974 resultados para 317.9231


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Our objective is to define differences in circulating lipoprotein subclasses between intensive vs. conventional management of Type 1 diabetes during the randomization phase of the Diabetes Control and Complications Trial (DCCT). Nuclear magnetic resonance-determined lipoprotein subclass profiles (NMR-LSP), which estimate molar subclass concentrations and mean particle diameters, were determined in 1,294 DCCT subjects after a median of five (interquartile range: four, six) years following randomization to intensive or conventional diabetes management. In cross-sectional analyses, we compared standard lipids and NMR-LSP between treatment groups. Standard total-, LDL- and HDL-cholesterol levels were similar between randomization groups, while triglyceride levels were lower in the intensively treated group. NMR-LSP showed that intensive therapy was associated with larger LDL diameter (20.7 vs. 20.6 nm, p=0.01) and lower levels of small LDL (median: 465 vs. 552 nmol/l, p=0.007), total IDL/LDL (mean: 1000 vs. 1053 nmol/l, p=0.01), and small HDL (mean: 17.3 vs. 18.6 μmol/l, p<0.0001), the latter accounting for reduced total HDL (mean: 33.8 vs. 34.8 μmol/l, p=0.01). In conclusion, intensive diabetes therapy was associated with potentially favorable changes in LDL and HDL subclasses in sera. Further research will determine whether these changes contribute to the beneficial effects of intensive diabetes management on vascular complications.

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‘Canzone d’autore’ is the name that a vast community of Italian music critics, authors, per-formers, producers agreed upon in the mid-1970s, to describe the Italian singer-songwriter genre. Singer-songwriters, who had been missing from Italian popular music – with very few exceptions – until the late 1950s, had become increasingly popular after 1958, and were dubbed ‘cantautori’ in 1960. The term, which propagated to Spain, Catalonia, and Latin Amer-ica, is still in use, but ‘canzone d’autore’ superseded it as a genre label, highlighting the con-nections between authorship and artistic value, implied in the already established notion of ‘Cinéma d’auteur’ from which it was derived.

The expression ‘entechno laiko tragoudi’ (‘art-folk song’) was coined in Greece by Mikis The-odorakis in the 1950s, to describe a new music genre combining the urban-folk musical idi-om with lyrics coming from high-art poetry. Although the origins of the genre are tied to the work of composers like Theodorakis and Hatzidakis who did not perform as singers, from the 1970s onwards entechno became the privileged field of new generations of Greek singer-songwriters. Dropping ‘laiko’ (folk) from its label, entechno expanded its musical influences outside the urban-folk repertory and transformed into the more all-encompassing contempo-rary ‘art song’.

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O envelhecimento demográfico é um fenómeno mundial com inúmeras repercussões a diversos níveis e do qual decorrem distintas problemáticas, sendo a violência sobre os idosos uma das mais preocupantes. Portugal, país em que se destaca a Região do Alentejo como a mais envelhecida, vive-se este complexo fenómeno, pelo que se coloca com toda a acuidade o desenvolvimento de estudos com o objetivo de conhecer melhor os contornos desta realidade e que permitam empreender medidas que ajudem a melhor lidar com ela. Assim sendo, desenvolveu-se o presente estudo cujos objetivos são caraterizar o fenómeno da violência sobre os idosos, no Alentejo e analisar as representações sociais de violência sobre os idosos, no Alentejo.

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A área de Aguiar da Beira está integrada nos terrenos autóctones da Zona Centro-ibérica e é constituída essencialmente por rochas granitóides variscas instaladas durante e após a terceira fase de deformação (D3). As relações de campo mostram que estes granitóides intruíram formações metassedimentares de idade proterozóica superior-câmbrica e as sequências do Ordovícico e do Carbónico do sinclinal Porto-Sátão, cujo extremo SE aflora na área de estudo. Com base na cartografia publicada e nos dados de campo colhidos no âmbito deste trabalho, foi possível individualizar oito intrusões distintas: o granodiorito -granito biotítico de Sernancelhe, o granito gnaissoso de duas micas, o granito moscovítico-biotítico de Vila Nova de Paiva, o granodiorito-granito biotítico-moscovítico de Lagares e os granitos de Touro (biotítico-moscovítico), Aguiar da Beira (moscovítico-biotítico), Pera Velha / Vila da Ponte (biotítico-moscovítico) e Rei Mouro (moscovítico-biotítico). A presença de encraves microgranulares em cinco dos granitóides estudados sugere que os processos de mistura de magmas desempenharam um papel importante na sua petrogénese. As datações U-Pb obtidas em zircões e monazites durante o presente estudo permitiram subdividir os granitóides de Aguiar da Beira em três grupos, de acordo com as suas relações com a terceira fase de deformação (D3): granitóides sin-tectónicos (Sernancelhe e granito gnaissoso; 322-317 Ma), tardi-tectónicos (Vila Nova de Paiva, Lagares e Touro; 308-306 Ma), e tardi- a pós-tectónicos (Aguiar da Beira, Pera Velha / Vila da Ponte e Rei Mouro; 303297 Ma). As assinaturas geoquímicas de elementos maiores e traço dos granitóides estudados, em conjunto com os dados isotópicos Sr-Nd e δ18 (rocha total e zircão) apontam para uma contribuição significativa de protólitos crustais na génese destes magmas. Á excepção do granito gnaissoso, todos os granitóides possuem um carácter transicional entre os granitos do tipo I e do tipo S, o que apoiado pelos dados de geoquímica de rocha total e isotópica, e pela presença de encraves microgranulares de composição mais máfica presentes em muitos deles, indicia uma forte intervenção de processos de hibridização de líquidos de proveniência distinta (crustais e mantélicos), em diferentes proporções, na sua origem. Pelo contrário, as características geoquímicas e isotópicas do granito gnaissoso revelam claras afinidades com os granitos do tipo S, e sugerem que tenha derivado da anatexia de fontes exclusivamente supracrustais. No entanto, parte da variabilidade geoquímica e isotópica observada em todos os granitóides estudados só poderá ser explicada pela actuação de processos de cristalização fraccionada, especialmente intensos no caso do granito gnaissoso e dos granitos tardi- a PÓS-D3.

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Programa de la asignatura “Técnicas bibliográficas, hemerográficas y documentales II” del Departamento de Pedagogía del Sistema Universidad Abierta de la Facultad de Filosofía y Letras de la UNAM, correspondiente al semestre 2009-2.

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Dissertação mest., Biologia e Geologia, Universidade do Algarve, 2007

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Community involvement in the fields of town planning and urban regeneration includes a wide range of opportunities for residents and service users to engage with networks, partnerships and centres of power. Both the terminology and degree of the transfer of power to citizens varies in different policy areas and contexts but five core objectives can be identified. This article approaches the subject of community empowerment by exploring the theoretical literature; reviewing recent policy pronouncements relating to community involvement in England and by discussing a recent case study of an Urban II project in London. The conclusions suggest that community empowerment is always likely to be partial and contingent on local circumstances and the wider context.

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This chapter reports on a study of teachers in transition, developing their practice and their cognitions regarding the integration of learning technologies with traditional approaches to the teaching of English for Academic Purposes (EAP). Taking a case study approach, it examines developments in the practice of three teachers during and after a teacher education programme on the use of technology in the EAP classroom. This is a study of cognition, teaching philosophy, and the relationship between pedagogy, technology, and content, and how teachers situate these within their own practice. The setting is the rapidly changing UK higher education environment, where the speed of change is such that today's latest fashions and gadgets may well be yesterday's news tomorrow. Thus, this is not a tale of individual technologies or tools to make teachers' lives better. This is a story of people, of pedagogy's traditional values intersecting with technology, and the issues arising from this, alongside the evolution of strategies for dealing with these issues.

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DESIGN: A randomized controlled trial.OB JECTIVE: To investigate the immediate effects on pressure pain thresholds over latent trigger points (TrPs) in the masseter and temporalis muscles and active mouth opening following atlanto-occipital joint thrust manipulation or a soft tissue manual intervention targeted to the suboccipital muscles. BACKGROUND : Previous studies have described hypoalgesic effects of neck manipulative interventions over TrPs in the cervical musculature. There is a lack of studies analyzing these mechanisms over TrPs of muscles innervated by the trigeminal nerve. METHODS: One hundred twenty-two volunteers, 31 men and 91 women, between the ages of 18 and 30 years, with latent TrPs in the masseter muscle, were randomly divided into 3 groups: a manipulative group who received an atlanto-occipital joint thrust, a soft tissue group who received an inhibition technique over the suboccipital muscles, and a control group who did not receive an intervention. Pressure pain thresholds over latent TrPs in the masseter and temporalis muscles, and active mouth opening were assessed pretreatment and 2 minutes posttreatment by a blinded assessor. Mixed-model analyses of variance (ANOVA) were used to examine the effects of interventions on each outcome, with group as the between-subjects variable and time as the within-subjects variable. The primary analysis was the group-by-time interaction. RESULTS: The 2-by-3 mixed-model ANOVA revealed a significant group-by-time interaction for changes in pressure pain thresholds over masseter (P<.01) and temporalis (P =.003) muscle latent TrPs and also for active mouth opening (P<.001) in favor of the manipulative and soft tissue groups. Between-group effect sizes were small. CONCLUSIONS: The application of an atlanto-occipital thrust manipulation or soft tissue technique targeted to the suboccipital muscles led to an immediate increase in pressure pain thresholds over latent TrPs in the masseter and temporalis muscles and an increase in maximum active mouth opening. Nevertheless, the effects of both interventions were small and future studies are required to elucidate the clinical relevance of these changes. LEVEL OF EVIDENCE : Therapy, level 1b. J Orthop Sports Phys Ther 2010;40(5):310-317. doi:10.2519/jospt.2010.3257. KEYWORDSDS: cervical manipulation, muscle trigger points, neck, TMJ, upper cervical.

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Tese de Doutoramento, Ciências do Mar (especialidade em Ecologia Marinha), 11 de Setembro de 2015, Universidade dos Açores.

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This paper intends to show the Portuguese municipalities’ commitment, since the first decade of this century, in cultural facilities of municipal management and how it provided 12 of the 18 district capitals of mainland Portugal with cultural equipment, but after all we want to know if this effort resulted in a regular, diverse, and innovative schedule. Investing in urban regeneration, local governments have tried to convert cities’ demographic changes (strengthening of the most educated and professionally qualified groups) in effective cultural demands that consolidate the three axes of development competitiveness-innovation-creativity. What the empirical study to the programming and communication proposals of those equipment shows is that it is not enough to provide cities with facilities; to escape to a utilitarian conception of culture, there is a whole work to be done so that such equipment be experienced and felt as new public sphere. Equipment in which proposals go through a fluid bind, constructed through space and discourse with local community, devoted a diversified and innovative bet full filling development axis. This paper presents in a systematic way what contributes to this binding on the analyzed equipment.