Graduates' perceptions about the acquired clinical competences in undergraduate study of medicine in National University of the Northeast, UNNE, Argentina

El objetivo de la investigación es evaluar la calidad y pertinencia de la educación médica impartida en la Carrera de Medicina de la Universidad Nacional del Nordeste (Argentina), a través del estudio de las percepciones de los graduados, con respecto a: la educación médica recibida, las competencias clínicas adquiridas y la adecuación de la formación a las actuales exigencias de la profesión médica. Se compara, además, el perfil real de los graduados con el perfil profesional ideal de la Carrera de Medicina, que define las competencias clínicas a desarrollar para formar un médico general, según el modelo curricular establecido. El estudio se basa en una encuesta a 439 graduados, de hasta diez años de egreso, de la ciudad de Corrientes (Argentina). Según los resultados obtenidos, los graduados evaluaron, en la educación médica recibida, como satisfactorios, principalmente, aspectos tradicionales (ej. formación teórica). Y, consecuentemente, se consideraron mejor capacitados en competencias médicas tradicionales (diagnósticas o exploratorias) y menos formados en las nuevas competencias, que hoy se exigen a los médicos (ej. trabajo en equipo). Significativamente, los graduados hicieron evaluaciones diferenciales sobre la formación, privilegiando los contextos de prácticas de mayor interacción con pacientes. A partir del estudio, podría sostenerse que en los procesos de modernización y cambio curricular de la educación médica, es fundamental, por una parte, la coherencia entre objetivos institucionales, perfil profesional propuesto y modelo curricular implementado. Pero, además, poseen una particular importancia los contextos de aprendizaje y las funciones centralizadoras de los docentes, como responsables de los procesos de socialización, a través de los cuales los jóvenes adquieren conocimientos, actitudes y valores, que condicionarán significativamente el modelo médico que efectivamente se forma.The investigation intends to evaluate the quality and pertinence relevancy of the medical education, in the Career of Medicine of the National University of the Northeast (Argentina), according to the perceptions of the graduate ones, about: the received medical education, the acquired clinical competences and the adaptation of the medical formation to the demands of the profession, in the current systems of health. The real profile of the graduate ones is compared with the ideal profile of the Career of grade Medicine, where they are defined the clinical competences to develop in a general physician. A survey was applied at 439 graduate, of up to ten years of expenditure, of the city of Corrientes (Argentina). The results show that: the graduate ones considered "satisfactory", preferably, traditional aspects of the education, for example, the theoretical teaching and the used methods. Consequently, they were considered they are better qualified in traditional medical competences, as the diagnostic ones (that continue being central in the current medical education) and the initial physical explorations and anamnesis. Of the data it is possible to infer that, in the modernization processes and curricular change, it is fundamental the coherence among the proposed professional profile - ideal - and the curricular model implemented in the career, to achieve such purposes. Also, it is evidenced in the graduate, examined, the preponderant rol of the teacher one, in the transmission of knowledge and skills and, mainly, in the formation of values and attitudes about the medical model that transmits.Fil: Humberto, Blanca Rosa. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Nordeste; Argentina. Universidad Nacional del Nordeste. Facultad de Medicina; ArgentinaFil: Bluvstein, Samuel. Universidad Nacional del Nordeste. Facultad de Medicina; ArgentinaFil: Melis, Ingrid G.. Universidad Nacional del Nordeste. Facultad de Medicina; ArgentinaFil: González, Marcelo A.. Universidad Nacional del Nordeste. Facultad de Medicina; Argentin

Elasticity of semiflexible polymers with and without self-interactions

A {\it new} formula for the force vs extension relation is derived from the discrete version of the so called {\it worm like chain} model. This formula correctly fits some recent experimental data on polymer stretching and some numerical simulations with pairwise repulsive potentials. For a more realistic Lennard-Jones potential the agreement with simulations is found to be good when the temperature is above the $\theta$ temperature. For lower temperatures a plateau emerges, as predicted by some recent experimental and theoretical results, and our formula gives good results only in the high force regime. We briefly discuss how other kinds of self-interactions are expected to affect the elasticity of the polymer.Comment: 8 pages, 10 figure

Identifying and correcting oblique striping in the topodata digital elevation model.

The Topodata digital elevation model (DEM) is the best DEM available for digital soil mapping (DSM) in Brazil. However, it is not ready to use. We show that the kriging interpolator used to downscale the SRTM DEM from 3 arc-seconds to 1 arc-second spatial resolution increased the double oblique striping (15º and 60º) so common to SRTM DEMs. This is because kriging is quite sensitive to outliers. Besides, the Gaussian model of spatial covariance used in the downscaling enhanced the sensitivity of kriging to outliers, thus enhancing the striping. 2D Fast Fourier Transform can be used to identify whether a destriping procedure need to be employed. The bilinear or cubic resampling methods should be used to warp Topodata DEMs because they are insensitive to the double oblique striping

The fast declining Type Ia supernova 2003gs, and evidence for a significant dispersion in near-infrared absolute magnitudes of fast decliners at maximum light

We obtained optical photometry of SN 2003gs on 49 nights, from 2 to 494 days after T(B_max). We also obtained near-IR photometry on 21 nights. SN 2003gs was the first fast declining Type Ia SN that has been well observed since SN 1999by. While it was subluminous in optical bands compared to more slowly declining Type Ia SNe, it was not subluminous at maximum light in the near-IR bands. There appears to be a bimodal distribution in the near-IR absolute magnitudes of Type Ia SNe at maximum light. Those that peak in the near-IR after T(B_max) are subluminous in the all bands. Those that peak in the near-IR prior to T(B_max), such as SN 2003gs, have effectively the same near-IR absolute magnitudes at maximum light regardless of the decline rate Delta m_15(B). Near-IR spectral evidence suggests that opacities in the outer layers of SN 2003gs are reduced much earlier than for normal Type Ia SNe. That may allow gamma rays that power the luminosity to escape more rapidly and accelerate the decline rate. This conclusion is consistent with the photometric behavior of SN 2003gs in the IR, which indicates a faster than normal decline from approximately normal peak brightness.Comment: 41 pages, 13 figures, to be published in the December, 2009, issue of the Astronomical Journa

New neutron detector based on Micromegas technology for ADS projects

A new neutron detector based on Micromegas technology has been developed for the measurement of the simulated neutron spectrum in the ADS project. After the presentation of simulated neutron spectra obtained in the interaction of 140 MeV protons with the spallation target inside the TRIGA core, a full description of the new detector configuration is given. The advantage of this detector compared to conventional neutron flux detectors and the results obtained with the first prototype at the CELINA 14 MeV neutron source facility at CEA-Cadarache are presented. The future developments of operational Piccolo-Micromegas for fast neutron reactors are also described

Dados para aplicações pedométricas em larga escala no Brasil.

Made available in DSpace on 2018-01-12T23:16:13Z (GMT). No. of bitstreams: 1 2017092.pdf: 815718 bytes, checksum: 5c0f7d743b397470a1f0a062806f9bbe (MD5) Previous issue date: 2018-01-10bitstream/item/170793/1/2017-092.pd

Alimentação popular em São Paulo (1920 a 1950): políticas públicas, discursos técnicos e práticas profissionais

This article discusses how the concept of lower-class eating habits came about and developed in the intellectual circles of São Paulo during the first half of the 20th century. It starts by reconstructing the elements of the debate around the income and ignorance of the underprivileged as the main reasons behind their bad eating habits. Then, it looks at the focal points for interventions and public policies proposed by the government to deal with the problem thus identified, namely: training methods to produce sanitation counselors capable of offering dietary guidance as well; popular educational campaigns and new learning sites in addition to schools (e.g. healthcare centers and households); lunch and other means of offering food at schools; and diagnostic studies about food intake and eating habits among laborers. Because they were translated into technical and scientific language, the proposals and policies implemented in São Paulo left traces in a variety of supporting documents and media (photographs, primers, posters, inquiry notebooks, and academic literature).O artigo discute a construção da idéia de alimentação popular nos meios intelectuais em São Paulo, na primeira metade do século XX. Para isso, reconstitui, como motivos da má alimentação, elementos do debate em torno da renda e da ignorância dos mais pobres. Identificado o problema, as propostas de intervenção e as políticas públicas concentraram-se em alguns setores, abordados neste trabalho: métodos para a formação de educadores sanitários aptos a atuar também na educação alimentar; campanhas de instrução popular e criação de novos lugares de aprendizado (além das escolas, os centros de saúde e os lares); merenda escolar e outras alternativas de alimentação nas escolas; e diagnósticos referentes ao conteúdo e à forma da alimentação dos operários. Traduzidas em discurso técnico-científicos, as propostas e políticas implementadas na cidade deixaram indícios em documentação de suporte e tipologia variados (fotografias, cartilhas, cartazes, cadernetas de inquéritos e textos acadêmicos).Universidade Federal de São Paulo (UNIFESP)UNIFESPSciEL

Em direção a uma ciência do solo mais aberta.

Os que trabalham com ciências ambientais como a Ciência do Solo sabem que esse métier envolve a avaliação de múltiplas variáveis ambientais descritivas e explicativas. O intuito é compreender os complexos fenômenos que ocorrem na natureza, seja trabalhando no campo ou em laboratório, ou ainda com seus derivados, como a micro, meso ou macrobiota. Assim, nossas pesquisas geralmente geram enormes planilhas de dados, com resultados de diversas variáveis, muitas delas medidas ao longo do tempo. Estas são frequentemente analisadas usando métodos estatísticos complexos, a fim de encontrar e explorar as relações entre as variáveis e sua significância. Dentre esses métodos, os multivariados se tornaram indispensáveis por serem muito úteis para revelar essas relações de maneira visualmente compreensível. Contudo, uma limitação da quase totalidade dos trabalhos de pesquisa em Ciência do Solo realizados no Brasil é a ausência de acesso aos dados primários usados nas análises estatísticas. Isso impede o reuso dos dados, seja para reproduzir um estudo e verificar suas conclusões ou para realizar novas pesquisas para responder questões que ficaram sem respostabitstream/item/222244/1/George-Brown-Em-direcao-a-uma-Ciencia-do-Solo-mais-aberta.pd

Genome-wide association analysis of genetic generalized epilepsies implicates susceptibility loci at 1q43, 2p16.1, 2q22.3 and 17q21.32

Genetic generalized epilepsies (GGEs) have a lifetime prevalence of 0.3% and account for 20-30% of all epilepsies. Despite their high heritability of 80%, the genetic factors predisposing to GGEs remain elusive. To identify susceptibility variants shared across common GGE syndromes, we carried out a two-stage genome-wide association study (GWAS) including 3020 patients with GGEs and 3954 controls of European ancestry. To dissect out syndrome-related variants, we also explored two distinct GGE subgroups comprising 1434 patients with genetic absence epilepsies (GAEs) and 1134 patients with juvenile myoclonic epilepsy (JME). Joint Stage-1 and 2 analyses revealed genome-wide significant associations for GGEs at 2p16.1 (rs13026414, Pmeta = 2.5 × 10−9, OR[T] = 0.81) and 17q21.32 (rs72823592, Pmeta = 9.3 × 10−9, OR[A] = 0.77). The search for syndrome-related susceptibility alleles identified significant associations for GAEs at 2q22.3 (rs10496964, Pmeta = 9.1 × 10−9, OR[T] = 0.68) and at 1q43 for JME (rs12059546, Pmeta = 4.1 × 10−8, OR[G] = 1.42). Suggestive evidence for an association with GGEs was found in the region 2q24.3 (rs11890028, Pmeta = 4.0 × 10−6) nearby the SCN1A gene, which is currently the gene with the largest number of known epilepsy-related mutations. The associated regions harbor high-ranking candidate genes: CHRM3 at 1q43, VRK2 at 2p16.1, ZEB2 at 2q22.3, SCN1A at 2q24.3 and PNPO at 17q21.32. Further replication efforts are necessary to elucidate whether these positional candidate genes contribute to the heritability of the common GGE syndrome