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Sample records for siringomielia experiencia 2000-2008

  1. Prevalence and Mortality of Melanoma in Oklahoma Among Racial Groups, 2000-2008

    PubMed Central

    Baldwin, Jonathan; Janitz, Amanda E.; Erb-Alvarez, Julie; Snider, Cuyler; Campbell, Janis E.

    2016-01-01

    Introduction This study assessed the period prevalence (2000-2008) and mortality rates of melanoma, in Oklahoma, among different racial/ethnic strata. Methods We analyzed incident cases of melanoma from 2000-2008 from the Oklahoma Central Cancer Registry and determined disease duration using Kaplan-Meier survival analysis to calculate period prevalence of melanoma in Oklahoma. Using a series of Chi-Square tests, we compared period prevalence and mortality rates among the racial groups and compared mortality between Oklahoma and the US. Results White non-Hispanics in Oklahoma have the highest period prevalence (p<0.0001) among the racial strata. American Indian or Alaska Native (AI/AN) individuals have the second highest period prevalence in Oklahoma (p<0.0001). Furthermore, white non-Hispanics (p<0.0001) and AI/AN individuals (p=0.0003) in Oklahoma had higher mortality rates compared to the US. Conclusions There are disparities in the prevalence and mortality of melanoma among the AI/AN population in Oklahoma, and prevention and education programs should focus on this population. PMID:27885301

  2. Cancer incidence and survival in adolescents and young adults in France, 2000-2008.

    PubMed

    Desandes, Emmanuel; Lacour, Brigitte; Belot, Aurélien; Molinie, Florence; Delafosse, Patricia; Tretarre, Brigitte; Velten, Michel; Sauleau, Erik-André; Woronoff, Anne-Sophie; Guizard, Anne-Valérie; Ganry, Olivier; Bara, Simona; Grosclaude, Pascale; Troussard, Xavier; Bouvier, Véronique; Brugieres, Laurence; Clavel, Jacqueline

    2013-05-01

    This study aimed to describe cancer incidence (2000-2008) and survival (2000-2004) in France in adolescents and young adults (AYA). All cases of cancer diagnosed in 15-24 years, recorded by all French population-based registries (14% of the French population), over the 2000-2008 period, were included. Incidence change over time was described with the conventional annual percentage change (cAPC). The survival of cases diagnosed (2000-2004) was estimated using Kaplan-Meier method. A total of 1022 in adolescents and 1396 in young adults were diagnosed. Overall incidence rates were 219.4/10(6) in 15-19 year olds and 293.1/10(6) in 20-24 year olds. The most frequently diagnosed cancers in male AYA were malignant gonadal germ-cell tumors and Hodgkin's disease, and were melanoma, thyroid carcinoma, and Hodgkin's disease in females. The age-standardized rates appeared stable over time in AYA, with a cAPC of +2.0% (P = 0.68). The 5-year overall survival for all cancers was different between genders and age groups, with 78.8% (95%CI: 75.6-82.0) for males and 85.2% (95%CI: 82.2-88.1) for females (P = 0.01), and 78.5% (95%CI: 75.0-82.1) in 15-19 year olds and 84.3% (95% CI: 81.6-87.0) in 20-24 year olds (P = 0.02). Noteworthy, the frequency and the distribution of tumor types in AYA are unique and different from the observed at any other age group. Survival in French AYA has improved over time. Epidemiological data might reflect major trends in the risk factors and preventive interventions. Thus, further research into etiology of cancers affecting AYA should become key priorities for cancer control among AYA.

  3. National Trends in Surgical Therapy for Benign Prostatic Hyperplasia in the United States (2000-2008)

    PubMed Central

    Malaeb, Bahaa S; Yu, Xinhua; McBean, A. Marshall; Elliott, Sean P

    2012-01-01

    Introduction The rate of utilization of thermotherapy and laser therapy in the surgical treatment of benign prostatic hyperplasia (BPH) has been changing over the past decade in conjunction with a steady decrease of TURP. We now report an update of the change in utilization trends for different surgical treatments of BPH among the United States Medicare population data 2000-2008. Methods Using the 100% Medicare carrier file for the years 2000-2008 we calculated counts and population-adjusted rates of BPH surgery. Rates of TURP, thermotherapy and laser-utilizing modalities were calculated and compared in relation to age, race, clinical setting, and reimbursement. Results After years of a steady rise, the total rate of all BPH procedures peaked in 2005 at 1,078/100,000 then declined by 15.4% to 912/100,000 in 2008. TURP rates continued to decline from 670 in 2000 to 351/100,000 in 2008. Rates of TUMT peaked in 2006 at 266/100,000 then declined 26% in 2008. Laser vaporization almost completely replaced laser coagulation and in 2008, was the most commonly performed procedure second to TURP with the majority performed as outpatient procedures (70%) and an increasing percentage in the office (12%). Men between ages 70-75 had the highest rate of procedures. Reimbursement rates correlate with the use of some but not all procedures. Racial disparities reported previously appear to have resolved. Conclusions Surgical treatment of BPH continues to change rapidly. TURP continues to decline and laser vaporization is the fastest growing modality. There is a big shift towards outpatient/office procedures. Reimbursement rates do not appear to have a consistent effect on utilization. PMID:22546389

  4. Comparison of atmospheric mercury (Hg) among Korea, Japan, China and Taiwan during 2000-2008.

    PubMed

    Fang, Guor-Cheng; Wu, Yuh-Shen; Chang, Tai-Hua

    2009-03-15

    The paper reviewed studies about total gaseous mercury, atmospheric particulate of mercury and average dry deposition fluxes of mercury in Korea, Japan, China and Taiwan. This study compared sample collection and analytical methods for mercury in Asian countries. Analytical results indicated that the primary mercury sources are anthropogenic source (for example coal burning) and high temperature processes. This study also elucidates the sources, analytical tools, and the average concentrations for atmospheric mercury (Hg) for these Asian countries during 2000-2008. This study indicated that the total gaseous mercury concentrations were higher in urban area than that in suburban area in Asian countries (Korea, Japan, China and Taiwan). As for the seasonal variations, in general, the average total gaseous mercury concentrations were higher in winter than that in summer especially in China. In addition, the average total gaseous mercury concentrations were higher in mining areas than that in the rest of the other areas. And the total gaseous mercury concentrations were decreasing as this distance increasing. These phenomena revealed that the total gaseous mercury concentrations are reduced by long-distance transportation especially in the main land of China.

  5. Mentoring programs for medical students - a review of the PubMed literature 2000 - 2008

    PubMed Central

    2010-01-01

    Background Although mentoring is acknowledged as a key to successful and satisfying careers in medicine, formal mentoring programs for medical students are lacking in most countries. Within the framework of planning a mentoring program for medical students at Zurich University, an investigation was carried out into what types of programs exist, what the objectives pursued by such programs are, and what effects are reported. Methods A PubMed literature search was conducted for 2000 - 2008 using the following keywords or their combinations: mentoring, mentoring program, medical student, mentor, mentee, protégé, mentorship. Although a total of 438 publications were identified, only 25 papers met the selection criteria for structured programs and student mentoring surveys. Results The mentoring programs reported in 14 papers aim to provide career counseling, develop professionalism, increase students' interest in research, and support them in their personal growth. There are both one-to-one and group mentorships, established in the first two years of medical school and continuing through graduation. The personal student-faculty relationship is important in that it helps students to feel that they are benefiting from individual advice and encourages them to give more thought to their career choices. Other benefits are an increase in research productivity and improved medical school performance in general. Mentored students also rate their overall well-being as higher. - The 11 surveys address the requirements for being an effective mentor as well as a successful mentee. A mentor should empower and encourage the mentee, be a role model, build a professional network, and assist in the mentee's personal development. A mentee should set agendas, follow through, accept criticism, and be able to assess performance and the benefits derived from the mentoring relationship. Conclusion Mentoring is obviously an important career advancement tool for medical students. In Europe

  6. Remotely sensed forest cover loss shows high spatial and temporal variation across Sumatera and Kalimantan, Indonesia 2000-2008

    NASA Astrophysics Data System (ADS)

    Broich, Mark; Hansen, Matthew; Stolle, Fred; Potapov, Peter; Arunarwati Margono, Belinda; Adusei, Bernard

    2011-01-01

    The Indonesian islands of Sumatera and Kalimantan (the Indonesian part of the island of Borneo) are a center of significant and rapid forest cover loss in the humid tropics with implications for carbon dynamics, biodiversity conservation, and local livelihoods. The aim of our research was to analyze and interpret annual trends of forest cover loss for different sub-regions of the study area. We mapped forest cover loss for 2000-2008 using multi-resolution remote sensing data from the Landsat enhanced thematic mapper plus (ETM +) and moderate resolution imaging spectroradiometer (MODIS) sensors and analyzed annual trends per island, province, and official land allocation zone. The total forest cover loss for Sumatera and Kalimantan 2000-2008 was 5.39 Mha, which represents 5.3% of the land area and 9.2% of the year 2000 forest cover of these two islands. At least 6.5% of all mapped forest cover loss occurred in land allocation zones prohibiting clearing. An additional 13.6% of forest cover loss occurred where clearing is legally restricted. The overall trend of forest cover loss increased until 2006 and decreased thereafter. The trends for Sumatera and Kalimantan were distinctly different, driven primarily by the trends of Riau and Central Kalimantan provinces, respectively. This analysis shows that annual mapping of forest cover change yields a clearer picture than a one-time overall national estimate. Monitoring forest dynamics is important for national policy makers, especially given the commitment of Indonesia to reducing greenhouse gas emissions as part of the reducing emissions from deforestation and forest degradation in developing countries initiative (REDD +). The improved spatio-temporal detail of forest change monitoring products will make it possible to target policies and projects in meeting this commitment. Accurate, annual forest cover loss maps will be integral to many REDD + objectives, including policy formulation, definition of baselines, detection

  7. The impact of the Nitrates Directive on nitrogen emissions from agriculture in the EU-27 during 2000-2008.

    PubMed

    Velthof, G L; Lesschen, J P; Webb, J; Pietrzak, S; Miatkowski, Z; Pinto, M; Kros, J; Oenema, O

    2014-01-15

    A series of environmental policies have been implemented in the European Union (EU) to decrease nitrogen (N) emissions from agriculture. The Nitrates Directive (ND) is one of the main policies; it aims to reduce nitrate leaching from agriculture through a number of measures. A study was carried out to quantify the effects of the ND in the EU-27 on the leaching and runoff of nitrate (NO3(-)) to groundwater and surface waters, and on the emissions of ammonia (NH3), nitrous oxide (N2O), nitrogen oxides (NO(x)) and dinitrogen (N2) to the atmosphere. We formulated a scenario with and a scenario without implementation of the ND. The model MITERRA-Europe was used to calculate N emissions on a regional level in the EU-27 for the period 2000-2008. The calculated total N loss from agriculture in the EU-27 was 13 Mton N in 2008, with 53% as N2, 22% as NO3, 21% as NH3, 3% as N2O, and 1% as NO(x). The N emissions and leaching in the EU-27 slightly decreased in the period 2000-2008. Total emissions in the EU in 2008 were smaller with implementation of the ND than without the ND, by 3% for NH3, 6% for N2O, 9% for NO(x), and 16% for N leaching and runoff in 2008. However, regional differences were large. The lower emissions with ND were mainly due to the lower N inputs by fertilizers and manures. In conclusion, implementation of the ND decreased both N leaching losses to ground and surface waters, and gaseous emissions to the atmosphere. It is expected that the ND will result in a further decrease in N emissions in EU-27 in the near future, because the implementation of the measures for the ND is expected to become more strict.

  8. The PCDD/PCDF Dioxin releases in the climate of environment of Jordan in the period (2000-2008)

    NASA Astrophysics Data System (ADS)

    Al-Dabbas, Mohammed Awwad

    2010-04-01

    Many environment problems of the full using of several categories of processing include mining, heat generators, direct combustion of forest fires, cement production, power plant, transport, medical waste. Dioxin/furan releases from these categories are one of these environment problems. Possible lines of reducing the PCDD/PCDF (Polychlorinated dibenzo-para-dioxins/Polychlorinated dibenzofurans) releases from these categories are elucidated. The contribution of this paper is present the identification and estimation of the latest figure of dioxin/furan releases in the climate of environment of Jordan in the period 2000-2008 from the following categories (cement, aluminum, ceramic, medical waste, power plant, land fill, ferrous and non-ferrous metals, uncontrolled combustion process (biomass burning, waste burning, accidental fires in house, transport). These finding shows the sign of growth of estimated PCDD/PCDF releases from categories which did not calculated and followed after 2003. The result shows the highest PCDD/PCDF release from landfill fires (62.75 g TEQ/year), medical waste (8.8264 g TEQ/year), and transport (3.0145 g TEQ/year). Jordan seeks by next years, a reduction in total releases of dioxins and furans from sources resulting from human activity. This challenge will apply to the aggregate of releases to the air nationwide and of releases to the water within the Jordan area. Jordan should conduct air monitoring for dioxin in order to track fluctuations in atmospheric deposition levels.

  9. Cervical cancer in north-eastern Libya: 2000-2008.

    PubMed

    Ben Khaial, F; Bodalal, Z; Elramli, A; Elkhwsky, F; Eltaguri, A; Bendardaf, R

    2014-08-01

    Libya is a country with a low population, listed under the EMRO. Using registers and patient records from a major primary oncology clinic, data was gathered from Libyan cervical cancer patients and various parameters were studied across 9 years. Out of 4,090 female cancer cases during the study period, 1.8% were cervical cancer (n = 74). The average age of presentation was 53 years, with most of the cases (60%, n = 44) being premenopausal. Approximately 65% (n = 48) of cervical cancer patients are diagnosed at later stages (i.e. stages III and IV). The majority of these cases are squamous cell carcinoma (83.8%, n = 62), while 16.2% (n = 12) were found to be adenocarcinoma. Patients with squamous cell carcinoma presented at later stages more often than those with adenocarcinoma. Human papilloma virus was strongly implicated in cervical cancer, with 94% (n = 63) of those who were tested being positive for HPV-16 (82.5%, n = 52) and HPV-18 (12.7%, n = 8). Diagnosis was most frequently made through biopsy (97.3%, n = 72) as opposed to Pap smears (2.7%, n = 2). Most Libyan patients were put through chemotherapy (75%, n = 55) and triple therapy (surgery with combined chemotherapy and radiotherapy) was the most common (38%, n = 28) modality of treatment. Comparisons were made between Libya and other nations, either in the developed world or neighbouring countries. The major problem of cervical cancer in Libya is delayed presentation and hence, all the recommendations focus on increased awareness for the populace, implementation of a national cancer control plan and a national screening programme.

  10. Childhood cancer survival in France, 2000-2008.

    PubMed

    Lacour, Brigitte; Goujon, Stéphanie; Guissou, Sandra; Guyot-Goubin, Aurélie; Desmée, Solène; Désandes, Emmanuel; Clavel, Jacqueline

    2014-09-01

    This paper reports the latest survival data for French childhood cancer patients at the national level. Data from the two French National Registries of Childhood Cancer (Haematopoietic Malignancies and Solid Tumours) were used to describe survival outcomes for 15,479 children diagnosed with cancer between 2000 and 2008 in mainland France. The overall survival was 91.7% at 1 year, 86.9% at 2 years and 81.6% at 5 years. Relative survival did not differ from overall survival even for infants. Survival was lower among infants for lymphoblastic leukaemia and astrocytoma, but higher for neuroblastoma. For all cancers considered together, 5-year survival increased from 79.5% in the first (2000-2002) diagnostic period to 83.2% in the last (2006-2008) period. The improvement was significant for leukaemia, both myeloid and lymphoid, central nervous system tumours (ependymoma) and neuroblastoma. The results remained valid in the multivariate analysis, and, for all cancers combined, the risk of death decreased by 20% between 2000-2002 and 2006-2008. The figures are consistent with various international estimates and are the result of progress in treatment regimens and collaborative clinical trials. The challenge for the French registries is now to study the long-term follow-up of survivors to estimate the incidence of long-term morbidities and adverse effects of treatments.

  11. Substance use and misuse in Brazilian movies (2000-2008).

    PubMed

    Castaldelli-Maia, João Mauricio; Bhugra, Dinesh; de Andrade, Arthur Guerra; Lotufo-Neto, Francisco

    2013-02-01

    Considering the absence of data on the appearance of drugs other than alcohol and tobacco in movie scenes, we decided to study the prevalence of portrayal of illicit drug use in a convenience sample of 50 Brazilian Movies. A total of 192 scenes (12h49'03(″)) meeting the inclusion criteria were identified and assessed in a structured manner. Despite several limitations regarding the nature of this comparison, we found that scenes show substance use and misuse almost similar to that in the general population, mainly alcohol (especially among people of low socioeconomic status), cannabis and inhalants. Main differences were found in cocaine and tranquilizers (over- and underexposure in movies, respectively).

  12. Bathymetric surveys of selected lakes in Missouri--2000-2008

    USGS Publications Warehouse

    Richards, Joseph M.

    2013-01-01

    Years of sediment accumulation and abnormally dry conditions in the Midwest in 1999 and 2000 led to the water level decline of many water-supply lakes in Missouri, and caused renewed interest in modernizing outdated area/volume tables for these lakes. The U.S. Geological Survey, in cooperation with the Missouri Department of Natural Resources and the U.S. Army Corps of Engineers, surveyed the bathymetry of 51 lakes in Missouri from July 2000 to May 2008. The data were used to provide water managers with area/volume tables and bathymetric maps of the lakes at the time of the surveys. In 50 of the lakes, bathymetric surveys were made using a boat-mounted single-beam survey-grade fathometer. In Clearwater Lake, bathymetric data were collected primarily using a boat-mounted survey-grade multibeam fathometer, and some bathymetric data were collected using a single-beam fathometer in areas of the lake that were inaccessible to the multibeam fathometer. Data processing, area/volume table computation, and bathymetric map production were completed for each lake.

  13. Botulism in Brazil, 2000-2008: epidemiology, clinical findings and laboratorial diagnosis.

    PubMed

    Rowlands, Ruth Estela Gravato; Ristori, Christiane Asturiano; Lopes, Giselle Ibette S Lopez; Paula, Ana Maria Ramalho de; Sakuma, Harumi; Grigaliunas, Raquel; Lopreato Filho, Roberto; Gelli, Dilma Scala; Eduardo, Maria Bernadete de Paula; Jakabi, Miyoko

    2010-01-01

    Botulism is a rare and potentially lethal illness caused by Clostridium botulinum neurotoxin. We describe the findings of a laboratorial investigation of 117 suspected cases of botulism reported to the surveillance system in Brazil from January 2000 to October 2008. Data on the number and type of samples analyzed, type of toxins identified, reporting of the number of botulism cases and transmission sources are discussed. A total of 193 clinical samples and 81 food samples were analyzed for detection and identification of the botulism neurotoxin. Among the clinical samples, 22 (11.4%) presented the toxin (nine type A, five type AB and eight with an unidentified type); in food samples, eight (9.9%) were positive for the toxin (five type A, one type AB and two with an unidentified type). Of the 38 cases of suspected botulism in Brazil, 27 were confirmed by a mouse bioassay. Laboratorial botulism diagnosis is an important procedure to elucidate cases, especially food-borne botulism, to confirm clinical diagnosis and to identify toxins in food, helping sanitary control measures.

  14. Biopharmaceutical innovation system and the influence of policies:the case of taiwan (2000-2008).

    PubMed

    Chung, Chao Chen

    2013-08-01

    This article discusses the influence of policies on the development of biopharmaceuticals. We choose the experiences of Taiwan for our empirical study and focus on the evolution between 2000 and 2008; in the period of time the country provides an interesting example for further exploration of biopharmaceutical policies. Among all the policies, the two National Programs (National Research Program for Genetic Medicine and National Science and Technology Program for Biotechnology and Pharmaceuticals) and the Law of Pharmaceutical Affairs showed the contrasting effects on the innovation system of biopharmaceuticals. As a result, the government generated very limited positive influence on the innovation of biopharmaceuticals.

  15. Aetiology and epidemiology of human cryptosporidiosis cases in Galicia (NW Spain), 2000-2008.

    PubMed

    Abal-Fabeiro, J L; Maside, X; Llovo, J; Bartolomé, C

    2015-10-01

    Cryptosporidium infects millions of people worldwide causing acute gastroenteritis, but despite its remarkable epidemiological and economic impact, information on the epidemiological trends of human cryptosporidiosis is still scarce in most countries. Here we investigate a panel of 486 cases collected in Galicia (NW Iberian Peninsula) between 2000 and 2008, which sheds new light on the epidemiology in this region of the South Atlantic European façade. Incidence rates in Galicia are one order of magnitude higher than those reported in other regions of Spain, suggesting that this parasite remains largely underdiagnosed in this country, and are also larger than those typical of other European countries with available data. Two species dominate our dataset, Cryptosporidium hominis (65%) and C. parvum (34%). The sex ratio of patients infected by either species was 0·5, but C. hominis was significantly more common in younger males. C. parvum infections were more acute and required more specialized medical attention, which suggests a differential adaptation of each species to human hosts. The parasites display strong seasonal and geographical variation. C. parvum incidence peaked during summer and was mainly detected in rural areas while C. hominis infections were more frequent in autumn and exhibited a more even geographical distribution. Such differences probably reflect their distinct sources of infection - C. parvum is mainly zoonotic and C. hominis anthroponotic - and the effects of climatic variables, like temperature and rainfall.

  16. Marketing Activities and Usage in Historically Black College and University Libraries 2000-2008

    ERIC Educational Resources Information Center

    Walsh, Janet

    2012-01-01

    The academic library has experienced overall growth and decline based on demographics, technology, and convenience, yet several problems face academic libraries today including: (a) perceived relevance, (b) market share, and (c) competition. The purpose of this study was to explore marketing activities and library usage in HBCU libraries. The…

  17. Canine and feline epileptic seizures and the lunar cycle: 2,507 seizures (2000-2008).

    PubMed

    Browand-Stainback, Laura; Levesque, Donald; McBee, Matthew

    2011-01-01

    Epileptic seizures in 211 canine and feline patients diagnosed with idiopathic epilepsy were evaluated for temporal significance in relation to the lunar cycle. Seizure counts were compared among each of the eight individual lunar phases, among each of eight exact lunar phase dates, and by percent of lunar illumination using generalized estimating equations. No statistical significance was found in any of these comparisons excluding a relationship between the onset of epileptic seizures and the phases of the moon. Alteration in anticonvulsant treatment or monitoring of canine and feline patients with idiopathic epilepsy at large was not warranted based on the lunar cycle.

  18. Mortality and causes of death among incident cases of systemic lupus erythematosus in Finland 2000-2008.

    PubMed

    Elfving, P; Puolakka, K; Kautiainen, H; Virta, L J; Pohjolainen, T; Kaipiainen-Seppänen, O

    2014-11-01

    The objectives of the study were to investigate mortality and causes of death in patients with recent-onset systemic lupus erythematosus (SLE) in Finland. Data for patients with SLE for the study were collected (2000-2007) from the nationwide register on decisions of special reimbursements for drugs, maintained by the Social Insurance Institution (SII) in Finland. Data on deaths of the patients were obtained from the official death certificate statistics of Statistics Finland until the end of 2008. Of the 566 incident SLE patients, median follow-up time was 5.4 (IQR 3.3, 7.1) years, and 30 patients (23 females, seven males) died in the years 2000 through 2008. Mean age at death was 67.8 ± 17.2 years for females and 62.3 ± 15.2 years for males. The 5-year survival rates were 94.8% (95%CI 92.0-96.6%) and 88.2% (95%CI 76.5-94.3%), respectively. The age- and sex-adjusted standardized mortality ratio was 1.48 (95%CI 1.01-2.12). Primary causes of death were cardiovascular diseases, malignancy and SLE itself. In conclusion, survival of the patients with SLE was inferior to that of the general population. Cardiovascular diseases were responsible for 37% of deaths.

  19. Health Policy and Systems Research in Twelve Eastern Mediterranean Countries: a stocktaking of production and gaps (2000-2008)

    PubMed Central

    2011-01-01

    Background The objectives of this study are to: (1) profile the production of Health Policy and Systems Research (HPSR) published between 2000 and 2008 in 12 countries in the Eastern Mediterranean Region (EMR): Bahrain, Egypt, Jordan, Lebanon, Libya, Morocco, Oman, Palestine, Sudan, Syria, Tunisia, and Yemen; (2) identify gaps; and (3) assess the extent to which existing HPSR produced in the region addresses regional priorities pertaining to Health Financing, Human Resources for Health and the Role of the Non-State Sector. This is the first stocktaking paper of HPSR production and gaps in the EMR. Methods Articles indexed on Medline between years 2000 and 2008 for the 12 study countries were selected. A MeSH term based search was conducted using country names. Articles were assessed using a coding sheet adapted for the region which included themes on: Governance Arrangements, Financial Arrangements, Delivery Arrangements, and Implementation Strategies. Identified articles were matched against regional research priorities to assess the extent to which research production aligns with priorities. Results A total of 1,487 articles (11.94%) fit the criteria in the coding sheet. Results showed an increase in HPSR production which peaked after 2005. Most identified articles focused on Delivery Arrangements (68.1%), and Implementation Strategies (24.4%). Most HPSR addressed priorities in Human Resources for Health (39%), and some articles focused on Health Financing (12%) and Role of the Non-State Sector (6.1%). Conclusions Despite global calls for producing and translating HPSR into policy, there are still significant gaps in the EMR. More efforts are needed to produce HPSR and align production and translation with the demand for evidence by policymakers. Findings can help inform and direct future plans and activities for the Evidence Informed Policy Network- EMR, World Health Organization- EMR, and the Middle East and North Africa Health Policy Forum, in addition to being useful for countries that host or are planning to host KT platforms in the region. PMID:21978482

  20. Human T-lymphotropic virus infections in active component service members, U.S. Armed Forces, 2000-2008.

    PubMed

    Petruccelli, Bruno P; Murray, Clinton K; Davis, Kenneth W; McBride, Richard; Peel, Sheila A; Michael, Nelson; Scott, Paul T; Hakre, Shilpa

    2014-02-01

    Emergency whole blood transfusions may increase the risk of transmitting bloodborne pathogens, including human T-lymphotropic viruses (HTLVs). U.S. military personnel with any medical encounter for HTLV infection during 2000-2013;2008 were identified from surveillance data. Using both inclusive and restrictive case definitions, the incidence of diagnoses of HTLV infection was analyzed in relation to demographic factors and prior deployment. There were 247 "possible" cases of HTLV infection identified, or 1.88 cases per 100,000 person-years (p-yrs) (95% CI 1.66, 2.13). Seventy of these met the restrictive definition, translating to a rate of 0.53 per 100,000 p-yrs (95% CI 0.42, 0.67). Under the restrictive definition, a higher rate was noted among females versus males (RR 2.37; 95% CI 1.41, 3.98), service members with a healthcare occupation versus those who are primarily trained to engage in combat (RR 2.54; 95% CI 1.06, 6.10), and service members with any deployment experience (RR 8.98; 95% CI 5.61, 14.37). These findings, and a prior military case report of transfusion-transmitted HTLV-I, suggest a need to better define the epidemiology of HTLV in U.S. military personnel to further ensure emergency transfusion safety.

  1. International Space Station Science Research Accomplishments During the Assembly Years: An Analysis of Results from 2000-2008

    NASA Technical Reports Server (NTRS)

    Evans, Cynthia A.; Robinson, Julie A.; Tate-Brown, Judy; Thumm, Tracy; Crespo-Richey, Jessica; Baumann, David; Rhatigan, Jennifer

    2009-01-01

    This report summarizes research accomplishments on the International Space Station (ISS) through the first 15 Expeditions. When research programs for early Expeditions were established, five administrative organizations were executing research on ISS: bioastronautics research, fundamental space biology, physical science, space product development, and space flight. The Vision for Space Exploration led to changes in NASA's administrative structures, so we have grouped experiments topically by scientific themes human research for exploration, physical and biological sciences, technology development, observing the Earth, and educating and inspiring the next generation even when these do not correspond to the administrative structure at the time at which they were completed. The research organizations at the time at which the experiments flew are preserved in the appendix of this document. These investigations on the ISS have laid the groundwork for research planning for Expeditions to come. Humans performing scientific investigations on ISS serve as a model for the goals of future Exploration missions. The success of a wide variety of investigations is an important hallmark of early research on ISS. Of the investigations summarized here, some are completed with results released, some are completed with preliminary results, and some remain ongoing.

  2. The Unchanging American Capacity in Languages Other than English: Speaking and Learning Languages Other than English, 2000-2008

    ERIC Educational Resources Information Center

    Rivers, William P.; Robinson, John P.

    2012-01-01

    We present results of 2006 and 2008 replications of the 2000 General Social Survey (GSS), which included nine questions on languages other than English (LOEs) spoken (Robinson, Rivers, & Brecht, 2006). In 2000, 26% claimed they could speak another language, with 10% saying they could speak it "very well." In 2000, foreign language…

  3. Research on the factors of return on equity: empirical analysis in Chinese port industries from 2000-2008

    NASA Astrophysics Data System (ADS)

    Li, Wei

    2011-12-01

    Port industries are the basic industries in the national economy. The industries have become the most modernized departments in every country. The development of the port industry is not only advantageous to promote the optimizing arrangement of social resources, but also to promote the growth of foreign trade volume through enhancing the transportation functions. Return on equity (ROE) is a direct indicator related to the maximization of company's wealth. It makes up the shortcomings of earnings per share (EPS). The aim of this paper is to prove the correlation between ROE and other financial indicators by choosing the listed port companies as the research objectives and selecting the data of these companies from 2000 to 2008 as empirical sample data with statistical analysis of the chartered figure and coefficient. The detailed analysis method used in the paper is the combination of trend analysis, comparative analysis and the ratio of the factor analysis method. This paper analyzes and compares all these factors and draws the conclusions as follows: Firstly, ROE has a positive correlation with total assets turnover, main profit margin and fixed asset ratio, while has a negative correlation with assets liabilities ratio, total assets growth rate and DOL. Secondly, main profit margin has the greatest positive effect on ROE among all these factors. The second greatest factor is total assets turnover, which shows the operation capacity is also an important indicator after the profitability. Thirdly, assets liabilities ratio has the greatest negative effect on ROE among all these factors.

  4. Research on the factors of return on equity: empirical analysis in Chinese port industries from 2000-2008

    NASA Astrophysics Data System (ADS)

    Li, Wei

    2012-01-01

    Port industries are the basic industries in the national economy. The industries have become the most modernized departments in every country. The development of the port industry is not only advantageous to promote the optimizing arrangement of social resources, but also to promote the growth of foreign trade volume through enhancing the transportation functions. Return on equity (ROE) is a direct indicator related to the maximization of company's wealth. It makes up the shortcomings of earnings per share (EPS). The aim of this paper is to prove the correlation between ROE and other financial indicators by choosing the listed port companies as the research objectives and selecting the data of these companies from 2000 to 2008 as empirical sample data with statistical analysis of the chartered figure and coefficient. The detailed analysis method used in the paper is the combination of trend analysis, comparative analysis and the ratio of the factor analysis method. This paper analyzes and compares all these factors and draws the conclusions as follows: Firstly, ROE has a positive correlation with total assets turnover, main profit margin and fixed asset ratio, while has a negative correlation with assets liabilities ratio, total assets growth rate and DOL. Secondly, main profit margin has the greatest positive effect on ROE among all these factors. The second greatest factor is total assets turnover, which shows the operation capacity is also an important indicator after the profitability. Thirdly, assets liabilities ratio has the greatest negative effect on ROE among all these factors.

  5. [Complaints by private health insurance policy-holders to the Consumer Protection Bureau in Argentina, 2000-2008].

    PubMed

    Luzuriaga, María José; Spinelli, Hugo

    2014-05-01

    This paper analyzes problems experienced by policy-holders of voluntary private health insurance plans in Argentina when insurance companies fail to comply with the Consumer Protection Code. The sample consisted of consumer complaints filed with the Consumer Protection Bureau and rulings by the Bureau from 2000 to 2008. One striking issue was recurrent non-compliance with services included in the Mandatory Medical Program and the companies' attempts to blame policy-holders. According to the study, the lack of an information system hinders scientific studies to adequately address the problem. Thus, a comparison with studies on health insurance in other Latin American countries highlighted the importance of such research, the relationship to health systems, constraints on use and denial of citizens' rights to healthcare, and the increasing judicialization of healthcare provision.

  6. [Evaluation of the tuberculosis program in Sapucaia do Sul, state of Rio Grande do Sul: indicators, 2000-2008].

    PubMed

    Heck, Maria Antonia; Costa, Juvenal Soares Dias da; Nunes, Marcelo Felipe

    2013-02-01

    The scope of this study was to describe the trends of tuberculosis indicators in relation to their prevalence, incidence and the case outcome percentages (cure, abandonment of treatment or death) for the patients who entered in the Program in Sapucaia do Sul, state of Rio Grande do Sul, between 2000 and 2008. An ecological analysis of the incidence was conducted and the gross frequency rates and respective confidence intervals of 95% were presented. The rate estimates were verified by means of average annual percent change as well as the mobile averages every three years. The prevalence rate was 64.3 and the incidence rate was 58.0 per 100.000 inhabitants. Analysis of the indicators did not reveal statistically significant differences between the annual rates or in the mobile averages during the period. The outcomes were below the targets proposed by the World Health Organization, what compromises control of the disease, as it is not proving possible to interrupt the chain of transmission.

  7. Reformatted data sets used in the Cooperative LACSD/USGS Palos Verdes Flow Study, 2000--2008

    USGS Publications Warehouse

    Anderson, Todd; Rosenberger, Kurt J.; Gartner, Anne L.

    2012-01-01

    Beginning in 1997, the Environmental Protection Agency (EPA) defined a contaminated section of the Palos Verdes shelf in southern California as a Superfund site, initiating a continuing investigation of this area. A number of agencies, including the EPA, U.S. Geological Survey (USGS), and Science Applications International Corporation (SAIC), conducted two oceanographic measurement programs in 2004 and 2007-2008 (SAIC, 2004, 2005; Rosenberger and others, 2010; Sherwood and others, unpublished data) to improve our understanding of the natural processes that resuspend and transport sediment in the area, especially in the region southeast of the Whites Point ocean outfall where earlier measurements were thought to be deficient. Los Angeles County Sanitation Districts (LACSD) deployed a simpler but much broader array of instruments on the Palos Verdes shelf and within the northern reaches of San Pedro Bay from 2000 to 2008 in order to characterize the current and temperature patterns within these regions. This program overlapped the two programs run by USGS and other agencies in 2004 and 2007. The LACSD data were made available to the USGS and the EPA in order to support their joint efforts to model the transport of the contaminated sediments in the region. This report describes the LACSD data sets, the instruments and data-processing procedures used, and the archive that contains the data sets that have passed our quality-assurance procedures.

  8. Half Empty or Half Full? Staffing Trends in Academic Libraries at U.S. Research Universities, 2000-2008

    ERIC Educational Resources Information Center

    Stewart, Christopher

    2010-01-01

    This study is a quantitative analysis of FTE staffing levels at academic libraries at 176 U.S. research universities between 2000 and 2008. Results showed that overall staffing levels at these libraries declined but that the average number of professional librarian FTE positions modestly increased. Other professional staff positions increased at a…

  9. Confieso que Divulgo. Reflexiones y Experiencias de una Astrofísica

    NASA Astrophysics Data System (ADS)

    Rodríguez Hidalgo, I.

    Este artículo presenta algunas reflexiones en torno a la popularización de la Ciencia, desarrolladas a lo largo de mi trayectoria profesional, un camino inacabado desde la intuición al oficio. Tras revisar las señas de identidad de la divulgación científica, se exponen ideas, experiencias y recursos, cribados por la práctica y su posterior análisis crítico. Se destacan las actividades relacionadas con la Astronomía, que se cuentan entre las más espectaculares y gratificantes. Confessions of a popularizer: This paper presents some author's thoughts about scientific outreach, developed along her professional path, an unfinished way from intuition to trade. First, identity signs of outreach are revised; then, ideas, experiences and resources, sifted by practice and further critical analysis, are reviewed. Activities related to Astronomy, being one of the most spectacular and rewarding, are remarked 1

  10. A Review of Recent Research (2000-2008) on Applied Linguistics and Language Teaching with Specific Reference to L2 Spanish

    ERIC Educational Resources Information Center

    Anton, Marta

    2011-01-01

    This review presents a broad picture of recent work on L2 Spanish in educational contexts. The thematic and geographic scope of the review is wide, in order to capture the diversity of learners and learning contexts of L2 Spanish, just two decades after teaching and learning the language gained impetus worldwide. Traditional second or foreign…

  11. Resource Endowments and Responses to Regulatory Pressure: Publications of Economics, Management, and Political Science Departments of Turkish Universities in Indexed Journals, 2000-2008

    ERIC Educational Resources Information Center

    Onder, Cetin; Kasapoglu-Onder, Rana

    2011-01-01

    This paper investigates how differences in resource endowments of universities shape variation in their response to regulatory pressures. Earlier research on higher education institutions tends to conceive regulatory rules as the primary basis of action and does not attend to differences in the salient characteristics of universities. This paper…

  12. Evaluation of carbon fluxes and trends (2000-2008) in the Greater Platte River Basin: a sustainability study on the potential biofuel feedstock development

    USGS Publications Warehouse

    Gu, Yingxin; Wylie, Bruce K.; Zhang, Li; Gilmanov, Tagir G.

    2012-01-01

    This study evaluates the carbon fluxes and trends and examines the environmental sustainability (e.g., carbon budget, source or sink) of the potential biofuel feedstock sites identified in the Greater Platte River Basin (GPRB). A 9-year (2000–2008) time series of net ecosystem production (NEP), a measure of net carbon absorption or emission by ecosystems, was used to assess the historical trends and budgets of carbon flux for grasslands in the GPRB. The spatially averaged annual NEP (ANEP) for grassland areas that are possibly suitable for biofuel expansion (productive grasslands) was 71–169 g C m−2 year−1 during 2000–2008, indicating a carbon sink (more carbon is absorbed than released) in these areas. The spatially averaged ANEP for areas not suitable for biofuel feedstock development (less productive or degraded grasslands) was −47 to 69 g C m−2 year−1 during 2000–2008, showing a weak carbon source or a weak carbon sink (carbon emitted is nearly equal to carbon absorbed). The 9-year pre-harvest cumulative ANEP was 1166 g C m−2 for the suitable areas (a strong carbon sink) and 200 g C m−2 for the non-suitable areas (a weak carbon sink). Results demonstrate and confirm that our method of dynamic modeling of ecosystem performance can successfully identify areas desirable and sustainable for future biofuel feedstock development. This study provides useful information for land managers and decision makers to make optimal land use decisions regarding biofuel feedstock development and sustainability.

  13. Detection of non-polio enteroviruses in Hungary 2000-2008 and molecular epidemiology of enterovirus 71, coxsackievirus A16, and echovirus 30.

    PubMed

    Kapusinszky, Beatrix; Szomor, Katalin N; Farkas, Agnes; Takács, Mária; Berencsi, György

    2010-04-01

    Human enteroviruses are associated with various clinical syndromes from minor febrile illness to severe, potentially fatal conditions like aseptic meningitis, paralysis, myocarditis, and neonatal enteroviral sepsis. Between June 2000 and August 2008 echovirus (E) type 2, 4, 6, 7, 9, 11, 13, 25, 30, coxsackievirus (CV) -A16, -A19, -B5, and enterovirus 71 (EV71) were reported in Hungary. In this study, 29 previously enterovirus positive samples from 28 patients diagnosed with hand, foot and mouth disease, meningitis and encephalitis, were molecularly typed. The genetic relationships of identified serotypes CV-A16, EV71, and E30 were assessed by direct sequencing of genomic region encoding the capsid protein VP1. The sequences were compared to each other and sequences from other geographical regions possessed in Genbank. The phylogenetic analysis of CV-A16 revealed that the viruses were mostly of Far-Eastern or Asia-Pacific origin. Typing of EV71 showed that one virus from 2000 belonged to genotype C1 and five viruses observed in 2004 and 2005 were identified as genotype C4. The 11 echovirus 30 strains showed homology with those of neighbor European countries. The molecular examination of E30 revealed that three separate lineages circulated in 2000, 2001, and 2004-2006 in Hungary.

  14. Capacitación-acción participativa: una experiencia de 24 años en las comunidades rurales de Oaxaca, México.

    PubMed

    Ysunza, Alberto M; Diez-Urdanivia, Silvia; Pérez-Gil, Sara E

    2016-06-08

    Resumen:En este artículo presentamos el proyecto de capacitación llevado a cabo en comunidades de la sierra y costa de Oaxaca, México, desde 1991, por el Centro de Capacitación Integral para Promotores Comunitarios (CECIPROC). La decisión de hacer este trabajo en Oaxaca responde a que ese estado ocupa uno de los primeros lugares de marginación y de desnutrición en menores de 5 años. El objetivo es describir un modelo de capacitación y compartir parte de las experiencias derivadas, tanto del modelo como del trabajo realizado en las distintas áreas (nutrición y alimentación, salud comunitaria, ecología y etnobotánica, y educación y organización), por promotores mujeres y hombres en sus comunidades.La experiencia obtenida en 24 años muestra la factibilidad técnica y social del proyecto en el ámbito de la salud, el reconocimiento social del proyecto del CECIPROC como un organismo civil que ha aportado alternativas como solución a la problemática de salud, el hacer suyo el proyecto por algunos promotores y los diferentes obstáculos a los que se ha enfrentado. Enfatizamos el hecho de que la situación socioeconómica y política prevaleciente en el estado de Oaxaca es una limitante para el buen desarrollo de los programas colectivos de salud, e insistimos en la necesidad de compartir nuestras experiencias para que puedan ser utilizadas en la planificación y ejecución de otros proyectos.

  15. FACTORES SOCIO-ESTRUCTURALES Y EL ESTIGMA HACIA EL VIH/SIDA: EXPERIENCIAS DE PUERTORRIQUEÑOS/AS CON VIH/SIDA AL ACCEDER SERVICIOS DE SALUD

    PubMed Central

    RIVERA-DIAZ, MARINILDA; VARAS-DIAZ, NELSON; REYES-ESTRADA, MARCOS; SURO, BEATRIZ; CORIANO, DORALIS

    2013-01-01

    RESUMEN El estigma relacionado al VIH/SIDA continúa afectando la prestación de servicios de salud y el bienestar físico y mental de las personas con VIH/SIDA (PVS). Recientemente la literatura científica ha señalado la importancia de comprender las manifestaciones de estigma más allá de las interacciones individuales. Por tal razón, investigaciones recientes en y fuera de Puerto Rico enfatizan la importancia de entender cómo factores socio-estructurales (FSE) influyen en los procesos de estigmatización social. Con el propósito de examinar los FSE que influyen en las manifestaciones de estigma relacionado al VIH/SIDA, realizamos y analizamos nueve grupos focales compuestos por hombres y mujeres en tratamiento para el VIH/SIDA que habían tenido experiencias estigmatizantes. Los participantes identificaron FSE relacionados a las manifestaciones de estigma, tales como el uso de viviendas especializadas, descentralización de los servicios de salud y el desarrollo de protocolos administrativos excluyentes en los servicios de salud. Los resultados demuestran la importancia de considerar los FSE en el desarrollo e implementación de intervenciones dirigidas a la población. PMID:24639599

  16. [Treatment of syringomyelia in patients with Chiari malformation and craniosynostosis. A case report and review of the literature].

    PubMed

    Aransay-Garcia, A; Villarejo-Ortega, F J

    2016-11-16

    Introduccion. Los pacientes con craneosinostosis complejas o unisuturales presentan frecuentemente malformacion de Chiari y siringomielia. El tratamiento quirurgico de la siringomielia en estos pacientes es controvertido. Caso clinico. Niña de 3 años con craneosinostosis compleja no corregida quirurgicamente. Permanecio asintomatica a pesar de que en la resonancia magnetica craneal se evidencio una malformacion de Chiari y un año despues desarrollo una siringomielia cervicodorsolumbar. Se le realizo una craniectomia suboccipital descompresiva, pero posteriormente sufrio un empeoramiento de la siringomielia. El registro de presion intracraneal resulto patologico, por lo que se decidio realizar una craneotomia descompresiva frontoparietotemporal bilateral y remodelacion de la boveda craneal, con lo que se consiguio una disminucion significativa de la siringomielia. Conclusiones. Tras la revision de la bibliografia, se observa que actualmente no existe un consenso sobre el tratamiento de la siringomielia en los pacientes con craneosinostosis y malformacion de Chiari. Algunos autores recomiendan la simultanea descompresion quirurgica suboccipital y de la boveda craneal, otros solo la descompresion de la boveda craneal, y otros la ampliacion de la fosa posterior con distractores. En los casos en los que se realizo primero la descompresion suboccipital no se consiguio resolver ni estabilizar la siringomielia. Concluimos que el tratamiento mas eficaz para los pacientes con siringomielia y craneosinostosis es la remodelacion descompresiva de la boveda craneal, ya que el principal factor causante de la siringomielia es la hipertension intracraneal y la falta de distensibilidad del craneo.

  17. 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.

  18. 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

  19. Nuestros Sentimientos Son Iguales, La Diferencia Es En La Experiencia

    ERIC Educational Resources Information Center

    Palomares, Uvaldo H.

    1971-01-01

    The author concludes that counselors may be the prime cause of miscommunication and prejudicial evaluation in relations with persons from divergent racial and ethnic groups. Counselors must recognize and value the ethnicity of other persons if they are to foster an open, trusting, and productive counseling relationship with them. (Author/BY)

  20. Expresiones de Desarrollo Profesional en Educadoras Principiantes y con Experiencia.

    ERIC Educational Resources Information Center

    Betsalel-Presser, Raquel

    1986-01-01

    Attempts to identify the conditions which affect the professional development of both experienced and inexperienced teachers. After presenting the theoretical and conceptual framework of the problem, discusses professional development needs identified by preschool and primary school teachers in an exploratory study done in Montreal, Quebec…

  1. La Experiencia Mexicana (The Mexican Experience). Volumes I and II.

    ERIC Educational Resources Information Center

    Finer, Neal B.

    Designed to be used as part of a comprehensive social studies program on Mexican culture, this two-volume manual, written in Spanish, offers an instructional package on Mexican culture, stressing an art-architecture perspective, which can be used at the secondary, college and adult levels. The teacher's guide, Volume I, includes a discussion of a…

  2. Adult Latino College Students: Experiencias y la Educacion

    ERIC Educational Resources Information Center

    Garza, Ana Lisa

    2011-01-01

    The study aimed to gain a better understanding of the learning experiences of adult Latino college students, as described directly in their own voices. The study was guided by two research questions: RQ1: "How do adult Latinos describe their undergraduate college learning experiences?" and RQ2: "How do culture, gender, and ethnic…

  3. [Syringomyelias in paediatrics: a retrospective study of 25 cases].

    PubMed

    Martinez-Albaladejo, I; Prochazkova, M; Perez-Sebastian, I; Bernardino-Cuesta, B; Martinez-Ferrandez, C; Suarez-Traba, O M; Budke, M; Garcia-Penas, J J

    2016-09-01

    Introduccion. Se define siringomielia como una cavidad que contiene liquido cefalorraquideo dispuesta en el interior de la medula espinal. Objetivo. Describir las caracteristicas clinicas de una serie de pacientes con siringomielia, su diagnostico y tratamiento. Pacientes y metodos. Estudio descriptivo retrospectivo realizado mediante la revision de historias clinicas en nuestro centro. Resultados. Se revisaron 25 pacientes diagnosticados de siringomielia. En cinco el diagnostico fue casual y ocho presentaban una patologia grave previa (tumoral, osea o vascular). Dos pacientes comenzaron con hidrocefalia y clinica de hipertension intracraneal y unicamente dos destacaban cefalea como unico sintoma. Cuatro presentaron escoliosis progresiva, dos de ellos como queja inicial, y precisaron cirugia con artrodesis y uso de corse, respectivamente. Destaca la precocidad del diagnostico. La mayoria presentaba unicamente perdida de fuerza leve, con potenciales somatosensoriales y electromiograma normales. En todos se hicieron controles con resonancia magnetica. Ocho pacientes precisaron craniectomia descompresiva con laminectomia posterior C1-C2, con drenaje de la cavidad siringomielica en cuatro. Nueve requirieron valvula de derivacion y dos precisaron, ademas, ventriculostomia. Conclusiones. La presencia de siringomielia en pediatria es rara, y se asocia generalmente a malformaciones en la fosa posterior y antecedentes de disrafismo espinal. Destaca la escoliosis progresiva como posible manifestacion aislada. Un abordaje multidisciplinar con controles radiologicos seriados y la valoracion por servicios de neurologia y neurocirugia pediatricos son mandatorios para su seguimiento.

  4. Una Experiencia Pedagogica en el Jardin Infantil "La Cabana" (A Teaching Experience in "La Cabana" Kindergarten).

    ERIC Educational Resources Information Center

    de la Vega, B.

    1992-01-01

    Reviews the history of La Cabana kindergarten, which provides preschool education and meals for 100 children and sewing classes for mothers in a working class neighborhood in Bogota, Colombia. Describes the implementation of a new curriculum which develops child creativity through free choice of activities around a common project. (AC)

  5. Nuestras Experiencias: A Phenomenological Study of Latina First Generation Higher Education Graduates

    ERIC Educational Resources Information Center

    Cruz, Diana E.

    2012-01-01

    A review of the literature indicates that Latinos lag behind White and African American students in higher education degree attainment. This educational gap is of concern because Latinos are the largest minority group in the United States, and the Latino population is expected to increase in the future. Higher education degree attainment for…

  6. Profesionalismo: Un estudio fenomenologico sobre experiencias de universitarios en programas de salud

    NASA Astrophysics Data System (ADS)

    Lopez Ortiz, Wilma J.

    Some studies suggest that, upon admission, medicine programs students display eagerness for community service, aspirations to be useful, and to contribute to society's well-being. Those same studies reflect that qualities of idealism, moral nature, and internal motivation, suffer a subsequent diminishing. The researchers inferred that the main reason for this process of change in the mood and disposition of these future physicians lies in the modeling they receive from medical professionals throughout clinical learning activities, by way of behavior and relationships exhibited during daily interaction with peers, patients and the students themselves. This phenomenological study used a cross-sectional sample to explore the experiences of future health workers as they went through didactic and clinical phases of their training curriculum. The study employed semi-structured interviews and reflective journals to explore those experiences and to discover the meanings ascribed by the participants. The analysis revealed that the students defined "professionalism" in terms of scientific knowledge, commitment, respect for human dignity, comradeship, courtesy, empathy, integrity, altruism, motivation. They also described their feelings as they went through the didactic and clinical experiences, and recognized as very important the extracurricular activities of community service, describing them as useful opportunities which contributed to understand their work in terms of a mission dedicated to the achievement of the social benefit. From their individual perspectives, the clinical environment could, in general, be described as congruent with those characteristics of professionalism. During the study we had the opportunity to share, in a little deeper way, the environment... the world... of this small group of young students as we went on trying to decipher their feelings and thoughts. At the end, we realized the richness of their sensibilities, we perceived the intensity of their moral and ethical convictions, we were able to understand their concerns, worries, struggles and efforts. This life event had profound and significant repercussions in our personal and professional life. As a result, and from now on, we will no longer look at our young scholars and apprentices without imagining a noble spirit, with goals which at times could seem unattainable... without completely visualizing or conceiving real hope for a better country.

  7. Una experiencia europea de innovacion pedagogica basada en la escritura de un ibro.

    ERIC Educational Resources Information Center

    Montane, Mireia; Roc, Merce

    2002-01-01

    Describes a European project based on writing a book from an educational perspective. Participants included 18 schools from 13 countries. The study originated in a Spanish Comenius 3.1 project, which determined that university teams would visit "book writing" schools, supporting teachers and analyzing and publishing their experiences.…

  8. La Cooperacion Internacional en Educacion: Estudio De La Experiencia Peruana. (International Cooperation in Education: Case Study of the Peruvian Experience).

    ERIC Educational Resources Information Center

    Chiappo, Leopoldo

    Educational development in Peru is discussed as part of a series surveying UNESCO's involvement in educational cooperation with developing nations. There are seven chapters to the report, which is written in Spanish. The first chapter describes Peru's national education policy, and discusses how it relates to the country's plan for national…

  9. En el seno del hogar. Experiencias familiares para desarrollar el alfabetismo (Right at Home. Family Experiences for Building Literacy).

    ERIC Educational Resources Information Center

    Hansen, Merrily P.; Armstrong, Gloria

    This publication, a Spanish translation of "Right at Home," is a family involvement program in the form of easy-to-read cartoon-style letters to be used at home by parents or other family members with their preschool or kindergarten-age children. The book is designed to be used independently by parents, or to be reproduced and distributed to…

  10. Encefalitis por anticuerpos contra el receptor de NMDA: experiencia con seis pacientes pediátricos. Potencial eficacia del metotrexato

    PubMed Central

    Bravo-Oro, Antonio; Abud-Mendoza, Carlos; Quezada-Corona, Arturo; Dalmau, Josep; Campos-Guevara, Verónica

    2016-01-01

    Introducción La encefalitis por anticuerpos contra el receptor de N-metil-D-aspartato (NMDA) es una entidad cada vez más diagnosticada en edad pediátrica. A diferencia de los adultos, en muchos casos no se asocia a tumores y las manifestaciones iniciales en niños más frecuentes son crisis convulsivas y trastornos del movimiento, mientras que en los adultos predominan las alteraciones psiquiátricas. Casos clínicos Presentamos seis casos pediátricos confirmados con anticuerpos contra la subunidad NR1 del receptor de NMDA en suero y líquido cefalorraquídeo. Cinco de los casos comenzaron con crisis convulsivas como manifestación clínica inicial antes de desarrollar el cuadro clásico de esta entidad. En todos los casos se utilizaron esteroides como primera línea de tratamiento, con los que sólo se observó control de las manifestaciones en uno, por lo que el resto de los pacientes requirió inmunomoduladores de segunda línea. Todos los pacientes recibieron metotrexato como tratamiento inmunomodulador para evitar recaídas y la evolución fue a la mejoría en todos ellos. Conclusiones En nuestra serie de pacientes con encefalitis por anticuerpos contra el receptor de NMDA, ninguno se asoció a tumores. Todos los casos recibieron metotrexato por lo menos durante un año, no observamos eventos adversos clínicos ni por laboratorio, ni hubo secuelas neurológicas ni recaídas durante el tratamiento. Aunque es una serie pequeña y es deseable incrementar el número y tiempo de evolución, consideramos el metotrexato una excelente alternativa como tratamiento inmunomodulador para esta patología. PMID:24150952

  11. Significant Learning Experiences for English Foreign Language Students (Experiencias significativas para estudiantes de inglés como lengua extranjera)

    ERIC Educational Resources Information Center

    Becerra, Luz María; McNulty, Maria

    2010-01-01

    This action research examines experiences that students in a grade 10 EFL class had with redesigning a grammar-unit into a topic-based unit. Strategies were formulating significant learning goals and objectives, and implementing and reflecting on activities with three dimensions of Dee Fink's (2003) taxonomy of significant learning: the human…

  12. Como Lo Hago Yo: Tratamiento Quirurgico Del Mielomeningocele

    PubMed Central

    Portillo, Santiago

    2014-01-01

    En Argentina hay plan de fortificación con ácido fólico. Diagnostico prenatal no siempre es correcto. Cierre según técnica. Cerramos músculo. No favorecemos corpectomía temprana en casos de cifosis. Suturamos la plaqueta. Cerramos el plano muscular. Hidrocefalia: Válvula de derivación, generalmente dentro de los dos primeros meses. Ventriculostomía no está indicada. Chiari II. Laminectomia cervical alta. Siringomielia: Derivación desde la cavidad al peritoneo. PMID:24791219

  13. Trends in pesticide concentrations in urban streams in the United States, 1992-2008

    USGS Publications Warehouse

    Ryberg, Karen R.; Vecchia, Aldo V.; Martin, Jeffrey D.; Gilliom, Robert J.

    2010-01-01

    Pesticide concentration trends in streams dominated by urban land use were assessed using data from 27 urban streams sampled as part of the U.S. Geological Survey National Water-Quality Assessment Program. The sites were divided into four regions, Northeast, South, Midwest, and West, to examine possible regional patterns. Three partially overlapping 9-year periods (1992-2000, 1996-2004, and 2000-2008) were examined for eight herbicides and one degradation product (simazine, prometon, atrazine, deethylatrazine, metolachlor, trifluralin, pendimethalin, tebuthiuron, and Dacthal), and five insecticides and two degradation products (chlorpyrifos, malathion, diazinon, fipronil, fipronil sulfide, desulfinylfipronil, and carbaryl). The data were analyzed for trends in concentration using a parametric regression model with seasonality, flow-related variability, and trend, called SEAWAVE-Q. The SEAWAVE-Q model also was used to generate estimated daily concentration percentiles for each analysis period to provide a summary of concentration magnitudes. For herbicides, the largest 90th percentiles of estimated concentrations for simazine were in the South, prometon at some sites in all of the regions, atrazine and deethylatrazine in the South and Midwest, metolachlor in the Midwest and a few sites in the South, pendimethalin at scattered sites in all of the regions, and tebuthiuron in the South and a few sites in the Midwest and West. For insecticides, the largest 90th percentiles of estimated concentrations for diazinon and carbaryl were distributed among various sites in all regions (especially during 1996-2004), and fipronil at isolated sites in all of the regions during 2000-2008. Trend analysis results for the herbicides indicated many significant trends, both upward and downward, with varying patterns depending on period, region, and herbicide. Overall, deethylatrazine showed the most consistent pattern of upward trends, especially in the Northeast (2000-2008), South

  14. Yo, Ciudadano: Un Curriculo de Experiencias para Educacion Civica. Nivel: Kindergarten (Citizen Me: An Experiential Curriculum for Citizenship Education. Level: Kindergarten).

    ERIC Educational Resources Information Center

    Vardeman, Lou

    Integrating concepts of basic citizenship education with community involvement, this experiential curriculum provides a means for developing decision making and critical thinking skills within the existing social studies curriculum at the kindergarten level. Consisting of 11 lessons, the guide, written in Spanish, introduces the meaning of rules,…

  15. Historia Oral, Experiencias de Aprendizagem e Enraizamento Sociocultural--Um Projeto em Curso (Oral History, Learning Experiences, and Sociocultural Setting--A Project in Process).

    ERIC Educational Resources Information Center

    Vidigal, Luis

    1995-01-01

    Examines education and childhood in Portugal. Uses oral history methods in an educational context, exploring oral statements pedagogically. Considers these statements especially suitable to maintaining aspects of collective memory and social identity, reinforcing students' national and regional identities. Suggests this is very important in…

  16. The Combine Project: An Experience in a Dual-Language Classroom = El proyecto de la cosechadora: una experiencia en una clase bilingue.

    ERIC Educational Resources Information Center

    Wilson, Rebecca

    This article, also available in Spanish, describes what happened when a bilingual kindergarten class in West Liberty, Iowa, investigated a combine. The dual-language Kindergarten program supports content area instruction in both Spanish and English. The first part of the article tells the story of the Combine Project, this class's first project…

  17. Planteamientos multiculturales en la educacion: una experiencia alemana. Studies and Evaluation Papers 14. (Multicultural Approaches in Education: A German Experience. Studies and Evaluation Papers 11).

    ERIC Educational Resources Information Center

    Treppte, Carmen

    This paper describes the development of Turkish Children and Mothers, a project designed to help 5-year-old preschoolers in the Ruhr Valley of Germany develop linguistic, motor, cognitive, and social abilities. The paper also describes various aspects of the project, including those that relate to maternal involvement, educational facilities, the…

  18. Yo Ciudadano: Un Curriculo de Experiencias para Educacion Civica. Nivel: Dos (Citizen Me: An Experiential Curriculum for Citizenship Education. Level: Two).

    ERIC Educational Resources Information Center

    Lantz, Jean

    Integrating concepts of basic citizenship education with community involvement, this experiential curriculum provides a means for developing decision making and critical thinking skills within the existing second grade social studies curriculum. The 10 lessons, translated into Spanish, cover the following concepts: friendly, unfriendly and…

  19. Yo Ciudadano: Un Curriculo de Experiencias para Educacion Civica. Nivel: Cinco (Citizen Me: An Experiential Curriculum for Citizenship Education. Level: Five).

    ERIC Educational Resources Information Center

    Gutierrez, Merri

    Integrating concepts of basic citizenship education with community involvement, this experiential curriculum provides a means for developing decision making and critical thinking skills within the existing fifth grade social studies curriculum. The 12 lessons, translated into Spanish, cover the following concepts: responsibility, rules and laws,…

  20. En Busqueda de la Escuela del Siglo XXI: Dos Experiencias de Autoaprendizaje (In Search of the 21st Century School: Two Self-Learning Experiences).

    ERIC Educational Resources Information Center

    Schiefelbein, Ernesto; And Others

    This book is a contribution to the dialogue that is maintained today around the problems of education. The book contains four parts: (1) "In Search of the 21st Century School. Can the Colombian New School (EN) Show Us the Way?"; (2) "Experimentation with Self-Learning Materials in Two Schools in Conchali (Chile)"; (3)…

  1. Yo Ciudadano: Un Curriculo de Experiencias Para Educacion Civica. Nivel: Tres (Citizen Me: An Experiential Curriculum for Citizenship Education. Level: Three).

    ERIC Educational Resources Information Center

    Javora, Angela

    Integrating concepts of basic citizenship education with community involvement, this experiential curriculum provides a means for developing decision making and critical thinking skills within the existing third grade social studies curriculum. The 10 lessons, translated into Spanish, cover school rules as personal safety measures, consequences of…

  2. El Poder de Cambiar: La Experiencia del Proyecto Costa Atlantica de Colombia (The Power To Change: The Experience of the Atlantic Coast Project in Columbia, 1977-1989).

    ERIC Educational Resources Information Center

    Chetley, Andrew

    In 1977, the Bernard van Leer Foundation began supporting a project in Colombia that had the objective of improving the quality of early childhood care and education in a small village. The Costa Atlantica project offered an approach to development that was based on community organization, social management, participation, cooperation, popular…

  3. Experiencias en Lenguaje Para su Nino ed Edad Pre-escolar. Parte I: Actividades Para la Casa. (Language Experiences for Your Preschooler. Part I: Activities at Home.)

    ERIC Educational Resources Information Center

    New York State Education Dept., Albany. Bureau of Continuing Education Curriculum Development.

    The purpose of this manuscript (written in Spanish) is to encourage the development of communication skills of preschool children by introducing their parents to a number of learning activities suitable for home use. It is written to be used by an instructor who is working with preschool parents. The activities, which are designed to be…

  4. Experiencias Educativas en el Medio Rural Colombiano. Serie Divulgacion No. 2. [Educational Experiences in the Rural Colombian Milieu. Circulation Series No. 2].

    ERIC Educational Resources Information Center

    Ministerio de Educacion Nacional, Bogota (Colombia). Centro Nacional de Documentacion e Informacion Pedagogica.

    In fulfillment of the Colombian National Government's educational policy aimed toward improving the rural population's level of living, two fundamental projects have been implemented. These projects have led to the creation of schools, the continuous extension of grades, and the creation of "Concentraciones de Desarrollo Rural." They…

  5. Formacion de Formadores: Experiencias Institucionales en Planeamiento y Administracion de la Educacion. (The Formation of Educational Planners: Institutional Experiences in Planning and Administration for Education.

    ERIC Educational Resources Information Center

    Senen Gonzalez, Silvia N. de

    Information collected from interviews with 15 ministers of education and 30 program directors and researchers at 18 universities in Venezuela, Costa Rica, Chile, Mexico, Colombia, Brazil, and Argentina is used to study academic programs which prepare persons to be educational planners and administrators. Section one describes background…

  6. Experiencias de Vida de la Mujer Adulta: Estudio de Caso de Lideres en Desarrollo del Programa de Administracion y Supervision Educativa

    ERIC Educational Resources Information Center

    Morales-Roman, Gildrette M.

    2012-01-01

    Since the twentieth century to present, the role of women in society has undergone fundamental changes. Women, today, has assumed many different task and new roles, becoming part of professional workforce and increasing level of education by aspiring a higher education gaining access to leadership positions. The purpose of this qualitative…

  7. Yo Ciudadano: Un Curriculo de Experiencias para Educacion Civica. Nivel: Cuatro (Citizen Me: An Experiential Curriculum for Citizenship Education. Level: Four).

    ERIC Educational Resources Information Center

    Lazarine, Dianne

    Integrating concepts of basic citizenship education with community involvement, this experiential curriculum provides a means for developing decision making and critical thinking skills within the existing fourth grade social studies curriculum. The 11 lessons, translated into into Spanish, cover the following concepts: responsibility in the care…

  8. Yo Ciudadano: Un Curriculo de Experiencias para Educacion Civica. Nivel: Uno (Citizen Me: An Experiential Curriculum for Citizenship Education. Level: One).

    ERIC Educational Resources Information Center

    Loftin, Richard

    Integrating concepts of basic citizenship education with community involvement, this experiential curriculum, written in Spanish, provides a means for developing decision making and critical thinking skills within the existing social studies curriculum in grade 1. Using short stories, field trips, and class discussions, the 11 lessons on…

  9. Teachers' Knowledge of Second Language and Curriculum: A Narrative Experience (Conocimiento de los profesores acerca de la segunda lengua y el currículo: una experiencia narrativa)

    ERIC Educational Resources Information Center

    Mendieta Aguilar, Jenny Alexandra

    2011-01-01

    This study was carried out with a group of three teachers who work for the foreign languages department of a private university in Colombia. It was aimed at unveiling and characterizing the narrative knowledge these teachers hold about language teaching and learning processes as well as the role this knowledge plays in the constant construction…

  10. Experiencia Pedagogica con Adolescentes Paraliticos Cerebrales: La Musica, Un Elemento Rehabilitador (A Pedagogical Experience with Teenage Cerebral Paralytics Using Music as a Rehabilitating Element).

    ERIC Educational Resources Information Center

    Colomer, Marta; And Others

    The monograph describes efforts carried out in the Department of Work Therapy of a center for cerebral paralysis in Barcelona, Spain. The rehabilitation program incorporated music and movement in an attempt to develop the musical ear, sensitivity, and a sensorial education. The program stresses rhythm, melody, harmony, voice, musical audition, and…

  11. 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

  12. Experiencias, Sentido y Significado de la Consejeria en Justicia Social a Nivel Universitario: Estudio de Caso Cualitativo Mediante Tres Narrativas De Consejeros Profesionales en Educacion Superior

    ERIC Educational Resources Information Center

    Santiago Tosado, Virginia

    2012-01-01

    The purpose of the study was to understand and profoundly describe the nature of social justice practice, as is comes up from the experience of three professional counselors whose working settings are the academic arena. Detailed descriptions are presented concerning the meanings and sense of counseling for social justice, as the interviews…

  13. Experiencias y repercusión de una formación en ética de investigación

    PubMed Central

    Rupaya, Carmen Rosa García

    2012-01-01

    El presente artículo tiene como propósito describir los logros y repercusiones de la capacitación en ética de la investigación que brinda el Centro Interdisciplinario de Estudios en Bioética de la Universidad de Chile, sirviendo de estímulo, motivación y orientación a profesionales que requieren conocer y aplicar las normas y el raciocinio conducente a la deliberación de los problemas en esta disciplina. Asimismo, describe cómo este conocimiento genera un efecto multiplicador en aspectos tales como la participación en un comité de ética de la investigación (CEI), organización de cursos y creación y desarrollo de líneas de investigación, que repercuten en publicaciones realizadas con estudiantes de posgrado. Relata además los contenidos y estrategias didácticas que pueden ser empleados en cursos de ética y bioética para estudiantes de estomatología y concluye mencionando la aplicación práctica de esta capacitación en los ámbitos docente, institucional y de investigación. PMID:24482556

  14. [Radiological percutaneous gastrostomy (GRP), 17 años de experiencia, serie de casos del hospital Universitario Virgen del Rocío].

    PubMed

    Navarro Falcón, Magnolia Del Carmen; Parejo Campos, Juana; Pereira Cunill, José Luis; García Luna, Pedro Pablo

    2014-10-25

    When assessing a patient nutritional support the state of the gastrointestinal tract is the most important point to consider, whenever possible we should choose the enteral nutrition (EN) over parenteral nutrition (PN) and recognized by its various advantages. The percutaneous gastrostomy (GRP) were introduced in clinical practice as an alternative to surgical gastrostomy (GQ). The speed, simplicity, low cost, low morbidity and low mortality of these techniques has allowed its rapid development.The feeding tubes types used were the balloon-retained devices catheter, the pig tail and the ballon-retained with gastropexia (gastropexia). It is a retrospective study of all patients who were placed GPR in the Virgen del Rocío University Hospital, Sevilla, between September 1996 and September 2013, which aims to study is to describe the characteristics of patients and the complications presented for different types of enteral feeding tubes used. GPR 186 were performed in 176 patients (135 males (76.70%), with an average duration of 303.6 days, the most frequent diseases were cancers of the head and neck 49.46%. The types of feeding tubes used were pigtail 118 (63.44%), balloon-retained devices 22 (11.83%), and gastropexia 46 (24.73%). The most common early complications in the pigtail group were early purulent exudate and early bleeding (2.5 and 3.4% respectively), while in the balloon catheter group the initial output of the probe was most frequent early complication (13.7%), none of these complications were observed in the group of gastropexy. The most common late complication was obstruction probe. The GPR is a safe technique with lower mortality of 1%; Low frequently of early and late complications. A better understanding of this technique can reduce the frequency of complications.

  15. Legislating Language in Taiwan: From Equality to Development to Status Quo

    ERIC Educational Resources Information Center

    Dupré, Jean-François

    2016-01-01

    This paper looks into failed attempts by the Democratic Progressive Party's (DPP) minority government (2000-2008) to alter Taiwan's Mandarin-dominated language regime by drafting law proposals recognizing the languages of all Taiwanese ethnic groups as equal national languages. This paper argues that the failure to enact language regime change in…

  16. A Content Analysis of Kindergarten-12th Grade School-Based Nutrition Interventions: Taking Advantage of Past Learning

    ERIC Educational Resources Information Center

    Roseman, Mary G.; Riddell, Martha C.; Haynes, Jessica N.

    2011-01-01

    Objective: To review the literature, identifying proposed recommendations for school-based nutrition interventions, and evaluate kindergarten through 12th grade school-based nutrition interventions conducted from 2000-2008. Design: Proposed recommendations from school-based intervention reviews were developed and used in conducting a content…

  17. The Education for All Global Monitoring Report: A Mid-Term Assessment

    ERIC Educational Resources Information Center

    Packer, Steve

    2008-01-01

    The Education for All (EFA) Global Monitoring Report is six years old and seven reports have been produced (UNESCO, 2000-2008). It is a product of the outcomes of the World Education Forum in Dakar held in 2000. It is designed to track progress towards the realization of the six EFA goals and to hold governments and the international community to…

  18. NSA AERI Hatch Correction Data Set

    DOE Data Explorer

    Turner, David

    2012-03-23

    From 2000-2008, the NSA AERI hatch was determined to be indicated as open too frequently. Analysis suggests that the hatch was actually opening and closing properly but that its status was not being correctly reported by the hatch controller to the datastream. An algorithm was written to determine the hatch status from the observed

  19. Learning in Communities of Inquiry: A Review of the Literature

    ERIC Educational Resources Information Center

    Rourke, Liam; Kanuka, Heather

    2009-01-01

    The purpose of this study was to investigate learning in communities of inquiry (CoI) as the terms are defined in Garrison, Anderson, and Archer's (2000) framework. We identified 252 reports from 2000-2008 that referenced the framework, and we reviewed them using Ogawan and Malen's (1991) strategy for synthesizing multi-vocal bodies of literature.…

  20. Fostering Locomotor Behavior of Children with Developmental Disabilities: An Overview of Studies Using Treadmills and Walkers with Microswitches

    ERIC Educational Resources Information Center

    Lancioni, Giulio E.; Singh, Nirbhay N.; O'Reilly, Mark F.; Sigafoos, Jeff; Didden, Robert; Manfredi, Francesco; Putignano, Pietro; Stasolla, Fabrizio; Basili, Gabriella

    2009-01-01

    This paper provides an overview of studies using programs with treadmills or walkers with microswitches and contingent stimulation to foster locomotor behavior of children with developmental disabilities. Twenty-six studies were identified in the period 2000-2008 (i.e., the period in which research in this area has actually taken shape).…

  1. Overeducation Dynamics and Personality

    ERIC Educational Resources Information Center

    Blazquez, Maite; Budria, Santiago

    2012-01-01

    In this paper, we use the 2000-2008 waves of the German Socioeconomic Panel to examine overeducation transitions. The results are based on a first-order Markov model that allows us to account for both the initial conditions problem and potential endogeneity in attrition. We found that overeducation dynamics, especially the probability of entering…

  2. Action Research for Educational Reform: Remodelling Action Research Theories and Practices in Local Contexts

    ERIC Educational Resources Information Center

    Somekh, Bridget; Zeichner, Ken

    2009-01-01

    This paper explores how action research theories and practices are remodelled in local contexts and used to support educational reform. From an analysis of 46 publications from the period 2000-2008, five "variations" in the globalized theory and practice of action research are identified: action research in times of political upheaval and…

  3. Understanding about Water in Liquid Modernity: Critical Imperatives for English Teaching

    ERIC Educational Resources Information Center

    Misson, Ray

    2012-01-01

    We are at a particularly difficult historical juncture marked by uncertainty, contingency and change. Zygmunt Bauman characterises the present time as "liquid modernity" (2000, 2008, 2011b) because of the fluidity and instability that we live with. Our identities and our relations to the world are changing radically. There is an urgent need for…

  4. [Oropharyngeal dysphagia associated with Chiari I malformation and syringomyelia J].

    PubMed

    Cortés-Medina, Julio César; Cárdenas-Lara, Armando; Guerrero-Rascón, Carlos Alberto; Rodríguez-Bautista, Heber

    2014-01-01

    Antecedentes: la disfagia con afección neurológica constituye un dato clínico significativo en el diagnóstico de lesiones que justifiquen la compresión del tronco cerebral y los nervios craneales bajos. Objetivo: destacar la importancia del estudio de la disfagia en una paciente con malformación de Chiari tipo I y siringomielia, sin síntomas gastroenterológicos primarios. Caso clínico: se comunica el caso de una mujer de 62 años de edad con disfagia orofaríngea de seis años de evolución, cervicobraquialgia, ptosis palpebral y diplejía facial. Conclusiones: el estudio por resonancia magnética constituye un elemento fundamental para establecer el diagnóstico causal de la disfagia neurogénica.

  5. Teacher: Can You See What I'm Saying? A Research Experience with Deaf Learners (Profe: ¿Puedes "ver" lo que estoy diciendo? Una experiencia de investigación con alumnos sordos)

    ERIC Educational Resources Information Center

    Ávila Caica, Olga Lucía

    2011-01-01

    This paper reports a study carried out with eleven deaf volunteers who belonged to different academic programs at a Colombian public university but did not receive English instruction as part of their professional training. The main goal of the research study was to identify the effect of using Internet resources as support for the design and…

  6. Relatorio Final Sobre o Ensino Bilingue: Resultados da Avaliacao Externa da Experiencia de Escolarizacao Bilingue em Mocambique (PEBIMO) (Final Report on Bilingual Education: Results of External Evaluation of an Experiment in Bilingual Education in Mozambique).

    ERIC Educational Resources Information Center

    Benson, Carolyn J.

    The PEBIMO project was designed to determine whether bilingual education could improve the quality of primary education in Mozambique, recognizing that Portuguese is not the native language of the majority of Mozambican students. The project began in 1992 with 8 cohorts of first grade in 2 provinces; during this investigation, students were in…

  7. Self-Access Language Learning: Students' Perceptions of and Experiences within This New Mode of Learning (Aprendizaje de idiomas mediante la modalidad de autoacceso: percepciones y experiencias de los estudiantes)

    ERIC Educational Resources Information Center

    Herrera Díaz, Luz Edith

    2012-01-01

    With the aim of fostering autonomy in learning, both innovations, the self-access centre and the mode of learning derived from it, were adopted in the context of the study (Language Centre in the University of Veracruz, Mexico). Based on a case study, I have adopted a qualitative perspective to do this research, which aimed to know how the…

  8. Adolescents' Awareness of Environmental Care: Experiences When Writing Short Descriptive Texts in English (Concientización de los adolescentes sobre el cuidado ambiental: experiencias al escribir textos descriptivos cortos en inglés)

    ERIC Educational Resources Information Center

    Jaramillo Urrutia, Lorena; Medina Gutiérrez, Ana Stella

    2011-01-01

    Today it is necessary to approach environmental topics with students in an interdisciplinary manner to mitigate the environmental damages that the Earth is suffering. In this paper we report an action-research and innovation study aimed at sensitizing students with respect to the care and preservation of the environment through the writing of…

  9. Nuevas estrategias de gestión, tratamiento y valorización de los efluentes organicos pecuarios: Experiencias en USDA. (Management strategies for organic livestock effluents,innovative treatment and valorization)

    Technology Transfer Automated Retrieval System (TEKTRAN)

    En la actualidad el impacto potencial de los residuos ganaderos en el medio-ambiente representa uno de los desafíos más grandes de la agricultura. Las tecnologías de tratamiento pueden tener un importante papel en el manejo de los residuos ganaderos dando más flexibilidad en los programas de la apli...

  10. Publishing and Academic Writing: Experiences of Authors Who Have Published in "PROFILE" (Publicación y escritura académica: experiencias de autores que han publicado en "PROFILE")

    ERIC Educational Resources Information Center

    Cárdenas, Melba L.

    2014-01-01

    The increase in the publication of academic journals is closely related to the growing interest of research communities as well as of institutional policies that demand visibility of the work done by their staff through publications in highly-ranked journals. The purpose of this paper is to portray the experiences of some authors who published…

  11. Mision Informacion: Entrevista a Empleados en el Lugar donde Trabajan; Observar a Obreros mientras Trabajan; Programa sobre Experiencia Laboral (Mission Information: Worksite Interview, Shadow Community Workers, Work Experience Program). CHOICE (Challenging Options in Career Education).

    ERIC Educational Resources Information Center

    Putnam and Northern Westchester Counties Board of Cooperative Educational Services, Yorktown Heights, NY.

    The work-study guide is the third volume in the advanced level of a career education curriculum for elementary-secondary migrant children. Complementing the secondary level job information text and a workbook about decision making and self-awareness, the work-study guide is designed to accompany work exploration and experience programs. It…

  12. From Awareness to Cultural Agency: EFL Colombian Student Teachers' Travelling Abroad Experiences (De la concientización a la agencia cultural: las experiencias en el extranjero de futuros profesores de inglés)

    ERIC Educational Resources Information Center

    Viafara González, John Jairo; Ariza Ariza, J. Aleida

    2015-01-01

    Colombian English as a foreign language student teachers' opportunities to grow as educators through international sojourns do not usually subsume the traditional study and residence abroad goal. This was the case for our participants who engaged mainly in working abroad with study being ancillary. Fifty student teachers from two public…

  13. Gonorrhea infections diagnosed among persons living with HIV/AIDS: identifying opportunities for integrated prevention services in New York City, Washington, DC, Miami/Dade County, and Arizona.

    PubMed

    Taylor, Melanie M; Schillinger, Julia A; Furness, Bruce W; Brewer, Toye; Newman, Daniel R; Pathela, Preeti; Skinner, Julia; Braunstein, Sarah; Shepard, Colin; Ahmed, Tashrik; Griffin, Angelique; Blank, Susan; Peterman, Thomas A

    2013-09-01

    : Persons living with HIV/AIDS who acquire new sexually transmitted diseases (STDs) pose a risk for enhanced transmission of both HIV and STDs. To describe the frequency of HIV coinfection among gonorrhea cases (GC), HIV and GC surveillance databases (2000-2008) were cross-matched in New York City (NYC), Washington, DC (DC), Miami/Dade County (MDC), and Arizona (AZ). During 2000-2008, 4.6% (9471/205,689) of reported GCs occurred among persons with previously diagnosed HIV: NYC (5.5%), DC (7.3%), MDC (4%), and AZ (2%). The overall HIV-GC coinfection rates increased over the study period in all 4 sites. Real-time data integration could allow for enhanced prevention among persons with HIV infection and acute STDs.

  14. Land-use/land-cover change and ecosystem service provision in China.

    PubMed

    Song, Wei; Deng, Xiangzheng

    2017-01-15

    As a result of economics and policy, land-use/land-cover change (LUCC) in China has undergone a series of complicated changes over the past three decades. However, the effects of LUCCs on ecosystem service values (ESVs) have never been previously assessed at the national scale. Thus, on the basis of three Chinese LUCC maps from 1988, 2000, and 2008, we examined changes in land-use/land-cover and consequent ESVs using a value transfer method. We found that ESVs decreased by 0.45% and 0.10% during the periods 1988-2000 and 2000-2008, respectively, and that ESV changes in China during the period 2000-2008 were relatively moderate compared to the rest of the world over a similar period. The ESVs for provision, regulation, support, and culture decreased by 0.19%, 0.48%, 0.43%, and 0.45%, respectively, during the period 1988-2000, while they decreased by 0.11%, 0.09%, 0.14%, and 0.04%, respectively, during the period 2000-2008. We also developed an elasticity indicator to assess responses in ESV change relative to LUCCs. Results of this analysis show that 1% of land conversion in China resulted in 0.15% and 0.10% average changes in ESVs during the two periods, respectively.

  15. Multilevel modeling of NPP change and impacts of water resources in the Lower Heihe River Basin

    NASA Astrophysics Data System (ADS)

    Yan, Haiming; Zhan, Jinyan; Jiang, Qun'ou; Yuan, Yongwei; Li, Zhihui

    Net primary productivity (NPP) lays the foundation for provision of various ecosystem services, and understanding the impacts of potential influencing factors on NPP is of great significance to formulating appropriate management measures to guarantee the sustainable provision of essential ecosystem services. This study analyzed the impacts of potential influencing factors on NPP in the lower Heihe River Basin, a typical arid and semi-arid region in China. First, NPP was estimated with the C-FIX model, and then the multilevel model was used to analyze the impacts of potential influencing factors on NPP during 2000-2008. Finally decomposition analysis was used to further analyze the contribution of influencing factors to NPP change during 2000-2008. The average NPP increased by approximately 9.07% during 2000-2008, and results of the multilevel model indicate that both the socioeconomic variables and demographic variables are useful in explaining NPP change. In particular, coefficients of rainfall and evapotranspiration which represent the water availability reached 0.0456 and 0.2956, respectively. Results of decomposition analysis suggested that the water availability played an important role in increasing NPP, with a contribution rate of 44.17%, and it is necessary to carry out some policies that can promote the water use efficiency to increase NPP under the background of climate change and intensified human activities. There are some uncertainties in the results of this study, but these results still can provide valuable reference information for the water resource management to increase the ecosystem service supply in the lower Heihe River Basin.

  16. Spatially distributed evapotranspiration and recharge estimation for sand regions of Hungary in the context of climate change

    NASA Astrophysics Data System (ADS)

    Csáki, Péter; Kalicz, Péter; Gribovszki, Zoltán

    2016-04-01

    Water balance of sand regions of Hungary was analysed using remote-sensing based evapotranspiration (ET) maps (1*1 km spatial resolution) by CREMAP model over the 2000-2008 period. The mean annual (2000-2008) net groundwater recharge (R) estimated as the difference in mean annual precipitation (P) and ET, taking advantage that for sand regions the surface runoff is commonly negligible. For the examined nine-year period (2000-2008) the ET and R were about 90 percent and 10 percent of the P. The mean annual ET and R were analysed in the context of land cover types. A Budyko-model was used in spatially-distributed mode for the climate change impact analysis. The parameters of the Budyko-model (α) was calculated for pixels without surplus water. For the extra-water affected pixels a linear model with β-parameters (actual evapotranspiration / pan-evapotranspiration) was used. These parameter maps can be used for evaluating future ET and R in spatially-distributed mode (1*1 km resolution). By using the two parameter maps (α and β) and data of regional climate models (mean annual temperature and precipitation) evapotranspiration and net groundwater recharge projections have been done for three future periods (2011-2040, 2041-2070, 2071-2100). The expected ET and R changes have been determined relative to a reference period (1981-2010). According to the projections, by the end of the 21th century, ET may increase while in case of R a heavy decrease can be detected for the sand regions of Hungary. This research has been supported by Agroclimate.2 VKSZ_12-1-2013-0034 project. Keywords: evapotranspiration, net groundwater recharge, climate change, Budyko-model

  17. [The dynamics of morbidity of population of the city of Ufa].

    PubMed

    Askarova, Z F; Baiykina, I M; Tchuyenkova, G A; Askarov, R A

    2012-01-01

    The article deals with analysis of general and primary morbidity of population of Ufa in all age groups according the data of form N 12 of state statistical supervision "The information of number of diseases registered in patients residing in the district of medical institution support" of Minzdrav of Republic of Bashkortostan in 2000-2008. It is established that during the mentioned period of time, an increase occurred of general and primary morbidity. The particular classes of diseases and age groups are detected which are characterized by a significant increase of indicators of morbidity.

  18. [The role of experience in the neurology of facial expression of emotions].

    PubMed

    Gordillo, Fernando; Pérez, Miguel A; Arana, José M; Mestas, Lilia; López, Rafael M

    2015-04-01

    Introduccion. La expresion facial de las emociones tiene una funcion social importante que facilita la interaccion entre las personas. Este proceso tiene una base neurologica, que no se aisla del contexto ni de la experiencia acumulada por la interaccion entre las personas en dicho contexto. Sin embargo, hasta la fecha, no se conocen con claridad los efectos de la experiencia sobre la percepcion de las emociones. Objetivos. Discutir que funcion desempeña la experiencia en el reconocimiento de la expresion facial de las emociones y analizar los sesgos que las experiencias negativas y positivas podrian tener sobre la percepcion emocional. Desarrollo. La maduracion de las estructuras que soportan la capacidad para reconocer la emocion pasa por un periodo sensible durante la adolescencia, donde la experiencia adquirida puede tener mayor impacto sobre el reconocimiento emocional. Experiencias de abuso, maltrato, abandono, guerras o estres generan un sesgo hacia las expresiones de ira y tristeza. De igual manera, las experiencias positivas dan lugar a un sesgo hacia la expresion de alegria. Conclusiones. Solo cuando las personas son capaces de utilizar la expresion facial de las emociones como un canal de comprension y expresion interaccionaran de manera adecuada con su entorno. Este entorno, a su vez, dara lugar a experiencias que modulan dicha capacidad. Por lo tanto, es un proceso autorregulatorio que puede ser dirigido a traves de la implementacion de programas de intervencion sobre los aspectos emocionales.

  19. New Educational Environments Aimed at Developing Intercultural Understanding while Reinforcing the Use of English in Experience-Based Learning (Nuevos entornos educativos destinados a desarrollar la comprensión intercultural y a reforzar el uso del inglés mediante el aprendizaje basado en experiencias)

    ERIC Educational Resources Information Center

    Bruguier, Leonard R.; Greathouse Amador, Louise M.

    2012-01-01

    New learning environments with communication and information tools are increasingly accessible with technology playing a crucial role in expanding and reconceptualizing student learning experiences. This paper reviews the outcome of an innovative course offered by four universities in three countries: Canada, the United States, and Mexico. Course…

  20. Experiencias interculturales y la pedagogia de la anglofonia en la ensenanza de ingles como lengua extranjera (EILE) desde una perspectiva deweyana. Working Paper (A Deweyan Perspective on Cross-Cultural Experiences and Anglophone Pedagogy in the Teaching of English as a Foreign Language. Working Paper).

    ERIC Educational Resources Information Center

    Zoreda, Margaret Lee

    This paper discusses a framework for teaching English as a foreign language that incorporates significant cultural content and fosters critical encounters with Anglophone culture. It reviews relevant contemporary perspectives for understanding cross-cultural processes within the foreign language teaching environment with emphasis on the issue of…

  1. Exploring EFL Pre-Service Teachers' Experience with Cultural Content and Intercultural Communicative Competence at Three Colombian Universities (Indagación sobre la experiencia con el contenido cultural y la competencia comunicativa intercultural de docentes de inglés en formación, en tres universidades colombianas)

    ERIC Educational Resources Information Center

    Olaya, Alba; Gómez Rodríguez, Luis Fernando

    2013-01-01

    This article reports the findings of a qualitative research project that explored pre-service English teachers' perceptions of and attitudes toward the aspects of culture and intercultural competence addressed in their English classes in the undergraduate programs at three Colombian universities. Findings reveal that pre-service teachers are…

  2. Trends in the use of immunosuppressive agents by outpatients after renal transplantation at a medical center in southern Taiwan.

    PubMed

    Mao, P C-M; Lee, E K-L; Tseng, P-L

    2012-01-01

    Kidney transplantation has become an effective treatment for end-stage renal failure. This study analyzed trends in immunosuppressive agent use after renal transplantation at a medical center in southern Taiwan over a 9-year period (2000-2008) seeking to determine whether the trends were consistent with clinical trial outcomes and published guidelines. We identified adult outpatients who had diagnoses of renal transplantation and who had concurrent immunosuppressive drug claims. From 2000-2008, we discovered 39,189 prescriptions related to kidney transplantation. The overall medication consumption showed an increase from 4.9% to 31.9%. Cyclosporine was the main determinant of overall drug costs during these 9 years. The long-term prescribing trend for immunosuppressive use among renal transplantation outpatients showed a clear change during the course of the study. Tacrolimus and sodium mycophenolate/mycophenolate mofetil were used increasingly as combination therapy. However, our survey revealed that management of this transplantation population, especially regarding the use of either calcineurin inhibitor or corticosteroids, was based on potential long-term side effects.

  3. Longitudinal Relationships Between Productive Activities and Functional Health in Later Years: A Multivariate Latent Growth Curve Modeling Approach.

    PubMed

    Choi, Eunhee; Tang, Fengyan; Kim, Sung-Geun; Turk, Phillip

    2016-10-01

    This study examined the longitudinal relationships between functional health in later years and three types of productive activities: volunteering, full-time, and part-time work. Using the data from five waves (2000-2008) of the Health and Retirement Study, we applied multivariate latent growth curve modeling to examine the longitudinal relationships among individuals 50 or over. Functional health was measured by limitations in activities of daily living. Individuals who volunteered, worked either full time or part time exhibited a slower decline in functional health than nonparticipants. Significant associations were also found between initial functional health and longitudinal changes in productive activity participation. This study provides additional support for the benefits of productive activities later in life; engagement in volunteering and employment are indeed associated with better functional health in middle and old age.

  4. Urban social and built environments and trajectories of decline in social engagement in vulnerable elders: findings from Detroit's Medicaid home and community-based waiver population.

    PubMed

    Kim, MinHee; Clarke, Philippa

    2015-05-01

    There is little knowledge on the relationships between neighborhood environments and trajectories of social engagement among physically and economically vulnerable older adults. We examined the association between neighborhood social and built environments (physical disorder, the presence of crime watch signs, and street conditions) and 36-month trajectories of social engagement among 965 older adults living in Detroit, Michigan. Social withdrawal was defined as a decline in social engagement without distress while social isolation was defined as a decline in social engagement with distress. We utilized data from Michigan's Minimum Data Set for Home Care (2000-2008), merged with contextual data collected through a virtual audit instrument using Google Earth's "Street View" feature. Results from multilevel multinomial analyses indicated that the presence of neighborhood watch signs was associated with increased chance of social withdrawal and social isolation among frail older adults over time, highlighting the potential anxiety-provoking effect of precautionary measures against crime.

  5. Chemical characterisation of african dust transported to Canary Region

    NASA Astrophysics Data System (ADS)

    Gelado, M. D.; López, P.; Prieto, S.; Collado, C.; Hernández, J. J.

    2009-04-01

    African dust pulses have important effects on the climate conditions and the marine biogeochemistry in the Canary Region. Aerosol samples have been collected at three stations on Gran Canaria Island (Taliarte at sea level, Tafira 269 m a.s.l. and Pico de la Gorra 1930 m a.s.l.) during 2000-2008. Elemental characterisation of the collected mineral aerosol and back trajectories of the air masses are used to distinguish regional African sources of dust. Dust aerosol samples from North Sahara (Morocco, North Algeria and Tunisia), West and Central Sahara (20°-30°N, 18°W-50°E) and Sahel (0°-20°N, 18°W-50°E) have shown different Ca/Ti, Al/Ti and Fe/Al ratios. Ti appears as a better tracer element of specific source of dust than Fe, probably due to a less mineral alteration during the atmospheric transport.

  6. Does a global budget superimposed on fee-for-service payments mitigate hospitals' medical claims in Taiwan?

    PubMed

    Hsu, Pi-Fem

    2014-12-01

    Taiwan's global budgeting for hospital health care, in comparison to other countries, assigns a regional budget cap for hospitals' medical benefits claimed on the basis of fee-for-service (FFS) payments. This study uses a stays-hospitals-years database comprising acute myocardial infarction inpatients to examine whether the reimbursement policy mitigates the medical benefits claimed to a third-payer party during 2000-2008. The estimated results of a nested random-effects model showed that hospitals attempted to increase their medical benefit claims under the influence of initial implementation of global budgeting. The magnitudes of hospitals' responses to global budgeting were significantly attributed to hospital ownership, accreditation status, and market competitiveness of a region. The results imply that the regional budget cap superimposed on FFS payments provides only blunt incentive to the hospitals to cooperate to contain medical resource utilization, unless a monitoring mechanism attached with the payment system.

  7. IMF By effects in the plasma flow at the polar cap boundary

    NASA Astrophysics Data System (ADS)

    Kozlovsky, Alexander; Lukianova, Renata

    2010-05-01

    We used the dataset obtained from the EISCAT Svalbard Radar during 2000-2008 to study statistically the ionospheric convection as related to IMF By conditions, separately for northward and southward IMF. The effects of IMF By are manifested in the intensity and direction of the East-West component of ionospheric flow. The most significant effects are observed near noon and also in the early morning around 03 MLT, whereas in the evening (at 18 MLT) the effect is essentially less prominent. The other feature is an anti-sunward flow across the polar cap, which shows increasing with the magnitude of IMF By. Quantitative characteristics of the IMF By effects are presented and explained in frame of the magnetospheric electric fields generated due to the solar wind, with taking into account position of the open-closed boundary for different IMF conditions. This work was supported by the Academy of Finland.

  8. 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 percepción limitada que los estudiantes tienen de su alrededor la cual, sin embargo, se expandió debido a las actividades llevadas a cabo, sobre todo en relación con la Luna. Trabajar con medidas sistemáticas revela el manejo cuidadoso de los datos para que sean comprensibles para los estudiantes, así como el trabajo con las sombras para que comprendan primero como se forman estas para después trabajarlas en Astronomía. Por último, llegamos a la conclusión de que el proceso desarrollado consistió en una etapa inicial de una obra que debe ser profundizado en los años posteriores de la formación de estos estudiantes. Projeto de pesquisa desenvolvido com 95 alunos do 6º ano do Ensino Fundamental de uma escola pública estadual de Uberlândia, Minas Gerais. Foi um trabalho contínuo, de fevereiro a dezembro de 2013, o qual levou os alunos a participarem de atividades de observação do entorno, dentre ele, o céu, analisando as mudanças ocorridas. Focamos no estudo das variações de temperaturas, chuvas, duração do dia, variações do tamanho das sombras e mudanças nos aspectos da Lua. Nosso foco de análise centrou-se em discutir os conhecimentos que os referidos alunos tinham acerca dos temas indicados no início e ao término da implementação da proposta. Os resultados mostraram a percepção limitada que os estudantes possuem de seu entorno, todavia, ampliada em função das atividades desenvolvidas, principalmente no que se refere à Lua. O trabalho com medidas sistemáticas revela o cuidado no tratamento dos dados para que eles se tornem compreensíveis aos alunos, assim como o trabalho com as sombras sinaliza para que os alunos primeiramente compreendam como as sombras são formadas para depois trabalhar isso em Astronomia. Por fim, concluímos que o processo vivido constituiu-se em uma etapa inicial de um trabalho que deve ser estimulado para os anos subsequentes da formação desses alunos.

  9. Treatment of Liver Trauma: Operative or Conservative Management

    PubMed Central

    Bernardo, Carmen Garcia; Fuster, Josep; Bombuy, Ernest; Sanchez, Santiago; Ferrer, Joana; Loera, Marco Antonio; Marti, Josep; Fondevila, Constantino; Zavala, Elizabet; Garcia-Valdecasas, Juan Carlos

    2010-01-01

    Background The liver is one of the most frequently damaged organs when abdominal trauma occurs. Currently, a conservative management constitutes the treatment of choice in patients with hemodynamic stability. The aim of this study is to evaluate the results of an operative and conservative management of 143 patients with liver injury treated in a single institution. Methods A retrospective study of the patients admitted with the diagnosis of liver trauma was performed from 1992-2008. The patients were classified according to the intention to treatment: Group I, operative management; Group II, conservative management. Variables analyzed included demographic data, injury classification, associated lesions, surgical treatment, transfusions, morbi-mortality, and hospital stay. We established two periods (1992-1999; 2000-2008) in order to compare diagnosis and management. Results A total of 143 patients were analyzed. Thirty-one percent correspond to severe injuries. Conservative treatment was followed in 60.8 % with surgery undertaken in 14.9 % of patients from this group due to failure of conservative treatment. Immediate surgery was carried out in 38.2 %. Total mortality was 14 %. Morbidity (35.7-38.5 %) in the group of immediate surgery and failure of conservative management is similar, but not in mortality (28.6-15.4 %). In the second group (2000-2008) there are more patients with conservative treatment, with a low percentage of failure of this treatment and morbi-mortality. Conclusions Conservative treatment is an adequate treatment in a great number of patients. Failure of conservative treatment did not show a higher incidence of complications or mortality but it should be performed in centers with experienced surgeons. PMID:27956979

  10. X-ray long-term variations in the low-luminosity AGN NGC 835 and its circumnuclear emission

    NASA Astrophysics Data System (ADS)

    González-Martín, O.; Hernández-García, L.; Masegosa, J.; Márquez, I.; Rodríguez-Espinosa, J. M.; Acosta-Pulido, J. A.; Alonso-Herrero, A.; Dultzin, D.; Esparza Arredondo, D.

    2016-03-01

    Context. Obscured active galactic nuclei (AGNs) are thought to be very common in the Universe. Observations and surveys have shown that the number of sources increases for near galaxies and at the low-luminosity regime (the so-called LLAGNs). Furthermore, many AGNs show changes in their obscuration properties at X-rays that may suggest a configuration of clouds very close to the accretion disk. However, these variations could also be due to changes in the intrinsic continuum of the source. It is therefore important to study nearby AGN to better understand the locus and distribution of clouds in the neighbourhood of the nucleus. Aims: We aim to study the nuclear obscuration of LLAGN NGC 835 and its extended emission using mid-infrared observations. Methods: We present sub-arcsecond-resolution mid-infrared 11.5 μm imaging of the LLAGN galaxy NGC 835 obtained with the instrument CanariCam in the Gran Telescopio CANARIAS (GTC), archival Spitzer/IRS spectroscopy, and archival Chandra data observed in 2000, 2008, and 2013. Results: The GTC/CanariCam 11.5 μm image reveals faint extended emission out to ~6 arcsec. We obtained a nuclear flux of F(11.5 μm) ~ 18 mJy, whereas the extended emission accounts for 90% of the total flux within the 6 arcsec. This means that the low angular resolution (~4 arcsec) IRS spectrum is dominated by this extended emission and not by the AGN. This is clearly seen in the Spitzer/IRS spectrum, which resembles that of star-forming galaxies. Although the extended soft X-ray emission shows some resemblance with that of the mid-infrared, the knots seen at X-rays are mostly located in the inner side of this mid-infrared emission. The nuclear X-ray spectrum of the source has undergone a spectral change between 2000/2008 and 2013. We argue that this variation is most probably due to changes in the hydrogen column density from ~8 × 1023 cm-2 to ~3 × 1023 cm-2. NGC 835 therefore is one of the few LLAGN, together with NGC 1052, in which changes in

  11. Impacts of land use change and climate variations on annual inflow into the Miyun Reservoir, Beijing, China

    NASA Astrophysics Data System (ADS)

    Zheng, Jiangkun; Sun, Ge; Li, Wenhong; Yu, Xinxiao; Zhang, Chi; Gong, Yuanbo; Tu, Lihua

    2016-04-01

    The Miyun Reservoir, the only surface water source for Beijing city, has experienced water supply decline in recent decades. Previous studies suggest that both land use change and climate contribute to the changes of water supply in this critical watershed. However, the specific causes of the decline in the Miyun Reservoir are debatable under a non-stationary climate in the past 4 decades. The central objective of this study was to quantify the separate and collective contributions of land use change and climate variability to the decreasing inflow into the Miyun Reservoir during 1961-2008. Different from previous studies on this watershed, we used a comprehensive approach to quantify the timing of changes in hydrology and associated environmental variables using the long-term historical hydrometeorology and remote-sensing-based land use records. To effectively quantify the different impacts of the climate variation and land use change on streamflow during different sub-periods, an annual water balance model (AWB), the climate elasticity model (CEM), and a rainfall-runoff model (RRM) were employed to conduct attribution analysis synthetically. We found a significant (p < 0.01) decrease in annual streamflow, a significant positive trend in annual potential evapotranspiration (p < 0.01), and an insignificant (p > 0.1) negative trend in annual precipitation during 1961-2008. We identified two streamflow breakpoints, 1983 and 1999, by the sequential Mann-Kendall test and double-mass curve. Climate variability alone did not explain the decrease in inflow to the Miyun Reservoir. Reduction of water yield was closely related to increase in actual evapotranspiration due to the expansion of forestland and reduction in cropland and grassland, and was likely exacerbated by increased water consumption for domestic and industrial uses in the basin. The contribution to the observed streamflow decline from land use change fell from 64-92 % during 1984-1999 to 36-58 % during 2000-2008

  12. Revista Interamericana de Educacion de Adultos, 2003 (Interamerican Review of Adult Education, 2003).

    ERIC Educational Resources Information Center

    Guerra, Alfonso Rangel, Ed.

    2003-01-01

    This journal offers a collection of Spanish-language articles, including: "Educacion a Distancia y Uso de las Tecnologias: Experiencias Desafios y Oportunidades Educativas para Jovenes y Adultos" (Ma. Mercedes Ruiz); "Volver a a Educacion Fundamental? Notas para una Arquelogia de los Mandatos Fundacionales del CREFAL" (Jorge…

  13. Language and Literacy in the Borderlands: Acting upon the World through "Testimonios"

    ERIC Educational Resources Information Center

    Saavedra, Cinthya M.

    2011-01-01

    Saavedra discusses how children in the borderlands can inform our language and literacy practices through the Latin American literary genre known as "testimonio." Drawing from the work of Chicana/Latina feminist pedagogy, I frame my "experiencias" with language and literacy in three different moments in my life. Through these…

  14. Entrenamiento con el traje espacial

    NASA Video Gallery

    Después de 10 paseos espaciales, el astronauta de la NASA Michael López- Alegría sabe bastante de trajes espaciales. En este video, López Alegría comparte su experiencia acerca del uso y el entrena...

  15. Climate Risk and Vulnerability in the Caribbean and Gulf of Mexico Region: Interactions with Spatial Population and Land Cover Change

    NASA Astrophysics Data System (ADS)

    Chen, R. S.; Levy, M.; Baptista, S.; Adamo, S.

    2010-12-01

    Vulnerability to climate variability and change will depend on dynamic interactions between different aspects of climate, land-use change, and socioeconomic trends. Measurements and projections of these changes are difficult at the local scale but necessary for effective planning. New data sources and methods make it possible to assess land-use and socioeconomic changes that may affect future patterns of climate vulnerability. In this paper we report on new time series data sets that reveal trends in the spatial patterns of climate vulnerability in the Caribbean/Gulf of Mexico Region. Specifically, we examine spatial time series data for human population over the period 1990-2000, time series data on land use and land cover over 2000-2009, and infant mortality rates as a proxy for poverty for 2000-2008. We compare the spatial trends for these measures to the distribution of climate-related natural disaster risk hotspots (cyclones, floods, landslides, and droughts) in terms of frequency, mortality, and economic losses. We use these data to identify areas where climate vulnerability appears to be increasing and where it may be decreasing. Regions where trends and patterns are especially worrisome include coastal areas of Guatemala and Honduras.

  16. Salmonellosis and charter tourism: epidemiology and trends of imported human cases to Norway from the Canary Islands and Thailand, 1994-2008.

    PubMed

    Emberland, K E; Nygård, K; Aavitsland, P

    2012-09-01

    More than 70% of reported human Salmonella infections in Norway are infected abroad. The Canary Islands and Thailand are two of the most popular charter tourist destinations for Norwegians. Using surveillance data for the years 1994-2008, and denominator data on travel to the Canary Islands 2000-2008 and to Thailand 1997-2008, we present the epidemiology and trends of Salmonella infections in Norwegian tourists to these destinations. We found a declining trend in risk of salmonellosis in tourists returning from the Canary Islands, and a change in serovar distribution in travellers to Thailand with more S. Enteritidis infections, similar to that observed in Western European countries. The use of denominator data is important when studying risk of travel-related disease, as surveillance data tend to reflect travel activity more than the risk. Infections among tourists do not always affect the local residents and therefore may not be detected by local public health authorities. Sharing knowledge on the epidemiology of infections in tourists could be useful for observation of changes in trends in the countries visited, and in future outbreak investigations.

  17. [Cancer in adolescents and young adults in France: Epidemiology and pathways of care].

    PubMed

    Desandes, Emmanuel; Lacour, Brigitte; Clavel, Jacqueline

    2016-12-01

    In adolescents and young adults (AYA), cancers are rare but represent the third significant cause of death. The aim of this paper was to investigate epidemiological data and pathways of care of AYA in France. During the 2000-2008 period, overall age-standardized incidence rates (ASR) were 254.1/10(6) in 15-24-year-olds. The most frequently diagnosed cancers in male AYA were malignant gonadal germ-cell tumors and Hodgkin's lymphoma, and were melanoma, thyroid carcinoma and Hodgkin's disease in females. The ASR appeared stable over time. During the 2000-2004 period, the 5-year overall survival for all cancers was 81.8%, with differences between genders and age groups: 78.8% for males and 85.2% for females; 78.5% in 15-19-year-olds and 84.3% in 20-24-year-olds. Survival has significantly improved over time. During the 2006-2007 period, the pathways of care for French adolescent patients with cancer were heterogeneous: 82% were treated in an adult environment, 27% were included in clinical studies, and in 54% of cases the management decisions were taken in the context of a multidisciplinary team. Studies looking at management of AYA with cancer have shown a wide disparity and a lack of collaboration between adult oncologists and pediatric oncologist. An AYA cancer multidisciplinary interest group has been created to determine priorities and coordinate efforts to improve AYA cancer services and care.

  18. Biliary strictures and hepatic artery flow abnormalities in split liver transplants.

    PubMed

    O'Loughlin, Edward V; Stormon, Michael O; Shun, Albert; Verran, Deborah; Jermyn, Vicki; Wong, Christopher; Lord, David

    2010-02-01

    The aim of this study was to examine the role of HA flow abnormalities in the development of biliary strictures following split liver transplants. Data was obtained from a prospective data base of all patients undergoing split liver transplants from 2000-2008 with a follow up time of at least six months. Forty-six transplants were performed in 44 patients. Fourteen of 46 developed strictures of whom four were intrahepatic and 10 anastomotic. Nine of 14 with strictures had either hepatic artery thromobosis (HAT, four) or abnormalities of HA flow identified by routine Doppler ultrasound (5) compared with two of 32 without strictures (p < 0.02, (one temporary loss of flow and one HA aneurysm). There were no differences between the stricture and non stricture group with regard to age or weight at transplant, donor age, cold and warm ischemia times or intraoperative portal vein flow though there was a significant decrease in intraoperative HA flow in the stricture group. In conclusion, both HAT and hepatic artery flow abnormalities are associated with biliary strictures in the majority of split liver transplants. However, unrecognised abnormalities in HA flow and or other factors are likely to contribute.

  19. Knowledge mobilisation in healthcare: a critical review of health sector and generic management literature.

    PubMed

    Ferlie, Ewan; Crilly, Tessa; Jashapara, Ashok; Peckham, Anna

    2012-04-01

    The health policy domain has displayed increasing interest in questions of knowledge management and knowledge mobilisation within healthcare organisations. We analyse here the findings of a critical review of generic management and health-related literatures, covering the period 2000-2008. Using 29 pre-selected journals, supplemented by a search of selected electronic databases, we map twelve substantive domains classified into four broad groups: taxonomic and philosophical (e.g. different types of knowledge); theoretical discourse (e.g. critical organisational studies); disciplinary fields (e.g. organisational learning and Information Systems/Information Technology); and organisational processes and structures (e.g. organisational form). We explore cross-overs and gaps between these traditionally separate literature streams. We found that health sector literature has absorbed some generic concepts, notably Communities of Practice, but has not yet deployed the performance-oriented perspective of the Resource Based View (RBV) of the Firm. The generic literature uses healthcare sites to develop critical analyses of power and control in knowledge management, rooted in neo-Marxist/labour process and Foucauldian approaches. The review generates three theoretically grounded statements to inform future enquiry, by: (a) importing the RBV stream; (b) developing the critical organisational studies perspective further; and (c) exploring the theoretical argument that networks and other alternative organisational forms facilitate knowledge sharing.

  20. Quality of Spine Surgery Research from the Arab Countries: A Systematic Review and Bibliometric Analysis.

    PubMed

    Baeesa, Saleh S; Maghrabi, Yazid; Msaddi, Abdul Karim; Assaker, Richard

    2017-01-01

    Purpose. The purpose of our study is to evaluate the level of evidence (LOE) of spine surgery publications in the Arab countries and compare it with standard international literature in spine surgery and to determine the stand of the Arab nations academic production with that of the global one. Methods. An online search using "PubMed" and "Google Scholar" was carried out, using search terms related to spine surgery such as "Spine surgery," "Scoliosis," "Herniated disc." Each article was reviewed and graded by two reviewers using Oxford Centre for Evidence-Based Medicine (OCEBM) Levels of Evidence scale. Results. We have identified 434 articles that met the inclusion criteria; 56% were level IV studies. The most common study design was case reports (42%). The number of Arab countries with publications in spine surgery was 18 countries. The country with the highest rate of publications was Egypt (26%). The quantity of the published studies increased from 151 in (2000-2008) to 283 in (2009-2015). There is statistical significance between high and low LOE articles (p = 0.0007). Conclusion. We have observed that LOE has not changed significantly over the period of 15 years and that much of the publications are of a low LOE (levels III and IV). We, herein, emphasize the need for spine surgeons in the Arab countries to conduct studies of higher LOE.

  1. ON THE SPIN-DOWN AND MAGNETIC FIELD OF THE X-RAY PULSAR 1E 1207.4-5209

    SciTech Connect

    Halpern, J. P.; Gotthelf, E. V. E-mail: eric@astro.columbia.edu

    2011-06-01

    We analyze all of the archival X-ray timing data from the years 2000-2008 on the weakly magnetized central compact object (CCO) pulsar 1E 1207.4-5209 in an attempt to measure its dipole magnetic field strength via spin-down. because most of these observations were not planned for the purpose of phase-coherent timing, the resulting ephemeris is not unique, but is restricted to two comparably good timing solutions that correspond to B{sub s} = 9.9 x 10{sup 10} G or 2.4 x 10{sup 11} G, respectively, assuming dipole spin-down. One of these should be the correct value and the other one an alias. There are no spinning-up solutions. The smaller value of B{sub s} is close to the surface field of 8 x 10{sup 10} G that is measured independently from the unique absorption lines in the X-ray spectrum of 1E 1207.4-5209, assuming that the lowest-energy line at 0.7 keV is the electron-cyclotron fundamental. We suggest that 1E 1207.4-5209 has the strongest magnetic field among CCOs, which would account for the unique presence of its cyclotron absorption spectrum, while other CCOs likely have even weaker fields for which the cyclotron fundamental falls below the observable soft X-ray band.

  2. A spatial and temporal analysis of child pedestrian crashes in Santiago, Chile.

    PubMed

    Blazquez, Carola A; Celis, Marcela S

    2013-01-01

    This paper presents a spatial and temporal analysis of child pedestrian crash data in Santiago, Chile during the period 2000-2008. First, this study identified seven critical areas with high child pedestrian crash risk employing kernel density estimation, and subsequently, statistically significant clusters of the main attributes associated to these crashes in each critical area were determined in a geographic information systems environment. Moran's I index test identified a positive spatial autocorrelation on crash contributing factors, time of day, straight road sections and intersections, and roads without traffic signs within the critical areas during the studied period, whereas a random spatial pattern was identified for crashes related to the age attribute. No statistical significance in the spatial relationship was obtained in child pedestrian crashes with respect to gender, weekday, and month of the year. The results from this research aid in determining the areas in which enhanced school-age child pedestrian safety is required by developing and implementing effective enforcement, educational, and engineering preventive measures.

  3. Life is Getting Better: Societal Evolution and Fit with Human Nature.

    PubMed

    Veenhoven, Ruut

    2010-05-01

    Human society has changed much over the last centuries and this process of 'modernization' has profoundly affected the lives of individuals; currently we live quite different lives from those forefathers lived only five generations ago. There is difference of opinion as to whether we live better now than before and consequently there is also disagreement as to whether we should continue modernizing or rather try to slow the process down. Quality-of-life in a society can be measured by how long and happy its inhabitants live. Using these indicators I assess whether societal modernization has made life better or worse. Firstly I examine findings of present day survey research. I start with a cross-sectional analysis of 143 nations in the years 2000-2008 and find that people live longer and happier in today's most modern societies. Secondly I examine trends in modern nations over the last decade and find that happiness and longevity have increased in most cases. Thirdly I consider the long-term and review findings from historical anthropology, which show that we lived better in the early hunter-gatherer society than in the later agrarian society. Together these data suggest that societal evolution has worked out differently for the quality of human life, first negatively, in the change from a hunter-gatherer existence to agriculture, and next positively, in the more recent transformation from an agrarian to an industrial society. We live now longer and happier than ever before.

  4. Monitoring Rainfall by Combining Ground-based Observed Precipitation and PERSIANN Satellite Product (Case Study Area: Lake Urmia Basin)

    NASA Astrophysics Data System (ADS)

    Abrishamchi, A.; Mirshahi, A.

    2015-12-01

    The global coverage, quick access, and appropriate spatial-temporal resolution of satellite precipitation data renders the data appropriate for hydrologic studies, especially in regions with no sufficient rain-gauge network. On the other hand, satellite precipitation products may have major errors. The present study aims at reduction of estimation error of the PERSIANN satellite precipitation product. Bayesian logic employed to develop a statistical relationship between historical ground-based and satellite precipitation data. This relationship can then be used to reduce satellite precipitation product error in near real time, when there is no ground-based precipitation observation. The method was evaluated in the Lake Urmia basin with a monthly time scale; November to May of 2000- 2008 for the purpose of model development and two years of 2009 and 2010 for the validation of the established relationships. Moreover, Kriging interpolation method was employed to estimate the average rainfall in the basin. Furthermore, to downscale the satellite precipitation product from 0.25o to 0.05o, data-location downscaling algorithm was used. In 76 percent of months, the final product, compared with the satellite precipitation, had less error during the validation period. Additionally, its performance was marginally better than adjusted PERSIANN product.

  5. Effects of tropical cyclones on large-scale circulation and ocean heat transport in the South China Sea

    NASA Astrophysics Data System (ADS)

    Wang, Xidong; Wang, Chunzai; Han, Guijun; Li, Wei; Wu, Xinrong

    2014-12-01

    In this study, we investigate the influence of tropical cyclones (TCs) on large-scale circulation and ocean heat transport in the South China Sea (SCS) by using an ocean general circulation model at a 1/8° resolution during 2000-2008. The model uses a data assimilation system to assimilate observations in order to improve the representation of SCS circulation. The results reveal an unexpected deep SCS circulation anomaly induced by TCs, which suggests that effects of TC can penetrate deeper into the ocean. This deep effect may result from the near inertial oscillations excited by TCs. The inertial oscillations can propagate downward to the oceanic interior. The analyses confirm that TCs have two effects on ocean heat transport of the SCS. Firstly, the wind stress curl induced by TCs affects the structure of SCS circulation, and then changes heat transport. Secondly, TCs pump surface heat downward to the thermocline, increasing the heat injection from the atmosphere to the ocean. Two effects together amplify the outflow of the surface heat southward away the SCS through the Mindoro and Karimata Straits. The TC-induced heat transports through the Mindoro, Balabac and Karimata Straits account for 20 % of the total heat transport through three straits. An implication of this study is that ocean models need to simulate the TC effect on heat transport in order to correctly evaluate the role of the SCS through flow in regulating upper ocean circulation and climate in the Indonesian maritime continent and its adjacent regions.

  6. An individual-based model of the krill Euphausia pacifica in the California Current

    NASA Astrophysics Data System (ADS)

    Dorman, Jeffrey G.; Sydeman, William J.; Bograd, Steven J.; Powell, Thomas M.

    2015-11-01

    Euphausia pacifica is an abundant and important prey resource for numerous predators of the California Current and elsewhere in the North Pacific. We developed an individual-based model (IBM) for E. pacifica to study its bioenergetics (growth, stage development, reproduction, and mortality) under constant/ideal conditions as well as under varying ocean conditions and food resources. To model E. pacifica under varying conditions, we coupled the IBM to an oceanographic-ecosystem model over the period 2000-2008 (9 years). Model results under constant/ideal food conditions compare favorably with experimental studies conducted under food unlimited conditions. Under more realistic variable oceanographic conditions, mean growth rates over the continental shelf were positive only when individuals migrated diurnally to the depth of maximum phytoplankton layer during nighttime feeding. Our model only used phytoplankton as prey and coastal growth rates were lower than expected (0.01 mm d-1), suggesting that a diverse prey base (zooplankton, protists, marine snow) may be required to facilitate growth and survival of modeled E. pacifica in the coastal environment. This coupled IBM-ROMS modeling framework and its parameters provides a tool for understanding the biology and ecology of E. pacifica and could be developed to further the understanding of climatic effects on this key prey species and enhance an ecosystem approach to fisheries and wildlife management in this region.

  7. Review of the malaria epidemiology and trends in Zambia.

    PubMed

    Masaninga, Freddie; Chanda, Emmanuel; Chanda-Kapata, Pascalina; Hamainza, Busiku; Masendu, Hieronymo T; Kamuliwo, Mulakwa; Kapelwa, Wambinji; Chimumbwa, John; Govere, John; Otten, Mac; Fall, Ibrahima Soce; Babaniyi, Olusegun

    2013-02-01

    A comprehensive desk review of malaria trends was conducted between 2000-2010 in Zambia to study malaria epidemiology and trends to guide strategies and approaches for effective malaria control. This review considered data from the National Health Information Management System, Malaria Surveys and Programme Review reports and analyzed malaria in-patient cases and deaths in relation to intervention coverage for all ages. Data showed three distinct epidemiological strata after a notable malaria reduction (66%) in in-patient cases and deaths, particularly between 2000-2008. These changes occurred following the (re-)introduction and expansion of indoor residual spraying up to 90% coverage, scale-up of coverage of long-lasting insecticide-treated nets in household from 50% to 70%, and artemisin-based combination therapy nationwide. However, malaria cases and deaths re-surged, increasing in 2009-2010 in the northern-eastern parts of Zambia. Delays in the disbursement of funds affected the implementation of interventions, which resulted in resurgence of cases and deaths. In spite of a decline in malaria disease burden over the past decade in Zambia, a reversal in impact is notable in the year 2009-2010, signifying that control gains are fragile and must be sustained to eliminate malaria.

  8. Impact of pharmacometric analyses on new drug approval and labelling decisions: a review of 198 submissions between 2000 and 2008.

    PubMed

    Lee, Joo Yeon; Garnett, Christine E; Gobburu, Jogarao V S; Bhattaram, Venkatesh A; Brar, Satjit; Earp, Justin C; Jadhav, Pravin R; Krudys, Kevin; Lesko, Lawrence J; Li, Fang; Liu, Jiang; Madabushi, Rajnikanth; Marathe, Anshu; Mehrotra, Nitin; Tornoe, Christoffer; Wang, Yaning; Zhu, Hao

    2011-10-01

    Pharmacometric analyses have become an increasingly important component of New Drug Application (NDA) and Biological License Application (BLA) submissions to the US FDA to support drug approval, labelling and trial design decisions. Pharmacometrics is defined as a science that quantifies drug, disease and trial information to aid drug development, therapeutic decisions and/or regulatory decisions. In this report, we present the results of a survey evaluating the impact of pharmacometric analyses on regulatory decisions for 198 submissions during the period from 2000 to 2008. Pharmacometric review of NDAs included independent, quantitative analyses by FDA pharmacometricians, even when such analysis was not conducted by the sponsor, as well as evaluation of the sponsor's report. During 2000-2008, the number of reviews with pharmacometric analyses increased dramatically and the number of reviews with an impact on approval and labelling also increased in a similar fashion. We also present the impact of pharmacometric analyses on selection of paediatric dosing regimens, approval of regimens that had not been directly studied in clinical trials and provision of evidence of effectiveness to support a single pivotal trial. Case studies are presented to better illustrate the role of pharmacometric analyses in regulatory decision making.

  9. Where does public funding for HIV prevention go to? The case of condoms versus microbicides and vaccines

    PubMed Central

    2010-01-01

    This study analyses the priorities of public donors in funding HIV prevention by either integrated condom programming or HIV preventive microbicides and vaccines in the period between 2000 and 2008. It further compares the public funding investments of the USA government and European governments, including the EU, as we expect the two groups to invest differently in HIV prevention options, because their policies on sexual and reproductive health and rights are different. We use two existing officially UN endorsed databases to compare the public donor funding streams for HIV prevention of these two distinct contributors. In the period 2000-2008, the relative share of public funding for integrated condom programming dropped significantly, while that for research on vaccines and microbicides increased. The European public donors gave a larger share to condom programming than the United States, but exhibited a similar downward trend in favour of funding research on vaccines and microbicides. Both public donor parties invested progressively more in research on vaccines and microbicides rather than addressing the shortage of condoms and improving access to integrated condom programming in developing countries. PMID:21192787

  10. Influence of atmospheric states in semi-arid areas on hospital admission in cardio-surgical department.

    PubMed

    Yackerson, Naomy S; Zilberman, Arkadi; Aizenberg, Alexander

    2017-04-01

    The influence of the changes in atmospheric state, typical for areas close to big deserts, on acute myocardial infarction (AMI) was analyzed. Under test was the group of 3256 patients (77 % males, 23 % females), hospitalized in the Cardio-Surgical Department of Soroka Medical Center at Ben-Gurion University (BGU, Israel) during 2000-2008. To explore the relationship between atmospheric parameters and AMI, multivariate regression analysis has been performed. AMI was most frequent in winter to spring and least in summer. The highest number of cases was recorded in December and the lowest in September. Hospital admissions showed a higher prevalence in men than in women; the ratio is 3.3/1.0. About 60 % of males were aged between 45 and 65 years old with maximum ∼55 (21 %), whereas 60 % of women hospital admissions were aged between 65 and 80 years old with maximum ∼72 (24 %). The result suggested that the monthly mean relative humidity at daytime and its overall daily differences, wind speed, and respirable fraction of particulate concentration are associated with the admission for AMI. The results of the study confirm the importance of atmospheric state variability for cardiovascular diseases.

  11. Negotiation strategies and patient empowerment in Spanish and British medical consultations.

    PubMed

    Hernández-López, María de la O

    2011-01-01

    Making a decision is not only one of the physician's most important responsibilities but also one of patients' most sensitive moments in medical encounters. Drawing from pragmatics studies, this paper explores rapport maintenance and/or enhancement (Spencer-Oatey 2000, 2008) in the decision-making strategies that General Practitioners (GPs) and patients employ in 80 encounters in various areas of England and Spain. The results show that such strategies are context-bound and subject to role specifications: while patients may make use of (dis)agreement strategies and initiate decisions and/or self-diagnosis, doctors give options, show empathy, expand explanations or show explicit or implicit (dis) agreement. In relation to this, notable findings were revealed: first, these communicative strategies may vary not only in terms of frequency but also quality and distribution; second, the Spanish interlocutors in the data gathered tend to negotiate through the explicit expression of opinions, while the British interlocutors prefer the discussion of different alternatives and value the other's freedom to act. Third, there is higher tolerance of disagreement in the Spanish data. Fourth, negotiation may be undertaken on the basis of either self-affirmation or consensus-seeking beliefs. Finally, patient empowerment is displayed in divergent ways in both sets of data. In short, the decision-making processes examined are subject to social and psychological factors with a direct impact on communicative styles.

  12. Work schedules and health behavior outcomes at a large manufacturer.

    PubMed

    Bushnell, P Timothy; Colombi, Alberto; Caruso, Claire C; Tak, Sangwoo

    2010-01-01

    There is evidence that work schedules may influence rates of unhealthy behaviors, suggesting that addressing work schedule challenges may improve health. Health Risk Assessment (HRA) survey responses were collected during 2000-2008 in a multinational chemical and coatings manufacturer. Responses of 26,442 were sufficiently complete for analysis. Rates of smoking, lack of exercise, moderate to high alcohol use, obesity (BMI > or = 30), and short sleep duration were compared by work schedule type (day, night, or rotating shift) and daily work hours (8, 10, or 12 h). Prevalence rate ratios (RRs) were calculated, adjusting for age group, sex, marital/living status, job tenure, and occupational group. The reference group was 8-h day shift employees. Overall prevalence rates were: sleep duration of 6 h or less per night 47%, smoking 17.3%, no exercise 22.0%, BMI > or = 30 28.3%, and moderate to heavy alcohol consumption 22.2%. Statistically significant RRs include the following: Short sleep duration: 10 h rotating shift (RR=1.6), 12 h day and 12 h rotating shifts (RR=1.3); Smoking: 12 h day and rotating shifts (RR=1.6), 10 and 12 h night and 8 h rotating shift (RR=1.4); No exercise: 8, 10, and 12 h rotating shifts (RR=1.2 to 1.3), 12 h day schedules (RR=1.3). Obesity (BMI > or = 30): 8 and 10 h night shifts (RR=1.3 and 1.4, respectively).

  13. Land use effects on green water fluxes from agricultural production in Mato Grosso, Brazil

    NASA Astrophysics Data System (ADS)

    Lathuilliere, M. J.; Johnson, M. S.; Donner, S. D.

    2010-12-01

    The blue water/green water paradigm is increasingly used to differentiate between subsequent routing of precipitation once it reaches the soil. “Blue” water is that which infiltrates deep in the soil to become streams and aquifers, while “green” water is that which remains in the soil and is either evaporated (non-productive green water) or transpired by plants (productive green water). This differentiation in the fate of precipitation has provided a new way of thinking about water resources, especially in agriculture for which better use of productive green water may help to relieve stresses from irrigation (blue water). The state of Mato Grosso, Brazil, presents a unique case for the study of green water fluxes due to an expanding agricultural land base planted primarily to soybean, maize, sugar cane, and cotton. These products are highly dependent on green water resources in Mato Grosso where crops are almost entirely rain-fed. We estimate the change in green water fluxes from agricultural expansion for the 2000-2008 period in the state of Mato Grosso based on agricultural production data from the Instituto Brasileiro de Geografia e Estatísticas and a modified Penman-Monteith equation. Initial results for seven municipalities suggest an increase in agricultural green water fluxes, ranging from 1-10% per year, due primarily to increases in cropped areas. Further research is underway to elucidate the role of green water flux variations from land use practices on the regional water cycle.

  14. How ecological restoration alters ecosystem services: an analysis of carbon sequestration in China's Loess Plateau.

    PubMed

    Feng, Xiaoming; Fu, Bojie; Lu, Nan; Zeng, Yuan; Wu, Bingfang

    2013-10-03

    Restoring disturbed and over-exploited ecosystems is important to mitigate human pressures on natural ecosystems. China has launched an ambitious national ecosystem restoration program called Grain to Green Program (GTGP) over the last decade. By using remote sensing techniques and ecosystem modelling, we quantitatively evaluated the changes in ecosystem carbon sequestration since China's GTGP program during period of 2000-2008. It was found the NPP and NEP in this region had steadily increased after the initiative of the GTGP program, and a total of 96.1 Tg of additional carbon had been sequestered during that period. Changes in soil carbon storage were lagged behind and thus insignificant over the period, but was expected to follow in the coming decades. As a result, the Loess Plateau ecosystem had shifted from a net carbon source in 2000 to a net carbon sink in 2008. The carbon sequestration efficiency was constrained by precipitation, and appropriate choices of restoration types (trees, shrubs, and grasses) in accordance to local climate are critical for achieving the best benefit/cost efficiency.

  15. Water-level altitudes 2008 and water-level changes in the Chicot, Evangeline, and Jasper Aquifers and compaction 1973-2007 in the Chicot and Evangeline Aquifers, Houston-Galveston Region, Texas

    USGS Publications Warehouse

    Kasmarek, Mark C.; Houston, Natalie A.

    2008-01-01

    This report, done in cooperation with the Harris-Galveston Subsidence District, the City of Houston, the Fort Bend Subsidence District, and the Lone Star Groundwater Conservation District, is one in an annual series of reports that depicts water-level altitudes and water-level changes in the Chicot, Evangeline, and Jasper aquifers, and compaction in the Chicot and Evangeline aquifers in the Houston-Galveston region, Texas. The report contains 17 sheets and 16 tables: 3 sheets are maps showing current-year (2008) water-level altitudes for each aquifer, respectively; 3 sheets are maps showing 1-year (2007-08) water-level changes for each aquifer, respectively; 3 sheets are maps showing 5-year (2003-08) water-level changes for each aquifer, respectively; 4 sheets are maps showing long-term (1990-2008 and 1977-2008) water-level changes for the Chicot and Evangeline aquifers, respectively; 1 sheet is a map showing long-term (2000-2008) water-level change for the Jasper aquifer; 1 sheet is a revision of a previously published water-level-altitude map for the Jasper aquifer for 2003; 1 sheet is a map showing site locations of borehole extensometers; and 1 sheet comprises graphs showing measured compaction of subsurface material at the sites from 1973 or later through 2007, respectively. Tables listing the data used to construct the aquifer-data maps and the compaction graphs are included.

  16. A systematic review of parenting in relation to the development of comorbidities and functional impairments in children with attention-deficit/hyperactivity disorder (ADHD).

    PubMed

    Deault, Louise C

    2010-04-01

    This review synthesizes recent research evidence regarding the parenting characteristics associated with families with children with Attention-Deficit/Hyperactivity Disorder (ADHD). ADHD is a complex, heterogeneous disorder with a range of genetic and environmental factors that contribute to its behavioral expression and different developmental trajectories. The current review adopts a developmental psychopathology perspective to conceptualize the risk and protective factors that might shape the developmental pathways of the disorder across different domains. Following from Johnston and Mash's review (Johnston and Mash, Clin Child Fam Psychol Rev 4:183-207, 2001), the present review systematically examines empirical studies from 2000-2008 that investigate parenting variables in relation to the development of children with ADHD, with a particular focus on the development of externalizing and internalizing comorbidities, as well as functional impairments in academic and social contexts. The most recent research evidence uses correlational designs to show that ADHD is associated with problematic family functioning, including greater stress within the family, higher rates of parental psychopathology and conflicted parent-child relationships, which appears to be exacerbated in children with comorbid oppositional and conduct problems. However, there is an absence of literature that considers the role that parents play in contributing to children's development in areas such as academic achievement and peer competence, as well as the development of internalizing difficulties. Future research should examine family factors that are associated with resilience in children with ADHD, using longitudinal designs that reflect the dynamic changes associated with a developmental psychopathology framework.

  17. Remotely-Sensed Glacial Velocities: Mt. Shasta Advance vs. Sierra Nevada Retreat

    NASA Astrophysics Data System (ADS)

    Thompson, J. A.; Bookhagen, B.; Burbank, D. W.

    2008-12-01

    Monitoring changes in alpine glaciers is crucial to understanding the impacts of global climate change because alpine glacier systems respond quickly to changes in the earth´s climate. The glaciers of the Sierra Nevada and southern Cascades are of particular interest because they provide a major water reservoir to the state of California. Oddly, while most glaciers worldwide (including in the Sierra Nevada) are retreating, glaciers in northern California are advancing, and examining differences between these two locations will help resolve this paradox. Whereas previous studies have mapped the spatial extents of glaciers from aerial and satellite imagery, this study utilizes glacial velocities as a monitoring tool to examine the differences of the glaciers in the Sierra Nevada and on Mount Shasta. Using the program COSI-Corr in ENVI, horizontal surface ice flow velocities are calculated at the subpixel level from a time-series of co-registered, orthorectified, and correlated, late-summer satellite imagery. Through a combination of 15-meter Advanced Spaceborne Thermal Emission Radiometer (ASTER) and 5-meter SPOT imagery, orthorectified using a 15-meter resampled Shuttle Radar Topographic Mission (SRTM) digital elevation model (DEM), glacial velocities are derived on major glaciers on Mount Shasta and in the Palisades of the Sierra Nevada for 2000-2008. This study demonstrates the utility of combining various types of remote sensing imagery to create a complete time record, and from this record derive glacial velocities for use in monitoring climate change effectively.

  18. Recent Rates of Forest Harvest and Conversion in North America

    NASA Technical Reports Server (NTRS)

    Masek, Jeffrey G.; Cohen, Warren B.; Leckie, Donald; Wulder, Michael A.; Vargas, Rodrigo; de Jong, Ben; Healey, Sean; Law, Beverly; Birdsey, Richard; Houghton, R. A.; Mildrexler, David; Goward, Samuel; Smith, W. Brad

    2011-01-01

    Incorporating ecological disturbance into biogeochemical models is critical for estimating current and future carbon stocks and fluxes. In particular, anthropogenic disturbances, such as forest conversion and wood harvest, strongly affect forest carbon dynamics within North America. This paper summarizes recent (2000.2008) rates of extraction, including both conversion and harvest, derived from national forest inventories for North America (the United States, Canada, and Mexico). During the 2000s, 6.1 million ha/yr were affected by harvest, another 1.0 million ha/yr were converted to other land uses through gross deforestation, and 0.4 million ha/yr were degraded. Thus about 1.0% of North America fs forests experienced some form of anthropogenic disturbance each year. However, due to harvest recovery, afforestation, and reforestation, the total forest area on the continent has been roughly stable during the decade. On average, about 110 m3 of roundwood volume was extracted per hectare harvested across the continent. Patterns of extraction vary among the three countries, with U.S. and Canadian activity dominated by partial and clear ]cut harvest, respectively, and activity in Mexico dominated by conversion (deforestation) for agriculture. Temporal trends in harvest and clearing may be affected by economic variables, technology, and forest policy decisions. While overall rates of extraction appear fairly stable in all three countries since the 1980s, harvest within the United States has shifted toward the southern United States and away from the Pacific Northwest.

  19. Agricultural non-point source pollution in China: causes and mitigation measures.

    PubMed

    Sun, Bo; Zhang, Linxiu; Yang, Linzhang; Zhang, Fusuo; Norse, David; Zhu, Zhaoliang

    2012-06-01

    Non-point source (NPS) pollution has been increasingly serious in China since the 1990s. The increases of agricultural NPS pollution in China is evaluated for the period 2000-2008 by surveying the literature on water and soil pollution from fertilizers and pesticides, and assessing the surplus nitrogen balance within provinces. The main causes for NPS pollution were excessive inputs of nitrogen fertilizer and pesticides, which were partly the result of the inadequate agricultural extension services and the rapid expansion of intensive livestock production with little of waste management. The annual application of synthetic nitrogen fertilizers and pesticides in China increased by 50.7 and 119.7%, respectively, during 1991-2008. The mitigation measures to reduce NPS pollution include: correct distortion in fertilizer prices; improve incentives for the recycling of organic manure; provide farmers with better information on the sound use of agro-chemicals; and tighten the regulations and national standards on organic waste disposal and pesticides use.

  20. Wind farm induced changes in wind speed and surface fluxes over the North Sea

    NASA Astrophysics Data System (ADS)

    Chatterjee, Fabien; van Lipzig, Nicole; Meyers, Johan

    2016-04-01

    Offshore wind farm deployment in the North Sea is foreseen to expand dramatically in the coming years. The strong expansion of offshore wind parks is likely to affect the regional climatology on the North Sea. We assess this impact by conducting a regional climate model simulation over future wind farms built near the German coast. In order to achieve this, the wind farm parameterisation of Fitch et al. 2012, where wind farms are parameterised as elevated sources of turbulent kinetic energy and sinks of momentum ( Blahak et al 2010 and Fitch et al 2012) is implemented in COSMO-CLM at a 1.5 km resolution. As a first step, COSMO-CLM's ability to reproduce wind profiles over the North Sea is evaluated using wind speed data from the FINO1 meteorological mast, toghether with QuikScat scatterometer data, for a time period of 2000-2008. Subsequently, the impact of windfarms on the regional climate over a period of ten years (1999-2008) is assessed. A large scale wind farm can create wakes which depending on the wind direction could affect the power production of a neighbouring farm. Furthermore, wind farms decelerate the flow and create a vertical circulation in the inflow region. As a result, changes in vertical fluxes of moisture are observed. This leads to enhanced low level cloud cover which may trigger changes in precipitation.

  1. [Spatiotemporal characteristics of MODIS NDVI in Hulunber Grassland].

    PubMed

    Zhang, Hong-Bin; Yang, Gui-Xia; Wu, Wen-Bin; Li, Gang; Chen, Bao-Rui; Xin, Xiao-Ping

    2009-11-01

    Time-series MODIS NDVI datasets from 2000 to 2008 were used to study the spatial change trend, fluctuation degree, and occurrence time of the annual NDVImax of four typical grassland types, i.e., lowland meadow, temperate steppe, temperate meadow steppe, and upland meadow, in Hulunber Grassland. In 2000-2008, the vegetation in Hulunber Grassland presented an obvious deterioration trend. The mean annual NDVImax of the four grassland types had a great fluctuation, especially in temperate steppe where the maximum change in the mean value of annual NDVImax approximated to 50%. As for the area change of different grade grasslands, the areas with NDVImax between 0.4 and 1 accounted for about 91% of the total grassland area, which suggested the good vegetation coverage in the Grassland. However, though the areas with NDVImax values in (0.4, 0.8) showed an increasing trend, the areas with NDVImax values in (0.2, 0.4) and (0.8, 1) decreased greatly in the study period. Overall, the deteriorating grassland took up about 66.25% of the total area, and the restoring grassland took the rest. There was about 62.85% of the grassland whose NDVImax occurred between the 193rd day and the 225th day in each year, indicating that this period was the most important vegetation growth season in Hulunber Grassland.

  2. [Analysis on sustainable development of marine economy in Jiangsu Province based on marine ecological footprint correction model].

    PubMed

    Yang, Shan; Wang, Yu-ting

    2011-03-01

    Based on the theories and methods of ecological footprint, the concept of marine ecological footprint was proposed. According to the characteristics of marine environment in Jiangsu Province, five sub-models of marine ecological footprints, including fishery, transporation, marine engineering construction, marine energy, and tidal flat, were constructed. The equilibrium factors of the five marine types were determined by using improved entropy method, and the marine footprints and capacities in Jiangsu Province from 2000 to 2008 were calculated and analyzed. In 2000-2008, the marine ecology footprint per capita in Jiangsu Province increased nearly seven times, from 36.90 hm2 to 252.94 hm2, and the ecological capacity per capita grew steadily, from 105.01 hm2 to 185.49 hm2. In 2000, the marine environment in the Province was in a state of ecological surplus, and the marine economy was in a weak sustainable development state. Since 2004, the marine ecological environment deteriorated sharply, with ecological deficit up to 109660.5 hm2, and the sustainability of marine economy declined. The high ecological footprint of fishery was the main reason for the ecological deficit. Tidal flat was the important reserve resource for the sustainable development of marine economy in Jiangsu Province.

  3. Scleractinian coral population size structures and growth rates indicate coral resilience on the fringing reefs of North Jamaica.

    PubMed

    Crabbe, M J C

    2009-01-01

    Coral reefs throughout the world are under severe challenges from many environmental factors. This paper quantifies the size structure of populations and the growth rates of corals from 2000 to 2008 to test whether the Discovery Bay coral colonies showed resilience in the face of multiple acute stressors of hurricanes and bleaching. There was a reduction in numbers of colonies in the smallest size class for all the species at all the sites in 2006, after the mass bleaching of 2005, with subsequent increases for all species at all sites in 2007 and 2008. Radial growth rates (mm yr(-1)) of non-branching corals and linear extension rates (mm yr(-1)) of branching corals calculated on an annual basis from 2000-2008 showed few significant differences either spatially or temporally. At Dairy Bull reef, live coral cover increased from 13+/-5% in 2006 to 20+/-9% in 2007 and 31+/-7% in 2008, while live Acropora species increased from 2+/-2% in 2006 to 10+/-4% in 2007 and 22+/-7% in 2008. These studies indicate good levels of coral resilience on the fringing reefs around Discovery Bay in Jamaica.

  4. Distributional Impacts of Large Dams in China

    NASA Astrophysics Data System (ADS)

    Bao, X.

    2010-12-01

    Dams on a river are believed to have heterogeneous impacts to the upstream, local and downstream areas. Generally, irrigation dams will bring benefits to the downstream by facilitating more irrigation, while it will bring negative impacts to upstream due to inundation or no impact to local area as a combination result of population dislocation and economic benefits. This paper checked the impacts of large dams (above 100 meters) on the upstream, downstream and local area, using 2000-2008 county level data in China. Robust heterogeneous impacts of different categories of dams (mainly dams serving for irrigation, hydropower, or other purposes) were found on different areas, using IV regression approaches. Dams higher than 100 meters are significantly and heterogeneously impacting agricultural production, urban employment and rural per capita income. Its beneficial impact on agriculture production is significant for downstream especially in continuous drought years. But its impacts on social welfare indicators, such as primary school enrollment and hospital beds, are not heterogeneously different across regions.

  5. Prevalence, incidence, and comorbidity of clinically diagnosed obsessive-compulsive disorder in Taiwan: a national population-based study.

    PubMed

    Huang, Li-Chung; Tsai, Kuen-Jer; Wang, Hao-Kuang; Sung, Pi-Shan; Wu, Ming-Hsiu; Hung, Kuo-Wei; Lin, Sheng-Hsiang

    2014-12-15

    Obsessive-compulsive disorder (OCD) is a chronic debilitating anxiety disorder significant in intrusive thoughts and compensation repetitive behaviors. Few studies have reported on this condition Asia. This study estimated the prevalence, incidence and psychiatric comorbidities of OCD in Taiwan. We identified study subjects for 2000-2008 with a principal diagnosis of OCD according to the International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM) diagnostic criteria by using National Health Research Institute database. These patients received either outpatient or inpatient care for their condition. Rates were directly age- and sex-adjusted to the 2004 Taiwan population distribution. The estimated mean annual incidence was 27.57 per 10(5) inhabitants and the one year prevalence was 65.05 per 10(5) inhabitants. Incidence and prevalence increased with age, peaking at age 18-24 years in males and at 35-44 years in females. About 53% of adults (≥18 years) and 48% of child and adolescent patients (6-17 years) had one or more comorbid psychiatric conditions. The most common comorbid diagnosis was depressive disorders for both adult and child-adolescent patients. We found a lower prevalence and incidence of clinically diagnosed OCD than that of community studies. Many Asian patients with OCD also had various psychiatric comorbidities, a clinically relevant finding.

  6. Is the prescribing behavior of Chinese physicians driven by financial incentives?

    PubMed

    Chen, Chun; Dong, Weizhen; Shen, Jay J; Cochran, Christopher; Wang, Ying; Hao, Mo

    2014-11-01

    The prescribing behavior to prescribe high-priced drugs has been hypothesized to be related to the increasing drug expenditures in China, but little empirical evidence exists. The purpose of this study was to examine whether Chinese physicians, driven by financial incentives, tend to prescribe high-priced drugs. The 2000-2008 drug data in the Yangtze River Basin Hospitals' Drug Use Analysis System were analyzed to examine the prescription patterns of penicillins and cephalosporins in Shanghai. Among the top-100 drugs (by volume), cephalosporins cost as 1.1- 2.3 times as penicillins and their volume was 1.7-18.2 times. Revenues generated from prescribing cephalosporins were 3.4-24.2 times as those from prescribing penicillins. The tendency of prescribing relatively high-priced drugs was observed given the same chemical name, dosage, and specification but different trade names. Furthermore, high-priced drugs remained on the top-100 list with increasing volumes, while some lower-priced drugs exited from the list due to decreases in volumes. Facing the policy dilemmas, the Chinese government needs to implement a new financially rewarding system in which hospitals and physicians are able to achieve financial gains in a cost-effective way including prescribing similar drugs with lower prices. Reforming hospitals' payment methods is necessary and feasible to reshape financial incentives of healthcare providers. The combination of the global budget policy and financial incentive measures would be likely to change providers' prescribing behaviors towards a cost-effective direction.

  7. Influence of atmospheric states in semi-arid areas on hospital admission in cardio-surgical department

    NASA Astrophysics Data System (ADS)

    Yackerson, Naomy S.; Zilberman, Arkadi; Aizenberg, Alexander

    2016-10-01

    The influence of the changes in atmospheric state, typical for areas close to big deserts, on acute myocardial infarction (AMI) was analyzed. Under test was the group of 3256 patients (77 % males, 23 % females), hospitalized in the Cardio-Surgical Department of Soroka Medical Center at Ben-Gurion University (BGU, Israel) during 2000-2008. To explore the relationship between atmospheric parameters and AMI, multivariate regression analysis has been performed. AMI was most frequent in winter to spring and least in summer. The highest number of cases was recorded in December and the lowest in September. Hospital admissions showed a higher prevalence in men than in women; the ratio is 3.3/1.0. About 60 % of males were aged between 45 and 65 years old with maximum ˜55 (21 %), whereas 60 % of women hospital admissions were aged between 65 and 80 years old with maximum ˜72 (24 %). The result suggested that the monthly mean relative humidity at daytime and its overall daily differences, wind speed, and respirable fraction of particulate concentration are associated with the admission for AMI. The results of the study confirm the importance of atmospheric state variability for cardiovascular diseases.

  8. Occupational exposure to magnetic fields and electric shocks and risk of ALS: the Swiss National Cohort.

    PubMed

    Huss, Anke; Spoerri, Adrian; Egger, Matthias; Kromhout, Hans; Vermeulen, Roel

    2015-03-01

    Amyotrophic lateral sclerosis (ALS) has been associated with exposures in so-called 'electrical occupations'. It is unclear if this possible link may be explained by exposure to extremely low-frequency magnetic fields (ELF-MF) or by electrical shocks. We evaluated ALS mortality in 2000-2008 and exposure to ELF-MF and electrical shocks in the Swiss National Cohort, using job exposure matrices for occupations at censuses 1990 and 2000. We compared 2.2 million workers with high or medium vs. low exposure to ELF-MF and electrical shocks using Cox proportional hazard models. Results showed that mortality from ALS was higher in people who had medium or high ELF-MF exposure in both censuses (HR 1.55 (95% CI 1.11-2.15)), but closer to unity for electrical shocks (HR 1.17 (95% CI 0.83-1.65)). When both exposures were included in the same model, the HR for ELF-MF changed little (HR 1.56), but the HR for electric shocks was attenuated to 0.97. In conclusion, there was an association between exposure to ELF-MF and mortality from ALS among workers with a higher likelihood of long-term exposure.

  9. Redotex ingestions reported to Texas poison centers.

    PubMed

    Forrester, Mathias B

    2010-09-01

    Although the multi-component weight loss supplement Redotex is banned in the United States, the supplement can be obtained in Mexico. The intent of this report was to describe the pattern of Redotex calls received by a statewide poison center system. Cases were all Redotex calls received by Texas poison centers during 2000-2008. The distribution of total calls and those involving ingestion of the supplement were determined for selected demographic and clinical factors. Of 34 total Redotex calls received, 55.9% came from the 14 Texas counties that border Mexico. Of the 22 reported Redotex ingestions, 77.3% of the patients were female and 45.5% 20 years or more. Of the 17 ingestions involving no co-ingestants, 52.9% were already at or en route to a health care facility, 41.2% were managed on site, and 5.9% was referred to a health care facility. The final medical outcome was no effect in 23.5% cases, minor effect in 5.9%, moderate effect in 11.8%, not followed but minimal clinical effects possible in 47.1%, and unable to follow but judged to be potentially toxic in 11.8%. Most Redotex calls to the Texas poison center system originated from counties bordering Mexico.

  10. Monitoring programme on nitrates in vegetables and vegetable-based baby foods marketed in the Region of Valencia, Spain: levels and estimated daily intake.

    PubMed

    Pardo-Marín, O; Yusà-Pelechà, V; Villalba-Martín, P; Perez-Dasí, J A

    2010-04-01

    This study was carried out to determine the current levels of nitrates in vegetables and vegetable-based baby foods (a total of 1150 samples) marketed in the Region of Valencia, Spain, over the period 2000-2008, and to estimate the toxicological risk associated with their intake. Average (median) levels of nitrate in lettuce, iceberg-type lettuce and spinach (1156, 798 and 1410 mg kg(-1) w/w, respectively) were lower than the maximum limits established by European Union legislation. Thirteen fresh spinach samples exceeded the regulatory limits. Median nitrate values in other vegetables for which a maximum limit has not been fixed by the European Commission were 196, 203, 1597, 96, 4474 and 2572 mg kg(-1) w/w (for potato, carrot, chard, artichoke, rucola and lamb's lettuce, respectively). The estimated nitrate daily intakes through vegetables consumption for adult, extreme consumers and children were found to be about 29%, 79.8% and 15.1%, respectively, of the acceptable daily intake (3.7 mg kg(-1)). The levels (median = 60.4 mg kg(-1) w/w) found in vegetable-based baby foods were, in all cases, lower the maximum level proposed by European Union legislation. The estimated nitrate daily intake through baby foods for infants between 0-1 and 1-2 years of age were 13% and 18%, respectively, of the acceptable daily intake.

  11. Assessing groundwater quality in Greece based on spatial and temporal analysis.

    PubMed

    Dokou, Zoi; Kourgialas, Nektarios N; Karatzas, George P

    2015-12-01

    The recent industrial growth together with the urban expansion and intensive agriculture in Greece has increased groundwater contamination in many regions of the country. In order to design successful remediation strategies and protect public health, it is very important to identify those areas that are most vulnerable to groundwater contamination. In this work, an extensive contamination database from monitoring wells that cover the entire Greek territory during the last decade (2000-2008) was used in order to study the temporal and spatial distribution of groundwater contamination for the most common and serious anionic and cationic trace element pollutants (heavy metals). Spatial and temporal patterns and trends in the occurrence of groundwater contamination were also identified highlighting the regions where the higher groundwater contamination rates have been detected across the country. As a next step, representative contaminated aquifers in Greece, which were identified by the above analysis, were selected in order to analyze the specific contamination problem in more detail. To this end, geostatistical techniques (various types of kriging, co-kriging, and indicator kriging) were employed in order to map the contaminant values and the probability of exceeding critical thresholds (set as the parametric values of the contaminant of interest in each case). The resulting groundwater contamination maps could be used as a useful tool for water policy makers and water managers in order to assist the decision-making process.

  12. Remotely-sensed active fire data for protected area management: eight-year patterns in the Manas National Park, India.

    PubMed

    Takahata, Chihiro; Amin, Rajan; Sarma, Pranjit; Banerjee, Gitanjali; Oliver, William; Fa, John E

    2010-02-01

    The Terai-Duar savanna and grasslands, which once extended along most of the Himalayan foothills, now only remain in a number of protected areas. Within these localities, grassland burning is a major issue, but data on frequency and distribution of fires are limited. Here, we analysed the incidence of active fires, which only occur during the dry season (Nov.-Mar.), within a significant area of Terai grasslands: the Manas National Park (MNP), India. We obtained locations of 781 fires during the 2000-2008 dry seasons, from the Fire Information for Resource Management System (FIRMS) that delivers global MODIS hotspot/fire locations using remote sensing and GIS technologies. Annual number of fires rose significantly from around 20 at the start of the study period to over 90 after 2002, with most (85%) detected between December and January. Over half of the fires occurred in tall grasslands, but fire density was highest in wetland and riverine vegetation, dry at the time. Most burning took place near rivers, roads and the park boundary, suggesting anthropogenic origins. A kernel density map of all recorded fires indicated three heavily burnt areas in the MNP, all within the tall grasslands. Our study demonstrates, despite some technical caveats linked to fire detection technology, which is improving, that remote fire data can be a practical tool in understanding fire concentration and burning temporal patterns in highly vulnerable habitats, useful in guiding management.

  13. Remotely-Sensed Active Fire Data for Protected Area Management: Eight-Year Patterns in the Manas National Park, India

    NASA Astrophysics Data System (ADS)

    Takahata, Chihiro; Amin, Rajan; Sarma, Pranjit; Banerjee, Gitanjali; Oliver, William; Fa, John E.

    2010-02-01

    The Terai-Duar savanna and grasslands, which once extended along most of the Himalayan foothills, now only remain in a number of protected areas. Within these localities, grassland burning is a major issue, but data on frequency and distribution of fires are limited. Here, we analysed the incidence of active fires, which only occur during the dry season (Nov.-Mar.), within a significant area of Terai grasslands: the Manas National Park (MNP), India. We obtained locations of 781 fires during the 2000-2008 dry seasons, from the Fire Information for Resource Management System (FIRMS) that delivers global MODIS hotspot/fire locations using remote sensing and GIS technologies. Annual number of fires rose significantly from around 20 at the start of the study period to over 90 after 2002, with most (85%) detected between December and January. Over half of the fires occurred in tall grasslands, but fire density was highest in wetland and riverine vegetation, dry at the time. Most burning took place near rivers, roads and the park boundary, suggesting anthropogenic origins. A kernel density map of all recorded fires indicated three heavily burnt areas in the MNP, all within the tall grasslands. Our study demonstrates, despite some technical caveats linked to fire detection technology, which is improving, that remote fire data can be a practical tool in understanding fire concentration and burning temporal patterns in highly vulnerable habitats, useful in guiding management.

  14. Association of 'Candidatus Phytoplasma asteris' with yellowing and phyllody of Plantago lanceolata.

    PubMed

    Fránová, J; Simková, M

    2009-09-01

    Long plantains (Plantago lanceolata L.) with symptoms resembling those associated with phytoplasma infection were observed repeatedly during the period 2000-2008 in southern Bohemia (Czech Republic). The symptoms of the plants were leaf yellowing, stunted growth, flower phyllody and lack of seed production. Transmission electron microscopy showed phytoplasmas in the sieve cells of affected plants but not in healthy ones. Association of phytoplasmas with the disease was confirmed by polymerase chain reaction using phytoplasma-specific universal ribosomal primers R16F2n/R16R2. An amplification product of the expected size (1.2 kb) was observed in all samples of the symptomatic long plantains. The restriction profiles obtained from digestion of the PCR products with three endonucleases (AluI, HhaI, MseI) showed that the phytoplasmas infecting long plantains in the Czech Republic were indistinguishable from those belonging to the aster yellows group (subgroup 16SrI-B). Sequence analysis of 1748 bp of the ribosomal operon indicated that the closest related phytoplasma was that associated with 'Rehmannia glutinosa var. purpurea', originating also in Bohemia. This is the first report of the natural occurrence of 'Candidatus Phytoplasma asteris' in plants of P. lanceolata.

  15. Human development report 2010: Changes in parameters and perspectives.

    PubMed

    Rahi, Manju

    2011-01-01

    Human Development Report (HDR) 2010 in its 20 th year contains several significant changes. Indicators to measure the three dimensions of Human Development Index (HDI) have been changed: Gender-related Development Index (GDI) and Gender Empowerment Index have been replaced by Gender Inequality Index (GII) and Human Poverty Index has been replaced by Multi-dimensional Poverty Index. Inequality-adjusted HDI (IHDI) has been introduced for the first time. Between 1980 and 2010, India's HDI rose by 1.6% annually from 0.320 to 0.519. While India's HDI value has improved over time, the rank has not improved as much as compared to other developing countries. On GII, India ranked at 122 with a GII value of 0.748 (ranges between 0 and 1) in 2010 HDR (based on data of 2008), revealing considerable loss in achievements in three dimensions of human development - reproductive health, empowerment, and labor market - due to inequality between genders. Multi-dimensional Poverty Index was 0.296 (2000-2008) and IHDI was 0.365 (2000-2007).

  16. [Dietary factors and their relation to appetite in children under two years with mild malnutrition].

    PubMed

    Quijada, Mariana Martínez; Gutiérrez, María Luisa Alvarez

    2012-06-01

    Malnutrition is conditioned by a series of factors, among them the dietary factors, which include appetite, eating behaviors and habits. In order to assess these factors, the following objective was pursued: describe the dietary factors and their relation to appetite in children under two years of age with mild malnutrition. A correlational study was conducted. The sample consisted of all children under two years of age (n = 168) diagnosed with primary (mild) malnutrition, who attended consultation at the Centro de Atención Nutricional Infantil Antímano, CANIA, during the period 2000-2008. The results showed intake of energy and macronutrients was lower than the individual requirement; iron intake < 85% of the requirement, in accordance with the Recommended Dietary Allowances (RDA) in over 50% of the sample; weekly consumption of vegetables (57%) and miscellaneous (66%) was inadequate; inadequate intake of formula and whole milk in more than 60%; 9% were exclusively breastfed during the first six months; 64% lacked a regular eating place; in child-caregiver interaction during mealtimes, more than half of the children showed rebellious behavior and caregivers were permissive. Protein adequacy, vegetable and whole milk consumption frequency, preparation type, identification of refusals and preferences, place and duration of meals, and child-caregiver interaction at mealtimes were significantly associated with appetite; if we consider this last one as a guide and we try to modify inadequate eating behaviors and habits, we will generate an impact over the child appetite that could improve the food consumption and prevent malnutrition.

  17. [Screening and early care programmes in children with autism spectrum disorders].

    PubMed

    Canal-Bedia, Ricardo; García-Primo, Patricia; Santos-Borbujo, José; Bueno-Carrera, Gloria; Posada-De la Paz, Manuel

    2014-02-24

    Introduccion. La necesidad de la deteccion y de tratamientos eficaces de forma temprana para los trastornos del espectro autista es algo actualmente aceptado tanto por las sociedades profesionales como por la administracion sanitaria. Una informacion actualizada y sintetizada sobre los procedimientos de cribado y las tecnicas de atencion temprana para niños con trastornos del espectro autista facilitara la puesta en marcha de mejores dispositivos de deteccion y la labor de asesoramiento a familias y profesionales sobre la atencion e intervencion a edades tempranas de los niños. Desarrollo. Se proporciona una revision actualizada de los procedimientos de deteccion precoz y de atencion temprana en el autismo, reflejando los aspectos mas relevantes que se deducen de las experiencias y estudios llevados a cabo hasta el momento. Conclusiones. Tras la revision realizada sobre las experiencias de deteccion precoz de autismo, se obtiene un grupo de consideraciones importantes para realizar analisis criticos de programas de cribado en marcha, asi como recomendaciones para experiencias futuras. La revision sobre los programas de atencion temprana proporciona una vision esperanzadora porque cada vez son mas frecuentes, sistematicos y metodologicamente mas apropiados los estudios sobre la eficacia de los programas de atencion temprana.

  18. Greenland ice sheet outlet glacier front changes: comparison of year 2008 with past years

    NASA Astrophysics Data System (ADS)

    Decker, D. E.; Box, J.; Benson, R.

    2008-12-01

    NASA's Moderate Resolution Imaging Spectroradiometer (MODIS) imagery are used to calculate inter-annual, end of summer, glacier front area changes at 10 major Greenland ice sheet outlets over the 2000-2008 period. To put the recent 8 end of summer net annual changes into a longer perspective, glacier front position information from the past century are also incorporated. The largest MODIS-era area changes are losses/retreats; found at the relatively large Petermann Gletscher, Zachariae Isstrom, and Jakobshavn Isbrae. The 2007-2008 net ice area losses were 63.4 sq. km, 21.5 sq. km, and 10.9 sq. km, respectively. Of the 10 largest Greenland glaciers surveyed, the total net cumulative area change from end of summer 2000 to 2008 is -536.6 sq km, that is, an area loss equivalent with 6.1 times the area of Manhattan Is. (87.5 sq km) in New York, USA. Ice front advances are evident in 2008; also at relatively large and productive (in terms of ice discharge) glaciers of Helheim (5.7 sq km), Store Gletscher (4.9 sq km), and Kangerdlugssuaq (3.4 sq km). The largest retreat in the 2000-2008 period was 54.2 sq km at Jakobshavn Isbrae between 2002 and 2003; associated with a floating tongue disintegration following a retreat that began in 2001 and has been associated with thinning until floatation is reached; followed by irreversible collapse. The Zachariae Isstrom pro-glacial floating ice shelf loss in 2008 appears to be part of an average ~20 sq km per year disintegration trend; with the exception of the year 2006 (6.2 sq km) advance. If the Zachariae Isstrom retreat continues, we are concerned the largest ice sheet ice stream that empties into Zachariae Isstrom will accelerate, the ice stream front freed of damming back stress, increasing the ice sheet mass budget deficit in ways that are poorly understood and could be surprisingly large. By approximating the width of the surveyed glacier frontal zones, we determine and present effective glacier normalized length (L

  19. Discrepancies in Lymphoma Diagnosis Over the Years: A 13-Year Experience in a Tertiary Center.

    PubMed

    Özkaya, Neval; Başsüllü, Nuray; Demiröz, Ahu Senem; Tüzüner, Nükhet

    2017-03-01

    Amaç: Geçmiş yıllarda, farklı birçok lenfoma sınıflandırma sisteminin yarattığı karmaşa nedeniyle doğru bir lenfoma tanısına ulaşmak tüm patologlar için uğraşı gerektirmekteydi. Dünya Sağlık Örgütü’nün lenfoma sınıflandırmasıyla birlikte lenfoma tanı ve sınıflamasına büyük ölçüde açıklık getirilmesine rağmen genel patologlar için doğru lenfoma tanısı hala bir uğraşı nedenidir. Bu çalışmanın amacı değişik merkezlerdeki tanı farklılıklarının zaman içinde azalıp azalmadığını araştırmaktır. Gereç ve Yöntemler: 2000-2013 yılları arasında Cerrahpaşa Tıp Fakültesi, Patoloji Anabilim Dalı’na lenfoma tanı ve/veya şüphesi ile konsültasyona gönderilen tüm olgular çalışma kapsamına alındı. Lenfoma tanısında, konsültasyon merkezi ile tutarsızlık oranlarındaki değişimleri değerlendirmek amacı ile 2000-2008 ve 2009-2013 yılları arasındaki tanı tutarsızlık oranları karşılaştırıldı. Bulgular: Çalışma kapsamına giren 1824 hastada genel uyumsuzluk oranı %45,6 olup değişik histolojik alt tipler arasında önemli farklılıklar saptandı. Tanılar arasındaki tutarsızlık oranları 2000-2008 yılları arasında %51,3 iken 2009-2013 arasında %38,7’ye gerileyerek zaman içinde anlamlı ölçüde azalma gösterdi (p<0,0001) ancak hala çok yüksekti. Sonuç: Özellikle 2009-2013 yılları arasında hala tanılar arasındaki tutarsızlık oranlarının yüksek oluşu, genel patologlar ve hematolog/onkologların kolayca ulaşabilecekleri hematopatoloji konsültasyon merkezlerinin önemini vurgulamaktadır.

  20. Observed Nordic Sea ice-cover variability 1992-2008

    NASA Astrophysics Data System (ADS)

    Kern, Stefan; Kaleschke, Lars; Spreen, Gunnar

    We examined the sea-ice cover of the Arctic peripheral seas bordering the Northern North Atlantic: Irminger, Greenland, Barents, Kara, and White/Pechora Sea using daily sea-ice con-centration data obtained with the ASI algorithm at a grid resolution of 12.5 km × 12.5 km from Special Sensor Microwave/Imager 85 GHz brightness temperature measurements for 1992-2008. The obtained annual cycles of monthly average ice area and extent indicate, in agreement with previous studies, an increase of the length of the melt season and reductions in the mean maxi-mum and minimum ice-cover in all regions between 1992-1999 and 2000-2008, with wintertime changes of between 5-10% (Greenland Sea, White/Pechora Sea) and 15-20% (Irminger and Barents Sea), and summertime changes between 30% (Kara Sea) and up to 55% (Irminger and Barents Sea). Monthly mean ice-area and -extent anomalies relative to the average annual cycle are calculated and indicate pronounced differences between the Barents Sea and the other regions. A lag-correlation analysis between all ice-area and -extent anomalies is carried out. The main results are: i) Barents Sea ice-area and -extent anomalies are significantly auto-correlated for a two-fold longer period of time than respective anomalies in the other regions. ii) Fall/early winter Irminger Sea ice-area and -extent anomalies are significantly correlated with respective summer/fall Greenland Sea anomalies; the average time-lag is 2-3 months, the average (max-imum) duration is 2 (8) months. iii) Barents and Kara Sea ice-area and -extent anomalies are significantly correlated with each other during summer/fall. We found also a significant correlation between Barents Sea Dec. to July and Kara Sea July to Sep./Nov. ice-area and -extent anomalies with an average duration of 2-3 months. We have investigated the relationship between anomalies in ice-area flux between the Arctic Ocean and the considered peripheral seas and the ice-area and -extent anomalies in these

  1. Anaplasmosis and ehrlichiosis - Maine, 2008.

    PubMed

    2009-09-25

    Anaplasmosis and ehrlichiosis are rickettsial tickborne diseases that have had at least a twofold increase in prevalence in the United States since 2000. Despite similar clinical presentations, the causative organisms are carried by different ticks with distinct geographic and ecologic associations. Surveillance efforts are complicated by ambiguous terminology and serologic testing with antibody cross-reactivity. Although anaplasmosis historically has been reported in Maine, ehrlichiosis has been reported infrequently. During 2007-2008, the number of physician-reported anaplasmosis cases nearly doubled in Maine, and ehrlichiosis cases increased more than fourfold. To examine this increase, the Maine Department of Health and Human Services (MDHHS) analyzed available data on tick burden and physician-reported cases of anaplasmosis and ehrlichiosis during 2000-2008. This report describes the results of that analysis, which indicated that Ixodes scapularis (the tick vector for Anaplasma phagocytophilum) was broadly distributed in Maine, whereas Amblyomma americanum (the tick vector for Erhlichia chaffeenisis) was scarce. Moreover, 95% of physician-reported ehrlichiosis cases lacked a concurrent serologic assessment to exclude anaplasmosis, suggesting that antibody cross-reactivity might have resulted in misclassification. In 2008, Maine modified case classification to enhance specificity; ehrlichiosis cases that lack a concurrent test for anaplasmosis are now classified as suspect rather than probable and therefore are not included in national surveillance summaries. The accuracy of case classification and surveillance can be improved by educating health-care providers regarding 1) the expected geographic distribution of tick vectors and 2) recommendations for confirmatory testing to distinguish between the causative organisms of anaplasmosis and ehrlichiosis.

  2. Assessment of primary and secondary ambient particle trends using satellite aerosol optical depth and ground speciation data in the New England region, United States.

    PubMed

    Lee, Hyung Joo; Kang, Choong-Min; Coull, Brent A; Bell, Michelle L; Koutrakis, Petros

    2014-08-01

    The effectiveness of air pollution emission control policies can be evaluated by examining ambient pollutant concentration trends that are observed at a large number of ground monitoring sites over time. In this paper, we used ground monitoring measurements in conjunction with satellite aerosol optical depth (AOD) data to investigate fine particulate matter (PM2.5; particulate matter with aerodynamic diameter ≤ 2.5 µm) trends and their spatial patterns over a large U.S. region, New England, during 2000-2008. We examined the trends in rural and urban areas to get a better insight about the trends of regional and local source emissions. Decreases in PM2.5 concentrations (µg/m(3)) were more pronounced in urban areas than in rural ones. In addition, the highest and lowest PM2.5 decreases (µg/m(3)) were observed for winter and summer, respectively. Together, these findings suggest that primary particle concentrations decreased more relative to secondary ones. This is also supported by the analysis of the speciation data which showed that downward trends of primary pollutants including black carbon were stronger than those of secondary pollutants including sulfate. Furthermore, this study found that ambient primary pollutants decreased at the same rate as their respective source emissions. This was not the case for secondary pollutants which decreased at a slower rate than that of their precursor emissions. This indicates that concentrations of secondary pollutants depend not only on the primary emissions but also on the availability of atmospheric oxidants which might not change during the study period. This novel approach of investigating spatially varying concentration trends, in combination with ground PM2.5 species trends, can be of substantial regulatory importance.

  3. Comorbidity prevalence, healthcare utilization, and expenditures of Medicaid enrolled adults with autism spectrum disorders.

    PubMed

    Vohra, Rini; Madhavan, Suresh; Sambamoorthi, Usha

    2016-10-20

    A retrospective data analysis using 2000-2008 three state Medicaid Analytic eXtract was conducted to examine the prevalence and association of comorbidities (psychiatric and non-psychiatric) with healthcare utilization and expenditures of fee-for-service enrolled adults (22-64 years) with and without autism spectrum disorders (International Classification of Diseases, Ninth Revision-clinical modification code: 299.xx). Autism spectrum disorder cases were 1:3 matched to no autism spectrum disorder controls by age, gender, and race using propensity scores. Study outcomes were all-cause healthcare utilization (outpatient office visits, inpatient hospitalizations, emergency room, and prescription drug use) and associated healthcare expenditures. Bivariate analyses (chi-square tests and t-tests), multinomial logistic regressions (healthcare utilization), and generalized linear models with gamma distribution (expenditures) were used. Adults with autism spectrum disorders (n = 1772) had significantly higher rates of psychiatric comorbidity (81%), epilepsy (22%), infections (22%), skin disorders (21%), and hearing impairments (18%). Adults with autism spectrum disorders had higher mean annual outpatient office visits (32ASD vs 8noASD) and prescription drug use claims (51ASD vs 24noASD) as well as higher mean annual outpatient office visits (US$4375ASD vs US$824noASD), emergency room (US$15,929ASD vs US$2598noASD), prescription drug use (US$6067ASD vs US$3144noASD), and total expenditures (US$13,700ASD vs US$8560noASD). The presence of a psychiatric and a non-psychiatric comorbidity among adults with autism spectrum disorders increased the annual total expenditures by US$4952 and US$5084, respectively.

  4. Assessment of ecological security in Changbai Mountain Area, China based on MODIS data and PSR model

    NASA Astrophysics Data System (ADS)

    Huang, Fang; Wang, Ping; Qi, Xin

    2014-11-01

    The assessment of ecological security is to identify the stability of the ecosystem, and to distinguish the capacity of sustainable health and integrity under different kinds of risks. Using MODIS time series images from 2000 to 2008 as the main data source, the derived parameters including NDVI, the ratio of NPP and GPP, forest coverage, landscape diversity and ecological flexibility etc. are integrated to depict the properties of the ecological system. The pressure and response indicators such as population density, industrial production intensity, arable land per capita, fertilizer consumption, highway density, agricultural mechanization level and GDP per capita are also collected and managed by ArcGIS. The `pressure-state-response' (PSR) conceptual model and a hierarchical weighted model are applied to construct an evaluation framework and determine the state of ecological security in Changbai Mountain area. The results show that the ecological security index (ESI) values in 2000 and 2008 were 5.75 and 5.59 respectively, indicating the ecological security state in Changbai Mountain area degraded. In 2000, the area of in good state of ecological security was 21901km2, occupying 28.96% of the study region. 48201 km2 of the land were with moderate level. The grades of ESI in Dunhua, Longjing and Antu decreased from moderate to poor. Though the ESI value of Meihekou increased by 0.12 during 2000-2008, it was still in a very poor state of ecological security induced by intensive human activities. The ecological security situation of Changbai Mountain region was not optimistic on the whole.

  5. Verification of Atmospheric Signals Associated with Major Seismicity by Space and Terrestrial Observations

    NASA Technical Reports Server (NTRS)

    Taylor, Patrick

    2008-01-01

    Observations from the last twenty years suggest the existence of electromagnetic (EM) phenomena during or preceding some earthquakes [Haykawa et a!, 2004; Pulinets at al, 1999,2004, 2006, Ouzounov et all 2007 and Liu et all 20041. Both our previous studies [Pulinets at al, 2005, 2006, Ouzounov et al, 2006, 20071 and the latest review by the Earthquake Remote Precursor Sensing panel [ERPS; 2003- 20051; have shown that there were precursory atmospheric TIR signals observed on the ground and in space associated with several recent earthquakes. [Tramutoli at al, 2005, 2006, Cervone et al, 2006, Ouzounov et all 2004,2006JT.o study these signals, we applied both multi parameter statistical analysis and data mining methods that require systematic measurements from an Integrated Sensor Web of observations of several physical and environmental parameters. These include long wave earth infra-red radiation, ionospheric electrical and magnetic parameters, temperature and humidity of the boundary layer, seismicity and may be associated with major earthquakes. Our goal is to verify the earthquake atmospheric correlation in two cases: (i) backward analysis - 2000-2008 hindcast monitoring of multi atmospheric parameters over the Kamchatka region, Russia ; and (ii) forward real-time alert analysis over different seismo-tectonic regions for California, Turkey, Taiwan and Japan. Our latest results, from several post-earthquake independent analyses of more then 100 major earthquakes, show that joint satellite and some ground measurements, using an integrated web, could provide a capability for observing pre-earthquake atmospheric signals by combining the information from multiple sensors into a common framework. Using our methodology, we evaluated and compared the observed signals preceding the latest M7.9 Sichuan earthquake (0511212008), M8.0 earthquake in Peru (0811512007), M7.6 Kashmir earthquake (1010812005) and M9.0 Sumatra earthquake (1212812004). We found evidence of the

  6. The Association of Ethnic Minority Density with Late Entry into Antenatal Care in the Netherlands

    PubMed Central

    Posthumus, Anke G.; Schölmerich, Vera L. N.; Steegers, Eric A. P.; Kawachi, Ichiro; Denktaş, Semiha

    2015-01-01

    In the Netherlands, non-Western ethnic minority women make their first antenatal visit later than native Dutch women. Timely entry into antenatal care is important as it provides the opportunity for prenatal screening and the detection of risk factors for adverse pregnancy outcomes. In this study we explored whether women's timely entry is influenced by their neighborhood. Moreover, we assessed whether ethnic minority density (the proportion of ethnic minorities in a neighborhood) influences Western and non-Western ethnic minority women's chances of timely entry into care differently. We hypothesized that ethnic minority density has a protective effect against non-Western women's late entry into care. Data on time of entry into care and other individual-level characteristics were obtained from the Netherlands Perinatal Registry (2000-2008; 97% of all pregnancies). We derived neighborhood-level data from three other national databases. We included 1,137,741 pregnancies of women who started care under supervision of a community midwife in 3422 neighborhoods. Multi-level logistic regression was used to assess the associations of individual and neighborhood-level determinants with entry into antenatal care before and after 14 weeks of gestation. We found that neighborhood characteristics influence timely entry above and beyond individual characteristics. Ethnic minority density was associated with a higher risk of late entry into antenatal care. However, our analysis showed that for non-Western women, living in high ethnic minority density areas is less detrimental to their risk of late entry than for Western women. This means that a higher proportion of ethnic minority residents has a protective effect on non-Western women's chances of timely entry into care. Our results suggest that strategies to improve timely entry into care could seek to create change at the neighborhood level in order to target individuals likely of entering care too late. PMID:25856150

  7. Long-term patterns and short-term dynamics of stream solutes and suspended sediment in a rapidly weathering tropical watershed

    USGS Publications Warehouse

    Shanley, James B.; McDowell, William H.; Stallard, Robert F.

    2011-01-01

    The 326 ha Río Icacos watershed in the tropical wet forest of the Luquillo Mountains, northeastern Puerto Rico, is underlain by granodiorite bedrock with weathering rates among the highest in the world. We pooled stream chemistry and total suspended sediment (TSS) data sets from three discrete periods: 1983-1987, 1991-1997, and 2000-2008. During this period three major hurricanes crossed the site: Hugo in 1989, Hortense in 1996, and Georges in 1998. Stream chemistry reflects sea salt inputs (Na, Cl, and SO4), and high weathering rates of the granodiorite (Ca, Mg, Si, and alkalinity). During rainfall, stream composition shifts toward that of precipitation, diluting 90% or more in the largest storms, but maintains a biogeochemical watershed signal marked by elevated K and dissolved organic carbon (DOC) concentration. DOC exhibits an unusual "boomerang" pattern, initially increasing with flow but then decreasing at the highest flows as it becomes depleted and/or vigorous overland flow minimizes contact with watershed surfaces. TSS increased markedly with discharge (power function slope 1.54), reflecting the erosive power of large storms in a landslide-prone landscape. The relations of TSS and most solute concentrations with stream discharge were stable through time, suggesting minimal long-term effects from repeated hurricane disturbance. Nitrate concentration, however, increased about threefold in response to hurricanes then returned to baseline over several years following a pseudo first-order decay pattern. The combined data sets provide insight about important hydrologic pathways, a long-term perspective to assess response to hurricanes, and a framework to evaluate future climate change in tropical ecosystems.

  8. Long-term patterns and short-term dynamics of stream solutes and suspended sediment in a rapidly weathering tropical watershed

    USGS Publications Warehouse

    Shanley, J.B.; McDowell, W.H.; Stallard, R.F.

    2011-01-01

    The 326 ha R??o Icacos watershed in the tropical wet forest of the Luquillo Mountains, northeastern Puerto Rico, is underlain by granodiorite bedrock with weathering rates among the highest in the world. We pooled stream chemistry and total suspended sediment (TSS) data sets from three discrete periods: 1983-1987, 1991-1997, and 2000-2008. During this period three major hurricanes crossed the site: Hugo in 1989, Hortense in 1996, and Georges in 1998. Stream chemistry reflects sea salt inputs (Na, Cl, and SO4), and high weathering rates of the granodiorite (Ca, Mg, Si, and alkalinity). During rainfall, stream composition shifts toward that of precipitation, diluting 90% or more in the largest storms, but maintains a biogeochemical watershed signal marked by elevated K and dissolved organic carbon (DOC) concentration. DOC exhibits an unusual "boomerang" pattern, initially increasing with flow but then decreasing at the highest flows as it becomes depleted and/or vigorous overland flow minimizes contact with watershed surfaces. TSS increased markedly with discharge (power function slope 1.54), reflecting the erosive power of large storms in a landslide-prone landscape. The relations of TSS and most solute concentrations with stream discharge were stable through time, suggesting minimal long-term effects from repeated hurricane disturbance. Nitrate concentration, however, increased about threefold in response to hurricanes then returned to baseline over several years following a pseudo first-order decay pattern. The combined data sets provide insight about important hydrologic pathways, a long-term perspective to assess response to hurricanes, and a framework to evaluate future climate change in tropical ecosystems. Copyright 2011 by the American Geophysical Union.

  9. Modeling the Surface Water-Groundwater Interaction in Arid and Semi-Arid Regions Impacted by Agricultural Activities

    NASA Astrophysics Data System (ADS)

    Tian, Y.; Wu, B.; Zheng, Y.

    2013-12-01

    In many semi-arid and arid regions, interaction between surface water and groundwater plays an important role in the eco-hydrological system. The interaction is often complicated by agricultural activities such as surface water diversion, groundwater pumping, and irrigation. In existing surface water-groundwater integrated models, simulation of the interaction is often simplified, which could introduce significant simulation uncertainty under certain circumstance. In this study, GSFLOW, a USGS model coupling PRMS and MODFLOW, was improved to better characterize the surface water-groundwater interaction. The practices of water diversion from rivers, groundwater pumping and irrigation are explicitly simulated. In addition, the original kinematic wave routing method was replaced by a dynamic wave routing method. The improved model was then applied in Zhangye Basin (the midstream part of Heihe River Baisn), China, where the famous 'Silk Road' came through. It is a typical semi-arid region of the western China, with extensive agriculture in its oasis. The model was established and calibrated using the data in 2000-2008. A series of numerical experiments were conducted to evaluate the effect of those improvements. It has been demonstrated that with the improvements, the observed streamflow and groundwater level were better reproduced by the model. The improvements have a significant impact on the simulation of multiple fluxes associated with the interaction, such as groundwater discharge, riverbed seepage, infiltration, etc. Human activities were proved to be key elements of the water cycle in the study area. The study results have important implications to the water resources modeling and management in semi-arid and arid basins.

  10. Evaluation of hydrological balance in the eastern Amazon using a terrestrial ecosystem model, and satellite-based evapotranspiration (MODIS) and terrestrial water storage (GRACE)

    NASA Astrophysics Data System (ADS)

    Panday, P. K.; Coe, M. T.; Macedo, M.; Beck, P.

    2013-12-01

    High historical deforestation rates and a rapidly changing agricultural landscape may dramatically alter the energy and water balance of the eastern Amazon basin. Understanding the surface water dynamics and hydrological balance of the region is critical for accurately assessing the historical and potential future impacts of deforestation, land-use change, and land management practices. We examine the water balance of the Xingu river basin by combining the IBIS (Integrated Biosphere Simulator) terrestrial ecosystem model with satellite-based models of evapotranspiration (MOD16) and terrestrial water storage (GRACE). IBIS simulations were forced with prescribed climate to produce modeled evapotranspiration and runoff, which were then compared with MODIS evapotranspiration and observed discharge at Altamira (PA, Brazil). Results from both satellite observations and model simulations support earlier studies demonstrating that dry-season evapotranspiration is higher than wet-season evapotranspiration in the wetter forests of the northern Xingu basin, while the contrary is true in the seasonally dry forests of the southern Xingu. Seasonal variation in modeled soil water storage agrees with the GRACE measurements in both timing and magnitude. Soil moisture anomalies averaged over the Xingu basin suggest that annual changes in soil water storage account for a large part of the interannual variation in observed discharge. Field measurements of discharge and soil moisture in the southern Xingu also support the findings that changes in soil water storage drive inter-annual variations in river discharge. Figure 1. Comparison of observed discharge at Altamira (Pará, Brazil) against MODIS- derived P-E (PCRU-MODISET), IBIS simulated discharge, IBIS (PCRU-ETIBIS), and IBIS (PCRU-ETIBIS- Δ Soil moisture IBIS). The bottom panel shows annual basin precipitation from Climatic Research Unit (CRU) climatological data for the 2000-2008 period

  11. Autobiographical episodic memory-based training for the treatment of mood, anxiety and stress-related disorders: A systematic review and meta-analysis.

    PubMed

    Hitchcock, Caitlin; Werner-Seidler, Aliza; Blackwell, Simon E; Dalgleish, Tim

    2017-03-01

    We review evidence for training programmes that manipulate autobiographical processing in order to treat mood, anxiety, and stress-related disorders, using the GRADE criteria to judge evidence quality. We also position the current status of this research within the UK Medical Research Council's (2000, 2008) framework for the development of novel interventions. A literature search according to PRISMA guidelines identified 15 studies that compared an autobiographical episodic memory-based training (AET) programme to a control condition, in samples with a clinician-derived diagnosis. Identified AET programmes included Memory Specificity Training (Raes, Williams, & Hermans, 2009), concreteness training (Watkins, Baeyens, & Read, 2009), Competitive Memory Training (Korrelboom, van der Weele, Gjaltema, & Hoogstraten, 2009), imagery-based training of future autobiographical episodes (Blackwell & Holmes, 2010), and life review/reminiscence therapy (Arean et al., 1993). Cohen's d was calculated for between-group differences in symptom change from pre- to post-intervention and to follow-up. We also completed meta-analyses for programmes evaluated across multiple studies, and for the overall effect of AET as a treatment approach. Results demonstrated promising evidence for AET in the treatment of depression (d=0.32), however effect sizes varied substantially (from -0.18 to 1.91) across the different training protocols. Currently, research on AET for the treatment of anxiety and stress-related disorders is not yet at a stage to draw firm conclusions regarding efficacy as there were only a very small number of studies which met inclusion criteria. AET offers a potential avenue through which low-intensity treatment for affective disturbance might be offered.

  12. A new emission inventory for nonagricultural open fires in Asia from 2000 to 2009

    NASA Astrophysics Data System (ADS)

    Song, Yu; Chang, Di; Liu, Bing; Miao, Weijie; Zhu, Lei; Zhang, Yuanhang

    2010-01-01

    Open fires play a significant role in atmospheric pollution and climatic change. This work aims to develop an emission inventory for nonagricultural open fires in Asia using the newly released MODIS (Moderate Resolution Imaging Spectroradiometer) burned area product (MCD45A1), as the MODIS sensor cannot efficiently detect field crop residue burning. Country-level or province-specific biomass density data were used as fuel loads. Moisture contents were taken into account when calculating combustion factors for grass fuel. During the nine fire years 2000-2008, both burned areas and fire emissions clearly presented spatial and seasonal variations. Extensive nonagricultural open fires were concentrated in the months of February and March, while another peak was between August and October. Indonesia was the most important contributor to fire emission, which was largely attributable to peat burning. Myanmar, India, and Cambodia together contributed approximately half of the total burned area and emission. The annual emissions for CO2, CO, CH4, NMHCs, NOx, NH3, SO2, BC, OC, PM2.5, and PM10 were 83 (69-103), 6.1 (4.6-8.2), 0.38 (0.24-0.57), 0.64 (0.36-1.0), 0.085 (0.074-0.10), 0.31 (0.17-0.48), 0.030 (0.024-0.037), 0.023 (0.020-0.028), 0.27 (0.22-0.33), 2.0 (1.6-2.6), and 2.2 (1.7-2.9) Tg yr - 1, respectively. This inventory has a daily temporal resolution and 500 m spatial resolution, and covers a long period, from April 2000 to February 2009. It could be used in global and regional air quality modeling.

  13. Interpreting food processing through dietary mechanical properties: a Lemur catta case study.

    PubMed

    Yamashita, Nayuta; Cuozzo, Frank P; Sauther, Michelle L

    2012-06-01

    Knowledge of dietary mechanical properties can be informative about physical consequences to consumers during ingestion and mastication. In this article, we examine how Tamarindus indica fruits can affect dental morphology in a population of ring-tailed lemurs (Lemur catta) at Beza Mahafaly special reserve in southwestern Madagascar. Ring-tailed lemurs in tamarind dominated gallery forests exhibit extreme wear and tooth loss on their postcanine dentition that has been related to processing T. indica fruits. We measured and compared mechanical properties of individual food parts in the diet of ring-tailed lemurs in different seasons in 1999-2000, 2008, and 2010. Fracture toughness, hardness, and modulus of foods were measured with a portable mechanical tester. The ripe fruits of T. indica are indeed the toughest and hardest foods ingested by the lemurs. In addition, they are among the largest foods consumed, require high numbers of ingestive bites to process, and are the most frequently eaten by volume. During controlled cutting tests of the ripe fruit shell, multiple runaway side cracks form alongside the cut. Similarly, the lemurs repeatedly bite the ripe shell during feeding and thereby introduce multiple cracks that eventually fragment the shell. Studies of enamel microstructure (e.g., Lucas et al.: BioEssays 30 (2008) 374-385; Campbell et al., 2011) advance the idea that the thin enamel of ring-tailed lemur teeth is susceptible to substantial micro-cracking that rapidly erodes the teeth. We conclude that micro-cracking from repeated loads, in combination with the mechanical and physical properties of the fruit, is primarily responsible for the observed dental damage.

  14. Population attributable risks of patient, child and organizational risk factors for perinatal mortality in hospital births.

    PubMed

    Poeran, Jashvant; Borsboom, Gerard J J M; de Graaf, Johanna P; Birnie, Erwin; Steegers, Eric A P; Bonsel, Gouke J

    2015-04-01

    The main objective of this study was to estimate the contributing role of maternal, child, and organizational risk factors in perinatal mortality by calculating their population attributable risks (PAR). The primary dataset comprised 1,020,749 singleton hospital births from ≥22 weeks' gestation (The Netherlands Perinatal Registry 2000-2008). PARs for single and grouped risk factors were estimated in four stages: (1) creating a duplicate dataset for each PAR analysis in which risk factors of interest were set to the most favorable value (e.g., all women assigned 'Western' for PAR calculation of ethnicity); (2) in the primary dataset an elaborate multilevel logistic regression model was fitted from which (3) the obtained coefficients were used to predict perinatal mortality in each duplicate dataset; (4) PARs were then estimated as the proportional change of predicted- compared to observed perinatal mortality. Additionally, PARs for grouped risk factors were estimated by using sequential values in two orders: after PAR estimation of grouped maternal risk factors, the resulting PARs for grouped child, and grouped organizational factors were estimated, and vice versa. The combined PAR of maternal, child and organizational factors is 94.4 %, i.e., when all factors are set to the most favorable value perinatal mortality is expected to be reduced with 94.4 %. Depending on the order of analysis, the PAR of maternal risk factors varies from 1.4 to 13.1 %, and for child- and organizational factors 58.7-74.0 and 7.3-34.3 %, respectively. In conclusion, the PAR of maternal-, child- and organizational factors combined is 94.4 %. Optimization of organizational factors may achieve a 34.3 % decrease in perinatal mortality.

  15. Patient Tobacco Use, Quit Attempts, and Perceptions of Healthcare Provider Practices in a Safety-Net Healthcare System

    PubMed Central

    Moody-Thomas, Sarah; Celestin, Michael D.; Tseng, Tung-Sung; Horswell, Ronald

    2013-01-01

    Background Although smoking rates in the United States (US) are high, healthcare systems and clinicians can increase cessation rates through application of the US Public Health Service tobacco treatment guideline (2000, 2008). In primary care settings, however, guideline implementation remains low. This report presents the results from an assessment of patient tobacco use, quit attempts, and perceptions of provider treatment before (2004) and after (2010) guideline implementation. Methods By use of a systems approach, the Louisiana Tobacco Control Initiative integrated evidence-based treatment of tobacco use into patient care practices in Louisiana's public hospital system. This prospective study, designed to collect data at 2 time points for the purpose of evaluating the effect of the 5A protocol (ask, advise, assess, assist, and arrange), included 571 and 889 adult patients selected from primary care clinics in 2004 and 2010, respectively. Chi-square analyses determined differences between survey administrations, along with direct standardization of weighted rates to control for confounding factors. Results Patient reports indicated that provider adherence to the 5A clinical protocol increased from 2004 to 2010. Significant (P<0.001) improvements were observed for the assess (39% vs 72%), assist (24% vs 76%), and arrange (8% vs 31%) treatment variables. Patient-reported quit attempts increased, along with awareness of cessation services (from 19% to 70%, P<0.001), while use of cessation medications decreased (from 23% to 5%, P<0.002). Conclusion Following implementation of the guideline, significant improvements were noted in patient reports of provider treatment and awareness of cessation services. PMID:24052766

  16. Seasonal and interannual variability of climate and vegetation indices across the Amazon.

    PubMed

    Brando, Paulo M; Goetz, Scott J; Baccini, Alessandro; Nepstad, Daniel C; Beck, Pieter S A; Christman, Mary C

    2010-08-17

    Drought exerts a strong influence on tropical forest metabolism, carbon stocks, and ultimately the flux of carbon to the atmosphere. Satellite-based studies have suggested that Amazon forests green up during droughts because of increased sunlight, whereas field studies have reported increased tree mortality during severe droughts. In an effort to reconcile these apparently conflicting findings, we conducted an analysis of climate data, field measurements, and improved satellite-based measures of forest photosynthetic activity. Wet-season precipitation and plant-available water (PAW) decreased over the Amazon Basin from 1996-2005, and photosynthetically active radiation (PAR) and air dryness (expressed as vapor pressure deficit, VPD) increased from 2002-2005. Using improved enhanced vegetation index (EVI) measurements (2000-2008), we show that gross primary productivity (expressed as EVI) declined with VPD and PAW in regions of sparse canopy cover across a wide range of environments for each year of the study. In densely forested areas, no climatic variable adequately explained the Basin-wide interannual variability of EVI. Based on a site-specific study, we show that monthly EVI was relatively insensitive to leaf area index (LAI) but correlated positively with leaf flushing and PAR measured in the field. These findings suggest that production of new leaves, even when unaccompanied by associated changes in LAI, could play an important role in Basin-wide interannual EVI variability. Because EVI variability was greatest in regions of lower PAW, we hypothesize that drought could increase EVI by synchronizing leaf flushing via its effects on leaf bud development.

  17. A Geospatial Approach to Mapping Bioenergy Potential of Perennial Crops in North American Tallgrass Prairie

    NASA Astrophysics Data System (ADS)

    Wang, S.; Fritschi, F. B.; Stacy, G.

    2009-12-01

    Biomass is the largest source of renewable energy in the United States and is expected to replace 30% of the domestic petroleum consumption by 2030. Corn ethanol currently constitutes 99% of the country’s biofuels. Extended annual crop planting for biofuel production, however, has raised concerns about long-term environmental, ecological and socio-economical consequences. More sustainable bioenergy resources might therefore be developed to meet the energy demand, food security and climate policy. The DOD has identified switchgrass (Panicum virgatum L.) as a model bioenergy crop. Switchgrass, along with other warm-season grasses, is native to the pre-colonial tallgrass prairie in North America. This study maps the spatial distributions of prairie grasses and marginal croplands in the tallgrass prairie with remote sensing and GIS techniques. In 2000-2008, the 8-day composition MODIS imagery was downloaded to calculate the normalized difference vegetation index (NDVI). With pixel-level temporal trajectory of NDVI, time-series trend analysis was performed to identify native prairie grasses based on their phenological uniqueness. In a case study in southwest Missouri, this trajectory approach distinguished more than 80% of warm-season prairie grasslands from row crops and cool-season pastures (Figure 1). Warm season grasses dominated in the 19 public prairies in the study area in a range of 45-98%. This study explores the geographic context of current and potential perennial bioenergy supplies in the tallgrass prairie. Beyond the current findings, it holds promise for further investigations to provide quantitative economic and environmental information in assisting bioenergy policy decision-making. Figure 1 The distribution of grasslands in the study area. The "WSG", "CSG" and “non-grass” represent warm-season prairie grasses, introduced cool-season grasses and crops and other non-grasses.

  18. Food safety hazards associated with consumption of raw milk.

    PubMed

    Oliver, Stephen P; Boor, Kathryn J; Murphy, Steven C; Murinda, Shelton E

    2009-09-01

    An increasing number of people are consuming raw unpasteurized milk. Enhanced nutritional qualities, taste, and health benefits have all been advocated as reasons for increased interest in raw milk consumption. However, science-based data to substantiate these claims are limited. People continue to consume raw milk even though numerous epidemiological studies have shown clearly that raw milk can be contaminated by a variety of pathogens, some of which are associated with human illness and disease. Several documented milkborne disease outbreaks occurred from 2000-2008 and were traced back to consumption of raw unpasteurized milk. Numerous people were found to have infections, some were hospitalized, and a few died. In the majority of these outbreaks, the organism associated with the milkborne outbreak was isolated from the implicated product(s) or from subsequent products made at the suspected dairy or source. In contrast, fewer milkborne disease outbreaks were associated with consumption of pasteurized milk during this same time period. Twenty nine states allow the sale of raw milk by some means. Direct purchase, cow-share or leasing programs, and the sale of raw milk as pet food have been used as means for consumers to obtain raw milk. Where raw milk is offered for sale, strategies to reduce risks associated with raw milk and products made from raw milk are needed. Developing uniform regulations including microbial standards for raw milk to be sold for human consumption, labeling of raw milk, improving sanitation during milking, and enhancing and targeting educational efforts are potential approaches to this issue. Development of pre- and postharvest control measures to effectively reduce contamination is critical to the control of pathogens in raw milk. One sure way to prevent raw milk-associated foodborne illness is for consumers to refrain from drinking raw milk and from consuming dairy products manufactured using raw milk.

  19. Public social monitoring reports and their effect on a policy programme aimed at addressing the social determinants of health to improve health equity in New Zealand.

    PubMed

    Pega, Frank; Valentine, Nicole B; Matheson, Don; Rasanathan, Kumanan

    2014-01-01

    The important role that monitoring plays in advancing global health is well established. However, the role of social monitoring as a tool for addressing social determinants of health (SDH) and health equity-focused policies remains under-researched. This paper assesses the extent and ways in which New Zealand's (NZ) Social Reports (SRs) supported a SDH- and health equity-oriented policy programme nationally over the 2000-2008 period by documenting the SRs' history and assessing its impact on policies across sectors in government and civil society. We conducted key-informant interviews with five senior policy-makers and an e-mail survey with 24 government and civil society representatives on SRs' history and policy impact. We identified common themes across these data and classified them accordingly to assess the intensity of the reports' use and their impact on SDH- and health equity-focused policies. Bibliometric analyses of government publications and media items were undertaken to empirically assess SRs' impact on government and civil society. SRs in NZ arose out of the role played by government as the "benevolent social welfare planner" and an understanding of the necessity of economic and social security for "progress". The SRs were linked to establishing a government-wide programme aimed at reducing inequalities. They have been used moderately to highly in central and local government and in civil society, both within and outside the health sector, but have neither entered public treasury and economic development departments nor the commercial sector. The SRs have not reached the more universal status of economic indicators. However, they have had some success at raising awareness of, and have stimulated isolated action on, SDH. The NZ case suggests that national-level social monitoring provides a valuable tool for raising awareness of SDH across government and civil society. A number of strategies could improve social reports' effectiveness in stimulating

  20. Recent trends in global methane emissions inferred from 30-years of surface CH4 and δ13C-CH4 measurements

    NASA Astrophysics Data System (ADS)

    Karmakar, S.; Butenhoff, C. L.; Rice, A. L.; Lofdahl, D. B.; Khalil, A. K.

    2015-12-01

    Methane (CH4) is the second most important greenhouse gas after carbon dioxide. Quantitative understanding of the global CH4 budget is important in order to predict future contributions of global warming and to develop effective strategies for its mitigation. After a decade-long period of decreasing growth rates, atmospheric CH4 concentrations have risen in recent years raising concerns about its long-term stability. Despite much study there is no clear consensus about the causes of this increase. Some bottom-up inventories suggest that fugitive emissions from the fossil fuel industry may be increasing though there are considerable uncertainties in these estimates due in part to the variable nature of this source. To better understand the changing budget of atmospheric CH4, we performed a time-dependent retrieval of CH4 fluxes spanning nearly 30 years using global surface and isotopic CH4 measurements. An earlier inversion from our group suggested that fugitive fossil fuel emissions increased from 2000-2008, contributing to the recent rise. Here we extend this study to year 2015 using the most recent NOAA Global Monitoring Division (GMD) CH4 measurements and available δ13C -CH4 data along with a higher resolution version of the chemical transport model GEOS-Chem (2ox2.5o). The higher resolution grid allowed us to extract more information from the observations due to the improved ability of the model to simulate CH4 at each station and the decreased need to aggregate neighboring stations. This in turn increased the error reduction between the a priori and posterior emissions leading to more accurate estimates of the retrieved fluxes and improved understanding of the drivers underlying the current atmospheric record.

  1. Population-based patterns of prescription androgen use, 1976-2008

    PubMed Central

    Hall, Susan A.; Ranganathan, Gayatri; Tinsley, Liane J.; Lund, Jennifer L.; Kupelian, Varant; Wittert, Gary A.; Kantoff, Philip W.; Morales, Alvaro; Araujo, Andre B.

    2014-01-01

    Purpose Prescription testosterone (T) has limited approved medical indications and is a controlled substance in Canada. Utilization studies in other Westernized countries have revealed sharp increases in T use in recent years. We examined medical use of androgens, including T, over a ≥30 year period among adult (18+) men in a population-based study set in a Canadian juridisdiction of universal health care. Methods Analyses were based on data from electronic records of dispensed prescriptions during 1976-2008 in Saskatchewan, Canada. All formulations of androgens listed in the provincial formulary (oral and injectable) were included. We examined demographics of users, androgen types used, switching patterns, and trends in the annual rate of use over time. Results There were 11,521 androgen users who were followed for an average of 11.8 years. Overall, 11 types of androgens were used and there were 86,812 dispensing events. The mean age at first use was 56.4 years (median: 58). Men had 7.5 prescription dispensing events on average (median: 2). The most commonly-used formulations were methyl-T (36.2% of users) followed by T-enanthate (32.5%), T-cypionate (22.3%) and T-undecanoate (20.0%). Most users (82%) did not switch among androgen types. The annual rate of use varied substantially over time, with a marked increase observed from 1994-1999 and a decrease from 2000-2008. Conclusions Androgen users were largely middle-aged and had relatively few dispensings. We hypothesize that observed secular trends in androgen use may align with drug treatment pattern changes for erectile dysfunction (ED), including the advent of phosphodiesterase type 5 inhibitors. PMID:24510484

  2. Three-dimensional properties of mesoscale eddies in the South China Sea based on eddy-resolving model output

    NASA Astrophysics Data System (ADS)

    Lin, Xiayan; Dong, Changming; Chen, Dake; Liu, Yu; Yang, Jingsong; Zou, Bin; Guan, Yuping

    2015-05-01

    Last decade has witnessed extensive studies on mesoscale oceanic eddies in the Southern China Sea (SCS), however most of these studies are focused on the surface eddies, and three-dimensional features of eddies are not well known except some individual eddies. We apply a three-dimensional eddy detection scheme to a 9-year (2000-2008) eddy-resolving numerical solution to acquire three-dimensional eddy data set in the SCS. The model solution is validated with observational data in terms of both seasonal and intra-seasonal scales. The statistical characteristics of eddies at the sea surface, such as eddy number, lifetime and radius, from the model are comparable with those derived from the satellite altimetry data. The vertical profiles of the physical features of eddies are exposed from the statistical analysis of the three-dimensional eddy data set. For examples, more cyclonic eddies (CEs) are generated than anticyclonic eddies (AEs) in the depth above about 350 m and an opposite trend is presented below 350 m. The lifetimes of CEs and AEs are statistically equal and no significant variation at different vertical levels. Eddies in the central SCS have the largest size than in other areas and their sizes decrease with the increase in water depth. The relative vorticity amplitude of eddies decreases with the increase in the depth. There are three different types of eddies: bowl-shaped with the largest size at the surface, lens-shaped with the largest size in the middle and cone-shaped with the largest size at the bottom. Most of eddies are bowl-shaped eddies. The three types of eddies have different effects on the temperature and salinity profiles. Eddy genesis mechanisms are discussed and categorized into three types in the SCS: surface wind curl input, current interaction with the bottom topography and Kuroshio intrusion.

  3. Hillslope-channel connectivity and local sediment budget in a Himalayan Valley (Kali Gandaki, Nepal)

    NASA Astrophysics Data System (ADS)

    Fort, Monique; Etienne, Cossart; Gilles, Arnaud-Fassetta

    2010-05-01

    In the confined Himalayan valleys and in a context of monsoon, contrasted climate, landslides interact with rivers immediately, causing channel diversions, short-lived dams and sediment traps. Yet, remnants of ancient landslides may play an important role in the location of present instabilities and sediment fluxes. We document here debris storages and interaction patterns with fluvial activity observed in the Middle Kali Gandaki river (Myagdi District, Nepal Himalayas). We focus on the Pairothapla-Talbagar landslide (about 10 x 10 exponent 6 m3) that dammed the Kali Gandaki probably a few centuries ago. On the basis of diachronic (1974-2000-2008) geomorphic surveys and mapping, and thanks to DEM facilities, we reconstructed the extent of the landslide deposits, characterized the material (debris avalanche, including >350 m3 blocks), estimated the volume of the resulting lake (9-14 x 10 exponent 6 m3), and of sedimentary wedges resulting from later superficial reworking and downstream redistribution of debris. We assess the recent evolution of the landslide mass. Current instabilities (rainfall triggered shallow landslides) are large enough to supply debris to the river and increase the density hence the transport capacity of the flow downstream; in turn armouring boulders may be set into motion again, hence accelerating erosion of the Talbagar landslide mass in a positive feedback. We estimate the volume of debris eroded and exported by the Kali Gandaki during the last three decades. We end up with the sedimentary budget related to this event. Comparison with other features, either older or more recent, observed along the middle Kali Gandaki valley suggests that landsliding plays the major role in the overall process of denudation and sediment transfer of the Higher Himalaya. When coupled with high fluvial activity, it considerably reduces the residence time of sediments in the temporary, spatially limited traps of the valley bottom and highly influences sediment

  4. Long-term patterns and short-term dynamics of stream solutes and suspended sediment in a rapidly weathering tropical watershed

    NASA Astrophysics Data System (ADS)

    Shanley, James B.; McDowell, William H.; Stallard, Robert F.

    2011-07-01

    The 326 ha Río Icacos watershed in the tropical wet forest of the Luquillo Mountains, northeastern Puerto Rico, is underlain by granodiorite bedrock with weathering rates among the highest in the world. We pooled stream chemistry and total suspended sediment (TSS) data sets from three discrete periods: 1983-1987, 1991-1997, and 2000-2008. During this period three major hurricanes crossed the site: Hugo in 1989, Hortense in 1996, and Georges in 1998. Stream chemistry reflects sea salt inputs (Na, Cl, and SO4), and high weathering rates of the granodiorite (Ca, Mg, Si, and alkalinity). During rainfall, stream composition shifts toward that of precipitation, diluting 90% or more in the largest storms, but maintains a biogeochemical watershed signal marked by elevated K and dissolved organic carbon (DOC) concentration. DOC exhibits an unusual "boomerang" pattern, initially increasing with flow but then decreasing at the highest flows as it becomes depleted and/or vigorous overland flow minimizes contact with watershed surfaces. TSS increased markedly with discharge (power function slope 1.54), reflecting the erosive power of large storms in a landslide-prone landscape. The relations of TSS and most solute concentrations with stream discharge were stable through time, suggesting minimal long-term effects from repeated hurricane disturbance. Nitrate concentration, however, increased about threefold in response to hurricanes then returned to baseline over several years following a pseudo first-order decay pattern. The combined data sets provide insight about important hydrologic pathways, a long-term perspective to assess response to hurricanes, and a framework to evaluate future climate change in tropical ecosystems.

  5. Improving the diagnostic criteria for primary liver graft non-function in adults utilizing standard and transportable laboratory parameters. An outcome based analysis.

    PubMed

    Al-Freah, Mohammad A B; McPhail, Mark J W; Dionigi, Elena; Foxton, Matthew R; Auzinger, Georg; Rela, Mohamed; Wendon, Julia A; O'Grady, John G; Heneghan, Michael A; Heaton, Nigel D; Bernal, William

    2017-02-15

    Current diagnostic criteria for primary non-function (PNF) of liver grafts are based on clinical experience rather than statistical methods. A retrospective, single centre study was conducted of all adults (n=1,286) who underwent primary liver transplant 2000-2008 in our centre. Laboratory variable during the first post-liver transplant week were analysed. Forty two patients (3.7%) had 2-week graft failure. Transplant albumin, day-1 AST, day-1 lactate, day-3 bilirubin, day-3 INR and day-7 AST were independently associated with PNF on multivariate logistic regression. PNF score =(0.000280*D1AST)+(0.361*D1 Lactate)+(0.00884*D3 Bilirubin)+(0.940*D 3 INR)+(0.00153*D7 AST)-(0.0972*TxAlbumin)-4.5503. ROC analysis showed the model AUROC of 0.912 (0.889 -0.932) was superior to the current United Kingdom (UK) PNF criteria of 0.669 (0.634-0.704, p<0.0001). When applied to a validation cohort (n=386, 34.4% patients) the model had AUROC of 0.831 (0.789 -0.867) compared to the UK EGD criteria of 0.674 (0.624-0.721). The new model performed well after exclusion of patients with marginal grafts and when modified to include variables from the first three post-LT days only (AUROC of 0.818, 0.776-0.856, p=0.001). This model is superior to the current UK PNF criteria and is based on statistical methods. The model is also applicable to recipients of all types of grafts (marginal and non-marginal). This article is protected by copyright. All rights reserved.

  6. A Statistical Method to Estimate PM2.5 Concentrations over Europe from Meteorology and Its Application to the Effect of Climate Change

    NASA Astrophysics Data System (ADS)

    Lecoeur, Ève; Seigneur, Christian; Pagé, Christian; Terray, Laurent

    2013-04-01

    Atmospheric particulate matter (PM) pollution has become a field of great interest because of its impacts on human health, climate change, and atmospheric visibility. In particular, fine particles with an aerodynamical diameter less than or equal to 2.5 μm (PM2.5) are regulated in North America and Europe. It is well-known that PM concentrations depend on meteorology via its effects on the emissions, the kinetics of chemical reactions, the gas/particle partitionning, and the removal of PM from the atmosphere. Therefore, climate change is expected to affect PM concentrations. First studies of the effect of climate change on air quality have originally been conducted on ozone, whereas the study of its effect on PM concentrations is more recent. However, most of the work pertaining PM has focused so far on the United States. Furthermore, there is currently no strong consensus on the effects of the present and future climate on PM2.5 concentrations. Therefore, we propose here a statistical method which estimates PM2.5 concentrations over Europe from the meteorology and which can be applied to present and future climates. In more detail, we apply a multiple linear regression model to understand the relationships between PM2.5 concentrations and meteorological variables in Europe. Multiple linear regression predictors include temperature, precipitation, wind speed, and weather types, which are representative of the large-scale atmospheric circulation. We use the results of a 9-year (2000-2008) model simulation as PM2.5 pseudo-observations. By assuming that the weather types will remain the same in the future (stationarity), we use different model predictions provided by the IPCC to study how the frequency of the weather types will change in the future. The statistical model is used to estimate future PM2.5 concentrations that would result from this climate change.

  7. Using long-term water balances to parameterize surface conductances and calculate evaporation at 0.05° spatial resolution

    NASA Astrophysics Data System (ADS)

    Zhang, Yongqiang; Leuning, Ray; Hutley, Lindsay B.; Beringer, Jason; McHugh, Ian; Walker, Jeffrey P.

    2010-05-01

    Evaporation from the land surface, averaged over successive 8 day intervals and at 0.05° (˜5 km) spatial resolution, was calculated using the Penman-Monteith (PM) energy balance equation, gridded meteorology, and a simple biophysical model for surface conductance. This conductance is a function of evaporation from the soil surface, leaf area index, absorbed photosynthetically active radiation, atmospheric water vapor pressure deficit, and maximum stomatal conductance (gsx). The novelty of this paper is the use of a "Budyko-curve" hydrometeorological model to estimate mean annual evaporation rates and hence a unique value of gsx for each grid cell across the Australian continent. First, the hydrometeorological model was calibrated using long-term water balances from 285 gauged catchments. Second, gridded meteorological data were used with the calibrated hydrometeorological model to estimate mean annual average evaporation (?) for each grid cell. Third, the value of gsx for each cell was adjusted to equate ? calculated using the PM equation with ? from the hydrometeorological model. This closes the annual water balance but allows the PM equation to provide a finer temporal resolution for evaporation than is possible with an annual water balance model. There was satisfactory agreement (0.49 < R2 < 0.80) between 8 day average evaporation rates obtained using remotely sensed leaf area indices, the parameterized PM equation, and observations of actual evaporation at four Australian eddy covariance flux sites for the period 2000-2008. The evaporation product can be used for hydrological model calibration to improve runoff prediction studies in ungauged catchments.

  8. Heat-related deaths in hot cities: estimates of human tolerance to high temperature thresholds.

    PubMed

    Harlan, Sharon L; Chowell, Gerardo; Yang, Shuo; Petitti, Diana B; Morales Butler, Emmanuel J; Ruddell, Benjamin L; Ruddell, Darren M

    2014-03-20

    In this study we characterized the relationship between temperature and mortality in central Arizona desert cities that have an extremely hot climate. Relationships between daily maximum apparent temperature (ATmax) and mortality for eight condition-specific causes and all-cause deaths were modeled for all residents and separately for males and females ages <65 and ≥ 65 during the months May-October for years 2000-2008. The most robust relationship was between ATmax on day of death and mortality from direct exposure to high environmental heat. For this condition-specific cause of death, the heat thresholds in all gender and age groups (ATmax = 90-97 °F; 32.2-36.1 °C) were below local median seasonal temperatures in the study period (ATmax = 99.5 °F; 37.5 °C). Heat threshold was defined as ATmax at which the mortality ratio begins an exponential upward trend. Thresholds were identified in younger and older females for cardiac disease/stroke mortality (ATmax = 106 and 108 °F; 41.1 and 42.2 °C) with a one-day lag. Thresholds were also identified for mortality from respiratory diseases in older people (ATmax = 109 °F; 42.8 °C) and for all-cause mortality in females (ATmax = 107 °F; 41.7 °C) and males <65 years (ATmax = 102 °F; 38.9 °C). Heat-related mortality in a region that has already made some adaptations to predictable periods of extremely high temperatures suggests that more extensive and targeted heat-adaptation plans for climate change are needed in cities worldwide.

  9. Investigating the effects of side airbag deployment in real-world crashes using crash comparison techniques.

    PubMed

    Loftis, Kathryn L; Weaver, Ashley A; Stitzel, Joel D

    2011-01-01

    The objective of this study was to investigate side airbag (SAB) deployment in near side crashes and compare injuries and contact points between occupants with and without SAB deployment. Using NASS 2000-2008 and selecting for near side cases, with PDOF ± 20 degrees from 90 or 270, for non-pregnant adult belted occupants, there were 20,253 (weighted) SAB deployments. NASS showed that SABs have been increasing within the fleet, comprising 2% of airbags in 2000 and increasing to 33% of airbags in 2008. To investigate deployed SABs, we developed a three-step methology to pair CIREN cases to study the effects of deployment on occupant outcome. The first step involved extracting near side impacts from CIREN with adult, non-pregnant occupants seated in row 1 (drivers or right front passengers). In the second step, each case was quantitatively compared to FMVSS 214 barrier test standards using a 6 point similarity scoring system. Cases scoring at least 3 points were then qualitatively analyzed and 33 pairs of cases of the same vehicle make/model but opposite SAB status were chosen. Occupants with deployed SAB had reduced occurrences and severity of head and face, neck and cervical spine, and thoracic injuries and fewer injurious contacts to side components including the door, a-pillar, and window sill. SAB deployment was statistically significant for reducing occupant MAIS and ISS and thorax airbags were statistically significant for reducing thoracic and neck/cervical spine injury severity. The average ISS with SAB deployment was 21, while the average ISS of those without was 33. This study establishes methods for performing comparisons between CIREN cases based on regulatory conditions and shows injury reduction in key body regions with SAB deployment.

  10. Remote-sensing-based analysis of landscape change in the desiccated seabed of the Aral Sea--a potential tool for assessing the hazard degree of dust and salt storms.

    PubMed

    Löw, F; Navratil, P; Kotte, K; Schöler, H F; Bubenzer, O

    2013-10-01

    With the recession of the Aral Sea in Central Asia, once the world's fourth largest lake, a huge new saline desert emerged which is nowadays called the Aralkum. Saline soils in the Aralkum are a major source for dust and salt storms in the region. The aim of this study was to analyze the spatio-temporal land cover change dynamics in the Aralkum and discuss potential implications for the recent and future dust and salt storm activity in the region. MODIS satellite time series were classified from 2000-2008 and change of land cover was quantified. The Aral Sea desiccation accelerated between 2004 and 2008. The area of sandy surfaces and salt soils, which bear the greatest dust and salt storm generation potential increased by more than 36 %. In parts of the Aralkum desalinization of soils was found to take place within 4-8 years. The implication of the ongoing regression of the Aral Sea is that the expansion of saline surfaces will continue. Knowing the spatio-temporal dynamics of both the location and the surface characteristics of the source areas for dust and salt storms allows drawing conclusions about the potential hazard degree of the dust load. The remote-sensing-based land cover assessment presented in this study could be coupled with existing knowledge on the location of source areas for an early estimation of trends in shifting dust composition. Opportunities, limits, and requirements of satellite-based land cover classification and change detection in the Aralkum are discussed.

  11. Seasonal streamflow forecasts in a semi-arid Andean watershed using remotely sensed snow cover data

    NASA Astrophysics Data System (ADS)

    Cartes, M.; McPhee, J.; Vargas, X.

    2009-04-01

    Forecasts of monthly streamflow during the snowmelt season are highly relevant for real-time decision making such as hydropower production scheduling, irrigation planning, and water transfers in market-driven water resource systems. The Chilean water bureau issues such forecasts, for a number of snowmelt-driven watersheds in northern and central Chile, based on measurements from a sparse network of snow course stations. This research aims at improving the accuracy of the government-issued seasonal forecasts by combining streamflow data and remotely sensed snow cover information through a recurrent neural network (RNN). The snow cover area (SCA) obtained from MODIS-Surface Reflectance product (MOD09) and the Normalized Differentiation Snow Index (NDSI), from 2000-2008 period, allow us to understand the variation of the snowmelt and accumulation processes in six different basins located in central Chile (32,5° - 34,5° south latitude; 69,5° -70,5° west longitude). For the three basins located at higher altitudes (> 1800 m.s.l.), after applying a cross-correlation procedure we determined a strong relation (r > 0.7) between SCA and the seasonal hydrograph, lagged around 4 months. The basin SCA, the NDSI at specific points inside the basin and past basin streamflow data are input to the RNN for recognizing the pattern variation of seasonal hydrograph through supervised learning. The determination coefficients for the validation period (r2 > 0.6) indicate a good support for the application of this methodology in normal-humid hydrological years. Particularly for the dryer years we obtain a considerable overestimation (around 30%) of the monthly snowmelt runoff. These results are limited by the availability of data for different types (dry, normal or humid) of hydrological years.

  12. Estimation of annual forest evapotranspiration from a coniferous plantation watershed in Japan (2): Comparison of eddy covariance, water budget and sap-flow plus interception loss

    NASA Astrophysics Data System (ADS)

    Shimizu, Takanori; Kumagai, Tomo'omi; Kobayashi, Masahiro; Tamai, Koji; Iida, Shin'ichi; Kabeya, Naoki; Ikawa, Reo; Tateishi, Makiko; Miyazawa, Yoshiyuki; Shimizu, Akira

    2015-03-01

    Evapotranspiration (ET) was estimated from a planted coniferous forest in southwestern Japan by applying three methods: the eddy covariance method; the measurement of rainfall (P) and runoff (Q) in a small watershed; and a combination of rainfall interception loss (IC), upper canopy transpiration based on a sap-flux density measurement in Japanese cedar (Cryptomeria Japonica D. Don) stands (EUC), and modeled sub-canopy ET (ESC). After inverse multiplication of the energy imbalance ratio, ET by the eddy covariance method (ETEC) was 839.9 mm in 2007 and 811.8 mm in 2008. The yearly values of P-Q were partially affected by P in the previous autumn. After continuous data collection for more than 5 years, P-Q became stable. The 9-year (2000-2008) average P-Q, which was considered most reliable in this study, was 897.5 mm y-1. The cumulative ETEC during the daylight hours from the right stream bank, covered mainly with large Japanese cedars, was 894.1 mm from April 2007 to March 2008. The value was almost the same as that calculated as the components sum (ETCOMP = IC + EUC + ESC: 911.4 mm), and the comparison suggested that the annual totals of ETEC with an energy imbalance correction provide a reliable estimate of ET in a forest stand on a complex topography. Spatial variation in the watershed was likely caused by differences in soil water retention at each slope position. The slight difference in annual ETEC in 2007 compared with 2008 was attributed to differences in the radiative energy input. In the monthly-weekly analysis, ETCOMP was frequently higher than ETEC after heavy rainfall, while ETEC was higher under dry conditions and during active ET. Even under dry canopy conditions, daily ETEC was often higher than EUC + ESC. The results suggested a time-lag in evaporation from the ecosystem and/or under-estimated ETEC after rainfall.

  13. Toward a National Early Warning System for Forest Disturbances Using Remotely Sensed Land-Surface Phenology

    NASA Astrophysics Data System (ADS)

    Hargrove, W. W.; Spruce, J.

    2010-12-01

    recovery in LSP, presumably due to refoliation. 2009 Vegetation Disturbances mapped as percent change in max NDVI from June 10 - July 27 2000-2008

  14. The association of ethnic minority density with late entry into antenatal care in the Netherlands.

    PubMed

    Posthumus, Anke G; Schölmerich, Vera L N; Steegers, Eric A P; Kawachi, Ichiro; Denktaş, Semiha

    2015-01-01

    In the Netherlands, non-Western ethnic minority women make their first antenatal visit later than native Dutch women. Timely entry into antenatal care is important as it provides the opportunity for prenatal screening and the detection of risk factors for adverse pregnancy outcomes. In this study we explored whether women's timely entry is influenced by their neighborhood. Moreover, we assessed whether ethnic minority density (the proportion of ethnic minorities in a neighborhood) influences Western and non-Western ethnic minority women's chances of timely entry into care differently. We hypothesized that ethnic minority density has a protective effect against non-Western women's late entry into care. Data on time of entry into care and other individual-level characteristics were obtained from the Netherlands Perinatal Registry (2000-2008; 97% of all pregnancies). We derived neighborhood-level data from three other national databases. We included 1,137,741 pregnancies of women who started care under supervision of a community midwife in 3422 neighborhoods. Multi-level logistic regression was used to assess the associations of individual and neighborhood-level determinants with entry into antenatal care before and after 14 weeks of gestation. We found that neighborhood characteristics influence timely entry above and beyond individual characteristics. Ethnic minority density was associated with a higher risk of late entry into antenatal care. However, our analysis showed that for non-Western women, living in high ethnic minority density areas is less detrimental to their risk of late entry than for Western women. This means that a higher proportion of ethnic minority residents has a protective effect on non-Western women's chances of timely entry into care. Our results suggest that strategies to improve timely entry into care could seek to create change at the neighborhood level in order to target individuals likely of entering care too late.

  15. Admission to hospital with community-onset bloodstream infection during the 'after hours' is not associated with an increased risk for death.

    PubMed

    Laupland, Kevin B

    2010-12-01

    Several studies conducted in diverse patient populations have found that patients presenting with acute illness during weekends or evening/nights are at increased risk for death. This study was conducted to examine whether patients with community-onset bloodstream infections who are admitted during evenings, nights, and weekends suffer increased mortality rates. All residents within the Calgary area who had first admissions with community-onset bloodstream infections during 2000-2008 were included. One thousand eight hundred and seventy-eight (27%) patients were admitted on a weekend. Among all admissions, 2753 (40%) were during the hours of 08:00-17:59, 1996 (29%) during 18:00-22:59, and 2174 (31%) during 23:00-07:59. More than two-thirds (n = 4867; 70%) of cases were admitted during the 'after hours' (evenings, nights, and/or weekends). The 30-day case-fatality rate was 13% (882/6923) and did not significantly vary between daytime (364/2753; 13%), evening (246/1996; 12%), and night (272/2174; 13%) admissions (p = 0.6), or with patients admitted on weekends as compared to weekdays (252/1878 (13%) vs. 630/5045 (12%); p = 0.3). Admission during the after hours (weekends and evenings/nights) was not associated with increased risk for death in logistic regression analysis (odds ratio 0.99, 95% confidence interval 0.83-1.16; p = 0.88). Admission with community-onset bloodstream infection during the after hours is not associated with adverse outcome in this region.

  16. Grassland and Cropland Net Ecosystem Production of the U.S. Great Plains

    NASA Astrophysics Data System (ADS)

    Howard, D. M.; Wylie, B. K.; Ji, L.; Gilmanov, T. G.; Zhang, L.

    2014-12-01

    At observation sites throughout the world, carbon dioxide (CO2) levels and other ecosystem resources are measured by instruments known as flux towers. Although flux towers only measure the surrounding vicinity or spatial footprint of their placement ecosystem, the data recorded at these towers can be up-scaled to much greater levels through the use of comprehensive remote sensing data and advanced computer modeling. The purpose of this study was to develop ecological net ecosystem production (NEP) models capable of producing weekly cropland and grassland NEP maps of the U.S. Great Plains at 250 meter resolution for 2000 - 2008. Separate NEP regression tree models were developed for each land cover type (cropland and grassland) with 15 flux towers supporting the grassland model and 13 towers supporting the cropland model. The NEP regression tree models were established through training based on data from the supporting flux towers, remote sensing data, and other biogeophysical inputs. Map results of this study indicate, as anticipated, grassland ecosystems generally perform as net carbon (C) sinks, absorbing and storing C from the atmosphere, and conversely, croplands generally as net C sources (crop yields were not taken into account), releasing C, in the form of CO2, into the atmosphere. The models were evaluated by implementing a leave-one-out cross validation method, which withholds data form one particular year or site for testing a model developed with the remaining data. The cropland model validation analysis received an average Pearson's correlation coefficient (r) of 0.85 for the yearly validation and an average r = 0.73 for the site withholding. The grassland model validation analysis received an average r = 0.86 for the yearly validation and an average r = 0.83 for the site withholding.

  17. Life Course Experiences, Pain and Suffering: A Case Study of an Older Mexican American Woman with Mobility Impairment

    PubMed Central

    Walker, Janiece L.; Harrison, Tracie C.; Hendrickson, Sherry G.

    2012-01-01

    There is a dearth of literature examining how adversity shapes the experiences of pain and/or suffering in a middle aged Mexican American women. The purpose of this qualitative descriptive study was to understand pain and suffering from a life course perspective as described by a Mexican American woman aging with early onset mobility impairment. This Hispanic woman experienced episodes of abuse and rejection over the life course, which may have significantly influenced her pain and suffering experience in adulthood. This adds to the literature on how adversity influences later life pain experience and provides insight on why pharmacological treatment alone may not be as successful as a holistic intervention. Hay escasez de literatura que examine cómo la adversidad da forma a las experiencias de dolor y / o sufrimiento en mujeres mexicana-americana mayores de edad. El propósito de este estudio descriptivo cualitativo fue comprender el dolor y el sufrimiento desde una perspectiva de ciclo de vida como descrito por una mujer mexicana-americana envejeciendo con inicio temprano de deterioro de movilidad. Esta Latina experimentó episodios de maltrato y rechazo, que se percibió haber afectado su experiencia de dolor y sufrimiento luego como adulta. Este estudio aumenta la literatura sobre cómo la adversidad influya la experiencia de dolor más tarde en la vida, y nos permite comprender mejor como el tratamiento farmacológico por sí solo no es tan exitoso como pueda ser una intervención integral. PMID:24830728

  18. Learning qualitative aspects of the ethics of biomedical and psychosocial research program of the Interdisciplinary Center for Studies on Bioethics, University of Chile1

    PubMed Central

    Rodríguez, Eduardo

    2012-01-01

    El presente trabajo reflexiona sobre la experiencia de 10 años en procesos de aprendizaje grupal y adquisición de competencias, de los participantes en el Programa de Ética de la Investigación Biomédica y Psicosocial del Centro Interdisciplinario de Estudios en Bioética de la Universidad de Chile, Fogarty Grant R25TW6056. Considera el papel de la bioética en la formación en su carácter transdisciplinario. PMID:22833694

  19. Una visita en Sud America

    NASA Astrophysics Data System (ADS)

    1982-09-01

    Oisfrute de una estadfa en el Hotel La Silla, el mejor hotel de Sud America con su tan unica atmosfera extraterrestre! Los espera su calificado personal de experimentados hoteleros, jefes de cocina, etc., ansiosos todos de satisfacer sus deseos hasta el mas mfnimo detalle. Naturalmente nuestro espacioso restaurant de tres estrellas ofrece un completo surtido de exquisitas comidas y deliciosos tragos (conocedores usualmente eligen "Oelicia Orion" 0 "Centauro Especial"). EI servicio cempleto durante 24 horas incluye nuestra ya mundialmente famosa "Cena de medianoche para los miradores de estrellas", por eso - no olvide: No pierda la oportunidad de una estadfa en EL HOTEL LA SILLA - una experiencia maravillosa!

  20. El aprendizaje significativo en las ciencias al participar en proyectos de investigacion cientifica

    NASA Astrophysics Data System (ADS)

    Mora Polanco, Miguelena

    La ciencia es el eje fundamental a traves del cual se desarrollan las habilidades necesarias para el pensar cientifico que va a la busqueda del conocimiento cientifico. La intencion de este estudio fue indagar en el tema de investigacion cientifica desde el punto de vista de los participantes en los siguientes aspectos relacionados con la experiencia de investigacion cientifica: a) conceptos, b) proceso, c) destrezas y d) disposicion. Tambien se analizaron: a) las perspectivas del metodo cientifico, b) la estrategia de ensenanza, c) la cultura cientifica y d) la exposicion del proyecto investigativo en la Feria Cientifica; como parte del aprendizaje significativo de la ciencias de los participantes. Esta investigacion cualitativa propuso como diseno el estudio de caso. Los aspectos relacionados a la experiencia de participar en proyecto de investigacion cientifica son el fenomeno o caso bajo estudio. En el estudio participaron cinco (5) estudiantes egresados de escuela publica o privada que cursaban hasta el tercer ano de estudios universitarios, conducentes a un bachillerato en educacion secundaria en ciencias o en ciencias naturales. Las tecnicas utilizadas para recopilar los datos fueron: analisis de documentos del DEPR, revision de artefactos y entrevistas profundas. Para el analisis de los datos de las entrevistas se utilizo el modelo de Wolcott (1994). Del analisis de documentos del DEPR se identificaron areas a mejorar en las guias de las cartas circulares con relacion a la investigacion escolar y la feria cientifica. El analisis de los artefactos proveyo evidencia de como los internados, simposios e investigaciones fomentan el que los estudiantes se superen en el aspecto cognitivo, se conviertan en creadores del conocimiento, al hacer suyo los conceptos para poder explicarlos al publico. De las entrevistas los participantes manifestaron que la experiencia de investigacion fue una de aprendizaje significativo que los marco para toda la vida y les expandio su

  1. Earthquake statistics, spatiotemporal distribution of foci and source mechanisms - a key to understanding of the West Bohemia/Vogtland earthquake swarms

    NASA Astrophysics Data System (ADS)

    Horálek, Josef; Čermáková, Hana; Fischer, Tomáš

    2016-04-01

    Earthquake swarms are sequences of numerous events closely clustered in space and time and do not have a single dominant mainshock. A few of the largest events in a swarm reach similar magnitudes and usually occur throughout the course of the earthquake sequence. These attributes differentiate earthquake swarms from ordinary mainshock-aftershock sequences. Earthquake swarms occur worldwide, in diverse geological units. The swarms typically accompany volcanic activity at margins of the tectonic plate but also occur in intracontinental areas where strain from tectonic-plate movement is small. The origin of earthquake swarms is still unclear. The swarms typically occur at the plate margins but also in intracontinental areas. West Bohemia-Vogtland represents one of the most active intraplate earthquake-swarm areas in Europe. It is characterised by a frequent reoccurrence of ML < 4.0 swarms and by high activity of crustal fluids. West Bohemia-Vogtland is one of the most active intraplate earthquake-swarm areas in Europe which also exhibits high activity of crustal fluids. The Nový Kostel focal zone (NK) dominates the recent seismicity, there were swarms in 1997, 2000, 2008 and 20011, and a striking non-swarm activity (mainshock-aftershock sequences) up to magnitude ML= 4.5 in May to August 2014. The swarms and the 2014 mainshock-aftershock sequences are located close to each other at depths between 6 and 13 km. The frequency-magnitude distributions of all the swarms show bimodal-like character: the most events obey the b-value = 1.0 distribution, but a group of the largest events depart significantly from it. All the ML > 2.8 swarm events are located in a few dense clusters which implies step by step rupturing of one or a few asperities during the individual swarms. The source mechanism patters (moment-tensor description, MT) of the individual swarms indicate several families of the mechanisms, which fit well geometry of respective fault segments. MTs of the most

  2. The Cloud-Radiative Forcing of North American landfalling Atmospheric Rivers

    NASA Astrophysics Data System (ADS)

    Luo, Q.; Tung, W. W.

    2015-12-01

    Atmospheric Rivers (ARs) are narrow elongated regions with strong horizontal water vapor flux associated with extratropical cyclones. Upon making landfall, conspicuous mid-to-high-latitude stratiform cloud decks with high reflectivity are observed along with the ARs in satellite imagery. The cloud-radiative forcing (CRF) associated with these clouds has only been preliminarily established (e.g., Luo and Tung 2015). Their climatological impacts are not understood, yet the related cloud microphysics and radiation processes are poorly represented in global climate models. We studied the correlations between observed variables including the ECMWF-Interim horizontal water vapor fluxes (IVT) integrated from 1000—300 hPa, CERES-derived cloud water path and CRF, and MODIS cirrus reflectance before, during, and after the ARs impinged on the southwest and northwest coasts of North America (NA) in Nov—March, 2000-2008, with 60 ARs affecting the southwest coast (southwest ARs), and 60 ARs affecting the northwest coast (northwest ARs, Dettinger et al., 2011). Anomalies were calculated by subtracting the average over all time steps. For the southwest ARs, a significant increase of ice clouds took place around the landfalling regions with IVT anomalies >130 kg/m/s on landfalling day-1 and day+0. On day+1, a substantial increase of ice clouds with 50% reduction of IVT anomalies was found along with the ARs. On day+2 to day+3, positive IVT anomalies existed over the central and eastern US. These anomalies could be attributed to the southwest ARs and the secondary ARs that rooted in the Gulf of Mexico and made landfall over central and eastern US. Many parts of the NA continent were covered under ice cloud decks. The IVT anomalies for the northwest ARs were >250 kg/m/s on day-1 to day+0, and approximately 120 kg/m/s on day+1. Nevertheless, the northwest ARs were not observed to make landfall concurrently with the secondary landfalling ARs from the Gulf of Mexico. Only a small

  3. Remotely sensed forest phenology and its relation with Nephropathia

    NASA Astrophysics Data System (ADS)

    Barrios, J. M.

    2010-05-01

    J.M. Barrios1, W.W. Verstraeten1, P. Maes2, J. Clement2, J-M. Aerts1, S. Amirpour1, J. Wambacq2, K. Lagrou3, M. Van Ranst2, D. Berckmans1, P. Coppin1 1. Katholieke Universiteit Leuven, Biosystems Departement, M3-BIORES, Willem de Croylaan 34, B-3001 Leuven, Belgium 2. Katholieke Universiteit Leuven, Laboratory of Clinical Virology, Hantavirus Reference Center, Rega Institute, Minderbroedersstraat 10, B-3000 Leuven, Belgium 3. Katholieke Universiteit Leuven, Department of Experimental Laboratory Medicine, Herestraat 49, B-3000 Leuven, Belgium Nephropathia epidemica (NE), a mild form of haemorrhagic fever with renal syndrome, is a zoonotic disease caused by a Hanta virus called Puumala virus in Europe. Concern about this disease has increased in recent years due to the increase in the amount of reported cases. In 2005, 2007 and 2008 the number of infected cases surpassed 300 cases per 100000 inhabitants in Belgium, which was never observed before. NE incidence is closely related to environmental conditions. The main role in the virus transmission mechanism is played by the red bank vole (Myodes glareolus), a rodent species that is native in West European broad-leaved forests (BLF) and acts as the virus reservoir. Although the link between vegetation and NE in Belgium has been underlined repeatedly in recent research works, so far little has been done towards the exploration of remote sensing techniques for analyzing vegetation systems as an input in early warning systems. This study aims at determining whether observed NE occurrence pattern in Belgium can be connected to specific trends in BLF phenology parameters. Hence, phenology information was derived from time series of the MODIS Enhanced Vegetation Index (EVI) for the period 2000-2008 in 10 major BLF in southern Belgium. EVI values were calculated from the MOD09A1 dataset which provides an estimate of the surface spectral reflectance for bands 1-7 at 500 m resolution every 8 days. Based on our preliminary

  4. Does the simple dynamical systems approach provide useful information about catchment hydrological functioning in a Mediterranean context? Application to the Ardèche catchment (France)

    NASA Astrophysics Data System (ADS)

    Adamovic, M.; Braud, I.; Branger, F.; Kirchner, J. W.

    2014-09-01

    This study explores how catchment heterogeneity and variability can be summarized in simplified models, representing the dominant hydrological processes. It focuses on Mediterranean catchments, characterized by heterogeneous geology, pedology, and land use, as well as steep topography and a rainfall regime in which summer droughts contrast with high-rainfall periods in autumn. The Ardèche catchment (south-east France), typical of this environment, is chosen to explore the following questions: (1) can such a Mediterranean catchment be adequately characterized by simple dynamical systems approach and what are the limits of the method under such conditions? (2) What information about dominant predictors of hydrological variability can be retrieved from this analysis in such catchments? In this work we apply the data-driven approach of Kirchner (WRR, 2009) to estimate discharge sensitivity functions that summarize the behavior of four sub-catchments of the Ardèche, using non-vegetation periods (November-March) from 9 years of data (2000-2008) from operational networks. The relevance of the inferred sensitivity function is assessed through hydrograph simulations, and through estimating precipitation rates from discharge fluctuations. We find that the discharge-sensitivity function is downward-curving in double-logarithmic space, thus allowing further simulation of discharge and non-divergence of the model, only during non-vegetation periods. The analysis is complemented by a Monte-Carlo sensitivity analysis showing how the parameters summarizing the discharge sensitivity function impact the simulated hydrographs. The resulting discharge simulation results are good for granite catchments, found to be predominantly characterized by saturation excess runoff and sub-surface flow processes. The simple dynamical system hypothesis works especially well in wet conditions (peaks and recessions are well modeled). On the other hand, poor model performance is associated with

  5. Assessing the simple dynamical systems approach in a Mediterranean context: application to the Ardeche catchment (France)

    NASA Astrophysics Data System (ADS)

    Adamovic, M.; Braud, I.; Branger, F.; Kirchner, J. W.

    2015-05-01

    This study explores how catchment heterogeneity and variability can be summarized in simplified models, representing the dominant hydrological processes. It focuses on Mediterranean catchments, characterized by heterogeneous geology, pedology and land use, as well as steep topography and a rainfall regime in which summer droughts contrast with high-rainfall periods in autumn. The Ardeche catchment (Southeast France), typical of this environment, is chosen to explore the following questions: (1) can such a Mediterranean catchment be adequately characterized by a simple dynamical systems approach and what are the limits of the method under such conditions? (2) what information about dominant predictors of hydrological variability can be retrieved from this analysis in such catchments? In this work we apply the data-driven approach of Kirchner (2009) to estimate discharge sensitivity functions that summarize the behaviour of four sub-catchments of the Ardeche, using low-vegetation periods (November-March) from 9 years of measurements (2000-2008) from operational networks. The relevance of the inferred sensitivity function is assessed through hydrograph simulations, and through estimating precipitation rates from discharge fluctuations. We find that the discharge sensitivity function is downward-curving in double-logarithmic space, thus allowing further simulation of discharge and non-divergence of the model, only during low-vegetation periods. The analysis is complemented by a Monte Carlo sensitivity analysis showing how the parameters summarizing the discharge sensitivity function impact the simulated hydrographs. The resulting discharge simulation results are good for granite catchments, which are likely to be characterized by shallow subsurface flow at the interface between soil and bedrock. The simple dynamical system hypothesis works especially well in wet conditions (peaks and recessions are well modelled). On the other hand, poor model performance is associated

  6. Comparison of two landslide susceptibility assessments in the Champagne-Ardenne region (France)

    NASA Astrophysics Data System (ADS)

    Den Eeckhaut, M. Van; Marre, A.; Poesen, J.

    2010-02-01

    The vineyards of the Montagne de Reims are mostly planted on steep south-oriented cuesta fronts receiving a maximum of sun radiation. Due to the location of the vineyards on steep hillslopes, the viticultural activity is threatened by slope failures. This study attempts to better understand the spatial patterns of landslide susceptibility in the Champagne-Ardenne region by comparing a heuristic (qualitative) and a statistical (quantitative) model in a 1120 km² study area. The heuristic landslide susceptibility model was adopted from the Bureau de Recherches Géologiques et Minières, the GEGEAA - Reims University and the Comité Interprofessionnel du Vin de Champagne. In this model, expert knowledge of the region was used to assign weights to all slope classes and lithologies present in the area, but the final susceptibility map was never evaluated with the location of mapped landslides. For the statistical landslide susceptibility assessment, logistic regression was applied to a dataset of 291 'old' (Holocene) landslides. The robustness of the logistic regression model was evaluated and ROC curves were used for model calibration and validation. With regard to the variables assumed to be important environmental factors controlling landslides, the two models are in agreement. They both indicate that present and future landslides are mainly controlled by slope gradient and lithology. However, the comparison of the two landslide susceptibility maps through (1) an evaluation with the location of mapped 'old' landslides and through (2) a temporal validation with spatial data of 'recent' (1960-1999; n = 48) and 'very recent' (2000-2008; n = 46) landslides showed a better prediction capacity for the statistical model produced in this study compared to the heuristic model. In total, the statistically-derived landslide susceptibility map succeeded in correctly classifying 81.0% of the 'old' and 91.6% of the 'recent' and 'very recent' landslides. On the susceptibility map

  7. Net greenhouse gas balance in response to nitrogen enrichment: perspectives from a coupled biogeochemical model.

    PubMed

    Lu, Chaoqun; Tian, Hanqin

    2013-02-01

    Increasing reactive nitrogen (N) input has been recognized as one of the important factors influencing climate system through affecting the uptake and emission of greenhouse gases (GHG). However, the magnitude and spatiotemporal variations of N-induced GHG fluxes at regional and global scales remain far from certain. Here we selected China as an example, and used a coupled biogeochemical model in conjunction with spatially explicit data sets (including climate, atmospheric CO2 , O3 , N deposition, land use, and land cover changes, and N fertilizer application) to simulate the concurrent impacts of increasing atmospheric and fertilized N inputs on balance of three major GHGs (CO2 , CH4 , and N2 O). Our simulations showed that these two N enrichment sources in China decreased global warming potential (GWP) through stimulating CO2 sink and suppressing CH4 emission. However, direct N2 O emission was estimated to offset 39% of N-induced carbon (C) benefit, with a net GWP of three GHGs averaging -376.3 ± 146.4 Tg CO2  eq yr(-1) (the standard deviation is interannual variability of GWP) during 2000-2008. The chemical N fertilizer uses were estimated to increase GWP by 45.6 ± 34.3 Tg CO2  eq yr(-1) in the same period, and C sink was offset by 136%. The largest C sink offset ratio due to increasing N input was found in Southeast and Central mainland of China, where rapid industrial development and intensively managed crop system are located. Although exposed to the rapidly increasing N deposition, most of the natural vegetation covers were still showing decreasing GWP. However, due to extensive overuse of N fertilizer, China's cropland was found to show the least negative GWP, or even positive GWP in recent decade. From both scientific and policy perspectives, it is essential to incorporate multiple GHGs into a coupled biogeochemical framework for fully assessing N impacts on climate changes.

  8. Adherence: a review of education, research, practice and policy in Australia

    PubMed Central

    Aslani, Parisa; Krass, Ines

    2008-01-01

    Community pharmacists are well placed to deliver adherence support services as well as other pharmaceutical services to patients. They are often the last point of contact with patients collecting medicines in the healthcare chain, and they tend to be visited by patients on a regular basis to collect prescription medicines. They have the opportunity to reinforce information already received from other health practitioners, provide further information and monitor adherence to therapy. The past decade has seen an increase in focus on the importance of adherence to therapy, not only in the higher education sector, but also in government policy and community pharmacy practice. Adherence monitoring and promotion has not only become the foundation of courses taught in pharmacy schools, but has become an essential component of disease management and pharmaceutical services delivered by community pharmacists. Aims This article aims to describe the education, research, practice and policy in the area of adherence to therapy in Australia with a focus on community pharmacists. Methods A search of MEDLINE and International Pharmaceutical Abstracts as well as hand searches of the bibliographies of retrieved articles was conducted for the period 2000-2008. All pharmacy schools in Australia were also contacted to obtain information on the patient adherence to therapy content of their courses. Results Ten studies met the inclusion criteria. Only one study had a specific adherence focus, with the remainder including adherence support and monitoring as part of the overall interventions delivered by the community pharmacists. In the majority of cases the interventions resulted in an improvement in patients’ adherence to therapy. The research was supported by government and pharmacy professional organisation initiatives in the area of cognitive pharmaceutical services. All universities which responded delivered specific patient adherence courses. Conclusions Australian pharmacy

  9. Assessment of Groundwater Vulnerability by the Future Land Use Change in Geum River Watershed

    NASA Astrophysics Data System (ADS)

    Cheong, B.; Ko, K.; Ha, K.; Koh, D.

    2011-12-01

    determined as optimum model by logistic regression in Geum river watershed. The logistic regression method was also applied to predict groundwater vulnerability reflecting the future change of land use of Geum river watershed by LCM(land change modeler). Four data set, year of 2000, 2008, 2050 and 2100, of land use were used to claculate groundwater vulnerability. The land use map of 2000 and 2008 for Geum river watershed was made by using data provided from Water Management Information System (WAMIS) and National Spatial Information Clearinghouse and those of 2050 and 2100 were made by LCM prediction. The results of land change by LCM prediction showed 233% increase of resident area and 10% dcrease of field area indicating increase of groundwater vulnerability in Geum river area.

  10. Autologous Bone Marrow Mononuclear Cells Reduce Therapeutic Intensity for Severe Traumatic Brain Injury in Children

    PubMed Central

    Liao, George P.; Harting, Matthew T.; Hetz, Robert A.; Walker, Peter A.; DO, Shinil K. Shah; Corkins, Christopher J.; Hughes, Travis G.; Jimenez, Fernando; Kosmach, Steven C.; Day, Mary-Clare; Tsao, KuoJen; Lee, Dean A.; Worth, Laura L.; Baumgartner, James E.; Cox, Charles S.

    2014-01-01

    Objective The devastating effect of traumatic brain injury (TBI) is exacerbated by an acute secondary neuroinflammatory response, clinically manifest as elevated intracranial pressure (ICP) due to cerebral edema. The treatment effect of cell based therapies in the acute post-TBI period has not been clinically studied although preclinical data demonstrate that bone marrow derived mononuclear cell (BMMNC) infusion downregulates the inflammatory response. Our study evaluates whether pediatric TBI patients receiving intravenous, autologous BMMNCs within 48 hours of injury experienced a reduction in therapeutic intensity directed towards managing elevated ICP relative to matched controls. Design The study was a retrospective cohort design comparing pediatric patients in a Phase I clinical trial treated with intravenous autologous BMMNCs (n=10) to a control group of age and severity matched children (n=19). Setting The study setting was at Children's Memorial Hermann Hospital, an American College of Surgeons Level 1 Pediatric Trauma Center and teaching hospital for the University of Texas Health Science Center at Houston from 2000-2008. Patients Study patients were 5-14 years with post resuscitation Glasgow Coma Scale scores of 5-8. Interventions The treatment group received 6 million autologous BMMNC/kg body weight intravenously within 48 hours of injury. The control group was treated in an identical fashion, per standard of care, guided by our TBI management protocol, derived from American Association of Neurological Surgeons guidelines. Measurements The primary measure was the Pediatric Intensity Level of Therapy (PILOT) scale, used to quantify treatment of elevated ICP. Secondary measures included the Pediatric Logistic Organ Dysfunction (PELOD) score and days of ICP monitoring as a surrogate for length of neurointensive care. Main Results A repeated measure mixed model with marginal linear predictions identified a significant reduction in the PILOT score beginning

  11. Long GPS coordinate time series: multipath and geometry effects

    NASA Astrophysics Data System (ADS)

    King, M. A.; Watson, C. S.

    2009-04-01

    Within analyses of Global Positioning System (GPS) observations, unmodelled sub-daily signals are known to propagate into long-period signals via a number of different mechanisms. In this paper, we investigate the effects of time-variable satellite geometry and the propagation of an unmodelled multipath signal that is analogous to a change in the elevation dependant phase centre of the receiving antenna. Multipath reflectors at H=0.1 m, 0.2 m and 1.5 m below the antenna are modeled and their effects on GPS coordinate time series are examined. Simulated time series at 20 global IGS sites for 2000-2008 were derived using the satellite geometry as defined by daily broadcast orbits, in addition to that defined using a perfectly repeating synthetic orbit. For the simulations generated using the broadcast orbits with a perfectly clear horizon, we observe the introduction of a time variable bias in the time series of up to several centimeters. Considerable site to site variability of the frequency and magnitude of the signal is observed, in addition to variation as a function of multipath source. When adopting realistic GPS observation geometries obtained from real data (e.g., those that include the effects of tracking outages, local obstructions, etc.), we observe concerning levels of temporal coordinate variation in the presence of the multipath signals. In these cases, we observe spurious signals across the frequency domain, in addition to what appears as offsets and secular trends. Velocity biases of more than 1mm/yr are evident at some few sites. The propagated signal in the vertical component is consistent with a noise model with a spectral index marginally above flicker noise (mean index -1.4), with some sites exhibiting power law magnitudes at comparable levels to actual height time series generated in GIPSY. The propagated signal also shows clear spectral peaks across all coordinate components at harmonics of the draconitic year for a GPS satellite (351.4 days

  12. Long GPS coordinate time series: multipath and geometry effects

    NASA Astrophysics Data System (ADS)

    King, M.; Watson, C. S.

    2009-12-01

    Within analyses of Global Positioning System (GPS) observations, unmodelled sub-daily signals are known to propagate into long-period signals via a number of different mechanisms. We report on the effects of time-variable satellite geometry and the propagation of an unmodelled multipath signal. Multipath reflectors at H=0.1 m, 0.2 m and 1.5 m below the antenna are modeled and their effects on GPS coordinate time series are examined. Simulated time series at 20 global IGS sites for 2000-2008 were derived using the satellite geometry as defined by daily broadcast orbits, in addition to that defined using a perfectly repeating synthetic orbit. For the simulations generated using the broadcast orbits with a perfectly clear horizon, we observe the introduction of a time variable bias in the time series of up to several centimeters. Considerable site to site variability of the frequency and magnitude of the signal is observed, in addition to variation as a function of multipath source. When adopting realistic GPS observation geometries obtained from real data (e.g., those that include the effects of tracking outages, local obstructions, etc.), we observe concerning levels of temporal coordinate variation in the presence of the multipath signals. In these cases, we observe spurious signals across the frequency domain, in addition to what appears as offsets and secular trends. Velocity biases of more than 1mm/yr are evident at some few sites. The propagated signal in the vertical component is consistent with a noise model with a spectral index marginally above flicker noise (mean index -1.4), with some sites exhibiting power law magnitudes at comparable levels to actual height time series generated in GIPSY. The propagated signal also shows clear spectral peaks across all coordinate components at harmonics of the draconitic year for a GPS satellite (351.2 days). When a perfectly repeating synthetic GPS constellation is used, the simulations show near-negligible power law

  13. High-resolution of trace elements (Mg, U, Sr, Ba and Zn) in speleothems as Holocene palaeoclimatic proxies: Père Noël cave, Belgium

    NASA Astrophysics Data System (ADS)

    Allan, Mohammed; Verheyden, Sophie; Riotte, Jean; Ghaleb, Bassam; Chmeleff, Jerome; fagel, Nathalie

    2013-04-01

    Speleothems are now regarded as valuable archives of climatic conditions on the continents, offering the advantages of absolute U-series dating relative to other continental climate proxy recorders such as lake sediments and peat cores. High spatial resolution measurements of Mg, U, Sr, Ba and Zn were realized by laser-ablation inductively coupled plasma mass spectrometry in the Belgian Père Noël cave Holocene stalagmite (Verheyden et al., 2000, 2008). The stalagmite of 65 cm long was deposited from ~12000 years to ~2000 years dated by U/Th method. Mg, Sr, Ba, U, and Zn are known as indicators for hydrological conditions (e.g. Ayalon et al., 1999; Fairchild et al., 2000). Mg, Sr, Ba concentrations are positively correlated (r> 0.7) with similar changes in the δ 13C implying similar processes influence their concentration changes. U has an inverse relationship with δ 13C. The study suggests that trace elements in the Père Noël stalagmite have the potential to provide high resolution insights into variability in water recharge during the Holocene. References Ayalon A., Bar-Matthews M. and Kaufman A., 1999. Petrography, strontium, barium and uranium concentrations, and strontium and uranium isotope ratios in speleothems as palaeoclimatic proxies: Soreq cave, Israel. The Holocene 9 (6), 715-722. Fairchild I.J., Borsato A., Tooth A.F.,Frisia S., Hawkesworth C.J., Huang Y., Mcdermott F. and Spiro B., 2000. Controls on trace element (Sr-Mg) compositions of carbonate cave waters: implications for speleothem climatic records. Chemical Geology 166, 255-269. Verheyden S., Keppens E. , Fairchild I.J., Mc Dermott F. and D. Weis, 2000. Sr isotope geochemistry of a Belgian Holocene speleothem: implications for paleoclimate reconstructions. Chemical Geology, 169: 131 144. Verheyden S., Genty D., Deflandre G., Quinif Y. and Keppens E., 2008. Monitoring climatological, hydrological and geochemical parameters in the Père Noël cave (Belgium): Implication for the interpretation

  14. A Long Term View of Forest Response to Environmental Change: 25 Years of Studying Harvard Forest

    NASA Astrophysics Data System (ADS)

    Munger, J. W.; Wofsy, S. C.; Lindaas, J.; David, F.; David, O.

    2014-12-01

    Forests influence the budgets of greenhouse gases, and understanding how they will respond to environmental change is critical to accurately predicting future GHG trends. The time scale for climate change is long and forest growth is slow, thus very long measurement periods are required to observe meaningful forest response. We established an eddy flux tower within a mixed forest stand dominated by red oak and red maple at the Harvard Forest LTER site in 1989 where CO2, H2O and energy fluxes together with meteorological observations have been measured continuously. An array of plots for biometric measurements was established in 1993. Flux measurement at an adjacent hemlock stand began in 2000. Records of land use and disturbance and vegetation plot data extend back to 1907. The combined suite of measurements merges observations of instantaneous ecosystem responses to environmental forcing with details of vegetation dynamics and forest growth that represent the emergent properties relevant to long-term ecosystem change. Both the deciduous stand and hemlock stand are accumulating biomass. Each has added over 20 Mg-C ha-1 as woody biomass in trees >10cm dbh since 1990, even though the hemlock stand is older. Net carbon exchange shows enhanced uptake in early spring and late fall months in response to warmer temperatures and likely an increase in evergreen foliage at the deciduous site. Net carbon uptake efficiency at the deciduous stand has increased over time as well as indicated by peak NEE under optimum light conditions. The trend is only partly explained by variation in mean leaf area index and cannot be directly attributed to climate response. The combination of longer growing season and increased uptake efficiency yields a general trend of increasing annual NEE (Fig. 1). However, significant excursions in the trend highlight the sensitivity of forest carbon stocks. The pulse of high annual carbon uptake (peak 6 Mg-C ha-1y-1 in 2008) from 2000-2008 is only

  15. Traffic-related air quality trends in São Paulo, Brazil

    NASA Astrophysics Data System (ADS)

    Pérez-Martínez, Pedro José; Fátima Andrade, María.; Miranda, Regina Maura

    2015-06-01

    making a greater contribution during the 2000-2008 period, whereas HDVs made a greater contribution during the 2009-2013 period, and decreases in NOx emissions resulted in increases in O3 observations.

  16. Long-term elevated atmospheric CO2 enhances forest productivity

    NASA Astrophysics Data System (ADS)

    Loecke, T. D.; Groffman, P. M.; Treseder, K. K.; LaDeau, S.

    2011-12-01

    Global atmospheric CO2 concentrations are increasing at historically unprecedented but ecologically gradual rates. The implications of this perturbation for carbon sequestration and feedback on global climate change are difficult to predict due in part to its gradual and largely uniform nature. We used long-term (>40 years) spatial gradients in atmospheric CO2 concentration, produced by spatially heterogeneous fossil fuel combustion along a rural to urban transect, to test the hypotheses that 1) rural to urban CO2 spatial gradients are useful analogs for gradual climate change and 2) higher atmospheric CO2 concentration promotes tree growth and C sequestration. Fossil fuel derived CO2 imparts a distinctive 14C isotopic signature on atmospheric CO2; as this CO2 is fixed into annual tree rings, a proxy for fossil fuel derived CO2 is preserved. Ten four-year tree ring segments were analyzed for α-cellulose 14C content by AMS from trees within 10 closed canopy forested sites in the Baltimore Maryland metropolitan area. Tree growth parameters were assessed by measuring the annual ring width change of 224 trees across the 10 sites. A hierarchical Bayesian model was constructed to determine the influence of CO2 concentration and other site and environmental factors on tree growth. Our proxy for historical CO2 concentrations indicates a detectable but diminishing spatial CO2 gradient across the rural to urban transect that ranged from a 5.6% gradient during the 1970s to a 1.4% gradient in recent years (2000-2008). This observation is consistent with urban deindustrialization and concurrent expansion of suburban development. As an analog for future atmospheric conditions, this spatial gradient is equivalent to a temporal gradient of ca. 15, 7.2, 9.8, 2.6 years of atmospheric CO2 rise during the past four decades. The CO2 spatial gradient had an overall positive effect on tree size adjusted ring width growth. Modeled air surface temperature differences among sites indicate

  17. [Hospital readmissions in Portugal over the last decade].

    PubMed

    Sousa-Pinto, Bernardo; Gomes, Ana Rita; Oliveira, Andreia; Ivo, Carlos; Costa, Gustavo; Ramos, João; Silva, Joel; Carneiro, Maria Carolina; Domingues, Maria João; Cunha, Maria João; Costa-Pereira, Altamiro Da; Freitas, Alberto

    2013-01-01

    Introdução: Os reinternamentos hospitalares estão associados a um incremento das despesas com a saúde e da mortalidade intrahospitalar. Neste trabalho, pretende-se caracterizar os reinternamentos hospitalares não-planeados, ocorridos num período de 30 dias após alta, de acordo com a sua Grande Categoria Diagnóstica, contexto hospitalar e características demográficas dos utentes, bem como estimar as taxas de mortalidade associadas. Pretende-se também estudar a evolução da taxa de reinternamentos na última década (2000-2008). Procurar-se-á ainda caracterizar os reinternamentos por insuficiência cardíaca.Material e Métodos: Procedeu-se à análise estatística da base de dados de internamentos hospitalares públicos fornecida pelaAutoridade Central do Sistema de Saúde. Recorreu-se aos testes do qui-quadrado e de tendência para comparação de taxas dereinternamentos.Resultados: Das 5 514 331 hospitalizações não-planeadas no período em estudo, 4,1% corresponderam a reinternamentos hospitalares. Entre 2000 e 2008, a taxa de reinternamentos hospitalares aumentou continuamente de 3,0% para 4,7%. A mortalidade hospitalar foi significativamente maior entre os episódios de reinternamento (9,5%) do que nos restantes episódios (5,6%), p < 0,001. A taxa de reinternamentos foi significativamente maior em homens (4,5% versus 3,9% nas mulheres, p < 0,001) e doentes mais velhos (2,6% nas crianças e 5,3% nos idosos), sendo menor na região de Lisboa (2,7%) e nos hospitais centrais (3,0%, p < 0,001). Para os episódios de insuficiência cardíaca, foi obtida uma taxa de reinternamentos de 6,7%.Discussão e Conclusão: Em termos gerais, as diferenças encontradas são similares às descritas noutros Países Ocidentais. Os episódios de reinternamento, cujas taxas têm vindo a aumentar em Portugal, estão associados a maior mortalidade intra-hospitalar.

  18. Verification of Atmospheric Signals Associated with Major Seismicity by Space and Terrestrial Observations

    NASA Astrophysics Data System (ADS)

    Ouzounov, D.; Pulinets, S.; Taylor, P.; Bryant, N.; Cervone, G.; Kafatos, M.; Habib, S.

    2008-12-01

    Observations from the last twenty years suggest the existence of electromagnetic (EM) phenomena during or preceding some earthquakes [Hayakawa et al, 2004; Pulinets at al, 1999,2004, 2006, Ouzounov et al, 2007 and Liu et al, 2004]. Both our previous studies [Pulinets at al, 2005, 2006, Ouzounov et al, 2006, 2007] and the latest review by the Earthquake Remote Precursor Sensing panel [ERPS; 2003-2005]; have shown that there were precursory atmospheric TIR signals observed on the ground and in space associated with several recent earthquakes. [Tramutoli et al, 2005, 2006, Cervone et al, 2006, Ouzounov et al, 2004,2006]. To study these signals, we applied both multi parameter statistical analysis and data mining methods that require systematic measurements from an Integrated Sensor Web of observations of several physical and environmental parameters. These include long wave earth infra-red radiation, ionospheric electrical and magnetic parameters, temperature and humidity of the boundary layer, seismicity and may be associated with major earthquakes. Our goal is to verify the earthquake atmospheric correlation in two cases: (i) backward analysis - 2000-2008 hindcast monitoring of multi atmospheric parameters over the Kamchatka region, Russia ; and (ii) forward real-time alert analysis over different seismo-tectonic regions for California, Turkey, Taiwan and Japan. Our latest results, from several post-earthquake independent analyses of more then 100 major earthquakes, show that joint satellite and some ground measurements, using an integrated web, could provide a capability for observing pre-earthquake atmospheric signals by combining the information from multiple sensors into a common framework. Using our methodology, we evaluated and compared the observed signals preceding the latest M7.9 Sichuan earthquake (05/12/2008), M8.0 earthquake in Peru (08/15/2007), M7.6 Kashmir earthquake (10/08/2005) and M9.0 Sumatra earthquake (12/26/2004). We found evidence of the

  19. Phenology Shifts at Start vs. End of Growing Season in Temperate Vegetation Over the Northern Hemisphere for the Period 1982-2008

    NASA Technical Reports Server (NTRS)

    Jeong, Su-Jong; Ho, Chang-Hoi; Gim, Hyeon-Ju; Brown, Molley E.

    2011-01-01

    Changes in vegetative growing seasons are dominant indicators of the dynamic response of ecosystems to climate change. Therefore, knowledge of growing seasons over the past decades is essential to predict ecosystem changes. In this study, the long-term changes in the growing seasons of temperate vegetation over the Northern Hemisphere were examined by analyzing satellite-measured normalized difference vegetation index and reanalysis temperature during 1982 2008. Results showed that the length of the growing season (LOS) increased over the analysis period; however, the role of changes at the start of the growing season (SOS) and at the end of the growing season (EOS) differed depending on the time period. On a hemispheric scale, SOS advanced by 5.2 days in the early period (1982-1999) but advanced by only 0.2 days in the later period (2000-2008). EOS was delayed by 4.3 days in the early period, and it was further delayed by another 2.3 days in the later period. The difference between SOS and EOS in the later period was due to less warming during the preseason (January-April) before SOS compared with the magnitude of warming in the preseason (June September) before EOS. At a regional scale, delayed EOS in later periods was shown. In North America, EOS was delayed by 8.1 days in the early period and delayed by another 1.3 days in the later period. In Europe, the delayed EOS by 8.2 days was more significant than the advanced SOS by 3.2 days in the later period. However, in East Asia, the overall increase in LOS during the early period was weakened in the later period. Admitting regional heterogeneity, changes in hemispheric features suggest that the longer-lasting vegetation growth in recent decades can be attributed to extended leaf senescence in autumn rather than earlier spring leaf-out. Keywords: climate change, growing season, NDVI (normalized difference vegetation index), Northern Hemisphere, phenology,

  20. Alpha Virginis: line-profile variations and orbital elements

    NASA Astrophysics Data System (ADS)

    Harrington, David; Koenigsberger, Gloria; Olguín, Enrique; Ilyin, Ilya; Berdyugina, Svetlana V.; Lara, Bruno; Moreno, Edmundo

    2016-05-01

    Context. Alpha Virginis (Spica) is a B-type binary system whose proximity and brightness allow detailed investigations of the internal structure and evolution of stars undergoing time-variable tidal interactions. Previous studies have led to the conclusion that the internal structure of Spica's primary star may be more centrally condensed than predicted by theoretical models of single stars, raising the possibility that the interactions could lead to effects that are currently neglected in structure and evolution calculations. The key parameters in confirming this result are the values of the orbital eccentricity e, the apsidal period U, and the primary star's radius, R1. Aims: The aim of this paper is to analyze the impact that Spica's line profile variability has on the derivation of its orbital elements and to explore the use of the variability for constraining R1. Methods: We use high signal-to-noise and high spectral resolution observations obtained in 2000, 2008, and 2013 to derive the orbital elements from fits to the radial velocity curves. We produce synthetic line profiles using an ab initio tidal interaction model. Results: The general variations in the line profiles can be understood in terms of the tidal flows, whose large-scale structure is relatively fixed in the rotating binary system reference frame. Fits to the radial velocity curves yield e = 0.108 ± 0.014. However, the analogous RV curves from theoretical line profiles indicate that the distortion in the lines causes the fitted value of e to depend on the argument of periastron; i.e., on the epoch of observation. As a result, the actual value of e may be as high as 0.125. We find that U = 117.9 ± 1.8, which is in agreement with previous determinations. Using the value R1 = 6.8 R⊙ derived by Palate et al. (2013) the value of the observational internal structure constant k2,obs is consistent with theory. We confirm the presence of variability in the line profiles of the secondary star. RV

  1. Significance of isolated hepatic veno-occlusive disease/sinusoidal obstruction syndrome after liver transplantation.

    PubMed

    Sebagh, Mylène; Azoulay, Daniel; Roche, Bruno; Hoti, Emir; Karam, Vincent; Teicher, Elina; Bonhomme-Faivre, Laurence; Saliba, Faouzi; Duclos-Vallée, Jean-Charles; Samuel, Didier

    2011-07-01

    After liver transplantation (LT), hepatic veno-occlusive disease (VOD), which is also known as sinusoidal obstruction syndrome (SOS), has been reported initially in relation to azathioprine use and subsequently in relation to acute rejection (AR). Isolated veno-occlusive disease (iVOD)/SOS raises some questions about its significance and especially its treatment. From the post-LT biopsy samples of 1364 patients (2000-2008), 31 patients with index biopsy samples showing VOD/SOS (2.3%) were identified. After a review of the index biopsy samples and previous biopsy samples, those patients not exposed to azathioprine therapy were subdivided into 2 groups according to the absence or presence of AR. Fifteen of the 31 patients had no previous evidence of AR, whereas 16 experienced episodes of AR (before or concurrently with VOD). The 2 groups were similar in terms of demographic and clinical data and the range of histological centrilobular changes. AR episodes were characterized by an endothelial predilection. iVOD/SOS occurred later than acute rejection-related veno-occlusive disease (AR-VOD)/SOS (mean times of 65 and 4.4 months, respectively, P = 0.0098). There was a tendency for iVOD/SOS to progress less frequently to chronic rejection in comparison with AR-VOD/SOS (3/15 versus 9/15, P = 0.06). The histological resolution of iVOD/SOS was significantly more frequent in patients who benefited from increased immunosuppression in comparison with those who did not (5/7 versus 2/8, P = 0.05). When the groups were considered together, the same result was obtained (14/18 versus 4/12, P = 0.024). In conclusion, despite a constant overall prevalence of VOD/SOS, the proportion of iVOD/SOS has increased. The histological resolution of iVOD/SOS after increase in immunosuppression suggests an immune-mediated origin. Better optimization of immunosuppression may be a curative treatment.

  2. Rapid Fire Damage Assessment by Using a Synergic Approach with Radar and Optical Data

    NASA Astrophysics Data System (ADS)

    Cadau, Enrico G.; Burini, Alessandro; Putignano, Cosimo; Goryl, Philippe; Gascon, Ferran; Miranda, Nuno; Laur, Henri

    2010-12-01

    Forest fires represent the main cause of forest degradation in the Mediterranean area. This phenomenon, progressively increasing, reached an average of 57,000 fires per year in the period 2000-2008 with the destruction of almost 450,000 ha of vegetated areas in southern European countries. Fires occurring in the Mediterranean area are rarely significant in terms of pollution or greenhouse gases released to the atmosphere. Nevertheless, they have a dramatic impact on forest and scrub in regions with relatively sparse vegetation, as well as on human lives and infrastructures. The most effective passive remote- sensing methods for detecting and mapping burn scars in vegetated areas, rely upon the observation of near- infrared (NIR) and short-wavelength infrared (SWIR) bands, with wavelengths comprised between 0.8 and 2.3μm. An innovative method to separate reflectance variation due to vegetation damages from changes due to other factors influencing the at-satellite reflectance is that of identifying pseudo-invariant features to be used as reference targets in different scenes. On the other hand, SAR seems to be another good candidate for fire assessment, because of sensitivity of backscattering to the geometric structure of targets and surfaces, particularly during the fire, when the smoke makes the approach with optical sensors not feasible. The incident wave is influenced by several target's parameters, such as moisture, orientation, roughness. When a fire occurs, the landscape is modified dramatically; the grassland, the leaves and bushes are completely burned, while the trunks can disappear depending on the fire intensity. The backscattering of a vegetated area is mainly dominated by a volumetric scattering mechanism, with the backscattered wave is highly depolarized; after a fire, when all the vegetation has been burnt, the backscattering is dominated by a surface scattering mechanism (burnt soil) or by the double bounce mechanism (by the presence of scattered

  3. A comparison of methods for smoothing and gap filling time series of remote sensing observations - application to MODIS LAI products

    NASA Astrophysics Data System (ADS)

    Kandasamy, S.; Baret, F.; Verger, A.; Neveux, P.; Weiss, M.

    2013-06-01

    Moderate resolution satellite sensors including MODIS (Moderate Resolution Imaging Spectroradiometer) already provide more than 10 yr of observations well suited to describe and understand the dynamics of earth's surface. However, these time series are associated with significant uncertainties and incomplete because of cloud cover. This study compares eight methods designed to improve the continuity by filling gaps and consistency by smoothing the time course. It includes methods exploiting the time series as a whole (iterative caterpillar singular spectrum analysis (ICSSA), empirical mode decomposition (EMD), low pass filtering (LPF) and Whittaker smoother (Whit)) as well as methods working on limited temporal windows of a few weeks to few months (adaptive Savitzky-Golay filter (SGF), temporal smoothing and gap filling (TSGF), and asymmetric Gaussian function (AGF)), in addition to the simple climatological LAI yearly profile (Clim). Methods were applied to the MODIS leaf area index product for the period 2000-2008 and over 25 sites showed a large range of seasonal patterns. Performances were discussed with emphasis on the balance achieved by each method between accuracy and roughness depending on the fraction of missing observations and the length of the gaps. Results demonstrate that the EMD, LPF and AGF methods were failing because of a significant fraction of gaps (more than 20%), while ICSSA, Whit and SGF were always providing estimates for dates with missing data. TSGF (Clim) was able to fill more than 50% of the gaps for sites with more than 60% (80%) fraction of gaps. However, investigation of the accuracy of the reconstructed values shows that it degrades rapidly for sites with more than 20% missing data, particularly for ICSSA, Whit and SGF. In these conditions, TSGF provides the best performances that are significantly better than the simple Clim for gaps shorter than about 100 days. The roughness of the reconstructed temporal profiles shows large

  4. A comparison of methods for smoothing and gap filling time series of remote sensing observations: application to MODIS LAI products

    NASA Astrophysics Data System (ADS)

    Kandasamy, S.; Baret, F.; Verger, A.; Neveux, P.; Weiss, M.

    2012-12-01

    Moderate resolution satellite sensors including MODIS already provide more than 10 yr of observations well suited to describe and understand the dynamics of the Earth surface. However, these time series are incomplete because of cloud cover and associated with significant uncertainties. This study compares eight methods designed to improve the continuity by filling gaps and the consistency by smoothing the time course. It includes methods exploiting the time series as a whole (Iterative caterpillar singular spectrum analysis (ICSSA), empirical mode decomposition (EMD), low pass filtering (LPF) and Whittaker smoother (Whit)) as well as methods working on limited temporal windows of few weeks to few months (Adaptive Savitzky-Golay filter (SGF), temporal smoothing and gap filling (TSGF) and asymmetric Gaussian function (AGF)) in addition to the simple climatological LAI yearly profile (Clim). Methods were applied to MODIS leaf area index product for the period 2000-2008 over 25 sites showing a large range of seasonal patterns. Performances were discussed with emphasis on the balance achieved by each method between accuracy and roughness depending on the fraction of missing observations and the length of the gaps. Results demonstrate that EMD, LPF and AGF methods were failing in case of significant fraction of gaps (%Gap > 20%), while ICSSA, Whit and SGF were always providing estimates for dates with missing data. TSGF (respectively Clim) was able to fill more than 50% of the gaps for sites with more than 60% (resp. 80%) fraction of gaps. However, investigation of the accuracy of the reconstructed values shows that it degrades rapidly for sites with more than 20% missing data, particularly for ICSSA, Whit and SGF. In these conditions, TSGF provides the best performances significantly better than the simple Clim for gaps shorter than about 100 days. The roughness of the reconstructed temporal profiles shows large differences between the several methods, with a decrease

  5. [Prevalence and associated risk factors of arterial hypertension in Sobremonte and Ojo de Agua Departments in Cordoba State].

    PubMed

    Pedraza, Antonio; Camino Willhuber, Gastón; Chaile, Iván

    2008-01-01

    Arterial Hypertension (AH) is a disease with multiple risk factors (RF), and it is one of the most important risk factor for cardiovascular diseases. The objective of this study was to determine the prevalence of AH in Sobremonte area and its correlation to other risk factors. The study was done in an special programme called "Solidarity in Health" (SIH) supported by the College of Medicine at the National University of Córdoba, which provided primary care to residents of Cachi Yaco (Sobremonte Department). It is an small village near Santiago del Estero province located in 226 km from Córdoba city. They went to the city and they examined the patients at the the "French and Berutti" school for nine consecutive years (2000-2008). Sobremonte area is the poorest deparment in the province of Córdoba and it has the highest rate of lowest socio-economic development, and a very deficient health care system.. The only hospital providing primary care is in San Francisco del Chañar, and the access is not free. The study involved the determination of the arterial pressure (AP) according to the seventh "JNC"criteria, body mass index (BMI), levels of alcohol consumption, exercise, salt consumption, diabetes and smoking in all the patients. Additionally, three water samples from different representative zones were collected and tested for sodium concentration. 471 patients were included. The incidence of AH was 43.5% of the patients. (51% men and 36% women). Higher incidence of AH was found in patients between 50 and 59 years old. There was a stadistical difference in the BMI, diabetes, and alcohol consumption between healthy patients and patients with AH. There was not any correlation between AH and exercise. We found higher levels of sodium in the water of this area and it was between 13-35 higher than in C6rdoba city and it was correlated with AH. We conclude that the increased sodium consumption is one of the most important risk factor of AH in this population.

  6. Relationships between present/future climate and PM2.5 concentrations over Europe

    NASA Astrophysics Data System (ADS)

    Lecoeur, E.; Seigneur, C.; Page, C.; Terray, L.

    2012-12-01

    types, obtained by classifying the pressure at sea level, the precipitation, and the temperature. As these variables impact the PM2.5 concentrations, these weather types are build to be discriminatory for PM2.5 concentrations. We investigate the relationships between theses weather types and the PM2.5 concentrations for 2000-2008. By assuming that the weather types will remain the same in the future (stationarity), we use different model predictions provided by the IPCC to study how the frequency of the weather types will change in the future, and how this climate change will affect the PM2.5 concentrations.

  7. Reducing Uncertainty in Characterization of the Vadose Zone for Modeling Groundwater Vulnerability

    NASA Astrophysics Data System (ADS)

    Li, R.; Merchant, J.; Chen, X.; Oglesby, R. J.; Gosselin, D. C.

    2009-12-01

    Groundwater is the principal source of drinking water for nearly two billion people. Modeling aquifer susceptibility to pollution is critical for implementing programs to protect groundwater quality. Such models typically involve geospatial analysis of the inter-relationships between landscape characteristics (e.g. depth-to-water, soils, aquifer properties, and recharge) that impact pollution risks. It has, however, been especially difficult to characterize the vadose zone, the unsaturated zone between the soil surface and the water table. Working in the Elkhorn River Basin, Nebraska, we demonstrate a novel GIS approach for characterizing the vadose zone such that the uncertainty in groundwater pollution risk assessment modeling is reduced. The method is implemented using standard, widely-available national and state geospatial data. The groundwater level data from 2000-2008 in the study area, retrieved by using Microsoft Excel based web-query from USGS Active Groundwater Level Network, were processed and stored in a geodatabase with uniform horizontal and vertical coordinate systems. GIS queries using an interpolated groundwater level raster layer determined the vadose zone depth at each test-hole location of the study area. The thickness of low-permeability materials within the vadose zone depth, like silt and clay, was calculated at each test-hole location, and then interpolated into the whole study area using the optimized variograph and kriging in GIS. This raster map resulting from geostatistical simulation was used to characterize the vadose zone for the aquifer susceptibility modeling. Different from the traditional qualitative approach, this one captures both horizontal spatial variability and vertical structure of the vadose zone regarding its pollution prevention properties. The results showed that the Lower Elkhorn River Basin has a thick (averages about 14 feet) low-permeability vadose zone generally associated with low pollutant-leaching potential

  8. Monitoring Drought at Continental Scales Using Thermal Remote Sensing of Evapotranspiration (Invited)

    NASA Astrophysics Data System (ADS)

    Anderson, M. C.; Hain, C.; Mecikalski, J. R.; Kustas, W. P.

    2009-12-01

    assessing standard meteorologically-based drought indicators, and may be more robust in regions with limited monitoring networks. In this study, monthly maps of ESI anomalies for 2000-2008 are compared to standard drought indices and to drought classifications in the U.S. Drought Monitor. The ESI shows better skill in ranking drought severity than do precipitation-based indices composited over comparable time intervals. The thermal remote sensing inputs to ALEXI detect drought conditions even under the dense forest cover along the East Coast of the United States, where microwave soil moisture retrievals typically lose sensitivity. On the other hand, microwave observations are not constrained by cloud cover and provide better temporal continuity, but typically at significantly lower spatial resolution. A merged TIR-microwave moisture anomaly product may have potential for optimizing both spatial and temporal coverage in continental-scale drought monitoring.

  9. Prevalence of human rotavirus genotypes in Wuhan, China, during 2008-2011: changing trend of predominant genotypes and emergence of strains with the P[8]b subtype of the VP4 gene.

    PubMed

    Wang, Yuan-Hong; Zhou, Xuan; Ghosh, Souvik; Zhou, Dun-Jin; Pang, Bei-Bei; Peng, Jin-Song; Hu, Quan; Kobayashi, Nobumichi

    2011-12-01

    Hospital-based surveillance of rotavirus genotypes was conducted in Wuhan, China, between March 2008 and May 2011. The detection rates of group A rotavirus were 24.6% (458/1859) and 12.1% (96/795) in children and adults, respectively, with diarrhea. Among the 554 positive specimens, the most frequent genotype was G3P[8] (57.9%), followed by G1P[8] (29.4%). Compared with previous studies in Wuhan (2000-2008), the relative frequency of G3P[8] has been decreasing year by year, while the predominant genotype G3 shifted to G1 in 2011. In the present study, a rare P[8]b subtype of the VP4 gene (OP354-like P[8]) was identified in nine strains. Full-length sequences of VP7, VP4, VP6 and NSP4 genes of two G9P[8]b strains (RVA/Human-wt/CHN/E1545/2009/G9P[8]b and RVA/Human-wt/CHN/Z1108/2008/G9P[8]b) were determined for phylogenetic analysis. The four genes of these strains were closely related to one another, and the G9-VP7 genes of these strains belonged to lineage III, which contains globally spreading G9 rotaviruses. The full-length sequence of VP4 gene segments of the P[8]b strains in Wuhan clustered with those of P[8]b strains in Vietnam, Russia and Belgium, while they were distinct from those of the OP354 strain from Malawi and Bangladeshi strains. The VP6 and NSP4 genes of two P[8]b strains belonged to the I1 and E1 genotype, respectively, and clustered with those of strains belonging to Wa-like human rotaviruses from various Asian countries. These findings indicate the changing epidemiologic trend of rotavirus genotypes in Wuhan, i.e., the shift of the predominant type from G3 to G1 and the emergence of P[8]b strains genetically related to those distributed in other Asian countries.

  10. Household exposure to violence and human rights violations in western Bangladesh (II): history of torture and other traumatic experience of violence and functional assessment of victims

    PubMed Central

    2009-01-01

    Background Organised crime and political violence (OPV) and human rights violations have marred Bangladesh history since 1971. Little is known about the consequences for the oppressed population. This study describes the patterns of OPV and human rights violations in a disturbed area of Bangladesh and assesses the physical, emotional and social functioning of victims. Methods A total of 236 of selected participants in a household survey in Meherpur district were recruited for a detailed study. Interviews and physical examinations were used to obtain information about history of torture and other cruel, inhuman or degrading treatment or punishment (TCIDTP), and about injuries, pain frequency and intensity. Handgrip strength and standing balance performance were measured. The "WHO-5 Well-being" scale was used to assess the subjective emotional well-being of study participants. Results The majority of the reported cases of TCIDTP occurred in 2000-2008, 51% of incidents occurred during winter; 32.0% between 20:00 and midnight. Police involvement was reported in 75% of cases. Incidents took place at victims' homes (46.7%), or at the police station, military camp, in custody or in prison (21.9%). Participants experienced 1-10 TCIDTP methods and reported 0-6 injury locations on their bodies; 77.5% reported having at least two injuries. Less than half of the participants were able to stand on one leg for 30 seconds. Only 7.5% of males aged 25-44 had handgrip strength in both hands exceeding average values for healthy people at the same age. Over 85% of participants scored low (<13) on the 25-point "WHO-5 Well-being" scale. The number of years since the TCIDTP event, pain frequency, the need to quit a job to take care of an injured family member, political involvement, personal conflicts and the fear of neighbourhood violence strongly affected emotional well-being. Good emotional well-being correlated with increased political and social participation. Conclusion A detailed

  11. Trends in central nervous system tumor incidence relative to other common cancers in adults, adolescents, and children in the United States, 2000 to 2010

    PubMed Central

    Gittleman, Haley R; Ostrom, Quinn T; Rouse, Chaturia D; Dowling, Jacqueline A; de Blank, Peter M; Kruchko, Carol A; Elder, J Bradley; Rosenfeld, Steven S; Selman, Warren R; Sloan, Andrew E; Barnholtz-Sloan, Jill S

    2015-01-01

    BACKGROUND Time trends in cancer incidence rates (IR) are important to measure the changing burden of cancer on a population over time. The overall IR of cancer in the United States is declining. Although central nervous system tumors (CNST) are rare, they contribute disproportionately to mortality and morbidity. In this analysis, the authors examined trends in the incidence of the most common cancers and CNST between 2000 and 2010. METHODS The current analysis used data from the United States Cancer Statistics publication and the Central Brain Tumor Registry of the United States. Age-adjusted IR per 100,000 population with 95% confidence intervals and the annual percent change (APC) with 95% confidence intervals were calculated for selected common cancers and CNST overall and by age, sex, race/ethnicity, selected histologies, and malignancy status. RESULTS In adults, there were significant decreases in colon (2000-2010: APC, −3.1), breast (2000-2010: APC, −0.8), lung (2000-2010: APC, −1.1), and prostate (2000-2010: APC, −2.4) cancer as well as malignant CNST (2008-2010: APC, −3.1), but a significant increase was noted in nonmalignant CNST (2004-2010: APC, 2.7). In adolescents, there were significant increases in malignant CNST (2000-2008: APC, 1.0) and nonmalignant CNST (2004-2010: APC, 3.9). In children, there were significant increases in acute lymphocytic leukemia (2000-2010: APC, 1.0), non-Hodgkin lymphoma (2000-2010: APC, 0.6), and malignant CNST (2000-2010: APC, 0.6). CONCLUSIONS Surveillance of IR trends is an important way to measure the changing public health and economic burden of cancer. In the current study, there were significant decreases noted in the incidence of adult cancer, whereas adolescent and childhood cancer IR were either stable or increasing. Cancer 2015;121:102–112. © 2014 The Authors. Cancer published by Wiley Periodicals, Inc. on behalf of American Cancer Society. Time trends in cancer incidence rates are important to

  12. Effect of weight, height and BMI on injury outcome in side impact crashes without airbag deployment.

    PubMed

    Pal, Chinmoy; Tomosaburo, Okabe; Vimalathithan, K; Jeyabharath, M; Muthukumar, M; Satheesh, N; Narahari, S

    2014-11-01

    A comprehensive analysis is performed to evaluate the effect of weight, height and body mass index (BMI) of occupants on side impact injuries at different body regions. The accident dataset for this study is based on the National Automotive Sampling System-Crashworthiness Data System (NASS-CDS) for accident year 2000-08. The mean BMI values for driver and front passenger are estimated from all types of crashes using NASS database, which clearly indicates that mean BMI has been increasing over the years in the USA. To study the effect of BMI in side impact injuries, BMI was split into three groups namely (1) thin (BMI<21), (2) normal (BMI 24-27), (3) obese (BMI>30). For more clear identification of the effect of BMI in side impact injuries, a minimum gap of three BMI is set in between each adjacent BMI groups. Car model years from MY1995-1999 to MY2000-2008 are chosen in order to identify the degree of influence of older and newer generation of cars in side impact injuries. Impact locations particularly side-front (F), side-center (P) and side-distributed (Y) are chosen for this analysis. Direction of force (DOF) considered for both near side and far side occupants are 8 o'clock, 9 o'clock, 10 o'clock and 2 o'clock, 3 o'clock and 4 o'clock respectively. Age <60 years is also one of the constraints imposed on data selection to minimize the effect of bone strength on the occurrence of occupant injuries. AIS2+ and AIS3+ injury risk in all body regions have been plotted for the selected three BMI groups of occupant, delta-V 0-60kmph, two sets (old and new) of car model years. The analysis is carried with three approaches: (a) injury risk percentage based on simple graphical method with respect to a single variable, (b) injury distribution method where the injuries are marked on the respective anatomical locations and (c) logistic regression, a statistical method, considers all the related variables together. Lower extremity injury risk appears to be high for thin BMI

  13. Incorporating local land use regression and satellite aerosol optical depth in a hybrid model of spatiotemporal PM2.5 exposures in the Mid-Atlantic states.

    PubMed

    Kloog, Itai; Nordio, Francesco; Coull, Brent A; Schwartz, Joel

    2012-11-06

    Satellite-derived aerosol optical depth (AOD) measurements have the potential to provide spatiotemporally resolved predictions of both long and short-term exposures, but previous studies have generally shown moderate predictive power and lacked detailed high spatio- temporal resolution predictions across large domains. We aimed at extending our previous work by validating our model in another region with different geographical and metrological characteristics, and incorporating fine scale land use regression and nonrandom missingness to better predict PM(2.5) concentrations for days with or without satellite AOD measures. We start by calibrating AOD data for 2000-2008 across the Mid-Atlantic. We used mixed models regressing PM(2.5) measurements against day-specific random intercepts, and fixed and random AOD and temperature slopes. We used inverse probability weighting to account for nonrandom missingness of AOD, nested regions within days to capture spatial variation in the daily calibration, and introduced a penalization method that reduces the dimensionality of the large number of spatial and temporal predictors without selecting different predictors in different locations. We then take advantage of the association between grid-cell specific AOD values and PM(2.5) monitoring data, together with associations between AOD values in neighboring grid cells to develop grid cell predictions when AOD is missing. Finally to get local predictions (at the resolution of 50 m), we regressed the residuals from the predictions for each monitor from these previous steps against the local land use variables specific for each monitor. "Out-of-sample" 10-fold cross-validation was used to quantify the accuracy of our predictions at each step. For all days without AOD values, model performance was excellent (mean "out-of-sample" R(2) = 0.81, year-to-year variation 0.79-0.84). Upon removal of outliers in the PM(2.5) monitoring data, the results of the cross validation procedure was

  14. Valorization of genetic variability for the qualitative improvement of autochthonous grape cultivars of Cirò's terroir through the self-fertilization.

    PubMed

    Meneghetti, Stefano; Gaiotti, Federica; Giust, Mirella; Belfiore, Nicola; Tomasi, Diego

    2015-03-01

    This study uses PCR-derived marker systems to investigate the genetic differences of 22 grapevine accessions obtained through a self-fertilization program using Gaglioppo and Magliocco dolce. The aim of the study was to improve some qualitative parameters, while preserving the adaptive characteristics of these two cultivars to the adverse environmental conditions of the Calabria region (southern Italy). These two Calabrian grapevines have been cultivated within a restricted area and have been placed under a strong anthropic pressure which has limited their phenotypical variability with no selection of higher performant biotypes. Therefore, to have accessions with improved qualitative traits, a program of genetic improvement based on the self-fertilization of Gaglioppo and Magliocco dolce cultivars was performed in 1998, producing 3,122 accessions. Selection cycles were performed in 14 years. A first selection cycle (1998-2000), based on visual inspection of vegetative traits, selected 1,320 accessions, planted in an experimental vineyard in 2000. A second selection cycle (2000-2008), based on phenotypic traits, sanitary aspects, and chemical composition of the grapes, selected 42 accessions, planted in a new experimental vineyard in 2008. A final selection cycle (2008-2012), produced 22 accessions (virus free), with the best agronomic, sanitary, and qualitative aspects: two accessions obtained from Gaglioppo have been selected by color characteristics (i.e., anthocyanin total content and stability); 20 genotypes obtained from Magliocco dolce had a better macro-composition of the grape (i.e., good sugar content with a balanced acidity). SSR analyses were performed to check the self-fertilization process. The study of genetic differences between accessions was performed by AFLPs, SAMPLs, and M-AFLPs. The application of the above-mentioned techniques allowed both to discriminate molecularly the 22 accessions grouped these accessions according to their genetic

  15. Long-term trends in suspended chlorophyll a and vertical particle flux with respect to changing physical conditions in eastern Fram Strait, Arctic Ocean

    NASA Astrophysics Data System (ADS)

    Nöthig, Eva-Maria; Bauerfeind, Eduard; Beszczynska-Möller, Agnieszka; Kraft, Angelina; Bracher, Astrid; Cherkasheva, Alexandra; Fahl, Kirsten; Hardge, Kristin; Kaleschke, Lars; Lalande, Catherine; Metfies, Katja; Peeken, Ilka; Klages, Michael; Soltwedel, Thomas

    2014-05-01

    The Fram Strait is the main gateway for water, heat, sea ice and plankton exchanges between the Arctic Ocean and the North Atlantic. The abundance and composition of phyto- and zooplankton communities is governed to a large extent by key physical factors such as water temperature, salinity, currents, stratification of the water column and the presence or absence of sea ice. With our study we aim at tracing effects of environmental changes in pelagic system structure and impacts on the fate of organic matter produced in the upper water column in a region that is anticipated to react rapidly to climate change. Chlorophyll a, an indicator of biomass standing stock of phytoplankton, has been measured in the upper 100 m of the water column since 1991 during several summer cruises (with RV 'Polarstern') across Fram Strait. Chlorophyll a measurements are used to validate productivity estimates by remote sensing from space. The quantity and composition of export fluxes of organic matter including biomarker have been measured since 2000 by annually moored sediment traps deployed at 200-300m at the AWI long-term observatory HAUSGARTEN in eastern Fram Strait (79°/4°E). Along with sinking particles, zooplankton (so-called 'swimmers') was also caught in the traps. Analyses of the material collected by the sediment traps allowed us to track seasonal and inter-annual changes in the surface waters at HAUSGARTEN. We present temporal trends in the chlorophyll a distribution (1991-2012), in swimmer composition in the traps (2000-2009), and in the export of biomarker (2000-2008), particulate organic carbon, particulate biogenic silica, calcium carbonate, and the protist composition (2000-2012), in relation to the changing sea ice cover and water temperature. Whereas chlorophyll a (integrated values 0-100m) showed only a slight increase, the swimmer composition and the composition of the annual particle flux changed after a warm water event occurring from 2005-2007. The warm anomaly

  16. Changes in Continental Water Storage Caused by Groundwater Depletion Since 1900

    NASA Astrophysics Data System (ADS)

    Konikow, L. F.

    2011-12-01

    Development of groundwater resources for agricultural, industrial, and municipal purposes greatly expanded in the last century, and economic gains from groundwater use have been dramatic. In many places, however, groundwater reserves have been depleted to the extent that water levels have declined tens to hundreds of meters, well yields have decreased, and pumping costs have increased. These impacts tend to reduce the efficiency and sustainability of groundwater development. Much groundwater pumped from confined aquifers is derived from storage losses in adjacent low-permeability confining layers. Depletion in confining layers is difficult to estimate and rarely monitored, but it can greatly exceed the depletion from the confined aquifer itself and groundwater drainage from confining layers is partly irreversible. For example, in the confined Dakota Aquifer, about 98 percent of the water removed from storage was derived from depletion in adjacent confining units. If cumulative long-term regional and global groundwater depletion is large, it will represent a substantial net transfer of water mass from land to the oceans, thereby contributing to sea-level rise. A U.S. national groundwater depletion census was made primarily using direct volumetric approaches; results indicate that about 800 km3 of water was depleted from groundwater systems in the U.S. during the 20th century-equivalent to a sea-level rise of approximately 2.2 mm-and 1,000 km3 through 2008. Cumulative global groundwater depletion since 1900 totals about 3,400 km3 through 2000 and 4,500 km3 through 2008 (equivalent to a sea-level rise of 12.6 mm). The rate of annual depletion has increased markedly since about 1950, with maximum rates occurring during the most recent period (2000-2008), when they averaged about 145 km3/yr (equivalent to 0.40 mm/yr of sea-level rise, or 13% of the reported rate of 3.1 mm/yr during this recent period). Overall, the volume and rate of estimated long-term global

  17. [The use of therapeutic writing in an institutional context].

    PubMed

    Reyes-Iraola, Adriana

    2014-01-01

    Introducción: se expone el efecto del uso de la escritura en un espacio terapéutico-institucional, como un medio para lograr el cambio terapéutico en el paciente y una mayor eficiencia de los tiempos y espacios institucionales. Métodos: se muestran y se sustentan teóricamente en el contexto de la terapia narrativa y colaborativa diferentes formas de uso del documento escrito, además de ejemplos de ellos con la presentación de extractos de escritos de los participantes. La muestra fue conformada por pacientes que acudieron a un hospital de psiquiatría a recibir tratamiento (por medio de internamiento o consulta externa). Resultados: la escritura y el lenguaje oral intercambian significados en un continuo paralelo y demuestran que el proceso terapéutico se produce más allá del tiempo y espacio terapéutico institucional, lo cual alienta las ventajas que ofrece el uso del lenguaje escrito en los procesos psicoterapéuticos orales. Conclusión: la escritura es un recurso intelectual que facilita el pensamiento, pues al escribir la propia experiencia, los eventos que la conforman se logran organizar en el tiempo, lo cual genera una percepción del cambio, una representación de significados y promueve la autoeficacia al producir diferentes relatos de los eventos y la experiencia.

  18. [The effects of 16-weeks pilates mat program on anthropometric variables and body composition in active adult women after a short detraining period].

    PubMed

    Vaquero-Cristóbal, Raquel; Alacid, Fernando; Esparza-Ros, Francisco; Muyor, José M; López-Miñarro, Pedro Ángel

    2015-04-01

    Introducción: Estudios previos han analizado los efectos de la práctica de Pilates mat sobre las variables antropométricas y la composición corporal en poblaciones sedentarias. No existen estudios sobre los beneficios del Pilates en estas varibles tras un corto periodo de desentrenamiento. Objetivo: Determinar el efecto un programa de 16 semanas de Pilates mat sobre las variables antropométricas, la composición coporal y el somatotipo, en mujeres adultas con experiencia previa tras 3 semanas de desentrenamiento. Metodología: A veintiuna mujeres se les realizó una valoración antropométrica completa siguiendo las indicaciones de la ISAK antes y después de un programa de Pilates mat de 16 semanas (2 días a la semana, una hora por día). Todas las mujeres tenían una experiencia previa en la práctica de Pilates mat de entre 1 y 3 años y venían de un proceso de desentrenamiento de 3 semanas (vacaciones de Navidad). Resultados y discusión: Las mujeres mostraron una reducción significativa del peso corporal, el IMC, los pliegues cutáneos individuales del miembro superior (bíceps y tríceps) y el tronco (subescapular, cresta iliaca, supraespinal y abdominal), el sumatorio de 6 y 8 pliegues, la endomorfia y la masa grasa; y un aumento significativo de la masa muscular. El somatotipo medio se clasificó en meso-endomorfo para el pre- (4,91, 4,01, 1,47) y el post-test (4,68, 4,16, 1,69). Ocho mujeres cambiaron su clasificación del somatotipo tras el programa de intervención. Conclusiones: La práctica de Pilates mat durante 16 semanas provocó cambios asociados a una mejora del estado de salud en las variables antropométricas, sobre todo en los pliegues cutáneos que disminuyeron significativamente, la composición corporal (masa grasa y muscular, que disminuyeron y aumentaron, respectivamente) y el somatotipo (una reducción significativa del componente endomórfico) en mujeres con experiencia previa en la práctica de Pilates después de tres semanas

  19. [DIETARY HABITS AND FEEDING BELIEFS OF PEOPLE WITH CROHN'S DISEASE].

    PubMed

    García-Sanjuán, Sofía; Lillo-Crespo, Manuel; Sanjuán-Quiles, Ángela; Richart-Martínez, Miguel

    2015-12-01

    Introducción: la enfermedad de Crohn es una enfermedad crónica de etiopatogenia desconocida. Las consecuencias que esta enfermedad provoca a nivel nutricional dependen de varios factores. Sin embargo, poco se sabe sobre las prácticas nutricionales que adoptan estos pacientes una vez diagnosticados. Objetivo: explorar la experiencia de los afectados en relación con la ingesta alimentaria, con el objetivo futuro de comprender dichas experiencias y diseñar intervenciones eficaces y adecuadas. Metodología y sujetos: se empleó un diseño cualitativo basado en el enfoque etnográfico. Se realizaron 19 entrevistas semiestructuradas, hasta conseguir la saturación de la información, a afectados por la enfermedad de Crohn, en la provincia de Alicante y, posteriormente, se realizó el análisis temático. Resultados: cinco categorías con sus respectivas subcategorías de análisis fueron identificadas a partir de los datos sobre la experiencia de alimentación de las personas entrevistadas. 1) Creencias sobre nutrición y EC, 2) Modificación de los hábitos alimentarios, 3) Búsqueda de información sobre alimentación y EC, 4) El papel de los profesionales, 5) Autogestión. Conclusiones: el conocimiento de los hábitos dietéticos de la persona con EC en una población en la que su dieta se presupone que culturalmente es reconocida como saludable, nos puede dar pautas de abordaje o apoyo profesional tanto en materia de prevención, promoción y educación para la salud, así como sobre su nivel organizativo en las instituciones sanitarias, cosas que actualmente no se tienen en cuenta, puesto que el abordaje de la EC es meramente clínico y con enfoque patológico, pero no desde una perspectiva de salud, fomentando hábitos saludables desde la multidisciplinariedad.

  20. Micosis fungoide e inhibidores del TNFα: ¿riesgo o beneficio?

    PubMed

    Maroñas-Jiménez, Lidia; Burillo-Martínez, Sara; Tous-Romero, Fátima; Rodríguez-Peralto, Jose Luis; Ortiz de Frutos, Javier; Ortiz-Romero, Pablo Luis

    2016-05-15

    The growing use of anti-TNF drugs during the last years has reopened the discussion about the possible increased risk of developing non-Hodgkin lymphoma in patients with such type of treatments. We present our clinical experience and critical opinion about the current situation of such issue regarding cutaneous T-cell lymphomas.El creciente uso de fármacos anti-TNF durante los últimos años ha reabierto el debate sobre el posible aumento de riesgo de linfomas no Hodgkin en los pacientes con este tipo de tratamientos. Presentamos nuestra experiencia clínica y opinión critica sobre la situación actual de este tema en relación a los linfomas cutáneos de células T.

  1. Pedagogia artistica: la conceptualizacion y la creatividad en estudiantes de ciencias de sexto grado

    NASA Astrophysics Data System (ADS)

    Ortiz Colon, Edwin A.

    Se realizo un estudio fenomenologico sobre la conceptualizacion, la creatividad y el valor del dibujo en propiciar un contexto creativo para el aprendizaje de ciencias de sexto grado. La conceptualizacion se interpreto como un proceso que ocurre en las relaciones que los estudiantes establecen entre los temas de estudio y las ideas principales, las experiencias previas, las creencias personales, el tiempo y el valor de la conservacion ambiental. La esencia de la creatividad se definio en funcion de la imaginacion, las destrezas, la intencion, la libertad de pensamiento y expresion y el contexto. El dibujo propicio un ambiente creativo de aprendizaje en las ciencias al facilitar el uso del pensamiento cientifico profundo, el inquirir artistico y la expresion libre.

  2. [Haemorrhagic pineal cysts: two clinical cases successfully treated by means of microsurgery].

    PubMed

    Arevalo, A; Pulido-Rivas, P; Gilo-Arrojo, F; Sola, R G

    2016-09-01

    Introduccion. Los quistes pineales son un hallazgo incidental relativamente frecuente en las pruebas de imagen; sin embargo, la apoplejia pineal se considera rara y se asocia a sintomas graves. Casos clinicos. Varon de 25 a˜os y mujer de 15 a˜os, que acudieron a urgencias con clinica de hipertension intracraneal; mediante pruebas de imagen se confirmo la existencia de una hemorragia pineal. Se les trato con exito mediante microcirugia. Conclusion. En nuestra experiencia, y avalado por la bibliografia, creemos que el mejor tratamiento de esta infrecuente patologia es el abordaje microquirurgico. Sin embargo, no se excluye la posibilidad de que, en un futuro, las tecnicas endoscopicas puedan tener un lugar importante en el tratamiento de la apoplejia pineal.

  3. Eight years of bioethics

    PubMed Central

    Moreno-Exebio, Luis

    2012-01-01

    Este trabajo presenta la experiencia que significó el paso por el Programa Internacional de Formación en Ética de la investigación biomédica y psicosocial del Centro Interdisciplinario de Estudios en Bioética de la Universidad de Chile (2003–2004) y algunas reflexiones respecto de la integración de lo aprendido en mi posterior labor en comités de ética y programas académicos de ética de investigación. Asimismo, en la elaboración de regulaciones que permitan una mejor evaluación ética y científica. PMID:23172984

  4. [Iatrogenic after spinal puncture technique. Prevalence study of headache and associated factors].

    PubMed

    Bauset-Navarro, José Luis; Sánchez-Ortuño, Isabel M; Gómez-Cárdenas, Claudia; Sanz-Monllor, Ainara; Cinesi-Gómez, César; Piñera-Salmerón, Pascual

    2014-03-01

    Objetivo. Establecer la prevalencia existente de cefalea tras practicar una puncion lumbar transdural y los factores de riesgo. Pacientes y metodos. Estudio observacional prospectivo de cohortes. Se reclutaron pacientes del Servicio de Urgencias, del Servicio de Neurologia y del Hospital de Dia. Se recogio la experiencia del facultativo, el numero de punciones, la variacion de plano, la postura del paciente, el anestesico local, el calibre y bisel de la aguja, los grados de inclinacion, la cantidad de liquido, la sobrecarga de fluidoterapia y la indicacion o no de reposo tras la puncion. Tras 48 horas, se establecio la aparicion o no de cefalea. Resultados. Muestra de 59 pacientes, 31 (52,5%) de ellos hombres. Edad media: 47 años; 32 (54,2%) procedentes de Urgencias, 18 (30,5%) de Neurologia y 9 (15,3%) del Hospital de Dia. Hubo 41 (69,5%) en decubito lateral y 7 (11,9%) en sedestacion. Todos con agujas biseladas, 21 (35,6%) del calibre 20 y 38 (64,4%) del calibre 22. Sin reposo estuvieron 8 (13,56%) pacientes y 18 (33,3%) sin sobrecarga de fluidos. Veintitres (38,98%) con cefalea pospuncion lumbar, 12 (52,2%) mujeres, con una edad media de 38,3 ± 16,4 años. La mediana de intensidad de la cefalea fue de 2,6. El tiempo medio de aparicion fue de siete horas. Sin diferencias para ninguno de los factores estudiados, salvo la tendencia observada de mayor incidencia de cefalea a menor edad. Conclusiones. La cefalea pospuncion lumbar en nuestra serie es elevada, sin diferencias segun el servicio donde se practica o la experiencia. Tampoco influye la cantidad de liquido extraido, la posicion del paciente, la indicacion de reposo o la sobrecarga de fluidos.

  5. Evaluation of methods to derive green-up dates based on daily NDVI satellite observations

    NASA Astrophysics Data System (ADS)

    Doktor, Daniel

    2010-05-01

    Bridging the gap between satellite derived green-up dates and in situ phenological observations has been the purpose of many studies over the last decades. Despite substantial advancements in satellite technology and data quality checks there is as yet no universally accepted method for extracting phenological metrics based on satellite derived vegetation indices. Dependent on the respective method derived green-up dates can vary up to serveral weeks using identical data sets. Consequently, it is difficult to compare various studies and to accurately determine an increased vegetation length due to changing temperature patterns as observed by ground phenological networks. Here, I compared how the characteristic NDVI increase over temperate deciduous forests in Germany in spring relates to respective budburst events observed on the ground. MODIS Terra daily surface reflectances with a 250 m resolution (2000-2008) were gathered to compute daily NDVI values. As ground truth, observations of the extensive phenological network of the German Weather Service were used. About 1500 observations per year and species (Beech, Oak and Birch) were available evenly distributed all over Germany. Two filtering methods were tested to reduce the noisy raw data. The first method only keeps NDVI values which are classified as ‚ideal global quality' and applies on those a temporal moving window where values are removed which differ more than 20% of the mean. The second method uses an adaptation of the BISE (Best Index Slope Extraction) algorithm. Subsequently, three functions were fitted to the selected observations: a simple linear interpolation, a sigmoidal function and a double logistic sigmoidal function allowing to approximate two temporally separated green-up signals. The green-up date was then determined at halfway between minimum and maximum (linear interpolation) or at the inflexion point of the sigmoidal curve. A number of global threshold values (NDVI 0.4,0.5,0.6) and

  6. Earthquake statistics, spatiotemporal distribution of foci and source mechanisms as a key to understanding of causes leading to the West Bohemia/Vogtland earthquake swarms

    NASA Astrophysics Data System (ADS)

    Horálek, Josef; Čermáková, Hana; Fischer, Tomáš

    2015-04-01

    The origin of earthquake swarms is still unclear. The swarms typically occur at the plate margins but also in intracontinental areas. West Bohemia-Vogtland represents one of the most active intraplate earthquake-swarm areas in Europe. It is characterised by a frequent reoccurrence of ML < 4.0 swarms and by high activity of crustal fluids. The Nový Kostel focal zone (NK) dominates the recent seismicity of the whole region. There were swarms in 1997, 2000, 2008 and 20011 followed by reactivation in 2013 which forming a focal belt of about 15 x 6 km, focal depths vary from 6 to 15 km. An exceptional non-swarm activity (mainshock-aftershock sequences) up to magnitudes ML = 4.5, stroke the region in May to August 2014, the events were also located in the NK swarm-focal belt. We analysed geometry of the NK focal zone applying the double-difference method to seismicity in the period 1997 - 2014. The swarms are located close to each other at depths between 6 and 13 km, the 2014 maishock-aftershock sequences among them. The 2000 and 2008 swarms were located on the same portion of the NK fault, similarly the swarms of 1997, 2011 and 2013 also occurred on the same fault segment. Other fault segment hosted three mainshock-aftershock sequences of 2014. The individual swarms differ considerably in their evolution, mainly in the rate of the seismic-moment release and foci migration. The frequency-magnitude distributions of all the swarms show bimodal-like character: the most events obey the b-value = 1.0 distribution, however, a group of the largest events (~ML > 2.8) depart significantly from it. Furthermore, we disclose that all the ML > 2.8 swarm events, which occurred in the given time span, are located in a few dense clusters. It implies that the most of seismic energy in the individual swarms has been released in step by step rupturing of one or a few asperities. The source mechanisms have been retrieved in the full moment-tensor description (MT). The mechanism patters of

  7. Geological and Geochemical Criteria for the Estimation of the Area of The Lesser Hinggan for the Endogenous Gold Mineralization (The Far East, Russia)

    NASA Astrophysics Data System (ADS)

    Yurchenko, Yuriy

    2015-04-01

    The Area of the Lesser Hinggan in the middle of the XIX century has been known as one of the Gold areas of the Far East. Exploration of gold in different years were engaged by P.K. Yavorovskiy (1904), E.E. Anert (1928), G.V. Itsikson (1961), V.A. Buryak (1999, 2002, 2003), A.M. Zhirnov (1998, 2000, 2008), L.V. Eyrish (1960, 1964, 1995, 1999, 2002, 2008) and many others. But despite the abundance of factual materials in the problem of the gold metallogeny of the Lesser Hinggan are more aspects that still have not received a answer. Among them is the key issue about indigenous sources of the gold. First for the Lesser Hinggan area, structural-geochemical zoning at 1:200 000 scale was carried out based on the results of the precise analyses of over 2,600 soil and sediment stream samples. Three anomalous geochemical zones and nine anomalous geochemical clusters in their contours specialized for gold mineralization were revealed. Regional clarkes (fersms) for 19 chemical elements were calculated. Geological formations geochemically specialized for gold and their role in endogenous ore-forming processes were defined. Geochemical criteria for endogenous gold mineralization and its ore-formational affiliation were defined as well. Thus, from the geological and geochemical data, are the following signs of the gold mineralization of the Lesser Hinggan: 1. Some geological formations are geochemical specialized by the gold (carbon ("black") schists and ferruginous quartzite Vendian-Cambrian Hinggan series). They're considered as a source of the gold, involved in younger epigenetic processes of mobilization and redistribution of this element; 2. Contrasting geochemical anomalies of the gold and elements satellites in the secondary halos and stream sediments displayed in the contours of the geological formations of a wide age range - terrigenous-carbonate rocks of the Hinggan series, the Paleozoic granitoid massives, the Cretaceous volcanic fields ; 3. Samples of the native gold

  8. Ecosystems resilience to drought: indicators derived from time-series of Earth Observation data

    NASA Astrophysics Data System (ADS)

    Garcia, Monica; Fernández, Nestor; Delibes, Miguel

    2013-04-01

    recovery was characterized by (i) the duration of -effects (ii) resistance to change and (iii) autocorrelation of the time-series. Time series of 2000-2008 from the satellite MODIS and meteorological stations were used. Evapotranspiration was estimated using a surface energy balance contextual or triangle approach using EO data. Analyses were performed at time-steps from 1 month up to 1 year. Among the four ecosystems, wetlands were the most resilient with a faster rate of recovery from drought but at the same time greater transient responses. Perennial vegetation types showed more resistance to drought but higher persistence of effects into the following year, especially shrublands without access to groundwater. Drought effects in pine forests were minimum as they access groundwater during dry periods. Our results suggest that in a future context of higher rainfall extremes, the long-term success in the case of vegetation types with access to the water table might depend on their capability to balance groundwater extractions and rainfall recharge. In the vegetation types without access to the water table their success will depend on their recovery potential after a drought sequence of several years.

  9. Remotely sensed spatio-temporal trends of irrigation agriculture in northwestern India

    NASA Astrophysics Data System (ADS)

    Cela Diaz, F.; Siegfried, T. U.; Vasquez, V.; Pollard, B. S.; Temimi, M.; Narula, K. K.; Lall, U.

    2009-12-01

    Irrigated agricultural production plays a key role in covering the world’s food demand. Its importance will grow in the future given increasing population numbers and uncertain climate. Irrigation, however, has also a major impact on water resources, esp. in the drylands on the planet. For example, most of the large-scale problems of aquifer mining can be linked to groundwater-irrigated agriculture. South Asia is one of these regions of concern where roughly 40 percent of the total global groundwater irrigated area is located. In India, almost half of the total agricultural area is irrigated and it is estimated that groundwater irrigation in the country sustains 27 million ha. Esp. in the northwestern part of the country, water tables are falling at increasing rates that give rise to concern about the future viability of irrigation there. Since the majority of food grains in India are produced in that region, this development is a direct threat to the national food security with potentially global implications. We present a novel remote sensing approach to map the temporal development of irrigated agriculture at large spatial scales with high accuracy. We use time series data from the Moderate Resolution Imaging Spectroradiometer (MODIS) on NDVI and surface temperature as well as high-resolution precipitation data from the Indian Meteorological Department from 2000 - 2008 and ancillary data for our supervised classification approach. A cascade of classifiers was chosen to deal with the problem of obtaining labeled examples. A first stage classifier uses large regions of known irrigated and non-irrigated areas to learn a rough estimate of the multi-dimensional time series signature on variables of interest in non-irrigated areas. An estimate of the probability of non-irrigation is generated and passed to a second stage classifier along with the variables used to derive it. The second stage classifier is trained with a small dataset of very high quality estimates

  10. Structural Preconditions of West Bohemia Earthquake Swarms

    NASA Astrophysics Data System (ADS)

    Novotný, M.; Špičák, A.; Weinlich, F. H.

    2013-07-01

    swarms. The sealed focal domains retain ascending magmatic fluids until their critical pressure and volumes accumulated cause rock micro-fractures perceived as single earthquake bursts. During a swarm period, the focal depths of these sequential events become shallower while their magnitudes grow. We assume that coalescence of the induced micro-fractures forms temporary permeability zones in the final swarm phase and the accumulated fluids release into the overburden via the adjacent fault systems. The fluid release usually occurs after the shallowest events with the strongest magnitudes ML > 3. The seasonal summer declines of hydrostatic pressure in the Cheb Basin aquifer system seem to facilitate and trigger the fluid escape as happened for the 2000, 2008, and 2011 earthquake swarms. The temporary fluid release, known as the valve-fault action, influences the surface aquifer systems in various manners. In particular, we found three quantities, the strain, mantle-derived 3He content in CO2 surface sources and ground water levels, which display a 3-5 months decline before and then a similar restoration after each peak earthquake during the swarm activities. The revealed structure features are particularly important since the main Nový Kostel earthquake swarm area is proposed as a site for the ICDP project, `Eger Rift Drilling'.

  11. Carbon Fluxes in a Managed Landscape: Assessing the Drivers of Temporal and Spatial Variability in Flux Tower, MODIS and Forest Inventory Data of the Pacific Northwest

    NASA Astrophysics Data System (ADS)

    Wharton, S.; Bible, K.; Falk, M.; Paw U, K.

    2010-12-01

    This research focuses on the Wind Late Successional Reserve of Southern Washington where clear-cut logging over the past 100 years has created a fragmented landscape of coniferous forests that range in age from 0 to 500 years. In this study, we integrate several datasets to examine the environmental drivers of carbon exchange in this region across time and space. These sources include: (1) network of flux towers across a disturbance choronosequence, (2) MODIS Enhanced Vegetation Index, (3) aboveground net primary production (ANPP) from forest inventories, (4) and regional precipitation and air temperature measurements from the NOAA network of weather stations and PRISM reanalysis data. Net ecosystem exchange of carbon (NEE) has been measured at the Wind River Canopy Crane AmeriFlux site since 1998. The canopy crane is located in an old-growth forest composed of late seral Douglas-fir (Pseudotsuga menziesii) and western hemlock (Tsuga heterophylla). Two flux towers were erected in early seral stands to study the effects of silviculture on net ecosystem exchange. CO2 uptake at the old-growth stand is highest in the spring before bud break when air and soil temperatures and vapor pressure deficit are relatively low, and soil moisture and light levels are favorable for photosynthesis, while maximum CO2 uptake is observed two to three months later at the early seral stands and coincide with peak leaf area index. This CO2 pattern is driven by different water conserving strategies. A reduction in carbon exchange is observed at the old-growth forest when moisture becomes limiting and canopy conductance rates drop sharply after mid-morning in the summer. In contrast, inhibition in canopy conductance rates and CO2 exchange is not observed at the early seral stands until soil moisture levels become critically low at the very end of the summer. The regional MODIS data (200 km X 200 km area) from 2000-2008 show that annual variability in the Enhanced Vegetation Index (EVI) also

  12. The impact of climate and land use changes on water resources. The application of the integrated hydrological modelling system, IHMS (Invited)

    NASA Astrophysics Data System (ADS)

    Ragab, R.; Bromley, J.; Dörflinger, G.; Katsikides, S.; D'Agostino, D. R.; Lamaddalena, N.; Trisorio, G. L.; Montenegro, S. G.; Montenegro, A.

    2010-12-01

    DiCaSM model has been applied on Mimoso catchment in the Brazilian NE region. The model successfully simulated streamflows (2000 -2008) and forecasted a reduction of 27% to 71%, for ground water recharge, and 26% to 67%, for streamflow. Introducing castor beans would increase the groundwater recharge and streamflow, if the caatinga areas would be converted into castor beans. Changing an area of 1000 ha from caatinga to castor beans would increase the groundwater recharge by 46% and streamflow by 3%. If the same area of pasture is converted into castor beans, there would be an increase of groundwater recharge and streamflow by 24% and 5%, respectively. The examples suggest that IHMS is an effective tool for the authorities to help balance water demand and supply under the climate and land use changes.

  13. Correlation and toxicological inference of trace elements in tissues from stranded and free-ranging bottlenose dolphins (Tursiops truncatus).

    PubMed

    Stavros, Hui-Chen W; Stolen, Megan; Durden, Wendy Noke; McFee, Wayne; Bossart, Gregory D; Fair, Patricia A

    2011-03-01

    The significance of metal concentrations in marine mammals is not well understood and relating concentrations between stranded and free-ranging populations has been difficult. In order to predict liver concentrations in free-ranging dolphins, we examined concentrations of trace elements (Al, As, Ba, Be, Cd, Co, Cu, Fe, Li, Mn, Ni, Pb, Sb, Se, Sn, total Hg (THg), V, Zn) in skin and liver of stranded bottlenose dolphins (Tursiops truncatus) from the South Carolina (SC) coast and the Indian River Lagoon, Florida (FL) during 2000-2008. Significantly higher concentrations of Zn, Fe, Se, Al, Cu and THg were found in skin while liver exhibited significantly higher Cu, Fe, Mn and THg concentrations for both study sites. Mean skin concentrations of Cu and Mn were significantly higher in SC dolphins while higher concentrations of THg and V were found in FL dolphins. In addition, liver tissues in SC dolphins exhibited significantly higher As concentrations while higher Fe, Pb, Se, THg, and V levels were found in FL dolphins. Two elements (Cu and THg) showed significant age-related correlations with skin concentration while five elements (Cu, Se, THg, Zn and V) showed age-related correlations with liver concentrations. Geographic location influenced age-related accumulation of several trace elements and age-related accumulation of THg in hepatic tissue was observed for both sites to have the highest correlations (r² = 0.90SC; r² = 0.69FL). Mean THg concentration in liver was about 10 times higher in FL dolphins (330 μg g⁻¹ dw) than those samples from SC dolphins (34.3 μg g⁻¹ dw). The mean molar ratio of Hg to Se was 0.93 ± 0.32 and 1.08 ± 0.38 for SC and FL dolphins, respectively. However, the Hg:Se ratio varied with age as much lower ratios (0.2-0.4) were found in younger animals. Of the 18 measured elements, only THg was significantly correlated in skin and liver of stranded dolphins and skin of free-ranging dolphins from both sites suggesting that skin may be

  14. A calibration-free evapotranspiration mapping technique

    NASA Astrophysics Data System (ADS)

    Szilagyi, J.

    2010-12-01

    in Central-Europe over the 2000-2008 period, and in Nebraska in Central-North America for 2000-2009. The resulting monthly ET rates have been validated with eddy-covariance measurements at three sites in Hungary with other two sites in Nebraska together with Bowen-ratio station measurements at six additional locations in Nebraska. The vegetation cover of the sites varied greatly, from grass, to agricultural crop, to orchards and forests. On an annual and multi-year basis the ET estimates have also been validated with catchment water-balance data of five watersheds (spanning three magnitudes of spatial scale) in Hungary. On a monthly basis ET estimates typically give an R2 value of 0.8 - 0.9, with a minimum value of 0.73 and maximum of 0.95, and on an annual and multi-year basis a typical value of 0.7 - 0.8 with a minimum of 0 (for riparian forest sites with diminished inter-annual variability) and maximum of 0.91. The mean annual ET estimates remain well within 10% of the measured values.

  15. Validation of Erosion 3D in Lower Saxony - Comparison between modelled soil erosion events and results of a long term monitoring project

    NASA Astrophysics Data System (ADS)

    Bug, Jan; Mosimann, Thomas

    2013-04-01

    obtain better results, the DEM needs a higher resolution, and soil and landuse parameters have to been optimized in tractor tracks and headlands (higher bulk density, less coverage). Other models like LINERO (Bug &Mosimann 2012) can help to get an overview over the location of erosion forms and the soil loss due to rill erosion. References: Bug J., & T. Mosimann (2012): Modellierung der linearen Bodenerosion. Entwicklung eines entscheidungsbasierten Modells zur flächenhaften Prognose der linearen Erosionsaktivität, Geosynthesis 15, Hannover, 105 S. Michael, A., Schmidt, J. & W. A. Schmidt (1996): EROSION 2D/3D - Ein Computermodell zur Simulation der Bodenerosion durch Wasser. Parameterkatalog Sachsen, Freiberg. Mosimann, T., Bug, J. Sanders, S. & F. Beisiegel (2009): Bodenerosionsdauerbeobachtung in Niedersachsen 2000-2008. Methodik, Erosionsgeschehen, Bodenabträge und Anwendung der Ergebnisse, Geosynthesis 14, Hannover, 101 S. Schmidt, J., & M. v. Werner (2000): Modeling sediment and heavy metal yields of drinking water reservoirs in the Osterzgebirge region of Saxony (Germany). In: Schmidt, J. (Ed.), Soil Erosion—Application of Physically Based Models. Springer, Berlin, Heidelberg, New York, pp. 93- 108.

  16. Channel Change and Bed-Material Transport in the Lower Chetco River, Oregon

    USGS Publications Warehouse

    Wallick, J. Rose; Anderson, Scott W.; Cannon, Charles; O'Connor, Jim E.

    2010-01-01

    The lower Chetco River is a wandering gravel-bed river flanked by abundant and large gravel bars formed of coarse bed-material sediment. Since the early twentieth century, the large gravel bars have been a source of commercial aggregate for which ongoing permitting and aquatic habitat concerns have motivated this assessment of historical channel change and sediment transport rates. Analysis of historical channel change and bed-material transport rates for the lower 18 kilometers shows that the upper reaches of the study area are primarily transport zones, with bar positions fixed by valley geometry and active bars mainly providing transient storage of bed material. Downstream reaches, especially near the confluence of the North Fork Chetco River, are zones of active sedimentation and channel migration. Multiple analyses, supported by direct measurements of bedload during winter 2008-09, indicate that since 1970 the mean annual flux of bed material into the study reach has been about 40,000-100,000 cubic meters per year. Downstream tributary input of bed-material sediment, probably averaging 5-30 percent of the influx coming into the study reach from upstream, is approximately balanced by bed-material attrition by abrasion. Probably little bed material leaves the lower river under natural conditions, with most net influx historically accumulating in wider and more dynamic reaches, especially near the North Fork Chetco River confluence, 8 kilometers upstream from the Pacific Ocean. The year-to-year flux, however, varies tremendously. Some years may have less than 3,000 cubic meters of bed material entering the study area; by contrast, some high-flow years, such as 1982 and 1997, likely have more than 150,000 cubic meters entering the reach. For comparison, the estimated annual volume of gravel extracted from the lower Chetco River for commercial aggregate during 2000-2008 has ranged from 32,000 to 90,000 cubic meters and averaged about 59,000 cubic meters per year

  17. Channel Change and Bed-Material Transport in the Lower Chetco River, Oregon

    USGS Publications Warehouse

    Wallick, J. Rose; Anderson, Scott W.; Cannon, Charles; O'Connor, Jim E.

    2009-01-01

    The lower Chetco River is a wandering gravel-bed river flanked by abundant and large gravel bars formed of coarse bed-material sediment. The large gravel bars have been a source of commercial aggregate since the early twentieth century for which ongoing permitting and aquatic habitat concerns have motivated this assessment of historical channel change and sediment transport rates. Analysis of historical channel change and bed-material transport rates for the lower 18 kilometers show that the upper reaches of the study area are primarily transport zones, with bar positions fixed by valley geometry and active bars mainly providing transient storage of bed material. Downstream reaches, especially near the confluence of the North Fork Chetco River, have been zones of active sedimentation and channel migration. Multiple analyses, supported by direct measurements of bedload during winter 2008-09, indicate that since 1970 the mean annual flux of bed material into the study reach has been about 40,000-100,000 cubic meters per year. Downstream tributary input of bed-material sediment, probably averaging 5-30 percent of the influx coming into the study reach from upstream, is approximately balanced by bed-material attrition by abrasion. Probably very little bed material leaves the lower river under natural conditions, with most of the net influx historically accumulating in wider and more dynamic reaches, especially near the North Fork Chetco River confluence, 8 kilometers upstream from the Pacific Ocean. The year-to-year flux, however, varies tremendously. Some years probably have less than 3,000 cubic meters of bed-material entering the study area; by contrast, some high-flow years, such as 1982 and 1997, likely have more than 150,000 cubic meters entering the reach. For comparison, the estimated annual volume of gravel extracted from the lower Chetco River for commercial aggregate during 2000-2008 has ranged from 32,000 to 90,000 cubic meters and averaged about 59

  18. Seismic Tomography Reveals Breaking Crust and Lithosphere Beneath a Classic Orogen

    NASA Astrophysics Data System (ADS)

    Byrne, T. B.; Rau, R.; Kuo-Chen, H.; Lee, Y.; Ouimet, W. B.; Van Soest, M. C.; Huang, C.; Wu, F. T.

    2013-12-01

    erosion, or lower rock uplift rates along the range crest. We propose that the surfaces represent relict topography that formed prior to a recent acceleration in rock uplift rate, consistent with the presence of a propagating crustal-scale crack and slab breakoff. Taken together, these results raise questions about the notion of steady state topography and critically tapered wedges in Taiwan. Kuo-Chen, H., Wu, F., and Roecker, S. W., 2012, Three-dimensional P velocity structures of the lithosphere beneath Taiwan from the analysis of TAIGER and related seismic data sets: Journal Geophysical Research, v. 117, no. B06306. Ching, K.-E., Hsieh, M.-L., Johnson, K., Chen, K.-H., Rau, R.-J., and Yang, M., 2011, Modern vertical deformation rates and mountain building in Taiwan from precise leveling and continuous GPS observations, 2000-2008: Journal Geophysical Research, v. 116, no. B08406.

  19. Glacial recession in the Tropical Andes from the Little Ice Age: the case of Ampato Volcanic Complex (Southern Peru

    NASA Astrophysics Data System (ADS)

    Alcalá, J.; Palacios, D.; Zamorano, J. J.

    2010-03-01

    the Ampato volcanic complex (15º24´- 15º 51´ S, 71º 51´ - 73º W; 6.288 masl), one of the most important complexes of the northern sector of the CVZ. Photointerpretation of aerial photographs and teledetection through satellite images of Huayuray Valley (15º 41´ 14´´ S - 71º 51´ 53´´ W), located to the north of the complex, aided in accurately reconstructing the area occupied by the ice mass at different times (LIA, 1955, 2000 and 2008). Also the paleo-ELA (Equilibrium Line Altitude) and the ELA were calculated using the Accumulation Area (AA) method (Kaser and Osmaston, 2002; Osmaston, 2005) in a GIS. The ELA shows the relationship between climate and glacier mass balance (González Trueba, 2005). The data from Huayuray Valley show that the glaciers reached a minimum altitude of 5400 masl and covered an area of ~2.81 Km2 during the LIA. The paleo-ELA was located at ~5780 masl, ~120 m below the current ELA (~5900 m). Based on a vertical thermal gradient of 0.65ºC/100 m, the temperature during this event would have been about 0.7º C colder than present temperature in the Ampato volcanic complex. In 1955, Huayuray glacier covered ~2.45 km2, 12.8% less than in the LIA. In the same year, the glaciers in the Huayuray valley reached a minimum elevation of ~5660 masl and the ELA rose ~20 m, to 5800 masl. In only 45 years (1955 - 2000) the surface area of the ice was significantly reduced (~1 km2), i.e. 40.8%. The ELA continued to rise, until it reached 5890 masl in 2000. From 2000 - 2008, the Huayuray glacier was reduced to ~0.78 km2 and the ELA rised ~10 m to reach the 5900 masl These results from the CVZ confirm the dramatic recession of the glaciers in the tropical Andes during recent decades. They also suggest that if the rate of recession associated with the period 2000-2008 continues, glaciers in the Ampato volcanic complex will disappear in 10 years approximately. References González Trueba, J.J. (2005): La Pequeña Edad del Hielo en los Picos de

  20. [Integration of a software for hospital nutritional support prescription and the electronic medical record].

    PubMed

    Alfaro Martínez, José Joaquín; López Díaz, Mariano; Hernández López, Antonio; Gonzalvo Díaz, César; Botella Romero, Francisco

    2013-01-01

    Introducción: La prescripción y seguimiento de la nutrición parenteral es un acto médico que debe ser correctamente documentado y que precisa de una adecuada comunicación entre médicos, farmacéuticos y personal de enfermería. Dicha prescripción puede realizarse mediante órdenes y formularios en papel o con aplicaciones informáticas, en cuyo caso surge la dificultad de su integración con el resto de la informática hospitalaria. Presentamos la experiencia de nuestro centro en la integración de un programa informático de prescripción de nutrición hospitalaria con la historia clínica electrónica. Material y métodos: Con objeto de desarrollar una aplicación informática de prescripción de nutrición artificial se llevaron a cabo reuniones entre personal de la Unidad de Nutrición Clínica y el Servicio de Informática donde se establecieron las necesidades de los servicios implicados y las características que debía tener la aplicación. Descripción de la aplicación: El programa informático permite la prescripción de nutrición parenteral componente por componente o mediante plantillas prediseñadas, genera alertas en caso de valores extremos de componentes o posible incompatibilidad físico-química, importa y almacena los resultados de las analíti cas de los pacientes y escribe la composición de la fórmula de nutrición parenteral prescrita en la historia clínica electrónica, entre otras características. Discusión: Nuestra experiencia muestra que la colaboración entre los servicios clínicos y de Informática permite desarrollar aplicaciones hospitalarias adaptadas a la forma de trabajo de los equipos clínicos y que pueden integrarse con el resto de los programas informáticos del hospital.

  1. A Voice and a Vote: The Advisory Board Experiences of Spanish-Speaking Latina Mothers

    PubMed Central

    DeCamp, Lisa Ross; Gregory, Emily; Polk, Sarah; Chrismer, Marilyn Camacho; Giusti, Flor; Thompson, Darcy A.; Sibinga, Erica

    2016-01-01

    Latino children experience disparities in health care access and quality. Family advisory groups for clinics and hospitals may be one way to address disparities. We implemented and sustained an advisory board whose parent participants were exclusively limited-English proficient Latina mothers. As part of the board evaluation, we conducted semistructured individual interviews with parent participants during initial participation and after the final board meeting of the year. Members were satisfied with their board participation in both initial and follow-up interviews. They reported that board membership was an important way to improve clinic services and a unique opportunity for Latinos in the community. Experiences of discrimination and marginalization in health care settings were a theme across interviews. Members reported board membership countered these negative experiences. An advisory board including Spanish-speaking parents is an opportunity to engage vulnerable populations, which may result in broader impact on health care disparities. Los niños latinos experimentan disparidad en el acceso y calidad del cuidado de salud. Grupos de familias asesoras para clínicas y hospitales pueden ser una forma de hacer frente a las disparidades. Nosotros implementamos y sostuvimos un consejo asesor cuyos participantes fueron exclusivamente madres latinas con dominio limitado del inglés. Como parte de la evaluación del consejo, condujimos entrevistas semi-estructuradas individuales con las madres participantes durante la participación inicial y después de la última reunión del año del consejo. Los miembros estaban satisfechas con su participación en el consejo en ambas entrevistas, la inicial y la de seguimiento. Ellas reportaron que ser miembros del consejo era una forma importante para mejorar los servicios de la clínica y una oportunidad única para los latinos en la comunidad. Las experiencias de discriminación y marginalización en las instalaciones de

  2. Community-acquired pneumonia caused by methicillin-resistant Staphylococcus aureus in critically-ill patients: systematic review.

    PubMed

    Carballo, Nuria; De Antonio-Cuscó, Marta; Echeverría-Esnal, Daniel; Luque, Sonia; Salas, Esther; Grau, Santiago

    2017-03-01

    Introducción: La neumonía adquirida en la comunidad (NAC) está relacionada con unas tasas elevadas de morbi-mortalidad. A pesar de que Staphylococcus aureus resistente a meticilina (SARM) se ha relacionado frecuentemente con la neumonía nosocomial, algunos pacientes con NAC por este microorganismo revisten la suficiente gravedad como para precisar su ingreso en la UCI.Objetivos: Efectuar una revisión sistemática de la literatura sobre el tratamiento antibiótico de la NAC por SARM en pacientes críticos.Material y métodos: Se realizó una búsqueda de artículos sobre NAC por SARM en el paciente crítico. Se identificaron las publicaciones pertinentes en PUBMED, BestPractice database, UpTo-Date database y Cochrane Plus Library para artículos publicados en inglés desde diciembre del 2001 hasta abril del 2016. Resultados: Se encontraron 70 publicaciones, incluyendo 13 (18,8%) y excluyendo 57 (81,4%). Predominaron los estudios de cohortes con un total de 6 (20,7%), frente a una única publicación en forma de estudio transversal (3,5%). Conclusiones: La experiencia en el tratamiento de la NAC por SARM en pacientes que precisen ingreso en la UCI es muy limitada. La vancomicina o el linezolid parecen ser las terapias en las que se dispone de una mayor experiencia, aunque no existe ninguna recomendación específica al respecto. Puede ser útil la utilización de vías alternativas como la nebulizada, administración en perfusión continua o en asociación con otros antibióticos.

  3. [The mind-brain problem (II): about consciousness].

    PubMed

    Tirapu-Ustarroz, J; Goni-Saez, F

    2016-08-16

    Introduccion. La conciencia es el resultado de una serie de procesos neurobiologicos en el cerebro y a su vez es un rasgo del nivel de su complejidad. En realidad, el estar y el ser consciente nos situan ante lo que Chalmers ha denominado el 'problema blando' y el 'problema duro' de la conciencia. El primero hace referencia a aspectos como la vigilia, la atencion o el conocimiento, y el segundo a conceptos tan complejos como autoconciencia, 'yo neural' o cognicion social. En este sentido se puede afirmar que el concepto de conciencia como algo unitario plantea problemas de acercamiento a una realidad sumamente compleja. Desarrollo. Planteamos los principales modelos que desde una perspectiva neurocientifica han abordado el tema de la conciencia. Por un lado, los modelos de experiencia consciente de Crick, Edelman y Tononi, y Llinas, y por otro, los modelos y las bases neuronales de la autoconciencia de autores como Damasio (conciencia central y extendida), Tulving (conciencia autonoetica, noetica y cronestesia), el problema de los qualia (Dennett, Popper, Ramachandran) y el modelo de los cognitos (Fuster). Conclusiones. Todos los estimulos que recibimos del mundo externo y de nuestro mundo interno son convertidos y tratados por el cerebro para integrarlos y que formen parte de nuestra identidad. Desde la percepcion de un perro y reconocerlo como tal hasta la comprension de la propia conciencia responden al funcionamiento de estructuras cerebrales, neuronas y sinapsis. Ahora bien, los procesos mas complejos de la conciencia, como la autoconciencia o la empatia, son probablemente procesos emergentes del cerebro.

  4. Factor VIII delivery devices in haemophilia A. Barriers and drivers for treatment adherence.

    PubMed

    Fernández-Arias, Isabel; Kim, Hae Kyung

    2016-11-01

    Introducción y objetivo: Recabar la experiencia de pacientes con hemofilia A con sus dispositivos de reconstitucion de factor de coagulacion, barreras para la adherencia y determinar sus preferencias, presentando una nueva jeringa de doble camara (JDC). Método: Investigacion transversal mediante encuesta dirigida y sesion de prueba de la JDC. Resultados: Participaron 74 pacientes, el 50% en tratamiento con profilaxis, y 7 anos (mediana) con su tratamiento habitual (RIC 17,25). En la encuesta, la JDC recibio la mayor puntuacion (75/100, p < 0,001) y la mayor probabilidad de uso en profilaxis (p < 0,001). En la sesion practica (n = 29), el 62,1% prefirio la JDC y necesitaron de mediana 43 segundos (24,5-82) para la preparacion, vs. 4 minutos (1-15) con el tratamiento habitual (p < 0,001). La opinion favorable del medico respecto a la profilaxis resulto muy influyente en la actitud de los participantes hacia la adherencia (OR = 1,324, IC 95% = 1,040-1,685, p = 0,023). Conclusiones: La JDC fue el dispositivo preferido y se mostro con probabilidad de favorecer la profilaxis.

  5. [Anti-NMDA receptor encephalitis: two paediatric cases].

    PubMed

    González-Toro, M Cristina; Jadraque-Rodríguez, Rocío; Sempere-Pérez, Ángela; Martínez-Pastor, Pedro; Jover-Cerdá, Jenaro; Gómez-Gosálvez, Francisco

    2013-12-01

    Introduccion. La encefalitis asociada a anticuerpos antirreceptores de N-metil-D-aspartato (NMDA) es una patologia neurologica autoinmune documentada en la poblacion pediatrica de manera creciente en los ultimos años. Se presentan dos casos de nuestra experiencia con clinica similar. Casos clinicos. Caso 1: niña de 5 años que inicia un cuadro de convulsiones y alteracion de conciencia, asociando trastornos del movimiento y regresion de habilidades previamente adquiridas que evoluciona a autismo. Caso 2: niña de 13 años que presenta hemiparesia izquierda, movimientos anomalos, trastorno de conducta y disautonomia. En ambos casos se obtienen anticuerpos antirreceptores de NMDA positivos en el liquido cefalorraquideo y se diagnostican de encefalitis antirreceptor de NMDA. En el primer caso se inicia el tratamiento con perfusion intravenosa de corticoides e inmunoglobulinas y es necesario asociar rituximab. En el segundo, corticoides e inmunoglobulinas. La evolucion fue favorable en ambas pacientes, con una leve alteracion del lenguaje como secuela en el primer caso y una recaida en el segundo caso, con resolucion completa. Conclusion. La encefalitis antirreceptor de NMDA es un trastorno tratable y es importante el diagnostico y tratamiento precoz, ya que mejora el pronostico y disminuye las recaidas.

  6. [Depressive phenomenology at the outset of neuropaediatric diseases].

    PubMed

    Narbona, Juan

    2014-02-24

    Introduccion. La depresion, en sus diversas formas, afecta al 8-10% de niños y adolescentes y en la mayor parte de casos su origen es primario, siguiendo el modelo genetico multifactorial. Pero hay una proporcion de pacientes, no bien cuantificada todavia, en la que la depresion acompaña precozmente una enfermedad neurologica o marca un punto de inflexion en el curso de esta. El objetivo es revisar la bibliografia al respecto. Desarrollo. Se observa fenomenologia depresiva, con una frecuencia significativamente mayor que por azar, en niños y adolescentes afectos de epilepsia, trastornos del sueño, cefaleas primarias cronicas recurrentes, enfermedades neurometabolicas y tumores intracraneales. En varias de estas patologias neuropediatricas se hipotetizan puntos de coincidencia fisiopatologica con la depresion a traves de un deficit de disponibilidad cerebral de serotonina y noradrenalina. No se considera aqui la depresion disadaptativa a una neurodiscapacidad cronica. Conclusiones. En niños y adolescentes, los trastornos del animo sintomaticos de enfermedad neurologica deben sospecharse en ausencia de antecedentes familiares o de experiencias vitales que los expliquen. La busqueda sistematica de anomalias neurologicas y los examenes complementarios permitirian en estos casos abordar precozmente el tratamiento de la enfermedad cerebral causante del cuadro depresivo. A su vez, como ocurre en casos de epilepsia, cefaleas o trastorno del sueño, la terapia farmacologica y psicologica del cuadro depresivo contribuye a mejorar la calidad de vida de los afectados.

  7. [Treatment of trigeminal neuralgia: an update and future prospects of percutaneous techniques].

    PubMed

    Bescós, Agustín; Pascual, Vicenç; Escosa-Bage, Marcos; Malaga, Xavier

    2015-08-01

    Introduccion. La neuralgia del trigemino es uno de los sindromes de dolor facial mas graves. La incidencia anual varia entre el 4-13% y altera de forma significativa la calidad de vida de los afectados. Cuando el dolor no puede controlarse con tratamiento farmacologico, existen diferentes opciones quirurgicas. La seleccion de la tecnica esta basada en estudios observacionales y su aplicacion depende de la experiencia de cada centro. Objetivos. Evaluar la efectividad y el nivel de evidencia del tratamiento farmacologico y quirurgico en la neuralgia del trigemino, y analizar el papel actual de las tecnicas percutaneas en el tratamiento de esta patologia. Desarrollo. El tratamiento inicial de la neuralgia del trigemino es el farmacologico y la carbamacepina es el unico farmaco con suficiente nivel de evidencia. Las tecnicas quirurgicas percutaneas son efectivas y de facil aplicacion, pero la tendencia a la recidiva conduce a la preferencia por la microdescompresion vascular. Sin embargo, no hay estudios comparativos que determinen la superioridad de alguna tecnica con buen nivel de evidencia. Se han revisado las tres tecnicas percutaneas mas utilizadas, la compresion con balon, la rizotomia con glicerol y la termocoagulacion por radiofrecuencia. Esta ultima es la que ha presentado mayor desarrollo en los ultimos años, con la aparicion de tecnicas neurofisiologicas que pueden optimizar los resultados. Conclusiones. La seleccion de una tecnica quirurgica en la neuralgia del trigemino no esta bien apoyada por ensayos clinicos aleatorizados. Los nuevos procedimientos en la aplicacion de la radiofrecuencia pueden mejorar las perspectivas del tratamiento de esta patologia.

  8. [Museum diagnosis].

    PubMed

    Lozano-Alcázar, Jaim

    2013-01-01

    antecedentes: en el medio médico de México es común utilizar el término "diagnóstico de camión" para referirse al que puede hacerse sólo con echar un vistazo a alguna persona, gracias al conocimiento y experiencia previos, con algo de imaginación. Eso mismo, como especial privilegio, puede hacer el oftalmólogo al contemplar algunos cuadros de pintores famosos; es decir "diagnóstico de museo." Material y métodos: la investigación estética e histórica efectuada durante años proporcionó el material. Resultados: se expusieron algunos ejemplos en obras de Sharaku, Georg Groz, Il Bronzino, De la Tour, Vermeer, Rembrandt, Reynolds, Remedios Varo, Tolouse-Lautrec, Picasso, Ingres y otros. Conclusiones: los "diagnósticos de museo" hacen más interesantes los cuadros e incrementan el placer estético. El arte puede servir como herramienta para la enseñanza clínica de la oftalmología.

  9. [Neurological maturation retardation].

    PubMed

    Campos-Castelló, Jaime

    2013-09-06

    Introduccion. Los primeros años de vida, esencialmente los primeros tres, estan presididos por una serie de hechos anatomofuncionales que expresan el progresivo enriquecimiento de la conducta a traves del proceso de maduracion neurologica, expresado como el alcanzar en cada etapa del desarrollo el maximo nivel funcional a traves del aprendizaje. Desarrollo. A partir de la experiencia personal, se abordan los principales aspectos conceptuales que definen la maduracion neurologica tanto en los aspectos de la normalidad, es decir, sus limites, como sus desviaciones patologicas, precisando limites conceptuales del llamado retraso madurativo. Se analizan los conceptos de 'niño de riesgo', y su control neuroevolutivo y factores de pronostico. Conclusiones. El fin ultimo y primordial de todos los estudios longitudinales es la deteccion precoz de todas las anomalias neurologicas –incluido el retraso madurativo– que permita un tratamiento precoz, curativo o paliativo, evitando generar 'falsos positivos' y, si la patologia neurologica queda definida como residual, establecer la ayuda al paciente y su entorno familiar para que ambos se adapten adecuadamente a esta situacion.

  10. [National consensus on the ketogenic diet].

    PubMed

    Armeno, Marisa; Caraballo, Roberto; Vaccarezza, María; Alberti, M Julia; Ríos, Viviana; Galicchio, Santiago; de Grandis, Elizabeth S; Mestre, Graciela; Escobal, Nidia; Matarrese, Pablo; Viollaz, Rocío; Agostinho, Ariela; Díez, Cecilia; Cresta, Araceli; Cabrera, Analía; Blanco, Virginia; Ferrero, Hilario; Gambarini, Victoria; Sosa, Patricia; Bouquet, Cecilia; Caramuta, Luciana; Guisande, Silvina; Gamboni, Beatriz; Hassan, Amal; Pesce, Laura; Argumedo, Laura; Dlugoszewski, Corina; DeMartini, Martha G; Panico, Luis

    2014-09-01

    Introduccion. La epilepsia es una enfermedad cronica que afecta al 0,5-1% de la poblacion, mayormente de inicio durante la infancia. Un tercio de los pacientes evoluciona hacia una forma refractaria al tratamiento con farmacos antiepilepticos, lo que plantea al equipo de salud un desafio terapeutico. La dieta cetogenica (DC) es un tratamiento no farmacologico efectivo utilizado como un metodo alternativo para el tratamiento de la epilepsia refractaria. Objetivos. Es necesario establecer directrices para utilizar la DC adecuadamente y asi expandir su conocimiento y utilizacion en paises hispanoparlantes. El Comite Nacional de Dieta Cetogenica, dependiente de la Sociedad Argentina de Neurologia Infantil, elaboro este consenso para estandarizar el uso de la DC basandose en la bibliografia publicada y la experiencia clinica. El grupo esta formado por neuropediatras, medicos nutricionistas y licenciadas en nutricion de cinco provincias de Argentina pertenecientes a 10 centros que aplican la DC como tratamiento de la epilepsia refractaria. Desarrollo. Se exponen temas tales como la seleccion del paciente, el asesoramiento a la familia antes del tratamiento, las interacciones de la DC con la medicacion anticonvulsionante, los suplementos, el control de efectos adversos y la retirada de dicha dieta. Conclusiones. La DC es un tratamiento util para los pacientes pediatricos con epilepsia intratable. Es fundamental la educacion y colaboracion del paciente y la familia. El tratamiento debe llevarlo a cabo un equipo interdisciplinar experimentado, siguiendo un protocolo. La formacion de un grupo nacional interdisciplinar, y la publicacion de este consenso, ofrece la posibilidad de orientar a nuevos centros en su implantacion.

  11. [The role of the prefrontal cortex in the sensory problems of children with autism spectrum disorder and its involvement in social aspects].

    PubMed

    Martínez-Sanchis, Sonia

    2015-02-25

    Introduccion. En las personas con trastornos del espectro autista (TEA), las percepciones sensoriales aberrantes podrian ser tan caracteristicas y disruptivas como la presencia de anomalias en la comunicacion e interaccion social, asi como de intereses restringidos y repetitivos. La mayoria presenta trastornos de la modulacion sensorial (hiper o hiporresponsividad) en varios canales sensoriales. Ademas, muestra un deficit en la integracion de la informacion procedente de varios sistemas sensoriales (por ejemplo, auditivo y visual). Todo ello agravaria los sintomas nucleares relacionados con la comunicacion y aumentaria la aparicion de problemas conductuales. Objetivo. Revisar la evidencia experimental que aborda el papel de la corteza prefrontal en las experiencias sensoriales inusuales en los TEA y su implicacion en los aspectos sociales. Hay evidencia de hipoactivacion y disfuncion en redes neurales, que incluyen la corteza prefrontal y participan en la cognicion social, como la red por defecto y el sistema de neuronas espejo en niños con TEA. Conclusiones. Los problemas sensoriomotores a edad temprana suponen una disrupcion de la organizacion y regulacion no solo de la percepcion y la accion, sino tambien del lenguaje, el pensamiento, la emocion e incluso la memoria.

  12. [Musical hallucinations: perpetual music].

    PubMed

    Zabalza-Estévez, Ramón J

    2014-03-01

    Introduccion. Las alucinaciones musicales son un tipo de alucinacion auditiva prevalente en la poblacion no psiquiatrica, pero escasamente comunicada en la bibliografia neurologica. Ocurren con mayor frecuencia en la poblacion anciana, del sexo femenino y con perdida de audicion, pero su fisiopatologia esta por desentrañar. Casos clinicos. Se presentan seis casos (cinco mujeres y un hombre) de alucinaciones musicales diagnosticados en una consulta de neurologia general en un lapso de tiempo de cinco años. En cinco de ellos concurria la hipoacusia en mayor o menor grado y uno estaba desencadenado por la pentoxifilina. En su mayoria, el contenido musical de las alucinaciones provenia de experiencias musicales vividas en la infancia y juventud. En los casos sometidos a tratamiento farmacologico la respuesta fue pobre; sin embargo, una vez explicada a los pacientes la benignidad del cuadro y su desvinculacion con patologia psicotica, el grado de aceptacion del sintoma fue bueno. Conclusiones. Las alucinaciones musicales son una patologia fronteriza entre la neurologia, la otorrinolaringologia y la psiquiatria poco conocida, que, con frecuencia, se vincula erroneamente a la enfermedad mental. Es fundamental explicar a pacientes y familiares el caracter no necesariamente psiquiatrico de este sintoma, asi como conocer la potencialidad que tienen algunos farmacos de uso comun para generarlo.

  13. [Relationships between language disorders and socio-emotional competence].

    PubMed

    Baixauli-Fortea, Inmaculada; Roselló-Miranda, Belén; Colomer-Diago, Carla

    2015-02-25

    Introduccion. Existe una comorbilidad elevada entre los trastornos del lenguaje y los problemas conductuales, emocionales y sociales. Objetivo. Revisar la bibliografia existente sobre las dificultades sociales y emocionales de los niños con trastorno especifico del lenguaje desde una perspectiva evolutiva. Desarrollo. En la infancia temprana, los resultados acerca de este tipo de dificultades en niños con un retraso del lenguaje no son concluyentes. Sin embargo, desde el periodo de educacion infantil, la investigacion advierte de una mayor ocurrencia de alteraciones en el area social y emocional. Los estudios longitudinales que han permitido determinar el ajuste psicosocial en la adolescencia indican un mayor riesgo de presentar experiencias de victimizacion y bullying o de desarrollar ansiedad y depresion a largo plazo, aunque algunos trabajos ofrecen una panoramica mas alentadora. Conclusiones. La afectacion de la comprension y del componente pragmatico del lenguaje es un predictor importante en la manifestacion de alteraciones socioemocionales. En los trastornos mixtos comprensivos-expresivos, una dificultad de procesamiento general podria justificar, al menos parcialmente, esta asociacion. A su vez, es probable que limitaciones en el desarrollo de la cognicion social contribuyan a explicar, en cierta medida, las dificultades de las personas con trastornos pragmaticos, si bien no existe una consistencia en la investigacion en este sentido.

  14. [Neuropsychotherapy in brain injury rehabilitation].

    PubMed

    García-Molina, Alberto; Roig-Rovira, Teresa; Enseñat-Cantallops, Antònia; Sánchez-Carrión, Rocío

    2014-02-01

    Introduccion. Las personas que han sufrido lesiones cerebrales pueden experimentar un amplio abanico de alteraciones cognitivas, conductuales y emocionales. No obstante, la rehabilitacion neuropsicologica acostumbra a centrarse, de manera casi exclusiva, en los deficits cognitivos y presta escasa atencion a los retos emocionales asociados al impacto psicologico de la lesion. En esta faceta mas personal del daño cerebral es donde la neuropsicoterapia puede ser de gran utilidad para facilitar el proceso de aceptacion y adaptacion despues de una lesion neurologica. Desarrollo. En el presente articulo se describen los aspectos teoricos y conceptuales de la psicoterapia orientada a personas con daño cerebral, implicaciones de los deficits cognitivos en la practica de la neuropsicoterapia y evidencias sobre su efectividad. Conclusiones. En el pasado se considero que la neuropsicoterapia tenia escasa utilidad en la rehabilitacion del daño cerebral. Hoy en dia, cada vez son mas los profesionales que reconocen su importancia en el abordaje del sufrimiento psicologico/emocional asociado al daño cerebral. El objetivo de la rehabilitacion neuropsicologica no es unicamente promover la recuperacion de las funciones cerebrales alteradas, sino tambien mejorar la capacidad funcional del individuo, tratar con sus experiencias de perdida y ayudarle a encontrar, de nuevo, sentido a la vida.

  15. [Gender and work: the experience of providers of health services to indigenous women from Guerrero y Oaxaca].

    PubMed

    Amaya-Castellanos, Claudia Isabel; Pelcastre-Villafuerte, Blanca; Márquez-Serrano, Margarita; Juárez-Ramírez, Clara

    2012-03-01

    The scope of this paper was to identify the role of gender for women as workers, through the perception and discourse of health service providers at the 'Health Centers for Indigenous Women' ("Casas de Salud de las Mujeres Indígenas") in Ometepec, Guerrero and Matías Romero, Oaxaca, Mexico. It is a qualitative study, based on a secondary analysis of the interviews conducted as part of the "Rescatando la experiencia de la Casa de la Mujer Indígena: sistematización y evaluación del proceso" project. A strong sense of the value of work and a strong commitment towards the community were identified. Guilt appears as the result of tension between work outside the home and the responsibilities as mothers and wives. The possibility of helping other women is a source of gratification that dissipates these conflicts; prestige and recognition are added to the benefits of their role. The labor experience of female workers in the "Casas de Salud de las Mujeres Indígenas" of Matías Romero, Oaxaca and Ometepec, Guerrero, described in this paper, reveals that it has very specific characteristics, which are difficult to replicate in other regions of the country. In future studies it is necessary to consider the different contexts of vulnerability.

  16. [Influenza-like illness. Therapeutic experience in family medicine].

    PubMed

    Muñoz-Cortés, Gerardo; García-Zavala, Guadalupe Ulises; Estrada-Andrade, María Elena

    2013-01-01

    Introducción: la influenza es una enfermedad respiratoria muy contagiosa. Se debe iniciar el tratamiento antiviral en las primeras 48 horas para evitar la neumonía. El objetivo de este informe es describir la experiencia en el tratamiento de la enfermedad tipo influenza en una unidad de medicina familiar. Métodos: estudio descriptivo de pacientes que acudieron a urgencias con enfermedad tipo influenza (fiebre de 38 °C, cefalea y tos, acompañadas de otro síntoma) y que fueron contactados por vía telefónica. Los datos se expresan en media ± desviación estándar. Resultados: de 537 consultas por infecciones respiratorias agudas, 1.3 % reunió los criterios de enfermedad tipo influenza; 85.7 % era del sexo masculino. El promedio de la edad fue de 18 ± 24.21 años. La atención inicial ocurrió a las 19.14 horas después de que se iniciaron los síntomas. Todos los pacientes recibieron oseltamivir y zanamivir; 14.3 % presentó neumonía. El 100 % se restableció. No hubo enfermedades concomitantes. Conclusiones: existe un protocolo para el manejo de la enfermedad tipo influenza que hace posible el diagnóstico y el tratamiento oportunos de los pacientes.

  17. [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.

  18. [Update of the Gleason system and other prognostic pathological data in prostate cancer: Tumor load.

    PubMed

    García-González, Ricardo; García-Navas, Ricardo; Montáns-Araújo, José

    2016-12-01

    Desde que D. F. Gleason creara su sistema en 1966 (1 ) y que él mismo modificó en 1974 (2), su método ha sido universalmente aceptado y recomendado por la OMS (3)como factor pronóstico del carcinoma prostático (CaP). Pero, la generalización de la prueba del PSA a partir de 1979 (4), del desarrollo de la TRUS (5) y de la "biopty-gun" para la toma de biopsias en sextantes en los años 80 (6), y sus posteriores modificaciones, son hechos que han cambiado paulatinamente la postura ante el CaP y, con la experiencia adquirida, algunas de las reglas iniciales de Gleason han evolucionado. Aunque se publicaron varios estudios que proponían cambios en el sistema (7), solo los de la ISUP de 2005 (8), han tenido trascendencia real. En ellos se reconsideran algunos de los criterios para identificar aquellos tumores con un patrón histolgico de alto grado (patrón 4 o 5), redefiniendo estos patrones del sistema Gleason.

  19. [Using Objective Structured Clinical Examination (OSCE) across different levels of pediatric training].

    PubMed

    Di Lalla, Sandra; Manjarin, Mercedes; Torres, Fernando; Ossorio, María Fabiana; Wainsztein, Raquel; Ferrero, Fernando

    2014-01-01

    Antecedentes:Evaluar competencias profesionales es objetivo principal de todo programa de capacitación; el examen clínico objetivo estructurado (ECOE) es una herramienta útil para explorarlas. Objetivo:Describimos la implementación del ECOE en tres instancias de enseñanza de la pediatría (carrera de especialista, módulo pediatría del internado anual rotatorio, materia pediatría en el grado). Métodos: En relación con situaciones y patologías frecuentes en pediatría, se evaluaron conocimiento aplicado, juicio clínico y habilidad comunicacional. Resultados: En el posgrado el ECOE se aplica desde hace 8 años, examinando 330 alumnos, con 60%-82% de aprobación. En el Internado Anual Rotatorio el ECOE se emplea desde hace 2 años, examinando 12 alumnos, con 84% de aprobación. En el grado el ECOE se empleó sólo en una oportunidad, examinando 15 alumnos, con 93,4% de aprobación. Conclusión:En nuestra experiencia, a pesar de desafíos logísticos, la implementación del ECOE fue factible en distintas instancias de enseñanza de la pediatría.

  20. [Multicentric hyaline vascular Castleman's disease. A POEMS type variant].

    PubMed

    Gracia-Ramos, Abraham Edgar; Cruz-Domínguez, María del Pilar; Vera-Lastra, Olga Lidia

    2013-01-01

    Introducción: la enfermedad de Castleman es un trastorno linfoproliferativo atípico en el que pueden existir manifestaciones compatibles con síndrome POEMS. Caso clínico: hombre de 53 años de edad con antecedente de diabetes mellitus tipo 2, hipotiroidismo y enfermedad de Addison. Se iniciaron parestesias y debilidad en las extremidades y, posteriormente, disnea, endurecimiento cutáneo, fenómeno de Raynaud y pérdida de peso. Se identificó taquipnea, hiperpigmentación cutánea generalizada y extremidades con endurecimiento cutáneo, debilidad muscular, hipoestesia e hiporreflexia; así como hiperprolactinemia, testosterona baja, hipotiroidismo y enfermedad de Addison; los anticuerpos antinucleares y antiScl-70 fueron negativos. Los potenciales evocados somatosensoriales indicaron neuropatía periférica y la electromiografía, olineuropatía axonal severa. Radiografía torácica: infiltrado reticular bilateral y ensanchamiento mediastinal. Electrocardiograma: hipertensión arterial pulmonar moderada. Tomografía toracoabdominal: ganglios axilares, mediastinales y retroperitoneales. Con la biopsia se identificó enfermedad de Castleman multicéntrica hialina vascular. El paciente recibió rituximab. Conclusiones: si bien la experiencia con el rituximab aún es limitada, en el caso descrito se observó buena respuesta.

  1. Modeling extreme wave heights from laboratory experiments with the nonlinear Schrödinger equation

    NASA Astrophysics Data System (ADS)

    Zhang, H. D.; Guedes Soares, C.; Cherneva, Z.; Onorato, M.

    2014-04-01

    Spatial variation of nonlinear wave groups with different initial envelope shapes is theoretically studied first, confirming that the simplest nonlinear theoretical model is capable of describing the evolution of propagating wave packets in deep water. Moreover, three groups of laboratory experiments run in the wave basin of CEHIPAR (Canal de Experiencias Hidrodinámicas de El Pardo, known also as El Pardo Model Basin) was founded in 1928 by the Spanish Navy. are systematically compared with the numerical simulations of the nonlinear Schrödinger equation. Although a little overestimation is detected, especially in the set of experiments characterized by higher initial wave steepness, the numerical simulation still displays a high degree of agreement with the laboratory experiments. Therefore, the nonlinear Schrödinger equation catches the essential characteristics of the extreme waves and provides an important physical insight into their generation. The modulation instability, resulting from the quasi-resonant four-wave interaction in a unidirectional sea state, can be indicated by the coefficient of kurtosis, which shows an appreciable correlation with the extreme wave height and hence is used in the modified Edgeworth-Rayleigh distribution. Finally, some statistical properties on the maximum wave heights in different sea states have been related with the initial Benjamin-Feir index.

  2. [Surgical adrenal approaches: learned experiences].

    PubMed

    Bravo-Lázaro, Santos; Hernandis-Villalba, Juan; Meroño-Carbajosa, Emilio; Navío-Perales, Juan; Marzal-Felici, Vicente

    2014-01-01

    Antecedentes: la cirugía laparoscópica se ha implantado como técnica quirúrgica de elección en la patología quirúrgica suprarrenal. No obstante, el resto de los abordajes quirúrgicos sigue teniendo su indicación. Objetivos: exponer nuestra experiencia en los diferentes abordajes quirúrgicos y las lecciones aprendidas. Material y métodos: estudio retrospectivo y descriptivo de 40 pacientes, análisis de datos demográficos y resultados de los diferentes accesos. Resultados: se intervinieron 32 pacientes por padecer enfermedades benignas, y 8 por afecciones malignas. La vía de laparotomía se utilizó de entrada en 7 casos de malignidad, y en 4 pacientes con tumores benignos de gran tamaño. La vía de Young se utilizó en 4. La vía laparoscópica se indicó de entrada en 25 pacientes, y 7 requirieron la conversión a laparotomía. La tasa de conversión fue de 28%. Conclusiones: la técnica laparoscópica es la de elección en la mayoría de los pacientes. Es preciso establecer indicaciones adecuadas, sin olvidar los abordajes abiertos.

  3. Como Lo Hago Yo: Lipomas Medulares

    PubMed Central

    Portillo, Santiago

    2014-01-01

    Basados en la experiencia de 82 casos; en 5% se observaron anomalías pélvicas asociadas. En los menores de 3 años el motivo de consulta (85%) fue la tumoración. En los mayores de 3 años (42%) tenía problemas neurológicos. Solo el 24% preocupados por la tumoración. El objetivo de la cirugía es desanclar la médula y no remover la totalidad del lipoma. El lipoma de filum es el que es mas simple para operar. Aún cuando la escuela francesa propone operar solamente cuando hay síntomas favorezco cirugía preventiva. Favorezco una segunda cirugía si hay signos de anclaje postoperatorio, aún cuando observamos empeoramiento postoperatorio motor en 2.5% de los operados y urológico a largo plazo en 6% de los operados. PMID:24791218

  4. [Clinical experience with omalizumab in patients with severe asthma. Real-world data].

    PubMed

    Vargas-Correa, Jorge Bernardo; Bracamonte-Peraza, Raúl; Espinosa-Morales, Sylvia Marcela; Vázquez-Nava, Francisco

    2016-01-01

    Antecedentes: El omalizumab es un anticuerpo monoclonal que se prescribe en esquema de adición por pasos para el tratamiento del asma severa. Objetivos: Informar la experiencia en pacientes con asma severa a quienes se aplicó omalizumab conforme a las guías internaciones, en un contexto de datos de mundo real. Métodos: Estudio retrospectivo, clínico, observacional, abierto, analítico y transversal a partir de datos de la vida real. Se utilizó el esquema de Control del Asma de GINA 2006 para evaluar a los pacientes y con un cuestionario se calificaron las características del paciente, efectividad, seguridad y tolerancia al omalizumab. Resultados: Se estudiaron 48 pacientes, 34 mujeres y 14 hombres, con edad promedio de 39 años. La duración promedio de la enfermedad fue de 26 años. La concentración sérica promedio de la IgE fue de 522 UI. Al inicio del tratamiento, todos los pacientes estaban sin control del asma; al final, en 69% se obtuvo control del asma, 19% estaba parcialmente controlado y 12% sin modificaciones. Los cambios se observaron en promedio a los siete meses. Conclusión: El omalizumab es efectivo y seguro para tratar el asma severa cuando se aplica conforme las guías internacionales para el manejo del asma bronquial.

  5. Salud mental en desastres naturales: estrategias interventivas con adultos mayores en sectores rurales de Chile.

    PubMed

    Osorio-Parraguez, Paulina; Espinoza, Adriana

    2016-06-01

    En el presente artículo se da a conocer una estrategia de intervención llevada a cabo con adultos mayores en la comuna de Paredones, sexta región de Chile, con posterioridad al terremoto y tsunami del 27 de febrero 2010 en Chile, en el contexto de una investigación sobre fortalezas y vulnerabilidades desplegadas por este grupo etario, con posterioridad a un desastre natural. Se presenta una descripción del desarrollo metodológico de la intervención y de los sustentos teóricos y conceptuales en los que se basa. Como resultado de este proceso, se propone una estrategia que trabaje a través de la identificación de las propias experiencias y fortalezas de los sujetos. De tal forma se minimizan los efectos negativos de los determinantes sociales de la salud (como la edad y el lugar de residencia) en contexto de crisis; permitiendo a los adultos mayores fortalecer sus recursos individuales y colectivos, en pro de su bienestar psicosocial.

  6. [National consensus on the modified Atkins diet].

    PubMed

    Vaccarezza, María; Agustinho, Ariela; Alberti, M Julia; Argumedo, Laura; Armeno, Marisa; Blanco, Virginia; Bouquet, Cecilia; Cabrera, Analía; Caraballo, Roberto; Caramuta, Luciana; Cresta, Araceli; de Grandis, Elizabeth S; DeMartini, Martha G; Diez, Cecilia; Diz, Mariana; Dlugoszewski, Corina; Escobal, Nidia; Ferrero, Hilario; Galicchio, Santiago; Gambarini, Victoria; Gamboni, Beatriz; Gonzalez, Lara; Guisande, Silvina; Hassan, Amal; Matarrese, Pablo; Mestre, Graciela; Pesce, Laura; Rios, Viviana; Semprino, Marcos; Sosa, Patricia; Toma, Marisol; Viollaz, Rocío; Panico, Luis

    2016-04-16

    Introduccion. La epilepsia es una enfermedad cronica que afecta al 0,5-1% de la poblacion, y un tercio de los pacientes evoluciona hacia una forma refractaria a los farmacos antiepilepticos. Dentro de los tratamientos no farmacologicos disponibles, la dieta cetogenica Atkins modificada es un tratamiento efectivo utilizado desde 2003 como otra alternativa en niños y adultos con epilepsia refractaria. Desarrollo. El Comite Nacional de Dieta Cetogenica, dependiente de la Sociedad Argentina de Neurologia Infantil, elaboro este consenso sobre dieta Atkins modificada basandose en una revision de la bibliografia y en su experiencia clinica. Este consenso explica los distintos aspectos que hay que tener en cuenta sobre la dieta Atkins modificada, eleccion de pacientes, forma de implementacion, diversos controles y efectos adversos. A diferencia de la dieta cetogenica clasica, se inicia sin ayuno ni hospitalizacion, y no hay restriccion proteica, calorica o hidrica, por lo que mejora la palatabilidad y, consecuentemente, la tolerabilidad. Conclusiones. La dieta Atkins modificada es un tratamiento util para pacientes con epilepsia intratable. La publicacion de este consenso ofrece la posibilidad de orientar a nuevos centros en su implementacion.

  7. Seismological study of the structure and the evolution of Piton de la Fournaise plumbing system from the April 2007 major eruption

    NASA Astrophysics Data System (ADS)

    Massin, F.; Ferrazzini, V.; Bachèlery, P.; Nercessian, A.; Duputel, Z.; Staudacher, T.

    2009-04-01

    The study of the seismic activity associated to the eruptions of 2007 that led to the collapse of the Dolomieu crater on April 5, reveals the link between seismicity and magma transfer at the Piton de la Fournaise (PdF). Three eruptive phases occurred on February 18, March 30 and April 2 2007, illustrating the three different types of eruption defined at PdF volcano. The February 18 eruption was a summit eruption located along an east-west fissure inside the Dolomieu crater while March 30 was a proximal eruption, on the south-east flank of the central cone. An intense seismic crisis has been recorded between March 31 and April 2 preceding the distal eruption of April 2. This eruption was situated 8 km away from the central cone on the south-east rift-zone of PdF volcano. The Dolomieu crater collapsed from April 5 to 6, during a paroxysmal phase of seismic and eruptive activity. We use cross-correlation of seismic waveforms techniques to improve earthquake locations and determine best-constrained focal mechanisms. This technique gives a view of the seismicity organization in terms of pre-existing and newborn structures and highlights the pre-existing structures associated to Dolomieu crater collapse. From a dataset of 2580 triggered records, with 714 hand picked earthquakes, our cross correlation procedure allowed us to pick automatically 1625 events for relocation. 633 out of 1625 events were relocated and the composite focal mechanism of 154 clusters have been determined. The clustering results underline the change in seismicity before and after the March eruption. The pre-eruptive seismicity of February and March eruptions forms time extended clusters and reactivates several clusters found preceding other lateral eruptions of the 2000-2008 period. The seismicity preceding the Dolomieu collapse takes place in numerous but time limited clusters. The April eruption has been prepared two months earlier, but the collapse of Dolomieu crater is associated with a

  8. State - Level Regulation's Effectiveness in Addressing Global Climate Change and Promoting Solar Energy Deployment

    NASA Astrophysics Data System (ADS)

    Peterman, Carla Joy

    Paper 1, Local Solutions to Global Problems: Climate Change Policies and Regulatory Jurisdiction, considers the efficacy of various types of environmental regulations when they are applied locally to pollutants whose damages extend beyond the jurisdiction of the local regulators. Local regulations of a global pollutant may be ineffective if producers and consumers can avoid them by transacting outside the reach of the local regulator. In many cases, this may involve the physical relocation of the economic activity, a problem often referred to as "leakage." This paper highlights another way in which local policies can be circumvented: through the shuffling of who buys from whom. The paper maintains that the problems of reshuffling are exacerbated when the options for compliance with the regulations are more flexible. Numerical analyses is presented demonstrating that several proposed policies to limit greenhouse gas emissions from the California electricity sector may have very little effect on carbon emissions if they are applied only within that state. Paper 1 concludes that although local subsidies for energy efficiency, renewable electricity, and transportation biofuels constitute attempts to pick technology winners, they may be the only mechanisms that local jurisdictions, acting alone, have at their disposal to address climate change. Paper 2, Pass-Through of Solar PV Incentives to Consumers: The Early Years of California's Solar PV Incentives, examines the pass through of incentives to California solar PV system owners. The full post-subsidy price consumers pay for solar power is a key metric of the success of solar PV incentive programs and of overall PV market performance. This study examines the early years of California's most recent wave of distributed solar PV incentives (2000-2008) to determine the pass-through of incentives. Examination of this period is both intellectually and pragmatically important due to the high level of incentives provided and

  9. The experience of bedaquiline implementation at a decentralised clinic in South Africa

    PubMed Central

    Cariem, R.; Cox, V.; de Azevedo, V.; Hughes, J.; Mohr, E.; Durán, L. Triviño; Ndjeka, N.

    2016-01-01

    centro de atención Nolungile. En general, los miembros del personal del centro refirieron una experiencia positiva con la administración del medicamento. Las dificultades surgieron en gran parte con respecto a aspectos logísticos del suministro y la administración del medicamento. Es posible iniciar un tratamiento eficaz con BDQ en condiciones ambulatorias, y represente una experiencia positiva para los pacientes y los profesionales de salud. PMID:27695682

  10. The experience of bedaquiline implementation at a decentralised clinic in South Africa.

    PubMed

    Cariem, R; Cox, V; de Azevedo, V; Hughes, J; Mohr, E; Durán, L Triviño; Ndjeka, N; Furin, J

    2016-09-01

    centro de atención Nolungile. En general, los miembros del personal del centro refirieron una experiencia positiva con la administración del medicamento. Las dificultades surgieron en gran parte con respecto a aspectos logísticos del suministro y la administración del medicamento. Es posible iniciar un tratamiento eficaz con BDQ en condiciones ambulatorias, y represente una experiencia positiva para los pacientes y los profesionales de salud.

  11. [Self-reported experience in patients treated with Hepatitis C direct acting antivirals].

    PubMed

    Cañamares Orbis, Irene; Saez de la Fuente, Javier; Escobar Rodriguez, Ismael; Esteban Alba, Concepción; Such Díaz, Ana; Escobar Rodríguez, Ismael

    2016-11-01

    Introducción y objetivo: Conocer y analizar la experiencia autorreferida del tratamiento de los pacientes VHC que iniciaron tratamiento con agentes antivirales directos (AAD), a tiempo real, de forma proactiva e integrada en el proceso asistencial de atención farmacéutica. Material y métodos: Estudio observacional y transversal desarrollado entre abril (inicio del Plan Estratégico Nacional) y diciembre de 2015 en la Consulta Externa del Servicio de Farmacia. Se utilizó como herramienta un cuestionario prospectivo cumplimentado por los pacientes donde se recogieron variables relacionadas con la calidad de vida vinculadas con la salud (CVRS), adherencia, efectos adversos (EA), satisfacción con el tratamiento, y valoración y utilidad del programa formativo implementado por el Servicio de Farmacia. Se realizó un análisis descriptivo de todas las variables incluidas en el estudio y se analizó la influencia de las diferentes variables en el grado de adherencia y CVRS. El análisis de las diferencias entre los dos grupos se realizó mediante el test de chi cuadrado y el cálculo de las OR con un modelo de regresión logística simple. Se utilizó el programa SPSS® versión 20, y se estableció una significación estadística para valores de p < 0,05. Resultados: Se recogieron155 encuestas de las 226 enviadas, tasa de respuesta del 68,6%.En referencia a la CVRS (valoración del estado físico y emocional), un 38,7% de los pacientes refieren que su estado físico y emocional es mucho mejor desde el inicio del tratamiento. La presencia de EA y una peor información global de su enfermedad se asoció con un peor estado físico y emocional (p < 0,05). La adherencia reportada fue del 84,5% y el tratamiento fue valorado como muy bueno o bueno por el 87% de los pacientes. Un 52,9% de los pacientes no tuvieron efectos adversos relacionados con la medicación y el proceso formativo realizado por el farmacéutico especialista en la primera consulta fue valorado por el 96

  12. [Physical activity by pregnant women and its influence on maternal and foetal parameters; a systematic review].

    PubMed

    Aguilar Cordero, M J; Sánchez López, A M; Rodríguez Blanque, R; Noack Segovia, J P; Pozo Cano, M D; López-Contreras, G; Mur Villar, N

    2014-10-01

    Introducción: Las múltiples ventajas que aporta a la salud la práctica de una actividad física de forma continuada son conocidas. Aunque es importante en todas las etapas de la vida, cuando llega la gestación aparecen algunas dudas sobre la conveniencia de realizar ejercicio físico, así como del tipo de actividad, de su frecuencia, intensidad y duración. Objetivo: Analizar los principales estudios sobre la influencia de la actividad física sobre los parámetros materno- fetales. Método: Revisión sistemática de programas de actividad física destinados a las mujeres embarazadas y sus resultados durante el embarazo, el parto y el postparto. Se identificaron 45 artículos a través de la búsqueda automatizada en las bases de datos PUBMED, Scopus y Google Scholar; se llevó a cabo entre los meses de octubre de 2013 y marzo de 2014. Para seleccionar los artículos fue preciso considerar la utilidad y la relevancia del tema estudiado y la credibilidad o experiencia de los autores en la temática. Se tuvo en cuenta la validez interna y externa de cada uno de los artículos revisados. Conclusiones: Los resultados de la revisión ponen de manifiesto la importancia de la actividad física durante el periodo gestacional y se constata que la información disponible en la actualidad puede servir de referente inicial para continuar profundizando en los resultados que sobre la salud materno fetal tiene la práctica de actividad física en el medio acuático.

  13. [Epilepsy surgery in children with focal cortical dysplasias].

    PubMed

    Villarejo-Ortega, Francisco J; Álvarez-Linera Prado, Juan; Pérez-Jiménez, M Ángeles

    2013-09-06

    Introduccion. Las displasias corticales focales (DCF) son la primera etiologia de cirugia de la epilepsia pediatrica. La evaluacion prequirurgica en DCF a menudo es compleja, ya que son lesiones que pueden ser altamente epileptogenas y, a la vez, conservar funcion neurologica, y no visualizarse en la resonancia magnetica. El exito de la cirugia depende, en gran medida, de la adecuada identificacion de la lesion y de la posibilidad de realizar una reseccion completa del tejido displasico. En este trabajo se revisa la bibliografia relacionada con el tema, en relacion con la experiencia de los autores. Desarrollo. Se revisan algunos avances relacionados con la evaluacion prequirurgica y el abordaje neuroquirurgico de la epilepsia en niños con DCF; se comentan los resultados de las series quirurgicas en relacion con las clasificaciones de DCF y los factores de pronostico posquirurgico; se describen algunos fenotipos anatomoelectroclinicos distintivos en niños con DCF y su abordaje quirurgico; y se comentan brevemente los actuales retos y el futuro del tratamiento quirurgico de la epilepsia en DCF. Conclusiones. El avance los metodos de diagnostico prequirurgico y de procedimientos quirurgicos esta permitiendo ofrecer un tratamiento exitoso en edades tempranas a pacientes con DCF previamente considerados 'no lesionales' y a pacientes con lesiones localizadas en la 'corteza elocuente'. La identificacion de fenotipos anatomoelectroclinicos de DCF permite establecer abordajes quirurgicos y expectativas de pronostico posquirurgico adecuadas a cada situacion, mejor en las DCF IIb transmantle y en las displasias de fondo de surco que en las DCF multilobares, en su mayoria DCF I.

  14. [Quality of life in children and adolescents with autism spectrum disorder without intellectual disability].

    PubMed

    Cuesta-Gomez, J L; Vidriales-Fernandez, R; Carvajal-Molina, F

    2016-01-01

    Introduccion. El concepto de calidad de vida tiene gran importancia en la intervencion dirigida a las personas con discapacidad. Resulta indiscutible que el alcance de una calidad de vida satisfactoria debe ser el objetivo de las intervenciones clinicas dirigidas al colectivo de personas con trastorno del espectro autista (TEA), y un elemento clave para diseñar los tratamientos necesarios que mejoren el pronostico de desarrollo futuro. A pesar de ello, el conocimiento sobre las condiciones objetivas y subjetivas que predicen una mayor satisfaccion en las personas con TEA es aun muy limitado. Objetivo. Explorar la percepcion de la calidad de vida que experimenta un grupo de niños y adolescentes con TEA sin discapacidad intelectual asociada. Pacientes y metodos. Muestra de 12 niños y 11 adolescentes con TEA sin discapacidad intelectual asociada. Dependiendo de la edad, se les aplico el cuestionario de calidad de vida especifico. Resultados. Ambos grupos informan positivamente sobre su calidad, sin que existan diferencias en las dimensiones basicas. No obstante, en el caso de los adolescentes se obtienen puntuaciones mas bajas en el area de autodeterminacion en comparacion con las demas. Conclusiones. La discusion se centra en la identificacion de las dimensiones mas relevantes para la calidad de vida, las implicaciones para la intervencion y la necesidad de adecuar las metodologias empleadas para la evaluacion subjetiva de estos factores, debido a que las caracteristicas de los TEA pueden alterar las habilidades necesarias para la valoracion de la experiencia personal y requerir la adaptacion de los procedimientos empleados.

  15. [DEMOCOPHES SPAIN AND ITS CONTRIBUTION TO THE HARMONIZATION OF EUROPEAN HUMAN BIOMONITORING].

    PubMed

    Esteban López, Marta; López Martín, Estrella; Rodríguez García, Carolina; Posada De la Paz, Manuel; Castaño Calvo, Argelia

    2015-07-01

    Objetivo: contribuir a la armonización europea de la biovigilancia en humanos (proyecto DEMOCOPHES) demostrando la utilidad de los estudios de biovigilancia para valorar la influencia de la dieta y los estilos de vida como vía de exposición a contaminantes ambientales. Métodos: se adaptó el protocolo europeo a las necesidades nacionales, siguiendo los controles de calidad definidos en él y sin comprometer la obtención de datos comparables entre los países participantes. Resultados: la adaptación nacional del protocolo europeo no presentó grandes dificultades y, salvo mínimas modificaciones, se respetó el diseño original del estudio. Participaron 134 parejas madre-hijo, seleccionados en un colegio de Añover de Tajo (Toledo) y tres colegios de Madrid. Los voluntarios donaron una muestra de pelo y de orina y contestaron a las preguntas del cuestionario epidemiológico. Se observaron diferencias significativas en la participación de los voluntarios en las dos localizaciones de muestreo. Discusión: la estandarización de todas las etapas de un estudio de biovigilancia en humanos es esencial para su desarrollo armonizado a escala internacional. Los resultados obtenidos han contribuido a la obtención de datos sobre exposición ambiental, por primera vez comparables en 17 países europeos, y han permitido observar diferencias relacionadas con la dieta y los hábitos de vida. Las experiencias y el material de trabajo desarrollado para el estudio piloto serán aplicables al diseño e implementación de futuros estudios de HBM.

  16. Classification of structural lesions in magnetic resonance imaging. Surgical implications in drug-resistant epilepsy patients.

    PubMed

    Torres, C V; Pastor, J; Garcia-Navarrete, E; Pulido-Rivas, P; Sola, R G

    2015-09-16

    Introduccion. En la seleccion quirurgica del paciente con epilepsia farmacorresistente, el papel de la resonancia magnetica (RM) no se ha cuantificado hasta el momento. Presentamos la experiencia en nuestra Unidad de Cirugia de la Epilepsia. Pacientes y metodos. Se estudiaron retrospectivamente los pacientes intervenidos por epilepsia farmacorresistente. Distinguimos dos periodos: 1990-2000 (RM de 0,5 T) y 2001-2008 (RM de 1,5 T). La RM preoperatoria se clasifico en tres grupos: RM con lesion quirurgica (LQ), RM orientativa (LO) y RM normal (NL). Tambien se efectuo una clasificacion anatomopatologica similar. Se correlacionaron las distintas clasificaciones y los resultados quirurgicos. Resultados. Periodo 1990-2000: 151 pacientes. El 70% quedo en las clases de Engel I o II. Segun la RM, los resultados fueron: LQ, 87%; LO, 65%; y NL, 57%. Las diferencias fueron estadisticamente significativas. Periodo 2001-2008: 114 pacientes. El 89% quedo en las clases de Engel I o II. Segun la RM: LQ, 100%; LO, 90%; y NL, 81%. Las diferencias fueron estadisticamente significativas. Los pacientes con epilepsia del lobulo temporal y extratemporal con LQ tuvieron un 100% de control; con LO, el 95% con epilepsia del lobulo temporal y el 43% con estado epileptico; en aquellos pacientes sin lesion (NL), el 88% con epilepsia del lobulo temporal se controlo frente al 50% con estado epileptico. Conclusiones. La RM es una herramienta eficaz en la seleccion de candidatos quirurgicos en la epilepsia. La LQ asocia muy buen pronostico. En la epilepsia del lobulo temporal se pueden obtener muy buenos resultados (80-90% de control) a pesar de una RM normal. En el estado epileptico, las LO pueden tener peor resultado que la NL en la RM.

  17. [What is the optimal dose for the prophylactic treatment of chronic migraine patients?].

    PubMed

    Irimia, Pablo; Esteve-Belloch, Patricia; Murie-Fernandez, Manuel; Martinez-Vila, Eduardo

    2014-03-10

    Introduccion. La OnabotulinumtoxinA (OnabotA) esta indicada para el tratamiento preventivo de los pacientes con diagnostico de migraña cronica. Existe cierta controversia acerca de cual es la dosis minima eficaz de OnabotA. Objetivo. Determinar cual es la dosis mas adecuada de OnabotA para el tratamiento de la migraña cronica. Desarrollo. Se revisan los estudios controlados frente a placebo, que han evaluado la eficacia y seguridad de OnabotA para el tratamiento de la migraña, prestando especial atencion a las dosis de toxina utilizadas. En los diferentes ensayos clinicos llevados a cabo antes del año 2010 se utilizaron distintos protocolos de infiltracion. La experiencia obtenida de los estudios previos permitio definir un protocolo de infiltracion que se utilizo en el programa PREEMPT, y que demostro que el tratamiento con OnabotA es seguro y eficaz en pacientes con migraña cronica. La dosis elegida en los ensayos PREEMPT 1 y 2 fue de 155-195 U, al observarse en los estudios en fase II que la dosis de 75 U no era eficaz y que la utilizacion de 150-200 U aumentaba la eficacia sin incrementar los efectos adversos. Ademas de la dosis, el paradigma de inyeccion PREEMPT tambien establece de manera detallada los puntos de inyeccion y la metodologia de infiltracion. Conclusiones. La evidencia cientifica disponible hasta la fecha sustenta que la dosis mas adecuada para el tratamiento de la migraña cronica es la utilizacion de al menos 150 U de OnabotA, y que la infiltracion debe realizarse con la metodologia definida en el paradigma de inyeccion PREEMPT.

  18. [Wolf-Hirschhorn syndrome. A series of 27 patients: their epidemiological and clinical characteristics. The current situation of the patients and the opinions of their caregivers regarding the diagnostic process].

    PubMed

    Blanco-Lago, Raquel; Málaga, Ignacio; García-Peñas, Juan José; García-Ron, Adrián

    2013-07-16

    Introduccion. El sindrome de Wolf-Hirschhorn (SWH) es una cromosomopatia producida por una delecion en la region distal del brazo corto del cromosoma 4. Se caracteriza por la presencia de un fenotipo peculiar, retraso en el crecimiento, retraso del desarrollo psicomotor y epilepsia. Objetivos. Describir las caracteristicas de una serie de niños con SWH, incluido el tiempo medio empleado para el diagnostico, y valorar la opinion de las familias sobre el proceso diagnostico. Pacientes y metodos. Se contacto con la Asociacion Nacional de SWH y, a traves de ella, con 29 familias afectadas. Se recogio informacion sobre la clinica del niño y la opinion sobre el proceso diagnostico, y se solicitaron informes medicos que confirmaran la informacion facilitada. Constituida una base de datos de pacientes, se procedio a su analisis estadistico. Resultados. Se obtuvo informacion de 27 familias. Los pacientes presentan una edad media actual de 6,94 ± 6,37 años. La edad media de diagnostico fue de 14,34 meses. Existe retraso del crecimiento intrauterino en el 92,6% de los embarazos. Un 92,6% de los pacientes presenta epilepsia, el 44,4% de ellos en monoterapia. Existe retraso del desarrollo psicomotor/cognitivo en todos los pacientes. Camina sin ayuda el 33%. Los padres califican con una nota media de 7,25 ± 2,17 el trato ofrecido por los facultativos y de 6,29 ± 2,11 la informacion recibida. Conclusiones. No se han encontrado referencias a la edad media de diagnostico para el SWH. En nuestra muestra, existen variaciones importantes en este aspecto, posiblemente condicionadas por el fenotipo del caso y la experiencia del medico. Las caracteristicas clinicas son similares a las esperadas. El grado de dependencia estimado es alto y la calidad de la informacion recibida por la familia, baja.

  19. [Migraine and evolutionary theory: paths for a clinical approach].

    PubMed

    Alvaro-Gonzalez, L C

    2016-10-01

    Introduccion. La migraña es un trastorno muy comun, con incidencia en aumento. La teoria evolutiva permite explicar su aparicion, dadas las ventajas que aportaba a grupos originarios de Homo sapiens una mayor reactividad a estimulos, y la presencia creciente de interaccion con factores ambientales. Analizamos estos aspectos a traves de los mecanismos potenciales que los explican. Desarrollo. El diseño de los organismos y sus respuestas ambientales surgen para mejorar la supervivencia. Asi, el dolor y la cefalea pueden entenderse como respuestas homeostaticas y adaptativas. Menos del 10% de la poblacion no tiene experiencia de cefalea, y el fenotipo migrañoso es una repuesta dolorosa comun en formas secundarias y sindromicas de cefalea. Estas caracteristicas se entienden segun rasgos neurofisiologicos especificos (falta de habituacion, sensibilizacion y baja preactivacion), caracteristicas geneticas (trastorno poligenico con multiples genes de baja penetrancia, que interaccionan con el ambiente y que son comunes a los de los trastornos comorbidos, como depresion-ansiedad) e interaccion ambiental en las sociedades modernas (aumento del numero de ciclos estrogenicos, y especialmente sobreexposicion al estres). Conclusiones. Lo que fue una ventaja evolutiva se ha transformado en la sociedad moderna en un trastorno muy prevalente y frecuentemente incapacitante. Es el resultado de una interaccion con sobrecarga de estimulos externos (estres) e internos (hormonales), lo que, de acuerdo con la teoria evolutiva, convertiria a la migraña en una enfermedad por desajuste. Los efectos ocurririan precozmente, en la infancia, a traves de mecanismos de epigenetica. Se obtendria un gran beneficio terapeutico mediante intervenciones poblacionales y educativas que incorporen estos aspectos.

  20. Inclusion of Astronomy Themes in an Inovative Approach of Informal Physics Teaching for High School Students. (Spanish Title: Inclusión de Temas Astronómicos en Uma Abordaje Innovadora de la Enseñanza Informal de Física Para Estudiantes de Secumdaria.) Inclusão de Temas Astronômicos Numa Abordagem Inovadora do Ensino Informal de Física Para Estudantes do Ensino Médio

    NASA Astrophysics Data System (ADS)

    Tiara Mota, Aline; de Morais Bonomini, Iracema Ariel; Meloni Martins Rosado, Ricardo

    2009-12-01

    The current work reports on an experience on Astronomy education at the Federal University of Itajubá through an extra-curricular course offered for High School students. This initiative was motivated by the low attention paid to the Astronomy subjects at this stage of the Brazilian Formal Education, in spite that the National Curricular Parameters (PCN and PCN+, in Brazil) point out the importance of their inclusion Este artículo relata una experiencia en la enseñanza de la astronomía efectuada en la Universidad Federal de Itajubá en la forma de un curso de extensión orientado para los estudiantes del colegio secundario. Esta iniciativa surgió de constatar la poca atención dada a la Astronomía en esta etapa de la Educación formal brasileña, a pesar que los Parámetros Curriculares Nacionales (PCN y PCN+, en Brasil) destacan la importancia de su inclusión. Este artigo relata uma experiência em ensino de Astronomia realizada na Universidade Federal de Itajubá na forma de um curso de extensão voltado para alunos do Ensino Médio. Esta iniciativa surgiu da pouca atenção que se dá à Astronomia nesta etapa da Educação embora os Parâmetros Curriculares Nacionais (PCN e PCN+) apontem a importância de sua inclusão.

  1. [Ethics committees in the experience of the IMSS: a Latin American instance].

    PubMed

    Valdez-Martínez, Edith; Mata-Valderrama, Guadalupe; Bedolla, Miguel; Fajardo-Dolci, Germán Enrique

    2015-01-01

    Introducción: el objetivo es examinar la situación actual de los comités hospitalarios de bioética (CHB) y de los comités locales de investigación y ética en investigación en salud (CLIEIS) del Instituto Mexicano del Seguro Social (IMSS). Métodos: estudio cuantitativo, transversal descriptivo, realizado entre octubre y noviembre de 2014. Se enviaron por correo electrónico dos cuestionarios, autoadministrados o de autorreporte, a todos los hospitales del IMSS (N = 262): uno para los CHB y otro para los CLIEIS. Cinco apartados contenían ambos cuestionarios: localización del comité, fecha en la que fue constituido, estado actual de actividad, composición, funciones y experiencia. Resultados: la tasa de respuesta fue de 85 %. Se identificaron 150 CHB activos y 67 CLIEIS activos. En ambos grupos predominó la profesión médica y el personal directivo entre sus integrantes. Los representantes de la ciudadanía sólo fueron reportados en siete CHB. La función primaria reportada por los CHB fue la consultiva, y su meta primaria: “mejorar la calidad de la atención médica”. Los CLIEIS señalaron como función primaria: “evaluar y dictaminar protocolos de investigación en salud” y dentro de sus metas el “proteger los derechos y el bienestar de los sujetos de investigación”. Conclusiones: ambos grupos de comités debieran ser evaluados regularmente a través de ciclos de auditoría con el propósito de identificar las acciones educativas que promuevan su eficiencia.

  2. Mini-mastoidectomía para anastomosis hipogloso-facial con sección parcial del nervio hipogloso

    PubMed Central

    Campero, Álvaro; Ajler, Pablo; Socolovsky, Mariano; Martins, Carolina; Rhoton, Albert

    2012-01-01

    Introducción: La anastomosis hipogloso-facial es la técnica de elección para la reparación de la parálisis facial cuando no se dispone de un cabo proximal sano del nervio facial. La técnica de anastomosis mediante fresado mastoideo y sección parcial del hipogloso minimiza la atrofia lingual sin sacrificar resultados a nivel facial. Método: La porción mastoidea del nervio facial transcurre por la pared anterior de la AM, a un promedio de 18+/-3 mm de profundidad respecto de la pared lateral. Se debe reconocer la cresta supramastoidea, desde la cual se marca una línea vertical paralela al eje mayor de la AM, 1 cm por detrás de la pared posterior del CAE El fresado se comienza desde la línea medio mastoidea hasta la pared posterior del CAE. Una vez encontrado el nervio facial en el tercio medio del canal mastoideo, el mismo es seguido hacia proximal y distal. Resultados: El abordaje descripto permite acceder al nervio facial intratemporal en su porción mastoidea, y efectuar un fresado óseo sin poner en riesgo al nervio o a estructuras vasculares cercanas. Se trata de un procedimiento técnicamente más sencillo que los abordajes amplios habitualmente utilizados al hueso temporal; no obstante su uso debe ser restringido mayormente a la anastomosis hipogloso-facial. Conclusión: Esta es una técnica relativamente sencilla, que puede ser reproducida por cirujanos sin mayor experiencia en el tema, luego de su paso por el laboratorio de anatomía. PMID:23596555

  3. [Drama therapy for the prevention of workplace violence].

    PubMed

    Hermoso Lloret, Diana; Cervantes Ortega, Genís; Blanch, Josep Maria; Ochoa Pacheco, Paola

    2012-01-01

    OBJETIVO: Lograr, mediante una intervención formadora y preventiva, un cambio significativo en la experiencia emocional de un grupo de profesionales de la salud expuestos a situaciones de riesgo de violencia ocupacional. MÉTODO: 143 profesionales de la salud catalanes participaron en un curso de prevención de riesgos laborales cuyo contenido se basó en la articulación de técnicas de escenificación teatral y de estrategias psicoterapéuticas y se centró en la interpretación de episodios de violencia en el lugar de trabajo. Su participación en el programa fue voluntaria y fueron seleccionados atendiendo a los criterios de tipo de asistencia prestada y de diversidad profesional. Antes y después del programa les fue aplicado un cuestionario. RESULTADOS: El 92% de los participantes declaró haber presenciado y el 85% haber vivido personalmente algún episodio violento en los últimos cinco años. La comparación de las puntuaciones medias de antes y después indica que la intervención incrementa la valoración positiva de la eficacia de la propia actuación y de las propias competencias de comunicación (p< 0,001) e induce vivencias emocionales en la línea de unamayor tranquilidad (p< 0,005) y unamenor ansiedad (p< 0,005) con respecto al incidente violento. CONCLUSIONES: La escenificación vivencial de las situaciones estresantes es un instrumento útil para el aprendizaje de la gestión de las emociones, que incrementa el grado percibido de la propia capacidad de manejo de la comunicación y del trabajo en equipo y del propio estrés profesional.

  4. [Type IV paraesophageal hernia with 60% of gastric necrosis. Case report].

    PubMed

    Navarro-Tovar, Fernando; Juárez-de La Torre, Juan Carlos; Pérez-Ayala, Luis Carlos; Quintero-Cabrera, Eduardo

    2014-01-01

    Antecedentes: las hernias paraesofágicas son de baja incidencia y generalmente asintomáticas; sin embargo, cuando provocan síntomas, el riesgo de complicaciones se incrementa y se convierten en una urgencia quirúrgica. Caso clínico: mujer de 53 años de edad, con cuadro clínico de tres semanas de evolución, caracterizado por dolor abdominal, náusea y vómito ocasionales, a lo que se agregó oclusión intestinal 24 horas antes de que acudiera a consulta. En la valoración radiográfica y tomográfica se observó una hernia paraesofágica que requería laparotomía exploradora. Se encontró un defecto diafragmático paraesofágico de 9 cm, con un saco herniario de contenido del estómago, colon transverso y epiplón, con necrosis gástrica de 60% (en el fondo y el cuerpo). Se le practicó una resección gástrica no anatómica y plastia diafragmática. El periodo postoperatorio fue complicado porque se le hicieron otras dos intervenciones quirúrgicas por dehiscencia de gastrectomía y una más por esofagostomía cervical y yeyunostomía tipo Witzel. Conclusiones: se recomienda la reparación electiva en todos los sujetos asintomáticos con hernia paraesofágica, con el fin de evitar las posibles complicaciones. El método de abordaje depende de la experiencia del cirujano y de las condiciones en que se encuentre la hernia y las estructuras involucradas al momento del diagnóstico.

  5. Astronomy at School: Measurements of the Earth-Moon Distance. (Spanish Title: Astronomía en la Escuela: Medición de la Distancia Tierra-Luna.) Astronomia na Escola: Medida da Distância Terra-Lua

    NASA Astrophysics Data System (ADS)

    Paolantonio, Santiago; Pintado, Olga I.

    2006-12-01

    The aim of this project is to approach High School students to Science. We propose to measure the Earth-Moon distance using the parallax. The observation and measurements techniques and all the calculations needed are described in this paper. The results obtained in a test experience realized during 2003 are presented. This test shows that this is a feasible project and also shows which things needed to be improved. Se plantea la propuesta de un proyecto educativo dirigido al Nivel Medio de enseñanza, consistente en la determinación de la distancia Tierra - Luna por paralaje. Se describen las técnicas de observación, mediciones y cálculos. Se proporcionan a continuación los resultados obtenidos en la experiencia piloto realizada en el 2003, la que permitió comprobar la factibilidad de llevar a cabo la propuesta, así como perfeccionar los diferentes aspectos involucrados en la misma. Propomos neste trabalho um projeto educativo dirigido ao Ensino Médio que consiste na determinação da distância Terra-Lua pelo efeito da paralaxe. As técnicas de observação, medidas e cálculos auxiliares são descritos, e os resultados obtidos numa experiência-teste realizada no ano de 2003 apresentados. Este último teste permitiu comprovar a viabilidade de execução da proposta e aperfeiçoar diversos aspectos da mesma.

  6. [Spinal tuberculosis: experience in a third level medical facility in Puebla, Mexico].

    PubMed

    Medina-Peñasco, Rolando Joshua; Rosas-Ramírez, Martha Imelda; Barragán-Hervella, Rodolfo Gregorio; Alvarado-Ortega, Ivan; López-Cázares, Gerardo; Montiel-Jarquín, Álvaro José; Romero-Figueroa, María Socorro

    2017-01-01

    Introducción: La tuberculosis de la columna (TBC) es una enfermedad infecciosa grave, ocasionada por la migración de la bacteria Mycobacterium tuberculosis hacia la columna vertebral. El conocimiento de esta enfermedad es prioritario para el médico no familiar y familiar. Presentamos la experiencia en pacientes con TBC de un hospital del tercer nivel en Puebla, México. Métodos: estudio descriptivo. De enero a diciembre de 2014 recolectamos expedientes de pacientes con TBC. Las variables fueron edad, género, tiempo de estancia intrahospitalaria, enfermedades asociadas, sintomatología, métodos diagnósticos, segmento de la columna vertebral afectado, tipo de tratamiento empleado y complicaciones. Se usó estadística descriptiva, medidas de tendencia central y de dispersión. Resultados: fueron 14 pacientes (71.4% hombres); la edad promedio fue 60.29 ± 16.54 años (33-93), la estancia intrahospitalaria promedio fue de 18.93 ± 9.32 días (4-34). El segmento afectado fue el dorsal en seis pacientes (42.85%) y el lumbar en ocho (57.15%). Hubo enfermedades asociadas en nueve pacientes (64.28%). Todos los pacientes recibieron tratamiento médico. Se realizaron 11 procedimientos quirúrgicos a cinco pacientes (35.7%). Las complicaciones se presentaron en dos pacientes (14.3%). Conclusiones: La TBC debe ser manejada tempranamente para evitar complicaciones graves. La atención con el primer nivel de atención médica se debe coordinar y debemos apegarnos a lineamientos nacionales e internacionales de tratamiento.

  7. [Response to everolimus in patients with giant cell astrocytoma associated to tuberous sclerosis complex].

    PubMed

    Mateos-González, M Elena; López-Laso, Eduardo; Vicente-Rueda, Josefina; Camino-León, Rafael; Fernández-Ramos, Joaquín A; Baena-Gómez, M Auxiliadora; Peña-Rosa, M José

    2014-12-01

    Introduccion. Los astrocitomas subependimarios de celulas gigantes (SEGA) se presentan en el 5-20% de los pacientes con complejo esclerosis tuberosa (CET) y son los tumores cerebrales mas comunes en el CET. Son tumores benignos, de estirpe glioneural, que se desarrollan fundamentalmente en las primeras dos decadas de la vida, en general cercanos al foramen de Monro, y pueden ocasionar hidrocefalia e hipertension intracraneal. Constituyen la principal causa de muerte en el CET. Recientemente, los inhibidores mTOR han demostrado ser una alternativa terapeutica a la reseccion quirurgica. Objetivo. Describir nuestra experiencia con everolimus para el tratamiento de pacientes con SEGA y CET. Pacientes y metodos. Estudio prospectivo de la respuesta de los pacientes con CET y al menos un SEGA en crecimiento. Resultados. Recibieron tratamiento tres mujeres y tres varones con una edad media de 12,3 años. Un paciente habia sido previamente intervenido quirurgicamente por SEGA con hidrocefalia. El diametro maximo medio del SEGA al inicio del tratamiento era de 15,3 mm (rango: 11,3-24,8 mm). Se inicio tratamiento con everolimus, 2,5 mg/dia por via oral en pacientes con superficie corporal < 1,2 m2 y 5 mg/dia en pacientes con superficie corporal > 1,2 m2. Dos pacientes presentaron hipertrigliceridemia; uno, anorexia; otro, un afta; y una paciente, amenorrea. La reduccion media del volumen del SEGA a los tres meses de tratamiento fue del 46%, y la reduccion se mantuvo estable en controles posteriores (6-25 meses). Conclusiones. El tratamiento con everolimus disminuye el tamaño de los SEGA asociados a CET con un perfil de seguridad adecuado, y constituye una alternativa a la cirugia en casos seleccionados.

  8. [Dapagliflozin, a novel oral antidiabetic with an uncertain future].

    PubMed

    Escudero Vilaplana, Belén; Almodóvar Carretón, María José; Herrero Hernández, Silvia

    2014-11-03

    Objetivo: La diabetes mellitus tipo 2 (DM2) es uno de los principales problemas sociosanitarios a nivel mundial, para la que existen multitud de tratamientos. Recientemente, se ha aprobado el primer farmaco de una nueva familia de antidiabeticos orales (ADO): la dapagliflozina. Nuestro objetivo es revisar la evidencia cientifica disponible sobre la dapagliflozina, con el fin de analizar su eficacia, seguridad y coste y poder estimar su papel en la farmacoterapia actual de la DM2. Métodos: La eficacia y seguridad de la dapagliflozina se analizaron mediante una evaluacion de la evidencia cientifica. El coste de los diferentes ADO se calculo en base a sus dosis diarias definidas (DDD) y al precio de venta del laboratorio. Resultados: Se identificaron 7 ensayos clinicos aleatorizados: 2 en monoterapia (840 pacientes) y 5 en terapia combinada con otros antidiabeticos (3184 pacientes). En los 7 ensayos, la dapagliflozina redujo la concentracion de HbA1c; en todos se comparo con placebo, salvo en un estudio en terapia combinada que se comparo frente a farmaco activo (glipizida). Entre los efectos adversos mas frecuentes se detectaron infecciones genitourinarias e hipotension, aunque se debe prestar especial atencion al incremento del cancer de vejiga. Junto con los inhibidores de la DPP-4, la dapagliflozina es uno de los ADO de mayor coste (coste anual de DDD=729,3 euros). Conclusiones: La dapagliflozina no aporta ventajas respecto a la farmacoterapia de la DM2 ya existente. Su falta de experiencia de uso, la ausencia de importantes beneficios clinicos y su elevado coste hacen necesario restringir su utilizacion.

  9. [Endovascular treatment of spinal dorsal intradural arteriovenous fistulas].

    PubMed

    Santos-Franco, Jorge Arturo; Collado-Arce, María Griselda Lizbeth; Dávila-Romero, Julio César; Saavedra-Andrade, Rafael; Sandoval-Balanzario, Miguel Antonio

    2015-01-01

    Introducción: las fístulas arteriovenosas intradurales dorsales espinales (FAVIDE) son lesiones poco frecuentes y complejas que son subdiagnósticadas y condicionan discapacidad. El objetivo es presentar nuestra experiencia en el manejo endovascular. Métodos: estudio ambispectivo de pacientes con FAVIDE, tratados mediante terapia endovascular (TEV) con n-butil-cianoacrilato en el periodo de 2007 a 2013. Resultados: se incluyeron 15 pacientes con edad media de 37 años. En 12 casos la presentación fue progresiva e insidiosa en un lapso de entre 6 meses y un año, mientras que 3 presentaron hemorragia. La lesión tuvo localización torácica en 73 % de los casos, lumbar en 20 % y cervical en 7 %. Previo al tratamiento observamos discapacidad de grados 5 y 4 en 73 %, y 67 % tenían alteraciones de la micción de grado 3. Como complicaciones, solo una paciente tuvo deterioro del estado de alerta transitorio 6 horas después del procedimiento. Se encontró una mejoría hacia los grados 1 y 2 de discapacidad, a las 48 horas, 3 y 6 meses, de 53 %, 73 % y 87 %, respectivamente. Conclusiones: con la TEV se tiene un tiempo quirúrgico corto, el volumen de hemorragia es bajo y la estancia hospitalaria es corta, respecto de otras técnicas quirúrgicas. La TEV es un procedimiento seguro y con efectividad significativa en el tratamiento de FAVIDE. Esta es la primera serie de casos tratados con TEV en México.

  10. 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

  11. [Development and validation of an instrument designed to measure the impact of networks of support for breastfeeding].

    PubMed

    Baño Piñero, Isabel; Canteras Jordana, Manuel; Carrillo García, Cesar; López Araez, Alicia; Martínez Roche, María Emilia

    2015-04-01

    Antecedentes: partimos de la hipótesis de que no existen suficientes cuestionarios validados que midan el impacto de las redes de apoyo a la lactancia materna para población hispano hablante. Objetivo: Por ese motivo, nos planteamos como objetivo general de este trabajo, elaborar y validar (a nivel de contenido y constructo) un instrumento de medida cuantitativa. Método: Se evaluó la validez de contenido sometiendo el cuestionario a un juicio de expertos en lactancia materna de la Región de Murcia. La prueba piloto se llevó a cabo entre los meses de marzo y abril de 2014. Las encuestas fueron realizadas directamente por las usuarias que acudían al grupo de apoyo a la lactancia “Lactando”. Para la validez de constructo se realizó un análisis factorial con el que se determinaron las distintas dimensiones que el cuestionario podría medir. Se realizó una estadística descriptiva de cada uno de los ítems. A través del análisis de componentes principales, se obtuvo la varianza total explicada, determinando así, los factores con los elementos que los definían. Resultados: A través del análisis factorial, el cuestionario obtuvo una alta consistencia interna para sus cinco componentes (satisfacción, consultas, experiencia, problemas y apoyo), consiguiendo valores de 0,942 a 0,632. Y un porcentaje de varianza total explicada elevado (11,157% - 5,093%). Conclusión: Este estudio ha servido para crear un instrumento pertinente y válido a nivel de contenido y de constructo, capaz de medir el impacto de las redes de apoyo a la lactancia a través de 5 dimensiones.

  12. [Status epilepticus in paediatrics: a retrospective study and review of the literature].

    PubMed

    Moreno-Medinilla, Esther E; Negrillo-Ruano, Rocío; Calvo-Medina, Rocío; Mora-Ramírez, M Dolores; Martínez-Antón, Jacinto L

    2015-05-01

    Introduccion. El estado epileptico (EE) es la emergencia neurologica mas frecuente en pediatria. Dada la posibilidad de secuelas neurologicas y mortalidad asociadas, requiere un tratamiento agresivo precoz. Pacientes y metodos. Estudio descriptivo retrospectivo a traves de la revision de historias clinicas de pacientes ingresados en nuestro hospital entre 2010-2013 con diagnostico de EE. El objetivo fue describir las caracteristicas epidemiologicas y el manejo de estos pacientes, asi como revisar la bibliografia disponible sobre este tema. Resultados. Hemos recogido 39 pacientes (25 varones) y 51 episodios de EE. Edad media: 4,8 años. Tenian enfermedad de base 22 pacientes. Dieciocho eran epilepticos conocidos y cinco tuvieron un EE previo. De los 51 episodios de EE, 33 fueron sintomaticos, 15 febriles y tres criptogenicos. Los tipos de EE fueron: 25 parciales (de ellos, 16 complejos) y 26 generalizados. El tratamiento de primera eleccion fue benzodiacepinas en 47 pacientes (40, diacepam), fenitoina en tres y acido valproico en uno. Veintisiete pacientes precisaron farmacos de segunda linea: 16, acido valproico; ocho, fenitoina; dos, fenobarbital; y uno, levetiracetam. Diez pacientes precisaron farmacos de tercera linea para la induccion del coma: el midazolam fue el mas utilizado en nuestro centro, seguido del tiopental y el propofol. Dos EE superrefractarios requirieron inmunoglobulinas y corticoides sistemicos por presentarse en el curso de encefalitis autoinmunes. Conclusiones. Debe plantearse el esquema terapeutico del EE desde el inicio de cualquier crisis convulsiva. El tratamiento es escalonado, con benzodiacepinas en la primera etapa, antiepilepticos de amplio espectro y disponibilidad intravenosa en la segunda (acido valproico, levetiracetam en el EE generalizado y fenitoina en el EE focal), mientras que el tercer nivel varia en funcion de la experiencia de cada equipo.

  13. The effect of scientific evidence on conservation practitioners’ management decisions

    PubMed Central

    Walsh, Jessica C; Dicks, Lynn V; Sutherland, William J

    2015-01-01

    management outcomes. El Efecto de la Evidencia Científica sobre las Decisiones de Manejo de Quienes Practican la Conservación Resumen Una justificación mayor de la investigación en el manejo ambiental es que ayuda a quienes lo practican, aunque estudios previos muestran que rara vez se usa para informar sus decisiones. Probamos si quienes practican la conservación enfocada en el manejo de aves estaban dispuestos a usar una sinopsis de literatura científica relevante para informar sus decisiones de manejo. Esto permitió que examináramos si el uso limitado de información científica en el manejo se debe a una falta de acceso a la literatura científica o si se debe a que quienes practican la conservación no están interesados o no son capaces de incorporar la investigación a sus decisiones. En encuestas en línea les preguntamos a 92 practicantes de la conservación, la mayoría de Australia, Nueva Zelanda y el Reino Unido, que nos proporcionaran opiniones sobre 28 técnicas de manejo que podrían aplicarse para reducir la depredación de aves. Les pedimos sus opiniones antes y después de darles un resumen de la literatura sobre la efectividad de las intervenciones. Calificamos la efectividad general y la certidumbre de la evidencia para cada intervención por medio de un proceso de extracción por expertos – el método Delphi. Usamos las calificaciones de la efectividad para evaluar el nivel de entendimiento y de percatación de la literatura de quienes practican la conservación. En promedio, cada participante de la encuesta cambió su probabilidad de usar 45.7% de las intervenciones después de leer la sinopsis de la evidencia. Fue más probable que implementaran intervenciones efectivas y evitar acciones poco efectivas, lo que sugiere que sus estrategias de manejo futuras puedan ser más exitosas que las de práctica actual. Los practicantes con mayor experiencia tuvieron una menor probabilidad de cambiar sus prácticas de manejo que aquellos con menos

  14. [Designing a software for drug management in special situations at a hospital's drug administration service].

    PubMed

    Sánchez Cuervo, Marina; Muñoz García, María; Gómez de Salazar López de Silanes, María Esther; Bermejo Vicedo, Teresa

    2015-03-01

    Objetivo: describir las funcionalidades de un programa informático para gestión de medicamentos en situaciones especiales en un Servicio de Farmacia Hospitalaria (SFH). Describir la metodología seguida para su implantación en los Servicios Médicos. Evaluar su uso tras 2 años de utilización. Método: el diseño se realizó por farmacéuticos del SFH. Las etapas del proceso fueron: selección de una empresa de desarrollo informático, constitución de un grupo de trabajo, selección de una plataforma de desarrollo, diseño de un visor interactivo, definición de funcionalidades y de datos a procesar, creación de las bases de datos, conexión, instalación y configuración, pilotaje de la aplicación y realización de mejoras. Para la implantación en los servicios médicos se empleó una estrategia secuencial dirigida. Se evaluó la utilidad y experiencia de la aplicación tras 2 años. Resultados: se constituyó un grupo de trabajo multidisciplinar y se desarrolló Pk_Usos®. El programa trabaja en entorno web con un visor común para todos los usuarios que permite consultar la situación del expediente en tiempo real y se adapta al procedimiento de la CFT de gestión de medicamentos en situaciones especiales. Pk_Usos® se implantó en primer lugar en el Servicio de Oncología Médica, con 15 oncólogos como usuarios del programa. En dos años se realizaron 384 solicitudes en 343 pacientes, de las cuales se autorizaron 363. Conclusiones: PK_Usos® es el primer software diseñado para la gestión de los medicamentos en situaciones especiales en el SFH. Es una herramienta eficiente y dinámica, que permite la optimización de tiempos a todos los profesionales implicados en el proceso.

  15. [Laparoscopic versus open surgery for colorectal cancer. A comparative study].

    PubMed

    Arribas-Martin, Antonio; Díaz-Pizarro-Graf, José Ignacio; Muñoz-Hinojosa, Jorge Demetrio; Valdés-Castañeda, Alberto; Cruz-Ramírez, Omar; Bertrand, Martin Marie

    2014-01-01

    Antecedentes: la cirugía laparoscópica para tratar pacientes con cáncer colorrectal ha sido ampliamente aceptada y difundida en todo el mundo. Sin embargo, dependiendo de la experiencia en este abordaje los resultados quirúrgicos y oncológicos a corto plazo pueden variar. En nuestra población existen pocos estudios que comparan los resultados de esta técnica con los de la cirugía abierta. Objetivos: determinar la superioridad de la técnica laparoscópica o abierta en cirugía de cáncer colorrectal. Material y métodos: estudio retrospectivo y comparativo de pacientes operados con técnica abierta o laparoscópica por cáncer de colon y recto entre 1999 y 2011 en nuestro centro. Resultados: se incluyeron 47 pacientes intervenidos de manera convencional y 35 por laparoscopia. El tiempo operatorio fue menor en el grupo de cirugía abierta (p= 0.008). No se encontraron diferencias en: sangrado intraoperatorio (p= 0.3980), número de ganglios resecados (p= 0.27), inicio de la vía oral (p= 0.31), tiempo de estancia hospitalaria (p= 0.12), y dolor referido por el paciente (p= 0.19). En el grupo de cirugía laparoscópica se requirieron menos dosis de analgésicos (p= 0.04) y menor necesidad de catéter epidural para analgesia postoperatoria (p= 0.01). Las tasas de morbilidad (p= 0.44) y mortalidad (p= 0.39) fueron similares en ambos grupos. Conclusiones: la cirugía laparoscópica es equiparable a la técnica abierta en cuanto a estándares oncológicos y resultados técnicos. Este trabajo demuestra que en nuestro hospital la cirugía laparoscópica en pacientes con cáncer de colon y recto es tan segura como la cirugía abierta.

  16. [Nutritional graph for Argentina's bariatric population].

    PubMed

    Fantelli Pateiro, Laura; Pampillón, N; Coqueugniot, M; De Rosa, P; Pagano, C; Reynoso, C; De Pizzol, C; Iturralde, C; Podestá, S; Penutto, C

    2014-06-01

    Introducción: Una gráfica alimentaria es una guía que ayuda a los individuos a controlar y a mejorar la calidad de su alimentación; ofrece pautas sobre lo que debe comer una determinada población en términos de alimentos dando un marco para la correcta selección de los nutrientes a consumir. Objetivo: El objetivo de la presente publicación fue crear una herramienta de educación alimentaria destinada a pacientes de cirugía bariátrica para el postoperatorio en el largo plazo. Métodos: Se convocó a participar en mesas de trabajo a licenciados en nutrición y médicos especialistas en nutrición en un congreso realizado en el 2011. Se tomó como base científica el Primer Consenso Argentino de Nutrición en Cirugía Bariátrica y las “Guías alimentarias para la Población Argentina normal”. De esta forma se adapta la misma a la población argentina con cirugía bariátrica sumada a la experiencia de los profesionales. Resultado: Como resultado se obtuvo un gráfica alimentaria en forma de óvalo, adaptación de la gráfica de las “Guías alimentarias para la población argentina”, 12 mensajes o recomendaciones dirigidas a individuos con CB, una sugerencia de menú que responde a un valor calórico promedio de 1.273 calorías diarias, 145 g de carbohidratos, 76 g de proteínas y 43,2 g de grasas; 45,5% de calorías proveniente de los carbohidratos, 24% de calorías proveniente de las proteínas y 30,5 % de calorías proveniente de las grasas, 1.160 mg de calcio.

  17. Social Representations of Gynecologic Cancer Screening Assessment a Qualitative research on Ecuadorian women.

    PubMed

    Godoy, Yolanda; Godoy, Clara; Reyes, Juan

    2016-06-01

    The purpose of this work was to explore: knowledge, attitudes, and beliefs regarding gynecologic cancer screening on Ecuadorian women users of primary care facilities, to identify the social representations that users of health services make about these programs and their influence on the decision to undergo a screening. An exploratory and qualitative research design was held using focus groups and in-depth interviews for data collection. A narrative content analysis of the results was conducted. Women's knowledge on gynecological cancer screening was confusing. Most frequent misconceptions related to the pap smear were: the belief that it could be useful for detecting pregnancy, ovarian cysts or infections. Most of the participants stated that the pap smear procedure is a traumatic and painful experience. Regarding to mammography women said it was used for sick woman and this procedure by itself may cause cancer. El propósito de esta investigación fue explorar los conocimientos, actitudes y creencias respecto a los programas de detección del cáncer ginecológico entre usuarias de centros de atención primaria de salud para identificar las representaciones sociales que las usuarias de los servicios de salud elaboran acerca de estos programas y de los diferentes procedimientos que comprenden. El diseño de la investigación fue exploratorio y cualitativo, mediante grupos focales y entrevistas a profundidad, con el respectivo análisis narrativo e interpretativo del contenido. Se encontró conocimiento confuso acerca de los programas de tamizaje de cáncer ginecológico y dificultades asociadas a la realización de los procedimientos. Los significados más frecuentes acerca de los programas fueron: el uso de la citología cérvico-vaginal para detectar embarazo, quistes ováricos o infecciones. La mayoría de los participantes asociaba este procedimiento con una experiencia dolorosa y traumática. Respecto al autoexamen de mamas, lo calificaron como un masaje

  18. Percepcion de los profesores universitarios acerca del concepto cultura cientifica y de sus implicaciones en el nuevo bachillerato del Recinto de Rio Piedras de la Universidad de Puerto Rico

    NASA Astrophysics Data System (ADS)

    Ramos Pastrana, Nilsa

    El Senado Academico del Recinto de Rio Piedras de la Universidad de Puerto Rico aprobo en el ano academico 2005-2006 la Certificacion 46, que contiene los lineamientos de un nuevo bachillerato. Este nuevo bachillerato introdujo cambios significativos en el curriculo tradicional. Entre ellos se encuentra la reduccion del componente de educacion general y el de Ciencias Biologicas en particular. La reduccion de creditos en el componente de Ciencias Biologicas ha obligado a reevaluar el concepto de cultura cientifica que desarrollan esos cursos. El proposito del estudio consistio en auscultar las percepciones de los profesores de las Facultades de Administracion de Empresas, Humanidades, Ciencias Sociales, Ciencias Naturales, Educacion y Estudios Generales del Recinto de Rio Piedras de la Universidad de Puerto Rico en torno al concepto de cultura cientifica, los contenidos disciplinares del curso de Ciencias Biologicas y la reduccion de creditos en el nuevo bachillerato. Las preguntas que guiaron la investigacion fueron: ¿cuales son las percepciones que tienen los profesores de las Facultades de Administracion de Empresas, Ciencias Sociales, Estudios Generales, Ciencias Naturales, Humanidades y Educacion, en torno al concepto de cultura cientifica y los contenidos disciplinares del curso de Ciencias Biologicas? ¿cuales son las percepciones que tienen los profesores de Ciencias Biologicas en torno al concepto cultura cientifica y los contenidos disciplinares del curso de Ciencias Biologicas? ¿existen diferencias significativas por facultad, genero, experiencia, rango y nombramiento en las percepciones que tienen los profesores del Recinto de Rio Piedras de la Universidad de Puerto Rico sobre los elementos que caracterizan la cultura cientifica y los contenidos biologicos que deben tener los egresados del Recinto? ¿que implicaciones curriculares tienen estos testimonios en el desarrollo del concepto de cultura cientifica en el nuevo bachillerato? Para realizar la

  19. [Primary cardiac hemangioendothelioma: early diagnosis and surgical resection].

    PubMed

    Gaytán-Cortés, Fernando Celso; Arteaga-Adame, Juan; Careaga-Reyna, Guillermo; Lezama-Urtecho, Carlos; Álvarez-Sánchez, Luis

    2016-01-01

    Introducción: el hemangioendotelioma engloba todos los tumores que derivan del endotelio de los vasos sanguíneos. Es de pronóstico incierto y siempre se considera como una lesión maligna de bajo grado. Caso clínico: paciente masculino de 23 años que ingresó a urgencias con dolor retroesternal intermitente, disnea paroxística nocturna y ataque al estado general. Negó antecedentes crónico-degenerativos y tuvo pérdida ponderal de 6 kg en dos meses. Las pruebas sugirieron derrame pericárdico. Presentó tendencia a la hipotensión por tamponade, resuelta con punción subxifoidea, y drenaje de 800 mL de líquido de características hemáticas antiguas. El paciente presentó un tumor de la aurícula derecha de 8 x 4 cm, dependiente de la pared anterior de la aurícula, sin involucro de septum interatrial. Al someter al paciente a cirugía, se identificó lesión tumoral en la pared anterior de orejuela derecha. Se hizo resección del tumor y del 70 % de la orejuela derecha, sustituida con parche de pericardio bovino. El paciente presentó buena evolución; egresó a los 10 días de la cirugía con seguimiento por seis meses en la consulta externa. Conclusión: estamos ante un tumor vascular oncológicamente impredecible y que rara vez se origina en el corazón. Una detección oportuna y la resección quirúrgica radical es el manejo más aceptado ante la poca experiencia que hay a nivel mundial para lidiar con esta entidad. Sugerimos un abordaje clínico agresivo y la extirpación quirúrgica dentro de las primeras horas de la sospecha diagnóstica para obtener la mayor posibilidad de resección total y la reducción del riesgo de recidiva.

  20. Planificación Neuroquirúrgica con Software Osirix

    PubMed Central

    Jaimovich, Sebastián Gastón; Guevara, Martin; Pampin, Sergio; Jaimovich, Roberto; Gardella, Javier Luis

    2014-01-01

    Introducción: La individualidad anatómica es clave para reducir el trauma quirúrgico y obtener un mejor resultado. Actualmente, el avance en las neuroimágenes ha permitido objetivar esa individualidad anatómica, permitiendo planificar la intervención quirúrgica. Con este objetivo, presentamos nuestra experiencia con el software Osirix. Descripción de la técnica: Se presentan 3 casos ejemplificadores de 40 realizados. Caso 1: Paciente con meningioma de la convexidad parasagital izquierda en área premotora; Caso 2: Paciente con macroadenoma hipofisario, operada previamente por vía transeptoesfenoidal en otra institución con una resección parcial; Caso 3: Paciente con lesiones en pedúnculo cerebeloso medio bilateral. Se realizó la planificación prequirúrgica con el software OsiriX, fusionando y reconstruyendo en 3D las imágenes de TC e IRM, para analizar relaciones anatómicas, medir distancias, coordenadas y trayectorias, entre otras funciones. Discusión: El software OsiriX de acceso libre y gratuito permite al cirujano, mediante la fusión y reconstrucción en 3D de imágenes, analizar la anatomía individual del paciente y planificar de forma rápida, simple, segura y económica cirugías de alta complejidad. En el Caso 1 se pudo analizar las relaciones del tumor con las estructuras adyacentes para minimizar el abordaje. En el Caso 2 permitió comprender la anatomía post-operatoria previa del paciente, para determinar la trayectoria del abordaje transnasal endoscópico y la necesidad de ampliar su exposición, logrando la resección tumoral completa. En el Caso 3 permitió obtener las coordenadas estereotáxicas y trayectoria de una lesión sin representación tomográfica. Conclusión: En casos de no contar con costosos sistemas de neuronavegación o estereotáxia el software OsiriX es una alternativa a la hora de planificar la cirugía, con el objetivo de disminuir el trauma y la morbilidad operatoria. PMID:25165617

  1. [Predictor variables for low adherence to a lifestyle modification program of overweight treatment in primary health care].

    PubMed

    Arrebola Vivas, Emilia; López Plaza, Bricia; Koester Weber, Thabata; Bermejo López, Laura; Palma Milla, Samara; Lisbona Catalán, Arturo; Gómez-Candela, Carmen

    2013-01-01

    Objetivos: Identificar variables predictoras de baja adherencia a un programa piloto de Modificación de Estilos de Vida (MEV) para el tratamiento del exceso de peso en Atención Primaria (AP). Material y métodos: Se reclutaron 60 sujetos con IMC > 27 kg/m(2). Profesionales sanitarios dirigieron el programa, en formato grupal y con una periodicidad quincenal, basado en educación nutricional, pautas dietéticas individualizadas, promoción de actividad física y apoyo motivacional. Para identificar las variables relacionadas con la adherencia al programa se utilizó un cuestionario validado sobre Hábitos de Vida de personas con Sobrepeso y Obesidad y se midieron variables antropométricas al inicio y a los seis meses del tratamiento. Una baja adherencia al programa fue considerada cuando los sujetos del estudio acudían a menos del 80% de las visitas quincenales. Resultados: Se adhirieron al programa 27 sujetos (45%). Las variables asociadas a baja adherencia estuvieron relacionadas al inicio del estudio con IMC ≥?35 kg/m(2) (p < 0,05); período de exfumador =?4 meses (p < 0,01); mayor contenido calórico de la dieta (p < 0,01) y menor práctica de ejercicio físico (p < 0,05). A los 6 meses los sujetos que finalizaron el programa presentaron una disminución significativa de: peso (86,0 ± 15,6 vs 79,2 ± 13,4 kg; p < 0,001);% de masa grasa (41,6 ± 4,6 vs 38,8 ± 5,4%; p < 0,001) y glucemia (108 ± 45,48 vs 94,38 ± 11,97 mg/dl; p < 0,01). Además mejoró el perfil calórico de su dieta, disminuyendo sobretodo el porcentaje de grasa sobre el valor calórico total (39,6 ± 4,8 vs. 35,5 ± 5,6%; p < 0,01). Conclusión: Haber dejado de fumar recientemente, padecer obesidad de grado dos o superior, el alto contenido calórico de la dieta y la menor práctica de ejercicio físico fueron las variables basales identificadas como predictoras de una baja adherencia a un programa de MEV para el tratamiento de sobrepeso y obesidad en AP. Esta experiencia piloto una vez

  2. 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

  3. [In Process Citation].

    PubMed

    Zourdos, Michael C; Dolan, Chad; Quiles, Justin M; Klemp, Alex; Jo, Edward; Loenneke, Jeremy P; Blanco, Rocky; Whitehurst, Michael

    2016-03-25

    Introducción: el propósito de este estudio fue investigar la eficacia del entrenamiento diario de una repetición máxima (1RM) de la sentadilla en fuerza máxima. Material y método: tres levantadores de peso de competición realizaron la sentadilla durante 37 días consecutivos y se reportan como casos individuales. Participante 1 (P1) (masa corporal = 80,5 kg; edad = 28 años) y participante 3 (P3) (masa corporal = 108,8 kg; edad = 34 años) eran levantadores de fuerza; participante 2 (P2) (masa corporal = 64,1 kg; edad = 19 años) fue un levantador de pesas. Cada participante tenía por lo menos 5 años de experiencia con la posición en sentadilla de formación. Durante los días 1-35, los participantes realizaron una sentadilla de 1RM seguida por 5 conjuntos de volumen de 3 repeticiones al 85% o 2 repeticiones al 90% de la 1RM diario. En el día 36, los participantes realizan solo una serie de 1 repetición al 85% de 1RM del día 1; y el día 37 realizaron un 1RM. Resultados: cambios absolutos y porcentaje para P1 del 1 día al 37: + 5 kg/2,3% y desde el primer día al máximo (1RM era el mayor) + 12,5 kg/5,8%. P2 experimentó un aumento de 13,5 kg/10,8% en 1RM del día 1 al 37 y del día 1 al máximo. P3 demostró un aumento de 21 kg/9,5% del día 1 al 37 y del día 1 al máximo. Los tres participantes exhibieron significativa (p < 0,05) las correlaciones entre el tiempo (días) y 1RM (P1: r = 0,65, P2: r = 0,78, P3: r = 0,48). Conclusión: nuestros resultados sugieren que el entrenamiento diario de 1RM había producido efectivamente cambios significativos en la máxima fuerza en los atletas de fuerza competitiva en un periodo relativamente corto de entrenamiento.

  4. [Adnexal neoplasms in the context of skin cancer: trichilemmal carcinoma. Apropos of a case].

    PubMed

    Pérez-Martínez, Ignacio Jaime; Mantilla-Morales, Alejandra; Cruz-Esquivel, Iván; Gallegos-Hernández, José Francisco

    2013-01-01

    Antecedente: el carcinoma triquilemal es una neoplasia maligna poco frecuente originada en los anexos de la piel. Debido a su escasa prevalencia suele confundirse con otros tumores dérmicos, su presentación clínica no favorece el diagnóstico diferencial y generalmente éste se hace por exclusión. En teoría, su comportamiento es lento, con poca tendencia a enviar metástasis regionales ganglionares y sistémicas. Debido al escaso número de casos no existe consenso en relación con el pronóstico, aunque generalmente se estima bueno. El objetivo de este reporte es mostrar un caso que, contrario a lo informado, es de manifestación agresiva en un paciente sin factores de riesgo para cáncer de piel, con gran infiltración tumoral de los tejidos blandos alrededor del sitio de origen. Caso clínico: paciente masculino de 65 años de edad que acudió con diagnóstico citológico de carcinoma en un tumor facial preparotídeo; al momento del diagnóstico motraba infiltración de la piel de la cara, del pabellón auricular y de la glándula parótida. Se efectuó resección completa de la neoplasia en bloque con isla de piel facial, parotidectomía total y disección radical del cuello; el defecto de partes blandas fue cubierto con un colgajo pediculado. La evolución ha sido satisfactoria; sin embargo, el seguimiento es corto. Se evalúa la experiencia asentada en la bibliografía en relación con el pronóstico y tratamiento de estos pacientes. Conclusión: el carcinoma triquilemal puede tener comportamiento localmente invasor lo que hace difícil determinar el pronóstico, que quizá dependa de la etapa clínica al momento del diagnóstico.

  5. [Complications of conventional and laparoscopic gastric bypass. Prospective and comparative study].

    PubMed

    Gramática, Luis; Palas Zúñiga, César E; Moreno, Walter; Álvarez Padilla, Facundo; Arias, Ariel; Lerda, Gustavo

    2014-01-01

    Antecedentes: el bypass gástrico en y de roux para el tratamiento de la obesidad mórbida representa hoy en día la opción terapéutica más segura y eficiente. la era laparoscópica ha demostrado sus beneficios en este tipo de cirugía, por lo que algunos autores abogan por su implementación en forma casi sistemática, conduciendo en los últimos años al inexorable cambio en la vía de abordaje. Objetivos: evaluar y comparar las complicaciones del bypass gástrico laparoscópico y convencional en pacientes con obesidad mórbida. Lugar de aplicación: hospital nacional universitario de autogestión. Diseño: estudio comparativo, prospectivo no randomizado. Población: entre el 2002 y 2011, 420 pacientes con obesidad mórbida recibieron un tratamiento quirúrgico para la obesidad ya sea en forma laparoscópica (253) o convencional (167). Resultados: el porcentaje de complicaciones postoperatorias tempranas fue del 4% en el grupo bgl y del 34% en el bgc (p <05, ic95% 22 - 38), representadas en su mayoría por seromas (25%) y abscesos de pared (5,4%). el porcentaje de complicaciones postoperatorias tardías fue del 2,8% en el grupo bgl y del 9,6% en el bgc (p= 0.004, ic95% 1,4 - 12,2), siendo las más frecuentes las eventraciones (7,2%). Conclusiones: de acuerdo a nuestra experiencia y a la literatura consultada, el bypass gástrico laparoscópico es un procedimiento seguro, reproducible y con una menor tasa de complicaciones tanto tempranas como tardías que el bg c, por lo que consideramos y ofrecemos al bgl como técnica ideal en el tratamiento de los pacientes con obesidad mórbida.

  6. Use of closed systems in the Hospital Pharmacy.

    PubMed

    Forte Pérez-Minayo, María; Castillo Bazán, Eva; Hernández Segurado, Marta; Arias Moya, María Ángeles; Pelegrín Torres, Paloma; Bécares Martínez, Francisco Javier

    2016-03-01

    Objetivo: En el contexto del auge de los sistemas cerrados para la reconstitución y preparación de estos fármacos, se propone analizar el uso correcto de estos sistemas en el servicio de farmacia, con el objetivo de minimizar los riesgos de exposición no solo de los trabajadores expuestos, sino de todos los trabajadores del servicio, atendiendo también a criterios de eficiencia. Método: Puesto que algunos sistemas protegen frente a la formación de aerosoles pero no frente a vapores, decidimos revisar qué citostáticos debían prepararse con un punzón que constase de una válvula de admisión de aire para implementar un nuevo procedimiento de trabajo. Se revisaron las presentaciones disponibles en nuestro hospital atendiendo a: vía de administración, excipientes y riesgo para el personal manipulador, y se midieron los diámetros de los viales. Se seleccionaron tanto los fármacos de riesgo 1 como aquellos cuyos excipientes incluyesen vehículos alcohólicos, susceptibles de formar vapores. Resultados: De las 66 presentaciones revisadas, un total de 11 fármacos debían reconstituirse con este tipo de punzón: busulfán, cabazitaxel, carmustina, ciclofosfamida, eribulina, etopósido, fotemustina, melfalán, paclitaxel, temsirolimús y tiotepa; representando un 18% respecto al volumen total de presentaciones. Conclusiones: La selección de los productos sanitarios debe realizarse desde los servicios de farmacia, ya que la utilización de un sistema con válvula de admisión de aire para tan solo los fármacos seleccionados supuso un ahorro y un empleo más eficiente del material. Desde nuestra experiencia comprobamos que el uso de la aguja solo podía relegarse si el punzón se adaptaba a las diferentes presentaciones de citostáticos, y esto solo se consigue disponiendo de varios tipos de punzones. Además, las conexiones solo estaban realmente cerradas si se utilizaba un punzón por cada vial. Con el cambio en la metodología de trabajo a la hora de

  7. [Laparoscopic adrenalectomy: the best surgical option].

    PubMed

    Maestre-Maderuelo, Maria; Candel-Arenas, Marife; Terol-Garaulet, Emilio; González-Valverde, Francisco Miguel; Marín-Blazquez, Antonio Albarracin

    2013-01-01

    Antecedentes: la vía de acceso laparoscópico es la técnica de elección en el tratamiento quirúrgico de la glándula suprarrenal, excepto del carcinoma suprarrenal. Objetivo: revisar nuestra experiencia en suprarrenalectomías laparoscópicas por vía lateral transperitoneal efectuadas entre los años 2005 y 2012. Material y método: estudio descriptivo y retrospectivo efectuado mediante la revisión de historias clínicas de 37 pacientes con diagnóstico, al alta, de tumor adrenal y a quienes se hizo adrenalectomía laparoscópica entre abril de 2005 y abril de 2012. Se consideraron los siguientes datos: edad, sexo, lateralidad, indicación quirúrgica, resultados anatomopatológicos, tamaño de la lesión, estancia hospitalaria, tasa de conversión y complicaciones perioperatorias. Resultados: durante el periodo de estudio se intervinieron 37pacientes (19 varones y 18 mujeres) con edad media de 51.72 ± 14.42 años. Se realizaron 22adrenalectomías izquierdas (59.45%) y 15 derechas (40.54%). Las indicaciones de suprarrenalectomía fueron: incidentaloma mayor de 4 cm o con crecimiento rápido y tumores productores de hormonas. El diagnóstico se confirmó con tomografía computada, resonancia magnética, o ambas, y con gammagrafía metaiodobencilguanidina en el caso de sospecha de feocromocitoma y estudio hormonal completo en todos los pacientes. Conclusiones: la suprarrenalectomía laparoscópica sigue siendo la técnica de elección en el tratamiento de pacientes con afectación de la glándula suprarrenal porque ha demostrado ser segura y eficaz, como quedó confirmado en nuestra serie, que tuvo resultados similares a los de la bibliografía.

  8. [Maternal and fetal outcome in Mexican women with rheumatoid arthritis].

    PubMed

    Saavedra, Miguel A; Sánchez, Antonio; Bustamante, Reyna; Miranda-Hernández, Dafhne; Soliz-Antezana, Jimena; Cruz-Domínguez, Pilar; Morales, Sara; Jara, Luis J

    2015-01-01

    Objetivo: reportar la experiencia en el desenlace materno-fetal de mujeres con artritis reumatoide en un centro médico nacional de referencia.Métodos: se realizó un análisis retrospectivo de los expedientes de mujeres embarazadas con artritis reumatoide que fueron atendidas en una clínica de embarazo y enfermedades reumáticas autoinmunes. Se estudió el desenlace materno-fetal considerado como: actividad de la enfermedad, preeclampsia/eclampsia, tasa de nacidos vivos, abortos, óbitos, parto pretérmino, semanas de gestación, peso al nacer, malformaciones congénitas y uso de fármacos antirreumáticos.Resultados: se incluyeron 73 embarazos en 72 pacientes. Se documentó actividad de la enfermedad en el 47.2 % de las pacientes durante el embarazo y/o posparto. El 87.7 % de las pacientes recibió algún fármaco antirreumático. Se desarrolló preeclampsia en el 8.2 % de los casos. La tasa de nacidos vivos fue de 98.6 %, con parto pretérmino en el 15.9 % y bajo peso a término en el 17.6 % de los casos. El 77.1 % de los productos nació vía cesárea. La actividad de la enfermedad no se asoció a un mayor porcentaje de complicaciones materno-fetales.Conclusiones: nuestro estudio mostró que la mayoría de las pacientes no experimenta actividad significativa de la AR durante el embarazo, el desenlace fetal es satisfactorio y la actividad de la enfermedad no influye de manera importante el desenlace obstétrico.

  9. [Pseudomyxoma peritonei. Two-case-report].

    PubMed

    Carranza-Martínez, Ixchel; Cornejo-López, Gilberto; Monroy-Argumedo, Montserrat; Villanueva-Sáenz, Eduardo

    2014-01-01

    Antecedentes: el pseudomixoma peritoneal se caracteriza por la diseminación celular intraperitoneal de un tumor adenomucinoso; el apéndice cecal es la etiología más frecuente. Objetivo: reportar la experiencia de un grupo de Cirugía General y revisar la bibliografía. Casos clínicos: 1: paciente femenina de 74 años de edad, que cuatro días previos inició con dolor abdominal tipo cólico en el mesogastrio y fosa iliaca derecha, evacuaciones diarreicas y fiebre. A su ingreso al hospital se la encontró con datos de irritacion peritoneal y resistencia muscular, leucocitosis de 14,500 células por mm3, neutrófilos 89%, bandas 1%. Se diagnosticó: apendicitis aguda y se programó para laparoscopia diagnóstica, con distensión importante de asas, por lo que se decidió convertir a laparotomía. Caso 2: paciente masculino de 73 años de edad; el padecimiento actual se inició con dolor intermitente en la fosa iliaca derecha e hipogastrio, de un año de evolución. Al cuadro se agregaron: disnea, estreñimiento alternado con periodos de diarrea, plenitud gástrica, y pirosis. A la exploración física se encontró un tumor palpable en el mesogastrio y ambas fosas iliacas. Por eso se le realizó la laparotomía exploradora. En ambos casos el diagnóstico se estableció en el transoperatorio con el hallazgo de múltiples implantes tumorales mucinosos multilobulados diseminados en la cavidad peritoneal, el diagnóstico se confirmó con el reporte histopatológico de pseudomixoma peritoneal. Conclusiones: el pseudomixoma peritoneal es una neoplasia poco frecuente y de difícil diagnóstico, caracterizada por producción copiosa de ascitis mucinosa y de múltiples implantes tumorales en la serosa de las vísceras intracavitarias. El tratamiento ideal es la cirugía citorreductiva y la quimioterapia intraperitoneal perioperatoria o la quimioterapia postoperatoria, o ambas.

  10. [In Process Citation].

    PubMed

    Chacón-Cuberos, Ramón; Castro-Sánchez, Manuel; Muros-Molina, José Joaquín; Espejo-Garcés, Tamara; Zurita-Ortega, Félix; Linares-Manrique, Marta

    2016-03-25

    Introducción: la dieta mediterránea (DM) representa uno de los modelos dietéticos más completos y sanos según expresan numerosos estudios. En este sentido, la etapa universitaria supone un cambio sustancial en los hábitos alimentarios de los adultos jóvenes, alejándose de los estándares asociados a la DM. Objetivo: determinar el nivel de adherencia a la DM de un sector de población universitaria, estableciendo patrones de relación con el tipo de población en el que reside y hábitos de ocio digital asociados a videojuegos. Material y métodos: en esta investigación de diseño descriptivo y corte transversal participaron 490 estudiantes universitarios (M = 22,8 años; DT = 3,639), realizándose la recogida de datos mediante los cuestionarios KIDMED, Cuestionario de Experiencias Relacionadas con los Videojuegos (CERV) y Cuestionario sobre los Hábitos de Consumo de Videojuegos (CHCV). Resultados: más del 70% de la muestra necesitaba mejorar su alimentación y solo un 26,1% se alimentaba adecuadamente. Asimismo, los niveles de adicción a los videojuegos mostraron que un 17,8% de los participantes manifestaba problemas potenciales y un 2,7% severos. Se encontraron diferencias estadísticas en las relaciones dadas para la adhesión a la DM, la frecuencia de uso de videojuegos y el número de videojuegos jugados, concretando que los hábitos de consumo de videojuegos influyen en la adhesión a la DM en la etapa universitaria. Conclusión: ante el bajo porcentaje de universitarios que siguen una dieta de calidad óptima y su relación con el uso de videojuegos, resulta de vital importancia la creación de programas de intervención que mejoren la alimentación de este sector y disminuyan el tiempo de ocio sedentario.

  11. La preparacion en ciencia de los candidatos a maestros del nivel elemental primario segun la reforma de la educacion cientifica en Puerto Rico: Una propuesta de secuencia curricular

    NASA Astrophysics Data System (ADS)

    Rodriguez Plaza, Evelyn

    El proposito de esta investigacion fue identificar los componentes de la preparacion en ciencia que deben recibir los estudiantes del Bachillerato en Artes en Educacion Elemental, Nivel Primario, de acuerdo a los documentos que dirigen la reforma de la educacion cientifica en Puerto Rico. Tambien, se identificaron los componentes de los cursos que forman parte de la preparacion en ciencia de estos estudiantes. Se compararon los componentes de la preparacion en ciencia y los componentes de los cursos para determinar congruencias y discrepancias. Con los datos recopilados se identificaron los componentes de los cursos de una secuencia curricular para la preparacion en ciencia de los candidatos a maestros del nivel elemental primario. La secuencia curricular que se propone en esta investigacion incluye cursos de contenido cientifico y de metodologia en la ensenanza de la ciencia disenados para satisfacer las necesidades de los candidatos. Se recomienda que en los procesos para el diseno, la implantacion y la evaluacion de estos cursos participen profesores de ciencia, profesores de educacion y maestros del nivel elemental primario. Todos los cursos de la secuencia curricular deben tener un enfoque constructivista. Las experiencias educativas que se incluyan en los cursos deben aspirar a desarrollar en los candidatos los atributos de la cultura cientifica y actitudes positivas hacia la ciencia y hacia la ensenanza de esta disciplina. El modelaje por parte de los profesores que ensenen los cursos de la secuencia curricular es fundamental en el desarrollo profesional de los candidatos. Se recomienda que en los cursos de contenido cientifico se estudien los conceptos y los conocimientos cientificos que forman parte del curriculo de Kindergarten a tercer grado de forma integrada y con una profundidad universitaria. Estos cursos deben tener un enfoque interdisciplinario e incluir el estudio de la naturaleza de la ciencia y un componente de laboratorio para desarrollar los

  12. Economic evaluation in collaborative hospital drug evaluation reports.

    PubMed

    Ortega, Ana; Fraga, María Dolores; Marín-Gil, Roberto; Lopez-Briz, Eduardo; Puigventós, Francesc; Dranitsaris, George

    2015-09-01

    Objetivo: la evaluación económica es un criterio fundamental en el posicionamiento de medicamentos. El método MADRE (Método de Ayuda para la toma de Decisiones y la Realización de Evaluaciones de medicamentos) es ampliamente utilizado en la evaluación de medicamentos. Fue desarrollado por el grupo GENESIS de la Sociedad Española de Farmacia Hospitalaria (SEFH), e incluye una evaluación económica. Con objeto de mejorar los aspectos económicos de este método, analizaremos la experiencia previa con esta metodología y propondremos mejoras. Método: revisión retrospectiva de las evaluaciones económicas en los informes de evaluación de medicamentos realizados de forma colaborativa (como SEFH) con el método MADRE. Resultados: se revisaron 32 informes, el 87,5% incluían una evaluación económica realizada por los autores y un 65,6% una publicada. El 90,6% incluían un análisis de impacto presupuestario. 14 informes incluían el coste por año de vida o por año de vida ganado ajustado por calidad. 23 informes recibieron alegaciones relacionadas con la evaluación económica. Las principales dificultades fueron: baja calidad de la evidencia en la población diana, falta de estudios comparativos con el comparador relevante, resultados finales no evaluados, falta de datos de calidad de vida, precio del medicamento no fijado, incertidumbre en la dosis y diferentes precios del medicamento. Conclusiones: mejoras propuestas: incorporar ayudas para inclusión de costes no farmacológicos, estimación de la supervivencia y adaptación de evaluaciones económicas publicadas; establecer criterios para: selección de precios, toma de decisiones en condiciones de incertidumbre o evidencia pobre, cálculo de dosis y umbrales de coste-efectividad en diferentes situaciones.

  13. TRAQUEOESOPHAGEAL FISTULA PATIENTS FED THROUGH PERCUTANEOUS ENDOSCOPIC GASTROSTOMY/GASTROJEJUNOSTOMY: NUTRITIONAL STATUS AND CLINICAL OUTCOME.

    PubMed

    Santos, Carla Adriana; Pereira, Marta; Martins, Vera Santos; Fonseca, Jorge

    2015-08-01

    Introducción: las fístulas traqueoesofágicas (FTE) pueden surgir en un cáncer de esófago/pulmón o pueden ser secundarias a intubación endotraqueal prolongada. La Gastrostomía Percutánea Endoscópica o la Gastroyeyunostomía (PEG/PEG-J) son útiles para el soporte nutricional. Intentamos evaluar: estado nutricional cuando los pacientes son referenciados/sometidos a gastrostomía, evolución clínica y seguridad de la PEG/ PEG-J en la FTE. Materiales y métodos: pacientes con FTE alimentados por PEG/PEG-J: características clínicas, índice de masa corporal, albúmina, transferrina, colesterol, evaluados en el día de la gastrostomía, y según la causa de la FTE: Grupo 1: complicación de la ventilación mecánica; Grupo 2: cáncer esofágico o respiratorio. Resultados: doce pacientes, mediana de edad 53 años (18-91), 11 PEG, 1 PEG-J: 6 complicaciones de la ventilación mecánica; 6 cánceres. Periodo de referencia entre el diagnóstico de TEF y la gastrostomía: 2 meses en el Grupo 1, 10 meses en el Grupo 2. En el momento de la gastrostomía la mayoría estaban desnutridos, en particular el Grupo 2. En el Grupo 1 solo falleció un paciente, 3 regresaron a la alimentación oral después de cerrar la FTE, 2 mantienen la gastrostomía. Todos los pacientes oncológicos murieron (mediana: 7 meses después la PEG). Uno requirió una extensión yeyunal para PEG-J. Sin otras complicaciones. Conclusión: en nuestra experiencia, la PEG/PEG - J fue un método seguro en pacientes con FTE de causa oncológica u otra, pero los pacientes con cáncer son sometidos a gastrostomía muy tarde. En los pacientes con FTE la PEG/PEG -J se debe considerar antes de que se produzca la malnutrición.

  14. [Multidisciplinary approach as a model for detection and monitoring of psychiatric morbidity in patients treated with interferon and ribavirin].

    PubMed

    Cabré Serres, M; Rudi Sola, N; Pontes García, C; Vergara Gómez, M; Parra Uribe, I; Gorgas Torner, M Q

    2014-05-01

    Objetivo: Describir la experiencia recogida durante el programa multidisciplinar,y en particular describir la incidencia de los trastornos psiquiátricosen pacientes con hepatitis C crónica (HCC) durante el tratamiento coninterferón y ribavirina, y determinar la adherencia al tratamiento antiviraly la respuesta viral sobtenida (RVS).Material y métodos: Estudio observacional, descriptivo y retrospectivo realizadoa partir de los datos recogidos durante el programa de dispensaciónambulatoria de tratamiento antiviral.Se incluyó a todos los pacientes monoinfectados por el virus hepatitis C(VHC) que iniciaron tratamiento durante el 2010. El cribaje de lostrastornos psiquiátricos se realizó mediante el Hospital Anxiety-DepressionScale (HADS) y el General Health Questionnaire (Goldberg) las semanas 0,4, 12, 24, 48 y 72. La adherencia se evaluó mediante el recuento de dispensacionesy de la medicación sobrante del paciente y la exposición al fármacosegún la regla 80/80/80. La respuesta virológica se determinó por elmédico responsable de acuerdo a las definiciones estándar.Resultados: Se incluyeron 76 pacientes, 19 (25%) de los cuales teníanantecedentes psiquiátricos. La incidencia de trastornos psiquiátricos fue del33% (n = 25). El pico de resultados anormales en los test fue en la semana12. El 43% alcanzó RVS, sin diferencias entre ambos grupos (p > 0,05). Laadherencia (96,0% y 96,8%, p > 0,05) y RVS (39% y 52%, p > 0,05)fueron similares en ambos subgrupos con y sin trastornos.Conclusiones: Los trastornos psiquiátricos no tuvieron impacto en la adherenciay la RVS. El seguimiento multidisciplinar durante el tratamiento de la hepatitisC crónica (HCC) puede contribuir a la detección precoz y manejo de lostrastornos psiquiátricos y a mejorar la atención integral del paciente.

  15. Malformaciones arteriovenosas revisión y análisis descriptivo de 52 mavs tratadas durante el periodo de 2000-2010

    PubMed Central

    Rinaldi, Mariano; Mezzano, Emilio; Berra, Matias S.; Parés, Herald R.; Olocco, Ricardo V.; Papalini, Francisco R.

    2015-01-01

    Objetivo: Describir nuestra experiencia en el manejo de las Mavs analizando las características clínicas de los pacientes y los resultados postoperatorios. Método de análisis: Realizamos un análisis retrospectivo de 52 pacientes admitidos en el Servicio de neurocirugía para manejo quirúrgico: La información de referencia incluyo síntomas al inicio, diagnostico de admisión, hallazgos neurológicos y hallazgos en estudio por imágenes tales como tomografía cerebral, IRM cerebral y angiografía por sustracción digital. Los hallazgos postoperatorios de interés fueron: Mortalidad, examen neurológico postoperatorio y complicaciones asociadas. Presentamos nuestro análisis estadístico. Resultados: Edad promedio: 37,7 años. Distribución: Hombres: 61,5%. Motivos de consulta más frecuentes: Cefalea 63,5%, evento hemorrágico 59,6%, convulsiones 26,9%. Localización: Supratentorial: 92,9%, Infratentorial: 7,2%. 30,8%, de las Mavs fueron grado 2 y grado 3 Cincuenta por ciento del total presentaron aneurismas, del total de la MAVs, 59,6% debutó con sangrado, 26,9% con Crisis Convulsivas y 13,5% con déficit neurológico. Recibieron tratamiento endovascular previo a cirugía 30,7%. Durante el postoperatorio 23,1% presentaron mejoría clínica, 57,7% no presento modificación, 19,2% empeoraron en el postoperatorio. La mortalidad fue 13,5%. Conclusión: Creemos que el subgrupo de Mavs grados III a V representan una entidad que requiere una compleja toma de decisiones dada la alta incidencia de aneurismas asociados que presentan y su asociación con eventos de sangrado. Nuestra mortalidad postoperatoria coincide con la bibliografía. Palabras clave, Mavs- aneurismas asociados- Acv hemorrágico- convulsiones. PMID:26600984

  16. Astronomía Gamma desde El Leoncito

    NASA Astrophysics Data System (ADS)

    Rovero, A. C.; Colombo, E.; Sahade, J.; Weekes, T. C.

    La astronomía gamma, en el extremo de energías detectadas hasta el presente, se encuentra en desarrollo en muchas partes del mundo y proporciona resultados sorprendentes a medida que la tecnología avanza en el desarrollo de nuevos detectores. La técnica Cherenkov Atmosférica es la utilizada para la detección, mediante telescopios en tierra, del efecto secundario causado por la radiación gamma de muy altas energías (E ≈ TeV). Por medio de telescopios o arreglos de detectores y utilizando la técnica mencionada, se han podido detectar algunas fuentes puntuales de mucha importancia astrofísica como la Nebulosa del Cangrejo y la galaxia de núcleo activo Markarian 421. El sistema instalado en San Juan, en cooperación con el grupo de Radiación Gamma del Observatorio Whipple, está constituído por tres colectores de 1.5m que registran pulsos de luz generados por las cascadas de partículas producidas por rayos cósmicos de todo tipo al entrar en la atmósfera terrestre. El sistema opera por barrido en ascención recta de la fuente observada que, para esta etapa del experimento, es el Centro Galáctico. Esta fuente extensa es conocida como emisor gamma de energías inferiores al TeV y ha sido observada anteriormente en este rango de energía desde el hemisferio norte pero con elevaciones bajas, situación no óptima para este tipo de técnica. Se presentan los primeros resultados del análisis de los datos obtenidos observando la región del Centro Galáctico, luego de dos años de observaciones, así como una descripción de la técnica Cherenkov Atmosférica y del equipo utilizado en la experiencia.

  17. Meningococcal carriage in the African meningitis belt

    PubMed Central

    2013-01-01

    êcher le portage pharyngé devrait être déterminé. Pour résoudre ce problème, le consortium MenAfriCar (Consortium Africain du Portage Méningococcique) a été établi en 2009 pour étudier le mode de portage du méningocoque dans les pays de la ceinture africaine de la méningite avant et après l’ introduction de PsA-TT. Cet article décrit comment le consortium a été établi, ses objectifs et les méthodes de laboratoire et de terrain standardisées qui ont été utilisées pour atteindre ces objectifs. L’ expérience du consortium MenAfriCar aidera à planifier les futures études sur l’ épidémiologie du portage du méningocoque dans les pays de la ceinture africaine de la méningite et d’ ailleurs. Se está utilizando una vacuna meningocócica conjugada (MenAfriVac™) de polisacárido del serogrupo A / tétano toxoide (PsA-TT) en países del cinturón Africano de meningitis. Las experiencias obtenidas con otras vacunas conjugadas polisacárido/proteína han demostrado que una parte importante de su éxito se debe a su habilidad para prevenir la colonización faríngea de los portadores, acabando por lo tanto con la transmisión, y a la de inducir la protección de rebaño. Si PsA-TT ha de cumplir el objetivo de prevenir epidemias, debe ser capaz de prevenir el estado de portador faríngeo, al igual que la enfermedad invasiva por meningococo, y para ello es necesario determinar si la PsA-TT puede prevenir la colonización faríngea. Con el fin de abordar esta cuestión se estableció un consorcio africano en el 2009 - el MenAfriCar (African Meningococcal Carriage Consortium) – para investigar los patrones del estado de portador de meningococo en países del cinturón Africano de la meningitis, antes y después de la introducción de PsA-TT. Este artículo describe como se estableció el consorcio, sus objetivos y los métodos estandarizados de campo y de laboratorio que se utilizaron para alcanzarlos. La experiencia del consorcio MenAfriCar ayudar

  18. Practical Astronomical Activities during Daytime. (Spanish Title: Actividades Astronómicas Prácticas Diurnas.) Atividades Astronômicas Práticas Diurnas

    NASA Astrophysics Data System (ADS)

    Jackson, Eric

    2009-12-01

    relacionadas al mal tiempo. El problema de no tener suficientes actividades prácticas, la sensación de poseer conocimientos inadecuados, la necesidad de disponer de equipamiento astronómico y experiencia suelen ser demasiado intimidantes para que los profesores introduzcan la materia en sus clases. Si la Astronomía iba a ser introducida, entonces era preciso encontrar una forma de resolver estas dificultades. Nuestro grupo, trabajando con maestros y alumnos dentro de un marco constructivista, encontró que los principios de la Astronomía pueden ser descubiertos durante el día, en cuanto los alumnos están en la escuela. Trabajando de forma cooperativa los alumnos midieron y registraron observaciones de sus propias sombras causadas por los movimientos de la estrella más próxima, el Sol, y nuestro planeta Tierra. Debido a que los alumnos se involucraran tan personalmente en las actividades, estuvieron mucho más interesados en los resultados del estudio. La Astronomía pasó a ser un desafío para el maestro y sus alumnos cuando aplicaron sus experiencias diurnas a la observación nocturna desde sus casas, reportada después en clase. Estas atividades astronômicas diurnas surgiram de uma investigação feita na Nova Zelândia por um grupo de professores e astrônomos a respeito dos problemas do ensino da Astronomia. Este trabalho mostrou que a Astronomia é geralmente considerada uma disciplina difícil de ensinar, tradicionalmente baseada em livros, filmes e modelos. Os mais afortunados podem ter feito alguma visita a um observatório ou planetário, e os mais avançados podem talvez ter tentado uma sessão de observação noturna, as quais sofrem às vezes de dificuldades relacionadas ao tempo. O problema de não dispor de suficientes atividades práticas, a sensação de possuir conhecimentos inadequados, a necessidade de dispor de equipamento astronômico e experiência tem sido, em geral, demasiado intimidante para que os professores introduzam a matéria nas suas

  19. [Physical activity programmes to reduce overweight and obesity in children and adolescents; a systematic review].

    PubMed

    Aguilar Cordero, M J; Ortegón Piñero, A; Mur Vilar, N; Sánchez García, J C; García Verazaluce, J J; García García, I; Sánchez López, A M

    2014-10-01

    Introducción: El tratamiento contra la obesidad ha sido muy discutido y varios autores abogan por un tratamiento integral de la obesidad. Todos los referentes conducen a plantear ¿cuál es el programa de actividad física más efectivo para reducir el sobrepeso y la obesidad de niños y adolescentes? Objetivo: Analizar los principales estudios sobre la eficacia de la actividad física para reducir el sobrepeso y la obesidad de niños y adolescentes. Método: Revisión sistemática de los resultados de programas de actividad física para reducir el sobrepeso y la obesidad publicados en artículos científicos. Se identificaron 85 artículos a través de la búsqueda automatizada en las bases de datos PUBMED y Google Scholar; se llevó a cabo entre los meses de octubre de 2013 y marzo de 2014. Para seleccionar los artículos fue preciso considerar la utilidad y la relevancia del tema estudiado y la credibilidad o experiencia de los autores en la temática. Se tuvo en cuenta la validez interna y externa de cada uno de los artículos revisados. Conclusiones: Se identificó la efectividad de la actividad física para reducir el sobrepeso y la obesidad de niños y adolescentes. El programa de actividad física más efectivo es el que combina ejercicios aeróbicos y anaeróbicos. Existe consenso en acumular más de 180 minutos a la semana dedicados a estos fines, con 3 sesiones de 60 minutos cada una de ejercicio físico a la semana. De una intensidad moderada, podrían ser suficientes para ejecutar un programa de ejercicio físico para esas personas con sobrepeso y obesidad. Coinciden los autores en que, cuando se combina una dieta controlada por una adecuada distribución de las comidas y con la práctica de actividad física, se potencian mutuamente, con lo que se obtie nen los mejores resultados. Los programas de reducción de peso que tengan en cuenta la participación familiar son más eficaces que la propia educación alimentaria y otras intervenciones de rutina

  20. Inclusion of Visually Impaired in the School Programme Scheduled Visit of the Museu de Astronomia e Ciências Afins (MAST). (Breton Title: Inclusão de Deficientes Visuais no Programa de Visita Escolar Programada do Museu de Astronomia e Ciências Afins (MAST).) Inclusión de Discapacitados Visuales en el Programa Escolar Programado del Museo de Astronomía y Ciencias Afines (MAST)

    NASA Astrophysics Data System (ADS)

    de Oliveira Gonçalves, Carla; da Conceição Barbosa-Lima, Maria

    2013-07-01

    que enfrentan dificultades en la escuela. La inclusión debe estar en todas las instituciones educacionales (formales o no). Nuestro objetivo en el trabajo de final de curso de licenciatura, fue el de presentar un relato de la experiencia de mediación a los alumnos con deficiencias visuales del Instituto Benjamin Constant (IBC) en el Museo de Astronomía y Ciencias Afines (MAST) y las modificaciones y nuevas propuestas para el Programa de Visita Escolar Programada (VEP) a través de un aparato especialmente construido con el cual se puede percibir el cielo en una latitud próxima a la de Rio de Janeiro.

  1. Seventy-One Important Questions for the Conservation of Marine Biodiversity

    PubMed Central

    PARSONS, E C M; FAVARO, BRETT; AGUIRRE, A ALONSO; BAUER, AMY L; BLIGHT, LOUISE K; CIGLIANO, JOHN A; COLEMAN, MELINDA A; CÔTÉ, ISABELLE M; DRAHEIM, MEGAN; FLETCHER, STEPHEN; FOLEY, MELISSA M; JEFFERSON, REBECCA; JONES, MIRANDA C; KELAHER, BRENDAN P; LUNDQUIST, CAROLYN J; MCCARTHY, JULIE-BETH; NELSON, ANNE; PATTERSON, KATHERYN; WALSH, LESLIE; WRIGHT, ANDREW J; SUTHERLAND, WILLIAM J

    2014-01-01

    participantes se incluyeron a individuos de la docencia, el gobierno y organizaciones no-gubernamentales, con una amplia experiencia que atraviesa disciplinas, ecosistemas marinos y países que varían en el nivel de desarrollo. Los contribuyentes de los campos de la ciencia, la conservación, la industria y el gobierno, presentaron preguntas a nuestros talleres, las cuales separamos en una lista de preguntas de investigación prioritarias. Por medio de este proceso, identificamos 71 preguntas clave. Las agrupamos en ocho categorías temáticas, cada una perteneciente a un componente amplio de la conservación marina: pesquerías, cambio climático, otras amenazas antropogénicas, ecosistemas, ciudadanía marina, política, consideraciones sociales y culturales, y la iniciativa científica. Nuestras preguntas se dirigen a muchas cuestiones que son específicas de la conservación marina, y servirán como una ruta a seguir para patrocinadores e investigadores que busquen desarrollar programas que puedan beneficiar ampliamente a la conservación marina. PMID:24779474

  2. Quality management systems for fruit fly (Diptera: Tephritidae) sterile insect technique

    SciTech Connect

    Caceres, C.; Robinson, A.; Shelly, T.; Hendrichs, J.

    2007-03-15

    cinco anos bajo el proyecto de Investigacion Coordinada (PIC) sobre 'el Aseguramiento de la Calidad de Moscas de las Frutas Criadas y Liberadas para su Uso en Programas de TIE'. Los participantes en el PIC representan 16 paises con experiencia en campos de investigacion basica y aplicada. Para asegurar que los procedimientos desarrollados fueran apropiados y pertinentes, se realizaron una variedad de estudios para el desarrollo de protocolos para evaluar la compatibilidad y para mejorar los procedimientos de colonizacion y manejo de cepas salvajes. Estudios especificos trataron asuntos relacionados con la nutricion de insectos, los protocolos de irradiacion, la dispersion y supervivencia en el campo, evaluacion del comportamiento en jaulas de campo, y el mejoramiento de la competitividad sexual. Los objetivos fundamentales fueron el aumentar la eficiencia y reducir los costos de los programas operacionales de control de moscas de las frutas donde TIE es utilizada. Muchos de los protocolos desarrollados o mejorados durante el PIC seran incorporados en el Manual Internacional de Control de Calidad para Moscas Estriles de la familia Tephritidae, para estandarizar componentes claves como la produccion, esterilizacion, envio, manejo y liberacion de insectos esteriles. (author)

  3. [REBOUND EFFECT OF INTERVENTION PROGRAMS TO REDUCE OVERWEIGHT AND OBESITY IN CHILDREN AND ADOLESCENTS; SYSTEMATIC REVIEW].

    PubMed

    Aguilar Cordero, María José; Ortegón Piñero, Alberto; Baena García, Laura; Noack Segovia, Jessica Pamela; Levet Hernández, María Cristina; Sánchez López, Antonio Manuel

    2015-12-01

    Introducción: los estudios demuestran que el sobrepeso y la obesidad son el resultado de una compleja interacción entre factores genéticos y ambientales que comienza en la etapa prenatal. Dentro de la evidencia de esta relación se analiza el impacto potencial de la experiencia de la nutrición prenatal en el desarrollo de los sistemas endocrino y neuroendocrino que regulan el balance energético, con especial énfasis en el papel de la hormona derivada de los adipocitos, la leptina. Diferentes autores relacionan el riesgo de obesidad con el aumento rápido de peso en los primeros años de vida. Los niños con lactancia natural tienen un menor grado de adiposidad abdominal y, por ello, menor circunferencia de la cintura. Del mismo modo, se ha relacionado la lactancia materna exclusiva con un ritmo más lento de aumento de peso, del orden del 20%. En el estudio de la obesidad se considera efecto rebote cuando el niño recupera su peso de inicio al año de acabar la intervención. Esta problemática es frecuente, por lo que dicha intervención con la familia se hace imprescindible, ya que se trata de lograr la motivación del niño para que lleve una vida saludable. Para esta revisión se han seleccionado estudios que valoren las intervenciones a medio y largo plazo en la obesidad infantil, comprobando la adhesión al tratamiento y el efecto rebote, una vez finalizada la intervención. Objetivo: revisar los estudios que analizan el efecto rebote y la adhesión a los tratamientos de pérdida de peso de los niños y adolescentes con sobrepeso y obesidad. Método: la revisión sistemática fue elaborada siguiendo las directrices PRISMA. Se han seleccionado 19 estudios que analizan la temática planteada. Resultados: varios autores han establecido los efectos beneficiosos a corto y largo plazo de aquellas intervenciones que combinan dieta y actividad física entre niños obesos. Estos resultados muestran la importancia de los programas multidisciplinares para el

  4. Determining the Shape of the Orbit of Mars in the High School. (Spanish Title: Determinación de la Forma de la Órbita de Marte en la Escuela Secundaria.) Determinando a Forma da Órbita de Marte no Ensino Médio

    NASA Astrophysics Data System (ADS)

    Dutra, Carlos Maximiliano; Rossini Goulart, Andressa

    2014-12-01

    In the present work, in order to supply the lacks of practical activities related to the content of Kepler's Laws in high school physics textbooks, we present a practical activity to determine the shape of the orbit of Mars. In this activity the student can experience the discovery the shape of the orbit of Mars in a way similar to that realized by Johannes Kepler combining the physical concepts with geometry. We applied the activity to eighteen high school teachers participating in a Postgraduate Course in Science Education. After two hours of work the group obtained the shape of the orbit of Mars and estimated its orbital parameters with a relative error less than 14%. En el presente trabajo y con el objetivo de reducir la escasez de actividades prácticas relacionadas con el contenido de las leyes de Kepler en libros de texto de física de la escuela secundaria, se presenta una actividad práctica para determinar la forma de la órbita de Marte. En esta actividad el estudiante puede vivir la experiencia de descubrir la forma de la órbita de Marte de una manera similar a la realizada por Johannes Kepler combinando los conceptos físicos con la geometría. Aplicamos la actividad a dieciocho maestros de escuelas secundarias en un Curso de Especialización en Enseñanza de las Ciencias. Después de dos horas de trabajo el grupo obtuvo la forma de la órbita de Marte com error inferior al 14% en los parámetros orbitales. No presente trabalho, visando suprir a deficiência de atividades práticas relacionadas ao conteúdo de Leis de Kepler nos livros-textos de Física do 1º ano do Ensino Médio, apresentamos uma atividade prática de determinação da órbita de Marte. O aluno, combinando conceitos físicos com a geometria poderá vivenciar a experiência da descoberta da forma da órbita de Marte de modo similar ao realizado por Johannes Kepler. Aplicamos a metodologia proposta junto a dezoito professores do Curso de Especialização em Educação em Ciências e

  5. [Evaluation of technical skills in surgical training].

    PubMed

    Kasparian, Andres C; Martinez, A C; JoverClos, R J; Chércoles, R A

    2014-01-01

    Introducción: La adquisición de habilidades quirúrgicas constituye un factor central en la formación de todo cirujano. Sin embargo, la evaluación de las habilidades técnicas es uno de los factores más débiles y menos desarrollados. En la actualidad los recursos para evaluar las competencias técnicas adolecen de subjetividad, falta de confiabilidad y validez. La observación directa, método de evaluación más frecuentemente utilizado en nuestro medio, presenta inconvenientes instrumentales y está fuertemente influenciada por las relaciones intersubjetivas y los rasgos de personalidad. El objetivo de esta investigación es proponer creación y el uso de un instrumento objetivo para evaluar el desempeño técnico y determinar su confiabilidad y validez.Material y método: se seleccionaron dos procedimientos: colecistectomía laparoscópica y hernioplastia inguinal (técnica de Lichtenstein). Se constituyeron tres grupos de comparación según la experiencia quirúrgica: inicial, intermedio, y expertos. Se filmaron las cirugías en tiempo real, sin identificación del paciente ni del cirujano. Las filmaciones sin edición fueron asignadas a dos cirujanos expertos en forma aleatoria por sorteo y con sobres sin identificación. Para la evaluación se propuso el uso de un instrumento objetivo (explicitación de pasos a evaluar y cuantificación mediante escala de Likert) y específico para cada procedimiento. Así mismo se utilizó la escala global OSATS (R. Reznick). Se aplicó análisis de varianza no paramétrico para determinar validez. Valores de p menores a 0.05 fueron considerados estadísticamente significativos. Valores superiores a 0,80 del Coeficiente alfa de Cronbach aseguraron confiabilidad. Resultados: Desde Abril del 2010 hasta Diciembre del 2012 se filmaron 36 colecistectomías videolaparoscópicas y 31 hernioplastias inguinales. Se encontraron diferencias significativas entre los grupos en todos los ítems evaluados p<0.05. El coeficiente ? de

  6. Development and applications of groundwater remediation technologies in the USA

    NASA Astrophysics Data System (ADS)

    Barcelona, Michael J.

    2005-03-01

    recientemente descubiertos causarán la revisión de las tecnologías "maduras", pues aquellos pueden ser persistentes, móviles y difíciles para tratar in situ. Las evaluaciones de la efectividad de las tecnologías de recuperación, incluirán eventualmente la formación de subproductos, consecuencias geoquímicas y la sostenibilidad. Las experiencias de campo de largo plazo, que se han hecho aplicando tecnologías de recuperación, pueden por si solas suministrar los datos necesarios para soportar las afirmaciones sobre su efectividad.

  7. Providing Meaningful Learning for Students of the Sixth Grade of Middle School: a Study on the Moon Phases. (Breton Title: Propiciando Aprendizagem Significativa Para Alunos do Sexto Ano do Ensino Fundamental: um Estudo sobre as Fases da Lua.) Propiciando el Aprendizaje Significativo Para Alumnos del Sexto Nivel de la Educación General Básica: un Estudio sobre Las Fases de la Luna

    NASA Astrophysics Data System (ADS)

    Darroz, Luiz Marcelo; Samudio Pérez, Carlos Ariel; da Rosa, Cleci Werner; Heineck, Renato

    2012-07-01

    We relate in this article a didactic experience studying the moon phases with a group of middle school students of a private school of the municipality of Passo Fundo, RS. Based on David Ausubel's Meaningful Learning Theory, we have sought to develop a proposal following a didactic model which simulates the phases of the Moon, as based on the previous conceptions of the students. The signs of learning were evidenced by means of memory registries of the activity. From the obtained results we believe that the proposal achieved its goals, since the students were able to identify, differentiate and transfer the phenomenon of the moon phases to new contexts. Thus, it is concluded that a methodology focused on a meaningful content for the students is fundamental to the construction and genuine grasping of what is being learned. Neste artigo, relata-se uma experiência didática de estudo das fases da Lua com uma turma do 6° ano do Ensino Fundamental, de uma escola privada do município de Passo Fundo, RS. Tendo como fundamentação teórica a Teoria da Aprendizagem Significativa de David Ausubel, buscou-se desenvolver a proposta a partir de um modelo didático que simula as fases da Lua e com base nas concepções prévias dos estudantes. Os indícios da aprendizagem foram constatados através de registros de memórias da atividade. Pelos resultados apresentados, acredita-se que a proposta alcançou seus objetivos, uma vez que os estudantes conseguiram identificar, diferenciar e transferir o fenômeno das fases da Lua para novos contextos. Assim, conclui-se que uma metodologia com enfoque em um conteúdo significativo ao estudante é fundamental para a construção e compreensão genuína do que está sendo aprendido. En este artículo se relata una experiencia didáctica de estudio de las fases de la Luna con una clase de 6º año de la educación general básica de una escuela privada del municipio de Passo Fundo, RS. Teniendo como fundamentación teórica la Teor

  8. Perceptions about HIV pre-exposure prophylaxis among healthcare professionals in Spain (PERPPRES Study).

    PubMed

    Sánchez-Rubio Ferrández, Javier; Martínez Sesmero, José Manuel; Navarro Aznárez, Herminia; Fernández Espínola, Sergio; Escobar Rodríguez, Ismael; Ventura Cerdá, José Manuel

    2016-07-01

    Objetivo: Determinar el grado de apoyo, conocimientos y percepciones respecto a la profilaxis preexposición (PrEP) de los médicos infectólogos y farmacéuticos hospitalarios en España. Métodos: Estudio transversal mediante encuesta de 31 ítems (datos sociodemográficos, situación laboral/experiencia, conocimiento sobre PrEP, uso, opiniones, barreras detectadas y aspectos financieros). Se realizó un análisis univariante para evaluar las variables relacionadas con el apoyo a PrEP y comparar las valoraciones de médicos y farmacéuticos. Las preguntas sobre apoyo a la PrEP y el acuerdo sobre aprobar la indicación se repitieron tras mostrar datos de estudios publicados. Se analizó la significación del cambio en la respuesta mediante la prueba de McNemar. Resultados: Se recibieron 211 cuestionarios (80,1% farmacéuticos). El 40,3% estuvieron nada/poco familiarizados con la PrEP (46,2% farmacéuticos vs. 16,7% médicos; p < 0,01). El 53,6% apoyaría su uso (49,7% farmacéuticos vs. 69% médicos; p = 0,038). La eficacia mínima considerada aceptable fue 85,0 ± 15,5% (82,6 ± 12,1% médicos vs. 85,6 ± 15,0% farmacéuticos; p = 0,02). Las variables relacionadas con el apoyo fueron: profesión médica (OR = 2,26 IC95% 1,1-4,6; p = 0,038) y menor exigencia de eficacia (diferencia 10,5% IC95% 6,9-14,1; p < 0,001). Tras recibir la información, aumentaron el apoyo al uso y la aprobación. El 81,5% no apoyaron la financiación. Las principales barreras señaladas fueron: aumento de conductas de riesgo (24,1%), aumento de enfermedades de transmisión sexual (19,0%), resistencias (16,6%) y coste (16,0%). Conclusiones: Más de la mitad de los encuestados estaban familiarizados con la PrEP. La mayoría apoyaría su uso y la aprobación de la indicación, pero no la financiaría. El uso en la práctica real de la PrEP es escaso en la actualidad.

  9. Measurement and evaluation of national family planning programs.

    PubMed

    Mauldin, W P

    1967-03-01

    presentadas en formularios estandarizados, en las siguienies formas: 1. Informes nensuales por áreas administrativas, sobre los actuales servicios de planeamiento familiar proporcionados en la actualidad, de carácter permanente o de larga duración (al presente, esterilización y IUD de acuerdo a las siguientes características del receptor: residencia, edad, paridad (número de hijos vivos por sexo), y donde se enteró del programa, si es posible "clase";(probablemente educación de la madre, pero posiblemente ocupación del esposo, ingreso, o equivalente); prácticas anticonceptivas anteriores; intervalo; y deseo de tener más hijos. En un programa grande estos datos pueden obtenerse en base a una muestra. 2. Informes mensuales sobre la distribución de suministros anticonceptivos (condones, píldoras, sustancias efervescentes, etc.), los primeros suministros deben ir acompañados de un registro de las características del recipiente, como anteriormente; los suministros subsecuentes se regietrarán sólo en volumen bruto. Esto también se aplicará al ritmo, donde éste método se enseñe a un número considerable de mujeres. 3. Informes regulares sobre las actividades de planeamiento familiar de médicos privados, como una estimación del efecto catalítico del programa del gobierno sobre ci sector privado. 4. Datos generates mensuales, ppr áreas admirtistrativas importantes, sabre: visitas domiciliarias, reuniones, cuñas radiates y televisadas, avisos en los periódicos y personal que trabaja. 5. Para propósitos de seguimiento una entrevi eta de campo cada 6 a 12 meses a cada N mujer de las listas para (1) y (2) arriba, en un total de 300 o 400, para conocer las tasas de continuación y las razones de abandono (ej: desea otro hijo, insatisfecha can ci método, otras). Las mue.stras podrían ser de 300 cada una, con una supuesta experiencia de 6, 12, 18 y 24 meses. B. Un buen conjunto de datos sobre costa (datos sobre cotos actulaes atribuíbles directamente al

  10. Revisiting an era in Germany from the perspective of adolescents in mother-headed single-parent families.

    PubMed

    Sharma, Deepali; Silbereisen, Rainer K

    2007-02-01

    ambiente familiar). Es más, se propuso la hipótesis de que los adolescentes de familias con padrastro manifestarían más efectos sociales y familiares negativos al compararse con adolescentes provenientes de los otros dos tipos de familias. La muestra, compuesta por 1302 adolescentes (M = 13.82 años, SD = 1.88), se reclutó en la ciudad de Leipzig al año siguiente de la unificación de Alemania, 1991. Los participantes respondieron a medidas de síntomas psicosomáticos, estrés, delincuencia, satisfacción por la vida, desempeño académico y variables relativas a la familia. Los análisis de covarianza aplicados, controlando el ingreso ajustado al tamaño de la familia, sugirieron que los adolescentes de familias de madre soltera tenían experiencias muy similares a las de aquéllos que vivían con sus padres biológicos en todas las medidas, excepto en la de evaluación del ambiente familiar. Los adolescentes que vivían en familias con padrastro informaron experiencias menos favorables. Los resultados son indicativos de que el contexto social en Alemania proporcionó aún más oportunidades que restricciones a las familias de madre soltera, a pesar de la unificación y el comienzo de las dificultades que ésta les impuso.

  11. Teaching and Popularization of Astronomy in Latin America by the Liada Perspective. (Spanish Title: Enseñanza y Divulgación de la Astronomía en la América Latina en la Perspectiva de la Liada.) Ensino e Divulgação da Astronomia na América Latina na Perspectiva da Liada

    NASA Astrophysics Data System (ADS)

    Bretones, Paulo Sergio

    2008-12-01

    disponibilizados en la página de la Sección, faz-se una análisis y discusión sobre la importancia de tales relatos para finalidades educacionales. Es presentada una Hoja de reporte elaborado como sugestión para presentación de relatos por parte de individuos y instituciones ben como discutida la importancia de la sistematización de experiencias visando mayor visibilidad y cambio de informaciones en el área. Concluí con una evaluación de los proyectos, su potencial y limitaciones, ben como sugestiones de proyectos futuros visando mayor interacción entre los países de la América Latina y tornando disponible la Sección para esta finalidad.

    Esse trabalho visa divulgar e analisar as atividades da Seção de Ensino e Divulgação de Astronomia (SEDA) da Liga Iberoamericana de Astronomia (LIADA). Após um histórico da LIADA, são apresentados os diversos projetos da Seção que conta com a colaboração de coordenadores locais na maioria dos países da América Latina. São apresentados os projetos que visam chamar a atenção do público em geral, estudantes e professores para a observação do céu e posterior envio de relatos para colocação na página da Seção na Internet. Mais especificamente são analisados os projetos e relatos relacionados aos eclipses ocorridos desde o ano 2000. Utilizando-se os arquivos disponibilizados na página da Seção, faz-se uma análise e discussão sobre a importância de tais relatos para finalidades educacionais. É apresentado um formulário elaborado como sugestão para apresentação de relatos por parte de indivíduos e instituições bem como discutida a importância da sistematização de experiências visando maior visibilidade e troca de informações na área. Conclui com uma avaliação dos projetos, seu potencial e limitações, bem como sugestões de projetos futuros visando maior interação entre os países da América Latina e tornando disponível a Seção para esta finalidade.

  12. The role of the Spanish Committee of the International Association of Hydrogeologists in the management and protection of Spain's groundwater resources

    NASA Astrophysics Data System (ADS)

    Custodio, Emilio; Llamas, M.-Ramón; Villarroya, Fermín

    subterránea, estimación de la recarga natural y otros. El impacto de estas actividades en la reciente política hidráulica española parece significativo. La experiencia general puede ser aplicable a otros países.

  13. The role of agri-environment schemes in conservation and environmental management

    PubMed Central

    Batáry, Péter; Dicks, Lynn V; Kleijn, David; Sutherland, William J

    2015-01-01

    tierras de cultivo que las áreas protegidas, y en cuánto influye sobre su efectividad los consejos y el entrenamiento dado a los granjeros. La lección general de la experiencia europea es que los EAA pueden ser efectivos para la conservación de la vida silvestre en las tierras de cultivo, pero son caros y necesitan ser diseñados y enfocados cuidadosamente. PMID:25997591

  14. The Practice of Research of a Basic Education Teacher Involving Mental Models of the Phases of the Moon and Eclipses. (Spanish Title: La Práctica de Investigación de un Maestro de Educación BÁsica con El Uso de los Modelos Mentales de Las Fases de la Luna Y Eclipses.) A Prática de Pesquisa de um Professor do Ensino Fundamental Envolvendo Modelos Mentais de Fases da Lua e Eclipses

    NASA Astrophysics Data System (ADS)

    Pessôa Queiroz, Glória; Jubitipan Borges de Sousa, Carlos; Auxiliadora Delgado Machado, Maria

    2009-12-01

    docente. La formación de grupos interinstitucionales para la planificación de la acción y la investigación ha resultado productiva para el trabajo de construcción de conocimiento de apoyo a los procesos educativos en la escuela, mientras que la universidad enriquece su colección de experiencias validadas, considerando los resultados de la educación inicial y continua de maestros. La participación activa del maestro en un grupo de investigación en la universidad lo llevó a reflexiones sobre los posibles caminos didácticos que pueden ser descriptos, analizados y comunicados a los demás docentes. La construcción de una pedagogía propia, que tuvo en cuenta los modelos mentales de los estudiantes sobre los temas básicos de astronomía, y los cambios desarrollados a partir de las lecciones que enseñó, trajeron consecuencias de largo alcance sobre la pedagogía adoptada por el maestro, que ahora incorpora una nueva visión de la ciencia y formas alternativas al diálogo con los estudiantes, los componentes esenciales para un investigador en Educaciónen Ciencias. A inclusão do professor da escola básica no universo da pesquisa é questão controvertida e em pleno debate no meio acadêmico. A oportunidade de trabalho coletivo que incorporou professores de uma escola municipal no Rio de Janeiro a um grupo de ensino de Física da universidade nos possibilitou vislumbrar a ressignificação da função de um professor de Ciências (co-autor deste trabalho) por ele próprio, agora passando a incluir a pesquisa sobre a construção de conhecimento pelos alunos em sua prática como docente. A formação de grupos interinstitucionais para o planejamento de ações e de pesquisas tem-se mostrado produtiva para um trabalho de construção de conhecimentos a fim de subsidiar processos educativos na escola, ao mesmo tempo em que a universidade enriquece seu acervo de experiências validadas criticamente, podendo considerar seus resultados na formação inicial e