Over the past 10 years, the Peruvian National Tuberculosis (TB) Program, the National Reference Laboratory (NRL), Socios en Salud, and US partners have worked to strengthen the national TB laboratory...Full Text Available
Personas en alto riesgo Adultos de 65 años y mayores Asma Cáncer Diabetes VIH/ SIDA Embarazadas Niños pequeños Padres Trabajadores de cuidados de salud Escuelas y...
Personas en alto riesgo Adultos de 65 años y mayores Asma Cáncer Diabetes VIH/ SIDA Embarazadas Niños pequeños Padres Trabajadores de cuidados de salud Escuelas y...
Purpose - The article shares insights from a program that was developed to address burnout, compassion fatigue and vicarious trauma. The program works from the premise that people and organizations thrive when they have shared values and common understandings. Design/methodology/approach - The approach draws together reflection at the organizational and person levels. Connecting business ethics and organizational analysis, improving understanding of the body's energy as well as inter-cultural understanding are all achievable while adopting the resilience development methods. Findings - The article concludes that reflective practice through the tools used on the program enhances understanding of the challenges faced by organizations and the individuals involved. It provides creative routes ...
Although incompressible fluid flows can be regarded as a particular case of a general problem, numerical methods and the mathematical formulation aimed to solve compressible and incompressible flows have their own peculiarities, in such a way, that it is generally not possible to attain both regimes with a single approach. In this work, we start from a typically compressible formulation, slightly modified to make use of pressure variables and, through augmenting the stabilising parameters, we end up with a simplified model which is able to deal with a wide range of flow regimes, from supersonic to low speed gas flows. The resulting methodology is flexible enough to allow for the simulation of liquid flows as well. Examples using conservative and pressure variables are shown and the results are compared to those published in the literature, in order to validate the method. (author)
A thermohydraulic study of MTR fuel element is presented as a basic requirement for the development of an irradiation facility for testing fuel elements. A computer code named 'Thermo' has been developed for this purpose, which can stimulate different working conditions, such as, cooling, power elements and neutron flux, performing all pertinent thermohydraulic calculations. Thermocouples were used to measure the temperature gradients of the cooling fluid throughout the IEAR-1 reactor core. All experimental data are in good agreement with the theoretical model applied in this work. Finally, a draft of the proposed facility and its safety system is presented. (author)
A plan has been put forth to strategically thin northern California forests to reduce fire danger and improve forest health. The resulting biomass residue, instead of being open burned, can be converted into ethanol that can be used as a fuel oxygenate or an octane enhancer. Economic potential for a biomass-to-ethanol facility using this softwood biomass was evaluated for two cases: Stand-alone and co-located. The co-located case refers to a specific site with an existing biomass power facility owned by Wheelabrator Environmental Systems Inc. near Martell, California. A two-stage dilute acid hydrolysis process is used for the production of ethanol from softwoods, and the residual lignin is used to generate steam and electricity. For a plant processing 800 dry tonnes per day of feedstock, the co-located case is an economically attractive concept. Total estimated capital investment is approximately $ 70 million for the co-located case. The resulting internal rate of return is about 24% ...
In this issue it has been investigated the yield of Helical CT in the study of lung vessels, the incidence of the angiogram sign and its actual value. July 1997 to December 1998, were studied 30 cases of pulmonary collapse of different origin. It was found 15 cases of passive collapse (10 from pleural effusion, 2 from diaphragmatic compression, 2 from traumatic pneumothorax, and 1 from isthmic aortic aneurysm), 12 cases of obstructive collapse (9 from bronchogenic carcinoma, 1 from mucoid obstruction, 1 from ilar lymphadenopathy, and 1 from mediastinal cancer), 2 cases of adhesive collapse and 1 case of round atelectasis. All the examinations were performed with the Helical technique during nonionic iodinated contrast agent injection (bolus, 300-350 mg/mL); it was used an automatic injector set at 2-3 mL/s. It was studied the images for the angiogram sign, that is hyperdense bands, usually longer than 2 cm, through the collapsed lung, which correspond to normal pulmonary vascular ...
In the geologic formation where the oil deposits are located, diverse types of rocks perform functions as structural elements, storage containers for hydrocarbon water and calorific energy, as well as impermeable barriers and transport means of the energy and the fluids. Among the most important properties that are used to describe these functions are the porosity, the permeability, the compressibility of the pores volume, the formation resistivity factor, the saturation exponent, the velocity of acoustic waves P and S, the relative permeability, the capillary pressures, the elastic constants and other mechanical properties, the thermal expansion, coefficient, the thermal conductivity, the thermal diffusivity and the specific heat. The execution of an ample variety of activities related to the stages of exploration, location, evaluation and development of the oil deposits, depends strongly on having a good knowledge of the magnitude and the spatial variability of these properties. The ...
The main purpose of this work is to evaluate the role of CT in identifying other morphological signs of met static lymph node involvement from non small cell bronchogenic carcinoma. This is done to improve N staging, a critical step in this disease. In fact, since diameter is the only criterion used to distinguish normal form abnormal lymph nodes, mediastinal CT only has 80% diagnostic accuracy. 137 patients with known or suspected lung cancer were examined with Helical CT during early and late arterial phases (2 min. delay, 3 mm thickness, 5 mm inter slice gap) to depict node characteristics. Mediastinal lymph nodes, located according to the American Thoracic Society mapping, were considered normal when they were not visible or, if visible, less than 1 cm in diameter and of homogeneous density; lymph nodes over 1 cm in diameter and homogenous density were considered reactive. A lymph node was considered metastatic when, independent of size, the following signs were found: central hypo ...