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Sample records for accidentes por mordeduras

  1. Accidentes por mordedura canina, casos registrados en un hospital de niños de Lima, Perú 1995 - 2009 Dog bite accidents in a children hospital at Lima, Peru. Retrospective study from 1995 - 2009

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    Carmen Morales

    2011-12-01

    Full Text Available Entre 1995 a 2009 se registraron 206 hospitalizaciones en el Instituto Nacional de Salud del Niño debido a accidentes por mordedura canina. La mediana de edad de los pacientes fue cuatro años y para los días de hospitalización tres. El 61,7 % fueron varones. Los accidentes ocurrieron en el domicilio de una tercera persona (39,3 %, en vía pública (33,5 % y en el domicilio del agredido (27,2 %. El 66,5 % de los episodios fueron precedidos por un estímulo del niño y el 88,8 % causado por animales reconocidos por los lesionados. El 34,0 % reconoció la raza del animal (52,9 % animales cruzados. El 79,1 % fueron lesiones múltiples y la región anatómica más afectada fueron la cabeza y cuello (79,1 %. Se registraron complicaciones en un 20,4 % y secuelas estéticas en el 94,7 %. Las mordeduras caninas afectan la salud física de los niños.From 1995 to 2009, 206 cases of dog bites were recorded among hospitalized patients at the Children National Health of, Lima-Peru. The median of age was 4 years, and for hospitalization time was 3 days. Most patients were males (61.7 %. The bites occurred in the house of a third person (39.3 %, on the street (33.5 %, or in the victim’s house (27.2 %. A 66.5 % of the bites were provoked and 88.8 % were from animals known to the victim. The dog breed was recognized in 34 % (52.9 % were mongrel dogs. Multiple lesions were identified in 79.1 %, and the most frequently bitten areas were head and neck (79.1 %. Complications were reported in 20.4 % and aesthetic sequelae in 94.7 %.

  2. Insuficiencia renal aguda inducida por mordedura de serpiente Bothrops

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    Gustavo A. Aroca Martínez

    2014-01-01

    Full Text Available Mujer de 58 años de edad, remitida a urgencias por presentar cuadro clínico de insuficiencia renal aguda (IRA secundaria a mordedura de serpiente (Bothrops Atrox. Ingresa hipotensa con elevación de azoados e hiperkalemia, ecografía renal dentro de parámetros normales. Se maneja terapia dialítica con lo cual presenta mejoría clínica. En este reporte se detallan aspectos del diagnóstico, manejo clínico y posibles mecanismos fisiopatológicos que explican el daño renal.

  3. Envenenamiento en niños por mordedura de la araña "Latrodectus Mactans" (Viuda Negra): Características clínicas y tratamiento

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    Sotelo-Cruz, Norberto; Hurtado-Valenzuela, Jaime Gabriel; Gómez-Rivera, Norberto

    2006-01-01

    Introducción: El envenenamiento por mordedura de araña "viuda negra" es poco frecuente en edades pediátricas sin embargo no está exento de complicaciones y si no se trata a tiempo puede causar la muerte. En México se desconoce el número exacto de estos accidentes. Objetivo: Identificar los signos y síntomas característicos, evolución y tratamiento de los niños atendidos por morderua de araña en el Hospital Infantil del Estado de Sonora, con el propósito de establecer el tratamiento oportuno. ...

  4. ASPECTOS TOXINOLÓGICOS Y CLÍNICOS DE LA MORDEDURA POR SERPIENTES VENENOSAS EN ANIMALES DOMÉSTICOS

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    Rodríguez D. P.; Soler D.

    2006-01-01

    Las mordeduras por serpientes venenosas en animales domésticos en Colombia son muy poco reportadas, y su principal causa es la invasión de los hábitats naturales por parte del hombre. Las serpientes venenosas se caracterizan por tener el órgano de Jacobson, la lengua bífida, las fosas termorreceptoras y las glándulas productoras de veneno con cuatro diferentes tipos de colmillos inoculadores. En Colombia se encuentran dos familias, Viperidae y Elapidae, con siete y cuatro géneros, respectivam...

  5. Manejo quirúrgico urgente de heridas faciales por mordedura humana Urgent surgical management of facial human bite wounds

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    A. Fernández García

    2011-09-01

    Full Text Available Las heridas por mordedura pueden generar algunas dificultades quirúrgicas en su manejo inicial debido a su especial predisposición a las complicaciones sépticas y la importante destrucción tisular frecuentemente asociada. Sin embargo, es importante su reparación inmediata, especialmente en el caso de amputaciones y colgajos por avulsión. Las mordeduras humanas se hallan envueltas además en consideraciones psicológicas que incrementan la dificultad del tratamiento debido a las espectativas estéticas de los pacientes que las sufren. Este trabajo analiza 7 casos de mordedura facial humana desde los puntos de vista epidemiológico y clínico. Presentamos y discutimos el uso de los tejidos amputados como fuente de injertos de piel, injertos condrales y el papel de los colgajos locales en dos tiempos en la cirugía de urgencia de estas lesiones.Bite wounds can create several surgical difficulties in their initial management due to the special facility for infectious complications and the frequent association with extensive tissue damage. However, the immediate repair its desirable, mainly in amputations and flap avulsions. The human bite wounds are also involved by psychological considerations that increase the difficulty of the treatment due to patient´s aesthetic expectations. This article analyzes 7 cases of facial human bites under the epidemiological and clinical points of view. The use of the amputated tissues to obtain skin grafts, condral grafts, and the role of local two stage flaps in the emergency surgery of these wounds are exposed and discussed.

  6. ASPECTOS TOXINOLÓGICOS Y CLÍNICOS DE LA MORDEDURA POR SERPIENTES VENENOSAS EN ANIMALES DOMÉSTICOS

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    D. Soler

    2006-01-01

    Full Text Available Las mordeduras por serpientes venenosas en animales domésticos en Colombia son muy poco reportadas, y su principal causa es la invasión de los hábitats naturales por parte del hombre. Las serpientes venenosas se caracterizan por tener el órgano de Jacobson, la lengua bída, las fosas termorreceptoras y las glándulas productoras de veneno con cuatro diferentes tipos de colmillos inoculadores. En Colombia se encuentran dos familias, Viperidae y Elapidae, con siete y cuatro géneros, respectivamente. Los componentes y mecanismos de acción de los venenos (toxinas son muy variados, donde se encuentran componentes no proteicos (inorgánicos y orgánicos y proteicos, con acción necrotizante, coagulante o hemorrágica. Su mordedura causa efectos locales y sistémicos, con diversas secuelas, además de una variedad de disturbios hematológicos y bioquímicos, los cuales en la mayoría de los casos llevan a la muerte. Los hallazgos postmortem macroscópicos y microscópicos son característicos. Su diagnóstico depende de la historia y los signos clínicos; y su tratamiento se basa en controlar los efectos de las toxinas y en brindar un soporte hemodinámico al paciente mientras las toxinas son eliminadas del organismo.

  7. ASPECTOS TOXINOLÓGICOS Y CLÍNICOS DE LA MORDEDURA POR SERPIENTES VENENOSAS EN ANIMALES DOMÉSTICOS

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    Rodríguez D. P.

    2006-11-01

    Full Text Available Las mordeduras por serpientes venenosas en animales domésticos en Colombia son muy poco reportadas, y su principal causa es la invasión de los hábitats naturales por parte del hombre. Las serpientes venenosas se caracterizan por tener el órgano de Jacobson, la lengua bífida, las fosas termorreceptoras y las glándulas productoras de veneno con cuatro diferentes tipos de colmillos inoculadores. En Colombia se encuentran dos familias, Viperidae y Elapidae, con siete y cuatro géneros, respectivamente. Los componentes y mecanismos de acción de los venenos (toxinas son muy variados, donde se encuentran componentes no proteicos (inorgánicos y orgánicos y proteicos, con acción necrotizante, coagulante o hemorrágica. Su mordedura causa efectos locales y sistémicos, con diversas secuelas, además de una variedad de disturbios hematológicos y bioquímicos, los cuales en la mayoría de los casos llevan a la muerte. Los hallazgos postmortem macroscópicos y microscópicos son característicos. Su diagnóstico depende de la historia y los signos clínicos; y su tratamiento se basa en controlar los efectos de las toxinas y en brindar un soporte hemodinámico al paciente mientras las toxinas son eliminadas del organismo.

  8. Mortalidad intrahospitalaria por accidente cerebrovascular

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    Federico Rodríguez Lucci; Virginia Pujol Lereis; Sebastián Ameriso; Guillermo Povedano; María F. Díaz; Alejandro Hlavnicka; Néstor A. Wainsztein; Sebastián F. Ameriso

    2013-01-01

    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 Str...

  9. Aspectos toxinológicos y clínicos de la mordedura por serpientes venenosas en animales domésticos

    OpenAIRE

    Soler, D.; Rodríguez, D. P.

    2010-01-01

    Las mordeduras por serpientes venenosas en animales domésticos en Colombia son muy poco reportadas, y su principal causa es la invasión de los hábitats naturales por parte del hombre. Las serpientes venenosas se caracterizan por tener el órgano de Jacobson, la lengua bífida, las fosas termorreceptoras y las glándulas productoras de veneno con cuatro diferentes tipos de colmillos inoculadores. En Colombia se encuentran dos familias, Viperidae y Elapidae, con siete y cuatro géneros, respectivam...

  10. Mortalidad intrahospitalaria por accidente cerebrovascular

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    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.

  11. SÍNDROME NEUROTÓXICO POR MORDEDURA DE Latrodectus mactans: REPORTE DE UN CASO PEDIÁTRICO Y REVISIÓN DE LITERATURA.

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    Oscar Alberto Castejón Cruz

    2015-06-01

    Full Text Available Lactrodectismo es un síndrome producido por mordedura de araña del género Latrodectus, el agente conocido como “Viuda Negra”. La incidencia es de 400 casos por año y su mortalidad de 1%. Siendo este el primer caso pediátrico reportado en Honduras. Caso Clínico: Escolar de 9 años, visita el área de Emergencia con 6 horas de evolución de mordedura de araña en mano derecha, ardor, dolor, enrojecimiento en sitio de la lesión, mialgias, artralgias, temblor fino y debilidad a la deambulación con disminución notable de la fuerza. Al evaluarlo taquicárdico, hipertenso con signos de agitación psicomotriz, diaforesis, edema bipalpebral, distensión abdominal y priapismo. Manejándose como un caso grave y egresado sin complicación alguna. Conclusiones: Este caso debe servir como guía para lograr un diagnóstico rápido, de tal manera que el diagnóstico de lactrodectismo sea considerado en los hospitales de manera oportuna. Palabras Clave: Araña viuda negra, picadura de araña, pediatría.

  12. Epidemiología de las lesiones por mordedura de perro en Tierra del Fuego, Argentina Epidemiology of dog bite lesions in Tierra del Fuego, Argentina

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    Fabián Zanini

    2008-02-01

    Full Text Available La convivencia del hombre y el perro ha resultado en beneficios mutuos durante miles de años, si bien en el último tiempo han surgido una serie de inconvenientes donde las lesiones por mordeduras ocupan un lugar destacado. El objetivo del presente trabajo fue describir las características epidemiológicas de las lesiones por mordedura de perro ocurridas a lo largo de un año en Tierra del Fuego. Se realizó un estudio observacional descriptivo, transversal, de los pacientes que ingresaron con lesiones por mordedura de perro al Servicio de Guardia Clínica y Pediátrica de los Hospitales y Centros de Salud desde el 1/3/05 hasta el 1/3/06. Se confeccionaron 382 planillas. El 49.5% fueron niños resultando más afectado el grupo de 5-9 años (44.4%; IC95% 37.2-51.8. En adultos correspondió al grupo de 15-24 años (29.5%; IC95% 23.2-36.5. Se registraron más lesiones en varones (57.6% que en mujeres (42.4% (x² = 8.6, p= 0.003. En los meses primavera y verano se registró el 56.5% de las lesiones, en la vía pública el 72.8% de ellas. Los perros de tamaño grande causaron el 49.7% (IC95% 44.6-54.9 de las lesiones. El 89.8% de los ataques fueron causados por perros ajenos. El 55.8% (IC95% 50.6-60.8 se registró en miembros inferiores y el 11% (IC95% 8.1-14.7 en cabeza y cuello. Los datos obtenidos demuestran que en Tierra del Fuego las lesiones por mordedura de perro afectan en forma permanente la salud e impactan en la calidad de vida de la población.The coexistence between man and dog has resulted in mutual benefits during thousands of years, nevertheless some problems have recently arisen where bite injuries have an important role. The aim of this work was to describe the epidemiological characteristics of dog bite lesions which occurred during a year in Tierra del Fuego. A descriptive observational, transversal study of patients who were admitted with dog bite injuries to clinic and pediatric emergency services of hospitals and health

  13. Aspectos epidemiológicos sobre mordeduras caninas durante el año 2011 en la ciudad de Temuco, Chile.

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    Waldo Armstrong,

    2016-03-01

    Full Text Available Los accidentes causados por mordeduras de perros y gatos son un problema de salud pública y concretamente las mordeduras de perro constituyen el riesgo más grave que estos animales suponen para la salud de las personas. A los costes económicos derivados del tratamiento de las lesiones físicas debemos añadir las secuelas psicológicas que muchas veces aparecen tras las agresiones. La prevención es el único camino para resolver este problema y puede efectuarse mejor cuando se conocen los diversos factores involucrados en la génesis de este tipo de accidentedebido a lo anterior el objetivo del estudio fue describir las características epidemiológicas asociadas a las personas mordidas por perros. La metodología utilizada para la recolección de datos fue la aplicación de una encuesta a 9 centros asistenciales de la ciudad de Temuco. Se solicitó información sobre pacientes atendidos por mordeduras caninas durante el año 2011 y los datos recolectados se ingresaron en una planilla de cálculos. Los resultados indican que niños y adultos presentan 52% de las mordeduras durante el año. Los hombres presentan una mayor incidencia con un 47% a diferencia de las mujeres con un 44%. Con respecto a la región corporal afectada los miembros superiores alcanzan un 25% de frecuencia ante el ataque y los miembros inferiores un 31.3%. Por otra parte, las mordeduras por perros presentaron una marcada estacionalidad en los meses de verano con un 30% de casos. Se concluye que las mordeduras caninas son un problema frecuente y de real importancia en el ámbito de salud pública, generando en la población secuelas físicas y psicológicas por las lesiones generadas durante el ataque.

  14. Aspectos epidemiológicos de las mordeduras caninas Epidemiological aspects of dog bites

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    Jorge Palacio

    2005-02-01

    Full Text Available Las mordeduras de animales a personas suponen un importante problema de salud pública. Dentro de éstas, las más frecuentes son las producidas por perros. Un primer paso necesario en la prevención de este tipo de accidentes es conocer los factores de riesgo implicados. El presente trabajo revisa la bibliografía más relevante en cuanto a la incidencia, los factores de riesgo y la prevención de las mordeduras de perros en personas. Así, según las características de las víctimas, se revisan determinados aspectos, como la edad, el sexo, la localización y la gravedad de las lesiones. En relación con los perros agresores, se describen las razas implicadas y el historial previo del animal. Igualmente, se describen los contextos en que se producen las mordeduras, en relación con la fecha, el número de perros, los lugares más frecuentes, la relación e interacción víctima-perro y la participación de las distintas categorías de agresividad del etograma canino. En el último apartado se recogen las recomendaciones más habituales halladas en la bibliografía para prevenir y reducir la incidencia de mordeduras sobre la población general.Animal bites in humans are an important public health problem. Most of these bites are dog bites. The first step in preventing this kind of accident is to identify the associated risk factors. The present article reviews the most important published articles on the incidence of dog bites, their risk factors, and preventive measures. Concerning victim profiles, features such as age, sex, location, and the severity of the wounds are reviewed. Regarding dogs, the most frequent breeds involved and the dog's previous history of aggression are described. In addition, the different contexts in which bites occur are reported. Thus, factors such as dates, number of dogs, places, victim-dog relationship and interaction, and the distinct involved categories of aggression of the canine ethogram are reviewed. The most

  15. Letalidad por accidentes de trabajo en Villa Clara

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    Miguel Gómez Vital

    1999-01-01

    Full Text Available Se valora la problemática de la letalidad por accidentes laborales en la provincia de Villa Clara, en el período comprendido entre 1987 y 1997. Se determinan las principales causas, y fue la conducta negligente del individuo la que más incidió. En los últimos años de la década del 80 se registraron más cantidad de muertes por accidentes de trabajo, los que ocurrieron fundamentalmente en el puesto laboral. Queda puntualizado el importante rol del equipo médico en instituciones laborales.The problem of letality from working accidents in the province of Villa Clara from 1987 to 1997 was evaluated. The main causes were also determined. Individual negligent behaviour proved to be the first cause. More deaths from working accidents were registered late in the 1980s. Most of these accidents occurred at the working place. It was stressed the important role played by the medical team at the working institutions

  16. Responsabilidad civil por accidentes en espectáculos taurinos

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    Caballero Moreno, María Araceli

    2016-01-01

    El trabajo versa sobre la responsabilidad civil aplicada al campo de los espectáculos taurinos, explicando el régimen de responsabilidad aplicable, regulado en el art. 1.902 de nuestro Código Civil, centrándose especialmente en quién debe asumir la responsabilidad en caso de producirse daños a los espectadores del festejo por los propios animales, si la propia víctima por haber llevado a cabo una conducta imprudente aplicando la teoría de la asunción del riesgo o los organizadores del festejo...

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

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    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.

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

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    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...

  19. Factores predictores de mortalidad por accidente cerebrovascular en el Hospital Universitario San Jorge de Pereira (Colombia)

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    Cristhian David Morales-Plaza; Claudio Aguirre-Castañeda; Jorge Enrique Machado-Alba

    2016-01-01

    Objetivo: Determinar los factores predictores de mortalidad por accidente cerebrovascular (ACV) en el Hospital Universitario San Jorge de Pereira entre enero de 2008 y diciembre de 2011. Materiales y métodos: Estudio de corte transversal, realizado en los pacientes con diagnóstico de ACV. La información se obtuvo de las historias clínicas, teniendo en cuenta las variables edad, sexo, tipo de ACV (isquémico o hemorrágico), trastorno asociado, antecedentes personales relacionados con ACV, morta...

  20. 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.

  1. Subpoblaciones neuronales presentes en cultivos primarios de ganglio espinal y su relación con la infección in vitro por virus de rabia

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    Hernán Hurtado; Jaime E. Castellanos; Niyibi Quiroga; Marlén Martínez

    2000-01-01

    El virus de la rabia presenta un fuerte tropismo neuronal y que produce una encefalitis generalmente letal. En un accidente rábico clásico, producido por la mordedura de un animal infectado, el virus es captado por terminaciones nerviosas motoras, autonómicas o sensoriales. Si es captado por estas últimas, el virus se transporta retrógradamente hacia los somas neuronales ubicados en los ganglios espinales y de...

  2. Signos Vitales de los CDC–Prevención de muertes por accidentes cerebrovasculares (Preventing Stroke Deaths)

    Centers for Disease Control (CDC) Podcasts

    2017-09-06

    Este podcast se basa en la edición de septiembre del 2017 del informe Signos Vitales de los CDC. Cada año, más de 140 000 personas mueren y muchos sobrevivientes quedan con discapacidades. El ochenta por ciento de los accidentes cerebrovasculares son prevenibles. Conozca los signos de un accidente cerebrovascular y sepa cómo prevenirlo.  Created: 9/6/2017 by Centers for Disease Control and Prevention (CDC).   Date Released: 9/6/2017.

  3. Factores operacionales que incrementan los accidente fatales por caída de rocas en la provincia de Yauli - 2009

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    Huamán Fernández, Juan Antonio

    2011-01-01

    Dentro de la labor de consultor y gerenciamiento en el nivel intermedio respecto, a la estructura organizacional de una empresa minera, surgió como criterio la innovación de los procesos y un nuevo enfoque en la administración de la mina, relacionado al control de riesgo. La tesis “FACTORES OPERACIONALES QUE INCREMENTAN LOS ACCIDENTES FATALES POR CAÍDA DE ROCAS EN LA PROVINCIA DE YAULI - 2009”, surge a raíz del cuestionamiento por la toma de decisión realizada como responsable del área de...

  4. 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.

  5. 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.

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

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    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.

  7. Sordera por traumatismo acústico y accidentes auditivos en la Industria

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    Jorge García Gómez

    1979-10-01

    Full Text Available

    SUMARIO Y CONCLUSIONES

    1. La sordera ocupacional debe ser motivo de preocupación en medicina industrial, por cuanto constituye grave problema para los obreros que trabajan en ambiente de intensidades superiores a 90 decibeles. Consideramos de capital importancia iniciar urgente campaña para el estudio preventivo y profilaxis del ruido.

    2. Los efectos que produce el ruído sobre la audición están ampliamente demostrados y, de acuerdo con la experiencia, su incidencia es cada día más frecuente en nuestro medio,
    donde un alto porcentaje del personal obrero trabaja en ambientes sin ninguna protección y con grave peligro para su función auditiva.

    3. La sordera ocupacional presenta características muy definidas, pero sólo un estudio otológico completo y la colaboración entre el otólogo, el ingeniero técnico en acústica y el
    médico industrial permiten definir la conducta por seguir, su profilaxis y su tratamiento.

    4. Las alteraciones orgánicas producidas en el oído por el trauma acústico son permanentes e irreversibles. Las estructuras del órgano de Corti una vez lesionadas no pueden ser
    reemplazadas.

    5. Sugerimos la creación del Comité Nacional de Conservación de la Audición con un programa que incluya:
    a Formación de personal especializado.
    b Estudio, reducción y control del ruído en la industria.
    c Creación de la ficha audiológica obligatoria de ingreso para el personal obrero.
    d Control periódico, protección del personal y adaptación de protectores acústicos.
    el Establecimiento de normas mínimas acústicas en la construcción de las fábricas.

    6. Las tablas de indemnización laboral por sordera deben ser modificadas, adoptando un sistema práctico, conforme con la legislación establecidaen otros países.

  8. Síndrome vestibular por accidente cerebrovascular asociado a hipotiroidismo secundario

    OpenAIRE

    Esparza, Erwin; Rodríguez, Diego; Benavidez, Edwin

    2013-01-01

    El síndrome vestibular es una patología asociada a múltiples causas que afecta a perros de cualquier edad, sexo y raza. El tratamiento y el pronóstico dependerán siempre de la causa primaria y de la localización de la lesión. En este reporte se expone el caso de un paciente canino criollo que fue llevado a la Clínica Veterinaria Dover por presentar inclinación de la cabeza hacia el lado izquierdo, nistagmo horizontal, ataxia y caídas ocasionales hacia el mismo lado. Se realizaron exámenes par...

  9. 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.

  10. Perfil epidemiológico de la discapacidad por accidentes de tránsito en el Perú, 2012

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    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. Mortalidad por accidentes automovilísticos en la Zona Metropolitana de la Ciudad de México al final del siglo XX

    OpenAIRE

    Eliud SILVA

    2009-01-01

    Se analiza la mortalidad por accidentes automovilísticos en la Zona Metropolitana de la Ciudad de México (ZMCM) con base en las estadísticas vitales de 1999. Se estudia su comportamiento en función de contornos de crecimiento urbano, sexo, educación, condición laboral y estado conyugal. Se observa la población de estudio en rubros definidos a partir de información censal de 2000; se muestran resultados que se consideran factores de riesgo que inciden en esta causa de muerte, derivados de una ...

  12. Resultados finales del programa cubano con niños de territorios afectados por el accidente de Chernóbil

    OpenAIRE

    Medina, Julio; García, Omar

    2016-01-01

    Cuba organizó y desarrolló desde 1990 hasta 2011 un programa de atención médica integral masivo y gratuito destinado a niños de áreas afectadas por el accidente de Chernóbil. Este trabajo recoge los resultados finales de este programa, al cual estuvieron vinculados cientos de trabajadores de la salud y la ciencia en Cuba y que permitió, durante más de 21 años, que se trataran y rehabilitaran en la isla un total de 26 114 pacientes, el 84 % de los cuales eran niños, procedentes fundamentalment...

  13. Muertes por accidente de motocicleta y su asociación con variables relacionadas a la reproducción social en un estado del noreste brasileño

    Directory of Open Access Journals (Sweden)

    Paul Hindenburg Nobre de Vasconcelos Silva

    2015-01-01

    Full Text Available El objetivo de este artículo es identificar el comportamiento de las muertes por accidentes de motocicleta y las variables relacionadas con la teoría de la reproducción social de Samaja, para el período 2000-2005 en el estado de Pernambuco, Brasil. Se realizó un estudio ecológico con abordaje caso-control. La unidad de análisis fue el municipio. Los casos fueron definidos considerando el 20% de los municipios con los mayores coeficientes bayesianos empíricos locales de mortalidad por accidentes de motocicleta y los controles, como el 40% de los municipios con menores coeficientes de mortalidad por accidentes de motocicleta. Los municipios con mayor probabilidad de altos coeficientes de mortalidad por accidentes de motocicleta mostraron factores de crecimiento poblacional altos, así como de crecimiento de la flota de vehículos, bajas densidades demográficas, bajo PBI per cápita, y más de 20 motocicletas por mil habitantes. Se concluye que las variables relacionadas a las macropolíticas mostraron una mayor fuerza para explicar las probabilidades de defunciones por accidentes de motocicleta.

  14. 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.

  15. 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.

  16. Epidemiología del trauma maxilofacial por accidente ciclístico Epidemiology of the maxillofacial trauma caused by bicycle accident

    Directory of Open Access Journals (Sweden)

    Angel Pérez Rodríguez

    2004-12-01

    Full Text Available Se realizó un estudio descriptivo y transversal sobre aspectos epidemiológicos del trauma maxilofacial por accidentes ciclísticos en 194 pacientes con diagnóstico clínico, radiográfico o ambos, de lesiones en esta región, que fueron recibidos y atendidos en el Servicio de Urgencia de Cirugía Maxilofacial del Hospital Clinicoquirúrgico "Saturnino Lora" de Santiago de Cuba, durante el período comprendido desde el 1 de octubre de 1998 hasta el 31 de diciembre de 1999. Entre los resultados más sobresalientes figuraron el predominio de los adultos jóvenes de 20 a 39 años de edad, sobre todo de los varones, la caída como modalidad de accidente, la colisión como la causante del mayor número de lesionados graves y defunciones. La imprudencia e ingestión de alcohol en conductores laboralmente activos resultaron ser las causas y víctimas que prevalecieron en este tipo de accidente, particularmente en el horario de 4 p.m. a 12 a.m. y en la calle, esta última la vía donde más accidentes y lesionados se produjeron. Las contusiones y laceraciones dentro de los tejidos blandos y las fracturas zigomáticas, nasales y palatoalveolares dentro del tejido duro, resultaron los patrones de lesiones predominantes.A descriptive cross-sectional study on epidemiological aspects of the maxillofacial trauma caused by bicycle accidents was conducted among 194 patients with clinical or radiographic diagnosis, or both, of injuries in this region. They received attention at the Emergency Service of Maxillofacial Surgery of "Saturnino Lora" Clinical and Surgical Hospital, in Santiago de Cuba, from October 1st, 1998 to December 31st, 1999. Some of the most significant results were: the predominance of young adults aged 20-39, mainly males, among the victims, the fall as an accident modality, the collision as the cause of the highest number of severe injures and deaths, and imprudence and alcohol ingestion in working drivers. These were some of the prevailing

  17. Mortalidad por accidentes automovilísticos en la Zona Metropolitana de la Ciudad de México al final del siglo XX

    Directory of Open Access Journals (Sweden)

    Eliud SILVA

    2009-01-01

    Full Text Available Se analiza la mortalidad por accidentes automovilísticos en la Zona Metropolitana de la Ciudad de México (ZMCM con base en las estadísticas vitales de 1999. Se estudia su comportamiento en función de contornos de crecimiento urbano, sexo, educación, condición laboral y estado conyugal. Se observa la población de estudio en rubros definidos a partir de información censal de 2000; se muestran resultados que se consideran factores de riesgo que inciden en esta causa de muerte, derivados de una encuesta de adicciones y otra de transporte urbano. Se citan hallazgos encontrados con el uso del indicador de mortalidad: años de vida perdidos.

  18. 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.

  19. 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.

  20. 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.

  1. 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.

  2. ENVENENAMIENTO OFIDICO POR EL GENERO Bothrops COMPLICADO CON MIOCARDIOPATIA TÓXICA: A PROPOSITO DE UN CASO.

    Directory of Open Access Journals (Sweden)

    Sajar Abusaid Palomo

    2014-12-01

    Full Text Available El envenenamiento ofídico en Venezuela es un problema de salud pública, afectando a agricultores y mineros, implicada con mayor frecuencia la familia Viperidae, genero Bothrops. Presenta clínica variable, desde manifestaciones locales hasta sistémicas. Paciente femenina de 40 años, agricultora, consulta por dolor y aumento de volumen en cara lateral de pie izquierdo por envenenamiento ofídico. Acude a ambulatorio de su localidad, 24 horas después es trasladada al Hospital Universitario Ruiz y Páez, ingresando con diagnóstico de Envenenamiento Ofídico por Bothrops. Evoluciona tórpidamente presentando Insuficiencia Renal Aguda en terapia de hemodiálisis, Sepsis punto de partida respiratorio, Insuficiencia Respiratoria Aguda y Miocardiopatía Tóxica, por lo que ingresa a Unidad de Cuidados Intensivos y Cuidados Coronarios. Luego de marcada mejoría clínica es dada de alta. El envenenamiento ofídico por Bothrops corresponde 80% de los accidentes por mordeduras de serpientes, su pronóstico depende de la especie, atención medica-hospitalaria, el intervalo de tiempo ocurrido y el uso de la terapia antiofídica especifica.

  3. Accidental and experimental salinomycin poisoning in rabbits Intoxicações natural e experimental por salinomicina em coelhos

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    Paulo Vargas Peixoto

    2009-09-01

    Full Text Available An outbreak of salinomycin poisoning in rabbits is described. At least 27 out of 2,000 rabbits reared on a farm died after the coccidiostatic drug sulfaquinoxaline was substituted by salinomycin in the feed. An average of 26.9ppm salinomycin was detected in the ration given to the rabbits. Clinical signs included anorexia, apathy and bradykinesia, which progressed to incoordination and recumbency. Gross lesions consisted of pale areas in the skeletal muscles. The histopathological findings showed severe necrotic degenerative myopathy in association with infiltration of neutrophils and macrophages. One rabbit exhibited similar alterations in the myocardium. Mineralization was observed in the affected skeletal muscles in some cases. In order to verify if the poisoning was due to salinomycin, 20 rabbits were divided into five groups and a ration containing the drug at doses of 10, 25, 50, 75 and 100ppm was given. The administration of doses higher than 50ppm resulted in manifestation of the clinical signs seen in the outbreak of poisoning. It was concluded, that probably an error related to the mixture of salinomycin in the feed was the cause of deaths in the spontaneous outbreak of poisoning on the rabbit farm.Relata-se, pela primeira vez, um surto de intoxicação por salinomicina em coelhos. De 2000 animais, no mínimo 27 morreram após troca do coccidiostático sulfaquinoxalina pela salinomicina. A análise de parte da ração detectou 26,9ppm de salinomicina. Os sinais clínicos observados foram anorexia, apatia e lentidão com evolução para incoordenação dos movimentos e decúbito. As lesões macroscópicas consistiram de áreas pálidas na musculatura esquelética. O exame histopatológico evidenciou miopatia degenerativo-necrótica. Adicionalmente, verificou-se reação inflamatória constituída por neutrófilos e macrófagos. Um coelho apresentou lesões similares no miocárdio. Em alguns casos, mineralização estava presente nos m

  4. Accidentes en niños asistidos por el Servicio de Emergencias Sanitarias de Castilla y León: epidemiología y análisis cronobiológico de 10933 casos.

    OpenAIRE

    Cuña Vicente, Rebeca da

    2012-01-01

    Los accidentes en la infancia son un problema de salud pública, importantes por su relevancia y posibilidad de prevención. Objetivos: Analizar el contexto epidemiológico y abordar el estudio de la dimensión temporal implicados en los accidentes infantiles, con el fin de verificar la presencia de ritmicidad que permita orientar los recursos a una mejor prevención y asistencia sanitaria. Población y Métodos: Se incluyeron 10.933 niños menores de 15 años que solicitaron asistencia al Servicio de...

  5. FRACASO EN EL CONTROL DEL NÚMERO DE VÍCTIMAS POR ACCIDENTES DE TRÁFICO EN ESPAÑA. ¿LA REPUESTA CORRECTA A LA PREGUNTA EQUIVOCADA?

    OpenAIRE

    Enrique Regidor; Agustín Reoyo; M. Elisa Calle; Vicente Domínguez

    2002-01-01

    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 res...

  6. Fracaso en el control del número de víctimas por accidentes de tráfico en españa: ¿La repuesta correcta a la pregunta equivocada?

    OpenAIRE

    Regidor Enrique; Reoyo Agustín; Calle M. Elisa; Domínguez Vicente

    2002-01-01

    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 tend...

  7. Accidente cerebrovascular isquémico asociado con ablación por radiofrecuencia de reentrada nodal Ischemic stroke associated with radio frequency ablation for nodal reentry

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    Juan C Díaz Martínez

    2010-04-01

    Full Text Available La taquicardia por reentrada nodal es la causa más común de taquicardia supraventricular paroxística; en aquellos pacientes en quienes el manejo farmacológico no es efectivo o deseado la ablación por radiofrecuencia es un excelente método terapéutico dada su alta tasa de curación. Aunque en términos generales dichos procedimientos son rápidos y seguros, se han descrito varias complicaciones entre las que sobresale el accidente cerebrovascular isquémico. Se presenta el caso de una paciente de 41 años con episodios de taquicardia por reentrada nodal a repetición, que fue llevada a ablación por radiofrecuencia. En el post-operatorio inmediato se evidenció déficit neurológico focal con isquemia en el territorio de la arteria cerebral media derecha, tras lo cual se realizó angiografía con intento de angioplastia y abxicimab y posteriormente infusión local de activador de plasminógeno tisular (rtPA con adecuado resultado clínico y angiográfico.Atrioventricular nodal reentry tachycardia is the most common type of paroxismal supraventricular tachycardia. In those patients in whom drug therapy is not effective or not desired, radio frequency ablation is an excellent therapeutic method. Although overall these procedures are fast and safe, several complications among which ischemic stroke stands out, have been reported. We present the case of a 41 year old female patient with repetitive episodes of tachycardia due to nodal reentry who was treated with radiofrequency ablation. Immediately after the procedure she presented focal neurologic deficit consistent with ischemic stroke in the right medial cerebral artery territory. Angiography with angioplastia and abxicimab was performed and then tissue plasminogen activator (rtPA was locally infused, with appropriate clinical and angiographic outcome.

  8. Factores asociados con la presentación de accidentes laborales en veterinarios zootecnistas del departamento de Boyacá (Colombia

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    Michael López Cepeda

    2014-01-01

    Full Text Available Objetivo: Cuantificar los Accidentes Laborales (AL e identificar los factores asociados a su presentación en veterinarios zootecnistas del departamento de Boyacá.Materiales y métodos: Este es un estudio observacional de tipo transversal que permitió cuantificar los accidentes laborales (AL en médicos veterinarios zootecnistas (MVZ con matrícula profesional vigente y ejercicio profesional en el departamento de Boyacá. Se calculó el tamaño muestral (n, con una frecuencia estimada de accidentes del 75 %, un error absoluto del 5 % y un nivel de confianza del 95 %, ajustándolo por el tamaño de la población (N. El diseño muestral fue aleatorio simple. El análisis estadístico incluyó correlación de Spearman, X2 y regresión logística. Los análisis se efectuaron con SPSS®. Resultados: El promedio de edad fue de 33,8±8,2 años. El 91,7 % de los encuestados tuvo por los menos un AL que involucró la presencia de animales, agujas, bisturí y/o un medio de movilización al lugar de trabajo. Las lesiones más frecuentes producto de los AL fueron: heridas punzantes y cortantes, contusiones, hematomas, reacciones alérgicas. Los hombres presentaron 3,086 veces más probabilidades de sufrir este tipo de accidentes que las mujeres (p=0,017. El trabajo con grandes animales es la especialidad veterinaria a la cual se dedicaba la mayor proporción (67,1 % de encuestados. En el trabajo con pequeños animales, los accidentes de mayor presentación fueron: atropellamiento por animales, punzada, corte, mordedura, esfuerzo físico y caída/resbalón. Conclusiones: Los resultados obtenidos condicionan y procuran revaluar aspectos ocupacionales en aras de minimizar los riesgos en la actividad rural de Boyacá.

  9. Infección por Hepatitis No A / No B posterior a accidente biológico en personal de enfermería: a propósito de un caso

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    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.

  10. Mordedura de Serpiente en Niños en el Hospital Universitario Ramón González Valencia (1983-1993

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    Gerardo González V.

    1994-09-01

    Full Text Available

    Análisis clínico y socio demográfico de la ofidiotoxicosis en niños hospitalizados en el HURGV de Bucaramanga (Colombia en un período de 10 años (1983-1993. Se seleccionaron 40 casos con diagnóstico de egreso de mordedura de serpiente, que fueron hospitalizados en la sala de Medicina Interna Pediátrica en este período. Los resultados fueron: mayor frecuencia en escolares (82%; predominio leve en varones; procedencia de área rural en 95% de casos; la mayoría ocasionados por género Bothrops (85%, sólo hubo un caso por Micrurus, y el resto no identificados; sitio de mordedura 91% en pie y tercio distal de pierna; el 65% consultan a organismos de salud en las primeras 24 horas, el resto en forma tardía; todos los pacientes presentaron huellas de colmillos, edema y dolor localizados en el sitio de la mordedura; las manifestaciones hemorrágicas más comunes fueron equimosis en el 80%, seguidas por gingivorragias.

    El 69% de casos se clasificaron en Grados Il y IlI. Hubo complicaciones en 33%, siendo la más frecuente la CID. El PT en 85% de casos, y el PTT en 63% estuvieron prolongados. CH fue inespecífico. Tratamiento: el 97.5% recibieron suero antiofídico, el 28% transfusiones, y el 100% antibióticos y profilaxis antitetánica. Promedio de estancia 5 días.

    Evolución buena en 90% de casos, hubo secuelas en 3 casos (7,5%, y sólo 1 paciente murió. Se concluye que debe hacerse educación a la comunidad en riesgo sobre uso de calzado adecuado, primeros auxilios, evitar tratamientos empíricos que lleven a iatrogenia, y consulta inmediata al organismo de salud más cercano. Debe capacitarse al personal médico y paramédico sobre oportuna atención de pacientes con mordedura de serpiente. Se incluye un protocolo de manejo, fácil de aplicar en nuestros organismos de salud.

    SUMMARY

    It was done a sociodemographic and clinical analysis ofinstitutionalized children in the pediatric internal

  11. Sistematização da Assistência de Enfermagem: acidente por Loxosceles gaucho Sistematización de la Asistencia de Enfermería: accidente por Loxosceles gaucho Nursing Care Sistematization: accident by Loxosceles gaucho

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    Helayne Mika Kamimura

    2009-12-01

    Full Text Available Relato de experiência realizado em um hospital de ensino, com uma paciente vítima de acidente por aranha do gênero Loxosceles gaucho. Este tipo de acidente pode ser classificado como leve, moderado e grave, o que dependerá do tempo entre o ocorrido e o atendimento. Objetivou-se aplicar a sistematização da assistência de enfermagem de forma integralizada e humanizada. Foram estabelecidos os seguintes diagnósticos de enfermagem: dor aguda, integridade da pele prejudicada, riscos para infecção, constipação e baixa auto-estima. O relacionamento terapêutico favoreceu as interações aluna/paciente e possibilitou o reconhecimento das necessidades que mereciam intervenções de enfermagem. O processo de enfermagem foi um instrumento valioso e trouxe elementos importantes para a evolução diária da paciente e adequação do planejamento, priorizando a qualidade dos cuidados.Relato de experiencia realizado en un hospital de enseñanza, con una paciente víctima de accidente causado por araña del género Loxosceles gaucho. Este accidente puede ser clasificado como leve, moderado o grave, lo que dependerá del tiempo entre el suceso y la atención. Se pretendió aplicar la sistematización de la asistencia de enfermería de forma integral y humanizada. Se establecieron los siguientes diagnósticos de enfermería: dolor agudo, integridad de la piel perjudicada, riesgos de infección, constipación y baja autoestima; la relación terapéutica favoreció las interacciones alumna/paciente y posibilitó el reconocimiento de las necesidades que merecían intervenciones de enfermería. El proceso de enfermería fue un instrumento valioso y trajo elementos importantes para la evolución diaria de la paciente y adecuación de la planificación, lo que prioriza la calidad de los cuidados.Experience report carried out at a university hospital involving a patient victimized by an accident with a spider of the Loxosceles gaucho genus. This type of

  12. Uso incorreto de medicamentos por pacientes após acidente vascular cerebral Uso incorrecto de medicamentos por pacientes después de un accidente cerebro vascular Incorrect use of medicines by patients post cerebrovascular accident

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    Lolita Dopico da Silva

    2011-07-01

    Full Text Available Objetivo. Avaliar o emprego de medicamentos no lar pelos pacientes vítimas de um acidente vascular cerebral (AVC. Metodologia. Estudo transversal de uma mostra representativa de 30 pacientes que recebiam atendimento público domiciliário no Rio de Janeiro (Brasil em 2008. Por meio de entrevista estruturada aos pacientes se tomou informação sobre os fatores de risco para AVC, os medicamentos que estavam tomando e o uso correto ou incorreto dos mesmos, utilizando para isto a classificação de DRUGDEX® System. Resultados. Os participantes de idade avançada e com predomínio de mulheres. A média de medicamentos por foi 3.3. As causas do erro mais comuns foram: a tomada do medicamento com alimentos e com outras medicações. As proporções mais altas de uso incorreto de medicamento em mais de 50% das doses foram: espironolactona, glibenclamida e atenolol (a cada uma com 100.0%, sinvastatina (87.5%, furosemida (83.3%, captropril (72.5% e insulina NPH (66.7%. Conclusão. Uma grande proporção de pacientes depois de um AVC usam incorretamente os medicamentos prescritos para o tratamento no lar.Objetivo. Evaluar el empleo de medicamentos en el hogar por los pacientes víctimas de un accidente cerebrovascular (ACV. Metodología. Estudio transversal de una muestra representativa de 30 pacientes que recibían atención pública domiciliario en Río de Janeiro (Brasil en 2008. En la muestra predominaron las mujeres y los pacientes de edad avanzada. Por medio de entrevista estructurada a los pacientes se tomó información sobre los factores de riesgo para ACV, los medicamentos que estaban tomando y el uso correcto o incorrecto de los mismos, utilizando para esto la clasificación de DRUGDEX® System. Resultados. El promedio de medicamentos por fue 3.3. Las causas más comunes de error fueron la toma del medicamento con alimentos y con otras medicaciones. Las proporciones más altas de uso incorrecto de medicamento en más del 50% de las dosis

  13. 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

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    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.

  14. Estatus de parámetros oxidativos y del gen p53 en sangre de niños en edad escolar de zonas afectadas por el accidente nuclear de Chernobyl.

    OpenAIRE

    García Mora, Mª Carmen

    2004-01-01

    RESUMEN Tras el accidente nuclear de Chernobyl producido el 26 de abril de 1986 se liberaron muchos radioisótopos, produciendo la contaminación del medio ambiente, con la consiguiente implicación sobre la salud de las personas afectadas. La irradiación produce su efecto sobre el material biológico de manera directa, como consecuencia inmediata de la ionización inducida por la irradiación y de manera indirecta, que al interaccionar sobre cualquier estructura celular, esencialmente el agua t...

  15. 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....

  16. 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

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    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

  17. Análisis edad-periodo-cohorte de la mortalidad por accidentes de tráfico en España Age-period-cohort analysis of traffic accident mortality in Spain

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    Carmen Saiz-Sánchez

    1999-05-01

    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, pOBJECTIVE. To study the evolution of traffic accidents mortality in Spain and its possible application to an age-period-cohort analysis, as well as the effect of selected road safety measures. MATERIAL AND METHODS. Road accidents rates of mortality were obtained, and five-year interval age rates for each sex, which allows the study of specific rates of age by birth cohorts. To determine the association between the selected road safety measures and mortality, Poisson regression models were adjusted. RESULTS. Two waves emerge in the evolution of traffic accidents. There was no clear effect with respect to age, nor was there a cohort effect for men or women. As to the road safety measures, we discuss the consistency between the selected models and graphic results. The compulsory use of helmet and of crossing lights is

  18. ¿Por qué a mí?: instantáneas del momento del accidente en los amputados traumáticos

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    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.

  19. Caracterización de los accidentes por exposición a agente biológico en una población de estudiantes de medicina de Bucaramanga Characterization of biological accidents in medical students population from Bucaramanga

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    Camilo Eduardo Lozano

    2012-12-01

    Full Text Available Introducción: Los accidentes biológicos son eventos de alto riesgo por la probabilidad de infección con agentes como virus de inmunodeficiencia humana o hepatitis B. A estos están expuestos los estudiantes de medicina, un evento prevalente que requiere seguimiento constante. Objetivo: Caracterizar los accidentes biológicos de los estudiantes de medicina de una universidad privada de Bucaramanga durante el primer semestre de 2011. Materiales y métodos: Estudio transversal de aplicación de encuesta a toda la población estudiantil. Se realizó análisis univariado y bivariado comparando edad, sexo, nivel académico, capacitación y vacunación con haber sufrido accidente biológico durante el primer semestre académico de 2011. Resultados: La incidencia de accidentes biológicos fue del 6,8%, lo que da 3,42 accidentes por cada mil semanas-estudiante. De los 23 eventos caracterizados, 9 (39,1% fueron pinchazos, 7 (30,4% salpicaduras en piel no intacta, 5 (21,7% salpicaduras en mucosas, y 2 (8,7% cortaduras. Hubo 277 (66,4% encuestados que informaron un esquema completo de vacunación contra hepatitis B, y el 33,6% restante tienen al menos una dosis. Solo 251 (59,9% respondieron recibir algún tipo de capacitación sobre bioseguridad. El análisis bivariado no encontró asociación entre edad, sexo o nivel académico. No obstante, 5 estudiantes de ciencias básicas y clínicas médicas presentaron más de un evento en el semestre, situación no presentada en los estudiantes de clínicas quirúrgicas. Conclusión: La incidencia de accidentes biológicos ha disminuido, sin embargo, los niveles académicos básicos tienen una alta incidencia y reincidencia, lo cual requiere nuevas estrategias de intervención para seguir disminuyendo el riesgo.Introduction: Biological accidents are high risk events due to the probability of acquiring agents such as HIV or HB. Medical students are exposed to these events and should be followed over time

  20. Bursitis por mercurio tras accidente laboral: a propósito de un caso Bursitis due to Mercury after a work accident: a case report

    OpenAIRE

    Susana Lastras González; Ignacio Sánchez-Arcilla; Marina Fernández Escribano; Magdalena Muedra Sánchez

    2010-01-01

    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...

  1. Lesiones por accidente de trabajo en España: comparación entre las comunidades autónomas en los años 1989, 1993 y 2000

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    Fernando G. Benavides

    2004-01-01

    Full Text Available Fundamento: A pesar de que en España la incidencia de lesiones por accidentes de trabajo (LAT es una de las más elevadas de la Unión Europea, la investigación sobre este problema sanitario ha sido escasa. El objetivo de este estudio fue comparar la incidencia de LAT mortales y no mortales por comunidades autónomas (CCAA en 1989, 1993 y 2000. Métodos: Los datos de las LAT se obtuvieron del Ministerio de Trabajo y Asuntos Sociales y los denominadores del Instituto Nacional de Estadística. La incidencia se ha calculado para LAT mortales y no mortales, ajustando separadamente por sexo, edad, actividad económica y tipo de contrato. Para cada CCAA se calculó el riesgo relativo (RR ajustado por actividad económica y tipo de contrato, tomando como referencia la media española. Resultados: Cataluña y Baleares presentaron los RR de LAT no mortales más elevados. Respecto a las LAT mortales, fueron Asturias y País Vasco donde el RR fue más alto. Madrid y Cataluña, por el contrario, presentó el RR más bajo en lesiones mortales. Conclusiones: El exceso de riesgo de LAT encontrados en algunas CCAA puede ser explicado, una vez descartadas parcialmente las diferencias en las actividades económicas y el tipo de contrato, en términos bien de diferencias en la notificación de la LAT y/o de la población en riesgo, o bien, hipótesis más plausible, en términos de diferencias en las condiciones de trabajo de las empresas de estas CCAA. Es necesario seguir estudiando con más detalle estas diferencias.

  2. Traumatismo craneal por caída accidental en niños menores de dos años de edad. Mecanismos de producción, consecuencias y diagnóstico diferencial con las lesiones causadas por maltrato infantil.

    OpenAIRE

    Trenchs Sainz de la Maza, Victoria

    2008-01-01

    1. INTRODUCCIÓN:Muchos padres relatan una caída con traumatismo craneal (TCE) para justificar hematomas subdurales (HSD) y/o hemorragias retinianas (HR) debidas a maltrato. El diagnóstico diferencial entre TCE accidental e inflingido en ausencia de otras lesiones es difícil porque no hay estudios que determinen la prevalencia de HSD y/o HR en los traumatismos por caídas.2. HIPÓTESIS:- El mecanismo de producción y la altura de un caída condicionan las lesiones que aparecen en el niño.- El cono...

  3. Contenido de metales pesados en hígado y plumas de aves marinas afectadas por el accidente del "Prestige" en la costa de Galicia

    OpenAIRE

    M Pérez López; F Cid Galán; D Hernández Moreno; AL Oropesa Jiménez; AM López Beceiro; LE Fidalgo Álvarez; F Soler Rodríguez

    2005-01-01

    Las aves marinas son organismos situados en la cumbre de las cadenas alimentarias oceánicas, lo que permite su empleo en programas de biomonitorización para evaluar el efecto de los más diversos contaminantes sobre estos sensibles ecosistemas. En el presente trabajo se han analizado las concentraciones de distintos metales pesados (Pb, Zn, Cd y Cu) en hígado y plumas de tres especies de aves marinas (arao, frailecillo y alca) directamente afectadas por el vertido de crudo...

  4. Accidentes en el hogar

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    Nereida Pacios Alfonso

    1999-04-01

    Full Text Available Se realiza un estudio descriptivo de los accidentes domésticos ocurridos durante un año en la población de un consultorio del Médico de la Familia. Resultan más afectados los sujetos del sexo femenino y los grupos en edades extremas de la vida. El horario de la tarde fue el más peligroso. La relación con el uso de bebidas alcohólicas estuvo ausente en menores de 15 años y ancianos; en adultos jóvenes el dato requiere de otros estudios. Las contusiones por caídas fue el tipo más frecuente de lesión; los miembros superiores, la región corporal más afectada. Hubo secuelas en la quinta parte de los lesionados. Sólo cuatro de cada diez accidentes ocurridos se diagnostican en consulta. Más de la mitad de la morbilidad es oculta y cada lesionado pierde un promedio de 10 días de vida plenaA descriptive study of those home accidents reported by the population of a family physician´s office during a year was conducted. Females and the group at extreme ages of life were the most affected. Afternions were more dangerous. Drinking was not present among patients under 15 and aged people. As to young adults, this datum should be further studied. Contusions caused by falls were the most frequent type of injuries, whereas the upper limbs were the most injured. A fifth of these had sequelae. Only 4 accidents out of 10 were diagnosed at the physician´s office. More than falf of morbidity was hidden and every injured person lost an average of 10 days of full life

  5. Aspectos metodologicos de la medición en el sitio de ocurrencia de lesiones por accidentes de tráfico

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    Híjar-Medina Martha C.

    1997-01-01

    Full Text Available Os acidentes de trânsito de veículos a motor representam problema de saúde pública, em nível mundial. No México, a pesquisa, nesse campo, é limitada e a metodologia para seu estudo é pouco desenvolvida. Na literatura científica internacional são escassos os artigos que discutem os aspectos metodológicos de pesquisa nesse campo. Assim, realizou-se estudo com o objetivo de apresentar alguns aspectos metodológicos úteis para os interessados em pesquisar lesões por acidentes de trânsito. Foram discutidos aspectos sobre como medir, no local de ocorrência, as variáveis básicas para o estudo dessas lesões, tais como: se o motorista sofreu ou não lesões, uso de cinto de segurança, velocidade e consumo de álcool.

  6. Accidentes por cuerpos extraños en las vías respiratorias bajas en el niño Accidents caused by presence of foreign bodies in low airways in children

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    Haydée María Cantillo Gámez

    2009-09-01

    Full Text Available INTRODUCCIÓN. Los objetivos de este trabajo fueron caracterizar los aspectos clínicos y la estructura familiar en los casos de accidentes por cuerpos extraños en las vías respiratorias bajas, en la infancia. MÉTODOS. Se realizó una investigación descriptiva, retrospectiva y transversal sobre accidentes por aspiración de cuerpos extraños, que se basó en la obtención de datos de las historias clínicas y entrevistas a los padres o tutores de pacientes que ingresaron en el Hospital Pediátrico «William Soler», entre enero de 2003 y diciembre de 2007. Se entrevistaron 42 personas, y a los responsables del cuidado de los niños se les pidió completar un modelo de entrevista personal, sobre la accidentalidad en el hogar, el funcionamiento y la estructura familiar. Los resultados se expresaron en frecuencias absolutas y relativas, respectivamente. Se analizó el tipo de cuerpo extraño, la localización, el sexo del paciente, la edad, la caracterización de la familia, el tratamiento utilizado y el resultado final. RESULTADOS. Los grupos etarios más afectados fueron los integrados por niños menores de 5 años (66,7 %. Hubo un predominio del sexo masculino (76,2 %. El 66,7 % de los accidentes ocurrieron en el hogar y el 83,3 % de los niños estaban acompañados en el momento del accidente. Los objetos de mayor incidencia fueron los no orgánicos (52,4 %, y la localización anatómica más frecuentemente afectada fue el bronquio derecho (66,6 %. Las principales complicaciones fueron atelectasia (21,4 % y neumonía (16,7 %. Hubo un fallecido (2,3 %. Se observó que un 38 % de las familias se encontraban en la etapa de extensión y a su vez el 64 % de ellas presentaban algún tipo de crisis paranormativa. CONCLUSIONES. Los posibles factores de riesgo encontrados en nuestros pacientes fueron edad, sexo, descuido por parte de los padres, nivel sociocultural bajo y familias extensas.INTRODUCTION: Aims of present paper were to characterize the

  7. Comparación de las lesiones no mortales por accidente de trabajo por Comunidades Autónomas en España (1994-2004 Comparison of non-fatal occupational injuries by autonomous communities in Spain (1994-2004

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    María López-Ruiz

    2009-12-01

    Full Text Available Objetivos: Dadas las diferencias observadas en estudios previos de la incidencia de lesiones por accidente de trabajo (LAT por Comunidades Autónomas (CC.AA., en este estudio hemos evaluado la hipótesis de homogeneidad de la incidencia de las LAT para tipos específicos de accidentes y en determinadas actividades, entre 1994 y 2004. Métodos: Las LAT analizadas fueron no mortales con baja, de tipo mecánico y sobreesfuerzo, ocurridas en jornada en centro para empresas manufactureras y de la construcción. Se calculó el riesgo relativo ajustado por sexo, edad y tipo de contrato en cada una de las CC.AA. mediante la razón de LAT estandarizada, tomando como referencia las tasas de España, y estratificando según duración de la baja (menos de 16 días y más de 15 días. Resultados: El riesgo relativo ajustado de LAT según los diferentes tipos de accidentes analizados presenta una distribución heterogénea entre CC.AA. Murcia, Navarra, Baleares y País Vasco se encuentran generalmente entre las comunidades con riesgos más elevados, mientras que Castilla-León y Extremadura son las que tienen principalmente menores riesgos de sufrir una LAT. Conclusiones: La heterogeneidad en la incidencia de LAT entre CC.AA. persiste después de seleccionar una serie de formas de accidente específicas y ajustar por sexo, edad y tipo de contrato. Por ello sugerimos que, además de seguir analizando las condiciones de trabajo como explicación de esta heterogeneidad, se tengan en cuenta otras variables socioeconómicas al comparar las incidencias de LAT entre CC.AA.Objectives: Given the differences observed in previous studies with respect to occupational injury rates in Spain's autonomous communities, this study tested the homogeneity hypothesis of occupational injury for specific accident types and economic activity between 1994 and 2004. Methods: We analyzed non-fatal injuries of a mechanical nature or those due to overexertion taking place in

  8. Efectividad a corto plazo de las intervenciones breves realizadas en pacientes lesionados por accidente de tráfico con alcoholemia positiva Short-term effectiveness of brief interventions in alcohol-positive traffic casualties

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    Alicia Rodríguez-Martos

    2005-02-01

    Full Text Available Objetivos: Investigar la efectividad de las intervenciones breves para reducir el consumo de alcohol en los pacientes lesionados por accidente de tráfico con alcoholemia positiva. Métodos: Se cribó la presencia de alcohol en 948 lesionados en accidente de tráfico (el 97,6% de los elegibles de un universo de 1.106, con 126 (13,3% positivos. Se intervino en 85 individuos, aleatoriamente distribuidos en intervención mínima (consejo simple e intervención breve (intervención de tipo motivacional, y se programó un seguimiento telefónico a los 3, 6 y 12 meses. En este trabajo se presentan los resultados del seguimiento a los 3 meses. Resultados: A los 3 meses se ha seguido a 57 pacientes (67%. EL 73,7% ha reducido el consumo, porcentaje que fue mayor en el grupo intervención breve (p = 0,06; tamaño del efecto, 0,5 y en los incluidos en la categoría de los bebedores de riesgo (p Objectives: To investigate the effectiveness of brief interventions to reduce alcohol intake in traffic casualties with a positive blood alcohol concentration. Methods: Nine hundred forty-eight eligible casualties (97.6% of eligible casualties within a universe of 1106 were screened for alcohol and 126 (13.3% were identified as positive. Interventions were performed in 85, randomly allocated to a minimal intervention (simple advice or a brief intervention (motivational intervention. Telephone follow-up was scheduled for months 3, 6 and 12. The present study reports the results of follow-up at month 3. Results: Fifty-seven patients (67% were followed up at month 3. A total of 73.7% had reduced their alcohol intake and this percentage was greater in the group who underwent the brief intervention (p = 0.06; effect size 0.5 and among heavy drinkers (p < 0.05. Conclusions: The data indicate the effectiveness of the brief intervention, although the sample size does not allow definitive conclusions to be drawn.

  9. Aspectos metodologicos de la medición en el sitio de ocurrencia de lesiones por accidentes de tráfico Methodological aspects of measuring injuries from traffic accidents at the site of occurrence

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    Martha C. Híjar-Medina

    1997-02-01

    Full Text Available Os acidentes de trânsito de veículos a motor representam problema de saúde pública, em nível mundial. No México, a pesquisa, nesse campo, é limitada e a metodologia para seu estudo é pouco desenvolvida. Na literatura científica internacional são escassos os artigos que discutem os aspectos metodológicos de pesquisa nesse campo. Assim, realizou-se estudo com o objetivo de apresentar alguns aspectos metodológicos úteis para os interessados em pesquisar lesões por acidentes de trânsito. Foram discutidos aspectos sobre como medir, no local de ocorrência, as variáveis básicas para o estudo dessas lesões, tais como: se o motorista sofreu ou não lesões, uso de cinto de segurança, velocidade e consumo de álcool.Los accidentes de tráfico de vehículos de motor, representan un problema de Salud Pública a nivel mundial. En México la investigación en este campo es limitada y la metodología para su estudio está poco desarrollada. Por otro lado, son relativamente escasos los artículos publicados en revistas científicas internacionales que abunden, en la discusión sobre aspectos metodológicos de la investigación. El objetivo del trabajo es el presentar algunas consideraciones metodológicas que pueden ser de utilidad para los investigadores interesados en el tema de las lesiones por accidentes de tráfico. Se discuten aspectos que deben tenerse en cuenta cuando se miden en el sitio de ocurrencia algunas variables fundamentales para el estudio de las lesiones, como son: Si el conductor está o no lesionado, uso de cinturón de seguridad, velocidad y consumo de alcohol.Traffic accidents are a well-known public health problem worldwide. In Mexico research into risk factors for motor involving vehicles accidents and their consequences has recentlly been taken into account. The relevant literature does not normally describe the methodological aspects involved in the collection of primary data, since most studies have used secondary

  10. Acidentes ocupacionais por exposição a material biológico entre a equipe multiprofissional do atendimento pré-hospitalar Accidentes ocupacionales por exposición a material biológico entre el equipo multiprofesional de atención pre hospitalaria Occupational accidents due to exposure to biological material in the multidisciplinary team of the emergency service

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    Adriana Cristina Oliveira

    2009-09-01

    Full Text Available Estudo transversal, tipo survey, realizado com a equipe multiprofissional de Atendimento Pré-hospitalar (APh de Belo Horizonte, entre junho e dezembro de 2006. Objetivou-se determinar a incidência dos acidentes ocupacionais por exposição a material biológico, condutas pós-acidente, e fatores demográficos determinantes. Utilizou-se questionário estruturado, análise descritiva, cálculo de incidências e regressão logística. A incidência de acidentes com material biológico foi de 20,6%: 40,8% por pérfuro-cortantes e 49,0% por fluidos corporais; 35,3% entre médicos e 24,0% entre enfermeiros. Condutas pós-acidente: sem avaliação médica, 63,3%; subnotificação, 81,6%; nenhuma conduta, 55,0%; e, sem acompanhamento sorológico, 61,2%. Estiveram associados ao acidente: tempo na instituição (Odds ratio-OR 2,84; Intervalo de confiança-IC 95% 1,22-6,62, lotação na Unidade de Suporte Avançado (OR 4,18; IC 95% 1,64-10,64; interação: tempo na instituição e lotação na Unidade de Suporte Básico (OR 0,27; IC 95% 0,07-1,00. Sugere-se a implantação de protocolos pós-acidentes, visando a sua redução; a subnotificação e o aumento do acompanhamento pós-acidente.Estudio transversal, tipo survey, realizado con el equipo multiprofesional de Atención Pre Hospitalaria (APh de Belo Horizonte entre junio y diciembre de 2006. Se objetivó determinar la incidencia de los accidentes ocupacionales por exposición a material biológico, las conductas después del accidente y los factores demográficos determinantes. Se utilizó un cuestionario estructurado, el análisis descriptivo, el cálculo de incidencias y la regresión logística. La incidencia de accidentes con material biológico fue de 20,6%: 40,8% por punzo cortantes y 49,0% fluidos corporales; 35,3% entre médicos y 24,0% entre enfermeros. Conductas después del accidente: sin evaluación médica, 63,3%; subnotificación, 81,6%; ninguna conducta, 55,0%; y, sin acompa

  11. Asociación entre factores socioeconómicos y mortalidad intrahospitalaria por accidente cerebrovascular isquémico en una cohorte hospitalaria de Colombia, 2003-2006

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    Federico Arturo Silva

    2013-06-01

    Full Text Available OBJETIVO: Determinar si existe asociación entre las condiciones socioeconómicas y la mortalidad intrahospitalaria (MIH por accidente cerebrovascular (ACV isquémico en una muestra de población colombiana e identificar la cadena de eventos que determinan esa asociación. MÉTODOS: Estudio prospectivo de una cohorte hospitalaria de pacientes con ACV isquémico registrados en cuatro instituciones clínicas de referencia colombianas -ubicadas en Floridablanca, Bucaramanga, Bogotá y Medellín- entre febrero de 2003 y diciembre de 2006. Mediante análisis jerárquico se evaluaron las variables socioeconómicas agrupadas en tres niveles para determinar su relación con la MIH por ACV isquémico en un modelo de riesgos proporcionales de Cox. RESULTADOS: En los 253 pacientes incluidos, la MIH fue de 9,4 %. En el análisis por niveles, la mortalidad estuvo inversamente asociada con el nivel educacional (estudios superiores a primaria, los ingresos mensuales (≥ salario mínimo y la vinculación al régimen contributivo. En el análisis jerárquico, al combinar los 3 niveles, solo la asociación inversa con la afiliación al régimen contributivo mantuvo su significación estadística (RR 0,35; IC95%: 0,13-0,96; P = 0,04. CONCLUSIONES: Los resultados indican que en Colombia, el estar afilado al régimen contributivo de salud es un factor protector independiente contra la MIH tras un ACV isquémico. La secuencia educación-ingresos-acceso a servicios de salud constituye una vía de explicación de la relación entre las condiciones socioeconómicas y el desenlace clínico de estos eventos. Se deben diseñar estrategias para mitigar las diferencias en la calidad y la distribución de los servicios de salud en la población colombiana.

  12. 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

  13. Riscos de contaminação ocasionados por acidentes de trabalho com material pérfuro-cortante entre trabalhadores de enfermagem Riesgos de contaminación ocasionados por accidentes de trabajo con material corto-punzante en trabajadores de enfermeria Contamination risks caused by occupational accidents with cutting and piercing material among nursing workers

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    Maria Helena Palucci Marziale

    2004-02-01

    Full Text Available Esta pesquisa teve por objetivo identificar dentre os trabalhadores de enfermagem, de quatro hospitais da região de Ribeirão Preto-SP, aqueles que foram acometidos por acidente de trabalho com material pérfuro-cortante e encaminhados para avaliação a um serviço especializado no tratamento de doenças infecciosas, os que foram contaminados e as condutas adotadas diante do acidente. Trata-se de pesquisa de campo de caráter descritivo. A amostra foi constituída por 30 sujeitos e os dados foram coletados através de consulta ao prontuário médico dos trabalhadores. Os resultados revelaram que nenhum dos trabalhadores foi contaminado pelos vírus HBV, HCV, ou HIV, no entanto, foi observado que apenas 23,33% dos trabalhadores compareceram a todos os retornos agendados para verificação de possível soroconversão. Em relação às condutas tomadas diante do acidente, foi indicado o uso de quimioprofilaxia em 76,67% dos casos, exames sorológicos em 100% dos casos e imunização contra hepatite em 9,99% dos casos. Devido à grande ocorrência de acidentes percutâneos, segundo estimativas oficiais de outros países, concluímos que maior atenção deva ser direcionada para a prevenção desses acidentes, bem como ao rigor do seguimento pós-exposição ocupacional.Esta investigación tuvo como objetivo identificar entre los trabajadores de enfermería de cuatro hospitales de la región de Ribeirão Preto, SP, Brasil, afectados por accidente de trabajo con material corto-punzante y remitidos para evaluación a un servicio especializado en el tratamiento de enfermedades infecciosas, los que fueron contaminados y las conductas adoptadas con relación al accidente. Se trata de una investigación de campo de carácter descriptivo. La muestra estuvo constituida por 30 sujetos y los datos fueron recolectados a través de consulta al informe médico de los trabajadores. Los resultados revelaron que ninguno de los trabajadores fue contaminado por el

  14. Incapacidade por traumatismo raquimedular secundário a acidentes de trânsito Incapacidad por lesiones de la médula espinal debido a accidentes de tráfico Disability by spinal cord injuries due to traffic accidents

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    Jon Mark Praga Xavier De Brito

    2011-01-01

    Full Text Available OBJETIVO: Analisar as vítimas de acidentes de trânsito que apresentam incapacidade decorrente de lesão medular. MÉTODOS: Foram avaliados os prontuários de 719 vítimas de acidentes de trânsito que solicitaram benefício devido as lesões decorrentes e selecionadas as que sofreram traumatismo raquimedular. As variáveis idade, sexo, tipo de acidente, lesões decorrentes, e grau de incapacidade de acordo com a Classificação Internacional de Funcionalidade, Incapacidade e Saúde foram então analisadas. RESULTADOS: Dos 32 casos de incapacidade total (4,5%, 11 pacientes eram portadores de traumatismo raquimedular (34,37% (RR=13,245, IC 95% de 0,267 a 0,966. Incapacidade funcional foi obervada em 360 pacientes (50,1%, e destes sete possuiam TRM (1,9% (RR=0,508; IC 95% de 0,267 a 0,966. Houve incapacidade leve em 327 pacientes (45,48%, sendo que seis destas vítimas sofreram TRM (1,83% (RR=0,398, IC 95% de 0,211 a 0,765. Os automóveis foram responsáveis por 70,83% das lesões medulares, a motocicleta 20,83 e o atropelamento 12,5%. CONCLUSÕES: O TRM incapacita mais adultos jovens do sexo masculino, constituindo a segunda maior causa de incapacidade total entre os sobreviventes de acidentes de trânsito e ocupando um segundo plano em relação a incapacidade funcional. A incidência de sequela por TRM foi de 0,38%, a maioria em ocupantes de automóveis (70,83%.OBJETIVO: Analizar las víctimas de accidentes de tráfico que sufrieron discapacidad debida a un traumatismo raquimedular. MÉTODOS: Se evaluaron los registros de 719 víctimas de accidentes de tráfico que se reclamó el beneficio derivados de los daños corporales debido a accidentes de tráfico, y seleccionadas las víctimas que sufrieron lesiones de la médula espinal. Las variables edad, sexo, tipo de accidente, lesión resultante, y el grado de discapacidad de acuerdo a la Clasificación Internacional del Funcionamiento, Discapacidad y Salud fueron entonces analizadas. RESULTADOS

  15. Doctor Ward's Accidental Terrarium.

    Science.gov (United States)

    Hershey, David R.

    1996-01-01

    Presents the story of the accidental invention of the Wardian case, or terrarium, by Nathaniel Bagshaw Ward. Advocates the use of this story in teaching precollege biology as an illustration of how a chance event can lead to a major scientific advancement and as an example of the common occurrence of multiple discovery in botany. Contains 34…

  16. Caer en la trampa: el accidente por mina antipersonal. La experiencia de los sobrevivientes, Antioquia, Colombia, 2007 Caught in the trap: Survivors’ experiences after landmine accidents, Antioquia, Colombia, 2007

    Directory of Open Access Journals (Sweden)

    Margarita Lucía Correa Restrepo

    2010-08-01

    Full Text Available

    Objetivo: este artículo es el resultado parcial de una investigación llevada a cabo en el contexto de la formación en una maestría en el área de la salud colectiva, cuyo propósito fue interpretar el proceso de integración a la vida cotidiana de los sobrevivientes a accidentes por mina antipersonal, a través de sus relatos para la reconstrucción de experiencias.

    Metodología: el estudio se hizo con un abordaje metodológico cualitativo etnográfico particularista y focalizado; como técnicas para recolectar la información se utilizaron la entrevista semiestructurada a cuatro participantes y la observación durante la misma.

    Resultados: en esta publicación se muestra la categoría caer en la trampa, en respuesta a la pregunta ¿cuál es la experiencia con el accidente de los sobrevivientes de minas antipersonal?, que describe el momento de la explosión e incluye el lugar donde sucedió, la actividad que realizaban en ese momento, el objeto con el que fueron heridos, los daños y las sensaciones que les produjo tanto a sí mismos como a sus acompañantes.

    Conclusiones:

  17. Perfil epidemiológico del accidente ofídico en las tierras bajas de Guatemala

    Directory of Open Access Journals (Sweden)

    Dennis Guerra-Centeno

    2017-03-01

    Full Text Available Se describe el perfil epidemiológico del accidente ofídico en las tierras bajas de Guatemala a partir del análisis de 305 expedientes de casos atendidos en los hospitales regionales de Escuintla y San Benito, Petén, entre 2008 y 2013. De los 305 casos, 169 correspondieron al Hospital Regional de Escuintla y 136 al Hospital Regional de San Benito Petén. Los casos del Hospital Regional de Escuintla correspondieron a pacientes provenientes de los departamentos de Escuintla, Santa Rosa, Chimaltenango, Retalhuleu, Suchitepéquez, Sacatepéquez, Sololá y Guatemala. Los casos del Hospital Regional de San Benito Petén correspondieron a pacientes provenientes del área centro y norte de Petén, y algunos referidos del área sur. La edad media de la víctima fue 25.2 años. La enfermedad afectó más a hombres (61.3% que a mujeres (38.7%. La mayoría de los afectados (28.3% eran agricultores. Las especies de serpiente que se consignaron en los expedientes con mayor frecuencia fueron Bothrops asper (serpiente barba amarilla en la región norte y Crotalus simus (serpiente cascabel en la región sur. La mayoría de las mordeduras ocurrieron en los miembros inferiores. Los eventos de mordedura ocurrieron durante el día y durante la noche en proporciones similares. El tiempo medio que tarda la víctima en llegar al hospital fue de 5.6 horas. Se describen también otros aspectos epidemiológicos y se discuten las implicaciones ecológicas y sociales de los datos generados.

  18. Flavour from accidental symmetries

    International Nuclear Information System (INIS)

    Ferretti, Luca; King, Stephen F.; Romanino, Andrea

    2006-01-01

    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

  19. Radiative accidental matter

    Energy Technology Data Exchange (ETDEWEB)

    Sierra, D. Aristizabal [IFPA, Dép. AGO, Université de Liège,Bât B5, Sart Tilman B-4000 Liège 1 (Belgium); Universidad Técnica Federico Santa María - Departamento de Física,Casilla 110-V, Avda. España 1680, Valparaíso (Chile); Simoes, C.; Wegman, D. [IFPA, Dép. AGO, Université de Liège,Bât B5, Sart Tilman B-4000 Liège 1 (Belgium)

    2016-07-25

    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 μ→eγ has a rate well within MEG sensitivity provided the lepton-number violating scale is at or below 5×10{sup 5} GeV, a value (naturally) assured by the radiative suppression mechanism. Sizeable τ→μγ branching fractions within SuperKEKB sensitivity are possible for lower lepton-number breaking scales. We thus point out that these scenarios can be tested not only in direct searches but also in lepton flavor-violating experiments.

  20. Administração inadvertida de 4 mg de morfina por via subaracnóidea: relato de caso Administración inadvertida de 4 mg de morfina por vía subaracnoidea: relato de caso Accidental subarachnoid administration of 4 mg of morphine: case report

    Directory of Open Access Journals (Sweden)

    Bruno Salomé de Morais

    2008-04-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: A administração de morfina por via subaracnóidea é técnica bem estabelecida para analgesia pós-operatória devido a sua eficácia, segurança e baixo custo. A administração inadvertida de 4 mg de morfina por via subaracnóidea complicada por fibrilação atrial ap��s administração de naloxona foi o objetivo desse relato. RELATO DO CASO: Paciente do sexo masculino, 45 anos, 75 kg, 1,72 m, estado físico ASA II, hipertenso, a ser submetido à reconstrução do ligamento cruzado anterior do joelho esquerdo. Após a realização da raquianestesia, foi constatada troca da ampola de morfina, com administração de 4 mg (0,4 mL da ampola de 10 mg por via subaracnóidea. A freqüência respiratória oscilou entre 12 e 16 incursões respiratórias por minuto e o paciente manteve-se estável hemodinamicamente sem queixas no intra-operatório. Após 30 minutos da admissão na SRPA, apresentou vômitos e sudorese, tratados com 0,4 mg de naloxona seguidos de infusão contínua de 0,2 mg.h-1 até o desaparecimento dos sintomas. A infusão contínua de naloxona foi mantida na Unidade de Terapia Intensiva (UTI, onde a pressão arterial, freqüência cardíaca, freqüência respiratória, saturação de oxigênio foram monitoradas, assim como a presença de náusea, prurido, vômito, sedação, dor e retenção urinária observadas. Após 2 horas de admissão na UTI, o paciente apresentou fibrilação atrial aguda sem instabilidade hemodinâmica. O ritmo sinusal foi restabelecido após 150 mg de amiodarona e interrupção da infusão de naloxona. Nas 18 horas seguintes apresentou estabilidade hemodinâmica e evoluiu sem outras intercorrências até a alta hospitalar. CONCLUSÕES: O presente relato alerta para o risco de troca de medicamentos durante o ato anestésico e ressalta a importância do encaminhamento dos pacientes em tratamento de sobredose de opióides à UTI em virtude de seus potenciais efeitos adversos

  1. Observaciones sobre accidentes de trabajo y enfermedades profesionales

    Directory of Open Access Journals (Sweden)

    Guillermo Sarmiento López

    1948-03-01

    Full Text Available En los tiempos antiguos no existía ley ni disposición alguna de carácter social que favoreciera a los trabajadores incapacitados por enfermedad o por accidente, por tanto, eran tratados como esclavos o considerados como animales. Los accidentes de trabajo y las enfermedades profesionales eran casi desconocidas antes de la introducción de la maquinaria en la industria, por lo cual no existía el derecho a indemnización por concepto de daños que sufriera el trabajador en el desempeño de sus labores. Solamente se conocen los edictos de Rotari (año 645 de la éra cristiana lanzados en Italia con el fin de reparar los accidentes de los obreros de la construcción y después, en la época del Renacimiento, algunas publicaciones que hablan de ciertas enfermedades de los trabajadores (Ellemborg 1473, Paracelso 1493-1541. Ya en la edad media la industria comenzó a tomar cierta importancia y dada la escasez de brazos, se vio obligado el patrón por fuerza de las circunstancias a prestar ayuda económica a los trabajadores incapacitados por una u otra causa. Los accidentes sucedidos en las industrias no se consideraban como de trabajo, por no conocerse el peligro que envolvía el empleo de la maqumana. En el siglo XVII y a principios del XVIII un médico italiano, Ramazzini habla del perjuicio que ocasionan ciertos trabajos en el organismo del individuo, produciendo alteraciones anatómicas y funcionales. Solamente a fines del siglo XVIII y a principios del XIX con la producción en masa, con el aumento del número de obreros y con la falta de protección, empezaron los accidentes de trabajo a hacerse notorios.

  2. Prevenção de queimaduras: percepção de pacientes e de seus familiares Prevención de accidentes por quemaduras: percepción del paciente y de sus familiares Burn prevention: perceptions of patients and their relatives

    Directory of Open Access Journals (Sweden)

    Lídia Aparecida Rossi

    2003-02-01

    Full Text Available Os objetivos deste estudo foram investigar os meios de prevenção de queimaduras identificados por pacientes vítimas de queimaduras e por seus familiares. Os dados foram coletados na Unidade de Queimados do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, mediante a realização de entrevistas com pacientes e seus familiares. Os dados foram categorizados por quatro juízes. Para verificar a existência de concordância entre os juízes, quanto à categorização, foi utilizada a medida não paramétrica de correlação - Coeficiente de Contingência. Foram entrevistados: 24 familiares de pacientes que sofreram queimaduras e 33 pacientes. Dos 33 pacientes entrevistados, 18 sofreram acidentes em ambiente doméstico. Dos 57 entrevistados, 11 afirmaram que não poderiam ter contribuído para evitar o acidente. Vinte pacientes e 12 familiares identificaram situações de risco no ambiente doméstico ou no trabalho, e 13 pacientes e 12 familiares não identificaram qualquer tipo de situação de risco. Os familiares e pacientes apontaram como medidas preventivas de acidentes por queimaduras: estar atento às atividades realizadas e ter cuidado com o manuseio de produtos inflamáveis.Los objetivos de este estudio fueron investigar los medios de prevención de quemaduras identificados por pacientes portadores de quemaduras y por sus familiares. Los datos fueron colectados en la Unidad de Quemados del Hospital de las Clínicas de la Facultad de Medicina de Ribeirão Preto, mediante entrevistas con pacientes portadores de quemaduras y sus familiares. Los datos fueron categorizados por cuatro jueces. Para verificar la existencia de concordancia entre los jueces en relación con la categorización, fue utilizada la medida de correlación - coeficiente de contingencia. Fueron entrevistados: 24 familiares de pacientes que sufrieron quemaduras y 33 pacientes. De los 33 pacientes entrevistados, 18 sufrieron accidentes en el ambiente dom

  3. Forma paralitica de un caso de rabia humana trasmitida por murciélago, simulando Síndrome de Guillain Barre: Presentación de un caso de autopsia Paralytic form of a case of human rabies transmitted by bat, simulated Guillain Barre Syndrome: Presentation of an autopsy case

    Directory of Open Access Journals (Sweden)

    Julio Cesar Mantilla

    2010-08-01

    Full Text Available Introducción: La rabia es una zoonosis letal producida por un virus ARN del género Lyssavirus que se trasmite al hombre por la saliva del animal infectado por mordedura, contaminación de una herida abierta, arañazo, abrasión o laceración de una membrana mucosa o tejido nervioso infectado. Se ha comprobado, además, la transmisión a humanos por inhalación del virus de la rabia presente en aerosoles suspendidos en el aire de cavernas en las que habitan gran cantidad de murciélagos, así como en accidentes de laboratorio y mediante el trasplante de órganos infectados con el virus. Este penetra desde la herida a las terminaciones nerviosas y por transporte axonal retrogrado ingresa al sistema nervioso central, cuyo compromiso explica las manifestaciones clínicas de la enfermedad en sus formas encefalítica y paralitica, la última de las cuales se caracteriza por pérdida de la fuerza iniciada en la extremidad mordida y se extiende a las demás extremidades como una parálisis flácida, semejando un Síndrome de Guillain Barré (SGB. Objetivo: Presentar un caso de una paciente, residente de una zona urbana de Barrancabermeja, muerta por rabia humana cuyo cuadro clínico fue diagnosticado como un SGB y su necropsia evidenció una encéfalo-mielo- neuritis rábica. Resultado: Mujer adulta con manifestaciones clínicas de cuadriparesia flácida, disfagia y disnea, diagnosticada como SGB, hospitalizada en la unidad de cuidados intensivos de una institución de salud de III nivel de la ciudad de Bucaramanga quien fallece 23 días después de iniciar su sintomatología neurológica. Por interrogatorio a familiares se estableció el antecedente de mordedura por murciélago 2 meses antes y por estudio de autopsia se diagnosticó encefalitis rábica. Discusión: El presente informe busca llamar la atención sobre un nuevo caso de rabia humana trasmitida por quirópteros en una zona urbana del departamento de Santander, Colombia para que se

  4. The accidental (acoustical) tourist

    Science.gov (United States)

    Van Kirk, Wayne

    2002-11-01

    The acoustical phenomenon observed at an ancient temple in the Great Ball Court at Chichen Itza was described as ''little short of amazing--an ancient whispering gallery'' by Silvanus G. Morley, leader of the Carnegie Institute's archaeological team that excavated and restored these structures in the 1920s. Since then, many others have experienced the extraordinary acoustics at Chichen Itza and other Maya sites. Despite these reports, archaeologists and acousticians have until recently shown little interest in understanding these phenomena. After experiencing Chichen Itza's remarkable acoustics as a tourist in 1994, the author commenced collecting and disseminating information about acoustical phenomena there and at other Mayan sites, hoping to stimulate interest among archaeologists and acousticians. Were these designs accidental or intentional? If intentional, how was the knowledge obtained? How were acoustical features used? This paper highlights the author's collection of anecdotal reports of mysterious Mayan acoustics (http://http://www.ianlawton.com/pa1.htm), recommended reading for scientists and engineers who wish to pursue this fascinating study. Also recounted are some of the reactions of archaeologists-ranging from curious, helpful, and insightful to humorous and appalling--to outsiders' efforts to bring serious scientific attention to the new field of acoustical archaeology.

  5. Asociación del trastorno por deficit de atención con hiperactividad e impulsividad (TDAH) con accidentes graves frecuentes o unicos en el servicio de urgencias del hospital infantil de Morelia

    OpenAIRE

    García Zamora, Ivonne

    2011-01-01

    El transtorno por déficit de atención hiperactivad e impulsividad es uno de los trastornos neuroconductuales más frecuentes, empieza en la niñez temprana y puede continuar a la edad adulta, la mayoría de los casos de TDAH se diagnostican en los primeros años escolares llámese preescolar o primaria.

  6. 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...

  7. Medidas y estrategias para la prevención y control de los accidentes de tránsito: experiencia peruana por niveles de prevención Actions and strategies for the prevention and control of road traffic injuries: peruvian experience by levels of prevention

    Directory of Open Access Journals (Sweden)

    Hernán Málaga

    2010-06-01

    Full Text Available El presente artículo busca describir las principales medidas de prevención primaria y secundaria sobre accidentes de tránsito que vienen desarrollándose en Perú, considerando aspectos epidemiológicos propios de la experiencia peruana, como lo reportado en otros países. Se aborda lo a nivel de prevención primaria lo relacionado a la restricción horaria de expendio de bebidas alcohólicas, detección de conductores con alcoholemia positiva y el conductor elegido. En cuanto a prevención secundaria, se presenta los estudios de puntos negros y los barriles de contención de impacto, asimismo, una breve visión de los sistemas de atención pre hospitalaria en el caso de los traumatismos por accidentes de tránsito. Existe la necesidad de una mejor caracterización del problema, para establecer las políticas públicas saludables en lo concerniente a accidentes de tránsito, existe la necesidad de valoraciones basadas en evidencia científica y en estudios de evaluaciones económicas.This article aims to describe the main actions that are being developed in Peru for primary and secondary prevention of road traffic injuries, considering the epidemiological aspects that characterize the Peruvian experience, as reported in other countries. At the primary prevention level, it addresses issues related to the timing restriction of the sales of alcoholic beverages, detection of drivers with positive testing for alcohol in blood and the chosen driver. Regarding secondary prevention, the studies on black spots and the impact containment barrels are presented, also a brief overview of the pre-hospital care systems in the case of road traffic injuries. There is a need for better characterization of the problem, in order to establish healthy public policies regarding traffic accidents, there is a need for evidence-based reviews and studies of economic evaluations.

  8. Ocorrência de acidente de trabalho por materiais perfurocortantes e fluidos biológicos em estudantes e trabalhadores da saúde de um hospital escola de Brasília Frecuencia de accidentes del trabajo causados por instrumentos puntiagudo-cortantes y fluidos biológicos entre estudiantes y personal de un hospital escuela de la ciudad de Brasilia Occurrence of work accidents caused by sharp-edged hollow-pointed equipment and biological fluids among medical students and health personnel in a Brasília university hospital

    Directory of Open Access Journals (Sweden)

    Helena Eri Shimizu

    2002-12-01

    Full Text Available estudo teve por objetivo verificar e analisar a ocorrência de acidentes de trabalho causados por materiais perfurocortantes e fluidos biológicos em estudantes e trabalhadores da área da saúde. Foi realizado em um hospital-escola de Brasilia. A coleta de dados foi feita a partir dos registros de acidentes de trabalho mantidos pela Comissão de Controle de Infecção Hospitalar e referentes ao período de agosto de 1998 a junho de 2000. Verificou-se que 117 pessoas sofreram acidentes de trabalho, em sua grande maioria causados por agulhas. Concluiu-se que existe a necessidade de melhoria nos sistemas de prevenção de acidentes na instituição.El objetivo del estudio fue el de verificar y analizar la frecuencia de accidentes del trabajo causados por instrumentos puntiagudo-cortantes entre estudiantes y personal de un hospital escuela de la ciudad de Brasilia. Los datos, recogidos de los registros de accidentes del trabajo de la Comisión de Control de Infección Hospitalaria, corresponden al periodo entre agosto de 1998 y junio de 2000. Se verifico que 117 personas sufrieron accidentes del trabajo, en su gran mayoría causados por agujas. Se llegó a la conclusión de que es necesario mejorar el sistema de prevención de accidentes en dicha institución.The objective of the study was to check and analyze the occurrence of work accidents caused by sharp-edged hollow-pointed equipment and biological fluids among medical students and health personnel. It was carried out in a Brasilia university hospital. The data were collected from records of work accidents kept by the Hospital Infection Control Committee, from August 1998 to June 2000. It has turned out that 117 persons were victims of work accidents, the vast majority of them caused by needles. The study has reached the conclusion that the accident prevention system must be improved at the above mentioned hospital.

  9. Trastorno de adaptación: análisis de la Incapacidad Laboral por contingencias comunes en Ibermutuamur, Mutua de Accidentes de Trabajo y Enfermedades Profesionales de la Seguridad Social

    Directory of Open Access Journals (Sweden)

    Rosa Carmen Enguita Martín

    2013-09-01

    Full Text Available Las enfermedades mentales constituyen una importante causa de Incapacidad Temporal y absentismo laboral en los países industrializados, con la consiguiente carga socio-sanitaria e impacto económico que conllevan. Una de las causas más importante de estas enfermedades son los Trastornos de Adaptación. La predisposición o vulnerabilidad individual que da lugar a su aparición y manifestaciones, junto con la dificultad de aplicar criterios diagnósticos determinantes y cuantificables, hacen que muchos pacientes sean encuadrados en este diagnóstico y no reciben un tratamiento adecuado a la patología que realmente padecen, con el consiguiente desajuste temporal en la duración de su situación de Incapacidad Laboral. Por este motivo se inicia la revisión del comportamiento de la Incapacidad Temporal de los trabajadores controlados por contingencias comunes en Ibermutuamur con el diagnóstico de Trastorno de Adaptación durante los años 2008 al 2010, valorar los resultados y concluir si alguna variable permitirá mejorar el control y seguimiento de estos procesos, ajustando su duración en beneficio del paciente, su empresa, la Mutua y la sociedad en general. Tras la realización del estudio epidemiológico observacional de los datos registrados en los procesos de nuestro propio programa sanitario durante los años mencionados, podemos concluir que, salvo algunos datos orientativos para su gestión, como su mayor frecuencia de aparición en mujeres, y en ellas, de recaídas y evolución a Incapacidad Permanente, o el hecho de que además del diagnóstico genérico, los subtipos diagnósticos "Reacción de adaptación con características emocionales mixtas" y "Reacción de adaptación con humor de ansiedad" son los más frecuentes y los que se repiten en frecuencia en casi todos los resultados de la valoración del resto de las variables del estudio, no existe ninguna variable que por sí misma pueda determinar la toma de decisiones para

  10. La prevención de accidentes

    Directory of Open Access Journals (Sweden)

    Chinchilla, M.

    1966-02-01

    Full Text Available Working accidents have a high moral and material impact, and are often easy to avoid, at least in about half the cases. Hence it is most important that campaigns for the reduction of these accidents should be correctly planned, so that such campaigns should not merely result in additional expense, and in a lowering of staff morale, when workers find themselves operating in an unpleasant and dangerous activity. In addition to special requirements, which may be studied in a later paper, and which must necessarily cover a very wide number of alternative cases, there are circumstances of a general nature, such as financial and moral consequences, and psychological repercussions, which influence the prevention of accidents and are the subject of this article.La notable repercusión moral y material que tienen los accidentes de trabajo y la fácil evitación de los mismos, por lo menos en la mitad de los casos, hacen sumamente importante que las campañas de prevención de accidentes estén bien orientadas y proyectadas, para evitar que se traduzcan, únicamente, en un gasto más y en una disminución de la moral del personal, al ver, éste, que está situado en medio de un ambiente desagradable y peligroso. Además de las normas particulares, que pueden ser objeto de otro trabajo posterior, y que han de ser forzosamente amplias, debido a la multiplicidad de factores que intervienen, hay, sin embargo, unas consideraciones de carácter general, tales como repercusiones económicas y morales y factores psicológicos que influyen en la prevención de accidentes y que son objeto del presente artículo.

  11. 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.

  12. Factores de riesgo de lesión por accidentes de tráfico y el impacto de una intervención sobre la carretera Risk factors of injury by traffic accidents and the impact of an intervention on the road

    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 (pOBJETIVO: Avaliar o efeito das intervenções em uma rodovia, na ocorrência e gravidade de ferimentos por acidente. MÉTODOS: Foi feita uma análise comparativa de dois estudos transversais em 1994 e 1996. RESULTADOS: Em 1994 a taxa foi de 7,96 acidentes/100.000 veículos e em 1996, 8,49/100.000 veículos. O aumento não foi significante (p>0.05. O índice de motoristas feridos em 1994 foi de 2,10/100.000 veículos e de 1,35/100.000 veículos em 1996, o que representa uma redução significante (pOBJECTIVE: To evaluate the effect of interventions at a highway, in the occurrence and severity of injuries by traffic accidents. METHOD: It was made a comparative analysis of two cross-sectional studies in 1994 and 1996. RESULTS: In 1994 the rate was 7.96 accidents/ 100,000 vehicles and in 1996 8.49 / 100,000 vehicles. The increase was not significant (p>0.05. The rate of injured drivers in 1994 was of 2.10 / 100,000 vehicles and of 1.35 / 100,000 vehicles in 1996, which was a significant decrease (p<0.000. The self-report of use of seat belt (63.46% versus 76.6%, the small vehicles involved in accidents (7.9% versus 37.7%, nocturnal schedule (23.7% versus 31.8% and in Mexico-Cuernavaca direction (45% versus 66.7%, were more frequent in

  13. 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

  14. Acute Renal Failure following Accidental Potassium Bromate ...

    African Journals Online (AJOL)

    Accidental poisoning is common in children. Potassium bromate is a commonly used additive and raising agent in many edibles particularly bread, a staple food worldwide, yet its accidental poisoning has hitherto, not been documented in Nigeria. We report an unusual case of acute renal failure following accidental ...

  15. Post accidental small breaks analysis

    International Nuclear Information System (INIS)

    Depond, G.; Gandrille, J.

    1980-04-01

    EDF ordered to FRAMATOME by 1977 to complete post accidental long term studies on 'First Contrat-Programme' reactors, in order to demonstrate the safety criteria long term compliance, to get information on NSSS behaviour and to improve the post accidental procedures. Convenient analytical models were needed and EDF and FRAMATOME respectively developped the AXEL and FRARELAP codes. The main results of these studies is that for the smallest breaks, it is possible to manually undertake cooling and pressure reducing actions by dumping the steam generators secondary side in order to meet the RHR operating specifications and perform long term cooling through this system. A specific small breaks procedure was written on this basis. The EDF and FRAMATOME codes are continuously improved; the results of a French set of separate effects experiments will be incorporated as well as integral system verification

  16. 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......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 narrative review. RESULTS: The hospital use of minimally-invasive rewarming for non-arrested, otherwise healthy, patients with primary hypothermia and stable vital signs has the potential to substantially decrease morbidity and mortality for these patients. Extracorporeal life support (ECLS) has...... and post-resuscitation care. CONCLUSIONS: Based on new evidence, additional clinical experience and clearer management guidelines and documentation, the treatment of accidental hypothermia has been refined. ECLS has substantially improved survival and is the treatment of choice in the patient with unstable...

  17. Accidentes y lesiones por consumo de alcohol y drogas en pacientes atendidos en una sala de urgencia Acidentes e lesões por consumo de álcool e drogas em pacientes atendidos em uma sala de urgência Accidents and injuries due to consumption of alcohol or drugs in patients treated at an emergency room

    Directory of Open Access Journals (Sweden)

    Nora Nelly Oliva Rodríguez

    2010-06-01

    Full Text Available Los propósitos del estudio fueron describir la diferencia del consumo de alcohol por género, escolaridad y ocupación y conocer el efecto de las características sociodemográficas sobre el consumo de alcohol, en 120 pacientes. Los resultados mostraron diferencias significativas por género (t=-3,570, pOs propósitos deste estudo foram descrever a diferença do consumo de álcool por sexo, escolaridade e ocupação e conhecer o efeito das características sociodemográficas sobre o consumo de álcool, em 120 pacientes. Os resultados mostraram diferenças significativas por sexo (t=-3.570; pThe aims of the study were to describe the differences in alcohol consumption by sex, education and occupation and to understand the effects of the socio-demographic characteristics on alcohol consumption, in 120 emergency room patients. The results showed significant differences for sex (t=-3.570, p <.01 and education (t=2.636, p <.01 in alcohol consumption. In addition the factors; age, age alcohol consumption started, quantity of alcohol ingested, age marijuana consumption started, and hours lapsed between the consumption of marijuana and the accident (F7, 116=15.519, p <.00, were also significant on the consumption of alcohol with an explained variance of 40%.

  18. Accidental poisoning with autumn crocus.

    Science.gov (United States)

    Gabrscek, Lucija; Lesnicar, Gorazd; Krivec, Bojan; Voga, Gorazd; Sibanc, Branko; Blatnik, Janja; Jagodic, Boris

    2004-01-01

    We describe a case of a 43-yr-old female with severe multiorgan injury after accidental poisoning with Colchicum autumnale, which was mistaken for wild garlic (Allium ursinum). Both plants grow on damp meadows and can be confused in the spring when both plants have leaves but no blossoms. The autumn crocus contains colchicine, which inhibits cellular division. Treatment consisted of supportive care, antibiotic therapy, and granulocyte-directed growth factor. The patient was discharged from the hospital after three weeks. Three years after recovery from the acute poisoning, the patient continued to complain of muscle weakness and intermittent episodes of hair loss.

  19. Comportamiento de los accidentes laborales

    Directory of Open Access Journals (Sweden)

    Miguel Gómez Vital

    1999-01-01

    Full Text Available Se realiza una valoración sobre la situación de la accidentalidad en centros de trabajo de la provincia de Villa Clara de 1993 a 1997. El total de accidentes registrados fue de 12 522. Últimamente han disminuido y su índice de incidencia. En el último año se redujo el promedio de días perdidos, pero el índice de gravedad alcanzó la cifra mayor. Se insiste en el cumplimiento del programa de prevención y reducción de accidentes laborales.The situation of the occupational accidents that occurred in the province of Villa Clara from 1993 to 1997 was assessed. 12 522 accidents were registered during that periods. A decrease of these accidents and of their incidence rate has been observed lately. The average of lost days was reduced during the last year, out the severity index reached the highest figure. Emphasis is made on the importance of fulfilling the program of prevention and reduction of occupational accidents.

  20. Is the tribimaximal mixing accidental?

    International Nuclear Information System (INIS)

    Abbas, Mohammed; Smirnov, A. Yu.

    2010-01-01

    The tribimaximal (TBM) mixing is not accidental if structures of the corresponding leptonic mass matrices follow immediately from certain (residual or broken) flavor symmetry. We develop a simple formalism which allows one to analyze effects of deviations of the lepton mixing from TBM on the structure of the neutrino mass matrix and on the underlying flavor symmetry. We show that possible deviations from the TBM mixing can lead to strong modifications of the mass matrix and strong violation of the TBM-mass relations. As a result, the mass matrix may have an 'anarchical' structure with random values of elements or it may have some symmetry that differs from the TBM symmetry. Interesting examples include matrices with texture zeros, matrices with certain 'flavor alignment' as well as hierarchical matrices with a two-component structure, where the dominant and subdominant contributions have different symmetries. This opens up new approaches to understanding the lepton mixing.

  1. Perfil dos atendimentos a acidentes de transporte terrestre por serviços de emergência em São Paulo, 2005 Perfil de las atenciones a accidentes de transporte terrestre por servicios de emergencia en São Paulo, 2005 Land transport injuries among emergency department visits in the state of São Paulo, in 2005

    Directory of Open Access Journals (Sweden)

    Vilma Pinheiro Gawryszewski

    2009-04-01

    Full Text Available OBJETIVO: Analisar as características dos atendimentos decorrentes de lesões relacionadas com transporte terrestre. MÉTODOS: Foram analisados 5.934 atendimentos em quatro unidades de emergências hospitalares do estado de São Paulo, em 2005. O instrumento utilizado foi um questionário baseado em modelos disponibilizados pela Organização Mundial de Saúde. As variáveis analisadas foram: tipo de usuário (ocupante de veículo, pedestre, motociclista e ciclista, sexo e faixa etária e tipo de lesão sofrida. Foi utilizada análise de regressão logística para testar associações entre variáveis. Foram calculadas as odds ratios com os respectivos intervalos de confiança de 95%. RESULTADOS: A maior parte dos atendimentos foram para o sexo masculino (74,2% e para a faixa de 20 a 29 anos (35,0%. Os usuários vulneráveis do sistema responderam por 72,4% do total de casos (motociclistas 29,8%, pedestres 24,1% e ciclistas 18,5%. As vítimas com idades entre zero e 14 anos que sofreram lesões eram principalmente pedestres e ciclistas; entre 15 e 39 anos predominaram os motociclistas e na faixa acima de 50 anos, pedestres. Cerca de metade dos casos sofreram lesões de menor gravidade (entorses, luxações, contusões e cortes e a outra metade foi composta por fraturas, traumatismos crânio-encefálico e lesões de órgãos internos. As extremidades foram o segmento do corpo mais atingido, especialmente entre motociclistas. A maioria dos casos recebeu alta diretamente do setor de atendimento (87,6%. Em comparação às mulheres, os homens apresentaram chance 1,5 vezes maior de serem internados, transferidos ou morrerem. Comparativamente aos ciclistas, os pedestres e os ocupantes de veículos e motociclistas apresentaram chance, respectivamente, 2,7, 2,4 e 1,9 vezes maior de serem internados, transferidos ou de morrerem. CONCLUSÕES: Entre as prioridades para a redução das lesões relacionadas ao transporte terrestre devem figurar medidas

  2. About Assessment Criteria of Driver's Accidental Abilities

    Science.gov (United States)

    Lobanova, Yuliya I.; Glushko, Kirill V.

    2016-01-01

    The article points at the importance of studying the human factor as a cause of accidents of drivers, especially in loosely structured traffic situations. The description of the experiment on the measurement of driver's accidental abilities is given. Under accidental ability is meant the capability to ensure the security of driving as a behavior…

  3. Characterisation of childhood and adolescence accidental fatalities ...

    African Journals Online (AJOL)

    Background: Accidental death in childhood and adolescence is posing a public health problem in Nigeria, as most of these deaths were not caused by the victims. There is need to research into the pattern and circumstances surrounding the death. Aim: To characterise and study accidental deaths in childhood and ...

  4. Accidental Poisoning with Otapiapia: a Local Organophasphate ...

    African Journals Online (AJOL)

    Children are prone to accidental poisoning. We report this fatal organophosphate poisoning of a 3-year-old Nigerian boy following accidental ingestion of a homemade cocktail of kerosene and 'Otapiapia': a local rodenticide to highlight the dangers inherent in un-regulated production, home use and storage of this ...

  5. Tension Pneumothorax following an Accidental Kerosene Poisoning ...

    African Journals Online (AJOL)

    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 ...

  6. El recuerdo de los accidentes de tráfico: Memoria de los testigos

    OpenAIRE

    Diges Junco, Margarita; Manzanero, Antonio L.

    1995-01-01

    En este trabajo se trata la recogida de datos subjetivos originados por las personas presentes en el accidente, una cuestión de vital importancia en la investigación de éstos y cuya exactitud depende de dos factores principales: la honestidad y la memoria de la persona que los proporciona.

  7. Análisis de los mecanismos de producción de las lesiones leves por accidentes de trabajo en la construcción en España Analysis of the mechanisms of minor occupational injuries in the construction industry in Spain

    Directory of Open Access Journals (Sweden)

    F.G. Benavides

    2003-10-01

    Full Text Available Objetivos: La construcción es la actividad económica que registró mayor número de lesiones por accidentes de trabajo (LAT con baja en jornada en España (25,6%, de las cuales el 98,5% eran leves con casi 5 millones de días perdidos en 2000. Esto ocurre después de adoptarse numerosas normas preventivas en los últimos años. El objetivo fue identificar los mecanismos específicos de LAT leves en la construcción. Métodos: El total de LAT leves en la construcción fue 235.853 durante el año 2000. De ellas se seleccionaron las ocurridas en la «construcción general de inmuebles y obras de ingeniería civil» (n = 155.044, tanto en el conjunto de trabajadores como en albañiles y peones de la construcción. Como actividad de referencia se seleccionó la «actividad financiera y de seguros» (n = 2.019. Las LAT por afección no traumática (infarto, etc. fueron el grupo control (n = 167, asumiendo que el riesgo de LAT no traumática era independiente de la actividad económica. La odds ratio (OR se ajustó por edad, sexo, antigüedad en la empresa, tipo de contrato y tamaño de la empresa, mediante modelos de regresión logística no condicional. Resultados: Los mecanismos de producción más específicos de LAT en la construcción, respecto a los de las finanzas y seguros, fueron, para el conjunto de trabajadores, la proyección de partículas (OR = 33,0; IC del 95%, 15,3-70,8 y los golpes por objetos (OR = 18,2; IC del 95%, 9,7-34,1. Los mismos que también se identificaron en albañiles y peones. Conclusiones: Las actividades orientadas a prevenir las LAT leves en la construcción deben tener en cuenta estos mecanismos de producción, especialmente la proyección de partículas, a pesar de que su frecuencia respecto a otros mecanismos de producción sea baja. Los estudios de casos y controles constituyen una alternativa útil para el análisis de las LAT.Objectives: The construction industry produces the highest number of occupational

  8. 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.

  9. Accidental and retrospective dosimetry using TL method

    International Nuclear Information System (INIS)

    Mesterházy, D.; Osvay, M.; Kovács, A.; Kelemen, A.

    2012-01-01

    Retrospective dosimetry is one of the most important tools of accidental dosimetry for dose estimation when dose measurement was not planned. In the affected area many objects can be applied as natural dosimeters. The paper discusses our recent investigations on various electronic components and common salt (NaCl) having useful thermoluminescence (TL) properties. Among materials investigated the electronic components of cell phones seem promising for retrospective dosimetry purposes, having high TL responses, proper glow curve peaks and the intensity of TL peaks vs. gamma dose received provided nearly linear response in the dose range of 10 mGy–1.5 Gy. - Highlights: ► Electronic components and common salt were investigated for accidental and retrospective dosimetry. ► SMD resistors seem promising for retrospective dosimetry purposes. ► Table salt can be used effectively for accidental dosimetry purposes, as well.

  10. Analysis of accidental UF6 releases

    International Nuclear Information System (INIS)

    Fan Yumao; Tan Rui; Gao Qifa

    2012-01-01

    As interim substance in the nuclear fuel enrichment process, Uranium Hexafluoride (UF 6 ) is widely applied in nuclear processing, enrichment and fuel fabrication plants. Because of its vivid chemical characteristics and special radiological hazard and chemical toxicity, great attention must be paid to accident of UF 6 leakage. The chemical reactions involved in UF 6 release processes were introduced, therewith potential release styles, pathways and characteristics of diffusion were analyzed. The results indicated that the accidental release process of UF 6 is not a simple passive diffusion. So, specific atmospheric diffusion model related to UF 6 releases need be used in order to analyze and evaluate accurately the accidental consequences. (authors)

  11. Medicina legal: concepto pericial en un accidente de trabajo

    Directory of Open Access Journals (Sweden)

    G. Uribe Cualla

    1935-03-01

    Full Text Available En la comunicación número 2249 de fecha 24 de noviembre de 1935, de la Oficina General del Trabajo, se dice lo siguiente: "Con carácter devolutivo y constante de 20 fojas útiles, me permito enviar a Ud. el expediente relacionado con la reclamación del señor S. G., por un accidente de trabajo, con el objeto de que esa ilustrada Oficina se sirva emitir su concepto sobre el caso del señor G. El Ministerio de Guerra niega la indemnización porque según dictamen de los Oficiales de Sanidad del Ejército, la lesión de G. no ha dejado incapacidad permanente, sino que es una incapacidad simulada.

  12. Evaluación electromiográfica de los músculos masticadores durante la fuerza máxima de mordedura Electromyography evaluations of the masticator muscles during the maximum bite force

    Directory of Open Access Journals (Sweden)

    M.J.P. Coelho-Ferraz

    2008-12-01

    Full Text Available La actividad de los músculos masetero y de la porción anterior temporal de ambos lados, derecho e izquierdo, respectivamente, durante la fuerza máxima de mordedura fue estudiada en voluntarios sanos. El estudio incluyó a 17 voluntarios adultos de ambos sexos, edad promedia de 25 años, que no evidenciaban ningún indicio de disfunción temporomandibular y eran relacionados con la Facultad de Odontología de Piracicaba. Se registraron los datos electromiográficos en ambos lados de la cara del masetero y de la porción anterior de los músculos temporal y suprahioideo en las posiciones postural e isométrica. Se utilizaron electrodos de superficie pasivos para niños, de Ag/AgCl, con forma circular y descargables de Meditrace® Kendall-LTP, modelo Chicopee MA01. Éstos se conectaron a un preamplificador con una ganancia de 20x que formaba un circuito de diferenciales. Se captaron los registros de las señales eléctricas utilizando un equipo EMG-8OOC de EMG System of Brazil, Ltd., de ocho canales, a una frecuencia de 2 KHz con 16 bitios de resolución y un filtro digital con un paso de banda de 20 a 500 Hz. Se utilizó también un transductor de presión que consistía en un tubo de goma con un sensor de presión (MPX 5700* (Motorola SPS, Austin, TX, EE.UU. para registrar la fuerza máxima de mordedura. El análisis estadístico incluyó la correlación lineal, la prueba t emparejada y el análisis de la varianza. Se consideró estadísticamente significativa una probabilidad de pHealthy individuals were examined in terms of the pattern of activity of the masseter and temporal muscles in their anterior portion of both right and left sides, respectively, with the maximum bite force. The study consisted in seventeen adult volunteers with no sign of apparent temporomandibular dysfunction, of both genders, connected to the School of Dentistry of Piracicaba, with average age of 25 years old. The electromyography data were obtained, bilaterally, of

  13. Actitudes, creencias y prácticas desarrolladas en comunidades rurales del Urabá antioqueño con relación a las serpientes y su mordedura Municipio de Necoclí, Población Campesina y Comunidad Indígena Senú

    OpenAIRE

    Cubides Cubillos, Sergio Daniel

    2016-01-01

    Actitudes, creencias y prácticas desarrolladas en comunidades rurales del Urabá antioqueño frente a las serpientes y su mordedura, es una investigación de corte cualitativo realizada dentro de la comunidad indígena Senú - resguardo del Volao (Necoclí – Antioquia), con el objetivo de describir las construcciones simbólicas e imaginarios de vida de un pueblo indígena con relación a una de las especies de reptiles (serpientes u ofidios) más importantes desde el punto de vista biomédico, debido a...

  14. accidental injuries in children (physical child abuse)

    African Journals Online (AJOL)

    2016-12-06

    Dec 6, 2016 ... are often due to minor accidental injuries. However ... In dark-skinned children, bruises may be confused with café-au-lait spots. .... A bruise should not be examined in isolation if reason- ... dren with intellectual disability, such as autism and hy- ... opmental stage, social and environmental factors includ-.

  15. Accidental injuries and cutaneous contaminations during general ...

    African Journals Online (AJOL)

    Conclusion: This study has demonstrated that cutaneous, percutaneous, and mucous membrane exposure to patients blood and body fluids are common events during general surgical operations. Most accidental injuries were due to solid suture needle-sticks, mostly injured personnel were the primary operating surgeons, ...

  16. Accidental childhood poisoning in Benin City: Still a problem ...

    African Journals Online (AJOL)

    Accidental poisoning (AP) is a leading cause of ill – health and deaths among. Nigerian children. Reports on AP are infrequent in Nigeria. This retrospective descriptive study examined the prevailing pattern of accidental childhood poisoning in Benin City. Accidental poisonings were identified in 226 (3.3%) of the cases ...

  17. Toxicologia y accidentes de trafico:un estudio a traves de los datos policiales y del samu de la ciudad de valencia

    OpenAIRE

    Homsi Faraye, Rouaide

    2014-01-01

    Las lesiones de los accidentes de tráfico y la siniestralidad vial, con sus crecientes cifras y su incidencia diferencial en grupos de edad y género constituyen para la OMS un problema de salud pública de grandes magnitudes en los países industriales, tanto en términos de mortalidad como en términos de secuelas y dependencia. Este crecimiento convertirá los accidentes de tráfico en la quinta causa mundial de muerte. Los politraumatismos secundarios a accidentes de tráfico, laborales o por otr...

  18. Computer code to assess accidental pollutant releases

    International Nuclear Information System (INIS)

    Pendergast, M.M.; Huang, J.C.

    1980-07-01

    A computer code was developed to calculate the cumulative frequency distributions of relative concentrations of an air pollutant following an accidental release from a stack or from a building penetration such as a vent. The calculations of relative concentration are based on the Gaussian plume equations. The meteorological data used for the calculation are in the form of joint frequency distributions of wind and atmospheric stability

  19. Accidental poisoning with detomidine and butorphanol.

    Science.gov (United States)

    Hannah, N

    2010-09-01

    This is a case report concerning a veterinarian who spilled detomidine and butorphanol on dermatitic hands while sedating a horse. This resulted in acute poisoning from which the patient spontaneously recovered with supportive management. Veterinarians often suffer from occupational dermatitis and handle strong sedatives with no gloves while working around unpredictable animals. Thus, this group is at risk of accidental self-poisoning from this method.

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

    Directory of Open Access Journals (Sweden)

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

    Directory of Open Access Journals (Sweden)

    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.

  2. Identificación de Bacterias en Cavidad Oral y Valores Hematológicos en Bothrops asper en el Serpentario de la Universidad de Antioquia -resumen-

    OpenAIRE

    C Martínez-Mejía; A Marín-Marín; Claudia Ceballos-Fonseca; Ana M Henao-Duque

    2014-01-01

    La flora bacteriana de la cavidad oral de las serpientes en cautiverio ha sido asociada a infecciones por estomatitis y abscesos secundarios por auto-mordedura. Igualmente‚ su identificación es importante debido a las infecciones secundarias que pueden causar los accidentes ofídicos en humanos y animales. En particular el veneno de la serpiente mapaná‚ Bothrops asper‚ responsable del 70% de los accidentes ofídicos en Colombia‚ genera efectos sistémicos y locales incluyendo dermonecrosis y mio...

  3. Accidentes con objetos punzocortantes y líquidos potencialmente infecciosos en personal de la salud que trabaja en un hospital de tercer nivel: análisis de 11 años

    Directory of Open Access Journals (Sweden)

    J.J. Coria Lorenzo

    2015-06-01

    Conclusiones: El número de accidentes laborales ha descendido en la última década. Sin embargo aún estamos, en cuanto a tasa por 100/camas y tasa por 1,000/egresos, muy por encima de lo reportado en la literatura médica internacional.

  4. Social evaluation of intentional, truly accidental, and negligently accidental helpers and harmers by 10-month-old infants.

    Science.gov (United States)

    Woo, Brandon M; Steckler, Conor M; Le, Doan T; Hamlin, J Kiley

    2017-11-01

    Whereas adults largely base their evaluations of others' actions on others' intentions, a host of research in developmental psychology suggests that younger children privilege outcome over intention, leading them to condemn accidental harm. To date, this question has been examined only with children capable of language production. In the current studies, we utilized a non-linguistic puppet show paradigm to examine the evaluation of intentional and accidental acts of helping or harming in 10-month-old infants. In Experiment 1 (n=64), infants preferred intentional over accidental helpers but accidental over intentional harmers, suggestive that by this age infants incorporate information about others' intentions into their social evaluations. In Experiment 2 (n=64), infants did not distinguish "negligently" accidental from intentional helpers or harmers, suggestive that infants may find negligent accidents somewhat intentional. In Experiment 3 (n=64), we found that infants preferred truly accidental over negligently accidental harmers, but did not reliably distinguish negligently accidental from truly accidental helpers, consistent with past work with adults and children suggestive that humans are particularly sensitive to negligently accidental harm. Together, these results imply that infants engage in intention-based social evaluation of those who help and harm accidentally, so long as those accidents do not stem from negligence. Copyright © 2017 Elsevier B.V. All rights reserved.

  5. Primer reporte de Phoneutrismo en el Perú: Presentación de dos casos

    Directory of Open Access Journals (Sweden)

    Ciro Maguiña Vargas

    2008-07-01

    Full Text Available Se presentan dos casos de mordedura de la araña Phoneutria spp. atendidos en el Hospital Nacional Cayetano Heredia (HNCH en los años 2005 y 2008. En ambos casos la mordedura fue de sintomatología leve y de buena evolución, y se debió a un accidente laboral en personas que trabajan en mercados de venta de fruta al extraer plátanos de cajas procedentes de Tingo María (Selva central. El phoneutrismo es un accidente por arácnidos poco común; sin embargo, sería un problema importante de salud pública sobretodo en las zonas rurales en donde el comercio de plátanos es una de las principales fuente de ingresos de la población. El personal médico no conoce del todo a esta araña, así como la clínica de sus mordeduras, por ello presentamos estos casos que permitirán reconocer estos accidentes para su adecuado manejo y control. (Rev. Med Hered. 2008;19:128-133

  6. La prevención de accidentes (2

    Directory of Open Access Journals (Sweden)

    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

  7. Accidental Kähler moduli inflation

    International Nuclear Information System (INIS)

    Maharana, Anshuman; Rummel, Markus; 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 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

  8. Accidentes biológicos en estudiantes de medicina de una universidad peruana: prevalencia, mecanismos y factores de riesgo

    Directory of Open Access Journals (Sweden)

    Elizabeth Inga

    2010-03-01

    Full Text Available Introducción: Una de las más serias amenazas que enfrentan los estudiantes de medicina durante su práctica clínica es la posibilidad de exposición a accidentes biológicos, debido en la mayoría de los casos a la inexperiencia y el escaso desarrollo de las habilidades manuales. Objetivos: Establecer la frecuencia, mecanismos, circunstancias y factores de riesgo de los accidentes biológicos ocurridos entre estudiantes de medicina. Diseño: Estudio descriptivo observacional de corte transversal. Institución: Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Perú. Participantes: Estudiantes de medicina. Metodología: Se aplicó una encuesta estructurada anónima, voluntaria y autoadministrada. Principales medidas de resultados: Accidentes biológicos. Resultados: En total fueron 307 entrevistados. La prevalencia de accidentes biológicos en la población estudiada fue de 51,5% (158/307. La media de accidentes biológicos en el último año fue de 1,06. El 91,1% de los estudiantes del último año presentó al menos un accidente biológico, versus 11,9% en los estudiantes del primer año. Los estudiantes del último año informaron con más frecuencia accidentes de riesgo alto para transmisión de infecciones, siendo 47,6% por pinchazo con objeto punzocortante, y 80,6% tuvo exposición a sangre; los accidentes de riesgo alto son mucho más frecuentes en quirófanos y sala de partos (51,9%. Conclusiones: La prevalencia de accidentes biológicos fue 51,5%, siendo el pinchazo la forma más frecuente. Es necesario desarrollar estrategias que permitan velar por la bioseguridad de los estudiantes de medicina.

  9. Análisis de las causas y consecuencias de los accidentes laborales ocurridos en dos proyectos de construcción

    Directory of Open Access Journals (Sweden)

    A. González

    Full Text Available Las labores que se realizan en los proyectos de construcción son consideradas de alto riesgo al facilitar la ocurrencia de accidentes laborales que afectan la integridad física, mental y social de los colaboradores como la productividad de las empresas. Por tal motivo, el propósito de este artículo es analizar las causas y consecuencias de los accidentes laborales ocurridos durante el segundo semestre del año 2012 en dos proyectos de construcción de Neiva, Colombia. El alcance fue de tipo documental considerando como fuente de información los soportes de los accidentes laborales reportados ante la Administradora de Riesgo Laborales (ARL; para determinar las causas que dieron origen a dichos accidentes se utilizó el modelo de Frank E. Bird. Se analizaron 117 accidentes en los que se identificaron 195 faltas de control, 136 factores personales, 112 factores del trabajo, 151 actos inseguros y 54 condiciones inseguras; lo anterior teniendo en cuenta que en algunos accidentes se presentaron más de una causa. De esta manera se concluye que el mayor porcentaje de accidentes de trabajo, ha sido generado por faltas de control seguidos por actos inseguros. Por tal motivo se recomienda la realización de programas de gestión de riesgos prioritarios, basados en una adecuada identificación de peligros, que permitan mitigar y controlar los riesgos, desarrollando a la vez en los trabajadores una cultura de autocuidado

  10. Subpoblaciones neuronales presentes en cultivos primarios de ganglio espinal y su relación con la infección in vitro por virus de rabia

    Directory of Open Access Journals (Sweden)

    Hernán Hurtado

    2000-02-01

    Full Text Available

    El virus de la rabia presenta un fuerte tropismo neuronal y que produce una encefalitis generalmente letal. En un accidente rábico clásico, producido por la mordedura de un animal infectado, el virus es captado por terminaciones nerviosas motoras, autonómicas o sensoriales. Si es captado por estas últimas, el virus se transporta retrógradamente hacia los somas neuronales ubicados en los ganglios espinales y de ahí pasa hasta el Sistema Nervioso Central en donde ejerce su acción patógena. Por este motivo los cultivos de ganglio espinal son un modelo relevante para estudiar la interacción entre el virus de la rabia y las neuronas sensoriales presentes en ellos. En estos cultivos se encuentran dos tipos de células, neuronas y células no neuronales (fibroblastos y células de Schwann. Al inocular los cultivos con virus de rabia cepa CVS (Challenge Virus Standard, a pesar de que las células no neuronales son la mayoría, las que se infectan en mayor proporción son las neuronas, lo que confirma el marcado neurotropismo del virus. Adicionalmente a esto, dentro de la población neuronal, parece existir una subpoblación con mayor susceptibilidad hacia la infección por el virus. Para comprobar esta hipótesis, se caracterizaron las subpoblaciones neuronales presentes en estos cultivos utilizando un criterio morfológico (diámetro neuronal y uno bioquímico (presencia de neuropéptidos como marcadores de subpoblaciones en el ganglio. Se realizó una técnica de doble inmunocitoquímica para virus rábico y los neuropéptidos Sustancia P (SP, Neuropéptido Y (NPY, Galanina (GAL, Péptido Relacionado con el Gen de la Calcitonina (CGRP y Péptido Intestinal Vasoactivo (VIP, que clásicamente se usan para la definición de subpoblaciones. El análisis morfométrico demostró que en nuestros cultivos el 85% de las neuronas presentes son de pequeño diámetro (<25

  11. Accidental radioisotope burns - Management of late sequelae

    Directory of Open Access Journals (Sweden)

    Varghese Bipin

    2010-10-01

    Full Text Available Accidental radioisotope burns are rare. The major components of radiation injury are burns, interstitial pneumonitis, acute bone marrow suppression, acute renal failure and adult respiratory distress syndrome. Radiation burns, though localized in distribution, have systemic effects, and can be extremely difficult to heal, even after multiple surgeries. In a 25 year old male who sustained such trauma by accidental industrial exposure to Iridium192 the early presentation involved recurrent haematemesis, pancytopenia and bone marrow suppression. After three weeks he developed burns in contact areas in the left hand, left side of the chest, abdomen and right inguinal region. All except the inguinal wound healed spontaneously but the former became a non-healing ulcer. Pancytopenia and bone marrow depression followed. He was treated with morphine and NSAIDs, epidural buprinorphine and bupivicaine for pain relief, steroids, antibiotics followed by wound excision and reconstruction with tensor fascia lata(TFL flap. Patient had breakdown of abdominal scar later and it was excised with 0.5 cm margins up to the underlying muscle and the wound was covered by a latissimis dorsi flap. Further scar break down and recurrent ulcers occurred at different sites including left wrist, left thumb and right heel in the next two years which needed multiple surgical interventions.

  12. Medical management of accidentally exposed individuals

    Energy Technology Data Exchange (ETDEWEB)

    Nenot, Jean-Claude [CEA Centre d`Etudes de Fontenay-aux-Roses, 92 (France). Inst. de Protection et de Surete Nucleaire

    1997-12-31

    Bone marrow aplasia is one of the main syndromes following a high dose accidental radiation exposure. Although both transfusion and bone marrow transplantation have been used with some success since the first treatments of patients, other therapeutic strategies are needed. New promising approaches of the treatment of aplasia have appeared with the development of experimental and clinical hematology. Some new trends for the treatment of the hematopoietic injury based on bone marrow transplantation rely on new sources of compatible donor cells, such as cord blood, on the selection of immature haemopoietic cells and on new transplant regimens. The hematopoietic growth factors stimulate proliferation and/or differentiation of hematopoietic progenitors and possibly stem cells. Furthermore, they act on the functions of mature cells. They have now specific uses in hematology, related to their role in the regulation of growth and differentiation of hematopoietic progenitor cells. Some growth factors have already been used for the treatment of accidental radiation-induced aplasia and lessons have been learned from their medical management and follow-up. (author) 30 refs.

  13. Medical management of accidentally exposed individuals

    International Nuclear Information System (INIS)

    Nenot, J.C.

    1998-01-01

    Bone marrow aplasia is one of the main syndromes following a high dose accidental radiation exposure. Whilst transfusion and bone marrow transplantation have been used with some success starting with the first treatments of accident victims, other therapeutic strategies are needed. With the development of experimental and clinical haematology, promising new approaches to the treatment of aplasia have appeared. New trends for the treatment of haemopoietic injury based on bone marrow transplantation rely on new sources of compatible donor cells, such as cord blood, on the selection of immature haemopoietic cells and on new transplant regimens. Haemopoietic growth factors stimulate the proliferation and/or differentiation of haemopoietic progenitors and, possibly, stem cells. Furthermore, they act on the functions of mature cells. Currently, they have specific uses in haematology related to their role in the regulation of growth and in the differentiation of haemopoietic progenitor cells. Growth factors have already been used for the treatment of accidental radiation induced aplasia and lessons have been learned from their medical management and followup. (author)

  14. Personal protective clothing against accidental immersion

    Energy Technology Data Exchange (ETDEWEB)

    Elliott, David; Tipton, Michael [Surrey Univ., Robens Inst. of Health and Safety, Guildford (United Kingdom)

    1997-12-31

    The requirements for protective clothing against accidental immersion are discussed and the advantages and limitations of the main types of immersion protection available are analysed. The variety of designs available reflects the various circumstances under which they may be used. In broad terms in the offshore industry these include the following activities: normal work without risk of immersion but with a possible need to abandon the rig or ship; work in areas where there is risk of accidentally falling into the sea; flying over the sea in a helicopter. The first response to sudden immersion in sea water, which must usually be considered to be cold, is a sudden gasp often followed by an immediate phase of uncontrolled breathing. Since control of ones breathing between and under the breaking waves is essential to staying alive, this is a critical time. After surviving this initial ``cold shock`` phase, the effects of body heat loss become hazardous. Protection against hypothermia has been the priority for those providing survival suits and protective clothing while the hazard of the immediate response to cold immersion has been unrecognised to a large extent. (UK)

  15. 21 CFR 1002.20 - Reporting of accidental radiation occurrences.

    Science.gov (United States)

    2010-04-01

    ...: Accidental Radiation Occurrence Reports (HFZ-240), Office of Communication, Education, and Radiation Programs, 9200 Corporate Blvd., Rockville, MD 20850, and the reports and their envelopes shall be distinctly...

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

    Directory of Open Access Journals (Sweden)

    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

  17. 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

    OpenAIRE

    Erika Bucasio; Isabela Vieira; William Berger; Dulcéa Martins; Carmelita Souza; Deborah Maia; Ivan Figueira; Sílvia Jardim

    2005-01-01

    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 ocupac...

  18. 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

  19. Fatal accidental inhalation of brake cleaner aerosols.

    Science.gov (United States)

    Veit, F; Martz, W; Birngruber, C G; Dettmeyer, R B

    2018-04-23

    Brake cleaner liquid is commonly used for cleaning of engines and motor parts. The commercially available products usually contain mainly volatile organic compounds. As a consequence brake cleaner evaporates fast and almost completely from the cleaned surface. This case report presents a fatal accidental inhalation of brake cleaner liquid aerosols due to the attempted cleaning of a boat engine. A 16year old boy was found lifeless in the engine compartment of a boat engine. In close proximity to the body, the police found cleanings wipes soaked with brake cleaner as well as a pump spray bottle filled with brake cleaner. Essentially the autopsy revealed a cerebral oedema with encephalomalacia, no coagulated blood as well as increased blood and tissue fluid content of the lung. Toxicological analysis revealed brake cleaner fluid in the lung, gastric content and heart blood. Copyright © 2018 Elsevier B.V. All rights reserved.

  20. [The accidental detection of apical periodontitis].

    Science.gov (United States)

    Wesselink, P R

    2011-04-01

    Accidental detection of an asymptomatic apical periodontitis raises the question whether this lesion should be treated or not. Arguments favouring treatment are that the inflammation may cause pain in the future, may enlarge or may negatively affect the host's resistance. Reasons for not treating may be that treatment weakens the tooth, may cause iatrogenic damage and that treatment is expensive and burdensome for the patient and does not lead in all cases to complete healing. Scientific evidence supporting either choice, whether treating the lesion or not, is lacking. In making such decisions, therefore, personal judgments by the patient and the dentist concerning the impact on the quality of life of the patient play an important role.

  1. Is the tri-bimaximal mixing accidental?

    CERN Document Server

    Abbas, Mohammed

    2010-01-01

    The Tri-bimaximal (TBM) mixing is not accidental if structures of the corresponding leptonic mass matrices follow immediately from certain (residual or broken) flavor symmetry. We develop a simple formalism which allows one to analyze effects of deviations of the lepton mixing from TBM on structure of the neutrino mass matrix and on underlying flavor symmetry. We show that possible deviations from the TBM mixing can lead to strong modifications of the mass matrix and strong violation of the TBM mass relations. As a result, the mass matrix may have an "anarchical" structure with random values of elements or it may have some symmetry which differs from the TBM symmetry. Interesting examples include matrices with texture zeros, matrices with certain "flavor alignment" as well as hierarchical matrices with a two-component structure, where the dominant and sub-dominant contributions have different symmetries. This opens up new approaches to understand the lepton mixing.

  2. Factores de riesgo asociados a los accidentes en el hogar

    Directory of Open Access Journals (Sweden)

    Lidia Arlaes Yero

    1998-12-01

    Full Text Available Se realizó un estudio analítico retrospectivo (caso-control sobre accidentes en el hogar ocurridos en la población de dos consultorios de médicos de familia del área centro en el municipio Sancti Spiritus, durante el año 1996. Se tuvo en cuenta la ocurrencia de estos eventos en la población general, la incidencia estuvo representada por 77 casos y se escogió como grupo control el resto de la población. Como resultado se observó que los accidentes del hogar (AH son más frecuentes en mujeres en edades avanzadas, con una distribución temporal mayor en el cuarto trimestre del año. Los AH fueron más frecuentes en los individuos que ingieren psicofármacos en las edades extremas de la vejez. El horario de ocurrencia más frecuente fue el de la tarde; y los lugares, la cocina y el patio. Como tipo de lesión predominó la contusión y la herida. Se concluyó además que la presencia de factores predisponentes constituyen riesgo de gran magnitud en la aparición de los AHAn analytical retrospective study (case-control about home accidents occurred among the population of 2 family physician’s offices in the central area of the municipality of Sancti Spiritus, during 1996, was conducted. The occurrence of such events in the general population was taken into account. Incidence was represented by 77 cases and the rest of the population was chosen as a control group. As a result, it was observed that home accidents were more frequent in aged women, with a greater temporary distribution in the fourth trimester of the year. Home accidents took place more frequently in those individuals taking psychotropic drugs a extreme advanced ages. Most of the accidents occurred in the afternoon, and the kitchen and the backyard were the commonest places. Contusions and wounds were the predominant injuries. It was concluded that the presence of predisposing factors is a high risk for the occurrence of home accidents

  3. 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

    -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...

  4. Monitoreo radiológico ambiental debido al accidente nuclear de Fukushima

    OpenAIRE

    Osores, José; Jara, Raúl

    2014-01-01

    Debido al accidente de Fukushima (Japón), entre los años 2011 y 2012, se realizó el monitoreo radiológico ambiental con la finalidad de evaluar algún posible impacto en el medioambiente del Perú. Los resultados confirman que, por la posición geográfica de nuestro país, no se produjo ningún tipo de contaminación radiactiva que pueda ser de riesgo para la población. Because of the accident of Fukushima (Japan), between 2011 and 2012, we performed the environmental radiological monitoring in ...

  5. 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.

  6. Accidentes fuera del trabajo: análisis en el campamento minero de Toquepala 2002-2003

    Directory of Open Access Journals (Sweden)

    Raúl Gomero Cuadra

    2005-06-01

    Full Text Available En general, todas las empresas desarrollan programas para evitar o minimizar los accidentes del trabajo. Sin embargo, existe escasa información técnica relacionado a la prevalencia y costos derivados de los accidentes fuera del trabajo, lo que dificulta el análisis del problema. Objetivo: Revisar y analizar los descansos médicos en los trabajadores de nuestro campamento minero generados por accidentes considerados como particulares o fuera del trabajo. Materiales y métodos: El presente trabajo tiene un diseño transversal periódico, realizado en el Servicio de Salud Ocupacional del Hospital Toquepala. Los diagnósticos médicos fueron informados según el CIE-10 de la OMS. Para la clasificación de accidentes fuera del trabajo, se siguió la del programa de Loss Control Management del DNV, a la cual se le realizaron modificaciones de acuerdo al criterio y experiencia de los autores. Se revisaron 468 y 570 boletas de descanso médico generadas en los años 2002 y 2003 respectivamente. Resultados: Correspondieron al año 2002, 88 (18,8% descansos de accidentes fuera del trabajo, mientras que en el año 2003 fueron 99 (17,37%. La etiología de los accidentes fuera del trabajo fueron: de Transporte 11 (12,5% en el año 2002 y 12 (12,12% en el año 2003; del Hogar 25 (28,41% en el año 2002 y 20 (20,2% en el año 2003; Públicos 21 (23,86% en el año 2002 y 36 (36,36% en el año 2003. Conclusiones: Tenemos valores altos de accidentes fuera del trabajo con relación al número total de accidentes en nuestra empresa en los años 2002 y 2003, sin embargo, ninguno fatal. Además debemos orientar programas preventivos dirigidos hacia la seguridad vial y la buena práctica de deportes. Concluimos que es necesario incorporar el análisis de los accidentes fuera del trabajo con incapacidad temporal dentro del estudio de la morbilidad como parte del Diagnóstico de la Situación de Salud Laboral que confecciona el Médico ocupacional o del Trabajo

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

    Directory of Open Access Journals (Sweden)

    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.

  8. 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.

  9. Dose assessment under incidental and accidental conditions

    International Nuclear Information System (INIS)

    Huebschmann, W.G.

    1988-01-01

    Dose assessment for the licesing process of a nuclear power plant covers the routine release of radioactive substances into the atmosphere as well as releases due to incidents. Source terms for these incidents are evaluated by the detailed incident analysis of the plant. The types of incidents to be covered are determined in the FRG by the ''Stoerfall-Leitlinien'' of the Ministry of the Interior. The calculation of dose equivalents in the environment of the plant differs from the calculation of doses due to routine releases, as incidents are single events occuring at undeterminate time, and the results must be conservative. Some details are being described. During the operation of the plant it is essential to measure not only the radioactivity release rates but also the necessary meteorological parameters for the instantaneous determination of the atmospheric dispersion in case of incidental or accidental releases of radioactivity. This instantaneous assessment assists in taking measurements of ground contamination and in deciding about countermeasures for the protection of plant personnell and population. (author) [pt

  10. Accidental hydroxychloroquine overdose resulting in neurotoxic vestibulopathy.

    Science.gov (United States)

    Chansky, Peter B; Werth, Victoria P

    2017-04-12

    Hydroxychloroquine is an oral antimalarial medication commonly used off-label for a variety of rheumatological conditions, including systemic lupus erythematosus, rheumatoid arthritis, Sjögren's syndrome and dermatomyositis. We present a case of a 64-year-old woman who presented with acute onset headache, bilateral tinnitus, and left-sided facial numbness and tingling in the setting of accidentally overdosing on hydroxychloroquine. By the next morning, the patient began to experience worsening in the tingling sensation and it eventually spread to her left arm, thigh and distal extremities. The patient also complained of new onset blurring of her peripheral vision and feeling 'off balance.' Despite a complete neurological and ophthalmological work-up with unremarkable imaging and blood work, the patient has had no improvement in her tinnitus, left-sided paresthesias, visual disturbance or ataxia. This is a unique case of hydroxychloroquine overdose resulting in permanent neurotoxic vestibulopathy. © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  11. Quick management of accidental tritium exposure cases

    International Nuclear Information System (INIS)

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

    2008-01-01

    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. (authors)

  12. 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.

  13. Static and mobile networks design for atmospheric accidental releases monitoring

    International Nuclear Information System (INIS)

    Abida, R.

    2010-01-01

    The global context of my PhD thesis work is the optimization of air pollution monitoring networks, but more specifically it concerns the monitoring of accidental releases of radionuclides in air. The optimization problem of air quality measuring networks has been addresses in the literature. However, it has not been addresses in the context of surveillance of accidental atmospheric releases. The first part of my thesis addresses the optimization of a permanent network of monitoring of radioactive aerosols in the air, covering France. The second part concerns the problem of targeting of observations in case of an accidental release of radionuclides from a nuclear plant. (author)

  14. 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...

  15. Study of a Case Involving Accidental Irradiation of a Human Being; Estudio de un Caso de Irradiacion Humana Accidental

    Energy Technology Data Exchange (ETDEWEB)

    Beninson, D.; Placer, A.; Vander Elst, E. [Comision Nacional de Energia Atomica, Buenos Aires (Argentina)

    1969-10-15

    cual un obrero llevo en los bolsillos de su pantalon una fuente de {sup 137}Cs, perteneciente a un equipo de gammagrafia industrial, durante un lapso fraccionado de unas 18 h, los dfas 3 y 4 de mayo de 1968. La baja irradiacion de los organos hematopoyeticos y gastrointestinal impidio la aparicion de sindrome agudo. Las caras anteriores de los muslos, la region inguinoescrotal y en menor grado las manos, fueron las zonas mas lesionadas. Se han estimado las dosis de radiacion recibidas en las zonas afectadas a partir de parametros de radiodosimetrfa biologica.( extension y secuencia temporal de algunas lesiones) y datos experimentales sobre la variacion de las dosis con la distancia y la profundidad de los tejidos, obtenidos mediante la reconstruccion del accidente con un 'fantomas' y un conjunto de dosimetros termo- luminescentes. Se describe la aparicion a los pocos dfas de zonas de radiodermitis humeda que se extendieron paulatinamente hasta aproximadamente el limite representado por la linea de isodosis de 1000 rad. La progresion de la radiodermitis se completo hacia fines del mes de mayo. A principios de junio se observo la aparicion de una descamacion epidermica seca hasta aproximadamente la linea de 500 rad. Con el transcurso del tiempo se observo la atrofia muscular de ambas piernas y un edema importante de la zona inguinoescrotal. La aparicion de hemorragias femorales importantes en noviembre de 1968 y enero de 1969 motivo la amputacion primero del miembro inferior izquierdo, luego del derecho. El indice de frecuencia de aberraciones cromosomicas en sangre periferica confirma las bajas dosis recibidas por el compartimiento sanguineo (alrededor de 50 rad). Se presenta un resumen de los resultados de los analisis realizados y se comenta el pronostico de la evolucion del paciente en base a la distribucion de la dosis de radiacion recibida. (author)

  16. Main problems of external monitoring in the accidental zone

    International Nuclear Information System (INIS)

    Gavrikov, O.K.; Gul'din, A.N.; Komarov, V.I.; Malkov, V.L.; Smirnov, N.V.; Sukhoruchkin, A.K.; Proskuryakov, A.G.

    1989-01-01

    Operational experience of the external monitoring service during emergency response is analysed as applied to the problems of optimization of environmental monitoring under accidental conditions. Problems of rapid and strategical environmental radiation monitoring are considered

  17. Accidental transection of flexometallic endotracheal tube during partial maxillectomy

    Directory of Open Access Journals (Sweden)

    Sushma D Ladi

    2011-01-01

    Full Text Available We report a rare case of an 18-year-old female patient in whom accidental sectioning of flexometallic endotracheal tube occurred during partial maxillectomy for mass lesion under general anaesthesia. She was managed successfully by tracheostomy.

  18. Cytogenetic biological dosimetry. Dose estimative in accidental exposure

    International Nuclear Information System (INIS)

    Santos, O.R. dos; Campos, I.M.A. de.

    1988-01-01

    The methodology of cytogenetic biological dosimetry is studied. The application in estimation of dose in five cases of accidental exposure is reported. An hematological study and culture of lymphocytes is presented. (M.A.C.) [pt

  19. Limits to radioactive effluents and countermeasures in accidental situations

    International Nuclear Information System (INIS)

    Nowotny, G.; Gonzalez, A.

    1978-01-01

    The paper discusses the criteria used by the Argentine Atomic Energy Commission, as competent authority, to set limits to radioactive effluents from nuclear installations. It also discusses the selection of action levels for carrying out countermeasures in accidental situations. (author)

  20. Ventricular fibrillation after accidental injection of bupivacaine into the pericardium

    NARCIS (Netherlands)

    Even, B. J.; de Jongh, R. F.; de Hert, S. G.

    1992-01-01

    A postoperative cardiac surgical patient developed ventricular fibrillation immediately after accidental pericardial injection of bupivacaine at room temperature. The possible causes, which include systemic toxicity, local vasoconstriction with myocardial ischaemia, local toxic effect of bupivacaine

  1. Dosimetric significance of cytogenetic examinations in human accidental over exposures

    International Nuclear Information System (INIS)

    Doloy-Biola, M.T.; Lego, R.; Ducatez, G.; Lepetit, J.; Bourguignon, M.

    1975-01-01

    The damage to 13 workers following accidental exposures was assessed from lymphocyte chromosomal aberrations, and the results compared with those supplied by physical dosimetry and the clinical syndromes [fr

  2. Methodology for estimating accidental radioactive releases in nuclear waste management

    International Nuclear Information System (INIS)

    Levy, H.B.

    1979-01-01

    Estimation of the risks of accidental radioactive releases is necessary in assessing the safety of any nuclear waste management system. The case of a radioactive waste form enclosed in a barrier system is considered. Two test calculations were carried out

  3. Accidental sulphuric acid poisoning in a newborn | Abdulkadir ...

    African Journals Online (AJOL)

    Accidental sulphuric acid poisoning in a newborn. I Abdulkadir, L Hassan, F Abdullahi, FD Akeredolu, S Purdue, M Okpe, AM Sobowale, OA Adewumi, U Abdullahi, MA Onadiran, TT Sholadoye, S Baba, WN Ogala ...

  4. Lessons learned from accidental exposures in radiotherapy

    International Nuclear Information System (INIS)

    2000-01-01

    The medical use of radiation is unique in that patients are intentionally exposed to radiation. The aim in radiation therapy is twofold: to deliver a dose and dose distribution that is adequate for tumour control, but which also minimizes complications in normal tissues. In therapeutic applications, the doses are high and a deviation from the prescribed dose may have severe or even fatal consequences. There is therefore a great need to ensure adequate radiation protection and safety in radiotherapy by verifying that all personnel involved are appropriately trained for their duties, that the equipment used meets relevant international specifications for radiation safety and that safety culture is embedded in routine activities in radiotherapy departments. Many individuals must interact and work together on highly technical measurements and calculations, and therefore the potential for mistakes is great. A review of the mistakes shows that most are due to human error. The International Basic Safety Standards for Protection against Ionizing Radiation and the Safety of Radiation Sources (IAEA Safety Series No. 115) require that a prompt investigation be conducted whenever an accidental medical exposure of patients occurs. The report of the investigation is to be disseminated to the appropriate parties so that lessons can be learned to prevent similar accidents or mitigate their consequences in the future. This Safety Report is a collection of a large number of events that may serve as a checklist against which to test the vulnerability of a facility to potential accidents, and to provide a basis for improving safety in the use of radiation in medical applications. A further purpose of this report is to encourage readers to develop a questioning and learning attitude, adopt measures for the prevention of accidents, and prepare for mitigation of the consequences of accidents if they occur

  5. Accidental oil spills - project management strategy

    International Nuclear Information System (INIS)

    Bobic, V.; Benkovic, Z.

    2009-01-01

    Planning and organisation, as well as actions taken during accidental discharging of hazardous substances (hydrocarbons) into the soil and water, show that without integrating all the functions of safety, occupational safety, fire and explosion protection, technical safety, all the way to the environmental protection, procedure of cleaning, rehabilitation and remediation of polluted areas into their original state cannot be successfully carried out. Neglecting any of the mentioned links/components of the procedure represents a risk to people's health and life, while pollution to the environment remains a constant threat. Development of technologies is quickly transforming the environment in which the professionals of all disciplines work. Therefore, the response to changes by application of new technologies and procedures in all domains is indispensable, however, through a comprehensive and expert perception and consideration of each of the essential correlations comprising the safety management in all the fields. Through management of safety projects in environmental protection, it has become obvious that a united management of different fields is necessary, as well as management of safety in general. Engineering, health, legislation, public, environmental standards, occupational safety, hazards, biophysical and socio-economic aspects are parts of an integral management. Experts joined efforts through interaction and communications are inter-disciplinary characteristics, i.e. multi-disciplinary safety management, but also the management of each project separately. Exactly this knowledge exchange is highly productive and becomes an indispensable element in recognition of indirect and cumulative actions, thus applicable in any field. Implementation of European standards and accreditation of procedures pursuant to the corresponding standards, from risk assessment through rehabilitation to independent expert confirmation of efficiency in implementing the entire

  6. Accidental symmetries and the effective Lagrangian of string theory

    International Nuclear Information System (INIS)

    Ovrut, B.A.

    1989-01-01

    In this paper the relationship between accidental worldsheet symmetries of the string generating functional and target space invariance groups is discussed. Accidental symmetries are used to derive the invariance groups and effective low energy Lagrangian for the bosonic string, and the heterotic string compactified to four-dimensions on Z N orbifolds. The necessity of a new type of Green-Schwarz mechanism, associated with the auxiliary vector field in the four-dimensional N = 1 supergravity multiplet, is shown using these methods

  7. [THREE CASES OF ACCIDENTAL AUTO-INJECTION OF ADRENALINE].

    Science.gov (United States)

    Yanagida, Noriyuki; Iikura, Katsuhito; Ogura, Kiyotake; Wang, Ling-jen; Asaumi, Tomoyuki; Sato, Sakura; Ebisawa, Motohiro

    2015-12-01

    Reports on accidental auto-injection of adrenaline are few. We encountered three cases of accidental injection of adrenaline. In this study, we have examined and reported the clinical courses and symptoms of our cases. CASE 1 involved a female physician in her 50s who had attended an explanatory meeting on auto-injection of adrenaline. She mistook EpiPen® to be the EpiPen trainer and accidentally injected herself with 0.3 mg EpiPen®. Her systolic/diastolic pressure peaked at 7 min to reach 144/78 mmHg and decreased to 120/77 mmHg at 14 min. Except for palpitation after 7 min, the only subjective symptom was local pain at the injection site. CASE 2 was noted in a 6-year-old boy. He accidentally pierced his right forefinger with 0.15 mg EpiPen®, and after 20 min, his right forefinger was swollen. The swelling improved 80 min after the accidental injection. CASE 3 was noted in a 4-year-old girl. She accidentally injected herself with 0.15 mg EpiPen®. Her systolic/diastolic pressure peaked at 23 min to reach 123/70 mmHg and decreased to 96/86 mmHg at 28 min. Severe adverse effects of accidental auto-injection of adrenaline were not observed in these three cases. Our findings suggest that while handling adrenaline auto-injectors, we should keep in mind the possibility of accidental injection.

  8. A descriptive study of accidental skeletal injuries and non-accidental skeletal injuries of child maltreatment.

    Science.gov (United States)

    Ghanem, Maha A H; Moustafa, Tarek A; Megahed, Haidy M; Salama, Naglaa; Ghitani, Sara A

    2018-02-01

    Lack of awareness and recognition of child maltreatment is the major reason behind underreporting. All victims often interact with the health care system for routine or emergency care. In several research works, non-accidental fractures are the second most common injury in maltreated children and it is represented up to one-third of cases. To determine the incidence of different types of accidental and non-accidental skeletal injuries among children, estimate the severity of injuries according to the modified injury severity score and to determine the degree of fractures either closed or opened (Gustiloe-Anderson open fracture classification). Moreover, identifying fractures resulting from child abuse and neglect. This aimed for early recognition of non-accidental nature of fractures in child maltreatment that can prevent further morbidity and mortality. A descriptive study was carried out on all children (109) with skeletal injuries who were admitted to both Main Alexandria and El-Hadara Orthopedic and Traumatology University Hospitals during six months. History, physical examination and investigations were done for the patients. A detailed questionnaire was taken to diagnose child abuse and neglect. Gustiloe-Anderson open fracture classification was used to estimate the degree of open fractures. Out of 109 children, twelve cases (11%) were categorized as child maltreatment. One case was physical abuse, eight cases (7.3%) were child neglect and three cases (2.8%) were labour exploitation. Road traffic accidents (RTA) was the commonest cause of skeletal injuries followed by falling from height. Regarding falls, they included 4 cases of stair falls in neglected children and another four cases of falling from height (balcony/window). The remaining 36 cases of falls were accidental. The skeletal injuries were in the form of fractures in 99 cases, dislocation in two cases, both fracture and/or dislocation in three cases, and bone deformity from brachial plexus injury

  9. Lesiones por accidentes de trabajo, una prioridad en salud pública

    Directory of Open Access Journals (Sweden)

    Fernando G. Benavides

    2006-01-01

    Full Text Available El objetivo de esta revisión es generar nuevas ideas y acciones que nos ayuden a prevenir este importante problema de salud pública. El número total de LAT con baja en jornada, en los años 2002 y 2003, alcanzó la cifra de 971.406 y 906.638, respectivamente. Ello significa que cada día se producen en España algo más de 2.500 LAT con baja en jornada y entre 2 y 3 muertes diarias. Aunque el perfil de la población a riesgo de sufrir las LAT está cambiando profundamente en la última década, tanto cuantitativa como cualitativamente, el riesgo de sufrir una LAT se continúa concentrando en las ocupaciones que realizan trabajos de tipo manual, ya sean trabajadores cualificados o no cualificados, de los sectores primario y secundario. Los sobreesfuerzos para las lesiones no mortales y el tráfico para las mortales constituyen las principales formas en que se producen las LAT. La asociación entre temporalidad y riesgo de LAT muestra los efectos negativos sobre la salud de las nuevas formas de organización del trabajo, que enfatizan la desregulación del mercado laboral. Aunque en los últimos años se han puesto en marcha diferentes programas preventivos frente a las LAT, éstos parecen haber tenido un resultado muy limitado. Las actividades preventivas deben concentrarse, tanto en el ámbito de las condiciones de trabajo (micro, como en las políticas públicas de empleo e industriales (macro. En este segundo ámbito es imprescindible incrementar la evaluación en términos de salud de las políticas de empleo e industriales.

  10. 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.

  11. 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.

  12. Demonstration of the astral post accidental code

    International Nuclear Information System (INIS)

    Calmon, P.; Mourlon, C.

    2003-01-01

    . The results proposed by ASTRAL can in turn be saved in its database, on the user's request, in order to be processed by other tools such as Geographical Information Systems, which enable spatial analysis and map production. Such maps are very helpful in crisis situations to decision makers since by answering to questions of a 'where?' type, at a given time, they complete the information delivered by ASTRAL, which answers to questions of a 'when?' type, at a given site. This is why a link to ASTRAL has been constructed in CARTINFO, an IRSN tool dedicated to mapping results for its Crisis Technical Center. Thus the CONRAD, ASTRAL and CARTINFO softwares constitute a chain for IRSN's Crisis Technical Center, calculating transfers through the environment and consequences of an atmospheric accidental radionuclide release. The development of this version started in 1999 and has been subject to a quality assurance program. The identified customers and users have been associated in a control committee expressing needs, validating choices and checking the good progress of the project. The programming is currently being validated by test scenarios that check the equations, parameters, functionalities and navigation through the screens. The technology and architecture chosen for the second version of ASTRAL are different from the previous ones. It now uses an internet technology and is of a three-third type, the software requiring an Oracle database, a Microsoft web server and a consultation station. These choices offer important advantages: the spreading and maintenance of the tool are very easy. In fact, once the server and the database have been installed an a network, the users only need a web browser to run the code. The initial installation and the updating are thus no more to be made an every user station, but only on the server and/or the database; the code may be installed on a portable computer, which hosts the database, the internet server and the web browser. This

  13. Geomecánica aplicada en la prevención de pérdidas por caída de rocas: Mina Huanzalá-Cía. Minera Santa Luisa S.A.

    OpenAIRE

    Bustamante Murillo, Aquilino; Bustamante Murillo, Aquilino

    2008-01-01

    La minería es sin duda una de las actividades de más alto riesgo que el hombre realiza. Las estadísticas indican que la causa mas frecuente de los accidentes en el interior mina es por caída de rocas. Según estadísticas de los 62 accidentes fatales ocurridos en el año 2007, aproximadamente el 23% de éstos (14 fatalidades) fue por desprendimiento de rocas. Si a esta cifra le añadimos el 13% de accidentes originados por derrumbes, deslizamientos, soplado de mineral o escombros, la segunda cau...

  14. 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.

  15. Accidental deposition of local anaesthetic in the subdural space ...

    African Journals Online (AJOL)

    The incidence of accidental injection of local anaesthetic into the subdural space during neuraxial blockade is rare. The presentation of unexplainable clinical signs that do not match the clinical picture of subarachnoid or intravascular injection of the local anaesthetic agent should invoke high suspicion of unintentional ...

  16. Coincidence counting corrections for dead time losses and accidental coincidences

    International Nuclear Information System (INIS)

    Wyllie, H.A.

    1987-04-01

    An equation is derived for the calculation of the radioactivity of a source from the results of coincidence counting taking into account the dead-time losses and accidental coincidences. The derivation is an extension of the method of J. Bryant [Int. J. Appl. Radiat. Isot., 14:143, 1963]. The improvement on Bryant's formula has been verified by experiment

  17. Brugada syndrome unmasked by accidental inhalation of gasoline vapors

    DEFF Research Database (Denmark)

    Kranjcec, Darko; Bergovec, Mijo; Rougier, Jean-Sébastien

    2007-01-01

    Loss-of-function mutations in the gene SCN5A can cause Brugada syndrome (BrS), which is an inherited form of idiopathic ventricular fibrillation. We report the case of a 46-year-old patient, with no previous medical history, who had ventricular fibrillation after accidental inhalation of gasoline...

  18. The Accidental Transgressor: Morally Relevant Theory of Mind

    Science.gov (United States)

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

    2014-01-01

    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 3 tasks: prototypic moral transgression task, false belief theory of mind task (ToM), and an “accidental transgressor” task, which measured a morally relevant false belief theory of mind (MoToM). Children who did not pass false belief ToM were more likely to attribute negative intentions to an accidental transgressor than children who passed false belief ToM, and to use moral reasons when blaming the accidental transgressor. In Experiment 2, children (N = 46) who did not pass false belief ToM viewed it as more acceptable to punish the accidental transgressor than did participants who passed false belief ToM. Findings are discussed in light of research on the emergence of moral judgment and theory of mind. PMID:21377148

  19. 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…

  20. Accidental Childhood Poisoning in Enugu, South‑East, Nigeria

    African Journals Online (AJOL)

    Accidental childhood poisoning is one of the recognized causes of ... are those undergoing the oral phase of their psychological development. .... Palm oil ingestion and induction of emesis were the most commonly used ... poisoning. Kerosene is found in most homes in Nigeria as it is the ... Ingestion of coconut water. 2. 3.1.

  1. Accidental hand grenade blast injuries in the Transkei region of ...

    African Journals Online (AJOL)

    Case Study: Accidental hand grenade blast injuries in the Transkei region of South Africa. 348. Vol 51 No 4. SA Fam ... There is some evidence that a substantial number of small arms and hand grenades ... Unfortunately, the safety device was ...

  2. Accidental administration of Syntometrine in adult dosage to the newborn.

    OpenAIRE

    Whitfield, M F; Salfield, S A

    1980-01-01

    The clinical course is described of an infant who accidentally received an adult dose of Syntometrine (synthetic oxytocin + ergometrine) at delivery. The infant soon became ill with convulsions and ventilatory failure, and later with water intoxication. Similar reported cases are reviewed and recommendations are given for the management of future cases.

  3. Non-accidental injury: a review of the radiology

    International Nuclear Information System (INIS)

    Carty, H.

    1997-01-01

    There have been many descriptions of the radiological features of non-accidental injury since John Caffey introduced the concept of inflicted injury and initially described some of the patterns of injury. Since then, our understanding of the radiologically detectable injuries has increased. This article provides a review of our current understanding of the lesions. (orig.)

  4. Natural convection accidental conditions in nuclear power plants

    International Nuclear Information System (INIS)

    Delmastro, D.F.; Clausse, A.

    1990-01-01

    Under certain conditions, wether accidental or in nuclear reactor design, a nuclear reactor core may be found to be refrigerated by a fluid in natural circulation. Before the possible density waves phenomenon occurrence, it is essential to have a good knowledge of the flow evolution and thermohydraulic variables under these conditions. (Author) [es

  5. Study of stowage of radioactive materials packagings in accidental conditions

    International Nuclear Information System (INIS)

    Chevalier, G.; Gilles, P.; Phalippou, C.; Pouard, M.; Draulans, J.; Lafontaine, I.

    1987-03-01

    The study of transport conditions shows that few data are available on accidental conditions. Two types of accidents are selected and defined by calculations and tests. Sizing of stowage is determined for a frontal shock (35 g deceleration), maintaining the packaging on the vehicle, and side shock rupture of the stowage system for a determined stress. Mathematical formulations are developed [fr

  6. Accidental Childhood Poisoning in Enugu, South‑East, Nigeria ...

    African Journals Online (AJOL)

    Background: Accidental childhood poisoning is one of the recognized causes of morbidity and mortality in children under the age of 5 years worldwide. The prevalence and type of substance ingested vary from place to place and over time. Aim: This study was conducted with the aim of ascertaining the frequency and ...

  7. Actividad asistencial de las unidades de soporte vital avanzado a accidentes de tráfico en Asturias en el año 2010

    OpenAIRE

    Villar Fernández, Lara

    2012-01-01

    Se realizó un estudio observacional retrospectivo de los accidentes de tráfico y atropellos asistidos por las USVA del 1 de enero al 31 de diciembre del 2010, utilizando el ASTER y complementando con una revisión de las historias clínicas en papel. Se analizaron 596 accidentes de tráfico, de los 1821 registrados por la DGT en el año 2010 en Asturias, en los que se asistieron a 782 pacientes, con una edad media de 39,4 años (∂ = 19,8) el 62,5% fueron hombres y 37,4% mujeres. Hubo 26 fallecidos...

  8. Detection of Beta-Emitting Nuclides of Energy >1 Mev in Urine After an Accident by Means of Measurement of the Cerenkov Effect in a Liquid Scintillation Counting System; Detection des Radioelements Emetteurs Beta d'une Energie Superieure a 1 Mev dans l'Urine Apres un Accident, par la Mesure de l'Effet Cerenkov Avec un Ensemble de Comptage a Scintillation Liquide; 041e 0411 041d 0414 ; Deteccion en la Orina de Emisores Beta de Energia Superior a 1 Mev, Despues de un Accidente, por Medicion del Efecto Cerenkov en un Contador de Centelleador Liquido

    Energy Technology Data Exchange (ETDEWEB)

    Narrog, J. [Landesinstitut fuer Arbeitsschutz und Arbeitsmedizin, Karlsruhe, Federal Republic of Germany (Germany)

    1965-06-15

    de aplicar este metodo a la orina. Cuando los experimentos se efectuan con orina sin preparar, las mediciones carecen de sensibilidad a causa de un fuerte efecto de absorcion. Por consiguiente, es preciso clarificar la orina. Se ensayo un oxidante, el KMnO{sub 4}, y se obtuvo un liquido limpido, pero la actividad de fondo permaneceria elevada porque el potasio del KMnO{sub 4} contiene el radioisotopo {sup 40}k que tambien emite rayos beta de mas de 1 MeV (1, 32 MeV). Se obtuvieron mejores resultados utilizando NaMnO{sub 4} en lugar de KMnO{sub 4}. La actividad de fondo asciende a unos 30 impulsos/min siendo el limite inferior (medido con {sup 90}Sr/{sup 90}Y), del orden de 1 pc/ml orina. Si, en caso de accidente, no es posible determinar el contenido de 4 Degree-Sign K en la orina (por ejemplo, por fotometria de llama), el metodo preconizado por el autor posee la misma sensibilidad (superior a 2 pc/ml) que los otros procedimientos (por ejemplo, calcinacion y medicion en un contador proporcional de gran superficie). La medicion con contador proporcional de gran superficie juntamente con la evaluacion de la actividad beta del 40K contenido en la orina constituye un procedimiento de mayor sensibilidad y precision. El metodo indicado se presta para la medicion rapida de cargas corporales elevadas de emisores de particulas beta de energia superior a 1 MeV (tambien despues de su excrecion), lo que es util en caso de accidente. La determinacion efectuada con arreglo a ese metodo requiere unos 90 min en total. (author) [Russian] Soderzhashhiesja v vode beta-chasticy s jenergiej bolee 1 Mjev mozhno izmerit' s pomoshh'ju jeffekta Cherenkova v zhidkostnyh scintilljacionnyh schetchikah bez kakoj-libo dal'nejshej podgotovki obrazcov. Posle togo, kak Gofmann(Frankfurt/FRG)soobshhil ob jetoj vozmozhnosti na Simpoziume Obshhestva nemeckih himikov v ZSarlsruje-Leopol'dshafen 1 i 2 aprelja 1964 goda, v nashem Institute byli provedeny jeksperimenty po primeneniju jetogo metoda k

  9. Contractura axilar por quemadura tratada con Integra®

    OpenAIRE

    Roa G,Ricardo; Las Heras F,Rocío; Piñeros B,José L; Correa S,Gerardo; Norambuena B,Hernán; Marré N,Diego

    2011-01-01

    Las quemaduras axilares severas son un accidente infrecuente que evolucionan a la retracción generando deficiencias cosméticas y funcionales. Estas cicatrices son difíciles de tratar por las características anatómicas del área, donde la corrección de un vector de movimiento puede alterar otro. Objetivo: Mostrar nuestros resultados utilizando el sustituto cutáneo Integra® en el tratamiento de cicatrices retráctiles axilares por quemadura. Pacientes y Métodos: Se recolectaron antecedentes médic...

  10. Accidentes automovilísticos fatales en la Zona Metropolitana de la Ciudad de México: una perspectiva en el espacio y en el tiempo

    OpenAIRE

    Ramos, Aram; Silva, Eliud; Aguirre, Alejandro

    2015-01-01

    En este trabajo se describen distintos rasgos de los decesos por accidentes automovilísticos en la Zona Metropolitana de la Ciudad de México (ZMCM). Además, se analiza la dinámica temporal de la mortalidad por la causa y se explora lo propio a nivel de distintos contornos de desarrollo urbano de la ZMCM. Asimismo se hacen pronósticos en un pequeño horizonte de tiempo, con lo que se concluye que esta causa de muerte permanecerá sin modificaciones sustanciales en el futuro inmediato. Differe...

  11. Accidentes automovilísticos fatales en la Zona Metropolitana de la Ciudad de México: una perspectiva en el espacio y en el tiempo

    OpenAIRE

    ARAM RAMOS; ELIUD SILVA; ALEJANDRO AGUIRRE

    2015-01-01

    En este trabajo se describen distintos rasgos de los decesos por accidentes automovilísticos en la Zona Metropolitana de la Ciudad de México (ZMCM). Además, se analiza la dinámica temporal de la mortalidad por la causa y se explora lo propio a nivel de distintos contornos de desarrollo urbano de la ZMCM. Asimismo se hacen pronósticos en un pequeño horizonte de tiempo, con lo que se concluye que esta causa de muerte permanecerá sin modificaciones sustanciales en el futuro inmediato.

  12. 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 ...

  13. Food allergy: practical approach on education and accidental exposure prevention.

    Science.gov (United States)

    Pádua, I; Moreira, A; Moreira, P; Barros, R

    2016-09-01

    Food allergies are a growing problem and currently the primary treatment of food allergy is avoidance of culprit foods. However, given the lack of information and education and also the ubiquitous nature of allergens, accidental exposures to food allergens are not uncommon. The fear of potential fatal reactions and the need of a proper avoidance leads in most of the cases to the limitation of leisure and social activities. This review aims to be a practical approach on education and accidental exposure prevention regarding activities like shopping, eating out, and travelling. The recommendations are focused especially on proper reading of food labels and the management of the disease, namely in restaurants and airplanes, concerning cross-contact and communication with other stakeholders. The implementation of effective tools is essential to manage food allergy outside home, avoid serious allergic reactions and minimize the disease's impact on individuals' quality of life.

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

    KAUST Repository

    Chen, Ze-Guo; Ni, Xu; Wu, Ying; He, Cheng; Sun, Xiao-Chen; Zheng, Li-Yang; Lu, Ming-Hui; Chen, Yan-Feng

    2014-01-01

    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.

  15. 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.

  16. ACIDENTES DOMICILIARES POR FORÇAS MECÂNICAS INANIMADAS EM CRIANÇAS, ADOLESCENTES E JOVENS

    Directory of Open Access Journals (Sweden)

    Jackeline Gonçalves Brito

    2016-01-01

    Full Text Available Analizar el perfil de atención de urgência y emergência como resultado de accidentes domésticos causados por fuerzas mecánicas inanimadas en la población infantojuvenil. Se trata de un estudio transversal con la recogida de datos retrospectiva. Fueron analizados los registros de asistencia relativas a accidentes domésticos por fuerzas mecánicas inanimadas en la población infantojuvenil (0 a 24 años, atendidos por un servicio público de referencia en la atención de urgência y emergência, durante el año 2013. Se estudiaron 526 accidentes, entre las victimas prevaleció el sexo masculino (56,1% y la edad de 1 a 4 años (47,9%. El accidente más frecuente fue la penetración de cuerpo extraño en orificio no natural, presentando mayor proporción en niños de 1 a 4 años (71,0%. Sin embargo, se mostró ampla variedade de accidentes por fuerzas mecánicas inanimadas en ambiente del hogar y presencia de secuelas en el 0,8% de las víctimas. Destaca la importancia de aplicar medidas preventivas, la única manera de reducir los eventos, las lesiones y secuelas que surjan.

  17. Work-related accidents and diseases take a heavy toll worldwide Los accidentes y enfermedades laborales causan gran mortalidad en todo el mundo

    Directory of Open Access Journals (Sweden)

    2002-08-01

    Full Text Available Cada año mueren en todo el mundo unos dos millones de personas por enfermedades y accidentes laborales, pero la repercusión total es mucho mayor aun. Según el informe de la Organización Internacional del Trabajo (OIT titulado Informe introductorio: trabajo decente, trabajo seguro, de mayo de 2002, dependiendo del tipo de trabajo, por cada accidente mortal se producen 500 a 2 000 lesiones. Según la OIT, la principal causa de muerte relacionada con el trabajo es el cáncer, responsable de 32% de las muertes, seguido de las enfermedades circulatorias (23%, los accidentes (19% y las enfermedades transmisibles (17%. Las lesiones y las enfermedades laborales suponen un considerable costo económico. Cerca de 4% del producto interno bruto (PIB mundial se pierde en gastos de tratamiento e ingresos no percibidos. El informe de la OIT dice que se podría prevenir cerca de 80% de los accidentes y muertes laborales si todos los países que pertenecen a la organización aplicaran los métodos de prevención de accidentes ya existentes. En los países industrializados, las prioridades deben ser los factores psicosociales ligados a las malas relaciones y gestiones en el lugar de trabajo, las consecuencias mentales y físicas de las tareas repetitivas muy técnicas y la información sobre la manipulación de las nuevas tecnologías y sustancias, entre ellas los productos químicos. En los países que todavía están en fase de industrialización se les debería dar prioridad al mejoramiento de las prácticas sanitarias y de seguridad en las actividades primarias, como la agricultura, la pesca y la explotación maderera; la prevención de los accidentes industriales y la prevención de los accidentes y enfermedades en talleres informales e industrias domésticas.

  18. Cómo enfrentar los accidentes del trabajo?: Lineamientos para su prevención y control

    Directory of Open Access Journals (Sweden)

    Caristina Robaina Aguirre

    1998-08-01

    Full Text Available Basados en una necesaria caracterización de la morbilidad de los accidentes laborales en la Industria y la mortalidad que éstos ocasionaron en 2 provincias del país (Cienfuegos y Las Tunas, nos vimos motivados a desarrollar un plan de actividades con la finalidad de influir en la disminución de la morbilidad y la mortalidad por accidentes del trabajo en el país, para lo cuál se desglosan en forma clara los objetivos, lineamientos de trabajo, así como el plan de actividades que den respuesta a éstos. Éstos podrán ser analizados por el personal de salud/seguridad que labora en cada centro de trabajo para su futura aplicaciónBased on the necessary characterization of morbidity of labor accidents in the industry and the mortality they cause in two provinces (Cienfuegos and Las Tunas, we felt encouraged to develop a plan of activities aimed at influencing over the decrease in morbidity and mortality rates caused by labor accidents in the country. To this end, objectives, work regulations, and a plan of activities to meet them are clearly broken down. All these questions can be analyzed by the health/safety personnel at overy work center for their future implementation

  19. TWO-DIMENSIONAL MODELLING OF ACCIDENTAL FLOOD WAVES PROPAGATION

    OpenAIRE

    Lorand Catalin STOENESCU

    2011-01-01

    The study presented in this article describes a modern modeling methodology of the propagation of accidental flood waves in case a dam break; this methodology is applied in Romania for the first time for the pilot project „Breaking scenarios of Poiana Uzului dam”. The calculation programs used help us obtain a bidimensional calculation (2D) of the propagation of flood waves, taking into consideration the diminishing of the flood wave on a normal direction to the main direction; this diminishi...

  20. A 'Puff' dispersion model for routine and accidental releases

    International Nuclear Information System (INIS)

    Grsic, Z.; Rajkovic, B.; Milutinovic, P.

    1999-01-01

    A Puff dispersion model for accidental or routine releases is presented. This model was used as a constitutive part of an automatic meteorological station.All measured quantities are continuously displayed on PC monitor in a digital and graphical form, they are averaging every 10 minutes and sending to the civil information center of Belgrade. In the paper simulation of a pollutant plume dispersion from The oil refinery 'Pancevo', on April 18 th 1999 is presented. (author)

  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. Compact fluorescent lamp phosphors in accidental radiation monitoring

    International Nuclear Information System (INIS)

    Murthy, K. V. R.; Pallavi, S. P.; Ghildiyal, R.; Parmar, M. C.; Patel, Y. S.; Ravi Kumar, V.; Sai Prasad, A. S.; Natarajan, V.; Page, A. G.

    2006-01-01

    The application of lamp phosphors for accidental dosimetry is a new concept. Since the materials used in fluorescent lamps are good photo luminescent materials, if one can either use the inherent defects present in the phosphor or add suitable modifiers to induce thermoluminescence (TL) in these phosphors, then the device (fluorescent lamp) can be used as an accidental dosemeter. In continuation of our search for a suitable phosphor material, which can serve both as an efficient lamp phosphor and as a good radiation monitoring device, detailed examination has been carried out on cerium and terbium-doped lanthanum phosphate material. A 90 Sr beta source with 50 mCi strength (1.85 GBq) was used as the irradiation source for TL studies. The TL response as a function of dose received was examined for all phosphors used and it was observed that the intensity of the TL peak vs. dose received was a linear function in the dose range 0.1-200 Gy in each case. Incidentally LaPO 4 :Ce,Tb is a component of the compact fluorescent lamp marketed recently as an energy bright light source. Besides having very good luminescence efficiency, good dosimetric properties of these phosphors render them useful for their use in accidental dosimetry also. (authors)

  3. 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.

  4. Niña con erucismo hemorrágico por Lonomia spp.: reporte de un caso

    Directory of Open Access Journals (Sweden)

    Walter Peña-Vásquez

    Full Text Available Los accidentes causados por las setas urticantes o venenosas de las orugas de lepidópteros, se conocen como erucismo. Estos accidentes se producen por el contacto accidental, especialmente por los niños, con las cerdas sobre el cuerpo del insecto, conectadas con glándulas venenosas. Los síntomas pueden ser locales o sistémicos, con presentaciones clínicas fatales. El accidente ocasionado por las orugas del género Lonomia spp. puede desencadenar síndromes hemorrágicos, constituyendo estos la forma más grave de erucismo. Se reporta el caso de una niña de 5 años, procedente del poblado de Villarondos, en la Amazonía del Perú, departamento de Huánuco, la cual incidentalmente se hinca con las cerdas de una oruga, cursando luego con anemia hemolítica, plaquetopenia y trastorno de la coagulación. El diagnóstico fue establecido por la anamnesis, cuadro clínico, exámenes de laboratorio y respuesta al suero antilonómico. Se discuten los aspectos clínicos, laboratoriales y terapéuticos de erucismo por Lonomia spp.

  5. Accidental outcomes guide punishment in a "trembling hand" game.

    Directory of Open Access Journals (Sweden)

    Fiery Cushman

    Full Text Available How do people respond to others' accidental behaviors? Reward and punishment for an accident might depend on the actor's intentions, or instead on the unintended outcomes she brings about. Yet, existing paradigms in experimental economics do not include the possibility of accidental monetary allocations. We explore the balance of outcomes and intentions in a two-player economic game where monetary allocations are made with a "trembling hand": that is, intentions and outcomes are sometimes mismatched. Player 1 allocates $10 between herself and Player 2 by rolling one of three dice. One die has a high probability of a selfish outcome, another has a high probability of a fair outcome, and the third has a high probability of a generous outcome. Based on Player 1's choice of die, Player 2 can infer her intentions. However, any of the three die can yield any of the three possible outcomes. Player 2 is given the opportunity to respond to Player 1's allocation by adding to or subtracting from Player 1's payoff. We find that Player 2's responses are influenced substantially by the accidental outcome of Player 1's roll of the die. Comparison to control conditions suggests that in contexts where the allocation is at least partially under the control of Player 1, Player 2 will punish Player 1 accountable for unintentional negative outcomes. In addition, Player 2's responses are influenced by Player 1's intention. However, Player 2 tends to modulate his responses substantially more for selfish intentions than for generous intentions. This novel economic game provides new insight into the psychological mechanisms underlying social preferences for fairness and retribution.

  6. 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}.

  7. Accidentes en la infancia: una problemática actual en pediatría Accidents in the childhood: a current problem in pediatrics

    Directory of Open Access Journals (Sweden)

    Migdalia Torres Márquez

    Full Text Available Las lesiones accidentales constituyen una de las principales causas de amenaza para la vida en la población infantil, por lo cual la prevención de accidentes puede considerarse una emergencia sanitaria y social, tanto por la elevada mortalidad, morbilidad y discapacidad que estos ocasionan como por el elevado costo económico que representan; por tal razón, en el presente estudio se revisó la bibliografía especializada sobre algunos aspectos de interés, tales como: factores de riesgo, causas más frecuentes, condiciones favorecedoras y algunas medidas para prevenirlos, teniendo en cuenta que padres y educadores desempeñan una función primordial en esta tarea.Accidental injuries constitute one of the main life-threatening causes in children population, therefore the prevention of accidents can be considered a social and health emergency due to their high mortality, morbidity, inability and economic high cost. The present study reviewed the specialized literature cited on some interesting aspects, such as risk factors, most frequent causes, favorable conditions and some measures to prevent them, considering that parents and educators play an essential role in this task.

  8. 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.

  9. Radioactive releases into the environment under accidental conditions

    International Nuclear Information System (INIS)

    Beninson, D.

    1976-01-01

    Although accidents involving the release of radioactive materials and the unplanned exposure of people can occur at any stage of the nuclear fuel cycle, most attention has been focused on reactor accidents. Although no power reactor accidents involving exposure of the public have yet occured, it should be recognized that the probability of such accidental releases cannot be reduced to zero. Since the inventory of radioactive materials in power reactors is very large, it is usual to postulate, for safety assessments, that a release of fission products takes place in spite of all protective measures. This postulated release is of importance for reactor siting and for preparing emergency plans. (HP) [de

  10. Biokinetics of radionuclides and treatment of accidental intakes

    International Nuclear Information System (INIS)

    Taylor, D.M.; Stradling, G.N.; Menetrier, F.

    2003-01-01

    This paper describes the objectives and reviews the progress of EULEP Working Party 5, convened under the auspices of the European Union's Fifth Framework Programme, to 'cluster' two EU-supported contracts, Biokinetics and Dosimetry of Internal Contamination (BIODOS (EU Contract FIS5-1999-00214)) and Radionuclide Biokinetics Database (EULEP) ( RBDATA-EULEP (Concerted Action Contract FIS5-1999-00218), and two non-EU funded projects, Biokinetics of Radionuclides in Human Volunteers (RNHV (non-EU Funded Project) and Treatment of Accidental Intakes of Radionuclides (TAIR (part-funded by EULEP)). (author)

  11. 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. © 2015 Wiley Periodicals, Inc.

  12. Accidental exposure with X-ray diffraction equipment

    International Nuclear Information System (INIS)

    Montanez, O.; Blanco, D.

    1991-01-01

    The shutter on one of the windows of an X-ray diffraction apparatus was accidentally left open, exposing the worker to the radiation. The worker was wearing a dosimeter film, which was processed immediately to evaluate the potential risk. It was determined that the exposure rate was 350 Roentgen/minute on the skin surface, with corrections being made for the worker's thin clothing. It was concluded that in spite of the worker receiving a relative high dose, it did not reach the threshold value for producing deterministic effects such as cataracts, erythema, and skin damage

  13. Early diagnosis and monitoring of whole-body accidental exposure

    International Nuclear Information System (INIS)

    Flury-Herard, A.; Jullien, D.

    1987-01-01

    This paper deals with the handling of accidental, acute or protracted, whole-body overexposures. It is complementary to the report DPS 86/07 SEAPS previously published. The criteria for initial classification, as a function of the mean absorbed dose, the clinical and paraclinical evaluation, the monitoring methods and the treatments to undertake are described successively. The basic components of the therapy are the intensive care of the hematological syndrome with blood products transfusions and anti-infection prophylaxy. The indications and conditions for bone-marrow grafts are also discussed [fr

  14. Method and apparatus for controlling accidental releases of tritium

    International Nuclear Information System (INIS)

    Galloway, T.R.

    1980-01-01

    An improvement in a tritium control system based on a catalytic oxidation reactor is provided wherein accidental releases of tritium into room air are controlled by flooding the catalytic oxidation reactor with hydrogen when the tritium concentration in the room air exceeds a specified limit. The sudden flooding with hydrogen heats the catalyst to a high temperature within seconds, thereby greatly increasing the catalytic oxidation rate of tritium to tritiated water vapor. Thus, the catalyst is heated only when needed. In addition to the heating effect, the hydrogen flow also swamps the tritium and further reduces the tritium release

  15. Evaluation and mitigation of accidental releases of radioactivity

    International Nuclear Information System (INIS)

    Bruessermann, K.

    1982-12-01

    One result of the workshop was, that even in the case of severe accident sequences in modern nuclear power plants (other facilities were not discussed), there will be enough time to take active measures in order to lower the emissions and to diminish the consequences inside and outside of the plant. On the whole, new evidence from Harrisburg show that previously estimated accidental emissions, especially of radiologically relevant nuclides, have been rather conservative and that much lower emissions are possible, if the above measures are considered. Under accident conditions, models to predict radiation exposure must be applied under the event of a short-term release. (orig./DG) [de

  16. Method and apparatus for controlling accidental releases of tritium

    Science.gov (United States)

    Galloway, Terry R. [Berkeley, CA

    1980-04-01

    An improvement in a tritium control system based on a catalytic oxidation reactor wherein accidental releases of tritium into room air are controlled by flooding the catalytic oxidation reactor with hydrogen when the tritium concentration in the room air exceeds a specified limit. The sudden flooding with hydrogen heats the catalyst to a high temperature within seconds, thereby greatly increasing the catalytic oxidation rate of tritium to tritiated water vapor. Thus, the catalyst is heated only when needed. In addition to the heating effect, the hydrogen flow also swamps the tritium and further reduces the tritium release.

  17. Self-Administered Ethanol Enema Causing Accidental Death

    Directory of Open Access Journals (Sweden)

    Thomas Peterson

    2014-01-01

    Full Text Available Excessive ethanol consumption is a leading preventable cause of death in the United States. Much of the harm from ethanol comes from those who engage in excessive or hazardous drinking. Rectal absorption of ethanol bypasses the first pass metabolic effect, allowing for a higher concentration of blood ethanol to occur for a given volume of solution and, consequently, greater potential for central nervous system depression. However, accidental death is extremely rare with rectal administration. This case report describes an individual with klismaphilia whose death resulted from acute ethanol intoxication by rectal absorption of a wine enema.

  18. Simulation of pulsed accidental energy release in a reactor core

    International Nuclear Information System (INIS)

    Ryshanskii, V.A.; Ivanov, A.G.; Uskov, A.A.

    1995-01-01

    At the present time the strength of the load-bearing members of VVER and fast reactors during a hypothetical accident is ordinarily investigated in model experiments [1]. A power burst during an accident is simulated by a nonnuclear exothermal reaction in water, which simulates the coolant and fills the model. The problem is to make the correct choice of the simulator of the accidental energy burst as an effective (i.e., sufficiently high working capacity) source of dangerous loads, corresponding to the conditions of an accident. What factors and parameters determine the energy release? The answers to these questions are contradictory

  19. Factores de riesgo asociados a infección aguda por hepatitis B en población militar destacada al departamento de Amazonas, Perú

    Directory of Open Access Journals (Sweden)

    César Cabezas

    2007-10-01

    Full Text Available El Perú es considerado un país de endemicidad intermedia-alta para el virus de hepatitis B (VHB, con variaciones entre diferentes regiones. Existen pocos reportes del problema de infección por el VHB en personal militar. Objetivos. Determinar los factores de riesgo asociados con el desarrollo de infección por el VHB en un brote epidémico en personal militar destacado en Ampama, Amazonas, Perú. Material y métodos. Estudio caso-control en personal militar destacado al puesto de Ampama y a la base El Milagro, departamento de Amazonas. Fueron evaluados HBsAg y posibles factores de riesgo asociados a un incremento de riesgo de adquirir el VHB. Resultados. Se estudió a 123 personas, repartidos en 41 sujetos en cada uno de los grupos (casos, control 1 y control 2. 73,2% de los casos tuvo confirmación de infección aguda por el VHB (IgM anti HBc positivo y anti Delta fue positivo en 1/37 (2,7% caso. Ninguno de los factores de riesgo evaluados mostró una asociación significativa con hepatitis B. Algunos factores de riesgo con posible asociación fueron contacto con personal con hepatitis B (OR 2,3; IC95% 0,9 - 5,7 y mordedura de murciélago (OR 1,6; IC95% 0,6 - 4,4. Conclusiones. Los factores de riesgo clásicos asociados con la transmisión del virus de la hepatitis B no fueron significativos. El personal militar es un grupo en riesgo para infectarse con el VHB.

  20. Causas de subnotificación de accidentes de trabajo y eventos adversos en Chile

    Directory of Open Access Journals (Sweden)

    Carolina Luengo

    Full Text Available RESUMEN Objetivo Describir las causas de subnotificación de accidentes de trabajo (AT y eventos adversos EA reportados por la literatura internacional e informantes claves del área de la salud y prevención de riesgos en Chile. Métodos Estudio de abordaje cualitativo y descriptivo, que incluye una revisión sistematizada de la literatura siguiendo el método SALSA de revisión (por sus siglas en inglés Search, Appraisal, Synthesis and Analyses; búsqueda, evaluación, síntesis y análisis y ajustado a la Declaración PRISMA (por sus siglas en inglés, Preferred Reporting Items for Systematic reviews and Meta-Analyses; ítems de reporte preferidos para las revisiones sistemáticas y metaanálisis, y entrevistas a informantes clave del área de la salud y prevención de riesgos en Chile. Resultados Las principales causas de subnotificación de AT reportados por la literatura y por informantes clave fueron el factor económico y el desconocimiento. En cuanto a los EA, las principales causas señaladas fueron el temor a las sanciones, el escaso apoyo de las jefaturas, la falta de conocimiento y la sobrecarga de trabajo. Conclusiones Es importante seguir avanzando en el tema de la notificación de AT y EA e implementar medidas dirigidas a minimizar las que podrían ser las causas principales de subnotificación. En el caso de los AT, que el factor económico no sea un impedimento, sino un aliciente y en los EA, erradicar el temor a las sanciones y elaborar recomendaciones centradas en mejoras hacia el sistema, más que hacia la persona, en pro de un aprendizaje conjunto. En ambos casos, combatir el desconocimiento mediante capacitación y apoyo permanente y sistemático.

  1. PERFIL DOS ATENDIMENTOS POR CAUSAS EXTERNAS EM HOSPITAL PÚBLICO

    Directory of Open Access Journals (Sweden)

    Marlos Victor Fonsêca de Lima

    2012-01-01

    Full Text Available El objetivo fue identificar el perfil de los atendimientos por causas externas en la urgencia de un hospital público de referencia del Estado. Investigación descriptiva documental, con enfoque cuantitativo. En el análisis de datos, el período de enero a diciembre de 2009 se realizó 4.464 atendimientos por causas externas. La mayor frecuencia de las lesiones ocurrió en personas entre 21 y 40 años (37,70% y hombres (68,6%. Cuanto a las causas, las caídas (29% fue la mayor variable, seguido por accidente de motocicleta (17,98%, accidentes domiciliario (16,53%, agresión física (10,43% y accidente de motocicleta (8,84%. Se observó que 23,3% de los atendimientos realizados en la urgencia fueron de la población procedente de municipios aledaños. Hay, por lo tanto, la necesidad de mejorar la calidad de las informaciones acerca de las quejas motivadas por causas externas, principales causas de hospitalización y gastos en salud.

  2. Estudio sobre la percepción de calidad de vida que presentan pacientes que han sufrido un accidente cerebrovascular a través de la ECVI-38

    OpenAIRE

    Rodríguez Álvarez, Sandra

    2016-01-01

    Trabajo fin de Grado, curso 2015/2016 [ES] Introducción. La OMS define el accidente cerebrovascular como la interrupción del suministro de sangre al cerebro, por lo general debido a que un vaso sanguíneo se rompe o es bloqueado por un coágulo. Esto corta el suministro de oxígeno y nutrientes, causando daños en el tejido cerebral. El Ictus representa la tercera causa de muerte y la primera de invalidez en los adultos de los países occidentales, con una incidencia de 200 casos por cada 10...

  3. 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 

  4. Accidental fatal lung injury by compressed air: a case report.

    Science.gov (United States)

    Rayamane, Anand Parashuram; Pradeepkumar, M V

    2015-03-01

    Compressed air is being used extensively as a source of energy at industries and in daily life. A variety of fatal injuries are caused by improper and ignorant use of compressed air equipments. Many types of injuries due to compressed air are reported in the literature such as colorectal injury, orbital injury, surgical emphysema, and so on. Most of these injuries are accidental in nature. It is documented that 40 pounds per square inch pressure causes fatal injuries to the ear, eyes, lungs, stomach, and intestine. Openings of body are vulnerable to injuries by compressed air. Death due to compressed air injuries is rarely reported. Many cases are treated successfully by conservative or surgical management. Extensive survey of literature revealed no reports of fatal injury to the upper respiratory tract and lungs caused by compressed air. Here, we are reporting a fatal event of accidental death after insertion of compressed air pipe into the mouth. The postmortem findings are corroborated with the history and discussed in detail.

  5. Accidental Beam Losses and Protection in the LHC

    International Nuclear Information System (INIS)

    Schmidt, R.; Wenninger, J.

    2005-01-01

    At top energy (proton momentum 7 TeV/c) with nominal beam parameters, each of the two LHC proton beams has a stored energy of 350 MJ threatening to damage accelerator equipment in case of accidental beam loss. It is essential that the beams are properly extracted onto the dump blocks in case of failure since these are the only elements that can withstand full beam impact. Although the energy stored in the beams at injection (450 GeV/c) is about 15 times smaller compared to top energy, the beams must still be properly extracted in case of large accidental beam losses. Failures must be detected at a sufficiently early stage and initiate a beam dump. Quenches and power converter failures will be detected by monitoring the correct functioning of the hardware systems. In addition, safe operation throughout the cycle requires the use of beam loss monitors, collimators and absorbers. Ideas of detection of fast beam current decay, monitoring of fast beam position changes and monitoring of fast magnet current changes are discussed, to provide the required redundancy for machine protection

  6. 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.

  7. Accidental Beam Losses and Protection in the LHC

    Science.gov (United States)

    Schmidt, R.; Working Group On Machine Protection

    2005-06-01

    At top energy (proton momentum 7 TeV/c) with nominal beam parameters, each of the two LHC proton beams has a stored energy of 350 MJ threatening to damage accelerator equipment in case of accidental beam loss. It is essential that the beams are properly extracted onto the dump blocks in case of failure since these are the only elements that can withstand full beam impact. Although the energy stored in the beams at injection (450 GeV/c) is about 15 times smaller compared to top energy, the beams must still be properly extracted in case of large accidental beam losses. Failures must be detected at a sufficiently early stage and initiate a beam dump. Quenches and power converter failures will be detected by monitoring the correct functioning of the hardware systems. In addition, safe operation throughout the cycle requires the use of beam loss monitors, collimators and absorbers. Ideas of detection of fast beam current decay, monitoring of fast beam position changes and monitoring of fast magnet current changes are discussed, to provide the required redundancy for machine protection.

  8. Determinación de potenciales de riesgo de accidentes en el hogar Determining Domestic Accident RiskPotentials

    Directory of Open Access Journals (Sweden)

    Xiomara Rivero Plasencia

    2006-08-01

    Full Text Available La palabra accidente, por su significado habitual se define como un suceso casual, fortuito debido a la suerte, al azar y no se trata de suerte o casualidad, sino que en los hogares se encuentran los distintos objetos que propician estos tristes acontecimientos que en muchas ocasiones pueden ser evitados, para lo cual nos propusimos determinar los potenciales de riesgo de accidentes en el hogar a través de un estudio observacional, descriptivo, en los meses de Enero a Septiembre del año 2006, al universo: 629 hogares pertenecientes al consultorio del médico de la familia No 85 del Policlínico "Hermanos Cruz" de Pinar del Río. La muestra estuvo constituida por 135 familias, que tuviesen como característica la presencia en ella de un niño entre 0 y 15 años y/o un anciano (+ 60 años. La información se obtuvo mediante la observación directa del hogar, entrevista con los pobladores para determinar el tipo de potencial de riesgo existente en el hogar. Se utilizó el método de la Estadística Descriptiva. Se encontró que el 45.5 % de los hogares posee riesgos de accidentes, y el tipo de potencial de riesgo encontrado se relaciona con la corriente eléctrica. Los medios de difusión masiva son la principal vía de obtención de la información. El mayor por ciento de potencial de riesgo de accidente por corriente eléctrica se reporta por tomacorrientes sin tapas y en mal estado.The word accident, according to its usual meaning, is defined as a casual event, but indeed it is not always due to chance or hazard. Accidents can occur at home because of the presence of different devices capable of producing fatal events which can be avoided, so the purpose of this article is to assess the accident risk potentials at home by means of an observational descriptive study during January _ September 2006 on the whole sample which comprised 629 homes belonging to Family Doctor's Office # 85 of "Hermanos Cruz" Polyclinic in Pinar del Río. The sample

  9. Últimos perfiles del accidente de trabajo en misión

    OpenAIRE

    Poquet Catalá, Raquel

    2017-01-01

    En este trabajo se analiza desde un punto de vista de la doctrina judicial y jurisprudencial la construcción doctrinal del accidente de trabajo en misión como derivación del accidente de trabajo in itinere y como configuración propia del accidente de trabajo en sí. Así, se procede a la delimitación respecto del accidente in itinere, se realiza un análisis de los requisitos configuradores del mismo, tanto genéricos como específicos, así como la aplicabilidad de la presunción iuris tantum de la...

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

    Directory of Open Access Journals (Sweden)

    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.

  11. PLANTAS MEDICINALES UTILIZADAS POR TRES COMUNIDADES INDÍGENAS EN EL NOROCCIDENTE DE LA AMAZONIA (COLOMBIA

    Directory of Open Access Journals (Sweden)

    William Trujillo

    2011-01-01

    Full Text Available Usando entrevistas semiestructuradas y el índice de importancia relativa (IR, este trabajo documenta las plantas medicinales versátiles o de mayor importancia cultural en tres resguardos indígenas (emberá-katío, coreguaje y uitoto ubicadas en el piedemonte y planicie amazónica del departamento del Caquetá, Colombia. También se registran los usos medicinales y la parte de la planta más usada. En total se registraron 122 especies medicinales (94 géneros en 56 familias; Piperaceae fue la familia con el mayor número de especies (13, seguida por Gesneriaceae y Fabaceae con seis especies cada una. Solamente ocho especies fueron usadas entre dos comunidades, pero ninguna por las tres. La parte de la planta usada con mayor frecuencia en las tres comunidades fue la hoja, empleada en un total de 87 preparaciones medicinales utilizando 70 especies. Los cuatro sistemas corporales con mayor número de especies empleadas y número de tratamientos terapéuticos fueron los siguientes: enfermedades de la piel y tejidos subcutáneos, aflicciones y dolores no definidos, enfermedades infecciosas y parasitarias y enfermedades del sistema digestivo. Aproximadamente la mitad de las especies registradas son usadas para tratar fiebres, diarreas, problemas de hongos, mordeduras de serpientes, parásitos internos e inflamaciones. El 11% de las especies registradas (14 especies en 12 géneros y 12 familias fueron versátiles en relación a su uso (IR ≥ 1.0; el árbol nativo Rauvolfia leptophylla (Apocynaceae y la planta herbácea  introducida a América, Kalanchoe pinnata (Crassulaceae, tuvieron los valores de IR más altos (2.0 y 1.6. También se registran algunos síndromes de filiación cultural y se discute la importancia de estas plantas medicinales en el tratamiento de enfermedades comunes de estas comunidades con acceso limitado a centros de salud del gobierno.

  12. Mortalidad por causas externas en Medellín, 1999-2006

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    Doris Cardona Arango

    2008-01-01

    Full Text Available Caracterizar el comportamiento de la mortalidad por causas externas en la ciudad de Medellín, Colombia, entre 1999-2006, según sexo, edad y causa básica de muerte fue el objetivo de este estudio descriptivo longitudinal, con fuente de información secundaria de 22 128 registros de defunción por causas externas. El análisis realizado es univariado y bivariado por sexo, grupos de edad y causa de muerte. Las causas externas registradas en el periodo fueron: 72.9 por ciento por homicidio; 15.3 por ciento, accidente de transporte; 7.3 por ciento, traumatismos; 4.2 por ciento, por suicidio, y por otras causas, 0.4 por ciento. La mayor tasa de mortalidad se presentó en el grupo de edad de 20 a 24 años (27.6 por cien mil habitantes, hecho que merece especial consideración por las implicaciones sociales, familiares y laborales que representa el fallecimiento de una persona en su etapa productiva.

  13. Accidental head injuries in children under 5 years of age

    International Nuclear Information System (INIS)

    Johnson, K.; Fischer, T.; Chapman, S.; Wilson, B.

    2005-01-01

    AIM: To evaluate the type and nature of head injuries sustained by children under the age of 5 years who present to a busy accident and emergency (A and E) department following an accidental fall. MATERIALS AND METHODS: This study included all children under the age of 5 years, who over an 8-month period were referred to our A and E Department with head injury following an accidental fall. Data were collected regarding the height of the fall, whether or not stairs were involved, the type of surface that the child landed on and the height of the child. This was correlated with any soft-tissue injury or skull fracture. RESULTS: A total of 72 children (aged 4 months to 4.75 years) fulfilled all the criteria for an accidental fall. The heights of the falls ranged from less than 50 cm to over 3 m, with the majority below 1 m. Of the falls, 49 were onto a hard surface and 23 were onto a soft surface. Of the 72 children, 52 had visible evidence of head injury, 35 (71%) of 49 being the result of falls onto hard surfaces and 17 (74%) of 23 onto soft (carpeted) surfaces. There was no significant difference in the type of surface that resulted in a visible head injury. A visible head injury was seen in all children who fell from a height of over 1.5 m and in 95% of children who fell over 1 m. Of the 72 children, 32 (44%) had skull radiographs performed in accordance with established guidelines and 4 (12.5%) were identified as having a fracture. Of the 3 linear parietal fractures 2 were inflicted by falls of just over 1 m (from a work surface) and 1 by a fall of 80 to 90 cm onto the hard-edged surface of a stone fire surround. The 4th was a fracture of the base of skull following a fall from more than 3 m (from a first-storey window). CONCLUSIONS: In the vast majority of domestic accidents children do not suffer significant harm. Skull fractures are rare and probably occur in less than 5% of cases. To cause a skull fracture the fall needs to be from over 1 m or, if from a

  14. Transfer of accidentally released radionuclides in agricultural systems (TARRAS)

    International Nuclear Information System (INIS)

    Cancio, D.; Maubert, Colle; Rauret, G.; Grandison, A.S.

    1993-01-01

    The aim of this project is to contribute to the reliability of radiological assessment methods and establish a scientific base for the design of post-accident countermeasures. Three main aspects are considered in this project: A simulated accidental source term is used and the behaviour of aerosol deposits containing Sr, Cs and Ag isotopes are followed in some European soil-crop systems; the modification of radionuclide transfer rates through the food chain by well established food processing techniques is studied for Sr, Cs, Co and Ru; the project includes a study on the specific mediterranean diet and transfer data that are compared with currently used generic parameters. Seven contributions of the project for the reporting period are presented. (R.P.) 11 figs., 12 tabs

  15. TWO-DIMENSIONAL MODELLING OF ACCIDENTAL FLOOD WAVES PROPAGATION

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    Lorand Catalin STOENESCU

    2011-05-01

    Full Text Available The study presented in this article describes a modern modeling methodology of the propagation of accidental flood waves in case a dam break; this methodology is applied in Romania for the first time for the pilot project „Breaking scenarios of Poiana Uzului dam”. The calculation programs used help us obtain a bidimensional calculation (2D of the propagation of flood waves, taking into consideration the diminishing of the flood wave on a normal direction to the main direction; this diminishing of the flood wave is important in the case of sinuous courses of water or with urban settlements very close to the minor river bed. In the case of Poiana Uzului dam, 2 scenarios were simulated with the help of Ph.D. Eng. Dan Stematiu, plausible scenarios but with very little chances of actually producing. The results were presented as animations with flooded surfaces at certain time steps successively.

  16. Dose assessment of an accidental exposure at IPNS

    International Nuclear Information System (INIS)

    Torres, M.M.C.

    1996-01-01

    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

  17. Nuclear power: Accidental releases - principles of public health action

    International Nuclear Information System (INIS)

    1984-01-01

    This report is based on the collective knowledge and experience of the members of a Working Group, convened by WHO in collaboration with the Government of Belgium in Brussels on 23-27 November 1981, to discuss and appraise the different actions that might be taken following accidental radioactive releases from nuclear plants. It does not provide detailed technical data, but broadly surveys the rational basis for decision-making, indicating the present position as assessed by members of the Working Group. Four major disciplines (radiological protection, health physics, environmental science and technology, and human biology) and three main professional categories (physicians, engineers and physicists) were represented, providing a comprehensive multidisciplinary approach to the topic. The purpose of this report is to give guidance to national authorities on how to develop the capacity to take action in a nuclear emergency

  18. Dose mortality relationships: implications for hypothetical accidental releases from FBRs

    International Nuclear Information System (INIS)

    Kelly, G.N.

    1979-01-01

    A summary is given of the findings detailed in the most recent of a series of radiological studies of a liquid metal-cooled fast breeder reactor (Kelly, G.N. Simmonds, J.R. Smith, H. and Stather, J.W., The radiological consequences of notional accidental releases of radioactivity from fast breeder reactors: sensitivity to the dose-effect relationships adopted for early biological effects, Harwell, National Radiological Protection Board, NRPB-R87. London, HMSO (1979)). The results have indicated those areas where effort might be most profitably directed to improve the reliability of the predicted consequences. The composition of the released activity has been shown to have a marked influence on the sensitivity of the predicted consequences, and application of simple supportive medical treatment has a potential for reducing the predicted consequences by factors of up to an order of magnitude, depending on the composition of the release. (UK)

  19. Brugada syndrome unmasked by accidental inhalation of gasoline vapors.

    Science.gov (United States)

    Kranjcec, Darko; Bergovec, Mijo; Rougier, Jean-Sébastien; Raguz, Miroslav; Pavlovic, Sonja; Jespersen, Thomas; Castella, Vincent; Keller, Dagmar I; Abriel, Hugues

    2007-10-01

    Loss-of-function mutations in the gene SCN5A can cause Brugada syndrome (BrS), which is an inherited form of idiopathic ventricular fibrillation. We report the case of a 46-year-old patient, with no previous medical history, who had ventricular fibrillation after accidental inhalation of gasoline vapors. His electrocardiogram (ECG) showed a typical type-1 BrS pattern that persisted after the acute event. Genetic investigations allowed the identification of a novel SCN5A mutation leading to a frame-shift and early termination of the channel protein. Biochemical and cellular electrophysiology experiments confirmed the loss-of-function of the mutant allele. The patient was implanted with a cardioverter/defibrillator.

  20. MULTIORGAN INJURY AFTER ACCIDENTAL POISONING WITH AUTUMN CROCUS

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    Gorazd Lešničar

    2004-04-01

    Full Text Available Background. A case of accidental poisoning with autumn crocus (Colchicum autumnale that was misinterpreted for wild garlic (Allium ursinum is presented. Both plants grow on damp meadows and can be easily wrongly identified especially before blooming period as they have similar, pointed leaves.Results. Considering anamnestic data, clinical picture and laboratory findings in 43-yr-old female, a poisoning with the colchicine plant alkaloid was suspected. Later, it was confirmed by toxicology analyses (chromatography and spectrometry of the collected serum and urine samples. Severe initial gastrointestinal disorders progressed into ileus, bone-marrow suppression and multi-organ failure.Conclusions. After the patient had received a symptomatic treatment with granulocyte-directed growth factor and a suitable antibiotic therapy for secondary infection, she recovered within three weeks from the onset of condition. The most persistent problem was alopecia. The disease did not entailed any permanent sequellae which was confirmed 3 years after the patient was considered cured.

  1. Accidental intrathecal injection of magnesium sulfate for cesarean section

    Directory of Open Access Journals (Sweden)

    Mehryar Taghavi Gilani

    2014-01-01

    Full Text Available Magnesium sulfate is used frequently in the operation room and risks of wrong injection should be considered. A woman with history of pseudocholinesterase enzyme deficiency in the previous surgery was referred for cesarean operation. Magnesium sulfate of 700 mg (3.5 ml of 20% solution was accidentally administered in the subarachnoid space. First, the patient had warm sensation and cutaneous anesthesia, but due to deep tissue pain, general anesthesia was induced by thiopental and atracurium. After the surgery, muscle relaxation and lethargy remained. At 8-10 h later, muscle strength improved and train of four (TOF reached over 0.85, and then the endotracheal tube was removed. The patient was evaluated during the hospital stay and on the anesthesia clinic. No neurological symptoms, headache or backache were reported. Due to availability of magnesium sulfate, we should be careful for inadvertent intravenous, spinal and epidural injection; therefore before injection must be double checked.

  2. Accidental intrathecal injection of magnesium sulfate for cesarean section.

    Science.gov (United States)

    Gilani, Mehryar Taghavi; Zirak, Nahid; Razavi, Majid

    2014-10-01

    Magnesium sulfate is used frequently in the operation room and risks of wrong injection should be considered. A woman with history of pseudocholinesterase enzyme deficiency in the previous surgery was referred for cesarean operation. Magnesium sulfate of 700 mg (3.5 ml of 20% solution) was accidentally administered in the subarachnoid space. First, the patient had warm sensation and cutaneous anesthesia, but due to deep tissue pain, general anesthesia was induced by thiopental and atracurium. After the surgery, muscle relaxation and lethargy remained. At 8-10 h later, muscle strength improved and train of four (TOF) reached over 0.85, and then the endotracheal tube was removed. The patient was evaluated during the hospital stay and on the anesthesia clinic. No neurological symptoms, headache or backache were reported. Due to availability of magnesium sulfate, we should be careful for inadvertent intravenous, spinal and epidural injection; therefore before injection must be double checked.

  3. 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.

  4. 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

  5. Control of radiation sources and general regulations for accidental situations

    International Nuclear Information System (INIS)

    Slimani, A.

    1998-01-01

    In order to prevent accidents caused by application of radiation sources the Tunisian O.N.P.C. established straightforward strategy made up of 3 phases: prevention, planning and intervention. Civil Protection conducts prevention studies of all radiation sources by examining normal application conditions as well as possible accidental situations. It keeps up with scientific, technical and statistical aspects of radiation risks, elaborates specific plans and programs for intervention operations and cooperates with administrative and security services as well as international organisations. The O.N.P.C. established a model intervention plan based on observation (according to preliminary information), evaluation of the situation (according to the head of operation) intervention (specialized units) and post intervention (testing of personnel)

  6. Dose assessment of an accidental exposure at the IPNS

    International Nuclear Information System (INIS)

    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

  7. Reporting a sudden death due to accidental gasoline inhalation.

    Science.gov (United States)

    Martínez, María Antonia; Ballesteros, Salomé; Alcaraz, Rafael

    2012-02-10

    The investigation of uncertain fatalities requires accurate determination of the cause of death, with assessment of all factors that may have contributed to it. Gasoline is a complex and highly variable mixture of aliphatic and aromatic hydrocarbons that can lead to cardiac arrhythmias due to sensitization of the myocardium to catecholamines or acts as a simple asphyxiant if the vapors displace sufficient oxygen from the breathing atmosphere. This work describes a sudden occupational fatality involving gasoline. The importance of this petroleum distillate detection and its quantitative toxicological significance is discussed using a validated analytical method. A 51 year-old Caucasian healthy man without significant medical history was supervising the repairs of the telephone lines in a manhole near to a gas station. He died suddenly after inhaling gasoline vapors from an accidental leak. Extensive blistering and peeling of skin were observed on the skin of the face, neck, anterior chest, upper and lower extremities, and back. The internal examination showed a strong odor of gasoline, specially detected in the respiratory tract. The toxicological screening and quantitation of gasoline was performed by means of gas chromatography with flame ionization detector and confirmation was performed using gas chromatography-mass spectrometry. Disposition of gasoline in different tissues was as follows: heart blood, 35.7 mg/L; urine, not detected; vitreous humor, 1.9 mg/L; liver, 194.7 mg/kg; lung, 147.6 mg/kg; and gastric content, 116,6 mg/L (2.7 mg total). Based upon the toxicological data along with the autopsy findings, the cause of death was determined to be gasoline poisoning and the manner of death was accidental. We would like to alert on the importance of testing for gasoline, and in general for volatile hydrocarbons, in work-related sudden deaths involving inhalation of hydrocarbon vapors and/or exhaust fumes. Copyright © 2011 Elsevier Ireland Ltd. All rights

  8. Performance test of a portable TLD system for accidental doses

    International Nuclear Information System (INIS)

    Mihelic, M.; Stuhec, M.; Mitic, D.; Vekic, B.; Miljanic, S.; Ban, R.

    2005-01-01

    Full text: A portable TLD measuring system was constructed at the J. Stefan Institute many years ago, motivated by the thread of a catastrophic nuclear event. It was designed for fast measurements in accidental dosimetry mainly for military and civil protection use. The system consists of a robust portable measuring unit built for measurements in field conditions, sized about 40 cm in diameter and weighting 5 kg. Dosimeters are based on CaF 2 :Mn ceramic tablets closed in water resistant plastic housings. In original design producer assured measuring range from cGy to kGy. Specially designed energy compensating filters are used to satisfy requirements for energy response from 0,1 to 3 MeV. Stability of readings is maintained with the temperature stabilized light source. Measuring time for manually driven heating-reading cycle of one dosimeter is about 30 sec. Many systems of the type with sets of dosimeters were stored unused for some years in depositories of different institutions. Modernization of equipment in last years raised questions of applicability of such measurement systems for contemporary needs. The system was thus tested in a secondary standards dosimetry laboratory for compliance with up to date requirements for accidental individual monitoring. Dosimeter characteristics as repeatability, linearity and directional response were of particular interest. As a result of the tests, technical improvements are suggested to extent systems measuring capabilities in order to meet new standards. Possibilities of its use in different fields of dosimetry are discussed, where quick in field measurements of high doses is required as for example in medicine or in civil protection motivated by the new threads of terrorist attacks. (author)

  9. Comportamiento a fatiga de uniones a tope en chapas recubiertas soldadas por proceso láser

    Directory of Open Access Journals (Sweden)

    Amo, J. M.

    1998-05-01

    Full Text Available The fatigue strength and the fracture mechanism studies of butt laser welded joints in A155-Zn coated steel sheets, 0.62 and 1.16 mm thick, have been continued. The 2 x 106 cycles fatigue strength for both thicknesses has been finally established in 130 and 175 MPa, respectively, and the big ferritic grain - 300 μm - produced by symmetrical solidification from the fusion zone centre has been confirmed. Initiation and extension fracture zones are analysed by SEM and so are the involved microstructures. The first ones are concerned with high stress concentration zones, mainly undercuts or lack of penetration, from which the fatigue cracks extend in semiellipses, longitudinally and through thickness, along the fusion line or the HAZ. The final fracture is produced by tearing of the residual fatigue crack bound and crack deviation towards the central gross grain line of the welds.

    Se continúan los estudios de la resistencia a la fatiga y los mecanismos de rotura en uniones soldadas a tope por proceso láser, de chapas de acero con recubrimiento A155-Zn, en espesores de 0,62 y 1,16 mm. Las resistencias a fatiga a 2 x 106 ciclos para ambos espesores, se establecen finalmente en 130 y 175 MPa, respectivamente, y se confirma el gran tamaño de grano ferrítico - 300 μm - producido por solidificación simétrica desde el centro de la soldadura. Se analizan las zonas de iniciación y propagación de las roturas y las microestructuras implicadas con MEB. Las primeras se corresponden con zonas de concentración de tensión elevada, fundamentalmente mordeduras o faltas de penetración, a partir de las cuales las grietas de fatiga progresan en semielipses, longitudinalmente y en sentido del espesor, por línea de fusión o ZAT. La rotura final se produce por desgarramiento del ligamento residual de la grieta de fatiga y desvío hacia la línea central de grano grueso de las soldaduras.

  10. Management options in the food chain for accidental radionuclide deposition

    International Nuclear Information System (INIS)

    Rantavaara, A.

    2005-12-01

    Finland with four other countries participated in the European Union's network project FARMING in 2000 - 2004. The aim of the project was to invite participants from each country representing the food supply chain in a stakeholder group and advance with the groups the networking in building preparedness for accidental contamination of the food production systems. The task of the groups was to evaluate the practicability of management options suggested for reduction of radiation exposure through foodstuffs, and for disposal of waste generated in implementation of these options. The criteria for practicability were effectiveness in reduction of radiation exposure through foodstuffs, technical feasibility, capacity, costs for implementation, secondary costs for waste disposal, socio-economic impact, and acceptability concerning ecology and protection of environment and landscape. Practicable management options aimed at sustainable restoration of food production systems after accidental contamination. The Finnish stakeholder group represented farm production, processing industry, food marketing, catering, advisor organisations for households and agriculture, consumers, nature conservation, the media, experts on environmental impact and authorities responsible for production, safety and security of foodstuffs, food supply and feedstuffs. The group was expected to examine the effect of the Finnish, and, also more generally, northern production conditions on the practicability of the suggested management options. The stakeholder group members first familiarized themselves with intervention after accidental contamination of a large milk production area and thereafter with practicability of individual management options. The evaluation was based on the group members' complementary expertise that very well covered the chain 'from field to fork' whether the issue was related to legislation, production methods, logistics, environmental impacts, or the issues of consumers and

  11. Los accidentes laborales en el area IV: Años 1990-1993

    Directory of Open Access Journals (Sweden)

    Juan Pablo Hernández Fruto

    1997-12-01

    Full Text Available Se realizó un estudio descriptivo de la accidentalidad laboral en la Fábrica de Cemento del municipio Cienfuegos, situada en el territorio del área de salud IV del propio municipio, con el objetivo de analizar la frecuencia de los accidentes en el cuatrienio 90-93, así como identificar las causas que contribuyeron a su incidencia en esta etapa. El grupo de estudio lo forman 80 accidentes ocurridos en el período donde resultaron lesionados 79 trabajadores y 2 que fallecieron. Las variables estudiadas fueron el sexo, la edad, la antigüedad laboral y el área de trabajo. Resultó como muy riesgosa la edad entre los 30 y los 50 años, con una antigüedad laboral de más de 11 y menos de 15 años, el horario de la madrugada fue el intervalo de tiempo más peligroso para los obreros de las áreas de los molinos, hornos y talleres. Es por estos resultados que se considera necesario el incremento de la prevención en estos puestos de trabajo.A descriptive study of the occupational accidents occurred at the Factory of Cement located in the territory of the health area IV in the municipality of Cienfuegos, was conducted aimed at analyzing the frequency of accidents during the 4-years period 1990-93, and at identifying the causes contributing to the their incidence at this stage. The case-based study is composed of 80 accidents that took place during this period, in which 79 workers were injured and 2 died. The variable studied were sex, age, working seniority, and working area. Age between 30 and 50 proved to be very risks with a working seniority of more than 11 and less than 15 years. The night shift was the most dangerous for people working in mills, furncaces and workshops. According to these results, it is considered as neccesary the increase of prevention in these jobs.

  12. On the accuracy, uniqueness and implication of dimensionless accidental relations between fundamental constants

    International Nuclear Information System (INIS)

    Bahran, M.; Univ. of Oklahoma, Norman-OK,

    2002-01-01

    Ibrahim et al(1) found an accidental formula relating the gravitational coupling constant, the electromagnetic fine structure constant and the proton to electron mass ratio. This work comments on such relation, in particular it studies the accuracy, uniqueness and unification implication of such accidental relation.(author)

  13. Involving Parents in Indicated Early Intervention for Childhood PTSD Following Accidental Injury

    Science.gov (United States)

    Cobham, Vanessa E.; March, Sonja; De Young, Alexandra; Leeson, Fiona; Nixon, Reginald; McDermott, Brett; Kenardy, Justin

    2012-01-01

    Accidental injuries represent the most common type of traumatic event to which a youth is likely to be exposed. While the majority of youth who experience an accidental injury will recover spontaneously, a significant proportion will go on to develop Post-Traumatic Stress Disorder (PTSD). And yet, there is little published treatment outcome…

  14. Accidental Durotomy in Minimally Invasive Transforaminal Lumbar Interbody Fusion: Frequency, Risk Factors, and Management

    Directory of Open Access Journals (Sweden)

    Jan-Helge Klingler

    2015-01-01

    Full Text Available Purpose. To assess the frequency, risk factors, and management of accidental durotomy in minimally invasive transforaminal lumbar interbody fusion (MIS TLIF. Methods. This single-center study retrospectively investigates 372 patients who underwent MIS TLIF and were mobilized within 24 hours after surgery. The frequency of accidental durotomies, intraoperative closure technique, body mass index, and history of previous surgery was recorded. Results. We identified 32 accidental durotomies in 514 MIS TLIF levels (6.2%. Analysis showed a statistically significant relation of accidental durotomies to overweight patients (body mass index ≥25 kg/m2; P=0.0493. Patient age older than 65 years tended to be a positive predictor for accidental durotomies (P=0.0657. Mobilizing patients on the first postoperative day, we observed no durotomy-associated complications. Conclusions. The frequency of accidental durotomies in MIS TLIF is low, with overweight being a risk factor for accidental durotomies. The minimally invasive approach seems to minimize durotomy-associated complications (CSF leakage, pseudomeningocele because of the limited dead space in the soft tissue. Patients with accidental durotomy can usually be mobilized within 24 hours after MIS TLIF without increased risk. The minimally invasive TLIF technique might thus be beneficial in the prevention of postoperative immobilization-associated complications such as venous thromboembolism. This trial is registered with DRKS00006135.

  15. An accidental death due to electric grinder: Dupatta as a strangulation hazard

    Directory of Open Access Journals (Sweden)

    Deepak Herald D′Souza

    2013-01-01

    Full Text Available Accidents could occur at home in any age group. Accidental ligature strangulation in adults could be prevented. We are reporting a case of a woman who died in her kitchen due to accidental strangulation by her dupatta while working with the electric grinder. This case highlights the need to educate the people about the safety and potential hazards of these machines.

  16. An accidental death due to electric grinder: Dupatta as a strangulation hazard

    OpenAIRE

    Deepak Herald D′Souza; Vina R Vaswani; Kishor Kumar Badiadka; Venkat Krishna Shenoy; Boban Babu

    2013-01-01

    Accidents could occur at home in any age group. Accidental ligature strangulation in adults could be prevented. We are reporting a case of a woman who died in her kitchen due to accidental strangulation by her dupatta while working with the electric grinder. This case highlights the need to educate the people about the safety and potential hazards of these machines.

  17. Accidental childhood poisoning in Calabar at the turn of the 20 th ...

    African Journals Online (AJOL)

    Background: Accidental poisoning is a preventable cause of childhood morbidity and mortality. Therefore, knowledge of the common causative agents is necessary in order to create awareness among caregivers towards its prevention. Objectives: To document the pattern of accidental childhood poisoning in Calabar from ...

  18. 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

  19. Acidentes de trabalho com trabalhadores de enfermagem Accidentes de trabajo con trabajadores de enfermería Work accidents involving nursing workers

    Directory of Open Access Journals (Sweden)

    Emílio José Gonçalves Ribeiro

    2007-10-01

    Full Text Available O objetivo deste estudo foi o de identificar e analisar acidentes e as cargas de trabalho a que estão expostos os trabalhadores de enfermagem no desenvolvimento de suas atividades. Trata-se de um estudo de caso, do tipo descritivo e exploratório, desenvolvido em um hospital de ensino do Distrito Federal. Foi realizado levantamento dos acidentes de trabalho registrados no SESMT e CCIH no período de janeiro de 1998 a dezembro de 2002 e identificadas essas cargas de trabalho. Constatou-se que os trabalhadores sofreram 76 acidentes de trabalho, dentre quais, 83,95% foram causados por materiais perfurocortantes, 8,64% por quedas, 6,17% por exposições a fluidos biológicos e 1,24% por contusões. A diversidade e simultaneidade de cargas de trabalho contribuíram para a ocorrência desses acidentes.El objetivo de este estudio fue identificar y analizar los accidentes de trabajo, bien com las cargas de trabajo e las que están expuestos los trabajadores de enfermería cuando desarrollan su processo de trabajo com enfermeros. Se trata de um estúdio de caso, de tipo descriptivo y explorativo realizado en un hospital de educación del Distrito Federal. El trabajo fue realizado estudiando los accidentes de trabajo registrados em SESMT y CCIH em el período de jenero de 1998 a diciembre de 2002 e identificando las cargas de trabajo. Se contaron 76 accidentes laborales entre los trabajadores. Las causas fueron: materiales perforadores-cortantes 83,95%, caídas 8,64%, exposiciones a fluidos biológicos, 6,17% e contusiones 1,24%. La diversidad y simultaneidad de las cargas contribuyen a la ocurrencia de accidentes de trabajo.The objective of this study was to identify and analyze work accidents as well the activities in which the nursing workers are exposed to. This is a study case, descriptive and exploratory, developed in a University Hospital in the Brazilian Federal District. It was done a survey on work accidents registered in SESMT and CCIH, from

  20. Ergonomía del conductor de automóvil para la prevención de lesiones en accidentes de tráfico

    OpenAIRE

    Jordá Rodrigo, Pablo; Meroño Gallut, Antonio Javier

    2006-01-01

    Introducción: los accidentes de tráfico se han convertido en los pases desarrollados en una de las primeras causas de muerte y discapacidad. Se trata de un problema con repercusiones sociales, sanitarias, económicas y judiciales que puede y debe ser objeto de estudio por parte de todos los colectivos implicados de forma directa o indirecta en el problema. El presente trabajo tiene como objetivo principal el análisis de la posición correcta del conductor para disminuir la gravedad ...

  1. Night work, long work weeks, and risk of accidental injuries. A register-based study

    DEFF Research Database (Denmark)

    Larsen, Ann D; Hannerz, Harald; Møller, Simone V

    2017-01-01

    of the European Labour Force Survey from 1999-2013. The current study was based on 150 438 participants (53% men and 47% women). Data on accidental injuries were obtained at individual level from national health registers. We included all 20-59-year-old employees working ≥32 hours a week at the time...... of the interview. We used Poisson regression to estimate the relative rates (RR) of accidental injuries as a function of night work or long work weeks (>40 hours per week) adjusted for year of interview, sex, age, socioeconomic status (SES), industry, and weekly working hours or night work. Age, sex and SES were....... No associations were found between long work weeks (>40 hours) and accidental injuries. Conclusion: We found a modest increased risk of accidental injuries when reporting night work. No associations between long work weeks and risk of accidental injuries were observed. Age, sex and SES showed no trends when...

  2. Evaluación de la recuperación de suelos contaminados por el vertido de aznalcóllar

    OpenAIRE

    Sarria Carabalí, Margarita María; Cortés Páez, Luis Enrique; Martin Peinado, Francisco José

    2014-01-01

    Los suelos afectados por el accidente de la mina de Aznalcóllar, Sevilla (España) en 1998 fueron remediados para disminuir la contaminación generada principalmente por As, Cu, Pb y Zn. Para evaluar la recuperación de los suelos, especialmente los que se sometieron a medidas de remediación, se hizo un muestreo en tres perfiles: suelo contaminado (SC), suelo remediado (SR) y suelo no contaminado (SNC) en el sector ‘Puente de las Doblas’, 10 años después de ocurrido el accidente. Se determinaro...

  3. Fatores contribuintes aos acidentes aeronáuticos Factores contribuyentes de accidentes aeronáuticos Contributive factors to aviation accidents

    Directory of Open Access Journals (Sweden)

    Marcia Fajer

    2011-04-01

    Full Text Available O objetivo do estudo foi comparar os resultados de investigações de acidentes aeronáuticos brasileiros do Centro de Investigação e Prevenção de Acidentes Aeronáuticos (Cenipa com os do sistema de análise e classificação de fatores humanos (Human Factors Analysis and Classification System - HFACS. Foram analisados e comparados os relatórios finais de 36 investigações de acidentes aeronáuticos ocorridos entre 2000 e 2005, no estado de São Paulo. Foram mencionados 163 fatores contribuintes dos acidentes aeronáuticos nos relatórios do Cenipa, enquanto 370 foram identificados por meio do HFACS. Conclui-se que as análises do Cenipa não contemplaram fatores organizacionais associados aos acidentes aéreos.El objetivo del estudio fue comparar los resultados de investigaciones de accidentes aeronáuticos brasileños del Centro de Investigación y Prevención de Accidentes Aeronáuticos (CENIPA con los del sistema de análisis y clasificación de factores humanos (Human Factors Analysis and Classification System - HFACS. Se analizaron y compararon los informes finales de 36 investigaciones de accidentes aeronáuticos ocurridos entre 2000 y 2005, en el estado de Sao Paulo, Sureste de Brasil. Se mencionaron 163 factores contribuyentes de accidentes aeronáuticos en los informes del CENIPA, mientras que 370 fueron identificados por medio del HFACS. Se concluye que los análisis del CENIPA no contemplaron factores organizacionales asociados con los accidentes aéreos.The objective of the study was to compare the results of aviation accident analyses performed by the Center for Investigation and Prevention of Aviation Accidents (CENIPA with the method Human Factors Analysis and Classification System (HFACS. The final reports of thirty-six general aviation accidents occurring between 2000 and 2005 in the State of São Paulo, Southeastern Brazil were analyzed and compared. CENIPA reports mentioned 163 contributive factors, while HFACS

  4. 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.

  5. Miotoxicidade por organofosforados Organophosphate myotoxicity

    Directory of Open Access Journals (Sweden)

    Maria J. Cavaliere

    1996-06-01

    Full Text Available Os organofosforados são um grupo de compostos químicos amplamente utilizados em agropecuária como inseticidas, ocasionando intoxicações acidentais em animais e humanos, e mesmo sendo utilizados em tentativas de suicídio. A toxicidade desses produtos decorre sobretudo de insuficiência cárdio-respiratória por compromentimento do sistema nervoso autônomo. Sabe-se que alguns destes compostos induzem em animais de experimentação e em humanos, uma miopatia caracterizada por degeneração de células musculares, comprometendo sobretudo a musculatura respiratória. Baseado no fato de que este comprometimento contribui para a piora da função respiratória, propõe-se um protocolo de avaliação rotineira de miotoxicidade por compostos organofosforados, através de uma bateria mínima e suficiente de colorações e reações histoquímicas para quantificação da necrose muscular. Utilizaram-se como modelo experimental, grupos de ratos albinos (Wistar intoxicados com o organofosforado paraoxon, com e sem antídotos (atropina ou pralidoxima. Verificou-se nos grupos tratados com paraoxon e paraoxon mais atropina, necrose de fibras musculares no diafragma, que atingia em determinadas áreas até 15% das fibras. No grupo tratado com paraoxon mais pralidoxima, a necrose foi mínima, evidenciando o papel mioprotetor deste último antídoto.Organophosphates comprise a group of chemical compounds extensively used in farming as insecticides, which cause accidental poisoning in animals and men and are also used in suicide attempts. The toxicity of these compounds is due especially to the cardiac and respiratory impairment in consequence of autonomic nervous system disorders. However, it is known that some of these products induce a myopathy in experimental animals and humans. This myopathy is characterized by muscle cell degeneration, involving above all the respiratory muscles. Based on the fact that this involvement certainly enhances the

  6. Fascitis necrosante por Apophysomyces elegans, moho de la familia Mucoraceae, en paciente inmunocompetente.

    Directory of Open Access Journals (Sweden)

    Carmen Elena Ruiz

    2004-09-01

    Full Text Available Se presenta la historia de un niño de 7 años de edad, politraumatizado por accidente automovilístico, que falleció a consecuencia de infección por Apophysomyces elegans, un hongo de la familia Mucoracea. La invasión fue progresiva, inicialmente se observó una lesión puntiforme en la región lumbar izquierda que progresó a fascitis necrosante y, posteriormente, afectó la zona lumbar, los glúteos y el flanco derecho. El tratamiento antimicótico resultó inefectivo y el paciente falleció 8 semanas después de su accidente. Se presenta, además, una revisión de los casos atribuidos a este hongo.

  7. 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

  8. Celulitis por citomegalovirus

    Directory of Open Access Journals (Sweden)

    A. Ruiz Lascano

    2002-12-01

    Full Text Available Las lesiones cutáneas por citomegalovirus (CMV son infrecuentes y a menudo una manifestación tardía de una enfermedad sistémica, que generalmente anuncia un curso fatal. Comunicamos un caso de celulitis por CMV: una mujer de 70 años con trasplante renal efectuado 1 mes antes de la consulta, terapia inmunosupresora con ciclosporina A y metilprednisona. La paciente ingresó por fiebre, dolor e impotencia funcional en pierna derecha. Comprobamos la existencia de una placa de 8 por 4 cm eritematoedematosa. La tratamos con antibióticos sin mejoría, por lo que realizamos un estudio histopatológico de piel que mostró cambios citopáticos compatibles con infección por CMV. Los cultivos bacteriológicos y micológicos fueron negativos. La inmunohistoquímica específica para CMV y el estudio de reacción en cadena de la polimerasa (PCR de la biopsia de piel fueron positivas, al igual que la antigenemia. El tratamiento con ganciclovir produjo la mejoría del cuadro clínico. En la literatura revisada no hemos encontrado la celulitis como manifestación de enfermedad cutánea por CMV.

  9. REPRESENTAÇÕES SOCIAIS SOBRE AS CAUSAS DOS ACIDENTES COM MATERIAIS PERFUROCORTANTES POR TÉCNICOS DE ENFERMAGEM

    Directory of Open Access Journals (Sweden)

    Juliana Almeida Marques Lubenow

    2012-01-01

    Full Text Available Los accidentes con material corto-punzante son serios debido a las enfermedades que puedan ser causadas. El estudio es descriptivo, con abordaje cualitativa e fue desarrollado en hospital privado en Piauí, entre marzo y junio de 2011. El objetivo es analizar las causas atribuidas por técnicos de enfermería al su proprio accidente, utilizando la Teoría de las Representaciones Sociales. Fueran hechas entrevistas en profundidad con 16 profesionales que sufrirán ese tipo de accidente. Los dados fueran procesados a través del programa ALCESTE 4.8 que evidenció falta de cuidado como la principal causa identificada por elles. También fueran apuntadas negligencia del colega de trabajo e agitación del paciente. La representación social predominante es que el accidente solamente ocurre pelo comportamiento irresponsable del profesional. Por lo tanto, cada exposición percutánea debe ser analizada individualmente en la búsqueda de causas reales que non culpen solamente el trabajador.

  10. Detecting spatiotemporal clusters of accidental poisoning mortality among Texas counties, U.S., 1980 – 2001

    Directory of Open Access Journals (Sweden)

    Harris Ann

    2004-10-01

    Full Text Available Abstract Background Accidental poisoning is one of the leading causes of injury in the United States, second only to motor vehicle accidents. According to the Centers for Disease Control and Prevention, the rates of accidental poisoning mortality have been increasing in the past fourteen years nationally. In Texas, mortality rates from accidental poisoning have mirrored national trends, increasing linearly from 1981 to 2001. The purpose of this study was to determine if there are spatiotemporal clusters of accidental poisoning mortality among Texas counties, and if so, whether there are variations in clustering and risk according to gender and race/ethnicity. The Spatial Scan Statistic in combination with GIS software was used to identify potential clusters between 1980 and 2001 among Texas counties, and Poisson regression was used to evaluate risk differences. Results Several significant (p Conclusion The findings of the present study provide evidence for the existence of accidental poisoning mortality clusters in Texas, demonstrate the persistence of these clusters into the present decade, and show the spatiotemporal variations in risk and clustering of accidental poisoning deaths by gender and race/ethnicity. By quantifying disparities in accidental poisoning mortality by place, time and person, this study demonstrates the utility of the spatial scan statistic combined with GIS and regression methods in identifying priority areas for public health planning and resource allocation.

  11. Dental pain as a risk factor for accidental acetaminophen overdose: a case-control study.

    Science.gov (United States)

    Vogel, Jody; Heard, Kennon J; Carlson, Catherine; Lange, Chad; Mitchell, Garrett

    2011-11-01

    Patients frequent take acetaminophen to treat dental pain. One previous study found a high rate of overuse of nonprescription analgesics in an emergency dental clinic. The purpose of this study is to determine if patients with dental pain are more likely to be treated for accidental acetaminophen poisoning than patients with other types of pain. We conducted a case-control study at 2 urban hospitals. Cases were identified by chart review of patients who required treatment for accidental acetaminophen poisoning. Controls were self-reported acetaminophen users taking therapeutic doses identified during a survey of emergency department patients. For our primary analysis, the reason for taking acetaminophen was categorized as dental pain or not dental pain. Our primary outcome was the odds ratio of accidental overdose to therapeutic users after adjustment for age, sex, alcoholism, and use of combination products using logistic regression. We identified 73 cases of accidental acetaminophen poisoning and 201 therapeutic users. Fourteen accidental overdose patients and 4 therapeutic users reported using acetaminophen for dental pain. The adjusted odds ratio for accidental overdose due to dental pain compared with other reasons for use was 12.8 (95% confidence interval, 4.2-47.6). We found that patients with dental pain are at increased risk to accidentally overdose on acetaminophen compared with patients taking acetaminophen for other reasons. Emergency physicians should carefully question patients with dental pain about overuse of analgesics. Copyright © 2011 Elsevier Inc. All rights reserved.

  12. Nodular goiter after occupational accidental exposure to radiation

    International Nuclear Information System (INIS)

    Pisarev, Mario A.; Schnitman, M.A.; Buenos Aires Univ.; Hospital Frances, Buenos Aires

    2008-01-01

    Full text: Purpose: During a control of the safety measures at the Radiology Service in a local hospital in Buenos Aires, a lack of an appropriate shielding in the X-ray equipment was detected. Methods and Materials: Therefore studies were performed in the group of physicians and technicians exposed and in an age and sex matched group of non-exposed physicians and technicians. Check-ups included thyroid sonography, circulating thyroid hormones, TSH and thyroid antibodies. The exposed group included 9 females and 5 males, while the non-exposed group comprised 8 females and 5 males. Results: No thyroid abnormalities were found in the non-exposed patients. On the contrary in the exposed cohort in 11 out of 14 patients nodular goiter was diagnosed, while an additional patient presented diffuse goiter. In 5 out of the 12 patients with goiter, nodule growth or the appearance of new nodules was observed along the follow-up. Four patients presented changes in thyroid function: two had elevated basal TSH with increased titters of anti TPO antibodies in one, while another showed an abnormal TRH-TSH test. A fourth patient had low total T 4 values. Other abnormalities included: sperm abnormalities in 2 out of the 5 males, dry-eye syndrome in other two, mammary nodules in one female and a basocellular epithelioma in another one. Conclusions: accidental irradiation leads to thyroid abnormalities, such as the appearance of nodules and alterations in thyroid function. (author)

  13. Accidental over-exposure from dental X-ray equipment

    Energy Technology Data Exchange (ETDEWEB)

    Phillips, B G [National Radiological Protection Board, Harwell (UK)

    1976-07-01

    A description is given of an unusual dental X-ray procedure which resulted in accidental over-exposure both to the dentist and to several of his patients when a short-circuit was present in newly-installed equipment. The short-circuit by-passed the exposure control and energized the tube for certain orientations of the X-ray tube. The dentist left the patients, who wore protective aprons, to initiate the exposure themselves, using the control button. Although the warning lights were on, the dentist was not present in the room during the exposure, and the over-exposures were only detected when the developed X-ray films were found to be completely blackened. A reconstruction of the procedure enabled estimates to be made of the dose equivalents to the dentist's body and to the skin of the head, the eyes and the gonads of the patients. The dentist had overlooked several of basic principles recommended in the Code of Practice for the Protection of Persons against Ionizing Radiations from Medical and Dental Use (1972). It is pointed out that incidents involving failure of dental equipment (usually the timer mechanism) are not infrequent.

  14. Effectiveness of cleanup criteria relative to an accidental nuclear release

    International Nuclear Information System (INIS)

    Chen, S.Y.; Yuan, Y.C.

    1988-01-01

    In the event of an accidental nuclear release, the associated long-term radiological risks would result primarily from ground contamination pathways. Cleanup of the contaminated ground surfaces is a necessary step toward reducing the radiological risk to the general population. Ideally, the radiological risk decreases as the level of cleanup effort increases; however, as the cleanup criterion (i.e., the required contaminant concentration after cleanup) becomes more stringent, the cleanup effort may become prohibitively costly. This study examines several factors that are important in determining the effectiveness of the cleanup criteria for selected radionuclides: (a) annual individual dose commitment (mrem/yr), (b) total population environmental dose commitment (person-rem), and (c) total area (km 2 ) requiring cleanup following an accident. To effectively protect the general population, the benefits of cleanup should be weighed against the potentially large increase in cleanup area (and the associated costs) as the cleanup criterion becomes more stringent. The effectiveness of cleanup will vary, depending largely on site-specific parameters such as population density and agricultural productivity as well as on the amount and type of radionuclide released. Determination of an optimum cleanup criterion should account for all factors, including a comprehensive cost/benefit analysis

  15. Forecasting accidental marine pollution drift: the French operational plan

    International Nuclear Information System (INIS)

    Daniel, P.; Poitevin, J.; Tiercelin, C.; Marchand, M.

    1998-01-01

    In case of accidental marine pollution, Cedre and Meteo-France, within the framework of their own public service missions, provide assistance to the French authorities in charge of pollution response. Meteo-France has developed a numerical marine oil pollution transport model, named MOTHY, designed to simulate the transport of oil in three dimensions. A hydrodynamic ocean model is linked to an oil spill model including current shear, vertical movements and fate of the oil. The use of a global atmospheric model for atmospheric forcing enables world-wide application of the model. This oil spill response system has been operational since February 1994. In case of marine pollution, Meteo-France send meteorological forecasts and oil spill drift forecasts to Cedre. In return, by its experimentations and interventions on actual pollution, Cedre is contributing to the improvement and validation of the model. New developments, exercises and training are conducted jointly. This paper summarizes the key features of MOTHY and presents some examples of model applications. (author)

  16. Accidental ovarian autograft after a laparoscopic surgery: case report.

    Science.gov (United States)

    Marconi, G; Quintana, R; Rueda-Leverone, N G; Vighi, S

    1997-08-01

    To report an autograft of ovarian tissue in the incision of the surgical trocar during laparoscopic surgery and to assess the potentiality of grafting of ovarian parenchyma in nonpelvic tissue in humans. A case report. Instituto de Fertilidad y Ginecología de Buenos Aires (IFER), Buenos Aires, Argentina. Infertile patient undergoing surgery due to an endometriotic cyst of the left ovary. Laparoscopic cystectomy. Accidental retention of a portion of the capsule and adjacent ovarian tissue of the endometrioma in SC cellular tissue. Months after surgery, a SC tumor was formed under the surgical incision. It was subsequently excised. Observation of tumor growth during menstrual cycles and ovulation induction; anatomopathologic study of the tissue after its extirpation. The tumor grew spontaneously in the periovulatory period and during treatments of ovulation induction. The anatomopathologic report of the tumor, removed 15 months after the first surgery, revealed functioning ovarian tissue with vessels of neoformation. This is the first description of autografted ovarian tissue in humans. We describe that the ovary can maintain its ovulatory function even in the absence of its pedicel. Also, we suggest that extirpation of surgical material through the incision of the trocar is not recommended, as the possibility of "sowing" or of autografts may occur.

  17. 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)

  18. Taking in account of contextual parameters in post accidental radioecology

    International Nuclear Information System (INIS)

    Renaud, Ph.; Maubert, H.; Bernie, J.C.

    1997-01-01

    The consequences on agricultural or breeding products of a radioactive accidental release are strongly linked to the context in which radioactive deposits occur: for example conditions of deposition in relation with agricultural and feeding schedules. These contextual parameters lead to a variation of results given by models greater than transfer factors uncertainties. For example, cow milk contamination stretches on several decades during the months following deposit as a function of feeding practices. In the same way, if a wheat plant receives the deposit during grain development, harvested grains will have a contamination level 10 3 to 10 4 times higher that if deposition occurs before the growing stage. To create a decision support system like the ASTRAL software, the need to realize a modelling of these contextual parameters has been encountered. Moreover, to help experts for evaluations, default informations relative to agricultural and breeding practices for France are given through databases. However, in case of a real accident, it would be important to re-initialize these contextual parameters which change from year to year, in order to obtain more precise assessments. (authors)

  19. Wind field forecast for accidental release of radiative materials

    International Nuclear Information System (INIS)

    Kang Ling; Chen Jiayi; Cai Xuhui

    2003-01-01

    A meso-scale wind field forecast model was designed for emergency environmental assessment in case of accidental release of radiative materials from a nuclear power station. Actual practice of the model showed that it runs fast, has wind field prediction function, and the result given is accurate. With meteorological data collected from weather stations, and pre-treated by a wind field diagnostic model, the initial wind fields at different times were inputted as initial values and assimilation fields for the forecasting model. The model, in turn, worked out to forecast meso-scale wind field of 24 hours in a horizontal domain of 205 km x 205 km. And then, the diagnostic model was employed again with the forecasting data to obtain more detail information of disturbed wind field by local terrain in a smaller domain of 20.5 km x 20.5 km, of which the nuclear power station is at the center. Using observation data in January, April, July and October of 1996 over the area of Hangzhou Bay, wind fields in these 4 months were simulated by different assimilation time and number of the weather stations for a sensitive test. Results indicated that the method used here has increased accuracy of the forecasted wind fields. And incorporating diagnostic method with the wind field forecast model has greatly increased efficiency of the wind field forecast for the smaller domain. This model and scheme have been used in Environmental Consequence Assessment System of Nuclear Accident in Qinshan Area

  20. [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. Copyright © 2012. Published by Elsevier SAS.

  1. Assessment of accidental refinery wastewater discharge: a case study

    Energy Technology Data Exchange (ETDEWEB)

    Bandyopadhyay, Amitava [University of Calcutta, Department of Chemical Engineering, Kolkata (India)

    2011-04-15

    The physicochemical qualities of an accidental discharge of refinery liquid waste, water, and soil sediment of that effluent-receiving water body (canal) were investigated. Analyses of the discharge, qualities of water, and sediment of the canal showed high parametric concentrations. Investigations revealed that the discharge took place form the spent caustic that was generated from the caustic wash tower of Fluidized Catalytic Cracker of the refinery. A simple but realistic model was suggested for the remediation of sediments of the canal with an estimated cost of about US $1.86 million. Recommendations were made to prevent such discharges and to revise thoroughly the Indian effluent discharge standards in force for petroleum oil refinery. Subsequently, revised standards were notified under Indian guidelines. Interestingly, cyanide besides many other parameters was introduced into these standards. Furthermore, Volatile Organic Compound (VOC) was also stipulated as an emission parameter from the waste water treatment plants. Concentration- and mass-based standards thus promulgated were stricter than the existing standards. (orig.)

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

    International Nuclear Information System (INIS)

    Matahri, N.

    2006-01-01

    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)

  3. High mortality due to accidental salinomycin intoxication in sheep

    Directory of Open Access Journals (Sweden)

    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 Cutaneous Burns Secondary to Salbutamol Metered Dose Inhaler

    Directory of Open Access Journals (Sweden)

    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.

  5. Prolonged Toxic Encephalopathy following Accidental 4-Aminopyridine Overdose

    Directory of Open Access Journals (Sweden)

    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.

  6. Envenomation by neotropical Opisthoglyphous colubrid Thamnodynastes cf. pallidus Linné, 1758 (Serpentes:Colubridae in Venezuela Envenenamiento por la colubrida opistoglifa Thamnodynastes cf. pallidus Linné, 1758 (Serpentes:Colubridae en Venezuela

    Directory of Open Access Journals (Sweden)

    Fresnel Diaz

    2004-10-01

    Full Text Available This is a case report of a "non-venomous" snake bite in a herpetologist observed at the Sciences Faculty of the Universidad de los Andes (Mérida, Venezuela. The patient was bitten on the middle finger of the left hand, and shows signs of pronounced local manifestations of envenomation such as bleeding from the tooth imprint, swelling and warmth. He was treated with local care, analgesics, and steroids. He was dismissed from the hospital and observed at home during five days with marked improvement of envenomation. The snake was brought to the medical consult and identified as a Thamnodynastes cf. pallidus specimen. This report represents the first T. pallidus accident described in a human.Se reporta un caso de una mordedura de serpiente "no venenosa", en un herpetólogo observado en la Facultad de Ciencias de la Universidad de los Andes (Mérida, Venezuela. El paciente fue mordido en el dedo medio de la mano izquierda, mostrando pronunciados signos locales de sangramiento por la impronta ocasionada por los dientes de la serpiente, edema y calor local. El paciente fue tratado con cuidados locales, analgésicos y esteroides. Fue dado de alta del hospital y observado en el hogar durante 5 días, con marcada mejoría del envenenamiento. La serpiente fue traída a la consulta médica e identificada como un espécimen de Thamnodynastes cf. pallidus. Este es el primer caso humano descrito, ocasionado por un T. pallidus.

  7. Factores psicoeducativos que determinan la propensión al accidente deportivo en escolares: Diseño y validación de un cuestionario de evaluación

    OpenAIRE

    Latorre-Román, Pedro A.; Cámara-Pérez, José C.; Pantoja-Vallejo, Antonio; Izquierdo-Rus, Tomás

    2013-01-01

    El propósito de este estudio ha sido el diseño y validación de una escala de propensión al accidente deportivo en escolares. La muestra ha estado formada por 254 niños (M = 14.20, DT = 1.3). Las propiedades psicométricas de la escala se obtuvieron mediante un proceso de validez de contenido y un análisis factorial de los componentes principales. Como resultados obtuvimos un cuestionario de 27 ítems formado por cinco factores y ajustado a los tópicos de validez y fiabilidad científica. Se enco...

  8. Proposal of procedures to prevent errors in radiotherapy based in learned lessons of accidental expositions

    International Nuclear Information System (INIS)

    Bueno, Giselle Oliveira Vieira

    2007-01-01

    In order to consider some procedures to prevent errors in radiotherapy based in learned lessons of accidental expositions and in accordance with information contained in international reports elaborated by International Atomic Energy Agency (IAEA) and of the data base availability by the European group Radiation Oncology Safety Information System (ROSIS) on the events, a research of the occurred errors was performed. For the evaluation of the incidents a data base based in the ROSIS and added plus a parameter was created 'type of error'. All the stored data make possible the evaluation of the 839 incidents in terms of frequency of the type of error, the process of detention, the number of reached patients and the degree of severity. Of the 50 types of found errors, the type of error more frequently was 'incorrect treatment coordinate', confirmed with the data of literature and representing 28,96 por cent of the total of the incidents. The results showed 44,44 por cent are discovered at the moment of the treatment and that the process of verification of the fiche or clinical revision of the patient is a verification more occurred insurance and in 43,33 por cent of the searched events. The results indicated that more than 50 por cent of the incidents the severity degree are void and approximately 62 por cent a patient are affected during the accomplishment of the radiotherapy. This work showed that to analyze the data base according to methodology proposal for Klein et al.; for Reason, and Dunscombe et al. is interesting to insert more characteristic detailed in the data base such as: the number of fractions for affected patient, number of fields of treatment for fraction that was affected, shunting line of the prescribed dose and shunting line of the volume prescribed in all the registered in cadastral map events. Some causes exist that can lead the errors when patient they are submitted to the radiotherapy. Some measures can be taken so that these errors do not

  9. Intoxicación suicida por paracetamol Suicidal poisoning with paracetamol

    OpenAIRE

    J. Blanco Pampín; N. Morte Tamayo

    2002-01-01

    La intoxicación por paracetamol es un hecho verdaderamente infrecuente, debido sobre todo al elevado rango terapéutico que posee. Los efectos letales de su ingestión a menudo son el resultado de las complicaciones que originan, aunque por efecto directo del fármaco (intoxicación aguda) se producen tanto en suicidios como a causa de sobredosis en búsqueda de analgesia (intoxicación medicamentosa accidental). El presente artículo expone el caso de una mujer joven con antecedentes psiquiátricos,...

  10. Fact Sheet: Clean Air Act Section 112(r): Accidental Release Prevention / Risk Management Plan Rule

    Science.gov (United States)

    EPA is required to publish regulations and guidance for chemical accident prevention at facilities that pose the greatest risk of harm from accidental releases of regulated flammable and toxic substances above threshold quantities.

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

    Energy Technology Data Exchange (ETDEWEB)

    Nie, Baojie [Key Laboratory of Neutronics and Radiation Safety, Institute of Nuclear Energy Safety Technology, Chinese Academy of Sciences, Hefei, Anhui, 230031 (China); University of Science and Technology of China, Hefei, Anhui, 230027 (China); Ni, Muyi, E-mail: muyi.ni@fds.org.cn [Key Laboratory of Neutronics and Radiation Safety, Institute of Nuclear Energy Safety Technology, Chinese Academy of Sciences, Hefei, Anhui, 230031 (China); Wei, Shiping [Key Laboratory of Neutronics and Radiation Safety, Institute of Nuclear Energy Safety Technology, Chinese Academy of Sciences, Hefei, Anhui, 230031 (China); University of Science and Technology of China, Hefei, Anhui, 230027 (China)

    2017-04-05

    Highlights: • Conservative early dose of different unit fusion radioactivity release were assessed. • Data of accident level in INES for fusion reactor were proposed. • Method of environmental restoration time after fusion accident was proposed. • The maximum possible accident level for ITER like fusion reactor is 6. • We need 34–52 years to live after the fusion hypothetical accident. - Abstract: 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 (1 kg HTO and 1000 kg dust release) and 34–52 years for case 2 (1 kg HTO and 10kg–100 kg dust release) to wait the contaminated zone drop below the general public safety limit (1mSv per year) before it is suitable for human habitation.

  12. 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).

  13. Nuclear power: Accidental releases - practical guidance for public health action

    International Nuclear Information System (INIS)

    1987-01-01

    The disaster at Chernobyl, USSR, has caused a major crisis of confidence in nuclear safety, and highlighted the need for comprehensive contingency planning for - and emergency response to - such accidents. This report gives practical guidance on how the authorities should deal with an accident in any type of nuclear installation, whether it involves accidental releases to the air or into water. It is based on principles developed in a previous WHO report published in 1984. It summarizes the range of accidents for which plans need to be made to protect the public, the measures to be taken and the levels of dose at which they should be applied. It indicates how to measure the levels of exposure and what are the most likely routes of exposure. It then outlines the problems faced by public health authorities and medical practitioners, and the administrative arrangements that will have to be made. The example used is of a standard pressurized light water reactor of the type currently used for electricity generation, but many of the features will be common to other nuclear installations as well. This report is addressed to those organizations and individuals responsible for public health in the event of a nuclear accident. It will also be of use to those medical practitioners who are not administratively responsible in an accident, but who may need to be aware of the consequences and of the action to be taken in the aftermath of an accident. Coordination is vital between the public health administration and the organizations with direct responsibilities in the event of an accident, and this report is essential reading for them all. 29 refs, 2 figs, 7 tabs

  14. Mortalidad por envenenamiento en niños

    Directory of Open Access Journals (Sweden)

    Híjar Martha

    1998-01-01

    Full Text Available Objetivo. Conocer el panorama de las muertes por envenenamiento en niños de 0-14 años ocurridas en la República mexicana, entre 1979 y 1994. Material y métodos. Se utilizaron fuentes secundarias. Las variables analizadas fueron: edad, sexo, año, causa externa de traumatismos y envenenamientos, de la IX Clasificación Internacional de Enfermedades: E850-E858, E860-E869 y E905. Mediante un modelo de regresión Poisson se analizaron tendencias por causa específica y se obtuvieron riesgos relativos según edad, sexo y entidad federativa. Resultados. Hubo un total de 11 272 defunciones en menores de 15 años; las principales causas fueron el envenenamiento y las reacciones tóxicas causadas por plantas y animales venenosos (E905, el envenenamiento accidental por gas de uso doméstico y por monóxido de carbono (E868 y el envenenamiento accidental por otras drogas (E858. El grupo de edad que presentó los mayores riesgos, para las causas mencionadas, fue el de menores de un año con un riesgo relativo (RR de 29.6, IC95% 29.2-33.4; RR 3.47, IC95% 2.86-4.22, y RR 31.86, IC95% 24.8-40.9. El riesgo fue similar en ambos sexos, salvo para la causa E905. El estado de Aguascalientes se situó sistemáticamente entre los de mayor riesgo para todas las causas analizadas, mientras que Nuevo León siempre se ubicó entre los de riesgo más bajo. Conclusiones. El envenenamiento constituye una importante causa de muerte en los niños; el riesgo se incrementa al disminuir la edad. Considerando que esas muertes son potencialmente evitables y que la mayor parte de los envenenamientos ocurren en el hogar, para prevenirlos, se recomienda a los familiares vigilar y mantener fuera de peligro al niño. Por otra parte, la multicausalidad del fenómeno requiere que su prevención se realice desde una perspectiva multidisciplinaria que genere una cultura y un ambiente de seguridad en la sociedad.

  15. Night work, long work weeks, and risk of accidental injuries. A register-based study.

    Science.gov (United States)

    Larsen, Ann D; Hannerz, Harald; Møller, Simone V; Dyreborg, Johnny; Bonde, Jens Peter; Hansen, Johnni; Kolstad, Henrik A; Hansen, Åse Marie; Garde, Anne Helene

    2017-11-01

    Objectives The aims of this study were to (i) investigate the association between night work or long work weeks and the risk of accidental injuries and (ii) test if the association is affected by age, sex or socioeconomic status. Methods The study population was drawn from the Danish version of the European Labour Force Survey from 1999-2013. The current study was based on 150 438 participants (53% men and 47% women). Data on accidental injuries were obtained at individual level from national health registers. We included all 20-59-year-old employees working ≥32 hours a week at the time of the interview. We used Poisson regression to estimate the relative rates (RR) of accidental injuries as a function of night work or long work weeks (>40 hours per week) adjusted for year of interview, sex, age, socioeconomic status (SES), industry, and weekly working hours or night work. Age, sex and SES were included as two-way interactions. Results We observed 23 495 cases of accidental injuries based on 273 700 person years at risk. Exposure to night work was statistically significantly associated with accidental injuries (RR 1.11, 99% CI 1.06-1.17) compared to participants with no recent night work. No associations were found between long work weeks (>40 hours) and accidental injuries. Conclusion We found a modest increased risk of accidental injuries when reporting night work. No associations between long work weeks and risk of accidental injuries were observed. Age, sex and SES showed no trends when included as two-way interactions.

  16. Concept of radiological, medical and social protection of the population of Russia affected by accidental exposure

    International Nuclear Information System (INIS)

    Osechinski, I.V.; Ivanov, E.V.; Ramzaev, P.V.; Balonov, M.I.; Tsyb, A.F.

    1997-01-01

    Main principles of population radiation protection from various accidental exposure, including the Chernobyl accident, have been implemented in officially approved Concept ''On radiological, medical, social protection and rehabilitation of the Russian Federation population affected by accidental radiation exposure''. The concept includes basic principles of radiation protection, designation of regional radionuclide contaminated territories, records and registers of exposed persons, health protection and rehabilitation, socio-economic and legal aspects

  17. Risk assessment for stonecutting enterprises Accidental risks in the course of petroleum production and stone extraction

    Science.gov (United States)

    Aleksandrova, A. J.; Timofeeva, S. S.

    2018-01-01

    The paper is devoted to the assessment of accidental risks occurring at the works engaged in stone extracting and petroleum production. Two basic kinds of accidents common for stone extracting and petroleum production have been chosen to be discussed in the part under consideration. The most dangerous accidental situation characteristic for a stone milling line is an unsanctioned explosion, UE, of blasting agents used for the development of stone deposits. The analysis of a risk occurrence in certain accidental situations is to be carried out. With reference to petroleum extraction, a combustibles and lubricants (C & L) explosion is the most dangerous of characteristic accidental situations. To reveal the most probable causes of accidental situations to be realized, a graph of cause and effect relations has been constructed for each of the accidental situations most probable causes to real situation of an accident. Disasters of a natural origin are the most probable causes of unsanctioned explosions at the deposits of stone raw materials. Technology related natural disasters are the most probable causes of unsanctioned explosions to be realized at multiple well platforms engaged in petroleum production.

  18. Individual housing-based socioeconomic status predicts risk of accidental falls among adults.

    Science.gov (United States)

    Ryu, Euijung; Juhn, Young J; Wheeler, Philip H; Hathcock, Matthew A; Wi, Chung-Il; Olson, Janet E; Cerhan, James R; Takahashi, Paul Y

    2017-07-01

    Accidental falls are a major public health concern among people of all ages. Little is known about whether an individual-level housing-based socioeconomic status measure is associated with the risk of accidental falls. Among 12,286 Mayo Clinic Biobank participants residing in Olmsted County, Minnesota, subjects who experienced accidental falls between the biobank enrollment and September 2014 were identified using ICD-9 codes evaluated at emergency departments. HOUSES (HOUsing-based Index of SocioEconomic Status), a socioeconomic status measure based on individual housing features, was also calculated. Cox regression models were utilized to assess the association of the HOUSES (in quartiles) with accidental fall risk. Seven hundred eleven (5.8%) participants had at least one emergency room visit due to an accidental fall during the study period. Subjects with higher HOUSES were less likely to experience falls in a dose-response manner (hazard ratio: 0.58; 95% confidence interval: 0.44-0.76 for comparing the highest to the lowest quartile). In addition, the HOUSES was positively associated with better health behaviors, social support, and functional status. The HOUSES is inversely associated with accidental fall risk requiring emergency care in a dose-response manner. The HOUSES may capture falls-related risk factors through housing features and socioeconomic status-related psychosocial factors. Copyright © 2017 Elsevier Inc. All rights reserved.

  19. Electrocardiografo por computadora

    OpenAIRE

    Tinoco Hernandez, Rosanna; Paredes Bejarano, Margarita; Romero Chaglia, Norman; Yapur Auad, Miguel Eduardo

    2009-01-01

    El presente trabajo trata sobrees el diseño y la implementación de un graficador de señales cardiacas por computadora, para lo cual diseñamos un circuito electrónico capaz de recibir la senal analógica proveniente de la actividad electrica del corazón , amplificarla, y luego convertirla en una señal digital para ser procesada por software y finalmente ser graficada, siendo posible así observar la señal cardiaca en el monitor de un computador como un tren de pulsos. Cabe destacar que par...

  20. 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

  1. Indice por Materias

    Directory of Open Access Journals (Sweden)

    Montoya H Luz Marina

    1982-09-01

    Full Text Available Un índice es una lista de palabras o frases indicadores asociados que permite la ubicación de material al interior de un libro o una publicación, en este caso será por el nombre de la materia.

  2. Bilateral subdural hematoma secondary to accidental dural puncture

    Directory of Open Access Journals (Sweden)

    Sofía Ramírez

    2015-07-01

    Full Text Available We report the case of a 25-year-old woman, who received epidural analgesia for labor pain and subsequently presented post-dural puncture headache. Conservative treatment was applied and epidural blood patch was performed. In the absence of clinical improvement and due to changes in the postural component of the headache, a brain imaging test was performed showing a bilateral subdural hematoma.The post-dural puncture headache is relatively common, but the lack of response to established medical treatment as well as the change in its characteristics and the presence of neurological deficit, should raise the suspicion of a subdural hematoma, which although is rare, can be lethal if not diagnosed and treated at the right time. Resumo: Apresentamos o caso clínico de uma paciente de 25 anos de idade, na qual uma técnica peridural foi realizada durante o trabalho de parto e posteriormente apresentou cefaleia com características de cefaleia pós-punção dural. Foi iniciado tratamento conservador e tampão de sangue peridural. Devido a ausência de melhora clínica e à mudança do componente postural da cefaleia, decidiu-se realizar um exame de imagem cerebral que demostrou a presença de hematoma subdural bilateral.A cefaleia pós-punção dural é relativamente frequente, mas a falta de resposta ao tratamento médico instaurado, assim como a mudança em suas características e a presença de foco neurológico, devem levantar a suspeita de presença de um hematoma subdural que, embora infrequente, pode chegar a ser devastador se não for diagnosticado e tratado oportunamente. Keywords: Accidental dural puncture, Epidural analgesia, Post-dural puncture headache, Subdural hematoma, Epidural blood patch, Palavras chave: Dura-Máter, Analgesia epidural, Cefaleia pós-punção dural, Hematoma subdural, Placa de sangue epidural

  3. Daily, weekly and annual patterns in children's accidental sport injuries.

    Science.gov (United States)

    Reinberg, Alain; Reinberg, Olivier; Mechkouri, Mohamed; Touitou, Yvan; Smolensky, Michael H

    2018-05-01

    Details of serious injuries to children ≤16 yrs. of age that necessitated urgent surgical intervention by the Department of Pediatric Surgery of the University Hospital of Lausanne, Switzerland were recorded into a database registry. Some 15 110 entries listed the precise time of injury, and 3114 (20.6%) of these resulted from participating in sport-associated activities. Time-of-day, day-of-week and month-of-year differences in the total number of children's accidental sport injuries (CASI) were validated. Time-of-day patterns were substantiated for "All Sports", for both boys and girls 5-16 yrs. of age, with more boys than girls experiencing incidents at almost every clock hour. Moreover, they were substantiated for this age group for each of the six different considered individual and team CASI categories - Physical Exercises at School; Bicycle Riding; Roller Skating and Skateboarding; Snow Skiing, Sledding, and Tobogganing; Soccer; and Basketball - for which sample sizes were sufficiently large (n > 230) to perform statistical assessment by ANOVA, t-test and/or cosinor analyses. CASI happened primarily between 06:00 and 17:00 h and rarely evening or overnight. Features - specific clock-time and number of peaks and troughs - of the CASI daily curve pattern of the individual six sport categories differed somewhat; nonetheless, excess or greatest number of CASI typically happened between 12:00 and 14:00 h, even when summertime and other scheduled school and family vacation periods were taken into account. Time-of-day and day-of-week patterns in the boy/girl sex ratio were also validated, with midday and Friday/Saturday peaks, respectively. We hypothesize the prominent 24 h patterns of CASI of 5-16 yr. olds, in particular, are representative of a combination of several determinants. These include exogenous periodic and cyclic environmental and sociocultural phenomena, genetic sex-related traits, plus endogenous circadian cognitive and physiologic rhythms

  4. Apendicitis por Paracoccidioides brasiliensis

    Directory of Open Access Journals (Sweden)

    Ana Beatriz MUÑOZ URRIBARRI

    2006-01-01

    Full Text Available La paracoccidioidomicosis es la micosis más prevalente en Sudamérica. La forma aguda afecta el sistema fagocítico mononuclear de niños y personas inmunocomprometidas. El compromiso gastrointestinal es frecuente y su patogenia implica diseminación hematógena y linfática. La linfadenomegalia abdominal causa obstrucción intestinal y abdomen agudo. En este artículo damos a conocer el caso de un niño con compromiso gastrointestinal por apendicitis. Este es el primer caso reportado de apendicitis por esta patología. (Rev Med Hered 2006;17:58-60.

  5. Results of dose calculations for NET accidental and normal operation releases of tritium and activation products

    International Nuclear Information System (INIS)

    Raskob, W.; Hasemann, I.

    1992-08-01

    This report documents conditions, data and results of dose calculations for accidental and normal operation releases of tritium and activation products, performed within the NET subtask SEP2.2 ('NET-Benchmark') of the European Fusion Technology Programme. For accidental releases, the computer codes UFOTRI and COSYMA for assessing the radiological consequences, have been applied for both deterministic and probabilistic calculations. The influence on dose estimates of different release times (2 minutes / 1 hour), two release heights (10 m / 150 m), two chemical forms of tritium (HT/HTO), and two different model approaches for the deposition velocity of HTO on soil was investigated. The dose calculations for normal operation effluents were performed using the tritium model of the German regulatory guidelines, parts of the advanced dose assessment model NORMTRI still under development, and the statistical atmospheric dispersion model ISOLA. Accidental and normal operation source terms were defined as follows: 10g (3.7 10 15 Bq) for accidental tritium releases, 10 Ci/day (3.7 10 11 Bq/day) for tritium releases during normal operation and unit releases of 10 9 Bq for accidental releases of activation products and fission products. (orig./HP) [de

  6. 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.

  7. Una mirada a los daños a la salud: las lesiones y el género en la costa de Hermosillo

    Directory of Open Access Journals (Sweden)

    José Eduardo Calvario Parra

    2014-12-01

    Full Text Available Se realiza una descripción estadística (apoyada con información cualitativa de los principales motivos de consulta en sala de urgencia del Centro de Salud del Poblado Miguel Alemán, Costa de Hermosillo. El propósito es mostrar el comportamiento de los tipos de lesiones durante dos periodos de tiempo. Se revisaron y sistematizaron bases de datos proporcionada por la Secretaria de Salud del estado de Sonora. Desde una mirada teórica del género, se constató que quienes más fueron atendidos por lesiones, especialmente accidentes (mordedura de perro, quemadura de serpiente y quemadura fueron los varones. En términos de hipótesis de trabajo, se considera que la cultura masculina que privilegia el descuido y la temeridad es una variable que estaría contribuyendo para tales desenlaces.

  8. Comparison of intracranial computed tomographic (CT) findings in pediatric abusive and accidental head trauma

    International Nuclear Information System (INIS)

    Hymel, K.P.; Rumack, C.M.; Hay, T.C.; Strain, J.D.; Jenny, C.

    1997-01-01

    Background. Child abuse specialists rely heavily on diagnostic neuroimaging. Objectives. Study objectives were: (1) to compare the frequencies of six specific intracranial CT abnormalities in accidental and non-accidental pediatric head trauma, and (2) to assess interobserver agreement regarding these CT findings. Materials and methods. Three pediatric radiologists blindly and independently reviewed cranial CT scans of pediatric patients who sustained closed head trauma between 1991 and 1994. All patients were less than 4 years of age. Study cases included thirty-nine (50 %) with non-accidental head trauma and thirty-nine (50 %) with accidental head trauma. Each scan was evaluated for the presence or absence of the following six intracranial findings: (1) interhemispheric falx hemorrhage, (2) subdural hemorrhage, (3) large (non-acute) extra-axial fluid, (4) basal ganglia edema, (5) posterior fossa hemorrhage, and (6) frontal-parietal shearing tear(s). Interobserver agreement was calculated as the percentage of total cases in which all reviewers agreed a specific CT finding was present or absent. Diagnosis required independent agreement by all three pediatric radiologists. The frequencies of these six intracranial CT abnormalities were compared between the two study groups by Chi-square analysis and Fisher's exact test. Results. Interobserver agreement between radiologists was greater than 80 % for all lesions evaluated, with the exception of frontal-parietal shearing tear(s). Interhemispheric falx hemorrhage, subdural hemorrhage, large (non-acute) extra-axial fluid, and basal ganglia edema were discovered significantly more frequently in non-accidental trauma (P ≤.05). Conclusion. Although not specific for child abuse, discovery of these intracranial CT abnormalities in young patients should prompt careful evaluation of family and injury circumstances for indicators of non-accidental trauma. (orig.). With 6 figs., 2 tabs

  9. Apendicitis por Paracoccidioides brasiliensis.

    OpenAIRE

    MUÑOZ URRIBARRI, Ana Beatriz; CHAPARRO DAMMERT, Eduardo; FERRUFINO LLACH, Juan Carlos; VASQUEZ FLORES, Luciola

    2012-01-01

    La paracoccidioidomicosis es la micosis más prevalente en Sudamérica. La forma aguda afecta el sistema fagocítico mononuclear de niños y personas inmunocomprometidas. El compromiso gastrointestinal es frecuente y su patogenia implica diseminación hematógena y linfática. La linfadenomegalia abdominal causa obstrucción intestinal y abdomen agudo. En este artículo damos a conocer el caso de un niño con compromiso gastrointestinal por apendicitis. Este es el primer caso reportado de apendicitis p...

  10. Meningitis por Streptococcus suis

    OpenAIRE

    Geffner Sclarsky, D. E.; Moreno Muñoz, R.; Campillo Alpera, Mª.S.; Pardo Serrano, F.J.; Gómez Gómez, A.; Martínez-Lozano, Mª.D.

    2001-01-01

    La infección humana por Streptococcus suis (S. suis) es una zoonosis, con un riesgo ocupacional conocido y que suele presentarse como meningitis purulenta, que tiene baja mortalidad y frecuentes secuelas de hipoacusia y ataxia. Se han publicado menos de 150 casos humanos desde el informe original de hace 30 años. Hay una reconocida distribución geográfica viviendo la mayoría de los afectados en el norte de Europa y el sudeste Asiático. En España se han comunicado dos pacientes con enfermedad ...

  11. Por mil devaluados pesos

    Directory of Open Access Journals (Sweden)

    Annie Rodríguez Collázos

    2013-03-01

    Full Text Available El estudio de lo popular y lo urbano hasta ahora se ha centrado en el comportamiento y en algunas relaciones de los habitantes con su entorno. “Por mil devaluados pesos. Publicidad popular y urbana”, pretende explorar las formas de publicidad, dispersas en diferentes espacios populares y urbanos en Bogotá, identificando esquemas y formas características de sus propios códigos comunicativos; se centran en un objeto de estudio consistente en las estrategias publicitarias y los códigos comunicativos en los mensajes publicitarios populares en las subculturas de San Victorino, 7 de Agosto y Sanandresito de San José.

  12. Accidental bound states in the continuum in an open Sinai billiard

    Energy Technology Data Exchange (ETDEWEB)

    Pilipchuk, A.S. [Kirensky Institute of Physics, Federal Research Center KSC SB RAS, 660036 Krasnoyarsk (Russian Federation); Siberian Federal University, 660080 Krasnoyarsk (Russian Federation); Sadreev, A.F., E-mail: almas@tnp.krasn.ru [Kirensky Institute of Physics, Federal Research Center KSC SB RAS, 660036 Krasnoyarsk (Russian Federation)

    2017-02-19

    The fundamental mechanism of the bound states in the continuum is the full destructive interference of two resonances when two eigenlevels of the closed system are crossing. There is, however, a wide class of quantum chaotic systems which display only avoided crossings of eigenlevels. As an example of such a system we consider the Sinai billiard coupled with two semi-infinite waveguides. We show that notwithstanding the absence of degeneracy bound states in the continuum occur due to accidental decoupling of the eigenstates of the billiard from the waveguides. - Highlights: • Bound states in the continuum in open chaotic billiards occur to accidental vanishing of coupling of eigenstate of billiard with waveguides.

  13. Guidelines on the medical therapy of persons accidentally overexposed to ionizing radiations. External contamination

    International Nuclear Information System (INIS)

    Perez, M.R.; Di Trano, J.L.; Gisone, P.

    1998-01-01

    The document represents a guide for the external decontamination of persons accidentally radio contaminated due to the use, production or transport of radioactive materials. The general conditions, from the medical point of view, to be kept in mind, in the event of accidental overexposures as decontamination treatment and the handling of samples are detailed throughout report. The external contamination without injury in skin or with wound its considered. The distribution of measures and responsibilities for the therapy of the irradiated patients with radioactive materials are enumerated. The preparations of decontaminate solutions are detailed in this work. Moreover, forms for the reception, physical evaluation of the patient and external contamination are presented. (author)

  14. Análisis espacial de los accidentes laborales in itinere en veterinarios de grandes animales en la provincia de Santa Fe

    Directory of Open Access Journals (Sweden)

    Ana Inés Molineri

    2016-12-01

    Full Text Available En la práctica de grandes animales el profesional debe viajar frecuentemente para atender a sus clientes, exponiéndose a los riesgos del tránsito. Los objetivos de este trabajo fueron: a evaluar la frecuencia de veterinarios que sufrieron accidentes laborales in itinere (Alii en la provincia de Santa Fe y la posible asociación espacial entre los casos detectados y b estimar la percepción de los riesgos y el uso de elementos de protección personal. Se efectuó un estudio observacional sobre profesionales veterinarios que se dedican al manejo y atención de grandes animales en la provincia de Santa Fe, Argentina. El diseño fue transversal, la unidad de interés el veterinario y la población objetivo los veterinarios rurales santafesinos. La tasa de respuesta a un cuestionario estructurado que respondieron en forma anónima fue del 75,8 % (n= 562. El análisis de los datos incluyó la búsqueda de agrupamientos espaciales para poblaciones de distribución heterogénea utilizando el programa SatScan versión 9.2. La frecuencia de accidentes fue del 14,8 %. Se encontró un agrupamiento espacial (p= 0,017 en el sudeste provincial (riesgo relativo= 0,42. La frecuencia de veterinarios que sufrieron accidentes fue decreciendo desde el norte al sur de la provincia. El tránsito en rutas fue percibido como más riesgoso por una mayor proporción de entrevistados que el tránsito en caminos rurales. Las frecuencias de uso de luz baja durante el día y cinturón de seguridad fueron independientes de las percepciones del riesgo en el tránsito. Dado que la frecuencia de accidentes entre los veterinarios es alta, resulta fundamental diseñar estrategias de educación para evitar daños futuros.

  15. Ansiedad percibida por los pacientes hospitalizados por quemaduras, en una Unidad de Quemados

    Directory of Open Access Journals (Sweden)

    M. Alcázar-Gabás

    2014-06-01

    Full Text Available El presente trabajo, pretende describir el estado de ansiedad que experimentan los pacientes ingresados en una Unidad de Quemados. Uno de los factores clave en los cuidados del paciente quemado es una buena atención psicológica. La realidad demuestra que es el profesional de enfermería quien observa los síntomas emocionales durante los primeros días de ingreso y trata de responder a esa demanda de cuidado. Pretendemos, a través de la medición del nivel de ansiedad que perciben los pacientes ingresados en la Unidad de Quemados elegida para nuestro estudio durante el primer semestre del año 2009, identificar a aquellos que estén en riesgo de padecer mayores niveles de ansiedad durante su hospitalización, para así poder establecer un plan de cuidados adaptado a las necesidades emocionales de cada uno. Los resultados obtenidos nos permiten concluir que los pacientes quemados ingresados en la Unidad de Quemados presentaron niveles elevados de ansiedad que son superiores entre la población femenina, así como en aquellos pacientes con lesiones de mayor extensión. Determinamos también que los pacientes ingresados por quemaduras en la Unidad de Quemados a estudio fueron mayoritariamente varones, de nacionalidad española, residentes en medio urbano con una media de edad de 50 años, siendo las quemaduras producidas por llama en accidentes domésticos la causa más frecuente.

  16. Trabajo de intervención para la prevención de accidentes en empresa constructora

    Directory of Open Access Journals (Sweden)

    Caristina Robaina Aguirre

    2001-12-01

    Full Text Available Se realizó un proyecto de intervención sobre el factor humano como causa de accidentes de trabajo en el ambiente laboral en una empresa constructora de hoteles de lujo en el municipio de Varadero. Tuvo como objetivo fundamental elevar el nivel de conocimiento que sobre salud y seguridad tenían los obreros, dirigentes y el grupo de salud y seguridad (GSS de la empresa. Para lograr este propósito se desarrolló un programa de entrenamiento que sirviera de base a una mayor prevención y control de los accidentes en el ambiente laboral, a partir de enero de 1999, desarrollándose fundamentalmente técnicas educativas (Momento Sincero entre otras. Con los dirigentes y el GSS se desarrollaron fundamentalmente cursos y talleres para su adiestramiento. Se utilizaron una serie de medidas de control como guía para la evaluación de los resultados, y la aceptación del proyecto por los directivos de la empresa y el GSS fue un factor decisivo en la realización y resultados del mismo. Durante el período de observación pudimos notar que habían ocurrido cambios en el comportamiento humano, y que estos a su vez, habían tenido un efecto positivo sobre el factor técnico en el ambiente laboral. La evaluación del proyecto se consideró buena.An intervention project on the human factor as a cause of occupational accidents in a luxury hotel construction enterprise, in the municipality of Varadero, was designed. Its main objective was to increase the level of knowledge of the workers, leaders and of the health and security group (HSG from the enterprise about health and safety. To attain this purpose, it was developed a training program that served as the basis for a greater prevention and control of the accidents in the occupational setting from January, 1999, on. Educative techniques were introduced (Sincere Moment, among others to this end. Courses and workshops were conducted to train the leaders and the HSG. A series of control measures were taken as

  17. Factores de riesgo de accidentes en la edad geriátrica Risk factors for accidents in geriatric age

    Directory of Open Access Journals (Sweden)

    Manolo Gómez Juanola

    2004-12-01

    Full Text Available Se realizó un estudio prospectivo, longitudinal y descriptivo con elementos analíticos, para evaluar los factores de riesgo de accidentes en los ancianos, durante el período de julio 2000 a junio 2001. La muestra quedó conformada por un universo de 101 gerontes, de los consultorios médicos 13 y 32, del municipio Mantua. Se aplicó el cálculo porcentual y X2 con nivel de ajuste ed a = 0,01 y a = 0,05. Dentro de los factores ambientales, en el área urbana predominaron: piso del baño deslizante (pA prospective, longitudinal and descriptive study was conducted with analytical elements to evaluate the risk factors for accidents in the elderly from July 2000 to June 2001.The sample was composed of 101 aged individuals from the family physicians' offices 13 and 32, in Mantua municipality. The percentage calculation and X2 with a level of adjustment of a = 0.01 and a = 0.05 were applied. The following environmental factors predominated in the urban area: slipping bathroom floor (p 0.01, cooker of an inadequate height (p 0.05, polished floors, changing furniture, propping, filtrations and inadequate shoes (p 0.01. Lamp or switch away from the bed, bathroom away from the bedroom and absence of shower curtains, unlevel/irregular floor, furniture in bad state, deficient lighting, poorly protected electrical sources and circulation of pets (p 0.01 prevailed in the rural area. The most common physiological risks were: pluripathology/polypharmacy and degenerative arthropathy as a cause of balance alterations and walking, respectively. They prevailed in females (p 0.05. Congestive heart failure, ischemic heart disease and cervical osteoarthritits predominated among the most frequent diseases in the females (p 0.05. 43.5 % of the males took only one drug. Sedatives (50-59 % were the most used drugs. 59.40 % of the elderly were evaluated as low risk for accidentality.

  18. 50 CFR 23.52 - What are the requirements for replacing a lost, damaged, stolen, or accidentally destroyed CITES...

    Science.gov (United States)

    2010-10-01

    ... lost, damaged, stolen, or accidentally destroyed CITES document? 23.52 Section 23.52 Wildlife and...) CONVENTION ON INTERNATIONAL TRADE IN ENDANGERED SPECIES OF WILD FAUNA AND FLORA (CITES) Application..., or accidentally destroyed CITES document? (a) Purpose. A Management Authority may issue a duplicate...

  19. Sepsis por shigella flexneri

    Directory of Open Access Journals (Sweden)

    César Cabrera C

    2005-04-01

    Full Text Available Se presenta un caso raro de sepsis por Shigella flexneri en una paciente de 45 años de edad quien estando hospitalizada para el estudio de un tumor cerebral, requirió el uso de manitol y dosis altas de corticoides; luego de ello presenta deposiciones líquidas con moco y sangre, desarrolla síndrome de respuesta inflamatoria sistémica, luego se aísla Shigella flexneri en el hemocultivo; recibió tratamiento antibiótico con ciprofloxacina. Se describen las características del caso y se comenta de acuerdo con la revisión de literatura.

  20. Portable exhausters POR-004 SKID B, POR-005 SKID C, POR-006 SKID D storage plan

    International Nuclear Information System (INIS)

    Nelson, O.D.; Keller, G.M.

    1997-01-01

    This document provides a storage plan for portable exhausters POR-004 SKID B, POR-005 SKID C, AND POR-006 SKID D. The exhausters will be stored until they are needed by the TWRS (Tank Waste Remediation Systems) Saltwell Pumping Program. The storage plan provides criteria for portable exhauster storage, periodic inspections during storage, and retrieval from storage

  1. Víctimas de accidentes de tránsito. Su protección en el mundo a través del aseguramiento obligatorio y breve referencia al sistema implantado en Colombia

    OpenAIRE

    Navas Herrera, María Fernanda; Pontificia Universidad Javeriana

    2009-01-01

    El presente artículo traduce en breves comentarios, una amplia muestra estadísticade los diversos sistemas de aseguramiento de las víctimas en accidentes detránsito en diferentes países del mundo. Basándose en una recopilación de datosrealizada por la Asociación Internacional de Derecho de Seguros (AIDA) durantelos últimos 10 años a nivel mundial, este escrito muestra las diferentes coberturasdel seguro obligatorio de responsabilidad civil de automóviles, las tarifas, loslímites de indemnizac...

  2. Patterns of accidental deaths in Kuwait: a retrospective descriptive study from 2003-2009.

    Science.gov (United States)

    Al-Kandary, Nadia; Al-Waheeb, Salah

    2015-03-28

    Accidents are a preventable cause of death. Unfortunately it accounts for a large number of deaths in many societies. In Kuwait, road traffic accidents (RTA) is the leading cause of death in young people. The study investigated the patterns of accidental deaths in Kuwait, one of the Gulf States which incorporates a wide variety of multi-ethnic communities. The study was retrospective from 2003-2009. Data of forensic cases were collected from the general department of criminal evidence (GDCE) in the ministry of interior (MOI).We attempted to find out causes of accidental death and the prevelance of each cause. Furthermore, the relationship of demographic factors (eg. Age, sex, marital status and nationality) with each cause of accidental death in Kuwait were studied. The material of this study constituted a total of 4886 reported accidental deaths referred for Medico-legal examination. Road traffic accidents was by far the most prevalent cause of death (64.6%) followed by fall from height (13.1%). Poisoning and mine explosions were amongst the least common causes. The government of Kuwait needs to take strong measures to promote safety in the workplace and households by educational campaigns.

  3. Coincidence-counting corrections for accidental coincidences, set dead time and intrinsic dead time

    International Nuclear Information System (INIS)

    Wyllie, H.A.

    1998-01-01

    An equation is derived for calculating the radioactivity of a source from the results of coincidence counting, taking into account dead-time losses and accidental coincidences. The corrections allow for the extension of the set dead time in the p channel by the intrinsic dead time. Experimental verification shows improvement over a previous equation. (author)

  4. International conference and workshop on modeling and mitigating the consequences of accidental releases of hazardous materials

    International Nuclear Information System (INIS)

    Anon.

    1995-01-01

    This conference was held September 26--29, 1995 in New Orleans, Louisiana. The purpose of this conference was to provide a multidisciplinary forum for exchange of state-of-the-art information on the consequences of accidental releases of hazardous materials. Attention is focused on air dispersion of vapors. Individual papers have been processed separately for inclusion in the appropriate data bases

  5. [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

  6. Accidental Discovery of Information on the User-Defined Social Web: A Mixed-Method Study

    Science.gov (United States)

    Lu, Chi-Jung

    2012-01-01

    Frequently interacting with other people or working in an information-rich environment can foster the "accidental discovery of information" (ADI) (Erdelez, 2000; McCay-Peet & Toms, 2010). With the increasing adoption of social web technologies, online user-participation communities and user-generated content have provided users the…

  7. radionuclides modelling dispersion of in the atmosphere for continuous discharges and accidental

    International Nuclear Information System (INIS)

    Teyeb, Malika

    2011-01-01

    The study of the dispersion of radionuclides in the atmosphere is the subject of a physical and numerical modeling of the phenomenon of dispersion. This work aims to study the atmospheric dispersion of accidental releases and continuous, from the possible establishment of a nuclear pressurized water reactor in the potential in Bizerte and Skhira.

  8. Consequences of a double-ended severance of a steam generator tube and accidental development scenario

    International Nuclear Information System (INIS)

    Smirnov, M.V.; Titov, V.F.; Poplavskii, V.M.; Baklushin, R.P.

    1988-01-01

    The results of theoretical analysis for accidental sequences in a modular steam generator are presented. The most probable water leak development in sodium in case of steam generator emergency stop faults is examined. In all schemes the reactor safety is preserved [fr

  9. 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

  10. 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

    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

  11. Clinical study of lesions caused by accidental local exposure to ionizing radiations

    International Nuclear Information System (INIS)

    Menoux, A.M.

    1977-01-01

    During the last few years the radiopathology service of the Curie Foundation has admitted more than a hundred patients who were followed and treated for irradiation or suspected irradiation after a work accident. Accidents followed by clinical symptoms account for about half the cases examined. Some of these clinical signs were benign whereas others developed very seriously, all possible conditions between these two extremes being represented. This report neglects cases of high total exposure and deals only with those of partial irradiation where local symptoms predominate, usually at the distal extremities of the upper limbs and exceptionally at the root or distal extremity of the lower limbs. Six clinical cases were selected as particularly revealing and are discussed below: accidental exposure of both hands to an iridium-192 source; chronic exposure to X-rays (left hand and right lower half-lip); accidental exposure of the right hand and antero-external face of the right thigh to a iridium-192 source; acute accidental exposure of the left hand to X-rays emitted under 50 kV; accidental exposure of both hands to cobalt-60 radiation; radiolesions of the left lower limb following a critical power excursion (gamma rays and neutrons) [fr

  12. An advanced model for spreading and evaporation of accidentally released hazardous liquids on land

    NARCIS (Netherlands)

    Trijssenaar-Buhre, I.J.M.; Sterkenburg, R.P.; Wijnant-Timmerman, S.I.

    2009-01-01

    Pool evaporation modelling is an important element in consequence assessment of accidentally released hazardous liquids. The evaporation rate determines the amount of toxic or flammable gas released into the atmosphere and is an important factor for the size of a pool fire. In this paper a

  13. An advanced model for spreading and evaporation of accidentally released hazardous liquids on land

    NARCIS (Netherlands)

    Trijssenaar-Buhre, I.J.M.; Wijnant-Timmerman, S.L.

    2008-01-01

    Pool evaporation modelling is an important element in consequence assessment of accidentally released hazardous liquids. The evaporation rate determines the amount of toxic or flammable gas released into the atmosphere and is an important factor for the size of a pool fire. In this paper a

  14. Non-accidental dettol poisoning in a 3 day old neonate : a rare form ...

    African Journals Online (AJOL)

    2015-02-26

    Feb 26, 2015 ... non-accidental poisoning with dettol® in a neonate. This report presents ... health facility located in Kano city; pregnancy, labour and delivery .... risks undetected as it nearly happened in our index pa- tient. It is equally ... P O, Saliu R O, Adafalu M O. Infanticide in ... hood Non-food poisoning in. Aminu Kano ...

  15. Accidental Entry of Fish into Throat While Bathing in a Pond

    Directory of Open Access Journals (Sweden)

    Pradipta Kumar Parida

    2013-01-01

    Full Text Available While fish bones are common foreign bodies in the throat, a whole live fish in the pharynx is very rare. We report a case where a whole fish accidentally entered the throat of a 52-year-old male, where it became lodged causing throat pain and dysphagia. The fish was removed as an emergency procedure.

  16. Non-accidental dettol poisoning in a 3 day old neonate : a rare form ...

    African Journals Online (AJOL)

    In Nigeria, Dettol® Antiseptic Solution poisoning is an uncommon occurrence in all age groups. In a registered child specialist clinic in Kano, a three – day old neonate presented with clinical features believed initially to be due to neonatal seizures and sepsis, but which turned out to be due to non-accidental dettol® ...

  17. Toxic vapor concentrations in the control room following a postulated accidental release

    International Nuclear Information System (INIS)

    Wing, J.

    1979-05-01

    An acceptable method is presented for calculating the vapor concentrations in a control room as a function of time after a postulated accidental release. Included are the mathematical formulas for computing the rates of vaporization and evaporation of liquid spills, the vapor dispersion in air, and the control room air exchange. A list of toxic chemicals and their physical properties is also given

  18. Suicide and accidental deaths in children and adolescents in England and Wales, 2001-2010.

    Science.gov (United States)

    Windfuhr, Kirsten; While, David; Hunt, Isabelle M; Shaw, Jenny; Appleby, Louis; Kapur, Nav

    2013-12-01

    To investigate the impact of narrative verdicts on suicide statistics among 10-19-year-olds; to identify the number and rate of suicide and accidental deaths, particularly in 10-14-year-olds. National cohort study. England and Wales. Mid-year population estimates from the Office for National Statistics (ONS) were used to calculate rates per 100,000 population for suicide (undetermined and suicide verdicts) and accidental deaths (poisoning, hanging) for those aged 10-14 and 15-19. Trends in rates over time (2001-2010) were investigated using Poisson regression. Interaction tests were carried out to determine differences in trends between the two time periods (2001-2005 and 2006-2010). There were 1523 suicides (2.25/100,000). Suicide rates were highest in those aged 15-19 years (4.04/100,000) and in males (3.14/100,000). Between 2001 and 2010, rates significantly decreased among those aged 15-19 years (incidence rate-ratio (IRR): 0.95; 95% CI 0.93 to 0.97), with no change in rates of accidental deaths (IRR: 1.01, 95% CI 0.95 to 1.07). However, there was a significant interaction between the two time periods for accidental poisonings (2001-2005: IRR: 0.79 (95% CI 0.69 to 0.91); 2006-2010: IRR: 1.01 (95% CI 0.89 to 1.15), interaction p=0.012) and accidental hangings (2001-2005: IRR: 0.93 (95% CI 0.76 to 1.14); 2006-2010: IRR: 1.25 (95% CI 1.04 to 1.49), interaction=0.01) Undetermined deaths significantly decreased among females aged 15-19 yeras (IRR: 0.93; 95% CI 0.88 to 0.98). There were no significant trends among 10-14-year-olds. Rates of suicide are higher among older adolescents and males. There was a significant fall in suicide rates in males aged 15-19 years that was not accounted for by changes in rates of accidental death. The absence of a significant trend in suicide or accidental deaths in those aged 10-14 years may have been the result of small numbers. However, monitoring should continue to identify longitudinal trends in all young people.

  19. Ecografía musculo-esquelética como herramienta diagnóstica en lesiones causadas por vertebrados e invertebrados

    OpenAIRE

    Boadas Morales, Jesús; Marcano Arismendi, Jenny

    2014-01-01

    Los accidentes causados por organismos vertebrados e invertebrados representan un motivo de consulta importante a nivel mundial, por ello las técnicas diagnósticas y los esquemas de tratamiento deben ser actualizados constantemente. La ecografía representa una herramienta útil para la evaluación de las lesiones de partes blandas causadas por el contacto con animales venenosos de diferentes grupos zoológicos. Este trabajo representa el primer paso para futuras investigaciones que integren el c...

  20. Infección por Dipylidium caninum en un preescolar: Presentación del caso y revisión de la literatura

    OpenAIRE

    Neira O, Patricia; Jofré M, Leonor; Muñoz S, Nelson

    2008-01-01

    La dipilidiasis es una zoonosis parasitaria provocada por Dipylidium caninum, teniasis que afecta a cánidos, félidos y, en forma accidental, al hombre. En Chile, al igual que en otros países, es una infección poco frecuente. Se presenta el caso de un preescolar con una infección por D. caninum, residente en la comuna de Casablanca, Región de Valparaíso. Se revisan las manifestaciones producidas por este agente, la epidemiología en animales domésticos y salvajes, los casos publicados en la lit...

  1. Accidental falls in hospitalized children: an analysis of the vulnerabilities linked to the presence of caregivers.

    Science.gov (United States)

    Bagnasco, A; Sobrero, M; Sperlinga, L; Tibaldi, L; Sasso, L

    2010-06-01

    This study stemmed from the data gathered by a research conducted by the coordinator of the Department of Healthcare Services and a group of nurses involved in a research on accidental falls in hospitalized children at the "G. Gaslini" Children's Hospital and Scientific Research Institute in Genoa, Italy. The first retrospective study evaluated the accidental falls in hospitalized children referred to the three-year period 2003-2006, while the second perspective study, referred to the trimester March-May 2007, found that the main cause of falls in children was parent's distraction. The method adopted in the first phase of our study was a proactive risk analysis (The Basics of Healthcare Failure Mode and Effect Analysis), identified in the first place by the VA National Centre for Patient Safety and applied to the "Child and parent hospital admission process". This proactive risk analysis has proven to be very effective in preventing the risk of accidental falls in hospitalized children through effective communication and educational interventions. The second phase of our study consisted of two Focus Groups for accidental traumatic events. The analysis of the results of the study showed how effective communication is instrumental, not only to have a better awareness of the children and their parents during their stay in hospital, but also to implement educational sessions on prevention to reduce the risk of accidental traumatic events. The present study contributes to improve safety and the quality of care by motivating nurses to keep their attention high on falls in hospitalized children, by monitoring and the development of new risk assessment tools.

  2. Control Multivariable por Desacoplo

    Directory of Open Access Journals (Sweden)

    Fernando Morilla

    2013-01-01

    Full Text Available Resumen: La interacción entre variables es una característica inherente de los procesos multivariables, que dificulta su operación y el diseño de sus sistemas de control. Bajo el paradigma de Control por desacoplo se agrupan un conjunto de metodologías, que tradicionalmente han estado orientadas a eliminar o reducir la interacción, y que recientemente algunos investigadores han reorientado con objetivos de solucionar un problema tan complejo como es el control multivariable. Parte del material descrito en este artículo es bien conocido en el campo del control de procesos, pero la mayor parte de él son resultados de varios años de investigación de los autores en los que han primado la generalización del problema, la búsqueda de soluciones de fácil implementación y la combinación de bloques elementales de control PID. Esta conjunción de intereses provoca que no siempre se pueda conseguir un desacoplo perfecto, pero que sí se pueda conseguir una considerable reducción de la interacción en el nivel básico de la pirámide de control, en beneficio de otros sistemas de control que ocupan niveles jerárquicos superiores. El artículo resume todos los aspectos básicos del Control por desacoplo y su aplicación a dos procesos representativos: una planta experimental de cuatro tanques acoplados y un modelo 4×4 de un sistema experimental de calefacción, ventilación y aire acondicionado. Abstract: The interaction between variables is inherent in multivariable processes and this fact may complicate their operation and control system design. Under the paradigm of decoupling control, several methodologies that traditionally have been addressed to cancel or reduce the interactions are gathered. Recently, this approach has been reoriented by several researchers with the aim to solve such a complex problem as the multivariable control. Parts of the material in this work are well known in the process control field; however, most of them are

  3. Causas de los accidentes de trabajo en España: análisis longitudinal con datos de panel Causes of occupational injuries in Spain: a longitudinal analysis with panel data

    Directory of Open Access Journals (Sweden)

    Inmaculada García Mainar

    2009-06-01

    Full Text Available Objetivos: Se pretende investigar la influencia de algunas características, tanto de los trabajadores como de los puestos de trabajo que ocupan, en la incidencia de accidentes laborales por categorías (leves, graves, mortales y totales, utilizando herramientas propias del análisis económico. Métodos: Se utiliza un panel de datos para estimar los determinantes de los accidentes agregados de dos formas: por comunidades autónomas y ocupación, y por ramas de actividad y ocupación. Los datos de los accidentes provienen del Ministerio de Trabajo y Asuntos Sociales, y el resto de la Encuesta de Población Activa, para todos los trimestres desde 1999 hasta 2002. Resultados: Un mayor porcentaje de trabajadores con contrato indefinido, del sector público, con estudios secundarios o que han recibido cursos de formación, se asocia con una menor incidencia de accidentes, mientras que una mayor proporción de varones o extranjeros se relaciona con una mayor incidencia. Una mayor experiencia laboral reduce el riesgo de accidente grave o mortal, mientras que más horas de trabajo lo aumentan. Conclusiones: Sería recomendable una mayor actuación para reducir el riesgo de accidente en los trabajadores temporales, los que trabajan en el sector privado, los varones y los extranjeros. Para reducir la incidencia de los accidentes mortales, habría que limitar además el número de horas trabajadas, especialmente en los casos en que no se cuente con una amplia experiencia laboral.Objectives: To investigate the influence of several personal and occupational characteristics on the occurrence of occupation injuries, expressed in different categories (minor, serious, fatal and overall by applying tools that are widely used in economic analyses. Methods: Panel data were used to estimate occupational injuries in an aggregate manner: both by regions and occupational categories and by industries and occupational categories. Data on occupational injuries were drawn

  4. Quemaduras por frío: Revisión de 10 Años

    OpenAIRE

    EULUFÍ M, ALEX; PIÑEROS B, JOSÉ LUIS; CALDERÓN O, WILFREDO; CUADRA C, ÁLVARO; DANILLA E, STEFAN; LÉNIZ M, PATRICIO; ROCO M, HÉCTOR; ROA G, RICARDO; EULUFÍ M, CHRISTIAN

    2006-01-01

    La injuria por frío ha sido objeto de estudio desde la década de 1960, Este trabajo entrega los resultados de una revisión retrospectiva de un grupo de 10 pacientes ingresados al Hospital del Trabajador de Santiago (HTS) en un periodo de 10 años producto de accidentes laborales de distintas etiologías. Cabe señalar que solo encontramos reportes aislados de casos en la literatura revisada. Se revisaron retrospectivamente las fichas clínicas de 10 pacientes en el periodo 1993-2003. Las edades f...

  5. Degeneracion axónica inducida por tratamiento local con diisopropilfluorofosfato

    OpenAIRE

    Mauricio, María Cruz; Carrera, Victoria; Vilanova Gisbert, Eugenio; Juan Herrero, Joaquín de

    1989-01-01

    Existen especies animales, incluida la humana y las aves, susceptibles de manifestar una polineuropatía retardada tras una intoxicación accidental o la dosificación sistémica experimental con algunos compuestos organfosforados. En este estudio se planteó observar la existencia o no de lesiones nerviosas producidas tras la administración de diisopropilfluorofosfato por via local, siguiendo un modelo de dosificación "in situ". Aquí se describen las observaciones clínicas y lesiones morfológicas...

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

    Directory of Open Access Journals (Sweden)

    Valdir Golin

    2003-09-01

    Full Text Available OBJETIVOS: Estudar a presença, forma de apresentação e as conseqüências da hipotermia em nosso meio. MÉTODOS: Estudo prospectivo em hipotérmicos atendidos no Serviço de Emergência de Clínica Médica da Santa Casa de São Paulo, com 212 pacientes com hipotermia leve, moderada e grave, entre 1987 a 2001, a maioria constituída por alcoólatras crônicos e moradores de rua. Foram analisados os resultados quanto ao sexo, faixa etária, temperatura central, eletrocardiograma, comorbidades e mortalidade. RESULTADOS: A hipotermia predominou no sexo masculino em 75,9%. Quanto à faixa etária prevaleceu a idade entre 30 e 59 anos. Em 70,3% dos pacientes a temperatura central foi inferior a 32ºC, sendo que em 26,4% destes, a temperatura foi menor que 28ºC. A associação com quadros infecciosos ocorreu em 76,8% dos casos. Os pacientes com hipotermia leve responderam melhor à terapêutica (96,8% quando comparados com os hipotérmicos moderados (72,1% e graves (87,5%. A onda de Osborn esteve presente em 42,6% dos pacientes. A mortalidade geral foi de 38,2%. CONCLUSÕES: A hipotermia acidental em serviços de emergência de país tropical é fato inegável. O socorrista deve estar atento e treinado para o reconhecimento desta doença de alta morbidade e mortalidade. A mortalidade aumenta com a presença de doenças associadas, particularmente processos infecciosos, desnutrição e alcoolismo crônico.OBJECTIVE: This paper has by objective to study the hypothermia's presence, presentation form and consequences in our environment. METHODS: A prospective study in hypothermic patients assisted in the Medical Clinic Emergency Service of Santa Casa of São Paulo, with 212 patients with mild, moderate and serious hypothermia from 1987 to 2001, the most part of them constituted by chronic alcoholics and homeless. The results were analyzed in reference to sex, age group, central temperature, electrocardiogram, co-morbidity and mortality. RESULTS: The

  7. 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

  8. Accidentes laborales asociados al desánimo de médicos SERUMS para laborar en el primer nivel de atención de Lima, Perú

    Science.gov (United States)

    Mejia, Christian R.; Valladares-Garrido, Mario J.; Romero, Brian M.; Valladares-Garrido, Danai; Linares-Reyes, Edgardo

    2018-01-01

    Introducción la retención laboral es un tema de suma importancia, porque se requiere de profesionales en el primer nivel de atención (PNA). El objetivo fue determinar si los accidentes laborales se asociaron al desánimo de los médicos para trabajar en el PNA de Lima, Perú. Métodos estudio transversal analítico de datos secundarios de una base de datos generada de una encuesta a médicos que realizaron su Servicio Rural y Urbano-Marginal en Salud (SERUMS). Se incluyó solo a los médicos que manifestaron al inicio del SERUMS que podían trabajar en el PNA de Lima. Se definió como cambio de intención de trabajo en el PNA a los que finalizando el SERUMS refirieron que ya no deseaban laborar en Lima. Esto se asoció según si tuvieron un accidente laboral y se ajustó por otras variables. Resultados de los 124 médicos el 63% fueron hombres (78). La mediana de edad fue de 26 años (rango intercuartílico: 25-27 años). Después de su SERUMS, el 12% (15) manifestó que cambió su interés y que deseaba trabajar en la capital. En el análisis multivariado, haber tenido un accidente laboral disminuyó la frecuencia del cambio de intención de trabajo en el PNA (RPa: 0.28, IC 95%: 0.14-0.54, p de trabajar en provincias, pero nuestro estudio dice lo contrario, posiblemente por la percepción de que un trabajo en la capital del país permite estar más cerca de los servicios para ser atendido en caso de cualquier emergencia. PMID:29190859

  9. Intoxicación aguda por hidrato de hidracina

    Directory of Open Access Journals (Sweden)

    Santiago Nogué Xarau

    2008-06-01

    Full Text Available Se aporta un caso de exposición aguda, debido a un vertido accidental de unos 25 litros de hidrato de hidracina, que el trabajador estuvo recogiendo sin ningún tipo de equipo de protección individual. El trabajador presentó alteraciones bucales, cutáneas y dolores abdominales difusos. De las pruebas complementarias únicamente se detectó un aumento de la bilirrubina total con predominio de la indirecta. Se le separó de la exposición, se le administró un tratamiento sintomático y en un periodo de un mes se recuperó íntegramente. Se comenta los principales casos de intoxicación por hidracina descritos en la literatura médica y se enfatiza en las medidas preventivas que se deben tomar para evitar casos como éste.We report a case of poisoning by acute exposure to hydrazine hydrate in a worker clearing up an accidental spillage of about 25 litres of the product who had no type of individual protective equipment. The patient presented buccal and cutaneous involvement and diffuse abdominal pain. Complementary tests were unremarkable except for an increase in total bilirubin with a predominance of indirect bilirubin. The patient was removed from the occupational exposure, symptomatic treatment was administered and the patient recovered completely after one month. We review the main reported cases of hydrazine poisoning and emphasize the preventive measures that should be taken to avoid this type of poisoning.

  10. Evaluación de factores de riesgo en accidentes oculares graves infantiles Assessment of the risk factors for severe ocular accidents in children

    Directory of Open Access Journals (Sweden)

    Sahely Sixto Fuentes

    2010-09-01

    Full Text Available Objetivo: Evaluar factores de riesgo en accidentes oculares graves infantiles. Métodos: Se realizó una investigación aplicada, epidemiológica, descriptiva, longitudinal y prospectiva sobre accidentes oculares graves en el Servicio de Oftalmología del Hospital Pediátrico Provincial de Pinar del Río (2006-2007. El universo y muestra estuvo constituido por dos grupos de niños de 1- 20 años, ambos sexos y todas las etnias. Primer Grupo: Niños con accidente ocular grave, Segundo Grupo: Niños sin accidente ocular; determinándose una muestra total de 130 seleccionados mediante muestreo aleatorio simple. Fueron utilizados métodos empíricos y teóricos de investigación científica. Resultados: El trauma ocular representó el 87,8% de los ingresos de urgencia durante el período. Se encontró que el grupo etáreo de 9-12 años (40%, y sexo masculino (89,2% fueron los más afectados. Un 76,9% de los accidentados residía en zona rural. El 96,9% se encontraba fuera de la casa y sin compañía de adultos en el momento del trauma. Predominaron las familias con conocimientos y actitudes evaluados de regulares en relación a los accidentes oculares con un 57,7 % y 60,8% respectivamente. Conclusiones: Se constató elevada frecuencia de traumas oculares infantiles graves en Pinar del Río, precisando sus factores causales de riesgo y dificultades en la prevención de los mismos.Objective: To assess the risk factors for severe ocular accidents in children. Methods: An applied, epidemiological, descriptive, longitudinal and prospective research of the severe ocular accidents was conducted in the Ophthalmologic Service at "Pepe Portilla" Provincial Children Hospital, Pinar del Rio. The target group and the sample were comprised of two groups of children from 1 to 16 years old of both sexes and all ethnics. First group: children and adolescents suffering from severe ocular accidents. Second group: children and adolescents without ocular accidents; a

  11. A tree branch instead of a ligature: an unusual accidental hanging.

    Science.gov (United States)

    Vadysinghe, Amal Nishantha; Sivasubramanium, Murugupillai; Jayasooriya, Rankothge Pemasiri

    2017-12-01

    A unique case of accidental hanging due to compression of the neck of an adult by the branches of a coffee tree is reported. The decedent was a 42-year-old male who was found dead in a semi prone position on a slope. His neck was lodged in a wedge formed by two branches of a coffee tree, with his legs angled downwards on the slope. Autopsy revealed two friction abrasions located horizontally on either side of the front of the neck, just above the larynx. The findings were compatible with compression of the neck by the branches of the tree, with the body weight of the decedent contributing to compression. Subsequent complete autopsy examination confirmed the cause of death as hanging. Following an inquest the death was ruled to be accidental.

  12. A study on fire design accidental loads for aluminum safety helidecks

    Directory of Open Access Journals (Sweden)

    Sang Jin Kim

    2016-11-01

    Full Text Available The helideck structure must satisfy the safety requirements associated with various environmental and accidental loads. Especially, there have been a number of fire accidents offshore due to helicopter collision (take-off and/or landing in recent decades. To prevent further accidents, a substantial amount of effort has been directed toward the management of fire in the safety design of offshore helidecks. The aims of this study are to introduce and apply a procedure for quantitative risk assessment and management of fires by defining the fire loads with an applied example. The frequency of helicopter accidents are considered, and design accidental levels are applied. The proposed procedures for determining design fire loads can be efficiently applied in offshore helideck development projects.

  13. Assessment of evolutive and prognostic indicators applied to accidental overexposure to ionizing radiation

    International Nuclear Information System (INIS)

    Morera Carrillo, M. de Lourdes; Cardenas, J.; Dubner, D.; Perez, M. del Rosario; Gisone, P.

    2001-01-01

    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

  14. Analyses of postulated accidental releases of UF6 inside process buildings

    International Nuclear Information System (INIS)

    Oliveira Neto, Jose Messias de; Nunes, Beatriz Guimaraes; Dias, Cristiane

    2009-01-01

    Uranium Hexafluoride is a material used in the various processes which comprise the front end of the nuclear fuel cycle (conversion, enrichment and fuel fabrication). Confinement of UF 6 is a very important safety requirement since this material is highly reactive and presents safety hazards to humans. The present paper discusses the safety relevant aspects of accidental releases of UF 6 inside process confinement buildings. Postulated accidental scenarios are analyzed and their consequences evaluated. Implant releases rates are estimated using computer code predictions. A time dependent homogeneous compartment model is used to predict concentrations of UF 6 , hydrogen fluoride and uranyl fluoride inside a confinement building, as well as to evaluate source terms released to the atmosphere. These source terms can be used as input to atmospheric dispersion models to evaluate consequences to the environment. The results can also be used to define adequate protective measures for emergency situations. (author)

  15. Accidental cut-throat injuries from the broken windshield of an auto rickshaw: Two unusual cases.

    Science.gov (United States)

    Swain, Rajanikanta; Dhaka, Shivani; Sharma, Munish; Bakshi, Mantaran Singh; Murty, O P; Sikary, Asit Kumar

    2018-01-01

    Accidental cut-throat injuries are extremely rare and usually involve a sharp-edged weapon. In this paper, two cases of a cut-throat wound to two auto-rickshaw drivers are presented where the broken windshield of the auto-rickshaws was responsible for the wounds. In both the cases, fatal incised wounds were present over the neck, cutting the soft tissue along with the major vessels. The death occurred due to exsanguination caused by neck-vessel injury in one case and trachea along with neck-vessel injury in the second case. Although the wounds on the neck initially suggested homicide, they were found to have occurred accidentally as a result of a road traffic accident involving a head-on collision of auto rickshaws. The injuries were inflicted by the shattered glass of the windshield.

  16. Accidental poisoning with Veratrum album mistaken for wild garlic (Allium ursinum).

    Science.gov (United States)

    Gilotta, Irene; Brvar, Miran

    2010-11-01

    Veratrum album (white or false hellebore) is a poisonous plant containing steroidal alkaloids that cause nausea, vomiting, headache, visual disturbances, paresthesia, dizziness, bradycardia, atrioventricular block, hypotension, and syncope. It is regularly mistaken for Gentiana lutea (yellow gentian). We report accidental poisoning with V. album mistaken for Allium ursinum (wild garlic), a wild plant used in soups and salads in Central Europe. Four adults (24-45 years) accidentally ingested V. album mistaken for A. ursinum in self-prepared salads and soups. Within 15-30 min of ingestion they developed nausea, vomiting, and abdominal pain. At the same time dizziness, tingling, dimmed and jumping vision, transient blindness, and confusion appeared. On arrival at the ED, all patients had sinus bradycardia and hypotension. Following treatment the patients were discharged well 24-48 h after ingestion. In patients presenting with gastrointestinal, neurological, and cardiovascular symptoms a history of wild plant ingestion suggests possible poisoning with V. album mistaken for wild garlic.

  17. Commitment of involved actors in the preparation of accidental and post-accident situations: European experiments

    International Nuclear Information System (INIS)

    Schneider, Th.

    2010-01-01

    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

  18. Clinical Profile of Acute Accidental Poisoning Among Children- A Retrospective Study

    Directory of Open Access Journals (Sweden)

    Tabassum Khatoon

    2017-12-01

    Full Text Available Acute toxicity is a frequent but avoidable cause of morbidity and mortality in children especially in developing countries, including India. Present study assesses their pattern with relation to different age groupings. This retrospective study was conducted among all hospitalised paediatric victims of acute accidental poisoning at the King George Medical University; Lucknow during 2010 -11. Their history, baseline characteristics, clinical course and outcome was studied. Most children were male of less than three years with 4% overall mortality. Kerosene oil was implicated in most cases. Childhood poisoning is commonest during 1-3 years with a male preponderance. Household poisons; especially kerosene oil was responsible for most cases which was consumed accidentally. Parents must be educated and warned to keep these toxic ingredients safely in suitable containers and out of reach of their beloved children. Keywords: Forensic Science, Paediatric, Acute Poisoning, Kerosene, Outcome.

  19. 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. Copyright © 2015 Elsevier Ltd. All rights reserved.

  20. Modelling accidental releases of tritium in the environment: application as an excel spreadsheet

    International Nuclear Information System (INIS)

    Le Dizes, S.; Tamponnet, C.

    2004-01-01

    An application as an Excel spreadsheet of the simplified modelling approach of tritium transfer in the environment developed by Tamponnet (2002) is presented. Based on the use of growth models of biological systems (plants, animals, etc.), the two-pool model (organic tritium and tritiated water) that was developed estimates the concentration of tritium within the different compartments of the food chain and in fine the dose to man by ingestion in the case of a chronic or accidental release of tritium in a river or the atmosphere. Data and knowledge have been implemented on Excel using the object-oriented programming language VisualBasic (Microsoft Visual Basic 6.0). The structure of the conceptual model and the Excel sheet are first briefly exposed. A numerical application of the model under a scenario of an accidental release of tritium in the atmosphere is then presented. Simulation results and perspectives are discussed. (author)

  1. Modelling accidental releases of carbon 14 in the environment: application as an excel spreadsheet

    International Nuclear Information System (INIS)

    Le Dizes, S.; Tamponnet, C.

    2004-01-01

    An application as an Excel spreadsheet of the simplified modelling approach of carbon 14 transfer in the environment developed by Tamponnet (2002) is presented. Based on the use of growth models of biological systems (plants, animals, etc.), the one-pool model (organic carbon) that was developed estimates the concentration of carbon 14 within the different compartments of the food chain and in fine the dose to man by ingestion in the case of a chronic or accidental release of carbon 14 in a river or the atmosphere. Data and knowledge have been implemented on Excel using the object-oriented programming language VisualBasic (Microsoft Visual Basic 6.0). The structure of the conceptual model and the Excel sheet are first briefly exposed. A numerical application of the model under a scenario of an accidental release of carbon 14 in the atmosphere is then presented. Simulation results and perspectives are discussed. (author)

  2. Factores psicoeducativos que determinan la propensión al accidente deportivo en escolares: diseño y validación de un cuestionario de evaluación

    Directory of Open Access Journals (Sweden)

    Pedro A. Latorre-Román

    2013-05-01

    Full Text Available El propósito de este estudio ha sido el diseño y validación de una escala de propensión al accidente deportivo en escolares. La muestra ha estado formada por 254 niños (M = 14.20, DT = 1.3. Las propiedades psicométricas de la escala se obtuvieron mediante un proceso de validez de contenido y un análisis factorial de los componentes principales. Como resultados obtuvimos un cuestionario de 27 ítems formado por cinco factores y ajustado a los tópicos de validez y fiabilidad científica. Se encontraron diferencias en todos los factores de la escala entre niños y niñas y sólo en el factor búsqueda de sensaciones al considerar la edad de los sujetos. Como conclusión, esta escala es un instrumento inédito que permite la organización de los recursos materiales y didácticos en el deporte de acuerdo a aspectos psicoeducativos relacionados con la propensión al accidente de los niños, lo que es esencial en la prevención de lesiones.

  3. External hazards in the PRA of Olkiluoto 1 and 2 NPP units - Accidental oil spills

    International Nuclear Information System (INIS)

    Tunturivuori, Lasse

    2014-01-01

    Oil transports in Finnish territorial waters have increased significantly during the last 10 years. The Gulf of Finland is at this moment a very important route of oil being transported from Russia to the Western Europe. Although the number of accidental oil spills is decreasing in amount and in size, there is a growing concern of their effects to nuclear power plants (NPPs). The amounts of oil transported on the Gulf of Bothnia are much smaller than on the Gulf of Finland. However, accidental oil spills have occurred also there, the size and amount of which are smaller, though. Accidental oil spills are often a result of grounding of a ship or collision of two ships, and often occur during harsh weather conditions like storm or dense fog. However, also coastal oil depots may break, the oil of which may spread over wide distances on the sea. The modelling of initiating events resulting from accidental oil spills includes oil spill response actions performed by the regional rescue services, alarming of the oil spill by the emergency response centre to the NPP rescue services and spill response by the NPPs rescue services. It is unclear what the consequences are if drifted oil would enter the coolant water tunnels. The effect of different oil types to the operation of the safety-related service water systems and components are being assessed. In the ultimate case, an oil spill would clog the inlet channels thus failing the ultimate heat sink of the NPP units. The licensee is evaluating what is the optimal way to operate the NPP units in the case that an oil slick is threatening the plant to ensure reactor core cooling and RHR. The continued operation of, and especially the cooling of, at least one auxiliary feedwater pump is critical in the mitigation of the initiating event. Strategies, like reversing the water flow of the cooling water channels or closing of the cooling water channels, are being evaluated. (authors)

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

    OpenAIRE

    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 metaphorically and physically relevant. First, the metaphorical dimension of the city places refugees and their negotiation of space into the realm of the normal and the possible, contrary to prevailing not...

  5. Youth versus adult "weightlifting" injuries presenting to United States emergency rooms: accidental versus nonaccidental injury mechanisms.

    Science.gov (United States)

    Myer, Gregory D; Quatman, Carmen E; Khoury, Jane; Wall, Eric J; Hewett, Timothy E

    2009-10-01

    Resistance training has previously been purported to be unsafe and ineffective in children. The purpose of this investigation was to evaluate resistance training-related injuries presenting to U.S. emergency rooms by age, type, and mechanism of injury. We hypothesized that older athletes would sustain greater percentages of joint sprains and muscle strains, whereas younger athletes would sustain a greater percentage of accidental injuries that would result in an increased percentage of fractures in youths. The U.S. Consumer Product Safety Commission (CPSC) National Electronic Injury Surveillance System was queried from 2002 to 2005 using the CPSC code for "Weightlifting." Subjects between the ages of 8 and 30 were grouped by age categories 8 to 13 (elementary/middle school age), 14 to 18 (high school), 19 to 22 (college), and 23 to 30 (adult). Injuries were classified as "accidental" if caused by dropped weight or improper equipment use. Multiple logistic regression was used to compare accidental injuries between age groups. The sample consisted of 4,111 patients. Accidental injuries decreased (p 14 to 18 > 19 to 22 years = 23 to 30 years. Conversely, sprain/strain injuries increased in each successive age group (p injuries (n = 2,565) showed that the oldest categories (19-22 and 23-30 yr) demonstrated a greater percentage of sprains and strains relative to younger age categories (p injuries sustained in the 8 to 13 group were to the hand and foot and were most often related to "dropping" and "pinching" in the injury descriptions, and there was an increased percentage of fractures in the 8 to 13 group relative to all other groups (p injuries are the result of accidents that are potentially preventable with increased supervision and stricter safety guidelines.

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

    International Nuclear Information System (INIS)

    Jaspan, Tim

    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.)

  7. 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.)

  8. Analizan partículas calientes del accidente nuclear de Palomares

    OpenAIRE

    León Dueñas, Sergio David

    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).

  9. MARC - the NRPB methodology for assessing radiological consequences of accidental releases of activity

    International Nuclear Information System (INIS)

    Clarke, R.H.; Kelly, G.N.

    1981-12-01

    The National Radiological Protection Board has developed a methodology for the assessment of the public health related consequences of accidental releases of radionuclides from nuclear facilities. The methodology consists of a suite of computer programs which predict the transfer of activity from the point of release to the atmosphere through to the population. The suite of programs is entitled MARC; Methodology for Assessing Radiological Consequences. This report describes the overall framework and philosophy utilised within MARC. (author)

  10. [Accidental injection of sodium hypochlorite in inferior alveolar nerve block anesthesia].

    Science.gov (United States)

    Hongyan, Li; Jian, Xu; Baorong, Zhang; Yue, Jia; Minhua, Liu; Yilang, Luo; Jing, Zhao

    2016-12-01

    Sodium hypochlorite (NaClO) has been widely used in clinical practice as one of the most efficient root canal irrigants. Its properties include broad-spectrum antimicrobial activity and ability to dissolve necrotic tissues. However, when used improperly, NaClO can cause a series of adverse reactions, such as mucosal inflammation, irritation, or injury. This paper presents a case of accidental injection of NaClO in inferior alveolar nerve block anesthesia.

  11. Management of refuelling, modifications and accidental shut-down of nuclear power plant

    International Nuclear Information System (INIS)

    1996-01-01

    This document is the appendix of HAF 0300 (91) 'Code on the Safety of Nuclear Power Plant Operation', which was promulgated by the National Nuclear Safety Administration (NNSA) on March 2, 1994, and has the same legal effect. This appendix is applicable to establish the administrative management procedures for refuelling, modifications and accidental shut-down in the period of operation of pressurized water thermal neutron reactor of nuclear power plants. The NNSA shall be responsible for interpretation of this document

  12. 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.

  13. Measuring the visual salience of alignments by their non-accidentalness.

    Science.gov (United States)

    Blusseau, S; Carboni, A; Maiche, A; Morel, J M; Grompone von Gioi, R

    2016-09-01

    Quantitative approaches are part of the understanding of contour integration and the Gestalt law of good continuation. The present study introduces a new quantitative approach based on the a contrario theory, which formalizes the non-accidentalness principle for good continuation. This model yields an ideal observer algorithm, able to detect non-accidental alignments in Gabor patterns. More precisely, this parameterless algorithm associates with each candidate percept a measure, the Number of False Alarms (NFA), quantifying its degree of masking. To evaluate the approach, we compared this ideal observer with the human attentive performance on three experiments of straight contours detection in arrays of Gabor patches. The experiments showed a strong correlation between the detectability of the target stimuli and their degree of non-accidentalness, as measured by our model. What is more, the algorithm's detection curves were very similar to the ones of human subjects. This fact seems to validate our proposed measurement method as a convenient way to predict the visibility of alignments. This framework could be generalized to other Gestalts. Copyright © 2015 Elsevier Ltd. All rights reserved.

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

    International Nuclear Information System (INIS)

    Veronese, Ivan; Galli, Anna; Cantone, Marie Claire; Martini, Marco; Vernizzi, Fabrizio; Guzzi, Gianpaolo

    2010-01-01

    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.

  15. Atmospheric Dispersion Assessment for Potential Accidental Releases at Yonggwang Nuclear Power Plants

    International Nuclear Information System (INIS)

    Na, Man Gyun; Sim, Young Rok; Jung, Chul Kee; Lee, Goung Jin; Kim, Soong Pyung; Chung, Sung Tai

    2000-01-01

    XOQ DW code is currently used to assess the atmospheric dispersion for the routine releases of radioactive gaseous effluents at Yonggwang nuclear power plants. This code was developed based on XOQDOQ code and an additional code is required to assess the atmospheric dispersion for potential accidental releases. In order to assess the atmospheric dispersion for the accidental releases, XOQAR code has been developed by using PAVAN code that is based on Reg. Guide 1.145. The terrain data of XOQ DW code inputs and the relative concentrations (X/Q) of XOQ DW code outputs are used as the inputs of the XOQAR code through the interface with XOQ DW code. By using this code, the maximum values of X/Q at exclusion area and low population zone boundaries except for sea areas were assessed as 1.33 x 10 -4 and 7.66 x 10 -6 sec/m 3 , respectively. Through the development of this code, a code system is prepared for assessing the atmospheric dispersion for the accidental releases as well as the routine releases. This developed code can be used for other domestic nuclear power plants by modifying the terrain input data

  16. Investigation of post-accidental management conditions. Complete final report dated July 31, 2009

    International Nuclear Information System (INIS)

    2009-01-01

    After a presentation of the process which resulted in the setting up of an investigation aimed at testing recommendations for post-accidental management, this report indicates the objectives of this investigation: to study the application of recommendations made by the CODIR-PA (Management Committee - Post-Accidental Management) to the operators of the milk sector, and to define an action plan to carry on and resume production. According to the adopted methodology, the study comprised two phases. The first one comprised an analysis of applications in the milk sector, the study of operational consequences on a zoning proposed by the CORDI-PA on the milk sector and on milk products, and the study of the acceptability and feasibility of considered options. The second phase addressed the elaboration of an action plan to carry on and resume the activity. While identifying and assessing the various risks, it identified critical issues for carrying on or resuming milk production in a contaminated territory, and defined an action plan to implement by anticipation or in the post-accidental situation

  17. Decay heat removal and transient analysis in accidental conditions in the EFIT reactor

    International Nuclear Information System (INIS)

    Bandini, G.; Meloni, P.; Polidori, M.; Casamirra, M.; Castiglia, F.; Giardina, M.

    2007-01-01

    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 lead to the 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 1-D 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. (author)

  18. South Dakota accidental childhood deaths, 2000-2007: what can we do?

    Science.gov (United States)

    Svien, Lana R; Senne, Svien A; Rasmussen, Carl

    2010-05-01

    Unintentional injuries are the leading cause of death in children around the world and are an under-recognized public health problem in the United States. The purpose of this study was to highlight the nature of the problem in South Dakota and outline interventions that have been successful in reducing childhood injuries in other states. This quantitative retrospective study examined mortality files in South Dakota for children birth to 19 years of age who died between January 1, 2000 to December 28, 2007. Although the number of deaths declined considerably from 2006 to 2007, South Dakota had the second-highest rate in the nation of childhood unintentional injury deaths from all causes between 2000-2005. The majority of deaths occurred in males and were associated with transportation-related deaths. Suffocation was the leading cause of death for newborns to age 1 year. Childhood accidental death in South Dakota is clearly a critical public health problem. Intervention efforts to reduce deaths from unintentional injuries amongst children should be targeted as the leading causes of accidental death for specific age groups and American Indian youth. Physicians, health educators and policymakers must play a role in prevention targeting the high-risk groups in addition to advocating for policy changes to protect childhood safety. More stringent child restraint laws, graduated driving laws, smoking cessation programs for parents, creation of safer sleep environments and further investigation of why a high proportion of American Indian children die accidentally in South Dakota are all warranted.

  19. Accidental sequences associated with the containment of the pressurized water nuclear installation - INAP

    International Nuclear Information System (INIS)

    Natacci, Faustina Beatriz; Correa, Francisco

    2002-01-01

    The analysis of accidental sequences associated with the Containment is one of the most important tasks during the development of the Probabilistic Safety Assessment (PSA) of nuclear plants mainly because of its importance on the mitigation of consequences of severe postulated accident initiating events. This paper presents a first approach of the Containment analysis of the INAP identifying failures and events that can compromise its performance, and outlining accidental sequences and Containment end states. The initial plant damage states, which are the input for this study, are based on the event trees developed in the PSA level 1 for the INAP. It should be emphasized that since this PSA is still in a preliminary stage it is subjected to further completion. Consequently, the Containment analysis shall also be revised in order to incorporate, in an extension as complete as possible, all initial plant damage states, the corresponding event trees, and the related Containment end states. Finally, it can be concluded that the evaluation of the qualitative analysis presented herein allows a concise and broad knowledge of the qualitative analysis presented herein allows a concise and broad knowledge of the development of accidental sequences related to the Containment of the INAP. (author)

  20. Accidental strangulation in children by the automatic closing of a car window.

    Science.gov (United States)

    Serena, Kailene; Piva, Jefferson Pedro; Andreolio, Cinara; Carvalho, Paulo Roberto Antonacci; Rocha, Tais Sica da

    2018-03-01

    Among the main causes of death in our country are car accidents, drowning and accidental burns. Strangulation is a potentially fatal injury and an important cause of homicide and suicide among adults and adolescents. In children, its occurrence is usually accidental. However, in recent years, several cases of accidental strangulation in children around the world have been reported. A 2-year-old male patient was strangled in a car window. The patient was admitted to the pediatric intensive care unit with a Glasgow Coma Scale score of 8 and presented with progressive worsening of respiratory dysfunction and torpor. The patient also presented acute respiratory distress syndrome, acute pulmonary edema and shock. He was managed with protective mechanical ventilation, vasoactive drugs and antibiotic therapy. He was discharged from the intensive care unit without neurological or pulmonary sequelae. After 12 days of hospitalization, he was discharged from the hospital, and his state was very good. The incidence of automobile window strangulation is rare but of high morbidity and mortality due to the resulting choking mechanism. Fortunately, newer cars have devices that stop the automatic closing of the windows if resistance is encountered. However, considering the severity of complications strangulated patients experience, the intensive neuro-ventilatory and hemodynamic management of the pathologies involved is important to reduce morbidity and mortality, as is the need to implement new campaigns for the education of parents and caregivers of children, aiming to avoid easily preventable accidents and to optimize safety mechanisms in cars with electric windows.

  1. 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.

  2. Accidental ingestion of BiTine ring and a note on inefficient ring separation forceps

    Directory of Open Access Journals (Sweden)

    Baghele ON

    2011-05-01

    Full Text Available Om Nemichand Baghele1, Mangala Om Baghele21Department of Periodontology, SMBT Dental College and Hospital, Sangamner, Ahmednagar, Maharashtra, India; 2Private General Dental Practice, Mumbai, IndiaBackground: Accidental ingestion of medium-to-large instruments is relatively uncommon during dental treatment but can be potentially dangerous. A case of BiTine ring ingestion is presented with a note on inefficient ring separation forceps.Case description: A 28-year-old male patient accidentally ingested the BiTine ring (2 cm diameter, 0.5 cm outward projections while it was being applied to a distoproximal cavity in tooth # 19. The ring placement forceps were excessively flexible; bending of the beaks towards the ring combined with a poor no-slippage mechanism led to sudden disengagement of the ring and accelerated movement towards the pharynx. We followed the patient with bulk forming agents and radiographs. Fortunately the ring passed out without any complications.Clinical implications: Checking equipment and methods is as important as taking precautions against any preventable medical emergency. It is the responsibility of the clinician to check, verify and then use any instrument/equipment.Keywords: foreign bodies/radiography, foreign bodies/complications, equipment failure, dental instrument, accidental ingestion

  3. Accidental Carbon Monoxide Poisonings in Adana, Turkey: A 14-year Study

    Directory of Open Access Journals (Sweden)

    Murat Darçın

    2017-03-01

    Full Text Available Aim: Carbon monoxide (CO is often referred to as the “silent killer” because its victims cannot see it, smell it or taste it. CO is responsible for a large percentage of the accidental poisonings and deaths reported throughout the world. CO poisoning therefore is considered a serious global health threat. The aim of the present study was to describe the cases of CO poisoning in a rural areas of Adana, Turkey between 2002 and 2015 based on data collected from incident reports. Methods: The cases of accidental CO poisoning were statistically analyzed. During that period, 74 incidents occurred and 154 people were poisoned by accidental CO poisoning. Results: The results of this analysis indicate that men and adults aged ≥65 years were more likely to die from CO poisoning than others. The number of CO poisoning cases was highest during the heating season. The majority (72% of poisoning resulting in hospitalization with a life-threatening condition or death occurred within the home. Conclusion: CO poisoning is a serious danger. People must be informed about this hazard. By educating risk groups about the dangers of CO poisoning, it is possible to save many lives as well as reduce the health risks.

  4. Factors perceived as being related to accidental falls by persons with multiple sclerosis.

    Science.gov (United States)

    Nilsagård, Ylva; Denison, Eva; Gunnarsson, Lars-Gunnar; Boström, Katrin

    2009-01-01

    This study explores and describes factors that persons with multiple sclerosis (MS) perceive as being related to accidental falls. A qualitative content analysis with primarily deductive approach was conducted using the International Classification of Functioning, Disability and Health. Twelve persons with MS, and identified as fallers, were interviewed. Factors perceived to cause accidental falls that had not previously been targeted in MS populations in relation to falls were identified as divided attention, reduced muscular endurance, fatigue and heat sensitivity. Previously reported risk factors such as changed gait pattern, limited walking ability, impaired proprioception, vision and spasticity were supported. Activities involving walking, recreation and leisure, maintaining and changing body position, lifting or carrying, taking care of the home, washing the body, moving around, preparing meals and housekeeping were limited and considered to be risk activities. Supportive persons and assistive device reduced falls, and unsuitable physical environments and climate conditions induced falls. Several preventative strategies were described as partially compensating for the impairments, limitations and restrictions. Investigating accidental falls using the perspective of the patient gave important information about variables not earlier targeted in MS research.

  5. Accidental strangulation in children by the automatic closing of a car window

    Science.gov (United States)

    Serena, Kailene; Piva, Jefferson Pedro; Andreolio, Cinara; Carvalho, Paulo Roberto Antonacci; da Rocha, Tais Sica

    2018-01-01

    Among the main causes of death in our country are car accidents, drowning and accidental burns. Strangulation is a potentially fatal injury and an important cause of homicide and suicide among adults and adolescents. In children, its occurrence is usually accidental. However, in recent years, several cases of accidental strangulation in children around the world have been reported. A 2-year-old male patient was strangled in a car window. The patient was admitted to the pediatric intensive care unit with a Glasgow Coma Scale score of 8 and presented with progressive worsening of respiratory dysfunction and torpor. The patient also presented acute respiratory distress syndrome, acute pulmonary edema and shock. He was managed with protective mechanical ventilation, vasoactive drugs and antibiotic therapy. He was discharged from the intensive care unit without neurological or pulmonary sequelae. After 12 days of hospitalization, he was discharged from the hospital, and his state was very good. The incidence of automobile window strangulation is rare but of high morbidity and mortality due to the resulting choking mechanism. Fortunately, newer cars have devices that stop the automatic closing of the windows if resistance is encountered. However, considering the severity of complications strangulated patients experience, the intensive neuro-ventilatory and hemodynamic management of the pathologies involved is important to reduce morbidity and mortality, as is the need to implement new campaigns for the education of parents and caregivers of children, aiming to avoid easily preventable accidents and to optimize safety mechanisms in cars with electric windows.

  6. Epidemiología de las lesiones por quemaduras Epidemiology of lesions provoked by burns

    Directory of Open Access Journals (Sweden)

    José A Viñas Díaz

    2009-12-01

    Full Text Available Las quemaduras son una causa importante de muerte accidental, solo superadas por los accidentes de automóviles. Con el objetivo de conocer algunos aspectos de la epidemiología de las quemaduras en Pediatría en la provincia de Pinar del Río (Cuba, se realizó una investigación transversal, descriptiva que abarcó 26 casos con edades comprendidas entre 0-18 años, ingresados con el diagnóstico de quemaduras no intencionales en el Servicio de Caumatología del Hospital "Abel Santamaría Cuadrado" Pinar del Río. (Cuba, durante el año 2006. Se revisaron las historias clínicas y para el tratamiento de la información se utilizó la estadística descriptiva, determinando la relación entre las variables estudiadas. Se encontró que el grupo más afectado era el menor de 15 años (96.2 %, en la cocina (42.3 %por escaldadura, por líquidos calientes (53,8%. No hubo fallecidos. La prevención es un aspecto decisivo para evitar este tipo de accidente.Burns are one of the most important causes of accidental death, only exceeded by traffic accidents. This paper is aimed at knowing issues related to the epidemiology of burns in pediatric ages in Pinar del Rio Province, Cuba. A cross-sectional, descriptive study was conducted with 26 burned children (0-18 years old admitted to the Caumatology Service at "Abel Santamaria" General University Hospital, during 2006. Clinical records were the source of information and descriptive statistics for showing frequencies and X² at 95 % of certainty was used for homogeneity. The group of ages younger than 15 years old was the most affected (96.2 %. Burns were mainly produced at the kitchen (42, 3 % by hot liquids (scalds (53.8 %, among other causes without mortality. Prevention is a decisive action to avoid this type of accident.

  7. Tratamiento osteopático en una lesión por Whiplash. Caso clínico

    OpenAIRE

    Ruiz Morcillo, Irene

    2008-01-01

    Introducción: El caso que presentamos a continuación se trata de un hombre de 25 años. Acude a consulta a los diez días de sufrir un accidente de tráfico y con un diagnóstico médico de whiplash o latigazo cervical. El paciente refiere dolor y disminución de la movilidad en la región cervical, dorsal alta, lumbosacra y mareos leves desde el accidente. Objetivos: Explicar el mecanismo de la lesión por Whiplash; valoración de los resultados obtenidos tras el tratamiento osteopátic...

  8. Evaluación económica del daño moral en el ámbito de los accidentes de trabajo: un método basado en indicadores estadísticos normalizados

    Directory of Open Access Journals (Sweden)

    José Luis Navarro Espigares

    2008-06-01

    Full Text Available Dos recientes pronunciamientos de la Sala 4 ª de lo Social del Tribunal Supremo han puesto fin a la doctrina jurisprudencial por la que, para evitar el "enriquecimiento injusto" del trabajador accidentado, se exoneraba al empresario del deber de reparar los perjuicios causados en un accidente de trabajo o enfermedad profesional, por el incumplimientos de sus obligaciones en materia de seguridad. Este cambio jurisprudencial obliga a abordar la cuantificación económica de los distintos componentes indemnizatorios. En este trabajo ofrecemos un novedoso método para la evaluación económica directa del daño moral basado los años de vida ajustados por calidad perdidos por los trabajadores que sufren un accidente de trabajo. El método propuesto se ofrece como una alternativa ventajosa frente a la utilización del baremo de tráfico.Two recent Social Supreme Court rulings have put an end to the jurisprudential doctrine that prevented the "unfair enrichment" of an injured worker. This doctrine exempted the employer from the obligation of repairing the damage caused by work accidents or occupational diseases, stemming from breaches of the employer’s security obligations. The jurisprudential change requires addressing the economic quantification of the various components of workers’ compensation. Our study offers a novel method for assessing the economic value of moral damage based on Quality Adjusted Life Years lost by workers who suffer a work accident. The proposed method is presented as an alternative that is more appropriate than the use of the traffic scale.

  9. Uso de álcool em vítimas de acidentes de trânsito: estudo do nível de alcoolemia Uso de alcohol en accidentes de tránsito: estudio del nivel de alcoholemia Alcohol use and traffic accidents: a study of alcohol levels

    Directory of Open Access Journals (Sweden)

    Ângela Maria Mendes Abreu

    2010-06-01

    Full Text Available Trata-se de estudo exploratório descritivo. O objetivo foi correlacionar os níveis de alcoolemia, detectados nas vítimas fatais por acidentes de trânsito, na cidade do Rio de Janeiro, a partir dos registros do Instituto Medico Legal -IML, com o perfil da vítima e as características dos acidentes. Os dados foram levantados no arquivo do IML, por meio dos prontuários de vítimas fatais por acidentes de trânsito, compilados e tabulados Poe meio do programa estatístico SPSS, no período compreendido entre janeiro e maio de 2005. Avaliaram-se 348 prontuários de vítimas fatais por acidentes de trânsito. Desses, apenas 94 realizaram o exame de alcoolemia, sendo que 83 apresentaram alcoolemia positiva e 60,2% níveis acima de 0,6g/l. Evidenciou-se o envolvimento do álcool com vítimas fatais nos acidentes de trânsito em níveis acima e abaixo de 0,6g/l de álcool por litro de sangue.Se trata de estudio epidemiológico exploratorio y descriptivo. El objetivo fue correlacionar los niveles de alcoholemia detectados en las víctimas fatales por accidentes de tránsito, en la ciudad de Río de Janeiro (datos de los registros del Instituto Médico Legal/IML con el perfil de la víctima y las características de los accidentes. Los datos fueron recolectados del archivo del IML, a través de los registros que constaban en las fichas de víctimas fatales por accidentes de tránsito; fueron compilados y se elaboraron tablas con el Programa estadístico SPSS, en el período comprendido entre enero y mayo de 2005. Fueron levantados datos sobre 348 víctimas fatales por accidentes de tránsito, de estos, apenas 94 realizaron el examen de alcoholemia, siendo que en 83 fueron detectados niveles de alcoholemia; el 60,2% presentó niveles por encima de 0,6g de alcohol por litro de sangre. Se mostró evidente el envolvimiento del alcohol en accidentes de tránsito con víctimas fatales, en niveles por encima y por debajo de 0,6g de alcohol por litro de

  10. 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).

  11. Therapeutic approaches of hematopoietic syndrome after serious accidental global irradiation. Ex vivo expansion interest of hematopoietic cells

    International Nuclear Information System (INIS)

    Thierry, D.

    1994-01-01

    Aplasia is one of the main syndrome, appearing after one global accidental irradiation by one ionizing radiation source. The hematopoietic syndrome is characterized by a peripheric blood cell number fall; the cell marrow is reduced too

  12. 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.

  13. 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

  14. Porøse materialer

    DEFF Research Database (Denmark)

    Hansen, Ernst Jan de Place

    2000-01-01

    Dette undervisningsnotat er en samling af noter, der refererer til den indledende del af kurset Materialmekanik og Porøse materailer på Insitut for Bærende Konstruktiner og Materialer (BKM).......Dette undervisningsnotat er en samling af noter, der refererer til den indledende del af kurset Materialmekanik og Porøse materailer på Insitut for Bærende Konstruktiner og Materialer (BKM)....

  15. 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...... society. For others, the handling of plural perspectives is just a management discipline. However these positions seem to share a focus on organization as a the arena for the organization of the good. The contribution looks at the management of occupational accidents as an example of striving for good...

  16. Accidental overexposures

    International Nuclear Information System (INIS)

    Nenot, J.C.

    1993-03-01

    The accident frequency seems to increase rapidly, probably because of the industrial source use development. In opposition to that was noted twenty years ago, the accidents don't involve only the industrial firm or hospital wage earners but also public people. Serious accident analysis puts to the fore the defects which made them possible. The accidents due to energy production reactors are very seldom even if Chernobyl or nuclear submarine accidents have exposed about several hundreds workers to doses going beyond one gray. 78 refs. 17 figs. 14 tabs. 3 annexes

  17. Accidental Hypothermia,

    Science.gov (United States)

    1988-03-03

    Physiological aspects of hypothermia. A, Ann Rev Physiol 1957; 19: 83. 241. Kearsley JH, Musso AF: Hypothermia and coma in the Wernicke- Korsakoff syndrome . Med 3...decline. Included in this group are patients with hypothalamic lesions and agenesis of the corpus callosum, termed the Shapiro Syndrome .46 1�...peculiar fIat affect is conuon. Psychomotor impairrrent resembles organic brain syndrome . 8 1� Appropriate adaptive behavior is often lacking.82 An

  18. 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

  19. Accidental Outcomes Guide Punishment in a “Trembling Hand” Game

    Science.gov (United States)

    Cushman, Fiery; Dreber, Anna; Wang, Ying; Costa, Jay

    2009-01-01

    How do people respond to others' accidental behaviors? Reward and punishment for an accident might depend on the actor's intentions, or instead on the unintended outcomes she brings about. Yet, existing paradigms in experimental economics do not include the possibility of accidental monetary allocations. We explore the balance of outcomes and intentions in a two-player economic game where monetary allocations are made with a “trembling hand”: that is, intentions and outcomes are sometimes mismatched. Player 1 allocates $10 between herself and Player 2 by rolling one of three dice. One die has a high probability of a selfish outcome, another has a high probability of a fair outcome, and the third has a high probability of a generous outcome. Based on Player 1's choice of die, Player 2 can infer her intentions. However, any of the three die can yield any of the three possible outcomes. Player 2 is given the opportunity to respond to Player 1's allocation by adding to or subtracting from Player 1's payoff. We find that Player 2's responses are influenced substantially by the accidental outcome of Player 1's roll of the die. Comparison to control conditions suggests that in contexts where the allocation is at least partially under the control of Player 1, Player 2 will punish Player 1 accountable for unintentional negative outcomes. In addition, Player 2's responses are influenced by Player 1's intention. However, Player 2 tends to modulate his responses substantially more for selfish intentions than for generous intentions. This novel economic game provides new insight into the psychological mechanisms underlying social preferences for fairness and retribution. PMID:19707578

  20. 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.

  1. 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.

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

    International Nuclear Information System (INIS)

    Li, Yi; Lin, Feng; Gu, Xianglin; Lu, Xiaoqin

    2014-01-01

    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. Accidental internal exposure of all groups of Chernobyl nuclear power plant employees

    International Nuclear Information System (INIS)

    Goussev, I.A.; Moissev, A.A.; Evtichiev, V.I.

    1996-01-01

    Accidental internal exposure of Chernobyl NPP employees has started from April, 1986 and it was found to be decreased to pre-accident level at the end of 1987. Significant number of people from all groups of staff and temporary employees were measured using whole body counters situated in Clinical Department of the Institute of Biophysics, which has represented the main body for medical assistance and expertise in these people including those, who suffered from acute radiation syndrome as well as the people engaged in all kinds of works at Chernobyl NPP site. Technical characteristics of the equipment and techniques used to assess the internal exposure are given. (author)

  4. Guidelines on the medical therapy of persons accidentally overexposed to ionizing radiations. Internal contamination

    International Nuclear Information System (INIS)

    Di Trano, J.L.; Perez, M.R.; Gisone, P.

    1999-01-01

    This work represent a guide for the treatment of accidental intakes of radionuclides. The different phases of radioactive contamination, the transfer and non-transfer of radioisotopes, the general principles in the treatment of internal contamination and the follow-up are determined. The in vivo monitoring and the evaluation of activity level are specified in this document. The applied treatment depends on the via of intake, that is: inhalation, ingestion, and through skin. The decontamination procedures that reduce the radionuclide transfer are specified. The different drugs, used to enhance radionuclides elimination, are enumerated in this work. Considerations about the iodine prophylaxis in radiologic als accidents are considered. (author)

  5. Initiating events and accidental sequences taken into account in the CAREM reactor design

    International Nuclear Information System (INIS)

    Kay, J.M.; Felizia, E.R.; Navarro, N.R.; Caruso, G.J.

    1990-01-01

    The advance made in the nuclear security evaluation of the CAREM reactor is presented. It was carried out using the Security Probabilistic Analysis (SPA). The latter takes into account the different phases of identification and solution of initiating events and the qualitative development of event trees. The method of identification of initiating events is the Master Logical Diagram (MLD), whose deductive basis makes it appropriate for a new design like the one described. The qualitative development of the event trees associated to the identified initiating events, allows identification of those accidental sequences which are to have the security systems in the reactor. (Author) [es

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

    International Nuclear Information System (INIS)

    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

  7. Insect wings as retrospective/accidental/forensic dosimeters: An optically stimulated luminescence investigation

    International Nuclear Information System (INIS)

    Kazakis, Nikolaos A.; Tsetine, Anastasia Th.; Kitis, George; Tsirliganis, Nestor C.

    2016-01-01

    Estimation of the radiation released during nuclear accidents or radiological terrorist events is imperative for the prediction of health effects following such an exposure. In addition, in several cases there is a need to identify the prior presence of radioactive materials at buildings or sites (nuclear forensics). To this direction, several materials have been the research object of numerous studies the last decade in an attempt to identify potentially new retrospective/accidental/forensic dosimeters. However, the studies targeting biological materials are limited and their majority is mainly focused on the luminescence behavior of human biological material. Consequently, the use of such materials in retrospective dosimetry presumes the exposure of humans in the radiation field. The present work constitutes the first attempt to seek non-human biological materials, which can be found in nature in abundance or in/on other living organisms. To this end, the present work investigates the basic optically stimulated luminescence behavior of insect wings, which exhibit several advantages compared to other materials. Insects are ubiquitous, have a short life expectancy and exhibit a low decomposition rate after their death. Findings of the present study are encouraging towards the potential use of insects' wings at retrospective/accidental/forensic dosimetry, since they exhibit linear OSL response over a wide dose range and imperceptible loss of signal several days after their irradiation when they are kept in dark. On the other hand, the calculated lower detection limit is not low enough to allow their use as emergency dosimeters when individuals are exposed to non-lethal doses. In addition, wings exhibit strong optical fading when they are exposed to daylight and thus special care should be taken during the sampling procedure in order to use the wings as accidental/forensic dosimeters, by seeking (dead) insects in dark places, such as behind furniture, equipment or in

  8. Categorización de accidentes en plantas de producción de fertilizantes

    OpenAIRE

    Arias-Paz Castillo, Manuel

    2017-01-01

    El presente proyecto se enmarca en el estudio y categorización de los diferentes tipos de accidentes industriales que ocurren en el ámbito de las plantas de producción de fertilizantes. En primer lugar, se tratan los conceptos de riesgo y seguridad. A continuación se detallan las características de la seguridad industrial, detallando su evolución a lo largo de la Historia para comprender finalmente el estado en el que se encuentra actualmente.

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

    International Nuclear Information System (INIS)

    Raskob, W.

    1999-01-01

    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)

  10. Comparison of numerical models for calculating dispersion from accidental releases of pollutants

    Energy Technology Data Exchange (ETDEWEB)

    Pepper, D W [Savannah River Lab., Aiken, SC; Cooper, R E; Baker, A J

    1982-01-01

    A modular, data-based system approach has been developed to facilitate computational simulation of multi-dimensional pollutant dispersion in atmospheric, steam, estuary, and groundwater applications. This system is used to assess effects of accidental releases of pollutants to the environment. Model sophistication ranges from simple statistical to complex three-dimensional numerical methods. The system used specifies desired degree of model sophistication from a terminal. The model used depends on the particular type of problem being solved, and on a basis of merit related to computer cost. The results of prediction for several model problems are presented.

  11. Accidentes domésticos en ancianos. Municipio Libertador. Mérida. 1993 - 1996.

    OpenAIRE

    Rojas Márquez, Reina; Salinas, Pedro José

    2006-01-01

    Editorial. ¡Ya tenemos símbolo, ícono o logotipo!. Now we have symbol, icono or logo!. Salinas, Pedro José Accidentes domésticos en ancianos. Municipio Libertador. Mérida. 1993-1996. Domestics accidents in elderly people. Libertador County of Mérida State. 1993-1996. Salinas, Pedro José Rojas Márquez, Reina Estrés y síntomas en personal de salud del Hospital Universitario de Los Andes. Stress and symptoms in health staff of the Hospital Universitario de Los Andes. Méri...

  12. Terapéuticas intervencionistas para el accidente cerebrovascular isquémico

    OpenAIRE

    Alejandra T. Rabadán; 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...

  13. Respiratuvar depression after accidental nasal ingestion of brimonidine eye drops in infant

    Directory of Open Access Journals (Sweden)

    Ali Gunes

    2016-12-01

    Full Text Available Objectives: Brimonidine tartrate is an alpha-2 agonist used for glaucoma treatment. It can lead to serious poisoning symptoms when misused by children. Case report: In this case report, 3 months-old male patient with severe central nervous system depression and respiratory arrest as a result of accidentally nasal instillation of 1 cc brimonidine tartrate that benefited from mechanic ventilation and naloxone treatment was presented. Conclusion: This case report suggested, that misuse of nasal brimonidine eye drop could result in serious respiratory distress and central nervous system depression. Mechanical ventilation and naloxone administration can be useful for these patients. Keywords: Brimonidine intoxication, Nasal ingestion, Children

  14. 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.

  15. Accidental hypothermia in Poland – estimation of prevalence, diagnostic methods and treatment.

    Science.gov (United States)

    Kosiński, Sylweriusz; Darocha, Tomasz; Gałązkowski, Robert; Drwiła, Rafał

    2015-02-06

    The incidence of hypothermia is difficult to evaluate, and the data concerning the morbidity and mortality rates do not seem to fully represent the problem. The aim of the study was to estimate the actual prevalence of accidental hypothermia in Poland, as well as the methods of diagnosis and management procedures used in emergency rooms (ERs). A specially designed questionnaire, consisting of 14 questions, was mailed to all the 223 emergency rooms (ER) in Poland. The questions concerned the incidence, methods of diagnosis and risk factors, as well as the rewarming methods used and available measurement instruments. The analysis involved data from 42 ERs providing emergency healthcare for the population of 5,305,000. The prevalence of accidental hypothermia may have been 5.05 cases per 100.000 residents per year. Among the 268 cases listed 25% were diagnosed with codes T68, T69 or X31, and in 75% hypothermia was neither included nor assigned a code in the final diagnosis. The most frequent cause of hypothermia was exposure to cold air alongside ethanol abuse (68%). Peripheral temperature was measured in 57%, core temperature measurement was taken in 29% of the patients. Peripheral temperature was measured most often at the axilla, while core temperature measurement was predominantly taken rectally. Mild hypothermia was diagnosed in 75.5% of the patients, moderate (32-28°C) in 16.5%, while severe hypothermia (less than 28°C) in 8% of the cases. Cardiopulmonary resuscitation was carried out in 7.5% of the patients. The treatment involved mainly warmed intravenous fluids (83.5%) and active external rewarming measures (70%). In no case was extracorporeal rewarming put to use. The actual incidence of accidental hypothermia in Polish emergency departments may exceed up to four times the official data. Core temperature is taken only in one third of the patients, the treatment of hypothermic patients is rarely conducted in intensive care wards and extracorporeal rewarming

  16. Parametric study of the Ignalina reactor building capability as barrier against accidental releases of radioactivity

    International Nuclear Information System (INIS)

    Blomquist, R.; Johansson, Kjell; Nilsson, Lars.

    1993-01-01

    The results of a parametric study are offered to the Ignalina plant management staff and to the Lithuanian and Swedish nuclear inspectorates as a basis for a decision whether there is mutual interest in a project for the purpose of strengthening the Ignalina reactor buildings inherent capabilities to provide a barrier against accidental releases of radioactivity. Practical measures to consider are: * establish natural convection of warm air from the steam drums to the tall stack of 150 m height. * reduce the resulting draught of air through the reactor hall floor between the fuel channel shield blocks into the steam drum compartments. * apply filtration to the stack air flow. 18 refs

  17. 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.).

  18. Indications of hematopoietic stem cell transplantations and therapeutic strategies of accidental irradiations

    International Nuclear Information System (INIS)

    2003-01-01

    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

  19. Non-accidental injury in children in Kuala Lumpur: An urban perspective

    Directory of Open Access Journals (Sweden)

    Faridah Mohd Nor

    2016-12-01

    Full Text Available Non-accidental deaths in children in Kuala Lumpur, Malaysia are not uncommon, and they are often reported for identification of injuries. Five case series in children are presented here with typical injuries of differing ages in child abuse. Where history was partially hidden from the real scenario, involvement of family members was inevitable. The injuries were particularly diversified from a single unprecedented injury to multiple severe injuries, which led to the deaths of children less than 3 years of age. The discussion revolved around the autopsy and ancillary investigations in the context of urban perspectives in Kuala Lumpur area.

  20. 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.

  1. Accidental Ingestion of Instruments in Pediatric Dental Patients: Report of Three Cases

    Directory of Open Access Journals (Sweden)

    Amey Panse

    2012-01-01

    Full Text Available Very young children are at risk of swallowing or aspirating numerous household things. This risk is enhanced during dental procedures of these children as they tend to be very unco-operative due to their age and lack of maturity to understand the importance of the treatment. Use of physical barriers, sedation or general anesthesia is not practically possible in every child scheduled for dental treatment. Dentist must be able to manage emergency situations in which patients accidentally swallow dental instruments or materials during treatment and procedures. This article presents ingestion of dental objects in 3 children and attempts to discuss the management and prevention of such mishaps.

  2. Knowledge and tools formalization in the accidental risks domain (DRA-35) Ω-13 Boilover

    International Nuclear Information System (INIS)

    Patej, S.

    2003-03-01

    Since 2000 the Ministry of the environment is financing a studies and researches program, called since 2003 ''formalization of the knowledge and tools in the domain of the major risks'' DRA-35. The aim of this program is to realize a document formalizing the INERIS expertise in the domain of the accidental risks: the physical phenomenon implied in the accidents, the risks analysis and control, the methodological aspects for the realization of regulations. This report presents the study of the boilover physical phenomenon. (A.L.B.)

  3. Modelo de identificación y caracterización de tramos de carreteras sin accidentes (tramos blancos. Aplicación a la red de autopistas de peaje españolas

    Directory of Open Access Journals (Sweden)

    de la Peña-González, E.

    2015-12-01

    Full Text Available The traditional approach to infrastructural safety follows the consideration of mitigation tools, such as the identification and management of black spots or road sections with high accident concentration, or preventing tools, as road safety audits and inspections. A complement to these tools is presented in this paper, from a new perspective: the consideration of road sections where, under similar conditions and similar risk exposure, there are no accidents (white road sections. A model has been calibrated to the Spanish toll motorways network, identifying the specific geometric parameters and traffic characteristics which have the highest influence in the occurrence of white sections with sufficient length, without accidents during a significant period of time: heavy vehicles traffic volume, with of the road section and speed.El planteamiento tradicional de análisis de la accidentalidad en carretera pasa por la consideración de herramientas paliativas, como son la identificación y gestión de los puntos negros o tramos de concentración de accidentes, o preventivas, como las auditorías o inspecciones de seguridad vial. En este artículo se presenta un complemento a estas herramientas, desde una perspectiva novedosa: la consideración de los tramos donde, bajo unas condiciones similares a las de otros tramos y una similar exposición al riesgo, no se producen accidentes (tramos blancos. Se resume el modelo que se ha calibrado para las autopistas de peaje españolas, identificando los parámetros específicos de la geometría de la vía y del tráfico que más influencia tienen en el hecho de que en algunos tramos de suficiente longitud, no se produzcan accidentes durante un periodo significativo de tiempo: el tráfico de pesados, al ancho de calzada y la velocidad de circulación.

  4. Las cosas por su nombre

    OpenAIRE

    Storani, Emilia

    2017-01-01

    El artículo propone indagar sobre los modos y diferentes formatos que se utilizan tanto en la escritura como en la lectura, para articular con las luchas por la identidad de género. La Ley de Identidad de Género ha sido un puntapié clave para pensarnos a nosotros mismos culturalmente y para pensar a los demás. Pero, ¿cómo mencionamos, escribimos y leemos las diferentes identidades? La escritura, también es un mundo transformador para quienes bregan por una sociedad más libre y sin prejuicios....

  5. Ptose palpebral causada por Paquidermoperiostose

    Directory of Open Access Journals (Sweden)

    Patricia Regina de Pinho Tavares

    2014-08-01

    Full Text Available A paquidermoperiostose é uma síndrome caracterizada por acometimento cutâneo e ósseo, e em alguns casos ocorre comprometimento palpebral leve. É uma síndrome rara, idiopática ou hereditária, com provável herança autossômica dominante de penetrância variável. Descreve-se o caso de um paciente com ptose grave por paquidermoperiostose elucidando sua fisiopatologia e conduta cirúrgica aplicada.

  6. Diverticulitis yeyunal perforada por enterolito.

    OpenAIRE

    Marenco De la Cuadra, Beatriz; Gomez-Rosado, Juan-Carlos; Capitan-Morales, Luis-Cristobal; Valdés Hernández, Javier; Reyes-lopera, N.J. De los

    2012-01-01

    La diverticulosis yeyunal es una enfermedad adquirida rara. Casi el 60-70% keeps asymptomátic or Con síntomas crónicos inespecíficos, aunque puede presentarse como un abdomen agudo. La perforación debida a enterolitos es una causa extremadamente rara do complicación, y puede producirse por la impactación de ésta contra la pared intestinal. Presentamos caso de un varón de 82 años que acude a urgencias por un dolor súbito abdominal, difuso, con irritación peritoneal, leucocitosis con neutro...

  7. Parental cannabis abuse and accidental intoxications in children: prevention by detecting neglectful situations and at-risk families.

    Science.gov (United States)

    Pélissier, Fanny; Claudet, Isabelle; Pélissier-Alicot, Anne-Laure; Franchitto, Nicolas

    2014-12-01

    Cannabis intoxication in toddlers is rare and mostly accidental. Our objectives were to focus on the characteristics and management of children under the age of 6 years who were admitted to our emergency department with cannabis poisoning reported as accidental by parents, and to point out the need to consider accidental cannabis ingestions as an indicator of neglect. The medical records of children hospitalized for cannabis poisoning in a pediatric emergency department from January 2007 to November 2012 were retrospectively evaluated. Data collected included age, sex, drug ingested, source of drug, intentional versus accidental ingestion, pediatric intensive care unit or hospital admission, treatment and length of hospital stay, toxicology results, and rate of child protectives services referral. Twelve toddlers (4 boys and 8 girls; mean age, 16.6 months) were included. All had ingested cannabis. Their parents reported the ingestion. Seven children experienced drowsiness or hypotonia. Three children were given activated charcoal. Blood screening for cannabinoids, performed in 2 cases, was negative in both, and urine samples were positive in 7 children (70%). All children had favorable outcomes after being hospitalized from 2 to 48 hours. Nine children were referred to social services for further assessment before discharge. Cannabis intoxication in children should be reported to child protection services with the aim of prevention, to detect situations of neglect and at-risk families. Legal action against the parents may be considered. Accidental intoxication and caring parents should be no exception to this rule.

  8. Un nuevo caso de resistencia a un bismuto oleo-soluble: curación por una sal insoluble

    Directory of Open Access Journals (Sweden)

    Ch. Petouraud

    1934-07-01

    Full Text Available Acabamos de observar, simple coincidencia o efecto de la casualidad, un nuevo caso de bismuto resistencia que recuerda al que uno de nosotros encontró recientemente con el Profesor Nicolas. S. Joseph, 24 años, es visto por primera vez el 6 de mayo de 1933, en la consulta del servicio hospitalario de Dermato-Syphiligraphie de Antiquille (ficha Nv 5886, Dr. Gaté, para accidentes secundarios típicos; roséola discreta, sifilides papulosas y córneas de las regiones palmares, ganglios supraepitrccleanos y oervicales, reacción de Wassermann muy positiva en la sangre.

  9. Evaluation of accidental coincidences for time-differential Moessbauer-spectroscopy

    International Nuclear Information System (INIS)

    Alflen, M.; Meyer, W.

    1995-01-01

    The accidental coincidences of a measuring system based on time-to-amplitude conversion are considered in some detail for the case of low starting and high stopping rates. Two types of accidental coincidences are distinguished, those carrying time information and those without time information. Neglecting any deadtime effects of the detectors, analytical expressions for the calculation of the time distribution of the random coincidences are evaluated. The analytical expressions have been confirmed by Monte Carlo simulations. The procedure is applied to time-differential Moessbauer spectroscopy in order to extract the time spectra of true coincidences. The measured spectrum in a time channel turns out to be a superposition of the true spectrum (true coincidences), a time integral spectrum (random coincidences), and a weighted superposition of true spectra of other time channels (random but time carrying information). A measurement with a single line 57 Co/Rh-source and single line K[Fe(CN) 6 ].3H 2 O-absorber with stopping rates of 1 MBq shows agreement between the theoretical time-filtered spectra and the corrected measured spectra of true coincidences. ((orig.))

  10. Critical experiments simulating accidental water immersion of highly enriched uranium dioxide fuel elements

    International Nuclear Information System (INIS)

    Ponomarev-Stepnoi, N.N.; Glushkov, L.S.

    2003-01-01

    The paper focuses on experimental analysis of nuclear criticality safety at accidental water immersion of fuel elements of the Russian TOPAZ-2 space nuclear power system reactor. The structure of water-moderated heterogeneous critical assemblies at the NARCISS facility is described in detail, including sizes, compositions, densities of materials of the main assembly components for various core configurations. Critical parameters of the assemblies measured for varying number of fuel elements, height of fuel material in fuel elements and their arrangement in the water moderator with a uniform or variable spacing are presented. It has been found from the experiments that at accidental water immersion of fuel elements involved, the minimum critical mass equal to approximately 20 kg of uranium dioxide is achieved at 31-37 fuel elements. The paper gives an example of a physical model of the water-moderated heterogeneous critical assembly with a detailed characterization of its main components that can be used for calculations using different neutronic codes, including Monte Carlo ones. (author)

  11. Accidental releases of radionuclides: a preliminary study of the consequences of land contamination

    International Nuclear Information System (INIS)

    Simmonds, J.R.; Haywood, S.M.; Linsley, G.S.

    1982-10-01

    The long term consequences of land contamination from accidental releases of activity from thermal reactors are examined. The radiological consequences are assessed using an analysis of the exposure of individuals and the population to ground deposits of the radionuclides released. The contribution of the different nuclides in the release by their various exposure routes to the irradiation of man are calculated as a function of time after release and the most radiologically important are identified. A preliminary assessment is made of off-site economic and social consequences of accidental releases by estimating the areas of land which would be affected by the introduction of countermeasures to control individual radiation exposure due to external irradiation from ground deposits (relocation of populations), and the intake of radionuclides contained in locally produced foodstuffs (restrictions on food production). The areas where administrative controls would be necessary decline in size with time after the release; estimates are made of this time-dependent behaviour using dynamic environmental transfer models. Finally, the collective doses saved by the introduction of countermeasures are estimated using population and agricultural distribution data for a rural location in the United Kingdom. (author)

  12. Chronic or accidental exposure of oysters to norovirus: is there any difference in contamination?

    Science.gov (United States)

    Ventrone, Iole; Schaeffer, Julien; Ollivier, Joanna; Parnaudeau, Sylvain; Pepe, Tiziana; Le Pendu, Jacques; Le Guyader, Françoise S

    2013-03-01

    Bivalve molluscan shellfish such as oysters may be contaminated by human pathogens. Currently, the primary pathogens associated with shellfish-related outbreaks are noroviruses. This study was conducted to improve understanding of oyster bioaccumulation when oysters were exposed to daily contamination or one accidental contamination event, i.e., different modes of contamination. Oysters were contaminated with two representative strains of norovirus (GI.1 and GII.3) and then analyzed with real-time reverse transcription PCR. Exposure to a repeated virus dose for 9 days (mimicking a growing area subjected to frequent sewage contamination) led to an additive accumulation that was not significantly different from that obtained when the same total dose of virus was added all at once (as may happen after accidental sewage discharge). Similarly, bioaccumulation tests performed with mixed strains revealed additive accumulation of both viruses. Depuration may not be efficient for eliminating viruses; therefore, to prevent contaminated shellfish from being put onto the market, continuous sanitary monitoring must be considered. All climatic events or sewage failures occurring in production areas must be recorded, because repeated low-dose exposure or abrupt events may lead to similar levels of accumulation. This study contributes to an understanding of norovirus accumulation in oysters and provides suggestions for risk management strategies.

  13. Factores de riesgo relacionados con los accidentes domésticos

    Directory of Open Access Journals (Sweden)

    Nereida Pacios Alfonso

    1998-10-01

    Full Text Available Se realiza observación de los factores de riesgo en 176 hogares durante 12 meses. Se clasifican los apartamentos en 3 grupos según el número de factores detectados. Se visitan trimestralmente y se observan las características de los accidentes domésticos ocurridos. En el 30% de los hogares se concentra el 63% de los accidentes, la morbilidad mayor se concentra en los hogares en que hay mayor número de factores de riesgo, lo que nos hace pensar que el trabajo educativo debe ser planificado y diferenciado, especialmente dirigido a modificar conductas en los hogares de alto riesgo para hacer más efectiva la prevención del fenómenoRisk factors are observed at 176 homes during 12 months. Apartments are classified into 3 groups according to the number of factors. Homes are quarterly visited and the characteristics of the accidents occurred are analyzed. 63 % of the accidents are detected in 30 % of the houses. The highest morbidity is concentrated on those houses having more risk factors, which makes us think that the educative work must be planned and differentiated, specially directed to modify conducts at high risk houses in order to make the prevention of the phenomenon more effective

  14. Fatal occupational injuries in the Malaysian construction sector–causes and accidental agents

    Science.gov (United States)

    Ayob, A.; Shaari, A. A.; Zaki, M. F. M.; Munaaim, M. A. C.

    2018-04-01

    The construction sector is associated with various accidents and fatal injuries. These occupational accidents are caused by numerous factors, such as lack of supervision; lack of adherence to safe work technique; failure to wear personal protective equipment; and failure to comply with the safe use of tools, vehicles, and machines. Using 2013–2016 secondary data from the Department of Occupational Safety and Health and Social Security Organization, this study conducted a descriptive exploration survey to identify common fatal occupational injuries associated with the Malaysian construction sector, as well as their causes and accidental agents. Results indicated that construction, followed by manufacturing, agriculture, forestry, logging, and fishery, are the riskiest job sectors in Malaysia. The highest incidences of occupational casualties were reported in Sarawak, Johor, and Selangor. These states accounted for approximately 13.33% to 18.18% of all cases of fatal occupational accidents. In these states, the lack of safety and health regulations and poor execution of risk management increased the risk of occupational accidents. Falls from heights accounted for 46.28% of fatal occupational injuries. Furthermore, being crushed by objects, materials, or vehicles accounted for 9.09% to 17.36% of fatal occupational injuries. Substandard work environment and transportation and lifting equipment, such as scaffolds, are primary accidental agents. Results of this study could enhance the knowledge and awareness of construction workers and management of job-related injuries to decrease the incidence of fatal occupational accidents.

  15. Intentional and accidental paracetamol poisoning in childhood – a retrospective analysis

    Directory of Open Access Journals (Sweden)

    Katarzyna Kominek

    2015-04-01

    Full Text Available Paracetamol is one of the most commonly used analgesics and antipyretics available without limits as preparations of the OTC group (over the counter drugs. Overdose and poisoning with this drug always brings about the risk of acute hepatic failure. The objective of the study was a retrospective evaluation of patients hospitalized in the Paediatric Clinic during the period 2004–2012 due to poisoning with paracetamol.The analysis covered 44 patients hospitalized in the Paediatric Clinic during 2004–2012 due to poisoning with paracetamol. Patients were divided into three groups: intentional poisonings, accidental poisonings, and drug overdose.During the period of the study, 44 patients aged 2.1–17.1, poisoned with paracetamol, were hospitalized. Among these patients there were 30 (68.2% cases of intentional poisonings, 10 (22.7% of accidental poisonings, and only 4 patients (9.1% were children hospitalized after a paracetamol overdose. The majority of patients in all groups were females (93.3%.Paracetamol intoxication may occur after exceeding a single allowable dose, in the case of intentional poisoning, more rarely after exceeding the daily dose, in the case of intense pain complaints, or in the treatment of persistent fever.Based on the analysis performed, an increase was observed in the frequency of poisoning with paracetamol, especially intentional poisoning. Unlimited access to paracetamol as an OTC drug should be reconsidered.

  16. The role of the follow-up chest radiograph in suspected non-accidental injury

    Energy Technology Data Exchange (ETDEWEB)

    Anilkumar, Adikesavalu; Fender, Laura J; Broderick, Nigel J; Somers, John M; Halliday, Katharine E [Nottingham University Hospital NHS Trust, Department of Radiology, Queen' s Medical Centre, Nottingham (United Kingdom)

    2006-03-15

    Rib fractures in children under the age of 2 years have a strong correlation with non-accidental injury (NAI). Follow-up radiographs can improve detection. To evaluate the value of the follow-up chest radiograph in suspected non-accidental injury. The study included all children less than 2 years of age who were investigated for suspected NAI in our institution between January 1998 and October 2003. Prior to January 2000, only selected patients were asked to attend for a follow-up chest radiograph. From January 2000 onwards all children were asked to reattend. Of 200 children included in the study, 59 (29.5%) reattended for a follow-up chest radiograph. The follow-up film provided useful additional information in 7 (12%) of the 59 children. In two children rib fractures were noted only on the follow-up chest radiograph. In a further two patients additional rib fractures were noted. Additional dating information was obtained for two patients. For one child both additional fractures and dating information were noted. The follow-up chest radiograph provides useful information in children with suspected NAI and it is recommended that it should be included routinely in the imaging investigations of these children. (orig.)

  17. The role of the follow-up chest radiograph in suspected non-accidental injury

    International Nuclear Information System (INIS)

    Anilkumar, Adikesavalu; Fender, Laura J.; Broderick, Nigel J.; Somers, John M.; Halliday, Katharine E.

    2006-01-01

    Rib fractures in children under the age of 2 years have a strong correlation with non-accidental injury (NAI). Follow-up radiographs can improve detection. To evaluate the value of the follow-up chest radiograph in suspected non-accidental injury. The study included all children less than 2 years of age who were investigated for suspected NAI in our institution between January 1998 and October 2003. Prior to January 2000, only selected patients were asked to attend for a follow-up chest radiograph. From January 2000 onwards all children were asked to reattend. Of 200 children included in the study, 59 (29.5%) reattended for a follow-up chest radiograph. The follow-up film provided useful additional information in 7 (12%) of the 59 children. In two children rib fractures were noted only on the follow-up chest radiograph. In a further two patients additional rib fractures were noted. Additional dating information was obtained for two patients. For one child both additional fractures and dating information were noted. The follow-up chest radiograph provides useful information in children with suspected NAI and it is recommended that it should be included routinely in the imaging investigations of these children. (orig.)

  18. Report on international round table conference 'Accidental radiation contamination of food of animal origin'. Vol. I

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1986-07-01

    The World Association of Veterinary Food Hygienists (WAVFH) held an international round table conference in Stockholm, Sweden, January 26-29, 1987. The topic of the conference was 'Accidental Radiation Contamination of Food of Animal Origin'. The agenda was divided into three major topic areas: 1. Ecological Science; 2. Veterinary Science - Live Animals; and 3. Veterinary Science - Food of Animal Origin. Experts and delegates from member countries presented papers, participated in discussions and workshops and produced a multidisciplinary report covering the topic areas. The recent accidental release of radioactive substances into the environment from the Chernobyl accident, demonstrated the need for veterinary, ecological, physical and medical sciences to be prepared to respond to an incident in order to protect the environment, food chain, other agricultural assets and humans from the adverse effects of radionuclides. Several presentations suggested that even with the best technologies, national and regional commitment, and relatively unrestricted resource levels, nuclear incidents can cross international boundaries and can contaminate the environment to the extent that the integrity of various food and water supplies can be at risk. Speakers and subsequent discussers tended to concentrate on the issues associated with lessening future environmental impacts if similar types of incidents should occur again.

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

    Directory of Open Access Journals (Sweden)

    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.

  20. Accidental pollution in the ocean: besides crude oil, chemicals and other spills

    International Nuclear Information System (INIS)

    Marchand, M.

    2003-01-01

    Accidental pollution of the seas is usually illustrated by the shipwreck of tankers carrying crude oil. We must look beyond this image since such accidents spill substances other than petrochemicals. We need but mention the Levoli Sun's accident near the Cotentin peninsula, France, one year after the Erika went down. And what about spills of agricultural and food products? An accidental spill as apparently harmless as wheat might have serious effects on not just the environment but also human health. In all cases, two major series of questions crop up: 1) Is it necessary to intervene? If so, are we able to? And if we can, how to fight against spills? 2) What are the short- and long-term effects on the environment and on all human activities related to the sea (fishing, fish-farming, salt production, tourism, salt-water cures, etc.)? These two questions have a common denominator: the need to know how spilled products react. This knowledge conditions both the operational response for fighting against pollution and the assessment of the impact on the maritime environment. (author)

  1. Study of the luminescence properties of dental materials for their use in accidental dosimetry

    International Nuclear Information System (INIS)

    Veronese, Ivan; Cantone, Marie C.; Guzzi, Gianpaolo

    2008-01-01

    Full text: The current social and political situation in many world areas and the increasing hostilities between countries and cultures have accentuated the risk of a malicious use of ionising radiations. Terrorist attacks with the intentional disseminations of radioactive materials in urban settlements may involve a large number of persons, and a rapid estimation of the severity of the exposure is required for undertaking suitable protective actions and supporting decision making. Promising methodologies for a prompt dose evaluation, are those exploiting the luminescence and dosimetric properties of objects and materials which can be easily found in the contaminated area. Among these objects, dental materials have the advantage to be on contact with human body and they could therefore represent individual dosimeters in case of accidental exposure to ionising radiation. The interest in the use of dental ceramics for dosimetric purposes dates back to late 1970, however, it is only through the use of high-sensitive experimental techniques and instrumentation today available, that the potentiality of such materials as accidental dosimeters can be exploited. Moreover, innovative materials are being continuously introduced into the market, containing new additives and pigments with peculiar optical properties. In this study, Thermally Stimulated Luminescence (TSL) and Optically Stimulated Luminescence (OSL) techniques are applied to investigate the luminescence and dosimetric properties of several dental materials, including resins, glass and feldspatic ceramics, and also zirconia and alumina based ceramics, being their use widely increased in the recent years in substitution of metal cores. (author)

  2. Report on international round table conference 'Accidental radiation contamination of food of animal origin'. Vol. I

    International Nuclear Information System (INIS)

    1986-01-01

    The World Association of Veterinary Food Hygienists (WAVFH) held an international round table conference in Stockholm, Sweden, January 26-29, 1987. The topic of the conference was 'Accidental Radiation Contamination of Food of Animal Origin'. The agenda was divided into three major topic areas: 1. Ecological Science; 2. Veterinary Science - Live Animals; and 3. Veterinary Science - Food of Animal Origin. Experts and delegates from member countries presented papers, participated in discussions and workshops and produced a multidisciplinary report covering the topic areas. The recent accidental release of radioactive substances into the environment from the Chernobyl accident, demonstrated the need for veterinary, ecological, physical and medical sciences to be prepared to respond to an incident in order to protect the environment, food chain, other agricultural assets and humans from the adverse effects of radionuclides. Several presentations suggested that even with the best technologies, national and regional commitment, and relatively unrestricted resource levels, nuclear incidents can cross international boundaries and can contaminate the environment to the extent that the integrity of various food and water supplies can be at risk. Speakers and subsequent discussers tended to concentrate on the issues associated with lessening future environmental impacts if similar types of incidents should occur again

  3. Hybrid parallel strategy for the simulation of fast transient accidental situations at reactor scale

    International Nuclear Information System (INIS)

    Faucher, V.; Galon, P.; Beccantini, A.; Crouzet, F.; Debaud, F.; Gautier, T.

    2015-01-01

    Highlights: • Reference accidental situations for current and future reactors are considered. • They require the modeling of complex fluid–structure systems at full reactor scale. • EPX software computes the non-linear transient solution with explicit time stepping. • Focus on the parallel hybrid solver specific to the proposed coupled equations. - Abstract: This contribution is dedicated to the latest methodological developments implemented in the fast transient dynamics software EUROPLEXUS (EPX) to simulate the mechanical response of fully coupled fluid–structure systems to accidental situations to be considered at reactor scale, among which the Loss of Coolant Accident, the Core Disruptive Accident and the Hydrogen Explosion. Time integration is explicit and the search for reference solutions within the safety framework prevents any simplification and approximations in the coupled algorithm: for instance, all kinematic constraints are dealt with using Lagrange Multipliers, yielding a complex flow chart when non-permanent constraints such as unilateral contact or immersed fluid–structure boundaries are considered. The parallel acceleration of the solution process is then achieved through a hybrid approach, based on a weighted domain decomposition for distributed memory computing and the use of the KAAPI library for self-balanced shared memory processing inside subdomains

  4. Transient analyses on the cooling channels of the DEMO HCPB blanket concept under accidental conditions

    International Nuclear Information System (INIS)

    Chen, Yuming; Ghidersa, Bradut-Eugen; Jin, Xue Zhou

    2016-01-01

    Highlights: • This paper presents transient CFD analyses on the cooling channels of the DEMO HCPB FW for accidental scenarios LOCA and LOFA. • In both LOCA & LOFA, the wall temperature increases quickly to an unacceptable level within seconds. • If the coolant flow rate is maintained at a half of nominal value in case of LOFA (partial LOFA), the wall temperature rises much slower, but will still leads to a damage of structure within minutes. • The simulated heat transfer coefficients were compared with empirical correlations. - Abstract: Helium Cooled Pebble Bed (HCPB) blanket concept is one of the DEMO (Demonstration Power Plant) blanket concepts running for the final DEMO design selection. In this paper, transient analyses on the cooling channels of the FW are carried out by means of CFD simulations for the selected accidental scenarios loss-of-coolant-accident (LOCA) and loss-of-flow-accident (LOFA). ANSYS-CFX is used for the simulations. The simulation results help to understand how fast the temperature of the FW can increase and what is the time window that is available until the temperature of the structural material reaches the design limit in order to be able to define a suitable protection strategy for the system. In view of later developments of the models, the heat transfer coefficients calculated with CFD are compared with the values predicted by two widely used correlations for turbulent pipe flows.

  5. 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

    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. 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 attentional deficits and sleepiness at the wheel in these drivers. Road safety campaigns should be improved to better inform drivers of these accidental risks.

  6. Regionalized study of the impact of an accidental radioactive pollution on a permanent meadow

    International Nuclear Information System (INIS)

    Durand, V.; Mercat-Rommens, C.

    2006-01-01

    The objective of this study consists in evaluating the sensitivity of the first part of the die grass-milk with respect to an accidental radioactive discharge. We want to know if a single uniform deposit would involve a contamination of the grazing grass identical on the scale of the own territory. The study was based on the A.S.T.R.A.L. model, a computer code developed by the I.R.S.N. which makes it possible to evaluate the transfer of the radionuclides in the terrestrial food chain following an accidental atmospheric emission. The way of transfer of A.S.T.R.A.L. on which the study focused is the transfer of the deposit to milk, via the grazing grass ingestion. The sensitivity of this way of transfer relies on several parameters: captation, yield, cows food rates and dates of setting to grass. Methodology thus consisted in regionalizing these parameters. The software S.T.I.C.S. developed by the I.N.R.A. of Avignon was then used. This model proposes a daily follow-up of the leaf area index which has been correlated with captation and with the production of fresh biomass (yield). (authors)

  7. Postprocessing of Accidental Scenarios by Semi-Supervised Self-Organizing Maps

    Directory of Open Access Journals (Sweden)

    Francesco Di Maio

    2017-01-01

    Full Text Available Integrated Deterministic and Probabilistic Safety Analysis (IDPSA of dynamic systems calls for the development of efficient methods for accidental scenarios generation. The necessary consideration of failure events timing and sequencing along the scenarios requires the number of scenarios to be generated to increase with respect to conventional PSA. Consequently, their postprocessing for retrieving safety relevant information regarding the system behavior is challenged because of the large amount of generated scenarios that makes the computational cost for scenario postprocessing enormous and the retrieved information difficult to interpret. In the context of IDPSA, the interpretation consists in the classification of the generated scenarios as safe, failed, Near Misses (NMs, and Prime Implicants (PIs. To address this issue, in this paper we propose the use of an ensemble of Semi-Supervised Self-Organizing Maps (SSSOMs whose outcomes are combined by a locally weighted aggregation according to two strategies: a locally weighted aggregation and a decision tree based aggregation. In the former, we resort to the Local Fusion (LF principle for accounting the classification reliability of the different SSSOM classifiers, whereas in the latter we build a classification scheme to select the appropriate classifier (or ensemble of classifiers, for the type of scenario to be classified. The two strategies are applied for the postprocessing of the accidental scenarios of a dynamic U-Tube Steam Generator (UTSG.

  8. Spontaneous hematologic recovery from bone marrow aplasia after accidental tenfold overdosage with radiophosphorus

    International Nuclear Information System (INIS)

    Gmuer, J.; Bischof, B.; Coninx, S.

    1983-01-01

    Two patients with polycythemia vera received intravenously an accidental tenfold overdosage of radiophosphorus therapy (60 and 50 mCi 32P, respectively). In both patients, the occurrence of hemorrhagic complications 3 wk after the 32P medication led to detection of the error and referral to our hospital. Upon admission they showed an agranulocytosis, severe thrombocytopenia, and bone marrow aplasia. In both cases, spontaneous recovery of the hematopoiesis was observed from day 40 posttreatment onward. In one patient, a slow but ultimately complete normalization of blood counts and marrow morphology took place, whereas in the other, a mild thrombocytopenia persists. Nearly 5 yr after the accidental overdosage, both patients are clinically well. Symptoms of polycythemia vera have not reappeared up to now. Attempts were made to evaluate the radiation dose absorbed by the bone marrow. In the first patient, the daily 32P excretion was determined from day 22 to day 60, whereas in the other patient a whole body count was performed on day 78 after administration. From these results, an approximate cumulative bone marrow dose of 10 Sv (1000 rem) could be calculated

  9. Creatin-kinase elevation after accidental ingestion of almotriptan in an 18-month-old girl.

    Science.gov (United States)

    Castagno, E; Lupica, M; Viola, S; Savino, F; Miniero, R

    2014-02-01

    Few studies have been published to demonstrate tolerability and efficacy of almotriptan in adolescents and children with migraine, particularly in the first years of life, though preliminary results are favorable. We report the case of an 18-month-old infant with elevation of serum levels of creatin-kinase after the accidental ingestion of almotriptan. A previously healthy 18-month-old girl (weight: 13 kg) was admitted to our Department four hours after the accidental ingestion of 6.25 mg of almotriptan (0.48 mg/kg), without any specific symptom. The performed investigations showed high serum levels of creatin-kinase (CK) (527 IU/L; normal values: 24-170 IU/L). Transaminase, creatinine, aldolase, myoglobin and troponin T serum levels were normal. The electrocardiogram proved negative. Initial management consisted of parenteral rehydration with saline solution. CK levels lowered significantly at 12 hours (455 IU/L) and at 65 hours (188 IU/L) after the ingestion. No symptoms were observed before discharge and on follow-up.

  10. Risk Factors for new accidental falls in elderly patients at traumatology ambulatory center

    Directory of Open Access Journals (Sweden)

    Daiane Porto Gautério

    2015-04-01

    Full Text Available Objective. To identify the risks factors for new accidental falls in elderly patients attended in the Traumatology Ambulatory of a University hospital in Rio Grande do Sul, Brazil. Methodology. Quantitative study of the type of multiple cases. Performed at the traumatology ambulatory, amongst fifteen elders that attended the inclusion criteria: age of sixty or more; patient at the traumatology ambulatory because of a fall motivated by accident, oriented and in conditions of answer an interview of data collectors. The data collection was made between April and June, 2013, with the Elderly Nursing Core Set scale (Lopes & Fonseca. The data analysis was made by a descriptive structure, which helped identify the existence of relation patterns among the cases. Results. The risk factors for new accidental falls identified with larger incidence amongst the elders studied were: impaired balance (15/15, age above 65 (11/15, use of antihypertensive drugs (9/15, absence of non-slip material at home environment (7/15, in seven cases; rugs scattered at the floor of the house (6/15. Conclusion. The combination of intrinsic and extrinsic factors that include the environmental risks is considered a much more relevant cause to occur the new falls. The minimization of the home dangers, allied to the control of the elder intrinsic factors, may reduce the risks of causes. In that sense, is necessary that the nursing team make available more attention to the elderly assisted at the ambulatories, mainly those with sequelae due to fall accidents.

  11. Risk Factors for new accidental falls in elderly patients at traumatology ambulatory center.

    Science.gov (United States)

    Porto Gautério, Daiane; Zortea, Bruna; Costa Santos, Silvana Sidney; da Silva Tarouco, Bárbara; Lopes, Manoel José; João Fonseca, Cesar

    2015-01-01

    To identify the risks factors for new accidental falls in elderly patients attended in the Traumatology Ambulatory of a University hospital in Rio Grande do Sul, Brazil. Quantitative study of the type of multiple cases. Performed at the traumatology ambulatory, amongst fifteen elders that attended the inclusion criteria: age of sixty or more; patient at the traumatology ambulatory because of a fall motivated by accident, oriented and in conditions of answer an interview of data collectors. The data collection was made between April and June, 2013, with the Elderly Nursing Core Set scale (Lopes & Fonseca). The data analysis was made by a descriptive structure, which helped identify the existence of relation patterns among the cases. The risk factors for new accidental falls identified with larger incidence amongst the elders studied were: impaired balance (15/15), age above 65 (11/15), use of antihypertensive drugs (9/15), absence of non-slip material at home environment (7/15), in seven cases; rugs scattered at the floor of the house (6/15). The combination of intrinsic and extrinsic factors that include the environmental risks is considered a much more relevant cause to occur the new falls. The minimization of the home dangers, allied to the control of the elder intrinsic factors, may reduce the risks of causes. In that sense, is necessary that the nursing team make available more attention to the elderly assisted at the ambulatories, mainly those with sequelae due to fall accidents.

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

    Directory of Open Access Journals (Sweden)

    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

  13. 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.

  14. The importance of surgeon involvement in the evaluation of non-accidental trauma patients.

    Science.gov (United States)

    Larimer, Emily L; Fallon, Sara C; Westfall, Jaimee; Frost, Mary; Wesson, David E; Naik-Mathuria, Bindi J

    2013-06-01

    Non-Accidental Trauma (NAT) is a significant cause of childhood morbidity and mortality, causing 50% of trauma-related deaths at our institution. Our purpose was to evaluate the necessity of primary surgical evaluation and admission to the trauma service for children presenting with NAT. We reviewed all NAT patients from 2007-2011. Injury types, demographic data, and hospitalization information were collected. Comparisons to accidental trauma (AT) patients were made using Wilcoxon rank sum and Student's t tests. We identified 267 NAT patients presenting with 473 acute injuries. Injuries in NAT patients were more severe than in AT patients, and Injury Severity Scores, ICU admission rates, and mortality were all significantly (pinjury were seen in patients with closed head injuries (72%), extremity fractures (51%), rib fractures (82%), and abdominal/thoracic trauma (80%). Despite these complex injury patterns, only 56% received surgical consults, resulting in potential delays in diagnosis, as 24% of abdominal CT scans were obtained >12 hours after hospitalization. Given the high incidence of polytrauma in NAT patients, prompt surgical evaluation is necessary to determine the scope of injury. Admission to the trauma service and a thorough tertiary survey should be considered for all patients. Copyright © 2013 Elsevier Inc. All rights reserved.

  15. Transient analyses on the cooling channels of the DEMO HCPB blanket concept under accidental conditions

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Yuming, E-mail: Yuming.chen@kit.edu; Ghidersa, Bradut-Eugen; Jin, Xue Zhou

    2016-11-01

    Highlights: • This paper presents transient CFD analyses on the cooling channels of the DEMO HCPB FW for accidental scenarios LOCA and LOFA. • In both LOCA & LOFA, the wall temperature increases quickly to an unacceptable level within seconds. • If the coolant flow rate is maintained at a half of nominal value in case of LOFA (partial LOFA), the wall temperature rises much slower, but will still leads to a damage of structure within minutes. • The simulated heat transfer coefficients were compared with empirical correlations. - Abstract: Helium Cooled Pebble Bed (HCPB) blanket concept is one of the DEMO (Demonstration Power Plant) blanket concepts running for the final DEMO design selection. In this paper, transient analyses on the cooling channels of the FW are carried out by means of CFD simulations for the selected accidental scenarios loss-of-coolant-accident (LOCA) and loss-of-flow-accident (LOFA). ANSYS-CFX is used for the simulations. The simulation results help to understand how fast the temperature of the FW can increase and what is the time window that is available until the temperature of the structural material reaches the design limit in order to be able to define a suitable protection strategy for the system. In view of later developments of the models, the heat transfer coefficients calculated with CFD are compared with the values predicted by two widely used correlations for turbulent pipe flows.

  16. Structural Integrity Assessment of VVER-1000 RPV under Accidental Cool down Transients

    International Nuclear Information System (INIS)

    Shrivastav, V.; Sen, R.N.; Yadav, R.S.

    2012-01-01

    Corrosion, Fatigue and Irradiation embrittlement are the major degradation mechanisms responsible for ageing of RPV (and its internals) of a Pressurized Water Reactor. While corrosion and fatigue can generate cracks, irradiation damage can lead to brittle fracture initiating from these cracks. Ageing in nuclear power plants needs to be managed so as to ensure that design functions remain available throughout the life of the plant. From safety perspective, this implies that ageing degradation of systems, structures and components important to safety remain within acceptable limits. Reactor Pressure Vessel has been identified as the highest priority key component in plant life management for Pressurized Water Reactors. Therefore special attention is required to ensure its structural integrity during its lifetime. In this paper, structural integrity assessment for typical VVER-1000 RPV is carried out under severe accidental cool down transients using the Finite Element Method. Three different accidental scenarios are postulated and safety of the vessel is conservatively assessed under these transients using the Linear Elastic Fracture Mechanics approach. Transient thermo mechanical stress analysis of the core belt region of the RPV is carried out in presence of postulated cracks and stress intensity factors are calculated and compared with the material fracture toughness to assess the structural integrity of the vessel. The paper also include some parametric analyses to justify the methodology. (author)

  17. Los hombres y los accidentes de tránsito: un vistazo al riesgo, conducta de riesgo, notificación de accidentes, educación y formación profesional

    Directory of Open Access Journals (Sweden)

    Cintia Rodrigues

    2017-05-01

    Full Text Available Abstract Los accidentes de tránsito son un grave y complejo problema de salud pública. La literatura señala que los accidentes de tránsito están asociados confactores de comportamiento, seguridad de los vehículos y la precariedad del espacio urbano.Reducir el número de accidentes de tránsito es un reto para los gestores deárea. La educación en el tránsito debe considerar la vigilancia como una estrategia eficaz para cambiar el comportamiento del conductor,principalmente en relación con el exceso de velocidad y el consumo de alcohol asociado con la conducción.La ingeniería tiene un papel importante para promover un entorno seguro,en el que la convivencia de peatones, ciclistas y conductores sea posible. El escenario en que se configura los accidentes de tránsito muestra la necesidad de los profesionales de la salud reconsiderar sus prácticas con el fin de replantear la imagen de la víctima de accidentes, las formas de trabajo de prevención de accidentes, la educación en el tránsito de peatones y conductores, con el fin de promover la salud y la cultura de paz. Existe la necesidad de políticas de salud públicay estrategias que hacen posible acceso a las acciones tanto en el campo preventivo como en el campo de la rehabilitación.

  18. DESAJUSTE EDUCATIVO POR REGIONES EN COLOMBIA: ¿COMPETENCIA POR SALARIOS O POR PUESTOS DE TRABAJO?

    Directory of Open Access Journals (Sweden)

    Maribel Castillo Caicedo

    2007-06-01

    Full Text Available Este trabajo aporta una perspectiva del fenómeno de la sobreeducación, entendida como un desajuste por exceso, entre el nivel educativo alcanzado por el individuo y el exigido por el puesto de trabajo en el cual se desempeña; esto se debe a que existe una demanda laboral estrecha de puestos de trabajo para personas calificadas en Colombia. Se analizan las contribuciones empíricas existentes y el debate sobre las mismas; se examinan las teorías que permiten explicar la existencia de un desajuste educativo y se realiza una revisión de la literatura internacional y nacional sobre el tema. Adicionalmente, se plantean una serie de hipótesis para desarrollar un esquema que permita determinar el comportamiento del individuo en el fenómeno de la sobreeducación.

  19. 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

  20. DIFFICULTY IN BREATHING DUE TO ACCIDENTAL EXPOSURE TO HYPOCHLORITE SOLUTION IN ENDODONTIC TREATMENTREATHING DUE TO ACCIDENTAL EXPOSURE TO HYPOCHLORITE SOLUTION IN ENDODONTIC TREATMENT

    Directory of Open Access Journals (Sweden)

    Buddiwati Punta

    2006-04-01

    Full Text Available An important phase of endodontic treatment is the irrigation of the root canal system. Desirable functions of irrigation are antimicrobial activity, dissolution of necrotic tissue, and non toxicity to the periradicular tissue. Toxicity of NaOCl solution on vital tissue is still controversial. Severe complications may occur if this solution is inadvertently exposed to the oral mucosa, and it is very hazardous. The purpose of this paper is to caution dentists on the hazards of using NaOCl irrigation in endodontic treatment. A case is presented in which 2.5% NaOCl solution was accidentally streaming into the patient's throat because the irrigating needle was not securely attached to the syringe, with the result that the patient had difficulty in breathing. The patient was promptly taken to a pulmonologist, internist, and ENT. The patient was given dexamethasone 10 mg iv injection, delladryl 1 cc iv, and nebulizer with 1 ampoule of steroid, 1 ampoule of ventolin and 5 cc NaCl 3x within 24 hours, and after 24 hours the condition was increased. From this case it is concluded that the 2.5% NaOCl solution is very alkaline and irritating, resulting in deem of the larynx and plugging up of the respiratory system. Clinicians need to be cautious in using NaOCl solution to avoid endangering the patient's life.

  1. Consanguinidad por isonimia en Salta

    Directory of Open Access Journals (Sweden)

    Albeza, María V.

    2007-01-01

    Full Text Available Se estimó el coeficiente de parentesco por isonimia para localidades de la Puna, Valle Calchaquí y Valle de Lerma, a fin de evaluar diferentes factores evolutivos que podrían estar afectando la composición genética de la población. A partir de los apellidos de las parejas consignadas en fuentes primarias de información, se estimó la isonimia conyugal o marital, el coeficiente total Ft y sus componentes Fr (inbreeding azaroso y Fn (inbreeding no azaroso. De las localidades estudiadas, en la Puna se ha detectado sólo una pareja isónima en una de ellas, en el Valle Calchaquí, tres y ninguna en el Valle de Lerma. Tanto en el Valle Calchaquí como en el de Lerma, se han estimado valores negativos de Ft, y en la Puna se registran los valores más elevados. En las localidades estudiadas no se cumple el supuesto de transmisión patrilineal de apellidos por lo que los valores de Fr y por ende de Ft podrían estar subestimados. Es por ello que sería necesario contar con información desde otras vertientes metodológicas para corroborar, complementar y manejar cuidadosamente el análisis de los datos y las conclusiones que se obtienen.

  2. Celulitis por citomegalovirus Cytomegalovirus cellulitis

    Directory of Open Access Journals (Sweden)

    A. Ruiz Lascano

    2002-12-01

    Full Text Available Las lesiones cutáneas por citomegalovirus (CMV son infrecuentes y a menudo una manifestación tardía de una enfermedad sistémica, que generalmente anuncia un curso fatal. Comunicamos un caso de celulitis por CMV: una mujer de 70 años con trasplante renal efectuado 1 mes antes de la consulta, terapia inmunosupresora con ciclosporina A y metilprednisona. La paciente ingresó por fiebre, dolor e impotencia funcional en pierna derecha. Comprobamos la existencia de una placa de 8 por 4 cm eritematoedematosa. La tratamos con antibióticos sin mejoría, por lo que realizamos un estudio histopatológico de piel que mostró cambios citopáticos compatibles con infección por CMV. Los cultivos bacteriológicos y micológicos fueron negativos. La inmunohistoquímica específica para CMV y el estudio de reacción en cadena de la polimerasa (PCR de la biopsia de piel fueron positivas, al igual que la antigenemia. El tratamiento con ganciclovir produjo la mejoría del cuadro clínico. En la literatura revisada no hemos encontrado la celulitis como manifestación de enfermedad cutánea por CMV.Cutaneous lesions in CMV infection are rare, often a late manifestation of systemic infection, and usually herald a fatal course. A 70 year-old woman received a kidney transplantation one month before consulting and immunosuppressive therapy that included cyclosporine A and methylprednisone. She complained of fever, local pain in her right leg, and an erythematous and swelling plaque. She was treated with intravenous antibiotics without improvement. A skin biopsy was performed and the tissue obtained was sent for bacterial and fungal cultures as well as for histological examination. Cultures were negative. The biopsy showed CMV cytopathic changes. Immunoperoxidase staining was positive for CMV and polymerase chain reaction (PCR testing revealed CMV DNA. She was treated with ganciclovir with resolution of the lesion. CMV cellulitis is a rare cutaneous manifestation

  3. Estimation of the environmental or radiological impact in the event of accidental release of radionuclides in a DCLL fusion reactor; Estimacion del impacto radiologico ambiental en caso de liberacion accidental de radionucleidos en un reactor de fusion DCLL

    Energy Technology Data Exchange (ETDEWEB)

    Palermo, I.; Gomez Ros, J. M.; Sanz, J.; Mota, F.

    2013-07-01

    Tritium production and activation in the LiPb products can pose a radiological risk in the event of accidental release in a fusion reactor. Within the research programme Consolider TECNO{sub F}US (CSD2008-079) fusion technology has developed a design for a reactor with regenerative wrap with dual refrigeration (DCLL). The purpose of this communication is to present estimates of the radiological impact derived from an accidental release of radionuclides from the circuit of LiPb provinients. (Author)

  4. Accidental Strangulation Due to Entrapment of Saree in Crop Thrasher Machine in an Elderly Women Working at Agricultural Field.

    Science.gov (United States)

    Parchake, Manoj Bhausaheb; Kumre, Vikas; Kachare, Rajesh V

    2016-09-01

    Strangulation is generally considered as homicidal death and in accidental strangulation circumstantial evidence alone can point toward the accidental nature of incidence. In present case, a 71-year-old woman, wearing a saree (garment worn by traditional women in India) working in agricultural field, got entangled in the crop thrasher machine and got strangled. Immediately, she was taken to the nearest hospital, where she survived for 6 to 8 hours and then died. The autopsy reveals cross ribbon-shaped ligature mark on neck and anterior chest along with 1 puncture wound at the right lateral aspect of the neck. A lack of proper precaution and safety measures at agricultural field are other contributing factors. Accidental strangulation by saree is extremely rare, hence, this case is presented for its rarity and pattern of injury.

  5. Corrections for the effects of accidental coincidences, Compton scatter, and object size in positron emission mammography (PEM) imaging

    Energy Technology Data Exchange (ETDEWEB)

    Raymond Raylman; Stanislaw Majewski; Randolph Wojcik; Andrew Weisenberger; Brian Kross; Vladimir Popov

    2001-06-01

    Positron emission mammography (PEM) has begun to show promise as an effective method for the detection of breast lesions. Due to its utilization of tumor-avid radiopharmaceuticals labeled with positron-emitting radionuclides, this technique may be especially useful in imaging of women with radiodense or fibrocystic breasts. While the use of these radiotracers affords PEM unique capabilities, it also introduces some limitations. Specifically, acceptance of accidental and Compton-scattered coincidence events can decrease lesion detectability. The authors studied the effect of accidental coincidence events on PEM images produced by the presence of 18F-Fluorodeoxyglucose in the organs of a subject using an anthropomorphic phantom. A delayed-coincidence technique was tested as a method for correcting PEM images for the occurrence of accidental events. Also, a Compton scatter correction algorithm designed specifically for PEM was developed and tested using a compressed breast phantom.

  6. Corrections for the effects of accidental coincidences, Compton scatter, and object size in positron emission mammography (PEM) imaging

    International Nuclear Information System (INIS)

    Raymond Raylman; Stanislaw Majewski; Randolph Wojcik; Andrew Weisenberger; Brian Kross; Vladimir Popov

    2001-01-01

    Positron emission mammography (PEM) has begun to show promise as an effective method for the detection of breast lesions. Due to its utilization of tumor-avid radiopharmaceuticals labeled with positron-emitting radionuclides, this technique may be especially useful in imaging of women with radiodense or fibrocystic breasts. While the use of these radiotracers affords PEM unique capabilities, it also introduces some limitations. Specifically, acceptance of accidental and Compton-scattered coincidence events can decrease lesion detectability. The authors studied the effect of accidental coincidence events on PEM images produced by the presence of 18F-Fluorodeoxyglucose in the organs of a subject using an anthropomorphic phantom. A delayed-coincidence technique was tested as a method for correcting PEM images for the occurrence of accidental events. Also, a Compton scatter correction algorithm designed specifically for PEM was developed and tested using a compressed breast phantom

  7. Adenopatía pigmentada por tinta de tatuaje como hallazgo accidental en cirugía de mama: caso clínico

    Directory of Open Access Journals (Sweden)

    A.J. Bernal-Martínez

    2015-06-01

    Full Text Available Damos a conocer el hallazgo de una adenopatía axilar pigmentada durante la realización de una mastectomía bilateral profiláctica en una paciente de 35 años. El estudio anatomopatológico reveló pigmento compatible con tinta en el interior del ganglio. Esto, junto con la presencia de un tatuaje próximo a la axila de la paciente, permitió identificar el tatuaje como causa de la coloración de la adenopatía. Discutimos el diagnóstico diferencial a realizar en casos similares. Hasta un tercio de la población joven en España se ha realizado algún tatuaje, y las series de autopsias muestran la alta incidencia de presencia de pigmento en ganglios próximos a esos tatuajes. Creemos necesario realizar un correcto diagnóstico diferencial con melanoma y otras etiologías en pacientes tatuados para llevar a cabo una adecuada indicación quirúrgica.

  8. Cytogenetic study in children from zones affected by the Chernobyl accident; Estudio citogenetico en ninos de localidades afectadas por el accidente de Chernobil

    Energy Technology Data Exchange (ETDEWEB)

    Garcia, O; Manzano, J; Johnson, J; Valdes, L; Lamadrid, A; Marquez, M [Centro de Proteccion e Higiene de las Radiaciones, La Habana (Cuba); Mendez, D [Hospital Clinico Quirurgico Hermanos Ameijeiras, La Habana (Cuba)

    1994-12-31

    The frequencies of chromosomal aberrations and micronucleus in lymphocytes with blockade of the cytokines were established in 58 children from three Ukrainian localities that suffered to different extent the consequences of the Chernobyl accident. The frequencies of chromosomal aberrations have been established up to this moment in 2779 cells of 28 children from Ovruch, in 11 475 cells of 28 children from Pripiat and in 994 cells of 10 children from Kiev.

  9. Death and injury from motor vehicle crashes in Colombia Muertes y lesiones por accidentes de tráfico en Colombia

    OpenAIRE

    Jaime Posada; Eli Ben-Michael; Alan Herman; Ernesto Kahan; Elihu Richter

    2000-01-01

    We report data on the distribution and determinants of road deaths and injuries for all victims in Colombia, with the aim of defining targets and priorities for highway death prevention in that country and other rapidly urbanizing nations. Using information from Colombia's Fund for the Prevention of Road Injury and the national death registry, we studied data on deaths and injuries from 1991 to 1995 for the nation as a whole and for the country's two largest cities, Santa Fe de Bogotá and Med...

  10. Accidentes en los niños, un problema de salud actual: Revisión bibliográfica

    OpenAIRE

    Valdés Pacheco, Everardo; Ferrer Liranza, Nancy; Ferrer Liranza, Amed

    1996-01-01

    Se realiza una revisión bibliográfica sobre el tema Accidente, especialmente en los niños, y se resalta la importancia de la prevención de éstos, pues constituyen la primera causa de muerte en nuestro país en los menores entre 1 y 14 años de edad. Se brinda información sobre los tipos y causas principales de accidentes en estas edades, así como las recomendaciones para la labor preventiva del equipo de salud en la atención primaria.A bibliographic review on the topic of accidents, specially i...

  11. Double-read of skeletal surveys in suspected non-accidental trauma: what we learned

    International Nuclear Information System (INIS)

    Karmazyn, Boaz; Wanner, Matthew R.; Marine, Megan B.; Miller, Elise M.; Jennings, S.G.; Lay, Sara E.; Massey, James M.; Ouyang, Fangqian; Hibbard, Roberta A.

    2017-01-01

    Missing a fracture in a child on skeletal surveys for suspected non-accidental trauma can have devastating results. Double-read has the potential to improve fracture detection. However the yield of double-read is unknown. To determine the advantage of double-read versus single-read of radiographic skeletal surveys for suspected non-accidental trauma. The study was performed in two phases. In the first phase (April 2013 to September 2013), double-read was performed for all skeletal surveys obtained during weekday working hours. Because we had no new double-read findings in studies initially read as negative, we conducted a second phase (January 2014 to March 2014). In the second phase we limited double-reads to skeletal surveys found positive on the first read. At the end of this period, we retrospectively performed double-read for all initially negative skeletal surveys. We excluded follow-up skeletal surveys. The difference in discrepancy (new fracture or false diagnosis of a fracture) ratio between negative and positive skeletal surveys was evaluated using the Fisher exact test, and change in discrepancy ratio between the first and second study phases was evaluated using the stratified Cochran-Mantel-Haenszel test. Overall in the two phases, 178 skeletal surveys were performed in 178 children (67 girls) with mean age of 9 months (range 3 days to 3.7 years). Double-read found 16 discrepancies in 8/178 (4.5%) skeletal surveys. Seven of these studies showed additional fractures (n=15). In one study, an initial read of a skull fracture was read as a variant on the second read. There was a significant (P=0.01) difference between rate of disagreement in negative skeletal surveys (1/104, 1.0%) and positive skeletal surveys (7/74, 9.5%). No significant change in disagreement rate was demonstrated between the two phases of the study (P=0.59). Double-read of skeletal survey for suspected non-accidental trauma found false-negative fractures in a few cases and rarely found

  12. 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

  13. Double-read of skeletal surveys in suspected non-accidental trauma: what we learned

    Energy Technology Data Exchange (ETDEWEB)

    Karmazyn, Boaz; Wanner, Matthew R.; Marine, Megan B. [Indiana University School of Medicine, Department of Radiology and Imaging Sciences, Riley Hospital for Children, Indianapolis, IN (United States); Miller, Elise M.; Jennings, S.G. [Indiana University School of Medicine, Department of Radiology and Imaging Sciences, Indianapolis, IN (United States); Lay, Sara E. [Indiana University School of Medicine, Methodist Hospital, Department of Radiology and Imaging Sciences, Indianapolis, IN (United States); Massey, James M. [The Children' s Hospital at TriStar Centennial, Department of Imaging, Nashville, TN (United States); Ouyang, Fangqian [Indiana University School of Medicine, Department of Biostatistics, Indianapolis, IN (United States); Hibbard, Roberta A. [Indiana University School of Medicine, Department of Pediatrics, Section of Child Protection Programs, Riley Hospital for Children, Indianapolis, IN (United States)

    2017-05-15

    Missing a fracture in a child on skeletal surveys for suspected non-accidental trauma can have devastating results. Double-read has the potential to improve fracture detection. However the yield of double-read is unknown. To determine the advantage of double-read versus single-read of radiographic skeletal surveys for suspected non-accidental trauma. The study was performed in two phases. In the first phase (April 2013 to September 2013), double-read was performed for all skeletal surveys obtained during weekday working hours. Because we had no new double-read findings in studies initially read as negative, we conducted a second phase (January 2014 to March 2014). In the second phase we limited double-reads to skeletal surveys found positive on the first read. At the end of this period, we retrospectively performed double-read for all initially negative skeletal surveys. We excluded follow-up skeletal surveys. The difference in discrepancy (new fracture or false diagnosis of a fracture) ratio between negative and positive skeletal surveys was evaluated using the Fisher exact test, and change in discrepancy ratio between the first and second study phases was evaluated using the stratified Cochran-Mantel-Haenszel test. Overall in the two phases, 178 skeletal surveys were performed in 178 children (67 girls) with mean age of 9 months (range 3 days to 3.7 years). Double-read found 16 discrepancies in 8/178 (4.5%) skeletal surveys. Seven of these studies showed additional fractures (n=15). In one study, an initial read of a skull fracture was read as a variant on the second read. There was a significant (P=0.01) difference between rate of disagreement in negative skeletal surveys (1/104, 1.0%) and positive skeletal surveys (7/74, 9.5%). No significant change in disagreement rate was demonstrated between the two phases of the study (P=0.59). Double-read of skeletal survey for suspected non-accidental trauma found false-negative fractures in a few cases and rarely found

  14. 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

  15. Esporotricosis diagnosticada por el laboratorio

    Directory of Open Access Journals (Sweden)

    Nelly Ordóñez

    1989-06-01

    Full Text Available De 1976 a 1989 se han diagnosticado 40 casos de esporotricosis en el laboratorio de Micología del Instituto Nacional de Salud. La enfermedad se presentó en pacientes entre 4 y 52 años y tuvo predilección por el sexo masculino: 35 de 40 (87,5%; las formas clínicas más frecuentes fueron la cutánea fija, 18 de 40 (45%, y la linfocutánea, 17 de 40 (42,5%, con localización mayor en miembros superiores, 18 de 40 (45%. El diagnóstico se estableció por el aislamiento del Sporothrix schenckii en 35 de 38 pacientes (92%; los otros dos pacientes se diagnosticaron empleando otras técnicas: inmunofluorescencia directa, intradermorreacción y aglutinación en tubo.

  16. Miasis cutanea por cordylobia anthropophaga

    Directory of Open Access Journals (Sweden)

    Alkorta Gurrutxaga Miriam

    2001-01-01

    Full Text Available El incremento progresivo en el número de personas que viajan a países tropicales ha hecho que las enfermedades importadas adquieran una relevancia cada vez mayor. Las miasis (o infestaciones por larvas de moscas cutáneas se encuentran entre este tipo de enfermedades siendo especialmente frecuentes en países tropicales. A propósito de la observación de un caso de miasis cutánea masiva por Cordylobia antropophaga, que ocurrió en una mujer de 34 años de edad al volver de un viaje a Senegal, se ha efectuado una revisión de los casos de miasis cutáneas forunculoides importadas publicados en España, así como de la biología, patología, tratamiento y prevención de la miasis humana por Cordylobia anthropophaga. El caso referido, se caracterizó por la infestación con un número inusualmente elevado de larvas, no sospechándose su etiología hasta la fase final de la enfermedad. La emergencia continuada de larvas (se recogieron 91 generó en la paciente un estado de ansiedad importante. Finalmente, la eliminación de las larvas provocó una rápida mejoría de la paciente. Aunque los casos de miasis cutánea no tienen la gravedad de otras enfermedades importadas, su conocimiento es necesario desde el punto de vista preventivo, diagnóstico y terapeútico. Es importante proceder a la identificación morfológica de las larvas diferenciándolas de otro tipo de miasis con implicaciones terapéuticas diferentes.

  17. Malignant Cerebellar Edema Subsequent to Accidental Prescription Opioid Intoxication in Children

    Directory of Open Access Journals (Sweden)

    Daniel Duran

    2017-07-01

    Full Text Available We present two recent cases of toddlers who developed malignant cerebellar edema subsequent to accidental ingestion of prescription opioids. Both children presented acute neurological decline, hydrocephalus, and tonsillar herniation requiring emergent ventricular drain placement, suboccipital craniectomy, and partial cerebellectomy. Together with several other reports, these cases suggest the existence of an uncommon yet severe syndrome of acute opioid-induced malignant cerebellar edema. We hypothesize that the condition results from a combination of primary opioid receptor-mediated changes in neuronal metabolism that are exacerbated by secondary hypoxic insult. If recognized promptly, this syndrome can be treated with emergent neurosurgical intervention with good clinical outcomes. These cases also illustrate the unintended consequences and innocent victims of the spiraling prescription opioid epidemic, which will likely increase in prevalence. Recognition of this syndrome by clinicians is thus critical.

  18. 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.

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

    International Nuclear Information System (INIS)

    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. SUBDOSA: a computer program for calculating external doses from accidental atmospheric releases of radionuclides

    International Nuclear Information System (INIS)

    Strenge, D.L.; Watson, E.C.; Houston, J.R.

    1975-06-01

    A computer program, SUBDOSA, was developed for calculating external γ and β doses to individuals from the accidental release of radionuclides to the atmosphere. Characteristics of SUBDOSA are: doses from both γ and β radiation are calculated as a function of depth in tissue, summed and reported as skin, eye, gonadal, and total body dose; doses are calculated for releases within each of several release time intervals and nuclide inventories and atmospheric dispersion conditions are considered for each time interval; radioactive decay is considered during the release and/or transit using a chain decay scheme with branching to account for transitions to and from isomeric states; the dose from gamma radiation is calculated using a numerical integration technique to account for the finite size of the plume; and the program computes and lists the normalized air concentrations at ground level as a function of distance from the point of release. (auth)

  1. Summary of accidental releases of radioactivity detected off the Nevada Test Site, 1963--1986

    International Nuclear Information System (INIS)

    Patzer, R.G.; Phillips, W.G.; Grossman, R.F.; Black, S.C.; Costa, C.F.

    1988-08-01

    Of the more than 450 underground nuclear explosives tests conducted at the Nevada Test Site from August 1963 (signing of the Limited Test Ban Treaty) through the end of 1986, only 23 accidentally released radioactivity that was detectable beyond the boundary of the NTS. Of these 23, 4 were detectable off the NTS only by aircraft while the remainder were detectable by ground monitoring instruments. Since the Baneberry venting of December 1970, only two tests released radioactivity that was detectable off the NTS, and this was a seepage of radioactive noble gases. None of these releases from underground tests designed for complete containment caused exposure of the population living in the area that exceeded standards recommended by national and international radiation protection agencies. This report summarizes the releases from each of the tests, describes the monitoring that was conducted, and lists the location of the maximum exposure

  2. Long-term follow-up after accidental gamma irradiation from a 60Co source

    International Nuclear Information System (INIS)

    Klener, V.; Tuscany, R.; Vejlupkova, J.; Dvorak, J.; Vlkovic, P.

    1986-01-01

    In December 1973 a technician was accidentally irradiated when attempting to bring under control a sealed 60 Co source (110 TBq) which had been lodged in the head of a medical irradiation unit during a replacement operation. In the early period after the accident, severe skin changes on the left hand, epilation in a small area of the left temporal region and minor deviations in peripheral blood developed. In the following years, repeated surgery due to secondary skin defects of the left hand resulted in the loss of the fingers 2-5. Since 1975, changes in the lens of the left eye began to appear leading gradually to the deterioration of visual acuity. Later, opacities of the lens of the right eye were found. The patient's psychological and emotional attitude about the accident changed in the course of time. The factors influencing the psychic state of the patient are identified

  3. Children's Intrinsic Motivation to Provide Help Themselves After Accidentally Harming Others.

    Science.gov (United States)

    Hepach, Robert; Vaish, Amrisha; Tomasello, Michael

    2017-07-01

    Little is known about the flexibility of children's prosocial motivation. Here, 2- and 3-year-old children's (n = 128) internal arousal, as measured via changes in pupil dilation, was increased after they accidentally harmed a victim but were unable to repair the harm. If they were able to repair (or if they themselves did not cause the harm and the help was provided by someone else) their arousal subsided. This suggests that children are especially motivated to help those whom they have harmed, perhaps out of a sense of guilt and a desire to reconcile with them. Young children care not only about the well-being of others but also about the relationship they have with those who depend on their help. © 2016 The Authors. Child Development © 2016 Society for Research in Child Development, Inc.

  4. Parents accidentally substitute similar sounding sibling names more often than dissimilar names.

    Directory of Open Access Journals (Sweden)

    Zenzi M Griffin

    Full Text Available When parents select similar sounding names for their children, do they set themselves up for more speech errors in the future? Questionnaire data from 334 respondents suggest that they do. Respondents whose names shared initial or final sounds with a sibling's reported that their parents accidentally called them by the sibling's name more often than those without such name overlap. Having a sibling of the same gender, similar appearance, or similar age was also associated with more frequent name substitutions. Almost all other name substitutions by parents involved other family members and over 5% of respondents reported a parent substituting the name of a pet, which suggests a strong role for social and situational cues in retrieving personal names for direct address. To the extent that retrieval cues are shared with other people or animals, other names become available and may substitute for the intended name, particularly when names sound similar.

  5. Implications of the new ICRP recommendations for the management of post-accidental situations

    International Nuclear Information System (INIS)

    Coulon, R.; Kelly, N.

    1992-01-01

    From an analysis of the new ICRP recommendations in relation with the management of post-accidental situations, there appears that no significant changes in comparison with the present situation will result. The consequences are rather an attempt to further clarify and justify the way in which the system of radiation protection applies to such situations, corresponding clearly to 'intervention situation', especially: - the use of the justification and optimization principles for the decision of implementing a protective measure. - the use of 'intervention levels' instead of individual 'dose limits'. In addition, and although there is no link at all between the dose limits applying in 'practices situations' and the intervention levels, the increase of risk factors could also result in a change of intervention levels. (author)

  6. Sudden bilateral sensorineural hearing loss as an unusual consequence of accidental ingestion of potassium hydroxide.

    Science.gov (United States)

    Ciorba, A; Bovo, R; Castiglione, A; Pirodda, A; Martini, A

    2010-01-01

    To discuss the possible etiopathogenetic mechanism of inner ear damage induced by the ingestion of potassium hydroxide (KOH). We report the case of a 37-year-old patient with sudden bilateral sensorineural hearing loss after accidental ingestion of a KOH solution. The first ear, nose and throat examination disclosed only mild edema of the upper airways. He was treated in the intensive care unit and prescribed high-dose steroids, proton pump inhibitors and sucralfate for 2 weeks. Unfortunately, there was no recovery of the hearing loss, and no audiogram changes were noticed after 12 months of follow-up. After exploring the possible etiopathogenetic mechanism involved, the authors believe that in this case, a transient severe hemodynamic imbalance can actually be considered to be the most reliable explanation for the inner ear damage and subsequent onset of permanent bilateral sensorineural hearing loss. Copyright 2010 S. Karger AG, Basel.

  7. Investigation of thermoluminescence properties of mobile phone screen displays as dosimeters for accidental dosimetry

    Science.gov (United States)

    Mrozik, Anna; Marczewska, B.; Bilski, P.; Kłosowski, M.

    2014-11-01

    The rapid assessment of the radiation dose after unexpected exposure is a task of accidental dosimetry. In case of a radiological accident glasses originating from mobile phone screens, placed usually near the human body, could be used as emergency thermoluminescent (TL) personal dosimeters. The time between irradiation and TL readout is crucial and therefore preparation of the mobile phone screens and their readout conditions should be optimized. The influence of the samples etching, bleaching and selection of the optical filters based on measurement of the emission spectrum of irradiated glass samples during heating for different types of mobile phones were the subjects of our investigation. Obtained results showed that glasses extracted from different brands of mobile phones have different dosimetric properties but all of them give a luminescent signal which can be used to calculate the dose.

  8. Accidental injections of dexamethasone intravitreal implant (Ozurdex) into the crystalline lens.

    Science.gov (United States)

    Coca-Robinot, Javier; Casco-Silva, Bruno; Armadá-Maresca, Felix; García-Martínez, Jesús

    2014-01-01

    To describe the side effects and management after inadvertent injection of a dexamethasone implant (Ozurdex) into the crystalline lens. Two case reports. Two patients with macular edema due to unilateral retinal vein occlusion were scheduled for an intravitreal injection of Ozurdex. During the procedure, the implant was accidentally injected into the crystalline lens. Both patients developed cataracts during the course of several weeks and in both there was an intraocular pressure (IOP) increase, which required treatment with topical hypotensives. Macular edema improved only slightly. Cataract surgery with uneventful removal of the implant was performed 3 (case 1) and 6 months (case 2) after the injection. After inadvertent injection of Ozurdex into the crystalline lens, cataract surgery with removal of the implant should be performed as soon as possible in order to avoid IOP increase and so that the underlying condition may be treated adequately.

  9. A Case of Severe Accidental Hypothermia Successfully Treated with Cardiopulmonary Bypass

    Directory of Open Access Journals (Sweden)

    Erfun M. Hatam

    2017-01-01

    Full Text Available After missing for seven days, a 34-year-old female was found with a rectal temperature of 19.8oC. Instead of attempting aggressive rewarming in the emergency department she was directly transferred to the operating room for extracorporeal rewarming. She received cardiopulmonary bypass (CPB for 66 minutes at an initial warming rate of 12oC/ hour and warmed to 36.2oC. Her postoperative course was complicated by sepsis, which eventually led to bilateral below-knee amputations after refusing antibiotics. She was discharged 22 days after admission, with full neurologic recovery. This remarkable case highlights the emerging role of CPB as the definitive therapy for severe accidental hypothermia.

  10. Control of accidental releases of hydrogen selenide in vented storage cabinets

    Science.gov (United States)

    Fthenakis, V. M.; Moskowitz, P. D.; Sproull, R. D.

    1988-07-01

    Highly toxic hydrogen selenide and hydrogen sulfide gases are used in the production of copper-indium-diselenide photovoltaic cells by reactive sputtering. In the event of an accident, these gases may be released to the atmosphere and pose hazards to public and occupational safety and health. This paper outlines an approach for designing systems for the control of these releases given the uncertainty in release conditions and lack of data on the chemical systems involved. Accidental releases of these gases in storage cabinets can be controlled by either a venturi and packed-bed scrubber and carbon adsorption bed, or containment scrubbing equipment followed by carbon adsorption. These systems can effectively reduce toxic gas emissions to levels needed to protect public health. The costs of these controls (˜0.012/Wp) are samll in comparison with current (˜6/Wp) and projected (˜I/Wp) production costs.

  11. Hybrid parallel strategy for the simulation of fast transient accidental situations at reactor scale

    International Nuclear Information System (INIS)

    Faucher, V.; Galon, P.; Beccantini, A.; Crouzet, F.; Debaud, F.; Gautier, T.

    2013-01-01

    This contribution is dedicated to the latest methodological developments implemented in the fast transient dynamics software EUROPLEXUS (EPX) to simulate the mechanical response of fully coupled fluid-structure systems to accidental situations to be considered at reactor scale, among which the Loss of Coolant Accident, the Core Disruptive Accident and the Hydrogen Explosion. Time integration is explicit and the search for reference solutions within the safety framework prevents any simplification and approximations in the coupled algorithm: for instance, all kinematic constraints are dealt with using Lagrange Multipliers, yielding a complex flow chart when non-permanent constraints such as unilateral contact or immersed fluid-structure boundaries are considered. The parallel acceleration of the solution process is then achieved through a hybrid approach, based on a weighted domain decomposition for distributed memory computing and the use of the KAAPI library for self-balanced shared memory processing inside sub-domains. (authors)

  12. The European Community dimension to the problem of accidental radioactive releases to the environment

    International Nuclear Information System (INIS)

    Bennett, E.

    1989-01-01

    The European Community has to comply with the provisions of the Euratom Treaty, 1957. As well as providing the conditions necessary for the growth of nuclear industries it lays down the task to establish uniform Safety Standards to protect the health of workers and of the general public. This includes emergency planning in case of nuclear accidents. As a result the Community followed the guide, published in 1982 by the International Commission on Radiological Protection, on the radiological protection criteria for controlling doses to the public in the event of accidental releases of radioactive materials. However when the Chernobyl accident occured the Community and International arrangements proved to be inadequate to respond to the consequent widespread contamination over Europe. Measures have been taken since then to improve the preparedness of the Community. They include better exchange of information, control of contaminated foodstuffs and better information to the public. (U.K.)

  13. Accidental beam loss in superconducting accelerators: Simulations, consequences of accidents and protective measures

    International Nuclear Information System (INIS)

    Drozhdin, A.; Mokhov, N.; Parker, B.

    1994-02-01

    The consequences of an accidental beam loss in superconducting accelerators and colliders of the next generation range from the mundane to rather dramatic, i.e., from superconducting magnet quench, to overheating of critical components, to a total destruction of some units via explosion. Specific measures are required to minimize and eliminate such events as much as practical. In this paper we study such accidents taking the Superconducting Supercollider complex as an example. Particle tracking, beam loss and energy deposition calculations were done using the realistic machine simulation with the Monte-Carlo codes MARS 12 and STRUCT. Protective measures for minimizing the damaging effects of prefire and misfire of injection and extraction kicker magnets are proposed here

  14. Knowledge management for modelling nuclear power plants control in incidental and accidental states

    International Nuclear Information System (INIS)

    MIllerat, P.

    1996-11-01

    A knowledge model uses different techniques of complex systems management. Progress realised in the computer representation of links between different documents allows us to design a software facilitating the comprehension of the model built. This model is a qualitative model of the operators' behaviour in nuclear power plant accidental control. This model concerned three topics closely linked together. The first gives a description of every physical phenomena implied the application of the State-oriented Approach (APE in French) procedures. It's referred as model of process. The second gives a description of every activities used by the operators' team to manage all thermohydraulic incidents and accidents. It's a functional model also referred as tasks model. The quality of the method, based on the Systems' Science, capitalized a know-how simply transferable to design a new software on industrial process to support the operators. (author)

  15. Dynamic evaluation of environmental impact due to tritium accidental release from the fusion reactor

    International Nuclear Information System (INIS)

    Nie, Baojie; Ni, Muyi; Jiang, Jieqiong; Wu, Yican

    2015-01-01

    As one of the key safety issues of fusion reactors, tritium environmental impact of fusion accidents has attracted great attention. In this work, the dynamic tritium concentrations in the air and human body were evaluated on the time scale based on accidental release scenarios under the extreme environmental conditions. The radiation dose through various exposure pathways was assessed to find out the potential relationships among them. Based on this work, the limits of HT and HTO release amount for arbitrary accidents were proposed for the fusion reactor according to dose limit of ITER. The dynamic results aim to give practical guidance for establishment of fusion emergency standard and design of fusion tritium system. - Highlights: • Dynamic tritium concentration in the air and human body evaluated on the time scale. • Different intake forms and relevant radiation dose assessed to find out the potential relationships. • HT and HTO release amount limits for arbitrary accidents proposed for the fusion reactor according to dose limit

  16. NRC's rulemaking to require materials licensees to be financially responsible for cleanup of accidental releases

    International Nuclear Information System (INIS)

    Seeman, M.J.

    1987-01-01

    On June 7, 1985, the US Nuclear Regulatory Commission (NRC) published an advance notice of proposed rulemaking (ANPRM) in the Federal Register to address funding for cleanup of accidents and unexpected decontamination by certain materials licensees. The NRC asked for public comment to help them determine whether to amend its regulations to require certain materials and fuel cycle licensees to demonstrate that they possess adequate financial means to pay for cleanup of accidental releases of radioactive materials. If licensees lack adequate financial resources and funds are to available for prompt cleanup, the consequences could be potentially significant for the public, the licencee and the federal government. The purpose of this paper is to explain the purpose and scope of the Commission's proposed regulatory action, as well as describing several accidents that made the Commission consider this action. Additionally, the paper will address other regulatory precedents. Finally, the paper will conclude by generally characterizing the public comments and items of concern raised by commenters

  17. Non-accidental injuries found in necropsies of domestic cats: a review of 191 cases.

    Science.gov (United States)

    de Siqueira, Adriana; Cassiano, Fabiana Cecília; de Albuquerque Landi, Marina Frota; Marlet, Elza Fernandes; Maiorka, Paulo César

    2012-10-01

    Animal cruelty is defined as a deliberate action that causes pain and suffering to an animal. In Brazil, legislation known as the Environmental Crimes Law states that cruelty toward all animal species is criminal in nature. From 644 domestic cats necropsied between January 1998 and December 2009, 191 (29.66%) presented lesions highly suggestive of animal cruelty. The main necroscopic finding was exogenous carbamate poisoning (75.39%) followed by blunt-force trauma (21.99%). Cats from 7 months to 2 years of age were the most affected (50.79%). In Brazil, violence is a public health problem and there is a high prevalence of domestic violence. Therefore, even if laws provide for animal welfare and protection, animals are common targets for violent acts. Within a context of social violence, cruelty toward animals is an important parameter to be considered, and the non-accidental lesions that were found are evidence of malicious actions.

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

    International Nuclear Information System (INIS)

    Bilo, Rob A.C.

    2010-01-01

    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.)

  19. Firearms and accidental deaths: Evidence from the aftermath of the Sandy Hook school shooting.

    Science.gov (United States)

    Levine, Phillip B; McKnight, Robin

    2017-12-08

    Exposure to firearms increased substantially after the December 2012 shooting at Sandy Hook Elementary School in Newtown, Connecticut, where 20 children and 6 adults were killed. Gun sales spiked by 3 million, on the basis of the increase in the number of background checks for firearm purchases. Google searches for buying and cleaning guns increased. We used Vital Statistics mortality data to examine whether a spike in accidental firearm deaths occurred at the same time as the greater exposure to firearms. We also assessed whether the increase in these deaths was larger in those states where the spike in gun sales per capita was larger. We find that an additional 60 deaths overall, including 20 children, resulted from unintentional shootings in the immediate aftermath of Sandy Hook. Copyright © 2017 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.

  20. Behavior of radioactive products in the containment. Behavior of iodine in accidental situation

    International Nuclear Information System (INIS)

    Lucas, M.; Fermandjian, J.

    1984-12-01

    The aim of studies on iodine is to demonstrate that in the case of failure in the containment occuring after more than one day, the total quantity of iodine released would be lower or equal to 1% of the inventory of the core at the moment of the begining of the accident. The first part describes the behavior of iodine in the containment of a PWR, in the case of an important accident. The second part deals with a synthesis of the knowledge about iodine. The third part presents the inventory of the main problems not resolved concerning the chemistry of iodine and the radiolysis of iodine. Finally, the program of studies on iodine is briefly presented; its aim is to develop the knowledge about iodine in accidental situations [fr