Hipotensión arterial y variabilidad de la frecuencia cardiaca en pacientes embarazadas llevadas a cesarea bajo anestesia raquídea

INTRODUCCION La hipotensión arterial por anestesia raquídea en embarazadas llevadas a cesárea es frecuente y deletérea para la madre y el feto, sin que a la fecha exista una herramienta clínicamente útil para predecirla. La variabilidad de la frecuencia cardiaca es una medida que estima la actividad del sistema nervioso autónomo y algunos estudio iniciales indican una posible utilidad como herramienta predictiva de hipotensión arterial en esta población. METODOLOGIA Se realizó un estudio observacional descriptivo para examinar el comportamiento de la variabilidad de la frecuencia cardiaca, medida como razón de Baja frecuencia/Alta frecuencia, con un punto de corte de 2.5 tomada con un reloj POLAR RS800CX, en una población de pacientes con embarazo a término llevadas a cesárea, en un hospital de tercer nivel en Bogotá- Colombia entre Febrero y Abril del 2015. RESULTADOS El estudio incluyó 82 pacientes. Se determinó que la razón Baja frecuencia/Alta frecuencia mayor a 2,5 era poco frecuente en nuestra población (15.85%), y su asociación no fue significativa. DISCUSION El presente estudio demostró que la asociación entre la presencia de hipotensión y un índice Baja frecuencia/Alta frecuencia con punto de corte de 2.5 no es significativo para nuestra población de mujeres con embarazo a término llevadas a cesárea con anestesia espinal. Según los resultados se sugieres un punto de corte de 1.6 como punto de partida para la realización de nuevos estudios que permitan validar este valor.

Fundamentos del márketing: guía para su estudio y comprensión

Recientemente, el márketing en Colombia ha exigido un tratamiento más académico, pues sólo así logrará trascender a la categoría de disciplina, dejando de ser percibido como oficio. Este texto ofrece discusiones, críticas, aportes y posiciones que incentivan al lector a consultar fuentes originales para profundizar en las distintas temáticas. Tres son las herramientas que permitirán la comprensión de los temas de mayor dificultad: los recuadros que definen de manera sencilla y resumida los principales conceptos; los glosarios que enlistan, definen y explican una serie de términos relacionados con el tema tratado; y las aplicaciones prácticas para aquellos conceptos que aunque teóricamente resultan claros, su aterrizaje a la realidad se torna complejo. Este texto está pensado para los estudiantes, concebido en el trasegar docente y perfeccionado en el quehacer investigativo en ámbitos no lucrativos.

La pelota no se mancha: Un estudio histórico sobre el desarrollo y la política en FIFA

Esta investigación se centra en la Fédération Internationale de Football Association (FIFA) como organización política. Intenta responder dos interrogantes primordiales: 1) ¿cómo la FIFA ha constituido el poder que tiene actualmente y, así, hacerse del monopolio indiscutido del fútbol? Y 2) ¿cómo ha cambiado en el tiempo la política interna de FIFA y su vínculo con la política internacional? Para lograr esto, se realiza un estudio histórico, basado principalmente en documentos, que intenta caracterizar y analizar los cambios de la organización en el tiempo. Se enfatizan las últimas dos presidencias de FIFA, de João Havelange y Joseph Blatter, como casos de estudio.

Esos chicos tan violentos : (a propósito de la violencia urbana juvenil).

A raiz de los sucesos violentos entre niños e Estados Unidos, se reflexiona sobre la violencia juvenil en nuestro país. Se establece una tipología de jóvenes violentos urbanos, estableciéndose las características de estas 'tribus urbanas': Beat, hippies, Rochers, heavies, surfers y skaters, punkies y skinheads. Estas tipologías son importante ya que la mayor parte de la violencia juvenil se produce en agrupamientos..

Revisión de los distintos aspectos de la influencia de los padres y las madres en la práctica de la actividad física y el deporte.

Resumen tomado de la publicación

Euskal jokoa eta jolasa : transmitiendo una herencia vasca a partir del juego.

Resumen tomado de la publicación

Aplicaciones Android y creatividad musical en primaria

Resumen en inglés. Resumen basado en el de la publicación

Preservar e desenvolver em museologia, contributo para o estudo do objecto e do processo museológico

Este trabalho procurou uma resposta para a aparente contradição entre os actos de preservar e de desenvolver no trabalho museológico. E desejava, com essa resposta, obter uma compreensão mais profunda sobre a Museologia. Utilizando a metodologia de investigação “Grounded Theory” (Glaser & Strauss, 1967; Ellen, 1992; Mark, 1996; Marshall & Rossman, 1999) adoptou a definição de museu dos Estatutos do ICOM (2001) como ponto de partida conceptual para o desenrolar da pesquisa. A - Com o esforço necessário à obtenção da resposta inicial o trabalho pôde alcançar os seguintes resultados: i) Discerniu as fases e a racionalidade do processo museológico, através do qual os objectos adquirem a “identidade patrimonial”. ii) Formulou o conceito de “objecto museológico” numa acepção distinta do de Património ou de “objecto patrimonial”, permitindo confirmar que a contradição formulada na hipótese inicial só poderia desaparecer, ou ser conciliada, num paradigma de trabalho museológico concebido como um acto de comunicação. iii) Propôs, em consequência, um diferente Programa para a orientação do trabalho museológico, demonstrando que garantiria ao património uma maior perenidade e transmissibilidade, sendo ainda capaz de incluir o património referente à materialidade, à iconicidade, à oralidade e à gestualidade dos objectos. iv) Propôs um Léxico de Conceitos capaz de justificar essas novas propostas. v) Sugeriu um índice de desenvolvimento museal (IDM = Σ ƒξ [IP.ID.IC] / CT.CR) para ser possível avaliar e quantificar o trabalho museológico. B – Para o objectivo de uma compreensão mais profunda da Museologia o trabalho alcançaria os seguintes resultados: vi) Verificou a necessidade de se dominarem competências de Gestão, para o trabalho museológico não se restringir apenas a um tipo de colecções ou de património. vii) Sugeriu, para ser possível continuar a investigar a Museologia como um novo ramo ou disciplina do saber, a necessidade estratégica de a ligar ao estudo mais vasto da Memória, apontando dois caminhos: Por um lado, considerar a herança filogenética dos “modos de guardar informações” entre os diferentes organismos e sistemas (Lecointre & Le Guyader, 2001). Por outro lado, considerar os constrangimentos ocorridos durante a ontogenia e a maturação individual que obrigam a ter em consideração, no processamento da memória e do património (codificação, armazenamento, evocação e recuperação, esquecimento), a biologia molecular da cognição (Squire & Kandel, 2002).

A simple model for predicting soil temperature in snow-covered and seasonally frozen soil: model description and testing

Microbial processes in soil are moisture, nutrient and temperature dependent and, consequently, accurate calculation of soil temperature is important for modelling nitrogen processes. Microbial activity in soil occurs even at sub-zero temperatures so that, in northern latitudes, a method to calculate soil temperature under snow cover and in frozen soils is required. This paper describes a new and simple model to calculate daily values for soil temperature at various depths in both frozen and unfrozen soils. The model requires four parameters average soil thermal conductivity, specific beat capacity of soil, specific heat capacity due to freezing and thawing and an empirical snow parameter. Precipitation, air temperature and snow depth (measured or calculated) are needed as input variables. The proposed model was applied to five sites in different parts of Finland representing different climates and soil types. Observed soil temperatures at depths of 20 and 50 cm (September 1981-August 1990) were used for model calibration. The calibrated model was then tested using observed soil temperatures from September 1990 to August 2001. R-2-values of the calibration period varied between 0.87 and 0.96 at a depth of 20 cm and between 0.78 and 0.97 at 50 cm. R-2 -values of the testing period were between 0.87 and 0.94 at a depth of 20cm. and between 0.80 and 0.98 at 50cm. Thus, despite the simplifications made, the model was able to simulate soil temperature at these study sites. This simple model simulates soil temperature well in the uppermost soil layers where most of the nitrogen processes occur. The small number of parameters required means, that the model is suitable for addition to catchment scale models.

Communicating eye gaze across a distance without rooting participants to the spot

Eye gaze is an important conversational resource that until now could only be supported across a distance if people were rooted to the spot. We introduce EyeCVE, the worldpsilas first tele-presence system that allows people in different physical locations to not only see what each other are doing but follow each otherpsilas eyes, even when walking about. Projected into each space are avatar representations of remote participants, that reproduce not only body, head and hand movements, but also those of the eyes. Spatial and temporal alignment of remote spaces allows the focus of gaze as well as activity and gesture to be used as a resource for non-verbal communication. The temporal challenge met was to reproduce eye movements quick enough and often enough to interpret their focus during a multi-way interaction, along with communicating other verbal and non-verbal language. The spatial challenge met was to maintain communicational eye gaze while allowing free movement of participants within a virtually shared common frame of reference. This paper reports on the technical and especially temporal characteristics of the system.

Using objects to coordinate design activity in interaction

The coordination of design is a multi-faceted problem in construction. In design interactions in particular the real-time coordination of design activity is a persistent concern. The use of objects to coordinate the activity of design is studied as this happens in interactions between an architect and a building user group, in a setting where maintaining awareness of the design situation is important. An account of ways in which this was accomplished and how design activity is coordinated through interactional practices is provided. The empirical analyses examine design interaction from an ethnomethodological/conversation analysis (EM/CA) informed perspective to examine: ways in which mutual orientation to design issues are accomplished, how objects can provide a resource for the recognition of the activities of others and ways in which objects might be observable as momentarily intelligible. Subtle interactional practices involving talk, gesture and gaze were some of the small ways in which mutual orientation to the design actions of others became observable. The production of actions sequentially, in response to another's action, marked the real-time coordination of design moves in this setting. The relevance of accounts of micro-interaction to develop understanding of design activity and how it is coordinated are considered.

Spectacle/gender/history: the case of Gone with the Wind

The essay asserts that, since pioneering work in the 1970s and 80s (in Screen in particular), the study of classical Hollywood cinema has failed adequately to acknowledge and understand the role of spectacle therein. This essay outlines theoretical but, even more, practical understandings of particular kinds of spectacle; they are susceptible to the practice of close analysis. Seeking to discuss spectacle in precise terms and in particular contexts, I define two kinds of spectacle associated with the historical film: ‘the decor of history’ and ‘the spectacular vista’. The example of Gone with the Wind illustrates the interrelationship between these two kinds of spectacle and their associations with particular ideas of femininity and masculinity. This gendering of spectacle is related to ‘the historical gaze’, a performative gesture that exemplifies the wider rhetoric of historical films, in their seeking to address the historical knowledge of the film spectator and to uphold a vision of history as being driven by powerful men, aware of their own destiny. Over the course of the three famous hilltop scenes in Gone with the Wind, one can plot Scarlett O'Hara's increased access to this kind of foresight and fortitude coded as ‘masculine’. This character arc can also be traced through Scarlett's shifting place within the film's use of spectacle: she begins the film wholly preoccupied with the domestic world of lavish parties and beautiful gowns; however, after her encounter with cataclysmic history visualized as a vast, terrible spectacle (the fall of Atlanta), Scarlett assumes the role occupied by her broken and emasculated father.

Suck. Swallow. Breathe.

Video, Dur: 7 min, HD DVC Pro 2009 Based on the principle of assembling a series of improvised acts, the performance is driven by a concern for the image, sound and gesture and the staging of both contemplative and active human presences. Featuring a woman and child duo the video performs the élan vital within a fairytale scenery.

Watching the words: drama and poems

Some poems are inherently dramatic due to their narrative content or the events, characters, places and emotions that are their subject. Others have the potential for dramatisation because of some aural or visual quality of their poetic form. However, if dramatising poems is to be meaningful and effective children need to be taught something about the art form of drama rather than just being left to their own devices. This chapter explores the learning potential of considering the printed text of a poem as a notation of sound, movement, gesture and use of space. The chapter recognises a progression from simple nursery rhymes to the sophisticated use of poetic language in different types of literature that is mirrored in the journey from infants’ clapping games to the dramatic juxtaposition of aural and visual images in theatre and the performing arts.