Teoría y práctica de la Educación Especial.

Se recogen las aportaciones de investigadores de diferentes universidades españolas a la problemática de la educación especial. El volumen se divide en seis partes: el primer apartado recoge las ponencias relacionadas con el concepto y el método de educación especial. En segundo y tercer lugar se reúnen aquellas relativas al déficit mental y el déficit físico. El cuarto punto hace referencia a las dificultades de aprendizaje y lenguaje y seguidamente se trata la problemática de la inadaptación social. Se concluye con una ponencia relativa a la situación actual de la educación especial en la comunidad valenciana.

Determinantes estructurales de la sindicalización en Colombia

Las causas y los efectos de la asociación sindical han sido ampliamente estudiados por la literatura económica; no obstante en el caso colombiano existe un claro sesgo hacia el estudio de los efectos sobre el salario. Este documento presenta un estudio de los determinantes estructurales de la tasa de densidad sindical para Colombia incluyendo algunos aspectos particulares como los efectos regionales y sectoriales utilizando la Gran Encuesta Integrada de Hogares 2007. Se encuentra que la densidad sindical está determinada por factores semejantes a los de otros mercados de trabajo con patrones similares de negociación sindical, como los reportados por Johnson (2005). Finalmente, dadas sus cifras de asesinato de sindicalistas, consideramos que los determinantes de la afiliación sindical para el caso Colombiano son más complejos que los de otros países latinoamericanos

Diário da Constituinte [gravação de vídeo] : [programa n. 331]

Tem início a sessão da Constituinte para discutir o novo regimento interno. No Plenário, o número de Parlamentares presentes mostrava que nenhuma proposta teria 280 votos. Na presidência da Assembleia Nacional Constituinte (ANC), o vice-presidente, o Senador Mauro Benevides (PMDB-CE), que substitui o Deputado Ulysses Guimarães (PMDB-SP), no momento ocupando a Presidência da República. O Deputado Alysson Paulinelli (PFL-MG) acredita que a votação será suficiente para ser aprovada a modificação viabilizando alguns itens que não estão compatíveis com o desejo da maioria do Congresso e do povo brasileiro. Mas o líder do PMDB, o Senador Fernando Henrique Cardoso (PMDB-SP), propôs o adiamento da sessão para conseguir um acordo. O Centrão se dividiu. O líder do PDS, o Deputado Amaral Netto (PDS-RJ), chega a disputar o microfone com outro líder do Centrão, O Deputado Roberto Cardoso Alves (PMDB-SP). Mas a palavra de conciliação surgiu através do líder do PTB, o Deputado Gastone Righi (PTB-SP). Os líderes decidem que o melhor dia para nova votação é na quarta-feira da próxima semana e com isso, a sessão foi adiada. O Deputado José Maria Eymael (PDC-SP) afirma que o momento é de entendimento, que atenda os anseios de toda sociedade representada na ANC. O Lider do PC do B, Deputado Haroldo Lima (PCdoB-BA) concordou com o adiamento para promover uma votação mais adequada. O Deputado Gastone Righi (PTB-SP) declara que para demonstrar que o centro democrático, a maioria real da Constituinte, não deseja confrontos, mas colaborar para uma Constituição nova que seja perene e coerente, o grupo concordou em adiar a votação. O Senador Fernando Henrique Cardoso (PMDB-SP) declara que após o Centrão atender ao seu pedido de adiamento da sessão, será realizado um trabalho de aprovação de medidas do regimento que viabilize uma votação mais célere e expresse realmente a vontade de todos. O Presidente Ulysses Guimarães (PMDB-SP) recebeu no Palácio do Planalto um dos líderes do Centrão, o Deputado Roberto Cardoso Alves (PMDB-SP), que encaminhava as decisões tomadas no Congresso. O Deputado José Costa (PMDB-AL) considera fundamental a constatação que nenhum grupo tem 280 votos para decidir qualquer matéria constitucional e que será através da negociação que será elaborada a Constituição, equacionando diversos temas. A Comissão Executiva do PFL se reuniu na busca de um acordo para votação da próxima semana no gabinete do presidente do partido, o Senador Marco Maciel (PFL-PE). O PFL está examinando também as propostas polêmicas que ainda serão votadas no Plenário da Constituinte. Outro tema em discussão é a proposta do Senador Carlos Chiarelli (PFL-RS), que deseja eleições gerais no país após a promulgação da Constituição.

Barometers, ML-330/FM, ML-331/TM, ML-332/TM, ML-333/TM.

"27 November 1945."

An innovative approach to the assessment of nutrient intake in adults with type 2 diabetes : the development, trial and evaluation of a mobile phone photo/voice dietary record

Nutrition interventions in the form of both self-management education and individualised diet therapy are considered essential for the long-term management of type 2 diabetes mellitus (T2DM). The measurement of diet is essential to inform, support and evaluate nutrition interventions in the management of T2DM. Barriers inherent within health care settings and systems limit ongoing access to personnel and resources, while traditional prospective methods of assessing diet are burdensome for the individual and often result in changes in typical intake to facilitate recording. This thesis investigated the inclusion of information and communication technologies (ICT) to overcome limitations to current approaches in the nutritional management of T2DM, in particular the development, trial and evaluation of the Nutricam dietary assessment method (NuDAM) consisting of a mobile phone photo/voice application to assess nutrient intake in a free-living environment with older adults with T2DM. Study 1: Effectiveness of an automated telephone system in promoting change in dietary intake among adults with T2DM The effectiveness of an automated telephone system, Telephone-Linked Care (TLC) Diabetes, designed to deliver self-management education was evaluated in terms of promoting dietary change in adults with T2DM and sub-optimal glycaemic control. In this secondary data analysis independent of the larger randomised controlled trial, complete data was available for 95 adults (59 male; mean age(±SD)=56.8±8.1 years; mean(±SD)BMI=34.2±7.0kg/m2). The treatment effect showed a reduction in total fat of 1.4% and saturated fat of 0.9% energy intake, body weight of 0.7 kg and waist circumference of 2.0 cm. In addition, a significant increase in the nutrition self-efficacy score of 1.3 (p<0.05) was observed in the TLC group compared to the control group. The modest trends observed in this study indicate that the TLC Diabetes system does support the adoption of positive nutrition behaviours as a result of diabetes self-management education, however caution must be applied in the interpretation of results due to the inherent limitations of the dietary assessment method used. The decision to use a close-list FFQ with known bias may have influenced the accuracy of reporting dietary intake in this instance. This study provided an example of the methodological challenges experienced with measuring changes in absolute diet using a FFQ, and reaffirmed the need for novel prospective assessment methods capable of capturing natural variance in usual intakes. Study 2: The development and trial of NuDAM recording protocol The feasibility of the Nutricam mobile phone photo/voice dietary record was evaluated in 10 adults with T2DM (6 Male; age=64.7±3.8 years; BMI=33.9±7.0 kg/m2). Intake was recorded over a 3-day period using both Nutricam and a written estimated food record (EFR). Compared to the EFR, the Nutricam device was found to be acceptable among subjects, however, energy intake was under-recorded using Nutricam (-0.6±0.8 MJ/day; p<0.05). Beverages and snacks were the items most frequently not recorded using Nutricam; however forgotten meals contributed to the greatest difference in energy intake between records. In addition, the quality of dietary data recorded using Nutricam was unacceptable for just under one-third of entries. It was concluded that an additional mechanism was necessary to complement dietary information collected via Nutricam. Modifications to the method were made to allow for clarification of Nutricam entries and probing forgotten foods during a brief phone call to the subject the following morning. The revised recording protocol was evaluated in Study 4. Study 3: The development and trial of the NuDAM analysis protocol Part A explored the effect of the type of portion size estimation aid (PSEA) on the error associated with quantifying four portions of 15 single foods items contained in photographs. Seventeen dietetic students (1 male; age=24.7±9.1 years; BMI=21.1±1.9 kg/m2) estimated all food portions on two occasions: without aids and with aids (food models or reference food photographs). Overall, the use of a PSEA significantly reduced mean (±SD) group error between estimates compared to no aid (-2.5±11.5% vs. 19.0±28.8%; p<0.05). The type of PSEA (i.e. food models vs. reference food photograph) did not have a notable effect on the group estimation error (-6.7±14.9% vs. 1.4±5.9%, respectively; p=0.321). This exploratory study provided evidence that the use of aids in general, rather than the type, was more effective in reducing estimation error. Findings guided the development of the Dietary Estimation and Assessment Tool (DEAT) for use in the analysis of the Nutricam dietary record. Part B evaluated the effect of the DEAT on the error associated with the quantification of two 3-day Nutricam dietary records in a sample of 29 dietetic students (2 males; age=23.3±5.1 years; BMI=20.6±1.9 kg/m2). Subjects were randomised into two groups: Group A and Group B. For Record 1, the use of the DEAT (Group A) resulted in a smaller error compared to estimations made without the tool (Group B) (17.7±15.8%/day vs. 34.0±22.6%/day, p=0.331; respectively). In comparison, all subjects used the DEAT to estimate Record 2, with resultant error similar between Group A and B (21.2±19.2%/day vs. 25.8±13.6%/day; p=0.377 respectively). In general, the moderate estimation error associated with quantifying food items did not translate into clinically significant differences in the nutrient profile of the Nutricam dietary records, only amorphous foods were notably over-estimated in energy content without the use of the DEAT (57kJ/day vs. 274kJ/day; p<0.001). A large proportion (89.6%) of the group found the DEAT helpful when quantifying food items contained in the Nutricam dietary records. The use of the DEAT reduced quantification error, minimising any potential effect on the estimation of energy and macronutrient intake. Study 4: Evaluation of the NuDAM The accuracy and inter-rater reliability of the NuDAM to assess energy and macronutrient intake was evaluated in a sample of 10 adults (6 males; age=61.2±6.9 years; BMI=31.0±4.5 kg/m2). Intake recorded using both the NuDAM and a weighed food record (WFR) was coded by three dietitians and compared with an objective measure of total energy expenditure (TEE) obtained using the doubly labelled water technique. At the group level, energy intake (EI) was under-reported to a similar extent using both methods, with the ratio of EI:TEE was 0.76±0.20 for the NuDAM and 0.76±0.17 for the WFR. At the individual level, four subjects reported implausible levels of energy intake using the WFR method, compared to three using the NuDAM. Overall, moderate to high correlation coefficients (r=0.57-0.85) were found across energy and macronutrients except fat (r=0.24) between the two dietary measures. High agreement was observed between dietitians for estimates of energy and macronutrient derived for both the NuDAM (ICC=0.77-0.99; p<0.001) and WFR (ICC=0.82-0.99; p<0.001). All subjects preferred using the NuDAM over the WFR to record intake and were willing to use the novel method again over longer recording periods. This research program explored two novel approaches which utilised distinct technologies to aid in the nutritional management of adults with T2DM. In particular, this thesis makes a significant contribution to the evidence base surrounding the use of PhRs through the development, trial and evaluation of a novel mobile phone photo/voice dietary record. The NuDAM is an extremely promising advancement in the nutritional management of individuals with diabetes and other chronic conditions. Future applications lie in integrating the NuDAM with other technologies to facilitate practice across the remaining stages of the nutrition care process.

Working together-apart : exploring the relationships between formal and informal care networks for people dying at home

Introduction Informal caring networks contribute significantly to end-of-life (EOL) care in the community. However, to ensure that these networks are sustainable, and unpaid carers are not exploited, primary carers need permission and practical assistance to gather networks together and negotiate the help they need. Our aim in this study was to develop an understanding of how formal and informal carers work together when care is being provided in a dying person's home. We were particularly interested in formal providers’ perceptions and knowledge of informal networks of care and in identifying barriers to the networks working together. Methods Qualitative methods, informed by an interpretive approach, were used. In February-July 2012, 10 focus groups were conducted in urban, regional, and rural Australia comprising 88 participants. Findings Our findings show that formal providers are aware, and supportive, of the vital role informal networks play in the care of the dying at home. A number of barriers to formal and informal networks working together more effectively were identified. In particular, we found that the Australian policy of health-promoting palliative is not substantially translating to practice. Conclusion Combinations of formal and informal caring networks are essential to support people and their primary carers. Formal service providers do little to establish, support, or maintain the informal networks although there is much goodwill and scope for them to do so. Further re-orientation towards a health-promoting palliative care and community capacity building approach is suggested.

Design and realization of high-performance wave-pipelined 8×8 b multiplier in CMOS technology

Wave pipelining is a design technique for increasing the throughput of a digital circuit or system without introducing pipelining registers between adjacent combinational logic blocks in the circuit/system. However, this requires balancing of the delays along all the paths from the input to the output which comes the way of its implementation. Static CMOS is inherently susceptible to delay variation with input data, and hence, receives a low priority for wave pipelined digital design. On the other hand, ECL and CML, which are amenable to wave pipelining, lack the compactness and low power attributes of CMOS. In this paper we attempt to exploit wave pipelining in CMOS technology. We use a single generic building block in Normal Process Complementary Pass Transistor Logic (NPCPL), modeled after CPL, to achieve equal delay along all the propagation paths in the logic structure. An 8×8 b multiplier is designed using this logic in a 0.8 ?m technology. The carry-save multiplier architecture is modified suitably to support wave pipelining, viz., the logic depth of all the paths are made identical. The 1 mm×0.6 mm multiplier core supports a throughput of 400 MHz and dissipates a total power of 0.6 W. We develop simple enhancements to the NPCPL building blocks that allow the multiplier to sustain throughputs in excess of 600 MHz. The methodology can be extended to introduce wave pipelining in other circuits as well

Revista Cultura Económica, 2014, Año XXXII nº 88 (número completo)

Contenido: Editorial -- Artículos: El discernimiento espiritual en la toma de decisiones / Luk Bouckaert -- El redescubrimiento de la filosofía personalista de Jacques Maritain / Opdebeeck, Henrik -- Emprendedorismo guiado por la espiritualidad / Zsolnai, Laszlo -- ¿Podemos formar líderes responsables? / de Bettignies, Henri Claude -- La concepción de la sabiduría según los managers / Thompson, Mike -- Reseñas de libros