12 research outputs found

    O Design Universal Para Apprendizagem e a Pedagogia das Estacoes: As Multiplas Temporalidades / Espacialidades do Aprender nas Escolas.

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    This article explores school inclusion processes, with a view to problematizing the learning hegemonies of time and space in educational institutions. It presents partial results of the research project; 'A Escola Para Todos' (The School for All) and responds to the question: How can Universal Design for Learning (UDL), which is somewhat similar to the 'pedagogy of the seasons,' qualify inclusive experiences in schools? By providing an integrative review of the salient features of UDL and pedagogy of the seasons, the paper questions the hegemony of time-space teaching and learning in schools by drawing on narrative theory. Methodologically, this part of the research provides an integrated reflection on critical conceptual attributes incorporating; UDL, the temporalities and spatialities of learning, and concepts of inclusive education. The results of this stage of the research show that it is necessary to overcome the hegemony of time and linear space in learning and teaching processes in order to arrive at school inclusion. Despite similarities between UDL and 'pedagogy of the seasons' tensions remain between these approaches. Not least as reflected in the overcoming of paradoxes such as the necessity to address universal requirements while also tending to particular learner requirements, or equally, while recognizing the variability of strategies without losing sight of more global pedagogical approaches. This challenge is accentuated when the UDL concept of 'expert learners' is further interrogated

    The Impact of Adherence to Screening Guidelines and of Diabetes Clinics Referral on Morbidity and Mortality in Diabetes

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    Despite the heightened awareness of diabetes as a major health problem, evidence on the impact of assistance and organizational factors, as well as of adherence to recommended care guidelines, on morbidity and mortality in diabetes is scanty. We identified diabetic residents in Torino, Italy, as of 1st January 2002, using multiple independent data sources. We collected data on several laboratory tests and specialist medical examinations to compare primary versus specialty care management of diabetes and the fulfillment of a quality-of-care indicator based on existing screening guidelines (GCI). Then, we performed regression analyses to identify associations of these factors with mortality and cardiovascular morbidity over a 4 year- follow-up. Patients with the lowest degree of quality of care (i.e. only cared for by primary care and with no fulfillment of GCI) had worse RRs for all-cause (1.72 [95% CI 1.57–1.89]), cardiovascular (1.74 [95% CI 1.50–2.01]) and cancer (1.35 [95% CI 1.14–1.61]) mortality, compared with those with the highest quality of care. They also showed increased RRs for incidence of major cardiovascular events up to 2.03 (95% CI 1.26–3.28) for lower extremity amputations. Receiving specialist care itself increased survival, but was far more effective when combined with the fulfillment of GCI. Throughout the whole set of analysis, implementation of guidelines emerged as a strong modifier of prognosis. We conclude that management of diabetic patients with a pathway based on both primary and specialist care is associated with a favorable impact on all-cause mortality and CV incidence, provided that guidelines are implemented

    Micromechanical Properties of Injection-Molded Starch–Wood Particle Composites

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    The micromechanical properties of injection molded starch–wood particle composites were investigated as a function of particle content and humidity conditions. The composite materials were characterized by scanning electron microscopy and X-ray diffraction methods. The microhardness of the composites was shown to increase notably with the concentration of the wood particles. In addition,creep behavior under the indenter and temperature dependence were evaluated in terms of the independent contribution of the starch matrix and the wood microparticles to the hardness value. The influence of drying time on the density and weight uptake of the injection-molded composites was highlighted. The results revealed the role of the mechanism of water evaporation, showing that the dependence of water uptake and temperature was greater for the starch–wood composites than for the pure starch sample. Experiments performed during the drying process at 70°C indicated that the wood in the starch composites did not prevent water loss from the samples.Peer reviewe

    Overview of the EUROfusion Tokamak Exploitation programme in support of ITER and DEMO

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    Within the 9th European Framework programme, since 2021 EUROfusion is operating five tokamaks under the auspices of a single Task Force called ‘Tokamak Exploitation’. The goal is to benefit from the complementary capabilities of each machine in a coordinated way and help in developing a scientific output scalable to future largre machines. The programme of this Task Force ensures that ASDEX Upgrade, MAST-U, TCV, WEST and JET (since 2022) work together to achieve the objectives of Missions 1 and 2 of the EUROfusion Roadmap: i) demonstrate plasma scenarios that increase the success margin of ITER and satisfy the requirements of DEMO and, ii) demonstrate an integrated approach that can handle the large power leaving ITER and DEMO plasmas. The Tokamak Exploitation task force has therefore organized experiments on these two missions with the goal to strengthen the physics and operational basis for the ITER baseline scenario and for exploiting the recent plasma exhaust enhancements in all four devices (PEX: Plasma EXhaust) for exploring the solution for handling heat and particle exhaust in ITER and develop the conceptual solutions for DEMO. The ITER Baseline scenario has been developed in a similar way in ASDEX Upgrade, TCV and JET. Key risks for ITER such as disruptions and run-aways have been also investigated in TCV, ASDEX Upgrade and JET. Experiments have explored successfully different divertor configurations (standard, super-X, snowflakes) in MAST-U and TCV and studied tungsten melting in WEST and ASDEX Upgrade. The input from the smaller devices to JET has also been proven successful to set-up novel control schemes on disruption avoidance and detachment

    ПОЯСНмВАЛЬНА ЗАПИСКА ĐșĐČаліфіĐșаціĐčĐœĐŸŃ— Ń€ĐŸĐ±ĐŸŃ‚Đž баĐșалаĐČра ŃŃ‚ŃƒĐŽĐ”ĐœŃ‚Đ° Đ’Đ°Ń€ĐłĐ°ĐœĐŸĐČĐ°_Đ”ĐŒĐžŃ‚Ń€Đ°_Đ”ĐŒĐžŃ‚Ń€ĐŸĐČоча ĐœĐ°ĐżŃ€ŃĐŒŃƒ ĐżŃ–ĐŽĐłĐŸŃ‚ĐŸĐČĐșĐž 124 ĐĄĐžŃŃ‚Đ”ĐŒĐœĐžĐč Đ°ĐœĐ°Đ»Ń–Đ·

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    Об’єĐșт ĐŽĐŸŃĐ»Ń–ĐŽĐ¶Đ”ĐœĐœŃ – ĐżŃ–ĐŽĐżŃ€ĐžŃ”ĐŒŃŃ‚ĐČĐŸ КПйНЗ «ХДПХКОР Đ· ĐșŃ–ĐœĐœĐŸĐłĐŸ ŃĐżĐŸŃ€Ń‚ŃƒÂ» ДМР. ĐŸŃ€Đ”ĐŽĐŒĐ”Ń‚ ĐŽĐŸŃĐ»Ń–ĐŽĐ¶Đ”ĐœĐœŃ – ĐżŃ€ĐžĐłĐŸŃ‚ŃƒĐČĐ°ĐœĐœŃ ĐșĐŸŃ€ĐŒŃ–ĐČ ĐŽĐ»Ń ĐłĐŸĐŽŃƒĐČĐ°ĐœĐœŃ Ń‚Ń€Đ”ĐœĐŸĐČĐ°ĐœĐžŃ… і ŃĐżĐŸŃ€Ń‚ĐžĐČĐœĐžŃ… ĐșĐŸĐœĐ”Đč. ĐœĐ”Ń‚Đ° ĐŽĐŸŃĐ»Ń–ĐŽĐ¶Đ”ĐœĐœŃ: ĐŸĐżŃ‚ĐžĐŒŃ–Đ·Đ°Ń†Ń–Ń ĐČотрат ĐżŃ–ĐŽĐżŃ€ĐžŃ”ĐŒŃŃ‚ĐČĐ° ŃˆĐ»ŃŃ…ĐŸĐŒ ŃƒĐŽĐŸŃĐșĐŸĐœĐ°Đ»Đ”ĐœĐœŃ Ń‚Đ”Ń…ĐœĐŸĐ»ĐŸĐłŃ–Đč ĐČĐžŃ€ĐŸĐ±ĐœĐžŃ†Ń‚ĐČĐ° і рДцДптіĐČ ĐșĐŸŃ€ĐŒŃ–ĐČ ĐŽĐ»Ń Ń‚Ń€Đ”ĐœĐŸĐČĐ°ĐœĐžŃ… і ŃĐżĐŸŃ€Ń‚ĐžĐČĐœĐžŃ… ĐșĐŸĐœĐ”Đč, піЮĐČĐžŃ‰Đ”ĐœĐœŃ їх яĐșĐŸŃŃ‚Ń– та Đ·ĐœĐžĐ¶Đ”ĐœĐœŃ ĐżĐžŃ‚ĐŸĐŒĐžŃ… ĐČотрат ĐœĐ° ĐČĐžŃ€ĐŸĐ±ĐœĐžŃ†Ń‚ĐČĐŸ. ĐœĐ”Ń‚ĐŸĐŽĐž ĐŽĐŸŃĐ»Ń–ĐŽĐ¶Đ”ĐœĐœŃ: ĐŒĐ”Ń‚ĐŸĐŽĐž Đ±Đ°ĐłĐ°Ń‚ĐŸĐșŃ€ĐžŃ‚Đ”Ń€Ń–Đ°Đ»ŃŒĐœĐŸŃ— та ĐœĐ”Ń‡Ń–Ń‚ĐșĐŸŃ— ĐŸĐżŃ‚ĐžĐŒŃ–Đ·Đ°Ń†Ń–Ń— ЕĐșĐŸĐœĐŸĐŒŃ–Ń‡ĐœĐ° ДфДĐșтоĐČĐœŃ–ŃŃ‚ŃŒ: ĐŸŃ‡Ń–Đșується ĐżĐŸĐ·ĐžŃ‚ĐžĐČĐœĐŸŃŽ Đ·Đ°ĐČЮяĐșĐž Ń€ĐŸĐ·Ń€ĐŸĐ±Ń†Ń– ĐŸĐżŃ‚ĐžĐŒĐ°Đ»ŃŒĐœĐžŃ… ĐșĐŸŃ€ĐŒĐŸĐČох ŃŃƒĐŒŃ–ŃˆĐ”Đč, яĐșі ĐŽĐŸĐ·ĐČĐŸĐ»ŃŃŽŃ‚ŃŒ ĐŸŃ‚Ń€ĐžĐŒŃƒĐČато Đ±Ń–Đ»ŃŒŃˆĐ” ĐșĐŸŃ€ĐžŃŃ‚Ń– ĐŽĐ»Ń ĐșĐŸĐœĐ”Đč та Đ·ĐœĐžĐ·ĐžŃ‚Đž ĐČотрато ĐœĐ° ĐșĐŸĐŒĐżĐŸĐœĐ”ĐœŃ‚Đž, цД ĐŽĐŸĐ·ĐČĐŸĐ»ŃŃ” Đ·Đ±Ń–Đ»ŃŒŃˆĐžŃ‚Đž ĐżŃ€ĐžĐ±ŃƒŃ‚ĐŸĐș ĐżŃ–ĐŽĐżŃ€ĐžŃ”ĐŒŃŃ‚ĐČĐ°.КĐČаліфіĐșаціĐčĐœĐ° Ń€ĐŸĐ±ĐŸŃ‚Đ° ŃŃ‚ŃƒĐżĐ”ĐœŃ баĐșалаĐČр ĐœĐ°ĐżŃ€ŃĐŒŃƒ ĐżŃ–ĐŽĐłĐŸŃ‚ĐŸĐČĐșĐž 124 ĐĄĐžŃŃ‚Đ”ĐŒĐœĐžĐč Đ°ĐœĐ°Đ»Ń–Đ·, НбУ "Đ”ĐœŃ–ĐżŃ€ĐŸĐČсьĐșĐ° ĐżĐŸĐ»Ń–Ń‚Đ”Ń…ĐœŃ–ĐșĐ°", ĐŒ. Đ”ĐœŃ–ĐżŃ€ĐŸ, 2020 р. ПраĐșŃ‚ĐžŃ‡ĐœĐ° Ń†Ń–ĐœĐœŃ–ŃŃ‚ŃŒ Ń€ĐŸĐ±ĐŸŃ‚Đž ĐżĐŸĐ»ŃĐłĐ°Ń” у Ń€ĐŸĐ·Ń€ĐŸĐ±Ń†Ń– ĐŒĐ°Ń‚Đ”ĐŒĐ°Ń‚ĐžŃ‡ĐœĐžŃ… ĐŒĐŸĐŽĐ”Đ»Đ”Đč, яĐșі ĐŽĐŸĐ·ĐČĐŸĐ»ŃŃŽŃ‚ŃŒ ĐČĐžĐ·ĐœĐ°Ń‡ĐžŃ‚Đž ĐŸĐżŃ‚ĐžĐŒĐ°Đ»ŃŒĐœŃƒ ŃŃƒĐŒŃ–Ńˆ ĐșĐŸŃ€ĐŒŃƒ, ĐșĐŸŃ‚Ń€Đ° буЎД ĐČŃ–ĐŽĐżĐŸĐČіЮато ĐœĐ”ĐŸĐ±Ń…Ń–ĐŽĐœĐžĐŒ ŃƒĐŒĐŸĐČĐ°ĐŒ

    Presentation, care and outcomes of patients with NSTEMI according to World Bank country income classification: the ACVC-EAPCI EORP NSTEMI Registry of the European Society of Cardiology.

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    Cohort profile: the ESC EURObservational Research Programme Non-ST-segment elevation myocardial infraction (NSTEMI) Registry.

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    Catalytic Strategies Towards Lignin-Derived Chemicals

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    The Effects of Cinacalcet in Older and Younger Patients on Hemodialysis: The Evaluation of Cinacalcet HCl Therapy to Lower Cardiovascular Events (EVOLVE) Trial.

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    This article contains supplemental material online at http://cjasn. asnjournals.org/lookup/suppl/doi:10.2215/CJN.07730814/-/ DCSupplemental.BACKGROUND AND OBJECTIVES: The calcimimetic cinacalcet reduced the risk of death or cardiovascular (CV) events in older, but not younger, patients with moderate to severe secondary hyperparathyroidism (HPT) who were receiving hemodialysis. To determine whether the lower risk in younger patients might be due to lower baseline CV risk and more frequent use of cointerventions that reduce parathyroid hormone (kidney transplantation, parathyroidectomy, and commercial cinacalcet use), this study examined the effects of cinacalcet in older (≄65 years, n=1005) and younger (3-fold higher in younger relative to older patients and were more frequent in patients randomized to placebo. In older patients, the adjusted relative hazard (95% confidence interval) for the primary composite (CV) end point (cinacalcet versus placebo) was 0.70 (0.60 to 0.81); in younger patients, the relative hazard was 0.97 (0.86 to 1.09). Corresponding adjusted relative hazards for mortality were 0.68 (0.51 to 0.81) and 0.99 (0.86 to 1.13). Reduction in the risk of severe unremitting HPT was similar in both groups. CONCLUSIONS: In the EVOLVE trial, cinacalcet decreased the risk of death and of major CV events in older, but not younger, patients with moderate to severe HPT who were receiving hemodialysis. Effect modification by age may be partly explained by differences in underlying CV risk and differential application of cointerventions that reduce parathyroid hormone.The Evaluation of Cinacalcet HCl Therapy to Lower Cardiovascular Events (EVOLVE) trial was funded by Amgen
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