991 resultados para Soto Marne, Francisco


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Publicación cuyo objetivo es guiar y orientar la respuesta educativa del alumnado con necesidades educativas especiales para poder cumplir con el compromiso adoptado por la Consejería de Educación de la Región de Murcia de elaboración de instrucciones y orientaciones para la adecuación del currículo en centros de Educación Especial y Aulas Abiertas. Las orientaciones constan de una conceptualización para las etapas de Educación Infantil, Primaria y Secundaria clarificando la diferencia entre capacidades y competencias básicas, así como la correlación gradual entre ambas. Se expone igualmente la correlación de los diferentes elementos de la propuesta curricular en cada una de las áreas, finalizando este apartado con ejemplificaciones prácticas. Finalmente, se elabora una plantilla de programación con el objetivo de guiar al docente en este nivel de concreción curricular, diferentes metodologías específicas que se están llevando a cabo en los centros de Educación Especial y una plantilla de unidad didáctica.

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El DVD adjunto presenta una dramatización sobre el contenido, acceso y organización de la biblioteca

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Background The literature suggests that the distribution of female breast cancer mortality demonstrates spatial concentration. There remains a lack of studies on how the mortality burden may impact racial groups across space and over time. The present study evaluated the geographic variations in breast cancer mortality in Texas females according to three predominant racial groups (non-Hispanic White, Black, and Hispanic females) over a twelve-year period. It sought to clarify whether the spatiotemporal trend might place an uneven burden on particular racial groups, and whether the excess trend has persisted into the current decade. Methods The Spatial Scan Statistic was employed to examine the geographic excess of breast cancer mortality by race in Texas counties between 1990 and 2001. The statistic was conducted with a scan window of a maximum of 90% of the study period and a spatial cluster size of 50% of the population at risk. The next scan was conducted with a purely spatial option to verify whether the excess mortality persisted further. Spatial queries were performed to locate the regions of excess mortality affecting multiple racial groups. Results The first scan identified 4 regions with breast cancer mortality excess in both non-Hispanic White and Hispanic female populations. The most likely excess mortality with a relative risk of 1.12 (p = 0.001) occurred between 1990 and 1996 for non-Hispanic Whites, including 42 Texas counties along Gulf Coast and Central Texas. For Hispanics, West Texas with a relative risk of 1.18 was the most probable region of excess mortality (p = 0.001). Results of the second scan were identical to the first. This suggested that the excess mortality might not persist to the present decade. Spatial queries found that 3 counties in Southeast and 9 counties in Central Texas had excess mortality involving multiple racial groups. Conclusion Spatiotemporal variations in breast cancer mortality affected racial groups at varying levels. There was neither evidence of hot-spot clusters nor persistent spatiotemporal trends of excess mortality into the present decade. Non-Hispanic Whites in the Gulf Coast and Hispanics in West Texas carried the highest burden of mortality, as evidenced by spatial concentration and temporal persistence.

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BACKGROUND: Physician advice is an important motivator for attempting to stop smoking. However, physicians' lack of intervention with smokers has only modestly improved in the last decade. Although the literature includes extensive research in the area of the smoking intervention practices of clinicians, few studies have focused on Hispanic physicians. The purpose of this study was to explore the correlates of tobacco cessation counseling practices among Hispanic physicians in the US. METHODS: Data were collected through a validated survey instrument among a cross-sectional sample of self-reported Hispanic physicians practicing in New Mexico, and who were members of the New Mexico Hispanic Medical Society in the year 2001. Domains of interest included counseling practices, self-efficacy, attitudes/responsibility, and knowledge/skills. Returned surveys were analyzed to obtain frequencies and descriptive statistics for each survey item. Other analyses included: bivariate Pearson's correlation, factorial ANOVAs, and multiple linear regressions. RESULTS: Respondents (n = 45) reported a low level of compliance with tobacco control guidelines and recommendations. Results indicate that physicians' familiarity with standard cessation protocols has a significant effect on their tobacco-related practices (r = .35, variance shared = 12%). Self-efficacy and gender were both significantly correlated to tobacco related practices (r = .42, variance shared = 17%). A significant correlation was also found between self-efficacy and knowledge/skills (r = .60, variance shared = 36%). Attitudes/responsibility was not significantly correlated with any of the other measures. CONCLUSION: More resources should be dedicated to training Hispanic physicians in tobacco intervention. Training may facilitate practice by increasing knowledge, developing skills and, ultimately, enhancing feelings of self-efficacy.

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Background U.S. Hispanic physicians constitute a considerable professional collective, and they may be most suited to attend to the health education needs of the growing U.S. Hispanic population. These educational needs include tobacco use prevention and smoking cessation. However, there is a lack of information on Hispanic physicians' tobacco intervention practices, their level of awareness and use of cessation protocols, and the type of programs that would best address their tobacco training needs. The purpose of this study was to assess the tobacco intervention practices and training needs of Hispanic physicians. Methods Data was collected through a validated survey instrument among a cross-sectional sample of self-reported Hispanic physicians. Data analyses included frequencies, descriptive statistics, and factorial analyses of variance. Results The response rate was 55.5%. The majority of respondents (73.3%) were middle-age males. Less than half of respondents routinely performed the most basic intervention: asking patients about smoking status (44.4%) and advising smoking patients to quit (42.2%). Twenty-five percent assisted smoking patients by talking to them about the health risks of smoking, providing education materials or referring them to cessation programs. Only 4.4% routinely arranged follow-up visits or phone calls for smoking patients. The majority of respondents (64.4%) indicated that they prescribe cessation treatments to less than 20% of smoking patients. A few (4.4%) routinely used behavioral change techniques or programs. A minority (15.6%) indicated that they routinely ask their patients about exposure to tobacco smoke, and 6.7% assisted patients exposed to secondhand smoke in understanding the health risks associated with environmental tobacco smoke (ETS). The most frequently encountered barriers preventing respondents from intervening with patients who smoke included: time, lack of training, lack of receptivity by patients, and lack of reimbursement by third party payers. There was no significant main effect of type of physician, nor was there an interaction effect (gender by type of physician), on tobacco-related practices. Conclusion The results indicate that Hispanic physicians, similarly to U.S. physicians in general, do not meet the level of intervention recommended by health care agencies. The results presented will assist in the development of tobacco training initiatives for Hispanic physicians.

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BACKGROUND: Prostate cancer mortality disparities exist among racial/ethnic groups in the United States, yet few studies have explored the spatiotemporal trend of the disease burden. To better understand mortality disparities by geographic regions over time, the present study analyzed the geographic variations of prostate cancer mortality by three Texas racial/ethnic groups over a 22-year period. METHODS: The Spatial Scan Statistic developed by Kulldorff et al was used. Excess mortality was detected using scan windows of 50% and 90% of the study period and a spatial cluster size of 50% of the population at risk. Time trend was analyzed to examine the potential temporal effects of clustering. Spatial queries were used to identify regions with multiple racial/ethnic groups having excess mortality. RESULTS: The most likely area of excess mortality for blacks occurred in Dallas-Metroplex and upper east Texas areas between 1990 and 1999; for Hispanics, in central Texas between 1992 and 1996: and for non-Hispanic whites, in the upper south and west to central Texas areas between 1990 and 1996. Excess mortality persisted among all racial/ethnic groups in the identified counties. The second scan revealed that three counties in west Texas presented an excess mortality for Hispanics from 1980-2001. Many counties bore an excess mortality burden for multiple groups. There is no time trend decline in prostate cancer mortality for blacks and non-Hispanic whites in Texas. CONCLUSION: Disparities in prostate cancer mortality among racial/ethnic groups existed in Texas. Central Texas counties with excess mortality in multiple subgroups warrant further investigation.

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Mode of access: Internet.

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Escritura de la venta de la esclava María Antonia de catorce años por José Angarita a Francisco Antonio de Soto por 260 patacones. Registro de la venta de la esclava María Antonia por Francisco de Soto a Diego Florido en la ciudad de San José de Pore(Boyacá).

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The state of the practice in safety has advanced rapidly in recent years with the emergence of new tools and processes for improving selection of the most cost-effective safety countermeasures. However, many challenges prevent fair and objective comparisons of countermeasures applied across safety disciplines (e.g. engineering, emergency services, and behavioral measures). These countermeasures operate at different spatial scales, are funded often by different financial sources and agencies, and have associated costs and benefits that are difficult to estimate. This research proposes a methodology by which both behavioral and engineering safety investments are considered and compared in a specific local context. The methodology involves a multi-stage process that enables the analyst to select countermeasures that yield high benefits to costs, are targeted for a particular project, and that may involve costs and benefits that accrue over varying spatial and temporal scales. The methodology is illustrated using a case study from the Geary Boulevard Corridor in San Francisco, California. The case study illustrates that: 1) The methodology enables the identification and assessment of a wide range of safety investment types at the project level; 2) The nature of crash histories lend themselves to the selection of both behavioral and engineering investments, requiring cooperation across agencies; and 3) The results of the cost-benefit analysis are highly sensitive to cost and benefit assumptions, and thus listing and justification of all assumptions is required. It is recommended that a sensitivity analyses be conducted when there is large uncertainty surrounding cost and benefit assumptions.

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"This paper analyzes how expenditures of the city of San Francisco were altered in response to changes in municipal labor costs over the period 1945 through 1976. A hybrid of the "demands" and the "organizational" models of budgeting is used to measure the budgetary response to changes in the relative prices of labor inputs. Descriptive and econometric evidence reveals significant adjustments both among and within departments in reaction to changes in relative labor costs. The empirical evidence demonstrates that the city's budgetary process is guided by simple allocative rules modified by price-responsive adjustments."

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El presente trabajo se llevó a cabo en la comunidad de Pacora del municipio de San Francisco Libre a 17 km al noroeste del empalme de la carretera San Francisco Libre- Managua, localizada geográficamente a losl2° 29' 54" latitud norte y los 86° 16' 54" longitud oeste. Se tomaron en consideración 4 fincas para el establecimiento del ensayo. El objetivo general del experimento fue identificar el grado de propagación de seis especies forrajeras arbustivas nativas de la comunidad de Pacora bajo la modalidad de estacas. Primero se realizó un sondeo para obtener información sobre las especies forrajeras arbustivas de la zona. El trabajo tuvo una duración de 92 días, realizando conteos y mediciones de los rebrotes a Jos 22, 44, 63, 80 y 92 días de establecido el ensayo. Se evaluaron seis especies (madero negro, genízaro, tigüilote, jocote, jícaro y muanda) y dos sustrato: tierra de rio + estiércol de caballo (S1) y tierra de 1 lugar (S2) para un total de 12 combinaciones. Las variables estudiadas fueron: porcentaje de prendimiento, porcentaje de sobrevivencia de las estacas; número de rebrotes por estacas y longitud de los rebrotes. Se empleó un modelo aditivo lineal bifactorial; para la interpretación del sondeo se hizo un análisis de frecuencia, las variables porcentaje de prendimiento y porcentaje de sobrevivencia se analizaron a través de sus fórmulas y realizando la desviación a través de su fórmula, en los datos procesados para las variables número y longitud de los rebrotes se utilizó el programa estadístico SAS, haciendo uso también de la transformación de x para su posterior análisis, se hizo la separación de medias por medio de Tukey. Los resultados obtenidos demuestran que existen una gran diversidad de árboles de utilización forrajera de los cuales el productor puede valerse como una alternativa para la alimentación animal; de las especies evaluadas el madero negro obtuvo los mayores porcentajes de prendimiento con 35% (S1) y 52.5% (S2). Para el porcentaje de sobrevivencia el jocote obtuvo los mayores valores con 46.42% (S l) y 66.5% (S2). La mayor cantidad de rebrotes y longitud de los rebrotes lo presentó el madero negro con un promedio de 5.89 rebrotes / estaca y 2.32 cm/ longitud / rebrote respectivamente