Variabilità delle caratteristiche meccaniche del Marmo delle Alpi Apuane

Lo svolgimento di questa tesi ha riguardato la caratterizzazione di una roccia carbonatica metamorfica, marmo proveniente da un bacino estrattivo delle Alpi Apuane, mediante prove di laboratorio: in particolare, si è esaminato il comportamento di tale materiale sia mediante prove distruttive, sia mediante prove non distruttive. Lo studio è stato condotto su diverse tipologie di campioni (cilindri di diametro differente ma con uguale rapporto tra diametro e altezza, campioni informi di materiale), tutti ottenuti da blocchi informi prelevati nel bacino estrattivo dell’Arnetola, sito nel comune di Vagli Sotto (LU). Sui campioni carotati sono state eseguite più prove standard (distruttive e non), mentre i campioni informi sono stati utilizzati per la determinazione, mediante prova distruttiva, dell’indice di resistenza R.I.H.N. (acronimo di Rock Impact Hardness Number). Tale prova è in grado di fornire utili informazioni sulla resistenza dei materiali rocciosi, risultando particolarmente utile nell’industria estrattiva grazie alla semplice apparecchiatura che dà la possibilità di eseguire un numero elevato di determinazioni nei centri stessi di produzione, con bassi costi unitari. Data la variabilità dei risultati ottenuti, sono state eseguite ulteriori analisi (studio tessiturale in sezione sottile, analisi calcimetrica e analisi diffrattometrica) che mettessero in luce la composizione mineralogica e la struttura microscopica del materiale testato, in modo da interpretare i risultati delle prove di laboratorio effettuate. Alla luce dei risultati ottenuti, sono state elaborate alcune correlazioni tra le varie prove, facendo anche uso di alcuni abachi.

Development and evaluation of a program to improve clinician and patient communication during a telehealth consultation : C.R.I.S.P. Telehealth

Introduction: The delivery of health care in the 21st century will look like no other in the past. The fast paced technological advances that are being made will need to transition from the information age into clinical practice. The phenomenon of e-Health is the over-arching form of information technology and telehealth is one arm of that phenomenon. The uptake of telehealth both in Australia and overseas, has changed the face of health service delivery to many rural and remote communities for the better, removing what is known as the tyranny of distance. Many studies have evaluated the satisfaction and cost-benefit analysis of telehealth across the organisational aspects as well as the various adaptations of clinical pathways and this is the predominant focus of most studies published to date. However, whilst comments have been made by many researchers about the need to improve and attend to the communication and relationship building aspects of telehealth no studies have examined this further. The aim of this study was to identify the patient and clinician experiences, concerns, behaviours and perceptions of the telehealth interaction and develop a training tool to assist these clinicians to improve their interaction skills. Methods: A mixed methods design combining quantitative (survey analysis and data coding) and qualitative (interview analysis) approaches was adopted. This study utilised four phases to firstly qualitatively explore the needs of clients (patients) and clinicians within a telehealth consultation then designed, developed, piloted and quantitatively and qualitatively evaluated the telehealth communication training program. Qualitative data was collected and analysed during Phase 1 of this study to describe and define the missing 'communication and rapport building' aspects within telehealth. This data was then utilised to develop a self-paced communication training program that enhanced clinicians existing skills, which comprised of Phase 2 of this study to develop the interactive program. Phase 3 included evaluating the training program with 26 clinicians and results were recorded pre and post training, whilst phase 4 was the pilot for future recommendations of this training program using a patient group within a Queensland Health setting at two rural hospitals. Results: Comparisons of pre and post training data on 1) Effective communication styles, 2) Involvement in communication training package, 3) satisfaction pre and post training, and 4) health outcomes pre and post training indicated that there were differences between pre and post training in relation to effective communication style, increased satisfaction and no difference in health outcomes between pre and post training for this patient group. The post training results revealed over half of the participants (N= 17, 65%) were more responsive to non-verbal cues and were better able to reflect and respond to looks of anxiousness and confusion from a 'patient' within a telehealth consultation. It was also found that during post training evaluations, clinicians had enhanced their therapeutic communication with greater detail to their own body postures, eye contact and presentation. There was greater time spent looking at the 'patient' with an increase of 35 second intervals of direct eye contact and less time spent looking down at paperwork which decreased by 20 seconds. Overall 73% of the clinicians were satisfied with the training program and 61% strongly agreed that they recognised areas of their communication that needed improving during a telehealth consultation. For the patient group there was significant difference post training in rapport with a mean score from 42 (SD = 28, n = 27) to 48 (SD = 5.9, n = 24). For communication comfort of the patient group there was a significant difference between the pre and post training scores t(10) = 27.9, p = .002, which meant that overall the patients felt less inhibited whilst talking to the clinicians and more understood. Conclusion: The aim of this study was to explore the characteristics of good patient-clinician communication and unmet training needs for telehealth consultations. The study developed a training program that was specific for telehealth consultations and not dependent on a 'trainer' to deliver the content. In light of the existing literature this is a first of its kind and a valuable contribution to the research on this topic. It was found that the training program was effective in improving the clinician's communication style and increased the satisfaction of patient's within an e-health environment. This study has identified some historical myths that telehealth cannot be part of empathic patient centred care due to its technology tag.

Correspondence with N.H. Gould, Newport, R.I.

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Total Synthesis of the Potent HIF-1 Inhibitory Antitumor Natural Product, (8R)-Mycothiazole, via Baldwin–Lee CsF/CuI sp3–sp2-Stille Cross-Coupling. Confirmation of the Crews Reassignment

A convenient asymmetric total synthesis of the potent HIF-1 inhibitory antitumor natural product, (−)- or (+)-(8R)-mycothiazole (1), is described. Not only does our synthesis confirm the 2006 structural reassignment made by Crews (Crews, P., et al. J. Nat. Prod. 2006, 69, 145), it revises the [α]_D data previously reported for this molecule in MeOH from −13.7° to +42.3°. The newly developed route to (8R)-1 sets the C(8)–OH stereocenter via Sharpless AE/2,3-epoxy alcohol reductive ring opening and utilizes two Baldwin–Lee CsF/cat. CuI Stille cross-coupling reactions with vinylstannanes 8 and 3 to efficiently elaborate the C(1)–C(4) and C(14)–C(18) sectors.

Relativistic radiatively damped R -matrix calculations of the electron-impact excitation of helium-like iron and krypton

Electron-impact excitation data for He-like ions are of significant importance for diagnostic applications to both laboratory and astrophysical plasmas. Here we report on the first fully relativistic R -matrix calculations with radiation damping for the He-like ions Fe 24+ and Kr 34+ . Effective collision strengths for these two ions have been determined with and without damping over a wide temperature range for all transitions between the 49 levels through n = 5. We find that damping has a pronounced effect on the effective collision strengths for excitation to some of the low-lying levels, but its effect on excitation to the vast majority of levels is small. At the energy of a resonance peak, we also investigate the effect of radiation damping on the angular distribution of scattered electrons. Finally, we compare our results for Fe 24+ with an earlier intermediate coupling frame transformation R -matrix calculation with radiation damping by Whiteford et al ( J. Phys. B: At. Mol. Opt. Phys. 34 3179) and find good agreement, especially for excitation to the lower levels.

22/5/20, stade Jean Bouin, 41[e] R.I. contre 166[e] R.I. [match de football] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 59351

22/5/20, stade Jean Bouin, le général Berdoulat [serrant la main des footballeurs des 41e R.I. et du 166e R.I.] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 59353

Jus ecclesiasticum in epitomen redactum A. D. P. Benedicto Oberhauser,J. U. D. Reverendissimi ac Celsissimi S. R. I. principis ac Archiepiscpi Salisburgensis Consiliario Ecclessiastico, additis brevibus ss. patrum sententiis, aliisque ad novissimos mores, ac praxin spectantibus.

UANL

Casus conscientiae de mandato olim Eminentissimi, et reverend. D. D.tit. s. crusis in hierusalem S.R.E. presb. card. Prosperi Lambertini Bononiae Archiep. ac S. R. I. principis deinde SS. domini nostri papae Benedicti XIV propositi, atque resoluti, ac ab innumeris mendis repurgati, opus confessariis...

UANL

Proyecto A.F.R.I. : aprendiendo a filosofar con recursos informáticos.

Obtuvo Primer Premio compartido Antonio Domínguez Ortiz resuelto por el XX Concurso para el Fomento de la Investigación e Innovación Educativa

Análisis de la movilización indígena promovida por el consejo regional indígena del Cauca-(C.R.I.C), como herramienta política y social para la restitución de los derechos de los pueblos indígenas del departamento del Cauca, en el marco de la Minga Social y Comunitaria.(2006-2010)

El análisis de este estudio se centra en describir el proceso que vivió la movilización indígena a través de la Minga de Resistencia Social y Comunitaria; que inició con diversas mingas a partir del año 2006 y se consolidó en el año 2009. Esta movilización tiene como fin exigir la restitución de los derechos de los pueblos indígenas del Departamento del Cauca. La Minga, se convierte en una herramienta política y social que a partir de la movilización empieza a estructurarse e involucrar a otros sectores de la sociedad.

La relación entre la impulsividad cognitiva (R-I) y el maltrato entre iguales o bullying en educación primaria.

Resumen basado en el de la publicación

Proceso Coactivo en la Administración Tributaria Central del Ecuador (S.R.I.) y su impacto en la recaudación

El presente trabajo investigativo tiene por finalidad dar a conocer a la comunidad educativa como ha venido evolucionando el proceso coactivo en el Ecuador desde sus inicios en el año 1943 en la Constitución Política del Ecuador para luego de acuerdo a las necesidades presentadas lograr mediante ley la emisión y publicación de otros cuerpos normativos mediante los cuales se establece y regla este procedimiento para dar a conocer tanto a los contribuyentes como a la Administración Tributaria como proceder en el caso de que se llegue a la recuperación de valores que le corresponden al Estado mediante la vía coactiva. Además en este trabajo podremos observar el comportamiento que ha tenido la cartera del Área de Cobranzas del Servicio de Rentas Internas haciendo una comparación de lo que ha sucedido en estos diez últimos años permitiéndonos hacer una relación de los valores recaudados mediante el proceso coactivo vs los valores de la recaudación tributaria obtenida por la Administración durante este período de tiempo. También se realizará el análisis de los cambios que se han dado en materia coactiva y que se encuentran dentro de la legislación ecuatoriana mismos que han sido trabajados por los poderes Ejecutivo y Legislativo para permitirle al fisco una mejor y rápida recuperación de las acreencias que por ley le corresponden y las consideraciones de los contribuyentes que se sienten afectados con estos cambios.

Here Lies The Book, R.I.P.: The Report of Its Death Has Been Greatly Exaggerated

The declaration that print books are dead may have been premature.