977 resultados para Synod of Dort (1618-1619)
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In the recent years the East-Christian iconographical art works have been digitized providing a large volume of data. The need for effective classification, indexing and retrieval of iconography repositories was the motivation of the design and development of a systemized ontological structure for description of iconographical art objects. This paper presents the ontology of the East-Christian iconographical art, developed to provide content annotation in the Virtual encyclopedia of Bulgarian iconography multimedia digital library. The ontology’s main classes, relations, facts, rules, and problems appearing during the design and development are described. The paper also presents an application of the ontology for learning analysis on an iconography domain implemented during the SINUS project “Semantic Technologies for Web Services and Technology Enhanced Learning”.
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This article presents the principal results of the doctoral thesis “Recognition of neume notation in historical documents” by Lasko Laskov (Institute of Mathematics and Informatics at Bulgarian Academy of Sciences), successfully defended before the Specialized Academic Council for Informatics and Mathematical Modelling on 07 June 2010.
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OBJECTIVES: To compare the efficacy and safety of infliximab-biosimilar with other biological drugs for the treatment of active ankylosing spondylitis (AS). METHODS: Systematic literature review for randomized controlled trials (RCTs) with adalimumab, etanercept, golimumab, infliximab and infliximab-biosimilar in AS was performed and indirect meta-analysis (Bayesian mixed treatment comparison) was carried out. The proportion of patients reaching 20 % improvement by the assessment of Spondyloarthritis International Society response criteria (ASAS20) at weeks 12 and 24 was used as efficacy endpoints, and the occurrence of serious adverse events at week 24 was applied to compare the safety of the biologicals. RESULTS: Altogether, 13 RCTs, identified by the systematic literature search, were included in the analysis. Results on the ASAS20 efficacy endpoint were reported for week 12 in 12 RCTs involving 2,395 patients, and for week 24 in 5 RCTs comprising 1,337 patients. All the five biological agents proved to be significantly superior to placebo. Infliximab showed the highest odds ratio (OR) of 7.2 (95 % CI 3.68-13.19) compared to placebo, followed by infliximab-biosimilar with OR 6.25 (95 % CI 2.55-13.14), both assessed at week 24. No significant difference was found between infliximab-biosimilar and other biological treatments regarding their efficacy and safety. CONCLUSIONS: This is the first study which includes a biosimilar drug in the meta-analysis of biological treatments in AS. The results have proven the similar efficacy and safety profile of infliximab-biosimilar treatment compared to other biologicals.
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OBJECTIVE: The aim of this meta-analysis was to compare the efficacy and safety of infliximab-biosimilar and other available biologicals for the treatment of rheumatoid arthritis (RA), namely abatacept, adalimumab, certolizumab pegol, etanercept, golimumab, infliximab, rituximab and tocilizumab. METHODS: A systematic literature review of MEDLINE database until August 2013 was carried out to identify relevant randomized controlled trials (RCTs). Bayesian mixed treatment comparison method was applied for the pairwise comparison of treatments. Improvement rates by the American College of Rheumatology criteria (ACR20 and ACR50) at week 24 were used as efficacy endpoints, and the occurrence of serious adverse events was considered to assess the safety of the biologicals. RESULTS: Thirty-six RCTs were included in the meta-analysis. All the biological agents proved to be superior to placebo. For ACR20 response, certolizumab pegol showed the highest odds ratio (OR) compared to placebo, OR 7.69 [95 % CI 3.69-14.26], followed by abatacept OR 3.7 [95 % CI 2.17-6.06], tocilizumab OR 3.69 [95 % CI 1.87-6.62] and infliximab-biosimilar OR 3.47 [95 % CI 0.85-9.7]. For ACR50 response, certolizumab pegol showed the highest OR compared to placebo OR 8.46 [3.74-16.82], followed by tocilizumab OR 5.57 [95 % CI 2.77-10.09], and infliximab-biosimilar OR 4.06 [95 % CI 1.01-11.54]. Regarding the occurrence of serious adverse events, the results show no statistically significant difference between infliximab-biosimilar and placebo, OR 1.87 [95 % CI 0.74-3.84]. No significant difference regarding efficacy and safety was found between infliximab-biosimilar and the other biological treatments. CONCLUSION: This is the first indirect meta-analysis in RA that compares the efficacy and safety of biosimilar-infliximab to the other biologicals indicated in RA. We found no significant difference between infliximab-biosimilar and other biological agents in terms of clinical efficacy and safety.
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A tanulmány – egy 2005 végén lefolytatott, országosan reprezentatív kérdőíves felmérés empirikus bázisán – a magyar közigazgatási dolgozók körében 2002-től bevezetett egyéni teljesítményértékelési rendszert vizsgálja. A rendszer egészét tekintve a vizsgálat végkövetkeztetései nem túl rózsásak: az eredmények arra utalnak, hogy a rendszer mint egész nem képes kitűzött fő célját, a munkateljesítmények javítását elérni. Az egyes részrendszerek, szervezettípusok szintjén differenciáltabb eredményeket kapunk, míg a minisztériumokban a rendszer egésze a szándékolttól alapvetően különböző célokat látszik szolgálni, addig a többi szervezettípusnál inkább „csak” a rendszer tökéletlen működéséről beszélhetünk. ____ On the basis of a questionnaire survey of a nationally representative sample of Hungarian civil servants, the study attempts to give a preliminary evaluation of the individual performance assessment system introduced in 2002 throughout the Hungarian civil service. The general conclusion of the analysis is that the performance assessment system is unlikely to reach its goals: its central element, the performance related pay incentives are overly dispersed and, on the average, insignificant in size, meanwhile the objectivity of performance assessments is also questionable. Moreover, comparative analysis of responses from different administrative branches reveals an interesting idiosyncrasy characteristic for central government ministries. Here, the main function of the incentive system seems to be ensuring the labor market competitiveness of the ministries as employers by enabling them to pay higher-than-usual salaries for employees having certain types of expertise.
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Több mint tíz év telt el az Európai Unió 2004. évi kibővülése óta. A tízéves évforduló jó lehetőséget kínált a mérlegkészítésre, annak vizsgálatára, hogy a legfrissebb elérhető adatok tükrében milyen fejlődési pályát tudhatnak maguk mögött az új tagországok mezőgazdasági szektorai. Írásunk célja a tíz kelet- európai EU-tagállam agrárteljesítményének értékelése, illetve ez alapján a csatlakozás nyerteseinek, illetve veszteseinek azonosítása. A rendelkezésre álló adatokat a többdimenziós faktoranalízis módszerével feldolgozva arra az eredményre jutottunk, hogy Lengyelország, Észtország és Litvánia hármasa tekinthető az agrárcsatlakozás abszolút nyertesének, míg a többi új tagállam nem volt képes teljes mértékben kihasználni a csatlakozás adta lehetőségeket. Az eredményekből az is látható, hogy a magas hozzáadott értékű termékekre való szakosodás jó stratégiának bizonyult, mert gyorsabb fejlődést biztosított, mint a mezőgazdasági alaptermékekre való koncentrálás. ____ The period of over ten years since the 2004 round of EU accessions provides a good opportunity to assess and take stock of agricultural developments in the new member- States, in light of the latest available data. The paper sets out to assess their agricultural performances and to identify the winners and losers by accession in this regard. Ranking individual country performances using Parallel Factor Analysis (PARAFAC) suggests that Poland, Estonia and Lithuania can be considered as winners, whereas the other countries failed to use the potentials of membership to the full. The results also suggest that focusing on agri-food products with a high added value proved a good development strategy for the sector. Countries that concentrated on producing agri-food raw materials lagged behind.
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This study compared the performance of students who earned GED credentials in Florida with that of graduates of Florida high schools, when members of both groups enrolled for the first time in fall 1992 at an urban multicultural community college in south Florida. GED's and HSD's were matched on gender, race, age range, placement levels, and enrollment in college preparatory courses (reading, English, mathematics). The paired samples t-test compared course grades, first semester GPA, and total college GPA for the groups and subgroups of matched students at a probability level of .05. The McNemar test compared how many students in each group and subgroup re-enrolled for a second and third term, or ever; how many were placed on special academic status during their college enrollment; and how many graduated within 16 semesters. Differences between groups were found only for placement on probation—with HSD's on probation in significantly higher proportion than GED's. ^ Additional findings among subgroups revealed that male and Caucasian HSD subjects earned higher math grades than their GED counterparts. Male HSD's were more likely than male GED's to return to the college at some point after the first term. However, male HSD's were placed on probation in greater proportion than the GED's with whom they were matched. ^ Female GED's earned higher English grades and higher first semester and cumulative GPA's and returned to the college in greater proportion than their HSD counterparts. Black GED's earned higher first-semester GPA's, re-enrolled in terms 2 and 3 and graduated from the college in higher percentages than Black HSD's. Black HSD's were placed on probation in higher proportion than Black GED's. Lastly, greater percentages of HSD than GED subjects in the lowest age range (16–19) were placed on probation. ^ Results connected to the performance of Black GED subjects are likely to have been affected by the fact that 50% of Black study subjects had been born in Jamaica. The place of the GED in the constellation of methods for earning credit by examination is explored, future implications are discussed, and further study is recommended. ^
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The increasing prevalence of Repetitive Strain Injury / Work-Related Musculoskeletal Disorders (RSI / MSDs) has been explained by changes in the work that has been characterized by setting goals and productivity. This fact does not take into account the psycho-physiological characteristics of workers who become ill as a result of professional activities engaged in and also the adverse conditions in which his work was done. This study aimed to analyze the RSI / MSDs reported in the state of Rio Grande do Norte, Brazil, 2010-2014 compared to the profile of the population, epidemiological aspects and features of these diseases. It is a descriptive epidemiological cross-sectional study using secondary data obtained in the Notifiable Diseases Information System (SINAN) in May 2015 was used as the area covered by the Rio Grande do Norte. Data were collected regarding the grievances of work-related RSI / MSDs, assigned by the Worker's Health Reference Center (CEREST) of the State Health Department. Data were processed with the help of Microsoft Excel® 2013 and presented in tables in absolute frequency (n) and relative frequency (%). The results showed a total of 403 notifications of RSI / MSDs, where the vast majority 72% (290) was recorded in Natal. Regarding the profile of notified employees, 88.59% (357) have aged between 25 and 54 years, 62.78% (253) were female, and in relation to education, 31.51% (127) had high school complete. The most affected occupations were seamstresses (the clothing industry) with 24.97% (97), followed by masons, construction with 3.23% (13) and cashiers with 2.99% (12). About the work situation, 75.93% (306) had a formal contract, however, were sent to Communications Occupational accidents (CAT) only 67% (270) of the cases. Regarding the signs and symptoms, pain and limitation of movement were the most mentioned respectively with 98.01% (395) and 95.04% (383) of notifications. Notifications, 94.29% (380) showed exposure to repetitive movements in their workplace. The most frequent specific diagnoses were synovitis and tenosynovitis (CID F 65), with 30.02% (121) of notifications, followed by back pain (CID F 54) to 19.35% (78) and shoulder injuries (ICD M 75) with 15.88% (64). They were away from work 81.64% (329) of workers reported with RSI / MSDs. Evolution more prevalent among cases was temporary disability with 75.68% (305). It was concluded that the SINAN is a database of potential to characterize the profile of RSI / MSDs, requiring, however, an improvement in the coverage of records and data quality. In addition, this study reflects the need to implement protection strategies to workers by companies, signaling promotion, prevention and rehabilitation aimed at reducing these injuries and the improvement of occupational health indicators in Rio Grande do Norte.
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Acknowledgments We are grateful for the thoughtful comments of two referees. We would also like to thank conference participants at the Scottish Economic Society Conference and seminar participants at Newcastle University. Receipt of financial support from the ESRC is gratefully acknowledged (RES-000-23-1240). The Health Economics Research Unit is funded by the Chief Scientist Office of the Scottish Government Health and Social Care Directorates. The views expressed in this article are solely those of the authors.
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Acknowledgments We are grateful for the thoughtful comments of two referees. We would also like to thank conference participants at the Scottish Economic Society Conference and seminar participants at Newcastle University. Receipt of financial support from the ESRC is gratefully acknowledged (RES-000-23-1240). The Health Economics Research Unit is funded by the Chief Scientist Office of the Scottish Government Health and Social Care Directorates. The views expressed in this article are solely those of the authors.
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Acknowledgements The Interdisciplinary Chronic Disease Collaboration (ICDC) is funded through the Alberta Heritage Foundation for Medical Research (AHFMR) Inter-disciplinary Team Grants Program. AHFMR is now Alberta Innovates – Health Solutions (AI-HS). The funding agreement ensured the authors’ independence in designing the study, interpreting the data, writing, and publishing the report. The Chief Scientist Office of the Scottish Government Health and Social Care Directorates funds HERU. The views expressed in this paper are those of the authors only and not those of the funding bodies.
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Aims The pubococcygeal line (PCL) is an important reference line for determining measures of pelvic organ support on sagittal-plane magnetic resonance imaging (MRI); however, there is no consensus on where to place the posterior point of the PCL. As coccyx movement produced during pelvic floor muscle (PFM) contractions may affect other measures, optimal placement of the posterior point is important. This study compared two methods for measuring the PCL, with different posterior points, on T2-weighted sagittal MRI to determine the effect of coccygeal movement on measures of pelvic organ support in older women. Methods MRI of the pelvis was performed in the midsagittal plane, at rest and during PFM contractions, on 47 community-dwelling women 60 and over. The first PCL was measured to the tip of the coccyx (PCLtip) and the second to the sacrococcygeal joint (PCLjnt). Four measures of pelvic organ support were made using each PCL as the reference line: urethrovesical junction height, uterovaginal junction height, M-line and levator plate angle. Results During the PFM contraction the PCLtip shortened and lifted (P < 0.001); the PCLjnt did not change (P > 0.05). The changes in the four measures of pelvic organ support were smaller when measured relative to the PCLtip as compared to those to the PCLjnt (P < 0.001). Conclusions Coccyx movement affected the length and position of the PCLtip, which resulted in underestimates of the pelvic-organ lift produced by the PFM contraction. Therefore, we recommend that the PCL be measured to the sacrococcygeal joint and not to the tip of the coccyx
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Public school choice education policy attempts to create an education marketplace. Although school choice research has focused on the parent role in the school choice process, little is known about parents served by low-performing schools. Following market theory, students attending low-performing schools should be the primary students attempting to use school choice policy to access high performing schools rather than moving to a better school. However, students remain in these low-performing schools. This study took place in Miami-Dade County, which offers a wide variety of school choice options through charter schools, magnet schools, and open-choice schools. This dissertation utilized a mixed-methods design to examine the decision-making process and school choice options utilized by the parents of students served by low-performing elementary schools in Miami-Dade County. Twenty-two semi-structured interviews were conducted with the parents of students served by low-performing schools. Binary logistic regression models were fitted to the data to compare the demographic characteristics, academic achievement and distance from alternative schooling options between transfers and non-transfers. Multinomial logistic regression models were fitted to the data to evaluate how demographic characteristics, distance to transfer school, and transfer school grade influenced the type of school a transfer student chose. A geographic analysis was conducted to determine how many miles students lived from alternative schooling options and the miles transfer students lived away from their transfer school. The findings of the interview data illustrated that parents’ perceived needs are not being adequately addressed by state policy and county programs. The statistical analysis found that students from higher socioeconomic social groups were not more likely to transfer than students from lower socioeconomic social groups. Additionally, students who did transfer were not likely to end up at a high achieving school. The findings of the binary logistic regression demonstrated that transfer students were significantly more likely to live near alternative school options.
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Dieser Datensatz beinhaltet 70 Pollenprofile und begleitende sedimentologische Daten aus 30 Seen in Deutschland, die im Verlauf der 70er und 80er Jahre vom NlfB gekernt und analysiert wurden. Der Datenatz wurde im Rahmen des im folgenden beschriebenen Teilprojektes des DFG-Schwerpunktprogrammes "Wandel der Geo-Biosphäre" von Prof. Dr. Josef Merkt der wissenschaftlichen Gemeinschaft zur Verfügung gestellt. Im Projekt "Laminierte Seesedimente als Archive für Untersuchungen der Änderungen von Umweltbedingungen während Spätglazial und Holozän" wurden die laminierten Abschnitte von Sedimentprofilen aus oberschwäbischen, nordschweizerischen und norddeutschen Seen, die die letzten 15 000 Jahre umfassten, mikroskopisch ausgewertet. Ziel war es für Deutschland eine jahrgenaue Chronologie nach Kalenderjahren aufzustellen. Poster: Kleinmann, A, Merkt, J, Müller, H, Küster, H (1998) Holocene lake-level changes in Germany. Institute of Geobotany, University Hannover & Geological Survey of Lower Saxony, Hannover. (pdf hdl:10013/epic.31687.d001 280kB) Einführung: Die meisten Seen in Deutschland bestehen seit mehr als 15 000 Jahren und sind seit Jahrtausenden attraktiv für menschliche Besiedlung. In den Seeablagerungen ist die Geschichte der Umwelt nahezu ungestört und hoch aufgelöst konserviert. Pflanzliche und tierische Reste, wie z. B. Blütenstaub, Birkenfrüchte, Bucheckern, Algen, Wasserflöhe, Käfer, Muschelkrebse und Rädertierchen können Auskunft über die Entwicklung der Flora und Fauna, über Wärme- und Kälteperioden seit der letzten Eiszeit bis heute geben. Weitere Zeugen sind z.B. klastischer Eintrag (wie Sand), vulkanische Aschen, chemische Ausfällungen und eine jahreszeitliche Schichtung, die nur unter Sauerstoffausschluß entsteht. Ist der Seegrund belüftet, leben dort Tiere, die die oberen Zentimeter des Seebodens zur Nahrungssuche durchwühlen und dabei diese Schichtung zerstören. Ist der Seegrund ganzjährig unbelüftet, bleiben die klastischen Partikel, die organischen Reste, die chemischen Fällungen wie Siderit und Kalzit in der Reihenfolge liegen wie sie abgesunken sind. Die Reihenfolge spiegelt den Ablauf der Jahreszeiten wider: Goldalgen fallen im Frühjahr und die Mehrheit der Kieselalgen im Frühsommer und Sommer auf den Seeboden. Eisenkarbonat und Kalk werden im Sommer ausgeschieden, die klastischen und organischen Partikel sedimentieren im Winter. Die Jahresschichten liefern das zeitliche Gerüst in dem sich Klimaumschwünge, Seespiegeltiefstände und andere Ereignisse der Paläoumwelt jahrgenau fassen lassen. Auch die Landnutzung durch den Menschen ist aus Seeablagerungen abzulesen, wie z. B. erster Ackerbau, Rodungshochphasen in der Römerzeit und im Mittelalter, Aufforstung Anfang des 19. Jahrhunderts, bronzezeitliche und jüngere Erzverhüttungen, Industrialisierung, sogar Atombombentests und das Reaktorunglück von Tschernobyl 1986. Diese deuten das umwelt-wissenschaftliche Potential der Seesedimente an. Wesentliche Antworten, die in Seesedimenten stecken und entschlüsselt werden, sind die auf Fragen nach Klimaänderungen und ihren Folgen. Neben den bekannten vulkanischen Aschenlagen Laacher Tuff aus der Eifel, Saksunarvatn Tuff aus Island und Kilian/Vasset Tuff aus dem Massif Central werden weitere gesucht, da sie trennscharfe Leithorizonte sind und zur absoluten zeitlichen Korrelation von See zu See dienen. Daneben können regional unterschiedliche Vegetationsentwicklungen über isochrone Tephralagen einander zugeordnet werden. Mit der Erfassung möglichst vieler Sedimentparameter können Kriterien gefunden werden, mit denen die natürlichen von den anthropogenen Umweltveränderungen zu unterscheiden sind. Klimatisch unruhige Zeitabschnitte wie der Übergang Alleröd/Jüngere Tundrenzeit vor 12700 Kalenderjahren, der Übergang Spätglazial/Holozän vor 11560 Kalenderjahren und die 120 Jahre später einsetzende vorübergehende Abkühlung, die Rammelbeekphase, wurden analysiert, um Dauer, Verlauf und Folgeerscheinungen kennenzulernen. Als Methoden wurden eingesetzt: Mikrofaziesanalyse mit Dünnschliffen, Pollenanalyse, Mikrofaunauntersuchungen, anorganisch und organisch geochemische Analysen, Isotopenanalyse (delta13C, delta18O, AMS an terrestrischen Makroresten).
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Zoonotic parasitic diseases are increasingly impacting human populations due to the effects of globalization, urbanization and climate change. Here we review the recent literature on the most important helminth zoonoses, including reports of incidence and prevalence. We discuss those helminth diseases which are increasing in endemic areas and consider their geographical spread into new regions within the framework of globalization, urbanization and climate change to determine the effect these variables are having on disease incidence, transmission and the associated challenges presented for public health initiatives, including control and elimination.