988 resultados para Province of Québec
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Se presenta un breve estado de la cuestión sobre la realidad arqueológica de los principales núcleos urbanos del este de la provincia Tarraconensis y a finales del Regnum Gothorum. Existe un nivel de conocimiento desigual para estas ciudades, fruto del contexto actual de la investigación, y también de una evolución histórica diferenciada, como consecuencia de unas características geopolíticas propias que, posiblemente, indujeron a una modificación de las jerarquías entre las ciudades. Planteamos la ciudad visigoda como el centro de gestión civil y religioso de una unidad territorial donde la arqueología identifica los vestigios de la arquitectura del poder, pero todavía no consigue definir con precisión los procesos domésticos inherentes a toda comunidad urbana. Conocemos globalmente los diferentes procesos de la desestructuración urbana de la Antigüedad tardía pero no los parámetros de la ocupación agrourbana de los recintos amurallados. Para este período histórico se supone que la redimensión demográfica del hecho urbano más una reducción de las relaciones económicas entre la ciudad y el territorio son factores determinantes de las nuevas ciudades visigodas, pero se reconoce una incertidumbre fruto de la dificultad arqueológica de estudiar las nuevas pautas constructivas y una cultura material más restringida.
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INTRODUCTION: One quarter of osteoporotic fractures occur in men. TBS, a gray-level measurement derived from lumbar spine DXA image texture, is related to microarchitecture and fracture risk independently of BMD. Previous studies reported the ability of spine TBS to predict osteoporotic fractures in women. Our aim was to evaluate the ability of TBS to predict clinical osteoporotic fractures in men. METHODS: 3620 men aged ≥50 (mean 67.6years) at the time of baseline DXA (femoral neck, spine) were identified from a database (Province of Manitoba, Canada). Health service records were assessed for the presence of non-traumatic osteoporotic fracture after BMD testing. Lumbar spine TBS was derived from spine DXA blinded to clinical parameters and outcomes. We used Cox proportional hazard regression to analyze time to first fracture adjusted for clinical risk factors (FRAX without BMD), osteoporosis treatment and BMD (hip or spine). RESULTS: Mean followup was 4.5years. 183 (5.1%) men sustain major osteoporotic fractures (MOF), 91 (2.5%) clinical vertebral fractures (CVF), and 46 (1.3%) hip fractures (HF). Correlation between spine BMD and spine TBS was modest (r=0.31), less than correlation between spine and hip BMD (r=0.63). Significantly lower spine TBS were found in fracture versus non-fracture men for MOF (p<0.001), HF (p<0.001) and CVF (p=0.003). Area under the receiver operating characteristic curve (AUC) for incident fracture discrimination with TBS was significantly better than chance (MOF AUC=0.59, p<0.001; HF AUC=0.67, p<0.001; CVF AUC=0.57, p=0.032). TBS predicted MOF and HF (but not CVF) in models adjusted for FRAX without BMD and osteoporosis treatment. TBS remained a predictor of HF (but not MOF) after further adjustment for hip BMD or spine BMD. CONCLUSION: We observed that spine TBS predicted MOF and HF independently of the clinical FRAX score, HF independently of FRAX and BMD in men. Studies with more incident fractures are needed to confirm these findings.
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Background:Type 2 diabetes (T2D) is associated with increased fracture risk but paradoxically greater BMD. TBS (trabecular bone score), a novel grey-level texture measurement extracted from DXA images, correlates with 3D parameters of bone micro-architecture. We evaluated the ability of lumbar spine (LS) TBS to account for the increased fracture risk in diabetes. Methods:29,407 women ≥50 years at the time of baseline hip and spine DXA were identified from a database containing all clinical BMD results for the Province of Manitoba, Canada. 2,356 of the women satisfied a well-validated definition for diabetes, the vast majority of whom (>90%) would have T2D. LS L14 TBS was derived for each spine DXA examination blinded to clinical parameters and outcomes. Health service records were assessed for incident non-traumatic major osteoporotic fracture codes (mean follow-up 4.7 years). Results:In linear regression adjusted for FRAX risk factors (age,BMI, glucocorticoids, prior major fracture, rheumatoid arthritis, COPD as a smoking proxy, alcohol abuse) and osteoporosis therapy, diabetes was associated with higher BMD for LS, femoral neck and total hip but lower LS TBS (all p<0.001). Similar results were seen after excluding obese subjects withBMI>30. In logistic regression (Figure), the adjusted odds ratio (OR) for a skeletal measurement in the lowest vs highest tertile was less than 1 for all BMD measurements but increased for LS TBS (adjusted OR 2.61, 95%CI 2.30-2.97). Major osteoporotic fractures were identified in 175 (7.4%) with and 1,493 (5.5%) without diabetes (p < 0.001). LS TBS predicted fractures in those with diabetes (adjusted HR 1.27, 95%CI 1.10-1.46) and without diabetes (HR 1.31, 95%CI 1.24-1.38). LS TBS was an independent predictor of fracture (p<0.05) when further adjusted for BMD (LS, femoral neck or total hip). The explanatory effect of diabetes in the fracture prediction model was greatly reduced when LS TBS was added to the model (indicating that TBS captured a large portion of the diabetes-associated risk), but was paradoxically increased from adding any of the BMD measurements. Conclusions:Lumbar spine TBS is sensitive to skeletal deterioration in postmenopausal women with diabetes, whereas BMD is paradoxically greater. LS TBS predicts osteoporotic fractures in those with diabetes, and captures a large portion of the diabetes-associated fracture risk. Combining LS TBS with BMD incrementally improves fracture prediction.
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Reflexión sobre los suburbios costeros de las principales ciudades de la provincia Hispania Citerior en base a criterios de dinamismo económico, concebidos como la causa principal de la aparición de las áreas periurbanas. Los procesos expansivos o regresivos se interrelacionan con la vitalidad de las actividades portuarias, determinantes en el crecimiento periurbano, o en la génesis de núcleos alejados de las ciudades ubicadas a escasa distancia de la costa. Este documento intenta aportar los rasgos comunes propios de la uniformidad urbanística del período altoimperial, y que desaparecieron en la antigüedad tardía como consecuencia de los procesos específicos de cada núcleo urbano, condicionado por la viabilidad de su modelo económico y su rol geoestratégico. De este modo, el análisis de las zonas suburbiales se manifiesta como el principal índice de prosperidad económica y urbanística. No en vano, estas mantuvieron su funcionalidad en época tardía, mientras la ciudad altoimperial fue desestructurándose.
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L'any 385, Priscil·lià i la resta del grup priscil·lianista era condemnat a la ciutat de Trèveris i, fruit de la ingerència determinant de l'usurpador Magne Màxim, es convertia en el primer heretge ajusticiat pel poder secular en nom de l'Església. Els fets de Trèveris, per bé que van significar el final de la disputa entre dos grups amb posicions antagòniques vers les característiques del nou cristianisme institucionalitzat, no van aconseguir acabar amb el priscil·lianisme. El moviment perdurà, especialment a la província de la Gallaecia, i Priscil·lià va esdevenir venerat com màrtir. L'Església, mentrestant, es fracturava per culpa de la competència jurisdiccional entre la institució clerical i el poder imperial. Aquest treball intenta ser un estat de la qüestió respecte a la dimensió social d'un moviment que, més enllà de l'eterna discussió entre la seva possible catalogació com a ortodòxia o heterodòxia, intenta contextualitzar el priscil·lianisme en el seu marc històric i els convulsos anys de les transformacions de l'antiguitat tardana.
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La comarca del Valle de Arán se encuentra situada en el extremo noroccidental de la provincia de Lleida, en plenos Pirineos. En las últimas décadas, este territorio se encuentra inmerso en un proceso de transformación cultural. La situación viene marcada por varios aspectos: a) un fuerte incremento de población, proveniente principalmente de la inmigración; b) la coexistecia en el territorio de tres lenguas oficiales: el occitano-aranés, como lengua propia de la comarca, el catalán y el castellano, y c) una situación de contacto entre lenguas y culturas bastante diferenciadas. El artículo presenta el proceso de transformación que ha sufrido el sistema educativo en el Valle de Arán en los últimos 20 años, caracterizado principalmente por el paso de un modelo de educación monolingüe a un modelo de educación trilingüe.
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The aim of the present study was to determine the impact of trabecular bone score on the probability of fracture above that provided by the clinical risk factors utilized in FRAX. We performed a retrospective cohort study of 33,352 women aged 40-99 years from the province of Manitoba, Canada, with baseline measurements of lumbar spine trabecular bone score (TBS) and FRAX risk variables. The analysis was cohort-specific rather than based on the Canadian version of FRAX. The associations between trabecular bone score, the FRAX risk factors and the risk of fracture or death were examined using an extension of the Poisson regression model and used to calculate 10-year probabilities of fracture with and without TBS and to derive an algorithm to adjust fracture probability to take account of the independent contribution of TBS to fracture and mortality risk. During a mean follow-up of 4.7 years, 1754 women died and 1639 sustained one or more major osteoporotic fractures excluding hip fracture and 306 women sustained one or more hip fracture. When fully adjusted for FRAX risk variables, TBS remained a statistically significant predictor of major osteoporotic fractures excluding hip fracture (HR/SD 1.18, 95 % CI 1.12-1.24), death (HR/SD 1.20, 95 % CI 1.14-1.26) and hip fracture (HR/SD 1.23, 95 % CI 1.09-1.38). Models adjusting major osteoporotic fracture and hip fracture probability were derived, accounting for age and trabecular bone score with death considered as a competing event. Lumbar spine texture analysis using TBS is a risk factor for osteoporotic fracture and a risk factor for death. The predictive ability of TBS is independent of FRAX clinical risk factors and femoral neck BMD. Adjustment of fracture probability to take account of the independent contribution of TBS to fracture and mortality risk requires validation in independent cohorts.
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Background: A holistic perspective on health implies giving careful consideration to the relationship between physical and mental health. In this regard the present study sought to determine the level of Positive Mental Health (PMH) among people with chronic physical health problems, and to examine the relationship between the observed levels of PMH and both physical health status and socio-demographic variables. Methods: The study was based on the Multifactor Model of Positive Mental Health (Lluch, 1999), which comprises six factors: Personal Satisfaction (F1), Prosocial Attitude (F2), Self-control (F3), Autonomy (F4), Problem-solving and Self-actualization (F5), and Interpersonal Relationship Skills (F6). The sample comprised 259 adults with chronic physical health problems who were recruited through a primary care center in the province of Barcelona (Spain). Positive mental health was assessed by means of the Positive Mental Health Questionnaire (Lluch, 1999). Results: Levels of PMH differed, either on the global scale or on specific factors, in relation to the following variables: age: global PMH scores decreased with age (r=-0.129; p=0.038); b) gender: men scored higher on F1 (t=2.203; p=0.028) and F4 (t=3.182; p=0.002), while women scored higher on F2 (t -3.086; p=0.002) and F6 (t=-2.744; p=0.007); c) number of health conditions: the fewer the number of health problems the higher the PMH score on F5 (r=-0.146; p=0.019); d) daily medication: polymedication patients had lower PMH scores, both globally and on various factors; e) use of analgesics: occasional use of painkillers was associated with higher PMH scores on F1 (t=-2.811; p=0.006). There were no significant differences in global PMH scores according to the type of chronic health condition. The only significant difference in the analysis by factors was that patients with hypertension obtained lower PMH scores on the factor Autonomy (t=2.165; p=0.032). Conclusions: Most people with chronic physical health problems have medium or high levels of PMH. The variables that adversely affect PMH are old age, polypharmacy and frequent consumption of analgesics. The type of health problem does not influence the levels of PMH. Much more extensive studies with samples without chronic pathology are now required in order to be able to draw more robust conclusions.
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Chistabino is the variety of Aragonese, a Romance dialect descended from Latin, like Spanish, still spoken in the Valley of Gistau, bordering on France and formed by the River Cinqueta, in the central part of the Spanish Pyrenees (Province of Huesca). Although it is spoken mainly in the village of Gistaín (c. 240 inhabitants; c. 1400 m above sea-level, near latitude 42°35′), and is fairly well preserved by the older generations there, fluent speakers can still be found also in the nearby locality of San Juan. The other inhabited villages in the valley (Plan, Serveto, Sin and Saravillo) have suffered much greater degrees of erosion by Castilian (Standard Spanish), which has increased its influence through much improved communications, leading to the development of tourism in the area and emigration by the young in search of greater prosperity. The remaining village, Señes, has been uninhabited since 1970.
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Tutkimuksen päätavoitteena oli rakentaa Etelä-Karjalan maakunnan alueellinen suhdannebarometri. Aluebarometrilla kuvataan ja analysoidaan alueen toimialojen tuotannon ja työllisyyden kehitystä sekä nykytilannetta tuoreilla, havainnollisilla ja luotettavilla indikaattoreilla. Tutkimusmenetelmänä on konstruktiivinen tutkimus. Aluebarometri toteutettiin kyselytutkimuksena 454:ltä yritykseltä Etelä-Karjalan alueella keväällä 2002. Tulokset on raportoitu toimialoittain sisältäen kyselytutkimuksen 11 indikaattoria sekä kaksi tilastollista muuttujaa. Teoriaosassa tarkasteltiin aluetalouden rakentumista, aluekehitystä, yritysten sijaintiteorioita ja systeemidynamiikkaa. Barometrin konstruoinnin lisäksi empiirisessä osassa analysoitiin maakunnan yritystoiminnan ja toimialarakenteen tyypillisiä piirteitä sekä selvitettiin barometrin käyttäjäkunnan tietotarpeita. Tutkimustulosten mukaan Etelä-Karjalan yritykset odottavat aluebarometrin indikaattoreiden kehittyvän seuraavan kuuden kuukauden ajanjaksolla lievästi myönteiseen suuntaan. Myönteisintä kehitystä odotetaan myynnin ja Venäjän yleisen suhdannetilanteen suhteen. Toimialoista positiivisimmat odotukset ovat informaatioteknologian, liike-elämän palveluiden, muiden palveluiden sekä kaupan aloilla, heikoimmat puolestaan rakentamisen alalla.
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In contrast to other media like TV or cinema, digital games are unique and different because they offer a persuasive rhetoric. This investigation introduces the cases of two primary school teachers who use digital games as one of their teaching methods. Both cases are multimodal and show the teacher’s position in education. This work also explores the challenges faced by teachers as instructors, and the application of digital games in modern classes.From an ethnographic view, gathering information techniques are used, such as documentary analysis and interviews in order to collect data about each case with two teachers from the province of Barcelona. The obtained results raise important questions: what is the main role of a teacher using digital games in class, how teachers participate in learning based on digital games and how digital games are developed and combined with other teaching methodologies. The conclusions obtained by this research let us understand the reason why using digital games in class allows the students to learn and keep their motivation: digital games stimulate them so they can establish a personal connection.
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This paper presents sorne examples of didactic resources created to contribute to the spreading of hydrothermalism in the Province of Girona
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Para remediar la falta de estudios centrados en la gestión del patrimonio cultural en el ámbito local, la investigación llevada a cabo ha apostado por conocer cómo gestionan los municipios de la provincia de Alicante, con una población comprendida entre los 10.001 y los 15.000 habitantes, parte de su patrimonio cultural: los castillos. Se trata de un tema de vital importancia, e inédito en el contexto alicantino, porque si las fortificaciones no se gestionan correctamente puede provocarse un impacto negativo en ellas. Especialmente si no hay gestión o ésta es amateur y/o voluntariosa.
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Les darreres recerques dutes a terme en el Projecte Ager Tarraconensis (PAT) han permès augmentar considerablement els coneixements existents sobre l’antiguitat tardana al territorium de Tarraco, tema que ja havíem estudiat parcialment en la nostra tesi doctoral (1992), que inclou també altres àrees del Camp de Tarragona no incloses al PAT. D’altra banda, en els darrers anys hem tingut també ocasió d’estudiar parcialment el poblament antic a la zona de les terres de l’Ebre i al nord del País Valencià, molt especialment a les comarques de l’Alt Palància i la Plana de Castelló. El conjunt d’aquests estudis ens permet plantejar una visió general sobre el poblament tardoantic en una zona determinada que correspon a la part costanera meridional de l’antiga provincia Tarraconensis, amb els límits i la denominació que rep a partir de la divisió de Dioclecià. L’estudi comparatiu del poblament tardoantic d’aquestes àrees permet contrastar, a més de punts en comú, també algunes diferències, tant en el diferent grau de pervivència dels hàbitats després de la crisi del segle III com en l’aparició de nous tipus d’hàbitats (poblats en altura) que no apareixen en totes les àrees, sinó només en les més meridionals. S’aborda també la problemàtica de l’existència d’unes poques vil·les luxoses durant el segle IV (especialment la controvertida de Centcelles), en contrast amb altres hàbitats més modestos, així com el pas de la vil·la a un altre tipus de poblament dispers.
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Peatlands play a crucial role in Indonesia's economic development, and in its stated goal of reducing greenhouse gas emissions. Improved peatland management - including a national moratorium on the granting of any new conversion licenses - forms a cornerstone of Indonesia's climate change mitigation commitment. At the same time, rapid expansion of the plantation sector is driving wide-scale drainage and conversion of peat swamp ecosystems. The province of Riau, in central Sumatra, finds itself at the crossroads of these conflicting agendas. This essay presents a case study of three islands on Riau's east coast affected by industrial timber plantation concessions. It examines the divergent experiences, perceptions and responses of communities on the islands. A mix of dramatic protests, localised everyday actions and constructive dialogue has succeeded in delaying or perhaps halting one of the concessions, while negotiations and contestation with the other two continue. With the support of regional and national non-governmental organisations and local government, communities are pursuing alternative development strategies, including the cultivation of sago, which requires no peat drainage. While a powerful political economy of state and corporate actors shapes the contours of socio-environmental change, local social movements can alter trajectories of change, promoting incremental improvements and alternative pathways.