WorldWideScience

Sample records for accidente radiologico ocurrido

  1. Physical reconstruction of the radiological accident of Chilca (Lima - Peru); Reconstruccion fisica del accidente radiologico de Chilca (Lima - Peru)

    Energy Technology Data Exchange (ETDEWEB)

    Lachos, A. [Instituto Nacional de Enfermedades Neoplasicas, Departamento de Radioterapia, Av. Angamos Este 2520, Surquillo, Lima (Peru); Marquez, J. F., E-mail: alachosd1271@yahoo.com [Univesidad Nacional Mayor de San Marcos, Facultad de Ciencias Fisicas, C. German Amezaga 375, Ciudad Univesitaria, Lima (Peru)

    2014-08-15

    The radiological accident happened in the Chilca District, the Canete County at 60 km to the south of Lima-Peru, during the night of January 11 to 12, 2012. The physical reconstruction of the accident was carried out in January 21, 2012, by means of the information gathering administrative and technical of the radioactive source as well as of the installation, the personnel and the involved procedures in the accidental event, information of the space geometry where the event took place. The preliminary information indicates that the source could have been locked in the guide tube of the equipment, next to the collimator in the first takes radiographic. The radiation monitors were not activated on the procedure, impeding this way, not to realize the flaw and causing that the personnel were exposed to the radiation during the whole work period. Their hands and especially their fingers would have been only to some millimeters of the source. With the obtained information and the measurements of the exposure rates of the radioactive source, was carried out the dose calculation to total body, the dose received in the hands and the dose received in the index finger of the left hand. The accident happened by operative procedure breach, by lack of training of the operators. The physical reconstruction of the accident contributes fundamental information for the decisions taking in the medical management of the accidents by radiation. (author)

  2. Radiological impact to the population of the three major accidents happened in the civil nuclear industry; Impacto radiologico a la poblacion de los tres mayores accidentes ocurridos en la industria nuclear civil

    Energy Technology Data Exchange (ETDEWEB)

    Ortiz M, J. R., E-mail: Acamb33@hotmail.com [Sociedad Nuclear Mexicana, Mexico D. F. (Mexico)

    2013-10-15

    The greatest fear of the population before a nuclear accident, is the radiological impact to the health of people, due to the exposure to the liberated radioactive material during the accident, this fear is generally exaggerated or not well managed by the media. The best estimate in the received doses and their possible effects is carried out based on the information obtained during a certain time after the accident event. This work contains a summary of the information in the topic that at the present time has presented institutions as: the World Health Organization (Who), the United Nations Scientific Committee on Effects of Atomic Radiation (UNSCEAR), the Nuclear Regulatory Commission (NRC) and the World Nuclear Association, among others. The considered accidents are: first, the Unit-2 of the nuclear power plant of the Three Mile Island in Pennsylvania, USA occurred 28 March of 1979, in the Reactor TMI-2, type PWR of 900 M We; the second accident was 26 April of 1986, in the Unit-4 of the nuclear power plant of Chernobyl, in Ukraine, the involved reactor was type BRMK, of 1000 M We moderated by graphite and cooled with light water, the power plant is located to 100 Km to the northwest of Kiev; 25 years later occurred the third accident in the nuclear power plant of Fukushima Dai-ichi, in Japan, affecting at four of the six reactors of the power plant. A brief description of the accident is presented in each case, including the magnitude of the provoked liberations of radioactive material, the estimate doses of the population and the affected workers are presented, as well as the possible consequences of these doses on the health. The objective of this diffusion work is to give knowledge to the nuclear and radiological community of the available information on the topic, in order to be located in the appropriate professional context. (author)

  3. Learned lessons of the radiological accident occurred in La Ciudadela of El Cementerio, Gran Caracas. September 2005; Lecciones aprendidas del accidente radiologico ocurrido en La Ciudadela de El Cementerio, Gran Caracas. Septiembre 2005

    Energy Technology Data Exchange (ETDEWEB)

    Lea, D.; Cubillan, Y.; Figuera, J.L.; Mora, G.; Pacheco, J.; Yanez, H.; Carrizales, L. [Servicio de Radiofisica Sanitaria (RFS), Unidad de Tecnologia Nuclear, Instituto Venezolano de Investigaciones Cientificas (IVIC), Ministerio de Ciencia y Tecnologia, Carretera Panamericana Km. 11, Altos del Pipe, Caracas (Venezuela)]. e-mail: dlea@ivic.ve

    2006-07-01

    On September 20, 2005 when a mission conformed by five (05) officials: two (02) belonging to the Ministry of Energy and Mines (MEP) and three (03) of the Ministry of Health (MS) it was prepared to carry out a routine inspection in the one temporary warehouse of sources in disuse located in La Ciudadela of El Cementerio, identified administratively as Warehouse Number 5 (MS) Area X, noticed that those armor-plating that kept the radioactive sources of Cs-137 had been violated. Those people that entered to the warehouse were able to extract the armor-plating in whose interior its were found an important number of sources of Cs-137 in disuse, used in the decade of 70 and 80 in treatment of cancer of the uterine neck, by means of the Brachytherapy technique of Differed charge manual, low dose rate, as well as, lead sheets with the apparent intention of selling them as junk. The intruders extracted a total of 58 radioactive sources of Cs-137 of its armor-plating for then to disperse them inside warehouse and in the external areas to this. An important number of the dispersed sources its had lost it integrity what gave place to a combined scenario of exposed dispersed sources in a public area with the danger of radioactive contamination by Cs-137. A task force conformed by the following institutions: Ministry of Health (MS), Ministry of Energy and Petroleum (MENPET), Venezuelan Institute of Scientific Investigations (IVIC), Unit of Dangerous Materials of the Metropolitan Firemen under the coordination of Civil Protection (PC) it was the one in charge of responding to the radiological accident, of conformity to the National Plan for the Answer to Radiological Accidents. All the radioactive sources dispersed in La Ciudadela achieved to be recovered. The experience of the accident and as learned lesson it was the importance of harmonizing the Generic Procedures for the Evaluation and Answer during Radiological Emergencies, IAEA-TECDOC-1162 technical document, Vienna, August 2000, with the procedures of the answering in charge of responding to accidents with dangerous materials. (Author)

  4. Accidentes de tránsito como riesgo laboral ocurridos durante los años 2006 y 2007, valorados en la sección de medicina del trabajo del Departamento de Medicina Legal

    Directory of Open Access Journals (Sweden)

    Josette Bogantes Rojas

    2010-03-01

    Full Text Available En los últimos años los accidentes de tránsito sufridos por los trabajadores mientras llevan a cabo su jornada laboral, han aumentado en número y severidad. En el presente trabajo se estudiaron los accidentes de tránsito que fueron valorados como riesgo laboral en la Sección de Medicina del Trabajo durante los años 2006-2007 (total de casos evaluados por esta causa 121. Obteniéndose del mismo una caracterización del trabajador afectado, siendo este, de sexo masculino, entre los 30 y los 49 años, chofer o mensajero motorizado. Además se logró determinar que la mayoría de las lesiones presentadas por estos trabajadores correspondió con fracturas de los miembros inferiores (tibia y peroné y con traumatismos craneoencefálicos, resultando como secuelas más destacadas el dolor residual y la limitación funcional, por lo que se les otorgó una incapacidad temporal y permanente acorde con la severidad de sus secuelas.In the last years, the traffic accident suffered by workers while carrying out their jobs, increased by number and severity. In this paper we studied the traffic accidents valued as laboral risk by the Department of Work Medicine during 2006-2007 (Total of cases evaluated: 121. There is a dominant pattern among the studied cases; most of them were men from 30 up to 49 years old, bus/taxi drivers or motorcycle messengers. The main injuries presented by these workers corresponded to inferior member fractures (warm and perone and head traumatisms, with sequels such as residual pain and functional limitation, that granted in some cases a temporal or permanent disability depending to the severity.

  5. Docritfab: A program to assess the radiological impact in accidental emissions of a nuclear fuel factory in real time; Docritfab: Un programa para evaluar en tiempo real el impacto radiologico en emisiones accidentales de una fabrica de combustible nuclear

    Energy Technology Data Exchange (ETDEWEB)

    Sanchez, J. G.; Ortiz, D.; Lopez, J.

    2014-07-01

    Docrit is a program developed for the manufacture of fuels of oxides of uranium Juzbado allowing an estimate in real time of the radiological impact in the case of accidental emissions from gaseous effluents (emissions of aerosols of UO{sub 2} and criticality accidents).

  6. Varredores de rua: acidentes de trabalho ocorridos na cidade de Ribeirão Preto, Estado de São Paulo, Brasil Barredores de la calle: accidentes de trabajo ocurridos en la ciudad de Ribeirão Preto, Provincia de São Paulo, Brasil Street orderlies: occupational accidents occurred in the city of Ribeirão Preto, State of São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Edilene Aparecida Araújo da Silveira

    1998-01-01

    Full Text Available O trabalho executado pelos garis ou varredores de rua é de remoção de detritos e entulhos presentes nos logradouros públicos. É considerado insalubre, pelo contato íntimo que expõe os trabalhadores a agentes presentes nos lixos urbanos. Como realizam suas tarefas em ambientes abertos, encontram-se submetidos a diversos tipos de agressões. O presente estudo teve como objetivo geral investigar os acidentes de trabalho registrados, ocorridos entre os garis, na cidade de Ribeirão Preto, Estado de São Paulo, durante os anos de 1993 e 1994, e como objetivos específicos verificar: o número de trabalhadores acidentados e de acidentes de trabalho notificados; os dados de identificação dos acidentados e da empresa e os dados específicos relacionados aos acidentes de trabalho. Para a concretização dos objetivos, foram analisadas as informações contidas nas Comunicações de Acidentes do Trabalho arquivadas no Instituto Nacional de Seguro Social, no Escritório Regional de Saúde (ERSA local e na empresa de limpeza urbana, empregadora dos garis. Os resultados foram divulgados ao empregador e ao ERSA, colocando-se os autores à disposição para discutir em conjunto, soluções para os problemas ocupacionais encontrados.El trabajo de los barredores es recoger los detritus y acúmulus presentes en las calles. Este trabajo es insalubre, por el contacto íntimo, lo cual expone a los trabajadores a agente presentes en la basura urbana. Como realizan sus tareas en ambientes abiertos, se encuentran sometidos a varios tipos de agresiones. El presente estudio tuvo el objetivo general de investigar los accidentes de trabajo registrados, ocurridos entre barredores, en la ciudad de Ribeirão Preto, Província de São Paulo, durante los años de 1993 y 1994. Como objetivos específicos, los autores pretendieron verificar el número de trabajadores accidentados, accidentes de trabajo notificados, datos de identificación personal y empresarial y los

  7. Accidental hypothermia

    Directory of Open Access Journals (Sweden)

    Ivo Casagranda

    2006-02-01

    Full Text Available Hypothermia is defined as an unintentional decrease of core body temperature below 35 °C. In this article we discuss pathophysiology, clinical aspects and treatment of hypothermic patients. The most important treatment of hypothermia is the identification of the most appropriate method of rewarming. We report a case of cardiac arrest secondary to severe accidental hypothermia, that occured in a young man, do to prolonged exposure to low temperature in river water, successfully treated with extracorporeal blood warming.

  8. Accidental Innovation

    DEFF Research Database (Denmark)

    Austin, Robert D.; Devin, Lee; Sullivan, Erin E.

    2012-01-01

    Historical accounts of human achievement suggest that accidents can play an important role in innovation. In this paper, we seek to contribute to an understanding of how digital systems might support valuable unpredictability in innovation processes by examining how innovators who obtain value from...... they incorporate accidents into their deliberate processes and arranged surroundings. By comparing makers working in varied conditions, we identify specific factors (e.g., technologies, characteristics of technologies) that appear to support accidental innovation. We show that makers in certain specified...... conditions not only remain open to accident but also intentionally design their processes and surroundings to invite and exploit valuable accidents. Based on these findings, we offer advice for the design of digital systems to support innovation processes that can access valuable unpredictability....

  9. Radiological accidents: methodologies of radio nuclides dis incorporation; Accidentes radiologicos: metodologias de desincorporacion de radionuclidos

    Energy Technology Data Exchange (ETDEWEB)

    Jimenez F, E. A. [Universidad Autonoma del Estado de Mexico, Facultad de Medicina, Paseo Tollocan s/n, 50180 Toluca, Estado de Mexico (Mexico); Paredes G, L. [ININ, Carretera Mexico-Toluca s/n, 52750 Ocoyoacac, Estado de Mexico (Mexico); Cortes, A., E-mail: lydia.paredes@inin.gob.mx [Comision Nacional de Seguridad Nuclear y Salvaguardias, Dr. Jose Ma. Barragan No. 779, Col. Narvarte, 03020 Mexico D. F. (Mexico)

    2014-08-15

    Derived of the radioactive or nuclear material management, exists the risk that accidents can happen where people cases are presented with internal radioactive contamination, who will receive specialized medical care to accelerate the radioactive dis incorporation with the purpose of diminishing the absorbed dose and the associate biological effects. In this work treatments of radioactive dis incorporation were identified, in function of the radionuclide, radiation type, radioactive half life, biological half life, critical organ, ingestion duct and patient type. The factor time is decisive for the effectiveness of the selected treatment in the blockade stage (before the accident) or dis incorporation (after the accident); this factor is related with the radioactive and biological half lives. So to achieve dis incorporation efficiencies of more to 70%, the patient clinical treatment will begin before the first third of the biological half life of the radionuclide that generated the internal contamination. (Author)

  10. Accidentes laborales viales

    OpenAIRE

    Corzo Suárez, Susana

    2012-01-01

    El objetivo principal de este proyecto es dar a conocer la problemática de la aplicación del de la ley 31/1995, de 8 de noviembre, de Prevención de Riesgos Laborales, en la evaluación y prevención de los riesgos de los accidentes laborales viales. Para poder llegar a este objetivo se han utilizado diversas vías de estudio: Intentar aclarar qué son accidentes de tráfico y qué son accidentes laborales viales; Cuáles son los diferentes tipos de accidentes laborales viales y sus principales ca...

  11. RIESGO DE TRABAJO OCURRIDOS CON PERSONAL DE UN HOSPITAL EN EL ESTADO DE JALISCO 2009

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    Sergio A. Franco C.

    2012-01-01

    Full Text Available Se presenta un análisis sobre accidentes de trabajo y de trayecto, del año 2009 en un hospital de seguridad social en el estado de Jalisco con el objetivo de evaluar accidentabilidad, se revisaron los formatos existentes en lo referente accidentes de trabajo y de trayecto, dándose una accidentabilidad de 106 riesgos de trabajo de los cuales 66 fueron accidentes de trabajo y 49 accidentes de trayecto, en dicho periodo. En la categoría de enfermera general, los accidentados de trabajo como de trayecto, fue la de mayor accidentabilidad con un 25.50% . En lo referente al área de trabajo y vía publica se tuvo el 37.74% en la vía publica. En las actividades que se realizaban, el de conducir vehículo obtuvo el 15.09% . En el turno matutino se dio la mayor accidentabilidad con el 54.72%. El mes de octubre fue el de mayor accidentabilidad con el 15.09%. en la región anatómica el cuello como los tobillos se dio el 20.75% respectivamente. El tipo de accidente, el movimiento brusco obtuvo el 48.11%. las causas de los accidentes por falta de atención se dio el 34.91% y el agente de la lesión fue reacción corporal con el 46.23%.

  12. Escorpionismo: presentación de un posible caso grave ocurrido en la Ciudad Autónoma de Buenos Aires

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    Patricia C Docampo

    2011-06-01

    Full Text Available El escorpionismo, en su aspecto clínico es un envenenamiento de causa accidental producido por la inoculación del veneno de un alacrán o escorpión, que en Argentina ocurre predominantemente en áreas urbanas, en el ámbito domiciliario o peridomiciliario. En nuestro país son tres las especies de escorpiones de interés médico-sanitario: Tityus (T. trivittatus, T. confluens y T. bahiensis. El cuadro clínico se caracteriza por presentar dolor agudo con escaso compromiso cutáneo y manifestaciones sistémicas que, sin tratamiento pueden provocar la muerte, principalmente en niños. El objetivo de esta comunicación es dar a conocer el primer caso de escorpionismo grave, ocurrido en la Ciudad Autónoma de Buenos Aires, en una niña de 4 años de edad y describir el cuadro clínico característico y la necesidad del tratamiento precoz en los casos moderados y severos.Scorpionism in its clinical aspect is an envenoming caused by accidental sting and inoculation of venom from a scorpion, which in Argentina occurs predominantly in urban areas, in the home environment or peridomiciliary. In our country there are three species of scorpions of medical-health concern: Tityus (T. trivittatus, T. confluens and T. bahiensis. The clinical picture is characterized by severe pain with limited cutaneous and systemic manifestations, that without treatment can cause death, especially in children. The aim of this communication is to present the first case of severe scorpionism occurred in the City of Buenos Aires, in a 4 years old girl, and to describe the characteristic clinical picture and the need for early treatment in moderate and severe cases of scorpionism.

  13. Accidental Bowel Leakage

    Science.gov (United States)

    ... I do to help treat accidental bowel leakage? Kegel exercises strengthen the muscles that surround the openings ... bowels that may cause cramping, diarrhea, or constipation. Kegel Exercises: Pelvic muscle exercises that assist in bladder ...

  14. Deshidratación de banano y cambio químicos ocurridos durante el proceso

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    C. Reyes de

    2009-07-01

    Full Text Available Como el banano es una fruta muy alterable, es necesario transformarlaa estados más estables para prolongar su conservación.Uno de los procesos más sencillos y fáciles de realizar es la deshidratación; en nuestro país ya se efectúa pero necesita una tecnificación y un estudio químico a fondo sobre los cambios ocurridosa los diferentes constituyentes de la pulpa de banano.En este trabajo se buscaron las condiciones óptimas en lascuales podría realizarse la deshidratación del banano, para que lapérdida de nutrientes fuera mínima, y se evaluaron los cambiosquímicos ocurridos durante dicho proceso.

  15. Radiative accidental matter

    CERN Document Server

    Sierra, D Aristizabal; Wegman, D

    2016-01-01

    Accidental matter models are scenarios where the beyond-the-standard model physics preserves all the standard model accidental and approximate symmetries up to a cutoff scale related with lepton number violation. We study such scenarios assuming that the new physics plays an active role in neutrino mass generation, and show that this unavoidably leads to radiatively induced neutrino masses. We systematically classify all possible models and determine their viability by studying electroweak precision data, big bang nucleosynthesis and electroweak perturbativity, finding that the latter places the most stringent constraints on the mass spectra. These results allow the identification of minimal radiative accidental matter models for which perturbativity is lost at high scales. We calculate radiative charged-lepton flavor violating processes in these setups, and show that $\\mu\\to e \\gamma$ has a rate well within MEG sensitivity provided the lepton-number violating scale is at or below $10^6\\,$ GeV, a value (natur...

  16. Flavour from accidental symmetries

    Energy Technology Data Exchange (ETDEWEB)

    Ferretti, Luca [SISSA/ISAS and INFN, I-34013 Trieste (Italy); King, Stephen F. [School of Physics and Astronomy, University of Southampton, Southampton, SO17 1BJ (United Kingdom); Romanino, Andrea [SISSA/ISAS and INFN, I-34013 Trieste (Italy)

    2006-11-15

    We consider a new approach to fermion masses and mixings in which no special 'horizontal' dynamics is invoked to account for the hierarchical pattern of charged fermion masses and for the peculiar features of neutrino masses. The hierarchy follows from the vertical, family-independent structure of the model, in particular from the breaking pattern of the Pati-Salam group. The lightness of the first two fermion families can be related to two family symmetries emerging in this context as accidental symmetries.

  17. Estrategia de Inversiones Basada en Accidentes Aéreos: ¿Hay Retornos Anormales?

    Directory of Open Access Journals (Sweden)

    Marcos Rosa Costa

    2013-06-01

    Full Text Available El presente trabajo buscó investigar si una estrategia de inversiones basada en accidentes aéreos generaría retornos anormales. Fue efectuado un estudio de eventos considerándose todos los accidentes aéreos ocurridos en el período de 1998 a 2009 y los datos de las compañías aéreas y de los fabricantes de las respectivas aeronaves que poseían acciones negociadas en las bolsas de valores, cuando del acontecimiento del evento. Los tests realizados se basaron en el modelo de Campbel, Lo y Mackinlay (1997, para definición de retornos anormales, por medio de una regresión lineal entre el retorno de las acciones de esas empresas y el retorno del portafolio de mercado utilizado como benchmark. Así fue posible proyectar los retornos futuros esperados para las acciones de las compañías aéreas y fabricantes y compararlos a los resultados efectivamente obtenidos en el acontecimiento del evento. El resultado obtenido sugiere que una estrategia de inversiones basada en accidentes aéreos sería viable y que retornos anormales podrían ser obtenidos en el período inmediatamente posterior a un accidente aéreo.

  18. Accidental dapsone poisoning in children.

    Science.gov (United States)

    Nair, P M; Philip, E

    1984-12-01

    Accidental poisoning in children shows a trend towards poisoning with various newer drugs and chemicals used in the household. Sixty-one cases of accidental poisoning in children were seen in Sree Avittam Thirunal Hospital, (S.A.T.H.), Trivandrum, South India during the year 1982, constituting 0.61% of the total pediatric admissions. Dapsone poisoning constituted 9.8% of the total accidental poisonings, emphasising the need for safe storage of drugs out of the reach of young children. Dapsone poisoning with resultant methaemoglobinaemia responded well to intravenous ascorbic acid and other supportive measures.

  19. Allegheny County Fatal Accidental Overdoses

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Fatal accidental overdose incidents in Allegheny County, denoting age, gender, race, drugs present, zip code of incident and zip code of residence. Zip code of...

  20. Accidental hypothermia-an update

    DEFF Research Database (Denmark)

    Paal, Peter; Gordon, Les; Strapazzon, Giacomo

    2016-01-01

    BACKGROUND: This paper provides an up-to-date review of the management and outcome of accidental hypothermia patients with and without cardiac arrest. METHODS: The authors reviewed the relevant literature in their specialist field. Summaries were merged, discussed and approved to produce this nar...

  1. Accidente de Trabajo y Recargo

    OpenAIRE

    Pérez Alonso, María Antonia

    2015-01-01

    En la actualidad existen diferentes formas de Accidente de Trabajo. En el presente trabajo se da a conocer las distintas formas y la doctrina de los tribunales. Se aborda el recargo de prestaciones de Seguridad Social y el deber del empresario en cumplir la normativa de Seguridad Social

  2. Accidental haloperidol poisoning in children

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    Mona P Gajre

    2012-01-01

    Full Text Available Haloperidol, a butyrophenone neuroleptic drug, is an antipsychotic used in the treatment of adult schizophrenia and mania. It is used in children with neurological disorders like chorea and developmental disorders such as hyperactivity. With the advent of newer selective neuroleptics use of haloperidol is now on decline. However, in adults it is still the preferred drug especially in resource challenged settings. Extrapyramidal reactions occur frequently with haloperidol predominantly as parkinsonian symptoms. There are few case reports of accidental haloperidol poisoning in children and this one of them.

  3. Recommendations guide in radiological accidents for first respondents, paramedical personnel; Guia de recomendaciones en accidentes radiologicos para primeros respondedores, personal paramedico

    Energy Technology Data Exchange (ETDEWEB)

    Astudillo, A. J.; Ambriz, J. J. [Universidad Autonoma Metropolinata, Unidad Iztapalapa, Av. San Rafael Atlixco 186, 09340 Mexico D. F. (Mexico); Paredes, L. C., E-mail: ajav_x@yahoo.com.mx [ININ, Carretera Mexico-Toluca s/n, 52750 Ocoyoacac, Estado de Mexico (Mexico)

    2011-10-15

    The lenders of medical services hope to provide the appropriate attention to the patients due to the great variety of scenarios that are presented. One of these involves the patient that has been exposed or contaminated with radioactive materials. Due to this situation the recommendations guide for the primary task forces are presented. Elements of medical response before the radiological accidents presence. The objective of these guides is to give the guidelines for the initial response to the emergency that fulfills the following criterions: a) to Apply with readiness all the reasonable measures to protect the victims and the public, in order to minimizing the radiological and not radiological effects to the health; b) to Save lives and to develop the procedures required in the medical emergency; c) to Treat the injuries caused by the radiation and the resulting injuries of the emergency; d) to Compile and to protect the information that can be useful to treat the effects to the health, of the victims and public in general, and to impede that emergencies seemed are repeat in the future; e) to Create and to maintain the public's trust in the response; f) to Establish a base for an action of lingering response and g) to Suggest evaluation criterions of the radiological emergency, the organization criterions, operation and surrounding of the emergency area. (Author)

  4. Activities of the Radiological Environmental Division related to the Fukushima accident; Actuaciones de la Division de Medio Ambiente Radiologico derivadas del accidente de Fukushima

    Energy Technology Data Exchange (ETDEWEB)

    Navarro, T.; Gasco, C.; Robles, B.; Montero, M.

    2011-07-01

    The recent Fukushima accident has shown that the scientific community and the general public is very much interested in and concerned about knowing the possible current and future consequences that an accident of this nature can have in both the local population and the rest of the world. It also reveals that society, even though it is not directly affected, feels that it is affected and demands not only fast, effective responses from national authorities, but also a greater involvement of all international bodies related to Nuclear Safety and to Radiological Protection of the public and the environment and a better coordination between them. (Author)

  5. Recommendations guide in radiological accidents for first respondents, firemen and policemen; Guia de recomendaciones en accidentes radiologicos para primeros respondedores, bomberos y policias

    Energy Technology Data Exchange (ETDEWEB)

    Astudillo, A. J.; Ambriz, J. J. [Universidad Autonoma Metropolitana, Unidad Iztapalapa, Av. San Rafael Atlixco 186, 09340 Mexico D. F. (Mexico); Paredes, L. C., E-mail: ajav_x@yahoo.com.mx [ININ, Carretera Mexico-Toluca s/n, 52750 Ocoyoacac, Estado de Mexico (Mexico)

    2011-10-15

    The action guides for the primary task forces of the Firemen Corps and the Public Security Elements, before the presence of radiological accidents are presented. The objective of these guides is to give the recommendations for the initial response to the emergency that fulfills the following criterions: to to Apply with readiness all the reasonable measures to protect the victims and the public, in order to minimizing the radiological and non radiological effects to the health; b) to Retrieve the control of the situation and to mitigate the consequences; c) to Protect the emergency personnel during the response operations; d) to Compile and to protect the information that can be useful to treat the effects to the health, of the victims and public in general, and to prevent that emergencies seemed are repeat in the future; e) to Create and to maintain the public's trust in the response; f) to Establish a base for an action of lingering response, and to Suggest evaluation criterions of the radiological emergency, the organization criterions, operation and surrounding of the emergency area. (Author)

  6. Methodology of radionuclides dis incorporation in people related to nuclear and radiological accidents; Metodologia de desincorporacion de radinuclidos en personas relacionadas con accidentes nucleares y radiologicos

    Energy Technology Data Exchange (ETDEWEB)

    Jimenez F, E. A.

    2014-07-01

    In this paper a classification of the radiological and nuclear accidents is presented, describing which the activities are, where they have occurred, their incidence and the learned lessons in these successes. The radiological accidents in which radioactive materials intervene can occur anywhere, and they are related to no controlled dangerous sources (abandoned, lost, stolen, or found sources), improper use of dangerous industrial and medical sources, exposition and contamination of people in general by an unknown origin, serious over expositions, menaces and willful misconduct, emergencies during transportation of radioactive material. A person can receive a dose of radiation from an external source, because of radioactive material placed on skin or on equipment, or because of ingestion or inhalation of radiological particles. The ingestion or the inhalation of radioactive material can cause an internal dose to the whole body or to a specific organ during a period of time. That is why a description of the processes of incorporation, the stages of incorporation and a description of the biokinetic models are also realized to understand the ingestion, transference and the excretion of the radioactive elements. In order to offer help to a victim of internal contamination, the dosimetric and medical diagnosis is very important. The most important techniques of dosimetric diagnosis are the dosimetry in vivo (cytogenetics and the counting in vivo of the whole body) and the bioassays. These techniques allow obtain data such as the radionuclide, the target organ, the absorbed dose, etc. At the same time, the doctor in charge must be attentive to the patients symptoms and their manifestation time, since they are an indicator, first, the patient suffered an irradiation, and second, of the range esteem of the received radiation dose. These are the parameters that are useful as criterion to decide if a person has to receive some treatment and select the methodologies that allow obtain a better result of the dis incorporation of the radioactive material. In this work, the attention is focused on the identification, classification and selection of the methodologies to accelerate the dis incorporation of radionuclides in people related to nuclear a radiological accidents, depending on the way of incorporation to the human body, the radionuclide, the radiotoxicity, the kind of radiation and its energy, the chemical compound, the half-life of the radioisotope, the target organ, the esteem of the absorbed dose, the characteristic of the accident, the clinical state of the patient and how long ago the accident happened. (Author)

  7. Accidental inflation in the landscape

    Energy Technology Data Exchange (ETDEWEB)

    Blanco-Pillado, Jose J.; Metallinos, Konstantinos [Institute of Cosmology, Department of Physics and Astronomy, Tufts University, Medford, MA (United States); Gomez-Reino, Marta, E-mail: jose@cosmos.phy.tufts.edu, E-mail: marta.gomez-reino.perez@cern.ch, E-mail: Konstantinos.Metallinos@tufts.edu [Department of Physics, University of Oviedo, Oviedo (Spain)

    2013-02-01

    We study some aspects of fine tuning in inflationary scenarios within string theory flux compactifications and, in particular, in models of accidental inflation. We investigate the possibility that the apparent fine-tuning of the low energy parameters of the theory needed to have inflation can be generically obtained by scanning the values of the fluxes over the landscape. Furthermore, we find that the existence of a landscape of eternal inflation in this model provides us with a natural theory of initial conditions for the inflationary period in our vacuum. We demonstrate how these two effects work in a small corner of the landscape associated with the complex structure of the Calabi-Yau manifold P{sup 4}{sub [1,1,1,6,9]} by numerically investigating the flux vacua of a reduced moduli space. This allows us to obtain the distribution of observable parameters for inflation in this mini-landscape directly from the fluxes.

  8. Accidental Inflation in the Landscape

    CERN Document Server

    Blanco-Pillado, Jose J; Metallinos, Konstantinos

    2012-01-01

    We study some aspects of fine tuning in inflationary scenarios within string theory flux compactifications and, in particular, in models of accidental inflation. We investigate the possibility that the apparent fine-tuning of the low energy parameters of the theory needed to have inflation can be generically obtained by scanning the values of the fluxes over the landscape. Furthermore, we find that the existence of a landscape of eternal inflation in this model provides us with a natural theory of initial conditions for the inflationary period in our vacuum. We demonstrate how these two effects work in a small corner of the landscape associated with the complex structure of the Calabi-Yau manifold P^4_[1,1,1,6,9] by numerically investigating the flux vacua of a reduced moduli space. This allows us to obtain the distribution of observable parameters for inflation in this mini-landscape directly from the fluxes.

  9. Accidental methanol ingestion: Case report

    Directory of Open Access Journals (Sweden)

    Bakker Jan

    2010-02-01

    Full Text Available Abstract Background The incidence of methanol (CH3OH intoxication differs enormously from country to country. Methanol intoxication is extremely rare in the Dutch population. Even a low dose can already be potentially lethal. Patients are conventionally treated with hemodialysis. Therefore we'd like to present a report of a foreign sailor in Rotterdam who accidentally caused himself severe methanol intoxication, with a maximum measured concentration of 4.4 g/L. Case presentation The patient presented with hemodynamic instability and severe metabolic acidosis with pH 6.69. The anion gap was 39 mmol/L and the osmol gap 73 mosmol/kg. Treatment with ethanol and continuous venovenous hemodiafiltration (CVVH-DF was initiated. Despite the hemodynamic instability it is was possible to achieve rapid correction of pH and methanol concentration with CVVH-DF while maintaining a stable and therapeutic ethanol serum concentration. Despite hemodynamic and acid-base improvement, our patient developed massive cerebral edema leading to brain death. Permission for organ donation was unfortunately not ascertained. Conclusions We conclude that in a hemodynamic instable situation high methanol concentrations and methanol-induced derangements of homeostasis are safely and effectively treated with CVVH-DF and that severe cerebral edema is another possible cause of death rather than the classical bleeding in the putamen area.

  10. Automatic national network of radiation environmental monitoring in Mexico; Red nacional automatica de monitoreo radiologico ambiental en Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Aguirre, Jaime; Delgado, Jose L.; Lopez, Manuel; Zertuche, Jorge V., E-mail: jaguirre@cnsns.gob.mx, E-mail: jldelgado@cnsns.gob.mx, E-mail: mlopez@cnsns.gob.mx, E-mail: jorge.zertuche@cnsns.gob.mx [Comision Nacional de Seguridad Nuclear y Salvaguardias (CNSNS), D.F. (Mexico). Direccion de Vigilancia Radiologica

    2013-07-01

    The Direccion de Vigilancia Radiologica (DVR) of the Comision Nacional de Seguridad Nuclear y Salvaguardias (CNSNS) de Mexico, performs several function for environmental radiation monitoring. One of these functions is the permanent monitoring of the environmental gamma radiation. For this, it implemented the Red Nacional Automatica de Monitoreo Radiologico Ambiental (RENAMORA) - the National Automated Network for Environmental Radiation Monitoring,which currently comprises 60 detector probes for gamma radiation which with a programmable system that includes information technologies, data transmission and software can send the information in real time to a primary center of data located in the facilities of CNSNS. - When the data are received, the system performs the verification and extraction of the information organized in Tables and charts, and generates a report of environmental gamma radiation dose rate average for each of the probes and for each period of time determined bu CNSNS. The RENAMORA covers the main cities and allows to establish the bases of almost the entire country, as well as to warn about abnormal situations caused by incidents or natural events generated by human activities inside or outside the country which involves radioactive materials; paying special attention to main radiological sites, such as the surroundings of the Laguna Verde Nuclear Power Plants, research centers and the radioactive waste disposal sites.

  11. Mortalidad intrahospitalaria por accidente cerebrovascular

    Directory of Open Access Journals (Sweden)

    Federico Rodríguez Lucci

    2013-08-01

    Full Text Available La mortalidad global por accidente cerebrovascular (ACV ha disminuido en las últimas tres décadas, probablemente debido a un mejor control de los factores de riesgo vascular. La mortalidad hospitalaria por ACV ha sido tradicionalmente estimada entre 6 y 14% en la mayoría de las series comunicadas. Sin embargo, los datos de ensayos clínicos recientes sugieren que esta cifra sería sustancialmente menor. Se revisaron datos de pacientes internados con diagnóstico de ACV del Banco de Datos de Stroke de FLENI y los registros institucionales de mortalidad entre los años 2000 y 2010. Los subtipos de ACV isquémicos se clasificaron según criterios TOAST y los ACV hemorrágicos en hematomas intrapanquimatosos, hemorragias subaracnoideas aneurismáticas, malformaciones arteriovenosas y otros hematomas intraparenquimatosos. Se analizaron 1514 pacientes, 1079 (71% con ACV isquémico (grandes vasos 39%, cardioembólicos 27%, lacunares 9%, etiología indeterminada 14%, otras etiologías 11% y 435 (29% con ACV hemorrágico (intraparenquimatosos 27%, hemorragia subaracnoidea 30%, malformaciones arteriovenosas 25% y otros hematomas espontáneos 18%. Se registraron 38 muertes intrahospitalarias (17 ACV isquémicos y 21 ACV hemorrágicos, representando una mortalidad global del 2.5% (1.7% en ACV isquémicos y 4.8% en ACV hemorrágicos. No se registraron muertes asociadas al uso de fibrinolíticos endovenosos. La mortalidad intrahospitalaria en pacientes con ACV isquémico y hemorrágico en nuestro centro fue baja. El manejo en un centro dedicado a las enfermedades neurológicas y el enfoque multidisciplinario por personal médico y no médico entrenado en el cuidado de la enfermedad cerebrovascular podrían explicar, al menos en parte, estos resultados.

  12. Acidentes de trabalho com instrumentos perfurocortantes entre os trabalhadores de enfermagem Accidentes de trabajo con instrumentos perforo cortantes entre enfermeros trabajadores Accidents with sharp instruments among nursing workers

    Directory of Open Access Journals (Sweden)

    Leila Maria Mansano Sarquis

    2002-09-01

    Full Text Available O presente estudo analisou os acidentes de trabalho ocorridos com trabalhadores de enfermagem, de um hospital público, provocados por instrumentos perfurocortantes. A instituição campo de estudo foi um hospital público do interior de São Paulo. A população foi composta por 787 trabalhadores de enfermagem. Na coleta de dados foram usados dois instrumentos: o primeiro foi o questionário que se destinou ao levantamento dos dados referentes aos acidentes de trabalho ocorridos no ano de 1996; o segundo foi a entrevista realizada com estes trabalhadores que sofreram acidentes com instrumentos perfurocortantes. Os resultados encontrados mostram a significativa freqüência desse tipo de acidente entre os auxiliares de enfermagem. A interação do trabalhadores de enfermagem com instrumentos perfurocortantes, indica a grande exposição aos riscos biológicos e às graves doenças.El presente estudio analizó los accidentes de trabajo ocurridos con enfermeros trabajadores, de un hospital público, ocasionados por instrumentos perforo cortantes. La institución campo de estudio fue un hospital público del interior de San Pablo. La población fue compuesta por 787 enfermeros trabajadores. En la coleta de datos fueran usados dos instrumentos: el primer fue un cuestionario que se destinó al examen de datos referentes a los accidentes de trabajo ocurridos en el ano de 1996; el segundo fue una cita con estos trabajadores que sufrieron accidentes con instrumentos perforo cortantes. Los resultados mostran la significativa frecuencia de ese tipo de accidente entre los auxiliares de enfermero. La interacción de los enfermeros trabajadores con instrumentos perforo cortantes indica la grande exposición a los riesgos biológicos y a las graves enfermedades.The present study analyzed the accidents happened at work with the nursing staff of a public hospital, provoked by sharp instruments. All the nursing staff composed the study population. In the

  13. Accidental fire in the West Hall

    CERN Document Server

    1977-01-01

    On January 7 an accidental fire due to the failure of standard circuit-breakers, destroyed the coils of two spectrometer magnets and severely damaged the apparatus of two experiments. See also photos 7701582X, 7701581X, 7701580X. (Annual Report 1977, pg. 127-128)

  14. 5 CFR 870.206 - Accidental death and dismemberment.

    Science.gov (United States)

    2010-01-01

    ... REGULATIONS (CONTINUED) FEDERAL EMPLOYEES' GROUP LIFE INSURANCE PROGRAM Types and Amount of Insurance § 870..., accidental death benefits are equal to the amount of Option A. (c)(1) Under Basic insurance, accidental... automatic part of Basic and Option A insurance for employees. (2) There is no accidental death...

  15. CROP - The Clinico-Radiologico-Ophthalmological Paradox in Multiple Sclerosis: Are Patterns of Retinal and MRI Changes Heterogeneous and Thus Not Predictable?

    Directory of Open Access Journals (Sweden)

    Fahmy Aboulenein-Djamshidian

    Full Text Available To date, no direct scientific evidence has been found linking tissue changes in multiple sclerosis (MS patients, such as demyelination, axonal destruction or gliosis, with either steady progression and/or stepwise accumulation of focal CNS lesions. Tissue changes such as reduction of the retinal nerve fiber layer (RNFL and the total macular volume (TMV, or brain- and spinal cord atrophy indicates an irreversible stage of tissue destruction. Whether these changes are found in all MS patients, and if there is a correlation with clinical disease state, remains controversial. The objective of our study was to determine, whether there was any correlation between the RNFL or TMV of patients with MS, and: (1 the lesion load along the visual pathways, (2 the ratios and absolute concentrations of metabolites in the normal-appearing white matter (NAWM, (3 standard brain atrophy indices, (4 disease activity or (5 disease duration.28 MS patients (RRMS, n = 23; secondary progressive MS (SPMS, n = 5 with moderately-high disease activity or long disease course were included in the study. We utilised: (1 magnetic resonance imaging (MRI and (2 -spectroscopy (MRS, both operating at 3 Tesla, and (3 high-resolution spectral domain-OCT with locked reference images and eye tracking mode to undertake the study.There was no consistency in the pattern of CNS metabolites, brain atrophy indices and the RNFL/TMV between individuals, which ranged from normal to markedly-reduced levels. Furthermore, there was no strict correlation between CNS metabolites, lesions along the visual pathways, atrophy indices, RNFL, TMV, disease duration or disability.Based on the findings of this study, we recommend that the concept of 'clinico-radiologico paradox' in multiple sclerosis be extended to CROP-'clinico-radiologico-ophthalmological paradox'. Furthermore, OCT data of MS patients should be interpreted with caution.

  16. "¡No se me había ocurrido nunca!" Una construcción admirativa de pluscuamperfecto en español ("¡No se me había ocurrido nunca!" A pluperfect mirative construction in Spanish

    Directory of Open Access Journals (Sweden)

    Guillermo Soto

    2010-12-01

    Full Text Available La admiratividad ("mirativity", en inglés se define ampliamente como la marcación gramatical de un enunciado con respecto a una información inesperada para el hablante. Más específicamente, corresponde al correlato lingüístico de la sorpresa frente a una información inesperada. La admiratividad puede manifestarse como una categoría gramatical encubierta o abierta, y como una categoría opcional u obligatoria, según la gramática de cada lengua. Si bien el español no ha morfologizado la admiratividad, el presente estudio propone, a partir del análisis de casos de un corpus de foros de Internet en español de Chile, la existencia de una construcción admirativa que responde al modelo "¡No se me había ocurrido nunca!". Dicha construcción presenta restricciones específicas que afectan, fundamentalmente, al tipo de predicado, el marco de predicación, la estructura informativa y la fuerza ilocutiva. (Mirativity refers to the grammatical marking of unexpected information. More precisely, it is the linguistic expression of the surprise which unexpected information provokes in the speaker. Mirativity can be codified as an overt or a covert grammatical category, and as an optional or an obligatory category, depending on the grammar of the language. There are no mirative morphemes in Spanish language; nevertheless, a corpus study of Internet message boards written in Chilean Spanish shows that clauses such as "¡No se me había ocurrido nunca!" can be described as a mirative construction. This construction presents specific constraints on type of predicate, predication frame, information structure and illocutionary force.

  17. Accidental ingestion of Ecstasy in a toddler.

    Science.gov (United States)

    Chang, Yi-Jung; Lai, Ming-Wei; Kong, Man-Shan; Chao, Hsun-Chin

    2005-12-01

    Toddlers who ingest the drug of abuse 3,4-methylenedioxymethamphetamine (MDMA; 'Ecstasy') are at particularly high risk of serious neurological and cardiovascular side effects. We report of a 20-month-old male toddler who accidentally ingested Ecstasy. He presented with fever and seizures, tachycardia, hypertension, and hyperthermia. Urine amphetamine level was 2111 ng/mL. Treatment included rapid cooling, hydration, and support measures. Vital signs were regularly monitored. His condition became stable on day 2 and urine amphetamine level returned to normal on day 3 of hospitalization. His behavior, activity, and appetite had returned to their usual levels upon follow-up at our outpatient clinic. The incidence of drug abuse with MDMA has increased dramatically over the last decade in developed countries. It can be expected that accidental Ecstasy poisoning in children will increase as well. This case illustrates the need to consider the possibility of accidental Ecstasy ingestion in the differential diagnosis of a child suffering from convulsions with fever.

  18. Accidental K\\"ahler Moduli Inflation

    CERN Document Server

    Maharana, Anshuman; Sumitomo, Yoske

    2015-01-01

    We study a model of accidental inflation in type IIB string theory where inflation occurs near the inflection point of a small K\\"ahler modulus. A racetrack structure helps to alleviate the known concern that string-loop corrections may spoil K\\"ahler Moduli Inflation unless having a significant suppression via the string coupling or a special brane setup. Also, the hierarchy of gauge group ranks required for the separation between moduli stabilization and inflationary dynamics is relaxed. The relaxation becomes more significant when we use the recently proposed D-term generated racetrack model.

  19. Accidental Kähler moduli inflation

    Energy Technology Data Exchange (ETDEWEB)

    Maharana, Anshuman [Harish Chandra Research Institute,Chhatnag Road, Jhunsi, Allahabad, UP 211019 (India); Rummel, Markus [Rudolph Peierls Centre for Theoretical Physics, University of Oxford,1 Keble Road, Oxford, OX1 3NP (United Kingdom); Sumitomo, Yoske [High Energy Accelerator Research Organization, KEK,1-1 Oho, Tsukuba, Ibaraki 305-0801 (Japan)

    2015-09-14

    We study a model of accidental inflation in type IIB string theory where inflation occurs near the inflection point of a small Kähler modulus. A racetrack structure helps to alleviate the known concern that string-loop corrections may spoil Kähler Moduli Inflation unless having a significant suppression via the string coupling or a special brane setup. Also, the hierarchy of gauge group ranks required for the separation between moduli stabilization and inflationary dynamics is relaxed. The relaxation becomes more significant when we use the recently proposed D-term generated racetrack model.

  20. Anaphylaxis after accidental ingestion of kiwi fruit.

    Science.gov (United States)

    Gawrońska-Ukleja, Ewa; Różalska, Anna; Ukleja-Sokołowska, Natalia; Zbikowska-Gotz, Magdalena; Bartuzi, Zbigniew

    2013-06-01

    Numerous cases of anaphylaxis after ingestion of kiwi fruit, after the skin tests and during oral immunotherapy were described. The article describes the case of severe anaphylactic reaction that occurred in a 55-year-old patient after accidental ingestion of kiwi. Allergy to kiwi fruit was confirmed by a native test with fresh kiwi fruit. After the test, the patient experienced generalized organ response in the form of headache, general weakness and rashes on the neck and breast, and dyspnea. The patient had significantly elevated levels of total IgE and IgE specific to kiwi fruit.

  1. Tratamiento del virus de hepatitis B en el accidente laboral

    Directory of Open Access Journals (Sweden)

    Henry Zamora-Barquero

    2008-11-01

    Full Text Available La exposición accidental al virus B entraña alto riesgo de contagio de la enfermedad. Su manejo incluye: medidas preventivas en el manejo de los pacientes, vacunar y confirmar inmunidad de los trabajadores, uso de inmunoglobulinas y vacunación posterior al accidente y disponer de protocolos de reporte precoz y clínicas en el manejo de los accidentes.

  2. Outcome of accidental hypothermia with or without circulatory arrest

    DEFF Research Database (Denmark)

    Wanscher, Michael; Agersnap, Lisbeth; Ravn, Jesper;

    2012-01-01

    Resuscitation guidelines for the treatment of accidental hypothermia are based primarily on isolated cases. Mortality rates are high despite aggressive treatment aimed at restoring spontaneous circulation and normothermia....

  3. El accidente de trabajo "in itinere": concepto legal y jurisprudencial

    OpenAIRE

    López Mejías, Ana

    2016-01-01

    El trabajo que voy a llevar a cabo trata sobre el accidente de trabajo, más en concreto el accidente de trabajo "in itinere", ya que es un hecho protegido que la ley general de la seguridad social le da una gran importancia. Trataré los requisitos necesarios para que se dé un accidente de trabajo "in itinere", basándome siempre en sentencias ya que es un trabajo básicamente jurisprudencial. En el trabajo también trato el accidente de trabajo in mision. A modo de conclusión expresaré mi opinió...

  4. Accidentes de tránsito terrestre

    Directory of Open Access Journals (Sweden)

    José Enrique Ramírez Muñoz

    2013-09-01

    Full Text Available Los accidentes de tránsito terrestres en Costa Rica se han convertido en un serio problema de salud pública, que derivan ya sea en lesiones graves o bien en muertes de personas de todas las edades. Estos eventos incluyen el atropellamiento, las colisiones y choques, y producen cuadros lesionológicos muy diversos de acuerdo a la participación de las personas, el tipo de vehículo y la forma en la que se produce el traumatismo. Así mismo, se debe tener en cuenta la participación de factores coadyuvantes como el uso del casco y el cinturón de seguridad, o bien el consumo de alcohol y el uso del teléfono móvil. La valoración médico legal de las víctimas, vivas o muertas de accidentes de tránsito, está a cargo del Departamento de Medicina Legal del Organismo de Investigación Judicial, y se hace por solicitud de una Autoridad Judicial competente.

  5. 21 CFR 1002.20 - Reporting of accidental radiation occurrences.

    Science.gov (United States)

    2010-04-01

    ... Occurrences § 1002.20 Reporting of accidental radiation occurrences. (a) Manufacturers of electronic products... the Director, Center for Devices and Radiological Health, all accidental radiation occurrences... radiation occurrence occurred; (3) The manufacturer, type, and model number of the electronic product...

  6. Course Management Systems for Learning: Beyond Accidental Pedagogy

    Science.gov (United States)

    McGee, Patricia; Carmean, Colleen; Jafari, Ali

    2005-01-01

    "Course Management Systems for Learning: Beyond Accidental Pedagogy" is a comprehensive overview of standards, practices and possibilities of course management systems in higher education. "Course Management Systems for Learning: Beyond Accidental Pedagogy" focuses on what the current knowledge is (in best practices, research, standards and…

  7. Tension pneumothorax following an accidental kerosene poisoning: A case report

    Directory of Open Access Journals (Sweden)

    G M Ashir

    2009-01-01

    Full Text Available Tension pneumothorax is a rare complication following an accidental kerosene poisoning. In such situation, a bed-side needle thoracocentesis is performed because of its potential of becoming fatal; hence its clinical importance. A case of 15 month old boy with tension pneumothorax following accidental kerosene poisioning that responded to needle thoracocentesis is presented.

  8. Tension pneumothorax following an accidental kerosene poisoning: A case report

    OpenAIRE

    2009-01-01

    Tension pneumothorax is a rare complication following an accidental kerosene poisoning. In such situation, a bed-side needle thoracocentesis is performed because of its potential of becoming fatal; hence its clinical importance. A case of 15 month old boy with tension pneumothorax following accidental kerosene poisioning that responded to needle thoracocentesis is presented.

  9. Preventing and controlling accidental gas releases

    Science.gov (United States)

    Moskowitz, P. D.; Fthenakis, V. M.; Kalb, P. D.

    1988-07-01

    Toxic, flammable, and explosive gases may be used in photovoltaic cell research laboratories and in commercial manufacturing facilities. Accidental release of these materials can present hazards to life and property. Accidents can arise from a variety of mechanical and human related failures. These can occur from the time materials are received at the loading dock of the facility to the time treated gases are discharged to the atmosphere through a stack. Each type of initiating event may require a different control approach. These may range from the training and certification of plant workers charged with the handling of gas cylinder hookups to installation of emergency pollution control systems. Since engineering options for controlling released materials are limited, emphasis should be placed on administrative and engineering approaches for preventing such accidents. These are likely to be the most effective approaches for protecting life and property.

  10. Research progress in study of accidental hypothermia

    Directory of Open Access Journals (Sweden)

    Rui YUAN

    2016-04-01

    Full Text Available Accidental hypothermia refers to a state of lowering of core body temperature down to 35 ℃induced by drowning, burial in snow and prolonged exposure to cold environment, etc. Hypothermia may affect the cardiovascular system, respiratory system, digestive system, etc. The triad consisting "hypothermia, acidosis and coagulopathy" is an important factor accelerating the death of patients. Early, timely application of rewarming measures is regarded as the basic principle in treatment of hypothermia. A series of rewarming measures, such as infusion of warm fluids, inspiration of warm air, abdominal infusion of warm fluid, instruction of warm fluid into pleural cavity, intravenous infusion of warm fluid, rewarming through ECMO, etc. have been used recently. Advance in research on the classification of hypothermia, its impact to the body and the treatment methods are reviewed in present paper. DOI: 10.11855/j.issn.0577-7402.2016.04.15

  11. Accidental Contamination with Oil during Endodontic Surgery

    Science.gov (United States)

    Plascencia, Hugo; Díaz, Mariana; Cholico, Patricia; del Real, Monserrat; Márquez-de Alba, Salvador

    2016-01-01

    The modern surgical endodontic treatment is a safe and predictable procedure with high success rate. However, several factors can retard or impede the proper healing process. Use of a high speed handpiece during hard tissues management (osteotomy and apical resection) can potentially be one of these factors. Formation of metallic debris from the surgical diamond burs, production of necrotic local tissue due to overheating and the direct liberation of air from conventional handpiece into the working area are potential irritants able to delay the tissue healing. The aim of the present article is to report the histopathological findings of the trans-operational accidental contamination with oil in the surgical area during an endodontic surgery. PMID:27790269

  12. Accidental injuries in agriculture in the UK.

    Science.gov (United States)

    Solomon, C

    2002-12-01

    The rate of occupational accidents in British agriculture is higher than in most other industries. The most common fatal accidents are those involving vehicles and machinery, falls from a height and electrocution. A substantial proportion of reported non-fatal injuries in agricultural employees is attributable to manual handling, but among self-employed farmers the contribution is much smaller. Few data are available on longer-term determinants of risk, but accidental deaths are most frequent in July, August and September. The main approaches to preventing agricultural accidents are through engineering improvements, and education and training of the workforce. The introduction of roll-over protection structures for tractors has been an important development in recent decades. Other engineering controls include guards for power take off shafts, guard rails to prevent falls, better handling facilities for animals and closed transfer systems for pesticides. Training on safety is available from several sources, but its effectiveness in reducing accidents is uncertain.

  13. Rickettsial infection caused by accidental conjunctival inoculation

    Science.gov (United States)

    Brissos, Joao; de Sousa, Rita; Santos, Ana Sofia; Gouveia, Catarina

    2015-01-01

    The most common transmission route of tick-borne Rickettsia is through tick bite; nevertheless, other transmission routes should also be considered. We report a case of rickettsial infection in a 15-year-old boy caused by accidental contamination of the conjunctiva through the infected fluid of a crushed engorged tick removed from a dog. Right eye pain, conjunctival hyperaemia with mucopurulent exudate, chemosis and eyelid oedema were the first signs and symptoms. Two days later, the boy developed fever, myalgia, headache, abdominal pain and was vomiting; physical examination showed multiple cervical adenopathies but no rash. He was treated with doxycycline (200 mg/day) for 7 days with progressive resolution of clinical signs. Rickettsial infection was confirmed by immunofluorescence assay with serological seroconversion in two consecutive samples. Rickettsia conorii or Rickettsia massiliae were the possible causal agents since they are the Rickettsia spp found in the Rhipicephalus sanguineus dog tick in Portugal. PMID:25568272

  14. Causes of accidental childhood deaths in China in 2010

    DEFF Research Database (Denmark)

    Chan, Kit Yee; Yu, Xin-Wei; Lu, Jia-Peng

    2015-01-01

    BACKGROUND: Infectious causes of childhood deaths in the world have decreased substantially in the 21st century. This trend has exposed accidental deaths as an increasingly important future challenge. Presently, little is known about the cause structure of accidental childhood deaths in low......- and middle-income country (LMIC) settings. In this paper, we aim to establish cause structure for accidental deaths in children aged 0-4 years in China in the year 2010. METHODS: In this paper, we explored the database of 208 multi-cause child mortality studies in Chinese that formed a basis for the first...... published estimate of the causes of child deaths in China (for the year 2008). Only five of those studies identified specific causes of accidental deaths. Because of this, we searched the Chinese medical literature databases CNKI and WanFang for single-cause mortality studies that were focused on accidental...

  15. Hipotermia accidental secundaria a brote de psoriasis generalizada Accidental hypothermia due to generalized psoriasis

    Directory of Open Access Journals (Sweden)

    O. Agudo

    2004-04-01

    Full Text Available La hipotermia accidental es una alteración de la termorregulación corporal, definida como una temperatura central igual o inferior a 35ºC. Según la intensidad se puede clasificar en ligera (35-32,2ºC, moderada (32,2-28ºC y grave (The accidental hypothermia is a disorder of corporal termoregulation, defined as a central temperature below 35ºC. According to the intensity may be classified in mild (35-32.2 ºC, moderate (32.2-28ºC and severe (below 28ºC. The most frequent causes are the exposure to cold, use of depressant drugs of central nervous system and hypoglycemia, although there are other less frequent. We present a case of moderate hypothermia due to generalized psoriasis which required admission in the Intensive Care Unit of Hospital García Orcoyen. The termoregulation, pathogenesis, pathophysiology, diagnosis and management of accidental hypothermia are reviewed.

  16. El accidente de trabajo. Concepto legal y jurisprudencia

    OpenAIRE

    García Romero, José Daniel

    2015-01-01

    El trabajo final de grado versa sobre el concepto de accidente de trabajo que da la jurisprudencia a través de las diferentes sentencias del Tribunal Supremo en la Sala de lo Social, y de los diferentes Tribunales Superiores de Justicia. Analizaremos en profundidad que características tienen que concurrir para que sea considerado como tal, analizando los diferentes supuestos de accidente de trabajo como el accidente in itinere, en misión, etc. También hemos tratado las diferentes contingencia...

  17. The Artificial, the Accidental, the Aesthetic…

    Directory of Open Access Journals (Sweden)

    Nicole Koltick

    2015-11-01

    Full Text Available How do we define, discuss or assess aesthetics within a contemporary philosophical framework? The indefiniteness that accompanies attempts to formalize a definition of the aesthetic is a primary focus of this paper. This lack of a definition has occupied philosophers for hundreds of years in attempts to delineate the boundaries of an elusively formless concept. This formlessness speaks to the incredibly evasive character of such a pervasive feature recognized in both natural and artificial systems, agents and artefacts. With the rapid growth of artificially intelligent systems and an astounding diversity in computational creativity, in what ways may we approach aesthetics? How is the aesthetic recognized, determined and produced? This paper seeks to critically engage issues of non-human agency, inter-object relations, and aesthetic theory in relation to computational entities and autonomous systems. The ability of these systems to operate outside of human cognitive limitations including thought patterns and constructions which may preclude alternative aesthetic outcomes, afford them in some ways limitless potential in relation to aesthetics. The designation of the accidental or provisional is utilized as an alternative approach to the production and assessment of aesthetic occurrences of the non-human.

  18. Presentismo: potencialidad en accidentes de salud

    Directory of Open Access Journals (Sweden)

    Grettchen Flores-Sandí

    2006-03-01

    Full Text Available El concepto de salud ha sobrepasado el entorno propiamente sanitario y cada vez más, tiene otras implicaciones sociales, la institución de salud es hoy en día una actividad compleja donde no solamente se gestiona la prevención y tratamiento de las enfermedades de los usuarios sino al recurso humano encargado de su atención. Asimismo en la actualidad se reconoce la importancia del recurso humano para la organización y surge el concepto de "presentismo", referido a aquellos trabajadores que sufren enfermedades que los obligarían a ausentarse del trabajo pero que se presentan a trabajar sin cumplir eficazmente sus funciones. Al respecto y en relación con el presentismo, se debe tomar en cuenta que los efectos adversos o accidentes durante la atención de servicios de salud se encuentran asociados a factores fisiológicos, psicológicos y ambientales e implican desde el punto de vista administrativo, una falla en la productividad, que afecta tanto al usuario del servicio como al trabajador. Se debe considerar que este grupo profesional se ubica entre los grupos de riesgo del presentismo y que con el fin de administrar y reducir el presentismo se requieren estrategias preventivas por parte de la gerencia de salud.

  19. Quick management of accidental tritium exposure cases.

    Science.gov (United States)

    Singh, Vishwanath P; Badiger, N M; Managanvi, S S; Bhat, H R

    2012-07-01

    Removal half-life (RHL) of tritium is one of the best means for optimising medical treatment, reduction of committed effective dose (CED) and quick/easy handling of a large group of workers for medical treatment reference. The removal of tritium from the body depends on age, temperature, relative humidity and daily rainfall; so tritium removal rate, its follow-up and proper data analysis and recording are the best techniques for management of accidental acute tritium exposed cases. The decision of referring for medical treatment or medical intervention (MI) would be based on workers' tritium RHL history taken from their bodies at the facilities. The workers with tritium intake up to 1 ALI shall not be considered for medical treatment as it is a derived limit of annual total effective dose. The short-term MI may be considered for tritium intake of 1-10 ALI; however, if the results show intake ≥100 ALI, extended strong medical/therapeutic intervention may be recommended based on the severity of exposure for maximum CED reduction requirements and annual total effective dose limit. The methodology is very useful for pressurized heavy water reactors (PHWRs) which are mainly operated by Canada and India and future fusion reactor technologies. Proper management will optimise the cases for medical treatment and enhance public acceptance of nuclear fission and fusion reactor technologies.

  20. Tuberculosis cutánea por inoculación accidental Cutaneous tuberculosis accidental inoculation

    Directory of Open Access Journals (Sweden)

    María Ascensión Maestre Naranjo

    2009-09-01

    Full Text Available Caso clínico de una microbióloga con amplia experiencia, que sufre una inoculación accidental al manipular una cepa pura de Mycobacterium tuberculosis. Se pincha en la cara lateral externa de la falange distal del dedo índice, atravesando el guante con la aguja contaminada. (Imagen 1. La trabajadora procede de forma inmediata a la limpieza de la herida. El Servicio de Prevención, registra la inoculación como accidente de trabajo. A las tres semanas del accidente, aparece en el lugar de la inoculación una pápula eritematosa levemente dolorosa a la presión que va creciendo hasta alcanzar un tamaño de 1,5-2 cm., sin adenopatías axilares, ni clínica general. (Imagen 2 Se procede a la exéresis y biopsia de la lesión. Informe anatomopatológico: Inflamación crónica granulomatosa tuberculoide muy sugestiva de tuberculosis cutánea. Microbiología: dudosos bacilos ácido alcohol resistentes (BAAR Cultivo: positivo a Mycobacterium tuberculosis. Ambas cepas presentan la misma identidad. Diagnóstico: tuberculosis cutánea. El SPRL realiza la comunicación de Enfermedad Profesional según el RD 1299/2006, de 10 de diciembre. Se realiza valoración y seguimiento en el Servicio de Medicina Interna, iniciando tratamiento de tuberculosis.Clinical case of a microbiologist with wide experience, which is inoculated accidental when Mycobacterium's pure strain manipulates tuberculosis; it (she pricks itself in the lateral external face of the phalanx distal of the forefinger, crossing the glove with the contaminated needle. Immediate treatment of the wound. The Service of Prevention, he registers the inoculation as accident of work. To three weeks a slightly painful pápula eritematosa appears in the place of the inoculation to the pressure that is growing until a size reaches 1,5-2 cm., without adenopatías axyllaris, not general clinic. Exéresis and biopsy of the same one, pathological anatomy: chronic inflammation very suggestive granulomatosa

  1. Epidemiology of Munchausen syndrome by proxy, non-accidental poisoning, and non-accidental suffocation.

    Science.gov (United States)

    McClure, R J; Davis, P M; Meadow, S R; Sibert, J R

    1996-07-01

    A two year prospective study was performed to determine the epidemiology of Munchausen syndrome by proxy, non-accidental poisoning, and non-accidental suffocation in the UK and the Republic of Ireland. Cases were notified to the British Paediatric Association Surveillance Unit from September 1992 to August 1994 if a formal case conference had been held for the first time during that period to discuss any of the above conditions. A total of 128 cases were identified: 55 suffered Munchausen syndrome by proxy alone, 15 poisoning, and 15 suffocation; 43 suffered more than one type of abuse. The majority of children were aged under 5 years, the median age being 20 months. On 85% of occasions the perpetrator was the child's mother. In 42% of families with more than one child, a sibling had previously suffered some form of abuse. Eighty five per cent of notifying paediatricians considered the probability of their diagnosis as virtually certain before a case conference was convened. The commonest drugs used to poison were anticonvulsants; opiates were the second commonest. Sixty eight children suffered severe illness of whom eight died. The combined annual incidence of these conditions in children aged under 16 years is at least 0.5/100,000, and for children aged under 1, at least 2.8/100,000.

  2. Analysis of radiological accident emissions of a lead-cooled experimental reactor. LEADER Project; Analisis radiologico de las emisiones en caso de accidente de un reactor experimental refrigerado por plomo. Proyecto LEADER

    Energy Technology Data Exchange (ETDEWEB)

    Gomez Salcedo, F.; Cortes Martin, A.

    2013-07-01

    The LEADER project develops a conceptual level industrial size reactor cooled lead and a demonstration plant of this technology. The project objectives are to define the characteristics and design to installation scale reactor using available technologies and short-term components and assess safety aspects conducting a preliminary analysis of the impact of the facility.

  3. Non-accidental collision followed by dental trauma: associated factors.

    Science.gov (United States)

    Ramos-Jorge, Maria Letícia; Tataounoff, Juliana; Corrêa-Faria, Patrícia; Alcântara, Carlos Eduardo Pinto; Ramos-Jorge, Joana; Marques, Leandro Silva

    2011-12-01

    The aim of the present cross-sectional survey was to assess factors associated with non-accidental collision followed by dental trauma among adolescents in the city of Diamantina, Brazil. A total of 387 students from 12 to 15 years of age (mean = 14 SD = 0.9) were randomly selected. The study was carried out in two stages. Firstly, data were collected through dental examinations of permanent incisors. Secondly, a thorough interview was held with 85 adolescents who exhibited dental trauma in the dental examinations. The interview consisted of a detailed description of the incident and physical environment in which it occurred. Descriptive analysis and the chi-square test (P 3 mm (P = 0.007) and inadequate lip coverage (P = 0.013). Analysis of the event revealed that 22.3% of the cases of dental trauma occurred because of non-accidental collision. Non-accidental collision followed by injury occurred mainly at school (P concrete, tiled or ceramic floor (P = 0.001). No statistically significant associations were found between non-accidental collision and gender, age or mother's schooling. It was concluded that the non-accidental collisions happened especially at school and in indoor environments with a concrete, tiled or ceramic floor.

  4. Correcting for accidental correlations in saturated avalanche photodiodes

    CERN Document Server

    Grieve, James A; Tang, Zhongkan; Ling, Alexander

    2015-01-01

    In this paper we present a high-level numerical model for estimating rates of accidental correlations between a pair of passively quenched Geiger mode avalanche photodiodes operating in the saturated regime. By considering the recovery time of both the diodes and the detection circuit we introduce the concept of an "effective duty cycle" and show that it may be estimated by numeric simulation. The impact of effective duty cycle on the observed accidental rate is examined and we demonstrate that the updated model leads to an improved correction factor in actual experiments. This will improve the signal-to-noise ratio in applications depending on correlation measurements.

  5. Perfil del trauma maxilofacial en accidentes de bicicleta

    OpenAIRE

    Guadalupe Asunción Ramírez Roa; María Guadalupe Suárez-Moreno; Florentino Puerto-Álvarez; Heber Félix Quiroga-Vía; Jesús Arenas-Osuna; Bertha Vivanco-Cedeño

    2005-01-01

    Objetivo: conocer el perfil traumatológico maxilofacial, concomitante y manejo, de las personas que sufrieron accidentes de bicicleta. Se identificaron variables como edad, sexo, mecanismo, lugar, mes, patrones de lesiones, sintomatología, lapso de atención, turno, especialidad y tratamientos. Diseño: exploratorio, descriptivo, analítico, retrospectivo. Material y métodos: se censaron todos los pacientes con lesiones maxilofaciales por accidentes de bicicleta, de las notas médicas del Servici...

  6. ACCIDENTAL DEATHS DUE TO ELECTROCUTION DURING AMATEUR ELECTRO - FISHING

    Directory of Open Access Journals (Sweden)

    Ajay

    2013-11-01

    Full Text Available ABSTRACT: Electro - fishing (passing electricity through water to catch fish requires sophisticated equipment. While this method is commonly employed b y scientists for survey and fisheries management, a crude and illegal form electro - fishing is employed in Kerala for catching fish from water bodies. This can result in accidental electrocution and even fatalities. Even though they are rare, forensic patho logists in Kerala do come across such deaths from time to time. 8 cases of accidental death which occurred during electro - fishing are discussed here.

  7. Accidentes laborales, medicamentos y hábitos de salud

    OpenAIRE

    Esteban Martín, María Ángeles

    2015-01-01

    El presente estudio está dirigido a analizar la posible asociación con el accidente de trabajo del tipo y cantidad de medicamentos que consumen los trabajadores de forma crónica y/o aguda antes de acudir a nuestra consulta, de las enfermedades crónicas y/o agudas que padecen y de otros hábitos de consumo (alcohol y drogas). La salud laboral es un problema prioritario. El objetivo será promover la salud de los trabajadores y tratar de disminuir la incidencia de accidentes laborales. E...

  8. The Accidental Transgressor: Morally-Relevant Theory of Mind

    Science.gov (United States)

    Killen, Melanie; Mulvey, Kelly Lynn; Richardson, Cameron; Jampol, Noah; Woodward, Amanda

    2011-01-01

    To test young children's false belief theory of mind in a morally relevant context, two experiments were conducted. In Experiment 1, children (N=162) at 3.5, 5.5, and 7.5 years of age were administered three tasks: prototypic moral transgression task, false belief theory of mind task (ToM), and an "accidental transgressor" task, which measured a…

  9. 49 CFR 192.751 - Prevention of accidental ignition.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 3 2010-10-01 2010-10-01 false Prevention of accidental ignition. 192.751 Section 192.751 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS... NATURAL AND OTHER GAS BY PIPELINE: MINIMUM FEDERAL SAFETY STANDARDS Maintenance § 192.751 Prevention...

  10. An accidental sect: how war made belief in Sierra Leone

    NARCIS (Netherlands)

    Richards, P.

    2006-01-01

    Idealists consider beliefs cause wars. Realists consider wars cause beliefs. The war in Sierra Leone offers some scope to test between these two views. The main rebel faction, the Revolutionary United Front (RUF) was, sociologically speaking, an accidental sect. It lost its original ideologues at an

  11. Quality control for handling of accidental blood exposures.

    NARCIS (Netherlands)

    Wijk, P.T. van; Pelk-Jongen, M.; Wijkmans, C.; Voss, A.; Schneeberger, P.M.

    2006-01-01

    A regional counselling service was established to handle all accidental blood exposures using a standardized protocol. Levels of risk were assessed using an algorithm. Accidents that posed a risk for the transmission of hepatitis B (HBV), hepatitis C (HCV) and human immunodeficiency virus (HIV) were

  12. Responsabilidad del empleador por accidentes de trabajo y enfermedades profesionales

    Directory of Open Access Journals (Sweden)

    Cristina Mangarelli

    2014-01-01

    Full Text Available Introducción. 1. Responsabilidad del “empleador” por accidentes de trabajo y enfermedades profesionales. Noción. 2. La indemnización “tarifada”. Fundamento de su procedencia 3. Responsabilidad del empleador por accidentes de trabajo o enfermedades profesionales en la ley uruguaya (ley Nº 16.074. 4. La “ampliación” de la responsabilidad del empleador por el derecho común en el derecho uruguayo (artículo 7 ley Nº 16.074. 5. Requisitos para la ampliación de la responsabilidad patronal: culpa grave en el incumplimientode normas de seguridad y prevención. 6. La culpa grave. Concepto. 7. El modelo del hombre a tener en cuenta en la “culpa grave” no es el del buen padre de familia. 8. El grado de la culpa no puede ser medido por el resultado del accidente. 9. Se aplican las eximentes de la responsabilidad civil. 10. Distintos ámbitos de la responsabilidad patronal por accidentes de trabajo o enfermedades profesionales: A ante la víctima o los derecho-habientes; B ante el Banco de Seguros del Estado; C ante el Ministerio de Trabajo ySeguridad Social. 11. Recupero del BSE en caso de culpa grave en el incumplimiento de normas de seguridad y prevención. Requisitos 12. Responsabilidad del empleador en caso de accidente de trabajo o enfermedad profesional sufrido por un adolescente. Conclusiones.

  13. El accidente de trabajo "in itinere" = Working in the accident "itinere"

    OpenAIRE

    Pinillas Carro, Pedro

    2015-01-01

    El trabajo aqu?? presentado aborda el estudio de los accidentes de trabajo, regulado al art??culo 115 Ley General de Seguridad Social, y m??s concretamente el accidente in itinere, claro est??, sin olvidar tampoco el accidente en misi??n. En la primera parte del trabajo, y una vez desarrollado el concepto de accidente de trabajo, el presente trabajo se centra en el estudio pormenorizado del accidente in itinere y sus requisitos (teleol??gico, topogr??fico, cronol??gico y mec??nico). Por otro ...

  14. Accidental Electric Shock during Pregnancy: Reflection on a Case

    Directory of Open Access Journals (Sweden)

    Johnny Awwad

    2013-10-01

    Full Text Available Objectives - Data on fetal effects following accidental electric shock during pregnancy are scarce. We report on a case of accidental maternal electric shock associated with benign fetal arrhythmia in a woman at 28 weeks' gestation. Study Design - Case report. Results - Although electrocution involving low-voltage, low-frequency current has been associated with fatal cardiac arrhythmias and conduction abnormalities, two protective parameters in the present case likely reduced the fetal injury: the dry skin at the site of current entry and the hand-to-hand pathway of current flow. Conclusion - Because the pathophysiology of electric injury is altered during pregnancy, assessment of fetal well-being should be prompted no matter how trivial an incident may appear.

  15. Accidental Electric Shock during Pregnancy: Reflection on a Case.

    Science.gov (United States)

    Awwad, Johnny; Hannoun, Antoine; Fares, Farah; Ghazeeri, Ghina

    2013-10-01

    Objectives Data on fetal effects following accidental electric shock during pregnancy are scarce. We report on a case of accidental maternal electric shock associated with benign fetal arrhythmia in a woman at 28 weeks' gestation. Study Design Case report. Results Although electrocution involving low-voltage, low-frequency current has been associated with fatal cardiac arrhythmias and conduction abnormalities, two protective parameters in the present case likely reduced the fetal injury: the dry skin at the site of current entry and the hand-to-hand pathway of current flow. Conclusion Because the pathophysiology of electric injury is altered during pregnancy, assessment of fetal well-being should be prompted no matter how trivial an incident may appear.

  16. Accidental degeneracy of double Dirac cones in a phononic crystal

    KAUST Repository

    Chen, Ze-Guo

    2014-04-09

    Artificial honeycomb lattices with Dirac cone dispersion provide a macroscopic platform to study the massless Dirac quasiparticles and their novel geometric phases. In this paper, a quadruple-degenerate state is achieved at the center of the Brillouin zone in a two-dimensional honeycomb lattice phononic crystal, which is a result of accidental degeneracy of two double-degenerate states. In the vicinity of the quadruple-degenerate state, the dispersion relation is linear. Such quadruple degeneracy is analyzed by rigorous representation theory of groups. Using method, a reduced Hamiltonian is obtained to describe the linear Dirac dispersion relations of this quadruple-degenerate state, which is well consistent with the simulation results. Near such accidental degeneracy, we observe some unique properties in wave propagating, such as defect-insensitive propagating character and the Talbot effect.

  17. Leading global projects for professional and accidental project leaders

    CERN Document Server

    Moran, Robert T

    2008-01-01

    This book is a must-read for anyone responsible for projects and initiatives that span functional and geographical divides. Authors Moran and Youngdahl bring extensive experience and learning from industry practice to present a clear and straightforward treatment of the leadership skills and knowledge required to lead projects that are global in nature. They have written the first book of its kind to address the three essential skills of global project leaders - strategic project management, project leadership, and cross-cultural leadership. The authors argue that global project leadership is an essential skill in our project-based world and that we are all either intentional or accidental project leaders. Intentional project leaders pursue formal project management education and even certification whereas accidental project leaders find themselves leading global projects and initiatives as a result of a special assignment or promotion. Moran and Youndahl have found that the vast majority of global projects ...

  18. D-transallethrin: An unusual agent for accidental poisoning

    OpenAIRE

    Vinod Kedari; Rajesh Kulkarni; Chhaya Valvi; Aarti Kinikar; Sandhya Khadse

    2016-01-01

    D-trans allethrin, a pyrethroid, is commonly used as a coil mosquito repellant. There are very few reports of human toxicity due to D-trans allethrin. We present the case of an 11-month-old boy who presented to us with excessive salivation, altered sensorium and convulsions following alleged accidental ingestion of a coil containing D-transallethrin. He required mechanical ventilation for a brief period and made a full recovery. Although rare, the possibility of pyrethroid poisoning should be...

  19. Accidental surface contamination - The effect on trace element analysis

    Energy Technology Data Exchange (ETDEWEB)

    Franklyn, C.B. E-mail: franklyn@aec.co.za; Ueckermann, H.; Merkle, R.K.W

    2001-07-01

    We discuss the accidental contamination of samples during a micro-PIXE study of Rh, Pd and Pt partition coefficients in the Fe-S and Ni-S systems. Trace amounts of Ni and Cu, mounted separately in epoxy as markers, were found to be present in various phases in the sections, sometimes selectively in specific mineral phases. This contamination is believed to result from polishing during preparation. Further surface contamination from conductive Ag paste was also observed.

  20. Accidental IV administration of epinephrine instead of midazolam at colonoscopy

    Directory of Open Access Journals (Sweden)

    Ahmed Gado

    2016-03-01

    Full Text Available Drug administration errors appear to be a major source of iatrogenic harm to hospitalized patients. They often, particularly in the case of epinephrine, have catastrophic consequences both for the patient and the well-meaning provider. The following incident is a medication error case report which illustrates one way that incorrect medication may be administered. IV epinephrine was accidentally administered instead of midazolam at colonoscopy.

  1. La prevención de accidentes (3

    Directory of Open Access Journals (Sweden)

    Chinchilla, M.

    1966-04-01

    Full Text Available The financial loss due to working accidents is very substantial, quite apart from the actual loss of human lives. Hence avoiding these accidents is a most important matter. The accident index in the various industries shows a rate of increase that is larger than should be the case in proportion to the development of the industries concerned, and the larger number of employees. The fact that these indexes are smaller in many countries, however, shows that these accidents can be considerably reduced if suitable measures are taken to avoid them. In chapter 2 of our magazine, issue no. 178, a variety of reasons were discussed that may originate accidents, although these causes are not directly linked to the accident itself. In this article mention is made of some of the measures that can be taken in the handling of cutting and welding equipment, and also of inflammable liquids, to prevent possible accidents.El peso de los accidentes de trabajo sobre la economía supone cantidades muy grandes que, independientemente del inestimable valor de una vida humana, realzan la importancia de la prevención de accidentes. Los índices de accidentes muestran en diferentes industrias un crecimiento mayor de lo que debería corresponder proporcionalmente, habida cuenta del crecimiento laboral. El hecho de que en distintos países los índices sean inferiores, demuestra que se pueden conseguir buenos frutos si se concede primordial importancia a que los trabajos se realicen con las debidas medidas de seguridad. En el Capítulo 2, número 178 de esta Revista, se detallaron diversas causas que pueden originar un accidente sin estar ligadas en forma directa con una tarea determinada. En el presente trabajo se indican algunas de las medidas que deben observarse en el manejo de los equipos de soldadura y corte, así como en el transvase de líquidos inflamables.

  2. "Dead in hot bathtub" phenomenon: accidental drowning or natural disease?

    Science.gov (United States)

    Satoh, Fumiko; Osawa, Motoki; Hasegawa, Iwao; Seto, Yoshihisa; Tsuboi, Akio

    2013-06-01

    Sudden death in a hot bathtub occurs frequently in Japan, particularly among elderly people. This retrospective report describes the epidemiologic circumstances and physical findings at autopsy. In total, 268 victims were found unconscious or dead during tub bathing. After postmortem examination, the manner of death was judged as natural cause in 191 (71.2%) and accidental drowning in 63 (23.5%) cases. Mean age (SD) was 72.1 (15.2) years with no significant difference between males and females. A seasonal difference was evident: the winter displayed the highest frequency. Drowning water inhalation, which was confirmed in 72% of victims, was absent in the others. The most common observations on postmortem examination were cardiac ischemic changes and cardiomegaly. Water inhalation signs were evident in a significantly fewer victims exhibiting these factors. In contrast, inhalational findings were observed more frequently in victims with other backgrounds such as alcohol intake, mobility disturbance, and history of epilepsy. Annual mortality in Japan from accidental drowning in persons aged older than 75 years is 33 deaths per 100,000 population. However, this number may be considerably underestimated as pathologists tend to regard lack of water inhalation as indicating a natural cause of death. Confusion in diagnosis remains consequent to the accidental and natural aspects of "dead in hot bathtub" phenomenon.

  3. Accidental falls involving medical implant re-operation.

    Science.gov (United States)

    Ong, Kevin L; Lau, Edmund; Moore, Tara; Heller, Michelle F

    2009-10-01

    Implantation of medical devices is becoming more prevalent, and as a result, a greater number of patients who fall accidentally are expected to have a medical implant. The Nationwide Inpatient Sample (NIS) was used to evaluate hospital admissions following accidental falls involving re-operation of existing medical implants (hip, knee, spine, and fracture fixation) from 1990 to 2005. From 1990 to 2005, hospitalisations due to accidental falls on level surfaces increased by 306%, and hospitalisations due to falls from stairs increased by 310%. Falls involving orthopaedic revision surgery (re-operation) are relatively rare, but the incidence has increased by approximately 35%. Hospital stays after falls on level surfaces involving re-operation were 1.0 day (median) longer and cost 50% (median) more than those that did not involve re-operation in 2005. After staircase falls, hospital stays for patients undergoing re-operations were 2.0 days (median) longer and cost 108% (median) more. The greater hospital costs and hospital stay for patients needing re-operations indicate that additional medical treatment was required.

  4. Numerical simulation of industrial and accidental release formation and transport

    Energy Technology Data Exchange (ETDEWEB)

    Piskunov, V.N.; Aloyan, A.A.; Gerasimov, V.M.; Pinaev, V.S.; Golubev, A.I.; Yanilkin, Yu.V.; Ivanov, N.V.; Nikonov, S.N.; Kharchenko, A.I. [and others

    1995-05-01

    Statement of work for contract 006 {open_quotes}Mathematical simulation of industrial and accidental release formation and transport{close_quotes} implies that the final result of the activity within this task will be VNIIEF developed techniques which will provide for the prediction of the post-accidental environment. Report [1] presents the description of physical models and calculation techniques which were chosen by VNIIEF to accomplish this task. These techniques were analysed for their capabilities, the areas of their application were defined, modifications within contract 006 were described, the results of test and methodical calculations were presented. Moreover, the experimental data were analysed over the source parameters and contamination measurements which can be used in the comparison with the calculation results. Based an these data this report compares the calculation results obtained with VNIIEF calculation techniques with the LANL-presented experimental results. The calculations which statements and results are given in section 1, included the following processes: explosion cloud ascent dynamics and jet release origin; aerosols kinetics in the release source including composite particle origin in the explosion cloud caused by radioactive substance sorption an the soil particles; contaminant transport in atmosphere and their in-site fallout due to the accidental explosions and fires; atmospheric flow dynamics and industrial contamination transfer over the complicated terrain. The calculated results were compared with the experimental data. Section 2 presents the parameters for a typical source in the explosion accidents based an the experimental results and calculated data from Section 1, as well as contamination patterns were calculated with basic technique {open_quotes}Prognosis{close_quotes}.

  5. Accidental Degeneracy and Berry Phase of Resonant States

    CERN Document Server

    Mondragón, A

    1997-01-01

    We study the complex geometric phase acquired by the resonant states of an open quantum system which evolves irreversibly in a slowly time dependent environment. In analogy with the case of bound states, the Berry phase factors of resonant states are holonomy group elements of a complex line bundle with structure group C*. In sharp contrast with bound states, accidental degeneracies of resonances produce a continuous closed line of singularities formally equivalent to a continuous distribution of "magnetic" charge on a "diabolical" circle, in consequence, we find different classes of topologically inequivalent non-trivial closed paths in parameter space.

  6. D-transallethrin: An unusual agent for accidental poisoning

    Directory of Open Access Journals (Sweden)

    Vinod Kedari

    2016-01-01

    Full Text Available D-trans allethrin, a pyrethroid, is commonly used as a coil mosquito repellant. There are very few reports of human toxicity due to D-trans allethrin. We present the case of an 11-month-old boy who presented to us with excessive salivation, altered sensorium and convulsions following alleged accidental ingestion of a coil containing D-transallethrin. He required mechanical ventilation for a brief period and made a full recovery. Although rare, the possibility of pyrethroid poisoning should be kept in mind in children who present with sudden onset unconsciousness or convulsions.

  7. ECMO for Cardiac Rescue after Accidental Intravenous Mepivacaine Application

    Directory of Open Access Journals (Sweden)

    Michael Froehle

    2012-01-01

    Full Text Available Mepivacaine is a potent local anaesthetic and used for infiltration and regional anaesthesia in adults and pediatric patients. Intoxications with mepivacaine affect mainly the CNS and the cardiovascular system. We present a case of accidental intravenous mepivacaine application and intoxication of an infant resulting in seizure, broad complex bradyarrhythmia, arterial hypotension and finally cardiac arrest. The patient could be rescued by prolonged resuscitations and a rapid initiation of ECMO and survived without neurological damage. The management strategies of this rare complication including promising other treatment options with lipid emulsions are discussed.

  8. Accidente Isquémico Transitorio: la gran oportunidad

    Directory of Open Access Journals (Sweden)

    Mª Dolores Fernández Couto

    2013-09-01

    Full Text Available El ictus constituye la primera causa de muerte en mujeres y la segunda causa de muerte global en España1, así como la primera causa de discapacidad adquirida en la edad adulta y la segunda causa de demencia por detrás de la enfermedad de Alzheimer. El accidente isquémico transitorio (AIT precede al ictus isquémico en un 23% de los casos2. Esta señal de alarma, lejos de poder considerarse banal, constituye una gran oportunidad para la prevención.

  9. Tratamiento de Terapia Ocupacional en el accidente cerebrovascular

    OpenAIRE

    Domingo García, AM

    2006-01-01

    RESUMENEntre los muchos pacientes que necesitan tratamiento rehabilitador en Terapia Ocupacional están los que en la edad adulta han sufrido un accidente cerebrovascular.Uno de los factores de riesgo asociados con más frecuencia a las alteraciones del sistema nervioso central es el progresivo envejecimiento de la población, debido a esto orientaré el siguiente artículo hacia la intervención sobre la población geriátrica.La Terapia Ocupacional ofrece un tratamiento global que abarca las áreas ...

  10. Clinical perspectives on osteogenesis imperfecta versus non-accidental injury.

    Science.gov (United States)

    Pereira, Elaine Maria

    2015-12-01

    Although non-accidental injuries (NAI) are more common in cases of unexplained fractures than rare disorders such as osteogenesis imperfecta (OI), ruling out OI and other medical causes of fracture is always indicated. The majority of OI patients can be diagnosed with the help of family history, physical examination, and radiographic findings. In particular, there are a few radiological findings which are seen more commonly in NAI than in OI which may help guide clinician considerations regarding the probability of either of these diagnoses. At the same time, molecular testing still merits careful consideration in cases with unexplained fractures without obvious additional signs of abuse.

  11. Measurement of accidental coincidences for higher activity sources

    CERN Document Server

    Yull Hwang, H; Jae-Oh, P; Man-Lee, J; Kie-Lee, M

    1999-01-01

    The multi-channel time-scaling (MCTS) technique has been applied for the measurement of accidental coincidences for the cases of higher activity samples in beta-gamma coincidence counting. Two beta samples of sup 1 sup 3 sup 4 Cs were prepared and the nominal activities observed in the beta counter were about 7000 and 11000 s sup - sup 1 , respectively. The obtained true coincidence rates are independent of resolving times and dead times. They are compared with those calculated from the mathematical model derived by Cox and Isham.

  12. Accidentes de trabajo en un hospital de agudos

    Directory of Open Access Journals (Sweden)

    Pérez Bermúdez B.

    1998-01-01

    Full Text Available FUNDAMENTO: El mejor conocimiento de los determinantes y circunstancias de producción de los accidentes laborales, favorecerá la implantación de medidas correctoras. El objetivo de este trabajo es describir la evolución temporal de los accidentes de trabajo (AT y determinar los factores de riesgo de baja médica en el Hospital Dr. Peset de Valencia. MÉTODOS: Descripción y análisis retrospectivo de los accidentes de trabajo producidos en el Hospital Dr. Peset de Valencia durante los años 1992 a 1995. Se estimó por métodos deterministas la tendencia y estacionalidad de las series (índices estacionales, IE. Se aplicó un modelo de regresión logística para identificar los factores pronósticos de baja médica y determinar su probabilidad de ocurrencia . RESULTADOS: Las tasas más elevadas de AT se produjeron entre los trabajadores de cocina y lavandería (10,00 AT por 100 trabajadores-año. Los AT con baja médica mantienen una tendencia cercana a cero siendo febrero el mes con I.E más elevado (IE=139,8. Los que cursan sin baja médica tienen una tendencia positiva (r²=0,23, p<0,0001, siendo mayo el mes de mayor siniestralidad (IE=134,2. La probabilidad de que el accidente curse con baja médica aumenta significativamente con la edad, cuando se produce por la tarde, si ha tenido lugar en cocina/lavandería, y si se trata de un esguince o tendinitis. CONCLUSIONES: la actuación sobre la siniestralidad en los AT que cursen con IT, debería centrarse sobre los trabajos menos cualificados y en las áreas de cocina y lavandería.

  13. Costes e Investigación de Accidentes Laborales

    OpenAIRE

    Gonzalez Quintana, Jon Ander

    2013-01-01

    En España en el año 2011, según datos del Instituto Nacional de Estadística (INE), se registraron 581.150 accidentes con baja laboral de los cuales el 88% sucedieron dentro de jornada laboral. Observando estas cifras, es obvio que hay una carencia en el sistema preventivo y, por los tanto, es necesario buscar una solución. Son tres los factores de la baja inversión en prevención: la falta de concienciación de las empresas, la falta del conocimiento de las consecuencias de un...

  14. Accidental Chemical Burns of Oral Mucosa by Herbicide

    Directory of Open Access Journals (Sweden)

    S P Deo

    2012-03-01

    Full Text Available Glyphosate (GlySH is a broad spectrum, nonselective herbicide, widely used in agriculture. This case report describes a 25-year-old man presenting with extensive chemical burns and ulceration of the oral cavity as a result of accidental exposure to GlySH. This paper aims to illustrate the typical appearance of GlySH related chemical mucosal burn and to demonstrate the severity of the corrosive effect of GlySH which need team approach to prevent unfavorable sequelae such as microstomia. Keywords: Chemical burns, corrosive injury, glyphosate poisoning, herbicide, microstomia, oral mucosal burn.

  15. Multidisciplinary approach to "accidental" falls in the elderly: a case report.

    Science.gov (United States)

    Galizia, Gianluigi; Testa, Gianluca; Mazzella, Francesca; Cacciatore, Francesco; Ungar, Andrea; Masotti, Giulio; Rengo, Franco; Abete, Pasquale

    2008-06-01

    Falls in the elderly are commonly and often wrongly identified as "accidental". We report a case of an elderly woman admitted to first aid for a trauma due to an accidental fall. Geriatric multidisciplinary evaluation revealed mild cognitive impairment associated with depressive symptoms; both findings made the anamnesis uncertain. Syncope algorithm was applied and "tachy-brady form of sick sinus syndrome" was diagnosed. Differential diagnosis between "accidental" and "apparently accidental" falls in elderly patients is very difficult but a multidisciplinary geriatric evaluation can clarify the correct diagnosis.

  16. Pathological Findings in Accidental Electrocution in a Horse (Case Report

    Directory of Open Access Journals (Sweden)

    Adrian Florin Gal

    2016-11-01

    Full Text Available Recently, the veterinarians are dealing with a number of cases that require forensic expertise. Such a circumstance could be the accidental electrocution in animals, one of the causes of unnatural death. There is a scarcity with reference to the pathological findings in veterinary forensic medicine. In this paper, we present the main lesions that occurred in a horse with accidental electrocution that was presented for complete necropsy survey. A horse corpse was sent to the Pathology Department (Faculty of Veterinary Medicine, Cluj-Napoca, Romania for a full medical survey. Preliminary results and external examination: the body was in rigor mortis; from the nasal cavities drained out reddish foam and in the mouth was observed the presence of ingested feed (straw that was not chewed, suggesting a quick death. The findings detected after internal examination of the carcass were poor blood coagulability, haemorrhagic diathesis throughout the body, with haemorrhages of various sizes in different body regions (e.g., muscles of the withers, in the gluteal muscle, the mucosa of epiglottis, larynx, trachea, in the interstitium of the lung, and ecchymosis in the left kidney. Some other lesions detected were infarcts and haemorrhages in the fundic region of the stomach’s mucosa. In electrocution, haemorrhages are most often located in the respiratory tract, aspect observed in our case too. However, the diagnosis of electrocution has to corroborate the necropsy findings (which are not specific, with some other data such as the fulminant death and inspection of power source.

  17. Accidental childhood death and the role of the pathologist.

    Science.gov (United States)

    Byard, R W

    2000-01-01

    The following study provides an overview of accidental childhood death. This study is based on a review of 369 cases of fatal childhood accidents taken from the records of the Department of Histopathology, Women's and Children's Hospital, Adelaide, Australia, over a 34-year period from 1963 to 1996. Data provide information on deaths due to motor vehicle accidents, drownings, accidental asphyxia, burns, poisonings, electrocution, and miscellaneous trauma. In addition, certain categories have undergone further examination, including asphyxial deaths due to unsafe sleeping environments and unsafe eating practices, drowning deaths, and deaths on farms, following identification of significant child safety problems in these areas as part of the "Keeping Your Baby and Child Safe" program. Previously unrecognized dangers to children detected through this program include mesh-sided cots, V-shaped pillows, and certain types of stroller-prams. The production of information pamphlets and packages for parents and the recall of certain dangerous products following recommendations made by pathologists demonstrate that pediatric and forensic pathologists have an important role to play in preventive medicine issues and in formulating public health strategies.

  18. accidentes y otras causas violentas en la sierra de Sonora

    Directory of Open Access Journals (Sweden)

    Héctor Eloy Rivas Sánchez

    2005-01-01

    Full Text Available Este artículo presenta los resultados de una investigación sociológica cuyo objeto fue explorar el papel que ha jugado el modelo hegemónico de masculinidad en la ocurrencia de muertes derivadas de accidentes y varias formas de ejercicio de la violencia en una comunidad rural de la sierra de Sonora. Estos resultados difieren de aquellos que tradicionalmente los estudios de las masculinidades han mostrado para México y América Latina. El modelo dominante de masculinidad en las comunidades estudiadas no ha condicionado significativamente la ocurrencia de las muertes por accidentes y otras causas violentas. La responsabilidad, la disciplina y el respeto hacia las personas consideradas socialmente débiles (mujeres, ancianos y niños, principalmente son características que debe poseer un hombre de verdad en las comunidades estudiadas. El apego de los hombres a estas formas de comportamiento y su temor a perder honorabilidad como hombre de verdad si se desvían de estas normas de conducta los ha llevado a evitar una serie de prácticas temerarias que pudieron poner en riesgo su vida y la de otras personas.

  19. [Accidental hypothermia in adults: taking charge by the SAMU of Paris].

    Science.gov (United States)

    Deny, N; Bresard, D; Bertrand, J; Poisvert, M

    1990-02-01

    Thirty one cases of accidental hypothermia have been taken in care by the SAMU de Paris during the year of 1987. The accidental hypothermias happening in the cities are, most of the time, moderated and not very serious. The search for a cause is a prime necessity. The prognosis is based on that search to guide and advise the patients.

  20. Accidental Perforation of Endotracheal Tube during Orthognathic Surgery for Maxillary Prognathism - a Case Report

    Directory of Open Access Journals (Sweden)

    Manish Jain

    2008-01-01

    Full Text Available Maxillary prognathism(excess is a congenital anomaly characterized by facial disfigurement. Accidental perforation of endotracheal tube during corrective surgery is not an uncommon complication. A case of accidental perforation of endotracheal tube during surgery and its management is presented here.

  1. A novel method to detect accidental oesophageal intubation based on ventilation pressure waveforms

    NARCIS (Netherlands)

    Kalmar, Alain F.; Absalom, Anthony; Monsieurs, Koenraad G.

    2012-01-01

    Background: Emergency endotracheal intubation results in accidental oesophageal intubation in up to 17% of patients. This is frequently undetected thereby adding to the morbidity and mortality. No current method to detect accidental oesophageal intubation in an emergency setting is both highly sensi

  2. Two Cases of Accidental Injection of Epinephrine into a Digit Treated with Subcutaneous Phentolamine Injections

    Directory of Open Access Journals (Sweden)

    Ryan P. Bodkin

    2013-01-01

    Full Text Available Accidental injection into the digit from an epinephrine autoinjection device can cause discoloration, pain, and paresthesias. Although loss of digit is rare, treatment in the emergency department is commonly aimed at vasodilation of the affected tissue. We report two cases of accidental injection of epinephrine into the digits that were successfully treated with subcutaneous phentolamine injection with no adverse events.

  3. 76 FR 73021 - Agency Information Collection (Report of Accidental Injury in Support of Claim for Compensation...

    Science.gov (United States)

    2011-11-28

    ... Injury in Support of Claim for Compensation or Pension/Statement of Witness to Accident, VA Form 21- 4176...: VA Form 21-4176 is used to support a claim for disability benefits based on an accidental injury that... AFFAIRS Agency Information Collection (Report of Accidental Injury in Support of Claim for Compensation...

  4. Accidental intraoral formalin injection: a rare case report

    Directory of Open Access Journals (Sweden)

    Ramakant Dandriyal

    2014-12-01

    Full Text Available Formalin is a hazardous chemical that needs cautious handling and special storage. Owing to its disinfectant and fixative (i.e. for preserving pathologic tissue specimens in histopathology properties, it is widely used in dentistry. Although, the terms formaldehyde and formalin are often confused as being identical, these are different as to the concentrations of the primary component i.e. formaldehyde. In fact, the common fixative available as 10% neutral buffered formalin is actually a 4% solution of formaldehyde (i.e., a 10% solution made from a 37-40% commercially pure formaldehyde solution. This case report describes an unfortunate case of accidental injection instead of local anesthetic, of formalin into the pterygomandibular space in a 35-year old woman during inferior alveolar nerve block for surgical removal of impacted lower right third molar and its successful management by cautious debridement (under both local and general anesthesia and empirical drug therapy (utilizing analgesics and antibiotics.

  5. Accidental intraoral formalin injection: a rare case report.

    Science.gov (United States)

    Dandriyal, Ramakant; Giri, Kolly Yada; Alam, Sarwar; Singh, Aishwarya Pratap

    2014-10-30

    Formalin is a hazardous chemical that needs cautious handling and special storage. Owing to its disinfectant and fixative (i.e. for preserving pathologic tissue specimens in histopathology) properties, it is widely used in dentistry. Although, the terms formaldehyde and formalin are often confused as being identical, these are different as to the concentrations of the primary component i.e. formaldehyde. In fact, the common fixative available as 10% neutral buffered formalin is actually a 4% solution of formaldehyde (i.e., a 10% solution made from a 37-40% commercially pure formaldehyde solution). This case report describes an unfortunate case of accidental injection instead of local anesthetic, of formalin into the pterygomandibular space in a 35-year old woman during inferior alveolar nerve block for surgical removal of impacted lower right third molar and its successful management by cautious debridement (under both local and general anesthesia) and empirical drug therapy (utilizing analgesics and antibiotics).

  6. Accidental endoscopic finding of Anisakis simplex in human colon

    Directory of Open Access Journals (Sweden)

    Aurelia Aloia

    2011-09-01

    Full Text Available Anisakidosis is a zoonotic disease caused by the ingestion of nematodes belonging to the family of Anisakidae. Human infection is caused by intake of raw or undercooked sea fish and cephalopods infested by Anisakis larvae. We present a case of accidental endoscopic finding of an alive nematode adhering to distal ascending colon in a 32 years old man, submitted to colonoscopy owing to recent onsets of rectal bleeding of likely hemorrhoidal origin. The nematode, removed from colon by means of biopsy forceps, has been identified as L3 larvae of A. simplex by a light microscope. Histological examination of intestinal mucosa showed a mild fibrosis of lamina propria, characterized by focal lymphocytic inflammation and scattered infiltration of eosinophils. The patient reported the intake of marinated anchovies 3 days before endoscopic examination.

  7. Dose assessment of an accidental exposure at the IPNS

    Energy Technology Data Exchange (ETDEWEB)

    Campos Torres, M.M.

    1995-02-01

    Seven different methods were used to estimate the dose rate to a female worker who was accidentally exposed in the neutron PHOENIX beamline at the IPNS. Theoretical and measured entrance dose ranged from 550 mrem/min to 2850 mrem/min. Theoretical estimates were based on a Monte Carlo simulation of a spectrum provided by IPNS (Crawford Spectrum). Dose measurements were made with TLDs on phantoms and with ionization chambers in a water phantom. Estimates of the whole body total effective dose equivalent (TEDE) rate ranged from 5.2 mrem/min to 840 mrem/min. Assumed and measured quality factors ranged from 2.6 to 11.8. Cytogenetic analyses of blood samples detected no positive exposure. The recommended TEDE rate was 158 mrem/min. The TEDE was 750 mrem.

  8. Dose assessment of an accidental exposure at IPNS

    Energy Technology Data Exchange (ETDEWEB)

    Torres, M.M.C.

    1996-05-01

    Seven different methods were used to estimate the dose rate to a female worker who was accidentally exposed in the neutron PHOENIX beamline at the IPNS. Theoretical and measured entrance dose rates ranged from 550 mrem/min to 2,850 mrem/min. Theoretical estimates were based on a Monte Carlo simulation of a spectrum provided by IPNS (Crawford Spectrum). Dose measurements were made with TLDs on phantoms and with ionization chambers in a water phantom. Estimates of the whole body total effective dose equivalent (TEDE) rate ranged from 5.2 mrem/min to 840 mrem/min. Assumed and measured quality factors ranged from 2.6 to 11.8. Cytogenic analyses of blood samples detected no positive exposure. The recommended TEDE rate was 158 mrem/min. The TEDE was 750 mrem.

  9. Nodular goiter after occupational accidental exposure to radiation

    Energy Technology Data Exchange (ETDEWEB)

    Pisarev, M.A. [Radiobiology, National Atomic Energy Commission, Buenos Aires (Argentina); Human Biochemistry, Uninversity of Buenos Aires, School of Medicine, Buenos Aires (Argentina); Schnitman, M. [Center of Endocrinology and Metabolism, French Hospital C.Milstein, Buenos Aires (Argentina)

    2012-07-01

    In the present paper we present the consequences of an accidental occupational radiation exposure at a local hospital in Buenos Aires. Control at a local radiology service showed the lack of correct shielding in the X-ray equipment. The physicians and technicians (14 persons) exposed to radiation during 12 months were examined. The survey shows that: a) In 11 out of 14 radiation-exposed patients nodular goiter developed and an additional patient had diffuse goiter which means a goiter incidence of 85.7%; b) In 5 of the nodular goiter patients an increase in the size or the appearance of new nodules was observed along the follow-up period. No cancer was detected by FNA; c) Hypothyroidism was observed in 3/14 patients, and an additional patient had an abnormal TRH-TSH test, suggesting subclinical hypothyroidism; and d) Increased circulating antithyroid antibodies were found in one of the hypothyroid patients

  10. Application of biological dosimetry in accidental radiation exposure

    Energy Technology Data Exchange (ETDEWEB)

    Nosal, M.; Batora, I.; Kolesar, D.; Stojkovic, J. (Komenskeho Univ., Bratislava (Czechoslovakia). Lekarska Fakulta); Gaal, P.; Sklovsky, A. (Krajska Hygienicka Stanica, Bratislava (Czechoslovakia)); Cizova, O. (Sexuologicka Ambulancia KUNZ, Bratislava (Czechoslovakia))

    1982-03-01

    The case is described of accidental irradiation of a male person with /sup 137/Cs of an activity of 24.71 GBq. The first estimate induced a reasonable suspicion that the absorbed dose could be very high and life-threatening. On the other hand the clinical picture, usual laboratory examinations, findings in the fluorescent blood count, the analysis of chromosomal count of lymphocytes in the peripheral blood, the spermiogram, and the negative post-irradiation porphyrinuria suggested that the absorbed dose could be much lower than the original estimate. The results of dosimetry obtained after the reconstruction of the accident by measuring on a phantom revealed that the actual dose was very close to that presumed from the results of biological dosimetry during the first days of examination of the patient.

  11. Siquieros accidental painting technique: a fluid mechanics point of view

    CERN Document Server

    Zetina, Sandra

    2012-01-01

    This is an entry for the Gallery of Fluid Motion of the 65th Annual Meeting of the APS-DFD (fluid dynamics video). This video shows an analysis of the 'accidental painting' technique developed by D.A. Siqueiros, a famous Mexican muralist. We reproduced the technique that he used: pouring layers of paint of different colors on top of each other. We found that the layers mix, creating aesthetically pleasing patterns, as a result of a Rayleigh-Taylor instability. Due to the pigments used to give paints their color, they can have different densities. When poured on top of each other, if the top layer is denser than the lower one, the viscous gravity current undergoes unstable as it spread radially. We photograph the process and produced slowed-down video to visualize the process.

  12. Subtraction of "accidentals" and the validity of Bell tests

    CERN Document Server

    Thompson, C H

    1999-01-01

    In some key Bell experiments, including two of the well-known ones by Alain Aspect, 1981-2, it is only after the subtraction of ``accidentals'' from the coincidence counts that we get violations of Bell tests. The data adjustment, producing increases of up to 60% in the test statistics, has never been adequately justified. Few published experiments give sufficient information for the reader to make a fair assessment. There is a straightforward and well known realist model that fits the unadjusted data very well. In this paper, the logic of this realist model and the reasoning used by experimenters in justification of the data adjustment are discussed. It is concluded that the evidence from all Bell experiments is in urgent need of re-assessment, in the light of all the known ``loopholes''. Invalid Bell tests have frequently been used, neglecting an improved one derived by Clauser and Horne in 1974. ``Local causal'' explanations for the observations have been wrongfully neglected.

  13. Enfoque diferencial y de género para la protección de mujeres víctimas de violencia sexual de hechos ocurridos en el contexto de las acciones de los grupos armados que son postulados a la aplicación de Ley 975 de 2005 -de Justicia y Paz-

    OpenAIRE

    Quevedo Hidalgo, Helka Alejandra

    2013-01-01

    El tema de esta investigación se enmarca en el contexto del conflicto armado colombiano, que se ha constituido en un escenario para la manifestación de diferentes formas de violencia, entre estas la violencia sexual como estrategia de guerra. Analiza el contenido del Decreto 1737 de 2010, y propone la aplicación de un Protocolo de Protección diferencial a las mujeres víctimas de violencia sexual de los hechos ocurridos en el contexto de las acciones de los grupos armados que son postulados a ...

  14. FACTORES DE RIESGO QUE OCASIONAN ACCIDENTES LABORALES EN EL PERSONAL DE ENFERMERÍA DE UNA CLÍNICA ACREDITADA DE LA CIUDAD DE AREQUIPA, 2007-2008

    OpenAIRE

    GARCIA SUTTA, PATRICIA CONCEPCION

    2014-01-01

    FACTORES DE RIESGO CONCEPTUALIZACIÓN TIPOS RIESGOS NO MECÁNICOS RUIDOS RADIACIONES IONIZANTES ILUMINACIÓN CALOR FRÍO RIESGOS FÍSICOS MECÁNICOS RIESGOS QUÍMICOS RIESGOS ERGONÓMICOS POSTURA RIESGOS BIOLÓGICOS CARGA DE TRABAJO LABORAL DEFINICIÓN ACCIDENTES LABORALES ACCIDENTE CAUSAS BÁSICAS Y CAUSAS INMEDIATAS ACCIDENTES LABORALES CAUSAS DE LOS ACCIDENTES TIPOS DE ACCIDENTE TIPOS DE ACCIDENTES LABORALES

  15. Characterization of mortality rates resulting from traffic accidents involving cycles Caracterización de la mortalidad por accidentes del tránsito con participación de ciclos

    Directory of Open Access Journals (Sweden)

    Mavis Ortis Sagasta

    2010-08-01

    fallecimientos por accidentes de tránsito en ciclos, ocurridos entre el primero de enero y treinta y uno de diciembre de 2009. Se analizaron las variables: edad, sexo, horario en que ocurrió el accidente, región anatómica predominantemente afectada, causa directa de la muerte e ingestión de alcohol. Resultados: se produjeron 26 muertes (tasa de 6,4 por 100 000 habitantes, fundamentalmente en el grupo de 15 a 29 años; hubo predominio del sexo masculino, con 23 casos para un 88,4 %; el 53, 8 % de los fallecidos eran trabajadores y 23 % estudiantes; hubo predominio de casos fatales en el horario comprendido entre las 6:00 pm y las 11:59 pm; la región anatómica más afectada fue la cefálica (61,5 %; el 46, 2 % de fallecidos tenía más 50 mg de alcohol en sangre; la causa directa de muerte que predominó fue la lesión de centros nerviosos superiores. Conclusiones: los accidentes de tránsito con ciclos son más frecuentes en el sexo masculino en edades jóvenes, se relacionan con la ingestión de bebidas alcohólicas y generalmente afectan la región cefálica.

  16. Contribution to the radiological study of the eosinophilic granuloma of the mandible (Unifocal granuloma due to Langherans' cell histiocytosis); Contributo allo studio radiologico del granuloma eosinofilo della mandibola (granuloma unifocale da istiocitosi delle cellule di Lagherhans)

    Energy Technology Data Exchange (ETDEWEB)

    Chigi, Gino; Pastremoli, Alessandro; Pisi, Paolo; Pastremoli, Alfredo [Bologna Univ., Bologna (Italy). Dipartimento di scienze odontomastologiche; Bianchi, Giuseppe [Istituti Ortopedici Rizzoli, Bologna (Italy)

    2005-04-01

    non completamente risolto per talune condizioni patologiche, nelle quali i dati obiettivi ed anamnestici sono relativamente uniformi e il quadro radiologico privo di qualsiasi caratteristica. Materiale e metodi: Il materiale � costituito da sei casi di istiocitosi delle cellule di Langherans della mandibola osservati nell'arco di un decennio. Lo studio � basato sulla valutazione della documentazione radiologica tradizionale. Le radiografie sono state eseguite in proiezione latero-laterale-obliqua che, come noto, libera quasi completamente la porzione orizzontale della mandibola dalla sovrapposizione delle immagini di altre strutture ossee. Risultati: I risultati delle indagini radiologiche sono riportati nella tabella I. Si tratta di reticoloendoteliopatie capaci di dar luogo ad un processo granulomatoso costituito da polinucleati eosinofili, plasmacellule e linfociti e, fondamentalmente, da grandi cellule istiocitarie mononucleate dotate di attivit� granulopessica e fagocitaria, spiccatamente proliferanti nel tessuto osseo, identificabili con le cellule di Langherhans della pelle, delle mucose, degli spazi periodontali, del midollo osseo. Il tessuto granulomatoso che ne deriva si infiltra tra gli elementi costitutivi dell'organo colpito ed estendendosi comprime, atrofizza e tende a distruggere il tessuto, sostituendosi ad esso. Le alterazioni determinate dal granuloma isiocitario di Langherhans prevalgono nettamente nel sistema scheletrico e si verificano, in ordine di frequenza, nel cranio, nelle ossa lunghe dell'estremit�, nel piede, nelle coste e nella colonna vertebrale. L'interessamento della mucosa orale � eccezionale. Conclusioni: Nel granuloma istiocitario unifocale di Langherhans della mandibola l'indagine radiologica � indispensabile per l'approccio allo studio della tumefazione premandibolare fermo restando che la diagnosi di natura si basa esclusivamente sulla biopsia. Oltre all'esame radiologico digitale o

  17. Accidental Children Poisoning With Methadone: An Iranian Pediatric Sectional Study

    Directory of Open Access Journals (Sweden)

    Sayena JABBEHDARI

    2013-11-01

    Full Text Available How to Cite This Article: Jabbehdari S, Farnaghi F, Shariatmadari SF, Jafari J, Mehregan FF, Karimzadeh P. Accidental Children Poisoning With Methadone: An Iranian Pediatric Sectional Study. Iran J Child Neurol. 2013 Autumn;7(7: 32-34.ObjectiveToxic poisoning with methadone is common in children in Iran. Our study was carried out due to the changing pattern of methadone poisoning in recent years and increasing methadone toxicity. Materials & MethodsIn this descriptive-sectional study, all of the methadone poisoned children younger than 12 years who were admitted to the Loghman Hakim Hospital in 2012, were assessed. Clinical symptoms and signs, para-clinical findings, and treatment were evaluated. ResultsIn this study, 16 boys and 15 girls who had been poisoned by methadone were enrolled. The mean age of patients was 55 months. All patients had been poisoned randomly or due to parent’s mistakes. The mean time of symptoms onset after methadone consumption was 1 hour and 30 Min, indicating a relatively long time after onset of symptoms.Clinical findings were drowsiness (75%, miotic pupil (68 %, vomiting (61%, rapid shallow breathing (57% and apnea (40%. In paraclinical tests, respiratory acidosis (69% and leukocytosis (55.2% were seen. The most important finding was increase in distance of QT in ECG (23.8%. The mean time of treatment with naloxone infusion was 51 hours. Three percent of patients had a return of symptoms after discontinuation of methadone. In patients with apnea, a longer course of treatment was required, and this difference was significant. Also, 17% of patients with apnea had aspiration pneumonia, which was statistically significant. ConclusionWe suggest long time treatment with naloxone and considering the probability of return of symptoms after discontinuation of methadone.ReferencesGoldfrank L, Flomenbaum N, Lewin N. Goldfrank’s Toxicologic Emergencies. 7th ed. McGraw–Hill 2002; p. 590-607.Schelble DT. Phosgene and

  18. The Frequency of the Accidental Contamination with Laboratory Samples in Yazd Clinical Laboratories’ personnel in 2011

    Directory of Open Access Journals (Sweden)

    Jafari, AA. (PhD

    2014-05-01

    Full Text Available Background and Objective: laboratory personnel have always accidental exposure to clinical samples, which can cause the transmission of infection. This threat can be prevented and controlled by education for the use of safety instruments. The purpose was to determine the frequency of accidental exposure to laboratory samples among Yazd laboratory personnel in 2011. Material and Methods: This descriptive cross-sectional study was conducted on 100 of Yazd clinical laboratory personnel. The data was collected, using a valid and reliable questioner, via interview and analyzed by means of SPSS software. Results: Eighty-six percent of the subjects reported an experience of accidental exposure to clinical samples, such as blood, serum and urine. The causes were carelessness (41% and work overload (29%. Needle- stick was the most prevalent injury (52% particularly in sampler workers (51% and in their hands (69%. There wasn’t significant relationship between accidental exposure to laboratory samples and the variables such as private and governmental laboratories (p=0.517, kind of employment (p=0.411, record of services (p=0.439 and academic degree (p=0.454. The subjects aged 20-29 (p=0.034 and worked in sampling unit had the highest accidental exposure. Conclusion: based on the results, inexperience of the personnel especially in sampling room, overload at work and ignorance of applying safety instruments are known as the most important reasons for accidental exposure to clinical samples. Keywords: Contamination; accidental Exposure; Infectious agents; laboratory; personnel

  19. La prevención de accidentes (2

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    Chinchilla, M.

    1966-03-01

    Full Text Available Everyone prefers to work in those organizations where their dignity of human beings is respected. One of the most efficient means at the disposal of any firm, to improve the morale of the individual employees, and to establish a spirit of cooperation between the individual and the firm, is to set up a program of accident benefit. It will avoid direct and indirect losses due to working accidents, as analyzed in a previous article, and it will make it possible to improve total performance of each worker, since he will work in a more favorable environment, free from worry about potential danger to his person. It is almost impossible to describe in detail all those items that should be taken into account in a safety program. None the less, and as an indication of their diversity, some sources of danger are mentioned in this chapter, which are closely connected with human safety, such as public curiosity, travelling from one place to another, cleanliness and order.Todas las personas prefieren desempeñar sus tareas en aquellas organizaciones que tienen hacia ellos las consideraciones correspondientes a un ser humano. Uno de los medios más eficaces a disposición de cualquier empresa para elevar la moral del individuo y para crear un lazo de cooperación común entre el individuo y la empresa, es la de llevar a cabo un programa de prevención de accidentes, programa que redundará en el doble fruto: evitar las pérdidas directas e indirectas causadas por los accidentes de trabajo que se detallaron en un trabajo anterior, y conseguir aumentar el rendimiento del operario al hacerle un ambiente más grato por la preocupación que se demuestra hacia su persona. Es casi imposible detallar todos aquellos puntos que se deben tener en cuenta en un programa de seguridad; sin embargo, y como exponente de su diversidad, se señalan en este capítulo algunas causas, que, sin estar ligadas directamente con el trabajo individual, no obstante se encuentran

  20. Calidad de vida de cuidadores de adultos con accidente cerebrovascular

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    INNA ELIDA FLÓREZ TORRES

    2010-10-01

    Full Text Available Objetivo: describir la calidad de vida de los cuidadores familiares de adultos con secuelas de accidente cerebrovascular, en Cartagena, Colombia. Método: estudio descriptivo cuantitativo realizado durante el segundo semestre de 2008. Muestra no probabilística por conveniencia de 97 cuidadores. Se empleó el instrumento propuesto por Ferrell et ál. Para valorar cada uno de los bienestares que integran la calidad de vida se utilizaron medidas de tendencia central y coeficiente de variación. Resultados: el grupo de cuidadores presentó en el bienestar físico un promedio de 11,1 con relación al máximo puntaje, lo que indica el peor estado de salud; los bienestares psicológico y social tuvieron promedios de 48,8 y 21,9, respectivamente, con menor afectación. El mejor estado se halló en el bienestar espiritual, con promedio de 22,6. Conclusiones: la experiencia de ser cuidador modifica de manera importante la calidad de vida de las personas; los cuidadores, como fuente importante de cuidado informal, requieren apoyo de los sistemas de salud y, como parte de este, de los profesionales de enfermería.

  1. [Gonococcal vulvovaginitis in prepubertal girls: sexual abuse or accidental transmission?].

    Science.gov (United States)

    Daval-Cote, M; Liberas, S; Tristan, A; Vandenesch, F; Gillet, Y

    2013-01-01

    Vulvovaginitis is the most frequent gynecologic pathology among prepubertal females. An infectious cause is found in 30% of cases and is highly associated with the presence of vaginal discharge upon examination. Neisseria gonorrhoeae may be one of the causative agents. Since N. gonorrhoeae is a common sexually transmitted disease, sexual abuse should be considered in the pediatric setting. We report the case of a 5-year-old girl with N. gonorrhoeae vulvovaginitis. Her previous history, multiple interviews with the patient and her parents, and clinical examination showed no evidence or signs of sexual abuse. Both parents presented gonorrhea, urethritis for the father and vaginitis for the mother. The discrepancy between pediatric evaluation and the presence of a bacterium associated with sexually transmitted disease led us to consider other means of contamination. Previous studies have shown that other routes of transmission are possible but are often neglected. Hence, contamination can be transmitted by the hands or mostly through passive means (towels, rectal thermometer, etc.). Many epidemics have been noted in group settings with young girls with no evidence of sexual transmission. Therefore, we concluded that this patient's infection was likely an accidental transmission within her family. The acknowledgement of these transmission routes is very important in order to avoid misguided suspicion of sexual abuse and the possible traumatic family and psychosocial consequences.

  2. Lead excretion in milk of accidentally exposed dairy cattle.

    Science.gov (United States)

    Bischoff, Karyn; Higgins, William; Thompson, Belinda; Ebel, Joseph G

    2014-01-01

    Lead (Pb) exposure in dairy cattle is associated with economic losses due to mortality and treatment costs, but with production animals there is also risk to the human food chain. The first objective of this study was to quantify the Pb concentration in milk from Pb-exposed cattle. The second objective was to correlate blood and milk Pb concentrations from individual cows. The third objective was long-term monitoring to determine the duration of milk contamination after exposure ceased. A dairy herd of more than 100 cows was accidentally exposed to Pb-contaminated feed. Milk and blood were collected for Pb analysis. Serial collection of milk samples continued for 2.5 years. The initial concentration of Pb in bulk tank milk was 0.0999 mg l⁻¹. The highest milk Pb concentration from an individual cow was 0.4657 mg l⁻¹ and the highest blood Pb concentration was 1.216 mg l⁻¹. One milk sample collected at the end of the study (day 922) contained 0.0117 mg Pb l⁻¹ of Pb. The calculated relationship between milk (y) and blood (x) Pb concentration was ln(y) = 3.4(x) - 2.21 (R² = 0.98).

  3. High mortality due to accidental salinomycin intoxication in sheep

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    Ashrafihelan Javad

    2014-09-01

    Full Text Available In February 2012, 100% mortality was reported in a herd with 79 local sheep that were kept around of Abhar, Northwest of Iran. The ration for adult sheep was daily mixed (40 kg straw, 25 kg wheat and 2 kg Vit-C premix and accidentally 1 500 g of salinomycin (Salinomycin 12% Premix; Aras Bazar Laboratories, Iran had been added to the ration (22388 mg/kg = 22388 ppm and overnight was fed to herd. At the morning, 78 sheep were founded dead and one of them showed convulsive seizures. Postmortem examination revealed pulmonary congestion and edema, hemorrhages in abomasum, large pale kidney and white streak lines in myocardium. Main histopathologic lesions were extensive subepicardial and intercardiomyofibers hemorrhages, extensive cardiomyolysis and myocarditis in heart, severe hyperemia and extensive acute tubular necrosis (ATN in kidneys and focal necrosis and retention of bile cholangitis in the liver. In this study, on the basis of the history, observation of the ionophore remnant in the ration, clinical signs, gross and histopathological findings, acute salinomycin intoxication is definitely diagnosed.

  4. Accidental release of chlorine and its impact on urban areas

    Energy Technology Data Exchange (ETDEWEB)

    El-Sheikh, H.A.; Badr, O.A.; El Kadi, H.M.; Hamoda, M.F. [United Arab Emirates Univ., Abu Dhabi (United Arab Emirates). Faculty of Engineering

    1995-12-31

    Among the possible scenarios of accidental releases of chlorine from high pressure cylinders, this paper considers a typical one for the analysis. The calculated transient mass flow rate of chlorine released from a one-tonne cylinder showed that such an accident takes about 10 minutes to evacuate the cylinder. However, the toxic effect in the surrounding atmosphere continues for a longer period (about 20 minutes). The size and location of the toxic cloud at ground level were predicted as functions of time using an EPA-based dispersion model. The results showed a growth of the toxic cloud for some time beyond which it started to decay. For the typical scenario considered in this study, the most dangerous situation generated a toxic cloud with dimensions of 4000 m and 600 m in the downwind and crosswind directions, respectively. A study of the effects of some meteorological parameters on the size and location of the toxic cloud at ground level was also conducted. In general, it was observed that enhancing atmospheric mixing produced larger toxic zones during the early stages of the release and caused an opposite effect during the later ones. This dynamic data was linked to a GIS environment and the time variant was represented using an animation technique for Al-Ain City, United Arab Emirates. Data base information related to physical urban characteristics and population was immediately obtained for the affected areas.

  5. Accidental intoxication with hydrochloric acid and hydrofluoric acid mixture.

    Science.gov (United States)

    Smędra-Kaźmirska, A; Kędzierski, M; Barzdo, M; Jurczyk, Ap; Szram, S; Berent, J

    2014-01-01

    The paper describes a fatal case of accidental ingestion of a mixture of hydrochloric acid and hydrofluoric acid. The man was admitted to hospital, where appropriate treatment, adequate to his condition, was instituted. Numerous ventricular fibrillation episodes, for which the patient was defibrillated repeatedly, were observed during the period of hospitalization. The patient was in a critical condition, with progressive symptoms of hypovolemic shock and multiorgan failure. On the next day after admission, signs of electromechanical dissociation progressing to asystole were noted. The instituted resuscitation procedure proved ineffective and the patient died. Autopsy revealed brownish discoloration of the esophageal, gastric, and small intestinal mucous membranes. Numerous ulcerations without signs of perforation were found both in the esophagus and in the stomach. The mucous membrane of the small intestine demonstrated focal rubefactions, whereas no focal lesions of the large intestinal mucosa were seen. Microscopic investigation of the biopsy specimens collected from the stomach, duodenum and small intestine revealed mucous membrane necrosis foci, reaching the deeper layers of the wall of these organs. The mucous membrane of the large intestine was congested. Bioptates obtained from the lungs indicated the presence of hemorrhagic infarcts and focal extravasations. Poisoning with the aforementioned acids with consequent necrosis of the esophageal, gastric, duodenal and small intestinal walls with hemorrhages to the gastrointestinal tract, as well as extravasations and hemorrhagic infarcts in the lungs was considered to be the cause of death.

  6. Prolonged Toxic Encephalopathy following Accidental 4-Aminopyridine Overdose

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    Maria Ballesta Méndez

    2014-01-01

    Full Text Available Background. 4-Aminopyridine (4-AP is a drug that is used to improve motor fatigue in patients suffering from multiple sclerosis (MS. Medication error can occur, as commercial preparation may not be available in some countries. Case Presentation. A 58-year-old woman with progressive MS presented with status epilepticus. She was receiving 4-AP for more than 3 years. The symptoms started soon after the ingestion of a single pill that was supposed to contain 10 mg 4-AP, but further investigations revealed that each pill had been inadvertently prepared with an 100 mg 4-AP concentration. The patient was admitted to the intensive care unit (ICU for appropriate management (orotracheal intubation, sedation, and antiepileptic drugs. The first electroencephalogram (EEG showed abundant irregular spike-waves on the left central regions. Neurological condition gradually improved from day 7, while the EEG did not reveal any more electrical seizures but was still consistent with toxic encephalopathy. The patient stayed in the ICU until day 13. At discharge from the rehabilitation ward (2.5 months later, the patient had not yet recovered her previous cognitive and functional condition. Conclusion. A single 100 mg 4-AP accidental overdose may cause serious immediate complications, with a slow and incomplete neurological recovery.

  7. ¿Accidente industrial o amputación deliberada?

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    Ponce, Paola

    2005-01-01

    Full Text Available El objetivo de este trabajo es analizar los diferentes aspectos de la práctica de amputaciones durante el período victoriano de Inglaterra tales como: las causas que llevaron a tal práctica, los métodos y técnicas quirúrgicos usados durante el S. XIX así como la evidencia de atrofia y/o asimetría por causa del desuso. Tres casos de amputaciones fueron encontrados en una población industrial en el cementerio Victoriano de St. Pete s Collegiate Church en Wolverhampton (West Midlands, Inglaterra. Las amputaciones fueron realizadas en el miembro superior de una mujer (HB53 y los miembros inferiores de dos hombres (HB86 y (HB129. Se concluye que en los tres casos los individuos sobrevivieron a las amputaciones y que estas fueron realizadas mucho tiempo antes de la muerte. Dos de ellas fueron probablemente realizadas mediante cirugía (HB86 y HB129 mientras que la tercera (HB53 podría ser el resultado de un accidente industrial.

  8. Accidental Cutaneous Burns Secondary to Salbutamol Metered Dose Inhaler

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    Ashutosh Kale

    2010-01-01

    Full Text Available We report a case of accidental cutaneous burns caused by salbutamol metered dose inhaler. A 9-year-old boy underwent dental extraction at a children's hospital and was incidentally noted to have burn injuries on dorsum of both hands. On questioning, the boy revealed that a few days ago his 14-year-old brother, who is an asthmatic, playfully sprayed his salbutamol metered dose inhaler on the back of both his hands with the inhaler's mouth piece being in direct contact with the patient's skin. On examination, there was a rectangular area of erythema with superficial peeling on the dorsum of both hands, the dimensions of which exactly matched those of the inhaler's mouthpiece. It is possible that the injury could have been a chemical burn from the pharmaceutical/preservative/propellant aerosol or due to the physical effect of severe cooling of the skin or mechanical abrasive effect of the aerosol blasts or a combination of some or all the above mechanisms. This case highlights the importance of informing children and parents of the potentially hazardous consequences of misusing a metered dose inhaler.

  9. Learning From Biomarkers in Victims Accidentally Exposed to Ionizing Radiation

    Institute of Scientific and Technical Information of China (English)

    Yan Wang; Liqing Du; Chang Xu; Qin Wang; Zhiyi Song; Jianxiang Liu; Xu Su

    2016-01-01

    Biomarkers,such as chromosome aberration and micronuclei assays,prove to be reliable for facilitating clinical diagnosis in radiation accidents.In a radiation accident in India,chromosomal aberration,γ-H2AX,as well as other blood markers,were detected in accidentally exposed victims.This multi-parametric approach aided in confirming that individuals had been exposed by ionizing radiation.However,doses were impossible to estimate because of a 30-day delay in accident awareness.Exposure dose for victims was estimated using a dose-response curve previously established.Dose estimation,blood cell depletion kinetics,and no appearance of prodromal symptoms suggested that doses of exposure were low.Hematologic investigation,sampling time,and chromosome aberration scoring were all proposed according to data from the victims exposed to 60Co.Finally,knowledge regarding chromosome aberration analysis and the importance of international co-operation and assistance should be shared from this accident.

  10. Individual dose due to radioactivity accidental release from fusion reactor.

    Science.gov (United States)

    Nie, Baojie; Ni, Muyi; Wei, Shiping

    2017-04-05

    As an important index shaping the design of fusion safety system, evaluation of public radiation consequences have risen as a hot topic on the way to develop fusion energy. In this work, the comprehensive public early dose was evaluated due to unit gram tritium (HT/HTO), activated dust, activated corrosion products (ACPs) and activated gases accidental release from ITER like fusion reactor. Meanwhile, considering that we cannot completely eliminate the occurrence likelihood of multi-failure of vacuum vessel and tokamak building, we conservatively evaluated the public radiation consequences and environment restoration after the worst hypothetical accident preliminarily. The comparison results show early dose of different unit radioactivity release under different conditions. After further performing the radiation consequences, we find it possible that the hypothetical accident for ITER like fusion reactor would result in a level 6 accident according to INES, not appear level 7 like Chernobyl or Fukushima accidents. And from the point of environment restoration, we need at least 69 years for case 1 (1kg HTO and 1000kg dust release) and 34-52years for case 2 (1kg HTO and 10kg-100kg dust release) to wait the contaminated zone drop below the general public safety limit (1mSv per year) before it is suitable for human habitation.

  11. Accidental deaths caused by electricity in Sweden, 1975-2000.

    Science.gov (United States)

    Lindström, Richard; Bylund, Per-Olof; Eriksson, Anders

    2006-11-01

    This study analyzes accidental fatalities caused by electricity--at work and during leisure time--to evaluate risk factors, the role of alcohol, and to identify possible preventive strategies. In Sweden, data on fatalities by electrocution from 1975 through 2000 were collected from the National Cause-of-Death Register. Additional cases were found in the archives of The Swedish National Electrical Safety Board. Suicides and deaths by lightning were excluded. Two hundred and eighty-five deaths were found, including occupational (n=132), leisure time (n=151), and unknown (n=2). Most deaths were caused by aerial power lines, and the most common place for an electrical injury was a railway area or residential property. Postmortem blood from 20% (n=47) of the tested cases was found positive for alcohol, and these persons were killed mainly during leisure time. During the study period, the overall incidence of electricity-related fatalities has decreased, in spite of increased use of electricity. This indicates that safety improvements have been successful.

  12. Pre-accidental situations highlighted by RECUPERARE method and data

    Energy Technology Data Exchange (ETDEWEB)

    Matahri, N. [Institut de Radioprotection et de Surete Nucleaire (IRSN), 92 - Fontenay-aux-Roses (France)

    2006-07-01

    RECUPERARE method has been developed for operating feedback analysis and built on the French Human Reliability Analysis (HRA) principles. It is used to study the causes of human errors or technical failures occurred in French PWRs and the recovery process of events. Based on an event classification (6 categories) model according to the nature of the link between failure and recovery, the identified and recorded data are: the causes of the defects (technical, human, organizational) and the context in which they appear; the factors of the recovery performance (depending on technical and organizational aspects); a chronological analysis, designed to collect delays between failures and their detection/recovery for each event. About 3600 events reported in French PWRs (1997-2003) had been reviewed through this model. Initially, the weight of factors and the most important factors, which influenced the detection and recovery delay, are defined. For this purpose, the regression Partial Least Square (PLS) is used. Then, to link RECUPERARE results with pre-accidental data, conditional probabilities of events linked between them by a cause and effect relationship are calculated. For this, the Bayesian method with the Bayesian network is built with the PLS obtained results and applied. This constitutes a first approach to take into account in HRA the human and organizational factors highlighted by operating feedback. (author)

  13. Funciones superiores en pacientes con accidente cerebro vascular.

    Directory of Open Access Journals (Sweden)

    Felipe Rodríguez

    2009-07-01

    Full Text Available Los estudios realizados en Chile hasta la fecha no permiten detectar de manera significativa el deterioro neuropsicológico causado por el accidente cerebro vascular (ACV y el impacto que éste tiene en el paciente a nivel de su desenvolvimiento diario y familiar. Con base a esto el objetivo de esta investigación fue elaborar un perfil de deterioro neuropsicológico de las diversas funciones cerebrales superiores causado por un ACV, en un grupo de 50 pacientes de la Unidad de Medicina Física del Hospital San José al cuál se le administró un Protocolo de Evaluación Neuropsicológica, comparándose luego con un grupo control de 50 sujetos evaluados con el mismo protocolo. Se encuentra que sobre un 20% de la población con ACV evaluada presenta deterioro en al menos uno de los ítems evaluados, siendo las funciones ejecutivas, la memoria a largo plazo y la memoria a corto plazo las áreas mayoritariamente afectada en la población evaluada.

  14. Accidental intoxication with hydrochloric acid and hydrofluoric acid mixture

    Directory of Open Access Journals (Sweden)

    Anna Smędra-Kaźmirska

    2014-08-01

    Full Text Available The paper describes a fatal case of accidental ingestion of a mixture of hydrochloric acid and hydrofluoric acid. The man was admitted to hospital, where appropriate treatment, adequate to his condition, was instituted. Numerous ventricular fibrillation episodes, for which the patient was defibrillated repeatedly, were observed during the period of hospitalization. The patient was in a critical condition, with progressive symptoms of hypovolemic shock and multiorgan failure. On the next day after admission, signs of electromechanical dissociation progressing to asystole were noted. The instituted resuscitation procedure proved ineffective and the patient died. Autopsy revealed brownish discoloration of the esophageal, gastric, and small intestinal mucous membranes. Numerous ulcerations without signs of perforation were found both in the esophagus and in the stomach. The mucous membrane of the small intestine demonstrated focal rubefactions, whereas no focal lesions of the large intestinal mucosa were seen. Microscopic investigation of the biopsy specimens collected from the stomach, duodenum and small intestine revealed mucous membrane necrosis foci, reaching the deeper layers of the wall of these organs. The mucous membrane of the large intestine was congested. Bioptates obtained from the lungs indicated the presence of hemorrhagic infarcts and focal extravasations. Poisoning with the aforementioned acids with consequent necrosis of the esophageal, gastric, duodenal and small intestinal walls with hemorrhages to the gastrointestinal tract, as well as extravasations and hemorrhagic infarcts in the lungs was considered to be the cause of death.

  15. Accidental blood exposures among medical residents in Paris, France.

    Science.gov (United States)

    Mir, O; Adam, J; Veyrie, N; Chousterman, B; Gaillard, R; Gregory, T; Yordanov, Y; Berveiller, P; Loulergue, P

    2011-03-01

    Accidental blood exposure (ABE) exposes healthcare workers, including medical residents, to the risk of occupational infection. We aimed to determine the characteristics of ABEs in residents with an anonymous self-reporting electronic questionnaire. A total of 350 residents (33% from surgical disciplines) entered this survey. One hundred and eighty-five residents (52%) reported at least one ABE during their residency (median, 2; range, 1-25), 53% of which occurred in operating theatres. Sixty-nine per cent of residents followed the current procedures for local disinfection. ABEs were notified to the hospital administration by 62% of residents, but only 51% of residents were referred to the occupational medicine department. The most frequently reported concerns following ABEs were human immunodeficiency virus (52%) and hepatitis C virus infection (39%). In 74% of cases, the serological status of the index patient was investigated. Only 54% of residents were aware of their hepatitis B surface antibody titres. Medical residents behaved inappropriately in 33% of cases in this survey. Further educational programmes should include residents, and not only senior healthcare workers, in order to improve individual behaviours.

  16. Management options for accidental injection of epinephrine from an autoinjector: a case report

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    Mathez Christian

    2009-06-01

    Full Text Available Abstract Introduction Epinephrine autoinjector devices are used with increasing frequency to treat severe anaphylactic reactions. Accidental injection, usually involving a finger, is a potential complication. Case presentation A physician in a Family Practice training program accidentally injected epinephrine into his left thumb while reading the operating instructions of an autoinjector (Epipen®. He developed swelling, pallor, and pain in the thumb. Treatment included topical nitroglycerin, oral vasodilators and warming of the thumb. As expected, none caused an immediate response; however, after 8 hours, the thumb was pink and warm. There was full recovery 2 months after the accident. We reviewed the treatment of accidental epinephrine injection, and found that the use of parenteral adrenergic alpha blocker phentolamine would have produced immediate recovery. Conclusions All health professionals concerned with the use of epinephrine autoinjectors should receive adequate instruction on their use. A regimen for management of accidental epinephrine injection, in particular the use of phentolamine, should be emphasized.

  17. Accidentes laborales en la provincia de Málaga: Participación del alcohol etílico y las drogas de abuso Labor accidents in the province of Malaga: Participation of the ethyl alcohol and the drugs of abuse

    Directory of Open Access Journals (Sweden)

    Sebastián Díaz Ruiz

    2011-09-01

    Full Text Available El presente trabajo se corresponde con un estudio observacional descriptivo de los accidentes de trabajo ocurrido en la provincia de Málaga entre Octubre de 2003 y Diciembre de 2006, con resultado de muerte y que fueron autopsiados en el Instituto de Medicina Legal de Málaga. En él hemos analizado todas aquellas variables circunstanciales que, de una forma u otra, desempeñan algún papel en la etiopatogenia de este tipo de lesiones, haciendo hincapié en la participación del alcohol etílico y las drogas de abuso. Se describen 17 casos positivos a alcohol etílico, cannabis o cocaína y destaca la ausencia de medidas de seguridad en el trabajador. Todo ello con la finalidad de establecer unas pautas de conducta que permitan, en la medida de lo posible, ayudar a prevenir e incluso a disminuir el número de estos accidentes que, por desgracia, en pleno siglo XXI se vienen cobrando todos los años un número no desechable de vidas humanas, con la tragedia que ello supone.This work corresponds to a descriptive observational study of work accidents occurred in the province of Malaga between October 2003 and December 2006, resulting in death and which were autopsied in the Institute of Legal Medicine of Malaga. We have analyzed all those circumstantial variables that, in one way or another, play a role in the pathogenesis of these lesions, emphasizing in the participation of ethyl alcohol and drug abuse. We described 17 cases positive to ethylic alcohol, cannabis or cocaine and the absence of safety measures in the worker. All this with the purpose of establishing a few behavior guidelines which as far as possible, may help to anticipate, and even to diminish the number of this type of accidents that, unfortunately, in full 21st century are still very high.

  18. Persistent Seroconversion after Accidental Eye Exposure to Calcifying Nanoparticles

    Science.gov (United States)

    Ciftcioglu, Neva; Aho, Katja M.; McKay, David S.; Kajander, E. Olavi

    2007-01-01

    Biosafety of nanomaterials has attracted much attention recently. We report here a case where accidental human eye exposure to biogenic nanosized calcium phosphate in the form of calcifying nanoparticles (CNP) raised a strong IgG immune response against proteins carried by CNP. The antibody titer has persisted over ten years at the high level. The IgG was detected by ELISA using CNPs propagated in media containing bovine and human serum as antigen. The exposure incident occurred to a woman scientist (WS) at a research laboratory in Finland at 1993. CNP, also termed "nanobacteria", is a unique self-replicating agent that has not been fully characterized and no data on biohazards were available at that time. Before the accident, her serum samples were negative for both CNP antigen and anti-CNP antibody using specific ELISA tests (Nanobac Oy, Kuopio, Finland). The accident occurred while WS was harvesting CNP cultures. Due to a high pressure in pipetting, CNP pellet splashed into her right eye. Both eyes were immediately washed with water and saline. The following days there was irritation and redness in the right eye. These symptoms disappeared within two weeks without any treatment. Three months after the accident, blood and urine samples of WS were tested for CNP cultures (2), CNP-specific ELISA tests, and blood cell counts. Blood cell counts were normal, CNP antigen and culture tests were negative. A high IgG anti-CNP antibody titer was detected (see Figure). The antibodies of this person have been used thereafter as positive control and standard in ELISA manufacturing (Nano-Sero IgG ELISA, Nanobac Oy, Kuopio, Finland).

  19. Análisis de accidentes severos en contenciones nucleares

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    Goicolea Ruigómez, José María

    1992-04-01

    Full Text Available Analysis for severe accidents has recently been added to the long list of requisites imposed on nuclear power plants. In this work we study the rationale and justiflcation for this type of analysis. Calculations for the structural response of the containment buildings can be performed on the computer using advanced nonlinear Finite Element codes. A state of the art review of these methods is carried out, proposing a methodology based on analysis by numerical methods with experimental validation. Additionally we present some results obtained by the authors for the analysis of both reinforced concrete and steel containments. The concluding remarks show the validity of the proposed methodology, as well as the evidence of a large security margin in the containments, due mainly to the conservatisms in the design stage.

    El análisis frente a accidentes severos ha venido a añadirse recientemente a la larga lista de requisitos impuestos a las centrales nucleares. En este trabajo se pretende estudiar la problemática y justificación de este tipo de análisis. El cálculo de la respuesta de la contención se puede realizar en el ordenador mediante métodos avanzados de elementos finitos no lineales. Se hace una revisión del estado de la técnica en estos métodos, proponiendo una metodología basada en el análisis mediante modelos numéricos con validación experimental. Se presentan asimismo los resultados de análisis realizados, para contenciones tanto de hormigón armado como metálicas. Las conclusiones del trabajo establecen la validez de la metodología empleada, así como la constatación de un amplio margen de seguridad existente en las contenciones evaluadas, debido a los conservadurismos del proceso de diseño original.

  20. Accidentes de trabajo fatales y violencia interpersonal en Brasil, 2000-2010

    Directory of Open Access Journals (Sweden)

    Vilma Sousa Santana

    2013-01-01

    Full Text Available En el presente estudio se estima la mortalidad proporcional por accidentes de trabajo provocados por violencia interpersonal en Brasil, entre 2000 y 2010. Se analizaron los datos del Sistema de Información sobre Mortalidad, basados en los informes estadísti- cos de defunción del Ministerio de Salud de Brasil, los cuales incluyen un campo para el registro de accidentes de trabajo que debe ser completado en toda defunción por causas externas. Se identificaron 1.368.732 casos de defunciones por causas externas, 31.576 (2,3% por accidentes de trabajo y solo 226 (0,02% por accidentes de trabajo con violen- cia interpersonal. Cerca del 80% de los informes estadísticos de defunción no tenían el campo “accidente de trabajo” completado. La mayor cantidad de casos ocurrió entre hom- bres (94,3% de 25-34 años, con nivel de escolaridad medio, ubicados en la región sudeste y noreste, que trabajan principalmente en la producción de bienes y servicios industriales y la actividad agropecuaria. La mayoría de los casos fueron causados por armas de fuego, seguidos por armas blancas, con un aumento relativo de estos últimos en el período estu- diado. Los resultados sugieren un gran subregistro de diagnósticos que reconocen la rela- ción con el trabajo. Se hace necesaria una mejor capacitación en el llenado de los informes estadísticos, así como estudios que cuantifiquen el subregistro de accidentes de trabajo y accidentes de trabajo con violencia interpersonal.

  1. Causes of accidental childhood deaths in China in 2010: A systematic review and analysis

    Directory of Open Access Journals (Sweden)

    Kit Yee Chan

    2015-06-01

    Full Text Available Background Infectious causes of childhood deaths in the world have decreased substantially in the 21st century. This trend has exposed accidental deaths as an increasingly important future challenge. Presently, little is known about the cause structure of accidental childhood deaths in low– and middle–income country (LMIC settings In this paper, we aim to establish cause structure for accidental deaths in children aged 0–4 years in China in the year 2010. Methods In this paper, we explored the database of 208 multi–cause child mortality studies in Chinese that formed a basis for the first published estimate of the causes of child deaths in China (for the year 2008. Only five of those studies identified specific causes of accidental deaths. Because of this, we searched the Chinese medical literature databases CNKI and WanFang for single–cause mortality studies that were focused on accidental deaths. We identified 71 further studies that provided specific causes for accidental deaths. We used epidemiological modeling to estimate the number of accidental child deaths in China in 2010 and to assign those deaths to specific causes. Results In 2010, we estimated 314 581 deaths in children 0–4 years in China, of which 31 633 (10.1% were accidental. Accidental deaths contributed 7240 (4.0% of all deaths in neonatal period, 8838 (10.5% among all post–neonatal infant deaths, and 15 554 (31.7% among children with 1–4 years of age. Among four tested models, the most predictive was used to establish the likely cause structure of accidental deaths in China. We estimated that asphyxia caused 9490 (95% confidence interval (CI 8224–11 072, drowning 5694 (95% CI 5061–6327, traffic accidents 3796 (95% CI3163–4745, poisoning 3163 (95% CI 2531–3796 and falls 2531 (95% CI 2214–3163 deaths. Based on medians from a few rare studies, we also predict 633 (95% CI 316–1265 deaths to be due to burns and 316 (95% CI 0–633 due to falling objects

  2. Patterns and Trends in Accidental Poisoning Deaths: Pennsylvania's Experience 1979-2014.

    Directory of Open Access Journals (Sweden)

    Lauren C Balmert

    Full Text Available The purpose of this study was to examine county and state-level accidental poisoning mortality trends in Pennsylvania from 1979 to 2014.Crude and age-adjusted death rates were formed for age group, race, sex, and county for accidental poisonings (ICD 10 codes X40-X49 from 1979 to 2014 for ages 15+ using the Mortality and Population Data System housed at the University of Pittsburgh. Rate ratios were calculated comparing rates from 1979 to 2014, overall and by sex, age group, and race. Joinpoint regression was used to detect statistically significant changes in trends of age-adjusted mortality rates.Rate ratios for accidental poisoning mortality in Pennsylvania increased more than 14-fold from 1979 to 2014. The largest rate ratios were among 35-44 year olds, females, and White adults. The highest accidental poisoning mortality rates were found in the counties of Southwestern Pennsylvania, those surrounding Philadelphia, and those in Northeast Pennsylvania near Scranton.The patterns and locations of accidental poisoning mortality by race, sex, and age group provide direction for interventions and policy makers. In particular, this study found the highest rate ratios in PA among females, whites, and the age group 35-44.

  3. Tratamiento de Terapia Ocupacional en el accidente cerebrovascular

    Directory of Open Access Journals (Sweden)

    Domingo García, AM

    2006-02-01

    Full Text Available RESUMENEntre los muchos pacientes que necesitan tratamiento rehabilitador en Terapia Ocupacional están los que en la edad adulta han sufrido un accidente cerebrovascular.Uno de los factores de riesgo asociados con más frecuencia a las alteraciones del sistema nervioso central es el progresivo envejecimiento de la población, debido a esto orientaré el siguiente artículo hacia la intervención sobre la población geriátrica.La Terapia Ocupacional ofrece un tratamiento global que abarca las áreas funcional, motriz, sensorial, perceptivo y cognitiva. No debemos olvidar el asesoramiento realizado al paciente, a la familia y/ o cuidadores sobre el manejo de la persona que ha sufrido un ictus, la adaptación del entorno y la prescripción, uso y manejo de ayudas técnicas cuando sea necesario.Las propuestas terapéuticas que expondré a continuación, no son recetas únicas que se puedan emplear del mismo modo en todos las personas que hayan sufrido un ictus. Con cada paciente será necesario una evaluación individualizada de su situación y una adaptación de la terapia según sus déficit específicos.La meta final de la Terapia Ocupacional es la integración óptima del paciente dentro de su entorno familiar y social, con el mayor grado de autonomía posible.ABSTRACTAmong the patients who need Occupational Therapy’s rehabilitation treatment, there are those who have suffered a cerebrovascular damage when elderly.People’s gradual ageing is one of the risk factors in the nervous central system’s alterations and this is why I am going to write about intervention on geriatric population.The Occupational Therapy’s rehabilitation treatment works on the functional, motor, sensorial, perceptive and cognitive areas. Moreover, we should not forget to advise the patient and his/her family or caregivers about the way of treating ,the environment’s adaptation, the prescription and use of technical aids when needed.The following therapeutic

  4. Materiales didácticos para los contenidos de enfermedad y accidente en la etapa infantil

    OpenAIRE

    Bocos Urdiales, Elías Javier

    2015-01-01

    Este trabajo, es una programación didáctica, que responde a la necesidad de crear materiales para la enseñanza dedicada a la actuación y prevención de accidentes y enfermedades tanto en lo personal, como en lo colectivo tanto en el aula como en los pasillos, patio y zonas comunes. En relación a los accidentes se realizaran materiales para la prevención de los accidentes en el ámbito del centro escolar; y además de la prevención daremos pautas de actuación a los alumnos de tal manera que se...

  5. Perfil dos acidentes de trabalho no Hospital Universitário de Brasília Perfil de los accidentes de trabajo en el Hospital Universitário de Brasília Profile of work accidents in the Hospital Universitário of Brasília

    Directory of Open Access Journals (Sweden)

    Diana Lúcia Moura Pinho

    2007-06-01

    Full Text Available Este estudo analisa a prevalência dos acidentes de trabalho de enfermagem no HUB, ocorridos de julho de 2002 a julho de 2003, a fim de dimensionar a magnitude do problema e propor ações preventivas. Trata-se de uma abordagem com base no método qualitativo do tipo exploratório-descritivo. Identificaram-se 68 Comunicações Internas de Acidentes de Trabalho (CIATs. A manipulação de perfurocortantes corresponde a 62,38% das atividades que ocasionaram acidentes. Pela manhã, ocorreram 52,94% dos acidentes. Dos profissionais acidentados, 76,47% são do sexo feminino. A categoria de auxiliar de enfermagem sofreu 26,47% dos acidentes. A Clínica Médica e o Centro de Pronto Atendimento (CPA registraram cada 11,76% dos acidentes. As mãos foram as regiões do corpo mais acometidas, com 63,20% dos casos.Este estudio analiza el predominio de los accidentes de trabajo en enfermería en el HUB, ocurridos de julio de 2002 al julio de 2003, para dimensionar la magnitud del problema y considerar prescripciones. Se trata de un abordaje con base en el método cualitativo del tipo exploratorio-descriptivo. 68 Comunicaciones Internas de los Accidentes de Trabajo (CIATs fueron identificadas. La manipulación del material corto-punzante corresponde a la 62,38% de las actividades que habían causado accidentes. 52,94% de los accidentes ocurrieron por la mañana. De los profesionales accidentados, 76,47% son del sexo femenino. La categoría de auxiliar de enfermería sufrió 26,47% de los accidentes. La Clínica Médica y el Centro de Pronto Atendimento (CPA registraran cada 11,76% de los accidentes. Las manos fueran las regiones del cuerpo más atacadas, con 63,20% de los casos.This study analyzes the prevalence of work accidents among nursing staff in the HUB, occurred from July 2002 July 2003, in order to dimensionate the magnitude of the problem and to propose preventive actions. It is an approach based on the qualitative method of the exploratory

  6. Burns in the domestic environment: characteristics and circumstances of accidents Quemaduras en ambiente doméstico: características y circunstancias del accidente Queimaduras em ambiente doméstico: características e circunstâncias do acidente

    Directory of Open Access Journals (Sweden)

    Tatiane Meda Vendrusculo

    2010-06-01

    Full Text Available This study characterizes burn accidents in the domestic environment and identifies the circumstances of accidents affecting children, adults or elderly people who need supervision or care. Demographic data and burn characteristics of 61 domestic environment burn victims were collected. The family members of 13 children and one aged adult, who needed supervision or special care, were selected to answer a semi-structured interview. Two thematic groups were identified: social and environmental factors that might have contributed to the burn accidents and circumstances involving the accidents. Risk factors were: low socioeconomic and educational levels of mothers and those responsible for the children at the moment of the accident, small houses considering the number of occupants and unsafe kitchen equipment. Although cases of domestic violence were not identified there was neglect from caregivers. Health professionals should be attentive and investigate the circumstances of accidents involving vulnerable individuals.Este estudio tuvo como objetivos caracterizar los accidentes por quemaduras, ocurridos en ambiente doméstico, e identificar las circunstancias de esos accidentes cuando afectaron niños, adultos o ancianos que necesitaban de supervisión. Fueron recolectados datos demográficos y sobre el trauma de 61 víctimas de quemaduras en ambiente doméstico. De esas, 13 niños y un anciano, con necesidad de supervisión o cuidado especial, tuvieron los familiares seleccionados para entrevista semiestructurada. Fueron identificados dos núcleos temáticos: factores que pueden haber contribuido para la ocurrencia de accidentes por quemaduras: sociales y ambientales y, circunstancias que envolvieron el accidente. Los factores de riesgo fueron: bajo nivel socioeconómico y de instrucción de las madres responsables por el niño en el momento del accidente, habitaciones pequeñas para el número de residentes, y, equipamientos de cocina precarios. No

  7. Insomnia medication use and the probability of an accidental event in an older adult population

    Directory of Open Access Journals (Sweden)

    Alon Y Avidan

    2010-11-01

    Full Text Available Alon Y Avidan1, Liisa A Palmer2, Justin F Doan3, Robert W Baran31UCLA Department of Neurology, Los Angeles, CA, USA; 2Thomson Reuters, Washington, DC, USA; 3Takeda Global Research and Development Center, Deerfield, IL, USAObjective: This study examined the risk of accidental events in older adults prescribed a sedating antidepressant, long-acting benzodiazepine, short-acting benzodiazepine, and nonbenzodiazepine, relative to a reference group (selective melatonin receptor agonist.Methods: This was a retrospective cohort analysis of older adults (≥65 years with newly initiated pharmacological treatment of insomnia. Data were collected from the Thomson MarketScan® Medicare Supplemental and Coordination of Benefits databases (January 1, 2000, through June 30, 2006. Probit models were used to evaluate the probability of an accidental event.Results: Data were analyzed for 445,329 patients. Patients taking a long-acting benzodiazepine (1.21 odds ratio [OR], short-acting benzodiazepine (1.16 OR, or nonbenzodiazepine (1.12 OR had a significantly higher probability of experiencing an accidental event during the first month following treatment initiation compared with patients taking the reference medication (P < 0.05 for all. A significantly higher probability of experiencing an accidental event was also observed during the 3-month period following the initiation of treatment (1.62 long-acting benzodiazepine, 1.60 short-acting benzodiazepine, 1.48 nonbenzodiazepine, and 1.56 sedating antidepressant; P < 0.05.Conclusions: Older adults taking an SAD or any of the benzodiazepine receptor agonists appear to have a greater risk of an accidental event compared with a reference group taking an MR.Keywords: insomnia, accidental events, benzodiazepine receptor agonist, melatonin receptor agonist, older adults

  8. El estudio del factor humano en accidentes de aviación

    OpenAIRE

    Sánchez Rubio, Lina María

    2010-01-01

    El factor humano ha sido considerado causa o contribución del 70 al 80% de los accidentes de aviación en el mundo, y constituye una prioridad en investigación para la seguridad aérea. Las estadísticas muestran que los índices y causas de accidentes de aviación se mantienen constantes, e identifican una importante diferencia entre regiones. La investigación científica requiere de nuevas y complementarias aproximaciones para la explicación y comprensión del factor humano en aviación. Los médico...

  9. Inhaled Surfactant in the treatment of accidental Talc Powder inhalation: a new case report

    Directory of Open Access Journals (Sweden)

    Lo Piparo Caterina

    2011-09-01

    Full Text Available Abstract The use of talcum powder is incorrectly part of the traditional care of infants. Its acute aspiration is a very dangerous condition in childhood. Although the use of baby powder has been discouraged from many authors and the reports of its accidental inhalation have been ever more rare, sometimes new cases with several fatalities have been reported. We report on a patient in which accidental inhalation of baby powder induced severe respiratory difficulties. We also point out the benefits of surfactant administration. Surfactant contributed to the rapid improvement of the medical and radiological condition, preventing severe early and late complications and avoiding invasive approaches.

  10. Accidentes ocupacionales y conocimiento sobre precauciones universales en internos universitarios costarricenses

    Directory of Open Access Journals (Sweden)

    Álvaro Rivera-Valdivia

    2005-04-01

    Full Text Available Justificación y objetivo: los internos universitarios (estudiantes de medicina en su último año son vulnerables a accidentes ocupacionales con agujas y otros objetos cortantes, especialmente debido a su inexperiencia y falta de entrenamiento aunados a su deseo de realizar una serie de nuevas actividades y procedimientos. No existe información en nuestro país con respecto a la frecuencia de este tipo de accidentes en internos universitarios de la carrera de medicina. El objetivo del presente estudio fue estudiar la frecuencia y tipo de accidentes ocupacionales sufridos con mayor frecuencia por internos de medicina y evaluar su conocimiento sobre precauciones universales. Metodología: Se realizó un estudio descriptivo de corte transversal a través de una encuesta directa y anónima. De todos los internos de medicina que trabajaban en el Valle Central de octubre de 2001 a enero de 2002 se seleccionó una muestra aleatoria de 201 internos (poder 95%, error 5%. A la población seleccionada se le aplicó una encuesta precodificada, la cual consistía en 20 preguntas estructuradas, la mayoría cerradas y tres abiertas relacionadas con la ocurrencia de accidentes ocupacionales en los médicos internos, número, tipo, acciones tomadas tras el accidente y conocimientos sobre precauciones universales. Posteriormente se hizo un análisis descriptivo de los resultados obtenidos. Resultados: de todos los participantes, 90% habían trabajado más de 3 meses como médicos internos. Más de la mitad habían realizado al menos 3 meses de rotación en una área médica y 3 meses en una área quirúrgica. La muestra incluyó estudiantes de 5 universidades diferentes. Sólo un 37% de los internos encuestados habían recibido la vacunación contra virus de la hepatitis B. Del total de internos, 64% admitió haber sufrido al menos un accidente ocupacional con sangre de algún paciente, un 20% admitió haber sufrido 3 o 4 accidentes. De los internos que

  11. 36 CFR 1230.10 - Who is responsible for preventing the unlawful or accidental removal, defacing, alteration, or...

    Science.gov (United States)

    2010-07-01

    ... MANAGEMENT UNLAWFUL OR ACCIDENTAL REMOVAL, DEFACING, ALTERATION, OR DESTRUCTION OF RECORDS § 1230.10 Who is... destruction, removal, alteration or defacement of records; (c) Implement and disseminate policies and... preventing the unlawful or accidental removal, defacing, alteration, or destruction of records?...

  12. Tratamiento de la hipertensión arterial en accidente cerebrovascular

    OpenAIRE

    Luna Vela, Fredy Andrés

    2013-01-01

    Revisión sistemática de la literatura en la que se discuten las controversias del manejo de la presión arterial en las emergencias neurológicas agudas cerebrovasculares como accidente cerebrovascular isquémico, hemorrágico y hemorragia subaracnoidea.

  13. The accidental city : violence, economy and humanitarianism in Kakuma refugee camp Kenya

    NARCIS (Netherlands)

    Jansen, B.J.

    2011-01-01

    In this research I examine social ordering processes in Kakuma refugee camp in Kenya. I view the camp as an accidental city, by which I challenge the image of the camp as a temporary and artificial waiting space or a protracted refugee crisis per se. The reference to the city is both metaphorical

  14. Accidental Epipen injection into a digit - the value of a Google search.

    Science.gov (United States)

    Turner, M J A; Purushotham, A D

    2004-05-01

    Despite the lack of awareness by the clinicians consulted of the most suitable treatment for accidentally injected epinephrine, this patient was successfully treated due mainly to the ability of clinicians on-site to access the Internet in the A&E department. A broad search engine such as Google can be an invaluable tool in finding important clinical information rapidly.

  15. [Accidental injection of adrenaline in a finger with EpiPen].

    Science.gov (United States)

    Kaspersen, J; Vedsted, P

    1998-11-01

    We report a case of accidental injection of 0.3 mg epinephrine in the right pollux. The actual case was treated with systemic nitroglyceride and immersion of the finger in hot water. A review of the literature shows that the adequate treatment is local infiltration with Phentholamine Mesylate. There is a need to describe this treatment in conventional literature.

  16. Accidental Epipen injection into a digit - the value of a Google search.

    Science.gov (United States)

    Turner, M. J. A.; Purushotham, A. D.

    2004-01-01

    Despite the lack of awareness by the clinicians consulted of the most suitable treatment for accidentally injected epinephrine, this patient was successfully treated due mainly to the ability of clinicians on-site to access the Internet in the A&E department. A broad search engine such as Google can be an invaluable tool in finding important clinical information rapidly. PMID:15140311

  17. Insertion of an intrathecal catheter following accidental dural puncture : a meta-analysis

    NARCIS (Netherlands)

    Heesen, M.; Kloehr, S.; Rossaint, R.; Walters, M.; Straube, S.; van de Velde, M.

    2013-01-01

    Background: Inserting an intrathecal catheter after accidental dural puncture in parturients to prevent postdural puncture headache is becoming increasingly popular. We aimed to identify relevant published articles investigating this intervention and subject data to a meta-analysis. Methods: A syste

  18. Multiple scattering and accidental coincidences in the J-PET detector simulated using GATE package

    CERN Document Server

    Kowalski, P; Wiślicki, W; Raczyński, L; Bednarski, T; Białas, P; Bułka, J; Czerwiński, E; Gajos, A; Gruntowski, A; Kamińska, D; Kapłon, Ł; Kochanowski, A; Korcyl, G; Kowal, J; Kozik, T; Krzemień, W; Kubicz, E; Niedźwiecki, Sz; Pałka, M; Rudy, Z; Salabura, P; Sharma, N G; Silarski, M; Słomski, A; Smyrski, J; Strzelecki, A; Wieczorek, A; Wochlik, I; Zieliński, M; Zoń, N

    2015-01-01

    Novel Positron Emission Tomography system, based on plastic scintillators, is developed by the J-PET collaboration. In order to optimize geometrical configuration of built device, advanced computer simulations are performed. Detailed study is presented of background given by accidental coincidences and multiple scattering of gamma quanta.

  19. The Costs of Cultural Change: Accidental Injury and Modernization among the Papago Indians

    Science.gov (United States)

    Hackenberg, Robert A.; Gallagher, Mary M.

    1972-01-01

    Several theories are examined suggesting that stress associated with modernization is responsible for excesses of accidental injuries among American Indians. A preliminary version of this paper was presented at the annual meetings of the American Anthropological Association, New York, 1971. (FF)

  20. INTERNAL BALLOON TAMPONADE - A NONSURGICAL METHOD FOR REMOVAL OF ACCIDENTALLY PLACED SHEATHS FROM THE SUBCLAVIAN ARTERY

    NARCIS (Netherlands)

    VANDIJK, RB; DENHEIJER, P; DEMUINCK, E; LIE, KI

    1993-01-01

    One of the possible complications of subclavian vein puncture is accidental puncture of the subclavian artery. If this is not noted immediately after the puncture, insertion of a large bore sheath in the subclavian artery is likely to follow. We describe our experience with a new method that enables

  1. Management of accidental dural puncture and post-dural puncture headache after labour: a Nordic survey

    DEFF Research Database (Denmark)

    Darvish, B; Gupta, A; Alahuhta, S

    2011-01-01

    a major risk with epidural analgesia is accidental dural puncture (ADP), which may result in post-dural puncture headache (PDPH). This survey was conducted to explore the incidence of ADP, the policy for management of PDPH and the educational practices in epidural analgesia during labour in the N...

  2. Intraperitoneal granulomatous foreign body reaction after accidental perforation of the abdominal wall. Case report

    DEFF Research Database (Denmark)

    Lanng, C; Winther-Nielsen, H; Hougen, H P

    2013-01-01

    After an accidental perforation by a wooden stake of the abdominal wall and distal ileum a 28-year-old man developed an aggressive granulomatous foreign body reaction of the greater omentum with high fever and abdominal pain. The patient was cured by omental resection and prednisone treatment....

  3. [Risk of acute hepatic insufficiency in children due to chronic accidental overdose of paracetamol (acetaminophen)

    NARCIS (Netherlands)

    Hameleers-Snijders, P.; Hogeveen, M.; Smeitink, J.A.M.; Kramers, C.; Draaisma, J.M.T.

    2007-01-01

    Two girls aged 4 and 3 years, respectively, experienced acute liver failure due to accidental ingestion of supratherapeutic doses of paracetamol (90 mg/kg/day or more). Recognition of chronic paracetamol intoxication as a cause of acute hepatic failure is often delayed. It is important to consider t

  4. La configuraci??n jur??dica del accidente de trabajo

    OpenAIRE

    S??nchez P??rez, Jos??

    2013-01-01

    Esta obra incorpora un an??lisis global del accidente de trabajo y su configuraci??n jur??dica. Analiza su evoluci??n hist??rica e incorpora una selecci??n de m??s de 300 sentencias del Tribunal Supremo que permiten identificar su contenido.

  5. [Factors associated with the danger of accidental falls among institutionalized elderly individuals: an integrative review].

    Science.gov (United States)

    Gomes, Erika Carla Cavalcanti; Marques, Ana Paula de Oliveira; Leal, Márcia Carréra Campos; Barros, Benvinda Pereira de

    2014-08-01

    The scope of this research is to identify the major risk factors associated with accidental falls among the elderly. It involves an integrative review of the literature between 2002 and 2012 in English and Portuguese. The selection of articles was based on the following key words in the Lilacs, Medline and BDENF databases: accidental falls, homes for the elderly and health services. In the final sample 19 articles were selected, of which 11 were national and 8 were international. They indicate that the major factors related to the risk of accidental falls in Homes for the Elderly are: being female, being diagnosed with chronic disease, treatment with benzodiazepine, earlier cases of accident falls, and mobility restriction. The research reveals that architectonic and furniture inadequacies in Homes for the Elderly may be predisposing factors for accidental falls. Analysis of the articles reveals the need for further longitudinal studies and, consequently, enhanced monitoring of the conditions of the functional capacity of the elderly, especially the risks related to falls, considered one of the leading causes of death among institutionalized elderly individuals.

  6. Calculations of doses for the personnel wrapped up in the radiological accident of the Specialties Hospital of the National Medical Center ''Siglo XXI''; Calculos de dosis para el personal involucrado en el accidente radiologico del Hospital de Especialidades del Centro Medico Nacional ''Siglo XXI''

    Energy Technology Data Exchange (ETDEWEB)

    Cortes C, A. [CNSNS, Dr. Barragan 779, Col Narvarte, Mexico D.F. (Mexico)]. e-mail: acortes@cnsns.gob.mx

    2004-07-01

    In this work the methodology used by the National Commission of Nuclear Safety and Safeguards for the determination of the internal dose due to the ingestion of coffee with I-131 for the personnel of the service of nuclear medicine of the Hospital of Specialties of the National Medical Center ''Siglo XXI'' of the Mexican Institute of the Social Insurance (IMSS), that was poured in the coffeepot of the service by a deliberate act before mentioned, is presented. Three different techniques were used to determine the initial activity incorporated starting from the measurements of retained activity in thyroid for 6 people of the service of nuclear medicine; the techniques employee provided consistent results. Using the results of the technique of the best estimator, it was applied the proposed methodology by the International Commission of Radioprotection in its publication 30 to determine the absorbed doses by the personnel involved in the accident, with which the Commission determines the administrative consequences to those that it should be held the personnel and the directive of the service of nuclear medicine of the one nosocome. (Author)

  7. Organizational influence on the occurrence of work accidents involving exposure to biological material La influencia de la organización en la ocurrencia de accidentes de trabajo con exposición a material biológico Influência organizacional na ocorrência de acidentes de trabalho com exposição a material biológico

    Directory of Open Access Journals (Sweden)

    Maria Helena Palucci Marziale

    2013-02-01

    la primera etapa, se analizaron las características de los accidentes de trabajo con exposición a material biológico entre el personal de enfermería del hospital, ocurridos a lo largo de siete años, registrado en la base de datos. En el segundo paso, se analizaron las percepciones sobre la cultura de la institución de 122 profesionales de enfermería asignados al grupo control (no lesionadas trabajadores y al grupo de casos (los trabajadores lesionados. RESULTADOS: 386 accidentes fueron reportados; las lesiones percutáneas en el 79% de los casos, las agujas fueron los materiales que intervienen en el 69,7% de los accidentes y el 81,9% de los accidentes hubo contacto con sangre. En cuanto a la influencia de la cultura organizacional en la ocurrencia de accidentes, los resultados obtenidos del análisis de los dos grupos no mostraron diferencias significativas entre las puntuaciones medias asignadas por los empleados para cada categoría de la organización o en la práctica. La conclusión es que los accidentes con exposición a material biológico deben ser evitados. Sin embargo, no fue posible verificar la influencia de los valores de la organización y las prácticas sobre el comportamiento de los trabajadores ante la ocurrencia de accidentes de este tipo.OBJETIVOS: analisar os acidentes de trabalho com exposição a materiais biológicos, ocorridos entre trabalhadores de enfermagem, e avaliar a influência da cultura organizacional sobre a ocorrência desses acidentes. MÉTODO: trata-se de estudo retrospectivo, analítico, realizado em duas etapas em um hospital de ensino integrante da Rede de Prevenção de Acidentes de Trabalho-Repat. Na primeira etapa foram analisadas as características dos acidentes de trabalho com exposição a material biológico registrados entre os trabalhadores de enfermagem do hospital estudado e registrados na banco de dados da Repat, durante sete anos. Na segunda etapa, foram analisadas as percepções sobre a cultura da

  8. Multifocal inflammatory leukoencephalopathy induced by accidental consumption of levamisole: A case report.

    Science.gov (United States)

    Sariaslani, Payam; Ghanbari, Ali; Ghanbari, Parvin

    2012-01-01

    Levamisole is an anthelmintic agent and also immunostimulant drug which is used to treat colorectal cancer. The present study aimed to show accidental consumption of levamisole alone induced multifocal inflammatory leukoencephalopathy. A 53-year-old male was admitted to the Neurology Department of Farabi Hospital (Kermanshah, Iran) with walking inability and recognition disorder. Following clinical examinations, the patient diagnosed as multifocal inflammatory leukoencephalopathy following levamisole consumption.The patient was treated with intravenous methylprednisolone followed by prednisolone. The magnetic resonance imaging (MRI) was done 1 month later and did not show a reduction or remission in the lesions. History of the patient showed that he had accidentally consumed levamisole 8 months ago. It seems that the consumption of levamisole can induce multifocal inflammatory leukoencephalopathy and delayed treatment of the patient with corticosteroid cannot diminish the neurotoxicity of levamisole. In addition, the cytotoxic dose of levamisole induces irreversible multifocal inflammatory leukoencephalopathy.

  9. Accidental Displacement of Third Molar into the Sublingual Space: a Case Report

    Directory of Open Access Journals (Sweden)

    Rubens Jorge

    2014-10-01

    Full Text Available Background: Successful extraction of third molars depends on preoperative diagnosis and planning. Gold standard preoperative examinations are performed through computed tomography, decreasing risks and avoiding potential accidents. The present report highlights the value of preoperative examinations in face of accidentally displaced third molars. Methods: An 18-years-old female patient underwent a third mandibular molar extraction with a general dentist. Accidentally, the mandibular left third molar was displaced into the sublingual space, making necessary a second surgical step. The surgery was interrupted and the patient was referred to an expert in maxillofacial surgery. Results: After 21 days awaiting an asymptomatic health status, the second surgical step was successfully performed using multislice computed tomography as preoperative imaging guide. Conclusions: The present case report highlights the clinical usefulness of imaging planning and informed consents in face of legal and ethic potential complaints.

  10. Marine oil spill risk mapping for accidental pollution and its application in a coastal city.

    Science.gov (United States)

    Lan, Dongdong; Liang, Bin; Bao, Chenguang; Ma, Minghui; Xu, Yan; Yu, Chunyan

    2015-07-15

    Accidental marine oil spill pollution can result in severe environmental, ecological, economic and other consequences. This paper discussed the model of Marine Oil Spill Risk Mapping (MOSRM), which was constructed as follows: (1) proposing a marine oil spill risk system based on the typical marine oil spill pollution accidents and prevailing risk theories; (2) identifying suitable indexes that are supported by quantitative sub-indexes; (3) constructing the risk measuring models according to the actual interactions between the factors in the risk system; and (4) assessing marine oil spill risk on coastal city scale with GIS to map the overall risk. The case study of accidental marine oil spill pollution in the coastal area of Dalian, China was used to demonstrate the effectiveness of the model. The coastal areas of Dalian were divided into three zones with risk degrees of high, medium, and low. And detailed countermeasures were proposed for specific risk zones.

  11. A Precise Analytic Delayed Coincidence Efficiency and Accidental Coincidence Rate Calculation

    CERN Document Server

    Yu, Jingyi; Chen, Shaomin

    2013-01-01

    In a delayed coincidence experiment, for example, the recent reactor neutrino oscillation experiments, a precise analytic determination of the delayed coincidence signal efficiency and the accidental coincidence background rate is important for the high accuracy measurement of the oscillation parameters and to understand systematic uncertainties associated with fluctuations in muon rate and random background rate. In this work, a data model is proposed to describe the full time sequence of all possible events on the live time axis. The acceptance of delayed coincidence signals, the rate of accidental backgrounds and other coincidence possibilities are calculated by assuming that all of the `net muons' are uniformly distributed on the live time axis. The intrinsic relative uncertainties in the event rates are at the $10^{-5}$ level for all combinations. The model and predictions are verified with a high statistics Monte Carlo study with a set of realistic parameters.

  12. [The prevalence of accidental poisoning in a hospital pediatric unit of Latium].

    Science.gov (United States)

    Faraoni, F; Protano, C; Bini, V; Lizzi, R

    2006-01-01

    The aim of this study was to investigate the trend of accidental poisoning among children, over a period of fifteen years, from 1990 to 2004, in the pediatric wards of a hospital in Latium (Italy). The prevalence of childhood poisoning was calculated based on the medical records of the pediatric unit of the hospital. The derived data was divided into different categories according to age, gender and types of poisoning. The results of this study show a decrease in accidental pediatric poisoning; according to the literature the frequency of poisoning was higher in males, under the age of 2 years, than females. Trends show an increase in pharmaceutical poisonings. The present study underlines the need for continuous information on prevention and educational programs organized by the Institutions, territorial sanitary services and GP with the aim of increasing the awareness of parents regarding the risk factors of poisoning.

  13. Accidental versus operational oil spills from shipping in the Baltic Sea: risk governance and management strategies.

    Science.gov (United States)

    Hassler, Björn

    2011-03-01

    Marine governance of oil transportation is complex. Due to difficulties in effectively monitoring procedures on vessels en voyage, incentives to save costs by not following established regulations on issues such as cleaning of tanks, crew size, and safe navigation may be substantial. The issue of problem structure is placed in focus, that is, to what degree the specific characteristics and complexity of intentional versus accidental oil spill risks affect institutional responses. It is shown that whereas the risk of accidental oil spills primarily has been met by technical requirements on the vessels in combination with Port State control, attempts have been made to curb intentional pollution by for example increased surveillance and smart governance mechanisms such as the No-Special-Fee system. It is suggested that environmental safety could be improved by increased use of smart governance mechanisms tightly adapted to key actors' incentives to alter behavior in preferable directions.

  14. Multifocal Inflammatory Leukoencephalopathy Induced by Accidental Consumption of Levamisole: A Case Report

    Directory of Open Access Journals (Sweden)

    Ali Ghanbari

    2012-01-01

    Full Text Available Levamisole is an anthelmintic agent and also immunostimulant drug which is used to treat colorectal cancer. The present study aimed to show accidental consumption of levamisole alone induced multifocalinflammatory leukoencephalopathy. A 53-year-old male was admitted to the Neurology Department of Farabi Hospital(Kermanshah, Iran with walking inability and recognition disorder. Following clinical examinations, the patient diagnosed as multifocal inflammatory leukoencephalopathy following levamisole consumption.The patient was treated with intravenous methylprednisolone followed by prednisolone. The magnetic resonance imaging (MRI was done 1 month later and did not show a reduction or remission in the lesions. History of the patient showed that he had accidentally consumed levamisole 8 months ago. It seems that the consumption of levamisole can induce multifocal inflammatory leukoencephalopathy and delayed treatment of the patient with corticosteroid cannot diminish the neurotoxicity of levamisole. In addition, the cytotoxic dose of levamisole induces irreversible multifocal inflammatory leukoencephalopathy.

  15. Multifocal inflammatory leukoencephalopathy induced by accidental consumption of levamisole: A case report

    Science.gov (United States)

    Sariaslani, Payam; Ghanbari, Parvin

    2012-01-01

    Levamisole is an anthelmintic agent and also immunostimulant drug which is used to treat colorectal cancer. The present study aimed to show accidental consumption of levamisole alone induced multifocal inflammatory leukoencephalopathy. A 53-year-old male was admitted to the Neurology Department of Farabi Hospital (Kermanshah, Iran) with walking inability and recognition disorder. Following clinical examinations, the patient diagnosed as multifocal inflammatory leukoencephalopathy following levamisole consumption.The patient was treated with intravenous methylprednisolone followed by prednisolone. The magnetic resonance imaging (MRI) was done 1 month later and did not show a reduction or remission in the lesions. History of the patient showed that he had accidentally consumed levamisole 8 months ago. It seems that the consumption of levamisole can induce multifocal inflammatory leukoencephalopathy and delayed treatment of the patient with corticosteroid cannot diminish the neurotoxicity of levamisole. In addition, the cytotoxic dose of levamisole induces irreversible multifocal inflammatory leukoencephalopathy. PMID:24250864

  16. Salade malade: malignant ventricular arrhythmias due to an accidental intoxication with Aconitum napellus

    OpenAIRE

    Weijters, B.J.; Verbunt, R.J.A.M.; Hoogsteen, J.; Visser, R.F.

    2008-01-01

    Intoxication with Aconitum napellus is rare in our regions. Aconite alkaloids can cause ventricular arrhythmia by a prolonged activation of sodium channels. Because the margin of safety is low between the analgesic and toxic dose, intoxication is not rare when Aconite is used in herbal medicine. We present a case in which a 39-year-old male was accidentally intoxicated with Aconite. Even though no antidote or adequate therapy is available he was successfully resuscitated. (Neth Heart J 2008;1...

  17. Current controversies in the interpretation of non-accidental head injury

    Energy Technology Data Exchange (ETDEWEB)

    Jaspan, Tim [Imaging Centre, University Hospital, Nottingham (United Kingdom)

    2008-06-15

    The field of non-accidental injury (NAI) has been the subject of a number of theories and hypotheses of variable merit. Concerning injuries that occur within the intracranial compartment, much research has been undertaken to investigate the cause of SDH and parenchymal brain injury. Much, however, remains contentious, particularly regarding the medicolegal aspects of suspected child abuse. Issues that present the greatest challenges will be addressed. (orig.)

  18. Artritis tuberculosa - Autoinoculación en profesional sanitario por accidente laboral

    Directory of Open Access Journals (Sweden)

    Sara Cardoso

    2012-12-01

    Los autores describen un caso de monoartritis tuberculosa en un médico traumatólogo previamente sano, por inoculación accidental durante el drenaje quirúrgico de una artritis séptica. El tratamiento oral con fármacos antituberculosos y el drenaje quirúrgico fueron suficientes, sin tener que recurrir a la sinovectomía.

  19. The Impacts of Air Temperature on Accidental Casualties in Beijing, China

    Science.gov (United States)

    Ma, Pan; Wang, Shigong; Fan, Xingang; Li, Tanshi

    2016-01-01

    Emergency room (ER) visits for accidental casualties, according to the International Classification of Deceases 10th Revision Chapters 19 and 20, include injury, poisoning, and external causes (IPEC). Annual distribution of 187,008 ER visits that took place between 2009 and 2011 in Beijing, China displayed regularity rather than random characteristics. The annual cycle from the Fourier series fitting of the number of ER visits was found to explain 63.2% of its total variance. In this study, the possible effect and regulation of meteorological conditions on these ER visits are investigated through the use of correlation analysis, as well as statistical modeling by using the Distributed Lag Non-linear Model and Generalized Additive Model. Correlation analysis indicated that meteorological variables that positively correlated with temperature have a positive relationship with the number of ER visits, and vice versa. The temperature metrics of maximum, minimum, and mean temperatures were found to have similar overall impacts, including both the direct impact on human mental/physical conditions and indirect impact on human behavior. The lag analysis indicated that the overall impacts of temperatures higher than the 50th percentile on ER visits occur immediately, whereas low temperatures show protective effects in the first few days. Accidental casualties happen more frequently on warm days when the mean temperature is higher than 14 °C than on cold days. Mean temperatures of around 26 °C result in the greatest possibility of ER visits for accidental casualties. In addition, males were found to face a higher risk of accidental casualties than females at high temperatures. Therefore, the IPEC-classified ER visits are not pure accidents; instead, they are associated closely with meteorological conditions, especially temperature. PMID:27827842

  20. The Impacts of Air Temperature on Accidental Casualties in Beijing, China

    Directory of Open Access Journals (Sweden)

    Pan Ma

    2016-11-01

    Full Text Available Emergency room (ER visits for accidental casualties, according to the International Classification of Deceases 10th Revision Chapters 19 and 20, include injury, poisoning, and external causes (IPEC. Annual distribution of 187,008 ER visits that took place between 2009 and 2011 in Beijing, China displayed regularity rather than random characteristics. The annual cycle from the Fourier series fitting of the number of ER visits was found to explain 63.2% of its total variance. In this study, the possible effect and regulation of meteorological conditions on these ER visits are investigated through the use of correlation analysis, as well as statistical modeling by using the Distributed Lag Non-linear Model and Generalized Additive Model. Correlation analysis indicated that meteorological variables that positively correlated with temperature have a positive relationship with the number of ER visits, and vice versa. The temperature metrics of maximum, minimum, and mean temperatures were found to have similar overall impacts, including both the direct impact on human mental/physical conditions and indirect impact on human behavior. The lag analysis indicated that the overall impacts of temperatures higher than the 50th percentile on ER visits occur immediately, whereas low temperatures show protective effects in the first few days. Accidental casualties happen more frequently on warm days when the mean temperature is higher than 14 °C than on cold days. Mean temperatures of around 26 °C result in the greatest possibility of ER visits for accidental casualties. In addition, males were found to face a higher risk of accidental casualties than females at high temperatures. Therefore, the IPEC-classified ER visits are not pure accidents; instead, they are associated closely with meteorological conditions, especially temperature.

  1. Analizan partículas calientes del accidente nuclear de Palomares

    OpenAIRE

    2012-01-01

    Investigadores pertenecientes al Centro Nacional de Aceleradores, CNA, (Universidad de Sevilla-Junta de Andalucía-CSIC) en colaboración con la Organización Internacional de la Energía Atómica (IAEA), han llevado a cabo me didas de elementos transuránicos en partículas calientes procedentes de accidentes nucleares tales como el de Thule (Groenlandia) o Palomares (España).

  2. Cuidado popular de familias con un adulto mayor sobreviviente del primer accidente cerebrovascular

    OpenAIRE

    Lucero López-Díaz; Fabiola Castellanos-Soriano; Esperanza Muñoz-Torres

    2016-01-01

    Introducción: el accidente cerebrovascular afecta a numerosas personas en el mundo y se constituye en la principal causa de muer- te. Los sobrevivientes pueden padecer discapacidad y sufrir modificaciones en las actividades cotidianas. La familia es el principal apoyo del sobreviviente y al ser parte de una misma cultura, construye acciones de cuidado en búsqueda del bienestar. Objetivo: describir las acciones del cuidado popular de las familias con un adulto mayor sobreviviente del prim...

  3. Los accidentes laborales, su impacto económico y social

    Directory of Open Access Journals (Sweden)

    Miguel Antonio Cisneros-Prieto

    2015-01-01

    Full Text Available Este artículo investigativo aborda la problemática de los accidentes de trabajo en las empresas estatales en la provincia Holguín y la importancia de la determinación efectiva de las causas que los provocan, a partir del análisis del comportamiento de los indicadores emitidos por la Oficina Nacional de Estadística e Información (ONEI hasta el año 2014. Se analiza el comportamiento, en el período comprendido entre el 2011-2014, de las cifras de trabajadores lesionados y fallecidos, y se evalúa el impacto humano, económico y social de la accidentalidad en las empresas y la sociedad. Se demuestra un incremento en el indicador “Días perdidos por accidentados”, siendo la principal lectura de este comportamiento el aumento de la gravedad de los accidentes de trabajo, este es un elemento que generalmente las organizaciones no valoran en su verdadera magnitud como un significativo impacto negativo de su eficiencia económica y financiera. Se presenta un enfoque sobre las potencialidades de la comunicación en función de la solución o atenuación de la ocurrencia de los accidentes y en consecuencia ladisminución del costo financiero y social de esta compleja problemática.

  4. Decay Heat Removal and Transient Analysis in Accidental Conditions in the EFIT Reactor

    Directory of Open Access Journals (Sweden)

    Giacomino Bandini

    2008-01-01

    Full Text Available The development of a conceptual design of an industrial-scale transmutation facility (EFIT of several 100 MW thermal power based on accelerator-driven system (ADS is addressed in the frame of the European EUROTRANS Integral Project. In normal operation, the core power of EFIT reactor is removed through steam generators by four secondary loops fed by water. A safety-related decay heat removal (DHR system provided with four independent inherently safe loops is installed in the primary vessel to remove the decay heat by natural convection circulation under accidental conditions which are caused by a loss-of-heat sink (LOHS. In order to confirm the adequacy of the adopted solution for decay heat removal in accidental conditions, some multi-D analyses have been carried out with the SIMMER-III code. The results of the SIMMER-III code have been then used to support the RELAP5 1D representation of the natural circulation flow paths in the reactor vessel. Finally, the thermal-hydraulic RELAP5 code has been employed for the analysis of LOHS accidental scenarios.

  5. Humeral fracture in non-ambulant infants - a possible accidental mechanism

    Energy Technology Data Exchange (ETDEWEB)

    Somers, John M.; Halliday, Katharine E. [Nottingham University Hospitals, Radiology Department, Nottingham (United Kingdom); Chapman, Stephen [Birmingham Children' s Hospital, Birmingham (United Kingdom)

    2014-10-15

    Humeral fracture in a non-ambulant infant younger than 1 year is suspicious for a non-accidental injury unless there is a credible accidental explanation. A previously unrecognised accidental mechanism was described in 1996 whereby a 5-month-old infant was rolled by a 3-year-old sibling from a prone to a supine position. To investigate the widely accepted view that an infant with limited mobility cannot sustain a fracture of the humerus by his or her own actions in the absence of the intervention of an external party. We present seven cases of non-ambulant infants between 4 and 7 months of age in whom an isolated humeral fracture was the only injury present. In each case the caregiver described the fracture occurring when the child rolled over, trapping the dependent arm, without the intervention of another party. There is no proof for this mechanism in the form of an independent witness or video recording. However, we propose that this mechanism is worthy of further consideration as a rare and unusual cause for the injury. Further study is required. (orig.)

  6. Mortalidad por accidentes de tránsito en Bayamo, Cuba 2011

    Directory of Open Access Journals (Sweden)

    Arlines Piña-Tornés

    Full Text Available Con el objetivo de describir la mortalidad por accidentes de tránsito en Bayamo, Cuba, en el año 2011 se realizó una revisión de los pacientes lesionados y fallecidos a causa de accidentes de tránsito, registrados en Hospital Carlos M. de Céspedes. Se atendieron en emergencias 1365 lesionados, predominando el grupo etario de 25 a 44 años con 372 pacientes (27,3%, y el sexo masculino con 1071 (78,5%. Fallecieron 46 personas, en su mayoría del mismo grupo de edad y de sexo masculino. Los traumatismos múltiples (52,6% y cráneofaciales (34,2% fueron las localizaciones predominantes. Se destacaron los atropellos por vehículo de motor con mortalidad del 26,3%. En conclusión, la mortalidad por accidentes de tránsito predomina en adultos jóvenes masculinos; cuyas consecuencias fatales son debido a traumatismos múltiples por atropellos.

  7. Study of TSL and OSL properties of dental ceramics for accidental dosimetry applications

    Energy Technology Data Exchange (ETDEWEB)

    Veronese, Ivan, E-mail: ivan.veronese@unimi.i [Dipartimento di Fisica, Universita degli Studi di Milano and INFN Sezione di Milano, via Celoria 16, 20133 Milano (Italy); Galli, Anna [CNR-INFM, via Cozzi 53, 20125 Milano (Italy); Dipartimento di Scienza dei Materiali, Universita degli Studi di Milano Bicocca and INFN Sezione di Milano Bicocca, via Cozzi 53, 20125 Milano (Italy); Cantone, Marie Claire [Dipartimento di Fisica, Universita degli Studi di Milano and INFN Sezione di Milano, via Celoria 16, 20133 Milano (Italy); Martini, Marco [Dipartimento di Scienza dei Materiali, Universita degli Studi di Milano Bicocca and INFN Sezione di Milano Bicocca, via Cozzi 53, 20125 Milano (Italy); Vernizzi, Fabrizio; Guzzi, Gianpaolo [Italian Association for Metals and Biocompatibility Research - A.I.R.M.E.B., Milan (Italy)

    2010-01-15

    Interest is increasing in the development of new methodologies for accidental dose assessment, exploiting the luminescence and dosimetric properties of objects and materials which can be usually found directly on exposed subjects and/or in the contaminated area. In this work, several types of ceramics employed for dental prosthetics restoration, including both innovative materials used as sub-frames for the construction of the inner part of dental crowns (core), and conventional porcelains used for the fabrication of the external layer (veneer), were investigated with regard to their thermally and optically stimulated luminescence (TSL and OSL respectively) properties, in view of their potential application in accidental dosimetry. The sensitivity to ionizing radiation proved to strongly depend on the type and brand of ceramic, with minimum detectable dose ranging from few mGy up to several tens of mGy. A linear dose-response was observed for most of the samples. However, the luminescence signals were characterised by a significant fading, which has to be taken into account for a reliable accidental dose assessment after a radiation exposure event.

  8. Cuidado popular de familias con un adulto mayor sobreviviente del primer accidente cerebrovascular

    Directory of Open Access Journals (Sweden)

    Lucero López-Díaz

    2016-01-01

    Full Text Available Introducción: el accidente cerebrovascular afecta a numerosas personas en el mundo y se constituye en la principal causa de muer- te. Los sobrevivientes pueden padecer discapacidad y sufrir modificaciones en las actividades cotidianas. La familia es el principal apoyo del sobreviviente y al ser parte de una misma cultura, construye acciones de cuidado en búsqueda del bienestar. Objetivo: describir las acciones del cuidado popular de las familias con un adulto mayor sobreviviente del primer accidente cerebrovascular. Método: estudio etnográfico, con observación participante y entrevistas en profundidad. Participaron siete familias bogotanas (siete adultos mayores entre los dos y diez meses posteriores al primer accidente cerebrovascular y los siete cuidadores principales respectivos. Resultados: cuidadores y adulto mayor comparten acciones de cuidado para la recuperación, relacionadas con la alimentación, el cuidado personal y la ingesta de medicamentos permeadas por la creencia religiosa, fuente de soporte y vínculo afectivo. Conclusión: conocer el cuidado popular de esta población posibilita proponer acciones culturalmente congruentes con sus valores y creencias para potencializar las ca- pacidades familiares e intermediar en los procesos de tratamiento.

  9. Mortalidad por accidentes de tránsito en Bayamo, Cuba 2011

    Directory of Open Access Journals (Sweden)

    Arlines Piña-Tornés

    2014-10-01

    Full Text Available Con el objetivo de describir la mortalidad por accidentes de tránsito en Bayamo, Cuba, en el año 2011 se realizó una revisión de los pacientes lesionados y fallecidos a causa de accidentes de tránsito, registrados en Hospital Carlos M. de Céspedes. Se atendieron en emergencias 1365 lesionados, predominando el grupo etario de 25 a 44 años con 372 pacientes (27,3%, y el sexo masculino con 1071 (78,5%. Fallecieron 46 personas, en su mayoría del mismo grupo de edad y de sexo masculino. Los traumatismos múltiples (52,6% y cráneofaciales (34,2% fueron las localizaciones predominantes. Se destacaron los atropellos por vehículo de motor con mortalidad del 26,3%. En conclusión, la mortalidad por accidentes de tránsito predomina en adultos jóvenes masculinos; cuyas consecuencias fatales son debido a traumatismos múltiples por atropellos.

  10. Accidental Coverage of Both Renal Arteries during Infrarenal Aortic Stent-Graft Implantation: Cause and Treatment

    Directory of Open Access Journals (Sweden)

    Umberto Marcello Bracale

    2014-01-01

    Full Text Available The purpose of this paper is to report a salvage maneuver for accidental coverage of both renal arteries during endovascular aneurysm repair (EVAR of an infrarenal abdominal aortic aneurysm (AAA. A 72-year-old female with a 6 cm infrarenal abdominal aortic aneurysm was treated by endovascular means with a standard bifurcated graft. Upon completing an angiogram, both renal arteries were found to be accidentally occluded. Through a left percutaneous brachial approach, the right renal artery was catheterized and a chimney stent was deployed; however this was not possible for the left renal artery. A retroperitoneal surgical approach was therefore carried out with a retrograde chimney stent implanted to restore blood flow. After three months, both renal arteries were patent and renal function was not different from the baseline. Both endovascular with percutaneous access via the brachial artery and open retroperitoneal approaches with retrograde catheterization are feasible rescue techniques to recanalize the accidentally occluded renal arteries during EVAR.

  11. Accidental hanging: a novel mobile suspension apparatus partially hidden inside the clothes.

    Science.gov (United States)

    Kodikara, Sarathchandra

    2012-12-01

    Accidental hanging is uncommon. An immobile/fixed and exposed suspension apparatus is seen in almost all cases of hanging. A 50-year-old man, who was drunk, was trying to steal an iron rod by hiding it under his clothing. To secure hiding, he attached it to his body by a loose ligature around the neck, the waist belt of the sarong, and another band around the waist and by his underwear. Sometime later, because of ethanol intoxication, he fell asleep in the sitting position. While he was sitting on the floor, the iron rod was lifted up accidentally, and its upper end was wedged against the wall behind the victim, and the lower end was fixed against the floor. When he fell asleep, the weight of the tilted head acted as the constricting force compressing the neck by the ligature that was used to attach the iron rod to the neck. The cause of death was concluded as hanging in a man with ethanol intoxication. This case highlights a novel mobile suspension apparatus partially hidden inside the clothes, in a case of accidental hanging. A similar case has not been reported in the forensic literature.

  12. Fallopian tube insertion into the uterine cavity discovered accidentally during laparoscopic retrieval of a misplaced coil from the pelvic cavity

    OpenAIRE

    Panayotidis, Costas; Foidart, Jean-Michel; Nisolle, Michelle

    2008-01-01

    This article presents for the first time in the literature a case of fallopian tube insertion into the uterine cavity discovered accidentally during laparoscopic retrieval of a misplaced coil from the pelvic cavity. Peer reviewed

  13. An atypical case of successful resuscitation of an accidental profound hypothermia patient, occurring in a temperate climate.

    LENUS (Irish Health Repository)

    Coleman, E

    2010-03-01

    Cases of accidental profound hypothermia occur most frequently in cold, northern climates. We describe an atypical case, occurring in a temperate climate, where a hypothermic cardiac-arrested patient was successfully resuscitated using extracorporeal circulation (ECC).

  14. El subregistro de accidentes de trabajo en una Unidad de Medicina Familiar del Instituto Mexicano del Seguro Social. Subregistro de accidentes de trabajo en asegurados

    Directory of Open Access Journals (Sweden)

    Patricia Pérez Martínez

    2008-09-01

    Full Text Available Objetivo: Determinar el subregistro de los accidentes de trabajo en una Unidad de Medicina Familiar (UMFX escogida, inicialmente atendidos en el servicio de urgencias de un Hospital General de Zona (HGZ, del Instituto Mexicano del Seguro Social (IMSS en el año 2002. Material y métodos: Es un estudio transversal que utilizó información de la fuente original del HGZ que otorga la primera atención médica. Se elaboró una cédula de registro con las diversas fuentes de información, efectuando confrontación, seguimiento y análisis estadístico de las mismas. Resultados: De 6551 probables accidentes de trabajo atendidos en el HGZ, se seleccionaron 821 casos adscritos a la UMFX escogida. Se conformaron tres grupos de acuerdo con su dictamen: Grupo I= SÍ de trabajo, 35.4% (290; Grupo II=NO de trabajo, 4.6% (38, y el Grupo III= no calificados y atendidos en urgencias, 60%(493; este último representa el subregistro de los accidentes de trabajo. Conclusiones: El subregistro del 60% es de los más altos reportado en la literatura, lo cual representa para el IMSS, los trabajadores y el país graves repercusiones económicas y sociales no cuantificadas.Objective: To determine the Occupational Accidents Subregistry at a selected Family Medicine Unit (FMUX initially treated at a Mexican Institute of Social Security (IMSS General Zone Hospital (HGZ during the year 2002. Materials and Methods: This is a transversal study utilizing information from the original source, the HGZ primary-care hospital-facility. We elaborated a registry permit with diverse information sources, and conducted confrontation, followup, and statistical analysis of these sources. Results: Of 6,551 probable occupational accidents treated at the HGZ Emergency Room, we selected 821 cases ascribed to the selected FMUX. We made up three groups according these dictates: Group I = YES, occupational, 35.4% (290; Group II = NO, occupational, 4.6% (38, and Grupo III = not qualified and

  15. Evaluación de la efectividad de las actividades preventivas (planes de actuación preferente sobre la incidencia de las lesiones traumáticas no mortales con incapacidad laboral por accidentes de trabajo en jornada en España (1994-2004

    Directory of Open Access Journals (Sweden)

    Fernando G. Benavides

    2007-01-01

    Full Text Available Fundamento. Los planes de actuación preferente (PAP han sido las principales actividades preventivas desarrolladas por las comunidades autónomas (CCAA frente a las lesiones por accidentes de trabajo (LAT en España desde 1999. El objetivo de este trabajo es evaluar la efectividad de los planes. Métodos. Fueron seleccionados 4.714.080 casos incidentes de LAT no mortales con incapacidad laboral, ocurridos entre 1994 y 2004 durante la jornada laboral producidos por causas mecánicas y por sobreesfuerzo en empresas manufactureras y de servicios no públicos. A partir de las incidencias anuales se estimó en cada CCAA el porcentaje de cambio anual y su intervalo de confianza al 95% (IC95% para el periodo anterior y posterior del inicio del PAP mediante una regresión binomial negativa. Resultados. El patrón observado siguió una tendencia ascendente en los periodos previos al inicio del PAP y descendente a continuación de la puesta en marcha de estos planes. Por ejemplo, en Aragón, donde el PAP se inició en 1999, observamos un incremento de +5,3% entre 1994-1999 frente a un descenso de -4,9% entre 2000-2004. En Baleares, que inició su PAP en 2002, la tendencia correspondiente fue de +5,4% entre 1994-2001 frente a -14% entre 2002-2004. Sin embargo, se observaron tendencias similares en Madrid (-3,9% entre 2000 y 2004 o en Galicia (-4,8% entre 2000 y 2004, donde no consta que se pusieran en marcha un PAP específico en el periodo de estudio. Conclusiones. Estos resultados no permiten atribuir a los PAP el descenso generalizado en la incidencia de las LAT no mortales a partir del 2000 en España. Posiblemente, otras acciones de carácter general, que habrían afectado a todas las CCAA por igual (incluyendo a aquéllas que no han desarrollado sus propios PAP, explicarían este descenso en la incidencia de las lesiones por accidente de trabajo seleccionadas en el presente análisis.

  16. Development of management tools for accidental radiological contamination of the French coastal areas - Development of management tools for accidental radiological contamination in the French marine coastal areas

    Energy Technology Data Exchange (ETDEWEB)

    Duffa, C.; Charmasson, S. [IRSN/PRP-ENV/SESURE/LERCM - Antenne de Radioecologie Marine, Centre Ifremer, Zone portuaire de Bregaillon, 13507 La Seyne sur Mer (France); Bailly du Bois, P.; Fievet, B. [IRSN/PRP-ENV/SERIS/LRC (France); Couvez, C.; Renaud, P. [IRSN/PRP-ENV/SESURE/DIR (France); Didier, D. [IRSN/PRP-CRI/SESUC/BMTA (France)

    2014-07-01

    The Fukushima nuclear accident led to the most important accidental release of artificial radionuclides into the sea. This accident has underlined the importance of being able to adequately reproduce the fate of radioactive releases and to estimate their consequences for the marine environment. For its Crisis Centre, the French Institute for Radioprotection and Nuclear Safety (IRSN) has operational tools, in order to help experts and decision makers in case of any atmospheric accidental release and terrestrial environment contamination. The on-going project aims to develop tools to manage any marine contamination of the French coastal areas. We should be able to evaluate and anticipate the marine post-accidental situation: contaminated areas localization and contamination levels, and possible consequences. Many sites has be considered as potential source terms into the sea: the Coastal Nuclear Power Plants, the La Hague reprocessing Plant, the Brest and Toulon Military Harbours as home-ports of nuclear powered vessels, and different river mouths (Rhone River, Gironde, Loire, Seine) that could be contaminated by upstream accidental release. To achieve this goal, two complementary approaches are developed: Marine sheets and a dedicated modelling tool (STERNE). - Marine sheets aim to summarize marine environment characteristics for the different sites, identify potential stakes for human protection such as aquaculture areas, beaches, or industrial water intakes, and ecological stakes. Whenever possible, a local climatology (main currents depending on meteorological or tide conditions) that could be a support to first environmental measurement strategy is proposed. A list of available local contacts for any operational management is also provided. - The modelling tool, STERNE (Simulation du Transport et du transfert d'Elements Radioactifs dans l'environNEment marin), must predict radionuclide dispersion and contamination of water, marine species and sediments

  17. 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: summary of main findings and risk factors.

    Science.gov (United States)

    Pandit, J J; Andrade, J; Bogod, D G; Hitchman, J M; Jonker, W R; Lucas, N; Mackay, J H; Nimmo, A F; O'Connor, K; O'Sullivan, E P; Paul, R G; Palmer, J H M G; Plaat, F; Radcliffe, J J; Sury, M R J; Torevell, H E; Wang, M; Hainsworth, J; Cook, T M

    2014-10-01

    We present the main findings of the 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia (AAGA). Incidences were estimated using reports of accidental awareness as the numerator, and a parallel national anaesthetic activity survey to provide denominator data. The incidence of certain/probable and possible accidental awareness cases was ~1:19,600 anaesthetics (95% confidence interval 1:16,700-23,450). However, there was considerable variation across subtypes of techniques or subspecialities. The incidence with neuromuscular block (NMB) was ~1:8200 (1:7030-9700), and without, it was ~1:135,900 (1:78,600-299,000). The cases of AAGA reported to NAP5 were overwhelmingly cases of unintended awareness during NMB. The incidence of accidental awareness during Caesarean section was ~1:670 (1:380-1300). Two-thirds (82, 66%) of cases of accidental awareness experiences arose in the dynamic phases of anaesthesia, namely induction of and emergence from anaesthesia. During induction of anaesthesia, contributory factors included: use of thiopental, rapid sequence induction, obesity, difficult airway management, NMB, and interruptions of anaesthetic delivery during movement from anaesthetic room to theatre. During emergence from anaesthesia, residual paralysis was perceived by patients as accidental awareness, and commonly related to a failure to ensure full return of motor capacity. One-third (43, 33%) of accidental awareness events arose during the maintenance phase of anaesthesia, mostly due to problems at induction or towards the end of anaesthesia. Factors increasing the risk of accidental awareness included: female sex, age (younger adults, but not children), obesity, anaesthetist seniority (junior trainees), previous awareness, out-of-hours operating, emergencies, type of surgery (obstetric, cardiac, thoracic), and use of NMB. The following factors were not risk factors for accidental awareness: ASA physical status, race, and use or omission

  18. Accidental Hypothermia,

    Science.gov (United States)

    1988-03-03

    the pulmonary , digestive, and endocrine systems.16� Cardiovascular Cardiovascular responses in hypothermia are vell described. Following an early...decline. Included in this group are patients with hypothalamic lesions and agenesis of the corpus callosum, termed the Shapiro Syndrome.46 1�...Hypothermia with agenesis of the corpus callosum has also been associated with hypercalcemia and status epilepticus.230 Since experimental sectioning of the

  19. Accidental goodness?

    DEFF Research Database (Denmark)

    Richter, Anne

    In postmodern capitalist market economies, management of the single organisation is bound to be guided by several rationales, which are in conflict with each other. For some writers this perception leads to the argument, that conceptions of management should strive towards goals beyond the present...

  20. [Accidental falls].

    Science.gov (United States)

    Inokuchi, Koichi

    2013-06-01

    Falls are common cause of injuries among elderly people, and fractures are the most serious consequence of falls. For seniors, hip fractures are the second major cause of bedridden. The feature and acute care of head injury, spinal cord injury, vertebrae fracture, and hip fracture are described. Just had fracture fixation, the patient can not go back to the original ADL. In order not to become bedridden, both medication and physical examination are important based on the new disease concept of locomotive syndrome. To do so, requires hospital and clinic cooperation. Sufficient cooperation is not currently possible, and spread of liaison service is essential.

  1. Evaluation of the radiologic potential due to the nuclear submarine visits to the Rio de Janeiro port; Avaliacao do impacto radiologico potencial relativo a visita de submarinos nucleares ao Porto do Rio de Janeiro

    Energy Technology Data Exchange (ETDEWEB)

    Pereira, Jose Francisco

    2004-07-01

    Brazil is signatory of international protocols related to the visit of nuclear-powered vessels, aircraft carriers and submarines to Brazilian ports. The submarines, during their stay in Brazilian ports, inform that there is no release of radioactive material to the environment. However, the possibility of occurrence of accidents with environmental releases from PWR reactors is real. Between 1993 and 2003, 13 nuclear submarines visited Brazilian ports. This work aimed to evaluate the potential impact due to the visits of nuclear-powered ships and submarines to the port of the city of Rio de Janeiro, in relation to releases of radioactive materials to the environment, considering both routine releases and accidental situations. The models selected to perform the assessments took into account the scenarios to be simulated. Simple, but conservative methodologies were used for the evaluation of routine releases. For accidental releases, the dynamics of the materials dispersion into the environment were considered. The present study was mainly focalized on the initial phase of an accident. The doses for the crew of the Brazilian navy ships, for IRD teams performing environmental monitoring, and for the population around the Guanabara Bay, close to the points of anchorage, were assessed. The results indicated that, in normal operational conditions, no significant radiological impact due to the visit of nuclear submarines to the port of the city of Rio de Janeiro is expected, even considering the occurrence of small routine radionuclide releases. The analysis of accidental releases, however, indicated that the submarines should be located at a minimum distance of 2,5 km from inhabited areas in the coast of the Guanabara Bay. The need for environmental control and training of the teams involved in the attendance of the submarines, during the period of their visit, was also considered. The need for revising the procedures for the preoperational surveys to be performed at the

  2. Numerical research of a super-large cooling tower subjected to accidental loads

    Energy Technology Data Exchange (ETDEWEB)

    Li, Yi; Lin, Feng [Department of Building Engineering, Tongji University, Shanghai 200092 (China); Gu, Xianglin, E-mail: gxl@tongji.edu.cn [Department of Building Engineering, Tongji University, Shanghai 200092 (China); Lu, Xiaoqin [Guangdong Electric Power Design Institute, Guangzhou 510660 (China)

    2014-04-01

    With the continued development of nuclear power plants, more and more super-large cooling towers are to be built in China and around the world. For the safe operation of nuclear power plants, research work has been done on the causes of collapse of cooling towers, collapse modes and the secondary disasters caused by the collapse of cooling towers. However, the collapse modes and the ground vibration induced by the collapse of cooling towers subjected to the accidental loads have not been fully understood. This paper has been focused on the modes and mechanisms behavior of the collapse of cooling towers subjected to accidental loads. Meanwhile, prediction of the ground vibration due to the collapse of the cooling towers has also been completed in a parallel project. Using dynamic finite element program LS-DYNA, a 3D finite element model for a super-large cooling tower was developed and the nonlinear material models were incorporated. In this paper, four types of accidental loads were considered to trigger the collapse or local failure of the tower, including vehicle collision, airplane impact, local explosion and missile attack. It was found that vehicle collision, missile attack and small TNT equivalent explosives (2 kg, 20 kg, 200 kg) might result in local failure of the cooling tower, however, the tower can still keep stable. On the other hand, large TNT equivalent explosives (2000 kg, 4500 kg) could cause severe damages in the inclined columns of the cooling tower, and lead to progressive collapse of the entire cooling tower. The two kinds of TNT equivalent explosives caused the same collapse mode while the collapsing duration was different. The airplane impacted at the throat of the cooling tower caused the local failure of shell structure of the tower, and then the progressive collapse of the cooling tower happened due to the gravitational action. The resulting collapse mode was different from that triggered by the local explosion.

  3. Menace of childhood non-accidental traumatic brain injuries: A single unit report

    Directory of Open Access Journals (Sweden)

    Musa Ibrahim

    2015-01-01

    Full Text Available Background: Childhood traumatic brain injury (TBI has high rate of mortality and morbidity worldwide. There are dearths of reports from developing countries with large paediatric population on trauma; neurosurgery trauma of nonaccidental origin is not an exemption. This study analysed menace of non-accidental TBI in the paediatric population from our center. Materials and Methods: This is a single unit, retrospective study of the epidemiology of non-accidental TBI in children starting from September, 2008 to March, 2014. The management outcomes of the epidemiology of the non-accidental TBI were analysed. Results: Total of 109 children age range from 0 (intra-natal to 16 years with a mean of 5.8 ± 4.6 years (median, 5 years were enrolled into the study. 34 (31.2% were domestic violence, 26 (23.9% street assaults, 16 (14.7% were due to animal assaults and mishaps, 17 (15.6% fall from heights. Seven (6.4% cases of collapsed buildings were also seen during the period. Four (3.7% industrial accidents and two (1.8% were self-inflicted injuries. There were also three (2.8% cases of iatrogenic TBI out of which two infants (1.8% sustained TBI from cesarean section procedure while one patient (0.9% under general anaesthesia felt from the operation bed resulting to severe TBI. Conclusion: Child abuse, unprotected child labour, parental/care-givers negligence are the main cause of nonaccidental TBI. Human right activists and government agents should be incorporated in curtailing the menace.

  4. Salade malade: malignant ventricular arrhythmias due to an accidental intoxication with Aconitum napellus.

    Science.gov (United States)

    Weijters, B J; Verbunt, R J A M; Hoogsteen, J; Visser, R F

    2008-01-01

    Intoxication with Aconitum napellus is rare in our regions. Aconite alkaloids can cause ventricular arrhythmia by a prolonged activation of sodium channels. Because the margin of safety is low between the analgesic and toxic dose, intoxication is not rare when Aconite is used in herbal medicine. We present a case in which a 39-year-old male was accidentally intoxicated with Aconite. Even though no antidote or adequate therapy is available he was successfully resuscitated. (Neth Heart J 2008;16:96-9.).

  5. Terapéuticas intervencionistas para el accidente cerebrovascular isquémico

    OpenAIRE

    Rabadán, Alejandra T.; Luciano Sposato; Claudio Mazia

    2010-01-01

    En los últimos 20 años se han desarrollado nuevas opciones para el tratamiento y para la prevención del accidente cerebrovascular (ACV) isquémico, muchas de ellas de carácter intervencionista, tales como la endarterectomía carotídea y la trombolisis intravenosa con activador tisular del plasminógeno. La evidencia científica ha llevado a su difusión y utilización en países desarrollados mientras que en naciones emergentes se observa un retraso en su adopción. Otras modalidades terapéuticas que...

  6. Amputación corporal por accidente de trabajo en auxiliar de enfermería

    OpenAIRE

    Alexander Finol Muñoz; Gloria Ortega Marín; Julián Domínguez Fernández; Johanna Rivero Colina; Manuel Usero Fernández; Miguel Espejo García

    2014-01-01

    Los auxiliares de enfermería son un rango profesional expuesto a múltiples riesgos por las actividades inherentes a su trabajo, expuestos constantemente a sustancias desinfectantes que sin el uso apropiado de equipos de protección individual, puede provocar efectos adversos y lesiones en el trabajador. Caso Clínico: Mujer de 51 años de edad, auxiliar de enfermería, con antecedentes de Diabetes Mellitus tipo I y Síndrome de Túnel Carpiano. Presenta derrame accidental de líquido mientras llenab...

  7. Accidentes de tránsito fatales en Costa Rica en el 2007

    Directory of Open Access Journals (Sweden)

    Maikel Vargas Sanabria

    2008-09-01

    Full Text Available Los accidentes de tránsito en Costa Rica contribuyen significativamente con la tercera causa de muerte en el país en los últimos años: las causas externas, por ello resulta importante conocer el panorama más reciente de las fatalidades causadas por estos eventos. En el presente trabajo se analizarán desde el punto de vista médico legal los accidentes de tránsito fatales, cuyas víctimas fallecieron en el año 2007. Para ello se revisaron todas las autopsias efectuadas (un total de 3003 en el Departamento de Medicina Legal de Costa Rica para ese año. Se obtuvo que una cuarta parte de las mismas se originaron en accidentes de tránsito, lo cual generó una tasa de mortalidad de 16,58 por 100000 habitantes, considerada alta a nivel mundial. El perfil predominante de las víctimas fue: ser de género masculino, en edad económicamente productiva, con accidentes fatales de predominio en la noche, los fines de semana, en las provincias costeras, con fallecimiento en el sitio del hecho por trauma cráneo cervical en ocupantes de automotores o peatones, de los cuales un porcentaje significativo estaba bajo los efectos del alcohol y muy pocos bajo los efectos de otras drogas de abuso. Se insiste en la prevención como la herramienta fundamental para evitarlos.Traffic accidents in Costa Rica have been a contributing cause of death (the third cause of death over the last years; that ’s why its is a mayor issue to know the panorama of the latest fatalities caused by this events. In this article, it will be analyzed from the legal medicine point of view, the fatal transit accidents during the year 2007. For these reason all autopsies (a total of 3003 occurred during that year which were made by the Departamento de Medicina Legal de Costa Rica were reviewed. From these revision, it was obtained that one forth of these autopsies were transit accidents, which means that the mortality rate was 16,58 per 100000 habitants, that is consider high over the

  8. Acute ischaemia of the leg following accidental intra-arterial injection of dissolved flunitrazepam tablets.

    Science.gov (United States)

    Leifert, J A; Bossaller, L; Uhl, M

    2008-11-01

    Accidental intra-arterial injection of drugs is a sporadic complication in i.v. drug addicts. A 22-year-old drug-abuser injected flunitrazepam tablets dissolved in tap water into her left femoral artery and presented with clinical signs of acute ischaemia of the left leg. Severe rhabdomyolysis developed within 5 hours after the injection. Selective arterial catheter angiography showed an acute occlusion of the posterior tibial artery. Combination therapy with i.a. urokinase, i.a. prostaglandines and i.v. anticoagulation resulted in re-opening of the obstructed distal artery and complete cessation of symptoms.

  9. Problems in experimental and mathematical investigations of the accidental thermalhydraulic processes in RBMK nuclear reactors

    Energy Technology Data Exchange (ETDEWEB)

    Nigmatulin, B.I.; Tikhonenko, L.K. [Engineering Centre (EREC) for Nuclear Plants Safety, Electrogorsk (Russian Federation); Blinkov, V.N. [Aviation Institute, Kharkov (Ukraine)] [and others

    1995-09-01

    In this paper the thermalhydraulic scheme and peculiarities of the boiling water graphite-moderated channel-type reactor RBMK are presented and discussed shortly. The essential for RBMK transient regimes, accidental situations and accompanying thermalhydraulic phenomena and processes are formulated. These data are presented in the form of cross reference matrix (version 1) for system computer codes verification. The paper includes qualitative analysis of the computer codes and integral facilities which have been used or can be used for RBMK transients and accidents investigations. The stability margins for RBMK-1000 and RBMK-1500 are shown.

  10. Orofacial manifestations from accidental exposure to caesium 137 in Goiania, Brazil.

    Science.gov (United States)

    Gomes, M A; Wascheck, C de C; Scully, C; Almeida, O de P; Bozzo, L

    1990-08-01

    The accidental close exposure of over 200 adults and children to a caesium-137 (137Cs) source in Goiania, Brazil in 1987 produced significant short-term morbidity in about 50 patients, and four deaths within a few weeks. Some 57% of those maximally exposed to radiation, developed orofacial lesions, notably purpura, spontaneous bleeding, ulcers and/or acute candidiasis. These lesions were probably mainly the consequences of depression of bone marrow elements by the radionuclide. Though the oral lesions that may follow iatrogenic exposure to ionizing radiation are well recognized this appears to be the first report on the oral sequelae of a serious radiation accident.

  11. The present status and recent applications of the accidental tritium assessment code UFOTRI

    Energy Technology Data Exchange (ETDEWEB)

    Raskob, W. [Forschungszentrum Karlsruhe GmbH, Institut fuer Neutronenphysik und Reaktortechnik, Karlsruhe (Germany)

    1999-03-01

    The computer program UFOTRI can be used for assessing the impact of accidental released tritium in the two chemical forms tritiated water vapour and tritium gas. By applying UFOTRI to potential European sites for ITER, it could be demonstrated that the main goal, the nonevacuation criteria, is fulfilled for the present release limits. Contributions in international studies together with the re-evaluation of experimental data showed that the plant sub-model as well as the soil sub-model are areas for further improvement. (author)

  12. Accidental ingestion of a barbed wire broach and its endoscopic retrieval: Prevention better than cure

    Directory of Open Access Journals (Sweden)

    Rajashekar Mohan

    2011-01-01

    Full Text Available Ingestion of instruments is a potential complication that can occur during dental procedures. We report a case of accidental ingestion of an endodontic barbed wire broach during root canal treatment and its subsequent retrieval by endoscopic methods. Although prevention is the best approach, proper management of such an event is also crucial. The objective of this report is to draw attention to the potentially serious complications that can occur if preventive techniques are not practised, and to discuss the accepted guidelines for management of such an event.

  13. Forecasting consequences of accidental release: how reliable are current assessment models

    Energy Technology Data Exchange (ETDEWEB)

    Rohwer, P.S.; Hoffman, F.O.; Miller, C.W.

    1983-01-01

    This paper focuses on uncertainties in model output used to assess accidents. We begin by reviewing the historical development of assessment models and the associated interest in uncertainties as these evolutionary processes occurred in the United States. This is followed by a description of the sources of uncertainties in assessment calculations. Types of models appropriate for assessment of accidents are identified. A summary of results from our analysis of uncertainty is provided in results obtained with current methodology for assessing routine and accidental radionuclide releases to the environment. We conclude with discussion of preferred procedures and suggested future directions to improve the state-of-the-art of radiological assessments.

  14. Is Project Management Still an Accidental Profession? A Qualitative Study of Career Trajectory

    Directory of Open Access Journals (Sweden)

    Tracey M. Richardson

    2015-02-01

    Full Text Available In this study, the authors used qualitative techniques to look for reoccurring themes related to 87 project managers’ responses to interview questions associated with entry into the field of project management and career progression. The study found that despite the efforts of higher education, professional associations, and their professional development and certifications, the project management remains a destination by accident. Professional project managers do not intend to be project managers but “fall into” the profession. This study provides a conceptual framework for project manager career trajectory that has implications for project management training and mentoring and contributes to the growing literature on the accidental profession.

  15. Patologías mentales derivadas de los accidentes de tránsito

    OpenAIRE

    2008-01-01

    Toda persona que se expone a un hecho traumático puede reaccionar de diversas maneras. En este artículo se revisan los conceptos de algunas enfermedades mentales relacionadas con accidentes de tránsito basadas en las Clasificaciones Nosográfias Internacionales DSM-IV y CIE 10.Any person exposed to a traumatic event can react in different ways. This article checks the concepts of some mental illnesses related to traffic accidents based on the international classifications (DSM-IV and ICD 10).

  16. Patologías mentales derivadas de los accidentes de tránsito

    Directory of Open Access Journals (Sweden)

    Ginette Campos Villalobos

    2008-09-01

    Full Text Available Toda persona que se expone a un hecho traumático puede reaccionar de diversas maneras. En este artículo se revisan los conceptos de algunas enfermedades mentales relacionadas con accidentes de tránsito basadas en las Clasificaciones Nosográfias Internacionales DSM-IV y CIE 10.Any person exposed to a traumatic event can react in different ways. This article checks the concepts of some mental illnesses related to traffic accidents based on the international classifications (DSM-IV and ICD 10.

  17. Measurement of accidental coincidences in beta-gamma coincidence counting using non-equal dead times

    CERN Document Server

    Hwang, H Y; Cho, Y H; Byun, J I; Kim, T S; Park, T S; Lee, J M

    2002-01-01

    It is shown that the multi-channel time-scaling (MCTS) method is particularly suitable for the direct measurement of accidental coincidences even if the dead times of the two counting channels are of different length. We prepared five samples, with activities from 900 to 2100 s sup - sup 1. The dead time of the gamma channel was 12 mu s for all measurements, but for the beta channel it varied from 12 to 20 mu s. The true coincidence rates determined by the MCTS method are compared with those obtained by using conventional technique.

  18. Transferencia del aprendizaje motor en pacientes con antecedentes de accidente cerebrovascular: serie de casos

    OpenAIRE

    Karen Castro-Medina; Mayra Pérez-Páez; Fabiola Moscoso-Alvarado; Clarice Tanaka

    2015-01-01

    Antecedentes. La rehabilitación es un proceso de reaprendizaje motor, que mejora el desempeño en términos de adquisición de nuevas habilidades y adaptación o refinamiento de habilidades aprendidas previamente. A pesar de este conocimiento, existen, considerablemente, pocos estudios que describan el aprendizaje motor después de un accidente cerebrovascular (ACV) y la relevancia del mismo en los procesos de rehabilitación y recuperación. Objetivo. Describir la transferencia del aprendizaje moto...

  19. Accidental swallowing of a gold cast crown during orthodontic tooth separation.

    Science.gov (United States)

    Kharbanda, O P; Varshney, P; Dutta, U

    1995-01-01

    Accidental swallowing of a gold cast crown that became loose after separation with brass wire for orthodontic band placement, is reported. The intervention to remove the ingested crown subsequent to its location in the GI tract on immediate radiographic examination of chest and abdomen included endoscopic examination. Since the crown had past distal to the duodenum it was decided to keep a watch on its movement by daily radiographic examination. The crown passed with excreta on the 5th day uneventfully. Literature on ingestion of foreign bodies of dental origin is reviewed. Possible emergencies and their management is discussed.

  20. Muertes por enfermedades cardiacas y accidentes cerebrovasculares prevenibles - (Preventable Deaths from Heart Disease and Stroke)

    Centers for Disease Control (CDC) Podcasts

    2013-09-03

    Este podcast se basa en la edición de septiembre del 2013 del informe Signos Vitales de los CDC. Más de 800,000 personas en los Estados Unidos mueren cada año a causa de enfermedades cardiacas y accidentes cerebrovasculares. Aprenda cómo controlar todos los principales factores de riesgo.  Created: 9/3/2013 by Centers for Disease Control and Prevention (CDC).   Date Released: 9/3/2013.

  1. A model of neutrino mass and dark matter with an accidental symmetry

    Directory of Open Access Journals (Sweden)

    Amine Ahriche

    2015-06-01

    Full Text Available We present a model of radiative neutrino mass that automatically contains an accidental Z2 symmetry and thus provides a stable dark matter candidate. This allows a common framework for the origin of neutrino mass and dark matter without invoking any symmetries beyond those of the Standard Model. The model can be probed by direct-detection experiments and μ→e+γ searches, and predicts a charged scalar that can appear at the TeV scale, within reach of collider experiments.

  2. Comportamiento general de los accidentes provocados por animales venenosos en colombia, 2006-2010

    OpenAIRE

    Rodríguez Vargas, Ariadna Lorena; Rodríguez Buitrago, Javier Roberto; Díaz González, Gonzalo Jair

    2013-01-01

    Objetivo El conocimiento parcial de estadísticas nacionales acerca de accidentalidad por animales venenosos, con distribución geográfica en Colombia, motiva el estudio de dichas circunstancias. El objetivo fue realizar una línea base de los accidentes por animales venenosos reportados de forma telefónica al Centro de Investigación, Gestión e Información Toxicológica de la Universidad Nacional de Colombia (CIGITOX), provenientes de todo el país, y cuyo registro se encontraba en bases de datos ...

  3. The accidental potential of diffractive thinking technologies. Mapping and colouring social differentiation in/of school

    DEFF Research Database (Denmark)

    Staunæs, Dorthe; Brown, Rikke; Bjerg, Helle

    This paper presents our joint work with using and developing Donna Haraways concept of thinking technologies for putting research into play in cooperation with practitioners within the field of education. First we shortly present the conceptualization of thinking technologies and why we have found...... this conceptualization useful in our work and cooperation with practitioners. Secondly we present the development of the ‘colour map’ as a specific example of a thinking technology and introduce what we shall coin as the accidental potential of working with research informed thinking technologies on the particular...

  4. Accidents with biological material and immunization against hepatitis B among students from the health area Accidente con material biológico y la vacunación contra la hepatitis B en estudiantes del área de la salud Acidente com material biológico e vacinação contra hepatite B entre graduandos da área da saúde

    Directory of Open Access Journals (Sweden)

    Elucir Gir

    2008-06-01

    Full Text Available Undergraduate students from the health area often handle piercing-cutting instruments in their academic activities, which exposes them to the risk of contracting infections. This study aimed to analyze accidents with biological material among these students. Out of 170 accidents registered, 83 (48.8% occurred with Dentistry students, 69 (40.6% with Medical students, 11 (6.5% with Nursing students and in 06 (3.5% of the cases there was no such information in the files. Most accidents, 106 (62.4%, occurred with students from private schools and 55 (32.3% with those from public schools. Percutaneous accidents occurred in 133 (78.2% exposures and there was immediate search for specialized health care in only 38 (21.3% accidents. In 127 (74.7% accidents, the immunization schedule against hepatitis B was complete. Therefore, schools need to offer courses and specific class subjects regarding biosafety measures, including aspects related to immunization, especially the vaccine against hepatitis B.La manipulación de instrumentos punzo cortantes por estudiantes del área de la salud es frecuente en la actividad académica, lo que los expone al riesgo de adquirir infecciones. Este estudio tuvo como objetivo analizar los accidentes con material biológico ocurridos en alumnos del área de la salud. De los 170 accidentes registrados, 83 (48,8% ocurrieron con alumnos del curso de Odontología, 69 (40,6% de Medicina, 11 (6,5% de Enfermería y en 06 (3,5% no había información en la ficha de atención. La mayoría, 106 (62,4%, ocurrió con alumnos de escuelas privadas y 55 (32,3% de públicas. Los accidentes percutáneos ocurrieron en 133 (78,2% exposiciones y en 38 (21,3% accidentes la búsqueda por atención especializada fue inmediata. En 127 (74,7% accidentes el esquema de vacunas contra hepatitis B estaba completo. Así es imprescindible que las escuelas ofrezcan cursos y/o disciplinas específicas sobre medidas de bioseguridad incluyendo aspectos

  5. Health care workers and AIDS: a differential study of beliefs and affects associated with accidental exposure to blood

    Directory of Open Access Journals (Sweden)

    Maria Rosa Rodrigues Rissi

    Full Text Available This study aimed to analyze affective and cognitive determinants of the professional work of individuals caring for patients with HIV/AIDS, in view of the risk and/or experience of accidental exposure to blood. We drew on the theoretical-methodological references of Fishbein & Ajzen and Maslow's theory. Fifty health care workers were evaluated using an attitudes questionnaire and a needs and motivations instrument. The research verified differences between answers by health care workers who had never suffered accidents and those who had already experienced accidental exposure to blood. Health care workers did their work activities motivated by the need for self-fulfillment and valued their own performance when they were able to meet the patients' emotional needs. Among health professionals who had never experienced accidental exposure to blood, the predominant beliefs was that patients feel remorse over having expose themselves to HIV. Accidental exposure to blood raises difficulties in personal life. Technical aspects are also associated with the possibility of accidental exposure to blood.

  6. The long-term prediction of return to work following serious accidental injuries: A follow up study

    Directory of Open Access Journals (Sweden)

    Sensky Tom

    2011-04-01

    Full Text Available Abstract Background Considerable indirect costs are incurred by time taken off work following accidental injuries. The aim of this study was to predict return to work following serious accidental injuries. Method 121 severely injured patients were included in the study. Complete follow-up data were available for 85 patients. Two weeks post trauma (T1, patients rated their appraisal of the injury severity and their ability to cope with the injury and its job-related consequences. Time off work was assessed at one (T2 and three years (T3 post accident. The main outcome was the number of days of sick leave taken due to the accidental injury. Results The patients' appraisals a of the injury severity and b of their coping abilities regarding the accidental injury and its job-related consequences were significant predictors of the number of sick-leave days taken. Injury severity (ISS, type of accident, age and gender did not contribute significantly to the prediction. Conclusions Return to work in the long term is best predicted by the patients' own appraisal of both their injury severity and the ability to cope with the accidental injury.

  7. Health care workers and AIDS: a differential study of beliefs and affects associated with accidental exposure to blood.

    Science.gov (United States)

    Rissi, Maria Rosa Rodrigues; Machado, Alcyone Artioli; Figueiredo, Marco Antonio de Castro

    2005-01-01

    This study aimed to analyze affective and cognitive determinants of the professional work of individuals caring for patients with HIV/AIDS, in view of the risk and/or experience of accidental exposure to blood. We drew on the theoretical-methodological references of Fishbein & Ajzen and Maslow's theory. Fifty health care workers were evaluated using an attitudes questionnaire and a needs and motivations instrument. The research verified differences between answers by health care workers who had never suffered accidents and those who had already experienced accidental exposure to blood. Health care workers did their work activities motivated by the need for self-fulfillment and valued their own performance when they were able to meet the patients' emotional needs. Among health professionals who had never experienced accidental exposure to blood, the predominant beliefs was that patients feel remorse over having expose themselves to HIV. Accidental exposure to blood raises difficulties in personal life. Technical aspects are also associated with the possibility of accidental exposure to blood.

  8. Symmetry-Guaranteed and Accidental Nodal-Line Semimetals in FCC Lattice

    CERN Document Server

    Kawakami, Takuto

    2016-01-01

    We demonstrate theoretically that nodal-line semimetal (NLS) states can be realized in face-center-cubic (fcc) lattice with orbits belonging to one irreducible representation, such as [$p_x$, $p_y$, $p_z$] and/or [$d_{xy}$, $d_{xz}$, $d_{yz}$]. It is shown that the three orbits are subdivided with respect to the odd- and even-parity upon mirror reflection on high symmetry planes, which yields an analytic expression for the trajectory of NL in momentum space when a tight-binding (TB) model is adopted. It becomes clear that there are two kinds of NLs, a symmetry-guaranteed one around the surface of the first Brillouin zone (BZ), and an accidental one around the BZ center governed by the hopping integrals. As a realization of the idea, we analyze the fcc photonic crystal composed of dielectric spheres by solving the Maxwell's equations. Two symmetry-guaranteed and one accidental NLS photonic states are observed. This provides a good platform to confirm experimentally the existence of topological NLS state, and o...

  9. Outcome of Accidental Exposure Prone to Blood Borne Viral Infections in an Educational Hospital

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    Shahnaz Sali

    2016-04-01

    Full Text Available Background: The risk for transmission of blood-borne viruses (BBVs such as Human immunodeficiency virus (HIV, hepatitis B virus (HBV and hepatitis C virus (HCV due to occupational exposure is a major concern in the health care setting.Materials and Methods: This study among 337 health care workers (HCWs accidentally exposed to BBVs was carried out from January 2009 to March 2015. The data were reviewed in labbafinejhad hospital, Tehran, Iran.Results: 4 HCWs had exposure to HBS Ag positive, which HBS antibody titer of them was higher than 10 mlu/ml, 6 HCWs were exposed to HCV seropositive patients underwent laboratory investigations for  HCV-antibody on 4,12, 24 weeks that results were negative. 3 cases had exposure to HIV seropositive patients which received standard antiretroviral post exposure prophylaxis.Conclusion: Timely performance for PEP (Post Exposure Prophylaxis reducing BBVs transmission among HCWs.prophylaxis. Conclusions: Timely performance for  PEP(Post Exposure Prophylaxis reducing BBVs transmission among HCWs.Key words: Outcome; Accidental Exposure; Blood Borne Viral Infections

  10. Cuidados de Enfermería en el Accidente Ofídico

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    Lorenzo Hernández, María Piedad

    2013-04-01

    Full Text Available El accidente ofídico supone una emergencia médica que requiere atención médica inmediata, pudiendo provocar la muerte de no realizarse una actuación adecuada precoz. El tratamiento varía según la geografía y características de las serpientes autóctonas, existiendo múltiples protocolos, que en ocasiones resultan contradictorios. El objetivo de este trabajo es realizar el proceso de atención de enfermería en el accidente ofídico, siendo imprescindible poseer un conocimiento integral de las especies peligrosas en España, consecuencias de la mordedura y tratamiento específico. Para la elaboración de este artículo se revisó la bibliografía para poner de manifiesto el plan de actuación y cuidados enfermeros. Con la elaboración de un plan de atención de enfermería individualizado se disminuye el riesgo de secuelas y se proporciona un cuidado y una atención sanitaria de calidad.

  11. Triage and management of accidental laboratory exposures to biosafety level-3 and -4 agents.

    Science.gov (United States)

    Jahrling, Peter; Rodak, Colleen; Bray, Mike; Davey, Richard T

    2009-06-01

    The recent expansion of biocontainment laboratory capacity in the United States has drawn attention to the possibility of occupational exposures to BSL-3 and -4 agents and has prompted a reassessment of medical management procedures and facilities to deal with these contingencies. A workshop hosted by the National Interagency Biodefense Campus was held in October 2007 and was attended by representatives of all existing and planned BSL-4 research facilities in the U.S. and Canada. This report summarizes important points of discussion and recommendations for future coordinated action, including guidelines for the engineering and operational controls appropriate for a hospital care and isolation unit. Recommendations pertained to initial management of exposures (ie, immediate treatment of penetrating injuries, reporting of exposures, initial evaluation, and triage). Isolation and medical care in a referral hospital (including minimum standards for isolation units), staff recruitment and training, and community outreach also were addressed. Workshop participants agreed that any unit designated for the isolation and treatment of laboratory employees accidentally infected with a BSL-3 or -4 pathogen should be designed to maximize the efficacy of patient care while minimizing the risk of transmission of infection. Further, participants concurred that there is no medically based rationale for building care and isolation units to standards approximating a BSL-4 laboratory. Instead, laboratory workers accidentally exposed to pathogens should be cared for in hospital isolation suites staffed by highly trained professionals following strict infection control procedures.

  12. Plutino 15810 (1994 JR1), an accidental quasi-satellite of Pluto

    CERN Document Server

    Marcos, C de la Fuente

    2012-01-01

    In the solar system, quasi-satellites move in a 1:1 mean motion resonance going around their host body like a retrograde satellite but their mutual separation is well beyond the Hill radius and the trajectory is not closed as they orbit the Sun not the host body. So far, minor bodies temporarily trapped in the quasi-satellite dynamical state have been identified around Venus, Earth, the dwarf planet (1) Ceres, the large asteroid (4) Vesta, Jupiter, Saturn and Neptune. Using computer simulations, Tiscareno and Malhotra have predicted the existence of a small but significant population of minor bodies moving in a 1:1 mean motion resonance with Pluto. Here we show using N-body calculations that the Plutino 15810 (1994 JR1) is currently an accidental quasi-satellite of Pluto and it will remain as such for nearly 350,000 yr. By accidental we mean that the quasi-satellite phase is triggered (or terminated) not by a direct gravitational influence in the form of a discrete close encounter but as a result of a resonan...

  13. Implications for platform re-assessment based on in-service damage resulting from accidental loadings

    Energy Technology Data Exchange (ETDEWEB)

    Sharp, J.V.; Stacey, A. [Health and Safety Executive, London (United Kingdom); Frieze, P.A.; Nichols, N.W.

    1996-12-01

    Current offshore design codes enable the capacity of structural components to be determined, but the equations apply only to the undamaged state. The ability to assess the performance of such components containing damage has only recently been developed and is important in the re-assessment of structures. In particular knowledge of the performance of members which are dented or bowed as a result of accidental damage is important in establishing the capacity of structures in-service, when for example using pushover analyses. Much research has been taken on the capacity of dented and bowed members. This paper reviews this data and establishes a database using screening criteria. This data is then compared with theoretical predictions from recently developed draft ISO equations. These show that dents and bows can significantly reduce the performance of members. A survey of offshore damage resulting in repairs has shown that 30% of this damage is the result of accidental events such as ship impact and dropped objects. Most damage found to members was in the form of dents, bows and cracks, with member severance in a few cases. The implications of this information for reassessment and offshore inspections are considered.

  14. Evaluation of patients who admitted to hospital due to accidentally falling objects on them

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    Yahya Turan

    2015-03-01

    Full Text Available Objective: Accidents at home, office, or outdoor environment are one of the leading cause of injury and death, especially in children. The aim of this study is the evaluation of patients admitted to our hospital due to the falling on an object accidentally. Methods: This study retrospectively assessed the medical records of 135 patients who were accidentally injured by a heavy object that fell on them between 2012 and 2014. Age, sex, object type as the cause of incident, site and time of the incident, and the death cause were analyzed. Results: Eighty-two (60.7% patients were male and 53 (39.3% were female and the mean age of the study population was 18.8 (0-79 years. The patients were most commonly from the pediatric age group (0-18 years old (n=78, 57.8%. When falling objects types are evaluated respectively dropping on a television with 18.5% (25 patients, stone(s with 15.6% (21 patients and objects made of iron with 11.1% (15 patients shares first three places. The most common sites of the incident were home (n=85, 62.9%. The incidents most commonly occurred in summer months (n=93, 68.9%. Conclusion: In this study obtained data should be contributed to accident prevention programs especially for children.

  15. Accidental phosgene gas exposure: A review with background study of 10 cases

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    Arvind Kumar Vaish

    2013-01-01

    Full Text Available Here, authors present a review on clinical presentation and management of exposure of phosgene gas after reviewing the literature by searching with keywords phosgene exposure on Google, Cochrane, Embase and PubMed with a background of experience gained from 10 patients who were admitted to our institute after an accidental phosgene exposure in February 2011 nearby a city in India. Phosgene is a highly toxic gas, occupational workers may have accidental exposure. The gas can also be generated inadvertently during fire involving plastics and other chemicals and solvents containing chlorine, which is of concern to emergency responders. Phosgene inhalation may cause initially symptoms of respiratory tract irritation, patients feel fine thereafter, and then die of choking a day later because of build up of fluid in the lungs (delayed onset non-cardiogenic pulmonary edema. Phosgene exposure is associated with significant morbidity and mortality. Patients with a history of exposure should be admitted to the hospital for a minimum of 24 h for observation because of the potential for delayed onset respiratory failure and acute respiratory distress syndrome.

  16. Accidental contamination of a German town's drinking water with sodium hydroxide.

    Science.gov (United States)

    Lendowski, Luba; Färber, Harald; Holy, Andreas; Darius, Anke; Ehrich, Bernd; Wippermann, Christine; Küfner, Bernd; Exner, Martin

    2015-05-01

    Case report of a very serious drinking water incident putting up to 50,000 inhabitants of a town near Bonn in North Rhine-Westphalia, Germany at risk. A concentrated solution of highly alkaline water by sodium hydroxide was accidentally washed into the town's drinking water at a pumping station and increased the pH-value of the water to 12. Residents who came into contact with the contaminated water immediately had a toxic reaction. The incident was detected by complaints from customers and after that was stopped within several hours. The pipes were flushed and the customers were warned not to use the water till the all clear. After this immediate management there was an investigation and the cause of the incident was detected as an accidental release of accumulated sodium hydroxide (NaOH) solution. The lack of a network alarm system and the automatic cut-off mechanisms as deficiencies in the design of the station were rectified by the water company immediately after the incident.

  17. Accidental fatal poisoning of a dog by Dieffenbachia picta (dumb cane).

    Science.gov (United States)

    Loretti, Alexandre Paulino; da Silva Ilha, Marcia Regina; Ribeiro, Rita Elaine Streda

    2003-10-01

    A single case of accidental fatal poisoning by Dieffenbachia picta, (dumb cane) (Araceae) in a 9-y-old female Poodle is described. Clinical signs included severe, locally extensive erosive/ulcerative glossitis accompanied by marked dyspnea of acute onset. The animal did not respond to emergency procedures to relieve severe respiratory distress; fatal asphyxiation ensued from edema of the glottis a few hours after the first clinical signs were observed. According to the owner, the dog had access to a tall, potted dumb cane plant and chewed the thick stem of the plant intensely. The owner did not authorize a necropsy of the animal. The diagnosis of Dieffenbachia picta poisoning was based on the history of accidental consumption of dumb cane and clinical signs. A comparison of this single case with other reports of dumb cane poisoning suggests that dogs poisoned by Dieffenbachia species usually recover uneventfully with conservative management and that death from asphyxiation is a rare but possible consequence of this intoxication. Severe edematous swelling of the glottis with occlusion of the larynx airway passage can occur in those cases in which large amounts of sap are quickly squeezed from the plant during intense chewing. Death would occur if owners do not seek veterinary care immediately and if emergency procedures are not instituted on time.

  18. Análisis de las repatriaciones por causas médicas en el contingente español de la ISAF durante los años 2009-2012 y de los fallecimientos ocurridos en Afganistán desde el inicio de la misión hasta Diciembre de 2012

    Directory of Open Access Journals (Sweden)

    J. Torres León

    2013-09-01

    Full Text Available Antecedentes: España ha participado en la ISAF desde el inicio del despliegue militar en Afganistán. En este trabajo se estudian las evacuaciones médicas hasta el Hospital Central de la Defensa Gómez Ulla (HCDGU, Role 4, durante los años 2009-2012, y las causas de las muertes ocurridas en territorio afgano desde el comienzo de la misión en 2002 hasta final de 2012. Material y Método: Se identificaron las historias clínicas de los evacuados y se diferenciaron entre bajas "no de combate" y "de combate". Las primeras se agruparon según la CIE.9.MC y las segundas según el mecanismo lesivo. Se describió la topografía de las lesiones en los casos de los heridos por arma de fuego y se analizaron las lesiones de los heridos por artefactos explosivos improvisados (IEDs. Se estudiaron las causas de los fallecimientos y se distinguieron las producidas por accidentes, acciones hostiles y muerte natural. Resultados: Se evacuaron 139 bajas, "de combate" 10,80% y "no de combate" 89,20%. La media de evacuaciones al año fue de 2,66 por cada 100 individuos desplegados. Entre las bajas "no de combate" las principales causas fueron las lesiones traumatológicas n=41 (33,6%. Entre las bajas por acciones hostiles los agentes lesivos fueron las armas de fuego n=7 (46,67% y los IEDs n= 8 (53,33%. El número de fallecidos del contingente español en Afganistan desde el inicio de la misión hasta Diciembre de 2012 ha sido de 37 personas. De ellos, 15 (40,54% fueron por acciones hostiles y 22 (59,46% por accidentes o muerte natural. Conclusiones: Las bajas "no de combate" representan casi el 90 % de las evacuaciones. Entre las bajas "no de combate" las cusas principales son las lesiones traumatológicas, los trastornos mentales y las enfermedades musculoesqueléticas. Las lesiones ocasionadas por IEDs parecen relacionadas con los efectos terciarios de la explosión. Las lesiones por armas de fuego se localizan principalmente en las extremidades. Los días de

  19. Caregivers' voices: The experiences of caregivers of children who sustained serious accidental and non-accidental head injury in early childhood.

    Science.gov (United States)

    Wharewera-Mika, Julie; Cooper, Erana; Kool, Bridget; Pereira, Susana; Kelly, Patrick

    2016-04-01

    Head injury is a leading cause of mortality and acquired neurological impairment in children. Head-injured children may have neurobehavioural deficits that persist for years following injury. Head injury can result in significant and persistent caregiver burden, including mental health issues, family stress and disorganisation, and unmet social and healthcare service needs. Few studies have examined the healthcare and social service needs of children and their families following head injury sustained at an early age. This qualitative study aims to describe the experiences of caregivers of children who sustained a serious head injury (particularly non-accidental head injury) before the age of 2 years. Caregivers were interviewed up to 15 years following the initial injury. Semi-structured interviews with 21 caregivers of 15 children (aged 3-15 years at the time of interview) were completed. Thematic analysis of interview data generated three key themes: impact, support and information. The study's findings reveal the broad impact of serious childhood head injury on caregivers, specifically the significant distress and burden brought about through lack of information, challenges in accessing support and inconsistent care. Recommendations for developing a quality 'model of care' and improving ease of access to supports for caregivers are provided.

  20. Prescripción facilitada de drogas antihipertensivas y disminución de la muerte prematura por accidente cerebrovascular

    OpenAIRE

    Javier Mariani; Marina Ridao; Gabriel González; Mauricio Monsalvo; Alejandro Macchia

    2016-01-01

    Introducción: Desde 2003, el programa Remediar (+Redes) distribuye gratuitamente medicación antihipertensiva. Durante este período, la mortalidad por accidente cerebrovascular disminuyó, aunque con inequidades entre grupos socioeconómicos. Objetivos: Evaluar la asociación entre la mortalidad por accidente cerebrovascular y la provisión de fármacos antihipertensivos. Estudiar la posible interacción entre los efectos de los antihipertensivos sobre la mortalidad y el nivel socioeconómico. ...

  1. Los accidentes coronarios de la terapéutica electro-convulsivante. su patogenia y su prevención

    OpenAIRE

    Jiménez Arango, Alejandro; Hakim Dow, Salomón

    2011-01-01

    a) Se plantea el problema de la aparición de accidentes coronarios en las aplicaciones de electro-choque y se hace un recuento de los casos referidos en la literatura.b) Se presentan las historias de dos casos clínicos: unos de insuficiencia coronaria aguda transitoria y otro de infarto del miocardio, consecutivos a aplicaciones de electro-choque.c) Se propone una explicación fisio-patológica de tales accidentes considerando: 1° La influencia de las lesiones coronarias antiguas. 2° La variabi...

  2. Muerte prematura por accidente cerebrovascular y condición socioeconómica en la Argentina

    OpenAIRE

    Mauricio Monsalvo; Anabel Fernández Prieto; Alejandro Macchia

    2016-01-01

    Introducción: La asociación entre mortalidad por accidente cerebrovascular y el nivel socioeconómico está escasamente descripta en Argentina. Objetivos: Describir la evolución temporal de la mortalidad por accidente cerebrovascular y su asociación con el nivel socioeconómico en Argentina entre 2000 y 2011. Material y métodos: Se realizó un estudio ecológico longitudinal. La mortalidad se cuantificó mediante tasas estandarizadas por edad y sexo, y el nivel socioeconómico mediante quint...

  3. Urban "accidental" wetlands mediate water quality and heat exposure for homeless populations in a desert city

    Science.gov (United States)

    Palta, M.

    2015-12-01

    In urban settings where humans interact in complex ways with ecosystems, there may be hidden or unanticipated benefits (services) or harm (disservices) conferred by the built environment. We examined interactions of a highly vulnerable population, the homeless, with urban waterways and wetlands in the desert city of Phoenix, Arizona, U.S.A. Climate change models project increases in heat, droughts, and extreme floods for the southwestern U.S. These projected changes pose a number of problems for sustainability and quality of future water supply, and the ability of human populations to mitigate heat stress and avoid fatalities. Urban wetlands that are created "accidentally" (by water pooling in abandoned areas of the landscape) have many structural (e.g., soils and hydrology) and functional (e.g., high denitrification) elements that mimic natural, unaltered aquatic systems. Accidental wetland systems in the dry bed of the Salt River, fed by storm and waste water from urban Phoenix, are located within economically depressed sections of the city, and show the potential for pollutant and heat mitigation. We used a mixed-method socio-ecological approach to examine wetland ecosystem functions and the ways in which homeless populations utilize Salt River wetlands for ecosystem services. Interviews and trash surveys indicated that homeless people are accessing and utilizing the wetlands as a source of running water, for sanitary and heat mitigation services, and for recreation and habitation. Environmental monitoring demonstrated that the wetlands can provide a reliable source of running water, nutrient and pathogen removal, heat mitigation, and privacy, but they may also pose a health risk to individuals coming in contact with the water through drinking or bathing. Whether wetlands provided a net benefit vs. harm varied according to site, season, and particular service, and several tradeoffs were identified. For example, heat is highest during the summer storm season

  4. Accidental Thawing of Embryos, Cryopreserved for Transfer. Two Italian cases, Milan and Rome.

    Science.gov (United States)

    Busardò, Francesco P; Vergallo, Gianluca Montanari; Turillazzi, Emanuela; Bolino, Giorgio; Vullo, Annamaria; Frati, Paola

    2016-01-01

    The bioethical and juridical debate on the status of frozen embryos sometimes adds new issues arising from new scientific evidence or by accidental occurrences that bring to the attention of the scientific community the need for new practical solutions. Within this scenario, there have been, in recent years, episodes concerning the accidental thawing of embryos, which have been cryopreserved for transfer. Two Italian cases (the Milan and the Rome cases) are here reported: the Milan case involves a couple undergoing artificial insemination. Three eggs were collected for insemination and two of them had been fertilized. During the night of 8/9 May 2007 a short circuit occurred, resulting in an electricity blackout, which caused the loss of the embryos in culture, which should have been transferred to the woman's uterus on 9 May. The couple applied for damage compensation from the hospital following the loss of the embryos. The case went to Court and the result was a judgment issued by the Milan civil court, which recognized that the centre was to blame for irreparable damage to the embryos. The Rome case, involves two couples (A and B) affected by sterility who applied to an authorized public centre to undergo an ART program. Following the medical procedures, two of the embryos produced were transferred to the woman in couple A and five were frozen, whereas three embryos produced by couple B were transferred to the uterus of the woman and six eggs were cryopreserved in the centre. Two years after the procedure there was an electricity blackout, and the backup electricity generator failed to function, causing the loss of the gametes and the embryos cryopreserved in the centre. Legal proceedings begun by the couples to obtain compensation for damages are still underway. The above reported cases have significantly intensified the bioethical debate on the lawfulness of such practices and on the fate of the cryopreserved embryos, at the same time opening new frontiers in

  5. ACUTE ACCIDENTAL POISONING IN CHILDREN: A HOSPITAL-BASED RETROSPECTIVE STUDY

    Directory of Open Access Journals (Sweden)

    Kameshore

    2014-10-01

    Full Text Available INTRODUCTION: Acute accidental poisoning in children is a big problem anywhere in the world. Studies done elsewhere in India showed a wide range of incidence of the problem. Hence, it was felt important to study its magnitude and associated characteristics as of now. OBJECTIVE: The current study was taken up to know the magnitude among children admitted in JNIMS, Imphal which is a newly established medical institute and also to study the characteristics like age, gender, type of poison, duration of hospital-stay and outcome of the cases. MATERIALS & METHODS: Retrospective data of all acute accidental poisoning cases among children admitted in the Pediatrics Ward, JNIMS, Imphal during the period July 2008 - December 2013 were analyzed by using descriptive statistics. RESULT: Of all the 13,663 children admitted, 148 cases were because of acute accidental poisoning giving an incidence rate of 1.08%. The male is to female ratio was 1.31:1. The last three years of the study period showed a slightly increasing trend in the incidence. Children aged 1-4 years were the most commonly affected (65.54%. Kerosene oil was by far the commonest (42% of all the poisonous substances consumed. Food poisoning, poisoning with organic compounds, poisoning with medicinal drugs and poisoning with corrosives comprised 21%, 12%, 9% and 8% respectively of all the cases. There was no mortality. DISCUSSION: The incidence rate of 1.08% as found out from the current study was on the lower side as compared to reports of previous studies done in other parts of the country. Yet, it was two-fold of the incidence reported from RIMS which is situated in the same State. Parental negligence in storing poisonous substances in the household was implicated. They need to be made aware for keeping harmful poisonous substances in safe places out of the reach of children. CONCLUSION: Community-based studies are recommended for estimating more accurately the magnitude of the problem in the

  6. The Chernobyl – Thirty Years After The Post – Accidental Radiological – Hygienic and Medical Consequences

    Directory of Open Access Journals (Sweden)

    G. G. Onishchenko

    2016-01-01

    Full Text Available As the result of the Chernobyl NPP accident more than 200 thousand square kilometers of the European territories were contaminated by Cs-137 in the amount of above 37 kBq/m2 (1 Ci/km2 . Belorussia, Russia and Ukraine amount up to 70% of this entire affected area. More than 600 000 people were engaged in the accidental cleanup operations, 340000 were evacuated or relocated within 1986-1991. The early stage evacuation efficacy is confirmed by the absence of acute radiation syndrome among the population and by the prevented collective dose which amounts to no less than 10 000 man/Sv. The effective measure to reduce the internal radiation dose to the population at the early accidental stage was introduction of maximum tentative permissive levels of radionuclide content in the foodstuffs.Among the identified post -accident medical consequences of the Chernobyl is the radiation syndrome found in 134 emergency cleanup workers within the first 24 hours of the accident’s development. Out of that number, 28 people died within the first four months, 19 people died before 2006. The accident’s liquidators developed radiation -induced leukemia ( the attributive risk value is 45-60% . People exposed to high radiation doses display the statistically significant 18% morbidity increase of all types of solid cancers at the doses above 150 mSv. There is the statistically significant information indicating the increased amount of thyroid cancer morbidity among those who were just children and teenagers at the time of the accident. The adverse psychological consequences are accounted for not just the fear of overexposure but also for the disturbance of the habitual lifestyle especially mindful of the forced relocation.The longterm protection measures, radionuclide decay and selfcleaning of the contaminated areas resulted in the drastic reduction of the population dose in the radioactively contaminated territories. In 2015, only in some settlements of the Briansk

  7. NSAIDs and the risk of accidental falls in the elderly: a systematic review.

    Science.gov (United States)

    Hegeman, Judith; van den Bemt, Bart J F; Duysens, Jacques; van Limbeek, Jacques

    2009-01-01

    Accidental falls, especially those occurring in the elderly, are a major health and research topic nowadays. Besides environmental hazards and the physiological changes associated with aging, medication use (e.g. benzodiazepines, vasodilators and antidepressants) and polypharmacy are significant risk factors for falling as well. Exposure to NSAIDs has been associated with accidental falls too, although information on this area is less consistent. Therefore, the main goal of this review is to provide an updated overview of all the evidence published on the risk of falling due to NSAID use thus far. A systematic literature search for material published between 1966 and March 2008 in PubMed, EMBASE, the Cochrane Database of Systematic Reviews, Exerpta Medica, Current Contents and Science Citation Index was combined with a check of the reference lists of all the retrieved articles. Validity and data extraction of the eligible articles was assessed by adapted criteria, based on checklists that were originally developed to assess case-control or cohort studies. From the 16 selected articles, two studies were rejected because of clustering of data and one article was excluded because it contained the same data as that in one of the included articles. None of the articles retrieved included a randomized controlled trial. The remaining 13 studies all showed some lack in completeness of their statistical methods, and much variation in reporting of effects. The overall mean age was high in the study populations, leaving the results to be poorly generalizable to a larger population and other age categories. Despite these imperfections, all studies showed an increased risk of falling due to NSAID use (four significant, nine non-significant), and a tendency towards an increased fall risk with NSAID exposure could be noted. The results shown in the present review suggest that an increased risk for accidental falls is probable when elderly individuals are exposed to NSAIDs. The

  8. Prevalencia de foramen oval permeable en pacientes con accidente cerebrovascular o accidente isquémico transitorio criptogénicos

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    Alejandro E. Contreras

    2009-01-01

    Full Text Available RESUMENIntroducciónEl foramen oval permeable (FOP se encuentra en alrededor de la cuarta parte de la población general. Pese a que su hallazgo no tiene repercusiones clínicas y no requiere tratamiento,se reconoce como una posible causa de accidente cerebrovascular (ACV criptogénico.ObjetivoConocer la prevalencia de FOP en pacientes estudiados por ACV o crisis isquémicas transitorias(CIT criptogénicos.Material y métodosSe analizaron retrospectivamente los ecocardiogramas transesofágicos de pacientes con ACVo CIT criptogénicos derivados para la evaluación de fuentes embolígenas. Se definió FOP alpasaje de una o más burbujas dentro de los tres primeros latidos luego de la opacificación dela aurícula derecha. Se definió aneurisma del septum interauricular (ASA a la excursióndel septum hacia la aurícula derecha o izquierda de 10 mm o más.ResultadosSe evaluaron 43 pacientes, edad promedio 59,6 ± 16,9 años, 41,9% mujeres. Se halló FOPen 13 pacientes (30,2% - IC 95% 15% a 44%, de los cuales 7 (16,3% del total de la poblaciónpresentaban FOP grande. Hubo 6 casos de ASA (14%, todos asociados con FOP y en 4 deellos (66% el FOP era grande.ConclusionesLa prevalencia de FOP en pacientes con ACV o CIT criptogénicos es del 30% y en uno decada tres de ellos se asocia con aneurisma del septum interauricular.REV ARGENT CARDIOL 2009;77:493-495.

  9. Distribuição da mortalidade por acidentes de trânsito no município do Rio de Janeiro Distribución de la mortalidad por accidentes de tránsito en la ciudad de Rio de Janeiro Distribution of the mortality by traffic accidents in the city of Rio de Janeiro

    Directory of Open Access Journals (Sweden)

    Luana dos Passos Gomes

    2007-06-01

    Full Text Available Este estudo descreveu a evolução da taxa de mortalidade por acidentes de trânsito e analisou sua distribuição espacial no Município do Rio de Janeiro. Foram analisados dados sobre mortalidade por causas externas ocorridos no período de janeiro de 1996 a dezembro de 2004 utilizando-se dados do Sistema de Informação de Mortalidade. A análise foi feita com a utilização do programa TABWIN, software desenvolvido pelo DATASUS que facilita a construção de indicadores de mortalidade. Pôde-se observar uma queda significativa no coeficiente de mortalidade por acidentes de trânsito no período analisado, que parece estar relacionada à implantação do novo Código de Trânsito Brasileiro (21,4 - 8,7/100.000 habitantes. A população de adulto-jovens do sexo masculino mostrou-se largamente atingida (40,6%, e o tipo de acidente mais freqüente foi o atropelamento (65%. Os dados obtidos indicam a necessidade premente de se empreenderem ações preventivas para o trânsito, através de ações intersetoriais.Este estudio describió la evolución de la tasa de mortalidad por accidentes de tránsito y analizó su distribución espacial en la ciudad del Rio de Janeiro. Fueran analizados datos sobre mortalidad por causas externas ocurridos en el periodo de enero de 1996 a diciembre de 2004 usando datos del Sistema de Información de Mortalidad. El análisis fue hecho con la utilización del programa TABWIN, software desarrollado por el DATASUS que facilita la construcción de indicadores de mortalidad. Fue posible observar un declive significativo en el coeficiente de mortalidad por accidentes de tránsito en el periodo analizado, lo cual parece estar relacionado a la implantación del nuevo Código de Tránsito Brasileño (21,4 - 8,7/100.000 habitantes. La población de adulto-jovenes del sexo masculino se mostró anchamente alcanzada (40,6%, y el tipo de accidente más frecuente fue el atropello (65%. Los datos obtenidos indican la necesidad

  10. O impacto psicológico de um acidente químico ambiental com óleo diesel El impacto psicológico que el accidente químico ambiental con aceite diesel The psychological impact caused by an environmental and chemical accident with diesel oil

    Directory of Open Access Journals (Sweden)

    Carina Rodrigues Garcia Lino

    2009-06-01

    Full Text Available O acidente ocorrido em Porto das Caixas, Itaboraí/RJ, com o trem que descarrilou e despejou 60 mil litros de óleo diesel em uma região habitada, resultou em impacto ambiental e humano. O principal objetivo deste trabalho foi investigar o impacto psicológico que o acidente causou na população. A população estudada constituiu-se de 28 pessoas de ambos os sexos expostas ao óleo diesel, com idade entre 18 e 60 anos. O instrumento utilizado na investigação das estratégias de enfrentamento do estresse foi o Inventário de Estratégias de Coping. Foi observado que a estratégia mais utilizada foi fuga e esquiva e a menos utilizada foi a de confronto. O que se constata é que existiu um impacto psicossocial em função do acidente naquela comunidade e que danos oriundos de um evento estressor podem ser observados em momentos diferenciados e seus efeitos prejudiciais podem se estender ao ambiente e à saúde da população do entorno.El accidente ocurrido en Porto das Caixas, Itaboraí/RJ, con el tren que descarrilló y despejó 60 mil litros de aceite diesel en una región habitada, resultó en impacto ambiental y humano. El principal objetivo de este trabajo fue investigar el impacto psicológico que el accidente causó en la población. La población estudada se constituyó de 28 personas de ambos los sexos expuestas al aceite diesel, con edad entre 18 y 60 años. El instrumento utilizado en la investigación de las estrategias de enfrentamiento del estrés fue el Inventario de Estrategias de Coping. Fue observado que la estrategia más utilizada fue la de huir y esquivar y la menos utilizada fue la de confrontar. El que se constata es que existió un impacto psicosocial en función del accidente en aquella comunidad y que daños oriundos de un evento estresor pueden ser observados en momentos diferenciados y sus efectos perjudiciales pueden estenderse al ambiente y a la salud de la población del entorno.The accident occurred in Porto das

  11. Multiple simultaneous intracerebral hemorrhages following accidental massive lumbar cerebrospinal fluid drainage: Case report and literature review

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    Ruiz-Sandoval Jose

    2006-01-01

    Full Text Available Multiple simultaneous intracerebral hemorrhages (ICH are uncommon. We report the case of an 80-year-old woman with previous diagnosis of normal pressure hydrocephalus and who was brought to our hospital with altered mental status and urinary incontinence. Medical history of hypertension, hematological disorders or severe head trauma was absent. Platelet count and coagulation profile were unremarkable. An initial head computed tomography (CT showed sulcal enlargement and ventricular dilatation, but no evidence of ICH. A tap test indicated as a guide to case selection for shunt surgery accidentally resulted in cerebrospinal fluid (CSF overdrainage. The patient presented sudden neurological deterioration, with sluggishly responsive pupils and generalized tonic-clonic seizures. A new head CT demonstrated multiple supra and infratentorial ICH. The patient became comatose and had a fatal course. Hence, CSF overdrainage may either cause or precipitate multiple simultaneous ICHs, affecting both the infratentorial and supratentorial regions.

  12. Accidental permutation symmetries as a test for Grand Unification: the supersymmetric $SU(5)$ case

    CERN Document Server

    Fichet, Sylvain

    2016-01-01

    Unification of matter fields implies the existence of accidental permutation symmetries, which potentially remain immune to large quantum corrections up to the TeV scale. We investigate the case of a supersymmetric $SU(5)$ grand unified theory, where such a permutation symmetry is present in the up-type squark sector. We present a variety of tests allowing to challenge the $SU(5)$ hypothesis based on the observation of squarks at the LHC. These tests appear as relations among observables involving flavour-violating or chirality-flipping decays of squarks. Moreover, they rely on top-polarimetry and charm-tagging. As an example, we discuss the application to the scenario of Natural Supersymmetry, while more examples can be found in the related journal publications.

  13. 'Battered pets': features that raise suspicion of non-accidental injury.

    Science.gov (United States)

    Munro, H M; Thrusfield, M V

    2001-05-01

    A study of veterinarians' perceptions, and experience, of non-accidental injury (NAI) to pets was undertaken using an anonymous questionnaire distributed to a random sample of 1000 small animal practitioners in the UK. NAI was acknowledged by 91.3 per cent (95 per cent confidence interval, 88.2 to 93.9 per cent) of the 404 respondents who returned questionnaires, of whom 48.3 per cent (95 per cent confidence interval, 43.4 to 53.1 per cent) had either suspected or seen NAI. Four hundred and forty-eight cases were documented, predominantly in dogs (243) and cats (182). Factors either raising suspicion, or facilitating recognition, of NAI included: implication of a particular person, features of the history, referral agency involvement, behaviour of the owner and/or the animal, nature of the injuries, and socioeconomic class of owners. Additionally, sexual abuse and suspected cases of Munchausen syndrome by proxy were recorded.

  14. Cardiac thrombus developing after an accidental high-voltage electric shock in a child.

    Science.gov (United States)

    Akın, Alper; Bilici, Meki; Demir, Fikri; Gözü Pirinççioğlu, Ayfer; Yavuz, Celal

    2015-01-01

    Electric shock is a condition that may affect various organ systems and potentially cause death. Cardiac findings vary from asymptomatic mild injury to fatal myocardial involvement. Herein we present a five-year-old boy with a cardiac thrombus developing after an accidental electrical shock. Cardiac arrhythmias and evidence of ischemia have been reported after electric shock; we were, however, unable to identify an earlier case report of intracardiac thrombosis related to electric shock. Findings such as elevated cardiac enzymes and systolic dysfunction, which indicate myocardial damage following electric shock, were present in our patient. We think that the cardiac thrombus might have resulted from the myocardial damage and the slowed intracardiac blood flow related to systolic dysfunction. As the thrombus was thought to have been formed through known mechanisms, it was treated traditionally. However, further data regarding the etiology and management of such thrombi is needed.

  15. El seguro de accidentes personales en Colombia y su visión jurisprudencial.

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    Fabio Bonilla

    2003-01-01

    Full Text Available Un recorrido a través de 25 años de jurisprudencia colombiana, permite al autor exponer y comentar la posición de la jurisprudencia nacional en torno a la definición de accidente y la distribución de la carga probatoria en las pólizas de seguro de riesgos accidentales. Se destaca este artículo por poner de presente el contraste existente entre el derecho colombiano y el de los países europeos en lo referido a la definición del riesgo en este tipo de pólizas, con base en requerimientos de intencionalidad por parte del tercero que con su intervención da lugar al siniestro.

  16. Complications following an accidental sodium hypochlorite extrusion: A report of two cases

    Science.gov (United States)

    Bosch-Aranda, María L.; Canalda-Sahli, Carlos; Gay-Escoda, Cosme

    2012-01-01

    Sodium hypochlorite (NaOCl) is the most commonly used solution in root canal treatments, as it is a low-cost method that displays a very effective antimicrobial activity against microbiota of infected root canals. However, this solution can cause complications especially due to its cytotoxic features. When this solution is injected into the adjacent tissues, the patient usually experiences intense pain, and an urgent treatment should be implemented in order to prevent a long-term sequelae. This paper describes the clinical features of two patients that experienced an accidental extrusion of NaOCl after endodontic treatment of varying severity and with different treatments. Furthermore, it shows the long-term neurologic injuries that this type of accidents may cause and a treatment protocol for these situations will be suggested. Key words:Nerve damage, root canal irrigation, root canal treatment, sodium hypochlorite. PMID:24558554

  17. Accidental $\\xi$-scaling as a signature of nuclear effects at x $>$ 1

    CERN Document Server

    Benhar, O

    1995-01-01

    We propose an interpretation of the \\xi-scaling behavior of nuclear structure functions observed at Bjorken x>1 and Q^2 \\lesssim 4 \\, {\\rm (GeV/c)^2}. We show that at \\xi \\gtrsim 1, \\xi-scaling might arise accidentally because of the approximate cancellation of two different Q^2-dependent effects, namely Final State Interactions and the effects implicit in the choice of the scaling variable \\xi. We provide a new convolution formula for the nuclear structure function in terms of \\xi and make predictions for the kinematical regions where Final State Interactions are expected to be small and the suggested balancing of scaling violations is expected to break down. Our analysis is aimed at the final goal of clarifying the range of applicability of local duality ideas in nuclei.

  18. Necrotizing fasciitis due to Streptococcus mitis caused by accidental human bite.

    Science.gov (United States)

    Bastug, Aliye; Kislak, Sumeyye; Mutlu, Nevzat Mehmet; Akcaboy, Zeynep Nur; Koksal, Asude; Sertcelik, Ahmet; Ünlü, Ramazan Erkin; Akinci, Esragul; Bodur, Hurrem

    2016-01-31

    Human bite wounds are more prone to infection than animal bites, which may cause necrotizing soft tissue infections such as myositis, fasciitis. Both aerobic and anaerobic microorganisms may be responsible, including Streptococcus spp., Staphylococcus aureus, Peptostreptococcus spp. Necrotizing fasciitis is characterized by serious tissue destruction and systemic toxicity with high morbidity and mortality. We report a patient with Streptococcus mitis associated necrotizing fasciitis on the upper extremity resulting from an accidental human bite, which caused nearly fatal infection. Prophylactic antibiotic treatment should be given after a human bite to prevent infection. If the infection signs and symptoms develop, rapid diagnosis, appropriate antibiotic and surgical therapy should be administered immediately. Streptococcus mitis is a viridans streptococcus, usually known as a relatively benign oral streptococcus. To our knowledge, this is the first necrotizing fasciitis case due to Streptococcus mitis after human bite.

  19. Medical status of Marshallese accidentally exposed to 1954 Bravo fallout radiation, January 1983-December 1984

    Energy Technology Data Exchange (ETDEWEB)

    Adams, W.H.; Engle, J.R.; Harper, J.A.; Heotis, P.M.; Scott, W.A.

    1986-01-01

    March 1, 1984, was the 30th anniversary of the Bravo thermonuclear test that resulted in the accidental exposure of the populations of Rongelap and Utirik atolls to radioactive fallout. The chronicling of the medical events resulting from that exposure is continued in this report, which covers the period from January 1983 through December 1984. An updated listing of all relevant publications from the Medical Department Brookhaven National Laboratory, is presented in the Reference Section. Thirty years of observation continue to show no detectable increase in mortality in the exposed population as a result of that exposure. The survival curves of the high-exposure Rongelap group, the low-exposure Utirik population, and an unexposed group of Rongelap people matched by age and sex to the exposed Rongelap group in 1957 continue to be similar. 89 refs., 2 figs., 6 tabs.

  20. Estimating accidental pollutant releases in the built environment from turbulent concentration signals

    Science.gov (United States)

    Ben Salem, N.; Salizzoni, P.; Soulhac, L.

    2017-01-01

    We present an inverse atmospheric model to estimate the mass flow rate of an impulsive source of pollutant, whose position is known, from concentration signals registered at receptors placed downwind of the source. The originality of this study is twofold. Firstly, the inversion is performed using high-frequency fluctuating, i.e. turbulent, concentration signals. Secondly, the inverse algorithm is applied to a dispersion process within a dense urban canopy, at the district scale, and a street network model, SIRANERISK, is adopted. The model, which is tested against wind tunnel experiments, simulates the dispersion of short-duration releases of pollutant in different typologies of idealised urban geometries. Results allow us to discuss the reliability of the inverse model as an operational tool for crisis management and the risk assessments related to the accidental release of toxic and flammable substances.

  1. Accidental Continuous Releases from Coal Processing in Semi-Confined Environment

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    Bruno Fabiano

    2013-09-01

    Full Text Available Notwithstanding the enforcement of ATEX EU Directives (94/9/EC of 23 March 1994 and safety management system application, explosions in the coal sector still claim lives and cause huge economic losses. Even a consolidated activity like coke dry distillation allows the opportunity of preventing explosion risk connected to fugitive emissions of coke oven gas. Considering accidental releases under semi-confined conditions, a simplified mathematical approach to the maximum allowed gaseous build-up is developed on the basis of the intrinsic hazards of the released compound. The results will help identifying and assessing low rate release consequences therefore to set-up appropriate prevention and control measures. The developed methodology was tested at the real-scale and validated by numerical computational fluid dynamics (CFD simulations showing the effectiveness of the methodology to evaluate and mitigate the risk connected to confined hazardous releases.

  2. Two viable large scalar multiplet models with an accidental Z2 symmetry

    CERN Document Server

    Earl, Kevin; Logan, Heather E; Pilkington, Terry

    2013-01-01

    Models in which the Higgs sector is extended by a single scalar electroweak multiplet Z will possess an accidental global Z2 symmetry if Z has isospin T=5/2 (sextet) or 7/2 (octet) and carries the same hypercharge as the Standard Model Higgs doublet. This Z2 symmetry keeps the lightest (neutral) member of Z stable and has interesting implications for phenomenology. We determine the constraints on these models from precision electroweak measurements and Higgs boson decays to two photons. We compute the thermal relic density of the stable member of Z and show that, for masses below 1 TeV, it can make up at most 1% of the dark matter in the universe. We also show that current dark matter direct detection experiments do not constrain the models, but future ton-scale experiments will probe their parameter space.

  3. The accidental data scientist big data applications and opportunities for librarians and information professionals

    CERN Document Server

    Affelt, Amy

    2015-01-01

    Harvard Business Review recently named the data scientist described as a high-ranking professional with the training and curiosity to make discoveries in the world of Big Data as "the sexiest job of the 21st century." Librarians and information professionals have always worked with data in order to meet the information needs of their constituents, thus "Big Data" is not a new concept for them though it is spawning new approaches along with a language all its own. InThe Accidental Data Scientist, Amy Affelt shows information professionals how to leverage their skills and training to master emerging tools, techniques, and vocabulary; create mission-critical Big Data research deliverables; and discover rewarding new career opportunities by embracing their inner Data Scientist.

  4. The radiological impact on the Greater London population of postulated accidental releases from the Sizewell PWR

    CERN Document Server

    Kelly, G N; Charles, D; Hemming, C R

    1983-01-01

    This report contains an assessment of the radiological impact on the Greater London population of postulated accidental releases from the Sizewell PWR. Three of the degraded core accident releases postulated by the CEGB are analysed. The consequences, conditional upon each release, are evaluated in terms of the health impact on the exposed population and the impact of countermeasures taken to limit the exposure. Consideration is given to the risk to the Greater London population as a whole and to individuals within it. The consequences are evaluated using the NRPB code MARC (Methodology for Assessing Radiological Consequences). The results presented in this report are all conditional upon the occurrence of each release. In assessing the significance of the results, due account must be taken of the frequency with which such releases may be predicted to occur.

  5. Forensic aspects of paediatric fractures. Differentiating accidental trauma from child abuse

    Energy Technology Data Exchange (ETDEWEB)

    Bilo, Rob A.C. [Netherlands Forensic Institute, The Hague (Netherlands). Department of Pathology and Toxicology; Rijn, Rick R. van [Emma Childrens' s Hospital/Academic, Medical Center Amsterdam (Netherlands). Department of Radiology; Robben, Simon G.F. [Maastricht University Medical Center, Maastricht (Netherlands)

    2010-07-01

    Fractures are a common finding in children and it is estimated that 2.1% of all children will suffer at least one fracture before the age of 16. With young children in particular, the question may arise if this is related to child abuse. The aim of this book is to help physicians involved in child abuse cases to interpret radiological findings in light of the forensic circumstances under which they occurred. The authors present up-to-date literature related to the mechanisms underlying non-accidental cases of trauma. In this book not only the radiological findings in child-abuse are discussed, but more importantly, these findings are analyzed from a forensic perspective. Careful attention is paid to evidence regarding reported trauma mechanisms and their clinical outcome; for example, can a fall from a couch result in a femoral fracture, and if not, where is the supporting evidence? (orig.)

  6. Urban Early Adolescent Narratives on Sexuality: Accidental and Intentional Influences of Family, Peers, and the Media.

    Science.gov (United States)

    Charmaraman, Linda; McKamey, Corinne

    2011-01-01

    In this paper, we examine the ways that early adolescents talked, interacted, and made references to events in their individual and collective lives during photography-based focus groups about sexuality and relationships. Twenty-three participants (10 boys and 13 girls) were recruited from three urban schools participating in a comprehensive sex education impact evaluation in the Northeast. We analyzed conversational narratives that were elicited in a group process while sharing photos of important people, contexts, and situations, showcasing participants' exploration of sexuality and relationships. Our analysis revealed four main themes: (a) direct and indirect family communication about sexuality, (b) accidental and intentional Internet usage, (c) shared and contested peer knowledge, and (d) school as a direct and indirect learning context. Implications and future directions for practice, research, and policy are explored.

  7. El Cuerpo Militar de Sanidad en la Investigación de Accidentes Aéreos

    Directory of Open Access Journals (Sweden)

    F. Rios Tejada

    2012-12-01

    Full Text Available La investigación de un accidente o incidente aéreo puede ser simple o enormemente compleja. El proceso de investigación puede conducir a la elaboración de un informe directo y conciso o lo más frecuente, significa un largo camino de recopilación, análisis, estudio y finalmente la elaboración de posibles conclusiones. En este proceso, los aspectos médicos, psicológicos, ambientales, psicosociales o ergonómicos englobados en el término genérico de factores humanos cobran una especial relevancia, atribuyéndose hasta un 60-80% de causas directas o coadyuvantes al mismo. En este trabajo se revisan los antecedentes jurídicos y base legal en la que se apoya la Comisión para la investigación técnica de accidentes de aeronaves militares (CITAAM, así como sus atribuciones, organización y composición, sus funciones generales y más concretamente las encomendadas al vocal médico de la misma. Desde su creación en 1994, la experiencia acumulada ha sido enorme, haciéndose mención de algunos datos de interés estadístico pero señalando también la labor de formación realizada y su proyección nacional e internacional, sobre todo en el marco de la OTAN.

  8. Circumstances and factors associated with accidental deaths among children, adolescents and young adults in Cuiaba, Brazil

    Directory of Open Access Journals (Sweden)

    Christine Baccarat de Godoy Martins

    Full Text Available CONTEXT AND OBJECTIVE Analysis on accidents from the perspective of population segments shows there is higher incidence among children, adolescents and young adults. Since the characteristics and circunstances of the event are closely related to educational, economic, social and cultural issues, identifying them may contribute towards minimizing the causes, which are often fatal. The aim here was to identify the environmental, chemical, biological and cultural factors associated with deaths due to accidents among children, adolescents and young adults in Cuiabá, in 2009. DESIGN AND SETTING This was a descriptive cross-sectional study conducted in Cuiabá, Mato Grosso, Brazil. RESULTS Thirty-nine accidental deaths of individuals aged 0 to 24 years were examined: 56.4% due to traffic accidents; 25.6%, drowning; 10.3%, aspiration of milk; 5.1%, falls; and 2.6%, accidentally triggering a firearm. Male victims predominated (82.1%. The presence of chemical, environmental and biological risk factors was observed in almost all of the homes. Regarding cultural factors and habits, a large proportion of the families had no idea whether accidents were foreseeable events and others did not believe that the family's habits might favor their occurrence. Delegation of household chores or care of younger siblings to children under the age of 10 was common among the families studied. CONCLUSION The results point towards the need to have safe and healthy behavioral patterns and environments, and to monitor occurrences of accidents, thereby structuring and consolidating the attendance provided for victims.

  9. Observations on increased accidental asphyxia deaths in infancy while cosleeping in the state of Maryland.

    Science.gov (United States)

    Li, Ling; Zhang, Yang; Zielke, Ron H; Ping, Yan; Fowler, David R

    2009-12-01

    The Office of the Chief Medical Examiner (OCME) has recorded a significant increase of accidental asphyxia deaths in infancy associated with cosleeping in the state of Maryland in 2003. A total of 102 infants died suddenly and unexpectedly during 2003 in the state of Maryland. Of the 102 infants, 46 (45%) were found cosleeping. The frequency of cosleeping among these 102 infants was 28% (29/102) for black infants and 15% (15/102) for white infants. Ten of the 46 cosleeping infant deaths (20%) were determined to be the result of accidental asphyxia, and 28 cosleeping infant deaths (59%) were classified as "undetermined" because the possibility of asphyxia due to overlay while cosleeping could not be ruled out. Only 21 cases were determined to be Sudden Infant Death Syndrome (SIDS), which is consistent with the continuous decline of SIDS death in Maryland since 1994. The age of asphyxiated cosleeping infants ranged from 15 days to 9 months. Nine out of the 10 asphyxia deaths were black infants. The most common sleeping location of the asphyxia infants was on a couch/sofa, followed by an adult bed. Crib availability was documented in all of the cosleeping cases. A majority (61%) of the cosleeping infants (28/46) had an available crib or bassinet at home and 9 out of 10 asphyxiated cosleeping infants had a crib at home at the time of the incident. This report focuses on the detailed scene investigation findings of infant victims who died of asphyxia while cosleeping. The shift of diagnosis in sudden infant death investigation is also addressed.

  10. The effectiveness of a multidisciplinary QI activity for accidental fall prevention: Staff compliance is critical

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    Ohde Sachiko

    2012-07-01

    Full Text Available Abstract Background Accidental falls among inpatients are a substantial cause of hospital injury. A number of successful experimental studies on fall prevention have shown the importance and efficacy of multifactorial intervention, though success rates vary. However, the importance of staff compliance with these effective, but often time-consuming, multifactorial interventions has not been fully investigated in a routine clinical setting. The purpose of this observational study was to describe the effectiveness of a multidisciplinary quality improvement (QI activity for accidental fall prevention, with particular focus on staff compliance in a non-experimental clinical setting. Methods This observational study was conducted from July 2004 through December 2010 at St. Luke’s International Hospital in Tokyo, Japan. The QI activity for in-patient falls prevention consisted of: 1 the fall risk assessment tool, 2 an intervention protocol to prevent in-patient falls, 3 specific environmental safety interventions, 4 staff education, and 5 multidisciplinary healthcare staff compliance monitoring and feedback mechanisms. Results The overall fall rate was 2.13 falls per 1000 patient days (350/164331 in 2004 versus 1.53 falls per 1000 patient days (263/172325 in 2010, representing a significant decrease (p = 0.039. In the first 6 months, compliance with use of the falling risk assessment tool at admission was 91.5% in 2007 (3998/4368, increasing to 97.6% in 2010 (10564/10828. The staff compliance rate of implementing an appropriate intervention plan was 85.9% in 2007, increasing to 95.3% in 2010. Conclusion In our study we observed a substantial decrease in patient fall rates and an increase of staff compliance with a newly implemented falls prevention program. A systematized QI approach that closely involves, encourages, and educates healthcare staff at multiple levels is effective.

  11. ACCIDENTAL SUBCUTANEOUS INJECTION OF VECURONIUM BROMIDE IN A PATIENT WITH BURNS

    Directory of Open Access Journals (Sweden)

    Usha Dev

    2014-10-01

    Full Text Available BACKGROUND AND OBJECTIVES: In patients with burn injury drug pharmacology will be altered and this poses special anaesthetic challenge when an subcutaneous injection of a non- depolarizing muscle relaxant occurs in such a patient. Small studies remain an important source of knowledge and hence this study aims to provide information on the anaesthetic management in a case of accidental subcutaneous injection of vecuronium bromide in a burns patient. PRESENTATION, DIAGNOSIS & MANAGEMENT: A 22 year young male with 4 days old hot water induced grade 1 burns involving 45% of body surface area was posted for burns dressing. Anaesthesia was induced with propofol and vecuronium bromide through an external jugular vein to aid tracheal intubation. As the patient was not anaesthetized even after 10 minutes routine check lead to the discovery of fullness at the tip of the intravenous catheter indicating an extravasation of the drugs. Hence the other external jugular vein was cannulated and the patient induced and intubated using propofol, sevoflurane, nitrous oxide and oxygen. The action of vecuronium outlasted the duration of surgery. So the patient continued to receive support of mechanical ventilation with nitrous oxide and oxygen. It took 130 minutes for the clinical signs of recovery from the muscle relaxant to manifest. He was then reversed & extubated with subsequent good recovery. CONCLUSION: Subcutaneous injection of these drugs poses problems of delayed onset of action and prolonged duration of action. In an inadvertent accidental subcutaneous 0.1 mg/kg vecuronium bromide injection in a patient with 4 day old 45% burns showed delayed onset action and prolonged neuromuscular blockade due to subcutaneous deposition of the drug which was managed with mechanical ventilation .The reported resistance to the action of NDMR drugs in patient with burns was not noticed here probably because of the age of the thermal injury.

  12. Imaging of accidental contamination with F-18-solution; a quick trouble-shooting procedure

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    Kalevi Kairemo

    2016-01-01

    Full Text Available To the best of our knowledge, imaging of accidental exposure to radioactive fluorine-18 (F-18 due to liquid spill has not been described earlier in the scientific literature. The short half-life of F-18 (t½=110 min, current radiation safety requirements, and Good Manufacturing Practice (GMP regulations on radiopharmaceuticals have restrained the occurrence of these incidents. The possibility of investigating this type of incidents by gamma and positron imaging is also quite limited. Additionally, a quick and precise analysis of radiochemical contamination is cumbersome and sometimes challenging if the spills of radioactive materials are low in activity. Herein, we report a case of accidental F-18 contamination in a service person during a routine cyclotron maintenance procedure. During target replacement, liquid F-18 was spilled on the person responsible for the maintenance. The activities of spills were immediately measured using contamination detectors, and the photon spectrum of contaminated clothes was assessed through gamma spectroscopy. Despite protective clothing, some skin areas were contaminated, which were then thoroughly washed. Later on, these areas were imaged, using positron emission tomography (PET, and a gamma camera (including spectroscopy. Two contaminated skin areas were located on the hand (9.7 and 14.7 cm2, respectively, which showed very low activities (19.0 and 22.8 kBq respectively at the time of incident. Based on the photon spectra, F-18 was confirmed as the main present radionuclide. PET imaging demonstrated the shape of these contaminated hot spots. However, the measured activities were very low due to the use of protective clothing. With prompt action and use of proper equipments at the time of incident, minimal radionuclide activities and their locations could be thoroughly analyzed. The cumulative skin doses of the contaminated regions were calculated at 1.52 and 2.00 mSv, respectively. In the follow-up, no skin

  13. Study of the degradations caused by nuclear accidental conditions on a steel coating

    Energy Technology Data Exchange (ETDEWEB)

    Ayrinhac, F.; Terriol, J.M. [EDF Ceidre TEGG (France)

    2011-07-01

    The coatings used in nuclear power plants have an interest to make surfaces easily decontaminated and to protect carbon steel (liner and steelworks) from the corrosion. However, in the event of accidental conditions, in particular combining radiation and fast increase of temperature and pressure, these paintings must not constitute an uncontrolled source of debris which may block the safety related functions of core cooling. This experimental study reports the influence of thickness and colour of the withstanding of a steel coating during accidental conditions. The steel coating chosen has been qualified for the liner containment of EDF new generation nuclear power plants (EPR). According to its data sheet, it is composed of an anti-corrosion primer (45 {mu}m), of an intermediate coat (same nature than the primer, 45 {mu}m) and a top coat (50 {mu}m). The system, applied using an conventional spray, was studied by optical and electronic microscopy. After gun airless application and drying, steel samples underwent an irradiation test, a LOCA test followed by a post-accident (100 C an d 100% HR during 10 days). Microscopic analysis by SEM and optical microscopy were carried out in order to evaluate and compare degradations of samples. In conclusion, whatever the color chosen or the thickness obtained, the primers and second coat ('internal layer') do not undergo significant evolution during the test. The greatest part of degradations is inflicted on the top coat. These degradations take the form of vacuums of two types, micro-porosity (few microns diameter) and surface blisters connected with internal spherical vacuums of size ranging between 8 and 50 {mu}m

  14. Amputación corporal por accidente de trabajo en auxiliar de enfermería

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    Alexander Finol Muñoz

    2014-12-01

    Full Text Available Los auxiliares de enfermería son un rango profesional expuesto a múltiples riesgos por las actividades inherentes a su trabajo, expuestos constantemente a sustancias desinfectantes que sin el uso apropiado de equipos de protección individual, puede provocar efectos adversos y lesiones en el trabajador. Caso Clínico: Mujer de 51 años de edad, auxiliar de enfermería, con antecedentes de Diabetes Mellitus tipo I y Síndrome de Túnel Carpiano. Presenta derrame accidental de líquido mientras llenaba envase de Biguanid®, cayéndole en todo el cuerpo, por lo que decide cambiarse el uniforme entero, conservando calcetines y zapatos por el resto del turno. Posteriormente presenta lesiones en región dorsal de 4tº dedo de pie izquierdo, las cuales reciben tratamiento médico y seguimiento, con evolución tórpida, se evidencia edema y osteomielitis de la falange por lo que se decide amputar el dedo afectado. Una vez recuperada, fue estudiada con pruebas de provocación, evidenciando la susceptibilidad de la trabajadora a dicho desinfectante. Se propone al Instituto Nacional de Seguridad Social (INSS como accidente de trabajo y una indemnización por lesión permanente no invalidante, ambas peticiones con respuesta favorable para la trabajadora. Actualmente sigue desempeñando sus funciones como auxiliar en el hospital. El cumplimiento y vigilancia de las normas de prevención, basados en los riesgos laborales permitirá evitar este tipo de incidentes en la población laboral, evitando a largo plazo lesiones corporales, discapacidades y bajas laborales que alteran la calidad de vida del trabajador y de su entorno profesional.

  15. Estructuración del diplomado en investigación de accidentes aéreos de la Fuerza Aérea Colombiana

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    Jean Paul Strong Flores

    2006-01-01

    Full Text Available Esta investigación tiene como objetivo la elaboración del diplomado en investigación de accidentes aéreos que suministrará las competencias necesarias para liderar las investigaciones de accidentes o incidentes aéreos. Esto en el marco de la educación continuada en investigación de accidentes aéreos permitirá a los oficiales de seguridad determinar con exactitud las causas de los accidentes, de tal forma que sea una medida correctiva para desarrollar destreza y habilidades en la investigación de accidentes.

  16. Perfiles resilientes y calidad de vida en personas con discapacidad sobrevenida por accidentes de tráfico

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    Raquel Suriá Martínez

    2015-09-01

    Conclusión: Esto sugiere la necesidad de profundizar en el conocimiento de la resiliencia y en el diseño de programas que incrementen la calidad de vida de las personas con discapacidad tras un accidente de tráfico.

  17. Accidental and deliberate microbiological contamination in the feed and food chains — How biotraceability may improve the response to bioterrorism

    DEFF Research Database (Denmark)

    Knutsson, Rickard; van Rotterdam, Bart; Fach, Patrick

    2011-01-01

    A next frontier of the global food safety agenda has to consider a broad spectrum of bio-risks, such as accidental and intentional contaminations in the food and feed chain. In this article, the background for the research needs related to biotraceability and response to bioterrorism incidents ar...

  18. Notificación de accidentes y enfermedades laborales al Ministerio de Trabajo. Perú 2010-2014

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    Christian R Mejia

    Full Text Available Con el objetivo de determinar las tendencias de los accidentes y enfermedades laborales notificadas al Ministerio de Trabajo del Perú, se realizó un estudio descriptivo de datos secundarios, con los reportes extraídos de los boletines mensuales desde septiembre de 2010 a diciembre de 2014. Se notificaron a nivel nacional 54 596 accidentes laborales no mortales, las tasas de los accidentes laborales no mortales por millón de habitantes aumentaron en el período 2011- 2013 (296,5 el 2011, 955,9 el 2012 y 1176,3 el 2013, disminuyendo en el 2014 (878,9. Hubieron 674 accidentes mortales, cuyas tasas se incrementaron entre el 2011-2012 y se redujeron entre el 2013-2014. Se reportaron 346 enfermedades laborales, las más frecuentes fueron los casos de hipoacusia (77, enfermedades por posturas inadecuadas (57 y dermatitis alérgica (44; los reportes se redujeron de 6,9 en el 2011 a 2,3 en el 2014. Los reportes de enfermedades laborales fueron disminuyendo, lo que podría indicar una subnotificación importante

  19. Freqüência de lesões perineais ocorridas nos partos vaginais em uma instituição hospitalar Frecuencia de lesiones perineales ocurridos en los partos naturales en una institución hospitalaria Frequency of perineal lesions occurred during natural child labour in a hospital institution

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    Jaqueline de Oliveira Santos

    2008-12-01

    Full Text Available Durante o parto normal, a maioria das mulheres sofre algum tipo de lesão perineal, em razão de lacerações espontâneas ou como conseqüência da incisão cirúrgica - episiotomia. Este estudo, do tipo descritivo, com abordagem quantitativa, visa levantar a freqüência de lesões perineais ocorridas em mulheres durante o parto vaginal em uma instituição hospitalar que exerce a obstetrícia tradicional. A amostra foi composta por 279 prontuários de mulheres que pariram na instituição durante o período de julho a dezembro de 2006. Em 11,82% dos prontuários não foi relatada a ocorrência de lesões. A episiotomia foi realizada em 86,99% das mulheres, 3,25% sofreram episiotomia e lacerações perineais de 1° e 2° graus, 9,76% tiveram o períneo íntegro. A prática da episiotomia não foi justificada nos prontuários, sua realização ocorreu sem qualquer enfoque seletivo, sendo praticada rotineiramente na instituição, demonstrando que ainda persiste o desrespeito aos direitos humanos adquiridos pelas mulheres.Durante el proceso de parto normal, la mayoría de las mujeres sufre algún tipo de trauma del períneo, debido a laceraciones espontáneas del períneo o por la incisión quirúrgica - las episiotomías. Este estudio de tipo descriptivo con un abordaje cuantitativo y intenta registrar el número y frecuencia de de traumas perineales ocurridos en mujeres durante el parto normal en una instituición hospitalar que practica obstetricia tradicional. La muestra fue recogida de 279 casos clínicos de mujeres que tuvieron partos normales en la institución, durante el período de julio a diciembre de 2006. En 11,82% de los casos no hubo relatos de. La episiotomía fue practicada en 86.99% de las mujeres, 3.25% sufrieron de episiotomía y de laceraciones de primero y segundo grados, 9.76% tuvieron el períneo intacto. Por lo tanto, concluímos que la episiotomía es practicada rutinariamente sin justificación y sin enfoque selectivo

  20. Gravidade dos acidentes de trabalho atendidos em serviços de emergência Gravedad de los accidentes de trabajo atendidos en servicios de emergencia Severity of occupational injuries treated in emergency services

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    Vilma Sousa Santana

    2009-10-01

    leitos hospitalares e UTI.OBJETIVO: Estimar el nivel de gravedad de accidentes de trabajo y factores asociados. MÉTODOS: Estudio longitudinal realizado en la cuidad de Salvador, Nordeste de Brasil, conducido con todos los 406 casos de accidentes de trabajo atendidos en dos unidades de emergencia de hospitales públicos, entre junio y agosto de 2005. Los participantes fueron identificados durante la admisión en el servicio de emergencia y entrevistados mensualmente en sus residencias, hasta el retorno al trabajo o finalización del tratamiento. La gravedad fue definida con la Abbreviated Injury Scale utilizada para calcular escores del Injury Severity Score. Fueron estimadas la letalidad y la mortalidad hospitalaria, permanencia e internación en la unidad de terapia intensiva (UTI. Variables descriptoras fueron sexo, edad, área de actividad económica y ocupación. Se emplearon proporciones, razones de proporciones e intervalos de confianza para la inferencia estadística y promedio y prueba t de Student para variables normales continuas. RESULTADOS: La mayor parte de los 406 casos fue de gravedad leve (39,4% y moderada (38,7%, seguida por los de nivel serio (17,2%, severo (3,2% y crítico (1,5%. La letalidad global fue 0,7% y 5,0% entre los que permanecieron internados (14,8%, mientras que el promedio de hospitalización fue 3,2 días (DE=2,8. Tres casos (0,7% necesitaron UTI (promedio= 8,4 días, DE=1,2. La mayor parte de los casos graves ocurrió entre los hombres y los que tenían más de 37 años de edad. No hubo diferencias socioeconómicas estadísticamente significativas. Accidentes con trabajadores de transporte (RP= 2,20; IC 90%: 1,06;4,58 y comercio (RP=1,85; IC 90%: 1,14;3,00 fueron más graves que el grupo referido. La proporción de accidentes graves fue 54% mayor entre los de trayecto en comparación con los típicos. En total fueron 325 días de hospitalización y 34 días de permanencia en UTI. CONCLUSIONES: Fue elevada la gravedad de accidentes de

  1. Tendencias temporales de las lesiones mortales (traumáticas por accidente de trabajo en España (1992-2002 Time trends in fatal traumatic occupational injuries in Spain (1992-2002

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    Noelia Santamaría

    2006-08-01

    Full Text Available Objetivos: Describir la evolución temporal de la incidencia de las lesiones por accidentes de trabajo (LAT traumáticas mortales ocurridas en jornada laboral según la actividad económica, el contrato, la edad y el sexo entre 1992 y 2002 en España. Método: El número de LAT traumáticas mortales en jornada ocurridos en los trabajadores asalariados durante el período de estudio fue de 8.510. El porcentaje de cambio anual para la incidencia se ha calculado por grupo de actividad económica, tipo de contrato, grupo de edad y sexo, asumiendo una distribución Poisson. La incidencia de 2002 se estandarizó por actividad económica para ajustar por el posible efecto del cambio en la estructura de la población asalariada desde 1992. La actividad económica se agrupó según el porcentaje de variación de la población asalariada en el período de estudio. Resultados: La incidencia disminuyó a un ritmo anual de -4,3% (intervalo de confianza del 95%, -5,3 a -3,4%, desde 9,8 por 100.000 en 1992 a 6,1 en 2002, lo que representa un descenso global del 38% (riesgo relativo (RR = 0,62, especialmente en las actividades económicas con mayor crecimiento de empleo (-4,4%, las mujeres (-7,6% y los indefinidos (-4,3%. Al ajustar la incidencia de 2002, según la actividad económica de 1992, ésta fue de 8,5 (RR ajustado = 0,87. Conclusiones: La tendencia descendente observada en las LAT traumáticas mortales ocurridas en jornada laboral, similar a la observada en otros países desarrollados, se puede explicar, al menos en dos terceras partes, por los cambios de la estructura productiva. Los resultados muestran dónde deberían concentrarse las actividades preventivas.Objective: To describe time trends in fatal traumatic occupational injuries by economic activity, type of contract, age, and gender between 1992 and 2002 in Spain. Methods: The number of fatal traumatic occupational injuries occurring during the study period in salaried workers was 8,510. The

  2. International Olympic Committee consensus statement: harassment and abuse (non-accidental violence) in sport.

    Science.gov (United States)

    Mountjoy, Margo; Brackenridge, Celia; Arrington, Malia; Blauwet, Cheri; Carska-Sheppard, Andrea; Fasting, Kari; Kirby, Sandra; Leahy, Trisha; Marks, Saul; Martin, Kathy; Starr, Katherine; Tiivas, Anne; Budgett, Richard

    2016-09-01

    Despite the well-recognised benefits of sport, there are also negative influences on athlete health, well-being and integrity caused by non-accidental violence through harassment and abuse. All athletes have a right to engage in 'safe sport', defined as an athletic environment that is respectful, equitable and free from all forms of non-accidental violence to athletes. Yet, these issues represent a blind spot for many sport organisations through fear of reputational damage, ignorance, silence or collusion. This consensus statement extends the 2007 IOC Consensus Statement on Sexual Harassment and Abuse in Sport, presenting additional evidence of several other types of harassment and abuse-psychological, physical and neglect. All ages and types of athletes are susceptible to these problems but science confirms that elite, disabled, child and lesbian/gay/bisexual/trans-sexual (LGBT) athletes are at highest risk, that psychological abuse is at the core of all other forms and that athletes can also be perpetrators. Harassment and abuse arise from prejudices expressed through power differences. Perpetrators use a range of interpersonal mechanisms including contact, non-contact/verbal, cyber-based, negligence, bullying and hazing. Attention is paid to the particular risks facing child athletes, athletes with a disability and LGBT athletes. Impacts on the individual athlete and the organisation are discussed. Sport stakeholders are encouraged to consider the wider social parameters of these issues, including cultures of secrecy and deference that too often facilitate abuse, rather than focusing simply on psychopathological causes. The promotion of safe sport is an urgent task and part of the broader international imperative for good governance in sport. A systematic multiagency approach to prevention is most effective, involving athletes, entourage members, sport managers, medical and therapeutic practitioners, educators and criminal justice agencies. Structural and

  3. Attention Deficit Hyperactivity Disorder Symptoms, Sleepiness and Accidental Risk in 36140 Regularly Registered Highway Drivers

    Science.gov (United States)

    Philip, Pierre; Micoulaud-Franchi, Jean-Arthur; Lagarde, Emmanuel; Taillard, Jacques; Canel, Annick; Sagaspe, Patricia; Bioulac, Stéphanie

    2015-01-01

    Background Attention Deficit Hyperactivity Disorder (ADHD) is a frequent neurodevelopmental disorder that increases accidental risk. Recent studies show that some patients with ADHD can also suffer from excessive daytime sleepiness but there are no data assessing the role of sleepiness in road safety in patients with ADHD. We conducted an epidemiological study to explore sleep complaints, inattention and driving risks among automobile drivers. Methods and Findings From August to September 2014, 491186 regular highway users were invited to participate in an Internet survey on driving habits. 36140 drivers answered a questionnaire exploring driving risks, sleep complaints, sleepiness at the wheel, ADHD symptoms (Adult ADHD Self-Report Scale) and distraction at the wheel. 1.7% of all drivers reported inattention-related driving accidents and 0.3% sleep-related driving accidents in the previous year. 1543 drivers (4.3%) reported ADHD symptoms and were more likely to report accidents than drivers without ADHD symptoms (adjusted OR = 1.24, [1.03–1.51], p 15) versus 3.2% of drivers without ADHD symptoms and 20.5% reported severe sleepiness at the wheel versus 7.3%. Drivers with ADHD symptoms reported significantly more sleep-related (adjusted OR = 1.4, [1.21–1.60], p < .0001) and inattention-related (adjusted OR = 1.9, [1.71–2.14], p<0001) near misses than drivers without ADHD symptoms. The fraction of near-misses attributable to severe sleepiness at the wheel was 4.24% for drivers without ADHD symptoms versus 10,35% for drivers with ADHD symptoms. Conclusion Our study shows that drivers with ADHD symptoms have more accidents and a higher level of sleepiness at the wheel than drivers without ADHD symptoms. Drivers with ADHD symptoms report more sleep-related and inattention-related near misses, thus confirming the clinical importance of exploring both attentional deficits and sleepiness at the wheel in these drivers. Road safety campaigns should be improved to

  4. Transferencia del aprendizaje motor en pacientes con antecedentes de accidente cerebrovascular: serie de casos

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    Karen Castro-Medina

    2015-04-01

    Full Text Available Antecedentes. La rehabilitación es un proceso de reaprendizaje motor, que mejora el desempeño en términos de adquisición de nuevas habilidades y adaptación o refinamiento de habilidades aprendidas previamente. A pesar de este conocimiento, existen, considerablemente, pocos estudios que describan el aprendizaje motor después de un accidente cerebrovascular (ACV y la relevancia del mismo en los procesos de rehabilitación y recuperación. Objetivo. Describir la transferencia del aprendizaje motor en pacientes con antecedentes de accidente cerebrovascular después de un tratamiento con procedimientos de reeducación funcional. Materiales y métodos. Se realizó un estudio descriptivo de dos casos con pacientes que recibieron tratamiento fisioterapéutico ambulatorio con los principios de reeducación funcional desarrollados en el Hospital de las Clínicas de la Universidad de São Paulo (Brasil, entre los meses de agosto y octubre de 2013. La transferencia del aprendizaje motor se determinó según los resultados obtenidos en la evaluación de balance funcional (Mini-BESTest. Se evaluó el test antes y después del tratamiento y se compararon los resultados para determinar el porcentaje de mejora. Resultados. En los dos casos se observó mejora clínica en el desempeño de la evaluación de balance funcional Mini-BESTest con un porcentaje de mejora entre el 21% y el 41%. Conclusión. Existen pocos hallazgos literarios que describen el mantenimiento de la capacidad de aprendizaje motor en pacientes con antecedentes de ACV. Este estudio reportó la capacidad para transferir el aprendizaje motor a una habilidad motora no aprendida (balance en dos casos, con base en la mejoría clínica del desempeño motor en el test aplicado.

  5. Enfermedad preexistente, agravamiento y/o accidente de trabajo: análisis de 10 casos clínicos

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    Ana M.ª González Onetti

    2014-01-01

    Full Text Available En nuestro centro asistencial se han atendido en el año 2012, 1.304 primeras asistencias, de las cuales 85 fueron consideradas no accidente de trabajo/enfermedad profesional. Hemos elegido al azar 10 casos clínicos donde existió discrepancia por parte del paciente cuando los servicios médicos determinaron que la patología que sufría el paciente no era accidente de trabajo y/o agravamiento por lo que se derivó a su médico de atención primaria quien emitió parte de baja por contingencias comunes y se inició determinación de contingencias ante el INSS por parte del Servicio Andaluz de Salud. En 7 de los casos existió discrepancia entre los inspectores médicos del INSS y los servicios médicos de la mutua, en 3 de ellos se consideraron enfermedad común al existir enfermedad preexistente. De los casos analizados comprobamos que no existían criterios unificados, claros y precisos entre enfermedad preexistente, agravamiento y/o accidente de trabajo dependiendo del médico evaluador y/o médico de la mutua determinar si era o no accidente de trabajo. Si no existían antecedentes médicos por el SAS y/o bajas previas por ITCC por la misma patología o similar el INSS determino siempre la contingencia como accidente de trabajo. El tiempo medio de los 10 casos analizados entre el inicio de la determinación de contingencias y la comunicación de la resolución por parte del INSS fue de 240 días. De los 7 casos que fueron accidente de trabajo, 6 seguían en situación de baja laboral y un caso se encontraba curado e incorporado a su puesto de trabajo.

  6. Accidental oropharyngeal impalement injury in children: A report of two cases

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    Hayaki Uchino

    2015-01-01

    Full Text Available Impalement injuries in children may be deeper and more complicated than anticipated. We experienced two cases of accidental impalement injuries, one was through the oral cavity and the other was to the neck. We review these cases and the management of these types of injuries. Case series. In case 1, a 20-month-old girl fell from the table with a toothbrush in her mouth. She was conscious, without any apparent neurologic or vascular injuries. Examination revealed a 2 mm laceration with a small hematoma in the right posterior pharyngeal wall. Contrast-enhanced computed tomography (CECT revealed an air tract penetrating between the mandibular ramus and cervical vertebrae, passing by the carotid sheath, and reaching under the skin of the right posterior neck. Surgical emphysema was extended from the pharynx to the mediastinum. In case 2, a 3-year-old girl fell while holding a pencil. Physical examination revealed a 5 mm laceration in front of her right ear lobe accompanied by a small hematoma. Her facial movement was asymmetric, and she could not close her right eye. CECT showed swelling of the right parotid gland with heterogeneous enhancement and free air just in front of the right carotid sheath, which suggested the object penetrated through the parotid gland. A diagnosis of peripheral facial nerve injury was made. Physicians need to be aware of the potentially life-threatening complications of impalement injuries in children, as well as the specific complications related to proximity to specific anatomic structures.

  7. Neuroimaging for non-accidental head injury in childhood: A proposed protocol

    Energy Technology Data Exchange (ETDEWEB)

    Jaspan, T.; Griffiths, P.D.; McConachie, N.S.; Punt, J.A.G

    2003-01-01

    Non-accidental head injury (NAHI) is a major cause of neurological disability and death during infancy. Radiological imaging plays a crucial role in evaluating craniospinal injury, both for guiding medical management and the forensic aspects of abusive trauma. The damage sustained is varied, complex and may be accompanied by an evolving pattern of brain injury secondary to a cascade of metabolic and physiological derangements. Regrettably, many cases are poorly or incompletely evaluated leading to diagnostic errors and difficulties in executing subsequent child care or criminal proceedings. It is evident, from cases referred to the authors, that imaging protocols for NAHI are lacking (or only loosely adhered to, if present) in many centres throughout the U.K. Future research in this field will also be hampered if there is a lack of consistent and reliable radiological data. There is no nationally agreed protocol for imaging NAHI. We propose such a protocol, based upon a wide experience in the medical management of child abuse and extensive involvement in the medicolegal aspects of NAHI. Jaspan, T., et al. (2003). Clinical Radiology58, 44--53.

  8. Accidental intoxication of the infant-juvenile population in households: profiles of emergency care

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    Jackeline Gonçalves Brito

    2015-06-01

    Full Text Available OBJECTIVE Analyzing profiles of intoxication and accidental poisoning of infant-juvenile population (0-24 years in the household, treated at a reference facility for Emergency and Primary Care, during the year 2013. METHOD A descriptive, cross-sectional study. Data were analyzed using Epi-Info, by way of simple and bivariate analyzes. The project was approved by the Research Ethics Committee (protocol 405.578. RESULTS There were 45 intoxications, with a prevalence of males (60.0%, aged 1-4 years (71.1%. Among children under one, there was a higher frequency of pesticide poisoning (66.6%, between the ages of 1-4 by cleaning products (34.4%, and between 5-9 years of age by pharmacological substances (66.6%. The primary assistance was provided only at health institutions, with hospital admissions in 24.4% of the cases. CONCLUSION The importance of prevention through legislation is evident, in order to ensure greater safety in packaging of various products, and community awareness to eliminate risks in the household environment.

  9. Accidental bilateral Q-switched neodymium laser exposure: treatment and recovery of visual function

    Science.gov (United States)

    Zwick, Harry; Stuck, Bruce E.; Dunlap, Weldon; Scales, David K.; Lund, David J.; Ness, James W.

    1998-05-01

    A 21 year old female was accidentally exposed in both eyes when she looked into the 10 cm exit aperture of a military laser designator emitting 1064 nm q-switched (30 ns) pulses at a 10 pulse per second rate. Steroid therapy (methylprednisolone sodium succinate) was initiated within 6 hours post exposure. Initial ophthalmoscopic observation revealed small contained macular hemorrhages in each eye. Fluorescein angiography (FA) showed minimal leakage. Visual acuity was 20/100 and 20/60 in OD and OS respectively. Contrast sensitivity in both eyes was depressed across all spatial frequencies by more than 1.5 log units. At four weeks post exposure, no significant macular scarring was apparent and visual acuity returned to 20/25 in both eyes. Contrast sensitivity had improved to normal levels with a peak at 3 cycles/degree. At one year post exposure, visual acuity was 20/13 in both eyes and measures of contrast sensitivity were within normal limits. During the course of recovery, the patient's fixation shifted from a slightly superior temporal site back to the central foveal region. The foveal lesion sites were still evident by ophthalmoscopy and Amsler grid measurements but were deemed functional when the patient placed small targets generated by the scanning laser ophthalmoscope in the lesion site for discrimination. This outcome indicates remarkable recovery of visual function and suggests that early administration of steroids may assist in preserving the natural neural recovery process of the photoreceptor matrix by minimizing intraretinal scar formation.

  10. Game theory of pre-emptive vaccination before bioterrorism or accidental release of smallpox.

    Science.gov (United States)

    Molina, Chai; Earn, David J D

    2015-06-06

    Smallpox was eradicated in the 1970s, but new outbreaks could be seeded by bioterrorism or accidental release. Substantial vaccine-induced morbidity and mortality make pre-emptive mass vaccination controversial, and if vaccination is voluntary, then there is a conflict between self- and group interests. This conflict can be framed as a tragedy of the commons, in which herd immunity plays the role of the commons, and free-riding (i.e. not vaccinating pre-emptively) is analogous to exploiting the commons. This game has been analysed previously for a particular post-outbreak vaccination scenario. We consider several post-outbreak vaccination scenarios and compare the expected increase in mortality that results from voluntary versus imposed vaccination. Below a threshold level of post-outbreak vaccination effort, expected mortality is independent of the level of response effort. A lag between an outbreak starting and a response being initiated increases the post-outbreak vaccination effort necessary to reduce mortality. For some post-outbreak vaccination scenarios, even modest response lags make it impractical to reduce mortality by increasing post-outbreak vaccination effort. In such situations, if decreasing the response lag is impossible, the only practical way to reduce mortality is to make the vaccine safer (greater post-outbreak vaccination effort leads only to fewer people vaccinating pre-emptively).

  11. Failure Criteria for Evaluating Accidental Drops of Fuel Containers at INTEC

    Energy Technology Data Exchange (ETDEWEB)

    Miller, G. K.

    1998-10-01

    This report presents a failure criterion that has been developed for use in evaluating fuel containers at the Idaho Nuclear Technology and Engineering Center (INTEC) for accidental drop events. The criterion would typically be used in dynamic finite element analyses using the ABA-QUS/Explicit program. The failure criterion used in the past is generally considered to substantially underestimate the strength and ductility of the materials involved. The new criterion is intended to be more realistic, allowing for more accurate impact analyses. The criterion is based on the distortion energy theory, which is considered to be appropriate for the ductile materials typically used in fuel containers. Also addressed in development of the criterion were the effects of strain rate and hydrostatic stress. The importance of these factors, however, is highly dependent on the material used. Three materials specifically addressed in this study were stainless steel, aluminum, and lead. The criterion is presented in the form of guidelines and recommendations that are based on material data obtained from the literature. The most significant difference between these and the previous criterion is that ductile materials are allowed to strain to much higher levels before they are considered to fail.

  12. Clinical and ethical orientations in case of accidental ingestion of foreign body during dental treatment

    Directory of Open Access Journals (Sweden)

    Rhonan Ferreira da Silva

    2010-07-01

    Full Text Available Introduction:The passage of foreign bodies through the oropharynx during dental treatment is an accident that can be avoided in most cases,especially when the dentist adopts preventive measures such as using rubber dam or tying certain objects with dental floss. Objective:To emphasize the importance of avoiding the accident of ingesting foreign bodies during dental treatment and to guide the dentist on how to proceed,clinically and ethically, if the accident occurs.Case report:A minor female patient, unaccompanied,accidentally ingested a bur used for finishing a composite resin restoration during a dental treatment performed in the public service, due to a defect in the high-speed handpiece.The patient and their parents were informed of the accident,and the object was monitored radiographically until its elimination by natural means,with no reports of discomfort.Conclusion:It is the responsibility of the dentist to know and follow the necessary measures to avoid or solve complications from ingesting foreign bodies, since patient’s health and integrity must be protected. In addition, the dentist will also avoid possible ethical and legal demands when fulfilling his responsibilities as a health care professional.

  13. Biomechanical studies in an ovine model of non-accidental head injury.

    Science.gov (United States)

    Anderson, R W G; Sandoz, B; Dutschke, J K; Finnie, J W; Turner, R J; Blumbergs, P C; Manavis, J; Vink, R

    2014-08-22

    This paper presents the head kinematics of a novel ovine model of non-accidental head injury (NAHI) that consists only of a naturalistic oscillating insult. Nine, 7-to-10-day-old anesthetized and ventilated lambs were subjected to manual shaking. Two six-axis motion sensors tracked the position of the head and torso, and a triaxial accelerometer measured head acceleration. Animals experienced 10 episodes of shaking over 30 min, and then remained under anesthesia for 6h until killed by perfusion fixation of the brain. Each shaking episode lasted for 20s resulting in about 40 cycles per episode. Each cycle typically consisted of three impulsive events that corresponded to specific phases of the head's motion; the most substantial of these were interactions typically with the lamb's own torso, and these generated accelerations of 30-70 g. Impulsive loading was not considered severe. Other kinematic parameters recorded included estimates of head power transfer, head-torso flexion, and rate of flexion. Several styles of shaking were also identified across episodes and subjects. Axonal injury, neuronal reaction and albumin extravasation were widely distributed in the hemispheric white matter, brainstem and at the craniocervical junction and to a much greater magnitude in lower body weight lambs that died. This is the first biomechanical description of a large animal model of NAHI in which repetitive naturalistic insults were applied, and that reproduced a spectrum of injury associated with NAHI.

  14. The review of autopsy cases of accidental childhood deaths in Istanbul.

    Science.gov (United States)

    Yayci, Nesime; Pakis, Isil; Karapirli, Mustafa; Celik, Sefa; Uysal, Cem; Polat, Oguz

    2011-08-01

    Children are at increased risk for various causes of injury from accidents. Accidents are, by far, the leading cause of death among children and adolescents. The aim of this study is to evaluate the lethal childhood accidents in İstanbul by age groups. Reports of autopsies performed between 2001 and 2005 in the Morgue Department of the Council of Forensic. Medicine in Istanbul (n :16853) are examined retrospectively. 833 deaths from accidents in children aged 0-18 years are investigated into the study. The parameters of age, gender, types of accidents and causes of death are evaluated. The accidents account for 47.3% of the deaths among children aged 0-18 years. Of 833 cases, 601 (73%) are male and 232 (27%) are female. The female to male ratio is 1/2.6. The highest rate of death from accidents is at the group of 15-18 years. The primary causes of accidental childhood deaths are motor vehicle accidents (23.1%), followed by drowning (20,1%), poisoning (15.7%), and fall from height (15.5%). The incidence and types of trauma vary with socio-economic status and culture. İstanbul, where this study is conducted in, has approximately 3000 autopsy number annually. Therefore, it provides an important database.

  15. Multidetector Computed Tomography Imaging of Facial Trauma in Accidental Falls from Heights

    Energy Technology Data Exchange (ETDEWEB)

    Salonen, E.M.; Koivikko, M.P.; Koskinen, S.K. [Helsinki Medical Imaging Center, Dept. of Radiology, Toeoeloe Trauma Center, Helsinki Univ. Hospital, Helsinki (Finland)

    2007-04-15

    Purpose: To assess multidetector computed tomography (MDCT) findings in facial trauma in adults who accidentally fall from heights. Material and Methods: Of the MDCT scans of 2413 cases requested by emergency-room physicians for suspected facial injury, 155 (age 15.3-76.7, mean 42.0 years; 134 male, 21 female) met the criteria of falling from heights. These were reviewed by two researchers by consensus. Results: Of these 155, 118 (104 male, 14 female) had 247 fractures, while 37 had no fracture. The fractures were classified into 13 categories, the zygomatic complex being the region most frequently involved. Mean falling height, known in 132 of 155 cases, was 5.7 m (range 0.4-25) in all, 6.0 m (0.4-25) in those suffering a fracture, and 5.0 m (range 0.4-13) in those without a fracture. Patients with Le Fort II, Le Fort III, or frontal bone fractures had fallen higher and frequently had associated skull base fractures, but with considerable overlap in falling heights. Zygomatic arch and nasal bone fractures rarely occurred solitarily. Conclusion: In a fall-from-height injury, nasal bone and zygomatic arch fractures indicate the presence of more severe fractures. Height cannot solely predict injury probability. Clear sinus sign is a valuable aid in assessing midface trauma in falls from heights. Keywords: CT; face; trauma.

  16. [Accidental intravenous injection of potassium chloride: analysis of contributing factors and barriers to risk reduction].

    Science.gov (United States)

    Bonvin, A; Vantard, N; Charpiat, B; Pral, N; Leboucher, G; Philip-Girard, F; Viale, J-P

    2009-05-01

    Errors linked to injectable potassium chloride (KCl) have been the cause of deaths which have occurred for many years. Following an accidental direct intravenous injection of KCl of no clinical consequence for the patient, we have analyzed the contributive factors, established an action plan to prevent this risk and finally assessed its impact. Among the causes leading to medication errors, we have identified those linked to the handling of the drugs by nurses, the team, the work conditions, the organization, the institutional context and finally to the drug itself. The risk reduction procedure involved a withdrawal of injectable KCI ampoules from wards, possible in 52% of the care units, a reorganization of storage for the others. The subsequent monitoring of floorstocks revealed that these measures were insufficient and that the risks prevailed due to the presence of KCI ampoules in drawers assigned to other ionic solutions. A study carried out among the medical and nursing personnel revealed that 61.2% of the doctors thought that the risk existed in their ward and 68% of the nurses considered themselves to be exposed to the risk of a medication error. The drug supply chain of our institution, as in numerous others, is not safe. Hospitals are not yet organized adequately to prevent the occurrence of such an error. The comparison with foreign organizations of drug dispensation allows us to think that the improvement and professionalization of the drug supply chain will both be assets in the prevention of such medication errors.

  17. Modeling acute health risks associated with accidental releases of toxic gases

    Energy Technology Data Exchange (ETDEWEB)

    Haskin, F.E.; Ding, C.; Summa, K.J. [Univ. of New Mexico, Albuquerque, NM (United States). Dept. of Chemical and Nuclear Engineering; Young, M. [Sandia National Labs., Albuquerque, NM (United States). Accident Analysis and Consequence Assessment Dept.

    1996-09-01

    CHEM{_}MACCS has been developed from the radiological accident consequence code, MACCS, to perform probabilistic calculations of potential off-site consequences of the accidental atmospheric release of hazardous chemicals. The principal phenomena considered in CHEM{_}MACCS are atmospheric transport, mitigative actions based on dose projection, dose accumulation by a number of pathways, and early and latent health effects. CHEM{_}MACCS provides the following capabilities: (1) statistical weather sampling data (8,760 hourly data points per year), (2) population dose and health effect risk calculations based on site-specific population data, (3) health effects calculations including the consideration of potential site specific mitigative actions (evacuation and shielding), and (4) modeling of multiple release segments. Three different sample problems are contained in this report to show how to use CHEM{_}MACCS. Three test problems are run to compare CHEM{_}MACCS and D2PC. The doses versus the downwind centerline distances from the source for the given doses are in very close agreement.

  18. Design of a monitoring network over France in case of a radiological accidental release

    Science.gov (United States)

    Abida, Rachid; Bocquet, Marc; Vercauteren, Nikki; Isnard, Olivier

    The Institute of Radiation Protection and Nuclear Safety (France) is planning the set-up of an automatic nuclear aerosol monitoring network over the French territory. Each of the stations will be able to automatically sample the air aerosol content and provide activity concentration measurements on several radionuclides. This should help monitor the French and neighbouring countries nuclear power plants set. It would help evaluate the impact of a radiological incident occurring at one of these nuclear facilities. This paper is devoted to the spatial design of such a network. Here, any potential network is judged on its ability to extrapolate activity concentrations measured on the network stations over the whole domain. The performance of a network is quantitatively assessed through a cost function that measures the discrepancy between the extrapolation and the true concentration fields. These true fields are obtained through the computation of a database of dispersion accidents over one year of meteorology and originating from 20 French nuclear sites. A close to optimal network is then looked for using a simulated annealing optimisation. The results emphasise the importance of the cost function in the design of a network aimed at monitoring an accidental dispersion. Several choices of norm used in the cost function are studied and give way to different designs. The influence of the number of stations is discussed. A comparison with a purely geometric approach which does not involve simulations with a chemistry-transport model is performed.

  19. Ileum perforation due to accidental chicken bone ingestion a rare cause of the acute abdomen

    Directory of Open Access Journals (Sweden)

    Doklestić Krstina S.

    2012-03-01

    Full Text Available Ingestion of foreign bodies is not an uncommon occurrence, but most of them will pass through the gastrointestinal tract without consequences. Complication such as perforation is rare. We present a case of small bowel perforation secondary to the accidental ingestion of a chicken bone. The patient presented with abdominal pain, constipation and vomiting. Clinical examination confirmed generalized abdominal tenderness and rebound tenderness. Abdominal radiography showed multiple dilated loops of small bowel, and abdominal ultrasound (US showed inflammatory changes on small bowel loops, with free fluid and fluid collection around intestinal loops. The patient underwent an emergency laparotomy. Intra operative findings revealed diffuse fibro purulent peritonitis with abscess between central small bowels loops. At about 60 cm from Bauchini valve we found a perforation of ileum at the anti-mesenteric site caused by a sharp chicken wishbone. The patient was treated with resection of the ileum segment (10 cm and primary end-to-end anastomosis. Even that intestinal perforation by a foreign body is rare, physicians should consider possibility of intestinal perforation by a foreign body in the differential diagnosis of acute abdomen in patients presenting with abdominal pain.

  20. Quantification of nerve agent VX-butyrylcholinesterase adduct biomarker from an accidental exposure.

    Science.gov (United States)

    Solano, Maria I; Thomas, Jerry D; Taylor, James T; McGuire, Jeffrey M; Jakubowski, Edward M; Thomson, Sandra A; Maggio, Vincent L; Holland, Kerry E; Smith, J Richard; Capacio, Benedict; Woolfitt, Adrian R; Ashley, David L; Barr, John R

    2008-01-01

    The lack of data in the open literature on human exposure to the nerve agent O-ethyl-S-(2-diisopropylaminoethyl) methylphosphonothioate (VX) gives a special relevance to the data presented in this study in which we report the quantification of VX-butyrylcholinesterase adduct from a relatively low-level accidental human exposure. The samples were analyzed by gas chromatography-high resolution mass spectrometry using the fluoride ion regeneration method for the quantification of multiple nerve agents including VX. Six human plasma samples from the same individual were collected after the patient had been treated once with oxime immediately after exhibiting signs of exposure. Detection limits of approximately 5.5 pg/mL plasma were achieved for the G-analogue of VX (G-VX). Levels of the G-VX ranged from 81.4 pg/mL on the first day after the exposure to 6.9 pg/mL in the sample taken 27 days after the exposure. Based on the reported concentration of human butyrylcholinesterase in plasma of approximately 80 nM, it can be calculated that inhibition levels of >or= 0.05% of BuChE can be accurately quantified. These data further indicate that the fluoride ion regeneration method is a potentially powerful tool that can be used to assess low-level exposure to VX.

  1. Accidental infection of veterinary personnel with Mycobacterium tuberculosis at necropsy: a case study.

    Science.gov (United States)

    Posthaus, H; Bodmer, T; Alves, L; Oevermann, A; Schiller, I; Rhodes, S G; Zimmerli, S

    2011-05-05

    Mycobacterium tuberculosis is the main cause of human tuberculosis. Infection in companion animals is mainly acquired from close contact to a diseased human patient and hence rarely diagnosed in countries with low tuberculosis incidence rates. Therefore the general awareness of the disease might be low. Here we report the potential risk of infection for veterinary personnel with M. tuberculosis during the clinical and pathological examination of a dog with unexpected disseminated tuberculosis. The dog had presented with symptoms of a central nervous system disease; rapid deterioration prevented a complete clinical workup, however. Post-mortem examination revealed systemic mycobacteriosis, and M. tuberculosis was identified by PCR amplification of DNA extracts from paraffin-embedded tissue sections and spoligotyping. Contact investigations among the owners and veterinary personnel using an IFN-γ release assay indicated that the index dog did not infect humans during its lifetime. Serological and IFN-γ release assay results of one of two cats in direct contact with the index dog, however, suggested that transmission of M. tuberculosis might have occurred. Importantly, all three pathologists performing the necropsy on the dog tested positive. Accidental infection was most likely due to inhalation of M. tuberculosis containing aerosols created by using an electric saw to open the brain cavity. As a consequence routine necropsy procedures have been adapted and a disease surveillance program, including tuberculosis, has been initiated. Our results highlight the importance of disease awareness and timely diagnosis of zoonotic infectious agents in optimizing work safety for veterinary personnel.

  2. Accidental Interaction between PDZ Domains and Diclofenac Revealed by NMR-Assisted Virtual Screening

    Directory of Open Access Journals (Sweden)

    Kengo Kinoshita

    2013-08-01

    Full Text Available In silico approaches have become indispensable for drug discovery as well as drug repositioning and adverse effect prediction. We have developed the eF-seek program to predict protein–ligand interactions based on the surface structure of proteins using a clique search algorithm. We have also developed a special protein structure prediction pipeline and accumulated predicted 3D models in the Structural Atlas of the Human Genome (SAHG database. Using this database, genome-wide prediction of non-peptide ligands for proteins in the human genome was performed, and a subset of predicted interactions including 14 PDZ domains was then confirmed by NMR titration. Surprisingly, diclofenac, a non-steroidal anti-inflammatory drug, was found to be a non-peptide PDZ domain ligand, which bound to 5 of 15 tested PDZ domains. The critical residues for the PDZ–diclofenac interaction were also determined. Pharmacological implications of the accidental PDZ–diclofenac interaction are further discussed.

  3. Accidental nuclear excursion recuplex operation 234-5 facility: Final medical report

    Energy Technology Data Exchange (ETDEWEB)

    Fuqua, P. A.

    1962-04-07

    The April 7, 1962 criticality accident involving human exposures was the first to have occurred in any production facility at Hanford. The accidental nuclear excursion did not result in any mechanical damage or spread of contamination. Three employees received over-exposure to gamma and neutron radiation. None were fatally exposed and in each case the over-exposure was recognized promptly. Following an initial period of medical observation and testing, the men were released to work. They continued to be followed clinically. Clinical studies performed were hematological procedures including leukocyte chromosome aberrations, morphologically aberrant blood cells, bone marrow evaluations, blood chemistry determinations, amino acid excretion studies, seminal fluid, urinary gonadotropins and estrogen excretion studies, testicular biopsies and crystalline lens examinations. These studies, along with a brief description of the accident and of the dosimetry, are summarized in this report by those participating in the studies. In view of the dose ranges received in these cases, both the negative and positive findings are considered to be of unusual interest due to the lack of knowledge of effects following human exposures at these levels.

  4. Maternal and infant characteristics associated with accidental suffocation and strangulation in bed in US infants.

    Science.gov (United States)

    Carlberg, Michelle M; Shapiro-Mendoza, Carrie K; Goodman, Michael

    2012-11-01

    To identify maternal and infant characteristics associated with accidental suffocation and strangulation in bed (ASSB) in US infants. Using 2000-2002 US linked infant birth and death certificate cohort files, we compared ASSB deaths to survivors. Adjusted odds ratios (aOR) from logistic regression were used to analyze associations between selected maternal and infant characteristics and ASSB mortality. During 2000-2002, 1,064 infants died from ASSB, resulting in an ASSB mortality rate of 9.2 per 100,000 live births. Most ASSB deaths (71%) occurred before an infant reached 4 months old. Maternal factors associated with an increased risk of ASSB were younger age (using maternal age of 25-29 years as reference aOR 2.6 for mothers mortality risk. Younger, less educated, mulitparous, non-Hispanic black or American Indian women and their families who smoke during their pregnancy and deliver male or preterm infants, may need more intense safe sleeping education during the infant's first year of life, especially during the first 4 months of age.

  5. Medical status of Marshallese accidentally exposed to 1954 Bravo fallout radiation: January 1980-December 1982

    Energy Technology Data Exchange (ETDEWEB)

    Adams, W.H.; Harper, J.A.; Rittmaster, R.S.; Heotis, P.M.; Scott, W.A.

    1984-01-01

    This report updates, for 1980 through 1982, the results of continuing medical surveillance of a Marshallese population accidentally exposed to radioactive fallout in March 1954. The originally exposed Marshallese population comprised 64 persons on Rongelap Atoll who each received, on the average, an estimated 190 rads of absorbed external gamma radiation, 18 on Ailingnae Atoll who received 110 rads, and 159 on Utirik who received 11 rads. There were, in addition, 3 persons in utero on Rongelap, 1 person in utero on Ailingnae, and 8 persons in utero on Utirik who are considered exposed. The recipients of primary medical care include exposed and comparison populations as well as a rather large number of additional beneficiaries who are seen on a humanitarian basis of practical need and resource availability. In recent years, about 1400 people have been seen annually. This report, however, deals with four clearly defined groups: the remaining individuals who were exposed to radioactive fallout on Rongelap, Ailingnae, and Utirik in 1954 (including those in utero), and a comparison population of individuals from Rongelap who were unexposed. The number of persons now in each exposure category are 51, 12, 116, and 137, respectively. 100 references, 4 figures, 5 tables. (ACR)

  6. Fibroelastoma valvular aórtico como causa de accidente cerebrovascular embólico: Reporte de un caso

    OpenAIRE

    Bahamondes S,Juan Carlos; MERIÑO S,GUSTAVO; SALMAN A,JUAN; SILVA V,ABELARDO; MORA M,JAVIER

    2008-01-01

    Los tumores cardíacos son una causa rara de accidente cerebrovascular embólico. Comunicamos el caso de una paciente de 65 años quien debuta su historia con un accidente cerebrovascular. El estudio de fuente embólica con ecocardiografía transesofágica demostró un fibroelastoma de la válvula aórtica en el borde libre del velo no coronariano. El tumor fue extraído mediante circulación extracorpórea. El estudio anatomopatológico confirmó el diagnóstico y la paciente se encuentra en capacidad func...

  7. Accidental ingestion of an inter-occlusal device used for the restoration of occlusion: a case report.

    Science.gov (United States)

    Vasconcellos, Walison Arthuso; Braga, Neilor Mateus Antunes; Moretzsohn, Luciana Dias; Lanza, Marcos Daniel Septimio; Lanza, Marcos Dias; Rocha, Wellington Márcio dos Santos

    2014-09-01

    The accidental swallowing of prosthetic devices has been discussed in the relevant literature as an unusual, although ordinary, event in clinical practice. This article aims at reporting the ingestion of an inter-occlusal device used to restore the Vertical Dimension of Occlusion (VDO) which, during the ingestion of an analgesic pill, was accidentally swallowed. The patient was sent to the Clinics Hospital UFMG where, upon taking radiographs, the device was located in the upper third of the esophagus. The device was removed during an endoscopic exam with the help of forceps for removing foreign objects. Dealing with a relevant situation, one may conclude that patients who use removable intra-oral devices must take part in a reevaluation protocol in order to detect adaptation and retention of these devices, as well as proper instruction for the patient.

  8. Wandering Fish Bone: a Case of Pelvic Abscess due to Rectum Perforation Resulting from an Accidental Fish Bone Ingestion

    Directory of Open Access Journals (Sweden)

    Sirous Abbasi

    2010-09-01

    Full Text Available Fish bone is the most common foreign body that is ingested accidentally and can be caused gastrointestinal complications such as perforation, abstraction, and abscess. We describe a 75-year-old man who suffered from constipation, diarrhea, and fever and chills for 3 months. He had mild tenderness in hypogasteric region and also mild tenderness and swelling on anterior rectal wall and prostate upon clinical examination. The abdominal and pelvic sonography and CT scan findings suggested existence of abscess in the space of between bladder and rectum. The patient underwent laparotomy to drainage the pelvic abscess. The surgeon found a 6-cm fish bone which was embedded in the abscess. The presented case indicated the importance of accidental fish bone ingestion and its possible complications. In addition, the patients with abdominal pain, GI bleeding, and fever of unknown origin living in the seaside regions, the wandering fish bone as a differential diagnosis should be kept in mind.

  9. Reducing the loss of vaccines from accidental freezing in the cold chain: the experience of continuous temperature monitoring in Tunisia.

    Science.gov (United States)

    Lloyd, John; Lydon, Patrick; Ouhichi, Ramzi; Zaffran, Michel

    2015-02-11

    Accidental freezing of vaccines is a growing threat and a real risk for national immunization programs when the potency of many vaccines can be compromised if these are exposed to sub-zero temperatures in the cold chain. In Tunisia, this issue is compounded by using sub-standard domestic cold chain equipment instead of equipping the program with medical refrigerators designed specifically for storing vaccines and temperature sensitive pharmaceuticals. Against this backdrop, this paper presents the findings of a demonstration project conducted in Tunisia in 2012 that tested the impact of introducing several freeze prevention solutions to mitigate the risk of accidental freezing of vaccines. The main finding is that, despite the continued use of underperforming domestic refrigerators, continuous temperature monitoring using new technologies combined with other technological interventions significantly reduced the prevalence of accidental exposure to freezing temperatures. These improvements were noticed for cold chain storage at regional, district and health center levels, and during the transport legs that were part of the demonstration conducted in the regions of Kasserine in the South-Eastern part of Tunisia. Subsequent to introducing these freeze prevention solutions, the incidence of freeze alarms was reduced and the percent of time the temperatures dropped below the 2 °C recommended threshold. The incidence of freeze alarms at health center level was reduced by 40%. Lastly, the solutions implemented reduced risk of freezing during transport from 13.8% to 1.7%. Although the solution implemented is not optimal in the longer term because domestic refrigerators are used extensively in district stores and health centers, the risk of accidental freezing is significantly reduced by introducing the practice of continuous temperature monitoring as a standard. The management of the cold chain equipment was strengthened as a result which helps protect the potency of

  10. OCTAVIO PAZ Y EL ACCIDENTE COMO IMAGEN DEL MUNDO Octavio Paz and the accident as world’s image

    Directory of Open Access Journals (Sweden)

    Eduardo Aguayo Rodríguez

    2011-12-01

    Full Text Available Examen del significado de la noción de accidente a partir de una perspectiva amplia que permita integrar antecedentes filológicos, filosóficos e históricos fundamentales. Se analiza la significación del accidente en tanto que imagen de mundo en las sociedades contemporáneas, a partir de una serie de reflexiones teóricas desarrolladas por Octavio Paz durante la década del 60 y, finalmente, se plantean algunas claves que pueden vincular la noción de accidente con la narrativa hispanoamericana del siglo XX.The article deals with the notion of accident from a wide point of view integrating philological, philosophical and historical data. The meaning of accident is analyzed according to the image of the world in the post-industrialized societies, from a set of theorical reflexions developed by Octavio Paz during the 60’s; finally, there is a brief discussion about the possible connections between the notion of accident and the hispanic literacy production in the 20th century, specifically in the field of narrative.

  11. ESTADO ACTUAL DE LA PREVENCIÓN DE LOS ACCIDENTES DE MONTAÑA EN ARAGÓN

    Directory of Open Access Journals (Sweden)

    Ma. Antonia Nerín

    2005-01-01

    - Establecer las necesidades de los colectivos implicados (usuarios, profesionales e nstituciones para reducir la incidencia y severidad de los accidentes de montaña. Para ello, hemos utilizado los resultados de las campañas institucionales Montañas para Vivirlas Seguro de los años 2000, 2001 y 2002, se han analizado las ocupaciones relacionadas con las actividades deportivas en la montaña y hemos consultado directamente con las instituciones implicadas. El nivel de formación e información del usuario de la montaña en Aragón no es el adecuado para el riesgo potencial de las actividades de montaña; mientras que se evidencia la necesidad de reglar algunas profesiones de la montaña. El rescate en montaña es efectivo, eficaz y eficiente; la medicalización es efectiva, eficaz y no eficiente (atendiendo a los criterios de necesidad, oferta y demanda y la prevención -a pesar de los esfuerzos- es no eficaz, no eficiente y no efectiva. Por todo ello, es urgente la creaciÛn de un servicio de vigilancia de los accidentes de montaña, así como un centro que coordine las propuestas y actuaciones orientadas a prevenir los acci-dentes de montaña.

  12. Research progress on children accidental injury%儿童意外伤害的研究进展

    Institute of Scientific and Technical Information of China (English)

    李丽; Patricia Ryan-Krause; 李映兰

    2012-01-01

    从流行病学分布、影响因素以及干预措施等方面综合分析国内外对儿童意外伤害的研究现状,发现相对于流行病学研究而言,中低收入国家对儿童意外伤害问题的研究广度及干预项目的有效性研究均较缺乏,未开展意外伤害发生的心理及行为机制研究.%From the epidemiological distribution,influencing factors and interventions it analyzed the research status of children accidental injury in a-broad and at home comprehensively, and found out compared with the epidemiological studies,the research breadth and effective researches of intervention projects on children accidental injury in low - and middle - income countries were lack,and not to carry out a study on the psychological and behavioral mechanisms of accidental injury.

  13. A comparison study on mental health status between suicide survivors and survivors of accidental deaths in rural China.

    Science.gov (United States)

    Xu, G; Li, N

    2014-12-01

    Suicide has become a major public health problem worldwide. For every suicide there are six suicide survivors, a term referring to family members or friends of a person who has died by suicide. Within the literature there has been ongoing debate regarding the bereavement process and if it differs in survivors of suicide as opposed to survivors of those who have died from accidental death. There are scarcely any published reports on comparison between these two groups of survivors in China. In this study, we aimed to explore the difference of mental health status between suicide survivors and survivors of accidental deaths in China. We used a cross-sectional study design to collect data of survivors. Consecutive sampling was used and 92 suicide survivors and 64 survivors of accidental deaths were interviewed. The Symptom Checklist-90-Revised was used to assess the survivors' mental health status. After controlling for demographic variables and time interval between death and interview, no significant differences were found on mental health status between these two groups of survivors. Several explanations might account for the lack of differences. Further studies employing qualitative measures and suicide-specific instruments are needed to explore the bereavement of Chinese suicide survivors.

  14. The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: summary of main findings and risk factors.

    Science.gov (United States)

    Pandit, J J; Andrade, J; Bogod, D G; Hitchman, J M; Jonker, W R; Lucas, N; Mackay, J H; Nimmo, A F; O'Connor, K; O'Sullivan, E P; Paul, R G; Palmer, J H MacG; Plaat, F; Radcliffe, J J; Sury, M R J; Torevell, H E; Wang, M; Hainsworth, J; Cook, T M

    2014-10-01

    We present the main findings of the 5th National Audit Project on accidental awareness during general anaesthesia. Incidences were estimated using reports of accidental awareness as the numerator, and a parallel national anaesthetic activity survey to provide denominator data. The incidence of certain/probable and possible accidental awareness cases was ~1:19 600 anaesthetics (95% CI 1:16 700-23 450). However, there was considerable variation across subtypes of techniques or subspecialties. The incidence with neuromuscular blockade was ~1:8200 (1:7030-9700), and without it was ~1:135 900 (1:78 600-299 000). The cases of accidental awareness during general anaesthesia reported to 5th National Audit Project were overwhelmingly cases of unintended awareness during neuromuscular blockade. The incidence of accidental awareness during caesarean section was ~1:670 (1:380-1300). Two thirds (82, 66%) of cases of accidental awareness experiences arose in the dynamic phases of anaesthesia, namely induction of and emergence from anaesthesia. During induction of anaesthesia, contributory factors included: use of thiopental; rapid sequence induction; obesity; difficult airway management; neuromuscular blockade; and interruptions of anaesthetic delivery during movement from anaesthetic room to theatre. During emergence from anaesthesia, residual paralysis was perceived by patients as accidental awareness, and commonly related to a failure to ensure full return of motor capacity. One third (43, 33%) of accidental awareness events arose during the maintenance phase of anaesthesia, most due to problems at induction or towards the end of anaesthesia. Factors increasing the risk of accidental awareness included: female sex; age (younger adults, but not children); obesity; anaesthetist seniority (junior trainees); previous awareness; out-of-hours operating; emergencies; type of surgery (obstetric, cardiac, thoracic); and use of neuromuscular blockade. The following factors were

  15. Accidentes de trabajo en el Hospital Clínico de la Universidad de Chile durante el año 2007

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    Carlos Valdés

    2011-01-01

    Full Text Available Objetivo: Conocer el número de los accidentes laborales en el Hospital Clínico de la Universidad de Chile (HCUCH el año 2007 y su caracterización de acuerdo a variables como: sexo, edad, tipo de lesión, día de la semana, mes del año, cargo desempeñado y días perdidos. Diseño: Estudio descriptivo, transversal, retrospectivo y observacional. Lugar: Hospital Clínico de la Universidad de Chile (HCUCH. Participantes: Accidentes laborales reportados entre el 1 de Enero y el 31 de Diciembre del 2007. Intervención: Se utilizó la base de datos del Registro de Notificación de Accidentes Laborales, proporcionada por el Departamento de Prevención de Riesgos del HCUCH Principales medidas de Resultados: Porcentajes y Medidas de Tendencia Central, tabuladas en una base de datos con ayuda del programa Microsoft Excel 2003 para Windows ®. Resultados: Se observan 104 accidentes laborales, con un mayor número de eventos en el personal femenino (69,2%, en el rango etareo de 30-39 años (34,3%, el tipo de lesión más frecuente fueron las contusiones policontusiones (39,4%, el grupo más accidentado fue los auxiliares y técnicos (71.1%. El estudio por días de la semana revela que hay más accidentes los días miércoles y jueves (43,27% y los meses del año con más accidentes fueron enero, agosto y diciembre. La mayor cantidad de accidentes laborales comprometen entre 1 a 5 días perdidos. Conclusiones: Durante el año 2007, se pesquisó 104 accidentes laborales, lo que significó 804 días de ausentismo. Este estudio muestra que el sexo femenino, tener entre 30-39 años y ejercer como auxiliar o técnico fueron factores de asociados al incremento de los accidentes laborales. Palabras clave: Accidentes de trabajo, ausentismo, notificación de accidentes de trabajo.

  16. ACCIDENTES CON EXPOSICIÓN A MATERIAL BIOLÓGICO CONTAMINADO POR VIH EN TRABAJADORES DE UN HOSPITAL DE TERCER NIVEL DE MADRID (1986-2001

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    Aurelia García de Codes Ilario

    2004-01-01

    Full Text Available Fundamento: La contaminación por el virus de la inmunodeficiencia humana (VIH es un riesgo ocupacional para los profesionales sanitarios accidentados contaminados con sangre positiva al VIH. El objetivo de nuestro estudio es describir las características de los accidentes registrados durante dieciséis años en un hospital general con sangre o fluidos biológicos procedentes de pacientes VIH positivos, determinar las tasas de exposición accidental en las diferentes categorías profesionales y comprobar el seguimiento realizado por los trabajadores del protocolo de accidentes establecido. Métodos: Estudio descriptivo en un hospital general de Madrid durante el período 1986 a 2001, de los accidentes con presencia de material biológico procedente de personas con serología VIH positiva. Se han estudiado variables del profesional accidentado relacionadas con persona, lugar y tiempo, además de las serologías al inicio y durante el seguimiento protocolizado. Resultados: Durante el período de estudio se declararon 550 accidentes con fuente VIH positiva. La media fue de 34,4 de accidentes por año. La tasa de exposición fue de 7,5 por cada 1.000 trabajadores- año. El colectivo profesional con mayor frecuencia de accidentes fue el personal de enfermería (54,4%. Las lesiones percutáneas fueron las más frecuentes (80,2%. La tasa media de exposición ha sido de 2,6 por cada 100 camas-año. Las zonas anatómicas más afectadas fueron los dedos de la mano (75,6%. El 53,6% de los accidentados finalizó el seguimiento serológico, sin registrarse ninguna seroconversión. Conclusiones: Durante los dieciséis años de estudio, la incidencia anual de accidentes con fuente VIH positiva fue en aumento desde los 27 accidentes declarados en 1986 hasta los 60 accidentes en 1990, con una tendencia descendente desde ese momento hasta contabilizarse 12 accidentes en el año 2001.

  17. Prescripción facilitada de drogas antihipertensivas y disminución de la muerte prematura por accidente cerebrovascular

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    Javier Mariani

    2016-04-01

    Full Text Available Introducción: Desde 2003, el programa Remediar (+Redes distribuye gratuitamente medicación antihipertensiva. Durante este período, la mortalidad por accidente cerebrovascular disminuyó, aunque con inequidades entre grupos socioeconómicos. Objetivos: Evaluar la asociación entre la mortalidad por accidente cerebrovascular y la provisión de fármacos antihipertensivos. Estudiar la posible interacción entre los efectos de los antihipertensivos sobre la mortalidad y el nivel socioeconómico. Material y métodos: Se realizó un estudio ecológico para datos de panel. La mortalidad se expresa como tasas estandarizadas.Los fármacos antihipertensivos están ajustados a la población entre la que se distribuyeron y se expresan en cuartiles dedispensación. El nivel socioeconómico se midió por las necesidades básicas insatisfechas. Resultados: Desde el inicio del programa en 2003, la distribución de antihipertensivos aumentó significativamente, sobre todo en los grupos menos afluentes (p < 0,001. No hubo una asociación estadísticamente significativa entre la tasa de dispensaciónde antihipertensivos y la mortalidad por accidente cerebrovascular globalmente. Sin embargo, en los análisis de interacción se observó que en los quintiles 3 a 5 de necesidades básicas insatisfechas (menos afluentes, los cuartiles en los que se distribuyeron más antihipertensivos tuvieron significativamente menor mortalidad por accidente cerebrovascular (p = 0,004,p = 0,015 y p = 0,017, para los quintiles 3 a 5 de nivel socioeconómico. Conclusiones: Los resultados del presente análisis sugieren la ausencia de efectos globales de la provisión de antihipertensivossobre la mortalidad por accidente cerebrovascular. Sin embargo, los datos muestran que, entre los grupos más desfavorecidos,la distribución de antihipertensivos estuvo asociada con una reducción de la mortalidad por esta causa.

  18. Implantação da Norma Regulamentadora 32 e o controle dos acidentes de trabalho Implantación de la Norma Reglamentadora 32 y el control de los accidentes del trabajo Implementation of Regulatory Standard 32 and the control of occupational accidents

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    Maria Helena Palucci Marziale

    2012-01-01

    Full Text Available OBJETIVO: Identificar os acidentes de trabalho com exposição à material biológico ocorridos em um hospital universitário, discutindo os resultados com o processo de implementação das medidas de segurança e saúde dos trabalhadores, exigidas pela Norma Regulamentadora NR-32. MÉTODOS: Estudo exploratório de abordagem quantitativa dos dados. Foram realizados levantamento dos acidentes de trabalho, as entrevistas com o coordenador do Serviço de Segurança e Medicina do Trabalho e a análise de dados documentais do Programa de Prevenção de Riscos Ambientais e do Programa de Controle Médico de Saúde Ocupacional. RESULTADOS: O percentual de acidentes de trabalho reduziu ao longo do período, no qual várias exigências dessa norma foram sendo adotadas. Acidentes com material perfurocortante foram os mais frequentes, não havendo em todos os setores do hospital o oferecimento dos dispositivos de segurança exigidos pela NR-32. CONCLUSÃO: Houve redução de acidentes de trabalho com material biológico no hospital estudado entre 2007 e 2009. Contudo, não é quantitativamente significativa, apesar da implantação de várias diretrizes da NR-32 ao longo dos anos. É necessária a colaboração entre gestores, serviços de segurança e trabalhadores na promoção da saúde no trabalho.OBJETIVO: Identificar los accidentes de trabajo con exposición a material biológico ocurridos en un hospital universitario, discutiendo los resultados con el proceso de implementación de las medidas de seguridad y salud de los trabajadores, exigidas por la Norma Reglamentadora NR-32. MÉTODOS: Estudio exploratorio de abordaje cuantitativo de los datos. Fue realizado un levantamiento de los accidentes de trabajo, las entrevistas con el coordinador del Servicio de Seguridad y Medicina del Trabajo y el análisis de datos documentales del Programa de Prevención de Riesgos Ambientales y del Programa de Control Médico de Salud Ocupacional. RESULTADOS: El

  19. Terapéuticas intervencionistas para el accidente cerebrovascular isquémico

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    Alejandra T. Rabadán

    2010-10-01

    Full Text Available En los últimos 20 años se han desarrollado nuevas opciones para el tratamiento y para la prevención del accidente cerebrovascular (ACV isquémico, muchas de ellas de carácter intervencionista, tales como la endarterectomía carotídea y la trombolisis intravenosa con activador tisular del plasminógeno. La evidencia científica ha llevado a su difusión y utilización en países desarrollados mientras que en naciones emergentes se observa un retraso en su adopción. Otras modalidades terapéuticas que parecen ser muy promisorias, aunque sin tanta evidencia científica que las avale, requieren la realización y conclusión de estudios randomizados. Dentro de la evolución del ACV isquémico existe una situación particular como es el infarto cerebral "maligno". Constituye un evento devastador, que se presenta en aproximadamente el 10 al 15% de los ACV carotídeos o silvianos, y está asociado con elevada morbimortalidad. Con la información disponible actualmente, es posible recomendar la craniectomía descompresiva (CD como un método efectivo y seguro para disminuir rápidamente la presión intracraneal y lograr un pronóstico favorable sobre una base racional. Aunque no hay estudios randomizados y controlados en la literatura, existe suficiente evidencia para recomendar la CD en casos especiales.

  20. Fouling Communities of Two Accidental Artificial Reefs (Modern Shipwrecks in Cyprus (Levantine Sea

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    Carlos Jimenez

    2016-12-01

    Full Text Available Artificial reefs are considered one of the alternative methods in fisheries management, used in order to enhance stocks and marine biodiversity in general. A number of biotic and abiotic parameters influence the fouling communities’ formation on artificial reefs through complex interactions. In order to understand how epibiotic or fouling communities progress through time, it is important to study these communities in mature artificial reefs, especially those that have been around for many decades, or in some cases, millennia. This study was conducted on the coral and other fouling organisms of two accidental artificial reefs (40 to 70 year-old shipwrecks in Cyprus (Levantine Sea. The thermal and nutrient annual regime of the study sites were characterized by processing satellite data. The results indicate that the wrecks are normally under warm and oligotrophic conditions. Percentage coverage of corals and other organisms on the wrecks was calculated (image-analysis software on photos taken in 2010 (two wrecks and again in 2016 (one wreck of the fouling communities. Sponges were the organisms with the highest percent cover (~27% at the two wrecks. Four scleractinian coral species were found (7%–19% total coral cover. The oldest wreck, which has well-developed coral communities, was revisited during fieldwork in a near-by area in 2016. Only two major benthic categories (dead coral and macro algae changed significantly between sampling periods. Given the actual policies to sink wrecks to create artificial reefs and the diverse environmental conditions in different areas that will inevitably influence fouling, it is important to carry out studies relating to mature artificial reefs/wrecks in order to be able to assess the ecological effectiveness of longstanding artificial reefs.

  1. Assessment of methodologies for analysis of the dungeness B accidental aircraft crash risk.

    Energy Technology Data Exchange (ETDEWEB)

    LaChance, Jeffrey L.; Hansen, Clifford W.

    2010-09-01

    The Health and Safety Executive (HSE) has requested Sandia National Laboratories (SNL) to review the aircraft crash methodology for nuclear facilities that are being used in the United Kingdom (UK). The scope of the work included a review of one method utilized in the UK for assessing the potential for accidental airplane crashes into nuclear facilities (Task 1) and a comparison of the UK methodology against similar International Atomic Energy Agency (IAEA), United States (US) Department of Energy (DOE), and the US Nuclear Regulatory Commission (NRC) methods (Task 2). Based on the conclusions from Tasks 1 and 2, an additional Task 3 would provide an assessment of a site-specific crash frequency for the Dungeness B facility using one of the other methodologies. This report documents the results of Task 2. The comparison of the different methods was performed for the three primary contributors to aircraft crash risk at the Dungeness B site: airfield related crashes, crashes below airways, and background crashes. The methods and data specified in each methodology were compared for each of these risk contributors, differences in the methodologies were identified, and the importance of these differences was qualitatively and quantitatively assessed. The bases for each of the methods and the data used were considered in this assessment process. A comparison of the treatment of the consequences of the aircraft crashes was not included in this assessment because the frequency of crashes into critical structures is currently low based on the existing Dungeness B assessment. Although the comparison found substantial differences between the UK and the three alternative methodologies (IAEA, NRC, and DOE) this assessment concludes that use of any of these alternative methodologies would not change the conclusions reached for the Dungeness B site. Performance of Task 3 is thus not recommended.

  2. Accidental benzene release risk assessment in an urban area using an atmospheric dispersion model

    Science.gov (United States)

    Truong, Son C. H.; Lee, Myong-In; Kim, Ganghan; Kim, Dongmin; Park, Jong-Hwa; Choi, Sung-Deuk; Cho, Gi-Hyoug

    2016-11-01

    This study applied the American Meteorological Society and Environmental Protection Agency Regulatory Model (AERMOD) to assess the risk caused by an accidental release and dispersion of the toxic chemical benzene in the vicinity of a highly populated urban area. The modeling domain encompasses the Korean megacity of Ulsan, which includes two national industrial complexes and is characterized by a complex coastal terrain. Multiple AERMOD simulations were conducted for an assumed emission scenario using background wind data from August between 2009 and 2013. The series of experiments produced the spatial accident probability patterns for different concentration levels during daytime and nighttime scenarios based on the corresponding dominant wind patterns. This study further quantifies the potential accident risk based on the number of affected individuals by combining the accident probability with the indoor and outdoor population estimates. The chemical gas dispersion characteristics depend on various local meteorological conditions, such as the land-sea breeze direction, which alternates between daytime and nighttime, and the atmospheric stability. The results reveal that benzene dispersion affects a much larger area during the nighttime owing to the presence of a nocturnal stable boundary layer with significant temperature stratification. The affected area is smaller during the daytime owing to decreased stability and enhanced vertical mixing in the boundary layer. The results include a high degree of uncertainty during the nighttime owing to weak wind speeds and the lack of a prevailing wind direction, which impact the vulnerable area. However, vulnerable areas are more effectively identified during the daytime, when more consistent meteorological conditions exist. However, the potential risk becomes much lower during the nighttime owing to a substantial reduction of the outdoor population.

  3. [Thermolabile drugs stability faced with an accidental interruption in the cold chain].

    Science.gov (United States)

    Ricote-Lobera, I; Ortiz-Martín, B; Fraile-Gil, S; Santos-Mena, B; Hidalgo-Correas, F J; García-Díaz, B

    2014-05-01

    Objetivo: Elaborar una guía actualizada sobre la estabilidad delos medicamentos termolábiles incluidos en la Guía Farmacoterapéuticaque, según ficha técnica, deben conservarse bajorefrigeración o congelación, expuestos accidentalmente a temperaturasde conservación fuera del rango recomendado por elfabricante.Métodos: Se revisó la información sobre las temperaturas deconservación recomendadas en ficha técnica y los datos deestabilidad disponibles a distintas temperaturas de los medicamentostermolábiles incluidos en la Guía Farmacoterapéuticade un hospital de 400 camas que, según el fabricante, debenconservarse bajo refrigeración o congelación. Se excluyeron losmedicamentos incluidos en ensayos clínicos. Los datos de estabilidadse obtuvieron a partir de la ficha técnica, la informacióncontenida en las dos últimas guías de conservación de medicamentostermolábiles publicadas en España y a través de las consultasrealizadas a los laboratorios (vía telefónica o por e-mail).Resultados: Se confeccionó una tabla con las temperaturas deconservación recomendadas en ficha técnica y los datos deestabilidad disponibles actualmente a distintas temperaturas de209 presentaciones de distintas especialidades farmacéuticas.Se solicitaron datos de estabilidad actualizados de 172 de ellasa los laboratorios.Conclusiones: La guía elaborada constituye una herramientaque facilita la toma de decisiones del farmacéutico ante unarotura accidental de la cadena de frío, cuando sea necesarioconocer si el fármaco puede ser utilizado y no sea posible contactarcon el laboratorio fabricante.

  4. Genotypic and phenotypic modifications of Neisseria meningitidis after an accidental human passage.

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    Hélène Omer

    Full Text Available A scientist in our laboratory was accidentally infected while working with Z5463, a Neisseria meningitidis serogroup A strain. She developed severe symptoms (fever, meningism, purpuric lesions that fortunately evolved with antibiotic treatment to complete recovery. Pulse-field gel electrophoresis confirmed that the isolate obtained from the blood culture (Z5463BC was identical to Z5463, more precisely to a fourth subculture of this strain used the week before the contamination (Z5463PI. In order to get some insights into genomic modifications that can occur in vivo, we sequenced these three isolates. All the strains contained a mutated mutS allele and therefore displayed an hypermutator phenotype, consistent with the high number of mutations (SNP, Single Nucleotide Polymorphism detected in the three strains. By comparing the number of SNP in all three isolates and knowing the number of passages between Z5463 and Z5463PI, we concluded that around 25 bacterial divisions occurred in the human body. As expected, the in vivo passage is responsible for several modifications of phase variable genes. This genomic study has been completed by transcriptomic and phenotypic studies, showing that the blood strain used a different haemoglobin-linked iron receptor (HpuA/B than the parental strains (HmbR. Different pilin variants were found after the in vivo passage, which expressed different properties of adhesion. Furthermore the deletion of one gene involved in LOS biosynthesis (lgtB results in Z5463BC expressing a different LOS than the L9 immunotype of Z2491. The in vivo passage, despite the small numbers of divisions, permits the selection of numerous genomic modifications that may account for the high capacity of the strain to disseminate.

  5. Biological dose estimation for accidental supra-high dose gamma-ray exposure

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Y., E-mail: yingchen29@yahoo.com.cn [Department of Radiation Toxicology and Oncology, Beijing Institute of Radiation Medicine, 27 Taiping Road, Haidian District, Beijing 100850 (China); Yan, X.K. [Department of Radiation Toxicology and Oncology, Beijing Institute of Radiation Medicine, 27 Taiping Road, Haidian District, Beijing 100850 (China); Department of Radiation Safety, Beijing Institute of Nuclear and Chemical Safety, 14 Guan-cun, Dongcheng District, Beijing 100077 (China); Du, J.; Wang, Z.D.; Zhang, X.Q.; Zeng, F.G.; Zhou, P.K. [Department of Radiation Toxicology and Oncology, Beijing Institute of Radiation Medicine, 27 Taiping Road, Haidian District, Beijing 100850 (China)

    2011-09-15

    To correctly estimate the biological dose of victims accidentally exposed to a very high dose of {sup 60}Co gamma-ray, a new dose-effect curve of chromosomal dicentrics/multicentrics and rings in the supra-high dose range was established. Peripheral blood from two healthy men was irradiated in vitro with doses of {sup 60}Co gamma-rays ranging from 6 to 22 Gy at a dose rate of 2.0 Gy/min. Lymphocytes were concentrated, cultured and harvested at 52 h, 68 h and 72 h. The numbers of dic + r were counted. The dose-effect curves were established and validated using comparisons with doses from the Tokai-mura accident and were then applied to two victims of supra-high dose exposure accident. The results indicated that there were no significant differences in chromosome aberration frequency among the different culture times from 52 h to 72 h. The 6-22 Gy dose-effect curve was fitted to a linear quadratic model Y = -2.269 + 0.776D - 7.868 x l0{sup -3}D{sup 2}. Using this mathematic model, the dose estimates were similar to data from Tokai-mura which were estimated by PCC ring. Whole body average doses of 9.7 Gy and 18.1 Gy for two victims in the Jining accident were satisfactorily given. We established and successfully applied a new dose-effect curve of chromosomal dicentrics plus ring (dic + r) after 6-22 Gy {gamma}-irradiation from a supra-high dose {sup 60}Co gamma-ray accident.

  6. Actividades intersectoriales en la prevención de accidentes de tráfico

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    Peiró R.

    2003-01-01

    Full Text Available Se describen las líneas de trabajo priorizadas y algunos resultados obtenidos en la implantación del programa de prevención y reducción de lesiones por accidentes de tráfico en un área de salud. A partir de 1999 el Centro de Salud Pública priorizó la identificación y búsqueda de aliados en otros sectores (Asociación de policías locales y educación, la construcción de la capacidad de trabajo conjunta y la formación de un grupo intersectorial. Se llevaron a cabo actividades docentes y jornadas. Se formó una red de personas en 17 de un total de 39 ayuntamientos que participan con actividades en el grupo intersectorial. Un total de 10 de estos ayuntamientos participaron con actividades educativas y siete, además, exigieron al cumplimiento de la legislación. El grupo intersectorial potenció la visibilidad de sus actividades a través de los medios de comunicación local. Estas actividades no están dirigidas a reducir las lesiones por tráfico, sino a crear un marco de trabajo para la movilización de los sectores implicados. Se pretende potenciar más el compromiso entre los niveles políticos, técnicos y civiles incidiendo en valores sociales de respeto para una vida más saludable.

  7. Medical documentation, bioanalytical evidence of an accidental human exposure to sulfur mustard and general therapy recommendations.

    Science.gov (United States)

    Steinritz, Dirk; Striepling, Enno; Rudolf, Klaus-Dieter; Schröder-Kraft, Claudia; Püschel, Klaus; Hullard-Pulstinger, Andreas; Koller, Marianne; Thiermann, Horst; Gandor, Felix; Gawlik, Michael; John, Harald

    2016-02-26

    Sulfur mustard (SM) is a chemical warfare agent (CWA) that was first used in World War I and in several military conflicts afterwards. The threat by SM is still present even today due to remaining stockpiles, old and abandoned remainders all over the world as well as to its ease of synthesis. CWA are banned by the Chemical Weapons Convention (CWC) interdicting their development, production, transport, stockpiling and use and are subjected to controlled destruction. The present case report describes an accidental exposure of three workers that occurred during the destruction of SM. All exposed workers presented a characteristic SM-related clinical picture that started about 4h after exposure with erythema and feeling of tension of the skin at the upper part of the body. Later on, superficial blister and a burning phenomenon of the affected skin areas developed. Similar symptoms occurred in all three patients differing severity. One patient presented sustained skin affections at the gluteal region while another patient came up with affections of the axilla and genital region. Fortunately, full recovery was observed on day 56 after exposure except some little pigmentation changes that were evident even on day 154 in two of the patients. SM-exposure was verified for all three patients using bioanalytical GC MS and LC MS/MS based methods applied to urine and plasma. Urinary biotransformation products of the β-lyase pathway were detected until 5 days after poisoning whereas albumin-SM adducts could be found until day 29 underlining the beneficial role of adduct detection for post-exposure verification. In addition, we provide general recommendations for management and therapy in case of SM poisoning.

  8. Aspectos psicosociales y accidentes en el transporte terrestre Psychosocial aspects and accidents in land transport

    Directory of Open Access Journals (Sweden)

    Nelson Morales-Soto

    2010-06-01

    Full Text Available Los accidentes de tránsito son un problema de salud pública en el Perú, que entre 1998 y 2008 causaron 35 596 muertes, Lima es la región más afectada con 61,7% de los siniestros, su costo anual alcanzó los mil millones de dólares, equivalente a un tercio de la inversión en salud. Los estudios disponibles enfatizan en los protagonistas -conductores, peatones- o en equipos y vías; se han modificado normas e implementado planes de contención de la siniestralidad pero su incidencia persiste. Se plantea la posibilidad de explorar factores conductuales y sociales que podrían tener importancia en la génesis del problema revisando los relacionados con el desorden imperante en el transporte, los comportamientos de conductores y peatones y la permisividad de la sociedad en general, particularmente de la autoridad. Se propone la investigación e intervención multidisciplinaria e intersectorial.Road traffic accidents are a public health problem in Peru, having caused 35 596 deaths in Peru between 1998 and 2008. Lima is the most affected region, presenting 61.7% of the accidents, the annual cost reached one thousand million dollars, equivalent to a third part of the investment in health. Available studies give emphasis to the protagonists -the drivers, the pedestrians- or to equipment and roads; the laws have been modified and containment plans for accidents have been implemented, but the incidence remains the same. We raise the possibility of exploring behavioral and social factors that could be relevant in the genesis of the problem, revising those related to current disorder in transport, the behaviors of drivers and pedestrians and the permissiveness of society in general particularly of the authority. We propose research and a multidisciplinary and intersectoral intervention.

  9. The quest for an intermediate-scale accidental axion and further ALPs

    Energy Technology Data Exchange (ETDEWEB)

    Dias, A.G.; Nishi, C.C. [Univ. Federal do ABC - UFABC, Sao Paulo (Brazil); Machado, A.C.B. [Teorica-Univ. Estadual Paulista, Sao Paulo (Brazil). Instituto de Fisica; Ringwald, A. [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); Vaudrevange, P. [Technische Univ. Muenchen, Garching (Germany). Excellence Cluster Universe

    2014-03-15

    The recent detection of the cosmic microwave background polarimeter experiment BICEP2 of tensor fluctuations in the B-mode power spectrum basically excludes all plausible axion models where its decay constant is above 10{sup 13} GeV. Moreover, there are strong theoretical, astrophysical, and cosmological motivations for models involving, in addition to the axion, also axion-like particles (ALPs), with decay constants in the intermediate scale range, between 10{sup 9} GeV and 10{sup 13} GeV. Here, we present a general analysis of models with an axion and further ALPs and derive bounds on the relative size of the axion and ALP photon (and electron) coupling. We discuss what we can learn from measurements of the axion and ALP photon couplings about the fundamental parameters of the underlying ultraviolet completion of the theory. For the latter we consider extensions of the Standard Model in which the axion and the ALP(s) appear as pseudo Nambu-Goldstone bosons from the breaking of global chiral U(1) (Peccei-Quinn (PQ)) symmetries, occuring accidentally as low energy remnants from exact discrete symmetries. In such models, the axion and the further ALP are protected from disastrous explicit symmetry breaking effects due to Planck-scale suppressed operators. The scenarios considered exploit heavy right handed neutrinos getting their mass via PQ symmetry breaking and thus explain the small mass of the active neutrinos via a seesaw relation between the electroweak and an intermediate PQ symmetry breaking scale. We show some models that can accommodate simultaneously an axion dark matter candidate, an ALP explaining the anomalous transparency of the universe for γ-rays, and an ALP explaining the recently reported 3.55 keV gamma line from galaxies and clusters of galaxies, if the respective decay constants are of intermediate scale.

  10. Transtorno de estresse pós-traumático como acidente de trabalho em um bancário: relato de um caso Trastorno por estrés postraumático como accidente laboral en un bancario: relato de caso Post-traumatic stress disorder as a result of occupational injury: the case of a bank employee

    Directory of Open Access Journals (Sweden)

    Erika Bucasio

    2005-04-01

    Full Text Available Este artigo relata o caso de um gerente de banco atendido por uma equipe multidisciplinar através de anamnese psiquiátrica e ocupacional e aplicação de entrevista psiquiátrica semi-estruturada (SCID para transtorno de estresse pós-traumático (TEPT. O objetivo do artigo é exemplificar, com um caso clínico, as relações entre o TEPT e eventos traumáticos ocorridos no trabalho, demonstrando que o TEPT pode ser uma conseqüência de acidente de trabalho bancário. A visão do TEPT como doença ocupacional é um conceito novo e relevante devido aos índices elevados de violência no Brasil. O reconhecimento do TEPT no contexto do trabalho bancário é importante para orientar serviços de saúde, administradores e profissionais de recursos humanos na prevenção de TEPT (treinamento adequado, suporte psicológico, emissão de Comunicação de Acidente de Trabalho, intervenções na organização do trabalho, visando à melhoria da qualidade de vida.Este artículo relata el caso de un gerente de banco atendido por un equipo multidisciplinar a través de anamnesia psiquiátrica y ocupacional, y aplicación de entrevista psiquiátrica semi-estructurada (SCID para trastorno por estrés postraumático (TEPT. El objetivo del artículo es ejemplificar, con un caso clínico, las relaciones entre TEPT y eventos traumáticos ocurridos en el trabajo, demostrando que el TEPT puede ser una consecuencia de accidente de trabajo bancario. La visión del TEPT como enfermedad ocupacional es un concepto nuevo y relevante, debido a los índices elevados de violencia en Brasil. El reconocimiento del TEPT en el contexto del trabajo bancario es importante para orientar los servicios de salud, administradores y profesionales de recursos humanos en la prevención del TEPT (entrenamiento adecuado, soporte psicológico, emisión de comunicación de accidente de trabajo, intervenciones en el ordenamiento del trabajo, visando a la mejoría de la calidad de vida

  11. Un análisis en los accidentes cerebrovasculares una nueva mirada a los factores de riesgo para la aparición de la enfermedad. Un análisis en los accidentes cerebrovasculares

    OpenAIRE

    2013-01-01

    ResumenLa presencia o no de factores psicológicos de riesgo para la aparición de distintas enfermedades continúa siendo un tema controvertido en las ciencias médicas y psicológicas, quizás por las dificultades que se presentan en el momento de su evaluación. No obstante, ya se han realizado primeras miradas en este sentido, presentando la siguiente investigación en personas con accidente cerebrovascular, como un análisis preliminar experimental; que más que brindar datos definitorios, permita...

  12. Long-term environmental fate of perfluorinated compounds after accidental release at Toronto airport.

    Science.gov (United States)

    Awad, Emily; Zhang, Xianming; Bhavsar, Satyendra P; Petro, Steve; Crozier, Patrick W; Reiner, Eric J; Fletcher, Rachael; Tittlemier, Sheryl A; Braekevelt, Eric

    2011-10-01

    Perfluorooctane sulfonate (PFOS; a perfluorinated compound or PFC), its salts, and perfluorooctane sulfonyl fluoride have recently been listed in Annex B of the Stockholm Convention due to their widespread presence, persistence, and toxicity. Because of the persistent nature of PFCs, it is generally presumed that the impact of direct discharges of these chemicals on a receiving environment would be long-lasting. However, long-term environmental fate studies based on field measurements are rare. We examined spatial and long-term (9 year) temporal trends of PFCs in water, sediment, fish, and fish liver collected in 2003, 2006, and 2009 from 10 locations spanning ∼20 km in Etobicoke and Spring Creeks, where an accidental release of fire fighting foam containing PFOS from nearby Toronto International Airport occurred in 2000. Even a decade after the spill, sediment PFOS concentrations are still elevated in Spring Creek Pond which received the foam discharge; however, the major impact is relatively localized likely due to the stormwater management nature of the pond and the diluting effect of Etobicoke Creek. Fish and fish liver PFOS concentrations at a Spring Creek location downstream of Spring Creek Pond declined by about 70 and 85%, respectively, between 2003 and 2009. PFOS in water at locations further downstream in Etobicoke Creek have declined by >99.99% since the spill; however, the 2009 water and fish levels were ∼2-10 times higher than upstream locations likely due to the long-term impact of the spill as well as urbanization. The decrease in the upstream PFOS concentrations likely reflects the reduction of PFOS sources due to phased out production by 3M and regulations on the use of PFOS in fire fighting foams. Field-based sediment/water distribution coefficients (K(D)) and bioaccumulation factors (BAF) were calculated from environmental measurements. Log K(D) values were 0.54-1.65 for perfluoroalkyl sulfonates (PFASs) and 1.00-1.85 for

  13. Estimation of vulnerable zones due to accidental release of toxic materials resulting in dense gas clouds.

    Science.gov (United States)

    Singh, M P; Mohan, M; Panwar, T S; Chopra, H V

    1991-09-01

    Heavy gas dispersion models have been developed at IIT (hereinafter referred as IIT heavy gas models I and II) with a view to estimate vulnerable zones due to accidental (both instantaneous and continuous, respectively) release of dense toxic material in the atmosphere. The results obtained from IIT heavy gas models have been compared with those obtained from the DEGADIS model [Dense Gas Dispersion Model, developed by Havens and Spicer (1985) for the U.S. Coast Guard] as well as with the observed data collected during the Burro Series, Maplin Sands, and Thorney Island field trials. Both of these models include relevant features of dense gas dispersion, viz., gravity slumping, air entrainment, cloud heating, and transition to the passive phase, etc. The DEGADIS model has been considered for comparing the performance of IIT heavy gas models in this study because it incorporates most of the physical processes of dense gas dispersion in an elaborate manner, and has also been satisfactorily tested against field observations. The predictions from IIT heavy gas models indicate a fairly similar trend to the observed values from Thorney Island, Burro Series, and Maplin experiments with a tendency toward overprediction. There is a good agreement between the prediction of IIT Heavy Gas models I and II with those from DEGADIS, except for the simulations of IIT heavy gas model-I pertaining to very large release quantities under highly stable atmospheric conditions. In summary, the performance of IIT heavy gas models have been found to be reasonably good both with respect to the limited field data available and various simulations (selected on the basis of relevant storages in the industries and prevalent meteorological conditions performed with DEGADIS). However, there is a scope of improvement in the IIT heavy gas models (viz., better formulation for entrainment, modification of coefficients, transition criteria, etc.). Further, isotons (nomograms) have been prepared by using

  14. Surgical management of accidentally displaced mandibular third molar into the pterygomandibular space: a case report.

    Science.gov (United States)

    Huang, I-Yueh; Chen, Chao-Ming; Chang, Sung-Wen; Yang, Chia-Fu; Chen, Chung-Ho; Chen, Chun-Min

    2007-07-01

    Surgical removal of the mandibular third molar is a regular surgical procedure in dental clinics, and like all operations, it may have some complications, such as infection, bleeding, nerve injuries, trismus and so on. An accidentally displaced lower third molar is a relatively rare complication, but may cause severe tissue injury and medicolegal problems. As few papers and cases have been published on this topic, we report this case to remind dentists on ways to prevent and manage this complication. The patient, a 28-year-old male, had his right lower mandibular third molar extraction in January 2006. The dentist resected the crown and attempted to remove the root but found that it had suddenly disappeared from the socket. Assuming that the root had been suctioned out he closed the wound. The patient was not followed up regularly because he studied abroad. About 3 months later, the patient felt a foreign body sensation over his right throat, and visited a local hospital in Australia. He was told after a computed tomography (CT) scan that there was a root-like radio-opaque image in the pterygomandibular space. The patient came to our hospital for further examination and management in June 2006. We rechecked with both Panorex and CT and confirmed the location of the displaced root. Surgery for retrieving the displaced root was performed under general anesthesia by conventional method without difficulty, and the wound healed uneventfully except for a temporary numbness of the right tongue. This case reminds us that the best way to prevent a displaced mandibular third molar is to evaluate the condition of the tooth carefully preoperatively, select adequate instruments and technique, and take good care during extraction. If an accident does occur, dentists should decide whether to retrieve it immediately by themselves or refer the case to an oral and maxillofacial surgeon, and should not try to remove the displaced root without proper assurance. Localization with

  15. Probabilistic margin evaluation on accidental transients for the ASTRID reactor project

    Science.gov (United States)

    Marquès, Michel

    2014-06-01

    ASTRID is a technological demonstrator of Sodium cooled Fast Reactor (SFR) under development. The conceptual design studies are being conducted in accordance with the Generation IV reactor objectives, particularly in terms of improving safety. For the hypothetical events, belonging to the accidental category "severe accident prevention situations" having a very low frequency of occurrence, the safety demonstration is no more based on a deterministic demonstration with conservative assumptions on models and parameters but on a "Best-Estimate Plus Uncertainty" (BEPU) approach. This BEPU approach ispresented in this paper for an Unprotected Loss-of-Flow (ULOF) event. The Best-Estimate (BE) analysis of this ULOFt ransient is performed with the CATHARE2 code, which is the French reference system code for SFR applications. The objective of the BEPU analysis is twofold: first evaluate the safety margin to sodium boiling in taking into account the uncertainties on the input parameters of the CATHARE2 code (twenty-two uncertain input parameters have been identified, which can be classified into five groups: reactor power, accident management, pumps characteristics, reactivity coefficients, thermal parameters and head losses); secondly quantify the contribution of each input uncertainty to the overall uncertainty of the safety margins, in order to refocusing R&D efforts on the most influential factors. This paper focuses on the methodological aspects of the evaluation of the safety margin. At least for the preliminary phase of the project (conceptual design), a probabilistic criterion has been fixed in the context of this BEPU analysis; this criterion is the value of the margin to sodium boiling, which has a probability 95% to be exceeded, obtained with a confidence level of 95% (i.e. the M5,95percentile of the margin distribution). This paper presents two methods used to assess this percentile: the Wilks method and the Bootstrap method ; the effectiveness of the two methods

  16. ANALYSIS OF REPORTS ABOUT 384 ELDERLY CASES OF ACCIDENTAL INJURY IN COMMUNITY%384例社区老年人意外伤害报告分析

    Institute of Scientific and Technical Information of China (English)

    薛锦花

    2011-01-01

    [Objective] To understand the characteristics and causes of accidental injury of the elderly in community, in order to provide bases for preventing the occurrence of accidental injuries. [Methods] Retrospectively summarized the reports about 384 elderly cases of accidental injury in community. [Results] Homes and roads were the main sites for injury accidents; falling down and falling in accidental injuries were the main reasons for the elderly; accidental injury easily leaded to fractures of the elderly. [Conclusion] Physical characteristics of the elderly easily lead to accidental injury; improving the environment and facilities, preventing falls and preventing osteoporosis are the focuses in preventing accidental injuries; it should establish and improve accident prevention network.%[目的]了解社区老年人意外伤害的特点与原因,为防范意外伤害的发生提供依据. [方法]回顾性总结某社区卫生服务中心从2007年6月~2009年12月的384例社区老年人意外伤害报告. [结果]家中和公路是老年人发生意外伤害的主要场所;跌倒、坠落是老年人意外伤害的主要原因;老年人意外伤害易导致骨折.[结论]老年人的身体特点易导致意外伤害;改善环境设施、预防跌倒、预防骨质疏松症是防范意外伤害的重点;应建立健全意外伤害防护网络.

  17. A national survey (NAP5-Ireland baseline) to estimate an annual incidence of accidental awareness during general anaesthesia in Ireland.

    LENUS (Irish Health Repository)

    Jonker, W R

    2014-06-29

    As part of the 5th National Audit Project of the Royal College of Anaesthetists and the Association of Anaesthetists of Great Britain and Ireland concerning accidental awareness during general anaesthesia, we issued a questionnaire to every consultant anaesthetist in each of 46 public hospitals in Ireland, represented by 41 local co-ordinators. The survey ascertained the number of new cases of accidental awareness becoming known to them for patients under their care or supervision for a calendar year, as well as their career experience. Consultants from all hospitals responded, with an individual response rate of 87% (299 anaesthetists). There were eight new cases of accidental awareness that became known to consultants in 2011; an estimated incidence of 1:23 366. Two out of the eight cases (25%) occurred at or after induction of anaesthesia, but before surgery; four cases (50%) occurred during surgery; and two cases (25%) occurred after surgery was complete, but before full emergence. Four cases were associated with pain or distress (50%), one after an experience at induction and three after experiences during surgery. There were no formal complaints or legal actions that arose in 2011 related to awareness. Depth of anaesthesia monitoring was reported to be available in 33 (80%) departments, and was used by 184 consultants (62%), 18 (6%) routinely. None of the 46 hospitals had a policy to prevent or manage awareness. Similar to the results of a larger survey in the UK, the disparity between the incidence of awareness as known to anaesthetists and that reported in trials warrants explanation. Compared with UK practice, there appears to be greater use of depth of anaesthesia monitoring in Ireland, although this is still infrequent.

  18. Prediction of ground vibration due to the collapse of a 235 m high cooling tower under accidental loads

    Energy Technology Data Exchange (ETDEWEB)

    Lin, Feng; Li, Yi [Department of Building Engineering, Tongji University, No. 1239 Siping Road, Shanghai 200092 (China); Gu, Xianglin, E-mail: gxl@tongji.edu.cn [Department of Building Engineering, Tongji University, No. 1239 Siping Road, Shanghai 200092 (China); Zhao, Xinyuan [Department of Building Engineering, Tongji University, No. 1239 Siping Road, Shanghai 200092 (China); Tang, Dongsheng [Guangdong Electric Power Design Institute, No. 1 Tianfeng Road, Guangzhou, Guangdong 510663 (China)

    2013-05-15

    Highlights: ► Ground vibration due to the collapse of a huge cooling tower was predicted. ► Accidental loads with different characteristics caused different collapse modes. ► Effect of ground vibration on the nuclear-related facilities cannot be ignored. -- Abstract: A comprehensive approach is presented in this study for the prediction of the ground vibration due to the collapse of a 235 m high cooling tower, which can be caused by various accidental loads, e.g., explosion or strong wind. The predicted ground motion is to be used in the safety evaluation of nuclear-related facilities adjacent to the cooling tower, as well as the plant planning of a nuclear power station to be constructed in China. Firstly, falling weight tests were conducted at a construction site using the dynamic compaction method. The ground vibrations were measured in the form of acceleration time history. A finite element method based “falling weight-soil” model was then developed and verified by field test results. Meanwhile, the simulated collapse processes of the cooling tower under two accidental loads were completed in a parallel study, the results of which are briefly introduced in this paper. Furthermore, based on the “falling weight-soil” model, “cooling tower-soil” models were developed for the prediction of the ground vibrations induced by two collapse modes of the cooling tower. Finally, for a deep understanding of the vibration characteristics, a parametric study was also conducted with consideration of different collapse profiles, soil geologies as well as the arrangements of an isolation trench. It was found that severe ground vibration occurred in the vicinity of the cooling tower when the collapse happened. However, the vibration attenuated rapidly with the increase in distance from the cooling tower. Moreover, the “collapse in integrity” mode and the rock foundation contributed to exciting intense ground vibration. By appropriately arranging an isolation

  19. IT - OSRA: applying ensemble simulations to estimate the oil spill hazard associated to operational and accidental oil spills

    Science.gov (United States)

    Sepp Neves, Antonio Augusto; Pinardi, Nadia; martins, Flavio

    2016-04-01

    Every year, 270,000 tonnes of oil are estimated to be spilled in the ocean by vessel operations (e.g. tank washing, leakage of lubricants) and the so called operational spills are typically associated with small volumes and high occurrence rate. Vessel-related accidental spills (e.g. collisions, explosions) seldom occur and usually involve high volumes of oil, accounting for about 100,000 tonnes/year. The occurrence of accidental spills and their impacts have been well documented in the available literature. On the other hand, occurrence rates of operational spills and the effects they have on the marine and coastal environments remain very uncertain due to insufficient sampling effort and methodological limitations. Trying to foresee when and where an oil spill will occur in a certain area, its characteristics and impacts is, at present, impossible. Oil spill risk assessments (OSRAs) have been employed in several parts of the globe in order to deal with such uncertainties and protect the marine environment. In the present work, we computed the oil spill risk applying ensemble oil spill simulations following an ISO-31000 compliant OSRA methodology (Sepp Neves et al. , 2015). The ensemble experiment was carried out for the Algarve coast (southern Portugal) generating a unique data set of 51,200 numerical oil spill simulations covering the main sources of uncertainties (i.e. where and when the spill will happen and oil spill model configuration). From the generated data set, the risk due to accidental and operational spills was mapped for the Algarve municipalities based on the frequency and magnitude (i.e. concentrations) of beaching events and the main sources of risk were identified. The socioeconomic and environmental dimensions of the risk were treated separately. Seasonal changes in the risk index proposed due to the variability of meteo-oceanographic variables (i.e. currents and waves) were also quantified.

  20. Fallout: The experiences of a medical team in the care of a Marshallese population accidentally exposed to fallout radiation

    Energy Technology Data Exchange (ETDEWEB)

    Conard, R.A.

    1991-01-01

    This report presents an historical account of the experiences of the Brookhaven Medical team in the examination and treatment of the Marshallese people following their accidental exposure to radioactive fallout in 1954. This is the first time that a population has been heavily exposed to radioactive fallout, and even though this was a tragic mishap, the medical findings have provided valuable information for other accidents involving fallout such as the recent reactor accident at Chernobyl. Particularly important has been the unexpected importance of radioactive iodine in the fallout in producing thyroid abnormalities.

  1. Fallout: The experiences of a medical team in the care of a Marshallese population accidentally exposed to fallout radiation

    Energy Technology Data Exchange (ETDEWEB)

    Conard, R.A.

    1991-12-31

    This report presents an historical account of the experiences of the Brookhaven Medical team in the examination and treatment of the Marshallese people following their accidental exposure to radioactive fallout in 1954. This is the first time that a population has been heavily exposed to radioactive fallout, and even though this was a tragic mishap, the medical findings have provided valuable information for other accidents involving fallout such as the recent reactor accident at Chernobyl. Particularly important has been the unexpected importance of radioactive iodine in the fallout in producing thyroid abnormalities.

  2. La responsabilidad civil del empresario por daños y perjuicios derivados de accidente de trabajo

    OpenAIRE

    Monerri Guillén, Concepción

    2015-01-01

    *Introducción: La presente tesis doctoral bajo el título “La responsabilidad civil del empresario por daños y perjuicios derivados del accidente de trabajo”, ha suscitado gran interés en la doctrina y jurisprudencia de las Salas Primera y Cuarta del Tribunal Supremo ante la falta de criterios unánimes a la hora de enjuiciar la cuestión. El órgano competente para el enjuiciamiento, la valoración del daño y, el descuento de cantidades provenientes de la Seguridad Social, daban lugar al llamado ...

  3. La trombectomía mecánica en el tratamiento de accidentes cerebrovasculares (ACV) en la fase aguda

    OpenAIRE

    Alain Bonafe

    2013-01-01

    En Francia, la incidencia anual de accidentes cerebro vasculares (ACV) es de 1.6 a 2.4 por cada mil (1.000) personas, es decir entre 100.000 y 145.000 por año, con una mortalidad del 15 al 20% al cabo del primer mes y un 75% de personas sobrevivientes con secuelas. El tratamiento de preferencia es la Trombólisis IV (Intra Venosa) con rt-PA (Recombinant Tissue Plasminogen Activator - Activador del Plasminógeno Tisular Recombinante), el cual tiene una ventana de eficacia...

  4. Aprendizajes del Accidente de San Juan Ixhuatepec-México Learning from the Accident in San Juan Ixhuatepec-Mexico

    OpenAIRE

    Antioco López-Molina; Richart Vázquez-Román; Christian Díaz-Ovalle

    2012-01-01

    El índice Dow de fuego y explosión y la metodología del análisis cuantitativo del riesgo son aplicados para analizar uno de los accidentes más desafortunados en la historia mexicana: la explosión de tanques de almacenamiento de gas en la planta de San Juan Ixhuatepec en México. Estimaciones adicionales de la sobrepresión y radiación térmica producida durante el siniestro son llevadas a cabo para explicar el efecto dominó producido como consecuencia del incidente. Estas estimaciones dan eviden...

  5. Prevalencia de accidentes punzocortantes y material biológico en estudiantes de Odontología (UNLP)

    OpenAIRE

    2015-01-01

    Introducción: La Odontología dentro del marco de las Ciencias de la Salud, es considerada una profesión de alto riesgo. Con la aparición de nuevas enfermedades transmisibles es imprescindible utilizar la educación para promover un modo de vida sana. La falta de conocimiento de las normas de bioseguridad sería una de las causas más importantes de accidentes con elementos punzocortantes y material biológico. Consideramos que en la etapa de formación del alumno, la bioseguridad debe constituir u...

  6. Falls related to accidental deactivation of deep brain stimulators in patients with Parkinson's disease living in long term care facilities.

    Science.gov (United States)

    Tousi, Babak; Wilson, Kathy

    2013-01-01

    This case series highlights three patients with Parkinson's disease residing at nursing home facilities whose deep brain stimulators were accidentally deactivated for varying lengths of time, which was associated with an increase in falls. In all three cases, neither the patients nor the caregivers were aware of the random deactivations/reactivations. We propose a specific care plan for these patients that includes further education of caregivers regarding deep brain stimulators and regular checks of the review device, especially when there is concern about a patient's mobility or balance that is out of character.

  7. Función pulmonar en sujetos con hemiparesia crónica secundaria a un accidente cerebrovascular

    OpenAIRE

    Guerrero Gómez, Alba

    2016-01-01

    Antecedentes: las Enfermedades Cerebrovasculares se sitúan como la primera causa de muerte entre las mujeres y la tercera en hombres a nivel nacional. Son numerosas las secuelas que pueden sufrir los supervivientes, entre las que se encuentran las alteraciones del control motor y del tono muscular. Estas son las que hacen plantearse el grado de afectación de la musculatura implicada en la ventilación tras un Accidente Cerebrovascular, ya sea de manera directa o mediante la alteración de las c...

  8. Muerte prematura por accidente cerebrovascular y condición socioeconómica en la Argentina

    Directory of Open Access Journals (Sweden)

    Mauricio Monsalvo

    2016-04-01

    Full Text Available Introducción: La asociación entre mortalidad por accidente cerebrovascular y el nivel socioeconómico está escasamente descripta en Argentina. Objetivos: Describir la evolución temporal de la mortalidad por accidente cerebrovascular y su asociación con el nivel socioeconómico en Argentina entre 2000 y 2011. Material y métodos: Se realizó un estudio ecológico longitudinal. La mortalidad se cuantificó mediante tasas estandarizadas por edad y sexo, y el nivel socioeconómico mediante quintilos de necesidades básicas insatisfechas. Las unidades de observación fueron los departamentos de Argentina. La asociación entre mortalidad y nivel socioeconómico se evaluó utilizando un modelo de regresión de Poisson para datos de panel. Resultados: La mortalidad por accidente cerebrovascular aumentó progresivamente entre los quintilos de nivel socioeconómico (26,2, 28,4, 30,5, 34,5 y 36,9 por 100.000 personas, para los quintilos 1 a 5, respectivamente en el año 2000. La mortalidad en todos los grupos de nivel socioeconómico disminuyó, aunque persistieron diferencias entre ellos (17,2, 18,5, 20,1, 22,1 y 25,3 por 100.000 personas, para los quintilos 1 a 5, respectivamente en el año 2011. Las razones de tasas de incidencias fueron 1,15 (IC 95% 1,09 a 1,22; p<0,001, 1,27 (IC 95% 1,21 a 1,34; p<0,001, 1,32 (IC 95% 1,26 a 1,39; p<0,001, y de 1,48 (IC 95% 1,41 a 1,56; p<0,001, para los quintilos 2 a 5. Conclusiones: Los resultados sugieren una asociación inversa entre el nivel socioeconómico y la mortalidad por accidente cerebrovascular. Además, persistió una diferencia de mortalidad entre los niveles socioeconómicos durante el período de estudio.

  9. Accidentes de carretera y su relación con cansancio y somnolencia en conductores de ómnibus.

    OpenAIRE

    Rosales Mayor, Edmundo; Egoavil Rojas, Martha Teresa; Durand Vila, Ivette Solange; Natalie, Montes Ccaccro Evelyn; Flores Herrera, Rosario Edith; Rivera García, Silvia Lucía; Alonso Cueva, Carla Gabriela; Merino Baquerizo, Lucía Leonor; Rey de Castro Mujica, Jorge

    2012-01-01

    Objetivo: Determinar el nivel de cansancio, somnolencia y hábitos de conducción de conductores de ómnibus y explorar su relación con accidentes de carretera en el terminal terrestre de Huancayo, Perú. Material y métodos: Estudio transversal. Se aplicó un cuestionario pre-validado y la Escala de Somnolencia de Epworth (ESE). Resultados: De los 100 conductores, todos ellos fueron varones. El día que trabajaban dormían 6,8±2,6 horas. El 47% había dormido menos de 6 horas en las últimas 24 horas....

  10. Management of Accidental Finding of Ascaris Lumbricoides During Emergent Abdominal Surgery: A Case Report and Review of the Literature.

    Science.gov (United States)

    Esfehani, Maryam Hassan; Jahanshahi, Abdolhadi; Karimi, Amirhossein

    2016-01-01

    Ascariasis lumbricoides is the most common soil-transmitted helminth worldwide and most often is asymptomatic, although it can present with abdominal pain, malabsorption and growth failure, complete or partial obstraction in small bowel and biliary system and etc. Accidental encounters with ascaris during emergent abdominal surgeries are very rare and have been reported in less than a handful of papers. In this report, we describe this rare event from a country with low prevalence of this infection, and then review the literatures and clarify the possible challenges for surgeons during operation and postoperative follow-up.

  11. The political economy of rationing health care in England and the US: the 'accidental logics' of political settlements.

    Science.gov (United States)

    Bevan, Gwyn; Brown, Lawrence D

    2014-07-01

    This article considers how the 'accidental logics' of political settlements for the English National Health Service (NHS) and the Medicare and Medicaid programmes in the United States have resulted in different institutional arrangements and different implicit social contracts for rationing, which we define to be the denial of health care that is beneficial but is deemed to be too costly. This article argues that rationing is designed into the English NHS and designed out of US Medicare; and compares rationing for the elderly in the United States and in England for acute care, care at the end of life, and chronic care.

  12. Estudio clínico del proceso conductual de la emergencia del coma grave por accidente cerebrovascular

    OpenAIRE

    2007-01-01

    Objetivos: Estudiar el proceso de la emergencia del coma en pacientes en coma grave por accidente cerebrovascular (ACV). Método: Se han evaluado a 32 pacientes ingresados en una unidad de cuidados intensivos por un coma de origen cerebrovascular. Se ha realizado un seguimiento diario por neuropsicólogos e intensivistas y monitorizado el despertar del coma mediante 8 escalas de evalua ... ción clínica de los niveles de coma. Se han analizado las variables: edad, género, residencia, índice prem...

  13. Un análisis en los accidentes cerebrovasculares una nueva mirada a los factores de riesgo para la aparición de la enfermedad. Un análisis en los accidentes cerebrovasculares

    Directory of Open Access Journals (Sweden)

    Luis Felipe Herrera Jiménez

    2013-10-01

    Full Text Available ResumenLa presencia o no de factores psicológicos de riesgo para la aparición de distintas enfermedades continúa siendo un tema controvertido en las ciencias médicas y psicológicas, quizás por las dificultades que se presentan en el momento de su evaluación. No obstante, ya se han realizado primeras miradas en este sentido, presentando la siguiente investigación en personas con accidente cerebrovascular, como un análisis preliminar experimental; que más que brindar datos definitorios, permita a la vez, abrir nuevos caminos hacia la búsqueda de la multideterminación de los procesos patológicos. Con el objetivo central de determinar factores psicológicos de riesgo para la aparición de los accidentes cerebrovasculares, se establecieron dos grupos de estudio y testigo, a los cuales se le aplicaron el test de depresión Zung-Conde, el IDARE, el cuestionario de conductas de enfrentamiento y el examen neuropsicológico de Anne-Lise Crhistensen. Se pudo definir la existencia de factores más relacionados con características personológicas, factores externos fundamentalmente provenientes del medio y factores producto de esta interacción como lo constituyen el estrés y la ansiedad. (Duazary 2006; 1: 24 - 31 

  14. Accidentes de trabajo en el Hospital Clínico de la Universidad de Chile durante el año 2007

    Directory of Open Access Journals (Sweden)

    Carlos Valdés

    2009-01-01

    Full Text Available Objetivo, Conocer el número de los accidentes laborales en el Hospital Clínico de la Universidad de Chile (HCUCH el año 2007 y su caracterización de acuerdo a variables como, sexo, edad, tipo de lesión, día de la semana, mes del año, cargo desempeñado y días perdidos. Diseño, Estudio descriptivo, transversal, retrospectivo y observacional. Lugar, Hospital Clínico de la Universidad de Chile (HCUCH. Participantes, Accidentes laborales reportados entre el 1 de Enero y el 31 de Diciembre del 2007. Intervención, Se utilizó la base de datos del Registro de Notificación de Accidentes Laborales, proporcionada por el Departamento de Prevención de Riesgos del HCUCH Principales medidas de Resultados, Porcentajes y Medidas de Tendencia Central, tabuladas en una base de datos con ayuda del programa Microsoft Excel 2003 para Windows ®. Resultados: Se observan 104 accidentes laborales, con un mayor número de eventos en el personal femenino (69,2%, en el rango etareo de 30-39 años (34,3%, el tipo de lesión más frecuente fueron las contusiones/policontusiones (39,4%, el grupo más accidentado fue los auxiliares y técnicos (71.1%. El estudio por días de la semana revela que hay más accidentes los días miércoles y jueves (43,27% y los meses del año con más accidentes fueron enero, agosto y diciembre. La mayor cantidad de accidentes laborales comprometen entre 1 a 5 días perdidos. Conclusiones: Durante el año 2007, se pesquisó 104 accidentes laborales, lo que significó 804 días de ausentismo. Este estudio muestra que el sexo femenino, tener entre 30-39 años y ejercer como auxiliar o técnico fueron factores de asociados al incremento de los accidentes laborales.

  15. Accidente ofídico en animales de pastoreo: acercamiento epidemiológico, clínico y de manejo

    Directory of Open Access Journals (Sweden)

    Sebastián Estrada-Gómez

    2014-06-01

    Full Text Available En animales de pastoreo, el reporte de accidentes ofídicos es muy bajo y, además, presenta un amplio subregistro. A pesar de esto, es de gran utilidad conocer la incidencia de estos accidentes, pues son de gran importancia por las pérdidas económicas que pueden causar en el sector pecuario. Los accidentes por serpientes venenosas, tanto de la familia Viperidae como Elapidae, en caballos y ganado vacuno son frecuentes en muchos lugares del mundo, debido al aumento en la destinación de las tierras para la actividad ganadera. Colombia no es ajena a ello; sin embargo, el registro de este tipo de accidentalidad es muy bajo. En los diferentes reportes de accidentes ofídicos en animales, se ha observado que las principales manifestaciones sistémicas están caracterizadas por complicaciones cardiacas, hemodinámicas y neurotóxicas. Igualmente, se observan efectos locales, los cuales se caracterizan por presencia de hemorragias locales, edema y necrosis. El tratamiento específico utilizado en los accidentes por serpientes es la seroterapia, que consta de inmunoglobulinas G (Sueros IgG completas o fraccionadas (Faboterápicos Fab o Fab2, específicas para un género o especie.

  16. Distribución espacial de los accidentes y enfermedades relacionados con el trabajo en el Perú, 2012-2014

    Directory of Open Access Journals (Sweden)

    Akram Hernández-Vásquez

    2016-01-01

    Full Text Available Se analizaron geoespacialmente los accidentes, incidentes peligrosos y enfermedades ocupacionales que se reportaron a nivel regional en el Perú (2012-2014. 52 887 eventos se notificaron entre accidentes de trabajo (93%, incidentes peligrosos (5,1%, enfermedades ocupacionales (1% y accidentes mortales (0,9%. Se evidenciaron altas tasas de accidentes mortales en Pasco, Callao, Lima, Moquegua y Arequipa. Callao y Lima son las regiones con tasas más altas de accidentes de trabajo. Las mayores tasas de incidentes peligrosos se reportaron en Arequipa, Callao, Lima, Ica y Piura. Las enfermedades ocupacionales se distribuyeron con altas tasas en Huancavelica, Ancash, Pasco, Callao y Cusco. La explotación de minas y canteras (49,2%; seguida por la industria manufacturera (23,4%; y, la construcción (8% son las actividades económicas que concentraron elevadas tasas de enfermedades ocupacionales. Se concluye que existen altas tasas y patrones espaciales comunes de accidentabilidad en el Perú que pueden servir para enfocar intervenciones.

  17. Una nueva metodología para la predicción de la gravedad en los accidentes industriales aplicando el análisis histórico

    OpenAIRE

    Carol Llopart, Sergio

    2001-01-01

    La presente tesis va encaminada al estudio de la gravedad de los accidentes industriales con sustancias peligrosas mediante la utilización del análisis histórico de accidentes. Su objetivo final es utilizar el tratamiento cuantitativo de dicho análisis para desarrollar una metodología que permita predecir la gravedad de los accidentes.Los factores de riesgo que determinan la mayor o menor gravedad de los accidentes son tantos y tan complejos, que las aproximaciones determinísticas tradiciona...

  18. Communication: Effect of accidental mode degeneracy on Raman intensity in 2D materials: Hybrid functional study of bilayer phosphorene.

    Science.gov (United States)

    Sun, Yi-Yang; Zhang, Shengbai

    2016-07-14

    Bulk black phosphorus has two optical phonon modes labeled as Ag (2) and B2u, respectively, that are nearly degenerate in frequency. However, density functional theory calculations using local or semi-local functionals cannot reproduce this degeneracy. Here, we propose a hybrid functional approach aided by van der Waals (vdW) force fields, which can accurately describe the lattice dynamic and electronic properties of both bulk and few-layer black phosphorus (phosphorene). Using this approach we show that in bilayer phosphorene, the two Raman modes derived from the B2u and Ag (2) modes could exhibit strong resonance as a result of the accidental degeneracy so that both modes could be observed in Raman experiment. Without the mode degeneracy, however, the Raman intensity of the B2u-derived mode would be too weak to be observed. We further show that the accidental degeneracy is correlated to the applied strain, which enables Raman spectroscopy to be a powerful tool for characterizing built-in strains in 2D materials, e.g., due to the interaction with substrates, which has emerged as an important issue in vdW epitaxy.

  19. A genomic survey of positive selection in Burkholderia pseudomallei provides insights into the evolution of accidental virulence.

    Directory of Open Access Journals (Sweden)

    Tannistha Nandi

    2010-04-01

    Full Text Available Certain environmental microorganisms can cause severe human infections, even in the absence of an obvious requirement for transition through an animal host for replication ("accidental virulence". To understand this process, we compared eleven isolate genomes of Burkholderia pseudomallei (Bp, a tropical soil microbe and causative agent of the human and animal disease melioidosis. We found evidence for the existence of several new genes in the Bp reference genome, identifying 282 novel genes supported by at least two independent lines of supporting evidence (mRNA transcripts, database homologs, and presence of ribosomal binding sites and 81 novel genes supported by all three lines. Within the Bp core genome, 211 genes exhibited significant levels of positive selection (4.5%, distributed across many cellular pathways including carbohydrate and secondary metabolism. Functional experiments revealed that certain positively selected genes might enhance mammalian virulence by interacting with host cellular pathways or utilizing host nutrients. Evolutionary modifications improving Bp environmental fitness may thus have indirectly facilitated the ability of Bp to colonize and survive in mammalian hosts. These findings improve our understanding of the pathogenesis of melioidosis, and establish Bp as a model system for studying the genetics of accidental virulence.

  20. Final Report: Safety of Plasma Components and Aerosol Transport During Hard Disruptions and Accidental Energy Release in Fusion Reactor

    Energy Technology Data Exchange (ETDEWEB)

    Bourham, Mohamed A.; Gilligan, John G.

    1999-08-14

    Safety considerations in large future fusion reactors like ITER are important before licensing the reactor. Several scenarios are considered hazardous, which include safety of plasma-facing components during hard disruptions, high heat fluxes and thermal stresses during normal operation, accidental energy release, and aerosol formation and transport. Disruption events, in large tokamaks like ITER, are expected to produce local heat fluxes on plasma-facing components, which may exceed 100 GW/m{sup 2} over a period of about 0.1 ms. As a result, the surface temperature dramatically increases, which results in surface melting and vaporization, and produces thermal stresses and surface erosion. Plasma-facing components safety issues extends to cover a wide range of possible scenarios, including disruption severity and the impact of plasma-facing components on disruption parameters, accidental energy release and short/long term LOCA's, and formation of airborne particles by convective current transport during a LOVA (water/air ingress disruption) accident scenario. Study, and evaluation of, disruption-induced aerosol generation and mobilization is essential to characterize database on particulate formation and distribution for large future fusion tokamak reactor like ITER. In order to provide database relevant to ITER, the SIRENS electrothermal plasma facility at NCSU has been modified to closely simulate heat fluxes expected in ITER.

  1. Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk in a neonate.

    LENUS (Irish Health Repository)

    Ryan, C Anthony

    2012-02-03

    Here we describe a premature male infant who was accidentally given 10 mL of expressed breast milk intravenously over a 3.5-hour period. Having survived this event with supportive care, this boy was attending regular school with no obvious neurologic or learning difficulties at 6 years of age. In 1998, after a query on an e-mail discussion group for health care providers in neonatology (NICU-net), we were informed of 8 similar events that proved fatal in 3 infants. A root-cause analysis revealed that accidental intravenous administration of breast milk or formula can be avoided by the use of color-coded enteral-administration sets with Luer connections that are not compatible with intravenous cannulas. The addition of methylene blue to feeds, or bolus enteral feeds (instead of continuous gastric feedings), may also help prevent such errors. These cases show the value of gathering information about rare but important events through a neonatal network. In addition, they confirm that prevention of medical error should focus on faulty systems rather than faulty people.

  2. Communication: Effect of accidental mode degeneracy on Raman intensity in 2D materials: Hybrid functional study of bilayer phosphorene

    Science.gov (United States)

    Sun, Yi-Yang; Zhang, Shengbai

    2016-07-01

    Bulk black phosphorus has two optical phonon modes labeled as Ag2 and B2u, respectively, that are nearly degenerate in frequency. However, density functional theory calculations using local or semi-local functionals cannot reproduce this degeneracy. Here, we propose a hybrid functional approach aided by van der Waals (vdW) force fields, which can accurately describe the lattice dynamic and electronic properties of both bulk and few-layer black phosphorus (phosphorene). Using this approach we show that in bilayer phosphorene, the two Raman modes derived from the B2u and Ag2 modes could exhibit strong resonance as a result of the accidental degeneracy so that both modes could be observed in Raman experiment. Without the mode degeneracy, however, the Raman intensity of the B2u-derived mode would be too weak to be observed. We further show that the accidental degeneracy is correlated to the applied strain, which enables Raman spectroscopy to be a powerful tool for characterizing built-in strains in 2D materials, e.g., due to the interaction with substrates, which has emerged as an important issue in vdW epitaxy.

  3. Hipotermia acidental em um país tropical Accidental hypothermia cases in a tropical country

    Directory of Open Access Journals (Sweden)

    Valdir Golin

    2003-09-01

    hypothermia prevailed in the male sex with 75.9%. As age group prevailed the age between 30 and 59 years. In 70.3% of the patients the central temperature went lower than 32°C, and in 26.4% of these, the temperature was lower than 28°C. The association with infectious processes happened in 76.8% of the cases. The patients with mild hypothermia answered better at therapeutics (96.8% when compared with the moderate hypothermic (72.1% and serious (87.5% patients. The Osborn's wave was present in 42.6% of the patients. The general mortality was 38.2%. CONCLUSIONS: The accidental hypothermia in Emergency Services from Tropical Country is an undeniable fact. The paramedic and medics should be alert and trained to recognize this disease of high morbidity and mortality. The mortality increases with the presence of associated diseases, particularly infectious processes, malnutrition and chronic alcoholism.

  4. Optimisation of the digital radiographic imaging of suspected non-accidental injury

    Science.gov (United States)

    Offiah, Amaka

    Aim: To optimise the digital (radiographic) imaging of children presenting with suspected non-accidental injury (NAI). Objectives: (i) To evaluate existing radiographic quality criteria, and to develop a more suitable system if these are found to be inapplicable to skeletal surveys obtained in suspected NAI. (ii) To document differences in image quality between conventional film-screen and the recently installed Fuji5000R computed radiography (CR) system at Great Ormond Street Hospital for Children, (iii) To document the extent of variability in the standard of skeletal surveys obtained in the UK for suspected NAI. (iv) To determine those radiographic parameters which yield the highest diagnostic accuracy, while still maintaining acceptable radiation dose to the child, (v) To determine how varying degrees of edge-enhancement affect diagnostic accuracy. (vi) To establish the accuracy of soft compared to hard copy interpretation of images in suspected NAI. Materials and Methods: (i) and (ii) Retrospective analysis of 286 paediatric lateral spine radiographs by two observers based on the Commission of European Communities (CEC) quality criteria, (iii) Review of the skeletal surveys of 50 consecutive infants referred from hospitals throughout the United Kingdom (UK) with suspected NAI. (iv) Phantom studies. Leeds TO. 10 and TO. 16 test objects were used to compare the relationship between film density, exposure parameters and visualisation of object details, (iv) Clinical study. Anteroposterior and lateral post mortem skull radiographs of six consecutive infants were obtained at various exposures. Six observers independently scored the images based on visualisation of five criteria, (v) and (vi) A study of diagnostic accuracy in which six observers independently interpreted 50 radiographs from printed copies (with varying degrees of edge-enhancement) and from a monitor. Results: The CEC criteria are useful for optimisation of imaging parameters and allow the detection

  5. Impact assessment of the Fukushima Nuclear Power Plant accidental emission on the Barents Sea ecosystem

    Science.gov (United States)

    Matishov, Gennady; Ilyin, Gennady; Kasatkina, Nadezhda; Usiagina, Irina; Pavelskaya, Elena

    2013-04-01

    The traces of emissions from the Fukushima-1 NPP in atmospheric aerosols of the Kola Peninsula near the Barents Sea coast were detected by radiation monitoring stations of the Murmansk Division of the Hydrometeorological Survey MDHMS in the end of March 2011. From the end of March 2011 until April 20, 131I, 134Cs, 132Te, 137Cs radioisotopes were observed in the atmospheric air. The major role was played by 131I isotope; its peak concentrations were (140-220)×10-6 Bq/m3, and it was recorded for several days (March 30-April 1), then radioactivity decreased. 134Cs, 132Te, and 137Cs isotopes were recorded episodically. The supply of radionuclides from accidental emissions into the atmosphere of the Kola Peninsula did not cause significant changes in gamma-radiation dose rates EDR. This value remained within the limits of the average long-term norm, and continued so during the following months 2011. Possible dry and humid precipitation of radionuclides within the water catchment area and in the marine basin did not influence on radioecological state in both coastal and off-shore parts of the Barents Sea. Short-lived isotopes as 131I, 134Cs, and 132Te, which might confidently indicate a trace from the Fukushima-1 NPP, have not been recorded in the samples. In 2011-1012 volumetric activity of 137Cs and 90Sr in water of the Barents Sea (section VI along the meridian 33° 30' N) varied in the range of 1.3-2.5 and 3.4-6.3 Bq/m3, respectively. Radioactive contamination of bottom sediments in the Barents Sea was very low. The specific activity of 137Cs varied from 1 to 8 Bq/kg, the activity of 90Sr did not exceed 4 Bq/kg. Investigations of macrophyte algae showed extremely low concentrations of artificial radionuclides. The specific activity of 137Cs in most samples was at the level of trace concentrations, from 0.2 to 1.5 Bq/kg of dry mass. The content of 90Sr in algae changed in the range of 0.4-4.1 Bq/kg of dry mass. In soft tissues of bivalves Mytilus edulis collected on

  6. Accidental Predissociation: A Special Case of Photo-Induced Isotope Fractionation Effect and Possible Occurrence in Nature

    Science.gov (United States)

    Chakraborty, S.; Thiemens, M. H.

    2009-12-01

    Photo-Induced Isotope Fractionation Effects (PHIFE) are known to produce isotopic frac-tionation in some photo-dissociating molecules (1-2). The PHIFE formalism is based on the Born-Oppenheimer approximation and the Reflection Principle. The isotopic fractionation arises principally from the spectral shift induced by the small difference in zero point energy between isotopologues and the contraction of the wave function due to isotopic substitution, consequently, the associated isotopic fractionations depends on the reduced mass of the isotopically substi-tuted species. The PHIFE formalism is only applicable to the molecules which undergo direct photo-dissociation that possess continuous absorption spectra. Simple molecules (N2, O2, CO) however do not follow a direct dissociation pathway and dissociate through an indirect process termed predissociation, which occurs when the molecule is excited to a quasi-bound state energetically above the dissociation continuum. The PHIFE formalism is not applicable when the absorption spectra are discrete. The assumption that the lightest isotopologues are preferentially predissociated is only valid for restricted predissociation cases. There is a special case of predissociation known as ‘accidental predissociation’ (3), which takes place through an intermediate bound state in two steps (i) leakage to an intermediate bound state (coupled through spin orbit interaction) and, (ii) predissociation to a third quasi-bound state from the intermediate state. Line broadening at an accidental predissociation is a function of the magnitude of coupling matrix elements and the linewidths are strongly influenced by isotopic substitution (4). An anomalous isotopic effect in accidental predissociation was spectroscopically observed in CO (5), N2 (4) and BeH (6). We measured the isotopic fractionation for the first time in two accidental predissociating states of CO through VUV photodissociation using the 9.0.2 beamline at ALS (7-8). In

  7. Accidentes atendidos en un área básica de salud de girona, españa

    Directory of Open Access Journals (Sweden)

    Soriano Suárez Elena

    2002-01-01

    Full Text Available Fundamentos: Los accidentes constituyen una patología poco estudiada en el ámbito de la Atención Primaria. Son una de las consultas más frecuentes en los servicios de urgencias y los Centros de Atención Primaria realizan la primera asistencia a la mayoría de los accidentados. Conocer la incidencia y las características clínico-epidemiológicas de los accidentes atendidos en una Área Básica de Salud puede aportar información sobre cuáles pueden ser susceptibles de actividades de prevención. Métodos: Diseño: estudio descriptivo. Emplazamiento: atención primaria. Muestra: todos los pacientes (389 que fueron atendidos por accidente en el Centro de Atención Primaria, entre octubre-98 y mayo-99. Variables: edad, sexo, lugar del accidente, tipo de lesión, localización, agentes implicados, intencionalidad, pruebas complementarias, tratamiento y derivación. Análisis estadísticos: estimación de medias, desviación estándar, estimación de proporciones e intervalos de confianza del 95%. Resultados: Incidencia: 4,1% (IC95%: 3,7-4,5%. Sexo: varones 59% (IC95%:54,2-64% y mujeres 40,9% (IC95%: 36-45,8%. Edad: menores de 20 años, el 50,4% (IC95%:45,4-55,4%;.Actividad de mayor accidentalidad: ocio 24,4% (IC95%: 20,2-28,7%. Lugar: hogar 36,2% (IC95%: 31,5-41%. Lesión más frecuente: contusiones 39,6% (IC95%:34,7-44,4%.Localización más frecuente: extremidad superior 37,5% (IC95%: 32,7-42,3%; Agente mayoritariamente implicado: herramientas y máquinas: 15,9% (IC95%:12,3-19,6%. El 92,2% (IC95%: 89,3-94,7% fueron casuales. Tipo de visita: el 83,3% (IC95%: 79,6-87% fueron atendidos con carácter urgente; el 79,5% (IC95%:75,4-83,5% recibió tratamiento con cura y/o fármacos. El 9,8% (IC95%:6,8-12,7% requirió derivación hospitalaria, Un 13,3% (IC95%: 0-16,7% requirió pruebas complementarias. Conclusiones: El mayor porcentaje de accidentalidad se da en población joven, por lo que se evidencia la necesidad de incorporar intervenciones de

  8. 2006-2011年五华县居民意外死亡分析%Accidental Death of Residents in Wuhua County, 2006-2011

    Institute of Scientific and Technical Information of China (English)

    沈超华; 周荣群; 陈青山; 张聪

    2013-01-01

    目的 了解五华县居民意外死亡情况及变化趋势,为制定相应防控策略提供科学依据.方法 对2006-2011年五华县全人群死因监测资料中的意外死亡资料进行整理分析.结果 2006-2011年意外死亡2 328人,年均死亡率30.18/10万,占全死因的6.46%,居全死因第5位.男、女性意外死亡率分别为39.38/10万和20.43/10万,男性高于女性.前5位意外死因是机动车辆交通事故、淹死、自杀、意外跌落和意外中毒.除0岁组外,意外死亡率随年龄的增长而上升,0~4岁和5~14岁年龄段人群主要意外死因为淹死,分别占该年龄段意外死亡的63.58%和57.08%,15岁及以上人群主要意外死因为机动车辆交通事故,25~59岁青壮年第2位意外死因为自杀,60岁以上人群第2位意外死因为意外跌落.结论 意外伤害已经成为五华县居民的主要死因之一,机动车辆交通事故、淹死、自杀是主要意外死因,应加大关注力度,全面落实伤害三级预防措施.%Objective To investigate the trend of accidental death in Wuhua county, in order to provide the scientific basis for formulate the corresponding prevention and control strategy. Methods Collecting and analyzing the accidental death deta of all populations death monitoring data in Wuhua county in 2006 to 2011 years. Results 2328 people were accidental death, the average mortality rate was 30. 18/10 , accounted for 6. 46% and ranked No. 5 of all causes of death. The accidental death rate of male and female were 39. 38/105 and 20. 43/ 105 respectively. The rate of male was higher than that of female. The top of accidental death causes were motor vehicle traffic accident, drowning, suicide, accidental drop and accidental poisoning. Except the zero age group, the accidental death ascended following growing age. Drowning was the first accidental death cause of the groups of age 0 to 4 and age 5 tol4 years old, with the composition ratio of 63. 58% and 57. 08

  9. Método para estimar el impacto económico de los accidentes de trabajo en los principales indicadores financieros

    OpenAIRE

    Vanegas Serna, Diego Alexander

    2014-01-01

    El interés de este trabajo es mostrar un método basado en instrumentos financieros que se aproxime a la cuantificación del impacto económico de los accidentes de trabajo en los principales indicadores financieros que frecuentemente la alta gerencia utiliza para el direccionamiento y evaluación de la salud económica de la organización -- Realizar la medición del impacto económico implica extraer las variables de los accidentes de trabajo que se pueden costear y que posiblemente puedan relacion...

  10. Factores asociados a los accidentes por exposición percutánea en personal de enfermería en un hospital de tercer nivel

    Directory of Open Access Journals (Sweden)

    Gallardo López Mª Teresa

    1997-01-01

    Full Text Available FUNDAMENTO: Los accidentes por exposición percutánea suponen aproximadamente un tercio de los accidentes laborales del personal sanitario hospitalario. Su importancia estriba en las enfermedades causadas por patógenos transmisibles por esta vía (hepatitis B, hepatitis C, infección VIH. Objetivos: describir los accidentes de este tipo notificados en un hospital de tercer nivel; identificar factores asociados a estos accidentes en personal de enfermería; construir un modelo predictivo del riesgo individual de accidentarse. MÉTODOS: Estudio descriptivo de una cohorte retrospectiva compuesta por todas las personas que notificaron un accidente entre el 1-1-93 y el 30-6-96. Estudio de casos y controles en el personal de enfermería durante el período 1-1-95 al 30-6-96, analizado mediante regresión logística múltiple. RESULTADOS: La incidencia acumulada de accidentes en un año fue de 0,078 para las/-os enfermeras/-os. En el 57,3% de los casos estuvieron implicadas agujas de jeringas desechables o precargadas. La incidencia acumulada en un año fue mayor para las agujas de cateterismo intravenoso (8,5 por 100.000. El riesgo de accidentabilidad, ajustado por variables confundentes, fue mayor para las/-os enfermeras/-os (OR=3,22; I.C.95%=1,96-5,27, para los trabajadores de la Unidad de Hemodiálisis (OR=35,21; I.C.95%=3,74-331,16 y para aquéllos con contrato eventual (OR=4,50; I.C.95%=2,24-9,04. CONCLUSIONES: Los accidentes por exposición percutánea en este hospital son más frecuentes entre el personal de enfermería y se producen, fundamentalmente, con algún tipo de aguja hueca. Se han identificado factores asociados a estos accidentes, lo que permite dirigir programas preventivos específicos sobre trabajadores con más riesgo. El modelo obtenido es válido para estimar el grado de accidentabilidad individual en los sujetos estudiados.

  11. ACCIDENTES CON EXPOSICIÓN A MATERIAL BIOLÓGICO CONTAMINADO POR VIH EN TRABAJADORES DE UN HOSPITAL DE TERCER NIVEL DE MADRID (1986-2001)

    OpenAIRE

    2004-01-01

    Fundamento: La contaminación por el virus de la inmunodeficiencia humana (VIH) es un riesgo ocupacional para los profesionales sanitarios accidentados contaminados con sangre positiva al VIH. El objetivo de nuestro estudio es describir las características de los accidentes registrados durante dieciséis años en un hospital general con sangre o fluidos biológicos procedentes de pacientes VIH positivos, determinar las tasas de exposición accidental en las diferentes categorí...

  12. Modelo de predicción de ocurrencia de accidentes en tramos de carretera mediante la medición continúa de variables de influencia

    OpenAIRE

    2000-01-01

    El fenómeno accidente de tráfico constituye un hecho de notable significación, especialmente debido a las consecuencias negativas que provoca para personas, vehículos e instalaciones. En las últimas décadas, a pesar de la mejora de las condiciones de seguridad de las carreteras, se ha producido un aumento notable del número de accidentes, debido en gran parte al incremento del parque automovilístico y de la movilidad de la población. Ante esta evidencia, sigue vigente la necesidad de un i...

  13. Symmetric Tamm-Dancoff q-oscillator: representation, quasi-Fibonacci nature, accidental degeneracy and coherent states

    CERN Document Server

    Chung, Won Sang; Kachurik, I I; Rebesh, A P

    2014-01-01

    In this paper we propose a symmetric q-deformed Tamm-Dancoff (S-TD) oscillator algebra and study its representation, coordinate realization, and main properties. In particular, the non-Fibonacci (more exactly, quasi-Fibonacci) nature of S-TD oscillator is established, the possibility of relating it to certain p,q-deformed oscillator family shown, the occurrence of the pairwise accidental degeneracy proven. We also find the coherent state for the S-TD oscillator and show that it satisfies completeness relation. Main advantage of the S-TD model over usual Tamm-Dancoff oscillator is that due to (qq^{-1})-symmetry it admits not only real, but also complex (phase-like) values of the deformation parameter q.

  14. Poverty and fatal accidental drug overdoses of cocaine and opiates in New York City: an ecological study.

    Science.gov (United States)

    Marzuk, P M; Tardiff, K; Leon, A C; Hirsch, C S; Stajic, M; Portera, L; Hartwell, N

    1997-05-01

    This ecological study examines the association of the poverty status of urban communities in New York City with their mortality rates of accidental drug overdoses. Mean annual age-adjusted rates of drug overdoses involving cocaine, opiates, or both (n = 1,684) were calculated for each of 59 residential community districts in New York City for 1990-1992. A linear regression analysis was performed to test the association of the mortality rate with the poverty status of the district as measured by the proportion of the district living below the 1989 U.S. poverty line. Poverty status accounted for 69% of the variance in the drug overdose mortality rates of communities (p poverty status of communities in New York City.

  15. Deadly occupations: Assessing tuberculosis and accidental mortality among male workers in Sydney and Glace Bay, Nova Scotia, 1909–1917

    Directory of Open Access Journals (Sweden)

    Stacie D.A. Burke

    2012-01-01

    Full Text Available This study examines associations between occupation and cause of death among 802 working-age males (15 to 64 years of age who diedin two single-industry communities (Glace Bay and Sydney in Nova Scotia between 1909 and 1917. Employment in mining and steelmanufacturing is assessed for cause-specific mortality among men who died in Canada’s early industrial era, with a particular focus ondeaths due to tuberculosis (n=140, or 18% of deaths and accidents (n=225, or 28% of deaths. Factoring in the effects of occupation,age at death, birthplace, community, and marital status, logistic regression results indicate that, among the men who died, occupation is a significant predictor for accidental deaths (relative to all other causes of death but not for tuberculosis-related deaths. Interpretation of these results is grounded in a broader perspective on the nature of living and working conditions in these two single-industry communities.

  16. Comparison of the MARC and CRAC2 programs for assessing the radiological consequences of accidental releases of radioactive material

    CERN Document Server

    Hemming, C R; Charles, D; Ostmeyer, R M

    1983-01-01

    This report describes a comparison of the MARC (Methodology for Assessing Radiological Consequences) and CRAC2 (Calculation of Reactor Accident Consequences, version 2) computer programs for assessing the radiological consequences of accidental releases of radioactive material. A qualitative comparison has been made of the features of the constituent sub-models of the two codes, and potentially the most important differences identified. The influence of these differences has been investigated quantitatively by comparison of the predictions of the two codes in a wide variety of circumstances. Both intermediate quantities and endpoints used as a measure of risk have been compared in order to separate the variables more clearly. The results indicate that, in general, the predictions of MARC and CRAC2 are in good agreement.

  17. [Great discoveries: from the painstaking efforts of researchers to the contribution of accidental findings and the dissemination of study results].

    Science.gov (United States)

    Garattini, Silvio

    2015-06-01

    This article takes its cue from the original work of sir Alexander Fleming on penicillin, published in the first issue of Recenti Progressi in Medicina in 1946 and reproduced here on the occasion of the approaching 70-year anniversary of the journal. The path that brought Fleming to the discovery of penicillin, one of the major milestones in the history of clinical pharmacology, provides insight for a range of considerations: the painstaking efforts of researchers, the contribution from accidental findings, and the dissemination of study results. Although the discovery of penicillin has changed the course of medicine, the benefits deriving from such an important advance are most likely to be offset by the overprescription of antibiotics, which is the leading cause of antimicrobial resistance and one of the most serious public health problems of our time.

  18. Accidental aspiration of head scarf pin in left bronchus piercing the lung parenchyma: A rare case in a child

    Science.gov (United States)

    Parvez, Yusuf; Kandath, Mohammed Ashraf

    2016-01-01

    Foreign body (FB) aspiration is commonly seen in children but less commonly in adolescents. Headscarf pin aspiration is common in Muslim girls, who inappropriately place the pins between their lips while securing the scarf on the head. Bronchoscopy is the treatment modality of choice, and surgery is rarely required. An 11-year-old girl was admitted as a case of accidental aspiration of headscarf pin. X-ray chest showed a radiopaque object in the left bronchus piercing the lung parenchyma. Computed tomography (CT) chest confirmed the diagnosis. The headscarf pin was removed by flexible bronchoscopy as the ear, nose, and throat (ENT) surgeon failed to remove it by rigid bronchoscopy. The FB was removed successfully and the patient was discharged home. Removal of a sharp pin by bronchoscopy is difficult, especially if it pierces the lung parenchyma. In our case, the pin was bent by forceps and then removed by a flexible bronchoscope, which requires a highly skilled professional. PMID:27578937

  19. Aprendizajes del Accidente de San Juan Ixhuatepec-México Learning from the Accident in San Juan Ixhuatepec-Mexico

    Directory of Open Access Journals (Sweden)

    Antioco López-Molina

    2012-01-01

    Full Text Available El índice Dow de fuego y explosión y la metodología del análisis cuantitativo del riesgo son aplicados para analizar uno de los accidentes más desafortunados en la historia mexicana: la explosión de tanques de almacenamiento de gas en la planta de San Juan Ixhuatepec en México. Estimaciones adicionales de la sobrepresión y radiación térmica producida durante el siniestro son llevadas a cabo para explicar el efecto dominó producido como consecuencia del incidente. Estas estimaciones dan evidencia de que las instalaciones en la planta de San Juan Ixhuatepec tenían un nivel de riesgo moderado lo cual se contrapone a la percepción de la sociedad en relación al riesgo de la compañía Pemex, propietaria de la planta. Este trabajo concluye que el accidente fue principalmente debido a errores humanos, así como a la pésima ubicación de la planta.The Dow fire and explosion index and the quantitative risk assessment methodology are applied to analyze one of the most unfortunate accidents in Mexican history: the explosion of gas storage tanks at the San Juan Ixhuatepec plant in Mexico. Additional calculations of over-pressure and thermal radiation are carried out to further explain the domino effect produced as a consequence of the accident. The results give evidence that facilities in San Juan Ixhuatepec had a moderate risk level which is in disagreement with people’s perception of the Pemex company, proprietary of the plant. This study concludes that the accident was mainly due to human error, as well as the inappropriate location of the plant.

  20. Evolution of N-species Kimura/voter models towards criticality, a surrogate for general models of accidental pathogens

    Science.gov (United States)

    Ghaffari, Peyman; Stollenwerk, Nico

    2012-09-01

    In models for accidental pathogens, with the paradigmatic epidemiological system of bacterial meningitis, there was evolution towards states exhibiting critical fluctuations with power law behaviour observed [1]. This is a model with many possibly pathogenic strains essentially evolving independently to low pathogenicity. A first and previous study had shown that in the limit of vanishing pathogenicity there are critical fluctuations with power law distributions observed, already when only two strains interact [2]. This earlier version of a two strain model was very recently reinvestigated [3] and named as Stollenwerk-Jansen model (SJ). Muñoz et al. demonstrated that this two-strain model for accidental pathogens is in the universality class of the so-called voter model. Though this model clearly shows criticality, its control parameter, the pathogenicity, is not self-tuning towards criticality. However, the multi-strain version mentioned above [1] is well evolving towards criticality, as well as a spatially explicit version of this, shown in [4] p. 155. These models of multi-strain type including explicitly mutations of the pathogenicity can be called SJ-models of type II [5]. Since the original epidemiological model is of SIRYX-type, the evolution to zero pathogenicity is slow and perturbed by large population noise. In the present article we now show on the basis of the notion of the voter-model universality classes the evolution of n-voter models with mutaion towards criticality, now much less perturbed by population noise, hence demonstrating a clear mechanism of self-organized criticality in the sense of [6, 7]. The present results have wide implications for many diseases in which a large proportion of infections is asymptomatic, meaning that the system has already evolved towards an average low pathogenicity. This holds not only for the original paradigmatic case of bacterial meningitis, but was reecently also suggested for example for dengue fever (DENFREE

  1. La trombectomía mecánica en el tratamiento de accidentes cerebrovasculares (ACV en la fase aguda

    Directory of Open Access Journals (Sweden)

    Alain Bonafe

    2013-08-01

    Full Text Available En Francia, la incidencia anual de accidentes cerebro vasculares (ACV es de 1.6 a 2.4 por cada mil (1.000 personas, es decir entre 100.000 y 145.000 por año, con una mortalidad del 15 al 20% al cabo del primer mes y un 75% de personas sobrevivientes con secuelas. El tratamiento de preferencia es la Trombólisis IV (Intra Venosa con rt-PA (Recombinant Tissue Plasminogen Activator - Activador del Plasminógeno Tisular Recombinante, el cual tiene una ventana de eficacia de 4 horas y media después del inicio de los síntomas. Sólo 2% de los pacientes eligibles para este tratamiento se benefician de una fibrinólisis por vía venosa. Las oclusiones de arterias de calibre grueso son responsables del 46% de los accidentes cerebrovasculares Isquémicos (ACVI y predicen una sobremortalidad y discapacidad funcional severa a los 6 meses. En ausencia de revascularización, la mitad de los ACVI de circulación anterior con oclusión arterial documentada fallece y solamente el 10% de ellos, tienen un buen pronóstico funcional a los tres meses. Algunas variables que han sido identificadas como predictoras de un mal pronóstico son: un puntaje clínico en la escala NIHSS (National Institute of Health Stroke Scale - Escala del Ictus del Instituto Nacional de la Salud superior a 12 según Fischer 2005, una oclusión documentada de una arteria intracraneal, los fracasos y las contraindicaciones de la fibrinólisis intravenosa entre otros. Esta revisión busca presentar los mecanismos, la evaluación, la eficacia y las complicaciones reportadas por la literatura sobre la trombectomía mecánica.

  2. Knowledge, attitude, and practice regarding risk of HIV infection through accidental needle stick injuries among dental students of Raichur, India

    Directory of Open Access Journals (Sweden)

    Yadavalli Guruprasad

    2011-01-01

    Full Text Available Background: Injuries from occupational accidents are associated with agents of biological risk, as they are the gateway to serious and potentially lethal infectious diseases that can be spread by contact between people. Several studies have demonstrated that dental students are among the most vulnerable to blood borne exposure. Materials and Methods: To assess the knowledge, attitude and practice regarding risk of HIV transmission through accidental needle stick injury amongst dental students and providing supportive and proper guidelines regarding needle stick injuries and HIV infection. Study Design: This was a cross sectional study done at a dental college attached to a tertiary care hospital which included third, fourth year students and interns. The results obtained were subjected to statistical analysis using Chi square test. Results: Of the 120 students 13(11% were not even aware that virus could be transmitted through infected needle. A significant proportion of the third year students i.e. 27 (67.5% were not aware of correct method of disposal of disposable needles and syringes as against interns 17(42.5%. Around 31(26% said that they would promote active bleeding at the site of injury and 37(30% said they would take post exposure prophylaxis. Conclusion: Dental professionals are at a risk of occupational acquisition of HIV primarily due to accidental exposure to infected blood and body fluids. There is a need of correcting the existing misconceptions through education programmes early in the course and providing supportive and proper guidelines regarding needle stick injuries and HIV infection.

  3. Uso de esteronitronas para el tratamiento y prevención del ictus o accidente cerebrovascular, enfermedades de alzheimer, parkinson y esclerosis lateral amiotrófica

    OpenAIRE

    Marco-Contelles, José; Alcázar González, Alberto

    2013-01-01

    Uso y preparación de esteronitronas con alta permeabilidad a la barrera hematoencefálica, capacidad antioxidante y neuroprotectora, como potenciales fármacos para el tratamiento del ictus o accidente cerebrovascular, enfermedades de Alzheimer, Parkinson y esclerosis lateral amiotrófica.

  4. Risk assessment, risk management and risk-based monitoring following a reported accidental release of poliovirus in Belgium, September to November 2014

    NARCIS (Netherlands)

    Duizer, Erwin; Rutjes, Saskia; de Roda Husman, Ana Maria; Schijven, Jack

    2016-01-01

    On 6 September 2014, the accidental release of 10(13) infectious wild poliovirus type 3 (WPV3) particles by a vaccine production plant in Belgium was reported. WPV3 was released into the sewage system and discharged directly to a wastewater treatment plant (WWTP) and subsequently into rivers that fl

  5. Partitioning of perfluorooctanesulfonate and perfluorohexanesulfonate in the aquatic environment after an accidental release of aqueous film forming foam at Schiphol Amsterdam Airport

    NARCIS (Netherlands)

    Kwadijk, C.J.A.F.; Kotterman, M.J.J.; Koelmans, A.A.

    2014-01-01

    In the summer of 2008, an accidental release of Aqueous Film Forming Foam (AFFF) took place at Schiphol Amsterdam Airport (The Netherlands). After the release, water, fish and sediment samples were collected and analyzed for perfluoroalkyl sulfonates (PFSA). In situ perfluorooctane sulfonate (PFOS)

  6. Comparison of mortality in patients with acute myocardial infarction accidentally admitted to non-cardiology departments versus that in patients admitted to coronary care units

    DEFF Research Database (Denmark)

    D'Souza, Maria; Saaby, Lotte; Poulsen, Tina S

    2014-01-01

    The aim of this study was to prospectively investigate the clinical characteristics including symptoms and long-term mortality in patients with acute myocardial infarction (AMI) accidentally admitted to non-cardiology departments (NCDs). For comparison, similar observations in patients admitted...

  7. 有关对偶定理的证明方法讨论%To accidentally the proof method of the axioms discussion

    Institute of Scientific and Technical Information of China (English)

    李琳; 赵临龙

    2012-01-01

    At project image several what medium, from to accidentally thought to set out, study" three points totally always line" and"three straight lines total[one] point" of to accidentally problem, from to accidentally the thought set out and study "three points totally always line" with the structure form of "three straight lines totalEone] point" and make virtuous Sa space triangle axioms and it to accidentally the axioms has a kind of relation of"revolve'ing and then give one this problem solve of"regulation" method.%在射影几何中,从对偶思想出发,研究“三点共线”与“三线共点”的结构形式,使得德萨格三角形定理及其对偶定理具有一.中“旋转”关系,进而给出这类问题求解的“规律性”方法。

  8. Ingestión accidental de prótesis dental fija (cantilever en paciente con historia de carcinoma de colon Accidental swallowing of fixed denture (cantilever in a patient with history of colon cancer

    Directory of Open Access Journals (Sweden)

    G.M. Fonseca

    2011-12-01

    Full Text Available Se presenta un caso de ingestión accidental de un puente de tipo cantilever metalocerámico de tres unidades en un paciente masculino de 51 años con historia de remoción quirúrgica de carcinoma colorrectal y colostomía provisoria (ano contranatura para recuperación intestinal cuatro años antes. Aun cuando la naturaleza del objeto ingerido y las condiciones patológicas previas intestinales ponderan una conducta quirúrgica de remoción preventiva, dado el carácter asintomático y el control radiográfico del desplazamiento normal del objeto durante las primeras 24 horas, se optó por una conducta expectante que se resolvió finalmente con la excreción espontánea del mismo. Si bien la rehabilitación protésica fija debería brindar seguridad y estabilidad, un diseño sesgado del puente (indicación errónea del cantilever y pernos cortos puede originar importantes daños potenciales (aspiración, perforación de esófago, absceso y fístula enterocólica, obstrucción intestinal, terapéuticas fuertemente invasivas e incluso la misma muerte del paciente, todos sucesos con claras connotaciones legales.This clinical report describes a case of accidental swallowing of three units cantilever porcelain fused metal bridge in a 51-years-old male with history of colon cancer and reversible colostomy four years ago. While the kind of the ingested foreign body and the prior gastrointestinal conditions recommend a surgical management decision to avoid the risks for perforation or obstruction, in our case the management decision was the conservative approach because of the asymptomatic condition and the radiographic observation of the normal pass the alimentary tract without complications. The fixed dentures should be secure and stable but an incorrect design of the bridge (wrong indication of cantilever; short post systems are at increased risk of important potential harms (inhalation, oesophageal perforation, enterocolic fistula, intestinal

  9. Accidental potassium dichromate poisoning. Toxicokinetics of chromium by ICP-MS-CRC in biological fluids and in hair.

    Science.gov (United States)

    Goullé, J P; Saussereau, E; Grosjean, J; Doche, C; Mahieu, L; Thouret, J M; Guerbet, M; Lacroix, C

    2012-04-10

    Intoxications by chromium (Cr) compounds are very life threatening and often lethal. After oral ingestion of 2 or 3g of hexavalent Cr (Cr(VI)), gastrointestinal injury, but also hepatic and renal failure, often occurs which each leads to a fatal outcome in most patients. Cellular toxicity is associated with mitochondrial and lysosomal injury by biologically Cr(VI) reactive intermediates and reactive oxygen species. After Cr(VI) has been absorbed, there is not much that can be done except to control the main complications as the treatment is only symptomatic. The biotransformation of Cr(VI) to Cr(III) reduces the toxicity because the trivalent form does not cross cellular membranes as rapidly. In fact, more than 80% of Cr(VI) is cleared in urine as Cr(III). We report the case of a 58-year-old male patient who was admitted to hospital after accidental oral ingestion of a 30 g/L potassium dichromate (the estimated amount of ingested Cr is about 3g). ICP-MS equipped with a collision/reaction cell (CRC) and validated methods were used to monitor plasma (P), red blood cells (RBCs), urine (U) and hair chromium. For urine the results were expressed per gram of creatinine. After 7 days in the intensive care unit, the patient was discharged without renal or liver failure. P, RBC and U were monitored during 49 days. During this period Cr decreased respectively from 2088 μg/L to 5 μg/L, 631 μg/L to 129 μg/L and 3512 μg/g to 10 μg/g. The half-life was much shorter in P than in RBC as the poison was more quickly cleared from the P than from the RBC, suggesting a cellular trapping of the metal. Hair was collected 2 months after the intoxication. We report a very rare case of survival after accidental Cr poisoning which has an extremely poor prognosis and usually leads to rapid death. For the first time, this toxicokinetic study highlights a sequestration of chromium in the RBC and probably in all the cells.

  10. acaecidas por accidente de tráfico en el sur de España durante 2004

    Directory of Open Access Journals (Sweden)

    C Pareja

    2007-01-01

    Full Text Available El Instituto Nacional de Toxicología y Ciencias Forenses, la Delegación del Gobierno para el Plan Nacional sobre Drogas y la Dirección General de Tráfico tienen firmado un Convenio de colaboración para establecer la incidencia del consumo de alcohol y sustancias psicoactivas en las muertes en accidentes de tráfico, tanto conductores como peatones. En el estudio, objeto de este trabajo, se analizan los resultados de las muestras de sangre obtenidas en las autopsias practicadas a los conductores en el Sur de España durante el año 2004. Los parámetros a considerar son: sexo, edad, fecha, concentración de etanol y consumo simultáneo de sustancias psicoativas que afecten la capacidad de conducción. Los análisis se han realizado siguiendo los procedimientos empleados habitualmente en el Instituto Nacional de Toxicología y Ciencias Forenses para este tipo de determinaciones, consistente en cromatografía de gases con detector FID para la determinación de alcoholemia; mientras que para las sustancias psicoactivas se realiza screening mediante CEDIA y posterior confirmación y cuantificación mediante cromatografía de gases con detector NPD y cromatografía de gases-espectrometría de masas. De los 495 casos recibidos, 232 correspondían a conductores, la mayoría de los cuales eran varones accidentados en la comunidad andaluza. Cabe destacar la incidencia de muertes en menores de 30 años, así como el consumo de alcohol entre los fallecidos, observándose en más de la mitad de estos casos una concentración de alcohol en sangre superior al límite permitido por la Dirección General de Tráfico, de 0,5 gramos de etanol por litro de sangre, superándose incluso, en muchos de ellos, la concentración de 1,5 g/l. Los resultados obtenidos confirman la importante relación entre los accidentes de tráfico mortales y el consumo de alcohol y sustancias psicoactivas.

  11. EVOLUCIÓN DE LA MORTALIDAD POR ACCIDENTES INFANTILES Y SU DISTRIBUCIÓN GEOGRÁFICA EN ESPAÑA (1975-1994

    Directory of Open Access Journals (Sweden)

    Miguel Ruiz Ramos

    2001-01-01

    Full Text Available Fundamentos: En los países desarrollados los accidentes infantiles ocupan los primeros lugares como causa de mortalidad. El objetivo de este trabajo es describir su evolución en España desde 1975 a 1994, así como su distribución por Comunidades Autónomas. Método: Con las defunciones por accidentes y las poblaciones de España y sus Comunidades Autónomas de 1 a 14 años de las estadísticas oficiales de mortalidad se han calculado los siguientes indicadores: porcentajes sobre el total de defunciones, tasas brutas de mortalidad, tasas ajustadas por edad, tasas específicas por grupos de edad y riesgos relativos. Estos indicadores han sido calculados por género, año de defunción y Comunidad Autónoma. Resultados: Entre 1975 y 1994 se ha reducido la mortalidad por accidentes infantiles en España, en un 3% anual en las niñas y en un 3,5% en los niños. La razón niños/niñas se ha mantenido alrededor de 2. Los accidentes de tráfico han supuesto en torno al 50%. Aragón presentaba el riego relativo más bajo tanto en niñas como en niños, con 0,54 y 0,57 respectivamente, y Galicia el más alto con 1,73 en niñas y 1,91 en niños. El porcentaje sobre el total de defunciones infantiles fue muy variable entre las Comunidades Autónomas, mientras que el porcentaje de accidentes de tráfico estuvo alrededor del 50% en todas las Comunidades Autónomas. Conclusiones: En España la mortalidad por accidentes infantiles ha descendido de una manera notable, en la actualidad se estima que los niños mueren un 50% menos que en 1975. La distribución por Comunidades Autónomas presenta grandes diferencias.

  12. Evolución de la mortalidad por accidentes infantiles y su distribución geográfica en España (1975-1994

    Directory of Open Access Journals (Sweden)

    Ruiz Ramos Miguel

    2001-01-01

    Full Text Available Fundamentos: En los países desarrollados los accidentes infantiles ocupan los primeros lugares como causa de mortalidad. El objetivo de este trabajo es describir su evolución en España desde 1975 a 1994, así como su distribución por Comunidades Autónomas. Método: Con las defunciones por accidentes y las poblaciones de España y sus Comunidades Autónomas de 1 a 14 años de las estadísticas oficiales de mortalidad se han calculado los siguientes indicadores: porcentajes sobre el total de defunciones, tasas brutas de mortalidad, tasas ajustadas por edad, tasas específicas por grupos de edad y riesgos relativos. Estos indicadores han sido calculados por género, año de defunción y Comunidad Autónoma. Resultados: Entre 1975 y 1994 se ha reducido la mortalidad por accidentes infantiles en España, en un 3% anual en las niñas y en un 3,5% en los niños. La razón niños/niñas se ha mantenido alrededor de 2. Los accidentes de tráfico han supuesto en torno al 50%. Aragón presentaba el riego relativo más bajo tanto en niñas como en niños, con 0,54 y 0,57 respectivamente, y Galicia el más alto con 1,73 en niñas y 1,91 en niños. El porcentaje sobre el total de defunciones infantiles fue muy variable entre las Comunidades Autónomas, mientras que el porcentaje de accidentes de tráfico estuvo alrededor del 50% en todas las Comunidades Autónomas. Conclusiones: En España la mortalidad por accidentes infantiles ha descendido de una manera notable, en la actualidad se estima que los niños mueren un 50% menos que en 1975. La distribución por Comunidades Autónomas presenta grandes diferencias.

  13. La orejuela izquierda como fuente de accidentes cerebrovasculares: cerrar (y cómo), o no cerrar (y por qué) Left atrial appendage as a source of stroke: to close (and how), or not to close (and why)

    OpenAIRE

    R. Hernández-Estefanía; Levy, B; G. Rábago

    2012-01-01

    La orejuela izquierda se considera la principal fuente de émbolos en los accidentes cerebrovasculares que se producen en pacientes con fibrilación auricular. El tratamiento con anticoagulantes orales reduce significativamente el riesgo de accidentes embólicos cerebrales en relación con la aspirina, pero se asocia a riesgo de complicaciones hemorrágicas, por lo que no siempre son utilizados. Se ha descrito que el cierre de la orejuela izquierda reduce la tasa de accidentes tromboembólicos y en...

  14. Manual de procedimientos de investigación de sucesos de aviación, para el grupo de investigación de accidentes de la aeronáutica civil de Colombia

    OpenAIRE

    Angélica Montoya Murillo

    2010-01-01

    En este trabajo de grado se analizan los conceptos e importancia de los manuales de procedimientos en la estructura de una organización y su contribución en el desarrollo de las investigaciones de accidentes. Mediante el Manual de procedimientos para el Grupo de Investigación de Accidentes de la Unidad Administrativa Especial Aeronáutica Civil, se busca generar una respuesta efectiva frente a un suceso de aviación a través de la estandarizaci.n de los procesos de Investigaci.n de Accidentes. ...

  15. Invaders in hot water: a simple decontamination method to prevent the accidental spread of aquatic invasive non-native species.

    Science.gov (United States)

    Anderson, Lucy G; Dunn, Alison M; Rosewarne, Paula J; Stebbing, Paul D

    Watersports equipment can act as a vector for the introduction and spread of invasive non native species (INNS) in freshwater environments. To support advice given to recreational water users under the UK Government's Check Clean Dry biosecurity campaign and ensure its effectiveness at killing a range of aquatic INNS, we conducted a survival experiment on seven INNS which pose a high risk to UK freshwaters. The efficacy of exposure to hot water (45 °C, 15 min) was tested as a method by which waters users could 'clean' their equipment and was compared to drying and a control group (no treatment). Hot water had caused 99 % mortality across all species 1 h after treatment and was more effective than drying at all time points (1 h: χ(2) = 117.24, p water or drying, 6/7 of these species survived for 16 days, highlighting the importance of good biosecurity practice to reduce the risk of accidental spread. In an additional experiment the minimum lethal temperature and exposure time in hot water to cause 100 % mortality in American signal crayfish (Pacifastacus leniusculus), was determined to be 5 min at 40 °C. Hot water provides a simple, rapid and effective method to clean equipment. We recommend that it is advocated in future biosecurity awareness campaigns.

  16. True detection versus "accidental" detection of small lung cancer by a computer-aided detection (CAD) program on chest radiographs.

    Science.gov (United States)

    Li, Feng; Engelmann, Roger; Doi, Kunio; Macmahon, Heber

    2010-02-01

    To evaluate the number of actual detections versus "accidental" detections by a computer-aided detection (CAD) system for small nodular lung cancers (circle criterion were considered as nodules detected by chance. The number of false-positive (FP) marks was also analyzed. For the 34 radiologist-missed cancers, the nodule-in-circle criterion caused eight more cancers (24%) to be detected by chance, as compared to the nodule-in-center criterion, when using the version 1.0 results. For the 36 radiologist-mentioned nodules, the nodule-in-circle criterion caused seven more lesions (19%) to be detected by chance, as compared to the nodule-in-center criterion, when using the version 1.0 results, and three more lesions (8%) to be detected by chance when using the version 3.0 results. Version 1.0 yielded a mean of six FP marks per image, while version 3.0 yielded only three FP marks per image. The specific criteria used to define true- and false-positive CAD detections can substantially influence the apparent accuracy of a CAD system.

  17. Wrist fracture in a 6-year-old girl after an accidental electric shock at low voltages.

    Science.gov (United States)

    Peyron, P A; Cathala, P; Vannucci, C; Baccino, E

    2015-03-01

    Bone injuries related to electric shocks are usually seen with high-voltage current exposure or with additional traumas, such as falls. Few cases of fractures after electric shocks at low-voltages (with no direct blunt trauma) are reported in the literature. They result from electrically-induced tetanic muscle contractions. Most of them involve the proximal appendicular skeleton, while distal fractures of limbs are uncommon. We report the case of a 6-year-old girl who suffered local superficial burns of the hand and a distal radius buckle-type fracture after sustaining a 230-V electric shock. The accident occurred while the girl was touching with the right hand the metallic stand of a non-insulated street lamp. She felt a sudden jolt and managed to pull her hand free quickly, without falling or losing consciousness. The superficial burns of the hand were consistent with Jellinek's electric marks, while the buckle fracture of the radius was consistent with a forceful contraction of the flexor muscles of the hand. Only four cases of radius fractures resulting from accidental electric shocks at low voltages have been previously reported in the literature. All of them involved pediatric patients, suggesting that a child's vulnerability to this kind of fracture may exist. The present case is the youngest one ever described.

  18. Strategies of environmental restoration of contaminated areas after nuclear accident; Estrategias de restauracion de areas contaminadas tras accidente nuclear

    Energy Technology Data Exchange (ETDEWEB)

    Gutierrez, Jose; Vazquez, Carmen [Centro de Investigaciones Energeticas Medioambientales y Tecnologicas (CIEMAT), Madrid (Spain). Dept. de Impacto Ambiental de la Energia

    2001-07-01

    The paper is framed in the area of restoration of contaminated environments after a nuclear accident. It considers the local specific characteristics of the contaminated scenario as a suitable way to optimize the intervention strategy. In this way, a system of classification of scenarios has been developed according to their potential for transferring radiation and radioactivity to man and their features having influence on the performance of the countermeasures. The established methodology provides the opportunity to jointly consider different types of systems (urban, agricultural, grazing and forest) in the analysis. Also, the consideration in the procedure of factors, not radiological in nature, related to the applicability of the countermeasures, their cost and their secondary effects (including the management and disposal of the wastes generated during the intervention) will improve the management of restoration. As final result a user friendly decision-aiding computerised system has been developed. The system is able to select the best local strategy of restoration when a post-accidental situation with environmental contamination is faced. (author)

  19. Identificación de escenarios de riesgo para prevención de accidentes en tierra

    Directory of Open Access Journals (Sweden)

    Juan Esteban Monsalve Montoya

    2012-09-01

    Full Text Available El objetivo del presente proyecto es la descripción de escenarios para la identificación de Patrones de Riesgo frente a la prevención de accidentes en tierra en la Fuerza Aérea Colombiana, con el fin de complementar el programa de Eventos Operacionales en Tierra. Para la realización del mismo se empleó la investigación Descriptiva-Documental, a través de la cual se buscó aplicar el Modelo de Actuación frente a Factores de Riesgo del P.E.S.A., además de documentación y entrevistas a personal experto en la materia. En cumplimiento del objetivo, se lograron determinar las fallas latentes, mediante el modelo SHELL y finalmente redactar 16 diferentes escenarios para la identificación de Patrones de Riesgo. Así mismo, este documento se convierte en un modelo para el establecimiento en la doctrina de identificación de patrones de riesgo para los diferentes programas de prevención de la Fuerza Aérea Colombiana.

  20. Accidental injury of the inferior alveolar nerve due to the extrusion of calcium hydroxide in endodontic treatment: a case report.

    Science.gov (United States)

    Shin, Yooseok; Roh, Byoung-Duck; Kim, Yemi; Kim, Taehyeon; Kim, Hyungjun

    2016-02-01

    During clinical endodontic treatment, we often find radiopaque filling material beyond the root apex. Accidental extrusion of calcium hydroxide could cause the injury of inferior alveolar nerve, such as paresthesia or continuous inflammatory response. This case report presents the extrusion of calcium hydroxide and treatment procedures including surgical intervention. A 48 yr old female patient experienced Calcipex II extrusion in to the inferior alveolar canal on left mandibular area during endodontic treatment. After completion of endodontic treatment on left mandibular first molar, surgical intervention was planned under general anesthesia. After cortical bone osteotomy and debridement, neuroma resection and neurorrhaphy was performed, and prognosis was observed. But no improvement in sensory nerve was seen following surgical intervention after 20 mon. A clinician should be aware of extrusion of intracanal medicaments and the possibility of damage on inferior alveolar canal. Injectable type of calcium hydroxide should be applied with care for preventing nerve injury. The alternative delivery method such as lentulo spiral was suggested on the posterior mandibular molar.

  1. Remediation in Situ of Hydrocarbons by Combined Treatment in a Contaminated Alluvial Soil due to an Accidental Spill of LNAPL

    Directory of Open Access Journals (Sweden)

    Ettore Trulli

    2016-10-01

    Full Text Available Soil contamination represents an environmental issue which has become extremely important in the last decades due to the diffusion of industrial activities. Accidents during transport of dangerous materials and fuels may cause severe pollution. The present paper describes the criteria of the actions which were operated to remediate the potential risk and observed negative effects on groundwater and soil originating from an accidental spill of diesel fuel from a tank truck. With the aim to evaluate the quality of the involved environmental matrices in the “emergency” phase, in the following “safety” operation and during the remediation action, a specific survey on hydrocarbons, light and heavy, was carried out in the sand deposits soil. Elaboration of collected data allows us to observe the movement of pollutants in the unsaturated soil. The remediation action was finalized to improve the groundwater and soil quality. The former was treated by a so called “pump and treat” system coupled with air sparging. A train of three different technologies was applied to the unsaturated soil in a sequential process: soil vapour extraction, bioventing and enhanced bioremediation. Results showed that the application of sequential remediation treatments allowed us to obtain a state of quality in unsaturated soil and groundwater as required by Italian law.

  2. IT-OSRA: applying ensemble simulations to estimate the oil spill risk associated to operational and accidental oil spills

    Science.gov (United States)

    Sepp Neves, Antonio Augusto; Pinardi, Nadia; Martins, Flavio

    2016-08-01

    Oil Spill Risk Assessments (OSRAs) are widely employed to support decision making regarding oil spill risks. This article adapts the ISO-compliant OSRA framework developed by Sepp Neves et al. (J Environ Manag 159:158-168, 2015) to estimate risks in a complex scenario where uncertainties related to the meteo-oceanographic conditions, where and how a spill could happen exist and the risk computation methodology is not yet well established (ensemble oil spill modeling). The improved method was applied to the Algarve coast, Portugal. Over 50,000 simulations were performed in 2 ensemble experiments to estimate the risks due to operational and accidental spill scenarios associated with maritime traffic. The level of risk was found to be important for both types of scenarios, with significant seasonal variations due to the the currents and waves variability. Higher frequency variability in the meteo-oceanographic variables were also found to contribute to the level of risk. The ensemble results show that the distribution of oil concentrations found on the coast is not Gaussian, opening up new fields of research on how to deal with oil spill risks and related uncertainties.

  3. Unsupervised invariance learning of transformation sequences in a model of object recognition yields selectivity for non-accidental properties

    Directory of Open Access Journals (Sweden)

    Thomas eSerre

    2015-10-01

    Full Text Available Non-accidental properties (NAPs correspond to image properties that are invariant to changes in viewpoint (e.g., straight vs. curved contours and are distinguished from metric properties (MPs that can change continuously with in-depth object rotation (e.g., aspect ratio, degree of curvature, etc. Behavioral and electrophysiological studies of shape processing have demonstrated greater sensitivity to differences in NAPs than in MPs. However, previous work has shown that such sensitivity is lacking in multiple-views models of object recognition such as textsc{Hmax}. These models typically assume that object processing is based on populations of view-tuned neurons with distributed symmetrical bell-shaped tuning that are modulated at least as much by differences in MPs as in NAPs.Here, we test the hypothesis that unsupervised learning of invariances to object transformations may increase the sensitivity to differences in NAPs vs. MPs in textsc{Hmax}. We collected a database of video sequences with objects slowly rotating in-depth in an attempt to mimic sequences viewed during object manipulation by young children during early developmental stages. We show that unsupervised learning yields shape-tuning in higher stages with greater sensitivity to differences in NAPs vs. MPs in agreement with monkey IT data. Together, these results suggest that greater NAP sensitivity may arise from experiencing different in-depth rotations of objects.

  4. Accidental and deliberate microbiological contamination in the feed and food chains--how biotraceability may improve the response to bioterrorism.

    Science.gov (United States)

    Knutsson, Rickard; van Rotterdam, Bart; Fach, Patrick; De Medici, Dario; Fricker, Martina; Löfström, Charlotta; Agren, Joakim; Segerman, Bo; Andersson, Gunnar; Wielinga, Peter; Fenicia, Lucia; Skiby, Jeffrey; Schultz, Anna Charlotte; Ehling-Schulz, Monika

    2011-03-01

    A next frontier of the global food safety agenda has to consider a broad spectrum of bio-risks, such as accidental and intentional contaminations in the food and feed chain. In this article, the background for the research needs related to biotraceability and response to bioterrorism incidents are outlined. Given the current scale of international trade any response need to be considered in an international context. Biotraceability (e.g. the ability to use downstream information to point to processes or within a particular food chain that can be identified as the source of undesirable agents) is crucial in any food-born outbreak and particular in the response to bioterrorism events. In the later case, tested and proven biotraceability improves the following: (i) international collaboration of validated tracing tools and detection methods, (ii) multi-disciplinary expertise and collaboration in the field of food microbiology and conceptual modeling of the food chain, (iii) sampling as a key step in biotracing (iv) optimized sample preparation procedures, including laboratory work in Biosafety level 3 (BSL-3) laboratories, (v) biomarker discovery for relevant tracing and tracking applications, and (vi) high-throughput sequencing using bio-informatic platforms to speed up the characterization of the biological agent. By applying biotraceability, the response phase during a bioterrorism event may be shortened and is facilitated for tracing the origin of biological agent contamination.

  5. Caracterización de accidentes de trabajo por caída de objetos en empresas del sector hidrocarburos

    Directory of Open Access Journals (Sweden)

    Gloria A. Jaramillo

    2014-12-01

    Full Text Available En una multinacional del sector de hidrocarburos prestadora de servicios de perforación y workover, que opera en las zonas de Tolima y Santander Colombia, se pudo desarrollar una investigación con el objetivo de describir la situación de accidentalidad causada por caída de objetos que se presenta en el área de taladros de perforación. La información se recolectó de los reportes de accidentes e incidentes que reposaban en la base de operaciones en Sopó entre el periodo 2010 y 2011. Al analizar los hallazgos se pudo evidenciar que son cuatro los agentes causales más significativos, dentro de los cuales están los denominados Golpes por objetos, ocupando un 68%; atrapado por o entre un objeto con 41%; caída de personas con un 30% y caída de objetos con 21 %. Este último hallazgo se deriva por la actividad propia de la perforación por la manipulación de llaves hidráulicas, objetos adicionales de acero, martillos, entre otros y su causa básica fue la falta de supervisión, liderazgo y/o planificación con 39%, seguida de procedimientos de trabajo inadecuados con el 22% y el mantenimiento inadecuado con el 11%, lo que concluye que en su mayoría son errores humanos.

  6. Accidental nuclear excursion Recuplex operation 234-5 facility. Final report: Date of incident: April 7, 1962

    Energy Technology Data Exchange (ETDEWEB)

    1962-08-01

    On Saturday morning, April 7, 1962, at about 1059 Armed Forces time, an accidental nuclear excursion occurred in the plutonium waste recovery facility (Recuplex) of the 234-5 Building. This excursion did not result in any mechanical damage or spread of contamination. Three employees of the General Electric Company received overexposures to gamma and neutron radiation. None were fatally exposed; in each case the overexposure was recognized promptly, and following medical observation and testing the men were released to return to work. In compliance with AEC Manual Chapter 0703, an AEC-HAPO committee composed of two AEC employees and five General Electric employees was appointed by the Manger, HOO, with the concurrence of the General Manager, HAPO, to conduct an investigation of the incident. The committee`s purpose was to determine the cause, nature, and extent of the incident, and recommend action to be taken by others to minimize or preclude future incidents of this magnitude. A study of operating practices and operating conditions that appeared to exist prior to, during, and subsequent to the accident was made by the committee. The committee believes that this report provides sufficient information to answer questions which may arise as a result of the criticality incident except those relating to its cause.

  7. Assessment of evolutive and prognostic indicators applied to accidental overexposure to ionizing radiation; Evaluacion de indicadores pronosticos y evolutivos aplicables a situaciones accidentales de sobreexposicion a radiaciones ionizantes

    Energy Technology Data Exchange (ETDEWEB)

    Morera Carrillo, M. de Lourdes; Cardenas, J. [Centro de Proteccion y Higiene de las Radiaciones, La Habana (Cuba); Dubner, D.; Perez, M. del Rosario; Gisone, P. [Autoridad Regulatoria Nuclear, Buenos Aires (Argentina). Lab. de Radiopatologia; Carnot, J. [Hospital Clinico Quirurgico Hermanos Ameijeiras, La Habana (Cuba)

    2001-07-01

    The acute radiation syndrome has been characterized in different ways that involve risk for life and health of the people overexposed to ionizing radiations. This work intends to test a therapeutical total body irradiation (TBI) model as conditioning to bone marrow transplantation. With the purpose of evaluating the applicability of several biological indicators in accidental overexposures, a study was carried out in 46 patients undergoing TBI receiving doses between 10 Gy and 12 Gy. The following parameters were assessed: lipo peroxyde plasmatic levels (TBARS) and total plasma antioxidant activity, reticulocyte maturity index (RMI) and charges in lymphocyte subpopulations. These data suggest that TBARS could provide an useful evolutive indicator in accidental overexposed patients and RMI is an early indicator of bone marrow recovery after radioinduced aplasia.

  8. Suicidio disimulado como accidente de tráfico: A propósito de un caso Suicide masquerading as traffic accident: case report

    Directory of Open Access Journals (Sweden)

    ME. Domínguez Pedroso

    2007-10-01

    Full Text Available Los motivos que inducen a una persona a enmascarar un suicidio simulando una muerte accidental pueden ser varios. Exponemos un caso en el que la víctima utiliza un accidente de tráfico para disimular un suicidio por arma de fuego y de esta forma conseguir que fuesen abonadas tanto la indemnización del Seguro de Automóviles como los incluidos en un seguro privado contratado poco antes. Sólo a través de una adecuada investigación del lugar de los hechos y de los antecedentes de la víctima junto a la realización del indispensable estudio necrópsico será posible determinar la verdadera etiología médico-legal de las muertes en accidente de tráfico, con especial atención en las que interviene sólo un vehículo con un único ocupante.There are several reasons that induce somebody to mask a suicide simulating an accidental death. We expose a case in which the victim uses a traffic accident to masquerade a suicide by shotgun. By this way, the author tries to receive the reimbursement of the car’s insurance as well as the money included in a private life insurance contracted just few days before. Only with the careful local death examination and the study of the victim's personal history, plus the essential autopsy, could we manage to understand the real aetiology of deaths in traffic accidents, especially focusing on those cases where there is a single car with a single passenger affected.

  9. Análisis edad-periodo-cohorte de la mortalidad por accidentes de tráfico en España

    Directory of Open Access Journals (Sweden)

    Saiz-Sánchez Carmen

    1999-01-01

    Full Text Available OBJETIVO. Estudiar la evolución de la mortalidad por accidentes de tráfico en España y su posible aplicación a un modelo edad-periodo-cohorte, así como el efecto que pueden tener algunas medidas de seguridad vial seleccionadas. MATERIAL Y MÉTODOS. Se obtuvieron las tasas de mortalidad por accidentes de tráfico y las tasas en intervalos quinquenales de edad para cada sexo, lo que permite su estudio como tasas específicas de edad por cohortes de nacimiento. Para determinar la asociación entre las medidas de seguridad vial seleccionadas y la mortalidad se han construido modelos de regresión de Poisson. RESULTADOS. Se observaron dos ondas evolutivas en la mortalidad por accidentes de tráfico. Respecto a la edad, no podemos hablar de un efecto claro; tampoco se encontró un efecto cohorte ni para varones ni para mujeres. En relación con las medidas de seguridad vial, se discutió la consistencia que guardaban los modelos seleccionados con los resultados gráficos, y se obtuvo que el uso obligatorio del casco y de las luces de cruce en motocicletas se ha asociado significativamente a la reducción de la mortalidad (RR 0.73, p< 0.05. CONCLUSIONES. La mortalidad por accidentes de tráfico en España muestra un ligero incremento en el periodo estudiado. Este comportamiento de las tasas no puede ser explicado suficientemente por los efectos de la edad, el periodo de diagnóstico de la muerte y la cohorte de nacimiento; en cambio las medidas de seguridad vial introducidas se valoraron positivamente.

  10. Perfil epidemiológico de la discapacidad por accidentes de tránsito en el Perú, 2012

    Directory of Open Access Journals (Sweden)

    César Gutiérrez

    Full Text Available Objetivos. Describir el perfil epidemiológico de las personas discapacitadas por accidentes de tránsito (AT en Perú. Materiales y métodos. Análisis secundario de la Encuesta Nacional Especializada Sobre Discapacidad (ENEDIS del año 2012. Además, se realizó un análisis ecológico con los registros de AT del Ministerio de Transportes y Comunicaciones. Resultados. 49 036 personas reportaron algún tipo de discapacidad por accidentes de tránsito (DAT; 81,3% de los discapacitados reside en zonas urbanas. La discapacidad reportada más frecuente fue limitación en la locomoción y destreza (77,4%, seguida de la discapacidad visual (22,9%. Se reporta dependencia en 44,7% de las personas con discapacidad. Las regiones con mayor prevalencia de AT presentan mayor prevalencia de discapacidad por accidente de tránsito (Coeficiente de Spearman: 0,426, p=0,034. Conclusiones. La mayor parte de los discapacitados por AT proceden de la zona urbana, son varones y se encuentran en la edad económicamente productiva. La forma más común de limitación es la de locomoción. Gran parte de los afectados no reciben ningún tipo de rehabilitación, lo que acentúa la inequidad en salud relacionada a los accidentes de tránsito

  11. [The role, objectives and usefulness of medico-legal determinations in post-accidental procedures in traumatic deaths in hard coal-mining industry].

    Science.gov (United States)

    Skowronek, Rafał; Chowaniec, Czesław

    2009-01-01

    The underground hard coal-mining sector demonstrates one of the highest rates of fatal accidents, in spite of a decline in coal-mining over the last few years. Post-accidental investigations, including forensic medical expertise, continue to present a significant problem. The objective of the research was to evaluate the role, tasks and usefulness of medico-legal determinations in post-accidental procedures in traumatic deaths in hard coal-mining industry. The study was carried out retrospectively by investigating files and autopsy reports, with attention focusing on the scope of necessary activities and medico-legal examinations in order to determine the cause and manner of death, and on identification of fatalities, especially in the cases of collective occupational accidents. Complex medico-legal determinations (identification, autopsy), supplemented by additional investigations (toxicology, histopathology and hemogenetics) provide a valuable source of evidence for legal authorities and post-accidental commissions. Mutual cooperation of the experts representing various branches of science is the basis of executing appropriate procedures after a traumatic death in the coal mine.

  12. [Injuries due to falls from a great height. A comparative analysis of injuries and their outcome following suicide-related and accidental falls].

    Science.gov (United States)

    Aufmkolk, M; Voggenreiter, G; Majetschak, M; Neudeck, F; Schmit-Neuerburg, K P; Obertacke, U

    1999-07-01

    The aim of this study was to compare the outcome and clinical course of multiple trauma patients with accidental or intentional (suicide related) fall from heights > 4 m. 211 patients with an injury severity score (ISS) > 17 were assigned to the following groups: I: intentional fall, n = 94; A: accidental fall, n = 117) and ISS (I: 28 +/- 1; A: 30 +/- 1), ventilation time (I: 16 +/- 2; A: 15 +/- 1) were not different. Significant differences were found in sex (m/f: I: 56/44; A: 73/27%), fractures of lumbarspine (I: 34; A: 15%), pelvis (I: 51; A: 38%), lower leg (I: 47; A: 20%), pilon (I: 15; A: 5%), and os calcis (I: 17; A: 9%). Liver lacerations occurred more often after intentional fall (I: 16; A: 6%). Single or multiple organ failure (MOF) was diagnosed significantly more often in group A(I: 1; A: 8%). Main cause of death in both groups was single or multiple organ failure (MOF: I: 47; A: 69%) or related to brain-injuries (I: 35; A: 19%). Prognosis and rehabilitation of multiple trauma patients after intentional fall is related to brain-injuries, spine-fractures and the functional outcome of the injured lower leg. Prognosis of patients after accidental fall is related to the development of MOF during the ICU-course.

  13. Diagnóstico de factores de riesgo relacionados con la accidentabilidad de mano en trabajadores de una empresa refresquera Diagnostic of risk factor related to the accidentes of hand in workers of solf-drinks industry

    OpenAIRE

    Gabriela Betzabé Pérez-Manriquez; Mónica Sánchez-Aguilar; Guadalupe González Díaz; Eduardo Oliva López; Ignacio Enrique Peón Escalante

    2012-01-01

    Con el propósito de que se profundice en el reconocimiento de factores de riesgos derivados de este tipo de empresas y de estas actividades específicamente, para que se prevengan y minimicen los efectos a la salud de forma integral al interior de las empresas, el presente trabajo pretende determinar los factores de riesgo potencialmente relacionados con los accidentes de mano. Objetivos: Determinar los factores de riesgo relacionados con los accidentes en mano para identificar que permitan di...

  14. Casuística de accidentes de motocicleta y lesiones en los alumnos de la Escuela de Tráfico de la Guardia Civil

    Directory of Open Access Journals (Sweden)

    V. Pacheco Delgado

    2013-06-01

    Full Text Available Objetivos: Conocer la causa de los accidentes de motocicleta y lesiones en los alumnos de la Escuela de Tráfico de la Guardia Civil, para establecer las medidas de protección y prevención más adecuadas. Material y métodos: La investigación se realiza sobre una muestra de 1.826 alumnos de Tráfico en la especialidad de Motorista, de ambos sexos, pertenecientes a nueve cursos, desde el 2009 al 2011. Para definir las lesiones se ha recurrido a la base de datos del Servicio de Sanidad del Centro, investigando un total de 277 Partes de Lesiones. Para conocer las causas, se analizan los Partes de Caída que se cumplimentan en las ambulancias. Resultados: Finalizan el Curso 1.437 alumnos, causando baja 389. El porcentaje de lesionados por año es de 15,11% en 2009, 15,45% en 2010 y 10,06% en 2011. El 2,3% de los que causan baja del Curso, corresponde a lesiones graves durante las clases de conducción. El 28% de los que causaron baja por falta de aptitud en la conducción, sufrieron algún tipo de lesión. Las zonas más afectadas son los miembros inferiores, superiores y tórax; en especial la pierna, tobillo, pie, rodilla y muñeca. Influyen en las causas de accidentes la edad, la climatología y el cansancio por el acumulo de horas de conducción. En cuanto al lugar donde se produce los accidentes, la pista número 5 «los peraltes» y la fase de campo (con motocicleta todo terreno, son más lesivas que la fase de carretera (con motocicleta de gran cilindrada; pero aquí, las lesiones son más graves. Hay instructores con un porcentaje de alumnos lesionados superior al del resto. Conclusiones: Existe una tendencia a una menor siniestralidad al disminuir el número de alumnos por Curso. Las contusiones, esguinces y fracturas son las lesiones más frecuentes y se localizaron principalmente en los miembros inferiores. Es preciso estudiar las causas del elevado número de accidentes en el obstáculo «los peraltes» y fase de campo. El instructor

  15. Improving the knowledge of environment around French nuclear facilities for better dose assessment and post-accidental management

    Energy Technology Data Exchange (ETDEWEB)

    Parache, V.; Renaud, P. [Institut de Radioprotection et de Surete Nucleaire - IRSN (France)

    2014-07-01

    and propose a reproducible approach for the evaluation of realistic indicators. Furthermore, these study shows that the data obtained on a nuclear site could apply to a nearby nuclear site, with close agro-climatic conditions. The influence of the types of productions and the agricultural and breeding practices, on the potential contamination of foodstuffs produced locally in accidental situation, led the IRSN to develop summary sheets on the agricultural environment of the nuclear sites. These levels of contamination can be very different according to the period of the year in which occurs the accident. For example, the date of harvest determines if these products will be almost exempt from contamination (so already harvested) or if they will present a maximal contamination. In complement, these sheets give some local contacts which would allow obtaining contextual precision around sensitive dates. These data will also allow elaborating sampling strategies to monitor foodstuffs activities after an accidental release. Based on these knowledge of environmental characteristics and considering that the metrological capacity will be necessarily limited, the monitoring strategies must insure that all foodstuff produced on the whole monitored area are below intervention levels. Document available in abstract form only. (authors)

  16. 偶然情绪对决策的影响%The Effect of Accidental Emotions on Decision Making

    Institute of Scientific and Technical Information of China (English)

    李晓明; 黄嵘; 周鑫

    2015-01-01

    情绪在决策领域中的引入曾历经过一个从刻意回避到日益重视的过程,大量研究表明,即使与决策本身无关的偶然情绪也会对人类的决策行为具有重要作用。本文通过梳理本领域的最新研究提出未来应注重考察:偶然情绪的影响条件、具体情绪的作用以及偶然情绪与可选项的情感属性对决策的交互影响。最后,本文在情绪激发方法、情绪的操纵检测和决策任务实测等方面进行了总结并提出一点研究建议。%The introduction of emotion into the research of decision making has come through the process from being intentionally neglected to being increasingly emphasized. Numerous studies demonstrate that accidental emotions that typically arise from factors external to the judgment about the decision being made have significant influences on the decision making. According to recent researches on the effect of incidental emotions on decision making, the present study proposed some implications for the future studies, that are, identifying moderating factors for carryover of incidental emotions, exploring the role of discrete emotions in decision making, and addressing the interaction effects between incidental emotions and the options’ emotional claims. Finally, the current study addressed some suggestions for the future study, such as, the induction technique of emotions, the measurement for manipulated emotions, and the way to apply different decision tasks.

  17. Accidental falls, health-related quality of life and life satisfaction: a prospective study of the general elderly population.

    Science.gov (United States)

    Stenhagen, Magnus; Ekström, Henrik; Nordell, Eva; Elmståhl, Sölve

    2014-01-01

    As the physical consequences of accidental falls in the elderly are well-researched, the long-term associations between falls and quality of life and related concepts are less known. The aim of this study was to prospectively examine the long-term relations between falls and health-related quality of life (HRQoL) and life satisfaction (LS) over six years in the general elderly population. One thousand three hundred and twenty-one subjects (aged 60-93 years), from the general population in the south of Sweden, were included in a baseline assessment and a follow-up after six years. HRQoL was measured with the SF-12 and LS with the life satisfaction index A (LSI-A). The differences in mean scores between fallers at baseline (n=113) and non-fallers were statistical analyzed. Furthermore, the prediction of falls on the outcomes was analyzed using a multivariate linear regression model adjusted for multiple confounding factors. Fallers scored significant lower in HRQoL and LS at baseline and after six years, compared to non-fallers, especially in the SF-12 physical component (p=falls at the baseline predicted a significant reduction in the SF-12 physical component at the follow-up assessment (B-Coefficient -1.8, 95% CI -3.4 to -0.2). In conclusion, falls predict a long-term reduction in the physical component of HRQoL in the general elderly population. Over six years, fallers had a notable chronic lowered score in both HRQoL and LS, compared to non-fallers. This long-term depression of elderly fallers in these aspects may be more extent than previous assumed.

  18. Juvenile hyaline fibromatosis. Radiological diagnosis. Fibromatosis hialina juvenil. Diagnostico radiologico

    Energy Technology Data Exchange (ETDEWEB)

    Fuentes, R.; Sar, V.; Cabrera, J.J.; Diaz, L.; Hernandez, B.; Valeron, P.; Baez, O.; Rodriguez, M.

    1993-10-01

    Juvenile hyaline fibromatosis (JHF) is a rare disorder of unknown etiology, very few cases of which have been reported in the literature. It presents similarities to other fibromatosys, but has its particular radiological features which differentiate it from them. The clinical findings consist of several, slow growing, subcutaneous nodules, flexion contractures of the joints which can lead to disability, gingival hypertrophy and muscular atrophy. The suspected radiological diagnosis is confirmed by electron microscopy study of the nodules, although light microscopy can also reveal suggestive images. Author (9 refs.)

  19. Radiological aspects of acute abdomen; Aspectos radiologicos do abdomen agudo

    Energy Technology Data Exchange (ETDEWEB)

    Toledo, Renato Muller de; Lacerda, Jose Carlos Teixeira; Georg, Bruno Rigueira; Ramos, Alexandre Ferreira [Hospital Naval Marcilio Dias, Rio de Janeiro, RJ (Brazil). Servico de Radiodiagnostico

    1994-12-31

    This work demonstrates the main roentgen signs of the most common causes of acute abdomen, through some cases chosen from H.N.M.D. Roentgen Department-Learning Register. First, we will show the normal roentgen anatomy of the abdomen. Then, we will discuss about the basic roentgen routine of acute abdomen and some technical changes depending on the suspected illness, the clinical conditions of the patient and certain roentgen findings. Finally, we will show the most important roentgen signs of the most familiar effects accurate abdomen, putting emphasis on the next things: intestinal obstructions, peritonitis, acute cholecustitis, acute pancreatitis, acute appendicitis, subphrenic abscesses, toxic megacolon of ulcerative retocolitis, gastric or duodenal ulcer perforation and renal colic. (author) 4 refs., 13 figs.

  20. Esophageal mucocele. Radiological finds. Mucocele esofagico. Hallazgos radiologicos

    Energy Technology Data Exchange (ETDEWEB)

    Hernandez Moreno, L.; Lafuente Martinez, F.J.; Perez Diaz, M. (Hospital General Gregorio Maranon, Madrid (Spain). Servicio de Radiodiagnostico)

    1990-01-01

    A case of esophageal mucocele which started with respiratory symptoms due to tracheobronchial compression is presented. Most of mucocele cases are asymptomatic by sometimes can show complications.Therefore, early diagnosis is very important for adequate treatment. It should be suspected in those patients who underwent thoracic surgery because of esophageal pathology in whom isolation was performed preservation and surgical isolation of esophagus was performed. Simple radiologic studies and CT show a mediastinal mass presenting cystic lesion features, anatomically located in esophagus located in the esophagus anatomic place. (author)

  1. Intrathoracic gossypiboma: imaging findings; Corpo estranho intratoracico: achados radiologicos

    Energy Technology Data Exchange (ETDEWEB)

    Rosalen Junior, Roberto Antonio; Bosi, Thiago Carneiro da Cunha; Souza, Luis Ronan Marquez Ferreira de; Andrade, Fernando Coelho Goulart de; Candido, Daniela; Lopes, Gesner Pereira; Melo, Ana Lucia Kefalas Oliveira [Universidade Federal do Triangulo Mineiro (UFTM), Uberaba, MG (Brazil). Disciplina de Diagnostico por Imagem]. E-mail: thibosi@uol.com.br; Fatureto, Marcelo Cunha [Universidade Federal do Triangulo Mineiro (UFTM), Uberaba, MG (Brazil). Disciplina de Cirurgia Toracica

    2006-10-15

    The authors report three cases of intrathoracic foreign body that is defined as a cotton matrix mass, mostly retained surgical sponge, a rare complication of a thoracic surgery. The patients were evaluated by chest radiography and computed tomography with the imaging findings confirmed after thoracotomy and anatomopathological study. The mainly imaging findings consisted of intrathoracic masses in patients with previous thoracic surgery that return to hospital with lower respiratory tract symptoms in different period after surgery procedure. The three cases were related with a brief review of the literature. (author)

  2. Hemangiomas cavernosos do cranio: aspectos clinicos, radiologicos e terapeuticos

    Directory of Open Access Journals (Sweden)

    D. Kirchhoff

    1977-12-01

    Full Text Available São discutidos os aspectos relativos ao diagnóstico e tratamento dos hemangiomas cavernosos do crânio. Os dados obtidos em 26 casos, são apresentados, sendo salientado que a localização dos hemangiomas foi maior na região frontal, sendo mais atingido o sexo masculino. Os outros aspectos são coincidentes com os demais autores. A problemática desses tumores, principalmente a sua demonstração radiológica e o seu tratamento, são ressaltados, chegando-se à conclusão final de que o melhor meio de demonstração radiológica é a punção para contrastação direta do tumor. O tratamento de escolha é o cirúrgico, sendo a extirpação em bloco preferida nos casos de comprometimento ósseo importante, sendo a intervenção direta com dissecção e excisão reservada para as localizações nos tecidos moles ou com mínima participação óssea.

  3. [Accidental oral mercurochrome poisoning].

    Science.gov (United States)

    Ayala Curiel J; Nieto Conde C; Santana Rodríguez C; Urbón Artero A; Gracia Remiro R

    2000-11-01

    Neonatal mercury poisoning, especially that due to merbromin ingestion, is uncommon. We describe the case of a 10 day old newborn infant who was given mercurochrome orally for 7 days due to misunderstanding of medical instructions. Initial symptoms included loss of appetite and low weight increase. Elevated blood mercury concentrations were found. Chelating therapy with dimercaprol was initiated and the patient's evolution was good. We discuss the potential toxicity of mercury and emphasise the importance of the transmission of information by physicians, especially to the immigrant population.

  4. Accurate and Accidental Empathy.

    Science.gov (United States)

    Chandler, Michael

    The author offers two controversial criticisms of what are rapidly becoming standard assessment procedures for the measurement of empathic skill. First, he asserts that assessment procedures which attend exclusively to the accuracy with which subjects are able to characterize other people's feelings provide little or no useful information about…

  5. Mexico: The Accidental Narco?

    Science.gov (United States)

    2011-06-30

    depending on the capabilities and will of the targeted cartels. There has been a glimpse of this with the Ciudad Juarez car bomb detonated in July...specialization of skills. One cartel may become the obvious hegemon and serve as a regulator in the hypercompetitive illegal drug market . The current...various factions and cliques that are bringing inefficiencies to the hypercompetitive illegal narcotics market . One possibility is that the New

  6. Behavior of accidentally released radiocesium in soil-water environment: Looking at Fukushima from a Chernobyl perspective.

    Science.gov (United States)

    Konoplev, A; Golosov, V; Laptev, G; Nanba, K; Onda, Y; Takase, T; Wakiyama, Y; Yoshimura, K

    2016-01-01

    Quantitative characteristics of dissolved and particulate radiocesium wash-off from contaminated watersheds after the FDNPP accident are calculated based on published monitoring data. Comparative analysis is provided for radiocesium wash-off parameters and distribution coefficients, Kd, between suspended matter and water in rivers and surface runoff on Fukushima and Chernobyl contaminated areas for the first years after the accidents. It was found that radiocesium distribution coefficient in Fukushima rivers is essentially higher (1-2 orders of magnitude) than corresponding values for rivers and surface runoff within the Chernobyl zone. This can be associated with two factors: first, the high fraction of clays in the predominant soils and sediments of the Fukushima area and accordingly a higher value of the radiocesium Interception Potential, RIP, in general, and secondly the presence of water insoluble glassy particles containing radiocesium in the accidental fallout at Fukushima. It was found also that normalized dissolved wash-off coefficients for Fukushima catchments are 1-2 orders of magnitude lower than corresponding values for the Chernobyl zone. Normalized particulate wash-off coefficients are comparable for Fukushima and Chernobyl. Results of the investigation of radiocesium's ((134)Cs and (137)Cs) vertical distribution in soils of the close-in area of the Fukushima Dai-ichi NPP - Okuma town and floodplain of the Niida river are presented. The radiocesium migration in undisturbed forest and grassland soils at Fukushima contaminated area has been shown to be faster as compared to the Chernobyl 30-km zone during the first three years after the accidents. This may be associated with higher annual precipitation (by about 2.5 times) in Fukushima as compared to the Chernobyl zone, as well as the differences in the soil characteristics and temperature regime throughout a year. Investigation and analysis of Fukushima's radiocesium distribution in soils of Niida

  7. Long-term follow-up after accidental gamma irradiation from a {sup 192}Ir source in Bangladesh

    Energy Technology Data Exchange (ETDEWEB)

    Mollah, A.S.; Begum, A.; Begum, R. [Bangladesh Atomic Energy Commission, Dhaka (Bangladesh)

    2006-07-01

    A industrial radiographer was accidentally over -exposed to high dose of ionizing radiation from an {sup 192}Ir source pellet during radiograph y of weld-joints in gas pipe-lines on June 10, 1985 in Bangladesh. The source, housed in a portable exposure assembly, had an activity of about 1850 GBq. A guide -tube was used to control the transfer of the source from safe storage position to the exposure position and vice versa. For radiography, the ti p of the guide tube was to be fixed to the weld -joint while the source was cranked to the exposure position. Following the elapse of the preset exposure time the source had to be cranked back to the safe stor age position. This procedure was to be repeated for each radiographic exposure. Symptoms of high radiation exposure occurred immediately after the accident and skin erythema developed leading to progressive tissue deteriorations. Biological effects such as mild vomiting, malaise, nausea and diarrhea occurred within a short period after the accident. Skin erythema, swelling and tenderness of the palmar surfaces and the tips of the thumbs, index fingers and middle fingers of the both hands accompanied by severe pain and inflammation developed within 7 days of the mishap. The inflammatory changes characterized by redness and bullae spread over the affected fingers with severe pain and agony within a few days. The finger -tips developed abscesses with enormous pus formation and the affected finger nails fell off. He also developed toothache. At this stage a medical practitioner made some surgical dressings and prescribed antibiotics. During the first six months the most serious health disorder was local necroses of the skin and the deep layers of the palmar side of the affected fingers with sharply delineated injuries. The clinical findings were consistent with those reported elsewhere under similar accident conditions. The consequences of this over-exposure are being followed up to assess the long-term effects of

  8. Trabalho precoce e acidentes ocupacionais na adolescência Trabajo precoz y accidentes de trabajo en la adolescencia Child labor and occupational accidents in the adolescence

    Directory of Open Access Journals (Sweden)

    Márcia Elena Andrade Santos

    2009-12-01

    Full Text Available Estudo transversal, descritivo e quantitativo, com o objetivo de investigar a ocorrência de acidentes ocupacionais em adolescentes trabalhadores. Realizado de abril a agosto de 2008, com uma amostra aleatória de 308 adolescentes entre 14 e 18 anos de idade. Os resultados evidenciaram que 168 (54,5% eram trabalhadores, 42%, desses, alegaram ter sofrido acidentes típicos, (18,5% acidentes de trajeto, 14,9% afastaram-se do trabalho, 51,4% não tinham carteira assinada e a maioria era do sexo masculino. Os cortes e perfurações foram os acidentes mais ocorridos (27,5%, a queimadura constituiu o principal agravo (26,9% e as partes do corpo mais afetadas foram mãos e dedos (40,4%. Conclui-se que os acidentes ocupacionais configuram-se como uma expressão da violência contra os jovens trabalhadores e um grave problema de Saúde Pública. Deve ser incorporado com prioridade na agenda dos serviços públicos e o enfermeiro, junto à equipe de saúde, podem ser os principais articuladores desse processo.Estudio transversal, descriptivo y cuantitativo, que tiene como finalidad investigar la ocurrencia de accidentes de trabajo en los trabajadores jóvenes. Realizado entre abril y agosto del 2008, con una muestra aleatoria de 308 adolescentes de 14 y 18 años de edad. Los resultados mostraron que 168 (54,5% eran trabajadores, el 42% de éstos afirma haber sufrido accidentes típicos, 18,5% fueron accidentes de trayecto, el 14,9% no pudieron trabajar después del accidente, el 51,4% no tenía un contrato formal de trabajo y la mayoría era del sexo masculino. Cortes y pinchazos fueron los accidentes con mayor incidencia (27,5%, la quemadura fue la lesión principal (26,9% y las partes del cuerpo más afectadas fueron las manos y los dedos (40,4%. Se concluyó que los accidentes de trabajo se caracterizan como una expresión de la violencia contra los trabajadores jóvenes y como un grave problema de salud pública. Por lo tanto, esta cuestión deber

  9. Epidemiología de las fracturas maxilofaciales por accidente de tráfico en Medellín (Colombia)

    OpenAIRE

    2015-01-01

    Objetivo: Caracterizar las fracturas maxilofaciales por accidente de tráfico en pacientes del Hospital Universitario San Vicente Fundación (Medellín-Colombia, 1998-2010). Métodos: Estudio descriptivo (n = 1609) con la información de las historias clínicas de los pacientes que cumplieron los criterios de inclusión según el objetivo general. Variables: sexo, edad, año, número de fracturas, tipo de fractura, tipo de vehículo. Análisis descriptivo de las variables y de la frecuencia de las fra...

  10. Risky behavior, personality traits and road accidents among university students Comportamiento de riesgo, rasgos de personalidad y accidentes de carretera en estudiantes universitarios.

    Directory of Open Access Journals (Sweden)

    Aristides I. Ferreira

    2009-06-01

    Full Text Available The personality traits that mediate risky driving and accidents among university students drivers were investigated. Study 1 (N=132 tested for the relation between risky behaviors and personality (16PF-5 second order dimensions. Three factors were extracted concerning risky driving: driving errors of commission, distraction, and driving errors of omission. Individuals with low self-control and high levels of anxiety were more prone to commit distractive behavior and driving errors of omission. Low self-control and high independence levels were associated with driving errors of commission. In study 2 (N=540, we tested if the number of road accidents for which an individual has been responsible was related to risky driving behavior. Drivers who committed more accidents presented higher scores in three new risky driving factors obtained: reckless driving, impaired concentration and division of attention.

    Key words: Risky driving, personality, accidents, behavior.
    En este estudio se investigaron los rasgos de personalidad relacionados con la conducción de riesgo y los accidentes en estudiantes universitarios. El primer estudio (N=132 evaluó la relación entre los comportamientos de riesgo y la personalidad (16PF-5 dimensiones de segundo orden. Tres factores fueron extraídos en relación con la conducción de riesgo: cometer errores de conducción, distracción, errores de omisión en la conducción. Los individuos con bajo autocontrol y altos niveles de ansiedad eran más propensos a tener comportamientos distractores y cometer errores de omisión en la conducción. Mientras que sujetos con bajo autocontrol y altos niveles de independencia se asociaron con el factor cometer errores de conducción. En el segundo estudio (N=540 evaluamos si el número de accidentes de tráfico, de los que una persona ha sido responsable, está relacionado con el comportamiento de riesgo en la conducción. Los resultados muestran que los conductores

  11. Factores de riesgo de lesión por accidentes de tráfico y el impacto de una intervención sobre la carretera

    Directory of Open Access Journals (Sweden)

    Híjar-Medina Martha C

    1999-01-01

    Full Text Available OBJETIVO: Evaluar el efecto de intervenciones realizadas en la autopista, tanto en la ocurrencia de lesiones por accidentes de tráfico, como en la gravedad de las mismas. MÉTODOS: Se realizó un análisis comparativo de dos estudios transversales realizados en 1994 y 1996 en los que se investigó la ocurrencia de lesiones en los conductores de vehículos a motor que sufrieron accidente en la autopista, Cuernavaca, México. RESULTADOS: Para 1994 la tasa de accidentes fue de 7,96 / 100.000 vehículos y para 1996 fue de 8,49 / 100.000 vehículos, incremento no significativo (p>0,05. Para 1994 la tasa de lesionados fue de 2,10 / 100.000 vehículos y para 1996 de 1,35 / 100.000 vehículos, disminución significativa (p<0,000. El autorreporte de uso del cinturón (63,46 vs 76,6%, los vehículos pequeños accidentados (7,9 vs 37,7%, horario nocturno (23,7 vs 31,8% y el sentido México-Cuernavaca (45 vs 66,7%, fueron mayores en 1996 (p<0,05. El riesgo de lesión entre los expuestos a las intervenciones en la autopista (1996 y los no expuestos (1994, ajustado por edad, uso de cinturón, velocidad, ingestión de alcohol y causa externa, empleando un modelo de regresión logística, presentó un efecto protector (RM 0,42 IC95% 0,27 -- 0,66. CONCLUSIÓN: Es evidente la necesidad de abordajes multisectoriales en el estudio y en la evaluación de las intervenciones en el campo de los accidentes de tráfico, siendo los resultados de la investigación un ejemplo claro de las repercusiones en salud que pueden tener las intervenciones del sector comunicaciones en una autopista.

  12. Creación y validación de un modelo para el estudio de las lesiones cervicales por accidentes de tráfico

    OpenAIRE

    Chiriac, Marian

    2011-01-01

    El presente proyecto de Tesis doctoral se enmarca en el campo de la seguridad pasiva de la automoción y trata de analizar para así poder reducir las lesiones cervicales como consecuencia de los accidentes de tráfico. Dadas las circunstancias actuales, se vio el interés de la creación de un nuevo nuevo modelo matemático de simulación para la zona cervical se ha realizado basándose en la simplificación de los músculos a un sistema de masa-muelle-amortiguador, y planteando las ecuaciones diná...

  13. Lesiones accidentales en adultos mayores: un reto para los sistemas de salud Accidental injuries in older adults: a challenge for the health systems

    Directory of Open Access Journals (Sweden)

    Ma. Guadalupe Ruelas González

    2008-12-01

    Full Text Available OBJETIVO: Identificar los factores sociodemográficos, de salud y apoyo social relacionados con las lesiones accidentales en adultos mayores residentes de colonias urbanas marginales de las ciudades de Cuernavaca, Chilpancingo, Guadalajara y Culiacán. MATERIAL Y MÉTODOS: En 2004-2005 se llevó a cabo un estudio transversal; mediante muestra no probabilística, se entrevistó a 799 adultos mayores; se emplearon pruebas no paramétricas y un modelo multivariado de regresión logística. RESULTADOS: Del total de entrevistas, 37% notificaron lesiones y la causa principal fueron las caídas (54%. El hogar fue el sitio con mayor número de accidentes (52%. Los factores de riesgo asociados fueron edad avanzada, trabajar, mayor número de enfermedades, mayor consumo de medicamentos, remedios y bebidas alcohólicas, percepción de "mala salud", apoyo familiar inadecuado y ser cuidador de otros. CONCLUSIONES: La multicausalidad obliga, por una parte, a que toda la sociedad participe y, por la otra, a la intervención del área de la salud para prevenir y atender el problema.OBJECTIVE: To identify factors (sociodemographic, health, and social support associated with the presence of accidental injuries in older adults living in deprived urban neighborhoods in four Mexican municipalities. MATERIAL AND METHODS: Cross-sectional survey carried out in 2004-2005, with a non-probabilistic, intentional sample of 799 male and female elderly living in deprived urban areas in four Mexican municipalities. For the statistical analysis, non-parametric tests and multivariate logistic regression models were used. RESULTS: More than a third (37% of the sample reported injuries; with falls being the main cause. Home was the venue where most accidents took place (52%. Risk factors for accidental injuries were: advanced age, working, greater number of illnesses, consumption of more medicines and remedies, self-perception of "poor" health , consumption of alcoholic beverages

  14. Training in emergency and severe accident (current situation and future after Fukushima); Formacion en emergencias y accidentes severos (situacion actual y futuro tras Fukushima)

    Energy Technology Data Exchange (ETDEWEB)

    Caro, R. J.; Delgado, J. L.; Martinez Fanegas, R.; Gonzalez Anez, F.

    2012-07-01

    After Fukushima, training in emergency response has got a renewed meaning to cope, successfully with accidental scenarios that can occur in nuclear power plants. The authors in this paper review the fundamentals of training, considering from the training process to the main contents, including the main technological and methodological tools. The know-how acquired in training the NPPs staff and the development and in application of new methods and tools, allows analyzing the evolution expected in training to better contribute to the Nuclear Safety. (Author)

  15. Accidente cerebrovascular en un adulto joven con deficiencia de proteína S y foramen oval patente. Reporte de caso

    OpenAIRE

    Fernández-Merjildo, Diana; Najar Trujillo, Enrique

    2016-01-01

    Se reporta el caso de una mujer joven de 38 años de edad, con accidente cerebrovascular isquémico agudo y deficiencia de proteína S más foramen oval patente. La paciente acudió al servicio de emergencia por presentar hemiparesia derecha y disartria, de forma súbita. Al examen físico se evidenció marcada disminución de la fuerza muscular en hemicuerpo derecho con signo de Babinski positivo. La tomografía cerebral mostró una hipodensidad cortico-subcortical témporo-parietal izquierda y la angio...

  16. Indications of hematopoietic stem cell transplantations and therapeutic strategies of accidental irradiations; Indications des greffes de cellules souches hematopoietiques et strategies therapeutiques des irradiations accidentelles

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-07-01

    Produced by a group of experts, this document first discusses the issue of accidental irradiations in terms of medical management. They notably outline the peculiar characteristics of these irradiations with respect to therapeutic irradiations. They agreed on general principles regarding casualty sorting criteria and process, and their medical treatment (systematic hematopoiesis stimulation, allogeneic transplantation of hematopoietic stem cells). They discuss some practical aspects of these issues: casualty sorting within a therapeutic perspective (actions to be performed within 48 hours), therapeutic strategies (support therapy, use of cytokines, and therapy by hematopoietic stem cell transplant). They state a set of recommendations regarding the taking into care and diagnosis, therapeutic strategies, research perspectives, and teaching

  17. Epidemiología de los accidentes con material biológico en el personal sanitario de un servicio de anestesia y reanimación

    OpenAIRE

    Gili Ortiz, Enrique

    2007-01-01

    Los accidentes con material biológico (AMB) en el personal sanitario los constituyen las exposiciones a sangre y otros fluidos corporales por lesiones percutáneas (cortes, pinchazos o rasguños) o bien por salpicaduras a mucosas (conjuntival, nasal o bucal) o sobre piel no intacta (con heridas, abrasiones o quemaduras). A pesar de los progresos para prevenir la exposición a este material biológico, el riesgo ocupacional persiste y con notables diferencias entre unos servicios y otros. Los ...

  18. Successful recovery from iatrogenic severe hypernatremia and severe metabolic acidosis resulting from accidental use of inappropriate bicarbonate concentrate for hemodialysis treatment

    Directory of Open Access Journals (Sweden)

    Guruprasad P Bhosale

    2015-01-01

    Full Text Available Bicarbonate dialysis is the treatment modality of choice for correction of metabolic acidosis in chronic renal failure. However, improper selection of dialysate concentrate can result in life-threatening human errors. We report a case of iatrogenic severe hypernatremia (sodium 207 mEq/L and severe metabolic acidosis (pH 6.65 that resulted due to accidental use of inappropriate bicarbonate concentrate for hemodialysis treatment. There was successful recovery in this patient with no neurological sequelae. To the best of our knowledge, this is the first case report in adults of severe hypernatremia along with severe metabolic acidosis due to error in the preparation of dialysis fluid.

  19. Factores de riesgo de lesión por accidentes de tráfico y el impacto de una intervención sobre la carretera

    Directory of Open Access Journals (Sweden)

    Martha C Híjar-Medina

    1999-10-01

    Full Text Available OBJETIVO: Evaluar el efecto de intervenciones realizadas en la autopista, tanto en la ocurrencia de lesiones por accidentes de tráfico, como en la gravedad de las mismas. MÉTODOS: Se realizó un análisis comparativo de dos estudios transversales realizados en 1994 y 1996 en los que se investigó la ocurrencia de lesiones en los conductores de vehículos a motor que sufrieron accidente en la autopista, Cuernavaca, México. RESULTADOS: Para 1994 la tasa de accidentes fue de 7,96 / 100.000 vehículos y para 1996 fue de 8,49 / 100.000 vehículos, incremento no significativo (p>0,05. Para 1994 la tasa de lesionados fue de 2,10 / 100.000 vehículos y para 1996 de 1,35 / 100.000 vehículos, disminución significativa (p<0,000. El autorreporte de uso del cinturón (63,46 vs 76,6%, los vehículos pequeños accidentados (7,9 vs 37,7%, horario nocturno (23,7 vs 31,8% y el sentido México-Cuernavaca (45 vs 66,7%, fueron mayores en 1996 (p<0,05. El riesgo de lesión entre los expuestos a las intervenciones en la autopista (1996 y los no expuestos (1994, ajustado por edad, uso de cinturón, velocidad, ingestión de alcohol y causa externa, empleando un modelo de regresión logística, presentó un efecto protector (RM 0,42 IC95% 0,27 -- 0,66. CONCLUSIÓN: Es evidente la necesidad de abordajes multisectoriales en el estudio y en la evaluación de las intervenciones en el campo de los accidentes de tráfico, siendo los resultados de la investigación un ejemplo claro de las repercusiones en salud que pueden tener las intervenciones del sector comunicaciones en una autopista.

  20. Rehabilitación neuropsicológica en el síndrome de neglect tras accidente cerebrovascular: caso clínico

    Directory of Open Access Journals (Sweden)

    Modesto Romero-López

    2011-12-01

    Full Text Available El síndrome de neglect se manifiesta por déficits en la atención perceptiva y la respuesta a estímulos presentados en el hemicampo contralesional; frecuentemente es consecuencia de un accidente cerebrovascular que afecta al hemisferio cerebral derecho. Se presenta el caso de una paciente con infarto en la arteria cerebral media derecha a la que se le practicó una evaluación y participó en un programa de rehabilitación neuropsicológica. Se discuten la eficacia de la rehabilitación del neglect en sus diferentes aspectos.

  1. ¿Por qué a mí?: instantáneas del momento del accidente en los amputados traumáticos

    Directory of Open Access Journals (Sweden)

    José Luis Díaz Agea

    Full Text Available Introducción: Describimos un momento crucial del itinerario vital de los amputados traumáticos. Objetivos: Describir y analizar las perspectivas elaboradas en torno al instante del accidente desde el punto de vista de los amputados traumáticos. Metodología: Estudio cualitativo de corte etnográfico. Participantes del estudio: 19 amputados en su mayor parte de origen traumático. Los datos se recogieron mediante entrevistas semiestructuradas, historias de vida y observación participante. Resultados: Aparece el concepto de "ser invulnerable", la imprevisibilidad de los accidentes y el papel de la casualidad y el azar en la tragedia. El arcaico debate del destino frente a la casualidad está presente. Conclusiones: Muchos moteros, con un estilo de vida ligado al ocio, experimentan el frenazo que supone el suceso, metafóricamente, de 100 a 0 km/h. Se evidencia la impronta en el imaginario de los amputados del poder de la ciencia encarnada en la cirugía y la inmortalidad del cuerpo como concepto.

  2. Atmospheric Dispersion Modeling of 137Cs generated from Nuclear Spent Fuel under Hypothetic Accidental Condition in the BNPP Area

    Science.gov (United States)

    Lee, Jongkuk; Lee, Kwan-Hee; Yook, Daesik; Kim, Sung Il; Lee, Byung Soo

    2016-04-01

    This study presents the results of atmosphere dispersion modeling using CALPUFF code that are based on computational simulation to evaluate the environmental characteristics of the Barakah nuclear power plant (BNPP) in west area of UAE. According to meteorological data analysis (2012~2013), the winds from the north(7.68%) and west(9.05%) including NNW(41.63%), NW(28.55%), and WNW(6.31%) winds accounted for more than 90% of the wind directions. East(0.2%) and south(0.6%) direction wind, including ESE(0.31%), SE(0.38%), and SSE(0.38%) were rarely distributed during the simulation period. Seasonal effects were not showed. However, a discrepancy in the tendency between daytime and night-time was observed. Approximately 87% of the wind speed was distributed below 5.4m/s (17%, 47% and 23% between the speeds of 0.5-1.8m/s 1.8-3.3m/s and 3.3-5.4m/s, respectively) during the annual period. Seasonal wind speed distribution results presented very similar pattern of annual distribution. Wind speed distribution of day and night, on the other hand, had a discrepancy with annual modeling results than seasonal distribution in some sections. The results for high wind speed (more than 10.8m/s) showed that this wind blew from the west. This high wind speed is known locally as the 'Shamal', which occurs rarely, lasting one or two days with the strongest winds experienced in association with gust fronts and thunderstorms. Six variations of cesium-137 (137Cs) dispersion test were simulated under hypothetic severe accidental condition. The 137Cs dispersion was strongly influenced by the direction and speed of the main wind. From the test cases, east-south area of the BNPP site was mainly influenced by 137Cs dispersion. A virtual receptor was set and calculated for observation of the 137Cs movement and accumulation. Surface roughness tests were performed for the analysis of topographic conditions. According to the surface condition, there are various surface roughness length. Four types

  3. El subregistro potencial de accidentes de trabajo en el Instituto Mexicano del Seguro Social Potential under-registration of occupational accidents in the Mexican Institute of Social Security

    Directory of Open Access Journals (Sweden)

    José Santiago Salinas-Tovar

    2004-06-01

    Full Text Available OBJETIVO: Evaluar el potencial subregistro de casos de accidentes de trabajo atendidos en el Instituto Mexicano del Seguro Social. MATERIAL Y MÉTODOS: Estudio transversal llevado a cabo en México con información a escala nacional proveniente de 27 Delegaciones del Instituto Mexicano del Seguro Social (IMSS sobre trabajadores atendidos por probable accidente de trabajo, según declaración del trabajador en su primera atención en los servicios de urgencia de hospitales del IMSS durante el mes de noviembre de 2001, que posteriormente se comparó con los registros de casos reclamados o reconocidos oficialmente como accidentes de trabajo, lo que permitió identificar la proporción de los mismos que no terminaron el proceso de calificación. El análisis de la información se hizo a través de estadística descriptiva para cada variable; la estimación anual de las proporciones encontradas se realizó mediante la multiplicación por 12 meses y los intervalos de confianza se estimaron en 95% con el método exacto de Poisson para una proporción. RESULTADOS: La información de 27 de 37 Delegaciones del IMSS reveló que 7 211 casos no fueron reconocidos como accidentes de trabajo en el periodo de estudio; lo que equivaldría a un subregistro de accidentes de trabajo nacional de 26.3%, con variaciones en las Delegaciones de 0 a 68%. Los diagnósticos más frecuentes fueron contusiones y heridas leves. CONCLUSIONES: El subregistro encontrado puede afectar las prestaciones a trabajadores y el equilibrio financiero del seguro de riesgos de trabajo. Sin embargo, todavía es necesario investigar sus causas y los factores para abatirlo, debiendo participar empresarios, instituciones de trabajo y de saludOBJECTIVE: To assess the potential under-registration of work-related accidents in the Mexican Institute of Social Security. MATERIAL AND METHODS: A countrywide cross-sectional study was carried out with information collected from 27 district offices of

  4. Evaluation of the atmospheric stability and it influence in the radiological environmental impact of the treatment plant and radioactive waste storage (PTDR); Evaluacion de la estabilidad atmosferica y su influencia en el impacto radiologico ambiental de la planta de tratamiento y almacenamiento de desechos radiactivos (PTDR)

    Energy Technology Data Exchange (ETDEWEB)

    Ramos V, E.O.; Cornejo D, N. [CPHR, Calle 20 No. 4113 e/41 y 47 Playa C.P. 11300, Ciudad Habana (Cuba)]. e-mail: odalys@cphr.edu.cu

    2006-07-01

    It is well-known that the meteorological variables as the atmospheric stability, influence in the atmospheric dispersion of radioactive pollutants, for that as regards radiological safety, it constitutes a demand the evaluation of their impact in the process before mentioned. The present work exposes the results of the study of the radiological impact of our PTDR that it allowed to know the influence of this meteorological parameter in the atmospheric dispersion of radioactive pollutants in its location. To such effects they were processed by means of the methodology of Pasquill - Gifford, data of time zone observations of this meteorological variable obtained in the proximities of the installation, being modeled the worst conditions in atmospheric liberation of their radionuclides inventory, valuing stops the 2 critical considered population groups the doses received by inhalation of polluted air and ingestion of water and polluted products, as well as, for external irradiation from the radioactive cloud and the floor. The obtained annual effective doses due to the modeling situation reach until a mSv, except for the Ra-226 that are lightly superior, implying a risk radiological acceptable chord to the international standard. To the above-mentioned a reduced probability of occurrence of events initiators of the evaluated accidental sequence is added. (Author)

  5. FRACASO EN EL CONTROL DEL NÚMERO DE VÍCTIMAS POR ACCIDENTES DE TRÁFICO EN ESPAÑA. ¿LA REPUESTA CORRECTA A LA PREGUNTA EQUIVOCADA?

    Directory of Open Access Journals (Sweden)

    Enrique Regidor

    2002-01-01

    Full Text Available En España se han puesto en marcha diferentes medidas de intervención con el objeto de modificar la práctica de los conductores de vehículos de motor, sin embargo no se ha observado una tendencia descendente ni en la tasa de accidentes de tráfico ni en el número de víctimas relacionadas con los mismos. Este articulo se plantea el interrogante de si las medidas tomadas para reducir el número de víctimas por accidente de tráfico se han dirigido realmente hacia las causas responsables de esa tendencia. Utilizando diversas fuentes de datos se observa que en España al comienzo de los años noventa se produjo una importante reducción de la tasa de accidentes de tráfico y sus consecuencias, pero en la segunda mitad de la misma década el incremento en la tasa de lesiones por accidentes de tráfico fue similar al producido en los años ochenta. Igualmente se observa que desde 1980 el consumo per capita de alcohol ha mostrado una tendencia descendente y que el número de lesiones por accidente de tráfico durante los últimos vente años ha estado fuertemente asociado al ciclo económico. Se concluye señalando que las medidas para el control de este problema en España se han centrado principalmente en la modificación de la conducta que incrementa el riesgo y severidad de las lesiones por accidente de tráfico, pero se han ignorado los determinantes macroeconómicos que explican la tendencia de la frecuencia de este problema de salud.

  6. Fracaso en el control del número de víctimas por accidentes de tráfico en españa: ¿La repuesta correcta a la pregunta equivocada?

    Directory of Open Access Journals (Sweden)

    Regidor Enrique

    2002-01-01

    Full Text Available En España se han puesto en marcha diferentes medidas de intervención con el objeto de modificar la práctica de los conductores de vehículos de motor, sin embargo no se ha observado una tendencia descendente ni en la tasa de accidentes de tráfico ni en el número de víctimas relacionadas con los mismos. Este articulo se plantea el interrogante de si las medidas tomadas para reducir el número de víctimas por accidente de tráfico se han dirigido realmente hacia las causas responsables de esa tendencia. Utilizando diversas fuentes de datos se observa que en España al comienzo de los años noventa se produjo una importante reducción de la tasa de accidentes de tráfico y sus consecuencias, pero en la segunda mitad de la misma década el incremento en la tasa de lesiones por accidentes de tráfico fue similar al producido en los años ochenta. Igualmente se observa que desde 1980 el consumo per capita de alcohol ha mostrado una tendencia descendente y que el número de lesiones por accidente de tráfico durante los últimos vente años ha estado fuertemente asociado al ciclo económico. Se concluye señalando que las medidas para el control de este problema en España se han centrado principalmente en la modificación de la conducta que incrementa el riesgo y severidad de las lesiones por accidente de tráfico, pero se han ignorado los determinantes macroeconómicos que explican la tendencia de la frecuencia de este problema de salud.

  7. En un accidente de tráfico ¿las lesiones pueden ayudar a dictaminar si llevaba el cinturón puesto? In a traffic accident, injuries may help to establish if the safety belt was used?

    OpenAIRE

    A. Ortega Pérez

    2005-01-01

    En dos juicios distintos se discutió sobre si las accidentadas llevaban puesto el cinturón de seguridad en el momento del accidente. Las características del accidente y las de las lesiones, junto a la revisión de la bibliografía médica nacional e internacional sobre el asunto llevan a concluir que las fracturas esternales y costales tienen una gran posibilidad de haber sido causadas por el cinturón, especialmente cuando el accidentado no presenta lesiones en el cráneo, en la cara, en el abdom...

  8. Las buenas prácticas para contribuir en la mejora de la atención prehospitalaria a lesionados por accidentes de tránsito en el lugar de los hechos.

    OpenAIRE

    Tania Ivón Sosa Ibarra; Dayma Margarita Clavo Basulto; Naylen Dávila Sorí

    2016-01-01

    El presente trabajo tiene como objetivo la propuesta de buenas prácticas para contribuir a mejorar la atención prehospitalaria a lesionados por accidentes de tránsito en el lugar de los hechos y se analiza la bibliografía relacionada con la confección de manuales de buenas prácticas. Se realiza una valoración de las prácticas necesarias para lograr una atención prehospitalaria de calidad por parte de los diferentes intervinientes cuando ocurre un accidente de tránsito, a partir de las conside...

  9. Tétano acidental no Estado do Ceará, entre 2002 e 2005 Accidental tetanus in the State of Ceará, between 2002 and 2005

    Directory of Open Access Journals (Sweden)

    Alexsandra Rodrigues Feijão

    2007-08-01

    Full Text Available Descrevem-se as características demográficas e clínicas de indivíduos com tétano acidental no Ceará. Analisou-se, retrospectivamente, 131 casos de tétano acidental notificados em hospital de referência estadual entre 2002 e 2005. Destes, a maioria (84,8% ocorreu entre homens e em moradores da zona urbana (93,2%. A faixa etária com maior incidência foi a de 35 a 49 anos (35,2%. História vacinal completa esteve relatada em quatro (3% casos, sendo ferimento perfurocortante o mais observado, e os membros inferiores os mais acometidos. O trismo esteve relacionado a 86,2% dos casos, seguido por contraturas (54,1%. Entre os notificados houve 95,5% confirmados, cujo óbito incidiu em 33 (26,4% pacientes. Conclui-se que o tétano acidental no Ceará atinge a população de maneira expressiva, apesar de ser uma doença imunoprevinível. Urge autoridades e órgãos gestores da saúde programarem estratégias que visem mudanças de políticas públicas relacionadas à cobertura vacinal dos susceptíveis, principalmente adultos.The demographic and clinical characteristics of individuals with accidental tetanus in Ceará are described. This was retrospective analysis of 131 cases of accidental tetanus notified in a state referral hospital between 2002 and 2005. Most of these cases (84. 8% occurred among men and among people living in the urban zone (93. 2%. The age group with highest incidence was between 35 and 49 years old (35. 2%. A complete vaccination history was reported in four (3% cases. Puncturing/cutting wounds were the cause most commonly observed and the legs were the area most affected. Trismus (lockjaw was reported in 86. 2% of the cases, followed by muscle contractions (54. 1%. Among the notified cases, 95. 5% were confirmed and 33 patients (26. 4% died. We conclude that accidental tetanus in Ceará significantly affects the population, in spite of being a disease that is preventable by immunization. The health authorities and health

  10. Bursitis por mercurio tras accidente laboral: a propósito de un caso Bursitis due to Mercury after a work accident: a case report

    Directory of Open Access Journals (Sweden)

    Susana Lastras González

    2010-06-01

    Full Text Available Auxiliar de enfermería de 28 años que acude al Servicio de Urgencias porque refiere dolor y dificultad para la movilización en rodilla derecha, tras accidente laboral, hace dos días. Refiere que se resbaló mientras transportaba 32 termómetros de mercurio, rompiéndose éstos sobre su rodilla, creando una pequeña herida, siendo la puerta de entrada del metal. En la radiografía, se objetiva el cuerpo extraño metálico, correspondiente a mercurio, en bursa rotuliana. Tras el diagnóstico, se realizó la extracción de la bursa, recuperándose la trabajadora totalmente tras la intervención. Con este caso clínico que aportamos, queremos conocer los efectos del mercurio en la salud de las personas expuestas a dicho metal, estudiar los errores acontecidos en este accidente laboral, valorando cuáles hubieran sido las medidas de actuación preventiva adecuadas para evitar la repetición de este tipo de accidentes y, por último, reflexionar acerca de la relación beneficio-riesgo del uso del mercurio en aparatos de medición en el ámbito sanitario.A 28-year-old woman, nursing assistant, who attends to emergency service, referring pain and difficulty mobilizing right knee after a work accident two days ago. She relates that slipped while carrying 32 mercury thermometers, breaking them on her knee, creating a small wound, being the gateway to the metal. In the radiograph, we objective a metallic foreign body, corresponding to mercury, in patellar bursa. After the diagnosis, the bursa was extracted, and the worker recovered completely, after surgery. With this case report we bring, we want to know the health effects of mercury in people exposed to this metal, studying the errors occurred in this accident, assessing measures of preventive action that would have been neccesary to preclude recurrence of this type accidents and, finally, think about the risk-benefit balance the use of mercury in measuring devices in healthcare.

  11. A Family of Exactly Solvable Radial Quantum Systems on Space of Non-Constant Curvature with Accidental Degeneracy in the Spectrum

    Directory of Open Access Journals (Sweden)

    Orlando Ragnisco

    2010-12-01

    Full Text Available A novel family of exactly solvable quantum systems on curved space is presented. The family is the quantum version of the classical Perlick family, which comprises all maximally superintegrable 3-dimensional Hamiltonian systems with spherical symmetry. The high number of symmetries (both geometrical and dynamical exhibited by the classical systems has a counterpart in the accidental degeneracy in the spectrum of the quantum systems. This family of quantum problem is completely solved with the techniques of the SUSYQM (supersymmetric quantum mechanics. We also analyze in detail the ordering problem arising in the quantization of the kinetic term of the classical Hamiltonian, stressing the link existing between two physically meaningful quantizations: the geometrical quantization and the position dependent mass quantization.

  12. Accidental ingestion of E-cigarette liquid nicotine in a 15-month-old child: an infant mortality case of nicotine intoxication

    Science.gov (United States)

    Seo, An Deok; Kim, Dong Chan; Yu, Hee Joon

    2016-01-01

    Electronic cigarettes are novel tobacco products that are frequently used these days. The cartridge contains liquid nicotine and accidental poisoning, even with a small oral dose, endangers children. We present here a mortality case of a 15-month-old child who ingested liquid nicotine mistaking it for cold medicine. When the emergency medical technicians arrived, she was found to have pulseless electrical activity. Spontaneous circulation was restored after approximately 40 minutes of cardiopulmonary resuscitation. The cotinine level in her urine was 1,716 ng/mL. Despite intensive supportive care, severe anoxic brain injury was found on computed tomography and the child ultimately died. This fatality highlights the need for public health efforts to minimize such accidents. PMID:28194215

  13. Accidental five fold overdose of propofol for induction in a 38-days-old infant undergoing emergency bilateral inguinal hernia repair

    Directory of Open Access Journals (Sweden)

    Mahin Seyedhejazi

    2011-01-01

    Full Text Available The induction dose of propofol is higher in younger children (2.9 mg/kg for infants younger than 2 years than in older children (2.2 mg/kg for children 6-12 years of age. A modest reduction in systolic blood pressure often accompanies bolus administration. The major concern with propofol is the potential for propofol infusion syndrome (lactic acidosis, rhabdomyolysis, cardiac and renal failure, which is generally associated with high-dose infusion for an extended period. We report a 38-days-old male infant underwent emergency bilateral inguinal hernia repair who accidentally received a five-fold dose of propofol for induction of general anesthesia.

  14. 中山市78例婴儿意外伤害特点分析%CHARACTERISTICS OF 78 CASES OF ACCIDENTALLY INJURED INFANTS IN ZHONGSHAN CITY

    Institute of Scientific and Technical Information of China (English)

    莫庆仪; 付四毛; 张泉山

    2014-01-01

    目的:分析中山市博爱医院2012~2013年收治的78例婴儿意外伤害的特点,为本市婴儿意外伤害的预防提供建议。方法对78例婴儿意外伤害的临床特点及不同伤害类型相关因素进行回顾性分析,并在R统计环境中进行统计学分析。结果8月以上月龄的婴儿(P=0.023)和外地户籍家庭的婴儿(P<0.001)更容易发生意外伤害。约79.5%的婴儿意外伤害发生在家中(P<0.001)。烧/烫伤(28.2%)、异物吸入(28.2%)及交通伤害(17.9%)为最常见的原因(P<0.001)。发生异物吸入的患儿有36.4%(4/11)未在当天进入医院接受治疗。结论监护人在照管婴儿时,不可因婴儿月龄较大而放松警惕。城市和农村家庭都应充分注意预防婴儿意外伤害,而外地户籍者可能更需要加强对婴儿的照管。家中活动时,尤其应警惕热液所致烧/烫伤及喂食相关的异物吸入,后者更应引起足够的重视并及时就诊。%Objective: To investigate characteristics of 78 cases of accidentally injured infants in Zhongshan Bo’ai Hospital, and provide some advices in preventing such injuries locally. Methods:Clinical characteristics and injury-type related factors were analyzed retrospectively, and statistical calculations were carried out in the R environment. Results:Accidental injury is more prone in infants older than 8 months (P=0.023) or those whose parents come from other places (P<0.001). Around 79.5%of the cases happened at home (P<0.001). The most (P<0.001) common types of accidental injury in infants were burn (28.5%), inhale of foreign body (28.2%), and traffic accident (17.9%). As many as 36.4%of infants who suffered from inhaled foreign bodies did not receive treatment in time. Conclusions: Guardians must pay attention to accidental injuries to infants even though it is old enough, no matter they lives in urban or rural area. Not-native guardians might need to pay more attention. When

  15. Accidente cerebro-vascular en la enfermedad de Fabry: Algo más que una simple estenosis Stroke in Fabry disease: More than a simple stenosis

    Directory of Open Access Journals (Sweden)

    Juan Manuel Politei

    2006-10-01

    Full Text Available Se analiza la evidencia existente a la fecha sobre los mecanismos fisiopatológicos que pueden generar accidentes cerebrovasculares en la enfermedad de Fabry. Esta entidad es el resultado de la deficiencia de a-galactosidasa A, lo que resulta en depósito patológico de glicoesfingilípidos en distintas poblaciones celulares. Asociados a la insuficiencia renal y cardíaca, los accidentes cerebrovasculares pueden derivar en la muerte de los pacientes. Durante mucho tiempo el único mecanismo generador de daño vascular informado fue la oclusión vascular por depósito lipídico a nivel endotelial. En la actualidad se describen otros mecanismos. El advenimiento de la terapia de reemplazo enzimático ha generado gran expectativa en cuanto la posibilidad de reversión de estos mecanismos. Si bien la evidencia es escasa y son necesarios más estudios a largo plazo, algunos informes demuestran que luego de meses, el tratamiento ha logrado revertir algunos de los mecanismos implicados.The objective is to analyze the updated evidence on the physiopathological mechanisms that can generate cerebrovascular damage in Fabry disease. Fabry disease is the result of the deficiency of a-galactosidasa A, which causes pathological storage of glycosphingolipids, in different cells. Associated to renal and cardiac insufficiency, cerebrovascular complications can derive in the death of the patients. During a long time the only reported mechanism was the vascular occlusion by deposit of lipids at endothelial level. At the present time, other mechanisms are postulated. The arrival of enzyme replacement therapy has generated great expectation on the possibility of reversion of these alterations. Although the evidence is scarce and more long term studies are necessary, some reports demonstrate that after months, the treatment has managed to revert some of the mechanisms involved.

  16. Determinación de zonas expuestas a la ocurrencia de accidentes por transporte de mercancías peligrosas en Colombia

    Directory of Open Access Journals (Sweden)

    Cristian Camilo Fernández Lopera

    2015-06-01

    Full Text Available La gestión del riesgo debe ser un componente transversal del desarrollo de la sociedad y de acuerdo con la Ley 1523 de 2012 en Colombia, debe involucrar a entidades gubernamentales, sociedad civil y sector privado, trascendiendo los límites territoriales. El objetivo de esta investigación fue determinar zonas expuestas a la ocurrencia de accidentes que involucran transporte de mercancías peligrosas en los municipios de Dosquebradas, Pereira y La Virginia, que conforman el Área Metropolitana Centro Occidente en Colombia. Las mercancías peligrosas fueron identificadas mediante el reconocimiento de las principales actividades industriales del área de estudio y se analizaron los corredores viales por los cuales ellas son transportadas, determinando zonas de alta accidentalidad. Se realizó una simulación de dispersión de sustancias mediante el aplicativo WISER y se identificaron zonas de riesgo en cada municipio. Los resultados indicaron que las zonas de mayor exposición a accidentes con mercancías peligrosas son: vía Pereira-LaVirginia; sector Cerritos-La Villa (Pereira; sector de Playa Rica; rotonda de Postobón; la zona entre la rotonda de Postobón y la rotonda de Makro (Dosquebradas; y rotonda de calle 12B con la carrera 7a (La Virginia. En todos los corredores viales por los cuales se transportan mercancías peligrosas existen zonas críticas de alta accidentalidad.

  17. Accidental nuclear war: Modifications to superpower arsenals and to procedures for handling them could substantially reduce the risk of unintended Armageddon

    Energy Technology Data Exchange (ETDEWEB)

    Blair, B.G.; Kendall, H.W.

    1990-12-01

    If nuclear war breaks out in the coming decade or two, it will probably be by accident. The threat of a cold-blooded, calculated first strike is vanishing, but beneath the calm surface of constructive diplomacy among the traditional nuclear rivals lurks the danger of unpremeditated use of nuclear weapons. The accidental, unauthorized or inadvertent use of these weapons has become the most plausible path to nuclear war. Both superpowers, as well as France, Great Britain and China - long-standing members of the nuclear club - are potential sources of accidental missile launch. The emergence of fledgling nuclear powers such as India, Pakistan and Israel - some armed with ballistic missiles - pushes nuclear safeguards even closer to the top of the international security agenda. The chances of unwanted nuclear war would be reduced significantly if tamper proof, coded locks were installed on all nuclear weapons and if methods were put in place to disarm nuclear forces even after launch. In addition, the US and the Soviet Union should reduce their reliance on the dangerous policy of launch on warning and reduce the launch readiness of their nuclear forces. The social and political upheavals in the Soviet Union underscore fears of unintended nuclear war. Civil turmoil raises the possibility that rebellious ethnic groups or splinter organizations could capture nuclear weapons. Other, deeper fault lines run through the whole of Soviet society and may be capable of cracking the foundations of its nuclear command system. Although the US faces no such civil unrest, the country's system of nuclear command carries some risk that nuclear weapons might be used contrary to the intentions of legitimate authorities.

  18. Historical Doses from Tritiated Water and Tritiated Hydrogen Gas Released to the Atmosphere from Lawrence Livermore National Laboratory (LLNL). Part 5. Accidental Releases

    Energy Technology Data Exchange (ETDEWEB)

    Peterson, S

    2007-08-15

    Over the course of fifty-three years, LLNL had six acute releases of tritiated hydrogen gas (HT) and one acute release of tritiated water vapor (HTO) that were too large relative to the annual releases to be included as part of the annual releases from normal operations detailed in Parts 3 and 4 of the Tritium Dose Reconstruction (TDR). Sandia National Laboratories/California (SNL/CA) had one such release of HT and one of HTO. Doses to the maximally exposed individual (MEI) for these accidents have been modeled using an equation derived from the time-dependent tritium model, UFOTRI, and parameter values based on expert judgment. All of these acute releases are described in this report. Doses that could not have been exceeded from the large HT releases of 1965 and 1970 were calculated to be 43 {micro}Sv (4.3 mrem) and 120 {micro}Sv (12 mrem) to an adult, respectively. Two published sets of dose predictions for the accidental HT release in 1970 are compared with the dose predictions of this TDR. The highest predicted dose was for an acute release of HTO in 1954. For this release, the dose that could not have been exceeded was estimated to have been 2 mSv (200 mrem), although, because of the high uncertainty about the predictions, the likely dose may have been as low as 360 {micro}Sv (36 mrem) or less. The estimated maximum exposures from the accidental releases were such that no adverse health effects would be expected. Appendix A lists all accidents and large routine puff releases that have occurred at LLNL and SNL/CA between 1953 and 2005. Appendix B describes the processes unique to tritium that must be modeled after an acute release, some of the time-dependent tritium models being used today, and the results of tests of these models.

  19. A simulation study of dispersion of air borne radionuclides from a nuclear power plant under a hypothetical accidental scenario at a tropical coastal site

    Science.gov (United States)

    Srinivas, C. V.; Venkatesan, R.

    Meteorological condition in coastal regions is diurnally variable and spatially heterogeneous due to complex topography, land-sea interface, etc. A wide range of dispersion conditions is possible on a given day in the coastal regions. In case of inadvertent accidental situations, though unlikely, it would be necessary to examine the potentially severe case among different dynamically occurring local atmospheric conditions for dispersion and its range of impact around a nuclear power plant for safety analysis. In this context, dispersion of air borne radioactive effluents during a hypothetical accidental scenario from a proposed prototype fast breeder reactor (PFBR) at an Indian coastal site, Kalpakkam, is simulated using a 3-D meso-scale atmospheric model MM5 and a random walk particle dispersion model FLEXPART. A simulation carried out for a typical summer day predicted the development of land-sea breeze circulation and thermal internal boundary layer (TIBL) formation, which have been confirmed by meteorological observations. Analysis of dose distribution shows that the maximum dose for releases from a 100 m stack occurs at two places within 4 km distance during sea breeze/TIBL fumigation hours. Maximum dose also occurred during nighttime stable conditions. Results indicate that, on the day of present study, the highest concentrations occurred during periods of TIBL fumigation rather than during stable atmospheric conditions. Further, the area of impact (plume width at the surface) spreads up to a down wind distance of 4 km during fumigation condition. Simulation over a range of 25 km has shown turning of plume at the incidence of sea breeze circulation and two different dispersion patterns across the sea breeze front. These results are significant in comparison to the expected pattern shown by Gaussian plume model used for routine analysis.

  20. Airplane Drag Chute Accidental Open Reliability Analysis%飞机阻力伞意外打开可靠性分析

    Institute of Scientific and Technical Information of China (English)

    冯蕴雯; 郝恒; 薛小锋; 魏宇宏

    2016-01-01

    Airplane drag chute opens automatically when the door opens. Based on working principle, failure causes of the accidental open of an airplane drag chute include failure of power source, lack of safe lock depth, resonance of elastic element, and lack of strength and stiffness. Then the article builds the fault tree and raises relevant relia⁃bility analysis model. Citing airplane drag chute system of a certain plane as an example, we do the accidental open reliability analysis and raise improving suggestions. The work can provide reference on the mechanism design for air⁃plane drag chute system.%阻力伞通常都设计成伞舱门打开阻力伞自动放出,针对飞机阻力伞舱门意外打开故障,以阻力伞机构工作原理为基础,分析得到导致该故障模式的故障原因分别为动力源失效、使用中安全锁定深度不够、弹性元件共振和构件强度刚度不足等,构建了阻力伞意外打开故障树,提出了相应的可靠性分析模型。对某型飞机阻力伞意外打开故障开展了可靠性分析,提出了改进建议与改进方向,为飞机阻力伞机构设计提供有益参考。

  1. The effect of a non-steroidal anti-inflammatory drug on two important predictors for accidental falls: postural balance and manual reaction time. A randomized, controlled pilot study.

    NARCIS (Netherlands)

    Hegeman, J.; Nienhuis, B.; Bemt, B.J.F van den; Weerdesteijn, V.G.M.; Limbeek, J. van; Duysens, J.E.J.

    2011-01-01

    Accidental falls in older individuals are a major health and research topic. Increased reaction time and impaired postural balance have been determined as reliable predictors for those at risk of falling and are important functions of the central nervous system (CNS). An essential risk factor for fa

  2. 医疗机构不应就患者的医疗意外伤害投保责任险%Medical Institutions should not Insure Patients for His or Her Medical Accidental Injuries

    Institute of Scientific and Technical Information of China (English)

    王启辉; 汤建平; 王晓东

    2012-01-01

    近年部分地区尝试进行了医疗意外责任险,从经济效果看,因保费计算不合理、责任期间设定不公平,医疗意外责任险无法达到预期经济效果;从法律效果看,因医疗机构对保险标的无保险利益,医疗意外责任险合同无效;而从社会效果看,医疗意外责任险的实施可能使医患关系恶化.因此,应当停止实施医疗意外责任险.%In recent years medical accidental liability insurance was carried out in some regions. But because of unreasonable premium and unfair liability enactment in terms of economic aspects, medical accidental liability insurance can not achieve the expected economic effect. A medical institution dose not has insurable interests in the subject matter of the insurance, so in terms of legal effect, the contract of insurance shall be invalid. Furthermore in terms of the perspective of social effect, medical accidental liability insurance may further worsen the doctor-patient relationship. Therefore medical accidental liability insurance should not be implemented.

  3. Las buenas prácticas para contribuir en la mejora de la atención prehospitalaria a lesionados por accidentes de tránsito en el lugar de los hechos.

    Directory of Open Access Journals (Sweden)

    Tania Ivón Sosa Ibarra

    2016-04-01

    Full Text Available El presente trabajo tiene como objetivo la propuesta de buenas prácticas para contribuir a mejorar la atención prehospitalaria a lesionados por accidentes de tránsito en el lugar de los hechos y se analiza la bibliografía relacionada con la confección de manuales de buenas prácticas. Se realiza una valoración de las prácticas necesarias para lograr una atención prehospitalaria de calidad por parte de los diferentes intervinientes cuando ocurre un accidente de tránsito, a partir de las consideraciones emanadas en el Protocolo de actuación y buenas prácticas en la atención sanitaria inicial al accidentado de tránsito del Ministerio de Sanidad y Política Social de España. Se brindan las competencias necesarias que requieren los que intervienen en los accidentes de tránsito para mejorar la atención prehospitalaria y que contribuyan a elevar, a través de los manuales de buenas prácticas, la preparación especializada de los socorristas y los conocimientos básicos de la ciudadanía para actuar tras un accidente de tránsito.

  4. Protocol for a randomised controlled trial of risk screening and early intervention comparing child- and family-focused cognitive-behavioural therapy for PTSD in children following accidental injury

    Directory of Open Access Journals (Sweden)

    Nixon Reginald DV

    2010-11-01

    Full Text Available Abstract Background Accidental injury represents the most common type of traumatic event to which a child or adolescent may be exposed, with a significant number of these children going on to experience posttraumatic stress disorder (PTSD. However, very little research has examined potential interventions for the treatment of PTSD in these children. The present trial aims to evaluate and compare child- and family-focused versions of a cognitive-behavioural early intervention for PTSD following accidental injury. Methods/Design The principal clinical question under investigation is the efficacy of an early, trauma-focused cognitive-behavioural intervention for the treatment of PTSD in children following accidental injury. Specifically, we compare the efficacy of two active treatments (child-focused and family-focused CBT and a waitlist control (no therapy to determine which is associated with greater reductions in psychological and health-related outcome measures over time. The primary outcome will be a reduction in trauma symptoms on a diagnostic interview in the active treatments compared to the waitlist control and greater reductions in the family-compared to the child-focused condition. In doing so, this project will also trial a method of stepped screening and assessment to determine those children requiring early intervention for PTSD following accidental injury. Discussion The present trial will be one of the first controlled trials to examine a trauma-focused CBT, early intervention for children experiencing PTSD following accidental injury (as opposed to other types of traumatic events and the first within a stepped care approach. In addition, it will provide the first evidence comparing the efficacy of child and family-focused interventions for this target group. Given the significant number of children and adolescents exposed to accidental injury, the successful implementation of this protocol has considerable implications. If

  5. Ações de enfermagem para a prevenção da extubação acidental Intervenciones de enfermería para la prevención de la extubación accidental Nursing interventions for the prevention of accidental extubation

    Directory of Open Access Journals (Sweden)

    Théia Maria Forny Wanderley Castellões

    2009-08-01

    Full Text Available RESUMO: Objetivo foi apresentar os resultados parciais da incidência da extubação acidental associada ao cuidado de enfermagem. MÉTODO: estudo observacional retrospectivo, de intervenção prospectiva, medindo antes e depois da implantação de um guia as extubações acidentais A população de 142 pacientes,sendo 72 pacientes na fase retrospectiva e 70 na fase prospectiva,totalizando 3771 dias de ventilação. Dados coletados de prontuários. RESULTADOS: 52,78% usavam tubo traqueal e 62% tinham entre 71 e 90 anos com média de dias de ventilação de 26,5 dias,. Ocorreram seis (3,27 extubações antes e duas (1,03 após a implantação do guia. CONCLUSÕES, houve diminuição da incidência da extubação acidental no período estudado, mas não se pode atribuir ao guia esta diferença pois são necessários outros estudos.OBJETIVO: presentar los resultados parciales de la incidencia de la extubación accidental relacionada al cuidado de Enfermería. MÉTODO: estudio observacional retrospectivo de intervención prospectiva, midiendo antes y después de un protocolo las extubaciones accidentales. LA población fue de 142 pacientes, siendo 72 en el periodo retrospectivo y 70 en el prospectivo, haciendo 3771 días de ventilación. Datos colectados de prontuarios. RESULTADOS : 52,78% usavam tubo traqueal y 62% tenian entre 71 y 90 anos com 26,5 média de dias de ventilación. Ocurrieron seis (3,27 extubaciones antes y dos (1,03 después de la implantación del protocolo. CONCLUSIONES, hubo disminución de la incidencia de la extubación accidental en el período estudiado, pero no se pode atribuir al guía esta diferenza pues son necesarios otros estudios.The objective was to analyze results of the incidence of accidental extubation associated with nursing care. METHOD: Retrospective observational study, the intervention ahead, measured before and after the deployment of a guide extubations accidental The population of 142 patients, 72

  6. Valoración de las lesiones oculares producidas en los accidentes de tráfico Assessment of ocular injuries due to traffic accidents

    Directory of Open Access Journals (Sweden)

    J.A. Menéndez

    2008-01-01

    Full Text Available Objetivo: Analizar cómo se realiza, desde el punto de vista pericial, la valoración de las lesiones y secuelas oculares de los accidentes de tráfico en nuestro medio. Método: Hemos realizado un estudio retrospectivo de 127 informes sobre lesiones oculares realizados en la Sección de Oftalmología de la Clínica Médico Forense de Madrid durante cinco años (del 2002 al 2006, analizando las siguientes variables: la proporción que representan los accidentes de tráfico (ATF, el tipo de lesión producida en el ATF, la duración media de la baja, las secuelas más frecuentes y la puntuación total media asignada a estas secuelas oculares. Resultados: Los ATF son la causa de la cuarta parte de las secuelas oculares que vemos. Las lesiones más frecuentemente producidas son traumatismos cráneo-encefálicos, contusiones oculares directas y esguinces cervicales. Hemos hallado un alto porcentaje de casos (22%, en los que no encontramos lesiones objetivas que justifiquen las molestias alegadas por el lesionado, o bien estas no guardan relación evidente con el accidente de tráfico sufrido. Conclusiones: Que los ATF son una de las causas más frecuentes de secuelas oculares (diplopias, disminuciones de agudeza visual…, con una puntuación media de 15 puntos y una duración media de la baja de 71 días, hay un importante porcentaje de reclamaciones injustificadas. Considera necesario revisar el actual Baremo de la Ley 34/2003, subsanando los errores y deficiencias que presenta, e incluyendo secuelas oculares típicamente postraumáticas que actualmente no recoge, para facilitar la valoración de las secuelas oculares.Aim: To analyse how it is performed, from expert evidence view point, the assessment of ocular injuries and after-effects due to traffic accidents in our area. Method: We have accomplished a retrospective study of 127 reports on ocular injuries, carried out in the Ophthalmologic Section of the Medical Forensic Clinic of Madrid for

  7. Elaboración y aplicación de un programa de actuación ante accidentes, adaptado a niños ciegos

    Directory of Open Access Journals (Sweden)

    Roberto Barcala Furelos

    2003-12-01

    Full Text Available La investigación es un proceso vivo y en continuo desarrollo. Los avances científicos proporcionan una mejor calidad de vida (a nivel personal y/o social, pudiendo abarcar diversos campos del conocimiento. En esta línea de trabajo, y con la intención de aportar un documento de rigor científico y de utilidad social, presentamos el objetivo de investigación, donde analizamos en qué medida la "Elaboración y aplicación de un programa de formación en autoprotección y pautas básicas de actuación ante accidentes, adaptado a niños/as ciegos y deficientes visuales" podría ser viable y contribuir a la mejora de la autonomía personal, autoprotección detección y activación de la cadena de supervivencia y aplicación de los primeros auxilios en caso de accidente. En este proyecto de investigación se ha pretendido elaborar un programa formativo a jóvenes ciegos y deficientes visuales, con edades comprendidas entre los 11 y los 15 años, donde se abordan tres objetivos fundamentales:

    • Diseñar un programa de formación a niños/as ciegos y deficientes visuales, sobre los mecanismos de autoprotección, activación de la cadena de supervivencia y técnicas de SVB, que mejore su autonomía personal y que supongan un beneficio social.

    • Evaluar la viabilidad del programa, la validez de las adaptaciones de las técnicas y protocolos así como el aprendizaje cuantitativo-cualitativo de los alumnos/as.

    • Contribuir (en la medida de lo posible al objetivo propuesto por la Organización Mundial de la Salud (OMS, que no es otro que disminuir en un 25% el número de accidentes infantiles y sus consecuencias, antes del año 2005.

    El desarrollo descriptivo y experimental del programa se ha ceñido al periodo lectivo 2002-2003, y los sujetos estudiados representaban la población de Galicia y las poblaciones de Ávila, Salamanca y Zamora, de niños y niñas ciegos y deficientes

  8. Vivenciando el trabajo de los buzos mariscadores que han sufrido un accidente Living the work of seafood divers who have suffered an accident

    Directory of Open Access Journals (Sweden)

    Irene Aguilar Gallardo

    2005-11-01

    Full Text Available El objetivo de esta investigación es describir las vivencias del trabajo de buzos mariscadores que viven en caletas de pescadores de las provincias de Llanquihue y Palena y que hubieran tenido un accidente durante la práctica de su oficio, en el contexto de su significado cultural. Para este estudio se utilizó la investigación cualitativa, optando por el método etnográfico de Spradley (1979-1980. La recolección de los datos se realizó mediante la Observación Participante y la Entrevista Etnográfica. Al validar los dominios, taxonomías y temas surge el tema central que es: describiendo vivencias de su oficio. En él se destacan ideas y percepciones similares en este grupo humano respecto a la vida y al trabajo que realizan y diferencias en relación a las razones para continuar en el oficio para algunos, porque les apasiona y para otros porque se sienten obligados por ser ésta la única opción que les permite la subsistencia a ellos y su grupo familiar. El subtema que emerge es "a mayor profundidad está la mercancía", de éste se generan los dominios de lo que sucede con el buzo: los riesgos de trabajar a mayor profundidad, las causas de los accidentes, las consecuencias y secuelas, las percepciones durante la rehabilitación, las formas que adoptan para prevenir accidentes y las expectativas para el futuro. Los datos obtenidos del estudio permitirán al equipo de salud ampliar conceptos y conocimientos de experiencias, vivencias y significado que los buzos le otorgan al trabajo en su contexto cultural. Lo anterior, contribuirá a facilitar el proceso de interacción con este grupo humano y realizar acciones de salud concordantes con su modo de sentir y pensar, uniendo esfuerzos para la prevención, promoción, recuperación y rehabilitación de su salud.The objective of this research is to describe the work experiences of the shellfish divers who belong to the province of Llanquihue and Palena who have suffered and accident during

  9. Características de los lesionados por accidente de tráfico con alcoholemia positiva Characteristics of road accident victims with positive blood alcohol levels

    Directory of Open Access Journals (Sweden)

    Xavier Martínez

    2004-10-01

    Full Text Available Objetivo: Identificar de las características diferenciales de positividad a alcohol en lesionados en accidentes de tráfico atendidos en un servicio de urgencias hospitalario. Métodos: Estudio transversal con sujetos de 18 años o mayores, lesionados en accidentes de tráfico, atendidos en el servicio de urgencias del Área de Traumatología del Hospital Vall d'Hebron, entre julio de 2001 y febrero de 2002. Resultados: La muestra incluyó a 431 pacientes. El 13,7% resultó positivo a la determinación de alcohol: se hallaron diferencias en los varones (odds ratio [OR] = 2,5; IC del 95%, 1,3-5,4 y los lesionados ingresados (OR = 2,7; IC del 95%, 1,3-5,4 y en los que fueron asistidos en fin de semana o festivo (OR = 3,7; IC del 95%, 2,0-6,9, de noche y madrugada (OR = 4,6; IC del 95%, 2,0-10,3 o durante la mañana (OR = 3,6; IC del 95%, 1,5-8,4. Conclusiones: Se ha determinado la existencia de subgrupos de lesionados en accidentes de tráfico con una mayor probabilidad de alcoholemia positiva, en los cuales deberían aplicarse programas de cribado y prevención secundaria más activos desde los servicios de urgencias y de traumatología.Objective: To identify the differential features of positive blood alcohol level (BAL in people injured in road crashes who were attended an acute care service. Methods: Cross-sectional study of persons aged 18 years old or older injured in motor vehicle crashes who were attended in the Traumatology Emergency Department of Vall d'Hebron Hospital (Spain between July 2001 and February 2002. Results: The study sample included 431 patients. A positive alcohol test was found in 13.7% of the sample. A statistically significant and independent association was found between positive BAL and male sex (odds ratio [OR] = 2.5 [95% CI, 1.3-5.4], hospital admission (OR = 2.7 [95% CI, 1.3-5.4], being attended on a weekend (OR = 3.7 [95% CI, 2.0-6.9] and being attended during the night and early morning (OR = 4.6 [95% CI, 2

  10. Reports by the Parliamentary Office for scientific and technological assessments. Thursday, May 5, 2011. Post-accidental management of nuclear crisis; Comptes rendus de l' Office Parlementaire d'Evaluation des Choix Scientifiques et Technologiques. Jeudi 5 mai 2011. Gestion post-accidentelle des crises nucleaires

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2011-05-15

    The first part addresses the preparedness of the post-accidental management in France. Representatives of control agencies and of nuclear installation operators are asked how they prepare and plan the worst scenario, what is purely hypothetical and what comes from return on experience, how knowledge and practices of other hazardous situations (notably in the chemical industry) can be useful for the nuclear sector. The second part addresses the commitment of French and foreign stakeholders in the management of a post-accidental situation: role and intervention of associations, French participation at the international level and international cooperation in the preparation to the management of a post-accidental situation

  11. Hábitos del sueño y accidentes de tránsito en conductores de ómnibus interprovincial de Arequipa, Perú

    Directory of Open Access Journals (Sweden)

    Alex Caso

    Full Text Available Con el objetivo de determinar los hábitos de sueño en los conductores de ómnibus y su relación con los accidentes en la ciudad de Arequipa, Perú, se realizó un estudio transversal y descriptivo en una muestra no probabilística de 166 conductores. Las horas de conducción por día fueron de 9,4 ± 3,7; el 54% (89 conduce más de 4 h sin detenerse; 74% (123 conducen de noche y 87% (145 duermen en el ómnibus. El 75% reconoció cansancio durante la conducción (124. El 27% (45 tuvo somnolencia; el 24% (40 refirió haberse accidentado o haber estado a punto de accidentarse durante la conducción. La somnolencia o el cansancio durante la conducción fue frecuente en esta población, y sus hábitos de conducción y descanso podrían propiciarlo.

  12. Chitin-Prussian blue sponges for Cs(I) recovery: From synthesis to application in the treatment of accidental dumping of metal-bearing solutions

    Energy Technology Data Exchange (ETDEWEB)

    Vincent, C. [Ecole des mines d' Alès, Centre des Matériaux des Mines d' Alès, C2MA/MPA/BCI, 6 avenue de Clavières, F-30319 Alès Cedex (France); Commissariat à l' Energie Atomique, CEA Marcoule, DEN/DTCD/SPDE/LPSD,BP 17171, F-30207 Bagnols sur Cèze (France); Barré, Y. [Commissariat à l' Energie Atomique, CEA Marcoule, DEN/DTCD/SPDE/LPSD,BP 17171, F-30207 Bagnols sur Cèze (France); Vincent, T. [Ecole des mines d' Alès, Centre des Matériaux des Mines d' Alès, C2MA/MPA/BCI, 6 avenue de Clavières, F-30319 Alès Cedex (France); Taulemesse, J.-M. [Ecole des mines d' Alès, Center des Matériaux des Mines d' Alès, 6 avenue de Clavières, F-30319 Alès Cedex (France); Robitzer, M. [Institut Charles Gerhardt – UMR5253, CNRS-UM2-ENSCM-UM1, ICGM-MACS-R2M2, 8 rue de l' Ecole Normale, F-34296 Montpellier Cedex 05 (France); Guibal, E., E-mail: Eric.Guibal@mines-ales.fr [Ecole des mines d' Alès, Centre des Matériaux des Mines d' Alès, C2MA/MPA/BCI, 6 avenue de Clavières, F-30319 Alès Cedex (France)

    2015-04-28

    Highlights: • Prussian blue microparticles incorporated in chitin sponges. • Efficient Cs(I) sorption after water absorption by dry hybrid sponge. • Water draining after sorption for metal confinement and water decontamination. • High decontamination factors and distribution coefficients for Cs(I) and {sup 137}Cs(I). • Effect of freezing conditions on porous structure and textural characterization. - Abstract: Prussian blue (i.e., iron[III] hexacyanoferrate[II], PB) has been synthesized by reaction of iron(III) chloride with potassium hexacyanoferrate and further immobilized in chitosan sponge (cellulose fibers were added in some samples to evaluate their impact on mechanical resistance). The composite was finally re-acetylated to produce a chitin-PB sponge. Experimental conditions such as the freezing temperature, the content of PB, the concentration of the biopolymer and the presence of cellulose fibers have been varied in order to evaluate their effect on the porous structure of the sponge, its water absorption properties and finally its use for cesium(I) recovery. The concept developed with this system consists in the absorption of contaminated water by the composite sponge, the in situ binding of target metal on Prussian blue load and the centrifugation of the material to remove treated water from soaked sponge. This material is supposed to be useful for the fast treatment of accidental dumping of Cs-contaminated water.

  13. Risk assessment, risk management and risk-based monitoring following a reported accidental release of poliovirus in Belgium, September to November 2014.

    Science.gov (United States)

    Duizer, Erwin; Rutjes, Saskia; de Roda Husman, Ana Maria; Schijven, Jack

    2016-01-01

    On 6 September 2014, the accidental release of 10(13) infectious wild poliovirus type 3 (WPV3) particles by a vaccine production plant in Belgium was reported. WPV3 was released into the sewage system and discharged directly to a wastewater treatment plant (WWTP) and subsequently into rivers that flowed to the Western Scheldt and the North Sea. No poliovirus was detected in samples from the WWTP, surface waters, mussels or sewage from the Netherlands. Quantitative microbial risk assessment (QMRA) showed that the infection risks resulting from swimming in Belgium waters were above 50% for several days and that the infection risk by consuming shellfish harvested in the eastern part of the Western Scheldt warranted a shellfish cooking advice. We conclude that the reported release of WPV3 has neither resulted in detectable levels of poliovirus in any of the samples nor in poliovirus circulation in the Netherlands. This QMRA showed that relevant data on water flows were not readily available and that prior assumptions on dilution factors were overestimated. A QMRA should have been performed by all vaccine production facilities before starting up large-scale culture of WPV to be able to implement effective interventions when an accident happens.

  14. Differentiating cause-of-death terminology for deaths coded as sudden infant death syndrome, accidental suffocation, and unknown cause: an investigation using US death certificates, 2003-2004.

    Science.gov (United States)

    Kim, Shin Y; Shapiro-Mendoza, Carrie K; Chu, Susan Y; Camperlengo, Lena T; Anderson, Robert N

    2012-03-01

    We compared written text on infant death certificates for deaths coded as sudden infant death syndrome (R95), unknown cause (R99), and accidental suffocation (W75). Using US mortality files supplemented with the death certifiers' written text for all infant deaths with International Classification of Diseases (ICD)-10 assigned codes R95, R99, and W75, we formed cause-of-death subcategories from common themes identified from the written text. Among all infant deaths in 2003-2004, the underlying cause of death was listed as R99 for 2128 deaths, R95 for 4408 deaths, and W75 for 931 deaths. Among the postneonatal deaths, the differences in subcategories varied between assigned ICD-10 codes: for R99-coded deaths, 45.8% were categorized as "Unknown" and 48.6% as "Pending"; for R95-coded deaths, 67.7% were categorized as "sudden infant death syndrome (SIDS)"; and for W75-coded deaths, 76.4% were categorized as "Suffocation." Examination of the written text on the death certificates demonstrates variability in the assigned ICD-10 codes which could have an important effect on the estimates of SIDS cases in the United States.

  15. Metabolic transit of radiocaesium in domestic animals - practical application in an accidental situation; Transit metabolique du radiocesium chez les animaux domestiques - application a une situation accidentelle

    Energy Technology Data Exchange (ETDEWEB)

    Daburon, F.; Vincent-Naulleau, S

    2001-07-01

    When a serious nuclear accident occurs, the radioisotopes of caesium are very worrying to public health. Because of their long environmental persistence, their diffusion and their solubility in natural environments, they are present in many foodstuffs. Numerous studies were undertaken during the atmospheric nuclear tests, but since the accident of Tchernobyl land Goiania, this research has been pursued anew. By using the experimental data,, this report takes stock of the knowledge on the metabolic transit of radiocaesium in domestic animals. The transfer of this radionuclide in the major foodstuffs of animal origin (milk, meat, eggs) is important and depends on the metabolism of the animal species, and in one species, the age, the physiologic state and the diet. Nevertheless, it is possible to restrict the radioactive contamination by adding to all animal feed, some additives. The methods for in vivo determination of the radioactive measurements in cattle, in laboratory or in real conditions, are discussed too. Finally, all these results are used to consider the short-, middle- and long-term management of an accidental situation. (authors)

  16. Trends of Non-Accidental, Cardiovascular, Stroke and Lung Cancer Mortality in Arkansas Are Associated with Ambient PM2.5 Reductions

    Directory of Open Access Journals (Sweden)

    Marie-Cecile G. Chalbot

    2014-07-01

    Full Text Available The cardiovascular and stroke mortality rates in Arkansas are among the highest in the USA. The annual trends of stroke and cardiovascular mortality are barely correlated to smoking cessation; while the prevalence of risk factors such as obesity; cholesterol and hypertension increased over the 1979–2007 period. The study determined the effect of chronic exposure to PM2.5 on non-accidental; cardiovascular; stroke and lung cancer mortality in Arkansas over the 2000–2010 period using the World Health Organization’s log-linear health impact model. County chronic exposures to PM2.5 were computed by averaging spatially-resolved gridded concentrations using PM2.5 observations. A spatial uniformity was observed for PM2.5 mass levels indicating that chronic exposures were comparable throughout the state. The reduction of PM2.5 mass levels by 3.0 μg/m3 between 2000 and 2010 explained a significant fraction of the declining mortality. The effect was more pronounced in southern and eastern rural Arkansas as compared to the rest of the state. This study provides evidence that the implementation of air pollution regulations has measurable effects on mortality even in regions with high prevalence of major risk factors such as obesity and smoking. These outcomes are noteworthy as efforts to modify the major risk factors require longer realization times.

  17. Análisis de las muertes por accidentes de tránsito en el municipio de Lanús, Argentina, 1998-2004

    Directory of Open Access Journals (Sweden)

    Guillermo Raúl Macías

    2010-01-01

    Full Text Available El objetivo del presente trabajo fue analizar el perfil sociodemográfico de las muertes por accidentes de tránsito (AT de residentes en el municipio de Lanús (Provincia de Buenos Aires, Argentina entre los años 1998 y 2004. Para ello se realizó un estudio epidemiológico descriptivo, utilizando datos oficiales de mortalidad de Argentina. Se estudiaron las muertes por AT codificadas por la CIE-10, según residencia y ocurrencia. Se analizaron variables sociodemográficas y económicas mediante análisis uni y bivariados, cálculo de la mortalidad proporcional (MP, razón de mortalidad proporcional (RMP y georreferenciamiento por lugar de residencia y de ocurrencia. Lanús presenta un perfil de mortalidad por AT similar al de los países desarrollados. La combinación de técnicas se presenta como una alternativa interesante para trabajar con datos secundarios, en áreas pequeñas y con pequeños números. Esta investigación proporciona contribuciones para intervenir sobre los problemas relacionados con los AT en el nivel individual y local. Se destaca la necesidad de estudios transdisciplinarios que aborden el problema desde otros enfoques metodológicos.

  18. Diagnosis de la defectología que de forma accidental suele presentar la laminación de tubería de altas prestaciones

    Directory of Open Access Journals (Sweden)

    Gutiérrez de Saiz-Solabarría, S.

    1995-02-01

    Full Text Available The possible causes are studied which produce the defectology that, incidentally, is usually present at high-performing pipe rolling processes. The steel qualities included in Specification 5CT (1 for grade C75-1 (C-Mn-Mo-alloyed steel and grade J55 (C-Mn steel as well as those qualities regarding Specification 5L (2 for grade A of Standard API (American Petroleum Institute are studied herein. Both chemical and metallurgical characterizations of the pipe are provided. Defects are diagnosed and conclusions are set.

    Se estudian las posibles causas que dan lugar a la defectología que, de forma accidental, suele presentarse en la laminación de tubería de altas prestaciones. En el presente trabajo se contemplan las calidades de acero de la norma API (American Petroleum Institute en su especificación 5CT (1 para los grados C75-1 (acero al C-Mn aleado con Mo y J55 (acero al C-Mn y en su especificación 5L (2 para el grado A. Se caracteriza la tubería tanto química como metalúrgicamente, se diagnostican los defectos y se establecen conclusiones.

  19. Normal and Accidental Scenarios Analyses with MELCOR 1.8.2 and MELCOR 2.1 for the DEMO Helium-Cooled Pebble Bed Blanket Concept

    Directory of Open Access Journals (Sweden)

    Bruno Gonfiotti

    2015-01-01

    Full Text Available As for Light Water Reactors (LWRs, one of the most challenging accidents for the future DEMOnstration power plant is the Loss of Coolant Accident, which can trigger the pressurization of the confinement structures and components. Hence, careful analyses have to be executed to demonstrate that the confinement barriers are able to withstand the pressure peak within design limits and the residual cooling capabilities of the Primary Heat Transfer System are sufficient to remove the decay heat. To do so, severe accident codes, as MELCOR, can be employed. In detail, the MELCOR code has been developed to cope also with fusion reactors, but unfortunately, these fusion versions are based on the old 1.8.x source code. On the contrary, for LWRs, the newest 2.1.x versions are continuously updated. Thanks to the new features introduced in these latest 2.1.x versions, the main phenomena occurring in the helium-cooled blanket concepts of DEMO can be simulated in a basic manner. For this purpose, several analyses during normal and accidental DEMO conditions have been executed. The aim of these analyses is to compare the results obtained with MELCOR 1.8.2 and MELCOR 2.1 in order to highlight the differences among the results of the main thermal-hydraulic parameters.

  20. Optimizing bone surveys performed for suspected non-accidental trauma with attention to maximizing diagnostic yield while minimizing radiation exposure: utility of pelvic and lateral radiographs

    Energy Technology Data Exchange (ETDEWEB)

    Jha, Priyanka; Stein-Wexler, Rebecca; Seibert, Anthony; Wootton-Gorges, Sandra L. [University of California Davis Medical Center, Department of Radiology, Sacramento, CA (United States); Coulter, Kevin [University of California Davis Medical Center, Department of Pediatrics, Sacramento, CA (United States); Li, Chin-Shang [University of California Davis Medical Center, Division of Biostatistics, Department of Public Health Sciences, Sacramento, CA (United States)

    2013-06-15

    Skeletal surveys for non-accidental trauma (NAT) include lateral spinal and pelvic views, which have a significant radiation dose. To determine whether pelvic and lateral spinal radiographs should routinely be performed during initial bone surveys for suspected NAT. The radiology database was queried for the period May 2005 to May 2011 using CPT codes for skeletal surveys for suspected NAT. Studies performed for skeletal dysplasia and follow-up surveys were excluded. Initial skeletal surveys were reviewed to identify fractures present, including those identified only on lateral spinal and/or pelvic radiographs. Clinical information and MR imaging was reviewed for the single patient with vertebral compression deformities. Of the 530 children, 223 (42.1%) had rib and extremity fractures suspicious for NAT. No fractures were identified solely on pelvic radiographs. Only one child (<0.2%) had vertebral compression deformities identified on a lateral spinal radiograph. This infant had rib and extremity fractures and was clinically paraplegic. MR imaging confirmed the vertebral body fractures. Since no fractures were identified solely on pelvic radiographs and on lateral spinal radiographs in children without evidence of NAT, nor in nearly all with evidence of NAT, inclusion of these views in the initial evaluation of children for suspected NAT may not be warranted. (orig.)

  1. [Acute accidental poisoning in children: aspects of their epidemiology, aetiology, and outcome at the Charles de Gaulle Paediatric Hospital in Ouagadougou (Burkina Faso)].

    Science.gov (United States)

    Kouéta, Fla; Dao, Lassina; Yé, Diarra; Fayama, Zéinabou; Sawadogo, Alphonse

    2009-01-01

    Accidents are a daily concern in the paediatric ward because of their frequency, diversity and severity. Acute accidental poisoning (AAP) accounts for an important portion of these. To help improvement management of AAP, we conducted a retrospective study covering a period of 2 years from January 2005 to December 2006 at Charles de Gaulle Paediatric University Hospital in Ouagadougou. Of 9390 admissions during the study period, 123 children, or 1.3%, were admitted for poisoning. A cumulative average of 11 were admitted monthly, with a peak of 16 patients in April 2005 and 2006, together. AAP was most common among children aged 1 to 4 years. Their mean age was 3 years and ranged from 6 days to 12 years. Boys outnumbered girls, with a sex ratio of 1.2. Mothers of more than half (61%) of the children poisoned worked in the home. Household products accounted for 44.7% of AAPs, followed by drug (22.7%) and food (22%) poisoning. Kerosene and other petroleum products topped the list of household products, with 54.5%. Tranquilizers (46.4%) and dairy products (37%) dominated the drug and food poisoning categories. Immediate outcome was fatal in 3% of cases, and three quarters of these deaths occurred during drug poisoning of children aged 1 to 4 years. The mean hospital stay was 2 days, and ranged from 0 to 9 days. Health officials, the media, and community outreach must all help to increase awareness about the dangers of poisoning and of preventive measures.

  2. Instantaneous death due to transorbital reverse penetration of a screw in an accidental fall: unusual autopsy case report and review of the literature.

    Science.gov (United States)

    Gioia, Sara; Bacci, Mauro; Lancia, Massimo; Carlini, Luigi; Suadoni, Fabio

    2014-03-01

    We present a peculiar autopsy case of a transorbital penetrating head injury, in a male worker, after an accidental fall onto a screw not completely stuck into a wooden board. A 13-cm screw entered the cranium 9.5 cm deep, penetrating with the flat end, a condition defined in literature as "reverse penetration." The death was instantaneous and caused by a neurogenic shock due to injuries to the brain stem and the right cerebellar hemisphere. These injuries, enabled by the length of the screw, are generally described in literature as due to nontransorbital penetrations, frequently associated with posterior entry and a large intracranial injury. The ocular globe has been, furthermore, perfectly preserved thanks to its mobility in the orbit. Even the dynamic of the incident is peculiar because of the stationary nature of the penetrating object, which the victim actively fell on by accident. To the best of our knowledge, the matter is therefore a very peculiar mortal case of transorbital intracranial penetration, whose verified injuries and dynamics are absolutely atypical. The case is now under discussion, and a review of pertinent literature is performed.

  3. Modelling of the tritium dispersion from postulated accidental release of nuclear power plants; Modelagem da dispersao de tritio a partir de liberacoes acidentais postuladas de centrais nucleares

    Energy Technology Data Exchange (ETDEWEB)

    Soares, Abner Duarte; Simoes Filho, Francisco Fernando Lamego; Cunha, Tatiana Santos da [Instituto de Engenharia Nuclear (IEN/CNEN-RJ), Rio de Janeiro, RJ (Brazil); Aguiar, Andre Silva de; Lapa, Celso Marcelo Franklin, E-mail: asoares@cnen.gov.b, E-mail: flamego@ien.gov.b, E-mail: lapa@ien.gov.b [Instituto de Engenharia Nuclear (IEN/CNEN-RJ), Rio de Janeiro, RJ (Brazil)

    2011-07-01

    This study has the aim to assess the impact of accidental release of tritium postulate from a nuclear power reactor through environmental modeling of aquatic resources. In order to do that it was used computational models to simulation of tritium dispersion caused by an accident in a Candu reactor located in the ongoing Angra 3 site. The Candu reactor is one that uses heavy water (D{sub 2}O) as moderator and coolant of the core. It was postulated, then, the LOCA accident (without fusion), where was lost 66 m3 of soda almost instantaneously. This inventory contained 35 P Bq and was released a load of 9.7 TBq/s in liquid form near the Itaorna beach, Angra dos Reis - RJ. The models mentioned above were applied in two scenarios (plant stopped or operating) and showed a tritium plume with specific activities larger than the reference level for seawater (1.1 MBq/m{sup 3}) during the first 14 days after the accident. (author)

  4. Study of applying the Atmospheric Release Advisory Capability to nuclear power plants. [Use of ARAC to forecast hazards of accidental release of radionuclides to the atmosphere

    Energy Technology Data Exchange (ETDEWEB)

    Orphan, R.C.

    1978-06-01

    Each utility licensee for a nuclear power reactor is required to minimize the adverse effects from an accidental radionuclide release into the atmosphere. In the past the ability to forecast quantitatively the extent of the hazard from such a release has been limited. Now powerful atmospheric modeling techniques are available to assist nuclear reactor site officials with greatly improved assessments. Lawrence Livermore Laboratory (LLL) has developed a prototype system called the Atmospheric Release Advisory Capability (ARAC) which is designed to integrate the modeling with advanced sensors, data handling techniques, and weather data in order to provide timely, usable advisories to the site officials. The purpose of this project is to examine the ways and means of adapting ARAC for application to many nuclear power reactors widely dispersed across the nation. The project will emphasize the management aspects, including government-industry relationships, technology transfer, organizational structure, staffing, implementing procedures, and costs. Benefits and costs for several alternative systems will be compared. The results will be reviewed and evaluated by the management and staff of the ARAC project at LLL and also by selected staff members of the sponsoring government agency.

  5. The Prevalence of Accidental Needle Stick Injury and their Reporting among Healthcare Workers in Orthopaedic Wards in General Hospital Melaka, Malaysia

    Directory of Open Access Journals (Sweden)

    Bhardwaj A

    2014-07-01

    Full Text Available Accidental needle-stick injuries (NSIs are a hazard for health-care workers and general public health. Orthopaedic surgeons may be more prone to NSIs due to the prevalence of bone spikes in the operative field and the use of sharp orthopaedic instruments such as drills, saws and wires. A hospital-based cross sectional study was conducted in the orthopedic wards of Melaka General Hospital. The prevalence of NSIs was 32 (20.9% and majority of it occurred during assisting in operation theatre 13(37.4%. Among them six (18.8% were specialist, 12(37.5% medical officer, 10 (31.2% house officer and four staff nurses (12.5%. Among the respondents 142 (92.8% had been immunized against Hepatitis B and 148 (96.7% participants had knowledge regarding universal precaution. The incidence of NSI among health care workers at orthopaedics ward was not any higher in comparison with the similar studies and it was found out that the prevalence was more in junior doctors compared with specialist and staff nurses and it was statistically significant.

  6. Unraveling the association between SSRI use and falls: an experimental study of risk factors for accidental falls in long-term paroxetine users.

    Science.gov (United States)

    Hegeman, Judith; van den Bemt, Bart; Weerdesteyn, Vivian; Nienhuis, Bart; van Limbeek, Jacques; Duysens, Jacques

    2011-01-01

    Selective serotonin reuptake inhibitors (SSRIs) are widely used to treat depression and are also associated with an increased falls risk. However, the biological mechanism underlying accidental falls with SSRI intake has yet to be elucidated. The present experimental study was designed to investigate whether obstacle avoidance skills in long-term (>90 days), senior paroxetine users (61 ± 5.8 years) are affected during gait, simple and challenging postural balance tasks, as well as during manual reaction time tasks. The performance of the paroxetine users was compared with healthy group-matched controls (60 ± 4.8 years). The results demonstrated impaired postural balance in the paroxetine users, especially during one-legged stance or under various dual-task conditions. Although the deficit in one-legged stance could indicate vestibular involvement, this was deemed unlikely because performance of standing on compliant surface with closed eyes remained unaffected. Paroxetine use also failed to affect manual reaction times or obstacle avoidance performance. It is suggested that paroxetine affects attentional capacities particularly in conjunction with balance control. Compared with healthy seniors, long-term senior users of paroxetine seem to be at an increased risk of falling due to impairments in balance control, especially when attention has to be divided between 2 concurrent activities.

  7. Effect of wet-cold weather transportation conditions on thermoregulation and the development of accidental hypothermia in pullets under tropical conditions.

    Science.gov (United States)

    Minka, Ndazo S; Ayo, Joseph O

    2016-03-01

    The present study examines onboard thermal microclimatic conditions and thermoregulation of pullets exposed to accidental hypothermia during wet-cold weather transportation conditions, and the effect of rewarming on colonic temperature (CT) of the birds immediately after transportation. A total of 2200 pullets were transportation for 5 h in two separate vehicles during the nighttime. The last 3 h of the transportation period was characterized by heavy rainfall. During the precipitation period, each vehicle was covered one fourth way from the top-roof with a tarpaulin. The onboard thermal conditions inside the vehicles during transportation, which comprised ambient temperature and relative humidity were recorded, while humidity ratio and specific enthalpy were calculated. The CT of the birds was recorded before and after transportation. During transportation, onboard thermal heterogeneity was observed inside the vehicles with higher (p transported pullets under tropical conditions and a successful rewarming outcome. In conclusion, transportation of pullets during wet weather at onboard temperature of 18-20 °C induced hypothermia on birds located at the air inlets, which recovered fully after several hours of gradual rewarming.

  8. Social representations of needlestick injuries Representaciones Sociales de los accidentes con materiales corto-punzantes Representações sociais dos acidentes com materiais perfurocortantes

    Directory of Open Access Journals (Sweden)

    Juliana Almeida Marques Lubenow

    2012-12-01

    Full Text Available OBJECTIVES: understand the Social Representations about needlestick injuries elaborated by Nursing Technicians and analyze how these representations influence their conducts. METHOD: the data, obtained by interviews, were processed using ALCESTE software and their analysis was based on Serge Moscovici's Social Representations Theory. RESULTS: it was evidenced that, after the accident, these professionals take care of the affected area. Then, they report the accident, motivated by the fear of catching HIV and hepatitis. The different feelings experienced are due to this fear and the way they were forwarded by the institution, reflecting in the cause they attribute to their accident. CONCLUSIONS: it was verified that knowledge about the accident as a whole is very incipient in this professional group, demanding continuing education and greater emphasis on this subject in professional training. It is expected that this study draws public authorities and health institutions' attention to the problem and that it modifies Nursing Technicians' Social Representations about percutaneous exposure.OBJETIVOS: Comprender las Representaciones Sociales de los accidentes con materiales corto-punzantes, elaboradas por Técnicos de Enfermería, así como analizar de que modo esas representaciones influencian las conductas de eses profesionales. MÉTODO: Los datos, logrados por medio de entrevistas, fueron procesados por el software ALCESTE y el análisis de los mismos fue basado en la Teoría de las Representaciones Sociales de Serge Moscovici. RESULTADOS: se evidenció que, después de accidentarse, los Técnicos de Enfermería cuidan del área afectada. Enseguida, notifican el accidente, motivados por el miedo de que contraigan HIV y hepatitis. Los diversos sentimientos vividos son consecuentes de ese miedo y de la manera como fueron encaminados por la institución, reflejando en la causa que ellos atribuyen a su accidente. CONCLUSIONES: se constató que hay un

  9. Newspaper: Files. Radiotherapy and accidental radiation protection. Scientific management between I.G.R. and I.P.S.N; Presse dossiers. Radiotherapie et radioprotection accidentelle. Partenariat scientifique entre l'IGR et l'IPSN

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-02-01

    The Gustave-Roussy Institute (I.G.R.), the biggest european center of cancer treatment, and the Institute of Protection and Nuclear Safety (I.P.S.N.) that lead important researches and expertise in accidental radiation protection have established an agreement for a research program for six years. The objective is to speed up the researches in radio-pathology and radiobiology to improve the techniques used to treat the irradiated persons, for therapeutic or accidental reasons. Three principal themes have been chosen as starting point: Diagnosis and prognosis bio-indicators of irradiation effects on the digestive system, biological dosimetry and long term effects of a high dose irradiation. New themes will be tackled in function of the results or new needs. (N.C.)

  10. Commitment of involved actors in the preparation of accidental and post-accident situations: European experiments; Engagement des parties prenantes a la preparation aux situations accidentelles et post-accidentelles: experiences Europeennes

    Energy Technology Data Exchange (ETDEWEB)

    Schneider, Th. [CEPN, 28 rue de la Redoute, 92260 Fontenay-aux-Roses (France)

    2010-07-01

    The author briefly describes some approaches developed within the EURANOS European research programme between 2004 and 2009 which aims at promoting the building up of a European network (NERIS) for the management of nuclear accidental and post-accident situations. Notably, he comments the experiment which took place in the Montbeliard district where two types of radiological events have been modelled and simulated: an accident in the Fessenheim nuclear power plant with two scenarios of release, and a transportation accident with a release of radioactive caesium 137. He also evokes the Norwegian experience and some other actions in Finland, Great-Britain, Spain and Slovakia where reflections on the management of accidental and post-accident situations or crisis exercises have been organized

  11. Accidentes percutáneos con riesgo biológico, producidos por dispositivos de seguridad en la Comunidad de Madrid Percutaneous injuries with biological risk caused by security devices in Madrid Community

    Directory of Open Access Journals (Sweden)

    María Clemente Yélamos

    2012-06-01

    Full Text Available Desde la implantación en 2006, de procedimientos seguros y un Sistema de Vigilancia de Accidentes Biológicos en el ámbito sanitario de la Comunidad de Madrid, se viene observando un aumento de los accidentes percutáneos relacionados con la utilización de Dispositivos de Seguridad. Con la finalidad de estudiar los factores contribuyentes a la producción de accidentes con estos nuevos dispositivos, se realiza un estudio descriptivo longitudinal prospectivo de los accidentes notificados a lo largo de 6 meses (2010-2011. Se incluyen 378 accidentes, el 86% afectó a mujeres, siendo la tasa de incidencia en enfermería de 14,3 y entre facultativos de 3,1 (accidentes por mil. Las agujas subcutáneas fueron las más implicadas (25,7%. En el 6,6% de los accidentes se había inactivado intencionadamente su mecanismo de seguridad y solo un 2,6% podría imputarse a un fallo del dispositivo. Entre los factores externos que han podido contribuir destacan "apremio de tiempo/ritmo de trabajo elevado" (46,5% y "realizar la maniobra con posturas incómodas" (31,5%. Las intervenciones para prevenir Accidentes Biológicos deben ser específicas para cada categoría profesional y área de trabajo. Se debe seguir apostando por la introducción de Dispositivos de Seguridad, identificar los factores contribuyentes e implementar acciones individualizadas que minimicen los riesgos.Since the implementation in 2006 of security procedures and a surveillance system of biological accidents in Madrid public health services, an increase of percutaneus accidents related to the use of safety devices has been observed. With the purpose of studying the external factors to the production of accidents with these new devices, there is realized a prospective, longitudinal and descriptive study of the accidents happened throughout six months (2010-2011. 378 accidents are included, 86% happened in women, the incidence rate being 14.3 accidents per thousand in nurses, and 3.1 in

  12. Discusión jurisprudencial sobre el dolo eventual y la culpa con representación en delitos de homicidio ocasionados en accidentes de tránsito

    Directory of Open Access Journals (Sweden)

    Nydia Díaz Pérez

    2010-01-01

    Full Text Available El presente artículo es un reporte de caso que se realizó con base en el estudio de la sentencia del Tribunal Superior del Distrito Judicial de Bogotá –Sala Penal– proferida el 28 de julio de 2009, en la que se modifica la calificación de la conducta, de homicidio culposo a título de dolo eventual en un accidente de tránsito.

  13. Manual de procedimientos de investigación de sucesos de aviación, para el grupo de investigación de accidentes de la aeronáutica civil de Colombia

    Directory of Open Access Journals (Sweden)

    Angélica Montoya Murillo

    2010-01-01

    Como estrategia evaluativa del trabajo mismo en su fase de desarrollo, se efectuaron capacitaciones al Grupo de Investigaci.n de Accidentes de la Unidad Administrativa Especial Aeronáutica Civil, para la utilización del manual. Los resultados de la misma fueron analizados con el fin de sacar unas conclusiones y recomendaciones, las cuales corroboran la importancia de la implementación del presente manual por parte de los integrantes del Grupo.

  14. Report on the days on 'population protection and land management in a nuclear emergency and post-accidental situation'; Compte rendu des journees -protection des populations et gestion des territoires en situation d'urgence nucleaire et post-accidentelle-

    Energy Technology Data Exchange (ETDEWEB)

    Chambrette, V.; Foulquier, L. [Institut de Radioprotection et de Surete Nucleaire - IRSN, 92 - Clamart (France)

    2010-10-15

    This document proposes a synthesis of interventions and contributions proposed during two days about the issues of protection of population and land management in a nuclear emergency and post-accidental situation. The four sessions dealt with the following issues: 1. protection challenges and doctrine; 2. lessons learnt from exercises and actual situations; 3. for a better preparedness to post-accidental management; 4. society facing a nuclear crisis

  15. INFLUENCIA DE LAS CARACTERÍSTICAS INDIVIDUALES Y DE LAS CONDICIONES LABORALES EN LA GRAVEDAD DE LAS LESIONES POR ACCIDENTE DE TRABAJO REGISTRADAS EN ANDALUCÍA EN 2003

    Directory of Open Access Journals (Sweden)

    Julia Bolívar Muñoz

    2009-01-01

    Full Text Available Fundamento. El estudio de la gravedad de las lesiones por accidente de trabajo es clave para el establecimiento de planes de prevención. El objetivo de este trabajo es conocer la distribución de las lesiones registradas por accidente de trabajo con baja según: a las características del trabajador/ora; b las del centro de trabajo y; c las condiciones de empleo y del puesto de trabajo; y analizar la gravedad de las lesiones registradas según estas características en hombres y mujeres en Andalucía. Métodos. Se utilizaron los datos del registro de lesiones por accidente de trabajo con incapacidad laboral durante 2003 en Andalucía. Variable dependiente: grado real de la lesión; variables independientes: las características del/a trabajador/a, de la empresa y las del propio accidente. Se realizó un análisis bivariante y multivariante para estimar la probabilidad de lesión grave, muy grave o mortal asociada al resto de variables mediante la razón de odds (OR y su intervalo de confianza. Resultados. El 82,4% de las lesiones se produjeron en hombres y el 17,6% en mujeres, de las cuales el 78,1% eran trabajadoras manuales no cualificadas, frente al 44,9% de los hombres. En hombres de clase I se encontró una probabilidad mayor de presentar lesiones más graves (OR = 1,67; IC 95% = 1,17-2,38. Conclusiones. La gravedad de las lesiones se relaciona con el sexo, la edad y el tipo de lesión. En los hombres también se asocia con la situación profesional, la clase social, el lugar del accidente, la plantilla del centro y el realizar un trabajo que no es el suyo y en las mujeres con el sector de actividad.

  16. Infección por Hepatitis No A / No B posterior a accidente biológico en personal de enfermería: a propósito de un caso

    Directory of Open Access Journals (Sweden)

    Alexander Finol Muñoz

    2014-09-01

    Full Text Available Los accidentes por exposición percutánea, suponen aproximadamente un tercio de los accidentes laborales de los trabajadores de salud. Por categorías profesionales, la enfermería presenta la mayor frecuencia. Los agentes más importantes por su frecuencia y perjuicio son: el VHB, VIH y VHC. En la década de los 60 y 70, los científicos desarrollaron análisis de sangre para identificar hepatitis B (1963 y hepatitis A (1973, pero muchas de las muestras de sangre tomadas para detectar enfermedades producidas tras las transfusiones resultaron negativas tanto para hepatitis A como la hepatitis B. Caso Clínico: Mujer, 27 años de edad, profesional de enfermería en área de Medicina Interna, sufre accidente laboral tipo pinchazo con abbocath durante jornada del día 23/11/1989. Se realiza revisión de historia del paciente fuente y las respectivas pruebas confirmatorias, sin encontrarse datos de enfermedades transmisibles. Así mismo las analíticas realizadas en el enfermo y en la trabajadora resultaron negativos los marcadores virales para Hepatitis. 15 días posteriores, presenta clínica sugestiva de hepatitis. Se realiza analítica y seriado de enzimas hepáticas, evidenciándose hipertransaminemia y serología para hepatitis A y B negativos. Se inicia tratamiento médico; con buena evolución clínica y de laboratorio es dada de alta. Posteriormente en 1996, se realiza reconocimiento médico laboral, encontrándose positividad para VHC. En 2004 por antecedentes de accidente biológico, se localiza el paciente fuente, repitiéndose el control serológico, resultando positivo para el mismo virus, pudiendo ahora ser declarado como accidente laboral y enfermedad profesional, por demostrarse la relación entre paciente fuente y la trabajadora.

  17. 由筷子引发的意外损伤致死案分析%Accidental Death from One Wood Chopstick Stabbing into Tibial Artery

    Institute of Scientific and Technical Information of China (English)

    刘超; 黄健炳

    2016-01-01

    In actual criminal investigation, forensic professionals are required to not only determine the cause of death of the victim(s) but also figure out the manner of death or injury, the tool causing the death or injury and concretization of the scene. This article reports a case that a male was found dead on road. The autopsy examination indicated that the victim’s death was caused by a severe hemorrhage that had been led from an injury of the left anterior tibial artery. Taken together the scene investigation and biological examination, the victim was inferred to die from an accidental injury resulted by a chopstick stabbing into his left anterior tibial artery with an unusually special body position.%在刑侦工作中,法医工作者不仅需要对死亡原因作出判定,而且还需对死亡或致伤方式、致死(伤)工具以及案件现场重建等进行分析和推断。本文报道一起案例,某公路发现一具男性尸体,尸检提示其因外伤致左胫前动脉破裂引起失血性休克而死亡。通过现场勘查及物证检验,推断其死亡是因意外形成特殊体位而恰由一支筷子刺穿其左胫前动脉导致大出血所造成。

  18. The use of safety management systems to avoid accidents at the work; El uso de sistemas de administracion de seguridad para evitar accidentes en el trabajo

    Energy Technology Data Exchange (ETDEWEB)

    Rios Garcia, Jose Manuel [Instituto de Investigaciones Electricas, Temixco, Morelos (Mexico)

    2000-07-01

    In accordance with a study of the International Organization of Work (OIT), to the year around 250 million labor accidents occur, most of them in non-developed or developing countries, and a smaller percentage occurs in the industrialized countries. Analyzing the reason for that difference, it is possible to say that it is mainly due to the fact that in developed countries a greater conscience for the safety has been taken, as much for the personnel as for the facilities within the company, and have developed what is known as the management of the safety systems (SAS), where the safety task no longer corresponds only to the safety department but to the entire personnel, from the direction to the last one of the workers. [Spanish] De acuerdo con un estudio de la Organizacion Internacional del Trabajo (OIT), al ano se producen alrededor de 250 millones de accidentes laborales. La mayoria de ellos se presentan en los paises no desarrollados o en vias de desarrollo, y un porcentaje menor se da en los paises industrializados. Analizando el porque de esa diferencia, se puede decir que se debe principalmente a que en los paises desarrollados se ha tomado una mayor conciencia por la seguridad, tanto del personal como de las instalaciones, dentro de las empresas y han desarrollado lo que se conoce como los sistemas de administracion de seguridad (SAS), en donde la tarea de seguridad ya no solo corresponde al departamento de seguridad si no a todo el personal, desde la direccion hasta el ultimo de los trabajadores.

  19. Muertes por intoxicación accidental aguda por alcohol y drogas de abuso en Costa Rica entre 2006 y 2010

    Directory of Open Access Journals (Sweden)

    Maikel Vargas Sanabria

    2011-09-01

    Full Text Available En este artículo se presenta el análisis de 15642 autopsias realizadas en el Departamento de Medicina Legal de Costa Rica entre los años 2006 a 2010, de las cuales se extrajeron aquellas cuya causa de muerte fue una intoxicación accidental (sobredosis por alcohol o drogas de abuso. Se encontraron 210 casos que arrojaron el siguiente perfil de las víctimas: sexo masculino, edad entre 30 y 59 años, habitante de Guanacaste o San José, que fallece los fines de semana o a fin y principio de año, de una intoxicación aguda por alcohol si es costarricense o nicaragüense ó de una intoxicación por cocaína o heroína si se trata de un norteamericano o europeo. Asimismo se demostró que en el período en estudio ha habido un aumento significativo de la tasa de mortalidad por esta causa.In this paper we have analized all autopsies made by the Departamento de Medicina Legal de Costa Rica (a total of 15642 during the period between years 2006 and 2010. We extracted all acute intoxications by ethylic alcohol o abuse drugs (overdoses. The most common profile of the victims was: male, age between 30 and 59, deaths occurred predominantly during weekends, in the months of January and December, in the provinces of Guanacaste and San José. If the victim was costarrician or Nicaraguan the cause of death was ethylic acute intoxication. If the victim was American or European the cause of death was acute drug intoxication (overdose by cocaine or heroin. Also, we found that the recent mortality rates by overdoses have been growing.

  20. APLICACIÓN DE UN MÉTODO PARA EL ANÁLISIS DE LAS REDES SEMÁNTICAS EN PACIENTES QUE SUFRIERON UN ACCIDENTE CEREBRO VASCULAR

    Directory of Open Access Journals (Sweden)

    LETICIA YANINA VIVAS

    2010-01-01

    Full Text Available Se presenta la aplicación de un método de estimación de distancias semánticas, denominado DISTSEM, en pacientes que sufrieron un Accidente Cerebro Vascular (ACV. Este método se basa en la Teoría de Propagación de la Activación (Collins & Loftus, 1975 y permite obtener la configuración de una red de conceptos en fun ción de la estimación de distancias semánticas realizada entre pares de palabras. Se informan los resultados de la administración a 30 pacientes con ACV y a un grupo control de 30 sujetos. Se analizaron cuali y cuantitativamente los patrones hallados en los pacientes y se compararon con los del otro grupo. Los resultados ponen de manifiesto que algunos pacientes luego de sufrir un ACV realizan estimaciones de proximidad entre conceptos, distintas a las esperables de acuerdo al desempeño del grupo control. Las respuestas no fueron homogéneas. Se hallaron sujetos que establecieron escasas asociaciones entre los pares de palabras. También se hallaron sujetos que encontraron más vin culaciones que el grupo control, incluso encontrando similitudes en aquellos pares que no tenían vinculación semántica y que utilizaron justificaciones para realizar sus estimaciones, que no se corresponden con categorías semánticas sino que se basan principalmente en la funcionalidad. La lectura de estos resultados a la luz de la Teoría de Propagación de la Activación indica que dichos pacientes tienden a fallar en el proceso de búsqueda dentro de la red, particularmente en la regulación de la propagación de la activación que es necesaria para realizar la tarea.