El jove que no es desplaça (Estudi sobre l'Eutifró)

Aquest escrit des d'una bona información de l'estat actual dels estudis platonics és una mostra de la renovació de la lectura dePlató que ara ens cal. La forma del dialeg com escena és considerada filosoficament (A). La qüestió, que és x?, en el nostre cas la pietat esta situada en una dvamatica que mostra el joc del dialeg com possibilitat im-possibilitat del desplaqament vers la dikaiosyne (B). Des d'aquesta perspectiva la qüestió d'una teoria de les idees s'obra i no oculta la recepció d'un ensenyament platonic.Hi ha una confrontació píat6nica entre la fixació d'un saber especial i secret sobre les histories dels déus i l'interrogació socratica com obertura i desplacament a la situació de respecte que comporta el risc de sofrir l'in-justicia per tal de mostrar la jucticia-cosmicitat (C).

Interpretacions del mite d'El polític (Nota bibliogràfica)

Fent un repas de les principals interpretacions del mite d'El polític platonic, que, en general, no donen importancia a la multiplicitat de finalitats que el mite presenta, fem notar que quan el mite no és interpretat en relació amb el dialeg que el conté en resulten interpretacions divergents. En segon lloc, quan s'interpreta conjuntament amb la resta del dialeg, normalment el mite no acaba de ser ben situat. Com a resultat obtenim I'obertura d'una nova possibilitat interpretativa que respecti la forma compositiva del mite i la seva inserció en l'estructura del dialeg.

Implementation of enhanced recovery after surgery (ERAS) in colorectal surgery is highly cost-effective

Objective: Enhanced Recovery After Surgery (ERAS) clinical pathways in¦colorectal surgery are known to reduce postoperative complications leading¦to shortened hospital stay. However, the implementation of such an ERAS¦pathway requires time and financial investment. This study evaluates whether¦the savings related to the reduction in the length of stay (LOS) outweigh the¦costs of implementing an ERAS pathway.¦Methods: An ERAS pathway was implemented in our institution for colorectal¦surgery. The first 50 consecutive patients subjected to this ERAS pathway¦(ERAS group) were compared to 50 consecutive patients that were operated one¦year before its introduction (control group). Primary LOS, readmission within¦30 days, and total costs based on costs per day were compared. The mean costs¦per day were: 3,263 CHF for intensive care, 1,152 CHF for intermediate care,¦and 728 CHF for basic care.¦Results: Primary LOS was shorter in the ERAS group than in the control¦group: median 7 (interquartile range 5-12·25) versus 10 (7-18) days (P =¦0·0025). The readmission within 30 postoperative days was similar in both¦groups (2 patients each). In the ERAS group, the added primary LOS was¦485 days (379 in basic care, 99 in intermediate care, 7 in intensive care) compared¦to 706 days in the control group (533 in basic care, 146 in intermediate care,¦27 in intensive care). The total costs were significantly lower for the 50 ERAS¦patients compared to the control group: 412,801 CHF versus 644,317 CHF (P <¦0·01). Investments required for the 50 first ERAS patients were approximately¦83,544 CHF, including 348 working hours as well a full-time ERAS dedicated¦nurse. The overall cost saving was approximately 2,959 CHF per patient.¦Conclusion: Implementation of an ERAS pathway significantly reduced LOS¦after colorectal surgery. The financial investment to introduce and maintain¦such a pathway is clearly inferior to the cost-saving of reduced hospital stay.

Efeitos da inoculação micorrízica em mudas de gravioleira em solo fumigado e não fumigado

Foi realizado um experimento em casa de vegetação para avaliar os efeitos da inoculação de fungos micorrízicos arbusculares (FMAs) sobre o crescimento e nutrição de mudas de gravioleira (Annona muricata L.) em Latossolo Amarelo álico, fumigado e não fumigado. A inoculação foi feita durante o transplante; após cinco meses foram avaliados o crescimento e a absorção de nutrientes das mudas. A inoculação aumentou significativamente o crescimento da gravioleira no solo fumigado;o maior incremento foi observado nos tratamentos com Scutellospora heterogama e Gigaspora margarita. A eficiência da inoculação no solo fumigado variou de 594% a 1.348%. Embora o efeito da inoculação tenha sido reduzido no solo não fumigado, G. margarita, Entrophospora colombiana e Gigaspora sp. aumentaram significativamente o crescimento das mudas, e a eficiência da inoculação de 61% foi obtida com G. margarita; S. heterogama não se mostrou eficiente. No solo fumigado, G. margarita e Gigaspora sp. promoveram maior porcentagem de colonização radicular; no entanto, a colonização radicular não diferiu entre tratamentos com inoculação no solo não fumigado. Os teores e conteúdos de nutrientes variaram entre os tratamentos. A gravioleira é uma planta responsiva a FMAs, e a inoculação da espécie G. margarita beneficia o desenvolvimento das mudas de gravioleira nos solos fumigado e não fumigado.

Le génie, la raison et la folie : le démon de Socrate, application de la science psychologique à l'histoire ([2e édition]) / par L.-F. Lélut,...

Collection : Bibliothèque scientifique contemporaine

Public-health and individual approaches to antiretroviral therapy: township South Africa and Switzerland compared.

BACKGROUND: The provision of highly active antiretroviral therapy (HAART) in resource-limited settings follows a public health approach, which is characterised by a limited number of regimens and the standardisation of clinical and laboratory monitoring. In industrialized countries doctors prescribe from the full range of available antiretroviral drugs, supported by resistance testing and frequent laboratory monitoring. We compared virologic response, changes to first-line regimens, and mortality in HIV-infected patients starting HAART in South Africa and Switzerland. METHODS AND FINDINGS: We analysed data from the Swiss HIV Cohort Study and two HAART programmes in townships of Cape Town, South Africa. We included treatment-naïve patients aged 16 y or older who had started treatment with at least three drugs since 2001, and excluded intravenous drug users. Data from a total of 2,348 patients from South Africa and 1,016 patients from the Swiss HIV Cohort Study were analysed. Median baseline CD4+ T cell counts were 80 cells/mul in South Africa and 204 cells/mul in Switzerland. In South Africa, patients started with one of four first-line regimens, which was subsequently changed in 514 patients (22%). In Switzerland, 36 first-line regimens were used initially, and these were changed in 539 patients (53%). In most patients HIV-1 RNA was suppressed to 500 copies/ml or less within one year: 96% (95% confidence interval [CI] 95%-97%) in South Africa and 96% (94%-97%) in Switzerland, and 26% (22%-29%) and 27% (24%-31%), respectively, developed viral rebound within two years. Mortality was higher in South Africa than in Switzerland during the first months of HAART: adjusted hazard ratios were 5.90 (95% CI 1.81-19.2) during months 1-3 and 1.77 (0.90-3.50) during months 4-24. CONCLUSIONS: Compared to the highly individualised approach in Switzerland, programmatic HAART in South Africa resulted in similar virologic outcomes, with relatively few changes to initial regimens. Further innovation and resources are required in South Africa to both achieve more timely access to HAART and improve the prognosis of patients who start HAART with advanced disease.

Iowa Department of Transportation Major Items - Preliminary Quantity Report, February 17, 2015; With Addendums

Weekly letting report.

Wishes or Constraints? Mothers' Labour Force Participation and its Motivation in Switzerland

The aim of this article is to estimate the impact of various factors related to role conflict theory and preference theory on the reduction of women's labour force participation after their transition to parenthood. Objective and subjective dimensions of women's labour force participation are assessed. The empirical test is based on a survey of couples with children in Switzerland. Results show that compared to structural factors associated with role conflict reduction, preferences have little impact on mothers' labour force participation, but explain a good deal of their frustration if the factual situation does not correspond to their wishes. Structural factors, such as occupation, economic resources, childcare, and an urban environment, support mothers' labour force participation, whereas active networks and a home centred lifestyle preference help them to cope with frustrations.

Cable fixation and early total hip arthroplasty in the treatment of acetabular fractures in elderly patients.

Eighteen patients with acetabular fractures, with a mean age of 76 years, were treated with cable fixation and acute total hip arthroplasty. Nine were T-shaped fractures, 4 associated transverse and posterior wall, 2 transverse, 2 posterior column and posterior wall, and 1 anterior and posterior hemitransverse fractures. One patient experienced 3 episodes of hip dislocation within 10 months after surgery. All the others had a good outcome at a mean follow-up time of 36 months. Radiographic assessment showed healing of the fracture and a satisfactory alignment of the cup without loosening. This option provides good primary fixation, stabilizes complex acetabular fractures in elderly patients, and permits early postoperative mobilization.

Iowa Department of Transportation Major Items - Preliminary Quantity Report, January 20, 2016; With Addendums

Weekly letting report