Chronica de los muy altos y esclarecidos reyes Catholicos don Fernando y doña Ysabel de gloriosa memoria ... /

CCBE S. XVI,

8 lieder /

For voice and piano; Flemish, German, and French words.

Petri Venerabilis Contra Petrobrusianos hereticos. Cura et studio James Fearns.

Bibliographical footnotes.

Carvedilol reduces the costs of medical care in severe heart failure: An economic analysis of the COPERNICUS study applied to the United Kingdom

Background: The aim of this study was to determine the effects of carvedilol on the costs related to the treatment of severe chronic heart failure (CHF). Methods: Costs for the treatment for heart failure within the National Health Service (NHS) in the United Kingdom (UK) were applied to resource utilisation data prospectively collected in all patients randomized into the Carvedilol Prospective Randomized Cumulative Survival (COPERNICUS) Study. Unit-specific, per them (hospital bed day) costs were used to calculate expenditures due to hospitalizations. We also included costs of carvedilol treatment, general practitioner surgery/office visits, hospital out-patient clinic visits and nursing home care based on estimates derived from validated patterns of clinical practice in the UK. Results: The estimated cost of carvedilol therapy and related ambulatory care for the 1156 patients assigned to active treatment was 530,771 pound (44.89 pound per patient/month of follow-up). However, patients assigned to carvedilol were hospitalised less often and accumulated fewer and less expensive days of admission. Consequently, the total estimated cost of hospital care was 3.49 pound million in the carvedilol group compared with 4.24 pound million for the 1133 patients in the placebo arm. The cost of post-discharge care was also less in the carvedilol than in the placebo group (479,200 pound vs. 548,300) pound. Overall, the cost per patient treated in the carvedilol group was 3948 pound compared to 4279 pound in the placebo group. This equated to a cost of 385.98 pound vs. 434.18 pound, respectively, per patient/month of follow-up: an 11.1% reduction in health care costs in favour of carvedilol. Conclusions: These findings suggest that not only can carvedilol treatment increase survival and reduce hospital admissions in patients with severe CHF but that it can also cut costs in the process.

A EDUCAÇÃO A DISTÂNCIA NO BRASIL LIMITES E POSSIBILIDADES NA IMPLANTAÇÃO DA EAD NO ENSINO SUPERIOR

O presente trabalho apresenta um panorama da Educação a Distância no Brasil, fazendo uma contextualização histórica da modalidade, desde as primeiras experiências registradas em nosso país até os dados atuais, que confirmam o seu crescimento, em todos os níveis de ensino. Neste contexto, apresentamos uma análise sobre a evolução da legislação brasileira específica para a Educação a Distância, bem como os processos de credenciamento e implantação desta modalidade no ensino superior, procurando compreender o que a legislação pode representar em termos de qualidade, crescimento, avanço ou atraso para a Educação a Distância no Brasil. Apresentamos, ainda, uma experiência concreta sobre a implantação de disciplinas a distância em dois cursos de graduação presenciais, analisando a questão das resistências enfrentadas durante o processo e como se deu a superação dos desafios encontrados. Objetiva-se, com este trabalho, situar o leitor sobre a realidade da educação a distância em nosso país, trazendo elementos históricos e estatísticos, mostrando como este processo pode ocorrer na prática educacional, no contexto da universidade; e analisando os limites e possibilidades da implantação desta modalidade no ensino superior.(AU)

Cortical activity during rotational and linear transformations

Neuroimaging studies of cortical activation during image transformation tasks have shown that mental rotation may rely on similar brain regions as those underlying visual perceptual mechanisms. The V5 complex, which is specialised for visual motion, is one region that has been implicated. We used functional magnetic resonance imaging (fMRI) to investigate rotational and linear transformation of stimuli. Areas of significant brain activation were identified for each of the primary mental transformation tasks in contrast to its own perceptual reference task which was cognitively matched in all respects except for the variable of interest. Analysis of group data for perception of rotational and linear motion showed activation in areas corresponding to V5 as defined in earlier studies. Both rotational and linear mental transformations activated Brodman Area (BA) 19 but did not activate V5. An area within the inferior temporal gyrus, representing an inferior satellite area of V5, was activated by both the rotational perception and rotational transformation tasks, but showed no activation in response to linear motion perception or transformation. The findings demonstrate the extent to which neural substrates for image transformation and perception overlap and are distinct as well as revealing functional specialisation within perception and transformation processing systems.

Block copolymer strategies for solar cell technology

A simple overview of the methods used and the expected benefits of block copolymers in organic photovoltaic devices is given in this review. The description of the photovoltaic process makes it clear how the detailed self-assembly properties of block copolymers can be exploited. Organic photovoltaic technology, an inexpensive, clean and renewable energy source, is an extremely promising option for replacing fossil fuels. It is expected to deliver printable devices processed on flexible substrates using high-volume techniques. Such devices, however, currently lack the long-term stability and efficiency to allow organic photovoltaics to surpass current technologies. Block copolymers are envisaged to help overcome these obstacles because of their long term structural stability and their solid-state morphology being of the appropriate dimensions to efficiently perform charge collection and transfer to electrodes.

Experience of Development and Application of Expert Systems for Economic Macroparameters Forecasting and Operation

In this article there are considered problems of forecasting economical macroparameters, and in the first place, index of inflation. Concept of development of synthetical forecasting methods which use directly specified expert information as well as calculation result on the basis of objective economical and mathematical models for forecasting separate “slowly changeable parameters” are offered. This article discusses problems of macroparameters operation on the basis of analysis of received prognostic magnitude.

Propionibacterium acnes:infection beyond the skin

Propionibacterium acnes is a Gram-positive bacterium that forms part of the normal flora of the skin, oral cavity, large intestine, the conjunctiva and the external ear canal. Although primarily recognized for its role in acne, P. acnes is an opportunistic pathogen, causing a range of postoperative and device-related infections. These include infections of the bones and joints, mouth, eye and brain. Device-related infections include those of joint prostheses, shunts and prosthetic heart valves. P. acnes may play a role in other conditions, including inflammation of the prostate leading to cancer, SAPHO (synovitis, acne, pustulosis, hyperostosis, osteitis) syndrome, sarcoidosis and sciatica. If an active role in these conditions is established there are major implications for diagnosis, treatment and protection. Genome sequencing of the organism has provided an insight into the pathogenic potential and virulence of P. acnes. © 2011 Expert Reviews Ltd.

Potential causes of ethnic group disparities in infertility:a hospital database study

Introduction - Lower success rates of in vitro fertilisation (IVF) in South East Asian countries compared to Western countries in informal studies and surveys was considered a reflection of variations in methodology and expertise. However, recent studies on the effects of ethnicity on success rates of infertility procedures in western countries have suggested other inherent contributing factors to the ethnic disparity but the evidence evaluating these is lacking. In our study we aim to investigate some of the comorbidities that might cause ethnic disparity to infertility and related procedures from hospital admissions data. Methods - Anonymous hospital admissions data on patients of various ethnic groups with infertility, comorbidities and infertility procedures from multiple hospitals in Birmingham andManchester, UK between 2000 and 2013 were obtained from the local health authority computerised hospital activity analysis register using ICD-10 and OPCS coding systems. Statistical analysis was performed using SPSS version 20.Results Of 522 223 female patients aged 18 and over, there were44 758 (8.4%) patients from South Asian (SA) community. 1156(13.4%) of the 8653 patients coded for infertility were SA, whichis a considerably higher proportion of the background SA population. For IVF procedures, the percentage of SA increased to15.4% (233 of the total 1479 patients). The mean age of SA codedfor infertility (30.6 ± 4.7 SD years versus 32.8 ± 4.9 SD years)and IVF (30.4 ± 4.3 SD years versus 32.7 ± 4.4 SD years) was significantly lower than caucasian patien ts (P < 0.001). A multivariate logistic regression model looking at patients with infertility, accounting for variations in age, showed that SA have significantly higher prevalence of hypothyroidism, obesity andiron-deficiency anaemia compared to caucasians but lower prevalence of endometriosis. Interestingly, psychiatric and psychological conditions diagnoses were seldom registered in infertility patients. Conclusion - Other studies suggest that various cultural, lifestyles, psychosocial and socio-economic factors may explain the disparities in IVF success rates between South Asians and caucasians. The fact that SA infertility and IVF patients, in ou rstudy, were significantly younger than caucasians and that their proportion is considerably higher than the background South Asian population suggests the influence of these factors. A significant psychiatric disease burden in other conditions and low numbers in our data suggest under diagnosis in this group.Despite the limitations of the coding data, from our study, we propose that hypothyroidism, obesity and/or iron-deficiency anaemia should be considered for the ethnic disparity. Further research in this topic is essential to fully investigate the reasons for such ethnic disparities.

Matematikaoktatás a bolognai típusú gazdasági képzésekben (Maths instruction in Bologna-type economics tuition)

A gazdálkodási és közgazdasági alap- és mesterszakok tanterveiben számos matematikai tárgy szerepel. A kétciklusú bolognai képzésre történő áttérés Európa-szerte igényelte a matematikaoktatás szerkezetének, mennyiségének és mélységének újragondolását a gazdálkodási és közgazdasági képzési területeken. Mivel az átállás országonként és intézményenként párhuzamosan és jelentős mértékben egymástól függetlenül ment végbe, egyetemenként számos eltérő megoldással találkozhatunk. Az egyetemek operatív tanterveit és tantárgyi adatlapjait felhasználva, utólagosan már összehasonlítható az egyes egyetemek matematikaoktatása. A tanulmány a matematika közgazdaságtanban betöltött szerepének áttekintése után a vezető európai egyetemek és négy magyar egyetem gazdálkodási és közgazdasági képzésén folyó matematikaoktatásának összehasonlító elemzése alapján arra az alapvető következtetésre jut, hogy Magyarországon a vizsgált képzési területen a matematikaoktatás mennyiségileg és minőségileg kritikus szintre süllyedt. / === / The basic and master's curricula for business and economics include plenty of mathematics subjects. Business and economics courses had to be rethought when the change was made across Europe to the two-cycle Bologna system. This change took place simultaneously but independently in each country and institution, so that notably different solutions can be found in each university. A retrospective comparison of maths instruction in various universities can be made by examining their operative syllabuses and subject data-sheets. The study reviews the part mathematics plays in economics, then uses comparative analysis of the maths teaching in business and economics courses at leading European and four Hungarian universities to reach a general conclusion: maths teaching in Hungary, in the field examined, has sunk to a critical level, in terms of quality and quantity.

Characteristics of surface-water flows in the ridge and slough landscape of Everglades National Park: implications for particulate transport

Over the last one hundred years, compartmentalization and water management activities have reduced water flow to the ridge and slough landscape of the Everglades. As a result, the once corrugated landscape has become topographically and vegetationally uniform. The focus of this study was to quantify variation in surface flow in the ridge and slough landscape and to relate flow conditions to particulate transport and deposition. Over the 2002–2003 and 2003–2004 wet seasons, surface velocities and particulate accumulation were measured in upper Shark River Slough in Everglades National Park. Landscape characteristics such as elevation, plant density and biomass also were examined to determine their impact on flow characteristics and material transport. The results of this study demonstrate that the release of water during the wet season not only increases water levels, but also increased flow speeds and particulate transport and availability. Further, flow speeds were positively and significantly correlated with water level thereby enhancing particulate transport in sloughs relative to ridges especially during peak flow periods. Our results also indicate that the distribution of biomass in the water column, including floating plants and periphyton, affects velocity magnitude and shape of vertical profiles, especially in the sloughs where Utricularia spp. and periphyton mats are more abundant. Plot clearing experiments suggest that the presence of surface periphyton and Utricularia exert greater control over flow characteristics than the identity (i.e., sawgrass or spike rush) or density of emergent macrophytes, two parameters frequently incorporated into models describing flow through vegetated canopies. Based on these results, we suggest that future modeling efforts must take the presence of floating biomass, such as Utricularia, and presence of periphyton into consideration when describing particulate transport.