Perfil lipídico en usuarios diabéticos e hipertensos de 20 a 60 años de edad que asisten a la Unidad Comunitaria de Salud Familiar el Zamorán, unicipio y departamento de San Miguel

El perfil lipídico constituye la cuantificación analítica de lípidos, como son colesterol total, triglicéridos, colesterol HDL, colesterol LDL y colesterol VLDL. La determinación de estos es importante para el diagnóstico y seguimiento de enfermedades como la diabetes mellitus siendo esta una enfermedad metabólica que conduce a alteraciones a largo plazo de los vasos sanguíneos y enfermedades cardiovasculares como la hipertensión que está asociada con el daño vascular y mayor morbilidad y mortalidad cardiovascular. Objetivo de la investigación fue determinar el perfil lipídico en usuarios diabéticos e hipertensos de 20 a 60 años de edad que asisten a la Unidad Comunitaria de Salud Familiar El Zamorán, municipio y departamento de San Miguel. Metodología se caracterizó por ser prospectiva de formalidad comparativa, transversal, descriptiva y de laboratorio. Con una población de 40 usuarios diabéticos y 40 usuarios hipertensos entre hombres y mujeres a los que se les realizaron las pruebas de colesterol, triglicéridos, colesterol total, colesterol HDL, colesterol LDL y colesterol VLDL. Según Los resultados obtenidos en las pruebas de laboratorio con mayor alteración, en la población diabética fueron el colesterol HDL con 47.5%, por debajo del valor normal, seguido de los triglicéridos con 42.5%, en los usuarios hipertensos la prueba con mayor alteración fue la de triglicéridos con 55%, seguido de colesterol HDL con 47.5%. Conclusión: se determinó mediante las pruebas de laboratorio que la población diabética presentó un 82.5% de alteración en los resultados obtenidos y la población hipertensa presentó alteración en el perfil lipídico de 80.0%.

El patrimonio cultural de la ciudad de San Miguel

La investigación proporciona un conocimiento del Patrimonio cultural de San Miguel, identificando lo que pertenece el patrimonio cultural de la Ciudad, mediante la clasificación de los muebles e inmuebles tangibles e intangibles del patrimonio para obtener un inventario concreto. Se utilizó una metodología de carácter descriptiva con tendencias analíticas, propositivas de campo y bibliográficas. El trabajo aporta la base metodológica para la implementación de un plan de conservación de los bienes inmuebles históricos de la Ciudad. Se concluye que lo estético, histórico y socioeconómico del patrimonio, aporta a la sociedad un legado educativo y un alto nivel de valor significativo de la cultura de la población de la ciudad San Miguel.

Historia de la dirección escénica en España: Miguel Narros

The year 2013 saw the passing of Miguel Narros, one of the most outstanding men of theatre of recent decades, and a creator to whom we remain in debt today. His extensive legacy deserves a special place in our memory and stands as a subject of study of the keenest interest, in view of the increasing amount of research being done on the discipline of stage direction. The objective of the thesis being presented is to provide an overview of Narros’ work, so as to draw conclusions related to the situation of theatre in Spain throughout the second half of the twentieth century and in the early twenty-first century and to elucidate the director’s poetic conception and a theory of his stage practice. The thesis has focused on the director’s biography —in which work and personal life are closely intertwined—, the artistic and technical credits and dates of his stage productions, the compiling and summarising of a number of reviews in the press, the classification and discussion of the different historical and literary periods dealt with by the director, as well as the poetics of his theatre (his points of reference, his conception as stage director —form and content— and his position on the elements that make up a stage production). Also attached is a selection of photographs of more than half of his stagings (in addition to some of the director himself) which are testimony to his creation and a reflection of a number of the characteristics of his theatre. The study —based on information from the written press, public and private archives (which provided everything from photographs to handbills) and a number of personal interviews, among other sources— reveals a professional whose work transformed, enriched and consolidated the Spanish stage. Indeed, Spanish theatre simply cannot be understood without taking into account Miguel Narros. Narros worked as an actor and immersed himself in the teachings of the figures that populated the theatre world of the mid-twentieth century, such as Jardiel Poncela, Elvira Noriega, José María Rodero, Carmen Seco and, above all, Luis Escobar...

Miguel de Cervantes Saavedra y Antonio Buero Vallejo: dramaturgos ejemplares

Esta conferencia es un intento de comprensión de los valores comunes de las tragedias históricas de Cervantes y de Buero. El talante ético de ambos dramaturgos les caracteriza como ejemplares. La conclusión es doble, por un lado, la libertad es el anhelo humano más importante de la vida; por otro, la verdad, la justicia, la igualdad, la solidaridad, el amor y la esperanza son esenciales para ser una persona verdadera. La salvación del hombre está, principalmente, en el arte y en las humanidades.

Miguel Sawa y la Revista "Don Quijote" (1892-1903)

In late 19th century and early 20th coexisted in time in Spain a lot of writers, many of them well known today, but many others who haven’t been rescued yet. This stage has been called the Silver Age of Spanish literature. Among the best known and most representative of Madrid’s bohemian characters were the Sawa brothers: Manuel, Alejandro, Miguel and Enrique. All of them had related to the literature or journalism, in greater or lesser extent, and were very significant figures in their time. Alejandro, who reached a high literary level, has recently been subject of various studies and biographies which have located him in his place as a outstanding writer, rescuing him from forgetting where he remained sunk until a few decades ago. But it has not happened the same with the rest of the brothers, especially with Miguel, who was also a writer. The object of the first part of this thesis is to recover the figure of the Miguel Sawa, rebuilding his biography and both journalistic and literary career. Miguel Sawa, belonging to the so-called generation of literarian bohemia, born in Seville in 1866. After moving with his family to Málaga, where he spent his childhood, settled definitively in Madrid in 1880. In Madrid lived the atmosphere of the newspapers offices and the literarian gatherings of the “cafes”. He was a friend of Valle Inclán, the Machado brothers, the Baroja brothers, and belonged to the “Gente Nueva” and to the Germinal generation. In 1901 he married María Palacio, with whom he had a son, Emilio, who died before completing one year of life, and a daughter, Carmen, who had five years when Sawa died. After spending a season in La Coruña, as director of the newspaper La Voz de Galicia, returned to Madrid at the beginning of 1910, ready to continue his literary career, but died suddenly on 1 October of that same year because of a fulminant pneumonia...

Devolución de la hacienda por Miguel Ignacio de Toro al Colegio Mayor del Rosario

Miguel Ignacio de Toro arrendatario de las haciendas del Colegio Mayor del Rosario comunica al rector y conciliarlos que hará entrega de las haciendas antes del término del contrato debido a la enfermedad que lo aqueja. Contiene el instructivo para la recepción de la hacienda con especificaciones sobre los esclavos, ganado, trapiches, casas y las plantaciones de caña y plátano.

Cáncer gástrico en pacientes de Méderi – Hospital Universitario Mayor entre los años 2011 - 2014

Introducción: El cáncer gástrico es uno de los más frecuentes a nivel mundial y Colombia se sitúa entre los países de mayor incidencia en este tipo de patología. Objetivo: Describir las características epidemiológicas, clínicas, el tratamiento administrado y los desenlaces inmediatos de los pacientes con diagnóstico de cáncer gástrico atendidos en el Hospital Universitario Mayor de Bogotá entre los años 2011 y 2014. Metodología: Se realizó un estudio observacional descriptivo con diagnóstico de cáncer gástrico. Se realizaron análisis univariados por medio de proporciones para las variables cualitativas y medidas de tendencia central para las variables cuantitativas según la distribución. Resultados: Un total de 189 pacientes fueron analizados. El dolor fue el síntoma más frecuente en los pacientes (30.7%) y el principal signo encontrado fue una masa palpable en abdomen (9,5%). Los pacientes fueron sometidos a diferentes abordajes terapéuticos, la mayoría recibieron manejo paliativo no quirúrgico (52.9%) y la opción quirúrgica más usada en los pacientes fue la gastrectomía total (20.6%), y la subtotal (16,4) seguidas de quimioterapia y/o radiación perioperatoria. Los pacientes que sobrevivieron a los 2 años fueron 7,4% del total. Conclusiones: El registro de los pacientes con cáncer gástrico es bueno en el Méderi-Hospital Universitario Mayor es bueno y permite caracterizar los pacientes, la presentación de la patología y los resultados del tratamiento que concuerdan con los presentados en contextos similares en la literatura.

Colin Marsh (2008) Becoming a Teacher: Knowledge, Skills and Issues. 4th edition, Frenchs Forrest: Pearson Education Australia, 460 pages

Becoming a Teacher is structured in five very readable sections. The introductory section addresses the nature of teaching and the importance of developing a sense of purpose for teaching in a 21st century classroom. It also introduces some key concepts that are explored throughout the volume according to the particular chapter focus of each part. For example, the chapters in Part 2 explore aspects of student learning and the learning environment and focus on how students develop and learn, learner motivation, developing self esteem and learning environments. The concepts developed in this section, such as human development, stages of learning, motivation, and self-concept are contextualised in terms of theories of cognitive development and theories of social, emotional and moral development. The author, Colin Marsh, draws on his extensive experience as an educator to structure the narrative of chapters in this part via checklists for observation, summary tables, sample strategies for teaching at specific stages of student development, and questions under the heading ‘your turn’. Case studies such as ‘How I use Piaget in my teaching’ make that essential link between theory and practice, something which pre-service teachers struggle with in the early phases of their university course. I was pleased to see that Marsh also explores the contentious and debated aspects of these theoretical frameworks to demonstrate that pre-service teachers must engage with and critique the ways in which theories about teaching and learning are applied. Marsh weaves in key quotations and important references into each chapter’s narrative and concludes every chapter with summary comments, reflection activities, lists of important references and useful web sources. As one would expect of a book published in 2008, Becoming a Teacher is informed by the most recent reports of classroom practice, current policy initiatives and research.

Colin Marsh (2010) Becoming a Teacher : Knowledge, Skills and Issues. 5th edition, Frenchs Forrest : Pearson Education Australia, 459 pages. [Book Review]

In the preface to the fifth edition of Becoming a Teacher, Colin Marsh reminds us that teachers need to have passion, energy and a commitment to enhance students’ learning. This most recent edition certainly provides examples of the author’s wide ranging knowledge and depth of insights that reflect his own commitment to inspirational and dedicated teaching practice. The fifth edition shares those characteristics which made previous editions so worthwhile. Most notable is the subtle but significant dual theme of Marsh’s narrative. That is, first, teaching is a vehicle for increasing the life opportunities of students, and second, teaching is profession that requires continual commitment and critical reflection. These are very important messages for any course that develops teaching methodology. Becoming a Teacher continues to be structured in five readable sections, however the 2010 edition has some exciting new features that warrant the attention of teacher educators and their pre-service students.

Cover of the book "Reise durch die Provence 1928" that celebrates the trip through Provence taken by Ellen Catzenstein, Mara Matthiesen and Gerda Rotermund.

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Cover of the book "Reise durch die Provence 1928" that celebrates the trip through Provence taken by Ellen Catzenstein, Mara Matthiesen and Gerda Rotermund.

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Averting biodiversity collapse in tropical forest protected areas

The rapid disruption of tropical forests probably imperils global biodiversity more than any other contemporary phenomenon(1-3). With deforestation advancing quickly, protected areas are increasingly becoming final refuges for threatened species and natural ecosystem processes. However, many protected areas in the tropics are themselves vulnerable to human encroachment and other environmental stresses(4-9). As pressures mount, it is vital to know whether existing reserves can sustain their biodiversity. A critical constraint in addressing this question has been that data describing a broad array of biodiversity groups have been unavailable for a sufficiently large and representative sample of reserves. Here we present a uniquely comprehensive data set on changes over the past 20 to 30 years in 31 functional groups of species and 21 potential drivers of environmental change, for 60 protected areas stratified across the world's major tropical regions. Our analysis reveals great variation in reserve `health': about half of all reserves have been effective or performed passably, but the rest are experiencing an erosion of biodiversity that is often alarmingly widespread taxonomically and functionally. Habitat disruption, hunting and forest-product exploitation were the strongest predictors of declining reserve health. Crucially, environmental changes immediately outside reserves seemed nearly as important as those inside in determining their ecological fate, with changes inside reserves strongly mirroring those occurring around them. These findings suggest that tropical protected areas are often intimately linked ecologically to their surrounding habitats, and that a failure to stem broad-scale loss and degradation of such habitats could sharply increase the likelihood of serious biodiversity declines.