Use of Point of Care-Guided Coagulation Therapy During Massive Transfusion

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PENGARUH DUKUNGAN SOSIAL TERHADAP PENYESUAIAN DIRI MASA PENSIUN DESA FODO KECAMATAN GUNUNG SITOLI SELATAN KOTA GUNUNG SITOLI

Entering retirement, the individual will experience an important change in the development of his life, which is marked by social changes. Changes caused by this retirement period require adjustment. Someone who is facing retirement needs social support in facing retirement. This quantitative study aims to determine the effect of social support on retirement adjustment in Fodo Village, South Gunungsitoli District, Gunungsitoli City with 34 samples taken in this study. Based on the results of data analysis, it can be concluded that there is a significant effect between social support on self-adjustment with a correlation coefficient (R) of 54.3% which means that there is a fairly close relationship between social support and retirement adjustment and the coefficient of determination (R square) indicates that adjustment self-retirement is influenced by social support by 29.5%

PENGARUH DUKUNGAN SOSIAL TERHADAP PENYESUAIAN DIRI MASA PENSIUN DESA FODO KECAMATAN GUNUNG SITOLI SELATAN KOTA GUNUNG SITOLI

Entering retirement, the individual will experience an important change in the development of his life, which is marked by social changes. Changes caused by this retirement period require adjustment. Someone who is facing retirement needs social support in facing retirement. This quantitative study aims to determine the effect of social support on retirement adjustment in Fodo Village, South Gunungsitoli District, Gunungsitoli City with 34 samples taken in this study. Based on the results of data analysis, it can be concluded that there is a significant effect between social support on self-adjustment with a correlation coefficient (R) of 54.3% which means that there is a fairly close relationship between social support and retirement adjustment and the coefficient of determination (R square) indicates that adjustment self-retirement is influenced by social support by 29.5%

La intervenció psicomotriu educativa com estratègia per afavorir la inclusió d'alumnes amb trastorn de l'espectre autista (TEA) dins l'aula ordinària: Anàlisi d'un cas

Curs 2013-2014Des de la inclusió es pretén aconseguir una societat més justa per tothom, on els infants per molt diferents que siguin puguin estar i participar en una escola ordinària, gaudint de les mateixes oportunitats i els mateixos drets. Amb la diversitat ens enriquim els uns amb els altres i aquest fet dóna sentit a l’educació. Amb aquest marc referencial, el present treball d’investigació tracta sobre la millora de la inclusió d’un infant amb TEA (Trastorn de l’Espectre Autista) a través de la pràctica psicomotriu educativa i vivencial, és a dir, una educació més lliure, donant lloc a l’experiència i a uns espais relacionals per dur a terme una activitat espontània psicomotriu. De fet, tracta de demostrar, de manera més específica, que la pràctica psicomotriu millora la capacitat d’interacció social de l’infant amb TEA, és a dir, la relació amb els altres, així com assegurar que aquesta pràctica vivencial aporta més beneficis en la implicació del joc dels infants amb TEA, que una intervenció psicomotriu més funcional.From the inclusion a more just society tries to be obtained all over the world, where the children for very different that are could be and to take part in an ordinary school, enjoying the same opportunities and the same rights. With the diversity we prosper some with others and this fact gives sense to the education. With this referential frame, the present work of investigation treats on the progress of the inclusion of a child with DAS (Disorder of the Autistic Spectrum) across the psychomotor practice educational and existential, that is to say, a freer education, leading to the experience and to a few spaces relate them to carry out a spontaneous psychomotor activity. In fact, it tries to demonstrate, in a more specific way, that the psychomotor practice improves the capacity of social interaction of the child with DAS, that is to say, the relation with others, as well as to make sure that this existential practice contributes more benefits in the implication of the game of the children with DAS, that an psychomotor intervention more functional

Impedance analysis of perovskite solar cells: a case study

Metal halide perovskites are mixed electronic-ionic semiconductors with an extraordinary rich optoelectronic behavior and the capability to function very efficiently as active layers in solar cells, with a record efficiency surpassing 23% nowadays. In this work, we carry out an impedance spectroscopy analysis of two perovskite solar cells with quite distinct optical and electrical characteristics, i.e. MAPbI3 and CsPbBr3-based devices. The main aim of the analysis is to establish how, regardless the inherent complexity of the impedance spectrum due to ionic effects, information like ideality factors, recombination losses and the collection efficiency can be qualitative and quantitatively assessed from impedance experiments at operating conditions

Fallopian Canal Meningocele Causing Cerebrospinal Fluid Rhinorrhoea

Fallopian canal meningocele is an extremely rare cause of cerebrospinal fluid rhinorrhoea. Also, due to complex anatomical relations and a lack of experience, its management remains a challenge. Here we report a case focusing on its clinical course, radiological features, and management

INVESTIGACIONES ACTUALES SOBRE EL PORTAFOLIO EVALUATIVO EN EL CONTEXTO EDUCATIVO

The objective of the research is to specify the perspectives of the investigations that at the moment are carried out on the evaluation portfolio. The method of literature revision is used, the methodology is developed through: study type, source of data, investigation questions, search strategy, inclusion approaches and exclusion, summary of data and the analysis of results. The obtained results indicate that at the present time, Spain is the country where more works have been published on the topic, followed by Mexico, and that there is a prevalence of the empiric investigations, which generally describe experiences. Very scarce are the theoretical studies and the revision investigation which focuses are: the portfolio like evaluation tool and like teaching modality. The investigation perspectives are framed in the digital and not digital portfolio. It can be concludes that the perspective of more works investigated is the reflection, continued in smaller measure, the formation of competitions, development of the student's responsibility, tutorships and significant learning. It is not investigated in relation to the assignment of the tasks for the poortfolio, according to the characteristics peculiar of the learning of the students, as well as the diversity in ways, styles and learning rhythms.  La investigación se enmarca en un proyecto de investigación de la Universidad Autónoma de Nuevo León, México, sobre la evaluación del aprendizaje en el contexto de la Reforma Integral de la Educación Media Superior. El objetivo es precisar las perspectivas de las investigaciones que actualmente se realizan sobre el portafolio evaluativo, valorando el aspecto relacionado con la asignación de las tareas según las características particulares del aprendizaje. Se utilizó el método de revisión de literatura, la metodología se desarrolla a través de: tipo de estudio, fuente de datos, preguntas de investigación, estrategia de búsqueda, criterios de inclusión y exclusión, recopilación de datos y el análisis de resultados. Los resultados obtenidos indican que en la actualidad, España es el país que más ha publicado sobre el tema, seguida de México, que hay un predominio de las investigaciones empíricas, las cuales generalmente describen experiencias, muy escasos los estudios teóricos y de revisión, que los enfoques de investigación son: el portafolio como herramienta de evaluación y como modalidad de enseñanza. Las perspectivas de investigación se enmarcan en el portafolio digital y no digital. Se concluye que la perspectiva de investigación más investigada es la reflexión, seguidas en menor medida, la formación de competencias, desarrollo de la responsabilidad del estudiante, tutorías y aprendizaje significativo. No se investiga en relación a la asignación de las tareas para el portafolio, de acuerdo a las características particulares del aprendizaje de los estudiantes, así como la diversidad de formas, estilos y ritmos de aprendizaje de los alumnos

Análisis de anomalías del campo geomagnético y de la presión atmosférica vinculadas con actividad sísmica en las placas Scotia y Sandwich

En este trabajo se analizan perturbaciones del campo magnético terrestre y presión atmosférica a nivel del mar relacionadas con eventos sísmicos. Los mismos están localizados en los márgenes de las placas Scotia y Sándwich, en el Atlántico Sur. Los observatorios geomagnéticos de la red INTERMAGNET: King Edward Point (KEP) en el archipiélago de las islas Georgias del Sur, Orcadas (ORC) en Islas Orcadas, Isla Argentina (AIA) en Antártida y Puerto Argentino (PST) en Islas Malvinas se encuentran próximos a los epicentros. Se estudian registros del campo geomagnético medidos en los observatorios de la red en un lapso de veinticuatro horas anteriores a la ocurrencia del sismo. Siendo que la componente horizontal del campo magnético es la que presenta mayor susceptibilidad a los cambios, se elige esta magnitud para el análisis. Los datos magnéticos se preparan de modo de sustraer los efectos de la variación solar diurna, calculando las diferencias entre las componentes horizontales de a dos observatorios. Cabe destacar que en el periodo de estudio no se registran tormentas geomagnéticas severas por encontrarse en fase de baja actividad solar. A partir del análisis de las diferencias entre los datos en los observatorios mencionados, mediante el método de wavelets es posible observar rangos de alta energía hasta frecuencias muy altas previas al evento; además de oscilaciones con picos magnéticos de amplitud ± 2 nT y duración variable cuando se aplica un filtro pasa bajo sobre las señales magnéticas. Es posible detectar variaciones anómalas en un intervalo de aproximadamente 3 horas antes de la manifestación de eventos sísmicos de Mw ≥ 6.6. Por otro lado, se analizan grillas globales de presión atmosférica, a nivel del mar, seleccionadas en la zona del sismo, en períodos entre dos y cuatro horas previas al evento, mostrando zonas distintivas de alta y baja presión. Los datos se obtuvieron de la base MERRA – 2. La serie temporal da cuenta de un mínimo local de presión en un rango de pocas horas alrededor de la ocurrencia del suceso por el ascenso/descenso de la superficie del mar.Geomagnetic field and atmospheric pressure disturbances are analyzed on this work, related to seismic events. These are located on the Scotia and Sandwich plate-margins in the South Atlantic Ocean. Near the epicenters are placed the INTERMAGNET geomagnetic observatories: King Edward Point (KEP) on the South Georgia’ islands, Orcadas (ORC) on Orcadas’ islands, Argentina Island (AIA) on Antartica and Puerto Argentino (PST) on Malvinas Islands. Geomagnetic field records from the observatories are studied during the previous twenty four hours of the seismic event. As the horizontal geomagnetic component is the most sensitive one to these changes, results in the magnitude selected for the analysis. To avoid the diurnal variation effects on the geomagnetic data, the differences between the horizontal components of two observatories are calculated. It is important to remark that on the period of study severe geomagnetic storms are not registered due to a low Sun activity phase. Analyzing the mentioned differences with the wavelets method it is possible to observe ranges of high energy up to very high frequencies previous to the event; in addition to ± 2 nT magnetic peaks of amplitude on the oscillations and a variable duration when applied a low-pass filter. It is possible to detect abnormal variations on an interval of approximately 3 hours before seismic events for Mw ≥ 6.6. On the other hand, atmospheric pressure grids at the sea level global are analyzed, selected on the seism zone, on periods of two to four hours previous to the event, showing distinctive low and high pressure zones. The data is obtained from the MERRA-2 base. The temporal series makes evident a pressure local minimum few hours before the event due to the sea surface ascent/descent.Asociación Argentina de Geofísicos y Geodesta

Infarto agudo del miocardio en un paciente con situs inversus total

The situs inversus is a strange congenital malformation that can affect several organs and has a hereditary character. It consists on an erroneous alignment of the organs inside the body: they are placed of the opposed side (image in mirror). Ii is presented a male patient of 64 years who has it, inveterate smoker, after intense physical effort began with oppressive chest pain with feeling of death and sphincter relaxation.El situs inversus es una rara malformación congénita que puede afectar varios órganos y tiene un carácter hereditario. Consiste en una alineación errónea de los órganos dentro del cuerpo: se colocan del lado opuesto (imagen en espejo). Se presenta un paciente masculino de 64 años que lo padece, fumador inveterado, que después de un esfuerzo físico intenso comenzó con dolor precordial opresivo con sensación de muerte y relajación de esfínteres

Expression and insulin-regulated distribution of caveolin in skeletal muscle. Caveolin does not colocalize with GLUT4 in intracellular membranes

Caveolin is believed to play an important role in sorting processes, vesicular trafficking, transmembrane signaling, and molecular transport across membranes. In this study we have evaluated the expression and distribution of caveolin in skeletal muscle and its interaction with GLUT4 glucose carriers. Caveolin was expressed to substantial levels in muscle and its expression was regulated in muscle; aging and high fat diet enhanced caveolin expression in skeletal muscle and inversely, myogenesis down-regulated caveolin in L6E9 cells. Under fasting conditions, most of caveolin was found in intracellular membranes and the caveolin present in the cell surface was found in both sarcolemma and T-tubules. Insulin administration led to a redistribution of caveolin from intracellular high density membrane fractions to intracellular lighter density fractions and to the cell surface; this pattern of insulin-induced redistribution was different to what was shown by GLUT4. These results suggests that caveolin is a component of an insulin-regulated machinery of vesicular transport in muscle. Quantitative immunoisolation of GLUT4 vesicles obtained from different intracellular GLUT4 populations revealed the absence of caveolin which substantiates the lack of colocalization of intracellular GLUT4 and caveolin. This indicates that caveolin is not involved in intracellular GLUT4 trafficking in skeletal muscle