A controlled trial of early interventions to promote maternal adjustment and development in infants born with severe congenital heart disease

Background: Congenital heart disease can have a negative impact on both infant development and maternal adjustment. This study considered the impact of a new programme of early psychosocial interventions on such outcomes, following the birth of a child with severe congenital heart disease.
Methods: Seventy infants and their mothers were assigned to an intervention or control group based on order of presentation to the unit. Interventions aimed at bolstering mother–infant transactions, through psychoeducation, parent skills training and narrative therapy techniques were implemented.
Results: Clinically and statistically signi?cant gains were observed at 6-month follow-up on the mental (but not the psychomotor) scale of the Bayleys-II. Positive gains were also manifested on feeding practices, maternal anxiety, worry and appraisal of their situation.
Conclusions: A programme of generalizable psychosocial interventions is shown to have a positive impact on the infant with severe congenital heart disease and the mother.

Intereses y acciones geoestratégicas de China en Asia Central después de la disolución de la Unión Soviética

El escenario internacional, antes desfavorable a sus intereses, ha dado un giro a favor del antiguo Imperio del Medio. Si bien el siglo XX estuvo marcado por el fin de la monarquía milenaria, las guerras con sus vecinos Japón, Corea y Rusia, o las cruentas guerras civiles, y con ello tuvo que asimilar cambios para los cuales esta inmensa nación no estaba preparada, el fin de siglo -bajo la conducción de Deng Xiao Ping desde 1978- sirvió para reconducir al país por la vía de la estabilidad y la prosperidad. De este modo, el comienzo del siglo XXI ha sido excepcional y ha marcado un paso de enorme crecimiento y transformación tecnológica y científica.

Política exterior de Estados Unidos en Asia Central y el Medio Oriente. In memóriam Edward Wadie Said

 

Las migraciones transnacionales en Asia Central como amenaza a la seguridad de las ex-repúblicas soviéticas (1991-2014)

Esta monografía tiene como objetivo explicar cómo las migraciones transnacionales se han convertido en una amenaza para la seguridad de las ex repúblicas soviéticas de Asia central durante las últimas dos décadas dando lugar a un Complejo de Seguridad Regional (CSR). Mediante la teoría crítica del CSR elaborada por Barry Buzan, se buscará probar que estos flujos migratorios transnacionales han configurado una amenaza compartida para la seguridad de la región debido a su asociación con grupos extremistas islámicos asociados con el terrorismo. La materialización de dicho CSR se manifiesta en la creación de organizaciones regionales con una agenda de seguridad compartida tales como la Organización del Tratado de Seguridad Colectiva y la Organización de Cooperación de Shanghai con el fin de neutralizar estas nuevas amenazas de carácter transnacional.

Making history : world history from 1914 to the present.

Este texto abarca todos los temas del mundo moderno exigidos para el examen del General Certificate Secondary Education (GCSE). Además, incluye una gran cantidad y variedad de documentos escritos y no escritos: cartas, memorias, fotografías, pinturas, carteles y dibujos, que constituyen los diferentes testimonios utilizadas por los historiadores para conocer la historia del siglo XX.

Examination of wind storms over Central Europe with respect to circulation weather types and NAO phases

The occurrence of wind storms in Central Europe is investigated with respect to large-scale atmospheric flow and local wind speeds in the investigation area. Two different methods of storm identification are applied for Central Europe as the target region: one based on characteristics of large-scale flow (circulation weather types, CWT) and the other on the occurrence of extreme wind speeds. The identified events are examined with respect to the NAO phases and CWTs under which they occur. Pressure patterns, wind speeds and cyclone tracks are investigated for storms assigned to different CWTs. Investigations are based on ERA40 reanalysis data. It is shown that about 80% of the storm days in Central Europe are connected with westerly flow and that Central European storm events primarily occur during a moderately positive NAO phase, while strongly positive NAO phases (6.4% of all days) account for more than 20% of the storms. A storm occurs over Central Europe during about 10% of the days with a strong positive NAO index. The most frequent pathway of cyclone systems associated with storms over Central Europe leads from the North Atlantic over the British Isles, North Sea and southern Scandinavia into the Baltic Sea. The mean intensity of the systems typically reaches its maximum near the British Isles. Differences between the characteristics for storms identified from the CWT identification procedure (gale days, based on MSLP fields) and those from extreme winds at Central European grid points are small, even though only 70% of the storm days agree. While most storms occur during westerly flow situations, specific characteristics of storms during the other CWTs are also considered. Copyright © 2009 Royal Meteorological Society