Manuale di Epitteto (Italian Edition) eBook: Epitteto, Angelica Taglia: uk: Kindle Store. L’Enchiridion (“oggetto che si tiene mano”) o Manuale di Epitteto è uno scritto di filosofia ed etica stoica compilato dallo scrittore greco-romano Arriano. L’Enchiridion (“oggetto che si tiene mano”) o Manuale di Epitteto è uno scritto di filosofia ed etica stoica compilato dallo scrittore greco-romano Arriano.

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Il manuale di Epitteto Enchiridion by Epictetus. Kindle Edition26 pages.

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Diatribe (Epitteto) – Wikipedia

Epictetus was a Greek Stoic philosopher. He was probably born a slave at Hierapolis, Phrygia present day Pamukkale, Turkeyand lived in Rome until his exile to Nicopolis in northwestern Greece, where he lived most of his life and died. His teachings were noted down and published by his pupil Arrian in his Discourses.

Philosophy, he taught, is a way of life and not just a theoretical discipline. To Epictetus, all external events are determined epittetl fate, and are thus beyond our control, but we can accept whatever happens calmly and dispassionately.

Il manuale di Epitteto (Enchiridion)

Individuals, however, are eoitteto for their own actions which they can examine and control through rigorous self-discipline. Suffering arises from trying to control what is uncontrollable, or from neglecting what is within our power.

As part of the universal city that is the universe, human beings have a duty of care to all fellow humans.

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Provides music for clarinet exercises designed to improve one’s breathing, finger position, evenness, Clarinet method, Book 2. Front Cover. Leon Russianoff. Clarinet method by Leon Russianoff, September , Schirmer Books edition, Paperback in English. Clarinet Method: Bk. 1 by Leon Russianoff, , available at Book Depository with free delivery worldwide.

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Importing the logic of university admissions, firms performed a strong secondary screen on candidates’ extracurricular accomplishments, favoring high status. Its origin is a paper from Lauren Rivera, “Ivies, Extracurricular and Exclusion: Elite Employers’ Use of Educational Credentials.” Rivera, a. Rivera, L.A. (). Ivies, extracurriculars, and exclusion: Elite employers’ use of educational credentials. Research in Social Stratification and.

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Ivies, extracurriculars, and exclusion: Elite employers’ use of educational credentials

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Polski English Login or register account. Ivies, extracurriculars, and exclusion: Abstract Although a robust literature has demonstrated a positive relationship between education and socio-economic attainment, the processes through which formal schooling yields enhanced economic and social rewards remain less clear. Employers play a crucial role in explaining the returns eexclusion formal schooling yet little is known about how employers, particularly elite employers, use and interpret educational credentials.

In this article, I analyze how elite professional service employers use and interpret educational extrackrriculars in real-life hiring decisions.

The Debate Over Elite Schools and Elite Jobs | HuffPost

I find that educational credentials were the most common criteria employers used to solicit and screen resumes. However, it was exclusiob the content of education that elite employers valued but rather its prestige. Contrary to common sociological measures of institutional prestige, employers privileged candidates who possessed a super-elite e. They restricted competition to students with elite affiliations and attributed superior abilities to candidates who had been admitted to super-elite institutions, regardless of their actual performance once there.

However, a super-elite university affiliation was insufficient on its own. I discuss exxlusion findings in terms of the changing nature of educational credentialism to suggest that a extracurricular activities have become credentials of social and moral character that have monetary conversion value in labor markets extracurgiculars b the way employers use and interpret educational credentials contributes to a social closure of elite jobs based on socio-economic status.

Ivies, extracurriculars, and exclusion: Elite employers’ use of educational credentials

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on the evaluation of a conventional (or “nominal”) seismic risk index, on the basis of extremely Gaetano Della Corte for his patience, the thoughtful support In a work group appointed by the National Seismic Survey (Servizio Sismico esistenti in cemento armato, Roma 29–30 Maggio l’Insegnamento Secondario (SICSI)” – Università degli Studi di Salerno – with Software for word-processing and spreadsheets: Word, Excel, Access, .. Petti L., De Iuliis M., Palazzo B. “L’adeguamento sismico delle strutture esistenti . “ Aspetti costruttivi e di calcolo di un edificio in c.a. per abitazione”, Ing. Marco Ciavola. Read 37 publications, and contact Daniele Perrone on ResearchGate, the professional A simple Excel based tool has been developed in order to perform the . Le performance sismiche degli elementi non-strutturali rappresentano un punto .. contributo alla risposta sismica delle strutture intelaiate in c.a. In alcuni edifici.

Le due applicazioni sono state aggiornate in accordo alla nuova normativa NTC Google Maps ci ha abituato ad accedere in poco tempo a mappe satellitari e stradali di tutto il mondo in poco tempo. Altre mappe sono fornite da altri, comprese quelle del progetto OpenMap. Abbiamo predisposto un foglio elettronico gratuito per la determinazione delle azioni della neve e del vento secondo la normativa NTC Il nuovo modulo aggiuntivo Clouds2Cad di Domus. Cad Pro e Std permette di importare e gestire nuvole composte da diversi milioni di punti.

Nel corso del seminario sono stati trattati alcuni esempi di utilizzo, tra i quali:. La funzione Ceemento permette di importare mappe da Google Maps e posizionarle perfettamente in scala. Google Maps copre tutto il mondo con mappe satellitari a vario livello di dettaglio, composte da tasselli contigui. In questo articolo pubblichiamo 3 filmati, due sono estratti dal seminario e riguardano la gestione delle luci e la gestione demento materialiinoltre pubblichiamo anche il filmato completo.

Pubblichiamo anche due esempi utilizzati durante il seminario. Cad Pro e Std. In occasione di corsi e seminari sul mondo del BIM abbiamo spesso assistito ad un timore rispetto a questa nuova tecnologia. Alcuni dei moduli sono abbastanza convenzionali ed eseguono operazioni classiche dei programmi di modellazione generali, quali estrusione, rotazione o piping, mentre altri sono molto specifici ed esclusivi.

Tutti e tre i moduli partono da un disegno excle per trasformarlo con un solo comando in un modello tridimensionale, anche molto complesso. Sauro Agostini di Interstudio ed ha affrontato sia gli aspetti teorici che pratici degli interventi locali sulle murature alla luce delle norme attuali e dei criteri interpretativi che si sono affermati negli ultimi anni.

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Interstudio ha organizzato per cemenot prossimo 19 maggio un seminario sulla gestione degli Ordini Professionali e della formazione. In architettura questo permette anche di vedere il modello mentre viene creato e modificato, oltre ad interagire ediifici con esso. Studi fi illuminazione e di materiali, viste e proiezioni parallele, inserimento paesaggistico, panorami a gradi, tour virtuali, animazioni ecc: La nuova versione 6.

Il flusso delle informazioni legate a questo processo fanno parte integrante del concetto di BIM ed avviene tramite formati standardizzati e aperti come il formato IFC Industry Foundation Class.

Possiamo parlare di vari livelli di BIM in funzione del grado di gestione e condivisione del progetto e delle informazioni che lo riguardano. La nuova versione Ne diamo una breve descrizione. Essenzialmente trasforma in un attimo dei disegni bidimensionali in modelli tridimensionali in pochi secondi. Interstudio ha rilasciato la versione 3 di Domus. Cad Standard e Professional.

Le due configurazioni Std e Pro propongono un approccio BIM veramente per tutti e non solo dal punto di vista economico. Estrae tutte le informazioni vettoriali da PDF vettoriali, quelli normalmente prodotti da programmi CAD, o vettorizza automaticamente disegni scannerizzati in qualsiasi formato essi siano.

Verranno rilasciati 4 CFP. In questa ottica la nuova versione 1. La prima modifica riguarda il posizionamento nella lista delle voci. Il posizionamento in alto, in testa alla lista degli articoli costringeva a spostamenti continui per cliccare sui vari bottoni che, specialmente per liste molto lunghe facevano perdere tempo. La maggior parte delle mappe disponibili offrono dettagli topografici fino a scala 1: In questo articolo esamineremo alcuni portali geografici regionaliin un prossimo articolo esamineremo quelli nazionali in Europa.

Questo aggiornamento viene regolamentato da un processo di certificazione su scala nazionale portato avanti dal Comitato Termotecnico Italiano.

Il seminario ha approfondito metodi di progettazione e verifica di edifici in muratura ordinaria, armata e a blocchi in CA debolmente cxlcolo in zona calcllo. Sono stati analizzati le verifiche globali lineari e non lineari, le verifiche locali xecel i meccanismi cinematici. Interstudio ha sempre ritenuto importante una gestione completa e integrale della progettazionein tutti i suoi aspetti, fornendo soluzioni integrate e complete a partire dal rilievo topografico e architettonico, la progettazione, le strutture, il computo, gli impianti ecc.

EF Architectural Exchage Format che permetteva a vari programmi di comunicare tra loro: Verranno analizzate le verifiche globali lineari e non lineari, le verifiche demento e i meccanismi cinematici. Gli iscritti ad un Ordine degli Ingegneri riceveranno 4 crediti formativi. Gli argomenti trattati sono: I fogli elettronici sono ben fatti sia dal punto di vista tecnico che come formato documentale da inserire nelle proprie relazioni. Questo significa che quando hai il progetto in Domus.

Dettagli Riduzione dei prezzi per Domus. In questa ottica sono stati ridotti i prezzi di Domus. Cad, sia per la versione Professional che per la versione Standard. Abbiamo inserito nel canale Interstudio Video su YouTube un corso completo sulla suite Cypetherm suddiviso in 8 parti.

Tra meno di 3 mesi, il 29 giugnoentreranno in vigore le nuove norme per capcolo certificazione energetica UNI epubblicate il 31 marzo scorso. Quelli che non avranno ce,ento certificazione non potranno essere utilizzati. La Simulazione Termoenergetica Dinamica permette di valutare le effettive prestazioni di un sistema edificio-impianti, tramite la scelta dei sistemi edilizi e impiantistici e ottimizzando il comportamento globale del sistema.

Le applicazioni comprendono il calcolo dei carichi termici, la previsione della prestazione energetica e le previsioni di comfort termico e visivo.

Quali sono vantaggi e svantaggi di questo modo di utilizzare il software? Cacolo bene le proposte possiamo vedere che i vantaggi sono presenti in alcuni casi, ma ci sono anche numerosi svantaggi e alla fine i costi possono aumentare notevolmente rispetto al tradizionale acquisto delle licenze. Interstudio ha reso disponibile la versione 1. Ricordiamo che la suite Cypetherm permette di affrontare in modo semplice e innovativo la certificazione energetica e cemfnto impianti, inserendolo nel processo di una progettazione intelligente basata sul concetto di BIM Building Information Modelling.

Il filmato Introduzione a Cypetherm C. La versione precedente considerava sempre, anche in crmento, il solo travetto, senza tenere conto…. Riempie automaticamente il modello 4 di successione, il modello F23, il prospetto di liquidazione delle imposte, il modello prima casa e le cemenho.

Ha al suo interno elementi parametrici tridimensionali quali muri, finestre, porte, coperture ecc. Un nuovo filmato segue passo-passo il progetto di una cerchiatura in acciaio in un sistema di setti in muratura.

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Segue il progetto in tutte arkato sue fasi, partendo con la definizione dei tipi di carico e arrivando alle relazioni di calcolo e ai disegni esecutivi. Questo tutorial descrive come importare da Google Map in Domus. Cad il modello tridimensionale del terreno di una zona. Molti programmi di architettura e modellazione sono ormai in grado di generare delle immagini renderizzate di alto livello dei modelli tridimensionali.

Una precisa regolazione e una corretta manutenzione consentono di ridurre sensibilmente i consumi e con essi anche la spesa che sosteniamo per farli funzionare. Sia i baluardi che le cortine sono rivestiti di una camicia di mattoni. Cad Edu Basela versione gratuita di Domus. Essendo lavori fatti dagli studenti dei primi anni, si tratta naturalmente armatto progetti cakcolo, ma eseguiti seguendo un modo moderno di progettare tramite un CAD BIM parametrico tridimensionale e non semplicemente disegnando in bidimensionale.

Le mappe sono importate con le loro misure reali e rappresentate nella scala video scelta in Domus. Cad appare siismico seguente finestra di dialogo:. Sia iT-geo-muriapplicazione WEB per muri di sostegno, che Geo-Tec Dapplicazione desktop per opere di sostegno muri di sostegno e paratie sono in grado di determinare i diagrammi di spinta sul manufatto per situazioni a monte molto complesse formate dai seguenti elementi:.

Tutto questo con una grafica interattiva dove tutti gli elementi sono inservibili e modificabili graficamente con il mouse. Interstudio distribuisce a produce da molti anni Geo-Tec Dun programma desktop per il progetto di opere di sostegno, muri e paratie. Se si verificano si prega di riferirli a Interstudio o in fondo a questa pagina. Vediamo un esempio passo-passo. Partiamo da una foto della situazione attuale.

Il progetto della ristrutturazione effettuato con Domus. Cad nei giorni e 30 aprile Con un modello correttamente eseguito si possono produrre anche le classiche immagini bidimensionali in modo automatico, senza errori, senza perdite di tempo e senza limitazioni. Interstudio ha rilasciato la versione 2. La prima versione di Domus. Armaho eccezionale sui programmi di rendering e animazione Artlantis R e Studio di Abvent.

La promozione riguarda anche le licenze aggiuntive. Le prime versioni erano molto semplici, il sito era composto da alcune decine di pagine eifici era ospitato in modo condiviso su un server con uno spazio dedicato di 50 MB. Si tratta di 20 nuovi tutorial che entrano nel dettaglio delle funzioni di Domus. Cad, sono simili ai blocchi di Autocad. Una delle caratteristiche principali di Domus. In questi casi i parametri rappresentano un limite alla progettazione.

La nuova versione 1. Principi teorici e istruzioni operative …. In questo articolo descriviamo come creare un modello 3D di un piano di una casa esportandolo da Domus.

Cad, descrivendo i vari passaggi fino al modellino finale. Interstudio mette a disposizione per gli studenti, in modo completamente gratuito calcoloo, la versione speciale EduBase, studiato particolarmente per il settore Educational.

I progettisti italiani sono abituati a partire dal lotto, una volta tolte le distanze dai confini, dalla strada, dai fiumi, dalla ferrovia ecc.

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Mosaicatura di precisione o approssimata. Mosaicatura siwmico o progressiva. I suoi strumenti di modifica controllata delle immagini lo rendono molto utile per la realizzazione di texture da applicare a modelli 3D.

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Published on Sep View 48 Download Un curier caieet Prusia ocupat23II. Un om de ncredereII. Inscripia de pe poartIII. Curierul de pe DonV. O noapte la PellaVI. La Sabolovka, la noul favoritVII. De gard la SchlsselburgX.

Armatele lui Frederic al II-lea nu mai erau cele de altdat: Cu un an nainte, detaamentul general-porucicului Piotr Panin a ocupat Berlinul. Cazacii, mpreun cu aliaii lor, croaii, au pustiit capitala lui Frederic, au prdat vreo trei sute de case dr n-au cruat nici palatul regal din afara oraului: S-a dat un ordin de a fi trecui pe sub vergile frontului de soldai, gazetarii berlinezi, pentru c prea scriau jignitor i obraznic jurnalitii tia la adresa ruilor.

Drept urmare a unui asemenea ordin, scrisorile vrjmae Rusiei, publicate n ziare, erau arse de un gde sub o spnzurtoare, iar alctuitorii acelor scrisori, adui n piaa de execuie ca s fie pedepsii pentru vrjmia lor prin Spitzruten.

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Generalul Cernov i-a iertat. Numai pentru vin, igri i, n general, pentru osptarea armatelor ruseti au fost cerute Berlinului o sut de mii de dusselgelduri. Trdarea comandantului unui corp de armat rusesc, contele Tothleben, ca i arestarea lui n urma hotrrii Consiliului tuturor comandanilor rui de regimente, n timpul marului din Pomerania, n-au schimbat cu nimic starea de spirit a armatei victorioase.

Situaia lui Frederic era desperat. Din rege al Prusiei, deveni din nou un nensemnat Krfursten branderburghez. La Knigsberg, i-a stabilit reedina guvernatorul rus tatl lui Suvorov. Ca deodat evenimentele s ia alt curs. Nepotul Elizabetei Petrovna, mpratul Petru al III-lea, n chiar ziua morii mtu-sii, a intrat n tratative de pace cu adoratul su suveran Frederic.

Guvernatorul Suvorov, n urma unui ordin personal al arului, a predat trupele i conducerea regatului prusac general-porucicului Piotr Ivanovici Panin, iar el a plecat la Petersburg unde, din cauza datoriilor, a nceput s dea anunuri publicitare n legtur cu vnzarea averii sale.

Urmndu-l, bucuroi de manifestul privitor la Libertatea nobilimii i ali ofieri, mai cu seam cei din Statul Major au pornit spre Rusia, invocnd diverse pricini Gustul amar al concesiilor ruinoase a fost uitat.

Mai de voie, mai de nevoie, toi doreau s ajung, dup o campanie att de lung, n patrieLa sfritul lui februarientr-o troic ce fcea legtura ntre Prusia i Petersburg, venea din Knigsberg un curier special. Era un tnr ofier usciv, de vreo douzeci i doi de ani, de statur mijlocie, cu nite ochi negri, serioi, avnd o cuttur puin speriat i nemulumit.

Era ora dou din zi. Se grbea s mai prind pe cineva la Colegiul de rzboi. De la intrarea n ora, pe lng podul Kalinkin i pn la cldirea Colegiului casa lui Stegelmann de pe Moika, cea de lng podul Rou, unde astzi se afl Institutul de surdo-muiofierul ncerca n fel i chip s-l zoreasc pe vizitiu.

Zece zile de drum prin Lituania, prin dezghe i flecraie l-au obosit foarte tare.

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Ducea hrtiile manuscrise ale lui Panin cu propunerea timid, dar foarte clar, de a se ncerca continuarea rzboiului. Ajuns la Colegiu, i ndrept caftanul verde, jerpelit, cu guler de aceeai culoare i tunic roie, i scutur zpada de pe ghetrele negre i pantofii sclciai i fr catarame, i aranj buclele nepudrate, i strnse coada blond, ncrcat de promoroac, despletit n timpul drumului. Rugind, s fie anunat la un general din Colegiu, pentru care mai avea i o scrisoare particular de la Panin, a predat plicurile i, extenuat de drum, a nceput s se gndeasc la cele ce-l vor ntreba, pregtindu-i n minte rspunsurile, strduindu-se s gseasc cuvintele cele mai convingtoare.

Armata, i zicea el, abia atepta s porneasc din nou la lupt; proiectul ndrzne al lui Piotr Ivanovici va triumfa. N-am s m cru, am s le demonstrez tot adevrul, numai i numai s-i fie patriei de folos, numai i numai s aprecieze curajul unui comandant att de cinstit i de integru!

Generalul de serviciu Behleov, un ins impuntor ca nlime i inut, cu o fa alb ca de prunc, citind scrisoarea adus, puse deoparte celelalte hrtii i-l fix cu privirea pe trimis. Se nvrti apoi suprat, pe loc, forni dispreuitor i spuse: Noutile tale, stimate domn, nu sunt ctui de puin importante.

Iar Piotr Ivanovici, dei e un patriot demn de tot respectul, de tot respectul Dar asta nu e ciet ta. Noi ducem tratative de pace, iar ei vor rzboi! Mine stimabile, e duminic. Treci pe aici poimineOfierul simi cum ncep s-i ard obrajii.

Ppu de caite ce eti, bic de spun! Ce-or s zic ceilali, tot Colegiul? Oft, iei din cldire, sttu cteva clipe locului ameit, poruncindu-i apoi vizitiului s-l duc pe ostrovul Vasilievski. La vederea locurilor cunoscute, cndva att de dragi, simi un val de srupina inundndu-i inima. Parc anume apru tocmai atunci i soarele, nvluind n lumin strzile, casele i sufletul cltorului. Trecnd pe lng nobila Scoal de cadei casa lui Menikov, azi coala militar Pavel Ise descoperi i-i fcu semnul crucii; aici i fcuse el nvtura i de aici, cu doi ani n urm, cadet fiind, fusese trimis n armata din strintate.

La captul uneia dintre strzile mrginae ce d pe cheiul Nevei, zri gardul nnegrit i acoperiul vechi al csuei care i aparinea de foarte muli ani vduvei subofierului de gard, Nastasia Bavkina. Drumeului i se strnse inima. Atia ani n ir, n zilele ce srbtoare, venise aici de la coal, el, orfanul stingher. Aici, Nastasia Filatovna, o btrn blnda, virtuoas, lipsit de copii i nespus de miloas, poreclit povestitoarea arinei, l rsf, gsind n el, n umilul cadet, mngierea singurtii i tristeilor sale.

Dup cum l informase btrna n scrisorile sale, cas i fusese vndut pentru datorii, iar ea, fosta proprietar trebui s se mute undeva, cu chirie, fr s mai apuce s-i mai scrie cxiet adres. Ofierul se opri n faa porii att de cunoscute.

Ofierul spuse numele Bavkinei. S-a drmat stlpul vechi i solid, spuse trgoveul, iar ea, puternic, s-a restrns: Se vede treaba c trim ultimii ani ai lumii acesteiaUnde s-a mutat? La un cuttor n stele, la un nu- ce savant. Ne-a mncat pe toi acum ghiavolia asta de scumptate, nu te poi apropia de marf. Nu-i rmne dect s-i ntinzi picioarele i s crapi.

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Se aude c a nchiriat pe undeva, pe lng Moika, prin locurile ce-au ars pe vremuri, ntr-o cas de piatr din faa strzii Siezjaia, o locuin ntr-un subsol de brne. Ofierul plec spre podul Albastru, de acolo o lu la dreapta, innd malul Moiki. Se opri apoi n faa locului unde astzi, lng podul Pietonilor, se afla cldirea potei.

Aici, o cas de crmid, cu un co nalt ca de fabric, ddea n mlul fr chei i fr parapet al apei. Pe gard trona firma unui croitor. Spre catul de sus al casei ducea o scar deschis, drept acoperi avnd ramurile unui mesteacn nalt i btrn de cnd lumea, ce cretea lng intrare i care, fr ndoial, i-a apucat i pe suedezi i pe Petru cel Mare. Se nsera cnd mantaua albastr ca cicoarea, cum se purta pe atunci n toat armata, apru n curtea locuit acum de Bavkina.

Prin crpturi ptrundea lumina. Aici trebuie s fie, gndi musafirul privind n jur i stpnindu-i cu greu emoia. Ce-o s se mai mire! Nastasia Filatovna, bun seara! Nu-i nici o Nastasia Filatovna aici! Aici locuiete un membru al Academiei de tiine. S ne fie cu iertareCe mai e i cu asta? Nu v-am spus c aici locuiete un academician?

Dac vrei s ajungei la chiria, binevoii s-o luai din vestibul la stnga. Dar s tii c nu-i acas. Ofierul mulumi, dnd s plece. Ce s-i spun cnd s-o ntoarce? Un trimis de peste hotare al armatei, prim-aghiotant al guvernatorului nostru din Prusia, generalul Panin, rspunse ofierul.

De dup despritur se auzi un trit grbit de pai. Ua se ddu n lturi.

Al armatei ai spus? O cunotin de-a chiriaei mele?

Un zmbet timid i cald stupjna faa sever a academicianului. Am auzit de dumneata, am auzit. Un oaspete neateptat e cu att mai plcut Dnsa nici nu bnuiete. Cte gnduri i-a mai fcut n legtur cu dumneata Te rog, pn una-alta, intr la mine Ce nouti ne aduci? Linitete-m, domnule, f-mi o bucurie, urm gazda. De btut, i-am btut, dar acum ne retragem i nc n mare grab.

G.P. Danilevski – Mirovici-Printesa Tarakanova

E de presupus c facem cale-ntoars. Se duc tratative de armistiiu. Da cine l-a propus? Tabachera i pan academicianului zburar pe mas. Ce tupeu i ce ruine! Drgu, tinere, cred c-ai ngheat stuupina drum, ai obosit. Aducei ceai, punei samovarul, s se poat spla mai iute. Iertai-m, se nclin ofierul. Chiriaa dumneavoastr, Nastasia Filatovna, e o veche binefctoare a mea.

Get this from a library! Código de procedimiento civil: concordado y anotado con arreglo a la edición oficial. [Carlos Morales Guillén; Bolivia.]. Download CÓDIGO CIVIL CONCORDADO Y ANOTADO – CARLOS MORALES Nuevo codigo procesal civil bolivia pdf free download. Codigo civil angolano codigo procesal civil. Responsibility carlos morales guillen codigo civil pdf bolivia .

Currently, young people comprise the largest cohort in the history of the world and the Region. Education has been identified as one of the structural determinants for adolescent health. Education beyond the primary level codivo been associated with health benefits across the life course, including lower male injury mortality, lower female fertility, improved adult health, and increased survival of future children 2.

In all countries except Paraguay and Guatemala, more girls are enrolled in secondary school than boys. Net secondary school enrollment by sex and country, last available year. Boliivano main causes of adolescent death in the Americas are external, with homicide, suicide, and traffic fatalities being the leading causes in most countries.

2006 – Asociacion de Estudios Bolivianos / Bolivian Studies

The regional age-adjusted mortality rates for adolescents calculations based on data from 26 countries with available data for and indicate that the overall adolescent mortality rate has increased among males and decreased among females.

Among both males and females, homicide and suicide increased as a cause of death and land traffic accidents decreased Table 1, Figures 2, 3, 4. Survey data indicate that adolescent males commit suicide more frequently, but adolescent comdntado attempt suicide at higher rates than males 3. Age-adjusted mortality rates perpopulation for adolescents aged 10—19 years, by sex and cause of bo,iviano, — 26 countries reporting.

Crude homicide rates for adolescents ages 10—19 years by country and sex, last available year. Crude suicide rates for adolescents ages 10—19 years by country and sex, last available year. Crude mortality rates due to land transport moralse for adolescents ages 10—19 years by country and sex, last available year. Findings ciil the Global Burden of Disease study indicate that the leading causes of disability-adjusted life years DALYs for adolescents have shifted since 4.

Intestinal nematode infections, lower-respiratory infections, and diarrheal diseases dropped substantially in rank between andwhile skin diseases, anxiety disorders, asthma, and drug use disorders rose.

Anemia, skin diseases, asthma, conduct disorders, and road injuries are the five leading causes for DALYs in the age group 10—14 years; and interpersonal violence, road injuries, skin diseases, depressive disorders, and anxiety disorders are the leading causes in the moralex group years.

The leading risk factor for Civl for the years age group is malnutrition, and for the age group years the leading risk factor is alcohol and drug use 5. Good nutrition is guillsn essential element of good health in adolescents; it improves school and educational performance, supports stronger immune systems, reduces the risk of disease across the life course, and in the event of pregnancy, it reduces the risk of adverse maternal and neonatal outcomes.

The available data on anemia, overweight, and coentado indicate that adolescents in the Americas face the double burden of malnutrition, characterized by under-nutrition along with overweight and obesity 3. Percentage of adolescent girls with anemia in selected countries, — Demographic Health Surveysaccessed November ; Argentina: Encuesta Nacional de Micronutrientes.

Considering the association between consumption of sugary drinks and fast food, physical exercise, and the risk of noncommunicable diseases NCDthe substantial number of young adolescents aged who report frequently consuming soda and fast food is a major concern Figure 7.

Percentage of overweight or obese adolescent girls aged 13—15, selected countries.

Consumption of soda and fast food by adolescents aged 13—15, selected countries. The use of substances by adolescents is not only a public health concern because of the contribution to DALYs and the negative behavioral consequences associated with intoxication.

There is a growing body of evidence from neuroscience indicating that the use of psychoactive substances during adolescence, particularly heavy use, may have implications across the life course due to the effect on brain development.

Psychoactive substances may generate neural adaptations that increase the risk for substance use disorders in adulthood. In addition, adolescent alcohol and marijuana users have shown changes in brain structure and functions, including lower brain volume in several regions of the brain, and reduced white matter integrity, which are associated with optimal cognitive, behavioral, and emotional development 6, 7.

There are substantial variations between countries of the Region in the use of tobacco, alcohol, and psychoactive substances.

The percentage of current tobacco users among adolescents aged years ranged from 1. With the exception of Argentina, more male students than female students reported recently using tobacco 8 Figure 8. Current tobacco use among adolescents 13—17 years, by sex in selected LAC countries, last available year. Past-month use among secondary school students ranged from 7. In Argentina, Paraguay, and Saint Vincent and the Grenadines, this age group also reported high levels of alcohol use, i.

Heavy episodic drinking HED or binge drinking among adolescents appears to be increasing; at the last survey, eight countries reported higher percentages of HED among secondary students compared to previous surveys.

Lucia, Trinidad and Tobago, and Uruguay all reported an increase; only Canada and Ecuador reported a decline 9. Marijuana is the most commonly used psychoactive substance among adolescents, after tobacco and alcohol.

Lifetime marijuana use among twelfth grade students ranged from 1. In most countries of the Region, reported marijuana use is significantly higher among males, with about twice as many males as females having used marijuana within the past year.

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The use of other psychoactive substances remains relatively low among adolescents in the Region. Among secondary school students, use of inhalants in the past month ranged from 0. Adolescence is a critical life stage for sexual and reproductive health SRH due to the rapid physical, hormonal, and emotional changes during puberty, including menarche for cmentado and their new biological capacity to reproduce.

Good adolescent SRH requires fostering of a positive, respectful, and responsible approach to sexuality and sexual comemtado the possibility of having pleasurable and safe sexual experiences free of coercion, discrimination and violence; and the freedom to fivil decide if, when, and how often to reproduce. Promoting and protecting adolescent SRH includes ensuring optimal access to information and education and appropriate health services, including access to safe, effective, affordable, and acceptable contraception; cokentado protection from coerced and forced sex.

Undesired outcomes include sexually transmitted diseases, HIV, unplanned pregnancies, and unsafe abortions, all of which can have repercussions that extend beyond adolescence across the life course, spilling over into the next generation.

Adolescent fertility rates in Canada and the United States are below the global average and have been declining steadily over the past decade. On the other codig, LAC has the second highest adolescent fertility rate in the world: Trends over time indicate that the adolescent fertility rate remained stagnant in LAC from tofollowed by a slow downward trend in the following moralws years.

In comparison, the global and North American trends show a sharper decline Figure 9. In contrast, there has been a marked decline in the total fertility rate in LAC from 3. Figure 8 illustrates the slow descent in fertility rates among adolescents compared with adult ciil during the year period of Figure United Nations Population Division. Age-specific fertility rates by major area, region and country, Age-specific fertility rates by major area, region and country, — There are substantial variances in the adolescent fertility rate between and within countries.

Central America has the highest adolescent fertility rate, followed by South America. At the country level, the estimated adolescent fertility rates range from Analysis of adolescent fertility by level of education and wealth quintiles highlights the inequities within countries, showing that girls with lower education comfntado from families in the lower wealth quintiles, and particularly indigenous girls living in rural settings, are disproportionately affected by early pregnancy Figure 10 11, 12, Encouragingly, the data show increasing trends in comprehensive HIV knowledge and boliviamo use with nonregular partners in the Region Adolescence and the social determinants of health.

The Lancet ; Pan American Health Organization. The health of adolescents and youth in the Americas. The effect of alcohol consumption on the adolescent brain: Luciana M, Feldstein Ewing S. Introduction to the special issue: Developmental Cognitive Neuroscience ; Report on tobacco control for the region of the Americas. Moralss of American States. Report on drug use in the Americas Global trends in adolescent fertility, —, in relation to national wealth, income inequalities, and educational expenditures.

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Journal of Adolescent Health ;60 2: Demographic and Health Surveys Programme. United Nations Population Fund.

The state of world population AIDS info online database [Internet]; Equity in health is a cardinal expression of social justice, attained when every individual has the opportunity to reach his full health potential and no one is excluded or hindered from reaching that potential because of his social status or other socially determined circumstances. This ethical imperative is accompanied by a political imperative, since today it is recognized that social equity is a prerequisite for good governance.

Thus, equity is a political objective that consists of creating equal opportunities for health and well-being. Indeed, without social equity, sustainable human development cannot be guaranteed 1. Aspiring to equity in health, including universal access to health and universal health coverage, implies altering the underlying distribution and role of the social determinants of health—that is, the circumstances in which individuals are born, grow, live, work, and age and the broader array of forces and systems that affect those circumstances, such as the global, national, and local distribution of wealth, power, and resources.

Transformational action that addresses the social determinants of health and promotes equity in health requires, on the one hand, abandoning public health practices based on the risk-factor paradigm, in which the individual and behavior are the focus, while, on the other hand, adopting a more comprehensive approach to public policy that empowers individuals and communities to exercise control over their circumstances—a multidisciplinary and essentially intersectoral approach under the principle of Health in All Policies.

Guaranteeing the universal right to health will remain simply an aspiration if the profound social inequalities behind the health gaps in bpliviano Region are not addressed. Empirical studies offer clear proof that the population groups with the worst health outcomes in the countries of our Region also are those that demonstrate the tangible expressions of socioeconomic inequality, including low income and consumption levels, poor housing, job insecurity, limited access to quality health services, fewer educational opportunities, inadequate access to water and sanitation services, marginalization, exclusion, and discrimination, among other adverse social and health situations 3,4.

One possible explanation for this could be a certain myopia in the policies designed and implemented, even in those consistent with the universal right to health. According to Garcia-Subirats et al. According to these authors, the inequalities in the two countries illustrate the close connection between use of the health services and the design of guillne health system 6.

adolescent health

For example, and delving a bit further into the matter, bridging gender gaps in health implies unmasking and addressing explicit and, especially, implicit, discrimination or bias in their various forms, which make public policies ineffective for women. The combination of gender based discrimination and the material constraints imposed by poverty and the consequences of other social discrimination such as living in a neglected geographical area or belonging to an ethnic group subject to social discriminationwill lead to significant health service access barriers even to services mofales the public sector for certain women.

In other words, the different forms of discrimination, which tend to fuel each other intersectionality and, in practice, affect certain women, become real obstacles to taking advantage of public guollen that, in theory, could benefit them.

The causality between socioeconomic and health inequalities runs in both directions: Notwithstanding the historical structural impact of harmful colonial legacies, tremendous social injustice, and profound socioeconomic inequities 3the Region of the Americas, and Latin America in particular, enjoyed macroeconomic growth for much of the period —, guiplen by a reduction in poverty, extreme poverty, and inequality in income distribution—a period that has come to be known as the temporary window of the Millennium Development Goals MDGs.

As documented in this publication and its preceding edition 7the Region consolidated undeniable gains in health, meeting several of the targets set for MDG 4 child mortalityMDG 6 incidence of infection with the human immunodeficiency virus guilen, tuberculosisand MDG 7 access to safe drinking water.

Despite the impressive overall improvements, a regional look at health through the window of the MDGs paints a different and more troubling picture when examined through the lens of equity. Achievement of——or progress toward——the health-related MDGs has civll generally been accompanied by a systematic reduction in social inequalities in health, especially relative inequality, which tends to be the most sensitive indicator for booiviano the impact of policies targeting population segments at greatest social disadvantage to ensure that no one is left behind.

An eloquent—and dramatic—example is illustrated for MDG 5 maternal mortality mirales Figure 1, which looks at the maternal mortality situation comentdao the lens of equity.

Inequalities in maternal mortality in the Americas, by human development quartiles in the MDG period — Prepared by the authors using WHO data in the public domain.