Evaluación de la ototoxicidad como factor de riesgo en el programa de Cribaje Universal de Hipoacusia Infantil del Complejo Hospitalario Materno-Infantil de Gran Canaria entre los años 2007-2009

Programa de doctorado: Patología Quirúrgica, Reproducción Humana y Factores Psicológicos y el Proceso de Enfermar

Risk factors for surgical site infections among patients undergoing major colon surgery in the United States 2007-2009

Background: Surgical site infections (SSIs) after abdominal surgeries account for approximately 26% of all reported SSIs. The Center for Disease Control and Prevention (CDC) defines 3 types of SSIs: superficial incisional, deep incisional, and organ/space. Preventing SSIs has become a national focus. This dissertation assesses several associations with the individual types of SSI in patients that have undergone colon surgery. ^ Methods: Data for this dissertation was obtained from the American College of Surgeons' National Surgical Quality Improvement Program (NSQIP); major colon surgeries were identified in the database that occurred between the time period of 2007 and 2009. NSQIP data includes more than 50 preoperative and 30 intraoperative factors; 40 collected postoperative occurrences are based on a follow-up period of 30 days from surgery. Initially, four individual logistic regressions were modeled to compare the associations between risk factors and each of the SSI groups: superficial, deep, organ/space and a composite of any single SSI. A second analysis used polytomous regression to assess simultaneously the associations between risk factors and the different types of SSIs, as well as, formally test the different effect estimates of 13 common risk factors for SSIs. The final analysis explored the association between venous thromboembolism (VTEs) and the different types of SSIs and risk factors. ^ Results: A total of 59,365 colon surgeries were included in the study. Overall, 13% of colon cases developed a single type of SSI; 8% of these were superficial SSIs, 1.4% was deep SSIs, and 3.8% were organ/space SSIs. The first article identifies the unique set of risk factors associated with each of the 4 SSI models. Distinct risk factors for superficial SSIs included factors, such as alcohol, chronic obstructive pulmonary disease, dyspnea and diabetes. Organ/space SSIs were uniquely associated with disseminated cancer, preoperative dialysis, preoperative radiation treatment, bleeding disorder and prior surgery. Risk factors that were significant in all models had different effect estimates. The second article assesses 13 common SSI risk factors simultaneously across the 3 different types of SSIs using polytomous regression. Then each risk factor was formally tested for the effect heterogeneity exhibited. If the test was significant the final model would allow for the effect estimations for that risk factor to vary across each type of SSI; if the test was not significant, the effect estimate would remain constant across the types of SSIs using the aggregate SSI value. The third article explored the relationship of venous thromboembolism (VTE) and the individual types of SSIs and risk factors. The overall incidence of VTEs after the 59,365 colon cases was 2.4%. All 3 types of SSIs and several risk factors were independently associated with the development of VTEs. ^ Conclusions: Risk factors associated with each type of SSI were different in patients that have undergone colon surgery. Each model had a unique cluster of risk factors. Several risk factors, including increased BMI, duration of surgery, wound class, and laparoscopic approach, were significant across all 4 models but no statistical inferences can be made about their different effect estimates. These results suggest that aggregating SSIs may misattribute and hide true associations with risk factors. Using polytomous regression to assess multiple risk factors with the multiple types of SSI, this study was able to identify several risk factors that had significant effect heterogeneity across the 3 types of SSI challenging the use of aggregate SSI outcomes. The third article recognizes the strong association between VTEs and the 3 types of SSIs. Clinicians understand the difference between superficial, deep and organ/space SSIs. Our results indicate that they should be considered individually in future studies.^

The glacier inventory of Salzburg, Austria, 2007/2009

A third glacier inventory (GI3) is presented for the province of Salzburg where 173 glaciers are located in the seven mountain ranges: Ankogel (47°4'N, 13°14'E), Glockner, Granatspitz, Sonnblick (Goldberg), Hochkönig, Venediger and Zillertal (47°8'N, 12°7'E). The basis for the new GI3 are orthophotos of 2007 and 2009 and the digital elevation model (DEM) of the southern part of Salzburg. On the basis of former inventories, area- and volume changes have been calculated. The biggest relative loss of glacier area per mountain range was found in the Ankogel range and on Hochkönig as a result of the disrupted structure of their small and thin glaciers. In terms of absolute values, the largest changes took place in the Glockner- and Venediger range with an area loss of -10.1 km**2 and -9.7 km**2 during the period between GI1 (1969) and GI3 (2007/2009), respectively. Volume changes have been calculated for nearly half of the glacier area in Salzburg, where DEMs were available. The Glockner, Granatspitz and Sonnblick mountain ranges showed a volume loss of -0.481 km**3 which corresponds to a mean thickness change of -10.5 m. An extrapolation of these changes to all of the 173 glaciers in Salzburg results in a loss of about 1.04 km**3 between GI1 and GI3 and 0.44 km**3 between GI2 and GI3. Overall annual changes in the province of Salzburg between GI2 and GI3 were higher than between GI1 and GI2 and show likewise changes such as those of Tyrol.

Abundance and biomass of dinoflagellates and ciliates at time series station Helgoland Roads, North Sea, 2007-2009

A monitoring programme for microzooplankton was started at the long-term sampling station ''Kabeltonne'' at Helgoland Roads (54°11.30' N; 7°54.00' E) in January 2007 in order to provide more detailed knowledge on microzooplankton occurrence, composition and seasonality patterns at this site and to complement the existing plankton data series. Ciliate and dinoflagellate cell concentration and carbon biomass were recorded on a weekly basis. Heterotrophic dinoflagellates were considerably more important in terms of biomass than ciliates, especially during the summer months. However, in early spring, ciliates were the major group of microzooplankton grazers as they responded more quickly to phytoplankton food availability. Mixotrophic dinoflagellates played a secondary role in terms of biomass when compared to heterotrophic species; nevertheless, they made up an intense late summer bloom in 2007. The photosynthetic ciliate Myrionecta rubra bloomed at the end of the sampling period. Due to its high biomass when compared to crustacean plankton especially during the spring bloom, microzooplankton should be regarded as the more important phytoplankton grazer group at Helgoland Roads. Based on these results, analyses of biotic and abiotic factors driving microzooplankton composition and abundance are necessary for a full understanding of this important component of the plankton.

Elecciones de los docentes de Educación Física de escuelas secundarias frente a la oferta de capacitación, en La Plata (2007-2009)

El tema de esta tesis son las elecciones que realizan los docentes de Educación Física de nivel secundario frente a la oferta de capacitación. Las preguntas que orientan esta tesis son: ¿Qué factores inciden en la elección de la oferta de capacitación que realizan los docentes? ¿Qué lugar ocupan estas elecciones de los docentes en el diseño de las políticas de capacitación? Para responder a estas preguntas se retoman las investigaciones que aportan datos y perspectivas sobre el peso de la normativa y el trabajo docente, y sobre la institucionalización de distintas modalidades de capacitación. Se aborda la elección de la capacitación desde la perspectiva de los actores, considerando la incidencia de sus contextos y la interacción con las culturas escolares en la que conviven y crean y desde la cual eligen opciones de capacitación. Para esto considero la perspectiva del saber docente y su desarrollo profesional en interacción con los aportes sobre la relación de los sujetos con el saber, reconociendo la implicancia de los sistemas de sentido que se construyen desde las características y la situación de quien elige. ;La estrategia metodológica se centra en entrevistas a docentes de Educación Física, se complementa con entrevistas a responsables de la gestión de acciones de capacitación en el distrito de La Plata, y con el análisis de los documentos que regulan la capacitación en la provincia de Buenos Aires

Baseline surface radiation during the International Polar Year 2007-2009

Downwelling and upwelling shortwave and longwave radiation components from six active polar sites, taking part of the Baseline Surface Radiation Network (BSRN), were selected for the period of the last International Polar Year (March 2007 to March 2009), and included in the BSRN-IPY dataset, along with metadata and supplementary data for some of the stations. Two sites, located at Svalbard archipelago (Ny Ålesund) and Alaska (Barrow), represent Arctic sea-level conditions. Four Antarctic stations represent both sea-level (Dronning Maud Land and Cosmonaut Sea) and high-elevation conditions (South Pole and East Antarctic Plateau). The BSRN-IPY dataset content and quality are discussed.

Elecciones de los docentes de Educación Física de escuelas secundarias frente a la oferta de capacitación, en La Plata (2007-2009)

El tema de esta tesis son las elecciones que realizan los docentes de Educación Física de nivel secundario frente a la oferta de capacitación. Las preguntas que orientan esta tesis son: ¿Qué factores inciden en la elección de la oferta de capacitación que realizan los docentes? ¿Qué lugar ocupan estas elecciones de los docentes en el diseño de las políticas de capacitación? Para responder a estas preguntas se retoman las investigaciones que aportan datos y perspectivas sobre el peso de la normativa y el trabajo docente, y sobre la institucionalización de distintas modalidades de capacitación. Se aborda la elección de la capacitación desde la perspectiva de los actores, considerando la incidencia de sus contextos y la interacción con las culturas escolares en la que conviven y crean y desde la cual eligen opciones de capacitación. Para esto considero la perspectiva del saber docente y su desarrollo profesional en interacción con los aportes sobre la relación de los sujetos con el saber, reconociendo la implicancia de los sistemas de sentido que se construyen desde las características y la situación de quien elige. ;La estrategia metodológica se centra en entrevistas a docentes de Educación Física, se complementa con entrevistas a responsables de la gestión de acciones de capacitación en el distrito de La Plata, y con el análisis de los documentos que regulan la capacitación en la provincia de Buenos Aires

Elecciones de los docentes de Educación Física de escuelas secundarias frente a la oferta de capacitación, en La Plata (2007-2009)

El tema de esta tesis son las elecciones que realizan los docentes de Educación Física de nivel secundario frente a la oferta de capacitación. Las preguntas que orientan esta tesis son: ¿Qué factores inciden en la elección de la oferta de capacitación que realizan los docentes? ¿Qué lugar ocupan estas elecciones de los docentes en el diseño de las políticas de capacitación? Para responder a estas preguntas se retoman las investigaciones que aportan datos y perspectivas sobre el peso de la normativa y el trabajo docente, y sobre la institucionalización de distintas modalidades de capacitación. Se aborda la elección de la capacitación desde la perspectiva de los actores, considerando la incidencia de sus contextos y la interacción con las culturas escolares en la que conviven y crean y desde la cual eligen opciones de capacitación. Para esto considero la perspectiva del saber docente y su desarrollo profesional en interacción con los aportes sobre la relación de los sujetos con el saber, reconociendo la implicancia de los sistemas de sentido que se construyen desde las características y la situación de quien elige. ;La estrategia metodológica se centra en entrevistas a docentes de Educación Física, se complementa con entrevistas a responsables de la gestión de acciones de capacitación en el distrito de La Plata, y con el análisis de los documentos que regulan la capacitación en la provincia de Buenos Aires

(Tables 1, 2) Permafrost borehole characteristics in the Nordic Area during the IPY 2007-2009

This paper provides a snapshot of the permafrost thermal state in the Nordic area obtained during the International Polar Year (IPY) 2007-2009. Several intensive research campaigns were undertaken within a variety of projects in the Nordic countries to obtain this snapshot. We demonstrate for Scandinavia that both lowland permafrost in palsas and peat plateaus, and large areas of permafrost in the mountains are at temperatures close to 0°C, which makes them sensitive to climatic changes. In Svalbard and northeast Greenland, and also in the highest parts of the mountains in the rest of the Nordic area, the permafrost is somewhat colder, but still only a few degrees below the freezing point. The observations presented from the network of boreholes, more than half of which were established during the IPY, provide an important baseline to assess how future predicted climatic changes may affect the permafrost thermal state in the Nordic area. Time series of active-layer thickness and permafrost temperature conditions in the Nordic area, which are generally only 10 years in length, show generally increasing active-layer depths and rising permafrost temperatures.