[Dialogues between Clio and Asclepius: Ivolino de Vasconcellos and the Revista Brasileira de História da Medicina].

PubMed

Amoroso, Mauro

2007-01-01

The Brazilian Institute for the History of Medicine was founded on 1945 by the physician Ivolino de Vasconcellos. Because the movement intended to be of national scope, the Federação Nacional de História da Medicina e Ciências Afins was also created (National Federation for the History of Medicine and Related Sciences). The latter group had a humanistic understanding of medicine, wherein the history of medicine played a central role; since this subject honored great names and achievements in medicine, members of the federation felt it was a prime tool in the ethical and humanistic training of healthcare professionals. Thus was born the Revista Brasileira de História da Medicina, which fostered scientific and academic production and events in the field of history of medicine and also registered the Federation's activities and scientific output.

[Translation of titles into English in Medicina Clínica: quality and influence of the Spanish language].

PubMed

Navarro, F A; Barnes, J

1996-03-02

Journals that are not published solely in English have the titles of papers translated into English, the international language of medicine. The aim of this paper is to analyse the accuracy and quality of such translations in Medicina Clínica and to assess the influence of the morphology and syntax of Spanish on the English versions of the titles. Two professional medical translators, one Spanish and the other English, each with a knowledge of both languages, compared the original Spanish and the English translations of the titles of the 292 papers and communications published in the 20 issues of volume 100 of Medicina Clínica. The discrepancies or "errors" were classified in five groups of increasing seriousness. Of the titles studied, 77% contained some sort of error (458 errors were detected). In 100 titles (34%) there were differences in meaning between the original Spanish and the English translations. Another 72 titles contained serious orthographical, lexical or grammatical mistakes, though the basic meaning was not distorted. Approximately a third of the lexical and grammatical errors were attributable to the direct influence of Spanish. The English translations of titles in Medicina Clínica contain numerous orthographical, lexical and gammatical mistakes. Serious errors of meaning in a number of translated titles could result in misinterpretation by readers who do not know Spanish. We recommend that the authors should play a part in the translation of the titles, as this should provide a simple and effective mean of improving the accuracy of the translations. Our comparison yielded much worse results than had been expected, which suggests that similar studies with other medical journals in Spanish and other languages would be justified.

[Johann Misch Astrophilus' book "Medicina Pauperum" in Hungarian. Copy of a lost or hidden book from 1660].

PubMed

Kiss, István; Tavaszy, Mariann; Kiss, Gergely

2011-07-03

Doctors and pharmacies in the 15th Century only used handwritten copies of the prescription collections available in their time. At the beginning of book printing the publishing of prescription collections immediately became popular. They could be found on the pages of medical and pharmaceutical books of many various editions with different structure and origin, as the forerunner of the official pharmacopoeias. From the 16th Century onwards books with the title "Medicina Pauperum" were published which helped the educated people to tend to themselves, the household, the servants and their immediate surroundings case of an illness. The first work specifically on the topic or of genre of the "Medicina Pauperum" according to our knowledge appeared in Hungarian in the year 1660 and currently seems to survived only in fragments under the title of "Medicina Pauperum", from an unknown author. A rare incident occurred in the present days as a "book" believed to be lost for us turned up from thin air. It is a "copied" manuscript in the size of 97×139 mm attached to the ribs with hemp cord, cropped around and in an unbound state. The book known before only in fractions is now available entirety handwritten on 318 pages, distributed to seven distinct parts. The research of its origin suggests that the author lived and worked in Nagyszombat and was called Johann Misch Astrophilus. The identification of the printing office was possible thanks to the examination of the initials and the gaudily, as well as the fonts and the watermark. By these results the printing very likely occurred in the Brewer Printing Press in Lőcse. For the possibility of more extensive research and value preservation the manuscript was bounded. The facsimile edition contains the magnified and digitalized pages of the original one and is published in numbered issues.

[La Medicina del Lavoro: 100 volumes].

PubMed

Zocchetti, C

2009-01-01

With these pages La Medicina del Lavoro starts its 100th volume, so we have yet another historical occasion to celebrate the oldest occupational health journal in the world that is still publishing. Over the last few years we have had many occasions to celebrate, for example several anniversaries of the Journal (the 80th volume in 1989, 90 years in 1992, 100 years in 2001); the centenary of the foundation of the Clinica del Lavoro "Luigi Devoto" of Milan in 2001; the celebration of the 300 years' anniversary of the publication of De Morbis Artificum Diatriba by Bernardino Ramazzini, and we obviously hope to continue for many years to come in this positive outlook. One hundred volumes makes for a very large collection, with the highs and lows ofthe Journal's history (here we mean the variations in number of pages and physical size of the Journal). It is thanks to the Editors-in-chief(there have been very few so we can cite them all: Luigi Devoto, 1901-1936; Luigi Preti, 1936-1941; Enrico Vigliani, 1943-1992; e Vito Foà, 1992 to the present); the contributors who in various ways and with varying degrees of commitment but always with an exceptional personal participation, that it has been possible to reach 100 volumes, starting with C. Moreschi who, along with Luigi Devoto, was the first and sole editor at the Journal's foundation; up to the present extended and impressive editorial board; the printers (from the first. Tipografia Cooperativa, Via dei Molini in Pavia, to the latest: Casa Editrice Mattioli in Fidenza); the sponsors, including the most evident who, via advertising (rather limited as a matter offact), directly gave information about themselves, but also those who have often been or are behind the scenes, ensuring fundamental support which is not visible; content. articles, news, events, reports, ideas, opinions, photographs, tables, numbers... etc, which are really impossible to sum up. But the true collection which, for obvious reasons, cannot be

[Revista Brasileira de História da Medicina, a pioneer in medical historiography].

PubMed

Mendonça, Amanda; Nicolini, Gabriel Baptista

2007-01-01

I(It? This?) presents the general characteristics of the Revista Brasileira de História da Medicina, which contributed for the emergence of the field of medicine history in Brazil by inciting bibliographic production on the subject. The purpose of our analysis is to foster research on the history of medicine and of the sciences. From the description of the editorial aspects of the journal one can have an idea of how the research field was organized between 1940 and 1960. The periodical also allows for an overview of the exchange occurring between Brazilian and foreign historian physicians at that time.

Multi-technique approach for deriving a VLBI signal extra-path variation model induced by gravity: the example of Medicina

NASA Astrophysics Data System (ADS)

Sarti, P.; Abbondanza, C.; Negusini, M.; Vittuari, L.

2009-09-01

During the measurement sessions gravity might induce significant deformations in large VLBI telescopes. If neglected or mismodelled, these deformations might bias the phase of the incoming signal thus corrupting the estimate of some crucial geodetic parameters (e.g. the height component of VLBI Reference Point). This paper describes a multi-technique approach implemented for measuring and quantifying the gravity-dependent deformations experienced by the 32-m diameter VLBI antenna of Medicina (Northern Italy). Such an approach integrates three different methods: Terrestrial Triangulations and Trilaterations (TTT), Laser Scanning (LS) and a Finite Element Model (FEM) of the antenna. The combination of the observations performed with these methods allows to accurately define an elevation-dependent model of the signal path variation which appears to be, for the Medicina telescope, non negligible. In the range [0,90] deg the signal path increases monotonically by almost 2 cm. The effect of such a variation has not been introduced in actual VLBI analysis yet; nevertheless this is the task we are going to pursue in the very next future.

Medicina ToO of the non-identified gamma-ray source AGL J1412-0522

NASA Astrophysics Data System (ADS)

Egron, Elise; Pilia, Maura; Righini, Simona; Pellizzoni, Alberto; Loru, Sara; Giroletti, Marcello

2017-09-01

Following the AGILE detection of a non-identified gamma-ray source AGL J1412-0522 on 5-7 August 2017 (ATel #10623), we performed radio observations with the 32-m Medicina radio telescope at 8.5 GHz (with 680 MHz bandwidth) on 9 August 2017 from 12:40 to 19:00 UTC and on 10 August 2017 from 14:00 to 17:50 UTC. We carried out squared on-the-fly maps of 45.5'x45.5' centered on the gamma-ray position (ra=14:12:06.0, dec=-05:22:14.9) to take into account the 0.4 deg position error from AGILE results.

'For the benefit of the people': the Dutch translation of the Fasciculus medicinae, Antwerp 1512.

PubMed

Coppens, Christian

2009-01-01

The article deals with the Dutch translation of the Fasciculus medicinae based on the Latin edition, Venice 1495, with the famous woodcuts created in 1494 for the Italian translation of the original Latin edition of 1491. The woodcuts are compared with the Venetian model. New features in the Antwerp edition include the Skeleton and the Zodiac Man, bot originally based on German models. The text also deals with other woodcuts in the Low Countries based on these Venetian illustrations. The Appendices provide a short title catalog of all the editions and translations based on the Venetian edition and a stemma.

Thermal behavior of the Medicina 32-meter radio telescope

NASA Astrophysics Data System (ADS)

Pisanu, Tonino; Buffa, Franco; Morsiani, Marco; Pernechele, Claudio; Poppi, Sergio

2010-07-01

We studied the thermal effects on the 32 m diameter radio-telescope managed by the Institute of Radio Astronomy (IRA), Medicina, Bologna, Italy. The preliminary results show that thermal gradients deteriorate the pointing performance of the antenna. Data has been collected by using: a) two inclinometers mounted near the elevation bearing and on the central part of the alidade structure; b) a non contact laser alignment optical system capable of measuring the secondary mirror position; c) twenty thermal sensors mounted on the alidade trusses. Two series of measurements were made, the first series was performed by placing the antenna in stow position, the second series was performed while tracking a circumpolar astronomical source. When the antenna was in stow position we observed a strong correlation between the inclinometer measurements and the differential temperature. The latter was measured with the sensors located on the South and North sides of the alidade, thus indicating that the inclinometers track well the thermal deformation of the alidade. When the antenna pointed at the source we measured: pointing errors, the inclination of the alidade, the temperature of the alidade components and the subreflector position. The pointing errors measured on-source were 15-20 arcsec greater than those measured with the inclinometer.

Avaliação do conhecimento de pacientes diabéticos sobre medidas preventivas do pé diabético em Maringá (PR)

PubMed Central

Carlesso, Guilherme Pereira; Gonçalves, Mariana Helena Barboza; Moreschi, Dorival

2017-01-01

Resumo Contexto O atual envelhecimento da população tem gerado maior predominância de doenças crônicas, como o diabetes, a qual está associada a um risco elevado de complicações crônicas e agudas. Entre essas, o pé diabético (PD) destaca-se por possuir alta incidência e grande poder mutilador. Objetivo Avaliar o conhecimento da população diabética das Unidades Básicas de Saúde (UBS) de Maringá (PR) sobre a prevenção do PD. Métodos Estudo descritivo, quantitativo, tipo inquérito por entrevista. A população estudada foi composta por 80 portadores de diabetes, cadastrados em UBS de Maringá (PR). A coleta de dados buscou levantar dados sociodemográficos e epidemiológicos, bem como as atitudes de controle do diabetes e do autocuidado para prevenção do PD. Resultados Do total de entrevistados, nove não realizavam qualquer tipo de exame para controle do diabetes e a renda mensal predominante foi de até um salário mínimo. O grau de escolaridade e a renda mensal não se mostraram relevantes em relação ao conhecimento de cuidados preventivos do PD e nem uma maior adesão a hábitos de vida saudáveis. O cuidado com o PD tende a melhorar à medida que exista uma compreensão mais clara dos fatores que conduzem à perda do membro e um crescente consenso sobre a gestão de vários aspectos clínicos do cuidado com o pé. Conclusão Existe uma falta de aprendizado das medidas preventivas, mesmo nos pacientes com algum nível de instrução, o que induz a uma prática deficiente de cuidados.

Multibeam Gpu Transient Pipeline for the Medicina BEST-2 Array

NASA Astrophysics Data System (ADS)

Magro, A.; Hickish, J.; Adami, K. Z.

2013-09-01

Radio transient discovery using next generation radio telescopes will pose several digital signal processing and data transfer challenges, requiring specialized high-performance backends. Several accelerator technologies are being considered as prototyping platforms, including Graphics Processing Units (GPUs). In this paper we present a real-time pipeline prototype capable of processing multiple beams concurrently, performing Radio Frequency Interference (RFI) rejection through thresholding, correcting for the delay in signal arrival times across the frequency band using brute-force dedispersion, event detection and clustering, and finally candidate filtering, with the capability of persisting data buffers containing interesting signals to disk. This setup was deployed at the BEST-2 SKA pathfinder in Medicina, Italy, where several benchmarks and test observations of astrophysical transients were conducted. These tests show that on the deployed hardware eight 20 MHz beams can be processed simultaneously for 640 Dispersion Measure (DM) values. Furthermore, the clustering and candidate filtering algorithms employed prove to be good candidates for online event detection techniques. The number of beams which can be processed increases proportionally to the number of servers deployed and number of GPUs, making it a viable architecture for current and future radio telescopes.

Intrasite motions and monument instabilities at Medicina ITRF co-location site

NASA Astrophysics Data System (ADS)

Sarti, Pierguido; Abbondanza, Claudio; Legrand, Juliette; Bruyninx, Carine; Vittuari, Luca; Ray, Jim

2013-03-01

We process the total-station surveys performed at the ITRF co-location site Medicina (Northern Italy) over the decade (2001-2010) with the purpose of determining the extent of local intrasite motions and relating them to local geophysical processes, the geological setting and the design of the ground pillars. In addition, continuous observations acquired by two co-located GPS stations (MEDI and MSEL separated by ≈27 m) are analysed and their relative motion is cross-checked with the total-station results. The local ground control network extends over a small area (<100 × 100 m) but the results demonstrate significant anisotropic deformations with rates up to 1.6 mm a-1, primarily horizontal, a value comparable to intraplate tectonic deformations. The results derived from GPS and total-station observations are consistent and point to the presence of horizontal intrasite motions over very short distances possibly associated with varying environmental conditions in a very unfavourable local geological setting and unsuitable monument design, these latter being crucial aspects of the realization and maintenance of global permanent geodetic networks and the global terrestrial reference frame.

[Physical activity centre VSTJ MEDICINA Prague--rehabilitation for diabetics].

PubMed

Fábin, P; Matoulek, M

2007-05-01

Physical activity is the basic non-pharmacological instrument in the treatment of type 2 diabetes. Nevertheless, only a small number of diabetics take regular physical exercise. One of the reasons why diabetics "do not exercise" is that they have little opportunity to try physical stress under expert supervision and to get to know its effects on, for example, sugar levels. It is a very complex matter to define the optimal intensity of physical activity of, for example, a diabetic who suffers from obesity. In 2001 VSTJ MEDICINA Prague opened its first physical activity centre at the First Faculty of Medicine, Charles University in Prague, in cooperation with the Third Internal Clinic and the Institute of Sports Medicine of the First Faculty of Medicine, Charles University in Prague. It now has over 2000 members, of whom around 60% are patients with metabolic syndrome. Over 150 patients exercise every day under the supervision of expert instructors. The main objective of the Physical Activity Centre is to teach patients the correct principles of physical exercise to enable them to continue carrying out their trainers' instructions at home. A correct understanding of the importance of physical exercise and practical experience under the supervision of experienced instructors improves compliance and has a strong effect on the compensation of diabetes, thereby improving the prognoses of these patients.

[Profile of patients with anophthalmic cavity: study at Faculdade de Medicina de Botucatu - UNESP].

PubMed

Narikawa, Silvia; Natsuaki, Kryscia Leiko; Fruet, Juliana; Padovani, Carlos Roberto; Schellini, Silvana Artioli

2011-01-01

To evaluate the profile of anophthalmic cavity carriers and patients' evolution with the employed treatments. Retrospective study carried out at Faculdade de Medicina de Botucatu, to evaluate the profile and the evolution of patients with anophthalmic cavity treated in our service. Data were evaluated according to the frequency of occurrence and analysis of association. Anophthalmic cavity was more frequently observed in young males, workers in activities carried on with their hands. Trauma and phthisis bulbi were the most frequent causes, with differences according to age and gender. The complications were high (57.1% of cases), the majority occurred belatedly. Trauma is still an important cause of loss of the eye. The complications during the follow-up of the patient are frequent, occurring in general, very late, which reinforces the need for periodic and prolonged monitoring of patients with anophthalmic cavity.

"De medicina et morbis" from De rerum naturis by Rabano Mauro.

PubMed

Iorio, Luigi; Mantella, Daniela; Iorio, Brunella

2009-01-01

De rerum naturis from the Monastery of Montecassino (MS codex 132) by Rabano Mauro, is a medieval encyclopedia issued around the year 1025, in the Abbey of Montecassino, during the period of Abbot Teobaldo. It is a copy of a more ancient text, written almost certainly in the Abbey of Fulda 2 centuries before, when Rabano Mauro was the abbot - that is, in the Carolingian age. In the Book 18 there is a chapter entitled "De medicina et morbis," in which we find related the fundamental principles on which studies of the human body, illness and the principal medicinal herbs were based. The text is not intended for teaching the medical art, but has the precise objective of helping to form the cultured Christian, trying to combine the old Greek-Roman tradition with a mystical vision, giving a moral application according to the dictates of Jewish-Christian religion. This text is indicative of the fusion of the scientific and religious worlds in the West during the Middle Ages. This interpretation of the universe will last for about a millennium, and only the Renaissance will be able to separate the 2 worlds again.

Publications on Aerospace Medicine of Dr. H. J. /Von Beckh (1941 - 1987)

DTIC Science & Technology

1986-12-31

Ciclo de Conferencias sobre Medicina A~ro-espacial coincidiendo con el XVII. Congreso Internacional Astronautico. Inspeccion General de Sanidad del...Astronautica (Medical Problems of Astronautics). Sexta Con- 14 NADC 86147 -60 ferencia del Ciclo 1952 de la Sociedad Argentina Interplanetaria...del ciclo 1953 de ia Sociedad Argentina Interplanetaria. Auditorium of the Department of Physiology, Medical School. University of Buenos Aires. 20 Aug

[Positivism and medical science in Rio Grande do Sul: the Faculdade de Medicina de Porto Alegre].

PubMed

Weber, B T

1998-01-01

The article analyzes conflicts and interests at one of Rio Grande de Sul's main centers for medical science, the Faculdade de Medicina de Porto Alegre. It explores the meaning and impact of the emergence of this specific, exclusive field of knowledge in a state where positivist principles of professional freedom were adopted by successive administrations during the early period of the Republic. Physicians there launched an entrenched war to uphold the principles of science over faith and politics, challenging the positivism of the party which held power in Rio Grande do Sul throughout the years. This perspective grew and developed in a climate of conflict and doubts among physicians, within a political context that differed from the rest of Brazil.

Developments of FPGA-based digital back-ends for low frequency antenna arrays at Medicina radio telescopes

NASA Astrophysics Data System (ADS)

Naldi, G.; Bartolini, M.; Mattana, A.; Pupillo, G.; Hickish, J.; Foster, G.; Bianchi, G.; Lingua, A.; Monari, J.; Montebugnoli, S.; Perini, F.; Rusticelli, S.; Schiaffino, M.; Virone, G.; Zarb Adami, K.

In radio astronomy Field Programmable Gate Array (FPGA) technology is largely used for the implementation of digital signal processing techniques applied to antenna arrays. This is mainly due to the good trade-off among computing resources, power consumption and cost offered by FPGA chip compared to other technologies like ASIC, GPU and CPU. In the last years several digital backend systems based on such devices have been developed at the Medicina radio astronomical station (INAF-IRA, Bologna, Italy). Instruments like FX correlator, direct imager, beamformer, multi-beam system have been successfully designed and realized on CASPER (Collaboration for Astronomy Signal Processing and Electronics Research, https://casper.berkeley.edu) processing boards. In this paper we present the gained experience in this kind of applications.

2001 GPS and Classical Survey at Medicina Observatory: Local Tie and VLBI Antenna's Reference Point Determination

NASA Astrophysics Data System (ADS)

Vittuari, Luca; Sarti, Pierguido; Tomasi, Paolo

2001-12-01

During a 6 days campaign in June 2001, we have performed a local survey at Medicina Observatory using classical geodesy and GPS techniques in order to determine the effects of an undergone track repair. We have determined the position of the reference point P within a local and ITRF2000 (epoch 1997.0) reference frames using trilateration and triangulation: Pclas_{loc}^{2001}=(21.580pm0.001,45.536pm0.001,17.699pm0.001) Pclas_{loc}^{2001}=(21.580pm0.001,45.536pm0.001,17.699pm0.001) Pclas_{ITRF2000}^{1997.0}=(4461369.982pm0.001,919596.818pm0.001,4449559.207pm0.001) Kinematic GPS has also given interesting results:Medicina in ITRF2000 the agreement is striking especially for the classical technique. A complete tie between the 3-D forced centered local ground control network (materialised in May 2000) and the widely used older network (which is now experiencing some problems due to the disgregation of the concrete where bolts are situated) has also been realised. This will allow inter-comparison of results obtained by the different campaigns that have been carried out in the last decade. Finally, the position of the ASI-GPS permanent station has been estimated within the local ground control network. Thus, using classical methodology, a precise determination of the VLBI-GPS ex-centre vector has been possible.

QUALIS PERIODIC EVALUATION: ANALYSIS OF QUALIS UPGRADE IN MEDICINE III.

PubMed

Jukemura, José; Diniz, Márcio Augusto

2015-01-01

To evaluate the preliminary results related to journals up-grade that was used by Medicine III, through opportunity offered by Capes to all agency areas programs. Were used area document of Medicine I, II and III, besides other relevant topics available online at Capes site, between 2009 and 2013. The research was focused to answer two questions: 1) the stratification of Qualis is similar in the three areas of medicine? and 2) the evolution of Qualis in Medicine III was higher? Medicine III showed an increase in its Qualis classification and is publishing in journals with higher impact factors, virtually the same as the Medicine I and II. The area showed the strongest growth in recent three-year periods. Avaliar os resultados preliminares sobre a Medicina III do up-grade oportunizado pela Capes para todas as áreas. Foram utilizados os documentos de áreas e os relevantes ao tema disponíveis online no site da Capes entre 2009 e 2013. Procurou-se focar a pesquisa em dois aspectos para responder duas perguntas: 1) a estratificação do Qualis é semelhante nas três áreas da medicina? e 2) a evolução do Qualis da Medicina III foi maior? A Medicina III apresentou evolução em sua classificação Qualis e está publicando em revistas com maior fator de impacto e é praticamente igual ao da Medicina I e II. A área foi a que apresentou maior evolução nestes últimos triênios.

The Spanish human papillomavirus vaccine consensus group: a working model.

PubMed

Cortés-Bordoy, Javier; Martinón-Torres, Federico

2010-08-01

Successful implementation of Human Papillomavirus (HPV) vaccine in each country can only be achieved from a complementary and synergistic perspective, integrating all the different points of view of the diverse related professionals. It is this context where the Spanish HPV Vaccine Consensus Group (Grupo Español de Consenso sobre la Vacuna VPH, GEC-VPH) was created. GEC-VPH philosophy, objectives and experience are reported in this article, with particular attention to the management of negative publicity and anti-vaccine groups. Initiatives as GEC-VPH--adapted to each country's particular idiosyncrasies--might help to overcome the existing barriers and to achieve wide and early implementation of HPV vaccination.

[National Academy of Medicine, one hundred and fifty-four academic year].

PubMed

Mansilla-Olivares, Armando

2017-01-01

El incalculable valor que atesora la Academia Nacional de Medicina, su enorme influencia y repercusión sobre la toma de decisiones médico-científico-epidemiológicas, radica única y exclusivamente en el dominio del conocimiento, la mente científica y el talento de todos y cada uno de sus miembros, desde su fundación en 1864 hasta nuestros días.

Separating Mass and Height Contributions in Gravity Variations at Medicina, Italy

NASA Astrophysics Data System (ADS)

Zerbini, S.; Bruni, S.; Errico, M.; Santi, E.; Wziontek, H.

2016-12-01

During 1996, at the Medicina station, a GPS and a superconducting gravimeter (SG) were installed in the framework of an experiment focused on the comparison between height and gravity variations. Absolute gravity observations are also performed twice a year and environmental parameters, among others water table levels, are recorded continuously. The station is also equipped with a second GPS system, the two antennas are very close to each other, and both are located in close proximity to the VLBI dish. Two decades of continuous height and gravity observations are now available which allow investigating both long and short period signals and the relevant correlations between the two measured quantities. Long period signatures are observed, a principal component is due to subsidence which is well known to occur in the area; however, also non-linear long-period behaviors are observed. Seasonal effects are also clearly recognizable in the time series and are mainly associated with the water table seasonal behavior. The station is characterized by clayey soil which is subject to consolidation effects when the water table lowers during the summer period. This effect is particularly recognizable in the SG data since the instrument is installed on a shallow foundation pillar which may suffer for height decreases in the order of 2,5-3 cm for water table lowering of 2 m.

Disease of the kidney and of the urinary tract in De Medicina Methodica (Padua, 1611) of Prospero Alpini (1563-1616).

PubMed

De Santo, Natale Gaspare; Bisaccia, Carmela; Ricciardi, Biagio; Anastasio, Pietro; Aliotta, Giovanni; Ongaro, Giuseppe

2016-02-01

The study was devised to understand the contribution to nephrology ofDe Medicina Methodicaof Prospero Alpini published in 1511, at a time when the fame of the professor reached the azimuth. We have analyzed the contents of chapters devoted to nephrology in that book of Prospero Alpini and the novelties of his message. Prospero Alpini (1563-1616) taught at the University of Padua (1594-1616), at the same time of Galileo Galilei, Santorio Santorio, and Girolamo Fabrizi dAcquapendente, when measurements (pulse, temperature, perspiration) were introduced into medicine. He was a travelling physician to whom we owe fundamental contributions to the use of urine to prognosticate life and death (De Praesagienda vita et morte aegrotantium libri septem, Venetiis, apud Haeredes Melchioris Sessae,1601). As prefect of the Botanical Garden - the first ever and a model in the world - he could turn the study of simples into cures(De Medicina Methodica Libri Tredecim. Patavi, apud Franciscum Bolzettam, 1611. Ex typographia Laurentij Pasquali, is anin foliovolume of XLVII + 424 pages, 54 lines per page), wherein Alpini aimed to rejuvenate antique medical Methodism. It is a testimony of the interest of medicine philosophers of the modern era for the corpuscular and atomic ideas (Nancy Siraisi). Methodists (2ndCentury BC) refused anatomy and physiology as unique guidelines to the interpretations of diseases and gave importance to the development of a pharmacological science and alternative medicine. The book begins with a 3 page letter to Francis Maria della Rovere Duke of Montefeltro, and a 2 page letter to the readers. We discuss the novelties of the chapters on renal colic (de dolorerenum), hematuria (de sanguinis profluvium), pyuria, anuria (de urina suppressa) and its cure, polyuria (de urina profluvio), renal abscesses, hydrops and its treatment by skin incisions. We also analyze the chapter on kidney and bladder stones (Book X, Chapter XVIII, pp. 354-356) - a masterpiece of

[Not Available].

PubMed

Vio, Fernando; Lera, Lydia; Salinas, Judith

2016-07-19

Objetivo: mediante la técnica de consenso Delphi, conocer la opinión de un grupo de expertos en nutrición, educación y gastronomía para buscar consenso sobre metodologías educativas en alimentación saludable, alumnos de tercero a quinto año básico, sus familias y profesores.Métodos: con los resultados de encuestas y grupos focales realizados previamente a niños, padres y profesores, se elaboró un cuestionario que fue enviado a 51 expertos en nutrición, educación y gastronomía en una primera ronda. Los resultados fueron analizados y reenviados en una segunda ronda con las preguntas no consensuadas, obteniendo 38 respuestas.Resultados: hubo consenso en que se pueden cambiar hábitos en escuelas mediante talleres de cocina con chefs o monitores, educación activo-participativa y huertos escolares. Padres y profesores deben tener habilidades culinarias saludables para educar a los niños. Estos deben hacer uso racional del dinero en la escuela. Para ello es necesario cambiar la oferta del kiosko hacia alimentos saludables, o suprimirlo si no es saludable. Los profesores deben capacitarse con talleres de autocuidado y vida sana para educar en alimentación saludable a los niños en horarios de clase con material educativo, talleres de cocina con recetas y aprovechar horarios de desayuno y almuerzo para actividades educativas. Los padres deben participar en talleres para escoger alimentos saludables en lugares de venta y preparar menús saludables. Los niños deben aprender habilidades culinarias simples, preparando y degustando alimentos saludables. Conclusiones: estos resultados son fundamentales para diseñar materiales educativos en alimentación saludable que cambien los malos hábitos alimentarios actuales.

[Theses on hepatitis at the Faculdade de Medicina of the Universidade Federal do Rio de Janeiro, 1837-2000].

PubMed

Gaze, Rosangela; Carvalho, Diana Maul de; Tura, Luiz Fernando Rangel; Martins, Carolina Passos Telles Taveira; Lobato, Vanessa Maria Tavares

2012-06-01

An inventory of the theses on hepatitis of the Faculdade de Medicina of the Universidade Federal do Rio de Janeiro between 1837 and 2000 is presented. The analysis indicates the potential and limits for discussion of the evolutionary framework of scientific knowledge on these health problems in Brazil. The theories are also discussed in light of their scientific reference points and the technological and social changes that influenced them. The landmarks in medical education and knowledge about hepatitis are identified and categorized, considering that the theses reveal at the very least the state of the art on the subject. The study makes it possible to explore the foundations upon which the scientific knowledge on hepatitis were built and indicate possibilities for research in the reconstruction of scientific knowledge of other health problems.

[Productivity, visibility and citation analysis of the Revista Peruana de Medicina Experimental y Salud Pública, 2002-2009].

PubMed

Huamaní, Charles

2010-09-01

Biomedical journals are the most used and important venue to disseminate and interchange scientific information, and evaluation is an important component. A bibliometric study was conducted on the productivity, visibility and citation analysis of the Revista Peruana de Medicina Experimental y Salud Pública (RPMESP), from 2002 to 2009. During this period, the RPMESP published about 62 documents per year, 55.3% were research articles. The visibility of RPMESP, determined among three databases (SISBIB-UNMSM, SciELO-Peru, and REDALYC), was irregular, increasing on July 2006, with the highest access on October 2009 (117,618 hits). 43.0% of publications were cited. The calculated impact factor in ISI journals was 0.04 in 2009. In conclusion, the citation of RPMESP shows a slowly growing during the period 2002-2009. It is hoped that the RPMESP increase its visibility and impact after its inclusion in MEDLINE.

Neurology at Escola Paulista de Medicina (1933-1995). From Fausto Guerner to José Geraldo Camargo Lima.

PubMed

Ferraz, Henrique Ballalai; Neves, Afonso Carlos

2015-02-01

Escola Paulista de Medicina (EPM) was founded in 1933 and the first Professor of Neurology was Fausto Guerner, who could not effectively assume the teaching activities due to his premature death in 1938. Professor Guerner had had his neurological training at Paris. Professor Longo was his successor. Longo was one of the founders of Arquivos de Neuro-Psiquiatria the foremost journal of neurosciences in Latin American. Longo died in 1967 and Professor Paulo Pupo succeeded him. Pupo introduced electroencephalography in Brazil. After his death in 1970, Professor Dante Giorgi succeeded him until 1974. Professor José Geraldo Camargo Lima took over the position after Giorgi's death. He created the Neurological Emergency unit, initiated the Post-Graduation in Neurology and divided the Discipline in specialized units. During the 1980's and until his retirement in 1995, EPM had become one of most important centers of Brazil training neurologists and researchers in neurological sciences.

Celulas solares e sensores de filme fino de silicio depositados sobre substratos flexiveis =

NASA Astrophysics Data System (ADS)

Pinto, Emilio Sergio Marins Vieira

Celulas solares flexiveis de filmes finos de silicio sao geralmente fabricadas a baixa temperatura sobre substratos de plastico ou a mais elevadas temperaturas sobre folhas de aco. Esta tese reporta o estudo da deposicao de filmes finos sobre diferentes substratos de plastico, transparentes e coloridos, para celulas solares do tipo sobrestrato e substrato, respectivamente. Como objetivo co-lateral, os filmes dopados depositados sobre plastico foram usados como sensores de deformacao, utilizando as suas propriedades piezo-resistivas. Elevadas taxas de deposicao dos filmes de silicio depositados sobre plastico foram obtidas a baixa temperatura do substrato (150ºC) por rf-PECVD. A influencia de diferentes parametros de deposicao sobre as propriedades e taxa de deposicao dos filmes resultantes foram estudados e correlacionados. Celulas solares de filmes finos de silicio amorfo e microcristalino foram desenvolvidas a baixas temperaturas sobre plasticos. Eficiencias de 5 - 6.5% foram alcancadas para as celulas amorfas e 7.5% para as celulas microcristalinas. Efeitos de aprisionamento da luz foram estudados atraves da texturizacao por ablacao laser de substratos de plastico e corrosao umida de TCO sobre plastico. Filmes finos de silicio microcristalino, depositados por HW-CVD, com fator piezoresistivo de -32.2, foram usados para fabricar sensores de deformacao em uma membrana plastica muito fina (15 μm). Estruturas de teste em textil e a miniaturizacao dos sensores piezoresistivos depositados sobre substratos flexiveis de poliimida foram abordados.

The scientific authorship of Doctor Chernoviz, from the popularization of medicine to professional training: the Dicionário de medicina popular, 1842-1890.

PubMed

Medeiros, Aline da Silva

2018-03-01

This article reflects on the scientific authorship of Pedro Luiz Napoleão Chernoviz, based on his Dicionário de medicina popular, which was published in six editions between 1842 and 1890. The first part of the text discusses Chernoviz's position within the regimes of scientific authorship which were present in the medical community in Rio de Janeiro. Next, we analyze the author's arguments justifying a text that popularized medical science while this field strove for exclusivity in the practice of medicine. Finally, we suggest new meanings around Chernoviz's scientific authorship based on how the Dicionário was used and read by an initiated public.

[The language of medicine as presented in the references of original articles published in Medicina Clínica for 50 years (1945-1995)].

PubMed

Navarro, F A

1996-11-09

To describe and analyse the frequency of the various languages in the bibliographical references from the original articles published in MEDICINA CLINICA during the past 50 years (1945-1995). The languages of publication of 12,807 references from 540 original works published in MEDICINA CLINICA between 1945 and 1995 were determined (at the rate of near 50 articles per year at intervals of five years). The percentage of references in English increased constantly until 1980, but has decreased since then (26.3% in 1945, 42.1% in 1995, 57.7% in 1970, 84.2% in 1980 and 78.5% in 1995). In contrast, the percentage of references in Spanish decreased until 1980, but has increased since then (27.4% in 1945, 18.4% in 1955, 15.8% in 1970, 8.1% in 1980 and 20.0% in 1995). Initially the percentage of references in French remained more or less constant, but decreased markedly from 1970 on ward (23.1% in 1945, 22.5% in 1955, 17.1% in 1970, 5.9% in 1980 and 0.5% in 1995). The percentage of references in German decreased almost continuously during the whole period studied (19.6% in 1945, 10.7% in 1955, 5.8% in 1970, 0.3% in 1980 and 0.3% also in 1995). In 1965, English became the undisputed language of medicine in Spain. The importance of English increased from 1945, then stabilised and even started to decrease in 1980. The importance of Spanish has evolved inversely to that of English, decreasing until 1980 and increasing since that time. The importance of French remained stable until 1970, since when it has decreased, although it continued to be mentioned relatively frequently until 1990. The importance of German decreased constantly from 1945, until this language almost completely disappeared from 1985 onward.

Viability and molecular authentication of Coccidioides spp. isolates from the Instituto de Medicina Tropical de São Paulo culture collection, Brazil.

PubMed

Cavalcanti, Sarah Desirée Barbosa; Vidal, Mônica Scarpelli Martinelli; Sousa, Maria da Glória Teixeira de; Del Negro, Gilda Maria Barbaro

2013-01-01

Coccidioidomycosis is an emerging fungal disease in Brazil; adequate maintenance and authentication of Coccidioides isolates are essential for research into genetic diversity of the environmental organisms, as well as for understanding the human disease. Seventeen Coccidioides isolates maintained under mineral oil since 1975 in the Instituto de Medicina Tropical de São Paulo (IMTSP) culture collection, Brazil, were evaluated with respect to their viability, morphological characteristics and genetic features in order to authenticate these fungal cultures. Only five isolates were viable after almost 30 years, showing typical morphological characteristics, and sequencing analysis using Coi-F and Coi-R primers revealed 99% identity with Coccidioides genera. These five isolates were then preserved in liquid nitrogen and sterile water, and remained viable after two years of storage under these conditions, maintaining the same features.

[The chapter De Puero virgine (or de homine) of Liber medicinae ex animalibus by Sextus Placidus. Historical study, new critical edition and translation].

PubMed

Ferraces Rodríguez, Arsenio

2012-01-01

The article offers an historical study, a new critical edition and the translation of the chapter De Puero virgine of Liber medicinae ex animalibus by Sextus Placitus, firstly edited by Sigerist and Howald in 1927. The book, dating to Late Antiquity, is part of a phyto -zootherapeutical corpus, trasmitted by the manuscript tradition in a single block of text whose central axis is represented by the Herbarium by Pseudo-Apuleius, the tractatus De herba vettonica attributed to Antonius Musa and the De taxone. Chapter 17 is devoted to pharmacological recipes whose ingredients are organic or human body parts; here is provided a critical edition based on the collation of three texts in the manuscript tradition, well testifying the particular vitality of medical prescription texts in Late Antiquity.

Discussions about the Nature of Science in a Course on the History of Astronomy. (Spanish Title: Discusiones sobre la Naturaleza de la Ciencia en un Curso sobre Historia de la Astronomía.) Discussões sobre a Natureza da Ciência em um Curso sobre a História da Astronomia

NASA Astrophysics Data System (ADS)

Pires de Andrade, Victória Flório; L'Astorina, Bruno

2010-07-01

There are an increasing number of researches in science education that affirm the importance of discussions on the "nature of science" in basic education level as well as in teacher training. The history of science applied to education is a way to contextualize epistemological discussions, allowing both the understanding of scientific content and learning about science concepts. We present some reasonably consensual definitions on the nature of science that have been widely discussed by the academic community. We show also some episodes in the history of astronomy which can lead to discussions involving some aspects of the nature of science, and how they can do it. Hay un número creciente de investigaciones en la enseñanza de las ciencias que afirman la importancia de debates sobre la "naturaleza de la ciencia" en la educación básica y formación del profesorado. La historia de la ciencia aplicada a la educación es una manera de contextualizar los debates de la epistemología, lo que permite tanto la comprensión de los contenidos científicos como el aprendizaje de conceptos científicos. En esto trabajo, presentamos algunas definiciones bastante consensuales sobre la naturaleza de la ciencia que han sido ampliamente discutidas por la comunidad académica y mostramos cómo algunos episodios en la historia de la astronomía pueden llevar a discusiones sobre algunos aspectos de la naturaleza de la ciencia. Há um número crescente de pesquisas na área de ensino de ciências que afirmam a importância de discussões sobre a "natureza da ciência" na educação básica e na formação de professores. A história da ciência aplicada ao ensino é uma maneira de contextualizar discussões epistemológicas, permitindo tanto a compreensão de conteúdos científicos quanto o aprendizado de noções sobre as ciências. Neste trabalho apresentamos algumas definições razoavelmente consensuais sobre a natureza da ciência que foram amplamente discutidas pela

Avisos de salud sobre el PFOA y PFOS en el agua potable

EPA Pesticide Factsheets

La EPA estableció avisos de salud sobre el ácido perfluorooctanoico (PFOA) y el sulfonato de perfluorooctano (PFOS) para proporcionar información a los operadores de sistemas de agua potable y funcionarios estatales, tribales y locales sobre los riesgos de

EXPERIENCIAS RELACIONADAS A UNA INTERVENCIÓN PARA REDUCIR EL ESTIGMA RELACIONADO AL VIH/SIDA ENTRE ESTUDIANTES DE MEDICINA EN PUERTO RICO

PubMed Central

Cintrón-Bou, Francheska; Varas-Díaz, Nelson; Marzán-Rodríguez, Melissa; Neilands, Torsten B.

2016-01-01

Existe estigma relacionado al VIH. A las personas con VIH/SIDA-PCVS se les viola sus derechos y obstaculiza su bienestar mental/físico. Profesionales de la salud-PS son fuente de apoyo primordial, sin embargo estos/as le estigmatizan. Es útil adiestrar a PS en relación al estigma social. Implantamos la intervención para reducir el estigma relacionado al VIH/SIDA con 507 estudiantes de medicina. Resultó ser una intervención efectiva, hubo reducción en los niveles de estigma a partir de nuestra intervención y diferencias significativas con el grupo control (p≤.05). Generar espacios de adiestramiento para atender el estigma relacionado al VIH/SIDA es pertinente para la psicología comunitaria porque colaboramos en la reducción de actitudes estigmatizantes que afectan adversamente la prevención de nuevas infecciones, la adherencia al tratamiento antirretroviral y la calidad de vida. PMID:27829690

[Cardiac transplantation and neoplasms: experiences at Escola Paulista de Medicina of the Federal University of São Paulo].

PubMed

Mello Junior, Walter Teixeira de; Branco, João Nelson R; Catani, Roberto; Aguiar, Luciano de Figueiredo; Paez, Rodrigo Pereira; Buffolo, Enio

2006-02-01

To study the occurrence and types of neoplasms developed by patients who underwent an orthotopic cardiac transplantation under the Program of Cardiac Transplantation of Escola Paulista de Medicina, Federal University of São Paulo. This is an observational study of 106 patients who underwent orthotopic cardiac transplantation from November 1986 to September 2002 and survived at least thirty days following the procedure. The triple immunosuppressive regimen given included cyclosporin A, azathioprine and a corticosteroid agent. Only two patients received OKT3 in addition to the regimen established. Mean follow-up was 61.4 months (ranging from two months to 192 months). Twenty-three patients (21.3%) developed neoplasms--56.5% of these were skin neoplasm, 30.1%, solid tumors, and 13.4% of post-transplant lymphoproliferative disease (PTLD). Mean interval between transplantation and diagnosis of neoplasm was: 54.9 months for skin neoplasm; 24.8 months for solid tumors and 70.3 months for PTLD. Malignant neoplasms are relatively common in the population studied. Skin cancer was the most common type compared to the other types of neoplasms. Solid tumors were more frequently diagnosed than the lymphoproliferative diseases in the population examined.

Medicina array demonstrator: calibration and radiation pattern characterization using a UAV-mounted radio-frequency source

NASA Astrophysics Data System (ADS)

Pupillo, G.; Naldi, G.; Bianchi, G.; Mattana, A.; Monari, J.; Perini, F.; Poloni, M.; Schiaffino, M.; Bolli, P.; Lingua, A.; Aicardi, I.; Bendea, H.; Maschio, P.; Piras, M.; Virone, G.; Paonessa, F.; Farooqui, Z.; Tibaldi, A.; Addamo, G.; Peverini, O. A.; Tascone, R.; Wijnholds, S. J.

2015-06-01

One of the most challenging aspects of the new-generation Low-Frequency Aperture Array (LFAA) radio telescopes is instrument calibration. The operational LOw-Frequency ARray (LOFAR) instrument and the future LFAA element of the Square Kilometre Array (SKA) require advanced calibration techniques to reach the expected outstanding performance. In this framework, a small array, called Medicina Array Demonstrator (MAD), has been designed and installed in Italy to provide a test bench for antenna characterization and calibration techniques based on a flying artificial test source. A radio-frequency tone is transmitted through a dipole antenna mounted on a micro Unmanned Aerial Vehicle (UAV) (hexacopter) and received by each element of the array. A modern digital FPGA-based back-end is responsible for both data-acquisition and data-reduction. A simple amplitude and phase equalization algorithm is exploited for array calibration owing to the high stability and accuracy of the developed artificial test source. Both the measured embedded element patterns and calibrated array patterns are found to be in good agreement with the simulated data. The successful measurement campaign has demonstrated that a UAV-mounted test source provides a means to accurately validate and calibrate the full-polarized response of an antenna/array in operating conditions, including consequently effects like mutual coupling between the array elements and contribution of the environment to the antenna patterns. A similar system can therefore find a future application in the SKA-LFAA context.

[Researchers training in the context of the collaborative projects: experiences of Instituto de Medicina Tropical "Alexander von Humbolt", Universidad Peruana Cayetano Heredia].

PubMed

Gotuzzo, Eduardo; González, Elsa; Verdonck, Kristien

2010-09-01

Research is a main element for human and social development. Under this point of view, it involves particular challenges and opportunities for the so-called "developing countries". An approach for those challenges and opportunities comes from the analysis of two interrelated activities; the training of new researchers and the research development with institutions or researchers which are external to the institution ("collaborative research"). Both activities are essential for the consolidation, widening and updating of the institutional capabilities for scientific production. We present here the experiences of the Instituto de Medicina Tropical "Alexander von Humboldt" of the Universidad Peruana Cayetano Heredia, in relation to the training of new researchers, we discuss the four elements we consider key for this process; the promotion of stimulating environments for research, the proactive identification of fellows, the complementary advice and networks consolidation; and we analyze three successful models of international collaboration for the training of new researchers under different institutional approaches.

[The anti-philosophical anthropology in the Hippocratic treatise De Vetere Medicina (On Ancient Medicine)].

PubMed

Imai, Masahiro

2007-01-01

The Hippocratic treatise De Vetere Medicina (On Ancient Medicine) has been the focus of attention among classical scholars and historians of medicine. The author attacks in ch. 20 doctors and sophists who base their own medical theories and methods on philosophical anthropology taken from the contemporary natural philosophers. Many attempts have been made to elucidate, as opposed to their philosophical inquiry into human nature, the author's way of understanding it, which still remains unclear. I draw attention to the following points to make it clear that the conceptual framework of the author's medical anthropology is different from theirs. Their philosophical inquiry into human nature has its starting point in fundamental element(s), from which human beings were originally formed. The author focuses on human beings as existent in their present states, whose conditions and functions must be investigated through interrelations between them and their external factors, such as foods and drinks. A medical investigation into the interrelations will give us a scientific idea about human body, whose constituents are taken to be a large number of humors, reacting against some external factors and accordingly making us feel pain. This may presuppose that, in the author's medical anthropology, human body is conceptually demarcated as the physical or material aspect of human being, within which all physiological events depending on external factors and the humors take place. In their philosophical anthropology, however, human body doesn't seem to have been clearly conceptualized as such, because our experience of feeling pain should be judged to take place within the actions of the fundamental element(s), which must be supposed to constitute our cognitive self.

[Genealogy of the Books of Practica medicinae in Europe before the End of 18th Century: From the Origin to the Disappearance].

PubMed

Sakai, Tatsuo

2015-09-01

The Practica medicinae represented the books written in Europe before the end of 18th century that dealt with individual deseases. In total, 100 Practica books, written by 95 authors, were collected and divided into four periods from the early 11th to the end of 18th century. The first Practica book was written at the Salernitan medical school on the basis of ancient medical books in the basic style, dealing with regional deseases arranged in "a capite ad calcem" manner, as well as with the fevers. The basic style comprised a majority in the first period and decreased gradually, becoming a minority in the 3rd and 4th periods. Sennert's practica was the largest and it elaborated with precise construction. The additional categories, such as female, children, and surgical deseases increased in the later periods. Those written in non-basic style based on pathogenesis or in alphabetical order also increased in the later periods. The practica books changed slightly and gradually, indicating the essential consistency of the concepts of diseases in these periods.

Homeopathy and acupuncture teaching at Faculdade de Medicina da Universidade de São Paulo: the undergraduates' attitudes.

PubMed

Teixeira, Marcus Zulian; Lin, Chin An; Martins, Milton de Arruda

2005-03-02

Homeopathy and acupuncture, although recognized as medical specializations in Brazil, are not taught in most medical schools. The objective was to evaluate undergraduate attitudes towards them following their inclusion as optional disciplines at Faculdade de Medicina da Universidade de São Paulo (FMUSP) in 2002. Questionnaire, at FMUSP. 484 students answered a self-administered questionnaire on these therapies, regarding their interest in learning, the teaching methods, their knowledge/experience (or that of someone close to them) and how it was acquired, the main indicators and general effectiveness of these therapies, and the possibilities for offering and integrating them within public healthcare units. Over 85% of the students considered that homeopathy and acupuncture should be included in curricula, as options (72%) or compulsorily (19%); 56% showed great interest in learning about them. Although 76% had little or no knowledge, 67% believed that these therapies had some effectiveness, and that chronic diseases (37%) or even chronic and acute diseases (29%) would be the main indicators for their use. Around 35% were receptive towards offering public primary care using both therapies, while 34% thought these treatments should also be available in hospitals and 60% believed they could be integrated with conventional medical practices. The medical students were interested in learning the principles of homeopathy and acupuncture, were able to observe and report on the effectiveness of these treatments and defended the use of these medical specializations within public healthcare.

EVALUATION OF POSTGRADUATES STRICTO SENSU: MONITORING POLICY FOR INTERNATIONAL GRADUATES.

PubMed

Lima, Wilma Terezinha Anselmo

2015-01-01

Search for references in relationship to international alumni on the website of the postgraduate programs of all postgraduate courses at Ribeirão Preto Medical School - FMRP. Verify with more attention to the ones with 5, 6 and 7 notes, and also the same search on the website of courses with notes 5, 6 and 7 of CAPES - Medicine III. Of the 22 programs of FMRP only three had any information on the site about the destiny of the postgraduates; they were: Surgical Clinics, Genetics, and Basic and Applied Immunology. Programs in the area of ​​Medicine III, notes 5, 6 and 7, only Ophthalmology and Visual Programs and Translational Sciences Surgery, both of UNIFESP, presented such information. It is urgent: to create project and funding evaluation mechanisms that are approved by different sources; to stimulate more efficient controls in relation to teachers and their students who participate in these projects; and to stimulate the interaction of teachers and students with the institution and the program. Verificar a existência de referências aos egressos internacionais nos sites dos programas de pós-graduação de todos os cursos de pós-graduação da Faculdade de Medicina de Ribeirão Preto - FMRP. Verificar com mais atenção aos cursos notas 5, 6 e 7, e também a mesma busca nos sites dos cursos com notas 5, 6 e 7 da Medicina III da CAPES. Dos 22 programas da FMRP apenas três tinham no site alguma informação sobre o destino dos egressos, foram eles: Clínica Cirúrgica, Genética e Imunologia Básica e Aplicada. Dos programas da área de Medicina III, notas 5, 6 e 7 apenas os programas de Oftalmologia e Ciências Visuais e Cirurgia Translacional, ambos da UNIFESP, apresentavam informações sobre o destino dos seus egressos. É urgente criar mecanismos de avaliação para os projetos de incentivo e fomento à pesquisa dos diferentes órgãos; estimular controles mais eficientes e atualizados em relação aos docentes e seus respectivos discentes que

Sobre os sistemas de referência celeste

NASA Astrophysics Data System (ADS)

Poppe, P. C. R.; Martin, V. A. F.

2003-02-01

Apresentamos neste trabalho, algumas discussões sobre os sistemas de referência utilizados em Astronomia. Claramente, não é possível esgotar todo este assunto num único texto, mas esperamos, contudo, que o presente material possa ser apreciado nos cursos de Introdução à Astronomia, que estão cada vez mais presentes nas atuais propostas curriculares das graduações de Física. As discussões pertinentes às "Bases de Referência Celeste", serão apresentadas em um outro trabalho.

Continuous infusion of amphotericin B: preliminary experience at Faculdade de Medicina da Fundação ABC.

PubMed

Uehara, Roberto Palermo; Sá, Victor Hugo Lara de; Koshimura, Erika Tae; Prudente, Fernanda Vilas Boas; Tucunduva, Luciana Tomanik Cardozo de Mello; Gonçalves, Marina Sahade; Samano, Eliana Sueco Tibana; del Giglio, Auro

2005-09-01

Intravenous amphotericin B deoxycholate (AmB-D) infusions, usually given over 4 hours, frequently induce nephrotoxicity and undesirable infusion-related side effects such as rigors and chills. There is evidence in the literature that the use of AmB-D in the form of continuous 24-hour infusion is less toxic than the usual four-hour infusion of this drug. Our objective was to evaluate the efficacy and safety of continuous infusion of AmB-D for the treatment of persistent fever in neutropenic patients with hematological malignancies after chemotherapy. Observational retrospective analysis of our experience with continuous infusion of AmB-D, at Faculdade de Medicina da Fundação ABC and Hospital Estadual Mário Covas in Santo André. From October 2003 to May 2004, 12 patients with hematological malignancies and chemotherapy-induced neutropenia received 13 cycles of continuous infusion of AmB-D. The median dose of AmB-D was 0.84 mg/kg/day (0.33 to 2.30 mg/kg/day). Concomitant use of nephrotoxic medications occurred in 92% of the cycles. Nephrotoxicity occurred in 30.76% of the cycles, hypokalemia in 16.67%, hepatotoxicity in 30% and adverse infusion-related events in 23%. All patients survived for at least seven days after starting continuous infusion of AmB-D, and clinical resolution occurred in 76% of the cycles. Continuous infusion of AmB-D can be used in our Institution as an alternative to the more toxic four-hour infusion of AmB-D and possibly also as an alternative to the more expensive liposomal formulations of the drug.

[The case of the 'lowlife': perceptions of danger and the prevention of disreputable behaviors in theRevista de Criminología, Psiquiatría, Medicina Legal y Ciencias Afinesin Buenos Aires, 1914-1923].

PubMed

Dovio, Mariana

2013-11-30

We analyze the construction of the notion of the 'lowlife' in the city of Buenos Aires in the Revista de Criminología, Psiquiatría y Medicina Legal, from 1914-1923. We shall analyze the notion of 'lowlife', meaning behaviors situated in a border zone between crime and madness, from the point of view of prevention and perception of danger. The first way of analyzing the 'lowlife' examines institutional projects that were related to eugenics and that advocated preventive detention of dangerous people, 'alcoholists' and vagrants. The second involves identifying in moral and physical terms the kind of people who were targeted in the creation of intervention projects for those considered to be 'lowlifes', who could potentially damage the fabric of society in some way.

[80 years of soial service in medicine].

PubMed

Hace 80 años, la Escuela de Medicina de la Universidad Nacional, en voz de su director, Gustavo Baz Prada, hizo una propuesta que pronto se convirtió en realidad y finalmente en norma, la que desde entonces se conoce como SS. Esta iniciativa se vio como una manera para que los estudiantes de medicina del último año retribuyeran a la sociedad una parte de lo que esta invirtió en su educación, consolidaran su formación mediante la exposición a las realidades de todos los días en los medios más necesitados, se pusieran a prueba sobre sus verdaderas capacidades para atender pacientes y participaran en la solución de un problema de atención sanitaria que en ese entonces era mucho más apremiante que ahora. Unos años después, los recién egresados de otras licenciaturas (pasantes) también fueron incorporados a esta estrategia y, al fin, se reconoció formalmente como una responsabilidad de las instituciones educativas. Las aportaciones del SS a la salud de las personas y a la formación de los médicos han sido incuestionables, y la experiencia humana que ha representado para quienes lo han vivido ha dejado marcas indelebles.

Hoja informativa sobre la Agenda de Acción EJ 2020

EPA Pesticide Factsheets

Página principal de la hoja informativa sobre la Agenda de Acción EJ 2020 de la Agencia de Protección Ambiental de EE.UU. que delinea el plan estratégico de justicia ambiental de la agencia para los próximos cuatro años.

Obtenga más información sobre la etiqueta Safer Choice

EPA Pesticide Factsheets

Entérese más acerca del programa EPA Diseño para el medio ambiente, incluyendo información sobre su historia, proyectos anteriores y otros programas de la EPA que están relacionados con este programa.

[Geraldo Horácio de Paula Souza, China and Chinese medicine, 1928-1943].

PubMed

Roland, Maria Inês de França; Gianini, Reinaldo José

2013-01-01

This essay is on the writings of sanitary doctor Geraldo Horácio de Paula Souza in Eugenia e Imigração (1928) and, after an official trip to the Orient, in Digressões sobre a medicina chinesa clássica (1942) and A sabedoria chinesa diante da ciência ocidental e a Escola Médica de Pequim (1943). The documents, analyzed according to the conceptual approach of Carlo Ginzburg, indicate a change in his view of the Chinese. Trained according to the Rockefeller Foundation's model of experimental medicine, Geraldo de Paula Souza was guided in his work by scientific rigor and record imagery. In his youth he was of the opinion that the Chinese civilization was stagnated, but this view changed after his visit, when he perceived the Chinese republic's capacity to modernize.

Carlo Moreschi (1876-1921): co-founder of the journal "La Medicina del Lavoro" and often forgotten pioneer of modern medicine.

PubMed

Riva, M A; Smith, D R; Cesana, G

2011-01-01

Carlo Moreschi (1876-1921) was founding co-editor of the journal "Il Lavoro" (now known as "La Medicina del Lavoro"), together with Luigi Devoto in 1901. Despite this fact, many of his pioneering contributions to 20th century scientific debate are not well known outside Italy. The aim of this paper therefore was to recall Moreschi' achievements and the groundbreaking work of this remarkable Italian physician. A comprehensive analysis was conducted on scientific papers written by Carlo Moreschi between 1901 and 1920, extending the investigation to his original manuscripts and private correspondence with family and colleagues. Careful examination of Moreschi's work reveals several studies in the field of social medicine, epidemiology of infectious diseases, general pathology and oncology. In particular, his main interest in haematology and immunology enabled Moreschi to be one of the first to understand the mechanisms of complement fixation and the formation pathways ofantiglobulin sera. In this manner, Moreschi significantly contributed to the work of Wassermann regarding the diagnosis of syphilis, as well as contributing to the discovery of the "antiglobulin test", first described by Coombs in 1945. Furthermore, Moreschi co-founded "Il Lavoro" and "Haematologica", the oldest journals in their respective fields. According to Devoto, Moreschi can be remembered as the archetype modern researcher and clinician. His role in the 20th century scientific debate and his pioneering work in the field of immunology and haematology, that are often forgotten due to his premature death, deserve to be reconsidered and re-assessed by the Italian and international scientific community.

University Students' Conceptions about the Moon Phases. (Spanish Title: Concepciones de Estudiantes Universitários sobre Las Fases de la Luna.) Concepções de Estudantes Universitários sobre as Fases da Lua

NASA Astrophysics Data System (ADS)

de Fátima Oliveira Saraiva, Maria; da Silveira, Fernando Lang; Steffani, Maria Helena

2011-07-01

In this article we describe the development of a multiple choice test about lunar phases and analyze the results of its application to ten groups of Physics students at the UFRGS. During the improvement of the test, we noticed that the percentage of right answers about some concepts increased significantly when associated with the reformulation of the question, emphasizing the importance of being careful to avoid incorrect answers generated by unclear questions, and not by ignorance on the matter. We confirm the results of other studies that show that students have great difficulty to relate the Moon's phase with its position in the sky at given time. On the other hand, our results suggest that, in general, students of Physics understand the phenomenon of lunar phases better than the average of university students. En estese artículo se describe la elaboración de una prueba de opción múltiple sobre las fases de la Luna y se analizan los resultados de su aplicación en diez grupos de estudiantes de Física de UFRGS. Durante el mejoramiento de la prueba observamos que el porcentaje de aciertos creció considerablemente cuando considerada una nueva redacción de la pregunta, destacando el cuidado que se debe tomar a fin de evitar respuestas incorrectas generadas por preguntas poco claras y no a causa de la ignorancia de los estudiantes sobre el tema. Confirmamos los resultados de otros estudios que las mayores dificultades de los alumnos sobre el tema fases de la Luna están en relacionar la fase de la Luna con su posición en el cielo en determinado momento. Por otra parte, nuestros resultados sugieren que, en general, los estudiantes de la Física comprenden mejor el fenómeno de las fases lunares que el promedio de los estudiantes universitarios. Neste artigo descrevemos a elaboração de um teste de múltipla escolha sobre as fases da Lua e analisamos os resultados de sua aplicação em dez grupos de estudantes de Física da UFRGS. Durante o aprimoramento do

O que bilíngues bimodais têm a nos dizer sobre desenvolvimento bilíngue?

PubMed Central

de Quadros, Ronice Müller; Lillo-Martin, Diane; Pichler, Deborah Chen

2013-01-01

O objetivo deste trabalho é apresentar o que as pesquisas que estamos desenvolvendo com crianças ouvintes, filhas de pais surdos, adquirindo Língua Brasileira de Sinais (Libras) e Português e Língua de Sinais Americana (ASL) e Inglês (Lillo-Martin et al. 2010) têm a nos dizer sobre desenvolvimento bilíngue. Os dados deste estudo fazem parte de um banco de dados de interações espontâneas coletadas longitudinalmente, alternando contextos de aquisição da Libras e do português como língua alvo, no Brasil e dados coletados longitudinalmente. nos mesmos contextos, de crianças adquirindo ASL e inglês1. Além disso, há também dados do estudo experimental com testes aplicados nos dois pares de línguas que se agregam ao presente estudo. Uma visão geral dos estudos desenvolvidos sobre a aquisição bilíngue bimodal por crianças ouvintes, filhas de pais surdos, será apresentada e, então, serão expostos alguns aspectos linguísticos deste tipo de aquisição, considerando as discussões sobre aquisição bilíngue a partir da pesquisa realizada. PMID:24431480

En cumplimiento con la orden ejecutiva del presidente Trump sobre la Independencia Energética

EPA Pesticide Factsheets

Acciones reglamentarias tomadas por la EPA, incluyendo audiencias públicas, para implementar la Orden Ejecutiva sobre la Independencia Energética y la propuesta derogación del Plan de Energía Limpia.

Los Protectores del Planeta: actividades para niños y recursos educativos sobre reciclaje

EPA Pesticide Factsheets

Información sobre el Club Protectores del Planeta que enseña cómo reducir la basura desde el punto de origen, cómo reciclar y conservar los recursos naturales. La información incluye recursos educativos para el salón de clases.

The profile of the dermatoses in children with the HIV virus at the Fundação de Medicina Tropical do Amazonas.

PubMed

Dias, Eleonora Dantas; Cunha, Maria da Graça Souza; Talhari, Sinésio

2012-01-01

The Acquired Immunodeficiency Syndrome (AIDS) constitutes a sub-epidemic in Brazil. Due to the increasing number of women infected by the virus, the vertical transmission increased substantially, and due to the lack of adequate prophylactic treatment, many children are infected and show manifestations of the disease in early ages. Multiple systems are affected by the HIV virus, and the skin is often the first organ to be involved. The objective of this study is to analyze the clinic, dermatological and epidemiological profiles of children carriers of the virus in the City of Manaus aiming at identifying the most frequent dermatoses that affect these children and try to relate these dermatoses to the immunologic deterioration. A study was conducted where children carriers of the HIV virus from the Fundação Alfredo da Matta and Fundação de Medicina Tropical were studied from March 2007 to July 2008. These children were submitted to dermatological and laboratorial exams such as viral load dosage and CD4+ and CD8+ counts. During the study period, 70 HIV + children were examined; all of them had AIDS and had been contaminated by vertical transmission. The average number of dermatoses by children was 1.73, and 95.5% had at least one dermatosis during the study period. The most frequent manifestations were atopic dermatitis (22.9%), childhood prurigo (20%) and warts (18,6%). Children with HIV/AIDS have more skin disorders than children without HIV/AIDS. There was no statistical difference between the children in the group using ARVT and the group that wasn't using it.

Información general sobre la preparación y la respuesta frente a desastres naturales

EPA Pesticide Factsheets

Esta página brinda información general sobre la manera en que se puede preparar para enfrentar desastres naturales potenciales y las acciones a tomar después de dichos desastres naturales y otras emergencias ambientales.

Some Research-Based Issues and Recommendations Expressed at the Seminario Internacional Sobre la Educacion Bilingue.

ERIC Educational Resources Information Center

Bernal, Ernesto M.

The first Seminario Internacional Sobre la Educacion Bilingue (International Seminar on Bilingual Education), under the aegis of the National Association for Bilingual Education and the Mexican secretary for public education, brought together professionals from Canada, the United States, and Mexico in Oaxtepec, Mexico in November 1986 to share…

Educación sobre sexualidad y prevención del VIH: un diagnóstico para América Latina y el Caribe

PubMed Central

DeMaria, Lisa M.; Galárraga, Omar; Campero, Lourdes; Walker, Dilys M.

2016-01-01

RESUMEN Objetivo Mostrar, a través de un diagnóstico en América Latina y el Caribe, el panorama legislativo y curricular sobre sexualidad y prevención contra el virus de inmunodeficiencia humana (VIH) en el ámbito escolar, contrastándolo con los comportamientos sexuales reportados en encuestas demográficas y de salud. Métodos En mayo de 2008 se realizó, con el apoyo del Fondo de Población de las Naciones Unidas (UNFPA), una encuesta a informantes clave en 34 países de la Región. El cuestionario autoaplicado solicitó información sustantiva de agentes de las diferentes partes interesadas, como ministerios de educación y de salud, sobre los programas de prevención contra el VIH/Sida que se están aplicando en las escuelas. Resultados Respondieron a la encuesta 27 países que representan 95,5% de la población objetivo (6 a 18 años de edad). La mayoría de los países informó tener al menos un libro de texto o un capítulo específico para enseñar los temas de educación sobre sexualidad y prevención del VIH. En la escuela secundaria se cubren la mayor parte de los temas pertinentes relevantes para la educación sobre sexualidad, pero no todos. Por ejemplo, el problema de la discriminación por orientación o preferencia sexual no se incluye en los programas escolares. Conclusiones El material educativo sobre sexualidad debe ser revisado y actualizado periódicamente de modo que refleje los avances en los temas y en la forma de tratar los contenidos. En cada país el currículo debe abordar el tema del respeto a la diversidad sobre orientación, preferencia e identidad sexuales, y en particular el manejo apropiado de la educación para prevenir infecciones de transmisión sexual (ITS) en hombres que tienen sexo con hombres. Los esfuerzos de evaluación de la efectividad de los programas deben contemplar desenlaces tales como marcadores biológicos (incidencia y prevalencia de ITS y embarazo) y no únicamente indicadores de conocimiento y

PROFESSIONAL MASTER AND ITS CHALLENGES.

PubMed

Ferreira, Lydia Masako

2015-01-01

da CAPES sobre Mestrado Profissional e os documentos e relatórios de reuniões de área a partir de 2004 até 2013 da Medicina III foram lidos assim como os relatórios e a subpágina da área no site da Capes. Os dados referentes ao Processo de Avaliação e à Ficha de Avaliação das outras áreas foram computados e analisados. A partir desses dados foram detectados os desafios da Medicina III para o próximo quadriênio (2013-2016). A criação do Mestrado Profissional é muito recente na Medicina III e nenhum curso de Mestrado Profissional da Medicina III foi avaliado. Foram descritas a definição, os objetivos, as premissas, as características, as motivações, as possibilidades, a viabilidade, o perfil do alunado, do corpo docente, a estrutura curricular, o financiamento, a produção intelectual, a inserção social, os requisitos gerais da Portaria CAPES nº 193/2011 e alguns exemplos de propostas, linhas de atuação científico tecnológica, parcerias e contrapartidas. Foi discutida a ficha de avaliação do MP, a necessidade do impacto social, econômico e político da produção intelectual e as diferenças com o MA. Foi relatado também a importância mundial do MP e a sua evolução no Brasil. A partir do entendimento do MP, a Medicina III traçou alguns desafios e metas para serem desenvolvidas no quadriênio 2013-2016. A Medicina III entendeu o MP como um novo horizonte científico tecnológico dentro da pós-graduação stricto sensu e com total coerência com a área.

LONG-TERM STABILITY OF THE LOCAL GROUND CONTROL NETWORK AT THE CO-LOCATION SITE OF MEDICINA

NASA Astrophysics Data System (ADS)

Abbondanza, C.; Sarti, P.; Legrand, J.

2009-12-01

ITRF combinations rely on the availability of accurate tie vectors linking reference points of space geodetic techniques. Co-located instruments are assumed to move consistently and no local relative motion is taken into account. Instabilities may degrade the quality of the co-location itself and perturb the result of ITRF combinations. This work aims to determine the stability of the local ground control network at Medicina (Italy) with independent surveying methods. The observatory hosts a co-location between a VLBI telescope and two GPS antennas, MEDI and MSEL. It is located in the Po Plain where thick layers of clays are the prevalent soil characteristics. Hence, provision of long term stability of geodetic monuments is a challenge and monitoring their stability is an issue. MEDI and the VLBI station regularly contribute to the determination of ITRF, while MSEL is part of the EUREF network. A set of five tie vectors observations linking the VLBI and MEDI reference points was acquired between 2001 and 2007. It is our main tool for performing local deformation analysis. Additionally, the GPS time series of MEDI and MSEL were used to cross check and confirm the local instability detected by terrestrial methods. To achieve a rigorous and reliable investigation of the local stability, multi-epoch terrestrial observations were homogeneously processed according to common parameterizations in a consistent reference frame. Similarly, continuous GPS observations from MEDI and MSEL were analysed according to the new EPN reprocessing strategy in order to monitor the short baseline between MEDI and MSEL; to spotlight any change in its length. Both approaches confirm differential motions at the site which can be related to monument instabilities originated by the particularly unfavourable local geological setting and the inapt design of the monuments foundation. The monuments move non homogeneously at rates reaching up to 1.6 mm/year, this value being comparable to intra

BRAZILIAN CONSENSUS FOR MULTIMODAL TREATMENT OF COLORECTAL LIVER METASTASES. MODULE 3: CONTROVERSIES AND UNRESECTABLE METASTASES.

PubMed

Torres, Orlando Jorge Martins; Marques, Márcio Carmona; Santos, Fabio Nasser; Farias, Igor Correia de; Coutinho, Anelisa Kruschewsky; Oliveira, Cássio Virgílio Cavalcante de; Kalil, Antonio Nocchi; Mello, Celso Abdon Lopes de; Kruger, Jaime Arthur Pirola; Fernandes, Gustavo Dos Santos; Quireze, Claudemiro; Murad, André M; Silva, Milton José de Barros E; Zurstrassen, Charles Edouard; Freitas, Helano Carioca; Cruz, Marcelo Rocha; Weschenfelder, Rui; Linhares, Marcelo Moura; Castro, Leonaldson Dos Santos; Vollmer, Charles; Dixon, Elijah; Ribeiro, Héber Salvador de Castro; Coimbra, Felipe José Fernandez

2016-01-01

In the last module of this consensus, controversial topics were discussed. Management of the disease after progression during first line chemotherapy was the first discussion. Next, the benefits of liver resection in the presence of extra-hepatic disease were debated, as soon as, the best sequence of treatment. Conversion chemotherapy in the presence of unresectable liver disease was also discussed in this module. Lastly, the approach to the unresectable disease was also discussed, focusing in the best chemotherapy regimens and hole of chemo-embolization. RESUMO Neste último módulo do consenso, abordou-se alguns temas controversos. O primeiro tópico discutido foi o manejo da doença após progressão na primeira linha de quimioterapia, com foco em se ainda haveria indicação cirúrgica neste cenário. A seguir, o painel debruçou-se sobre as situações de ressecção da doença hepática na presença de doença extra-hepática, assim como, qual a melhor sequência de tratamento. O tratamento de conversão para doença inicialmente irressecável também foi abordado neste módulo, incluindo as importantes definições de quando se pode esperar que a doença se torne ressecável e quais esquemas terapêuticos seriam mais efetivos à luz dos conhecimentos atuais sobre a biologia tumoral e taxas de resposta objetiva. Por último, o tratamento da doença não passível de ressecção foi discutida, focando-se nos melhores esquemas a serem empregados e seu sequenciamento, bem como o papel da quimioembolização no manejo destes pacientes.

Molecular Comparison of Topotypic Specimens Confirms Anopheles (Nyssorhynchus) dunhami Causey (Diptera: Culicidae) in the Colombian Amazon

DTIC Science & Technology

2010-11-01

of Health, Albany, NY, USA 5Facultad de Medicina , Universidad Nacional de Colombia, Bogotá, Colombia 6Programa de Estudio y Control de Enfermedades...Tropicales, Facultad de Medicina , Universidad de Antioquia, Medellín, Colombia The presence of Anopheles (Nyssorhynchus) dunhami Causey in Colombia

Concepciones y concepciones alternativas de estudiantes universitarios/as de biologia y futuros maestros/as de Ciencia de escuela secundaria sobre la teoria de evolucion biologica por seleccion natural

NASA Astrophysics Data System (ADS)

Morales Ramos, Egda M.

La teoria de evolucion biologica (TEB) por seleccion natural es uno de los conceptos unificadores mas importantes del curriculo de Biologia. En Puerto Rico se han hecho pocas investigaciones que abunden sobre las concepciones y concepciones alternativas (CA) que tienen los estudiantes universitarios/as de Biologia y los maestros/as de Ciencia del nivel secundario sobre esta teoria. La politica publica educativa actual establece mediante documentos normativos como los Estandares de contenido y Expectativas de grado del Programa de Ciencias [Puerto Rico Core Standards] la ensenanza de esta teoria. Sin embargo, no se encontraron preguntas sobre la seleccion natural en los ejercicios de practica provistos por el Departamento de Educacion para las pruebas estandarizadas lo cual puede influir para que no se ensene adecuadamente. Las preguntas de investigacion fueron 1. ¿Cuales son las concepciones y concepciones alternativas de estudiantes universitarios/as y de los futuros maestros y maestras de Ciencia sobre la TEB? 2. ¿Cuales conceptos que seleccionan los estudiantes universitarios/as y los futuros maestros y maestras de Ciencia sobre la TEB coinciden con lo aceptado como valido por la comunidad cientifica? y 3. ¿Como comparan las respuestas de la prueba original. v. Entendiendo el cambio biologico que mide concepciones y CA sobre la TEB por seleccion natural, con las de la traducida al idioma espanol? Se utilizo el metodo cuantitativo con un diseno de investigacion transversal por encuesta. La tecnica principal para recopilar los datos fue una prueba con doce items, que formo parte de un instrumento para el cual se recopilaron diversas fuentes de evidencia acerca de su validez. Las muestras estuvieron formadas por 69 estudiantes de Ciencias Naturales y por 16 estudiantes futuros maestros y maestras del nivel secundario de la UPR-RP. Se utilizaron estadisticas descriptivas, analisis de Ji cuadrado y se calcularon los coeficientes alfa de Cronbach y de Spearman

Giving Medicine to Children

MedlinePlus

... visit FDA's videos for consumers on YouTube Administrando Medicina a los Niños Cuando los niños pequeños están ... ser difícil que ellos llegen a tomar su medicina. Vea este vídeo para obtener consejos de un ...

Detection of the CS20 Colonization Factor Antigen in Diffuse-Adhering Escherichia coli Strains

DTIC Science & Technology

2010-01-01

Savarino5 & Claudio F. Lanata4•7 ’Institute de Medicina Tropical ’Alexander von Humboldt’, Universidad Peruana Cayetano Heredia, Lima, Peru; 2Umvers1ty...de C•encias Aplicadas. Lima, Peru Abstract Correspondence: Theresa J. Ochoa, Institute de Medicina Tropical ’Alexander von Humboldt’, Universidad

The scientific production of full professors of the Faculdade de Medicina da Universidade de São Paulo: a view of the period of 2001-2006.

PubMed

Cardoso, Suely Campos; Gattás, Gilka Jorge Figaro

2009-01-01

The scientific production of institutions of higher education, as well as the dissemination and use of this published work by peer institutions, can be assessed by means of quantitative and qualitative measurements. This type of analysis can also serve as the basis of further academic actions. Variables such as the type of evaluation, the number of faculty members and the decision to include or exclude researchers who are not professors are difficult to measure when comparing different schools and institutions. The purpose of this study was to assess the scientific production of tenured faculty from the Universidade de São Paulo, Faculdade de Medicina performed from 2001 to 2006. Medline/PubMed database was considered and the Impact factors (IFs--Journal Citation Report, 2006) and the number of generated citations (Web of Science/ISI Thomson) were also evaluated. The analysis of the scientific production of 66 full professors (level MS-6) revealed 1,960 scientific articles published in 630 scientific journals, of which 31.3% were Brazilian and 68.7% were from international sources. Among these, 47% of the articles were published in 62.9% of the journals with IFs above 10, although 16.4% of the journals did not have assigned IF values. We verified that 45% of the published articles received 9,335 citations (average of 11 + 17), with the majority of these (8,968 citations) appearing in international scientific journals. Our results indicate that it is possible to analyze the scientific production of a learning institution by the number of papers published by full professors, taking into account not only their academic position and influence, but also the fact that publication is an opportunity to stimulate joint projects with other members of the same institution.

Desarrollo de fotonovelas para concienciar sobre trastornos de la conducta alimentaria en latinos en los Estados Unidos

PubMed Central

Reyes-Rodríguez, Mae Lynn; García, Marissa; Silva, Yormeri; Sala, Margarita; Quaranta, Michela; Bulik, Cynthia M.

2016-01-01

Resumen El objetivo de este estudio fue desarrollar fotonovelas, un tipo de novela gráfica popular en la población latina, para crear conciencia y educar sobre los trastornos de la conducta alimentaria (TCA). Cuatro caricaturas ilustradas y guiones adaptados para adultos y adolescentes de ambos sexos fueron presentados en discusiones focales y en una entrevista de profundidad. Diecisiete latinos adultos (14 mujeres; 3 hombres) y 10 adolescentes (9 féminas; 1 varón) participaron en el estudio. Los participantes encontraron las fotonovelas interesantes y que captaban más la atención que los folletos tradicionales. El uso del espanglish y la clarificación de las diferencias entre los TCA fueron sugeridos por las adolescentes femeninas. Los adultos varones sugirieron cambiar el título, que se enfocara en las consecuencias en la salud de los TCA para que llame la atención en los hombres a leer la historia. Basado en la aceptación encontrada en este estudio, la fotonovela pudiera ser una avenida prometedora para crear conciencia y educar a la comunidad latina sobre los TCA en los Estados Unidos. PMID:27313838

The Scientific Production of Full Professors of the Faculdade de Medicina da Universidade de SÃO Paulo: A View of the Period of 2001–2006

PubMed Central

Cardoso, Suely Campos; Gattás, Gilka Jorge Figaro

2009-01-01

INTRODUCTION The scientific production of institutions of higher education, as well as the dissemination and use of this published work by peer institutions, can be assessed by means of quantitative and qualitative measurements. This type of analysis can also serve as the basis of further academic actions. Variables such as the type of evaluation, the number of faculty members and the decision to include or exclude researchers who are not professors are difficult to measure when comparing different schools and institutions. OBJECTIVES The purpose of this study was to assess the scientific production of tenured faculty from the Universidade de São Paulo, Faculdade de Medicina performed from 2001 to 2006. METHODS Medline/PubMed database was considered and the Impact factors (IFs - Journal Citation Report, 2006) and the number of generated citations (Web of Science/ISI Thomson) were also evaluated. RESULTS The analysis of the scientific production of 66 full professors (level MS-6) revealed 1,960 scientific articles published in 630 scientific journals, of which 31.3% were Brazilian and 68.7% were from international sources. Among these, 47% of the articles were published in 62.9% of the journals with IFs above 10, although 16.4% of the journals did not have assigned IF values. We verified that 45% of the published articles received 9,335 citations (average of 11 + 17), with the majority of these (8,968 citations) appearing in international scientific journals. CONCLUSIONS Our results indicate that it is possible to analyze the scientific production of a learning institution by the number of papers published by full professors, taking into account not only their academic position and influence, but also the fact that publication is an opportunity to stimulate joint projects with other members of the same institution. PMID:19759885

ENVEJECIMIENTO, SALUD Y ECONOMÍA: La Encuesta Nacional sobre Salud y Envejecimiento en México*

PubMed Central

2017-01-01

RESUMEN México vive una transición demográfica en la cual el porcentaje de la población mayor de 50 años de edad crece aceleradamente como resultado de un aumento considerable en la esperanza de vida. Dicha población tiene necesidades particulares que deben ser tomadas en cuenta en la formulación de políticas, sobre todo en materia de acceso a servicios de salud y seguridad social. En este artículo presentamos una descripción general de la Encuesta Nacional de Salud y Envejecimiento (Enasem), un estudio de panel que comenzó en 2001 y que ofrece una oportunidad única para abordar temas demográficos y económicos complejos por medio de la exploración de las características personales, transferencias socioeconómicas e indicadores de salud para una muestra de 15 186 adultos de edad media y avanzada. También presentamos los resultados más relevantes de diferentes estudios que han utilizado la Enasem hasta la fecha. Nuestra revisión indica que México enfrenta desafíos considerables para satisfacer la demanda de servicios médicos para una población que es amenazada por una creciente presencia de enfermedades crónicas, sobre todo para la población de edad avanzada que no cuenta con cobertura de seguro médico. PMID:29375164

Emergency and Continuous Exposure Limits for Selected Airborne Contaminants. Volume 1

DTIC Science & Technology

1984-04-01

fuels, corn remover, drawing inks, fuel-system deicer, glue, nail-polish remover, paint-brush cleaners, paint and varnish removers, and china ,• ~ ~film...and fire hazards of butanone and acetone. Ind. Bull. (N.Y. State Dept. Labor) 23:173-176. Societa Italiana di Medicina del Lavoro. 1975. Associazione...Italiana di Medicina del Lavoro 1975. Associazione Italiana - -degli Igienisti Industriali. Valori Limite Ponderati degli Inquinanti Chimici e

Survey of Ergonomics Databases in Member Countries of the International Ergonomics Association.

DTIC Science & Technology

1986-07-01

Psychology Salud y Trabajo Journal of Auditory Research Scandinavian Journal of Psychology Journal of Consumer Research Scandinavian Journal of Rehabilitation...Biological Engineering and Computing World Textile Abstracts Medicina del Lavoro Medicina y Segundad del Trabajo Zeitschrift fi~r Arbeituwisenchaft Mens en ...sources of data will be misinterpreted or missed en - applicability" in selecting subject areas, many data found in tirely. Thus the effectiveness of

Sobre la terapia génica para enfermedades de la retina.

PubMed

Fischer, M Dominik

2017-07-11

Las mutaciones en un gran número de genes provocan degeneración de la retina y ceguera sin que exista actualmente cura alguna. En las últimas décadas, la terapia génica para enfermedades de la retina ha evolucionado y se ha convertido en un nuevo y prometedor paradigma terapéutico para estas enfermedades poco comunes. Este artículo refleja las ideas y los conceptos que parten de la ciencia básica hacia la aplicabilidad de la terapia génica en el ámbito clínico. Se describen los avances y las reflexiones actuales sobre la eficacia de los ensayos clínicos en la actualidad y se discuten los posibles obstáculos y soluciones de cara al futuro de la terapia génica para enfermedades de la retina. © 2017 S. Karger AG, Basel.

[The diffusion of knowledge].

PubMed

Ramiro-H, Manuel; Cruz-A, Enrique

2016-01-01

Between August 19 and 21, the Feria del Libro de las Ciencias de la Salud (Healthcare Book Fair) took place in the Palacio de Medicina in Mexico City. Archives of Medical Research, Revista Médica del IMSS, and Saber IMSS, three of the main instruments of knowledge diffusion of the Instituto Mexicano del Seguro Social, assisted to this book fair, which was organized by the Facultad de Medicina of UNAM.

Effective tobacco control measures: agreement among medical students.

PubMed

Martins, Stella Regina; Paceli, Renato Batista; Bussacos, Marco Antônio; Fernandes, Frederico Leon Arrabal; Prado, Gustavo Faibischew; Lombardi, Elisa Maria Siqueira; Terra-Filho, Mário; Santos, Ubiratan Paula

2017-01-01

recomendadas pela Organização Mundial da Saúde e avaliar as atitudes, o conhecimento e as crenças a respeito do tabagismo em alunos do terceiro ano de medicina da Faculdade de Medicina da Universidade de São Paulo, em São Paulo (SP). Entre 2008 e 2012, todos os alunos do terceiro ano de medicina foram convidados a preencher um questionário autoaplicável baseado na Global Health Professions Student Survey e em seus módulos adicionais. A amostra consistiu em 556 estudantes. O grau de concordância com as recomendações da Organização Mundial da Saúde foi alto, à exceção de "receberam treinamento a respeito de cessação do tabagismo" e "aumentar os impostos é uma medida eficaz para reduzir a prevalência do tabagismo". A maioria dos estudantes relatou que concorda com a proibição da venda de produtos do tabaco a menores de idade (95%), acredita que os médicos são modelos de comportamento para seus pacientes (84%) e acredita que deveriam aconselhar seus pacientes a parar de fumar cigarros (96%) e de usar outros produtos do tabaco (94%). No tocante aos métodos de cessação do tabagismo, observamos que a maioria dos estudantes sabe mais sobre terapia de reposição da nicotina do que sobre terapias não nicotínicas (93% vs. 53%). Apenas 37% dos participantes estavam cientes da importância de material educacional antitabagismo, e apenas 31% relataram que acreditam na eficácia de incentivar seus pacientes, durante as consultas médicas, a parar de fumar. Em nossa amostra, a prevalência de tabagismo atual foi de 5,23%; entretanto, 43,82% dos participantes relataram ter experimentado fumar tabaco com um narguilé. Nossos resultados revelaram a necessidade de deixar claro para os alunos do terceiro ano de medicina o quão importante é aumentar os preços e impostos dos produtos do tabaco. É também preciso conscientizar os alunos dos perigos de experimentar outros produtos do tabaco que não os cigarros, particularmente o narguilé.

II Brazilian Consensus on the use of human immunoglobulin in patients with primary immunodeficiencies.

PubMed

Goudouris, Ekaterini Simões; Rego Silva, Almerinda Maria do; Ouricuri, Aluce Loureiro; Grumach, Anete Sevciovic; Condino-Neto, Antonio; Costa-Carvalho, Beatriz Tavares; Prando, Carolina Cardoso; Kokron, Cristina Maria; Vasconcelos, Dewton de Moraes; Tavares, Fabíola Scancetti; Silva Segundo, Gesmar Rodrigues; Barreto, Irma Cecília; Dorna, Mayra de Barros; Barros, Myrthes Anna; Forte, Wilma Carvalho Neves

2017-01-01

In the last few years, new primary immunodeficiencies and genetic defects have been described. Recently, immunoglobulin products with improved compositions and for subcutaneous use have become available in Brazil. In order to guide physicians on the use of human immunoglobulin to treat primary immunodeficiencies, based on a narrative literature review and their professional experience, the members of the Primary Immunodeficiency Group of the Brazilian Society of Allergy and Immunology prepared an updated document of the 1st Brazilian Consensus, published in 2010. The document presents new knowledge about the indications and efficacy of immunoglobulin therapy in primary immunodeficiencies, relevant production-related aspects, mode of use (routes of administration, pharmacokinetics, doses and intervals), adverse events (major, prevention, treatment and reporting), patient monitoring, presentations available and how to have access to this therapeutic resource in Brazil. RESUMO Nos últimos anos, novas imunodeficiências primárias e defeitos genéticos têm sido descritos. Recentemente, produtos de imunoglobulina, com aprimoramento em sua composição e para uso por via subcutânea, tornaram-se disponíveis em nosso meio. Com o objetivo de orientar o médico no uso da imunoglobulina humana para o tratamento das imunodeficiências primárias, os membros do Grupo de Assessoria em Imunodeficiências da Associação Brasileira de Alergia e Imunologia produziram um documento que teve por base uma revisão narrativa da literatura e sua experiência profissional, atualizando o I Consenso Brasileiro publicado em 2010. Apresentam-se novos conhecimentos sobre indicações e eficácia do tratamento com imunoglobulina nas imunodeficiências primárias, aspectos relevantes sobre a produção, forma de utilização (vias de administração, farmacocinética, doses e intervalos), efeitos adversos (principais efeitos, prevenção, tratamento e notificação), monitorização do

Sobre el estado evolutivo de β Pictoris

NASA Astrophysics Data System (ADS)

Brunini, A.; Benvenuto, O. G.

Desde el descubrimiento de fuertes excesos infrarrojos en β Pictoris, esta estrella ha sido muy estudiada y es considerada candidata a poseer un sistema planetario propio. β Pic está rodeada de un disco asimétrico de polvo que se observa de canto y que esta vacío a distancias <= 40 AU. Esto se considera una fuerte evidencia en favor de la presencia de (al menos) un planeta gigante. Recientemente se han observado líneas de material circunestelar que se han interpretado como consecuencia de la caída de objetos cometarios sobre esta estrella. Recientemente se ha utilizado la existencia del disco de polvo para atribuir una edad corta (pre - secuencia principal) a βPic. Sin embargo, la evaporación de estos cometas provee suficiente polvo como para explicar la presencia del disco observado sin necesidad de edades cortas. En este trabajo mostramos que la comparación entre la tasa de impactos cometarios estimada en el Sistema Solar para diferentes etapas de su evolución y los datos observados en β Pic indica edades avanzadas para β Pic. Esta estimación debe tomarse con cautela ya que depende de la estructura de los sistemas planetarios. Además mostramos que, desde el punto de vista de la evolución estelar y con las incertezas presentes en la luminosidad y la temperatura efectiva, existe un continuo de edades posible para β Pic. Sin embargo, empleando los datos provenientes de los flujos cometarios encontramos que una edad prolongada es consistente con ambos tratamientos.

Evaluating the Training Needs of Active Duty and Reserve Military General Surgeons

DTIC Science & Technology

1998-06-01

Speaker - Legal Advocates Seminar: "Motor Vehicle Crash Analysis."Sheraton Bal Harbor. Miami Beach, FL. January 30t. 1997 SICU Infections Course...Surgical Intensive Care Data Managem3nt System." London, England. June 2nd. 1981 VII Reuni6n Nacional de Medicina CrItica y Terapia Intensiva...Asociaci6n Mexicana de Medicine Critica y Terapia Intensive. Curso de Actualizaci6n Profesional en Medicina CrItica: "Development of Intensive Care Systems

Prevalence and Determinants of the Use of Lipid-Lowering Agents in a Population of Older Hospitalized Patients: the Findings from the REPOSI (REgistro POliterapie Società Italiana di Medicina Interna) Study.

PubMed

Bertolotti, Marco; Franchi, Carlotta; Rocchi, Marco B L; Miceli, Andrea; Libbra, M Vittoria; Nobili, Alessandro; Lancellotti, Giulia; Carulli, Lucia; Mussi, Chiara

2017-04-01

Older patients are prone to multimorbidity and polypharmacy, with an inherent risk of adverse events and drug interactions. To the best of our knowledge, available information on the appropriateness of lipid-lowering treatment is extremely limited. The aim of the present study was to quantify and characterize lipid-lowering drug use in a population of complex in-hospital older patients. We analyzed data from 87 units of internal medicine or geriatric medicine in the REPOSI (Registro Politerapie della Società Italiana di Medicina Interna) study, with reference to the 2010 and 2012 patient cohorts. Lipid-lowering drug use was closely correlated with the clinical profiles, including multimorbidity markers and polypharmacy. 2171 patients aged >65 years were enrolled (1057 males, 1114 females, mean age 78.6 years). The patients treated with lipid-lowering drugs amounted to 508 subjects (23.4%), with no gender difference. Atorvastatin (39.3%) and simvastatin (34.0%) were the most widely used statin drugs. Likelihood of treatment was associated with polypharmacy (≥5 drugs) and with higher Cumulative Illness Rating Scale (CIRS) score. At logistic regression analysis, the presence of coronary heart disease, peripheral vascular disease, and hypertension were significantly correlated with lipid-lowering drug use, whereas age showed an inverse correlation. Diabetes was not associated with drug treatment. In this in-hospital cohort, the use of lipid-lowering agents was mainly driven by patients' clinical history, most notably the presence of clinically overt manifestations of atherosclerosis. Increasing age seems to be associated with lower prescription rates. This might be indicative of cautious behavior towards a potentially toxic treatment regimen.

Methodological update in Medicina Intensiva.

PubMed

García Garmendia, J L

2018-04-01

Research in the critically ill is complex by the heterogeneity of patients, the difficulties to achieve representative sample sizes and the number of variables simultaneously involved. However, the quantity and quality of records is high as well as the relevance of the variables used, such as survival. The methodological tools have evolved to offering new perspectives and analysis models that allow extracting relevant information from the data that accompanies the critically ill patient. The need for training in methodology and interpretation of results is an important challenge for the intensivists who wish to be updated on the research developments and clinical advances in Intensive Medicine. Copyright © 2017 Elsevier España, S.L.U. y SEMNIM. All rights reserved.

Reflexión bioética sobre el uso de organismos genéticamente modificados

PubMed Central

Yunta, Eduardo Rodríguez

2011-01-01

El presente artículo reflexiona desde los 4 principios de la bioética el uso comercial de organismos genéticamente modificados. Se cuestiona fundamentalmente la falta de transferencia de tecnología entre el mundo desarrollado y en desarrollo y el que el presente sistema de patentamiento de organismos vivos modificados fomenta intereses comerciales y no da debida importancia al desarrollo sostenible de la agricultura y ganadería en los países en desarrollo, donde más se necesita. Se reflexiona sobre la importancia que tiene evaluar los riesgos antes de introducirse en el mercado organismos genéticamente modificados y la necesidad de regulación en los países. PMID:21927675

Effects of illumination functions on the computation of gravity-dependent signal path variation models in primary focus and Cassegrainian VLBI telescopes

NASA Astrophysics Data System (ADS)

Abbondanza, Claudio; Sarti, Pierguido

2010-08-01

This paper sets the rules for an optimal definition of precise signal path variation (SPV) models, revising and highlighting the deficiencies in the calculations adopted in previous studies and improving the computational approach. Hence, the linear coefficients that define the SPV model are rigorously determined. The equations that are presented depend on the dimensions and the focal lengths of the telescopes as well as on the feed illumination taper. They hold for any primary focus or Cassegrainian very long baseline interferometry (VLBI) telescope. Earlier investigations usually determined the SPV models assuming a uniform illumination of the telescope mirrors. We prove this hypothesis to be over-simplistic by comparing results derived adopting (a) uniform, (b) Gaussian and (c) binomial illumination functions. Numerical computations are developed for AZ-EL mount, 32 m Medicina and Noto (Italy) VLBI telescopes, these latter being the only telescopes which possess thorough information on gravity-dependent deformation patterns. Particularly, assuming a Gaussian illumination function, the SPV in primary focus over the elevation range [0°, 90°] is 10.1 and 7.2 mm, for Medicina and Noto, respectively. With uniform illumination function the maximal path variation for Medicina is 17.6 and 12.7 mm for Noto, thus highlighting the strong dependency on the choice of the illumination function. According to our findings, a revised SPV model is released for Medicina and a model for Noto is presented here for the first time. Currently, no other VLBI telescope possesses SPV models capable of correcting gravity-dependent observation biases.

VizieR Online Data Catalog: Arcetri Catalogue of H2O Maser Sources (Brand+ 1994)

NASA Astrophysics Data System (ADS)

Brand, J.; Cesaroni, R.; Caselli, P.; Catarzi, M.; Codella, C.; Comoretto, G.; Curioni, G. P.; Curioni, P.; di, Franco S.; Felli, M.; Giovanardi, C.; Olmi, L.; Palagi, F.; Palla, F.; Panella, D.; Pareschi, G.; Rossi, E.; Speroni, N.; Tofani, G.

1993-11-01

An update is presented of the Arcetri Atlas of water masers (Comoretto et al. 1990A&AS...84..179C). It contains the results of observations of water masers with the Medicina 32-m antenna. The observed sources were all discovered in the period 1989-1993, and were found either directly in the course of our own programs or were taken from the literature in which case they were re-observed at Medicina. We give the observed parameters of 214 sources in tabular form, and present all the spectra of the 141 detections. (2 data files).

[Contribution to the history of pharmacology (the late antique period)].

PubMed

Tesařová, Drahomíra

2015-01-01

Pharmacological literature in the Late Antique period followed the Roman tradition and widely used Scribonius Largus and excerpts from the writings of Pliny the Elder. Literature was created both in the western part of the Roman Empire and in North Africa in Carthage. Manuals have been written about medicinal plants (Herbarius of Pseudo-Apuleius, De herba vettonica of Pseudo-Musa), for drugs obtained from the animal kingdom (Liber medicinae of Sextus Placitus) or documents containing both (De medicina of Cassius Felix, De medicamentis of Marcellus Empiricus). The contribution of this literature is the mediation of ancient knowledge into the Middle Ages.

DEVELOPMENT OF METRICS FOR TECHNICAL PRODUCTION: QUALIS BOOKS AND BOOK CHAPTERS.

PubMed

Ribas-Filho, Jurandir Marcondes; Malafaia, Osvaldo; Czeczko, Nicolau Gregori; Ribas, Carmen A P Marcondes; Nassif, Paulo Afonso Nunes

2015-01-01

To propose metrics to qualify the publication in books and chapters, and from there, establish guidance for the evaluation of the Medicine III programs. Analysis of some of the 2013 area documents focusing this issue. Were analyzed the following areas: Computer Science; Biotechnology; Biological Sciences I; Public Health; Medicine I. Except for the Medicine I, which has not adopted the metric for books and chapters, all other programs established metrics within the intellectual production, although with unequal percentages. It´s desirable to include metrics for books and book chapters in the intellectual production of post-graduate programs in Area Document with percentage-value of 5% in publications of Medicine III programs. Propor a métrica para qualificar a produção veiculada através de livros e capítulos e, a partir daí, estabelecer orientação para a avaliação dos programas de pós-graduação da Medicina III. Análise dos documentos de área de 2013 dos programas de pós-graduação senso estrito das áreas: Ciência da Computação; Biotecnologia; Ciências Biológicas I; Saúde Coletiva; Medicina I. Excetuando-se o programa da Medicina I, que não adotou a métrica para classificação de livros e capítulos, todos os demais estabeleceram-na dentro da sua produção intelectual, embora com percentuais desiguais. É desejável inserir a métrica de livros e capitulos de livros na produção intelectual do Documento de Área dos programas, ortorgando a ela percentual de 5% das publicações qualificadas dos programas da Medicina III.

Main problems and suggested solutions for improving radiation protection in medicine in Ibero-American countries. Summary of an International Conference held in Madrid, 2016.

PubMed

Vano, Eliseo; Jimenez, Pablo; Ramirez, Raul; Zarzuela, Javier; Larcher, Ana Maria; Gallego, Eduardo; Gonzalez, Santiago; Del Rosario Perez, Maria

2018-03-01

During the International Conference on Radiation Protection in Medicine held in Bonn in 2012, several areas for improvement were identified, including specific actions related with justification, optimization, role of manufacturers, radiation protection education and training, strategic research, data collection on medical and occupational exposures, prevention of incidents and accidents, radiation safety culture, risk-benefit dialogue and implementation of the radiation safety standards. The outcomes of the Bonn Conference were summarized in the so-called 'Bonn Call for Action', identifying 10 priority actions to enhance RP in medicine. Trying to analyse the progress in the implementation of this 'Call for Action' in the Ibero-American region, several international organizations organized the 'Ibero-American Conference on Radiation Protection in Medicine' (Conferencia Iberoamericana sobre Protección Radiológica en Medicina, CIPRaM) held in Madrid, in October 2016. CIPRaM was structured in eight thematic sessions dealing with: diagnostic and dental radiology, image guided interventional radiology, nuclear medicine, radiation therapy, health authorities and radiation protection regulators, professional associations of technologists and nurses, professional associations of medical physicists and radiation protection experts, and universities and researchers in radiation protection in medicine. This paper summarizes the main results of that Conference based on the consensus achieved about main problems, solutions, and indicators to evaluate the implementation of the proposed solutions.

Cardiac Regeneration using Growth Factors: Advances and Challenges.

PubMed

Rebouças, Juliana de Souza; Santos-Magalhães, Nereide Stela; Formiga, Fabio Rocha

2016-09-01

áter inovador e multifatorial sobre o reparo do miocárdio após dano isquêmico. Diferentes questões serão discutidas, destacando-se os mecanismos de regeneração como recurso terapêutico potencial mediado por fatores de crescimento e os desafios para tornar essas proteínas terapeuticamente viáveis no âmbito da cardiologia e da medicina regenerativa.

Tendências De Teses e Dissertações Sobre Educação em Astronomia No Brasil

NASA Astrophysics Data System (ADS)

Bretones, Paulo Sergio; Megid Neto, Jorge

2005-07-01

Apresentam-se os resultados de uma pesquisa do tipo estado da arte sobre teses e dissertações defendidas no Brasil e relativas ao ensino de Astronomia, com objetivo de identificar essa produção e conhecer as principais tendências da pesquisa nesse campo. Foram localizadas 13 dissertações de mestrado e 3 teses de doutorado, as quais foram estudadas em função dos seguintes aspectos: isntituição, ano de defesa, nível escolar abrangido no estudo, foco temático do estudo e gênero de trabalho acadêmico. Pretende-se assim colaborar com a divulgação ampla da produção acadêmica na área. Ao mesmo tempo o estudo possibilita, a partir de investigações decorrentes, apontar as contribuições dessa produção para o ensino e sinalizar com necessidades a serem supridas por futuras pesquisas.

Translation and adaptation of the Competencias Esenciales en Salud Pública para los recursos humanos en salud.

PubMed

Almeida, Maria de Lourdes de; Peres, Aida Maris; Ferreira, Maria Manuela Frederico; Mantovani, Maria de Fátima

2017-06-05

to perform the translation and cultural adaptation of the document named Marco Regional de Competencias Esenciales en Salud Pública para los Recursos Humanos en Salud de la Región de las Américas (Regional Framework of Core Competencies in Public Health for Health Human Resources in the Region of Americas) from Spanish to Brazilian Portuguese. a methodological study comprising the following phases: authorization for translation; initial translation; synthesis of translations and consensus; back-translation and formation of an expert committee. in the translation of domain names, there was no difference in 66.7% (N = 4); in the translation of domain description and competencies there were divergences in 100% of them (N = 6, N = 56). A consensus of more than 80% was obtained in the translation and improvement in the expert committee by the change of words and expressions for approximation of meanings to the Brazilian context. the translated and adapted document has the potential of application in research, and use in the practice of collective/public health care in Brazil. realizar a tradução e adaptação cultural do Marco Regional de Competencias Esenciales en Salud Pública para los Recursos Humanos en Salud de la Región de las Américas, do espanhol para a língua portuguesa do Brasil. pesquisa metodológica, que seguiu as fases: autorização para tradução; tradução inicial; síntese das traduções e consenso; retrotradução e composição de um comitê de especialistas. na tradução dos nomes dos domínios, não houve diferença em 66,7 % (N=4); na tradução da descrição dos domínios e das competências ocorreram divergências em 100 % destes (N=6, N=56), obteve-se consenso acima de 80% ainda na tradução, e aprimoramento no comitê de especialistas pela alteração de palavras e expressões para aproximar os significados ao contexto brasileiro. o documento traduzido e adaptado possui potencial de aplicação em pesquisas e utilização na pr

Back Cover: NIH MedlinePlus Salud

MedlinePlus

... page please turn Javascript on. ¡A su salud! Los Institutos Nacionales de la Salud (NIH, por sus ... Amigos de la Biblioteca Nacional de Medicina de los Estados Unidos y la Alianza Nacional para la ...

Sobre a largura da última superfície de espalhamento

NASA Astrophysics Data System (ADS)

Nobre, M. A. S.; Pires, N.; Lima, J. A. S.

2003-08-01

De acordo com o modelo do "Big-Bang", no universo primordial a matéria estava em equilíbrio térmico com a radiação. Com a expansão a temperatura da radiação cai. Quando a temperatura chega em torno dos 4.000K, os espalhamentos diminuem, começando a recombinação dos prótons e elétrons em Hidrogênio neutro (era conhecida como da recombinação). Ao final da recombinação, os fótons se propagam livremente sofrendo, em princípio, somente os efeitos do "redshift" cosmológico. Esses fótons nos alcançam hoje como a radiação cósmica de fundo (RCF), e parecem vir de uma superfície esférica ao nosso redor, tal que o raio dela é a distância que ele viajou desde seu último espalhamento na época da recombinação. Naturalmente, esse processo não ocorreu abruptamente, implicando na existência de uma largura no espaço dos "redshifts" que deve depender do modelo cosmológico específico e dos processos físicos considerados. Neste trabalho analisamos os efeitos de diferentes modelos - a saber, aqueles com decaimento do vácuo L(t), criação de matéria, quintessência e gás de Chaplygin - sobre a última superfície de espalhamento da RCF, em particular sua largura e a função visibilidade, que determina a probabilidade de um fóton ter tido seu último espalhamento num "redshift" z. No caso particular dos modelos com decaimento do vácuo, existe uma forte dependência da função visibilidade com L(t). Tais efeitos poderão ser testados através da análise dos resultados de experimentos mais precisos que estão atualmente em andamento, como por exemplo, o WMAP.

Conversation with Lara about the Earth and Land. (Spanish Title: Conversando con Lara sobre la Tierra y la Teirra.) Conversando com Lara sobre a Terra e a Terra

NASA Astrophysics Data System (ADS)

da Conceição Barbosa-Lima, Maria

2010-12-01

The present article is the analysis of a conversation between the author and Lara, a four-yearold- girl, enrolled in nursery school, while she makes a drawing of the Earth. It took place outside school environment and without any other person around to avoid interference during the interview. According to Ferreira & Silva (2004), a researcher can only comprehend a child's drawing, or form, by listening to him/her while he/she is creating it. Lara presented the traditional flat drawing, picturing the sky parallel to the ground, as reported by Nardi & Carvalho (1996). However, when asked to draw the World - term used by Butterworth et al. (2002), in order to avoid unnecessary confusion - she represented it by a circle, with herself on the surface. Her drawings led to the conclusion that such girl does not know yet the World in which she lives is the Earth, and probably because of that, within her age and consequent maturity, she accurately differentiates the concepts of land and Earth. El presente artículo analiza una entrevista libre, mientras una niña de 4 años y 4 meses, matriculada en el pregrado, dibuja la Tierra. Esta entrevista se realizó fuera del ambiente escolar y sin otra persona alrededor que pudiera interferir. De acuerdo con Ferreira Silva (2004), para quien investiga es posible conocer realmente lo que un niño o una niña pone en el papel a través de grafismos y/o dibujos si se lo escucha durante el proceso de creación de la escritura con imágenes. La niña, en este caso, representa la Tierra con el tradicional dibujo plano y el "cielo" paralelo al suelo, conforme analizaron Nardi & Carvalho (1996). Pero, cuando se Le solicita dibujar el "Mundo" - palabra empleada en un trabajo de Butterworth et al. (2002), con intención de no provocar "confusiones" innecesarias a sus sujetos de investigación- lo representa de forma circular, poniéndose sobre su superficie. Sus dibujos llevan a concluir que esta niña aún no tiene conocimiento que el mundo

[Ancient disease, but not a thing of the past: Pott's paraplegia in an HIV-positive health-care worker].

PubMed

Jurado, Leonardo F

2017-04-01

Centro de Investigación UNINAVARRA-CINA, Fundación Universitaria Navarra, Neiva, ColombiaGrupo de Investigación MICOBAC-UN, Departamento de Microbiología, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, D.C., Colombia.

Spacecraft Doppler tracking with a VLBI antenna

NASA Technical Reports Server (NTRS)

Comoretto, G.; Iess, L.; Bertotti, B.; Brenkle, J. P.; Horton, T.

1990-01-01

Preliminary results are reported from Doppler-shift measurements to the Voyager-2 spacecraft at a distance of 26 AU, obtained using the 32-m VLBI antenna at Medicina (Italy) during July and August 1988. The apparatus comprises the el-az antenna, an S-X-band receiver, a hydrogen maser to generate the reference signal, a Mark III VLBI terminal, and a digital tone extractor capable of isolating a tone of known frequency from a noisy signal and giving its phase and amplitude. A signal transmitted in S-band from the NASA Deep Space Network (DSN) station in Australia and retransmitted coherently in X-band by Voyager, was received 7 h 6 min later at Medicina and at the DSN station in Madrid. Sample data are presented graphically and shown to be of generally high quality; further in-depth analysis is under way.

"Bernardino Ramazzini, three hundred years after his death", Padua (Italy), October 18th, 2014.

PubMed

Riva, Michele Augusto; Zampieri, Fabio

2015-01-29

The year 2014 has marked the tercentenary from the death of Bernardino Ramazzini (1633-1714), universally credited as the founder of Occupational Health (5, 9, 10, 11). Indeed, the renowned physician died on November 5th 1714 in Padua, where he had been appointed as Professor of Practical Medicine at the local prestigious University from the year 1700. To commemorate this anniversary, the professors of Occupational Health of the University of Padua, the Italian Society of Occupational Health and Industrial Hygiene (Società Italiana di Medicina del Lavoro eIgiene Industriale, SIMLII), the International Commission on Occupational Health (ICOH) and the University of Padua organized a conference in the wonderful location of Palazzo Bo (Main Hall) under the patronage of the Padua Municipality, the Workers' Compensation Authority (INAIL), the Venetian Region and the Societas Internationalis Historiae Medicinae.[...].

Medicinal ethnobotany in Huacareta (Chuquisaca, Bolivia)

PubMed Central

2012-01-01

used as a base for subsequent work related to traditional medicine and its contribution to allopathic medicine in San Pablo de Huacareta. Resumen Introducción El objetivo del presente estudio fue documentar los tipos de enfermedades tratadas mediante el uso de plantas medicinales, sus aplicaciones principales y también tener un reporte de las enfermedades mayormente atendidas en el Hospital de San Pablo de Huacareta (Chuquisaca, Bolivia). Métodos Se realizaron encuestas semiestructuradas a 10 informantes locales anotando los usos atribuidos a sus plantas medicinales, se agruparon las plantas por categorías de enfermedades tratadas en la medicina tradicional. Se obtuvieron reportes de casos tratados en el Hospital de Huacareta para poder relacionar el tratamiento de enfermedades recurrentes en la zona entre la medicina tradicional y la medicina occidental. Resultados Se reportaron 91 especies nativas y exóticas, además de un espécimen indeterminado exótico que intervienen en un total de 258 aplicaciones medicinales, las cuales son empleadas en un total de 13 categorías de enfermedades. Los desórdenes gastrointestinales (55%) son mayormente tratados mediante plantas medicinales, seguidas de las afecciones al sistema esqueleto-muscular (25%) y enfermedades dermatológicas (24%). La información del Hospital indica que las enfermedades más frecuentes son Infecciones Respiratorias Agudas (47%) y Enfermedades Diarreicas Agudas (37%). Los remedios vegetales se emplean en forma de infusiones y cocciones principalmente. Se emplean mayormente plantas nativas, también se introdujo en la farmacopea médica el uso de plantas exóticas al lugar. Conclusiones El tratamiento de trastornos gastrointestinales constituye el objetivo primordial de la etnobotánica médica de los habitantes de Huacareta, las enfermedades del sistema respiratorio, son mayormente tratadas en el Hospital. Observando los datos del libro de consultas del Hospital, se puede inferir que los des

Actualización de la EPA sobre el Huracán Maria correspondiente al 12 de enero de 2018: La EPA asegura que se desechen correctamente 65,000 contenedores de desechos peligrosos domésticos en Puerto Rico

EPA Pesticide Factsheets

Comunicado de prensa de la EPA: Actualización de la EPA sobre el Huracán Maria correspondiente al 12 de enero de 2018: La EPA asegura que se desechen correctamente 65,000 contenedores de desechos peligrosos domésticos en Puerto Rico

SURGERY AND CARDIOVASCULAR SURGERY JOURNALS ANALYSIS.

PubMed

Schanaider, Alberto

2015-01-01

To analyze critically the effectiveness and value of bibliometric indicators in journals of Surgery or Cardiovacular Surgery in the context of the postgraduate programs of CAPES Medicine III. A sampling with 16 academic programs and one professional master of Medicine III, encompassing the General and Digestive System Surgery, Cardiovascular Surgery and Multidisciplinary courses with such contents, was evaluated. Thomson Reuters/ISI (JCR), Elsevier/Scopus (SJR), and also Scielo databases were used. Only in seven programs, the teachers had an average of Qualis A1 articles greater than the others strata. Eleven journals in the surgical area are in stratum A1 (5%) and it reaches 25% in Cardiovascular Surgery. Among the six journals with the largest number of publications Qualis A1 in area Medicine III, five are from non-specific areas. The Acta Cirúrgica Brasileira represented 58% of the publications in the stratum A2. There are some obstacles in the Qualis classification with little uniformity among the Medicine areas I, II and III. A permanent committee should be set to update the Qualis, composed by the three medical areas. It should be considered using other index databases and the unification of the Qualis criteria for journals in medicine. Rating criteria of multi and transdisciplinary journals need to be reviewed. It is essential an institutional financial support for national journals chosen by peers aiming to provide a full computerization process and a professional reviewer of the English language, in order to increase the impact factor. Analisar criticamente a eficácia e valor de indicadores bibliométricos dos periódicos da Cirurgia e Cirurgia Cardiovascular no contexto dos Programas de Pós-Graduação da área Medicina III da CAPES. Foi avaliada uma amostragem com 16 programas acadêmicos e um mestrado profissional da área de Medicina III, compreendendo a Cirurgia Geral e do Aparelho Digestivo, a Cirurgia Cardiovascular e Cursos Multidisciplinares

[The processes of manuscript evaluation and publication in Medicina Clínica. The editorial committee of Medicina Clínica].

PubMed

Ribera, Josep M; Cardellach, Francesc; Selva, Albert

2005-12-01

The decision-making process includes a series of activities undertaken in biomedical journals from the moment a manuscript is received until it is accepted or rejected. Firstly, the manuscript is evaluated by the members of the Editorial Board, who analyze both its suitability for the journal and its scientific quality. After this initial evaluation, the article is evaluated by peer reviewers, an essential process to guarantee its scientific validity. Both the Editorial Board and the peer reviewers usually use checklists which are of enormous help in this task. Once the biomedical article has been accepted, the publication process is started, which in turn includes a series of steps, beginning with technical and medical review of the article's contents and ending with the article's publication in the journal. The present article provides a detailed description of the main technical and ethical issues involved in the processes of decision-making and publication of biomedical articles.

Nuclear Medicine Imaging

MedlinePlus

... rayos-X, revelan solamente la estructura anatómica. Existen más de 100 exámenes diferentes de medicina nuclear para ... se le permite abandonar el hospital y regresar más tarde para el procedimiento del estudio de imagen. ...

Development of a Sensitive and Specific Antigen-Detection System for Strongyloides Stercoralis and Hookworm Infections

DTIC Science & Technology

1997-06-01

deficiency. Treatment usually includes blood transfusions and a three day course of mebendazole and iron substitution and/or single dose albendazole ...1983 Treatment of hookworm, ascariasis and trichuriasis with albendazole or mebendazole. Revista do Instituto de Medicina Tropical de Sao Paulo 25:294

Investigaccion-accion en la sala de clases sobre las creencias de la cultura de la ciencia de un grupo de estudiantes universitarios y su relacion reciproca con el aprendizaje de las ciencias biologicas

NASA Astrophysics Data System (ADS)

Cordova-Santiago, Lizzette Astrid

La investigacion---accion que se llevo a cabo en la sala de clases tenia como punto de partida las creencias de la cultura de la ciencia de un grupo de estudiantes universitarios para luego examinar sus implicaciones en el proceso de aprendizaje de las Ciencias Biologicas. ¿Que se supone que hagan las creencias en relacion con el aprendizaje? ¿En que consiste incorporar este aspecto a la practica educativa universitaria? Utilizando el modelo de Kemmis y McTaggart (1987) la investigacion-accion se planteo como un proceso dinamico en cuatro momentos en espiral constituidos por la planificacion, la accion, la observacion y la reflexion. Cada una de las fases tuvo una intencion retrospectiva y prospectiva formando una espiral de autorreflexion del conocimiento y la accion. Se llevaron a cabo audio grabaciones en clases y analisis de documentos. Ademas, la profesora-investigadora hizo un portafolio para reflexionar sobre las creencias de la cultura de la ciencia que tienen los estudiantes y las creencias del aprendizaje que tiene la profesora y sobre como la comprension de estos elementos ayudo a mejorar su practica educativa a traves del tiempo. Los resultados obtenidos apuntan a que las creencias de la cultura de la ciencia que tiene el grupo de estudiantes son diversas. Ellos si creen que la ciencia tiene una cultura la cual describieron como: complicada y desconocida que evoluciona constantemente, que es un conjunto de metodos, que es altamente tecnologica, que resuelve problemas de salud, ayuda a interpretar la realidad del mundo que los rodea y su origen y que existen unas intersecciones entre la ciencia y el poder. Sobre las creencias del proceso de aprendizaje de la profesora-investigadora, estas senalan que el modelaje de actores, la vision de la academia que tiene ella asi como la participacion y negociacion entre todos los involucrados en el proceso educativo, son factores que inciden en el proceso de aprendizaje.

Earth orientation determinations by short duration VLBI observations

NASA Astrophysics Data System (ADS)

Nothnagel, Axel; Zhihan, Qian; Nicolson, George D.; Tomasi, Paolo

1994-03-01

In May 1989 and April 1990 the radio telescopes of the Wettzell Geodetic Fundamental Station in Germany and of the Shanghai Observatory near Seshan in China observed two series of daily VLBI experiments of short duration for precise determination of UT1. In 1990 a few experiments were complemented by the Hartebeesthoek Radio Astronomy Observatory in South Africa and the Medicina telescope of the Bologna Istituto di Radioastronomia in Italy. Employing the South African station together with the east-west baseline formed by the observatories of Seshan and Medicina permitted simultaneous determinations of UT1 and polar motion. Here we report on the results of these observations. Comparing the UT1 results with those of the IRIS Intensive series gives a clear indication of the absolute accuracy of such short duration VLBI measurements which is estimated to be of the order of ±60 µs.

Height biases and scale variations in VLBI networks due to antenna gravitational deformations

NASA Astrophysics Data System (ADS)

Abbondanza, Claudio; Sarti, Pierguido; Petrov, Leonid; Negusini, Monia

2010-05-01

The impact of signal path variations (SPVs) caused by antenna gravity deformations on geodetic VLBI results is evaluated for the first time. Elevation-dependent models of SPV for Medicina and Noto (Italy) telescopes were derived from a combination of terrestrial surveying methods to account for gravitational deformations. After applying these models, estimates of the antenna reference point (ARP) positions are shifted upward by 8.9 mm and 6.7 mm, respectively. The impact on other parameters is negligible. To infer the impact of antenna gravity deformations on the entire VLBI network, lacking measurements for other telescopes, we rescaled the SPV models of Medicina and Noto for other antennas according to their size. The effects are changes in VLBI heights in the range [-3,73] mm and a significant net scale increase of 0.3 - 0.8 ppb. This demonstrates the need to include SPV models in routine VLBI data analysis.

[Impact factor of the Spanish medical journals].

PubMed

Aleixandre Benavent, Rafael; Valderrama Zurián, Juan Carlos; Castellano Gómez, Miguel; Simó Meléndez, Raquel; Navarro Molina, Carolina

2004-11-20

The 2001 edition of the Journal Citation Reports (JCR) includes only 13 Spanish medical journals. The impact factor (IF) of the rest of Spanish medical journals is unknown. The aim of this study is to determine the IF of the main Spanish medical journals, taking also into account the references from journals not covered by the SCI. A set of 87 Spanish medical journals was selected from the national database IME and other international databases. All citable articles published in these journals in 2001 were analyzed, extracting their bibliographic references to articles published in 1999, 2000 and 2001. The indicators obtained for each journal were the number of cites, the IF and the immediacy index. Among the 87 source journals, 74 were not included in the JCR. From them, 5,388 bibliographic references were examined, identifying the journals cited. Final indicators were obtained adding these results to the ones obtained by using the Science Citation Index. The most cited journal was Medicina Clinica (768 cites), and the highest IF were attained by Histology and Histopathology (IF = 1.866), International Journal of Developmental Biology (IF = 1.654) and Medicina Clinica (IF = 1.125). This work has permitted to obtain the IF of 87 Spanish medical journals. Already detected in previous works, the leadership of the journal Medicina Clinica in Spanish medicine is confirmed. Spanish medical journals published in English have received a small number of cites from the ones published in Spanish. A low impact factor is not necessarily related to lack of quality, merit or relevance.

Studies to Control Endemic Typhoid Fever in Chile

DTIC Science & Technology

1985-09-01

Society for Microbiology, Chapter 16. 10. Medina E, Yrarrazaval M. (1983) Fiebre tifoidea en Chile: Consideraciones epideniologicas. Revista Medica de...epidesiologia de la fiebre tifoidea . Boletin de !a Escuela de Medicina, Pontificia universidad catolica de Chile. 30:113-119. 14. Reyes H, Olea M, Hernandez

Low Frequency Noise: A Major Risk Factor in Military Operation

DTIC Science & Technology

2003-02-01

disease before signs of cortical atrophy; and cerebral atrophy and dilation of the perivascular Virchow-Robin spaces - also seen in dementia [ 12,13...Revista Portuguesa de Medicina Militar 1992: 40(1-4): 41-45. 17. GIMOGMA. Epilepsia sintomidtica de etiologia vascular, manifestaqao da sindrome das

BETTER UNDERSTANDING OF SOCIAL INTEGRATION AND SOLIDARITY AS PARAMETERS FOR POSTGRADUATE PROGRAM EVALUATION OF MEDICINE III.

PubMed

Matias, Jorge Eduardo Fouto

2015-01-01

To provide information in the maturation process of the general conception of social inclusion and solidarity. The following official CAPES sources were consulted: resolutions of the Technical-Scientific Council; models of evaluation forms; current legislation and ordinances; relationship with the Great Area courses; Dinter and Minter evaluation projects; and the assessment application. Social inclusion and solidarity are recent and innovative parameters to be developed by postgraduate programs and evaluated by area committees organized by Capes. There is need for better understanding by the postgraduate faculty of Medicine III the characteristics of relevant actions on social inclusion. The basic theme of life support help in understanding how ​​Medicine III can expand its operations in basic education without compromising the innovative and transformer character of postgraduate. Postgraduate must innovate its insertion in teaching processes, managed care or any other field. What is sought is the power of social transformation, inherent to its spirit and exercise. Proporcionar informações que sejam de auxílio no amadurecimento da concepção geral sobre inserção social e solidariedade. Foram consultadas as seguintes fontes oficiais da CAPES: resoluções do Conselho Técnico-Científico; modelos das fichas de avaliação; legislação e portarias vigentes; relação dos cursos da Grande Área; avaliação de projetos Dinter e Minter; e o aplicativo de avaliação. Inserção social e solidariedade são parâmetros recentes e inovadores como ações a serem desenvolvidas por programas de pós-graduação e avaliadas pelos comitês de áreas organizados pela Capes. Há necessidade de melhor compreensão por parte dos professores de pós-graduação da Medicina III das características de ações relevantes de inserção social. O tema de suporte básico de vida ajuda na compreensão de como a área da Medicina III pode ampliar sua atuação em educação b

Spanish Navy Up to Date Data in DCS

DTIC Science & Technology

2001-06-01

therapeutic measures. Final results are similar to another world navies diving centres Bibliography: 1.- Pujante, A.; Inoriza, J; Viqueira, A. Estudio de 121... casos de enfermedad descompresiva Medicina Clinica, vol . 94, n` 7, 1990 2.- Rivera, J.C. Decompression sickness among divers: An analysis of 935

Aspetti deontologici e giuridici della Responsabilità professionale del chirurgo in Italia. Evoluzione storica a partire dal '900.

PubMed

Picardi, Nicola

2018-01-01

operativamente nel documento del "consenso informato". Per altro verso le leggi innovative del Codice Civile definito nel 1942, che al posto delle pene del codice penale introduceva il criterio della risarcibilità economica del danno in caso di riconosciuta "responsabilità professionale", ha determinato il coinvolgimento di altre figura professionali, e cioè di avvocati e di medici legali, oltre che delle organizzazioni assicurative, con detrimento alla serenità nell'espletamento delle professioni sanitarie e con l'insorgenza per reazione della cosidetta "medicina difensiva". La concretezza di queste problematiche hanno richiesto l'interessamento attivo della Giurisprudenza con una serie di sentenze, ed una formulazione di decreti e nuove leggi parlamentari, ancora in pieno assestamento nel corso del 2017, lasciano in qualche modo ancora irrisolti alcuni nodi.

CRITERIA FOR CONSULTANT AND ADVISOR IN THE BRAZILIAN POSTGRADUATE SYSTEM.

PubMed

Petroianu, Andy

2015-01-01

within the limits and dimension that the wingspan of the professional allows. Revisar as normas, resoluções e documentos vigentes relativos ao tema consultoria e assessoria para melhor orientar as atuações de quem exerce esses papéis. Foram consultados os seguintes documentos: Estatuto da CAPES, por meio do Decreto Nº 7.692, de 02 de março de 2012; Portaria nº 47 de 17/10/1995; Parecer 977 de 1965 de Newton Sucupira; Documento de Área da Medicina III; Portaria Interministerial 251 de 2012, com base no Decreto nº 7642 de 2011 do Ministério de Ciência e Tecnologia; e Regimento da CAPES. O gerenciamento dos programas de pós-graduação stricto sensu requer estrutura multiprofissional diversificada em todos os seus níveis, constituída por corpo próprio da instituição e por componentes agregados, incluindo os consultores e assessores. O consultor é pessoa independente, sem vínculo com quem o convida e, nesse sentido, espera-se dele isenção na execução das tarefas solicitadas, nas quais se pressupõe domínio cultural, científico e humanístico. No Documento de Área da Medicina III, a consultoria é valorizada como atributo importante do Corpo Docente e está mencionada na Proposta dos Programas de Pós-graduação em seu item 2.1. Por outro lado, o assessor está vinculado ao solicitante em relação de dependência funcional. Dentro de sua área do conhecimento, o assessor é considerado adjunto do solicitante e pode substituí-lo ou representá-lo. No Documento de Área da Medicina III, o desempenho de assessoria pelo Corpo Docente está mencionado na Proposta dos Programas de Pós-graduação em seu item 5.2. Ter conhecimento sobre o que significa ser consultor e assessor é necessário para exercer a função dentro dos limites que lhe compete e na dimensão que a envergadura do profissional permite. Nada impede que uma pessoa seja consultora em situação e assessora em outra, até na mesma instituição. Ter conhecimento sobre o que significa

Postharvest evaluation of stored Dudaim melon fruits (Cucumis melo var. dudaim) harvested at different stages of maturity

USDA-ARS?s Scientific Manuscript database

Dudaim or Queen Anne’s Pocket melon is a unique member of the edible melon (Cucumis melo L.) family and less attention has been paid to its postharvest physiology. They are characterized by small reddish yellow fruits with ochre stripes, a unique fragrant and musky aroma, ornamental beauty, medicina...

[Treatment of type 2 diabetes mellitus in patients with chronic kidney disease. Grupo de Trabajo para el Documento de Consenso sobre el tratamiento de la diabetes tipo 2 en el paciente con enfermedad renal crónica].

PubMed

Gómez-Huelgas, Ricardo; Martínez-Castelao, Alberto; Artola, Sara; Górriz, José Luis; Menéndez, Edelmiro

2014-01-21

Chronic kidney disease (CKD) and type 2 diabetes mellitus (T2DM) are highly prevalent chronic diseases, which represent an important public health problem and require a multidisciplinary management. T2DM is the main cause of CKD and it also causes a significant comorbidity with regard to non-diabetic nephropathy. Patients with diabetes and kidney disease represent a special risk group as they have higher morbi-mortality as well as higher risk of hypoglycemia than diabetic individuals with a normal kidney function. Treatment of T2DM in patients with CKD is controversial because of the scarcity of available evidence. The current consensus report aims to ease the appropriate selection and dosage of antidiabetic treatments as well as the establishment of safety objectives of glycemic control in patients with CKD. Copyright © 2013 Elsevier España, S.L. All rights reserved.

ELE: An Ontology-Based System Integrating Semantic Search and E-Learning Technologies

ERIC Educational Resources Information Center

Barbagallo, A.; Formica, A.

2017-01-01

ELSE (E-Learning for the Semantic ECM) is an ontology-based system which integrates semantic search methodologies and e-learning technologies. It has been developed within a project of the CME (Continuing Medical Education) program--ECM (Educazione Continua nella Medicina) for Italian participants. ELSE allows the creation of e-learning courses…

Biophysical and Biochemical Mechanisms in Synaptic Transmitter Release.

DTIC Science & Technology

1992-01-31

vesicle is normally released per active zone Sci USA 83. 3032 (1986) pared (15, 19, 20). In fact, in squid, the quantum 8 0 Shimomura 8 Musicki. V Kisni...8217, AND R. LLINAS• *Instituto de Biologia Celular Facultad de Medicina. Universidad de Buenos Aires. Paraguay 2155. Buenos Aires 1121. Argentina: and

The International Symposium on Applied Military Psychology (18th) Held at London, England on 21-25 June 1982,

DTIC Science & Technology

1982-11-30

just this past year the separate and indeed they often went directly to women’s services were legally abolished, their bunks to recuperate after a work...5* Rep. Sanitfi A.M. Centro Studie Ricerche Medicina Aeronauticae Spaziale Viale P. Gobetti, 2-2A 00185 Roma Dr. Massimiliano Stracca Ispettorato

Postinfectious bronchiolitis obliterans

PubMed

2018-06-01

La bronquiolitis obliterante es una enfermedad pulmonar crónica infrecuente y grave producto de una lesión del tracto respiratorio inferior. En nuestro país, es más frecuente observarla secundaria a una lesión viral grave, en especial, por adenovirus. La bronquiolitis obliterante se caracteriza por la oclusión parcial o total del lumen de los bronquiolos respiratorios y terminales por tejido inflamatorio y fibrosis, que produce la obstrucción crónica de la vía aérea. Este consenso discute el estado actual del conocimiento en las diferentes áreas de la bronquiolitis obliterante secundaria a una lesión infecciosa.

[Carl Gillmeister: the first Doctor of veterinary medicine in Mecklenburg--and in Germany (1834)].

PubMed

Kuhlmann, W; Schäffer, J

2004-02-01

German schools and faculties of veterinary medicine did not receive the sovereign right to award the degree "Doctor medicinae veterinarae" until the early twentieth century. Until then, in the nineteenth century there were two possibilities for veterinarians to earn a doctoral degree, usually referred to as the title of "Doctor": 1. On the basis of an exceptionally excellent dissertation and after very stringent examination a candidate could be awarded the degree "Dr. med." by the faculty of a medical school, or, if the candidate had studied at a philosophical faculty, the degree "Dr. phil." 2. A doctoral degree specifically in veterinary medicine could be earned only at a medical faculty. The Medical Faculty of the University of Giessen awarded the degree "Doctor in arte veterinaria" for the first time in 1832. In this study we prove that Giessen was not the first German university to award a doctorate in veterinary medicine, a priority which has never been questioned in the literature. As early as 1829, veterinarians could earn the degree "Doctor artis veterinariae" at the Medical Faculty of the University of Rostock, where three such awards are documented between 1829 and 1831. The designation "medicina" was also intially avoided in Rostock. Therefore, of particular significance is the discovery of a fourth such document from the Rostock University Archives, the doctoral diploma of Carl Jacob Friedrich Gillmeister, who at the age of 22 was awarded the degree "Doctor medicinae veterinariae" in Rostock after a successful defense. This is the earliest, but also the last archival record of the German doctoral degree in veterinary medicine in the modern sense, because after Gillmeister no veterinarian could earn a doctoral degree in Rostock further more. Gillmeisters vita sheds light on the times and the difficulties of the veterinary profession in the poor agricultural area of Mecklenburg.

[Cartesianism and Henricus Regius' dentistry (1598--1679--1979) (Henricus de Roy, René Descartes].

PubMed

Gysel, C

1979-01-01

Henricues Regius (1598--1679), professor at the University of Utrecht was the first physician who accepted the physiology of the philosopher Descartes (1596--1750) that he exposed in Fundamenta physices (1646) and in Fundamenta Medicinae (1647) but in Praxis Medica (1657) his therapy of the "odontalgia" is still mediaeval according to the principles of Galen.

The First Geodetic VLBI Field Test of LIFT: A 550-km-long Optical Fiber Link for Remote Antenna Synchronization

NASA Astrophysics Data System (ADS)

Perini, Federico; Bortolotti, Claudio; Roma, Mauro; Ambrosini, Roberto; Negusini, Monia; Maccaferri, Giuseppe; Stagni, Matteo; Nanni, Mauro; Clivati, Cecilia; Frittelli, Matteo; Mura, Alberto; Levi, Filippo; Zucco, Massimo; Calonico, Davide; Bertarini, Alessandra; Artz, Thomas

2016-12-01

We present the first field test of the implementation of a coherent optical fiber link for remote antenna synchronization realized in Italy between the Italian Metrological Institute (INRIM) and the Medicina radio observatory of the National Institute for Astrophysics (INAF). The Medicina VLBI antenna participated in the EUR137 experiment carried out in September 2015 using, as reference systems, both the local H-maser and a remote H-maser hosted at the INRIM labs in Turin, separated by about 550 km. In order to assess the quality of the remote clock, the observed radio sources were split into two sets, using either the local or the remote H-maser. A system to switch automatically between the two references was integrated into the antenna field system. The observations were correlated in Bonn and preliminary results are encouraging since fringes were detected with both time references along the full 24 hours of the session. The experimental set-up, the results, and the perspectives for future radio astronomical and geodetic experiments are presented.

[Presentation of the Editor of Gaceta Médica de México].

PubMed

Treviño-Becerra, Alejandro

La Gaceta Médica de México (GMM) es nuestro órgano oficial de divulgación que muestra los valores de la Academia Nacional de Medicina de México. Sirve como identidad del médico mexicano con sus académicos y divulga los fundamentos científicos de la práctica médica nacional.

A Study to Determine the Ambulatory Quality Assurance Impact of a Computer-Stored Medical Records System Upon the Family Practice Clinic, Silas B. Hays Army Community Hospital, Fort Ord, California

DTIC Science & Technology

1982-08-01

clinical outcome measures will be required. h. Data should be available only to those having a legal right of access. The entire information system must...TOTAL DKN5NAME 22 QHA2NANE 22 PHAlNAME 22 PALPITATIONS 21 IRRIT BOWEL SYNDR OR INTE 21 HX OF ALLERGY TO MEDICINA 20 MALIG NEOPL OASTROrNTESTI 20 ACNE

Report of the procedure of voluntary interruption of pregnancy at a university hospital in Uruguay.

PubMed

Bentancor, Ana; Hernández, Ana Laura; Godoy, Yamile; Dapueto, Juan J

2016-07-04

To describe the constitution and operation of a voluntary interruption of pregnancy team of a university hospital, from the outlook of the mental health team. In this case study, the following aspects were analyzed: 1) historical background; 2) implementation of Law 18,897 of October 22, 2012; and 3) functioning of the program at the Hospital de Clínicas of the Facultad de Medicina (Universidad de la República, Uruguay), taking into account three dimensions: structure, process, and results. Between December 2012 and November 2013, a total of 6,676 voluntary interruptions of pregnancy were reported in Uruguay; out of these, 80 were conducted at the Hospital de Clínicas. The patients' demographic data agreed with those reported at the national level: Of the total patients, 81.0% were aged over 19 years; 6.2% decided to continue with the pregnancy; and only 70.0% attended the subsequent control and received advice on contraception. In its implementation year in Uruguay, we can assess the experience as positive from the point of view of women's health. Our experience as a mental health team at the Hospital de Clínicas, inserted into the multidisciplinary voluntary interruption of pregnancy team, is in the process of assessment and reformulation of practices. Describir la conformación y funcionamiento de un equipo de interrupción voluntaria del embarazo de un hospital universitario, desde la mirada del equipo de salud mental. En este estudio de caso, se analizan los siguientes aspectos: 1) antecedentes históricos; 2) implementación de la Ley 18.897 de 22 de octubre de 2012; y 3) funcionamiento del programa en el Hospital de Clínicas de la Facultad de Medicina (Universidad de la República, Uruguay), teniendo en cuenta tres dimensiones (estructura, proceso y resultados). Entre diciembre de 2012 y noviembre de 2013, se reportaron en Uruguay un total de 6.676 interrupciones voluntarias del embarazo; de ellas, 80 se llevaron a cabo en el Hospital de Clínicas. Los

Distinción Empírica Entre Engagement y Trabajolismo en Enfermeras Hospitalarias de Japón: Efecto Sobre la Calidad del Sueño y el Desempeño Laboral

PubMed Central

Kubota, Kazumi; Shimazu, Akihito; Kawakami, Norito; Takahashi, Masaya; Nakata, Akinori; Schaufeli, Wilmar B.

2016-01-01

Objetivo El objetivo de este estudio es demostrar la distinción entre engagement y trabajolismo, estudiando su relación con la calidad del sueño y el desempeño laboral. Método Un total de 447 enfermeras de 3 hospitales de Japón fueron entrevistadas mediante un cuestionario autoadministrado que incluía la escala Utrecht (UWES, Utrecht Work Engagement Scale), la Escala de Adicción al Trabajo Holandesa (DUWAS, Dutch Workaholism Scale), preguntas sobre la calidad del sueño (7 ítems) con respecto a (1) dificultad para conciliar el sueño, (2) dificultad para mantener el sueño, (3) despertar temprano por la mañana, (4) dormirse o tomar siestas durante el día, (5) somnolencia diurna excesiva en el trabajo, (6) dificultad para despertarse por la mañana, y (7) despertar cansado en la mañana, y el Cuestionario sobre Salud y Desempeño (CSD) de la Organización Mundial de la Salud. Resultados Los modelos de ecuaciones estructurales demostraron que el engagement se relaciona positivamente con la calidad del sueño y el rendimiento laboral, mientras que el trabajolismo tiene una relación negativa con la calidad del sueño y el desempeño laboral. Conclusión Los resultados indican que el engagement y el trabajolismo son conceptualmente diferentes. El primero tiene una connotación positiva, mientras que el segundo se asocia de manera negativa al bienestar (buena calidad del sueño y buen rendimiento en el trabajo). PMID:26752805

Representaciones sociales sobre la problemática de Chagas en un servicio de salud comunitaria del Gran La Plata, Buenos Aires, Argentina.

PubMed

Sanmartino, Mariana; Amieva, Carolina; Medone, Y Paula

2017-03-01

Hablar de Chagas es hablar de una problemática compleja, definida por elementos de carácter biomédico, epidemiológico, sociocultural y político, que se conjugan dinámicamente. En este trabajo buscamos identificar y analizar las representaciones sobre Chagas de los integrantes del equipo de salud de un centro de atención periurbano de la ciudad de La Plata, Argentina. Mediante un abordaje cualitativo, se realizaron entrevistas semiestructuradas y se analizaron las respuestas con la técnica del análisis de contenido. Los resultados mostraron que la mayor parte de las personas entrevistadas no contempla al Chagas como una problemática en su contexto laboral cotidiano y manifiestan un fuerte sesgo biologicista en su formación profesional. Con este trabajo señalamos la urgente necesidad de reflexionar críticamente en torno a la formación de los profesionales de la salud en relación a problemáticas socioambientales complejas de importancia regional, como lo es el Chagas.

La Seccion de Investigacion sobre Educacion Medica de la Facultad de Medicina de la Universidad National Autonoma de Mexico (The Medical Education Investigation Section of the School of Medicine of UNAM).

ERIC Educational Resources Information Center

Campillo Sainz, Carlos; Alvarez, Tostado, Juan

This document is an English-language abstract (approximately 1,500 words) of a survey of Mexican medical education needs for the future. To plan for these needs, SISEM of UNAM was formed with the objectives of carrying out and promoting investigations in the different areas of medical education. It also wants to distribute the information…

Ingredientes Farmacéuticos Activos Potencialmente Inapropiados en Adultos Mayores: Lista IFAsPIAM: Panel de Consenso Argentino.

PubMed

Marzi, Marta M; Pires, Miryam S; Quaglia, Nora B

2018-04-18

To perform a list agreed by Argentinean experts and adapted to the local context containing potentially inappropriate (PI) medications in old people (OP) usingthe Delphi consensus technique optimized for this subject. A preliminary list of potentially inappropriate medications (PIM) was drawn up based on foreign PIM lists and a selective search in the scientific literature. The iterative Delphi process was used to submit the active pharmaceutical ingredients (APIs) of the preliminary PIM list to the panel of Argentinean experts. The analysis of theanswers to determine the arrival to the consensus was carried out applying three criteria specially defined for this purpose. After two Delphi rounds, it was not reached agreement about 12 APIs. The List of explicit criteria for PIAPIs for use in OP (IFAsPIAM List) was finally constituted by 128 APIs corresponding to 9 groups of the ATC classification system to which they were organized. In addition to each API, information justifying the unfavorable benefit/risk profile and therapeutic alternatives or recommendations/precautions was recorded. The group with the most PI APIs was N (NervousSystem) (60; 47%) followed by groups C (Cardiovascular) and M (Musculoskeletal). This study presents the first Latin American list of PIM in OP developed using an expert consensus technique. The IFAs PIAM List would contribute to the rational use of drugs in elderly population, constituting a valuable tool in Argentinean public health. Copyright © 2018. Published by Elsevier Inc.

Consensus-recommended diagnostic and therapeutic guidelines for drug-resistant epilepsy in Spain (Consenso RATE-España).

PubMed

Sánchez-Álvarez, J C; Mauri-Llerda, J A; Gil-Nagel, A; Casas-Fernández, C; Salas-Puig, J; Lahuerta, J; Sancho-Rieger, J

2012-10-01

To ascertain the opinions of an Epilepsy Expert Group and prepare a consensus document on the definition of drug-resistant epilepsy (DRE) according to the International League Against Epilepsy (ILAE) and the different healthcare levels for the patient with epilepsy in Spain. The study was conducted using the Delphi method, by means of successive rounds of questionnaires. A scientific committee prepared a preliminary document and fourteen associated questions, which were sent by e-mail to the panel of experts. They included items related to the concept of DRE, health care levels and the route between these levels for patients with DRE. A total of 41 experts answered the questionnaire. They agreed regarding the necessity and applicability of the DRE definition according to the ILAE, the need for an expert panel on epilepsy, specialist epilepsy clinics, and clinical epilepsy units stratified depending on the level of activities they carried out. There was moderate consensus on the resources and activity of the clinical units of reference and there was no consensus on the referral of patients who have suffered an epileptic seizure to an epilepsy clinic. The expert panel agreed with the definition of DRE according to the ILAE and on referring patients with DRE for a detailed study in an epilepsy clinic or epilepsy clinical unit. They highlighted the need for video-EEG monitoring in the study of patients with DRE and the need to propose other forms of treatment in selected patients. Copyright © 2011 Sociedad Española de Neurología. Published by Elsevier Espana. All rights reserved.

VizieR Online Data Catalog: 6.7GHz methanol maser polarization in SFR (Surcis+, 2015)

NASA Astrophysics Data System (ADS)

Surcis, G.; Vlemmings, W. H. T.; van Langevelde, H. J.; Hutawarakorn Kramer, B.; Bartkiewicz, A.; Blasi, M. G.

2015-09-01

The first seven massive SFRs were observed at 6.7GHz in full polarization spectral mode with eight of the EVN antennas (Effelsberg, Jodrell, Onsala, Medicina, Noto, Torun, Westerbork, and Yebes-40m) between November 2012 and June 2013, for a total observation time of 49h. The bandwidth was 2MHz, providing a velocity range of ~100km/s. (8 data files).

[Scabies and the significance of "suriones" in the handwritten manuscripts of Hildegard von Bingen].

PubMed

Riethe, Peter

2006-01-01

In her studies on nature and medicine, the "Liber simplicis medicinae" (LSM or "Physica") and the "Liber compositae medicinae" (LCM or "Causae et Curae"), Hildegard von Bingen mentions Scabies (mange) in several passages. She characterizes "suren aut (= or) sneuelzen" as the cause of the disease, which she calls also "gracillimi vermiculi", that is, tiny worms that burrow into the human skin ("ubi suren aut sneuelzen hominem comedendo ledunt"). In this context the meanings of the German-ancestor terms "suren aut sneuelzen", which are found in the Latin text concerning the "Alia Mynza", are still disputed. The question whether Hildegard knew the cause of scabies the author discusses on the basis of ancient and medieval sources as well as modem medical historical and philological/linguistic research approaches. He concludes that Hildegard was able not only to describe the symptoms exactly, but also to define the cause of the disease as a special parasite. Consequently, she differentiates other diseases of the skin, such as "grint", from scabies. The proposed interpretation of "sneuelzen" as the tick is untenable. The assumption that both terms are synonyms for sarcoptes scabiei can be confirmed by philological and medical historical research.

[Follow-up of a diploma course graduates in the teaching of medicine].

PubMed

Ponce de León-Castañeda, Ma Eugenia; Ruíz-Alcocer, Ma del Carmen; Lozano-Sánchez, J Rogelio

2004-01-01

Certification in Medical Education; Strategy for Educational Formation. Origins and Follow-Up. This study is a review of the problem of educational formation in terms of an international context, and determinant factors of this need are analyzed, barriers or limitations that have prevented such a formation are highlighted, and some development proposals for educational training are offered. It is also a description of the actions that the Facultad de Medicina (Medical School) of the Universidad Nacional Autónoma de México (National Autonomous University of Mexico) implemented from 1965 to 1996 to promote educational training. In 1997, the Diplomado en Enseñanza de la Medicina began as a new possibility for educational training. The first certification course ran in 1997, and there have been 18 courses to date, eight the Medical School and 10 at external institutions. In 1999, a follow-up questionnaire was answered by physicians trained under the certification program. Results showed that training received in the certification course had a positive effect on teaching skills of physicians who attended it, thus establishing the program as a good option for medical teachers.

Height bias and scale effect induced by antenna gravitational deformations in geodetic VLBI data analysis

NASA Astrophysics Data System (ADS)

Sarti, Pierguido; Abbondanza, Claudio; Petrov, Leonid; Negusini, Monia

2011-01-01

The impact of signal path variations (SPVs) caused by antenna gravitational deformations on geodetic very long baseline interferometry (VLBI) results is evaluated for the first time. Elevation-dependent models of SPV for Medicina and Noto (Italy) telescopes were derived from a combination of terrestrial surveying methods to account for gravitational deformations. After applying these models in geodetic VLBI data analysis, estimates of the antenna reference point positions are shifted upward by 8.9 and 6.7 mm, respectively. The impact on other parameters is negligible. To simulate the impact of antenna gravitational deformations on the entire VLBI network, lacking measurements for other telescopes, we rescaled the SPV models of Medicina and Noto for other antennas according to their size. The effects of the simulations are changes in VLBI heights in the range [-3, 73] mm and a net scale increase of 0.3-0.8 ppb. The height bias is larger than random errors of VLBI position estimates, implying the possibility of significant scale distortions related to antenna gravitational deformations. This demonstrates the need to precisely measure gravitational deformations of other VLBI telescopes, to derive their precise SPV models and to apply them in routine geodetic data analysis.

Qualitative Description of Global Health Nursing Competencies by Nursing Faculty in Africa and the Americas.

PubMed

Wilson, Lynda; Moran, Laura; Zarate, Rosa; Warren, Nicole; Ventura, Carla Aparecida Arena; Tamí-Maury, Irene; Mendes, Isabel Amélia Costa

2016-06-07

por um comitê. a análise revelou dez novas categorias de competências em saúde global. Os docentes também se mostraram preocupados com a forma e o momento de integrar essas competências nos currículos de enfermagem. as categorias adicionais devem ser consideradas para inclusão nas competências em saúde global identificadas anteriormente. Essas, além das orientações para fins de integração nos currículos existentes, podem ser usadas para direcionar o refinamento da lista original de competências em saúde global. São necessárias outras investigações em busca de consenso sobre essas competências para formulação de recomendações e padrões que orientem o desenvolvimento dos currículos de enfermagem. analizar los comentarios cualitativos de cuatro encuestas entre docentes de enfermería, a los que se solicitò evaluar la importancia de 30 competencias de salud global para cursos de pregrado en enfermería. investigación cualitativa-descriptiva con 591 individuos que contestaron la encuesta en inglés (49 de África y 542 de las Américas), 163 que contestaron la encuesta en español (todos de América Latina), y 222 docentes brasileños que contestaron la encuesta en portugués. Los comentarios cualitativos fueron registrados al final de las encuestas por 175 respondientes en inglés, 75 en español y 70 en portugués. El análisis de los datos consistió en una descripción cualitativa y aproximación a través de un comité. el análisis reveló diez nuevas categorías de competencias de salud global. Los docentes también se mostraron preocupados con la forma y el momento de integrar esas competencias en los currículos de enfermería. las categorías adicionales deben ser consideradas para inclusión en las competencias de salud global identificadas anteriormente. Esas, además de las orientaciones para integración en los currículos existentes, pueden ser usadas para dirigir la lista original de competencias en salud global. Son

U. S. Naval Forces, Vietnam Monthly Historical Summary for November 1968

DTIC Science & Technology

1968-11-01

8217~ -..-. .,-.. 4* November 1968 Coastal activit7 cont.Uriedd to drop of f due to sea and surf cona-mdtona along4 the 3=th China Sea. 4umin; thds...uncov*ored Ur-)wru -wit ±h ;;n exacasve * sj~aant of medicina in theifr posesossiotu Th4 wCmeO o1L4moAi t~hey wre taking t~be medicine t~o their

Assessing the Adaptability to Irregular Rest-Work Rhythms in Military Personnel

DTIC Science & Technology

2000-03-01

Aeronautica Militare Italiana, CSV Reparto Medicina Aerospaziale Pratica di Mare, 00040 Pomezia (Roma) Italy 2 Dipartimento di Psicologia - Universitd...characteristics to adapt to increased work errors and impaired social work at unusual hours. and family relationship. In addition, there is an increased mortality...DUTY: a brief questionnaire on critical evaluation. Journal of Personality the sleep-wake cycle and vigilance filled in and Social Psychology. 58: 844

Intercontinental Bistatic Radar Test Observation of Asteroid 1998 WT24

NASA Technical Reports Server (NTRS)

Righini, S.; Poppi, S.; Montebugnoli, S.; DiMartino, M.; Saba, L.; Delbo, M.; Ostro, S.; Monari, J.; Poloni, M.; Orlati, A.

2002-01-01

We describe the first intercontinental planetary radar test performed in Italy observing the near Earth asteroid (NEA) 33342 (1998 WT24) in December 2001 by means of the bistatic configurations Goldstone (California, USA)-Medicina (Italy) and Evpatoria (Ukraine)-Medicina. The experiment goal was to characterize the system for realtime radar follow-up observations of NEAs and artificial orbiting debris, in the framework of a feasibility study which aims at using the Sardinia Radio Telescope, at present under construction, also as a planetary radar facility. We report the preliminary results of the radar observations carried out by the IRA-CNR (Instituto di Radioastronomia - Consiglio Nazionale delle Ricerche) and the OATo (Osservatorio Astronomico di Torino) groups, aimed at exploring the scientific potentials of a new space radar program, using the existing facilities in Italy. The planetary radar technique is uniquely capable of investigating geometry and surface properties of various solar system objects, demonstrating advantages over the optical methods in its high spatial resolution and ability to obtain three-dimensional images. A single radar detection allows to obtain extremely accurate orbital elements, improving the instantaneous positional uncertainties by orders of magnitude with respect to an optically determined orbit. Radar is a powerful means to spatially resolve NEAs by measuring the distribution of the echo power in time delay (range) and Doppler frequency (line-of-sight velocity) with extreme precision in each coordinate, as it provides detailed information about the target physical properties like size, shape, rotation, near-surface bulk density and roughness and internal density distribution. The Medicina 32m antenna had been successfully used for the first time as the receiving part of a bistatic configuration during a test experiment (September 2001) held to check the capabilities of the entire data acquisition system. This test was possible

Local effects of redundant terrestrial and GPS-based tie vectors in ITRF-like combinations

NASA Astrophysics Data System (ADS)

Abbondanza, Claudio; Altamimi, Zuheir; Sarti, Pierguido; Negusini, Monia; Vittuari, Luca

2009-11-01

Tie vectors (TVs) between co-located space geodetic instruments are essential for combining terrestrial reference frames (TRFs) realised using different techniques. They provide relative positioning between instrumental reference points (RPs) which are part of a global geodetic network such as the international terrestrial reference frame (ITRF). This paper gathers the set of very long baseline interferometry (VLBI)-global positioning system (GPS) local ties performed at the observatory of Medicina (Northern Italy) during the years 2001-2006 and discusses some important aspects related to the usage of co-location ties in the combinations of TRFs. Two measurement approaches of local survey are considered here: a GPS-based approach and a classical approach based on terrestrial observations (i.e. angles, distances and height differences). The behaviour of terrestrial local ties, which routinely join combinations of space geodetic solutions, is compared to that of GPS-based local ties. In particular, we have performed and analysed different combinations of satellite laser ranging (SLR), VLBI and GPS long term solutions in order to (i) evaluate the local effects of the insertion of the series of TVs computed at Medicina, (ii) investigate the consistency of GPS-based TVs with respect to space geodetic solutions, (iii) discuss the effects of an imprecise alignment of TVs from a local to a global reference frame. Results of ITRF-like combinations show that terrestrial TVs originate the smallest residuals in all the three components. In most cases, GPS-based TVs fit space geodetic solutions very well, especially in the horizontal components (N, E). On the contrary, the estimation of the VLBI RP Up component through GPS technique appears to be awkward, since the corresponding post fit residuals are considerably larger. Besides, combination tests including multi-temporal TVs display local effects of residual redistribution, when compared to those solutions where Medicina TVs

Falls in long-term care institutions for elderly people: protocol validation.

PubMed

Baixinho, Cristina Rosa Soares Lavareda; Dixe, Maria Dos Anjos Coelho Rodrigues; Henriques, Maria Adriana Pereira

2017-01-01

To validate the content of a fall management risk protocol in long-term institutions for elderly people. Methodological, quanti-qualitative study using the Delphi technique. The tool, based on the literature, was sent electronically to obtain consensus among the 14 experts that meet the defined inclusion criteria. The 27 indicators of the protocol are organized in three dimensions: prepare for the institutionalization (IRA=.88); manage the risk of falls throughout the institutionalization (IRA=.9); and lead the communication and formation (IRA=1), with a CVI=.91. Two rounds were performed to get a consensus superior to 80% in every item. The values obtained in the reliability test (>0.8) show that the protocol can be used to meet the intended goal. The next step is the clinic validation of the protocol with residents of long-term care institutions for elderly people. Validar o conteúdo de um protocolo para a gestão do risco de queda em Instituições de Longa Permanência para Idosos. Estudo metodológico, de abordagem quantiqualitativa, utilizando a técnica de Delphi. O instrumento, construído com base na literatura, foi enviado por via electrónica, para obter consenso entre os 14 peritos que respeitam os critérios de inclusão definidos. Os 27 indicadores do protocolo estão organizados em três dimensões: Preparar a Institucionalização (IRA=,88); Gerir o Risco de Queda ao longo da Institucionalização (IRA=,9) e Liderar a comunicação e formação (IRA=1), com um CVI=,91. Foram efetuadas duas rodadas para se obter consenso superior a 80% em todos os itens. Os valores obtidos no teste de fidedignidade (>0,8) atestam que o protocolo pode ser utilizado para atingir o fim que se pretende. A próxima etapa é a validação clínica do protocolo com idosos residentes em Instituições de Longa Permanência para Idosos.

Deconstruction of Oncogenic K-RAS Signaling Reveals Focal Adhesion Kinase as a Novel Therapeutic Target in NSCLC

DTIC Science & Technology

2015-10-01

Tang (Associate Professor at Sun Yat-sen University, Guangzhou, China , Visiting professor) and Niranjan Venkateswaran, MS (Research technician...supported by the Sun Yat-sen University, Guangzhou, China . Name: Niranjan Venkateswaran Project Role: Research technician II Researcher Identifier (e.g...Dallas,  TX.   Honors   1989   Medicina   Prize   for   Italian   Researchers   younger   than   35   years   of   age

Aviation Medicine Translations: Annotated Bibliography of Recently Translated Material. X,

DTIC Science & Technology

1981-01-01

Professionnelles (France), 24:1-45, 1963. Legal provisions relative to working hours and the principal work schedules used in France are reviewed. Their...month, an extra morning shift was included to comply with the legal working hours of 46 hours a week. The group was investigated for 3 years before and...e degli operatori-radar. (Psychopathology of air traffic controllers and radar operators.) Rivista di Medicina Aeronautica e Spaziale (Italian), 39

Drugs and Air Operations

DTIC Science & Technology

2001-06-01

in research alternative hypnotic free of such medico- legal establishments which directly support the military, restraints. In this context zolpidem is...1997) from the Reporto Medicina deprivation have been studied by the Walter Reed Aeronautica e Spatiale, Aeroporto Pratica di Mare, Army Institute of...the adverse effects of the compound at years, but in view of the constraint imposed by the appropriate dose rather than on the primary medico- legal

Extremely high cm-band radio flux level of the gamma-ray flaring FSRQ PKS 1510-089

NASA Astrophysics Data System (ADS)

Orienti, M.; D'Ammando, F.; Giroletti, M.; Orlati, A.

2011-11-01

The 32-m single dish antenna located at Medicina has been observing the flat spectrum radio quasar PKS 1510-089 starting from July 2011 with monthly frequency. The observations were organised as a follow-up of the gamma-ray flaring event reported in July 2011 by AGILE (ATel #3470) and Fermi (ATel #3473). Recently, radio observations were performed at 4.9 GHz and 8.0 GHz on 2011 November 16.

A public health physician named Walter Leser.

PubMed

Mello, Guilherme Arantes; Bonfim, José Ruben de Alcântara

2015-09-01

A brief review of the career of the public health physician Walter Sidney Pereira Leser, who died in 2004 aged 94. Self-taught, from his 1933 doctoral thesis he became a country reference in the field of statistics and epidemiology, with dozens of studies and supervisions. In the clinical field he is one of the founders of Fleury Laboratory, and participates in the creation of CREMESP. As an academic, Leser was a professor at the Escola de Sociologia e Política de São Paulo, Escola Paulista de Medicina e Faculdade de Farmácia e Odontologia da USP. Also, Leser introduced objective tests in the college entrance examination, and led the creation of CESCEM and Carlos Chagas Foundation. In the Escola Paulista de Medicina he created the first Preventive Medicine Department of the country. As a public official, he was secretary of the State Department of Health of São Paulo between 1967 and 1971 and between 1975 and 1979, responsible for extensive reforms and innovations. Among the most remembered, the creation of sanitary medical career. Throughout this legacy, he lent his name to the "Medal of Honor and Merit Public Health Management" of the State of São Paulo.

[Profile of medical students from the Universidade Estadual Paulista-UNESP--Botucatu, who wear contact lenses].

PubMed

Vidotti, Vanessa Gonçalves; Kamegasawa, Amélia

2006-01-01

To analyze the ametropy, way of acquisition, the care and complications related to contact lens wear among medical students from Faculdade de Medicina de Botucatu da Universidade Estadual Paulista-UNESP--Botucatu (SP). Questionnaire applied to students from the 1st to the 6th year of the Medical school of the Faculdade de Medicina de Botucatu da Universidade Estadual Paulista-UNESP--Botucatu (SP), forming an analytical cross-sectional survey. 27.4% of the students use contact lenses, and among them 94.8% use soft contact lenses and 98% have negative degree. 46.9% discard their contact lens monthly. 63.9% have an average daily use of 14 hours, 14.1% acquire the contact lenses from optician stores or at pharmacies and 46.5% of the students clean their contact lenses when they put them on and take them off. Regarding complications, 51.0% reported ocular redness; 44.5%, blurred vision; and 42.6%, foreign body sensation, whereas only 4 students reported "keratitis". We concluded that the inadequate adaptation that occurs even in users knowledgeable about this issue such as medical students, has increased the risk of complications. This fact indicates that more attention must be paid to contact lens care in order to prevent permanent visual deficit.

Single baseline GLONASS observations with VLBI: data processing and first results

NASA Astrophysics Data System (ADS)

Tornatore, V.; Haas, R.; Duev, D.; Pogrebenko, S.; Casey, S.; Molera Calvés, G.; Keimpema, A.

2011-07-01

Several tests to observe signals transmitted by GLONASS (GLObal NAvigation Satellite System) satellites have been performed using the geodetic VLBI (Very Long Baseline Interferometry) technique. The radio telescopes involved in these experiments were Medicina (Italy) and Onsala (Sweden), both equipped with L-band receivers. Observations at the stations were performed using the standard Mark4 VLBI data acquisition rack and Mark5A disk-based recorders. The goals of the observations were to develop and test the scheduling, signal acquisition and processing routines to verify the full tracking pipeline, foreseeing the cross-correlation of the recorded data on the baseline Onsala-Medicina. The natural radio source 3c286 was used as a calibrator before the starting of the satellite observation sessions. Delay models, including the tropospheric and ionospheric corrections, which are consistent for both far- and near-field sources are under development. Correlation of the calibrator signal has been performed using the DiFX software, while the satellite signals have been processed using the narrow band approach with the Metsaehovi software and analysed with a near-field delay model. Delay models both for the calibrator signals and the satellites signals, using the same geometrical, tropospheric and ionospheric models, are under investigation to make a correlation of the satellite signals possible.

Description and Comparison of Morphological Structures of the Eggs of Anopheles Hyrcanus Group and Related Species (Diptera: Culicidae) from the Republic of Korea

DTIC Science & Technology

2009-10-20

major vector of malaria in China ; however, its vectorial capacity is unknown in the ROK. The other remaining four Anopheles species are not considered to...morphometry and morphology of Anopheles aconitus Form B and C eggs under scanning electron microscope. Revista do Instituto de Medicina Tropical de Sao Paulo...and its genetic identity with An. (Ano.) anthropophagus from China (Diptera: Culicidae). Zootaxa, 378, 1–14. RUEDA ET AL.40 · Zootaxa 2268 © 2009

Pulmonary Function in a Diving Population Aged Over 40 Years Old: A Cross-Sectional Study

DTIC Science & Technology

2000-08-01

ADIVP -2 ALLIED GUIDE TO DIVING Fisiologia del ejercicio . la edicion. Madrid. MEDICAL DISORDERS. Publicacion Editorial Medica Panamericana S.A. 1995...activity. 13-5 12. LUCIA MULAS A. La ventilaci6n REFERENCES.- pulmonar durante el ejercicio . En L6pez Chicharro J. Fern-ndez Vaquero AX(eds.). 1...las pruebas de funci6n KK. Relation of alveolar size to forced vital pulmonar a la medicina del deporte. Tesis capacity in professional divers. Doctoral

Tendências de teses e dissertações sobre ensino de astronomia no Brasil

NASA Astrophysics Data System (ADS)

Bretones, P. S.; Megid Neto, J.

2003-08-01

Neste trabalho são apresentados os resultados de uma pesquisa do tipo estado da arte sobre teses e dissertações defendidas no Brasil e relativas ao ensino de Astronomia. Teve por objetivo identificar essa produção e conhecer as principais tendências da pesquisa nesse campo. O procedimento inicial consistiu de um levantamento bibliográfico junto ao Centro de Documentação em Ensino de Ciências (CEDOC) da Faculdade de Educação da UNICAMP e ao Banco de Teses da CAPES disponível na Internet. Foram localizadas 13 dissertações de mestrado e 3 teses de doutorado, as quais foram estudadas em função dos seguintes aspectos: instituição, ano de defesa, nível escolar abrangido no estudo, foco temático do estudo e gênero de trabalho acadêmico. Deste conjunto de pesquisas, 13 (81,3%) delas foram defendidas a partir da segunda metade dos anos 90, indicando uma preocupação mais recente com temas relativos ao ensino de Astronomia no conjunto da produção acadêmica em programas de pós-graduação no Brasil. Verificou-se que 43,7% dos trabalhos foram produzidas na USP e 18,8% na UNICAMP. Quanto ao nível escolar abrangido nos estudos, predominaram os estudos direcionados ao Ensino Fundamental de 5a a 8a séries (62,5%). No que diz respeito ao foco temático das pesquisas, as principais tendências voltaram-se: 56,3% para Conteúdo e Método; 43,8% para Concepções do Professor; 37,5% para Currículo e Programas; 37,5% para Recursos Didáticos. Quanto ao gênero de trabalho acadêmico, verificou-se que 43,8% são de Pesquisa Experimental e 31,3% de Pesquisa de Análise de Conteúdo. Estudos de revisão bibliográfica como este visam colaborar com a divulgação ampla da produção acadêmica em determinada área, traçando algumas de suas tendências. Ao mesmo tempo possibilita, a partir de investigações decorrentes, apontar as suas contribuições para o ensino e sinalizar com necessidades a serem supridas por futuras pesquisas.

High School Student's Alternative Conceptions About the Phenomenon of the Formation of the Moon Phases. (Spanish Title: Concepciones Alternativas de Alumnos de Educación Media Sobre el Fenómeno de Formación de las Fases de La Luna.) Concepções Alternativas de Alunos do Ensino Médio Sobre o Fenômeno de Formação das Fases da Lua

NASA Astrophysics Data System (ADS)

Iachel, Gustavo; Langhi, Rodolfo; Fernandes Scalvi, Rosa Maria

2008-07-01

Forty students, at ages between 14 and 18 years old, from three schools in Bauru city, were questioned about their alternative conceptions concerning the phenomenon of formation of the Moon Phases. It was observed that some of the pupils confound the phenomenon of the formation of the Moon Phases with the phenomenon of the formation of the lunar eclipses, others are unaware of the reason of the phenomenon, they present incoherent alternative conceptions of the reality or incomplete conceptions. The results found here are aimed at the teachers of Elementary Education and can be used as a subsidy for future development of new pedagogical methods. Cuarenta estudiantes, con edad entre 14 y 18 años, pertenecientes a tres escuelas de la ciudad de Bauru, fueron cuestionados sobre sus concepciones alternativas acerca del fenómeno de la formación de las fases de la Luna. Fue observado que algunos alumnos confunden el fenómeno de formación de las fases de la Luna con el fenómeno de formación de los eclipses lunares, otros desconocen el motivo delfenómeno, presentan concepciones alternativas incoherentes con la realidad o bien presentan concepciones incompletas. Los resultados aquí encontrados son destinados a los profesores de la Enseñanza Básica y podrán ser usados como ayuda para el futuro desarrollo de nuevos métodos pedagógicos. Quarenta estudantes, com idades entre 14 e 18 anos, pertencentes a três escolas da cidade de Bauru, foram questionados sobre suas concepções alternativas acerca do fenômeno de formação das fases da Lua. Foi observado que alguns dos alunos confundem o fenômeno da formação das fases da Lua com o fenômeno da formação dos eclipses lunares, outros desconhecem o motivo do fenômeno, apresentam concepções alternativas incoerentes com a realidade ou então concepções incompletas. Os resultados aqui encontrados são destinados aos professores do Ensino Básico e poderão ser usados como subsídio parafuturo desenvolvimento de

Laboratory guidelines for the diagnosis and follow-up of patients with monoclonal gammopathies.

PubMed

Bravo García-Morato, M; Padilla-Merlano, B; Nozal, P; Espiño, M; Juárez, C; Villar, L M; López-Trascasa, M

2016-04-01

We present guidelines from the Immunochemistry group of the Spanish Society for Immunology that are designed to provide a practical tool for the diagnosis and follow-up of monoclonal gammopathies. We review the clinical and analytical features of various monoclonal gammopathies, international consensus guidelines and techniques used to detect and follow-up monoclonal components. Copyright © 2015 Elsevier España, S.L.U. y Sociedad Española de Medicina Interna (SEMI). All rights reserved.

[The continuous intrusion of subjectivity in medical decisions].

PubMed

Lifshitz, Alberto

2016-01-01

La medicina contemporánea tiene su sustento más sólido en la ciencia positivista que pretende excluir la subjetividad y centrarse en el conocimiento sólido, objetivo, duro, demostrable, reproducible, verificable y falseable. Este enfoque ha generado beneficios indudables en tanto que en las decisiones se eluden muchas ideas que dominaron el pensamiento médico como la magia, el prejuicio, la casualidad, las fuerzas sobrenaturales, los dogmas y las creencias.

Intraosseous Erythropoietin for Acute Tissue Protection in Battlefield Casualties Suffering Hypovolemic Shock

DTIC Science & Technology

2013-11-01

Resuscitation. Universidad Católica de la Santísima Concepción, Facultad de Ciencias de la Salud . May 7-8. Concepción, Chile. 1997 Advances in CPR...Med 2003;31:2811-2812. 20. Gazmuri RJ. Editorial: Optimizando la calidad en medicina intensiva [Optimizing the quality of intensive care medicine...increase in left ventricular stroke work index and cardiac index – likely an effect on preload – that helped increase the aor- tic pressure and reduce the

EVN detection of Aql X-1 in outburst

NASA Astrophysics Data System (ADS)

Tudose, V.; Paragi, Z.; Miller-Jones, J.; Garrett, M.; Fender, R.; Rushton, A.; Spencer, R.

2009-11-01

The X-ray binary Aql X-1 has been in outburst in the last few weeks (ATEL #2288, #2296, #2299, #2302, #2303). We observed the system on 2009 November 19 between 14:30-19:00 UT at 5 GHz with the European VLBI Network (EVN) using the e-VLBI technique. The participating radio telescopes were Effelsberg (1 Gbps), Medicina (896 Mbps), Onsala 25m (1 Gbps), Torun (1 Gbps), Westerbork (1 Gbps), Yebes (896 Mbps), and Cambridge (128 Mbps).

Italy INAF Analysis Center Report

NASA Technical Reports Server (NTRS)

Negusini, M.; Sarti, P.

2013-01-01

This report summarizes the activity of the Italian INAF VLBI Analysis Center. Our Analysis Center is located in Bologna, Italy and belongs to the Institute of Radioastronomy, which is part of the National Institute of Astrophysics. IRA runs the observatories of Medicina and Noto, where two 32-m VLBI AZ-EL telescopes are situated. This report contains the AC's VLBI data analysis activities and shortly outlines the investigations into the co-locations of space geodetic instruments.

Estudio de la estructura logica utilizada en la ensenanza y el aprendizaje de los conceptos sobre el comportamiento de gases en el curso introductorio de quimica a nivel universitario

NASA Astrophysics Data System (ADS)

Costa Diaz, Agnes

El estudio que se presenta es de caracter cualitativo, un estudio multicasos donde se estudia la estructura logica utilizada por cuatro (4) profesores universitarios que ensenan el curso introductorio de quimica, en la planificacion, presentacion y evaluacion del tema sobre el comportamiento de los gases. Se utilizaron varias fuentes de informacion como: cuestionarios de profesores y estudiantes, entrevistas, grabaciones videomagnetofonicas, materiales didacticos y una prueba conceptual, entre otros. La informacion recopilada fue analizada de acuerdo al orden logico del contenido presentado, el estilo de ensenanza del profesor, las tecnicas y estrategias utilizadas para el desarrollo de destrezas de pensamiento, el ambiente fisico en el salon de clase y los instrumentos de evaluacion y avaluo. El estudio demuestra que lo que los profesores piensan y planifican para hacer sus presentaciones no necesariamente es lo que ocurre en el salon de clases. El desarrollo de destrezas de pensamiento, que constituye una prioridad de los profesores, no se elaboran efectivamente. El uso de las estrategias de resolucion de problemas numericos predomino. La participacion del estudiante en el salon de clases fue limitada y no se logro demostrar el desarrollo de las destrezas de pensamiento deseadas. Aunque los profesores tienen su propio estilo de ensenanza, el orden logico del contenido presentado en clase fue el mismo o siguio muy de cerca el orden establecido por el libro de texto. Los profesores utilizaron preferentemente la tiza y la pizarra para sus presentaciones y la dinamica en el salon de clases fue esencialmente tradicional. Los profesores hicieron su presentacion y los estudiantes copiaron pasivamente la informacion. Las evaluaciones de los estudiantes fueron esencialmente, pruebas escritas de seleccion multiple de acuerdo con el estilo en que se les enseno. El avaluo fue casi inexistente. La prueba conceptual administrada revela un aprendizaje pobre en los conceptos mas

[Health Promotion and care of immigrant population in the eighth Municipality of Rome: the experience of the Medicine Service of Solidarity and the University Hospital of Tor Vergata].

PubMed

Palombi, Leonardo; Ercoli, Lucia; Buonomo, Ersilia; Mancinelli, Sandro; De Luca, Simona; Laurenti, Serena; Visconti, Giuseppe; Bollero, Patrizio

2013-01-01

The VIII Municipality of Rome is characterized by a high poverty rate, by the presence of many immigrant communities and by the lack of health services available to vulnerable social groups. In 2005 , the " Servizio di Medicina Solidale" of the University Hospital of "Tor Vergata", for the first time intervened in this Municipality regarding Immigrant Health. The paper describes the activities and organization of this service from January 2005 to December 2007. It demonstrates a complex epidemiological picture of 2,374 immigrants, characterized by a young population, mostly women with reproductive health issues, followed by children with infectious and nutritional problems and, ultimately, adults who accessed the service, firstly for gastroenterological problems, secondly for cardiovascular problems and finally for dysmetabolic disorders. The paper describes the culture-centered actions of Health Promotion and Health Education in order to improve health awareness and promote integration of immigrants. The study indicates that the limited number of hospital admissions ( n.20) with respect to the number of outpatient visits (n.70.000) in the first seven years of the service " Medicina Solidale" has significantly reduced the number of unnecessary admissions to emergency wards. In conclusion it is notable that the cost of such intervention results eight times inferior to emergency admissions and further confirms that a Community medicine approach is sustainable.

Tão perto de casa, tão longe de nós: etnografia das novas margens no centro da urbe

PubMed Central

Fernandes, Por Luís

2011-01-01

Philippe Bourgois é, desde 2007, “Richard Perry University professor” no Departamento de Antropologia e de Medicina Familiar e de Práticas Comunitárias na Universidade da Pensilvânia. Esteve durante largos anos ligado ao Departamento de Antropologia, História e Medicina Social da Universidade da Califórnia, São Francisco. A publicação, em 1995, de In Search of Respect: Selling Crack in El Barrio1 projectaria o seu nome muito para além dos Estados Unidos: uma etnografia no coração porto-riquenho do Harlem, em torno dos actores e dos ambientes da venda de crack. Seguir-se-ia um longo trabalho de terreno em acampamentos de dependentes de heroína em São Francisco, orientando o seu trabalho para as formas mais radicais da pobreza e da marginalidade nos EUA. É deste trabalho de terreno que sai o seu último livro, Righteous Dopefiend2. Em Junho de 2007 esteve em Lisboa para participar na 3.a edição do “Ethnografeast”. Foi então que aproveitámos a oportunidade para ouvir um percurso invulgar contado pelo próprio: uma longa conversa no Hotel Zurique, cujo nome só vem ao caso por evocar o país onde passou uma parte da infância. PMID:22013286

Crustal Movements and Gravity Variations in the Southeastern Po Plain, Italy

NASA Astrophysics Data System (ADS)

Zerbini, S.; Bruni, S.; Errico, M.; Santi, E.; Wilmes, H.; Wziontek, H.

2014-12-01

At the Medicina observatory, in the southeastern Po Plain, in Italy, we have started a project of continuous GPS and gravity observations in mid 1996. The experiment, focused on a comparison between height and gravity variations, is still ongoing; these uninterrupted time series certainly constitute a most important data base to observe and estimate reliably long-period behaviors but also to derive deeper insights on the nature of the crustal deformation. Almost two decades of continuous GPS observations from two closely located receivers have shown that the coordinate time series are characterized by linear and non-linear variations as well as by sudden jumps. Both over long- and short-period time scales, the GPS height series show signals induced by different phenomena, for example, those related to mass transport in the Earth system. Seasonal effects are clearly recognizable and are mainly associated with the water table seasonal behavior. To understand and separate the contribution of different forcings is not an easy task; to this end, the information provided by the superconducting gravimeter observations and also by absolute gravity measurements offers a most important means to detect and understand mass contributions. In addition to GPS and gravity data, at Medicina, a number of environmental parameters time series are also regularly acquired, among them water table levels. We present the results of study investigating correlations between height, gravity and environmental parameters time series.

Water masers in the Kronian system

NASA Astrophysics Data System (ADS)

Pogrebenko, Sergei V.; Gurvits, Leonid I.; Elitzur, Moshe; Cosmovici, Cristiano B.; Avruch, Ian M.; Pluchino, Salvatore; Montebugnoli, Stelio; Salerno, Emma; Maccaferri, Giuseppe; Mujunen, Ari; Ritakari, Jouko; Molera, Guifre; Wagner, Jan; Uunila, Minttu; Cimo, Giuseppe; Schilliro, Francesco; Bartolini, Marco

The presence of water has been considered for a long time as a key condition for life in planetary environments. The Cassini mission discovered water vapour in the Kronian system by detecting absorption of UV emission from a background star (Hansen et al. 2006). Prompted by this discovery, we started an observational campaign for search of another manifestation of the water vapour in the Kronian system, its maser emission at the frequency of 22 GHz (1.35 cm wavelength). Observations with the 32 m Medicina radio telescope (INAF-IRA, Italy) started in 2006 using Mk5A data recording and the JIVE-Huygens software correlator. Later on, an on-line spectrometer was used at Medicina. The 14 m Metsähovi radio telescope (TKK-MRO, Finland) joined the observational campaign in 2008 using a locally developed data capture unit and software spectrometer. More than 300 hours of observations were collected in 2006-2008 campaign with the two radio telescopes. The data were analysed at JIVE using the Doppler tracking technique to compensate the observed spectra for the radial Doppler shift for various bodies in the Kronian system (Pogrebenko et al. 2009). Here we report the observational results for Hyperion, Titan, Enceladus and Atlas, and their physical interpretation. Encouraged by these results we started a campaign of follow up observations including other radio telescopes.

Evaluation of the educational technology "Caring for dependent people" by family caregivers in changes and transfers of patients and tube feeding.

PubMed

Landeiro, Maria José Lumini; Peres, Heloísa Helena Ciqueto; Martins, Teresa Vieira

2016-08-18

no domicílio. Os dados foram colhidos por questionário sociodemográfico de satisfação e avaliação de conhecimentos sobre como alimentar por sonda nasogástrica, posicionar e transferir a pessoa dependente. A avaliação nos dois grupos teve dois momentos: inicial, no internamento e um mês após alta hospitalar. registou-se no grupo experimental um ganho maior de conhecimentos relacionado com a utilização da tecnologia educacional. No grupo controle os conhecimentos não variaram nos dois momentos de avaliação. esses resultados corroboraram na melhoria das tecnologias educacionais interativas e na capacitação dos familiares cuidadores para cuidar de pessoas dependentes. Essa tecnologia atendeu satisfatoriamente as necessidades de qualidade técnica e de aprendizagem dos cuidadores, sendo considerada fácil e estimulante. evaluar las contribuciones de la tecnología educativa interactiva "Cuidar de personas dependientes" en el desarrollo de conocimiento de los familiares cuidadores de personas dependientes en el contexto domiciliario y la satisfacción en su uso. estudio cuasi-experimental, no aleatorizado, de tipo antes-después, con una muestra de 65 familiares cuidadores, de dos servicios de Medicina de un hospital en Oporto, Portugal. El grupo control consistió en 33 familiares cuidadores y el grupo experimental en 32, identificados por muestreo consecutivo. El grupo experimental tuvo acceso a la tecnología de la educación en el hogar. Los datos fueron recolectados por cuestionario sociodemográfico de satisfacción y evaluación de los conocimientos sobre cómo alimentar por sonda nasogástrica, posicionar y transferir a la persona dependiente. La evaluación en ambos grupos tuvo dos etapas: inicial, durante la hospitalización y un mes después del alta. se registraron en el grupo experimental aumentos del conocimiento relacionado con el uso de la tecnología educativa. En el grupo control el conocimiento no difirió en los dos puntos en el

[The Revista Médica del IMSS in the 2017 Healthcare Book Fair].

PubMed

Ramiro-H, Manuel; Acosta-Pérez, L; Cruz-Aranda, J E; García-Damián, J J; Miguel-Reyes, R; González-Martínez, R

2017-01-01

On August, the second edition of the Healthcare Book Fair took place, sponsored by the Facultad de Medicina of UNAM. Again, the Revista Médica del Instituto Mexicano del Seguro Social participated with a stand where we promoted it, talked about the different indexes where our journal is included, explained its objective and scope, and finally talked about its nature as an open access journal, which is aimed to the clinical staff of the different health institutions of our country.

Radio non-detection of Aql X-1

NASA Astrophysics Data System (ADS)

Tudose, V.; Paragi, Z.; Altamirano, D.; Miller-Jones, J. C. A.; Garrett, M.; Fender, R.; Rushton, A.; Spencer, R.; Maitra, D.

2010-10-01

The neutron star X-ray binary Aql X-1 is on the decaying phase of a major outburst that peaked at optical and X-ray bands in mid-September (ATEL #2850, #2871, #2891, #2902). We observed the object at 5 GHz with the European VLBI Network (EVN) in the e-VLBI mode on 2010 October 4th between 18:20-22:09 UT. The participating stations were Cambridge, Effelsberg, Jodrell Bank (MkII), Hartebeesthoek, Medicina, Onsala, Torun, Westerbork and Yebes.

Cambios históricos en el aporte terrígeno de la cuenca del Río de la Plata sobre la plataforma interna Uruguaya

NASA Astrophysics Data System (ADS)

Marrero, Analía; Tudurí, Adriana; Pérez, Laura; Cuña, Caroline; Muniz, Pablo; Lopes Figueira, Rubens; Michaelovitch de Mahiques, Michel; Alves de Lima Ferreira, Paulo; Pittauerová, Daniela; Hanebuth, Till; García Rodríguez, Felipe

2014-12-01

B 13813-4. También se determinó una mayor acumulación de sedimentos a través del tiempo en el cinturón de barro del Río de la Plata (plataforma continental adyacente), comparado con aquel registrado en la Barra del Indio (límite entre zona intermedia y externa del estuario). Estas diferencias podrían estar relacionadas con la influencia del Río de la Plata, el cual genera un ambiente altamente dinámico sobre la Barra del Indio y un ambiente más estable sobre el cinturón de barro en la plataforma continental.

[Health Campaigns Against Malaria in Spain through the Specialized Journalism in Spain (1929-1954)].

PubMed

Barón Cano, Natalia; Mosquera Gordillo, Miguel Armando; Ballester Añón, Rosa

2016-06-07

Malaria was one of the most important public health problems of the Colonial Medicine and, for this reason, the subject was reflected in the Spanish medical journalism. The aim of the paper was to reconstruct the Spanish contributions to international health during the first half of the twentieth century. The primary sources of information on malaria were the medical journals Medicina de los Países Cálidos and Medicina Colonial, between 1929 and 1954. The documents were classified according to the sections of the magazine and its contents were studied, framing them in the history of international public health. In primary sources were found 466 documents. Malaria was one of the major diseases of the Spanish Protectorate in Morocco and Spanish Guinea, favoured by the occupation of the Spanish army. Antimalaria campaigns included strategies such as the use of Dichloro-diphenyl-trichloroethane, preventive education and massive quininización. Malariology in the specialized journalism, experienced a growing boom. The most outstanding authors in magazines analyzed were Gustavo Pittaluga, Sadí de Buen, Eliseo de Buen and Juan Gil-Collado. The Spanish specialized journalism provides the importance e interaction in antimalaria campaigns in Spain and Spanish African colonies of scientific, professional, political and military factors. The colonial situation was negative and marked differences between metropolis and colonies in terms of the effort, efficiency and the different temporal sequence of the measures undertaken.

[Hildegards von Bingen 'Liber simplicis medicinae' in the Mainz 'Garden of Health'].

PubMed

Riethe, Peter

2005-01-01

The "Garden of Health" (Gart der Gesundheit) is the first illustrated book of herbs in German language. Its author, Johann Wonnecke from Kaub on the Rhine, was born in 1430 and worked as a city doctor in Frankfurt/Main until his death in 1503 or 1504. In his book, he refers to "proven Greek, Latin and Arabic masters of medicine" (bewerte meister in der artzeney), whose writings he was instructed to collect by Bernard von Breidenbach in 1480. Wonnecke carried out he task in a special way, deceiving five generations of historians of science, who proceeded from the false assumption, that the Gart der Gesundheit was compiled and translated from Latin sources. Wonnecke established the desired authors skilfully in his report, but under a more detailed investigation they reveal themselves as not taken from Latin sources but copied off from native language scriptures, e.g. Alterer deutscher Macer and Buch der Natur by Konrad von Megenberg. To these hitherto known sources used by him now the Speyrer Kräuterbuch is added, which supplied the medical knowledge of Hildegard von Bingen to the "Gart".

[Medicine and its museums].

PubMed

Acerbi Cremades, N

1998-11-01

There are described in this article the historical patrimonies belonging to five museums of Cordoba city, Argentina: the Museo de anatomia, which was named after Pedro Ara, notable Spanish Anatomist; the Museo de Anatomia Patologica; the Museo de Historia de la Medicina, created by Prof. Enrique P. Aznarez; the Museo "Obispo Salguero" of the Hospital San Roque; and the Museo Historico del Hospital Nacional de Clinicas, declared national historic monument. All these museums have a rich historic hoard, reflecting one of the important cultural aspects of this province.

[An automated registry program for nosocomial infections].

PubMed

Castañón-González, Jorge Alberto; Polanco-González, Carlos; Samaniego-Mendoza, José Lino; Buhse, Thomas

2014-12-01

Las infecciones nosocomiales presentan un gran reto para la medicina hospitalaria, en general, y para las Unidades de Cuidados Intensivos, en particular. Su elevada prevalencia, la gran morbilidad y mortalidad asociadas, el incremento de la estancia hospitalaria y, en consecuencia, los costos de la atención médica han hecho que los programas de vigilancia, control y prevención de infecciones nosocomiales sean una parte toral de los protocolos de seguridad para el paciente y un indicador de calidad de la atención médica.

The Meanings of Astronomical Observation: An Analysis on the Basis of Relationship with Knowledge. (Spanish Title: Los Sentidos de la Observación Astronómica: un Análisis sobre la Base de la Relación con el Saber.) Os Sentidos da Observação Astronômica: Uma Análise com Base na Relação com o Saber

NASA Astrophysics Data System (ADS)

Klein, Alberto Eduardo; de Mello Arruda, Sergio; Meneghello Passos, Marinez; Vinicius Domenes Zapparoli, Ferdinando

2010-12-01

This article presents results of a research which aimed to understand the meanings that people construct for astronomical observation. The subjects, students and school teachers, initially received some instruction on how to view astronomical objects through the telescope. After the observation was realized, they were interviewed. The data analysis allowed the creation of 12 categories, later interpreted on the basis of relationship with knowledge (relation to the world, with himself and with others), as presented by Bernard Charlot. Este artículo presenta los resultados de una investigación que tuvo como objetivo comprender los sentidos que las personas construyen para la observación astronómica. Los sujetos, los estudiantes y maestros de escuela, recibieron inicialmente algunas instrucciones sobre cómo ver los objetos astronómicos a través del telescopio. Al término de la observación, fueron entrevistados. El análisis de datos permitió la creación de 12 categorías que más tarde fueron interpretadas sobre la base de la relación con el conocimiento (relación con el mundo, consigo mismo y con los demás), tal como presentado por Bernard Charlot. Este artigo apresenta resultados de uma pesquisa que objetivou entender quais os sentidos que as pessoas constroem para a observação astronômica. Os sujeitos da pesquisa, estudantes e professores do ensino médio, receberam inicialmente alguma instrução sobre como visualizar os objetos astronômicos através do telescópio. Após a realização da observação, eles foram entrevistados. A análise dos dados permitiu a elaboração de 12 categorias que foram posteriormente interpretadas com base nas relações com o saber (relação com o mundo, consigo mesmo e com o outro), conforme apresentadas por Bernard Charlot.

Novel regulatory mechanisms for generation of the soluble leptin receptor: implications for leptin action.

PubMed

Schaab, Michael; Kausch, Henriette; Klammt, Juergen; Nowicki, Marcin; Anderegg, Ulf; Gebhardt, Rolf; Rose-John, Stefan; Scheller, Juergen; Thiery, Joachim; Kratzsch, Juergen

2012-01-01

The adipokine leptin realizes signal transduction via four different membrane-anchored leptin receptor (Ob-R) isoforms in humans. However, the amount of functionally active Ob-R is affected by constitutive shedding of the extracellular domain via a so far unknown mechanism. The product of the cleavage process the so-called soluble leptin receptor (sOb-R) is the main binding protein for leptin in human blood and modulates its bioavailability. sOb-R levels are differentially regulated in metabolic disorders like type 1 diabetes mellitus or obesity and can, therefore, enhance or reduce leptin sensitivity. To describe mechanisms of Ob-R cleavage and to investigate the functional significance of differential sOb-R levels we established a model of HEK293 cells transiently transfected with different human Ob-R isoforms. Using siRNA knockdown experiments we identified ADAM10 (A Disintegrin And Metalloproteinase 10) as a major protease for constitutive and activated Ob-R cleavage. Additionally, the induction of lipotoxicity and apoptosis led to enhanced shedding shown by increased levels of the soluble leptin receptor (sOb-R) in cell supernatants. Conversely, high leptin concentrations and ER stress reduced sOb-R levels. Decreased amounts of sOb-R due to ER stress were accompanied by impaired leptin signaling and reduced leptin binding. Lipotoxicity and apoptosis increased Ob-R cleavage via ADAM10-dependent mechanisms. In contrast high leptin levels and ER stress led to reduced sOb-R levels. While increased sOb-R concentrations seem to directly block leptin action, reduced amounts of sOb-R may reflect decreased membrane expression of Ob-R. These findings could explain changes of leptin sensitivity which are associated with variations of serum sOb-R levels in metabolic diseases.

Novel Regulatory Mechanisms for Generation of the Soluble Leptin Receptor: Implications for Leptin Action

PubMed Central

Schaab, Michael; Kausch, Henriette; Klammt, Juergen; Nowicki, Marcin; Anderegg, Ulf; Gebhardt, Rolf; Rose-John, Stefan; Scheller, Juergen; Thiery, Joachim; Kratzsch, Juergen

2012-01-01

Background The adipokine leptin realizes signal transduction via four different membrane-anchored leptin receptor (Ob-R) isoforms in humans. However, the amount of functionally active Ob-R is affected by constitutive shedding of the extracellular domain via a so far unknown mechanism. The product of the cleavage process the so-called soluble leptin receptor (sOb-R) is the main binding protein for leptin in human blood and modulates its bioavailability. sOb-R levels are differentially regulated in metabolic disorders like type 1 diabetes mellitus or obesity and can, therefore, enhance or reduce leptin sensitivity. Methodology/Principal Findings To describe mechanisms of Ob-R cleavage and to investigate the functional significance of differential sOb-R levels we established a model of HEK293 cells transiently transfected with different human Ob-R isoforms. Using siRNA knockdown experiments we identified ADAM10 (A Disintegrin And Metalloproteinase 10) as a major protease for constitutive and activated Ob-R cleavage. Additionally, the induction of lipotoxicity and apoptosis led to enhanced shedding shown by increased levels of the soluble leptin receptor (sOb-R) in cell supernatants. Conversely, high leptin concentrations and ER stress reduced sOb-R levels. Decreased amounts of sOb-R due to ER stress were accompanied by impaired leptin signaling and reduced leptin binding. Conclusions Lipotoxicity and apoptosis increased Ob-R cleavage via ADAM10-dependent mechanisms. In contrast high leptin levels and ER stress led to reduced sOb-R levels. While increased sOb-R concentrations seem to directly block leptin action, reduced amounts of sOb-R may reflect decreased membrane expression of Ob-R. These findings could explain changes of leptin sensitivity which are associated with variations of serum sOb-R levels in metabolic diseases. PMID:22545089

Association of gestational age with the option of pregnancy termination for fetal abnormalities incompatible with neonatal survival.

PubMed

Westphal, Flavia; Fustinoni, Suzete Maria; Pinto, Vânia Lopes; Melo, Patrícia de Souza; Abrahão, Anelise Riedel

2016-01-01

To identify the profile of women seen in a Fetal Medicine unit, diagnosed with fetal abnormality incompatible with neonatal survival in their current pregnancy, and to check the association of gestational age upon diagnosis with the option of pregnancy termination. This is a retrospective cohort study carried out in the Fetal Medicine Outpatients Clinic of a university hospital, in the city of São Paulo (SP), Brazil, using medical records of pregnant women with fetus presenting abnormalities incompatible with neonatal survival. The sample comprised 94 medical records. The Statistical Package for the Social Sciences (SPSS), version 19, was used for the data statistical analysis. The population of the study included young adult women, who had complete or incomplete high school education, employed, with family income of one to three minimum wages, single, nonsmokers, who did not drink alcoholic beverages or used illicit drugs. Women with more advanced gestational age upon fetal diagnosis (p=0.0066) and/or upon admission to the specialized unit (p=0.0018) presented a lower percentage of termination of pregnancy. Due to characteristics different from those classically considered as of high gestational risk, these women might not be easily identified during the classification of gestational risk, what may contribute to a late diagnosis of fetal diseases. Early diagnosis enables access to specialized multiprofessional care in the proper time for couple's counseling on the possibility of requesting legal authorization for pregnancy termination. Identificar o perfil de mulheres atendidas em um serviço de Medicina Fetal, que receberam diagnóstico de anomalia fetal incompatível com a sobrevida neonatal na gestação atual, e verificar a associação da idade gestacional no diagnóstico com a opção pela interrupção da gravidez. Trata-se de um estudo de coorte retrospectivo, realizado no ambulatório de Medicina Fetal de um hospital universitário da cidade de S�

[The advertising message of drugs advertisements in Spanish medical journals].

PubMed

Riera, Eusebi J Castaño; de la Fuente, David Oterino; Rodrígueza, Rosa M Rodríguez

2007-01-01

To describe the characteristics of advertising in Spanish medical journals and to analyze the advertising message in drug advertisements. Six issues of 4 Spanish medical journals published in 2001 were reviewed to identify the number of advertisements and their characteristics. The journals selected were Atención Primaria, Anales Españoles de Pediatría, Medicina Clínica and Gaceta Sanitaria. The advertising message was analyzed by evaluating 5 factors: communication aim, sales argument, communication treatment, and use of text and image. 609 advertisements were found. Drug advertisements were the most numerous (69.9%). Advertising pressure was highest in Atención Primaria (36%), followed by Anales Españoles de Pediatría (22%), Medicina Clínica (12%) and Gaceta Sanitaria (4%). Of the 195 drug advertisements analyzed, the aim of the advertising message was mostly to present or remind readers of an existing product (70.8%). The sales argument was rational in 86.5%. The communication treatment was advertising in 72.6%. The text of the advertisement contained a headline in 82.4% or a slogan in 50.8%. The advertisement image was a photograph in 74.7% and the aim of the image was to present the product (48.7%), to promise a benefit (45.1%), or to argue its qualities (31.1%). In the journals aimed at prescribing physicians advertising pressure was higher and advertisements were intercalated in article text. Advertising concerned already existing products, used rational arguments, and the communication treatment was advertising.

[Disclosure of sources of funding in biomedical journals. Descriptive study of four Spanish publications].

PubMed

Roig, F; Borrego, A

2015-01-01

The source of research funding can result in bias, and its disclosure is essential in the publication of results. The aim of the study is to identify the frequency and type of sources of funding in the articles published by four Spanish biomedical journals published in Spanish. The frequency and type of financial disclosures in the articles published during 2012 in the ordinary numbers of Atención Primaria, Medicina Clínica, Revista Clínica Española and Revista Española de Cardiología were analyzed. Articles described as "Editorial", "Original article", "Consensus Document", "Review" and "Special Article" were considered. It was decided in each case whether or not the article included any funding disclosure and the type of the declared funding (public or private). Four hundred and twelve publications were analyzed. In 32.5% there was disclosure of funding: 38% in Atención Primaria, 27% in Medicina Clínica, 15% in Revista Clínica Española and 45% in Revista Española de Cardiología. By type of articles, 47% of original articles, 44% of consensus documents, 21% of reviews, 14% of special articles and 8% of editorials had a funding source. In 51.5% of the cases, funding was exclusively public, in 36.5% exclusively private and in 10% mixed. There is considerable variability in the disclosure of funding sources in articles appearing in these four Spanish biomedical journals. It would be necessary to improve the disclosure requirements of sources of funding, making them uniform, clear and transparent.

Single-dish and VLBI observations of Cygnus X-3 during the 2016 giant flare episode

NASA Astrophysics Data System (ADS)

Egron, E.; Pellizzoni, A.; Giroletti, M.; Righini, S.; Stagni, M.; Orlati, A.; Migoni, C.; Melis, A.; Concu, R.; Barbas, L.; Buttaccio, S.; Cassaro, P.; De Vicente, P.; Gawroński, M. P.; Lindqvist, M.; Maccaferri, G.; Stanghellini, C.; Wolak, P.; Yang, J.; Navarrini, A.; Loru, S.; Pilia, M.; Bachetti, M.; Iacolina, M. N.; Buttu, M.; Corbel, S.; Rodriguez, J.; Markoff, S.; Wilms, J.; Pottschmidt, K.; Cadolle Bel, M.; Kalemci, E.; Belloni, T.; Grinberg, V.; Marongiu, M.; Vargiu, G. P.; Trois, A.

2017-11-01

In 2016 September, the microquasar Cygnus X-3 underwent a giant radio flare, which was monitored for 6 d with the Medicina Radio Astronomical Station and the Sardinia Radio Telescope. Long observations were performed in order to follow the evolution of the flare on an hourly scale, covering six frequency ranges from 1.5 to 25.6 GHz. The radio emission reached a maximum of 13.2 ± 0.7 Jy at 7.2 GHz and 10 ± 1 Jy at 18.6 GHz. Rapid flux variations were observed at high radio frequencies at the peak of the flare, together with rapid evolution of the spectral index: α steepened from 0.3 to 0.6 (with Sν ∝ ν-α) within 5 h. This is the first time that such fast variations are observed, giving support to the evolution from optically thick to optically thin plasmons in expansion moving outward from the core. Based on the Italian network (Noto, Medicina and SRT) and extended to the European antennas (Torun, Yebes, Onsala), very long baseline interferometry (VLBI) observations were triggered at 22 GHz on five different occasions, four times prior to the giant flare, and once during its decay phase. Flux variations of 2 h duration were recorded during the first session. They correspond to a mini-flare that occurred close to the core 10 d before the onset of the giant flare. From the latest VLBI observation we infer that 4 d after the flare peak the jet emission was extended over 30 mas.

48 CFR 252.229-7005 - Tax exemptions (Spain).

Code of Federal Regulations, 2011 CFR

2011-10-01

... following excise, luxury, and transaction taxes: (1) Derechos de Aduana (Customs Duties). (2) Impuesto de... Transactions). (6) Impuesto Sobre el Trafico de Empresas (Business Trade Tax). (7) Impuestos Especiales de...-Products). (9) Impuesto Sobre el Uso de Telefona (Telephone Tax). (10) Impuesto General Sobre la Renta de...

48 CFR 252.229-7005 - Tax exemptions (Spain).

Code of Federal Regulations, 2010 CFR

2010-10-01

... following excise, luxury, and transaction taxes: (1) Derechos de Aduana (Customs Duties). (2) Impuesto de... Transactions). (6) Impuesto Sobre el Trafico de Empresas (Business Trade Tax). (7) Impuestos Especiales de...-Products). (9) Impuesto Sobre el Uso de Telefona (Telephone Tax). (10) Impuesto General Sobre la Renta de...

Renal function assessment in heart failure.

PubMed

Pérez Calvo, J I; Josa Laorden, C; Giménez López, I

Renal function is one of the most consistent prognostic determinants in heart failure. The prognostic information it provides is independent of the ejection fraction and functional status. This article reviews the various renal function assessment measures, with special emphasis on the fact that the patient's clinical situation and response to the heart failure treatment should be considered for the correct interpretation of the results. Finally, we review the literature on the performance of tubular damage biomarkers. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Clinical application of cell, gene and tissue therapies in Spain.

PubMed

Gálvez-Martín, P; Ruiz, A; Clares, B

2018-05-01

Scientific and technical advances in the areas of biomedicine and regenerative medicine have enabled the development of new treatments known as "advanced therapies", which encompass cell therapy, genetics and tissue engineering. The biologic products that can be manufactured from these elements are classified from the standpoint of the Spanish Agency of Medication and Health Products in advanced drug therapies, blood products and transplants. This review seeks to provide scientific and administrative information for clinicians on the use of these biologic resources. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

EVN e-VLBI detections of MAXI J1659-152

NASA Astrophysics Data System (ADS)

Paragi, Z.; van der Horst, A. J.; Granot, J.; Taylor, G. B.; Kouveliotou, C.; Garrett, M. A.; Wijers, R. A. M. J.; Ramirez-Ruiz, E.; Kuulkers, E.; Gehrels, N.; Woods, P. M.

2010-10-01

We observed MAXI J1659-152 (Negoro et al. 2010, ATel #2873; Mangano et al. 2010, GCN #11296) following its sub-millimeter and centimeter radio detections (de Ugarte Postigo et al. 2010, GCN #11304; van der Horst et al. 2010, ATel #2874) with the European VLBI Network (EVN) in real-time e-VLBI mode on 30 September 2010, from 13:30 to 18:30 UT at 4.9 GHz. The participating telescopes were Cambridge, Effelsberg, Jodrell Bank (MkII), Hartebeesthoek, Medicina, Onsala, Torun and Westerbork sending data at a rate of ~1024 Mbps to the EVN Data Processor at JIVE.

Study of mutual occultation phenomena of the Galilean satellites at radio wavelengths

NASA Astrophysics Data System (ADS)

Pluchino, S.; Salerno, E.; Pupillo, G.; Schillirò, F.; Kraus, A.; Mack, K.-H.

2010-01-01

We present preliminary results for our study of mutual phenomena of the Galilean satellites performed at radio wavelengths with the Medicina and Noto antennas of the Istituto di Radioastronomia - INAF, and with the Effelsberg 100-m radio telescope of the Max-Planck-Institute for Radioastronomy, Bonn. Measurements of the radio flux density variation during the mutual occultations of Io by Europa and Ganymede were carried out during the PHEMU09 campaign at 22 GHz and 43 GHz. Flux density variations observed at radio wavelengths are consistent with the typical optical patterns measured when partial occultations occur.

Epidemiological profile of ICU patients at Faculdade de Medicina de Marília.

PubMed

El-Fakhouri, Silene; Carrasco, Hugo Victor Cocca Gimenez; Araújo, Guilherme Campos; Frini, Inara Cristina Marciano

2016-01-01

To characterize the epidemiological profile of the hospitalized population in the ICU of Hospital das Clínicas de Marília (Famema). A retrospective, descriptive and quantitative study. Data regarding patients admitted to the ICU Famema was obtained from the Technical Information Center (Núcleo Técnico de Informações, NTI, Famema). For data analysis, we used the distribution of absolute and relative frequencies with simple statistical treatment. 2,022 ICU admissions were recorded from June 2010 to July 2012 with 1,936 being coded according to the ICD-10. The epidemiological profile comprised mostly males (57.91%), predominantly seniors ≥ 60 years (48.89%), at an average age of 56.64 years (±19.18), with limited formal education (63.3% complete primary school), mostly white (77.10%), Catholic (75.12%), from the city of Marília, state of São Paulo, Brazil (53.81%). The average occupancy rate was 94.42%. The predominant cause of morbidity was diseases of the circulatory system with 494 admissions (25.5%), followed by traumas and external causes with 446 admissions (23.03%) and neoplasms with 213 admissions (11.00%). The average stay was 8.09 days (±10.73). The longest average stay was due to skin and subcutaneous tissue diseases, with average stay of 12.77 days (±17.07). There were 471 deaths (24.32%), mainly caused by diseases of the circulatory system (30.99%). The age group with the highest mortality was the range from 70 to 79 years with 102 deaths (21.65%). The ICU Famema presents an epidemiological profile similar to other intensive care units in Brazil and worldwide, despite the few studies available in the literature. Thus, we feel in tune with the treatment of critical care patients.

ACTITUDES HACIA LA COMUNICACIÓN SEXUAL ENTRE PADRES/MADRES Y ADOLESCENTES EN PUERTO RICO*

PubMed Central

Fernández, Ana Michelle; McFarlane, Melvin Negrón; González, Ricardo; Díaz, Leslie; Betancourt-Díaz, Elba; Cintrón-Bou, Francheska; Varas-Díaz, Nelson; Villarruel, Antonia

2017-01-01

RESUMEN La comunicación sobre sexualidad entre padres/madres y adolescentes enfrenta dificultades particulares producto de factores socioculturales. Este estudio tuvo como objetivo documentar las actitudes de padres/madres y adolescentes hacia la comunicación sobre temas de sexualidad. Los resultados emanan de la medición inicial del Proyecto Cuídalos. Los datos de este estudio forman parte de un estudio amplio que evaluó un módulo interactivo basado en la web para mejorar comunicación sobre temas de salud entre padres/madres y adolescentes entre 13–17 años. En este artículo, reportamos datos basales que contestaron los/as participantes sobre comodidad al hablar sobre temas de salud sexual. La muestra, de los datos aquí expuestos, estuvo compuesta por 458 diadas de madres/padres y sus hijos/as adolescentes (n=916). Se realizó análisis de frecuencias y medidas de tendencia central con los datos obtenidos inicialmente. La edad promedio de los adolescentes fue de 15 años, de los que un 15% se encontraban activos sexualmente. Los/as adolescentes tienen mejor disposición que los/as padres/madres para hablar sobre sexualidad. Sin embargo, los/as padres/madres entienden que comparten suficiente información sobre temas relacionados a la sexualidad. Los/as padres/madres y adolescentes reportaron algún grado de dificultad e incomodidad al hablar sobre métodos específicos de prevención. Los resultados destacan la necesidad de incorporar a los/as padres/madres en intervenciones con adolescentes sobre temas de salud sexual. En Puerto Rico es necesario desarrollar programas dirigidos a minimizar las conductas sexuales de alto riesgo en jóvenes. PMID:28736599

Soluble Leptin Receptor Predicts Insulin Sensitivity and Correlates With Upregulation of Metabolic Pathways in Men.

PubMed

Sommer, Christine; Lee, Sindre; Gulseth, Hanne Løvdal; Jensen, Jørgen; Drevon, Christian A; Birkeland, Kåre Inge

2018-03-01

Plasma soluble leptin receptor (sOb-R) seems protective of gestational and type 2 diabetes in observational studies, but the mechanisms are unknown. sOb-R is formed by ectodomain shedding of membrane-bound leptin receptors (Ob-Rs), but its associations with messenger RNA (mRNA) expression are scarcely explored. To explore associations between plasma levels of sOb-R and (1) insulin sensitivity, (2) mRNA pathways in adipose tissue and skeletal muscle, and (3) mRNA of candidate genes for sOb-R generation in adipose tissue and skeletal muscle. The MyoGlu study included 26 sedentary, middle-aged men who underwent a 12-week intensive exercise intervention. We measured plasma sOb-R with enzyme-linked immunosorbent assay, insulin sensitivity with a hyperinsulinemic euglycemic clamp, and mRNA in skeletal muscle and adipose tissue with high-throughput sequencing. Baseline plasma sOb-R was strongly associated with baseline glucose infusion rate (GIR) [β (95% confidence interval), 1.19 (0.57 to 1.82) mg/kg/min, P = 0.0006] and GIR improvement after the exercise intervention [0.58 (0.03 to 1.12) mg/kg/min, P = 0.039], also independently of covariates, including plasma leptin. In pathway analyses, high plasma sOb-R correlated with upregulation of metabolic pathways and downregulation of inflammatory pathways in both adipose tissue and skeletal muscle. In skeletal muscle, mRNA of LEPROT and LEPROTL1 (involved in Ob-R cell surface expression) and ADAM10 and ADAM17 (involved sOb-R-shedding) increased after the exercise intervention. Higher plasma sOb-R was associated with improved GIR, upregulation of metabolic pathways, and downregulation of inflammatory pathways, which may be possible mechanisms for the seemingly protective effect of plasma sOb-R on subsequent risk of gestational and type 2 diabetes found in observational studies.

Leptin as well as Free Leptin Receptor Is Associated with Polycystic Ovary Syndrome in Young Women

PubMed Central

Rizk, Nasser M.; Sharif, Elham

2015-01-01

Background and Aim. Leptin has two forms in the circulation: free and bound forms. The soluble leptin receptor (sOB-R) circulates in the blood and can bind to leptin. The aim of this study is to assess the concentrations of the leptin and the sOB-R in PCOS and its relation to adiposity, insulin resistance, and androgens. Methods. A cross-sectional study included 78 female students aged 17–25 years. Fasting serum leptin and sOB-R concentrations were measured. The anthropometric variables and the hormonal profile such as insulin, female and male sex hormones, and prolactin were assessed. Results. In PCOS, leptin level (ng/ml) and free leptin index (FLI) increased significantly while sOB-R (ng/ml) significantly decreased compared to control subjects. In age-matched subjects, obese PCOS had increased leptin level in ng/ml (median level with interquartile levels) of 45.67 (41.98–48.04) and decreased sOB-R in ng/ml 11.47 (7.59–16.44) compared to lean PCOS 16.97 (10.60–45.55) for leptin and 16.62 (11.61–17.96) for sOB-R with p values 0.013 and 0.042, respectively. However, body mass index (BMI) is significantly correlated with leptin and s-OBR, while no significant correlations with parameters of insulin resistance were detected. Conclusion. PCOS is associated with hyperleptinemia and increased free leptin index. Decreased sOB-R could be a compensatory mechanism for the defective action of leptin. PMID:26180527

[Consensus on Systemic Arterial Hypertension In México].

PubMed

Rosas-Peralta, Martín; Palomo-Piñón, Silvia; Borrayo-Sánchez, Gabriela; Madrid-Miller, Alejandra; Almeida-Gutiérrez, Eduardo; Galván-Oseguera, Héctor; Magaña-Serrano, José Antonio; Saturno-Chiu, Guillermo; Ramírez-Arias, Erick; Santos-Martínez, Efrén; Díaz-Díaz, Enrique; Salgado-Pastor, Selene Janette; Morales-Mora, Gerardo; Medina-Concebida, Luz Elena; Mejía-Rodríguez, Oliva; Pérez-Ruiz, Claudia Elsa; Chapa-Mejía, Luis Raúl; Álvarez-Aguilar, Cleto; Pérez-Rodríguez, Gilberto; Castro-Martínez, María Guadalupe; López-Bárcena, Joaquín; Paniagua-Sierra, José Ramón

2016-01-01

This Consenso Nacional de Hipertensión Arterial Sistémica (National Consensus on Systemic Arterial Hypertension) brings together experiences and joint work of 79 specialists who have been in contact with the patient affected by systemic arterial hypertension. All concepts here presented were outlined on the basis of the real world practice of Mexican hypertensive population. The consensus was developed under strict methodological guidelines. The Delphi technique was applied in two rounds for the development of an appropriate statistical analysis of the concepts exposed by all the specialists, who posed key questions, later developed by the panel of experts of the Hospital de Cardiología, and specialists from the Centro Médico Nacional. Several angles of this illness are shown: detection, diagnosis, pathophysiology, classification, treatment and prevention. The evidence analysis was carried out using PRISMA method. More than 600 articles were reviewed, leaving only the most representative in the references. This document concludes with practical and useful recommendations for the three levels of health care of our country.

Improvement in treatment abandonment in pediatric patients with cancer in Guatemala.

PubMed

Alvarez, Elysia; Seppa, Midori; Rivas, Silvia; Fuentes, Lucia; Valverde, Patricia; Antillón-Klussmann, Federico; Castellanos, Mauricio; Sweet-Cordero, E Alejandro; Messacar, Kevin; Kurap, John; Bustamante, Marisol; Howard, Scott C; Efron, Bradley; Luna-Fineman, Sandra

2017-10-01

Treatment refusal and abandonment are major causes of treatment failure for children with cancer in low- and middle-income countries (LMICs), like Guatemala. This study identified risk factors for and described the intervention that decreased abandonment. This was a retrospective study of Guatemalan children (0-18 years) with cancer treated at the Unidad Nacional de Oncología Pediátrica (UNOP), 2001-2008, using the Pediatric Oncology Network Database. Treatment refusal was a failure to begin treatment and treatment abandonment was a lapse of 4 weeks or longer in treatment. The impact of medicina integral, a multidisciplinary psychosocial intervention team at UNOP was evaluated. Cox proportional hazards analysis identified the effect of demographic and clinical factors on abandonment. Kaplan-Meier analysis estimated the survival. Of 1,789 patients, 21% refused or abandoned treatment. Abandonment decreased from 27% in 2001 to 7% in 2008 following the implementation of medicina integral. Factors associated with increased risk of refusal and abandonment: greater distance to the centre (P < 0.001), younger age (P = 0.017) and earlier year of diagnosis (P < 0.001). Indigenous race/ethnicity (P = 0.002) was associated with increased risk of abandonment alone. Abandonment correlated with decreased overall survival: 0.57 ± 0.02 (survival ± standard error) for those who completed therapy versus 0.06 ± 0.02 for those who abandoned treatment (P < 0.001) at 8.3 years. This study identified distance, age, year of diagnosis and indigenous race/ethnicity as risk factors for abandonment. A multidisciplinary intervention reduced abandonment and can be replicated in other LMICs. © 2017 Wiley Periodicals, Inc.

Soccer-related Facial Trauma: Multicenter Experience in 2 Brazilian University Hospitals

PubMed Central

Dini, Gal M.; Pereira, Max D.; Gurgel, Augusto; Bastos, Endrigo O.; Nagarkar, Purushottam; Gemperli, Rolf; Ferreira, Lydia M.

2014-01-01

Background: Soccer is the most popular sport in Brazil and a high incidence of related trauma is reported. Maxillofacial trauma can be quite common, sometimes requiring prolonged hospitalization and invasive procedures. To characterize soccer-related facial fractures needing surgery in 2 major Brazilian Centers. Methods: A retrospective review of trauma medical records from the Plastic Surgery Divisions at the Universidade Federal de São Paulo–Escola Paulista de Medicina and the Hospital das Clinicas–Universidade de São Paulo was carried out to identify patients who underwent invasive surgical procedures due to acute soccer-related facial fractures. Data points reviewed included gender, date of injury, type of fracture, date of surgery, and procedure performed. Results: A total of 45 patients (31 from Escola Paulista de Medicina and 14 from Universidade de São Paulo) underwent surgical procedures to address facial fractures between March 2000 and September 2013. Forty-four patients were men, and mean age was 28 years. The fracture patterns seen were nasal bones (16 patients, 35%), orbitozygomatic (16 patients, 35%), mandibular (7 patients, 16%), orbital (6 patients, 13%), frontal (1 patient, 2%), and naso-orbito-ethmoid (1 patient, 2%). Mechanisms of injury included collisions with another player (n = 39) and being struck by the ball (n = 6). Conclusions: Although it is less common than orthopedic injuries, soccer players do sustain maxillofacial trauma. Knowledge of its frequency is important to first responders, nurses, and physicians who have initial contact with patients. Missed diagnosis or delayed treatment can lead to facial deformities and functional problems in the physiological actions of breathing, vision, and chewing. PMID:25289361

Radio occultation experiments with INAF-IRA radiotelescopes.

NASA Astrophysics Data System (ADS)

Pluchino, S.; Schillirò, F.; Salerno, E.; Pupillo, G.

The Radio Occultation research program performed at the Medicina and Noto Radioastronomical Stations of the Istituto Nazionale di Astrofisica (INAF) - Istituto di Radioastronomia (IRA) includes observations of spacecraft by satellite and satellite by satellite events. The Lunar Radio Occultation (LRO) part of the program consists in collecting data of the lunar Total Electron Content (TEC), at different limb longitudes and at different time, in order to study long term variation of the Moon's ionosphere. The LRO program started at Medicina in September 2006 with the observation of the European probe SMART-1 during its impact on the lunar soil. It proceeded in 2007 with the observation of the lunar occultations of Saturn and Venus, and with the observation of Mars in 2008. On this occasion the probes Cassini, Venus Express, Mars Express, Mars Reconaissance Orbiter and Mars Odissey were respectively occulted by the moon. On Dec 1st 2008 a Venus lunar occultation occurred. On that occasion we performed the first Italian-VLBI (I-VLBI) tracking experiment by detecting the carrier signals coming from the Venus Express (VEX) spacecraft with both the IRA radiotelescopes together with the Matera antenna of the Italian Space Agency. The second part of the radio occultation program includes the observation of satellite by satellite occultation events, as well as mutual occultations of Jupiter satellites. These events are referred to as mutual phenomena (PHEMU). These observations are aimed to measure the radio flux variation during the occultation and to derive surface spatial characteristics such as Io's hot spots. In this work preliminary results of the Radio Occultation program will be presented.

[Present situation and prospects of special fertilizer for traditional Chinese medicine herbs].

PubMed

Yan, Zhang; Liu, Yong; Wang, Ji-Yong; Wang, Wen-Quan

2004-08-01

To find out the present situation and the development trend special fertilizer of the traditional Chinese medicina plants. By consulting a great deal of literatures on special fertilizer and fertilization on traditional Chinese medicine herbs, and based on the scientific research and manufacture experience of the author, and the theoretic actuality of the researches on the fertilization of traditional Chinese medicine herbs, the present study of the special fertilizer inside and outside of our country was analyzed. The view points of developing special fertilizer for Chinese traditional medicine were put forward, and the development trend of special fertilizer for traditional Chinese medicine herbs was forecasted.

Community-acquired pneumonia.

PubMed

Falguera, M; Ramírez, M F

2015-11-01

This article not only reviews the essential aspects of community-acquired pneumonia for daily clinical practice, but also highlights the controversial issues and provides the newest available information. Community-acquired pneumonia is considered in a broad sense, without excluding certain variants that, in recent years, a number of authors have managed to delineate, such as healthcare-associated pneumonia. The latter form is nothing more than the same disease that affects more frail patients, with a greater number of risk factors, both sharing an overall common approach. Copyright © 2015 Elsevier España, S.L.U. y Sociedad Española de Medicina Interna (SEMI). All rights reserved.

[SEMERGEN positioning for the treatment of alcohol disorders in primary care].

PubMed

Arbesú, José Ángel; Gual, Antoni; Casquero, Rafael; Bobes, Julio; Ortega, Patricia

2015-12-01

The present manuscript is based on the recommendations of a panel of health care professionals, including several experts in primary health care, psychiatry and addictions. The participants are recognized specialists in the treatment of alcohol use disorder. The panel met in Barcelona on 2015 April 22 with the aims of evaluating the current management of alcohol use disorder in primary health care and developing a strategy to address this problem, basing on the evidence and the recommendations of the scientific societies and national and international organizations. Copyright © 2015 Elsevier España, S.L.U. y Sociedad Española de Medicina Rural y Generalista (SEMERGEN). All rights reserved.

A short history of medical degrees in the University of Aberdeen.

PubMed

Rix, K J

1990-08-01

Aberdeen University was the first university in Great Britain to recognise the teaching of medicine by the creation of a teaching post, that of "mediciner." It was first occupied by James Cumyne, the burgh medical officer. The first medical degree granted by the university was doctus in medicina--learned in medicine. The degree was first awarded in 1630. The first examination paper for the M.D. was set in 1787 at the time of proposal to unit King's and Marischal Colleges and following criticism of the sale of degrees in medicine and midwifery "for ready money." The present degrees of M.B., ChB. were introduced in 1895.

Pulmonary hypertension and hepatic cirrhosis.

PubMed

Téllez Villajos, L; Martínez González, J; Moreira Vicente, V; Albillos Martínez, A

2015-01-01

Pulmonary hypertension is a relatively common phenomenon in patients with hepatic cirrhosis and can appear through various mechanisms. The most characteristic scenario that binds portal and pulmonary hypertension is portopulmonary syndrome. However, hyperdynamic circulation, TIPS placement and heart failure can raise the mean pulmonary artery pressure without increasing the resistances. These conditions are not candidates for treatment with pulmonary vasodilators and require a specific therapy. A correct assessment of hemodynamic, ultrasound and clinical variables enables the differential diagnosis of each situation that produces pulmonary hypertension in patients with cirrhosis. Copyright © 2015 Elsevier España, S.L.U. y Sociedad Española de Medicina Interna (SEMI). All rights reserved.

[A Prussian in Venice: the botanist Melchior Wieland (1520-1589), pioneer in botanical field research in the Levant].

PubMed

Herrmann, Sabine

2015-01-01

The Italian physician and botanist Prospero Alpini (1553-1617) is considered as one of the most famous 16th Century Italian botanists having explored the plant species of Egypt and the Near East. Alpinis best-known works as for example De medicina Egyptiorum (Venetijs 1591) or De plantis Aegypti liber (Venetijs 1592), however, wouldn't certainly have been made possible without the influence of his academic teacher, the Prussian physician and botanist Melchior Wieland (ca. 1520-1589), having been applied director of the botanical garden of Padua in 1561. This study is therefore dedicated to the life, academic career, works and reception of this nearly forgotten botanist.

e-EVN radio detection of Aql X-1 in outburst

NASA Astrophysics Data System (ADS)

Tudose, V.; Paragi, Z.; Yang, J.; Miller-Jones, J. C. A.; Fender, R.; Garrett, M.; Rushton, A.; Spencer, R.

2013-06-01

The neutron star X-ray binary Aql X-1 is currently in outburst (ATel #5114, #5117, #5129, #5136, #5148). Using the European VLBI Network (e-EVN) we observed Aql X-1 at 5 GHz in two time-slots: 2013 June 18 between 19:48 - 20:36 UT (MJD 56461.825 - 56461.858), and 2013 June 19 between 02:53 - 05:54 UT (MJD 56462.120 - 56462.246). The two datasets were combined together and then calibrated. The participating radio telescopes were: Effelsberg (Germany), Jodrell Bank Mk2 (UK), Medicina (Italy), Noto (Italy), Onsala 25m (Sweden), Torun (Poland), Yebes (Spain), Westerbork Synthesis Radio Telescope (Netherlands), Shanghai (China), Hartebeesthoek (South Africa).

Observation VLBI Session RAPL02. the Results of the Data Processing

NASA Astrophysics Data System (ADS)

Chuprikov, A. A.

Results of processing of data of a VLBI experiment titled RAPL02 are presented. These observations were made in 2011 February with 5 antennas. All 3 antennas of Petersberg's Institute of Applied Astronomy (IAA) were used in this session. These were antennae in Svetloe, in Zelenchuck, and in Badary. Additionally, a 22-m antenna in Puschino as well as a 32-m antenna in Medicina (Italy) were also included into observations. The raw data correlation was made at the software correlator of Astro Space Center. The secondary data processing was made for 3 quasars, 3C273, 3C279, and 3C286.

[Teaching surgery at the UNAM and some educational concepts.

PubMed

Graue-Wiechers, Enrique

2011-01-01

Nowadays surgery cannot be conceived as independent from medicine; consequently, surgical education cannot be far from the main principles of medical education. This review underlines the characteristics of medical training in the field of surgery. General physicians should be trained to perform surgical procedures under particular situations. A new lesson plan was implemented at the Facultad de Medicina in Mexico City (UNAM), comprised of eight fundamental surgical skills. A well-structured surgical program implies clear and exact definitions of the skills to be acquired during training as well as an appropriate follow-up, knowledge reinforcement, continuing educational skills, application of medical tests for patient care and evaluation of the learning process.

High School Students' Previous Knowledge about the Stars. (Spanish Title: Conocimientos Previos de Estudiantes de Secundaria Acerca de Las Estrellas.) O Conhecimento Prévio de Alunos do Ensino Médio sobre as Estrelas

NASA Astrophysics Data System (ADS)

Iachel, Gustavo

2011-12-01

Based on the readings of articles related to Astronomy Education published in Brazil, it was noticed a lack of research on previous knowledge of students about the physical characteristics of stars, a fact that motivated us to develop this study. Previous knowledge of 125 students (approximated 15 years old) constituted the study sample; data was collected through written questionnaires (Appendix A) for analysis. From the content analysis of these responses it was possible to achieve some inferences as, for example, many students have some difficult to develop an explanatory model on the functioning of a star; there are few who say that the stars have a certain length of existence; some students have said that stars have tips; few recognize that a star is formed by a mass of gas; some previous knowledge come from purely visual aspects; furthermore, some students do not have the habit of observing nature in detail. We see this research as a reference in which science teachers can recognize the importance of previous knowledge for practice teaching and acquire resources for planning their lessons. De la lectura de artículos relacionados con la Educación en Astronomía publicados en el Brasil, se encuentra una falta de investigaciones acerca del conocimiento previo de los estudiantes sobre las características físicas de las estrellas, hecho que nos motivó a desarrollar este estudio. Los datos analizados se obtuvieron al aplicar un cuestionario a 125 estudiantes de secundaria, para posteriormente realizar un análisis de contenido, tal cuestionario se presenta en el Anexo A. Al realizar el análisis de contenido de las respuestas obtenidas, fue posible hacer algunas inferencias, como por ejemplo; muchos estudiantes tienen dificultades para desarrollar un modelo explicativo acerca del funcionamiento de una estrella; pocos estudiantes dicen que las estrellas tienen un cierto tiempo de vida; algunos estudiantes imaginan que las estrellas tienen puntas; pocos

ASSESSMENT FORM - NEW IMPROVEMENT OF ACTIONS: CONCENTRATION AND RESEARCH AREAS / CURRICULUM STRUCTURE / FUNDRAISING.

PubMed

Calderon, Iracema Mp

2015-01-01

This review aims to develop a critical and current analysis of the basic structure of a Postgraduate program for proposing improvement actions and new evaluation criteria. To examine the items that are areas of concentration (AC), research lines (LP), research projects (PP), curricular structure and fundraising were consulted the Area Document, the 2013 Evaluation Report and the Assessment Sheets of Medicine III programs, evaluated in the 2010-2012 period. Consistency is recommended especially among AC, LP and PP, with genuine link between activities and permanent teachers skills and based on structured curriculum in the education of the student. The Program Proposal interfere, and much, in qualifying a program. The curriculum should provide subsidy to the formation of the researcher, through the core subjects, and development of PP, being the concept of disciplines to support lines and research projects. Fundraise should be set out in research projects and in the CV-Lattes. The area recommended that at least 40-50% of permanent teachers present fundraising and the minimum 20-25% of these teachers to have productivity scholarship PQ / CNPq during the triennium. It is necessary to promote wide discussion and find a consensus denominator for these issues. The actions should contribute to the improvement of evaluation forms and certainly for the qualification of the programs but graduate. Essa revisão tem como objetivo elaborar uma análise crítica e atual da estrutura básica de um programa de Pós-Graduação para a proposição de ações de aperfeiçoamento e novos critérios de avaliação. Para analisarem-se os itens áreas de concentração (AC), linhas de pesquisa (LP), projetos de pesquisa (PP), estrutura curricular e captação de recursos/fomentos foram consultados o documento de área, o relatório de avaliação 2013 e as fichas de avaliação dos programas da Medicina III, avaliados no triênio 2010-2012. A coerência é recomendada especialmente entre

The soluble leptin receptor.

PubMed

Schaab, Michael; Kratzsch, Juergen

2015-10-01

The adipokine leptin realizes signal transduction via four different leptin receptor (OB-R) isoforms. The amount of functionally active OB-R, however, is affected by constitutive shedding of the extracellular domain. The product of the cleavage process, the so-called soluble leptin receptor (sOB-R), is the main binding protein for leptin in human blood and modulates its bioavailability. Concentrations of sOB-R are differentially regulated in metabolic disorders, such as type 1 diabetes mellitus or obesity, and can, therefore, enhance or reduce leptin sensitivity. Lipotoxicity and apoptosis increase OB-R cleavage via ADAM10-dependent mechanisms. In contrast, although increased sOB-R concentrations seem to directly inhibit leptin effects, reduced amounts of sOB-R may reflect decreased membrane expression of OB-R. These findings, in part, explain alterations of leptin sensitivity that are associated with changes in serum sOB-R concentrations seen in metabolic disorders. Copyright © 2015 Elsevier Ltd. All rights reserved.

Desarrollo de la Escala sobre el Estigma Relacionado con el VIH/SIDA para Profesionales de la Salud mediante el uso de métodos mixtos123

PubMed Central

Varas-Díaz, Nelson; Neilands, Torsten B.; Guilamo-Ramos, Vincent; Cintrón Bou, Francheska N.

2009-01-01

El estigma relacionado con el VIH/SIDA continúa siendo un obstáculo para la prevención primaria y secundaria del VIH. Las consecuencias para las personas que viven con la enfermedad han sido muy documentadas y continúan siendo una gran preocupación para las personas que proveen servicios de salud y para aquellas que investigan el tema. Estas consecuencias son preocupantes cuando el estigma emana de profesionales de la salud porque se puede limitar el acceso a los servicios. Uno de los principales obstáculos para la investigación del estigma relacionado con el VIH en Puerto Rico es la falta de instrumentos cuantitativos para evaluar las manifestaciones del estigma entre profesionales de la salud. El objetivo principal de este estudio fue desarrollar y probar las propiedades psicométricas de una escala sobre el estigma relacionado con el VIH/SIDA culturalmente apropiada para personas que proveen servicios de salud puertorriqueñas y desarrollar una versión corta de la escala que pudiera usarse en escenarios clínicos con tiempo limitado. El instrumento desarrollado estuvo basado en evidencia cualitativa recopilada entre profesionales y estudiantes de profesiones de la salud puertorriqueños/as (n=80) y administrado a una muestra de 421 profesionales de la salud en adiestramiento. La escala contenía 12 dimensiones del estigma relacionado con el VIH/SIDA. El análisis cuantitativo corroboró 11 de ellas, teniendo como resultado un instrumento con validez y confiabilidad satisfactoria. Estas dimensiones, a su vez, fueron subcomponentes de un factor de estigma general superior. PMID:20333258

Intracranial and spinal ependymoma: series at Faculdade de Medicina, Universidade de São Paulo.

PubMed

Andrade, Fernanda Gonçalves de; de Aguiar, Paulo Henrique Pires; Matushita, Hamilton; Taricco, Mario Augusto; Oba-Shinjo, Sueli Mieko; Marie, Suely Kazue Nagahashi; Teixeira, Manoel Jacobsen

2009-09-01

Ependymomas are rare intracranial neuroepithelial tumors and the most common location is intramedullary. The aim was to analyze the characteristics of these tumors to determine the patients' overall survival and the likelihood of recurrence. Data of clinical presentation, tumor location, duration of symptoms, degree of resection and complementary treatment of 34 patients with intracranial ependymoma and 31 with intramedullary ependymoma who underwent surgery in the last ten years were collected and correlated with the recurrence time and overall survival. There was statistically significant correlation between the degree of resection and intracranial tumor location, although it is not a hallmark of recurrence. Data analyses of intramedullary ependymoma did not show correlation with overall survival and likelihood of recurrence. The location of the intracranial tumor is connected with the degree of resection; however it is not a predictive factor to overall survival.

[Quod medicina aliis, aliis est acre venenum**--venoms as a source of anticancer agents].

PubMed

Kucińska, Małgorzata; Ruciński, Piotr; Murias, Marek

2013-01-01

Natural product derived from plants and animals were used in folk medicine for centuries. The venoms produced by animals for hunting of self-defence are rich in bioactive compounds with broad spectrum of biological activity. The papers presents the most promising compounds isolated from venoms of snakes, scorpions and toads. For these compounds both: mechanism of anticancer activity as well as possibilities of clinical use are presented.

Monitoring of Cyg X-3 giant flare with Medicina and the Sardinia Radio Telescope

NASA Astrophysics Data System (ADS)

Egron, E.; Pellizzoni, A.; Giroletti, M.; Righini, S.; Orlati, A.; Iacolina, M. N.; Navarrini, A.; Buttu, M.; Migoni, C.; Melis, A.; Concu, R.; Vargiu, G. P.; Bachetti, M.; Pilia, M.; Trois, A.; Loru, S.; Marongiu, M.

2016-09-01

Following the detection of Cyg X-3 entering in an ultra soft X-ray state, a forthcoming giant flare was predicted by Trushkin et al. (ATel #9416). In fact, a significant radio flux increase was detected three weeks later, on 14-16 September 2016 (ATel #9502).

Effects of Pilates exercises on health-related quality of life in individuals with juvenile idiopathic arthritis.

PubMed

Mendonça, Tânia M; Terreri, Maria T; Silva, Carlos H; Neto, Morun Bernardino; Pinto, Rogério M; Natour, Jamil; Len, Claudio A

2013-11-01

To determine the effects of Pilates exercises on health-related quality of life (HRQOL) in individuals with juvenile idiopathic arthritis (JIA). Randomized, prospective, single-blind trial. Outpatient clinic of pediatric rheumatology and the rehabilitation department. Children (N=50) with JIA according to the International League of Associations for Rheumatology criteria. Participants were randomly assigned into 2 groups. In group I (n=25), the participants were given a conventional exercise program for 6 months. Patients in group II (n=25) participated in a Pilates exercise program for 6 months. The primary outcome measure was HRQOL, as measured by the Pediatric Quality of Life Inventory version 4.0 (PedsQL 4.0). The secondary outcome measures provided an estimate of the clinical relevance of the primary outcome results and included joint pain intensity (according to a 10-cm visual analog scale), disability (according to the Childhood Health Assessment Questionnaire), joint status (using the Pediatric Escola Paulista de Medicina Range of Motion Scale), and the total PedsQL 4.0 score. All participants completed the study. The scores of the PedsQL 4.0 differed significantly between groups, indicating that Pilates exercises increased these scores when compared with the conventional exercise program. Group II participants showed significant improvements in the 10-cm visual analog scale-joint pain, Childhood Health Assessment Questionnaire, and Pediatric Escola Paulista de Medicina Range of Motion Scale. The use of Pilates exercises had a positive physical and psychosocial impact on HRQOL in individuals with JIA. Future multicenter studies with a follow-up beyond the period of treatment using more objective parameters will be useful to support the results of the present study. Copyright © 2013 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

[Consensus on the detection and management of prediabetes. Consensus and Clinical Guidelines Working Group of the Spanish Diabetes Society].

PubMed

Mata-Cases, M; Artola, S; Escalada, J; Ezkurra-Loyola, P; Ferrer-García, J C; Fornos, J A; Girbés, J; Rica, I

2015-03-01

In Spain, according to the Di@bet.es study, 13.8% of the adult population suffers from diabetes and 14.8% from some form of prediabetes (impaired glucose tolerance, impaired fasting glucose or both). Since early detection of prediabetes can facilitate the implementation of therapeutic measures to prevent its progression to diabetes, we believe that preventive strategies in primary care and specialized clinical settings should be agreed. Screening for diabetes and prediabetes using a specific questionnaire (FINDRISC) and/or the measurement of fasting plasma glucose in high risk patients leads to detecting patients at risk of developing diabetes and it is necessary to consider how they should be managed. The intervention in lifestyle can reduce the progression to diabetes and reverse a prediabetic state to normal and is a cost-effective intervention. Some drugs, such as metformin, have also been shown effective in reducing the progression to diabetes but are not superior to non-pharmacological interventions. Finally, an improvement in some cardiovascular risk factors has been observed although there is no strong evidence supporting the effectiveness of screening in terms of morbility and mortality. The Consensus and Clinical Guidelines Working Group of the Spanish Diabetes Society has issued some recommendations that have been agreed by the Sociedad Española de Endocrinología y Nutrición, Sociedad Española de Endocrinología Pediátrica, Sociedad Española de Farmacia Comunitaria, Sociedad Española de Medicina Familiar y Comunitaria, Sociedad Española de Médicos Generales, Sociedad Española de Médicos de Atención Primaria, Sociedad Española de Medicina Interna, Asociación de Enfermería Comunitaria and Red de Grupos de Estudio de la Diabetes en Atención Primaria. Copyright © 2014 SEEN. Published by Elsevier España, S.L.U. All rights reserved.

Consensus on the detection and management of prediabetes. Consensus and Clinical Guidelines Working Group of the Spanish Diabetes Society.

PubMed

Mata-Cases, M; Artola, S; Escalada, J; Ezkurra-Loyola, P; Ferrer-García, J C; Fornos, J A; Girbés, J; Rica, I

2015-03-01

In Spain, according to the Di@bet.es study, 13.8% of the adult population suffers from diabetes and 14.8% from some form of prediabetes (impaired glucose tolerance, impaired fasting glucose or both). Since early detection of prediabetes can facilitate the implementation of therapeutic measures to prevent its progression to diabetes, we believe that preventive strategies in primary care and specialized clinical settings should be agreed. Screening for diabetes and prediabetes using a specific questionnaire (FINDRISC) and/or the measurement of fasting plasma glucose in high risk patients leads to detecting patients at risk of developing diabetes and it is necessary to consider how they should be managed. The intervention in lifestyle can reduce the progression to diabetes and reverse a prediabetic state to normal and is a cost-effective intervention. Some drugs, such as metformin, have also been shown effective in reducing the progression to diabetes but are not superior to non-pharmacological interventions. Finally, an improvement in some cardiovascular risk factors has been observed although there is no strong evidence supporting the effectiveness of screening in terms of morbility and mortality. The Consensus and Clinical Guidelines Working Group of the Spanish Diabetes Society has issued some recommendations that have been agreed by the Sociedad Española de Endocrinología y Nutrición, Sociedad Española de Endocrinología Pediátrica, Sociedad Española de Farmacia Comunitaria, Sociedad Española de Medicina Familiar y Comunitaria, Sociedad Española de Médicos Generales, Sociedad Española de Médicos de Atención Primaria, Sociedad Española de Medicina Interna, Asociación de Enfermería Comunitaria and Red de Grupos de Estudio de la Diabetes en Atención Primaria. Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

[Consensus on the detection and management of prediabetes. Consensus and Clinical Guidelines Working Group of the Spanish Diabetes Society].

PubMed

Mata-Cases, M; Artola, S; Escalada, J; Ezkurra-Loyola, P; Ferrer-García, J C; Fornos, J A; Girbés, J; Rica, I

2015-01-01

In Spain, according to the Di@bet.es study, 13.8% of the adult population suffers from diabetes and 14.8% from some form of prediabetes (impaired glucose tolerance, impaired fasting glucose or both). Since early detection of prediabetes can facilitate the implementation of therapeutic measures to prevent its progression to diabetes, we believe that preventive strategies in primary care and specialized clinical settings should be agreed. Screening for diabetes and prediabetes using a specific questionnaire (FINDRISC) and/or the measurement of fasting plasma glucose in high risk patients leads to detecting patients at risk of developing diabetes and it is necessary to consider how they should be managed. The intervention in lifestyle can reduce the progression to diabetes and reverse a prediabetic state to normal and is a cost-effective intervention. Some drugs, such as metformin, have also been shown effective in reducing the progression to diabetes but are not superior to non-pharmacological interventions. Finally, an improvement in some cardiovascular risk factors has been observed although there is no strong evidence supporting the effectiveness of screening in terms of morbility and mortality. The Consensus and Clinical Guidelines Working Group of the Spanish Diabetes Society has issued some recommendations that have been agreed by the Sociedad Española de Endocrinología y Nutrición, Sociedad Española de Endocrinología Pediátrica, Sociedad Española de Farmacia Comunitaria, Sociedad Española de Medicina Familiar y Comunitaria, Sociedad Española de Médicos Generales, Sociedad Española de Médicos de Atención Primaria, Sociedad Española de Medicina Interna, Asociación de Enfermería Comunitaria and Red de Grupos de Estudio de la Diabetes en Atención Primaria. Copyright © 2015. Publicado por Elsevier España, S.L.U.

Gravity-dependent signal path variation in a large VLBI telescope modelled with a combination of surveying methods

NASA Astrophysics Data System (ADS)

Sarti, Pierguido; Abbondanza, C.; Vittuari, L.

2009-11-01

The very long baseline interferometry (VLBI) antenna in Medicina (Italy) is a 32-m AZ-EL mount that was surveyed several times, adopting an indirect method, for the purpose of estimating the eccentricity vector between the co-located VLBI and Global Positioning System instruments. In order to fulfill this task, targets were located in different parts of the telescope’s structure. Triangulation and trilateration on the targets highlight a consistent amount of deformation that biases the estimate of the instrument’s reference point up to 1 cm, depending on the targets’ locations. Therefore, whenever the estimation of accurate local ties is needed, it is critical to take into consideration the action of gravity on the structure. Furthermore, deformations induced by gravity on VLBI telescopes may modify the length of the path travelled by the incoming radio signal to a non-negligible extent. As a consequence, differently from what it is usually assumed, the relative distance of the feed horn’s phase centre with respect to the elevation axis may vary, depending on the telescope’s pointing elevation. The Medicina telescope’s signal path variation Δ L increases by a magnitude of approximately 2 cm, as the pointing elevation changes from horizon to zenith; it is described by an elevation-dependent second-order polynomial function computed as, according to Clark and Thomsen (Techical report, 100696, NASA, Greenbelt, 1988), a linear combination of three terms: receiver displacement Δ R, primary reflector’s vertex displacement Δ V and focal length variations Δ F. Δ L was investigated with a combination of terrestrial triangulation and trilateration, laser scanning and a finite element model of the antenna. The antenna gain (or auto-focus curve) Δ G is routinely determined through astronomical observations. A surprisingly accurate reproduction of Δ G can be obtained with a combination of Δ V, Δ F and Δ R.

ANÁLISE DA INSERÇÃO DOS TEMAS DE HUMANIDADES E ÉTICA, COM METODOLOGIA DE APRENDIZAGEM BASEADA EM PROBLEMAS, EM CURRICULO MÉDICO INTEGRADO EM ESCOLA PÚBLICA NO DISTRITO FEDERAL, BRASIL

PubMed Central

Novaes, Maria Rita Carvalho Garbi; Novaes, Luiz Carlos Garcez; Guilhem, Dirce; Lolas, Fernando; Silveira, Carla; Guiotti, Murilo

2009-01-01

Objetivo Realizar uma análise da inserção da ética e humanidades no currículo do Curso de Medicina da Escola Superior em Ciências da Saúde - ESCS, escola pública do Distrito Federal, Brasil, de forma a contribuir com o processo de gestão curricular. Metodologia O Estudo é de coorte e documental. Foram pesquisados 37 termos relacionados à ética e 36 referentes à humanização nos objetivos educacionais e conteúdo dos módulos temáticos, habilidades e atitudes e interação ensino-serviço-comunidade, de 1a a 4a série e no programa do internato no currículo (ano 2006) e no projeto pedagógico do Curso de Medicina (2001). Resultados Maior inserção da humanização, ética e bioética na 1a e 2a série, quando comparado à inserção na 3a e 4a série e no internato, (IC95%-α=0,034, pvalue=0,007). Unidade de habilidades e atitudes: freqüência das 3 temáticas no currículo da 1a a 4a séries (IC95%-α=0,026, pvalue=0,013). Quando comparada a inserção entre o internato e as quatro primeiras séries, observa-se que nestas a inserção da temática humanização é superior (IC95%-α=0,042, pvalue=0,029). Conclusão O currículo desenvolvido no ano de 2006 na ESCS apresentou correlação com o projeto pedagógico do curso e contemplou a temática de forma abrangente, em todas as séries e internato. PMID:20396594

CURRENT SITUATION OF MEDICINE III AND CHALLENGES.

PubMed

Ferreira, Lydia Masako

2015-01-01

tradition and history. For the maintenance and advancement of the area some challenges and goals were established to be developed in the period from 2013 to 2016. Descrever a situação atual da área Medicina III da Capes e detectar os desafios para o próximo quadriênio de avaliação. Os documentos e relatórios de reuniões de área a partir de 2004 até 2013 da Medicina III da Capes foram lidos assim como os relatórios e as fichas de avaliação de cada Programa de Pós Graduação (PPG) da área e a subpágina da área no site da Capes. Os dados referentes ao Processo de Avaliação, à Ficha de Avaliação e aos dados do Corpo Docente, Discente e Produção científica de todos os PPG da Medicina III foram computados e analisados. A partir desses dados foram detectados os desafios da área para o próximo quadriênio (2013-2016). Dentre os 3.806 PPG, a Medicina III apresentava 41 PPG durante última avaliação trienal e evoluiu de 18% para 43% de PPG > conceito muito bom (Triênios 2001-2003 e 2010-2012). A maioria dos PPG se localizavam na Região Sudeste (32), três no Sul e dois no Nordeste. Não havia nenhum PPG no Norte ou Centro-Oeste. Em 2013 e 2014 foram aprovadas quatro mestrados profissionais e um mestrado e doutorado acadêmico. A média de docente permanente no triênio foi de 558 docentes com cerca de três alunos titulados/docente. O número de doutores titulados tem aumentado assim como a razão Doutorado/Mestrado. A proporção de publicações em periódicos de maior impacto (A1, A2, B1 e B2) saltou de 30% para 50% demonstrando resposta positiva da comunidade à política da área. Os desafios detectados foram: diminuir assimetria regional, elevar o número de mestres e doutores de excelência, reavaliação das revistas nacionais, estimular e definir indicadores de internacionalização, inclusão de pós-doutores e definição de seus indicadores, análise da nucleação do PPG, PPG 3x3, inclusão ensino médio e fundamental, mestrado

Effects of Body Fat on the Associations of High-Molecular-Weight Adiponectin, Leptin and Soluble Leptin Receptor with Metabolic Syndrome in Chinese

PubMed Central

Yu, Danxia; Yu, Zhijie; Sun, Qi; Sun, Liang; Li, Huaixing; Song, Jun; Mi, Ming; Wu, Hongyu; Lu, Ling; Liu, Chen; Zhang, Geng; Hu, Frank B.; Lin, Xu

2011-01-01

Background Little is known regarding the associations between high-molecular-weight (HMW-) adiponectin, leptin and soluble leptin receptor (sOB-R) and metabolic syndrome (MetS) in Chinese. Also few studies elucidate the effects of inflammation and body fat mass on the relations. Methods Plasma HMW-adiponectin, leptin and sOB-R were measured among 1055 Chinese men and women (35∼54 yrs). Whole body and trunk fat mass were determined by Dual-energy X-ray absorptiometry. MetS was defined by the updated NCEP/ATPIII criterion for Asian-Americans. Results HMW-adiponectin was inversely associated with MetS in multivariate model including fat mass index (FMI), inflammatory markers, leptin and sOB-R (OR in the highest quartile  = 0.30, 95%CI 0.18∼0.50, P<.0001). Plasma sOB-R was also inversely associated with MetS independent of body fatness and inflammatory markers, whereas the association was somewhat attenuated after adjusting HMW-adiponectin (OR for the highest quartile  = 0.78, 95%CI 0.47∼1.32, P = 0.15). In contrast, leptin was associated with increased odds of MetS independent of inflammatory markers, HMW-adiponectin, and sOB-R (OR for the highest quartile  = 2.64, 95%CI 1.35∼5.18, P = 0.006), although further adjustment for FMI abolished this association. Conclusions HMW-adiponectin exhibited strong inverse associations with MetS independent of body composition, inflammation, leptin and sOB-R; while the associations of leptin and sOB-R were largely explained by fat mass or HMW-adiponectin, respectively. PMID:21347230

National Drug IQ Challenge

MedlinePlus

... del coeficiente intelectual (CI) sobre las drogas y el alcohol 2016 National Drug IQ Challenge 2016 Reto ... del coeficiente intelectual (CI) sobre las drogas y el alcohol 2015 National Drug IQ Challenge 2015 Reto ...

RELACIÓN MÉDICO PACIENTE: DERECHOS DEL ADULTO MAYOR

PubMed Central

Barrantes-Monge, Melba; Rodríguez, Eduardo; Lama, Alexis

2009-01-01

Existen prejuicios en relación con la vejez, incluso entre los profesionales que se dedican a la gerontología. Uno común y peligroso es considerar que los viejos son todos enfermos o discapacitados. La relación médico-paciente es la piedra angular de la práctica y ética médicas. Para alcanzar el respeto por los adultos mayores es necesaria una medicina prudente, basada en una práctica en la cual la reflexión ética y clínica pueda contribuir. Esto último es posible si se hacen valer los derechos del adulto mayor, en particular como paciente para la toma de decisiones. PMID:20379380

PubMed

Barrantes-Monge, Melba; Rodríguez, Eduardo; Lama, Alexis

2009-01-01

Existen prejuicios en relación con la vejez, incluso entre los profesionales que se dedican a la gerontología. Uno común y peligroso es considerar que los viejos son todos enfermos o discapacitados.La relación médico-paciente es la piedra angular de la práctica y ética médicas. Para alcanzar el respeto por los adultos mayores es necesaria una medicina prudente, basada en una práctica en la cual la reflexión ética y clínica pueda contribuir. Esto último es posible si se hacen valer los derechos del adulto mayor, en particular como paciente para la toma de decisiones.

[The whole world in a cup of coffee. Case reports].

PubMed

De Fiore, Luca

2009-01-01

There is a rising interest for clinical cases in medicine. Actually, they don't necessarily conflict with the evidence-based medicine approach; rather, as several authors made clear, EBM-oriented case reports and clinical trials could be complementary. Cases and case series could even represent the first line of evidence and they are extremely valuable in discovering new pathologies and monitoring unexpected drug effects. They also play a relevant role in continuing medical education. The new section of Recenti Progressi in Medicina is edited by a prominent Italian research Institute (Istituto di Fisiologia Clinica, CNR). It focuses on a single case, guiding the physicians' decision-making from differential diagnosis to the treatment options.

CORRIGENDUM to The impact of prehabilitation on post-surgical complications in patients undergoing non-urgent cardiovascular surgical intervention: Systematic review and meta-analysis.

PubMed

2018-06-01

The impact of prehabilitation on post-surgical complications in patients undergoing non-urgent cardiovascular surgical intervention: Systematic review and meta-analysis by F Marmelo et al. European Journal of Preventive Cardiology January 2018 25: 404-417, DOI: 2016 doi: 10.1177/2047487317752373 The third author's name, affiliation and Funding information were incorrect, the correct details are below: Daniel Moreira-Gonçalves Departamento de Cirurgia e Fisiologia, Faculdade de Medicina, Universidade do Porto, Portugal CIAFEL, Faculdade de Desporto, Universidade do Porto, Portugal Funding D.M.G is supported by an individual fellowship grant from Fundação para a Ciência e Tecnologia (SFRH/BPD/90010/ 2012) This has been corrected in the online article.

Autoinflammatory diseases in adults. Clinical characteristics and prognostic implications.

PubMed

González García, A; Patier de la Peña, J L; Ortego Centeno, N

2017-03-01

Autoinflammatory diseases are clinical conditions with inflammatory manifestations that present in a periodic or persistent manner and are caused by acquired or hereditary disorders of the innate immune response. In general, these diseases are more common in childhood, but cases have been reported in adults and are therefore important for all specialists. There are few references on these diseases in adults due to their low prevalence and underdiagnosis. The aim of this study is to review the scientific literature on these disorders to systematise their clinical, prognostic and treatment response characteristics in adults. Copyright © 2016 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

The elderly traveller.

PubMed

Ramos-Sesma, V; Górgolas-Hernández Mora, M; Ramos-Rincón, J M

2018-04-20

Improved living conditions and advances in medicine have extended life expectancy and quality of life, resulting in an increasing number of elderly travellers. Pathophysiological changes and treatments can reduce the efficacy of vaccines and facilitate drug interactions. Elderly travellers have various characteristics that should be considered when offering pre-trip counselling, which should include proper management of chronic diseases that are susceptible to worsening during the trip, as well as an appropriate study and follow-up after the trip. We performed a narrative review of the main problems of elderly travellers. Copyright © 2018 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

[The construction of cancer as an object of scientific study and sanitary problem in Argentina: discourses, experimental practices and institutional initiatives, 1903-1922].

PubMed

Buschini, José D

2014-01-01

This article analyzes the construction of cancer as a sanitary problem and an object of scientific inquiry in Argentina in the first two decades of the twentieth century. It considers the acquisition and circulation of foreign knowledge on the subject, the context in which the first experimental developments arose, the institutional initiatives promoted by the medical profession and the way in which state authorities and civil society were enlisted to further these initiatives. There is a detailed examination of the process of creating the Instituto de Medicina Experimental, a center wholly devoted to the study and treatment of cancer, which was inaugurated in 1922, symbolically ending the first phase of constructing cancer as a problem in the country.

Radio Non-Detections of SN 2010cu and PSN J13203538+3408222 in IC 883

NASA Astrophysics Data System (ADS)

Romero-Canizales, Cristina; Perez-Torres, Miguel A.; Alberdi, Antxon; Kankare, Erkki; Ryder, Stuart D.; Mattila, Seppo

2011-04-01

We report 5 GHz eEVN observations of the luminous infrared galaxy IC 883 intended as a radio follow-up of SN 2010cu (CBET # 2213 and 2286) and PSN J13203538+3408222 (ATel # 3245) that were recently discovered within the nuclear regions of IC 883 by near-IR adaptive-optics observations. The observations were carried out on 23rd March 2011 between 0200UT and 0400UT (total time on source ~1.3 hours) and included the following antennae (diameter, location): Effelsberg (100m, Germany), Jodrell Bank (25m, UK), Medicina (32 m, Italy), Onsala (25 m, Sweden), Torun (32 m, Poland), Westerbork array (14x25 m, NL) and Yebes (40 m, Spain).

Coordinated observations of PHEMU at radio wavelengths.

NASA Astrophysics Data System (ADS)

Pluchino, S.; Schillirò, F.; Salerno, E.; Pupillo, G.; Kraus, A.; Mack, K.-H.

We present preliminary results for our study of mutual phenomena of the Galilean satellites performed at radio wavelengths with the Medicina and Noto antennas of the Istituto di Radioastronomia \\textendash{} INAF, and with the Effelsberg 100-m radio telescope of the Max-Planck-Institute for Radioastronomy. Measurements of the radio flux density variation occurred during the mutual occultations of Io by Europa and Ganymede were carried out during the PHEMU09 campaign at K- and Q-band. Flux density variations observed for the first time at radio wavelengths are consistent with the typical optical patterns measured when partial occultations occurred. The flux density drops indicate a non-linear dependence with the percentage of overlapped area.

NORD's Patient Assistance Programs

MedlinePlus

... 486-8462 *learn more about this program* *aprender más sobre este programa* Chronic Non-Infectious Uveitis | Closed ... 486-8033 *learn more about this program* *aprender más sobre este programa* Cystinuria | Temporarily at Capacity Co- ...

[The Spanish AIDS Study Group and Spanish National AIDS Plan (GESIDA/Secretaría del Plan Nacional sobre el Sida) recommendations for the treatment of tuberculosis in HIV-infected individuals (Updated January 2013)].

PubMed

Rivero, Antonio; Pulido, Federico; Caylá, Joan; Iribarren, José A; Miró, José M; Moreno, Santiago; Pérez-Camacho, Inés

2013-12-01

This consensus document was prepared by an expert panel of the Grupo de Estudio de Sida (GESIDA [Spanish AIDS Study Group]) and the Plan Nacional sobre el Sida (PNS [Spanish National AIDS Plan]). The document updates current guidelines on the treatment of tuberculosis (TB) in HIV-infected individuals contained in the guidelines on the treatment of opportunistic infections published by GESIDA and PNS in 2008. The document aims to facilitate the management and treatment of HIV-infected patients with TB in Spain, and includes specific sections and recommendations on the treatment of drug-sensitive TB, multidrug-resistant TB, and extensively drug-resistant TB, in this population. The consensus guidelines also make recommendations on the treatment of HIV-infected patients with TB in special situations, such as chronic liver disease, pregnancy, kidney failure, and transplantation. Recommendations are made on the timing and initial regimens of antiretroviral therapy in patients with TB, and on immune reconstitution syndrome in HIV-infected patients with TB who are receiving antiretroviral therapy. The document does not cover the diagnosis of TB, diagnosis/treatment of latent TB, or treatment of TB in children. The quality of the evidence was evaluated and the recommendations graded using the approach of the Grading of Recommendations Assessment, Development and Evaluation Working Group. Copyright © 2013 Elsevier España, S.L. All rights reserved.

Observaciones del CH interestelar y el continuo en 3,3 GHz

NASA Astrophysics Data System (ADS)

Olano, C. A.; Combi, J. A.; Pöppel, W.; Benaglia, P.; Sanz, A. J.; Bava, J. A.

Se informa sobre el proyecto que se lleva a cabo en el IAR con el propósito de observar las líneas hiperfinas del estado fundamental del CH y el continuo en la banda de 3,3 GHz. El nuevo receptor construído en nuestro laboratorio para tal fin se instaló sobre uno de los radiotelescopios, funcionando conjuntamente con los sistemas de procesamiento actuales del IAR. Los resultados de las primeras observaciones, realizadas tanto en las líneas espectrales como en el continuo sobre fuentes conocidas, fueron satisfactorios.

Pasado, presente y futuro de la epidemiología. Una perspective latinoamericana

PubMed Central

Morabia, Alfredo

2015-01-01

Este artículo intenta contestar tres preguntas. Sobre el pasado: ¿Por qué no existió una epidemiología precolombina? Sobre el presente: ¿Cuáles son los orígenes de la epidemiología moderna, incluyendo sus raíces sudamericanas? Y sobre el futuro, escogí un título surrealista para enfatizar el hecho que estoy consciente de que es siempre delicado hacer predicciones: ¿Por qué fenómenos complejos son los “objetos oscuros del deseo” epidemiológico? PMID:25124247

[Criminal claims about medical professional liability in the Instituto de Medicina Legal of Lima, Peru].

PubMed

Navarro-Sandoval, Cleyber; Arones-Guevara, Shermany; Carrera-Palao, Rosa; Casana-Jara, Kelly; Colque-Jaliri, Tomasa

2013-07-01

To determine the characteristics of the criminal complaints claining medical professional liability, based on the expert reports issued by the Forensic Examination Division of Lima, Peru. A cross-sectional study was carried out, which included all the expert reports issued between 2005 and 2010 at the Forensic Examination Division of Lima, Peru. A descriptive analysis of each of the variables was performed. 60.3% (495/821) of the criminal complaints for medical professional liability were valued as being in accordance with the lex artis while 16.8% (138/821) were not in accordance with the lex artis. In 13% (107/821) of the cases, conclusions could not be drawn;in 9.9% (81/821) of the cases, the conclusions in the expert report did not include an valuations of the medical act.The cases in which the injury was attributed to the process of the disease itself accounted for 80.9% (502/620), and those in which in the injury was considered a result of the health care received were 19.0% (118/620). The distribution of the cause of the injury based on accordance with the lex artis showed significant differences. In our country, the number of claims for claimed medical liability is increasing, predominantly in relation to surgical specialties, where a medical act is more likely to be considered not in accordance with the lex artis. In addition, in a significant percentage of cases, no conclusions are drawn about the medical act.

[Infective endocarditis. Systematic review of twenty years of performances in the Sociedad Argentina de Medicina].

PubMed

Marcelo, Yorio; Milian Andrés, Escudero; Luis, Camera

2008-01-01

Infective endocarditis (IE) is still a disease with high morbidity and mortality. Its diagnosis and treatment are still a major challenge in clinical practice. There have been very few studies published about IE in Argentina. We reviewed all the studies about IE published in the Argentine Medicine Society from 1980 to 2003 and we analyzed demographic, clinical and bacteriological data. 27 studies with 628 patients were included. Mean age of patients was 50.7 years old. The most frequent clinical data were fever, murmur and elevated sedimentation rate. Stafilococcus spp was the most common causative organism, followed by streptococcus spp. The echocardiographic demonstration allowed the definitive diagnosis in 2/3 of the patients. The IE data of Argentina are not different from other data published in different countries and this study shows some clinical features of IE in Argentina.

PFOA y PFOS - PREGUNTAS Y RESPUESTAS

EPA Pesticide Factsheets

Preguntas y respuestas sobre la decisión de la EPA de publicar avisos de salud sobre el ácido perfluorooctanoico (PFOA) y el sulfonato de perfluorooctano (PFOS) para proporcionar información a los operadores de sistemas de agua potable y funcionarios estat

[Antimicrobial resistance forever? Judicious and appropriate use of antibiotics].

PubMed

Cagliano, Stefano

2015-06-01

This article takes its cue from the original work of sir Alexander Fleming on penicillin, published in the first issue of Recenti Progressi in Medicina in 1946 and reproduced here on the occasion of the approaching 70-year anniversary of the journal. In 1928, at the time when penicillin was discovered, it could not be imagined that bacterial resistance to antibiotics would develop so rapidly: the introduction of every new class of antibiotics has been shortly followed by the emergence of new strains of bacteria resistant to that class. Bacterial resistance to antibiotic treatment is a huge concern. In this respect, an action plan against antimicrobial resistance has been devised in the United States that is targeted for a 50% reduction over the next five years.

[Profile of tropical diseases in Portugal].

PubMed

Ventura, F A

1996-01-01

The increased incidence of Imported Tropical Diseases in Portugal is correlated to a recent higher standard of living, influence of media and a consequent expansion of tourism, and above all to the close relationship existing between Portugal and Africa. The number and pathology (parasitic diarrhoeas, protozoal and helminthic infections) of in-patients with Tropical Diseases at the Unidade de Doenças Infecciosas, Parasitárias e de Medicina Tropical (UDIP-MT) were described, with special emphasis on Malaria (155 in-patients during the period from 1989 to 1993) and on Sleeping Sickness, where Eflornitin (DFMO) was for the first time used in Portugal. Finally, the impact of HIV epidemic on incidence and different clinical presentations of parasitic and other tropical pathology was also evaluated.

[The Laboratório de Biologia Infantil, 1935-1941: from forensic medicine to social assistance].

PubMed

Silva, Renato da

2011-12-01

This analysis of the history of the Laboratório de Biologia Infantil (Children's Biology Laboratory) discusses topics related to childhood and adolescence published in the Arquivos de Medicina Legal e Identificação do Rio de Janeiro. It underscores the political-institutional and intellectual contexts that prompted the 1930s debate about childhood among physicians, teachers, educators, and politicians, with a special focus on Leonídio Ribeiro, founder and first editor of the journal. The Laboratório inaugurated a medical and scientific routine for studying, treating, and providing assistance within institutions that had been created to repress, care for, and cure, and as such it represented an important chapter in the history of so-called abandoned and delinquent childhood.

Involvement of systemic venous congestion in heart failure.

PubMed

Rubio Gracia, J; Sánchez Marteles, M; Pérez Calvo, J I

2017-04-01

Systemic venous congestion has gained significant importance in the interpretation of the pathophysiology of acute heart failure, especially in the development of renal function impairment during exacerbations. In this study, we review the concept, clinical characterisation and identification of venous congestion. We update current knowledge on its importance in the pathophysiology of acute heart failure and its involvement in the prognosis. We pay special attention to the relationship between abdominal congestion, the pulmonary interstitium as filtering membrane, inflammatory phenomena and renal function impairment in acute heart failure. Lastly, we review decongestion as a new therapeutic objective and the measures available for its assessment. Copyright © 2016 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

[Christian Ehrenfried Eschenbach (1712-1788)--a pioneer of legal medicine in German universities].

PubMed

Wegener, Rudolf

2004-01-01

Christian Ehrenfried Eschenbach (1712-1788) belongs to the forerunners of the embossed natural science scholars of legal medicine in Germany. As a principal re-elected 11 times and dean of the medical faculty at Rostock University he defended academic positions in difficult times. His bibliography comprises numerous text books, e.g. on surgery, anatomy, pathology and obstetrics as well as various fields of mathematics. His Medicina legalis (1746 and 1775) belongs to the first systematic editions of forensic medicine in the German-speaking community. Thanks to his extensive practical experience as a physician and public health officer he took a very progressive position on questions of forensic medicine, issues of professional ethics in medicine and the assessment of injuries. He has wrongly been forgotten.

A Multi-Feed Receiver in the 18 to 26.5 GHz Band for Radio Astronomy

NASA Astrophysics Data System (ADS)

Orfei, A.; Carbonaro, L.; Cattani, A.; Cremonini, A.; Cresci, L.; Fiocchi, F.; Maccaferri, A.; Maccaferri, G.; Mariotti, S.; Monari, J.; Morsiani, M.; Natale, V.; Nesti, R.; Panella, D.; Poloni, M.; Roda, J.; Scalambra, A.; Tofani, G.

2010-08-01

A large-bandwidth, state-of-the-art multi-feed receiver has been constructed to be used on the new 64 m Sardinia Radio Telescope (SRT) (http://www.srt.inaf.itl), an antenna aiming to work from 300 MHz to 100 GHz with an almost continuous frequency coverage. The goal of this new receiver is to speed up the survey of the sky with high sensitivity in a frequency band that is very interesting to radio astronomers. In the meantime, the antenna erection has been finalized, and the receiver has been mounted on the Medicina 32 m antenna to be tested (http://www.med.ira.inaf.itl). We present a complete description of the system, including a dedicated backend, and the results of the tests.

Radio outburst of BL Lacertae

NASA Astrophysics Data System (ADS)

Buemi, C. S.; Leto, P.; Trigilio, C.; Umana, G.; Giroletti, M.; Orienti, M.; Raiteri, C. M.; Villata, M.; Bach, U.

2013-04-01

We report on extremely high radio flux of BL Lacertae at 43 and 8 GHz. Observations at 43 GHz with the 32 m radio telescope in Noto (Italy) revealed a flux density of 10.5 +/- 0.2 Jy on 2013 April 10.65, while observations at 8 GHz with the 32 m radio telescope in Medicina (Italy) detected a flux density of 8.2 +/- 0.7 Jy on April 12.22. These extremely high radio fluxes show that the radio activity likely correlated to the strong optical, near-infrared, and gamma-ray activity of 2011-2012 (see ATels #4028, #4031, #4155, #4271, #4277, #4349, #4565, #4600), and X-ray activity of late 2012 (ATels #4557, #4627), is far to be exhausted.

First Results of the VLBI Experiment on Radar Location of the Asteroid 2012 DA14

NASA Astrophysics Data System (ADS)

Nechaeva, M.; Antipenko, A.; Bezrukov, D.; Bezrukovs, Vl.; Dementjev, A.; Dugin, N.; Jekabsons, N.; Khutornoy, R.; Klapers, M.; Konovalenko, A.; Kulishenko, V.; Nabatov, A.; Nesteruk, V.; Pupillo, G.; Reznichenko, A.; Salerno, E.; Shmeld, I.; Skirmante, K.; Tikhomirov, Yu.; Voytyuk, V.

An international VLBI experiment on radio location of the asteroid 2012 DA14 was organized on 2013 February 15--16, during its flyby close to Earth. The purpose of observations was to investigate and specify orbital parameters of the asteroid, as well as to evaluate its rotation period and other characteristics. The irradiation of the asteroid was performed by the RT-70 transmitter at Evpatoria (Crimea, Ukraine), while the reflected signals were successfully accepted by the two 32 m radio telescopes at Medicina (Bologna, Italy) and Irbene (Ventspils, Latvia). Processing and interpretation of the data were performed both in the Radiophysical Research Institute and in the Ventspils International Radio Astronomy Center. The first results of this experiment are presented and discussed.

SETI-ITALIA 2008: On-going searches and future prospects

NASA Astrophysics Data System (ADS)

Montebugnoli, S.; Bartolini, M.; Bianchi, G.; Cosmovici, C.; Monari, J.; Orlati, A.; Perini, F.; Pluchino, S.; Pupillo, G.; Salerno, E.; Schillirò, F.; Zoni, L.

2010-12-01

The Medicina Radioastronomical Station is located nearby Bologna, in Italy. It consists of two receiving antennas currently dedicated to the astronomical research at radio frequencies. The 32 m diameter parabolic dish performs observations from 1.4 to 22 GHz whereas the Northern Cross (a 30.000 m 2 wide T-shaped array transit antenna) works at 408 MHz. So far SETI observations have been performed using a SERENDIP IV high resolution spectrometer connected to the parabolic antenna. Data acquisition were performed meanwhile the antenna was employed in ordinary astronomical observations (piggy-back mode). An innovative method to search for possible extraterrestrial signals could be provided by using the UHF Northern Cross transit telescope. In this paper observational modalities and the required technological set-up are investigated.

Experiencias sobre el impacto del Programa de Formación en Ética de la Investigación Biomédica y Psicosocial en el ámbito de la salud mental y la investigación conductual.

PubMed

Barrios, Liliana Mondragón

2012-01-01

El propósito de este trabajo es presentar el impacto y la integración que los conocimientos adquiridos en el Programa Internacional de Formación en Ética de la Investigación Biomédica y Psicosocial de la Universidad de Chile han tenido en mi experiencia profesional, en el ámbito de la investigación psicosocial en un Instituto de Salud de México. Para este objetivo, expondré tres áreas en las cuales se ha podido evidenciar tal impacto: trabajo en los comités de ética, desarrollo de programas de académicos en bioética e investigación y publicación sobre ética y bioética. El motivo que me llevó a incursionar en el Programa fue que su enseñanza vincula la investigación psicosocial con la ética y la bioética, lo cual me permitió dirigir este tipo de reflexión hacia problemas como violencia, suicidio, adicciones, depresión y salud mental, y a nuevos campos como los estudios comunitarios, con poblaciones en riesgo o vulnerables, en los cuales las diversas implicaciones son difíciles de indagar.

Experiencias sobre el impacto del Programa de Formación en Ética de la Investigación Biomédica y Psicosocial en el ámbito de la salud mental y la investigación conductual

PubMed Central

Barrios, Liliana Mondragón

2012-01-01

El propósito de este trabajo es presentar el impacto y la integración que los conocimientos adquiridos en el Programa Internacional de Formación en Ética de la Investigación Biomédica y Psicosocial de la Universidad de Chile han tenido en mi experiencia profesional, en el ámbito de la investigación psicosocial en un Instituto de Salud de México. Para este objetivo, expondré tres áreas en las cuales se ha podido evidenciar tal impacto: trabajo en los comités de ética, desarrollo de programas de académicos en bioética e investigación y publicación sobre ética y bioética. El motivo que me llevó a incursionar en el Programa fue que su enseñanza vincula la investigación psicosocial con la ética y la bioética, lo cual me permitió dirigir este tipo de reflexión hacia problemas como violencia, suicidio, adicciones, depresión y salud mental, y a nuevos campos como los estudios comunitarios, con poblaciones en riesgo o vulnerables, en los cuales las diversas implicaciones son difíciles de indagar. PMID:22754085

Acceptability of an Embodied Conversational Agent-based Computer Application for Hispanic Women

PubMed Central

Wells, Kristen J.; Vázquez-Otero, Coralia; Bredice, Marissa; Meade, Cathy D.; Chaet, Alexis; Rivera, Maria I.; Arroyo, Gloria; Proctor, Sara K.; Barnes, Laura E.

2015-01-01

There are few Spanish language interactive, technology-driven health education programs. Objectives of this feasibility study were to: 1) learn more about computer and technology usage among Hispanic women living in a rural community; and 2) evaluate acceptability of the concept of using an embodied conversational agent (ECA) computer application among this population. A survey about computer usage history and interest in computers was administered to a convenience sample of 26 women. A sample video prototype of a hospital discharge ECA was administered followed by questions to gauge opinion about the ECA. Data indicate women exhibited both a high level of computer experience and enthusiasm for the ECA. Feedback from community is essential to ensure equity in state of the art dissemination of health information. Hay algunos programas interactivos en español que usan la tecnología para educar sobre la salud. Los objetivos de este estudio fueron: 1) aprender más sobre el uso de computadoras y tecnología entre mujeres Hispanas que viven en comunidades rurales y 2) evaluar la aceptabilidad del concepto de usar un programa de computadora utilizando un agente de conversación encarnado (ECA) en esta población. Se administro una encuesta sobre el historial de uso y del interés de aprender sobre computadoras fue a 26 mujeres por muestreo de conveniencia. Un ejemplo del prototipo ECA en forma de video de un alta hospitalaria fue administrado y fue seguido por preguntas sobre la opinión que tenían del ECA. Los datos indican que las mujeres mostraron un alto nivel de experiencia con las computadoras y un alto nivel de entusiasmo sobre el ECA. La retroalimentación de la comunidad es esencial para asegurar equidad en la diseminación de información sobre la salud con tecnología de punta. PMID:26671558

La utilizacion de los mapas conceptuales en la ensenanza de biologia y su efecto sobre el dominio del proceso de fotosintesis en los estudiantes universitarios

NASA Astrophysics Data System (ADS)

Gonzalez Rivera, Maria M.

Se investigo el efecto de los mapas conceptuales sobre el dominio del proceso de fotosintesis en estudiantes universitarios. La investigacion utilizo dos estrategias: mapas conceptuales individuales y mapas conceptuales colaborativos, con el fin de investigar si existen diferencias significativas en el dominio del proceso de fotosintesis. El analisis de los datos incluyo aspectos cualitativos y cuantitativos. Se desprende del estudio que el 80% de los estudiantes describen la utilizacion de los mapas conceptuales como una experiencia beneficiosa. El 70% de los estudiantes expreso que los mapas conceptuales son utiles en el aprendizaje del proceso de fotosintesis y el 61% indico que facilitan la comprension de los conceptos. Los hallazgos mas importantes del analisis cuantitativo indican que los estudiantes que utilizaron los mapas conceptuales mejoraron significativamente su desempeno en la posprueba global. Se utilizo la prueba Mann-Whitney para investigar si existian diferencias significativas en la posprueba y preprueba global, el valor de W = 1945.0, para un valor p de 0.00, lo cual establece diferencias significativas. Para determinar si existian diferencias significativas entre la posprueba y preprueba del grupo individual, se realizo la prueba nuevamente. El valor de W correspondio a 490.5, que es significativo, con un valor p de 0.00. Se concluye que existen diferencias significativas entre la ejecucion de la posprueba y preprueba del grupo individual. Los datos proveen suficiente evidencia para sostener que los estudiantes que utilizaron la estrategia de mapas conceptuales individuales mejoraron el dominio del proceso de fotosintesis significativamente. Se realizo nuevamente la prueba para los resultados de posprueba y preprueba del grupo colaborativo. El valor de W correspondio a 446 con un valor p de 0.00. Se concluyo que existen diferencias significativas entre la ejecucion de la posprueba y preprueba del grupo colaborativo. Finalmente, se efectuo una

Learning about the Sky from the Environment: An Experience Working Along One Year with Students of Elementary Education. (Spanish Title: Aprendiendo sobre EL Cielo Desde el Entorno: Una Experiencia Trabajando Durante un Año Junto a Estudiantes del Primario.) Aprendendo sobre o Céu a Partir do Entorno: Uma Experiência de Trabalho ao Longo de um Ano com Alunos de Ensino Fundamental

NASA Astrophysics Data System (ADS)

Longhini, Marcos Daniel; Gomide, Hanny Angeles

2014-12-01

Research developed with 95 students of the 6th year of elementary education in a public school of Uberlândia, Minas Gerais. It was a continuous work from February to December 2013, which led the students to participate in activities of observation of the environment, specifically the sky, analyzing the changes occurred. We focused on the study of variations in temperature, rainfall, day length, variations in the size of the shadows and changes in the aspect of the Moon. Our focus of analysis targeted the discussion of the knowledge that these students had about the topics indicated and as they entered the stage during the implementation of the proposal. The results showed a limited perception that students have of their environment, however, lately expanded due to the undertaken activities, especially in relation to the Moon. Working with systematic measure procedures reveals the careful handling of data so that they become understandable to students, and working with the shadows points towards the students first understand how shadows are formed, and then apply this knowledge to Astronomy. Finally, we conclude that the lived process consisted of an initial step of a work that should be encouraged for the subsequent years of training of these students. Proyecto de investigación desarrollado con 95 alumnos del sexto año de primaria en una escuela pública de Uberlândia, Minas Gerais. Fue un trabajo continuo, de febrero a diciembre de 2013, que llevó a los estudiantes a participar en actividades de observación de su entorno, entre ellas, el cielo, analizando los cambios ocurridos. Nos centramos en el estudio de las variaciones en la temperatura, las precipitaciones, la duración del día, las variaciones en el tamaño de las sombras y los cambios en los aspectos de la Luna. Nuestro foco de análisis se centró en discutir el conocimiento que estos estudiantes tenían sobre los temas indicados al inicio y término de la propuesta. Los resultados mostraron una

The Weighing Chair of Sanctorius Sanctorius: A Replica.

PubMed

Hollerbach, Teresa

2018-05-14

In 1614, the physician Sanctorius Sanctorius (1561-1636) published his most famous work entitled Ars […] de statica medicina (On static medicine). This is a work composed of aphorisms that present the practical results of a series of weighing procedures, rather than theoretical observations. De statica medicina is the result of a large number of test series that Sanctorius carried out over many years with the weighing chair he constructed himself in order to quantify the so-called perspiratio insensibilis, an insensible perspiration of the human body. Through his weighing experiments, Sanctorius introduced the idea of quantitative research into physiology. Although historical accounts ascribe an important role to Sanctorius as the founder of a new medical science, up until now the design of his weighing chair and the method of measurement have not been closely analysed. The aim of this paper is to close this gap. Through a collaboration between the Max Planck Institute for the History of Science and the Technical University of Berlin (Institute of Vocational Education and Work Studies), Sanctorius's weighing chair was reconstructed and experiments carried out with it. This opened new perspectives on Sanctorius's work and led to a reconsideration of the function and purpose of his weighing chair. With his static medicine, Sanctorius repurposed an old instrument. The replication of the weighing chair and the repetition of the experiments demonstrate that this novel application of scales posed some challenges for the mechanical design of the instrument. We recognized that the instrument fulfilled different functions that might in turn have affected its design, precision, and the measuring method applied. Although in the end we could not clarify how Sanctorius actually conducted his measurements, we were nevertheless able to develop an understanding of Sanctorius's mechanical and practical knowledge that would not have been possible for us to develop solely on

[Consensus on the detection and management of prediabetes. Consensus and Clinical Guidelines Working Group of the Spanish Diabetes Society].

PubMed

Mata-Cases, M; Artola, S; Escalada, J; Ezkurra-Loyola, P; Ferrer-García, J C; Fornos, J A; Girbés, J; Rica, I

2015-01-01

In Spain, according to the Di@bet.es study, 13.8% of the adult population suffers from diabetes and 14.8% from some form of prediabetes (impaired glucose tolerance, impaired fasting glucose or both). Since early detection of prediabetes can facilitate the implementation of therapeutic measures to prevent its progression to diabetes, we believe that preventive strategies in primary care and specialized clinical settings should be agreed. Screening for diabetes and prediabetes using a specific questionnaire (FINDRISC) and/or the measurement of fasting plasma glucose in high risk patients leads to detecting patients at risk of developing diabetes and it is necessary to consider how they should be managed. The intervention in lifestyle can reduce the progression to diabetes and reverse a prediabetic state to normal and is a cost-effective intervention. Some drugs, such as metformin, have also been shown effective in reducing the progression to diabetes but are not superior to non-pharmacological interventions. Finally, an improvement in some cardiovascular risk factors has been observed although there is no strong evidence supporting the effectiveness of screening in terms of morbility and mortality. The Consensus and Clinical Guidelines Working Group of the Spanish Diabetes Society has issued some recommendations that have been agreed by the Sociedad Española de Endocrinología y Nutrición, Sociedad Española de Endocrinología Pediátrica, Sociedad Española de Farmacia Comunitaria, Sociedad Española de Medicina Familiar y Comunitaria, Sociedad Española de Médicos Generales, Sociedad Española de Médicos de Atención Primaria, Sociedad Española de Medicina Interna, Asociación de Enfermería Comunitaria and Red de Grupos de Estudio de la Diabetes en Atención Primaria. Copyright © 2014 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.

Nationwide program of education for undergraduates in the field of disaster medicine: development of a core curriculum centered on blended learning and simulation tools.

PubMed

Ingrassia, Pier Luigi; Ragazzoni, Luca; Tengattini, Marco; Carenzo, Luca; Della Corte, Francesco

2014-10-01

In recent years, effective models of disaster medicine curricula for medical schools have been established. However, only a small percentage of medical schools worldwide have considered at least basic disaster medicine teaching in their study program. In Italy, disaster medicine has not yet been included in the medical school curriculum. Perceiving the lack of a specific course on disaster medicine, the Segretariato Italiano Studenti in Medicina (SISM) contacted the Centro di Ricerca Interdipartimentale in Medicina di Emergenza e dei Disastri ed Informatica applicata alla didattica e alla pratica Medica (CRIMEDIM) with a proposal for a nationwide program in this field. Seven modules (introduction to disaster medicine, prehospital disaster management, definition of triage, characteristics of hospital disaster plans, treatment of the health consequences of different disasters, psychosocial care, and presentation of past disasters) were developed using an e-learning platform and a 12-hour classroom session which involved problem-based learning (PBL) activities, table-top exercises, and a computerized simulation (Table 1). The modules were designed as a framework for a disaster medicine curriculum for undergraduates and covered the three main disciplines (clinical and psychosocial, public health, and emergency and risk management) of the core of "Disaster Health" according to the World Association for Disaster and Emergency Medicine (WADEM) international guidelines for disaster medicine education. From January 2011 through May 2013, 21 editions of the course were delivered to 21 different medical schools, and 524 students attended the course. The blended approach and the use of simulation tools were appreciated by all participants and successfully increased participants' knowledge of disaster medicine and basic competencies in performing mass-casualty triage. This manuscript reports on the designing process and the initial outcomes with respect to learners

Limits on the spatial variations of the electron-to-proton mass ratio in the Galactic plane

NASA Astrophysics Data System (ADS)

Levshakov, S. A.; Reimers, D.; Henkel, C.; Winkel, B.; Mignano, A.; Centurión, M.; Molaro, P.

2013-11-01

Aims: We aim to validate the Einstein equivalence principle (local position invariance) by limiting the fractional changes in the electron-to-proton mass ratio, μ = me/mp, measured in Galactic plane objects. Methods: High-resolution spectral observations of dark clouds in the inversion line of NH3(1, 1) and pure rotational lines of other molecules (the so-called ammonia method) were performed at the Medicina 32-m and the Effelsberg 100-m radio telescopes to measure the radial velocity offsets, ΔRV = Vrot - Vinv, between the rotational and inversion transitions, which have different sensitivities to the value of μ. Results: In our previous observations (2008-2010), a mean offset of ⟨ΔRV⟩ = 0.027 ± 0.010 km s-1 (3σ confidence level (C.L.)) was measured. To test for possible hidden errors, we carried out additional observations of a sample of molecular cores in 2010-2013. As a result, a systematic error with an amplitude ~0.02 km s-1 in the radial velocities was revealed. The averaged offset between the radial velocities of the rotational transitions of HC3N(2-1), HC5N(9-8), HC7N(16-15), HC7N(21-20), and HC7N(23-22), and the inversion transition of NH3(1, 1) is ⟨ΔRV⟩ = 0.003 ± 0.018 km s-1 (3σ C.L.). This value, when interpreted in terms of Δμ/μ = (μobs - μlab)/μlab, constraints the μ-variation at the level of Δμ/μ < 2 × 10-8 (3σ C.L.), which is the most stringent limit on the fractional changes in μ based on astronomical observations. Based on observations obtained with the Effelsberg 100-m telescope operated by the Max-Planck Institut für Radioastronomie on behalf of the Max-Planck-Gesellschaft (Germany), and with the Medicina 32-m telescope operated by INAF (Italy).

Clinical considerations on the posology of direct oral anticoagulants.

PubMed

Sáez-Peñataro, J; Avendaño-Solá, C; González-Juanatey, J R

2016-10-01

The efficacy of dicoumarin anticoagulants has been shown in patients with nonvalvular atrial fibrillation. However, they have drawbacks such as the need to adjust the dosage and the interaction with drugs and food. Direct oral anticoagulants are an effective and safe alternative and have a less complicated clinical management. There is considerable debate on the selection criteria for the posology regimens of direct oral anticoagulants. The differences among them and their administration regimens have raised questions about the clinical, pharmacokinetic and pharmacodynamic selection criteria that support the posology. This review critically analyses the available evidence and its impact on the final selection of the dosage regimen. Copyright © 2016 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Innovations in adolescent reproductive and sexual health education in Santiago de Chile: effects of physician leadership and direct service.

PubMed

Grizzard, Tarayn; González, Electra; Sandoval, Jorge; Molina, Ramiro

2004-01-01

Reproductive and sexual health (RSH) education is a key component of most family planning programs around the world and is particularly important for adolescents, for whom parenthood is more likely to have difficult or dangerous health outcomes. A lack of comprehensive RSH education targeted at adolescents may augment the poor outcomes associated with early pregnancy by creating barriers to optimal care. This article discusses the creation of the Centro de Medicina Reproductiva y Desarrollo Integral de la Adolescencia clinic, a comprehensive adolescent reproductive health center in Santiago de Chile, and its RSH education programs. In particular, the role of the physician in originating and leading the RSH education efforts, the controversy associated with RSH education in Chile, and the effects of comprehensive RHS education on the local and regional adolescent populations are discussed.

[Guidelines for specialized nutritional and metabolic support in the critically-ill patient. Update. Consensus of the Spanish Society of Intensive Care Medicine and Coronary Units-Spanish Society of Parenteral and Enteral Nutrition (SEMICYUC-SENPE): oncohematological patient].

PubMed

Planas, M; Fernández-Ortega, J F; Abilés, J

2011-11-01

Patients with cancer, irrespective of the stage of their disease, can require admission to the intensive care unit as a result of the complications of their underlying process or the surgical or pharmacological treatment provided. The cancer itself, as well as the critical status that can result from the complications of the disease, frequently lead to a high degree of hypermetabolism and inadequate energy intake, causing a high incidence of malnutrition in these patients. Moreover, cancer causes anomalous use of nutritional substrates and therefore the route of administration and proportion and intake of nutrients may differ in these patients from those in non-cancer patients. Copyright © 2011 Sociedad Española de Medicina Intensiva, Critica y Unidades Coronarias (SEMICYUC) and Elsevier España, S.L. All rights reserved.

Canine hepatozoonosis in Brazil: description of eight naturally occurring cases.

PubMed

Gondim, L F; Kohayagawa, A; Alencar, N X; Biondo, A W; Takahira, R K; Franco, S R

1998-01-31

Eight cases of canine hepatozoonosis were diagnosed at the Veterinary Hospital (Faculdade de Medicina Veterinária e Zootecnia, Universidade Estadual Paulista, Campus de Botucatu), between October 1993 and April 1994. Clinical signs included anorexia, pale mucous membranes, weight loss, pain, diarrhoea, vomit, gait abnormalities, fever, polyuria and polydipsia. Haematologic findings revealed anaemia in seven cases, leucocytosis with neutrophilia in three cases, lymphopenia in three cases and monocytosis in four cases. Serum biochemistries included alterations in many parameters. The micrometry of Hepatozoon canis gametocytes ranged from 6.8 x 4.0 microns to 7.5 x 4.5 microns. Parasitaemia ranged from less than 0.5% to 2%. In all the cases reported other concurrent diseases were present. Diagnosis of canine hepatozoonosis was made by identifying H. canis gametocytes within leucocytes in stained blood smears.

Safety of diabetes drugs in patients with heart failure.

PubMed

Carrasco-Sánchez, F J; Ostos-Ruiz, A I; Soto-Martín, M

2018-03-01

Heart failure (HF) and diabetes mellitus are 2 clinical conditions that often coexist, particularly in patients older than 65 years. Diabetes mellitus promotes the development of HF and confers a poorer prognosis. Hypoglycaemic agents (either by their mechanism of action, hypoglycaemic action or adverse effects) can be potentially dangerous for patients with HF. In this study, we performed a review of the available evidence on the safety of diabetes drugs in HF, focused on the main observational and experimental studies. Recent studies on cardiovascular safety have evaluated, although as a secondary objective, the impact of new hypoglycaemic agents on HF, helping us understand the neutrality, risks and potential benefits of these agents. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

[Tropical dermatology training in the Bundeswehr: Deployment in Manaus, Brazil].

PubMed

Fischer, M

2015-05-01

Training in tropical dermatology at the Fundação de Medicina tropical (FMT-AM) in Manaus, Brazil, offers an ideal opportunity to become familiar with the broad spectrum of tropical skin-diseases which are endemic in the tropical rainforest of the Amazon region. Besides frequently observed cases of cutaneous leishmaniasis of the new world, mucocutaneous forms of leishmaniasis and all entities of the different deep mycoses of South America are also regularly diagnosed. Of special importance in the dermatological care of the population is the early diagnosis of all clinical forms of leprosy and the long-term care of HIV patients. Modern diagnostics, including histopathology and molecular biology analytical methods, enable patients at the FMT-AM to be diagnosed without having to solely rely on clinical presentation and epidemiological data.

[Not Available].

PubMed

Molina Villaverde, Raquel

2016-06-03

El cáncer es un problema sanitario de primera magnitud a escala mundial. Su tratamiento es uno de los mayores campos de innovación y desarrollo en medicina. La visión del cáncer como una enfermedad sistémica, heterogénea y de una elevada complejidad hace que los enfermos deban recibir una atención oncológica de calidad, proporcionada por equipos multidisciplinares altamente cualificados. Además de la gran incidencia de malnutrición en estos pacientes, la intervención nutricional precoz puede mejorar su pronóstico, aumentar la calidad de vida y disminuir la tasa de complicaciones de la enfermedad. Por ello, es necesaria una estrecha colaboración entre el oncólogo y el experto en nutrición.

DEVELOPMENT OF METRICS FOR ARTICLES PUBLISHED IN PROFESSIONAL MASTER'S COURSE.

PubMed

Brito, Marcus Vinicius Henriques; Carneiro, Francisca Regina Oliveira

2015-01-01

Propose metric to qualify the production conveyed through articles published in Professional Master's Programs and, from there, to establish guidance for the evaluation of postgraduate programs of Medicine III. Analysis of the documents of 2013 area graduate programs strict sense concerning the application and measurement of score the articles published, and creation of proposal for metric of the theme with the quadrennial review of Medicine III. Were evaluated the medicines area documents I, II and III; Biological Sciences (I) and Interdisciplinary, as well as the 2013 reports of CAPES. All programs establish metrics for "Classification of Published Articles" within its bibliographic production although with different percentages respecting its specificities. With these data collected and correlating their relevance with the surgical areas, was drafted proposal for quantification of the quality of the published articles to "Professional Postgraduate Programs" at surgical area that have specific characteristics according to their guidelines, directing their scientific production to technique journals preferably. The metric suggested for published articles, that should be included in intellectual production of the Area Document, should be considered for the extract A1 = 100 points; A2 = 85 points; B1 = 80 points; B2 = 70 points; B3 = 60 points; B4 = 40 points and B5 = 20 points. Propor métrica para qualificar a produção veiculada através de artigos publicados em programas de mestrado profissional e, a partir daí, estabelecer orientação para a avaliação dos programas de pós-graduação da Medicina III. Análise dos documentos de área de 2013 dos programas de pós-graduação senso estrito no que concerne à aplicação e mensuração de pontuação a artigos publicados, e criação de proposta para métrica do tema com vistas à avaliação quadrienal da Medicina III. Foram avaliados os documentos de área das Medicinas I, II e III; Ciências Biológicas I

A importância de reconhecer a síndrome antifosfolípide na medicina vascular

PubMed Central

Funke, Andreas; Danowski, Adriana; de Andrade, Danieli Castro Oliveira; Rêgo, Jozelia; Levy, Roger Abramino

2017-01-01

Resumo A síndrome antifosfolipíde (SAF) é uma doença autoimune sistêmica caracterizada por trombose arterial ou venosa recorrente e/ou morbidade gestacional e pela presença dos anticorpos antifosfolipídeos, podendo apresentar outras manifestações vasculares, como microangiopatia, arteriopatia crônica e SAF catastrófica. Determinados testes laboratoriais para a síndrome (por exemplo, o anticoagulante lúpico) podem sofrer interferência do uso de medicações anticoagulantes, dificultando o diagnóstico. A fisiopatologia da SAF é complexa, sendo enumerados no texto diversos mecanismos patogênicos relacionados à coagulação, ao endotélio e às plaquetas. Por fim, discutimos o tratamento da SAF de acordo com a presença e o tipo de manifestações clínicas, o uso dos anticoagulantes orais diretos e o manejo perioperatório de pacientes com SAF. PMID:29930638

Effects of a short-term reduction in brain serotonin synthesis on the availability of the soluble leptin receptor in healthy women.

PubMed

Zepf, F D; Dingerkus, V L S; Helmbold, K; Bubenzer-Busch, S; Biskup, C S; Herpertz-Dahlmann, B; Schaab, M; Kratzsch, J; Eisert, A; Rink, L; Hagenah, U; Gaber, T J

2015-03-01

Serotonin (5-HT) and the hormone leptin have been linked to the underlying neurobiology of appetite regulation with evidence coming from animal and cellular research, but direct evidence linking these two pathways in humans is lacking. We examined the effects of reduced brain 5-HT synthesis due to acute tryptophan depletion (ATD) on levels of soluble leptin receptor (sOb-R), the main high-affinity leptin binding protein, in healthy adults using an exploratory approach. Women, but not men, showed reduced sOb-R concentrations after ATD administration. With females showing reduced baseline levels of central 5-HT synthesis compared to males diminished brain 5-HT synthesis affected the leptin axis through the sOb-R in females, thereby potentially influencing their vulnerability to dysfunctional appetite regulation and co-morbid mood symptoms.

Commitment to quality of the Spanish scientific societies.

PubMed

García-Alegría, J; Vázquez-Fernández Del Pozo, S; Salcedo-Fernández, F; García-Lechuz Moya, J M; Andrés Zaragoza-Gaynor, G; López-Orive, M; García-San Jose, S; Casado-Durández, P

2017-05-01

This article summarises the objectives, methodology and initial conclusions of the project "Commitment to Quality of the Spanish Scientific Societies", coordinated by the Ministry of Health, Social Services and Equality, the Spanish Society of Internal Medicine and the Aragon Institute of Health Sciences, in which 48 scientific societies participate. This project's objectives are to decrease the use of unnecessary medical interventions, which are those that have shown no efficacy, have little or questionable effectiveness or are not cost-effective; decrease variability in clinical practice; promote the commitment among physicians and patients to properly use healthcare resources; and to promote clinical safety. The document includes 135 final recommendations for what not to do, prepared by 30 Spanish scientific societies. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Zika virus infection during the Olympic Games in Rio: A fear or an actual risk?

PubMed

Díaz-Menéndez, M; Trigo, E; de la Calle-Prieto, F; Arsuaga, M

2017-04-01

The recent outbreak of Zika virus infection in Brazil has aroused considerable media interest due to its association with neurological malformations in children born from mothers infected by the virus and to its association with Guillain-Barre syndrome in adults. This relationship has led to the World Health Organisation declaring the current epidemic as a "Public Health Emergency of International Concern". Controversy also emerged on the advisability of delaying or changing the location of the Olympic and Paralympic Games, which were held in August at various locations in Brazil. In this article, we review the available evidence on the risk of Zika and dengue virus infection in individuals who travel to endemic countries, especially for multitudinous events. Copyright © 2016 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

[Industrial nursing. Functions within the basic health unit].

PubMed

Aguilera, Antonio Javier Cortés

2005-02-01

The Law of Prevention of Risks at Work marked an important point of flexion in the tie sanitary professions the field of the labor health. This work will mark the objective to locate to the Industrial Nursing (a company nursing assistant) in a context near the reality. For it, it will be equipped with legal content, and those articles of the Law of Prevention of Risks at Work will be mentioned and of the Regulations for Prevention Services, that establishes the guidelines of performance of the professionals of the Basic Unit of Health (Industrial Medicina and the company nursing assistant) Also will mention the objectives of the First draft of Law of the Reformation of Normative Marco of the Law of Prevention of Risks at Work, consequence of the alarming data of sinisterness and labor accidental.

If the results of an article are noteworthy, read the entire article; do not rely on the abstract alone.

PubMed

Dal-Ré, R; Castell, M V; García-Puig, J

2015-11-01

Clinicians typically update their knowledge by reading articles on the Internet. Easy access to the articles' abstracts and a lack of time to access other information sources creates a risk that therapeutic or diagnostic decisions will be made after reading just the abstracts. Occasionally, however, the abstracts of articles from clinical trials that have not obtained statistically significant differences in the primary study endpoint have reported other positive results, for example, of a secondary endpoint or a subgroup analysis. The article, however, correctly reports all results, including those of the primary endpoint. In the abstract, the safety information of the experimental treatment is usually deficient. The whole article should be read if a clinical decision is to be made. Copyright © 2015 Elsevier España, S.L.U. y Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Current diagnosis and treatment of Castleman's disease.

PubMed

González García, A; Moreno Cobo, M Á; Patier de la Peña, J L

2016-04-01

Castleman's disease is not just a single disease but rather an uncommon, heterogeneous group of nonclonal lymphoproliferative disorders, which have a broad spectrum of clinical expression. Three histological types have been reported, along with several clinical forms according to clinical presentation, histological substrate and associated diseases. Interleukin-6, its receptor polymorphisms, the human immunodeficiency virus and the human herpes virus 8 are involved in the etiopathogenesis of Castleman's disease. The study of this disease has shed light on a syndrome whose incidence is unknown. Despite recent significant advances in our understanding of this disease and the increasing therapeutic experience with rituximab, tocilizumab and siltuximab, there are still difficult questions concerning its aetiology, prognosis and optimal treatment. Copyright © 2015 Elsevier España, S.L.U. y Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Organ protection possibilities in acute heart failure.

PubMed

Montero-Pérez-Barquero, M; Morales-Rull, J L

2016-04-01

Unlike chronic heart failure (HF), the treatment for acute HF has not changed over the last decade. The drugs employed have shown their ability to control symptoms but have not achieved organ protection or managed to reduce medium to long-term morbidity and mortality. Advances in our understanding of the pathophysiology of acute HF suggest that treatment should be directed not only towards correcting the haemodynamic disorders and achieving symptomatic relief but also towards preventing organ damage, thereby counteracting myocardial remodelling and cardiac and extracardiac disorders. Compounds that exert vasodilatory and anti-inflammatory action in the acute phase of HF and can stop cell death, thereby boosting repair mechanisms, could have an essential role in organ protection. Copyright © 2016 Elsevier España, S.L.U. y Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Alzheimer's disease prevention: A way forward.

PubMed

Bermejo-Pareja, F; Llamas-Velasco, S; Villarejo-Galende, A

2016-12-01

This review proposes a more optimistic view of Alzheimer's disease (AD), in contrast to that contributed by the ageing of the population and the failure of potentially curative therapies (vaccines and others). Treatment failure is likely due to the fact that AD gestates in the brain for decades but manifests in old age. This review updates the concept of AD and presents the results of recent studies that show that primary prevention can reduce the incidence and delay the onset of the disease. Half of all cases of AD are potentially preventable through education, the control of cardiovascular risk factors, the promotion of healthy lifestyles and specific drug treatments. These approaches could substantially reduce the future incidence rate of this disease. Copyright © 2016 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Transition from paediatric care to adult care for patients with mucopolysaccharidosis.

PubMed

Couce, M L; Del Toro, M; García-Jiménez, M C; Gutierrez-Solana, L; Hermida-Ameijeiras, Á; López-Rodríguez, M; Pérez-López, J; Torralba, M Á

Mucopolysaccharidosis are multisystem diseases that require large multidisciplinary teams for their care. Specific recommendations are therefore needed for the transition from childhood to adulthood in this patient group. To overcome the barriers that might arise during the transition, the authors consider it essential to implement a flexible plan with a coordinator for the entire process, systematising the information through a standardised paediatric discharge report and educating the patient and their family about the disease, showing the characteristics of the healthcare system in this new stage. The final objective is that, once the transition to adulthood has been completed, the patient's autonomy and potential development are maximised and that the patient receives appropriate healthcare during this transition. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Proper use of medical language: Main problems and solutions.

PubMed

Aleixandre-Benavent, R; Valderrama Zurián, J C; Bueno-Cañigral, F J

2015-10-01

Medical language should be characterized by its precision, emotional neutrality and stability. The effective communication of results of scientific studies depends on compliance with current standards of drafting and style; texts with defects can hinder interest in the findings. In this study, we discuss some of the most common problems and errors in medical language, including the abuse of abbreviations and foreign words, the use of improper words, syntax errors and solecisms, the most common errors in titles and the abuse of capital letters and the gerund. Investigators have effective tools for dealing with these problems, such as quality texts, critical dictionaries of questions and difficulties with the Spanish language and various drafting and style manuals. Copyright © 2015 Elsevier España, S.L.U. y Sociedad Española de Medicina Interna (SEMI). All rights reserved.

The gravitational wave experiment

NASA Technical Reports Server (NTRS)

Bertotti, B.; Ambrosini, R.; Asmar, S. W.; Brenkle, J. P.; Comoretto, G.; Giampieri, G.; Less, L.; Messeri, A.; Wahlquist, H. D.

1992-01-01

Since the optimum size of a gravitational wave detector is the wave length, interplanetary dimensions are needed for the mHz band of interest. Doppler tracking of Ulysses will provide the most sensitive attempt to date at the detection of gravitational waves in the low frequency band. The driving noise source is the fluctuations in the refractive index of interplanetary plasma. This dictates the timing of the experiment to be near solar opposition and sets the target accuracy for the fractional frequency change at 3.0 x 10 exp -14 for integration times of the order of 1000 sec. The instrumentation utilized by the experiment is distributed between the radio systems on the spacecraft and the seven participating ground stations of the Deep Space Network and Medicina. Preliminary analysis is available of the measurements taken during the Ulysses first opposition test.

From MAD to SAD: The Italian experience for the low-frequency aperture array of SKA1-LOW

NASA Astrophysics Data System (ADS)

Bolli, P.; Pupillo, G.; Virone, G.; Farooqui, M. Z.; Lingua, A.; Mattana, A.; Monari, J.; Murgia, M.; Naldi, G.; Paonessa, F.; Perini, F.; Pluchino, S.; Rusticelli, S.; Schiaffino, M.; Schillirò, F.; Tartarini, G.; Tibaldi, A.

2016-03-01

This paper describes two small aperture array demonstrators called Medicina and Sardinia Array Demonstrators (MAD and SAD, respectively). The objectives of these instruments are to acquire experience and test new technologies for a possible application to the low-frequency aperture array of the low-frequency telescope of the Square Kilometer Array phase 1 (SKA1-LOW). The MAD experience was concluded in 2014, and it turned out to be an important test bench for implementing calibration techniques based on an artificial source mounted in an aerial vehicle. SAD is based on 128 dual-polarized Vivaldi antennas and is 1 order of magnitude larger than MAD. The architecture and the station size of SAD, which is along the construction phase, are more similar to those under evaluation for SKA1-LOW, and therefore, SAD is expected to provide useful hints for SKA1-LOW.

VLBI height corrections due to gravitational deformation of antenna structures

NASA Astrophysics Data System (ADS)

Sarti, P.; Negusini, M.; Abbondanza, C.; Petrov, L.

2009-12-01

From an analysis of regional European VLBI data we evaluate the impact of a VLBI signal path correction model developed to account for gravitational deformations of the antenna structures. The model was derived from a combination of terrestrial surveying methods applied to telescopes at Medicina and Noto in Italy. We find that the model corrections shift the derived height components of these VLBI telescopes' reference points downward by 14.5 and 12.2 mm, respectively. No other parameter estimates nor other station positions are affected. Such systematic height errors are much larger than the formal VLBI random errors and imply the possibility of significant VLBI frame scale distortions, of major concern for the International Terrestrial Reference Frame (ITRF) and its applications. This demonstrates the urgent need to investigate gravitational deformations in other VLBI telescopes and eventually correct them in routine data analysis.

A 20 GHz bright sample for δ > 72° - II. Multifrequency follow-up

NASA Astrophysics Data System (ADS)

Ricci, R.; Righini, S.; Verma, R.; Prandoni, I.; Carretti, E.; Mack, K.-H.; Massardi, M.; Procopio, P.; Zanichelli, A.; Gregorini, L.; Mantovani, F.; Gawroński, M. P.; Peel, M. W.

2013-11-01

We present follow-up observations at 5, 8 and 30 GHz of the K-band Northern Wide Survey (KNoWS) 20 GHz Bright Sample, performed with the 32-m Medicina radio telescope and the 32-m Toruń radio telescope. The KNoWS sources were selected in the Northern Polar Cap (δ > 72°) and have a flux density limit S20 GHz = 115 mJy. We include NRAO-VLA Sky Survey 1.4 GHz measurements to derive the source radio spectra between 1.4 and 30 GHz. Based on optical identifications, 68 per cent of the sources are quasars and 27 per cent are radio galaxies. A redshift measurement is available for 58 per cent of the sources. The radio spectral properties of the different source populations are found to be in agreement with those of other high-frequency-selected samples.

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PubMed

Espuig Sebastián, Rosana; Noreña Peña, Ana Lucía; Cortés Castel, Ernesto; González-San, Juan de Diego

2016-09-20

Introducción: el estado nutricional previo de la embarazada, la adecuada ganancia de peso y la ingesta de ciertos nutrientes pueden tener una influencia importante tanto para la madre como para el recién nacido, a corto y largo plazo. Las recomendaciones de la Organización Mundial de la Salud son transmitidas durante el control del embarazo por la matrona.Objetivos: analizar los principales estudios sobre la percepción de las embarazadas acerca de los consejos nutricionales recibidos e identificar las estrategias utilizadas por las matronas para su implementación.Metodología: búsqueda bibliográfica sobre embarazadas de bajo riesgo controladas por matronas y que reciben consejos nutricionales realizada en WOS, CINHAL y PubMed. Se utilizaron los descriptores: pregnancy, pregnant, midwife, counselling, nutritiony sus diferentes combinaciones. Los criterios de inclusión fueron artículos originales y revisiones en inglés, español o portugués de los últimos diez años y disponibles en texto completo.Resultados: se encontraron 184 referencias. Solo 11 tratan el tema abordado. Existen múltiples artículos con consejos nutricionales en el embarazo, pero muy pocos que incluyan estrategias educativas implementadas por las matronas que aborden recomendaciones dietético-nutricionales y su utilidad.Conclusión: existen escasos estudios que investiguen los conocimientos que las matronas tienen sobre nutrición en el embarazo y los consejos que aportan sobre el tema. Igualmente sucede con los trabajos que estudian la percepción que tienen las gestantes sobre los consejos nutricionales recibidos.

Medicines and You: A Guide for Older Adults = Las medicinas y usted: Guia para las personas mayores.

ERIC Educational Resources Information Center

National Coalition of Hispanic Health and Human Services Organizations.

Most people over 65 take many prescription and nonprescription medicines. Because the body is changing and more medicines are taken, many older adults experience harmful reactions to the medicines they take. This booklet, written in both English and Spanish (on facing pages), was developed to help older adults learn more about medicines, recognize…

Detecting discontinuities in GNSS coordinate time series with STARS: case study, the Bologna and Medicina GPS sites

NASA Astrophysics Data System (ADS)

Bruni, S.; Zerbini, Susanna; Raicich, F.; Errico, M.; Santi, E.

2014-12-01

Global navigation satellite systems (GNSS) data are a fundamental source of information for achieving a better understanding of geophysical and climate-related phenomena. However, discontinuities in the coordinate time series might be a severe limiting factor for the reliable estimate of long-term trends. A methodological approach has been adapted from Rodionov (Geophys Res Lett 31:L09204, 2004; Geophys Res Lett 31:L12707, 2006) and from Rodionov and Overland (J Marine Sci 62:328-332, 2005) to identify both the epoch of occurrence and the magnitude of jumps corrupting GNSS data sets without any a priori information on these quantities. The procedure is based on the Sequential t test Analysis of Regime Shifts (STARS) (Rodionov in Geophys Res Lett 31:L09204, 2004). The method has been tested against a synthetic data set characterized by typical features exhibited by real GNSS time series, such as linear trend, seasonal cycle, jumps, missing epochs and a combination of white and flicker noise. The results show that the offsets identified by the algorithm are split into 48 % of true-positive, 28 % of false-positive and 24 % of false-negative events. The procedure has then been applied to GPS coordinate time series of stations located in the southeastern Po Plain, in Italy. The series span more than 15 years and are affected by offsets of different nature. The methodology proves to be effective, as confirmed by the comparison between the corrected GPS time series and those obtained by other observation techniques.

Efectos combinados de la ampliación de la atención primaria de salud y de las transferencias condicionadas de dinero en efectivo sobre la mortalidad infantil en Brasil, 1998–2010*

PubMed Central

Guanais, Frederico C.

2015-01-01

Objetivos. Examiné los efectos combinados del acceso a la atención primaria mediante el Programa de Salud Familiar (PSF) y las transferencias condicionadas de dinero en efectivo del Programa Bolsa Familia (PBF) sobre la mortalidad infantil posneonatal (MIPN) en Brasil. Métodos. Empleé un análisis ecológico longitudinal usando datos en panel de 4 583 municipios brasileños de 1998 al 2010, con 54 253 observaciones en total. Estimé modelos de regresión de efectos fijos por mínimos cuadrados ordinarios, con la tasa de MIPN como la variable dependiente y el PSF, el PBF y sus interacciones como las principales variables independientes de interés. Resultados. La asociación de una mayor cobertura del PSF con una menor tasa de MIPN se volvió más fuerte conforme aumentaba la cobertura del PBF. En los promedios de todas las demás variables, cuando la cobertura de PBF era 25%, la MIPN predicha fue 5,24 (intervalo de confianza [IC] de 95% = 4,95, 5,53) para una cobertura del PSF de 0%, y de 3,54 (IC de 95% = 2,77, 4,31) para una cobertura del PSF de 100%. Cuando la cobertura del PBF era de 60%, la MIPN predicha fue 4,65 (IC de 95% = 4,36, 4,94) para una cobertura del PSF de 0%, y de 1,38 (IC de 95% = 0,88, 1,89) para una cobertura del PSF de 100%. Conclusiones. El efecto del PSF depende de la ampliación del PBF. Para las poblaciones empobrecidas y subatendidas, la combinación de intervenciones tanto del lado de la oferta como del lado de la demanda podría ser necesaria para mejorar los resultados en salud.

Behavioral and Physiological Response of Musca domestica to Colored Visual Targets

DTIC Science & Technology

2012-01-01

Observaciones sobre la busqueda de sitios de reposo y estudio experimental sobre la seleccion de colores porMusca domestica en el ambiente natural. M.S...designed to provide direct compari- son betweenwhite and blue targets, both against each other and the least desirable target (yellow). For the...thesis, Institución Politecnico Nacional, Mexico, DF, Mexico. Nava, A. 1967. Preferencias deMusca domestica en la selec- cion de superÞcies de

Estudio de la influencia de la refrigeracion con aire de forma natural e inducida en el comportamiento de instalaciones fotovoltaicas

NASA Astrophysics Data System (ADS)

Mazon Hernandez, Rocio

panels are analysed to compare and select the best configuration. The presented research provides a deep knowledge of how they work as well as information and results for an improvement in future designs of building integrated photovoltaic systems. Este estudio se centra en analizar la influencia negativa de la temperatura en la produccion electrica de paneles fotovoltaicos al estar emplazados sobre cubierta de acero, como sucede en naves industriales y sobre un invernadero. Se estudian diferentes configuraciones que permitan refrigerar los paneles, reduciendo su temperatura y mejorar su rendimiento. Para abordar este problema, se han construido dos instalaciones experimentales, fieles a plantas solares en funcionamiento. Una instalacion engloba dos paneles fotovoltaicos sobre estructura fija al suelo. Uno de los paneles esta integrado sobre una superficie paralela y metalica. Entre ambas superficies existe un espacio que posibilita circular aire, permitiendo refrigerar el panel por conveccion natural, o conveccion forzada impulsando el aire con un ventilador. El otro panel, libre por su cara posterior y se ha considerado de referencia. Se ha estudiado el comportamiento del panel integrado sobre cubierta para diferentes secciones de aire y velocidades inducidas, comparandolo con el panel de referencia. Se ha desarrollado un modelo experimental que nos permite determinar la temperatura del panel en funcion de las variables que influyen en su refrigeracion. Adicionalmente, se han analizado los datos de una planta solar en funcionamiento, con paneles de igual caracteristicas, obteniendo correlaciones entre la temperatura del panel y las variables electricas y comparandolos con las obtenidas en la instalacion experimental. La segunda instalacion experimental reproduce parte de una instalacion solar sobre un invernadero, formada por cuatro paneles fotovoltaicos colocados sobre el plastico del invernadero, existiendo un canal divergente entre ambas superficies. Se estudia la

Cornelius Celsus--ancient encyclopedist, surgeon-scientist, or master of surgery?

PubMed

Köckerling, F; Köckerling, D; Lomas, C

2013-04-01

The Roman nobleman Cornelius Celsus (25 BC-AD 50) wrote a general encyclopedia (De Artibus) dealing with several subjects, among which some had medical content (De Medicina), an eight-volume compendium, including two books about surgery (VII + VIII). It is the most significant medical document following the Hippocratic writings. In 1443, Pope Nicolas V rediscovered the work of Cornelius Celsus, despite it having been forgotten for several centuries, and it was the first medical and surgical book to be printed (AD 1478). Up until the nineteenth century, 60 editions were published in Latin as well as numerous translations in European languages, the last of which was a French translation in 1876. While Celsus' work is the best account of Roman medicine as practiced in the first century of the Christian era and its influence persisted until the nineteenth century, there is controversy as to whether Cornelius Celsus himself actually practiced as a surgeon or was only an encyclopedist who collected in the Latin language the medical knowledge available at that time. The detailed analysis of the surgical techniques described by Celsus, the modifications tailored to the findings, possible complications, detailed description of pre- and postsurgical activities, give the general impression that he himself practiced surgery at least within his family and among his dependents. In addition, his descriptions give a clear insight into the astonishingly high standard of surgical knowledge available at the time of Celsus. His work thus reflects the state of knowledge of his time, which is why he also assumed the role of teacher and scientist. As such, his meets the modern criteria addressed to a surgeon-scientist, who apart from the practical surgical activity, also had a role as teacher of surgery and scientist. Whether Cornelius Celsus had inaugurated a new surgical technique and was the first to describe that, and as such can be described as a master of surgery, cannot be

Reflecting on Culture. (Reflexionando Sobre la Cultura.)

ERIC Educational Resources Information Center

Irizarry, Estelle

1980-01-01

The article comments on two articles, previously published in the same journal, which address the relationship between the "little" cultural tradition of Chicanos, Cubans, and Puerto Ricans and the "great" tradition of Hispanic arts and letters. Notes similarities among these groups and calls for the banding together of…

Conceptos Basicos Sobre el Propano (in Spanish)

DOE Office of Scientific and Technical Information (OSTI.GOV)

El propano provee energia a mas de 143.000 vehiculos en los Estados Unidos y 23 millones en todo el mundo. Flotas de todos los Estados Unidos han implementado con exito el uso de vehiculos que funcionan con gas propano, y en la actualidad varios funcionan gracias a este gas, incluyendo autobuses escolares, lanzaderas y autobuses publicos, asi como tambien furgonetas, taxis, vehiculos utilizados por las fuerzas del orden, barredoras de calles y camiones para uso profesional. El propano tambien se utiliza con frecuencia en aplicaciones fuera de la carretera, tales como montacargas, podadoras y equipos de uso profesional y otrosmore » equipos agricolas. Las ventajas del propano incluyen la disponibilidad interna, su rendimiento y el hecho de que genera menos emisiones de gases contaminantes que otras alternativas energeticas.« less

Reflecting on Language. (Reflexionando Sobre el Idioma.)

ERIC Educational Resources Information Center

Mazas, Jose Garcia

1980-01-01

Covering a 500-year span, this article traces the changes in and evolution of the Spanish language from its earliest written accounts in the eleventh century to the Spanish that was brought by the Conquistadores to the New World. (DS)

Información general sobre los mosquitos

EPA Pesticide Factsheets

Una consecuencia más importante de algunas picaduras de mosquitos es la trasmisión de ciertas enfermedades graves como el paludismo, la fiebre del dengue y varias formas de encefalitis, que incluyen el virus del Nilo occidental.

Reflecting on Character (Reflexionando Sobre el Caracter).

ERIC Educational Resources Information Center

Candelaria, Cordelia

1980-01-01

Responding to the "Proyecto Resolana" article in the July/August 1980 issue of this journal, the article notes the heterogeneity of Hispanic Americans, the three main effects of the European conquest on people of the Western Hemisphere, and attempts to further define the character of Hispanic Americans. (SB)

Significado de psicólogas/os de atención primaria de salud sobre la intervención psicosocial de grupo en el tratamiento de la depresión en Chile.

PubMed

Andrade, Gonzalo; Espinoza, Adriana

2017-11-01

En Chile, el tratamiento de la depresión en salud pública promueve la realización de Intervenciones Psicosociales en Grupo (IPG) para todos los casos diagnosticados, no obstante, se observa una baja implementación de estas prestaciones. El presente artículo describe y caracteriza, desde el punto de vista de la disciplina psicológica, el significado de psicólogas/os que trabajan en consultorios de atención primaria de salud (APS) sobre las IPG en el tratamiento de la depresión. Se entrevistaron a ocho psicólogas/os de los distintos Servicios de Salud de la Región Metropolitana de Santiago. Este estudio se basó en las premisas de la Teoría Fundamentada, utilizando sus estrategias de análisis. La categoría "los grupos no nos resultan" expone las principales barreras que impiden la realización de estas intervenciones. La carga laboral centrada en atenciones individuales, el escaso presupuesto destinado a su implementación, y la falta de instalaciones adecuadas para realizar las IPG emergen como barreras institucionales. Asi mismo, la "poca fe" en la efectividad del trabajo en grupo, la figura de las/os psicólogas/os como únicas/os profesionales capacitadas/os para trabajar con las emociones, la idea de que la baja adherencia al tratamiento no depende de su ejercicio laboral, y el hecho de que la implementación de las IPG dependa del interés individual de algunas/os profesionales, emergen como las principales resistencias profesionales a su realización. Se discuten los alcances de estas barreras, y se proponen soluciones que favorezcan el cambio cultural necesario para que las/los profesionales e instituciones de salud puedan alinearse en plenitud con el modelo comunitario de salud propuesto por el Plan Nacional de Salud Mental y Psiquiatría (PNSMP).

PubMed

Defagó, Victor

2017-10-10

Introducción: La incorporación de la Clínica y la Imagenología permiten una mejor comprensión de la Anatomía. El objetivo de este trabajo es desarrollar un prototipo rápido en material sintético que replique detalles anatómicos para ser utilizado en la docencia y el entrenamiento quirúrgico en Pediatría.Material y Método: Presentación de caso: Paciente de un año de edad con síndrome de dificultad respiratoria. En el examen endoscópico se halló una compresión traqueal distal. La angiotomografía confirmó la presencia de una malformación vascular. Con la finalidad de analizar una conducta adecuada, se solicitó la confección de un prototipo rápido a escala 1:1 que simulara una condición idéntica a la topografía torácica del paciente, utilizando imágenes virtuales 3D almacenadas en formato DICOM.Técnica de generación de prototipo rápido: Se obtuvo una malla digital tridimensional y se generó el código "g" que se utilizó para controlar el hardware de producción. Se efectuó simulación digital y producción en material plástico (ABS) con técnica de deposición y fusión (MDF). Se validó el prototipo comparándolo con las mediciones testigos del modelo virtual en 3 D.Resultados y Discusión: El modelo replicó exactamente los defectos hallados en la tomografía y endoscopía, confirmando la presencia de la malformación vascular y su repercusión sobre el aparato respiratorio. El prototipo rápido muestra las estructuras internas y externas del cuerpo humano con máxima precisión permitiendo una visión topográfica de situaciones "normales o patológicas" que facilitaría la docencia y el entrenamiento del equipo quirúrgico para proponer un plan de tratamiento adecuado. Hay numerosas áreas de la medicina que se beneficiarían con este modelo que podría ser construído con diversos tipos de materiales de diferente flexibilidad y consistencia. Conclusiones: El prototipo rápido le da estado físico a las imágenes virtuales 3D

USSR Report, International Affairs

DTIC Science & Technology

1987-01-13

3. V. I. Lenin, "Poln. sobr . soch." [Complete Collected Works], vol 27, p 424. 4. ZA RUBEZHOM, 1986, No 4, p 22. 5. "Tribune Internationale," LA ...VERITE, 1985, Paris, No 30, p 4. 6. " Sobre America Latina. Proyecto de resolucion de la mayoria de Secretariado unificado de la IV Internacional...entering a new and important phase. FOOTNOTES 1. BARRICADA, Managua, 18 November 1985. 2. "Nicaragua: la Costa Atlantica vista por el FSLN. Entrevista

Inventario mundial de la calidad del carbon mineral (WoCQI) [The world coal quality inventory (WoCQI)

USGS Publications Warehouse

Finkelman, R.B.; Lovern, V.S.

2001-01-01

Los oficiales encargados de la politica comercial de cada pais requieren informacion clara y precisa sobre el recurso del carbon mineral, particularmente sobre sus propiedades y caracteristicas, para tomar decisiones bien fundamentadas con respecto al mejor uso de los recursos naturales, necesidades de importacion y oportunidades de exportacion, objetivos de politica interna y externa, oportunidades de transferencia tecnologica, posibilidades de inversion externa, estudios ambientales y de salud, y asuntos relacionados con el uso de productos secundarios y su disposicion.

PubMed

López Gómez, Juan José; Pérez Castrillón, José Luis; Romero Bobillo, Enrique; De Luis Román, Daniel A

2016-11-29

La obesidad interfiere con el metabolismo óseo a través de factores mecánicos, hormonales e inflamatorios. El principal tratamiento de dicha enfermedad es la dieta, modificación de la cantidad y tipo de alimento. Este tratamiento nutricional tiene una influencia sobre el metabolismo óseo en dos sentidos: modifica el efecto del sobrepeso y la obesidad sobre el hueso e interviene directamente en el turnoveróseo a través de las características de los nutrientes utilizados. Esta revisión analiza la evidencia del efecto sobre el hueso del descenso de peso y del patrón dietético utilizado. Por otra parte, se valorarán las modificaciones que se pueden realizar en la dieta indicada en un paciente obeso para prevenir la pérdida ósea, a corto y largo plazo, y disminuir el riesgo de fractura.

The discovery of long-term potentiation.

PubMed

Lømo, Terje

2003-04-29

This paper describes circumstances around the discovery of long-term potentiation (LTP). In 1966, I had just begun independent work for the degree of Dr medicinae (PhD) in Per Andersen's laboratory in Oslo after an eighteen-month apprenticeship with him. Studying the effects of activating the perforant path to dentate granule cells in the hippocampus of anaesthetized rabbits, I observed that brief trains of stimuli resulted in increased efficiency of transmission at the perforant path-granule cell synapses that could last for hours. In 1968, Tim Bliss came to Per Andersen's laboratory to learn about the hippocampus and field potential recording for studies of possible memory mechanisms. The two of us then followed up my preliminary results from 1966 and did the experiments that resulted in a paper that is now properly considered to be the basic reference for the discovery of LTP.

The discovery of long-term potentiation.

PubMed Central

Lømo, Terje

2003-01-01

This paper describes circumstances around the discovery of long-term potentiation (LTP). In 1966, I had just begun independent work for the degree of Dr medicinae (PhD) in Per Andersen's laboratory in Oslo after an eighteen-month apprenticeship with him. Studying the effects of activating the perforant path to dentate granule cells in the hippocampus of anaesthetized rabbits, I observed that brief trains of stimuli resulted in increased efficiency of transmission at the perforant path-granule cell synapses that could last for hours. In 1968, Tim Bliss came to Per Andersen's laboratory to learn about the hippocampus and field potential recording for studies of possible memory mechanisms. The two of us then followed up my preliminary results from 1966 and did the experiments that resulted in a paper that is now properly considered to be the basic reference for the discovery of LTP. PMID:12740104

VLBI Radar of the 2012 DA14 Asteroid

NASA Astrophysics Data System (ADS)

Nechaeva, M. B.; Dugin, N. A.; Antipenko, A. A.; Bezrukov, D. A.; Bezrukov, V. V.; Voytyuk, V. V.; Dement'ev, A. F.; Jekabsons, N.; Klapers, M.; Konovalenko, A. A.; Kulishenko, V. F.; Nabatov, A. S.; Nesteruk, V. N.; Putillo, D.; Reznichenko, A. M.; Salerno, E.; Snegirev, S. D.; Tikhomirov, Yu. V.; Khutornoy, R. V.; Skirmante, K.; Shmeld, I.; Chagunin, A. K.

2015-03-01

An experiment on VLBI radar of the 2012 DA14 asteroid was carried out on February 15-16, 2011 at the time of its closest approach to the Earth. The research teams of Kharkov (Institute of Radio Astronomy of the National Academy of Sciences of Ukraine), Evpatoria (National Space Facilities Control and Test Center), Nizhny Novgorod (Radiophysical Research Institute), Bologna (Istituto di Radioastronomia (INAF)), and Ventspils (Ventspils International Radioastronomy Center) took part in the experiment. The asteroid was irradiated by the RT-70 planetary radar (Evpatoria) at a frequency of 5 GHz. The reflected signal was received using two 32-m radio telescopes in Medicina (Italy) and Irbene (Latvia) in radiointerferometric mode. The Doppler frequency shifts in bi-static radar mode and interference frequency in VLBI mode were measured. Accuracy of the VLBI radar method for determining the radial and angular velocities of the asteroid were estimated.

Palliative care and end-of-life care for polypathological patients.

PubMed

Martinez-Litago, E; Martínez-Velasco, M C; Muniesa-Zaragozano, M P

2017-12-01

Patients with advanced chronic diseases receive fragmented care, which entails high resource consumption and a poor quality of life. Uncertainty in the prognosis and scarce investigation into the importance of symptomatic control in this patient group hinders a proper therapeutic approach. Palliative care teams optimise the use of resources through comprehensive patient care, the optimization of the patient's environment, communication, the preparation of early care plans and the creation of coordinated healthcare circuits, which improve the quality of the patient's care in advanced stages of the disease. In the end-of-life phase, the therapeutic approach is focused on symptomatic control, selecting treatments according to the cause, comorbidities and the patient's wishes. To control refractory symptoms, palliative sedation is considered an indispensable option. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

The Internal Medicine of the 21st century: Organizational and operational standards.

PubMed

Casariego-Vales, E; Zapatero-Gaviria, A; Elola-Somoza, F J

2017-12-01

The Spanish Society of Internal Medicine has developed a consensus document on the standards and recommendations that they consider essential to the organisation of internal medicine units for conducting their activities efficiently and with high quality. We defined 3 groups of key processes: the care of acutely ill adult patients, the comprehensive care of complex chronic patients and the examination of a patient with a difficult diagnosis and no organ-specific disease. As support processes, we identified the structure and operation of the Internal Medicine units. As strategic processes, we identified training and research. The main subprocesses are structured below, and we established the standards and recommendations for each of them. Lastly, we proposed resulting workloads. The prepared standards must be reviewed within a maximum of 4 years. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Infant-juvenile type 2 diabetes.

PubMed

Calero Bernal, M L; Varela Aguilar, J M

2018-05-07

In recent years, we have witnessed an increase in the number of cases of type 2 diabetes mellitus (DM2) in children and adolescents, which has paralleled the increase in the worldwide prevalence of obesity. Although screening the general population does not appear to be cost-effective, special attention should be paid to children with excess weight, obesity or other factors that predispose them to a state of insulin resistance. When faced with the diagnosis of childhood DM2, the presence of comorbidities (such as hypertension, dyslipidemia and microalbuminuria) should be assessed, and appropriate treatment and follow-up should be administered to prevent the onset of complications, given that the DM2 in this population group will last longer than that started in adulthood. Copyright © 2018 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

[Preservation of fungi and actinomycetes of medical importance in distilled water].

PubMed

Rodrigues, E G; Lírio, V S; Lacaz, C da S

1992-01-01

Several methods have been used for the preservation of fungi, all of them presenting advantages and disadvantages. The choice of the methods depends upon the laboratory availabilities, time of preservation, genetic stability of the cultures and other factors. In this work the results obtained through the utilization of Castellani's method (preservation in distilled water) for the maintenance of 174 strains belonging to the "Micoteca do Instituto de Medicina Tropical de São Paulo" are presented. These strains were analyzed after 6, 12, 18 and 24 months, with regard to the percentage of viability taking into consideration the rates of growth and contamination. The smallest percentage of viability occurred in the group of the actinomycetes (50 to 100%) and the largest one in the group of the yeasts (near 100%). According to other authors, the Castellani's method, besides being simple and economically feasible for small size laboratories, yields good results.

A VLBI experiment using a remote atomic clock via a coherent fibre link

PubMed Central

Clivati, Cecilia; Ambrosini, Roberto; Artz, Thomas; Bertarini, Alessandra; Bortolotti, Claudio; Frittelli, Matteo; Levi, Filippo; Mura, Alberto; Maccaferri, Giuseppe; Nanni, Mauro; Negusini, Monia; Perini, Federico; Roma, Mauro; Stagni, Matteo; Zucco, Massimo; Calonico, Davide

2017-01-01

We describe a VLBI experiment in which, for the first time, the clock reference is delivered from a National Metrology Institute to a radio telescope using a coherent fibre link 550 km long. The experiment consisted of a 24-hours long geodetic campaign, performed by a network of European telescopes; in one of those (Medicina, Italy) the local clock was alternated with a signal generated from an optical comb slaved to a fibre-disseminated optical signal. The quality of the results obtained with this facility and with the local clock is similar: interferometric fringes were detected throughout the whole 24-hours period and it was possible to obtain a solution whose residuals are comparable to those obtained with the local clock. These results encourage further investigation of the ultimate VLBI performances achievable using fibre dissemination at the highest precision of state-of-the-art atomic clocks. PMID:28145451

Disorders of the long head of the biceps: tenotomy versus tenodesis.

PubMed

Ribeiro, Fabiano Rebouças; Ursolino, André Petry Sandoval; Ramos, Vinicius Ferreira Lima; Takesian, Fernando Hovaguim; Tenor Júnior, Antonio Carlos; Costa, Miguel Pereira da

2017-01-01

Disorders of the long head of biceps tendon are common in clinical practice. Their causes could be degenerative, inflammatory, instability (subluxation or luxation) or traumatic. They are generally associated to other diseases of the shoulder, mainly rotator cuff injuries. Currently, there is controversy in the literature regarding the indications for surgical treatment and the choice of the best technique for each case, due to the possibility of esthetic deformity, loss of muscle strength, and residual pain. The objective of this study was to identify the indications for surgical treatment, the best surgical technique, and the advantages and disadvantages of each technique described in the orthopedic literature for the treatment of long head of biceps tendon injuries. A revision of the orthopedic medical literature on the following databases: Biblioteca Regional de Medicina (BIREME), Medline, PubMed, Cochrane Library and Google Scholar, comprising articles published in the period from 1991 to 2015.

Radium-223 in the treatment of bone metastasis in patients with castration-resistant prostate cancer. Review and procedure.

PubMed

Orcajo-Rincon, J; Caresia-Aróztegui, A P; Del Puig Cózar-Santiago, M; García-Garzón, J R; de Arcocha-Torres, M; Delgado-Bolton, R C; García-Velloso, M J; Alvarez-Ruiz, S; García-Vicente, A M

2018-04-13

Bone metastatic disease is the main cause of morbidity / mortality in patients with prostate cancer, presenting frequently as bone pain, pathological fractures or spinal cord compression, which requires early and timely therapy. Although, for the moment, the therapeutic window for its use has not been definitively established, radium-223 ( 223 Ra), an alpha particle emitter, has proved to be an effective therapeutic tool, pre or post-chemotherapy, in patients with castration-resistant prostate cancer with symptomatic bone metastases and absence of visceral metastases, significantly modifying the prognosis of the disease. It is therefore imperative to define the ideal scenarios and the correct protocol for the use of this therapy and thus offer the greatest possible clinical benefit to the patient. Copyright © 2018 Sociedad Española de Medicina Nuclear e Imagen Molecular. Publicado por Elsevier España, S.L.U. All rights reserved.

Adelina Anthony Interview with Aimee Carrillo Rowe.

PubMed

Anthony, Adelina; Carrillo Rowe, Aimee

2017-07-03

This interview explores how performing artist, activist, writer, director, performer Adelina Anthony stages queer women of color affects as a complex terrain to mobilize a decolonial imaginary. Anthony's characters are complex, contradictory, surly, and resilient with whom audience members connect and feel deeply. Especially for queer women of color, who rarely get to see their own experiences on film or on stage, Anthony's work provides a critical forum for discussing, imagining, naming, and envisioning the connections between our personal struggles and broader forces of imperialism, heterosexual capitalism, and settler colonialism. Through the "medicina" of gritty truth-telling and side-splitting laughter, Anthony discusses her own positionality as a coyote curandera. Through the exploratory genre of the interview, Anthony helps readers palpably engage a queer woman of color "theory in the flesh" to imagine their own creative potentialities through a compassionate lens of humility and humor.

Pernicious anemia. From past to present.

PubMed

Rodríguez de Santiago, E; Ferre Aracil, C; García García de Paredes, A; Moreira Vicente, V F

2015-01-01

Pernicious anemia is currently the most common cause of vitamin B12 deficiency in Western countries. The histological lesion upon which this condition is based is autoimmune chronic atrophic gastritis. The destruction of parietal cells causes a deficiency in intrinsic factor, an essential protein for vitamin B12 absorption in the terminal ileum. Advances in the last two decades have reopened the debate on a disease that seemed to have been forgotten due to its apparent simplicity. The new role of H. pylori, the value of parietal cell antibodies and intrinsic factor antibodies, the true usefulness of serum vitamin B12 levels, the risk of adenocarcinoma and gastric carcinoids and oral vitamin B12 treatment are just some of the current issues analyzed in depth in this review. Copyright © 2015 Elsevier España, S.L.U. y Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Antithrombotic treatment in elderly patients with atrial fibrillation.

PubMed

Suárez Fernández, C; Camafort, M; Cepeda Rodrigo, J M; Díez-Manglano, J; Formiga, F; Pose Reino, A; Tiberio, G; Mostaza, J M

2015-04-01

Atrial fibrillation (AF) in the elderly is a complex condition due to the high number of frequently associated comorbidities, such as cardiovascular and kidney disease, cognitive disorders, falls and polypharmacy. Except when contraindicated, anticoagulation is necessary for preventing thromboembolic events in this population. Both vitamin K antagonists and direct oral anticoagulants (dabigatran, rivaroxaban and apixaban) are indicated in this context. Renal function should be closely monitored for this age group when these drugs are used. In recent years, various clinical practice guidelines have been published on patients with AF. The majority of these guidelines make specific recommendations on the clinical characteristics and treatment of elderly patients. In this update, we review the specific comments on the recommendations concerning antithrombotic treatment in elderly patients with nonvalvular AF. Copyright © 2014 Elsevier España, S.L.U. y Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Consensus Document of the Spanish Society of Cardiology and the Spanish Society of Internal Medicine on the diagnosis and treatment of iron deficiency in heart failure.

PubMed

Manito, N; Cerqueiro, J M; Comín-Colet, J; García-Pinilla, J M; González-Franco, A; Grau-Amorós, J; Peraira, J R; Manzano, L

Iron deficiency in patients with heart failure is a medical problem of recent particular interest. This interest has resulted from the publication of several clinical trials that demonstrated that the administration of intravenous iron to such patients improved their functional capacity and even reduced the number of hospitalisations for heart failure decompensation. However, applying the evidence from these studies in clinical practice is still controversial, both in terms of the diagnostic criteria for iron deficiency (absolute and functional) and the optimal method for iron replenishment. This article is a consensus document that integrates the recommendations of the Spanish Society of Internal Medicine and the Spanish Society of Cardiology. The article reviews the scientific evidence and proposes a diagnostic and therapeutic performance protocol for iron deficiency in heart failure. Copyright © 2016 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Current issues in implementing do-not-resuscitate orders for cardiac patients.

PubMed

Ruiz-García, J; Canal-Fontcuberta, I; Martínez-Sellés, M

2017-05-01

Cardiovascular diseases are still the most common cause of death, and heart failure is the most common reason for hospitalization of patients older than 65 years. However, Cardiology attributes low importance to end-of-life care. Cardiac patients' perception of their disease's prognosis and the results of cardiopulmonary resuscitation differ greatly from reality. The "do not resuscitate" order allows patients to pre-emptively express their rejection for cardiopulmonary resuscitation, thereby avoiding its potentially negative consequences. However, these orders are still underused and misinterpreted in cardiac patients. Most of these patients usually have no opportunity to have the necessary conversations with their attending physician on their resuscitation preferences. In this review, we performed an analysis of the causes that could explain this situation. Copyright © 2016 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

HIV/AIDS infection: The beginning of the end for today's greatest pandemic?

PubMed

Gutiérrez, F

2017-11-01

Recently, there have been significant advances in the fight against human immunodeficiency virus, which have increased the hopes of definitively halting its dissemination and of starting the decline of the epidemic it has caused. Transmission of the infection was drastically reduced when infected patients were given antiretroviral treatments, which boosted the diffusion of treatments to middle- and low-income countries. Global therapy coverage has doubled in recent years; meanwhile the incidence of new infections has decreased. Various curative strategies are also actively being investigated, including those aiming to induce cell resistance to the infection through gene therapy and the elimination of latent virus reservoirs. This article reviews the current situation and future developments in terms of controlling the pandemic and, eventually, curing the infection. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

A VLBI experiment using a remote atomic clock via a coherent fibre link.

PubMed

Clivati, Cecilia; Ambrosini, Roberto; Artz, Thomas; Bertarini, Alessandra; Bortolotti, Claudio; Frittelli, Matteo; Levi, Filippo; Mura, Alberto; Maccaferri, Giuseppe; Nanni, Mauro; Negusini, Monia; Perini, Federico; Roma, Mauro; Stagni, Matteo; Zucco, Massimo; Calonico, Davide

2017-02-01

We describe a VLBI experiment in which, for the first time, the clock reference is delivered from a National Metrology Institute to a radio telescope using a coherent fibre link 550 km long. The experiment consisted of a 24-hours long geodetic campaign, performed by a network of European telescopes; in one of those (Medicina, Italy) the local clock was alternated with a signal generated from an optical comb slaved to a fibre-disseminated optical signal. The quality of the results obtained with this facility and with the local clock is similar: interferometric fringes were detected throughout the whole 24-hours period and it was possible to obtain a solution whose residuals are comparable to those obtained with the local clock. These results encourage further investigation of the ultimate VLBI performances achievable using fibre dissemination at the highest precision of state-of-the-art atomic clocks.

Firsts surgical care of Mexican children in the nineteenth century.

PubMed

Baeza-Bacab, Manuel Antonio

2018-01-01

Here, two papers are presented, which constitute the first reports of surgical procedures in Mexican children performed at the 19 th century. The two publications refer to surgical operations for the extraction of bladder stones. At that time, there was no anesthesia, so part of the description alludes to the suffering of the patients and the operative difficulties. The first case, is referred to as a lithotomy in a 17-year-old girl, performed by surgeon José Victoriano Guerrero in Guadalajara in 1822. The publication is not an academic report, but a pamphlet written as a gift to Emperor Augustin I to celebrate his ascension to the throne. The second work, is a lateral lithotomy in a 5-year-old boy, published by Dr. Luis Jecker in the first issue of the Periódico de la Academia de Medicina de Mégico in 1836. Copyright: © 2018 Permanyer.

Update in pulmonary arterial hypertension.

PubMed

Mejía Chew, C R; Alcolea Batres, S; Ríos Blanco, J J

2016-11-01

Pulmonary arterial hypertension is a rare and progressive disease that mainly affects the pulmonary arterioles (precapillary), regardless of the triggering aetiology. The prevalence of pulmonary hypertension and pulmonary arterial hypertension in Spain is estimated at 19.2 and 16 cases per million inhabitants, respectively. The diagnosis of pulmonary arterial hypertension is based on haemodynamic criteria (mean pulmonary artery pressure ≥25mmHg, pulmonary capillary wedge pressure ≤15mmHg and pulmonary vascular resistance >3 Wood units) and therefore requires the implementation of right cardiac catheterisation. Sequential therapy with a single drug has been used in clinical practice. However, recent European guidelines recommend combined initial therapy in some situations. This review conducts a critical update of our knowledge of this disease according to the latest guidelines and recommendations. Copyright © 2016 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Bernardino Ramazzini: the father of occupational medicine.

PubMed

Pope, Malcolm H

2004-10-15

Bernardino Ramazzini was born on October 4, 1633, in the small town of Capri located in the duchy of Modula, Italy. He is credited with establishing the field of occupational medicine during his lifetime. His major contributions came after 1682, when Duke Francesco II of Modena assigned him to establish a medical department at the University of Modena. He was installed in the title of professor "Medicinae Theoricae." In 1700, Ramazzini was appointed chair of practical medicine in Padua, Republic of Venice, the premier medical faculty in Italy. In 1700, he wrote the seminal book on occupational diseases and industrial hygiene, De Morbis Artificum Diatriba (Diseases of Workers). Although Ramazzini is perhaps most well known for his work on exposure to toxic materials, he wrote extensively about diseases of the musculoskeletal system. In particular, he warned of the problems of inactivity and poor postures inherent in some jobs.

A VLBI experiment using a remote atomic clock via a coherent fibre link

NASA Astrophysics Data System (ADS)

Clivati, Cecilia; Ambrosini, Roberto; Artz, Thomas; Bertarini, Alessandra; Bortolotti, Claudio; Frittelli, Matteo; Levi, Filippo; Mura, Alberto; Maccaferri, Giuseppe; Nanni, Mauro; Negusini, Monia; Perini, Federico; Roma, Mauro; Stagni, Matteo; Zucco, Massimo; Calonico, Davide

2017-02-01

We describe a VLBI experiment in which, for the first time, the clock reference is delivered from a National Metrology Institute to a radio telescope using a coherent fibre link 550 km long. The experiment consisted of a 24-hours long geodetic campaign, performed by a network of European telescopes; in one of those (Medicina, Italy) the local clock was alternated with a signal generated from an optical comb slaved to a fibre-disseminated optical signal. The quality of the results obtained with this facility and with the local clock is similar: interferometric fringes were detected throughout the whole 24-hours period and it was possible to obtain a solution whose residuals are comparable to those obtained with the local clock. These results encourage further investigation of the ultimate VLBI performances achievable using fibre dissemination at the highest precision of state-of-the-art atomic clocks.

High-precision pointing with the Sardinia Radio Telescope

NASA Astrophysics Data System (ADS)

Poppi, Sergio; Pernechele, Claudio; Pisanu, Tonino; Morsiani, Marco

2010-07-01

We present here the systems aimed to measure and minimize the pointing errors for the Sardinia Radio Telescope: they consist of an optical telescope to measure errors due to the mechanical structure deformations and a lasers system for the errors due to the subreflector displacement. We show here the results of the tests that we have done on the Medicina 32 meters VLBI radio telescope. The measurements demonstrate we can measure the pointing errors of the mechanical structure, with an accuracy of about ~1 arcsec. Moreover, we show the technique to measure the displacement of the subreflector, placed in the SRT at 22 meters from the main mirror, within +/-0.1 mm from its optimal position. These measurements show that we can obtain the needed accuracy to correct also the non repeatable pointing errors, which arise on time scale varying from seconds to minutes.

The Italian VLBI Network: First Results and Future Perspectives

NASA Astrophysics Data System (ADS)

Stagni, Matteo; Negusini, Monia; Bianco, Giuseppe; Sarti, Pierguido

2016-12-01

A first 24-hour Italian VLBI geodetic experiment, involving the Medicina, Noto, and Matera antennas, shaped as an IVS standard EUROPE, was successfully performed. In 2014, starting from the correlator output, a geodetic database was created and a typical solution of a small network was achieved, here presented. From this promising result we have planned new observations in 2016, involving the three Italian geodetic antennas. This could be the beginning of a possible routine activity, creating a data set that can be combined with GNSS observations to contribute to the National Geodetic Reference Datum. Particular care should be taken in the scheduling of the new experiments in order to optimize the number of usable observations. These observations can be used to study and plan future experiments in which the time and frequency standards can be given by an optical fiber link, thus having a common clock at different VLBI stations.

[Evaluation of financial performance of health services: reflections of operational policies in the hospital sector].

PubMed

Bonacim, Carlos Alberto Grespan; de Araujo, Adriana Maria Procópio

2011-01-01

Discussions about management manners and procedures has been relevant among organization managers in the health services. The health services economic evaluation approaches this theme and is taking an important role around the world, demanding the manager new challenges concerning the continuous search of activities efficiency and efficacy. The objective is to describe the consequences of operational changes in the economic-financial indicators of a Public Hospital. The methodology applied included besides the literature research, a case study in the "Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto--USP". The values found confirm the context of the hospital. One concludes that the average costs present similar behaviors with trend to stabilization, thus confirming improvements in efficiency. The importance of the rendering of accounts for the society related to the use of public resources and how this study can help in this way.

Conceptualizations of illness among relatives of patients diagnosed with schizophrenia.

PubMed

Villares, Cecília C; Redko, Cristina P; Mari, Jair J

2017-06-01

Family concepts of a relative's illness are an important part of the coping process and reveal the cultural construction of the experience of illness. As part of a qualitative study conducted in the Schizophrenia Outpatient Clinic of the Department of Psychiatry, Escola Paulista de Medicina - UNIFESP, 14 relatives of eight outpatients diagnosed with schizophrenia were interviewed and invited to talk freely about their ideas and feelings concerning their relative's problem. Qualitative analysis was used to identify categories of illness representations. Three main categories were discussed, including Problema de Nervoso, Problema na Cabeça and Problema Espiritual (Problem of the Nerves, Problem in the Head and Spiritual Problem). The authors present evidence of these categories as cultural constructions, and discuss the relevance of popular notions of illness to the understanding of the course and outcome of schizophrenia, and the planning of culturally meaningful interventions.

Examining the Causal Role of Leptin in Alzheimer Disease: A Mendelian Randomization Study.

PubMed

Romo, Matthew L; Schooling, C Mary

2017-01-01

Observational evidence regarding the role of leptin in Alzheimer disease (AD) is conflicting. We sought to determine the causal role of circulating leptin and soluble plasma leptin receptor (sOB-R) levels in AD using a separate-sample Mendelian randomization study. Single nucleotide polymorphisms (SNPs) independently and solely predictive of log-transformed leptin (rs10487505 [LEP], rs780093 [GCKR], rs900400 [CCNL1], rs6071166 [SLC32A1], and rs6738627 [COBLL1]) and of sOB-R (rs1137101 [LEPR], rs2767485 [LEPR], and rs1751492 [LEPR]) levels (ng/mL) were obtained from 2 previously reported genome-wide association studies. We obtained associations of leptin and sOB-R levels with AD using inverse variance weighting with fixed effects by combining Wald estimates for each SNP. Sensitivity analyses included using weighted median and MR-Egger methods and repeating the analyses using only SNPs of genome-wide significance. Using inverse variance weighting, genetically predicted circulating leptin levels were not associated with AD, albeit with wide confidence intervals (CIs): odds ratio (OR) 0.99 per log-transformed ng/mL; 95% CI 0.55-1.78. Similarly, the association of sOB-R with AD was null using inverse variance weighting (OR 1.08 per log-transformed ng/mL; 95% CI 0.83-1.41). Results from our sensitivity analyses confirmed our findings. In this first Mendelian randomization study estimating the causal effect of leptin on AD, we did not find an effect of genetically predicted circulating leptin and sOB-R levels on AD. As such, this study suggests that leptin is unlikely to be a major contributor to AD, although the wide CIs preclude a definitive assessment. © 2017 S. Karger AG, Basel.

Circulating ghrelin, leptin, and soluble leptin receptor concentrations and cardiometabolic risk factors in a community-based sample.

PubMed

Ingelsson, Erik; Larson, Martin G; Yin, Xiaoyan; Wang, Thomas J; Meigs, James B; Lipinska, Izabella; Benjamin, Emelia J; Keaney, John F; Vasan, Ramachandran S

2008-08-01

The conjoint effects and relative importance of ghrelin, leptin, and soluble leptin receptor (sOB-R), adipokines involved in appetite control and energy expenditure in mediating cardiometabolic risk, is unknown. The objective of the study was to study the cross-sectional relations of these adipokines to cardiometabolic risk factors in a community-based sample. We measured circulating ghrelin, leptin, and sOB-R in 362 participants (mean age 45 yr; 54% women) of the Framingham Third Generation Cohort. Body mass index, waist circumference (WC), blood pressure, lipid measures, fasting glucose, smoking, and metabolic syndrome (MetS) were measured. Ghrelin and leptin concentrations were significantly higher in women (P < 0.0001). In multivariable models, ghrelin was inversely associated with age and systolic blood pressure, and leptin was positively related to body mass index and WC. sOB-R was positively associated with age, total cholesterol, and fasting glucose and inversely with WC and high-density lipoprotein cholesterol. Ghrelin and sOB-R concentrations were significantly lower with number of MetS components (P for trend = 0.022 and < 0.0001, respectively), whereas leptin concentrations were higher (P for trend = 0.0001). Relating all adipokines to MetS conjointly, higher ghrelin and leptin concentrations were associated with decreased and increased odds of MetS (odds ratio 0.55, P < 0.0001; odds ratio 4.44, P = 0.0002, per 1 sd increase of respective log adipokine). In our community-based sample, we observed a sexual dimorphism in circulating ghrelin and leptin concentrations. Ghrelin, leptin, and sOB-R were associated with number of MetS components cross-sectionally, consistent with the hypothesis that these adipokines may have a central role in cardiometabolic risk.

Reference values for serum leptin in healthy non-obese children and adolescents.

PubMed

Lausten-Thomsen, Ulrik; Christiansen, Michael; Louise Hedley, Paula; Esmann Fonvig, Cilius; Stjernholm, Theresa; Pedersen, Oluf; Hansen, Torben; Holm, Jens-Christian

2016-11-01

Adipokines are biologically active, low-molecular weight peptides, which play a major role in metabolic homeostasis in humans. Leptin has gained increasing attention in pediatrics as a biomarker for various metabolic pathologies. Yet, its usefulness is hampered by the relative lack of reference values from pediatric settings. Accordingly, this study aims to evaluate serum concentrations of leptin, soluble leptin receptor (sOB-R), and free leptin index (FLI) in healthy Danish schoolchildren aged 6-18 years and subsequently to establish reference intervals across sex and age groups. A total of 1193 healthy, non-obese Danish schoolchildren (730 girls, 463 boys) aged 6-18 years (median 11.9) were examined by trained medical staff. Serum leptin and sOB-R concentrations in venous fasting blood samples were quantitated by immunoassay. Percentile curves of leptin, sOB-R, and free leptin index were calculated using the General Additive Model for Location Scale and Shape (GAMLSS). Significant age and sex-dependent differences in circulating leptin levels were found. In boys, the median leptin concentration for all ages combined was 3.35 μg/L (95%-interval: 0.71-22.47) and in girls, it was 9.89 ng/L (95%-interval: 2.06-41.49). For SOB-R, no sex-specific difference was found, and the median sOB-R concentration was 8.24 μg/L (IQR: 3.58-23.74; range: < 1.56-744.15). We demonstrated an age-dependent correlation with both serum leptin concentration and free leptin index with a gradual and significant increase in girls throughout childhood and adolescence and a significantly higher leptin concentration and free leptin index bell-shaped peak in early adolescence in boys.

Estudio teórico de moléculas de interés en Astrofísica: compuestos binarios policarbonados

NASA Astrophysics Data System (ADS)

Largo-Cabrerizo, A.

Se han detectado en el espacio distintos compuestos binarios policarbonados (que se pueden formular como CnX), algunos de ellos con elementos de la primera fila del sistema periódico, pero también existen otros que contienen elementos de la segunda fila, como azufre o silicio. La información experimental sobre estos últimos compuestos es escasa, por lo que los estudios teóricos son especialmente valiosos en este campo. En esta comunicación presentaremos los avances mas recientes que sobre el tema ha realizado nuestro grupo. Incidiremos particularmente en dos aspectos. En primer lugar resumiremos los estudios en los que hemos intentado proporcionar información estructural sobre carburos metálicos formados por sodio, magnesio, aluminio o calcio, que pueda ser de ayuda a la hora de caracterizar estas moléculas en laboratorio como paso previo a su eventual detección en el espacio. Un aspecto importante dentro de este primer apartado es el análisis de las propiedades moleculares en función del tamaño del sistema (cuantificado en el numero de átomos de carbono) con el objeto de intentar sistematizar su estudio. En segundo lugar comentaremos brevemente algunos de los estudios realizados sobre posibles reacciones que pueden ser vías de síntesis de este tipo de compuestos en el medio interestelar.

Morphological Analysis of Three Populations of Anopheles (Nyssorhynchus) Nuneztovari Gabaldon (Diptera: Culicidae) from Colombia

DTIC Science & Technology

2008-02-01

81. Gabaldon A 1940. Estudios sobre Anophelinos. Serie I. 1. Descrip- ción de Anopheles (Nyssorhynchus) nuneztovari n. sp. y consid- eraciones sobre...N 2007. Introducción al estudio Taxonómico de Anopheles de Colombia Claves y notas de distribución, 1st ed., Universidad del Valle, Cali, 237 pp...divergence in of Anopheles nuneztovari (Diptera: Culicidae) from Brazil and Colombia. Am J Trop Med Hyg 60: 1010-1018. Sutil OE 1976. Redescripción de la

La dinámica demográfica y la desigualdad educativa en Méxicoa

PubMed Central

Giorguli Saucedo, Silvia E.; Vargas Valle, Eunice D.; Ulloa, Viviana Salinas; Hubert, Celia; Potter, Joseph E.

2015-01-01

En este trabajo se presenta una investigación sobre el vínculo entre los procesos educativos y la dinámica demográfica en México. La tradición del pensamiento sobre población y desarrollo ha partido de la hipótesis de que el ritmo de crecimiento poblacional, el tamaño de las familias y la migración influyen sobre la acumulación de capital humano entre la población en edades escolares. Se explora aquí la relación del desempeño educativo de los jóvenes entre 14 y 23 años y la razón de dependencia juvenil, la fecundidad adolescente y la migración interna e internacional; para ello se utilizan datos agregados a escala municipal del año 2000. El análisis incluye indicadores de la oferta educativa municipal basados en estadísticas administrativas de la SEP. PMID:26146427

Conocimiento de Energía: Principios Esenciales y Conceptos Fundamentales para la Educación de Energía (in Spanish)

DOE Office of Scientific and Technical Information (OSTI.GOV)

None

This is the Spanish version of our Energy Literacy guidebook. Esta guía presenta conceptos de energía que, cuando se entienden y se aplican, ayudan a individuos y a comunidades a tomar decisiones sobre la energía con conocimiento de causa. No es un currículo sino que ofrece un marco sobre el cual puede basarse un plan de estudios. La guía se dirige a cualquier persona que participe en la educación de energía.

La estructura dinámica del cinturón de Kuiper interior y la formación de Urano y Neptuno

NASA Astrophysics Data System (ADS)

Melita, M. D.; Brunini, A.

De acuerdo a los más recientes estudios sobre la formación de Urano y Neptuno, éstos podrían haber sufrido una importante migración radial hacia el exterior, debido al intercambio de momento angular con los planetesimales presentes en esa región durante las últimas etapas de la formación del Sistema Solar. Esta migración radial habría tenido importantes consecuencias sobre la presente estructura dinámica del cinturón cometario de Kuiper. Tal como lo reflejan las observaciones, la mayoría de los cuerpos observados en el cinturón de Kuiper se encuentran en resonancia de movimientos medios exteriores con Neptuno, hecho que también se refleja en la presente órbita de Plutón. En el presente trabajo se estudia tanto numérica como analíticamente la influencia de la variación de las masas de Urano y Neptuno durante el proceso de migración sobre las probabilidades de captura en algunas de las resonancias exteriores de Neptuno. Se estudia también la influencia de encuentros gravitacionales mutuos sobre la estabilidad de las órbitas resonantes. Este estudio ofrece argumentos de plausibilidad para explicar por qué ninguno de los objetos descubiertos en el cinturón de Kuiper se encontraría en la resonancia 2:1.

[What can doctors do to moderate healthcare costs?

PubMed

Lifshitz, Alberto; Celis, Miguel Ángel; Moreno, Mucio; Gas, Héctor Aguirre; Halabe, José; Jasso, Luis; Arrieta, Óscar; Burgos, Rubén; Campillo, Carlos; de la Llata, Manuel; Domínguez, Judith; Islas, Sergio; Plancarte, Ricardo; Reyes, Alejandro; Soda, Antonio; Verásteguio, Emma; Sotelo, Julio

Los costos de la atención médica pueden alcanzar niveles tales que marginen a algunos pacientes de los beneficios del avance científico y tecnológico. Las razones de estos elevados costos son diversas y en la mayoría de los casos no está en manos de los médicos moderarlos. En este escrito se proponen algunas acciones que los médicos podemos realizar para disminuir los costos de la atención médica. La magnitud del ahorro que se puede alcanzar con estas medidas es modesta, puesto que la mayor parte de los costos no dependen de los médicos, pero se trata de ofrecer nuestra contribución. Evitar todo lo superfluo: no más medicamentos ni estudios que los estrictamente necesarios, sin medicina defensiva; y no ceder ante la presión de pacientes y familiares para que se prescriban pruebas o medicamentos inútiles.

Why teaching empathy is important for the medical degree.

PubMed

Díez-Goñi, N; Rodríguez-Díez, M C

Empathy is a basic skill in the exercise of medicine and increases patient and physician satisfaction and improves clinical results. However, the teaching of empathy is poorly covered in the teaching plans. A number of studies have observed a reduction in empathy during the final training courses. The reasons for this decline include, the students' excessive academic workload, the prioritisation of acquiring medical expertise over humanistic knowledge, the patient load in hospitals and health centres and the physicians' need to distance themselves from their patients. Nevertheless, intervention studies through simulation with standardised patients have shown an increase in empathy in students, which can be evaluated through the Jefferson scales: JSE-S and JSPPPE. The teaching of empathy to medical students is an important commitment in the curricular programs of medical schools. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

[Qualitative and quantitative study of Taenia solium posoncospheres in the muscular tissue of pigs with and without cysticercosis].

PubMed

Jiménez Rodríguez, J A; Arteaga, I D; Rojas Wastavino, G; Salazar Schettino, P M

1995-01-01

It was determined the presence of posoncospheres in muscular tissues in 20 natural cysticercotic pigs and in 20 pigs apparently free of Taenia solium metacestodes. Ten differents anatomical regions were dissected, giving 400 samples in total. The animals were slaughtered in Ecatepec, Mexico State, Mexico. The samples were kept in bottles with saline and were processed in the Laboratorio de Biología de Parásitos, Facultad de Medicina, Universidad Nacional Autónoma de México (UNAM); cysticercus were counted and later on the resulting muscular mass was grinded and observations were made in the sediment, for posoncospheres search. Mann-Whitney statistical method revealed meaningful differences between postoncospheres in cysticercotic pigs and not apparently cysticercotic pigs. The Linear Correlation Analysis showed no relation between cysticercus quantity and postoncospheres quantity in the same samples. Postoncospheres were found in cysticercotic animals and in those apparently free of cysticercus, in the last group the quantity was bigger.

Clinical assessment and treatment of diabetes in patients with chronic kidney disease.

PubMed

Carretero Gómez, J; Arévalo Lorido, J C

2018-04-21

Diabetes mellitus type 2 is the main cause of chronic kidney disease. Patients with this disease have higher morbidity and mortality and risk of hypoglycaemia than those without this disease. In 2010, type 2 diabetes was the reason for starting renal replacement therapy in 24.7% of patients. The prevalence of microalbuminuria, proteinuria and a reduced glomerular filtration rate is 36%, 8% and 22%, respectively. The presence of albuminuria is a predictor of chronic kidney disease. Diabetic kidney disease, previously known as diabetic nephropathy, refers to kidney disease caused by diabetes. Renal hyperfiltration is a marker of intraglomerular hypertension and a risk factor for onset and progression. The new antidiabetic drugs, mainly dipeptidyl peptidase-4 inhibitors, sodium-glucose cotransporter inhibitors and glucagon-like peptide-1 agonists, have been shown to prevent or slow the progression of kidney disease. Copyright © 2018 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Guiding principles of subcutaneous immunotherapy for allergic rhinitis in Japan.

PubMed

Okamoto, Yoshitaka; Ohta, Nobuo; Okano, Mitsuhiro; Kamijo, Atsushi; Gotoh, Minoru; Suzuki, Motohiko; Takeno, Sachio; Terada, Tetsuya; Hanazawa, Toyoyuki; Horiguchi, Shigetoshi; Honda, Kohei; Matsune, Shoji; Yamada, Takechiyo; Yuta, Atsushi; Nakayama, Takeo; Fujieda, Shigeharu

2014-02-01

In anticipation of the development of guidelines for antigen-specific subcutaneous immunotherapy (SCIT), we present recommendations that can serve as guiding principles based on a review of the scientific literature. Clinical questions (CQs) concerning SCIT were prepared. Literature searches for publications between January 1990 and February 2011 were performed in PubMed, the Cochrane Library, and Japana Centra Revuo Medicina Web version 4. Qualified studies were analyzed and the results were evaluated, consolidated, and codified. We present answers for 13 CQs on the indications, methods, effectiveness and mechanisms of SCIT, with evidence-based recommendations. The guiding principles are intended to be applied to children (≤15 years old) and adults (≥16 years old) with allergic rhinitis (AR). These principles can be used by otorhinolaryngologists for diagnosis of AR, evaluation of severity and rhinoscopic findings, performance of antigen challenge tests, and management of systemic anaphylactic reactions associated with SCIT. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Ten years since the discovery of iPS cells: The current state of their clinical application.

PubMed

Aznar, J; Tudela, J

On the 10-year anniversary of the discovery of induced pluripotent stem cells, we review the main results from their various fields of application, the obstacles encountered during experimentation and the potential applications in clinical practice. The efficacy of induced pluripotent cells in clinical experimentation can be equated to that of human embryonic stem cells; however, unlike stem cells, induced pluripotent cells do not involve the severe ethical difficulties entailed by the need to destroy human embryos to obtain them. The finding of these cells, which was in its day a true scientific milestone worthy of a Nobel Prize in Medicine, is currently enveloped by light and shadow: high hopes for regenerative medicine versus the, as of yet, poorly controlled risks of unpredictable reactions, both in the processes of dedifferentiation and subsequent differentiation to the cell strains employed for therapeutic or experimentation goals. Copyright © 2016 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Use of tocilizumab in systemic sclerosis: A brief literature review.

PubMed

Fernández-Codina, A; Fernández-Fernández, J; Fernández-Pantiga, A

2018-03-27

The available treatments for systemic sclerosis (SS) have limited effectiveness. Treatment with tocilizumab (TCZ), a biological drug that inhibits interleukin 6 (IL-6), has recently been proposed. In this study, we conducted a literature review to assess the safety and efficacy of TCZ in SS. We found 52 articles, 10 of which we selected after evaluating the articles. In a randomised clinical trial, TCZ showed a nonsignificant improvement in the degree of skin induration, while another observational study showed neutral results. In this same clinical trial, the functional respiratory parameters showed a certain degree of stabilization. The safety profile of TCZ is acceptable; however, the current evidence regarding treatment of SS with TCZ is highly limited, although the drug could have a beneficial effect in skin disorder. New clinical trials are needed to determine the usefulness of TCZ in SS. Copyright © 2018 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

[Important epidemiological features of the treatment of type 2 diabetes].

PubMed

Seguí Díaz, M

2014-07-01

According to the various clinical practice guidelines, the recommendations for the treatment of type 2 diabetes are well-established, thus leading to homogenization of clinical practice and avoiding variability. However, it is well known that, depending on factors such as effectiveness, physiopathology, cost, adverse effects, preferences, and comorbidities, each patient will, in the long-term, receive different treatment of type 2 diabetes. The consensus document published last year and approved by the American Diabetes Association and the European Association for the Study of Diabetes recommends distinct targets for each patient with type 2 diabetes and argues for the individualization of the management and treatment of this disease. In other words, the document advocates a patient-centered approach, in which the various therapeutic alternatives are related mainly to distinct physiopathological factors, adverse effects, and the patient's comorbidities, as well as the patient's preferences. Copyright © 2014 Elsevier España, S.L.U. y Sociedad Española de Medicina Rural y Generalista (SEMERGEN). All rights reserved.

Use and dependence on opioid drugs in the Spanish population with chronic pain: Prevalence and differences according to sex.

PubMed

Coloma-Carmona, A; Carballo, J L; Rodríguez-Marín, J; Pérez-Carbonell, A

To analyse the prevalence in the use and dependence on opioid drugs in the Spanish population with chronic pain and evaluate the differences according to sex. The demographic variables, opioid treatment characteristics and use of other substances were assessed in 229 users of opioid drugs. A descriptive bivariate analysis of the data was performed. Forty-six percent of the patients met the criteria of dependence on opioid drugs (Diagnostic and Statistical Manual of Mental Disorders, 4th Edition [DSM-IV-TR]). Alcohol and cannabis consumption was greater in the men. The rates of dependence on the use of opioid drugs were significantly higher in the extended treatments. Planning for treatments with opioids and strategies for preventing inappropriate use should not depend on the patient's sex. We need further studies on the medical and psychological variables related to the use of and dependence on opioids. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Major developments in the 2016 european guidelines for heart failure.

PubMed

Trullàs, J C; González-Franco, Á

2017-10-01

The European Society of Cardiology has recently published new guidelines on the diagnosis and treatment of acute and chronic heart failure (HF). This article aims to review these recommendations and their level of scientific evidence and to present the most innovative aspects. The most significant deviations from the 2012 edition are: 1) the introduction of the concept of HF with midrange LVEF (40-49%); 2) a new diagnostic algorithm for chronic HF, initially considering the clinical probability; 3) recommendations on preventing or delaying the apparition of HF; 4) indications for the use of the new sacubitril-valsartan compound, the first angiotensin receptor blocker and neprilysin inhibitor; 5) modification of indications for cardiac resynchronisation therapy; and 6) a new algorithm for a combined diagnostic and treatment strategy for acute HF based on the presence or absence of congestion and hypoperfusion. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Anticoagulant treatment of medical patients with complex clinical conditions.

PubMed

Ruiz-Ruiz, F; Medrano, F J; Santos-Lozano, J M; Rodríguez-Torres, P; Navarro-Puerto, A; Calderón, E J

2018-06-12

There is scarce available information on the treatment or prophylaxis with anticoagulant drugs of outpatients with medical diseases and complex clinical conditions. There are no clinical practice guidelines and/or specific recommendations for this patient subgroup, which are frequently treated by internists. Complex clinical conditions are those in which, due to comorbidity, age, vital prognosis or multiple treatment with drugs, a clinical situation arises of disease-disease, disease-drug or drug-drug interactions that is not included within the scenarios that commonly generate the scientific evidence. The objective of this narrative review is collecting and adapting of the clinical guidelines recommendations and systematic reviews to complex clinical conditions, in which the direct application of recommendations based on studies that do not include patients with this complexity and comorbidity could be problematic. Copyright © 2018 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Treatment of hyperglycaemia in patients with acute stroke.

PubMed

Castilla-Guerra, L; Fernández-Moreno, M C; Hewitt, J

2016-03-01

The proportion of diabetic patients who are hospitalised for stroke has been increasing in recent years, currently reaching almost a third of all cases of stroke. In addition, about half of patients with acute stroke present hyperglycaemia in the first hours of the stroke. Although hyperglycaemia in the acute phase of stroke is associated with a poor prognosis, its treatment is currently a topic of debate. There is no evidence that the adminstration of intravenous insulin to these patients offers benefits in terms of the evolution of the stroke. New studies in development, such as the SHINE study (Stroke Hyperglycemia Insulin Network Effort), may contribute to clarifying the role of intensive control of glycaemia during the acute phase of the stroke. Ultimately, patients who have presented with stroke should be screened for diabetes. Copyright © 2015 Elsevier España, S.L.U. y Sociedad Española de Medicina Interna (SEMI). All rights reserved.

[Assisted birth in 19th century Bahia].

PubMed

Barreto, Maria Renilda Nery

2008-01-01

This paper presents the traditions of assisted childbirth in the Brazilian state of Bahia in the 19th Century and develops the hypothesis that two obstetrical traditions coexisted in the capital, Salvador, namely the doctor-midwives--who used technical resources and knowledge acquired from obstetrics as a medical specialty--and the traditional midwives, whose know-how was purely of an empirical-sensorial nature. Despite all efforts employed by the doctors to win over the confidence of Bahian families, the midwives continued to be predominant in the art of 'delivering' children and treating female illnesses. The analysis focuses on the social and professional segments that were active in assisted birth; the role of the Bahian College of Medicine (Faculdade de Medicina da Bahia) in the training and certification of midwives and the use of newspapers as a way to legitimize the doctor-midwives; it also discusses the scant coverage of the midwives in these media.

B-type natriuretic peptide and acute heart failure: Fluid homeostasis, biomarker and therapeutics.

PubMed

Torres-Courchoud, I; Chen, H H

2016-10-01

Natriuretic peptides are a family of peptides with similar structures, but are genetically distinct with diverse actions in cardiovascular, renal and fluid homeostasis. The family consists of an atrial natriuretic peptide (ANP) and a brain natriuretic peptide (BNP) of myocardial cell origin, a C-type natriuretic peptide (CNP) of endothelial origin, and a urodilatin (Uro) which is processed from a prohormone ANP in the kidney. Nesiritide, a human recombinant BNP, was approved by the Federal Drug Administration (FDA) for the management of acute heart failure (AHF) in 2001. Human recombinant ANP (Carperitide) was approved for the same clinical indication in Japan in 1995, and human recombinant Urodilatin (Ularitide) is currently undergoing phase III clinical trial (TRUE AHF). This review will provide an update on important issues regarding the role of BNP in fluid hemostasis as a biomarker and therapeutics in AHF. Copyright © 2016 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Fifty years since the nuclear accident in Palomares (Almeria). Medical repercussions.

PubMed

Laynez-Bretones, F; Lozano-Padilla, C

In January 1966, 2 US military aircraft collided over the skies of Palomares (Almeria). One of them carried thermonuclear bombs, which released plutonium and other radioactive materials upon striking the ground. The most contaminated earth and plants were immediately removed. The Indalo Project was launched to study the effects of nuclear material on the inhabitants and environment of Palomares. A total of 1,077 inhabitants have been monitored since then, and the official version is that the ionising radiation has not been related to any type of disease. However, secrecy has surrounded much of the investigations, and no trustworthy epidemiological study has been conducted in the area. Approximately 500g of plutonium and americium remains in Palomares. Although the risk for the population appears to be low, this radioactive material should be removed as soon as possible. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

[Guidelines for specialized nutritional and metabolic support in the critically-ill patient. Update. Consensus of the Spanish Society of Intensive Care Medicine and Coronary Units-Spanish Society of Parenteral and Enteral Nutrition (SEMICYUC-SENPE): neurocritical patient].

PubMed

Acosta Escribano, J; Herrero Meseguer, I; Conejero García-Quijada, R

2011-11-01

Neurocritical patients require specialized nutritional support due to their intense catabolism and prolonged fasting. The preferred route of nutrient administration is the gastrointestinal route, especially the gastric route. Alternatives are the transpyloric route or mixed enteral-parenteral nutrition if an effective nutritional volume of more than 60% cannot be obtained. Total calore intake ranges from 20-30 kcal/kg/day, depending on the period of the clinical course, with protein intake higher than 20% of total calories (hyperproteic diet). Nutritional support should be initiated early. The incidence of gastrointestinal complications is generally higher to other critically-ill patients, the most frequent complication being an increase in gastric residual volume. As in other critically-ill patients, glycemia should be closely monitored and maintained below 150 mg/dL. Copyright © 2011 Sociedad Española de Medicina Intensiva, Critica y Unidades Coronarias (SEMICYUC) and Elsevier España, S.L. All rights reserved.

Vitamin D: non-skeletal actions and rational use.

PubMed

Lichtenstein, Arnaldo; Ferreira-Júnior, Mario; Sales, Maria Mirtes; Aguiar, Francisco Bueno de; Fonseca, Luiz Augusto M; Sumita, Nairo M; Duarte, Alberto J S

2013-01-01

Recent years have witnessed a substantial increase in the number of seric determinations of vitamin D, in a worldwide basis. At Hospital das Clínicas of Faculdade de Medicina of Universidade de São Paulo that increase reached 700% over the last four years. Nevertheless there are many controversies on the literature about the role of vitamin D in conditions unrelated to the musculoskeletal system. In this study the metabolism, sources and actions of vitamin D on the body are reviewed. Observational studies, clinical trials, systematic reviews and metanalysis which focused on the relationship between the vitamin and conditions such as cancer, cardiovascular disease, diabetes and falls were searched on the literature, analyzed and discussed. Results are presented as quiz and answer, tables and a figure. The role of vitamin D on the above-mentioned conditions is discussed, and the controversial issues stressed. Copyright © 2013 Elsevier Editora Ltda. All rights reserved.

Clinical trials. A pending subject.

PubMed

Gil-Extremera, B; Jiménez-López, P; Mediavilla-García, J D

2018-04-01

Clinical trials are essential tools for the progress of clinical medicine in its diagnostic and therapeutic aspects. Since the first trial in 1948, which related tobacco use with lung cancer, there have been more than 150,000 clinical trials to date in various areas (paediatrics, cardiology, oncology, endocrinology, etc.). This article highlights the importance for all physicians to participate, over the course of their professional career, in a clinical trial, due to the inherent benefits for patients, the progress of medicine and for curricular prestige. The authors have created a synthesis of their experience with clinical trials on hypertension, diabetes, dyslipidaemia and ischaemic heart disease over the course of almost 3 decades. Furthermore, a brief reference has been made to the characteristics of a phase I unit, as well as to a number of research studies currently underway. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

The cohabitation of academia and industry: What position do the medical journals take regarding opinion articles?

PubMed

Dal-Ré, R; Carné, X

2016-11-01

Should medical journals publish editorials and educational articles written by authors who have financial conflicts of interest with pharmaceutical and biotechnology industries on whose products (or their competitors) they discuss? In the last 18 months, a controversy was sparked between The New England Journal of Medicine and BMJ, who took 2 opposite positions: the former stated that the negative bias against authors with conflicts of interest with industry is excessive and therefore accept articles from any expert, ensuring that they have the minimum possible bias. BMJ, in contrast, prohibits the publication of these types of article by authors who have financial conflicts of interest with industry. This article discusses the approaches of the 2 journals (and those of others) and reflects on this type of conflict in the medical profession. Copyright © 2016 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Reflections on curative health care in Nicaragua.

PubMed Central

Slater, R G

1989-01-01

Improved health care in Nicaragua is a major priority of the Sandinista revolution; it has been pursued by major reforms of the national health care system, something few developing countries have attempted. In addition to its internationally recognized advances in public health, considerable progress has been made in health care delivery by expanding curative medical services through training more personnel and building more facilities to fulfill a commitment to free universal health coverage. The very uneven quality of medical care is the leading problem facing curative medicine now. Underlying factors include the difficulty of adequately training the greatly increased number of new physicians. Misdiagnosis and mismanagement continue to be major problems. The curative medical system is not well coordinated with the preventive sector. Recent innovations include initiation of a "medicina integral" residency, similar to family practice. Despite its inadequacies and the handicaps of war and poverty, the Nicaraguan curative medical system has made important progress. PMID:2705603

[Letters to the editor published in Peruvian biomedical journals indexed in SciELO-Peru 2006-2013].

PubMed

Montenegro-Idrogo, Juan José; Mejía-Dolores, Jhon William; Chalco-Huamán, Joel L

2015-01-01

This bibliometric study describes the characteristics of letters to the editor published between 2006-2013 in biomedical journals indexed in SciELO-Peru.253 letters (10.3% of total publications) were collected. Most letters (139) were in the Peruvian Journal of Experimental Medicine and Public Health, with marked increase throughout those years. 25% of letters submitted included medical student participation. 14% of authors presented with international affiliations and 27% with endogenous affiliation - common in university journals (Anales de la Facultad de Medicina, Revista Médica Herediana).The usual criteria justifying the publication of letters were: opinion of medical fact or public domain (35.6%) and discussion of results, methodological flaws or interpretation (22.9%). In biomedical journals indexed in SciELO Peru the letters to the editor comprise a percentage of publications that has increased in recent years, with low publication of letters of findings or primary data, compared with opinion or criticism.

Georg Philip Nenter and medicine "by notes" in the 18th century.

PubMed

Bonfante, Luciana; D'Angelo, Angela; Komninos, Georgios; Antonello, Augusto

2009-01-01

Even though it is true that the medical historiography of the 18th century is lacking in great scientific personalities, it is equally true that the entire century is characterized by continuous efforts to encapsulate the medical area of knowledge, acquired until then, in precise and systematic outlines, to serve the academic teaching of the subject of medicine. Georg Philip Nenter, a pupil of Georg Ernst Stahl and a professor of medicine in the University of Strasburg, could not help being influenced by that atmosphere. He added though, in our opinion, a touch of remarkable modernity. In fact his volume Fundamenta medicinae teoretico-pratica (Venice, 1735) is a wonderful collection of the notes taken during his lectures. The description of various diseases - renal diseases in particular - maintains a very systematic development of the subject through various chapters (definition, clinical manifestations, differential diagnosis, prognosis, treatment and examples of specific prescriptions), as if students were being addressed.

New Archiving Distributed InfrastructuRe (NADIR): Status and Evolution

NASA Astrophysics Data System (ADS)

De Marco, M.; Knapic, C.; Smareglia, R.

2015-09-01

The New Archiving Distributed InfrastructuRe (NADIR) has been developed at INAF-OATs IA2 (Italian National Institute for Astrophysics - Astronomical Observatory of Trieste, Italian center of Astronomical Archives), as an evolution of the previous archiving and distribution system, used on several telescopes (LBT, TNG, Asiago, etc.) to improve performance, efficiency and reliability. At the present, NADIR system is running on LBT telescope and Vespa (Italian telescopes network for outreach) Ramella et al. (2014), and will be used on TNG, Asiago and IRA (Istituto Radio Astronomia) archives of Medicina, Noto and SRT radio telescopes Zanichelli et al. (2014) as the data models for radio data will be ready. This paper will discuss the progress status, the architectural choices and the solutions adopted, during the development and the commissioning phase of the project. A special attention will be given to the LBT case, due to some critical aspect of data flow and policies and standards compliance, adopted by the LBT organization.

The INAF contribution to the ASI Space Debris program: observational activities.

NASA Astrophysics Data System (ADS)

Pupillo, G.; Salerno, E.; Bartolini, M.; Di Martino, M.; Mattana, A.; Montebugnoli, S.; Portelli, C.; Pluchino, S.; Schillirò, F.; Konovalenko, A.; Nabatov, A.; Nechaeva, M.

Space debris are man made objects orbiting around Earth that pose a serious hazard for both present and future human activities in space. Since 2007 the Istituto Nazionale di Astrofisica (INAF) carried out a number of radar campaigns in the framework of the ASI ``Space Debris'' program. The observations were performed by using bi- and multi-static radars, composed of the INAF 32-m Italian radiotelescopes located at Medicina and Noto (used as receivers) and the 70-m parabolic antenna at Evpatoria (Ukraine) used as transmitter. The 32 m Ventspils antenna in Latvia also participated in the last campaign at the end of June 2010. Several kinds of objects in various orbital regions (radar calibrators, rocket upper stages, debris of different sizes) were observed and successfully detected. Some unknown objects were also discovered in LEO during the beam-park sessions. In this paper we describe some results of the INAF-ASI space debris research activity.

A experiment on radio location of objects in the near-Earth space with VLBI in 2012

NASA Astrophysics Data System (ADS)

Nechaeva, M.; Antipenko, A.; Bezrukovs, V.; Bezrukov, D.; Dementjev, A.; Dugin, N.; Konovalenko, A.; Kulishenko, V.; Liu, X.; Nabatov, A.; Nesteruk, V.; Pupillo, G.; Reznichenko, A.; Salerno, E.; Shmeld, I.; Shulga, O.; Sybiryakova, Y.; Tikhomirov, Yu.; Tkachenko, A.; Volvach, A.; Yang, W.-J.

An experiment on radar location of space debris objects using of the method of VLBI was carried out in April, 2012. The radar VLBI experiment consisted in irradiation of some space debris objects (4 rocket stages and 5 inactive satellites) with a signal of the transmitter with RT-70 in Evpatoria, Ukraine. Reflected signals were received by a complex of radio telescopes in the VLBI mode. The following VLBI stations took part in the observations: Ventspils (RT-32), Urumqi (RT-25), Medicina (RT-32) and Simeiz (RT-22). The experiment included measurements of the Doppler frequency shift and the delay for orbit refining, and measurements of the rotation period and sizes of objects by the amplitudes of output interferometer signals. The cross-correlation of VLBI-data is performed at a correlator NIRFI-4 of Radiophysical Research Institute (Nizhny Novgorod). Preliminary data processing resulted in the series of Doppler frequency shifts, which comprised the information on radial velocities of the objects. Some results of the experiment are presented.

Coordinated Multiwavelength Observations of PKS 0528+134 in Quiescence

NASA Astrophysics Data System (ADS)

Boettcher, Markus; Palma, N.

2011-01-01

We report results of an intensive multiwavelength campaign on the prominent high-redshift (z = 2.06) gamma-ray bright blazar PKS 0528+134 in September - October 2009. The campaign was centered on four 30 ksec pointings with XMM-Newton, supplemented with ground-based optical (MDM, Perkins) and radio (UMRAO, Medicina, Metsaehovi, Noto, SMA) observations as well as long-term X-ray monitoring with RXTE and gamma-ray monitoring by Fermi. We find significant variability on 1 day time scales in the optical regime, accompanied by a weak redder-when-brighter trend. X-ray variability is found on longer ( 1 week) time scales, while the Fermi light curve shows no evidence for variability, neither in flux nor spectral index. We constructed four simultaneous spectral energy distributions, which can all be fit satisfactorily with a one-zone leptonic jet model. This work was supported by NASA through XMM-Newton Guest Observer Grant NNX09AV45G.

A new archival infrastructure for highly-structured astronomical data

NASA Astrophysics Data System (ADS)

Dovgan, Erik; Knapic, Cristina; Sponza, Massimo; Smareglia, Riccardo

2018-03-01

With the advent of the 2020 Radio Astronomy Telescopes era, the amount and format of the radioastronomical data is becoming a massive and performance-critical challenge. Such an evolution of data models and data formats require new data archiving techniques that allow massive and fast storage of data that are at the same time also efficiently processed. A useful expertise for efficient archiviation has been obtained through data archiving of Medicina and Noto Radio Telescopes. The presented archival infrastructure named the Radio Archive stores and handles various formats, such as FITS, MBFITS, and VLBI's XML, which includes description and ancillary files. The modeling and architecture of the archive fulfill all the requirements of both data persistence and easy data discovery and exploitation. The presented archive already complies with the Virtual Observatory directives, therefore future service implementations will also be VO compliant. This article presents the Radio Archive services and tools, from the data acquisition to the end-user data utilization.

Gravity effects obtained from global hydrology models in comparison with high precision gravimetric time series

NASA Astrophysics Data System (ADS)

Wziontek, Hartmut; Wilmes, Herbert; Güntner, Andreas; Creutzfeldt, Benjamin

2010-05-01

Water mass changes are a major source of variations in residual gravimetric time series obtained from the combination of observations with superconducting and absolute gravimeters. Changes in the local water storage are the main influence, but global variations contribute to the signal significantly. For three European gravity stations, Bad Homburg, Wettzell and Medicina, different global hydrology models are compared. The influence of topographic effects is discussed and due to the long-term stability of the combined gravity time series, inter-annual signals in model data and gravimetric observations are compared. Two sources of influence are discriminated, i.e., the effect of a local zone with an extent of a few kilometers around the gravimetric station and the global contribution beyond 50km. Considering their coarse resolution and uncertainties, local effects calculated from global hydrological models are compared with the in-situ gravity observations and, for the station Wettzell, with local hydrological monitoring data.

Starless Cores as Fundamental Physics Labs

NASA Astrophysics Data System (ADS)

Mignano, Arturo; Molaro, Paolo; Levshakov, Sergei; Centurión, Miriam; Maccaferri, Giuseppe; Lapinov, Alexander

We present high resolution observations in the starless dense molecular core L1512 performed with the Medicina 32m radio telescope. The resolved hfs components of HC3N and NH3 show no kinematic sub-structure and consist of an apparently symmetric peak profile without broadened line wings or self-absorption features suggesting that they sample the same material. The velocity dispersion is 101( ± 1) m s - 1for NH3 and 85( ± 2) m s - 1 for HC3N. The kinetic temperature of the cloud is estimated at 9.2 ( ± 1.2) K and the turbulence is of 76 m s - 1in a subsonic regime. This places L1512 among the most quiescent dark cores and makes it an ideal laboratory to study variations of the electron-to-proton mass ratio, μ = {m}e/{m}p by means of observations of inversion lines of NH3 combined with rotational lines of other molecular species.

VizieR Online Data Catalog: Radio obs. of NGC 6251 jet (Tseng+, 2016)

NASA Astrophysics Data System (ADS)

Tseng, C.-Y.; Asada, K.; Nakamura, M.; Pu, H.-Y.; Algaba, J.-C.; Lo, W.-P.

2017-05-01

We conducted European VLBI Network (EVN) observations of NGC 6251 on 2013 March 10 at 1.6GHz with the stations at Badary, Svetloe, Zelenchukskaya (Russia), Effelsberg (Germany), Jodrell Bank (UK), Medicina, Noto (Italy), Onsala (Sweden), Shanghai, Urumqi (China), Torun (Poland), and Westerbork (Netherlands). Archival Very Long Baseline Array (VLBA) data at 5GHz are used and calibrated in the same manner as the EVN data. Also, 12 epochs of the VLBA data at 15GHz are obtained from the MOJAVE database (Lister+ 2009, J/AJ/137/3718). Observations were conducted during 1998-2013. We also use a published VLA image of NGC 6251 at 1.4GHz to compare with the VLBI measurements in Section 4.1. The image, as well as the calibration processes, is shown in Sambruna+ (2004A&A...414..885S). Observations were conducted on 1995 August 15 using the full VLA in its A-configuration. The beam is restored to be circular with an FWHM of 2". (1 data file).

Francesco and masers

NASA Astrophysics Data System (ADS)

Menten, K. M.

Masers in general are signposts of interesting astronomical sources and phenomena. In particular, they are found in the immediate environment of young stellar objects. Abundant observational evidence suggests that H_2O masers arise in the outflows from such sources in their earliest evolutionary phases and are in fact powered by accretion. As such they are intimately connected with the core of Francesco Palla's science. And indeed, H_2O masers were at the start and an essential component of a highly successful research program initiated by Francesco, the identification and characterization of a significant sample of massive young stellar objects. An overview is given of the sustained H_2O maser research program conducted over many years with the Medicina 32-meter radio telescope, in which Francesco played a vital part. Last, but not least, with Steven Stahler, Francesco co-authored an excellent chapter on interstellar masers that formed a part of The Formation of Stars, their classic textbook of the field.

GPU-Powered Coherent Beamforming

NASA Astrophysics Data System (ADS)

Magro, A.; Adami, K. Zarb; Hickish, J.

2015-03-01

Graphics processing units (GPU)-based beamforming is a relatively unexplored area in radio astronomy, possibly due to the assumption that any such system will be severely limited by the PCIe bandwidth required to transfer data to the GPU. We have developed a CUDA-based GPU implementation of a coherent beamformer, specifically designed and optimized for deployment at the BEST-2 array which can generate an arbitrary number of synthesized beams for a wide range of parameters. It achieves ˜1.3 TFLOPs on an NVIDIA Tesla K20, approximately 10x faster than an optimized, multithreaded CPU implementation. This kernel has been integrated into two real-time, GPU-based time-domain software pipelines deployed at the BEST-2 array in Medicina: a standalone beamforming pipeline and a transient detection pipeline. We present performance benchmarks for the beamforming kernel as well as the transient detection pipeline with beamforming capabilities as well as results of test observation.

Treatment of type 2 diabetes mellitus in elderly patients.

PubMed

Gómez-Huelgas, R; Gómez Peralta, F; Rodríguez Mañas, L; Formiga, F; Puig Domingo, M; Mediavilla Bravo, J J; Miranda, C; Ena, J

2018-03-01

The prevalence of type 2 diabetes mellitus (DM2) increases markedly with age. Antidiabetic treatment and the objectives of glycaemic control in elderly patients with DM2 should be individualised according to their biopsychosocial characteristics. In elderly patients for whom the benefits of intensive antidiabetic treatment are limited, the basic objectives should be to improve the quality of life, preserve functionality and avoid adverse effects, especially hypoglycaemia. Treatment of DM2 in the elderly was the subject of a consensus document published in 2012 and endorsed by several Spanish scientific societies. Since then, new therapeutic groups and evidence have emerged that warrant an update to this consensus document. The present document focuses on the therapeutic aspects of DM2 in elderly patients, understood as being older than 75 years or frail. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Treatment in Fabry disease.

PubMed

López Rodríguez, M

2018-04-13

Fabry disease is an X-linked inborn disease caused by deficit of alpha-galactosidaseA. This results in accumulation of glycosphingolipids in all cells and tissues. All males should receive enzyme replacement treatment in case of very low or undetectable levels of alpha-galactosidaseA. Female carriers and males with marginally levels of alpha-galactosidaseA should be treated in case of renal, neurologic o cardiac manifestations. There are two intravenous formulations of human recombinant enzyme, agalsidase alpha and agalsidase beta, showing similar efficacy and safety. Patients with amenable mutations of alpha-galactosidase can be treated with oral migalastat hydrochloride. Migalastat hydrochloride is a pharmacological chaperone that facilitates trafficking of alpha-galactosidaseA to lysosomes increasing enzyme activity. Patients treated with migalastat hydrochloride had significant improvements in left ventricular mass and gastrointestinal symptoms. Copyright © 2018 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Medicinal Formulas and Experiential Knowledge in the Seventeenth-Century Epistemic Exchange between China and Europe.

PubMed

Hanson, Marta; Pomata, Gianna

2017-03-01

This essay deals with the medical recipe as an epistemic genre that played an important role in the cross-cultural transmission of knowledge. The article first compares the development of the recipe as a textual form in Chinese and European premodern medical cultures. It then focuses on the use of recipes in the transmission of Chinese pharmacology to Europe in the second half of the seventeenth century. The main sources examined are the Chinese medicinal formulas translated—presumably—by the Jesuit Michael Boym and published in Specimen Medicinae Sinicae (1682), a text that introduced Chinese pulse medicine to Europe. The article examines how the translator rendered the Chinese formulas into Latin for a European audience. Arguably, the translation was facilitated by the fact that the recipe as a distinct epistemic genre had developed, with strong parallels, in both Europe and China. Building on these parallels, the translator used the recipe as a shared textual format that would allow the transfer of knowledge between the two medical cultures.

The assessment of medical competencies.

PubMed

Sureda-Demeulemeester, E; Ramis-Palmer, C; Sesé-Abad, A

2017-12-01

To describe the most widely used tools in the assessment of medical competencies, analyse their prevalence of use, their advantages and disadvantages and propose an appropriate model for our context. We conducted a narrative review of articles from MEDLINE, following the PRISM protocol, and analysed a total of 62 articles. The assessment of competencies is heterogeneous, especially in the educational and professional settings. The specific and technical competencies acquired during university education are mainly assessed using the objective structured clinical assessment. In the professional setting, core competencies are assessed using the 360° technique. We need a rigorous empiric comparison of the efficiency of the tools according to the type of competency. We propose a competency management model for the «undergraduate/graduate/active professional» continuum, whose goal is to improve training and professional practice and thereby increase the quality of patient care. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Tools for evaluating Lipolexis oregmae (Hymenoptera: Aphidiidae) in the field: Effects of host aphid and host plant on mummy location and color plus improved methods for obtaining adults

DOE Office of Scientific and Technical Information (OSTI.GOV)

Singh, R.; Hoy, M.A.

Lipolexis oregmae Gahan was introduced into Florida in a classical biological control program directed against the brown citrus aphid, Toxoptera citricida (Kirkaldy), on citrus. Prior to evaluating distribution, host range, and potential nontarget effects of L. oregmae in Florida, we evaluated the role of other potential host aphids and host plants on mummy production and location. Under laboratory conditions, this parasitoid produced the most progeny on the target pest, the brown citrus aphid on citrus. This parasitoid, unlike the majority of aphidiids, did not produce mummies on any of the host plants tested when reared in black citrus aphid T.more » aurantii (Boyer de Fonscolombe) on grapefruit, spirea aphid Aphis spiraecola Patch on grapefruit and pittosporum, cowpea aphid A. craccivora Koch on grapefruit and cowpeas, or melon aphid A. gossypii Glover on grapefruit and cucumber. Thus, sampling for L. oregmae mummies of these host aphids and host plants must involve holding foliage in the laboratory until mummies are produced. This parasitoid requires high relative humidity to produce adults because no adults emerged when mummies were held in gelatin capsules, but high rates of emergence were observed when mummies were held on 1.5% agar plates. In addition, we compared the color of 6 aphid hosts and the color of mummies produced by L. oregmae when reared in them to determine if color of mummies could be used to identify L. oregmae . Mummy color varied between aphid hosts and tested host plants, and is not a useful tool for identifying L. oregmae for nontarget effects. (author) [Spanish] Lipolexis oregmae Gahan fue introducida en Florida por medio de un programa de control biologico clasico dirigido contra el afido pardo de los citricos, Toxoptera citricida (Kirkaldy), sobre Citrus. Prioritario a la evaluacion de la distribucion, el rango de los hospederos y los efectos potenciales de L. oregmae sobre los organismos que no son el enfoque de control en la

Order and Progress? The Evolution of Brazilian Defense Strategy

DTIC Science & Technology

2014-03-01

273. 119 Edmundo Sussumo Fujita, “O Brasil E O Conselho de Segurança: Notas Sobre Uma Década de Transição (1985-1995),” Parcerias Estratégicas 1... Brasil No Context Político Regional (2010): 34–42. Desch, Michael C. Civilian Control of the Military: The Changing Security Environment...Press, 1998. Fujita, Edmundo Sussumo. “O Brasil E O Conselho de Segurança: Notas Sobre Uma Década de Transição (1985-1995).” Parcerias Estratégicas 1

Mixed-Methods Study that Examines Nine Science Teachers' Perceptions of Slooh Robotic Telescope for Teaching Astronomy. (Breton Title: Métodos Mistos de Estudo que Examinam a Percepção de Nove Professores de Ciências sobre o Telescópio Robótico Slooh Para Ensino de Astronomia.) Métodos Mixtos de Estudio que Examinan la Percepcion de Nueve Profesores de Ciencias sobre EL Telescopio Robótico Slooh Para la Enseñanza de la Astronomía

NASA Astrophysics Data System (ADS)

Gershun, Daniel C.; Slater, Timothy F.; Berryhill, Katie J.

2014-07-01

Although previous studies show that robotic telescopes have the potential to enhance student learning, there is comparatively little research that focuses on teacher perceptions of this technology. This study investigates: "what is the academic merit of using SLOOH robotic telescopes to teach astronomy as perceived by science teachers?" Our sample consists of nine science teachers of students aged 13-18 years. Pre- and post-tests, interviews, and surveys were collected during two weeks of a summer online course about robotic telescopes. While pre and post-tests do not reveal a statistically significant gain in astronomy content knowledge, analysis of qualitative data reveals five themes which describe the most important aspects of using SLOOH according to participants: "Images," "Interface," "Classroom Application," "Instructor Impact," and "Logistical Issues." Analysis of these themes suggests that SLOOH can provide an interactive and social learning environment with capabilities to incorporate crossdisciplinary themes. Embora estudos anteriores mostram que os telescópios robóticos têm o potencial de melhorar a aprendizagem dos alunos, há relativamente pouca investigação focada nas percepções de professores a respeito desta tecnologia. Este estudo investiga: "qual é o mérito acadêmico da utilização de telescópios robóticos Slooh para ensinar astronomia, tal como percebido pelos professores de ciências?" Nossa amostra é composta por nove professores de ciências de estudantes com idades entre 13-18 anos pré e pós-testes, entrevistas, e levantamentos foram coletados durante duas semanas de um curso on-line de verão sobre telescópios robóticos. Enquanto os testes pré e pós não revelaram um ganho estatisticamente significativo no conhecimento do conteúdo astronomia, a análise de dados qualitativos revela cinco temas que descrevem os aspectos mais importantes da utilização Slooh de acordo aos participantes: "Imagens", "Interface", "Aplica

[Not Available].

PubMed

Grao-Cruces, Alberto; Loureiro, Nuno; Fernández-Martínez, Antonio; Mota, Jorge

2016-07-19

Introducción y objetivos: examinar la asociación del apoyo de los padres y de los amigos con diferentes intensidades de actividad física durante el tiempo libre de adolescentes españoles de ambos sexos.Métodos: un total 352 adolescentes españoles (51.70% chicos; 12-16 años) cumplimentaron el International Physical Activity Questionnarie for Adolescents y un cuestionario validado sobre apoyo social. Se realizaron análisis de regresión linear ajustados por edad.Resultados: el apoyo social de padres y amigos influyó positivamente sobre los niveles de actividad física vigorosa que los adolescentes españoles realizan durante su tiempo libre (β=.226 y β=.285 en chicos y β=.167 y β=.181 en chicas, para el apoyo de padres y amigos respectivamente) y sobre los de intensidad moderada en el caso de las chicas (β=.195 y β=.200, respectivamente).Conclusiones: el apoyo de padres y amigos contribuye a los niveles de actividad física moderada o vigorosa en adolescentes españoles.

Complementary Effects of Genetic Variations in LEPR on Body Composition and Soluble Leptin Receptor Concentration after 3-Month Lifestyle Intervention in Prepubertal Obese Children

PubMed Central

Gajewska, Joanna; Kuryłowicz, Alina; Mierzejewska, Ewa; Ambroszkiewicz, Jadwiga; Chełchowska, Magdalena; Weker, Halina; Puzianowska-Kuźnicka, Monika

2016-01-01

In obese individuals, weight loss might be affected by variants of the adipokine-encoding genes. We verified whether selected functional single nucleotide polymorphisms in LEP, LEPR and ADIPOQ are associated with changes in serum levels of the respective adipokines and weight loss in 100 prepubertal obese (SDS-BMI > 2) Caucasian children undergoing lifestyle intervention. Frequencies of the -2548G > A LEP, Q223R LEPR, K656N LEPR, -11377C > G and -11426A > G ADIPOQ polymorphisms were analyzed by restriction fragment length polymorphism. Serum adipokine and soluble leptin receptor (sOB-R) concentrations were measured using the ELISA method. Among the analyzed polymorphisms, only LEPR polymorphisms were associated with changes of SDS-BMI or sOB-R concentrations in children after therapy. Carriers of the wild-type K665N and at least one minor Q223R allele had the greatest likelihood of losing weight (OR = 5.09, p = 0.006), an increase in sOB-R (ptrend = 0.022) and decrease in SDS-BMI correlated with the decrease of fat mass (p < 0.001). In contrast, carrying of the wild-type Q223R and at least one minor K665N allele were associated with a decrease in sOB-R concentrations and a decrease in SDS-BMI correlated with a decrease in fat-free mass (p = 0.002). We suggest that the combination of different LEPR variants, not a single variant, might determine predisposition to weight loss in the prepubertal period. PMID:27240401

Estudios sobre Educacion, 2002 (Studies on Education, 2002).

ERIC Educational Resources Information Center

Estudios sobre Educacion, 2002

2002-01-01

This journal, which provides abstracts of its articles mostly in Spanish and a few in English, contains studies (estudios) and notes (notas) about educational issues, as well as relevant book reviews (recensiones). Studies in this issue (No. 3, 2002) are: "Unprotected Time of Early Adolescence and Intergenerational Relations: A New…

Infórmese sobre el programa de WIFIA

EPA Pesticide Factsheets

La Ley de finanzas e innovación de la infraestructura del agua de 2014 estableció el programa de WIFIA, un programa federal crediticio administrado por la EPA para proyectos elegibles de infraestructura de agua y aguas sanitarias.

[Parenting Information. Informacion Sobre Como Ser Padres Mejores.

ERIC Educational Resources Information Center

Moreno, Steve

These five booklets, containing information on how parenting can effect children's school achievement, are part of a series of 22 innovative booklets designed specifically to help parents understand and help their children learn. Booklet #1, "Parents--Teach Your Children to Learn [Before They Go to School]," defines intelligence and…

Reflexiones Sobre Investigacion Educacional (Reflections on Educational Research).

ERIC Educational Resources Information Center

Valle, Victor M.

Educational research can serve to improve education in both developed and developing countries. It can be oriented toward increasing knowledge about the educational reality, generating theories, or confirming immediate educational political decisions. Educational research should be an interdisciplinary undertaking; this variety helps to unify…

Estudios sobre Educacion, 2002 (Studies on Education, 2002).

ERIC Educational Resources Information Center

Estudios sobre Educacion, 2002

2002-01-01

This scholarly journal deals with the study of education. Articles in this second issue are: "La Vertebracion Academica de la Formacion Inicial del Profesorado" (The Academic Backbone of the Initial Formation of Teachers) (Jose M. Esteve); "Deficiencia Visual en el Nino" (Visual Deficiency in the Young Child) (Feli Peralta;…

Epilepsy. Fact Sheet = Epilepsia. Hojas Informativas Sobre Discapacidades.

ERIC Educational Resources Information Center

National Information Center for Children and Youth with Disabilities, Washington, DC.

This fact sheet, written in both English and Spanish, provides a definition, information on incidence, typical characteristics, and educational implications of epilepsy. It notes that epilepsy is classified as "other health impaired" under the Individuals with Disabilities Education Act (IDEA) and that children with epilepsy or seizure disorders…

Conceptos Basicos Sobre el Gas Natural (in Spanish)

DOE Office of Scientific and Technical Information (OSTI.GOV)

El gas natural abastece cerca de 150.000 vehiculos en los Estados Unidos y aproximadamente 22 millones de vehiculos en todo el mundo. Los vehiculos de gas natural (NGV, por sus siglas en ingles) son una buena opcion para las flotas de vehiculos de alto kilometraje, tales como autobuses, taxis, vehiculos de recoleccion de basura, los cuales son alimentados centralmente u operan dentro de un area limitada o a lo largo de una ruta con estaciones de servicio de gas natural. Las ventajas del gas natural como combustible alternativo incluyen su disponibilidad interna, la red de distribucion establecida, un costo relativamentemore » bajo, y los beneficios de las emisiones.« less

Cultural Adaptation and Reliability of the Compliance with Standard Precautions Scale (CSPS) for Nurses in Brazil.

PubMed

Pereira, Fernanda Maria Vieira; Lam, Simon Ching; Gir, Elucir

2017-03-02

this study aimed to carry of the cultural adaptation and to evaluate the reliability of the Compliance with Standard Precautions Scale (CSPS) for nurses in Brazil. the adaptation process entailed translation, consensus among judges, back-translation, semantic validation and pretest. The reliability was evaluated by internal consistency (Cronbach alpha) and stability (test-retest). The instrument was administered to a sample group of 300 nurses who worked in a large hospital located in the city of São Paulo/SP, Brazil. through the semantic validation, the items from the scale were considered understandable and deemed important for the nurse´s clinical practice. The CSPS Brazilian Portuguese version (CSPS-PB) revealed excellent interpretability. The Cronbach`s alpha was 0.61 and the intraclass correlation coefficient was 0.85. the initial study showed that CSPS-PB is appropriate to assess compliance with standard precautions among nurses in Brazil. The reliability was considered acceptable. Furhter study is necessary to evaluate its comprehensive psychometric properties. adaptar culturalmente y evaluar la confiabilidad de la Compliance with Standard Precautions Scale (CSPS) para enfermeros en Brasil. el proceso de adaptación abarcó la traducción, consenso entre jueces, retrotraducción, validación semántica y pretest. La confiabilidad fue evaluada mediante la consistencia interna (alfa de Cronbach) y estabilidad (test-retest). El instrumento fue administrado a una muestra de 300 enfermeros actuantes en un gran hospital ubicado en la ciudad de São Paulo/SP, Brasil. a través de la validación semántica, los ítems de la escala fueron considerados comprensibles e importantes para la práctica clínica enfermera. La versión en portugués de Brasil de la CSPS (CSPS-PB) reveló excelente posibilidad de interpretación. El alfa de Cronbach correspondió a 0.61 y el coeficiente de correlación intraclase fue 0.85. el estudio inicial mostró que la CSPS-PB es

Translation and cross-cultural adaptation of the Clinical Competence Questionnaire for use in Brazil.

PubMed

Kwiatkoski, Danielle Ritter; Mantovani, Maria de Fátima; Pereira, Evani Marques; Bortolato-Major, Carina; Mattei, Ângela Taís; Peres, Aida Maris

2017-06-05

translating and transculturally adapting the Clinical Competence Questionnaire to Brazilian senior undergraduate Nursing students, as well as measuring psychometric properties of the questionnaire. a methodological study carried out in six steps: translation of the Clinical Competence Questionnaire instrument, consensus of the translations, back-translation, analysis by an expert committee, pre-testing and then presentation of the cross-cultural adaptation process to the developers. Psychometric properties were measured using Cronbach's alpha, intraclass correlation coefficient and content validity index. the instrument was translated, transculturally adapted and its final version consisted of 48 items. Cronbach's alpha coefficient was 0.90, and the agreement index of the items was 99% for students and 98% for evaluators. the Clinical Competence Questionnaire was translated and adapted to Brazilian students, and the psychometric properties of the Portuguese version of the questionnaire presented satisfactory internal consistency regarding the studied sample. traduzir e adaptar transculturalmente o Clinical Competence Questionnaire aos estudantes brasileiros concluintes da graduação em enfermagem, bem como mensurar as propriedades psicométricas do questionário. estudo metodológico realizado em seis etapas: tradução do instrumento Clinical Competence Questionnaire, consenso das traduções, retrotradução, análise pelo comitê de especialistas, pré-teste e apresentação do processo de adaptação transcultural para os desenvolvedores. As propriedades psicométricas foram mensuradas utilizando-se o alfa de Cronbach, coeficiente de correlação intraclasse e índice de validade de conteúdo. o instrumento foi traduzido, adaptado transculturalmente e sua versão final foi constituída de 48 itens. O coeficiente alfa de Cronbach foi de 0,90, e o índice de concordância dos itens foi de 99% para os estudantes e de 98% para os avaliadores. o Clinical Competence

[Hospitalizations at Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, USP, 1996-2003].

PubMed

Chaves, Lucieli Dias Pedreschi; Laus, Ana Maria; Anselmi, Maria Luiza

2009-03-01

Hospitalizations represent an important share of healthcare, due to both the complexity of actions and the financial volume applied. This descriptive-exploratory investigation had the purpose to identify and describing the physical and financial production of hospitalizations performed in a school hospital in the state of São Paulo, from 1996 to 2003, focusing the specialties of surgical clinic, medical clinic, pediatrics and obstetrics. Data collection was performed by searching the official databanks of the studied institution. In that period, a global 8.5% reduction in the frequency of admittances and a 78.4% increase in the financial resources were observed. Surgical clinic, with more expensive procedures, increased its admittances; the production in obstetrics showed the lowest variation. The increasing incorporation of technology, the demands from regional users and the migration of users from the supplementary system to the SUS may justify the variation of production in the different specialties.

Cross-sectional study on blood pressure control in the department of nephrology of the Escola Paulista de Medicina - UNIFESP.

PubMed

Freitas, João Batista de; Tavares, Agostinho; Kohlmann, Osvaldo; Zanella, Maria Tereza; Ribeiro, Artur Beltrame

2002-08-01

To assess hypertension control rates in a specialized university-affiliated medical department, the influence of sex, diabetes, and obesity on that control, and the strategies for the treatment of hypertension. We carried out a cross-sectional study with 1,210 patients followed up for at least 6 months. Information was gathered from medical and nursing records and comprised the following data: sex, age, weight, height, abdominal and hip circumferences, blood pressure, and class and number of the antihypertensive drugs prescribed. To assess obesity, we used body mass index and waist/hip ratio. Blood pressure was considered under control when its levels were below 140/90 mmHg. The study consisted of 73% females and 27% males. Most females (31.7%) were 50 to 59 years of age, and most males (28.3%) were 60 to 69 years. The blood pressure control rate found was 20.9% for the 1,210 patients and 23.4% for the hypertensive diabetic patients (n=290). Despite the low control rates found, 70% of the patients used 1 or 2 antihypertensive medications. A high prevalence of obesity (38%) was observed, and females had a greater abdominal obesity index than males did (90% vs 82%, p<0.05). Patients with a greater body mass index had less control of blood pressure. The percentage of hypertensive patients with controlled blood pressure levels was low and was associated with a high prevalence of obesity. These data indicate the need for reviewing the strategies of global treatment for hypertension.

Memories of Astronomy Education in Brazil: Clippings from the Discourses of Interviewed Researchers on the Subject. (Spanish Title: Memorias de la Educación en Astronomía en Brasil: Recortes de los Discursos de Investigadores Entrevistados Acerca del Tema ) Memórias da Educação em Astronomia no Brasil: Recortes a Partir das Falas de Pesquisadores Entrevistados sobre o Tema

NASA Astrophysics Data System (ADS)

Iachel, Gustavo; Nardi, Roberto

2014-12-01

This paper presents a historical retrospective concerning data from a research in Astronomy Education in Brazil, after 1973. It was organized on the basis of the speech analysis of national researchers considered references in this field by their peers. Furthermore, it was elaborated on the basis of other studies from the areas of Science Education, Physics and Astronomy. This historical overview was developed in order to facilitate understanding of the contexts in which the interviewed researchers have developed professionally. Moreover, we attempted to recover the memory of the growing field of research in Astronomy Education in the country. We believe that the history presented can help those trying to understand the past in an attempt to resolve current and future demands. Se presenta en este artículo una retrospectiva histórica referente a datos provenientes de la investigación en enseñanza de la astronomía en el Brasil, después de 1973, organizada sobre la base del análisis de los discursos de los investigadores nacionales considerados referencias en este campo, y también en la lectura de las publicaciones en las áreas de Enseñanza de las Ciencias, Física y Astronomía. Este repaso histórico se desarrolló con el fin de facilitar la comprensión de los contextos en los que los investigadores entrevistados se han desarrollado profesionalmente. Por otra parte, se intentó recuperar la memoria del creciente campo de la investigación en Educación en Astronomía en el país. Creemos que el relato presentado puede contribuir a quien trata de comprender el pasado, en un intento de resolver las demandas actuales y futuras. Relata-se neste artigo uma retrospectiva histórica referente a dados provenientes de pesquisa em Educação em Astronomia no país, pós 1973, organizada com base na análise das falas de pesquisadores considerados referências nacionais nesse campo, como também na leitura de publicações das áreas de ensino de Ciências, F�

Fatigue in children and adolescents with cancer from the perspective of health professionals.

PubMed

Silva, Michele Cristina Miyauti da; Lopes, Luís Carlos; Nascimento, Lucila Castanheira; Lima, Regina Aparecida Garcia de

2016-08-29

to investigate health professionals' knowledge about the concept, assessment and intervention in fatigue in children and adolescents with cancer. exploratory study with qualitative approach, with 53 health professionals (10 nurses, 33 assistant nurses, 3 physicians, 3 nutritionists, 2 psychologists and 2 physical therapists). Semi structured interviews were held, which were recorded and analyzed by means of inductive thematic content analysis. the data were organized around three themes: knowledge of health professionals about fatigue; identification of fatigue and interventions to relieve fatigue. the results indicate the health professionals' limited knowledge about fatigue, as well as the lack of investment in their training and continuing education. Most of all, the lack of research on the theme in the Brazilian context remains a barrier to support improvements in care for this symptom in children and adolescents with cancer. investigar quais conhecimentos os profissionais de saúde têm acerca do conhecimento, avaliação e intervenção sobre a fadiga em crianças e adolescentes com câncer. estudo exploratório com abordagem qualitativa, realizado com 53 profissionais de saúde (10 enfermeiros, 33 auxiliares de enfermagem, 3 médicos, 3 nutricionistas, 2 psicólogos e 2 fisioterapeutas). Foram conduzidas entrevistas semiestruturadas as quais foram gravadas e analisadas por meio do modelo de análise de conteúdo do tipo temática indutiva. os dados foram organizados ao redor de três temas: conhecimento dos profissionais da saúde sobre fadiga; identificação da fadiga e intervenções para o alívio da fadiga. os achados apontam para o conhecimento limitado dos profissionais de saúde sobre fadiga, bem como para o pouco investimento em educação continuada e permanente. Sobretudo, a escassez de estudos sobre o assunto no cenário brasileiro ainda é uma barreira para oferecer subsídios para melhoria deste sintoma em crianças e adolescentes com c

Estereotipos Sexuales y su Relación con Conductas Sexuales Riesgosas1,2,3

PubMed Central

Pérez-Jiménez, David; Orengo-Aguayo, Rosaura E.

2012-01-01

Resumen Los estereotipos sexuales son creencias generalmente aceptadas y poco cuestionadas que podrían contribuir a cómo los hombres y las mujeres debemos expresar nuestra sexualidad. Los objetivos de este estudio eran identificar cuántos hombres y mujeres heterosexuales en Puerto Rico endosaban ciertos estereotipos acerca de la sexualidad masculina y femenina y explorar la relación entre el endoso de estos estereotipos sexuales y las actitudes hacia el condón masculino y su uso en relaciones sexuales vaginales Llevamos a cabo un estudio descriptivo-correlacional mediante el cual le administramos dos escalas, una sobre sexualidad masculina y otra sobre sexualidad femenina a un grupo de 429 personas heterosexuales. Encontramos que los hombres endosaron estereotipos sexuales masculinos y femeninos más que las mujeres y que estos tienden a tener una visión más conservadora respecto a la sexualidad femenina que la que tienen sobre su propia sexualidad. Las mujeres, por otra parte, tienden a ver su propia sexualidad y la sexualidad masculina en términos menos estereotipados y más equitativos. También encontramos que a mayor endoso de creencias tradicionales sobre la sexualidad masculina y femenina, peor la actitud hacia el uso del condón masculino. Sin embargo, el endosar estereotipos sexuales masculinos y/o femeninos no se relacionó con el uso del condón. Estos hallazgos contradicen la literatura que sugiere que estos estereotipos sexuales y de género resultan en conductas sexuales de alto riesgo, lo cual tiene implicaciones importantes para el desarrollo e implementación de programas de prevención. PMID:24575164

Data Sharing Statements for Clinical Trials: A Requirement of the International Committee of Medical Journal Editors.

PubMed

Taichman, Darren B; Sahni, Peush; Pinborg, Anja; Peiperl, Larry; Laine, Christine; James, Astrid; Hong, Sung-Tae; Haileamlak, Abraham; Gollogly, Laragh; Godlee, Fiona; Frizelle, Franka; Florenzano, Fernando; Drazen, Jeffrey M; Bauchner, Howard; Baethge, Christopher; Backus, Joyce

2017-06-01

El Comité Internacional de Editores de Revista Médicas (ICMJE) ha tomado la posición que el compartir los datos generados por los ensayos clínicos es una obligación ética, por cuanto los participantes en esos estudios se colocaron en riesgo al aceptar su inclusión. En esta editorial el ICMJE expresa que requerirá desde Julio 2018 que los manuscritos enviados a sus revistas deben incluir una declaración sobre compartir datos. A su vez, los ensayos clínicos que comiencen a enrolar pacientes a partir de Enero 2019, deben incluir un plan sobre compartir datos en el registro de tales ensayos. Se dan en esta declaración cuatro ejemplos de declaraciones sobre compartir datos, referidos a qué datos se compartirán, cuándo estarán disponibles y qué criterios de acceso se establecerán. El ICMJE visualiza un futuro cercano en el cual el compartir los datos será la norma, con el fin de maximizar el conocimiento ganado por los esfuerzos y sacrificios de los participantes.

PubMed

Silva, Cristiane Gonçalves da; Santos, Alessandro Oliveira; Licciardi, Daniele Carli; Paiva, Vera; Parker, Richard

2008-01-01

Esse artigo descreve como jovens religiosos e autoridades religiosas de sua comunidade compreendem a sexualidade, considerando suas experiências pessoais e como membros de comunidades religiosas. A análise pretende contribuir para que políticas públicas dedicadas à promoção da saúde sexual da juventude considerem a religiosidade, no contexto de um estado laico e da promoção do direito à prevenção. Foram realizadas 26 entrevistas abertas e semidirigidas em diferentes comunidades da região metropolitana da cidade de São Paulo (comunidades católicas, da umbanda, do candomblé e de diferentes denominações evangélicas) sobre iniciação sexual, casamento, gravidez, contracepção e prevenção das DST/Aids, homossexualidade, aborto e direitos humanos. Observou-se como jovens e autoridades religiosas convivem com a tensão entre tradição e modernidade e os distintos discursos sobre a sexualidade. Como sujeitos religiosos (do discurso religioso) e sujeitos sexuais (de discursos sobre sexualidade), devem ser incorporados pelos programas como sujeitos de direito nos termos de sua religiosidade.

Religiosidade, juventude e sexualidade: entre a autonomia e a rigidez1

PubMed Central

Silva, Cristiane Gonçalves da; Santos, Alessandro Oliveira; Licciardi, Daniele Carli; Paiva, Vera; Parker, Richard

2009-01-01

Esse artigo descreve como jovens religiosos e autoridades religiosas de sua comunidade compreendem a sexualidade, considerando suas experiências pessoais e como membros de comunidades religiosas. A análise pretende contribuir para que políticas públicas dedicadas à promoção da saúde sexual da juventude considerem a religiosidade, no contexto de um estado laico e da promoção do direito à prevenção. Foram realizadas 26 entrevistas abertas e semidirigidas em diferentes comunidades da região metropolitana da cidade de São Paulo (comunidades católicas, da umbanda, do candomblé e de diferentes denominações evangélicas) sobre iniciação sexual, casamento, gravidez, contracepção e prevenção das DST/Aids, homossexualidade, aborto e direitos humanos. Observou-se como jovens e autoridades religiosas convivem com a tensão entre tradição e modernidade e os distintos discursos sobre a sexualidade. Como sujeitos religiosos (do discurso religioso) e sujeitos sexuais (de discursos sobre sexualidade), devem ser incorporados pelos programas como sujeitos de direito nos termos de sua religiosidade. PMID:21886456

Terapia fibrinolítica sistêmica no tromboembolismo pulmonar

PubMed Central

Ceresetto, José Manuel; Marques, Marcos Arêas

2017-01-01

Resumo O tromboembolismo pulmonar permanece como um grande desafio terapêutico para os médicos especialistas, pois, apesar de todo investimento e desenvolvimento em seu diagnóstico, profilaxia e tratamento, essa condição continua sendo a principal causa de morte evitável em ambiente hospitalar. Ainda restam muitas dúvidas em relação a qual perfil de paciente vai se beneficiar de fato da terapia fibrinolítica sistêmica, sem ficar exposto a um grande risco de sangramento. A estratificação de risco e a avaliação do prognóstico do evento, através de escores clínicos de insuficiência ventricular direita, marcadores de dilatação e disfunção do ventrículo direito e avaliação da massa trombótica, associados ou de forma isolada, são ferramentas que podem auxiliar na identificação do paciente que irá se beneficiar dessa terapia. Os únicos consensos em relação à terapia fibrinolítica no tratamento do tromboembolismo pulmonar são: não deve ser indicada de forma rotineira; nenhum dos escores ou marcadores, isoladamente, devem justificar seu uso; e os pacientes com instabilidade hemodinâmica são os mais beneficiados. Além disto, deve-se avaliar cada caso em relação ao risco de sangramento, especialmente no sistema nervoso central. PMID:29930636

Medical Image Processing Server applied to Quality Control of Nuclear Medicine.

NASA Astrophysics Data System (ADS)

Vergara, C.; Graffigna, J. P.; Marino, E.; Omati, S.; Holleywell, P.

2016-04-01

This paper is framed within the area of medical image processing and aims to present the process of installation, configuration and implementation of a processing server of medical images (MIPS) in the Fundación Escuela de Medicina Nuclear located in Mendoza, Argentina (FUESMEN). It has been developed in the Gabinete de Tecnologia Médica (GA.TE.ME), Facultad de Ingeniería-Universidad Nacional de San Juan. MIPS is a software that using the DICOM standard, can receive medical imaging studies of different modalities or viewing stations, then it executes algorithms and finally returns the results to other devices. To achieve the objectives previously mentioned, preliminary tests were conducted in the laboratory. More over, tools were remotely installed in clinical enviroment. The appropiate protocols for setting up and using them in different services were established once defined those suitable algorithms. Finally, it’s important to focus on the implementation and training that is provided in FUESMEN, using nuclear medicine quality control processes. Results on implementation are exposed in this work.

Structural characterization and immunomodulatory activity of a pectic polysaccharide (CALB-4) from Fructus aurantii.

PubMed

Shu, Zunpeng; Yang, Yanni; Xing, Na; Wang, Yi; Wang, Qiuhong; Kuang, Haixue

2018-02-01

A purified polysaccharide, designated CALB-4, was acquired from Fructus aurantii that is the traditional edible/medicina plant in China. The present study was performed to characterize the CALB-4 and to evaluate its immunomodulatory activities on human peripheral blood mononuclear cells (PBMCs). The structure of CALB-4 was characterized by partial acid hydrolysis, periodate oxidation, Smith degradation, and methylation analysis combined with gas chromatography-mass spectrometry (GC-MS), Infrared Spectroscopy (IR) and scanning electron microscopy (SEM). The results indicated that CALB-4 was elucidated as a pectic polysaccharide and its main chain is composed of Man, Gal UA and Gal, interspersed with Ara, Rha, Man and Gal. Furthermore, immunological tests showed that CALB-4 exhibits the immunoenhancement effects. The mechanism for this action might be attributed to the increase of the cytoplasmic concentration of pro-IL-1 via the up-regulation of several mitogen-activated protein kinases (MAPKs) and the nuclear translocation of p65. This study clarified that CALB-4 could be as an efficacious biological response modifier in immunotherapy. Copyright © 2018. Published by Elsevier B.V.

[Alfredo Lanari, a clinical research style].

PubMed

Romero, Lucía

2012-01-01

The institutionalization of clinical research in Argentina reached its point of greatest maturity with the creation, in 1957, of the Institute of Medical Investigations (Instituto de Investigaciones Médicas) of the Faculty of Medicine of the Universidad de Buenos Aires, and the drive of the man who was its director for almost 20 years, Alfredo Lanari. In this paper I analyze the ways in which he generated a style of clinical research and a referential position in local medical field that allowed him to carry out said institutional realization. This achievement was the result of a personal enterprise and at the same time part of a larger context of transformations within the medical discipline world-wide and at the Universidad de Buenos Aires. This study was carried out combining oral and documentary sources, such as interviews with physicians at the Institute of Medical Investigations, members of the journal Medicina and of the Argentine Society of Clinical Investigation (Sociedad Argentina de Investigación Clínica), as well as academic files and scientific articles.

How Cuba's Latin American School of Medicine challenges the ethics of physician migration.

PubMed

Huish, Robert

2009-08-01

This paper demonstrates a working alternative to the accepted ethics of physician migration. A dominant cosmopolitan ethics encourages upward mobility of physicians in a globalized labour force, and this ultimately advances the position of individuals rather than improving public health-care service for vulnerable communities in the global South. Cuba's Escuela Latinoamericana de Medicina (ELAM) challenges this trend as its institutional ethics furnishes graduates with appropriate skills, knowledge and service ethics to deliver quality care in marginalized areas. This paper provides an analysis of how ELAM trains physicians in community-oriented service for marginalized areas in the global South. The principle finding of this analysis is that ELAM exhibits a working alternative to the accepted ethics of physician migration, as it encourages graduates to practice in marginalized communities rather than feed the migration pipeline into the North. Arguably, ELAM serves as an important case study in how a medical school's ethics can work to bring graduates closer to the communities that are in desperate need of their skills and of their compassion.

The METIS project for generalist ultrasonography.

PubMed

Bono, F; Campanini, A

2007-12-01

Reorganization of the community healthcare system and the growing presence of group practices in the field of general medicine have increased the demands placed on primary-care medicine, in terms of the skills required and the level of responsibility. Satisfying the need for rapid, effective primary-care solutions to the health problems of citizens is easier thanks to technological and medical advances that provide high level equipment at costs within the reach of general practitioners (GPs). In the near future, trained GPs equipped with appropriate diagnostic scanners will be able to handle up to 40% of the requests of ultrasound examinations of each primary-care group (each PCG includes approximately 15,000-20,000 citizens). The Italian Federation of General Practitioners (Federazione Italiana dei Medici di Medicina Generale - FIMMG) and its Scientific Society, METIS, have organized national courses for those GPs who wish to become generalist ultrasonographers, in a joint effort with the two most important Italian scientific societies of imaging, the Italian Society of Ultrasonology in Medicine and Biology and the Italian Society of Medical Radiology.

[Fixed-dose combination fluticasone propionate/formoterol for the treatment of asthma: a review of its pharmacology, efficacy and tolerability].

PubMed

Quintano Jiménez, J A; Ginel Mendoza, L; Entrenas Costa, L M; Polo García, J

2016-02-01

The fixed-dose combination fluticasone propionate/formoterol (FPF) is a novel combination of a widely known and used inhaled glucocorticoid (IGC) and a long-acting β2-adrenergic agonist (LABA), available for the first time in a single device. This fixed-dose combination of FPF has a demonstrated efficacy and safety profile in clinical trials compared with its individual components and other fixed-dose combinations of IGC/LABA and is indicated for the treatment of persistent asthma in adults and adolescents. FPF is available in a wide range of doses that can adequately cover the therapeutic steps recommended by treatment guidelines, constituting a fixed-dose combination of GCI/LABA that is effective, rapid, well tolerated and with a reasonable acquisition cost. Various assessment agencies of the Spanish Autonomous Communities consider this combination to be an appropriate alternative therapy for asthma in the primary care setting. Copyright © 2016 Elsevier España, S.L.U. y Sociedad Española de Medicina Rural y Generalista (SEMERGEN). All rights reserved.

Pneumocystis jirovecii infection in patients with acute interstitial pneumonia.

PubMed

Martínez-Rísquez, M T; Friaza, V; de la Horra, C; Martín-Juan, J; Calderón, E J; Medrano, F J

2018-06-08

Acute interstitial pneumonia (AIP) is a severe disease of unknown etiology. Pneumocystis jirovecii is an atypical opportunistic fungus able to colonize patients with chronic pulmonary disease and inducing alveolar macrophage activation. The aim of this study was to evaluate the possible association between Pneumocystis jirovecii and AIP. The presence of P. jirovecii in bronchoalveolar lavage fluid in the four confirmed cases of AIP identified in a tertiary-care hospital over a period of nine years was studied using a 2-step nested-PCR protocol assay. P. jirovecii was identified in the four cases. None of them had HIV infection. Two of the patients were treated empirically with trimethoprim-sulfamethoxazole, the only survivor was being one of them. Our data suggest that Pneumocystis could trigger or favor the development of AIP. Further studies are needed to evaluate the role of the pathogen in the physiopathology of this disease. Copyright © 2018 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

IBN SINA AND THE ROOTS OF THE SEVEN DOCTRINES OF PRESERVATION OF HEALTH.

PubMed

Khan, Murad Ahmad; Raza, Fauzia; Khan, Iqbal Akhtar

2015-01-01

Ibn Sina, the most eminent Muslim physician, illuminative philosopher, great thinker and a versatile genius is regarded as the "Father of Early Modern Medicine" and as the "Father of Clinical Pharmacology". The "Kitab al-Qanun fi-al-Tibb", commonly known as the "Canon Medicinae" is the most important of his medical works and, at the same time, the most carefully preserved treasury both in original Arabic and in the initial Latin version. It is the final codification of all Greco-Arabic medical thoughts up to his time, enriched and modified with his own scientific experimentations and independent observations. It is considered "The First Textbook of Medicine on the Earth". The "Canon" surpassed the books of Hippocrates and Galen and remained supreme for more than six centuries, in the West. Ibn Sina described "Seven Doctrines" for Preservation of Health, based on the Mudawa Salookia, in his magnum opus. The roots of these principles can be traced, to a significant extent, to Egyptian Medicine, Hebrew Medicine, Greek Medicine, Roman Medicine, Traditional Chinese Medicine, Ancient Persian Medicine, Ayurvedic Medicine (Hindu Medicine) and Islamic Medicine.

Does nutritional intervention maintain its prognostic benefit in the long term for malnourished patients hospitalised for heart failure?

PubMed

Bonilla-Palomas, J L; Gámez-López, A L; Castillo-Domínguez, J C; Moreno-Conde, M; López-Ibáñez, M C; Anguita-Sánchez, M

2018-03-01

To assess the long-term effect of nutritional intervention on malnourished, hospitalised patients with heart failure (HF). A total of 120 malnourished patients hospitalized for HF were randomised to undergo (or not) an individual nutritional intervention for 6 months. The primary event was the combination of all-cause death and readmission for HF. We performed an intent-to-treat analysis and assessed the effect of the intervention at 24 months. The combined event occurred in 47.5% of the intervention group and in 73.8% of the control group (hazard ratio: 0.45; 95% confidence interval: 0.28-0.72; P=.001). Thirty-nine percent of the intervention group and 59% of the control group died (hazard ratio: 0.53; 95% confidence interval: 0.31-0.89; P=.017). A nutritional intervention for malnourished patients hospitalised for HF maintains its prognostic benefit in the long-term follow-up. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Obstetric antiphospholipid syndrome.

PubMed

Esteve-Valverde, E; Ferrer-Oliveras, R; Alijotas-Reig, J

2016-04-01

Obstetric antiphospholipid syndrome is an acquired autoimmune disorder that is associated with various obstetric complications and, in the absence of prior history of thrombosis, with the presence of antiphospholipid antibodies directed against other phospholipids, proteins called cofactors or PL-cofactor complexes. Although the obstetric complications have been related to the procoagulant properties of antiphospholipid antibodies, pathological studies of human placenta have shown the proinflammatory capacity of antiphospholipid antibodies via the complement system and proinflammatory cytokines. There is no general agreement on which antiphospholipid antibodies profile (laboratory) confers the greatest obstetric risk, but the best candidates are categories I and IIa. Combined treatment with low doses of aspirin and heparin achieves good obstetric and maternal outcomes. In this study, we also review the therapeutic possibilities in refractory cases, although the likelihood of progressing to other autoimmune diseases is low. We briefly comment on incomplete obstetric antiphospholipid syndrome, also known as antiphospholipid antibody-mediated pregnancy morbidity syndrome. Copyright © 2015 Elsevier España, S.L.U. y Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Malignancies and infection due to the human immunodeficiency virus. Are these emerging diseases?

PubMed

Valencia Ortega, M E

2018-04-01

Since the start of the human immunodeficiency virus (HIV) epidemic, tumour disease among patients has been significant. The collection of malignancies can be divided primarily into 2 groups: those associated with HIV (all of which are related to viral diseases) and those not associated with HIV (only some of which are associated with viral diseases). The origin of these malignancies is multifactorial, and the main causes that have led to an increase in tumour disease are immunosuppression, coinfection with oncogenic viruses and life prolongation secondary to the use of antiretroviral therapy. Establishing the general characteristics of the undiagnosed AIDS tumours is difficult, mainly because they are a highly heterogeneous group formed by malignancies of a diverse nature. The treatments do not differ from those used in the general population, although the management can be more difficult due to the late diagnosis, drug interactions and associated comorbidities. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

[The early years of anatomy and obstetrics at the Göttingen University, 1734-1760].

PubMed

Rab, Irén

2014-03-16

In the Age of Enlightenment medical education was based on new fundamentals. According to experts at that time, a medical faculty had to have five branches: anatomy, botany, chemistry, practical and theoretical medicine. Perhaps Göttingen was the most successful university foundation at that time, because a generous financial support was provided, outstanding professors were invited and an education without censorship was warranted. The spirit of Enlightenment affected both the structure and the standards of education of the facultas medicinae. The word-wide reputation of this faculty was earned by Albrecht von Haller. Haller conceived both the still highly regarded botanical garden and the anatomical theatre, which was the first of its kind in the German speaking area. Furthermore, he founded one of the first clinical obstetrics departments in the world. Students gained theoretical knowledge, were trained practically and had the opportunity to make scientific observations and medical experiments. This paper describes the founding era of the medical faculty of University of Göttingen from a historical-cultural view of point, based on contemporary documents from Germany and Hungary.

Visibility of healthcare research institutes through the Web of Science database.

PubMed

González-Albo, B; Moreno-Solano, L; Aparicio, J; Bordons, M

2017-12-01

The strategic importance of healthcare research institutes (HRIs) in health sciences research in Spain has motivated this analysis of the feasibility of studing their contribution to the Spanish scientific output through their presence as a signatory institution in the publications. We identified the output of the HRIs in the Web of Science database, comparing their observed output (the institutes are explicitly listed in the authors' workplace) and potential output (estimated based on the linked hospitals). The studies based on scientific publications do not help us reliably identify the contribution of the HRIs because their observed production is much lower than the potential output, although their visibility tends to increase over time. This article highlights the importance of HRI members including the institute among their work addresses to increase the visibility of these organisations and to facilitate studies aimed at assessing their activity in the national and international context. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

A 20 GHz bright sample for δ > +72° - I. Catalogue

NASA Astrophysics Data System (ADS)

Righini, S.; Carretti, E.; Ricci, R.; Zanichelli, A.; Mack, K.-H.; Massardi, M.; Prandoni, I.; Procopio, P.; Verma, R.; López-Caniego, M.; Gregorini, L.; Mantovani, F.

2012-11-01

During 2010-11, the Medicina 32-m dish hosted the seven-feed 18-26.5 GHz receiver built for the Sardinia Radio Telescope, with the goal to perform its commissioning. This opportunity was exploited to carry out a pilot survey at 20 GHz over the area for δ > +72°.3. This paper describes all the phases of the observations, as they were performed using new hardware and software facilities. The map-making and source extraction procedures are illustrated. A customized data reduction tool was used during the follow-up phase, which produced a list of 73 confirmed sources down to a flux density of 115 mJy. The resulting catalogue, presented here, is complete above 200 mJy. Source counts are in agreement with those provided by the Australia Telescope 20 GHz (AT20G) survey. This pilot activity paves the way for a larger project, the K-band Northern Wide Survey (KNoWS), whose final aim is to survey the whole Northern hemisphere down to a flux limit of 50 mJy (5σ).

Lack of reliability of nanotechnology in the of free plasma DNA in samples of patients with prostate cancer

PubMed Central

2013-01-01

Background Several studies seek biological markers that give diagnostic and degree of tumor development. The aim of this study was to validate the determination of plasma DNA using nanotechnology (Nanovue™-NV) in samples of 80 patients with prostate cancer. Methods Blood samples of 80 patients of the Urology Ambulatory of Faculdade de Medicina do ABC with prostate cancer confirmed by anatomical-pathology criteria were analyzed. DNA extraction was performed using a GFX TM kit (Amersham Pharmacia Biotech, Inc, USA) following the adapted protocol. Plasma was subjected to centrifugation. Results There was a big difference between the first and the second value obtained by NanoVue Only two samples had no differences between duplicates. Maximum difference between duplicates was 38 μg/mL. Average variation between 51 samples was 10.29 μg/mL, although 21 samples had differences above this average. No correlation was observed between pDNA obtained by traditional spectrophotometry and by nanotechnology. Conclusion Determination of plasma DNA by nanotechnology was not reproducible. PMID:23311763

The new 64m Sardinia Radio Telescope and VLBI facilities in Italy

NASA Astrophysics Data System (ADS)

Giovannini, Gabriele; Feretti, Luigina; Prandoni, Isabella; Giroletti, Marcello

2015-08-01

The Sardinia Radio Telescope (SRT) is a new major radio astronomical facility available in Italy for single dish and interferometric observations. It represents a flexible instrument for Radio Astronomy, Geodynamical studies and Space Science, either in single dish or VLBI mode. The SRT combines a 64m steerable collecting area, one of the largest all over the World with state-of-the-art technology (including an active surface) to enable high efficiency observations up to the 3-mm band.This new radio telescope together with the two 32m antennas in Noto and Medicina can be used for VLBI observations on a national basis (VLBIT). Data can be correlated in a short time (in real time soon) thanks to fiber-optics connection among the radio telescopes and the software correlator installed at the Radio Astronomy Institute in Bologna (IRA/INAF). In the poster I will present capabilities of the SRT telescope as well as the VLBIT project and I will shortly discuss the scientific prospects of the VLBIT.

Water maser emission in the Saturnian system

NASA Astrophysics Data System (ADS)

Horiuchi, Shinji; Cimo, Giuseppe; Gurvits, Leonid; Pogrebenko, Sergei; Molera Calves, Guifré

2010-10-01

Prompted by the recent discovery of a water vapour plume of Enceladus by the Cassini spacecraft, our team started an observational programme to search for possible 22 GHz water vapour maser emission associated with different objects in the Kronian system. The observations have been conducted so far with the 32 m Medicina radio telescope (INAF-IRA, Italy) and the 14 m Metsahovi radio telescope (Aalto University, MRO, Finland). During the 2006-2008 campaigns, more than 300 hours of data have been analysed, and initial results including maser detections up to 7.0 sigma level have been presented. The detections attracted considerable interest and attempts to confirm them and investigate the phenomenon in depth. No confirmations have been published so far. In order to provide critical verification of these detections and study the details of masing conditions efficiently, we request a total of 20 hours on the Tidbinbilla 70 m telescope (DSS43) to observe Saturn and its moons during several, non-consecutive days. Due to natural changes of the planetary target positions, targets' coordinates will be provided after the antenna time is allocated.

Perspectivas Futuras para o Observatório do Pico dos Dias

NASA Astrophysics Data System (ADS)

Bruch, Albert

2004-02-01

Com o Observatório Gemini plenamente operacional e o telescópio SOAR iniciando suas operações em breve, a astronomia observacional brasileira encontra-se no auge de uma transformação profunda que terá um impacto grave no Observatório do Pico dos Dias - OPD. Refletimos aqui sobre a natureza desse impacto e estratégias para manter a competitividade do OPD. Não queremos apresentar receitas prontas, mas idéias que poderão servir como base de discussão sobre o uso inteligente dos telescópios do OPD como parte do conjunto de instrumentos disponíveis à comunidade astronômica brasileira.

Retrospective analysis of risk factors and predictors of intraoperative complications in neuraxial blocks at Faculdade de Medicina de Botucatu-UNESP.

PubMed

Pereira, Ivan Dias Fernandes; Grando, Marcela Miguel; Vianna, Pedro Thadeu Galvão; Braz, José Reinaldo Cerqueira; Castiglia, Yara Marcondes Machado; Vane, Luís Antônio; Módolo, Norma Sueli Pinheiro; do Nascimento, Paulo; Amorim, Rosa Beatriz; Rodrigues, Geraldo Rolim; Braz, Leandro Gobbo; Ganem, Eliana Marisa

2011-01-01

Cardiovascular changes associated with neuraxial blocks are a cause of concern due to their frequency and because some of them can be considered physiological effects triggered by the sympathetic nervous system blockade. The objective of this study was to evaluate intraoperative cardiovascular complications and predictive factors associated with neuraxial blocks in patients ≥ 18 years of age undergoing non-obstetric procedures over an 18-year period in a tertiary university hospital--HCFMB-UNESP. A retrospective analysis of the following complications was undertaken: hypertension, hypotension, sinus bradycardia, and sinus tachycardia. These complications were correlated with anesthetic technique, physical status (ASA), age, gender, and preoperative co-morbidities. The Tukey test for comparisons among proportions and logistic regression was used for statistical analysis. 32,554 patients underwent neuraxial blocks. Intraoperative complications mentioned included hypotension (n=4,109), sinus bradycardia (n=1,107), sinus tachycardia (n=601), and hypertension (n=466). Hypotension was seen more often in patients undergoing continuous subarachnoid anesthesia (29.4%, OR=2.39), ≥ 61 years of age, and female (OR=1.27). Intraoperative hypotension and bradycardia were the complications observed more often. Hypotension was related to anesthetic technique (CSA), increased age, and female. Tachycardia and hypertension may not have been directly related to neuraxial blocks. Copyright © 2011 Elsevier Editora Ltda. All rights reserved.

[Photography as analysis document, body and medicine: theory, method and criticism--the experience of Museo Nacional de Medicina Enrique Laval].

PubMed

Robinson, César Leyton; Caballero, Andrés Díaz

2007-01-01

This article is an experimental methodological reflection on the use of medical images as useful documents for constructing the history of medicine. A method is used that is based on guidelines or analysis topics that include different ways of viewing documents, from aesthetic, technical, social and political theories to historical and medical thinking. Some exercises are also included that enhance the proposal for the reader: rediscovering the worlds in society that harbor these medical photographical archives to obtain a new theoretical approach to the construction of the history of medical science.

Local resistance patterns to antimicrobials in internal medicine: a focused report from the REGIMEN (REGistro Infezioni in MEdicina INterna) study.

PubMed

Cei, Marco; Pardelli, Riccardo; Sani, Spartaco; Mumoli, Nicola

2014-02-01

The treatment for infections in hospitalized patients can be summarized in the timely start of empirical therapy, followed by adjustment on the basis of isolates and microbial susceptibilities. Initial therapy may be based on international guidelines. However, to know local frequencies of bacterial and fungal strains together with patterns of drug resistance should be a better approach to therapy. REGIMEN is a retrospective observational study of all consecutive recorded bacterial and fungal isolates, collected between October 2009 and August 2011 from patients admitted in a 53-bedded ward of internal medicine of a non-teaching Italian hospital. We investigated type of samples and of microorganisms, patterns of susceptibility and resistance to antibiotics, and in-hospital mortality. A total of 504 samples were examined (244 from urine, 189 from blood and 71 from skin and various exudates). Participants were old (mean age, 83 years), and so overall mortality was high (20 %). There were high frequencies of drug resistance; only 27.9 % of urinary gram-negatives and 52.6 % of blood gram-negatives were susceptible to levofloxacin. Susceptibility profiles compatible with the presence of extended-spectrum beta-lactamases were present in 64.2 % of gram-negative strains, and 10.1 % were also resistant to carbapenems. ESKAPE organisms account for a third of all bacterial infections. Local patterns of drug resistance should influence empirical antibiotic therapy for patients admitted in internal medicine wards, where mortality is high.

Materiales educativos sobre el módulo EnviroAtlas

EPA Pesticide Factsheets

La EPA ha diseñado un conjunto de planes de estudios y recursos educativos EnviroAtlas para estudiantes de K-16, que potencia la herramienta EnviroAtlas, y permite a los estudiantes participar en una enseñanza práctica altamente interactiva.

Leamos Sobre Veinte Ocupaciones! Twenty Trades to Read About.

ERIC Educational Resources Information Center

Lamatino, Robyn; Mintz, Adin

Twenty trades are explored in this bilingual supplementary workbook, designed specifically for native Spanish speakers who are in the process of learning English. The purpose of this book is to ease the Spanish-speaking student from his/her native language into English with as little discomfort as possible. There are twenty chapters in the book…

Información básica sobre la visibilidad

EPA Pesticide Factsheets

La contaminación del aire puede generar bruma la cual tiene un impacto adverso en la visibilidad, la salud y el medioambiente. La bruma se produce cuando la luz del sol encuentra diminutas partículas de contaminación en el aire.

[Intensive medicine in Spain].

PubMed

2011-03-01

Intensive care medicine is a medical specialty that was officially established in our country in 1978, with a 5-year training program including two years of common core training followed by three years of specific training in an intensive care unit accredited for training. During this 32-year period, intensive care medicine has carried out an intense and varied activity, which has allowed its positioning as an attractive and with future specialty in the hospital setting. This document summarizes the history of the specialty, its current situation, the key role played in the programs of organ donation and transplantation of the National Transplant Organization (after more than 20 years of mutual collaboration), its training activities with the development of the National Plan of Cardiopulmonary Resuscitation, with a trajectory of more than 25 years, its interest in providing care based on quality and safety programs for the severely ill patient. It also describes the development of reference registries due to the need for reliable data on the care process for the most prevalent diseases, such as ischemic heart disease or ICU-acquired infections, based on long-term experience (more than 15 years), which results in the availability of epidemiological information and characteristics of care that may affect the practical patient's care. Moreover, features of its scientific society (SEMICYUC) are reported, an organization that agglutinates the interests of more than 280 ICUs and more than 2700 intensivists, with reference to the journal Medicina Intensiva, the official journal of the society and the Panamerican and Iberian Federation of Critical Medicine and Intensive Care Societies. Medicina Intensiva is indexed in the Thompson Reuters products of Science Citation Index Expanded (Scisearch(®)) and Journal Citation Reports, Science Edition. The important contribution of the Spanish intensive care medicine to the scientific community is also analyzed, and in relation to

Combination of Insar and GPS to Measure Ground Motions and Atmospheric Signals

NASA Astrophysics Data System (ADS)

Zerbini, S.; Prati, C.; Errico, M.; Ferri, S.; Novali, F.; Scirpoli, S.; Tiberi, L.

2010-12-01

The combination of different techniques such as InSAR and GPS is characterized by the added value of taking advantage of their complementary strengths and of minimizing their respective weaknesses, thus allowing for the full exploitation of the complementary aspects by overcoming the limitations inherent in the use of each technique alone. Another important aspect of the GPS/InSAR integration regards the fact that today’s application of interferometric SAR techniques is limited by the knowledge of the wet tropospheric path delay in microwave observations. GPS-based estimates of tropospheric delays may help in obtaining better corrections which will enhance the coherence and will allow the application of InSAR in a wider range of applications. The area selected for the InSAR/GPS comparison/integration is in northeastern Italy and includes the town of Bologna, and two nearby sites Medicina (agricultural area) and Loiano (a small city on the Apennines) where a small network of permanent GPS stations is operated by the University of Bologna. The InSAR data used are the COSMO-SkyMed (CSK) images made available by the Italian Space Agency (ASI) in the framework of the research contract AO-1140. The Permanent Scatterers (PS) technique will be applied to a number of repeated CSK strip map SAR images acquired over a 40x40 square km area encompassing the towns mentioned above. Ultimately this work will contribute demonstrating the CSK capabilities to operate in a repeated interferometric survey mode for measuring ground deformation with millimeter accuracy in different environments. A PS is a target whose radar signature is stable with time. Such targets can be identified by means of multiple SAR observations and they can be exploited for jointly estimating their relative motion and the atmospheric artifacts on a grid that can be quite dense in space but not in time (depending on the SAR revisiting time interval). On the contrary the GPS can provide very frequent time

Comparison of Ground Deformation Measurements and Atmospheric Artifacts Using Insar Cosmo-Skymed and GPS Data

NASA Astrophysics Data System (ADS)

Zerbini, S.; Prati, C.; Errico, M.; Novali, F.; Santi, E.

2012-12-01

Integrating and exploiting the synergetic combination of the InSAR and GPS techniques allows overcoming the limitations inherent in the use of each technique alone. GPS-based estimates of tropospheric delays may contribute in obtaining better corrections of the wet tropospheric path delay in InSAR signals. This will enhance the coherence and will allow the application of InSAR in a wider range of applications. The test area chosen for the comparison between InSAR and GPS data is in northeastern Italy, in particular, in the city of Bologna (urbanized area) and in the surroundings of Medicina (agricultural area). In these sites, two permanent GPS stations (EUREF EPN sites) of the University of Bologna are operational since mid 1999 (BOLG) and 1996 (MSEL) respectively. The InSAR data used are the COSMO-SkyMed (CSK) images made available by the Italian Space Agency (ASI). The Permanent Scatterers (PS) technique was applied to a number of repeated CSK strip map SAR images acquired over a 40x40 square km area encompassing the two towns mentioned above. The results of this work demonstrate, on the one hand, the CSK capabilities to operate in a repeated interferometric survey mode for measuring ground deformation with millimeter accuracy in different environments. On the other, the comparison of the differential height between the two stations derived with the GPS and the InSAR data, using both acquisition geometries, is satisfactory. Elevation, ground deformation and atmospheric artifacts were estimated in correspondence of the identified PS and compared with the GPS measurements carried out at the same acquisition time by the permanent stations at Bologna and Medicina. The comparison of the differential height between the two stations shows the sensitivity of the GPS height solution to the length of the observation interval. The vertical dispersion achieved by GPS is higher than that achieved by PS InSAR, as expected; however, a similar linear trend appears in the

Observing crustal deformation and atmospheric signals from COSMO-SKYMED and GPS data

NASA Astrophysics Data System (ADS)

Zerbini, S.; Prati, C.; Cappello, G.; Errico, M.; Novali, F.

2012-04-01

The combined use of InSAR and GPS allows for the full exploitation of the complementary aspects of the two techniques by overcoming the limitations inherent in the use of each technique alone. Additionally, GPS-based estimates of tropospheric delays may contribute in obtaining better corrections of the wet tropospheric path delay in InSAR signals. This will enhance the coherence and will allow the application of InSAR in a wider range of applications. We have compared the InSAR and GPS data at Bologna (urbanized area) and Medicina (agricultural area), in northeastern Italy, where two permanent GPS stations of the University of Bologna are operational since mid 1999 and 1996 respectively. The InSAR data used are the COSMO-SkyMed (CSK) images made available by the Italian Space Agency (ASI) in the framework of the research contract AO-1140. The Permanent Scatterers (PS) technique was applied to a number of repeated CSK strip map SAR images acquired over a 40x40 square km area encompassing the two towns mentioned above. The results of this work demonstrate on the one hand the CSK capabilities to operate in a repeated interferometric survey mode for measuring ground deformation with millimeter accuracy in different environments. On the other, the comparison of the differential height between the two stations derived with the GPS and the InSAR data, using both acquisition geometries, is satisfactory. Elevation, ground deformation and atmospheric artifacts were estimated in correspondence of the identified PS and compared with the GPS measurements carried out at the same acquisition time by the permanent stations at Bologna and Medicina. The comparison of the differential height between the two stations shows the sensitivity of the GPS height solution to the length of the observation interval. The vertical dispersion achieved by GPS is higher than that achieved by PS InSAR, as expected; however, a similar linear trend appears in the results of both techniques. The

Conózcanos

EPA Pesticide Factsheets

Principal de la EPA: información sobre el Administrador o la Administradora, los altos directivos; ubicaciones y direcciones de las oficinas; presupuesto, la planificación y los resultados de rendimiento

ESTIGMA Y VIH/SIDA ENTRE PADRES/MADRES Y ADOLESCENTES PUERTORRIQUEÑOS/AS

PubMed Central

Pérez, Grace Rosado; Reyes, Glendalys Rivera; Villanueva, Victoria Larrieux; Torres, Gilliam J. Torres; Díaz, Elba Betancourt; Varas-Díaz, Nelson; Villaruel, Antonia

2016-01-01

La comunicación entre padres/madres y adolescentes sobre el tema de la sexualidad es importante para el desarrollo de la salud de personas jóvenes. Dicha comunicación puede verse negativamente impactada por actitudes estigmatizantes hacia el tema del VIH/SIDA. El objetivo de este estudio fue identificar actitudes estigmatizantes hacia el VIH/SIDA entre padres/madres y adolescentes puertorriqueños/as. Este esfuerzo es parte del Proyecto Cuídalos, dirigido a probar una intervención en formato electrónico que busca aumentar la comunicación sobre sexualidad y salud entre padres/madres y adolescentes mediante un diseño experimental con 458 diadas de padres/madres y adolescentes de 13 a 17 años. Para propósitos de este artículo reportamos estadísticas descriptivas sobre estigma hacia el VIH/SIDA con la información recopilada en la medición basal. Tanto adultos/as como adolescentes mostraron actitudes estigmatizantes hacia el VIH/SIDA. A la luz de los resultados es necesario continuar desarrollando intervenciones para la reducción de estigma en esta población. Los/as padres/madres pueden ser un recurso invaluable para reducir el estigma en los/as jóvenes, y prevenir conductas sexuales de riesgo e infecciones. PMID:27099649

Observing Sites in NW Argentina

NASA Astrophysics Data System (ADS)

Muriel, H.

En esta comunicacion se propone revisar la importancia que los grandes relevamientos de galaxias y los diferentes catalogos que de ellos se derivan, tienen en los estudios sobre estructura y evolucion del Universo.

La problematica de la demarcacion entre ciencia y pseudociencia y sus implicaciones en la educacion cientifica

NASA Astrophysics Data System (ADS)

Jimenez Tolentino, Dinorah

2011-12-01

En la sociedad prevalece una tendencia generalizada hacia la inclusion de creencias y practicas pseudocientificas. Esta investigacion responde a la necesidad de analizar como la proliferacion de las pseudociencias afecta la vision que tienen los estudiantes universitarios sobre las ciencias naturales. A tales efectos, la investigadora describe las concepciones epistemologicas que tienen los estudiantes sobre las ciencias y las pseudociencias e identifica los criterios de demarcacion, entre un area y otra, que se derivan de estas concepciones. De igual modo, esta identifica las creencias y practicas pseudocientificas de mayor arraigo entre los estudiantes, destacando, a su vez, la razon de ser de las mismas. Por ultimo, la investigadora analiza las implicaciones educativas de la problematica de la demarcacion entre ciencia y pseudociencia. La investigacion es de naturaleza mixta, enmarcada en los paradigmas empirico- analitico y cualitativo. El proceso investigativo se llevo a cabo mediante la administracion del cuestionario Criterios para la demarcacion entre ciencia y pseudociencia. La parte cualitativa estuvo enmarcada en el diseno de estudio de caso, recopilando informacion mediante entrevistas semiestructuradas en dos grupos focales. La poblacion de estudio estuvo constituida por estudiantes universitarios del nivel subgraduado de la Universidad Central de Bayamon. Los resultados del estudio reflejaron las concepciones erroneas de los estudiantes sobre la naturaleza de las ciencias y las pseudociencias. Con respecto a la demarcacion entre ciencia y pseudociencia, el criterio imperante entre los universitarios es el de la verificabilidad, considerando la aplicacion del metodo cientifico como el metodo para demostrar la veracidad de las teorias cientificas. Las creencias y practicas pseudocientificas no son muy frecuentes entre los universitarios. Estos atribuyen las mismas a la prevalencia de elementos supersticiosos y al engano a que es sometida la poblacion

A cosmologia no ensino da geografia

NASA Astrophysics Data System (ADS)

Santos, S. C.; Chiaradia, A. P. M.

2003-08-01

O principal objetivo deste trabalho é auxiliar o professor de Geografia em sala de aula no ensino de tópicos relacionados com a Cosmologia. A idéia deste trabalho surgiu quando foi constatado que o professor de Geografia tem dificuldades de ensinar este tópico. Esta constatação foi feita por uma das autoras ao lecionar este tópico no ensino fundamental e em discussões com outros professores de Geografia. Da mesma maneira que ocorria desde os tempos mais antigos, os alunos têm muito interesse em conhecer os fenômenos que ocorrem no Cosmo, porém os livros didáticos de Geografia utilizados em sala de aula não são ricos em informações sobre este assunto. Assim, o professor de Geografia tem poucas informações para discutir este assunto em sala de aula e não dá a devida importância para este tópico. Então, foi desenvolvido um material de apoio para professores de Geografia sobre a origem do Universo, sua evolução e seu possível futuro evolutivo segundo as mais recentes teorias, com base em perguntas feitas pelos alunos de ensino fundamental e as informações trazidas nos livros didáticos Não cabe a este material inovar e tão pouco trazer uma metodologia de ensino de Cosmologia. Neste material o professor de Geografia pode encontrará um banco de informações, que constitui no estabelecimento de conceitos, teorias e hipóteses, sobre a Cosmologia, em linguagem simples e de fácil entendimento. Para desenvolvê-lo, foram feitas pesquisas não exaustivas em livros e revistas científicas, compilação e discussão em forma cronológica das teorias aceitas sobre modelos cosmológicos. Portanto, este material será apresentado neste trabalho.

Attitudes and Discourse: Spanish Practitioners' and Undergraduates' Survey Results (Actitudes y discurso: resultados de encuestas a profesionales y estudiantes de medicina)

ERIC Educational Resources Information Center

Herrando-Rodrigo, Isabel

2015-01-01

The emergence of English as the international language of communication has increased the attention and concern given its teaching and learning. This survey-based study explores the attitudes of Spanish practitioners and undergraduate students towards English as the vehicular language in the field of medicine and towards Medical Electronic…

350 años de la medicina hiperbárica: aspectos históricos, fisiopatogénicos y terapéuticos.

PubMed

Huchim, Oswaldo; Rivas-Sosa, Fernando; Rivera-Canul, Normando; Méndez-Domínguez, Nina

2017-01-01

The early use of hyperbaric therapy started with the quest to relieve respiratory problems among inhabitants of large cities during the industrial revolution, and from this, we have explored the benefits of treatment with hyperbaric oxygen in different areas of medicine. With the advances of the medical sciences, our knowledge concerning the therapies with hyperbaric oxygenation certainly has broadened and hyperbaric medicine still intrigues the contemporary medical researchers that are in seek of improve the quality of life of their patients. Copyright: © 2017 SecretarÍa de Salud.

Coronary artery disease treatment in dialysis patients at the Hospital das Clínicas da Faculdade de Medicina de Botucatu--UNESP.

PubMed

Vieira, Paula Ferreiro; Garcia, Paula Dalsoglio; Bregagnollo, Edson Antonio; Carvalho, Fábio Cardoso; Kochi, Ana Cláudia; Martins, Antonio Sérgio; Caramori, Jaqueline Costa Teixeira; Franco, Roberto Jorge da Silva; Barretti, Pasqual; Martin, Luis Cuadrado

2007-05-01

Interventional treatment of coronary insufficiency is underemployed among dialysis patients. Studies confirming its efficacy in this set of patients are scarce. To assess the results of interventional treatment of coronary artery disease in patients undergoing dialysis. A total of 34 dialysis patients submitted to coronary angiography between September 1995 and October 2004 were divided according to presence or absence of coronary lesion, type of treatment and presence or absence of diabetes mellitus. The groups were compared according to their clinical and survival characteristics. Survival of patients undergoing interventional treatment was compared to overall survival of 146 dialysis patients at the institution in the same period. Interventional treatment was indicated to the same clinical conditions in the general population. Thirteen patients with no angiography coronary lesions presented a survival rate of 100% in 48 months as compared to 35% of 21 patients with coronary artery disease. Diabetic patients had a lower survival rate compared with non-diabetics. Angioplasty had a worse prognosis compared to surgery; however, 80% of patients undergoing angioplasty were diabetic. Seventeen patients submitted to interventional procedures presented a survival rate similar to that of the others 146 hemodialysis patients without clinical evidence of coronary disease. This small series shows that myocardial revascularization, whenever indicated, can be performed in dialysis patients. This conclusion is corroborated by similar mortality rates in two groups of patients: coronary patients submitted to revascularization and overall dialysis patients.

Role of the medulla oblongata in normal and high arterial blood pressure regulation: the contribution of Escola Paulista de Medicina - UNIFESP.

PubMed

Cravo, Sergio L; Campos, Ruy R; Colombari, Eduardo; Sato, Mônica A; Bergamaschi, Cássia M; Pedrino, Gustavo R; Ferreira-Neto, Marcos L; Lopes, Oswaldo U

2009-09-01

Several forms of experimental evidence gathered in the last 37 years have unequivocally established that the medulla oblongata harbors the main neural circuits responsible for generating the vasomotor tone and regulating arterial blood pressure. Our current understanding of this circuitry derives mainly from the studies of Pedro Guertzenstein, a former student who became Professor of Physiology at UNIFESP later, and his colleagues. In this review, we have summarized the main findings as well as our collaboration to a further understanding of the ventrolateral medulla and the control of arterial blood pressure under normal and pathological conditions.

Evolución estelar en sistemas binarios

NASA Astrophysics Data System (ADS)

De Vito, M. A.; Benvenuto, O.

Definición y clasificación de sistemas binarios; descripción del comportamiento del sistema frente a la variación de su masa; binarias de rayos X; transferencia de masa en sistemas binarios masivos aplicado al posible esclarecimiento del progenitor azul de la supernova SN 1987A; comentario acerca de la evolución de enanas blancas de helio de baja masa y su conexión con los sistemas binarios; reseña del trabajo de Kippenhahn y Weigert sobre el cual está basado el código evolutivo desarrollado en la FCAG por el Dr. Benvenuto y sobre el cual se trabajará para poder incluir la evolución de una estrella con pérdida de masa perteneciente a un sistema binario.

[Evaluation of the status of patients with severe infection, criteria for intensive care unit admittance. Spanish Society for Infectious Diseases and Clinical Microbiology. Spanish Society of Intensive and Critical Medicine and Coronary Units].

PubMed

Olaechea, Pedro M; Alvarez-Lerma, Francisco; Sánchez, Miguel; Torres, Antonio; Palomar, Mercedes; Fernández, Pedro; Miró, José M; Cisneros, José Miguel; Torres, Manuel

2009-06-01

Recent studies have shown that early attention in patients with serious infections is associated with a better outcome. Assistance in intensive care units (ICU) can effectively provide this attention; hence patients should be admitted to the ICU as soon as possible, before clinical deterioration becomes irreversible. The objective of this article is to compile the recommendations for evaluating disease severity in patients with infections and describe the criteria for ICU admission, updating the criteria published 10 years ago. A literature review was carried out, compiling the opinions of experts from the Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica (SEIMC, Spanish Society for Infectious Diseases and Clinical Microbiology) and the Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias (SEMICYUC, Spanish Society for Intensive Medicine, Critical Care and Coronary Units) as well as the working groups for infections in critically ill patients (GEIPC-SEIMC and GTEI-SEMICYUC). We describe the specific recommendations for ICU admission related to the most common infections affecting patients, who will potentially benefit from critical care. Assessment of the severity of the patient's condition to enable early intensive care is stressed.

[Protomedicato in Chile].

PubMed

Pérez-Olea, J

1991-09-01

In 1566 Alonso de Villadiego was nominated by the Chilean Cabildo as "Adviser and Examiner in Surgery". By means of this edict, the Spanish Crown paralleled its classical health organization, inspired in rules coming from XIIIth century. The Hospital del Socorro was the focal point of these activities. It turned to be prosperous under the administration of "San Juan de Dios" monks (1617), who rebaptized the Hospital with their name. During the administration of the "Universidad de San Felipe" (1738-1839), the Protomedicato followed the standards imposed by the Cahir of Prima Medicina. Domingo Nevin, Frenchman, and José Antonio Ríos, Chilean, were the first and the last doctors in charge of this task. Ríos conducted the antivariolic campaign, supervised the "Midwifery Law" and controlled the medical and paramedical practice. Afterwards, the Institution plunged into a profound crisis to reflourish in 1833 when it was incorporated within the structure of the School of Medicine. Blest, Cox, Bustillos and Moran were the architects of its splendour. With the foundation of the Universidad de Chile in 1842, its Faculty of Medicine took over the Protomedicato functions. The Institution came to an end in 1892.

[Patterns of violent death in Bogotá, 1997-2003].

PubMed

Sánchez, Ricardo; Tejada, Paola; Martínez, Jorge

2005-01-01

To describe patterns of violent deaths in Bogotá between 1997 and 2003. Descriptive methods for analyzing time series were applied to a group of 84 observations corresponding to mortality due to violent causes during seven years in Bogotá. Box-Jenkins methodology was used to generate forecasts for 12 months. Primary and secondary sources of information: Instituto de Medicina Legal Bogotá, Departamento Administrativo Nacional de Estadística, Colombia. For the 4 types of violent deaths analyzed (homicide, transit accident, suicide and others accidents), a decreasing tendency in the number of deaths during the analyzed period was observed, more evident in homicide and transit accidents. In all cases, except in the group of suicides, evidence of seasonality, with an increase in frequency of deaths in December, has been observed. The forecasting suggests persistence of decreasing trends, more apparent in the series of homicide and transit accidents. In Bogotá, the mortality caused by violence has presented a decreasing trend. Stabilization of trend is observed in cases of suicides and accidental deaths. Further study is required to characterize and evaluate the contribution of different factors in this dynamic of violent death.

[Heart surgery in Brazilian Indians].

PubMed

Gomes, W J; Carvalho, A C; Vieira Filho, J P; Souza, R B; Palma, J H; Maluf, M A; Branco, J N; Buffolo, E

1997-01-01

Our experience with surgical treatment of heart diseases in Indians living in the Amazon rain forest in primitive stages was reviewed. From 1988 to 1995, 18 patients underwent cardiovascular surgical procedures at the São Paulo Hospital of the Escola Paulista de Medicina. Seven patients had valvar disease, nine congenital heart defects, one submitral aneurysm and one arrhythmia. Thirteen Indians came from tribes of the Amazon rain forest area: three from the Xavante, two from Waiapi, two from Tucano, two from Macuxi, two from Mayoruna, and one of each tribe of Xikrin, Guajajara, Terena, Surui, Galibi, Cinta-Larga and Pataxó. We performed 22 operations, with two hospital deaths. Follow-up was possible in 87.5% of cases, with one late death. The majority of cases were due to congenital heart defects and in this series it was noted the absence of operations to treat coronary artery disease. The incidence of valve disease was higher in accultured or semi-accultured Indians. The surgical treatment of cardiovascular disease has made possible to the surviving indians to return to and be accepted by their fellow tribesmen.

[Biological exposure-related injuries in workers in a health system of the health service of Galicia, Spain].

PubMed

Cores Calvo, Juan; Muñiz Saborido, José Ramón; González Iglesias, Marta Clara

2013-01-01

The objective of this study was to describe the factors involved in biological exposure-related injuries occurring in worker from a health system in Galicia, Spain. The study was conducted in a health system of the Health Service of Galicia, that included four hospitals and 72 primary care centers, with nearly 6000 workers. The study used occupational injury data available o in the injury registry of the Health Service of Galicia for the year 2011. We identified 194 biohazard-related injuries. Exposures, locations, devices, tasks and causes of these incidents were analysed. The majority of biological exposures occurred through needlestick injuries (82%). The areas where more injuries occurred were in inpatient wards (37%) and operating rooms (25%). The devices most frequently involved were suture needles (15%) and insulin needles (15%). The most frequently recorded causes were lack of training and information, together with lack of biosafety devices. Worker training and information should be promoted along with the implementation of biosafety devices, as the latter measure alone does not seem sufficient to reduce the number of injuries. Copyright belongs to the Societat Catalana de Seguretat i Medicina del Treball.

Epidemiological and serological aspects in canine toxoplasmosis in animals with nervous symptoms.

PubMed

de Brito, Adriana Falco; de Souza, Luiz Carlos; da Silva, Aristeu Vieira; Langoni, Helio

2002-01-01

The presence of anti-Toxoplasma gondii IgM and IgG antibodies was studied in samples of blood serum taken from eighty dogs with nervous symptoms at the Serviço de Enfermidades Infecciosas dos Animais, Faculdade de Medicina Veterinária e Zootecnia, Unesp, Botucatu, São Paulo, Brazil. The frequency of IgG titers were 16 (13.7%), 64 (13.7%), and 256 (5%), and for IgM titers were 16 (7.5%), 64 (15%), and 256 (8.7%). Positive reactions were more frequent in the older animals, males, from a rural environment, in constant contact with small animals, principally birds and rodents. There was a higher frequency of a positive reaction in dogs fed with kitchen food, especially in those fed with raw ingredients. The most common neurological pictures were alterations in consciousness, in movement, and in the hand-cart test. The percentage of reagents with specific IgM antibodies was high, indicating active infections, but the possibility of co-infection with the distemper virus can not be discarded, and this may be a predisposing factor for toxoplasmosis infection, once the distemper virus has a potent immunosuppressive action.

International VLBI Service for Geodesy and Astrometry 2004 Annual Report

NASA Technical Reports Server (NTRS)

Behrend, Dirk (Editor); Baver, Karen D. (Editor)

2005-01-01

Contents include the following: Combination Studies using the Cont02 Campaign. Coordinating Center report. Analysis coordinator report. Network coordinator report. IVS Technology coordinator report. Algonquin Radio observatory. Fortaleza Station report for 2004. Gilmore Creek Geophysical Observatory. Goddard Geophysical and Astronomical observatory. Hartebeesthoek Radio Astronomy Observatory (HartRAO). Hbart, Mt Pleasant, station report for 2004. Kashima 34m Radio Telescope. Kashima and Koganei 11-m VLBI Stations. Kokee Park Geophysical Observatory. Matera GGS VLBI Station. The Medicina Station status report. Report of the Mizusawa 10m Telescope. Noto Station Activity. NYAL Ny-Alesund 20 metre Antenna. German Antarctic receiving Station (GARS) O'higgins. The IVS network station Onsala space Observatory. Sheshan VLBI Station report for 2004. 10 Years of Geodetic Experiments at the Simeiz VLBI Station. Svetloe RAdio Astronomical Observatory. JARE Syowa Station 11-m Antenna, Antarctica. Geodetic Observatory TIGO in Concepcion. Tsukuba 32-m VLBI Station. Nanshan VLBI Station Report. Westford Antenna. Fundamental-station Wettzell 20m Radiotelescope. Observatorio Astroonomico Nacional Yebes. Yellowknife Observatory. The Bonn Geodetic VLBI Operation Center. CORE Operation Center Report. U.S. Naval Observatory Operation Center. The Bonn Astro/Geo Mark IV Correlator.

Ancient voices on tinnitus: the pathology and treatment of tinnitus in Celsus and the Hippocratic Corpus compared and contrasted.

PubMed

Maltby, Maryanne Tate

2012-01-01

The object of the paper is to analyse the treatment of tinnitus in two ancient works, Celsus De Medicina and the Greek Hippocratic Corpus. Whilst reviews of historical references to tinnitus have identified this material, this is the first detailed treatment of the subject in these authors. The paper considers the material relating to tinnitus and suggested treatments in the Roman medical writer Celsus (mid first century AD) in contrast with those found in the Greek Hippocratic Corpus (late fifth, early fourth century BC). The lifestyle change, diet and pharmacological treatments suggested by Celsus are analysed and shown as likely to be effective. Celsus is shown to be remarkably modern in his understanding of the aetiology of the disease and his suggested dietary and pharmacological treatments appear to be soundly based. Celsus' pharmacological approach differs from the more theoretical stance of the Hippocratic Corpus based on humoural theory. The Hippocratric Corpus is more detailed in its descriptions of otological pathology and more concerned with a humoural explanation of the disease, but offers useful advice on diet and regimen and also provides the first detailed description of what appears to be Ménière's Syndrome.

[Scientific information, medical education and health policies: the Pan-American Health Organization and the creation of the Regional Library of Medicine--Bireme].

PubMed

Pires-Alves, Fernando

2008-01-01

This article examines the creation and the first years of functioning of the Regional Library of Medicine (Biblioteca Regional de Medicina--Bireme--PAHO), today Latin-American Center for Information in Health Sciences, during 1963-1982. In the course of this analysis, Bireme is being characterized as both an apparatus and an arena for negotiation present in the most general processes of development expressed in international cooperation, information in science and technology, health policies and in the movement for expansion and reform of medical teaching. The narrative has as initial landmark the conception of a regional library of medicine for Latin America according to a model proposed by the National Library of Medicine. The article qualifies the first years of Bireme's existence as the history of the reception of this model, a trajectory that reflected the criticism of that time against the way the health care services were organized and their human resources were educated. Finally, beginning in 1976, a new model resulted in a real modification of Bireme's programmatic agenda, implying in very distinct contributions for the functioning of the regime of information in health sciences in force in Brazil and Latin America.

Learning on human resources management in the radiology residency program*

PubMed Central

de Oliveira, Aparecido Ferreira; Lederman, Henrique Manoel; Batista, Nildo Alves

2014-01-01

Objective To investigate the process of learning on human resource management in the radiology residency program at Escola Paulista de Medicina - Universidade Federal de São Paulo, aiming at improving radiologists' education. Materials and Methods Exploratory study with a quantitative and qualitative approach developed with the faculty staff, preceptors and residents of the program, utilizing a Likert questionnaire (46), taped interviews (18), and categorization based on thematic analysis. Results According to 71% of the participants, residents have clarity about their role in the development of their activities, and 48% said that residents have no opportunity to learn how to manage their work in a multidisciplinary team. Conclusion Isolation at medical records room, little interactivity between sectors with diversified and fixed activities, absence of a previous culture and lack of a training program on human resources management may interfere in the development of skills for the residents' practice. There is a need to review objectives of the medical residency in the field of radiology, incorporating, whenever possible, the commitment to the training of skills related to human resources management thus widening the scope of abilities of the future radiologists. PMID:25741056

REFORZANDO LAS CAPACIDADES EN INVESTIGACIÓN EN INFORMÁTICA PARA LA SALUD GLOBAL EN LA REGIÓN ANDINA A TRAVÉS DE LA COLABORACIÓN INTERNACIONAL

PubMed Central

Curioso, Walter H.; García, Patricia J.; Castillo, Greta M.; Blas, Magaly M.; Perez-Brumer, Amaya; Zimic, Mirko

2011-01-01

RESUMEN Para mejorar la salud global y bienestar de una población se requiere de recursos humanos capacitados, no solo en el campo de la medicina y salud, sino también en el campo de la informática. Desafortunadamente, los programas de entrenamiento e investigación en informática biomédica en países en desarrollo son escasos y poco documentados. El objetivo del presente trabajo es reportar los resultados del primer Taller Internacional de Expertos en Informática para la región andina que se llevó a cabo en marzo de 2010 en Lima y que incluye la descripción de nueve casos de estudio procedentes de instituciones de América Latina. En el taller participaron 23 expertos latinoamericanos, quienes discutieron la necesidad de entrenamiento e investigación multidisciplinaria en informática biomédica en áreas prioritarias para América Latina. Además, se estableció la Red QUIPU debido a la necesidad de ampliar y consolidar una red de investigación y entrenamiento a nivel regional y global. PMID:21152740

The process of collecting and evaluating evidences for the development of Guidelines for the management of rheumatoid arthritis, Japan College of Rheumatology 2014: Utilization of GRADE approach.

PubMed

Kojima, Masayo; Nakayama, Takeo; Kawahito, Yutaka; Kaneko, Yuko; Kishimoto, Mitsumasa; Hirata, Shintaro; Seto, Yohei; Endo, Hirahito; Ito, Hiromu; Kojima, Toshihisa; Nishida, Keiichiro; Matsushita, Isao; Tsutani, Kiichiro; Igarashi, Ataru; Kamatani, Naoyuki; Hasegawa, Mieko; Miyasaka, Nobuyuki; Yamanaka, Hisashi

2016-01-01

To describe the process of collecting and evaluating evidence for treating rheumatoid arthritis (RA) for developing clinical practice guidelines (CPGs) for rheumatologists in Japan. The task force comprised rheumatologists, epidemiologists, health economists, and patients. First, the critical outcomes were determined according to a three-round Delphi method, and eight topics with 88 clinical questions (CQs) were formulated. A systematic review of CQs was conducted using the Cochran Database of Systematic Reviews, MEDLINE, and Japana Centra Revvo Medicina (2003-2012). A questionnaire survey and focus group interview were performed to capture the patients' values and preferences. Data from the National Health Insurance drug price list and product information provided by pharmaceutical companies were collected to evaluate drug cost and safety. The GRADE approach was used to describe the evidence quality and determine the strength of recommendations. Recommendations were developed using a modified Delphi method by a multidisciplinary panel including patients. Eight meetings and frequent e-mail communications were conducted to draft a quality assessment of evidence and recommendations. For 88 CQs, recommendation statements were determined. Using the GRADE approach, new CPGs successfully addressed important clinical issues for treating RA patients. Timely updating of recommendations should be routinely considered.

[A serological survey of the infection by Echinococcus sp. in the municipality of Sena Madureira, AC].

PubMed

Pastore, Ricardo; Vitali, Lúcia H; Macedo, Vanize de Oliveira; Prata, Aluízio

2003-01-01

A serological inquiry was performed in the municipality of Sena Madureira, Acre State, Brazil, to evaluate the individual contact with Echinococcus sp. The participants were recruited from two distinct populations: residents in the urban and rural areas, the latter distributed among riverside communities of the region. A total of 1,064 individuals were evaluated: 851 from the urban zone and 213 from the rural area. The study was divided into two phases: a serological screening, in which the blood samples were collected and then sent to the Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (Serology Laboratory), Ribeirão Preto, SP, Brazil, for the serological test by counterimmunoelectrophoresis technique; and secondly an epidemiological inquiry for evaluating the individuals and their dwelling conditions and customs. Comparing the results of serological tests, the prevalence in the rural area was 6% against 3.5% in the urban area. The overall prevalence was 4%. The possibility of the existence of another intermediate host in the life cycle of Echinococcus vogeli was analyzed and the findings indicated the domestic pig as being the most probable.

OSTEOSARCOMA IN AFRICAN HEDGEHOGS (ATELERIX ALBIVENTRIS): FIVE CASES.

PubMed

Reyes-Matute, Alonso; Méndez-Bernal, Adriana; Ramos-Garduño, Liliana-Aurora

2017-06-01

Osteosarcomas are unusual neoplasms in African hedgehogs ( Atelerix albiventris ) and have been reported in extraskeletal and skeletal locations, including mandible, ribs, and vertebra. Five hedgehogs with osteosarcoma submitted to the Pathology Department at Facultad de Medicina Veterinaria y Zootecnia, National Autonomous University of Mexico are reported. In two cases, the neoplasm arose from the skull; one case arose from the ribs with associated compression of the thoracic and abdominal cavity, and another case involved the vertebrae. In the last case, the neoplasm arose from the scapula. Histologic lesions were similar in all cases and consisted of well-demarcated nodules in which neoplastic cells were arranged in sheets of polyhedral to spindle-shaped cells with interspersed areas of necrosis. Numerous trabeculae of osteoid were present throughout the tumors. No metastases were detected. The predominant histologic pattern was osteoblastic, but a telangiectatic-like pattern was observed in the vertebral osteosarcoma. Electron microscopy was performed in two cases, and malignant osteoblasts had features consistent with descriptions in other species, including deposits of hydroxyapatite in osteoid. According to these cases and previously published data, axial osteosarcomas are more frequent in contrast to appendicular osteosarcomas in African hedgehogs, and metastases are rare.

Search for ammonia in comet C/2012 S1 (ISON)

NASA Astrophysics Data System (ADS)

Faggi, S.; Codella, C.; Tozzi, G. P.; Comoretto, G.; Crovisier, J.; Nesti, R.; Panella, D.; Boissier, J.; Brucato, J. R.; Bolli, P.; Massi, F.; Tofani, G.

2015-12-01

Comets are uniquely pristine bodies providing unique insights about the formation of our Solar System. In this work, we focus on a dynamically new comet as it enters the inner Solar System for the first time after residing for billion of years in the Oort Cloud. Such comets are particularly important because they are thought to be not differentiated by solar radiation and they are supposed to have a large quantity of organic matter close to the surface. Here we report the results of a search for NH3(1,1) emission at 23.7 GHz towards comet C/2012 S1 (ISON) using a new dual-feed K band receiver mounted on the Medicina 32-m antenna. We observed the comet close to its perihelion, from 25 to 29 November 2013, when its heliocentric distance changed from 0.25 AU to 0.03 AU. We derive an upper limit of Q(NH3) of about 2.5×1029 mol s-1 on 26 November, that is consistent with the last peak of water production rate of ∼2×1030 mol s-1 within the last few days before the perihelion.

ATCA follow-up of blazar candidates in the H-ATLAS fields

NASA Astrophysics Data System (ADS)

Massardi, Marcella; Ricci, Roberto; de Zotti, Gianfranco; White, Glenn; Michalowski, Michal; Ivison, Rob; Baes, Maarten; Lapi, Andrea; Temi, Pasquale; Lopez-Caniego, Marcos; Herranz, Diego; Seymour, Nick; Gonzalez-Nuevo, Joaquin; Bonavera, Laura; Negrello, Mattia

2012-04-01

The Herschel-ATLAS (H-ATLAS) survey that is covering 550 sq.deg. in 5 bands from 100 to 500 micron, allows for the first time a flux limited selection of blazars at sub-mm wavelengths. This wavelength range is particularly interesting because it is where the most luminous blazars are expected to show the synchrotron peak. The peak frequency and luminosity carry key information on the blazar physics. However, blazars constitute a tiny fraction of H-ATLAS sources and therefore picking them up isn't easy. A criterion to efficiently select candidate blazars exploiting the roughly flat blazar continuum spectrum from radio to sub-mm wavelengths has been devised by Lopez-Caniego et al. (in prep.). Multifrequency radio follow-up is however a necessary step to assess the nature of candidates. We propose to complete the validation of candidates in the H-ATLAS equatorial fields (partly done during few hours of ATCA DDT allocated time and with Medicina radiotelescope observations) and to extend the investigation to the Southern (SGP) fields reconstructing the blazars SED between 1.1 and 40 GHz. This will provide the first statistically significant blazar sample selected at sub-mm wavelengths.

Santiago Ramón y Cajal and Ivan Petrovic Pavlov: their parallel scientific lives, schools and nobel prizes.

PubMed

Rozo, Jairo A; Rodríguez-Moreno, Antonio

2015-01-01

Santiago Ramón y Cajal was not only a great scientist but he was also a dedicated teacher who managed to create his own School in Spain. Cajal was active at the end of the XIX and the beginning of the XX century, a period in which Ivan Petrovich Pavlov, another great contemporary scientist, also established a strong School in Russia. While these two acclaimed scientists shared a similar vision on science, a view they also conveyed to their disciples, they applied quite distinct criteria in the way they dealt with their followers. Interestingly, despite the geographic and idiomatic barriers that had to be overcome, the paths of these two great figures of XX century science crossed at least three times. First when they competed for the City of Moscow Prize, second when they both attended the "Congreso Internacional de Medicina de Madrid" (Medicine International Congress in Madrid) in 1903 and finally, they competed on four consecutive occasions for the Nobel Prize in Physiology or Medicine. Here we discuss their scientific vision, their different attitudes in the interaction with disciples and the distinct circumstances in which their paths crossed.

Cross-sectional study of anal intraepithelial lesions in women with cervical neoplasia without HIV.

PubMed

Heráclio, Sandra A; de Souza, Alex S R; de Souza, Paulo R E; Katz, Leila; Lima Junior, Sergio F; Amorim, Melania M R

2018-02-01

To evaluate the prevalence of anal intraepithelial lesions and associated risk factors in women with cervical neoplasia. The present cross-sectional study enrolled patients with intraepithelial or invasive cervical neoplasia who had been referred to the lower genital tract pathology outpatient department of the Instituto de Medicina Integral Prof. Fernando Figueira, Recife, Brazil, between December 1, 2008, and December 31, 2009; patients with HIV infections were excluded. All participants underwent anal cytology and high-resolution anoscopy; sociodemographic and clinical risk factors were identified using multivariate analysis. There were 324 patients included and 37 (11.4%) had anal intraepithelial neoplasia. Factors associated with anal intraepithelial neoplasia in the multivariate analysis were being older than 35 years of age (P=0.002), having completed no more than 4 years of education (P=0.012), anomalous anal cytology (P=0.003), and anomalous high-resolution anoscopy findings (P<0.001); subclinical HPV lesions on vulvoscopy (P=0.057) were not associated with anal intraepithelial neoplasia. The prevalence of anal intraepithelial neoplasia was high among patients with cervical neoplasia who did not have HIV, particularly patients older than 35 years. © 2017 International Federation of Gynecology and Obstetrics.

Materiales en Marcha para el Esfuerzo Bilingue-Bucultural (Materials on the March for the Promotion of Bilingualism/Biculturalism), December 73.

ERIC Educational Resources Information Center

San Diego City Schools, CA.

This newsletter is designed to promote bilingual/bicultural education. Articles in this issue include: "Una Mejor Comprension de la Cultura Hispanoamericans" ("A Better Understanding of Hispanoamerican Culture"), "Portuguese Science Materials,""Comentario Sobre Materiais Portugueses" ("Commentary on…

UNDERSTANDING THE INTERNATIONAL CONSENSUS FOR ACUTE PANCREATITIS: CLASSIFICATION OF ATLANTA 2012.

PubMed

Souza, Gleim Dias de; Souza, Luciana Rodrigues Queiroz; Cuenca, Ronaldo Máfia; Jerônimo, Bárbara Stephane de Medeiros; Souza, Guilherme Medeiros de; Vilela, Vinícius Martins

2016-01-01

morfologia pancreática e peripancreática. O entendimento dos diversos subtipos da doença e identificação de suas possíveis complicações requer familiaridade com a terminologia padrão, a qual permite comunicação efetiva entre os diversos membros da equipe multidisciplinar. Demonstrar terminologia e os parâmetros para identificação das diferentes classificações da doença a partir do consenso internacional para as pancreatites agudas (Classificação de Atlanta 2012. Busca e análise de artigos no "Portal de Periódicos da CAPES" com descritores "pancreatite aguda" e "Revisão de Atlanta". : Foram selecionados 23 artigos que continham descrições radiológicas, manejo ou dados estatísticos relacionados à doença. Dados estatísticos adicionais foram obtidos no sistema Datasus e Censo Demográfico 2010. O critério de diagnóstico radiológico adotado foi o do Colégio Americano de Radiologia. A "Classificação da pancreatite aguda - 2012: revisão da classificação de Atlanta e definições por consenso internacional" tenta eliminar a inconsistência e divergências a partir da determinação de uniformidade para os achados radiológicos, em especial à terminologia relacionada às coleções de fluidos. Termos mais abrangentes como "abscesso pancreático" e "flegmão" entraram em desuso e a evolução da coleção de fluidos pode ser descrita como: "coleções peripancreáticas agudas", "coleções necróticas agudas", "pseudocisto" e "necrose pancreática murada ou isolada". A tomografia computadorizada e a ressonância magnética representam as melhores técnicas com cortes sequenciais disponíveis para diagnóstico. A adequação da terminologia é ponto crítico e deve permitir o manejo do paciente por múltiplos profissionais, estratificação de risco e adequação de tratamento.

Iniciativa sobre Efectividad: Primeros frutos (Initiative about Effectiveness: First Fruits).

ERIC Educational Resources Information Center

Moreno Garcia, Teresa, Ed.

2001-01-01

This Spanish- and Portuguese-language bulletin is a follow-up to No. 15 (PS 030 558), which examined some Effectiveness Initiative (EI) projects. This issue presents some beginning efforts to reflect on what has been learned through EI and to draw conclusions. The articles cover the results of EI projects from such angles as their relations with…

Spina Bifida. Fact Sheet = Espina Bifida. Hojas Informativas Sobre Discapacidades.

ERIC Educational Resources Information Center

National Information Center for Children and Youth with Disabilities, Washington, DC.

This fact sheet offers definitions of the three types of spina bifida (spina bifida occulta, meningocele, and myelomeningocele), outlines their incidence, describes characteristics of individuals with spina bifida, and reviews educational implications. The fact sheet discusses the need for many children with myelomeningocele to learn to manage…

Pensamientos Sobre (Thoughts on) Teaching English as a Second Language.

ERIC Educational Resources Information Center

Ulibarri, Mari-Luci

This document presents ideas on various topics in teaching English as a second language. Some of the problems of English orthography and semantics are illustrated. The role of contrastive analysis is mentioned with Spanish-English illustrations. A list of second-language-acquisition principles and techniques is provided, and suggestions for…

Um Olhar sobre "Beleza Americana" (A Look at "American Beauty").

ERIC Educational Resources Information Center

Bissoto, Maria Luisa

2000-01-01

Discusses the film "American Beauty" in light of a reading of Karl Marx. Finds that the film shows the circularity which marks bourgeois society, even though the rhythm of industry and renovation of the society masks it. States that Marx praises the industry, invention, and innovation of the bourgeoisie. (BT)

Questions about Brain Development = Preguntas sobre el desarrollo del cerebro.

ERIC Educational Resources Information Center

Southeastern Regional Vision for Education (SERVE), Tallahassee, FL.

Noting that new research shows that a baby's earliest years shape how he or she grows later in life, this brochure, in English- and Spanish-language versions, provides brief answers to some important questions parents may have about their baby's brain. The questions answered are: (1) "Why is brain development a popular subject lately?; (2)…

Apuntes sobre Latinismos en Espanol (Notes on Latinisms in Spanish)

ERIC Educational Resources Information Center

Perez B., L. A.

1977-01-01

Several Latinisms appear in Latin American Spanish, which would logically be farther from its Latin roots than Spanish in Spain. The existence of these elements and their importance as linguistic facts is analyzed here. Four words are treated: "Cliente,""cuadrar,""cuarto" and "rabula." (Text is in Spanish.) (CHK)

[Parenting Information: Teenagers. Informacion Para los Padres: Sobre los Jovenes.

ERIC Educational Resources Information Center

Moreno, Steve

These four booklets are devoted specifically to the concerns of parents and their teenage children and are part of a series of 22 booklets designed specifically to help parents understand their children and help them to learn. "Parents--Learn about Your Teenager" (booklet #6) explains the changes which occur during the teen years and the…

[Parenting Information: Drugs. Informacion Para los Padres: Sobre las Drojas.

ERIC Educational Resources Information Center

Moreno, Steve

These two booklets provide basic information about drugs and drug abuse and are part of a series of 22 booklets, designed specifically to help parents understand their children and help them to learn. "Let's Talk about Drug Abuse," (booklet #18), reviews foreign substances or drugs young people are often exposed to (i.e., tobacco,…

Emotional Disturbance. Fact Sheet = Problemas Emocionales. Hojas Informativas Sobre Discapacidades.

ERIC Educational Resources Information Center

National Information Center for Children and Youth with Disabilities, Washington, DC.

This fact sheet, written in both English and Spanish, provides a definition, information on incidence, typical characteristics, and educational implications of emotional disturbance. The definition is from the Individuals with Disabilities Education Act (IDEA) and incidence in 1999-2000 is reported as about 470,000 children and youth. Educational…

Sobre prestamos y clasificaciones linguisticas (Regarding Borrowing and Linguistic Classification).

ERIC Educational Resources Information Center

Key, Mary Ritchie

1988-01-01

This article explores the traditionally accepted etymologies of several lexical borrowings in the indigenous languages of the Americas within the framework of comparative linguistics and linguistic classification. The first section presents a general discussion of the problem of tracing lexical borrowings in this context. The section features a…

Ventilation Guidance To Promote the Safe Use of Spray Polyurethane Foam (SPF) Insulation, Incluyendo la Versión de Español

EPA Pesticide Factsheets

This guidance describes basic ventilation principles and strategies to help protect workers and building occupants and promote the safe use of spray polyurethane foam (SPF) insulation. Guia para la ventilacion sobre la application del aerosol de espuma.

Four Quarters of Football Helmet Safety

MedlinePlus

... Association). 082012 Pub. 348 AJUSTE CORRECTO UN JUEGO MÁS SEGURO 4 CUARTOS SOBRE LA SEGURIDAD DE LOS ... La salud a largo plazo del atleta es más importante que el resultado de un juego. Recuerde ...

Hepatitis B Vaccine: What You Need to Know

MedlinePlus

... información sobre vacunas están disponibles en español y en muchos otros idiomas. Visite www. immunize. org/ vis 1 Why get vaccinated? Hepatitis B is a serious disease that affects the liver. ...

Story on Self-Esteem

MedlinePlus

... Staying Safe Videos for Educators Search English Español Self-Esteem KidsHealth / For Kids / Self-Esteem Print en español Sobre la autoestima What Is Self-Esteem? Self-esteem is a way of thinking and ...

All about Menstruation (For Children)

MedlinePlus

... en español Todo sobre la menstruación People (especially girls) talk a lot about periods. But what exactly ... a period and what makes it happen? A girl's first period, called menarche (say: MEH-nar-kee), ...

Sobre as inclinações carnais: inflexões do pensamento cristão sobre os desejos e as sensações prazerosas do baixo corporali

PubMed Central

RIOS, LUÍS FELIPE; PARKER, RICHARD; TERTO, VERIANO

2011-01-01

On carnal inclinations: from early Christianity to the present This study develops a historical review of the meanings of the “flesh” in the West, focusing on its significance in the context of Christianity. Our hope is that a study along these lines can help to illuminate current understandings of questions related to sexuality both within and outside of the religious contexts found in contemporary Brazil. Such questions are of special interest for those who are concerned with both old and new problems found in the field that has come to be known as sexual and reproductive rights, with implications for the field of Public Health. PMID:21980215

[Referral criteria for benign prostatic hyperplasia in primary care.Sociedad Española de Médicos de Atención Primaria, Sociedad Española de Medicina General, Sociedad Española de Medicina de Familia y Comunitaria, Asociación Española de Urología].

PubMed

Castiñeiras Fernández, J; Cozar Olmo, J M; Fernández-Pro, A; Martín, J A; Brenes Bermúdez, F J; Naval Pulido, E; Molero, J M; Pérez Morales, D

2010-01-01

Benign prostatic hyperplasia (BPH) is a high prevalence condition in men over 50 years that requires continued assistance between primary care and urology. Therefore, consensus around common referral criteria was needed to guide and support both levels. Medical history, symptom assessment with International Prostate Symptom Score (IPSS) questionnaire, digital rectal examination and prostate-specific antigen (PSA) measurement are diagnostic tests available for general practitioners that allow setting a correct BPH diagnose. Patients with an IPSS<8 should be monitored by evaluating them annually. Treatment with alpha-blockers and an evaluation at the first and third month is recommended in patients with an IPSS 8-20 and if the prostate is small, if the prostate size is large treatment with alpha-blockers or 5alpha-reductase inhibitors and evaluation at the third and six month is recommended, and in patients with a large prostate and a PSA >1.5 ng/ ml combined treatment and evaluation at the first and sixth month is recommended. Some clear criteria for referral to urology are established in this document, which help in the management of these patients. Those patients with BPH who do not show any improvement at the third month of treatment with alpha-blockers, or the sixth month with 5alpha-reductase inhibitors, will be referred to urology. Patients will also be referred to urology if they have lower urinary tract symptoms, a pathological finding during rectal examination, IPSS>20, PSA>10 ng/ml or PSA>4 ng/ml and free PSA<20% or if they are <50 years with suspected BHP, or if they have any urological complication.

Remodelar Correctamente: Guía de Prácticas Acreditadas Seguras Para Trabajar Con Plomo

EPA Pesticide Factsheets

Información general sobre los requisitos legales de las prácticas relacionadas al manejo seguro del plomo para dueños de hogares, inquilinos, proveedores de cuido infantil, y padres durante las actividades de remodelación

Negative pressure of the environmental air in the cleaning area of the materials and sterilization center: a systematic review.

PubMed

Ciofi-Silva, Caroline Lopes; Hansen, Lisbeth Lima; Almeida, Alda Graciele Claudio Dos Santos; Kawagoe, Julia Yaeko; Padoveze, Maria Clara; Graziano, Kazuko Uchikawa

2016-09-01

to analyze the scientific evidence on aerosols generated during cleaning activities of health products in the Central Service Department (CSD) and the impact of the negative pressure of the ambient air in the cleaning area to control the dispersion of aerosols to adjacent areas. for this literature systematic review the following searches were done: search guidelines, manuals or national and international technical standards given by experts; search in the portal and databases PubMed, Scopus, CINAHL and Web of Science; and a manual search of scientific articles. the five technical documents reviewed recommend that the CSD cleaning area should have a negative differential ambient air pressure, but scientific articles on the impact of this intervention were not found. The four articles included talked about aerosols formed after the use of a ultrasonic cleaner (an increased in the contamination especially during use) and pressurized water jet (formation of smaller aerosols 5μm). In a study, the aerosols formed from contaminated the hot tap water with Legionella pneumophila were evaluated. there is evidence of aerosol formation during cleanup activities in CSD. Studies on occupational diseases of respiratory origin of workers who work in CSD should be performed. analisar as evidências científicas sobre aerossóis gerados durante atividades de limpeza dos produtos para saúde no Centro de Material e Esterilização (CME) e o impacto da pressão negativa do ar ambiente na área de limpeza para controle da dispersão de aerossóis para áreas adjacentes. para essa revisão sistemática de literatura foram realizadas: busca de diretrizes, manuais ou normas técnicas nacionais e internacionais indicadas por especialistas; busca no portal e bases de dados PUBMED, SCOPUS, Cinahl e Web of Science; e busca manual de artigos científicos. Os cinco documentos técnicos analisados preconizam que na área de limpeza do CME haja diferencial negativo de pressão do ar ambiente

Innovative SETI by the KLT

NASA Astrophysics Data System (ADS)

Maccone, C.

SETI searches are, by definition, the extraction of very weak radio signals out of the cosmic background noise. When SETI was born in 1959, it was "natural" to attempt this extraction by the only detection algorithm well known at the time: the Fourier Transform (FT). In fact: 1) SETI radio astronomers had adopted the viewpoint that a candidate ET signal would necessarily be a sinusoidal carrier, i.e. a very narrow-band signal. Over such a narrow band, the background noise is necessarily white. And so, the basic assumption behind the FT that the background noise must be white was "perfectly matched" to SETI for the next fifty years! 2) In addition, the Americans, J. W. Cooley and J. W. Tukey discovered in April 1965 that all the FT computations could be speeded up to N*ln(N) (rather than N2) (N is the number of numbers to be processed) by their own Fast Fourier Transform (FFT). Then, SETI radio astronomers all over the world gladly and unquestioningly adopted the new FFT forever. In 1983, however, the French SETI radio astronomer, François Biraud, dared to challenge this view (ref. [6]). He argued that we only can make guesses about ET's telecommunication systems, and that the shifting trend on Earth was from narrow-band to wide-band telecommunications. Thus, a new transform, other than the FFT, was needed that could detect signals over both narrow and wide bands, regardless of the colored noise distribution over any finite bandwidth. Such a transform had actually been pointed out as early as 1946 by the Finn mathematician, Kari Karhunen, and the French mathematician, Michel Loève, and is thus named KLT for them. In conclusion, François Biraud suggested to "look for the unknown in SETI" by adopting the KLT rather than the FFT. The same ideas were reached independently by this author also, and starting 1987, he too was "preaching the KLT": first at the SETI Institute, then (since 1990) at the Italian CNR (now called INAF) SETI facilities at Medicina, near Bologna

Manténgase saludable al elegir pescado y mariscos de manera inteligente

EPA Pesticide Factsheets

Los pescados y mariscos son una parte importante de una dieta saludable. Algunos pescados y mariscos pueden contener sustancias químicas que presenten un riesgo para la salud. Información sobre el consumo seguro de pescado y mariscos.

My Friend Is Talking about Suicide

MedlinePlus

... Search English Español My Friend Is Talking About Suicide. What Should I Do? KidsHealth / For Teens / My ... sobre suicidio. ¿Qué debo hacer? Warning Signs of Suicide Everyone feels sad, depressed, or angry sometimes — especially ...

Preparation and characterization of novel nanocomposites of inorganic/polysaccharide type =

NASA Astrophysics Data System (ADS)

Oliveira, Fabiane Costa

O uso de polimeros naturais no ambito da preparacao de nanocompositos nao tem sido tao amplamente estudado quando comparado com os polimeros sinteticos. Assim, esta tese tem como objectivo estudar metodologias para a preparacao de novos materiais nanocompositos sob a forma de dispersoes e filmes utilizando polissacarideos como matriz. A tese esta dividida em cinco capitulos sendo o ultimo capitulo dedicado as conclusoes gerais e a sugestoes para trabalhos futuros. Inicialmente e apresentada uma breve revisao bibliografica sobre os principais temas colocando esta tese em contexto. Consideracoes sobre o uso de polimeros naturais e a sua combinacao com a utilizacao de nanoparticulas inorganicas para a fabricacao de novos bionanocomposites sao descritas e os objectivos e outline da tese sao tambem apresentados. No segundo capitulo, a preparacao de particulas de silica puras ou modificadas bem como a sua caracterizacao por FTIR, SEM, TEM, TGA, DLS (tamanho e potencial zeta) e medicoes de angulo de contacto sao discutidas. De modo a melhorar a compatibilidade da silica com os polissacarideos, as particulas SiO2 foram modificados com dois compostos do tipo organosilano: 3- metacril-oxipropil-trimetoxissilano (MPS) e 3-aminopropil-trimetoxissilano (APS). As particulas SiO2 MPS foram posteriormente encapsuladas com de poli(metacrilato de glicidilo) utilizando a tecnica de polimerizacao em emulsao. A utilizacao dos nanocompositos resultantes na preparacao de dispersoes de bionanocompositos nao foi bem sucedida e por esse motivo nao os estudos nao foram prosseguidos. O uso de SiO2 APS na preparacao de dispersoes bionanocomposite foi eficiente. No terceiro capitulo e apresentada uma revisao sobre dispersoes bionanocompositas e respectiva caracterizacao destacando aspectos fundamentais sobre reologia e microestrutura. Em seguida, e discutido o estudo sistematico realizado sobre o comportamento reologico de dispersoes de SiO2 utilizando tres polissacarideos distintos no que

Inversor Resonante de Tres Elementos L-LC con Caracteristica Cortocircuitable para Aplicaciones de Calentamiento por Induccion

NASA Astrophysics Data System (ADS)

Espi Huerta, Jose Miguel

Los generadores de calentamiento por induccion son puentes inversores con carga resonante, cuya mision es basicamente crear una corriente sinusoidal de gran amplitud sobre la "bobina de caldeo", que forma parte del tanque resonante. En el interior de esta bobina se introduce la pieza que se desea calentar. EI campo magnetico creado induce corrientes superficiales (corrientes de Foucault) sobre la pieza, que producen su calentamiento. Los tanques resonantes (tambien llamados osciladores) utilizados en la actualidad son el resonante serie y el resonante paralelo. Aunque ya desde hace algun tiempo se vienen construyendo generadores de alta potencia basados en estos dos osciladores, el exito nunca ha. sido completo en ninguno de los dos casos. Tal y como se explica en la introduccion de esta memoria, los puentes inversores utilizados deben operar sobre una carga inductiva (corriente retrasada) para evitar el fenomeno de la recuperacion inversa de sus diodos y la consiguiente ruptura de los transistores. De la restriccion topologica anterior se deduce que el generador paralelo debe conmutar a frecuencias inferiores a la resonancia, y el serie a frecuencias superiores. A esta restriccion topologica hay que unir otra que es exclusiva del calentamiento por induccion: La corriente por la bobina de caldeo debe ser sinusoidal. De no ser asi, resultaria imposible disponer toda la potencia de calentamiento sobre la pieza en el espesor requerido por la aplicacion. Como consecuencia, los inversores no pueden operar por debajo de la frecuencia de resonancia del oscilador, pues en ese caso se amplifican los armonicos de orden superior de la tension/corriente de entrada situados sobre la resonancia, con la consiguiente distorsion de la corriente de salida. La conjuncion de las dos restricciones anteriores obligan al inversor paralelo a funcionar a la frecuencia de resonancia del oscilador. Esto imposibilita un control por variacion de frecuencia, regulandose la potencia desde la

Office and 24-h ambulatory blood pressure control by treatment in general practice: the 'Monitoraggio della pressione ARteriosa nella medicina TErritoriale' study.

PubMed

Zaninelli, Augusto; Parati, Gianfranco; Cricelli, Claudio; Bignamini, Angelo A; Modesti, Pietro A; Pamparana, Franco; Bilo, Grzegorz; Mancia, Giuseppe; Gensini, Gian F

2010-05-01

Guidelines recommend that blood pressure (BP) should be lowered in hypertensive patients to prevent cardiovascular accidents. Management of antihypertensive treatment by general practitioners is usually based on office measurements, which may not allow an assessment of BP control over 24 h, which requires ambulatory BP monitoring (ABPM) to be implemented. This is rarely done in general practice, and limited information is available on the consistency between the evaluations of the response to treatment provided by office measurement and by ABPM in this setting. To assess concordance between office BP measurements and ABPM-based estimates of hypertension control in a general practice setting. Prospective, comparative between techniques. General practice. Seventy-eight general practices, representative of all Italian regions, participated in this study by recruiting sequential hypertensive adults on stabilized treatment, who were subdivided into even groups with office BP, respectively, controlled or noncontrolled by treatment. In each individual, ABPM was applied by the general practitioner after appropriate training, and 24-h ABP values were defined as controlled or not according to current guidelines. Concordance between office and ABPM evaluation of BP control was assessed with kappa statistics. Positive and negative predictive values of office measurement versus ABPM were estimated. Between July 2005 and November 2006, 190 general practitioners recruited 2059 hypertensive patients based on office BP measurements; in 1728 patients, a 24-h ABPM was performed, yielding 1524 recordings considered as valid for further analysis. The agreement between the assessment of BP control by office measurement and by ABPM was poor (kappa = 0.120), with office measurements showing a satisfactory positive predictive value (0.842) and a poor negative predictive value (0.278); the situation was worse in patients with three or more among the following features: male sex, age of at least 65 years, alcohol consumption, diabetes, and obesity (negative predictive value = 0.149). In general practice, the agreement between assessment of BP control by treatment provided by office and ambulatory BP measurements is better in patients of 'uncontrolled' office BP than in 'controlled' office BP patients. This emphasizes the need for the larger use of out-of-office BP monitoring in a general practice setting, in particular, in patients considered as 'controlled' during consultation.

Comorbidities and short-term prognosis in patients hospitalized for acute exacerbation of COPD: the EPOC en Servicios de medicina interna (ESMI) study.

PubMed

Almagro, Pedro; Cabrera, Francisco Javier; Diez, Jesus; Boixeda, Ramon; Alonso Ortiz, M Belen; Murio, Cristina; Soriano, Joan B

2012-11-01

Comorbidities are frequent in patients hospitalized for COPD exacerbation, but little is known about their relation with short-term mortality and hospital readmissions. Our hypothesis is that the frequency and type of comorbidities impair the prognosis within 12 weeks after discharge. A longitudinal, observational, multicenter study of patients hospitalized for a COPD exacerbation with spirometric confirmation was performed. Comorbidity information was collected using the Charlson index and a questionnaire that included other common conditions not included in this index. Dyspnea, functional status, and previous hospitalization for COPD or other reasons among other variables were investigated. Information on mortality and readmissions for COPD or other causes was collected up to 3 months after discharge. We studied 606 patients, 594 men (89.9%), with a mean (SD) age of 72.6 (9.9) years and a postbronchodilator FEV1 of 43.2% (21.2). The mean Charlson index score was 3.1 (2.0). On admission, 63.4% of patients had arterial hypertension, 35.8% diabetes mellitus, 32.8% chronic heart failure, 20.8% ischemic heart disease, 19.3% anemia, and 34% dyslipemia. Twenty-seven patients (4.5%) died within 3 months. The Charlson index was an independent predictor of mortality (P < .003; OR,1.23; 95% CI, 1.07-1.40), even after adjustment for age, FEV1, and functional status measured with the Katz index. Comorbidity was also related with the need for hospitalization from the ED, length of stay, and hospital readmissions for COPD or other causes. Comorbidities are common in patients hospitalized for a COPD exacerbation, and they are related to short-term prognosis.

Assessment of the usability of a digital learning technology prototype for monitoring intracranial pressure.

PubMed

Carvalho, Lilian Regina de; Évora, Yolanda Dora Martinez; Zem-Mascarenhas, Silvia Helena

2016-08-29

to assess the usability of a digital learning technology prototype as a new method for minimally invasive monitoring of intracranial pressure. descriptive study using a quantitative approach on assessing the usability of a prototype based on Nielsen's ten heuristics. Four experts in the area of Human-Computer interaction participated in the study. the evaluation delivered eight violated heuristics and 31 usability problems in the 32 screens of the prototype. the suggestions of the evaluators were critical for developing an intuitive, user-friendly interface and will be included in the final version of the digital learning technology. avaliar a usabilidade de um protótipo educacional digital sobre um novo método para monitoração da pressão intracraniana de forma minimamente invasivo para enfermeiros e médicos. estudo descritivo com abordagem quantitativa sobre a avaliação de usabilidade de um protótipo com base nas dez Heurísticas de Nielsen. Participaram quatro especialistas da área de Interação Humano Computador. a avaliação resultou em oito heurísticas violadas e 31 problemas de usabilidade nas 32 telas do protótipo. as sugestões dos avaliadores foram cruciais para o desenvolvimento de uma interface amigável e intuitiva e serão consideradas na versão final da tecnologia educacional digital. evaluar la usabilidad de un prototipo educacional digital sobre un nuevo método para monitorización de la presión intracraneal, de manera mínimamente invasiva. estudio descriptivo con abordaje cuantitativo sobre la evaluación de usabilidad de un prototipo con base en las diez reglas Heurísticas de Nielsen. Participaron cuatro especialistas del área de Interacción Humana Computador. la evaluación resultó en ocho reglas heurísticas violadas y 31 problemas de usabilidad en las 32 pantallas del prototipo. las sugestiones de los evaluadores fueron cruciales para el desarrollo de una interfaz amigable e intuitiva y éstas serán consideradas en la

Mapa Geologico de Venezuela a Escala 1:750,000

USGS Publications Warehouse

Hackley, Paul C.; Urbani, Franco; Karlsen, Alex W.; Garrity, Christopher P.

2006-01-01

Se presenta un mapa geologico digital de Venezuela sobre un fondo de relieve sombreado. Los datos geologicos e hidrologicos del norte del rio Orinoco proceden de la digitalizacion de mapas geologicos en papel a escala 1:500.000. Estos datos fueron integrados con el mapa geologico digital del Escudo de Guayana Venezolano, a su vez derivado de hojas en papel a escala 1:500.000. La informacion sobre los tipos de fallas mostrados en el mapa es igual que en las fuentes originales. Los poligonos geologicos fueron atribuidos por edad, litologia y nombre de la unidad siguiendo el Codigo geologico de Venezuela. Se incorporaron revisiones significativas de la geologia de la Cordillera de la Costa a partir de las nuevas hojas integradas a escala 1:25.000. Toda esta informacion geologico-estructural se sobrepuso a una imagen de relieve sombreado, producida por el procesamiento de los datos de radar interferometrico con 90 m (3 arcosegundos) de resolucion espacial obtenidos por la mision topografica de radar del transbordador espacial (SRTM). Las areas de la base de datos del SRTM carentes de informacion fueron llenadas por medio de la interpolacion de los datos de las celdas adyacentes. Para producir la imagen de relieve sombreado se uso una direccion de iluminacion de 315 deg con un angulo de 65 deg sobre el horizonte. La proyeccion usada en el mapa es conica equidistante, con latitudes de 4 y 9 deg norte como paralelos estandar y una longitud de 66 deg al oeste como meridiano central. Los datos en el mapa proceden primordialment de hojas a escala 1:500.000 y el producto esta preparado para una impresion optima en escala 1:750.000. Los usuarios pueden obtener ampliaciones mayores, sin embargo no se garantiza la precision del mapa a escalas mas detalladas. Especialmente en la region de Guayana, al sobreponer los mapas geologicos sobre la reciente imagen SRTM, se notan grandes discrepancias no sistematicas tanto en contactos como en fallas. Esto es debido a que los mapas

Adaptación al español y validación de criterio de una escala para la tamización de problemas emocionales y del comportamiento en la primera infancia.

PubMed

Cano, Luz Helena; Acosta, María Natalia; Pulido, Adriana

2018-05-01

Introducción. La detección temprana del riesgo de problemas emocionales y del comportamiento en niños puede contribuir al desarrollo de estrategias que promuevan la salud mental desde la primera infancia. En Colombia no existe una herramienta validada para dicha detección.Objetivos. Seleccionar, adaptar y establecer la validez de criterio de una escala de tamización de problemas emocionales y del comportamiento en niños menores de seis años.Materiales y métodos. A partir de una revisión de la literatura y un consenso de expertos, se seleccionó la herramienta Early Childhood Screening Assessment (ECSA). Posteriormente, se llevó a cabo su adaptación lingüística y se determinó la validez de criterio mediante una curva de características de recibidor-operador (Receiver Operating Characteristic, ROC), y se la comparó con el cuestionario Child Behavior Checklist (CBCL 1,5-5). En el estudio participaron 206 cuidadores de niños entre el año y medio y los seis años de edad de la ciudad de Tunja y el municipio de Sopó.Resultados. La puntuación del ECSA presentó una buena correlación con la puntuación t total del CBCL 1,5-5 (ro de Spearman=0,75; p<0,01). La escala ECSA tuvo una sensibilidad de 86 % y una especificidad de 82 % al establecer un punto de corte de 24 para la población estudiada.Conclusión. En este primer estudio de adaptación y validación de la versión en español de la escala ECSA, se detectaron buenos valores de sensibilidad y especificidad para la tamización de problemas emocionales y del comportamiento en la primera infancia.

HOJA INFORMATIVA Presencia de PFOA y PFOS en el agua potable Avisos de salud

EPA Pesticide Factsheets

La EPA estableció avisos de salud sobre el ácido perfluorooctanoico (PFOA) y el sulfonato de perfluorooctano (PFOS) para proporcionar información a los operadores de sistemas de agua potable y funcionarios estatales y locales para que puedan adoptar las me

PubMed

Yunta, Eduardo Rodriguez

2009-01-01

El presente trabajo reflexiona sobre el fundamento filosófico de la bioética como disciplina, método y movimiento desde su contexto histórico y en relación con el contexto social y cultural de la vivencia latinoamericana.

Los asuntos de la EPA

EPA Pesticide Factsheets

La labor de la agencia con la comunidad internacional se beneficiará de un enfoque en el cual las prácticas sostenibles sean de aquí en adelante parte de nuestro diálogo sobre asuntos de mutua preocupación.

Proceedings of the fourth international symposium on fire economics, planning, and policy: climate change and wildfires

Treesearch

Armando González-Cabán

2013-01-01

[Spanish version: Memorias del Cuarto Simposio Internacional Sobre Políticas, Planificación, y Economía de los Incendios Forestales: Cambio Climático e Incendios Forestales.]These proceedings summarize the results of a symposium designed...

What Are Sports Injuries?

MedlinePlus

... Health Information Spanish Language Health Information Related Information La historia de Ana: Cómo ella y su familia aprendieron sobre las lesiones depor… Ana's Story Lesiones deportivas: Esenciales: hojas informativas de fácil lectura View/Download/Order Publications Sports Injuries, Easy-to- ...

Resumen del programa de WIFIA

EPA Pesticide Factsheets

Hojas informativas sobre el programa de WIFIA que acelera la inversión en la infraestructura de agua de nuestro país proporcionando préstamos a largo plazo y de bajo costo para proyectos considerables a nivel tanto regional como nacional.

Hacia el consumo informado de tabaco en México: efecto de las advertencias con pictogramas en población fumadora

PubMed Central

Thrasher, James F; Pérez-Hernández, Rosaura; Arillo-Santillán, Edna; Barrientos-Gutiérrez, Inti

2015-01-01

Resumen Objetivo Evaluar el efecto de las advertencias sanitarias (AS) con pictogramas en las cajetillas de tabaco en adultos fumadores. Material y métodos Cohorte de fumadores con representatividad poblacional de siete ciudades mexi canas, antes (2010) y después (2011) de la implementación de AS con pictogramas (ASP). Para determinar el cambio en las variables sobre el impacto cognitivo y conductual de las advertencias, se estimaron modelos bivariados y ajustados de ecuaciones de estimación generalizada. En el Segundo levantamiento (2011), se estimaron modelos para determiner los factores que se asocian con el reporte de recordar cada advertencia que había entrado al mercado, además de los factores asociados con el autorreporte del impacto de cada advertencia vigente. Resultados Se observaron incrementos importantes de 2010 a 2011 en los conocimientos sobre los riesgos de fumar, los componentes tóxicos del tabaco y el número telefónico para recibir consejos sobre dejar de fumar. La recordación e impacto de las primeras advertencias con pictogramas parecen ser amplios y equitativos a través de la población fumadora. En comparación con 2010, un mayor nivel de ex fumadores entrevistados en 2011 reportaron que las advertencias habían influido mucho en dejar de fumar (RM=2.44, 95% IC 1.27–4.72). Conclusiones Las AS con pictogramas han logrado un impacto importante en el conocimiento y conducta, información relevante para la población y en tomadores de decisiones. PMID:22689162

El Programa Nacional de Estuarios (NEP)

EPA Pesticide Factsheets

Información general sobre el Programa Nacional de Estuarios (PNE, por sus siglas en inglés) establecido en el 1987 para restaurar y proteger los estuarios significativos para Estados Unidos, y sus territorios. La Agencia de Protección Ambiental de EE.UU.

Índice UV

EPA Pesticide Factsheets

Información general sobre el Índice UV que proporciona un pronóstico del riesgo esperado de sobreexposición a la radiación ultravioleta (UV) del sol. El índice UV va acompañado de recomendaciones para protegerse del sol.

TEMAS PARA UNA BIOETICA LATINOAMERICANA

PubMed Central

Yunta, Eduardo Rodriguez

2009-01-01

El presente trabajo reflexiona sobre el fundamento filosófico de la bioética como disciplina, método y movimiento desde su contexto histórico y en relación con el contexto social y cultural de la vivencia latinoamericana. PMID:20209030

Glaucoma

MedlinePlus

... ojo ¡Ojo con su Visión! Glosario Recursos adicionales de información El glaucoma El glaucoma ¿Cuánto sabe sobre ... un ser querido Ojos sanos Ojos sanos Problemas de visión comunes Enfermedades y condiciones de los ojos ...

Impact of payments for environmental services and protected areas on local livelihoods and forest conservation in northern Cambodia

PubMed Central

Clements, Tom; Milner-Gulland, E J

2015-01-01

The potential impacts of payments for environmental services (PES) and protected areas (PAs) on environmental outcomes and local livelihoods in developing countries are contentious and have been widely debated. The available evidence is sparse, with few rigorous evaluations of the environmental and social impacts of PAs and particularly of PES. We measured the impacts on forests and human well-being of three different PES programs instituted within two PAs in northern Cambodia, using a panel of intervention villages and matched controls. Both PES and PAs delivered additional environmental outcomes relative to the counterfactual: reducing deforestation rates significantly relative to controls. PAs increased security of access to land and forest resources for local households, benefiting forest resource users but restricting households’ ability to expand and diversify their agriculture. The impacts of PES on household well-being were related to the magnitude of the payments provided. The two higher paying market-linked PES programs had significant positive impacts, whereas a lower paying program that targeted biodiversity protection had no detectable effect on livelihoods, despite its positive environmental outcomes. Households that signed up for the higher paying PES programs, however, typically needed more capital assets; hence, they were less poor and more food secure than other villagers. Therefore, whereas the impacts of PAs on household well-being were limited overall and varied between livelihood strategies, the PES programs had significant positive impacts on livelihoods for those that could afford to participate. Our results are consistent with theories that PES, when designed appropriately, can be a powerful new tool for delivering conservation goals whilst benefiting local people. El Impacto de los Pagos por Servicios Ambientales y Áreas Protegidas sobre la Subsistencia Local y la Conservación del Bosque en el Norte de Camboya Resumen Los impactos

[Drama therapy for the prevention of workplace violence].

PubMed

Hermoso Lloret, Diana; Cervantes Ortega, Genís; Blanch, Josep Maria; Ochoa Pacheco, Paola

2012-01-01

To achieve, through a training and preventive intervention, a significant change in the emotional experience of a group of health care professionals at risk of exposure to workplace violence. 143 Catalonian health professionals participated in a training course on occupational risk prevention that incorporated theatrical staging techniques and psychotherapeutic strategies, focused on the interpretation of emotional experiences associated with violence in the workplace. They participated voluntarily in the program and were selectedaccording to type of healthcare delivered and professional diversity. A pre- and post-course questionnaire was administered. Ninety-two percent of respondents claimed to have witnessed, and 85% had personally experienced, a violent episode in the previous five years. The comparison of mean scores before and after the training intervention revealed anincrease in the positive assessment of the effectiveness of one's own performance and communication skills (p< 0.001), and induced emotional experiences in line with a greater peace of mind (p< 0.005) and less anxiety (p< 0.005) with respect to the violent incident. Staging experiential stressful situations can be a useful learning tool for managing emotions, which increases the perceived degree of one's ability to manage communication, teamwork and professional stress itself. Copyright belongs to the Societat Catalana de Seguretat i Medicina del Treball.