La consulta de enfermería de alta resolución en la gestión de la demanda indemorable en atención primaria

Este trabajo trata de dar a conocer la problemática que surge en los centros de salud de atención primaria por un aumento de la demanda indemorable o urgente. Identifica cuales son algunos de los factores que influyen en el aumento de las demandas y explora en las diferentes experiencias que se han puesto en marcha para atajarlo. Incide principalmente en el triaje que realiza enfermería y los resultados que se han obtenido. Finalmente pretende poner en valor la labor que las enfermeras hacen en los centros que han implantado este tipo de consultas. El trabajo se marca como objetivo general describir y analizar la gestión de la consulta de demanda indemorable o urgente en los centros de atención primaria, por el personal de enfermería mediante la consulta de enfermería de alta resolución (CEAR) . Su objetivo específico es resaltar la oportunidad que surge para los profesionales de enfermería en desarrollar el triaje en atención primaria, demostrando la capacidad para resolver de una manera autónoma y finalista las demandas por patologías agudas leves. La metodología llevada a cabo para la realización del trabajo ha sido realizar una búsqueda bibliográfica empleando como herramientas Dialnet, Google Scholar y la Biblioteca Virtual en Salud utilizando como palabras clave triaje en enfermería, triaje en atención primaria, RAC o sistema TAP entre otros.

Respuesta a la sequía de Pinus radiata D. Don y su implicación en los procesos de tolerancia

160 p. (Bibliogr. 141-160)

La competencia prosódica en la lectura en voz alta: análisis de los aspectos rítmicos

[EN] The current methodological tendencies give particular importance to the teaching of orality. Thus, several investigations have verified that reading aloud to children contributes positively to their cognitive development. However, in order to achieve the objective proposed with this type of reading, the prosodic aspect should not be forgotten. In spite of the few articles published up to now, the prosodic aspect is considered to be essential to provide a description of young people’s prosodic features when reading aloud, especially in order to create general rules that can be taught in our schools and universities. This paper is limited to the analysis of the types of rhythm, and for this, five informants have been selected and asked to read a text written in standard Basque.

Water quality assessment and characterisation of chlorophyll-a variability related to river discharges, within the southeastern Bay of Biscay : evaluation and development of chlorophyll-a algorithms for MODIS and MERIS imagery

222 p. : il.

Distribución de "coxiella burnetii" en los rumiantes domésticos y en la fauna silvestre de la Comunidad Atutónoma Vasca. Evaluacióndel efecto del tratamiento antibiótico y de la vacunación en el control de la fiebre Q en rebaños ovinos naturalmente infectados

243 p. : il.

Aktuelle Aspekte und Besonderheiten der deutschen Flunderfischerei in der Ostsee im Jahr 2002

Although the fishery on flounder in the German fishery zone in 2002 was characterised by good catch possibilities, a dramatic decrease of landings was observed because of marketing problems and low prices. Due to increasing international fishery pressure on flounder a quota system should be established in the future. The German flounder landings could be increased by a better marketing strategy to meet the optimal requirements for a reliable German quota. For 2003 the stock condition is expected to be good which could ensure a successful flounder fishery. It is necessary to stabilize the present technical measures for a better selection of the codend in the medium term.

Nanoscale periodic corrugation to dimple transition due to "beat" in a bulk metallic glass

We report an intriguing observation that the interaction of brittle nanoscale periodic corrugations (NPCs) can lead to the formation of ductile dimples on the dynamic fracture surface of a tough Vit 1 bulk metallic glass (BMG) under high-velocity plate impact. A “beat” phenomenon due to superposition of simple harmonic vibrations, approximately characterizing NPCs, is proposed to explain this unusual brittle-to-ductile transition. The present results agree well with our previously revealed energy dissipation mechanism in the fracture of BMGs.

Alternativas operacionales en tecnologías de oxidación avanzada para el tratamiento de efluentes de alta carga contaminante

336 p.

Relación entre la abundancia y estructura de la comunidad de peces y el régimen hidrológico, en lagunas de la alta cuenca del río Salado

This thesis explored the relationship between hydrological variability and associated changes in fish communities in the upper Salado river lakes (Pampa plain, Argentina). The sampling design included five sites along the river connected lakes being explored for fish, hydrological and environmental data during different hydrological conditions. The temporal dynamic of main environmental characteristics of these lakes show that hydrology largely regulates some of the most important factors influencing fish ecology. Changes in fish communities associated with this hydrological and environmental dynamic allow to speculate a first approach towards the functioning of the system as a whole. Following oscillation between droughts and floods, study lakes have shown significant changes on abundance of major fish species, as well as on their recruitment success, which finally leaded to marked changes in fish community structure. Interestingly, trophic structure of communities did not change as much. iOdontesthes bonariensis/i was more abundant during droughts and in saltier sites but also displayed an improvement in recruitment success during these harsh abiotic conditions. Conversely, the abundance of iParapimelodus valenciennis, Cyphocharax voga/i and iCyprinus carpio/i as well as its recruitment success, were largely favoured by lower water residence times and total salinity. This dichotomy is mainly based on different life history strategies of these species against flor and environmental variability and it support the existence of different functional groups among the fish species of upper Salado river lakes. iOligosarcus jenynsii/i did not showed as evident functional response. In conclusion, hydrological and environmental variability can be considered as one of the main factors regulating the functioning and structure of fish communities in these very shallow lowland river lakes of the Pampa plain. Following these results some implications for an eventual regulation of the river regime are discussed.

Oceanographic, meteorological, satellite and aircraft observations for project Little Window 2: May 1971

ENGLISH: In May 1971, a joint united states - Mexican experiment, Project Little Window 2, (LW-2) involving data collected by satellite, aircraft and ship sensors was made in the southern part of the Gulf of California. LW-2 was planned as an improved and enlarged version of LW-l (conducted the previous year; Stevenson and Miller, 1971) with field work scheduled to be made within a 200 by 200 km square region in the Gulf of California. The purposes of the new field study were to determine through coordinated measurements from ships, aircraft and satellites, the utility of weather satellites to measure surface temperature features of the ocean from space and specifically to evaluate the high resolution infrared sensors aboard N~ 1, ITOS 1 and NIMBUS 4 and to estimate the magnitude of the atmospheric correction factors needed to bring the data from the spacecraft sensors into agreement with surface measurements. Due to technical problems during LW-2, however, useful data could not be obtained from ITOS 1 and NIMBUS 4 so satellite information from only NOAA-1 was available for comparison. In addition, a new purpose was added, i.e., to determine the feasibility of using an Automatic picture Transmission (APT) receiver on shore and at sea to obtain good quality infrared data for the local region. SPANISH: En mayo 1971, los Estados Unidos y México realizaron un experimento en conjunto, Proyecto Little Window 2 (LW-2), en el que se incluyen datos obtenidos mediante captadores de satélites, aviones y barcos en la parte meridional del Golfo de California. Se planeó LW-2 para mejorar y ampliar el proyecto de LW-l (conducido el año anterior; Stevenson y Miller, 1971), realizándose el trabajo experimental en una región de 200 por 200 km cuadrados, en el Golfo de California. El objeto de este nuevo estudio experimental fue determinar mediante reconocimientos coordinados de barcos, aviones y satélites la conveniencia de los satélites meteorológicos para averiguar las características de la temperatura superficial del océano desde el espacio, y especialmente, evaluar los captadores infrarrojos de alta resolución a bordo de NOAA 1, ITOS 1 Y NIMBUS 4, y estimar la magnitud de los factores de corrección atmosféricos necesarios para corregir los datos de los captadores espaciales para que concuerden con los registros de la superficie. Sin embargo, debido a problemas técnicos durante LW-2, no fue posible obtener datos adecuados de ITOS 1 y NIMBUS 4, as1 que solo se pudo disponer de la información de NOAA 1 para hacer las comparaciones. Además se quiso determinar la posibilidad de usar un receptor de Trasmisión Automático de Fotografias (APT) en el mar para obtener datos infarojos de buena calidad en la región local. (PDF contains 525 pages.)

Proyecto de desvío de alta velocidad para la línea Madrid-Sevilla

Este proyecto consiste en el diseño de todos los componentes necesarios para fabricar y montar un desvío de Alta Velocidad de radio 760m y tangente 1:14.

Coastal brownfields and adaptation to climate change: Discussions on potential hazards from contaminated groundwater displacement due to saltwater incursion

Toxic-waste associated with coastal brownfield sites can pose serious risks to human and environmental health. In light of anticipated sea-level rise (SLR) due to global climate change, coastal brownfields require heightened attention. The primary intent of this study is to pose questions and encourage discussion of this problem among policy makers. Impacts from SLR on coastal zones are examined within a brownfield policy framework and, current coastal brownfield policy discussions with respect to SLR are also examined. (PDF contains 4 pages)

El entrenamiento interválico de alta intensidad para el rendimiento deportivo

El entrenamiento interválico de alta intensidad (HIIT) ha sido una parte más de los programas de entrenamiento para mejorar el rendimiento deportivo, pero su efecto puntual en los entrenamientos de deportistas altamente entrenados no se conoce en su totalidad, a pesar de ser un elemento importante de la preparación deportiva. En esta revisión veremos cómo diversas investigaciones demuestran los diferentes efectos y adaptaciones que provoca el HIIT en estos deportistas con el fin de la mejora del rendimiento. En ellas, los autores destacan las mejoras que se producen en cuanto a las variables consumo máximo de oxígeno (VO2max), potencia aeróbica máxima (PAM) y niveles de concentración de lactato en sangre, principalmente en deportes de resistencia. Parece ser que esta mejora del rendimiento es más eficaz lográndose a través de HIIT.

Electron dynamics and harmonics emission spectra due to electron oscillation driven by intense laser pulses

The dynamics and harmonics emission spectra due to electron oscillation driven by intense laser pulses have been investigated considering a single electron model. The spectral and angular distributions of the harmonics radiation are numerically analyzed and demonstrate significantly different characteristics from those of the low-intensity field case. Higher-order harmonic radiation is possible for a sufficiently intense driving laser pulse. A complex shifting and broadening structure of the spectrum is observed and analyzed for different polarization. For a realistic pulsed photon beam, the spectrum of the radiation is redshifted for backward radiation and blueshifted for forward radiation, and spectral broadening is noticed. This is due to the changes in the longitudinal velocity of the electron during the laser pulse. These effects are much more pronounced at higher laser intensities giving rise to even higher-order harmonics that eventually leads to a continuous spectrum. Numerical simulations have further shown that broadening of the high harmonic radiation can be limited by increasing the laser pulse width. The complex shifting and broadening of the spectra can be employed to characterize the ultrashort and ultraintense laser pulses and to study the ultrafast dynamics of the electrons. (c) 2006 American Institute of Physics.