http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Pleural effusion secondary to minoxidil in a peritoneal dialysis patient
Palomar, Rosa,Morales, Pedro,Sanz de Castro, Saturnino,Tasis, Ana,Rodrigo, Emilio,Piñ,era, Celestino,Ruiz, Juan Carlos,Ferná,ndez-Fresnedo, Gema,Martin de Francisco, Angel Luis,Arias, Manu Oxford University Press 2004 Nephrology, dialysis, transplantation Vol.19 No.10
IoET enabled classrooms to foster Education 4.0 in Mexican elementary schools
Juan Contreras-Castillo,Pedro C. Santana-Mancilla,Norma Barón-Ramírez,Elba Abigail Morales Vanegas APEC국제교육협력원 2020 Asia-Pacific Cybereducation Journal Vol.16 No.1
The changes of the Fourth Industrial Revolution (Industry 4.0) are inevitable in all areas of daily life, from government to healthcare and commerce, including the educational field. Education 4.0 brings potential challenges to schools around the globe, such as digital technology, personalized data, and a connected world. Thus, this paper presents a Mexican case study about a classroom enhanced with digital technology to study the challenges that both students and teachers face to acquire and transmit the skills and competencies that Industry 4.0 requires. As a preliminary result, we found that the probability of students accepting this technology for learning is very high.
Ganaderos Familiares Gauchos : ¿Una opción hacia la producción sustentable?
Gabriela Litre(가브리엘라 리트레),Jean-Francois Tourrand,Hermes Morales,Pedro Arbeletche 한국라틴아메리카학회 2007 라틴아메리카연구 Vol.20 No.4
This article seeks to identify and understand a type of livestock farming with scarce visibility in the academic world and, until recently, generally ignored by policy makers: the gaucho family cattle-breeding, situated in the Pampa biome of Argentina, Brazil and Uruguay. In the family cattle ? breeding system, work is mainly performed by the family group in native grasslands, and the land tenure is transmitted along generations. The biome where gaucho livestock farming is located - the Pampa ? has also been frequently neglected by environmental policy makers. While agriculture and intensive cattle-breeding have usually negative impacts on the environment, family livestock farming has survived for the last 200 years in relative harmony with the Pampa landscape, respecting its biodiversity. The expression of this consolidated relationship (man-animal-landscape) is the gaucho identity, which is threatened by the challenges of globalization such as the increasing land concentration, the advance of large-scale agriculture (especially soja, eucalyptus and pines) over livestock land, the relative low revenue of extensive cattle-raising and the consequent migration of youngsters to the cities. Only a deep understanding of the values and traditions of gaucho cattle-breeders, external to the technic - economical rationality of revenue maximization, can explain the persistence of family cattle-breeders to maintain their livelihoods. Our objectives are: ⅰ) to clarify the concept of family cattle-breeding; ⅱ) to present the first results of a comparative study about the values, identities and livelihoods of family cattle-breeders (beef producers) in the Pampa biome; ⅲ) to demonstrate that some types of breeding cannot be reduced to merely economic activities, and to explain why extensive grazing led by families have less environmental impacts than soy and corn agriculture or other mercantilist activities; ⅳ) to foster the creation of differentiated public policies permitting the subsistence of the gaucho livelihood and the Pampa biome, such as a) the adaptation of traditional extensive grazing to improve its environmental, social and economic sustainability in an increasingly competitive world; b) the creation of specific environmental education programs from a bottom-up perspective, c) the implementation of environmental certificates.
( Pilar BRITO ZERÓN ),( Marta PEREZ DE LIS NOVO ),( Roberto PÉREZ ALVAREZ ),( Pedro MORAL MORAL ),( Aleida MARTÍNEZ ZAPICO ),( Guadalupe FRAILE ),( Eva FONSECA ),( María VAQUERO HERRERO ),( Angela RUI 대한내과학회 2014 대한내과학회 추계학술발표논문집 Vol.2014 No.1
Background: To analyze the therapeutic management and the main epidemiological and clinical characteristics related to survival in a large series of patients with hemophagocytic syndrome (HS) diagnosed in Departments of Internal Medicine. Methods: In June 2013, the Study Group of Autoimmune Diseases (GEAS-SEMI) creates a national registry of patients with HS. Patients were diagnosed according to the fulfillment of the criteria of the Histiocytosis Society in 1991 and updated in 2004. Results: At June 15, 2014, the REGHEM registry included 88 patients with HS, 35 (40%) men and 55 (60%) women, with a mean age at diagnosis of 49.16 years (range 12- 84 years). During the admission that led to the diagnosis of SH, acute infections were identified in 50 (57%) patients, including viruses (n=20), bacteria (n=13), mycobacteria (n=8) and parasites/fungi (n=13). Patients were treated with corticosteroids (n=40), etoposide (n=12), cyclosporin A (n=12), methotrexate (n=4), tacrolimus (n=2) rituximab (n=3), intravenous immunoglobulins (n=2) and chemotherapy (n=5). A total of 44 (50%) patients died. The main factors associated with mortality were analytical parameters at diagnosis such as the presence of severe anemia (Hb <9 g/L, 89% vs 66%, p=0.01), platelet count <100,000/mm3 (96% vs 64%, p<0.001), neutropenia <1000/mm3 (59% vs 39%, p=0.044), and bacterial infections as precipitating agent (77% vs 45%, p=0.034); a clinical presentation including lymphadenopathy was associated with a lower mortality (59% vs 39%, p=0.044). Conclusions: Hemophagocytic syndrome is a severe multisystemic disease associated in nearly 50% of cases with an acute infection, and usually requires vital support in intensive care units. Despite this and the use of a complex therapeutic approach, half of the patients died. The main prognostic factor identified is the presence at diagnosis of severe cytopenias and the coexistence of bacterial infections.