Characteristics and case outcomes of families that participate in team decision making

The purpose of this study was to identify the demographics, case characteristics, and outcomes of families that participate in Team Decision Making (TDM) within the Riverside County Department of Public Social Services, Children\u27s Services Division. The study used secondary data from Riverside County Child Welfare System/Case Management System (CWS/CMS) and Efforts to Outcomes (ETO) databases. Data was collected from 2253 families that first entered CWS and participated in TDM between the years 2008-2012

Light Rail Transit Resource Guide.

Conducted on behalf of Longfellow Community Council. Sponsored by Neighborhood Planning for Community Revitalization, Center for Urban and Regional Affairs, University of Minnesota

Destreza del personal de la Salud en el manejo del Censo Gerencial en la Atencion, prenatal, parto, Purperio y Postnatal, en el centro de atencion Matiguas , Matagalpa 2017

Según Organización Mundial de la salud, el fortalecimiento del bienestar materno han sido puntos clave de varias cumbres del milenio, ya que la mortalidad materna continua siendo un problema de salud pública a consecuencia, de complicaciones en el embarazo, parto y puerperio .Es por eso que el MINSA de Nicaragua ha manifestado su preocupación por la promoción de salud integral de la mujer y la familia antes, durante y después del proceso reproductivo, trabajando así en el desarrollo de estrategias para contribuir en la reducción de la mortalidad. Por tal razón la investigación está enfocada en las mejores intervenciones que se ha implementado como es el Censo Gerencial, herramienta útil para el personal de salud; en este estudio se aplicó el método científico con enfoque mixto; con objetivo, de Evaluar la destreza del personal en el Manejo del Censo Gerencial en la Atención Prenatal, parto, puerperio y postnatal, en centro de atención, Matiguas, Matagalpa Año 2017. Se utilizó guía de observación, encontrando datos relevantes como las deficiencias en el correcto llenado de la boleta como: Encabezado, datos de afiliación, riesgos y plan parto, retroalimentación comunitaria la cual no es realizada, no obstante hay positividad ya que sé verifico acciones de prevención y búsqueda de inasistentes, y el cumplimiento de reporte semanales y mensual; además se observó las actividades que se deben realizar en cada atención prenatal de acuerdo a la normativa MINSA 011 (2015). En conclusión, los recursos humanos en salud, cuentan con conocimientos de acuerdo a la normativa de Censo Gerencial de acuerdo al instrumento aplicado; la deficiencia encontrada se obtuvo con pocos datos insatisfactorios, a lo que se puede mejorar con recomendaciones brindadas durante las visitas. Asimismo el personal de salud realiza las acciones establecidas por la normativa, en su mayoría en cada APN resultando como inferioridad las no efectuada

Impacto de la publicidad caminera. Estudio empirico de la recordacion en la Septima Region del Maule, tramo Curico-Panguilemo

138 p.La publicidad en Chile, ha evolucionado al mismo tiempo que en el resto del mundo, en cuanto a sus técnicas y objetivos. Sin embargo, de los medios utilizados en las estrategias publicitarias o en las campañas de publicidad efectuadas por las empresas, existe uno que ha ido desarrollándose mucho mas lentamente y con un origen mas tardío. Este medio es conocido como vía pública. La clasificación de vía publica, comprende una, denominada publicidad caminera. Esta es la que ha sido objeto de estudio en esta Tesis de Grado; la cual consiste, fundamentalmente, en un estudio empírico de la recordación de esta en los conductores que transitan por la carretera Norte-Sur, en la S6ptima región del Maule. Para llevar a efecto lo planteado, se definió como objetivo general: analizar la respuesta cognoscitiva de los automovilistas, con respecto a los letreros camineros que se encuentran en la carretera Norte-Sur, sector Curico-Panguilemo. La metodología aplicada, consiste en un estudio exploratorio; el cual comprende una serie de entrevistas con personas entendidas en el tema, además de la revisión bibliografica correspondiente y conocimiento del tramo objeto de este estudio

Testisterapia: Espacio de intercambio para la diversidad de trayectorias y producción de tesis de posgrado

La accesibilidad a la educación superior en América Latina ha ido en aumento, sin embargo, los niveles de graduación siguen siendo significativamente inferiores a los niveles alcanzados en otras partes del mundo. En Argentina se observa un cuadro similar, existen altas tasas de matriculación pero la proporción de graduados es equivalente a la mitad de la que se observa en los países europeos (Garcia de Fanelli, 2015). En el nivel de posgrado el escenario se repite. En la jornada sobre “Problemáticas actuales para la culminación de Tesis y de Trabajos Finales de Posgrado” realizada en el 2014 en la Universidad Nacional de Lanús (UNLA), Pérez Lindo presentó cifras (ratificadas por distintas investigaciones) donde se señala que para el año 2010 la tasa de graduación de posgrado era cercana al 10 por ciento. Entre las dificultades para alcanzar la graduación en las carreras de posgrado un factor clave es la culminación de tesis, asociado no solo a los diseños institucionales sino también a las características socioeconómicas de cada uno de los países. En América Latina cabe notar que el sistema de becas para el acceso a estudios de posgrado es pequeño, a lo cual debe añadirse el hecho de que en muchos de los países de la región la educación es de gestión privada con altos costos de matriculación y de aranceles. En este contexto, adquiere especial relieve la dicotomía entre la actividad profesional y la práctica académica que atraviesa a muchos/as estudiantes de posgrado, que deben desempeñarse en ambos campos a la vez. Sin duda, esta circunstancia afecta los trayectos personales dentro de la institución de posgrado y, por lo tanto, los resultados de la institución misma...Fil: Giordano, Veronica. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Sociales. Instituto de Estudios de América Latina y el Caribe; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Sociales. Carrera de Sociología; ArgentinaFil: Mendez Karlovich, Maricruz. Universidad Nacional de Lomas de Zamora; Argentina. Universidad de Buenos Aires; Argentin

Investigation of the thermal and physicochemical behavior of two types of gutta-percha cones for back-filling the root canal

Gutta-percha (Gp) is an inert thermoplastic polymer used as a filling to replace the dental pulp space, which has been reformulated to improve its three-dimensional sealing properties. Therefore, this study aimed to analyze the physical, chemical and thermal properties of two types of gutta-percha filling. As well as measuring the temperature distribution along the cone at the time of cutting through an in-situ test. MATERIAL AND METHODS: Two commercially available brands of gutta-percha point were investigated: Conform Fit TM Gutta-Percha for ProTaper Gold(R) (PTG) (Dentsply Sirona), and Hygenic Gutta-Percha (Coltene whaledent). Differential scanning calorimetry (DSC) and thermogravimetric analysis (TGA) were selected for the thermal characterization of materials, and Fourier Transform Infrared Spectroscopy (FT-IR) for the chemical analysis of Gp cones. Regarding temperature distribution, it was evaluated using a thermographic camera (FLIR ONE(R) PRO by MicroUSB P/N 435-0011-01) at 0 to 20 s after the cutting process (n=11/group). RESULTS: Both materials have three fusion endotherms associated with the three crystalline phases of Gp, with similar temperatures but enthalpies that differ by 60%, the fusion enthalpy being higher for Conform Fit. In the chemical characterization, elements such as Zn, C, O, Ba, S and Si were found in both materials but in different proportions. Regarding the content of fillers, the Conform Fit presented around 30% of Gp polymer and 25% for the Hygenic. The morphological characterization shows a microtexturized coating in the form of bars on a micrometric scale for the Conform Fit, which could favor a better three-dimensional seal. In addition to that, in heat transfer studies they showed greater temperature control. CONCLUSIONS: The characterization of the materials allowed us to see the variation in terms of their composition and configuration to the Gp cones of two commercial brands. These variations directly modify the thermal behavior of the material. Key words:Gutta-percha, Conform Fit, Infrared thermography, Differential Scanning Calorimetry, Infrared Spectroscopy

Vegetation structure influences predation rates of early nests in subarctic breeding waders

Ground-nesting species are vulnerable to a wide range of predators and often experience very high levels of nest predation. Strategies to reduce nest vulnerability can include concealing nests in vegetation and/or nesting in locations in which nests and eggs are camouflaged and less easy for predators to locate. These strategies could have important implications for the distribution of ground-nesting species and the success rates of nests in areas with differing vegetation structure. However, the factors influencing the success of nest concealment and camouflage strategies in ground-nesting species are complex. Here we explore the effects of local vegetation structure and extent of nest concealment on nest predation rates in a range of ground-nesting, sympatric wader species with differing nest concealment strategies (open-nest species: Oystercatcher Haematopus ostralegus, Golden Plover Pluvialis apricaria and Whimbrel Numenius phaeopus; concealed-nest species: Black-tailed Godwit Limosa limosa, Redshank Tringa totanus and Snipe Gallinago gallinago) in south Iceland, in landscapes that comprise substantial variability in vegetation structure at a range of scales. We monitored 469 nests of these six wader species in 2015 and 2016 and ~40% of these nests were predated. Nest predation rates were similar for open-nest and concealed-nest species and did not vary with vegetation structure in the surrounding landscape, but nest-concealing species were ~10% more likely to have nests predated when they were poorly concealed, and the frequency of poorly concealed nests was higher in colder conditions at the start of the breeding season. For concealed-nest species, the reduced capacity to hide nests in colder conditions is likely to reflect low rates of vegetation growth in such conditions. The ongoing trend for warmer springs at subarctic latitudes could result in more rapid vegetation growth, with consequent increases in the success rates of early nests of concealed-nest species. Temperature-related effects on nest concealment from predators could thus be an important mechanism through which climate change affecting vegetation could have population-level impacts on breeding birds at higher latitudes

Oxidative stress status during the acute phase of haemolytic uraemic syndrome

Background. Haemolytic uraemic syndrome (HUS) is characterized by haemolytic anaemia, thrombocytopaenia and acute renal failure. The aim of this study was to investigate the levels of oxidative stress (OS) during the acute phase of HUS. Methods. This prospective study included 18 patients diagnosed with D+HUS, 6 age-matched healthy controls and 29 children with end-stage renal disease (ESRD) not caused by HUS under regular haemodialysis. Plasma lipid peroxidation and non-enzymatic antioxidant defences were measured as thiobarbituric acid-reactive substances (TBARs) and total reactive antioxidant potential (TRAP), respectively, during hospitalization and in control individuals. Results. TBARs were significantly higher in both oliguric and non-oliguric patients at admission (1.8 ± 0.1; 1.7 ± 0.2 μM) and discharge (1.5 ± 0.1; 1.0 ± 0.1 μM) vs controls (0.5 ± 0.1 μM, P < 0.01) following disease progression. Maximal TBARs values differed significantly between oliguric and non-oliguric groups (4.5 ± 0.9 vs 2.4 ± 0.3 μM, P < 0.01) and were significantly higher (P < 0.05) than those found in ESRD patients (1.63 ± 0.1). TRAP values were significantly higher at admission and when the disease was fully established (measured here as highest TBARs record) vs controls (675 ± 51, 657 ± 60 and 317 ± 30 μM Trolox, P < 0.01), and were similar to control values at discharge (325 ± 33 μM Trolox). Conclusions. We demonstrate here increased levels of OS during the acute phase of HUS, with peak plasma lipid peroxidation values well above those registered in ESRD individuals, and suggest a connection between OS and the clinical course of HUS.Fil: Ferraris, Veronica. Hospital Italiano; ArgentinaFil: Acquier, Andrea Beatriz. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones Biomédicas. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones Biomédicas; ArgentinaFil: Ferraris, Jorge R.. Hospital Italiano; ArgentinaFil: Vallejo, Graciela. Gobierno de la Ciudad de Buenos Aires. Hospital General de Niños "Ricardo Gutiérrez"; ArgentinaFil: Paz, Cristina del Valle. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones Biomédicas. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones Biomédicas; ArgentinaFil: Mendez, Carlos Fernando. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones Biomédicas. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones Biomédicas; Argentin

Methodological Approaches for Dietary Intake Assessment in Formula-fed Infants

Background and Objective: The estimation of dietary intake remains a challenge in human nutritional studies. In infants, the use of food diaries (FDs) is a suitable method already validated; however, this method is not exempt from error. In formula-fed infants, dilution of powdered formulas may produce errors. Our aim was to develop and validate standard operating procedures (SOPs) for the assessment of dietary intake in formula-fed infants, attending potential sources of error. Methods: We analysed sources of error in a random subsample of 3-day FDs from 100 infants enrolled in the European Childhood Obesity Project. Calculations to estimate intakes were standardised and included in a software tool (SOPsystem). An evaluation of a simulated FD was performed by 9 trained nutritionists and 23 nutrition students (n = 225 and n = 575 bottle evaluations, respectively) to compare the results obtained when using or not the SOPsystem. Correct answers (%), coefficients of variation, and the time spent (minutes) to assess the simulated FD were analysed. Results: Overall, 60% of the FDs contained reports of incorrect volumes, and 37% reported incorrect formula dilutions. When the SOPsystem was used, correct answers in the simulated FD were more frequent (P < 0.001) and the mean coefficient of variation and the time spent were lower (P < 0.005 and P < 0.01, respectively). Conclusions: The development and implementation of SOPs with a software tool that identifies specific sources of error in record-keeping achieved a harmonised and improved process for assessing dietary intakes in formula-fed infants, minimising errors in calculations and reducing the work time invested