Presión arterial en preescolares de la localidad de Usaquén en Bogotá

Introducción: La hipertensión arterial es un problema de salud pública tanto en países industrializados como en vía de desarrollo. Su prevalencia en la infancia viene en aumento por lo que es relevante determinarla en niños preescolares a nivel local. Objetivo: Determinar la prevalencia de hipertensión arterial en niños de tres a cinco años de una cohorte de 14 hogares infantiles del ICBF de la localidad de Usaquén en Bogotá. Materiales y métodos: Se realizó un estudio de corte transversal analítico, utilizando la base de datos de un ensayo aleatorizado y controlado del año 200913, y se evaluaron las cifras de tensión arterial de acuerdo a sexo, edad, talla y su correlación con el IMC con un nivel de confianza del 95% y precisión del 1%. Se calcularon las medias, desviaciones estándar, percentiles y prevalencia. Resultados: Se obtuvo una muestra de 1035 casos, encontrándose una prevalencia de 4,5% de HTA sistólica, 10,4% de diastólica, ambas en estadio I; teniendo en cuenta tanto sistólica como diastólica, fue de 11,6% en estadio I. Se determinaron los valores de presión arterial sistólica y diastólica en cuartiles de acuerdo a edad, sexo y talla. El coeficiente de correlación entre el IMC y los niveles de presión arterial sistólica y diastólica fueron de 0.0992 y 0.0362 respectivamente. Conclusión: La prevalencia de HTA general fue de 11,6%, predominando la diastólica en estadio I en niños preescolares. No se encontró correlación entre el IMC y las cifras de tensión arterial sistólica y diastólica.

Control interno de la Fiscalía General de la Nación

Cuando del tema del Control de la Acción Administrativa se trata, es necesario centrarse en dos postulados fundamentales que la Constitución Política consagró en sus artículos 209 y 269, mismos que encuentran desarrollo en leyes posteriores

Convención marco de las Naciones Unidas sobre cambio climático: Análisis general y su incidencia en Colombia

La participación efectiva de los países en desarrollo en el actual proceso de negociación y sus preparativos constituye la base para dirimir los dos conflictos que aún hoy y en el pasado han sido el eje de la negociación

General concepts in meteorology and dynamics

The aim of this chapter is to give a general overview of the atmospheric circulation, highlighting the main concepts that are important for a basic understanding of meteorology and atmospheric dynamics relevant to atmospheric data assimilation.

Therapist-assisted, internet-based treatment for panic disorder: can general practitioners achieve comparable patient outcomes to psychologists

Background: Mental illness is an escalating concern worldwide. The management of disorders such as anxiety and depression largely falls to family doctors or general practitioners (GPs). However, GPs are often too time constrained and may lack the necessary training to adequately manage the needs of such patients. Evidence-based Internet interventions represent a potentially valuable resource to reduce the burden of care and the cost of managing mental health disorders within primary care settings and, at the same time, improve patient outcomes.
Objective: The present study sought to extend the efficacy of a therapist-assisted Internet treatment program for panic disorder, Panic Online, by determining whether comparable outcomes could be achieved and maintained when Panic Online was supported by either GPs or psychologists.
Methods: Via a natural groups design, 96 people with a primary diagnosis of panic disorder (with or without agoraphobia) completed the Panic Online program over 12 weeks with the therapeutic assistance of their GP (n = 53), who had received specialist training in cognitive behavioral therapy, or a clinical psychologist (n = 43). Participants completed a clinical diagnostic telephone interview, conducted by a psychologist, and a set of online questionnaires to assess panic-related symptoms at three time periods (pretreatment, posttreatment, and 6 month follow-up).
Results: Both treatments led to clinically significant improvements on measures of panic and panic-related symptomatology from pretreatment to posttreatment. Both groups were shown to significantly improve over time. Improvements for both groups were maintained at follow-up; however, the groups did differ significantly on two quality of life domains: physical (F₁,₈₂ = 9.13, P = .00) and environmental (F₁,₈₂ = 4.41, P = .04). The attrition rate was significantly higher among those being treated by their GP (χ²₁ = 4.40, P = .02, N = 96).
Conclusions: This study provides evidence that Internet-based interventions are an effective adjunct to existing mental health care systems. Consequently, this may facilitate and enhance the delivery of evidence-based mental health treatments to increasingly large segments of the population via primary care systems and through suitably trained health professionals.

Lost in translation? William Wardell's St John's College, Sydney and Convent and School, Kew

This paper considers two Colleges designed by the nineteenth century architect William Wardell (1823-99): St John’s College, within the University of Sydney (1858-59) and Convent and School, Kew, now known as Genazzano FCJ College Kew, Melbourne (1889). The approach of significant anniversaries for each of the Colleges has been the major impetus behind the current research. Both commissions demonstrate laudable aspirations; difficulty in comprehending and realising the design; partial completions and accretions over time which testify to changes in economic fortune and taste; inappropriate additions; and decades of neglect fuelled by a general misunderstanding of the 19th century for much of the 20th century. At the beginning of the 21st century conservation management plans were commissioned independently for both projects. Using the two Colleges as case studies, this paper examines tradition and its transformation, design and its translation, heritage and its significance.

Distinguishing consumers' need for uniqueness from individuation and general need for uniqueness

This paper describes the results of five previously unpublished studies designed to investigate the distinctiveness of consumers' need for uniqueness scale (CNFU) from two competing predictors of differentiating behaviors from the psychological literature - individuation and general need for uniqueness. Consumers' need for uniqueness is defined as the trait of pursuing differentness relative to others through the acquisition, utilization, and disposition of consumer goods for the purpose of developing and enhancing one's self-image and social image. As such, the research offers additional evidence from an extensive program of research regarding the validity of the consumer need for uniqueness scale developed by Tepper, Bearden and Hunter (2000). Specifically, the results of the studies demonstrate that the scale operates distinctively through counterconformity motivation as hypothesized and moderates the effects of situational variables on preferences for differentiating consumer offerings as expected.

William Wardell's 1859 St John's College - a rare realisation of Pugin's ideal Catholic College?

William Wardell’s St John’s College, Sydney, considered the grandest and architecturally most distinguished university college in New South Wales, is an exceptional example of 19th century Gothic Revival architecture.  The information board outside the college states that St John’s is ‘a rare realisation of Pugin’s ideal Catholic College’ and further that ‘it demonstrates [Pugin]’s profound influence on the work of Wardell’. This is but a small part of the story. The commission for St John’s College was far more complex.  The correspondence between the architects, William Wardell, Edmund Blacket and others, and St John’s Council indicates that right from the beginning there was a general lack of understanding of Wardell’s original design concept for the building. This has continued to the present day, as evidenced by the information on the board outside St John’s College, in which it is incorrectly assumed that Wardell’s proposal included a quadrangle as featured in Pugin’s ‘ideal College’. This paper, based largely on primary sources, investigates such claims about St John’s, considers William Wardell and the Gothic Revival, examines St John’s College within the University of Sydney – its design and its translation and posits a few conclusions leading to new understandings.

Teaching general practitioners and doctors-in-training to discuss advance care planning : evaluation of a brief multimodality education programme

To develop and evaluate an interactive advance care planning (ACP) educational programme for general practitioners and doctors-in-training.

Aplicação do modelo de Hull-White a precificação de opções sobre IDI

Seleciona um modelo para precificação de opções sobre juros após uma revisão da literatura teórica e empírica. aplica o modelo selecionado, Hull-White a precificação de opções sobre IDI. Comparada este modelo com o modelo de Black e conclui que é superior. Discute detalhadamente do modelo para a realidade brasileira

William Boyce White, Jr. Papers - Accession 1488

The William Boyce White, Jr. Papers consists of his genealogical research as well as his research related to the history of York County and Rock Hill, SC. The papers also include records and manuscripts relating to several of his published works. Mr. White is a Rock Hill native and taught at the Winthrop Training School (WTS) from 1958-1965 and taught at Rock Hill High School following the closing of the high school portion of the WTS. He also taught in Clover before coming to Winthrop. He was the organist at First Presbyterian Church in Rock Hill from 1945 until he moved to Virginia. His interest in local history covers the Rock Hill train depot (included in the collection is a tintype of the original depot ca. 1860s), Colonel William Hill, the Catawba River, Catawba Indians, Rock Hill and York County schools, historic homes (includes several photographs, many of which were used by Elizabeth Reed in her long running series on historic homes in Rock HillEvening Herald), local churches, as well as Rock Hill, Fort Mill, Blackstocks, and York County in general. Of special interest is a copy of the Indian Land Chronicle dated January 21, 1859. Only three copies of the Chronicle are known to exist in the state of South Carolina. The genealogical research conducted by Mr. White covers many of the prominent names of York County and of South Carolina in general. Below is a list of the prominent family names covered in Mr. White’s research: Anderson; Bankhead; Barringer; Bell; Black; Button; Campbell; Carpenter; Coffey; Cowan; Crawford; Culp; Davis; Fennell; Fewell; Graham; Hanna; Hayes; Hill; Hutchison; Irwin/ Erwin; Johnson; Lee; Martin; Massey; McClain; McConnell; McCullough; McFadden; Miller; Mobley; Morrow; Neely; Neil; Patton; Pettus; Plexico/Plaxco; Rives; Robinson; Roddey; Setzer; Stephenson; Strait; Sturgis; Sutton; Templeton; Waggoner; Wallace; Wherry; White; Williams; Williamson; Workman; Wylie.

Student and Faculty Perceptions of Technology’s Usefulness in Community College General Education Courses

Educational institutions of all levels invest large amounts of time and resources into instructional technology, with the goal of enhancing the educational effectiveness of the learning environment. The decisions made by instructors and institutions regarding the implementation of technology are guided by perceptions of usefulness held by those who are in control. The primary objective of this mixed methods study was to examine the student and faculty perceptions of technology being used in general education courses at a community college. This study builds upon and challenges the assertions of writers such as Prensky (2001a, 2001b) and Tapscott (1998) who claim that a vast difference in technology perception exists between generational groups, resulting in a diminished usefulness of technology in instruction. In this study, data were gathered through student surveys and interviews, and through faculty surveys and interviews. Analysis of the data used Kendall’s Tau test for correlation between various student and faculty variables in various groupings, and also typological analysis of the transcribed interview data. The analysis of the quantitative data revealed no relationship between age and perception of technology’s usefulness. A positive relationship was found to exist between the perception of the frequency of technology use and the perception of technology’s effectiveness, suggesting that both faculty members and students believed that the more technology is used, the more useful it is in instruction. The analysis of the qualitative data revealed that both faculty and students perceive technology to be useful, and that the most significant barriers to technology’s usefulness include faulty hardware and software systems,lack of user support, and lack of training for faculty. The results of the study suggest that the differences in perception of technology between generations that are proposed by Prensky may not exist when comparing adults from the younger generation with adults from the older generation. Further, the study suggests that institutions continue to invest in instructional technology, with a focus on high levels of support and training for faculty, and more universal availability of specific technologies, including web access, in class video, and presentation software. Adviser: Ronald Joekel