627 resultados para ENFERMEDADES EPIZOÓTICAS – HUMANO - COLOMBIA – 2005 – 2012


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47 hojas : ilustraciones, fotografías a color, muestras.

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Informe de la realización de la gira educativa en los municipios de El Retiro y Medellín (Antioquia) para ampliar conocimientos técnicos en los procesos productivos del oficio de tejeduría en mimbre y de manejo de la madera desde la perspectiva de los criterios del proyecto del Sello de Calidad Hecho a Mano. Se indican las entidades colaboradoras con el desarrollo del evento. Se enumeran e indican los aspectos destacados de las visitas de evaluación realizadas a los talleres de producción artesanal de productos estructurados en madera y tejidos en mimbre y a los puntos de venta de cada una de las localidades, especificando cada uno de los temas en los que versaron los temas de las charlas y referentes de la evaluación de los aspectos y elementos funcionales. Igualmente se describe el proceso y resultado de la visita efectuada al Centro Nacional de la Madera del SENA. La síntesis descriptiva de cada actividad está complementada con fotografías (en blanco/negro).

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Introduction: The prevalence of diabetes is rising rapidly. Assessing quality of diabetes care is difficult. Lower Extremity Amputation (LEA) is recognised as a marker of the quality of diabetes care. The focus of this thesis was first to describe the trends in LEA rates in people with and without diabetes in the Republic of Ireland (RoI) in recent years and then, to explore the determinants of LEA in people with diabetes. While clinical and socio-demographic determinants have been well-established, the role of service-related factors has been less well-explored. Methods: Using hospital discharge data, trends in LEA rates in people with and without diabetes were described and compared to other countries. Background work included concordance studies exploring the reliability of hospital discharge data for recording LEA and diabetes and estimation of diabetes prevalence rates in the RoI from a nationally representative study (SLAN 2007). To explore determinants, a systematic review and meta-analysis assessed the effect of contact with a podiatrist on the outcome of LEA in people with diabetes. Finally, a case-control study using hospital discharge data explored determinants of LEA in people with diabetes with a particular focus on the timing of access to secondary healthcare services as a risk factor. Results: There are high levels of agreement between hospital discharge data and medical records for LEA and diabetes. Thus, hospital discharge data was deemed sufficiently reliable for use in this PhD thesis. A decrease in major diabetes-related LEA rates in people with diabetes was observed in the RoI from 2005-2012. In 2012, the relative risk of a person with diabetes undergoing a major LEA was 6.2 times (95% CI 4.8-8.1) that of a person without diabetes. Based on the systematic review and meta-analysis, contact with a podiatrist did not significantly affect the relative risk (RR) of LEA in people with diabetes. Results from the case-control study identified being single, documented CKD and documented hypertension as significant risk factors for LEA in people with diabetes whilst documented retinopathy was protective. Within the seven year time window included in the study, no association was detected between LEA in patients with diabetes and timing of patient access to secondary healthcare for diabetes management. Discussion: Many countries have reported reduced major LEA rates in people with diabetes coinciding with improved organisation of healthcare systems. Reassuringly, these first national estimates in people with diabetes in the RoI from 2005 to 2012 demonstrated reducing trends in major LEA rates. This may be attributable to changes in diabetes care and also, secular trends in smoking, dyslipidaemia and hypertension. Consistent with international practice, LEA trends data in Ireland can be used to monitor quality of care. Quantifying this improvement precisely, though, is problematic without robust denominator data on the prevalence of diabetes. However, a reduction in major diabetes-related LEA rates suggests improved quality of diabetes care. Much controversy exists around the reliability of hospital discharge data in the RoI. This thesis includes the first multi-site study to explore this issue and found hospital discharge data reliable for the reporting of the procedure of LEA and diagnosis of diabetes. This project did not detect protective effects of access to services including podiatry and secondary healthcare for LEA in people with diabetes. A major limitation of the systematic review and meta-analysis was the design and quality of the included studies. The data available in the area of effect of contact with a podiatrist on LEA risk are too sparse to say anything definitive about the efficacy of podiatry on LEA. Limitations of the case-control study include lack of a diabetes register in Ireland, restricted information from secondary healthcare and lack of data available from primary healthcare. Due to these issues, duration of disease could not be accounted for in the study which limits the conclusions that can be drawn from the results. The model of diabetes care in the RoI is currently undergoing a re-configuration with plans to introduce integrated care. In the future, trends in LEA rates should be continuously monitored to evaluate the effectiveness of changes to the healthcare system. Efforts are already underway to improve the availability of routine data from primary healthcare with the recent development of the iPCRN (Irish Primary Care Research Network). Linkage of primary and secondary healthcare records with a unique patient identifier should be the goal for the future.

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© 2005-2012 IEEE.Within industrial automation systems, three-dimensional (3-D) vision provides very useful feedback information in autonomous operation of various manufacturing equipment (e.g., industrial robots, material handling devices, assembly systems, and machine tools). The hardware performance in contemporary 3-D scanning devices is suitable for online utilization. However, the bottleneck is the lack of real-time algorithms for recognition of geometric primitives (e.g., planes and natural quadrics) from a scanned point cloud. One of the most important and the most frequent geometric primitive in various engineering tasks is plane. In this paper, we propose a new fast one-pass algorithm for recognition (segmentation and fitting) of planar segments from a point cloud. To effectively segment planar regions, we exploit the orthonormality of certain wavelets to polynomial function, as well as their sensitivity to abrupt changes. After segmentation of planar regions, we estimate the parameters of corresponding planes using standard fitting procedures. For point cloud structuring, a z-buffer algorithm with mesh triangles representation in barycentric coordinates is employed. The proposed recognition method is tested and experimentally validated in several real-world case studies.

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Monográfico con el título: 'Educamos para una ciudadanía responsable en democracia'. Resumen basado en el de la publicación

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Monográfico con el título: 'Educamos para una ciudadanía responsable en democracia'. Resumen basado en el de la publicación

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Monográfico con el título: 'Educar en valores con los medios de comunicación : encuentros y desencuentros'. Resumen basado en el de la publicación

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Monográfico con el título: 'Educar en valores con los medios de comunicación : encuentros y desencuentros'. Resumen basado en el de la publicación

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Monográfico con el título: 'Educar en valores con los medios de comunicación : encuentros y desencuentros'. Resumen basado en el de la publicación

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Monográfico con el título: 'La participación de las familias en los centros educativos'. Resumen basado en el de la publicación

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Monográfico con el título: 'La participación de las familias en los centros educativos'. Resumen basado en el de la publicación

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Monográfico con el título: 'El fomento del Plurilingüismo. Una política lingüística para la sociedad andaluza'. Resumen basado en el de la publicación

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Monográfico con el título: 'El fomento del Plurilingüismo. Una política lingüística para la sociedad andaluza'. Resumen basado en el de la publicación

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Monográfico con el título: 'El fomento del Plurilingüismo. Una política lingüística para la sociedad andaluza'. Resumen basado en el de la publicación

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Monográfico con el título: 'El fomento del Plurilingüismo. Una política lingüística para la sociedad andaluza'. Resumen basado en el de la publicación