifosfamide-cisplatin combination chemotherapy plus early concurrent thoracic irradiation for previously untreated limited small cell lung cancer

    International Nuclear Information System (INIS)

    Woo, In Sook; Park, Young Suk; Kwon, Sung Hee

    2000-01-01

    At present the addition of thoracic irradiation to combination chemotherapy is a standard treatment for limited staged small cell ling cancer. However, there is still controversy about the optimum timing of chest irradiation. We conducted a phase II study of etoposide (VP-16)-ifosfamide-cisplatin (VIP) combination chemotherapy plus early concurrent thoracic irradiation for the patients with previously untreated limited small cell lung cancer in order to assess if the treatment modality could improve the response rate and the toxicity. Forty-four patients with limited small cell lung cancer were treated with etoposide-ifosfamide-cisplatin and concurrent thoracic irradiation. Combination chemotherapy consisted of etoposide 100 mg/m 2 (on day 1-3), ifosfamide 1000 mg/m 2 (on days 1 and 2) and cisplatin 100 mg/m 2 (on day 1). Concurrent thoracic irradiation consisted of a total of 4000 cGy over 4 weeks starting on the first day of the first chemotherapy. All patients who showed a complete response were given prophylactic cranial irradiation for 2.5 weeks. Forty-four of the 49 patients who entered the study from May 1994 to August 1998 were evaluable. The median age was 59 years and 40 patients had a performance status of 0 or 1. The median survival time was 22.5 months. Twenty-eight patients (62%) showed a complete response and 16 (38%) a partial response. Twenty-four patients (54%) developed grade 3 or 4 neutropenia; there was a 9% RTOG score 3 or 4 esophagitis. VIP combination chemotherapy and early concurrent thoracic irradiation for patients with limited stage small cell lung cancer revealed excellent antitumor response with tolerable toxicity. (author)

  19. Food and Drug Administration criteria for the diagnosis of drug-induced valvular heart disease in patients previously exposed to benfluorex: a prospective multicentre study.

    Science.gov (United States)

    Maréchaux, Sylvestre; Rusinaru, Dan; Jobic, Yannick; Ederhy, Stéphane; Donal, Erwan; Réant, Patricia; Arnalsteen, Elise; Boulanger, Jacques; Garban, Thierry; Ennezat, Pierre-Vladimir; Jeu, Antoine; Szymanski, Catherine; Tribouilloy, Christophe

    2015-02-01

    The Food and Drug Administration (FDA) criteria for diagnosis of drug-induced valvular heart disease (DIVHD) are only based on the observation of aortic regurgitation ≥ mild and/or mitral regurgitation ≥ moderate. We sought to evaluate the diagnostic value of FDA criteria in a cohort of control patients and in a cohort of patients exposed to a drug (benfluorex) known to induce VHD. This prospective, multicentre study included 376 diabetic control patients not exposed to valvulopathic drugs and 1000 subjects previously exposed to benfluorex. Diagnosis of mitral or aortic DIVHD was based on a combined functional and morphological echocardiographic analysis of cardiac valves. Patients were classified according to the FDA criteria [mitral or aortic-FDA(+) and mitral or aortic-FDA(-)]. Among the 376 control patients, 2 were wrongly classified as mitral-FDA(+) and 17 as aortic-FDA(+) (0.53 and 4.5% of false positives, respectively). Of those exposed to benfluorex, 48 of 58 with a diagnosis of mitral DIVHD (83%) were classified as mitral-FDA(-), and 901 of the 910 patients (99%) without a diagnosis of the mitral DIVHD group were classified as mitral-FDA(-). All 40 patients with a diagnosis of aortic DIVHD were classified as aortic-FDA(+), and 105 of the 910 patients without a diagnosis of aortic DIVHD (12%) were classified aortic-FDA(+). Older age and lower BMI were independent predictors of disagreement between FDA criteria and the diagnosis of DIVHD in patients exposed to benfluorex (both P ≤ 0.001). FDA criteria solely based on the Doppler detection of cardiac valve regurgitation underestimate for the mitral valve and overestimate for the aortic valve the frequency of DIVHD. Therefore, the diagnosis of DIVHD must be based on a combined echocardiographic and Doppler morphological and functional analysis of cardiac valves. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2014. For permissions please email: journals.permissions@oup.com.

  20. SAFETY AND ACTIVITY OF TEMSIROLIMUS AND BEVACIZUMAB IN PATIENTS WITH ADVANCED RENAL CELL CARCINOMA PREVIOUSLY TREATED WITH TYROSINE KINASE INHIBITORS: A PHASE 2 CONSORTIUM STUDY

    Science.gov (United States)

    Merchan, Jaime R.; Qin, Rui; Pitot, Henry; Picus, Joel; Liu, Glenn; Fitch, Tom; Maples, William J.; Flynn, Patrick J.; Fruth, Briant F.; Erlichman, Charles

    2015-01-01

    Purpose Bevacizumab or Temsirolimus regimens have clinical activity in the first line treatment of advanced renal cell carcinoma (RCC). This phase I/II trial was conducted to determine the safety of combining both agents and its efficacy in RCC patients who progressed on at least one prior anti-VEGF receptor tyrosine kinase inhibitor (RTKI) agent. Methods In the phase I portion, eligible patients were treated with Temsirolimus (25 mg IV weekly) and escalating doses of IV Bevacizumab (level 1=5mg/kg; level 2=10 mg/kg) every other week. The primary endpoint for the phase II portion (RTKI resistant patients) was the 6-month progression free rate. Secondary endpoints were response rate, toxicity evaluation, PFS and OS. Results MTD was not reached at the maximum dose administered in 12 phase I patients. Forty evaluable patients were treated with the phase II recommended dose (Temsirolimus 25 mg IV weekly and Bevacizumab 10 mg/kg IV every two weeks). The 6-month progression free rate was 40% (16/40 pts). Median PFS was 5.9 (4-7.8) months, and median OS was 20.6 (11.5-23.7) months. Partial response/stable/progressive disease were seen in 23%/63%/14% of patients. Most common grade 3-4 AEs included fatigue (17.8%), hypertriglyceridemia (11.1%), stomatitis (8.9%), proteinuria (8.9%), abdominal pain (6.7%), and anemia (6.7%). Baseline levels of serum sFLT-1 and VEGF-A were inversely correlated with PFS and OS, respectively. Conclusions Temsirolimus and Bevacizumab is a feasible combination in patients with advanced RCC previously exposed to oral anti-VEGF agents. The safety and efficacy results warrant further confirmatory studies in this patient population. PMID:25556030

  1. Low-calorie energy drink improves physiological response to exercise in previously sedentary men: a placebo-controlled efficacy and safety study.

    Science.gov (United States)

    Lockwood, Christopher M; Moon, Jordan R; Smith, Abbie E; Tobkin, Sarah E; Kendall, Kristina L; Graef, Jennifer L; Cramer, Joel T; Stout, Jeffrey R

    2010-08-01

    Energy drink use has grown despite limited research to support efficacy or safety and amid concerns when combined with exercise. The purpose of this study was to assess the effects of 10 weeks of once-daily energy drink consumption or energy drink consumption with exercise on measures of body composition, cardiorespiratory fitness, strength, mood, and safety in previously sedentary males. Thirty-eight males were randomly assigned to energy drink + exercise (EX-A), energy drink (NEX-A), placebo + exercise (EX-B), or placebo (NEX-B). All participants consumed 1 drink per day for 10 weeks; EX-A and EX-B participated in 10 weeks of resistance and endurance exercise. Testing was performed before (PRE) and after (POST) the 10-week intervention. No significant (p > 0.05) changes were observed for body composition, fitness, or strength in NEX-A; however, significantly greater decreases in fat mass and percentage body fat and increases in VO2peak were observed in EX-A versus EX-B. Ventilatory threshold (VT), minute ventilation, VO2 at VT, and power output at VT improved significantly PRE to POST in EX-A but not in EX-B or nonexercising groups. Clinical markers for hepatic, renal, cardiovascular, and immune function, as determined by PRE and POST blood work revealed no adverse effects in response to the energy drink. Mood was not affected by energy drink use. Absent energy restriction or other dietary controls, chronic ingestion of a once-daily low-calorie energy drink appears ineffective at improving body composition, cardiorespiratory fitness, or strength in sedentary males. However, when combined with exercise, preworkout energy drink consumption may significantly improve some physiological adaptations to combined aerobic and resistance training.

  2. Phase I/II study of gefitinib (Iressa(®)) and vorinostat (IVORI) in previously treated patients with advanced non-small cell lung cancer.

    Science.gov (United States)

    Han, Ji-Youn; Lee, Soo Hyun; Lee, Geon Kook; Yun, Tak; Lee, Young Joo; Hwang, Kum Hui; Kim, Jin Young; Kim, Heung Tae

    2015-03-01

    Vorinostat has been shown to overcome resistance to gefitinib. We performed a phase I/II study combining gefitinib with vorinostat in previously treated non-small cell lung cancer (NSCLC). A 3 + 3 dose-escalation design was used to determine maximum tolerated dose (MTD) and recommended phase II dose (RP2D). Three dose levels were tested: 250 mg/day gefitinib on days 1-28 and 200, 300 or 400 mg/day vorinostat on days 1-7, and 15-21 out of every 28 days. The primary endpoint was median progression-free survival (PFS). Fifty-two patients were enrolled and treated (43 in phase II). The median age was 59 years, 28 patients were male, 44 had adenocarcinoma, 29 had never smoked, and 36 had undergone one prior treatment. Twenty-two patients exhibited sensitive EGFR mutations. Planned dose escalation was completed without reaching the MTD. The RP2D was 250 mg gefitinib and 400 mg vorinostat. In 43 assessable patients in phase II, the median PFS was 3.2 months; the overall survival (OS) was 19.0 months. There were 16 partial responses and six cases of stable disease. In EGFR-mutant NSCLC, response rate was 77 %, median PFS was 9.1 months, and median OS was 24.1 months. The most common adverse events were anorexia and diarrhea. Treatment with 250 mg gefitinib daily with biweekly 400 mg/day vorinostat was feasible and well tolerated. In an unselected patient population, this combination dose did not improve PFS. However, this combination showed a potential for improving efficacy of gefitinib in EGFR-mutant NSCLC (NCT01027676).

  3. Effect of donepezil in patients with Alzheimer's disease previously untreated or treated with memantine or nootropic agents in Germany: an observational study.

    Science.gov (United States)

    Klinger, Tatjana; Ibach, Bernd; Schoenknecht, Peter; Kamleiter, Martin; Silver, Gabrielle; Schroeder, Johannes; Mielke, Ruediger

    2005-05-01

    This open-label, prospective, observational, Post-Marketing Surveillance (PMS) study assessed the efficacy and safety of donepezil in patients who had been switched from therapies currently used in Germany to treat Alzheimer's disease (AD), such as memantine and nootropics, due to insufficient efficacy or poor tolerability. A treatment-naive population was included as a comparator. Patients with AD were treated with donepezil and observed for a period of approximately 3 months. A cognitive assessment was made using the Mini-Mental State Examination (MMSE). Quality of life (QoL) was assessed by the investigators who answered the question 'How did therapy with donepezil influence the QoL of the patient and/or his family over the observation period?' and was graded using three ratings: improved/unchanged/worsened. Adverse events (AEs) were also monitored. A total of 913 patients entered the study (mean +/- SD MMSE score 18.03 +/- 5.34). Efficacy assessments were analyzed for three groups: an overall group of patients who had received any form of prior AD drug therapy (N+ group; n = 709); a subgroup of patients from the N+ group who had received prior memantine therapy only (M+ group; n = 111) and patients who were drug treatment naive (N- group; n = 204). In the evaluable population donepezil improved MMSE scores by 2.21 +/- 3.47 points on average, with similar improvements observed in all three groups. QoL was judged to be improved in at least 70% of patients, again with similar results obtained for all three groups. Donepezil was well tolerated, with 85 of 913 (9.3%) patients reporting AEs. The most common AEs were those typically seen with cholinergic therapies (i.e., diarrhoea, vomiting and nausea). In this observational PMS study, donepezil was shown to be efficacious and well tolerated in patients who were being insufficiently treated with memantine or nootropic therapy. The magnitude of response was similar to that observed in patients who were previously

  4. Case-control study of intracranial meningiomas in women in Los Angeles County, California

    International Nuclear Information System (INIS)

    Preston-Martin, S.; Paganini-Hill, A.; Henderson, B.E.; Pike, M.C.; Wood, C.

    1980-01-01

    A case-control study was conducted among women in Los Angeles County to investigate possible causes of intracranial meningiomas. Questionnaires sought information from patients and from a neighbor of each one on characteristics and past experiences that might be associated with the development of this disease. Information was obtained on 188 matched patient-neighbor pairs. Three primary factors appeared to be associated with meningioma occurrence: 1) a history of head trauma (odds ratio = 2.0, p = 0.01), 2) consumption of certain cured meats (odds ratio = 2.8, p = less than 0.01), and 3) exposure to medical and dental diagnostic X-rays to the head. For diagnostic X-rays, the strongest association was with early exposure (less than 20 yr old) to full-mouth dental X-ray series

  5. Wellness Center use at Los Alamos National Laboratory: a descriptive study

    Energy Technology Data Exchange (ETDEWEB)

    Wiggs, L.D.; Wilkinson, G.S.; Weber, C.

    1985-10-01

    This study describes employee participation during the first six months of the Los Alamos National Laboratory's corporate Wellness Program. We describe temporal patterns of use, preferred activities, frequency of use, and characteristics of employees participating in Wellness activities. Characteristics of Wellness participants are compared with characteristics of the Laboratory population. During this period the Wellness Center, a multi-use facility that houses Wellness Program activities, had 17,352 visits. Employees visiting the Wellness Center were typical of the Laboratory population in their racial and ethnic characteristics, but different in their sex and age composition. Wellness participants were younger and more likely to be female than the Laboratory population. 6 refs., 19 tabs.

  6. Sunburn and sun-protective behaviors among adults with and without previous nonmelanoma skin cancer (NMSC): A population-based study.

    Science.gov (United States)

    Fischer, Alexander H; Wang, Timothy S; Yenokyan, Gayane; Kang, Sewon; Chien, Anna L

    2016-08-01

    Individuals with previous nonmelanoma skin cancer (NMSC) are at increased risk for subsequent skin cancer, and should therefore limit ultraviolet exposure. We sought to determine whether individuals with previous NMSC engage in better sun protection than those with no skin cancer history. We pooled self-reported data (2005 and 2010 National Health Interview Surveys) from US non-Hispanic white adults (758 with and 34,161 without previous NMSC). We calculated adjusted prevalence odds ratios (aPOR) and 95% confidence intervals (CI), taking into account the complex survey design. Individuals with previous NMSC versus no history of NMSC had higher rates of frequent use of shade (44.3% vs 27.0%; aPOR 1.41; 95% CI 1.16-1.71), long sleeves (20.5% vs 7.7%; aPOR 1.55; 95% CI 1.21-1.98), a wide-brimmed hat (26.1% vs 10.5%; aPOR 1.52; 95% CI 1.24-1.87), and sunscreen (53.7% vs 33.1%; aPOR 2.11; 95% CI 1.73-2.59), but did not have significantly lower odds of recent sunburn (29.7% vs 40.7%; aPOR 0.95; 95% CI 0.77-1.17). Among those with previous NMSC, recent sunburn was inversely associated with age, sun avoidance, and shade but not sunscreen. Self-reported cross-sectional data and unavailable information quantifying regular sun exposure are limitations. Physicians should emphasize sunburn prevention when counseling patients with previous NMSC, especially younger adults, focusing on shade and sun avoidance over sunscreen. Copyright © 2016 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  7. La imagen corporal en los ancianos: Estudio descriptivo Body image in older: Descriptive studie

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    Carmen María Sarabia Cobo

    2012-03-01

    Full Text Available Estudio de corte transversal y descriptivo llevado a cabo en una residencia de mayores para la valoración de la imagen corporal (IC. Objetivo: determinar el autoconcepto de la imagen corporal en los mayores y la prevalencia de trastornos psiquiátricos asociados como depresión o anorexia. Sujetos y método: 198 mayores de 65 años procedentes de tres residencias. Se emplearon el Cuestionario BSQ (Body Shape Questionnarire y el test de Siluetas. Asimismo, se llevó a cabo una revisión sistemática de la historia clínica para detectar problemas psiquiátricos como depresión, ansiedad o anorexia nerviosa. Resultados: las personas con problemas psiquiátricos como depresión o ansiedad presentaron mayor insatisfacción con la imagen corporal, prevaleciendo en este caso las mujeres sobre los hombres, indiferentemente de la edad.Sectional study and descriptive conducted in a home for the elderly for the assessment of body image (CI. Objective: to determine the self-concept of Body Image in the elderly and the prevalence of associated psychiatric disorders such as depression or anorexia. Subjects and methods: 198 over 65 years, from three residences. Questionnaire were used BSQ (Body Shape Questionnarire and the Silhouettes test. Also carried out a systematic review of clinical history to detect psychiatric problems like depression, anxiety or anorexia nervosa. Results: people with psychiatric problems like depression or anxiety had higher body image dissatisfaction, to prevail in this case women over men, regardless of age.

  8. Pyrenean pastoralists’observations of environmental change: An exploratory study in los Valles Occidentales of Aragón

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    Fernández-Giménez, María E.

    2012-05-01

    Full Text Available Observations of environmental change by local resource users may be an important source of information about past and current environmental conditions to complement scientific studies and monitoring. In this exploratory, qualitative study, we documented observations of environmental change made by 27 stockmen in the two westernmost valleys of the Central Western Pyrenees of Spain. Pastoralists reported changes in weather, corresponding declines in the flow of mountain springs, and an increase in shrub and tree cover in the mountains. Explanations for the increase in woody plant cover differed in the two valleys; however, the majority of stockmen from both villages believed that the lack of human presence in the mountains contributes to shrub encroachment. Stockmen’s observations of environmental change suggest additional research needs regarding climate and vegetation change in the Pyrenees, and highlight the potential contributions of Pyrenean pastoralists’ local knowledge to environmental monitoring, research and management.Las observaciones sobre el cambio medioambiental realizadas por usuarios locales pueden ser una importante fuente de información sobre las características medioambientales del pasado y del presente para complementar los estudios científicos y el monitoreo. En este estudio cualitativo documentamos observaciones sobre el cambio medioambiental realizadas por 27 ganaderos en los dos valles más occidentales de los Pirineos centro occidentales españoles. Resumen cambios climáticos relativos a la disminución del caudal de las fuentes de montaña y al aumento de la cubierta vegetal de matorrales y arbolado en las montañas. Las explicaciones sobre el aumento de arbolado difieren en los dos valles; sin embargo la mayoría de los ganaderos de ambos pueblos pensaban que la falta de presencia humana en las montañas contribuye a la invasión del matorral. Las observaciones de los ganaderos sobre los cambios medioambientales

  9. Panorama de los estudios sobre aprendizaje de palabras en el habla de los niños de los doce meses a los cuatro años de edad Overview of the studies about word learning in the speech of children from two months to four years of age

    Directory of Open Access Journals (Sweden)

    Nicolás Arias

    2007-12-01

    Full Text Available Esta es una revisión de estudios empíricos sobre el aprendizaje de nuevas palabras en niños que comienzan a hablar. Se destacan tres grandes momentos en estos estudios. En el momento inicial, en la década de 1970, los estudios están sujetos al estudio del significado en distintos tipos de palabras. En el segundo momento (década de 1980 se estudia la relación entre el uso de nuevas palabras y expresiones verbales, y el desarrollo de conocimientos distintos al lenguaje. En el último momento (desde 1990 hasta la actualidad hay un despliegue de perspectivas conceptuales y de dispositivos experimentales en este campo de estudio. Es importante revisar en la investigación posterior algunos temas descuidados aún: el uso de palabras en oraciones, las definiciones precisas de las categorías gramaticales para clasificar palabras y las relaciones del aprendizaje de nuevas palabras con el resto del desarrollo del lenguaje en el niño.This is a review of empirical studies on word learning in children who are beginning to speak. The studies are distributed in three phases. The first phase, in the 1970’s, researchers studied the meaning in different kinds of words. In the second phase (1980’s the relationship between new words, verbal expressions and the development of distinct recognitions of language were studied. By the third phase (1990s to date there is a boom in new conceptual perspectives and experimental devices in this field of study. It is important to review in previous research some areas that were looked over such as: the use of words in sentences, more accurate definitions for grammatical categories used to classify words, and the relationship between new word learning and others aspects of a child’s language development.

  10. Sociohistoire des Black Studies Departments Historia Social de los Departamentos de Estudios Negros Black Studies Departments: A Sociohistory

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    Caroline Rolland-Diamond

    2012-06-01

    émédiable du fait de l’évolution politique et sociale du pays vers des positions conservatrices mêlant idéal social de colorblindness (l’indifférence à la couleur de peau et valorisation du progrès individuel.This article examines the historical conditions that shaped the development of Black Studies departments within American universities in the late 1960s and 1970s, focusing on the initial challenges these new institutions faced. It begins by viewing these circumstances in relation to the rise of Black Power ideology on campuses throughout the United States in the late 1960s, highlighting the manner in which ideas of black nationalism aimed at improving ghetto conditions were adapted to university institutions that had remained until then largely unaffected by years of student protests. Based on several case studies, my analysis seeks to highlight the different strategies adopted by students and faculty members to promote the institutional legitimacy of Black Studies departments in a context of conservative backlash during the Nixon presidency. I argue that practical exigencies related to the drive for institutional acceptance and financial viability forced these actors to abandon their nationalist or community orientations and to move towards a more traditional academic outlook—a change that became irreversible within an increasingly conservative national political landscape dominated by ideals of colorblindness and individualism.Este artículo examina las condiciones históricas que permitieron el desarrollo de los departamentos especializados en estudios sobre los afroamericanos en las universidades americanas durante los años 1960 y 1970. El análisis se centra en los desafíos y retos que inicialmente existieron en ese proceso de institucionalización. Concretamente, se analiza el contexto histórico de la llegada de la ideología del Black Power a los campus americanos a finales de 1960 (conjunción de tres factores decisivos; la desilusión causada por

  11. Status of experimental studies of electron cloud effects at the Los Alamos proton storage ring

    International Nuclear Information System (INIS)

    Macek, R.J.; Browman, A.A.; Borden, M.J.; Fitzgerald, D.H.; McCrady, R.C.; Spickermann, T.J.; Zaugg, T.J.

    2004-01-01

    Various electron cloud effects (ECE) including the two-stream (e-p) instability at the Los Alamos Proton Storage Ring (PSR) have been studied extensively for the past five years with the goal of understanding the phenomena, mitigating the instability and ultimately increasing beam intensity. The specialized diagnostics used in the studies are two types of electron detectors, the retarding field analyzer and the electron sweepmg detector - which have been employed to measure characteristics of the electron cloud as functions of time, location in the ring and various influential beam parameters - plus a short stripline beam position monitor used to measure high frequency motion of the beam centroid. Highlights of this research program are summarized along with more detail on recent results obtained since the ECLOUD'02 workshop. Recent work mcludes a number of parametric studies of the various factors that affect the electron cloud signals, studies of the sources of initial or 'seed' electrons, additional observations of electron cloud dissipation after the beam pulse is extracted, studies of the 'first pulse instability' issue, more data on electron suppression as a cure for the instability, and observations of the effect of a one-turn weak kick on intense beams in the presence of a significant electron cloud.

  12. A cross-sectional study of 'yaws' in districts of Ghana which have previously undertaken azithromycin mass drug administration for trachoma control.

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    Rosanna Ghinai

    2015-01-01

    Full Text Available Yaws, caused by Treponema pallidum ssp. pertenue, is reportedly endemic in Ghana. Mass distribution of azithromycin is now the cornerstone of the WHO yaws eradication campaign. Mass distribution of azithromycin at a lower target dose was previously undertaken in two regions of Ghana for the control of trachoma. Ongoing reporting of yaws raises the possibility that resistance may have emerged in T. pallidum pertenue, or that alternative infections may be responsible for some of the reported cases. We conducted a cross-sectional survey in thirty communities in two districts of Ghana where MDA for trachoma had previously been conducted. Children aged 5-17 years with ulcerative lesions compatible with yaws were enrolled. Samples for treponemal serology and lesion PCR were collected from all children. 90 children with 98 lesions were enrolled. Syphilis serology was negative in all of them. PCR for T. pallidum ssp pertenue was negative in all children, but Haemophilus ducreyi DNA was detected in 9 lesions. In these communities, previously treated for trachoma, we found no evidence of ongoing transmission of yaws. H. ducreyi was associated with a proportion of skin lesions, but the majority of lesions remain unexplained. Integration of diagnostic testing into both pre and post-MDA surveillance systems is required to better inform yaws control programmes.

  13. Epidemiological studies are like cherries, one draws another Los estudios epidemiológicos son como las cerezas, van una detrás de la otra

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    Nuno Lunet

    2009-10-01

    Full Text Available The proverb "Words are like cherries", meaning that when you start talking subjects pop up and you end up with long conversations, just like cherries coming out of the plate in chains when you pick one, may also be applied to epidemiological research. A sequence of epidemiological studies, each being drawn from the previous, is presented as an example of how each investigation may raise new questions to be addressed in following studies. This description stresses the need for appropriate planning and the usefulness of pilot testing to depict inadequacies that can hardly be anticipated without field work. I intend to illustrate how epidemiological research can provide a deep approach to research questions, as long as findings are properly interpreted and suboptimal methodological options are taken into account in future investigations.El proverbio "Las palabras son como las cerezas" que expresa cómo cuando empezamos a hablar los asuntos van surgiendo de manera encadenada y terminamos con largas conversaciones, del mismo modo en que las cerezas que salen del plato encadenadas cuando cogemos una, puede también puede ser aplicado a la investigación epidemiológica. Una secuencia de estudios epidemiológicos, cada uno derivado del anterior, se presenta como un ejemplo de cómo cada investigación puede derivar en nuevas cuestiones en los estudios siguientes. Esta descripción subraya la necesidad de una planificación adecuada así como la utilidad de los estudios piloto para describir las deficiencias que difícilmente podrían haber sido anticipadas sin trabajo de campo. Se pretende ilustrar como la investigación epidemiológica puede proporcionar un enfoque profundo a cuestiones de investigación, siempre y cuando los resultados sean interpretados correctamente y las opciones metodológicas subóptimas sean tenidas en cuenta en futuras investigaciones.

  14. Variation in genetic admixture and population structure among Latinos: the Los Angeles Latino eye study (LALES

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    Le Marchand Loic

    2009-11-01

    Full Text Available Abstract Background Population structure and admixture have strong confounding effects on genetic association studies. Discordant frequencies for age-related macular degeneration (AMD risk alleles and for AMD incidence and prevalence rates are reported across different ethnic groups. We examined the genomic ancestry characterizing 538 Latinos drawn from the Los Angeles Latino Eye Study [LALES] as part of an ongoing AMD-association study. To help assess the degree of Native American ancestry inherited by Latino populations we sampled 25 Mayans and 5 Mexican Indians collected through Coriell's Institute. Levels of European, Asian, and African descent in Latinos were inferred through the USC Multiethnic Panel (USC MEP, formed from a sample from the Multiethnic Cohort (MEC study, the Yoruba African samples from HapMap II, the Singapore Chinese Health Study, and a prospective cohort from Shanghai, China. A total of 233 ancestry informative markers were genotyped for 538 LALES Latinos, 30 Native Americans, and 355 USC MEP individuals (African Americans, Japanese, Chinese, European Americans, Latinos, and Native Hawaiians. Sensitivity of ancestry estimates to relative sample size was considered. Results We detected strong evidence for recent population admixture in LALES Latinos. Gradients of increasing Native American background and of correspondingly decreasing European ancestry were observed as a function of birth origin from North to South. The strongest excess of homozygosity, a reflection of recent population admixture, was observed in non-US born Latinos that recently populated the US. A set of 42 SNPs especially informative for distinguishing between Native Americans and Europeans were identified. Conclusion These findings reflect the historic migration patterns of Native Americans and suggest that while the 'Latino' label is used to categorize the entire population, there exists a strong degree of heterogeneity within that population, and that

  15. Variation in genetic admixture and population structure among Latinos: the Los Angeles Latino eye study (LALES).

    Science.gov (United States)

    Shtir, Corina J; Marjoram, Paul; Azen, Stanley; Conti, David V; Le Marchand, Loic; Haiman, Christopher A; Varma, Rohit

    2009-11-10

    Population structure and admixture have strong confounding effects on genetic association studies. Discordant frequencies for age-related macular degeneration (AMD) risk alleles and for AMD incidence and prevalence rates are reported across different ethnic groups. We examined the genomic ancestry characterizing 538 Latinos drawn from the Los Angeles Latino Eye Study [LALES] as part of an ongoing AMD-association study. To help assess the degree of Native American ancestry inherited by Latino populations we sampled 25 Mayans and 5 Mexican Indians collected through Coriell's Institute. Levels of European, Asian, and African descent in Latinos were inferred through the USC Multiethnic Panel (USC MEP), formed from a sample from the Multiethnic Cohort (MEC) study, the Yoruba African samples from HapMap II, the Singapore Chinese Health Study, and a prospective cohort from Shanghai, China. A total of 233 ancestry informative markers were genotyped for 538 LALES Latinos, 30 Native Americans, and 355 USC MEP individuals (African Americans, Japanese, Chinese, European Americans, Latinos, and Native Hawaiians). Sensitivity of ancestry estimates to relative sample size was considered. We detected strong evidence for recent population admixture in LALES Latinos. Gradients of increasing Native American background and of correspondingly decreasing European ancestry were observed as a function of birth origin from North to South. The strongest excess of homozygosity, a reflection of recent population admixture, was observed in non-US born Latinos that recently populated the US. A set of 42 SNPs especially informative for distinguishing between Native Americans and Europeans were identified. These findings reflect the historic migration patterns of Native Americans and suggest that while the 'Latino' label is used to categorize the entire population, there exists a strong degree of heterogeneity within that population, and that it will be important to assess this heterogeneity

  16. Mortality study of Los Alamos workers with higher exposures to plutonium

    International Nuclear Information System (INIS)

    Voelz, G.L.; Wilkinson, G.S.; Healy, J.W.; McInroy, J.F.; Tietjen, G.L.

    1983-01-01

    A group of white male workers with the highest internal depositions of plutonium at the Los Alamos National Laboratory was selected in 1974 for a study of mortality. This group of 224 persons includes all those with an estimated deposition (in 1974) of 10 nanocuries or more of plutonium, principally 239 Pu but also in some cases 238 Pu. Follow-up of these workers is 100% complete through 1980. Smoking histories were obtained on all persons. Exposure histories for external radiation and plutonium were reviewed for each subject. Standardized mortality ratios (SMR) were calculated using rates for white males in the United States population, adjusted for age and year of death. SMRs are low for all causes of death (56; 95% CI 40, 75) or for all malignant neoplasms (54; 95% CI 23,106). Cancers of interest for plutonium exposures, including cancers of bone, lung, liver, and bone marrow/lymphatic systems, were infrequent or absent. The absence of a detectable excess of cancer deaths is consistent with the low calculated risk to these workers using current radiation risk coefficients. An alternate theory that suggests much higher risk of lung cancer due to synergistic effects of smoking and inhaled insoluble plutonium particles is not supported by this study

  17. Study of nasal swipe analysis methods at Los Alamos National Laboratory

    International Nuclear Information System (INIS)

    Metcalf, R.A.

    1996-01-01

    The Health Physics Analysis Laboratory (HPAL) performs around 30,000 nasal swipe analyses for transuranic nuclides each year in support of worker health and safety at the Los Alamos National Laboratory (LANL). The analysis method used employs cotton swabs swiped inside a nostril and liquid scintillation analyses of the swabs. The technical basis of this method was developed at LANL and has been in use for over 10 years. Recently, questions regarding the usefulness of a non-homogeneous mixture in liquid scintillation analyses have created a need for re-evaluation of the method. A study of the validity of the method shows it provides reliable, stable, and useful data as an indicator of personnel contamination. The study has also provided insight into the underlying process which occurs to allow the analysis. Further review of this process has shown that similar results can be obtained with different sample matrices, using less material than the current analysis method. This reduction can save HPAL the cost of materials as well as greatly reduce the waste created. Radionuclides of concern include Am-241, Pu-239, and Pu-238

  18. Treatment of advanced, recurrent, resistant to previous treatments basal and squamous cell skin carcinomas with a synergistic formulation of interferons. Open, prospective study

    Directory of Open Access Journals (Sweden)

    Lopez-Saura Pedro

    2009-07-01

    Full Text Available Abstract Background Aggressive non-melanoma skin cancer (deeply infiltrating, recurrent, and morphea form lesions are therapeutically challenging because they require considerable tissue loss and may demand radical disfiguring surgery. Interferons (IFN may provide a non-surgical approach to the management of these tumors. The aim of this work was to evaluate the effect of a formulation containing IFNs-α and -γ in synergistic proportions on patients with recurrent, advanced basal cell (BCC or squamous cell skin carcinomas (SCSC. Methods Patients with extensive, recurrent, resistant to other procedures BCC or SCSC received the IFN formulation peri- and intralesionally, three times per week for 3 weeks. They had been previously treated with surgery and/or radiotherapy or chemotherapy. Thirteen weeks after the end of treatment, the original lesion sites were examined for histological evidence of remaining tumor. Results Sixteen elder (median 70 years-old patients were included. They beared 12 BCC and 4 SCSC ranging from 1.5 to 12.5 cm in the longest dimension. At the end of treatment 47% CR (complete tumor elimination, 40% PR (>30% tumor reduction, and 13% stable disease were obtained. None of the patients relapsed during the treatment period. The median duration of the response was 38 months. Only one patient with complete response had relapsed until today. Principal adverse reactions were influenza-like symptoms well known to occur with interferon therapy, which were well tolerated. Conclusion The peri- and intralesional combination of IFNs-α and -γ was safe and showed effect for the treatment of advanced, recurrent and resistant to previous treatments of BCC and SCSC in elder patients. This is the first report of such treatment in patients with advance non-melanoma skin cancer. The encouraging result justifies further confirmatory trials. Trial registration Current Controlled Trials RPCEC00000052.

  19. Treatment of advanced, recurrent, resistant to previous treatments basal and squamous cell skin carcinomas with a synergistic formulation of interferons. Open, prospective study

    International Nuclear Information System (INIS)

    Anasagasti-Angulo, Lorenzo; Garcia-Vega, Yanelda; Barcelona-Perez, Silvia; Lopez-Saura, Pedro; Bello-Rivero, Iraldo

    2009-01-01

    Aggressive non-melanoma skin cancer (deeply infiltrating, recurrent, and morphea form lesions) are therapeutically challenging because they require considerable tissue loss and may demand radical disfiguring surgery. Interferons (IFN) may provide a non-surgical approach to the management of these tumors. The aim of this work was to evaluate the effect of a formulation containing IFNs-α and -γ in synergistic proportions on patients with recurrent, advanced basal cell (BCC) or squamous cell skin carcinomas (SCSC). Patients with extensive, recurrent, resistant to other procedures BCC or SCSC received the IFN formulation peri- and intralesionally, three times per week for 3 weeks. They had been previously treated with surgery and/or radiotherapy or chemotherapy. Thirteen weeks after the end of treatment, the original lesion sites were examined for histological evidence of remaining tumor. Sixteen elder (median 70 years-old) patients were included. They beared 12 BCC and 4 SCSC ranging from 1.5 to 12.5 cm in the longest dimension. At the end of treatment 47% CR (complete tumor elimination), 40% PR (>30% tumor reduction), and 13% stable disease were obtained. None of the patients relapsed during the treatment period. The median duration of the response was 38 months. Only one patient with complete response had relapsed until today. Principal adverse reactions were influenza-like symptoms well known to occur with interferon therapy, which were well tolerated. The peri- and intralesional combination of IFNs-α and -γ was safe and showed effect for the treatment of advanced, recurrent and resistant to previous treatments of BCC and SCSC in elder patients. This is the first report of such treatment in patients with advance non-melanoma skin cancer. The encouraging result justifies further confirmatory trials. Current Controlled Trials RPCEC00000052

  20. Evidence of inadequate ventilation in portable classrooms: results of a pilot study in Los Angeles County.

    Science.gov (United States)

    Shendell, D G; Winer, A M; Weker, R; Colome, S D

    2004-06-01

    The prevalence of prefabricated, portable classrooms (portables) for United States public schools has increased; in California, approximately one of three students learn inside portables. Limited research has been conducted on indoor air and environmental quality in American schools, and almost none in portables. Available reports and conference proceedings suggest problems from insufficient ventilation due to poor design, operation, and/or maintenance of heating, ventilation and air conditioning (HVAC) systems; most portables have one mechanical, wall-mounted HVAC system. A pilot assessment was conducted in Los Angeles County, including measurements of integrated ventilation rates based on a perfluorocarbon tracer gas technique and continuous monitoring of temperature (T) and relative humidity (RH). Measured ventilation rates were low [mean school day integrated average 0.8 per hour (range: 0.1-2.9 per hour)]. Compared with relevant standards, results suggested adequate ventilation and associated conditioning of indoor air for occupant comfort were not always provided to these classrooms. Future school studies should include integrated and continuous measurements of T, RH, and ventilation with appropriate tracer gas methods, and other airflow measures. Adequate ventilation has the potential to mitigate concentrations of chemical pollutants, particles, carbon dioxide, and odors in portable and traditional classrooms, which should lead to a reduction in reported health outcomes, e.g., symptoms of 'sick building syndrome', allergies, asthma. Investigations of school indoor air and environmental quality should include continuous temperature and relative humidity data with inexpensive instrumentation as indicators of thermal comfort, and techniques to measure ventilation rates.

  1. Los Alamos PWR feed-and-bleed studies summary results and conclusions

    International Nuclear Information System (INIS)

    Boyack, B.E.; Henninger, R.J.; Lime, J.F.

    1985-01-01

    The adequacy of shutdown decay heat removal in pressurized water reactors (PWRs) is currently under investigation by the Nuclear Regulatory Commission. One part of this effort is review of feed-and-bleed procedures that could be used if the normal cooling mode through the steam generators was unavailable. Feed-and-bleed cooling is effected by manually activating the high-pressure injection (HPI) system and opening the power-operated relief valves (PORVs) to release the core decay energy. The feasibility of the feed-and-bleed concept as a diverse mode of heat removal has been evaluated at the Los Alamos National Laboratory. The TRAC-PF1 code has been used to predict the expected performances of the Oconee-1 and Calvert Cliffs-1 reactors of Babcock and Wilcox and Combustion Engineering, respectively, and the Zion-1 and H.B. Robinson-2 plants of Westinghouse. Feed and bleed was successfully applied in each of the four plants studied, provided it was initiated no later than the time of loss-of-secondary heat sink

  2. The Sima de los Huesos crania (Sierra de Atapuerca, Spain). A comparative study.

    Science.gov (United States)

    Arsuaga, J L; Martínez, I; Gracia, A; Lorenzo, C

    1997-01-01

    The Sima de los Huesos (Sierra de Atapuerca) cranial remains found up to and including the 1995 field season are described and compared with other fossils in order to assess their evolutionary relationships. The phenetic affinities of the Sima de los Huesos crania and a large sample of Homo fossils are investigated through principal component analyses. Metrical comparisons of the Sima de los Huesos and other European and African Middle Pleistocene fossils with Neandertals are performed using Z-scores relative to the Neandertal sample statistics. The most relevant cranial traits are metrically and morphologically analyzed and cladistically evaluated. The Sima de los Huesos crania exhibit a number of primitive traits lost in Upper Pleistocene Neandertals (especially in the braincase, but also in the facial skeleton), as well as other traits that are transitional to the Neandertal morphology (particularly in the occipital bone), and features close to what is found in Neandertals (as the supraorbital morphology and midfacial prognathism). Different combinations of primitive and derived traits (shared with Neandertals) are also displayed by the other European Middle Pleistocene fossils. In conclusion, the Sima de los Huesos sample is evolutionarily related to Neandertals as well as to the other European Middle Pleistocene fossils. In our opinion, all the European Middle Pleistocene fossils belong to the Neandertal lineage, and none can be included in an Afroeuropean common ancestor of Neandertals and modern humans.

  3. Prognostic factors in multiple myeloma: definition of risk groups in 410 previously untreated patients: a Grupo Argentino de Tratamiento de la Leucemia Aguda study.

    Science.gov (United States)

    Corrado, C; Santarelli, M T; Pavlovsky, S; Pizzolato, M

    1989-12-01

    Four hundred ten previously untreated multiple myeloma patients entered onto two consecutive Grupo Argentino de Tratamiento de la Leucemia Aguda (GATLA) protocols were analyzed to identify significant prognostic factors influencing survival. The univariate analysis selected the following variables: performance status, renal function, percentage of bone marrow plasma cells at diagnosis, hemoglobin, and age. A multivariate analysis showed that performance status, renal function, percentage of bone marrow plasma cells, hemoglobin, and age were the best predictive variables for survival. A score was assigned to each patient according to these variables, which led to their classification in three groups: good, intermediate, and poor risk, with a probability of survival of 26% and 10% at 96 months, and 5% at 56 months, and median survival of 60, 37, and 14 months, respectively (P = .0000). In our patient population, this model proved to be superior to the Durie-Salmon staging system in defining prognostic risk groups, and separating patients with significantly different risks within each Durie-Salmon stage.

  4. Implementation of an electronic medical record system in previously computer-naïve primary care centres: a pilot study from Cyprus.

    Science.gov (United States)

    Samoutis, George; Soteriades, Elpidoforos S; Kounalakis, Dimitris K; Zachariadou, Theodora; Philalithis, Anastasios; Lionis, Christos

    2007-01-01

    The computer-based electronic medical record (EMR) is an essential new technology in health care, contributing to high-quality patient care and efficient patient management. The majority of southern European countries, however, have not yet implemented universal EMR systems and many efforts are still ongoing. We describe the development of an EMR system and its pilot implementation and evaluation in two previously computer-naïve public primary care centres in Cyprus. One urban and one rural primary care centre along with their personnel (physicians and nurses) were selected to participate. Both qualitative and quantitative evaluation tools were used during the implementation phase. Qualitative data analysis was based on the framework approach, whereas quantitative assessment was based on a nine-item questionnaire and EMR usage parameters. Two public primary care centres participated, and a total often health professionals served as EMR system evaluators. Physicians and nurses rated EMR relatively highly, while patients were the most enthusiastic supporters for the new information system. Major implementation impediments were the physicians' perceptions that EMR usage negatively affected their workflow, physicians' legal concerns, lack of incentives, system breakdowns, software design problems, transition difficulties and lack of familiarity with electronic equipment. The importance of combining qualitative and quantitative evaluation tools is highlighted. More efforts are needed for the universal adoption and routine use of EMR in the primary care system of Cyprus as several barriers to adoption exist; however, none is insurmountable. Computerised systems could improve efficiency and quality of care in Cyprus, benefiting the entire population.

  5. Prospective monitoring and self-report of previous falls among older women at high risk of falls and fractures: a study of comparison and agreement.

    Science.gov (United States)

    Garcia, Patrícia A; Dias, João M D; Silva, Silvia L A; Dias, Rosângela C

    2015-01-01

    The identification of the occurrence of falls is an important step for screening and for rehabilitation processes for the elderly. The methods of monitoring these events are susceptible to recording biases, and the choice of the most accurate method remains challenging. (i) To investigate the agreement between retrospective self-reporting and prospective monitoring of methods of recording falls, and (ii) to compare the retrospective self-reporting of falls and the prospective monitoring of falls and recurrent falls over a 12-month period among older women at high risk of falls and fractures. A total of 118 community-dwelling older women with low bone density were recruited. The incidence of falls was monitored prospectively in 116 older women (2 losses) via monthly phone calls over the course of a year. At the end of this monitoring period, the older women were asked about their recall of falls in the same 12-month period. The agreement between the two methods was analyzed, and the sensitivity and specificity of self-reported previous falls in relation to the prospective monitoring were calculated. There was moderate agreement between the prospective monitoring and the retrospective self-reporting of falls in classifying fallers (Kappa = 0.595) and recurrent fallers (Kappa = 0.589). The limits of agreement were 0.35 ± 1.66 falls. The self-reporting of prior falls had a 67.2% sensitivity and a 94.2% specificity in classifying fallers among older women and a 50% sensitivity and a 98.9% specificity in classifying recurrent fallers. Self-reporting of falls over a 12-month period underestimated 32.8% of falls and 50% of recurrent falls. The findings recommend caution if one is considering replacing monthly monitoring with annual retrospective questioning.

  6. The importance of continued exercise participation in quality of life and psychological well-being in previously inactive postmenopausal women: a pilot study.

    Science.gov (United States)

    Asbury, Elizabeth A; Chandrruangphen, Pornpat; Collins, Peter

    2006-01-01

    Exercise and physical activity provide a wide range of health benefits for postmenopausal women, although the impact of maintained exercise participation on psychological well-being is unclear. An exploration of continued exercise participation in psychological well-being after a moderate-intensity exercise program in previously inactive postmenopausal women was therefore undertaken. : Twenty-three healthy sedentary postmenopausal women (age 56 +/- 4 years) were randomly assigned to two groups. All participants completed the Short Form-36, Hospital Anxiety and Depression Scale (HADS), and Health Anxiety Questionnaire (HAQ) and then began a 6-week walking program at 50% heart rate reserve defined by (.-)V(O(2)) treadmill testing. Post-intervention, all participants underwent (.-)V(O(2)) treadmill testing and questionnaires. Group 1 was then instructed to continue exercising, whereas group 2 was instructed to desist for an additional 6-week period. On completion of the 6-week follow-up, participants completed a final set of questionnaires. Participants performed 97% of the prescribed 15-hour (900 minute) exercise program (875.1 +/- 177.4 minutes) in an average of 26 +/- 5 sessions. Total HAQ (P = 0.001), health worry (P = 0.001), fear of illness (P = 0.037), reassurance seeking behavior (P = 0.037), SF-36 well-being (P = 0.037), total HADS (P = 0.019), and HADS depression (P = 0.015) improved significantly following the exercise program. At follow-up, group 1 had lower HADS anxiety (P = 0.013), total HADS (P = 0.02), total HAQ (P = 0.03), and HAQ interference with life (P = 0.03) and significantly higher SF-36 energy (P = 0.01) than group 2. Healthy postmenopausal women gain significant psychological benefit from moderate-intensity exercise. However, exercise participation must continue to maintain improvements in psychological well-being and quality of life.

  7. Plasma dynamics studies on the Los Alamos Solid Fiber Z-Pinch

    International Nuclear Information System (INIS)

    Riley, R.A.; Scudder, D.W.; Shlachter, J.S.

    1993-01-01

    The Los Alamos High Density Z Pinch-II (HDZP-II) experiments is being used to study the dynamics of z-pinch plasmas generated from thin solid fibers of deuterated polyethylene (CD 2 ). A model has been developed which incorporates anomalous heating due to instability-generated turbulence. HDZP-II uses a pulsed-power generator that delivers a current of up to 1 MA with a 100 ns rise-time through an inductive load. The surface of the solid fiber, with a 5-cm length and 3-50μm radius, immediately ionizes and rapidly expands in radius. As the plasma is heated, more and more of the fiber is ablated until the entire fiber is ionized. The fully ionized fiber continues to expand radially. Diagnostics include a multi-frame shadowgraph, a three channel X-ray crystal reflection monochromometer, a single frame point-diffraction interferometer, neutron detectors, and generator monitors. The shadowgraph provides the plasma shape in seven frames taken at 10-ns intervals. This has shown very strong m=0 instability at the onset of current, even for small pre-pulse currents. The interferometer provides the plasma line density and, assuming cylindrical symmetry, the electron density. This is used to open-quotes calibrateclose quotes how much of the plasma is contained in the shape given by the shadowgraphs. The author have chosen a small enough aperture to have most of the plasma in the shadowgraph. The X-ray monochromometer provides the electron temperature as a function of time. The temperature generally rises to 90 eV at 40 ns into the current and remains very flat until near the end of the current ramp. The results from these diagnostics and their bearing on anomalous turbulent heating will be presented

  8. Preliminary results from the Los Alamos TA54 complex terrain Atmospheric Transport Study (ATS)

    Energy Technology Data Exchange (ETDEWEB)

    Vold, E.; Chan, M.; Sanders, L.

    1995-09-01

    The Los Alamos National Laboratory (LANL) Low-Level Radioactive Waste (LLRW) disposal site at TA54, Area G la located on a mesa top amidst a complex terrain of finger like mesas typically 30 motors or more In height above canyons of widths varying from 100 to 300 motors. Atmospheric dispersion from this site is of concern for routine operations and for potential Incidents during waste retrieval operations. Indian lands are located In the dominant downwind direction within 500 m from the site and provide further incentive to understand the potential and actual impacts of waste disposal operations. The permanent network of meteorological towers at LANL have been located primarily at mesa-top locations to coincide with most laboratory facilities and as such do not resolve the effects of channeling in the canyons and the influence this has on potential surface releases. An Atmospheric Transport Study (ATS) was initiated to better understand the wind flow fields and dispersion from the LANL Waste Storage and Disposal facilities at TA-54, Area G. As part of this effort, a series of six portable meteorological towers were sited in the vicinity of Area G, two at mesa top locations, one just east of the site where the mesas have dissipated to mild ridges, and three in the canyons adjacent to the disposal site mesa as indicated on the topographic representation of the local terrain. Since 1994, the towers have collected horizontal wind velocities, pressure, temperature, relative humidity and a radiation gamma reading every fifteen minutes. The data bass is being analyzed for trends and to provide a basis for comparison to computational modeling efforts to predict the flow fields.

  9. Preliminary results from the Los Alamos TA54 complex terrain Atmospheric Transport Study (ATS)

    International Nuclear Information System (INIS)

    Vold, E.; Chan, M.; Sanders, L.

    1995-01-01

    The Los Alamos National Laboratory (LANL) Low-Level Radioactive Waste (LLRW) disposal site at TA54, Area G la located on a mesa top amidst a complex terrain of finger like mesas typically 30 motors or more In height above canyons of widths varying from 100 to 300 motors. Atmospheric dispersion from this site is of concern for routine operations and for potential Incidents during waste retrieval operations. Indian lands are located In the dominant downwind direction within 500 m from the site and provide further incentive to understand the potential and actual impacts of waste disposal operations. The permanent network of meteorological towers at LANL have been located primarily at mesa-top locations to coincide with most laboratory facilities and as such do not resolve the effects of channeling in the canyons and the influence this has on potential surface releases. An Atmospheric Transport Study (ATS) was initiated to better understand the wind flow fields and dispersion from the LANL Waste Storage and Disposal facilities at TA-54, Area G. As part of this effort, a series of six portable meteorological towers were sited in the vicinity of Area G, two at mesa top locations, one just east of the site where the mesas have dissipated to mild ridges, and three in the canyons adjacent to the disposal site mesa as indicated on the topographic representation of the local terrain. Since 1994, the towers have collected horizontal wind velocities, pressure, temperature, relative humidity and a radiation gamma reading every fifteen minutes. The data bass is being analyzed for trends and to provide a basis for comparison to computational modeling efforts to predict the flow fields

  10. Los implantes MG-OSSEOUS: Estudio multicéntrico retrospectivo MG-OSSEOUS implants: A multicentric retrospective study

    Directory of Open Access Journals (Sweden)

    E. Serrano Caturla

    2006-12-01

    Full Text Available Objetivo. Aportar unos datos estadísticamente fiables sobre la supervivencia e incidencias asociadas a los implantes y prótesis del modelo MG-OSSEOUS (Mozo-Grau, S.L., Valladolid, España y demostrar que su eficacia es comparable a todas las marcas comerciales. Material y método. Estudio multicéntrico retrospectivo coordinado por la empresa Scientific Management in O&SS (Barcelona, España. Se colocaron 1001 implantes en 247 pacientes y se diseñaron 328 prótesis, entre los años 2004 y 2005, con un seguimiento de 2 años. Todos los implantes cargados. Se analizan y pormenorizan todos los implantes, por diámetros, longitudes, posiciones, fases quirúrgicas, cargas, tipos y modelos de prótesis y técnicas complementarias aplicadas, tanto sincrónica como anacrónicamente. Resultados. Tras la homogeneización de las muestras, se objetiva una supervivencia del 97,8% a los 2 años, detallando los fracasos según las características de cada caso clínico. No se reporta ningún fracaso de la prótesis. Discusión. Protocolizamos una serie de criterios e indicaciones a la hora de colocar los implantes MG-OSSEOUS según los casos clínicos. Comparamos nuestros resultados con la bibliografía, tanto pretérita como actual, coincidiendo con la manera de actuar a lo largo de la historia de la implantología. Finalmente, extrapolamos los resultados que consideramos comparables a los publicados por el grupo Branemark. Conclusión. La calidad del implante MG-OSSEOUS combinada con protocolos implantológicos científicamente contrastados, muestra un 2,2% de fracaso a los 2 años de seguimiento, con un porcentaje de éxito del 100% tanto en la recolocación del implante como en la fase protésica.Objective. We present some statistically contrasted results regarding the survival and incidences of MG-OSSEOUS implants and prosthetic components (Mozo-Grau, S.L., Valladolid, Spain, and we prove that they have the same efficacy when compared with other

  11. The possibility of previous epidemiological data to serve as baseline for future national oral health surveys--a study in Vietnam.

    NARCIS (Netherlands)

    Palenstein Helderman, W.H. van; Truin, G.J.; Can, N.; Khanh, N.D.

    2001-01-01

    AIM: The purpose of this paper is to review the most recent epidemiological data (1985-2000) on dental caries and periodontal diseases in Vietnam in an attempt to obtain a 'baseline' for future national oral health surveys. METHODS: Studies on periodontal diseases and caries were included when CPITN

  12. Alfalfa (Medicago sativa L.) is tolerant to higher levels of salinity than previous guidelines indicated: Implications of field and greenhouse studies

    Science.gov (United States)

    Putnam, Daniel H.; Benes, Sharon; Galdi, Giuliano; Hutmacher, Bob; Grattan, Steve

    2017-04-01

    Alfalfa (Medicago sativa L.) is the most widely grown leguminous forage crop in North America and is valued for high productivity, quality, economic value, and for dairy productivity. Alfalfa has historically been classified as moderately sensitive to saline conditions, with yield declines predicted at >2 dS/m in the saturated soil paste extract. However, greenhouse, sand tank, and field studies over the past five years have confirmed that alfalfa can be grown with limited negative effects at much higher salinity levels. A broad collection of alfalfa varieties has exhibited a range of resistance at irrigation water salinities >5 dS/m ECw in greenhouse trials, with significant variation due to variety. USDA-ARS sand tank studies indicated similar or greater tolerances closer to 8 dS/m in the soil water, in addition to confirmation of significant varietal differences. A three-year field study on clay loam soil with applications of 5-7 dS/m ECw irrigation water indicated normal yields and excellent stand survivability. A second field study in the same soil type with levels from 8-10 dS/m ECw showed yield reductions of 10-15% but economic yields were still achieved at those levels. Field and greenhouse studies were conducted with mixed salt saline sodic waters typical of the San Joaquin Valley of California. Field evaluation of variety performance was subject to greater variation due to secondary salinity-soil interactions including water infiltration and crusting problems, not only salinity per-se. Thus, adequate irrigation water availability to the crop may be as important as salinity in impacting yields under field conditions. Once established, the deep-rooted characteristics of alfalfa enable utilization of deeper subsurface moisture, even at moderate to high salinity levels, as documented by USDA lysimeter studies. Significant advantages to salinity-tolerant varieties have been observed. It will be important to consider specific management factors which may enable

  13. Effect of benzalkonium chloride?free travoprost on intraocular pressure and ocular surface symptoms in patients with glaucoma previously on latanoprost: an open-label study

    OpenAIRE

    Lopes, Joao F.; Hubatsch, Douglas A.; Amaris, Patricia

    2015-01-01

    Background Prostaglandin analogs reduce intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension; however, these medications may affect the ocular surface and elicit ocular discomfort when preserved with benzalkonium chloride (BAK). Methods This was an open-label, single-arm study conducted in Latin America from February 2012 to May 2013. Patients with open-angle glaucoma or ocular hypertension who were intolerant of latanoprost 0.005?% were transitioned to recei...

  14. Effect of benzalkonium chloride-free travoprost on intraocular pressure and ocular surface symptoms in patients with glaucoma previously on latanoprost: an open-label study.

    Science.gov (United States)

    Lopes, Joao F; Hubatsch, Douglas A; Amaris, Patricia

    2015-11-12

    Prostaglandin analogs reduce intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension; however, these medications may affect the ocular surface and elicit ocular discomfort when preserved with benzalkonium chloride (BAK). This was an open-label, single-arm study conducted in Latin America from February 2012 to May 2013. Patients with open-angle glaucoma or ocular hypertension who were intolerant of latanoprost 0.005 % were transitioned to receive once-daily BAK-free travoprost 0.004 % containing polyquaternium-1 (Travatan® preserved with POLYQUAD® [PQ], Alcon Laboratories, Inc; Fort Worth, TX) for 12 weeks. Mean change in IOP from baseline (primary efficacy endpoint) and the percentage of patients who achieved a target IOP of ≤18 mmHg were evaluated at all on-therapy visits. Ocular hyperemia, patient preference, and self-projected adherence were assessed at week 12. Adverse events (AEs) were monitored throughout the study. All enrolled patients were included in the analysis (n = 191); the majority of patients (90.6 %, n = 173/191) completed the study. Mean (SD) patient age was 67.5 (11.3) years, and mean baseline IOP was 14.8 mmHg. Mean IOP was reduced by 0.94 mmHg at week 6 and by 1.09 mmHg at week 12 (P glaucoma or ocular hypertension who were intolerant of latanoprost. BAK-free travoprost 0.004 % is a viable alternative for patients who require switching their IOP-lowering medications because of tolerability issues. ClinicalTrials.gov identifier, NCT01510145.

  15. Does hyperbaric oxygen treatment have the potential to increase salivary flow rate and reduce xerostomia in previously irradiated head and neck cancer patients? A pilot study

    DEFF Research Database (Denmark)

    Forner, Lone; Hansen, Ole Hyldegaard; von Brockdorff, Annet Schack

    2011-01-01

    in irradiated head and neck cancer patients. Eighty patients eligible for HBO treatment on the indication of prevention/treatment of osteoradionecrosis or soft tissue radiation injury were consecutively sampled, of whom 45 had hyposalivation (i.e. unstimulated whole saliva (UWS) flow rate......Irradiated head and neck cancer survivors treated in the Hyperbaric Oxygen (HBO) Unit, Copenhagen University Hospital, spontaneously reported improvement of radiation-induced dry mouth feeling. The aim of this pilot study was to evaluate salivary flow rate and xerostomia before and after HBO...

  16. Previous study for the setting up and optimization of detection of ZnS(Ag) scintillation applied to the measure of alpha radioactivity index

    International Nuclear Information System (INIS)

    Pujol, L.; Suarez-Navarro, J.A.; Montero, M.

    1998-01-01

    The determination of radiological water quality is useful for a wide range of environmental studies. In these cases, the gross alpha activity is one of the parameters to determine. This parameter permits to decide if further radiological analyses are necessary in order to identify and quantify the presence of alpha emitters in water. The usual method for monitoring the gross alpha activity includes sample evaporation to dryness on a disk and counting using ZnS(Ag) scintillation detector. Detector electronics is provided with two components which are adjustable by the user the high-voltage applied to the photomultiplier tubes and the low level discriminator that is used to eliminate the electronic noise. The high-voltage and low level discriminator optimization are convenient in order to reach the best counting conditions. This paper is a preliminary study of the procedure followed for the setting up and optimization of the detector electronics in the laboratories of CEDEX for the measurement of gross alpha activity. (Author)

  17. [Mutations of resistance of HIV-1 in previously untreated patients at penitentiary centers of the Autonomous Community of Valencia, Spain. REPRICOVA study].

    Science.gov (United States)

    García-Guerrero, Julio; Herrero, Agustín; Vera, Enrique; Almenara, José M; Araújo, Rosa; Saurí, Vicente V; Castellano, Juan C; Fernández-Clemente, Luis; Bedia, Miguel; Llorente, María I; González-Morán, Francisco

    2002-03-02

    Our purpose was to determine the prevalence of mutations of resistance to nucleoside inhibitors of reverse transcriptase (NIRT) and protease inhibitors (PI) in the HIV-1 genotype of naïve infected subjects in the prisons of the Autonomous Community of Valencia, Spain. Multicentric, descriptive, cross-sectional study of prevalence including a systematic stratified and randomised sampling by centres. Demographic, clinical, virological and immunological data were collected. The HIV gene of protease and transcriptase was studied in peripheral blood plasma samples by means of double PCR amplification and subsequent automatic sequence. Reference: wild strain HXB2. Plasma was obtained from 133 individuals (119 men and 14 women). 117 samples were selected and the rest did not have enough copies for transcription. With regard to NIRT, 7 samples (5.2% of total) showed some mutation of resistance: M41L, D67N, L210W and K219Q, all them secondary to and associated with resistance to zidovudine, abacavir as well as group B multinucleoside-resistance. With regard to PI, only one sample showed a primary mutation, M46I, which was associated with resistance to indinavir. Moreover, a further 41 samples were found to express some secondary mutation. In our series, there was a low number of primary mutations of resistance. These results allow us to exclude the systematic use of resistance tests before an initiation antiretroviral therapy.

  18. Comparación de los valores del espesor corneal central según los equipos Lenstar, Galilei y Pentacam Comparative study of the central corneal thickness measurements taken by Lenstar, Gallilei and Pentacam equipment

    Directory of Open Access Journals (Sweden)

    Iramis Miranda Hernández

    2012-06-01

    Full Text Available Objetivo: Comparar valores del espesor corneal central obtenidos mediante la paquimetría con el sistema de interferometria de coherencia parcial (Lenstar con los sistemas Scheimpflug (Pentacam; Oculus y Galilei (Ziemer, Suiza. Métodos: Se realizó un estudio prospectivo, comparativo en 120 ojos de 60 pacientes. Para la comparación se tomaron varias mediciones recomendadas por los fabricantes para probar la eficacia del equipo con el nuevo biómetro Lenstar LS 900 (Haag Streit AG y con los equipos Pentacam y Galilei. La comparación de los valores se realizó mediante el análisis de regresión lineal y correlación de Pearson. Resultados: El análisis reveló que existe una alta correspondencia en los valores del espesor corneal central entre Lenstar y los topógrafos Galilei y Pentacam. Conclusiones: Existe una alta correspondencia entre los valores del espesor corneal central obtenidos por los equipos Lenstar, Pentacam y Galilei. Por esto el equipo Lenstar es útil en la cirugía de catarata y la cirugía refractiva.Objective: To compare the central corneal thickness measurements taken by pachimetry with the partial coherence interferometry, Lenstar and with Scheimpflug systems (Pentacam; Oculus and Galilei (Ziemer, Switzerland. Methods: Comparative and prospective study of 120 eyes from 60 patients. Several recommended measurements were taken with the optical biometers LenstarLS 900 (Haag Streit AG and with Pentacam y Galilei topographers. The results were evaluated using the linear regresión analysis and Pearson´s correlation. Results: There is high correlation among the central corneal thickness measurements taken by the Lenstar equipment and topographers Pentacam and Galilei. Conclusion: The new biometer LENSTAR provided results that correlated very well with those of the Pentacam and Galilei systems. The Lenstar is a precise device that will be helpful for any cataract or refractive surgery.

  19. In Vitro Fertilization Outcomes After Placement of Essure Microinserts in Patients With Hydrosalpinges Who Previously Failed In Vitro Fertilization Treatment: A Multicenter Study.

    Science.gov (United States)

    Cohen, Shlomo B; Bouaziz, Jerome; Schiff, Eyal; Simon, Alexander; Nadjary, Michel; Goldenberg, Mordechai; Orvieto, Raoul; Revel, Ariel

    2016-01-01

    To investigate whether hysteroscopic proximal tubal occlusion with Essure microinserts (Conceptus Inc.; Bayer, AG, North Rhine-Westphalia, Germany) can improve pregnancy rates in patients with hydrosalpinges who had failed in vitro fertilization (IVF) treatment. A prospective cohort study. University-affiliated tertiary centers. Twenty-four consecutive women with hydrosalpinges who had failed IVF treatment were included. Hysteroscopic placement of Essure microinserts for hydrosalpinx blockage followed by IVF treatment. Ongoing pregnancy and live birth rates were recorded. Of the 24 patients undergoing a total of 42 IVF cycles after Essure insertion, 18 (75% of patients and 42.8% of IVF cycle attempts) conceived and 16 delivered live births (66.6% of patients and 38.1% of IVF cycle attempts). Hysteroscopic proximal occlusion of hydrosalpinges with Essure microinserts is a valuable alternative to laparoscopic salpingectomy, resulting in reasonable pregnancy rates. Copyright © 2016 AAGL. Published by Elsevier Inc. All rights reserved.

  20. Kansas City Cardiomyopathy Questionnaire Score Is Associated With Incident Heart Failure Hospitalization in Patients With Chronic Kidney Disease Without Previously Diagnosed Heart Failure: Chronic Renal Insufficiency Cohort Study.

    Science.gov (United States)

    Mishra, Rakesh K; Yang, Wei; Roy, Jason; Anderson, Amanda H; Bansal, Nisha; Chen, Jing; DeFilippi, Christopher; Delafontaine, Patrice; Feldman, Harold I; Kallem, Radhakrishna; Kusek, John W; Lora, Claudia M; Rosas, Sylvia E; Go, Alan S; Shlipak, Michael G

    2015-07-01

    Chronic kidney disease is a risk factor for heart failure (HF). Patients with chronic kidney disease without diagnosed HF have an increased burden of symptoms characteristic of HF. It is not known whether these symptoms are associated with occurrence of new onset HF. We studied the association of a modified Kansas City Cardiomyopathy Questionnaire with newly identified cases of hospitalized HF among 3093 participants enrolled in the Chronic Renal Insufficiency Cohort (CRIC) Study who did not report HF at baseline. The annually updated Kansas City Cardiomyopathy Questionnaire score was categorized into quartiles (Q1-4) with the lower scores representing the worse symptoms. Multivariable-adjusted repeated measure logistic regression models were adjusted for demographic characteristics, clinical risk factors for HF, N-terminal probrain natriuretic peptide level and left ventricular hypertrophy, left ventricular systolic and diastolic dysfunction. Over a mean (±SD) follow-up period of 4.3±1.6 years, there were 211 new cases of HF hospitalizations. The risk of HF hospitalization increased with increasing symptom quartiles; 2.62, 1.85, 1.14, and 0.74 events per 100 person-years, respectively. The median number of annual Kansas City Cardiomyopathy Questionnaire assessments per participant was 5 (interquartile range, 3-6). The annually updated Kansas City Cardiomyopathy Questionnaire score was independently associated with higher risk of incident HF hospitalization in multivariable-adjusted models (odds ratio, 3.30 [1.66-6.52]; P=0.001 for Q1 compared with Q4). Symptoms characteristic of HF are common in patients with chronic kidney disease and are associated with higher short-term risk for new hospitalization for HF, independent of level of kidney function, and other known HF risk factors. © 2015 American Heart Association, Inc.

  1. Los insomnios

    OpenAIRE

    Takeuchi Tan, Yuri; Fundación Valle de Lili

    1998-01-01

    Los insomnios/El sueño normal/Otros trastornos de sueño que producen insomnio pero también hipersomnio (excesiva somnolencia diurna)/Manejo y tratamiento de los insomnios/Higiene del sueño/Instrucciones para la higiene del sueño/Técnicas conductuales/Terapia farmacológica.

  2. RapidArc, intensity modulated photon and proton techniques for recurrent prostate cancer in previously irradiated patients: a treatment planning comparison study

    International Nuclear Information System (INIS)

    Weber, Damien C; Miralbell, Raymond; Wang, Hui; Cozzi, Luca; Dipasquale, Giovanna; Khan, Haleem G; Ratib, Osman; Rouzaud, Michel; Vees, Hansjoerg; Zaidi, Habib

    2009-01-01

    A study was performed comparing volumetric modulated arcs (RA) and intensity modulation (with photons, IMRT, or protons, IMPT) radiation therapy (RT) for patients with recurrent prostate cancer after RT. Plans for RA, IMRT and IMPT were optimized for 7 patients. Prescribed dose was 56 Gy in 14 fractions. The recurrent gross tumor volume (GTV) was defined on 18 F-fluorocholine PET/CT scans. Plans aimed to cover at least 95% of the planning target volume with a dose > 50.4 Gy. A maximum dose (D Max ) of 61.6 Gy was allowed to 5% of the GTV. For the urethra, D Max was constrained to 37 Gy. Rectal D Median was < 17 Gy. Results were analyzed using Dose-Volume Histogram and conformity index (CI 90 ) parameters. Tumor coverage (GTV and PTV) was improved with RA (V 95% 92.6 ± 7.9 and 83.7 ± 3.3%), when compared to IMRT (V 95% 88.6 ± 10.8 and 77.2 ± 2.2%). The corresponding values for IMPT were intermediate for the GTV (V 95% 88.9 ± 10.5%) and better for the PTV (V 95% 85.6 ± 5.0%). The percentages of rectal and urethral volumes receiving intermediate doses (35 Gy) were significantly decreased with RA (5.1 ± 3.0 and 38.0 ± 25.3%) and IMPT (3.9 ± 2.7 and 25.1 ± 21.1%), when compared to IMRT (9.8 ± 5.3 and 60.7 ± 41.7%). CI 90 was 1.3 ± 0.1 for photons and 1.6 ± 0.2 for protons. Integral Dose was 1.1 ± 0.5 Gy*cm 3 *10 5 for IMPT and about a factor three higher for all photon's techniques. RA and IMPT showed improvements in conformal avoidance relative to fixed beam IMRT for 7 patients with recurrent prostate cancer. IMPT showed further sparing of organs at risk

  3. Phase 2 study of tabalumab, a human anti-B-cell activating factor antibody, with bortezomib and dexamethasone in patients with previously treated multiple myeloma.

    Science.gov (United States)

    Raje, Noopur S; Moreau, Philippe; Terpos, Evangelos; Benboubker, Lotfi; Grząśko, Norbert; Holstein, Sarah A; Oriol, Albert; Huang, Shang-Yi; Beksac, Meral; Kuliczkowski, Kazimierz; Tai, Datchen F; Wooldridge, James E; Conti, Ilaria; Kaiser, Christopher J; Nguyen, Tuan S; Cronier, Damien M; Palumbo, Antonio

    2017-03-01

    In this double-blind, Phase 2 study, 220 patients with relapsed/refractory multiple myeloma were randomly assigned 1:1:1 to receive placebo (N = 72), tabalumab 100 mg (N = 74), or tabalumab 300 mg (N = 74), each in combination with dexamethasone 20 mg and subcutaneous bortezomib 1·3 mg/m 2 on a 21-day cycle. No significant intergroup differences were observed among primary (median progression-free survival [mPFS]) or secondary efficacy outcomes. The mPFS was 6·6, 7·5 and 7·6 months for the tabalumab 100, 300 mg and placebo groups, respectively (tabalumab 100 mg vs. placebo Hazard ratio (HR) [95% confidence interval (CI)] = 1·13 [0·80-1·59], P = 0·480; tabalumab 300 mg vs. placebo HR [95% CI] = 1·03 [0·72-1·45], P = 0·884). The most commonly-reported treatment-emergent adverse events were thrombocytopenia (37%), fatigue (37%), diarrhoea (35%) and constipation (32%). Across treatments, patients with low baseline BAFF (also termed TNFSF13B) expression (n = 162) had significantly longer mPFS than those with high BAFF expression (n = 55), using the 75th percentile cut-off point (mPFS [95% CI] = 8·3 [7·0-9·3] months vs. 5·8 [3·7-6·6] months; HR [95% CI] = 1·59 [1·11-2·29], P = 0·015). Although generally well tolerated, PFS was not improved during treatment with tabalumab compared to placebo. A higher dose of 300 mg tabalumab did not improve efficacy compared to the 100 mg dose. Nonetheless, BAFF appears to have some prognostic value in patients with multiple myeloma. © 2016 John Wiley & Sons Ltd.

  4. Previously unknown species of Aspergillus.

    Science.gov (United States)

    Gautier, M; Normand, A-C; Ranque, S

    2016-08-01

    The use of multi-locus DNA sequence analysis has led to the description of previously unknown 'cryptic' Aspergillus species, whereas classical morphology-based identification of Aspergillus remains limited to the section or species-complex level. The current literature highlights two main features concerning these 'cryptic' Aspergillus species. First, the prevalence of such species in clinical samples is relatively high compared with emergent filamentous fungal taxa such as Mucorales, Scedosporium or Fusarium. Second, it is clearly important to identify these species in the clinical laboratory because of the high frequency of antifungal drug-resistant isolates of such Aspergillus species. Matrix-assisted laser desorption/ionization-time of flight mass spectrometry (MALDI-TOF MS) has recently been shown to enable the identification of filamentous fungi with an accuracy similar to that of DNA sequence-based methods. As MALDI-TOF MS is well suited to the routine clinical laboratory workflow, it facilitates the identification of these 'cryptic' Aspergillus species at the routine mycology bench. The rapid establishment of enhanced filamentous fungi identification facilities will lead to a better understanding of the epidemiology and clinical importance of these emerging Aspergillus species. Based on routine MALDI-TOF MS-based identification results, we provide original insights into the key interpretation issues of a positive Aspergillus culture from a clinical sample. Which ubiquitous species that are frequently isolated from air samples are rarely involved in human invasive disease? Can both the species and the type of biological sample indicate Aspergillus carriage, colonization or infection in a patient? Highly accurate routine filamentous fungi identification is central to enhance the understanding of these previously unknown Aspergillus species, with a vital impact on further improved patient care. Copyright © 2016 European Society of Clinical Microbiology and

  5. Chemical evolution of organic aerosol in Los Angeles during the CalNex 2010 study

    Directory of Open Access Journals (Sweden)

    R. Holzinger

    2013-10-01

    Full Text Available During the CalNex study (15 May to 16 June 2010 a large suite of instruments was operated at the Los Angeles area ground supersite to characterize the sources and atmospheric processing of atmospheric pollution. The thermal-desorption proton-transfer-reaction mass-spectrometer (TD-PTR-MS was deployed to an urban area for the first time and detected 691 organic ions in aerosol samples, the mean total concentration of which was estimated as 3.3 μg m−3. Based on comparison to total organic aerosol (OA measurements, we estimate that approximately 50% of the OA mass at this site was directly measured by the TD-PTR-MS. Based on correlations with aerosol mass spectrometer (AMS OA components, the ions were grouped to represent hydrocarbon-like OA (HOA, local OA (LOA, semi-volatile oxygenated OA (SV-OOA, and low volatility oxygenated OA (LV-OOA. Mass spectra and thermograms of the ion groups are mostly consistent with the assumed sources and/or photochemical origin of the OA components. The mass spectra of ions representing the primary components HOA and LOA included the highest m/z, consistent with their higher resistance to thermal decomposition, and they were volatilized at lower temperatures (~ 150 °C. Photochemical ageing weakens C-C bond strengths (also resulting in chemical fragmentation, and produces species of lower volatility (through the addition of functional groups. Accordingly the mass spectra of ions representing the oxidized OA components (SV-OOA, and LV-OOA lack the highest masses and they are volatilized at higher temperatures (250–300 °C. Chemical parameters like mean carbon number (nC, mean carbon oxidation state (OSC, and the atomic ratios O / C and H / C of the ion groups are consistent with the expected sources and photochemical processing of the aerosol components. Our data suggest that chemical fragmentation gains importance over functionalization as photochemical age of OA increases. Surprisingly, the photochemical age of

  6. Teaching, leadership, scholarly productivity, and level of activity in the chiropractic profession: a study of graduates of the Los Angeles College of Chiropractic radiology residency program.

    Science.gov (United States)

    Young, Kenneth J; Siordia, Lawrence

    2012-12-01

    The purpose of this study was to track the graduates of the Los Angeles College of Chiropractic (LACC) radiology residency program, review their scholarly productivity, and report those involved in teaching and leadership positions. Former LACC residents' career information was identified through publicly available electronic documents including Web sites and social media. PubMed and the Index to Chiropractic Literature databases were searched for chiropractic graduate job surveys, and proportional comparisons were made between the career paths of LACC radiology residency graduates and those of non-residency-trained chiropractors. Of 47 former LACC residents, 28 (60%) have or previously had careers in tertiary (chiropractic) education; and 12 (26%) have attained a department chair position or higher at tertiary teaching institutions. Twenty-two (47%) have or previously had private radiology practices, whereas 11 (23%) have or previously had clinical chiropractic practices. Often, residency graduates hold or have held 2 of these positions at once; and one, all 3. Chapters or books were authored by 13 (28%). Radiology residency LACC graduates are professionally active, particularly in education, and demonstrate scholarly productivity.

  7. Review of previous geophysical and geological studies

    Digital Repository Service at National Institute of Oceanography (India)

    Levchenko, O.V.; Neprochnov, Y.P; Rao, D.G; Subrahmanyam, C.; Murthy, K.S

    stream_size 5 stream_content_type text/plain stream_name Mem_Geol_Soc_India_39_5.pdf.txt stream_source_info Mem_Geol_Soc_India_39_5.pdf.txt Content-Encoding ISO-8859-1 Content-Type text/plain; charset=ISO-8859-1 ...

  8. Los Cactos

    Directory of Open Access Journals (Sweden)

    García Paredes Antonio

    1942-12-01

    Full Text Available El Cacto Cactus es uno de los géneros de plantas de la familia de las Cacteas Nopaleas que contiene muchas especies y variedades todas de formas extrañas, propias de la América intertropical y que habitan en los climas fríos y templados, en terrenos secos y estériles, desde el norte de Méjico hasta la Patagonia. Algunos cactos se cultivan por sus frutos que son sanosy sabrosos, otros como plantas ornamentales en los parques y jardines, otros como auxiliares para la industria, como los nopales en los que se cría la Cochinilla, insecto de la familia de los Hemípteros que produce la laca o carmín, materia colorante indispensable en la pintura al óleo y la acuarela, y por último, hoy están en moda y se cultivan con esmero una gran variedad de diminutos cactos exóticosque se mantienen sobre arena húmeda en pequeñas maceteras de porcelana, en los lugares más visibles de las habitaciones.

  9. Las enfermedades crónicas desde la mirada de los enfermos y los profesionales de la salud: un estudio cualitativo en México Chronic illness from the perspective of patients and health professionals: a qualitative study in Mexico

    Directory of Open Access Journals (Sweden)

    Francisco J. Mercado-Martínez

    2007-09-01

    Full Text Available Las enfermedades crónicas constituyen las primeras causas de morbi-mortalidad e implican costos crecientes para los servicios sanitarios en numerosos países. Sin embargo, poco se conoce la forma como diversos grupos las perciben y enfrentan. Este trabajo compara las perspectivas de dos tipos de profesionales sanitarios y población enferma sobre tales enfermedades y sobre las relaciones existentes entre los actores involucrados. Un estudio cualitativo, multicéntrico, se realizó en tres ciudades de México: Guadalajara, San Luis Potosí y México DF. Participaron sujetos con enfermedades crónicas, médicos y profesionales sanitarios no médicos. La información se obtuvo mediante grupos focales y entrevistas individuales, analizándose mediante análisis del discurso. La perspectiva de los participantes sobre tales enfermedades varía entre la mirada medicalizada de los médicos, frente a la de los sujetos enfermos centrada en los padecimientos y la vida diaria. Los participantes coinciden en la existencia de relaciones desiguales entre los trabajadores de la salud, la familia y las personas enfermas, así como en relaciones más igualitarias entre los enfermos. Se discuten múltiples implicaciones de los resultados.Chronic diseases are leading causes of morbidity, mortality, and increasing expenditures in numerous countries. However, little is known about how chronic diseases are perceived and managed by social actors. This article aims to compare the perspectives of health professionals and patients towards chronic diseases, besides analyzing the relationship between these two groups. A qualitative, multi-center study was conducted in three Mexican cities: Guadalajara, San Luis Potosí, and Mexico City. Participants included chronically ill individuals, physicians, and other health professionals from primary and secondary health care centers. Data collection used focus groups and interviews. The data were analyzed using discourse analysis

  10. Quality of previous diabetes care among patients receiving services at ophthalmology hospitals in Mexico Calidad de la atención previa de los pacientes diabéticos atendidos en hospitales de oftalmología en México

    Directory of Open Access Journals (Sweden)

    Joel Rodríguez-Saldana

    2010-12-01

    , el acceso a los servicios básicos, el tratamiento y la evolución clínica entre las personas que disponen o no de seguro social de salud mediante la encuesta de una muestra amplia de pacientes que padecen diabetes mellitus tipo 2 en la Ciudad de México. MÉTODOS: Se encuestó a 1 000 pacientes con diabetes tipo 2 en la consulta externa de los tres hospitales públicos de oftalmología más importantes de la Ciudad de México. Los pacientes proporcionaron información acerca de su estado de salud y su experiencia respecto de la atención básica de diabetes; por ejemplo, el control de la glucemia mediante análisis de laboratorio y la información que recibieron acerca de la enfermedad. Se compararon los datos estadísticos entre quienes disponían de un seguro social de salud (n = 461 y quienes carecían de este tipo de seguro (n = 539. RESULTADOS: Casi la mitad de los pacientes (46% que se atienden en estos hospitales públicos disponen de seguro social de salud, pero no pudieron acceder a otros servicios y debieron pagar de su bolsillo para recibir atención. La mitad de los entrevistados (51% eran pacientes que habían sido considerados presuntos diabéticos a partir de los síntomas que habían referido, de los cuales 11% presentaron discapacidad visual. La mayoría de los pacientes (87,9% refirieron que solo se controlaban mediante análisis glucemia en ayunas o análisis aleatorios (sin ayunar de una muestra de sangre capilar; solo 5,3% refirieron que alguna vez se habían efectuado el análisis de glucohemoglobina (HbA1c. Si bien prácticamente la totalidad de los encuestados refirieron haber tenido alguna consulta médica, solo 39% informaron haber recibido orientación nutricional en alguna ocasión y solo 21% refirieron haber asistido a una o más sesiones informativas sobre la diabetes. No se registraron diferencias en la atención ni la evolución clínica entre los pacientes que disponen de un seguro social de salud y aquellos que carecen de este tipo

  11. Preoperative screening: value of previous tests.

    Science.gov (United States)

    Macpherson, D S; Snow, R; Lofgren, R P

    1990-12-15

    To determine the frequency of tests done in the year before elective surgery that might substitute for preoperative screening tests and to determine the frequency of test results that change from a normal value to a value likely to alter perioperative management. Retrospective cohort analysis of computerized laboratory data (complete blood count, sodium, potassium, and creatinine levels, prothrombin time, and partial thromboplastin time). Urban tertiary care Veterans Affairs Hospital. Consecutive sample of 1109 patients who had elective surgery in 1988. At admission, 7549 preoperative tests were done, 47% of which duplicated tests performed in the previous year. Of 3096 previous results that were normal as defined by hospital reference range and done closest to the time of but before admission (median interval, 2 months), 13 (0.4%; 95% CI, 0.2% to 0.7%), repeat values were outside a range considered acceptable for surgery. Most of the abnormalities were predictable from the patient's history, and most were not noted in the medical record. Of 461 previous tests that were abnormal, 78 (17%; CI, 13% to 20%) repeat values at admission were outside a range considered acceptable for surgery (P less than 0.001, frequency of clinically important abnormalities of patients with normal previous results with those with abnormal previous results). Physicians evaluating patients preoperatively could safely substitute the previous test results analyzed in this study for preoperative screening tests if the previous tests are normal and no obvious indication for retesting is present.

  12. Radon studies for extending Los Azufres geothermal energy field in Mexico

    International Nuclear Information System (INIS)

    Tavera, L.; Balcazar, M.; Camacho, M.E.; Chavez, A.; Perez, H.; Gomez, J.

    1999-01-01

    Los Azufres is a 98 MW producing geothermal energy field situated in the Mexican volcanic belt at the west part of the country. Recently, hydrothermal activity and geochemical analysis of geothermal fluids from the north part of the geothermal field gave indications of a possible geothermal-production area, similar to the already producing field. In order to investigate the activity of geological structures, which are considered the means of geothermal fluids transporters, radon mapping was carried out using sets of 240 LR-115 detectors in the area of interest. Radon values higher than 10 kBq m -3 were considered anomalous and indicative of geothermal anomalies

  13. Radon studies for extending Los Azufres geothermal energy field in Mexico

    CERN Document Server

    Tavera, L; Camacho, M E; Chavez, A; Pérez, H; Gómez, J

    1999-01-01

    Los Azufres is a 98 MW producing geothermal energy field situated in the Mexican volcanic belt at the west part of the country. Recently, hydrothermal activity and geochemical analysis of geothermal fluids from the north part of the geothermal field gave indications of a possible geothermal-production area, similar to the already producing field. In order to investigate the activity of geological structures, which are considered the means of geothermal fluids transporters, radon mapping was carried out using sets of 240 LR-115 detectors in the area of interest. Radon values higher than 10 kBq m sup - sup 3 were considered anomalous and indicative of geothermal anomalies.

  14. Influencia del programa SWEP (Study Water Exercise Pregnant) en los resultados perinatales: protocolo de estudio

    OpenAIRE

    Aguilar Cordero, María José; Rodríguez Blanque, Raquel; Sánchez García, Juan Carlos; Sánchez López, Antonio Manuel; Baena García, Laura; López Contreras, Gracia

    2016-01-01

    Introducción: el entrenamiento mediante ejercicio físico moderado durante el periodo de gestación aporta beneficios tanto a la mujer embarazada como al feto. Los trabajos de investigación consultados vinculan la actividad física con una reducción del número de cesáreas, de partos instrumentados y con un parto más fisiológico. Previene igualmente la ganancia excesiva de peso de la mujer, disminuye el riesgo de diabetes gestacional y de hipertensión arterial. Objetivo: el objetivo de esta inves...

  15. La música en los mundos inmersivos. Estudio sobre los espacios de representación Music in Virtual Worlds. Study on the Representation Spaces

    Directory of Open Access Journals (Sweden)

    Manuel Gértrudix Barrio

    2012-03-01

    Full Text Available Los lugares de representación de la música han estado definidos por la equipolencia entre su valor expresivo y su valor de transmisión. En este juego dialéctico comunicativo, los medios de comunicación han jugado un peso determinante como espacios mediados: desde una ensoñación musical radiofónica a una visualización de la representación de la música en la pantalla hasta llegar a una exposición multimodal merced a la integración de los medios existente en la actualidad en donde la música se ha visto amplificada tanto desde su actividad productiva como de su consumo. Es precisamente en este «cruce de medios» donde surge el interés de esta investigación y, en concreto, en su extensión más integradora e interactiva: los mundos inmersivos. Como objetivo, se pretende realizar la caracterización de los entornos inmersivos musicales a partir del análisis de los más utilizados como espacio de representación. La técnica documental ha sido el método usado con el fin de obtener: a un registro censal de los espacios inmersivos musicales actuales, y b un análisis funcional de casos significativos. A partir de este análisis se exponen diversas posibilidades de aplicación de los entornos inmersivos tanto desde un punto de vista técnico como desde su capacidad como medio interactivo. Como conclusión, se lleva a cabo una evaluación acerca de la oportunidad que estos metaversos ofrecen a la representación musical en la que, en forma de discusión, se plantean nuevos escenarios futuros.Sites for representing music have been classified by the equipollence between their expressive value and transmission value. In this dialectic game, the media have had a determining influence as an intervening space, from music imagined on the radio to its visual representation on a screen to today's multimodal display created through the integration of current existing media that expand music's potential both in terms of production and consumption

  16. Organizational Studies: A Complement to the Study of Social Management Los estudios organizacionales: un complemento para el estudio de la gestión social

    Directory of Open Access Journals (Sweden)

    María Edith Morales Mosquera

    2012-12-01

    Full Text Available The article presents a reflection resulting from the PhD project “Construction intersubjective social management in the city of Medellin”, on the main aspects that turn the organizational studies into a complement in order to advance in the field of social management, addressed by tradition from the public. The article suggest how these aspects, which have an interdisciplinary perspective and look beyond the organization towards the study of phenomena different cultural, political, economic, social, among others, and whose nature is apparently non organizational, contribute to the conceptualization of social services management public which is not centered on the action of a single organization, but on the whole of the associations belonging to the civil society. In order to account for this, the article explains what is the social management, then discusses some of the main contributions made by the organizational theories, emphasizing aspects that give rise to organizational studies; after that, the article presents the contributions made by the organizational studies to the research in social management; finally, the conclusions are presented.El artículo recoge una reflexión producto del proyecto de tesis doctoral “Construcción intersubjetiva de la gestión social en la ciudad de Medellín” sobre los principales aspectos que hacen de los estudios organizacionales un complemento para avanzar en el campo de la gestión social, la cual ha sido tradicionalmente abordada desde la administración pública. Se plantea cómo éstos, al tener una perspectiva interdisciplinaria y trascender la mirada de la organización hacia el estudio de los fenómenos culturales, políticos, económicos y sociales –de naturaleza aparentemente no organizacional–, contribuyen a la conceptualización de la gestión de servicios sociales públicos, la cual no está centrada en la acción de una sola organización sino en la del conjunto de las

  17. los aprendizajes

    Directory of Open Access Journals (Sweden)

    Graciela Pérez Rivera

    2007-01-01

    Full Text Available En este documento se presentan algunos resultados, obtenidos hasta el momento, de un estudio sobre las prácticas de evaluación de profesores universitarios. El propósito del estudio es participar en la búsqueda de las relaciones existentes entre los conceptos y las prácticas educativas, en este caso de evaluación. Se identifican las principales tendencias en cuanto a la concepción de la evaluación del aprendizaje y las funciones que se le otorgan, los propósitos con los que se evalúa, los objetos o contenidos a evaluar, las formas en que se lleva a cabo la evaluación y el uso que se da a los resultados. Identificar cuáles son las tendencias de las prácticas de evaluación en nuestras aulas universitarias representa un paso que puede ayudar a cuidar que este proceso tan importante recobre su papel formativo para todos aquellos quienes participamos en los procesos educativos; además, representa la posibilidad de construir formas para lograr mejorar nuestra labor docente en general, y en particular, nuestra práctica evaluativa.

  18. Hydrologic studies of multilayered landfill covers for closure of waste landfills at Los Alamos, New Mexico

    International Nuclear Information System (INIS)

    Nyhan, J.W.; Langhorst, G.J.; Martin, C.E.; Martinez, J.L.; Schofield, T.G.

    1993-01-01

    The Los Alamos National Laboratory examined water balance relationships for four different landfill cover designs containing engineered barriers. These field experiments were performed at Los Alamos, New Mexico, USA, in 1.0- by 10.0-m plots with downhill slopes of 5, 10, 15 and 25%. Field measurements of seepage, precipitation, interflow, runoff, and soil water content were collected in each of the 16 plots representing four slopes each with four cover designs: Conventional, EPA, Loam Capillary Barrier and Clay Loam Capillary Barrier. A seepage collection system was installed beneath each cover design to evaluate the influence of slope length on seepage using a series of four metal pans filled with medium gravel that were placed end-to-end in the bottom of each field plot. An automated waterflow datalogging system was used to collect hourly seepage, interflow and runoff data and consisted of 100 100-liter tanks, each of which was equipped with an ultrasonic liquid-level sensor and a motor-operated ball valve used to drain the tank. Soil water content was routinely monitored every six hours at each of 212 locations throughout the 16 plots with time domain reflectrometry (TDR) techniques using an automated and multiplexed measurement system

  19. Study with liquid and steam tracers at the Tejamaniles area, Los Azufres, Mich., geothermal field; Estudio con trazadores de liquido y vapor en el area Tejamaniles del campo geotermico de Los Azufres, Mich.

    Energy Technology Data Exchange (ETDEWEB)

    Iglesias, Eduardo R. [Instituto de Investigaciones Electricas, Gerencia de Geotermia, Cuernavaca, Morelos (Mexico)]. E-mail: iglesias@iie.org.mx; Flores Armenta, Magaly [Comision Federal de Electricidad, Gerencia de Proyectos Geotermoelectricos, Morelia, Michoacan (Mexico); Torres, Rodolfo J. [Instituto de Investigaciones Electricas, Gerencia de Geotermia, Cuernavaca, Morelos (Mexico); Ramirez Montes, Miguel [Comision Federal de Electricidad, Gerencia de Proyectos Geotermoelectricos, Morelia, Michoacan (Mexico); Reyes Picasso, Neftali [Instituto de Investigaciones Electricas, Gerencia de Geotermia, Cuernavaca, Morelos (Mexico); Reyes Delgado, Lisette [Comision Federal de Electricidad, Gerencia de Proyectos Geotermoelectricos, Morelia, Michoacan (Mexico)

    2011-01-15

    The Mexican Federal Commission for Electricity injects brines produced by nearby geothermal wells into well Az-08, located in the Tejamaniles area, in the southwestern portion of Los Azufres, Mich., geothermal field. The main goals of this study are to determine whether or not the injected fluid recharges nine producing wells in the area, and if so, to estimate the fraction of the injected fluid recharging each producing well. Five of the selected wells produce mixes of liquid and steam and the rest produce only steam. For this reason, we designed this study with simultaneous injections of liquid- and steam-tracers. The nine selected producing wells detected the steam-tracer, and the five wells producing mixes detected the liquid-phase tracer. The residence curves of both tracers present a series of peaks reflecting the known fractured nature of the reservoir. The results show the feeding areas of the nine selected wells are recharged by the fluid injected into well Az-08. When this paper was written, the arrival of steam-tracers in all wells was completed, but the wells producing mixes of liquid and steam continued to record the arrival of the liquid-tracer. Until 407 days after injecting the tracer, the total percentage recovery of liquid phase tracer in the five wells producing mixes of liquid and steam was 3.5032%. The arrival of the steam tracer ended in all nine wells 205 days after the tracer was injected, with an overall recovery rate of 2.1553 x 10-2%. The recovery rates imply the recharge rates of the monitored wells by the injector Az-08 are modest, but it appears the amounts of the recovered liquid-phase tracer will increase significantly. The modest recovery rates suggest most of the fluid injected into the well Az-08 disperses in the reservoir, contributing to recharge and maintaining the pressure. Results reveal that: (i) the injected fluid is heated at depths from 700 to over 1000 m, where it boils and rises to reach the feeding areas of the

  20. Golimumab in patients with active rheumatoid arthritis who have previous experience with tumour necrosis factor inhibitors: results of a long-term extension of the randomised, double-blind, placebo-controlled GO-AFTER study through week 160

    NARCIS (Netherlands)

    Smolen, Josef S.; Kay, Jonathan; Landewé, Robert B. M.; Matteson, Eric L.; Gaylis, Norman; Wollenhaupt, Jurgen; Murphy, Frederick T.; Zhou, Yiying; Hsia, Elizabeth C.; Doyle, Mittie K.

    2012-01-01

    The aim of this study was to assess long-term golimumab therapy in patients with rheumatoid arthritis (RA) who discontinued previous tumour necrosis factor alpha (TNFα) inhibitor(s) for any reason. Results through week 24 of this multicentre, randomised, double-blind, placebo-controlled study of

  1. Environmental baseline study of the Los Medanos Waste Isolation Pilot Plant (WIPP) project area of New Mexico: a progress report

    Energy Technology Data Exchange (ETDEWEB)

    Wolfe, H.G. (ed.)

    1977-09-01

    Exploratory drilling operations are being conducted for a Waste Isolation Pilot Program in southeastern New Mexico. Prior to the establishment of such a program, an environmental study was initiated to serve as a baseline for evaluation of the impact of future activities in the Los Medanos area. Much of this area has been influenced by human activities over a long period, and hence the baseline data only reflects the present, relatively disturbed condition of the environment. The study covers air resources, soils, and biotic resources. 23 tables, 6 figs. (DLC)

  2. Option study of an orthogonal X-ray radiography axis for pRad at LANSCE area C, Los Alamos

    International Nuclear Information System (INIS)

    Oliver, Bryan Velten; Johnson, David L.; Leckbee, Joshua J.; Jones, Peter

    2010-01-01

    We report on an option study of two potential x-ray systems for orthogonal radiography at Area C in the LANSCE facility at Los Alamos National Laboratory. The systems assessed are expected to be near equivalent systems to the presently existing Cygnus capability at the Nevada Test Site. Nominal dose and radiographic resolution of 4 rad (measured at one meter) and 1 mm spot are desired. Both a system study and qualitative design are presented as well as estimated cost and schedule. Each x-ray system analyzed is designed to drive a rod-pinch electron beam diode capable of producing the nominal dose and spot.

  3. Geochemical study of two obsidian production centers in the Prehistory of Tenerife: El Tabonal de los Guanches (Icod de los Vinos and el Tabonal Negro (Las Cañadas

    Directory of Open Access Journals (Sweden)

    Hernández Gómez, Cristo M.

    2008-12-01

    Full Text Available The obsidian production is one of the work processes that allow a good characterization of the Guanches, first inhabitants of Tenerife (Canary Islands. On this occasion, addresses the geochemical study of the volcanic flows where the main obsidian sources of the Aboriginal of Tenerife are located: The Tabonal de Los Guanches (Icod de Los Vinos and the Tabonal Negro, Mña. Blanca (Las Cañadas del Teide characterized as Production Centres. The aim is to establish the compositional differences between the two in order to trace the distribution of their lithic productions in the island territory and recognize the pattern of supply that was put into practice.

    La producción obsidiánica es uno de los procesos de trabajo que mejor permite la caracterización social de los guanches, primeros habitantes de Tenerife (Canarias. En esta ocasión se aborda el estudio geoquímico de las coladas en las que se ubican sus principales fuentes de aprovisionamiento de obsidiana: El Tabonal de Los Guanches (Icod de los Vinos y El Tabonal Negro en Mña. Blanca (Las Cañadas del Teide, consideradas desde el punto de vista arqueológico como Centros de Producción. El objetivo es establecer las diferencias composicionales entre ambas para poder rastrear la distribución de sus respectivas producciones líticas en el territorio insular y reconocer el modelo de suministro que se puso en práctica.

  4. Non invasive Tele-assistance through Digital Television: study Television habit / Teleasistencia no invasiva mediante televisión digital: estudio de los hábitos de consumo de televisión de los mayores

    Directory of Open Access Journals (Sweden)

    Ricardo Vizcaíno- Laorga

    2009-01-01

    Full Text Available Television habits of use by elderly people are an obligated reference when designing tele-assistance tools through digital television. Our working premise needed to corroborate and update previous research data; as a consequence of our research we found that 88% of elderly people watch television every day, percentage that increases another 5% that also used “almost every day”. We must emphasize the fact that elderly women watch television slightly more than men (4.57 hours a day compared to 4.37, and the fact that the use of television increases when the elderly doesn´t live alone. The research has also revealed that the consumption of television increases gradually in relation to the number of people living with the elderly. These references, added to the tool application “the teapot” originated in Asia, has made possible the development of Calisto´s project, an application adapted to the European culture through digital television; innovation, experience and cultural differences in the interest of elderly people.Los hábitos de consumo de la televisión de las personas mayores constituyen una referencia de estudio obligada a la hora de diseñar herramientas de teleasistencia a través de la televisión digital. Nuestra premisa de trabajo necesitaba corroborar y actualizar datos de investigaciones realizas previamente; los resultados de esta actualización indican que el 88% de los mayores ven la televisión todos los días, porcentaje al que debe sumarse otro 5% que utiliza la misma “casi todos los días”. Destaca el hecho de que las mujeres mayores ven la televisión ligeramente más que los hombres (4,57 horas diarias frente a 4,37 y el hecho de que el consumo de televisión aumenta si la persona mayor vive acompañada. Se ha detectado de igual forma que el consumo de televisión se incrementa de forma gradual en función del número de personas que convivan con la persona mayor. Estas referencias, unido a la aplicaci

  5. Subsequent pregnancy outcome after previous foetal death

    NARCIS (Netherlands)

    Nijkamp, J. W.; Korteweg, F. J.; Holm, J. P.; Timmer, A.; Erwich, J. J. H. M.; van Pampus, M. G.

    Objective: A history of foetal death is a risk factor for complications and foetal death in subsequent pregnancies as most previous risk factors remain present and an underlying cause of death may recur. The purpose of this study was to evaluate subsequent pregnancy outcome after foetal death and to

  6. An exploratory study of discourse conventions in the European Parliament: Thanking in Spanish, French and Dutch Un estudio exploratorio de las convenciones discursivas en el parlamento europeo: los agradecimientos en español, francés y neerlandés

    Directory of Open Access Journals (Sweden)

    Patrick Goethals

    2013-07-01

    Full Text Available In this paper, we analyze a small-scale corpus with Spanish, French and Dutch interventions in the plenary debates in the European Parliament, in order to verify whether there exist cultural differences in the use and the expression of the particular politeness strategy of thanking somebody. We find that thanking is more frequent in Spanish and French than in Dutch. In addition, it plays a more prominent role, e.g. because the acknowledgements are longer and receive more emphasis. Previous studies found that Dutch speakers tend to use many routine acknowledgements in contexts where there may be a threat to the negative face of one of the speech participants. Our study shows that French and Spanish speakers use more acknowledgements than Dutch when public positive face is at stake. The data also show the relevance of the concept of valuating politeness, as opposed to mitigating politeness, in order to describe the Spanish data.En este trabajo analizamos un corpus piloto de intervenciones españolas, francesas y neerlandófonas en los debates plenarios del Parlamento Europeo, con el fin de averiguar si existen diferencias interculturales en cuanto al uso y la expresión de una estrategia de cortesía particular, que son los agradecimientos. Comprobamos que los agradecimientos figuran con mayor frecuencia en los discursos de los españoles y los franceses que en los discursos de los neerlandófonos. Además, cobran más relieve, por ejemplo porque son más extensos y se enfatizan más. Estudios anteriores han observado que los neerlandófonos tienden a usar muchos agradecimientos rutinarios en contextos donde podría existir una amenaza para la imagen negativa de uno de los interlocutores. Nuestro estudio muestra que los franceses y los españoles usan más agradecimientos que los neerlandófonos cuando está en juego la imagen positiva. Los datos apuntan además hacia la relevancia del concepto de la cortesía valorizante, por oposición a la

  7. Solar envelope zoning: application to the city planning process. Los Angeles case study

    Energy Technology Data Exchange (ETDEWEB)

    1980-06-01

    Solar envelope zoning represents a promising approach to solar access protection. A solar envelope defines the volume within which a building will not shade adjacent lots or buildings. Other solar access protection techniques, such as privately negotiated easements, continue to be tested and implemented but none offer the degree of comprehensiveness evident in this approach. Here, the City of Los Angeles, through the Mayor's Energy Office, the City Planning Department, and the City Attorney's Office, examine the feasibility of translating the concept of solar envelopes into zoning techniques. They concluded that envelope zoning is a fair and consistent method of guaranteeing solar access, but problems of complexity and uncertainty may limit its usefulness. Envelope zoning may be inappropriate for the development of high density centers and for more restrictive community plans. Aids or tools to administer envelope zoning need to be developed. Finally, some combination of approaches, including publicly recorded easements, subdivision approval and envelope zoning, need to be adopted to encourage solar use in cities. (MHR)

  8. Un estudio sobre los "MITEMAS" en los coros de las Bacantes de Eurípides A STUDY OF THE "MYTHEMES" IN EURÍPIDES' BACCHAE

    Directory of Open Access Journals (Sweden)

    César García Alvarez

    2010-01-01

    Full Text Available Este ensayo presenta cuatro mitemas -el lugar feliz, la armonía cósmica, la violencia báquica y el puer aeternus- presentes en los coros de la tragedia de Eurípides Las Bacantes. Estos mitemas nos ayudan a entender el pensamiento de Eurípides, más complejo que las fáciles simplificaciones que se han intentado. De hecho, los cuatro mitemas no son sólo una razón de la literatura, son la aspiración humana a un orden permanente en el cual el cosmos y el hombre encuentran una armonía originalmente negada. La clave para esto yace en el examen antropológico de la condición humana, la cual ha caído (Semele y, sin embargo está plena de aspiraciones divinas (Zeus. Mientras esta dualidad se resuelve, la historia del hombre será un pequeño relato, más cercana a la tragedia épica de Penteo que a la de Aquiles.This essay presents the four mythemes - Happy Place, Cosmic Harmony Violence Bacchic and Puer aeternus-present in the choruses of Eurípides' tragedy The Bacchae, these mythemes help us understand the thinking of Eurípides, more complex than the easy simplifications that has been treated. Indeed, the four issues is one reason only of literature, the human aspiration to a permanent order in which space comedian and a man find a harmony that was originally denied. The key to this lies in an anthropological examination of the human condition, be dropped (Semele and yet full of divine aspirations (Zeus, while this duality is resolved, the history of man is a little story, closer of the epic tragedy of Pentheus that of Achilles.

  9. RELATION OF IDENTITY- POLITICAL CULTURE IN THE INDIGENOUS AUTONOMY FORMATION. CASE STUDY IN “LOS ALTOS CHIAPAS” COMMUNITY

    Directory of Open Access Journals (Sweden)

    Víctor Manuel Santos Chávez

    2006-04-01

    Full Text Available SUMMARY The assumption of new studies about the indigenous movement in Mexico involves the need for articulating political and cultural dimensions of some social groups, as well as the reformulation of how that kind of studies should be done: In this study the need for combining the political dimensions (local power structure and cultural dimensions (ethnic identity redefinitions is established in order to examine the implications that such relationship has in the uprising of new indigenous movements and the emergence of de facto indigenous autonomies: To carry out this study, we had to think about the researching questions from a given referent , in this case it was a community from Los Altos the Chiapas. This community gave us the actual elements for the discussion of concrete research, the new indigenous movement in Chiapas and the indigenous autonomy.

  10. Methodology for electrical studies in industrial networks including the study of electric arc; Metodologia para los estudios electricos en redes industriales incluyendo el estudio de arco electrico

    Energy Technology Data Exchange (ETDEWEB)

    Rasgado Casique, Jose Pepe; Silva Farias, Jose Luis [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico)]. E-mail: jrasgado@iie.org.mx; jlsilva@iie.org.mx

    2010-11-15

    This article presents a methodology for conducting electrical studies in industrial networks. The methodology included the study of arc flash as a very important area of current basic electrical studies, such as power flow, short circuit and coordination. The aim of this study is to determine the Personal Protective Equipment (PPE) and flash protection boundary for personnel working with or near energized equipment, based on the IEEE Std 1584-2004 and NFPA-70E- 2004. Also included are criteria and recommendations to reduce incident energy level (cal/cm{sup 2}). At work we used a distribution network for industrial type test. The studies were carried out using a commercial program for the analysis of electrical networks. [Spanish] En este articulo se presenta una metodologia para llevar a cabo los estudios electricos en redes industriales. En la metodologia se incluye al estudio de arco electrico como un area muy importante de los estudios electricos basicos actuales, como: flujos de potencia, cortocircuito y coordinacion de protecciones. El objetivo de dicho estudio es determinar el Equipo de Proteccion Personal (EPP) apropiado y los limites de proteccion para el personal que opera con o cerca de equipo energizado, con base en las normas IEEE Std. 1584-2004 y la NFPA-70E-2004. Ademas, se incluyen criterios y recomendaciones para disminuir el nivel de energia incidente (cal/cm{sup 2}). En el trabajo se utilizo una red de distribucion tipo industrial de prueba. Los estudios se llevaron a cabo utilizando un programa comercial para el analisis de redes electricas.

  11. New results from Los Alamos in the study of parity violation in neutron P-resonances

    International Nuclear Information System (INIS)

    Seestrom, S.J.; Alde, D.; Bowman, J.D.; Frankle, C.M.; Green, A.A.; Crawford, B.E.; Delheij, P.P.J.; Fukuda, K.; Gould, C.R.; Haase, D.G.

    1994-01-01

    The TRIPLE collaboration has made major improvements in our experimental apparatus with a new polarizing spin filter, larger beam size, and new detectors. The result of these improvements is a factor of 20 improvement in the experimental uncertainty that can be obtained in a given running time. We have obtained improved data on 232 Th and 238 U, as well as new data on 113 Cd, In, Ag, and Nb. The sign effect previously observed in 232 Th has been reproduced, but other nuclei are shown to exhibit both positive and negative signs

  12. Los Monjes

    Directory of Open Access Journals (Sweden)

    Nicolás Salom Franco

    2002-01-01

    Full Text Available El título de este estudio debiera causar escalofrío en la concienciacolombiana pues se trata de uno de los episodios de mayor desdoro denuestra vida diplomática e institucional.El 22 de Noviembre se cumplen cincuenta años, - medio siglo – dehaber cursado nuestra Cancillería al gobierno de Venezuela, la «NotaDiplomática» más desafortunada por no darle otro calificativo, quegobierno alguno haya podido concebir renunciando graciosamente,contra toda evidencia histórica y jurídica a nuestra soberanía en unaparte del maritorio nacional, cuya aparente insignificancia sólo tuvo ytiene como sustento, la ignorancia jurídica y mucho de la estrechez dela mentalidad andina y mediterránea que con persistente prolongaciónen el tiempo por su desprecio de nuestro inmenso espacio marítimojurisdiccional, ha dominado y domina al Ministerio de RelacionesExteriores, con escasos intervalos de lúcida excepción. Para que no seborre de la memoria colectiva este baldón, como homenaje póstumo a larecta exégesis jurídica y también como toque de alerta a los nuevosprotagonistas de nuestra descaecida diplomacia - así sea ominoso surecuerdo - volvemos en estas páginas a hacer una reseña histórica de losepisodios que condujeron al auto despojo de nuestra soberanía maríti-ma, al regalársele los islotes y cayos de «Los Monjes» a la «hermana»República de Venezuela

  13. Columnar modelling of nucleation burst evolution in the convective boundary layer – first results from a feasibility study Part IV: A compilation of previous observations for valuation of simulation results from a columnar modelling study

    Directory of Open Access Journals (Sweden)

    O. Hellmuth

    2006-01-01

    according to the parameterisation of the collision-controlled binary nucleation rate proposed by Weber et al. (1996, H2O vapour does not explicitly affect the particle formation. Since the H2SO4 concentration is overpredicted in the simulations presented in Paper III, the nucleation rates are too high compared to previous estimations. Therefore, the results are not directly comparable to measurements. Especially NPF events, where organics are suspected to play a key role, such as those observed at the boreal forest station in Hyytiälä (Southern Finland or at Hohenpeissenberg (mountain site in Southern Germany, can not be explained by employing simple sulphur/ammonia chemistry. However, some valuable hints regarding the role of CBL turbulence in NPF can be obtained. In the literature a number of observations on the link between turbulence and NPF can be found, whose burst patterns support a strong contribution of CBL turbulence to the NPF burst evolution simulated here. Observations, that do not correspond to the scenarios are discussed with respect to possible reasons for the differences between model and observation. The model simulations support some state-of-the-art hypotheses on the contribution of CBL turbulence to NPF. Considering the application of box models, the present study shows, that CBL turbulence, not explicitly considered in such models, can strongly affect the spatio-temporal NPF burst evolution. The columnar high-order model presented here is a helpful tool to elucidate gas-aerosol-turbulence interactions, especially the genesis of NPF bursts in the CBL. An advanced description of the cluster formation and condensation growth is required as well as a comprehensive verification/validation study using observed high-order moments. Further scenario simulations remain to be performed.

  14. Los Alamos National Laboratory: A guide to records series supporting epidemiologic studies conducted for the Department of Energy

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-01-01

    The purpose of this guide is to describe each series of records that pertains to the epidemiologic studies conducted by the Epidemiology Section of the Occupational Medicine Group (ESH-2) at the Department of Energy`s (DOE) Los Alamos National Laboratory (LANL) in Los Alamos, New Mexico. The records described in this guide relate to occupational studies performed by the Epidemiology Section, including those pertaining to workers at LANL, Mound Plant, Oak Ridge Reservation, Pantex Plant, Rocky Flats Plant, and Savannah River Site. Also included are descriptions of other health-related records generated or collected by the Epidemiology Section and a small set of records collected by the Industrial Hygiene and Safety Group. This guide is not designed to describe the universe of records generated by LANL which may be used for epidemiologic studies of the LANL work force. History Associates Incorporated (HAI) prepared this guide as part of its work as the support services contractor for DOE`s Epidemiologic Records Inventory Project. This introduction briefly describes the Epidemiologic Records Inventory Project, HAI`s role in the project, the history of LANL the history and functions of LANL`s Health Division and Epidemiology Section, and the various epidemiologic studies performed by the Epidemiology Section. It provides information on the methodology that HAI used to inventory and describe records housed in the offices of the LANL Epidemiology Section in Technical Area 59 and at the LANL Records Center. Other topics include the methodology used to produce the guide, the arrangement of the detailed record series descriptions, and information concerning access to records repositories.

  15. LOS ALAMOS

    International Nuclear Information System (INIS)

    Anon.

    1993-01-01

    Following the historic observation of neutrinos in the mid-1950s by two Los Alamos scientists, Fred Reines and Clyde Cowan, Jr, using inverse beta decay, there has been a long and distinguished history of experimental neutrino physics at LAMPF, the Los Alamos Meson Physics Facility. LAMPF is the only meson factory to have had an experimental neutrino programme. In the late 1970s, the first LAMPF neutrino experiment used a 6-tonne water Cherenkov detector 7 metres from the beam stop. A collaboration of Yale, Los Alamos and several other institutions, this experiment searched for the forbidden decay of a muon into an electron and two neutrinos, and measured the reaction rate of a neutrino interacting with a deuteron to give two protons and an electron - the inverse of the reaction that drives the sun's primary energy source. The next LAMPF neutrino experiment, a UC Irvine/Maryland/Los Alamos collaboration, ran from 1982 through 1986 and measured the elastic scattering rate of electron neutrinos and protons, where both neutral and charged weak currents contribute. With its precision of about 15%, the experiment provided the first demonstration of (destructive) interference between the charged and neutral currents. More recent neutrino experiments at LAMPF have searched for neutrino oscillations, especially between muon- and electron-neutrinos. The newest experiment to pursue this physics (as well as oscillations in other channels) is LSND (July/ August, page 10 and cover). In addition to searching for these oscillations, LSND will measure neutrino-proton elastic scattering at low momentum transfer, providing a sensitive measure of the strange quark contribution to the proton spin. LSND began taking data in August. Los Alamos physicists have also been busy in neutrino physics experiments elsewhere. One such experiment looked at the beta decay of free molecular tritium to obtain an essentially model independent determination of the electron-neutrino mass. The

  16. Estereotipos hacia los ancianos

    Directory of Open Access Journals (Sweden)

    Marta Gil Barreiro

    1997-02-01

    Full Text Available Se realizó un estudio descriptivo en 4 grupos etáreos diferentes: 20; 40; 60 y 70 años, del área de salud que abarca el Policlínico Docente "Lawton", con vistas a determinar cómo se estructuran los estereotipos hacia los ancianos. El instrumento de evaluación utilizado se confeccionó para la ocasión: la escala de adjetivos. El estereotipo más positivo hacia los ancianos lo evidenciaron los individuos de 40 años, a los que le siguieron, en orden decreciente, los de 70; 20 y 60 años.A descriptive study was a carried out in four different age groups: 20, 40, 60, and 70 years old, in the health area belonging to the "Lawton" Teaching Policlinic, in order to determine how the stereotypes towards the older people are formulated. The adjective scale was the assessing instrument built for the ocassion. The most positive stereotype towards the elder was demonstrated by individuals 40 years of age, followed in decreasing order, by the 70, 20, and 60 years old groups.

  17. Concurrent Chemoradiotherapy Followed by Consolidation Chemotherapy With Bi-Weekly Docetaxel and Carboplatin for Stage III Unresectable, Non-Small-Cell Lung Cancer: Clinical Application of a Protocol Used in a Previous Phase II Study

    Energy Technology Data Exchange (ETDEWEB)

    Saitoh, Jun-Ichi, E-mail: junsaito@sannet.ne.jp [Division of Radiation Oncology, Saitama Cancer Center, Saitama (Japan); Saito, Yoshihiro; Kazumoto, Tomoko; Kudo, Shigehiro; Yoshida, Daisaku; Ichikawa, Akihiro [Division of Radiation Oncology, Saitama Cancer Center, Saitama (Japan); Sakai, Hiroshi; Kurimoto, Futoshi [Division of Respiratory Disease, Saitama Cancer Center, Saitama (Japan); Kato, Shingo [Research Center Hospital for Charged Particle Therapy, National Institute of Radiological Sciences, Chiba (Japan); Shibuya, Kei [Department of Radiation Oncology, Gunma University Graduate School of Medicine, Gunma (Japan)

    2012-04-01

    Purpose: To assess the clinical applicability of a protocol evaluated in a previously reported phase II study of concurrent chemoradiotherapy followed by consolidation chemotherapy with bi-weekly docetaxel and carboplatin in patients with stage III, unresectable, non-small-cell lung cancer (NSCLC). Methods and Materials: Between January 2000 and March 2006, 116 previously untreated patients with histologically proven, stage III NSCLC were treated with concurrent chemoradiotherapy. Radiation therapy was administered in 2-Gy daily fractions to a total dose of 60 Gy in combination with docetaxel, 30 mg/m{sup 2}, and carboplatin at an area under the curve value of 3 every 2 weeks during and after radiation therapy. Results: The median survival time for the entire group was 25.5 months. The actuarial 2-year and 5-year overall survival rates were 53% and 31%, respectively. The 3-year cause-specific survival rate was 60% in patients with stage IIIA disease, whereas it was 35% in patients with stage IIIB disease (p = 0.007). The actuarial 2-year and 5-year local control rates were 62% and 55%, respectively. Acute hematologic toxicities of Grade {>=}3 severity were observed in 20.7% of patients, while radiation pneumonitis and esophagitis of Grade {>=}3 severity were observed in 2.6% and 1.7% of patients, respectively. Conclusions: The feasibility of the protocol used in the previous phase II study was reconfirmed in this series, and excellent treatment results were achieved.

  18. Concurrent Chemoradiotherapy Followed by Consolidation Chemotherapy With Bi-Weekly Docetaxel and Carboplatin for Stage III Unresectable, Non-Small-Cell Lung Cancer: Clinical Application of a Protocol Used in a Previous Phase II Study

    International Nuclear Information System (INIS)

    Saitoh, Jun-Ichi; Saito, Yoshihiro; Kazumoto, Tomoko; Kudo, Shigehiro; Yoshida, Daisaku; Ichikawa, Akihiro; Sakai, Hiroshi; Kurimoto, Futoshi; Kato, Shingo; Shibuya, Kei

    2012-01-01

    Purpose: To assess the clinical applicability of a protocol evaluated in a previously reported phase II study of concurrent chemoradiotherapy followed by consolidation chemotherapy with bi-weekly docetaxel and carboplatin in patients with stage III, unresectable, non-small-cell lung cancer (NSCLC). Methods and Materials: Between January 2000 and March 2006, 116 previously untreated patients with histologically proven, stage III NSCLC were treated with concurrent chemoradiotherapy. Radiation therapy was administered in 2-Gy daily fractions to a total dose of 60 Gy in combination with docetaxel, 30 mg/m 2 , and carboplatin at an area under the curve value of 3 every 2 weeks during and after radiation therapy. Results: The median survival time for the entire group was 25.5 months. The actuarial 2-year and 5-year overall survival rates were 53% and 31%, respectively. The 3-year cause-specific survival rate was 60% in patients with stage IIIA disease, whereas it was 35% in patients with stage IIIB disease (p = 0.007). The actuarial 2-year and 5-year local control rates were 62% and 55%, respectively. Acute hematologic toxicities of Grade ≥3 severity were observed in 20.7% of patients, while radiation pneumonitis and esophagitis of Grade ≥3 severity were observed in 2.6% and 1.7% of patients, respectively. Conclusions: The feasibility of the protocol used in the previous phase II study was reconfirmed in this series, and excellent treatment results were achieved.

  19. Ground-Water Quality Data in the Coastal Los Angeles Basin Study Unit, 2006: Results from the California GAMA Program

    Science.gov (United States)

    Mathany, Timothy M.; Land, Michael; Belitz, Kenneth

    2008-01-01

    Ground-water quality in the approximately 860 square-mile Coastal Los Angeles Basin study unit (CLAB) was investigated from June to November of 2006 as part of the Statewide Basin Assessment Project of the Ground-Water Ambient Monitoring and Assessment (GAMA) Program. The GAMA Statewide Basin Assessment was developed in response to the Ground-Water Quality Monitoring Act of 2001, and is being conducted by the U.S. Geological Survey (USGS) in cooperation with the California State Water Resources Control Board (SWRCB). The Coastal Los Angeles Basin study was designed to provide a spatially unbiased assessment of raw ground-water quality within CLAB, as well as a statistically consistent basis for comparing water quality throughout California. Samples were collected from 69 wells in Los Angeles and Orange Counties. Fifty-five of the wells were selected using a spatially distributed, randomized grid-based method to provide statistical representation of the study area (?grid wells?). Fourteen additional wells were selected to evaluate changes in ground-water chemistry or to gain a greater understanding of the ground-water quality within a specific portion of the Coastal Los Angeles Basin study unit ('understanding wells'). Ground-water samples were analyzed for: a large number of synthetic organic constituents [volatile organic compounds (VOCs), gasoline oxygenates and their degradates, pesticides, polar pesticides, and pesticide degradates, pharmaceutical compounds, and potential wastewater-indicators]; constituents of special interest [perchlorate, N-nitrosodimethylamine (NDMA), 1,4-dioxane, and 1,2,3-trichloropropane (1,2,3-TCP)]; inorganic constituents that can occur naturally [nutrients, major and minor ions, and trace elements]; radioactive constituents [gross-alpha and gross-beta radiation, radium isotopes, and radon-222]; and microbial indicators. Naturally occurring isotopes [stable isotopic ratios of hydrogen and oxygen, and activities of tritium and carbon-14

  20. Subsequent childbirth after a previous traumatic birth.

    Science.gov (United States)

    Beck, Cheryl Tatano; Watson, Sue

    2010-01-01

    Nine percent of new mothers in the United States who participated in the Listening to Mothers II Postpartum Survey screened positive for meeting the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria for posttraumatic stress disorder after childbirth. Women who have had a traumatic birth experience report fewer subsequent children and a longer length of time before their second baby. Childbirth-related posttraumatic stress disorder impacts couples' physical relationship, communication, conflict, emotions, and bonding with their children. The purpose of this study was to describe the meaning of women's experiences of a subsequent childbirth after a previous traumatic birth. Phenomenology was the research design used. An international sample of 35 women participated in this Internet study. Women were asked, "Please describe in as much detail as you can remember your subsequent pregnancy, labor, and delivery following your previous traumatic birth." Colaizzi's phenomenological data analysis approach was used to analyze the stories of the 35 women. Data analysis yielded four themes: (a) riding the turbulent wave of panic during pregnancy; (b) strategizing: attempts to reclaim their body and complete the journey to motherhood; (c) bringing reverence to the birthing process and empowering women; and (d) still elusive: the longed-for healing birth experience. Subsequent childbirth after a previous birth trauma has the potential to either heal or retraumatize women. During pregnancy, women need permission and encouragement to grieve their prior traumatic births to help remove the burden of their invisible pain.

  1. Los inmigrados

    Directory of Open Access Journals (Sweden)

    Lojze Kovačič

    2007-12-01

    Full Text Available Lojze Kovačič nació el 9 de noviembre de 1928 en Basilea, Suiza, en una familia de emigrantes, de madre alemana y padre esloveno. En 1938, cuando las autoridades suizas expulsaron del país a todos los emigrantes que no tenían ciudadanía suiza, se fue a vivir con su familia a Eslovenia, primero a Novo mesto, luego a Ljubljana donde frecuentó la escuela primaria, secundaria y la academia de pedagogía. Vivió en Ljubljana donde trabajó primero como periodista y luego como pedagogo. Murió el 1 de mayo de 2004 en la capital eslovena. Escribió obras autobiográficas y de ficción: Ljubljanske razglednice / Postales de Ljubljana (1956, Ključi mesta / Las llaves de la ciudad (1967, Deček in smrt / El niño y la muerte (1968, Sporočila v spanju – Resničnost / Mensajes en el sueño – Realidad (1972, Pet fragmentov / Cinco fragmentos (1981, Pri{leki / Los inmigrados (trilogía 1983–85, Basel / Basilea (1986, Prah / Polvo (1988, Kristalni čas / Tiempo de cristal (1990, Zgodbe s panjskih končnic / Relatos de las tablas de la colmena (1992, Knji`evna delavnica – {ola pisanja / Taller de literatura – escuela de la escritura (1997. A continuación se presentan dos fragmentos de la primera parte de la trilogía Pri{leki / Los inmigrados, una historia marcadamente autobiográfica del retorno a Eslovenia de una familia desalojada de Basilea, narrada a través de la voz de un niño de diez años, traducida al castellano por Xavier Farré y publicada por la editorial Siruela de Madrid en 2007.

  2. Does local endometrial injury in the nontransfer cycle improve the IVF-ET outcome in the subsequent cycle in patients with previous unsuccessful IVF? A randomized controlled pilot study

    Directory of Open Access Journals (Sweden)

    Sachin A Narvekar

    2010-01-01

    Full Text Available Background: Management of repeated implantation failure despite transfer of good-quality embryos still remains a dilemma for ART specialists. Scrapping of endometrium in the nontransfer cycle has been shown to improve the pregnancy rate in the subsequent IVF/ET cycle in recent studies. Aim: The objective of this randomized controlled trial (RCT was to determine whether endometrial injury caused by Pipelle sampling in the nontransfer cycle could improve the probability of pregnancy in the subsequent IVF cycle in patients who had previous failed IVF outcome. Setting: Tertiary assisted conception center. Design: Randomized controlled study. Materials and Methods: 100 eligible patients with previous failed IVF despite transfer of good-quality embryos were randomly allocated to the intervention group and control groups. In the intervention group, Pipelle endometrial sampling was done twice: One in the follicular phase and again in the luteal phase in the cycle preceding the embryo transfer cycle. Outcome Measure: The primary outcome measure was live birth rate. The secondary outcome measures were implantation and clinical pregnancy rates. Results: The live birth rate was significantly higher in the intervention group compared to control group (22.4% and 9.8% P = 0.04. The clinical pregnancy rate in the intervention group was 32.7%, while that in the control group was 13.7%, which was also statistically significant ( P = 0.01. The implantation rate was significantly higher in the intervention group as compared to controls (13.07% vs 7.1% P = 0.04. Conclusions: Endometrial injury in nontransfer cycle improves the live birth rate,clinical pregnancy and implantation rates in the subsequent IVF-ET cycle in patients with previous unsuccessful IVF cycles.

  3. The Efficacy and Safety of Icotinib in Patients with Advanced Non-Small Cell Lung Cancer Previously Treated with Chemotherapy: A Single-Arm, Multi-Center, Prospective Study.

    Directory of Open Access Journals (Sweden)

    Xingsheng Hu

    Full Text Available Icotinib is a small molecule targeting epidermal growth factor receptor tyrosine kinase, which shows non-inferior efficacy and better safety comparing to gefitinib in previous phase III trial. The present study was designed to further evaluate the efficacy and safety of icotinib in patients with advanced non-small-cell lung cancer (NSCLC previously treated with platinum-based chemotherapy.Patients with NSCLC progressing after one or two lines of chemotherapy were enrolled to receive oral icotinib (125 mg tablet, three times per day. The primary endpoint was progression-free survival. The secondary endpoints included overall survival, objective response rate, time to progression, quality of life and safety.From March 16, 2010 to October 9, 2011, 128 patients from 15 centers nationwide were enrolled, in which 124 patients were available for efficacy evaluation and 127 patients were evaluable for safety. The median progression-free survival and time to progression were 5.0 months (95%CI 2.9-6.6 m and 5.4 months (95%CI 3.1-7.9 m, respectively. The objective response rate and disease control rate were 25.8% and 67.7% respectively. Median overall survival exceeded 17.6 months (95%CI 14.2 m-NA according to censored data. Further follow-up of overall survival is ongoing. The most frequent treatment-related adverse events were rash (26%, 33/127, diarrhea (12.6%, 16/127 and elevation of transaminase (15.7%, 20/127.In general, this study showed similar efficacy and numerically better safety when compared with that in ICOGEN trial, further confirming the efficacy and safety of icotinib in treating patients with advanced NSCLC previously treated with chemotherapy.ClinicalTrials.gov NCT02486354.

  4. The Efficacy and Safety of Icotinib in Patients with Advanced Non-Small Cell Lung Cancer Previously Treated with Chemotherapy: A Single-Arm, Multi-Center, Prospective Study.

    Science.gov (United States)

    Hu, Xingsheng; Zhang, Li; Shi, Yuankai; Zhou, Caicun; Liu, Xiaoqing; Wang, Dong; Song, Yong; Li, Qiang; Feng, Jifeng; Qin, Shukui; Xv, Nong; Zhou, Jianying; Zhang, Li; Hu, Chunhong; Zhang, Shucai; Luo, Rongcheng; Wang, Jie; Tan, Fenlai; Wang, Yinxiang; Ding, Lieming; Sun, Yan

    2015-01-01

    Icotinib is a small molecule targeting epidermal growth factor receptor tyrosine kinase, which shows non-inferior efficacy and better safety comparing to gefitinib in previous phase III trial. The present study was designed to further evaluate the efficacy and safety of icotinib in patients with advanced non-small-cell lung cancer (NSCLC) previously treated with platinum-based chemotherapy. Patients with NSCLC progressing after one or two lines of chemotherapy were enrolled to receive oral icotinib (125 mg tablet, three times per day). The primary endpoint was progression-free survival. The secondary endpoints included overall survival, objective response rate, time to progression, quality of life and safety. From March 16, 2010 to October 9, 2011, 128 patients from 15 centers nationwide were enrolled, in which 124 patients were available for efficacy evaluation and 127 patients were evaluable for safety. The median progression-free survival and time to progression were 5.0 months (95%CI 2.9-6.6 m) and 5.4 months (95%CI 3.1-7.9 m), respectively. The objective response rate and disease control rate were 25.8% and 67.7% respectively. Median overall survival exceeded 17.6 months (95%CI 14.2 m-NA) according to censored data. Further follow-up of overall survival is ongoing. The most frequent treatment-related adverse events were rash (26%, 33/127), diarrhea (12.6%, 16/127) and elevation of transaminase (15.7%, 20/127). In general, this study showed similar efficacy and numerically better safety when compared with that in ICOGEN trial, further confirming the efficacy and safety of icotinib in treating patients with advanced NSCLC previously treated with chemotherapy. ClinicalTrials.gov NCT02486354.

  5. A case study of technology transfer: Rehabilitative engineering at Rancho Los Amigos Hospital. [prosthetic devices engineering

    Science.gov (United States)

    Hildred, W.

    1973-01-01

    The transfer of NASA technolgy to rehabilitative applications of artificial limbs is studied. Human factors engineering activities range from orthotic manipulators to tiny dc motors and transducers to detect and transmit voluntary control signals. It is found that bicarbon implant devices are suitable for medical equipment and artificial limbs because of their biological compatibility with human body fluids and tissues.

  6. Effect of a supplementation with myo-inositol plus melatonin on oocyte quality in women who failed to conceive in previous in vitro fertilization cycles for poor oocyte quality: a prospective, longitudinal, cohort study.

    Science.gov (United States)

    Unfer, Vittorio; Raffone, Emanuela; Rizzo, Piero; Buffo, Silvia

    2011-11-01

    Several factors can affect oocyte quality and therefore pregnancy outcome in assisted reproductive technology (ART) cycles. Recently, a number of studies have shown that the presence of several compounds in the follicular fluid positively correlates with oocyte quality and maturation (i.e., myo-inositol and melatonin). In the present study, we aim to evaluate the pregnancy outcomes after the administration of myo-inositol combined with melatonin in women who failed to conceive in previous in vitro fertilization (IVF) cycles due to poor oocyte quality. Forty-six women were treated with 4 g/day myo-inositol and 3 mg/day melatonin (inofolic® and inofolic® Plus, Lo.Lipharma, Rome) for 3 months and then underwent a new IVF cycle. After treatment, the number of mature oocytes, the fertilization rate, the number of both, total and top-quality embryos transferred were statistically higher compared to the previous IVF cycle, while there was no difference in the number of retrieved oocyte. After treatment, a total of 13 pregnancies occurred, 9 of them were confirmed echographically; four evolved in spontaneous abortion. The treatment with myo-inositol and melatonin improves ovarian stimulation protocols and pregnancy outcomes in infertile women with poor oocyte quality.

  7. Study with a steam tracer in a zone near well Az-64, in the Los Azufres geothermal field, Mich.; Estudio con un trazador de vapor en la zona aledana al pozo Az-64, en el campo geotermico de Los Azufres, Mich.

    Energy Technology Data Exchange (ETDEWEB)

    Iglesias, Eduardo R. [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico)]. E-mail: iglesias@iie.org.mx; Flores Armenta, Magaly; Quijano Leon, Jose Luis; Torres Rodriguez, Marco A. [Comision Federal de Electricidad, Gerencia de Proyectos Geotermoelectricos, Morelia, Michoacan (Mexico); Torres, Rodolfo J.; Reyes Picasso, Neftali [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico); Sandoval Medina, Fernando [Comision Federal de Electricidad, Gerencia de Proyectos Geotermoelectricos, Morelia, Michoacan (Mexico)

    2009-01-15

    A previous tracer study in the Maritaro-La Cumbre area of the Los Azufres, Mich., geothermal field concluded that injection in well Az-15 recharges a group of producing wells located east of the injector to a maximum distance of about 2000 m. The study also indicated injection in Az-15 either does not recharge wells farther east in the neighborhood of the Laguna Verde fault, or does so at very low rates over a long period. Because it is important to recharge this zone, it was decided to explore the possibility of doing it by injecting in well Az-64, located in the area. Thus the present study was designed. Six producing wells were chosen to monitor tracer arrivals. Because all the chosen wells produce steam (several also produce water) and for economic reasons, it was decided to use a steam-phase tracer. We chose sulfur hexafluoride (SF6), a tracer successfully used before in the field. On October 24, 2006, we injected 96.4 kg of SF6 into well Az-64. All six chosen wells were sampled for 156 days, starting the day of injection. The tracer was detected in all six wells and for every well the shape of the residence curve clearly depicted the fractured nature of the corresponding permeability. Again in every case, the recovery curves indicated recovery was completed within the 156-day sampling period. The largest recoveries were in wells Az-05 (48.5%) and Az-43 (1.27%), those closest to the injection well and on the same side of the Maritaro fault as Az-64. Well Az-51, lying at 848 m from the injector and farthest away, registered the third-highest recovery percentage (1.01 x 10-5%), significantly higher than well Az-19 (6.95 x 10-6%), located 490 m from the injector; the two wells are on the same side of the Maritaro fault as Az-64. Well Az-32, located 423 m from the injector, but on the other side of the Maritaro fault, recovered 5.6 x 10-7% of the injected tracer, comparable to 8.67 x 10-7%, the amount recovered in well Az-13 on the same side of the Maritaro fault

  8. Carotid Artery Distensibility and Hormone Therapy and Menopause: The Los Angeles Atherosclerosis Study (LAAS)

    Science.gov (United States)

    Shufelt, Chrisandra; Elboudwarej, Omeed; Johnson, B. Delia; Mehta, Puja; Bittner, Vera; Braunstein, Glenn; Berga, Sarah; Stanczyk, Frank; Dwyer, Kathleen; Merz, C. Noel Bairey

    2015-01-01

    Objective Observational studies suggest that arterial distensibility decreases during menopause; however, the relation to hormone therapy use is controversial. We prospectively studied distensibility and hormone therapy use during different menopause stages. Methods 161 women between 42–61 years of age without cardiovascular disease had carotid artery measurements by ultrasound to calculate the distensibility index at baseline and 3 years later. Menopause stage was classified at each visit as premenopausal, perimenopausal, and postmenopausal. Over 3 years of prospective observation, women were classified as remaining premenopausal, remaining postmenopausal, or transitioning, defined as change from premenopausal-to-perimenopausal, premenopausal-to-postmenopausal, perimenopausal-to-perimenopausal, or perimenopausal-to-postmenopausal. Results Distensibility declined over time in all menopause stages (pmenopause transition is associated with reduced vascular compliance. Hormone therapy is associated with better arterial distensibility only during menopause transition. Additional prospective studies are needed to confirm these findings and to determine if hormone therapy use beyond menopause transition is related to distensibility. PMID:26308234

  9. Carotid artery distensibility and hormone therapy and menopause: the Los Angeles Atherosclerosis Study.

    Science.gov (United States)

    Shufelt, Chrisandra; Elboudwarej, Omeed; Johnson, B Delia; Mehta, Puja; Bittner, Vera; Braunstein, Glenn; Berga, Sarah; Stanczyk, Frank; Dwyer, Kathleen; Merz, C Noel Bairey

    2016-02-01

    Observational studies have suggested that arterial distensibility decreases during menopause; however, its relationship with hormone therapy use remains controversial. We prospectively studied distensibility and hormone therapy use at different menopause stages. One hundred sixty-one women (aged between 42 and 61 y) without cardiovascular disease underwent carotid artery measurements by ultrasound to calculate distensibility index at baseline and 3 years later. Menopause stage was classified at each visit as premenopausal, perimenopausal, and postmenopausal. Across 3 years of prospective observation, women were classified as remaining premenopausal, remaining postmenopausal, or transitioning (defined as change from premenopausal to perimenopausal, from premenopausal to postmenopausal, from perimenopausal to perimenopausal, or from perimenopausal to postmenopausal). Distensibility declined across time at all menopause stages (P menopausal transition is associated with reduced vascular compliance. Hormone therapy is associated with better arterial distensibility only during the menopausal transition. Additional prospective studies are needed to confirm these findings and to determine whether hormone therapy use beyond the menopausal transition is related to distensibility.

  10. Experimental study on line-of-sight (LOS) attitude control using control moment gyros under micro-gravity environment

    Science.gov (United States)

    Kojima, Hirohisa; Hiraiwa, Kana; Yoshimura, Yasuhiro

    2018-02-01

    This paper presents the results of line-of-sight (LOS) attitude control using control moment gyros under a micro-gravity environment generated by parabolic flight. The W-Z parameters are used to describe the spacecraft attitude. In order to stabilize the current LOS to the target LOS, backstepping-based feedback control is considered using the W-Z parameters. Numerical simulations and experiments under a micro-gravity environment are carried out, and their results are compared in order to validate the proposed control methods.

  11. Los diarios

    Directory of Open Access Journals (Sweden)

    Alfonso Hanssen

    1967-12-01

    Full Text Available Junio 14 - Uno ha tenido el cuidado de amar exageradamente. Se extingue la pasión y se reduce en el ánima la energía. La convertimos en imágenes. La especie de rechazo. El fracaso de los sentimientos desleídos. El tedio galopante. La furia. Y el espíritu lleno y caótico. Entonces uno necesita mudarse, transportarse en la crín de la idea tropélica. Porque uno está perdido. Porque quiere navegar con mástiles rotos. Se le propone a la vida la danza dionisíaca. Extraerse uno. Someterse al éxtasis imaginativo.

  12. Controlled-air incineration studies at the Los Alamos Scientific Laboratory

    International Nuclear Information System (INIS)

    Borduin, L.C.; Neuls, A.S.; Thompson, T.K.; Warner, C.L.

    1978-01-01

    An overview of the LASL controlled-air incineration (CAI) program is provided through a description of the process, a summary of component selection and system design criteria, a statement of project status, and discussion of experimental and process improvement study plans. The results of the program will be used to formulate the design criteria and operating parameters for a production model controlled-air transuranic (TRU) waste incineration system and govern the construction and operation of a facility for this purpose. The objective of the LASL CAI project is to develop and demonstrate an effective, safe, and reliable process for volume reduction and chemical stabilization of TRU solid wastes using proven technology whenever possible. The benefits of this process will be realized in reduced handling and storage hazards potentials, lower packaging, transportation, and storage expenses, less storage space requirements, and fewer monitoring needs

  13. Cancer risk among Los Angeles women with cosmetic breast implants.

    Science.gov (United States)

    Deapen, Dennis M; Hirsch, Elliot M; Brody, Garry S

    2007-06-01

    As the first generation of women who received cosmetic breast implants ages, questions remain about cancer risk. This study is an update of the Los Angeles Augmentation Mammaplasty Study and examines cancer risk among women with long-term exposure to breast implants. The authors conducted a record linkage cohort study of patients with cosmetic breast implants by abstracting from records of the private practices of 35 board-certified plastic surgeons in Los Angeles County, California. They included 3139 Caucasian women who received cosmetic breast implants between 1953 and 1980. Spanish-surnamed women, nonresidents of Los Angeles County, and patients with prior subcutaneous mastectomy or breast cancer were excluded. Cancer outcomes through 1994 were ascertained through record linkage with the Los Angeles County Cancer Surveillance Program. With a mean follow-up period of 15.5 years, 43 cases of breast cancer were observed, compared with 62.6 expected, based on Los Angeles County population-based incidence rates (standardized incidence ratio, 0.69; 95% CI, 0.50 to 0.93). Significant increases were observed for cancer of the lung and bronchus (standardized incidence ratio, 2.14; 95% CI, 1.42 to 3.09) and vulvar cancer (standardized incidence ratio, 3.47; 95% CI, 1.39 to 7.16). The breast cancer results of this study are consistent with the previous reports of the Los Angeles study as well as with several other long-term cohort studies. Lung cancer has previously been found to be increased in this cohort and also in some, but not most, other studies. The increased risk of vulva cancer has previously been observed in this cohort and just one other.

  14. Ibrutinib combined with bendamustine and rituximab compared with placebo, bendamustine, and rituximab for previously treated chronic lymphocytic leukaemia or small lymphocytic lymphoma (HELIOS): a randomised, double-blind, phase 3 study.

    Science.gov (United States)

    Chanan-Khan, Asher; Cramer, Paula; Demirkan, Fatih; Fraser, Graeme; Silva, Rodrigo Santucci; Grosicki, Sebastian; Pristupa, Aleksander; Janssens, Ann; Mayer, Jiri; Bartlett, Nancy L; Dilhuydy, Marie-Sarah; Pylypenko, Halyna; Loscertales, Javier; Avigdor, Abraham; Rule, Simon; Villa, Diego; Samoilova, Olga; Panagiotidis, Panagiots; Goy, Andre; Mato, Anthony; Pavlovsky, Miguel A; Karlsson, Claes; Mahler, Michelle; Salman, Mariya; Sun, Steven; Phelps, Charles; Balasubramanian, Sriram; Howes, Angela; Hallek, Michael

    2016-02-01

    Most patients with chronic lymphocytic leukaemia or small lymphocytic lymphoma relapse after initial therapy. Bendamustine plus rituximab is often used in the relapsed or refractory setting. We assessed the efficacy and safety of adding ibrutinib, an oral covalent inhibitor of Bruton's tyrosine kinase (BTK), to bendamustine plus rituximab in patients with previously treated chronic lymphocytic leukaemia or small lymphocytic lymphoma. The HELIOS trial was an international, double-blind, placebo-controlled, phase 3 study in adult patients (≥18 years of age) who had active chronic lymphocytic leukaemia or small lymphocytic lymphoma with measurable lymph node disease (>1·5 cm) by CT scan, and had relapsed or refractory disease following one or more previous lines of systemic therapy consisting of at least two cycles of a chemotherapy-containing regimen, an Eastern Cooperative Oncology Group (ECOG) performance status of 0-1, and adequate bone marrow, liver, and kidney function. Patients with del(17p) were excluded because of known poor response to bendamustine plus rituximab. Patients who had received previous treatment with ibrutinib or other BTK inhibitors, refractory disease or relapse within 24 months with a previous bendamustine-containing regimen, or haemopoietic stem-cell transplant were also excluded. Patients were randomly assigned (1:1) by a web-based system to receive bendamustine plus rituximab given in cycles of 4 weeks' duration (bendamustine: 70 mg/m(2) intravenously on days 2-3 in cycle 1, and days 1-2 in cycles 2-6; rituximab: 375 mg/m(2) on day 1 of cycle 1, and 500 mg/m(2) on day 1 of cycles 2-6 for a maximum of six cycles) with either ibrutinib (420 mg daily orally) or placebo until disease progression or unacceptable toxicity. Patients were stratified according to whether they were refractory to purine analogues and by number of previous lines of therapy. The primary endpoint was independent review committee (IRC)-assessed progression

  15. Study of the burning capability of the Los Alamos ATW system

    Energy Technology Data Exchange (ETDEWEB)

    Landeyro, P.A. [ENEA, Roma (Italy); Buccafurni, A.; Orazi, A. [ANPA, Roma (Italy)

    1995-10-01

    The aim of calculations is to evaluate the evolution of the infinate multiplication factor (k{sub inf}) during the irradiation of minor actinides, High Level Waste (HLWL) and Plutonium. The most important results are independently verified with Monte Carlo calculations. The relative importance of the main parameters affecting the k{sub inf} was investigated by performing calculations with several minor actinide and plutonium concentrations as well as different {sup 238}U decontamination factors for HLW. The merit figure value for minor actinide alone, considering a constant neutron flux indicates that the best results are reached for minor actinide concentration equal to PWR spent fuel. The best plutonium burning results are obtained for a concentration (50.23 g/l) equal to the half of PWR spent fuel one. The simulations lead to two different reactor concepts: one for HLW burning and the other for plutonium burning purposes. To burn the HLW the most suitable reactor is an homogeneous one. This kind of reactor can effectively be utilised to burn minor actinide in low concentration (namely the PWR spent fuel). On the other hand an heterogeneous reactor with channels filled by all actinides present in PWR spent fuel with the exclusion of U isotopes with a concentration of 50 g/l can be studied.

  16. Los modelos de niveles múltiples: una estrategia analítica para el estudio de los problemas de salud de la población Multilevel models: an analysis strategy for the study of health problems in society

    Directory of Open Access Journals (Sweden)

    Irene Luppi

    2006-03-01

    Full Text Available Se presenta una discusión teórico metodológica sobre la aplicabilidad de modelos de niveles múltiples para el estudio de los procesos de salud/enfermedad, sus determinantes y condicionantes, en función de la estratificación de la sociedad y de las condiciones de vida de sus habitantes. Se recupera una noción de población según la perspectiva de la teoría de los sistemas complejos jerárquicos que busca no reducir la realidad, sino una construcción del problema procurando identificar distintos niveles de abstracción para su abordaje. Estos modelos constituyen una opción que supera las experiencias previas, con la aplicación de técnicas estadísticas convencionales, dado que permiten analizar simultáneamente distintos niveles de agregación conservando su estructura jerárquica. Se consideran la influencia de las variables teniendo en cuenta su pertenencia a unidades mayores y la asociación potencialmente existente entre las unidades de un mismo nivel, es decir, la correlación intraclase entre variables relativas a individuos, familias, grupos, próximos entre sí, que comparten condiciones semejantes. Se evita de este modo sobredimensionar el efecto de las variables de macro nivel. Los modelos de niveles múltiples resultan particularmente adecuados para valorar desigualdades en el proceso salud/enfermedad/atención de los grupos poblacionales y analizar cómo los contextos sociales afectan los resultados y los riesgos de salud individuales. Se destaca la necesidad de desarrollar estrategias de producción de información y de análisis que posibiliten reconocer niveles de explicación y de intervención, para proveer insumos y desencadenar acciones adecuadas a las especificidades locales, a nivel de las micro-áreas, con miras a lograr una mayor equidad en salud.This paper presents the theoretical-methodological discussion about the applicability of multiple level models in the study of the health/sickness process, its

  17. Using the genome aggregation database, computational pathogenicity prediction tools, and patch clamp heterologous expression studies to demote previously published long QT syndrome type 1 mutations from pathogenic to benign.

    Science.gov (United States)

    Clemens, Daniel J; Lentino, Anne R; Kapplinger, Jamie D; Ye, Dan; Zhou, Wei; Tester, David J; Ackerman, Michael J

    2018-04-01

    Mutations in the KCNQ1-encoded Kv7.1 potassium channel cause long QT syndrome (LQTS) type 1 (LQT1). It has been suggested that ∼10%-20% of rare LQTS case-derived variants in the literature may have been published erroneously as LQT1-causative mutations and may be "false positives." The purpose of this study was to determine which previously published KCNQ1 case variants are likely false positives. A list of all published, case-derived KCNQ1 missense variants (MVs) was compiled. The occurrence of each MV within the Genome Aggregation Database (gnomAD) was assessed. Eight in silico tools were used to predict each variant's pathogenicity. Case-derived variants that were either (1) too frequently found in gnomAD or (2) absent in gnomAD but predicted to be pathogenic by ≤2 tools were considered potential false positives. Three of these variants were characterized functionally using whole-cell patch clamp technique. Overall, there were 244 KCNQ1 case-derived MVs. Of these, 29 (12%) were seen in ≥10 individuals in gnomAD and are demotable. However, 157 of 244 MVs (64%) were absent in gnomAD. Of these, 7 (4%) were predicted to be pathogenic by ≤2 tools, 3 of which we characterized functionally. There was no significant difference in current density between heterozygous KCNQ1-F127L, -P477L, or -L619M variant-containing channels compared to KCNQ1-WT. This study offers preliminary evidence for the demotion of 32 (13%) previously published LQT1 MVs. Of these, 29 were demoted because of their frequent sighting in gnomAD. Additionally, in silico analysis and in vitro functional studies have facilitated the demotion of 3 ultra-rare MVs (F127L, P477L, L619M). Copyright © 2017 Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.

  18. Refractive error, ocular biometry, and lens opalescence in an adult population: the Los Angeles Latino Eye Study.

    Science.gov (United States)

    Shufelt, Chrisandra; Fraser-Bell, Samantha; Ying-Lai, Mei; Torres, Mina; Varma, Rohit

    2005-12-01

    To characterize age- and gender-related differences in refractive error, ocular biometry, and lens opalescence (NOP) in a population-based sample of adult Latinos. Also assessed were the determinants of age-related refractive differences. Participants in the Los Angeles Latino Eye Study (LALES), a population-based study of Latinos aged 40 years and more, underwent an ophthalmic examination, including ultrasonic measurements of axial length (AL), vitreous chamber depth (VCD), anterior chamber depth (ACD), lens thickness (LT), and noncycloplegic automated and subjective refraction. Corneal curvature/power (CP) was measured using an autorefractor. NOP was graded at the slit lamp by an ophthalmologist using the Lens Opacity Classification System II. Age- and gender-related differences were calculated. Multiple regression models were used to identify the determinants of age-related refractive differences. Of the 6357 LALES participants, 5588 phakic individuals with biometric data were included in this analysis. Older individuals had shallower ACDs, thicker lenses, more NOP, and more hyperopia compared to younger individuals (P or = 0.05). Women had significantly shorter AL, shallower ACD and VCD, than did men (P < or = 0.01). The strongest determinants of refractive error were AL (primarily VCD) and CP. NOP was a small but significant determinant of refractive error in older individuals. Age- and gender-related differences in ocular biometric, refractive error, and NOP measurements are present in adult Latinos. While the relative contribution of NOP in determining refractive error is small, it is greater in older persons compared to younger individuals.

  19. La ceguera desde la perspectiva de los estudios de Ciencia-Tecnología-Sociedad Blindness from the viewpoint of the studies of Science-Tencnology-Society

    Directory of Open Access Journals (Sweden)

    Oslay Mijail Tirado Martínez

    2011-12-01

    Full Text Available El desarrollo de la tecnociencia ha conducido a una sociedad de riesgo. Esta ultima exige un comprometimiento mayor de la ciencia con respecto a los problemas de los mas necesitados. A pesar del avance tecnologico de la oftalmologia el numero de pacientes con ceguera en el mundo es alarmante. En este trabajo se analizan los determinantes de salud relacionados con la ceguera a nivel mundial desde la perspectiva de la ciencia, tecnologia y sociedad.The development of science has lead to a society of risk, which demands more commitment to people in need. Despite the progress of ophthalmological technologies, the number of patients suffering blindness continues to be alarming. The article deals with health aspects related to blindness around the world, from the viewpoint of the studies of science-technology-society.

  20. Effects of previous unsuccessful extracorporeal shockwave lithotripsy treatment on the performance and outcome of percutaneous nephrolithotomy.

    Science.gov (United States)

    Türk, Hakan; Yoldaş, Mehmet; Süelözgen, Tufan; İşoğlu, Cemal Selcuk; Karabıçak, Mustafa; Ergani, Batuhan; Ün, Sıtkı

    2017-06-01

    To evaluate the effects of previous unsuccessful extracorporeal shockwave lithotripsy (ESWL) treatment on the performance and outcome of percutaneous nephrolithotomy (PCNL). Of 1625 PCNL procedures performed in our clinic, 393 renal units with similar stone burden and number of accesses was included in the present study. We categorised the study patients into two groups according to whether they underwent ESWL within 1 year prior to PCNL or not. Accordingly, Group 1 comprised 143 (36.3%) ESWL-treated patients and Group 2 comprised 250 (63.7%) non-ESWL-treated patients. Residual stones were detected in 36 (25.1%) of the ESWL-treated patients (Group 1) and in 60 (24%) of non-ESWL-treated patients (Group 2). There were no statistically significant differences between the groups for length of hospital stay (LOS), nephrostomy tube removal time, and the presence of residual stones. When we evaluated the groups for both the preoperative and postoperative haemoglobin (Hb) drop and blood transfusion rate, manifest Hb declines and more transfusions were required in the ESWL-treated patients (both P  = 0.01). In our study, previous ESWL treatment had no influence on the PCNL stone-free rate, operation time, incidence of postoperative complications, and LOS, in patients with similar stone burdens. However, bleeding during PCNL was more prevalent in the ESWL-treated patients, so close attention should be paid to bleeding in patients who have been pretreated with ESWL.

  1. Which surgery should be offered for carpal tunnel syndrome in a patient who was previously treated for recurrence on the contralateral side? Preliminary study of 13 patients with the Canaletto® implant.

    Science.gov (United States)

    Illuminati, I; Seigle-Murandi, F; Gouzou, S; Fabacher, T; Facca, S; Hidalgo Diaz, J J; Liverneaux, P

    2017-12-01

    There are no published studies on the management of carpal tunnel syndrome (CTS) patients who have already been operated for recurrent CTS on the contralateral side. The aim of this study was to evaluate 13 patients with CTS who underwent primary release using a Canaletto ® implant. The 13 patients had all been operated for recurrent CTS previously. On the contralateral side, they all had subjective signs, and two of them already had complications. All were operated with the Canaletto ® implant according to Duché's technique, in a mean of 20minutes. After a mean 19.3-month follow-up, paresthesia, pain, and QuickDASH scores were significantly improved, even in one patient who underwent revision at another facility. This preliminary study suggests that use of a Canaletto ® implant as first-line treatment for CTS in patients who already underwent revision surgery on the other side is a simple and safe technique, without worsening of symptoms. These findings should be assessed with a prospective randomized controlled trial. Copyright © 2017 SFCM. Published by Elsevier Masson SAS. All rights reserved.

  2. Los linfocitos: modelo de estudio en las enfermedades de Alzheimer y Parkinson Lymphocytes as a cell model to study Alzheimer’s and Parkinson’s diseases

    Directory of Open Access Journals (Sweden)

    Carlos Vélez Pardo

    2006-01-01

    Full Text Available Las Enfermedades de Alzheimer Familiar (EAF y de Parkinson familiar (EPF son dos entidades neurodegenerativas progresivas que afectan a un grupo numeroso de individuos en el departamento de Antioquia, Colombia. Hasta el presente no existe un tratamiento eficaz y definitivo que reduzca o detenga el deterioro clinicopatológico que padecen los pacientes de estas enfermedades. Por estas razones, los procesos bioquímicos comprometidos en la pérdida neuronal han sido esencialmente estudiados en modelos biológicos. Los autores de este artículo, basados en su propia experiencia y en la de otros investigadores, postulan a los linfocitos como modelo celular de estudio para dilucidar las señales moleculares intracelulares activadas por el estrés oxidativo (EO en las enfermedades de Alzheimer y Parkinson. Sorprendentemente, los linfocitos poseen una similitud celular y bioquímica con las células nerviosas. De hecho, los linfocitos expresan por lo menos seis sistemas biológicos, considerados como pertenecientes únicamente a las neuronas, tales como los sistemas catecolaminérgico, serotonérgico, acetilcolinérgico, glutamaérgico, noradrenérgico, gabaérgico. Debido a que los linfocitos son células con ciclo celular en la etapa Go, y presentan los sistemas metabólicos de síntesis, transporte y procesamiento de las proteínas precursora del beta-amiloide (APP, presenilinas y parkina, estas células constituyen un modelo celular ideal que permitirá una mejor comprensión de la señalización patológica de los procesos neurodegenerativos, y además permitirá realizar un enfoque racional de los diseños terapéuticos que detengan las causas de deterioro neuronal en los pacientes que padecen estas enfermedades. Alzheimer’s disease (Ad and Parkinson’s disease (PD are two common progressive neurodegenerative disorders that affect a large group of individuals in Antioquia, Colombia. Up till now, there is not an effective and definitive

  3. Los usuarios, Internet y el bibliotecario: estudio de usuarios sobre los recursos en línea Users, Internet, and the librarian: user study about online resources

    Directory of Open Access Journals (Sweden)

    Lorena Mariel Domínguez

    2008-06-01

    Full Text Available Actualmente Internet es un importante medio de información y comunicación, reemplazando en muchos casos la consulta a la biblioteca. No obstante, debido a la brecha digital y a las carencias de este medio, hay un espacio de actuación para el bibliotecario relacionado con el desarrollo de servicios de información basados en Internet tales como página web institucional, consulta electrónica, alertas y diseminación selectiva de información web, asistencia en las búsquedas en línea, acceso a recursos de información pagos, etc. A través de un estudio de usuarios, consistente en una encuesta mediante un cuestionario aplicado a 400 usuarios de la Dirección Hemeroteca y Naciones Unidas de la Biblioteca Argentina «Dr. Juan Álvarez» (Rosario en el año 2006, se conocieron las demandas existentes hacia estos servicios.At present, the Internet is an important information and communication medium that, in many cases, replaces the library. However, due to the digital gap and the lack of that medium, there is a space for the librarian related to information service development based on the Internet such as an institutional web page; electronic query; alert services and selective dissemination of web information; online searches assistance, access to charged information resources; etc. By means of a user study, consisting of a survey answered by 400 users of the Newspapers Library and United Nations Direction of the Argentinean Library «Dr. Juan Álvarez» (Rosario in 2006, all requirements to those services could be known.

  4. Usefulness of indirect alcohol biomarkers for predicting recidivism of drunk-driving among previously convicted drunk-driving offenders: results from the recidivism of alcohol-impaired driving (ROAD) study.

    Science.gov (United States)

    Maenhout, Thomas M; Poll, Anneleen; Vermassen, Tijl; De Buyzere, Marc L; Delanghe, Joris R

    2014-01-01

    In several European countries, drivers under the influence (DUI), suspected of chronic alcohol abuse are referred for medical and psychological examination. This study (the ROAD study, or Recidivism Of Alcohol-impaired Driving) investigated the usefulness of indirect alcohol biomarkers for predicting drunk-driving recidivism in previously convicted drunk-driving offenders. The ROAD study is a prospective study (2009-13) that was performed on 517 randomly selected drivers in Belgium. They were convicted for drunk-driving for which their licence was confiscated. The initial post-arrest blood samples were collected and analysed for percentage carbohydrate-deficient transferrin (%CDT), transaminsase activities [alanine amino transferase (ALT), aspartate amino transferase (AST)], gamma-glutamyltransferase (γGT) and red cell mean corpuscular volume (MCV). The observation time for each driver was 3 years and dynamic. A logistic regression analysis revealed that ln(%CDT) (P drunk-driving. The ROAD index (which includes ln(%CDT), ln(γGT), -ln(ALT) and the sex of the driver) was calculated and had a significantly higher area under the receiver operator characteristic curve (0.71) than the individual biomarkers for drunk-driving recidivism. Drivers with a high risk of recidivating (ROAD index ≥ 25%; third tertile) could be distinguished from drivers with an intermediate risk (16% ≤ ROAD index drunk-driving. The association with gamma-glutamyltransferase, alanine amino transferase and the sex of the driver could have additional value for identifying drunk-drivers at intermediate risk of recidivism. Non-specific indirect alcohol markers, such as alanine amino transferase, gamma-glutamyltransferase, aspartate amino transferase and red cell mean corpuscular volume have minimal added value to % carbohydrate-deficient transferrin for distinguishing drunk drivers with a low or high risk of recidivism. © 2013 Society for the Study of Addiction.

  5. Underestimation of Severity of Previous Whiplash Injuries

    Science.gov (United States)

    Naqui, SZH; Lovell, SJ; Lovell, ME

    2008-01-01

    INTRODUCTION We noted a report that more significant symptoms may be expressed after second whiplash injuries by a suggested cumulative effect, including degeneration. We wondered if patients were underestimating the severity of their earlier injury. PATIENTS AND METHODS We studied recent medicolegal reports, to assess subjects with a second whiplash injury. They had been asked whether their earlier injury was worse, the same or lesser in severity. RESULTS From the study cohort, 101 patients (87%) felt that they had fully recovered from their first injury and 15 (13%) had not. Seventy-six subjects considered their first injury of lesser severity, 24 worse and 16 the same. Of the 24 that felt the violence of their first accident was worse, only 8 had worse symptoms, and 16 felt their symptoms were mainly the same or less than their symptoms from their second injury. Statistical analysis of the data revealed that the proportion of those claiming a difference who said the previous injury was lesser was 76% (95% CI 66–84%). The observed proportion with a lesser injury was considerably higher than the 50% anticipated. CONCLUSIONS We feel that subjects may underestimate the severity of an earlier injury and associated symptoms. Reasons for this may include secondary gain rather than any proposed cumulative effect. PMID:18201501

  6. Integrating Remote Sensing Data in Noah-UCM Parameterization and Validation: A Case Study for the Los Angeles Metropolitan Area

    Science.gov (United States)

    Vahmani, P.; Hogue, T. S.

    2013-12-01

    Regional meteorological models are increasingly being applied in urban areas. Accurate representation of urban surface physical characteristics in these models is critical for predictions of surface-atmosphere fluxes of sensible heat, latent heat, and momentum, which in turn affect weather and climate forecasting capabilities. Yet, the specification of surface parameters largely relies on out-dated land-use maps and lookup tables. In this contribution, we use the Noah LSM (Land Surface Model)-SLUCM (Single Layer Urban Canopy Model) modeling framework to investigate the usefulness of remotely sensed data in the model parameterization and validation processes, the sensitivity of the model to the defined parameters, and the model's performance improvement when the new parameter sets are implemented. Fused Landsat ETM and MODIS data are used to generate high resolution (30 m) spatial maps of monthly GVF (Green Vegetation Fraction), ISA (Impervious Surface Area), LAI (Leaf Area Index), albedo, and emissivity over the Los Angeles metropolitan area, which are then directly implemented in the model simulations. Parameters derived from remote sensing platforms show significant temporal and spatial differences from traditional Noah LSM values. For example, GVF shows significantly less seasonal variability, reflecting the impact of heavy year round irrigation in the study domain, which is not accounted in the default parameters. Assimilating remotely sensed model parameters into Noah/SLUCM results in significant changes in the simulated energy and water fluxes over the study area. The results show a high sensitivity of model simulations to all investigated parameters except for emissivity. Finally, the model's performance is evaluated utilizing Landsat based land surface temperature and evapotranspiration measurements from CIMIS (California Irrigation Management Information System) stations. Results reveal that the surface energy and water budget estimation accuracies are

  7. Previous exposure in a high-risk area for travellers' diarrhoea within the past year is associated with a significant protective effect for travellers' diarrhoea: a prospective observational cohort study in travellers to South Asia.

    Science.gov (United States)

    Kuenzli, Esther; Juergensen, David; Kling, Kerstin; Jaeger, Veronika K; DeCrom, Susan; Steffen, Robert; Widmer, Andreas F; Battegay, Manuel; Hatz, Christoph; Neumayr, Andreas

    2017-09-01

    Travellers' diarrhoea is the most common health problem in travellers. Depending on the region visited, up to 40% of travellers develop diarrhoea during a 2-week trip. The aim of this study was to assess risk factors for TD among travellers to the Indian subcontinent. An observational prospective multicentre cohort study investigated travellers to the Indian subcontinent. Participants completed questionnaires assessing the incidence of travellers' diarrhoea and identifying potential risk factors. Covariates were assessed univariately, followed by a multivariate regression. Two-hundred and twenty-six travellers were enrolled into the study, 178 filled in both pre- and post-travel questionnaires. Overall, the attack rate of travellers' diarrhoea was 38.2%. Travel destination is a key risk factor for the occurrence of TD. Travelling to India or Nepal vs Bhutan is associated with an increased risk for TD (OR 6.68 and 6.62, respectively). A length of stay of more than 3 weeks compared to less than 2 weeks is also associated with a significantly increased risk (OR 5.45). Having stayed in a high-risk area for travellers' diarrhoea within the past year before the current trip is associated with a significantly decreased risk (OR 0.19). No association was found between consumption of high risk food (i.e. tap water, ice cream, raw meat and hamburgers) and travellers' diarrhoea. Travellers' diarrhoea is a frequent problem in travellers to the Indian subcontinent. Previous exposure in a high-risk area for travellers' diarrhoea within the past year appears to have a significant protective effect. Furthermore, an association between the occurrence of travellers' diarrhoea and travel destination and length of stay, respectively, was observed. Consumption of risk food did not confer a TD risk in our study. © International Society of Travel Medicine, 2017. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com

  8. Myocardial adaption to HI(R)T in previously untrained men with a randomized, longitudinal cardiac MR imaging study (Physical adaptions in Untrained on Strength and Heart trial, PUSH-trial).

    Science.gov (United States)

    Scharf, Michael; Oezdemir, Derya; Schmid, Axel; Kemmler, Wolfgang; von Stengel, Simon; May, Matthias S; Uder, Michael; Lell, Michael M

    2017-01-01

    Although musculoskeletal effects in resistance training are well described, little is known about structural and functional cardiac adaption in formerly untrained subjects. We prospectively evaluated whether short term high intensity (resistance) training (HI(R)T) induces detectable morphologic cardiac changes in previously untrained men in a randomized controlled magnetic resonance imaging (MRI) study. 80 untrained middle-aged men were randomly assigned to a HI(R)T-group (n = 40; 43.5±5.9 years) or an inactive control group (n = 40; 42.0±6.3 years). HI(R)T comprised 22 weeks of training focusing on a single-set to failure protocol in 2-3 sessions/week, each with 10-13 exercises addressing main muscle groups. Repetitions were decreased from 8-10 to 3-5 during study period. Before and after HI(R)T all subjects underwent physiologic examination and cardiac MRI (cine imaging, tagging). Indexed left (LV) and right ventricular (RV) volume (LV: 76.8±15.6 to 78.7±14.8 ml/m2; RV: 77.0±15.5 to 78.7±15.1 ml/m2) and mass (LV: 55.5±9.7 to 57.0±8.8 g/m2; RV: 14.6±3.0 to 15.0±2.9 g/m2) significantly increased with HI(R)T (all pHI(R)T-group did not alter with training (0.73g/mL and 0.19g/mL, respectively [p = 0.96 and p = 0.87]), indicating balanced cardiac adaption. Indexed LV (48.4±11.1 to 50.8±11.0 ml/m2) and RV (48.5±11.0 to 50.6±10.7 ml/m2) stroke volume significantly increased with HI(R)T (pHI(R)T (36.2±7.9 to 37.0±8.4 ml/m2, p = 0.411), the ratio to end-diastolic LV volume at baseline and post-training was unchanged (0.47 vs. 0.47, p = 0.79). 22 weeks of HI(R)T lead to measurable, physiological changes in cardiac atrial and ventricular morphologic characteristics and function in previously untrained men. The PUSH-trial is registered at the US National Institutes of Health (ClinicalTrials.gov), NCT01766791.

  9. A history of the working group to address Los Alamos community health concerns - A case study of community involvement and risk communication

    Energy Technology Data Exchange (ETDEWEB)

    Harry Otway; Jon Johnson

    2000-01-01

    In May 1991, at a Department of Energy (DOE) public hearing at Los Alamos, New Mexico, a local artist claimed there had been a recent brain tumor cluster in a small Los Alamos neighborhood. He suggested the cause was radiation from past operations of Los Alamos National Laboratory. Data from the Laboratory's extensive environmental monitoring program gave no reason to believe this charge to be true but also could not prove it false. These allegations, reported in the local and regional media, alarmed the community and revealed an unsuspected lack of trust in the Laboratory. Having no immediate and definitive response, the Laboratory offered to collaborate with the community to address this concern. The Los Alamos community accepted this offer and a joint Community-Laboratory Working Group met for the first time 29 days later. The working group set as its primary goal the search for possible carcinogens in the local environment. Meanwhile, the DOE announced its intention to fund the New Mexico Department of Health to perform a separate and independent epidemiological study of all Los Alamos cancer rates. In early 1994, after commissioning 17 environmental studies and meeting 34 times, the working group decided that the public health concerns had been resolved to the satisfaction of the community and voted to disband. This paper tells the story of the artist and the working group, and how the media covered their story. It summarizes the environmental studies directed by the working group and briefly reviews the main findings of the epidemiology study. An epilogue records the present-day recollections of some of the key players in this environmental drama.

  10. A history of the working group to address Los Alamos community health concerns. A case study of community involvement and risk communication

    International Nuclear Information System (INIS)

    Harry Otway; Jon Johnson

    2000-01-01

    In May 1991, at a Department of Energy (DOE) public hearing at Los Alamos, New Mexico, a local artist claimed there had been a recent brain tumor cluster in a small Los Alamos neighborhood. He suggested the cause was radiation from past operations of Los Alamos National Laboratory. Data from the Laboratory's extensive environmental monitoring program gave no reason to believe this charge to be true but also could not prove it false. These allegations, reported in the local and regional media, alarmed the community and revealed an unsuspected lack of trust in the Laboratory. Having no immediate and definitive response, the Laboratory offered to collaborate with the community to address this concern. The Los Alamos community accepted this offer and a joint Community-Laboratory Working Group met for the first time 29 days later. The working group set as its primary goal the search for possible carcinogens in the local environment. Meanwhile, the DOE announced its intention to fund the New Mexico Department of Health to perform a separate and independent epidemiological study of all Los Alamos cancer rates. In early 1994, after commissioning 17 environmental studies and meeting 34 times, the working group decided that the public health concerns had been resolved to the satisfaction of the community and voted to disband. This paper tells the story of the artist and the working group, and how the media covered their story. It summarizes the environmental studies directed by the working group and briefly reviews the main findings of the epidemiology study. An epilogue records the present-day recollections of some of the key players in this environmental drama

  11. Infección de los sitios quirúrgicos: estudio de 1 año Infection of the surgical sites: a one-year study

    Directory of Open Access Journals (Sweden)

    Vivian Vialat Soto

    2008-03-01

    sitios quirúrgicos en el niño continúa siendo un problema de salud, al elevar la morbilidad operatoria y aumentar la duración de la estadía hospitalaria y los costes de esta.INTRODUCTION. The patient that undergoes surgery is exposed to diverse complications during the postoperative period. The Center for Disease Control (CDC, Atlanta, U.S.A. redifined the problem of postoperative infections and proposed the term "infection of the surgical sites" to refer to the third most reported cause of nosocomial infection. The objective of this study was to identify the behaviour of the infections of the surgical sites and their interrelation to the risk factors in children operated on in our surgery service during 2006. METHODS. A study on the incidence of infection of the surgical sites and the influence of the risk factors on children that were operated on at the surgery service of the Pediatric Teaching Hospital of Centro Habana in 2006 was conducted. The study group was composed of the 44 patients that presented postoperative infection of the total of 1158 patients that underwent surgery in this period. Different variables were studied and the data obtained from them were analyzed. RESULTS. The 44 patients with infection of the surgical sites accounted for an infection rate of 3.79 %. The sepsis of the surgical wound was the most frequent complication (93.2 %. In 25.0 % of the infected cases, perioperative antimicrobial prophylaxis had been used. The infection predominated in the patients that underwent emergency surgery (75.0 % and in the dirty surgeries (43.2 %. The highest number of postoperative infections (31; 70.5 % was registered in the patients operated on of acute appendicitis. Only 7 infected patients had a hospital stay of more than 9 days (15.9 %, and there were only 6 readmissions: 4 patients with sepsis of deep wounds and 3 children with intraperitoneal abscesses secondary to acute appendicitis with generalized peritonitis. CONCLUSIONS. The infection of the

  12. Population study of depressive symptoms and risk factors in pregnant and parenting Mexican adolescents Estudio poblacional sobre los síntomas depresivos y los factores de riesgo en adolescentes mexicanas embarazadas o con hijos

    Directory of Open Access Journals (Sweden)

    María Asunción Lara

    2012-02-01

    Full Text Available OBJECTIVE: To study the prevalence of, severity of, and risk factors for depressive symptoms in a probabilistic sample of Mexican adolescent mothers. METHODS: A sample of adolescents aged 13-19 years, drawn from a national survey, was interviewed in relation to severity of depressive symptoms [Center for Epidemiological Studies Depression Scale (CES-D 16-23 and CES-D > 24] and pregnancy or parenting status. RESULTS: Depressive symptoms (CES-D 16-23 ranged from 2.3% in the first postpartum semester to 32.5% in the second trimester of pregnancy; high depressive symptoms (CES-D > 24 ranged from 3.0% in the second postpartum semester to 24.7% in mothers of an infant more than 1 year old. Significant differences between groups were in mothers in the second gestation trimester, who had significantly more symptoms than those who had never been pregnant and those in the first postpartum semester. In those with high symptomatology, no significant differences were observed between groups. A multinomial logistic regression model used to estimate the likelihood of depression found increased risk of depressive symptoms (CES-D 16-23 in those without a partner in the first, second, or third trimester of pregnancy; in the second postpartum semester; and with a child over the age of 1 year. Increased risk of high symptomatology (CES-D > 24 was found in those not in school or with a child over the age of 1 year. CONCLUSIONS: Depressive symptoms entail an enormous burden of disease for the mother and mental health risks to the infant; mothers should therefore be targeted in prevention and intervention actions.OBJETIVO: Estudiar la prevalencia, la gravedad y los factores de riesgo de los síntomas depresivos en una muestra probabilística de madres adolescentes de México. MÉTODOS: En una muestra de adolescentes de 13 a 19 años de edad tomadas de una encuesta nacional se efectuaron entrevistas relacionadas con la gravedad de los síntomas depresivos (Center for

  13. Los árboles

    Directory of Open Access Journals (Sweden)

    Jaime Paredes Pardo

    1964-09-01

    Full Text Available Los árboles son hijos del viento que transporta las semillas. En los valles anda de prisa, tanto que a veces alcanza a los trenes y a la melena de los caballos que espanta la algarabía de los pasajeros. Como los trenes, el viento tiene una frente de humo. De niebla como las montañas. ¿Pensará el viento?

  14. Algunas reflexiones sobre el estudio de los hombres desde el feminismo y desde los derechos humanos Some reflections on the study of men from the perspective of feminism and human rights

    Directory of Open Access Journals (Sweden)

    Juan-Guillermo Figueroa-Perea

    2013-04-01

    Full Text Available En este texto se comentan algunos encuentros y desencuentros en la investigación e intervención sobre problemáticas que viven los hombres, a partir de contrastar acercamientos analíticos próximos al concepto de derechos, pero dependiendo de si se adopta una postura feminista o de género, ya sea explícito o no, o bien si la aproximación surge de otros referentes teóricos y políticos. La hipótesis de trabajo es que las tensiones son mayores cuando no se recupera en su sentido relacional la perspectiva de género. No se asume que el feminismo y los derechos humanos sean excluyentes entre sí, pero sí que pueden tener énfasis distintos en las estrategias para reparar exclusiones y para identificar titulares de las garantías que le viabilizan a toda persona participar en la construcción de las condiciones de posibilidad de un entorno social más equitativo y solidario. El relato de algunas experiencias en tres ámbitos de estudio pretende mostrar cómo permean lecturas maniqueas, las cuales siguen victimizando y satanizando a algunos de los personajes que interactúan en las relaciones de género, por lo que ello limita la selección de categorías analíticas y políticas más integrales y comprensivas para cuestionar las relaciones de poder y los ejercicios de violencia en sus diferentes acepciones. No hay la intención de descalificación alguna, sino estimular un intercambio dialógico que permita enriquecer el trabajo con los hombres como sujetos genéricos.This text explores some of the agreements and disagreements in the research and intervention in the problems experienced by men. It contrasts analytical approaches linked to the concept of rights. These may either adopt a feminist or gender approach, whether explicit or not or derived from other theoretical and political references. The working hypothesis is that tensions are greater when the gender perspective is not recovered in its relational sense. Feminism and human rights

  15. THE LIS STUDY (LYUBERTSY STUDY ON MORTALITY RATE IN PATIENTS AFTER ACUTE MYOCARDIAL INFARCTION. EVALUATION OF DRUG THERAPY. PART 2. INFLUENCE OF PREVIOUS DRUG TREATMENT ON LONG-TERM LIFE PROGNOSIS

    Directory of Open Access Journals (Sweden)

    S. Yu. Martsevich

    2015-12-01

    Full Text Available Aim. To evaluate drug therapy received by patients who had survived acute myocardial infarction (AMI in the framework of the AMI register (the “LIS” study and estimate this therapy influence on long-term outcomes of the disease. Material and methods. The total of 961 patients of 1133 enrolled in the “LIS” study , were discharged from hospital. 191 patients had died during follow-up. 632 patients (who had survived and consented to visit out-patient clinic underwent repeated examination (median of follow-up 1.6 [1.0; 2.4] years. Data about treatment before and during AMI were received from patient’s charts; data about treatment after AMI were obtained from out-patient medical records. Results. Before reference AMI only a small number of the patients received the main drug groups (antiplatelet agents, β-blockers, ACE inhibitors, statins, at that ACE inhibitors were prescribed more often than the others. Use of β-blockers and ACE inhibitors before reference AMI significantly improved long-term life prognosis [relative risk (RR 0.70 and 0.66, respectively]. Rate of the main drug groups prescribed in hospital was rather high with the exception of thrombolytics (less than 10%. Thrombolytics, β-blockers and antiplatelet agents prescribed in hospital significantly improved long-term life prognosis of patients (RR 0.42, 0.65 and 0.58 respectively. At the second visit (according to data of out-patient medical records rate of antiplatelet agents, ACE inhibitors, β-blockers and statins prescription exceeded 60%. Conclusion. Very low prevalence of adequate drug therapy preceding AMI determines high mortality rate among survived acute stage of myocardial infarction patients in long-term period.

  16. Automatic electromagnetic valve for previous vacuum

    International Nuclear Information System (INIS)

    Granados, C. E.; Martin, F.

    1959-01-01

    A valve which permits the maintenance of an installation vacuum when electric current fails is described. It also lets the air in the previous vacuum bomb to prevent the oil ascending in the vacuum tubes. (Author)

  17. Epidemiologic study of neural tube defects in Los Angeles County. I. Prevalence at birth based on multiple sources of case ascertainment

    Energy Technology Data Exchange (ETDEWEB)

    Sever, L.E. (Pacific Northwest Lab., Richland, WA); Sanders, M.; Monsen, R.

    1982-01-01

    Epidemiologic studies of the neural tube defects (NTDs), anencephalus and spina bifida, have for the most part been based on single sources of case ascertainment in past studies. The present investigation attempts total ascertainment of NTD cases in the newborn population of Los Angeles County residents for the period 1966 to 1972. Design of the study, sources of data, and estimates of prevalence rates based on single and multiple sources of case ascertainment are here discussed. Anencephalus cases totaled 448, spina bifida 442, and encephalocele 72, giving prevalence rates of 0.52, 0.51, and 0.08 per 1000 total births, respectively, for these neural tube defects - rates considered to be low. The Los Angeles County prevalence rates are compared with those of other recent North American studies and support is provided for earlier suggestions of low rates on the West Coast.

  18. Un estudio sobre las investigaciones acerca de las ideas de los estudiantes en fuerza y movimiento A study on researches about students ideas on force and motion

    Directory of Open Access Journals (Sweden)

    Silvia Giorgi

    2005-04-01

    Full Text Available Se llevó a cabo un análisis exhaustivo de publicaciones sobre preconcepciones o ideas iniciales referidas al tema "cuerpos en movimiento", también comúnmente denominado "fuerza y movimiento". Se estudiaron los aspectos teóricos, metodológicos y conceptuales involucrados en una muestra de investigaciones consistente en 36 trabajos publicados en revistas especializadas y en libros de distintas procedencias y autores. Los sujetos participantes en las investigaciones abarcan distintos niveles y tipos de instrucción. Los resultados revelan, por un lado la existencia de distintos objetivos, diferentes posturas asumidas por los investigadores con relación a las ideas iniciales, fuentes de datos utilizadas variadas, así como heterogeneidad en los resultados obtenidos y en su interpretación. Por otro lado, del estudio realizado surge que si bien los sujetos no poseen una conceptualización científica de fuerza, en las representaciones que ellos construyen de los fenómenos mecánicos podrían estar involucradas significaciones del término Fuerza asociadas a otras magnitudes físicas tales como cantidad de movimiento y energía. Se concluye en la necesidad de abordar el problema de las preconcepciones desde una nueva perspectiva tanto teórica como metodológica.An exhaustive analysis of publications about human preconceptions or initial ideas in regard to "bodies in movement" was carried out. Theoretical, methodological and conceptual aspects of a sample of 36 works on individuals of diverse levels of instruction and published in journals and books of different origins, were studied. Our findings revealed a great variety of goals as well as of postures assumed by the investigators with respect to preconceptions. Types of data sources as well as results and their interpretation showed also a great dispersion. From another point of view, the results of the present study suggest that although the subjects' conceptualization of force may be wrong

  19. The Impact of Change in Visual Field on Health-Related Quality of Life: The Los Angeles Latino Eye Study

    Science.gov (United States)

    Patino, Cecilia M.; Varma, Rohit; Azen, Stanley P.; Conti, David V.; Nichol, Michael B.; McKean-Cowdin, Roberta

    2010-01-01

    Purpose To assess the impact of change in visual field (VF) on change in health related quality of life (HRQoL) at the population level. Design Prospective cohort study Participants 3,175 Los Angles Latino Eye Study (LALES) participants Methods Objective measures of VF and visual acuity and self-reported HRQoL were collected at baseline and 4-year follow-up. Analysis of covariance was used to evaluate mean differences in change of HRQoL across severity levels of change in VF and to test for effect modification by covariates. Main outcome measures General and vision-specific HRQoL. Results Of 3,175 participants, 1430 (46%) showed a change in VF (≥1 decibel [dB]) and 1651, 1715 (54%) reported a clinically important change (≥5 points) in vision-specific HRQoL. Progressive worsening and improvement in the VF were associated with increasing losses and gains in vision-specific HRQoL for the composite score and 10 of its 11 subscales (all Ptrends 5 dB and gains > 3 dB were associated with clinically meaningful losses and gains in vision-specific HRQoL, respectively. Areas of vision-specific HRQoL most affected by greater losses in VF were driving, dependency, role-functioning, and mental health. The effect of change in VF (loss or gain) on mean change in vision-specific HRQoL varied by level of baseline vision loss (in visual field and/or visual acuity) and by change in visual acuity (all P-interactions 5 dB loss in visual field during the study period had a mean loss of vision-specific HRQoL of 11.3 points, while those with no VF loss at baseline had a mean loss of 0.97 points Similarly, with a > 5 dB loss in VF and baseline visual acuity impairment (mild/severe) there was a loss in vision-specific HRQoL of 10.5 points, whereas with no visual acuity impairment at baseline there was a loss of vision-specific HRQoL of 3.7 points. Conclusion Both losses and gains in VF produce clinically meaningful changes in vision-specific HRQoL. In the presence of pre-existing vision

  20. Un estudio sobre los adolescentes en conflicto con la ley penal A study of adolescents in conflict with the criminal law

    Directory of Open Access Journals (Sweden)

    Alfredo J. Sarmiento

    2011-12-01

    Full Text Available Las consideraciones que aquí se relejan, son producto de la investigación UBACYT denominada "Estudio de las representaciones en adolescentes en conflicto con la ley penal", la cual se encuentra en desarrollo. En la actualidad los delitos contra las personas en los cuales se hallan involucrados menores han generado gran demanda social, en el sentido de reclamar acciones eicientes y eficaces tendientes a solucionar situaciones emergentes relacionadas a la transgresión de los adolescentes a la ley penal. Así las cosas, para lograr un abordaje adecuado a la problemática de los adolescentes en conflicto con la ley penal, se considera necesario ponderar - además del contexto social, económico, político y psicológico, en el que los adolescentes se desenvuelven- las representaciones que éstos tienen sobre sí mismos y las variables que pueden propiciar y/o evitar que desplieguen conductas adaptadas y/o desadaptadas.The considerations are relected here, are the product of research UBACYT called "Study of representations in adolescents in conlict with the law, " which is in development. Currently, crimes against persons where minors are involved has resulted in great social demand in the sense of claiming eficient and effective actions aimed at addressing emerging situations related to the transgression of adolescents to the criminal law. So, to achieve an adequate approach to the problems of adolescents in conlict with the law, it is considered necessary to balance - in addition to social, economic, political and psychological, in which adolescents are developed, the representations that they about themselves and the variables that can promote and / or prevent deploy adaptive behavior and / or maladaptive.

  1. Implementing trials of complex interventions in community settings: The USC – Rancho Los Amigos Pressure Ulcer Prevention Study (PUPS)

    Science.gov (United States)

    Clark, Florence; Pyatak, Elizabeth A.; Carlson, Mike; Blanche, Erna Imperatore; Vigen, Cheryl; Hay, Joel; Mallinson, Trudy; Blanchard, Jeanine; Unger, Jennifer B.; Garber, Susan L.; Diaz, Jesus; Florindez, Lucia I.; Atkins, Michal; Rubayi, Salah; Azen, Stanley Paul

    2014-01-01

    Background Randomized trials of complex, non-pharmacologic interventions implemented in home and community settings, such as the University of Southern California (USC)–Rancho Los Amigos National Rehabilitation Center (RLANRC) Pressure Ulcer Prevention Study (PUPS), present unique challenges with respect to: (a) participant recruitment and retention, (b) intervention delivery and fidelity, (c) randomization and assessment, and (d) potential inadvertent treatment effects. Purpose We describe the methods employed to address the challenges confronted in implementing PUPS. In this randomized controlled trial, we are assessing the efficacy of a complex, preventive intervention in reducing the incidence of, and costs associated with, the development of medically serious pressure ulcers in people with spinal cord injury. Method Individuals with spinal cord injury recruited from RLANRC were assigned to either a 12-month preventive intervention group or a standard care control group. The primary outcome is the incidence of serious pressure ulcers with secondary endpoints including ulcer-related surgeries, medical treatment costs, and quality of life. These outcomes are assessed at 12 and 24 months after randomization. Additionally, we are studying the mediating mechanisms that account for intervention outcomes. Results PUPS has been successfully implemented, including recruitment of the target sample size of 170 participants, assurance of the integrity of intervention protocol delivery with an average 90% treatment adherence rate, and enactment of the assessment plan. However, implementation has been replete with challenges. To meet recruitment goals, we instituted a five-pronged approach customized for an underserved, ethnically diverse population. In intervention delivery, we increased staff time to overcome economic and cultural barriers to retention and adherence. To ensure treatment fidelity and replicability, we monitored intervention protocol delivery in accord

  2. Implementing trials of complex interventions in community settings: the USC-Rancho Los Amigos pressure ulcer prevention study (PUPS).

    Science.gov (United States)

    Clark, Florence; Pyatak, Elizabeth A; Carlson, Mike; Blanche, Erna Imperatore; Vigen, Cheryl; Hay, Joel; Mallinson, Trudy; Blanchard, Jeanine; Unger, Jennifer B; Garber, Susan L; Diaz, Jesus; Florindez, Lucia I; Atkins, Michal; Rubayi, Salah; Azen, Stanley Paul

    2014-04-01

    Randomized trials of complex, non-pharmacologic interventions implemented in home and community settings, such as the University of Southern California (USC)-Rancho Los Amigos National Rehabilitation Center (RLANRC) Pressure Ulcer Prevention Study (PUPS), present unique challenges with respect to (1) participant recruitment and retention, (2) intervention delivery and fidelity, (3) randomization and assessment, and (4) potential inadvertent treatment effects. We describe the methods employed to address the challenges confronted in implementing PUPS. In this randomized controlled trial, we are assessing the efficacy of a complex, preventive intervention in reducing the incidence of, and costs associated with, the development of medically serious pressure ulcers in people with spinal cord injury. Individuals with spinal cord injury recruited from RLANRC were assigned to either a 12-month preventive intervention group or a standard care control group. The primary outcome is the incidence of serious pressure ulcers with secondary endpoints including ulcer-related surgeries, medical treatment costs, and quality of life. These outcomes are assessed at 12 and 24 months after randomization. Additionally, we are studying the mediating mechanisms that account for intervention outcomes. PUPS has been successfully implemented, including recruitment of the target sample size of 170 participants, assurance of the integrity of intervention protocol delivery with an average 90% treatment adherence rate, and enactment of the assessment plan. However, implementation has been replete with challenges. To meet recruitment goals, we instituted a five-pronged approach customized for an underserved, ethnically diverse population. In intervention delivery, we increased staff time to overcome economic and cultural barriers to retention and adherence. To ensure treatment fidelity and replicability, we monitored intervention protocol delivery in accordance with a rigorous plan. Finally, we

  3. Questionnaire study of primary care physicians’ referral patterns and perceptions of patients with epilepsy in a Brazilian city, 2005 Encuesta sobre los patrones de remisión y las percepciones de los médicos de atención primaria con respecto a los pacientes con epilepsia en una ciudad brasileña, 2005

    Directory of Open Access Journals (Sweden)

    Vanessa Teixeira Müller

    2007-07-01

    Full Text Available A una muestra de médicos de familia del Programa de Médicos de Familia de Niterói, Río de Janeiro, Brasil, se aplicó en abril de 2005 un cuestionario autoadministrado para determinar la percepción de los médicos de atención primaria sobre la calidad del servicio para epilepsia y los patrones de remisión y su opinión sobre la atención que se brinda. Los encuestados consideraron que los neurólogos deben ser los responsables del diagnóstico y de la prescripción inicial de medicamentos antiepilépticos, mientras que los médicos de familia se deben responsabilizar de la atención subsiguiente. Los encuestados informaron estar insatisfechos con sus conocimientos sobre la epilepsia y los medicamentos antiepilépticos. Se consideró que los profesionales mejor calificados para la atención de la epilepsia son los neurólogos (58,9%, seguidos de los médicos de familia (35,7%. Casi todos los encuestados consideraron que los lineamientos y seminarios mejoraron su capacidad para atender a sus pacientes. Los encuestados no se sentían seguros de la atención que brindaban a los pacientes con epilepsia y por lo general los remitían al neurólogo. Sin embargo, el Programa de Médicos de Familia tiene un potencial inexplotado para tratar a los pacientes con epilepsia, debido al interés de estos profesionales en mejorar su calificación.

  4. A comparative study of the systems for neutronics calculations used in Los Alamos Scientific Laboratory (LASL) and Argonne National Laboratory (ANL)

    International Nuclear Information System (INIS)

    Amorim, E.S. do; D'Oliveira, A.B.; Oliveira, E.C. de.

    1980-11-01

    A comparative study of the systems for neutronics calculations used in Los Alamos Scientific Laboratory (LASL) and Argonne National Laboratory (ANL) has been performed using benchmark results available in the literature, in order to analyse tghe convenience of using the respective codes MINX/NJOY and ETOE/MC 2 -2 for performing neutronics calculations in course at the Divisao de Estudos Avancados. (Author) [pt

  5. Feocromocitoma bilateral: la importancia de los estudios de diagnóstico por imagen Bilateral pheochromocytoma: the importance of imaging studies

    Directory of Open Access Journals (Sweden)

    Igor I Bonnet

    2011-10-01

    Full Text Available Se presenta un caso clínico poco frecuente de feocromocitoma bilateral, en el cual los estudios de diagnóstico por imagen, tanto de información estructural como funcional, constituyeron una fuente fundamental para su detección y seguimiento.We report a rare case of bilateral pheochromocytoma, in which imaging studies, both of structural and functional information, were a major source for its detection and follow-up.

  6. 77 FR 70176 - Previous Participation Certification

    Science.gov (United States)

    2012-11-23

    ... participants' previous participation in government programs and ensure that the past record is acceptable prior... information is designed to be 100 percent automated and digital submission of all data and certifications is... government programs and ensure that the past record is acceptable prior to granting approval to participate...

  7. Los alemanes en Colombia

    Directory of Open Access Journals (Sweden)

    Silvio Villegas

    1966-07-01

    Full Text Available Romanizada por Julío César y cristianizada por los visigodos, los ostrogodos y los lombardos, Alemania ha sido a través de los siglos un potente faro de la cultura humana. Sus pensadores, sus filósofos, sus letrados, sus estadistas, sus guerreros se destacan gigantes -desde los tiempos de Carlos V, emperador de Europa.

  8. Randomized Phase II Study of R-CHOP With or Without Bortezomib in Previously Untreated Patients With Non-Germinal Center B-Cell-Like Diffuse Large B-Cell Lymphoma.

    Science.gov (United States)

    Leonard, John P; Kolibaba, Kathryn S; Reeves, James A; Tulpule, Anil; Flinn, Ian W; Kolevska, Tatjana; Robles, Robert; Flowers, Christopher R; Collins, Robert; DiBella, Nicholas J; Papish, Steven W; Venugopal, Parameswaran; Horodner, Andrew; Tabatabai, Amir; Hajdenberg, Julio; Park, Jaehong; Neuwirth, Rachel; Mulligan, George; Suryanarayan, Kaveri; Esseltine, Dixie-Lee; de Vos, Sven

    2017-11-01

    Purpose To evaluate the impact of the addition of bortezomib to rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) on outcomes in previously untreated patients with non-germinal center B-cell-like (non-GCB) diffuse large B-cell lymphoma (DLBCL). Patients and Methods After real-time determination of non-GCB DLBCL using the Hans immunohistochemistry algorithm, 206 patients were randomly assigned (1:1; stratified by International Prognostic Index [IPI] score) to six 21-day cycles of standard R-CHOP alone or R-CHOP plus bortezomib 1.3 mg/m 2 intravenously on days 1 and 4 (VR-CHOP). The primary end point, progression-free survival (PFS), was evaluated in 183 patients with centrally confirmed non-GCB DLBCL who received one or more doses of study drug (91 R-CHOP, 92 VR-CHOP). Results After a median follow-up of 34 months, with 25% (R-CHOP) and 18% (VR-CHOP) of patients having had PFS events, the hazard ratio (HR) for PFS was 0.73 (90% CI, 0.43 to 1.24) with VR-CHOP ( P = .611). Two-year PFS rates were 77.6% with R-CHOP and 82.0% with VR-CHOP; they were 65.1% versus 72.4% in patients with high-intermediate/high IPI (HR, 0.67; 90% CI, 0.34 to 1.29), and 90.0% versus 88.9% (HR, 0.85; 90% CI, 0.35 to 2.10) in patients with low/low-intermediate IPI. Overall response rate with R-CHOP and VR-CHOP was 98% and 96%, respectively. The overall survival HR was 0.75 (90% CI, 0.38 to 1.45); 2-year survival rates were 88.4% and 93.0%, respectively. In the safety population (100 R-CHOP and 101 VR-CHOP patients), grade ≥ 3 adverse events included neutropenia (53% v 49%), thrombocytopenia (13% v 29%), anemia (7% v 15%), leukopenia (26% v 25%), and neuropathy (1% v 5%). Conclusion Outcomes for newly diagnosed, prospectively enrolled patients with non-GCB DLBCL were more favorable than expected with R-CHOP and were not significantly improved by adding bortezomib.

  9. Metric and morphological study of the upper cervical spine from the Sima de los Huesos site (Sierra de Atapuerca, Burgos, Spain).

    Science.gov (United States)

    Gómez-Olivencia, Asier; Carretero, José Miguel; Arsuaga, Juan Luis; Rodríguez-García, Laura; García-González, Rebeca; Martínez, Ignacio

    2007-07-01

    In this article, the upper cervical spine remains recovered from the Sima de los Huesos (SH) middle Pleistocene site in the Sierra de Atapuerca (Burgos, Spain) are described and analyzed. To date, this site has yielded more than 5000 human fossils belonging to a minimum of 28 individuals of the species Homo heidelbergensis. At least eleven individuals are represented by the upper cervical (C1 and C2) specimens: six adults and five subadults, one of which could represent an adolescent individual. The most complete adult vertebrae (three atlases and three axes) are described, measured, and compared with other fossil hominins and modern humans. These six specimens are associated with one another and represent three individuals. In addition, one of these sets of cervical vertebrae is associated with Cranium 5 (Individual XXI) from the site. The metric analysis demonstrates that the Sima de los Huesos atlases and axes are metrically more similar to Neandertals than to our modern human comparative sample. The SH atlases share with Neandertals a sagittally elongated canal. The most remarkable feature of the SH (and Neandertal) axes is that they are craniocaudally low and mediolaterally wide compared to our modern male sample. Morphologically, the SH sample shares with Neandertals a higher frequency of caudally projected anterior atlas arch, which could reflect greater development of the longus colli muscle. In other features, such as the frequency of weakly developed tubercles for the attachment of the transverse ligament of the atlas, the Sima de los Huesos fossils show intermediate frequencies between our modern comparative samples and the Neandertals, which could represent the primitive condition. Our results are consistent with the previous phylogenetic interpretation of H. heidelbergensis as an exclusively European species, ancestral only to H. neanderthalensis.

  10. Mujeres que 'interrumpen' procesos: las primeras antologias feministas em los Estúdios Culturales Women who 'interrupt' processes: the first feminist anthologies in Cultural Studies

    Directory of Open Access Journals (Sweden)

    Isabel González Díaz

    2009-08-01

    Full Text Available El objeto de este artículo es analizar el proceso de elaboración y producción de las dos primeras antologías editadas por mujeres en la disciplina académica conocida como Estudios Culturales, extrayendo toda la información que ambas publicaciones aportan sobre el papel jugado por las mujeres en la evolución de dicha disciplina. Tras una breve exposición sobre la historia de los Estudios Culturales, así como de los nuevos planteamientos que aportó al mundo académico, entraremos en un apartado que analizará el posterior nacimiento de los Estudios de la Mujer y su relación con los Estudios Culturales. Finalmente, me centraré en el análisis de los procesos de publicación de ambas antologías, que fueron fruto de la incorporación del colectivo feminista a la disciplina. El análisis pretende demostrar que lo que algunos críticos han calificado como 'interrupción', por parte del feminismo, del proceso que seguían los Estudios Culturales a finales de la década de los 70 del siglo XX supuso en realidad una gran aportación a la disciplina. Eso lo demuestra la inclusión de nuevos temas y conceptos en el debate académico, así como de nuevas herramientas de análisis, a pesar de las dificultades a las que se tuvieron que enfrentar las intelectuales feministas en los primeros momentos.The aim of this paper is to analyse the process of elaboration and production of the first two anthologies which were edited by women in the academic discipline known as Cultural Studies. Information about the role played by women in the development of that discipline has been taken from both publications. After a brief overview of the history of Cultural Studies, and of the contributions which it offered to the academic world, there will be a section analysing the birth of Women's Studies, and its relationship with Cultural Studies. Finally, I will focus on the analysis of the processes of publication of both anthologies, which were a result of the

  11. Implant breast reconstruction after salvage mastectomy in previously irradiated patients.

    Science.gov (United States)

    Persichetti, Paolo; Cagli, Barbara; Simone, Pierfranco; Cogliandro, Annalisa; Fortunato, Lucio; Altomare, Vittorio; Trodella, Lucio

    2009-04-01

    The most common surgical approach in case of local tumor recurrence after quadrantectomy and radiotherapy is salvage mastectomy. Breast reconstruction is the subsequent phase of the treatment and the plastic surgeon has to operate on previously irradiated and manipulated tissues. The medical literature highlights that breast reconstruction with tissue expanders is not a pursuable option, considering previous radiotherapy a contraindication. The purpose of this retrospective study is to evaluate the influence of previous radiotherapy on 2-stage breast reconstruction (tissue expander/implant). Only patients with analogous timing of radiation therapy and the same demolitive and reconstructive procedures were recruited. The results of this study prove that, after salvage mastectomy in previously irradiated patients, implant reconstruction is still possible. Further comparative studies are, of course, advisable to draw any conclusion on the possibility to perform implant reconstruction in previously irradiated patients.

  12. The importance of ultrasound findings in the study of anal pain Importancia de los hallazgos ecográficos en el dolor anal

    Directory of Open Access Journals (Sweden)

    A. M. Vieira

    2010-05-01

    Full Text Available Objective: endoanal ultrasonography can detect organic causes of anal pain without pathology on physical examination. The aim of this study is to evaluate the importance of endoanal ultrasonography in the diagnosis and therapeutic management of idiopathic and functional anal pain. Material and methods: retrospective study, between 15 March 2005 and 15 June 2008, of all patients with proctalgia and normal examination or with alterations not responsible for anal pain at proctologic exam that have undergone an endoanal ultrasonography. Results: a total of 90 patients were analyzed, with a mean age of 50.5 years, 58% were female. Twenty-three patients had functional anal pain clinic criteria. Endoanal ultrasonography revealed alterations in 49% of patients. The primary findings were changes in sphincters in 14 patients, followed by anal sepsis in 12 patients, anal fissure in 10 patients, perirectal lesions in 6 patients and ulcer of the anal canal in 2 patients. Of the patients with sphincter defects, 5 patients had criteria of chronic anal pain. In this group of patients, no differences were found in manometric and defecographic results between the different ultrasound abnormalities. Conclusions: the endoanal ultrasonography detected occult organic lesions to proctologic examination, in half the patients with anal pain. Ultrasound abnormalities were found in 22% of patients with functional anal pain. However, there was no correlation between ultrasound findings and physiological studies, and therefore could not find etiological or pathogenic factors of functional anal pain.Objetivo: la ecografía endoanal puede detectar causas orgánicas en el dolor anal sin patología en la exploración física. El objetivo de este estudio es evaluar la importancia de la ecografía endoanal en el diagnóstico y en el abordaje terapéutico del dolor anal idiopática y funcional. Material y métodos: estudio retrospectivo realizado entre el 15 de marzo de 2005 y el

  13. Revisión sistemática de los estudios de evaluación del coste de las reacciones adversas a medicamentos Systematic review of studies assessing the cost of adverse drug reactions

    Directory of Open Access Journals (Sweden)

    Antonio Vallano Ferraz

    2012-06-01

    Full Text Available Objetivos: Las reacciones adversas a medicamentos (RAM son un problema sanitario relevante. El objetivo fue revisar los estudios publicados que han analizado los costes de las RAM en cualquier ámbito asistencial. Métodos: Se realizó una búsqueda de artículos publicados en bases bibliográficas (1970-2010. Se identificaron 28 estudios y se seleccionaron 16 que incluyeron casos de RAM según la definición de la Organización Mundial de la Salud. Se revisó la información relacionada con las características del diseño de los estudios, los tipos de costes analizados y los resultados descritos. Resultados: Las características del diseño y de las poblaciones incluidas en los estudios fueron heterogéneas. Sólo en dos se definió explícitamente la perspectiva del estudio. Sólo cinco estudios compararon los casos de los pacientes con RAM con controles apareados sin RAM. Todos los estudios analizaron los costes directos sanitarios, pero ninguno los costes indirectos o intangibles. En 14 estudios se analizaron los costes de los días de hospitalización. El porcentaje medio (DE de RAM fue de 3,04% (2,3 [mediana 2,4%, mínimo 0,70% y máximo 26,1%]. La mediana de días de hospitalización de los pacientes con RAM fue de 8,8 días (intervalo de 0,15 a 19,2 días. Los sistemas de contabilidad y los costes monetarios fueron muy variables. Conclusión: Los estudios sobre los costes de las RAM tienen diseños heterogéneos, han evaluado los costes directos sanitarios hospitalarios y sus resultados indican que las RAM generan costes significativos. Son necesarios estudios sobre los costes de las RAM realizados con una metodología adecuada.Objective: Adverse drug reactions (ADRs are an important healthcare problem. The objective of this study was to review published articles analyzing the cost of ADRs in any healthcare setting. Method: We conducted a search of articles published on the cost of ADRs in the bibliographic databases from 1970 to 2010

  14. Influence of the physico-chemical process as previous treatment to the electrocoagulation. Study with leachate of a landfill; Influencia del proceso fisicoquimico como tratamiento previo a la electrocoagulacion. Estudio con lixiviados de un relleno

    Energy Technology Data Exchange (ETDEWEB)

    Mercado Martinez, I. D.; Reyes Avila, D.

    2007-07-01

    This article has as purpose to show the influence of the method physico-chemical as previous process to the novel technique of electrocoagulation, presenting as a new alternative to depurate wastewaters. to obtain it, was done tests measuring the very parameters to leachates so much affluent as effluent from treatment plant of the Sanitary Landfill La Esmeralda, situated near to the Manizales city(Colombia), and so much before as later to apply this electrochemical technology, looking for this way to compare the obtained removals. (Author)

  15. Carlos Bruch: pionero de los estudios entomológicos en la Argentina Carlos Bruch: pioneer of the entomological studies in Argentina

    Directory of Open Access Journals (Sweden)

    Analía A. Lanteri

    2012-12-01

    Full Text Available Este artículo proporciona una síntesis de los principales aportes de Carlos Bruch (1869-1943 a la entomología argentina. Se reseñan sus viajes para la recolección de insectos, sus principales publicaciones y los datos de sus colecciones, depositadas en el Museo Argentino de Ciencias Naturales “Bernardino Rivadavia” y en el Museo de La Plata. Se destaca su habilidad para la fotografía y la ilustración científica, así como para observar y describir los comportamientos y las asociaciones particulares de hormigas y escarabajos: termitofilia y mirmecofilia. Se brinda información sobre sus logros académicos y el reconocimiento que supo ganarse entre sus contemporáneos, que le dedicaron casi cuatrocientos nombres científicos, y no dudaron en señalarlo como uno de los entomólogos más destacados de América del Sur.In this article we provide a synthesis of the main contributions of Carlos Bruch (1869-1943 to entomological studies in Argentina. We supply information on Bruch’s scientific trips, publications and collections of insects, held by the Museo Argentino de Ciencias Naturales “Bernardino Rivadavia” and the Museo de La Plata. We highlight his capacity as a photographer and scientific illustrator, and for making observations regarding special associations and behaviors of ants and beetles: termitophily and myrmecophily. We summarize his main academic achievements and the recognition of his colleagues, who have dedicated almost four hundreds of scientific names to him and recognize him as one of the most outstanding South American entomologists.

  16. Estudio sobre el almacenamiento de agua helada en los sistemas de climatización centralizados; Study about cooling water storage in centralized air conditioning system

    Directory of Open Access Journals (Sweden)

    Mario Espín Pérez

    2015-04-01

    Full Text Available El desarrollo de este artículo se basa en el estudio del almacenamiento de agua helada en los sistemas de climatización. Para desplazar el consumo eléctrico fuera del horario pico, como herramienta para pretender  incrementar  la eficiencia energética y disminuir el costo de la energía eléctrica en los hoteles con clima tropical. Para ello se procede a la estimación del perfil de carga térmica del hotel Jagua mediante el software TRNSYS, diseño y comprobación del sistema de almacenamiento de agua helada incorporado a las condiciones actuales de la instalación mediante modelos matemáticos que describen su funcionamiento. El objetivo es, evaluar e ilustrar los posibles efectos cuantitativos y cualitativos del almacenamiento de agua helada en el sistema de clima centralizado de la edificación. El trabajo que se presenta se enmarca en los esfuerzos para desarrollar el uso de tecnologías sustentables y la evaluación de sistemas industriales asistidos por computadora en Cuba. The development of this paper is based on the study of cold water storage in air conditioning systems. To offset power consumption off-peak, as a tool to increase energy efficiency claim and reduce the cost of electricity in tropical hotels. To do this we proceed to estimate the thermal load profile Jagua by TRNSYS software, system design and testing of chilled water storage built into the current conditions of the system using mathematical models to describe their operation. The objective is to evaluate and illustrate the quantitative and qualitative effects of cold water storage in the building centralized climate system. The work presented is part of the efforts to develop the use of sustainable technologies and evaluation of computer-aided industrial systems in Cuba.

  17. Investigation of the Aerosols Over the Los Angeles Basin during the ARCTAS-CARB 2008 Pilot Study

    Science.gov (United States)

    Thornhill, L.; Anderson, B. E.; Beyersdorf, A.; Chen, G.; Winstead, E. L.; Lathem, T.; Diskin, G.; Sachse, G.; Dibb, J.; Scheuer, E.

    2008-12-01

    In the summer of 2008 during preparation for the second phase of the Arctic Research of the Composition of the Troposphere from Aircraft and Satellites (ARCTAS), detailed measurements of atmospheric composition were made on-board the NASA DC-8 over the state of California on behalf of the California Air resources Board (CARB). Four flights were conducted between 18 July and 24 July, totaling 31 hours, over southern and central California to establish upwind chemical boundary conditions and gain a better understanding of the sources, chemical characteristics and spatial distribution of smog and greenhouse gases over the state. Serendipitously, from a science perspective, this time period was marked by numerous wildfires spread throughout the state. The DC-8 sensor suite included aerosol instruments capable of measuring the number concentrations, optical properties, and size distributions of aerosols between 0.003 and 20 um in diameter. In this presentation, we will characterize aerosols sampled during sorties over the Los Angeles basin, which included several missed approaches at Los Angeles International Airport (LAX), traverses through the Long Beach and Santa Barbara ship channels, sampling in and out of the marine boundary layer, and encounters with outflow of forest fires mixed with urban smog. We will examine the evolution of the aerosols over the course of the day, as the smog accumulates within the basin and is then transported out of the basin into the surrounding atmosphere.

  18. Field studies of engineered barriers for closure of low level radioactive waste landfills at Los Alamos, New Mexico, USA

    International Nuclear Information System (INIS)

    Nyhan, J.W.; Langhorst, G.J.; Martin, C.E.; Martinez, J.L.; Schofield, T.G.

    1993-01-01

    The Los Alamos National Laboratory examined water balance relationships for four different landfill cover designs containing engineered barriers. These field experiments were performed at Los Alamos, New Mexico, USA, in 1.0- by 10.0-m plots with downhill slopes of 5, 10, 15, and 25%. Field measurements of seepage, precipitation, interflow, runoff, and soil water content were collected in each of the 16 plots representing four slopes each with four cover designs: Conventional, EPA, Loam Capillary Barrier and Clay Loam Capillary Barrier. A seepage collection system was installed beneath each cover design to evaluate the influence of slope length on seepage using a series of four metal pans filled with medium gravel that were placed end-to-end in the bottom of each field plot. An automated water flow data logging system was used to collect hourly seepage, interflow and runoff data and consisted of 100 100-liter tanks, each of which was equipped with an ultrasonic liquid-level sensor and a motor-operated ball valve used to drain the tank. Soil water content was routinely monitored every six hours at each of 212 locations throughout the 16 plots with time domain reflectrometry (TDR) techniques using an automated and multiplexed measurement system. Field data is presented to show the effects of slope and slope length on the performance of each landfill cover design for the first 15 months of this field experiment

  19. A Study of the Stability and Characterization Plutonium Dioxide and Chemical Characterization [of] Rocky Flats and Los Alamos Plutonium-Containing Incinerator Ash

    International Nuclear Information System (INIS)

    Ray, A.K.; Boettger, J.C.; Behrens, Robert G.

    1999-01-01

    In the presentation ''A Study of the Stability and Characterization of Plutonium Dioxide'', the authors discuss their recent work on actinide stabilities and characterization, in particular, plutonium dioxide PuO 2 . Earlier studies have indicated that PuO 2 has the fluorite structure of CaF 2 and typical oxide semiconductor properties. However, detailed results on the bulk electronic structure of this important actinide oxide have not been available. The authors have used all-electron, full potential linear combinations Gaussian type orbitals fitting function (LCGTO-FF) method to study PuO 2 . The LCGTO-FF technique characterized by its use of three independent GTO basis sets to expand the orbitals, charge density, and exchange-correlation integral kernels. Results will be presented on zero pressure using both the Hedin-Lundquist local density approximation (LDA) model or the Perdew-Wang generalized gradient approximation (GGA) model. Possibilities of different characterizations of PuO 2 will be explored. The paper ''Chemical Characterization Rocky Flats and Los Alamos Plutonium-Containing Incinerator Ash'' describes the results of a comprehensive study of the chemical characteristics of virgin, calcined and fluorinated incinerator ash produced at the Rocky Flats Plant and at the Los Alamos National Laboratory prior to 1988. The Rocky Flats and Los Alamos virgin, calcined, and fluorinated ashes were also dissolved using standard nitrate dissolution chemistry. Corresponding chemical evaluations were preformed on the resultant ash heel and the results compared with those of the virgin ash. Fluorination studies using FT spectroscopy as a diagnostic tool were also performed to evaluate the chemistry of phosphorus, sulfur, carbon, and silicon containing species in the ash. The distribution of plutonium and other chemical elements with the virgin ash, ash heel, fluorinated ash, and fluorinated ash heel particulates were studied in detail using microprobe analysis. Some

  20. Seismologic study of Los Hum eros geothermal field, Pueblo, Mexico. Part I: Seismicity, source mechanisms and stress distribution; Estudio sismologico del campo geotermico de Los Humeros, Puebla, Mexico. Parte I: Sismicidad, mecanismos de fuente y distribucion de esfuerzos

    Energy Technology Data Exchange (ETDEWEB)

    Lermo, Javier; Antayhua, Yanet [Instituto de Ingenieria, Universidad Nacional Autonoma de Mexico, Mexico D.F (Mexico)]. E-Mail: jles@pumas.iingen.unam.mx; Quintanar, Luis [Instituto de Geofisica, Universidad Nacional Autonoma de Mexico, Mexico D.F (Mexico); Lorenzo, Cecilia [Gerencia de Proyectos Geotermoelectricos, Comision Federal de Electricidad, Michoacan (Mexico)

    2008-01-15

    The distribution of earthquakes at the surface and at depth in the Los Humeros geothermal field, Puebla (Mexico), is analyzed from 1997-2004. Data for 95 earthquakes were registered at more than five permanent and temporary stations installed by the Comision Federal de Electricidad and the Instituto de Ingenieria of the Universidad Nacional Autonoma de Mexico. The duration magnitudes of the quakes are equal to or lower than 3.6 Md and the focal depths do not exceed 4.0 km. Simple focal mechanisms and moment tensor inversions were made, and the number of earthquakes registered by two stations of the permanent network (numbers S05, S06) was compared with water-injection and steam-production volumes over a certain period. The results at the surface and at depth show seismic activity occurring in the northern zone of the field around injection wells I29 (well H-29) and I38 (well H-38); whereas, the simple focal mechanisms and moment tensors demonstrate stresses of heterogeneous origin, suggesting that part of the seismic activity in Los Humeros is probably induced, mainly by injecting water. [Spanish] Se analiza la distribucion en superficie y en profundidad de los sismos ocurridos en el campo geotermico de Los Humeros, Puebla (Mexico), durante el periodo 1997-2004. Los datos corresponden a 95 sismos registrados por mas de cinco estaciones permanentes y temporales instaladas por la Comision Federal de Electricidad y el Instituto de Ingenieria de la Universidad Nacional Autonoma de Mexico, cuyas magnitudes de duracion son menores o iguales a 3.6 Md y profundidades focales que no sobrepasan los 4.0 km. Asimismo, se realizaron mecanismos focales simples y de inversion de tensor de momento, y se comparo el numero de sismos registrados por dos estaciones de la red permanente (numeros S05, S06) con la inyeccion de agua y la produccion de vapor durante cierto tiempo. Los resultados en superficie y en profundidad muestran actividad sismica en la zona norte del campo, alrededor

  1. Previous utilization of service does not improve timely booking in ...

    African Journals Online (AJOL)

    Previous utilization of service does not improve timely booking in antenatal care: Cross sectional study ... Journal Home > Vol 24, No 3 (2010) > ... Results: Past experience on antenatal care service utilization did not come out as a predictor for ...

  2. Environmental baseline study of the Los Medanos Waste Isolation Pilot Plant (WIPP) project area of New Mexico: a progress report. An addendum

    International Nuclear Information System (INIS)

    Wolfe, H.G.

    1977-09-01

    Sandia Laboratories, Albuquerque, New Mexico, has been conducting exploratory drilling operations for a Waste Isolation Pilot Program Eddy and Lea counties in southeast New Mexico for almost two years. Prior to the establishment of such a program, an environmental study has been carried out as a baseline for evaluation of the impact of future activities in the Los Medanos area. Data are presented on the geology; topography; climate; vegetation; and population density, diet, and seasonal movements of mammals, lizards, snakes, birds, insects, and ground-dwelling arthropods of the study area

  3. Books average previous decade of economic misery.

    Science.gov (United States)

    Bentley, R Alexander; Acerbi, Alberto; Ormerod, Paul; Lampos, Vasileios

    2014-01-01

    For the 20(th) century since the Depression, we find a strong correlation between a 'literary misery index' derived from English language books and a moving average of the previous decade of the annual U.S. economic misery index, which is the sum of inflation and unemployment rates. We find a peak in the goodness of fit at 11 years for the moving average. The fit between the two misery indices holds when using different techniques to measure the literary misery index, and this fit is significantly better than other possible correlations with different emotion indices. To check the robustness of the results, we also analysed books written in German language and obtained very similar correlations with the German economic misery index. The results suggest that millions of books published every year average the authors' shared economic experiences over the past decade.

  4. Books Average Previous Decade of Economic Misery

    Science.gov (United States)

    Bentley, R. Alexander; Acerbi, Alberto; Ormerod, Paul; Lampos, Vasileios

    2014-01-01

    For the 20th century since the Depression, we find a strong correlation between a ‘literary misery index’ derived from English language books and a moving average of the previous decade of the annual U.S. economic misery index, which is the sum of inflation and unemployment rates. We find a peak in the goodness of fit at 11 years for the moving average. The fit between the two misery indices holds when using different techniques to measure the literary misery index, and this fit is significantly better than other possible correlations with different emotion indices. To check the robustness of the results, we also analysed books written in German language and obtained very similar correlations with the German economic misery index. The results suggest that millions of books published every year average the authors' shared economic experiences over the past decade. PMID:24416159

  5. No discrimination against previous mates in a sexually cannibalistic spider

    Science.gov (United States)

    Fromhage, Lutz; Schneider, Jutta M.

    2005-09-01

    In several animal species, females discriminate against previous mates in subsequent mating decisions, increasing the potential for multiple paternity. In spiders, female choice may take the form of selective sexual cannibalism, which has been shown to bias paternity in favor of particular males. If cannibalistic attacks function to restrict a male's paternity, females may have little interest to remate with males having survived such an attack. We therefore studied the possibility of female discrimination against previous mates in sexually cannibalistic Argiope bruennichi, where females almost always attack their mate at the onset of copulation. We compared mating latency and copulation duration of males having experienced a previous copulation either with the same or with a different female, but found no evidence for discrimination against previous mates. However, males copulated significantly shorter when inserting into a used, compared to a previously unused, genital pore of the female.

  6. Los Alamos Spheromak Program

    International Nuclear Information System (INIS)

    Knox, S.O.; Barnes, C.W.; Fernandez, J.C.

    1985-01-01

    The Los Alamos Spheromak Program consists of two experimental facilities. The confinement physics of sustained and decaying spheromaks are being studied in CTX, which has an extensive array of diagnostics. Experiments are directed towards extending the physics understanding of the spheromak as a magnetic confinement concept. Electrodes for the production of clean sustained spheromaks are developed on the Electrode Facility, which is more flexible in terms of experimental modifications. Improvements to helicity sources and elecrodes which are proven on the Electrode Facility are then considered for incorporation onto CTX

  7. Identificación y evaluación del grado de satisfacción en la etapa de post-ocupación de los proyectos de viviendas económicas desde la perspectiva de los usuarios: estudio de caso peruano = Identification and evaluation of satisfaction degree in the post-occupation phase of the economic housing projects from the perspective of the users: Peruvian case study

    Directory of Open Access Journals (Sweden)

    Xavier Brioso

    2017-08-01

    Full Text Available El objetivo principal de esta investigación es identificar cuáles son las necesidades más relevantes, entre ellas, las relacionadas a la sostenibilidad, que deben tomarse en cuenta en los proyectos de viviendas económicas, y evaluar el grado de satisfacción de los usuarios finales que ya habitan en este tipo de vivienda. Se describe las estrategias, herramientas, técnicas y prácticas necesarias para su identificación, para lo cual se recolecta la información de la etapa del post ocupación, en el marco del sistema Lean Project Delivery System. Para cumplir lo anterior, se siguieron los siguientes pasos: (1 Se recopiló la información de la problemática que engloba el déficit de vivienda y el planeamiento urbano existente en la zona de estudio; (2 Se diseñaron y realizaron las encuestas a la población que ya vive en viviendas sociales típicas identificando las necesidades no cubiertas, con énfasis en criterios de sostenibilidad; y (3 Se comparó los resultados de las encuestas con las necesidades de los usuarios obtenidas previamente mediante el uso de la herramienta del árbol de problemas, obteniendo conclusiones Abstract The main objective of this research is to identify the most relevant needs, including those related to sustainability, which should be taken into account in low-income housing projects, and to assess the degree of satisfaction of the end users already living in this type of housing. It describes the strategies, tools, techniques and practices necessary for its identification, for which information is collected from the post-occupation stage, within the framework of the Lean Project Delivery System. In order to comply with the above, the following steps were followed: (1 Information was collected on the problems that comprise the housing deficit and urban planning in the study area; (2 Surveys were designed and conducted for the population that already lives in typical social housing, identifying unmet needs

  8. [Electronic cigarettes - effects on health. Previous reports].

    Science.gov (United States)

    Napierała, Marta; Kulza, Maksymilian; Wachowiak, Anna; Jabłecka, Katarzyna; Florek, Ewa

    2014-01-01

    Currently very popular in the market of tobacco products have gained electronic cigarettes (ang. E-cigarettes). These products are considered to be potentially less harmful in compared to traditional tobacco products. However, current reports indicate that the statements of the producers regarding to the composition of the e- liquids not always are sufficient, and consumers often do not have reliable information on the quality of the product used by them. This paper contain a review of previous reports on the composition of e-cigarettes and their impact on health. Most of the observed health effects was related to symptoms of the respiratory tract, mouth, throat, neurological complications and sensory organs. Particularly hazardous effects of the e-cigarettes were: pneumonia, congestive heart failure, confusion, convulsions, hypotension, aspiration pneumonia, face second-degree burns, blindness, chest pain and rapid heartbeat. In the literature there is no information relating to passive exposure by the aerosols released during e-cigarette smoking. Furthermore, the information regarding to the use of these products in the long term are not also available.

  9. Framing the Fukushima Daiichi nuclear accident: An international, comparative study of news frames in Der Spiegel, the Japan Times and the Los Angeles Times

    International Nuclear Information System (INIS)

    Giannakopoulos, Thanos

    2013-01-01

    This study investigated into the news frames employed in reporting on the Fukushima Daiichi nuclear accident, explored the maintenance of the radiation reporting standard, and assessed the overall tone for the local government, the Japanese Government, and the IAEA. Based on content from Der Spiegel, the Japan Times and the Los Angeles Times (n=60), it was found that media evoked 'conflict', 'responsibility attribution', and 'human interest' frames, radiation reporting standard was marginally maintained, and the overall tone was neutral (local government, IAEA) or negative (Japanese Government). Variances across countries were observed, but results coincided with the country's nuclear energy policy. (author)

  10. Study of antiretroviral mutants in HIV patients with treatment failures and the effect of risk factors in the virological failures Estudio de mutantes resistentes a los antiretrovirales en pacientes con VIH con falla terapeutica y efecto de los factores de riesgo en el tratamiento

    Directory of Open Access Journals (Sweden)

    Lizeth Taylor-Castillo

    2005-12-01

    Full Text Available INTRODUCTION: Information about HIV phenotypes of resistant to available ART and the influence of different risk factors on virological failures (VF in Costa Rican HIV positive patients prior or during HAART is unknown. MATERIALS AND METHODS: Eighty nine samples, 72 VF and 17 basal (before treatment were analyzed by examining resistant mutants in reverse transcriptase (RT and protease (PT regions using Trugene or LIPA genotyping kits. Sixty eight control patients were selected and relevant information was collected in a questionnaire. RESULTS: Poor adherence, presence of resistant mutations and number of treatment's changes were the only significant factors found (p = 0.006, 0.04 and 0.01 respectively. From 66 sequenced samples, 78%, 50% and 50% showed resistance to NRTI (nucleoside reverse transcriptase inhibitors, NNRT (non-nucleoside reverse transcriptase inhibitors and PI (protease inhibitors, respectively. The most frequent mutations were M41L, M184V, and T215FY in RT and L62PI, L10FIRV and M36I in PT. DISCUSSION: The most important factor related to treatment response in this study was adherence to treatment. Mutations in RT were related to the treatment failure while the ones found in PT were secondary mutations which have been previously described to influence the selection of primary resistance mutations in these regions. The study reveals the urgency to detect resistant mutations in VF to be considered by physicians for selection of treatment schedule, to analyze basal HIV patients for monitoring of the spread of resistant mutations and the importance to reinforce the adherence in the patients for overall treatment outcome.En Costa Rica no se tiene información a cerca de genotipos de resistencia para los tratamientos anti-retrovirales disponibles y la influencia de diferentes factores de riego en la falla virológica (FV de pacientes VIH positivos previo o durante su tratamiento. Ochenta y nueve muestras, 72 FV y 17 basales, fueron

  11. LOS SISTEMAS DE INFORMACIÓN GEOGRÁFICA COMO HERRAMIENTA DE APOYO EN LOS ESTUDIOS HIDROGEOLÓGICOS DOS CASOS DE ESTUDIO EN AMÉRICA LATINA: TWO CASE STUDIES IN LATIN AMERICA GEOGRAPHIC INFORMATION SYSTEMS AS A SUPPORTING TOOL IN HYDRO-GEOLOGICAL STUDIES

    Directory of Open Access Journals (Sweden)

    Mauricio Quiroz

    2007-07-01

    Full Text Available En los estudios de aguas subterráneas, se genera y recopila gran cantidad de datos, que necesariamente deben ser procesados y analizados de manera conjunta, buscando encontrar relaciones y/o patrones con los que se definen modelos conceptuales y numéricos adecuados para explicar de forma coherente el funcionamiento hidrogeológico de una zona específica. Acorde con lo anterior, los Sistemas de Información Geográfica (SIG, se plantean como una de las herramientas básicas del hidrogeólogo, ya que permiten de una manera fácil y dinámica, almacenar, analizar y visualizar datos e información, así como el análisis de su comportamiento en las dimensiones espacial y temporal. No obstante, la utilización de los SIG en los proyectos hidrogeológicos se ha limitado, en muchos casos, a la elaboración de la cartografía de las diferentes unidades hidrogeológicas incluidas dentro del área de estudio y la ubicación de diferentes mediciones y parámetros relacionados con el recurso hídrico subterráneo, en detrimento de sus capacidades para el análisis de fenómenos espaciales complejos en los cuales intervienen múltiples variables. El presente trabajo presenta dos ejemplos de aplicación en Latinoamérica en los que los sistemas de información geográfica han ayudado en la modelación y preprocesamiento de los fenómenos y variables involucradas, además de la tradicional identificación de las características esenciales de los acuíferos.In underground water studies, a big amount of data is generated and compiled: these data should be jointly processed, correlated, and analyzed in order to look for relations and /or patterns through which appropriate conceptual and numerical models are defined for explaining, in a coherent way, hydro-geological functioning in a specific zone. Geographic Information Systems (GIS must be considered as one of the basic tools of hydro-geologists, because they allow storing, analyzing, and visualizing data

  12. Raw data from orientation studies in crystalline rock areas of the southeastern United States. [Maps, tables of field data and analytical data for sections of North and South Carolina and Georgia, previously reported sites of uranium mineralization

    Energy Technology Data Exchange (ETDEWEB)

    Price, V.

    1976-03-01

    Raw data are presented on orientation studies conducted in crystalline rock areas of the Southeast which were chosen because of published references to uranium mineralization. Preliminary data for four orientation study areas are included. These areas are Lamar County, Georgia; Oconee County, South Carolina; Brush Creek, North Carolina; and North Harper, North Carolina. Sample locality maps, tables of field data, and tables of analytical data are included for each study area. (JGB)

  13. Study of liquid and steam tracers at the Maritaro - La Cumbre area of the Los Azufres geothermal field, Mich.; Estudio con trazadores de liquido y vapor en la zona Maritaro - La Cumbre del campo geotermico de Los Azufres, Mich.

    Energy Technology Data Exchange (ETDEWEB)

    Iglesias, Eduardo R [Instituto de Investigaciones Electricas, Cuernavaca, Morelos, (Mexico)]. E-mail: iglesias@iie.org.mx; Flores Armenta, Magaly; Quijano Leon, Jose Luis; Torres Rodriguez, Marco A [Comision Federal de Electricidad, Morelia, Michoacan (Mexico); Torres, Rodolfo J; Reyes Picasso, Neftali [Instituto de Investigaciones Electricas, Cuernavaca, Morelos, (Mexico)

    2008-01-15

    We ran two simultaneous tracer tests in the Maritaro-La Cumbre area of the Los Azufres geothermal field in Mexico. We wished to determine whether or not fluids injected in well Az-15 recharged the productive areas of six production wells and to estimate the fractions of injected fluid recovered in them, if any. Because only three of the wells produce water and all of them produce steam, two tracers were used, sulfur hexafluoride (SF{sub 6}) for the gas phase and 1,3,6 naphthalene trisulfonate (1,3,6-nts) for the liquid phase. All of the observation wells recorded SF{sub 6}, and the three water-producing wells recorded 1,3,6-nts, proving that fluids injected in well Az-15 do recharge the area of interest. When sampling was suspended, the three water-producing wells were still producing 1,3,6-nts at significant rates. The total recovery of 1,3,6-nts at wells Az-65D, Az-04 and Az-28, 279 days after injection when sampling was halted, were, respectively, 6.1%, 0.90% y 0.16%, for a total of 7.61%. We concluded that these quantities constitute the lower boundaries for the respective recovery factors. When sampling was halted, wells Az-65D, Az-66D and Az-30 were still producing some SF{sub 6} at lower rates, and the rest of the wells were no longer recording the gas phase tracer. The total recovery of SF{sub 6} at wells Az-65D, Az-04, Az-41, Az-30, Az-28 and Az-66D were, respectively, 4.82 e-02%, 1.37 e-03%, 1.48 e-03%, 6.38 e-04%, 1.38 e-03% y 4.31 e-04%, for a total of 5.35 e-02%. The liquid recharge occurred in orders of magnitude greater than the steam. [Spanish] Se efectuaron dos pruebas simultaneas en la zona Maritaro-La Cumbre del campo geotermico de Los Azufres, Mich., Mexico. Los objetivos de estas pruebas fueron determinar si la salmuera de desecho inyectada en el pozo Az-15 recarga las zonas de alimentacion de seis pozos productores designados por CFE, y estimar que fraccion de lo inyectado recarga dichos pozos productores. Debido a que solo tres de los pozos

  14. Measurement errors in polymerase chain reaction are a confounding factor for a correct interpretation of 5-HTTLPR polymorphism effects on lifelong premature ejaculation: a critical analysis of a previously published meta-analysis of six studies.

    Science.gov (United States)

    Janssen, Paddy K C; Olivier, Berend; Zwinderman, Aeilko H; Waldinger, Marcel D

    2014-01-01

    To analyze a recently published meta-analysis of six studies on 5-HTTLPR polymorphism and lifelong premature ejaculation (PE). Calculation of fraction observed and expected genotype frequencies and Hardy Weinberg equilibrium (HWE) of cases and controls. LL,SL and SS genotype frequencies of patients were subtracted from genotype frequencies of an ideal population (LL25%, SL50%, SS25%, p = 1 for HWE). Analysis of PCRs of six studies and re-analysis of the analysis and Odds ratios (ORs) reported in the recently published meta-analysis. Three studies deviated from HWE in patients and one study deviated from HWE in controls. In three studies in-HWE the mean deviation of genotype frequencies from a theoretical population not-deviating from HWE was small: LL(1.7%), SL(-2.3%), SS(0.6%). In three studies not-in-HWE the mean deviation of genotype frequencies was high: LL(-3.3%), SL(-18.5%) and SS(21.8%) with very low percentage SL genotype concurrent with very high percentage SS genotype. The most serious PCR deviations were reported in the three not-in-HWE studies. The three in-HWE studies had normal OR. In contrast, the three not-in-HWE studies had a low OR. In three studies not-in-HWE and with very low OR, inadequate PCR analysis and/or inadequate interpretation of its gel electrophoresis resulted in very low SL and a resulting shift to very high SS genotype frequency outcome. Consequently, PCRs of these three studies are not reliable. Failure to note the inadequacy of PCR tests makes such PCRs a confounding factor in clinical interpretation of genetic studies. Currently, a meta-analysis can only be performed on three studies-in-HWE. However, based on the three studies-in-HWE with OR of about 1 there is not any indication that in men with lifelong PE the frequency of LL,SL and SS genotype deviates from the general male population and/or that the SL or SS genotype is in any way associated with lifelong PE.

  15. Measurement errors in polymerase chain reaction are a confounding factor for a correct interpretation of 5-HTTLPR polymorphism effects on lifelong premature ejaculation: a critical analysis of a previously published meta-analysis of six studies.

    Directory of Open Access Journals (Sweden)

    Paddy K C Janssen

    Full Text Available OBJECTIVE: To analyze a recently published meta-analysis of six studies on 5-HTTLPR polymorphism and lifelong premature ejaculation (PE. METHODS: Calculation of fraction observed and expected genotype frequencies and Hardy Weinberg equilibrium (HWE of cases and controls. LL,SL and SS genotype frequencies of patients were subtracted from genotype frequencies of an ideal population (LL25%, SL50%, SS25%, p = 1 for HWE. Analysis of PCRs of six studies and re-analysis of the analysis and Odds ratios (ORs reported in the recently published meta-analysis. RESULTS: Three studies deviated from HWE in patients and one study deviated from HWE in controls. In three studies in-HWE the mean deviation of genotype frequencies from a theoretical population not-deviating from HWE was small: LL(1.7%, SL(-2.3%, SS(0.6%. In three studies not-in-HWE the mean deviation of genotype frequencies was high: LL(-3.3%, SL(-18.5% and SS(21.8% with very low percentage SL genotype concurrent with very high percentage SS genotype. The most serious PCR deviations were reported in the three not-in-HWE studies. The three in-HWE studies had normal OR. In contrast, the three not-in-HWE studies had a low OR. CONCLUSIONS: In three studies not-in-HWE and with very low OR, inadequate PCR analysis and/or inadequate interpretation of its gel electrophoresis resulted in very low SL and a resulting shift to very high SS genotype frequency outcome. Consequently, PCRs of these three studies are not reliable. Failure to note the inadequacy of PCR tests makes such PCRs a confounding factor in clinical interpretation of genetic studies. Currently, a meta-analysis can only be performed on three studies-in-HWE. However, based on the three studies-in-HWE with OR of about 1 there is not any indication that in men with lifelong PE the frequency of LL,SL and SS genotype deviates from the general male population and/or that the SL or SS genotype is in any way associated with lifelong PE.

  16. Los cambios de temperatura en los revestimientos epoxi II

    Directory of Open Access Journals (Sweden)

    Fernández Cánovas, M.

    1970-04-01

    Full Text Available This article is the second part of a previous paper published by the author in no. 189 of this magazine. It describes the tests carried out to check the theoretical results published in the earlier article. The tests have consisted in submitting concrete slabs covered with a layer of epoxi mortar to certain thermal conditions, to check the behaviour of the covering in the face of thermal changes. In all the tests, described in detail in the article, the epoxi layer has behaved extremely well, and no bonding failure has been observed, nor failures in the concrete base or in the epoxi layer.Este artículo es la segunda parte de un trabajo publicado por el autor en el número 189 de esta revista, y en él se realiza una descripción de los ensayos prácticos llevados a cabo para complementar el estudio teórico publicado en aquella primera parte. Los ensayos han consistido en someter a placas de hormigón revestidas de una Kipa de mor tero epoxi a determinadas condiciones térmicas, con el fin de poder comprobar el comportamiento del revestimiento frente a los cambios de temperatura. En todos los ensayos realizados y que, con detalle, están descritos en este artículo, el comportamiento de los revestimientos de mortero epoxi ha sido excelente, no habiéndose notado ningún fallo de adherencia, ni roturas en la base de hormigón, ni en la capa de mortero epoxi.

  17. La evaluación de los aprendizajes en los sMOOC. Estudio de caso en el Proyecto Europeo ECO//The learning evaluation in the sMOOCs. Case study in the ECO European Project

    Directory of Open Access Journals (Sweden)

    Lucía Camarero Cano

    2016-07-01

    Full Text Available Este artículo hace una reflexión crítica sobre el análisis de los nuevos sistemas de evaluación y cómo esto afecta al rol de docentes y estudiantes. El estudio se ha llevado a cabo tomando como referencia dos sMOOC liderados por el Proyecto Europeo ECO. Los resultados que se presentan han sido analizados desde una perspectiva cuantitativa, utilizando como muestra a los miembros de que han participado en ambos cursos. Se ha podido conocer cómo han valorado su experiencia formativa y su grado de satisfacción. La mitad de los sujetos encuestados ha considerado adecuado el nuevo sistema evaluativo, sin embargo existe otra mitad que lo considera injusto. Se ha abordado la evaluación como una parte intrínseca del proceso educativo y se ha enfatizado en aspectos como el empoderamiento del alumnado, la cultura participatva y la interacción social, conceptos que nos acercan a nuevos modelos de aprendizaje que potencian el intelecto colectivo.

  18. Empowerment perceptions of educational managers from previously ...

    African Journals Online (AJOL)

    Erna Kinsey

    In the empirical study, a self-administered questionnaire was dis- ... The task of management at all levels in the education system is to create and sustain .... improved school performance (better policies and more innovative fresh ideas);.

  19. La interacción de los públicos en Facebook. El caso de los periódicos en Andalucía.- The interaction of public in Facebook. The study of newspapers

    Directory of Open Access Journals (Sweden)

    María Remedios Guirado Zamora

    2012-05-01

    Full Text Available En la actualidad vemos como los periódicos, han cambiado su forma de comunicar gracias al uso de herramientas 2.0 como son los Blogs, Wiki´s, RSS o Redes Sociales, entre otras. La aparición de estas herramientas ha generado flujos favorables de información entre el medio y su receptor, que de otra forma hubiesen sido impensables. Además de contribuir a compartir conocimientos y recursos de forma visible, y a ahorrar en gastos a la hora de conseguir todo lo anterior.Los periódicos han dejado atrás el carácter impersonal y estático, que de alguna forma estaba acabando con ellos, para dar paso a una comunicación cada vez más personal, activa y lo que es más importante interactiva.Todos estos cambios están ligados en gran medida a la transformación que ha sufrido el usuario, consumidor de información en los medios de comunicación. Y es que ahora debemos hablar de un nuevo usuario, activo, inconformista, que necesita consumir información actual y cada momento y que a su vez busca participar activamente en esa información a través de sus comentarios.En definitiva lo que se pretende con este estudio es mostrar que la comunicación 2.0 a través del uso de las Redes Sociales como herramientas de comunicación dentro de los medios de comunicación es un hecho.

  20. INDEXES OF OBESITY AND COMPARISONS WITH PREVIOUS NATIONAL SURVEY DATA IN 9-YEAR-OLD AND 10-YEAR-OLD BLACK-AND-WHITE GIRLS - THE NATIONAL HEART, LUNG, AND BLOOD INSTITUTE GROWTH AND HEALTH STUDY

    NARCIS (Netherlands)

    CAMPAIGNE, BN; MORRISON, JA; SCHUMANN, BC; FALKNER, F; LAKATOS, E; SPRECHER, D; SCHREIBER, GB

    Objective: To (I) describe anthropometric and body-size measurements in the National Heart, Lung, and Blood Institute Growth and Health Study (NGHS) population at baseline and (2) examine potential secular trends in the prevalence of obesity in young black and white girls by comparing NGHS baseline

  1. A previous hamstring injury affects kicking mechanics in soccer players.

    Science.gov (United States)

    Navandar, Archit; Veiga, Santiago; Torres, Gonzalo; Chorro, David; Navarro, Enrique

    2018-01-10

    Although the kicking skill is influenced by limb dominance and sex, how a previous hamstring injury affects kicking has not been studied in detail. Thus, the objective of this study was to evaluate the effect of sex and limb dominance on kicking in limbs with and without a previous hamstring injury. 45 professional players (males: n=19, previously injured players=4, age=21.16 ± 2.00 years; females: n=19, previously injured players=10, age=22.15 ± 4.50 years) performed 5 kicks each with their preferred and non-preferred limb at a target 7m away, which were recorded with a three-dimensional motion capture system. Kinematic and kinetic variables were extracted for the backswing, leg cocking, leg acceleration and follow through phases. A shorter backswing (20.20 ± 3.49% vs 25.64 ± 4.57%), and differences in knee flexion angle (58 ± 10o vs 72 ± 14o) and hip flexion velocity (8 ± 0rad/s vs 10 ± 2rad/s) were observed in previously injured, non-preferred limb kicks for females. A lower peak hip linear velocity (3.50 ± 0.84m/s vs 4.10 ± 0.45m/s) was observed in previously injured, preferred limb kicks of females. These differences occurred in the backswing and leg-cocking phases where the hamstring muscles were the most active. A variation in the functioning of the hamstring muscles and that of the gluteus maximus and iliopsoas in the case of a previous injury could account for the differences observed in the kicking pattern. Therefore, the effects of a previous hamstring injury must be considered while designing rehabilitation programs to re-educate kicking movement.

  2. INTRODUCTION Previous reports have documented a high ...

    African Journals Online (AJOL)

    Conclusion: The positive effect of education on oral hygiene practices is highlighted in this study. However there is still need for proper health enlightenment in this population with regards to use of the available oral health care facilities. Keywords: Oral hygiene, Pregnancy, Nigeria. Annals of Ibadan Postgraduate Medicine.

  3. The predictive effect of fear-avoidance beliefs on low back pain among newly qualified health care workers with and without previous low back pain: a prospective cohort study

    DEFF Research Database (Denmark)

    Jensen, Jette Nygaard; Albertsen, Karen; Borg, Vilhelm

    2009-01-01

    Health care workers have a high prevalence of low back pain (LBP). Although physical exposures in the working environment are linked to an increased risk of LBP, it has been suggested that individual coping strategies, for example fear-avoidance beliefs, could also be important in the development...... and maintenance of LBP. Accordingly, the main objective of this study was to examine (1) the association between physical work load and LBP, (2) the predictive effect of fear-avoidance beliefs on the development of LBP, and (3) the moderating effect of fear-avoidance beliefs on the association between physical...

  4. Los presupuestos del Concurso

    Directory of Open Access Journals (Sweden)

    Línea de Investigación “De la Crisis Empresarial

    2006-01-01

    Full Text Available Este escrito es el resultado de uno de los proyectos de investigación adelantados por el Departamento de Derecho Comercial de la Universidad Externado de Colombia. En el se hace una aproximación histórica a los presupuestos para acceder a los trámites concursales en Perú, Argentina y España, analizándolos desde los puntos doctrinal, académico y legal.Así mismo, es parte integrante de un trabajo más amplio que pretende elaborar un documento contentivo del tratamiento que se da a los presupuestos concursales a nivel mundial.En este orden de ideas, nos permitimos presentar un análisis minucioso de la legislación de los citados países iberoamericanos.

  5. Son los latinos estadounidenses?

    OpenAIRE

    Aguirre, Mariano

    2009-01-01

    En el año 2050 la población blanca no latina de Estados Unidos sumará el 46% del total de los ciudadanos de ese país. Para entonces, la población latina, negra y asiática combinada representará el 54%. En ese horizonte que predicen los cálculos oficiales, los latinos habrán crecido en un 15%, pasando de los 47 millones que viven ahora EEUU a 133 millones. Mientras que los latinos y los asiáticos (de 16 millones a 41 millones para entonces) no pararán de crecer, las poblaciones blanca y negra ...

  6. cultural de los chicanos

    Directory of Open Access Journals (Sweden)

    Patricia Casasa

    2003-01-01

    Full Text Available En Estados Unidos los diferentes grupos étnicos de habla hispana, entre ellos los chicanos, se enfrentan al problema de definir su identidad frente a la cultura anglosajona dominante, y este proceso puede ser descrito como un fenómeno de autoreconocimiento colectivo, o sea, la percepción diferencial de una colectividad suficientemente integrada y consistente, en contraposición con otras. Cualquier elemento que integra una configuración cultural, como son las pautas de comportamiento, los estilos de vida, las fiestas, los cantos, los mitos, los usos del ceremonial laico y religioso, la organización social del espacio, el lenguaje, la vida cotidiana o la utilización y percepción del medio físico, etcétera, pueden desempeñar este papel.

  7. Impact of the use of autologous stem cell transplantation at first relapse both in naïve and previously rituximab exposed follicular lymphoma patients treated in the GELA/GOELAMS FL2000 study

    Science.gov (United States)

    Le Gouill, Steven; De Guibert, Sophie; Planche, Lucie; Brice, Pauline; Dupuis, Jehan; Cartron, Guillaume; Van Hoof, Achiel; Casasnovas, Olivier; Gyan, Emmanuel; Tilly, Hervé; Fruchart, Christophe; Deconinck, Eric; Fitoussi, Olivier; Gastaud, Lauris; Delwail, Vincent; Gabarre, Jean; Gressin, Rémy; Blanc, Michel; Foussard, Charles; Salles, Gilles

    2011-01-01

    Background We analyzed detailed characteristics and salvage treatment in 175 follicular lymphoma patients from the FL2000 study who were in progression after first-line therapy with or without addition of rituximab to chemotherapy and interferon. Design and Methods The impact of using autologous stem cell transplantation and/or rituximab administration at first progression was investigated, taking into account initial therapy. With a median follow up of 31 months, 3-year event free and overall survival rates after progression were 50% (95%CI 42–58%) and 72% (95%CI 64–78%), respectively. Results The 3-year event free rate of rituximab re-treated patients (n=112) was 52% (95%CI 41–62%) versus 40% (95%CI 24–55%) for those not receiving rituximab second line (n=53) (P=0.075). There was a significant difference in 3-year overall survival between patients receiving autologous stem cell transplantation and those not: 92% (95%CI 78–97%) versus 63% (95%CI 51–72%) (P=0.0003), respectively. In multivariate analysis, both autologous stem cell transplantation and period of progression/relapse affected event free and overall survival. Conclusions Regardless of front-line rituximab exposure, this study supports incorporating autologous stem cell transplantation in the therapeutic approach at first relapse for follicular lymphoma patients. PMID:21486862

  8. Twelve-week efficacy and safety study of mometasone furoate/formoterol 200/10 microg and 400/10 microg combination treatments in patients with persistent asthma previously receiving high-dose inhaled corticosteroids

    DEFF Research Database (Denmark)

    Weinstein, Steven F; Corren, Jonathan; Murphy, Kevin

    2010-01-01

    A significant unmet medical need exists in patients with uncontrolled asthma. The purpose of this study was to evaluate the efficacy and safety of mometasone furoate/formoterol (MF/F) 400/10 microg versus MF 400 microg administered twice-daily (b.i.d.) via metered-dose inhaler in patients...... with asthma uncontrolled on high-dose inhaled corticosteroids (ICS). In a 12-week, randomized, multicenter, double-blind, parallel-group study, patients (>or=12 years of age) were randomized to MF/F 200/10 microg, MF/F 400/10 microg, or MF 400 microg, b.i.d. after a 2- to 3-week open-label run in with MF 400...... microg b.i.d. The primary end point was mean change in area under the curve from 0 to 12 hours in forced expiratory volume in 1 second (FEV(1) AUC(0-12h)) from baseline to week 12 for MF/F 400/10 microg versus MF 400 microg. Effects of MF/F on asthma control and symptoms were evaluated and adverse events...

  9. Glyoxal contribution to aerosols over Los Angeles

    Science.gov (United States)

    Balcerak, Ernie

    2012-01-01

    Laboratory and field studies have indicated that glyoxal (chemical formula OCHCHO), an atmospheric oxidation product of isoprene and aromatic compounds, may contribute to secondary organic aerosols in the atmosphere, which can block sunlight and affect atmospheric chemistry. Some aerosols are primary aerosols, emitted directly into the atmosphere, while others are secondary, formed through chemical reactions in the atmosphere. Washenfelder et al. describe in situ glyoxal measurements from Pasadena, Calif., near Los Angeles, made during summer 2010. They used three different methods to calculate the contribution of glyoxal to secondary atmospheric aerosol and found that it is responsible for 0-0.2 microgram per cubic meter, or 0-4%, of the secondary organic aerosol mass. The researchers also compared their results to those of a previous study that calculated the glyoxal contribution to aerosol for Mexico City. Mexico City had higher levels of organic aerosol mass from glyoxal. They suggest that the lower contribution of glyoxal to aerosol concentrations for Los Angeles may be due to differences in the composition or water content of the aerosols above the two cities. (Journal of Geophysical Research-Atmospheres, doi:10.1029/2011JD016314, 2011)

  10. Local recurrence risk after previous salvage mastectomy.

    Science.gov (United States)

    Tanabe, M; Iwase, T; Okumura, Y; Yoshida, A; Masuda, N; Nakatsukasa, K; Shien, T; Tanaka, S; Komoike, Y; Taguchi, T; Arima, N; Nishimura, R; Inaji, H; Ishitobi, M

    2016-07-01

    Breast-conserving surgery is a standard treatment for early breast cancer. For ipsilateral breast tumor recurrence (IBTR) after breast-conserving surgery, salvage mastectomy is the current standard surgical procedure. However, it is not rare for patients with IBTR who have received salvage mastectomy to develop local recurrence. In this study, we examined the risk factors of local recurrence after salvage mastectomy for IBTR. A total of 118 consecutive patients who had histologically confirmed IBTR without distant metastases and underwent salvage mastectomy without irradiation for IBTR between 1989 and 2008 were included from eight institutions in Japan. The risk factors of local recurrence were assessed. The median follow-up period from salvage mastectomy for IBTR was 4.6 years. Patients with pN2 or higher on diagnosis of the primary tumor showed significantly poorer local recurrence-free survival than those with pN0 or pN1 at primary tumor (p mastectomy for IBTR. Further research and validation studies are needed. (UMIN-CTR number UMIN000008136). Copyright © 2016 Elsevier Ltd. All rights reserved.

  11. Increased risk of ischemic heart disease, hypertension, and type 2 diabetes in women with previous gestational diabetes mellitus, a target group in general practice for preventive interventions: A population-based cohort study.

    Directory of Open Access Journals (Sweden)

    Barbara Daly

    2018-01-01

    Full Text Available Gestational diabetes mellitus (GDM is associated with developing type 2 diabetes, but very few studies have examined its effect on developing cardiovascular disease.We conducted a retrospective cohort study utilizing a large primary care database in the United Kingdom. From 1 February 1990 to 15 May 2016, 9,118 women diagnosed with GDM were identified and randomly matched with 37,281 control women by age and timing of pregnancy (up to 3 months. Adjusted incidence rate ratios (IRRs with 95% confidence intervals (CIs were calculated for cardiovascular risk factors and cardiovascular disease. Women with GDM were more likely to develop type 2 diabetes (IRR = 21.96; 95% CI 18.31-26.34 and hypertension (IRR = 1.85; 95% CI 1.59-2.16 after adjusting for age, Townsend (deprivation quintile, body mass index, and smoking. For ischemic heart disease (IHD, the IRR was 2.78 (95% CI 1.37-5.66, and for cerebrovascular disease 0.95 (95% CI 0.51-1.77; p-value = 0.87, after adjusting for the above covariates and lipid-lowering medication and hypertension at baseline. Follow-up screening for type 2 diabetes and cardiovascular risk factors was poor. Limitations include potential selective documentation of severe GDM for women in primary care, higher surveillance for outcomes in women diagnosed with GDM than control women, and a short median follow-up postpartum period, with a small number of outcomes for IHD and cerebrovascular disease.Women diagnosed with GDM were at very high risk of developing type 2 diabetes and had a significantly increased incidence of hypertension and IHD. Identifying this group of women in general practice and targeting cardiovascular risk factors could improve long-term outcomes.

  12. Estudio de las emociones en los personajes animados de Inside Out/ Study of emotions in the animated characters from Inside Out

    Directory of Open Access Journals (Sweden)

    Leticia Porto Pedrosa

    2016-01-01

    Full Text Available Este artículo pretende mostrar la importancia de investigar las emociones a partir del cine de animación y su influencia en la audiencia infantil. Para ello, se lleva a cabo un recorrido a lo largo del tratamiento y la representación de las emociones encarnadas en los personajes animados de los largometrajes de Pixar. A través de la revisión bibliográfica y el análisis de contenido de la película Inside Out (2015, se profundiza en las principales emociones como la tristeza y la alegría para comprender cuál es el papel social de esta dimensión esencial en el ser humano. The purpose of this paper is to discuss about the importance of investigating the emotions from the cartoon movies and its influence on the child audience. For this, in this article studies the treatment and representation of emotions on the characters of films Pixar Studios. Through literature review and analysis of content of the cartoon movie Inside Out (2015, it delves into the main emotions like sadness and joy to understand what the social role of this essential dimension of the human being.

  13. La conducta informativa de los físicos: un estudio cualitativo de usuarios = The informative behaviour of the physicists: a qualitative study of the users

    Directory of Open Access Journals (Sweden)

    Nancy Diana Gómez

    2001-06-01

    Full Text Available El propósito de este artículo es examinar la conducta informativa en el proceso de búsqueda y uso de la información de físicos que están en proceso o han concluido recientemente su tesis doctoral. Este estudio se realizó desde el abordaje del sense making centrado en el usuario. Se intenta explicar las situaciones comprendidas dentro del proceso de búsqueda y uso de la información, en términos de elección de fuentes, criterios de juicio de relevancia utilizados, estrategias de organización, y estrategias de presentación de la información, tanto como los sentimientos de los físicos y la definición que dan de la información = The work analizes information seeking behavior of students who are in the process of getting a PhD in Physics or who have recently done so. The analysis was made within the sense making approach which is centered in the user. An attempt is made to explain situations in the seek and use of information in terms of the sources, the criteria used to determine its relevance, organizational strategies as well as information presentation strategies. The study also looks at the physicists feelings during the information seeking process and the way the idea of information evolves in their minds throughout their PhD.

  14. De los estados fallidos

    OpenAIRE

    Ruiz Medrano, Salvador Francisco

    2011-01-01

    Al presente, desde distintas perspectivas, los Estados fallidos parecieran ser una clasificación más de los Estados en general. Este artículo constituye un intento por revisar dicho concepto, que en nuestros días, últimamente, a cobrando nueva relevancia. La tarea se emprende desde el concepto que el derecho internacional da a los Estados fallidos. Luego se analizan las características políticas del mismo, a través del Índice de Política Exterior y Fondo para la Paz de los...

  15. Los mercados financieros

    OpenAIRE

    Franco Bendeck, Henry David; Guzmán Salazar, Laura Steffi

    2017-01-01

    En este documento el lector encontrará una visión general y un punto de partida sobre el funcionamiento de los mercados financieros de dinero y capitales, abordando la teoría en cuanto a la estructura y funcionamiento del sistema de valores intercambiario, además de aspectos como la psicología de sus participantes y la actualidad de algunos de los mercados muy poco desarrollados como el caso de los latinoamericanos. Estos aspectos hacen parte del contexto de inversión en los mercados, e...

  16. Los niños y los videojuegos

    OpenAIRE

    Orrego Gaviria, Jaime; Fundación Valle de Lili

    2007-01-01

    Los niños y los videojuegos / Efectos perjudiciales de la utilización de los videojuegos por los niños y adolescentes/ Efectos benéficos de la de la utilización de los videojuegos por los niños y adolescentes/ Recomendaciones para favorecer el uso adecuado/ Sistema de clasificación de los videojuegos

  17. A Water Balance Study of Four Landfill Cover Designs at Material Disposal Area B in Los Alamos, New Mexico

    Energy Technology Data Exchange (ETDEWEB)

    David D. Breshears; Fairley J. Barnes; John W. Nyhan; Johnny A. Salazar

    1998-09-01

    The goal of disposing of low-level radioactive and hazardous waste in shallow landfills is to reduce risk to human health and the environment by isolating contaminants until they no longer pose an unacceptable hazard. In order to achieve this, the Department of Energy Environmental Restoration Program is comparing the performance of several different surface covers at Material Disposal Area (MDA) B in Los Alamos. Two conventional landfill were compared with an improved cover designed to minimize plant and animal intrusion and to minimize water infiltration into the underlying wastes. The conventional covers varied in depth and both conventional and improved designs had different combinations of vegetation (grass verses shrub) and gravel mulch (no mulch verses mulch). These treatments were applied to each of 12 plots and water balance parameters were measured from March1987 through June 1995. Adding a gravel mulch significantly influenced the plant covered field plots receiving no gravel mulch averaged 21.2% shrub cover, while plots with gravel had a 20% larger percent cover of shrubs. However, the influence of gravel mulch on the grass cover was even larger than the influence on shrub cover, average grass cover on the plots with no gravel was 16.3%, compared with a 42% increase in grass cover due to gravel mulch. These cover relationships are important to reduce runoff on the landfill cover, as shown by a regression model that predicts that as ground cover is increased from 30 to 90%,annual runoff is reduced from 8.8 to 0.98 cm-a nine-fold increase. We also found that decreasing the slope of the landfill cover from 6 to 2% reduced runoff from the landfill cover by 2.7-fold. To minimize the risk of hazardous waste from landfills to humans, runoff and seepage need to be minimized and evapotranspiration maximized on the landfill cover. This has to be accomplished for dry and wet years at MDA B. Seepage consisted of 1.9% and 6.2% of the precipitation in the average and

  18. Fertilizer standards for controlling groundwater nitrate pollution from agriculture: El Salobral-Los Llanos case study, Spain

    Science.gov (United States)

    Peña-Haro, S.; Llopis-Albert, C.; Pulido-Velazquez, M.; Pulido-Velazquez, D.

    2010-10-01

    SummaryAlthough the legislation on groundwater quality targets pollutant concentration, the effects of measures on non-point source pollution control are often evaluated in terms of their emission reduction potential at the source, not on their capacity of reducing the pollutant concentration in groundwater. This paper applies a hydro-economic modelling framework to an aquifer, El Salobral-Los Llanos aquifer (Mancha Oriental, Spain), where nitrate concentrations higher than those allowed by the EU Water Framework Directive and Groundwater Directive are locally found due to the intense fertilizer use in irrigated crops. The approach allows defining the economically optimal allocation of spatially variable fertilizer standards in agricultural basins using a hydro-economic model that links the fertilizer application with groundwater nitrate concentration at different control sites while maximizing net economic benefits. The methodology incorporates results from agronomic simulations, groundwater flow and transport into a management framework that yields the fertilizer allocation that maximizes benefits in agriculture while meeting the environmental standards. The cost of applying fertilizer standards was estimated as the difference between the private net revenues from actual application and the scenarios generated considering the application of the standards. Furthermore, the cost of applying fertilizer standards was compared with the cost of taxing nitrogen fertilizers in order to reduce the fertilizer use to a level that the nitrate concentration in groundwater was below the limit. The results show the required reduction of fertilizer application in the different crop areas depending on its location with regards to the control sites, crop types and soil-plant conditions, groundwater flow and transport processes, time horizon for meeting the standards, and the cost of implementing such a policy (as forgone benefits). According to the results, a high fertilizer price

  19. ON MIND MAPS: PREVIOUS IDEAS TO A RESEARCH PROPOUSAL

    Directory of Open Access Journals (Sweden)

    Javier Flórez Miranda

    2011-05-01

    Full Text Available Después de un diagnóstico poco alentador sobre las competencias lecto-escritoras de los estudiantes, fenómeno al que llama: ";Síndrome del pensamiento inmaduro";, el autor propone el uso de los llamados ";signos-herramienta"; de la teoría socio-cultural de Vigotsky. Con base en sus ideas, acerca de la posibilidad de utilizar vías de rodeo para superar algunas dificultades cognitivas de los estudiantes, propone la herramienta de los mapas mentales, cuya eficacia ha probado, durante su práctica docente.

  20. La proliferación de discursos en los estudios de género The proliferation of discourses in gender studies

    Directory of Open Access Journals (Sweden)

    Susanna Rance

    2007-12-01

    Full Text Available Como docente de Estudios de Género, la autora observó un desfase entre el florecimiento de diversidades sexuales y genéricas, y la persistencia en cursos académicos de esquemas binarios y biologistas. Utilizó el mapeo gráfico para contrastar diferentes enfoques incluyendo las masculinidades, sociología del sexo/género y estudios del Internet. La proliferación de discursos propugnada por Foucault y Butler tiene la potencialidad para subvertir la hegemonía de cualquier corriente -como la historiación feminista o Mujeres en el Desarrollo- como puerta de entrada obligatoria para la materia. Desde un enfoque postmoderno, el método permite abrir el paso desde los Estudios de la Mujer hacia nuevos temas y sujet@s en los Estudios de Género.As teacher of Gender Studies, the author observed a gap between the flourishing of sexual and gender diversity, and the persistence in academic courses of binary, biologically-based models. She graphically mapped different approaches including masculinities, the sociology of sex/gender, and Internet studies. The proliferation of discourses proposed by Foucault and Butler has the potential to subvert the hegemony claimed by any current -such as the history of feminism or Women in Development- as obligatory entry-point to this area of study. From a postmodern perspective, the method opens up the field from Women's Studies to new themes and subjects of Gender Studies.

  1. Short-and long-term effects of discharged OBM cuttings, with and without previous washing, tested in field and laboratory studies on the Dutch continental shelf, 1985-1990

    International Nuclear Information System (INIS)

    De Jong, A.; Zevenboom, W.; Van Het Groenewoud, H.; Daan, R.

    1991-01-01

    This paper reports on a Dutch programme that was carried out to study the distribution of discharged washed and unwashed oil-containing cuttings in the sediment and waterphase and their effects on selected test species in the Dutch part of the North Sea. The distribution of OBM cuttings in sediment around drilling locations was related to the total amount of oil discharged in the watercolumn. Increased oil contents were found over a range of 1000 to 5000 m in residual current direction. Total oil contents remained high at locations where unwashed OBM cuttings were discharged. At one location oil was found in high concentrations up to 6 years after discharge of OBM cuttings, especially due to the persistence of the oil fractions Other peaks and UCM. Washing of OBM cuttings resulted in lower amounts of oil discharged, lower concentrations in the sediment in the vicinity of the platform (up to 100 m), equal concentrations at 250 m but higher concentrations up to at more than 500 m off the platform when compared with unwashed cuttings and the respective amount of oil discharged. However, within one year, degradation of oil seems to have taken place at one of the washed sites at 5000 m. During discharge in the watercolumn, oil was taken up by Mytilus edulis from washed cuttings as well as from unwashed cuttings. Leaching of oil from the sediment into the waterphase was measurable in the field for only a limited period to time, less than a year after discharge. Several sediment-inhabiting species were tested on their response to oil contamination. Four species tested in experimental boxcosm set-ups, Echinocardium cordatum, Amphiura filiformis, Lagis koreni and Nucula turgida responded to elevated contamination levels by increased mortality

  2. Endoscopic Third Ventriculostomy in Previously Shunted Children

    Directory of Open Access Journals (Sweden)

    Eva Brichtova

    2013-01-01

    Full Text Available Endoscopic third ventriculostomy (ETV is a routine and safe procedure for therapy of obstructive hydrocephalus. The aim of our study is to evaluate ETV success rate in therapy of obstructive hydrocephalus in pediatric patients formerly treated by ventriculoperitoneal (V-P shunt implantation. From 2001 till 2011, ETV was performed in 42 patients with former V-P drainage implantation. In all patients, the obstruction in aqueduct or outflow parts of the fourth ventricle was proved by MRI. During the surgery, V-P shunt was clipped and ETV was performed. In case of favourable clinical state and MRI functional stoma, the V-P shunt has been removed 3 months after ETV. These patients with V-P shunt possible removing were evaluated as successful. In our group of 42 patients we were successful in 29 patients (69%. There were two serious complications (4.7%—one patient died 2.5 years and one patient died 1 year after surgery in consequence of delayed ETV failure. ETV is the method of choice in obstructive hydrocephalus even in patients with former V-P shunt implantation. In case of acute or scheduled V-P shunt surgical revision, MRI is feasible, and if ventricular system obstruction is diagnosed, the hydrocephalus may be solved endoscopically.

  3. Ultrasound screening of thyroid nodules in adults with no previous exposed to irradiation comparison between scanning, palpation and fine needle aspiration cytology. A study in Ghaem Hospital, Mashhad, North East of Iran

    International Nuclear Information System (INIS)

    Rahrouh, M.; Namadanian, G.R.; Zakavi, S.R.; Rezaei, H.

    2003-01-01

    There are a great number of studies on the association between childhood radiation exposure and thyroid nodules and cancer. Ultrasound imaging of thyroid nodules is valuable part of diagnostics and identifies abnormalities, because ultrasound can detect nodules as small as 2-3 mm and no radiation is involved , it has gained wide acceptance for the screening of nodular thyroid disease. 500 subjects were selected randomly from medical students in university of medical sciences in Mashhad North East of Iran. Individuals were screened by a health survey , thyroid ultrasounds, 99mTc-pertechnetate scans, palpation and fine needle aspiration obtained as necessary. The ultrasound was performed with a 7.5-MHz transducer in direct contact with the lubricated skin of the extended neck. Each ultrasound exam was read independently by two radiologists and one endocrinologist. Each nodule was characterized as follows: 1) presence; 2) size ; 3) location; ant or post; 4) location; upper pole, midportion of lobe, lower pole, or isthmus; and 5) type; solid, cystic, or mixed. In 500 cases (312 men, 188 women; age range, 18 - 30 years) underwent neck sonography. Normal findings were verified by clinical follow-up and thyroid disease was found in (5%) of subjectes. A total of 25 certain thyroid nodules were detected by the ultrasound examinations. Eighty eight percent nodules were less than 1.0 cm dimension.Among the subjects who had them thyroid nodules,(48%) were cystic , (44%) were hypoechoic lesions and (8 %) were hyperechoic .The abnormality of thyroid echo was solitary in (1,8%) ,multiple in (1,4%) and diffuse in (0,6%) of subjectes. All abnormal findings were verified by fine needle aspiration biopsy and correlated with thyroid scan, and surgery. The results reported here can be compared to several reports on the prevalence of ultrasound detected thyroid nodules in adult populations not exposed to radiation .The major advantage is that ultrasound can find clinically important

  4. Das séries aos ciclos de estudos: o desafio da (descontinuidade De los grados a los ciclos de estudios: el desafío de la (descontinuidad From grades to study cycles: the challenge of the (discontinuity

    Directory of Open Access Journals (Sweden)

    Doralice Aparecida Paranzini Gorni

    2009-12-01

    ón formativa en su cotidiano. Este trabajo ha sido basado en una encuesta cualitativa que propuso la adecuación de la evaluación del alumno a la de la escuela en ciclos de estudios e fue realizado de 2004 a 2006 en cuatro etapas: grupo de estudios realizado con el profesorado del 1º al 4º grados juntamente con el cuadro técnico-pedagógico de dicha escuela; asesoramiento individual al profesorado para trabajarse en la planificación anual y bimestral; elaboración de fichas para el acompañamiento del desempeño de los alumnos; asesoramiento al profesorado cuanto al relleno de las fichas de sus respectivas clases, además de la realización de reuniones mensuales para evaluarse y encaminar las dificultades encontradas, visando la construcción de un instrumento que posibilitara la elaboración de un método de evaluación continuado y reflexivo, integrado a la práctica pedagógica. Se obtuvo un resultado positivo junto a 50% del profesorado. Es necesario resaltar la necesidad de hacer el profesorado efectivo en las escuelas por mediante la elaboración de políticas que combatan el elevado grado rotativo de profesores y que les garanticen condiciones para que ellos se envuelvan en proyectos que contribuyan para la mejoría de la calidad de la práctica pedagógica y para enfrentar las dificultades existentes en el cotidiano de la escuela.During the 1980's, the reorganization of the Brazilian traditional grades of elementary school into cycles began, based on the principle of enlarging the students' learning period and on the idea of continuity. This study aimed to investigate the evaluation practices in a public school organized in cycles, as well as the necessary conditions to implement the formative assessment in their daily lives. A qualitative study held from 2004 to 2006 proposed the adequacy of the students' evaluation. The research was developed in four stages: a study group with the teachers and the technical-pedagogical body was carried out; assistance to

  5. Influence of previous knowledge in Torrance tests of creative thinking

    OpenAIRE

    Aranguren, María; Consejo Nacional de Investigaciones Científicas y Técnicas CONICET

    2015-01-01

    The aim of this work is to analyze the influence of study field, expertise and recreational activities participation in Torrance Tests of Creative Thinking (TTCT, 1974) performance. Several hypotheses were postulated to explore the possible effects of previous knowledge in TTCT verbal and TTCT figural university students’ outcomes. Participants in this study included 418 students from five study fields: Psychology;Philosophy and Literature, Music; Engineering; and Journalism and Advertisin...

  6. Los libros de los moriscos y los eruditos orientales

    Directory of Open Access Journals (Sweden)

    Rodríguez Mediano, Fernando

    2010-12-01

    Full Text Available The aim of this paper is to show how the Orientalist scholarship of Christian Arabs who had come to Spain from the Middle East (via Italy adressed the literature of the Moriscos, to examine how it was understood by such scholars and what they used it for. We show that these scholars, from among whom we have chosen the examples of Marcus Dobelius and Miguel Casiri, could not carry out their Orientalist work using the Arabic manuscripts of the El Escorial library without confronting the Morisco problem in the form of Morisco texts held in several collections confiscated by the Inquisition. The knowledge and activities of these Moriscos served to trace the broad outlines of an intellectual history of the Arabic language in Europe, in which Morisco activity was interppreted in relation to its linguistic and doctrinal variables. This was achieved by means of the construction of a scholarly discipline (Orientalism at a time of religious polemic between the Reformation and the Counter-Reformation, i.e. during the period of the development of religious dissidence and skepticism in early modern Europe.Pretendemos, en este trabajo, mostrar cómo la erudición orientalista de árabes cristianos venidos a España desde Oriente (a través de Italia se aproximó a la literatura de los moriscos, cómo la entendió y para qué la utilizó. Mostramos que estos eruditos, de entre los que elegimos los casos de Marcos Dobelio y Miguel Casiri, no pudieron realizar su trabajo orientalista, que se basa en una fuerte vinculación con los manuscritos árabes de la Biblioteca de El Escorial, sin evitar el problema morisco en forma de su producción escrita aparecida en diversos fondos requisados por la Inquisición. Sus saberes y su actividad sirven para trazar los contornos amplios de una historia intelectual de la lengua árabe en Europa, en la que el hecho morisco es interpretado en función de sus variables lingüsticas y doctrinales, a partir de la constitución de

  7. The job satisfaction of principals of previously disadvantaged schools

    African Journals Online (AJOL)

    The aim of this study was to identify influences on the job satisfaction of previously disadvantaged ..... I am still riding the cloud … I hope it lasts. .... as a way of creating a climate and culture in schools where individuals are willing to explore.

  8. The job satisfaction of principals of previously disadvantaged schools

    African Journals Online (AJOL)

    The aim of this study was to identify influences on the job satisfaction of previously disadvantaged school principals in North-West Province. Evans's theory of job satisfaction, morale and motivation was useful as a conceptual framework. A mixedmethods explanatory research design was important in discovering issues with ...

  9. Abiraterone in metastatic prostate cancer without previous chemotherapy

    NARCIS (Netherlands)

    Ryan, Charles J.; Smith, Matthew R.; de Bono, Johann S.; Molina, Arturo; Logothetis, Christopher J.; de Souza, Paul; Fizazi, Karim; Mainwaring, Paul; Piulats, Josep M.; Ng, Siobhan; Carles, Joan; Mulders, Peter F. A.; Basch, Ethan; Small, Eric J.; Saad, Fred; Schrijvers, Dirk; van Poppel, Hendrik; Mukherjee, Som D.; Suttmann, Henrik; Gerritsen, Winald R.; Flaig, Thomas W.; George, Daniel J.; Yu, Evan Y.; Efstathiou, Eleni; Pantuck, Allan; Winquist, Eric; Higano, Celestia S.; Taplin, Mary-Ellen; Park, Youn; Kheoh, Thian; Griffin, Thomas; Scher, Howard I.; Rathkopf, Dana E.; Boyce, A.; Costello, A.; Davis, I.; Ganju, V.; Horvath, L.; Lynch, R.; Marx, G.; Parnis, F.; Shapiro, J.; Singhal, N.; Slancar, M.; van Hazel, G.; Wong, S.; Yip, D.; Carpentier, P.; Luyten, D.; de Reijke, T.

    2013-01-01

    Abiraterone acetate, an androgen biosynthesis inhibitor, improves overall survival in patients with metastatic castration-resistant prostate cancer after chemotherapy. We evaluated this agent in patients who had not received previous chemotherapy. In this double-blind study, we randomly assigned

  10. Secondary recurrent miscarriage is associated with previous male birth.

    LENUS (Irish Health Repository)

    Ooi, Poh Veh

    2012-01-31

    Secondary recurrent miscarriage (RM) is defined as three or more consecutive pregnancy losses after delivery of a viable infant. Previous reports suggest that a firstborn male child is associated with less favourable subsequent reproductive potential, possibly due to maternal immunisation against male-specific minor histocompatibility antigens. In a retrospective cohort study of 85 cases of secondary RM we aimed to determine if secondary RM was associated with (i) gender of previous child, maternal age, or duration of miscarriage history, and (ii) increased risk of pregnancy complications. Fifty-three women (62.0%; 53\\/85) gave birth to a male child prior to RM compared to 32 (38.0%; 32\\/85) who gave birth to a female child (p=0.002). The majority (91.7%; 78\\/85) had uncomplicated, term deliveries and normal birth weight neonates, with one quarter of the women previously delivered by Caesarean section. All had routine RM investigations and 19.0% (16\\/85) had an abnormal result. Fifty-seven women conceived again and 33.3% (19\\/57) miscarried, but there was no significant difference in failure rates between those with a previous male or female child (13\\/32 vs. 6\\/25, p=0.2). When patients with abnormal results were excluded, or when women with only one previous child were considered, there was still no difference in these rates. A previous male birth may be associated with an increased risk of secondary RM but numbers preclude concluding whether this increases recurrence risk. The suggested association with previous male birth provides a basis for further investigations at a molecular level.

  11. Secondary recurrent miscarriage is associated with previous male birth.

    LENUS (Irish Health Repository)

    Ooi, Poh Veh

    2011-01-01

    Secondary recurrent miscarriage (RM) is defined as three or more consecutive pregnancy losses after delivery of a viable infant. Previous reports suggest that a firstborn male child is associated with less favourable subsequent reproductive potential, possibly due to maternal immunisation against male-specific minor histocompatibility antigens. In a retrospective cohort study of 85 cases of secondary RM we aimed to determine if secondary RM was associated with (i) gender of previous child, maternal age, or duration of miscarriage history, and (ii) increased risk of pregnancy complications. Fifty-three women (62.0%; 53\\/85) gave birth to a male child prior to RM compared to 32 (38.0%; 32\\/85) who gave birth to a female child (p=0.002). The majority (91.7%; 78\\/85) had uncomplicated, term deliveries and normal birth weight neonates, with one quarter of the women previously delivered by Caesarean section. All had routine RM investigations and 19.0% (16\\/85) had an abnormal result. Fifty-seven women conceived again and 33.3% (19\\/57) miscarried, but there was no significant difference in failure rates between those with a previous male or female child (13\\/32 vs. 6\\/25, p=0.2). When patients with abnormal results were excluded, or when women with only one previous child were considered, there was still no difference in these rates. A previous male birth may be associated with an increased risk of secondary RM but numbers preclude concluding whether this increases recurrence risk. The suggested association with previous male birth provides a basis for further investigations at a molecular level.

  12. Los estudios en los seminarios españoles del siglo XIX. El ejemplo de la diócesis compostelana

    Directory of Open Access Journals (Sweden)

    Vázquez Vilanova, José Antonio

    2002-06-01

    Full Text Available Taking the seminar of Santiago as the pattern, firstly I have tried to establish the main guidelines followed for the training of the Spanish seminarists during the 19th century. In order to do so, besides indicating the evolution brought about and the changes formed by the apparition of the seminar on the previous system, other questions have also been tackled, such as the way studies are structured, taught subjects, ideological orientations, or the methodology used. At the same time, the application and improvement level shown by the students has been taken into account both by the exams'results and by the academic years involved and the grades obtained.

    Tomando el Seminario de Santiago como modelo, he tratado primeramente de establecer cuáles fueron las principales pautas seguidas para la formación de los seminaristas españoles durante el siglo XIX. Para ello, además de indicar la evolución que respecto al sistema anterior supuso la aparición del seminario, se han abordado cuestiones referidas a la estructura de los estudios, asignaturas impartidas, orientaciones ideológicas o metodología empleada. Por su parte, el nivel de aplicación y aprovechamiento mostrado por los alumnos ha sido abordado tanto por los resultados de los exámenes como por los años cursados y calificaciones obtenidas.

  13. [Population policy and women: the relevance of previous studies].

    Science.gov (United States)

    De Barbieri, M T

    1983-01-01

    Although Mexico has had high rates of population growth since the 1930s caused by continuing high fertility but declining infant and general mortality, and has undergone deep structural change including declining agricultural production, rapid industrialization, urbanization, and increasing urban umemployment, it was not until the 1970s that the government began to adopt measures aimed at controlling population growth. Opponents of family planning argued that economic and social development would lead to fertility decline, but its proponents believed that reducing population growth would free resources for productive investment that otherwise would have to be used to finance services for the ever-growing population. At the same time that the constitution and laws were changed to allow or promote family planning, Mexican civil and labor laws were changed to provide for equality of men and women. Some background is necessary to understand the effect of such changes in the role and status of the Mexican woman. A relationship has been noted between demographic models--the form in which a society reproduces over a given time--and the social condition of women. Women have generally been subordinated to men during known history, but recent research indicates that their history has not been as uniform as once supposed. The particular form in which each society defines the natural-biological basis of sex roles varies; social definitions of sex and gender vary depending on the extension of "natural-biological" character to specific areas and tasks. The cases of French women in the 16th-18th centuries and German women under Hitler illustrate different ways in which demographic models and the condition of women have varied within a general framework of subordination of women. But when attempts are made to change a given demographic model, the condition of women is redefined at the level of practice as well as of value orientations concerning motherhood, female labor force participation, and the role of women in society. Moreover, the literature concerning fertility decline contains numerous statements by both those opposed to and in favor of birth control, that improving the status of women is 1 of the most effective means of reducing population growth. It can then be asked what changes in the role of women in Mexico will attend application of a fertility reduction policy. The crude birth rate declined from 44.2 in 1970 to 34.4 in 1980, with fertility falling among all age groups but especially among women over 40. The decline occurred primarily among urban nonmanual occupations. More research must be done on recent fertility change in Mexico and on related changes in the role orientations of men and women in different classes and life cycle stages, that have occurred at various stages of the population debate.

  14. Los menos accesibles

    Directory of Open Access Journals (Sweden)

    Lydia Bond

    2015-01-01

    Full Text Available Droga y SIDA están relacionados. La pobreza, la discriminación y el desempleo son factores que condicionan el consumo de drogas. Ergo, los programas de prevención tienen que llegar a los pobres.

  15. Nuclear structure studies using the high resolution spectrometer at the Los Alamos Clinton P. Anderson Meson Physics Facility: Progress report, [1986-1987

    International Nuclear Information System (INIS)

    Hoffmann, G.W.

    1986-12-01

    A major part of the work done this past year was associated with research conducted at the Los Alamos Clinton P. Anderson Meson Physics Facility (LAMPF) using the High Resolution Spectrometer (HRS) and the External Proton Beam (EPB). The research focussed on (1) providing p + nucleus data which test nonrelativistic and relativistic models of the medium energy proton + nucleus interaction, (2) providing (p,p) and (p,n) data which are to be analyzed to provide new nuclear structure information (both ground state and excited state), (3) providing nucleon + nucleon data to aid in the systematic study of the fundamental nucleon-nucleon interaction, (4) developing and improving the pA models themselves, and (5) initiating new experimental programs whose goals are to search for new phenomena in nuclear physics

  16. Tumores de los conductos biliares

    Directory of Open Access Journals (Sweden)

    Santiago Triana Cortés

    1955-02-01

    Los tumores benignos de los conductos biliares son relativamente raros. Christopher, que ha revisado recientemente este asunto, sólo pudo encontrar cuarenta y un casos publicados. Los papilomas parecen los más frecuentes, pero se les encuentra con menor frecuencia en los conductos que en la vesícula. Los adenomas son también tumores benignos de los más frecuentes en los conductos; en general, son múltiples y quísticos, y en algunos casos parecen derivar del epitelio de los conductos.

  17. Estudio in vitro sobre los efectos de la cocaína sobre los tejidos duros del diente In vitro study on the effects of cocaine on the hard tissues of the tooth

    Directory of Open Access Journals (Sweden)

    Eduvigis Solórzano Navarro

    2008-12-01

    Full Text Available El uso de los derivados de la cocaína es un problema de salud pública en continuo crecimiento. Estas drogas son frecuentemente frotadas sobre la mucosa gingival, pero sus efectos son poco conocidos y de difícil diagnóstico. Con este trabajo se pretende demostrar in vitro, que la aplicación por frotación de la cocaína sobre la superficie dentaria produce erosión del esmalte. Se seleccionaron 30 dientes sanos, distribuidos aleatoriamente en 3 grupos, a los cuales se frotó sobre la superficie vestibular clorhidrato de cocaína, basuco y limón (grupo control respectivamente, durante 40 semanas. Las lesiones más características observadas fueron fractura y pérdida de sustancia dura, demostrando así que la aplicación tópica y continua de drogas en cavidad bucal produce lesiones en los tejidos duros del diente.The use of cocaine derivatives is an increasingly growing public health problem. These drugs are frequently rubbed on the gingival mucosa, but their efffects are little known and difficult to be diagnosed. This paper pretends to prove in vitro that the rubbing of cocaine on the dental surface produces enamel erosion. 30 healthy teeth were selected and distributed at random into 3 groups that were rubbed cocaine hydrochloride, bazuko and lemon (control group on the vestibular surface, respectively, during 40 weeks. The most observed characteristic lesions were fracture and loss of the dental hard substance, which showed that the topical and continual application of drugs on the oral cavity causes lesions in the hard tissues of the tooth.

  18. Response to health insurance by previously uninsured rural children.

    Science.gov (United States)

    Tilford, J M; Robbins, J M; Shema, S J; Farmer, F L

    1999-08-01

    To examine the healthcare utilization and costs of previously uninsured rural children. Four years of claims data from a school-based health insurance program located in the Mississippi Delta. All children who were not Medicaid-eligible or were uninsured, were eligible for limited benefits under the program. The 1987 National Medical Expenditure Survey (NMES) was used to compare utilization of services. The study represents a natural experiment in the provision of insurance benefits to a previously uninsured population. Premiums for the claims cost were set with little or no information on expected use of services. Claims from the insurer were used to form a panel data set. Mixed model logistic and linear regressions were estimated to determine the response to insurance for several categories of health services. The use of services increased over time and approached the level of utilization in the NMES. Conditional medical expenditures also increased over time. Actuarial estimates of claims cost greatly exceeded actual claims cost. The provision of a limited medical, dental, and optical benefit package cost approximately $20-$24 per member per month in claims paid. An important uncertainty in providing health insurance to previously uninsured populations is whether a pent-up demand exists for health services. Evidence of a pent-up demand for medical services was not supported in this study of rural school-age children. States considering partnerships with private insurers to implement the State Children's Health Insurance Program could lower premium costs by assembling basic data on previously uninsured children.

  19. Study of the effects of radon in three biological systems; Estudio de los efectos del radon en tres sistemas biologicos

    Energy Technology Data Exchange (ETDEWEB)

    Tavera, L. [Instituto Mexicano del Petroleo, Av. Eje Central Lazaro Cardenas No. 152, Edif. 23, Col. San Mateo Atepehuacan, 07730 Mexico D.F. (Mexico); Balcazar, M.; Lopez, A.; Brena, M. [Instituto Nacional de Investigaciones Nucleares, A.P. 18-1027, 11801 Mexico D.F. (Mexico); Rosa, M.E. De la [Facultad de Quimica, UNAM, 04510 Mexico D.F. (Mexico); Villalobos P, R. [Centro de Estudios de la Atmosfera, UNAM, 04510 Mexico D.F. (Mexico)

    2002-07-01

    The radon and its decay products are responsible of the 3/4 parts of the exposure of the persons to the environmental radiation. The discovery at the end of XIX Century of the illnesses, mainly of cancer, which appeared in the presence of radon, lead to an accelerated growing of the radon studies: monitoring, dosimetry, effects on the persons, etc. Several epidemiological studies of radon in miners and population in general have been realized; advancing in the knowledge about the concentration-lung cancer risk relationship, but with discrepancies in the results depending on the concentration levels. Therefor, studies which consuming time, efforts and money go on doing. The research of the radon effects in biological systems different to human, allows to realize studies in less time, in controlled conditions and generally at lower cost, generating information about the alpha radiation effects in the cellular field. Therefor it was decided to study the response of three biological systems exposed to radon: an unicellular bacteria Escherichia Coli which was exposed directly to alpha particles from an electrodeposited source for determining the sensitivity limit of the chose technique. A plant, Tradescantia, for studying the cytogenetic effect of the system exposed to controlled concentrations of radon. An insect, Drosophila Melanogaster, for studying the genetic effects and the accumulated effects in several generations exposed to radon. In this work the experimental settlements are presented for the expositions of the systems and the biological results commenting the importance of these. (Author)

  20. Seismologic study of Los Humeros geothermal field, Puebla, Mexico. Part II: Seismic tomography by attenuation of coda waves (Qc-1) of local earthquakes; Estudio sismologico del campo geotermico de Los Humeros, Puebla, Mexico. Parte II: Tomografia sismica por atenuacion a partir de ondas de coda (Qc-1) de sismos locales

    Energy Technology Data Exchange (ETDEWEB)

    Antayhua, Yanet; Lermo, Javier [Instituto de Ingenieria, Universidad Nacional Autonoma de Mexico, D.F (Mexico); Carlos, Vargas [Departamento de Geociencias, Universidad Nacional de Colombia (Colombia)]. E-mail: jles@pumas.iingen.unam.mx

    2008-07-15

    In the Los Humeros geothermal field, Puebla, seismic tomography has been studied using the attenuation of coda waves (Qc{sup -1}). Ninety-five local earthquakes (Md{<=}3.6) have been used with depths up to 4.0 km registered in the seismic network stations from December 1997 to December 2004. A simple backscattering model was used, filtered in four ranks of frequencies (2, 4, 6, and 8 Hz) and one window of 5 seconds. For the 3D-representation, we used an approximation based on first-order scattering of ellipsoids. The results show that values of Qc for the used frequencies have a frequency dependency shown in the equation: Qc=24{+-}12f{sup 0.86}{+-}{sup 0.06}, where the low values of Qc were observed in the zone of higher seismic and tectonic activity and in the location of injection and production wells. The high values are located in the periphery of the geothermal field. The distribution of the Qc{sup -1} attenuation in 3D and 2D shows the anomalies of high-seismic attenuation are located in the north, south, and southwestern ends of the zone presently under operation, at depths greater than 2.5 km. [Spanish] Para realizar la tomografia sismica por atenuacion de ondas de coda (Qc{sup -1}) en el campo geotermico de Los Humeros, Puebla, se han utilizado 95 sismos locales (Md{<=}3.6) con profundidades hasta 4.0 km, registrados en las estaciones de su red sismica, durante el periodo de diciembre 1997 a diciembre 2004. Se utilizo el modelo de retrodispersion simple, filtrados en cuatro rangos de frecuencias (2, 4, 6, y 8 Hz) y una ventana de 5 segundos. Para la representacion en 3D, se utilizo una aproximacion basada en elipsoides que representan dispersion de primer orden. Los resultados muestran que los valores de Qc para las frecuencias utilizadas tienen una dependencia con la frecuencia de la forma: Qc=24{+-}12f{sup 0.86}{+-}{sup 0.06}, donde los valores bajos de Qc fueron observados en la zona de mayor actividad sismica y en la ubicacion de pozos inyectores y

  1. Agradecimiento a los revisores

    OpenAIRE

    2015-01-01

    En este primer volumen, correspondiente al año 2015, la calidad de los artículos arbitrados se debe, además de los autores que se animaron y confiaron sus trabajos a nuestra Revista, a la exhaustiva tarea de los evaluadores que, como todos nosotros, hacen su mejor esfuerzo para colaborar en su revisión. En este sentido, deseamos agradecer su labor haciendo público el reconocimiento de su contribución a:Karen Rangel Silva, Instituto Universitario de Tecnología del Estado Bolívar - Venezuela.Lu...

  2. Los quechuismos en Colombia

    Directory of Open Access Journals (Sweden)

    Víctor Sánchez Montenegro

    1962-06-01

    Full Text Available Como una pequeña introducción a este estudio, debo dar algunos datos sobre el descubrimiento del Perú y la historia de los "Trece de la Fama" que se relacionan íntimamente con nuestra Isla del Gallo, en las cercanías de Tumaco, asombroso episodio que, siendo verdadera historia, tiene todos los aspectos de la más extraordinaria leyenda de esa época superior a cualquier relación mítica de los Libros de Caballería.

  3. Convergencia de los medios.

    OpenAIRE

    Salaverría, Ramón

    2003-01-01

    Cuando se estudia la evolución de la convergencia multimedia en los medios de comunicación es frecuente encontrarse con análisis reduccionistas. En muchos de esos análisis tiende a destacarse la tecnología como el único parámetro que promueve los procesos de convergencia y evoluciona con ellos, mientras se olvida o minusvalora otros aspectos. Sin embargo, el proceso actual de convergencia en los medios es mucho más rico en matices. En particular, como trataremos de explicar, en este caso debe...

  4. Product and market study for Los Alamos National Laboratory. Building resources for technology commercialization: The SciBus Analytical, Inc. paradigm

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-02-01

    The study project was undertaken to investigate how entrepreneurial small businesses with technology licenses can develop product and market strategies sufficiently persuasive to attract resources and exploit commercialization opportunities. The study attempts to answer two primary questions: (1) What key business development strategies are likely to make technology transfers successful, and (2) How should the plan best be presented in order to attract resources (e.g., personnel, funding, channels of distribution)? In the opinion of the investigator, Calidex Corporation, if the business strategies later prove to be successful, then the plan model has relevance for any technology licensee attempting to accumulate resources and bridge from technology resident in government laboratories to the commercial marketplace. The study utilized SciBus Analytical, Inc. (SciBus), a Los Alamos National Laboratory CRADA participant, as the paradigm small business technology licensee. The investigator concluded that the optimum value of the study lay in the preparation of an actual business development plan for SciBus that might then have, hopefully, broader relevance and merit for other private sector technology transfer licensees working with various Government agencies.

  5. Challenging previous conceptions of vegetarianism and eating disorders.

    Science.gov (United States)

    Fisak, B; Peterson, R D; Tantleff-Dunn, S; Molnar, J M

    2006-12-01

    The purpose of this study was to replicate and expand upon previous research that has examined the potential association between vegetarianism and disordered eating. Limitations of previous research studies are addressed, including possible low reliability of measures of eating pathology within vegetarian samples, use of only a few dietary restraint measures, and a paucity of research examining potential differences in body image and food choice motives of vegetarians versus nonvegetarians. Two hundred and fifty-six college students completed a number of measures of eating pathology and body image, and a food choice motives questionnaire. Interestingly, no significant differences were found between vegetarians and nonvegetarians in measures of eating pathology or body image. However, significant differences in food choice motives were found. Implications for both researchers and clinicians are discussed.

  6. Cygnus experiment at Los Alamos

    International Nuclear Information System (INIS)

    Dingus, B.L.; Goodman, J.A.; Gupta, S.K.

    1986-01-01

    The Cygnus experiment at Los Alamos National Laboratory has been designed to study, with high angular accuracy, point sources of gamma rays of energy above 10 14 eV. The experimental detector consists of an air shower array to observe gamma-ray showers and a shielded, large-area track detector to study the muon content of the showers. In this paper we present preliminary data from the array and describe its performance. 9 refs., 3 figs

  7. Historia de los Medicamentos

    Directory of Open Access Journals (Sweden)

    Alfredo Jácome Roca

    2003-10-01

    Full Text Available

    Cómo evolucionaron los medicamentos

    La historia de los medicamentos hace parte del devenir del hombre y de la historia de la medicina.

    Desde siempre, el ser humano buscó una explicación a los fenómenos y una solución a sus males. El pensamiento mágico, más acentuado en las tribus y en las más antiguas civilizaciones, hizo importante el poder de los conjuros y la influencia de los dioses sobre las pócimas.

    Con algunas excepciones, hasta que Paracelso introdujo en terapéutica las sustancias inorgánicas, los medicamentos eran hierbas. Gobernantes estudiosos del tema (el Emperador Rojo -padre de la Herbología china- y Mitrìdates VI -inventor y consumidor consuetudinario de la famosa teriaca- vivieron obsesionados con el temor al envenenamiento. Tanto que el último, septuagenario y derrotado por sus antiguos aliados romanos, trató de envenenarse para acabar con su vida, mas no fue posible pues estaba inmunizado contra los tóxicos; tuvo que rogarle a un esclavo que atravesara su pecho con la espada. Dioscórides y Plinio el Viejo eran eruditos conocedores de la botánica; el primero escribió la “Materia Médica”, el segundo, la “Historia Natural”.

    La aparición de la medicina como oficio, en casos como los de Hipócrates y Galeno, estuvo rodeada de prestigio; pero en los más fue tarea de esclavos, labor de sirvientes. Estos colegas de la antigüedad aprendieron a manejar sus propios medicamentos, preparados en algunas trastiendas o “boticas”. Los farmacéuticos se iniciaron como simples dispensadores y tuvieron auge entre los árabes, civilización donde aparecieron también los primeros recetarios, listados de medicinas o primitivas farmacopeas. Pero siempre las mismas hierbas con los mismos hierbateros, para llamar de alguna manera a los empíricos que ejercían artesanalmente la medicina.

    Refiriéndose a las curas de su médico tratante, Adriano –considerado por aquel

  8. de los estudiantes universitarios

    Directory of Open Access Journals (Sweden)

    Berta Marlén Velásquez B.

    2005-01-01

    Full Text Available En el artículo que se presenta a continuación, las autoras abordan estrategias metodológicas desde una perspectiva neurocientífica para el logro del aprendizaje significativo a partir del análisis de los rasgos distintivos de los estudiantes universitarios, y en concordancia con las investigaciones adelantadas al respecto. Las estrategias en mención, tienen en cuenta los niveles de desarrollo psicoafectivo, cognitivo, lingüístico y social del estudiante, así como el contexto en que evoluciona y se forma; se contempla, además, algunos principios basados en los fundamentos de la teoría del cerebro total, articulados con dichas estrategias que debe tener presentes el docente, como mediador y guía para apoyar al estudiante en la búsqueda y construcción del conocimiento.

  9. Los beneficios del TLC

    Directory of Open Access Journals (Sweden)

    Martín Uribe Arbeláez

    2007-11-01

    Full Text Available El TLC usa-Colombia aumenta la protección de la propiedad intelectual por encima de la normatividad internacional plasmada en los Acuerdos adpic de la omc y en la Decisión 486 de 2000, de la Comunidad Andina de Naciones. Intensifica la llamada “apertura económica” consagrando un modelo exportador. El propósito de este ensayo es analizar lo que representa para el desarrollo económico y social, con énfasis en los dramáticos cambios que se introducen en el Régimen Común de Propiedad Industrial. El saqueo de la biodiversidad, “patentes a plantas o animales”, los enormes costos para la salud pública, la competitividad basada en las maquilas y la pauperización social, contradicen los sofismas que parecen evocar el realismo mágico como explicación de nuestra historia.

  10. Los estilos de gerencia

    Directory of Open Access Journals (Sweden)

    Jorge Noriega Santos

    1990-04-01

    Full Text Available RESUMEN Es fundamental para cada persona saber cómo  se puede manejar una organización y los resultados que puede obtener de su gestión. Existen diversas formas o estilos de gerencia que podemos utilizar para  el logro de los objetivos. En este artículo basado en la teoría de Robert  Blake y Jane Mounton conocida con el  nombre de “Malla Gerencial “se trata de exponer los diversos  estilos de gerencia  y los efectos que cada uno de ellos producen en nuestras empresas o instituciones

  11. Los pactos parasociales

    Directory of Open Access Journals (Sweden)

    Lina Henao

    2013-12-01

    Full Text Available Los pactos parasociales son acuerdos celebrados al margen de la regulación societaria, entre los socios, entre estos y la sociedad, o con terceros, que constituyen una herramienta de uso frecuente en el desarrollo de las relaciones corporativas pese a la ausencia de una regulación legal integral, y que tienen por finalidad regular extremos no recogidos estatutariamente. Su validez, eficacia e incumplimiento estarán determinados en mayor medida por las normas de derecho civil y en menor proporción por el orden jurídico societario. El artículo desarrolla una presentación de la noción, notas características, naturaleza jurídica y las vicisitudes que subyacen en esta materia a la luz de los principales ordenamientos jurídicos de los sistemas de Civil Law y de Common Law.

  12. Los medios votan

    Directory of Open Access Journals (Sweden)

    Revista Chasqui

    2015-01-01

    Full Text Available Las experiencias electorales de Argentina, Ecuador, México y Venezuela, sugieren que la industria electoral, ya prendió sus hornos en la América Latina. Se advierte una nueva modalidad en el lanzamiento de los candidatos presidenciales muy similar a las utilizadas en los Estados Unidos. Es más, en el caso de Venezuela, los jefes de campaña, los llamados "brujos electorales", fueron norteamericanos. Y la televisión fue la niña bonita. CHASQU I presenta aqu í Un breve análisis, con nombre y apellido, de lo que pasó y está pasando en esos cuatro países.

  13. Los factores de riesgo

    Directory of Open Access Journals (Sweden)

    Justo Senado Dumoy

    1999-01-01

    Full Text Available Sobre el fundamento filosófico de los conceptos de la Dialéctica Materialista, se presenta un análisis en relación con el concepto e interpretación de los Factores de Riesgo.A analysis on the concept and interpretation of risk factors is presented based on the philosophical foundation of the concepts of materialist dialectics.

  14. Study of management ``in clean points`` in Cataluna (Spain); Estudio de la gestion actual de los puntos limpios en Cataluna

    Energy Technology Data Exchange (ETDEWEB)

    Cucurull Descarrega, D. [Universitat Politecnica de Catalunya. Barcelona (Spain); Rieradevall Pons, J. [Universitat Autonoma de Barcelona. Barcelona (Spain)

    1998-12-31

    The aim of this article is a general view of ``Puntos Limpios`` functioning in Cataluna. Nowadays every city must have one, and it is necessary to know how the law is being applied at the moment, and how could it be developed in future. On the other hand this study offers the possibility of evaluate their management and some ways to improve their use. It will be evaluated which is the last treatment of the waste, the destination of the waste, and the recycling of the plant. (Author) 3 refs.

  15. de los movimientos sociales

    Directory of Open Access Journals (Sweden)

    Juliana Flórez-Flórez

    2005-01-01

    Full Text Available Desde el giro de los ochenta hasta hoy, los análisis de la acción colectiva tienden a concluir que la lucha de los movimientos latinoamericanos se halla anclada a la ilustración. Sea porque reivindican necesidades básicas, porque su principal interlocutor es el Estado, porque su contexto de lucha es atrasado o porque están atadas a localismos. En cualquiera de estos casos, se entiende que esos actores difícilmente pueden cuestionar los límites de la modernidad globalizada. En este artículo planteamos que tales conclusiones asumen un pensamiento dicotómico que diferencia y jerarquiza las dinámicas sociales según su mayor o menor distanciamiento de la tradición; una operación ilustrada que, paradójicamente, las teorías de movimientos deben a las perspectivas críticas de la ilustración; más específicamente, a su noción eurocéntrica de la modernidad. A partir de la revisión que de ese concepto ofrecen las posturas postcoloniales, concretamente el Programa de Investigación Modernidad/Colonialidad, dejamos sentadas algunas claves interpretativas que cambiarían los términos del debate sobre el escaso potencial de los movimientos latinoamericanos como actores críticos de la modernidad.

  16. Coccidiosis en los animales

    Directory of Open Access Journals (Sweden)

    Manuel Sánchez Herrera

    1937-05-01

    Full Text Available Los trabajos llevados a cabo por mí sobre coccidiosis en el Departamento de Anatomía Comparada de la Escuela de Medicina de Harvard, me dan tema para llenar el requisito reglamentario en el concurso extraordinario para Profesores Agregados en el presente año.' Las experiencias fueron hechas en 1931 bajo la direccién del Profesor de Anatomía Comparada, Dr. Ernest Edward Tyzzer, y se emplearon más o menos 150 pollos de 6 a 73 días de edad. La historia clínica de cada pollo comprendía su edad, su número, fecha de la comida infectante, fecha de la muerte o del comienzo de la convalecencia y porcentaje de mortalidad. A esto había que agregar el resultado de los exámenes microscópicos y si el animal hahía sido sacrificado o había muerto a consecuencia de la infección. Teniendo en cuenta que los coccidios son protozoarios de la clasede los esporozoarios, he creído conveniente dividir este estudio en cuatro partes: Protozoarios en general. Clase de los Esporozoaríos, Orden de los coccidios. Conclusiones

  17. Site selection and evaluation studies of the Waste Isolation Pilot Plant (WIPP), Los Medanos, Eddy County, NM

    International Nuclear Information System (INIS)

    Griswold, G.B.

    1977-12-01

    Bedded-salt deposits of the Salado Formation have been selected for evaluation for a proposed Waste Isolation Pilot Plant (WIPP) to be located in Eddy County, NM, approximately 26 mi east of Carlsbad. Site selection and evaluation studies that included geologic mapping, geophysical surveys, drilling, and resource appraisal were conducted over and under the prospective location. The lower portion of the Salado meets essential criteria for waste isolation. Beds chosen for waste storage lie 2074 to 2730 ft below the surface. High-purity salt exists at these depths, and the geologic structure revealed by geophysical surveys indicates that these beds are essentially flat. Additional geophysical surveys are now under way. The initial interpretation of the new data indicates that more structure may exist in the salt beds in the northern portion of the site area. Full evaluation of potentially commercial deposits of potash and natural gas within the WIPP site will be reported by separate studies, as will be the hydrologic details of the region

  18. La Enseñanza y el Aprendizaje de los Números Complejos: un Estudio en el Nivel Universitario (Teaching and Learning of Complex Numbers: A Study at University Level

    Directory of Open Access Journals (Sweden)

    Tomás Pardo

    2007-09-01

    Full Text Available Presentamos algunos de los resultados más relevantes de un estudio sobre la problemática de la enseñanza y el aprendizaje de los números complejos. El estudio se ha dirigido a recabar información para sustentar sugerencias de intervención en las pautas educativas en relación con esta temática. We present some of the most relevant results of a study concerning the teaching and learning of complex numbers. The study is focused on collecting data to support suggestions for teaching interventions related to this content.

  19. Field studies of erosion-control technologies for arid shallow land-burial sites at Los Alamos

    International Nuclear Information System (INIS)

    Nyhan, J.W.; Abeele, W.V.; DePoorter, G.L.; Hakonson, T.E.; Perkins, B.A.; Foster, G.R.

    1983-01-01

    The field research program involving corrective measures technologies for arid shallow land-burial sites is described. Research performed for a portion of this task, the identification, evaluation, and modeling of erosion control technologies, is presented in detail. In a joint study with USDA-ARS, soil erosion and infiltration of water into a simulated trench cap with various surface treatments was measured and compared with data from undisturbed soil surfaces with natural plant cover. The distribution of soil particles in the runoff was measured for inclusion in CREAMS (a field scale model for Chemicals, Runoff and Erosion from Agricultural Management Systems). Neutron moisture gauge data collected beneath the erosion plots are presented to show the seasonal effects of the erosion control technologies on the subsurface component of water balance. 12 references, 4 figures, 4 tables

  20. Radiation: Rational use of diagnostic imaging studies in pediatrics; Radiaciones: uso racional de los estudios de diagnósticos por imágenes en pediatría

    Energy Technology Data Exchange (ETDEWEB)

    Gentile, Fernando [Hospital Ricardo Gutierrez, Buenos Aires (Argentina)

    2008-07-01

    The objectives of this paper are to recognize the biological effects of radiation; explain the action of ionizing radiation on the cell; list the main sources of ionizing radiation; to indicate imaging studies considering the danger of radiation; select the method of imaging saving radiation; rational use of imaging studies without repeating exams. [Spanish] Los objetivos de este documento son: reconocer los efectos biológicos de las radiaciones; explicar la acción de las radiaciones ionizantes sobre la célula; enumerar las principales fuentes de radiaciones ionizantes; indicar estudios por imágenes teniendo en cuenta el peligro de las radiaciones; seleccionar el método de estudio por imágenes que ahorra radiación; hacer un uso racional de los estudios por imágenes evitando repetir exámenes.

  1. Interactive analysis and evaluation of ERTS data for regional planning and urban development: A Los Angeles Basin case study

    Science.gov (United States)

    Raje, S.; Economy, R.; Willoughby, G.; Mcknight, J.

    1974-01-01

    The progression endemic to the ERTS Data Use Experiment SR 124 in data quality, analysis sophistication and applications responsiveness is reviewed. The roles of the variety of ERTS products, including the supporting underflight aircraft imagery at various scales, are discussed in the context of this investigation. The versatility of interpretation techniques and outputs developed and implemented via the General Electric Multispectral Information Extraction Systems is described and exemplified by both system-expository and applications-explanatory products. The wide-ranging and in-depth applications studied in the course of this experiment can be characterized as community-oriented and agency-directed. In the former, generic category, which is primarily data-contextual, problems analyzed dealt with agricultural systems, surface water bodies, snow cover, brush fire burns, forestry, grass growth, parks - golf courses - cemeteries, dust storms, grading sites, geological features and coastal water structure. The ERTS MSS band selectivity and measurements thresholds were of primary interest here. The agency-directed application areas have been user-evaluational in nature. Beginning with overall urbanized regional analysis of land cover density-development intensity, residential areas were analyzed for ascertaining if housing types could be aggregated with any degree of reliability.

  2. DOE Los Alamos National Laboratory – PV Feasibility Assessment, 2015 Update, NREL Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Dean, Jesse [National Renewable Energy Lab. (NREL), Golden, CO (United States); Witt, Monica Rene [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-04-06

    This report summarizes solar and wind potential for Los Alamos National Laboratory (LANL). This report is part of the “Los Alamos National Laboratory and Los Alamos County Renewable Generation” study.

  3. ¿Qué Efecto Tiene Asistir a Sala Cuna y Jardín Infantil Desde los Tres Meses Hasta los Cuatro Años de Edad?: Estudio Longitudinal en la Junta Nacional de Jardines Infantiles What Is the Effect of Attending Nursery School Between Three Months and Four Years of Age?: A Longitudinal Study in the National Preschool Association

    Directory of Open Access Journals (Sweden)

    Ximena Seguel

    2012-11-01

    Full Text Available Este estudio longitudinal cuasi-experimental con grupo de comparación examinó el efecto de asistir desde 1 a 4 años de edad a jardines de la Junta Nacional de Jardines Infantiles (JUNJI de Chile sobre el desarrollo/aprendizaje de los párvulos y el efecto diferencial de asistir a partir de los 3 años. El muestreo fue bietápico (41 jardines y 427 niños al inicio y estratificado por región del país. El grupo de comparación, con características socioeconómicas similares (184 niños al inicio, no asistía a sala cuna. Los niños fueron evaluados anualmente con el Inventario de Desarrollo Battelle. También se recogieron variables familiares y educativas con entrevistas semi-estructuradas y pautas de observación. Comparaciones usando Propensity Score Matching y análisis de Mínimos Cuadrados Ordinarios arrojaron que alrededor del 80% de los niños cursa un desarrollo normal, independientemente de que asistan a los jardines infantiles JUNJI o permanezcan en sus casas. Asistir desde los 3 años tendría un efecto positivo en el desarrollo infantil. La calidad de las prácticas pedagógicas en lactantes y la actitud didáctica familiar explicarían mayormente el desarrollo de los párvulos.This quasi-experimental longitudinal study with comparison group examined the effect on the learning and developmental levels of infants attending the National Preschool Association (JUNJI nursery schools in Chile (between 3 months and 4 years of age and the differential effect of attending them from 3 years of age onward. A two-stage (41 nurseries and 427 children at the beginning and stratified sample by region was used. The comparison group, with similar socioeconomic characteristics (184 children at the beginning, did not attend a nursery school. Children were assessed yearly with the Battelle Developmental Inventory. Family and educational variables were collected using semi-structured interviews and an observational guideline. Comparisons using

  4. Motivaciones para el acceso a los estudios de comunicación en relación a los hábitos de consumo y las referencias mediáticas / Reasons for access to communication studies regarding the consumer habits and media references

    Directory of Open Access Journals (Sweden)

    María José PÉREZ-SERRANO

    2013-12-01

    Full Text Available Los objetivos de este trabajo, que constituye uno de los últimos resultados de la investigación desarrollada a partir de la Summer Media School de la Fundación FIDES y la UFV (Universidad Francisco de Vitoria, son: conocer mejor el perfil de acceso de los estudiantes de los Grados en Comunicación en la Universidades de la Comunidad de Madrid (Periodismo, Comunicación Audiovisual o Publicidad y Relaciones Públicas y determinar cuál es su motivación a la hora de iniciarlos, sobre todo, teniendo en cuenta el momento clave de crisis que vive el sector. Además, se trata de averiguar cuál es su relación con los medios de comunicación; establecer dónde encuentran sus referentes profesionales y averiguar cómo es su consumo y su competencia mediática actual como parte de la audiencia de los medios y como futuros comunicadores que ayudarán a formar un colectivo social más crítico y participativo. La metodología se ha basado en la utilización de un cuestionario cuya evolución ha ido de las 34 preguntas iniciales en 2010, a las 46 de 2013, con multirespuesta, sobre una muestra sólida de los estudiantes que se matricularán en la Comunidad de Madrid en algún Grado en Comunicación. The goals of this paper, which is one of the last results of research developed from the Summer Media School of FIDES Foundation and UFV (Francisco de Vitoria University, are: included better knowledge of the access profile of student on Bachelor’s Degree in Communication at the Universities of Madrid (Journalism, Audiovisual Communication and Advertising and Public Relations and determine their motivation when they start their studies, especially taking into account the key moment of crisis in the sector. Also, the research try to figure out their relationship with the media, establish where are their professional models and find out how is their consumption and their media competence as part of the media audience and as future communicators that will

  5. Relación entre actitudes y acciones de aprendizaje de los estudiantes universitarios || Connection between attitudes towards studies and learning actions among university students

    Directory of Open Access Journals (Sweden)

    Marina Elias

    2014-07-01

    Full Text Available En este artículo se presentan los resultados de una investigación que tiene como objetivo analizar los factores que influyen en el aprendizaje de los estudiantes universitarios. En el marco del proceso de Bolonia y los cambios docentes que éste ha comportado se quiere constatar si realmente el paradigma de enseñanza/aprendizaje centrado en el estudiante ha implicado un aumento del aprendizaje profundo. A partir de un cuestionario contestado por 857 estudiantes de 10 titulaciones de 4 universidades públicas de la Región Metropolitana de Barcelona, se analiza la relación entre motivación de elección de estudios, concepciones de aprendizaje y acciones de aprendizaje, y como estas últimas pueden estar condicionadas por el contexto educativo de las asignaturas. Se concluye que las acciones de aprendizaje están influidas tanto por el contexto como por la orientación profesional de los estudios. Así, los estudiantes llevan a cabo acciones más profundas en las asignaturas caracterizadas por la metodología impulsada con Bolonia, aunque es más beneficioso para un tipo de actitudes hacia el estudio que para otras.

  6. Interpretative approaches for the Levantine rock art according to the study of Arquero de los Callejones Cerrados shelter (Albarracín, Teruel

    Directory of Open Access Journals (Sweden)

    Manuel BEA

    2016-07-01

    Full Text Available The study on the rock art shelter of Arquero de los Callejones Cerrados, in the mountain range of Albarracín, is presented. We combined different methods on its documentation, attending to photography, geometric techniques, image digital enhancement and digital tracings. According to the analysis of the naturalistic decorated panels, depicted in red and white colour, it has been documented a wide group of animal species, some of them forming symbolic scenes together with human figures. The main focus of the study was to establish a better knowledge of the rock art on a regional scale. The analysis carried out allows us to point out a close relationship between female motifs and a feasible mating scene between two bovines, which invite to make new theoretical and interpretative evaluations. So it is possible to note a scene with already tamed animals and also to highlight the symbolic value of a fertility scene, with all those chrono-cultural implications it has out of those traditionally used for the so-called Levantine rock art. In this hand, we also set out the necessity to address a general redefinition of the Levantine rock art concept.

  7. Estudio comparativo de los procesos de socialización alimentaria de adolescentes diagnosticados y no diagnosticados de trastornos alimentarios (Comparative study of food socialization processes of teenagers diagnosed / not diagnosed with eating disorders

    Directory of Open Access Journals (Sweden)

    Eva Zafra Aparici

    2015-05-01

    Full Text Available Resumen: En este artículo se exponen los resultados de un estudio cualitativo y cuantitativo en el que se comparan los procesos de socialización alimentaria de adolescentes diagnosticados de algún Trastornos del Comportamiento Alimentario (TCA con otros no diagnosticados. Se analizan los elementos en común y divergencia entre sus respectivas experiencias de aprendizaje alimentario, lo cual nos ha permitido conocer y profundizar en las causas socioculturales de los TCA; causas que, indiscutiblemente, van ligadas a los sentidos y significados que adquiere la alimentación en nuestro contexto actual y cotidiano.Abstract: In this paper are exposed the results of a qualitative and quantitative study that compare the food socialization processes of boys and girls diagnosed of some eating disorder with others not diagnosed. We have analyzed the common elements and divergence between food learning experiences. This analysis has allowed us to know and deepen in the sociocultural causes of these problems, indisputably linked to the senses and meanings that food acquires in our current context.

  8. Validación de los componentes del síndrome metabólico autodeclarados en un estudio de cohortes Validity of self-reported metabolic syndrome components in a cohort study

    Directory of Open Access Journals (Sweden)

    Alejandro Fernández-Montero

    2011-08-01

    Full Text Available Objetivos: Valorar la validez de los datos autodeclarados sobre los criterios de síndrome metabólico, en la cohorte SUN (Seguimiento Universidad de Navarra. Métodos: El proyecto SUN es una cohorte abierta multidisciplinaria formada por más de 20.000 graduados universitarios seguidos mediante cuestionarios enviados por correo cada 2 años. En una muestra de 287 participantes de la cohorte se valoró el acuerdo entre sus datos autodeclarados para el perímetro de la cintura, la presión arterial, los triglicéridos, el colesterol HDL y la glucemia, con los datos obtenidos por análisis de muestras biológicas o medidos por personal médico especializado. Para cada variable se calcularon coeficientes de correlación intraclase (CCI con intervalos de confianza del 95% (IC95%, el error relativo medio y el porcentaje de valores dentro de los límites de acuerdo al 95% según el método de Altman y Bland. Resultados: Se encontraron correlaciones intraclase altas para los valores del perímetro de la cintura (CCI=0,86, IC95%: 0,80-0,90 y la trigliceridemia (CCI=0,71, IC95%: 0,61-0,79. Se halló una consistencia moderada (CCI entre 0,46 y 0,63 para el resto de los factores que se usan como criterios para definir el síndrome metabólico. Los errores relativos medios nunca superaron el 2,5%, y el porcentaje de valores dentro de los límites de acuerdo superó en todos los casos el 91%. Conclusiones: Los resultados obtenidos sugieren que los valores autodeclarados sobre los criterios del síndrome metabólico obtenidos en la cohorte SUN poseen una validez moderada y pueden tenerse en cuenta, aunque con ciertas precauciones, en estudios epidemiológicos.Objectives: To assess the accuracy of self-reported data needed to constitute the metabolic syndrome in the University of Navarra Follow-Up [Seguimiento Universidad de Navarra (SUN] cohort. Methods: The SUN project is a multi-purpose prospective cohort, formed by more than 20,000 university graduates

  9. Derecho a la consulta y participación de los pueblos indígenas, la experiencia constitucional en los casos de México y Chile

    OpenAIRE

    Rea Granados, Sergio Alejandro

    2015-01-01

    En este artículo se analiza la importancia y los retos de la constitucionalización de los derechos a la consulta previa y la participación de los pueblos indígenas en los casos de México y Chile. This article analyses the importance and challenges of rights to previous consultation and participation of indigenous peoples in the Constitution of Mexico and Chile.

  10. El liderazgo femenino en los cargos directivos: un estudio longitudinal en la Universidad de Granada (1990-2005 Women leading managerial positions: a longitudinal study at Universidad de Granada (1990-2005

    Directory of Open Access Journals (Sweden)

    Manuel Lorenzo Delgado

    2007-12-01

    Full Text Available La presencia de la mujer en los cargos directivos sigue siendo hoy uno de los grandes retos para este colectivo. En este artículo se pretende mostrar esa realidad, a través de un estudio descriptivo realizado en la Universidad de Granada, sobre el número de hombres y mujeres que desempeñan los cargos de más alta representación institucional, como pueden ser el de Decano/a, Secretario/a o, para el caso de los departamentos, el de Director/ a y el de Secretario/a, a través de la revisión de las memorias universitarias de cada curso académico, desde 1990 hasta el 2005. El estudio abarca, por una parte, una perspectiva diacrónica, entendida como la evolución seguida en los distintos centros o facultades de la Universidad de Granada, de la presencia femenina en los cargos directivos de los últimos quince años. Por otra, partiendo de una visión sincrónica, trata de centrarse de un modo más específico en analizar, con una mayor profundidad y precisión, la posición de la mujer en los cargos directivos de los diversos departamentos que integran la Facultad de Ciencias de Educación.The presence of women at managerial positions continues being one of the biggest challenges for this group. In this article we intend to show that situation, through a descriptive research made at Universidad de Granada , Spain , with a group of men and women who have high institutional positions as Deans, First Secretaries, or Directors. We did this work by reviewing each students group's memories at the University, from 1990 until 2005. This study includes, on one hand, a diachronical perspective, understood as the evolution of all departments and faculties at Universidad de Granada with female presence in managerial positions during the last fifteen years. On the other hand, from a synchronic perspective, this research intends to focus specifically on women's situation in managerial positions at the various Departments that compose the Faculty of

  11. Machismo en los medios

    Directory of Open Access Journals (Sweden)

    Rosa María Alfaro

    2015-01-01

    Full Text Available En "Auge y caída de los vÍdeo juegos" el autor señala que las tecnologías digitales cambian aceleradamente. Cada cambio impacta en el entorno de la sociedad y la cultura ¿Cómo adaptarse a estos retos? ¿Cómo controlarlos? se responde en el artículo. Otro artículo hace alusión a la conmemoración de los 10 años de la Declaración del Nuevo Orden Internacional de la Información y Comunicación - NOIIC-. Radio boletín informativo para niños cita las recomendaciones dadas en el Seminario realizado por el CIESPAL, la O E A , Radio Nederland y la Fundación Friedrich E. y confirma la necesidad de que si se va a comunicar a los niños, es necesario capacitarse. Se analiza el decálogo del comunicador infantil, enfatizando en que los niños valen y exigen. "Avances psicológicos de la publicidad" es un resumen del libro de William Meyers "Los creadores de imagen" trata básicamente del poder de persuasión de Madison Avenue en sus campañas publicitarias y explica la cultura consumista en Estados Unidos, luego de la segunda guerra Mundial.

  12. Quistes de los maxilares

    Directory of Open Access Journals (Sweden)

    Ivan Alberto Manotas Arevalo

    2013-12-01

    Full Text Available Los Grandes Quistes de los Maxilares han estado vinculados siempre a la humanidad, desde tiempos remotos, pues han sido halladas en restos de especimenes fosiles, han llamado la atencion de los clínicos, en torno a su etiologia, en la que se ha introducido la participacion de la genetica, (demostrada en el desarrollo de los queratoquistes maxilares, la fisiopatologia, caracteristicas histologicas (inmunohistoquimica, posibilidades diagnosticas por la imagen, (como la tomografia computarizada y la resonancia nuclear magnetica y otras pruebas. Además llaman la atención al estudio, por sus alternativas de manejo especialmente las formas radicales, y el analisis de asociaciones a otras patolo-gias benignas y malignas, y de la recurrencia muy alto de algunas de estas lesiones. Mucho se ha desarrollado para elucidar su naturaleza real, estadificar adecuadamente la lesion descartando asocia-ciones patologicas sindromicas, indicar un tratamiento apropiado, y realizar seguimientos a largo plazo. Este articulo pretende recaudar una information general que de parametros para abordar el estudio de los quistes maxilares a partir de la presentacion de un caso clinico.

  13. Nota a los lectores

    Directory of Open Access Journals (Sweden)

    Blasco Fernando Checa Montúfar

    2015-01-01

    Full Text Available Tres temas de fondo hacen esta publicación: Periodismo y democracia, Legislación de medios en América Latina y Comunicación con extraterrestres. En el primer caso con variedad de enfoques busca contribuir a crear responsabilidad en el periodismo como servicio y bien público, de los medios como espacios de diálogo social sobre los cuales se edifique la democracia. Se presentan algunas ponencias del Encuentro del G-8, realizado en Caracas en Noviembre de 1996 Seminario "Legislación de Medios en América Latina", especialmente el de radiodifusión y la necesidad de democratizar el espectro más otros artículos relacionados con el tema. En cuanto a las inquietudes de cómo establecer o responder a la comunicación si llegaran o se contactaran los extraterrestres, los integrantes del Comité S.E.T.I. (Search Extraterrestrial Intelligence vienen analizando en varios foros internacionales tres de los cuales se realizaron en Capri, Toronto y Beijing.

  14. THE ROLE OF HISTORICAL DIMENSION IN PROFESSIONAL FORMATION IN SOCIOCULTURAL STUDIES / EL PAPEL DE LA DIMENSIÓN HISTÓRICA EN EL PROCESO FORMATIVO DEL PROFESIONAL DE LOS ESTUDIOS SOCIOCULTURALES

    Directory of Open Access Journals (Sweden)

    Marcos Antonio Grave de Peralta Ruiz

    2012-07-01

    Full Text Available The present paper deals with the role of history in professional formation in sociocultural studies. It characterizes its multidisciplinary structure and its concretion in the Pedagogical Model of the Bachelor's Degree in Sociocultural Studies. It points out the background of this profession in Europe at the middle of the XX century. The results obtained by graduate student in five of first graduations in the Universidad Las Tunas are showed. It has partial conclusions of the pedagogic investigation that explains a didactic conception about the paper of the historic in the student's development, preparation, which favors the fulfillment of general objectives and the professional behavior.RESUMENEl presente trabajo aborda el papel de la dimensión histórica en el proceso formativo del profesional de los estudios socioculturales. Se caracteriza su estructuración multidisciplinaria y su concreción en el Modelo Pedagógico de la Licenciatura en Estudios Socioculturales. Destaca los antecedentes de esta nueva profesión en la Europa de mediados del siglo XX. Se exponen los resultados alcanzados por los egresados de las cinco primeras graduaciones de la Universidad de Las Tunas. Contiene las conclusiones parciales de una investigación pedagógica que fundamenta una concepción didáctica acerca del papel de lo histórico en la preparación del estudiante, la cual contribuye al cumplimiento de los objetivos generales y los modos de actuación del profesional.

  15. The influence of previous low back trouble, general health, and working conditions on future sick-listing because of low back trouble. A 15-year follow-up study of risk indicators for self-reported sick-listing caused by low back trouble.

    Science.gov (United States)

    Müller, C F; Monrad, T; Biering-Sørensen, F; Darre, E; Deis, A; Kryger, P

    1999-08-01

    A 15-year follow-up study. To find risk indicators for self-reported sick-listing because of low back trouble and to evaluate which variables were the most important indicators of work incapacity resulting from low back trouble during the follow-up period of 15 years. The initial data were obtained from a health survey conducted in a general population from the Municipality of Glostrup, Denmark. The follow-up data included information from the Central Person Register, the Early Retirement Pension Register, and a postal questionnaire regarding self-reported sick-listing because of low back trouble. An epidemiologic study, in which logistic regression analyses were used for evaluation of the data. The model used consisted of the variable in question, age, gender, and previous experience of low back trouble, along with interactions. It was found that 22 of 37 variables were risk indicators for later self-reported sick-listing because of low back trouble during the preceding year or the 7 years before the date of follow-up evaluation. In analyzing the most significant variables simultaneously, it was found that information from the initial investigation about sick-listing in general during the previous 10 years, sciatic pain, use of analgesics for low back trouble, previous sick-listing because of low back trouble, and occupation were the most important risk indicators for self-reported work incapacity resulting from low back trouble during the follow-up period of 15 years. Findings showed that the strongest prognostic indicators of later sick-listing because of low back trouble involve information from the person about previous sick-listing behavior in general and previous experience of low back trouble episodes, especially if these had been accompanied by sciatic pain, use of analgesics, or previous low back trouble sick-listing.

  16. Descentralización de los servicios de salud: estudios de caso en seis estados mexicanos Decentralization of health services: case studies in six Mexican states

    Directory of Open Access Journals (Sweden)

    Nuria Homedes

    2011-12-01

    Full Text Available OBJETIVO: Este artículo presenta los resultados de la segunda descentralización de la Secretaría de Salud de México (1994-2000. MATERIAL Y MÉTODOS: Además de revisar documentos oficiales y de archivo, estadísticas de salud y de productividad, se realizaron observaciones en los centros asistenciales y 232 entrevistas de profundidad en los estados de Baja California Sur, Colima, Guanajuato, Nuevo León, Sonora y Tamaulipas con directivos de las secretarías de salud estatales y jurisdiccionales, dirigentes de sindicatos, prestadores de servicios y representantes de la sociedad civil. RESULTADOS: Se identifican los problemas que los estados tuvieron que enfrentar para implementar la descentralización. CONCLUSIONES: No se alcanzaron los objetivos trazados por los promotores de la descentralización.OBJECTIVE: This article discusses the effects of the second decentralization of the Mexican Ministry of Health (1994-2000. MATERIAL AND METHODS: It is based on a review of official and archival documents, health and productivity statistics, observations in clinics and hospitals, and 232 in-depth interviews in the states of Baja California Sur, Colima, Guanajuato, Nuevo León, Sonora and Tamaulipas. The interviewees included high-level administrators of state and district health systems, leaders of workers unions, health providers and representatives of civil society. RESULTS: The article identifies the problems that offices of health at state level had to overcome to implement the decentralization. CONCLUSIONS: Descentralizacion failed to achieve the objectives stated by its promoters.

  17. Nuclear structure studies using the high resolution spectrometer at the Los Alamos Clinton P. Anderson Meson Physics Facility: Annual progress report, [1987-1988

    International Nuclear Information System (INIS)

    1987-09-01

    This document constitutes the (1987 to 1988) progress report for the ongoing medium energy nuclear physics research program supported by the US Department of Energy with the University of Texas at Austin. A major part of the work has been and will continue to be associated with research done at the Los Alamos Clinton P. Anderson Meson Physics Facility (LAMPF) using the High Resolution Spectrometer (HRS), the External Proton Beam (EPB), and the new Neutron Time of Flight Facility (NTOF). Other research is done at the Fermi National Accelerator Laboratory (FNAL). The research focuses on (1) providing proton + nucleus data which test nonrelativistic and relativistic models of the medium energy proton + nucleus interaction, (2) providing (p,p) and (p,n) data which are to be analyzed to provide new nuclear structure information (both ground state and excited state), (3) providing nucleon + nucleon data to aid in the systematic study of the fundamental nucleon-nucleon interaction, (4) developing and improving the proton + nucleus theoretical models themselves, and (5) initiating new experimental programs whose goals are to search for new phenomena in nuclear physics. 182 refs., 71 figs., 5 tabs

  18. Importancia del estudio audiológico en los pacientes con trauma craneal Importance of the auditive study in patients with cranial trauma

    Directory of Open Access Journals (Sweden)

    Eulalia Alfonso Muñoz

    2005-03-01

    Full Text Available Se realizó un estudio de 50 pacientes con antecedentes de trauma craneal, atendidos en Consulta de Audiología del Hospital Militar “Dr. Carlos J. Finlay” en el período de enero de 2002 a diciembre de 2003. Los pacientes presentaban secuelas cocleo-vestibulares, y entre ellos predominó el sexo masculino (62,0 %, la edad de 16 a 30 años (52,0 % y las fracturas en la base del cráneo (según la naturaleza del trauma. A todos se les realizó un estudio audiológico detallado para determinar las lesiones que afectaron considerablemente su calidad de vidaA study of 50 patients with cranial trauma history that received attention at the Audiology Department of “Dr. Carlos J. Finlay” Military Hospital from January 2002 to December 2003, was conducted. The patients presented cochlear-vestibular sequelae. It was observed a predominance of males (62.0 %, of age 16-30 (52.0 % and of fractures in the base of cranium (according to the nature of the trauma. All of them underwent a detailed auditive test to determine the lesions considerably affecting their quality of life

  19. Quantitative x-ray diffraction analyses of samples used for sorption studies by the Isotope and Nuclear Chemistry Division, Los Alamos National Laboratory

    International Nuclear Information System (INIS)

    Chipera, S.J.; Bish, D.L.

    1989-09-01

    Yucca Mountain, Nevada, is currently being investigated to determine its suitability to host our nation's first geologic high-level nuclear waste repository. As part of an effort to determine how radionuclides will interact with rocks at Yucca Mountain, the Isotope and Nuclear Chemistry (INC) Division of Los Alamos National Laboratory has conducted numerous batch sorption experiments using core samples from Yucca Mountain. In order to understand better the interaction between the rocks and radionuclides, we have analyzed the samples used by INC with quantitative x-ray diffraction methods. Our analytical methods accurately determine the presence or absence of major phases, but we have not identified phases present below ∼1 wt %. These results should aid in understanding and predicting the potential interactions between radionuclides and the rocks at Yucca Mountain, although the mineralogic complexity of the samples and the lack of information on trace phases suggest that pure mineral studies may be necessary for a more complete understanding. 12 refs., 1 fig., 1 tab

  20. Publications of Los Alamos Research, 1983

    International Nuclear Information System (INIS)

    Sheridan, C.J.; McClary, W.J.; Rich, J.A.; Rodriguez, L.L.

    1984-10-01

    This bibliography is a compilation of unclassified publications of work done at the Los Alamos National Laboratory for 1983. Papers published in 1982 are included regardless of when they were actually written. Publications received too late for inclusion in earlier compilations have also been listed. Declassification of previously classified reports is considered to constitute publication. All classified issuances are omitted - even those papers, themselves unclassified, which were published only as part of a classified document. If a paper was published more than once, all places of publication are included. The bibliography includes Los Alamos National Laboratory reports, papers released as non-Laboratory reports, journal articles, books, chapters of books, conference papers either published separately or as part of conference proceedings issued as books or reports, papers publishd in congressional hearings, theses, and US patents. Publications by Los Alamos authors that are not records of Laboratory-sponsored work are included when the Library becomes aware of them

  1. Publications of Los Alamos Research 1982

    International Nuclear Information System (INIS)

    McClary, W.J.; Rodriguez, L.L.; Sheridan, C.J.

    1983-10-01

    This bibliography is a compilation of unclassified publications of work done at the Los Alamos National Laboratory for 1982. Papers published in 1982 are included regardless of when they were actually written. Publications received too late for inclusion in earlier compilations have also been listed. Declassfiication of previously classified reports is considered to constitute publication. All classified issuances are omitted - even those papers, themselves unclassified, which were published only as part of a classified document. If a paper was published more than once, all places of publication are included. The bibliography includes Los Alamos National Laboratory reports, papers released as non-Laboratory reports, journal articles, books, chapters of books, conference papers either published separately or as part of conference proceedings issued as books or reports, papers published in congressional hearings, theses, and US patents. Publications by Los Alamos authors that are not records of Laboratory-sponsored work are included when the Library becomes aware of them

  2. Publications of Los Alamos Research, 1983

    Energy Technology Data Exchange (ETDEWEB)

    Sheridan, C.J.; McClary, W.J.; Rich, J.A.; Rodriguez, L.L. (comps.)

    1984-10-01

    This bibliography is a compilation of unclassified publications of work done at the Los Alamos National Laboratory for 1983. Papers published in 1982 are included regardless of when they were actually written. Publications received too late for inclusion in earlier compilations have also been listed. Declassification of previously classified reports is considered to constitute publication. All classified issuances are omitted - even those papers, themselves unclassified, which were published only as part of a classified document. If a paper was published more than once, all places of publication are included. The bibliography includes Los Alamos National Laboratory reports, papers released as non-Laboratory reports, journal articles, books, chapters of books, conference papers either published separately or as part of conference proceedings issued as books or reports, papers publishd in congressional hearings, theses, and US patents. Publications by Los Alamos authors that are not records of Laboratory-sponsored work are included when the Library becomes aware of them.

  3. Publications of Los Alamos research 1980

    Energy Technology Data Exchange (ETDEWEB)

    Salazar, C.A.; Willis, J.K. (comps.)

    1981-09-01

    This bibliography is a compilation of unclassified publications of work done at the Los Alamos National Laboratory for 1980. Papers published in 1980 are included regardless of when they were actually written. Publications received too late for inclusion in earlier compilations have also been listed. Declassification of previously classified reports is considered to constitute publication. All classified issuances are omitted-even those papers, themselves unclassified, which were published only as part of a classified document. If a paper was pubished more than once, all places of publication are included. The bibliography includes Los Alamos National Laboratory reports, papers released as non-laboratory reports, journal articles, books, chapters of books, conference papers published either separately or as part of conference proceedings issued as books or reports, papers published in congressional hearings, theses, and US patents. Publications by Los Alamos authors that are not records of Laboratory-sponsored work are included when the Library becomes aware of them.

  4. A field studies and modeling approach to develop organochlorine pesticide and PCB total maximum daily load calculations: Case study for Echo Park Lake, Los Angeles, CA

    Energy Technology Data Exchange (ETDEWEB)

    Vasquez, V.R., E-mail: vrvasquez@ucla.edu [Environmental Science and Engineering Program, University of California, Los Angeles, Los Angeles, CA 90095-1496 (United States); Curren, J., E-mail: janecurren@yahoo.com [Environmental Science and Engineering Program, University of California, Los Angeles, Los Angeles, CA 90095-1496 (United States); Lau, S.-L., E-mail: simlin@ucla.edu [Department of Civil and Environmental Engineering, University of California, Los Angeles, Los Angeles, CA 90095-1496 (United States); Stenstrom, M.K., E-mail: stenstro@seas.ucla.edu [Department of Civil and Environmental Engineering, University of California, Los Angeles, Los Angeles, CA 90095-1496 (United States); Suffet, I.H., E-mail: msuffet@ucla.edu [Environmental Science and Engineering Program, University of California, Los Angeles, Los Angeles, CA 90095-1496 (United States)

    2011-09-01

    Echo Park Lake is a small lake in Los Angeles, CA listed on the USA Clean Water Act Section 303(d) list of impaired water bodies for elevated levels of organochlorine pesticides (OCPs) and polychlorinated biphenyls (PCBs) in fish tissue. A lake water and sediment sampling program was completed to support the development of total maximum daily loads (TMDL) to address the lake impairment. The field data indicated quantifiable levels of OCPs and PCBs in the sediments, but lake water data were all below detection levels. The field sediment data obtained may explain the contaminant levels in fish tissue using appropriate sediment-water partitioning coefficients and bioaccumulation factors. A partition-equilibrium fugacity model of the whole lake system was used to interpret the field data and indicated that half of the total mass of the pollutants in the system are in the sediments and the other half is in soil; therefore, soil erosion could be a significant pollutant transport mode into the lake. Modeling also indicated that developing and quantifying the TMDL depends significantly on the analytical detection level for the pollutants in field samples and on the choice of octanol-water partitioning coefficient and bioaccumulation factors for the model. - Research highlights: {yields} Fugacity model using new OCP and PCB field data supports lake TMDL calculations. {yields} OCP and PCB levels in lake sediment were found above levels for impairment. {yields} Relationship between sediment data and available fish tissue data evaluated. {yields} Model provides approximation of contaminant sources and sinks for a lake system. {yields} Model results were sensitive to analytical detection and quantification levels.

  5. The Los Alamos primer

    CERN Document Server

    Serber, Robert

    2018-01-01

    Unabridged declassified value reproduction of The Los Alamos Primer by Robert Serber, in full color with all censor markings. This is the booklet given to new workers at Los Alamos during World War II, to catch them up on how to build a practical fission bomb. The Primer was driven by Robert Oppenheimer asking his protégé Robert Serber to summarize all knowledge and possible solutions known as of April 1943 in a series of lectures. Serber did such an excellent job that the notes from the series was turned into The Los Alamos Primer. Serber was known as an expert that bridged theory and reality, and so was also chosen to be one of the first Americans to enter Hiroshima and Nagasaki to assess the atomic damage in 1945.

  6. Los Cuchillos de Albacete

    Directory of Open Access Journals (Sweden)

    Rodríguez Lorente, Juan J.

    1967-12-01

    Full Text Available Not available.

    DE la larga honrosa tradición española en la fabricación artesana de aceros para armas blancas, que alcanzó su cima en los siglos XVI y XVII, y desapareció casi totalmente en el XVIII con la importación de los espadines franceses puestos de moda por la corte de don Felipe de Borbón, puede decirse que no queda en nuestros días vestigio alguno, si se exceptúan los modestos esfuerzos estatales centralizados en la Fábrica Nacional de Armas de Toledo, y la pujante industria cuchillera de Albacete.

  7. Los refugiados de facto

    Directory of Open Access Journals (Sweden)

    Cristina J. Gortázar Rotaeche

    2012-01-01

    Full Text Available Los Estados de “nueva creación” que han accedido a su independencia tras la labor descolonizadora de las Naciones Unidas, han sido el caldo de cultivo de los denominados “nuevos refugiados” o “refugiados de facto” ya que dichos Estados poseen soberanías débiles que no logran fortificarse debido a sus paupérrimas economías; esta situación ha hecho llegar a un sinfín de guerras civiles y consecuentemente a la producción de desplazamientos humanos forzosos. La tragedia que se vive estos días en la región de los Grandes Lagos aporta un trágico y espeluznante botón de muestra.

  8. Los Alamos offers Fellowships

    Science.gov (United States)

    Los Alamos National Laboratory in New Mexico is calling for applications for postdoctoral appointments and research fellowships. The positions are available in geoscience as well as other scientific disciplines.The laboratory, which is operated by the University of California for the Department of Energy, awards J. Robert Oppenheimer Research Fellowships to scientists that either have or will soon complete doctoral degrees. The appointments are for two years, are renewable for a third year, and carry a stipend of $51,865 per year. Potential applicants should send a resume or employment application and a statement of research goals to Carol M. Rich, Div. 89, Human Resources Development Division, MS P290, Los Alamos National Laboratory, Los Alamos, New Mexico 87545 by mid-November.

  9. La novela de formación y sus relaciones con la pedagogía y los estudios literarios Bildungsroman and its relations to pedagogy and literary studies

    Directory of Open Access Journals (Sweden)

    Selen Catalina Arango Rodríguez

    2009-12-01

    Full Text Available El concepto de novela de formación ha tenido diferentes transformaciones como producto de su relación con los estudios literarios. Sin embargo, son pocos los que han abordado los vínculos que el concepto sostiene con la pedagogía y en especial con la formación humana. Esta ausencia señala la necesidad de estudios que, a partir de los estudios literarios y de la pedagogía, encuentren en las novelas de formación nuevos acercamientos para la pregunta abierta acerca de la formación humana, que vayan más allá de una "pedagogización" de la novela.The concept of bildungsroman has had different transformations as a result of its relation with the literary studies. However, few studies have dealing with the relations of this concept with the field of pedagogy, especially with the human Bildung. This lack shows the necessity of other kind of studies that, linking pedagogy and literary studies, investigate the bildunsroman in order to think human Bildung beyond the simply "pedagogization" of the roman .

  10. Application of radioisotopes to studies of crystal imperfections; Application des radioisotopes a l'etude des imperfections des cristaux; Primenenie radioizotopov dlya izucheniya defektov v kristallakh; Aplicaciones de los radioisotopos al estudio de las imperfecciones cristalinas

    Energy Technology Data Exchange (ETDEWEB)

    Sproull, R L; Slack, G A; Moss, M; Pohl, R O; Krumhansl, J A [Laboratory of Atomic and Solid State Physics, Cornell University, Ithaca, NY (United States)

    1962-01-15

    Radioisotopes have been used in two important ways in studying imperfections in alkali halide crystals. The zone refining of the compounds has been monitored by addition of tracers, and segregation coefficients have been determined from such measurements. The other application has been to insert small concentrations of impurity ions into alkali halides in order to study the phonon scattering by such impurities or by the vacancies they introduce; these measurements are carried out at very low temperatures where the phonon mean free path is limited by lattice imperfections. The most commonly used radioisotope in this work has been Ca{sup 45}. This work is reviewed and some current and possible future applications of radioisotopes in this field are mentioned. (author) [French] Les radioisotopes ont recu deux applications importantes dans l'etude des imperfections des cristaux d'halogenures alcalins. Employes comme indicateurs, ils ont permis de controler le raffinage par zones des composes et, par suite, de determiner les coefficients de segregation. La deuxieme application a consiste a introduire dans les halogenures alcalins de faibles concentrations d'ions sous forme d'impuretes afin d'etudier la diffusion des phonons par ces impuretes ou par les lacunes que celles-ci produisent; les mesures sont effectuees a des temperatures tres basses, auxquelles le libre parcours moyen des phonons se trouve limite par les imperfections du reseau. Le radioisotope le plus frequemment employe pour ces operations a ete le {sup 45}Ca. Le memoire passe en revue ces divers travaux et signale quelques applications effectives ou possibles des radioisotopes dans le domaine considere. (author) [Spanish] Los autores han empleado radioisotopos en dos importantes campos del estudio de los cristales de haluros alcalinos. Uno de estos campos es el control de la purificacion por zonas de los compuestos y la determinacion de los coeficientes de segregacion por medida de las actividades de los

  11. Instrucciones a los Autores

    Directory of Open Access Journals (Sweden)

    revistaiid@ uptc.edu.co

    2006-12-01

    Full Text Available Ingeniería,  Investigación y Desarrollo publica  trabajos inéditos sobre geología, minería, electrónica, industrial y ciencias afines, en español. Podrán publicarse artículos originales, de investigación y/o innovación tecnológica, de revisión o réplicas de publicaciones de la propia revista. Además, se podrán incluir  resúmenes de  tesis,  reseñas de  libros y comunicaciones de  interés a estas profesiones.Para  la presentación de  los artículos  se debe  tener en cuenta que: Los artículos serán evaluados por   el comité Editorial y un árbitro, el que se reserva el derecho de decidir sobre su publicación. Los  trabajos enviados a  Ingeniería,  Investigación y Desarrollo, no podrán ser sometidos simultáneamente a evaluación por otro medio de publicación. El contenido de los trabajos   es responsabilidad exclusiva de sus autores. No se devolverán los originales de los trabajos

  12. Los jefes de prensa

    Directory of Open Access Journals (Sweden)

    Daniel Raffo

    2015-01-01

    Full Text Available Los jefes de prensa son un emergente de la moderna tecnología aplicada al campo de las ciencias sociales, son voceros del presidente porque éste necesita estar conectado al trafico informativo cotidiano. Son también piezas clave en el juego de la política de un Estado. Pero en la práctica, muchas veces son solo los "mensajeros" del príncipe de turno. Deben ser leales y de absoluta confianza. Pero sin quebrantar la ética y su compromiso con el pueblo. Cita el caso del vocero de Menem.

  13. Los hijos de Kafka

    Directory of Open Access Journals (Sweden)

    William Díaz Villarreal

    2012-07-01

    Full Text Available Kafka intentó sin éxito publicar un libro, titulado Los hijos, en el que se reunían tres relatos compuestos en el invierno entre 1912 y 1913: “La condena”, “La metamorfosis” y “El fogonero”. En este ensayo, el autor interpreta estos tres relatos como una unidad, a partir del motivo que sugiere el título del libro proyectado por Kafka. Así, estos tres textos exploran los intentos fallidos del hijo por autoafirmarse dentro de la opresiva esfera de influencia del padre.

  14. Alfabetización creativa en los videojuegos: comunicación interactiva y alfabetización cinematográfica Creative Game Literacy. A Study of Interactive Media Based on Film Literacy

    Directory of Open Access Journals (Sweden)

    Nelson Zagalo

    2010-10-01

    Full Text Available En este estudio hemos analizado el estado actual de la alfabetización mediática prestando especial atención al cine y los videojuegos. Hemos intentado analizar si algunos de los problemas encontrados a lo largo de la historia de la alfabetización cinematográfica han existido también en el proceso de la alfabetización en los videojuegos, intentando unificar ambas visiones para captar la atención de las personas que trabajan en el campo de los videojuegos. Para ello, el estudio abarca la alfabetización en los videojuegos en dos dimensiones, la dimensión cultural y la dimensión creativa. La dimensión cultural se define a partir de los enfoques críticos y educacionales y la creativa mediante el diseño y la programación. Estas investigaciones se han llevado a cabo sin dejar de lado la perspectiva de la alfabetización cinematográfica. Hemos descubierto que la alfabetización en los videojuegos tiene una fuerte tendencia hacia el enfoque cultural, sobre todo la vertiente educativa, y que los riesgos que plantea el enfoque crítico presentan problemas similares a los que se registran en los estudios sobre el cine. En cuanto a la dimensión creativa, hemos advertido una falta de inversión para el estudio y la investigación de prácticas de diseño y programación. En conclusión, creemos que la alfabetización en los videojuegos necesita un nivel de motivación. Estimamos urgente la implantación de una perspectiva de alfabetización basada en el diseño creativo y la programación, poniendo especial énfasis en el desarrollo del enfoque comunicativo.In this study we have analysed the current state of media literacy focusing on the game and film art forms. We aim to discover if some problems found throughout the history of film literacy were also occurring in game literacy research. It is also our intention to bring both visions together in order to get the attention of people working in the gaming field. To do this we have studied the

  15. Motivaciones de los Consumidores para Asistir a los Mercados de los Agricultores de Utah

    OpenAIRE

    Curtis, Kynda; Gumirakiza, J. Dominique

    2014-01-01

    Los mercados de los agricultores (FM por sus siglas en inglés) ofrecen oportunidades a los agricultores locales y pequeñas empresas para vender directamente a los consumidores, incrementar su base de clientes, así como probar nuevos productos y estrategias de precios.

  16. A Reappraising of Cosmography: the Interface Between Astronomical and Geographic Studies. (Breton Title: Releitura do Conceito de Cosmografia: a Interface Entre os Estudos Astronômicos e Geográficos.) Una Relectura del Concepto de Cosmografía: la Interfase Entre los Estudios Astronómicos y Geográficos

    Science.gov (United States)

    Azevedo Sobreira, Paulo Henrique

    2012-12-01

    The concept of "Cosmography" is in disuse since the 80s of the last century, but the astronomical themes previously discussed in the school subjects of Geography and Cosmography remain in current textbooks. The use of term "Cosmography" was rescued in this research, and the study of its re-signification prompted the appearance of the term Geographic Cosmography. The Geographic Cosmography is a field of studies of the Geography, whose set of knowledge and skills is predominantly scholar. It studies the interface between terrestrial and celestial knowledge, and assigns a geographic significance to them. It examines human and natural relationships with Sidereal Space and its consequences for society and nature. O conceito de "Cosmografia" está em desuso desde os anos 80 do século XX, mas os temas astronômicos anteriormente abordados nas disciplinas escolares de Cosmografia e de Geografia permanecem nos atuais livros didáticos. O uso do termo "Cosmografia" foi resgatado nesta pesquisa e o estudo de sua ressignificação proporcionou o surgimento do termo Cosmografia Geográfica. A Cosmografia Geográfica é um campo de estudos da Geografia, cujo conjunto de conhecimentos e habilidades é predominantemente escolar. Estuda a interface entre os conhecimentos terrestres e os celestes e lhes atribui significância geográfica. Analisa as relações humanas e naturais com o Espaço Sideral e suas consequências para a sociedade e a natureza. Aunque el concepto de "Cosmografía" no se usa desde la década de los '80 del siglo pasado, los temas astronómicos que se enseñaban anteriormente en las asignaturas escolares de Cosmografía y de Geografía permanecen en los actuales libros didácticos. El uso del término "Cosmografía" fue rescatado en esta investigación y el estudio de su resignificación proporcionó el surgimiento del término Cosmografía Geográfica. La Cosmografía Geográfica es un campo de estudio de la Geografía, donde el conjunto de conocimientos y

  17. HEART TRANSPLANTATION IN PATIENTS WITH PREVIOUS OPEN HEART SURGERY

    Directory of Open Access Journals (Sweden)

    R. Sh. Saitgareev

    2016-01-01

    Full Text Available Heart Transplantation (HTx to date remains the most effective and radical method of treatment of patients with end-stage heart failure. The defi cit of donor hearts is forcing to resort increasingly to the use of different longterm mechanical circulatory support systems, including as a «bridge» to the follow-up HTx. According to the ISHLT Registry the number of recipients underwent cardiopulmonary bypass surgery increased from 40% in the period from 2004 to 2008 to 49.6% for the period from 2009 to 2015. HTx performed in repeated patients, on the one hand, involves considerable technical diffi culties and high risks; on the other hand, there is often no alternative medical intervention to HTx, and if not dictated by absolute contradictions the denial of the surgery is equivalent to 100% mortality. This review summarizes the results of a number of published studies aimed at understanding the immediate and late results of HTx in patients, previously underwent open heart surgery. The effect of resternotomy during HTx and that of the specifi c features associated with its implementation in recipients previously operated on open heart, and its effects on the immediate and long-term survival were considered in this review. Results of studies analyzing the risk factors for perioperative complications in repeated recipients were also demonstrated. Separately, HTx risks after implantation of prolonged mechanical circulatory support systems were examined. The literature does not allow to clearly defi ning the impact factor of earlier performed open heart surgery on the course of perioperative period and on the prognosis of survival in recipients who underwent HTx. On the other hand, subject to the regular fl ow of HTx and the perioperative period the risks in this clinical situation are justifi ed as a long-term prognosis of recipients previously conducted open heart surgery and are comparable to those of patients who underwent primary HTx. Studies

  18. Conductas prosociales en los barrios Modelo y Los Trupillos de Barranquilla

    Directory of Open Access Journals (Sweden)

    Juan Carlos Marin Escobar

    2014-01-01

    Full Text Available Este artículo muestra los resultados de un estudio que describe las conductas prosociales en un grupo de personas de los barrios Modelo y Los Trupillos de Barranquilla. La muestra intencional, estuvo representada por 75 personas. La recolección de la información se obtuvo a partir de una técnica naturalista en la cual se les solicitaba a los participantes la posibilidad de apoyar en una situación prosocial relacionada con ayudar a niños, niñas y ancianos, Los resultados permiten establecer que el 45,33 % ayudan y el 54,66 % no ayudan. Así mismo se obtuvieron los siguientes datos: Los que ayudan son creyentes practicantes de una religión; ayudan más las mujeres que los hombres y las personas entre los 20 a los 40 años. Abstract This paper focuses on the findings of a study which describes the prosocial behavior in a group of people who live in Modelo and Los Trupillos neighborhoods in Barranquilla. 75 people were sampled in this study. In order to collect the data, a natural approach was used in which the participants were asked to take part in a social survey as it related to helping the children and elderly in that area. As a result 45.33 % helps and 54.66 % does not help. Likewise it was obtained the following information: Those who help are practicing believers of a religion; they help more women than men and people between 20 to 40 years old.

  19. Los pasivos mineros ambientales y los conflictos sociales en Hualgayoc

    OpenAIRE

    Pinto Herrera, Honori

    2014-01-01

    El trabajo trata sobre los pasivos ambientales mineros (PAM) y los conflictos sociales de Hualgayoc (Cajamarca), cuya atención ha sido considerada prioritaria por el Ministerio de Energía y Minas (MEM). Contiene número de PAM, una descripción histórica de este centro minero, una breve cronología que presenta los esfuerzos del MEM y FONAM para lograr la remediación de los PAM, finalmente se exponen los hechos estructurales y coyunturales que impiden la remediación cabal de los PAM en Hualgayoc...

  20. El tabaco en los establecimientos de restauración y hostelería: estudio observacional en Barcelona, 2008 Smoking in the hospitality sector: an observational study in Barcelona (Spain, 2008

    Directory of Open Access Journals (Sweden)

    Joan R. Villalbí

    2010-01-01

    Full Text Available Objetivos: Describir la situación real del consumo de tabaco en los locales de restauración y hostelería tras la ley de medidas sanitarias frente al tabaquismo, que establece exenciones en este sector a la prohibición general de fumar en el trabajo desde 2006. Métodos Estudio observacional descriptivo en Barcelona en 2008, con muestreo por conglomerados de 1130 establecimientos. Se presentan los resultados estratificados por tipo de establecimiento. Resultados: En el 85,7% de los comercios con degustación (panaderías, pastelerías… y el 85% de los locales de comida rápida se prohíbe fumar. El 40% de los restaurantes son libres de humo u ofrecen zonas separadas. En los bares-cafeterías y cafeterías-restaurantes (locales más abundantes no se suele prohibir fumar. Hay mayor oferta de locales sin humo en los distritos céntricos y centros comerciales. Conclusiones: En un 75,4% de los locales se permite fumar libremente. Estos resultados muestran las limitaciones de la ley.Objectives: To describe the actual presence of smoking in restaurant and hospitality premises after the smoking prevention act banning smoking in workplaces came into force in 2006, with wide exemptions in this sector. Methods: We performed an observational, descriptive study in Barcelona (Catalonia, Spain in 2008 based on cluster sampling, with 1130 premises. The results were stratified by premise type. Results: Up to 85.7% of food shops allowing consumption within their premises (bakeries, pastry shops… ban smoking, as well as 85% of fast food establishments. Among restaurants, 40% are smoke-free or have separate smoking areas. Bar-cafés and café-restaurants (the most abundant premises usually allow smoking. There are more smoke-free options in central districts and in shopping malls. Conclusions: Up to 75.4% of all premises allow smoking freely. These results show the limitations of the law.

  1. Estudio de las emociones en los personajes animados de Inside Out/ Study of emotions in the animated characters from Inside Out

    OpenAIRE

    Leticia Porto Pedrosa

    2016-01-01

    Este artículo pretende mostrar la importancia de investigar las emociones a partir del cine de animación y su influencia en la audiencia infantil. Para ello, se lleva a cabo un recorrido a lo largo del tratamiento y la representación de las emociones encarnadas en los personajes animados de los largometrajes de Pixar. A través de la revisión bibliográfica y el análisis de contenido de la película Inside Out (2015), se profundiza en las principales emociones como la ...

  2. Los murales bogotanos

    Directory of Open Access Journals (Sweden)

    Jorge Moreno Clavijo

    1966-07-01

    Full Text Available No son muchos, en realidad, los muros que en esta capital colombiana se han enriquecido con el aporte de nuestros pintores colombianos. En proporción al crecimiento urbano y al adelanto en otros terrenos, nuestros artistas han sido poco requeridos en este particular.

  3. LOS ALAMOS: Hadron future

    International Nuclear Information System (INIS)

    Ernst, David J.

    1992-01-01

    At a Workshop on the Future of Hadron Facilities, held on 15-16 August at Los Alamos National Laboratory, several speakers pointed out that the US physics community carrying out fixed target experiments with hadron beam had not been as successful with funding as it deserved. To rectify this, they said, the community should be better organized and present a more united front

  4. Los beneficios del TLC

    Directory of Open Access Journals (Sweden)

    Martín Uribe Arbeláez

    2007-01-01

    Full Text Available El tlc usa-Colombia aumenta la protección de la propiedad intelectual por encima de la normatividad internacional plasmada en los Acuerdos adpic de la omc y en la Decisión 486 de 2000, de la Comunidad Andina de Naciones. Intensifica la llamada “apertura económica” consagrando un modelo exportador. El propósito de este ensayo es analizar lo que representa para el desarrollo económico y social, con énfasis en los dramáticos cambios que se introducen en el Régimen Común de Propiedad Industrial. El saqueo de la biodiversidad, “patentes a plantas o animales”, los enormes costos para la salud pública, la competitividad basada en las maquilas y la pauperización social, contradicen los sofismas que parecen evocar el realismo mágico como explicación de nuestra historia.�

  5. LOS ALAMOS: Hadron future

    Energy Technology Data Exchange (ETDEWEB)

    Ernst, David J.

    1992-11-15

    At a Workshop on the Future of Hadron Facilities, held on 15-16 August at Los Alamos National Laboratory, several speakers pointed out that the US physics community carrying out fixed target experiments with hadron beam had not been as successful with funding as it deserved. To rectify this, they said, the community should be better organized and present a more united front.

  6. Notes on Los Alamos

    Energy Technology Data Exchange (ETDEWEB)

    Meade, Roger Allen [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2017-04-05

    In 1954 an unknown author drafted a report, reprinted below, describing the Laboratory and the community as they existed in late 1953. This report, perhaps intended to be crafted into a public relations document, is valuable because it gives us an autobiographical look at Los Alamos during the first half of the 1950s. It has been edited to enhance readability.

  7. Convergencia de los medios

    Directory of Open Access Journals (Sweden)

    Ramón Salaverría

    2015-01-01

    Full Text Available Inicia definiendo qué es la convergencia multimedia y sus cuatro dimensiones: empresarial, tecnológica, profesional y comunicativa. La convergencia multimedia ha permitido que las empresas de comunicaciones hayan experimentado un evidente proceso de diversificación mediática y abierto nuevas posibilidades a los lenguajes periodísticos.

  8. Convergencia de los medios

    OpenAIRE

    Salaverría, R. (Ramón)

    2003-01-01

    Inicia definiendo qué es la convergencia multimedia y sus cuatro dimensiones: empresarial, tecnológica, profesional y comunicativa. La convergencia multimedia ha permitido que las empresas de comunicaciones hayan experimentado un evidente proceso de diversificación mediática y abierto nuevas posibilidades a los lenguajes periodísticos.

  9. Incidence of Acneform Lesions in Previously Chemically Damaged Persons-2004

    Directory of Open Access Journals (Sweden)

    N Dabiri

    2008-04-01

    Full Text Available ABSTRACT: Introduction & Objective: Chemical gas weapons especially nitrogen mustard which was used in Iraq-Iran war against Iranian troops have several harmful effects on skin. Some other chemical agents also can cause acne form lesions on skin. The purpose of this study was to compare the incidence of acneform in previously chemically damaged soldiers and non chemically damaged persons. Materials & Methods: In this descriptive and analytical study, 180 chemically damaged soldiers, who have been referred to dermatology clinic between 2000 – 2004, and forty non-chemically damaged people, were chosen randomly and examined for acneform lesions. SPSS software was used for statistic analysis of the data. Results: The mean age of the experimental group was 37.5 ± 5.2 and that of the control group was 38.7 ± 5.9 years. The mean percentage of chemical damage in cases was 31 percent and the time after the chemical damage was 15.2 ± 1.1 years. Ninety seven cases (53.9 percent of the subjects and 19 people (47.5 percent of the control group had some degree of acne. No significant correlation was found in incidence, degree of lesions, site of lesions and age of subjects between two groups. No significant correlation was noted between percentage of chemical damage and incidence and degree of lesions in case group. Conclusion: Incidence of acneform lesions among previously chemically injured peoples was not higher than the normal cases.

  10. Revisión sistemática de los estudios sobre el nivel socioeconómico de los hombres que maltratan a sus parejas Systematic review of studies on the socioeconomic status of men who batter their intimate partners

    Directory of Open Access Journals (Sweden)

    Mercedes Carrasco-Portiño

    2007-10-01

    Full Text Available Introducción: A pesar de la visibilidad de los casos de violencia del compañero íntimo contra las mujeres en parejas con problemas socioeconómicos, su relación con el hecho concreto de desarrollar una conducta violenta no está clara. Se plantea realizar una revisión sistemática de la evidencia empírica sobre el papel del nivel socioeconómico de los perpetradores en este problema. Métodos: Revisión sistemática. Bases de datos: Eric (1966-2004, Sociological Abstracts (1963-2005, Science Citation Index (1945-2005, Social Science Citation Index (1956-2005, Medline a través de Pubmed (1966-2005, Social Service Abstracts (1980-2005, Lilacs (1982-2005 y Psycinfo (1972-2005. Se incluyeron los artículos empíricos con objetivos o hipótesis sobre la relación causal entre el bajo nivel socioeconómico -empleo, educación e ingresos- de los hombres y la violencia del compañero íntimo contra mujeres. Resultados: Se localizaron 251 estudios. Sólo 10 cumplieron los criterios de inclusión. Se encontró un estudio de cohortes, uno de casos y controles, un estudio ecológico y una serie de casos. Dos estudios calculan las odds ratio (OR en sus análisis. En uno se obtiene una OR de 1,4 (intervalo de confianza del 95%, 1,1-1,9 con el desempleo, y en el otro no se alcanzó en nivel de significación estadística ni con este factor ni con el bajo nivel de ingresos y educativo. Conclusiones: Se requiere más información, y de más calidad, que permita establecer resultados concluyentes sobre el papel causal del nivel socioeconómico de los hombres que maltratan a sus parejas. Aún es insuficiente la evidencia empírica que asocia la conducta violenta de los hombres contra sus parejas con determinados grupos de bajo nivel socioeconómico.Background: Despite the visibility of intimate partner violence against women in low socioeconomic groups, the association of low socioeconomic status and violent behavior is unclear. We performed a systematic

  11. Indicaciones a los Autores

    Directory of Open Access Journals (Sweden)

    Academia Nacional de Medicina

    1985-04-01

    Full Text Available

    1. La revista MEDICINA, órgano oficial de la Academia Nacional de Medicina, de Colombia, publica artículos de toda especialidad previa aprobación del Comité Editorial.

    2. Los trabajos deben ser inéditos y suministrados a la revista. Su reproducción total o parcial debe contar con la aprobación del editor y dar crédito a la publicación original.

    3. Los trabajos deben ser entregados a la Revista, Calle 60A No. 5-29, sede de la Academia, Bogotá, Colombia, en originales escritos a máquina en papel blanco tamaño carta empleando una sola cara del papel, con tinta negra y a doble espacio, guardando un margen izquierdo de 4 cm.

    4. Cada componente del trabajo debe iniciarse en una nueva página de acuerdo con la siguiente secuencia: página del título, resumen y palabras claves, texto, resumen en inglés (summary si es el caso, agradecimientos, bibliografía, tablas (cada tabla en página separada con su título y notas y leyendas para las figuras.

    5. En la primera página se incluye el título, corto y que refleje el contenido del artículo, el nombre del autor y sus colaboradores con los respectivos títulos académicos y el nombre de la institución a la cual pertenecen.

    6. El resumen, de no más de 150 palabras, debe enunciar los propósitos del estudio o de la investigación, los procedimientos básicos, los hallazgos principales y las conclusiones. A continuación del resumen deben suministrarse entre 3 y 10 palabras claves o frases cortas que servirán para elaborar el índice anual de materias.

    7. El texto debe incluir introducción, material y métodos, resultados y discusión: las abreviaturas deben explicarse y su uso limitarse.

    8. El resumen en inglés (summary, debe contener los mismos puntos del resumen original.

    9. La bibliografía se numera de acuerdo con el orden de aparición de las citas en el texto y se escriben a doble espacio....

  12. The sexual and reproductive health of young people in Latin America: evidence from WHO case studies La salud sexual y reproductiva de los jóvenes en América Latina: evidencia derivada de estudios de la OMS

    Directory of Open Access Journals (Sweden)

    Kate Kostrzewa

    2008-02-01

    Full Text Available This original article addresses the sexual and reproductive health needs of young people aged 15 to 24 in Latin America. It introduces five articles from original research projects in three countries: Argentina, Brazil, and Peru. These projects were funded by the World Health Organization. This article explains the importance of studies that address the sexual and reproductive health of young people in developing countries. It provides an overview of sexual and reproductive health issues in Latin America and a discussion these issues in the three study countries. The five articles deal with difficult and challenging issues, including: knowledge of STIs and HIV/AIDS; pregnancy related practices; quality of care; the role of young men in couple formation, pregnancy and adoption of contraceptive practice; and, the role of obstetricians and gynecologists in public policy debate about family planning and abortion. The four articles in this special section help to improve our understanding of the factors that contribute to risky sexual behavior and negative reproductive health outcomes among youth in Latin America. The findings are useful to help inform and improve health care interventions in various contexts.Este artículo original trata de las necesidades de salud sexual y reproductiva de jóvenes entre 15 y 24 años de edad en América Latina. Se presentan cuatro artículos derivados de investigaciones originales en tres países: Argentina, Brasil y Perú. Estos proyectos fueron patrocinados por la Organización Mundial de la Salud. Este artículo elucida la importancia de los estudios que tratan de la salud sexual y reproductiva de jóvenes en países en desarollo. Se ilustra el panorama general en cuestiones de salud sexual y reproductiva en América Latina y una discusión de estas cuestiones en los tres países de donde provienen los estudios. Los cinco artículos discuten cuestiones difíciles y controversiales, como los conocimientos sobre

  13. Impact of previously disadvantaged land-users on sustainable ...

    African Journals Online (AJOL)

    Impact of previously disadvantaged land-users on sustainable agricultural ... about previously disadvantaged land users involved in communal farming systems ... of input, capital, marketing, information and land use planning, with effect on ...

  14. Caracterización de los estudios de utilización de medicamentos publicados en revistas médicas cubanas, 1990-2003 Characterization of the studies of drug use published in Cuban medical journals, 1990-2003

    Directory of Open Access Journals (Sweden)

    Juan Antonio Furones Mourelle

    2006-04-01

    Full Text Available Introducción : El análisis de los estudios de utilización de medicamentos (EUM en un determinado país puede ayudar al conocimiento de la investigación realizada en este campo y detectar deficiencias o aspectos de la investigación no abordados, que permitan planificarlos de manera eficiente. Métodos : Se realizó un estudio descriptivo, transversal y retrospectivo según la fuente de información, con el objetivo de cuantificar y caracterizar los EUM publicados en revistas médicas cubanas desde 1990 hasta el 2003. El universo de estudio lo constituyeron todos los EUM publicados en revistas médicas cubanas de la Editorial Ciencias Médicas. Se describieron las principales variables que caracterizan el comportamiento de los EUM como: especialidad del primer autor, provincia y nivel asistencial donde se realizó el estudio, tipo de EUM, grupo farmacológico y fuente de datos empleada. Se utilizaron como medidas de resumen los números y los porcentajes. Resultados : Se revisaron 785 números de revistas, en las cuales se localizaron solo 31 artículos, y se observó un incremento de su publicación a partir del año 2000. Los médicos (80,6 % fueron los principales investigadores y la atención primaria de salud (67,7 % el nivel asistencial más utilizado. Las encuestas (58,1 % constituyeron la fuente de información más empleada. La mayoría de los estudios fueron de prescripción-indicación (48,4 % y el grupo farmacológico antiinfeccioso (29 % el más estudiado. Conclusiones : Resulta insuficiente la publicación de EUM en revistas médicas cubanas, lo que pudiera reflejar una infraproducción de este tipo de investigacionesIntroduction: The analysis of the studies of drug use in a given country may help to know the research carried out in this field and detect deficiencies or untouched research aspects, and allow planning them more efficiently. Methods: a retrospective descriptive and cross-sectional study was conducted to quantify

  15. 22 CFR 40.91 - Certain aliens previously removed.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Certain aliens previously removed. 40.91... IMMIGRANTS UNDER THE IMMIGRATION AND NATIONALITY ACT, AS AMENDED Aliens Previously Removed § 40.91 Certain aliens previously removed. (a) 5-year bar. An alien who has been found inadmissible, whether as a result...

  16. 75 FR 17562 - Port Access Route Study: In the Approaches to Los Angeles-Long Beach and in the Santa Barbara...

    Science.gov (United States)

    2010-04-07

    ... or dangerous. Vessel routing system means any system of one or more routes or routing measure aimed... approaches to Los Angeles-Long Beach and the approach to the San Pedro Channel from the Pacific Ocean... are most cost- effective? 5. What impacts, both positive and negative, would changes to existing...

  17. Influence of Previous Knowledge in Torrance Tests of Creative Thinking

    Directory of Open Access Journals (Sweden)

    María Aranguren

    2015-07-01

    Full Text Available The aim of this work is to analyze the influence of study field, expertise and recreational activities participation in Torrance Tests of Creative Thinking (TTCT, 1974 performance. Several hypotheses were postulated to explore the possible effects of previous knowledge in TTCT verbal and TTCT figural university students’ outcomes. Participants in this study included 418 students from five study fields: Psychology;Philosophy and Literature, Music; Engineering; and Journalism and Advertising (Communication Sciences. Results found in this research seem to indicate that there in none influence of the study field, expertise and recreational activities participation in neither of the TTCT tests. Instead, the findings seem to suggest some kind of interaction between certain skills needed to succeed in specific studies fields and performance on creativity tests, such as the TTCT. These results imply that TTCT is a useful and valid instrument to measure creativity and that some cognitive process involved in innovative thinking can be promoted using different intervention programs in schools and universities regardless the students study field.

  18. Determining root correspondence between previously and newly detected objects

    Science.gov (United States)

    Paglieroni, David W.; Beer, N Reginald

    2014-06-17

    A system that applies attribute and topology based change detection to networks of objects that were detected on previous scans of a structure, roadway, or area of interest. The attributes capture properties or characteristics of the previously detected objects, such as location, time of detection, size, elongation, orientation, etc. The topology of the network of previously detected objects is maintained in a constellation database that stores attributes of previously detected objects and implicitly captures the geometrical structure of the network. A change detection system detects change by comparing the attributes and topology of new objects detected on the latest scan to the constellation database of previously detected objects.

  19. Palacio de los Deportes

    Directory of Open Access Journals (Sweden)

    Candela Outeriño, F.

    1968-11-01

    Full Text Available This building was specially built for the Mexico Olympic Games, and was the site for the basketball competition. But during the design stage it was foreseen that it could be later adapted to various other uses, such as boxing matches, ice skating displays, theatre, circus, shows, etc. It has 19.834 seats for spectators. Its circular planform has a 180 m diameter, and there are three levels of organisation. — on the lower level there is accommodation for the competitors, the press and the organisers of the Olympic Competitions; — the main level houses the entrance halls, the stairs, and access to the lower and middle spectator stands; — the top level has the washrooms for the public, the special stands and access to the middle and top stands. The outstanding feature of this sports palace is its general structure, which from the outset was regarded as the dominant element of the design, and also defined its plastic and spatial quality.Este edificio, construido para los Juegos Olímpicos de México, fue destinado a los juegos de baloncesto, pero al proyectarlo se previó que posteriormente pudiera servir para múltiples usos: celebración de combates de boxeo, espectáculos sobre hielo, teatro, circo, etc. Tiene capacidad para 19.824 espectadores sentados. Su planta es circular, con un diámetro total de 180 m, y está organizada en tres niveles: — en el nivel inferior se alojan: los servicios para deportistas, prensa y organización del Certamen Olímpico; —el nivel principal alberga: los vestíbulos, escaleras y accesos a gradería baja y media; — y en el nivel superior se distribuyen: los servicios para público, palcos y accesos a gradería media y alta. En este Palacio de los Deportes destaca su estructura general que fue considerada, desde la fase del proyecto, como el elemento dominante de la composición, y el determinante de su sentido plástico y espacial.

  20. Contexto carcelario: un estudio de los estresores y las respuestas de afrontamiento en detenidos primarios y reincidentes Prison context: a study on primary offenders and recidivists stressors and coping responses

    Directory of Open Access Journals (Sweden)

    Isabel María Mikulic

    2005-12-01

    Full Text Available El presente trabajo se propone presentar los resultados preliminares obtenidos en la investigación llevada a cabo con sujetos en situación de privación de libertad, primarios y reincidentes. El objetivo de este estudio ha sido evaluar las respuestas de afrontamiento implementadas por los mismos ante situaciones percibidas como estresantes, desde el enfoque de los factores de riesgo y protección, especialmente considerando las características del contexto carcelario. Se realizó un estudio de campo exploratorio-descriptivo, comparandose dos muestras intencionales: 35 detenidos primarios en Comisarías, y 35 reincidentes en Penitenciarias. Los resultados obtenidos indican un predominio de respuestas de afrontamiento evitativas por sobre las de aproximación al problema en todos los evaluados, siendo las principales situaciones estresantes mencionadas la privación de libertad, el distanciamiento familiar y la ruptura con la pareja. Este predominio ha sido asociado por múltiples autores, con estados de indefensión que impiden al sujeto lograr bienestar y control sobre sus propias vidas, y desarrollar caracterìsticas resilientesThis study shows preliminary results obtained in actual research on primary offenders and repeat offenders. Its objective has been to assess offenders coping responses when perceiving stressing events. Coping responses have been analyzed from a risk perception and protective factors approach, specially taking into consideration context characteristics in prison environment. An exploratory-descriptive field study allowed us to compare two intentional samples, 35 primary offenders and 35 repeat offenders. Results show avoidance predominance within coping strategies both in primary offenders and repeat offenders responses. Main reported stressing events were: lack of freedom, family distance and spouse separation. Avoidance responses are associated with a state of helplessness which weakens offenders posibilities of well

  1. Los indios y los empedrados sotaquireños

    Directory of Open Access Journals (Sweden)

    Edwin Giovanni Quesada-Cárdenas

    2016-09-01

    Full Text Available Este artículo de investigación describe la preparación de los platos culinarios tradicionales del municipio de Sotaquirá (Boyacá, que hacen parte de los saberes ancestrales que han prevalecido generacionalmente en los habitantes del municipio; ya que caracterizan la identidad sotaquireña. También se exponen algunos elementos sobre la gestión de la administración municipal (2012-2015 para promover la permanencia y reconocimiento de estos saberes como patrimonio cultural. El contenido del artículo es el resultado de la investigación “Identidad campesina en torno a los oficios tradicionales en el municipio de Sotaquirá (2013-2015”; que tuvo como fin describir las costumbres culturales en torno a los oficios tradicionales, que configuran la identidad campesina de los habitantes del municipio de Sotaquirá. El enfoque metodológico fue cualitativo desde la corriente socio-critica; se usaron la entrevista y la observación participante para reconocer la importancia de los platos que se configuran como aspectos fundamentales de la identidad de los sotaquireños. Se destaca que este trabajo logró generar espacios de reflexión con los entrevistados respecto de los oficios tradicionales culinarios del municipio en torno al reconocimiento del valor de los platos como patrimonio cultural y las particularidades del plato de acuerdo con los contextos familiares.

  2. The maintenance care of potential organ donors: ethnographic study on the experience of a nursing team Los cuidados de manutención de los potenciales donativos de órganos: estudio etnográfico de la vivencia del equipo de enfermería Os cuidados de manutenção dos potenciais doadores de órgãos: estudo etnográfico sobre a vivência da equipe de enfermagem

    Directory of Open Access Journals (Sweden)

    Maria Madalena Del Duqui Lemes

    2007-10-01

    Full Text Available This ethnographic study aimed to understand a nursing team's experience on the maintenance of potential organ donors. Data were collected through ethnographic interview, participative observation and documental analysis and analyzed in thematic, cultural domain and taxonomical terms. The research enabled us to identify the meaning of brain death, revealing the interrelation between the categories (units, nursing team and patient, which constituted this study main theme: "it is not a person". The transplant meaning held by the nursing team is marked by disbelief due to some previous experiences in the Intensive Therapy Unit. Thus, beliefs and values of this subculture interfere or determine a distancing from the patient with a consequent loss in the maintenance of the potential donor and quality of the organs donated.Se trata de un estudio etnográfico que tuvo como objetivo comprender la experiencia del equipo de enfermería en la manutención de los potenciales donadores de órganos. Los datos fueran recolectados a través de encuestas etnográficas, observación participante y análisis documental y sometidos a análisis del dominio, taxonómico y temático. En el proceso de inmersión de los datos recogidos fue identificado el significado de la muerte encefálica, que desveló la interrelación entre las categorías (unidades de terapia intensiva, equipo de enfermería y pacientes, constituyéndose en el principal tema de ese estudio "no es una persona". El significado del transplante atribuido por el equipo de enfermería es marcado por la no creencia, motivada por experiencias anteriores vividas en las unidades de terapia intensiva. Así, las creencias y valores de esa subcultura interfieren o determinan un distanciamiento del paciente y un consecuente prejuicio en la atención adecuada para la manutención del donante y calidad de los órganos donados.Trata-se de estudo etnográfico que teve como objetivo compreender a vivência da equipe

  3. Machismo en los medios

    OpenAIRE

    Rosa María Alfaro

    2015-01-01

    En "Auge y caída de los vÍdeo juegos" el autor señala que las tecnologías digitales cambian aceleradamente. Cada cambio impacta en el entorno de la sociedad y la cultura ¿Cómo adaptarse a estos retos? ¿Cómo controlarlos? se responde en el artículo. Otro artículo hace alusión a la conmemoración de los 10 años de la Declaración del Nuevo Orden Internacional de la Información y Comunicación - NOIIC-. Radio boletín informativo para niños cita las recomendaciones dadas en el Seminario realizado po...

  4. The Los Angeles basin

    International Nuclear Information System (INIS)

    Rintoul, W.

    1991-01-01

    In the early 1890s, Edward L Doheny, a mining prospector down on his luck, observed residents of Los Angeles gathering brea from the area's tar pits for use as fuel in coal-scarce California. Realizing that this crude tar was petroleum that had congealed upon contact with the open air, Doheny explored the residential neighborhood near Westlake Park, pooled resources with Charles A Canfield, an old mining crony, and purchased a city lot for $400. This paper reports that drilling wells in the Los Angeles City field posed the problem of making oil production compatible with urban living. Residents had to deal with noise, dirt, traffic, odors, and waste disposal. At least one solution to the waste disposal problem proved unique. A homeowner with a rig in his backyard had no place for a sump in which to run waste water and mud. However, his house had a basement, and that's where the mud went

  5. Hasta los últimos confines

    Directory of Open Access Journals (Sweden)

    Córdoba, Joaquín Mª

    2005-04-01

    Full Text Available El 19 de mayo de 1798, la flota encargada de trasladar el ejército que iba a conquistar Egipto levó anclas del puerto de Toulon. Aunque tres años después la aventura se saldara en fracaso, el siglo XIX comenzó así con este temprano intento francés, que consiguió dominar durante algún tiempo el Valle del Nilo, soñó abrir el Canal de Suez y decidió el desarrollo moderno de los estudios sobre la cultura islámica y el antiguo Egipto. Desde entonces y hasta la I Guerra Mundial, el mundo iba a vivir la incesante expansión europea, particularmente la de sus grandes estados como Inglaterra, Francia, Alemania y Rusia, cuyos viajeros, exploradores, colonos y ejércitos llegarían a todos los rincones del mundo…

  6. Los juegos gerenciales

    Directory of Open Access Journals (Sweden)

    Walter Rodríguez Herrera

    2015-02-01

    Full Text Available RESUMEN Los juegos de simulación gerencial han sido diseñados como una herramienta didáctica que facilita el aprendizaje de la administración empresarial y como un ejercicio de entrenamiento para ejecutivos de empresas, que deseen desarrollar habilidades en la toma de decisiones gerenciales dentro de la actividad administrativa. En este artículo, se pretende mostrar de una manera general qué son los juegos de simulación, en qué se fundamentan, cuáles son sus objetivos, cómo es la metodología de operación y finalmente las ventajas y limitaciones en su aplicación.

  7. The long-term consequences of previous hyperthyroidism

    DEFF Research Database (Denmark)

    Hjelm Brandt Kristensen, Frans

    2015-01-01

    Thyroid hormones affect every cell in the human body, and the cardiovascular changes associated with increased levels of thyroid hormones are especially well described. As an example, short-term hyperthyroidism has positive chronotropic and inotropic effects on the heart, leading to a hyperdynamic...... with CVD, LD and DM both before and after the diagnosis of hyperthyroidism. Although the design used does not allow a stringent distinction between cause and effect, the findings indicate a possible direct association between hyperthyroidism and these morbidities, or vice versa....... vascular state. While it is biologically plausible that these changes may induce long-term consequences, the insight into morbidity as well as mortality in patients with previous hyperthyroidism is limited. The reasons for this are a combination of inadequately powered studies, varying definitions...

  8. Se comunican los investigadores

    OpenAIRE

    Rafael Roncagliolo

    2015-01-01

    En Brasil se reunieron los investigadores de la comunicación de América Latina y del mundo (1992) El encuentro Latinoamericano fue en Embú-Guacú, poblado de la periferia de Sao Paulo, y el encuentro Mundial en Guarujá, balneario cercano al Puerto de Santos. La amplitud de la participación y la diversidad de temas y enfoques son indicios del desarrollo y dinamismo de la profesión.

  9. Se comunican los investigadores

    Directory of Open Access Journals (Sweden)

    Rafael Roncagliolo

    2015-01-01

    Full Text Available En Brasil se reunieron los investigadores de la comunicación de América Latina y del mundo (1992 El encuentro Latinoamericano fue en Embú-Guacú, poblado de la periferia de Sao Paulo, y el encuentro Mundial en Guarujá, balneario cercano al Puerto de Santos. La amplitud de la participación y la diversidad de temas y enfoques son indicios del desarrollo y dinamismo de la profesión.

  10. Los Alamos Programming Models

    Energy Technology Data Exchange (ETDEWEB)

    Bergen, Benjamin Karl [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-07-07

    This is the PDF of a powerpoint presentation from a teleconference on Los Alamos programming models. It starts by listing their assumptions for the programming models and then details a hierarchical programming model at the System Level and Node Level. Then it details how to map this to their internal nomenclature. Finally, a list is given of what they are currently doing in this regard.

  11. Is Previous Respiratory Disease a Risk Factor for Lung Cancer?

    Science.gov (United States)

    Denholm, Rachel; Schüz, Joachim; Straif, Kurt; Stücker, Isabelle; Jöckel, Karl-Heinz; Brenner, Darren R.; De Matteis, Sara; Boffetta, Paolo; Guida, Florence; Brüske, Irene; Wichmann, Heinz-Erich; Landi, Maria Teresa; Caporaso, Neil; Siemiatycki, Jack; Ahrens, Wolfgang; Pohlabeln, Hermann; Zaridze, David; Field, John K.; McLaughlin, John; Demers, Paul; Szeszenia-Dabrowska, Neonila; Lissowska, Jolanta; Rudnai, Peter; Fabianova, Eleonora; Dumitru, Rodica Stanescu; Bencko, Vladimir; Foretova, Lenka; Janout, Vladimir; Kendzia, Benjamin; Peters, Susan; Behrens, Thomas; Vermeulen, Roel; Brüning, Thomas; Kromhout, Hans

    2014-01-01

    Rationale: Previous respiratory diseases have been associated with increased risk of lung cancer. Respiratory conditions often co-occur and few studies have investigated multiple conditions simultaneously. Objectives: Investigate lung cancer risk associated with chronic bronchitis, emphysema, tuberculosis, pneumonia, and asthma. Methods: The SYNERGY project pooled information on previous respiratory diseases from 12,739 case subjects and 14,945 control subjects from 7 case–control studies conducted in Europe and Canada. Multivariate logistic regression models were used to investigate the relationship between individual diseases adjusting for co-occurring conditions, and patterns of respiratory disease diagnoses and lung cancer. Analyses were stratified by sex, and adjusted for age, center, ever-employed in a high-risk occupation, education, smoking status, cigarette pack-years, and time since quitting smoking. Measurements and Main Results: Chronic bronchitis and emphysema were positively associated with lung cancer, after accounting for other respiratory diseases and smoking (e.g., in men: odds ratio [OR], 1.33; 95% confidence interval [CI], 1.20–1.48 and OR, 1.50; 95% CI, 1.21–1.87, respectively). A positive relationship was observed between lung cancer and pneumonia diagnosed 2 years or less before lung cancer (OR, 3.31; 95% CI, 2.33–4.70 for men), but not longer. Co-occurrence of chronic bronchitis and emphysema and/or pneumonia had a stronger positive association with lung cancer than chronic bronchitis “only.” Asthma had an inverse association with lung cancer, the association being stronger with an asthma diagnosis 5 years or more before lung cancer compared with shorter. Conclusions: Findings from this large international case–control consortium indicate that after accounting for co-occurring respiratory diseases, chronic bronchitis and emphysema continue to have a positive association with lung cancer. PMID:25054566

  12. Twelve previously unknown phage genera are ubiquitous in global oceans.

    Science.gov (United States)

    Holmfeldt, Karin; Solonenko, Natalie; Shah, Manesh; Corrier, Kristen; Riemann, Lasse; Verberkmoes, Nathan C; Sullivan, Matthew B

    2013-07-30

    Viruses are fundamental to ecosystems ranging from oceans to humans, yet our ability to study them is bottlenecked by the lack of ecologically relevant isolates, resulting in "unknowns" dominating culture-independent surveys. Here we present genomes from 31 phages infecting multiple strains of the aquatic bacterium Cellulophaga baltica (Bacteroidetes) to provide data for an underrepresented and environmentally abundant bacterial lineage. Comparative genomics delineated 12 phage groups that (i) each represent a new genus, and (ii) represent one novel and four well-known viral families. This diversity contrasts the few well-studied marine phage systems, but parallels the diversity of phages infecting human-associated bacteria. Although all 12 Cellulophaga phages represent new genera, the podoviruses and icosahedral, nontailed ssDNA phages were exceptional, with genomes up to twice as large as those previously observed for each phage type. Structural novelty was also substantial, requiring experimental phage proteomics to identify 83% of the structural proteins. The presence of uncommon nucleotide metabolism genes in four genera likely underscores the importance of scavenging nutrient-rich molecules as previously seen for phages in marine environments. Metagenomic recruitment analyses suggest that these particular Cellulophaga phages are rare and may represent a first glimpse into the phage side of the rare biosphere. However, these analyses also revealed that these phage genera are widespread, occurring in 94% of 137 investigated metagenomes. Together, this diverse and novel collection of phages identifies a small but ubiquitous fraction of unknown marine viral diversity and provides numerous environmentally relevant phage-host systems for experimental hypothesis testing.

  13. Incidencia del estado de deprivación y riesgo en niños y adolescentes: Estudio exploratorio de los procesos afectivos, madurativos y sociales Exploratory study of children in state of deprivation in institutions

    Directory of Open Access Journals (Sweden)

    Alicia E. Pelorosso

    2006-12-01

    Full Text Available Presentamos un avance del proyecto UBACyT. AP055 "Estudio exploratorio del estado de deprivación familiar y riesgo en niños y adolescentes con problemas psicofamiliares cuidados en/por instituciones". Uno de nuestro objetivos es analizar la conflictiva que presentan los niños que tienen problemas psicofamiliares, entre 6/12 años, que tienen que ser cuidados por adultos que no son su familia. Se considerara la incidencia de situaciones de deprivación o riesgo sufridas dentro del ámbito familiar en el desarrollo de la personalidad y los efectos que produce crecer fuera de la familia. Diferentes causas llevaron a la institucionalización de estos niños principalmente: 1º violencia familiar, 2º incapacidad para mantenerlos, 3º abandono, 4º abuso sexual, 5º fallecimiento o cárcel de los padres. La hipótesis plantea que: "Los factores de riesgo y deprivación vividos por los niños que debieron abandonar sus familias producen alteraciones en los procesos afectivos, madurativos y sociales de los mismos".We presented an advance of the UBACyT project. AP 055. "Exploratory study of the state of familiar deprivación and risk, in children and adolescents with taken care of familiar problems in/by institutions". The objective is analyze the conflicting that presents childrens who have problems psicorelatives, between 6/12 years, that it must be taken care by adults who are not their families. The incidence of situations of deprivation or risk undergone within the familiar scope will be evaluated and the changes that produce growing outside the family. Different causes took to the institutionalization of these children: 1º familiar violence, 2º incapacity to maintain them , 3º abandonment, 4º sexual abuse, 5º death or jail of the parents. The hypothesis raises to find out: "the factors of risk and deprivation lived by the children who had to leave their families produce alterations in the affective processes, maduratives and socials of

  14. [ANTITHROMBOTIC MEDICATION IN PREGNANT WOMEN WITH PREVIOUS INTRAUTERINE GROWTH RESTRICTION].

    Science.gov (United States)

    Neykova, K; Dimitrova, V; Dimitrov, R; Vakrilova, L

    2016-01-01

    To analyze pregnancy outcome in patients who were on antithrombotic medication (AM) because of previous pregnancy with fetal intrauterine growth restriction (IUGR). The studied group (SG) included 21 pregnancies in 15 women with history of previous IUGR. The patients were on low dose aspirin (LDA) and/or low molecular weight heparin (LMWH). Pregnancy outcome was compared to the one in two more groups: 1) primary group (PG) including the previous 15 pregnancies with IUGR of the same women; 2) control group (CG) including 45 pregnancies of women matched for parity with the ones in the SG, with no history of IUGR and without medication. The SG, PG and CG were compared for the following: mean gestational age (g.a.) at birth, mean birth weight (BW), proportion of cases with early preeclampsia (PE), IUGR (total, moderate, and severe), intrauterine fetal death (IUFD), neonatal death (NND), admission to NICU, cesarean section (CS) because of chronic or acute fetal distress (FD) related to IUGR, PE or placental abruption. Student's t-test was applied to assess differences between the groups. P values < 0.05 were considered statistically significant. The differences between the SG and the PG regarding mean g. a. at delivery (33.7 and 29.8 w.g. respectively) and the proportion of babies admitted to NICU (66.7% vs. 71.4%) were not statistically significant. The mean BW in the SG (2114,7 g.) was significantly higher than in the PG (1090.8 g.). In the SG compared with the PG there were significantly less cases of IUFD (14.3% and 53.3% respectively), early PE (9.5% vs. 46.7%) moderate and severe IUGR (10.5% and 36.8% vs. 41.7% and 58.3%). Neonatal mortality in the SG (5.6%) was significantly lower than in the PG (57.1%), The proportion of CS for FD was not significantly different--53.3% in the SG and 57.1% in the PG. On the other hand, comparison between the SG and the CG demonstrated significantly lower g.a. at delivery in the SG (33.7 vs. 38 w.g.) an lower BW (2114 vs. 3094 g

  15. Implementación TIC en la docencia universitaria: estudio de los esfuerzos en vigas = Implementing ITC in higher education: study of effort on beams

    Directory of Open Access Journals (Sweden)

    Alfonso Blasco Gutierrez

    2017-04-01

    Full Text Available En el presente artículo se presenta una práctica académica que aporta una visión de la evolución de los esfuerzos resultantes en vigas debido a las cargas concentradas o distribuidas en vigas isostáticamente apoyadas. Debido a la versatilidad del sistema se pueden realizar medidas dinámicas cambiando la disposición geométrica de la carga o su valor observando en tiempo real el cambio en los esfuerzos medidos. Por contraposición a las medidas clásicas de esfuerzos, consistentes en la sucesión de medidas estáticas costosas en tiempo y que suelen conllevar que los alumnos “desconecten” de la práctica, la capacidad de realizar medidas dinámicas permite que los alumnos adquieran una comprensión rápida y más intuitiva de cómo cambian los esfuerzos que afectan a la viga (elemento estructural en función de la carga. El coste de los materiales y la infraestructura necesarios para esta práctica es lo suficientemente bajo como para que sea posible su implementación en casi cualquier centro formativo. Abstract This work shows a new teaching practice focused on a better understanding of the efforts on beams, both owing to concentrated or distributed loads in isostatically supported beams. Due to the system versatility, it can obtain dynamic measurements changing the geometric arrangement of the load or its values. The system allows us to obtain, in real time, the measurements of efforts. By contrast to the classical measurements, that consist in the succession of static measures which during for so long and entail the students don’t pay attention to the practice. This ability to get dynamic measurements allows that students get an intuitive knowledge and a better understanding of how the efforts affect the beam (structural element versus the load. The cost of materials needed to carry out this practice and its own infrastructure is very low and because of that, is affordable for the most academic centers.

  16. Los salesianos y los shuar construyendo la identidad cultural

    OpenAIRE

    Gnerre, Maurizio

    2012-01-01

    En el tema de las relaciones entre misioneros salesianos y el pueblo shuar existen, para los lectores interesados, algunas valiosas contribuciones de autores que conocieron y conocen muy bien, no solo la historia del vicariato Aposto?lico de Me?ndez y Gualaquiza, sino tambie?n el contexto histo?rico ma?s amplio en que se desarrollo? la actuacio?n de los salesianos entre los shuar, y en los u?ltimos cuarenta an?os tambie?n entre los achuar, en la Amazoni?a ecuatoriana.

  17. Retention of Radionuclides by Infants: I. Study Techniques and Error Evaluation; Retention des Radionucleides chez les Enfants en bas Age: I. Methodes de Recherche et Evaluation des Erreurs; 0417 0410 0414 ; Retencion de Radionuclidos en los Ninos de Pecho: I. Tecnicas de Estudio y Calculo del Error

    Energy Technology Data Exchange (ETDEWEB)

    Straub, C. P.; Kahn, B.; Wellman, H. N.; Telles, N. C.; Seltzer, R. A. [Radiological Health Research Activities, Robert A. Taft Sanitary Engineering Center, US Public Health Service, Department Of Health, Education and Welfare, Cincinnati, OH (United States)

    1964-11-15

    Retention of radionuclides and stable chemicals in infants aged 1 to 11 months has been measured since 1960. Infants volunteered by staff members for study in their-respective home environments were selected,after consultation with the family paediatrician and our staff physician. The infants were fed commercially prepared prepackaged foods ad lib; in terms of quantity and kind These foods, the air breathed, and the water-used directly and in preparation of the formula constituted the normal intake of radionuclides and stable chemicals of interest. Aliquots of the food, water, diapers, and paper tissues used are analysed. Excreta were collected in disposable diapers, and separated into those containing urine or faeces. Retention of the following radionuclides and stable elements was or will be determined: strontium-90, strontium-89, caesium-137, radium-226, calcium, strontium, phosphorus, and potassium. The study differs from previous ones in several ways. The radionuclides and stable elements were at normally encountered concentrations and in their normally encountered chemical forms. Air, and water contaminated at environmental levels and commercially available-food materials were the only sources of intake, since no radionuclides or stable chemicals were, added to the diet. The infants studied were normal, healthy (not hospitalized) youngsters in their home environments. The major problems in this study consisted of (1) controlling and maintaining records of all of the food intake, (2) collecting all-of the excreta, (3) obtaining an excreta-sample large enough for accurate measurement of the radionuclide and stable components contained; and (4) measuring radionuclide and stable component concentrations in the intake and excreta accurately enough that significant retention values could be computed. A case worker was utilized for control of intake and excreta information and an electronic computer for data processing. Intake values of the analysed components were

  18. The use of radiotracer techniques to study lubrication and wear in large diesel engines; Emploi des indicateurs radioactifs pour l'etude de la lubrification et de l'usure dans les moteurs diesel de grande puissance; Ispol'zovanie metodov radioaktivnykh indikatorov dlya izucheniya smazki i iznosa bol'shikh dizel'nykh motorov; Aplicacion de los indicadores radiactivos al estudio de la lubricacion y desgaste de los motores diesel de gran potencia

    Energy Technology Data Exchange (ETDEWEB)

    Howes, Jr, J E; Braun, W J; Sunderman, D N [Battelle Memorial Institute, Columbus, OH (United States)

    1962-01-15

    Radiotracer techniques have been applied to the study of lubrication and wear in large diesel engines on a scale not before considered practical, with perfect safety and with unique technological results. Both lubricating-oil consumption and cylinderliner wear have been evaluated as a function of operating conditions on diesel engines in the 1000 HP range. Techniques were developed for tapping 200 gal (US) of lubricating oil with 60 mc of zinc-65 and determining oil consumption by sampling exhaust gas during operation under a variety of conditions. Measurement of the rate of lubeoil consumption could be made in 10 min rather than the 24 to 48 h previously required. Irradiation techniques were developed for neutron activation of the lower cylinder portion of a 48-in long, 8-in diam. cylinder liner. Suitable thermal-neutron shielding allowed production of 300-d manganese-54 which resulted in extending the useful life of the liner for wear studies by a factor of six to eight over that of a comparable liner thermally activated to produce iron-59. The fact that studies with such large quantities of radioactive material can be carried out in standard research facilities in the diesel engine field opens an entirely new area to tracer applications. Selective activation and judicious use of thermalneutron shielding increases the versatility of the tracer technique in localizing measurement to areas of interest, reducing the total quantity of radioactive material required in wear studies of large parts, and facilitating simultaneous wear-measurement on engine parts of identical chemical composition. (author) [French] On s'est servi d'indicateurs radioactifs pour l'etude de la lubrification et de l'usure des moteurs diesel de grande puissance, et cela a une echelle qui jusqu'a present n'etait pas consideree comme pratiquement realisable, avec m e securite parfaite et des resultats technologiques sans precedent. La consommation de l'huile de graissage et l'usure des chemises

  19. Study of biogas production parameters in the sanitary landfill; Estudio de los parametros que afectan la produccion de biogas en un vertedero controlado

    Energy Technology Data Exchange (ETDEWEB)

    Alvarez Domenech, G.; Gordillo Bolasell, M. A.; Sanchez Ferrer, A.

    2001-07-01

    The following article contents a study about some of the parameters affecting the evolution of the gas production in a sanitary landfill placed in the province of Barcelona. The work is focused on the quality of biogas produced, measured as the percentage of methane and thus its energy profitability. The parameters included in this paper are: -Situation of the gas extraction station -Age of the wastes. -Reinfiltration of concentrated liquid leachate in the considered cell. Among the previous factors, the situation of the gas station and the age of wastes showed a critical influence on the methane content, whereas the use of leachate reinfiltration did not produce significant differences in the quality of biogas in the short-term applications. (Author) 5 refs.

  20. El Tratamiento Contable y los Efectos Financieros y Fiscales de los Arrendamientos

    Directory of Open Access Journals (Sweden)

    Vernor Mesén Figueroa

    2013-02-01

    Full Text Available En Costa Rica el mercado de los arrendamientos esuno de los sectores que durante los últimos años hamostrado mayor consolidación y crecimiento y cuyoimpacto ha sido sumamente significativo tanto sobrela posición financiera, resultado de operación y flujosde efectivo de los arrendadores y arrendatarios, comosobre los montos que éstos pagan por concepto deimpuesto sobre la renta. El presente estudio muestra una síntesis de la formaen la cual operan los contratos de arrendamiento, decuáles son los criterios contables para su diferenciaciónen financieros y operativos y consecuentemente decuál es el tratamiento contable que los arrendadoresy arrendatarios deben darle en sus estados financierospara cumplir con la NIC 17 “Arrendamientos”, la cualrige los criterios de registro, valuación, presentación yrevelación en esta materia. Finalmente se hace énfasisacerca de las consecuencias que los convenios dearrendamiento usualmente tienen sobre las decisioneseconómicas y estratégicas que toman tanto arrendadorescomo arrendatarios.   ABSTRACT In Costa Rica the rentals market is one of thesectors that during the last years have shown greatergrowth and consolidation and whose impact has beenextremely significant not only on the financial position,operation results and cash flow of landlords and renters,and on the amounts they pay for income tax. This study presents a synthesis on the way in whichrental contracts operate, which is the accountingcriterion for its differentiation in financial andoperational costs and as a consequence which is theaccounting treatment that renter and tenants mustgive them in their financial statements to fulfil 17 NIC“Rentals”, which governs the criterion of registration,valuation, presentation and disclosure in this matter.Finally, emphasis is made about the consequences thatrental agreements usually have on the economic andstrategic decisions that both renter and tenants make.

  1. Urethrotomy has a much lower success rate than previously reported.

    Science.gov (United States)

    Santucci, Richard; Eisenberg, Lauren

    2010-05-01

    We evaluated the success rate of direct vision internal urethrotomy as a treatment for simple male urethral strictures. A retrospective chart review was performed on 136 patients who underwent urethrotomy from January 1994 through March 2009. The Kaplan-Meier method was used to analyze stricture-free probability after the first, second, third, fourth and fifth urethrotomy. Patients with complex strictures (36) were excluded from the study for reasons including previous urethroplasty, neophallus or previous radiation, and 24 patients were lost to followup. Data were available for 76 patients. The stricture-free rate after the first urethrotomy was 8% with a median time to recurrence of 7 months. For the second urethrotomy stricture-free rate was 6% with a median time to recurrence of 9 months. For the third urethrotomy stricture-free rate was 9% with a median time to recurrence of 3 months. For procedures 4 and 5 stricture-free rate was 0% with a median time to recurrence of 20 and 8 months, respectively. Urethrotomy is a popular treatment for male urethral strictures. However, the performance characteristics are poor. Success rates were no higher than 9% in this series for first or subsequent urethrotomy during the observation period. Most of the patients in this series will be expected to experience failure with longer followup and the expected long-term success rate from any (1 through 5) urethrotomy approach is 0%. Urethrotomy should be considered a temporizing measure until definitive curative reconstruction can be planned. 2010 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  2. How general are current comparative physiology studies?: A quantitative review ¿Cuán general son los estudios en fisiología comparada actualmente?: Una revisión cuantitativa

    Directory of Open Access Journals (Sweden)

    ROBERTO F. NESPOLO

    2005-06-01

    Full Text Available Comparative animal physiology and related fields (named here "ecological physiology" are entering a time of synthesis in the form of a quest for large scales patterns. However, these new approaches need to be supplied by great amounts of data, representative of existing animal forms. We tested whether this is the case by performing a quantitative survey in the most important media for ecological physiologists. We found that ecological physiologists have clear biases toward some taxonomic classes, which represent one third of existing animal phyla. Non-taxonomic characterization of animals (endothermy/ectothermy, aquatic/terrestrial, however, produced a more balanced picture. In addition, ecological physiologists appear to be mostly intraspecific biologists since the great majority of studies were performed in one species. Multispecific studies were the minority and comparable to two - species comparative studies. The later are still being published despite to have been strongly criticized in the past. Cross-tabulation analysis yielded results suggesting that natural populations, vertebrates and terrestrial animals are preferred over artificial populations, aquatic animals and invertebrates. Although we recognize the limitations of our survey, it has the value to indicate that historical biases need to be taken in consideration if more global approaches are being undertaking in this disciplineLa fisiología comparada y disciplinas relacionadas (definidas en este trabajo como "ecología fisiológica" han entrado a un período de síntesis en la forma de búsqueda de patrones a gran escala. Sin embargo, dichos enfoques necesitan ser provistos de una gran cantidad de datos que sean representativos de las formas animales existentes. Evaluamos si este es el caso, efectuando una revisión cuantitativa en el medio más importante para los ecólogos fisiológicos. Encontramos que los ecólogos fisiológicos tienen claros sesgos hacia ciertas clases taxon

  3. Los Alamos Scientific Laboratory building cost index

    Energy Technology Data Exchange (ETDEWEB)

    Lemon, G.D.; Morris, D.W.; McConnell, P.H.

    1977-11-01

    The Controller's budget request for FY-1979 established guidance for escalation rates at 6 to 8 percent for construction projects beyond FY-1976. The Los Alamos Scientific Laboratory (LASL) has chosen to use an annual construction escalation rate of 10 percent. Results of this study should contribute toward the establishment of realistic construction cost estimate totals and estimates of annual construction funding requirements. Many methods were used to arrive at the LASL escalation rate recommendation. First, a computer program was developed which greatly expanded the number of materials previously analyzed. The program calculated the 1970 to 76 weighted averages for labor, materials, and equipment for the base line project. It also plotted graphs for each category and composite indexes for labor and material/equipment. Second, estimated increases for 1977 were obtained from several sources. The Zia Company provided labor cost estimates. Projected increases for material and equipment were obtained through conversations with vendors and analysis of trade publications. Third, economic forecast reports and the Wall Street Journal were used for source material, narrative, and forecast support. Finally, we compared LASL Building Cost Index with the effects of escalation associated with three recently developed projects at LASL.

  4. Los Alamos Scientific Laboratory building cost index

    International Nuclear Information System (INIS)

    Lemon, G.D.; Morris, D.W.; McConnell, P.H.

    1977-11-01

    The Controller's budget request for FY-1979 established guidance for escalation rates at 6 to 8 percent for construction projects beyond FY-1976. The Los Alamos Scientific Laboratory (LASL) has chosen to use an annual construction escalation rate of 10 percent. Results of this study should contribute toward the establishment of realistic construction cost estimate totals and estimates of annual construction funding requirements. Many methods were used to arrive at the LASL escalation rate recommendation. First, a computer program was developed which greatly expanded the number of materials previously analyzed. The program calculated the 1970 to 76 weighted averages for labor, materials, and equipment for the base line project. It also plotted graphs for each category and composite indexes for labor and material/equipment. Second, estimated increases for 1977 were obtained from several sources. The Zia Company provided labor cost estimates. Projected increases for material and equipment were obtained through conversations with vendors and analysis of trade publications. Third, economic forecast reports and the Wall Street Journal were used for source material, narrative, and forecast support. Finally, we compared LASL Building Cost Index with the effects of escalation associated with three recently developed projects at LASL

  5. Variaciones en la estimación de la prevalencia de artrosis de rodilla según los criterios diagnósticos utilizados en los estudios poblacionales Impact of the distinct diagnostic criteria used in population-based studies on estimation of the prevalence of knee osteoarthritis

    Directory of Open Access Journals (Sweden)

    Mercè Comas

    2010-01-01

    Full Text Available Objetivo: Evaluar el impacto en la estimación de la prevalencia de artrosis de rodilla de las variaciones en los criterios diagnósticos utilizados en los estudios poblacionales. Métodos: Se realizó una búsqueda de estudios poblacionales sobre artrosis de rodilla realizados en población general no institucionalizada de Europa o Estados Unidos. Resultados: Se seleccionaron 8 artículos, 6 europeos y 2 de Estados Unidos. La definición de enfermedad se basó en criterios sintomáticos (dolor, criterios radiológicos (escala de Kellgren y Lawrence o la combinación de ambos, según el estudio. La prevalencia fue del 2,0 al 42,4% cuando se usaban criterios sintomáticos, del 16,3 al 33,0% cuando se usaban criterios radiológicos, y del 1,5 al 15,9% cuando se combinaban. La prevalencia era mayor en las mujeres y aumentaba con la edad, a excepción de algunas prevalencias estimadas a partir de síntomas, en las cuales se observa una disminución a partir de los 80 años de edad. Conclusiones: No hay consenso en los criterios utilizados para diagnosticar la artrosis de rodilla en los estudios poblacionales de prevalencia. Esto se refleja en una gran variabilidad en la prevalencia de artrosis de rodilla según el criterio diagnóstico, aparte de la edad y del sexo. Las prevalencias fueron mayores cuando se utilizó aisladamente la evidencia radiológica, seguida de los criterios sintomáticos y de la combinación de ambos.Objective: To assess the impact of the distinct diagnostic criteria used in population-based studies on estimation of the prevalence of knee osteoarthritis. Methods: We performed a search for population-based studies of the prevalence of knee osteoarthritis carried out in the general noninstitutionalized population in Europe or the USA. Results: Eight articles were selected, six from Europe and two from the USA. Depending on the study, definition of knee osteoarthritis was based on symptomatic criteria (pain, radiological criteria

  6. Los Poblados Dirigidos de Madrid

    Directory of Open Access Journals (Sweden)

    Ana M. Esteban

    1999-07-01

    Full Text Available Los Poblados Dirigidos madrileños de los años cincuenta constituyeron una experiencia única dentro del panorama arquitectónico de la posguerra. La implicación personal de algunos de nuestros mejores arquitectos y de los autoconstructores de su propia vivienda aportó un carácter singular a las intervenciones. El artículo propone un recorrido por estos barrios en los que la modernidad aparece como nueva alternativa para solucionar el problema creciente de los asentamientos chabolistas periféricos.

  7. La diversidad de los agroecosistemas

    OpenAIRE

    F. X. Sans

    2007-01-01

    La diversidad de los agroecosistemas. El artículo analiza el efecto de la intensificación de las actividades agrícolas sobre el funcionamiento de los agroecosistemas y destaca la necesidad de incorporar las bases científicas y los modelos de gestión de la agroecología que permitan armonizar la producción agraria, la conservación de los recursos naturales y el desarrollo rural. Se discute la importancia de la diversidad en el funcionamiento de los agroecosistemas y la necesidad de ide...

  8. Los medios en el medio

    Directory of Open Access Journals (Sweden)

    José Ignacio López Vigil

    2015-01-01

    Full Text Available Los medios de comunicación siempre estuvieron en el medio de la vida. La gente se congregaba en torno a un libro de cuentos o una pantalla de cine o una radiola. ¿Qué es lo nuevo ahora? ¿Cuál es el protagonismo que han ganado los medios, especialmente los masivos? El autor reflexiona en torno a tres nuevos roles de los medios de comunicación social: legitimar lo que transmiten, establecer la realidad y representar a los ciudadanos.

  9. Children's mental health and collective violence: a binational study on the United States-Mexico border Salud mental infantil y violencia colectiva: un estudio binacional en la frontera entre México y los Estados Unidos

    Directory of Open Access Journals (Sweden)

    Marie Leiner

    2012-05-01

    Full Text Available OBJECTIVE: To investigate the risk effects of poverty and exposure to collective violence attributed to organized crime on the mental health of children living on the United States-Mexico border. METHODS: A repeated, cross-sectional study measured risk effects by comparing scores of psychosocial and behavioral problems among children and adolescents living on the border in the United States or Mexico in 2007 and 2010. Patients living in poverty who responded once to the Pictorial Child Behavior Checklist (P+CBCL in Spanish were randomly selected from clinics in El Paso, Texas, United States (poverty alone group, and Ciudad Juarez, Chihuahua, Mexico (poverty plus violence group. Only children of Hispanic origin (Mexican-American or Mexican living below the poverty level and presenting at the clinic for nonemergency visits with no history of diagnosed mental, neurological, or life-threatening disease or disability were included. RESULTS: Exposure to collective violence and poverty seemed to have an additive effect on children's mental health. Children exposed to both poverty and collective violence had higher problem scores, as measured by the P+CBCL, than those exposed to poverty alone. CONCLUSIONS: It is important to consider that children and adolescents exposed to collective violence and poverty also have fewer chances to receive treatment. Untreated mental health problems predict violence, antisocial behaviors, and delinquency and affect families, communities, and individuals. It is crucial to address the mental health of children on the border to counteract the devastating effects this setting will have in the short term and the near future.OBJETIVO: Investigar los efectos del riesgo de pobreza y la exposición a la violencia colectiva atribuida al crimen organizado sobre la salud mental de los niños que viven en la frontera entre México y los Estados Unidos. MÉTODOS: En este estudio transversal seriado se midieron los efectos del riesgo

  10. Study of factors related to quality of life in patients with locally advanced rectal cancer Estudio de factores de calidad de vida en los pacientes con cáncer de recto localmente avanzado

    Directory of Open Access Journals (Sweden)

    F. J. Pérez Lara

    2004-11-01

    Full Text Available Objectives: given the increasing concern about the physical, psychological, and social welfare of patients surgically treated for rectal cancer, we designed a study of the factors influencing quality of life in these patients. Experimental design: we prospectively analyzed factors related to quality of life in a cohort of patients using the Nottingham Health Profile and the EORTC questionnaire (QLQ-CR 38. Patients: a total of 116 patients with locally advanced rectal cancer surgically treated in our hospital from 1994 to 1999. Results: quality of life scores for the various factors studied showed that quality of life was worse in women, in patients with tumors in the middle third of the rectum, and in patients undergoing low anterior resection. Conclusions: factors influencing quality of life in patients surgically treated for locally advanced rectal cancer included sex, tumor site, and surgical technique. Since only this latter factor is modifiable, we suggest that the surgical technique be individualized in persons with mid-lower and lower-third tumors of the rectum, bearing in mind that quality of life in amputated patients is, in many respects, better than that of patients with preserved sphincters.Objetivos: debido al creciente interés por el bienestar tanto físico como psicológico y social de los pacientes intervenidos por Cáncer de recto, hemos diseñado un estudio para evaluar los factores que determinan la calidad de vida en estos pacientes. Diseño experimental: analizamos en un estudio de cohortes prospectivo, los factores relacionados con su calidad de vida, usando el Perfil de Salud de Nottingham y el cuestionario EORTC (QLQ-CR 38. Pacientes: un total de 116 pacientes con Cáncer de recto localmente avanzado intervenidos quirúrgicamente en nuestro hospital desde 1994 hasta 1999. Resultados: las puntuaciones de los tests de calidad de vida mostraron que la calidad de vida es peor en la mujer, en los pacientes con tumores

  11. 49 CFR 173.23 - Previously authorized packaging.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false Previously authorized packaging. 173.23 Section... REQUIREMENTS FOR SHIPMENTS AND PACKAGINGS Preparation of Hazardous Materials for Transportation § 173.23 Previously authorized packaging. (a) When the regulations specify a packaging with a specification marking...

  12. 28 CFR 10.5 - Incorporation of papers previously filed.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Incorporation of papers previously filed... CARRYING ON ACTIVITIES WITHIN THE UNITED STATES Registration Statement § 10.5 Incorporation of papers previously filed. Papers and documents already filed with the Attorney General pursuant to the said act and...

  13. 75 FR 76056 - FEDERAL REGISTER CITATION OF PREVIOUS ANNOUNCEMENT:

    Science.gov (United States)

    2010-12-07

    ... SECURITIES AND EXCHANGE COMMISSION Sunshine Act Meeting FEDERAL REGISTER CITATION OF PREVIOUS ANNOUNCEMENT: STATUS: Closed meeting. PLACE: 100 F Street, NE., Washington, DC. DATE AND TIME OF PREVIOUSLY ANNOUNCED MEETING: Thursday, December 9, 2010 at 2 p.m. CHANGE IN THE MEETING: Time change. The closed...

  14. Cuando los mundos chocan

    Directory of Open Access Journals (Sweden)

    García-Borrás, F.J.

    2006-04-01

    Full Text Available Desde una perspectiva netamente didáctica, en este artículo se pretende analizar las posibilidades e incidencias que la ciencia-ficción2 puede tener en el aula. El período de la adolescencia encuentra en la ciencia-ficción una forma de explicar sus necesidades y sus ideas previas. Por tanto, para facilitar sus procesos de aprendizaje, al mismo tiempo que los profesores pueden ver enriquecida su metodología de enseñanza, se muestran diversas fórmulas de acercamiento al alumno por medio de un motivador entorno de aprendizaje.

  15. Los impactos del turismo

    OpenAIRE

    Franco Aliaga, Tomás; García Guillén, Óscar

    1999-01-01

    El turismo aparece, dentro de la economía española, como una actividad determinante desde los años sesenta. Sus efectos beneficiosos se han dejado sentir no sólo en la Balanza de Pagos o en el Producto Interior Bruto, sino que también han impactado favorablemente en el empleo y en la cultura. Sin embargo, esas repercusiones no han sido tan positivas en el medio ambiente, pues nuestras costas sufren numerosos problemas urbanísticos, infraestucturales y de contaminación diversa.Tourism appears,...

  16. Que los cumplas Tupac

    OpenAIRE

    Roth, Sabrina

    2014-01-01

    A puro compromiso y voluntad hechos recursos, la Tupac campeó la desocupación de fin de los 90 y la crisis 01 que voló el país, mientras se iba autocontruyendo con Milagro Sala al frente y el pueblo a su lado. A partir del modelo cubano y el eje en la educación, la organización creció hasta convertirse en la tercera empleadora de la provincia. Facultad de Periodismo y Comunicación Social

  17. Uso de los datos de plumbemia para evaluar y prevenir el envenenamiento infantil por plomo en Latinoamérica Use of blood lead data in epidemiological studies to assess and prevent childhood lead poisoning in Latin America

    Directory of Open Access Journals (Sweden)

    Isabelle Romieu

    2003-01-01

    Full Text Available La exposición al plomo es una amenaza seria para la salud de los niños, que se encuentra ampliamente distribuida en la Región de América Latina. Los funcionarios de salud pública necesitan identificar fuentes de exposición al plomo, así como sus efectos en la salud, para poder diseñar, implantar y evaluar las actividades preventivas y de control. Para evaluar la magnitud del problema del plomo es necesario definir tres elementos clave: a las fuentes potenciales de exposición, b los indicadores que se utilizarán para evaluar los efectos en la salud y la exposición en el medio ambiente, y c las estrategias de muestreo de la población en riesgo. Se pueden utilizar varias estrategias con el fin de seleccionar la población blanco dependiendo de los objetivos del estudio, el tiempo límite y los recursos disponibles. Si el objetivo es evaluar la magnitud y las fuentes del problema pueden emplearse los siguientes métodos de muestreo: a el muestreo al azar basado en la población; b el muestreo al azar basado en las facilidades dentro de los hospitales, las guarderías o las escuelas; c el muestreo objetivo de los grupos de alto riesgo; d el muestreo de conveniencia (de voluntarios, y e el reporte de los casos (éste puede conducir a la identificación de las poblaciones en riesgo, además de las fuentes de exposición. Para todos los diseños de muestreo, la información debe incluir tanto el uso de un cuestionario para el informe general de los participantes y de las fuentes potenciales locales de exposición, como la recolección de las muestras biológicas. En la interpretación de los datos se debe considerar el tipo de muestreo utilizado, el porcentaje de falta de respuesta y los factores que pueden influir en las mediciones del plomo en sangre, como la edad y la variación de la temporada. Las mediciones del plomo en la sangre se deben integrar dentro de una estrategia general para la prevención de toxicidad.Exposure to lead is a

  18. Nuevas perspectivas, nuevas cartografías: de los Gay Studies a la teoría Queer / New Perspectives, New Cartographies: From Gay Studies to the Queer Theory

    Directory of Open Access Journals (Sweden)

    Alberto Mira Nouselles

    2016-09-01

    Full Text Available Este texto repasa la confluencia entre trabajo teórico sobre género y estudios sobre cine. En concreto, estudia cómo los paradigmas sobre la homosexualidad afectan el modo en que podemos leer los textos fílmicos. Los paradigmas surgen de la necesidad de dar forma a la realidad y a la experiencia. En el caso de la homosexualidad, las primeras aproximaciones fueron científicas y, según el término de Sedgwick, «minorizadoras»: se aproximaban a la homosexualidad como algo que sólo afectaba a una minoría y que podía distinguirse claramente de la heterosexualidad. Esto tiene repercusiones en la representación durante el periodo clásico. Los estudiosos que se identificaban con este paradigma buscan evidencia de «el homosexual» como una especie. El modelo «gay» fue una respuesta minorizadora a propuestas que se consideraban como marginalizadoras. En términos de estudios cinematográficos, las aproximaciones a temas gays en España suelen asumir este paradigma. La segunda parte del texto describe cómo las intervenciones teóricas de Eve Kosofsky Sedgwick, Judith Butler y Teresa De Lauretis, con profundas raíces en la filosofía, la historia y el psicoanálisis, cambiaron percepciones sobre cómo leer «homosexualidad» en el cine, dando paso a las aproximaciones «queer».Palabras clave: gay, queer, homosexualidad, género, representación, crítica, académico, Sedgwick, Dyer, Butler.AbstractThis text outlines the confluences between theoretical work on gender and film studies. More specifically, it addresses the way paradigms on homosexuality have affected what we can read into the film text. Paradigms arise from the need to shape reality and experience. In the case of homosexuality, early approaches were scientific and what Sedgwick calls «minoritizing»: they attempted to deal with homosexuality as something affecting only a minority and as something very clearly distinguishable from heterosexuality. This has consequences in

  19. A CONSIDERATION OF ETHICAL AND LEGAL ISSUES IN MULTI-SITE STUDIES CONSIDERACIÓN DE LOS TEMAS ÉTICOS Y LEGALES EN LOS ESTUDIOS MULTICÉNTRICOS CONSIDERAÇÃO DOS TEMAS ÉTICOS E LEGAIS NOS ESTUDOS MULTICÊNTRICOS

    Directory of Open Access Journals (Sweden)

    Sana Loue

    2004-01-01

    Full Text Available Significant ethical and legal issues may arise in conjunction with the conduct of multi-site studies. For example, different cultures may have varying concepts of personhood. The United States, for instance, places significant emphasis on the autonomy of each individual, while many other societies rely to a greater degree on defining an individual with reference to his or her roles or relationships to others. These differing orientations may have implications for informed consent procedures and for the design of procedures to maintain confidentiality of the data and privacy of the participants. The development of procedures for the maintenance of confidentiality and privacy must also consider any differences in reporting requirements between the sites that relate to sexually transmitted diseases and child abuse. The implications of such differences for the conduct of multi-site studies are examinedEn relación con los estudios multicéntricos pueden surgir aspectos éticos y legales. Por ejemplo, culturas diferentes tienen conceptos distintos sobre las personas. Así, Estados Unidos enfatiza la autonomía del individuo, mientras que otras sociedades definen, en mayor grado, al individuo según sus roles o su relación con los demás. Estas orientaciones diferentes pueden influir en el proceso de obtener consentimiento informado y en el diseño de procedimientos para mantener la confidencialidad de los datos y la privacidad de los participantes. El desarrollo de procedimientos que garanticen la confidencialidad y la privacidad debe considerar, también, cualquiera diferencia entre los centros al informar los requisitos que tengan relación con enfermedades de transmisión sexual y con abuso de niños. Se examinan las inferencias de estas diferencias al realizar estudios multicéntricosNos estudos multicêntricos surgem questões éticas e legais. Por exemplo, culturas diferentes tem conceitos distintos sobre as pessoas. Assim, nos Estados Unidos

  20. Anatomical, growth and development studies in Badea fruits (Passiflora cuadrangularis Estudio anatómico y de los procesos de crecimiento y desarrollo del fruto de la badea (Passiflora quadrangularis

    Directory of Open Access Journals (Sweden)

    Montenegro de Carrillo Nohora

    1988-12-01

    Full Text Available This work had been done as a contribution to the study the processes of growth and development of Badea fruit
    (Passiflora quadrangularis L.. Fruit samples of different sizes were taken and treated by histological techniques and analyzed under microscope. Eight stage of development of
    diameter fruits were evaluated: 6; 10; 18; 22; 30; 40; 60 y 80 mm. Continues divisions in the external epidermis cells and parenchima on the three first stages were observed.
    Aditionally, the fruit originated from a triangular ovary, progresively pets a circular from. From the fourth stage, fruit ripenning initiates and the placenta starts to fill the locules and sarround the seed. At the eight stage the aril, which is originated from thickening of funiculus apical zone is observed. all the proeesses, which take place during
    the fruíts growth produce their final form and establish the organoleptic caracteristics.
    El presente trabajo se realizó para contribuir al estudio de los procesos de crecimiento y desarrollo del fruto de la Badea
    (Passif/ora quadrangularis L.. Para su realización se tomaron muestras de frutos de diferentes tamaños, los cuales fueron tratados mediante técnicas histológicas y analizados al microscopio. Se evaluaron ocho estadios de crecimiento correspondientes a frutos de los diámetros: 6; 10; 18; 22; 30; 40; 60 y 80 mm. En los tres primeros estadios de desarrollo del fruto, se observaron continuas divisiones
    en las células de la epidermis externa y del parénquima. Adicionalmente, el fruto que se ha originado de un ovario triangular, va tomando forma circular. A partir del cuarto
    estadio, se inicia la maduración del fruto y la placenta ernpiezaa llenar los lóculos y a rodear las semillas. En el estadio ocho, se observa el arilo cuyo origen proviene de un engrosamiento de la zona apical del funículo. Todos los procesos, que ocurren a lo largo del crecimiento del fruto, originan su forma final y

  1. Un estudio exploratorio de los esquemas que emplean los alumnos de bachillerato para validar resultados matemáticos/ An exploratory study of schemes used by senior high school students to validate mathematic results

    Directory of Open Access Journals (Sweden)

    Víctor Larios Osorio

    2018-04-01

    Full Text Available Mathematics, as a body of scientific knowledge, includes not only a set of concepts and theories described in books and scientific journals but a procedural knowledge used for solving problems and proving the resulting solution. There is a tool for proving solutions, the so-called mathematical proof, which is worth to be included in the educational process. To complete the study herein described a random stratified sample was selected and given a test demanding to explain the answers given. However, high school students (15-18 years old do not rely on the use of the known proof scheme. For that reason, a diagnostic study was carried out at the Autonomous University of Querétaro (UAQ in order to identify the strategies the students are currently following and finding ways to teach such mathematical proof scheme. The findings are a description of individual students’ argumentative practices and the identification and grouping of the most frequently used proof scheme.

  2. Repeat immigration: A previously unobserved source of heterogeneity?

    Science.gov (United States)

    Aradhya, Siddartha; Scott, Kirk; Smith, Christopher D

    2017-07-01

    Register data allow for nuanced analyses of heterogeneities between sub-groups which are not observable in other data sources. One heterogeneity for which register data is particularly useful is in identifying unique migration histories of immigrant populations, a group of interest across disciplines. Years since migration is a commonly used measure of integration in studies seeking to understand the outcomes of immigrants. This study constructs detailed migration histories to test whether misclassified migrations may mask important heterogeneities. In doing so, we identify a previously understudied group of migrants called repeat immigrants, and show that they differ systematically from permanent immigrants. In addition, we quantify the degree to which migration information is misreported in the registers. The analysis is carried out in two steps. First, we estimate income trajectories for repeat immigrants and permanent immigrants to understand the degree to which they differ. Second, we test data validity by cross-referencing migration information with changes in income to determine whether there are inconsistencies indicating misreporting. From the first part of the analysis, the results indicate that repeat immigrants systematically differ from permanent immigrants in terms of income trajectories. Furthermore, income trajectories differ based on the way in which years since migration is calculated. The second part of the analysis suggests that misreported migration events, while present, are negligible. Repeat immigrants differ in terms of income trajectories, and may differ in terms of other outcomes as well. Furthermore, this study underlines that Swedish registers provide a reliable data source to analyze groups which are unidentifiable in other data sources.

  3. Social order, subjectivity and collective action. Notes for the study of the social movements Orden social, subjetividad y acción colectiva. Notas para el estudio de los movimientos sociales

    Directory of Open Access Journals (Sweden)

    Martín Retamozo

    2009-11-01

    Full Text Available This article uses the concept of subjectivity to illuminate the study of social movements. Subjectivity can be seen as a mediator between social sructure and collective action. The article explores how the concept of subjectivity can be useful in the study of those social movements that question the established social order.

    El artículo presenta la categoría de subjetividad colectiva como herramienta para indagar en la constitución de los movimientos sociales. La concepción de subjetividad como un proceso de articulación de sentidos frente situaciones específicas nos conduce a plantear una serie de asuntos ligados a su lógica de conformación y su funcionamiento como una instancia de mediación entre la estructuración del orden social y la acción colecita. El artículo explora, además, algunos campos que se vinculan a la subjetividad y que sirven para una investigación de los movimientos que disputan la conformación del oren social., tales como la voluntad colectiva, los proyectos, los imaginarios y las demandas sociales.

     

     

     

     

  4. Los Anhelos Del Agro

    Directory of Open Access Journals (Sweden)

    Chaparro G. A.

    1942-08-01

    Full Text Available Hablemos hoy del campesino y de su desventura, y hagámoslo, perfectamente libres de toda insana y falaz intención demagógica. Démosle el frente con resolución a esa obscura costumbre de halagar las pasiones de las gentes y explotar con fines proclives las profundas esperanzas y los honrados anhelos de los campesinos, y digamos que en Colombia, y en muchos países de América, se ha abusado impunemente de esa masa resignada que sustenta las economías de estos países, y se ha desconocido el meollo verdadero de sus problemas fundamentales, sin que las fórmulas prácticas de resolvemos íntegramente hayan aparecido, limitándose la acción a meras iniciativas aisladas e inconexas a veces contradictorias, cuyos resultados quedan perdidos en medio de la magnitud total de las situaciones.

  5. Los Informativos Radiovisuales

    Directory of Open Access Journals (Sweden)

    Javier Vela Jones

    2015-05-01

    Full Text Available La radio y la televisión representan importantes canales técnicos de la comunicación colectiva y de gran trascendencia en el campo de la información. El Perú, por su configuración geográfica y por sus características de país subdesarrollado, necesita un planteamiento integral de información a través de medios electrónicos, por la serie de aspectos positivos en las labores de proyección informativa, educativa y cultural. El periodismo radial y el televisivo tienen, posiblemente, mayor influencia que los demás medios, porque pueden llegar a un público alfabeto y analfabeto. De igual modo se proyecta en el campo de la opinión de grandes sectores de la colectividad, de tal manera que contribuye a formar corrientes de opinión en la sociedad. Mediante la investigación realizada en la radiodifución limeña, se establece que los informativos difundidos se hallan en la etapa del plagio de las noticias impresas que se transmiten textualmente por radio y en algunas estaciones de televisión. aunque ya existen, en ciertas emisoras de radio y televisión, departamentos informativos propios con personal especializado.

  6. Los desafíos de la pedagogía cyberfeminista: un estudio de caso The challenges of cyberfeminist pedagogy : a case study

    Directory of Open Access Journals (Sweden)

    Barbara Biglia

    2012-11-01

    Full Text Available

    En el contexto del debate sobre género, feminismos y TIC creemos importante que, en lugar de insistir en la necesidad de reducir la brecha de género a través del acercamiento de los sujetos feminizados a las TIC, se desarrollen proyectos que redefinan las TIC en base a sus deseos y/o a los feministas.

    Para ello, es necesario generar reflexiones y debates colectivos a los que, en este artículo, queremos contribuir de forma específica en lo que refiere a las dinámicas pedagógicas. En un primer momento dialogaremos con las teóricas sobre la generización de los Espacios Virtuales de Aprendizaje (EVA y las propuestas de las pedagogías feministas hacia la conformación de una pedagogía cyberfeminista. Seguidamente, a partir de la experiencia realizada en el Curso de introducción de metodología de investigación feminista (2011, intentaremos identificar factores que favorecen o dificultan dos elementos claves de la pedagogía cyberfeminista: la participación paritaria y el networking. Nuestro trabajo pretende favorecer el reconocimiento de la necesidad de investigar sobre los procesos de aprendizaje virtual desde el feminismo, presentar herramientas para el análisis, mejorar una experiencia en curso y, finalmente, ofrecer unos primeros resultados sobre los que seguir reflexionando.

    Within the context of debates around gender, feminism and ICTs, much effort has been put on pointing out the need for reducing the digital gap by means of approaching the feminized subjects to ICT. In our approach, effort needs to be put in developing projects to redefine ICTs, in order to match feminized subjects’s (and feminist needs and wishes.

    To that end, it is crucial to develop a debate and a collective reflection on the subject, and that is the objective of our proposal, particularly, in the

  7. El estudio del anuncio de la adhesión a los niveles diferenciados de gobierno corporativo con la utilización de estudio de evento Event study of announcements about adherence to differentiated corporate governance levels

    Directory of Open Access Journals (Sweden)

    Gerlando Augusto Sampaio Franco de Lima

    2006-08-01

    Full Text Available Esta investigación tiene como objetivo verificar si la información suministrada al mercado de capitales sobre la intención de adhesión a los niveles diferenciados de Gobierno Corporativo de la BOVESPA genera retornos anormales en los precios de las acciones de esas compañías. Se espera que esa adhesión resulte en el aumento de la visibilidad de la empresa y negociación de sus papeles, como también, aumento en la cantidad de información divulgada a sus inversionistas. Para la investigación, se ha realizado un estudio de evento con una muestra de 18 empresas que habían emitido la información al mercado, teniendo como base los presupuestos de MacKinlay (1997. La regresión no paramétrica fue empleada para obtener los parámetros del modelo de mercado del estudio de evento, siendo esa herramienta obtenida a partir de la bibliografía de Dombrown, Rodriguez y Sirmans (2000 y Lima (2005. Los resultados del estudio de evento demostraron que no ocurrieron retornos anormales positivos en los precios de las acciones de las empresas, demostrando, así, que la información de adhesión a los Niveles Diferenciados de Gobierno Corporativo de la BOVESPA no fue captada, de forma general, por el mercado. A pesar de los resultados obtenidos y de las conclusiones presentadas, se debe tener en consideración algunas limitaciones de la investigación, como son las conclusiones obtenidas, las cuales se han quedado restringidas a la muestra, a las variables y a la herramienta econométrica utilizada.This research aims to verify if the information supplied to the stock market on the intention of adhesion to the Differentiated Levels of Corporate Governance on the São Paulo Stock Exchange generates abnormal returns in the stock prices of these companies. Adherence to this market is expected to result in the growth of company image, negotiability of its papers and the amount of information disclosed to its investors. An event study, based on the

  8. Aprender español en USA: los medios de comunicación como motivación social Studying Spanish in the USA: Mass Media as Social Motivation

    Directory of Open Access Journals (Sweden)

    Lorena García Barroso

    2010-03-01

    Full Text Available Los medios de comunicación desempeñan un papel fundamental como vehículos transmisores de la cultura; de hecho, se han convertido en herramientas de fácil acceso para el aprendizaje de una lengua extranjera, no sólo por la transmisión de una información directa sino también indirecta. Los medios de comunicación que emiten o se publican en español han unificado la lengua en un español básico neutro, favoreciendo mejores competencias lecto-escritoras y un aumento de la autoestima de la población hispana, a la vez que la han visibilizado. El objeto fundamental de esta investigación es analizar lo que ha motivado a estudiantes estadounidenses hacia el estudio del español como segunda lengua. Para ello se ha indagado el número y los tipos de medios de comunicación de habla hispana que existen en los estados de los que procede la población encuestada, así como el uso que hacen de ellos los estudiantes participantes en este estudio. La adaptación del cuestionario de Ramírez (1992 ha permitido establecer la com petencia sociocultural del alumnado estadounidense visitante. El análisis de las encuestas realizadas a estudiantes estadounidenses con estancias en dos universidades españolas revela, además, que sienten una alta motivación social, es decir, creen que el poder trabajar y asistir a la población hispana les va a permitir una posible salida profesional. Los mass-media de habla hispana muestran la importancia que está adquiriendo el español en contextos más formales de la vida americana y hacen de nexo entre culturas. Han conquistado también como audiencia a estudiantes de español como lengua extranjera que los consideran fuente de riqueza lingüística y cultural.Mass media have a central role in transmitting culture. In fact, they have become handy relevant tools for learning a foreign language due to their ability to transmit both direct and indirect information. Mass media that broadcast or publish in Spanish have

  9. A study of bat populations at Los Alamos National Laboratory and Bandelier National Monument, Jemez Mountains, New Mexico: FY95--97 report to Los Alamos National Laboratory and Bandelier National Monument

    Energy Technology Data Exchange (ETDEWEB)

    Bogan, M.A.; O`Shea, T.J.; Cryan, P.M.; Ditto, A.M.; Schaedla, W.H.; Valdez, E.W.; Castle, K.T.; Ellison, L. [Univ. of New Mexico, Albuquerque, NM (United States)

    1998-12-31

    In 1995, a three-year study was initiated to assess the current status of bat species of concern, elucidate distribution and relative abundance, and obtain information on roosting sites of bats. The authors captured and released 1532 bats of 15 species (Myotis californicus, M. ciliolabrum, M. evotis, M. thysanodes, M. volans, M. yumanensis, Lasiurus cinereus, Lasionycteris noctivagans, Pipistrellus hesperus, Eptesicus fuscus, Euderma maculatum, Corynorhinus townsendii, Antrozous pallidus, Tadarida brasiliensis, and Nyctinomops macrotis) and followed 32 bats of eight species (M. evotis, M. thysanodes, M. volans, E. fuscus, E. maculatum, C. townsendii, A. pallidus, and N. macrotis) to 51 active diurnal roosts. The most abundant species were L. noctivagans, E. fuscus, L. cinereus, M. evotis, M. volans, and M. ciliolabrum. Most of these species are typical inhabitants of ponderosa pine-mixed coniferous forests.

  10. Mediastinal involvement in lymphangiomatosis: a previously unreported MRI sign

    Energy Technology Data Exchange (ETDEWEB)

    Shah, Vikas; Shah, Sachit; Barnacle, Alex; McHugh, Kieran [Great Ormond Street Hospital for Children, Department of Radiology, London (United Kingdom); Sebire, Neil J. [Great Ormond Street Hospital for Children, Department of Histopathology, London (United Kingdom); Brock, Penelope [Great Ormond Street Hospital for Children, Department of Oncology, London (United Kingdom); Harper, John I. [Great Ormond Street Hospital for Children, Department of Dermatology, London (United Kingdom)

    2011-08-15

    Multifocal lymphangiomatosis is a rare systemic disorder affecting children. Due to its rarity and wide spectrum of clinical, histological and imaging features, establishing the diagnosis of multifocal lymphangiomatosis can be challenging. The purpose of this study was to describe a new imaging sign in this disorder: paraspinal soft tissue and signal abnormality at MRI. We retrospectively reviewed the imaging, clinical and histopathological findings in a cohort of eight children with thoracic involvement from this condition. Evidence of paraspinal chest disease was identified at MRI and CT in all eight of these children. The changes comprise heterogeneous intermediate-to-high signal parallel to the thoracic vertebrae on T2-weighted sequences at MRI, with abnormal paraspinal soft tissue at CT and plain radiography. Multifocal lymphangiomatosis is a rare disorder with a broad range of clinicopathological and imaging features. MRI allows complete evaluation of disease extent without the use of ionising radiation and has allowed us to describe a previously unreported imaging sign in this disorder, namely, heterogeneous hyperintense signal in abnormal paraspinal tissue on T2-weighted images. (orig.)

  11. Pertussis-associated persistent cough in previously vaccinated children.

    Science.gov (United States)

    Principi, Nicola; Litt, David; Terranova, Leonardo; Picca, Marina; Malvaso, Concetta; Vitale, Cettina; Fry, Norman K; Esposito, Susanna

    2017-11-01

    To evaluate the role of Bordetella pertussis infection, 96 otherwise healthy 7- to 17-year-old subjects who were suffering from a cough lasting from 2 to 8 weeks were prospectively recruited. At enrolment, a nasopharyngeal swab and an oral fluid sample were obtained to search for pertussis infection by the detection of B. pertussis DNA and/or an elevated titre of anti-pertussis toxin IgG. Evidence of pertussis infection was found in 18 (18.7 %; 95 % confidence interval, 11.5-28.0) cases. In 15 cases, the disease occurred despite booster administration. In two cases, pertussis was diagnosed less than 2 years after the booster injection, whereas in the other cases it was diagnosed between 2 and 9 years after the booster dose. This study used non-invasive testing to show that pertussis is one of the most important causes of long-lasting cough in school-age subjects. Moreover, the protection offered by acellular pertussis vaccines currently wanes more rapidly than previously thought.

  12. Los Cuadernos INTEMAC

    Directory of Open Access Journals (Sweden)

    Calavera Vayá, Ana

    2008-06-01

    Full Text Available Since it’s foundation in June 1967 the Technical Institute for Materials and Construction (INTEMAC established the incentivation of technical training and the researching vocation of it’s staff as it’s goals. For the past eighteen years INTEMAC’s quarterlies have represented the shaping of this spirit, for what the Institute has become well known in the building business. Covering more and more topics every year, the sixty-six titles which have been published until now have all been dedicated to a big variety of issues such as the pre-standardization, the creation of guides of practical application on specific subjects, pathology or the building works of a certain importance inside the national panorama. Trying to maintain, altogether, a certain balance between edification issues, civil construction and rehabilitation of already existing buildings.The publication of INTEMAC’s quarterly has never stopped, with a three-month periodicity, programmed with a lot of anticipation, and a bilingual edition in Spanish and English, which is around 2500 copies nowadays. The following text tries to be a mirror of the evolution of this publication throughout time, with a few comments which will help the reader guess what we expect from the future days.Desde su fundación, en Junio de 1967, el Instituto Técnico de Materiales y Construcciones (INTEMAC estableció como uno de sus objetivos la incentivación de la formación técnica y de la vocación investigadora de su plantilla. Durante los últimos dieciocho años los Cuadernos INTEMAC han representado la plasmación de este espíritu, por el que el Instituto ha llegado a ser bien conocido en el mundo de la Construcción. Cubriendo campos cada vez más amplios, los 66 números publicados hasta ahora se han dedicado a asuntos tan variados como la pre-normativa, la creación de guías de aplicación práctica sobre temas concretos, la patología o las obras de una especial importancia

  13. Los ancianos como actores sociales

    Directory of Open Access Journals (Sweden)

    Mª PIA ARENYS

    1996-01-01

    Full Text Available En este artículo se recogen las discusiones de grupo que se realizaron durante cuatro meses en Barcelona como preparación del "II congreso de la gent gran" (II congreso de ancianos de esta ciudad, en noviembre de 1993. las discusiones se llevaron a cabo en las sedes de cada distrito, previa presentación de la ponencia por parte de un técnico. los componentes de los grupos son personas mayores sensibilizadas y comprometidas que forman parte del consejo de bienestar social del ayuntamiento de Barcelona. la metodología utilizada es cualitativa para el análisis del discurso, que se ha estructurado en los siguientes puntos: bajo el epígrafe "los ancianos como ciudadanos de derechos y obligaciones" se recogen los temas de valoración de la vejez, la familia, la jubilación, las implicaciones de los ancianos como ciudadanos de derechos y deberes y las funciones sociales de los ancianos.-- sobre estos temas, los mayores expresaron sus opiniones, que se vertieron, resumidamente, en la redacción final de la ponencia. aquí se recogen y se han analizado los materiales que ofrecen una versión de primera mano sobre lo que opinan los ancianos respecto al tema de "la valoración de la vejez".

  14. Los sentidos y las ruinas

    Directory of Open Access Journals (Sweden)

    Francine Masiello

    2014-06-01

    Full Text Available Camino a Cafayate, al norte de Tucumán, la ciudadela de los indios quilmes me permite el descanso y la reflexión. Escalando lo que en otra época fue la fortaleza de una cultura poderosa, estudio el horizonte, admiro las alturas, intento reconstruir la vida de los indígenas tal como hubiera sido en una época muy lejana. Sin embargo, estos pensamientos no son libres, ni son míos; más bien, el libro de turismo me dice cómo tengo que mirar, me cuenta la historia de la cultura quilmes para que no me quede ninguna sorpresa. Los quilmes, la civilización más grande de la Argentina antes de la llegada de los españoles, primero resistían los avances del imperio incaico y después, durante 130 años, se oponían a los conquistadores. Sabemos por los guías de turismo que los españoles arrancaron a los últimos sobrevivientes a pie a Buenos Aires. La gran mayoría pereció en el camino. También sabemos que las ruinas de los quilmes fueron rehabilitadas durante la última dictadura militar. Imposible, entonces, no captar la ironía del gesto de los militares al recordar a los indígenas desaparecidos mientras seguían desapareciendo al pueblo argentino durante la década de los años setenta.

  15. The Energy Science and Technology Database on a local library system: A case study at the Los Alamos National Research Library

    Energy Technology Data Exchange (ETDEWEB)

    Holtkamp, I.S.

    1994-10-01

    This paper presents an overview of efforts at Los Alamos National Laboratory to acquire and mount the Energy Science and Technology Database (EDB) as a citation database on the Research Library`s Geac Advance system. The rationale for undertaking this project and expected benefits are explained. Significant issues explored are loading non-USMARC records into a MARC-based library system, the use of EDB records to replace or supplement in-house cataloging of technical reports, the impact of different cataloging standards and database size on searching and retrieval, and how integrating an external database into the library`s online catalog may affect staffing and workflow.

  16. Payload specialist Reinhard Furrer show evidence of previous blood sampling

    Science.gov (United States)

    1985-01-01

    Payload specialist Reinhard Furrer shows evidence of previous blood sampling while Wubbo J. Ockels, Dutch payload specialist (only partially visible), extends his right arm after a sample has been taken. Both men show bruises on their arms.

  17. Choice of contraception after previous operative delivery at a family ...

    African Journals Online (AJOL)

    Choice of contraception after previous operative delivery at a family planning clinic in Northern Nigeria. Amina Mohammed‑Durosinlorun, Joel Adze, Stephen Bature, Caleb Mohammed, Matthew Taingson, Amina Abubakar, Austin Ojabo, Lydia Airede ...

  18. Los juicios de Cicerón sobre los Graco

    Directory of Open Access Journals (Sweden)

    Gregorio HINOJO ANDRÉS

    2010-02-01

    Full Text Available De los movimientos sociales y políticos de la Antigüedad es probablemente el de los hermanos Graco el que ha suscitado mayor interés y atracción en los tiempos modernos, como acredita una densa y copiosa bibliografía. Algunos autores e investigadores interpretan el movimiento de los Graco como un conjunto de medidas y reformas tendentes a recomponer el ejército romano y la base de propietarios de donde extraer los futuros soldados, sin asignarles ningún tipo de contenido social y de reforma de las estructuras agrarias y de la propiedad de la tierra; un grupo mucho mayor piensa que el contenido social, los ideales humanísticos y una búsqueda de la justicia y de la equidad fueron los objetivos de las medidas de los dos tribunos, aunque discrepan estos autores en el contenido y alcance de estas medidas, ya que para uno era una simple reforma, mientras que otros hablan de una verdadera revolución. Hay, sin embargo, un rasgo común en la historiografía moderna y es la simpatía y valoración positiva con la que se describe y se juzga este movimiento, pese a la diversa ideología de los estudiosos.

  19. Los youtubers como nuevos referentes sociales de los nativos digitales

    OpenAIRE

    Arias Delgado, Clara

    2017-01-01

    El presente Trabajo Fin de Grado estudia la capacidad de influencia de los ‘youtubers’ españoles con más suscriptores en España y como el consumo de esta plataforma afecta y modifica las pautas tradicionales de consumo digital de los más jóvenes. Para abordar el estudio se ha realizado un exhaustivo análisis basado en los vídeos producidos por 10 youtubers tomados como muestra durante el mes de octubre de 2016. A través del presente estudio se pretende abordar la capacidad de los youtubers pa...

  20. Sacrococcygeal pilonidal disease: analysis of previously proposed risk factors

    Directory of Open Access Journals (Sweden)

    Ali Harlak

    2010-01-01

    Full Text Available PURPOSE: Sacrococcygeal pilonidal disease is a source of one of the most common surgical problems among young adults. While male gender, obesity, occupations requiring sitting, deep natal clefts, excessive body hair, poor body hygiene and excessive sweating are described as the main risk factors for this disease, most of these need to be verified with a clinical trial. The present study aimed to evaluate the value and effect of these factors on pilonidal disease. METHOD: Previously proposed main risk factors were evaluated in a prospective case control study that included 587 patients with pilonidal disease and 2,780 healthy control patients. RESULTS: Stiffness of body hair, number of baths and time spent seated per day were the three most predictive risk factors. Adjusted odds ratios were 9.23, 6.33 and 4.03, respectively (p<0.001. With an adjusted odds ratio of 1.3 (p<.001, body mass index was another risk factor. Family history was not statistically different between the groups and there was no specific occupation associated with the disease. CONCLUSIONS: Hairy people who sit down for more than six hours a day and those who take a bath two or less times per week are at a 219-fold increased risk for sacrococcygeal pilonidal disease than those without these risk factors. For people with a great deal of hair, there is a greater need for them to clean their intergluteal sulcus. People who engage in work that requires sitting in a seat for long periods of time should choose more comfortable seats and should also try to stand whenever possible.

  1. Transversalidad e impacto de género: de las políticas a los programas. Estudio de caso en las Islas Canarias=Gender mainstreaming and impact: from policies to programs. A case study in the Canary Islands

    Directory of Open Access Journals (Sweden)

    Carmen Ascanio Sánchez

    2017-06-01

    Full Text Available Resumen La transversalidad de género es un concepto ampliamente difundido y defendido que, sin embargo, también ha sido criticado por su ambigüedad y polisemia. Si bien este enfoque debe atravesar los diferentes niveles -desde las políticas a los programas-, la práctica muestra un modelo dual y desarticulado entre, por una parte, los marcos estratégicos y por otro, la puesta en marcha de acciones específicas. A partir de un estudio de caso en las Islas Canarias y de una evaluación de impacto de género (Acogida temprana, se identifican debilidades, oportunidades y contradicciones en la práctica de la transversalidad, mostrando como a través de este tipo de evaluaciones pueden desarrollarse estrategias y herramientas para implementar la articulación entre los niveles.   Abstract  “Gender mainstreaming” is an oft-used, broadly supported term that, however, has also been criticized for being an ambiguous word with multiple meanings. In theory, mainstreaming should cut across all different levels -from policies to programs-, but practice has shown that the model tends to be both dual and disjointed, focusing on strategic frameworks on the one hand and the implementation of specific actions on the other. Using a case study on the Canary Islands and a gender impact assessment (in early childcare, this paper identifies weaknesses, opportunities and contradictions in mainstreaming as it plays out in practice, showing how this type of assessment can be used to develop strategies and tools for linking up the various levels of implementation.