Editoral : Correspondence regarding Anker SD, Koehler F, Abraham WT. Telemedicine and remote management of patients with heart failure. The Lancet 2011; 378: 731–39. Published 20 August 2011.

We read the excellent review of telemonitoring in chronic heart failure (CHF)1 with interest and commend the authors on the proposed classification of telemedical remote management systems according to the type of data transfer, decision ability and level of integration. However, several points require clarification in relation to our Cochrane review of telemonitoring and structured telephone support2. We included a study by Kielblock3. We corresponded directly with this study team specifically to find out whether or not this was a randomised study and were informed that it was a randomised trial, albeit by date of birth. We note in our review2 that this randomisation method carries a high risk of bias. Post-hoc metaanalyses without these data demonstrate no substantial change to the effect estimates for all cause mortality (original risk ratio (RR) 0·66 [95% CI 0·54, 0·81], p<0·0001; revised RR 0·72 [95% CI 0·57, 0·92], p=0·008), all-cause hospitalisation (original RR 0·91 [95% CI 0·84, 0·99] p=0·02; revised RR 0.92 [95% CI 0·84, 1·02], p=0·10 ) or CHF-related hospitalisation (original RR 0·79 [95% CI 0·67, 0·94] p=0·008; revised RR 0·75 [95% CI 0·60, 0·94] p=0·01). Secondly, we would classify the Tele-HF study4, 5 as structured telephone support, rather than telemonitoring. Again, inclusion of these data alters the point-estimate but not the overall result of the meta-analyses4. Finally, our review2 does not include invasive telemonitoring as the search strategy was not designed to capture these studies. Therefore direct comparison of our review findings with recent studies of these interventions is not recommended.

ACE research vignette 002 : competing through service innovation - the case of project-oriented firms

This series of research vignettes is aimed at sharing current and interesting research findings from our team of international Entrepreneurship researchers. In this vignette, Dr Sandeep Salunke shares insights from his research on project-oriented firms.

ACE research briefing paper 002: learning and adaptation in the business creation process

This year marks the completion of data collection for year three (Wave 3) of the CAUSEE study. This report uses data from the first three years and focuses on the process of learning and adaptation in the business creation process. Most start-ups need to change their business model, their product, their marketing plan, their market or something else about the business to be successful. PayPal changed their product at least five times, moving from handheld security, to enterprise apps, to consumer apps, to a digital wallet, to payments between handhelds before finally stumbling on the model that made the a multi-billion dollar company revolving around email-based payments. PayPal is not alone and anecdotes abounds of start-ups changing direction: Sysmantec started as an artificial intelligence company, Apple started selling plans to build computers and Microsoft tried to peddle compilers before licensing an operating system out of New Mexico. To what extent do Australian new ventures change and adapt as their ideas and business develop? As a longitudinal study, CAUSEE was designed specifically to observe development in the venture creation process. In this research briefing paper, we compare development over time of randomly sampled Nascent Firms (NF) and Young Firms(YF), concentrating on the surviving cases. We also compare NFs with YFs at each yearly interval. The 'high potential' over sample is not used in this report.

Cuarteto litúrgico “Eucarístico” : para 2 violines, viola y violoncello [música]

Partitura incorporada como material complementario de la revista.

Diário da Constituinte [gravação de vídeo] : [programa n. 002]

Instalação das Comissões da Assembleia Nacional Constituinte (ANC). A Comissão da Soberania e dos Direitos e Garantias do Homem e da Mulher foi a primeira comissão instalada e foi eleito como Presidente o Dep. Mário Assad, como 1º Vice-Presidente o Dep. Aécio Neves da Cunha e como 2ª Vice-Presidente a Deputada Anna Maria Rattes e como Relator o Senador José Paulo Bisol. Entrevista com populares nas ruas.

Diário da Constituinte [gravação de vídeo] : [programa n. 091]

Encerrando o prazo dos oito relatores das comissões temáticas, para que entreguem o parecer, sobre as 7.737 emendas dos projetos apresentados. Para o Deputado Egídio Ferreira Lima (PMDB-PE), relator da Comissão de Organização dos Poderes e Sistemas de Governo da Assembleia Nacional Constituinte (ANC), o trabalho é quase acima das forças de um homem só. O Senador Almir Gabriel (PMDB-BA) relata que todas as emendas estão sendo analisadas. Artur da Távola (PMDB-RJ) afirma que, como faltam três dias para a votação, todos deverão passar noites em claro. A bancada gaúcha reúne-se para alterar relatório sobre a reforma tributária. Irajá Rodrigues (PMDB-RS) diz que o texto privilegia quem paga menos imposto. Adylson Motta (PDS-RS) acrescenta que o texto apresenta medidas injustas e impopulares. Rospide Netto (PMDB-RS) fala em nome do Rio Grande do Sul, para que o relator e os demais membros mudem o relatório. Trabalhadores rurais de vários Estados do Brasil vieram reivindicar a reforma agrária.

Asesoría en joyería, departamento de Antioquia, junio de 2.002. Técnicas de elaboración de cordones con aplicación de hilos en filigrana.

15 hojas : Ilustraciones.

Time-resolved optical photometry of the ultracompact binary 4U 0614+091

We present a detailed optical study of the ultracompact X-ray binary 4U 0614+091. We have used 63 hr of time-resolved optical photometry taken with three different telescopes (IAC80, NOT, and SPM) to search for optical modulations. The power spectra of each data set reveals sinusoidal modulations with different periods, which are not always present. The strongest modulation has a period of 51.3 minutes, a semiamplitude of 4.6 mmag, and is present in the IAC80 data. The SPM and NOT data show periods of 42 minutes and 64 minutes, respectively, but with much weaker amplitudes, 2.6 mmag and 1.3 mmag, respectively. These modulations arise from either X-ray irradiation of the inner face of the secondary star and/or a superhump modulation from the accretion disk, or quasiperiodic modulations in the accretion disk. It is unclear whether these periods/quasi-periodic modulations are related to the orbital period; however, the strongest period of 51.3 minutes is close to earlier tentative orbital periods. Further observations taken over a long baseline are encouraged.

Adjuvant bisphosphonate treatment in early breast cancer: meta-analyses of individual patient data from randomised trials

BACKGROUND: Bisphosphonates have profound effects on bone physiology, and could modify the process of metastasis. We undertook collaborative meta-analyses to clarify the risks and benefits of adjuvant bisphosphonate treatment in breast cancer.

METHODS: We sought individual patient data from all unconfounded trials in early breast cancer that randomised between bisphosphonate and control. Primary outcomes were recurrence, distant recurrence, and breast cancer mortality. Primary subgroup investigations were site of first distant recurrence (bone or other), menopausal status (postmenopausal [combining natural and artificial] or not), and bisphosphonate class (aminobisphosphonate [eg, zoledronic acid, ibandronate, pamidronate] or other [ie, clodronate]). Intention-to-treat log-rank methods yielded bisphosphonate versus control first-event rate ratios (RRs).

FINDINGS: We received data on 18 766 women (18 206 [97%] in trials of 2-5 years of bisphosphonate) with median follow-up 5·6 woman-years, 3453 first recurrences, and 2106 subsequent deaths. Overall, the reductions in recurrence (RR 0·94, 95% CI 0·87-1·01; 2p=0·08), distant recurrence (0·92, 0·85-0·99; 2p=0·03), and breast cancer mortality (0·91, 0·83-0·99; 2p=0·04) were of only borderline significance, but the reduction in bone recurrence was more definite (0·83, 0·73-0·94; 2p=0·004). Among premenopausal women, treatment had no apparent effect on any outcome, but among 11 767 postmenopausal women it produced highly significant reductions in recurrence (RR 0·86, 95% CI 0·78-0·94; 2p=0·002), distant recurrence (0·82, 0·74-0·92; 2p=0·0003), bone recurrence (0·72, 0·60-0·86; 2p=0·0002), and breast cancer mortality (0·82, 0·73-0·93; 2p=0·002). Even for bone recurrence, however, the heterogeneity of benefit was barely significant by menopausal status (2p=0·06 for trend with menopausal status) or age (2p=0·03), and it was non-significant by bisphosphonate class, treatment schedule, oestrogen receptor status, nodes, tumour grade, or concomitant chemotherapy. No differences were seen in non-breast cancer mortality. Bone fractures were reduced (RR 0·85, 95% CI 0·75-0·97; 2p=0·02).

INTERPRETATION: Adjuvant bisphosphonates reduce the rate of breast cancer recurrence in the bone and improve breast cancer survival, but there is definite benefit only in women who were postmenopausal when treatment began.

FUNDING: Cancer Research UK, Medical Research Council.

Resolución No. 091: Por la cual se resuelve un recurso de reposición

Servicios registrales

Structural And Surface Morphological Investigation Of Formation Stages Of Highly (002) Oriented Zno Films On Glass Substrates By Spray Pyrolysis Method

ZnO thin films were coated on amorphous glass substrate at various temperatures in the range 160-500 0C by spray pyrolysis method. The as deposited films were characterised by using XRD and SEM. Wurtzite phase of ZnO was formed at a substrate temperature of 400 0C, highly oriented (002) phase was developed with respect to increase of substrate temperature from 450 to 500 0C. Morphological and growth mode of these films were analyzed with respect to structural orientation of films from wurtzite to highly (002) oriented phase. Present study reveals that substrate temperature was one of the important parameters which determine the crystalline quality, population of defects, grain size, orientation and morphology of the films

Intersexualidad y derecho: análisis del concepto género en las sentencias de asignación de sexo (Análisis de las sentencias: T-477 de 1.995, SU-337 de 1.999, T-551 de 1.999, T-692 de 1.999, T-1390 de 2.000, T-1025 de 2.002, T-1021 de 2.003 y T-912 de 2.008)

Esta monografía estudia 8 casos de menores de edad intersexuales que han sido fallados por la Corte Constitucional. A partir de las discertaciones jurídicas hechas por los magistrados se pueden encontrar interesantes elementos para el estudio del concepto género y la postura que frente al mismo ha tomado la Corte en su jurisprudencia.