Bureau van Dijk (Belgium)

Con base en el esquema ideológico propuesto por Teun Van Dijk, se analizan seis textos discursivos de tipo monológico, que se oponen al aborto y que fueron publicados por el semanario católico: Desde la Fe, durante el año 2019. Se concluye que las estrategias monológicas discursivas de los seis textos analizados, han contribuido, como parte del poder del Estado Vaticano, a que se impida que las mujeres latinoamericanas decidan libremente sobre el destino de sus cuerpos, así como de su salud sexual y reproductiva. El artículo incentiva a que los poderes legislativos asuman una posición frontalmente laica en torno a la Interrupción Legal del Embarazo (ILE), por el bien de la salud y la libertad de las mujeres del mundo.

Obesity and its associated comorbidities have spread worldwide and cause significant burden to patients, and health-care systems. The most effective treatment of obesity is bariatric surgery but the underlying mechanism of weight loss are not well understood. In this thesis, we investigated that whether ileal transposition (IT) and Roux-en-Y gastric bypass (RYGB) creates negative energy balance thus contributing to the observed weight loss in rats. Negative energy balance can occur either when food intake is lower than the energy expended (physical activity) or if the expenditure is higher than the intake. Different diets (High fat – HF, High protein – HP and High carbohydrate – HC) were utilized to document if diet influences weight loss and energy balance following these surgeries.We found that the primary cause of weight reduction after IT was decreased food intake and not increased energy expenditure. Only ingestion-related energy expenditure (IEE) increased, which could lead to higher satiety thus, contributing to weight loss. Energy efficiency (how much weight is gained after eating certain amount of food) was decreased after both surgeries, but for longer time after RYGB probably contributing to the greater and more sustained weight loss compared to IT.HP diet seems to be the most effective to reduce weight either with or without surgery, meanwhile HF diet had a biphasic effect: before surgery HF diet led to weigh/fat gain but shortly after both surgeries resulted in the most weight loss and reduced energy efficiency. Interestingly HF diet after RYGB seemed to alleviate the postsurgical stress.

Background and Purpose: Given the benign natural history of intracranial low-grade dural arteriovenous fistulas (dAVFs), their routine treatment remains controversial. The aim of this study is to compare the outcomes of low-grade dAVF treatment to conservative management. Methods: We performed a retrospective review of dAVF patients derived from 12 institutions participating in the Consortium for Dural Arteriovenous Fistula Outcomes Research (CONDOR). Patients with low-grade (Borden I) dAVFs were included and categorized into treatment and observation cohorts. Primary outcome was defined as modified Rankin Scale (mRS) score at final follow-up. Secondary outcomes were rates of excellent (mRS 0-1) and good (mRS 0-2) functional outcomes, symptomatic improvement, mortality, and obliteration at final follow-up. Results: The treatment and observation cohorts comprised 230 and 112 patients, respectively. At last follow up, no difference in primary or secondary outcomes was observed between the two cohorts, with the exception of obliteration, which was higher in the treatment cohort (79.3% vs. 28.2%, p<0.001; Table 1). The two cohorts were then matched in a 1:1 ratio, resulting in 64 patients in each matched cohort. No difference in primary or secondary outcomes was observed between the matched cohorts, with the exception of obliteration, which was higher in the matched treatment cohort (75.4% vs. 28.6%, p<0.001; Table 2). Subgroup analysis of symptomatic patients demonstrated higher obliteration rate in the treatment cohort, but no difference in primary or other secondary outcomes were found. Conclusions: Low-grade dAVF treatment was not associated with increased functional disability compared to conservative management. Although higher obliteration rates were achieved in the treatment cohort, rates of symptomatic improvement were similar between the two cohorts. This study did not provide evidence to support the routine treatment of low-grade dAVFs.

Outline • EM Coexistence: more users, data and spectrum demand • Intentional EMI: wireless systems are vulnerable against electromagnetic interference • Interference mechanisms • Damage, Blocking, Jamming • Simulation and measurement results of • Terrestrial Trunked Radio (TETRA) • Remote Keyless Entry (RKE)

To conduct a systematic review of the evidence on interventions for posttraumatic brain injury fatigue (PTBIF). Systematic searches of multiple databases for peer-reviewed studies published in English on interventions targeting PTBIF as a primary or secondary outcome through January 22, 2014. Reference sections were also reviewed to identify additional articles. Articles were rated using the 2011 American Academy of Neurology Classification of Evidence Scheme for therapeutic studies. The searches yielded 1526 articles. Nineteen articles met all inclusion criteria: 4 class I, 1 class II/III, 10 class III, and 4 class IV. Only 5 articles examined fatigue as a primary outcome. Interventions were pharmacological and psychological or involved physical activity, bright blue light, electroencephalographic biofeedback, or electrical stimulation. Only 2 interventions (modafinil and cognitive behavioral therapy with fatigue management) were evaluated in more than 1 study. Despite areas of promise, there is insufficient evidence to recommend or contraindicate any treatments of PTBIF. Modafinil is not likely to be effective for PTBIF. Piracetam may reduce it, as may bright blue light. Cognitive behavioral therapy deserves additional study. High-quality research incorporating appropriate definition and measurement of fatigue is required to explore the potential benefits of promising interventions, evaluate fatigue treatments shown to be effective in other populations, and develop new interventions for PTBIF.

To determine whether the Traumatic Brain Injury Model Systems National Database (TBIMS-NDB) is representative of individuals aged 16 years and older admitted for acute, inpatient rehabilitation in the United States with a primary diagnosis of traumatic brain injury (TBI). Secondary analysis of existing data sets. Acute inpatient rehabilitation facilities. Patients aged 16 years and older with a primary rehabilitation diagnosis of TBI. Demographic characteristics, functional status, and hospital length of stay. Patients included in the TBIMS-NDB from October 2001 through December 2007 were largely representative of all individuals 16 years and older admitted for rehabilitation in the United States with a primary diagnosis of TBI. The major difference in distribution was age-the TBIMS-NDB cohort did not include as large a proportion of patients older than 65 years as were admitted for rehabilitation with a primary diagnosis of TBI in the United States. Distributional differences for age-related characteristics were observed; however, groups of patients partitioned at aged 65 years differed minimally, especially within the younger than 65 years subset. Regardless of age, the proportion of patients with a rehabilitation stay of 1 to 9 days was larger nationwide. Nationwide admissions showed an age distribution similar to patients discharged alive from acute care with moderate, severe or penetrating TBI. The proportion of patients aged 70 years and older admitted for TBI rehabilitation in the United States increased every year, a trend that was not evident in the general population, TBIMS-NDB or among TBI patients in acute care. These results provide substantial empirical evidence that the TBIMS-NDB is representative of patients receiving inpatient rehabilitation for TBI in the United States. Researchers utilizing the TBIMS-NDB may want to adjust statistically for the lower percentage of patients older than 65 years or those with stays less than 10 days.

Depuis vingt ans, le développement des retenues d’altitude destinées au stockage de l’eau pour la production de neige de culture a été spectaculaire sur l’ensemble des massifs français, pour des raisons tant climatiques que commerciales.Exposées à des aléas naturels spécifiques au milieu montagnard comme les avalanches ou les débordements torrentiels, la conception et la gestion de ces retenues posent toutefois des problèmes de réglementation et de sécurité publique. Cet article propose des recommandations en matière de conception, de réalisation et de surveillance.

The information industry is changing. It is expanding but who are the users? This article explores how the expansion of information use across departments in corporates has led to end users becoming a major user group. Information providers are faced with new dilemmas as they address their varying needs which often include ambitious projects such as data integration. It looks at the growing number of practitioner users — end users with sophisticated and specific research needs. Drawing on Bureau van Dijk’s experience, it concludes with the importance of understanding how to implement information and research processes into corporate life for maximum benefit.

The model systems (MSs) of care for traumatic brain injury (TBI) is a demonstration program started by the National Institute on Disability and Rehabilitation Research in 1987 to improve care and outcomes for individuals with TBI, from emergency services through life-long follow-up. Over the next 20 years, the program increased in size, and the emphasis shifted from demonstration to research. The focal point of that research is the National Data Base, a longitudinal database including nearly 9000 individuals who were admitted for inpatient acute TBI rehabilitation. In addition to preinjury, injury, acute care, and rehabilitation information, the database includes reports of outcomes at 1, 2, 5, 10, 15, etc, years postinjury. The National Data Base criteria, main contents, and mechanisms used to improve data quantity and quality are described. The MSs' other research is described: local (site-specific), module, and collaborative, with illustrative glimpses of the content. The impact of the TBI MSs program, through dissemination, knowledge translation, training of clinicians and researchers, as well as consulting with policy makers, administrators, clinicians, and researchers is discussed.

ABSTRACT Cemagref and ISL consulting engineers produced for Nîmes city (France) a reliability study concerning a hydraulic works system, composed of several dams, singular civil works, canals and collectors networks, and intended to ensure protection against floods. This study constitutes one of the first quantitative reliability studies of a hydraulic works system realized in France. This article presents the step and the methodologies used in a reliability quantitative analysis. The methodological developments are illustrated all along the text through this remarkable application.