998 resultados para 378.197
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Kirjallisuutta
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Se presenta una metodología formativa desarrollada en la asignatura de habilidades sociales de los grados otorgados por la Facultad de Educación Social y Trabajo Social Pere Tarrés de la Universidad Ramón Llull (Barcelona-España). A partir del análisis inicial de las competencias sociales de los estudiantes, se establece un plan de trabajo con la finalidad de que mejoren las habilidades sociales necesarias en el contexto profesional. La metodología se plantea como práctica supervisada que requiere la incorporación del estudiante en la organización, desarrollo y evaluación de la asignatura. Para facilitar esa incorporación se ha introducido un recurso narrativo que da sentido a todas las actividades. Se ha utilizado como indicadores de la validez social de esta metodología los datos recogidos a través encuestas de satisfacción de los estudiantes. Los resultados positivos de la experiencia justifican su difusión y su uso en otras universidades.
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We examine entry mode choice and its consequences when a multinational enterprise (MNE) expands into an institutionally different country. We argue that discussions of entry mode should distinguish between informal (e.g., culture) and formal (e.g., laws) institutions, and should take into account not just the home country of the MNE and its distance to the focal host country, but the MNE's overall footprint and experience across the world in general, especially in countries with an institutional structure that is similar to that of the focal host country. Specifically, we argue that firms with experience in countries with different informal institutions will be more likely to enter via acquisitions than firms without such experience, that such experience will not matter as much in the case of formal institutions, and that such firms will exit more quickly when they enter via equity alliances than through full acquisitions. We also distinguish between balanced and unbalanced alliances and argue that balanced alliances will be more enduring, but only when the host country is culturally (not legally) different from the other countries where the MNE has experience. Our arguments suggest that entry mode should be conditioned on a firm's experience in other markets, and that intercountry differences in formal versus informal institutions have distinct influences on entry mode.
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PURPOSE: Adenoma is the main parathyroid disorder leading to primary hyperparathyroidism (PHP). Minimally invasive parathyroidectomy (MIP) is recognized as a valid procedure for adenoma-related PHP. It requires precise preoperative localization combining Tc-99m-MIBI (methoxy-isobutyl-isonitrile) scintigraphy and single-photon emission computed tomography (SPECT) with x-ray computed tomography (CT) and intraoperative confirmation of successful excision by change in intact parathormone (iPTH) levels. The study aim was to assess the surgery success in relation to these two parameters. METHODS: All patients operated on for PHP from 2005 to mid-2014 at our institution were retrospectively reviewed. MIP was performed in case of precise preoperative adenoma localization on scintigraphy, absence of past cervical surgery, and absence of concomitant thyroid resection necessity. In these patients, iPTH levels were monitored intraoperatively. Confirmation criteria for iPTH values were a return to normal level or a decrease >50 % of basal iPTH level. RESULTS: There were 197 PHP operations during the study period: 118 MIP and 79 bilateral neck explorations (BNEs). The MIP success rate was 95 % (112/118) with a preoperative MIBI scan ± CT accurate in 94 % (111/118) of the patients and with correct iPTH in 90 % (106/118) of the cases. Among the 12 iPTH levels that did not meet the confirmation criteria, 10 returned to normal range by postoperative day 2. Treatment failure appeared in three patients (one BNE, two MIPs). CONCLUSIONS: Tc-99m-MIBI dual-phase scintigraphy with SPECT/CT is the key examination for functional and morphological parathyroid adenoma localization. If preoperative scintigraphy is obvious and intraoperative assessment is clear, one could possibly safely omit iPTH, as it may lead to unnecessary BNE in primary PHP.
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In this way it is very important to know the sulfate concentration in vinasse samples before to make the biodigestor design. A previous developed and indirect method (Anal. Chim. Acta. 1996, 329, 197), was used to determine sulfate in samples of vinasse, after previous treatments, done in order to eliminate organic matter with hydrogen peroxide 30% and concentrated nitric acid mixture (3:1), under heating. Interferent cationic ions were isolated by using ion exchange columns. The results obtained for some samples from Araraquara and Penápolis are here presented. The phosphate concentration was also determined.
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Soitinnus: piano.
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Aquest treball es basa en les pràctiques realitzades dins del marc del Màster en Envelliment Actiu de la Universitat de Vic. L’objectiu d’aquestes pràctiques era doble: per una banda, aprofundir en el coneixement del rol del psicogerontòleg en un centre sociosanitari d’atenció a la gent gran i, per l’altra, elaborar, aplicar i avaluar una intervenció per fomentar l’envelliment actiu. És a dir, es pretenia donar cobertura a les dues grans àrees d’intervenció a les quals ha de fer front el psicogerontòleg en l’actualitat, com veurem més endavant, i que són: l’atenció a la dependència i la promoció de l’envelliment actiu, tenint en compte que aquesta darrera suposa la prevenció de la malaltia i la discapacitat i la maximització del benestar i la qualitat de vida en la vellesa.
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Invocatio: I.N.J.C.
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Invocatio: I.N.D.O.M.
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1817/07/16 (Numéro 197).
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Invocatio: I.N.J.C.
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Invocatio: I.N.S.S.T.D.P.F. Et S.S.
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Invocatio: I.N.J.C.
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1816/07/15 (Numéro 197).
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Invocatio: I.N.D.O.M.
