180 research outputs found

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

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    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

    VIII Encuentro de Docentes e Investigadores en Historia del DiseĂąo, la Arquitectura y la Ciudad

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    Acta de congresoLa conmemoraciĂłn de los cien aĂąos de la Reforma Universitaria de 1918 se presentĂł como una ocasiĂłn propicia para debatir el rol de la historia, la teorĂ­a y la crĂ­tica en la formaciĂłn y en la prĂĄctica profesional de diseĂąadores, arquitectos y urbanistas. En ese marco el VIII Encuentro de Docentes e Investigadores en Historia del DiseĂąo, la Arquitectura y la Ciudad constituyĂł un espacio de intercambio y reflexiĂłn cuya realizaciĂłn ha sido posible gracias a la colaboraciĂłn entre Facultades de Arquitectura, Urbanismo y DiseĂąo de la Universidad Nacional y la Facultad de Arquitectura de la Universidad CatĂłlica de CĂłrdoba, contando ademĂĄs con la activa participaciĂłn de mayorĂ­a de las Facultades, Centros e Institutos de Historia de la Arquitectura del paĂ­s y la regiĂłn. Orientado en su convocatoria tanto a docentes como a estudiantes de Arquitectura y DiseĂąo Industrial de todos los niveles de la FAUD-UNC promoviĂł el debate de ideas a partir de experiencias concretas en instancias tales como mesas temĂĄticas de carĂĄcter interdisciplinario, que adoptaron la modalidad de presentaciĂłn de ponencias, entre otras actividades. En el ĂĄmbito de VIII Encuentro, desarrollado en la sede Ciudad Universitaria de CĂłrdoba, se desplegaron numerosas posiciones sobre la enseĂąanza, la investigaciĂłn y la formaciĂłn en historia, teorĂ­a y crĂ­tica del diseĂąo, la arquitectura y la ciudad; sumĂĄndose el aporte realizado a travĂŠs de sus respectivas conferencias de Ana Clarisa AgĂźero, Bibiana Cicutti, Fernando Aliata y Alberto Petrina. El conjunto de ponencias que se publican en este Repositorio de la UNC son el resultado de dos intensas jornadas de exposiciones, cuyos contenidos han posibilitado actualizar viejos dilemas y promover nuevos debates. El evento recibiĂł el apoyo de las autoridades de la FAUD-UNC, en especial de la SecretarĂ­a de InvestigaciĂłn y de la Biblioteca de nuestra casa, como asĂ­ tambiĂŠn de la Facultad de Arquitectura de la UCC; va para todos ellos un especial agradecimiento

    stairs and fire

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    Discutindo a educação ambiental no cotidiano escolar: desenvolvimento de projetos na escola formação inicial e continuada de professores

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    A presente pesquisa buscou discutir como a Educação Ambiental (EA) vem sendo trabalhada, no Ensino Fundamental e como os docentes desta escola compreendem e vem inserindo a EA no cotidiano escolar., em uma escola estadual do município de Tangará da Serra/MT, Brasil. Para tanto, realizou-se entrevistas com os professores que fazem parte de um projeto interdisciplinar de EA na escola pesquisada. Verificou-se que o projeto da escola não vem conseguindo alcançar os objetivos propostos por: desconhecimento do mesmo, pelos professores; formação deficiente dos professores, não entendimento da EA como processo de ensino-aprendizagem, falta de recursos didáticos, planejamento inadequado das atividades. A partir dessa constatação, procurou-se debater a impossibilidade de tratar do tema fora do trabalho interdisciplinar, bem como, e principalmente, a importância de um estudo mais aprofundado de EA, vinculando teoria e prática, tanto na formação docente, como em projetos escolares, a fim de fugir do tradicional vínculo “EA e ecologia, lixo e horta”.Facultad de Humanidades y Ciencias de la Educació

    The crimes of genetic manipulation in the Colombian Penal Code

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    En el presente curso 2018/2019 habiendo cumplido 70 aĂąos de edad y despuĂŠs de casi 50 aĂąos de dedicaciĂłn exclusiva e ininterrumpida a la Universidad pĂşblica, el Profesor Dr. AgustĂ­n Jorge Barreiro, catedrĂĄtico de Derecho Penal de la UAM, se jubila. Por este motivo, sus discĂ­pulos, en reconocimiento a su trayectoria acadĂŠmica, han preparado el presente libro homenaje como las contribuciones de colegas, compaĂąeros y amigos. El libro reĂşne mĂĄs de 100 ensayos jurĂ­dicos sobre muy diferentes cuestiones relacionadas fundamentalmente con el Derecho penal, pero tambiĂŠn con otras ramas del Derech

    Search for narrow resonances using the dijet mass spectrum in pp collisions at s√=8  TeV

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    Results are presented of a search for the production of new particles decaying to pairs of partons (quarks, antiquarks, or gluons), in the dijet mass spectrum in proton-proton collisions at s√=8  TeV. The data sample corresponds to an integrated luminosity of 4.0  fb−1, collected with the CMS detector at the LHC in 2012. No significant evidence for narrow resonance production is observed. Upper limits are set at the 95% confidence level on the production cross section of hypothetical new particles decaying to quark-quark, quark-gluon, or gluon-gluon final states. These limits are then translated into lower limits on the masses of new resonances in specific scenarios of physics beyond the standard model. The limits reach up to 4.8 TeV, depending on the model, and extend previous exclusions from similar searches performed at lower collision energies. For the first time mass limits are set for the Randall–Sundrum graviton model in the dijet channel
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