Tratamiento quirúrgico de las fracturas intertrocantéricas del fémur con placa tornillo dinámico convencional comparado con tornillo dinámico helicoidal

Introducción: Las fracturas intertrocantéricas han llegado a nuestros días con una mayor incidencia dado el envejecimiento de la población, con fracturas más complejas, menos estables y asociadas a osteoporosis, se estima que representan aproximadamente 1,75 millones de años de vida perdidos ajustados a discapacidad es decir 0,1% de la carga de morbilidad a nivel mundial. Existe consenso en el tratamiento quirúrgico de este tipo de fracturas, presentando una incidencia variable de fallos, principalmente cuando son inestables, entre estos el denominado “cuto ut”. La utilización de un método de fijación con placa y tornillo helicoidal (DHHS) aparentemente disminuye la incidencia de dichos fallos con respecto a otras técnicas. Metodología: Por medio de una muestra calculada en 128 de pacientes con fracturas intertrocantéricas operados con DHS y DHHS entre el 2007 y el 2012 en La Clínica San Rafael de la ciudad de Bogotá, Colombia, se realizó un análisis multivariado para determinar si existe o no diferencias significativas en los índices de fallo entre estas dos técnicas. Resultados: Los pacientes incluidos en el estudio 54 (42,1%) fueron hombres y 74 (57,8%) fueron mujeres. 75 fueron operados con DHHS y 53 con DHS; en cuanto a las comorbilidades las principales fueron Hipertensión con 40 pacientes para DHS y 30 para DHHS, para el caso de Diabetes Mellitus fueron 13 y 9 para DHS y DHHS, respectivamente; en cuanto al tipo de fractura más común la principal fue la clasificación Tronzo II con 9 pacientes para DHS y 13 para DHHS. Conclusión. Para el estudios se evidencia que para los 3 desenlaces principales evaluados, 1. El porcentaje de re intervención (p=0,282), 2. La supervivencia en el primer año (p=0,499) y 3. El desempeño funcional con la escala de Oxford (p=0,06); no hubo diferencias estadísticamente significativas entre los grupos.

Componentes y correlatos del autoconcepto en la escala de Piers-Harris.

resumen literal de la revista

Autoconcepto y adaptación : validación del Piers-Harris.

Realizar una revisión teórica de la noción de autoconcepto y términos afines (autoestima) y revisar los instrumentos desarrollados para su evaluación. Igualmente se intenta examinar empíricamente las relaciones entre los conceptos de autoestima, autoconcepto y adaptación, y validar con muestra española un instrumento de evaluación. Por último, se pretende entresacar las explicaciones que puedan relacionarse con el ámbito escolar y concretamente con el rendimiento. Estudio correlacional: aplicación de tres cuestionarios (autoestima, autoconcepto y adaptación). Variables controladas: sexo, edad y orden de aplicación de las pruebas. En total evalúan 13 factores relacionados con los constructos seleccionados. Estudio de validez y elaboración de baremos: test-retest con un intervalo de cuatro semanas y utilizando una submuestra de 165 sujetos. Rosenberg Self Esteem Scale, de Rosenberg (1973) para evaluar autoestima. Piers-Harris Children's Self Concept Scale (traducido por García Torres, 1973) para evaluar autoconcepto. Inventario de adaptación de conducta de Cruz Cordero (Tea Ediciones) para evaluar la adaptación. Estadística descriptiva. Correlaciones. Fiabilidad (consistencia interna): Kuder-Richardson. Diferencia de medias. Análisis de ítems: índices de dificultad y de homogeneidad. Análisis de la prueba Piers-Harris: encuentran una fiabilidad adecuada dentro de la muestra utilizada. En general, los hombres y los repetidores puntúan más alto en todas las pruebas. Por otro lado, se observa una relación significativa entre autoconcepto y autoestima, también hay diferencias significativas entre ambos aspectos debidos al sexo y a la edad (en este caso sólo en autoconcepto). Igualmente hay una relación entre autoconcepto y adaptación (en esta última no hay diferencias debidas al sexo y sí debidas a la edad). Los datos indican que los conceptos de adaptación, autoestima y autoconcepto no son intercambiables entre sí. Se destaca la confusión conceptual y metodológica existente en este terreno. Por otro lado, se remarca el papel crítico de la familia en la formación de estas nociones y la importante relación existente entre autoconcepto y rendimiento. El trabajo incluye las pruebas aplicadas.

Evaluación psicométrica de la Escala Piers-Harris de Autoconcepto para niños y adolescentes modificada : un estudio con muestra burgalesa.

Se realiza un análisis psicométrico de la Escala P-H Modificada, así como analizar la asociación entre autoconcepto y otras variables como rendimiento, psicopatología y percepción de calidad de vida relacionada con la salud en la población infanto-juvenil de Burgos y su provincia en Educación Primaria y en Educación Secundaria Obligatoria. Se realiza un estudio comunitario donde la muestra de población se compone de los alumnos y alumnas matriculados en Educación Primaria Obligatoria y Educación Secundaria Obligatoria de centros educativos de Burgos y su provincia de edades comprendidas entre los 6 y los 16 años. Se emplea metodología descriptiva con la finalidad de obtener información sobre las características de los centros educativos, las características sociodemográficas del alumnado, los datos académicos, datos sobre autoconcepto, psicopatología y calidad de vida relacionada con la salud. Así mismo, se ha utilizado la estadística inferencial para establecer asociaciones entre autoconcepto y rendimiento académico, psicopatología y calidad de vida relacionada con la salud. Se ha utilizado la metodología cuantitativa para la obtención de datos, elaborando una hoja de recogida de información con algunos datos sociodemográficos de los participantes, también se han utilizado diferentes test paramétricos. Como conclusión al estudio de las características psicométricas realizadas con la Escala P-H Modificada, se observa que manifiesta unas adecuadas propiedades psicométricas, aunque algunos ítems debiesen ser eliminados para una adecuada adaptación del a Escala a la cultura española. Se ha comprobado que la Escala P-H Modificada no presenta diferencias o sesgos en función del género, es decir, el ser hombre o mujer, vivir en el medio rural o urbano, asistir a un colegio público o privado, no interfiere en los resultados de la prueba de manera diferencial .

New use of global warming potentials to compare cumulative and short-lived climate pollutants

Parties to the United Nations Framework Convention on Climate Change (UNFCCC) have requested guidance on common greenhouse gas metrics in accounting for Nationally determined contributions (NDCs) to emission reductions1. Metric choice can affect the relative emphasis placed on reductions of ‘cumulative climate pollutants’ such as carbon dioxide versus ‘short-lived climate pollutants’ (SLCPs), including methane and black carbon2, 3, 4, 5, 6. Here we show that the widely used 100-year global warming potential (GWP100) effectively measures the relative impact of both cumulative pollutants and SLCPs on realized warming 20–40 years after the time of emission. If the overall goal of climate policy is to limit peak warming, GWP100 therefore overstates the importance of current SLCP emissions unless stringent and immediate reductions of all climate pollutants result in temperatures nearing their peak soon after mid-century7, 8, 9, 10, which may be necessary to limit warming to “well below 2 °C” (ref. 1). The GWP100 can be used to approximately equate a one-off pulse emission of a cumulative pollutant and an indefinitely sustained change in the rate of emission of an SLCP11, 12, 13. The climate implications of traditional CO2-equivalent targets are ambiguous unless contributions from cumulative pollutants and SLCPs are specified separately.

Pregnancy-related low back pain and pelvic girdle pain approximately 14 months after pregnancy : pain status, self-rated health and family situation

Background: Pelvic girdle pain (PGP) in pregnancy is distinct from pregnancy-related low back pain (PLBP). However, women with combined PLBP and PGP report more serious consequences in terms of health and function. PGP has been estimated to affect about half of pregnant women, where 25% experience serious pain and 8% experience severe disability. To date there are relatively few studies regarding persistent PLBP/PGP postpartum of more than 3 months, thus the main objective was to identify the prevalence of persistent PLBP and PGP as well as the differences over time in regard to pain status, self-rated health (SRH) and family situation at 12 months postpartum. Methods: The study is a 12 month follow-up of a cohort of pregnant women developing PLBP and PGP during pregnancy, and who experienced persistent pain at 6 month follow-up after pregnancy. Women reporting PLBP/PGP (n = 639) during pregnancy were followed up with a second questionnaire at approximately six month after delivery. Women reporting recurrent or persistent LBP/PGP at the second questionnaire (n = 200) were sent a third questionnaire at 12 month postpartum. Results: A total of 176 women responded to the questionnaire. Thirty-four women (19.3%) reported remission of LBP/PGP, whereas 65.3% (n = 115) and 15.3% (n = 27), reported recurrent LBP/PGP or continuous LBP/PGP, respectively. The time between base line and the 12 months follow-up was in actuality 14 months. Women with previous LBP before pregnancy had an increased odds ratio (OR) of reporting 'recurrent pain' (OR = 2.47) or 'continuous pain' (OR = 3.35) postpartum compared to women who reported 'no pain' at the follow-up. Women with 'continuous pain' reported statistically significant higher level of pain at all measure points (0, 6 and 12 months postpartum). Non-responders were found to report a statistically significant less positive scoring regarding relationship satisfaction compared to responders. Conclusions: The results from this study demonstrate that persistent PLBP/PGP is a major individual and public health issue among women 14 months postpartum, negatively affecting their self-reported health. However, the perceived relationship satisfaction seems to be stable between the groups.

El rey que es formosura de Espanna : imagens do poder real na obra de Afonso X, o sábio (1221-1284)

O rei castelhano Afonso X, o Sábio (1221-1284) é considerado como o idealizador de uma vasta obra que inclui textos de caráter jurídico, historiográfico, científico e sua produção poética. Este estudo propõe evidenciar o caráter propagandístico da obra afonsina considerando as condições de produção e difusão dos textos e a sua relação com o projeto político centralizador do Rei Sábio. Procurando observar a maneira pela qual o pensamento político afonsino é revelado em sua obra, são aqui analisadas as imagens do rex christianus, cujo poder provém de Deus, do rex iustus, cuja função é administrar a justiça em seu reino, e do rex sapiens, que dispõe da virtude e do conhecimento necessários para bem governar.

Variabilidade espacial de atributos químicos de um argissolo para aplicação de insumos à taxa variável em diferentes formas de relevo

A agricultura de precisão implica análise da variabilidade espacial de fatores de produção e a aplicação de insumos de forma localizada. Várias são as causas que condicionam a variabilidade espacial dos solos, sendo o relevo um dos fatores mais importantes. O presente estudo teve por objetivo analisar a variabilidade espacial dos atributos químicos do solo e a elaboração de mapas de necessidade de aplicação de insumos de forma localizada, em áreas com diferentes formas de relevo. Duas parcelas de 1 ha cada foram delimitadas em áreas com topografia côncava e convexa. Foram retiradas, em cada área, 242 amostras de solos em 121 pontos, nas profundidades de solo de 0,00-0,20 m e 0,20-0,40 m. Os resultados de análise química foram submetidos às análises da estatística descritiva, geoestatística e interpolação por krigagem. A área convexa apresentou maior variabilidade espacial do solo em relação a área côncava. A adoção da agricultura de precisão possibilitou economia de aproximadamente 25 kg ha-1 de P2O5 na área côncava.

Cu0.5Zn0.5Fe2O4 ferrite for application as a soft magnetic material

This work involved the synthesis and characterization of Cu0.5Zn0.5Fe2O4 ferrite powders prepared by combustion reaction for use as soft magnetic materials. The powders were characterized by nitrogen adsorption (BET), XRD, Rietveld refinement, SEM, TEM and magnetic measures. The results indicate that the combustion reaction yielded crystalline powders containing spinel ferrite as the primary phase and traces of Fe2O3 as secondary phase. The crystallite size and lattice microdeformation calculated from Rietveld refinements were 36 and 0.24 nm, respectively. The micrographic analysis revealed particles smaller than 100 nm and fine particle agglomerates. The particles were approximately spherical and their size, calculated by TEM, was 29 nm. The magnetic parameters indicated that the Cu-Zn ferrite powders presented closed hysteresis loops and soft magnetic properties. © (2012) Trans Tech Publications, Switzerland.

Território, legislação e monarquia no reinado de Alfonso X, o Sábio (1252-1284)

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Estudo das propriedades mecânicas do aço SAE 1312 modificado ao nióbio

The study of mechanical properties of high-alloy special steels is of great interest of the steel industry due to the great demand by companies that manufacture automotive components of high criticality, and also because of its high commercial value. However, the development of this type of alloy metals demand highly technical knowledge. Among these extremely important kinds of steel, the subject which is the interest of this study is the special steel modified by niobium. The manganese and niobium are the main alloying elements in the composition of these steels, both of them increase the stability of the austenite region, however, manganese increases the hardenability and tensile yield strength, and niobium increases the mechanical strength and promotes refining the grain. The mechanical characterization of steel SAE 1312 modified the niobium was made in order to gain a better understanding of the influence on the mechanical properties caused by aging at different temperatures and for different reductions in the drawing of gauge material. This characterization was made by means of tensile test and hardness. This material showed an increase in yield strength and hardness when gauge with large reductions during the wiredrawing, but when subjected to aging temperatures higher than 300 ° C had a slight loss of these properties

Collective Almost Synchronisation in Complex Networks

This work introduces the phenomenon of Collective Almost Synchronisation (CAS), which describes a universal way of how patterns can appear in complex networks for small coupling strengths. The CAS phenomenon appears due to the existence of an approximately constant local mean field and is characterised by having nodes with trajectories evolving around periodic stable orbits. Common notion based on statistical knowledge would lead one to interpret the appearance of a local constant mean field as a consequence of the fact that the behaviour of each node is not correlated to the behaviours of the others. Contrary to this common notion, we show that various well known weaker forms of synchronisation (almost, time-lag, phase synchronisation, and generalised synchronisation) appear as a result of the onset of an almost constant local mean field. If the memory is formed in a brain by minimising the coupling strength among neurons and maximising the number of possible patterns, then the CAS phenomenon is a plausible explanation for it.

Fault delineation and stress orientations from the analysis of background, low magnitude seismicity in Southern Apennines (Italy)

The aim of this work was to show that refined analyses of background, low magnitude seismicity allow to delineate the main active faults and to accurately estimate the directions of the regional tectonic stress that characterize the Southern Apennines (Italy), a structurally complex area with high seismic potential. Thanks the presence in the area of an integrated dense and wide dynamic network, was possible to analyzed an high quality microearthquake data-set consisting of 1312 events that occurred from August 2005 to April 2011 by integrating the data recorded at 42 seismic stations of various networks. The refined seismicity location and focal mechanisms well delineate a system of NW-SE striking normal faults along the Apenninic chain and an approximately E-W oriented, strike-slip fault, transversely cutting the belt. The seismicity along the chain does not occur on a single fault but in a volume, delimited by the faults activated during the 1980 Irpinia M 6.9 earthquake, on sub-parallel predominant normal faults. Results show that the recent low magnitude earthquakes belongs to the background seismicity and they are likely generated along the major fault segments activated during the most recent earthquakes, suggesting that they are still active today thirty years after the mainshock occurrences. In this sense, this study gives a new perspective to the application of the high quality records of low magnitude background seismicity for the identification and characterization of active fault systems. The analysis of the stress tensor inversion provides two equivalent models to explain the microearthquake generation along both the NW-SE striking normal faults and the E- W oriented fault with a dominant dextral strike-slip motion, but having different geological interpretations. We suggest that the NW-SE-striking Africa-Eurasia convergence acts in the background of all these structures, playing a primary and unifying role in the seismotectonics of the whole region.

Evaluation of administration of isoflurane at approximately the minimum alveolar concentration on depression of a nociceptive withdrawal reflex evoked by transcutaneous electrical stimulation in ponies

OBJECTIVE: To investigate effects of isoflurane at approximately the minimum alveolar concentration (MAC) on the nociceptive withdrawal reflex (NWR) of the forelimb of ponies as a method for quantifying anesthetic potency. ANIMALS: 7 healthy adult Shetland ponies. PROCEDURE: Individual MAC (iMAC) for isoflurane was determined for each pony. Then, effects of isoflurane administered at 0.85, 0.95, and 1.05 iMAC on the NWR were assessed. At each concentration, the NWR threshold was defined electromyographically for the common digital extensor and deltoid muscles by stimulating the digital nerve; additional electrical stimulations (3, 5, 10, 20, 30, and 40 mA) were delivered, and the evoked activity was recorded and analyzed. After the end of anesthesia, the NWR threshold was assessed in standing ponies. RESULTS: Mean +/- SD MAC of isoflurane was 1.0 +/- 0.2%. The NWR thresholds for both muscles increased significantly in a concentration-dependent manner during anesthesia, whereas they decreased in awake ponies. Significantly higher thresholds were found for the deltoid muscle, compared with thresholds for the common digital extensor muscle, in anesthetized ponies. At each iMAC tested, amplitudes of the reflex responses from both muscles increased as stimulus intensities increased from 3 to 40 mA. A concentration-dependent depression of evoked reflexes with reduction in slopes of the stimulus-response functions was detected. CONCLUSIONS AND CLINICAL RELEVANCE: Anesthetic-induced changes in sensory-motor processing in ponies anesthetized with isoflurane at concentrations of approximately 1.0 MAC can be detected by assessment of NWR. This method will permit comparison of effects of inhaled anesthetics or anesthetic combinations on spinal processing in equids.