Journal articles: 'Cavi pretesi'

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Boardman, Henry, Katherine Birse, Esther F. Davis, Polly Whitworth, Veena Aggarwal, Adam J. Lewandowski, and Paul Leeson. "Comprehensive multi-modality assessment of regional and global arterial structure and function in adults born preterm." Hypertension Research 39, no. 1 (September 24, 2015): 39–45. http://dx.doi.org/10.1038/hr.2015.102.

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Abstract Preterm birth is associated with higher blood pressure, which could be because preterm birth alters early aortic elastin and collagen development to cause increased arterial stiffness. We measured central and conduit artery size and multiple indices of arterial stiffness to define the extent and severity of macrovascular changes in individuals born preterm. A total of 102 young adults born preterm and 102 controls who were born after an uncomplicated pregnancy underwent cardiovascular magnetic resonance on a Siemens 1.5 T scanner to measure the aortic cross-sectional area in multiple locations. Ultrasound imaging with a Philips CX50 and linear array probe was used to measure carotid and brachial artery diameters. Carotid-femoral pulse wave velocity and the augmentation index were measured by SphygmoCor, brachial-femoral pulse wave velocity by Vicorder and aortic pulse wave velocity by cardiovascular magnetic resonance. The cardio-ankle vascular index (CAVI) was used as a measurement of global stiffness, and ultrasound was used to assess peripheral vessel distensibility. Adults born preterm had 20% smaller thoracic and abdominal aortic lumens (2.19±0.44 vs. 2.69±0.60 cm2, P<0.001; 1.25±0.36 vs. 1.94±0.45 cm2, P<0.001, respectively) but similar carotid and brachial diameters to adults born at term. Pulse wave velocity was increased (5.82±0.80 vs. 5.47±0.59 m s−1, P<0.01, 9.06±1.25 vs. 8.33±1.28 m s−1, P=0.01, 5.23±1.19 vs. 4.75±0.91 m s−1, P<0.01) and carotid distensibility was decreased (4.75±1.31 vs. 5.60±1.48 mm Hg−1103, P<0.001) in this group compared with the group born at term. However, the global and peripheral arterial stiffness measured by CAVI and brachial ultrasound did not differ (5.95±0.72 vs. 5.98±0.60, P=0.80 and 1.07±0.48 vs. 1.19±0.54 mm Hg−1103, P=0.12, respectively). Adults who are born preterm have significant differences in their aortic structure from adults born at term, but they have relatively small differences in central arterial stiffness that may be partially explained by blood pressure variations.

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Soetadji, Anindita, Najib Advani, Asril Aminullah, and Sudigdo Sastroasmoro. "The influence of intrauterine growth retardation on cardiac function, left ventricular mass and superior vena cava return in newborns." Paediatrica Indonesiana 51, no. 3 (June 30, 2011): 170. http://dx.doi.org/10.14238/pi51.3.2011.170-7.

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Background Low birth weight (LBW) in neonates is a problem leading to high morbidity and mortality. Barker hypothesized that fetal cardiac remodeling during hypoxic conditions or maternal under􀁏nutrition is a risk factor for coronary heart disease in theyoung. Early vascular changes may influence cardiac function and newborns' cerebral blood flow.Objective The aim of this study was to detennine the effects of being small for gestational age (SGA) on newborns' cardiac function, left ventricular (LV) mass and superior vena cava (SYC) return.Methods This cross􀁏sectional study was conducted in Cipto Mangunkusumo Hospital from February to June 2008. LBW and nonnal newborns who fulfilled the inclusion criteria were recruited as subjects. Maternal history, infant physical examination, and echocardiography were obtained Mthin 48 hours oflife to exclude those with congenital heart disease, and assess cardiac function and SYC flow.Results Subjects were 21 preterm appropriate for gestational age (AGA), 19 SGA and 19 normal newborns. SGA newborns showed lower LV mass, stroke volume and cardiac output than normal newborns. However, these SGA parameters were not different from preterm AGA babies. In additio n, LV mass index was sig nificantly different but no difference ofSVC return between the three groups.Conclusion SGA newborns' LV function was lower than that of nonnal newborns, as low as pretenn AGA newborns. N onnal SVC return was observed in the three groups. This finding may be due to a brain􀁏sparing effect to maintain sufficient cerebral blood flowin the fetus.

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Nair, Vrinda, Kamran Yusuf, Weiming Yu, Hafez AlAwad, Kathy Paul, and Essa Al Awad. "Persistent Left Superior Vena Cava." Pediatric and Developmental Pathology 20, no. 2 (January 25, 2017): 182–85. http://dx.doi.org/10.1177/1093526616686008.

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Persistent left superior vena cava (PLSVC) is a common cardiac anomaly associated with congenital heart diseases. A diagnosis of PLSVC usually warrants a detailed fetal echocardiography. Lesser known associations are the extra cardiac anomalies notably the upper airway and the gastrointestinal tract anomalies. We highlight here the importance of detailed fetal assessment for extra cardiac anomalies in addition to fetal echocardiography in fetuses diagnosed with PLSVC. We hereby present a preterm infant who presented with a triad of PLSVC, laryngeal atresia, and esophageal atresia.

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Arioni, Cesare, Massimo Mazzella, Carlo Bellini, Paolo Tomà, and Giovanni Serra. "Persistent left superior vena cava in a preterm newborn." Pediatric Radiology 33, no. 2 (November 26, 2002): 150–51. http://dx.doi.org/10.1007/s00247-002-0850-0.

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Mukherjee, Devdeep, and Hemant Kumar Nayak. "Fungal Endocarditis in a Preterm Neonate." Journal of Neonatology 35, no. 2 (April 15, 2021): 90–92. http://dx.doi.org/10.1177/09732179211007644.

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Invasive fungal infections (IFIs) are an important cause of neonatal mortality and morbidity. A total of 5% of IFIs are complicated by fungal endocarditis. Mortality can be as high as 50%. We present a preterm, very low birth weight infant with infective endocarditis. Echocardiography showed a large pedunculated vegetation attached to the inferior vena cava and right atrium junction. Baby had Candida tropicalis in his blood cultures and was managed conservatively with antifungals. Surgery although planned was not possible considering baby being preterm with very low birth weight.

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Wibowo, Fahrudin Mukti, and Muhammad Alfi Ramadhani. "Rancang Bangun Game Edukasi Biologi untuk Peningkatan Pemahaman Materi Genetika." Jurnal RESTI (Rekayasa Sistem dan Teknologi Informasi) 3, no. 3 (December 2, 2019): 349–56. http://dx.doi.org/10.29207/resti.v3i3.1058.

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Education systems in schools today are generally still oriented to the material media books and verbal material delivery by the teacher. This problem raises the lack of understanding and lack of interest of students in understanding material, especially in Biology chapter Genetics. The learning media provided by the teacher are felt to be lacking to support the achievement of maximum student learning achievement. Therefore an interesting learning media is needed that aims to foster students 'interest in learning and increase students' understanding of genetic material. Alternative learning media that can be used is with educational games. In the process of developing this educational game using the waterfall method. The selection of the waterfall method is because the process of making each stage is systematic, meaning that each stage is interrelated so that it can facilitate the making of the system. The results of this study were in the form of an educational game "The Adventure of Cali-Cali" which was tested on students to find out the improvement in learning achievement. From the data obtained at the pretest results show that students still do not understand the genetic material provided by the teacher. This is evidenced by as many as 90.3% of students who have not met the Minimum Completion Criteria (KKM). Then the treatment game was given when the posttest showed that as much as 6.50% of students did not meet the KKM. The comparison of the results of the pretest and posttest showed an increase in student learning achievement which increased to 83.8%.

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Bates, Sarah, David Odd, Karen Luyt, Paul Mannix, Richard Wach, David Evans, and Axel Heep. "Superior vena cava flow and intraventricular haemorrhage in extremely preterm infants." Journal of Maternal-Fetal & Neonatal Medicine 29, no. 10 (June 26, 2015): 1581–87. http://dx.doi.org/10.3109/14767058.2015.1054805.

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Kluckow, M. "Low superior vena cava flow and intraventricular haemorrhage in preterm infants." Archives of Disease in Childhood - Fetal and Neonatal Edition 82, no. 3 (May 1, 2000): 188F—194. http://dx.doi.org/10.1136/fn.82.3.f188.

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Hauslerl, M., D. Hubner, H. Hornchen, E. G. Muhler, and U. Merzl. "Successful Thrombolysis of Inferior Vena Cava Thrombosis in a Preterm Neonate." Clinical Pediatrics 40, no. 2 (February 2001): 105–8. http://dx.doi.org/10.1177/000992280104000208.

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Soni, Jai Prakash, Suresh Kumar Verma, Vishnu Kumar Goyal, Mukesh Kumar Dhakar, and Sandeep Choudhary. "Normal superior vena cava flow and its correlation with left ventricular output in late preterm and term neonates at day one of life." Asian Journal of Medical Sciences 12, no. 8 (July 30, 2021): 114–17. http://dx.doi.org/10.3126/ajms.v12i8.35910.

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Background: Assessment of systemic blood flow helps in choosing the appropriate drug for managing critically ill neonates with poor perfusion. Superior vena cava (SVC) flow has the potential to become a bedside gold standard method for this purpose. Aims and Objectives: To find out normal superior vena cava (SVC) flow and its correlation with left ventricular output (LVOT) in late preterm and term neonates. Materials and Methods: A cross sectional observational study was carried out at a tertiary care teaching hospital where SVC flow and left ventricular output were measured in hundred intramural healthy neonates (50 late pre-term, weighing 1500g or more and 50 term, weighing 2500g or more). SVC flow was correlated with LV output in both groups. Pearson correlation coefficient was calculated to correlate between two variables. p < 0.05 was considered significant. Results: Median SVC flow in late pre-term group was 57.83ml/kg/min, and in term neonates was 56ml/kg/min. In late pre-term babies correlation of SVC flow with LV output was better in comparison to term group (r-0.56, p<0.0001, and r-0.40, p=0.0024respectively). Conclusions: SVC flow better represents systemic blood flow in late preterm neonates in comparison to term neonates.

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Liu, Yi-Shan, Nan-Han Lu, Po-Chuen Shieh, and Cheuk-Kwan Sun. "Combination of a Self-Regulation Module and Mobile Application to Enhance Treatment Outcome for Patients with Acne." Medicina 56, no. 6 (June 4, 2020): 276. http://dx.doi.org/10.3390/medicina56060276.

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Background and Objectives: Acne, an inflammatory disorder of the pilosebaceous unit associated with both physiological and psychological morbidities, should be considered a chronic disease. The application of self-regulation theory and therapeutic patient education has been widely utilized in different health-related areas to help patient with a chronic disease to attain better behavioral modification. The present study aims at investigating the treatment efficacy of combining a self-regulation-based patient education module with mobile application in acne patients. Materials and Methods: This was one-grouped pretest–posttest design at a single tertiary referral center with the enrollment of 30 subjects diagnosed with acne vulgaris. Relevant information was collected before (week 0) and after (week 4) treatment in the present study, including the Acne Self-Regulation Inventory (ASRI), Cardiff Acne Disability Index (CADI), and Dermatology Life Quality Index (DLQI) that involved a questionnaire-based subjective evaluation of the patient’s ability in self-regulation and quality of life as well as clinical Acne Grading Scores (AGS) that objectively assessed changes in disease severity. To reinforce availability and feasibility, an individualized platform was accessible through mobile devices for real-time problem solving between hospital visits. Results: Thirty subjects completed the designed experiment. An analysis of the differences between scores of pretest and posttest of ASRI demonstrated substantial elevations (p < 0.001). The questionnaire survey of CADI and DLQI dropped significantly after the application of a self-regulation-based patient education module with a mobile application, revealing substantial reductions in both parameters (p < 0.001). The sign test demonstrated a remarkably significant difference in AGS (Z = −7.38, p < 0.001), indicating notable improvement in the clinical severity of acne after treatment. Conclusions: After incorporating modern mobile application, a self-regulation-based therapeutic patient education module could significantly improve treatment outcomes among acne patients.

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Mari, G., J. P. Kusanovic, L. Goncalves, J. Espinoza, R. Romero, and J. Santolaya. "P10.07: Inferior vena cava and ductus venosus Doppler in preterm IUGR fetuses." Ultrasound in Obstetrics and Gynecology 26, no. 4 (September 2005): 440. http://dx.doi.org/10.1002/uog.2472.

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Manotas, Hernan, César Payán-Gómez, Maria Fernanda Roa, and Juan Gabriel Piñeros. "TARP syndrome associated with renal malformation and optic nerve atrophy." BMJ Case Reports 14, no. 5 (May 2021): e240601. http://dx.doi.org/10.1136/bcr-2020-240601.

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Talipes equinovarus, atrial septal defect, Robin sequence and persistent left superior vena cava (TARP) syndrome is a congenital disease caused by mutations in the RBBM10 gene. It has a low prevalence and a high rate of mortality in the neonatal stage. In this case report, we present a case of a 32-week gestational age preterm newborn with a prenatal diagnosis of intrauterine growth restriction, with a persistent left superior vena cava, interatrial communication and a horseshoe kidney. Additionally, postnatal optic nerve atrophy was diagnosed. By using exome sequencing, the pathogenic variant c.1877del; p.his626Lefus*78 was identified in the RMB10 gene. Due to a lack of reports in the medical literature, the phenotype has not fully been described. Here, we report on a patient with TARP syndrome and a previously unreported mutation, c.1877del; p.his627Leufs*78, which is predicted to generate a truncated and/or protein decay of the RBM10 transcript.

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Dewi, Madona Utami, and Syamel Muhammad. "Inferior Vena Caval Syndrom in Paraaortic Metastastic Lession of Ovarian Dysgerminoma in Pregnancy Manage with Chemotherapy : a Case Report." JOURNAL OBGIN EMAS 3, no. 1 (November 27, 2019): 1–19. http://dx.doi.org/10.25077/aogj.3.1.1-19.2019.

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Background : Inferior caval syndrom is a rare case. It can caused by compresssion of the tumor mass and paraaortic metastastasis lession of ovarian dysgerminoma. Dysgerminoma is one of the most common germ cell tumor, approximately 3-5% of all ovarian cancers.1 Rate of dysgerminoma metastasis to lymph node is around 28%. In all type of germ cell, dysgerminoma has higher insidens to lymph node metastasis compare to the others. The first level of lymph node metastsis is paraaortic lymph node. However, the insidens is unknown because there is no research about it yet.2,3Dysgerminoma frequently in young age, less then 30 years. The exact etiology of dysgerminomas has not been determined, although recent molecular studies have implicated loss function of potential tumor suppressor gene TRC8/RNF139, abnormality of Y chromosome and gonadal dysgenesis.4 The problem arises when dysgerminoma is diagnosed in pregnancy woman as clinically has inferior vena cava syndrom sign and symptoms which acquired efective and fast management.Objective : Discuss inferior caval syndrom as effect of compression by tumor mass, metastasis tumor lesion and chemotherapy management in dysgerminoma with pregnancyCase Report : Patient 32 years old admitted to M. Djamil central general hospital referred from Batusangkar hospital with diagnosis G3P2A0L2 25-26 weeks of preterm pregnancy + dysgerminoma + obs. Dyspnue. Patient has symptoms dispnue, exercise intolerance, oedem extremity. Physical examination : blood pressure was 100/70 mmHg, HR 120 dpm, RR 35 bpm, T 37 C. Abdomen : uterus fundal was palpated 2 fingers above umbilical, ballotement (+), FHR 150-158 bpm. Genitalia : I V/U normal, vaginal bleeding (-), oedem extremity +/+. From ultrasonography found dysgerminoma ovary with compression to inferior vena cava and paraaortic metastatic. Patient was diagnosed with dispnue ec. inferior vena cava syndrom caused by compression of tumor mass + paraaortic lymph node metastasis lession of ovarian dysgerminoma on G3P2A0L2 25-26 weeks of preterm pregnancy. Patient was managed by BEP chemotherapy and symptom was dissapeared. Patient was admitted to M. Djamil again with 34-35 weeks of preterm pregnancy in active phase of first stage. Because obtructed of labor patient was decide to performed LSCS. Female baby was born 1800 gram, baby’s length was 45 cm, A/S 7/8, there is no congenital anomaly. Patient was followed up 1 month after surgery, there is no symptoms, but fromUltrasonograhy found corpus metastasis and CT scan impressed paraaortic lymph node metastasis + copus metastasis. Chemotherapy was continue one month after caesarean section. She was completed 4 cycles chemothrapy and the disease was cureable.Conclusion :Caval syndrom is a rare case and fatal, caused by direct compression of dysgerminoma mass and paraaortic lymph node metastasisDiagnosis of dysgerminoma is anatomy pathology diagnoseManagement of dysgerminoma is surgical staging and 3-4 cycle of chemoterapy with BEP regimenChemoterapy with BEP (Bleomisin-Etopuside-Cisplatin) is safe to performed at second trimester with inferior vena cava syndrom ec paraaorta lymph nodes metastasisDysgerminoma has a good response to chemotherapy with survival rate 96%

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Dewi, Madona Utami, and Syamel Muhammad. "Inferior Vena Caval Syndrom in Paraaortic Metastastic Lession of Ovarian Dysgerminoma in Pregnancy Manage with Chemotherapy : a Case Report." JOURNAL OBGIN EMAS 3, no. 1 (September 11, 2020): 46–63. http://dx.doi.org/10.25077/aoj.3.1.46-63.2019.

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Background : Inferior caval syndrom is a rare case. It can caused by compresssion of the tumor mass and paraaortic metastastasis lession of ovarian dysgerminoma. Dysgerminoma is one of the most common germ cell tumor, approximately 3-5% of all ovarian cancers.1 Rate of dysgerminoma metastasis to lymph node is around 28%. In all type of germ cell, dysgerminoma has higher insidens to lymph node metastasis compare to the others. The first level of lymph node metastsis is paraaortic lymph node. However, the insidens is unknown because there is no research about it yet.2,3 Dysgerminoma frequently in young age, less then 30 years. The exact etiology of dysgerminomas has not been determined, although recent molecular studies have implicated loss function of potential tumor suppressor gene TRC8/RNF139, abnormality of Y chromosome and gonadal dysgenesis.4 The problem arises when dysgerminoma is diagnosed in pregnancy woman as clinically has inferior vena cava syndrom sign and symptoms which acquired efective and fast management.Objective : Discuss inferior caval syndrom as effect of compression by tumor mass, metastasis tumor lesion and chemotherapy management in dysgerminoma with pregnancyCase Report : Patient 32 years old admitted to M. Djamil central general hospital referred from Batusangkar hospital with diagnosis G3P2A0L2 25-26 weeks of preterm pregnancy + dysgerminoma + obs. Dyspnue. Patient has symptoms dispnue, exercise intolerance, oedem extremity. Physical examination : blood pressure was 100/70 mmHg, HR 120 dpm, RR 35 bpm, T 37 C. Abdomen : uterus fundal was palpated 2 fingers above umbilical, ballotement (+), FHR 150-158 bpm. Genitalia : I V/U normal, vaginal bleeding (-), oedem extremity +/+. From ultrasonography found dysgerminoma ovary with compression to inferior vena cava and paraaortic metastatic. Patient was diagnosed with dispnue ec. inferior vena cava syndrom caused by compression of tumor mass + paraaortic lymph node metastasis lession of ovarian dysgerminoma on G3P2A0L2 25-26 weeks of preterm pregnancy. Patient was managed by BEP chemotherapy and symptom was dissapeared. Patient was admitted to M. Djamil again with 34-35 weeks of preterm pregnancy in active phase of first stage. Because obtructed of labor patient was decide to performed LSCS. Female baby was born 1800 gram, baby’s length was 45 cm, A/S 7/8, there is no congenital anomaly. Patient was followed up 1 month after surgery, there is no symptoms, but fromUltrasonograhy found corpus metastasis and CT scan impressed paraaortic lymph node metastasis + copus metastasis. Chemotherapy was continue one month after caesarean section. She was completed 4 cycles chemothrapy and the disease was cureable.Conclusion : Caval syndrom is a rare case and fatal, caused by direct compression of dysgerminoma mass and paraaortic lymph node metastasis. Diagnosis of dysgerminoma is anatomy pathology diagnose. Management of dysgerminoma is surgical staging and 3-4 cycle of chemoterapy with BEP regimen. Chemoterapy with BEP (Bleomisin-Etopuside-Cisplatin) is safe to performed at second trimester with inferior vena cava syndrom ec paraaorta lymph nodes metastasis. Dysgerminoma has a good response to chemotherapy with survival rate 96%Keywords: Caval syndrom, lymph node paraaortic metastatic

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Wells, Philip, and David Anderson. "The diagnosis and treatment of venous thromboembolism." Hematology 2013, no. 1 (December 6, 2013): 457–63. http://dx.doi.org/10.1182/asheducation-2013.1.457.

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Abstract Venous thromboembolism (VTE) is a common condition that can lead to complications such as postphlebitic syndrome, chronic pulmonary artery hypertension, and death. The approach to the diagnosis of has evolved over the years and an algorithm strategy combining pretest probability, D-dimer testing, and diagnostic imaging now allows for safe, convenient, and cost-effective investigation of patients. Patients with low pretest probability and a negative D-dimer can have VTE excluded without the need for imaging. The mainstay of treatment of VTE is anticoagulation, whereas interventions such as thrombolysis and inferior vena cava filters are reserved for special situations. Low-molecular-weight heparin has allowed for outpatient management of most patients with deep vein thrombosis at a considerable cost savings to the health care system. Patients with malignancy-associated VTE benefit from decreased recurrent rates if treated with long-term low-molecular-weight heparin. The development of new oral anticoagulants further simplifies treatment. The duration of anticoagulation is primarily influenced by underlying cause of the VTE (whether provoked or not) and consideration of the risk for major hemorrhage. Testing for genetic and acquired thrombophilia may provide insight as to the cause of a first idiopathic deep vein thrombosis, but the evidence linking most thrombophilias to an increased risk of recurrent thrombosis is limited.

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Kluckow, Martin R., and Nicholas J. Evans. "Superior Vena Cava Flow Is a Clinically Valid Measurement in the Preterm Newborn." Journal of the American Society of Echocardiography 27, no. 7 (July 2014): 794. http://dx.doi.org/10.1016/j.echo.2014.04.002.

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Mulet Trobat, Bartomeu, Catalina Oliver Cardell, and Liniana Lorenzana Álvarez. "Zygmunt Bauman (1925-2017). Globalització, cultura i educació: una qüestió de desigualtat." Disjuntiva. Crítica de les Ciències Socials 2, no. 1 (January 23, 2021): 19. http://dx.doi.org/10.14198/disjuntiva2021.2.1.2.

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Zygmunt Bauman fa una interpretació de la modernitat en el context de la globalització que ens interessa per la seva pertinença i coherència. Tot i que el concepte de globalització, caracteritzat des del poder hegemònic, esdevé opac i contradictori. Alhora, el concepte de modernitat es vincula al progrés, emperò també és marginador i provocador de mestissatges asimètrics de cultures en un context multicultural. Es tracta d’un estudi teòric d’anàlisi i interpretació sociològica reflexiva a través d'un repàs bibliogràfic bàsic de la seva obra. Cal entendre l'anomenada societat del canvi i líquida que explica Z. Bauman, en la pretensió de mostrar el que ell entenia que succeïa en la societat líquida que camina cap a un futur incert, com a societat moderna inacabada, també anomenada modernitat tardana. En aquest article procuram esbrinar el que entenem de la Modernitat líquida i altres aportacions de Z. Bauman des de la sociologia. Volem entendre la societat del canvi en el marc de les relacions socials segons l’estructura social jerarquitzada, la globalització asimètrica, desigualtat sociocultural i d’inseguretat generalitzada.

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Hunt, Rod W., Nick Evans, Ingrid Rieger, and Martin Kluckow. "Low superior vena cava flow and neurodevelopment at 3 years in very preterm infants." Journal of Pediatrics 145, no. 5 (November 2004): 588–92. http://dx.doi.org/10.1016/j.jpeds.2004.06.056.

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Artana, I. Wayan, Ni Putu Dita Wulandari, and Claudia Wuri Prihandini. "PRAKTIK YOGA ASANA DALAM MENORMALKAN TEKANAN DARAH DI KELOMPOK LANSIA BALI MOVEMENT BANJAR BATANBUAH DAUH YEH CANI BADUNG." Dharmasmrti: Jurnal Ilmu Agama dan Kebudayaan 20, no. 2 (October 25, 2020): 69–77. http://dx.doi.org/10.32795/ds.v20i2.1023.

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Penurunan fungsi organ kardiovaskuler lansia mengakibatkan hipertensi yaitu tekanan darah sistolik (tDs) ≥ 140mmhg dan tekanan darah diastolik (tDD) ≥ 90mmhg. hipertensi diobati dengan obat-obat dari dokter dan tradisional yoga asana. Penelitian bertujuan mengetahui pengaruh yoga asana terhadap tekanan darah di kelompok lansia Bali Movement Banjar Batanbuah, Abs Dauh yeh Cani, Abiansemal, Badung. Menggunakan mix study eksperimental pretest-posttest tanpa kontrol dan fenomenologi. sampel berjumlah 40 orang dan beberapa sampel digunakan sebagai informan. secara obyektif rata-rata tDs dan tDD sebelum yoga asana adalah hipert yaitu 141,00mmhg dan 90,00mmhg, sedangkan setelah yoga asana tDs dan tDD menjadi normal yaitu 120,75mmhg dan 80,75mmhg. Analisa Wilcoxon test pada α = 0,05 ditemukan p value 0,001, yang artinya ada pengaruh yoga asana terhadap tekanan darah lansia hipertensi, dan secara subyektif informan merasakan manfaat yoga asana untuk menurunkan tekanan darahnya. lansia yang hipertensi dapat menggunakan yoga asana sebagai pengobatan hipertensi bersama-sama obat dari dokter.

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Larraín Montenegro, Ana Cecilia, and Gloria Carmen Larraín Montenegro. "GRUPOS INTERACTIVOS, UNA ALTERNATIVA PARA MEJORAR LA COMPETENCIA LECTORA." Hacedor - AIAPÆC 4, no. 1 (June 30, 2020): 94–108. http://dx.doi.org/10.26495/rch.v4i1.1292.

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La competencia lectora es esencial en el proceso educativo debido a que favorece el desarrollo de competencias cognitivas del estudiante, por este motivo la investigación tuvo como Demostrar que la estrategia de grupos interactivos, mejora la competencia lectora en estudiantes de segundo grado de educación primaria de la I.E. N° 10018 “Santa Rosa” e I.E. N° 10223 “Ricardo Palma”, de Chiclayo, la metodología que se utilizó fue la aplicación de un pretest, con la finalidad de verificar cual es el nivel del aprendizaje en la variable de competencia lectora, luego se diseñó y aplicó un programa de grupos interactivos, posteriormente se evaluó con un postest, participaron 72 estudiantes de la I.E. “Santa Rosa” y 71 estudiantes de la I.E. “Ricardo Palma, siendo un total de 143, a quienes se le aplicó el programa de grupos Interactivos, oobservándose la competencia lectora ha mejorado en que en el inicio la diferencia entre el pre y postest es de 16.3, en proceso es de 22.4, en logro esperado es de 17.3 y logro destacado la diferencia entre pre y postest es de 21.6, en la variable de grupos interactivos los resultados fueron similares, mostrándose que en la dimensiones de Dialogo igualitario, Inteligencia cultural, Transformación, Creación del sentido, Solidaridad, Instrumental e Igualdad de diferencias una vez que se aplicó el programa la diferencia entre postest fue en siempre de 13.4 puntos porcentuales, casi siempre 8.8, disminuyendo en a veces con el 1.6, casi nunca 7.9 y nunca con el 12.7.

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Seri, Istvan. "Low superior vena cava flow during the first postnatal day and neurodevelopment in preterm neonates." Journal of Pediatrics 145, no. 5 (November 2004): 573–75. http://dx.doi.org/10.1016/j.jpeds.2004.08.064.

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Chen, Kuen-Bao. "Clinical Experience of Percutaneous Femoral Venous Catheterization in Critically Ill Preterm Infants Less Than 1,000 Grams." Anesthesiology 95, no. 3 (September 1, 2001): 637–39. http://dx.doi.org/10.1097/00000542-200109000-00015.

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Background Venous access is relatively difficult in preterm infants. Central venous catheterization is indicated for pressure monitoring, drug therapy, and nutrition supplementation, which are often critical in the anesthetic management of infants undergoing major surgery. Methods In 49 critically ill preterm infants weighing less than 1,000 g, the femoral vein was cannulated using a 22-gauge Angiocath (25 mm; Beckton Dickinson, Sandy, UT). A 2.5-ml syringe was attached to the Angiocath, and the Angiocath was advanced with constant negative pressure over the syringe. When blood return was observed, the cannula was advanced. When free blood reflux was achieved, a J wire was inserted, followed by a 24-gauge central venous catheter. Results The overall catheterization success rate was 79.6% (39 of 49 attempts). The time required for successful catheterization was less than 10 min in 18 cases (46.2%), 10-20 min in 17 cases (43.6%), and 20-30 min in 4 cases (10.3%). In the successful group, 1 catheter tip was positioned in the vein of the liver (2.6%), 2 were in the common iliac vein (5.1%), 6 were in the right atrium (15.4%), and 30 were in the infracardiac inferior vena cava (76.9%). Complications included hematoma in six cases (12.2%), arterial puncture in five cases (10.2%), bleeding in two cases (4.1%), and transient bradycardia in two cases (4.1%). Conclusions The results indicate that percutaneous femoral venous catheterization is a reliable and valuable technique for critically ill preterm infants weighing less than 1,000 g.

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Gabola, Piera, and Antonio Iannaccone. "Elementi contestuali nella costruzione del benessere degli insegnanti in due casi studio italiani." Swiss Journal of Educational Research 37, no. 1 (September 20, 2018): 149–66. http://dx.doi.org/10.24452/sjer.37.1.4948.

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L’articolo propone una riflessione su alcuni elementi critici della costruzione del benessere professionale degli insegnanti mettendo in luce, accanto alle note cause di insorgenza della sindrome del burnout quali fattori individuali, emotivi e relazionali, anche gli effetti che sembrano riconducibili alla condizione lavorativa nel suo complesso e dunque al sistema di attività nel quale viene svolto questo mestiere. Per dar conto di tali effetti l’articolo discute i risultati di due contributi empirici, realizzati in modo indipendente, a distanza di dieci anni l’uno dall’altro, nel sistema scolastico italiano. In particolare i due studi fanno riferimento alla condizione di benessere socio professionale di insegnanti di scuola dell’infanzia e primaria in due fasi distinte dell’evoluzione del sistema scolastico italiano (che nell’arco dei dieci anni intercorsi fra i due studi è stato interessato da continui tentativi di riforme, da un crescente precariato, da un progressivo indebolimento del riconoscimento della professione, dalla presenza diffusa in classe di bambini di differenti culture, dall’introduzione, largamente approssimativa, di nuove tecnologie, dalla scarsa corrispondenza tra lavoro effettivo ed aspettative dei futuri insegnanti). Senza la pretesa di fornire risposte definitive ad un problema evidentemente complesso la ri-lettura dei due studi sul burnout, realizzati in due distinte fasi dell’evoluzione del sistema scolastico, pur confermando, in parte, i risultati di altri lavori simili, solleva il problema complementare della contestualizzazione delle modalità di espressione del disagio degli insegnanti in relazione al più ampio tessuto identitario professionale nel quale essi operano. Tessuto che sembra mutare al mutare del posizionamento sociale e culturale dell’insegnamento.

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Tantacharoenrat, Chanita, Tassanee Prasopkittikun, Somsiri Rungamornrat, and Kawewan Limprayoon. "Use of a User-Friendly Tablet Application to Communicate with Pediatric Patients on Mechanical Ventilators." Aquichan 18, no. 3 (September 20, 2018): 275–86. http://dx.doi.org/10.5294/aqui.2018.18.3.3.

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Objetivos: examinar cómo el uso de una aplicación para tableta como ayuda en la comunicación con pacientes pediátricos con respirador artificial afecta el nivel de satisfacción con la comunicación por parte del personal de enfermería y en las díadas cuidador–paciente. Materiales y método: se utilizó el diseño pretest-postest de un solo grupo para analizar el nivel de satisfacción del personal de enfermería con la comunicación y se utilizó un diseño de grupo de control pretest-postest no equivalente para los cuidadores. La muestra estaba conformada por 44 miembros del personal de enfermería y 18 díadas de cuidadores y pacientes pediátricos con ventilación de dos hospitales en Tailandia. Se utilizó una prueba de T pareada para comparar al personal de enfermería, la prueba U de Mann-Whitney para comparar los cuidadores y una estadística descriptiva para describir la satisfacción de los niños. Resultados: el personal de enfermería se sintió más satisfecho con la comunicación al usar la aplicación de la tableta que los métodos de comunicación regulares (t = -9,13, df = 43, p < ,001). Los cuidadores que usaron la aplicación para tableta también reportaron una mayor satisfacción con la comunicación respecto a aquellos que usaron los métodos de comunicación regulares (U = -3,41, p < ,001). Casi el 90 % de los pacientes pediátricos reportaron sentirse completamente satisfechos con el uso de la aplicación. Conclusiones: la aplicación para tableta diseñada para facilitar la comunicación con pacientes pediátricos con respirador artificial mejoró los niveles de satisfacción con la comunicación y debe promoverse como uno de los dispositivos de comunicación de asistencia para uso amplio.

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Krick, Jeanne, Kimberly Riehle, Teresa Chapman, and Shilpi Chabra. "Recurrent bloody stools associated with visceral infantile haemangioma in a preterm twin girl." BMJ Case Reports 11, no. 1 (2018): bcr—2018–226564. http://dx.doi.org/10.1136/bcr-2018-226564.

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A premature twin infant girl was transferred to a level IV neonatal intensive care unit for recurrent bloody stools, anaemia and discomfort with feeds; without radiographic evidence of necrotising enterocolitis. Additional imaging after transfer revealed a large retroperitoneal mass in the region of the pancreas compressing the inferior vena cava and abdominal aorta, raising suspicion for neuroblastoma. Abdominal exploration and biopsy unexpectedly revealed that the lesion was an infantile capillary haemangioma involving the small bowel, omentum, mesentery and pancreas. The infant was subsequently treated with propranolol, with a decrease in the size of the lesion over the first year of her life and a drastic improvement in feeding tolerance. While cutaneous infantile haemangiomas are common, visceral infantile haemangiomas are less so and may present a significant diagnostic challenge for clinicians. This interesting case demonstrates that such lesions should be considered in the differential diagnosis for unexplained gastrointestinal bleeding or abdominal symptoms in newborns.

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Brouwer, Emma, Arjan B. te Pas, Graeme R. Polglase, Erin V. McGillick, Stefan Böhringer, Kelly J. Crossley, Karyn Rodgers, et al. "Effect of spontaneous breathing on umbilical venous blood flow and placental transfusion during delayed cord clamping in preterm lambs." Archives of Disease in Childhood - Fetal and Neonatal Edition 105, no. 1 (May 15, 2019): 26–32. http://dx.doi.org/10.1136/archdischild-2018-316044.

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IntroductionDuring delayed umbilical cord clamping, the factors underpinning placental transfusion remain unknown. We hypothesised that reductions in thoracic pressure during inspiration would enhance placental transfusion in spontaneously breathing preterm lambs.ObjectiveInvestigate the effect of spontaneous breathing on umbilical venous flow and body weight in preterm lambs.MethodsPregnant sheep were instrumented at 132–133 days gestational age to measure fetal common umbilical venous, pulmonary and cerebral blood flows as well as arterial and intrapleural (IP) pressures. At delivery, doxapram and caffeine were administered to promote breathing. Lamb body weights were measured continuously and breathing was assessed by IP pressure changes.ResultsIn 6 lambs, 491 out of 1117 breaths were analysed for change in body weight. Weight increased in 46.6% and decreased in 47.5% of breaths. An overall mean increase of 0.02±2.5 g per breath was calculated, and no net placental transfusion was observed prior to cord clamping (median difference in body weight 52.3 [−54.9–166.1] g, p=0.418). Umbilical venous (UV) flow transiently decreased with each inspiration, and in some cases ceased, before UV flow normalised during expiration. The reduction in UV flow was positively correlated with the standardised reduction in (IP) pressure, increasing by 109 mL/min for every SD reduction in IP pressure. Thus, the reduction in UV flow was closely related to inspiratory depth.ConclusionsSpontaneous breathing had no net effect on body weight in preterm lambs at birth. UV blood flow decreased as inspiratory effort increased, possibly due to constriction of the inferior vena cava caused by diaphragmatic contraction, as previously observed in human fetuses.

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Lee, A., E. Nestaas, K. Liestøl, L. Brunvand, R. Lindemann, and D. Fugelseth. "Tissue Doppler Imaging in Very Preterm Infants. Relation to Blood Pressure and Superior Vena Cava Flow." Pediatric Research 70 (November 2011): 9. http://dx.doi.org/10.1038/pr.2011.234.

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Papile, L. A. "Delayed cord clamping and blood flow in the superior vena cava in preterm infants: an observational study." Yearbook of Neonatal and Perinatal Medicine 2011 (January 2011): 26–27. http://dx.doi.org/10.1016/j.ynpm.2011.07.072.

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Osborn, D. A., N. Evans, M. Kluckow, J. R. Bowen, and I. Rieger. "Low Superior Vena Cava Flow and Effect of Inotropes on Neurodevelopment to 3 Years in Preterm Infants." PEDIATRICS 120, no. 2 (August 1, 2007): 372–80. http://dx.doi.org/10.1542/peds.2006-3398.

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Sánchez Uceda, Martha Adriana, and Oscar López Regalado. "El CmapTools en estudiantes universitarios para desarrollar pensamiento crítico." Innoeduca. International Journal of Technology and Educational Innovation 2, no. 1 (May 20, 2016): 54. http://dx.doi.org/10.20548/innoeduca.2016.v2i1.1037.

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El pensamiento crítico en la gran mayoría de estudiantes universitarios, es deficiente; por ello, los docentes proponen métodos, generalmente haciendo uso de tecnologías de la información y de la comunicación, como es el caso de software educativos que, ayuden a desarrollar en los estudiantes, un juicio crítico que les permita enfrentar los retos de la vida profesional en la que deberán desenvolverse; es por ello, que se pensó en la aplicación de CmapTools, como herramienta tecnológica, para ayudar a los estudiantes a desarrollar este tipo de pensamiento superior. La investigación es explicativa y aplicada, de diseño cuasi experimental. Los grupos control y experimental fueron seleccionados al azar, a partir de grupos pre existentes, cada uno de ellos consideraba a los estudiantes matriculados en una asignatura durante el primer semestre del año 2015 en la Facultad de Ciencias de la Salud de la Universidad Privada Antonio Guillermo Urrelo. Para el estudio se elaboró y validó un cuestionario que respondieron los estudiantes de los grupos control y experimental antes y después de la aplicación del programa conteniendo actividades con CmapTools. Los resultados indican que antes de la aplicación del programa, la mayoría de estudiantes nunca o casi nunca hicieron uso de las dimensiones del pensamiento crítico; pero, luego de la aplicación del mismo se observó que, mientras en el grupo control los resultados fueron similares a lo obtenido en el pretest, para el grupo experimental el 1,09% nunca hizo uso de las dimensiones del pensamiento crítico; el 24,12% a veces lo hizo; el 48,75% casi siempre lo hizo y el 25,53% siempre utilizó estas dimensiones. Se concluye que el programa con actividades utilizando CmapTools, favorece el desarrollo del pensamiento crítico, en los estudiantes universitarios.

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Janaillac, Marie, Thierry Beausoleil, Oliver Karam, Marie-Josée Raboisson, Keith J. Barrington, Mathieu Dehaes, and Anie Lapointe. "RELATIONSHIPS BETWEEN NEAR-INFRARED SPECTROSCOPY, PREDUCTAL PERFUSION INDEX AND CARDIAC OUTPUTS IN EXTREMELY PRETERM INFANTS IN THE FIRST 72 HOURS OF LIFE." Paediatrics & Child Health 23, suppl_1 (May 18, 2018): e23-e24. http://dx.doi.org/10.1093/pch/pxy054.059.

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Abstract BACKGROUND Assessment of hemodynamics during the transitional period in preterm infants is challenging. OBJECTIVES We aimed to describe the relationship between cerebral regional tissue oxygenation saturation (CrSO2), preductal perfusion index (PI), echocardiographic and clinical parameters in extremely preterm infants in their first 72 hours of life. DESIGN/METHODS This single center prospective observational study was conducted in the level 3 neonatal intensive care unit of Sainte-Justine Hospital between July 2015 and May 2016. Twenty newborns born at <28 weeks of gestation were continuously monitored with CrSO2 and preductal PI as well as cardiac outputs measured at 6, 24, 48 and 72 hours of life. Data were assessed for normality and Pearson correlation statistics were performed. Serial data were tested using a one-way ANOVA with repeated measures and Bonferroni adjustment. The level of significance was set to 0.05 RESULTS Median gestational age and birth weight were 25.0 weeks (24–26) and 750 g (655–920) respectively. Table 1 describes the measures over the 72 hours of the study period. CrSO2 and preductal PI were weakly correlated with mean blood pressure, PaCO2, lactates and haemoglobin. Fifteen patients had at least one episode of low left and/or right ventricular output (RVO) measured and showed strong correlation between CrSO2 and superior vena cava (SVC) flow at H6 (r=0.74) and H24 (r=0.86) and between PI and RVO at H6 (r=0.68) and H24 (r=0.92). Five patients had low SVC flowat H6 and showed strong correlation between PI and RVO (r=0.98). CONCLUSION CrSO2 and preductal PI were weakly correlated with clinical parameters in the preterm infants. However, CrSO2 and PI showed stronger correlation with RVO and SVC flow during low cardiac output states.

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Iglesias García, María Teresa, Noelia Gutiérrez Fernández, Stephen John Loew, and Celestino Rodríguez Pérez. "Hábitos y técnicas de estudio en adolescentes con trastorno por déficit de atención con o sin hiperactividad." European Journal of Education and Psychology 9, no. 1 (January 4, 2018): 29. http://dx.doi.org/10.30552/ejep.v9i1.134.

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Un alto porcentaje de adolescentes con trastorno por déficit de atención con o sin hiperactividad (TDAH) no consigue resultados académicamente satisfactorios, debido, entre otras razones, a la poca organización en el estudio y el desconocimiento de técnicas y recursos para abordar las tareas escolares. El objetivo de este trabajo es conocer y mejorar sus hábitos y técnicas de estudio mediante un diseño cuasiexperimental (pretest-aplicación de tratamiento-postest). La muestra resultante estaba formada por 20 estudiantes sin TDAH de distintos cursos de Educación Secundaria Obligatoria (en concreto, 5 de cada curso, y con edades comprendidas entre los 12 y los 16 años) y 6 adolescentes con TDAH. El instrumento de evaluación utilizado fue el Inventario de Hábitos de Estudio (Fernández-Pozar, 2002). Entre los resultados encontrados destacamos que los adolescentes con TDAH muestran carencias en todas las escalas del Inventario de Hábitos de Estudio(condiciones ambientales, planificación del estudio, utilización de materiales y asimilación de contenidos), siendo sus puntuaciones significativamente inferiores a las de los adolescentes sin TDAH en cuanto a las condiciones ambientales y mejorando en casi todas las escalas cuando reciben atención educativa especializada.

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El-Naggar, Walid, David Simpson, Arif Hussain, Anthony Armson, Linda Dodds, Andrew Warren, Robin Whyte, and Douglas McMillan. "Cord milking versus immediate clamping in preterm infants: a randomised controlled trial." Archives of Disease in Childhood - Fetal and Neonatal Edition 104, no. 2 (June 14, 2018): F145—F150. http://dx.doi.org/10.1136/archdischild-2018-314757.

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ObjectiveTo investigate whether umbilical cord milking (UCM) at birth improves systemic blood flow and short-term outcomes, as compared with immediate cord clamping (ICC).DesignRandomised clinical trial.SettingSingle tertiary care centre.PatientsInfants born to eligible women presenting in preterm labour between 24 and 31 weeks’ gestation.InterventionsUCM three times at birth or ICC.Outcome measuresPrimary outcome included systemic blood flow as represented by echo-derived superior vena cava(SVC) flow at 4–6 hours after birth. The echocardiographer and interpreter were blinded to the randomisation. Secondary outcomes included cardiac output, neonatal morbidities and mortality. Analysis was by intention to treat.ResultsA total of 73 infants were randomised (37 to UCM and 36 to ICC). Mean (SD) gestational age was 27 (2) weeks and mean (SD) birth weight was 1040 (283) g. Haemoglobin on admission was higher in the UCM than in the ICC group (16.1 vs 15.0 g/L), p=0.049 (mean difference 1.1, 95% CI 0.003 to 2.2). No statistically significant differences were found between groups in SVC flow at 4–6 hours (88.9±37.8 and 107.3±60.1 mL/kg/min), p=0.13 (mean difference −18.4, 95% CI −41.7 to 5.0 mL/kg/min) or at 10–12 hours of age (102.5±41.8 and 90.6±28.4 mL/kg/min), p=0.17 (mean difference 12.0, 95% CI −4.7 to 28.7 mL/kg/min), cardiac output or neonatal morbidities.ConclusionsCord milking was not shown to improve functional cardiac outcomes, neonatal morbidity or mortality. More research is needed before routine cord milking can be recommended for very preterm infants.Trial registrationNCT01487187.

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Meyer, Michael P., and Lindsay Mildenhall. "Delayed cord clamping and blood flow in the superior vena cava in preterm infants: an observational study: Table 1." Archives of Disease in Childhood - Fetal and Neonatal Edition 97, no. 6 (May 17, 2011): F484—F486. http://dx.doi.org/10.1136/adc.2010.199703.

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Bravo, María Carmen, Paloma López‐Ortego, Laura Sánchez, Jesús Díez, Fernando Cabañas, and Adelina Pellicer. "Randomised trial of dobutamine versus placebo for low superior vena cava flow in preterm infants: Long‐term neurodevelopmental outcome." Journal of Paediatrics and Child Health 57, no. 6 (January 19, 2021): 872–76. http://dx.doi.org/10.1111/jpc.15344.

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Oteri, Annunziata Maria. "I confini dissolti. la dismissione delle mura urbane in Italia dopo l'unitŕ." STORIA URBANA, no. 136 (March 2013): 5–27. http://dx.doi.org/10.3280/su2012-136001.

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Generalmente s'individua, come principale causa della sistematica dismissione delle mura urbane, una vaga esigenza di modernitŕ. Č un'argomentazione senz'altro corretta, ma forse insufficiente a giustificare l'imponente processo che, dal secondo Ottocento, ha contribuito in modo decisivo al radicale mutamento della fisionomia di molte cittŕ europee di grandi, medie ma anche piccole dimensioni. Il saggio presenta i contenuti del volume dedicato alla dismissione delle fortificazioni urbane dopo l'unitŕ d'Italia. Attraverso alcuni casi esemplificativi (Milano, Brescia, Roma, Napoli, Crotone e Messina) s'indagano, senza la pretesa di fornire un quadro esaustivo, e nella specificitŕ di ciascun esempio, piů che gli esiti tangibili del fenomeno, giŕ ampiamente noti, le ragioni economiche, sociali, culturali che l'hanno prodotto. La dismissione č qui sondata come momento di avvio di quella radicale conversione che Alberto Caracciolo ben sintetizza nel passaggio da "cittŕ tradizionale in cittŕ del capitalismo". Non a caso, l'indagine si č circoscritta alle cinte, in qualche caso alle cittadelle e ai forti, escludendo gli altri insediamenti militari (caserme, cavallerizze, ospedali, collegi, officine, ecc.), la cui dismissione, per varie ragioni, ha seguito iter in tutto differenti. L'indagine riguarda in particolare il periodo postunitario, seppure con qualche rilevante anticipazione, quando, da un lato il radicale mutamento nei sistemi di difesa circoscriverŕ considerevolmente il ruolo dell'esercito entro la cittŕ, dall'altro si avranno importanti cambiamenti strutturali che influiranno sui processi di dismissione giŕ parzialmente avviati.

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Yapakci, Ece, Ayse Ecevit, Deniz Anuk Ince, Mahmut Gokdemir, M. Agah Tekindal, Hande Gulcan, and Aylin Tarcan. "Inferior Vena Cava Oxygen Saturation during the First Three Postnatal Days in Preterm Newborns with and without Patent Ductus Arteriosus." Balkan Medical Journal 31, no. 3 (September 23, 2014): 230–34. http://dx.doi.org/10.5152/balkanmedj.2014.13197.

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Evans, N. "Which to measure, systemic or organ blood flow? Middle cerebral artery and superior vena cava flow in very preterm infants." Archives of Disease in Childhood - Fetal and Neonatal Edition 87, no. 3 (November 1, 2002): 181F—184. http://dx.doi.org/10.1136/fn.87.3.f181.

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Robles Bello, Mª Auxiliadora. "Un caso de síndrome X Frágil y su intervención desde la Atención Infantil Temprana." Electronic Journal of Research in Education Psychology 9, no. 25 (December 2, 2017): 1333. http://dx.doi.org/10.25115/ejrep.v9i25.1621.

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Introducción. El síndrome de Cromosoma X Frágil (SFX) es la primera causa más frecuente de discapacidad intelectual y la segunda asociada a factores genéticos, solo superada por el síndrome de Down. Se observa en la literatura científica que existe una gran variabilidad den tro del fenotipo conductual que este síndrome presenta, de ahí la necesidad de realizar una adecuada evaluación del caso que sea atendido desde la Atención Temprana (AT), ya que los aspectos generales de este síndrome, que son los conocidos, sirven parcialmente para orientar el tratamiento desde un programa de AT.Método. Se expone un estudio de caso único en el que se realiza un seguimento exhaustivo de los niveles iniciales y logros conseguidos por un niño de 10 meses de edad cronológica, tras recibir una intervención dentro de un programa de AT durante 6 meses. Vuelve a ser evaluado después de ese tiempo, y por último se halla la puntuación de ganancia, que nos indica cuánto cambio se produce tras el entrenamiento o diferencia entre el postest y el pretest.Resultados. En la situación pretest se observa que el nivel mejor es el motor seguido del área perceptivo-cognitiva, casi sin adquisiones en lenguaje ni en autonomía, con una edad de desarrollo de 8 meses en la escala de Brunet-Lezine. En la situación postest su edad de desarrollo es de 12 meses, siendo el área motora la que mejora más seguida del área perceptivo-cognitiva y del lenguaje, casi sin logros en autonomía. Sin embargo cuando se observa la puntuación de ganancia se descubre que el área donde más gana es en el área cognitiva seguida del lenguaje y del nivel motor, con una ganancia mínima en autonomía.Discusión y Conclusiones. Existe la necesidad de una evaluación individualizada que determine los déficits concretos que presenta el niño en cada área de desarrollo, pues si bien se prevee, según la literatura científica, que existirán necesidades a nivel cognitivo y del lenguaje, se descubre que, aunque haya que intervenir en estas áreas, su necesidad se centra fundamentalmente a nivel motor y de autonomía. Por lo que se confirma la eficacia del tratamiento.

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Mahoney, Liam, Jose R. Fernandez-Alvarez, Hector Rojas-Anaya, Neil Aiton, David Wertheim, Paul Seddon, and Heike Rabe. "Intra- and Inter-rater Agreement of Superior Vena Cava Flow and Right Ventricular Outflow Measurements in Late Preterm and Term Neonates." Journal of Ultrasound in Medicine 37, no. 9 (February 24, 2018): 2181–90. http://dx.doi.org/10.1002/jum.14568.

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Ma’roef, Mochamad, and Arifatul Jannah2. "PENGARUH PEMBERIAN EKSTRAK BUAH ASAM JAWA (TAMARINDUS INDICA) TERHADAP PENURUNAN KONTRAKSI OTOT POLOS UTERUS TERPISAH MARMUT BETINA (CAVIA PORCELLUS)." Saintika Medika 11, no. 2 (March 22, 2017): 102. http://dx.doi.org/10.22219/sm.v11i2.4204.

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Ma’roef, Arifatul. The Influence of Tamarind (Tamarindus indica) Fruit Extract On Reducing Isolated Uterine Smooth Muscle Contraction of Female Guinea Pig (Cavia porcellus) Background : Tamarind (Tamarindus indica) is medicinal plant that is easy to get and has many adventages. Flavonoid, tannin, and some minerals in this plant have been supposed to be able to inhibit uterine contraction that could reduce menstrual cramps and decrease preterm delivery. Objective : To know the influence of tamarind fruit extract on reducing isolated uterine smooth muscle contraction of female guinea pig. Methods : True experimental with post test only control group design. Non-pregnant female guinea pig uterine strips in De Jalon solutions were contracted by 0,03 IU oxytocin and 3 doses of extract were added to the preparation, namely 2 mg/ml (P1), 4 mg/ml (P2), and 6 mg/ml (P3). Those groups were compared to positive control(only oxytocin induced) and negative control (without intervention). The contractions were recorded for 20 minutes and the result was shown in Labscribe2 software. Result : The result of ANOVA showed a significant difference between control group and treatment (p=0,00).The correlation test result showed that the higher dose of tamarind extract, the less contractions will be. Linear regression result showed a strong influence of tamarind extract on reducing uterine contraction, namely 84,7% with 4 mg/ml as effective dose. Conclusion : Tamarind extract has influence on reducing the isolated uterine smooth muscle contraction of female guinea pig.Key word : tamarind, uterine contraction, guinea pig

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Al Mandhari, Hilal, and Asaph Rolnitsky. "Interrupted inferior vena cava with azygos continuation in an extreme preterm infant: Unusual lower-limb peripherally inserted central catheter line tip position." Journal of Clinical Neonatology 8, no. 2 (2019): 122. http://dx.doi.org/10.4103/jcn.jcn_92_18.

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Santirocco, Emanuele. "Io e il gruppo nel mestiere di terapeuta e formatore." RUOLO TERAPEUTICO (IL), no. 114 (May 2010): 41–48. http://dx.doi.org/10.3280/rt2010-114004.

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La persona si struttura attraverso le relazioni che stabilisce dal primo mi- nuto di vita in avanti. Si tratta di transazioni di una certa qualitŕ emotiva, che includono odori, colori, suoni e che vengono interiorizzate dal bambino. Sono "innesti" psichici fondamentali per la crescita. Che, curiosamente, non mobilitano difese immunitarie. Tutto questo per segnalare il tema sconfinato e anche un po' misterioso delle comunicazioni da inconscio a inconscio. Ovvero il passaggio di vissuti e contenuti emotivi da una persona all'altra, che si manifestano anche nell'esperienza clinica. Nel lavoro di terapeuta e formatore, l'autore dichiara di trovarsi spesso alle prese con i suoi tormenti emotivi, nati dall'incontro con l'altro. Che, se adeguatamente trattati, costituiscono degli strumenti potenti per capire qualcosa in piů dell'interlocutore e di sé. Inoltre aggiunge di non essere affetto da pretese definitorie tese a catalogare cosa sia terapeutico e cosa invece formativo. Le domande che si pone quando incontra l'altro, paziente o collega che sia, sono: capisco la realtŕ umana che ho davanti? Sono in grado di fornire il mio aiuto, cioč di testimoniare una presenza? I ruoli di terapeuta e formatore condividono l'intento di governare la complessitŕ alla luce di determinati principi etici. Secondo l'autore, l'individuo e la tecnica coincidono, perché ritiene che in questo tipo di mestiere la soggettivitŕ critica sia un bene di prima necessitŕ. Inoltre aggiunge che chi porta un caso clinico, indipendentemente dal fatto che sia in formazione o in supervisione, ha un nervo scoperto. Il modello formativo cui fa riferimento l'autore č quello della supervisione di gruppo. Seguono alcuni casi clinici.

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Holberton, James R., Sandra M. Drew, Rintaro Mori, and Kai König. "The diagnostic value of a single measurement of superior vena cava flow in the first 24 h of life in very preterm infants." European Journal of Pediatrics 171, no. 10 (May 26, 2012): 1489–95. http://dx.doi.org/10.1007/s00431-012-1755-z.

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Popat, Himanshu, Kristy P. Robledo, Lucille Sebastian, Nicholas Evans, Andrew Gill, Martin Kluckow, Sanjay Sinhal, Koert de Waal, William Tarnow-Mordi, and David Osborn. "Interobserver agreement and image quality of functional cardiac ultrasound measures used in a randomised trial of delayed cord clamping in preterm infants." Archives of Disease in Childhood - Fetal and Neonatal Edition 103, no. 3 (August 17, 2017): F257—F263. http://dx.doi.org/10.1136/archdischild-2016-312006.

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ObjectiveFunctional cardiac ultrasound measures are used clinically and in trials for assessing the haemodynamic status of newborn infants. Superior vena cava (SVC) flow and right ventricular output (RVO) are established measures of systemic blood flow on the first postnatal day. The objective was to assess image quality and interobserver agreement of these measures in preterm infants enrolled in a randomised trial of immediate versus delayed cord clamping.Design and settingImage quality and interobserver agreement for SVC flow, RVO and ductus arteriosus (DA) size were assessed on measurements taken at 3–6, 6–12 and 20–28 hours for the first 10 infants enrolled at each of four sites (total 40). Bland-Altman plots were constructed; mean difference (bias) and limits of agreement (LOA) were calculated. Potential sources of variation were explored.ResultsQuality was judged satisfactory for >97% of images. The mean difference and LOA between the observers were 5.4 mL/kg/min and −49.0 to 59.8 mL/kg/min for SVC flow, −26.6 mL/kg/min and −131.4 to 78.2 mL/kg/min for RVO, and 0 mm and −0.8 to 0.8 mm for DA diameter, respectively. The principal source of measurement error for SVC flow was diameter, and for RVO, diameter and velocity time integral. The difference between observers for both SVC and RVO was significantly associated with site.ConclusionInterobserver variability for SVC flow is consistent with that previously reported, but higher for RVO. The findings should be incorporated into clinical practice, training, accreditation and trial design.

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Ruiloba Quecedo, Cecilia. "El Sanatorio de Zonnestraal : origen y desarrollo del proyecto = V." Cuaderno de Notas, no. 15 (November 25, 2014): 1. http://dx.doi.org/10.20868/cn.2014.2954.

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El Sanatorio de Zonnestraal es una de las obras más emblemáticas de la arquitectura moderna. Con el presente estudio que abarca casi diez años desde la primera propuesta elaborada por dos jóvenes arquitectos, Duiker y Bijvoet, hasta la inauguración del Sanatorio en 1928, se pretende esclarecer la génesis y la controvertida evolución de las diferentes soluciones realizadas para Zonnestraal hasta obtener el proyecto definitivo. Un largo proceso protagonizado por la geometría, aplicada a un programa: el de los sanatorios antituberculosos, que por sus propias características terapéuticas, de higiene y salud, cumple a la perfección con los nuevos ideales modernos. Un proceso que es en sí mismo un reflejo del despertar funcionalista que experimenta la arquitectura moderna del siglo XX. Abstract The Zonnestraal Sanatorium is one of the most emblematic works of modern architecture. With the present study spanning nearly a decade from the first proposal made by two young architects, Duiker and Bijvoet, until the opening of the Sanatorium in 1928, we pretend to clarify the genesis and the controversial evolution of the different solutions made for Zonnestraal until it get its final design. A long process leaded by the geometry and applied to a program: the program of the tuberculosis sanatoriums, which by its own therapeutic characteristics, of health and hygiene, complies perfectly with the new modern ideals. A process that is itself a reflection of the functionalist awakening experienced by the modern architecture of the 20th century.

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Chan, Joshua I., Asif Noor, Christie Clauss, Renu Aggarwal, and Amrita Nayak. "Methicillin-Resistant Staphylococcus aureus Endovascular Infection in a Neonate: Prolonged, Safe, and Effective Use of Daptomycin and Enoxaparin." Journal of Pediatric Pharmacology and Therapeutics 25, no. 1 (January 1, 2020): 68–74. http://dx.doi.org/10.5863/1551-6776-25.1.68.

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We report on a former 28-week gestation neonate with persistent methicillin-resistant Staphylococcus aureus (MRSA) endocarditis, with a heterozygous Factor V Leiden mutation. The neonate became clinically ill after 1 week of life, with positive blood cultures for MRSA. Echocardiography revealed large thrombi in the inferior vena cava and right atrium. Bacteremia persisted despite removal of umbilical arterial and venous catheters and empiric administration of therapeutic doses of vancomycin (minimum inhibitory concentration [MIC] 2 mg/L) and ceftazidime. To narrow therapy, ceftazidime was discontinued, while gentamicin and rifampin were added. Cultures remained positive and, therefore, linezolid was added, and subsequent blood cultures became negative. Since prolonged linezolid use of 2 weeks or longer carries potential adverse effects, antibiotics were changed to daptomycin, which is bactericidal and recommended for treatment of invasive MRSA infections when vancomycin MICs are ≥2 mg/L to minimize vancomycin treatment failure. Enoxaparin was initiated, with anti-Xa assay monitoring. A workup for thrombophilia revealed heterozygous Factor V Leiden mutation. Serial echocardiograms demonstrated decreasing size of the thrombi, which were no longer visualized at 2 months of age. Creatinine kinase remained normal. The infant had no seizures on daptomycin. The management of persistent MRSA bacteremia in neonates associated with a large thrombus poses a unique challenge due to the long duration of treatment. To our knowledge, this is the first case of prolonged and safe daptomycin and enoxaparin use in a preterm neonate. Daptomycin may be considered in cases of clinical failure with vancomycin when a lengthy treatment course is contemplated.

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Espinosa Ríos, Edgar Andrés, and Angie Zuleidy Aguirre Arias. "LA REFLEXIÓN, PARTE FUNDAMENTAL EN LA MEDIACIÓN DIDÁCTICA PARA LA ENSEÑANZA DE LAS CIENCIAS: UN CASO ESPECÍFICO DEL CONCEPTO MATERIA." Investigações em Ensino de Ciências 25, no. 1 (May 1, 2020): 01. http://dx.doi.org/10.22600/1518-8795.ienci2020v25n1p01.

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Con el propósito de favorecer procesos de enseñanza acorde con las necesidades de los estudiantes, de manera que se promuevan aprendizajes útiles para la vida, la mediación didáctica propone el rol del docente como mediador de los aprendizajes, de manera que se favorezca no solo la construcción de saberes científicos sino también un desarrollo emocional de la persona (Parada-Trujillo & Avendaño, 2013). Así mismo, se reconocen los planteamientos de Tébar (2009) quien establece que no se trata de que el docente pase de un modelo de enseñanza tradicional a uno de enseñanza constructivista, sino se trata más bien del reconocimiento de las características del propio modelo tradicional y de las que configuran el enfoque de mediación didáctica, de modo que el docente pueda diferenciarlos, y configurar sus estrategias de enseñanza como consecuencia de un proceso de reflexión de su propia práctica. A partir de lo anterior la pregunta que orienta la presente investigación es: ¿Cómo los procesos reflexivos fundamentados en la mediación didáctica favorecen los procesos de enseñanza-aprendizaje del concepto de materia a partir de la implementación de una secuencia didáctica a estudiantes de grado 10º? Para solucionar lo anterior se contó con una población de dos docentes de química en ejercicio y un grupo de 30 estudiantes para cada docente con edades entre los 15 y 17 años del grado 10°. Dichos estudiantes pertenecen a un establecimiento educativo de Cali - Valle del Cauca del sector oficial. La investigación presenta un estudio cualitativo. La recolección de los datos se realizó a partir de diversos instrumentos como: cuestionario de indagación acerca de las concepciones teórico-prácticas sobre la enseñanza, aprendizaje y evaluación de las ciencias, observación del desarrollo de clases a partir de registros fílmicos, rejilla de análisis de clase, entrevista semiestructurada, pretest y postest conceptual (el cual se implementó al final del proceso de aplicación de la secuencia didáctica).Las conclusiones obtenidas reafirman la importancia de generar espacios reflexivos durante la práctica docente de manera que éste sea consciente de los aciertos y desaciertos desarrollados durante su proceso de enseñanza, generando estrategias pedagógicas que favorezcan en los estudiantes un aprendizaje autónomo. Resulta de suma importancia la experiencia a la que se enfrentan los docentes durante su proceso de formación, debido a que a partir de la investigación se encontró que el docente perteneciente a la muestra control presenta 28 años de experiencia mientras que la docente perteneciente a la muestra experimental presenta 2 años de experiencia y la cual obtuvo mejores resultados. De ahí, la importancia de la experiencia, en la medida en que sea concebida desde un enfoque reflexivo que posibilite la reconstrucción de su quehacer pedagógico y la generación de estrategias de enseñanza en el aula de clase en busca de generar diversos caminos de aprendizaje. De esta forma la experiencia desde un ámbito reflexivo se convierte en posibles caminos o estrategias a seguir que se establecerán en el sistema cognitivo del docente y el cual podrá emplear en el aula de clase.

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BAKER, Elisabeth. "¡Casi te caístes!: Variation in second person singular preterit forms in Spanish Children." Journal of Child Language, July 23, 2021, 1–12. http://dx.doi.org/10.1017/s0305000921000507.

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Abstract The current study investigates Spanish children's variation between the standard and non-standard forms for second person singular preterit –s (caiste ~ caístes). All second person singular preterit forms were extracted from the spontaneous speech of 78 children in Spain and analyzed for the effects of age, language contact setting, and lexical frequency. Results show that children in contact with Galician and Catalan produce more non-standard than children in non-contact areas like Madrid. Meanwhile, low-frequency verbs (e.g., pillaste) are more likely to occur with the non-standard –s than high-frequency verbs (e.g., fuiste). However, age is not a significant predictor of children's 2sg preterit production. These preliminary findings demonstrate that Spanish children do have the non-standard -s in their speech, and that their 2sg preterit forms are significantly conditioned by language contact and lexical frequency.

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Journal articles on the topic 'Cavi pretesi'

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