935 resultados para Hedge and Offer


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In his famous children’s book, “Jim Button and Luke the Engine Driver”, Michael Ende describes a curious character: A phantom giant. Clothed in rags and with a long beard, the phantom giant appears enormous from far away, but shrinks to normal size as one gets closer. Most people avoid the poor creature, but the ones that dare approach it encounter a gentle, lonely being called Mr. Tur Tur. Chemical ecology is just the opposite of Mr. Tur Tur: A phantom dwarf. Or, in other words, an inverted phantom giant. From a distance, chemical ecology appears like a slightly odd, marginal section of biology and chemistry. But, as the interested scholar approaches, it starts growing and very quickly reaches gigantic dimensions, because all life is explained by chemistry, and all biological chemistry is guided by ecological principles. Herein lies the difficulty with chemical ecology: As it is not perceived well by biologists and chemists, few approach it to understand its significance, and the ones that do find themselves in front of a giant that defies their attempts to define and contain it. This is where the Journal of Chemical Ecology comes in: It invites us to take a closer look at an underestimated discipline and supports us to explore it and deal with its multidimensionality through the promotion of knowledge and methods. These services are unique and make the journal stand out of the crowd of scientific journals. Writing children’s books has become difficult in the era of information technology. And, so has the job of the Journal of Chemical Ecology. Young scientists gather information through accessible, dynamic websites and social platforms. They want articles that are available through a single mouse click, anywhere, anytime. They prefer advanced interactive hypertext protocols over clumsy pdf files. They care about transparency, non-profit and open access just as much as about traditional journal properties. In my view, reaching “the kids” is the major challenge of the Journal over the next years. Promoting an inverted phantom giant in the 21st century requires a combination of high-quality information and boosted visibility. In Michael Ende’s book, Jim and Luke follow exactly this strategy with Mr. Tur Tur: They become friends and offer him a job as a living lighthouse to protect their small island. They combine a quality relationship with high visibility, et voilà, the story ends well! I am looking forward to seeing if the Journal of Chemical Ecology will follow a similar path to reach the next generation of biologists and chemists. If yes, there is a good chance that in 40 years from now, somebody will write a laudation and refer to another famous book by Michael Ende: “The Neverending Story”.

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The purpose of this qualitative study was to gain an understanding of the experiences of Mexican American women living with intimate partner abuse relevant to the process of disclosure of abuse. Limited research exists on the experiences of women who are of Mexican descent living with intimate partner abuse and their disclosure of abuse. Factors that influence disclosure for other populations are well articulated in the literature however, these factors have not been adequately verified in persons of Mexican descent. Data are reported from in-depth interviews with 26 clients at a shelter and an outreach agency in a south Texas-Mexico border community. Semi-structured interview guide was used to elicit information over an 11 month period. A grounded theory ethnography approach was used to analyze data. Verification strategies and constant comparison techniques (e.g. investigator responsiveness, methodological coherence, sampling adequacy, an active analytic stance, and saturation) enhanced rigor of analysis. Nineteen Mexican immigrant women and seven Mexican American women participated in the study. Several themes were discerned related to women's experiences in abuse: painful living, questioning endurance, and confronting reality. In almost every participant's account there was a description of repeated victimization by her intimate partner or partners, and again, by others within and outside her network. The participants discussed several cultural factors (e.g. embarrassment, concerns for family, avoidance of causing pain to family, protection of partner, avoidance of being judged) that hindered their decisions whether or not to disclose. Participants noted that healthcare workers rarely asked probing questions regarding abuse. The timing and process of disclosure took many turns for women in this study. Some of the factors hindering women from disclosing were found to be influenced by cultural practices. The consequences of disclosure for many of the women led them to re-victimization. Implications for practice to avoid missed opportunities with women living in abuse are to: ask questions routinely to encourage disclosure of abuse and offer community resource information for women living in abuse or both.^

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Background. Because our hands are the most common mode of transmission for bacteria causing hospital acquired infections, hand hygiene practices are the most effective method of preventing the spread of these pathogens, limiting the occurrence of healthcare-associated infections and reducing transmission of multi-drug resistant organisms. Yet, compliance rates are below 40% on the average. ^ Objective. This culminating experience project is primarily a literature review on hand hygiene to help determine the barriers to hand hygiene compliance and offer solutions on improving these rates and to build on a hand hygiene evaluation performed during my infection control internship completed at Memorial Hermann Hospital during the fall semester of 2005. ^ Method. A review of peer-reviewed literature using Ovid Medline, Ebsco Medline and PubMed databases using keywords: hand hygiene, hand hygiene compliance, alcohol based handrub, healthcare-associated infections, hospital-acquired infections, and infection control. ^ Results. A total of eight hand hygiene studies are highlighted. At a children's hospital in Seattle, hand hygiene compliance rates increases from 62% to 81% after five periods of interventions. In Thailand, 26 nurses dramatically increased compliance from 6.3% to 81.2% after just 7 months of training. Automated alcohol based handrub dispensers improved compliance rates in Chicago from 36.3% to 70.1%. Using education and increased distribution of alcohol based handrubs increased hand hygiene rates from 59% to 79% for Ebnother, from 54% to 85% for Hussein and from 32% to 63% for Randle. Spartanburg Regional Medical Center increased their rates from 72.5% to 90.3%. A level III NICU achieved 100% compliance after a month long educational campaign but fell back down to its baseline rate of 89% after 3 months. ^ Discussion. The interventions used to promote hand hygiene in the highlighted studies varied from low tech approaches such as printed materials to advanced electronic gadgets that alerted individuals automatically to perform hand hygiene. All approaches were effective and increased compliance rates. Overcoming hand hygiene barriers, receiving and accepting feedback is the key to maintaining consistently high hand hygiene adherence. ^

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An important health issue in the United States today is the large number of people who have problems accessing needed health care because they lack health insurance coverage. Providing health insurance coverage for the working uninsured is a particularly significant challenge in Texas, which has the highest percentage of uninsured in the nation. In response to the low rate of employer-sponsored coverage in the Houston area and the growing numbers of uninsured, the Harris County Health Care Alliance (HCHA) developed and implemented the Harris County 3-Share Plan. A 3-Share Plan is not insurance, but provides health coverage in the form of a benefits package to employers who subscribe to the program and offer it to their employees. ^ A cross sectional study design was conducted to describe 3-Share employer and employee participants and evaluate their outcomes after its first year of operation. Between September and December 2011, 85% of employers enrolled in the 3-Share Plan completed a survey about the affordability of the 3-Share Plan, their satisfaction with the Plan, and the Plan's impact on employee recruitment, retention, productivity, and absenteeism. Forty-five percent of employees enrolled in the 3-Share Plan responded to a survey asking about the affordability of the 3-Share plan, accessibility of health care, availability of providers on the plan, health plan availability, utilization of primary care providers and the ER, and satisfaction with the plan. ^ A summary of the findings shows employers and employees say that they joined the plan because of the low-cost, and once they had participated in the Plan, the majority of employers and employees found that it is affordable for them. The majority of employees say they are getting access easily and without delay, but for those who aren't able to get access, or are delayed, the main cause is related to non-financial barriers to care. Ultimately, employees are satisfied with the 3-Share, and they plan to continue with health coverage under the 3-Share Plan. The 3-Share Plan will keep people in a system of care, and promote health, which will benefit the individuals, the businesses and the community of Harris County.^

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An important health issue in the United States today is the large number of people who have problems accessing needed health care because they lack health insurance coverage. Providing health insurance coverage for the working uninsured is a particularly significant challenge in Texas, which has the highest percentage of uninsured in the nation. In response to the low rate of employer-sponsored coverage in the Houston area and the growing numbers of uninsured, the Harris County Health Care Alliance (HCHA) developed and implemented the Harris County 3-Share Plan. A 3-Share Plan is not insurance, but provides health coverage in the form of a benefits package to employers who subscribe to the program and offer it to their employees. ^ A cross sectional study design was conducted to describe 3-Share employer and employee participants and evaluate their outcomes after its first year of operation. Between September and December 2011, 85% of employers enrolled in the 3-Share Plan completed a survey about the affordability of the 3-Share Plan, their satisfaction with the Plan, and the Plan's impact on employee recruitment, retention, and productivity. Forty-five percent of employees enrolled in the 3-Share Plan responded to a survey asking about the affordability of the 3-Share plan, accessibility of providers on the plan, satisfaction, and utilization of primary care providers and the ER. ^ A summary of the findings shows employers and employees say that they joined the plan because of the low-cost, and once they had participated in the Plan, the majority of employers and employees found that it is affordable for them. The majority of employees say they are getting access easily and without delay, but for those who aren't able to get access, or are delayed, the main cause is related to non-financial barriers to care. Ultimately, employees are satisfied with the 3-Share, and they plan to continue with health coverage under the 3-Share Plan. The 3-Share Plan will keep people in a system of care, and promote health, which will benefit the individuals, the businesses and the community of Harris County.^

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Objetivo: comunicar un caso de angiosarcoma en linfedema crónico posmastectomía, revisar los diagnósticos diferenciales, destacando que el diagnóstico temprano de esta entidad es la única alternativa para poder modificar la evolución tórpida de esta enfermedad. Caso clínico: presentamos una mujer de 78 años con el antecedente de mastectomía izquierda y cobaltoterapia realizadas en 1990, presentando en el año 2000 edema progresivo en miembro homolateral y pared torácica, con la aparición de placas y nódulos rojo-violáceos, indurados, dolorosos desde noviembre de 2006. La extensión y progresión de su enfermedad motivó su internación para corroborar diagnóstico presuntivo de síndrome de Stewart-Treves con biopsias, establecer diagnósticos diferenciales, estudio clínico-oncológico, control del dolor y evaluar posibles tratamientos. Comentarios: 1). El intervalo entre el diagnóstico del carcinoma de mama y el de este cuadro es de 10-20 años. 2). La supervivencia de los pacientes es < 5%. 3). Las posibilidades terapéuticas son agresivas e infructuosas en la mayoría de los casos. 4). El pronóstico depende de la alta sospecha precoz de las lesiones y su extirpación quirúrgica.

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Frente a los permanentes desafíos que el arte contemporáneo ofrece al crítico, este artículo propone discutir la complejidad que han adquirido los archivos en estas últimas décadas. A partir de la diversidad de obras, el mapeo de algunos campos de acción de archivos amplían el potencial de almacenamiento de registros de proceso, tendiendo a la disolución de fronteras entre lo público y lo privado; expanden y dan movilidad al espacio expositivo y curatorial; y ofrecen un campo de experimentación artística, cuyo potencial está en plena exploración.

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El artículo propone algunas construcciones analíticas que articulan perspectivas actuales y que ofrecen pistas para repensar la enseñanza y el aprendizaje cuando hay mediación tecnológica. A partir de un breve recorrido por el campo de la Tecnología Educativa desde sus orígenes a la actualidad, se centra en tres "tejidos" (en tanto articuladores de ideas). El primero da cuenta de una perspectiva cognitiva y refiere a la mente participativa como constructo que ofrece un prisma para comprender la cognición en tiempos de redes sociales; el segundo, centrado en la enseñanza recupera la idea de la reconstrucción del aprendizaje experiencial; el último aborda la tendencia en las formas de producción. Estas tres tendencias conforman un "caleidoscopio" que ofrece una desmitificación de la relación entre tecnología e innovación y entre tecnología y motivación y una perspectiva más compleja para generar cambio educativo.

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El objetivo es presentar categorías construidas por Vigotsky desde un enfoque psicológico y educativo, para enriquecer perspectivas sobre relaciones entre adolescentes y escuelas, integrando el contexto social e histórico en el que se inscriben. Se problematiza la concepción de fracaso escolar y de educabilidad de los sujetos, que los reduce a problemas individuales. Los textos de Vigotsky en Paidología del adolescente , escritos hace casi ochenta años, anticipan y proveen insumos significativos para la agenda de problemas contemporáneos sobre el desarrollo de los sujetos y las prácticas educativas. Se enfocan las unidades de análisis en el estudio de fenómenos psicoeducativos, para explicar y comprender conductas, funciones y procesos, desde planos personales, interpersonales y socioculturales. El recorrido del autor, pionero del enfoque socio-histórico-cultural, abarca dimensiones complejas, como intereses, pensamiento conceptual, imaginación y personalidad, analizando los procesos psíquicos superiores como desarrollos de la historia cultural de los adolescentes. Se articula el análisis de la obra con la revisión que autores contemporáneos post-vigotskianos realizan de la categoría de Zona de Desarrollo Próximo. La lectura puede ampliar la perspectiva de agentes psicoeducativos sobre problemas y estrategias de intervención, tomando distancia de una lógica aplicacionista y enriqueciendo las lógicas de implicación y transformación situacional

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El artículo propone algunas construcciones analíticas que articulan perspectivas actuales y que ofrecen pistas para repensar la enseñanza y el aprendizaje cuando hay mediación tecnológica. A partir de un breve recorrido por el campo de la Tecnología Educativa desde sus orígenes a la actualidad, se centra en tres "tejidos" (en tanto articuladores de ideas). El primero da cuenta de una perspectiva cognitiva y refiere a la mente participativa como constructo que ofrece un prisma para comprender la cognición en tiempos de redes sociales; el segundo, centrado en la enseñanza recupera la idea de la reconstrucción del aprendizaje experiencial; el último aborda la tendencia en las formas de producción. Estas tres tendencias conforman un "caleidoscopio" que ofrece una desmitificación de la relación entre tecnología e innovación y entre tecnología y motivación y una perspectiva más compleja para generar cambio educativo.

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El objetivo es presentar categorías construidas por Vigotsky desde un enfoque psicológico y educativo, para enriquecer perspectivas sobre relaciones entre adolescentes y escuelas, integrando el contexto social e histórico en el que se inscriben. Se problematiza la concepción de fracaso escolar y de educabilidad de los sujetos, que los reduce a problemas individuales. Los textos de Vigotsky en Paidología del adolescente , escritos hace casi ochenta años, anticipan y proveen insumos significativos para la agenda de problemas contemporáneos sobre el desarrollo de los sujetos y las prácticas educativas. Se enfocan las unidades de análisis en el estudio de fenómenos psicoeducativos, para explicar y comprender conductas, funciones y procesos, desde planos personales, interpersonales y socioculturales. El recorrido del autor, pionero del enfoque socio-histórico-cultural, abarca dimensiones complejas, como intereses, pensamiento conceptual, imaginación y personalidad, analizando los procesos psíquicos superiores como desarrollos de la historia cultural de los adolescentes. Se articula el análisis de la obra con la revisión que autores contemporáneos post-vigotskianos realizan de la categoría de Zona de Desarrollo Próximo. La lectura puede ampliar la perspectiva de agentes psicoeducativos sobre problemas y estrategias de intervención, tomando distancia de una lógica aplicacionista y enriqueciendo las lógicas de implicación y transformación situacional

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El artículo propone algunas construcciones analíticas que articulan perspectivas actuales y que ofrecen pistas para repensar la enseñanza y el aprendizaje cuando hay mediación tecnológica. A partir de un breve recorrido por el campo de la Tecnología Educativa desde sus orígenes a la actualidad, se centra en tres "tejidos" (en tanto articuladores de ideas). El primero da cuenta de una perspectiva cognitiva y refiere a la mente participativa como constructo que ofrece un prisma para comprender la cognición en tiempos de redes sociales; el segundo, centrado en la enseñanza recupera la idea de la reconstrucción del aprendizaje experiencial; el último aborda la tendencia en las formas de producción. Estas tres tendencias conforman un "caleidoscopio" que ofrece una desmitificación de la relación entre tecnología e innovación y entre tecnología y motivación y una perspectiva más compleja para generar cambio educativo.

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El objetivo es presentar categorías construidas por Vigotsky desde un enfoque psicológico y educativo, para enriquecer perspectivas sobre relaciones entre adolescentes y escuelas, integrando el contexto social e histórico en el que se inscriben. Se problematiza la concepción de fracaso escolar y de educabilidad de los sujetos, que los reduce a problemas individuales. Los textos de Vigotsky en Paidología del adolescente , escritos hace casi ochenta años, anticipan y proveen insumos significativos para la agenda de problemas contemporáneos sobre el desarrollo de los sujetos y las prácticas educativas. Se enfocan las unidades de análisis en el estudio de fenómenos psicoeducativos, para explicar y comprender conductas, funciones y procesos, desde planos personales, interpersonales y socioculturales. El recorrido del autor, pionero del enfoque socio-histórico-cultural, abarca dimensiones complejas, como intereses, pensamiento conceptual, imaginación y personalidad, analizando los procesos psíquicos superiores como desarrollos de la historia cultural de los adolescentes. Se articula el análisis de la obra con la revisión que autores contemporáneos post-vigotskianos realizan de la categoría de Zona de Desarrollo Próximo. La lectura puede ampliar la perspectiva de agentes psicoeducativos sobre problemas y estrategias de intervención, tomando distancia de una lógica aplicacionista y enriqueciendo las lógicas de implicación y transformación situacional

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Ubiquitous sensor network deployments, such as the ones found in Smart cities and Ambient intelligence applications, require constantly increasing high computational demands in order to process data and offer services to users. The nature of these applications imply the usage of data centers. Research has paid much attention to the energy consumption of the sensor nodes in WSNs infrastructures. However, supercomputing facilities are the ones presenting a higher economic and environmental impact due to their very high power consumption. The latter problem, however, has been disregarded in the field of smart environment services. This paper proposes an energy-minimization workload assignment technique, based on heterogeneity and application-awareness, that redistributes low-demand computational tasks from high-performance facilities to idle nodes with low and medium resources in the WSN infrastructure. These non-optimal allocation policies reduce the energy consumed by the whole infrastructure and the total execution time.

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A medida que transcurre el tiempo la sociedad evoluciona, las ciudades crecen, se modernizan, mejoran su infraestructura y se ofrecen más y mejores servicios a sus ciudadanos. Esto ha hecho que durante muchos años las ciudades se hayan desarrollado sin pensar en lo que vendrá más adelante, contaminando el medio ambiente y consumiendo mucha energía y de forma ineficiente. Ante esta situación, y gracias a las innovaciones tecnológicas en materia de comunicaciones, se están adoptando medidas para dirigir la evolución de las ciudades hacia un modelo de ciudad inteligente y sostenible. Las redes de comunicaciones constituyen uno de los pilares sobre los que se asienta la sociedad, que se encuentra siempre en contacto con su entorno. Cada vez más, se tiene una mayor necesidad de conocer lo que ocurre en el entorno en tiempo real solicitando información climatológica en una determinada ubicación, permitiendo conocer el estado del tráfico para elegir la ruta hacia el trabajo, saber el tiempo que tardará el autobús en llegar a la parada, etc. Como éstos, se podrían citar muchos más ejemplos de necesidades y servicios que demandan hoy día la sociedad y que, seguramente, nadie pensaba que las iba a necesitar hace unos años. Muchos de estos servicios en tiempo real se consiguen gracias a las redes de sensores inalámbricas. Consiste en desplegar una serie de diminutos sensores en una zona determinada con el objetivo de recoger la información del medio, procesarla y modelarla para que esté disponible para los usuarios. Observando la tendencia seguida por las Tecnologías de la Información y de las Comunicaciones (TIC) se puede constatar una continua evolución hacia los dispositivos embedidos, de cada vez más pequeño tamaño y menor consumo y, al mismo tiempo, con mayor capacidad de proceso y memoria y facilidad para las comunicaciones. Siguiendo esta línea, se está construyendo la ciudad inteligente con capacidad para pensar y tomar decisiones, pero hay que dotarla de cierto grado de eficiencia. Se trata de aprovechar los recursos de la naturaleza para crear fuentes de energías limpias e ilimitadas. Empleando las tecnologías oportunas para transformar, por ejemplo, la energía del Sol o la energía del viento en electricidad, se puede alcanzar el modelo de ciudad que se pretende. ABSTRACT. As time passes society evolves, cities grow, modernize, improve their infrastructure and offer more and better services to their citizens. This has made for many years cities have developed without thinking about what will come later , polluting the environment and high energy consuming and inefficient . Given this situation, and thanks to the Technological innovations in communications, is being taken to direct the evolution of cities towards a smart city model sustainable. Communication networks are one of the pillars on which society rests, which is always in contact with their environment. Increasingly, there is a greater need to know what happens in the real-time environment requesting weather information in a certain location , allowing know the traffic to choose the route to work , namely the time take the bus to get to the bus stop, etc. . As these, you could cite many more Examples of needs and services that society demands today and, surely, no one thought that was going to need a few years ago. Many of these real-time services are achieved through networks wireless sensors. Is to deploy a series of sensors in a tiny given area in order to collect information from the environment, process and shape it to make it available to users. Observing the trend followed by the Information Technology and Communications (ICT ) can finding an evolving toward embeded devices of increasingly small size and lower power consumption and at the same time, higher capacity process and memory ease communications. Following this line, is under construction with capacity smart city to think and make decisions, but you have to give it some degree of efficiency. It seeks to harness the resources of nature to create clean energy sources and unlimited. Using appropriate technologies to transform, for example, energy from the sun or wind energy into electricity, it can achieve the model city intended.