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Motor-Cognitive Intervention in Mexican Older Adults

Health 2016年第13期8卷 1368-1380页

作者： Luis Rendón-Torres Bertha cecilia Salazar-González Esther Gallegos-Cabriales Perla Lizeth Hernández-Cortés Ernesto O. López-Ramirez Marco Vinicio Gómez-Meza Facultad de Enfermería Universidad Autónoma de Tamaulipas Laredo Mexico Facultad de Enfermería Universidad Autónoma de Nuevo León Nuevo León Mexico Facultad de Psicología Universidad Autónoma de Nuevo León Nuevo León Mexico Facultad de Economía Universidad Autónoma de Nuevo León Nuevo León Mexico

Two motor-cognitive interventions were implemented to evaluate their efficacy in cognitive improvement in Mexican older adults 65 years and more. The intervention group received a dance video games plus a cognitive task (dual-task);the comparison group received only the dance video game, in sessions of 45 minutes, 3 times a week, for 12 weeks. The Barthel Index and Lawton and Brody Index, the Center for Epidemiologic Studies Depression Scale-Revised were applied the Digit Span Test, the Stroop Test, and Color Trail Making. Gait parameters were assessed by GAITRite? electronic walkway (CIR Systems). The design was quasi-experimental. Sites were randomly assigned to intervention groups. The intervention group started with 32 participants and finished with 15;the comparison group started with 20 participants and finished with 18. Participants in the intervention group had to mimic the dance movement of a video game and, after the second week to name progressively three objects without stopping dancing. A multivariate repeated measures model (MAnO-VA) was fit with four variables. A time-by-group interaction was observed in the Stroop test, and Digits Span Backwards was in favor of the dual task group. The Stroop test, Digit Span Backwards, gait speed, and step length showed effect time. Both groups improved in gait speed and step length by the end of the intervention. Results show it is feasible for Mexican older adults with little schooling to perform dual tasks and improve cognitive tasks and gait speed. Limitations were high attrition due to unforeseen situations and small sample size.

关键词： Dual Task Elderly Cognition Intervention Study

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The Children’s Faecal Matter Structure Is Built by Their Parents

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Open Journal of Epidemiology 2019年第1期9卷 64-74页

作者： Eduard Cueto Rua Ricardo Wright cecilia Zubiri Luciana Guzmán Claudia Losada M. Inés Urrutia María T. Gonzalez Ricardo Drut Mariela Espósito norberto Recalde Jorge Fiad Ignacio Goni natalia Belén María Cristina Arregui Facultad de Ciencias Médicas Universidad Nacional de La Plata La Plata Argentina Comisión de Investigación Científica de la Provincia de Buenos Aires Buenos Aires Argentina Pediatric Hospital “Sor María Ludovica” La Plata Argentina Universidad nacional de La Plata La Plata Argentina Consultant in Pediatrics Mar del Plata City Argentina Dolores City Argentina

Introduction: Humans have gone through physical changes over the last 4 million years. The mouth, however, has not changed teeth quantity or quality. Eight incisors for fruits, vegetables and tubers;four little canines for little animals;eight premolars and twelve flat molars are used for crushing these foods, especially whole grains and legumes. The teeth crushing foods are the first step in the building of faecal matter. Foods are selected mostly according to cultural guidelines than to biological needs. The patterns of consumption are induced by the publicity of industrialized or processed foods. Material and Methods: This study design was observational, analytical, correlational, transversal and prospective. One thousand children (0 - 12 years old) were questioned in order to learn about the relationship between Weekly Eating Frequency (WEF) and Faecal Matter (FM) characteristics. The FM was classified as soft, normal or hard and the outcome was expressed as Dry Faecal Residue (DFR). The WEF and Weekly Bowel Movement Frequency (WBMF) were determined and tabulated according to times per week. Environmental factors, parents’ education level and children’s birth order were examined. Results: There was a strong association between DFR, WBMF and WEF. Environment and education level did not play a key role although birth order did matter. Conclusions: Fibre-free foods (dairies, meats, flours and sweeties or sodas) increased DFR. Foods containing fibre from vegetables decreased DFR, which in turn contributed to the WBMF. Lowest DFR was observed in children under Exclusive Breastfeeding (EB). Distant last-born children had higher DFR. Comments: Daily examples support these results and it is clear that children’s FM is built by their parents. We encourage parents to follow the “mouth nature” rather than the “advertisements nature”.

关键词： Bowel Movement Frequency Constipation Culture Faecal Matter Foods

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Problem-Based Learning <i>in Situ</i>Applied to Students in the Assessment of nursing Process

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Open Journal of nursing 2021年第5期11卷 378-389页

作者： Margarita Acevedo-Peñ a Rosa María Ostiguín-Meléndez José Luis Cadena-Anguiano Marcela Patricia Ibarra-Gonzalez Jesús Rigoberto Hernández-Hernández Rafael Villalobos-Molina Diana cecilia Tapia-Pancardo Facultad de Estudios Superiores Iztacala Universidad Nacional Autónoma de México Mexico City Mexico Escuela nacional de Enfermería y Obstetricia Universidad Nacional Autónoma de México Mexico City Mexico Facultad de Estudios Superiores Iztacala Universidad Nacional Autónoma de México Mexico City Mexico Colegio de Posgrado de la Ciudad de México city Mexico Unidad de Biomedicina Facultad de Estudios Superiores Iztacala Universidad Nacional Autónoma de México Mexico City Mexico

Background: nursing is considered a science in the making that recognizes the nursing process (nP) as the scientific and methodological tool to provide care. The nP is composed of five stages of which the assessment i... 详细信息

ng>Background:ng> nursing is considered a science in the making that recognizes the nursing process (nP) as the scientific and methodological tool to provide care. The nP is composed of five stages of which the assessment is the first and fundamental to identify the health problems of the people. This research aimed to evaluate a pedagogical didactic strategy that is based on situated constructivism, the Based-Problem Learning (BPL), in order to improve significant learning. ng>Methods:ng> Quantitative research with an explanatory scope, was transversal, and it was applied to 30 students of the first year of the nursing career at the Faculty of Higher Studies Iztacala, national Autonomous University of Mexico. The sample was chosen considering the inclusion criteria. Data were collected using a Likert-type instrument validated in a previous investigation. ng>Results: ng>The average value obtained from the Likert scale to evaluate the intervention was 103.4, the highest score was 135 and the lowest was 83, which reflects that it was evaluated as good and particularly good. The grade given to the teacher as an agent of the ZPD, was between agree and totally agree, the highest percentages scored at 93%, since it provoked challenge in their thinking, and favored interaction among classmates. ng>Conclusions:ng> The application of the in situ teaching strategy, BPL favored significant learning of the assessment stage, the students were able to carry out the assessment in the hospital, the experience contributed to generate significant learning when students face real scenarios, which showed the effectiveness of the method.

关键词： Learning Method nursing Process Assessment

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流域管理评估:墨西哥的情况

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产业与环境 2005年第4期27卷 11-13页

作者： cecilia Tortajada 蔡学娣 Third World Centre for Water Management Avenida Manantial Oriente 27Los Clubes Atizapán de ZaragozaEstado de MexicoMexico VicePresident

墨西哥从1940年代开始就有了流域水资源管理方面的机构安排,主要目的是促进以水资源为基础的社会经济发展.1990年代再次确立了流域方面的制度以改善水资源管理方法.但是这些努力在高效和公平管理方面取得的成果却十分有限.现在墨西哥各... 详细信息

墨西哥从1940年代开始就有了流域水资源管理方面的机构安排,主要目的是促进以水资源为基础的社会经济发展.1990年代再次确立了流域方面的制度以改善水资源管理方法.但是这些努力在高效和公平管理方面取得的成果却十分有限.现在墨西哥各地区要求在规划、管理和决策方面发挥更大的作用.有迹象表明一些州已经在规划和管理水资源方面取得了进展.

关键词：流域管理墨西哥水资源管理评估社会经济发展年代规划

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Management of oligometastatic non-small cell lung cancer patients:Current controversies and future directions

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World Journal of Clinical Oncology 2019年第10期10卷 318-339页

作者： Felipe Counago Javier Luna Luis Leonardo Guerrero Blanca Vaquero María cecilia Guillén-Sacoto Teresa González-Merino Begona Taboada Verónica Díaz Belén Rubio-Viqueira Ana Aurora Díaz-Gavela Francisco JoséMarcos Elia del Cerro Department of Radiation Oncology Hospital Universitario Quirónsalud MadridPozuelo de AlarcónMadrid 28223Spain Department of Radiation Oncology Hospital La LuzMadrid 28003Spain Clinical Department Faculty of BiomedicineUniversidad EuropeaMadrid 28223Spain Department of Radiation Oncology Hospital Fundación Jiménez DíazMadrid 28040Spain Department of Medical Oncology Hospital La LuzMadrid 28003Spain Department of Radiation Oncology Complexo Hospitalario Universitario Santiago de CompostelaSantiago de Compostela 15706Spain Department of Radiation Oncology Hospital Universitario Puerta del MarCádiz 11009Spain Department of Medical Oncology Hospital Universitario Quirónsalud MadridPozuelo de AlarcónMadrid 28223Spain

Oligometastatic non-small cell lung cancer(nSCLC)describes an intermediate stage of nSCLC between localized and widely-disseminated *** stage of nSCLC is characterized by a limited number of metastases and a more indolent tumor ***,the management of oligometastatic nSCLC involves radical treatment(radiotherapy or surgery)that targets the metastatic lesions and the primary tumor to achieve disease *** approach offers the potential to achieve prolonged survival in patients who,in the past,would have only received palliative *** optimal therapeutic strategies for the different scenarios of oligometastatic disease(intracranial vs extracranial disease,synchronous vs metachronous)remain *** the lack of head-to-head studies comparing radiotherapy to surgery in these patients,the decision to apply surgery or radiotherapy(with or without systemic treatment)must be based on prognostic factors that allow us to classify *** classification will allow us to select the most appropriate therapeutic strategy on an individualized *** the future,the molecular or microRnA profiles will likely improve the treatment selection *** objective of the present article is to review the most relevant scientific evidence on the management of patients with oligometastatic nSCLC,focusing on the role of radiotherapy and *** also discuss areas of controversy and future directions.

关键词： non-small cell lung cancer Metastasectomy Oligometastases Stereotactic ablative radiotherapy Stereotactic body radiation therapy Radiosurgery

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Modelling fuel loads of understorey vegetation and forest floor components in pine stands in nW Spain

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Forest Ecosystems 2022年第6期9卷 775-789页

作者： Jose A.Vega Stefano Arellano-Perez Juan Gabriel Alvarez-Gonzalez Cristina Fernandez Enrique Jimenez Pedro Cuinas Jose María Fernandez-Alonso Daniel J.Vega-nieva Fernando Castedo-Dorado cecilia Alonso-Rego Teresa Fontúrbel Ana Daría Ruiz-Gonzalez Centro de Investigacion Forestal de Lourizan PO Box 12736080PontevedraSpain Unidad de Gestion Ambiental y Forestal Sostenible(UXAFORES) Departamento de Ingeniería AgroforestalEscuela Politecnica Superior de IngenieríaUniversidad de Santiago de CompostelaCampus Universitario s/n27002LugoSpain Facultad de Ciencias Forestales Universidad Juarez del Estado de DurangoRío Papaloapan y Blvd.Durango s/nCol.Valle del Sur34120DurangoMexico Departamento de Ingeniería y Ciencias Agrarias Universidad de LeonCampus de Ponferrada24401PonferradaSpain

In this study,310 destructively sampled plots were used to develop two equation systems for the three main pine species in nW Spain(***;*** and ***):one for estimating loads of understorey fuel components by size and condition(live and dead)and another one for forest floor *** systems of equations were simultaneously fitted for estimating fuel loads using overstorey,understorey and forest floor variables as *** systems of equations included both the effect of pine species and the effect of understorey compositions dominated by ferns-brambles or by woody species,due to their obvious structural and physiological *** general,the goodness-of-fit statistics indicated that the estimates were reasonably robust and accurate for all of the fuel *** best results were obtained for total understorey vegetation,total forest floor and raw humus fuel loads,with more than 76%of the observed variability explained,whereas the poorest results were obtained for coarse fuel loads of understory vegetation with a 53%of observed variability *** reduce the overall costs associated with the field inventories necessary for operational use of the models,the additive systems were fitted again using only overstorey variables as potential *** relationships for fine(nd total understorey vegetation and total forest floor fuel loads were obtained,indicating the complexity of the forest overstorey-understorey and overstorey-forest floor ***,these models explained around 52%of the observed ***,equations estimating the total understorey vegetation and the total forest floor fuel loads based only on canopy cover were *** models explained only 26%-32%of the observed variability;however,their main advantage is that although understorey vegetation in forested landscapes is largely invisible to remote sensing,canopy cover can be estimated with moderate accuracy,allowin

关键词： Area-based approach Additive equation systems Live and dead fine fuel Pinus pinaster Pinus radiata Pinus sylvestris

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Ten years of hip fractures in Italy: For the first time a decreasing trend in elderly women

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World Journal of Orthopedics 2014年第3期5卷 386-391页

作者： Prisco Piscitelli Maurizio Feola cecilia Rao Monica Celi Elena Gasbarra Cosimo neglia Giuseppe Quarta Federico Maria Liuni Simone Parri Giovanni Iolascon Maria Luisa Brandi Alessandro Distante Umberto Tarantino Euro Mediterranean Scientific Biomedical Institute ISBEM Research Centre72023 BrindisiItaly Department of Biological and Environmental Sciences and Technologies University of Salento73100 LecceItaly Division of Orthopaedics and Traumatology University of Tor Vergata00133 RomeItaly Department of Translational Medicine University of Florence50134 FlorenceItaly Department of Orthopaedics and Rehabilitative Medicine Second University of Naples80138 NaplesItaly

AIM:To evaluate the hospitalization rate of femoralneck fractures in the elderly Italian population over ten ***:We analyzed national hospitalizations records collected at central level by the Ministry of Health from 2000 to ***-and sex-specific rates of fractures occurred at femoral neck in people≥65 years *** performed a sub-analysis over a three-year period(2007-2009),presenting data per five-year age groups,in order to evaluate the incidence of the hip fracture in the oldest ***:We estimated a total of 839008 hospitalizations due to femoral neck fractures between 2000 and2009 in people≥65,with an overall increase of 29.8%over 10 *** incidence per 10000 inhabitants remarkably increased in people≥75,passing from158.5 to 166.8(+5.2%)and from 72.6 to 77.5(+6.8%)over the ten-year period in women and men,*** oldest age group(people>85 years old)accounted for more than 42%of total hospital admissions in 2009(n=39000),despite representing only 2.5%of the Italian ***,women aged>85accounted for 30.8%of total fractures,although they represented just 1.8%of the general *** results of this analysis indicate that the incidence of hip fractures progressively increased from 2000 to 2009,but a reduction can be observed for the first time in women≤75(-7.9%between 2004 and 2009).COnCLUSIOn:Incidence of hip fractures in Italy are continuously increasing,although women aged 65-74years old started showing a decreasing trend.

关键词： Femoral fractures Hip fragility fractures Osteoporosis Hospitalizations Incidence

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Denitrification in a Soil under Wheat Crop in the Humid Pampas of Argentina

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Open Journal of Soil Science 2014年第9期4卷 312-322页

作者： Liliana Inés Picone cecilia Videla Calypso Lisa Picaud Fernando Oscar García Roberto Héctor Rizzalli Facultad Ciencias Agrarias Unidad Integrada Balcarce Instituto Nacional Tecnología Agropecuaria (INTA) UNMdP Balcarce Argentina AgroParisTech Institut des sciences et industries du vivant et de l’environnement 16 rue Claude Bernard Paris France International Plant nutrition Institute (IPnI) Programa Cono Sur de Latinoamérica Buenos Aires Argentina

The need to accurately estimate gaseous nitrogen losses from soils is required to have a better understanding of the processes involved as well as soil and environmental conditions, and management practices contributing to these emissions. The objective was to quantify the denitrification rate using undisturbed cores with acetylene, as related to nitrogen (n) fertilization rate in a spring wheat crop (Triticum aestivum L.) under conventional tillage. Soil denitrification losses remained low throughout most of the growing season, when water-filled pore space (WFPS) was below 60%, ranging from 0.79 to 447.3 g n2O-n ha-1•day-1 in the fertilized plot and was less than 47.3 g n2O-n ha-1•day-1 in the control. Denitrification rates were the highest when n fertilizer was applied after frequent and intensive rain. A good correlation was found between the logarithm of the daily denitrification rate and WFPS (r = 0.67, n = 90);however the nO3-n concentration was not a good indicator (r = 0.21, n = 90). Cumulative n2O-n losses by denitrification averaged 3.5 and 0.9 kg n2O-n ha-1 in the fertilized and unfertilized treatment, respectively, during a period of 4 months this difference was not significant. Most n2O-n losses occurred early in the spring;therefore sampling schedules need to focus on this period.

关键词： nitrogen Urea-n Losses Water Content Soluble Organic Carbon

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Immersion Tools as a Strategy for Adolescents Mental Health: A Qualitative Study

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Health 2020年第7期12卷 866-875页

作者： Diana cecilia Tapia-Pancardo Juan Carlos Gutiérrez-Martínez Rodolfo Martínez-Mondragón Claudia Gabriela Rivera-Ramírez Cristina Piñón-Atilano Wendy de Jesús Hernández-Bravo Andrea navarrete-Mejorada Viviana Sánchez-Gómez Rafael Villalobos-Molina División de Investigación y Posgrado Unidad de Biomedicina Facultad de Estudios Superiores Iztacala Universidad Nacional Autónoma de México Tlalnepantla México Carrera de Enfermería. Facultad de Estudios Superiores Iztacala Universidad Nacional Autónoma de México Tlalnepantla México

Background: Information and communication technologies have revolutionized education, due to development of didactic strategies to take advantage of them for maximizing learning. The aim was to analyze the influence o... 详细信息

ng>Background:ng> Information and communication technologies have revolutionized education, due to development of didactic strategies to take advantage of them for maximizing learning. The aim was to analyze the influence of immersion tools as a strategy to improve adolescents’ mental health. ng>Methods:ng> Qualitative research was employed, and participants’ experiences, opinions, values, behaviors, emotions, feelings were recorded. Twenty six students of both sexes, aged 13 to 15 years, from the three grades of secondary school were selected by convenience, and supported by the school’s psychologist. A workshop on emotional intelligence (EI) based on educational technology was implemented using a video;students practiced a reflexive process to understand themselves and their surroundings, creating a video + audio as a product of the workshop. In it, students analyzed several problems they face and their relationship with their contextual situation. Data collection was through semi-structured interviews before and after the workshop on EI. Data analysis was according to Souza Minayo, and the theoretical framework according to Goleman, Tapia et al., Gorostieta et al., and Vigotsky. ng>Results: ng>Two categories emerged: Category ng>Ing>, EI as a risk factors transformer from living with addictions to protection factors in adolescents. Category ng>IIng>, EI development through immersion tools to improve mental health in adolescents. ng>Conclusions: ng>Immersion tools favor user to be closer, with a humanist focus where real necessities are studied after the vivid experience of the problem to solve or get a better situation. The goal is that students experience real situations inside controlled surroundings, in such a way that they learn from their experiences and acquire knowledge through self-learning. EI program through immersion tools favored to modulate feelings, and to get a bett

关键词： Mental Health Adolescence Immersion Tools

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High-Resolution Esophageal Manometry in Teenagers with Esophageal Atresia

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Open Journal of Epidemiology 2020年第1期10卷 81-89页

作者： cecilia Zubiri Rosa Ramos cecilia Curvale Raúl Matanó Paula Borobia Anabella Zosi Verónica Garrido Julieta Hernández Lucía Gutierrez Luciana Guzmán María Cristina Arregui Marina Prozzi Sandro Miculan Viviana Bernedo Maximiliano Fernández Rivas Cristina Lorenzo Florencia Recalde Verónica Valdiviezo Darío Fajre Cintia Antonioli Mariana Allende Claudia Losada Teresita Gonzalez Department of Gastroenterology at Hospital de niños Sor María Ludovica La Plata Buenos Aires Argentina Department of Gastroenterology at Hospital de Alta Complejidad El Cruce Florencio Varela Buenos Aires Argentina Posadas Hospital Buenos Aires Argentina Department of nutrition at Hospital de niños Sor María Ludovica La Plata Buenos Aires Argentina Department of Surgery at Hospital de niños Sor María Ludovica La Plata Buenos Aires Argentina Department of Otorhinolaryngology at Hospital de niños Sor María Ludovica La Plata Buenos Aires Argentina Department of Pneumonology at Hospital de niños Sor María Ludovica La Plata Buenos Aires Argentina

Introduction: Children with surgically repaired esophageal atresia (EA) show esophageal dysmotility. Due to the performance of high-resolution manometry (HRM), three motility alteration patterns have been described, which allowed to know the segmental alterations. Objective: To describe the esophageal motility patterns found through HRM in teenagers with EA and to relate these with the associated esophageal pathology and its severity. Materials and Method: Ten teenagers were included with no history of esophageal blockage or dilations in the last six months, who were orally fed and asymptomatic. Through performance of HRM, we found surgical and endoscopic history, as well as of esophageal biopsies and pH monitoring. Results: We found the following patterns: aperistalsis, pressurization and distal contraction. 70% showed distal contraction, and 100% of esophageal endoscopies and biopsies were normal. 57% of the esophageal pH monitoring analyzed was pathologic. In the pressurization and aperistalsis groups, we observed severe esophagitis and requirement of nissen antireflux procedure in 100% of the cases. Esophageal pH monitoring analyzed was 100% pathologic. Conclusion: We described the esophageal segmental alterations in teenagers with atresia by means of HRM. The distal contraction group showed better development, without severe esophagitis or requirement of antireflux procedure. Therefore, by performing an HRM in teenagers with EA, we could predict the future esophageal behavior, according to the peristaltic pattern, since there are significant differences among the groups in study.

关键词： High-Resolution Manometry Esophageal Atresia Teenagers

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