605 research outputs found

    Tasa de éxito subjetivo y objetivo en pacientes operados con cinta suburetral transobturatriz: ocho años de seguimiento

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    Indexación: Scopus; Scielo.Antecedentes: La Incontinencia Urinaria de Esfuerzo (IOE) representa el 50% de las incontinencias urinarias en la mujer, produciendo un gran impacto en su calidad de vida. Actualmente el TOT es una de las técnicas quirúrgicas más utilizadas para su tratamiento. Objetivos: Determinar la tasa de éxito objetiva y subjetiva de las pacientes operadas por IOE e incontinencia de orina mixta (IOM) mediante TOT, y determinar la tasa de complicaciones perioperatorias. Métodos: Se realizó un estudio retrospectivo de cohorte de 8 años de seguimiento, en el que se evaluó mediante anamnesis, examen físico y protocolos quirúrgicos la tasa de éxito objetivo y subjetivo del TOT. Resultados: La tasa de éxito objetivo y subjetivo fue 92% y 76% respectivamente. El 8,3% de las pacientes presentó alguna complicación y la tasa de exposición de malla fue de 1,2%. Conclusiones: El TOT es una excelente alternativa para el tratamiento de la IOE en el Hospital de Quilpué.http://ref.scielo.org/6tnxn

    Conceptualising routes to employability in higher education: the case of education studies

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    © 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group. This paper contributes to critical understandings of the significance of employability in current debates about the transformation of Higher Education (HE). We express our concerns about the implications of orientating HE to utilitarian demands in the light of a tendency to align discussions about the significance of studying at university with the idea of employability. The research underlying this article explores how the experience of UK university students in the context of education studies programmes shapes their conceptions of employability and their understanding of their subject of study. Ideas developed by Gert Biesta are used as a framework to discuss different forms in which thoughts about employability are articulated. The analysis of data that includes reflections on the experience of placement suggests that tensions between education as training for teachers and education as the possibility for change, point to the emergence of a new form of understanding employability that may have to work the boundary between both. We argue that lessons learnt from the case of education studies can be useful to other subjects and programmes of study that also share an interest in the theoretical study of a discipline or where a narrow career expectation is being challenged by broader possibilities

    Scale-free Networks from Optimal Design

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    A large number of complex networks, both natural and artificial, share the presence of highly heterogeneous, scale-free degree distributions. A few mechanisms for the emergence of such patterns have been suggested, optimization not being one of them. In this letter we present the first evidence for the emergence of scaling (and smallworldness) in software architecture graphs from a well-defined local optimization process. Although the rules that define the strategies involved in software engineering should lead to a tree-like structure, the final net is scale-free, perhaps reflecting the presence of conflicting constraints unavoidable in a multidimensional optimization process. The consequences for other complex networks are outlined.Comment: 6 pages, 2 figures. Submitted to Europhysics Letters. Additional material is available at http://complex.upc.es/~sergi/software.ht

    Preparation of polyfunctional arylzinc organometallics in toluene by halogen/zinc exchange reactions

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    A wide range of polyfunctional diaryl-and diheteroarylzinc species were prepared in toluene within 10 min to 5 h through an I/Zn or Br/Zn exchange reaction using bimetallic reagents of the general formula R’2Zn·2LiOR (R’=sBu, tBu, pTol). Highly sensitive functional groups, such as a triazine, a ketone, an aldehyde, or a nitro group, were tolerated in these exchange reactions, enabling the synthesis of a plethora of functionalized (hetero)arenes after quenching with various electrophiles. Insight into the constitution and reactivity of these bimetallic mixtures revealed the formation of highly active lithium diorganodialkoxyzincates of type[R’2Zn-(OR)2Li2]

    Signatures of arithmetic simplicity in metabolic network architecture

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    Metabolic networks perform some of the most fundamental functions in living cells, including energy transduction and building block biosynthesis. While these are the best characterized networks in living systems, understanding their evolutionary history and complex wiring constitutes one of the most fascinating open questions in biology, intimately related to the enigma of life's origin itself. Is the evolution of metabolism subject to general principles, beyond the unpredictable accumulation of multiple historical accidents? Here we search for such principles by applying to an artificial chemical universe some of the methodologies developed for the study of genome scale models of cellular metabolism. In particular, we use metabolic flux constraint-based models to exhaustively search for artificial chemistry pathways that can optimally perform an array of elementary metabolic functions. Despite the simplicity of the model employed, we find that the ensuing pathways display a surprisingly rich set of properties, including the existence of autocatalytic cycles and hierarchical modules, the appearance of universally preferable metabolites and reactions, and a logarithmic trend of pathway length as a function of input/output molecule size. Some of these properties can be derived analytically, borrowing methods previously used in cryptography. In addition, by mapping biochemical networks onto a simplified carbon atom reaction backbone, we find that several of the properties predicted by the artificial chemistry model hold for real metabolic networks. These findings suggest that optimality principles and arithmetic simplicity might lie beneath some aspects of biochemical complexity
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