1,720,983 research outputs found

    De la universidad al mercado laboral: la evaluación de los usuarios de un servicio de consultoría en orientación laboral

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    La presente contribución tiene como propósito presentar los resultados del servicio de consultoría en orientación laboral contemplado dentro de los Servicios Integrales y Consultoría para la Inserción Laboral (Co.S.I.P., Consulting and Integrated Services for Placement) de la Universidad de Bari. El objetivo del estudio es investigar los efectos de la intervención desde la percepción del cambio por parte del usuario del servicio en relación con tres áreas de estudio: conocimiento de sí mismo, conocimiento de las herramientas adecuadas, conocimiento del territorio (Fraccaroli, Rossi; 1999). La muestra se compone de 20 personas, estudiantes y graduados, (promedio de edad = 26,5 años). Para la realización del estudio, se empleó metodología cuantitativa/cualitativa que incluyó el uso de una entrevista semiestructurada y un cuestionario para evaluar la cantidad y la calidad de los objetivos logrados por los usuarios del servicio en las diferentes áreas. La participación en las actividades ofrecidas por el servicio se consideró un momento importante para la reflexión personal. Además, la necesidad de definir la identidad profesional propia de cada usuario del servicio va acompañada de la necesidad de trazar una trayectoria profesional individualizada y, en consecuencia, específica en relación con las aptitudes e intereses en las diferentes áreas profesionales.Fil: Ingusci, Emanuela. Universidad de Salento, Lecce. Departamento de Historia, Humanidades y Ciencias Sociales; ArgentinaFil: Palano, Francesca. Universidad de Salento, Lecce. Departamento de Historia, Humanidades y Ciencias Sociales; ArgentinaFil: Manuti, Amelia. Universidad de Salento, Lecce. Departamento de Historia, Humanidades y Ciencias Sociales; Argentin

    [The progression from hypertension to congestive heart failure].

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    Arterial hypertension still represents one of the major modifiable risk factors for cardiovascular and renal disease. Solid evidences are available demonstrating the large and significant benefits deriving from blood pressure lowering therapies in terms of reduced incidence of major cardiovascular events, including myocardial infarction, ischemic stroke and cardiovascular death. It should be also noted, however, that hypertensive patients are at increased risk of developing congestive heart failure, being this risk substantially independent by the concomitant presence of left ventricular hypertrophy or dysfunction. Indeed, it has been demonstrated that blood pressure reduction and control significantly reduce the risk of developing congestive heart failure. In particular, several recent meta-analyses have demonstrated that the use of diuretics and renin-angiotensin system blockers is superior to calcium-antagonists and beta-blockers in terms of prevention of new-onset heart failure. The present paper overviews the main pathophysiological aspects of the progression from arterial hypertension to congestive heart failure and the potential therapeutic interventions able to reduce or prevent this progression

    Safety, Efficacy and Evidence Base for Use of the Subcutaneous Implantable Cardioverter Defibrillator

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    The trans-venous implantable cardioverter defibrillator (TV-ICD) is effective in treating life-threatening ventricular arrhythmia and reduces mortality in high-risk patients. However, there are significant short- and long-term complications that are associated with intravascular leads. These shortcomings are mostly relevant in young patients with long life expectancy and low risk of death from non-arrhythmic causes. Drawbacks of trans-venous leads recently led to the development of the entirely subcutaneous implantable cardioverter defibrillator (S-ICD). The S-ICD does not require vascular access or permanent intravascular defibrillation leads. Therefore, it is expected to overcome many complications associated with conventional ICDs. This review highlights data on safety and efficacy of the S-ICD and is envisioned to help in identifying the role of this device in clinical practice

    Ventricular fibrillation undersensing due to air entrapment in a patient implanted with a subcutaneous cardioverter defibrillator

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    This is the first report of a significant time-to-therapy prolongation due to entrapped air. This case emphasizes the importance of ensuring that all the air in the tunneling channel is eliminated once the lead is in place. Also, it represents an insightful example of how the S-ICD automatic sensitivity algorithm works

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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