The physical examination in pediatric and adolescent patients.

The initial evaluation and examination of both the pediatric and adolescent patients provides the opportunity for the clinician to establish a relationship that will ensure the successful outcome of the visit. In the younger age group, cooperation of the child before performing an examination should be the focus at the first encounter. This cooperation will enable proper positioning and a systematic approach to examination and documentation of findings. Although the adolescent patients may be older and better able to understand the specifics of the examination, these patients present additional challenges for the examining practitioner

University Harmonization in the European Territory? The Case of Psychology and Biology

En este artículo se presenta un análisis del estado de la armonización universitaria en el Espacio Europeo de Educación Superior. Para tal fin y desde una perspectiva cualitativa, se examinaron las declaraciones de los ministros europeos encargados del sector universitario, los criterios orientadores del proceso de Bolonia y se estudiaron 55 universidades europeas, a partir del análisis de l os grados de Psicología y de Biología para determinar cómo se configura la aplicación del proceso de Bolonia en ambos casos y comprobar, si en efecto, se ha producido la armonización universitaria en Europa, o si por el contrario, se han dado pasos aunque la armonización de los sistemas universitarios todavía sea una tarea pendiente.In this article one presents an analysis of the condition of the university harmonization in the European Space of Top Education. For such this purpose and from a qualitative perspective, there were examined the declarations of the European secretaries in charge of the university sector, the guiding criteria of th e process of Bologna and studied 55 European universities, from the analysis of the degrees of Psychology and of Biology to determine how there is formed the application of the process of Bologna in both cases and to verify, if in effect, the university harmonization has taken place in Europe, or if on the contrary, th ey have given themselves steps though the harmonization of the university systems still is a hanging task

Estudio De Tiempos Y Rendimientos En La Transformacion De Trozas De Madera Pinus Radiata D. Don (Pino) En Tablas Para La Elaboracion De Pallets

This present study gives an estimation of the time and efficiency in the transformation of pine logs into boards for the manufacturing of pallets in the industry, Haro Madera. Here, the percentage of the wood used and the percentage of sawdust were determined. This was with a yield of 34.936% in the processing of the logs, 43.29% into square posts, and 15.08% in the direct transformation of the logs into boards. In order to determine the factors that affect the production of pine lumber, the wood was classified by its length, diameter, and shape where it was possible to determine its influence in the production into boards. This, therefore, proves that the qualitative factors are influential in the elaboration of the boards to construct pallets, in terms of time. Also, it was possible to determine that for the manufacture of an American type pallet, it took 10.24 minutes, while the European type pallet took 13.9 minutes. To determine the output per machine, a sampling was used. Here, specific observations were made, dividing working time and non-working time. Wood utilization percentage was low, the production line must be improved, and the logs from different plantations should be classified according to their diameter and shape

Autocrítica de la conquista de las Indicas desde la perspectiva de los Derechos humanos

El objetivo de este artículo es analizar el proceso de autocrítica que la Corona hispánica fue capaz de desarrollar en tiempos tempranos, comienzos del XVI, cuando ni siquiera se había acometido la conquista clásica de las altas culturas incaica y azteca. ¿Por qué pesó más el drama de la guerra que el valor de la diplomacia si Fernando el Católico, responsable último de las incipientes decisiones, era propuesto como arquetipo de príncipe? ¿Cuáles fueron los factores que impulsaron a ocultar el diálogo bajo las armas? ¿Qué actitud adoptó la Corte cuando fue informada de que, tras la sorpresa del descubrimiento, se precipitaba la destrucción de las Indias?. Frente a la retórica expansionista y falaz, que reflexionaba sobre el comportamiento ante sujetos a los que su propia naturaleza había hecho esclavos, al tiempo que se fraguaba el Imperio español constituyó todo un acierto, innovador en el contexto, que aflorara la idea de que la humanidad es una y, así, la Escuela de Salamanca pasó a ser la precursora del Derecho de Gentes y, por ende, de los Derechos Humano

ED-2: A cold but not so narrow stellar stream crossing the solar neighbourhood

Context. ED-2 is a stellar stream identified as a compact group in integrals-of-motion space in a local sample of halo stars from the third Gaia data release. Aims. We investigate its nature and possible association with known halo substructures. Methods. We explored the current properties of ED-2 members in phase-space and also analysed the expected distribution via orbit integration. In addition, we studied the metallicity of ED-2 using APOGEE DR17 and LAMOST DR8 (and re-calibrated DR3). Results. ED-2 forms a compact group in the x − z (or R − z) plane, showing a pancake-like structure as it crosses the solar neighbourhood. Dynamically, it is most similar to the globular clusters NGC 3201 and NGC 6101 and to the stellar streams Ylgr and Phlegethon. However, its orbit is sufficiently different for none of these objects to likely be the ED-2 progenitor. We also find ED-2 to be quite metal poor: all of its stars have [Fe/H]≤ − 2.42, with a median [Fe/H] = −2.60−0.21+0.20. At this low metallicity, it is unlikely that ED-2 stems from any known globular cluster. Instead, ED-2 seems to be in a similar category as the recently discovered Phoenix and C-19 stellar streams. We find that ED-2 members are scattered across the whole sky, which is due to its current orbital phase. We predict that as this object moves to its next apocentre, it will acquire an on-sky morphology that is similar to that of cold stellar streams. Finally, because ED-2 is nearing pericentre, we predict that additional members found below the plane will have high radial velocities of close to ∼500 km s−1 in the present-day direction of the globular cluster NGC 6101.Juan de la Cierva fellowship (IJC2020-043742-I),MCIN/AEI/10.13039/501100011033European Space Agency (ESA

Use of an analog method to downscale temperature and precipitation climate change projections over peninsular Spain and Balearic Islands

Póster presentado en: 7th EMS Annual Meeting and 8th European Conference on Applications of Meteorology 2007 (ECAM) celebrado del 1 al 5 de octubre de 2007 en San Lorenzo del Escorial, Madrid

Amplify Soundview: Reflecting on the Use of Digital Tools for Promoting Community Engagement & Stewardship in the Development and Care of the Soundview Park in New York City

In this paper authors describe a project whose principle aim was to “amplify” the engagement and stewardship of local residents in the development and care of Soundview Park, in New York City. The project Amplify Soundview was conducted as a core studio course within Parsons Transdisciplinary Design MFA Program in Fall 2012 in collaboration with New York City’s Partnerships for Parks. The project integrated the Open Locast U platform (created by the MIT Mobile Experience Lab) into four proposals for Soundview Park, developed by Parsons students’ teams. Through the narratives of our students and project partners this paper will describe and reflect upon both analogue and digital tools for civic engagement. In particular, these narratives consider how digital tools such as Locast have the potential to engage the public in a process of asset realization and articulation within an otherwise disadvantaged urban context. Amplify Soundview: un reflet sur l’utilisation d’outils digitaux pour promouvoir l’engagement et l’intendance communautaire dans le développement et les soins du parc de Soundview à New York : Abrégé: Dans cette étude nous décrivons un projet dont le but principal est “d’amplifié” l’engagement et l’intendance de résidents locaux dans le développement et les soins du parc de Soundview à New York. Le projet Amplify Soundview a été mené comme un cours de studio central à travers le programme MFA de Parsons Transdisciplinary Design qui a eu lieu en automne 2012 en collaboration avec Partnership for Parks de la ville de New York. Le projet a intégré la plateforme de Open Locast U (créé par le Laboratoire d’exp&ea cute;rience mobile de MIT) en offrant quatre propositions pour le parc de Soundview qui ont été développées par les équipes d’étudiants de Parsons. À travers les récits de nos étudiants et de nos partenaires, cette étude va décrire et refléter sur les outils digitaux et analogues pour l’engagement civique. En particulier, ces récits considèrent comment les outils digitaux tel que Locast ont le potentiel d’engager le public dans un processus de réalisation et d’articulation d’atouts dans un contexte urbain défavorisé

Determination of Pharmaceuticals in Coastal Systems Using Solid Phase Extraction (SPE) Followed by Ultra Performance Liquid Chromatography – tandem Mass Spectrometry (UPLC-MS/MS)

This paper describes the optimization and validation of an analytical method for the determination of 83 pharmaceutically active compounds (PhACs) in aqueous samples using solid-phase extraction (SPE) followed by ultra performance liquid chromatography-triple quadrupole mass spectrometry (UPLC-QqQ-MS/MS). First, several experiments were conducted to optimize different SPE extraction parameters such as pH, elution solvents, and Na2EDTA addition. Extraction recovery percentages were between 17 and 146%, being higher than 70% for 47 target analytes. The effect of salinity in the extraction efficiency proved to be negligible ( 90%), and the precision of the method, calculated as the relative standard deviation (RSD) of replicate extractions and analyses, was less than 20%. The optimized method was successfully applied to the analysis of real water samples in estuarine and coastal systems from SW Spain (Cadiz Bay and Huelva Estuary). 49 out of 83 target compounds were found in 75% of samples. Ibuprofen, atenolol, gemfibrozil and caffeine were the most commonly detected substances, reaching concentrations up to 195 ng L-1