Eficacia del diagnóstico prenatal no invasivo por células fetales libres en sangre materna 1990-2014. Revisión sistemática

ANTECEDENTES: El aislamiento de células fetales libres o ADN fetal en sangre materna abre una ventana de posibilidades diagnósticas no invasivas para patologías monogénicas y cromosómicas, además de permitir la identificación del sexo y del RH fetal. Actualmente existen múltiples estudios que evalúan la eficacia de estos métodos, mostrando resultados costo-efectivos y de menor riesgo que el estándar de oro. Este trabajo describe la evidencia encontrada acerca del diagnóstico prenatal no invasivo luego de realizar una revisión sistemática de la literatura. OBJETIVOS: El objetivo de este estudio fue reunir la evidencia que cumpla con los criterios de búsqueda, en el tema del diagnóstico fetal no invasivo por células fetales libres en sangre materna para determinar su utilidad diagnóstica.  MÉTODOS: Se realizó una revisión sistemática de la literatura con el fin de determinar si el diagnóstico prenatal no invasivo por células fetales libres en sangre materna es efectivo como método de diagnóstico.  RESULTADOS: Se encontraron 5,893 artículos que cumplían con los criterios de búsqueda; 67 cumplieron los criterios de inclusión: 49.3% (33/67) correspondieron a estudios de corte transversal, 38,8% (26/67) a estudios de cohortes y el 11.9% (8/67) a estudios casos y controles. Se obtuvieron resultados de sensibilidad, especificidad y tipo de prueba. CONCLUSIÓN: En la presente revisión sistemática, se evidencia como el diagnóstico prenatal no invasivo es una técnica feasible, reproducible y sensible para el diagnóstico fetal, evitando el riesgo de un diagnóstico invasivo.

Resiliencia organizacional y capital psicológico

Desde la noción universal sobre la empresa como un sistema de interacción con un entorno determinado para alcanzar un objetivo, de manera planificada y en función de satisfacer las demandas de un mercado mediante la actividad económica, su viabilidad, sostenibilidad y crecimiento dependerán, por supuesto, de una serie de estrategias adecuadas no solo para tales fines, sino también para enfrentar diversidad de agentes endógenos y exógenos que puedan afectar el normal desempeño de su gestión. Estamos hablando de la importancia de la resiliencia organizacional y del Capital Psicológico. En un escenario tan impredecible como el de la economía mundial, donde la constante son los cambios en su comportamiento —unos propios de su dinámica e interdependencia, naturales de fenómenos como la globalización, y otros derivados de eventos disruptivos— hoy más que nunca es necesario implementar el modelo de la empresa resiliente, que es aquella entidad capaz de adaptarse y recuperarse frente a una perturbación. Al mismo tiempo, más allá de su tamaño, naturaleza u objeto social, es indispensable reconocer básicamente que toda organización está constituida por personas, lo cual implica la trascendencia que para su funcionamiento tiene el factor humano-dependiente, y por lo tanto se crea la necesidad de promover el Capital Psicológico y la resiliencia a nivel de las organizaciones a través de una cultura empresarial.

Demarcación teórica del optimismo y la resiliencia en el contexto de capital psicológico.

En este estudio se describe el constructo del Capital Psicológico y se hace el análisis de sus respectivos componentes; enfocándose en los conceptos de Optimismo y Resiliencia, con el fin de encontrar y demarcar teóricamente las diferencias que existen entre estos dos componentes. A consecuencia de la frecuente confusión entre estos dos términos en el ámbito académico, surge el interés de encontrar y analizar diferentes estudios e investigaciones que se hayan hecho hasta el momento, las cuales logren resaltar dichas diferencias, para aplicar este conocimiento a las personas con el fin de brindarles una mejor calidad de vida en el ámbito personal y profesional. La autoeficacia, en contextos organizacionales, hace referencia a la convicción y confianza con la que cuenta un trabajador, sobre sus habilidades para trabajar su motivación, teniendo en cuenta recursos cognitivos y/o cursos de acción necesarios para proyectar y completar exitosamente una prueba específica de su vida. El optimismo, se estudia como aquel estilo de pensamiento explicativo, que carga los eventos positivos a causas internas, continuas y penetrantes, y los eventos negativos a razones externas. Por otro lado, la esperanza es la capacidad de todo ser humano para llevar a cabo acciones que lo orienten a una meta deseada, a través de la propia motivación y el pensamiento seguro y positivo. Por último, la Resiliencia es tener la capacidad de recobrar frente a la adversidad, el fracaso, o incluso cambios efectivos que pueden parecer opresores.

A atitude dos professores face à inclusão de alunos com deficiência : a influência do nível de ensino

RESUMO: A conjuntura actual veicula a necessidade de reflexão e de mudança acerca da concepção do modelo educativo, que se reformulam em novas realidades e ajustam a incumbência de adaptar. É certo que as necessidades de mudança devem partir de uma reflexão séria, fundamentando-se e difundindo o seu propósito em valores superiores. Estes desafios, que se cruzam na moralização social, tornam a discussão acerca do Paradigma Inclusivo substancial. O carácter quantitativo do estudo, assume o pressuposto de encontrar uma forma de monitorização de dados, decorrentes da aplicação de um inquérito por questionário, que para além da recolha de informações, visava também promover a reflexão dos professores, acerca das suas atitudes. Numa lógica de investigação em mosaico, obteve-se uma amostra total de 741 inquiridos, seleccionados no universo docente de forma aleatória. O tratamento estatístico foi desenvolvido por meio do suplemento EZanalyze, recorrendo-nos do teste paramétrico de análise de variância – ANOVA. Assim, pareceu-nos pertinente, centrar este estudo na figura activa do professor, no processo ensino-aprendizagem em contexto de sala de aula, propondo-nos a procurar eventuais analogias entre as variáveis Nível de Ensino e Grupo Disciplinar em estreita relação com a atitude dos docentes, relativas às vantagens da educação inclusiva, tanto para os alunos ditos normais como para os alunos portadores de deficiência, averiguando tanto a deficiência no seu âmbito geral, como especificando ainda a Deficiência Mental e a Deficiência Motora. Verificou-se que as variáveis Nível de Ensino e o Grupo Disciplinar influenciam directamente a atitude dos professores face aos benefícios para os alunos, que advêm da implementação do Paradigma Inclusivo. Verificou-se ainda que as vantagens que a inclusão proporciona, vão-se esbatendo à medida que o nível de ensino vai avançando. Naturalmente, destacam-se de forma positiva, os Educadores de Infância e os professores do 1º ciclo como os que se aproximam de atitudes mais inclusivas. Por sua vez constatou-se que as atitudes dos docentes do 2º ciclo ao ensino secundário evidenciavam atitudes bastante idênticas. ABSTRACT: The present context conveys the need for reflection and transformation on the educational model, which will reshape into new realities and readapt. It is true that the need for change must start from a serious enquiry, basing himself and his purpose on spreading higher standards. These challenges are intertwined in social moralizing which makes the discussion surrounding the Inclusive Paradigm substantial. The quantitative nature of the study, assumes the purpose of finding a way to monitor data from the application of a questionnaire that in addition to the collection of information, also aimed at promoting teachers reflection about their attitudes. In the logics of mosaic research, we obtained a total sample of 741 respondents, all of them were teachers selected at random. Statistical analysis was developed through EZanalyze, using the parametric test analysis of variance - ANOVA. Thus, it seemed appropriate that this study focused on the teacher's active figure on the teaching-learning process in the classroom, offering us a look for possible analogies between the variables Education Degree and Discipline Group in close relation with the teacher’s attitude concerning the advantages of inclusive education, for normal students as for students with disabilities, examining the deficiency within the general scope, such as specifying mentally and physical disabled. It was concluded that the variables Level of Education and Discipline Group directly influence teacher’s attitude, towards student’s benefits, coming from implementation of the Inclusive Paradigm. It was also concluded that the benefits of inclusion, are blurred as the education level progresses. Standing in a positive way, Early Childhood Educators and First Degree Teachers have more inclusive attitudes. Also, teachers from Second Degree to Secondary Degree has evidenced has being fairly homogeneous related to their attitudes towards the benefits of implementing a truly Inclusive Paradigm.

Implementação das medidas de autoproteção num edifício escolar da Ilha da Madeira

O presente artigo resume uma dissertação de Mestrado em Segurança e Higiene do Trabalho. Foi feito um estudo da implementação das Medidas de Autoproteção (MAP) contra incêndio, numa escola de ensino básico e secundário, cujo edifício é isolado, com três pisos e comporta 952 pessoas. Teve como objetivos contribuir para a melhoria dos resultados em situações de emergência, da cultura de segurança e da resiliência. A concretização deste estudo implicou reuniões com o Delegado de Segurança (DS) da instituição, visitas de reconhecimento às instalações, análise de documentação existente, elaboração de documentação auxiliar, programação de ações de sensibilização e de simulação, com envolvimento de meios. A metodologia baseou-se na observação participante, com recurso a gravações de vídeo das atividades desenvolvidas, para posterior análise. No fim do estudo, concluiu-se que os Agentes de Segurança (AS) não estariam, à partida, capacitados para desempenhar as respetivas funções nas MAP. Verificou-se, ainda assim, ser possível desenvolver-lhes algumas competências, mediante informação, formação e treino, que vieram iniciar os AS em matérias de combate ao incêndio, evacuação e primeiros socorros, bem como sensibilizar para as consequências a que se podem expor, para a necessidade de controlo emocional e comunicação eficaz, em situação de emergência. / This article summarizes a master course thesis in Health and Safety at Work. A study was made about the implementation of Measures of Fire Self-Protection (MAP) in a school of basic and secondary education, whose building is isolated, with three floors and accommodates 952 persons. The study aimed to improve results in emergency situations, safety culture and resilience. Such objectives required meetings with the School Safety Officer (DS), reconnaissance visits to facilities, analysis of existing documentation, preparation of auxiliary documentation and awareness-raising actions programming and simulation, as well as the allocation of their resources. The methodology was based on participant observation, with the use of video recordings of activities for later analysis. At the end of the study it was found that the Safety Agents (AS), at the beginning, would not be able to carry out their functions in the MAP. Still, it was found to be possible to develop in them some skills, through information, education and training, which initiated the agents in matters of fire fighting, evacuation and first aid, as well as raised their awareness of the consequences to which they may be exposed, to the need for emotional control and effective communication, in an emergency situation.

Quartic anharmonic resonances in acetylene molecules

Formulas are derived for the quartic anharmonic resonance coefficients observed to be important between C–H stretching and the combination of one quantum of C≡C stretching and two quanta of H–C≡C bending in a number of acetylene molecules. Examples of this resonance are ν3 with ν2+ν4+ν5 in 12C2H2, ν1 with ν2+2ν5 in 13C2H2, and ν1 with ν2+2ν4 in monofluoroacetylene and monochloroacetylene. The coefficients characterizing the resonances in these examples, which we denote K3,245, K1,255, and K1,244, arise from cubic and quartic terms in the anharmonic force field, in the normal coordinate representation, through second order and first order perturbation treatments respectively, where the second order resonances are calculated by a Van Vleck resonance formalism. The experimentally determined values of these coefficients are compared with values calculated from model anharmonic force fields.

Breeding success of Spotted Flycatchers Muscicapa striata in southern England - is woodland a good habitat for this species?

The UK population of the Spotted Flycatcher Muscicapa striata has declined markedly in the last 30 years but there have been few recent studies of the species. This study examined the relationship between nest success and the predominant habitat type around Spotted Flycatcher nests in two contrasting areas of England. A breeding population in eastern England, a region where numbers of Spotted Flycatchers are known to have decreased dramatically in recent decades, was compared with another in southwest England, where numbers have remained stable or even increased. Whilst there was no difference in breeding success between the two study areas, there were significant differences between habitats, with garden nests more successful than those in farmland or woodland, at both egg and chick stages. Estimates of productivity per nesting attempt were also lower in farmland and woodland, with nests in gardens fledging twice as many chicks as those in either woodland or farmland. The proximate cause of lower success in farmland and woodland was higher nest predation rates during both egg and chick stages. In terms of nesting success, farmland and woodland appear to be similar in quality for this species, but both appear to be suboptimal habitats when compared with gardens, providing evidence of a problem on the breeding grounds for this species, in at least these two habitats.

Breeding success of Spotted Flycatchers Muscicapa striata in southern England - is woodland a good habitat for this species?

The UK population of the Spotted Flycatcher Muscicapa striata has declined markedly in the last 30 years but there have been few recent studies of the species. This study examined the relationship between nest success and the predominant habitat type around Spotted Flycatcher nests in two contrasting areas of England. A breeding population in eastern England, a region where numbers of Spotted Flycatchers are known to have decreased dramatically in recent decades, was compared with another in southwest England, where numbers have remained stable or even increased. Whilst there was no difference in breeding success between the two study areas, there were significant differences between habitats, with garden nests more successful than those in farmland or woodland, at both egg and chick stages. Estimates of productivity per nesting attempt were also lower in farmland and woodland, with nests in gardens fledging twice as many chicks as those in either woodland or farmland. The proximate cause of lower success in farmland and woodland was higher nest predation rates during both egg and chick stages. In terms of nesting success, farmland and woodland appear to be similar in quality for this species, but both appear to be suboptimal habitats when compared with gardens, providing evidence of a problem on the breeding grounds for this species, in at least these two habitats.

Genotypic sex determination enabled adaptive radiations of extinct marine reptiles

Adaptive radiations often follow the evolution of key traits, such as the origin of the amniotic egg and the subsequent radiation of terrestrial vertebrates. The mechanism by which a species determines the sex of its offspring has been linked to critical ecological and life-history traits(1-3) but not to major adaptive radiations, in part because sex-determining mechanisms do not fossilize. Here we establish a previously unknown coevolutionary relationship in 94 amniote species between sex-determining mechanism and whether a species bears live young or lays eggs. We use that relationship to predict the sex-determining mechanism in three independent lineages of extinct Mesozoic marine reptiles (mosasaurs, sauropterygians and ichthyosaurs), each of which is known from fossils to have evolved live birth(4-7). Our results indicate that each lineage evolved genotypic sex determination before acquiring live birth. This enabled their pelagic radiations, where the relatively stable temperatures of the open ocean constrain temperature-dependent sex determination in amniote species. Freed from the need to move and nest on land(4,5,8), extreme physical adaptations to a pelagic lifestyle evolved in each group, such as the fluked tails, dorsal fins and wing-shaped limbs of ichthyosaurs. With the inclusion of ichthyosaurs, mosasaurs and sauropterygians, genotypic sex determination is present in all known fully pelagic amniote groups (sea snakes, sirenians and cetaceans), suggesting that this mode of sex determination and the subsequent evolution of live birth are key traits required for marine adaptive radiations in amniote lineages.

Assessment of the RE(OH)3 Ising magnetic materials as possible candidates for the study of transverse-field-induced quantum phase transitions

The LiHoxY1−xF4 Ising magnetic material subject to a magnetic field perpendicular to the Ho3+ Ising direction has shown over the past 20 years to be a host of very interesting thermodynamic and magnetic phenomena. Unfortunately, the availability of other magnetic materials other than LiHoxY1−xF4 that may be described by a transverse-field Ising model remains very much limited. It is in this context that we use here a mean-field theory to investigate the suitability of the Ho(OH)3, Dy(OH)3, and Tb(OH)3 insulating hexagonal dipolar Ising-type ferromagnets for the study of the quantum phase transition induced by a magnetic field, Bx, applied perpendicular to the Ising spin direction. Experimentally, the zero-field critical (Curie) temperatures are known to be Tc≈2.54, 3.48, and 3.72 K, for Ho(OH)3, Dy(OH)3, and Tb(OH)3, respectively. From our calculations we estimate the critical transverse field, Bxc, to destroy ferromagnetic order at zero temperature to be Bxc=4.35, 5.03, and 54.81 T for Ho(OH)3, Dy(OH)3, and Tb(OH)3, respectively. We find that Ho(OH)3, similarly to LiHoF4, can be quantitatively described by an effective S=1/2 transverse-field Ising model. This is not the case for Dy(OH)3 due to the strong admixing between the ground doublet and first excited doublet induced by the dipolar interactions. Furthermore, we find that the paramagnetic (PM) to ferromagnetic (FM) transition in Dy(OH)3 becomes first order for strong Bx and low temperatures. Hence, the PM to FM zero-temperature transition in Dy(OH)3 may be first order and not quantum critical. We investigate the effect of competing antiferromagnetic nearest-neighbor exchange and applied magnetic field, Bz, along the Ising spin direction ẑ on the first-order transition in Dy(OH)3. We conclude from these preliminary calculations that Ho(OH)3 and Dy(OH)3 and their Y3+ diamagnetically diluted variants, HoxY1−x(OH)3 and DyxY1−x(OH)3, are potentially interesting systems to study transverse-field-induced quantum fluctuations effects in hard axis (Ising-type) magnetic materials.

The economic consequences of mortgage debt

Unsurprisingly, a great deal of attention has been paid to the economic consequences of the credit crunch. However, this paper shows that the credit crunch was preceded by a strong build-up of mortgage debt internationally, which, in the long run, could turn out to be more significant than the credit crunch itself. Indeed, the debt build-up suggests that the credit crunch is more likely to reoccur, because highly-indebted households have weaker buffers to withstand unexpected shocks to their incomes or to interest rates. The paper presents a model that can explain the debt build-up and changes to the distribution of debt between existing owners and first-time buyers, which hinders access to home-ownership for the latter, even amongst those households who would be considered as credit-worthy.

Periodic time series modeling of environmental proxy records with guaranteed positive growth rate estimation

Identifying a periodic time-series model from environmental records, without imposing the positivity of the growth rate, does not necessarily respect the time order of the data observations. Consequently, subsequent observations, sampled in the environmental archive, can be inversed on the time axis, resulting in a non-physical signal model. In this paper an optimization technique with linear constraints on the signal model parameters is proposed that prevents time inversions. The activation conditions for this constrained optimization are based upon the physical constraint of the growth rate, namely, that it cannot take values smaller than zero. The actual constraints are defined for polynomials and first-order splines as basis functions for the nonlinear contribution in the distance-time relationship. The method is compared with an existing method that eliminates the time inversions, and its noise sensitivity is tested by means of Monte Carlo simulations. Finally, the usefulness of the method is demonstrated on the measurements of the vessel density, in a mangrove tree, Rhizophora mucronata, and the measurement of Mg/Ca ratios, in a bivalve, Mytilus trossulus.

Literature for the very young

This chapter looks at books which will support the very young through their earliest childhood and first few years of schooling. Learning to read can be hard but it is a lot harder if you never encounter the sort of literature that will engage you and motivate you to see the whole learning process as worthwhile. The chapter considers ways to share great texts with young children and how to select good books to share.

An Earth Observation Land Data Assimilation System (EO-LDAS)

Current methods for estimating vegetation parameters are generally sub-optimal in the way they exploit information and do not generally consider uncertainties. We look forward to a future where operational dataassimilation schemes improve estimates by tracking land surface processes and exploiting multiple types of observations. Dataassimilation schemes seek to combine observations and models in a statistically optimal way taking into account uncertainty in both, but have not yet been much exploited in this area. The EO-LDAS scheme and prototype, developed under ESA funding, is designed to exploit the anticipated wealth of data that will be available under GMES missions, such as the Sentinel family of satellites, to provide improved mapping of land surface biophysical parameters. This paper describes the EO-LDAS implementation, and explores some of its core functionality. EO-LDAS is a weak constraint variational dataassimilationsystem. The prototype provides a mechanism for constraint based on a prior estimate of the state vector, a linear dynamic model, and EarthObservationdata (top-of-canopy reflectance here). The observation operator is a non-linear optical radiative transfer model for a vegetation canopy with a soil lower boundary, operating over the range 400 to 2500 nm. Adjoint codes for all model and operator components are provided in the prototype by automatic differentiation of the computer codes. In this paper, EO-LDAS is applied to the problem of daily estimation of six of the parameters controlling the radiative transfer operator over the course of a year (> 2000 state vector elements). Zero and first order process model constraints are implemented and explored as the dynamic model. The assimilation estimates all state vector elements simultaneously. This is performed in the context of a typical Sentinel-2 MSI operating scenario, using synthetic MSI observations simulated with the observation operator, with uncertainties typical of those achieved by optical sensors supposed for the data. The experiments consider a baseline state vector estimation case where dynamic constraints are applied, and assess the impact of dynamic constraints on the a posteriori uncertainties. The results demonstrate that reductions in uncertainty by a factor of up to two might be obtained by applying the sorts of dynamic constraints used here. The hyperparameter (dynamic model uncertainty) required to control the assimilation are estimated by a cross-validation exercise. The result of the assimilation is seen to be robust to missing observations with quite large data gaps.

Extended factorizations of exponential functionals of Lévy processes

Pardo, Patie, and Savov derived, under mild conditions, a Wiener-Hopf type factorization for the exponential functional of proper Lévy processes. In this paper, we extend this factorization by relaxing a finite moment assumption as well as by considering the exponential functional for killed Lévy processes. As a by-product, we derive some interesting fine distributional properties enjoyed by a large class of this random variable, such as the absolute continuity of its distribution and the smoothness, boundedness or complete monotonicity of its density. This type of results is then used to derive similar properties for the law of maxima and first passage time of some stable Lévy processes. Thus, for example, we show that for any stable process with $\rho\in(0,\frac{1}{\alpha}-1]$, where $\rho\in[0,1]$ is the positivity parameter and $\alpha$ is the stable index, then the first passage time has a bounded and non-increasing density on $\mathbb{R}_+$. We also generate many instances of integral or power series representations for the law of the exponential functional of Lévy processes with one or two-sided jumps. The proof of our main results requires different devices from the one developed by Pardo, Patie, Savov. It relies in particular on a generalization of a transform recently introduced by Chazal et al together with some extensions to killed Lévy process of Wiener-Hopf techniques. The factorizations developed here also allow for further applications which we only indicate here also allow for further applications which we only indicate here.