Morbilidad y mortalidad en prematuros menores de 1500 gramos en un hospital regional del 2011 a 2013

Introducción: El presente estudio pretende determinar la mortalidad y caracterizar morbilidad de este grupo de recién nacidos, para establecer planes de mejoramiento. Materiales y método: Estudio descriptivo retrospectivo de corte transversal. Se revisaron 158 historias clínicas de los recién nacidos prematuros menores de 1500 gramos hospitalizados en la unidad de cuidados intensivos neonatales del Hospital Universitario Departamental de Nariño durante el periodo 2011 al 2013. La información fue analizada estadísticamente. Resultados: Se encontró que de 5447 nacidos vivos el 2,9 % fueron menores de 1500 gramos. 52,5 % eran de género masculino, 63,9% nacieron por cesárea. El 23,4 % no recibió esteroides antenatales. La tasa de mortalidad para el periodo de estudio en este grupo de pacientes fue de 7.3 por mil nacidos vivos. El 100% de los recién nacidos de menos de 750 gr fallecieron. Mientras que no se registro ninguna sobrevida de menos de 24 semanas. Conclusiones: Podría establecerse este como límite de viabilidad el peso al nacer < 750 gr y menos de 24 semanas de gestación, en donde la muerte es prácticamente la regla, siempre teniendo en cuenta evaluar cuidadosamente cada caso particular. La morbilidad de los prematuros de muy bajo peso al nacer esta en los rangos reportados en la literatura.

Efectividad en redes Inter-Organizacionales : una aproximación al concepto y su medición

El concepto de efectividad en Redes Inter-organizacionales se ha investigado poco a pesar de la gran importancia en el desarrollo y sostenibilidad de la red. Es muy importante entender este concepto ya que cuando hablamos de Red, nos referimos a un grupo de más de tres organizaciones que trabajan juntas para alcanzar un objetivo colectivo que beneficia a cada miembro de la red. Esto nos demuestra la importancia de evaluar y analizar este fenómeno “Red Inter-organizacional” de forma más detallada para poder analizar que estructura, formas de gobierno, relaciones entre los miembros y entre otros factores, influyen en la efectividad y perdurabilidad de la Red Inter-organizacional. Esta investigación se desarrolla con el fin de plantear una aproximación al concepto de medición de la efectividad en Redes Inter-organizacionales. El trabajo se centrara en la recopilación de información y en la investigación documental, la cual se realizará por fases para brindarle al lector una mayor claridad y entendimiento sobre qué es Red, Red Inter-Organizacional, Efectividad. Y para finalizar se estudiara Efectividad en una Red Inter-organizacional.

Las condiciones de interacción comunicativa en las técnicas lingüísticas de obtención de información y sus efectos en la elaboración discursiva sobre el cuerpo y la educación

El método de encuesta es un método de investigación de naturaleza lingüística y buena parte de las líneas de investigación elaboradas acerca de este método parecen haber obviado en buena medida esta característica. La relegación de la naturaleza lingüística del método de encuesta ha comportado un importante nivel de reificación de los elementos que se consideran implicados en él. Nos referimos fundamentalmente a las preguntas, a los entrevistadores y entrevistadoras, a las respuestas, a las personas encuestadas y a los propios instrumentos de las técnicas de investigación. Esta reificación ha transformado dichos elementos, en elementos objetivables y manipulables, y en cierta forma, desnudos de su principal característica: su significado y dimensión lingüística. Las repercusiones de este enfoque del método de encuesta han sido varias, entre ellas podemos destacar, por ejemplo, la reducción de lo lingüístico en los cuestionarios a meros enunciados casi métricos de preguntas, y la reducción de las respuestas a tan sólo marcas en diversas casillas. Este enfoque también ha propiciado que la figura del/de la entrevistador/a se convierta, por definición, en una fuente de sesgo, principalmente por sus características sociodemográficas, negándole una participación lingüística de interacción social en el método de encuesta. Igualmente, bajo esta perspectiva, la forma conversacional de la entrevista ha relegado a los cuestionarios a un mero intercambio de interrogaciones y monosílabos, o a un simple intercambio de papeles, olvidando precisamente que ni la entrevista es una conversación, ni los cuestionarios son elementos neutros en relación a la interacción lingüística de las personas implicadas en una situación de encuesta. Las hipótesis formuladas proponen en líneas generales, la recuperación de la naturaleza lingüística del método de encuesta, no tanto porque este método funcione a través de la palabra oral o escrita, como porque el lenguaje comporta una elaboración de significados compartidos en función de los mucho elementos que lo dimensionalizan. Entre estos elementos hemos destacado, en relación al método de encuesta, la propia situación de interacción condicionada por la técnica de investigación que se utilice (cuestionario autoadministrado, cuestionario entrevistado, entrevista), la persona encuestada, el/la interlocutor/a con el que la persona entra en contacto y con el que desarrol1ará la encuesta y el objeto sobre el cual va a ser preguntada la persona encuestada. En definitiva se trata de recuperar la importancia del contexto comunicativo y del "otro" simbólico en el proceso de obtención de información a través del método de encuesta. De forma más concreta las hipótesis tratan de poner de manifiesto la incidencia del objeto de interlocución, no tanto sobre los contenidos, sino sobre los procesos implicados en la interlocución. Igualmente las hipótesis sugieren que el modo de administración tiene efectos sobre los contenidos de respuesta, ya que los modos de administración son, en realidad, elementos contextuales de interlocución. Finalmente, las hipótesis tratan de otro elemento, el entrevistador o la entrevistadora sugiriendo que las interacciones de género, con sus puestas en juego de estereotipos, representaciones y prácticas tienen incidencia sobre los contenidos discursivos en función del contexto de interlocución y de la relevancia del tema. En este trabajo se han desarrollado dos investigaciones. En la primera investigación hemos tratado del tema del cuerpo y en la segunda de la educación. Se eligió el tema del cuerpo porque las hipótesis proponen la relevancia del contenido de interlocución en relación a la interacción comunicativa entre géneros, y consideramos que es una temática relativamente amenazante, ya que en la representación de lo público y lo privado pertenece más al dominio de lo privado que de lo público. La segunda investigación aborda el tema de la educación en contraste con la primera, es decir, su discurso pertenece al orden de lo público, de lo no amenazante y su interlocución está menos condicionada por las interacciones de género. Los resultados de las investigaciones nos permiten afirmar que la forma de administración no sólo es un medio de interrogación sino un contexto de interlocución, y que si bien el sexo como variable independiente tiene pocos efectos, el género está relacionado con los contenidos discursivos que se evidencian en la interlocución si existe una vinculación entre tema y contexto de género

Perceptual cues for orientation in a two finger haptic grasp task

Single point interaction haptic devices do not provide the natural grasp and manipulations found in the real world, as afforded by multi-fingered haptics. The present study investigates a two-fingered grasp manipulation involving rotation with and without force feedback. There were three visual cue conditions: monocular, binocular and projective lighting. Performance metrics of time and positional accuracy were assessed. The results indicate that adding haptics to an object manipulation task increases the positional accuracy but slightly increases the overall time taken.

A complex network approach to text summarization

Automatic summarization of texts is now crucial for several information retrieval tasks owing to the huge amount of information available in digital media, which has increased the demand for simple, language-independent extractive summarization strategies. In this paper, we employ concepts and metrics of complex networks to select sentences for an extractive summary. The graph or network representing one piece of text consists of nodes corresponding to sentences, while edges connect sentences that share common meaningful nouns. Because various metrics could be used, we developed a set of 14 summarizers, generically referred to as CN-Summ, employing network concepts such as node degree, length of shortest paths, d-rings and k-cores. An additional summarizer was created which selects the highest ranked sentences in the 14 systems, as in a voting system. When applied to a corpus of Brazilian Portuguese texts, some CN-Summ versions performed better than summarizers that do not employ deep linguistic knowledge, with results comparable to state-of-the-art summarizers based on expensive linguistic resources. The use of complex networks to represent texts appears therefore as suitable for automatic summarization, consistent with the belief that the metrics of such networks may capture important text features. (c) 2008 Elsevier Inc. All rights reserved.

On the semi-Riemannian bumpy metric theorem

We prove the semi-Riemannian bumpy metric theorem using equivariant variational genericity. The theorem states that, on a given compact manifold M, the set of semi-Riemannian metrics that admit only nondegenerate closed geodesics is generic relatively to the C(k)-topology, k=2, ..., infinity, in the set of metrics of a given index on M. A higher-order genericity Riemannian result of Klingenberg and Takens is extended to semi-Riemannian geometry.

Mobile systems for monitoring Parkinson's disease

A challenge for the clinical management of Parkinson's disease (PD) is the large within- and between-patient variability in symptom profiles as well as the emergence of motor complications which represent a significant source of disability in patients. This thesis deals with the development and evaluation of methods and systems for supporting the management of PD by using repeated measures, consisting of subjective assessments of symptoms and objective assessments of motor function through fine motor tests (spirography and tapping), collected by means of a telemetry touch screen device. One aim of the thesis was to develop methods for objective quantification and analysis of the severity of motor impairments being represented in spiral drawings and tapping results. This was accomplished by first quantifying the digitized movement data with time series analysis and then using them in data-driven modelling for automating the process of assessment of symptom severity. The objective measures were then analysed with respect to subjective assessments of motor conditions. Another aim was to develop a method for providing comparable information content as clinical rating scales by combining subjective and objective measures into composite scores, using time series analysis and data-driven methods. The scores represent six symptom dimensions and an overall test score for reflecting the global health condition of the patient. In addition, the thesis presents the development of a web-based system for providing a visual representation of symptoms over time allowing clinicians to remotely monitor the symptom profiles of their patients. The quality of the methods was assessed by reporting different metrics of validity, reliability and sensitivity to treatment interventions and natural PD progression over time. Results from two studies demonstrated that the methods developed for the fine motor tests had good metrics indicating that they are appropriate to quantitatively and objectively assess the severity of motor impairments of PD patients. The fine motor tests captured different symptoms; spiral drawing impairment and tapping accuracy related to dyskinesias (involuntary movements) whereas tapping speed related to bradykinesia (slowness of movements). A longitudinal data analysis indicated that the six symptom dimensions and the overall test score contained important elements of information of the clinical scales and can be used to measure effects of PD treatment interventions and disease progression. A usability evaluation of the web-based system showed that the information presented in the system was comparable to qualitative clinical observations and the system was recognized as a tool that will assist in the management of patients.

Gestão de projetos e o guia PMBOK: um estudo sobre o nível de uso do guia PMBOK nas empresas brasileiras

Esta dissertação de mestrado tem por objetivo relatar o resultado de um estudo de verificação das práticas de gerenciamento de projetos, baseadas no Guia PMBOK (Project Management Body of Knowledge), presentes no dia-a-dia pelos profissionais de projetos das organizações brasileiras. A execução eficaz, eficiente e efetiva de um projeto necessita de uma composição entre conhecimentos, habilidades, técnicas e ferramentas definidos em diversos guias de gestão de projetos. Essa composição é o que se denomina: gerenciamento de projetos. A fundamentação prática aqui apresentada baseou-se em uma pesquisa de campo quantitativa, que inquiriu sujeitos organizacionais atuantes em gestão de projetos em suas empresas. Assim, pôde-se verificar as características do profissional, de sua organização, do uso das práticas e das métricas de sucesso do projeto. Ressalte-se que este estudo limita-se ao Brasil, como ambiente em que atua o público-alvo de pesquisa. Para tanto, o estudo foi desenvolvido: de forma descritiva, a partir da realidade de gestão de projetos apresentada pelos profissionais; explicativa, tendo como objetivo central esclarecer qual o seu grau de utilização em relação ao Guia PMBOK, no contexto das organizações brasileiras; e exploratória, dado que existia pouco conhecimento acumulado e sistematizado a respeito deste tema, na área Brasil. A revisão bibliográfica, para consolidar o estudo das teorias referentes à área gestão de projetos, deu-se por meio de guias, periódicos e jornais especializados, trabalhos acadêmicos e livros sobre o tema em questão e demais textos virtuais. Da análise quantitativa, buscou-se a conformidade sobre os dados coletados a fim de se consolidar a consistência lógica das informações obtidas nas respostas sobre a avaliação do grau de uso do preceitos de gerenciamento de projetos do Guia PMBOK por parte dos profissionais de projetos, do mercado brasileiro. Os resultados demonstraram diferentes graus de uso das práticas relativas às nove áreas de conhecimento do Guia PMBOK. Pôde-se apurar, também, revelações intrigantes como a existência de um EGP (escritório de gestão de projetos) na empresa, como no contexto, no qual estão inseridos os profissionais e suas organizações, podem contribuir de modo significativo tanto na alteração dos graus de uso como no sucesso do projeto. Almeja-se que o presente estudo possa servir de elemento prospectivo para outras pesquisas na área de gerenciamento de projetos, fomentando a realização de trabalhos e publicações científicas, de âmbito brasileiro.

Regulação do livre acesso no transporte de gás natural à luz da ordem econômica da Constituição de 1988

In the middle of modern social changes produced by globalization and capitalism, several markets have changed. States have left the direct coordination of these markets (chiefly public utility sector in the form of monopolies), introducing regulation in order to promote competition. These changes have affected natural gas industry by promoting competition as a key factor to the development and the increase of firms in this market. The regulatory reform of natural gas industry ocurred in EUA and Europe Union and it has produced its first results. In Brazilian context, Constitutional Amendment nbr. 09 and Federal Law nbr. 9.478/97 ( Petroleum Law ) opened the natural gas market to a broad range of private economic agents and they finished the monopoly over the industry before managed by Petrobras. The new regulatory framework of Brazilian natural gas industry has designed competition as a central element to the new form of managment of business and contractual relationships of this industry. Among the regulatory instruments, open access regulation in natural gas pipelines is directed to promote competition. The questions arised about its implementation in Brazilian context are studied in the present work, in which it is discussed the constitutional rules and principles are to be applied to the open access regulation within the theme of statal regulation of economy present in constitutional economic order

Algoritomos transgenéticos aplicados ao problema da árvore geradora biobjetivo

The Multiobjective Spanning Tree is a NP-hard Combinatorial Optimization problem whose application arises in several areas, especially networks design. In this work, we propose a solution to the biobjective version of the problem through a Transgenetic Algorithm named ATIS-NP. The Computational Transgenetic is a metaheuristic technique from Evolutionary Computation whose inspiration relies in the conception of cooperation (and not competition) as the factor of main influence to evolution. The algorithm outlined is the evolution of a work that has already yielded two other transgenetic algorithms. In this sense, the algorithms previously developed are also presented. This research also comprises an experimental analysis with the aim of obtaining information related to the performance of ATIS-NP when compared to other approaches. Thus, ATIS-NP is compared to the algorithms previously implemented and to other transgenetic already presented for the problem under consideration. The computational experiments also address the comparison to two recent approaches from literature that present good results, a GRASP and a genetic algorithms. The efficiency of the method described is evaluated with basis in metrics of solution quality and computational time spent. Considering the problem is within the context of Multiobjective Optimization, quality indicators are adopted to infer the criteria of solution quality. Statistical tests evaluate the significance of results obtained from computational experiments

Efficient robust optimization based on polynomial chaos and tabu search algorithm

The study of robust design methodologies and techniques has become a new topical area in design optimizations in nearly all engineering and applied science disciplines in the last 10 years due to inevitable and unavoidable imprecision or uncertainty which is existed in real word design problems. To develop a fast optimizer for robust designs, a methodology based on polynomial chaos and tabu search algorithm is proposed. In the methodology, the polynomial chaos is employed as a stochastic response surface model of the objective function to efficiently evaluate the robust performance parameter while a mechanism to assign expected fitness only to promising solutions is introduced in tabu search algorithm to minimize the requirement for determining robust metrics of intermediate solutions. The proposed methodology is applied to the robust design of a practical inverse problem with satisfactory results.

Cliticização pronominal nas cantigas religiosas galego-portuguesas

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

SIRCo: uma arquitetura para Sensoriamento Inteligente de Rádios Cognitivos

The increased demand for using the Industrial, Scientific and Medical (ISM) unlicensed frequency spectrum has caused interference problems and lack of resource availability for wireless networks. Cognitive radio (CR) have emerged as an alternative to reduce interference and intelligently use the spectrum. Several protocols were proposed aiming to mitigate these problems, but most have not been implemented in real devices. This work presents an architecture for Intelligent Sensing for Cognitive Radios (ISCRa), and a spectrum decision model (SDM) based on Artificial Neural Networks (ANN), which uses as input a database with local spectrum behavior and a database with primary users information. For comparison, a spectrum decision model based on AHP, which employs advanced techniques in its spectrum decision method was implemented. Another spectrum decision model that considers only a physical parameter for channel classification was also implemented. Spectrum decision models evaluated, as well as ISCRa's architecture were developed in GNU-Radio framework and implemented on real nodes. Evaluation of SDMs considered metrics of: delivery rate, latency (Round Trip Time - RTT) and handoff. Experiments on real nodes showed that ISCRa architecture with ANN based SDM increased packet delivery rate and presented fewer frequency variation (handoff) while maintaining latency. Considering higher bandwidth as application's Quality of Service requirement, ANN-SDM obtained the best results when compared to other SDM for cognitive radio networks (CRN).