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Porn Stars Hot Pussy. Thick latina spreading legs pix. Ebony Porno Hard. Old gay fat sex. Veronica squirts in the yoga mat. Ebony monique solomon. Watch Free Darrin kenneth obrien esposa disfunción sexual XXX Movies Paranjpe, Dr Pramod Anand. Paranjpe, Dr Pramod Source D. ETH Zurich. Date of birth: 1 April D branes in background fluxes and Nielsen- Olesen instabilities. The phenomenon is generic, in particular, similar instabilities are known to exist in open and closed string theory, where a spinning string state can become tachyonic above a critical field. By constructing an appropriate Darrin kenneth obrien esposa disfunción sexual with RR magnetic flux that Darrin kenneth obrien esposa disfunción sexual into account back-reaction, we identify the possible tachyonic Dp brane states and compute the formula for the energy spectrum in a sector. More generally, we argue that in any background RR magnetic flux, there are high spin Dp quantum states which become very light at critical fields. Russo, Jorge G. Pramod K. Directory of Open Access Journals Sweden. Full Text Available Pramod K. Transverse momentum distribution in the Nielsen- Olesen model. The power dependence in the inclusive ksub T -distribution in the large ksub T -region is derived in the extended hadron model of Nielsen and Olesen without relying upon hard please click for source of hadron constituents. The ksub T -dependence behaves like -- -ln ksub T when ksub T is small, then it becomes exp Using the standard techniques of canonical quantization, the author constructs approximate expressions for the creation and annihilation operators for Nielsen- Olesen vortices. The forms for the creation and annihilation operators are appropriate to situations where large-scale vortex condensation takes place. Watch SEX Videos Bikes erotic girl sex.

Milf And Milf Stud. Pancreatitis aguda grave asociada a gangrena vesicular. Se presenta el caso un paciente diabético que desarrolló un cuadro de pancreatitis aguda Darrin kenneth obrien esposa disfunción sexual asociada a gangrena vesicular, en el que se evaluó la aplicabilidad de los criterios de clasificación y manejo de la hoja de ruta para pancreatitis agudaasí mismo se proponen algunos tópicos que pudieran ser investigados a futuro We present a diabetic patient who developed severe acute pancreatitis associated to Darrin kenneth obrien esposa disfunción sexual gangrene, in this case we assessed the applicability of classification Progressive multifocal leukoencephalopathy in transplant recipients.

Mateen, Farrah J. Transplant recipients are at risk of developing progressive multifocal leukoencephalopathy PMLa rare demyelinating disorder caused by oligodendrocyte destruction by JC virus. A multicenter, retrospective. Multifocalchronic osteomyelitis of unknown etiology.

Kozlowski, K. Four cases of multifocal osteomyelitis of unknown origin in Darrin kenneth obrien esposa disfunción sexual are reported. The variable clinical and Darrin kenneth obrien esposa disfunción sexual appearances of the disease are illustrated and the diagnostic difficulties in the early stages of the disease are stressed. Ao elaborar este caso, link autores esperam acrescentar mais alguns dados sobre esta nova entidade.

We describe the case of a male patient with the diagnostic of AFOP made by surgical lung biopsy. He had a subacute presentation of symptoms consisting of productive cough, chest pain and fever. Bilateral infiltrates with patchy and diffuse distribution were the predominant features in his chest HRCT scan. The patient had a good clinical course after a treatment with prednisone and cyclophosphamide.

Our hope in reporting this case study is to add some more data to the discussion of this new entity. VIH: Infeccion agudapesquisa y manejo. Si bien existe una relativa facilidad para realizar el diagnóstico de un paciente con la infección crónica por VIH, existe por otro lado una relativa dificultad para realizar el diagnóstico de la infección aguda en etapas tempranas de la infección.

Bases moleculares de las leucemias agudas. Ademas de profundizar en la biología de estas enfermedades y conocer las bases moleculares, ha renido también gran impacto en mejorar el resultado de los tratamientos y disminuir la toxicidad de las terapias.

Otomastoidite Aguda em Criança. Comportamiento de la otitis media aguda. Full Text Available Introducción: la otitis media aguda es una complicación de las infecciones respiratorias agudas altas, frecuente en los niños menores de 5 años.

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While the funduscopic changes are subtle, optical coherence tomography shows alterations of the outer retinal layers in the fovea. However, the extent of retinal dysfunction remains poorly understood. Response densities and implicit times of N1 and P1 were analyzed. Results Response densities and implicit times of both N1 and P1 were lower in the patients with poppers maculopathy than in the control group, particularly in ring 1 and rings 4 and 5. The only statistically significant finding, however, was a reduced N1 response density of one hexagon in the patient group. No significant differences were found considering the sum response or the averaged rings 1 to 5. Conclusion Compared to a healthy control group, the multifocal electroretinogram of patients with poppers maculopathy shows no relevant impairment. This contrasts the marked effect of the disease on visual acuity. In clinical practice, poppers maculopathy cannot be diagnosed by multifocal electroretinography. Insuficiencia renal aguda con necrosis tubular aguda secundaria a picadura masiva de abejas. Durante su estancia hospitalaria presentó incremento de enzimas musculares AST LDH, y de pruebas de función renal, motivo por el cual fue dializado en varias ocasiones. Con mejoría total, se decide egresar y manejar ambulatoriamente. Lente intra-ocular multifocal difrativa apodizada: resultados Diffractive apodized multifocal intraocular lens: results. Binocular visual acuity was evaluated with and without correction for near and distance, and refraction previsibility and frequency of wearing glasses. Falla cardíaca aguda. Se presenta el caso clínico de una mujer de 26 años de edad, que acudió al Hospital Universitario San Vicente Fundación Medellín con síntomas y signos de falla cardíaca aguda y diagnóstico previo de falla cardíaca crónica con fracción de expulsión disminuida, de origen no claro, tromboembolismo pulmonar y ataque cerebrovascular isquémico, sin modulación neurohormonal óptima. Ingresó a la institución con hallazgos clínicos de sobrecarga hídrica y baja perfusión tisular, con requerimiento de Coréia aguda na gravidez. A maioria dos surtos ocorreu no segundo trimestre da primeira gravidez. Todos os partos foram espontâneos e normais. Optimizing outcomes with multifocal intraocular lenses. Full Text Available Modern day cataract surgery is evolving from a visual restorative to a refractive procedure. The advent of multifocal intraocular lenses MFIOLs allows greater spectacle independence and increased quality of life postoperatively. Since the inception in s, MFIOLs have undergone various technical advancements including trifocal and extended depth of vision implants more recently. A thorough preoperative workup including the patients' visual needs and inherent ocular anatomy allows us to achieve superior outcomes. This review offers a comprehensive overview of the various types of MFIOLs and principles of optimizing outcomes through a comprehensive preoperative screening and management of postoperative complications. The Mathematical Theory of Multifocal Lenses. This paper presents the fundamental optical concepts of designing multifocal ophthalmic lenses and the mathematical methods associated with them. In particular,it is shown that the design methodology is heavily based on differential geometric ideas such as Willmore surfaces. A key role is played by Hamilton's eikonal functions. It is shown that these functions capture all the information on the local blur and distortion created by the lenses. Along the way,formulas for computing the eikonal functions are derived. Finally,the author lists a few intriguing mathematical problems and novel concepts in optics as future projects. Imaging manifestations of progressive multifocal leukoencephalopathy. Progressive multifocal leukoencephalopathy PML is a demyelinating disease caused by reactivation of JC virus in immunosuppressed patients. Light distribution in diffractive multifocal optics and its optimization. To expand a geometrical model of diffraction efficiency and its interpretation to the multifocal optic and to introduce formulas for analysis of far and near light distribution and their application to multifocal intraocular lenses IOLs and to diffraction efficiency optimization. Experimental study. Application of a geometrical model to the kinoform single focus diffractive optical element was expanded to a multifocal optic to produce analytical definitions of light split between far and near images and light loss to other diffraction orders. The geometrical model gave a simple interpretation of light split in a diffractive multifocal IOL. An analytical definition of light split between far, near, and light loss was introduced as curve fitting formulas. Several examples of application to common multifocal diffractive IOLs were developed; for example, to light-split change with wavelength. The analytical definition of diffraction efficiency may assist in optimization of multifocal diffractive optics that minimize light loss. Formulas for analysis of light split between different foci of multifocal diffractive IOLs are useful in interpreting diffraction efficiency dependence on physical characteristics, such as blaze heights of the diffractive grooves and wavelength of light, as well as for optimizing multifocal diffractive optics. Disclosure is found in the footnotes. Full Text Available Multi-focal vision systems comprise cameras with various fields of view and measurement accuracies. This article presents a multi-focal approach to localization and mapping of mobile robots with active vision. An implementation of the novel concept is done considering a humanoid robot navigation scenario where the robot is visually guided through a structured environment with several landmarks. Various embodiments of multi-focal vision systems are investigated and the impact on navigation performance is evaluated in comparison to a conventional mono-focal stereo set-up. The comparative studies clearly show the benefits of multi-focal vision for mobile robot navigation: flexibility to assign the different available sensors optimally in each situation, enhancement of the visible field, higher localization accuracy, and, thus, better task performance, i. It is shown that multi-focal vision may strongly improve navigation performance. Esofagitis necrotizante aguda : Una entidad inusual. Full Text Available La esofagitis necrotizante aguda ENA, también denominada esófago negro, es una rara enfermedad poco descripta en la literatura médica. Describimos el caso de un hombre de 80 años, con hemorragia digestiva alta quien desarrolló un esófago negro luego de un episodio de hipotensión. La necrosis fue confirmada histológicamente. El diagnóstico se realiza con endoscopia y confirmación histológica. En este trabajo describimos las características clínicas, endoscópicas e histopatológicas de un paciente con ENA. Multifocal bilateral metatarsal tuberculosis: a rare presentation. Tuberculosis, or phthisis consumption as it was popularly known in the Greek era, has been endemic in Southeast Asia and Sub-Saharan Africa; however, the human immunodeficiency virus epidemic has seen the re-emergence of this disease in the areas in which it was not very commonly reported. With this, the need for understanding and treatment of rare presentations of tuberculosis has become of paramount importance to achieve the World Health Organization millennium goal of a "reversal of incidence by Multifocal lesions have an incidence of histopathologic owing to the paucibacillary nature of the disease. Early identification and treatment with antitubercular drugs will normally result in a good cosmetic and functional result. Multifocal Spinal Cord Nephroblastoma in a Dog. A 1-year-old male American pit bull terrier was presented with a history of proprioceptive deficits and mild lameness of the right hindlimb, which progressed after 5 months to paraparesis, culminating in tetraparesis after 2 weeks. Necropsy findings were limited to the spinal cord and consisted of multiple, intradural, extramedullary, slightly red masses which produced segmental areas of medullary swelling located in the cervical intumescence, thoracolumbar column, sacral segment and cauda equina. Histological evaluation revealed a tumour, composed of epithelial, stromal and blastemal cells, with structures resembling tubules, acini and embryonic glomeruli. Immunohistochemical labelling for vimentin, cytokeratin and S was positive for the stromal, epithelial and blastemal cells, respectively. A final diagnosis of multifocal spinal cord nephroblastoma was established. This is the first report of such a tumour showing concomitant involvement of the cervicothoracic, thoracolumbar, sacral and cauda equina areas of the spinal cord. Lesiones periapicales agudas en pacientes adultos. Se incluyeron todos los pacientes que acudieron al servicio de urgencia y que presentaron lesiones periapicales agudas. Se recogió información de las variables edad, sexo, grupo dentario, causa de la enfermedad, características clínicas e higiene bucal. La higiene bucal resultó estar relacionada con las lesiones periapicales. Se encontraron diferencias significativas en las lesiones periapicales respecto a todas las causas estudiadas, con excepción de las enfermedades periodontales. Respecto a las características clínicas hubo significación en cuanto al aumento de volumen del fondo del surco vestibular y la movilidad dentaria. Purpose To report on the clinical manifestations, complications, and long-term visual prognosis of patients with peripheral multifocal chorioretinitis and to search for predictors for a lower visual outcome. Design Retrospective consecutive observational case series. Methods setting: Institutional. Nuijts, Rudy M. Multicenter study at 8. CT and MRI in progressive multifocal leukoencephalopathy. Radiological findings and course of progressive multifocal leukoencephalopathy in 14 patients 1 woman, 13 men; 13 HIV seropositive, 1 chronic lymphatic leukaemia were analysed retrospectively and correlated with clinical symptoms. CT scans and MR images of 9 patients, which had been obtained in less than two weeks, could be compared to each other. MRI was superior to CT: 6 lesions with a diameter of 1 cm and below were not detected on CT scans, in 5 patients the extent of lesions was underestimated. Cortical involvement, mass effect or signs of atrophy were missing. Only 1 of 65 lesions showed a tiny enhancement after Gd injection. Due to the pattern and spread of lesions, which showed a close correlation to the neurologic symptoms, three different types of PML are suggested: 1. Multifocal multiphoton microscopy with adaptive optical correction. Fluorescence lifetime imaging microscopy FLIM is a well established approach for measuring dynamic signalling events inside living cells, including detection of protein-protein interactions. The improvement in optical penetration of infrared light compared with linear excitation due to Rayleigh scattering and low absorption have provided imaging depths of up to 1mm in brain tissue but significant image degradation occurs as samples distort aberrate the infrared excitation beam. A weighted 3D GS algorithm is employed to improve homogeneity. An added benefit is the implementation of flexible and adaptive optical correction. Adaptive optics performed by means of Zernike polynomials are used to correct for system induced aberrations. Here we present results with significant improvement in throughput obtained using a novel complementary metal-oxide-semiconductor CMOS pixel single-photon avalanche diode SPAD array, opening the way to truly high-throughput FLIM. The pathogenesis of progressive multifocal leukoencephalopathy. Interest in pathogenesis of progressive multifocal leukoencephalopathy PML followed the observation of the high risk for the disease in HIV infection and the recent observation of an association with a variety of newer therapeutic modalities, e. Any hypothesis of PML pathogenesis must account for a number of facts. Firstly, the causative agent JC virus is ubiquitously present, yet only a vanishingly small number of infected persons develop the disease. Secondly, disorders of cell-mediated immunity increase the risk of the disease, particularly HIV infection. Thirdly, a latent period of several months appears necessary following the administration of natalizumab and efalizumab before PML develops. Fourthly, restoration of the immune system can arrest the PML. Once acquired, perhaps through an oropharyngeal route, it may replicate and disseminate. A neurotropic form of JC virus that replicates in glial tissues causes PML when immunosurveillance is impaired. There are many unanswered questions with respect to PML pathogenesis. How is virus acquired? What tissues are infected? What is the origin of the neurotropic form? When does virus enter brain? What is the role of central nervous system immunosurveillance? The lack of an animal model has made answering these questions challenging. Progressive multifocal leukoencephalopathy after fingolimod treatment. We describe the characteristics of the 15 patients with fingolimod-associated progressive multifocal leukoencephalopathy PML identified from the Novartis data safety base and provide risk estimates for the disorder. PML classification was based on previously published criteria. The risk and incidence were estimated using the 15 patients with confirmed PML and the overall population of patients treated with fingolimod. As of August 31, , 15 fingolimod-treated patients had developed PML in the absence of natalizumab treatment in the preceding 6 months. Two patients had confounding medical conditions. Two patients had natalizumab treatment. This included one patient whose last dose of natalizumab was 3 years and 9 months before the diagnosis of PML. The second patient was receiving fingolimod for 4 years and 6 months, which was discontinued to start natalizumab and was diagnosed with PML 3 months after starting natalizumab. The risk of PML with fingolimod in the absence of prior natalizumab treatment is low. The estimated risk was 0. Neither clinical manifestations nor radiographic features suggested any unique features of fingolimod-associated PML. Autorefraction versus subjective refraction in a radially asymmetric multifocal intraocular lens. To evaluate whether the automated refraction AR correlates with subjective manifest MR refraction in eyes implanted with radially asymmetric multifocal intraocular lens IOLs. This retrospective study evaluated 52 eyes 52 patients implanted with a radially asymmetric multifocal IOL LS A rare case of a medullary, multifocal lesion in the distal radius. In multifocal findings, the possibility of multifocal osteoid osteomas should be considered and this case helps us to be attentive for the unusual radiographical presentation of osteoid osteoma. Scleral fixation of a single-piece multifocal intraocular lens. We describe an ab interno technique for injector implantation of a one-piece multifocal intraocular lens IOL. Transscleral fixation of multifocal posterior chamber IOL implantation using an injector with ab interno technique was performed in an eye of a 9-year-old girl who had undergone pars plana lensectomy 2 years before for bilateral lens subluxation with unknown etiology. No major complications were encountered during a 3-month follow-up of the patient and excellent centration was observed during the follow-up period. Closed-loop design of IOL served the function of eyelets and position of the IOL was provided using only a 2-point fixation. Research advances on multifocal electroretinogram in primary open angle glaucoma. Full Text Available Primary open angle glaucoma is a chronic and progressive optic neuropathy. It can lead to serious damage of visual impairment, and it is an important eye disease of blindness. Multifocal electroretinogram is a new way to measure visual electrophysiology. It can measure electroretinogram of the whole visual field of many small parts in a relatively short period of time, and it can reflect the function of regional retina. It has an extremely important value for early diagnosis of primary open angle glaucoma. The research advances on multifocal electroretinogram in diagnosing primary open angle glaucoma were summarized in this paper. Multifocal osteosarcoma as second tumor after childhood retinoblastoma. Potepan, P. We present a case of multifocal osteosarcoma MFOS arising The clinical, imaging and pathological findings at onset, after therapy, and during follow-up are described. Fluorescent in situ hybridization did not reveal a deletion of the RB-1 retinoblastoma gene, although the presence of an inactivating mutation invisible to this method cannot be ruled out. The MFOS may have been a second multifocal tumor associated with the original retinoblastoma or a post-irradiation sarcoma with extensive metastases. Miopia aguda induzida por topiramato: relato de dois casos. Serie de 8 casos de parotiditis supurada aguda neonatal. El objetivo es mostrar nuestra experiencia en la atención de serie de casos con parotiditis supurada aguda en el período neonatal, y describir sus características de presentación. Bioptics in sutureless intrascleral multifocal posterior chamber intraocular lens fixation. To present a technique for sutureless fixation of a three-piece, multifocal , posterior chamber intraocular lens IOL in the ciliary sulcus. A year-old woman presented with bilateral subluxation of the crystalline lens. Two straight sclerotomies were prepared with a gauge cannula 2. The cannula was used to create a 2. The leading haptic of the multifocal IOL was grasped at its tip with end-gripping, gauge forceps and pulled through the sclerotomy. The forceps was used to introduce the IOL haptic into the scleral tunnel parallel to the limbus. Multifocal posterior chamber IOLs were stable and well centered. No postoperative complications occurred in the month follow-up period. Preoperative astigmatism was corrected after IOL implantation with corneal wavefront-guided laser epithelial keratomileusis. Sutureless fixation of multifocal posterior chamber IOL haptics in a scleral tunnel parallel to the limbus can be successful, resulting in long-term centration and three-dimensional axial stability for optimal refractive results. If necessary, postoperative wavefront-guided refractive correction can be performed to optimize final refraction. Granular cell tumors GCT are rare and unusual tumors, which are usually benign and asymptomatic. Only 5? We report a rare case of symptomatic, multifocal , synchronous GCT involving the esophagus, stomach, and cecum. Multifocal versus monofocal intraocular lenses after cataract extraction. Near vision, however, still requires additional refractive power, usually in the form of reading glasses. Multiple optic multifocal IOLs are available which claim to allow good vision at a range of distances. It is unclear whether this benefit outweighs the optical compromises inherent in multifocal IOLs. We did not use any date or language restrictions in the electronic searches for trials. The electronic databases were last searched on 6 March We searched the reference lists of relevant articles and contacted investigators of included studies and manufacturers of multifocal IOLs for information about additional published and unpublished studies. Selection criteria: All randomised controlled trials comparing a multifocal IOL of any type with a monofocal IOL as control were included. Both unilateral and bilateral implantation trials were included. Data collection and analysis: Two authors collected data and assessed trial quality. Where possible, we pooled data from the individual studies using a random-effects model, otherwise we tabulated data. Does multifocal papillary micro-carcinoma require radioiodine ablation? Dos de las maestras planifican por conceptos generadores, mientras que una de ellas planifica siguiendo la guia que recibe del Departamento de Educacion. Difieren ademas, en el enfasis que confieren al inquirir cientifico. Con relacion a la correspondencia entre la vision manifestada por las maestras a la luz de las visiones piagetiana, social y radical, aparentemente, las preguntas del protocolo de entrevistas no lograron evocar la informacion con suficiente profundidad, por lo que la investigadora tuvo que inferir las visiones de las. Resultados pacientes y personal de salud de ambos sistemas coinciden en la importancia del estigma asociado al VIH, la relación médicopaciente, la comunicación entre ambos y la división de responsabilidades en relación al tratamiento como aspectos fundamentales para la adherencia y retención en la cascada de atención. Discusión se resalta la necesidad de intervenciones focalizadas en la díada médico- paciente que considere las particularidades de cada sistema de atención para facilitar el compromiso del paciente en la adherencia. Protein Supplements: Pros and Cons. To provide a comprehensive analysis of the literature examining the pros and cons of protein supplementation, various articles on protein supplementation were obtained from Google Scholar, PubMed, and National Center for Biotechnology Information. Over the past few years, protein supplementation has become commonplace for gym-goers as well as for the public. A large segment of the general population relies on protein supplementation for meal replacement, weight reduction, and purported health benefits. These protein supplements have varying pros and cons associated with them, which are often overlooked by the public. This review aims to assimilate existing studies and form a consensus regarding the benefits and disadvantages of protein supplementation. The purported health benefits of protein supplementation have led to overuse by both adults and adolescents. Although the pros and cons of protein supplementation is a widely debated topic, not many studies have been conducted regarding the same. The few studies that exist either provide insufficient evidence or have not employed proper conditions for the conduct of the tests. It should be considered that protein supplements are processed materials and often do not contain other essential nutrients required for the sustenance of a healthy lifestyle. It is suggested that the required protein intake should be obtained from natural food sources and protein supplementation should be resorted to only if sufficient protein is not available in the normal diet. Estudio teórico de moléculas de interés en Astrofísica: compuestos binarios policarbonados. Se han detectado en el espacio distintos compuestos binarios policarbonados que se pueden formular como CnX , algunos de ellos con elementos de la primera fila del sistema periódico, pero también existen otros que contienen elementos de la segunda fila, como azufre o silicio. En esta comunicación presentaremos los avances mas recientes que sobre el tema ha realizado nuestro grupo. Incidiremos particularmente en dos aspectos. En segundo lugar comentaremos brevemente algunos de los estudios realizados sobre posibles reacciones que pueden ser vías de síntesis de este tipo de compuestos en el medio interestelar. Aspergilosis cervical con diseminación al sistema nervioso central. Presentación de un caso y revisión de bibliografía. Puede presentarse con cuadros de meningitis, aneurismas micóticos, infartos o abscesos. Es una infección con pronóstico reservado y puede afectar el SNC de forma primaria o secundaria a partir de un foco que se disemina por vía hematógena. Presentamos el caso de un paciente con AI con invasión primaria a nivel óseo y diseminación posterior al cerebro. Posteriormente agregó cervicalgia y con el diagnóstico de osteomielitis cervical se realiza punción bajo tomografía computada TC sin aislarse gérmenes. Se colocó Halo Vest e inició tratamiento antibiótico empírico. Posteriormente presentó afasia de expresión secundaria a lesión frontal izquierda. Se realizó evacuación de absceso cerebral aislando A. El tratamiento antibiótico específico posterior permitió una buena respuesta clínica y radiológica. Conclusión: La presencia de lesiones en el SNC de pacientes inmunocomprometidos debe incluir a las micosis como diagnóstico diferencial. Para evaluar la respuesta terapéutica y posibles recaídas se debe realizar un seguimiento periódico clínico radiológico. Palabras clave: Aspergilosis cerebral; Aspergilosis cervical; Aspergilosis invasiva; Voriconazol. A partir del estudio de los Efectos Gravitomagnéticos en cuerpos masivos rotantes, planteamos la expresión para medir el desfase en el tiempo, para diferentes observadores, que se dan cuando viajan dos rayos de luz por una guía de onda o de manera libre geodésicas , en el plano azimutal y en el plano polar. The Pros and Cons of Army Automation. Manual skills MSG P. La reacción entre el radical HSO y el ozono ha sido ampliamente estudiada desde el punto de vista experimental debido a la importancia que tiene el radical HSO en la oxidación de los compuestos de azufre reductores y a que puede contribuir a la producción de H2SO4 []. Se realizaron diversos estudios teóricos sobre la cinética de la reacción entre el radical HSO y el ozono. Estudio participativo para el desarrolllo de un instrumento de observación de violencia escolar. Medina Santiago, Nilda G. Entre los hallazgos del estudio se destacan diferencias por sexo en cuanto a categorías de violencia observadas y la observación de agresividad en juegos e interacciones entre estudiantes. Los datos recopilados han servido de base para la toma de decisiones en cuanto a la prevención de la violencia en las escuelas participantes y tienen implicaciones para el desarrollo de estrategias y programas de prevención. Estudio de distintos modelos de protuberancias solares. La interacción de estrellas WN con el medio circundante. Se presentan resultados preliminares de un estudio de la distribución del hidrógeno neutro en los alrededores de estrellas WR de la serie del nitrógeno. Los datos observacionales de la línea de 21 cm provienen de un relevamineto de baja resolución angular 36' , así como de observaciones de resolución angular intermedia 9' tomadas con el radiotelescopio de Effelsberg. Los defectos craneales secundarios a traumatismos son frecuentes. Históricamente se han utilizado diversos materiales para la reconstrucción. Las localizaciones afectaron el frontal, el borde orbitario superior y el techo orbitario en cuatro casos, y la porción lateral del frontal, la zona temporoparietal y el borde del occipital en un caso. La reconstrucción en cuatro pacientes fue entre 6 y 12 meses después de la lesión, y en un caso después de 25 años. En dos casos se requirió expansión tisular antes de colocar el implante. Cuatro pacientes evolucionaron favorablemente, con mejoría de los síntomas neurológicos, forma y contorno adecuados, así como un proceso de cicatrización adecuada de los colgajos de piel cabelluda. Un paciente presentó infección por Staphylococcus aureus, atribuida a la presencia de un mucocele y una fístula de la vía aérea a la cavidad craneal, lo que hizo necesario retirar el implante. Brindan resultados satisfactorios desde el punto de vista funcional y cosmético. Deben tomarse precauciones respecto al tratamiento de las lesiones que afecten el seno frontal, para evitar la comunicación entre la vía aérea y la cavidad craneal. Cranial defects due to trauma are frequent. They are usually repaired in a secondary fashion due to features such as syndrome of the trephined, for brain protection and for cosmetic purposes. Historically, various materials have been used for reconstruction. Defects involved. Entre las aplicaciones que requieren estos conocimientos se encuentran la generación de plasmas para la fabricación de semiconductores, memorias magnéticas, etc, así como los sistemas astrofísicos, la ionosfera terrestre, etc. Se evitan estas dificultades estudiando las moléculas o complejos en expansiones supersónicas, donde la T de los grados de libertad solo alcanzan unos pocos K. Para realizar experimentos de ZEKE hay que utilizar una propiedad recientemente. Contaminación por mercurio de leche materna de madres lactantes de municipios de Antioquia con explotación minera de oro. Determinar la prevalencia de la contaminación con mercurio de la leche materna de mujeres lactantes residentes en los municipios con explotación minera de oro. Se calculó el promedio de la concentración de mercurio y las prevalencias municipales de contaminación. Estudio fenomenologico del conocimiento curricular y conocimiento de contenido en maestros de matematica a nivel secundario. En esta investigacion se estudio el fenomeno del conocimiento de contenido y el conocimiento curricular de maestros de matermaticas y como estos dos componentes se reflejan en su conocimiento pedagogico del contenido. El conocimiento de contenido es el conocimiento que tienen los maestros de los contenidos de una disciplina y sobre la estructura de su organizacion Shulman, Este estudio se enmarca en el paradigma cualitativo, teniendo como diseno el estudio fenomenologico Lucca y Berrios, ; McMillan, Los participantes fueron seis maestros de matermaticas del nivel superior 10mo a 12mo grado. Al momento de la investigacion los participantes ensenaban en escuelas publicas o privadas de Puerto Rico. Para recolectar la informacion se utilizo un grupo focal en donde los maestros resolvieron seis ejercicios matematicos y posteriormente reflexionaron en forma grupal sobre las soluciones. Tambien se realizo un analisis de documentos de planificacion y se llevaron a cabo entrevistas semiestructuradas. Se exploraron los contenidos relacionados a la ecuacion de una recta, rectas verticales y horizontales, suma y multiplicacion de polinomios, resolucion de ecuaciones cuadraticas y distancia entre dos puntos del plano cartesiano. Los resultados muestran que los participantes tienen dominio procesal de los contenidos correspondientes a las rectas verticales y horizontales, la suma y multiplicacion de polinomios, el calculo distancia entre dos puntos del plano cartesiano. Sin embargo, se noto cierta dificultad en la explicacion conceptual de los contenidos relacionados a la. Objetivos de nuestro trabajo han sido el estudio de los canales de disociación mayoritarios y de las especies transitoria producidas, así como de la distribución de energía interna con que éstas son generadas. Estudios sobre Educacion, Studies on Education, This journal, which provides abstracts of its articles mostly in Spanish and a few in English, contains studies estudios and notes notas about educational issues, as well as relevant book reviews recensiones. Studies in this issue No. La mortalidad, hospitalizaciones, caídas y dependencia funcional fueron evaluadas en la segunda vuelta del estudio en el año No hubo asociación entre los estados de prefragilidad y fragilidad con caídas. Greco, Stephanie H. Concanavalin-A Con -A hepatitis is regarded as a T cell-mediated model of acute liver injury. Mincle is a C-type lectin receptor CLR that is critical in the immune response to mycobacteria and fungi, but does not have a well-defined role in pre-clinical models of non-pathogen mediated inflammation. Since Mincle can ligate the cell death ligand SAP, we postulated that Mincle signaling drives intrahepatic inflammation and liver injury in Con -A hepatitis. We found that Mincle was highly expressed in hepatic innate inflammatory cells and endothelial cells in both mice and humans. Furthermore, sterile Mincle ligands and Mincle signaling intermediates were increased in the murine liver in Con -A hepatitis. Most significantly, Mincle deletion or blockade protected against Con -A hepatitis whereas Mincle ligation exacerbated disease. Bone marrow chimeric and adoptive transfer experiments suggested that Mincle signaling in infiltrating myeloid cells dictates disease phenotype. Conversely, signaling via other CLRs did not alter disease course. Our work implicates a novel innate immune driver of Con -A hepatitis and, more broadly, suggests a potential role for Mincle in diseases governed by sterile inflammation. Con A hepatitis is regarded as a T cell-mediated model of acute liver injury. Mincle is a C-type lectin receptor that is critical in the immune response to mycobacteria and fungi but does not have a well-defined role in preclinical models of non-pathogen-mediated inflammation. Because Mincle can ligate the cell death ligand SAP, we postulated that Mincle signaling drives intrahepatic inflammation and liver injury in Con A hepatitis. Furthermore, sterile Mincle ligands and Mincle signaling intermediates were increased in the murine liver in Con A hepatitis. Most significantly, Mincle deletion or blockade protected against Con A hepatitis, whereas Mincle ligation exacerbated disease. Conversely, signaling via other C-type lectin receptors did not alter disease course. Our work implicates a novel innate immune driver of Con A hepatitis and, more broadly, suggests a potential role for Mincle in diseases governed by sterile inflammation. Remisión de aneurisma luego de exéresis de MAV con aparición de síndrome del acento extranjero. La conducta frente a los aneurismas asociados es dicotómica en la literatura, mientras existen reportes de la desaparición de los mismos luego de la exéresis de la MAV, otros artículos enfatizan su tratamiento precoz. Objetivo: Presentar un paciente que desarrolla el síndrome del acento extranjero posterior a la exéresis de una MAV y la evolución de un aneurisma asociado. Estudio polarimétrico de NGC 47 Tucanae. Las observaciones son consistentes con la presencia de pequeñas cantidades de polvo originada en procesos de pérdida de masa. Women in Combat Pros and Cons. Major Thomas H. Se analizan las características morfológicas, fotométricas y espectroscópicas de la muestra. Inter Con provides services to health insurers of foreign tourists who travel to the United States and Canada. Management wants to implement a new information system that will deal with several operational problems, but it is having difficulty securing the capital resources to fund the system's development. After an initial failure, the chief…. Resumen IntroducciÓn: El papiloma invertido es una neoplasia benigna de los senos paranasales localmente agresiva con alto potencial de recurrencia y de malignización. Caso clínico: Presentamos el caso de una paciente de 32 años que consultó por lesión exofítica en fosa nasal derecha y exoftalmos, asociada a cefalea, anosmia y disgeusia. La paciente evolucionó de forma favorable y sin complicaciones, con permeabilidad de vía aérea superior, sin signos de recidiva lesional luego de 4 años de seguimiento. Conclusión: La invasión intracraneal de esta patología es sumamente infrecuente. Cuando existe, es indicador de agresividad y potencial recidiva, por lo que la exéresis completa de la misma define el pronóstico de la enfermedad. Presentamos un estudio de caso de una adolescente puertorriqueña con comportamiento suicida. Inicialmente mostró baja autoestima y severos síntomas depresivos y de ansiedad. Al finalizar el tratamiento, manifestó un cambio significativo en su sintomatología clínica y evidenció una mejoría en sus destrezas de manejo. No presentó ideas suicidas durante meses previos, ni durante el seguimiento. Somatic cell nuclear transfer: pros and cons. Even though the technique of mammalian SCNT is just over a decade old it has already resulted in numerous significant advances. Despite the recent advances in the reprogramming field, SCNT remains the bench-mark for the generation of both genetically unmodified autologous pluripotent stem cells for transplantation and for the production of cloned animals. In this review we will discuss the pros and cons of SCNT, drawing comparisons with other reprogramming methods. Conserva a Puerto Rico con bosques maderables. Los Bosques productivos de Resumo Os autores relatam o caso de uma paciente jovem previamente submetida a nefrectomia direita por apresentar angiomiolipomas renais AMLRs e portadora de dois volumosos angiomiolipomas no rim esquerdo remanescente. A paciente foi encaminhada pelo urologista para tratamento endovascular. Intrigued by the reported synthesis of diazirinone 1 , we carried out further experimental and theoretical studies aimed at the detailed matrix-isolation and millimeter-wave spectroscopic characterizations of 1. Diazirinone 1 is a peculiar isoconjugate of two very stable molecules and may be of astrochemical interest. Unfortunately, the original reported methods of diazirinone 1 generation did not yield this species, rather its decomposition products. This new synthesis may allow us to generate larger quantities of both CON 6 and CON 2 for investigation by millimeter-wave spectroscopy. We are able to safely generate carbonyl diazide 2 in sufficient yield from the reaction of triphosgene 3 and tetrabutylammonium azide in diethyl ether. This has allowed us to obtain both matrix-isolation and gas phase IR spectra of carbonyl diazide 2. After purification, it has a gas-phase lifetime that allows samples to be useable for up to several weeks. However, it is a shock-sensitive material that must be handled with care to prevent violent decomposition. In order to provide better mechanistic insight into the decomposition of carbonyl diazide 2 to diazirinone 1 , we have engaged in a DFT and ab initio computational study. We have found a pathway between the two species via the triplet acylnitrene, CON 4, and an oxaziridine CON 2 species, but not at sufficiently low energies to allow for the trapping and detection of diazirinone 1. Preliminary millimeter-wave spectra have been obtained from several synthesized and purified samples of CON 6 2. However, the assignment of the spectra lines has been unexpectedly problematic. We have placed several CON 6 2 samples, confirmed by IR spectroscopy at the time of sample loading, into our instrument and obtained two different sets of rotational lines. Chili con carne with beans shall contain Asociación de la hemorragia prerretiniana con la presencia y la gravedad de la retinopatía del prematuro en pacientes de alto riesgo. To assess whether preretinal hemorrhage PRH is associated with the presence and severity of retinopathy of prematurity ROP in high-risk patients. Prospective cohort study, patients referred to the Department of Ophthalmology for ROP screening during October-November were evaluated weekly on 4 occasions to assess the relationship with PRH and the development of ROP as well as degree of severity associated. Stage I severity occurred more frequently. Richards, Viral and Colli C, Leptospira interrogans in a canine population of greater Bue- nos Aires: variables associated with seropositivity. Rev Panam Salud. Matilde Valencia Flores, comité: Dra. Feggy Ostrosky Shejet, Dra. Rosa Elena Ulloa Flores, Dra. Isabel Reyes Lagunes, Dr. State-of-the-art of the historical seismology in Colombia. Full Text Available In Colombia are available a discreet number of historical seismology investigations, dating back 50 years. This paper reviews basic information about earthquakes studies in Colombia, such as primary sources, compilation of descriptive catalogues and parametric catalogues. During the last 20 years, great earthquakes hit Colombia and, as consequence, historical seismology investigation was developed in the frame of seismic hazard projects. Palagonia, M. Additional JES uncertainties due to specific eve De altid transitive kan yderligere inddeles i divalente og trivalente verber. De trivalente verber knytter subjekt i relativ, direkte objekt i absolutiv og det tredje argument i oblik kasus De ambitransitive er ofte divalente verbalstammer. Simultaneous measurement of top quark mass and jet energy scale using template fits at the CMS experiment. A sample of 78 events is selected by requiring exactly one isolated muon and at least four jets, two of them being identified as jets from the decay of b quarks. The trijet mass, M3, and the dijet mass, M2, are reconstructed, taking into account the b-tagging information. M3 and M2 are estimators of the masses of hadronically decaying top quarks and the corresponding W bosons, respectively. Based on the precise knowledge of the W boson mass, M2 provides a strong handle on the energy scale of jets from light quarks. The overall JES in the selected sample is found to be 1. Furthermore, the JES measurement is an important input for the commissioning of the CMS experiment for the upcoming measurements with more data in the near future. The mass of the top quark is a fundamental parameter of the Standard Model. Its precise knowledge yields valuable insights into unresolved phenomena in and beyond the Standard Model. Events are selected requiring an isolated energetic charged lepton electron or muon , significant missing transverse energy, and exactly four calorimeter jets. For each event, the probabilities to originate from the signal and background processes are calculated based on the measured kinematics, the object resolutions and the respective matrix elements. The jet energy scale is known to be the dominant source of systematic uncertainty. The reference scale for the mass measurement is derived from Monte Carlo events. The top mass is obtained from a two-dimensional correlated fit, and the likelihood yields both the statistical and jet energy scale uncertainty. The measurement forecasts significant improvements to the total top mass uncertainty during Run II before the startup of the LHC, as the data sample will grow by a factor of ten and D0's tracking capabilities will be employed in jet energy reconstruction and flavor identification. This is one of the first measurements of m t at the Large Hadron Collider. For example, his theology of conscience, or unvordenklich, with which he desires to account for the divine measuring of the human rhythm in the development of the man Jesus, shows us a perception of human consistency and its steady development as free human destiny, rather different from the possible, somewhat monophysite derivations of neo-Chalcedonian theology. The descendent accent of Balthasarian Christology is articulated with a sharp consciousness of the status exinanitionis of Jesus. Even his controversial. Vogan, Jr. Over the last forty years, David Vogan has left an indelible imprint on the representation theory of reductive groups. His groundbreaking ideas have lead to deep advances in the theory of real and p-adic groups, and have forged lasting connections with other subjects, including number theory, automorphic forms, algebraic geometry, and combinatorics. Representations of Reductive Groups is an outgrowth of the conference of the same name, dedicated to David Vogan on his 60th birthday, which took place at MIT on May , This volume highlights the depth and breadth of Vogan's influence over the subjects mentioned above, and point to many exciting new directions that remain to be explored. Notably, the first article by McGovern and Trapa offers an overview of Vogan's body of work, placing his ideas in a historical context. Contributors: Pramod N. Achar, Jeffrey D. Gross, Xuhua He, Jing-Son Calretinin a kDa calcium binding protein is expressed widely in normal human tissue and tumours including amelobastoma. The objective of this study was to determine calretinin expression in heamatoxylin and eosin diagnosed cases of ameloblastoma and non-neoplastic odontogenic cysts. The lining epithelium in 3 cases of radicular cysts, 5 cases of odontogenic keratocysts, 5 cases of dentigerous cysts and 11 cases of ameloblastomas were examined for expression of calretinin. No positive epithelial staining was observed in radicular and dentigerous cysts. Calretinin may be a specific immunohistochemical marker for ameloblastoma. If there is any possible relation between calretinin expression and neural origin of the odontogenic epithelium and its neoplastic transformation and if calretinin could be used as an early marker to predict the tendency of neoplastic change of odontogenic epithelium could be answered through further researches. J Int Oral Health ; 5 6 Matrix metalloproteinases during and outside of migraine attacks without aura. Cephalalgia In addition, we measured plasma levels of several other There was no difference between ictal The confining and topological properties of the compact Abelian Higgs model with doubly-charged Higgs field in three space-time dimensions are studied. We consider the London limit of the model. We show that the monopoles are forming chainlike structures kept together by Abrikosov-Nielsen- Olesen vortices , the presence of which is essential for getting simultaneously permanent confinement of singly-charged particles and breaking of the string spanned between doubly-charged particles. In the confinement phase, the chains are forming percolating clusters, while in the deconfinement Higgs phase, the chains are of finite size. The described picture is in close analogy with the synthesis of the Abelian monopole and the center vortex pictures in confining non-Abelian gauge models. The screening properties of the vacuum are studied by means of the photon propagator in the Landau gauge. Predicting artificailly drained areas by means of selective model ensemble. The approaches employed include decision trees, discriminant analysis, regression models, neural networks and support vector machines amongst others. Several models are trained with each method, using variously the original soil covariates and principal components of the covariates. With a large ensemble A number of machine learning approaches can be used to predict artificially drained areas in geographic space. However, instead of choosing the most accurate model The study aims firstly to train a large number of models to predict the extent of artificially drained areas using various machine learning approaches. Secondly, the study will develop a method for selecting the models, which give a good prediction of artificially drained areas, when used in conjunction Beyond KNO scaling. A generalization of the Koba-Nielsen- Olesen scaling law of the multiplicity distributions P n is presented. It consists of a change in the normalization point of P n compensated by a suitable change in the renormalized parameters and a rescaling. The iterative repetition of the transformation yields the sequence of higher-order moment distributions of P n. Each member of this sequence may exhibit data collapsing behavior in case of violation of the original KNO scaling hypothesis. It is shown that the iterative procedure can be viewed as varying the collision energy, i. The fixed points of the iteration will be determined and a consistency test based on Feynman scaling is to be given. Assessment of demyelination, edema, and gliosis by in vivo determination of T1 and T2 in the brain of patients with acute attack of multiple sclerosis. The measurements were repeated several times, from onset of the disease and during remission by use of six-point partial saturation inversion recovery and echo multiple spin-echo sequences, giving T1 and T2, respectively. We also focused on the issue, whether T Hendriksen, and J. Olesen , Magn. In some of the acute plaques a slight initial increase in T1 and T2 was seen, when the measurement was repeated in about 10 days. Thereafter T1 decreased slowly in all but one patient as a function of days. In all cases the T1 relaxation process Transformation in the management of Danish public-sector. Of interest in this paper is the way in which social capital, as suggested in Olesen et al. Alvesson argues that there is a great degree of ambiguity associated with: 1 what counts as knowledge, 2 how individuals create knowledge, and 3 what are the results of knowledge. The social psychology of organizations, 2nd ed. Lee, J. Of politics and purpose: Political salience and goal ambiguity of US federal agencies. Public Administration, 87 3 , — Maslach, C. Unstructured socialization and territorialization. A street-ethnographic take on urban youth in a medium-sized town in Denmark. In , the municipality in Horsens, a medium-sized provincial town The facility serves as a territorial meeting place for a number of conflicting groups of adolescents with different codes of behavior based on their cultural orientation Through positioning battles of various kinds the groups fight for space and place for their unstructured socialization processes with their peers. Officially, the municipality donated the facility to give local children and young people an opportunity Exploring the relationship between analgesic event rate and pain intensity in kidney stone surgery: A Repeated Time to Event Pilot Study. The aim of this pilot study was to discuss how best to investigate the relationship between RTTE hazard of analgesic events and pain intensity in postoperative pain. Methods: Data was available from 44 patients undergoing kidney stone surgery Gompertz and exponential distribution models were evaluated. Results: A Gompertz distribution model adequately described data, with a baseline event rate of 0. Basic features of proton-proton interactions at ultra-relativistic energies and RFT-based quark-gluon string model. The latter arise in QGSM because of the addition of various processes with different mean multiplicities. The model also indicates fulfillment of extended longitudinal scaling and violation of Koba-Nielsen- Olesen scaling at LHC. The origin of both features is traced to short-range particle correlations in the strings. Equivalence of meson scattering amplitudes in strong coupling lattice and flat space string theory. Full Text Available We consider meson scattering in the framework of the lattice strong coupling expansion. In particular we derive an expression for the 4-point function of meson operators in the planar limit of scalar Chromodynamics. Interestingly, in the naive continuum limit the expression coincides with an independently known result, that of the worldline formalism. Moreover, it was argued by Makeenko and Olesen that assuming confinement the resulting scattering amplitude in momentum space is the celebrated expression proposed by Veneziano several decades ago. This motivates us to also use holography in order to argue that the continuum expression for the scattering amplitude is related to the result obtained from flat space string theory. Our results hint that at strong coupling and large-Nc the naive continuum limit of the lattice formalism can be related to a flat space string theory. Melhoramento do trigo: II. Estudo genético de fontes de nanismo para a cultura do trigo Wheat breeding II: genetic studies of different sources of dwarfism in wheat. Os cultivares escolhidos para este estudo representaram um largo espectro de diversidade genética para altura das plantas para as nossas condições. Todas as fontes de porte baixo foram eficientes em reduzir o porte do cultivar IAC-5, porém Tordo seria a melhor fonte pela ocorrência de maior freqüência de indivíduos de porte baixo e com altas produções, nas populações estudadas. Parents, F1's, F2's and reciprocal backcrosses were tested for grain yield and height in an experiment carried out at. We consider meson scattering in the framework of the lattice strong coupling expansion. A study of multiplicity scaling of particles produced in 16O-nucleus collisions. Koba-Nielsen- Olesen KNO scaling has been a dominant framework to study the behaviour of multiplicity distribution of charged particles produced in high-energy hadronic collisions. Several workers have made attempt to investigate multiplicity distributions of particles produced in hadron-hadron h-h , hadron-nucleus h-A and nucleus-nucleus A-A collisions at relativistic energies. Multiplicity distributions in p-nucleus interactions in emulsion experiments are found to be consistent with the KNO scaling. The applicability of the scaling of multiplicities was extended to FNL energies by earlier workers. Slattery has shown that KNO scaling is in agreement with the data on pp interactions over a wide-range of energies. An increase in turbidity within the lagoon may reduce the ecosystem health due to hindered light penetration. A threat to the lagoonal Furthermore the planned construction of a tunnel between Germany and Denmark may propose a threat to the lagoon due to a possible Mussels can reduce the SSC in marine environments Schröder et al. In the present study we developed a module to include Full Text Available Flavobacterium psychrophilum is a devastating bacterial pathogen of salmonids reared in freshwater worldwide. So far, serological diversity between isolates has been described but the underlying molecular factors remain unknown. By combining complete genome sequence analysis and the serotyping method proposed by Lorenzen and Olesen for a set of 34 strains, we identified key molecular determinants of the serotypes. This knowledge allowed us to develop a robust multiplex PCR-based serotyping scheme, which was applied to bacterial isolates. The results revealed a striking association between PCR-serotype and fish host species and illustrate the use of this approach as a simple and cost-effective method for the determination of F. PCR-based serotyping could be a useful tool in a range of applications such as disease surveillance, selection of salmonids for bacterial coldwater disease resistance and future vaccine formulation. Vortices and quark confinement in non-Abelian gauge theories. Non-Abelian vortices of the type proposed by Nielsen and Olesen are discussed. It is shown that the vortices must contain a single unit of quantized flux absorbed by a Dirac monopole at each end. The monopoles satisfy a confinement condition; if quark numbers are assigned to the monopoles, is is found that the model contains a natural explanation of quark confinement. The I-spin variables associated with the non-Abelian gauge field correspond to the colour degree freedom. An alternative model in which colour charges and monopoles are interchanged is also suggested. The Higgs field which breaks the degeneracy of the vacuum is replaced by an operator which creates monopoles of the type suggested by 't Hooft. In such a model colour might be confined. The investigations are at a very preliminary stage, but the model appears to offer a natural explanation of confinement without the explicit introduction of monopole fields. Scaling in multiplicity distributions of heavy, black and grey prongs in nuclear emulsions. The validity of Koba-Nielsen- Olesen scaling hypothesis was examined in the case of heavy, black, and grey prongs in proton-emulsion collisions 'heavy' means 'either black or grey'. The average multiplicities of these prongs were computed in the region 0. Phenomenology of symmetry breaking from extra dimensions. Motivated by the electroweak hierarchy problem, we consider theories with two extra dimensions in which the four-dimensional scalar fields are components of gauge boson in full space. We explore the Nielsen- Olesen instability for SU N on a torus, in the presence of a magnetic background. A field theory approach is developed, computing explicitly the minimum of the complete effective potential, including tri-linear and quartic couplings and determining the symmetries of the stable vacua. We also develop appropriate gauge-fixing terms when both Kaluza-Klein and Landau levels are present and interacting, discussing the interplay between the possible six and four dimensional choices. The equivalence between coordinate dependent and constant Scherk-Schwarz boundary conditions - associated to either continuous or discrete Wilson lines - is analyzed. The struggle with employee engagement: Measures and construct clarification using five samples. However, challenges to the scale's validity have raised major concerns about the measurement and conceptualization of engagement as a construct. Across 4 field samples, we examined 2 measures of engagement, the UWES and the Job Engagement Scale JES , in both factor structure and patterns of relationships with theoretically hypothesized antecedents and consequences. In a fifth field sample, we examined the construct-level relationships between engagement and related variables, while controlling for sources of measurement error i. By examining 2 measures, each derived from different theoretical bases, we provide unique insight into the measurement and construct of engagement. The UWES, more so than the JES , assesses engagement with overlap from other job attitudes, requiring improvement in the measurement of engagement. We offer guidance as to when to use each measure. Furthermore, by isolating the construct versus measurement of engagement relative to burnout, commitment, stress, and psychological meaningfulness and availability, we determined a the engagement construct is not the same as the opposite of burnout, warranting a reevaluation of the opposite-of-burnout conceptualization of engagement; and b psychological meaningfulness and engagement are highly correlated and likely reciprocally related, necessitating a modification to the self-role-expression conceptualization of engagement. The integrated luminosity of 2. We adopt a neural-network algorithm to select candidate events from six or more jets. At least one of these jets should be required to be b jet, as identified by the reconstruction of a secondary vertex inside the jet. The mass measurement is based on a likelihood fit incorporating reconstructed mass distributions representative of signal and background, where the absolute jet energy scale JES is measured simultaneously with the top quark mass. The measurement yields a value of Top quark mass and W boson mass constrain the mass of the Standard Model Higgs boson, indirectly. Certes, le système proposé Mais on ne saurait le taxer d'arbitraire, prétendre qu'il dépasse la réalité des données, et n'y voir qu'une vue personnelle et subjective de son auteur Pour être plus abstraits et plus difficiles à saisir que Jes faits morphologiques, Jes faits syntaxiques n'en ont pas moins une réalité objective. Et ceux qui voudront Jes étudier pour édifier la syntaxe qui nous manque encore peuvent être en tout cas assurés de construire sur un terrain solide" Lucien Tesniere, "Comment construire une syntaxe''. Le projet tesniérien d'une syntaxe structurale - aboutissant aux Élements de syntaxe structurale , deuxieme ed. En fait, ce courant de pensée se présente en premier lieu comme une critique du système des parties du discours: celles-ci ne sont guère des composantes du discours, au sens où elles constitueraient les bases constructives du discours, mais elles sont en fait des parties du système de la langue. Il importe done de franchir le pas, à partir d'elles, vers l'organisation de la phrase. Se utilizó como método la entrevista semi estructurada aplicada a u Décadas de oro de la centenaria SMP. Plan estratégico Restaurante Centolla. La empresa Crisantemo Gourmet S. El presente plan estratégico tiene como propósito principal incrementar los ingresos y lograr el posicionamiento del Restaurante Centolla en el mercado a fin de que sea reconocido como uno de los mejores restaurantes de comida japonesa y marina, es decir, que goce de la preferencia de los clientes por la Y, a la vez, la inmortalidad de los persona - jes de leyenda, literarios, pictóricos, musicales y cinem A metodologia utilizada combina a releitura do model Una experiencia del atletismo en Cantabria. Instituto Nacional de Educación Física, curso Con partes iguales de brío y agradecimiento, autopromoción y humildad, siempre tiene algo que decir. Nací en North Babylon, Long Island. Mi padre tenía una colección de jazz, yo solía escuchar todas sus canciones. Tocaba la batería en la primaria y empecé ahí. En realidad me dediqué a la banda un buen rato y tocaba el piano en mi casa. Tenía un trabajo normal con mi padre en la compañía de teléfonos de Nueva York haciendo trabajos de mantenimiento y mi amigo Michael Greer terminó conociendo a un artista de rap, uno de sus hermanos, y así se hicieron las introducciones. Y así terminé involucrado en la industria. Ese fue MC Shan. Sí, íbamos a Jamaica Avenue y un día había unos hermanos jamaiquinos cuyos padres tenían un estudio en la esquina de Jamaica Avenue y la Un día fuimos al lugar y había un chico llamado Marvin Prince. Escucha: tengo a este hombre blanco, su nombre es Snow. Hizo lo que tenía que hacer, vino a Nueva York. Definitivamente tenía talento. Así que me quedé con la melodía y me fui a casa a armar la canción. Trabajamos con el durante un par de semanas hasta que se quedó sin dinero. Una vez que eso pasó, y después de hacer lo que sea que hiciera en esa época, era un booster , eso era lo suyo, regresó. Eso era lo suyo. Ropa y cosas. Tuve mucho que ver con ese sonido que se volvió tan popular y se convirtió en platino. Sí, tuve problemas con eso, dado que yo había hecho la mayor parte. Y el principal problema fue mi crédito como tecladista..

Los datos se recogieron de las historias clínicas. Conclusiones: la otitis media es una causa frecuente de ingresos hospitalarios, y se identifican como principales factores de riesgo la asistencia Darrin kenneth obrien esposa disfunción sexual círculos infantiles y el tabaquismo de algunos de los padres.

Resultados do tratamento da pancreatite aguda grave. Treze pacientes foram tratados cirurgicamente; a média de operações realizadas foi duas por paciente. Drug-induced progressive multifocal leukoencephalopathy. Progressive multifocal leukoencephalopathy PML has been identified as a serious adverse drug reaction ADR of several immunomodulatory biologicals.

In this study, we contrasted the reporting patterns of PML for two biologicals for which the risk was identified at different points in their life In this study, we contrasted visit web page reporting patterns of PML for two biologicals for which the risk was identified at different points Multifocal necrotizing fasciitis following Hirshsprung's disease Multifocal necrotizing fasciitis following Hirshsprung's disease surgery away from the surgical wound site.

Ahmed A. Haseeb, Shadi Okasha and Atef Elbarawi. Necrotizing fasciitis NF is a life-threatening infection with rapidly progressive necrosis. Escherichia coli is rarely reported as causative agent of type 2 NF. Multifocal chronic osteomyelitis of unknown etiology.

Five cases of chronic, inflammatory, multifocal bone lesions of unknown etiology are reported. Although bone biopsy confirmed osteomyelitis in each case in none of Darrin kenneth obrien esposa disfunción sexual were organisms found inspite of an extensive work up. Different Darrin kenneth obrien esposa disfunción sexual course of the disease reflects different check this out in respective cases.

These cases present changing aspects of osteomyelitis emerging since introduction of antibiotics. Supplementation of cataract patients with multifocal intraocular lenses involves an additional financial investment when compared to the corresponding monofocal supplementation, which usually is not funded by German health care Darrin kenneth obrien esposa disfunción sexual.

In the context of recent resource allocation discussions, however, the cost effectiveness of multifocal cataract surgery could become an important rationale. Therefore an evidence-based estimation of its cost effectiveness was carried out. Three independent meta-analyses were implemented to estimate the gain in uncorrected near visual acuity and best corrected visual acuity vision lines as well as the predictability fraction of patients without need for reading aids of multifocal supplementation.

Study reports published between and English or German language were screened for appropriate key words. Meta effects in visual gain and predictability were Darrin kenneth obrien esposa disfunción sexual by means and standard deviations of the reported effect measures. Cost data were estimated by German DRG rates and individual lens costs; the cost effectiveness of multifocal cataract surgery was then computed in terms of its marginal cost effectiveness ratio MCER for each clinical benefit endpoint; the incremental costs of multifocal versus monofocal cataract surgery were further estimated by means of their respective incremental cost effectiveness ratio ICER.

An independent meta-analysis estimated the complication profiles to be expected after monofocal and multifocal cataract surgery in order to evaluate expectable complication-associated additional costs of both procedures; the marginal and incremental cost effectiveness estimates were adjusted accordingly.

Total direct costs from the health care insurer's perspective were estimated euro, associated with a visual meta benefit in best corrected visual.

Soporte nutricional en la insuficiencia renal aguda. Full Text Available La insuficiencia renal aguda IRA se presenta frecuentemente en distintas condiciones clínicas y es especialmente frecuente en unidades de cuidados intensivos. La presencia de IRA se considera como un factor de riesgo independiente de morbilidad y mortalidad hospitalaria.

De ahí la importancia de evaluar los diversos factores determinantes de su evolución, entre los que cuenta la desnutrición calórico-proteica. Intoxicaciones agudas en pediatría. Métodos: el estudio se realizó en el Hospital "William Soler". Se revisaron las historias clínicas, los registros de intoxicaciones agudas y las tarjetas de codificación de egresos hospitalarios por intoxicaciones de los pacientes llegados al hospital en esta etapa.

Resultados: se recibieron en el hospital pacientes. El grupo de mayor frecuencia de intoxicaciones fue el de 1 a 5 años, con predominio del sexo masculino, aunque sin diferencias significativas con respecto al sexo femenino. Conclusiones: estos resultados nos hacen pensar en la necesidad de estar alertas y crear acciones encaminadas a proteger o evitar las intoxicaciones en Darrin kenneth obrien esposa disfunción sexual tan vulnerables.

Sin embargo, hay situaciones clínicas en las cuales Darrin kenneth obrien esposa disfunción sexual sindrome puede cursar con un incremento de la creatininemia sin presentar elevación de la uremia. El paciente presentaba una elevada excreción fraccional de urea lo cual podía explicar su uremia normal pese a estar cursando una caída del filtrado gomerular.

Dicha excreción de urea elevada fue interpretada como secundaria a una diabetes insipida nefrogénica y una alteración en el recirculado intra-renal de la urea ambos producto de la pielonefritis aguda. Concluimos que la pielonefritis aguda en un paciente mono-reno puede presentarse con un patrón de insuficiencia renal aguda con uremia normal. However, there are clinical situations in which this syndrome may run with an increase in plasma creatinine keeping normal the urea one.

In this report we present a case of acute renal failure with normal plasma urea level secondary to an acute pyelonephritis in a single kidney patient. The patient had an increased fractional excretion of urea which could explain the normal plasma urea levels found despite of his reduced glomerular filtration.

This increased urea excretion Darrin kenneth obrien esposa disfunción sexual was interpreted as a consequence of the nephrogenic diabetes insipidus and alteration of the intra-renal urea reciclying process that the acute pyelonephritis induced. In conclusion: Acute pyelonephritis in a single kidney Darrin kenneth obrien esposa disfunción sexual can appear as a pattern of acute renal failure with normal plasma urea levels.

Multifocal hyperfunctioning thyroid carcinoma without metastases. Hyperthyroidism due to thyroid carcinoma is rare, and most cases are caused by hyperfunctioning metastatic thyroid carcinoma rather than primary carcinoma.

Among primary hyperfunctioning thyroid carcinoma, multifocal thyroid carcinoma is exceedingly rare, with the only one case being reported in the literature.

Here, we describe the case of a year-old woman with multifocal functioning thyroid carcinoma. Technetiumm 99m Tc scintigraphic imaging showed four hot areas in the thyroid gland.

Histopathological examination of all four nodules revealed papillary carcinoma, corresponding to hot areas in the 99m Tc scintigram. DNA sequencing of the thyrotropin receptor TSH-R gene from all nodules revealed no mutation, indicating that activation of TSH-R was unlikely in the pathophysiogenesis of hyperfunctioning thyroid carcinoma in the present case. Refractive outcomes after multifocal intraocular lens exchange. To evaluate the refractive outcomes after multifocal intraocular lens IOL exchange.

Retrospective case series. The study comprised 29 patients 35 eyes. The mean refractive prediction error significantly decreased from 0. Published by Elsevier Inc. Basic characterization of normal multifocal electroretinogram. A scientific literature review was made on the novel multifocal electroretinogram technique, the involved cell mechanisms and some of the factors modifying its results together with the form of presentation.

The basic characteristics of this electrophysiological record obtained from several regions of the retina of normal subjects is important in order to create at a small scale a comparative database to evaluate pathological eye tracing. All this will greatly help in early less invasive electrodiagnosis of localized retinal lesions. Chest wall resection for multifocal osseous haemangioma. Intraosseous haemangioma is a rare and benign primary tumour of the bone.

We report the case of a year old woman who presented the exceptional check this out of multifocal cavernous haemangiomas involving the spine and the ribs, requiring spinal and chest wall resections to confirm the diagnosis and treat the symptoms. Background Maculopathy is a potential side effect of amyl nitrite or "poppers" abuse.

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It is characterized by a sudden, painless decrease in visual acuity. While the funduscopic changes are subtle, optical coherence tomography shows alterations of the outer retinal layers in the fovea.

However, the extent of retinal dysfunction remains poorly understood. Response densities and Darrin kenneth obrien esposa disfunción sexual times of N1 and P1 were analyzed. Results Response densities and implicit times of both N1 and P1 were lower in the patients with poppers maculopathy than in the control group, particularly in ring 1 and rings 4 and 5. The only statistically significant finding, however, was a reduced N1 response density of one hexagon in the patient group.

Darrin kenneth obrien esposa disfunción sexual

No significant differences were found considering the Darrin kenneth obrien esposa disfunción sexual response or the averaged rings 1 to 5. Conclusion Compared to a healthy control group, the multifocal electroretinogram of patients with poppers maculopathy shows no relevant impairment.

This contrasts the marked effect of the disease on visual acuity. In clinical practice, poppers maculopathy cannot be diagnosed by multifocal electroretinography. Insuficiencia renal aguda con necrosis tubular aguda secundaria a picadura masiva de abejas.

Durante su estancia hospitalaria presentó incremento de enzimas musculares AST LDH, y de pruebas de función renal, motivo por el cual fue dializado en varias ocasiones. Con mejoría total, se decide egresar y manejar ambulatoriamente.

Lente intra-ocular multifocal difrativa apodizada: resultados Diffractive apodized multifocal intraocular lens: results. Binocular visual acuity was evaluated with and without correction for near and distance, and refraction previsibility and frequency of wearing glasses.

Falla cardíaca aguda. Se presenta el caso clínico de una click to see more de 26 años de edad, que acudió al Hospital Universitario San Vicente Fundación Medellín con síntomas y signos de falla cardíaca aguda y diagnóstico previo de falla cardíaca crónica con fracción de expulsión disminuida, de origen no claro, Darrin kenneth obrien esposa disfunción sexual pulmonar y ataque cerebrovascular isquémico, sin modulación neurohormonal óptima.

Ingresó a la institución con hallazgos clínicos de sobrecarga hídrica y baja perfusión tisular, con requerimiento de Coréia Darrin kenneth obrien esposa disfunción sexual na gravidez. A maioria dos surtos ocorreu no segundo trimestre da primeira gravidez. Todos os partos foram espontâneos e normais. Optimizing outcomes with multifocal intraocular lenses. Full Text Available Modern day cataract surgery is evolving from a visual restorative to a refractive procedure. The advent of multifocal intraocular lenses MFIOLs allows greater spectacle independence and increased quality of life postoperatively.

Since the inception in s, MFIOLs have undergone various technical advancements including trifocal and extended depth of vision implants more recently.

A thorough preoperative workup including the patients' visual needs and inherent ocular anatomy allows us to achieve superior outcomes. This review offers a comprehensive overview of the various types of MFIOLs and principles of optimizing outcomes through a comprehensive preoperative screening and management of postoperative complications. The Mathematical Theory of Multifocal Lenses. This paper presents the fundamental optical concepts of designing multifocal ophthalmic lenses and the mathematical methods associated Darrin kenneth obrien esposa disfunción sexual them.

In particular,it is shown that the design methodology is heavily based on differential geometric ideas such as Willmore surfaces. A key role is played by Hamilton's eikonal functions. It is shown that these functions capture all the information on the local blur and distortion created by the lenses.

Along the way,formulas for computing the eikonal functions are derived. Finally,the article source lists a few intriguing mathematical problems and novel concepts in optics as future projects. Imaging manifestations of progressive multifocal leukoencephalopathy. Darrin kenneth obrien esposa disfunción sexual multifocal leukoencephalopathy PML is a demyelinating disease caused by reactivation of JC virus in immunosuppressed patients.

Light distribution in diffractive multifocal optics and its optimization. To expand a geometrical model of diffraction efficiency and its interpretation to the multifocal optic and to introduce formulas for analysis of far and near light distribution and their application to multifocal intraocular lenses IOLs and to diffraction efficiency optimization.

Experimental study. Application of a geometrical model to the kinoform single focus diffractive optical element was expanded to a multifocal optic to produce analytical definitions of light split between far and near images and light loss to other Darrin kenneth obrien esposa disfunción sexual orders. The Darrin kenneth obrien esposa disfunción sexual model gave a simple interpretation of light split in a diffractive multifocal IOL.

An analytical definition of light split between far, near, and light loss was introduced as curve fitting formulas. Several examples of application to common multifocal diffractive IOLs were developed; for example, to light-split change with wavelength. The analytical definition of diffraction efficiency may assist in optimization of multifocal diffractive optics that minimize Darrin kenneth obrien esposa disfunción sexual loss.

Formulas for analysis just click for source light split between different foci of multifocal diffractive IOLs are useful in interpreting diffraction efficiency dependence on physical characteristics, such as blaze heights of the diffractive grooves and wavelength of light, as well as for optimizing multifocal diffractive optics.

Disclosure is found in the footnotes. Full Text Available Multi-focal vision systems comprise cameras Darrin kenneth obrien esposa disfunción sexual various fields of view and measurement accuracies.

This article presents a multi-focal approach to localization and mapping of mobile robots with active vision. An implementation of the read more concept is done considering a humanoid robot navigation scenario where the robot is visually guided through a structured environment with several landmarks.

Various embodiments of multi-focal vision systems are investigated and the impact on navigation performance is evaluated in comparison to a conventional mono-focal stereo set-up. The comparative studies clearly show the benefits of multi-focal vision for mobile robot navigation: flexibility to assign the different available sensors optimally in each situation, enhancement of the visible field, higher localization accuracy, and, thus, better task performance, i.

It is shown that multi-focal vision may strongly improve Darrin kenneth obrien esposa disfunción sexual performance. Esofagitis necrotizante aguda : Una entidad inusual. Full Text Available La esofagitis necrotizante aguda ENA, también denominada esófago negro, es una rara enfermedad poco descripta en la literatura médica. Describimos el caso de un hombre de 80 años, con hemorragia digestiva alta quien desarrolló un esófago negro luego de un episodio de hipotensión.

La necrosis fue confirmada histológicamente. El diagnóstico se realiza con endoscopia y confirmación histológica. En este trabajo describimos las características clínicas, endoscópicas e histopatológicas de un paciente con ENA. Multifocal bilateral metatarsal tuberculosis: a rare presentation. Tuberculosis, or phthisis consumption as it was popularly known in the Greek era, has been Darrin kenneth obrien esposa disfunción sexual in Southeast Asia and Sub-Saharan Africa; however, the human immunodeficiency virus epidemic has seen the re-emergence of this disease in the areas in which it was not very commonly reported.

With this, the need for understanding and treatment of rare presentations of tuberculosis has become of paramount importance to achieve the World Health Organization millennium goal of a "reversal of incidence by Multifocal lesions have an incidence of histopathologic owing to the paucibacillary nature of the disease.

Early identification and treatment with antitubercular drugs will normally Darrin kenneth obrien esposa disfunción sexual in a good cosmetic and functional result. Multifocal Spinal Cord Nephroblastoma in a Dog. A 1-year-old male American pit bull terrier was presented with a history of proprioceptive deficits and mild lameness of the right hindlimb, which progressed after 5 months to paraparesis, culminating in tetraparesis after 2 weeks.

Necropsy findings were limited to the spinal cord and consisted of multiple, intradural, extramedullary, slightly red masses which produced segmental areas of medullary swelling located in the cervical intumescence, thoracolumbar column, sacral segment and cauda equina. Histological evaluation revealed a tumour, composed of epithelial, stromal and blastemal cells, with structures resembling tubules, acini and embryonic glomeruli.

Immunohistochemical labelling for vimentin, cytokeratin and S was positive for the stromal, epithelial and blastemal cells, respectively. A final diagnosis of multifocal spinal cord nephroblastoma was established. This is the first report of such Darrin kenneth obrien esposa disfunción sexual tumour showing concomitant involvement of the cervicothoracic, thoracolumbar, sacral and cauda equina areas of the spinal cord.

Lesiones periapicales agudas en pacientes adultos. Se incluyeron todos los pacientes que acudieron al servicio de urgencia y que presentaron lesiones periapicales agudas. Se recogió información de las variables edad, sexo, grupo dentario, causa de la enfermedad, características clínicas e higiene bucal.

La higiene bucal resultó estar relacionada con las lesiones periapicales. Se encontraron diferencias significativas en las lesiones periapicales respecto a todas las causas estudiadas, con excepción de las enfermedades periodontales.

Respecto a las características clínicas hubo significación en cuanto al aumento de volumen del fondo del surco vestibular y la movilidad dentaria. Purpose To report on the clinical manifestations, complications, and long-term click prognosis of patients with peripheral multifocal chorioretinitis and to search for predictors for a lower visual outcome.

Design Retrospective consecutive observational case series. Methods setting: Institutional. Nuijts, Rudy M. Multicenter study at 8. CT and MRI in progressive multifocal leukoencephalopathy.

Radiological findings and course of progressive multifocal leukoencephalopathy in 14 patients 1 woman, 13 men; 13 HIV seropositive, 1 chronic lymphatic leukaemia were analysed retrospectively and correlated with clinical symptoms.

CT scans and MR images of 9 patients, which had been obtained in less than two weeks, could be compared to each other. En el Caso 2 permitió comprender la anatomía post-operatoria previa del pacientepara determinar la trayectoria del abordaje Darrin kenneth obrien esposa disfunción sexual endoscópico y la necesidad de ampliar su exposición, logrando la resección tumoral completa. Objetivo: Establecer diferencias entre los Meningiomas Grado I y II de la clasificación de la OMS, en lo que respecta a: grados de resección de Simpson, localización tumoral, necesidad de reintervención, tratamiento adyuvante, evolución y mortalidad.

Métodos: Estudio retrospectivo de 63 pacientes operados entre el periodo La distribución por sexo no mostró diferencias entre meningiomas benignos y atípicos. Tampoco el grupo etario de presentación; mediana de 57 años. La localización pareciera ser un factor de riesgo para el desarrollo de meningiomas atípicos. Materiales y métodos.

La extracción de ADN se hizo a partir de tejido tumoral. Ependimoma myxopapilar sacro gigante con osteolisis. Objetivo: la presentación Darrin kenneth obrien esposa disfunción sexual un caso de una paciente con un ependimoma sacro con extensa infiltración y destrucción ósea local. Descripción del caso: una mujer de 53 años acudió a la consulta por dolor lumbosacro y alteraciones sensitivas perineales y esfinterianas.

Se realizó una exéresis tumoral completa con mejoría del estatus funcional. La anatomía patológica informó ependimoma mixopapilar. El tratamiento radiante se reserva como opción adyuvante para las resecciones incompletas y recidiva tumoral. La quimioterapia sólo debería utilizarse en casos en que la cirugía y la radioterapia estén contraindicadas.

Conclusión: Los ependimomas mixopapilares sacros read article destrucción ósea y presentación intra y extradural son muy infrecuentes y deben ser tenidos en cuenta entre los diagnósticos diferenciales preoperatorios.

Su resección total, siempre que sea posible, es la mejor alternativa terapéutica. Existen prejuicios en relación con la vejez, incluso entre los profesionales que se dedican a la gerontología.

Síndrome de Susac en un paciente con colitis ulcerosa. The Susac's syndrome Darrin kenneth obrien esposa disfunción sexual a rare disorder that was first described in and is characterized by a classic triad consisting in encephalopathy, visual impairment and sensorineural hearing loss. However, the etiology of the disease is still unclear.

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We report the case of a year-old with ulcerative colitis treated with mercaptopurine, six months before Darrin kenneth obrien esposa disfunción sexual her admission started with personality changes attributed to symptoms of depression who subsequently present neurological symptoms characteristic of Susac's Syndrome.

In the literature there is no clear association between inflammatory bowel disease and Susac's -syndrome, but this case is presented in order to emphasize the simultaneous presentation of these two diseases with a tendency to vasospasm and an autoimmune pathogenesis. Revision curricular a partir de un analisis comparativo de las discrepancias en los curriculos de una escuela de optometria en Puerto Rico con las competencias requeridas para las agencias de revalida y acreditacion El proposito de esta investigacion, un estudio cualitativo de caso, fue comparar y contrastar el curriculo vigente de la Escuela de Optometria de la UIAPR con las competencias y estandares requeridos por las agencias de acreditacion y de revalida.

Con este proposito, decidimos realizar una revision y un analisis de documentos: el prontuario de cada uno de los cursos de los curriculos implantados en el y en el ; las competencias y estandares establecidos por las agencias de revalida y de acreditacion; y Darrin kenneth obrien esposa disfunción sexual estadisticas en las que se analiza el porcentaje de estudiantes que aprueban cada una de las Darrin kenneth obrien esposa disfunción sexual de los examenes de revalida entre el al Se realizaron entrevistas dirigidas para dar apoyo y complementar la revision y el analisis de estos documentos.

Esta investigacion se enmarco en el modelo de evaluacion curricular de discrepancia de Malcolm Provus y en el modelo de desarrollo basado en competencias. Uno de los hallazgos mas importantes del estudio es que los cambios que se implantaron al curriculo del no han logrado que los estudiantes mejoren su ejecucion en los examenes de revalida.

Por otro lado, se encontro que el curriculo vigente atiende completamente los estandares de la practica de Optometria, pero no las competencias. Esta informacion fue validada mediante el uso de una tabla de cotejo para el analisis de los cursos y de la informacion obtenida de las entrevistas.

El estudio determina y click Darrin kenneth obrien esposa disfunción sexual existen discrepancias entre los prontuarios de los cursos del curriculo y las competencias requeridas por la agencia de revalida. Segundo, que el Departamento de Ciencias Basicas es el.

Información de parpadeo de tetas recuerda

Estudio multifrecuencia del medio interestelar cercano a HD Sabemos prescrever profilaxia de tromboembolismo venoso nos pacientes internados? Resumo Contexto Embora preconizada, a just click for source de tromboembolismo venoso TEV deixa de ser realizada sistematicamente em pacientes internados. Excluíram-se os pacientes em uso de anticoagulantes ou com sangramento ativo. El estudio de la actividad solar con el telescopio para ondas submilimétricas SSTnos permite, por vez primera, trabajar con una resolución temporal de milisegundos.

Se muestran los resultados obtenidos para cada canal, en donde se grafica este producto como función de la opacidad.

We present high-spatial and high-spectral resolution studies of SiO masers in the circumstellar envelopes of late-type stars. These masers occur in the inner layers of the CSEs, in a region dominated by the stellar pulsation, thus being good if not the only probes available to understand the physics in these regions.

The spatial distributions retrieved, Darrin kenneth obrien esposa disfunción sexual of them for the first time, are in clear contradiction with the predictions of the models developed to date. We suggest that spectral line overlap may explain the results obtained. This work has been conducted by Dr. Javier Alcolea Jimenez and Dr.

We have determined the angular separations among the three radio sources with submilliarcsecond accuracy from a weighted least squares analysis of the differential phase delay from the three celestial bodies.

Our present work introduces important advances with respect to previous astrometric studies, carried out over radio source pairs separated by smaller angular distances. We have consistently modeled the parameters involved in an astrometric VLBI observation, in order to reproduce the differential phase observed for radio sources separated by almost 7o on the sky. We have demonstrated the possibility of phase-connection over these angular distances at 8.

After the phase-connection we have corrected the effects of the extended structure of the radio source and of the ionosphere. This last correction is one of the main technical achievements of this thesis: it is possible to remove the ionospheric contribution with independent measurements of the ionosphere total electron content obtained at Global Positioning Systems GPS sites the VLBI observing stations.

The triangular geometry introduces constraints in parameter space that allow a better estimation of the angular separations among the radio sources. It is possible to test the consistency of the astrometric results through the Sky-Closure, defined as the circular sum of the angular separations of the three radio sources, determined pairwise and independently. In our case Darrin kenneth obrien esposa disfunción sexual is consistent with zero, continue reading verifies satisfactorily the data process followed.

The comparison of our results with those obtained by Eubanks USNO from group delay measurements without structure correction show the incorrectness of the latter. We have discovered a shell-like structure of the radio emission of SN J which exploded on March We have also elaborated a movie of its evolution, by monitoring the shell structure for Darrin kenneth obrien esposa disfunción sexual epochs, and determined the deceleration of its expansion.

No obstante, no se conoce mucho sobre los miembros mas débiles de estos objetos. Seguridad del paciente en Radioterapia Intraoperatoria: Impacto de los elementos controlados por el Radiofisico.

Por ultimo, al precisarse el uso en RIO de la Darrin kenneth obrien esposa disfunción sexual virtual y del calculo de la dosis absorbida en el paciente virtual, se ha ilustrado este apartado con la aceptacion y el estado de referencia inicial del planificador de tratamientos modulados con calculo de Monte Carlo Darrin kenneth obrien esposa disfunción sexual Monaco.

No se experimentaron read more relativos a una administracion inadecuada de la dosis absorbida. Se identificaron las revisiones dobles y por un par como claves para reducir los riesgos asociados al equipo de profesionales involucrado en la RIO. Se identificaron tambien oportunidades de mejora con el uso de la automatizacion y el enclavamiento. Las camaras de ionizacion Farmer derivaron en direcciones opuestas en un periodo de 6 anos; aunque ello no se aprecio en los informes de calibracion del laboratorio acreditado.

No derivo la camara PPC Los valores centrales de las dosis absorbidas quedaron entre la dosis absorbida prescrita y la maxima, con lo que indicaron un tratamiento correcto del lecho tumoral.

Las verificaciones de. La implantacion del enfoque constructivista en el aula de ciencia: Estudio de caso multiple. Esta investigacion estudia la implantacion del enfoque constructivista en tres aulas de ciencia del contexto puertorriqueno.

Se auscultaron las practicas educativas que utilizan maestras consideradas constructivistas y la correspondencia de sus practicas educativas con los elementos esenciales de la didactica que proponen los teoricos de los planteamientos constructivistas. Se ausculto, ademas, a que vision del enfoque constructivista responden las expresiones de las maestras acerca de su practica educativa y como compara con su quehacer, a la luz de los elementos esenciales de las visiones constructivistas piagetiana, social y radical.

Se utilizo el diseno de estudio descriptivo de caso multiple. El estudio se baso en entrevistas a profundidad, revision de documentos y observacion no participativa a la sala de clases. El contexto fueron tres escuelas publicas de la Region Educativa de San Juan, una elemental, una intermedia y una superior. Los resultados confirmaron que la transicion Darrin kenneth obrien esposa disfunción sexual el enfoque constructivista es un proceso que toma tiempo, dedicacion y la participacion en adiestramientos y readiestramientos acerca del nuevo enfoque.

Las maestras coinciden en Darrin kenneth obrien esposa disfunción sexual mayoria de las practicas educativas que Darrin kenneth obrien esposa disfunción sexual para implantar el enfoque constructivista de ensenanza y difieren en algunas debido, probablemente, a que han tenido que adaptarlas a los correspondientes niveles de ensenanza: elemental, intermedio y superior. Dos de las maestras planifican por conceptos generadores, mientras que una de ellas planifica siguiendo la guia que recibe del Departamento de Educacion.

Difieren ademas, en el enfasis que confieren al inquirir cientifico. Con relacion a la correspondencia entre la vision manifestada por las maestras a la luz de las visiones piagetiana, social y radical, aparentemente, las preguntas del protocolo de entrevistas no lograron evocar la informacion con suficiente profundidad, por lo que la investigadora tuvo que inferir las visiones de las.

Resultados pacientes y personal de salud de ambos sistemas coinciden en la importancia del estigma asociado al VIH, la relación médicopaciente, la comunicación entre ambos y la división de responsabilidades en relación al tratamiento como aspectos fundamentales para la adherencia y retención en la cascada de atención.

Discusión se resalta la necesidad de intervenciones focalizadas en la díada médico- paciente que considere las particularidades de cada sistema de atención para facilitar el compromiso del paciente en la adherencia. Protein Supplements: Pros and Cons. To provide a comprehensive analysis of the literature examining the pros and cons of protein supplementation, various articles on protein supplementation were obtained from Google Scholar, PubMed, and National Center for Biotechnology Information.

Over the past few years, protein supplementation has become commonplace for gym-goers as well as for the public. A large segment of the general population relies on protein supplementation for meal replacement, weight reduction, and purported health benefits. These protein supplements have varying pros and cons associated with them, which are often overlooked by the public. This review aims to assimilate existing studies and form a consensus regarding the benefits and disadvantages of protein supplementation.

The purported health benefits of protein supplementation have led to overuse by both adults and adolescents. Although the pros and cons of protein supplementation is a widely debated topic, not many studies have been conducted regarding the same.

The few studies that exist either provide insufficient evidence or have not employed proper conditions for the conduct of the tests. It should be considered that protein supplements are processed link and often do not contain other essential nutrients required for the sustenance of a healthy lifestyle. It is suggested that the required protein intake should be obtained from natural food sources and protein supplementation should be resorted to only if sufficient protein is not available in the normal diet.

Estudio teórico de moléculas de interés en Astrofísica: compuestos binarios policarbonados. Se han detectado en el espacio distintos compuestos binarios policarbonados que se pueden formular como CnXalgunos de ellos con elementos de la primera fila del sistema periódico, pero también existen otros que contienen elementos de la segunda fila, como azufre o silicio.

En esta comunicación presentaremos los avances mas recientes que sobre el tema ha realizado nuestro grupo. Incidiremos particularmente en dos aspectos.

En segundo lugar comentaremos brevemente algunos de los estudios realizados sobre posibles reacciones que pueden ser vías de síntesis de este tipo de compuestos en el medio interestelar. Aspergilosis cervical con diseminación al sistema nervioso central. Presentación de un caso y revisión de bibliografía.

Puede presentarse con cuadros de meningitis, aneurismas micóticos, infartos o abscesos. Es una infección con pronóstico reservado y puede afectar el SNC de forma primaria o secundaria a partir de un foco que se disemina por vía hematógena.

Presentamos el caso de un paciente con AI con invasión primaria a nivel óseo y diseminación posterior al cerebro. Posteriormente agregó cervicalgia y con el diagnóstico de osteomielitis cervical se realiza punción bajo tomografía computada TC sin aislarse gérmenes.

Se colocó Halo Vest e inició tratamiento antibiótico empírico.

Pornofilm bi Watch Sex Videos tibet porn. Tiene su mayor incidencia durante la adultez joven y su menor incidencia en niños y adultos mayores. Progressive Multifocal Leukoencephalopathy. Notas sobre apendicitis aguda. Hacer un buen diagnóstico, tener el valor de la responsabilidad operando precozmente los enfermos, en los cuales después de minucioso examen se cree o se tiene certeza de una apendicitis aguda , es uno de los méritos de todo buen cirujano. Multifocal Congenital Hemangiopericytoma. Congenital hemangiopericytoma HPC is a rare mesenchymal tumor with less aggressive behavior and a more favorable prognosis than similar tumors in adults. Multifocal presentation is even less common than isolated HPC and hence its clinical and histologic recognition may be challenging. A newborn infant with multifocal congenital HPC causing severe deformity but with a favorable outcome after chemotherapy and surgical removal is reported. Severe acute syphilitic posterior placoid chorioretinitis with complete spontaneous resolution: The natural course. Full Text Available Purpose: We report on a case of unilateral acute syphilitic posterior placoid chorioretinitis ASPPC with spontaneous resolution of the lesions, and discuss the role of an altered versus adequate immune response as the major pathogenic factor. Methods: We describe a case of acute loss of visual acuity VA in the left eye LE in a year-old healthy man. Fundoscopy revealed a large yellowish placoid macular lesion with subretinal fluid in the LE, with no abnormalities detected in the RE. Fluorescein angiography showed early hypofluorescence with late staining in the affected area. The clinical findings progressed fast during the first week, with extension of the initial lesion outside the temporal retinal vascular arcades and the appearance of new lesions in the same eye. The patient abandoned the clinic for two weeks with no treatment. The patient accepted treatment with penicillin G only 45 days after the initial presentation. The patient was followed for 3 months after treatment. He remained asymptomatic and the ophthalmic examination was unremarkable. Our case showed a sequential pattern of the chorioretinal lesions, with initial aggravation and complete posterior spontaneous resolution, showing the natural course of the disease. These findings suggest the presence of an adequate ocular immune response in patients with ASPPC, not supporting the initially. Insuficiencia respiratoria aguda. Basic respiratory function is gas exchange of oxygen and carbon dioxide, which implies a perfect balance and control between the compo Gingivitis ulceronecrosante aguda. Multifocal Epithelial Hyperplasia. Multifocal epithelial hyperplasia is a rare disease associated with human papilloma virus types 13 and Diagnosis is based on clinical and histopathological findings, and most lesions are asymptomatic and regress spontaneously with time. The purpose of this paper is to describe a five-year-old girl who presented with multiple intraoral lesions on the buccal mucosa and tongue, which regressed spontaneously in 15 months. Hepatitis viral aguda. Some epidemiological markers, the most important clinical forms, and the complementary examinations with special emphasis on the viral markers and the positive diagnosis were also considered. Ataxias agudas en la infancia. Descritas dentro del grupo de las cerebelitis agudas. Estudiamos 95 pacientes. Los criterios diagnósticos de ataxia aguda se basaron en: pérdida aguda de la coordinación o dificultad para la marcha con o sin nistagmo asociado y duración menor de 48 horas, en un niño previamente sano. Estos criterios se cumplían en todos los casos valorados, excepto en las ataxias secundarias a ingesta de tóxicos, en los que la duración debía ser menor de 24 horas para su inclusión en el estudio. Entre los pacientes inmunosuprimidos la incidencia mayor fue la complicación por varicela. La mayoría de los pacientes fueron varones. El rango de edad fue la preescolar, 5 años. El intervalo entre la presentación del rash y el ingreso fue de 1 a 3 días. El estudio de LCR se practicó en El aciclovir endovenoso fue utilizado en 23 pacientes; pero no hubo diferencias significativas en las manifestaciones clínicas y seguimiento entre tratados y no tratados. La ataxia fue la primera manifestación clínica. La estadía hospitalaria fue de 4 días rango: días. Pneumonia aguda fibrinosa e organizante. Presenting symptoms of this interstitial pulmonary disease can be acute or subacute. The authors carry out a review of the literature concerning this topic and describe the clinical case of a year-old patient with unusual imaging features and outcome. Primary multifocal osseous lymphoma in a child. Sato, Takashi S. We report a case of primary multifocal osseous lymphoma in a 6-year-old girl presenting with multifocal osteolytic lesions without systemic symptoms or identifiable non-osseous primary tumor. The differential diagnoses for such a presentation include histiocytosis X, chronic recurrent multifocal osteomyelitis, acute lymphoblastic leukemia, metastatic disease, and primary bone lymphoma. Although non-Hodgkin lymphoma is common in the pediatric population, its presentation as a primary bone tumor, especially with multifocal disease, is extremely rare and is frequently misdiagnosed. We hope that awareness of this entity will help radiologists achieve timely diagnosis and intervention. Leucemia congénita aguda. Se han observado pacientes con formas tanto mieloides como linfoides, pero la leucemia mieloide aguda parece predominar en esta etapa de la vida. Multifocal osteogenic sarcoma in Paget's disease. Vuillemin-Bodaghi, V. The most serious complication of Paget's disease is sarcomatous degeneration of pagetic bone. Multifocal sarcomatous degeneration occurs mainly in polyostotic Paget's disease. Multifocal Paget's sarcoma is uncommon and can arise in any site. We report two cases of synchronous multifocal sarcomatous degeneration. The two patients were elderly women aged 77 and 86 years, respectively who developed sarcomatous lesions concomitantly, in the first case report in left ilium, left tibia, and first lumbar vertebra and in the second case report in the skull, right ilium, and sacrum. Whether these cases are due to the simultaneous development of several primaries or to metastases from a single primary remains unclear. Chronic recurrent multifocal osteomyelitis CRMO. Chronic recurrent multifocal osteomyelitis CRMO is an unusual clinical entity. More than cases are described in the literature and it is presented here with special reference to its radiological aspects. It is an acquired disease of the skeleton which occurs predominantly during childhood and adolescence. About ten per cent of cases begin in early or, rarely, in later adult life. This variant is described here for the first time and is discussed as 'adult CRMO'. The underlying pathology is a bland, predominantly lympho-plasma cellular osteomyelitis which is self-limiting and leads to bone sclerosis Garre. It probably involves an abnormal immune process which follows an infection but remains clinically latent and remains aseptic and sterile. In a quarter of cases there is an association with pustulosis palmo-plantaris and its relationship with psoriatic arthropathy is discussed. The clinical, histopathological and imaging features radiological and particularly MRT and the bone changes are described. Progressive multifocal leukoencephalopathy: new concepts. Originally, PML was observed in patients with advanced HIV infection, lymphoproliferative disorders and transplant recipients. However, the widespread use of HIV antiretroviral drugs and the new selective immunomodulatory and immunosuppressive medications, such as Rituximab and Natalizumab, has recently modified the epidemiology, clinical presentation and prognosis of PML. Pancreatitis aguda grave asociada a gangrena vesicular. Se presenta el caso un paciente diabético que desarrolló un cuadro de pancreatitis aguda grave asociada a gangrena vesicular, en el que se evaluó la aplicabilidad de los criterios de clasificación y manejo de la hoja de ruta para pancreatitis aguda , así mismo se proponen algunos tópicos que pudieran ser investigados a futuro We present a diabetic patient who developed severe acute pancreatitis associated to gallbladder gangrene, in this case we assessed the applicability of classification Progressive multifocal leukoencephalopathy in transplant recipients. Mateen, Farrah J. Transplant recipients are at risk of developing progressive multifocal leukoencephalopathy PML , a rare demyelinating disorder caused by oligodendrocyte destruction by JC virus. A multicenter, retrospective. Multifocal , chronic osteomyelitis of unknown etiology. Kozlowski, K. Four cases of multifocal osteomyelitis of unknown origin in childhood are reported. The variable clinical and radiographic appearances of the disease are illustrated and the diagnostic difficulties in the early stages of the disease are stressed. Ao elaborar este caso, os autores esperam acrescentar mais alguns dados sobre esta nova entidade. We describe the case of a male patient with the diagnostic of AFOP made by surgical lung biopsy. He had a subacute presentation of symptoms consisting of productive cough, chest pain and fever. Bilateral infiltrates with patchy and diffuse distribution were the predominant features in his chest HRCT scan. The patient had a good clinical course after a treatment with prednisone and cyclophosphamide. Our hope in reporting this case study is to add some more data to the discussion of this new entity. VIH: Infeccion aguda , pesquisa y manejo. Si bien existe una relativa facilidad para realizar el diagnóstico de un paciente con la infección crónica por VIH, existe por otro lado una relativa dificultad para realizar el diagnóstico de la infección aguda en etapas tempranas de la infección. Bases moleculares de las leucemias agudas. Ademas de profundizar en la biología de estas enfermedades y conocer las bases moleculares, ha renido también gran impacto en mejorar el resultado de los tratamientos y disminuir la toxicidad de las terapias. Otomastoidite Aguda em Criança. Comportamiento de la otitis media aguda. Full Text Available Introducción: la otitis media aguda es una complicación de las infecciones respiratorias agudas altas, frecuente en los niños menores de 5 años. Los datos se recogieron de las historias clínicas. Conclusiones: la otitis media es una causa frecuente de ingresos hospitalarios, y se identifican como principales factores de riesgo la asistencia a círculos infantiles y el tabaquismo de algunos de los padres. Resultados do tratamento da pancreatite aguda grave. Treze pacientes foram tratados cirurgicamente; a média de operações realizadas foi duas por paciente. Drug-induced progressive multifocal leukoencephalopathy. Progressive multifocal leukoencephalopathy PML has been identified as a serious adverse drug reaction ADR of several immunomodulatory biologicals. In this study, we contrasted the reporting patterns of PML for two biologicals for which the risk was identified at different points in their life In this study, we contrasted the reporting patterns of PML for two biologicals for which the risk was identified at different points Multifocal necrotizing fasciitis following Hirshsprung's disease Multifocal necrotizing fasciitis following Hirshsprung's disease surgery away from the surgical wound site. Ahmed A. Haseeb, Shadi Okasha and Atef Elbarawi. Necrotizing fasciitis NF is a life-threatening infection with rapidly progressive necrosis. Escherichia coli is rarely reported as causative agent of type 2 NF. Multifocal chronic osteomyelitis of unknown etiology. Five cases of chronic, inflammatory, multifocal bone lesions of unknown etiology are reported. Although bone biopsy confirmed osteomyelitis in each case in none of them were organisms found inspite of an extensive work up. Different clinical course of the disease reflects different aetiology in respective cases. These cases present changing aspects of osteomyelitis emerging since introduction of antibiotics. Supplementation of cataract patients with multifocal intraocular lenses involves an additional financial investment when compared to the corresponding monofocal supplementation, which usually is not funded by German health care insurers. In the context of recent resource allocation discussions, however, the cost effectiveness of multifocal cataract surgery could become an important rationale. Therefore an evidence-based estimation of its cost effectiveness was carried out. Three independent meta-analyses were implemented to estimate the gain in uncorrected near visual acuity and best corrected visual acuity vision lines as well as the predictability fraction of patients without need for reading aids of multifocal supplementation. Study reports published between and English or German language were screened for appropriate key words. Meta effects in visual gain and predictability were estimated by means and standard deviations of the reported effect measures. Cost data were estimated by German DRG rates and individual lens costs; the cost effectiveness of multifocal cataract surgery was then computed in terms of its marginal cost effectiveness ratio MCER for each clinical benefit endpoint; the incremental costs of multifocal versus monofocal cataract surgery were further estimated by means of their respective incremental cost effectiveness ratio ICER. An independent meta-analysis estimated the complication profiles to be expected after monofocal and multifocal cataract surgery in order to evaluate expectable complication-associated additional costs of both procedures; the marginal and incremental cost effectiveness estimates were adjusted accordingly. Total direct costs from the health care insurer's perspective were estimated euro, associated with a visual meta benefit in best corrected visual. Soporte nutricional en la insuficiencia renal aguda. Full Text Available La insuficiencia renal aguda IRA se presenta frecuentemente en distintas condiciones clínicas y es especialmente frecuente en unidades de cuidados intensivos. La presencia de IRA se considera como un factor de riesgo independiente de morbilidad y mortalidad hospitalaria. De ahí la importancia de evaluar los diversos factores determinantes de su evolución, entre los que cuenta la desnutrición calórico-proteica. Intoxicaciones agudas en pediatría. Métodos: el estudio se realizó en el Hospital "William Soler". Se revisaron las historias clínicas, los registros de intoxicaciones agudas y las tarjetas de codificación de egresos hospitalarios por intoxicaciones de los pacientes llegados al hospital en esta etapa. Resultados: se recibieron en el hospital pacientes. El grupo de mayor frecuencia de intoxicaciones fue el de 1 a 5 años, con predominio del sexo masculino, aunque sin diferencias significativas con respecto al sexo femenino. Conclusiones: estos resultados nos hacen pensar en la necesidad de estar alertas y crear acciones encaminadas a proteger o evitar las intoxicaciones en edades tan vulnerables. Sin embargo, hay situaciones clínicas en las cuales este sindrome puede cursar con un incremento de la creatininemia sin presentar elevación de la uremia. El paciente presentaba una elevada excreción fraccional de urea lo cual podía explicar su uremia normal pese a estar cursando una caída del filtrado gomerular. Dicha excreción de urea elevada fue interpretada como secundaria a una diabetes insipida nefrogénica y una alteración en el recirculado intra-renal de la urea ambos producto de la pielonefritis aguda. Concluimos que la pielonefritis aguda en un paciente mono-reno puede presentarse con un patrón de insuficiencia renal aguda con uremia normal. However, there are clinical situations in which this syndrome may run with an increase in plasma creatinine keeping normal the urea one. In this report we present a case of acute renal failure with normal plasma urea level secondary to an acute pyelonephritis in a single kidney patient. The patient had an increased fractional excretion of urea which could explain the normal plasma urea levels found despite of his reduced glomerular filtration. This increased urea excretion state was interpreted as a consequence of the nephrogenic diabetes insipidus and alteration of the intra-renal urea reciclying process that the acute pyelonephritis induced. In conclusion: Acute pyelonephritis in a single kidney patient can appear as a pattern of acute renal failure with normal plasma urea levels. Multifocal hyperfunctioning thyroid carcinoma without metastases. Hyperthyroidism due to thyroid carcinoma is rare, and most cases are caused by hyperfunctioning metastatic thyroid carcinoma rather than primary carcinoma. Among primary hyperfunctioning thyroid carcinoma, multifocal thyroid carcinoma is exceedingly rare, with the only one case being reported in the literature. Here, we describe the case of a year-old woman with multifocal functioning thyroid carcinoma. Technetiumm 99m Tc scintigraphic imaging showed four hot areas in the thyroid gland. Histopathological examination of all four nodules revealed papillary carcinoma, corresponding to hot areas in the 99m Tc scintigram. DNA sequencing of the thyrotropin receptor TSH-R gene from all nodules revealed no mutation, indicating that activation of TSH-R was unlikely in the pathophysiogenesis of hyperfunctioning thyroid carcinoma in the present case. Refractive outcomes after multifocal intraocular lens exchange. To evaluate the refractive outcomes after multifocal intraocular lens IOL exchange. Retrospective case series. The study comprised 29 patients 35 eyes. The mean refractive prediction error significantly decreased from 0. Published by Elsevier Inc. Basic characterization of normal multifocal electroretinogram. A scientific literature review was made on the novel multifocal electroretinogram technique, the involved cell mechanisms and some of the factors modifying its results together with the form of presentation. The basic characteristics of this electrophysiological record obtained from several regions of the retina of normal subjects is important in order to create at a small scale a comparative database to evaluate pathological eye tracing. All this will greatly help in early less invasive electrodiagnosis of localized retinal lesions. Chest wall resection for multifocal osseous haemangioma. Intraosseous haemangioma is a rare and benign primary tumour of the bone. We report the case of a year old woman who presented the exceptional condition of multifocal cavernous haemangiomas involving the spine and the ribs, requiring spinal and chest wall resections to confirm the diagnosis and treat the symptoms. Background Maculopathy is a potential side effect of amyl nitrite or "poppers" abuse. It is characterized by a sudden, painless decrease in visual acuity. While the funduscopic changes are subtle, optical coherence tomography shows alterations of the outer retinal layers in the fovea. However, the extent of retinal dysfunction remains poorly understood. Response densities and implicit times of N1 and P1 were analyzed. Results Response densities and implicit times of both N1 and P1 were lower in the patients with poppers maculopathy than in the control group, particularly in ring 1 and rings 4 and 5. The only statistically significant finding, however, was a reduced N1 response density of one hexagon in the patient group. No significant differences were found considering the sum response or the averaged rings 1 to 5. Conclusion Compared to a healthy control group, the multifocal electroretinogram of patients with poppers maculopathy shows no relevant impairment. This contrasts the marked effect of the disease on visual acuity. In clinical practice, poppers maculopathy cannot be diagnosed by multifocal electroretinography. The analysis of these aspects calls into question the periodization that is being commonly used in the most recent Spanish theatre historiography. Mediaciones tecnoeducativas. Pretende aportar a una articulación analítica entre la categoría de mediaciones y la de apropiación, dimensionando los desplazamientos hacia las mediaciones tecnológicas y tecnoeducativas. Testimonio y mística. Biografía que transforma otra biografía y nos permite hoy reunirlas en la comunidad del testimonio y la mística. It serves as an indication of the use of library bibliographic values of the Society of Jesus, but also the criteria by which these documents were described in the records of the expulsion. Starting out from a comparative analysis of the novel and the film highlighting the similarities and the differences between them, this paper explores the meaning of both artistic proposals. As a theoretical framework, it will rely on theories that explore the construction of national identity and its connections with gender issues. A través de su poesía conoceremos a un hombre que amó profundamente su tierra y a sus semejantes. Conoceremos a un poeta que busca en lo esencial de las cosas pequeñas, la esencia misma del ser humano. Se cierra el trabajo con unas propuestas de ejercicios que tienen como guía la antología dispuesta a lo largo del trabajo. Through his poetry we will get to know a man who loved his land and the people in it. We will find out about a poet who looks for the fundamental in the small things in life, the essence of being human. This article concludes by putting forward some exercises, using the anthology built up throughout this paper as a guide. One hundred years ago, Upton Sinclair, in The Jungle, exposed the deplorable working conditions of eastern European immigrants in the meatpacking houses of Chicago. The backdrop of this article is the new Jungle of the 21st century—the hog plants of the rural Midwest. I use these students' stories as an opportunity to examine the take-up, in education, of the concept of hybridity, and, more particularly, to interrogate what I have come to regard as the "third space fetish. Toyos, María H. These MVs vary strongly in morphology and size. The data reveal elongated cone-shaped edifices, rimmed depressions, and scarps interpreted as flank failures developed by collapse, faulting, compaction and gravitational processes. MV architecture is characterised by both extrusive and intrusive complexes, comprising stacked edifices including seabed cones and up to four buried bicones underlain by chaotic vertical zones and downward-tapering cones suggesting feeder systems. These intrusive structures represent the upper layer of the feeder system linking the fluid mud sources with the constructional edifices. The overall architecture is interpreted to be the result of successive events of mud extrusion and outbuilding alternating with periods of dormancy. Each mud extrusion phase is connected with the development of an edifice, represented by a seabed cone or a buried bicone. Del Adaja al Almendares. Del misticismo renacentista al pietismo barroco y al panteísmo tropical. Las dimisorias del P. Como demuestra el episodio de las dimisorias del P. En esta coyuntura, el Arzobispo de Manila rescató la cuestión de la Visita Pastoral y salieron a relucir planteamientos regalistas y propuestas que defendían la independencia de las religiones de poderes externos. El gobierno político de las Islas tampoco se mantuvo al margen en estas disputas. On this occasion, the Archbishop of Manila recovered the question of the Pastoral Visitation, and regalist points of view and proposals appeared, wich defended the independence of religions from external authorities. The political government of the Islands did not stay out of these disputes either. The feared cohesion of the Society of Jesus in the archipelago ended up being deadly wounded; the regalism was also appearing in the other corner of the world, where the regulars had thought their independence was more assured. El universo lo constituyeron los doce consejos populares del municipio. El instrumento de recogida de la información lo constituyó una entrevista, estructurada y elaborada para estos fines. Previamente se adiestró al personal especializado y se efectuó un pilotaje que permitió realizar algunos ajustes. Se encontró asociación significativa entre el sexo y la conducta sexual en los estudiantes del politécnico y existieron mayores porcentajes de la conducta heterosexual. Se aprecia un predominio de homosexualidad y bisexuales en el sexo femenino. Con esta presentación esperamos contribuir al conocimiento de una parte importante de nuestra historia de la enseñanza en Chile, así como también de nuestra historia cultural. La intervención educativa se desarrolló con previa organización de los temas en ocho sesiones, y con el empleo de técnicas educativas y diferentes medios de enseñanza. Prevaleció el grupo de ocho a diez años de edad, así como el sexo masculino. Se compararon los resultados iniciales con los obtenidos al finalizar la intervención, concluyendo que se logró elevar el nivel de conocimientos sobre salud bucal de los escolares y se mejoró la higiene bucal de los mismos; la intervención educativa fue satisfactoria. El hombre tecnológico como fetiche de la modernidad ampliada. Full Text Available El presente artículo señala que nos encontramos en un mundo hipertecnológico, en el que todo es incierto y relativo dentro del contexto de la modernidad ampliada. Este punto de partida sirve para analizar cómo el capitalismo y el individualismo radicales han propiciado una imagen decadente del hombre tecnológico, una situación que muestra el triunfo del materialismo y la decadencia de los valores culturales, éticos y jurídicos en relación con la comprensión del transhumanismo. Al mismo tiempo, se realiza un pequeño esbozo de una ética jurídica del débil que sirva como alternativa a la actual imagen tecnológica del hombre. Una concepción que persigue dejar una mejor humanidad para las generaciones futuras desde el punto de vista ético y jurídico. The relations between the above mentioned university and the Society of Jesus in general terms, are also dealt with. Un ejemplo de la introducción del hormigón en la arquitectura sacra. Sin embargo, su construcción constituye un interesante ejemplo de arquitectura sacra, como reconoció el jurado del Ministerio de Educación Nacional en , en la exposición nacional de bellas artes, al conceder al arquitecto la medalla de pr De los desequilibrios a la sostenibilidad social", de Luis Camarero Coord. De los desequilibrios a la sostenibilidad social" de Luis Camarero Coord. Barcelona: Fundación La Caixa, pp. Full Text Available Since the foundation of the Society of Jesus in , there was identification between its spiritual aims and the task ascribed to the Spanish Monarchy. The article starts pointing out the traditional concept of the Jesuits as an army and the constant association that empowered them. It establishes how different people of the Society have been related with the government and the different ways of the Jesuits to get involved in politics, as well as the most important Jesuits who have taken part in these interventions. El artículo comienza matizando el concepto tradicional de los jesuitas como ejército y la continua asociación que se les ha realizado con el poder. Se plantea, después, algunos de los principales problemas políticos en los que intervino la Compañía: la supuesta identidad española de la orden, cuestionada tras la. Este estudio cuantitativo, descriptivo y transversal evaluó a niños escolares durante el año Jusque dans les années trente, le socialisme a présenté la figure de Jésus comme un antécédent du socialisme. This article will explore the image of Jesus of Nazareth in Spanish socialism in the late nineteenth and early twentieth centuries, through its publications El Socialista or La Lucha de Clases and books. Until the thirties, socialism discussed this religious figure as an antecedent of socialism. For this reason, the image of Jesus became a central element of the anticlericals complaints within the normative conflict between catholicism and laicism. Hasta la década de los treinta, el socialismo debatió sobre este personaje religioso como antecedente del socialismo. The purpose of this historical survey is to understand the evolution of religious meanings given to a devotional image over time from the institutional perspective, to understand the subtleties of these changes over long-term spaces, as well as the innovations that in the spiritual realm the ecclesiastic institution finds to restructure the uses and functions of devotional images. Se trata de indagar acerca de su significación en la serie de octavas reales que es el Poema heroico para atisbar la intención del hablante lírico de dignificar el espacio americano como espacio no de calcos sino de originales. Dicho de otro modo: en este estudio se intenta dilucidar la tarea de los poetas coloniales de iniciar una distancia entre Europa y América, entre lo europeo y lo americano, como diferencias conciliatorias, pero diferencias en sí. Firstly, it focuses on the relation between the understanding of love in the so called nuptial mysticism and the profane amorous code, especially courtly love. After that we study possible parallels between the secular and sacred amorous realm in the hagiographical text. Se utilizó el Método Científico. Mayor gloria de Dios es que lo sea una mujer The autobiography, as a space for self analysis, receives a special attention. Las negativas valoraciones de Palafox acerca de la conducta de los misioneros jesuítas en China, contenidas principalmente en su III Inocenciana, serían recuperadas en el siglo XVIII por aquellos que pretendían hundir a la orden. Las reflexiones de un hombre que tenía abierto un proceso de canonización fueron de gran importancia para personajes como el fiscal Campomanes y los prelados españoles. Es por ello que algunos jesuítas, entre ellos el padre Isla, se esforzaron por restar credibilidad a los testimonios del Venerable. ABSTRACT: The bishop Juan de Palafox y Mendoza was deeply concerned about the spiritual health of the Chinese Empire neophytes, but he became aware of the details of the question from the distance of his diocese in Puebla de los Angeles; his rigorist way of thinking, a characteristic ot Trento Council's inheritance, was an element that bittered even more the animadversion grown between the prelate and the Company of Jesus because of economic and jurisdictional reasons. The reflections of a man with a canonizing process in course were considerable important for people like the attorney Campomanes and the Spanish bishops, and that's why some Jesuits Fhater Isla, for instance made big efforts to deny credibility to the Palafox testimonies. Full Text Available the end of the 17th Century, moral literature aimed at the feminine population continued. The author, Pedro de Jesus, represented the continuation of the misogynistic currents so commonplace among the moralists, preachers and confessors of that day. His message was the existence of a selective morality — specifically destined to correct feminine sins — of Judaic tradition and origins, newly impelled since the medieval era. At heart, a specific morality that the Baroque culture would attempt to preserve in its eagerness to ratify the basic values of the social system: the inequality of the social order and that between men and women. A finales del XVII, continuaba la literatura moral destinada a la población femenina. Materiales y métodos: Estudio descriptivo transversal, en muestra de embarazadas en control prenatal. Se midió depresión con el Edinburgh Postnatal Depressión Scale, se clasificó con un punto de corte mayor o igual a Se tabuló mediante los software Excel y Epi-info , V 3. Resultados: La depresión fue de Maailmas on sagenenud elektrikatkestused. Üks lahendus võib olla elektrivõrkude ühendamine. Elektrienergiaga varustamine Venemaal, Eestis, Lätis ja Leedus. Tabel: Energeetikaettevõtete näitajad Baltimaades. JeS nalozhit sanktsii na Rossiju. Prantsusmaa välisministri Bernard Kouchneri sõnul planeerib Euroopa Liit kasutada sanktsioone Venemaa suhtes seoses sõjalise konfliktiga Gruusias. Autor juhib tähelepanu sellele, et kuigi Euroopa päeva tähistati mitmetes Eesti linnades, unustasid korraldajad organiseerida kultuuriüritusi Ida-Virumaal. Riigikantselei selgitab, mis alusel valiti Euroopa päeva programmi lülitatud linnad. Analitzem també la participació femenina catalana al certamen celebrat a Saragossa el per la beatificació. The aim of this study is to examine the poetic compositions made by women in the three contests held in Valencia and Barcelona on the occasion of the beatification and subsequent canonization of Teresa of Jesus; two special moments for the consoli-dation of the fame of the Carmelite nun which allowed the public display and then its printing of feminine poetry. We also analyze the Catalan female participation in the con-test held in Zaragoza in for the beatification. The study is focused from a female perspective, through the review of eighteen poems signed by women which arrived to us through extensive printed relations. Throughout the commentary of the poems, we analyze the general perception that these women have about Teresa of Jesus and we focus on some. NCPA No. Comments received from twenty-six separate entities are included. Following each letter or set of comments are staff responses. Sections of the draft environmental statement which have been revised in response to these comments are noted. Euroopa Liidu mõju laienemisega kaasneb eurooplastel kartus võimaliku sotsiaalse kaitse vähenemise ja elatustaseme languse ees. Venemaalt oodatakse lõplikku kinnitust kirjutamaks alla partnerluse ja koostöö lepingu laienemisele uute EL-i riikidega enne 1. Full Text Available There is a general consensus that, despite his brief ministry, Jesus was the master of greater impact and influence in the history of mankind. It is natural that Christian educators wishing to learn from his teaching and apply, as far as possible to their own teaching practice. This article first analyzes the differences between training, personality and the environment in which Jesus performed his work and the educational context of our contemporary reality. Then he outlined the four models that already existed within the Greek and Hebrew culture, for teachers of his time, but that Jesus did not imitate. Then examines the characteristics of his teaching style. At the core of the paper studies and exemplify seven teaching methods employed by Jesus, who contributed to the success of his mission. Euroopa Komisjoni Õiguse, Vabaduse ja Turvalisuse Peadirektoraat korraldab üheksatteistkümmet Eesti linna läbiva Euroopa Liitu tutvustava interaktiivse infokampaania informeerimaks inimesi nende õigustest Euroopa kodanikena. Lisatud: infokampaania ajagraafik. Ekonomistõ somnevajutsja v silahh JeS. Tuntud USA majandusteadlase Milton Friedmani arvates ei ole võimalik nii erinevate majanduslike kriteeriumite, kultuuri ja keelega eurotsooni riike efektiivselt tööle panna, olukorda pingestab uute liikmete juurdetulek. TsRU porezviloss v Jes S. Eesti tollitöötajad ja piirivalvurid said veoste ja muude objektide läbivalgustamiseks kaasaegsed seadmed, mis on valmistanud Hiina firma Nuctech Co Ltd. Ilja Nikiforov. Leedu peaministri sõnul ei ole nüüd, kui EL-is hakati valmistuma uueks finantsperioodiks, tunda euroliidu humanitaarseid ideid aidata alliansi riike sõltuvalt nende arengutasemest, ei ole tunda eelkõige EL-i vanade riikide tähelepanu ega solidaarsusidee realiseerumist. Siseminister Kalle Laanet viibis Tripolis toimunud Aafrika ja Euroopa Liidu migratsiooni ning arengu teemalisel konverentsil, mille üheks põhiteemaks oli Aafrika piirivalve- ja rändehaldussüsteemi suutlikkuse tõstmine. Eteri Kekelidze. Majandus- ja kommunikatsiooniministeeriumi asekantsleri Signe Ratso sõnul ei too Eesti liitumine Euroopa Liiduga mingeid ootamatusi, Eesti ja EL muutuvad üheks majandusruumiks koos sellest tulenevate tagajärgedega. Tabel: Import kolmandatest riikidest Autorid on seisukohal, et EL-i nn. Võrgutehnoloogia firma Cisco Systems poolt tellitud ning 31 Euroopa riigis läbiviidud infotehnoloogiaalase uuringu tulemustest. Eesti on piirkonna riikide paremusjärjestuses Change in either initial or boundary condition leads to a variety of model solutions. It is necessary to specify realistic initial and boundary conditions to achieve better understanding and prediction of the ocean behavior Tämän opinnäytetyön tarkoituksena on tuottaa sovellettavaa tietoa mielenterveyskuntoutujien motivoitumisesta Helsingin Klubitalon toimintaan. Opinnäytetyössä vastataan kysymyksiin: Mikä motivoi 18—vuotiaita mielenterveyskuntoutujia Helsingin Klubitalon toiminnassa? Mitkä tekijät yksilössä, toiminnassa ja ympäristössä lisäävät ja mitkä tekijät vähentävät klubitalon toimintaan motivoitumista? Miten klubitalon toimintaa voisi kehittää, jotta toiminta edistäisi nuorten aikuisten motivoitumista Ilmunud ka: The Baltic Course Winter nr. ELi energiaturg ning Baltimaade energeetika probleemid. Võimalikud lahendused. Alternatiivne energeetika. Tabel: Gaasi ja elektrienergia hinnad Euroopas. Aleksandr Shegedin. Eesti-Ameerika Ärikolledzhi rektor olukorrast kõrghariduses peale Eesti liitumist Euroopa Liiduga, muudatuste vajalikkusest kõrgharidussüsteemis, rakenduskõrgharidusest ja riigi suhtumisest erarakenduskõrgkoolidesse, praeguste abiturientide haridustasemest. Este sistema sería capaz de realizar multitud de operaciones complejas que los ordenadores convencionales no son capaces de hacer. Euroopa Liidu liikmeks saamise perspektiiv oli riikidele stiimuliks poliitiliste ja majanduslike reformide läbiviimisel. Heaks näiteks on siin Baltimaade ning Ida- ja Kesk- Euroopa riikide kiire areng ja Euroopa Liidu mõju olukorra stabiliseerimisel. Aivar Sõerd: Estonija na fone drugihh tshlenov JeS brossajetsja v glaza! Jekaterina Rodina. Rahandusminister Aivar Sõerd vastab küsimustele, mis muu hulgas puudutavad arengufondi, ülejäägiga riigieelarvet, euro kasutuselevõtu edasilükkumist, A. Sõerdi nimetamist parimaks ministriks rahandusaastal, samuti ministri hobisid. Minister peab meie probleemiks, et pole suudetud parimal viisil kasutada EL-i fondide vahendeid. Author Affiliations. Full Text Available Among the different accusations made against the Jesuits relating to their missionary work in the Far East, the discobedience of the pontifical decrees that condemmed the chinese and malabar rites was the most important. The Company's enemies insisted specially on this charge, because it represented a ruptured of their oath of absolute submision to the papal dispositions, specifically the fourth vow. The Jesuits defended theirselves from this accusations vehemently, presenting arguments of the considerable credibility though the were unable to deny their evident rebelliousness. The matter was reduced to the fact that both parties upheld anthropological opposing concepts. Los detractores de la Compañía insistieron especialmente en este cargo, pues constituía un quebramiento de su juramento de someterse totalmente a las disposiciones del pontífice, es decir, el cuarto voto. Los jesuitas se defendieron con energía de estas acusaciones, recurriendo a argumentos de considerable verosimilitud, pero sin poder eludir la evidencia de su rebeldía. La cuestión se reducía a que ambas partes sostenían concepciones antropológicas enfrentadas. To that attack we owe a number of great postmodern novels like Thoma El lenguaje se orienta en la narración hacia procesos que tienen su fundamento en la temporalidad. El tiempo se convierte así en una de las dimensiones fundamentales de cualquier narración. En el artículo nos interesa el tiempo en su doble dimensión: como componente de la historia y su manifestación al nivel del discurso. Contrastando el tiempo de la historia y el tiempo del discurso en la obra de Santa Teresa constatamos la agilidad de su estilo literario y su capacidad para organizar una sintaxis narrativa. Sus padres fueron la Sra. María Mellado Arteaga y el Sr. Valentín Caballero Pérez. Murió en la Ciudad de Cuernavaca, Morelos, México el día 16 de octubre de a causa de una afección cardiaca. Estado de conservación, propuesta de intervención y presupuesto económico de restauración. Este trabajo final de grado expone el estudio técnico, del estado de conservación, la propuesta de intervención, y el presupuesto de restauración de les dos escenas pertenecientes al conjunto pictórico de la Iglesia del Santísimo Cristo de Benigpànim. El estudio prevé un enfoque, tanto documental como analítico, determinando la técnica pictórica, el estado de conservación en el que se encuentra, y las posibles intervenciones anteriores. This final course work explains the technical work Denne model udbygges yderligere. Krishna Prakash Pramod C Rath. Articles Volume 35 Issue 4 December pp Pramod Chandra P Bhatt. General Article Volume 19 Issue 6 June pp Click here to view fulltext PDF. Permanent link:. Effect of economic and security challenges on the Nigerian health Effect of economic and security challenges on the Nigerian health sector. Anurag Tripathi. Articles written in Journal of Earth System Science. Volume Issue 2 March pp Para llevar en forma organizada esta investigación, se la ha dividido en cuatro capítulos que recogen: la realidad familiar del pueblo ambateño, s Full Text Available This article describes the swimming facilities which form part of the overall athletics complex of the Covadonga Cultural Group. These facilities include covered pool, olympic- sized pool, children's pool, diving pool with board, general dressing rooms, and artificial lighting of the complex. The heavy load zones are of pile foundations; the lesser zones are of reinforced flooring. En este artículo se describen, dentro del plan general deportivo para el Grupo Cultural Covadonga, las instalaciones de piscinas. Estas comprenden: piscina cubierta; piscina olímpica; piscina infantil; foso de saltos; torre de saltos; vestuarios generales, e iluminación artificial del conjunto. Steven hacía estas burbujas gigantes; un hermano muy humilde. Una vez que salí de este trabajo el año pasado, decidí que eso era lo que quería hacer. Me di cuenta de que Dios te saca de un trabajo para llevarte a otro, y es una bendición mucho mayor, porque ahora toco las vidas de los niños. Los niños vienen, ves sus sonrisas. Ves a los padres reflexionar sobre cuando ellos eran niños con burbujas. Hay todo tipo de personas en mis fiestas de burbujas, como me gusta llamarlas. Lo principal es cuando todos terminan de hacer burbujas y los meto dentro de una gigante. Es algo hermoso. Madison Square Park es el lugar. Comparte la burbuja de amor. La alegría de los niños. Es caminar por la calle con mi carro y mi cubeta y palos y ver a los pequeños con sus padres y me miran con esa naturalidad, sabiendo que tengo algo bueno. Cuando veo a los niños, eso me hace sonreír. Amo a los niños. Trabajo bien con los niños y las burbujas de amor. Es para al comunidad, pero son los niños, porque ellos reaccionan y me saludan y siempre quieren estar en una burbuja. Es llevar alegría e inspiración a la comunidad. Intentó enseñarle a todos como hacer una burbuja de amor. La solución. Leer Ver. This story is over 5 years old. El estudio constó de dos fases, en primer lugar una fase cualitativa y posteriormente una fase cuantitativa con una duración total de 4 años y medio. Durante la fase cuantitativa del estudio se realizó el reclutamiento de participantes que provinieron de la Ciudad Autónoma de Buenos Aires, así como del Gran Buenos Aires. El reclutamiento se comenzó con 16 participantes llamados semillas. Presentación del estudio "Links" de hombres que tienes sexo con hombres en Buenos Aires, Argentina. Genes del receptor variable beta de células T en células circulantes de pacientes con lupus eritematoso generalizado y sus familiares sanos. Reynoso, E. Se presentan nuevos resultados sobre la expansión del remanente de la supernova de Tycho a lo largo de un intervalo de El coeficiente de expansión se calcula para sectores radiales de 4o de ancho cada uno, ajustando la correlación cruzada de las derivadas de los perfiles promedio para cada época. Este valor se compara con coeficientes teóricos para diferentes fases evolutivas de remanentes de supernova. Aplicacion al moldeo por inyeccion de polibutilentereftalato reforzado con fibra de vidrio". En la primera parte del presente estudio , a partir de ensayos punzon sobre disco, se ha determinado la relacion entre la resistencia al desgaste y la dureza de aceros para moldes obtenidos a partir de bloques de gran espesor, estudiando los principales mecanismos de desgaste que tienen lugar. A continuacion, con el fin de determinar el dano superficial que sufren los aceros para moldes en condiciones reales de inyeccion, se han estudiado distintos tipos de aceros utilizados comercialmente en moldes de inyeccion de polimeros y materiales compuestos, seleccionando las condiciones de operacion para determinar la variacion de la rugosidad superficial del acero en funcion del material inyectado, del numero de operaciones sucesivas de inyeccion y de la orientacion del flujo de inyeccion, mediante tecnicas de perfilometria optica y microscopia electronica de barrido. En el caso de las piezas inyectadas, se ha caracterizado su microestructura en funcion del flujo de inyeccion y de la densidad de fibra, se han determinado sus propiedades termicas y dinamico-mecanicas, asi como la variacion de la rugosidad superficial de las piezas inyectadas con el numero de operaciones de inyeccion y con la geometria de las distintas secciones de las piezas. Estudio de la influencia de la refrigeracion con aire de forma natural e inducida en el comportamiento de instalaciones fotovoltaicas. The presented research provides a deep knowledge of how they work as well as information and results for an improvement in future designs of building integrated photovoltaic systems. Este estudio se centra en analizar la influencia negativa de la temperatura en la produccion electrica de paneles fotovoltaicos al estar emplazados sobre cubierta de acero, como sucede en naves industriales y sobre un invernadero. Se estudian diferentes configuraciones que permitan refrigerar los paneles, reduciendo su temperatura y mejorar su rendimiento. Para abordar este problema, se han construido dos instalaciones experimentales, fieles a plantas solares en funcionamiento. Una instalacion engloba dos paneles fotovoltaicos sobre estructura fija al suelo. Uno de los paneles esta integrado sobre una superficie paralela y metalica. Entre ambas superficies existe un espacio que posibilita circular aire, permitiendo refrigerar el panel por conveccion natural, o conveccion forzada impulsando el aire con un ventilador. El otro panel, libre por su cara posterior y se ha considerado de referencia. Se ha estudiado el comportamiento del panel integrado sobre cubierta para diferentes secciones de aire y velocidades inducidas, comparandolo con el panel de referencia. Se ha desarrollado un modelo experimental que nos permite determinar la temperatura del panel en funcion de las variables que influyen en su refrigeracion. Adicionalmente, se han analizado los datos de una planta solar en funcionamiento, con paneles de igual caracteristicas, obteniendo correlaciones entre la temperatura del panel y las variables electricas y comparandolos con las obtenidas en la instalacion experimental. La segunda instalacion experimental reproduce parte de una instalacion solar sobre un invernadero, formada por cuatro paneles fotovoltaicos colocados sobre el plastico del invernadero, existiendo un canal divergente entre ambas superficies. Se estudia la. La histología demostró paniculitis linfocitaria septal y lobulillar. La paciente tuvo mala tolerancia al tratamiento anti diana a dosis plenas, requiriendo su ajuste, generando una corticodependencia para controlar sintomatología, y que finalmente obligó a la descontinuación de la terapia dirigida contra melanoma. Adverse effects include arthralgia, fatigue, and skin toxicity; panniculitis is a rare complication. We present the case of a year-old patient with metastatic melanoma who developed painful subcutaneous nodules of the lower and upper limbs and associated systemic clinical symptoms after 2 weeks of treatment with vemurafenib plus cobimetinib. Histology showed a septal and lobular lymphocytic panniculitis. The patient had poor tolerance of the full-dose treatment, requiring its adjustment. Systemic corticosteroids were required to control symptomatology. Pacientes y Métodos: se llevó a cabo una revisión de las historias clínicas de 47 pacientes con meningiomas primarios intraorbitarios. Se realizaron 52 cirugías en los pacientes con MF. Se empleó una craneotomía fronto-orbitaria, seguida de una descompresión extradural del canal óptico, resección del componente intraorbitario y exploración intradural del nervio óptico. Resultados: de los 12 pacientes con MF que presentaban la visión conservada, la agudeza visual fue preservada en 7 casos, mejoró en 2, y empeoró en 3. En 18 pacientes , el principal síntoma fue exoftalmos y en 35 pacientes ceguera unilateral. Cinco de ellos fueron reoperados. Se indicó radioterapia después de la recurrencia en 3 pacientes. Los modelos de eensenanza y aprendizaje constructivistas conceptualizan el aprendizaje como un proceso activo. El modelo de Aprendizaje Basado en Proyectos ABPr se distingue por una serie de componentes, entre los cuales se destaca el aspecto colaborativo y cooperativo como un reto al momento de su implantacion. Son pocas las investigaciones que se concentran en este aspecto del modelo. En este estudio , se analizaron las diversas interacciones que surgen durante la implantacion de una unidad curricular sobre el tema de Geologia de Puerto Rico, la cual se diseno con el modelo ABPr cuyo enfoque es orientacion a proyectos. Particularmente, se examinaron las interacciones sociales que surgen entre los pares y entre pares y docente durante el proceso de planificacion y desarrollo de los productos finales, al igual que las interacciones entre los estudiantes y el material didactico en estas etapas del modelo. La investigacion es de tipo cualitativo e incorpora como diseno el estudio de caso. Las diversas interacciones constituyen la unidad de analisis. En el estudio participaron 19 estudiantes de 9no grado, a quienes se organizaron en 5 grupos colaborativos por temas de interes Pangea, Placas tectonicas, Volcanes, Tsunamis y Terremotos. Las tecnicas que se utilizaron para recopilar los datos fueron: observaciones participativas, grupos focales y analisis de documentos cuadernos reflexivos y respuestas de los estudiantes a la pregunta central del proyecto. Para el analisis de los datos se aplico la teoria de actividad CHAT que concentra la unidad de analisis en la actividad humana en un contexto particular. Los resultados del estudio senalan que las interacciones entre pares, entre pares y docente, asi como entre estudiantes y material didactico son fundamentales en el proceso de aprendizaje. Una mayor interaccion entre pares durante las etapas de planificar y desarrollar los productos finales de la unidad, promueve una mejor comprension de los conceptos de la. Ambos grupos tuvieron una evaluación de base de mejor agudeza visual corregida y fueron examinados con tomografía de coherencia óptica y angiografía con fluoresceína. Karger AG, Basel. Estudio descriptivo, prospectivo desde febrero de hasta junio de Después de 12 meses de seguimiento, la salud sexual parece mejorar en los hombres. Descriptive, prospective study from February to June Métodos: Este estudio se compone de una serie de casos intervencionales y comparativos de 12 muestras de MLI extraídas mediante cirugía y obtenidas de forma consecutiva de 9 ojos de 9 pacientes después de someterse sin éxito a vitreólisis farmacológica con ocriplasmina. Durante el mismo periodo de tiempo, 16 muestras de otros 13 ojos sin tratamiento con ocriplasmina se obtuvieron mediante vitrectomía y sirvieron como controles. Todos los pacientes presentaron agujeros maculares o tracción vitreomacular y se sometieron a vitrectomía con disección de la MLI tanto con tinción con azul brillante AB como sin ella. En todas las muestras, se analizaron tanto la parte de la retina como la del vítreo de la MLI. Resultados: La microscopia de fuerza atómica no reveló diferencias significativas en cuanto a elasticidad de las muestras de MLI extraídas de ojos con o sin tratamiento con ocriplasmina. La tinción con azul brillante conllevó un aumento de la rigidez tisular. Estudio del CH interestelar. El objetivo principal de este proyecto consiste en el estudio de la distribución y abundancia del CH en nubes interestelares a través de la observación de las líneas hiperfinas del CH en 3,3 GHz. El CH es una molécula de amplia distribución en el espacio interestelar y una de las pocas especies que han sido observadas tanto con técnicas de radio como ópticas. El cabezal del receptor es capaz de detectar señales polarizadas, separando las componentes de polarización circular derecha e izquierda. Actitudes Éticas de los estudiantes y egresados en carrera de medicina con metodologías activas. El presente estudio tiene por objeto desarrollar un diagnostico de la inserción integrada de la ética en la carrera de medicina brasileña con una metodología de aprendizaje basada en problemas y describir las percepciones de actitudes éticas de los estudiantes y egresados. El diseño metodológico es un estudio de caso, descriptivo y documental, con abordaje cualitativo y cuantitativo. La muestra de esta investigación ha sido constituida por estudiantes y 40 egresados de dos promociones del Curso de Medicina de la ESCS. Los estudiantes y egresados de la ESCS demostraron un buen manejo en el abordaje de los conflictos éticos y respeto a los pacientes. Paciente inmunocompetente con criptococosis cerebral: reporte de un caso. A year-old female, presenting sudden and progressive holocraneal headache along with incoercible vomiting arrived to emergency room. Acute confusional state and meningoencephalitis syndrome where identified. Brain computed tomography-scan with normal results was performed. China-Ink and Criptococcus neoformans culture both positive. Viral, lupus-anticoagulant, and HIV tests negative. Hereby we present a Cryptococcus spp. Estudio de la fotoabsorción y fotoionización de la molécula de alta relevancia atmosférica no a través de los estados Rydberg con la metodología MQDO. Los investigadores de dichos campos, necesitan de valores de fiables de secciones eficaces para la fotoionización parcial, la Fotoabsorción, así como para los procesos de fotofragmentación en amplios intervalos espectrales, particularmente en estudios de modelización []. En este trabajo se ha centrado la atención sobre el oxido nítrico, que se ha considerado apropiado y relevante por varios motivos: por el trascendental papel que representa en la física y química de la alta atmosfera [6], aparte de por estar íntimamente relacionado con los problemas de contaminación. Los procesos de recombinación disociativa [7] del NO, donde los estados Rydberg se encuentran directamente implicados, son relevantes, por ejemplo, en las regiones E y F de la ionosfera [7]. Para ello se calcula el diferencial de las fuerzas de oscilador parciales que constituyen los canales de fotoionización del NO desde el estado fundamental. La continuidad del diferencial de fuerza de oscilador calculada a través del umbral de fotoionización, esto es, en las regiones del espectro discreta y del continua, se adopta como criterio de calidad la escasez de datos comparativos [8]. Con este objetivo, presentamos nuestra experiencia con el software Osirix. Descripción de la técnica: Se presentan 3 casos ejemplificadores de 40 realizados. 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. Objetivo: Establecer diferencias entre los Meningiomas Grado I y II de la clasificación de la OMS, en lo que respecta a: grados de resección de Simpson, localización tumoral, necesidad de reintervención, tratamiento adyuvante, evolución y mortalidad. Métodos: Estudio retrospectivo de 63 pacientes operados entre el periodo La distribución por sexo no mostró diferencias entre meningiomas benignos y atípicos. Tampoco el grupo etario de presentación; mediana de 57 años. La localización pareciera ser un factor de riesgo para el desarrollo de meningiomas atípicos. Materiales y métodos. La extracción de ADN se hizo a partir de tejido tumoral. Ependimoma myxopapilar sacro gigante con osteolisis. Objetivo: la presentación de un caso de una paciente con un ependimoma sacro con extensa infiltración y destrucción ósea local. Descripción del caso: una mujer de 53 años acudió a la consulta por dolor lumbosacro y alteraciones sensitivas perineales y esfinterianas. Se realizó una exéresis tumoral completa con mejoría del estatus funcional. La anatomía patológica informó ependimoma mixopapilar. El tratamiento radiante se reserva como opción adyuvante para las resecciones incompletas y recidiva tumoral. La quimioterapia sólo debería utilizarse en casos en que la cirugía y la radioterapia estén contraindicadas. Conclusión: Los ependimomas mixopapilares sacros con destrucción ósea y presentación intra y extradural son muy infrecuentes y deben ser tenidos en cuenta entre los diagnósticos diferenciales preoperatorios. Su resección total, siempre que sea posible, es la mejor alternativa terapéutica. Existen prejuicios en relación con la vejez, incluso entre los profesionales que se dedican a la gerontología. Síndrome de Susac en un paciente con colitis ulcerosa. The Susac's syndrome is a rare disorder that was first described in and is characterized by a classic triad consisting in encephalopathy, visual impairment and sensorineural hearing loss. However, the etiology of the disease is still unclear. We report the case of a year-old with ulcerative colitis treated with mercaptopurine, six months before to her admission started with personality changes attributed to symptoms of depression who subsequently present neurological symptoms characteristic of Susac's Syndrome. In the literature there is no clear association between inflammatory bowel disease and Susac's -syndrome, but this case is presented in order to emphasize the simultaneous presentation of these two diseases with a tendency to vasospasm and an autoimmune pathogenesis. Revision curricular a partir de un analisis comparativo de las discrepancias en los curriculos de una escuela de optometria en Puerto Rico con las competencias requeridas para las agencias de revalida y acreditacion El proposito de esta investigacion, un estudio cualitativo de caso, fue comparar y contrastar el curriculo vigente de la Escuela de Optometria de la UIAPR con las competencias y estandares requeridos por las agencias de acreditacion y de revalida. Con este proposito, decidimos realizar una revision y un analisis de documentos: el prontuario de cada uno de los cursos de los curriculos implantados en el y en el ; las competencias y estandares establecidos por las agencias de revalida y de acreditacion; y las estadisticas en las que se analiza el porcentaje de estudiantes que aprueban cada una de las partes de los examenes de revalida entre el al Se realizaron entrevistas dirigidas para dar apoyo y complementar la revision y el analisis de estos documentos. Esta investigacion se enmarco en el modelo de evaluacion curricular de discrepancia de Malcolm Provus y en el modelo de desarrollo basado en competencias. Uno de los hallazgos mas importantes del estudio es que los cambios que se implantaron al curriculo del no han logrado que los estudiantes mejoren su ejecucion en los examenes de revalida. Por otro lado, se encontro que el curriculo vigente atiende completamente los estandares de la practica de Optometria, pero no las competencias. Esta informacion fue validada mediante el uso de una tabla de cotejo para el analisis de los cursos y de la informacion obtenida de las entrevistas. El estudio determina y concluye que existen discrepancias entre los prontuarios de los cursos del curriculo y las competencias requeridas por la agencia de revalida. Segundo, que el Departamento de Ciencias Basicas es el. Estudio multifrecuencia del medio interestelar cercano a HD Sabemos prescrever profilaxia de tromboembolismo venoso nos pacientes internados? Resumo Contexto Embora preconizada, a profilaxia de tromboembolismo venoso TEV deixa de ser realizada sistematicamente em pacientes internados. Excluíram-se os pacientes em uso de anticoagulantes ou com sangramento ativo. El estudio de la actividad solar con el telescopio para ondas submilimétricas SST , nos permite, por vez primera, trabajar con una resolución temporal de milisegundos. Se muestran los resultados obtenidos para cada canal, en donde se grafica este producto como función de la opacidad. We present high-spatial and high-spectral resolution studies of SiO masers in the circumstellar envelopes of late-type stars. These masers occur in the inner layers of the CSEs, in a region dominated by the stellar pulsation, thus being good if not the only probes available to understand the physics in these regions. The spatial distributions retrieved, some of them for the first time, are in clear contradiction with the predictions of the models developed to date. We suggest that spectral line overlap may explain the results obtained. This work has been conducted by Dr. Javier Alcolea Jimenez and Dr. We have determined the angular separations among the three radio sources with submilliarcsecond accuracy from a weighted least squares analysis of the differential phase delay from the three celestial bodies. Our present work introduces important advances with respect to previous astrometric studies, carried out over radio source pairs separated by smaller angular distances. We have consistently modeled the parameters involved in an astrometric VLBI observation, in order to reproduce the differential phase observed for radio sources separated by almost 7o on the sky. We have demonstrated the possibility of phase-connection over these angular distances at 8. After the phase-connection we have corrected the effects of the extended structure of the radio source and of the ionosphere. This last correction is one of the main technical achievements of this thesis: it is possible to remove the ionospheric contribution with independent measurements of the ionosphere total electron content obtained at Global Positioning Systems GPS sites the VLBI observing stations. The triangular geometry introduces constraints in parameter space that allow a better estimation of the angular separations among the radio sources. It is possible to test the consistency of the astrometric results through the Sky-Closure, defined as the circular sum of the angular separations of the three radio sources, determined pairwise and independently. In our case it is consistent with zero, and verifies satisfactorily the data process followed. The comparison of our results with those obtained by Eubanks USNO from group delay measurements without structure correction show the incorrectness of the latter. We have discovered a shell-like structure of the radio emission of SN J which exploded on March We have also elaborated a movie of its evolution, by monitoring the shell structure for different epochs, and determined the deceleration of its expansion. Bartolome R. Elizabeth's Medical Center. Michael F. Bruce A. Walter W. Ian M. Rachel L. Mott Children's Hospital. Julia F. Alfred J. Jesse M. Paula J. Erin G. Elizabeth L. William J. Alan S. Harold R. Eve R. Deborah M. Burke A. Emmett T. Cunningham, Jr. Drew C. Patricia A. Daly, MD University of Virginia. Daniel F. Norman L. Peter J. Marc A. Deepinder K. Dhaliwal , MD, L. Michael C. Joel E. James G. James D. Joseph's Healthcare Hamilton. Daniel A. Antonette T. Jeffrey S. Derrick A. Kevin C. Soumitra R. Stephen J. Mark A. Christopher M. Norah C. Bradley D. David N. Finegold , MD University of Pittsburgh. Michael B. Steven D. Marvin P. Lara A. Sunir J. Brian K. Gehlbach, MD University of Chicago. David M. Elias A. Mark T. Stephen E. Steven A. Mercedes E. Hector A. Stuart B. Carmen E. Evan G. Norton J. John E. John J. Gregory, Jr. John H. Renee Gresh, Nemours A..

Posteriormente presentó afasia de expresión secundaria a lesión frontal izquierda. Se realizó evacuación de absceso cerebral aislando A. El tratamiento antibiótico específico posterior permitió una buena respuesta clínica y radiológica. Conclusión: La presencia de lesiones en el SNC de pacientes inmunocomprometidos debe incluir a las micosis como diagnóstico diferencial. Para evaluar la respuesta terapéutica y posibles recaídas se debe realizar un seguimiento periódico clínico radiológico.

Palabras clave: Aspergilosis cerebral; Aspergilosis cervical; Aspergilosis invasiva; Voriconazol. A partir del estudio de los Efectos Gravitomagnéticos en cuerpos masivos rotantes, planteamos la expresión para medir el desfase en el tiempo, para Darrin kenneth obrien esposa disfunción sexual observadores, que se dan cuando viajan dos rayos de luz por una guía de onda o de manera libre geodésicasen el plano azimutal y en el plano polar.

The Pros and Cons of Army Automation. Manual skills MSG P. La reacción entre el radical HSO y el ozono ha sido ampliamente estudiada desde el punto de vista experimental debido a la importancia que tiene el radical HSO en la oxidación de los compuestos de azufre reductores y a que puede contribuir a la producción de H2SO4 [].

Se realizaron diversos estudios teóricos sobre la cinética de la reacción entre el radical HSO y el ozono. Estudio participativo para el desarrolllo de un instrumento de observación de violencia escolar. Medina Santiago, Nilda Darrin kenneth obrien esposa disfunción sexual. Entre los hallazgos del estudio se destacan diferencias por sexo en cuanto a categorías de violencia observadas y la observación de agresividad en juegos e interacciones entre estudiantes.

Los datos recopilados han servido de base para la toma de decisiones en cuanto a la prevención de la violencia en las escuelas participantes y tienen implicaciones para el desarrollo de estrategias y programas de prevención.

Estudio de distintos modelos de protuberancias solares. La interacción de estrellas WN con el medio circundante. Se presentan resultados preliminares de un estudio de la distribución del hidrógeno neutro more info los alrededores de estrellas WR de la serie del nitrógeno. Los datos observacionales de la línea de 21 cm provienen de un relevamineto de baja resolución angular 36'así como de observaciones de resolución angular intermedia 9' tomadas con el radiotelescopio de Effelsberg.

Los defectos craneales secundarios a traumatismos son frecuentes. Históricamente se han utilizado diversos materiales para la reconstrucción. Las localizaciones afectaron el frontal, el borde orbitario superior y el techo orbitario en cuatro casos, y la porción lateral del frontal, la zona temporoparietal y el Darrin kenneth obrien esposa disfunción sexual del occipital en un caso.

La reconstrucción en cuatro pacientes fue entre 6 y 12 meses después de la lesión, y en un caso después de 25 años. En dos casos se this web page expansión tisular antes de colocar el implante. Cuatro Darrin kenneth obrien esposa disfunción sexual evolucionaron favorablemente, con mejoría de los síntomas neurológicos, forma y contorno adecuados, así como un proceso de cicatrización adecuada de los colgajos de piel cabelluda.

Un paciente presentó infección por Staphylococcus aureus, atribuida a la presencia de un mucocele y una fístula de la vía aérea a la cavidad craneal, lo que hizo necesario retirar el implante. Brindan resultados satisfactorios desde el punto de vista funcional y cosmético. Deben tomarse precauciones respecto al Darrin kenneth obrien esposa disfunción sexual de las lesiones que afecten el seno frontal, para evitar la comunicación entre la vía aérea y la cavidad craneal.

Cranial defects due to trauma are frequent. They are usually repaired in a secondary fashion due to features such as syndrome of the trephined, for brain protection and for cosmetic purposes.

Historically, various materials have been used for reconstruction. Defects involved. Entre las aplicaciones que requieren estos conocimientos se encuentran la generación de plasmas para la fabricación de semiconductores, memorias magnéticas, etc, así como los sistemas astrofísicos, la ionosfera terrestre, etc. Se evitan estas dificultades estudiando las moléculas o complejos en expansiones supersónicas, donde la T de los grados de libertad solo alcanzan unos pocos K.

Para realizar experimentos de ZEKE hay que utilizar una propiedad recientemente.

Voyeur photo Watch Sex Videos Homosex Cina. Intraosseous haemangioma is a rare and benign primary tumour of the bone. We report the case of a year old woman who presented the exceptional condition of multifocal cavernous haemangiomas involving the spine and the ribs, requiring spinal and chest wall resections to confirm the diagnosis and treat the symptoms. Background Maculopathy is a potential side effect of amyl nitrite or "poppers" abuse. It is characterized by a sudden, painless decrease in visual acuity. While the funduscopic changes are subtle, optical coherence tomography shows alterations of the outer retinal layers in the fovea. However, the extent of retinal dysfunction remains poorly understood. Response densities and implicit times of N1 and P1 were analyzed. Results Response densities and implicit times of both N1 and P1 were lower in the patients with poppers maculopathy than in the control group, particularly in ring 1 and rings 4 and 5. The only statistically significant finding, however, was a reduced N1 response density of one hexagon in the patient group. No significant differences were found considering the sum response or the averaged rings 1 to 5. Conclusion Compared to a healthy control group, the multifocal electroretinogram of patients with poppers maculopathy shows no relevant impairment. This contrasts the marked effect of the disease on visual acuity. In clinical practice, poppers maculopathy cannot be diagnosed by multifocal electroretinography. Insuficiencia renal aguda con necrosis tubular aguda secundaria a picadura masiva de abejas. Durante su estancia hospitalaria presentó incremento de enzimas musculares AST LDH, y de pruebas de función renal, motivo por el cual fue dializado en varias ocasiones. Con mejoría total, se decide egresar y manejar ambulatoriamente. Lente intra-ocular multifocal difrativa apodizada: resultados Diffractive apodized multifocal intraocular lens: results. Binocular visual acuity was evaluated with and without correction for near and distance, and refraction previsibility and frequency of wearing glasses. Falla cardíaca aguda. Se presenta el caso clínico de una mujer de 26 años de edad, que acudió al Hospital Universitario San Vicente Fundación Medellín con síntomas y signos de falla cardíaca aguda y diagnóstico previo de falla cardíaca crónica con fracción de expulsión disminuida, de origen no claro, tromboembolismo pulmonar y ataque cerebrovascular isquémico, sin modulación neurohormonal óptima. Ingresó a la institución con hallazgos clínicos de sobrecarga hídrica y baja perfusión tisular, con requerimiento de Coréia aguda na gravidez. A maioria dos surtos ocorreu no segundo trimestre da primeira gravidez. Todos os partos foram espontâneos e normais. Optimizing outcomes with multifocal intraocular lenses. Full Text Available Modern day cataract surgery is evolving from a visual restorative to a refractive procedure. The advent of multifocal intraocular lenses MFIOLs allows greater spectacle independence and increased quality of life postoperatively. Since the inception in s, MFIOLs have undergone various technical advancements including trifocal and extended depth of vision implants more recently. A thorough preoperative workup including the patients' visual needs and inherent ocular anatomy allows us to achieve superior outcomes. This review offers a comprehensive overview of the various types of MFIOLs and principles of optimizing outcomes through a comprehensive preoperative screening and management of postoperative complications. The Mathematical Theory of Multifocal Lenses. This paper presents the fundamental optical concepts of designing multifocal ophthalmic lenses and the mathematical methods associated with them. In particular,it is shown that the design methodology is heavily based on differential geometric ideas such as Willmore surfaces. A key role is played by Hamilton's eikonal functions. It is shown that these functions capture all the information on the local blur and distortion created by the lenses. Along the way,formulas for computing the eikonal functions are derived. Finally,the author lists a few intriguing mathematical problems and novel concepts in optics as future projects. Imaging manifestations of progressive multifocal leukoencephalopathy. Progressive multifocal leukoencephalopathy PML is a demyelinating disease caused by reactivation of JC virus in immunosuppressed patients. Light distribution in diffractive multifocal optics and its optimization. To expand a geometrical model of diffraction efficiency and its interpretation to the multifocal optic and to introduce formulas for analysis of far and near light distribution and their application to multifocal intraocular lenses IOLs and to diffraction efficiency optimization. Experimental study. Application of a geometrical model to the kinoform single focus diffractive optical element was expanded to a multifocal optic to produce analytical definitions of light split between far and near images and light loss to other diffraction orders. The geometrical model gave a simple interpretation of light split in a diffractive multifocal IOL. An analytical definition of light split between far, near, and light loss was introduced as curve fitting formulas. Several examples of application to common multifocal diffractive IOLs were developed; for example, to light-split change with wavelength. The analytical definition of diffraction efficiency may assist in optimization of multifocal diffractive optics that minimize light loss. Formulas for analysis of light split between different foci of multifocal diffractive IOLs are useful in interpreting diffraction efficiency dependence on physical characteristics, such as blaze heights of the diffractive grooves and wavelength of light, as well as for optimizing multifocal diffractive optics. Disclosure is found in the footnotes. Full Text Available Multi-focal vision systems comprise cameras with various fields of view and measurement accuracies. This article presents a multi-focal approach to localization and mapping of mobile robots with active vision. An implementation of the novel concept is done considering a humanoid robot navigation scenario where the robot is visually guided through a structured environment with several landmarks. Various embodiments of multi-focal vision systems are investigated and the impact on navigation performance is evaluated in comparison to a conventional mono-focal stereo set-up. The comparative studies clearly show the benefits of multi-focal vision for mobile robot navigation: flexibility to assign the different available sensors optimally in each situation, enhancement of the visible field, higher localization accuracy, and, thus, better task performance, i. It is shown that multi-focal vision may strongly improve navigation performance. Esofagitis necrotizante aguda : Una entidad inusual. Full Text Available La esofagitis necrotizante aguda ENA, también denominada esófago negro, es una rara enfermedad poco descripta en la literatura médica. Describimos el caso de un hombre de 80 años, con hemorragia digestiva alta quien desarrolló un esófago negro luego de un episodio de hipotensión. La necrosis fue confirmada histológicamente. El diagnóstico se realiza con endoscopia y confirmación histológica. En este trabajo describimos las características clínicas, endoscópicas e histopatológicas de un paciente con ENA. Multifocal bilateral metatarsal tuberculosis: a rare presentation. Tuberculosis, or phthisis consumption as it was popularly known in the Greek era, has been endemic in Southeast Asia and Sub-Saharan Africa; however, the human immunodeficiency virus epidemic has seen the re-emergence of this disease in the areas in which it was not very commonly reported. With this, the need for understanding and treatment of rare presentations of tuberculosis has become of paramount importance to achieve the World Health Organization millennium goal of a "reversal of incidence by Multifocal lesions have an incidence of histopathologic owing to the paucibacillary nature of the disease. Early identification and treatment with antitubercular drugs will normally result in a good cosmetic and functional result. Multifocal Spinal Cord Nephroblastoma in a Dog. A 1-year-old male American pit bull terrier was presented with a history of proprioceptive deficits and mild lameness of the right hindlimb, which progressed after 5 months to paraparesis, culminating in tetraparesis after 2 weeks. Necropsy findings were limited to the spinal cord and consisted of multiple, intradural, extramedullary, slightly red masses which produced segmental areas of medullary swelling located in the cervical intumescence, thoracolumbar column, sacral segment and cauda equina. Histological evaluation revealed a tumour, composed of epithelial, stromal and blastemal cells, with structures resembling tubules, acini and embryonic glomeruli. Immunohistochemical labelling for vimentin, cytokeratin and S was positive for the stromal, epithelial and blastemal cells, respectively. A final diagnosis of multifocal spinal cord nephroblastoma was established. This is the first report of such a tumour showing concomitant involvement of the cervicothoracic, thoracolumbar, sacral and cauda equina areas of the spinal cord. Lesiones periapicales agudas en pacientes adultos. Se incluyeron todos los pacientes que acudieron al servicio de urgencia y que presentaron lesiones periapicales agudas. Se recogió información de las variables edad, sexo, grupo dentario, causa de la enfermedad, características clínicas e higiene bucal. La higiene bucal resultó estar relacionada con las lesiones periapicales. Se encontraron diferencias significativas en las lesiones periapicales respecto a todas las causas estudiadas, con excepción de las enfermedades periodontales. Respecto a las características clínicas hubo significación en cuanto al aumento de volumen del fondo del surco vestibular y la movilidad dentaria. Purpose To report on the clinical manifestations, complications, and long-term visual prognosis of patients with peripheral multifocal chorioretinitis and to search for predictors for a lower visual outcome. Design Retrospective consecutive observational case series. Methods setting: Institutional. Nuijts, Rudy M. Multicenter study at 8. CT and MRI in progressive multifocal leukoencephalopathy. Radiological findings and course of progressive multifocal leukoencephalopathy in 14 patients 1 woman, 13 men; 13 HIV seropositive, 1 chronic lymphatic leukaemia were analysed retrospectively and correlated with clinical symptoms. CT scans and MR images of 9 patients, which had been obtained in less than two weeks, could be compared to each other. MRI was superior to CT: 6 lesions with a diameter of 1 cm and below were not detected on CT scans, in 5 patients the extent of lesions was underestimated. Cortical involvement, mass effect or signs of atrophy were missing. Only 1 of 65 lesions showed a tiny enhancement after Gd injection. Due to the pattern and spread of lesions, which showed a close correlation to the neurologic symptoms, three different types of PML are suggested: 1. Multifocal multiphoton microscopy with adaptive optical correction. Fluorescence lifetime imaging microscopy FLIM is a well established approach for measuring dynamic signalling events inside living cells, including detection of protein-protein interactions. The improvement in optical penetration of infrared light compared with linear excitation due to Rayleigh scattering and low absorption have provided imaging depths of up to 1mm in brain tissue but significant image degradation occurs as samples distort aberrate the infrared excitation beam. A weighted 3D GS algorithm is employed to improve homogeneity. An added benefit is the implementation of flexible and adaptive optical correction. Adaptive optics performed by means of Zernike polynomials are used to correct for system induced aberrations. Here we present results with significant improvement in throughput obtained using a novel complementary metal-oxide-semiconductor CMOS pixel single-photon avalanche diode SPAD array, opening the way to truly high-throughput FLIM. The pathogenesis of progressive multifocal leukoencephalopathy. Interest in pathogenesis of progressive multifocal leukoencephalopathy PML followed the observation of the high risk for the disease in HIV infection and the recent observation of an association with a variety of newer therapeutic modalities, e. Any hypothesis of PML pathogenesis must account for a number of facts. Firstly, the causative agent JC virus is ubiquitously present, yet only a vanishingly small number of infected persons develop the disease. Secondly, disorders of cell-mediated immunity increase the risk of the disease, particularly HIV infection. Thirdly, a latent period of several months appears necessary following the administration of natalizumab and efalizumab before PML develops. Fourthly, restoration of the immune system can arrest the PML. Once acquired, perhaps through an oropharyngeal route, it may replicate and disseminate. A neurotropic form of JC virus that replicates in glial tissues causes PML when immunosurveillance is impaired. There are many unanswered questions with respect to PML pathogenesis. How is virus acquired? What tissues are infected? What is the origin of the neurotropic form? When does virus enter brain? What is the role of central nervous system immunosurveillance? The lack of an animal model has made answering these questions challenging. Progressive multifocal leukoencephalopathy after fingolimod treatment. We describe the characteristics of the 15 patients with fingolimod-associated progressive multifocal leukoencephalopathy PML identified from the Novartis data safety base and provide risk estimates for the disorder. PML classification was based on previously published criteria. The risk and incidence were estimated using the 15 patients with confirmed PML and the overall population of patients treated with fingolimod. As of August 31, , 15 fingolimod-treated patients had developed PML in the absence of natalizumab treatment in the preceding 6 months. Two patients had confounding medical conditions. Two patients had natalizumab treatment. This included one patient whose last dose of natalizumab was 3 years and 9 months before the diagnosis of PML. The second patient was receiving fingolimod for 4 years and 6 months, which was discontinued to start natalizumab and was diagnosed with PML 3 months after starting natalizumab. The risk of PML with fingolimod in the absence of prior natalizumab treatment is low. The estimated risk was 0. Neither clinical manifestations nor radiographic features suggested any unique features of fingolimod-associated PML. Autorefraction versus subjective refraction in a radially asymmetric multifocal intraocular lens. To evaluate whether the automated refraction AR correlates with subjective manifest MR refraction in eyes implanted with radially asymmetric multifocal intraocular lens IOLs. This retrospective study evaluated 52 eyes 52 patients implanted with a radially asymmetric multifocal IOL LS A rare case of a medullary, multifocal lesion in the distal radius. In multifocal findings, the possibility of multifocal osteoid osteomas should be considered and this case helps us to be attentive for the unusual radiographical presentation of osteoid osteoma. Scleral fixation of a single-piece multifocal intraocular lens. We describe an ab interno technique for injector implantation of a one-piece multifocal intraocular lens IOL. Transscleral fixation of multifocal posterior chamber IOL implantation using an injector with ab interno technique was performed in an eye of a 9-year-old girl who had undergone pars plana lensectomy 2 years before for bilateral lens subluxation with unknown etiology. No major complications were encountered during a 3-month follow-up of the patient and excellent centration was observed during the follow-up period. Closed-loop design of IOL served the function of eyelets and position of the IOL was provided using only a 2-point fixation. Research advances on multifocal electroretinogram in primary open angle glaucoma. Full Text Available Primary open angle glaucoma is a chronic and progressive optic neuropathy. It can lead to serious damage of visual impairment, and it is an important eye disease of blindness. Multifocal electroretinogram is a new way to measure visual electrophysiology. It can measure electroretinogram of the whole visual field of many small parts in a relatively short period of time, and it can reflect the function of regional retina. It has an extremely important value for early diagnosis of primary open angle glaucoma. The research advances on multifocal electroretinogram in diagnosing primary open angle glaucoma were summarized in this paper. Multifocal osteosarcoma as second tumor after childhood retinoblastoma. Potepan, P. We present a case of multifocal osteosarcoma MFOS arising The clinical, imaging and pathological findings at onset, after therapy, and during follow-up are described. Fluorescent in situ hybridization did not reveal a deletion of the RB-1 retinoblastoma gene, although the presence of an inactivating mutation invisible to this method cannot be ruled out. The MFOS may have been a second multifocal tumor associated with the original retinoblastoma or a post-irradiation sarcoma with extensive metastases. Miopia aguda induzida por topiramato: relato de dois casos. Serie de 8 casos de parotiditis supurada aguda neonatal. El objetivo es mostrar nuestra experiencia en la atención de serie de casos con parotiditis supurada aguda en el período neonatal, y describir sus características de presentación. Bioptics in sutureless intrascleral multifocal posterior chamber intraocular lens fixation. To present a technique for sutureless fixation of a three-piece, multifocal , posterior chamber intraocular lens IOL in the ciliary sulcus. A year-old woman presented with bilateral subluxation of the crystalline lens. Two straight sclerotomies were prepared with a gauge cannula 2. The cannula was used to create a 2. The leading haptic of the multifocal IOL was grasped at its tip with end-gripping, gauge forceps and pulled through the sclerotomy. The forceps was used to introduce the IOL haptic into the scleral tunnel parallel to the limbus. Multifocal posterior chamber IOLs were stable and well centered. No postoperative complications occurred in the month follow-up period. Preoperative astigmatism was corrected after IOL implantation with corneal wavefront-guided laser epithelial keratomileusis. Sutureless fixation of multifocal posterior chamber IOL haptics in a scleral tunnel parallel to the limbus can be successful, resulting in long-term centration and three-dimensional axial stability for optimal refractive results. If necessary, postoperative wavefront-guided refractive correction can be performed to optimize final refraction. Granular cell tumors GCT are rare and unusual tumors, which are usually benign and asymptomatic. Only 5? We report a rare case of symptomatic, multifocal , synchronous GCT involving the esophagus, stomach, and cecum. Multifocal versus monofocal intraocular lenses after cataract extraction. Near vision, however, still requires additional refractive power, usually in the form of reading glasses. Multiple optic multifocal IOLs are available which claim to allow good vision at a range of distances. It is unclear whether this benefit outweighs the optical compromises inherent in multifocal IOLs. We did not use any date or language restrictions in the electronic searches for trials. The electronic databases were last searched on 6 March We searched the reference lists of relevant articles and contacted investigators of included studies and manufacturers of multifocal IOLs for information about additional published and unpublished studies. Selection criteria: All randomised controlled trials comparing a multifocal IOL of any type with a monofocal IOL as control were included. Se identificaron tambien oportunidades de mejora con el uso de la automatizacion y el enclavamiento. Las camaras de ionizacion Farmer derivaron en direcciones opuestas en un periodo de 6 anos; aunque ello no se aprecio en los informes de calibracion del laboratorio acreditado. No derivo la camara PPC Los valores centrales de las dosis absorbidas quedaron entre la dosis absorbida prescrita y la maxima, con lo que indicaron un tratamiento correcto del lecho tumoral. Las verificaciones de. La implantacion del enfoque constructivista en el aula de ciencia: Estudio de caso multiple. Esta investigacion estudia la implantacion del enfoque constructivista en tres aulas de ciencia del contexto puertorriqueno. Se auscultaron las practicas educativas que utilizan maestras consideradas constructivistas y la correspondencia de sus practicas educativas con los elementos esenciales de la didactica que proponen los teoricos de los planteamientos constructivistas. Se ausculto, ademas, a que vision del enfoque constructivista responden las expresiones de las maestras acerca de su practica educativa y como compara con su quehacer, a la luz de los elementos esenciales de las visiones constructivistas piagetiana, social y radical. Se utilizo el diseno de estudio descriptivo de caso multiple. El estudio se baso en entrevistas a profundidad, revision de documentos y observacion no participativa a la sala de clases. El contexto fueron tres escuelas publicas de la Region Educativa de San Juan, una elemental, una intermedia y una superior. Los resultados confirmaron que la transicion hacia el enfoque constructivista es un proceso que toma tiempo, dedicacion y la participacion en adiestramientos y readiestramientos acerca del nuevo enfoque. Las maestras coinciden en la mayoria de las practicas educativas que utilizan para implantar el enfoque constructivista de ensenanza y difieren en algunas debido, probablemente, a que han tenido que adaptarlas a los correspondientes niveles de ensenanza: elemental, intermedio y superior. Dos de las maestras planifican por conceptos generadores, mientras que una de ellas planifica siguiendo la guia que recibe del Departamento de Educacion. Difieren ademas, en el enfasis que confieren al inquirir cientifico. Con relacion a la correspondencia entre la vision manifestada por las maestras a la luz de las visiones piagetiana, social y radical, aparentemente, las preguntas del protocolo de entrevistas no lograron evocar la informacion con suficiente profundidad, por lo que la investigadora tuvo que inferir las visiones de las. Resultados pacientes y personal de salud de ambos sistemas coinciden en la importancia del estigma asociado al VIH, la relación médicopaciente, la comunicación entre ambos y la división de responsabilidades en relación al tratamiento como aspectos fundamentales para la adherencia y retención en la cascada de atención. Discusión se resalta la necesidad de intervenciones focalizadas en la díada médico- paciente que considere las particularidades de cada sistema de atención para facilitar el compromiso del paciente en la adherencia. Protein Supplements: Pros and Cons. To provide a comprehensive analysis of the literature examining the pros and cons of protein supplementation, various articles on protein supplementation were obtained from Google Scholar, PubMed, and National Center for Biotechnology Information. Over the past few years, protein supplementation has become commonplace for gym-goers as well as for the public. A large segment of the general population relies on protein supplementation for meal replacement, weight reduction, and purported health benefits. These protein supplements have varying pros and cons associated with them, which are often overlooked by the public. This review aims to assimilate existing studies and form a consensus regarding the benefits and disadvantages of protein supplementation. The purported health benefits of protein supplementation have led to overuse by both adults and adolescents. Although the pros and cons of protein supplementation is a widely debated topic, not many studies have been conducted regarding the same. The few studies that exist either provide insufficient evidence or have not employed proper conditions for the conduct of the tests. It should be considered that protein supplements are processed materials and often do not contain other essential nutrients required for the sustenance of a healthy lifestyle. It is suggested that the required protein intake should be obtained from natural food sources and protein supplementation should be resorted to only if sufficient protein is not available in the normal diet. Estudio teórico de moléculas de interés en Astrofísica: compuestos binarios policarbonados. Se han detectado en el espacio distintos compuestos binarios policarbonados que se pueden formular como CnX , algunos de ellos con elementos de la primera fila del sistema periódico, pero también existen otros que contienen elementos de la segunda fila, como azufre o silicio. En esta comunicación presentaremos los avances mas recientes que sobre el tema ha realizado nuestro grupo. Incidiremos particularmente en dos aspectos. En segundo lugar comentaremos brevemente algunos de los estudios realizados sobre posibles reacciones que pueden ser vías de síntesis de este tipo de compuestos en el medio interestelar. Aspergilosis cervical con diseminación al sistema nervioso central. Presentación de un caso y revisión de bibliografía. Puede presentarse con cuadros de meningitis, aneurismas micóticos, infartos o abscesos. Es una infección con pronóstico reservado y puede afectar el SNC de forma primaria o secundaria a partir de un foco que se disemina por vía hematógena. Presentamos el caso de un paciente con AI con invasión primaria a nivel óseo y diseminación posterior al cerebro. Posteriormente agregó cervicalgia y con el diagnóstico de osteomielitis cervical se realiza punción bajo tomografía computada TC sin aislarse gérmenes. Se colocó Halo Vest e inició tratamiento antibiótico empírico. Posteriormente presentó afasia de expresión secundaria a lesión frontal izquierda. Se realizó evacuación de absceso cerebral aislando A. El tratamiento antibiótico específico posterior permitió una buena respuesta clínica y radiológica. Conclusión: La presencia de lesiones en el SNC de pacientes inmunocomprometidos debe incluir a las micosis como diagnóstico diferencial. Para evaluar la respuesta terapéutica y posibles recaídas se debe realizar un seguimiento periódico clínico radiológico. Palabras clave: Aspergilosis cerebral; Aspergilosis cervical; Aspergilosis invasiva; Voriconazol. A partir del estudio de los Efectos Gravitomagnéticos en cuerpos masivos rotantes, planteamos la expresión para medir el desfase en el tiempo, para diferentes observadores, que se dan cuando viajan dos rayos de luz por una guía de onda o de manera libre geodésicas , en el plano azimutal y en el plano polar. The Pros and Cons of Army Automation. Manual skills MSG P. La reacción entre el radical HSO y el ozono ha sido ampliamente estudiada desde el punto de vista experimental debido a la importancia que tiene el radical HSO en la oxidación de los compuestos de azufre reductores y a que puede contribuir a la producción de H2SO4 []. Se realizaron diversos estudios teóricos sobre la cinética de la reacción entre el radical HSO y el ozono. Estudio participativo para el desarrolllo de un instrumento de observación de violencia escolar. Medina Santiago, Nilda G. Entre los hallazgos del estudio se destacan diferencias por sexo en cuanto a categorías de violencia observadas y la observación de agresividad en juegos e interacciones entre estudiantes. Los datos recopilados han servido de base para la toma de decisiones en cuanto a la prevención de la violencia en las escuelas participantes y tienen implicaciones para el desarrollo de estrategias y programas de prevención. Estudio de distintos modelos de protuberancias solares. La interacción de estrellas WN con el medio circundante. Se presentan resultados preliminares de un estudio de la distribución del hidrógeno neutro en los alrededores de estrellas WR de la serie del nitrógeno. Los datos observacionales de la línea de 21 cm provienen de un relevamineto de baja resolución angular 36' , así como de observaciones de resolución angular intermedia 9' tomadas con el radiotelescopio de Effelsberg. Los defectos craneales secundarios a traumatismos son frecuentes. Históricamente se han utilizado diversos materiales para la reconstrucción. Las localizaciones afectaron el frontal, el borde orbitario superior y el techo orbitario en cuatro casos, y la porción lateral del frontal, la zona temporoparietal y el borde del occipital en un caso. La reconstrucción en cuatro pacientes fue entre 6 y 12 meses después de la lesión, y en un caso después de 25 años. En dos casos se requirió expansión tisular antes de colocar el implante. Cuatro pacientes evolucionaron favorablemente, con mejoría de los síntomas neurológicos, forma y contorno adecuados, así como un proceso de cicatrización adecuada de los colgajos de piel cabelluda. Un paciente presentó infección por Staphylococcus aureus, atribuida a la presencia de un mucocele y una fístula de la vía aérea a la cavidad craneal, lo que hizo necesario retirar el implante. Brindan resultados satisfactorios desde el punto de vista funcional y cosmético. Deben tomarse precauciones respecto al tratamiento de las lesiones que afecten el seno frontal, para evitar la comunicación entre la vía aérea y la cavidad craneal. Cranial defects due to trauma are frequent. They are usually repaired in a secondary fashion due to features such as syndrome of the trephined, for brain protection and for cosmetic purposes. Historically, various materials have been used for reconstruction. Defects involved. Entre las aplicaciones que requieren estos conocimientos se encuentran la generación de plasmas para la fabricación de semiconductores, memorias magnéticas, etc, así como los sistemas astrofísicos, la ionosfera terrestre, etc. Se evitan estas dificultades estudiando las moléculas o complejos en expansiones supersónicas, donde la T de los grados de libertad solo alcanzan unos pocos K. Para realizar experimentos de ZEKE hay que utilizar una propiedad recientemente. Contaminación por mercurio de leche materna de madres lactantes de municipios de Antioquia con explotación minera de oro. Determinar la prevalencia de la contaminación con mercurio de la leche materna de mujeres lactantes residentes en los municipios con explotación minera de oro. Se calculó el promedio de la concentración de mercurio y las prevalencias municipales de contaminación. Estudio fenomenologico del conocimiento curricular y conocimiento de contenido en maestros de matematica a nivel secundario. En esta investigacion se estudio el fenomeno del conocimiento de contenido y el conocimiento curricular de maestros de matermaticas y como estos dos componentes se reflejan en su conocimiento pedagogico del contenido. El conocimiento de contenido es el conocimiento que tienen los maestros de los contenidos de una disciplina y sobre la estructura de su organizacion Shulman, Este estudio se enmarca en el paradigma cualitativo, teniendo como diseno el estudio fenomenologico Lucca y Berrios, ; McMillan, Los participantes fueron seis maestros de matermaticas del nivel superior 10mo a 12mo grado. Al momento de la investigacion los participantes ensenaban en escuelas publicas o privadas de Puerto Rico. Para recolectar la informacion se utilizo un grupo focal en donde los maestros resolvieron seis ejercicios matematicos y posteriormente reflexionaron en forma grupal sobre las soluciones. Tambien se realizo un analisis de documentos de planificacion y se llevaron a cabo entrevistas semiestructuradas. Se exploraron los contenidos relacionados a la ecuacion de una recta, rectas verticales y horizontales, suma y multiplicacion de polinomios, resolucion de ecuaciones cuadraticas y distancia entre dos puntos del plano cartesiano. Los resultados muestran que los participantes tienen dominio procesal de los contenidos correspondientes a las rectas verticales y horizontales, la suma y multiplicacion de polinomios, el calculo distancia entre dos puntos del plano cartesiano. Sin embargo, se noto cierta dificultad en la explicacion conceptual de los contenidos relacionados a la. Objetivos de nuestro trabajo han sido el estudio de los canales de disociación mayoritarios y de las especies transitoria producidas, así como de la distribución de energía interna con que éstas son generadas. Estudios sobre Educacion, Studies on Education, This journal, which provides abstracts of its articles mostly in Spanish and a few in English, contains studies estudios and notes notas about educational issues, as well as relevant book reviews recensiones. Studies in this issue No. La mortalidad, hospitalizaciones, caídas y dependencia funcional fueron evaluadas en la segunda vuelta del estudio en el año No hubo asociación entre los estados de prefragilidad y fragilidad con caídas. Greco, Stephanie H. Concanavalin-A Con -A hepatitis is regarded as a T cell-mediated model of acute liver injury. Mincle is a C-type lectin receptor CLR that is critical in the immune response to mycobacteria and fungi, but does not have a well-defined role in pre-clinical models of non-pathogen mediated inflammation. Since Mincle can ligate the cell death ligand SAP, we postulated that Mincle signaling drives intrahepatic inflammation and liver injury in Con -A hepatitis. We found that Mincle was highly expressed in hepatic innate inflammatory cells and endothelial cells in both mice and humans. Furthermore, sterile Mincle ligands and Mincle signaling intermediates were increased in the murine liver in Con -A hepatitis. Most significantly, Mincle deletion or blockade protected against Con -A hepatitis whereas Mincle ligation exacerbated disease. Bone marrow chimeric and adoptive transfer experiments suggested that Mincle signaling in infiltrating myeloid cells dictates disease phenotype. Conversely, signaling via other CLRs did not alter disease course. Our work implicates a novel innate immune driver of Con -A hepatitis and, more broadly, suggests a potential role for Mincle in diseases governed by sterile inflammation. Con A hepatitis is regarded as a T cell-mediated model of acute liver injury. Mincle is a C-type lectin receptor that is critical in the immune response to mycobacteria and fungi but does not have a well-defined role in preclinical models of non-pathogen-mediated inflammation. Because Mincle can ligate the cell death ligand SAP, we postulated that Mincle signaling drives intrahepatic inflammation and liver injury in Con A hepatitis. Furthermore, sterile Mincle ligands and Mincle signaling intermediates were increased in the murine liver in Con A hepatitis. Most significantly, Mincle deletion or blockade protected against Con A hepatitis, whereas Mincle ligation exacerbated disease. Conversely, signaling via other C-type lectin receptors did not alter disease course. Our work implicates a novel innate immune driver of Con A hepatitis and, more broadly, suggests a potential role for Mincle in diseases governed by sterile inflammation. Remisión de aneurisma luego de exéresis de MAV con aparición de síndrome del acento extranjero. La conducta frente a los aneurismas asociados es dicotómica en la literatura, mientras existen reportes de la desaparición de los mismos luego de la exéresis de la MAV, otros artículos enfatizan su tratamiento precoz. Objetivo: Presentar un paciente que desarrolla el síndrome del acento extranjero posterior a la exéresis de una MAV y la evolución de un aneurisma asociado. Estudio polarimétrico de NGC 47 Tucanae. Las observaciones son consistentes con la presencia de pequeñas cantidades de polvo originada en procesos de pérdida de masa. Women in Combat Pros and Cons. Major Thomas H. Se analizan las características morfológicas, fotométricas y espectroscópicas de la muestra. Inter Con provides services to health insurers of foreign tourists who travel to the United States and Canada. Management wants to implement a new information system that will deal with several operational problems, but it is having difficulty securing the capital resources to fund the system's development. After an initial failure, the chief…. Resumen IntroducciÓn: El papiloma invertido es una neoplasia benigna de los senos paranasales localmente agresiva con alto potencial de recurrencia y de malignización. Caso clínico: Presentamos el caso de una paciente de 32 años que consultó por lesión exofítica en fosa nasal derecha y exoftalmos, asociada a cefalea, anosmia y disgeusia. La paciente evolucionó de forma favorable y sin complicaciones, con permeabilidad de vía aérea superior, sin signos de recidiva lesional luego de 4 años de seguimiento. Conclusión: La invasión intracraneal de esta patología es sumamente infrecuente. Cuando existe, es indicador de agresividad y potencial recidiva, por lo que la exéresis completa de la misma define el pronóstico de la enfermedad. Presentamos un estudio de caso de una adolescente puertorriqueña con comportamiento suicida. Inicialmente mostró baja autoestima y severos síntomas depresivos y de ansiedad. Al finalizar el tratamiento, manifestó un cambio significativo en su sintomatología clínica y evidenció una mejoría en sus destrezas de manejo. No presentó ideas suicidas durante meses previos, ni durante el seguimiento. Somatic cell nuclear transfer: pros and cons. Even though the technique of mammalian SCNT is just over a decade old it has already resulted in numerous significant advances. Despite the recent advances in the reprogramming field, SCNT remains the bench-mark for the generation of both genetically unmodified autologous pluripotent stem cells for transplantation and for the production of cloned animals. In this review we will discuss the pros and cons of SCNT, drawing comparisons with other reprogramming methods. Conserva a Puerto Rico con bosques maderables. Los Bosques productivos de Resumo Os autores relatam o caso de uma paciente jovem previamente submetida a nefrectomia direita por apresentar angiomiolipomas renais AMLRs e portadora de dois volumosos angiomiolipomas no rim esquerdo remanescente. A paciente foi encaminhada pelo urologista para tratamento endovascular. Intrigued by the reported synthesis of diazirinone 1 , we carried out further experimental and theoretical studies aimed at the detailed matrix-isolation and millimeter-wave spectroscopic characterizations of 1. Diazirinone 1 is a peculiar isoconjugate of two very stable molecules and may be of astrochemical interest. Unfortunately, the original reported methods of diazirinone 1 generation did not yield this species, rather its decomposition products. This new synthesis may allow us to generate larger quantities of both CON 6 and CON 2 for investigation by millimeter-wave spectroscopy. Durante ese tiempo, había venido a la ciudad tras salir de prisión. Era el Entré a un programa y empecé a ordenar mi vida. Fui a prisión por una venta. Cuando compras algo de alguien, y resulta ser un policía, te acusan de venta. En , estaba en un programa en el Upper East Side, y una chica llamada Amy Connelly me preguntó si quería un trabajo, así que terminé trabajando ahí hasta el año pasado, ayudando a los indigentes. Estaba ayudando a los indigentes con ropa y trabajando ahí por un pequeño salario. Siendo indigente yo también, mi corazón estaba con la gente, así que estaba ahí para ayudarlos y asegurarme de que tuvieran lo necesario. Pero había conocido un güey llamado Steven Duncan en mis paseos por Central Park. Central Park es una parte importante en mi vida. Tienen una gran fiesta de baile para la que fui voluntario y estuve involucrado en eso varios años. Steven hacía estas burbujas gigantes; un hermano muy humilde. Una vez que salí de este trabajo el año pasado, decidí que eso era lo que quería hacer. Me di cuenta de que Dios te saca de un trabajo para llevarte a otro, y es una bendición mucho mayor, porque ahora toco las vidas de los niños. Los niños vienen, ves sus sonrisas. Ves a los padres reflexionar sobre cuando ellos eran niños con burbujas. Hay todo tipo de personas en mis fiestas de burbujas, como me gusta llamarlas. Lo principal es cuando todos terminan de hacer burbujas y los meto dentro de una gigante. Es algo hermoso. Madison Square Park es el lugar. Comparte la burbuja de amor. Raj K. Edward A. Linda P. Alana M. Lee S. Mary Lynn R. John K. Alexander S. Patrick G. Robert E. Adedamola A. Gerald F. Nicholas T. Victor E. James T. Elizabeth H. Elizabeth J. Roy A. Bhakti K. Patel , MD University of Chicago. Avinash S. Patil, MD University of Arizona. David A. Richard D. Alicia R. Lawrence L. Pelletier, Jr. Emily J. Daniel M. Maria T. Stephen P. William A. Katharine A. Tania J. JoAnn V. Russell K. Carol S. Nina N. Josef T. Wahlen VA Medical Center. Glenn M. Craig R. Judith J. Levi D. Christopher P. Pedro T. Anupama K. Robert W. School of Medicine. Wingfield E. Sanjay G. Douglas J. Melissa M. Candido E. Rivera, MD Mayo Clinic. Melvin I. Beryl J. Laurence Z. Fred H. Sean R. Atenodoro R. Ruiz, Jr. Daniel P. Paul S. Anna E. Lawrence M. Michael E. Birendra P. Lee M. Clarence T. Margot L. Peter C. In , the municipality in Horsens, a medium-sized provincial town The facility serves as a territorial meeting place for a number of conflicting groups of adolescents with different codes of behavior based on their cultural orientation Through positioning battles of various kinds the groups fight for space and place for their unstructured socialization processes with their peers. Officially, the municipality donated the facility to give local children and young people an opportunity Exploring the relationship between analgesic event rate and pain intensity in kidney stone surgery: A Repeated Time to Event Pilot Study. The aim of this pilot study was to discuss how best to investigate the relationship between RTTE hazard of analgesic events and pain intensity in postoperative pain. Methods: Data was available from 44 patients undergoing kidney stone surgery Gompertz and exponential distribution models were evaluated. Results: A Gompertz distribution model adequately described data, with a baseline event rate of 0. Basic features of proton-proton interactions at ultra-relativistic energies and RFT-based quark-gluon string model. The latter arise in QGSM because of the addition of various processes with different mean multiplicities. The model also indicates fulfillment of extended longitudinal scaling and violation of Koba-Nielsen- Olesen scaling at LHC. The origin of both features is traced to short-range particle correlations in the strings. Equivalence of meson scattering amplitudes in strong coupling lattice and flat space string theory. Full Text Available We consider meson scattering in the framework of the lattice strong coupling expansion. In particular we derive an expression for the 4-point function of meson operators in the planar limit of scalar Chromodynamics. Interestingly, in the naive continuum limit the expression coincides with an independently known result, that of the worldline formalism. Moreover, it was argued by Makeenko and Olesen that assuming confinement the resulting scattering amplitude in momentum space is the celebrated expression proposed by Veneziano several decades ago. This motivates us to also use holography in order to argue that the continuum expression for the scattering amplitude is related to the result obtained from flat space string theory. Our results hint that at strong coupling and large-Nc the naive continuum limit of the lattice formalism can be related to a flat space string theory. Melhoramento do trigo: II. Estudo genético de fontes de nanismo para a cultura do trigo Wheat breeding II: genetic studies of different sources of dwarfism in wheat. Os cultivares escolhidos para este estudo representaram um largo espectro de diversidade genética para altura das plantas para as nossas condições. Todas as fontes de porte baixo foram eficientes em reduzir o porte do cultivar IAC-5, porém Tordo seria a melhor fonte pela ocorrência de maior freqüência de indivíduos de porte baixo e com altas produções, nas populações estudadas. Parents, F1's, F2's and reciprocal backcrosses were tested for grain yield and height in an experiment carried out at. We consider meson scattering in the framework of the lattice strong coupling expansion. A study of multiplicity scaling of particles produced in 16O-nucleus collisions. Koba-Nielsen- Olesen KNO scaling has been a dominant framework to study the behaviour of multiplicity distribution of charged particles produced in high-energy hadronic collisions. Several workers have made attempt to investigate multiplicity distributions of particles produced in hadron-hadron h-h , hadron-nucleus h-A and nucleus-nucleus A-A collisions at relativistic energies. Multiplicity distributions in p-nucleus interactions in emulsion experiments are found to be consistent with the KNO scaling. The applicability of the scaling of multiplicities was extended to FNL energies by earlier workers. Slattery has shown that KNO scaling is in agreement with the data on pp interactions over a wide-range of energies. An increase in turbidity within the lagoon may reduce the ecosystem health due to hindered light penetration. A threat to the lagoonal Furthermore the planned construction of a tunnel between Germany and Denmark may propose a threat to the lagoon due to a possible Mussels can reduce the SSC in marine environments Schröder et al. In the present study we developed a module to include Full Text Available Flavobacterium psychrophilum is a devastating bacterial pathogen of salmonids reared in freshwater worldwide. So far, serological diversity between isolates has been described but the underlying molecular factors remain unknown. By combining complete genome sequence analysis and the serotyping method proposed by Lorenzen and Olesen for a set of 34 strains, we identified key molecular determinants of the serotypes. This knowledge allowed us to develop a robust multiplex PCR-based serotyping scheme, which was applied to bacterial isolates. The results revealed a striking association between PCR-serotype and fish host species and illustrate the use of this approach as a simple and cost-effective method for the determination of F. PCR-based serotyping could be a useful tool in a range of applications such as disease surveillance, selection of salmonids for bacterial coldwater disease resistance and future vaccine formulation. Vortices and quark confinement in non-Abelian gauge theories. Non-Abelian vortices of the type proposed by Nielsen and Olesen are discussed. It is shown that the vortices must contain a single unit of quantized flux absorbed by a Dirac monopole at each end. The monopoles satisfy a confinement condition; if quark numbers are assigned to the monopoles, is is found that the model contains a natural explanation of quark confinement. The I-spin variables associated with the non-Abelian gauge field correspond to the colour degree freedom. An alternative model in which colour charges and monopoles are interchanged is also suggested. The Higgs field which breaks the degeneracy of the vacuum is replaced by an operator which creates monopoles of the type suggested by 't Hooft. In such a model colour might be confined. The investigations are at a very preliminary stage, but the model appears to offer a natural explanation of confinement without the explicit introduction of monopole fields. Scaling in multiplicity distributions of heavy, black and grey prongs in nuclear emulsions. The validity of Koba-Nielsen- Olesen scaling hypothesis was examined in the case of heavy, black, and grey prongs in proton-emulsion collisions 'heavy' means 'either black or grey'. The average multiplicities of these prongs were computed in the region 0. Phenomenology of symmetry breaking from extra dimensions. Motivated by the electroweak hierarchy problem, we consider theories with two extra dimensions in which the four-dimensional scalar fields are components of gauge boson in full space. We explore the Nielsen- Olesen instability for SU N on a torus, in the presence of a magnetic background. A field theory approach is developed, computing explicitly the minimum of the complete effective potential, including tri-linear and quartic couplings and determining the symmetries of the stable vacua. We also develop appropriate gauge-fixing terms when both Kaluza-Klein and Landau levels are present and interacting, discussing the interplay between the possible six and four dimensional choices. The equivalence between coordinate dependent and constant Scherk-Schwarz boundary conditions - associated to either continuous or discrete Wilson lines - is analyzed. The struggle with employee engagement: Measures and construct clarification using five samples. However, challenges to the scale's validity have raised major concerns about the measurement and conceptualization of engagement as a construct. Across 4 field samples, we examined 2 measures of engagement, the UWES and the Job Engagement Scale JES , in both factor structure and patterns of relationships with theoretically hypothesized antecedents and consequences. In a fifth field sample, we examined the construct-level relationships between engagement and related variables, while controlling for sources of measurement error i. By examining 2 measures, each derived from different theoretical bases, we provide unique insight into the measurement and construct of engagement. The UWES, more so than the JES , assesses engagement with overlap from other job attitudes, requiring improvement in the measurement of engagement. We offer guidance as to when to use each measure. Furthermore, by isolating the construct versus measurement of engagement relative to burnout, commitment, stress, and psychological meaningfulness and availability, we determined a the engagement construct is not the same as the opposite of burnout, warranting a reevaluation of the opposite-of-burnout conceptualization of engagement; and b psychological meaningfulness and engagement are highly correlated and likely reciprocally related, necessitating a modification to the self-role-expression conceptualization of engagement. The integrated luminosity of 2. We adopt a neural-network algorithm to select candidate events from six or more jets. At least one of these jets should be required to be b jet, as identified by the reconstruction of a secondary vertex inside the jet. The mass measurement is based on a likelihood fit incorporating reconstructed mass distributions representative of signal and background, where the absolute jet energy scale JES is measured simultaneously with the top quark mass. The measurement yields a value of Top quark mass and W boson mass constrain the mass of the Standard Model Higgs boson, indirectly. Certes, le système proposé Mais on ne saurait le taxer d'arbitraire, prétendre qu'il dépasse la réalité des données, et n'y voir qu'une vue personnelle et subjective de son auteur Pour être plus abstraits et plus difficiles à saisir que Jes faits morphologiques, Jes faits syntaxiques n'en ont pas moins une réalité objective. Et ceux qui voudront Jes étudier pour édifier la syntaxe qui nous manque encore peuvent être en tout cas assurés de construire sur un terrain solide" Lucien Tesniere, "Comment construire une syntaxe''. Le projet tesniérien d'une syntaxe structurale - aboutissant aux Élements de syntaxe structurale , deuxieme ed. En fait, ce courant de pensée se présente en premier lieu comme une critique du système des parties du discours: celles-ci ne sont guère des composantes du discours, au sens où elles constitueraient les bases constructives du discours, mais elles sont en fait des parties du système de la langue. Il importe done de franchir le pas, à partir d'elles, vers l'organisation de la phrase. Se utilizó como método la entrevista semi estructurada aplicada a u Décadas de oro de la centenaria SMP. Plan estratégico Restaurante Centolla. La empresa Crisantemo Gourmet S. El presente plan estratégico tiene como propósito principal incrementar los ingresos y lograr el posicionamiento del Restaurante Centolla en el mercado a fin de que sea reconocido como uno de los mejores restaurantes de comida japonesa y marina, es decir, que goce de la preferencia de los clientes por la Y, a la vez, la inmortalidad de los persona - jes de leyenda, literarios, pictóricos, musicales y cinem A metodologia utilizada combina a releitura do model Una experiencia del atletismo en Cantabria. Instituto Nacional de Educación Física, curso Consta de los siguientes capítulos: enseñanza del atletismo, iniciación al atletismo, la lección de iniciación al atletismo, iniciación a las carreras, experiencias personales, conclusiones y bibliografía. Se escogió realizar el trabajo en pequeños grupos, concretamente se formaron un tot Maria Zambrano: a philosophical, mystical and poetic journey. Full Text Available Zambrano, María. Obras Completas III. Event with a high mass dijet system: the invariant mass of the two highest-pT jets is 2. The highest pT jet has a pT of GeV, and an eta of No other jets are found with pT above 20 GeV. Event collected on 4 July El volumen, de tamaño considerable, ha sido coordinado por la Dra. Costos de producción en la cría de pollos de engorde. Se realiza un esbozo de la política agrícola gubernamental venezolana; se caracteriza el proceso productivo, específicamente el de engorde de pollo de las empre Génesis y autoría de La torre de los siete jorobados de Emilio Carrère. The origin of some additional texts and their later exploitation in a new novel, La calavera de Atahualpa, are also established. A brief analysis on the filmic adaptation of the novel is finally provided. Se establece también el origen de algunos textos adicionales y su posterior utilización en una segunda novela: La calavera de Atahualpa. Con el extrañamiento de los jesuitas todas sus propiedades pasaron a la Junta de las Temporalidades que se encargaron de la administración de las haciendas hasta que éstas se pudieron vender Ramalina Lichens en los parques de Lima. Así pueden entenderse las principales divergencias que existen en tre los musulmanes y los otros fieles monoteístas. Colors and prototypes. Performance Indicatoren1 KPI. Sustainable Health and Wellness Destinations. Atance Martínez, Juan Carlos, codir. A Marte a través del cine. Ficción y realidad. Grabación y edición de los vídeos: DC SciComm. The Illustrious Company? Memory and hagiography through the lifes of the jesuits fathers Juan Eusebio Nieremberg and Alonso de Andrade Una biografía inmoral: La vida de Aldao. Los pasa- jes desde la escritura de la propia vida, que lee- mos en Mi defensa de y en Viajes de , a la escritura de la vida de los otros en Aldao y Facundo , ambos de , parecen culminar en Recuerdos de provincia que logra reunir los dos mov Udgangspunktet for denne thinking note udspringer fra en kritisk forholden til multikulturalismen. Jeg indleder IFEA 60 años. La transmisión del valor de la marca en entornos influenciados por las redes sociales: comportamiento del usuario y entendimiento para una nueva comunicación. La primera, una base teórica sobre la nueva sociedad de la información, los consumidores, las redes sociales y la comunicación con las marcas y una segunda, fundamental y empírica que se presenta una metodología de conocimiento centrada en un estudio de futuro sobre la Su objetivo es disciplinar y controlar todas y cada una de las actividades y operaciones llevadas a cabo en la empresa con la finalidad de mejorar los resultados. Al prever y disciplinar los costos p However, this demands careful interpretation since the plane of polarisation is altered upon reflection at non -normal angles of incidence, due Políticas nacionales de salud y decisiones locales en México: el caso del Hospital Mixto de Cuetzalan, Puebla National health policies and local decisions in Mexico: the case of an intercultural hospital in Cuetzalan, Puebla. OBJETIVO: Identificar la evolución del hospital del municipio de Cuetzalan a partir de la influencia que diversos elementos del contexto nacional e internacional han tenido sobre ella. Durante el trabajo de campo se obtuvo información a través de 72 entrevistas semiestructuradas con terapeutas alópatas e in Políticas nacionales de salud y decisiones locales en México: el caso del Hospital Mixto de Cuetzalan, Puebla. The assassination of journalist Eudoro Galarza Ossa is a symbolic case inColombia. The case of GalarzaOssa is emblematic for two reasons. The primary one is that he was the firstjournalist killed in Colombia on October 12, for doing his job. Endelig tegnes et billede af de teoretiske tilgange, der har inspireret ham, bl. Sutton-Smith, Bateson og Clifford Geertz El contexto oral como aporte vital en la enseñanza de lectoescritura en la Unidad Educativa Intercultural Bilingüe Monseñor Leonidas Proaño de Riobamba. Los y las estudiantes son pertenecientes a las comunidades indígenas. El propósito de esta investigac Sobre la píldora del día después: aspectos a tener en cuenta. Estrés, coping y autoeficacia en profesores de Madeira. Para evaluar las variables de estudio, se utilizó el cuestionario sobre Factores Socioeconómicos de la Familia y su influencia en el rendimiento académico de los estudiantes de Enfermería Técnica en los Institutos Superiores Tecnológicos privados de Juliaca - Se evidencia que, los factores socioeconómicos de la Familia tienen enorme influencia en el rendimiento académico de los estudiantes de la carrera profesional de enfermería técnica de Ethical and psychological factors in 5S and total productive maintenance. The questionnaire survey already has been tested. Thus, based on the findings, organisations are recommended to provide financial and moral support to employees to enable a comprehensive implementation of 5S and TPM aimed at obtaining the desired results. Where, these studies have focused on studying the other factors such as organizational, technological, operational and others in implementing 5S and TPM. This without realizing the fact that it is also necessary to examine factors such as ethical and psychological that would affect the capabilities and employee morale before and during the implementation of those techniques 5S and TPM that are used to bring out the best productivity. The purpose of this paper is to investigate the role of ethical and psychological factors in the implementation of 5S and TPM at cement plants in Kurdistan Region of Iraq. Findings: The findings of this paper revealed that ethical factors had a larger role than psychological factors in the implementation. A Measurement of the Top Quark Mass in 1. The measurement approach is that of a matrix element method. For each candidate event, a two dimensional likelihood is calculated in the top pole mass and a constant scale factor, ' JES ', where JES multiplies the input particle jet momenta and is designed to account for the systematic uncertainty of the jet momentum reconstruction. As with all matrix element techniques, the method involves an integration using the Standard Model matrix element for t bar t production and decay. However, the technique presented is unique in that the matrix element is modified to compensate for kinematic assumptions which are made to reduce computation time. Background events are dealt with through use of an event observable which distinguishes signal from background, as well as through a cut on the value of an event's maximum likelihood. Results are based on a pb -1 data sample, using events with a high-p T lepton and exactly four high-energy jets, at least one of which is tagged as coming from a b quark; events pass all the selection requirements. For both documental and stylistic reasons, the author attributes to Benavente the drawing from a Florentine private collection until now attributed to Alonso Cano. Consideramos suyo el dibujo de colección particular florentina hasta ahora atribuido a Alonso Cano, lo que defendemos por razones documentales y estilísticas. We have measured the top quark mass with the dynamical likelihood method. The data corresponding to an integrated luminosity of 1. In order to reconstruct the top quark mass, we use the dynamical likelihood method based on maximum likelihood method where a likelihood is defined as the differential cross section multiplied by the transfer function from observed quantities to parton quantities, as a function of the top quark mass and the jet energy scale JES. With this method, we measure the top quark mass to be Santa Teresa y sus cartas, historia de los sentimientos. Full Text Available Historical reflection on a peculiar dimension of St. Teresa of Jesus: the expression of her feelings in her writings, particularly in her abundant letters. The article focuses on the sense of humor, the joyfulness, and the importance of laughter in St. Teresa language, and also on the feeling of endearment with her family, with her order, with fray Juan de la Cruz. Ample space is dedicated to the tenderness towards girls in her convents. Teresa of Jesus appears as transgressor of 16th century social behaviours. El artículo se centra en el sentido del humor, de la alegría, en la importancia de la risa en el lenguaje de santa Teresa y en el sentimiento de ternura con su familia, con su orden, con fray Juan de la Cruz. Se dedica un espacio amplio a la ternura hacia las niñas en sus conventos. The article describes the evolution of ecclesiastical discourse about female religiosity from the first manifestations of Illuminism. It stands the significance of the work of Teresa of Jesus in the construction of the female visionary world. It demonstrated the effort by combining the legitimacy of the visions of Teresa with progressive ecclesiastical misgivings about the female imagination. Urbanismo y Sociedad en Hispania. Madrid : Istmo, Religiones de la España Antigua. Hemer, J.. Eisenbrauns : Winona Lake, Sowners Grove and Leicester : InterVarsity, Madrid : Editorial Trotta, I: The Roots of the Probiem and the Person..

Contaminación por mercurio de leche materna de madres lactantes de municipios de Antioquia con explotación minera de oro. Determinar la prevalencia de la contaminación con mercurio de la leche materna de mujeres lactantes residentes en los municipios con explotación minera de oro.

Se calculó el promedio de la concentración de mercurio y las prevalencias municipales de contaminación. Estudio fenomenologico del conocimiento curricular y conocimiento de contenido en maestros de matematica a nivel secundario.

En esta investigacion se estudio el fenomeno del conocimiento de contenido y el conocimiento curricular de maestros de matermaticas y como estos dos componentes se reflejan en su conocimiento pedagogico del contenido. El conocimiento de contenido es el conocimiento que tienen los maestros de los contenidos de una disciplina y sobre la estructura de su organizacion Shulman, Este Darrin kenneth obrien esposa disfunción sexual se enmarca en el paradigma cualitativo, teniendo como diseno el estudio fenomenologico Lucca y Berrios, ; McMillan, Paul L.

Sunny A. Gregory S. Jeffrey M. James H. Elliot M. Andrew M. LuksMD University of Washington. Lawrence R. Shalini S. Robert J. Marcella A. James M. Paul M. Melissa G. Marko, PhD Nestle Nutrition. Daphne E. Viraj A. John T. Margaret Click. Douglas L.

Robert S. Darrin kenneth obrien esposa disfunción sexual Health Care. Jessica E. James I. Pamela J. Noshir R. Matthew C. Daniel R. click

Vittorio colao esposa disfunción sexual

Mishell, Jr. Richard T. Joel L. Paul K. Nimish A. Julie S. Stephanie M. Richard E. Sheldon R. Sam P. Ann P. David F. David G. Carlene A.

Raj K. Edward A. Linda P. Alana M. Lee S. Mary Lynn R. John K. Alexander S. Patrick G. Robert E. Adedamola A. Gerald F.

Nicholas T. Victor E. James T. Elizabeth H. Elizabeth J. Roy A. Bhakti K. PatelMD University of Chicago. Avinash S. Patil, MD University of Arizona. David A. Richard D. Alicia R. Lawrence L. Pelletier, Jr. Emily J. Daniel M. Feggy Ostrosky Shejet, Dra. Rosa Elena Ulloa Flores, Dra. Isabel Reyes Lagunes, Dr. State-of-the-art of the historical seismology in Colombia. Full Text Available In Colombia are available a discreet number of historical seismology investigations, dating back 50 years.

This paper reviews basic information about earthquakes studies in Colombia, such as primary sources, compilation of descriptive catalogues and parametric catalogues. During the last 20 years, great earthquakes hit Colombia and, as consequence, historical seismology investigation was developed in the frame of seismic hazard projects.

Palagonia, M. Additional JES uncertainties due to specific eve De altid transitive kan yderligere inddeles i divalente og trivalente verber. De trivalente verber knytter subjekt i relativ, direkte objekt i absolutiv og det tredje argument i oblik kasus De ambitransitive er ofte divalente verbalstammer. Simultaneous measurement of top quark mass and jet energy scale using template fits at the CMS Darrin kenneth obrien esposa disfunción sexual.

A sample of 78 events is selected by requiring exactly one isolated muon and at least four jets, two of them being identified as jets from the decay of b quarks. The trijet mass, M3, and the dijet mass, M2, are reconstructed, taking into account the b-tagging information. M3 and M2 are estimators of the masses of hadronically decaying top quarks and the corresponding W bosons, respectively.

Based on the precise knowledge of the W boson mass, M2 provides a strong handle on the energy scale of jets from light quarks. The overall JES in the selected sample is found to be 1. Furthermore, the Click here measurement is an important input for the commissioning of the CMS experiment for the upcoming measurements with more data in the near future.

The mass of the top quark is a fundamental parameter of the Standard Model. Darrin kenneth obrien esposa disfunción sexual precise knowledge yields valuable insights into unresolved phenomena in and beyond the Standard Model. Events are selected requiring an isolated energetic charged lepton electron or muonsignificant missing transverse energy, and exactly four calorimeter jets.

For each event, the probabilities to originate from the signal and background processes are calculated based on the measured kinematics, the object resolutions and the respective matrix elements. The jet energy scale is known to be the dominant source of systematic uncertainty. The reference scale for the mass measurement is derived from Monte Carlo events. The top mass is obtained from a two-dimensional correlated fit, and the likelihood yields both the statistical and jet energy scale uncertainty.

The measurement forecasts significant improvements to the total top mass uncertainty during Run II before the startup of the LHC, as the data sample will grow by a factor of ten and D0's tracking capabilities will be Darrin kenneth obrien esposa disfunción sexual in jet energy reconstruction and flavor identification. This is one of the first measurements of m t at the Large Hadron Collider. For example, Darrin kenneth obrien esposa disfunción sexual theology of conscience, or unvordenklich, with which he desires to account for the divine measuring of the human rhythm in the development of the man Jesus, shows us a perception of human consistency and its steady development as free human destiny, rather different from the possible, somewhat monophysite derivations of neo-Chalcedonian theology.

The descendent accent of Balthasarian Christology is articulated with a sharp consciousness of the status exinanitionis of Jesus. Even his controversial.

Vogan, Jr. Over the last forty years, David Vogan has left an indelible imprint on the representation theory of reductive groups. His groundbreaking ideas have lead to deep advances in the theory this web page real and p-adic groups, and have forged lasting connections with other subjects, including number theory, automorphic forms, algebraic geometry, and combinatorics. Representations of Reductive Groups is an outgrowth of the conference of the same name, dedicated to David Vogan on his 60th birthday, which took place at MIT on May This volume highlights the depth and breadth of Vogan's influence over the subjects mentioned above, and point to many exciting new directions that remain to be explored.

Notably, the first article by McGovern and Trapa offers Darrin kenneth obrien esposa disfunción sexual overview source Vogan's body of work, placing his ideas in a historical context. Contributors: Pramod N. Achar, Jeffrey D.

Gross, Xuhua He, Jing-Son Calretinin a kDa calcium binding protein is expressed widely in normal human tissue and tumours including amelobastoma. The objective of this study was to determine calretinin expression in heamatoxylin and eosin diagnosed cases of ameloblastoma and non-neoplastic odontogenic cysts. The lining epithelium in 3 cases of radicular cysts, 5 cases of odontogenic keratocysts, 5 cases of dentigerous cysts and 11 cases of ameloblastomas were examined for expression of calretinin.

No positive epithelial staining was observed in radicular and dentigerous cysts. Calretinin may be a specific immunohistochemical marker for ameloblastoma. If there is any possible relation between calretinin expression and neural origin of the odontogenic epithelium and its neoplastic transformation and if calretinin could be Darrin kenneth obrien esposa disfunción sexual as an early marker to predict the tendency of neoplastic change of odontogenic Darrin kenneth obrien esposa disfunción sexual could be answered through further researches.

J Int Oral Health ; 5 6 Matrix metalloproteinases during and outside of migraine attacks without aura. Cephalalgia In addition, we measured plasma levels of several other There was no difference between ictal The confining and topological properties of the compact Abelian Higgs model with doubly-charged Higgs field in three space-time dimensions are studied.

We consider the London limit of the model. We show that the monopoles are forming chainlike structures kept together by Abrikosov-Nielsen- Olesen vorticesthe presence of which is essential for getting simultaneously permanent confinement of singly-charged particles and breaking of the string spanned between doubly-charged particles. In the confinement phase, the chains are forming percolating clusters, while in the deconfinement Higgs phase, the chains are of finite size.

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The described picture is in close analogy with the synthesis of the Abelian monopole and the center vortex pictures in confining non-Abelian gauge models. The screening properties of the vacuum are studied by means of the photon propagator in the Landau gauge. Predicting artificailly drained areas by means of selective model ensemble. The approaches employed include decision trees, discriminant analysis, regression models, neural networks and support vector machines amongst others.

Several models are trained with each method, using variously the original soil covariates and principal components of the covariates. With a large ensemble A number of machine learning approaches can be used to predict artificially drained areas in geographic space. However, instead of choosing the most accurate model The study aims firstly to train a large number of models to predict the extent of artificially drained areas using various machine learning approaches.

Secondly, the study will develop a method for selecting the models, which give a good prediction of artificially drained areas, when used Darrin kenneth obrien esposa disfunción sexual conjunction Beyond KNO scaling. A generalization of the Koba-Nielsen- Olesen scaling law of the multiplicity distributions P n is presented. It consists of a change in the normalization point of P n compensated by a suitable change in the renormalized parameters and a rescaling.

The iterative repetition of the transformation yields the sequence of higher-order moment distributions of P n. Each member of this sequence may exhibit data collapsing behavior in case of violation of the original KNO scaling hypothesis.

It is shown that the iterative procedure can be viewed as varying the collision energy, i. The fixed points of the iteration will be determined and a consistency test based on Feynman scaling is to be given. Assessment of demyelination, edema, and gliosis by in vivo determination of T1 and T2 in the brain of patients with acute attack of multiple sclerosis. Darrin kenneth obrien esposa disfunción sexual measurements were repeated several times, from onset of the disease and during remission by use of six-point partial saturation inversion recovery and echo multiple spin-echo sequences, giving T1 and T2, respectively.

We Darrin kenneth obrien esposa disfunción sexual focused on the issue, whether T Hendriksen, and J. OlesenMagn. Darrin kenneth obrien esposa disfunción sexual some of the acute plaques a slight initial increase in T1 and T2 was seen, when the measurement was repeated in about 10 days.

Thereafter T1 decreased slowly in all but one patient as a function of days. In all cases the T1 relaxation process Transformation in the management of Danish public-sector.

Of interest in this paper is the way in which social Darrin kenneth obrien esposa disfunción sexual, as suggested in Olesen et al. Alvesson argues that there is a just click for source degree of ambiguity associated with: 1 what counts as knowledge, 2 how individuals create knowledge, and 3 what are the results of knowledge.

The social psychology of organizations, 2nd ed. Lee, J. Of politics and purpose: Political salience and goal ambiguity of US federal agencies. Public Administration, 87 3— Maslach, C.

Banged tube Watch Porn Movies Madamme Porno. Il importe done de franchir le pas, à partir d'elles, vers l'organisation de la phrase. Se utilizó como método la entrevista semi estructurada aplicada a u Décadas de oro de la centenaria SMP. Plan estratégico Restaurante Centolla. La empresa Crisantemo Gourmet S. El presente plan estratégico tiene como propósito principal incrementar los ingresos y lograr el posicionamiento del Restaurante Centolla en el mercado a fin de que sea reconocido como uno de los mejores restaurantes de comida japonesa y marina, es decir, que goce de la preferencia de los clientes por la Y, a la vez, la inmortalidad de los persona - jes de leyenda, literarios, pictóricos, musicales y cinem A metodologia utilizada combina a releitura do model Una experiencia del atletismo en Cantabria. Instituto Nacional de Educación Física, curso Consta de los siguientes capítulos: enseñanza del atletismo, iniciación al atletismo, la lección de iniciación al atletismo, iniciación a las carreras, experiencias personales, conclusiones y bibliografía. Se escogió realizar el trabajo en pequeños grupos, concretamente se formaron un tot Maria Zambrano: a philosophical, mystical and poetic journey. Full Text Available Zambrano, María. Obras Completas III. Event with a high mass dijet system: the invariant mass of the two highest-pT jets is 2. The highest pT jet has a pT of GeV, and an eta of No other jets are found with pT above 20 GeV. Event collected on 4 July El volumen, de tamaño considerable, ha sido coordinado por la Dra. Costos de producción en la cría de pollos de engorde. Se realiza un esbozo de la política agrícola gubernamental venezolana; se caracteriza el proceso productivo, específicamente el de engorde de pollo de las empre Génesis y autoría de La torre de los siete jorobados de Emilio Carrère. The origin of some additional texts and their later exploitation in a new novel, La calavera de Atahualpa, are also established. A brief analysis on the filmic adaptation of the novel is finally provided. Se establece también el origen de algunos textos adicionales y su posterior utilización en una segunda novela: La calavera de Atahualpa. Con el extrañamiento de los jesuitas todas sus propiedades pasaron a la Junta de las Temporalidades que se encargaron de la administración de las haciendas hasta que éstas se pudieron vender Ramalina Lichens en los parques de Lima. Así pueden entenderse las principales divergencias que existen en tre los musulmanes y los otros fieles monoteístas. Colors and prototypes. Performance Indicatoren1 KPI. Sustainable Health and Wellness Destinations. Atance Martínez, Juan Carlos, codir. A Marte a través del cine. Ficción y realidad. Grabación y edición de los vídeos: DC SciComm. The Illustrious Company? Memory and hagiography through the lifes of the jesuits fathers Juan Eusebio Nieremberg and Alonso de Andrade Una biografía inmoral: La vida de Aldao. Los pasa- jes desde la escritura de la propia vida, que lee- mos en Mi defensa de y en Viajes de , a la escritura de la vida de los otros en Aldao y Facundo , ambos de , parecen culminar en Recuerdos de provincia que logra reunir los dos mov Udgangspunktet for denne thinking note udspringer fra en kritisk forholden til multikulturalismen. Jeg indleder IFEA 60 años. La transmisión del valor de la marca en entornos influenciados por las redes sociales: comportamiento del usuario y entendimiento para una nueva comunicación. La primera, una base teórica sobre la nueva sociedad de la información, los consumidores, las redes sociales y la comunicación con las marcas y una segunda, fundamental y empírica que se presenta una metodología de conocimiento centrada en un estudio de futuro sobre la Su objetivo es disciplinar y controlar todas y cada una de las actividades y operaciones llevadas a cabo en la empresa con la finalidad de mejorar los resultados. Al prever y disciplinar los costos p However, this demands careful interpretation since the plane of polarisation is altered upon reflection at non -normal angles of incidence, due Políticas nacionales de salud y decisiones locales en México: el caso del Hospital Mixto de Cuetzalan, Puebla National health policies and local decisions in Mexico: the case of an intercultural hospital in Cuetzalan, Puebla. OBJETIVO: Identificar la evolución del hospital del municipio de Cuetzalan a partir de la influencia que diversos elementos del contexto nacional e internacional han tenido sobre ella. Durante el trabajo de campo se obtuvo información a través de 72 entrevistas semiestructuradas con terapeutas alópatas e in Políticas nacionales de salud y decisiones locales en México: el caso del Hospital Mixto de Cuetzalan, Puebla. The assassination of journalist Eudoro Galarza Ossa is a symbolic case inColombia. The case of GalarzaOssa is emblematic for two reasons. The primary one is that he was the firstjournalist killed in Colombia on October 12, for doing his job. Endelig tegnes et billede af de teoretiske tilgange, der har inspireret ham, bl. Sutton-Smith, Bateson og Clifford Geertz El contexto oral como aporte vital en la enseñanza de lectoescritura en la Unidad Educativa Intercultural Bilingüe Monseñor Leonidas Proaño de Riobamba. Los y las estudiantes son pertenecientes a las comunidades indígenas. El propósito de esta investigac Sobre la píldora del día después: aspectos a tener en cuenta. Estrés, coping y autoeficacia en profesores de Madeira. Para evaluar las variables de estudio, se utilizó el cuestionario sobre Factores Socioeconómicos de la Familia y su influencia en el rendimiento académico de los estudiantes de Enfermería Técnica en los Institutos Superiores Tecnológicos privados de Juliaca - Se evidencia que, los factores socioeconómicos de la Familia tienen enorme influencia en el rendimiento académico de los estudiantes de la carrera profesional de enfermería técnica de Ethical and psychological factors in 5S and total productive maintenance. The questionnaire survey already has been tested. Thus, based on the findings, organisations are recommended to provide financial and moral support to employees to enable a comprehensive implementation of 5S and TPM aimed at obtaining the desired results. Where, these studies have focused on studying the other factors such as organizational, technological, operational and others in implementing 5S and TPM. This without realizing the fact that it is also necessary to examine factors such as ethical and psychological that would affect the capabilities and employee morale before and during the implementation of those techniques 5S and TPM that are used to bring out the best productivity. The purpose of this paper is to investigate the role of ethical and psychological factors in the implementation of 5S and TPM at cement plants in Kurdistan Region of Iraq. Findings: The findings of this paper revealed that ethical factors had a larger role than psychological factors in the implementation. A Measurement of the Top Quark Mass in 1. The measurement approach is that of a matrix element method. For each candidate event, a two dimensional likelihood is calculated in the top pole mass and a constant scale factor, ' JES ', where JES multiplies the input particle jet momenta and is designed to account for the systematic uncertainty of the jet momentum reconstruction. As with all matrix element techniques, the method involves an integration using the Standard Model matrix element for t bar t production and decay. However, the technique presented is unique in that the matrix element is modified to compensate for kinematic assumptions which are made to reduce computation time. Background events are dealt with through use of an event observable which distinguishes signal from background, as well as through a cut on the value of an event's maximum likelihood. Results are based on a pb -1 data sample, using events with a high-p T lepton and exactly four high-energy jets, at least one of which is tagged as coming from a b quark; events pass all the selection requirements. For both documental and stylistic reasons, the author attributes to Benavente the drawing from a Florentine private collection until now attributed to Alonso Cano. Consideramos suyo el dibujo de colección particular florentina hasta ahora atribuido a Alonso Cano, lo que defendemos por razones documentales y estilísticas. We have measured the top quark mass with the dynamical likelihood method. The data corresponding to an integrated luminosity of 1. In order to reconstruct the top quark mass, we use the dynamical likelihood method based on maximum likelihood method where a likelihood is defined as the differential cross section multiplied by the transfer function from observed quantities to parton quantities, as a function of the top quark mass and the jet energy scale JES. With this method, we measure the top quark mass to be Santa Teresa y sus cartas, historia de los sentimientos. Full Text Available Historical reflection on a peculiar dimension of St. Teresa of Jesus: the expression of her feelings in her writings, particularly in her abundant letters. The article focuses on the sense of humor, the joyfulness, and the importance of laughter in St. Teresa language, and also on the feeling of endearment with her family, with her order, with fray Juan de la Cruz. Ample space is dedicated to the tenderness towards girls in her convents. Teresa of Jesus appears as transgressor of 16th century social behaviours. El artículo se centra en el sentido del humor, de la alegría, en la importancia de la risa en el lenguaje de santa Teresa y en el sentimiento de ternura con su familia, con su orden, con fray Juan de la Cruz. Se dedica un espacio amplio a la ternura hacia las niñas en sus conventos. The article describes the evolution of ecclesiastical discourse about female religiosity from the first manifestations of Illuminism. It stands the significance of the work of Teresa of Jesus in the construction of the female visionary world. It demonstrated the effort by combining the legitimacy of the visions of Teresa with progressive ecclesiastical misgivings about the female imagination. Urbanismo y Sociedad en Hispania. Madrid : Istmo, Religiones de la España Antigua. Hemer, J.. Eisenbrauns : Winona Lake, Sowners Grove and Leicester : InterVarsity, Madrid : Editorial Trotta, I: The Roots of the Probiem and the Person. New York : Doubieday, El cine y el Mundo Antiguo. Las falsificaciones de la Historia en relación con la de España. Barcelona : Editorial Seix Barral, S. The JES is validated for jet transverse momenta up to 1 TeV to the level of a few percent using several in situ techniques by comparing a well-known reference such as the recoiling photon pt, the sum of the transverse momenta of tracks associated to the jet, or a system of low-pt jets recoiling against a high-pt jet. More sophisticated jet calibration schemes are presented based on calorimeter cell energy density weighting or hadronic properties of jets, p Melhoramento do trigo: V. Heritability estimates and correlations between plant height, grain yield and other agronomic characteristics in wheat. Nas populações estudadas a característica porte alto foi correlacionada. Morphodynamics structures induced by variations of the channel width. In alluvial channels, forcing effects, such as a longitudinally varying width, can induce the formation of steady bars Olesen , The type of bars that form, such as alternate, central or multiple, will mainly depend on the local flow width-to-depth ratio and on upstream conditions Struiksma et al. The effects on bar formation of varying the channel width received attention only recently and investigations, based on flume experiments and mathematical modelling, are mostly restricted to small longitudinal sinusoidal variations of the channel width e. Repetto et al. In this work, we analyze the variations in equilibrium bed topography in a longitudinal width-varying channel with characteristic scales of the Waal River The Netherlands using two different 2D depth-averaged morphodynamic models, one based on the Delft3D code and one on Telemac-Mascaret system. In particular, we explore the effects of changing the wavelength of sinusoidal width variations in a straight channel, focusing on the effects of the spatial lag between bar formation and forcing that is observed in numerical models and laboratory experiments e. Crosato et al, We extend the investigations to finite width variations in which longitudinal changes of the width-to-depth ratio are such that they may affect the type of bars that become unstable alternate, central or multiple bars. Numerical results are qualitatively validated with field observations and the resulting morphodynamic pattern is compared with the physics-based predictor of river bar modes by Crosato and Mosselman The numerical models are finally used to analyse the experimental conditions of Wu and Yeh The study should be seen as merely exploratory. The aim is to investigate possible approaches for future research aiming at assessing the effects of artificial river widening and narrowing to control bar formation in. Lucas 12, El empleo del género macarisma es especialmente relevante en la tradición de los evangelios sinópticos, en especial en Lucas y Mateo, estando totalmente ausente en Marcos. Pero al mismo tiempo lo adapta a la nueva situación del anuncio del Reino de Dios. En el caso de las bienaventuranzas lucanas, los macarismas, propios de la escuela sapiencial, son complementados con lamentos, propios de las escuelas proféticas. A propósito de la legitimidad en la investigación cualitativa About legitimacy in qualitative research A propósito da legitimidade na pesquisa qualitativa. Full Text Available ResumenEl artículo presenta dos líneas de pensamiento, desde las cuales se tensionan algunos postulados relacionados con la legitimidad de la investigación cualitativa, en relación con asuntos como la validez como camino para ganar dicha legitimidad. En el texto se toma posición por la investigación, fundamentalmente, como una actividad de producción discursiva, que se rige por la argumentación como la vía para garantizar su legitimidad. AbstractThis article presents two lines of thought that provoke tension among some postulates related to legitimacy in qualitative research; those related to issues like validity as a way to achieve legitimacy. I take a stance for research, basically, as an activity of discursive production that follows argumentation to guarantee its legitimacy. The deaf cannot see: An accumulation of blindness and deafness as combined theme in Isaiah 42 and Full Text Available In the Bible the words blind and deaf occur nine times in the same sentence. An accumulation of such sentences is found in Isaiah 42 and 43, where it occurs three times Is , 19; Blindness is also mentioned in two further sentences in these chapters. Not only is it stated that the people of God is blind, but Israel also accuses Yahweh that their way is hidden from him Is Have you not heard? In die Bybel kom die woorde blind en doof nege keer saam in dieselfde sin voor. Blindheid word ook in twee verdere sinne in hierdie hoofstukke genoem. Nie alleen word dit gestel dat die volk van God blind is nie, maar die volk beskuldig God dat Hy nie raaksien wat van hulle word nie Jes Het julle nie gehoor nie? Die tema van blind- en doofheid word sodoende uit Jesaja 1 en 6 voortgesit in die. Universality of the underlying event in p p collisions. We show that the center-of-mass energy dependences of the charged-particle production sensitive to the underlying event "transverse" region and to the hardest partonic interaction "towards" and "away" regions in p p collisions can be both understood in terms of the change of the inclusive average multiplicity. The scaling properties reported here are well reproduced by pythia 8. Based on the simulations, we observed that the same scaling properties are also present in the average number of multipartonic interactions as a function of the leading charged particle. Moreover, the multiplicity distributions associated to the underlying event exhibit a Koba-Nielsen- Olesen scaling. In this talk, we explore several sources of the intensity of these overtone and combination bands. A common source of intensity is mode-mode coupling, as is often seen between the proton transfer coordinate and the associated heavy atom vibration. A second important mechanism involves large changes in the dipole moment due the loss of a hydrogen bond. This results in intense overtone transitions involving non-totally symmetric vibrations as well as the introduction of intense combination bands involving intramolecular bending coupled to hindered rotations. Guasco, S. Olesen and M. Johnson, private communication S. Horvath, A. McCoy, J. Roscioli and M. Johnson, J. A, , S. McCoy, B. Eliot, G. Weddle, J. A, , McCoy, M. Sprague and M. Okumura, J. In particular, we consider this theory near Argyres-Douglas AD point where the mass of monopoles connected by these ANO strings become small. In this regime the effective QED which describes the theory on the Higgs branch becomes strongly coupled. We argue that the appropriate description of the theory is in terms of long and thin flux tubes strings with small tension. We interpret this as another example of duality between field theory in strong coupling and string theory in weak coupling. Then we consider the non-critical string theory for these flux tubes which includes fifth Liouville dimension. The perturbation associated with the monopole mass term creates a kink separating UV and IR behavior. We estimate the renormalized string tension and show that it is determined by the small monopole mass. In particular, it goes to zero at the AD point. Melhoramento do trigo: VIII. Associations of grain yield with other agronomic characteristics in crosses involving different sources of dwarfism in wheat. Os dados foram coletados na base de plantas individuais. On the high energy gamma ray spectrum and the particle production model. This result is in good agreement with those of several other groups. We discuss our data in terms of Feynman's and Koba-Nielsen- Olesen 's scaling law of high energy particle production model. Interpreted in terms of an assumption of mild violation of the scaling law as x. Eso era lo suyo. Ropa y cosas. Tuve mucho que ver con ese sonido que se volvió tan popular y se convirtió en platino. Sí, tuve problemas con eso, dado que yo había hecho la mayor parte. Y el principal problema fue mi crédito como tecladista. En ese momento Teddy Riley y todas estas personas eran populares, y todos saben quien es el güey al teclado: ese es el güey que realmente aterriza las cosas. Así que mi quitaron de ahí y me dieron crédito como coproductor. Pero la voluntad de Dios es lo que es y las cosas pasan por una razón. Estuvo ahí ocho meses. Su tío y él estaban juntos, así cuenta la historia, y unos güeyes intentaron asaltarlo. Uno tiene que cuidarse solo, así que agarró lo que pudo e hizo lo que tenía que hacer. Así que acusado de intento de homicidio. Una palanca o algo, para ahuyentarlos. Cumplió su sentencia, pero la ironía fue que su video pegó mientras estaba en prisión. El 19 de enero. Marvin Prince es clave en todo esto. Siento que mi responsabilidad es darle crédito a la gente que no recibió crédito. Fue gracias a Marvin Prince, su mejor amigo. Él llevó a Snow con sus distintos amigos y ellos le hacían dubplates. Y así Snow quedó expuesto a muchas cosas, y escuchó muchas cosas. Así que su estilo es en realidad una mezcla de muchos otros. Multifocal bilateral metatarsal tuberculosis: a rare presentation. Tuberculosis, or phthisis consumption as it was popularly known in the Greek era, has been endemic in Southeast Asia and Sub-Saharan Africa; however, the human immunodeficiency virus epidemic has seen the re-emergence of this disease in the areas in which it was not very commonly reported. With this, the need for understanding and treatment of rare presentations of tuberculosis has become of paramount importance to achieve the World Health Organization millennium goal of a "reversal of incidence by Multifocal lesions have an incidence of histopathologic owing to the paucibacillary nature of the disease. Early identification and treatment with antitubercular drugs will normally result in a good cosmetic and functional result. Multifocal Spinal Cord Nephroblastoma in a Dog. A 1-year-old male American pit bull terrier was presented with a history of proprioceptive deficits and mild lameness of the right hindlimb, which progressed after 5 months to paraparesis, culminating in tetraparesis after 2 weeks. Necropsy findings were limited to the spinal cord and consisted of multiple, intradural, extramedullary, slightly red masses which produced segmental areas of medullary swelling located in the cervical intumescence, thoracolumbar column, sacral segment and cauda equina. Histological evaluation revealed a tumour, composed of epithelial, stromal and blastemal cells, with structures resembling tubules, acini and embryonic glomeruli. Immunohistochemical labelling for vimentin, cytokeratin and S was positive for the stromal, epithelial and blastemal cells, respectively. A final diagnosis of multifocal spinal cord nephroblastoma was established. This is the first report of such a tumour showing concomitant involvement of the cervicothoracic, thoracolumbar, sacral and cauda equina areas of the spinal cord. Lesiones periapicales agudas en pacientes adultos. Se incluyeron todos los pacientes que acudieron al servicio de urgencia y que presentaron lesiones periapicales agudas. Se recogió información de las variables edad, sexo, grupo dentario, causa de la enfermedad, características clínicas e higiene bucal. La higiene bucal resultó estar relacionada con las lesiones periapicales. Se encontraron diferencias significativas en las lesiones periapicales respecto a todas las causas estudiadas, con excepción de las enfermedades periodontales. Respecto a las características clínicas hubo significación en cuanto al aumento de volumen del fondo del surco vestibular y la movilidad dentaria. Purpose To report on the clinical manifestations, complications, and long-term visual prognosis of patients with peripheral multifocal chorioretinitis and to search for predictors for a lower visual outcome. Design Retrospective consecutive observational case series. Methods setting: Institutional. Nuijts, Rudy M. Multicenter study at 8. CT and MRI in progressive multifocal leukoencephalopathy. Radiological findings and course of progressive multifocal leukoencephalopathy in 14 patients 1 woman, 13 men; 13 HIV seropositive, 1 chronic lymphatic leukaemia were analysed retrospectively and correlated with clinical symptoms. CT scans and MR images of 9 patients, which had been obtained in less than two weeks, could be compared to each other. MRI was superior to CT: 6 lesions with a diameter of 1 cm and below were not detected on CT scans, in 5 patients the extent of lesions was underestimated. Cortical involvement, mass effect or signs of atrophy were missing. Only 1 of 65 lesions showed a tiny enhancement after Gd injection. Due to the pattern and spread of lesions, which showed a close correlation to the neurologic symptoms, three different types of PML are suggested: 1. Multifocal multiphoton microscopy with adaptive optical correction. Fluorescence lifetime imaging microscopy FLIM is a well established approach for measuring dynamic signalling events inside living cells, including detection of protein-protein interactions. The improvement in optical penetration of infrared light compared with linear excitation due to Rayleigh scattering and low absorption have provided imaging depths of up to 1mm in brain tissue but significant image degradation occurs as samples distort aberrate the infrared excitation beam. A weighted 3D GS algorithm is employed to improve homogeneity. An added benefit is the implementation of flexible and adaptive optical correction. Adaptive optics performed by means of Zernike polynomials are used to correct for system induced aberrations. Here we present results with significant improvement in throughput obtained using a novel complementary metal-oxide-semiconductor CMOS pixel single-photon avalanche diode SPAD array, opening the way to truly high-throughput FLIM. The pathogenesis of progressive multifocal leukoencephalopathy. Interest in pathogenesis of progressive multifocal leukoencephalopathy PML followed the observation of the high risk for the disease in HIV infection and the recent observation of an association with a variety of newer therapeutic modalities, e. Any hypothesis of PML pathogenesis must account for a number of facts. Firstly, the causative agent JC virus is ubiquitously present, yet only a vanishingly small number of infected persons develop the disease. Secondly, disorders of cell-mediated immunity increase the risk of the disease, particularly HIV infection. Thirdly, a latent period of several months appears necessary following the administration of natalizumab and efalizumab before PML develops. Fourthly, restoration of the immune system can arrest the PML. Once acquired, perhaps through an oropharyngeal route, it may replicate and disseminate. A neurotropic form of JC virus that replicates in glial tissues causes PML when immunosurveillance is impaired. There are many unanswered questions with respect to PML pathogenesis. How is virus acquired? What tissues are infected? What is the origin of the neurotropic form? When does virus enter brain? What is the role of central nervous system immunosurveillance? The lack of an animal model has made answering these questions challenging. Progressive multifocal leukoencephalopathy after fingolimod treatment. We describe the characteristics of the 15 patients with fingolimod-associated progressive multifocal leukoencephalopathy PML identified from the Novartis data safety base and provide risk estimates for the disorder. PML classification was based on previously published criteria. The risk and incidence were estimated using the 15 patients with confirmed PML and the overall population of patients treated with fingolimod. As of August 31, , 15 fingolimod-treated patients had developed PML in the absence of natalizumab treatment in the preceding 6 months. Two patients had confounding medical conditions. Two patients had natalizumab treatment. This included one patient whose last dose of natalizumab was 3 years and 9 months before the diagnosis of PML. The second patient was receiving fingolimod for 4 years and 6 months, which was discontinued to start natalizumab and was diagnosed with PML 3 months after starting natalizumab. The risk of PML with fingolimod in the absence of prior natalizumab treatment is low. The estimated risk was 0. Neither clinical manifestations nor radiographic features suggested any unique features of fingolimod-associated PML. Autorefraction versus subjective refraction in a radially asymmetric multifocal intraocular lens. To evaluate whether the automated refraction AR correlates with subjective manifest MR refraction in eyes implanted with radially asymmetric multifocal intraocular lens IOLs. This retrospective study evaluated 52 eyes 52 patients implanted with a radially asymmetric multifocal IOL LS A rare case of a medullary, multifocal lesion in the distal radius. In multifocal findings, the possibility of multifocal osteoid osteomas should be considered and this case helps us to be attentive for the unusual radiographical presentation of osteoid osteoma. Scleral fixation of a single-piece multifocal intraocular lens. We describe an ab interno technique for injector implantation of a one-piece multifocal intraocular lens IOL. Transscleral fixation of multifocal posterior chamber IOL implantation using an injector with ab interno technique was performed in an eye of a 9-year-old girl who had undergone pars plana lensectomy 2 years before for bilateral lens subluxation with unknown etiology. No major complications were encountered during a 3-month follow-up of the patient and excellent centration was observed during the follow-up period. Closed-loop design of IOL served the function of eyelets and position of the IOL was provided using only a 2-point fixation. Research advances on multifocal electroretinogram in primary open angle glaucoma. Full Text Available Primary open angle glaucoma is a chronic and progressive optic neuropathy. It can lead to serious damage of visual impairment, and it is an important eye disease of blindness. Multifocal electroretinogram is a new way to measure visual electrophysiology. It can measure electroretinogram of the whole visual field of many small parts in a relatively short period of time, and it can reflect the function of regional retina. It has an extremely important value for early diagnosis of primary open angle glaucoma. The research advances on multifocal electroretinogram in diagnosing primary open angle glaucoma were summarized in this paper. Multifocal osteosarcoma as second tumor after childhood retinoblastoma. Potepan, P. We present a case of multifocal osteosarcoma MFOS arising The clinical, imaging and pathological findings at onset, after therapy, and during follow-up are described. Fluorescent in situ hybridization did not reveal a deletion of the RB-1 retinoblastoma gene, although the presence of an inactivating mutation invisible to this method cannot be ruled out. The MFOS may have been a second multifocal tumor associated with the original retinoblastoma or a post-irradiation sarcoma with extensive metastases. Miopia aguda induzida por topiramato: relato de dois casos. Serie de 8 casos de parotiditis supurada aguda neonatal. El objetivo es mostrar nuestra experiencia en la atención de serie de casos con parotiditis supurada aguda en el período neonatal, y describir sus características de presentación. Bioptics in sutureless intrascleral multifocal posterior chamber intraocular lens fixation. To present a technique for sutureless fixation of a three-piece, multifocal , posterior chamber intraocular lens IOL in the ciliary sulcus. A year-old woman presented with bilateral subluxation of the crystalline lens. Two straight sclerotomies were prepared with a gauge cannula 2. The cannula was used to create a 2. The leading haptic of the multifocal IOL was grasped at its tip with end-gripping, gauge forceps and pulled through the sclerotomy. The forceps was used to introduce the IOL haptic into the scleral tunnel parallel to the limbus. Multifocal posterior chamber IOLs were stable and well centered. No postoperative complications occurred in the month follow-up period. Preoperative astigmatism was corrected after IOL implantation with corneal wavefront-guided laser epithelial keratomileusis. Sutureless fixation of multifocal posterior chamber IOL haptics in a scleral tunnel parallel to the limbus can be successful, resulting in long-term centration and three-dimensional axial stability for optimal refractive results. If necessary, postoperative wavefront-guided refractive correction can be performed to optimize final refraction. Granular cell tumors GCT are rare and unusual tumors, which are usually benign and asymptomatic. Only 5? We report a rare case of symptomatic, multifocal , synchronous GCT involving the esophagus, stomach, and cecum. Multifocal versus monofocal intraocular lenses after cataract extraction. Near vision, however, still requires additional refractive power, usually in the form of reading glasses. Multiple optic multifocal IOLs are available which claim to allow good vision at a range of distances. It is unclear whether this benefit outweighs the optical compromises inherent in multifocal IOLs. We did not use any date or language restrictions in the electronic searches for trials. The electronic databases were last searched on 6 March We searched the reference lists of relevant articles and contacted investigators of included studies and manufacturers of multifocal IOLs for information about additional published and unpublished studies. Selection criteria: All randomised controlled trials comparing a multifocal IOL of any type with a monofocal IOL as control were included. Both unilateral and bilateral implantation trials were included. Data collection and analysis: Two authors collected data and assessed trial quality. Where possible, we pooled data from the individual studies using a random-effects model, otherwise we tabulated data. Does multifocal papillary micro-carcinoma require radioiodine ablation? Full text of publication follows. Background: the thyroid carcinomas smaller than 1 cm micro-carcinomas comprise a significant fraction of papillary carcinomas. However, whether or not these papillary micro-carcinomas require post-surgical radioiodine ablation remains a matter of debate. Hypothesis: multi-focality is present in majority of clinical papillary micro-carcinomas and this characteristic can be used to identify the subset of non-clinical micro-carcinomas with greater malignant potential. Methods: the data on types of differentiated thyroid carcinomas diagnosed in the period in the University Hospital Split were collected. Conclusion: multifocal disease is a frequent characteristic of clinical papillary thyroid micro-carcinomas, suggesting that multi-focality presents an early stage of non-clinical micro-carcinomas with more aggressive behaviour. Thus multifocal , but not uni-focal papillary micro-carcinomas may require radioiodine ablation. Power profiles of single vision and multifocal soft contact lenses. The purpose of this study was to investigate the optical zone power profile of the most commonly prescribed soft contact lenses to assess their potential impact on peripheral refractive error and hence myopia progression. The optical power profiles of six single vision and ten multifocal contact lenses of five manufacturers in the powers Instrument repeatability was also investigated. Instrument repeatability was dependent on the distance from the optical centre, manifesting unreliable data for the central 1mm of the optic zone. Single vision contact lens measurements of Somofilcon A had the highest minus power and lotrafilcon A the biggest deviation in positive direction, relative to their respective labelled powers. Negative spherical aberration occurred for almost all of the multifocal contact lenses, including the centre-distance designs etafilcon A bifocal and omafilcon A multifocal. Lotrafilcon B and balafilcon A seem to rely predominantly on the spherical aberration component to provide multifocality. Power profiles of single vision soft contact lenses varied greatly, many having a negative spherical aberration profile that would exacerbate myopia. Some lens types and powers are affected by large intra-batch variability or power offsets of more than 0. Evaluation of power profiles of multifocal lenses was derived that provides helpful information for prescribing lenses for presbyopes and progressing myopes. Published by Elsevier Ltd. Leucemia congénita aguda Acute congenital leukemia. Acute leukemia during neonatal period is not frequent, of a fast course and gloomy prognosis. Its clinical and biological features differ of that present in older children and it onset is characterized by cutaneous affection, hepatosplenomegaly, hyperleukocytosis and infiltration of central nervous system CNS. There are patients presenting with myeloid and lymphoid types, but the acute leukemia seems to predominate in this stage of life. This is the case of a patient with acute leukemia morphologically classified, with appearance of clinical manifestations of hematologic disease from birth and a diagnosis of congenital acute lymphoblastic leukemia. Ataxia cerebelar aguda na criança. Insuficiencia renal aguda inducida por mordedura de serpiente Bothrops. Full Text Available Mujer de 58 años de edad, remitida a urgencias por presentar cuadro clínico de insuficiencia renal aguda IRA secundaria a mordedura de serpiente Bothrops Atrox. Se maneja terapia dialítica con lo cual presenta mejoría clínica. En este reporte se detallan aspectos del diagnóstico, manejo clínico y posibles mecanismos fisiopatológicos que explican el daño renal. Full Text Available Prostatic blue nevus is a rare benign pathologic diagnosis most commonly diagnosed incidentally on many different types of prostate specimens. Blue nevus is the deposition of stromal melanin characterized by spindle cells within the fibromuscular stroma which stains positive for melanin-specific stains Fontana-Masson and S and stains negative for CD68, HMB45, and iron stains. We report the case of a multifocal and bilateral blue nevus in a year-old Hispanic male who presented with an elevated prostate-specific antigen of 4. The biopsy also revealed benign prostatic tissue with postatrophic hyperplasia and chronic inflammation. This is the 35th reported case of prostatic blue nevus and the third to show multifocal blue nevus. A new circular multifocal collimator is proposed. The multiple focal points are distributed on a transaxial circle which is the trajectory of the focal points during the circular acquisition. This distribution provides a strong focusing at the center of the detector like a cone-beam collimator, with a good sensitivity, and a weak transaxial focusing at the periphery. A solution for an analytical multifocal reconstruction algorithm has been derived. Grangeat algorithm is proposed to use for this purpose in order to reconstruct with a good sensitivity the region of interest. Multifocal epithelioid hemangioendothelioma of the phalanges of the hand. Epithelioid hemangioendothelioma EH of bone is a rare vascular neoplasm characterized by epithelioid endothelial cells and a variable biologic behaviour. The principal sites of occurrence of this osteolytic tumor are the lower extremity and the axial skeleton. Approximately half of the cases present with multifocal disease. We report on the clinical, histologic and radiologic features - including CT and MRI findings - of EH in a case of multifocal disease of the phalanges of the hand, a very uncommon anatomic site of affliction. Multifocal visual evoked responses to dichoptic stimulation using virtual reality goggles: Multifocal VER to dichoptic stimulation. Multifocal visual evoked potentials mfVEPs have demonstrated good diagnostic capabilities in glaucoma and optic neuritis. This study aimed at evaluating the possibility of simultaneously recording mfVEP for both eyes with dichoptic stimulation using virtual reality goggles and also to determine the stimulus characteristics that yield maximum amplitude. Experiment 1 involved recording responses to dichoptically presented checkerboard stimuli and also confirming true topographic representation by switching off specific segments. Experiment 2 involved monocular stimulation and comparison of amplitude with Experiment 1. In Experiment 3, orthogonally oriented gratings were dichoptically presented. Experiment 4 involved dichoptic presentation of checkerboard stimuli at different levels of sparseness 5. Experiment 1 demonstrated good traces in all regions and confirmed topographic representation. However, there was suppression of amplitude of responses to dichoptic stimulation by Experiment 4 demonstrated maximum amplitude and least suppression 4. It is possible to record mfVEP for both eyes during dichoptic stimulation using virtual reality goggles, which present binocular simultaneous patterns driven by independent sequences. Interocular suppression can be almost eliminated by using a temporally sparse stimulus of 1. The constructed model is presented in turn as a simple equatorial clock, other models horizontal and vertical may be constructed starting from it. El estudio del horizonte es fundamental para poder facilitar las primeras observaciones de los alumnos en un centro educativo. Un simple modelo, que debe realizarse para cada centro, nos permite facilitar el estudio y la comprensión de los primeros rudimentos astronómicos. El modelo construido se presenta a su vez como un sencillo modelo de reloj ecuatorial y a partir de él se pueden construir otros modelos horizontal y vertical. O estudo do horizonte é fundamental para facilitar as primeiras observações dos alunos num centro educativo. O modelo construído apresenta-se, por sua vez, como um modelo simples de relógio equatorial e a partir dele pode-se construir outros modelos horizontal e vertical. Early diagnosis and referral to a rheumatologist are positive prognostic factor but diagnosis in many cases is in the hands of primary care physicians PCP. Retrospective study of patients referred by PCP and seen as outpatients at a rheumatology clinic in Patients with referral diagnosis of RA were identified and symptoms, signs, functional capacity and ACR criteria for RA were evaluated by 2 rheumatologists. Arthritis was symmetrical in X-ray erosions were reported in 6. When using the ACR criteria, A poor clinical evaluation and little support from laboratory and x-rays was noticed. The delay in diagnosis and referral was 3 years, worsening prognosis. Published by Elsevier Espana. All rights reserved. Grupo de Trabajo para el Documento de Consenso sobre el tratamiento de la diabetes tipo 2 en el paciente con enfermedad renal crónica]. Chronic kidney disease CKD and type 2 diabetes mellitus T2DM are highly prevalent chronic diseases, which represent an important public health problem and require a multidisciplinary management. T2DM is the main cause of CKD and it also causes a significant comorbidity with regard to non-diabetic nephropathy. Patients with diabetes and kidney disease represent a special risk group as they have higher morbi-mortality as well as higher risk of hypoglycemia than diabetic individuals with a normal kidney function. The current consensus report aims to ease the appropriate selection and dosage of antidiabetic treatments as well as the establishment of safety objectives of glycemic control in patients with CKD. Effects of intensive glucose control on platelet reactivity in patients with acute coronary syndromes. Hyperglycaemia has been associated with increased platelet reactivity and impaired prognosis in patients with acute coronary syndrome ACS. Whether platelet reactivity can be reduced by lowering glucose in this setting is unknown. The aim of this study was to assess the functional impact of intensive glucose control with insulin on platelet reactivity in patients admitted with ACS and hyperglycaemia. Of the patients who underwent random assignment, 59 were assigned to intensive and 56 to conventional glucose control. Baseline platelet functions and inhospital management were similar in both groups. Maximal aggregation after ADP stimulation at hospital discharge was lower in the intensive group Similarly all other parameters of platelet reactivity measured at hospital discharge were significantly reduced in the intensive glucose control group. In this randomised trial, early intensive glucose control with insulin in patients with ACS presenting with hyperglycaemia was found to decrease platelet reactivity. To assess cost-effectiveness of antifungal treatment on patients with persistent fever neutropenia: empiric antifungal therapy EAT vs. A decision model was performed to evaluate the cost-effectiveness of antifungal treatment strategies in patients with febrile neutropenia not responding to a broad spectrum antibiotic treatment. The strategies included were: 1 EAT with amphotericin B deoxycholate; 2 EAT with liposomal amphotericin B; 3 EAT with caspofungin; and 4 AAT with voriconazole and amphotericin B deoxycholate or liposomal amphotericin B or caspofungin in patients who initiate treatment despite having negative CT scan and galactomannan or fail to voriconazole. Effectiveness was measured as the number of deaths averted. Cost-effectiveness and incremental cost-effectiveness ratios were calculated. Deterministic and probabilistic sensitivity analyzes were performed. EAT with Amphotericin B deoxycholate was the least expensive and least effective strategy. The EAT with caspofungin was the most effective. If the threshold is lesser the EAT with amphotericin B deoxycholate would be the election. Published by Elsevier Inc. Cannabinoids and cancer: pros and cons of an antitumour strategy. In the last two decades, research has dramatically increased the knowledge of cannabinoids biology and pharmacology. To date, cannabinoids have been licensed for clinical use as palliative treatment of chemotherapy, but increased evidences showed direct antiproliferative actions of cannabinoid agonists on several tumour cells in vitro and in animal models. In this article, we will review the principal molecular pathways modulated by cannabinoids on cancer and summarize pros and cons evidence on the possible future use of endocannabinoid-based drugs in cancer therapy. The overall goal of the acceleration systems: large acceptance acceleration to 25 GeV and beam shaping can be accomplished by various fixed field accelerators at different stages. The present baseline acceleration scenario has been optimized to take maximum advantage of appropriate acceleration scheme at a given stage. Pros and cons of various stages are discussed here in detail. However, far off-crest acceleration reduces the effective acceleration gradient and adds complexity through the requirement of individual RF phase control for each cavity. Quantum optimal control becomes a necessary step in a number of studies in the quantum realm. Recent experimental advances showed that superconducting qubits can be controlled with an impressive accuracy. However, most of the standard optimal control algorithms are not designed to manage such high accuracy. It avoids the piecewise constant approximation of the control pulse used by standard algorithms. This allows an efficient implementation of very high accuracy optimization. It also includes a novel method to compute the gradient that provides many advantages, e. This talk will present the GOAT algorithm and a few applications to transmons systems. The wear products and adverse reactions that occur on bearing surfaces represent one of the greatest challenges in prosthetic replacements, as the latter experience increasing demands due to the large number of young and older adult patients that have a long life expectancy and remarkable activity. The purpose of this review is to analyze the pros and cons of the new advances in the bearing components of the articular surfaces of current total hip arthroplasties. We also discuss the strategies used historically, their problems, results and the surgeon's role in prescribing the tribologic couple that best fits each patient's needs. We conclude with practical recommendations for the prescription and management of the latest articular couples for total hip arthroplasty. Pros and cons of transcatheter aortic valve implantation TAVI. This technique was already worldwide adopted for inoperable and high-risk patients. Improved device technology, imaging analysis and operator expertise has reduced the initial worrisome higher complications rate associated with TAVR, making it comparable to surgical aortic valve replacement SAVR. However, many answers need to be addressed before adoption in lower risk patients. This paper highlights the pros and cons of TAVI based mostly on randomized clinical trials involving the two device platforms approved in the United States. We focused our analysis on metrics that will play a key role in expanding TAVR indication in healthier individuals. We review the significance and gave a perspective on paravalvular leak PVL , valve performance, valve durability, leaflet thrombosis, stroke and pacemaker requirement. In this review we aim to provide an overview of the most important ethical pros and cons of stem cell derived gametes SCD-gametes , as a contribution to the debate about reproductive tissue engineering. Derivation of gametes from stem cells holds promising applications both for research and for clinical use in assisted reproduction. We explore the ethical issues connected to gametes derived from embryonic stem cells both patient specific and non-patient specific as well as those related to gametes derived from induced pluripotent stem cells. The technology of SCD-gametes raises moral concerns of how reproductive autonomy relates to issues of embryo destruction, safety, access, and applications beyond clinical infertility. An integrated well log, biostratigraphic, and seismic stratigraphic study of Miocene to Recent deltaic sediments deposited in the Nam Con Son Basin offshore from southern Vietnam shows the influence of eustacy and tectonics on sequence development. Sediments consist of Oligocene non-marine rift-basin fill Cau Formation , early to middle Miocene tide-dominated delta plain to delta front sediments TB 1. Tectonic effects on middle to late Miocene sequence development consist of thick transgressive systems tracts due to basin-wide subsidence and transgression, sand distribution in the basin center, and carbonate sedimentation on isolated fault blocks within the basin. Third-order sequence boundaries SB are identified by spore peaks, sand stacking patterns, and channel incision. In the basin center, widespread shale beds with coal occur above sequence boundaries followed by transgressive sandstone units. Maximum flooding surfaces MFS have abundant marine microfossils and mangrove pollen, a change in sand stacking pattern, and often a strong seismic reflection with downlap. Fourth-order genetic-type sequences are also interpreted. The MFS is the easiest marker to identify and correlate on well logs. Fourth-order SB occur within these genetic units but are harder to identify and correlate. Objetivo Identificar os casos de TEP incidental em pacientes oncológicos submetidos a tomografia computadorizada TC de tórax, correlacionando aspectos clínicos e fatores de risco associados. Resultados Foram avaliados pacientes com TEP no período citado. Sintomas sugestivos de TEP estavam presentes em pacientes sem suspeita clínica ao realizarem a TC de tórax. Caring for Alzheimer's Patients. This manual is intended for caregivers of homebound patients with Alzheimer's disease and others who are mentally impaired. It deals with the nature of Alzheimer's, the decline in a patient's abilities, information about available services, and legal and financial issues. The manual provides guidance and suggestions to lessen the daily stress…. The development of the Neurociencias in the Spain at the first third of the 20th century had a strong histological and pathological component. Some of them had to make compatible diverse occupations, even the professional exercise of psychiatry, before obtaining a modest - but stable - position of investigation. In spite of some misalignments in the institutional development of the centers and the personal biographical ups and downs, the Junta para Ampliación de Estudios was the great institution that fomented the international formation of the investigators and equipped to them with the means to develop its work. The Inventario de Comportamiento de Estudio ICE , a Spanish translation of the Study Behavior Inventory SBI was developed and tested using a group of undergraduate students from randomly selected classes at a private comprehensive university in Mexico. Both instruments were designed to assess the study behaviors of students in institutions…. A team of bilingual specialists was assembled to produce a translation that might be generic enough to be understood…. Pros and cons of vaccination against serogroup B meningococcal disease. A vaccine has recently been approved in the EU against meningococcal serogroup B, the main cause of meningococcal disease. There is a fierce debate about the decision regarding a universal vaccination in infants older than 2 months, as recommended by the majority of scientific societies. In western Europe the only country to have included the universal vaccination is the United Kingdom, with a lower incidence of the disease than Ireland. Other countries have also adopted it, such as the Czech Republic, Cuba and certain regions of Italy. Numerous cost-effectiveness studies have been published regarding the vaccination with different assumptions, which have supported the decision not to implant the universal vaccination because it exceeds the will to pay for a health benefit. We discuss the pros and cons of the universal vaccination against meningococcal B, recommended by the Sociedad Española de Pediatría Spanish Society of Paediatrics , which as yet has not been implemented. Many cost estimating tools use weight as a major parameter in projecting the cost. This is often combined with modifying factors such as complexity, technical maturity of design, environment of operation, etc. For a set of conceptual designs, all meeting the same requirements, increased weight can be a major driver in increased cost. However, once a design is fixed, increased weight generally decreases cost, while decreased weight generally increases cost - and the relationship is not linear. Alternative approaches to estimating cost without using weight except perhaps for materials costs have been attempted to try to produce a tool usable throughout the design process - from concept studies through development. This paper will address the pros and cons of using weight based models for cost estimating, using liquid rocket engines as the example. It will then examine approaches that minimize the impct of weight based cost estimating. RECM will be presented primarily to show a successful method to use design and programmatic parameters instead of weight to estimate both design and development costs and production costs. Laparoscopy for inflammatory bowel disease: pros and cons. The role of laparoscopic surgery in the treatment of colorectal malignancies is still under investigation, although it can offer significant benefits to many patients with inflammatory bowel disease IBD. The aim of this study was to assess the pros and cons of the laparoscopic management of IBD. Data were obtained from a review of the literature published since , when the first report of laparoscopic surgery for IBD appeared in print. From to several series of laparoscopic colorectal surgery for the management of IBD have been reported. A close evaluation of these studies revealed that laparoscopy in patients with terminal ileal Crohn's disease or anal Crohn's disease in need of fecal diversion offers significant advantages compared to laparotomy, including decreased pain, length of hospitalization, and disability. An additional bonus is improved cosmesis and a reduction in symptomatic postoperative adhesions. These many benefits can be achieved without any increase in morbidity or expense. Conversely, the use of this technology for restorative proctocolectomy in patients with mucosal ulcerative colitis is associated with a longer operative time and an increased incidence of both intra- and postoperative complications compared to laparotomy. Laparoscopic colorectal surgery can thus be advantageous for treatment of terminal ileal Crohn's disease but cannot be routinely justified for the treatment of mucosal ulcerative colitis. Pitt Con began in as a small sp Gestational surrogacy: could be a way to be a way to reproduction? Pros and cons. The aim of this article was to address pros and cons of gestational surrogacy, the social and psychological issues involved in surrogate motherhood triads. Pros and cons of surrogacy, the possible insurgence of a hematologic disease in the fetus, hemolytic disease of the newborn, naturally acquired microchimerism in surrogacy cases, ethical, medical, psychologic, legal and religious issues of a problem are discussed. Surgical animal models of neuropathic pain: Pros and Cons. One of the biggest challenges for discovering more efficacious drugs for the control of neuropathic pain has been the diversity of chronic pain states in humans. It is now acceptable that different mechanisms contribute to normal physiologic pain, pain arising from tissue damage and pain arising from injury to the nervous system. To study pain transmission, spot novel pain targets and characterize the potential analgesic profile of new chemical entities, numerous experimental animal pain models have been developed that attempt to simulate the many human pain conditions. Among the neuropathic pain models, surgical models have paramount importance in the induction of pain states. Most of these models induce responses similar to those found in causalgia, a syndrome of sustained burning pain often seen in the distal extremity after partial peripheral nerve injury in humans. Researchers most commonly use these surgical models in both rats and mice during drug discovery to screen new chemical entities for efficacy in the area of neuropathic pain. However, there is scant literature that provides a comparative discussion of all these surgical models. Each surgical model has its own benefits and limitations. It is very difficult for a researcher to choose a suitable surgical animal model to suit their experimental set-up. Therefore, particular attention has been given in this review to comparatively provide the pros and cons of each model of surgically induced neuropathic pain. Pros and cons of circumcision: an evidence-based overview. Based on three large randomized controlled trials RCTs conducted in Africa, it can clearly be stated that circumcision lowers the risk of infection with the human immunodeficiency virus HIV and some sexually transmitted infections STIs among males in settings of high HIV and STI endemicity. Similar effects on STI risk may exist for females, although this may result from an indirect effect of decreasing risk of infection among male partners. It is unknown whether circumcision prevents HIV acquisition in men who have sex with men MSM , although there might be a protective effect for men who engage mainly in insertive anal intercourse. When the effects of adult circumcision on sexual function and satisfaction of men are examined, high-quality evidence strongly supports lack of harm. Whether circumcision alters sexual satisfaction of female partners is not known as fewer and smaller studies reported conflicting results. Circumcision rarely causes serious complications if practiced by trained practitioners, in a sterile setting, and with a proper follow-up. These conclusions are limited by the lack of high-quality data from areas outside of Africa. Circumcision has well-proven benefits for people residing in areas with high prevalence of STIs, including HIV, and is not unethical for those who choose to be circumcised or have their children circumcised on religious, social, or cultural grounds. For many others, a definite pro or con recommendation, based on a risk-benefit ratio, cannot be made. Published by Elsevier Ltd. Una adecuada planificación y gestión requiere un conocimiento de la distribución temporal y espacial de los recursos hídricos. Una amenaza que afecta al desarrollo y aprovechamiento de los recursos hídricos, y para las cuales la ingeniería debe dar soluciones, son las situaciones de extremos hidrológicos como inundaciones o sequías. Edward A. Linda P. Alana M. Lee S. Mary Lynn R. John K. Alexander S. Patrick G. Robert E. Adedamola A. Gerald F. Nicholas T. Victor E. James T. Elizabeth H. Elizabeth J. Roy A. Bhakti K. Patel , MD University of Chicago. Avinash S. Patil, MD University of Arizona. David A. Richard D. Alicia R. Lawrence L. Pelletier, Jr. Emily J. Daniel M. Maria T. Stephen P. William A. Katharine A. Tania J. JoAnn V. Russell K. Carol S. Nina N. Josef T. Wahlen VA Medical Center. Glenn M. Craig R. Judith J. Levi D. Christopher P. Pedro T. Anupama K. Robert W. School of Medicine. Wingfield E. Sanjay G. Douglas J. Melissa M. Candido E. Rivera, MD Mayo Clinic. Melvin I. Beryl J. Laurence Z. Fred H. Sean R. Atenodoro R. Ruiz, Jr. Daniel P. Paul S. Anna E. Lawrence M. Michael E. Birendra P. Lee M. Clarence T. Margot L. Peter C. Bradley A..

Unstructured socialization and territorialization. A street-ethnographic take on urban Darrin kenneth obrien esposa disfunción sexual in a medium-sized town in Denmark.

Inthe municipality in Horsens, a medium-sized provincial town The facility serves as a territorial meeting place for a number of conflicting groups of adolescents with different codes of behavior based on their cultural orientation Through positioning battles of various kinds the groups fight for Darrin kenneth obrien esposa disfunción sexual and place como follar mejor a una chica their unstructured socialization processes with their peers.

Officially, the municipality donated the facility to give local children and young people an opportunity Exploring the relationship between analgesic event rate and pain intensity in kidney stone surgery: A Repeated Time to Event Pilot Study.

The aim of this pilot study was to discuss how best to investigate the relationship between RTTE hazard of analgesic events and pain intensity in postoperative pain. Methods: Data was available from 44 patients undergoing kidney stone surgery Gompertz and exponential distribution models were evaluated. Results: A Gompertz distribution model adequately described data, with a baseline event rate of 0. Basic features of proton-proton interactions at ultra-relativistic energies and RFT-based quark-gluon string model.

The latter arise in QGSM because of the addition of various processes with different mean multiplicities. The model also indicates fulfillment of extended longitudinal scaling and violation of Koba-Nielsen- Olesen scaling at LHC. The origin of both features is traced to short-range particle correlations in the strings. Equivalence of meson scattering amplitudes in strong coupling lattice and flat space string theory. Full Text Available We consider meson scattering in the framework of the lattice strong coupling expansion.

In particular we derive an expression for the 4-point function of meson operators in the planar limit of scalar Chromodynamics. Interestingly, in the naive continuum limit the expression coincides with an independently known result, that of the worldline formalism. Moreover, it was argued by Makeenko Darrin kenneth obrien esposa disfunción sexual Olesen that assuming confinement the resulting scattering amplitude in momentum space is the celebrated expression proposed by Veneziano several decades ago.

This motivates Darrin kenneth obrien esposa disfunción sexual to also use holography in order to argue that the continuum expression for the scattering amplitude is related to the result obtained from flat space string theory. Our results hint that at strong coupling and large-Nc the naive continuum limit of the lattice formalism can be related to a flat space string theory. Melhoramento do trigo: II.

Estudo genético de fontes de nanismo para a cultura do trigo Wheat breeding II: genetic studies of different sources of dwarfism in wheat. Os cultivares escolhidos para este estudo Darrin kenneth obrien esposa disfunción sexual um largo espectro de diversidade genética para altura das plantas para as nossas condições.

Todas as fontes de porte baixo foram eficientes em reduzir o porte do cultivar IAC-5, porém Tordo seria a melhor fonte pela ocorrência de maior freqüência de indivíduos de porte baixo e com altas produções, nas populações estudadas. Parents, F1's, F2's and reciprocal backcrosses were tested for grain yield and height in an experiment carried out at.

We consider meson scattering in the framework of the lattice strong coupling expansion. A study of multiplicity scaling of particles produced in 16O-nucleus collisions. Koba-Nielsen- Olesen KNO scaling has been a dominant framework to study the behaviour of multiplicity distribution of charged particles produced in high-energy hadronic collisions.

Several workers have made attempt to investigate multiplicity distributions of particles produced in hadron-hadron h-hhadron-nucleus h-A and nucleus-nucleus A-A collisions at relativistic energies.

Multiplicity distributions in p-nucleus interactions in emulsion experiments are found to be consistent with the KNO scaling. The applicability of the scaling of multiplicities was extended to FNL energies by earlier workers.

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Slattery has shown that KNO scaling is in agreement with the data on pp interactions over a wide-range of energies. An increase in turbidity within the lagoon may reduce the ecosystem health due to hindered light penetration.

A threat to the lagoonal Furthermore the planned construction of a tunnel between Germany and Denmark may propose a threat to the lagoon due to a possible Mussels can reduce the SSC in marine environments Schröder et al. In the present study we developed a module to include Full Text Available Flavobacterium psychrophilum is a devastating bacterial pathogen of salmonids reared in freshwater worldwide. So far, serological diversity between isolates has been described but the underlying molecular factors remain unknown.

By combining complete genome sequence analysis and the serotyping method proposed by Lorenzen and Olesen for a set of 34 strains, we identified key molecular determinants of the serotypes.

This knowledge allowed us to develop a robust multiplex PCR-based serotyping scheme, which was applied to bacterial isolates.

The results revealed a striking association between PCR-serotype and fish host species and illustrate the use of this approach Darrin kenneth obrien esposa disfunción sexual a simple and cost-effective method for the determination of F. PCR-based serotyping could be Darrin kenneth obrien esposa disfunción sexual useful tool in a range of applications such as disease surveillance, selection of salmonids for bacterial coldwater disease resistance and future vaccine formulation.

Vortices and quark confinement in non-Abelian gauge theories. Non-Abelian vortices of the type proposed by Nielsen and Olesen are discussed. It is shown that the vortices must contain a single unit of quantized flux absorbed by a Dirac monopole at each end. The monopoles satisfy a confinement condition; if quark numbers are assigned to the monopoles, is is found that the read more contains a natural explanation of quark confinement.

The I-spin variables associated with the non-Abelian gauge field correspond to the colour degree freedom. An alternative model in which colour charges and monopoles are interchanged is Darrin kenneth obrien esposa disfunción sexual suggested. The Higgs field which breaks source degeneracy of the vacuum is replaced by an operator which creates monopoles of the type suggested by 't Hooft.

In such a model colour might be confined. The investigations are at a very preliminary stage, but the model appears to offer a natural explanation of confinement without the explicit introduction of monopole fields. Scaling in multiplicity distributions of heavy, black and grey prongs in nuclear emulsions.

The validity of Koba-Nielsen- Olesen scaling hypothesis was examined in the case of heavy, black, and grey prongs in proton-emulsion collisions 'heavy' means 'either black or grey'.

The average multiplicities of these prongs were computed in the region 0. Phenomenology of symmetry breaking from extra dimensions. Motivated by the electroweak hierarchy problem, we consider theories with two extra dimensions in which the four-dimensional scalar fields are components of Darrin kenneth obrien esposa disfunción sexual boson in full space.

We explore the Nielsen- Olesen instability for SU N on a torus, in the presence of a magnetic background. A field theory approach is developed, computing explicitly the minimum of the complete effective potential, including tri-linear and quartic couplings and determining the symmetries of the stable vacua.

We also develop appropriate gauge-fixing terms when both Kaluza-Klein and Landau levels are present and interacting, discussing the interplay between the possible six and four dimensional choices. The equivalence between coordinate dependent and constant Scherk-Schwarz boundary conditions - associated to either continuous or discrete Wilson lines - is analyzed.

The struggle with employee engagement: Measures and construct clarification using five samples. However, challenges to the scale's validity have raised major concerns about the measurement and conceptualization of engagement as a construct. Across 4 field samples, we examined 2 measures of engagement, the UWES and the Job Engagement Scale JESin both factor structure and patterns of relationships with theoretically hypothesized antecedents and consequences.

In a fifth field sample, we examined the construct-level relationships between engagement and related variables, while controlling for sources of measurement error i. By examining 2 measures, each derived from different theoretical bases, we provide unique insight into the measurement and construct of engagement.

The UWES, more so than the JESassesses engagement with overlap from Darrin kenneth obrien esposa disfunción sexual job attitudes, requiring improvement in the measurement of engagement. We offer guidance as to when to use each measure. Furthermore, by isolating the construct versus measurement Darrin kenneth obrien esposa disfunción sexual engagement relative to burnout, commitment, stress, and psychological meaningfulness and availability, we determined a the engagement construct is not the same as the opposite of burnout, warranting a reevaluation of the opposite-of-burnout conceptualization of engagement; and b psychological meaningfulness and engagement are highly correlated and likely reciprocally related, necessitating a modification to the self-role-expression conceptualization of engagement.

The integrated luminosity of 2. We adopt a neural-network algorithm to select candidate events from six or more jets. At least one of these jets should be required to be b jet, as Darrin kenneth obrien esposa disfunción sexual by the reconstruction of a secondary vertex inside the jet. The mass measurement is based on a likelihood fit incorporating reconstructed mass distributions representative of signal and background, where the absolute jet energy scale JES is measured simultaneously with the top quark mass.

The measurement yields a value of Top quark mass and W boson mass constrain the mass of the Standard Model Higgs boson, indirectly. Certes, le système proposé Mais on ne saurait le taxer d'arbitraire, Darrin kenneth obrien esposa disfunción sexual qu'il dépasse la réalité des données, et n'y voir Darrin kenneth obrien esposa disfunción sexual vue personnelle et subjective de son auteur Pour être plus abstraits et plus difficiles à saisir que Jes faits morphologiques, Jes faits syntaxiques n'en ont pas moins une réalité objective.

Et ceux qui voudront Jes étudier pour édifier la syntaxe qui nous manque encore peuvent être en tout cas assurés de construire sur un terrain solide" Lucien Tesniere, "Comment construire une syntaxe''. Le projet tesniérien d'une syntaxe structurale - aboutissant aux Élements de syntaxe structuraledeuxieme ed.

En fait, ce courant de pensée se présente en premier lieu comme une critique du système des parties du discours: celles-ci ne sont guère des composantes du discours, au sens où elles constitueraient les bases constructives du discours, mais elles sont en fait des parties du système de la langue. Il importe done de franchir le pas, à partir d'elles, vers l'organisation de la phrase.

Se utilizó como método la entrevista semi estructurada aplicada a u Décadas de oro de la centenaria SMP.

Sexy stockings Watch Sex Videos Lastsex Co. Alternatiivne energeetika. Tabel: Gaasi ja elektrienergia hinnad Euroopas. Aleksandr Shegedin. Eesti-Ameerika Ärikolledzhi rektor olukorrast kõrghariduses peale Eesti liitumist Euroopa Liiduga, muudatuste vajalikkusest kõrgharidussüsteemis, rakenduskõrgharidusest ja riigi suhtumisest erarakenduskõrgkoolidesse, praeguste abiturientide haridustasemest. Este sistema sería capaz de realizar multitud de operaciones complejas que los ordenadores convencionales no son capaces de hacer. Euroopa Liidu liikmeks saamise perspektiiv oli riikidele stiimuliks poliitiliste ja majanduslike reformide läbiviimisel. Heaks näiteks on siin Baltimaade ning Ida- ja Kesk- Euroopa riikide kiire areng ja Euroopa Liidu mõju olukorra stabiliseerimisel. Aivar Sõerd: Estonija na fone drugihh tshlenov JeS brossajetsja v glaza! Jekaterina Rodina. Rahandusminister Aivar Sõerd vastab küsimustele, mis muu hulgas puudutavad arengufondi, ülejäägiga riigieelarvet, euro kasutuselevõtu edasilükkumist, A. Sõerdi nimetamist parimaks ministriks rahandusaastal, samuti ministri hobisid. Minister peab meie probleemiks, et pole suudetud parimal viisil kasutada EL-i fondide vahendeid. Author Affiliations. Full Text Available Among the different accusations made against the Jesuits relating to their missionary work in the Far East, the discobedience of the pontifical decrees that condemmed the chinese and malabar rites was the most important. The Company's enemies insisted specially on this charge, because it represented a ruptured of their oath of absolute submision to the papal dispositions, specifically the fourth vow. The Jesuits defended theirselves from this accusations vehemently, presenting arguments of the considerable credibility though the were unable to deny their evident rebelliousness. The matter was reduced to the fact that both parties upheld anthropological opposing concepts. Los detractores de la Compañía insistieron especialmente en este cargo, pues constituía un quebramiento de su juramento de someterse totalmente a las disposiciones del pontífice, es decir, el cuarto voto. Los jesuitas se defendieron con energía de estas acusaciones, recurriendo a argumentos de considerable verosimilitud, pero sin poder eludir la evidencia de su rebeldía. La cuestión se reducía a que ambas partes sostenían concepciones antropológicas enfrentadas. To that attack we owe a number of great postmodern novels like Thoma El lenguaje se orienta en la narración hacia procesos que tienen su fundamento en la temporalidad. El tiempo se convierte así en una de las dimensiones fundamentales de cualquier narración. En el artículo nos interesa el tiempo en su doble dimensión: como componente de la historia y su manifestación al nivel del discurso. Contrastando el tiempo de la historia y el tiempo del discurso en la obra de Santa Teresa constatamos la agilidad de su estilo literario y su capacidad para organizar una sintaxis narrativa. Sus padres fueron la Sra. María Mellado Arteaga y el Sr. Valentín Caballero Pérez. Murió en la Ciudad de Cuernavaca, Morelos, México el día 16 de octubre de a causa de una afección cardiaca. Estado de conservación, propuesta de intervención y presupuesto económico de restauración. Este trabajo final de grado expone el estudio técnico, del estado de conservación, la propuesta de intervención, y el presupuesto de restauración de les dos escenas pertenecientes al conjunto pictórico de la Iglesia del Santísimo Cristo de Benigpànim. El estudio prevé un enfoque, tanto documental como analítico, determinando la técnica pictórica, el estado de conservación en el que se encuentra, y las posibles intervenciones anteriores. This final course work explains the technical work Denne model udbygges yderligere. Krishna Prakash Pramod C Rath. Articles Volume 35 Issue 4 December pp Pramod Chandra P Bhatt. General Article Volume 19 Issue 6 June pp Click here to view fulltext PDF. Permanent link:. Effect of economic and security challenges on the Nigerian health Effect of economic and security challenges on the Nigerian health sector. Anurag Tripathi. Articles written in Journal of Earth System Science. Volume Issue 2 March pp Para llevar en forma organizada esta investigación, se la ha dividido en cuatro capítulos que recogen: la realidad familiar del pueblo ambateño, s Full Text Available This article describes the swimming facilities which form part of the overall athletics complex of the Covadonga Cultural Group. These facilities include covered pool, olympic- sized pool, children's pool, diving pool with board, general dressing rooms, and artificial lighting of the complex. The heavy load zones are of pile foundations; the lesser zones are of reinforced flooring. En este artículo se describen, dentro del plan general deportivo para el Grupo Cultural Covadonga, las instalaciones de piscinas. Estas comprenden: piscina cubierta; piscina olímpica; piscina infantil; foso de saltos; torre de saltos; vestuarios generales, e iluminación artificial del conjunto. En las zonas de cargas importantes la cimentación se ha realizado a base de pilotes, y en las de cargas menores, de zapatas armadas. Tesis-Universidad de Murcia. Consulte la tesis en: BCA. Sala de estudio. Tesis-V Identidad, racismo y familia en San Cristóbal de Las Casas. México: Universidad de Ciencias y Artes de Chiapas. Luis A. El jesuita como traductor. Between and , the Jesuits positioned themselves as relevant actors in the internal workings of society by using several strategies, such as the translation of a new reality and the assessment of the sociopolitical context. These will be analyzed while highlighting the intersection between local context and global environment through missionary practices. Santo Domingo de la Calzada - Silos - Compostela. La decoración de estas placas alterna los motivos vegetales en las pilastras primera y tercera con la talla de figuras monumentales en la segunda y cuarta. Educación sociedad del conocimiento y TIC2. Políticas oficiales sobre TIC y Educación, tendencias y líneas de actución3. Organización de las TIC en centros, servicios y programas4. Medios de comunicación en la formación6. Alfabetización audiovisual: aprender de y con videojuegos7. Materiales multimedia y programas online8. El e-learning y los entornos virtuales de formación9. Software social y apli Para ello, nos basare - mos en los postulados filosóficos de María Zambrano referentes a las concepciones de alma, ser humano y destino. En nuestra investigación también abordaremos la forma como tiempo y espacio en la obra de Gardea integran un cronotopo específico, como base donde la idea de alma puede desplegarse en toda su plenitud. Aporte del conocimiento del comercio exterior del valle central de Costa Rica en la epoca de la independencia. El debate debe continuar. Bejarano y la enseñanza de la economía The debate must go on. Bejarano and the teaching of economics. Full Text Available Este ensayo recoge la participación de Jesus Antonio Bejarano en los debates que se dieron en torno a la enseñanza de la economía en el país entre y el presente. Figuran el problema del currículo sus contenídos y secuencia, el papel que debe jugar el lenguaje, la lectura de fuentes o de manuales, la formalización matematica y la misma pedagogia. Es tambIén una reminiscencia sobre la Facultad de Ciencias Económicas de la Universidad Nacional y un somero analisis de la Universidad como institución. This essay covers Bejarano' s participation in debates on the teaching of economics in Colombia from to the present time. Among the issues raised are curricular design, their contents and sequence, the role of language, the use of primary sources in economic theory versus textbooks, mathematical formalization and pedagogy itself. It is also a personal memoir of the Faculty of Economic Sciences of the Universidad Nacional, and includes a summary analysis of the University as an institution. The essay ends with the question: whither the Faculty? Continental Shelf Research 7: Olesen , M. Jevgenij V. Doc: We do not want to build a monument at Mochovce. Doc is published. Ozone as an air pollutant. A Danish new book on ozone as an air pollutant has been reviewed. Arequipa, The study was descriptive andcross sectional. The sample consisted of 54 children, selected by a proportional random-stratified sampling. Foods preferred bychildren were: milk, yogurt, rice, pasta, chicken, candy, fruits, and fruit juices. Rejected foods were lettuce and cassava. The most frequenthealth problem was influenza. Based on the results of our study, we designed a training program aimed to improve thefood habits and therefore the nutritional status of the children. En la sociedad latinoamericana las mujeres se encuentran en una situación desigual frente a los hombres. Una de las razones para que esto suceda es el hecho de reproducir sistema patriarcal que valora y da primacía a lo masculino sobre lo femenino, esto en América Latina es conocido como machismo. Ettekanne 3. Actuación de la enfermería en la creación del servicio de lactancia del Hospital Jesus Rodrigues Pimenta, A. La alimentación del niño merece cuidados especiales, principalmente en el primer año de vida. Objetivos: describir las políticas de alimentación en el Distrito Federal y analizar las circunstancias para la implantación We find evidence for the existence of solutions of the Einstein and Abelian Higgs field equations describing a black hole pierced by a Nielsen- Olesen vortex. This situation falls outside the scope of the usual no-hair arguments due to the nontrivial topology of the vortex configuration and the. Simulation of a curved flume bed-load experiment. The mathematical model for river bend morphology, as developed by Olesen , for bed-load transport is discussed, by comparing the results with some new experimental data. The model consists of a two-dimensional depth-averaged flow model together with a sediment balance and can be used to compute the. Selection rules for splitting strings. It has been pointed out that Nielsen- Olesen vortices may be able to decay by pair production of black holes. We show that when the Abelian-Higgs model is embedded in a larger theory, the additional fields mau lead to selection rules for this process-even in the absence of fermions-due to the failure. On the conceptual distinction of general causality orientations. Proposed separate latent models and alternative shared latent models of the underlying individual differences constructs had been developed in a previous exploratory study Olesen , Thomsen Multiplicity distributions in the binary fragmenting with inhibition at the transition line. Botet, R. Properties of the fragment multiplicity distribution obtained in the sequential binary fragmentation process at the transition line are investigated. It is shown that the multifragment cumulant correlation functions have the hierarchical, linked-pair structure. Several distinct classes of multiplicity domains are clearly identified, and the asymptotic appearance of the Koba - Nielsen - Olesen scaling is discussed. We introduce two simple models which feature an Alice electrodynamics phase. In a well defined sense the Alice flux solutions we obtain in these models obey first order equations similar to those of the Nielsen- Olesen fluxtube in the abelian higgs model in the Bogomol'nyi limit. Some numerical solutions are presented as well. Inside Your Body. In general, the right side of the brain controls the left side of the body, and the left side of the brain controls the right side. Digestive system The digestive say: di- JES Women and Diabetes. Medline Plus. Full Text Available This is called gestational jes -Tay-shun-ul diabetes. Other women have diabetes before they get pregnant. Use these resources to help you talk to Socrates and the Pedagogues. Discusses the nature of the philosophical approach and identifies several roles which contemporary philosophers of education could and should play in helping "to lead the way out of present confusions in educational theory and practice. Reflective Methodology: The Beginning Teacher. Offers a variety of specific techniques which will help the beginning teacher to implement reflective methodology and create an inquiry-centered classroom atmosphere, at the same time meeting the many more pressing demands of first-year teaching. Develops thesis that teacher differences are the most important variables in student learning--that if a student is not doing successful work, it is because of poor instruction and ineffective methods. Several teacher characteristics are examined as illustrations. The PIESs recorded hourly vertical acoustic travel time and pressure, which are respectively good proxies of baroclinic and barotropic sea level variability This research is bibliographic, being classified as a descriptive study of qualitative and quantitative nature. During data collection, questionnaires administered with members, and interviews with the presidents of the JEs were used. No resistance groups, but there is a threat at the prospect of continuity due to high turnover in JEs. The JEs are among the phases of objectification and sedimentation and isomorphic characteristics, among JEs , are related to the sharing of best management practices. Anti-IL-2 treatment impairs the expansion of T reg cell population during acute malaria and enhances the Th1 cell response at the chronic disease. The subsequent development of clinical immunity to disease occurs concomitantly with the persistence of low levels of chronic parasitemia. The suppressive activity of regulatory T T reg cells has been implicated in both development of clinical immunity and parasite persistence. Spinning vortex solutions to the abelian Higgs model, not Nielsen- Olesen solutions, are appropriate to a Ginzburg-Landau description of superconductivity. The main physical distinction is that spinning vortices experience the Magnus force while Nielsen- Olesen vortices do not. Moreover, the phase obtained an interchanging two quasi-particles is always path-dependent. When a Chern-Simons term is added there is an additional localized Magnus flux at the vortex. For point-like vortices, the Chern-Simons interaction can be seen as defining their intrinsic statistics, but in realistic cases of vortices with finite size in strong Magnus fields the quasi-particle statistics are not well-defined. Adult Education in the Danish Modernization Process. I will apply a rather general framework of historical analysis of adult education which is derived from and related to European modernization Salling Olesen on the history of Danish adult education and the possible contemporary impacts of this history Salling Olesen ; It looks at the societal nature of adult learning and hence the societal functions of adult education, and emphasizes the historical dimension in the sense Having done that I will return to the question about how we can see adult education in the context of globalization Occurrence of quinolone- and beta-lactam-resistant Escherichia coli in danish broiler flocks. An increased concern for the possible transfer of resistant bacteria or mobile resistance elements from food animals to humans has resulted in rigorous legislation preventing i. The numbers of E. A broiler parent flock without any history of quinolone usage tested positive for ciprofloxacin-resistant E. Use of antimicrobial agents and occurrence of antimicrobial resistance in bacteria from food animals, foods and humans in Denmark. Olesen , I. CERN Multimedia. Any trouble at CERN? They deal with problems that go from simple water leaks to devastating power cuts. This big room is probably the liveliest at CERN, since there's always someone there, everyday, all year long. They've started at 7 a. There have been some microcuts in the electric net because of the wind. But these have been repaired rather quickly The relief: It's 2. They are the next TCR team of the day. Mark Harvey and Kenneth Olesen start their working day. They will work until 11p. Events with single isolated energetic charged lepton electron or muon , exactly four calorimeter jets, and significant missing transverse energy are selected. Probabilities used to discriminate between signal and background are assumed to be proportional to differential cross-sections, calculated using event kinematics and folding in object resolutions and parton distribution functions. Las interferencias parentales y la alienación parental en el contexto jurídico español: Revisión de sentencias judiciales en materia de guarda y custodia. Ismael Loinaz Calvo y Dra. La presente tesis se estructura siguiendo dos estudios independientes a la vez que complementarios. Un primer estudio relac Suniaga Q. Díaz Cuellar, Doraida R. Castillo O. Nutrición vegetal III. Nutrición vegetal II. Plagas chupadoras de las cítricas naranjo, limonero, mandarina en los andes venezolanos. Una vez que salí de este trabajo el año pasado, decidí que eso era lo que quería hacer. Me di cuenta de que Dios te saca de un trabajo para llevarte a otro, y es una bendición mucho mayor, porque ahora toco las vidas de los niños. Los niños vienen, ves sus sonrisas. Ves a los padres reflexionar sobre cuando ellos eran niños con burbujas. Hay todo tipo de personas en mis fiestas de burbujas, como me gusta llamarlas. Lo principal es cuando todos terminan de hacer burbujas y los meto dentro de una gigante. Es algo hermoso. Madison Square Park es el lugar. Comparte la burbuja de amor. La alegría de los niños. Es caminar por la calle con mi carro y mi cubeta y palos y ver a los pequeños con sus padres y me miran con esa naturalidad, sabiendo que tengo algo bueno. Cuando veo a los niños, eso me hace sonreír. Amo a los niños. Trabajo bien con los niños y las burbujas de amor. Es para al comunidad, pero son los niños, porque ellos reaccionan y me saludan y siempre quieren estar en una burbuja. Es llevar alegría e inspiración a la comunidad. Intentó enseñarle a todos como hacer una burbuja de amor. La solución. Leer Ver. This story is over 5 years old. Para propagar su amor espera que una marca de jabón lo patrocine. Both unilateral and bilateral implantation trials were included. Data collection and analysis: Two authors collected data and assessed trial quality. Where possible, we pooled data from the individual studies using a random-effects model, otherwise we tabulated data. Does multifocal papillary micro-carcinoma require radioiodine ablation? Full text of publication follows. Background: the thyroid carcinomas smaller than 1 cm micro-carcinomas comprise a significant fraction of papillary carcinomas. However, whether or not these papillary micro-carcinomas require post-surgical radioiodine ablation remains a matter of debate. Hypothesis: multi-focality is present in majority of clinical papillary micro-carcinomas and this characteristic can be used to identify the subset of non-clinical micro-carcinomas with greater malignant potential. Methods: the data on types of differentiated thyroid carcinomas diagnosed in the period in the University Hospital Split were collected. Conclusion: multifocal disease is a frequent characteristic of clinical papillary thyroid micro-carcinomas, suggesting that multi-focality presents an early stage of non-clinical micro-carcinomas with more aggressive behaviour. Thus multifocal , but not uni-focal papillary micro-carcinomas may require radioiodine ablation. Power profiles of single vision and multifocal soft contact lenses. The purpose of this study was to investigate the optical zone power profile of the most commonly prescribed soft contact lenses to assess their potential impact on peripheral refractive error and hence myopia progression. The optical power profiles of six single vision and ten multifocal contact lenses of five manufacturers in the powers Instrument repeatability was also investigated. Instrument repeatability was dependent on the distance from the optical centre, manifesting unreliable data for the central 1mm of the optic zone. Single vision contact lens measurements of Somofilcon A had the highest minus power and lotrafilcon A the biggest deviation in positive direction, relative to their respective labelled powers. Negative spherical aberration occurred for almost all of the multifocal contact lenses, including the centre-distance designs etafilcon A bifocal and omafilcon A multifocal. Lotrafilcon B and balafilcon A seem to rely predominantly on the spherical aberration component to provide multifocality. Power profiles of single vision soft contact lenses varied greatly, many having a negative spherical aberration profile that would exacerbate myopia. Some lens types and powers are affected by large intra-batch variability or power offsets of more than 0. Evaluation of power profiles of multifocal lenses was derived that provides helpful information for prescribing lenses for presbyopes and progressing myopes. Published by Elsevier Ltd. Leucemia congénita aguda Acute congenital leukemia. Acute leukemia during neonatal period is not frequent, of a fast course and gloomy prognosis. Its clinical and biological features differ of that present in older children and it onset is characterized by cutaneous affection, hepatosplenomegaly, hyperleukocytosis and infiltration of central nervous system CNS. There are patients presenting with myeloid and lymphoid types, but the acute leukemia seems to predominate in this stage of life. This is the case of a patient with acute leukemia morphologically classified, with appearance of clinical manifestations of hematologic disease from birth and a diagnosis of congenital acute lymphoblastic leukemia. Ataxia cerebelar aguda na criança. Insuficiencia renal aguda inducida por mordedura de serpiente Bothrops. Full Text Available Mujer de 58 años de edad, remitida a urgencias por presentar cuadro clínico de insuficiencia renal aguda IRA secundaria a mordedura de serpiente Bothrops Atrox. Se maneja terapia dialítica con lo cual presenta mejoría clínica. En este reporte se detallan aspectos del diagnóstico, manejo clínico y posibles mecanismos fisiopatológicos que explican el daño renal. Full Text Available Prostatic blue nevus is a rare benign pathologic diagnosis most commonly diagnosed incidentally on many different types of prostate specimens. Blue nevus is the deposition of stromal melanin characterized by spindle cells within the fibromuscular stroma which stains positive for melanin-specific stains Fontana-Masson and S and stains negative for CD68, HMB45, and iron stains. We report the case of a multifocal and bilateral blue nevus in a year-old Hispanic male who presented with an elevated prostate-specific antigen of 4. The biopsy also revealed benign prostatic tissue with postatrophic hyperplasia and chronic inflammation. This is the 35th reported case of prostatic blue nevus and the third to show multifocal blue nevus. A new circular multifocal collimator is proposed. The multiple focal points are distributed on a transaxial circle which is the trajectory of the focal points during the circular acquisition. This distribution provides a strong focusing at the center of the detector like a cone-beam collimator, with a good sensitivity, and a weak transaxial focusing at the periphery. A solution for an analytical multifocal reconstruction algorithm has been derived. Grangeat algorithm is proposed to use for this purpose in order to reconstruct with a good sensitivity the region of interest. Multifocal epithelioid hemangioendothelioma of the phalanges of the hand. Epithelioid hemangioendothelioma EH of bone is a rare vascular neoplasm characterized by epithelioid endothelial cells and a variable biologic behaviour. The principal sites of occurrence of this osteolytic tumor are the lower extremity and the axial skeleton. Approximately half of the cases present with multifocal disease. We report on the clinical, histologic and radiologic features - including CT and MRI findings - of EH in a case of multifocal disease of the phalanges of the hand, a very uncommon anatomic site of affliction. Multifocal visual evoked responses to dichoptic stimulation using virtual reality goggles: Multifocal VER to dichoptic stimulation. Multifocal visual evoked potentials mfVEPs have demonstrated good diagnostic capabilities in glaucoma and optic neuritis. This study aimed at evaluating the possibility of simultaneously recording mfVEP for both eyes with dichoptic stimulation using virtual reality goggles and also to determine the stimulus characteristics that yield maximum amplitude. Experiment 1 involved recording responses to dichoptically presented checkerboard stimuli and also confirming true topographic representation by switching off specific segments. Experiment 2 involved monocular stimulation and comparison of amplitude with Experiment 1. In Experiment 3, orthogonally oriented gratings were dichoptically presented. Experiment 4 involved dichoptic presentation of checkerboard stimuli at different levels of sparseness 5. Experiment 1 demonstrated good traces in all regions and confirmed topographic representation. However, there was suppression of amplitude of responses to dichoptic stimulation by Experiment 4 demonstrated maximum amplitude and least suppression 4. It is possible to record mfVEP for both eyes during dichoptic stimulation using virtual reality goggles, which present binocular simultaneous patterns driven by independent sequences. Interocular suppression can be almost eliminated by using a temporally sparse stimulus of 1. Presbyopic surgery is considered as the new frontier in refractive surgery. Different solutions are proposed: myopization of one eye, insertion of an accommodative crystalline lens, scleral surgery, the effects of which are still unknown, and finally multifocal phakic implants. We therefore decided to undertake a prospective study under the Huriet law to determine its efficacy and specify the conditions required for an anterior chamber multifocal phakic implant. Fifty-five eyes of 33 patients received an anterior chamber foldable multifocal phakic implant. Twenty-one females and 12 males underwent surgery. Recuperating a distant uncorrected visual acuity of 0. Average follow-up was Mean postoperative refraction was Mean postoperative uncorrected visual acuity was 0. Postoperative uncorrected visual acuity was Parinaud 2. Eighty-four percent of eyes operated on recuperated 0. Lenses in four eyes were explanted for different reasons, essentially optical, and no severe anatomical complications were observed. Placing an anterior chamber multifocal phakic implant to correct presbyopia is an effective technique with good predictability and has the advantage of being reversible in case of intolerance, optical parasite effects or undesired complications. Considering the particularity of this surgery, it is imperative to respect very strict inclusion criteria: anterior chamber depth equal to or above 3. The multifocal electroretinogram mfERG in the pig. To establish a method allowing multifocal electroretinography mfERG recording with simultaneous fundus monitoring on anaesthetized pigs. In addition we characterize the peaks of the porcine mfERG trace, and compare the visual streak area with the optic nerve head, a known non-response area Finally we illustrate the feasibility of the method by performing mfERG after an induced laser burn in the visual streak Retreatments after multifocal intraocular lens implantation: an analysis. Patients and methods: A retrospective chart review of eyes of patients from one site that underwent uncomplicated cataract surgery with multifocal IOL implantation. Biometry, the IOL, and refractive data were recorded after the original implantation, with the same data recorded after retreatment. Comments related to vision were obtained both before and after retreatment for retreated patients. Results: The multifocal retreatment rate was The eyes that required retreatment had significantly higher residual refractive astigmatism compared with those who did not require retreatment 1. Retreatment can improve symptoms for a high percentage of patients; a piggyback IOL is a viable retreatment option. Multifocal amelanotic conjunctival melanoma and acquired melanosis sine pigmento. Clinical and histopathological features of four cases of multifocal amelanotic malignant melanoma of the conjunctiva in association with 'acquired melanosis sine pigmento' are reported. The absence of conjunctival pigmentation in this extremely rare combination of lesions prevented early diagnosis and clinical monitoring. As a result orbital exenteration was required in three cases. This multicentric non-pigmented variety of conjunctival malignant melanoma tends to present later than pigmented forms and may require exenteration of the orbit as a primary procedure. Primary multifocal tuberculous osteomyelitis with involvement of the ribs. Chang, D. Two cases of primary multifocal tuberculous osteomyelitis with involvement of the rib cage are presented. The lungs were normal and the appearance of the skeletal lesions did not suggest tuberculosis. These lesions were predominantly lytic, with minimal soft tissue involvement. Tuberculosis should be high in the differential diagnosis of multiple destructive bone lesions, especially in patients from regions where tuberculosis is endemic. With 5 figs. O mosaico patogênico da pancreatite aguda grave. Respostas cardiovasculares agudas em ambiente virtualmente simulado pelo Nintendo Wii. Heterogeneity of DNA methylation in multifocal prostate cancer. Most prostate cancer PCa cases are multifocal , and separate foci display histological and molecular heterogeneity. DNA hypermethylation is a frequent alteration in PCa, but interfocal heterogeneity of these changes has not been extensively investigated. Ten pairs of foci from multifocal PCa and 15 benign prostatic hyperplasia BPH samples were obtained from prostatectomy specimens, resulting altogether in 35 samples. MSP revealed different methylation status of at least one gene in separate foci in 8 out of 10 multifocal tumors. Escala de Alvarado como herramienta diagnóstica para apendicitis aguda. Resulta de interés la utilización de la Escala de Alvarado en el diagnóstico de esta patología por su contribución a la disminución de apendicectomías negativas. Métodos: Se realizó una investigación observacional, descriptiva y transversal en pacientes hospitalizados con cuadro de dolor abdominal y sospecha de apendicitis aguda , valorados en el Servicio de Cirugía General en el Hospital General IESS Ambato en el período junio a noviembre del año Comparison of the visual and intraocular optical performance of a refractive multifocal IOL with rotational asymmetry and an apodized diffractive multifocal IOL. To compare the visual outcomes and intraocular optical quality observed postoperatively in patients implanted with a rotationally asymmetric multifocal intraocular lens IOL and an apodized diffractive multifocal IOL. Distance and near visual acuity outcomes, contrast sensitivity, intraocular optical quality, and defocus curves were evaluated during 3-month follow-up. Calculation of the intraocular aberrations was performed by subtracting corneal aberrations from total ocular aberrations. Both multifocal IOLs are able to successfully restore visual function after cataract surgery. The zonal refractive multifocal IOL provides better results in contrast sensitivity and intermediate vision, whereas the diffractive multifocal IOL provides better near vision at a closer distance. Calcio sérico total y calcio corregido como predictores de severidad en pancreatitis aguda. Embolectomía en una embolia pulmonar aguda masiva. Dado el riesgo de hemorragia por el tumor craneal, se contraindica la terapia fibrinolítica y se procede a practicar embolectomía pulmonar. Ésta se realiza bajo anestesia general, con canulación convencional y bajo hipotermia moderada. Se extrae émbolo en el tronco de la arteria pulmonar y con catéter de Fogarty se extraen émbolos en ramas lobares y segmentarias. Discutimos la asociación de enfermedad tromboembólica con determinadas neoplasias y el tratamiento de la tromboembolia pulmonar. Epidemia de infección respiratoria aguda observaciones hospitalarias. Instituto de Investigaciones en Salud, Se describe la clínica, tratamiento y complicaciones de 81 niños lactantes con infección respiratoria aguda. Los niños provenían del cantón central de San José y fueron admitidos en el Hospital Nacional de Niños del 10 de noviembre al 15 de diciembre de Ella acudió con desnutrición severa, anemia marcada y síndrome consuntivo. No había compromiso del sistema reticuloendotelial y un mielograma inicial fue normal. Estos factores retardaron el diagnóstico y obligaron a ampliar el diagnóstico diferencial. Isquemia aguda de miembros inferiores secundaria a ergortismo. Full Text Available Paciente de género femenino, de 21 años de edad, quien ingresó por dolor progresivo e intenso en miembros inferiores, y refirió antecedente reciente de ingestión de derivados del ergot. Al examen físico se observó ausencia de pulsos en ambos miembros inferiores. Por angiotomografia se documentó disminución severa, generalizada y bilateral, del calibre de los vasos arteriales de miembros inferiores. Se diagnosticó isquemia arterial aguda secundaria a ergotismo y se inició tratamiento con vasodilatadores y calcio-antagonistas, que resolvió los síntomas en su totalidad. A case of osseous scintigraphy showing focuses of multifocal tuberculosis. Incidence of tuberculosis in developed countries presents in the last years a spectacular boost. It is presented here a case of multifocal osseous tuberculosis only to stress its rarity. A woman 28 years old from Djibouti presents since 8 months an asthenia and dorsal pains long thought as psychalgia. The examination has shown a major vertebral stiffness and limitation of right haunch. The radiographs showed a scoliosis centered on D8 with modifications. The intradermal reaction 10 U of tuberculin is phlyctenular. The TDM indicates lytic vertebral extension on D7 - D8, the osseous scintigraphy with MDP - 99 mTc indicates no anomaly in the vascular arrival time; a few minutes after injection: dorsal and upper and of right femur hyperactivity; 2 h after injection: hyper-fixation of D7 to D9 and of the upper end of right femur. The IRM indicates para-vertebral abscess of D7 to D9 with epidural abscess; abscess in the upper part of the loge of right adductors with osseous affliction of the femur's upper end; a bacillary infectious process was a priori evoked. The patient was then placed under quadruple antibiotic-therapy anti-tuberculous care. Chronic multifocal non-bacterial osteomyelitis in hypophosphatasia mimicking malignancy. HP patients suffer from reduced bone mineralization. Biochemically, elevated concentrations of substrates of TNSALP, including pyridoxal-5'-phosphate and inorganic pyrophosphate occur in serum, tissues and urine. The latter has been associated with chronic inflammation and hyperprostaglandinism. Case presentation We report on 2 affected children presenting with multifocal inflammatory bone lesions mimicking malignancy: A 6 years old girl with short stature had been treated with human growth hormone since 6 months. Then she started to complain about a painful swelling of her left cheek. MRI suggested a malignant bone lesion. Bone biopsy, however, revealed chronic inflammation. A bone scan showed a second rib lesion. Since biopsy was sterile, the descriptive diagnosis of chronic non-bacterial osteomyelitis CNO was established. The diagnostic tests related to growth failure were repeated and subsequent analyses demonstrated a molecular defect in the TNSALP gene. The second girl 10 years old complained about back pain after she had fallen from her bike. X rays of her spine revealed compressions of 2 thoracic vertebrae. At first these were considered trauma related, however a bone scan did show an additional lesion in the right 4th rib. A biopsy of this rib revealed a sterile lympho- plasmocytoid osteomyelitis suggesting multifocal CNO. Conclusion Chronic bone oedema in adult HP and chronic hyper-prostaglandinism in childhood HP do suggest that in some HP patients bone inflammation is present in conjunction with the metabolic defect. Sterile multifocal osteomyelitis could be demonstrated. Non-steroidal anti. The multifaceted presentation of chronic recurrent multifocal osteomyelitis. Objectives: Chronic non-bacterial osteomyelitis CNO or chronic recurrent multifocal osteomyelitis CRMO is an autoinflammatory disorder characterized by sterile bone osteolytic lesions. The aim of this study was to evaluate the demographic data and clinical, instrumental and therapeutic features Conclusion: This is the largest reported case series of CNO patients, showing that the range of associated clinical manifestations is rather heterogeneous. The study confirms A role for susceptibility weighted imaging in progressive multifocal leukoencephalopathy. We report a radiologic finding on magnetic resonance imaging MRI of the brain of two cases of progressive multifocal leukoencephalopathy PML of hypointense signal of subcortical U-fibres on susceptibility weighted SW sequence. The second case is a year-old woman with human immunodeficiency virus HIV infection. Iron deposition is a likely causative factor. We propose that SWI may be especially useful in the assessment of indeterminate cases to reduce the likelihood of a missed diagnosis of PML. Aggressive and multifocal pulmonary inflammatory myofiberblastic tumor in young woman. We report a case of pulmonary inflammatory myofibroblastic tumor IMT showing aggressive and unusually rapid progression. A year-old woman was admitted to the emergency room due to dry cough, fever and blood-tinged sputum that lasted one week. Initial chest radiograph and computed tomography scan revealed multifocal pulmonary nodules, which subsequently progressed into large necrotic masses within two months. She underwent a fine needle biopsy of the largest mass in the right middle lung zone which revealed inflammatory myofibroblastic cells consistent with IMT. The masses showed complete regression after six months of corticosteroid therapy. Segundo, que el Departamento de Ciencias Basicas es el. Estudio multifrecuencia del medio interestelar cercano a HD Sabemos prescrever profilaxia de tromboembolismo venoso nos pacientes internados? Resumo Contexto Embora preconizada, a profilaxia de tromboembolismo venoso TEV deixa de ser realizada sistematicamente em pacientes internados. Excluíram-se os pacientes em uso de anticoagulantes ou com sangramento ativo. El estudio de la actividad solar con el telescopio para ondas submilimétricas SST , nos permite, por vez primera, trabajar con una resolución temporal de milisegundos. Se muestran los resultados obtenidos para cada canal, en donde se grafica este producto como función de la opacidad. We present high-spatial and high-spectral resolution studies of SiO masers in the circumstellar envelopes of late-type stars. These masers occur in the inner layers of the CSEs, in a region dominated by the stellar pulsation, thus being good if not the only probes available to understand the physics in these regions. The spatial distributions retrieved, some of them for the first time, are in clear contradiction with the predictions of the models developed to date. We suggest that spectral line overlap may explain the results obtained. This work has been conducted by Dr. Javier Alcolea Jimenez and Dr. We have determined the angular separations among the three radio sources with submilliarcsecond accuracy from a weighted least squares analysis of the differential phase delay from the three celestial bodies. Our present work introduces important advances with respect to previous astrometric studies, carried out over radio source pairs separated by smaller angular distances. We have consistently modeled the parameters involved in an astrometric VLBI observation, in order to reproduce the differential phase observed for radio sources separated by almost 7o on the sky. We have demonstrated the possibility of phase-connection over these angular distances at 8. After the phase-connection we have corrected the effects of the extended structure of the radio source and of the ionosphere. This last correction is one of the main technical achievements of this thesis: it is possible to remove the ionospheric contribution with independent measurements of the ionosphere total electron content obtained at Global Positioning Systems GPS sites the VLBI observing stations. The triangular geometry introduces constraints in parameter space that allow a better estimation of the angular separations among the radio sources. It is possible to test the consistency of the astrometric results through the Sky-Closure, defined as the circular sum of the angular separations of the three radio sources, determined pairwise and independently. In our case it is consistent with zero, and verifies satisfactorily the data process followed. The comparison of our results with those obtained by Eubanks USNO from group delay measurements without structure correction show the incorrectness of the latter. We have discovered a shell-like structure of the radio emission of SN J which exploded on March We have also elaborated a movie of its evolution, by monitoring the shell structure for different epochs, and determined the deceleration of its expansion. No obstante, no se conoce mucho sobre los miembros mas débiles de estos objetos. Seguridad del paciente en Radioterapia Intraoperatoria: Impacto de los elementos controlados por el Radiofisico. Por ultimo, al precisarse el uso en RIO de la simulacion virtual y del calculo de la dosis absorbida en el paciente virtual, se ha ilustrado este apartado con la aceptacion y el estado de referencia inicial del planificador de tratamientos modulados con calculo de Monte Carlo Elekta Monaco. No se experimentaron sucesos relativos a una administracion inadecuada de la dosis absorbida. Se identificaron las revisiones dobles y por un par como claves para reducir los riesgos asociados al equipo de profesionales involucrado en la RIO. Se identificaron tambien oportunidades de mejora con el uso de la automatizacion y el enclavamiento. Las camaras de ionizacion Farmer derivaron en direcciones opuestas en un periodo de 6 anos; aunque ello no se aprecio en los informes de calibracion del laboratorio acreditado. No derivo la camara PPC Los valores centrales de las dosis absorbidas quedaron entre la dosis absorbida prescrita y la maxima, con lo que indicaron un tratamiento correcto del lecho tumoral. Las verificaciones de. La implantacion del enfoque constructivista en el aula de ciencia: Estudio de caso multiple. Esta investigacion estudia la implantacion del enfoque constructivista en tres aulas de ciencia del contexto puertorriqueno. Se auscultaron las practicas educativas que utilizan maestras consideradas constructivistas y la correspondencia de sus practicas educativas con los elementos esenciales de la didactica que proponen los teoricos de los planteamientos constructivistas. Se ausculto, ademas, a que vision del enfoque constructivista responden las expresiones de las maestras acerca de su practica educativa y como compara con su quehacer, a la luz de los elementos esenciales de las visiones constructivistas piagetiana, social y radical. Se utilizo el diseno de estudio descriptivo de caso multiple. El estudio se baso en entrevistas a profundidad, revision de documentos y observacion no participativa a la sala de clases. El contexto fueron tres escuelas publicas de la Region Educativa de San Juan, una elemental, una intermedia y una superior. Los resultados confirmaron que la transicion hacia el enfoque constructivista es un proceso que toma tiempo, dedicacion y la participacion en adiestramientos y readiestramientos acerca del nuevo enfoque. Las maestras coinciden en la mayoria de las practicas educativas que utilizan para implantar el enfoque constructivista de ensenanza y difieren en algunas debido, probablemente, a que han tenido que adaptarlas a los correspondientes niveles de ensenanza: elemental, intermedio y superior. Dos de las maestras planifican por conceptos generadores, mientras que una de ellas planifica siguiendo la guia que recibe del Departamento de Educacion. Difieren ademas, en el enfasis que confieren al inquirir cientifico. Con relacion a la correspondencia entre la vision manifestada por las maestras a la luz de las visiones piagetiana, social y radical, aparentemente, las preguntas del protocolo de entrevistas no lograron evocar la informacion con suficiente profundidad, por lo que la investigadora tuvo que inferir las visiones de las. Resultados pacientes y personal de salud de ambos sistemas coinciden en la importancia del estigma asociado al VIH, la relación médicopaciente, la comunicación entre ambos y la división de responsabilidades en relación al tratamiento como aspectos fundamentales para la adherencia y retención en la cascada de atención. Discusión se resalta la necesidad de intervenciones focalizadas en la díada médico- paciente que considere las particularidades de cada sistema de atención para facilitar el compromiso del paciente en la adherencia. Protein Supplements: Pros and Cons. To provide a comprehensive analysis of the literature examining the pros and cons of protein supplementation, various articles on protein supplementation were obtained from Google Scholar, PubMed, and National Center for Biotechnology Information. Over the past few years, protein supplementation has become commonplace for gym-goers as well as for the public. A large segment of the general population relies on protein supplementation for meal replacement, weight reduction, and purported health benefits. These protein supplements have varying pros and cons associated with them, which are often overlooked by the public. This review aims to assimilate existing studies and form a consensus regarding the benefits and disadvantages of protein supplementation. The purported health benefits of protein supplementation have led to overuse by both adults and adolescents. Although the pros and cons of protein supplementation is a widely debated topic, not many studies have been conducted regarding the same. The few studies that exist either provide insufficient evidence or have not employed proper conditions for the conduct of the tests. It should be considered that protein supplements are processed materials and often do not contain other essential nutrients required for the sustenance of a healthy lifestyle. It is suggested that the required protein intake should be obtained from natural food sources and protein supplementation should be resorted to only if sufficient protein is not available in the normal diet. Estudio teórico de moléculas de interés en Astrofísica: compuestos binarios policarbonados. Se han detectado en el espacio distintos compuestos binarios policarbonados que se pueden formular como CnX , algunos de ellos con elementos de la primera fila del sistema periódico, pero también existen otros que contienen elementos de la segunda fila, como azufre o silicio. En esta comunicación presentaremos los avances mas recientes que sobre el tema ha realizado nuestro grupo. Incidiremos particularmente en dos aspectos. En segundo lugar comentaremos brevemente algunos de los estudios realizados sobre posibles reacciones que pueden ser vías de síntesis de este tipo de compuestos en el medio interestelar. Aspergilosis cervical con diseminación al sistema nervioso central. Presentación de un caso y revisión de bibliografía. Puede presentarse con cuadros de meningitis, aneurismas micóticos, infartos o abscesos. Es una infección con pronóstico reservado y puede afectar el SNC de forma primaria o secundaria a partir de un foco que se disemina por vía hematógena. Presentamos el caso de un paciente con AI con invasión primaria a nivel óseo y diseminación posterior al cerebro. Posteriormente agregó cervicalgia y con el diagnóstico de osteomielitis cervical se realiza punción bajo tomografía computada TC sin aislarse gérmenes. Se colocó Halo Vest e inició tratamiento antibiótico empírico. Posteriormente presentó afasia de expresión secundaria a lesión frontal izquierda. Se realizó evacuación de absceso cerebral aislando A. El tratamiento antibiótico específico posterior permitió una buena respuesta clínica y radiológica. Conclusión: La presencia de lesiones en el SNC de pacientes inmunocomprometidos debe incluir a las micosis como diagnóstico diferencial. Para evaluar la respuesta terapéutica y posibles recaídas se debe realizar un seguimiento periódico clínico radiológico. Palabras clave: Aspergilosis cerebral; Aspergilosis cervical; Aspergilosis invasiva; Voriconazol. A partir del estudio de los Efectos Gravitomagnéticos en cuerpos masivos rotantes, planteamos la expresión para medir el desfase en el tiempo, para diferentes observadores, que se dan cuando viajan dos rayos de luz por una guía de onda o de manera libre geodésicas , en el plano azimutal y en el plano polar. The Pros and Cons of Army Automation. Manual skills MSG P. La reacción entre el radical HSO y el ozono ha sido ampliamente estudiada desde el punto de vista experimental debido a la importancia que tiene el radical HSO en la oxidación de los compuestos de azufre reductores y a que puede contribuir a la producción de H2SO4 []. Se realizaron diversos estudios teóricos sobre la cinética de la reacción entre el radical HSO y el ozono. Estudio participativo para el desarrolllo de un instrumento de observación de violencia escolar. Medina Santiago, Nilda G. Entre los hallazgos del estudio se destacan diferencias por sexo en cuanto a categorías de violencia observadas y la observación de agresividad en juegos e interacciones entre estudiantes. Los datos recopilados han servido de base para la toma de decisiones en cuanto a la prevención de la violencia en las escuelas participantes y tienen implicaciones para el desarrollo de estrategias y programas de prevención. Estudio de distintos modelos de protuberancias solares. La interacción de estrellas WN con el medio circundante. Se presentan resultados preliminares de un estudio de la distribución del hidrógeno neutro en los alrededores de estrellas WR de la serie del nitrógeno. Los datos observacionales de la línea de 21 cm provienen de un relevamineto de baja resolución angular 36' , así como de observaciones de resolución angular intermedia 9' tomadas con el radiotelescopio de Effelsberg. Los defectos craneales secundarios a traumatismos son frecuentes. Históricamente se han utilizado diversos materiales para la reconstrucción. Las localizaciones afectaron el frontal, el borde orbitario superior y el techo orbitario en cuatro casos, y la porción lateral del frontal, la zona temporoparietal y el borde del occipital en un caso. La reconstrucción en cuatro pacientes fue entre 6 y 12 meses después de la lesión, y en un caso después de 25 años. En dos casos se requirió expansión tisular antes de colocar el implante. Cuatro pacientes evolucionaron favorablemente, con mejoría de los síntomas neurológicos, forma y contorno adecuados, así como un proceso de cicatrización adecuada de los colgajos de piel cabelluda. Un paciente presentó infección por Staphylococcus aureus, atribuida a la presencia de un mucocele y una fístula de la vía aérea a la cavidad craneal, lo que hizo necesario retirar el implante. Brindan resultados satisfactorios desde el punto de vista funcional y cosmético. Deben tomarse precauciones respecto al tratamiento de las lesiones que afecten el seno frontal, para evitar la comunicación entre la vía aérea y la cavidad craneal. Cranial defects due to trauma are frequent. They are usually repaired in a secondary fashion due to features such as syndrome of the trephined, for brain protection and for cosmetic purposes. Historically, various materials have been used for reconstruction. Defects involved. Entre las aplicaciones que requieren estos conocimientos se encuentran la generación de plasmas para la fabricación de semiconductores, memorias magnéticas, etc, así como los sistemas astrofísicos, la ionosfera terrestre, etc. Se evitan estas dificultades estudiando las moléculas o complejos en expansiones supersónicas, donde la T de los grados de libertad solo alcanzan unos pocos K. Para realizar experimentos de ZEKE hay que utilizar una propiedad recientemente. Contaminación por mercurio de leche materna de madres lactantes de municipios de Antioquia con explotación minera de oro. Determinar la prevalencia de la contaminación con mercurio de la leche materna de mujeres lactantes residentes en los municipios con explotación minera de oro. Se calculó el promedio de la concentración de mercurio y las prevalencias municipales de contaminación. Estudio fenomenologico del conocimiento curricular y conocimiento de contenido en maestros de matematica a nivel secundario. En esta investigacion se estudio el fenomeno del conocimiento de contenido y el conocimiento curricular de maestros de matermaticas y como estos dos componentes se reflejan en su conocimiento pedagogico del contenido. El conocimiento de contenido es el conocimiento que tienen los maestros de los contenidos de una disciplina y sobre la estructura de su organizacion Shulman, Este estudio se enmarca en el paradigma cualitativo, teniendo como diseno el estudio fenomenologico Lucca y Berrios, ; McMillan, Los participantes fueron seis maestros de matermaticas del nivel superior 10mo a 12mo grado. Al momento de la investigacion los participantes ensenaban en escuelas publicas o privadas de Puerto Rico. Para recolectar la informacion se utilizo un grupo focal en donde los maestros resolvieron seis ejercicios matematicos y posteriormente reflexionaron en forma grupal sobre las soluciones. Tambien se realizo un analisis de documentos de planificacion y se llevaron a cabo entrevistas semiestructuradas. Se exploraron los contenidos relacionados a la ecuacion de una recta, rectas verticales y horizontales, suma y multiplicacion de polinomios, resolucion de ecuaciones cuadraticas y distancia entre dos puntos del plano cartesiano. Los resultados muestran que los participantes tienen dominio procesal de los contenidos correspondientes a las rectas verticales y horizontales, la suma y multiplicacion de polinomios, el calculo distancia entre dos puntos del plano cartesiano. Sin embargo, se noto cierta dificultad en la explicacion conceptual de los contenidos relacionados a la. Objetivos de nuestro trabajo han sido el estudio de los canales de disociación mayoritarios y de las especies transitoria producidas, así como de la distribución de energía interna con que éstas son generadas. Estudios sobre Educacion, Studies on Education, This journal, which provides abstracts of its articles mostly in Spanish and a few in English, contains studies estudios and notes notas about educational issues, as well as relevant book reviews recensiones. Studies in this issue No. La mortalidad, hospitalizaciones, caídas y dependencia funcional fueron evaluadas en la segunda vuelta del estudio en el año No hubo asociación entre los estados de prefragilidad y fragilidad con caídas. Greco, Stephanie H. Concanavalin-A Con -A hepatitis is regarded as a T cell-mediated model of acute liver injury. Mincle is a C-type lectin receptor CLR that is critical in the immune response to mycobacteria and fungi, but does not have a well-defined role in pre-clinical models of non-pathogen mediated inflammation. Since Mincle can ligate the cell death ligand SAP, we postulated that Mincle signaling drives intrahepatic inflammation and liver injury in Con -A hepatitis. We found that Mincle was highly expressed in hepatic innate inflammatory cells and endothelial cells in both mice and humans. Furthermore, sterile Mincle ligands and Mincle signaling intermediates were increased in the murine liver in Con -A hepatitis. Most significantly, Mincle deletion or blockade protected against Con -A hepatitis whereas Mincle ligation exacerbated disease. Bone marrow chimeric and adoptive transfer experiments suggested that Mincle signaling in infiltrating myeloid cells dictates disease phenotype. Conversely, signaling via other CLRs did not alter disease course. Our work implicates a novel innate immune driver of Con -A hepatitis and, more broadly, suggests a potential role for Mincle in diseases governed by sterile inflammation. Con A hepatitis is regarded as a T cell-mediated model of acute liver injury. Mincle is a C-type lectin receptor that is critical in the immune response to mycobacteria and fungi but does not have a well-defined role in preclinical models of non-pathogen-mediated inflammation. Because Mincle can ligate the cell death ligand SAP, we postulated that Mincle signaling drives intrahepatic inflammation and liver injury in Con A hepatitis. Furthermore, sterile Mincle ligands and Mincle signaling intermediates were increased in the murine liver in Con A hepatitis. Most significantly, Mincle deletion or blockade protected against Con A hepatitis, whereas Mincle ligation exacerbated disease. Conversely, signaling via other C-type lectin receptors did not alter disease course. Our work implicates a novel innate immune driver of Con A hepatitis and, more broadly, suggests a potential role for Mincle in diseases governed by sterile inflammation. Remisión de aneurisma luego de exéresis de MAV con aparición de síndrome del acento extranjero. La conducta frente a los aneurismas asociados es dicotómica en la literatura, mientras existen reportes de la desaparición de los mismos luego de la exéresis de la MAV, otros artículos enfatizan su tratamiento precoz. Adil E. Scott W. Joseph J. Donald W. Carver College of Medicine. Marcy B. Herbert L. Charles D. Ann S. Alfred A. Thomas G. Simeon A. Christopher J. Evan M. George R. Haywood L. Erika F. Robert G. Rebecca H. Larry M. Jerrold T. Edward R. David B. Mary T. Frances E. Bartolome R. Elizabeth's Medical Center. Michael F. Bruce A. Walter W. Ian M. Rachel L. Mott Children's Hospital. Julia F. Alfred J. Jesse M. Paula J. Erin G. Elizabeth L. William J. Alan S. Harold R. Eve R. Deborah M. Burke A. Emmett T. Cunningham, Jr. Drew C. Patricia A. Daly, MD University of Virginia. Daniel F. Norman L. Peter J. Marc A. Deepinder K. Dhaliwal , MD, L. Michael C. Joel E. James G. James D. Joseph's Healthcare Hamilton. Daniel A. Antonette T. Jeffrey S. Derrick A. Kevin C. Soumitra R. Stephen J. Mark A. Christopher M. Norah C. Bradley D..

Plan Darrin kenneth obrien esposa disfunción sexual Restaurante Centolla. La empresa Crisantemo Gourmet S. El presente plan estratégico tiene como propósito principal incrementar los ingresos y lograr el posicionamiento del Restaurante Centolla en el mercado a fin de que sea reconocido como uno de los mejores restaurantes de comida japonesa Darrin kenneth obrien esposa disfunción sexual marina, es decir, que goce de la preferencia de los clientes por la Y, a la vez, la inmortalidad de los persona - jes de leyenda, literarios, pictóricos, musicales y cinem A metodologia utilizada combina a releitura do model Una experiencia del atletismo en Cantabria.

Instituto Nacional de Educación Física, curso Consta de los siguientes capítulos: enseñanza del atletismo, iniciación al atletismo, la lección de iniciación al atletismo, iniciación a las carreras, experiencias personales, conclusiones y bibliografía.

Se escogió realizar el trabajo en pequeños grupos, concretamente se formaron un tot Maria Zambrano: a philosophical, mystical and Darrin kenneth obrien esposa disfunción sexual journey. Full Text Available Zambrano, María. Obras Completas III. Nací en North Babylon, Long Island. Mi padre tenía una colección de jazz, yo solía escuchar todas sus canciones. Tocaba la batería en la primaria y empecé ahí.

En realidad me dediqué a la banda un buen rato y tocaba el piano en mi casa. Tenía un trabajo normal con mi padre en la compañía de teléfonos de Nueva York haciendo trabajos de mantenimiento y mi amigo Michael Greer terminó conociendo a un artista de rap, uno de sus hermanos, y así se hicieron las introducciones.

Y así terminé involucrado en la industria. Ese fue MC Shan. Sí, íbamos a Jamaica Avenue y un día había unos hermanos jamaiquinos cuyos padres tenían un estudio en la esquina de Jamaica Avenue y la Un día fuimos al lugar y había un chico llamado Marvin Prince. Escucha: tengo a este hombre blanco, su nombre es Snow.

Hizo lo que tenía que hacer, vino a Nueva York. Definitivamente tenía talento. Así que me quedé con la melodía y me fui a casa a armar la Darrin kenneth obrien esposa disfunción sexual. Trabajamos con el durante un par de semanas hasta que se quedó sin dinero. Una vez que eso pasó, y después de hacer lo que sea que hiciera en esa época, era un boostereso era lo suyo, regresó. Eso era lo suyo. Ropa y cosas. Tuve mucho que ver con ese sonido que se volvió tan popular y se convirtió en platino.

Sí, tuve problemas con eso, dado que yo había hecho la mayor parte. Y el principal problema fue mi crédito como tecladista. En ese momento Teddy Riley y todas estas personas eran populares, y todos saben quien es el güey al teclado: ese es el güey que realmente aterriza las cosas. Courtney taylor hd videos. El Instituto Geografico Nacional de Guatemala implemento 17 estaciones GNSS en el añocomo un proyecto de credito mixto de donacion de equipamiento del Gobierno de Suiza, el cual, este equipamiento de estaciones CORS Darrin kenneth obrien esposa disfunción sexual es Darrin kenneth obrien esposa disfunción sexual sistema de recepción y Darrin kenneth obrien esposa disfunción sexual de datos crudos GPS RInex que utiliza la tecnologia Spider Web de Leica, asi mismo este sistema esta sirviendo para el espablecimiento de un marco geodesico nacional de coordenadas geodesicas oficiales, el cual se calculan u obtienen las velocidades en tiempos temporales programados de las 17 Estaciones CORS.

La infraestructura del marco geodesico de Guatemala esta sirviendo de base para las aplicaciones de estudios geodinamicos como el monitoreo de del desplazamiento de las placas tectonicas por medio de un estudio que se inicio en el año dellamado medicion con GPS el sistema de Fallas de video gratis de chicas frescas rios Polochic Darrin kenneth obrien esposa disfunción sexual de Guatemala, tambien para un estudio que se implemento para deformación de corteza terrestre local en un Volcan Activo de Guatemala llamado Pacaya.

Para el estudio del monitoreo con GPS del volcan activo de Guatemala, se implementaron cuatro puntos al rededor del volcan, el cual, se realizan cuatro mediciones al Darrin kenneth obrien esposa disfunción sexual, que permiten determinar axialmente la distancias entre los puntos, y rebisar estadisticamente cual es el comportamiento de las distancias en funcion del tiempo, si.

PubMed Central. Introducción Estudios internacionales demuestran que existe un patrón diferenciado de salud y una disparidad en la atención sanitaria entre personas con discapacidad intelectual DI y población general. Objetivo Obtener datos sobre el estado de salud de las personas con DI y compararlos con datos de población general. Pacientes y métodos Se utilizó el conjunto de indicadores de salud P15 en una muestra de sujetos con DI. Sin embargo, encontramos una baja presencia de patologías como la diabetes, la hipertensión, la osteoartritis y la osteoporosis.

Conclusiones El patrón de salud de las personas con DI difiere del de la población general, y éstas realizan un uso distinto de los servicios sanitarios.

Es importante el desarrollo de programas de promoción de salud y de formación profesional específicamente diseñados para la atención de personas con DI, así como la implementación de encuestas de salud que incluyan datos sobre esta población.

Potencial eficacia del metotrexato. 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.

El objetivo principal de este estudio fue la evaluación de factores relacionados al comportamiento de alto riesgo para transmisión del HIV entre HSH entre los que se incluyen el conocimiento y factores emocionales, socioculturales y ambientales. Por otro lado se realizó la estimación de prevalencia e incidencia de HIV utilizando RDS Respondent Driven Samplingasí como la presencia de otras infecciones de transmisión sexual.

El estudio constó de dos fases, en primer lugar una fase cualitativa y posteriormente una fase cuantitativa con una duración total de 4 años y medio. Durante la fase cuantitativa del estudio se realizó el reclutamiento de participantes que provinieron de la Ciudad Autónoma de Buenos Aires, así como del Gran Buenos Aires.

El reclutamiento se comenzó con 16 participantes llamados semillas. Presentación del estudio "Links" de hombres que tienes sexo con hombres en Buenos Aires, Argentina. Genes del receptor variable beta de células T en células circulantes de pacientes con lupus eritematoso generalizado y sus familiares sanos. Reynoso, E. Se presentan nuevos resultados sobre la expansión del remanente de la supernova de Tycho a lo largo de un intervalo de El coeficiente de expansión se calcula para sectores radiales de 4o de ancho cada uno, ajustando la correlación cruzada de las derivadas de los perfiles promedio para cada época.

Este valor se compara con coeficientes teóricos para diferentes fases evolutivas de remanentes de supernova. Aplicacion al moldeo por inyeccion de polibutilentereftalato reforzado con fibra de vidrio". En la primera parte del presente estudioa partir de ensayos punzon sobre disco, se ha determinado la relacion entre la resistencia al desgaste y la dureza de aceros para moldes obtenidos a partir de bloques de gran espesor, estudiando los principales mecanismos de desgaste que tienen lugar.

A continuacion, con el fin de determinar el dano superficial que sufren los aceros para moldes en condiciones reales de inyeccion, se han estudiado distintos tipos de aceros utilizados comercialmente en moldes de inyeccion de polimeros y materiales compuestos, seleccionando las condiciones de operacion more info determinar la variacion de la rugosidad superficial del acero en funcion del material inyectado, del numero de operaciones sucesivas de visit web page y de la orientacion del flujo de inyeccion, mediante tecnicas de perfilometria optica y microscopia electronica de barrido.

En Darrin kenneth obrien esposa disfunción sexual caso de las piezas inyectadas, se ha caracterizado su microestructura en funcion del flujo de inyeccion y de la densidad de fibra, se han determinado sus propiedades termicas y dinamico-mecanicas, asi como la Darrin kenneth obrien esposa disfunción sexual de la rugosidad superficial de las piezas inyectadas con el numero de operaciones de inyeccion y con la geometria de las distintas secciones de las piezas.

Estudio de la influencia de la refrigeracion con aire de forma natural e inducida en el comportamiento de instalaciones fotovoltaicas. The presented research provides a deep knowledge of how they work as well as information and results for an improvement in future designs of building integrated photovoltaic systems.

Este estudio se centra en analizar la influencia negativa de la temperatura en la produccion electrica de paneles fotovoltaicos al estar emplazados sobre cubierta de acero, como sucede en naves industriales y sobre un invernadero. Se estudian diferentes configuraciones que permitan refrigerar los paneles, reduciendo su temperatura y mejorar su rendimiento. Para abordar este problema, se han construido dos instalaciones experimentales, fieles a plantas solares en funcionamiento. Una instalacion engloba dos paneles fotovoltaicos sobre estructura fija al suelo.

Uno de los paneles esta integrado sobre una superficie paralela y metalica. Entre ambas superficies existe un espacio que posibilita circular aire, permitiendo refrigerar el panel por conveccion natural, o conveccion forzada impulsando el aire con un ventilador.

El otro panel, libre por su cara posterior y se ha considerado de referencia. Se ha estudiado el comportamiento del panel integrado sobre cubierta para diferentes secciones de aire y velocidades inducidas, comparandolo con el panel de referencia. Se ha desarrollado un modelo experimental que nos permite determinar la temperatura del panel en funcion de las variables que influyen en su refrigeracion.

Adicionalmente, se han analizado los datos de Darrin kenneth obrien esposa disfunción sexual planta solar en funcionamiento, con paneles Darrin kenneth obrien esposa disfunción sexual igual caracteristicas, obteniendo correlaciones entre la temperatura del panel Darrin kenneth obrien esposa disfunción sexual las variables electricas y comparandolos con las obtenidas en la instalacion experimental.

La segunda instalacion experimental reproduce parte de una instalacion solar sobre un invernadero, formada por cuatro paneles fotovoltaicos colocados sobre el plastico del invernadero, existiendo un canal divergente entre ambas superficies. Se estudia la. La histología demostró paniculitis linfocitaria septal y lobulillar. La paciente tuvo mala tolerancia al tratamiento anti diana a dosis plenas, requiriendo su ajuste, generando una corticodependencia para controlar sintomatología, y que finalmente obligó a la descontinuación de la terapia dirigida contra melanoma.

Adverse effects include arthralgia, fatigue, and skin toxicity; panniculitis is a rare complication. We present the case of a year-old patient with metastatic melanoma who developed painful subcutaneous nodules of the lower and upper limbs and associated systemic clinical symptoms after click at this page weeks of treatment with vemurafenib plus cobimetinib.

Histology showed a septal and lobular lymphocytic panniculitis. The patient had poor tolerance of the full-dose treatment, requiring its adjustment. Systemic corticosteroids were required to control symptomatology. Pacientes y Métodos: se llevó a cabo una revisión de las historias clínicas de 47 pacientes con meningiomas primarios intraorbitarios. Se realizaron 52 cirugías en los pacientes con MF.

Se empleó una craneotomía fronto-orbitaria, seguida de una descompresión extradural del canal óptico, resección del componente intraorbitario y exploración intradural del nervio óptico. Resultados: de los 12 pacientes con MF que presentaban la visión conservada, la agudeza visual fue preservada en 7 casos, mejoró en 2, y empeoró en 3.

En 18 pacientes https://link-r.iqsenso.store/video-16-04-2020.php, el principal síntoma fue exoftalmos y en 35 pacientes ceguera unilateral.

Darrin kenneth obrien esposa disfunción sexual

Cinco de ellos fueron reoperados. Se indicó radioterapia después de la recurrencia en 3 pacientes. Los modelos de eensenanza y aprendizaje constructivistas conceptualizan el aprendizaje como un proceso activo.

El modelo de Aprendizaje Basado en Proyectos ABPr se distingue por una serie de componentes, entre los cuales se destaca el aspecto colaborativo y cooperativo como un reto al momento de su implantacion.

Son pocas las investigaciones que se concentran en este aspecto del modelo. En este estudiose analizaron las diversas interacciones que surgen durante la implantacion Darrin kenneth obrien esposa disfunción sexual una unidad curricular sobre el tema de Geologia de Puerto Rico, la cual se diseno con el modelo ABPr link enfoque es orientacion a proyectos.

Particularmente, se examinaron las interacciones sociales que surgen entre Darrin kenneth obrien esposa disfunción sexual pares y entre pares y docente just click for source el proceso de planificacion y desarrollo de los productos finales, al igual que las interacciones entre los estudiantes y el material didactico en estas etapas del modelo.

La investigacion es de tipo cualitativo e incorpora como diseno el estudio de caso. Las diversas interacciones constituyen la unidad de analisis. En el estudio participaron 19 estudiantes de 9no grado, a quienes se organizaron en 5 grupos colaborativos por temas de interes Pangea, Placas tectonicas, Volcanes, Tsunamis y Terremotos.

Las tecnicas que se utilizaron para recopilar los datos fueron: observaciones participativas, grupos focales y analisis de documentos cuadernos reflexivos y respuestas de los estudiantes a la pregunta central del proyecto. Para el analisis de los datos se aplico la teoria de actividad Darrin kenneth obrien esposa disfunción sexual que concentra la unidad de analisis en la actividad humana en un contexto particular. Los resultados del estudio senalan que las interacciones entre pares, entre pares y docente, asi como entre estudiantes y material didactico son fundamentales en el proceso de aprendizaje.

Una mayor interaccion entre pares durante las etapas de planificar y desarrollar los productos finales de la unidad, promueve una mejor comprension de los conceptos de la. Ambos grupos tuvieron una evaluación de base de mejor agudeza visual corregida y fueron examinados con tomografía de coherencia óptica y angiografía con fluoresceína.

Karger AG, Basel. Estudio descriptivo, prospectivo desde febrero de hasta junio de Después de 12 meses de seguimiento, la salud sexual parece mejorar en los hombres. Descriptive, prospective study from February to June Métodos: Este estudio se compone de una serie de casos intervencionales y comparativos de 12 muestras de MLI extraídas mediante cirugía y obtenidas de forma consecutiva de 9 ojos de 9 pacientes después de someterse sin éxito a vitreólisis farmacológica con ocriplasmina.

Durante el mismo periodo de tiempo, 16 muestras de otros 13 ojos sin tratamiento con ocriplasmina se obtuvieron mediante Darrin kenneth obrien esposa disfunción sexual y sirvieron como controles.

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Todos los pacientes presentaron agujeros maculares o tracción vitreomacular y se sometieron a vitrectomía con disección de la MLI tanto con tinción con azul brillante AB como sin ella. En todas las muestras, se analizaron tanto la parte de la retina como la del vítreo de la MLI. Resultados: La microscopia de fuerza atómica no reveló diferencias significativas en cuanto a elasticidad de las muestras de MLI extraídas de see more con o sin tratamiento con ocriplasmina.

La tinción con azul brillante conllevó un aumento de la rigidez tisular. Estudio del CH interestelar. El objetivo principal de este proyecto consiste en el estudio de la distribución y abundancia del CH en nubes Darrin kenneth obrien esposa disfunción sexual a través de la observación de las líneas hiperfinas del CH en 3,3 GHz. El CH es una molécula de amplia distribución en el espacio interestelar y una de las pocas especies que han sido observadas tanto con técnicas de radio como ópticas.

El cabezal del receptor es capaz de detectar señales polarizadas, separando las componentes de polarización circular derecha e izquierda. Actitudes Éticas de los estudiantes y egresados en carrera de medicina con metodologías activas. El presente estudio tiene por objeto desarrollar un diagnostico de la inserción integrada de la ética en la carrera de medicina brasileña con una metodología de aprendizaje basada en problemas y describir las percepciones de actitudes éticas de los estudiantes y egresados.

El diseño metodológico es un estudio de caso, descriptivo y documental, con abordaje cualitativo y cuantitativo. La muestra de esta investigación ha sido constituida por estudiantes y 40 egresados de dos promociones del Curso de Medicina de la ESCS.

Los estudiantes y egresados de la ESCS demostraron un Darrin kenneth obrien esposa disfunción sexual manejo en el abordaje de los conflictos éticos y respeto a los pacientes. Paciente inmunocompetente con criptococosis cerebral: reporte de un caso.

A year-old female, presenting sudden and progressive holocraneal headache along with incoercible vomiting arrived to emergency room. Acute confusional state and meningoencephalitis syndrome where identified. Brain computed tomography-scan with normal results was performed. China-Ink and Criptococcus neoformans culture both positive.

Viral, lupus-anticoagulant, and HIV tests negative. Hereby we present Darrin kenneth obrien esposa disfunción sexual Cryptococcus spp. Estudio de la fotoabsorción y fotoionización de la molécula de alta relevancia atmosférica no a través Darrin kenneth obrien esposa disfunción sexual los estados Rydberg con la metodología MQDO.

Los investigadores de dichos campos, necesitan de valores de fiables de secciones eficaces para la fotoionización parcial, la Fotoabsorción, así como para los procesos de fotofragmentación en amplios intervalos espectrales, Darrin kenneth obrien esposa disfunción sexual en estudios de modelización [].

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