Lo último en diagnóstico y tratamiento de la obesidad: ¿Hay lugar aún para la terapia conservadora?

Indexación: ScieloIn Chile and other countries the actual prevalence of obesity is reaching 30% in selected populations (low income women). Nowadays bariatric surgery appears to be the treatment of choice. However, it is only indicated in selected patients and is not the first line treatment, since it does not prevent or reduce the appearance of this condition, a crucial challenge in its clinical management. The contemporary medical management of obesity should include changes in lifestyle habits and diet together with a behavioral therapy. However, this optimal management requires a multidisciplinary team. A challenge for contemporary medicine is to design efficient interventional strategies to change lifestyles among the obese. These interventions are the only way to reduce the adverse health consequences of obesity.http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000600015&nrm=is

La Incorporación de las Tecnologías de la Información y Comunicación en el CUCEA. Caso Licenciatura en Recursos Humanos

Noveno Congreso InternacionalEn el 2001, el Centro Universitario de Ciencias Económico Administrativas, inicia con la realización de actividades dirigidas a la implementación de las Tecnologías de la Información y la Comunicación (TIC’s), la finalidad: la implementación de las modalidades educativas no convencionales apoyadas en el uso de la tecnología y generar capacitación y actualización a los profesores en materia de informática y en el manejo de herramientas de comunicación. Así con el objetivo de mantener a la vanguardia la formación de los alumnos, el Departamento de Recursos Humanos define la realización de acciones en este sentido, con el objetivo de contar con información fidedigna que contribuya a diversos aspectos que van desde el apoyo a la función docente, a la actualización curricular, al proceso de enseñanza-aprendizaje, a la adecuación del uso de recursos -por mencionar algunos ejemplos-, todo en beneficio directo al perfil de egreso. Aquí se presentan algunos resultados obtenidos a partir del seguimiento a las acciones docentes que se realizan con el apoyo de las TIC’s; los datos iniciales dan cuenta de diversos aspectos relacionados al éxito en lo logrado a la fecha.Instituto Politécnico Nacional CFIEInterdisciplinariopd

La Percepción de los Profesores y Estudiantes sobre la Estructura Curricular del Programa de Ética Profesional y Valores Sociales del CUCEA, de la UDEG

Décimo Congreso InternacionalLa inclusión de la ética profesional y los valores sociales en el proceso de enseñanza-aprendizaje es importante y clave para todo plan de estudios, ya que este implícitamente acompaña el andar del quehacer como individuo y profesional del egresado, la intención de este tema curricular radica en la necesidad de que el discente incorpore y desarrolle valores para que posteriormente pueda plasmarlos en todos los matices de sus proyectos de vida personal y profesional. Por lo anterior surge la inquietud de conocer la percepción de los profesores y estudiantes en distintos aspectos, los que en este estudio se le identifican como: pertinencia, aplicabilidad y trascendencia de la estructura curricular del programa de Ética Profesional y Valores Sociales (EPYVS)1, que se imparte en el Centro Universitario de Ciencias Económico- Administrativas (CUCEA) de la Universidad de Guadalajara (UDEG); para lograr el objetivo se realizó un sondeo con profesores y estudiantes involucrados en este curso, en el ciclo escolar 2010-A. Es fundamental realizar este tipo de análisis, ya que como formadores no se puede exigir lo que no se brinda; es decir, no se puede obligar a los profesionistas a que actúen de manera adecuada y recta cuando en el transcurso de su formación este sentido no ha quedado claro.La tarea de las Instituciones de Educación Superior (IES) es formar profesionistas capaces de responder a las necesidades de su época y a vislumbrar y considerar las futuras, sin embargo, la ética y los valores sociales dentro del proceso de formación no sólo depende de los conocimientos y habilidades que desarrolló el estudiante en el contexto universitario, sino también de los valores e intereses particulares que regulan su actuar.Instituto Politécnico Nacional CFIEInterdisciplinariopd

Impacts of the Tropical Pacific/Indian Oceans on the Seasonal Cycle of the West African Monsoon

The current consensus is that drought has developed in the Sahel during the second half of the twentieth century as a result of remote effects of oceanic anomalies amplified by local land–atmosphere interactions. This paper focuses on the impacts of oceanic anomalies upon West African climate and specifically aims to identify those from SST anomalies in the Pacific/Indian Oceans during spring and summer seasons, when they were significant. Idealized sensitivity experiments are performed with four atmospheric general circulation models (AGCMs). The prescribed SST patterns used in the AGCMs are based on the leading mode of covariability between SST anomalies over the Pacific/Indian Oceans and summer rainfall over West Africa. The results show that such oceanic anomalies in the Pacific/Indian Ocean lead to a northward shift of an anomalous dry belt from the Gulf of Guinea to the Sahel as the season advances. In the Sahel, the magnitude of rainfall anomalies is comparable to that obtained by other authors using SST anomalies confined to the proximity of the Atlantic Ocean. The mechanism connecting the Pacific/Indian SST anomalies with West African rainfall has a strong seasonal cycle. In spring (May and June), anomalous subsidence develops over both the Maritime Continent and the equatorial Atlantic in response to the enhanced equatorial heating. Precipitation increases over continental West Africa in association with stronger zonal convergence of moisture. In addition, precipitation decreases over the Gulf of Guinea. During the monsoon peak (July and August), the SST anomalies move westward over the equatorial Pacific and the two regions where subsidence occurred earlier in the seasons merge over West Africa. The monsoon weakens and rainfall decreases over the Sahel, especially in August.Peer reviewe

Severe early onset preeclampsia: short and long term clinical, psychosocial and biochemical aspects

Preeclampsia is a pregnancy specific disorder commonly defined as de novo hypertension and proteinuria after 20 weeks gestational age. It occurs in approximately 3-5% of pregnancies and it is still a major cause of both foetal and maternal morbidity and mortality worldwide1. As extensive research has not yet elucidated the aetiology of preeclampsia, there are no rational preventive or therapeutic interventions available. The only rational treatment is delivery, which benefits the mother but is not in the interest of the foetus, if remote from term. Early onset preeclampsia (<32 weeks’ gestational age) occurs in less than 1% of pregnancies. It is, however often associated with maternal morbidity as the risk of progression to severe maternal disease is inversely related with gestational age at onset2. Resulting prematurity is therefore the main cause of neonatal mortality and morbidity in patients with severe preeclampsia3. Although the discussion is ongoing, perinatal survival is suggested to be increased in patients with preterm preeclampsia by expectant, non-interventional management. This temporising treatment option to lengthen pregnancy includes the use of antihypertensive medication to control hypertension, magnesium sulphate to prevent eclampsia and corticosteroids to enhance foetal lung maturity4. With optimal maternal haemodynamic status and reassuring foetal condition this results on average in an extension of 2 weeks. Prolongation of these pregnancies is a great challenge for clinicians to balance between potential maternal risks on one the eve hand and possible foetal benefits on the other. Clinical controversies regarding prolongation of preterm preeclamptic pregnancies still exist – also taking into account that preeclampsia is the leading cause of maternal mortality in the Netherlands5 - a debate which is even more pronounced in very preterm pregnancies with questionable foetal viability6-9. Do maternal risks of prolongation of these very early pregnancies outweigh the chances of neonatal survival? Counselling of women with very early onset preeclampsia not only comprises of knowledge of the outcome of those particular pregnancies, but also knowledge of outcomes of future pregnancies of these women is of major clinical importance. This thesis opens with a review of the literature on identifiable risk factors of preeclampsia

Penilaian Kinerja Keuangan Koperasi di Kabupaten Pelalawan

This paper describe development and financial performance of cooperative in District Pelalawan among 2007 - 2008. Studies on primary and secondary cooperative in 12 sub-districts. Method in this stady use performance measuring of productivity, efficiency, growth, liquidity, and solvability of cooperative. Productivity of cooperative in Pelalawan was highly but efficiency still low. Profit and income were highly, even liquidity of cooperative very high, and solvability was good

Measurements of the pp → ZZ production cross section and the Z → 4ℓ branching fraction, and constraints on anomalous triple gauge couplings at √s = 13 TeV

Four-lepton production in proton-proton collisions, pp -> (Z/gamma*)(Z/gamma*) -> 4l, where l = e or mu, is studied at a center-of-mass energy of 13 TeV with the CMS detector at the LHC. The data sample corresponds to an integrated luminosity of 35.9 fb(-1). The ZZ production cross section, sigma(pp -> ZZ) = 17.2 +/- 0.5 (stat) +/- 0.7 (syst) +/- 0.4 (theo) +/- 0.4 (lumi) pb, measured using events with two opposite-sign, same-flavor lepton pairs produced in the mass region 60 4l) = 4.83(-0.22)(+0.23) (stat)(-0.29)(+0.32) (syst) +/- 0.08 (theo) +/- 0.12(lumi) x 10(-6) for events with a four-lepton invariant mass in the range 80 4GeV for all opposite-sign, same-flavor lepton pairs. The results agree with standard model predictions. The invariant mass distribution of the four-lepton system is used to set limits on anomalous ZZZ and ZZ. couplings at 95% confidence level: -0.0012 < f(4)(Z) < 0.0010, -0.0010 < f(5)(Z) < 0.0013, -0.0012 < f(4)(gamma) < 0.0013, -0.0012 < f(5)(gamma) < 0.0013

Un acercamiento exploratorio en torno a la Universidad y siglo XXI: asignatura insignia para la formación integral de los discentes, desde la visión institucional y la mirada estudiantil

The present article, it is an exploratory approximation concerning University and 21st century ensued from the first stage of an investigation of path that is realized on the part of a group of teachers specialists in the subject matter, which aim was to know the perception of the students of the subject “emblem” named University and 21st century, for his integral formation. The reflections about the new subject, arise in this first phase as an approximation from the study of perception applied to the discentes that there deposited with the new reform curricular during the schedule of courses 2013-A to the University Economic Center of Sciences Administrative officers (CUCEA) of the University of Guadalajara (UDEG). In the UDEG, was considered to be pertinent the incorporation of a subject “emblem” that should offer to the university community a condition of belonging; a critical vision before problematic in the local as global area; a critical thought; the development of intellectual, academic tools and of investigation; a planeación and exploration of his life and profession; as well as the construction of his university identity, which allows that they should manage to identify the values and symbols, the aspirations and longings, the customs and traditions, the daily practices and the social commitments, which from every diversified being converge towards a common end. Under these ambitious intentions, there arises the Course-workshop of “ University and 21st century “ in a modality presencial enriched (with the platform Moodle), that must not be conceived as the panacea, but as the opportunity for that the university community had waited for fungir as catharsis of those absent turns in his universitary education. The way, it is complex and the uncertain future, but with a wide and pertinent vision of what is wanted and expects from our university and from the university students, it will manage to construct what the company of the 21st century needs.El presente artículo es un acercamiento exploratorio en torno a Universidad y Siglo XXI, resultado de la primera etapa de una investigación de trayectoria que se realiza por parte de un grupo de profesores especialistas en la temática, cuyo objetivo fue conocer la percepción de los estudiantes de la asignatura “insignia” denominada Universidad y Siglo XXI, para su formación integral. Las reflexiones alrededor de la nueva asignatura, surgen en esta primera fase como un acercamiento a partir del estudio de percepción aplicado a los discentes que ingresaron con la nueva reforma curricular durante el calendario escolar 2013-A al Centro Universitario de Ciencias Económico Administrativas (CUCEA) de la Universidad de Guadalajara (UDEG). En la UDEG, se consideró pertinente la incorporación de una asignatura “insignia” que brinde a la comunidad universitaria un estado de pertenencia; una visión crítica ante problemáticas en el ámbito local como global; un pensamiento crítico; el desarrollo de herramientas intelectuales, académicas y de investigación; una planeación y prospección de su vida y profesión; así como la construcción de su identidad universitaria, que permita que logren identificar los valores y símbolos, las aspiraciones y anhelos, las costumbres y tradiciones, las prácticas cotidianas y los compromisos sociales, que desde cada ser diversificado convergen hacia un fin común. Bajo estos ambiciosos propósitos, surge el Curso-Taller de “Universidad y Siglo XXI” en una modalidad presencial enriquecida (con la plataforma Moodle), que no debe concebirse como la panacea, sino como la oportunidad que la comunidad universitaria había esperado para fungir como catarsis de aquellos recovecos ausentes en su formación universitaria. El camino es complejo y el futuro incierto, pero con una visión amplia y pertinente de lo que se quiere y espera de nuestra universidad y de los universitarios, se llegará a construir lo que la sociedad del siglo XXI necesita.