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  1. Central line infections - hospitals

    Science.gov (United States)

    ... infection; Central venous catheter - infection; CVC - infection; Central venous device - infection; Infection control - central line infection; Nosocomial infection - central line infection; Hospital acquired ...

  2. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. III. - September of 2001; Asesoria especializada en seguridad radiologica al hospital central norte de alta especialidad, PEMEX III.- Septiembre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Rodriguez A, F.; Garcia A, J

    2001-12-15

    The north central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  3. Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. III.- September of 2001; Asesoria especializada en seguridad radiologica al hospital central sur de alta especialidad, PEMEX III.- Septiembre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Rodriguez A, F.; Garcia A, J

    2001-12-15

    The south central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  4. Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. V. - November of 2001; Asesoria especializada en seguridad radiologica al hospital central sur de alta especialidad, PEMEX. V.- Noviembre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F

    2002-01-15

    The south central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Autho000.

  5. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. I. - May-June of 2003; Asesoria especializada en seguridad radiologica al hospital central norte de alta especialidad, PEMEX I.- Mayo-Junio de 2003

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Camacho V, B.; Rodriguez A, F

    2003-09-15

    The north central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  6. Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. IV. - October of 2001; Asesoria especializada en seguridad radiologica a la clinica al hospital central sur de alta especialidad, PEMEX. IV.- Octubre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F

    2002-01-15

    The south central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  7. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. I. - July of 2001; Asesoria especializada en seguridad radiologica al hospital central norte de alta especialidad, PEMEX I.- Julio de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A

    2001-09-15

    The north central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  8. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. II. - August of 2001; Asesoria especializada en seguridad radiologica al hospital central norte de alta especialidad, PEMEX II.- Agosto de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Rodriguez A, F.; Garcia A, J

    2001-10-15

    The north central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)0.

  9. Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. I. - July of 2001; Asesoria especializada en seguridad radiologica al hospital central sur de alta especialidad, PEMEX I.- Julio de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J

    2001-09-15

    The south central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  10. Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. II.- August of 2001; Asesoria especializada en seguridad radiologica al hospital central sur de alta especialidad, PEMEX II.- Agosto de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Rodriguez A, F.; Garcia A, J

    2001-12-15

    The south central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  11. Factores de riesgo en lesiones intraepiteliales de cuello uterino en las usuarias del Hospital Central de la Policía Nacional, año 2009 al 2010

    Directory of Open Access Journals (Sweden)

    Edith Miyeri Segura Valdés

    2012-01-01

    Full Text Available Explorar las características sociodemográficas y factores de riesgo en lesiones intraepiteliales de cuello uterino en las usuarias del Hospital Central de la Policía Nacional, año 2009 al 2010

  12. Specialized consulting in radiological safety to the south central hospital of high specialty, PEMEX. VI. December of 2001; Asesoria especializada en seguridad radiologica al hospital central sur de alta especialidad. PEMEX. VI. Diciembre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J.A.; Garcia A, J.; Rodriguez A, F. [ININ, 52045 Ocoyoacac, Estado de Mexico (Mexico)

    2002-01-15

    It is a report of a specialized consulting in radiological safety that to be carried the ININ to PEMEX for the South Central Hospital of High Specialty, to maintain the sanitary license for the use of X-ray equipment of medical diagnostic, and guarantee these services with a program of quality assurance. To give fulfilment to that requests it is programmed a technical assistance monthly, with reports of results during the development of the service. In this document it is carried a report of the advances and results in the month of december of the 2001, where the following documents are analyzed: Manual of radiological safety, program of quality assurance, operation procedures, procedure of maintenance team, procedure of medical radiological control of the specialized personnel; also are annotate the obtained results and their observations. (Author)

  13. Specialized consulting in radiological safety to the North Central Hospital of high specialty, PEMEX. V. November of 2001; Asesoria especializada en seguridad radiologica al Hospital Central Norte de alta especialidad, PEMEX. V. Noviembre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F. [ININ, 52045 Ocoyoacac, Estado de Mexico (Mexico)

    2002-01-15

    It is a report of a specialized consulting in radiological safety that to be carried the ININ to PEMEX for the North Central Hospital of High Specialty, to maintain the sanitary license for the use of X ray equipment of medical diagnostic, and guarantee these services with a program of quality assurance. To give fulfilment to that requests it is programmed a technical assistance monthly, with reports of results during the development of the service. In this document it is carried a report of the advances and results in the month of November of the 2001, where the following documents are analyzed: Manual of radiological safety, program of quality assurance, operation procedures, procedure of maintenance team, procedure of medical radiological control of the specialized personnel; also are annotate the obtained results and their observations. (Author)

  14. Perforated duodenal ulcer in Asir central hospital

    Directory of Open Access Journals (Sweden)

    Jastaniah Suleiman

    1997-01-01

    Full Text Available In a study of 27 cases of perforated duodenal ulcer seen at Asir Central Hospital over a period of seven years, two patients were females and 25 males. The highest incidence was in the fourth decade and the average age was 36.3 years. The Saudi-foreigner ratio was 1:2.9 in an area where the Saudi-foreigner population ratio was 1:3. Nine patients (33.3% were previously diagnosed as having peptic ulcer and had received treatment at one time or the other before perforation. Eighteen patients (66.7% were first diagnosed to peptic ulcer after the perforation. All the identified perforations were located anteriorly and anterosuperiorly. Only one case occurred in the second part of duodenum. The rest occurred in the first part. Two patients were treated successfully conservatively. The month perforations occurred most was the month of Shaaban. The fasting period during the month of Ramadhan did not show any increase in the prevalence of perforation in this hospital.

  15. Centralization of Intensive Care Units: Process Reengineering in a Hospital

    Directory of Open Access Journals (Sweden)

    Arun Kumar

    2010-03-01

    Full Text Available Centralization of intensive care units (ICUs is a concept that has been around for several decades and the OECD countries have led the way in adopting this in their operations. Singapore Hospital was built in 1981, before the concept of centralization of ICUs took off. The hospital's ICUs were never centralized and were spread out across eight different blocks with the specialization they were associated with. Coupled with the acquisitions of the new concept of centralization and its benefits, the hospital recognizes the importance of having a centralized ICU to better handle major disasters. Using simulation models, this paper attempts to study the feasibility of centralization of ICUs in Singapore Hospital, subject to space constraints. The results will prove helpful to those who consider reengineering the intensive care process in hospitals.

  16. Sympathetic dysfunction of central origin in patients with ALS

    DEFF Research Database (Denmark)

    Karlsborg, M; Andersen, E B; Wiinberg, N

    2003-01-01

    Amyotrophic lateral sclerosis (ALS) is a severe, progressive disease affecting both the central and peripheral parts of the motor nervous system. Some studies have shown unequivocal indications of a more disseminated disease also affecting the autonomic nervous system. We therefore evaluated....... There were no correlations between the ALS Severity Scores and blood flow changes, diastolic blood pressure or MAP. Our study supports previous results, but indicates abnormalities consistent with a solely centrally located sympathetic dysfunction in ALS, independent of the stage of the disease....

  17. Calculation of Al-Zn diagram from central atoms model

    Institute of Scientific and Technical Information of China (English)

    1999-01-01

    A slightly modified central atoms model was proposed. The probabilities of various clusters with the central atoms and their nearest neighboring shells can be calculated neglecting the assumption of the param eter of energy in the central atoms model in proportion to the number of other atoms i (referred with the central atom). A parameter Pα is proposed in this model, which equals to reciprocal of activity coefficient of a component, therefore, the new model can be understood easily. By this model, the Al-Zn phase diagram and its thermodynamic properties were calculated, the results coincide with the experimental data.

  18. Sympathetic dysfunction of central origin in patients with ALS

    DEFF Research Database (Denmark)

    Karlsborg, M; Andersen, E B; Wiinberg, N;

    2003-01-01

    Amyotrophic lateral sclerosis (ALS) is a severe, progressive disease affecting both the central and peripheral parts of the motor nervous system. Some studies have shown unequivocal indications of a more disseminated disease also affecting the autonomic nervous system. We therefore evaluated...

  19. Sympathetic dysfunction of central origin in patients with ALS

    DEFF Research Database (Denmark)

    Karlsborg, M; Andersen, E B; Wiinberg, N;

    2003-01-01

    the centrally and peripherally mediated autonomic vascular reflexes by (i) the local 133-Xenon washout technique, and (ii) the head-up tilt table test. The results correlated to clinical scores. We examined nine ALS patients and 15 age-matched controls. The 133-Xenon washout test showed a significant reduction...

  20. Incidencia y predictores de segundos tumores primarios en el quinquenio posterior al diagnóstico de cáncer de colon-recto emitido en el bienio 2006-2007 en el Hospital Universitario Central de Asturias (HUCA)

    OpenAIRE

    Arketa Ugarte, Itxaso

    2014-01-01

    Es un proyecto que tiene como objetivo determinar la incidencia de segundos tumores primarios en el quinquenio posterior al diagnóstico de un cáncer de colon-recto ocurrido en el bienio 2006-2007 según el Registro Hospitalario de Tumores de Asturias, y establecer qué factores (del paciente, del sistema sanitario y del tumor) predicen la aparición de un segundo tumor primario.

  1. Derechos emergentes en regiones emergentes: el derecho al agua potable y al saneamiento en Asia Central

    OpenAIRE

    Saura Estapà, Jaume

    2011-01-01

    El derecho humano al agua potable y al saneamiento viene afirmándose de manera cada vez más rotunda en el plano internacional. Supone la capacidad de cada ser humano de acceder a agua limpia y segura de manera asequible, y la obligación correlativa de los Estados de garantizar y proteger este derecho. Los Estados de Asia Central disponen de agua suficiente para garantizar este derecho a todos sus ciudadanos, pero la mala gestión y el despilfarro hace que algunas zonas, sobre todo rurales, ten...

  2. Professional Nursing Duties in the Central Services: Hospital Pharmacy Nurses

    Directory of Open Access Journals (Sweden)

    Inmaculada Gómez-Villegas

    2015-01-01

    Full Text Available Introduction. The new demands of a fast changing world necessitate expanding the traditional concepts of nursing, extending the classical aspects to cover new areas. Purpose. Based on their professional duties, the nursing team in the pharmacy of a second-level hospital aimed to establish a theoretical and situational framework for nurses working in the central services. Material and Methods. Application of the nursing process to nursing work in an area with no direct contact with patients. Results and Discussion. The application of the NANDA diagnoses to professional practice enabled the establishment of a nursing diagnosis with the implementation of measures designed to overcome a stressful situation with a risk of becoming unmotivated. Main Conclusion. The capacity to adapt the nursing profession to undertake new roles in the field of healthcare and the power of nursing own methodological resources permit the indirect care of “faceless” patients to be complemented with the inclusion of nurses from other services as clients, forming the focus of care, who can thus be helped with their daily care work.

  3. Arquitectura para la salud y la enfermedad: del hospital pabellonario (extensivo) al hospital en bloque (intensivo)

    OpenAIRE

    Martínez Medina, Andrés

    2012-01-01

    El presente texto repasa de modo muy sintético la evolución de la tipología hospitalaria del sistema pabellonario (Hospital Provincial), pasando por el tipo de hospital 'en bloque horizontal' (Perpetuo Socorro) hasta alcanzar el tipo de hospital 'en bloque' y altura (Residencia 20 de Noviembre y el Cardiovascular). Este recorrido se realiza tendiendo puentes entre los progresos de la arquitectura y los descubrimientos de la medicina: desde las teorías de los miasmas, a la de la higiene y la d...

  4. Clinical course, management and in-hospital outcomes of acute coronary syndrome in Central Asian women

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    Ravshanbek Kurbanov

    2011-03-01

    Full Text Available The paper describes features history, risk factors and hospital management of acute coronary syndrome (ACS in women of the Central Asia (829 ACS patients are included, and also comparison of hospital outcomes of ACS in groups of men and women.ACS in women in the Central Asia comprises features as more non Q-wave myocardial infarction frequency, smaller adherence to treatment of dyslipidemia, more obesity degrees. Women arrive to hospital average in 4 hours after men; have more percent of the atypical form. In-hospital outcomes in men and women significantly did not differ because of general tendency to late arriving to the hospital and small quantity of revascularization procedures. The reasons of differences between men and women in the region are mostly connected to social sphere (late arriving, non-treated dyslipidemia than to physiological peculiarities.

  5. [Surgical service at the Central Military Hospital of People's Commissariat of Defence shortly before the Great Patriotic War].

    Science.gov (United States)

    Krainyukov, P E; Efimenko, N A; Abashin, V G

    2015-04-01

    Authors present the article historical data on the foundation and development of surgical service at the 1st Therapeutic Red Cross Hospital (Central Military Hospital of People's Commissariat. of Defense) since its organization. The structure of the hospital surgical service and organization of surgical activity during the pre-war years is presented. Provided information about outstanding surgeons who was working in the hospital.

  6. The Likelihood of Hospital Readmission among Patients with Hospital-Onset Central Line-Associated Bloodstream Infections

    Science.gov (United States)

    Khong, Carolyn; Baggs, James; Kleinbaum, David; Cochran, Ronda; Jernigan, John A.

    2015-01-01

    Objective We sought to determine whether central line-associated bloodstream infections (CLABSI) increase the likelihood of readmission. Design Retrospective matched cohort study for the years 2008–2009. Setting Acute care hospitals. Participants Medicare recipients. CLABSI and readmission status were determined by linking National Healthcare Safety Network surveillance data to the Centers for Medicare & Medicaid Services’ Medical Provider and Analysis Review in eight states. Frequency matching was used on ICD-9-CM procedure code category and intensive care unit status. Methods We compared the rate of readmission among patients with and without CLABSI during an index hospitalization. Cox proportional hazard analysis was used to assess rate of readmission (the first hospitalization within 30 days post-index discharge). Multivariate models included the following covariates: race, sex, length of index hospitalization stay central line procedure code, GAGNE co-morbidity score, and individual chronic conditions. Results Of the 8,097 patients, 2,260 were readmitted within 30 days (27.9%). The rate of first readmission was 7.1 events/person-year (PY) for CLABSI patients and 4.3 events/PY for non-CLABSI patients (p <0.001). The final model revealed a small but significant increase in the rate of 30 day readmissions for patients with a CLABSI compared to similar non-CLABSI patients. In the first readmission for CLABSI patients, we also observed an increase in diagnostic categories consistent with CLABSI including septicemia and complications of a device. Conclusions Our analysis found a statistically significant association between CLABSI status and readmission, suggesting that CLABSI may have adverse health impact that extends beyond hospital discharge. PMID:25990620

  7. [The Central Military Hospital of the People's Commissariat for Defence during the Great Patriotic War].

    Science.gov (United States)

    Simonenko, V B; Abashin, V G; Polovinka, V S

    2014-05-01

    The article is devoted to activity of the Central Military Hospital of the People's Commissariat for Defence during the Great Patriotic War. The research is based on declassified orders of PCD and orders of the chef of hospital. Authors presented the role of the hospital in organization of medical aid for officers of PCD, members of their families, Red Army soldiers, junior and senior Red Army commanders; the role of the hospital in organization of medical facilities for combat army; medical supply for evacuation of family members of PCD's officers ( en route and in evacuation places); delivery of child health care to children of officers of PCD in the hospital and education in kindergartens of PCD.

  8. Magnet® Hospital Recognition Linked to Lower Central Line-Associated Bloodstream Infection Rates.

    Science.gov (United States)

    Barnes, Hilary; Rearden, Jessica; McHugh, Matthew D

    2016-04-01

    Central-line-associated bloodstream infections (CLABSI) are among the deadliest heathcare-associated infections, with an estimated 12-25% mortality rate. In 2014, the Centers for Medicare and Medicaid Services (CMS) began to penalize hospitals for poor performance with respect to selected hospital-acquired conditions, including CLABSI. A structural factor associated with high-quality nursing care and better patient outcomes is The Magnet Recognition Program®. The purpose of this study was to explore the relationship between Magnet status and hospital CLABSI rates. We used propensity score matching to match Magnet and non-Magnet hospitals with similar hospital characteristics. In a matched sample of 291 Magnet hospitals and 291 non-Magnet hospitals, logistic regression models were used to examine whether there was a link between Magnet status and CLABSI rates. Both before and after matching, Magnet hospital status was associated with better (lower than the national average) CLABSI rates (OR = 1.60, 95%CI: 1.10, 2.33 after matching). While established programs such as Magnet recognition are consistently correlated with high-quality nursing work environments and positive patient outcomes, additional research is needed to determine whether Magnet designation produces positive patient outcomes or rewards existing excellence.

  9. Carbapenem Resistance among Enterobacter Species in a Tertiary Care Hospital in Central India

    OpenAIRE

    Atul Khajuria; Ashok Kumar Praharaj; Mahadevan Kumar; Naveen Grover

    2014-01-01

    Objective. To detect genes encoding carbapenem resistance among Enterobacter species in a tertiary care hospital in central India. Methods. Bacterial identification of Enterobacter spp. isolates from various clinical specimens in patients admitted to intensive care units was performed by routine conventional microbial culture and biochemical tests using standard recommended techniques. Antibiotic sensitivity test was performed by standard Kirby Bauer disc diffusion technique. PCR amplificat...

  10. C9ORF72 hexanucleotide repeat expansion in ALS patients from the Central European Russia population.

    Science.gov (United States)

    Abramycheva, Natalya Y; Lysogorskaia, Elena V; Stepanova, Maria S; Zakharova, Maria N; Kovrazhkina, Elena A; Razinskaya, Olga D; Smirnov, Andrey P; Maltsev, Andrey V; Ustyugov, Alexey A; Kukharsky, Michail S; Khritankova, Inna V; Bachurin, Sergey O; Cooper-Knock, Johnathan; Buchman, Vladimir L; Illarioshkin, Sergey N; Skvortsova, Veronika I; Ninkina, Natalia

    2015-10-01

    Cohorts of amyotrophic lateral sclerosis (ALS) patients and control individuals of Caucasian origin from the Central European Russia (Moscow city and region) were analyzed for the presence of hexanucleotide repeat GGGGCC expansion within the first intron of the C9ORF72 gene. The presence of a large (>40) repeat expansion was found in 15% of familial ALS cases (3 of 20 unrelated familial cases) and 2.5% of sporadic ALS cases (6 of 238) but in none of control cases. These results suggest that the frequency of C9ORF72 hexanucleotide repeats expansions in the Central European Russian ALS patients is significantly lower than in Western European or Northern American ALS patients of Caucasian origin but higher than in Asian ALS patients.

  11. Sobrevida de pacientes con infarto agudo al miocardio en un hospital de Costa Rica

    Directory of Open Access Journals (Sweden)

    Manrique Leal Mateos

    2005-12-01

    Full Text Available Objetivo:El presente estudio tiene como propósito principal estimar la probabilidad acumulada de sobrevida al sexto mes de pacientes egresados del Hospital Calderón Guardia bajo el diagnóstico de infarto agudo al miocardio. Metodología:Se realizó un estudio de cohorte retrospectivo que incluyó a pacientes internados bajo el diagnóstico de infarto agudo al miocardio en el Servicio de Medicina Interna del Hospital Calderón Guardia entre el primero de octubre del 2003 al 31 de septiembre del 2004. La probabilidad acumulada de sobrevida de los pacientes se estimó al sexto mes posterior al evento cardiovascular y fue realizada mediante el método de Kaplan Meier. El tiempo de sobreviva fue medido en meses. La fecha inicial del estudio correspondió al momento en que se realizó el diagnóstico de infarto agudo al miocardio a cada paciente.La fecha de término del estudio fue el 31 de septiembre del 2004. El efecto independiente de las variables seleccionadas se realizó mediante el modelo de regresión múltiple de riesgos proporcionales de Cox.El nivel de significancia fue fijado en p<0,05. Resultados:Entre el 1 ºde octubre del 2003 y el 31 de septiembre del 2004, se identificaron 127 pacientes,cuyo diagnóstico de ingreso al Servicio de Medicina Interna del Hospital Calderón Guardia fue infarto agudo al miocardio. El 66,1%(n=84de los casos correspondieron a pacientes del sexo masculino.La edad promedio de los pacientes fue 64,6 años (DE ±12,2. El 63%(n=80de los pacientes presentaron antecedentes de Hipertensión Arterial,siendo este factor de riesgo el más frecuente en la población estudiada. Al final del período de estudio fallecieron 18 pacientes.De éstos,8 murieron por causas diferentes o no derivadas del infarto agudo al miocardio.La probabilidad acumulada de sobrevida para ambos sexos a los seis meses posteriores del evento cardiovascular fue de un 91,3%. Conclusiones:La sobrevida proporcional de la cohorte estudiada se puede

  12. Hospital-wide multidisciplinary, multimodal intervention programme to reduce central venous catheter-associated bloodstream infection.

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    Walter Zingg

    Full Text Available Central line-associated bloodstream infection (CLABSI is the major complication of central venous catheters (CVC. The aim of the study was to test the effectiveness of a hospital-wide strategy on CLABSI reduction. Between 2008 and 2011, all CVCs were observed individually and hospital-wide at a large university-affiliated, tertiary care hospital. CVC insertion training started from the 3rd quarter and a total of 146 physicians employed or newly entering the hospital were trained in simulator workshops. CVC care started from quarter 7 and a total of 1274 nurses were trained by their supervisors using a web-based, modular, e-learning programme. The study included 3952 patients with 6353 CVCs accumulating 61,366 catheter-days. Hospital-wide, 106 patients had 114 CLABSIs with a cumulative incidence of 1.79 infections per 100 catheters. We observed a significant quarterly reduction of the incidence density (incidence rate ratios [95% confidence interval]: 0.92 [0.88-0.96]; P<0.001 after adjusting for multiple confounders. The incidence densities (n/1000 catheter-days in the first and last study year were 2.3/1000 and 0.7/1000 hospital-wide, 1.7/1000 and 0.4/1000 in the intensive care units, and 2.7/1000 and 0.9/1000 in non-intensive care settings, respectively. Median time-to-infection was 15 days (Interquartile range, 8-22. Our findings suggest that clinically relevant reduction of hospital-wide CLABSI was reached with a comprehensive, multidisciplinary and multimodal quality improvement programme including aspects of behavioural change and key principles of good implementation practice. This is one of the first multimodal, multidisciplinary, hospital-wide training strategies successfully reducing CLABSI.

  13. Reacciones adversas al tratamiento antirretroviral de gran actividad inicial en el hospital Santa Rosa – Piura.

    OpenAIRE

    Jiovany Jahn Carlos Saldaña-Gastulo; Carlos Purizaca-Rosillo; Javier Carreño-Ramirez; Christian Malqui-Huaman; Arnaldo La Chira-Albán; Alfonso Gutierrez Aguado

    2011-01-01

    Objetivo: Determinar la incidencia y factores asociados a reacciones adversas medicamentosas (RAM) al TARGA inicial durante el periodo enero 2006 – diciembre 2007 en el Hospital de Apoyo Santa Rosa-Piura. Diseño: Se realizó un estudio analítico de cohorte retrospectiva. Lugar: Hospital de Apoyo Santa Rosa-Piura. Participantes: 107 historias clínicas de pacientes VIH positivos mayores de 18 años que recibieron TARGA y fueron atendidos durante este periodo en el consultorio de infectología. Int...

  14. La Vega Central: Del lugar al no lugar

    Directory of Open Access Journals (Sweden)

    María Teresa Herrera Urrutia

    2014-01-01

    Full Text Available La Vega Central de Santiago de Chile. Un mercado reconocido por los santiaguinos como mercado popular compuesto por personas de distintos orígenes tanto sociales como étnicos. Para comprender la importancia de este sector comercial, es necesario hacer un recorrido histórico que muestre cuál es el origen de la Vega y cómo el lugar que ocupa le otorga un significado en el mundo popular para así entender los nuevos procesos emergentes relativos a la multiculturalidad. Desde la teoría de los No Lugares, se intenta entender cómo La Vega logra constituirse como un Lugar en la medida en que es habitado y construido por las personas, y como, a su vez, la temporalidad a la que es sometida logra generar un pliegue que transforma a este mercado en un No Lugar. Por lo tanto, la hipótesis que dirige este artículo tiene relación con que el horario de funcionamiento de La Vega permite el pliegue o la transformación entre este mercado como un Lugar y como un No Lugar. Abstract This paper focuses in a particular place, La Vega Central in Santiago de Chile. This is a marketplace known for santiaguinos as a people’s market, composed of people from different backgrounds, both social and ethnic. In order to understand the importance of this comercial sector, it is necesarry to do an historical overview showing La Vega’s origin and how the place gives it a meaning in the popular world. From the Non Place theory, we try to understand how La Vega does constitute a Place to the extent that it is inhabited and built by people, and how, in turn, the temporality to wich is subjected to achieves to generate a fold that transforms this market in a Non Place. Therefore, the hypothesis that runs this article is related to La Vega’s operating hours that allows the market’s transformation as a Place and a Non Place.

  15. Risk Assessment of Physical Health Hazards in Al-Azhar University Hospital in New Damietta, Egypt

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    Mohammed El-Hady Imam*, Raed Mohammed Alazab**,

    2013-10-01

    Full Text Available Introduction: Personnel working in hospitals are exposed to many occupational hazards that may threaten their health and safety. Physical hazards that are encountered in hospital working environment include temperature, illumination, noise, electrical injuries, and radiation. Objectives: The objectives of this study were to identify physical health hazards in all departments of Al-Azhar University Hospital in new Damietta, to measure risk level of these hazards, and to recognize safety measures in these departments. Study Site: The study was conducted in Al-Azhar University Hospital in Damietta Governorate. Study Subjects: All personnel (328 working in the hospital were recruited. Study Methods: Interview forms; a workplace inspection checklist, assess physical health hazards in the hospital and a modified checklist (workplace safety and health risk management, assess leadership commitment towards workplace safety and health. Risk assessment matrix was used to describe the risk level. Also, environmental measurements of noise, temperature, relative humidity, and lighting were taken in all departments including auxiliary service offices. Results: Majority of the staffs reported stairways were free of obstacles, emergency lighting worked properly, and temperature was suitable. Minority of the staffs reported stairways were slippery, they were informed on hazards of noise and non-ionizing radiation, and they were given radiation safety training. Measurements of physical agents revealed noise levels were above standard of the WHO in all wards and above slandered of OSHA as in laundry, kitchen, etc. Range of noise level was from 58 dB in renal dialysis unit to 88 dB in kitchen. Lighting level was from 290 to 1150 Lux, temperature level was from 25 to 31°C, relative humidity level was from 45 to 59%, and heat index was low in all departments except kitchen and boiler room, it was moderate. Risk level of electrical and fire hazards was medium 22 (B

  16. Effects of Implemented Initiatives on Patient Safety Culture in Fateme Al-zahra Hospital in Najafabad

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    Ahmadreza Izadi

    2015-01-01

    Full Text Available Introduction: Patient safety improvement requires ongoing culture. This cultural change is the most important challenge that managers are faced with in creation of a safe system. This study aims to show the results of initiatives to improvement in patient safety culture in Fateme Al-zahra hospital. Method: In the quasi-experimental research, patient safety culture was measured using the Persian questionnaire on adaptation of the hospital survey on patient safety culture in 12 dimensions. The research was conducted before (January 2010 and after (September 2012 the improvement initiatives. In this study, all units were determined and no sampling method was used. Reliability of the questionnaire was tested by Alpha Chronbakh (0.83. Data were analyzed using descriptive statistics indices and Independent T-Test by SPSS Software (version 18. Results: 350 questionnaires were distributed in each phaseand overall response rate was 58 and 56 percent, respectively. According to Independent T-test, Management expectations and actions, Organizational learning, Management support, Feedback and communication about error, Communication openness, Overall Perceptions of Safety, Non-punitive Response to Error, Frequency of Event Reporting, and Patient safety culture showed significant differences (P-value0.05. The mean score of Patient safety culture was 2.27 (from 5 and it was increased to 2.46 after initiatives that showed a significant difference (P-value<0.05. Conclusion: Although, improvement in patient safety culture needs teamwork and continuous attempts, the study showed that initiatives implemented in the case hospital had been effective in some dimensions. However, Teamwork within hospital units, Teamwork across units, Hospital handoffs and transitions, and Staffing dimensions were recognized for further intervention. Hospital could improve the patient safety culture with planning and measures in these dimensions.

  17. [Supporting system for regional medical liaison and role of a central hospital].

    Science.gov (United States)

    Kitano, Seigo

    2003-04-01

    The current status and future development of the supporting system for regional medical liaison and a role of the central hospital in the network were outlined. One of such supportive systems for regional medical network would be tele-medicine or tele-mentoring that include radiological and pathological diagnoses in distance, tele-surgery, and tele-education. Most of these systems are facilitated in the universities and affiliated hospitals and generally need high-cost communication equipment. Another approach is the information sharing system through the modern telecommunication network. Electronic patient record (EPR) systems are the key to achieving this and currently active in several areas. Since the recent progress in information technology (IT) is astonishing, community-based EPR systems are practical with the capability of clinical information exchange between different institutions and even with patients. The role of a central hospital in these systems must be capacious. Management and continuous operation of the system would be the most important affairs. For extending these supporting systems to the ones working in a broader area, the establishment of a "one ID for one patient" system is crucial. Strict security management of the data base and legal institution for distant medical practice still remain as the future tasks.

  18. The perception of safety culture among nurses in a tertiary hospital in Central Saudi Arabia

    Science.gov (United States)

    Alonazi, Aisha A; Saeed, Elshazaly; Mohamed, Sarar

    2016-01-01

    Developing a patient safety culture was one of the recommendations made by the Institute of Medicine (IOM) to assist hospitals in improving patient safety. Nurses are the key to safety improvements in hospitals. It is necessary to know their awareness and perception regarding institutional safety climate. The aim of this study is to explore perceptions of patient safety among nursing staff in a tertiary hospital in Central Saudi Arabia in different discipline units. The current study was conducted at Prince Sultan Military Medical City (PSMMC), a tertiary center in Riyadh, Central Saudi Arabia. In November 2014, five hundred nurses were randomly selected to participate in this study. A survey questionnaire with Likert scale was adopted covering characteristics of participants together with their views on patient safety issues. Two hundred and twenty-four participants filled the questionnaire with a response rate of 44.8%. The overall perception of patient safety among participants was (57.9%). The majority (74.1%) thought that the existing system is good at preventing errors and only one third indicated that they have patient safety problems. Most of the participants were happy with the existing patient safety culture including organizational learning/continuous improvement (95.5%), and errors feedback and communication (76.64%). In conclusion, this study showed that perception of patient safety was sub-optimal among nurses and there are several areas for improvement regarding safety culture. PMID:28096559

  19. 76 FR 73776 - Wiregrass Central Railway, LLC-Abandonment Exemption-in Coffee County, AL

    Science.gov (United States)

    2011-11-29

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF TRANSPORTATION Surface Transportation Board Wiregrass Central Railway, LLC--Abandonment Exemption--in Coffee County, AL....2 in Enterprise, in Coffee County, Ala. (the line).\\1\\ The line traverses United States...

  20. Estimated radiation exposure from medical imaging for patients of radiology service of Al Faraby Hospital, Oujda Morocco

    OpenAIRE

    2015-01-01

    Purpose: To evaluate the effective dose received per radiological examination per patient and the additional cancer risk factor in the Radiological Service of Al Faraby Hospital in 2012. Methods: From the number of radiological procedures (NX) made in 2012 in the radiology service of Al Faraby Hospital and the average effective dose DEX associated with each type of act exam X, it is possible to calculate the effective dose collective [S =∑ DEX * NX]. The additional cancer risk factor is calcu...

  1. Tumores del estroma gastrointestinal (GIST: serie del Hospital Central de la Defensa Gómez Ulla

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    I. Bodega Quiroga

    2013-09-01

    Full Text Available Objetivo: Los tumores del estroma gastrointestinal (GIST se han diferenciado hace poco más de una década de los tumores de músculo liso y de origen neural gracias a métodos de identificación inmunohistoquímica (CD117. Al mismo tiempo, la introducción del Mesylato de Imatinib, fármaco empleado en el tratamiento de la leucemia mieloide crónica (LMC, ha mejorado la expectativa de vida, no sólo en GIST irresecables o metastáticos, sino también para aquéllos de intermedio o alto grado de malignidad como terapia adyuvante e incluso se plantea como tratamiento neoadyuvante. El objetivo de esta comunicación es estudiar los GIST diagnosticados e intervenidos quirúrgicamente en el Servicio de Cirugía General y del Aparato Digestivo del Hospital Central de la Defensa «Gómez Ulla» (Madrid en un periodo de 9 años y realizar una revisión de la literatura enfocada fundamentalmente a los avances en el tratamiento. Material y métodos: Estudio retrospectivo observacional de los pacientes diagnosticados de GIST e intervenidos quirúrgicamente en nuestro Servicio de 2003 a 2012. Se estudia el motivo de consulta inicial, la localización, el grado histológico y el tipo de intervención quirúrgica realizado. Resultados: Se encontraron 11 pacientes entre Noviembre de 2003 y Abril de 2012, todos hombres. La edad media fue de 65´17 años (rango, 53-84. Hay que destacar que en 8 casos (72´7 % el hallazgo fue incidental, sin ninguna sintomatología previa. La localización más frecuente fue el estómago en 6 casos (54´5%, y en el intestino delgado en 5 (45´5%. En cuanto al riesgo de malignidad, 5 casos (45´5% fueron de bajo grado, 4 (36´4% de grado intermedio, 1 (9% de muy bajo grado y 1 (9´1% de alto grado de malignidad. La técnica quirúrgica empleada fue la gastrectomía parcial en 6 casos (54´5% seguida de la resección intestinal segmentaria en 5 casos (45´5%. Conclusiones: La incidencia anual de tumores GIST intervenidos en nuestro

  2. Reacciones Adversas al Tratamiento Antirretroviral de Gran Actividad Inicial en el Hospital Santa Rosa - Piura.

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    Jiovany Jhan Carlos Saldaña-Gastulo

    2009-01-01

    Full Text Available Objetivo, Determinar la incidencia y factores asociados a reacciones adversas medicamentosas (RAM al TARGA inicial durante el periodo enero 2006 - diciembre 2007 en el Hospital de Apoyo Santa Rosa-Piura. Diseño, Se realizó un estudio analítico de cohorte retrospectiva. Lugar, Hospital de Apoyo Santa Rosa-Piura. Participantes, 107 historias clínicas de pacientes VIH positivos mayores de 18 años que recibieron TARGA y fueron atendidos durante este periodo en el consultorio de infectología. Intervenciones, Se analizaron retrospectivamente las historias clínicas que fueron pertinentes para la recolección de datos. Principales medidas de resultado, Analisis Univariado, Bivariado (t de Student, y Riesgo Relativo, multivariado (Regresión logística con 95% de confianza (p<0.05. Resultados, En 107 pacientes se encontró una incidencia acumulada de 66,35% de RAM al TARGA inicial. Las RAM experimentadas con mayor frecuencia fueron anemia (35,2%, rash (16,9% y vómitos (9,9%. Se encontró diferencias significativas entre la media de edad y la presencia de RAM con la prueba de t de student (p < 0.05 Conclusiones, Existe una alta incidenica de RAM en pacientes incluidos en TARGA, siendo la más frecuente la anemia en 25 pacientes (35,2%. La media de edad es mayor en pacientes con RAM.

  3. Depression in chronic respiratory disorders in a tertiary rural hospital of Central India

    Institute of Scientific and Technical Information of China (English)

    Sameer singhal; Pankaj Banode; Nitish Baisakhiya

    2009-01-01

    Objective: To determine prevalence of depression in chronic respiratory disorders in a tertiary rural hospital of Central India. Various studies done in past have shown that prevalence of depression in diabetes and hypertension is around 40%-57%. Few studies have been done to screen depression in chronic respiratory disorders. This study was conducted in a tertiary rural hospital of Central India to find out prevalence of depression in indoor patients suffering from chronic respiratory disorders. Methods: Total 68 patients were evaluated for depression. Patients suffering from chronic respiratory disorders (total duration of illness >3 months) were evaluated using Prime MD Questionnaire. Patients suffering from diabetes, heart diseases, stroke, having past history of psychiatric illness, drug abusers, having lack of social support and suffering from chronic upper respiratory tract infections were excluded from this study. Questionnaire was asked when treatment for acute phase of illness is over. Results: Out of 68 patients evaluated, 36 (53%) were found out to be suffering from depression. Female gender (80%) was more prone to depression, inspite of the fact that all alcoholics were male. 39% of all chronic obstructive pulmonary disease (COPD) patients were suffering from depression in comparison to 65% for pulmonary tuberculosis and 44% for other chronic respiratory illness. 54% of patients suffering from depression are 60 yrs of age, suggesting that age has no relation with depression. No association was seen between alcoholism and depression. Conclusion: Prevalence of depression in patients of chronic respiratory illness is very high, like in cases of diabetes and hypertension. Further community and hospital based studies are needed to find out exact prevalence of depression in chronic respiratory illnesses.

  4. Biopsy case mix and diagnostic yield at a Malawian central hospital.

    Science.gov (United States)

    Mtonga, P; Masamba, L; Milner, D; Shulman, L N; Nyirenda, R; Mwafulirwa, K

    2013-09-01

    Cancer is a major disease burden worldwide resulting in high morbidity and mortality. It is the leading cause of mortality in developed countries and is one of the three leading causes of death for adults in developing countries. Pathological examination of tissue biopsies with histological confirmation of a correct cancer diagnosis is central to cancer care. Without an accurate and specific pathologic diagnosis, effective treatment cannot be planned or delivered. In addition, there are marked geographical variations in incidence of cancer overall, and of the specific cancers seen. Much of the published literature on cancer incidence in developing countries reflects gross estimates and may not reflect reality. Performing baseline studies to understand these distributions lays the groundwork for further research in this area of cancer epidemiology. Our current study surveys and ranks cancer diagnoses by individual anatomical site at Queen Elizabeth Central Hospital (QECH) which is the largest teaching and referral hospital in Malawi. A retrospective study was conducted reviewing available pathology reports over a period of one full year from January 2010 to December 2010 for biopsies from patients suspected clinically of having cancer. There were 544 biopsies of suspected cancer, taken from 96 anatomical sites. The oesophagus was the most common biopsied site followed by breast, bladder, bone, prostate, bowel, and cervical lymph node. Malignancies were found in biopsies of the oesophagus biopsies (squamous cell carcinoma, 65.1%; adenocarcinoma, 11.6%), breast (57.5%), bladder (squamous cell carcinoma, 53.1%) and stomach (37.6%). Our study demonstrates that the yield of biopsy for clinically suspected malignancy was greater than 50% for the 11 most common sites and provides a current survey of cancer types by site present in the population reporting to our hospital.

  5. Creencias en torno al aborto inducido en un hospital público

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    Cruz García Lirios

    2013-06-01

    Full Text Available Objetivo: Establecer las propiedades psicométricas de un instrumento que pondera las creencias en torno al aborto inducido. Método: Se llevó a cabo un estudio correlacional y transversal con una muestra no probabilística de 120 derechohabientes de un hospital público ubicado en una entidad del centro de país. Materiales: Se construyó una Escala de Creencias en torno al Aborto Inducido la cual incluyó 17 reactivos con dos opciones de respuesta: falso o verdadero. Resultados: Para establecer la confiabilidad se estimó una curtosis multivariable de -2,578unaalfade0,73 y esfericidad de 0,832 con adecuación significativa. Se estableció un modelo estructural reflectivo (X² = 16,25; 11gl; p = 0,055; GFI = 0,975; RMR = 0,008 que se ajustó al modelo de medición (GFI = 0,90; RMR = 0,01. Discusión: Se recomienda la inclusión de otras variables tales como religión, usos y costumbres locales para explicar posibles modelos regionales de prácticas abortivas inducidas legalmente.

  6. Reacciones adversas al tratamiento antirretroviral de gran actividad inicial en el hospital Santa Rosa – Piura.

    Directory of Open Access Journals (Sweden)

    Jiovany Jahn Carlos Saldaña-Gastulo

    2011-01-01

    Full Text Available Objetivo: Determinar la incidencia y factores asociados a reacciones adversas medicamentosas (RAM al TARGA inicial durante el periodo enero 2006 – diciembre 2007 en el Hospital de Apoyo Santa Rosa-Piura. Diseño: Se realizó un estudio analítico de cohorte retrospectiva. Lugar: Hospital de Apoyo Santa Rosa-Piura. Participantes: 107 historias clínicas de pacientes VIH positivos mayores de 18 años que recibieron TARGA y fueron atendidos durante este periodo en el consultorio de infectología. Intervenciones: Se analizaron retrospectivamente las historias clínicas que fueron pertinentes para la recolección de datos. Principales medidas de resultado: Analisis Univariado, Bivariado (t de Student, y Riesgo Relativo, multivariado (Regresión logística con 95% de confianza (p<0.05. Resultados: En 107 pacientes se encontró una incidencia acumulada de 66,35% de RAM al TARGA inicial. Las RAM experimentadas con mayor frecuencia fueron anemia (35,2%, rash (16,9% y vómitos (9,9%. Se encontró diferencias significativas entre la media de edad y la presencia de RAM con la prueba de t de student (p < 0.05 Conclusiones: Existe una alta incidenica de RAM en pacientes incluidos en TARGA, siendo la más frecuente la anemia en 25 pacientes (35,2%. La media de edad es mayor en pacientes con RAM. Palabras Claves: VIH/SIDA, Terapia de alta actividad antirretroviral, Reacciones adversas a medicamentos.

  7. Infective endocarditis in children: A 5 year experience from Al-Zahra Hospital, Isfahan, Iran

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    Alireza Ahmadi

    2014-01-01

    Full Text Available Background: Considering that there are no regional published data regarding the epidemiologic findings of infective endocarditis (IE in children, in this study we reviewed the epidemiologic and clinical features and treatment and outcome of children diagnosed with IE at Al-Zahra hospital over a 5-year period. Materials and Methods: In this retrospective study, medical records of patients (<18 years old admitted from March 2006 to March 2011 in Al-Zahra Hospital (Pediatrics Infectious or Cardiology Departments reviewed. The medical files reviewed regarding demographic, clinical, diagnostic (laboratory, microbiological and echocardiographic details and treatment and outcome details. Obtained data were recorded in a questionnaire. The diagnosis of IE was determined based on Duke criteria. Results: In this study, 17 patients fulfill the Duke criteria for definite or the possible IE. The most common causes of IE was non-cyanotic heart disease (ventricular septal defect and AS; 64.8%. From cyanotic hearth disease,   Tetralogy of Fallot (TOF was the most frequent causes (11.8%. In this study, 41% of patients with IE aged < 2 years and 70% aged < 6 years. In this study, 76.5% of patients had a history of congenital heart disease or cardiac surgery. Blood cultures were positive in 10 patients (58.8%. Coagulase-negative staphylococci (23.5% and Staphylococcus aureus (11.7% were the most common organisms that cause IE. Conclusion: It seems that in order to provide a regional comprehensive guideline for appropriate management and prevention of IE related complications further advanced studies with larger sample size and evaluation is recommended.

  8. The relationship of centralization, organizational culture and performance indexes in teaching hospitals affiliated to Tehran University of Medical Sciences.

    Science.gov (United States)

    Nasirpour, Amir Ashkan; Gohari, Mahmoud Reza; Moradi, Saied

    2010-01-01

    One of the main problems in the efficiency and efficacy of an organization is its structural issue. Organizational culture is also considered as an effective factor in the performance of many organizations. The main goal of the present study was to determine the relationship of Centralization and organizational culture and performance indexes in Teaching Hospitals affiliated to Tehran University of Medical Sciences. This correlation study was performed in the year 2007. The population studied consisted of 4408 personnel from 13 hospitals among whom 441 subjects were selected and studied via a class sampling method. Data was compiled using a check list concerning the evaluation status of Centralization and another form concerning performance indexes as well as Robbin's organizational culture questionnaire. Data were obtained from the subjects by self answering and analyzed by using descriptive statistical indexes, T- test and Fisher's exact tests. Among the organizational culture indexes of the hospitals studied, control and organizational identity was better as compared to others (mean=3.32 and 3.30). Concerning the extent of Centralization in the hospitals studied, 53.85 % and 46.15 % were reported to have upper and lower organizational Centralization, respectively. Mean ratio of surgical operations to inpatients was 40%, the mean rate of admissions per active bed was 60.83, mean bed occupancy coefficient was 70.79%, average length of stay was 6.96 days, and mean net death rate was 1.41%. No significant correlation was seen between Centralization degree, organizational culture and performance indexes in teaching hospitals Tehran university of medical sciences. (with 95% confidence interval). Due to the fact that first grade Teaching hospitals use board certified members, expert personnel, and advanced equipments and because of the limitation of patients choice and, the extent of Centralization and many organizational culture components have no significant

  9. The Relationship of Centralization, Organizational Culture and Performance Indexes in Teaching Hospitals Affiliated to Tehran University of Medical Sciences

    Directory of Open Access Journals (Sweden)

    Amir Ashkan Nasirpour

    2010-10-01

    Full Text Available One of the main problems in the efficiency and efficacy of an organization is its structural issue. Organizational culture is also considered as an effective factor in the performance of many organizations. The main goal of the present study was to determine the relationship of Centralization and organizational culture and performance indexes in Teaching Hospitals affiliated to Tehran University of Medical Sciences. This correlation study was performed in the year 2007. The population studied consisted of 4408 personnel from 13 hospitals among whom 441 subjects were selected and studied via a class sampling method. Data was compiled using a check list concerning the evaluation status of Centralization and another form concerning performance indexes as well as Robbin's organizational culture questionnaire. Data were obtained from the subjects by self answering and analyzed by using descriptive statistical indexes, T- test and Fisher's exact tests. Among the organizational culture indexes of the hospitals studied, control and organizational identity was better as compared to others (mean=3.32 and 3.30. Concerning the extent of Centralization in the hospitals studied, 53.85 % and 46.15 % were reported to have upper and lower organizational Centralization, respectively. Mean ratio of surgical operations to inpatients was 40%, the mean rate of admissions per active bed was 60.83, mean bed occupancy coefficient was 70.79%, average length of stay was 6.96 days, and mean net death rate was 1.41%. No significant correlation was seen between Centralization degree, organizational culture and performance indexes in teaching hospitals tehran university of medical sciences. (with 95% confidence interval. Due to the fact that first grade Teaching hospitals use board certified members, expert personnel, and advanced equipments and because of the limitation of patients choice and, the extent of Centralization and many organizational culture components have no

  10. Specialized consultant in radiological safety to the clinical north central hospital of high speciality, PEMEX. IV. - December of 2001; Asesoria especializada en seguridad radiologica a la clinica hospital central norte de alta especialidad, PEMEX. IV.- Diciembre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F

    2002-01-15

    The clinical north central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  11. Hospitals

    Data.gov (United States)

    Department of Homeland Security — This database contains locations of Hospitals for 50 states and Washington D.C. , Puerto Rico and US territories. The dataset only includes hospital facilities and...

  12. CAPD in Dammam Central Hospital, Saudi Arabia: A Five-Year Experience

    Directory of Open Access Journals (Sweden)

    Youmbissi Joseph

    2001-01-01

    Full Text Available Thirty-one patients with end-stage renal disease (ESRD were offered continuous ambulatory peritoneal dialysis (CAPD at the Dammam Central Hospital, Dammam, Saudi Arabia over a period of five years. The group included 21 women and 10 men with a mean age of 41.3 ± 17.2 years. The main indication for CAPD was poor or failed vascular access (51.4%. Peritonitis remained the major complication with an overall incidence of 0.62 episode per patient year. Staphylococcus epidermidis was the main causative organism. Therapy with CAPD lasted a mean of 26 ± 7.4 months. Our results, showing good technique survival and low peritonitis rate, suggest that CAPD should be promoted to become a full arm of the integrated care of ESRD in Saudi Arabia.

  13. Neurocognitive sequelae of cerebral malaria in adults:A pilot study in Benguela Central Hospital, Angola

    Institute of Scientific and Technical Information of China (English)

    Bruno Peixoto; Isabel Kalei

    2013-01-01

    Objective: To characterize the neurocognitive sequelae of cerebral malaria (CM) in an adult sample of the city of Benguela, Angola. Methods:A neuropsychological assessment was carried out in 22 subjects with prior history of CM ranging from 6 to 12 months after the infection. The obtained results were compared to a control group with no previous history of cerebral malaria. The study was conducted in Benguela Central Hospital, Angola in 2011. Results: CM group obtained lower results on the two last trials of a verbal learning task and on an abstract reasoning test. Conclusions: CM is associated to a slower verbal learning rate and to difficulties in the ability to discriminate and perceive relations between new elements.

  14. Tuberculosis among HIV-positive patients at Butajira Hospital, South-Central Ethiopia

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    Seada Mohammed

    2015-12-01

    Full Text Available Background: Tuberculosis (TB is the leading cause of morbidity and mortality among people living with Human Immunodeficiency Virus (HIV. This study was carried out to determine the prevalence of tuberculosis and its associated factors among HIV-positive patients at Butajira Hospital, South-Central Ethiopia. Methods: A retrospective review of standardized 222 HIV-positive patient records between July 2011 and June 2012 was conducted. A data sheet was used to collect relevant variables. Data were entered, organized and analysed using SPSS Version 16.0 Software. A p-value 15 years (18.95%. Among 45 TB/HIV cases, 26.7% had smear-positive pulmonary TB; 62.2% had smear-negative pulmonary TB; and 11.1% had extra-pulmonary TB. Malnutrition (OR= 45.7, CD4+ T-cell count <200/μl (OR= 5.4 and WHO clinical stage III or IV (OR= 4.12 were associated with tuberculosis in HIV-positive patients. Conclusion: In conclusion, the prevalence of TB/HIV co-infection at Butajira Zonal Hospital, South-Central Ethiopia was high. The co-infection was associated with malnutrition, low CD4 + T-cell count and WHO clinical stage III or IV. Therefore, compulsory TB screening among HIV-positive patients is mandatory. Besides, public awareness, community mobilization should be encouraged. Moreover, large scale studies on the trends in TB/HIV co-infection and associated factors should also be implemented across the country.

  15. Hepatobiliary Complications of Sickle Cell Disease among Children Admitted to Al Wahda Teaching Hospital, Aden, Yemen

    Science.gov (United States)

    Qhalib, Hana A.; Zain, Gamal H.

    2014-01-01

    Objectives: This study aimed to describe the pattern of hepatobiliary complications among patients with sickle cell disease (SCD) and to assess their correlation with age, gender and other risk factors. Methods: This cross-sectional study assessed 106 patients with SCD who were admitted to Al Wahda Teaching Hospital in Aden, Yemen, between January and June 2009. A full history, thorough examination, essential laboratory investigations (including a complete blood count, liver function test and viral markers test) and an abdominal ultrasound were performed on all patients. The clinicopathological characteristics of the hepatobiliary complications were analysed for their correlation to different risk factors such as age and gender. Results: It was found that 46.2% of the patients with SCD had hepatobiliary complications. Of these, 36.7% had viral hepatitis, 26.0% had cholecystitis and 20% had gallstones. A total of 60.4% of the affected patients were male. The mean levels of alanine aminotransferase (59.4 and 56.0 U/L) and aspartate transaminase (40.1 and 38.3 U/L) were significantly elevated in patients with viral hepatitis and cholecystitis, respectively. Hepatitis B virus surface antigen showed higher positivity (10.4%) than anti-hepatitis A and anti-hepatitis C antibodies. Hepatobiliary complications increased significantly with age and were notably higher among those who were often admitted to hospital and/or underwent frequent blood transfusions. Conclusion: This study suggests that hepatobiliary complications are common among SCD patients and the likelihood of developing such complications increases as patients age. Thus, regular clinical follow-ups, abdominal ultrasound studies and periodic liver function tests, as well as serological tests for viral hepatitis, are strongly recommended. These can help in the early detection of these complications and allow opportunities for their management and prevention. PMID:25364561

  16. Factores asociados al desarrollo de preeclampsia en un hospital de Piura, Perú

    Directory of Open Access Journals (Sweden)

    Yamalí Benites-Condor

    2012-09-01

    Full Text Available Introducción: La Organización Mundial de la Salud indica que diariamente fallecen alrededor de 800 mujeres por causas relacionadas al embarazo y parto, dentro de las cuales la preeclampsia ocupa el tercer lugar. Objetivo: identificar los factores asociados a preeclampsia en gestantes que fueron hospitalizadas en el Hospital de Apoyo II “Santa Rosa” de la ciudad de Piura durante el periodo junio 2010 - mayo 2011. Métodos: Se realizó un estudio descriptivo retrospectivo de casos y controles, en gestantes hospitalizadas entre junio del 2010 y mayo del 2011. Mediante un muestreo aleatorio se obtuvieron 39 casos de preeclampsia y 78 controles sin preeclampsia. Los datos fueron analizados con el paquete estadístico SPSS v19.0, en el cual se ejecutó un análisis de casos y controles no pareados aplicando la prueba Chi cuadrado. Resultados: Fueron variables significativamente asociadas con la preeclampsia: Edad 35 años  (p=0,021, y número de controles prenatales mayor o igual a siete (p= 0,049. No resultaron significativos la primiparidad ni el sobrepeso. Interpretación: Se debe promover un control prenatal adecuado (traducido como siete o más controles durante la gestación, especialmente en aquellas mujeres que se encuentran en los extremos de la vida fértil.

  17. FACTORES ASOCIADOS AL DESARROLLO DE PREECLAMPSIA EN UN HOSPITAL DE PIURA, PERÚ

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    Yamalí Benites-Cóndor

    2011-01-01

    Full Text Available Introducción: La Organización Mundial de la Salud indica que diariamente fallecen alrededor de 800 mujeres por causas relacionadas al embarazo y parto, dentro de las cuales la preeclampsia ocupa el tercer lugar. Objetivo: identificar los factores asociados a preeclampsia en gestantes que fueron hospitalizadas en el Hospital de Apoyo II "Santa Rosa" de la ciudad de Piura durante el periodo junio 2010 - mayo 2011. Métodos: Se realizó un estudio descriptivo retrospectivo de casos y controles, en gestantes hospitalizadas entre junio del 2010 y mayo del 2011. Mediante un muestreo aleatorio se obtuvieron 39 casos de preeclampsia y 78 controles sin preeclampsia. Los datos fueron analizados con el paquete estadístico SPSS v19.0, en el cual se ejecutó un análisis de casos y controles no pareados aplicando la prueba Chi cuadrado. Resultados: Fueron variables significativamente asociadas con la preeclampsia: Edad 35 años (p=0,021, y número de controles prenatales mayor o igual a siete (p= 0,049. No resultaron significativos la primiparidad ni el sobrepeso. Interpretación: Se debe promover un control prenatal adecuado (traducido como siete o más controles durante la gestación, especialmente en aquellas mujeres que se encuentran en los extremos de la vida fértil.

  18. Tri-Lateral Noor al Salaam High Concentration Solar Central Receiver Program

    Energy Technology Data Exchange (ETDEWEB)

    Blackmon, James B

    2008-03-31

    This report documents the efforts conducted primarily under the Noor al Salaam (“Light of Peace”) program under DOE GRANT NUMBER DE-FC36-02GO12030, together with relevant technical results from a closely related technology development effort, the U.S./Israel Science and Technology Foundation (USISTF) High Concentration Solar Central Receiver program. These efforts involved preliminary design, development, and test of selected prototype power production subsystems and documentation of an initial version of the system definition for a high concentration solar hybrid/gas electrical power plant to be built in Zaafarana, Egypt as a first step in planned commercialization. A major part of the planned work was halted in 2007 with an amendment in October 2007 requiring that we complete the technical effort by December 31, 2007 and provide a final report to DOE within the following 90 days. This document summarizes the work conducted. The USISTF program was a 50/50 cost-shared program supported by the Department of Commerce through the U.S./Israel Science and Technology Commission (USISTC). The USISTC was cooperatively developed by President Clinton and the late Prime Minister Rabin of Israel "to encourage technological collaboration" and "support peace in the Middle East through economic development". The program was conducted as a follow-on effort to Israel's Magnet/CONSOLAR Program, which was an advanced development effort to design, fabricate, and test a solar central receiver and secondary optics for a "beam down" central receiver concept. The status of these hardware development programs is reviewed, since they form the basis for the Noor al Salaam program. Descriptions are provided of the integrated system and the major subsystems, including the heliostat, the high temperature air receiver, the power conversion unit, tower and tower reflector, compound parabolic concentrator, and the master control system. One objective of the USISTF program was to conduct

  19. Implementation of the WHO multimodal Hand Hygiene Improvement Strategy in a University Hospital in Central Ethiopia

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    Frieder Pfäfflin

    2017-01-01

    Full Text Available Abstract Background The burden of health-care associated infections in low-income countries is high. Adequate hand hygiene is considered the most effective measure to reduce the transmission of nosocomial pathogens. We aimed to assess compliance with hand hygiene and perception and knowledge about hand hygiene before and after the implementation of a multimodal hand hygiene campaign designed by the World Health Organization. Methods The study was carried out at Asella Teaching Hospital, a university hospital and referral centre for a population of about 3.5 million in Arsi Zone, Central Ethiopia. Compliance with hand hygiene during routine patient care was measured by direct observation before and starting from six weeks after the intervention, which consisted of a four day workshop accompanied by training sessions and the provision of locally produced alcohol-based handrub and posters emphasizing the importance of hand hygiene. A second follow up was conducted three months after handing over project responsibility to the Ethiopian partners. Health-care workers’ perception and knowledge about hand hygiene were assessed before and after the intervention. Results At baseline, first, and second follow up we observed a total of 2888, 2865, and 2244 hand hygiene opportunities, respectively. Compliance with hand hygiene was 1.4% at baseline and increased to 11.7% and 13.1% in the first and second follow up, respectively (p < 0.001. The increase in compliance with hand hygiene was consistent across professional categories and all participating wards and was independently associated with the intervention (adjusted odds ratio, 9.18; 95% confidence interval 6.61-12.76; p < 0.001. After the training, locally produced alcohol-based handrub was used in 98.4% of all hand hygiene actions. The median hand hygiene knowledge score overall was 13 (interquartile range 11–15 at baseline and increased to 17 (15–18 after training (p < 0.001. Health

  20. Analysis of 126 hospitalized elder maxillofacial trauma victims in central China

    Science.gov (United States)

    Zhang, Rui; Li, Wenlu; Pei, Fei; He, Wei

    2015-01-01

    Background The aim of this study was to analyzed the characteristics and treatment of maxillofacial injuries in the elder patients with maxillofacial injuries in central China. Material and Methods We retrospectively analyzed the characteristics and treatment of maxillofacial injuries in the patients over the age of 60 to analyze the trends and clinical characteristics of maxillofacial trauma in elder patients from the First Affiliated Hospital of Zhengzhou University (from 2010 to 2013) in central China and to present recommendations on prevention and management. Results Of the 932 patients with maxillofacial injuries, 126 aged over 60 years old accounting for 13.52% of all the patients (male:female, 1.74:1; mean age, 67.08 years old). Approximately 52% of the patients were injured by falls. The most frequently observed type of injuries was soft tissue injuries (100%), followed by facial fractures (83.05%). Of the patients with soft tissue injuries, the abrasions accounted the most, followed by lacerations. The numbers of patients of midface fracture (60 patients) were almost similar to the number of lower face fractures (66 patients). Eighty two patients (65.08%%) demonstrated associated injuries, of which craniocerebral injuries were the most prevalent. One hundred and four patients (82.54%) had other systemic medical conditions, with cardiovascular diseases the most and followed by metabolic diseases and musculoskeletal conditions. Furthermore, the study indicated a relationship between maxillofacial fractures and musculoskeletal conditions. Only 13 patients (10.32%) sustained local infections, of whom had other medical conditions. Most of the facial injuries (85.71%) in older people were operated including debridement, fixing loose teeth, reduction, intermaxillary fixation and open reduction and internal fixation (ORIF). Conclusions Our analysis of the characteristics of maxillofacial injuries in the elder patents may help to promote clinical research to

  1. A Ten Year Descriptive Study of Adult Leukaemia at Al-Jomhori Teaching Hospital in Sana'a, Yemen

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    Jameel Al-Ghazaly

    2014-12-01

    Full Text Available Background: There is scarcity of data of the epidemiology of leukaemia in Arab countries including Yemen. Understanding patterns of leukaemia underpins epidemiology and can provide insight into disease etiology. The aim of this research is to determine the epidemiologic pattern of adult leukaemia in Yemen. Methods: The research is a descriptive cross-sectional study. We analyzed the data of 702 adult patients with leukaemia, who were newly diagnosed over a ten-year period between October 1999 and October 2009 at the referral haematology centre in Sana’a at Al-Jomhori Teaching Hospital, according to type of leukaemia, age, sex, geographic distribution and time of diagnosis. Results: Acute Myeloid Leukaemia (AML was found to be the most common (45.1% followed by Chronic Myeloid Leukaemia (CML (26.5%, Acute Lymphoid Leukaemia (ALL (17.7% and Chronic Lymphoid Leukaemia (CLL (10.7%, respectively. There was an almost equal prevalence of AML and CML for males and females but males had significantly more cases of ALL and CLL (p =0.008. A significant variation in geographic pattern showed that the highest number of cases is seen the Central mountainous region and the least number of cases in the South-eastern region which is coastal and lowland (p<0.001. The seasonal variation showed that higher number of ALL cases was seen in the summer months (33% compared with other seasons (21% in the spring, 24.2% in autumn and 21.8% in winter. Conclusions: The pattern of adult leukaemia in Yemen is different from that seen in western countries which could be attributed to different environmental exposure. The geographic pattern indicates a possible role of certain environmental factors which warrant further investigations. The pattern of seasonal variation needs further studies for evaluating the seasonality.

  2. Etiologic agents of central nervous system infections among febrile hospitalized patients in the country of Georgia.

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    Tamar Akhvlediani

    Full Text Available OBJECTIVES: There is a large spectrum of viral, bacterial, fungal, and prion pathogens that cause central nervous system (CNS infections. As such, identification of the etiological agent requires multiple laboratory tests and accurate diagnosis requires clinical and epidemiological information. This hospital-based study aimed to determine the main causes of acute meningitis and encephalitis and enhance laboratory capacity for CNS infection diagnosis. METHODS: Children and adults patients clinically diagnosed with meningitis or encephalitis were enrolled at four reference health centers. Cerebrospinal fluid (CSF was collected for bacterial culture, and in-house and multiplex RT-PCR testing was conducted for herpes simplex virus (HSV types 1 and 2, mumps virus, enterovirus, varicella zoster virus (VZV, Streptococcus pneumoniae, HiB and Neisseria meningitidis. RESULTS: Out of 140 enrolled patients, the mean age was 23.9 years, and 58% were children. Bacterial or viral etiologies were determined in 51% of patients. Five Streptococcus pneumoniae cultures were isolated from CSF. Based on in-house PCR analysis, 25 patients were positive for S. pneumoniae, 6 for N. meningitidis, and 1 for H. influenzae. Viral multiplex PCR identified infections with enterovirus (n = 26, VZV (n = 4, and HSV-1 (n = 2. No patient was positive for mumps or HSV-2. CONCLUSIONS: Study findings indicate that S. pneumoniae and enteroviruses are the main etiologies in this patient cohort. The utility of molecular diagnostics for pathogen identification combined with the knowledge provided by the investigation may improve health outcomes of CNS infection cases in Georgia.

  3. Carbapenem Resistance among Enterobacter Species in a Tertiary Care Hospital in Central India

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    Atul Khajuria

    2014-01-01

    Full Text Available Objective. To detect genes encoding carbapenem resistance among Enterobacter species in a tertiary care hospital in central India. Methods. Bacterial identification of Enterobacter spp. isolates from various clinical specimens in patients admitted to intensive care units was performed by routine conventional microbial culture and biochemical tests using standard recommended techniques. Antibiotic sensitivity test was performed by standard Kirby Bauer disc diffusion technique. PCR amplification and automated sequencing was carried out. Transfer of resistance genes was determined by conjugation. Results. A total of 70/130 (53.84% isolates of Enterobacter spp. were found to exhibit reduced susceptibility to imipenem (diameter of zones of inhibition ≤13 mm by disc diffusion method. Among 70 isolates tested, 48 (68.57% isolates showed MIC values for imipenem and meropenem ranging from 32 to 64 mg/L as per CLSI breakpoints. All of these 70 isolates were found susceptible to colistin in vitro as per MIC breakpoints (<0.5 mg/L. PCR carried out on these 48 MBL (IP/IPI E-test positive isolates (12 Enterobacter aerogenes, 31 Enterobacter cloacae, and 05 Enterobacter cloacae complex was validated by sequencing for beta-lactam resistance genes and result was interpreted accordingly. Conclusion. The study showed MBL production as an important mechanism in carbapenem resistance in Enterobacter spp. and interspecies transfer of these genes through plasmids suggesting early detection by molecular methods.

  4. Molecular epidemiology of Acinetobacter baumannii in central intensive care unit in Kosova teaching hospital

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    Lul Raka

    2009-12-01

    Full Text Available Infections caused by bacteria of genus Acinetobacter pose a significant health care challenge worldwide. Information on molecular epidemiological investigation of outbreaks caused by Acinetobacter species in Kosova is lacking. The present investigation was carried out to enlight molecular epidemiology of Acinetobacterbaumannii in the Central Intensive Care Unit (CICU of a University hospital in Kosova using pulse field gel electrophoresis (PFGE. During March - July 2006, A. baumannii was isolated from 30 patients, of whom 22 were infected and 8 were colonised. Twenty patients had ventilator-associated pneumonia, one patient had meningitis, and two had coinfection with bloodstream infection and surgical site infection. The most common diagnoses upon admission to the ICU were politrauma and cerebral hemorrhage. Bacterial isolates were most frequently recovered from endotracheal aspirate (86.7%. First isolation occurred, on average, on day 8 following admission (range 1-26 days. Genotype analysis of A. baumannii isolates identified nine distinct PFGE patterns, with predominance of PFGE clone E represented by isolates from 9 patients. Eight strains were resistant to carbapenems. The genetic relatedness of Acinetobacter baumannii was high, indicating cross-transmission within the ICU setting. These results emphasize the need for measures to prevent nosocomial transmission of A. baumannii in ICU.

  5. Percutaneous retrieval of dislodged totally implantable central venous access system in 92 cases: Experience in a single hospital

    Energy Technology Data Exchange (ETDEWEB)

    Cheng, C.-C.; Tsai, T.-N. [Division of Cardiology, Department of Medicine, Tri-Service General Hospital, Taipei, Taiwan (China); Yang, C.-C. [Department of Medicine, Armed Forces Tao-Yuan General Hospital, Taoyuan, Taiwan (China); Han, C.-L. [Division of Cardiology, Department of Medicine, Tri-Service General Hospital, Taipei, Taiwan (China)], E-mail: allexll.cheng@msa.hinet.net

    2009-02-15

    Objective: To investigate the clinical presentation of dislodged totally implantable central venous access system (central venous port-catheter) fragments and the efficacy and safety of percutaneous retrieval of them in our hospital. Materials and methods: Ninety-two cancer patients, mean age of 53.8 years old with 51.1% male, were enrolled from January 2005 to March 2007. They were referred to our catheterization laboratory for retrieval of fractured central venous port-catheter in our hospital. All patients were followed in the outpatient department for at least 1 month after surgical insertion. The characteristics of disrupted central venous port-catheter were recorded. The procedure-related clinical condition was evaluated. Results: The most common presentation of central venous port-catheter dislodgement is irrigation resistance to infusion (51/92). The most common location of fractured fragments is between superior vena cava and right atrium (i.e. proximal end remained in superior vena cava and distal end in right atrium) (22/92). The most common fracture site of the catheter is at the anastomosis between injection port and catheter (77/92). The retrieval set used mostly is loop snare. The success rate of the percutaneous retrieval of dislodged fragment was 97.8% and the complication rate was 3.3% only. Conclusion: The faulty connection between catheter and injection port contributes mainly to dislodgement of central venous port-catheter. Percutaneous retrieval of dislodged catheter is a highly successful, safe and efficient method.

  6. Aetiologies of central nervous system infection in Viet Nam: a prospective provincial hospital-based descriptive surveillance study.

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    Nghia Ho Dang Trung

    Full Text Available BACKGROUND: Infectious diseases of the central nervous system (CNS remain common and life-threatening, especially in developing countries. Knowledge of the aetiological agents responsible for these infections is essential to guide empiric therapy and develop a rational public health policy. To date most data has come from patients admitted to tertiary referral hospitals in Asia and there is limited aetiological data at the provincial hospital level where most patients are seen. METHODS: We conducted a prospective Provincial Hospital-based descriptive surveillance study in adults and children at thirteen hospitals in central and southern Viet Nam between August 2007-April 2010. The pathogens of CNS infection were confirmed in CSF and blood samples by using classical microbiology, molecular diagnostics and serology. RESULTS: We recruited 1241 patients with clinically suspected infection of the CNS. An aetiological agent was identified in 640/1241 (52% of the patients. The most common pathogens were Streptococcus suis serotype 2 in patients older than 14 years of age (147/617, 24% and Japanese encephalitis virus in patients less than 14 years old (142/624, 23%. Mycobacterium tuberculosis was confirmed in 34/617 (6% adult patients and 11/624 (2% paediatric patients. The acute case fatality rate (CFR during hospital admission was 73/617 (12% in adults and to 42/624 (7% in children. CONCLUSIONS: Zoonotic bacterial and viral pathogens are the most common causes of CNS infection in adults and children in Viet Nam.

  7. A multi-criteria assessment of scenarios on thermal processing of infectious hospital wastes: a case study for Central Macedonia.

    Science.gov (United States)

    Karagiannidis, A; Papageorgiou, A; Perkoulidis, G; Sanida, G; Samaras, P

    2010-02-01

    In Greece more than 14,000 tonnes of infectious hospital waste are produced yearly; a significant part of it is still mismanaged. Only one off-site licensed incineration facility for hospital wastes is in operation, with the remaining of the market covered by various hydroclave and autoclave units, whereas numerous problems are still generally encountered regarding waste segregation, collection, transportation and management, as well as often excessive entailed costs. Everyday practices still include dumping the majority of solid hospital waste into household disposal sites and landfills after sterilization, still largely without any preceding recycling and separation steps. Discussed in the present paper are the implemented and future treatment practices of infectious hospital wastes in Central Macedonia; produced quantities are reviewed, actual treatment costs are addressed critically, whereas the overall situation in Greece is discussed. Moreover, thermal treatment processes that could be applied for the treatment of infectious hospital wastes in the region are assessed via the multi-criteria decision method Analytic Hierarchy Process. Furthermore, a sensitivity analysis was performed and the analysis demonstrated that a centralized autoclave or hydroclave plant near Thessaloniki is the best performing option, depending however on the selection and weighing of criteria of the multi-criteria process. Moreover the study found that a common treatment option for the treatment of all infectious hospital wastes produced in the Region of Central Macedonia, could offer cost and environmental benefits. In general the multi-criteria decision method, as well as the conclusions and remarks of this study can be used as a basis for future planning and anticipation of the needs for investments in the area of medical waste management.

  8. The cultural psychology endeavor to make culture central to psychology: Comment on Hall et al. (2016).

    Science.gov (United States)

    Dvorakova, Antonie

    2016-12-01

    When Hall, Yip, and Zárate (2016) suggested that cultural psychology focused on reporting differences between groups, they described comparative research conducted in other fields, including cross-cultural psychology. Cultural psychology is a different discipline with methodological approaches reflecting its dissimilar goal, which is to highlight the cultural grounding of human psychological characteristics, and ultimately make culture central to psychology in general. When multicultural psychology considers, according to Hall et al., the mechanisms of culture's influence on behavior, it treats culture the same way as cross-cultural psychology does. In contrast, cultural psychology goes beyond treating culture as an external variable when it proposes that culture and psyche are mutually constitutive. True psychology of the human experience must encompass world populations through research of the ways in which (a) historically grounded sociocultural contexts enable the distinct meaning systems that people construct, and (b) these systems simultaneously guide the human formation of the environments. (PsycINFO Database Record

  9. Peripherally Inserted Central Catheter-Related Infections in a Cohort of Hospitalized Adult Patients

    Energy Technology Data Exchange (ETDEWEB)

    Bouzad, Caroline, E-mail: caroline.bouzad@gmail.com [Percy Military Teaching Hospital, Radiology Department (France); Duron, Sandrine, E-mail: duronsandrine@yahoo.fr [GSBdD, Military Centre for Epidemiology and Public Health (CESPA) (France); Bousquet, Aurore, E-mail: aurorebousquet@yahoo.fr [Begin Military Teaching Hospital, Bacteriology Department (France); Arnaud, François-Xavier, E-mail: fxa0160@hotmail.com [Percy Military Teaching Hospital, Radiology Department (France); Valbousquet, Laura, E-mail: laura.valbousquet@gmail.com [Begin Military Teaching Hospital, Radiology Department (France); Weber-Donat, Gabrielle, E-mail: weberdonatgabrielle@yahoo.fr; Teriitehau, Christophe, E-mail: cteriitehau@me.com; Baccialone, Jacques, E-mail: jacques.baccialone@wanadoo.fr; Potet, Julien, E-mail: potet-julien@yahoo.fr [Percy Military Teaching Hospital, Radiology Department (France)

    2016-03-15

    PurposeTo determine the incidence and the risks factors of peripherally inserted central catheter (PICC)-related infectious complications.Materials and MethodsMedical charts of every in-patient that underwent a PICC insertion in our hospital between January 2010 and October 2013 were reviewed. All PICC-related infections were recorded and categorized as catheter-related bloodstream infections (CR-BSI), exit-site infections, and septic thrombophlebitis.ResultsNine hundred and twenty-three PICCs were placed in 644 unique patients, mostly male (68.3 %) with a median age of 58 years. 31 (3.4 %) PICC-related infections occurred during the study period corresponding to an infection rate of 1.64 per 1000 catheter-days. We observed 27 (87.1 %) CR-BSI, corresponding to a rate of 1.43 per 1000 catheter-days, 3 (9.7 %) septic thrombophlebitis, and 1 (3.2 %) exit-site infection. Multivariate logistic regression analysis showed a higher PICC-related infection rate with chemotherapy (odds ratio (OR) 7.2–confidence interval (CI) 95 % [1.77–29.5]), auto/allograft (OR 5.9–CI 95 % [1.2–29.2]), and anti-coagulant therapy (OR 2.2–95 % [1.4–12]).ConclusionChemotherapy, auto/allograft, and anti-coagulant therapy are associated with an increased risk of developing PICC-related infections.Clinical AdvanceChemotherapy, auto/allograft, and anti-coagulant therapy are important predictors of PICC-associated infections. A careful assessment of these risk factors may be important for future success in preventing PICC-related infections.

  10. Cambios cognoscitivos en la enfermedad mental de pacientes que asisten al Programa de Hospital Día del Hospital Psiquiátrico Universitario del Valle

    Directory of Open Access Journals (Sweden)

    María Cristina Quijano M.

    2008-01-01

    Full Text Available Las investigaciones han demostrado que la enfermedad mental es causa de disfunciones cognoscitivas, manifestadas en desorden de las ideas y de los sentimientos con trastornos graves del razonamiento, del comportamiento, de la facultad de reconocer la realidad y de adaptarse a los retos normales de la vida. El objetivo de este estudio fue describir, mediante la evaluación neuropsicológica, los cambios cognoscitivos en un grupo de pacientes con enfermedad mental que asistían a un programa de Hospital Día, espacio terapéutico diseñado para la rehabilitación, el cuidado y el acompañamiento del paciente. Se tomaron al azar 25 pacientes entre los 16 y 61 años de edad con una escolaridad mínima de cinco años, y se realizó una valoración neuropsicológica al ingreso (pre y cinco meses después de dar inicio al tratamiento (pos con la Evaluación Neuropsicológica Breve en Español, Neuropsi (Ostrosky, Ardila y Roselli, 1994. Los resultados en la preevaluación mostraron que los pacientes con enfermedad mental presentan cambios cognoscitivos en atención, memoria inmediata, evocación con clave semántica, evocación por reconocimiento, memoria visual, comprensión verbal, fluidez verbal semántica, habilidad visoconstruccional, función ejecutiva conceptual y motora; sin embargo, estas funciones cognoscitivas mejoran cuando se asiste disfuncioregularmente al programa de Hospital Día. Estos resultados hacen evidente la importancia del trabajo terapéutico interdisciplinario, sumado a la farmacoterapia, con el fin de obtener cambios cognoscitivos más estables.

  11. Hospitals

    DEFF Research Database (Denmark)

    Mullins, Michael

    2013-01-01

    in the navigation experience and wasted time of medical staff in providing directions. Space in hospitals: space can be divided into personal, social and outdoor space. Personal space: single rooms have been well documented in: admission length, mortality rates, comfort levels, sense of privacy, all users...

  12. Prevalencia de rinitis alérgica en pacientes pediátricos que acuden al servicio de emergencia del Hospital Nacional Cayetano Heredia por crisis de asma.

    OpenAIRE

    PEREZ LU, Julio Enrique; CENTENO HUAMAN, Jorge; CHIARELLA ORTIGOZA, Pascual; PEREZ LU, Luis Enrique; SIALER CHAVEZ, Salvador Teodoro

    2013-01-01

    Objetivo: Conocer la prevalencia de rinitis alérgica (RA) en los niños que acuden por crisis de asma a la de Emergencia del Hospital Nacional Cayetano Heredia. Determinar la prevalencia de cuadro activo de rinitis y de pacientes con diagnóstico previo de RA en el grupo de estudio. Material y Método: Es un estudio transversal, descriptivo. El tamaño muestral fue de 164 niños (α = 95%; β= 5%). Se realizó un cuestionario mediante una entrevista directa a los padres para encontrar síntomas de RA ...

  13. Implementation of a children's hospital-wide central venous catheter insertion and maintenance bundle

    NARCIS (Netherlands)

    K. Helder MScN (Onno); R.F. Kornelisse (René); C. van der Starre (Cynthia); D. Tibboel (Dick); C.W.N. Looman (Caspar); R.M.H. Wijnen (René); M.J. Poley (Marten); E. Ista (Erwin)

    2013-01-01

    textabstractBackground: Central venous catheter-associated bloodstream infections in children are an increasingly recognized serious safety problem worldwide, but are often preventable. Central venous catheter bundles have proved effective to prevent such infections. Successful implementation requir

  14. Detección de malnutrición al ingreso en el hospital Detection of malnutrition on admission to hospital

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    C. Cereceda Fernández

    2003-04-01

    Full Text Available Dada la alta prevalencia de la malnutrición hospitalaria que muestran algunos estudios y conociendo su repercusión directa sobre el incremento de la morbi-mortalidad de los pacientes hospitalizados, se hace necesaria la identificación precoz de la misma. Esto permitiría implantar lo antes posible un adecuado tratamiento nutricional a los pacientes de riesgo que lo precisen. En el presente trabajo multicéntrico participaron hospitales de la zona norte del país, que disponen de unidad de nutrición, utilizando la valoración subjetiva global y algunos parámetros básicos. Se estudió el estado nutricional al ingreso de 620 pacientes hospitalizados en las áreas de medicina interna y cirugía general, durante los meses de diciembre de 1999, enero, febrero y marzo de 2000. Destacamos malnutrición moderada o sospecha de malnutrición en el 20% de los pacientes estudiados, y malnutrición grave en el 18,2%, siendo mayor la incidencia en medicina interna. La malnutrición se evidencia sobre todo con pérdida de peso superior al 5% y disminución de grasa subcutánea y de masa muscular. Además hay limitación funcional para realizar la actividad normal. Presentaron cambios en la ingesta dietética el 40,8% de los enfermos. Entre los síntomas gastrointestinales que se asocian, destaca la anorexia, que afecta al 37,7% del grupo estudiado. La malnutrición se relaciona más frecuentemente con las enfermedades infecciosas, aparato circulatorio y aparato digestivo. Creemos que la valoración subjetiva global, junto con la medición de la talla y el peso, deberían utilizarse de forma sistemática al ingreso del enfermo, por tratarse de un método sencillo y eficaz para la identificación de pacientes en riesgo nutricional.In view of the high prevalence of malnutrition in hospitals as shown by some studies and in the light of its direct impact on the increase in morbidity and mortality among hospitalized patients, it is necessary to ensure the early

  15. Estudio de la calidad de la asistencia al moribundo en un hospital Quality of care for the dying in a hospital

    Directory of Open Access Journals (Sweden)

    I. Osés

    2007-01-01

    Full Text Available Objetivo. Analizar las narraciones de los familiares de pacientes fallecidos durante un año en el hospital de Navarra, dentro de un estudio de la calidad asistencial al moribundo. Método. Se entrevistó telefónicamente al ser más querido de los pacientes fallecidos a lo largo de un año en el hospital de Navarra. Para ello se utilizó la encuesta TOOLKIT, previamente validada. Se hicieron en todos los casos un máximo de tres llamadas hasta conseguir contactar con la persona a entrevistar. Las llamadas se realizaron entre tres y seis meses después del fallecimiento del enfermo. La primera parte de la entrevista se dirigió a informar del objeto del estudio y se solicitó consentimiento informado. Se analizaron cuatro campos: confort físico y emocional, toma compartida de decisiones, respeto y dignidad y cuidado de los cuidadores. La encuesta terminó con una pregunta abierta: ¿Quiere usted añadir algo más?. Resultados. El número de personas entrevistadas fue 327. De los 712 fallecidos en el hospital que cumplían los requisitos, no pudieron ser localizados 320 y otros 65 se negaron a ser entrevistados. Se recogieron muchas quejas en relación a la información por cantidad, calidad, modo y momento de darla. También acerca del respeto a los deseos de paciente, así como de manejo del dolor, disnea y trato personal recibido. La falta de apoyo emocional percibida por los familiares es importante. Conclusiones. Además de variables numéricas recogidas en la encuesta pensamos que la narratividad que una encuesta puede recoger aporta información clave para el análisis de la calidad asistencial.Aim. To analyse the accounts of the relatives of patients who died during one year in a hospital in Navarre, within a study of the quality of care for the dying. Method. A telephone interview was conducted with the person dearest to the patients who had died in the course of one year in the hospital. The TOOLKIT survey, previously validated, was

  16. Patologías tratadas con oxigenoterapia hiperbárica en el Hospital Central de la Defensa

    Directory of Open Access Journals (Sweden)

    J.M. Torres León

    2015-06-01

    Full Text Available Introducción: La oxigenoterapia hiperbárica (OHB es una modalidad terapéutica que se fundamenta en la obtención de presiones parciales de oxígeno elevadas en sangre, al respirar oxígeno puro, en el interior de una cámara hiperbárica a una presión superior a la atmosférica. Sus acciones incluyen efectos hemodinámicos, acciones sobre la inmunidad y el transporte de O2. Este amplio espectro de efectos facilita que sus recomendaciones puedan incluir una gran variedad de indicaciones, algunas de ellas controvertidas. Objetivos: Conocer las patologías de los pacientes tratados con OHB en la Comunidad Autónoma de Madrid (CAM y revisar la evidencia científica al respecto. Método: En la actualidad la cámara hiperbárica del Servicio de MSB (Medicina Subacuática del HCD (Hospital Central de la Defensa es la de referencia en la CAM. Se revisaron las historias clínicas de los pacientes atendidos entre Febrero 2013 y Junio 2014. Se recogieron las siguientes variables: 1 Enfermos aceptados y desestimados para el tratamiento. 2 Edad y sexo de los pacientes tratados. 3 Patología por la que se indicaba el tratamiento. 4 Complicaciones observadas en relación con la OHB. Resultados: Se aceptaron para tratamiento 113 enfermos procedentes de 15 Hospitales de la CAM. Se desestimaron para tratamiento con OHB a 22 pacientes por patologías o tratamientos activos que no hacían aconsejable el tratamiento con OHB en ese momento. El 59,82 % eran hombres y el 40,18 % mujeres. Edad media 64,72 años. Las indicaciones principales de tratamiento fueron las lesiones radio inducidas 52,21 % de los casos (n=59 y las úlceras y heridas de evolución tórpida con mala respuesta a tratamiento convencional 23 % de los casos (n=26. El tratamiento tuvo que ser suspendido en 8 pacientes (7,14 % de los tratados por mala tolerancia o complicaciones leves. Discusión y conclusiones: Las indicaciones de OHB en nuestra muestra comprenden un amplio número de patolog

  17. An examination of blood center structure and hospital customer satisfaction: what can centralized and decentralized blood centers learn from each other?

    Science.gov (United States)

    Carden, Robert; DelliFraine, Jami L

    2005-01-01

    The cost of blood and blood products has increased rapidly over the last several years while the supply of available blood donors has simultaneously decreased. Higher blood costs and donor shortages have put a strain on the relationship between blood suppliers and their hospital customers. This study examines the association between blood center centralization or decentralization and several aspects of hospital satisfaction. Centralized and decentralized blood centers have significant differences in various aspects of hospital customer satisfaction. Advantages and disadvantages of the two structures are discussed, as well as areas for future research.

  18. Molecular Epidemiology of Brucella Genotypes in Patients at a Major Hospital in Central Peru

    NARCIS (Netherlands)

    K. Noeckler; R. Maves; D. Cepeda; A. Draeger; A. Mayer-Scholl; J. Chacaltana; M. Castaneda; B. Espinosa; R. Castillo; E. Hall; S. Al Dahouk; R.H. Gilman; F. Cabeza; H.L. Smits

    2009-01-01

    The multiple-locus variable-number repeat analysis of 90 human Brucella melitensis isolates from a large urban area in central Peru revealed variations at 4 (Bruce07, Bruce09, Bruce18, and Bruce42) out of 16 loci investigated, of which 1 (Bruce42) also is used for species identification. Ten genotyp

  19. 医院集团财务集中管理探讨%Discussion into the Centralization of Financial Management of Hospital Group

    Institute of Scientific and Technical Information of China (English)

    罗庆华

    2015-01-01

    In order to configure the hospital asset rationally, exert the advantage of group and enhance the efficiency of capital operations, the financial management of hospital group must be centralized. The advantages of centralization of financial management were analyzed. The feasible schemes for centralization of financial management of hospital group were put forward. The attentive questions in the course of centralization of financial management were pointed out.%医院集团财务集中管理能更合理地配置医院资产、发挥集团优势及提高资本运营效率。该文分析财务集中管理的优点,提出医院集团财务集中管理的切实可行的实施方案,指出实行财务集中管理中应注意的问题。

  20. Multiphase Alkaline Basalts of Central Al-Haruj Al-Abyad of Libya: Petrological and Geochemical Aspects

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    Abdel-Aal M. Abdel-Karim

    2013-01-01

    Full Text Available Al-Haruj basalts that represent the largest volcanic province in Libya consist of four lava flow phases of varying thicknesses, extensions, and dating. Their eruption is generally controlled by the larger Afro-Arabian rift system. The flow phases range from olivine rich and/or olivine dolerites to olivine and/or normal basalts that consist mainly of variable olivine, clinopyroxene, plagioclase, and glass. Olivine, plagioclase, and clinopyroxene form abundant porphyritic crystals. In olivine-rich basalt and olivine basalt, these minerals occur as glomerophyric or seriate clusters of an individual mineral or group of minerals. Groundmass textures are variably intergranular, intersertal, vitrophyric, and flow. The pyroclastic, clastogenic flows and/or ejecta of the volcanic cones show porphyritic, vitrophric, pilotaxitic, and vesicular textures. They are classified into tholeiite, alkaline, and olivine basalts. Three main groups are recorded. Basalts of phase 1 are generated from tholeiitic to alkaline magma, while those of phases 3 and 4 are derived from alkaline magma. It is proposed that the tholeiitic basalts represent prerift stage magma generated by higher degree of partial melting (2.0–3.5% of garnet-peridotite asthenospheric mantle source, at shallow depth, whereas the dominant alkaline basalts may represent the rift stage magma formed by low degree of partial melting (0.7–1.5% and high fractionation of the same source, at greater depth in an intra-continental plate with OIB affinity. The melt generation could be also attributed to lithosphere extension associated with passive rise of variable enriched mantle.

  1. Vigilancia epidemiológica para el infarto agudo al miocardio, experiencia obtenida en el Hospital Calderón Guardia

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    Manrique leal-Mateos

    2005-04-01

    Full Text Available Justificación y objetivo: Debido a que el infarto agudo al miocardio representa una de las principales causas de muerte en nuestro país, la autoridades de salud decidieron, en 2003, incluirlo como una enfermedad sujeta a vigilancia epidemiológica. El presente trabajo tiene como propósito dar a conocer la información más sobresaliente del sistema de vigilancia epidemiológica para el IAM, implementado en el servicio de Medicina Interna del Hospital Calderón Guardia. Metodología: Se realizó un análisis descriptivo de la información recolectada desde el 1 de octubre de 2003, al 30 de septiembre de 2004. Las variables cualitativas se analizaron mediante frecuencias y proporciones. Las variables cuantitativas se expresaron por medio de medidas de tendencia central y dispersión. Las diferencias entre promedios y proporciones se compararon mediante la prueba de t Student. La significancia estadística fue fijada en p Rationale and Objective: Since acute myocardial infarction represents one of the main causes of death in our country, the health authorities decided in the year 2003 to include it as an illness subject to epidemiological surveillance. The present paper has as its purpose to give the most salient information of the epidemiological surveillance system for myocardial infarction implemented in the Internal Medicine service of the Calderón Guardia hospital. Methods: We did a descriptive analysis of the information collected since October First, 2003 and until September the 30th., 2004. Qualitative variables were analyzed with frequencies and proportions. The quantitative variables were expressed by means of measures of central tendency as well as measures of dispersion. The differences between averages and proportions were compared with the Student's t test. Statistical significance was fixed at less or equal to 0.05. We used the Epi Info program for data processing. Results: The age average was 64.6 years (S.D. + 12.2 years. 66

  2. STUDY OF THE MICROBIOLOGICAL ANALYSES CARRIED OUT AT THE LABORATORY OF A PUBLIC HOSPITAL (CHR AL IDRISSI OF KENITRA

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    A. Aziane

    2015-07-01

    Full Text Available The present work attempts to make a study on the microbiological analyses of pathogens (bacteria or viruses that are at the origin of the human disease, carried out in the laboratory of microbiological analyses of hospital regional CHR al IDRISSI of Kenitra for a period that extends from the year 2007 to 2009 in order to clarify the methodology of work and the problem of infections in developing countries. Our work is based on the monthly inventory of pathogens (E. Coli, Staphylococcus, Streptococcus, Klebsiella, Enterobacter, Candida albicans, Pseudomonas, Syphilis, hepatitis viruses and HIV in deferens samples (Urine, Pus, saddle, like and Serum in patients in relation with total analyses carried out for 3 years. Then we follow their development during this period with the analysis of the results.

  3. STUDY OF THE MICROBIOLOGICAL ANALYSES CARRIED OUT AT THE LABORATORY OF A PUBLIC HOSPITAL (CHR AL IDRISSI OF KENITRA

    Directory of Open Access Journals (Sweden)

    A. Aziane

    2014-12-01

    Full Text Available The present work attempts to make a study on the microbiological analyses of pathogens (bacteria or viruses that are at the origin of the human disease, carried out in the laboratory of microbiological analyses of hospital regional CHR al IDRISSI of Kenitra for a period that extends from the year 2007 to 2009 in order to clarify the methodology of work and the problem of infections in developing countries. Our work is based on the monthly inventory of pathogens (E. Coli, Staphylococcus, Streptococcus, Klebsiella, Enterobacter, Candida albicans, Pseudomonas, Syphilis, hepatitis viruses and HIV in deferens samples (Urine, Pus, saddle, like and Serum in patients in relation with total analyses carried out for 3 years. Then we follow their development during this period with the analysis of the results.

  4. CLINICAL AND ANTIMICROBIAL PROFILE OF ACINETOBACTER SPECIES AT TERTIARY CARE HOSPITAL IN CENTRAL INDIA

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    Apoorva

    2014-07-01

    Full Text Available BACKGROUND: Acinetobacter are the “superbugs” of the modern hospital environment causing significant proportion of infections and in particular nosocomial infections with high mortality rates. The aim of this study was to isolate Acinetobacter species from clinical specimens and to study the antimicrobial susceptibility pattern of Acinetobacter isolates. MATERIAL AND METHODS: Two hundred and four clinical isolates of Acinetobacter species were processed for species identification by standard microbiological procedures. Antimicrobial susceptibility of these isolates was performed by Kirby-Bauer disc diffusion method. RESULTS: Out of 204 Acinetobacter isolates, 125(61.27% isolates were from ICU and 79(38.72% were from general wards. A baumannii was the most common species isolated (74.50%, followed by A.lwoffii (24.50% and A.haemolyticus (0.98%. A.baumannii showed maximum sensitivity to IPM (52.63% followed by MRP(36.18%, AK(28.28%, PIT(26.31%, TCC(21.71%, CIP(21.05% G(17.76% and COT(05.26%. Maximum resistance was observed to CTX(1.31% followed by CAZ(1.97%, CTR(1.97% and CPM(1.97% respectively. A.lwoffii showed maximum sensitivity to IPM(94% followed by AK(90%, and MRP(84%. Statistically significant difference (p value <0.001 was noticed between antibiotic resistance of A.baumannii and A.lwoffii. CONCLUSION: Continued surveillance of drug resistant strains in ICUs, combined with preventive measures remains absolutely essential to prevent or limit the spread of Acinetobacter species in hospital.

  5. Motorcycle-related injuries at a university teaching hospital in north central Nigeria

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    Itodo C Elachi

    2014-01-01

    Full Text Available Background: Motorcycle-related injuries lead to considerable morbidity and mortality. The aim of this study is to determine the pattern and outcome of motorcycle-related injuries at Benue State University Teaching Hospital, Makurdi, Nigeria. Patients and Methods: Case records of all patients who presented to the accident and emergency department with motorcycle-related injuries between July 2012 and June 2013 were analysed for age, gender, injury host status (i.e. rider, pillion or pedestrian, nature of collision (motorcycle versus other vehicles, motorcycle versus motorcycle, motorcycle versus pedestrian or lone riders, body region injured, injury severity score (ISS at arrival, length of hospital stay (LOS and mortality. Results: Seventy - nine patients with motorcycle-related injuries were included in the study. They consisted of 63 males (61.8% and 16 females (15.7%. The age range was 5-65 years with a mean of 32.4 ± 14.0. Motorcycle versus vehicle collisions were the most common mechanism of injury (n = 46, 58.2%. Musculoskeletal injuries constituted the most common injuries sustained (n = 50, 47.6% and the tibia was the most frequently fractured bone (n = 14, 35.9%. The majority of patients (57.0% sustained mild/moderate injuries ( ISS ≤ 15. There was no statistically significant difference between the sexes for sustaining mild/moderate injuries or severe/profound injuries (P > 0.05. Mortality rate was 6.3% with head injuries being involved in all cases. Conclusion: Young males were mostly injured in motorcycle-related trauma. Musculoskeletal injuries were the most common injuries sustained and head injuries were involved in all the deaths. Enforcement of motorcycle crash bars and helmet usage is recommended.

  6. Ocular biometry and central corneal thickness in children: a hospital-based study

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    Adem Gul

    2014-06-01

    Full Text Available Objetivo: Investigar a distribuição do comprimento axial, profundidade da câmara anterior, espessura do cristalino, profundidade da câmara vítrea e espessura corneal central em crianças em diferentes faixas etárias. Métodos: Foram estudados 364 olhos de 182 crianças entre 1 e 12 anos de idade. O comprimento axial, a profundidade da câmara anterior , a espessura do cristalino e a profundidade da câmara vítrea foram medidos por biometria ultrassônica. A espessura corneal central foi medida por paquimetria ultrassônica em todas as crianças. Resultados: A idade média foi de 6,54 ± 3,42 anos. O comprimento axial foi 20,95 mm no grupo de 1-2 anos de idade e 22,95 mm no grupo de 11-12 anos de idade. A espessura corneal central foi 556 µm no grupo de 1-2 anos de idade e 555 µm no grupo de 11-12 anos de idade. A profundidade da câmara anterior média e profundidade da câmara vítrea aumentou com a idade (3,06 mm a 3,44 mm de profundidade da câmara anterior, 13,75 mm a 15,99 mm de profundidade da câmara vítrea e da espessura do cristalino diminuiu com o aumento da idade (3,67 mm a 3,51 mm. Conclusões: Em nosso estudo, os valores do comprimento axial aumentou com a idade e atingiu os níveis adultos aos 9-10 anos de idade. A espessura do cristalino diminuiu gradualmente até os 12 anos de idade. As medições de espessura corneal central não seguiu um algoritmo linear.

  7. Screening of Breast Mass in Iraqi Females: Al-Kindy Hospital Breast Clinic

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    Wijdan Akram

    2009-01-01

    Full Text Available Problem statement: The aim of this study is to present the findings of a retrospective analysis in females with breast mass, the character of the women and the risk factors of breast cancer at Al-Kindy Breast Clinic Center. Approach: Data were collected during 2 months period using special form of questioner. The total number of studied sample was 60, which includes female patients living in Baghdad. Results: The highest prevalence of developing breast mass at age group 36-45 years, the majority of these women are housewives (81.7%, about (31.7% of the included sample were illiterate and only 10% graduated from college. (58.3% of the studied sample did not use contraception, while (30% of patients with breast mass had breast feeding on the other hand (70% did not had breast feeding, by self examination, (11.7% could not found the mass by themselves, (28.3% had a mass in the right breast, (50% had a mass in the left breast while (10% had the mass in both breasts. Conclusion: The study showed a high level of practice of breast-self examination among women in the sample under consideration, breast masses were more occurring at the third and fourth decades of life, the number of children may affect the development of breast mass and combined oral contraceptive has small increased risk of breast mass.

  8. Volcano-tectonics of the Al Haruj Volcanic Province, Central Libya

    Science.gov (United States)

    Elshaafi, Abdelsalam; Gudmundsson, Agust

    2016-10-01

    The Al Haruj intra-continental Volcanic Province (AHVP), located at the south-western margin of the Sirt Basin, hosts the most extensive and recent volcanic activity in Libya - which is considered typical for plate interiors. From north to south the AHVP is divided into two subprovinces, namely Al Haruj al Aswad and Al Haruj al Abiyad. The total area of the AHVP is around 42,000 km2. Despite the great size of the AHVP, its volcano-tectonic evolution and activity have received very little attention and are poorly documented and understood. Here we present new field data, and analytical and numerical results, on the volcano-tectonics of the AHVP. The length/thickness ratio of 47 dykes and volcanic fissures were measured to estimate magmatic overpressure at the time of eruption. The average dyke (length/thickness) ratio of 421 indicates magmatic overpressures during the associate fissure eruptions of 8-19 MPa (depending on host-rock elastic properties). Spatial distributions of 432 monogenetic eruptions sites/points (lava shields, pyroclastic cones) in the AHVP reveal two main clusters, one in the south and another in the north. Aligned eruptive vents show the dominating strike of volcanic fissures/feeder-dykes as WNW-ESE to NW-SE, coinciding with the orientation of one of main fracture/fault zones. Numerical modelling and field observations suggest that some feeder-dykes may have used steeply dipping normal-fault zones as part of their paths to the surface.

  9. Cuidando desde la central de estirilización al cliente interno y externo

    OpenAIRE

    2012-01-01

    A partir del concepto de cuidado, pretendo mostrar la importancia que representa la labor de enfermería en la central de esterilización, lugar desde el cual, en forma muy silenciosa, se realizan acciones que sin discusión alguna garantizan el éxito de los diferentes procedimientos que se realizan por parte del equipo de salud relacionados con la técnica aséptica.La complejidad de la Central de Esterilización es tal, que puede ser comparada con una gran industria, en la cual se encuentran una ...

  10. Medical store management: an integrated economic analysis of a tertiary care hospital in central India.

    Science.gov (United States)

    Mahatme, Ms; Dakhale, Gn; Hiware, Sk; Shinde, At; Salve, Am

    2012-04-01

    Economic analysis plays a pivotal role in the management of medical store. The main objectives of this study were to consider always better control-vital, essential and desirable (ABC-VED) analysis with economic order quantity (EOQ), comparison of indexed cost and the actual cost, and to assess the expenditure for the forthcoming years. Based on cost and criticality, a matrix of nine groups by combining ABC and VED analysis was formulated. Drug categories were narrowed down for prioritization to direct supervisory monitoring. The subgroups AE and AV of the categories category I and II should be ordered based on EOQ. The difference between the actual annual drug expenditure (ADE) and the derived indexed cost using the cost inflation index (CII) was calculated. Linear regression was used to assess the expenditure for the forth coming years. The total ADE for the financial year of 2010-2011 was Rs. 1,91,44,253 which was only 7.68% of annual hospital expenditure. Using the inflation index, the indexed cost of acquisition of ADE for year 2010-2011 was Rs. 1,95,10,387. The difference between the two was estimated to be 2.11%. Thus, the CII justifies the demand of increased budget for next year and prompts us for cautious use of drugs. By taking into consideration the ADE of last 10 years, we have forecasted the budget for forthcoming years which will help significantly for making policies according to the available budget.

  11. Evaluation of prescribing indicators and pattern among dermatological outpatients in a teaching hospital of central Nepal

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    Manohar Pradhan

    2016-08-01

    Full Text Available Background: Evaluation of prescribing indicators by proper analysis of prescriptions under the guidelines of World Health Organization enables us to detect some of the common problems of prescribing.Methodology: This study was conducted on randomly selected 325 prescriptions of dermatological outpatients of teaching hospital of College of Medical Sciences Bharatpur (Nepal with an objective to detect the problems of prescribing as well as to delineate the pattern of medicines prescribing.Results: Total number of medicines prescribed on these prescriptions was 743. The average number of medicines per encounter was 2.28. Antihistamines, antifungals, corticosteroids and antibiotics were four most frequently prescribed therapeutic classes. One systemic as well as one topical medicine belonging to same therapeutic class was prescribed on about one-third of totally analyzed prescriptions. Cetrizine was the most common individually prescribed medicine and fluconazole was the most commonly prescribed antifungal. Medicines prescribed by their generic name were 15.07% and those prescribed from national essential medicines list were 23.42%.Conclusion: This study reveals polypharmacy, inclination of prescribers for branded medicines and prescribing out of national formulary as problems. Educational and managerial interventions are required to rationalize the prescribing practice.JCMS Nepal. 2016;12(2:44-9.

  12. Acercar la ciudad al río: Concurso Parque Eje Central

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    Roberto Lira Olmo

    2015-04-01

    Full Text Available A continuación presentamos los tres proyectos premiados de la invitación a propuesta de Anteproyectos, Arquitectura-Paisajismo, Espacios Públicos para el Eje Parque Central del Programa de Recuperación Urbana de la Ribera Norte del río Bío-Bío, Comuna de Concepción.

  13. Suicide in rural central India: Profile of attempters of deliberate self harm presenting to padhar hospital in Madhya Pradesh

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    Johann Alex Ebenezer

    2016-01-01

    Full Text Available Background: Suicide is a significant public health issue. India currently has the largest number of suicides in the world and has a disproportionate number of youth suicides including young women. The studies on patterns of suicide in rural central India are sparse, particularly among tribal communities. Aims: The aim of this study is to describe the profile of suicide attempters presenting to a secondary-level hospital in rural central India and identify areas for potential future research toward preventive strategies. Materials and Methods: A retrospective chart review was carried out of eighty patients who were admitted with presenting complaints of deliberate self-harm and survived until psychiatric consultation. Descriptive statistics was employed to generate the results. Results and Conclusions: 86% of the attempts were isolated impulsive attempts following triggers, the most common of which was interpersonal disputes (71%. Only 67% of patients had a mental health condition, the most common syndrome being alcohol use disorder, followed by depression, and personality disorders. Although 45% of attempters had background interpersonal conflicts, only 5% reported financial stressors as contributory. Psychosocial stressors, especially interpersonal conflicts within the family, appear to be at least as important factors as mental illnesses in contributing to suicide attempts in the area.

  14. Atitudes de enfermeiros de hospital geral frente ao uso do álcool e alcoolismo Actitudes de enfermeros de hospital general frente al uso de alcohol y al alcoholismo Clinical nurses' attitudes toward the use of alcohol and alcoholism

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    Divane Vargas

    2006-02-01

    Full Text Available Estudo psicométrico, utilizando a escala Seaman Mannello Nurse's attitudes toward alcohol and alcoholism, aplicou o instrumento a uma população de 196 enfermeiros de um macro-hospital, visando a mensurar as atitudes de enfermeiros de hospital geral no que se refere ao álcool e ao beber. Os dados apontaram que os enfermeiros consideram que as bebidas alcoólicas são prejudiciais (54,4%, beber com moderação não é inofensivo(57,1% e é errado (47,4%. Revelam dificuldade na aceitação do beber como um direito da pessoa, considerando as bebidas alcoólicas capazes de tornar pessoas saudáveis "débeis e loucas" (29,8%. O enfermeiro é um profissional indispensável para o tratamento e recuperação do alcoolista, suas atitudes podem influenciar no relacionamento com o paciente e conseqüentemente favorecer o tratamento.En este estudio psicométrico fue utilizada la escala Seaman Mannello Nurse's attitudes toward alcohol and alcoholism y aplicado un instrumento a una población de 196 enfermeros de un macro-hospital, con el objetivo de mensurar las actitudes de enfermeros de hospital general frente al alcohol y beber. Los datos mostraron que los enfermeros consideran que las bebidas alcohólicas son perjudiciales (54,4%, beber con moderación no es inofensivo (57,1% y es errado (47,4%, revelando dificultad en la aceptación del beber como un derecho de la persona. 29,8% consideraron las bebidas alcohólicas capaces de tornar las personas saludables en "locas y débiles". El enfermero es un profesional fundamental para el tratamiento y recuperación del alcoholista. Sus actitudes pueden influenciar el relacionamiento con el paciente y, así, favorecer el tratamiento.This psychometric study used the Seaman Mannello's scale of "nurse's attitudes toward alcohol and alcoholism". Authors applied an instrument to a population of 196 nurses from a general hospital with the aim to measure nurses'attitudes toward alcohol and drinking. Data showed that

  15. Condrosarcoma de la tibia con metástasis al sistema nervioso central

    OpenAIRE

    Toro G., Gabriel; Suárez C., Héctor A.; Mena R., Hernando

    2011-01-01

    Se analiza el caso de un hombre de 48 años de edad con condrosorcoma de la tibia derecha que dio metástasis al lóbulo occipital izquierdo. Encontramos en nuestra parcial revisión bibliográfica que solamente Talerman en 1970 comunicó un caso semejante.

  16. Infecciones del sistema nervioso central por enterovirus en niños atendidos en un hospital de Lima, Perú Enteroviral central nervous system infections in children treated at a hospital in Lima, Peru

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    Iván O Espinoza

    2011-12-01

    Full Text Available Objetivos. Determinar la frecuencia y las características clínicas de las infecciones del sistema nervioso central por enterovirus en niños atendidos en el Hospital Nacional Cayetano Heredia de Lima, Perú. Materiales y métodos. Se realizó un estudio prospectivo y descriptivo desde abril 2008 hasta marzo 2010. Se enrolaron pacientes de un mes a 14 años con diagnóstico clínico de encefalitis o meningitis asépticas. Se investigó la presencia de enterovirus, virus herpes simple 1 (VHS-1, virus herpes simple 2 (VHS-2 y virus varicela-zoster (VZV mediante reacción en cadena de polimerasa (PCR. Resultados. Se enrolaron 97 pacientes de los cuales 69 % presentaron encefalitis aguda y 31 % meningitis aguda. Se identificó enterovirus en 52,6 % del total de infecciones agudas no bacterianas del sistema nervioso central; encontrándose en 83,3 % de las meningitis y en 38,8 % de las encefalitis. No hubo casos de infección por VHS-1, VHS-2 ni VZV. Las infecciones por enterovirus alcanzaron el 82,9 % en los meses cálidos de noviembre a enero y el 28,6 % en los meses fríos de mayo a julio. Conclusiones. Los enterovirus fueron los principales agentes etiológicos en las encefalitis y meningitis asépticas agudas en pacientes pediátricos de Lima, Perú. Los enterovirus tienen un comportamiento epidemiológico estacional con un claro aumento del número de casos en los meses de verano. Resulta útil tener disponible un método de diagnóstico rápido, como una ayuda para el manejo de las infecciones agudas del sistema nervioso.Objectives. To determine the frequency and clinical features of central nervous system infections caused by enterovirus in children treated at the Hospital Nacional Cayetano Heredia in Lima, Peru. Materials and methods. A prospective, descriptive study was performed from April 2008 to March 2010. Patients aged 1 month - 14 years with clinical diagnosis of encephalitis or aseptic meningitis were included. We investigated the

  17. Vascular malformations of central nervous system: A series from tertiary care hospital in South India

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    Karri, Sudhir Babu; Uppin, Megha S.; Rajesh, A.; Ashish, K.; Bhattacharjee, Suchanda; Rani, Y. Jyotsna; Sahu, B. P.; Saradhi, M Vijaya; Purohit, A. K.; Challa, Sundaram

    2016-01-01

    Aims and Objectives: To describe clinicopathological features of surgically resected vascular malformations (VMs) of central nervous system (CNS). Materials and Methods: Histologically diagnosed cases of VMs of CNS during April 2010–April 2014 were included. Demographic data, clinical and radiological features were obtained. Hematoxylin and eosin slides were reviewed along with Verhoeff-Van Gieson (VVG), Masson's trichrome, periodic acid-Schiff, and Perls' stains. Morphologically, cavernomas and arteriovenous malformations (AVMs) were distinguished on the basis of vessel wall features on VVG and intervening glial parenchyma. Results: Fifty cases were diagnosed as VMs of CNS with an age range of 14–62 years. These included 36 cavernomas, 12 AVMs, 2 mixed capillary-cavernous angiomas. Most of the cavernoma patients (15/36) presented with seizures, whereas AVM patients (8/12) had a headache as the dominant symptom. Twenty-nine patients were reliably diagnosed on radiological features. Microscopic evidence of hemorrhage was seen in 24/36 cavernomas and 6/12 AVMs, as opposed to radiologic evidence of 10 and 4, respectively. Reactive gliosis was seen in 16 cavernomas. Conclusions: Histological features are important for classifying the VMs of CNS as there are no specific clinical and radiological features. Type of VM has a bearing on management, prognosis, and risk of hemorrhage. PMID:27114659

  18. Vascular malformations of central nervous system: A series from tertiary care hospital in South India

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    Sudhir Babu Karri

    2016-01-01

    Full Text Available Aims and Objectives: To describe clinicopathological features of surgically resected vascular malformations (VMs of central nervous system (CNS. Materials and Methods: Histologically diagnosed cases of VMs of CNS during April 2010–April 2014 were included. Demographic data, clinical and radiological features were obtained. Hematoxylin and eosin slides were reviewed along with Verhoeff-Van Gieson (VVG, Masson's trichrome, periodic acid-Schiff, and Perls' stains. Morphologically, cavernomas and arteriovenous malformations (AVMs were distinguished on the basis of vessel wall features on VVG and intervening glial parenchyma. Results: Fifty cases were diagnosed as VMs of CNS with an age range of 14–62 years. These included 36 cavernomas, 12 AVMs, 2 mixed capillary-cavernous angiomas. Most of the cavernoma patients (15/36 presented with seizures, whereas AVM patients (8/12 had a headache as the dominant symptom. Twenty-nine patients were reliably diagnosed on radiological features. Microscopic evidence of hemorrhage was seen in 24/36 cavernomas and 6/12 AVMs, as opposed to radiologic evidence of 10 and 4, respectively. Reactive gliosis was seen in 16 cavernomas. Conclusions: Histological features are important for classifying the VMs of CNS as there are no specific clinical and radiological features. Type of VM has a bearing on management, prognosis, and risk of hemorrhage.

  19. Molecular epidemiology of Brucella genotypes in patients at a major hospital in central Peru.

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    Nöckler, Karsten; Maves, Ryan; Cepeda, David; Draeger, Angelika; Mayer-Scholl, Anne; Chacaltana, Jesus; Castañeda, María; Espinosa, Benjamin; Castillo, Rosa; Hall, Eric; Al Dahouk, Sascha; Gilman, Robert H; Cabeza, Franco; Smits, Henk L

    2009-10-01

    The multiple-locus variable-number repeat analysis of 90 human Brucella melitensis isolates from a large urban area in central Peru revealed variations at 4 (Bruce07, Bruce09, Bruce18, and Bruce42) out of 16 loci investigated, of which 1 (Bruce42) also is used for species identification. Ten genotypes were identified, separated by the number of Bruce42 repeats into two groups that may have distinct phenotypic characteristics. Whereas genotypes with five or six Bruce42 repeats were cultured mainly from adult patients, genotypes with three Bruce42 repeats were isolated from children and young adolescents as well as from adults. In addition, the isolates with three Bruce42 repeats were obtained more often from patients with splenomegaly (P = 0.02) or hepatomegaly (P = 0.006). An annual variation in the diversity of genotypes was observed, possibly reflecting changes in sources of fresh dairy products, supply routes to city shops and markets, and the movement of infected dairy goat herds.

  20. Aproximació als contorns tonals del català central

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    Pilar Prieto i Vives

    2015-10-01

    Full Text Available The present study provides a preliminary description of a wide variety of pitch contours in Central Catalan, and shows that the phonological framework developed by Pierrehumbert (1980 and her colleagues successfully accounts for their relevant intonational distinctions. Compared to English, Central Catalan seems to make use of a wider inventory of pitch accents, namely, H*, L*, !L+H*, L*+H, H+L*, H+!, H*+L, and L+H*+H (a summary of the pitch accent plus boundary tone combinations is given at the end. As the model predicts, the relative alignment of the H and L levels with respect to the accented syllable triggers intonational oppositions in Catalan. For example, the distinction between an echo and a neutral pronunciation of a question like Què volia ahir en Joan? can be expressed with the use of H+L* vs. H*+L pitch accents respectively.

  1. Estimated radiation exposure from medical imaging for patients of radiology service of Al Faraby Hospital, Oujda Morocco

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    Slimane Semghouli

    2015-09-01

    Full Text Available Purpose: To evaluate the effective dose received per radiological examination per patient and the additional cancer risk factor in the Radiological Service of Al Faraby Hospital in 2012. Methods: From the number of radiological procedures (NX made in 2012 in the radiology service of Al Faraby Hospital and the average effective dose DEX associated with each type of act exam X, it is possible to calculate the effective dose collective [S =∑ DEX * NX]. The additional cancer risk factor is calculated by the X-ray risk software promoting responsible imaging through patient and provider education. It is function of the effective dose received, the age at the time of exam, and gender of patient. Results: The radiological average effective dose received per act exam is 1 millisievert (mSv, whereas it is 4.45 mSv and 0.21 mSv for the computed tomography (CT scan and conventional radiological examinations, respectively. As for the average number of acts per patient 2.66, the effective dose is 1.16 mSv and 3.8 mSv for CT scan and conventional radiological examinations, respectively. As for the average effective dose per patient 2.69 mSv, it is 5.16 mSv and 0.81 mSv for CT scan and conventional radiological examinations, respectively. As for the additional cancer risk in 40 years at the time of exam, the average additional cancer risk is equal to 2.17 × 10-4, wheras the risk is 4.17 × 10-4 and 6.54 × 10-5 for CT scan and conventional radiological examinations, respectively. Conclusion: Medical exposure related to the diagnosis of patients in the radiology service in 2012 can be characterized by: (a 2.66 Act exams on average per patient diagnosis corresponding to a mean effective dose equal to 2.69 mSv per patient, (bfrequency of conventional radiology and CT scan was 81% and 19%, respectively. These act exams contribute to the collective effective dose by 17% and 83%, respectively, and (c radiological acts can be divided into three levels of exposures

  2. Foreign Bodies in the Ear, Nose and Throat: An Experience in a Tertiary Care Hospital in Central Nepal

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    Parajuli, Ramesh

    2015-01-01

    Full Text Available Introduction A foreign body (FB is an object or substance foreign to the location where it is found. FBs in the ear, nose, and throat are a common problem frequently encountered in both children and adults. Objective To analyze FBs in terms of type, site, age, and gender distribution and method of removal. Methods A retrospective study was performed in a tertiary care hospital in the central part of Nepal. The study period was from June 2013 to May 2014. The information was obtained from hospital record books. Results A total of 134 patients had FBs in the ear, nose, or throat; 94 were males and 40 were females. Of the 134 patients, 70 (52.23% had FB in the ear, 28 (20.89% in the nose, and 36 (26.86% in the throat. The FB was animate (living in 28 (40% patients with FB in the ear and 1 (3.5% patient with FB in the nose, but the FB was inanimate (nonliving in any patient with FB in the throat, in 42 (60% patients with FB in the ear FB, and in 27 (96.4% patients with FB of the nose. The FB was removed with or without local anaesthesia (LA in 98 (73.13% patients, and only 36 patients (26.86% required general anaesthesia (GA. The most common age group affected was <10 years. Conclusion FBs in the ear and nose were found more frequently in children, and the throat was the most common site of FB in adults and elderly people. Most of the FBs can be easily removed in emergency room or outpatient department.

  3. Almacenamiento prehispánico del Norte de México al Altiplano Central

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    Pérez Pérez, Julia

    2014-01-01

    Hasta ahora, el estudio sobre almacenamiento en contextos arqueológicos ha estado subordinado al de otros aspectos de las sociedades antiguas en México. Se ha explicado su existencia como una solución a la fluctuación de la disponibilidad de recursos, como motor en la construcción del capital social o como instrumento de inversión y de economía política; todas ellas perspectivas teóricas aisladas unas de otras. Séverine Bortot en su búsqueda de datos arqueológicos que le permitieran inferir e...

  4. Bloodstream infection in patients with end-stage renal disease in a teaching hospital in central-western Brazil

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    Tamara Trelha Gauna

    2013-08-01

    Full Text Available Introduction Vascular access in patients undergoing hemodialysis is considered a critical determinant of bloodstream infection (BSI and is associated with high morbidity and mortality. The purpose of this study was to investigate the occurrence of BSI in patients with end-stage renal disease using central venous catheters for hemodialysis. Methods A cohort study was conducted in a public teaching hospital in central-western Brazil from April 2010 to December 2011. For every patient, we noted the presence of hyperemia/exudation upon catheter insertion, as well as fever, shivering, and chills during hemodialysis. Results Fifty-nine patients were evaluated. Thirty-five (59.3% patients started dialysis due to urgency, 37 (62.7% had BSI, and 12 (20% died. Hyperemia at the catheter insertion site (64.9% was a significant clinical manifestation in patients with BSI. Statistical analysis revealed 1.7 times more cases of BSI in patients with hypoalbuminemia compared with patients with normal albumin levels. The principal infective agents identified in blood cultures and catheter-tip cultures were Staphylococcus species (24 cases, non-fermentative Gram-negative bacilli (7 cases of Stenotrophomonas maltophilia and 5 cases of Chryseobacterium indologenes, and Candida species (6. Among the Staphylococci identified, 77.7% were methicillin-resistant, coagulase-negative Staphylococci. Of the bacteria isolated, the most resistant were Chryseobacterium indologenes and Acinetobacter baumannii. Conclusions Blood culture was demonstrated to be an important diagnostic test and identified over 50% of positive BSI cases. The high frequency of BSI and the isolation of multiresistant bacteria were disturbing findings. Staphylococcus aureus was the most frequently isolated microorganism, although Gram-negative bacteria predominated overall. These results highlight the importance of infection prevention and control measures in dialysis units.

  5. Profile of adults seeking voluntary HIV testing and counseling in rural Central India: results from a hospital-based study.

    Science.gov (United States)

    Pai, Nitika Pant; Joshi, Rajnish; Moodie, Erica E M; Taksande, Bharati; Kalantri, S P; Pai, Madhukar; Tulsky, Jacqueline P; Reingold, Arthur

    2009-03-01

    Rural India has an undetected load of HIV-positive individuals. Few rural adults present for HIV testing and counseling due to stigma, discrimination, and fear of social ostracization. In this rural hospital clinic-based study, we document profiles of rural adults seeking voluntary testing and counseling, and analyze correlates of HIV seropositivity. This cross-sectional study was conducted in 450 participants presenting to the outpatient clinics of Mahatma Gandhi Institute of Medical Sciences, Sevagram, Central India. After informed consent, pre- and post-test counseling, HIV testing, and face-to-face interviews were conducted. Data were collected using a structured questionnaire. The median age of the 450 study participants was 34 years (range 18-88 years); the majority (74%) was married. The overall proportion of HIV seropositivity was 32% [95% CI 28%, 37%]. The proportions of HIV seropositivity in married women, married men, and single men were 41%, 37%, 18%, respectively. No single woman was found seropositive in the study. Very few married women were aware of their husbands' HIV status. In a multivariate analysis, correlates of HIV seropositivity in men were: age 30-39 years, being married, having sex with multiple partners, use of alcohol before sex, and testing positive for HIV in the past. In married women, the only predictor of seropositivity was being married. Although limited by the non-random nature of the sampling method, this pilot study is unique in that it is the first from this rural region of Central India. It provides baseline data on marginalized, largely unstudied populations that may aid in designing probabilistic community-based surveys in this neglected population.

  6. Specialized consultant in radiological safety to the Ciudad del Carmen general hospital, PEMEX; Asesoria especializada en seguridad radiologica al hospital general Ciudad del Carmen, PEMEX

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Hernandez C, J. E.; Rodriguez A, F.; Garcia A, J

    2003-02-15

    The Ciudad del Carmen general hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  7. Land in Al Mahmud’s Poetry: Central to His Anti-imperialistic Poetics

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    Salma Begum

    2014-09-01

    Full Text Available Al Mahmud’s anti-imperial spirit is evident in his poems resisting the occupation of land by the imperialistic powers throughout the globe. He protests against the aggression of imperial powers at present as well as that happened in the past. Though formal colonies are no more today, colonialism still is there in different form --- in the form of imperialism. Colonies are established for securing wealth from the occupied land. Imperialism launches its power over the land of different country without establishing colonies but its purpose is all the same. Both colonialism and imperialism exploit others’ land to enrich themselves. Occupation of land paves the way for imperialism   as in the case of British colonialism in Bengal and subsequently in Indian subcontinent.   But the launching of imperial power does not go always without resistance on the part of the colonized people. Al Mahmud raises his voice against the evil practice of colonialism and imperialism wherever or whenever he finds them active. He shows this resistance both in national and international perspective. Through his poetics, he protests against the British imperialism in India, particularly in Bengal, and, though colonialism is over, he protests as he sees the imperialistic agents are active in his country to turn her again into a colony. He also protests against imperialistic aggression in different lands of the world like Afghanistan, Palestine etc. In his resistance to imperialism, ‘land’ becomes his main concern.  Here in this article, I have explored those poems that present his strong protest against the occupation of land by colonialism as well as imperialism. Keywords: land, colonialism, imperialism

  8. [Determination of serologic markers of hepatitis B virus in high risk areas at the Central Air Force Hospital of Peru].

    Science.gov (United States)

    Valladares Alvarez, G; Galarza, J; Espinoza, J; Nieri, A; Makino, R; Berrocal, A; Grados, N

    1989-01-01

    In the present paper, the serologic markers of Hepatitis B virus were studied in 123 people belonging to the Hospital Central de la Fuerza Aérea del Perú that had been working in areas of high risk to get contact with this virus. The determination was done with the enzimo inmuno assay (EIA Abbot) and the results were the following: In 15 individuals (12.1%), at least one positive marker was found, evidence which proved to have been in contact with the virus in some moment of his life. Only one carrier (0.8%) was found, in 6 (4.8%) the presence of anti-HBc as only marker was found and in 8 (6.5%) the presence of Anti-HBc and Anti-HBs was observed which means post infection immunity. The great number of the individuals in which the markers were found, were male: 13 (16.0%) against only 2 (4.7%) female. There wasn't great difference with relation to the prevalency of markers according to the years of work like there has been observed in other greater series. It can be concluded that in this group the incidence of infection due to VHB was no greater than that of general population, which indicates us the little contact that they have had with the contaminating material during their professional life.

  9. The Role of Necropsy in Diagnostic Dilemmas as Seen in a Tertiary Hospital in North Central Nigeria

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    Olugbenga A. Silas

    2009-01-01

    Full Text Available Background. Necropsy (autopsy has helped medical science and law. It has given rise to numerous diagnostic surprises as it explains cause of death, pathogenesis of diseases, and circumstances of death. It also explains reasons for most therapeutic failures. In spite of its usefulness, the rate has dropped worldwide and Africa is worse hit. This work aims to highlight the role autopsy (Necropsy plays in demystifying diagnostic dilemmas and to encourage its patronage by medical practitioners, law enforcement agents and society. Methods. This is a retrospective review of autopsy and clinical reports of cases seen by pathologists and physicians in the Jos University Teaching Hospital (JUTH, Jos, North central Nigeria. Results. A total 166 cases were studied out of which 52 had same diagnosis for both attending physician and pathologist, 106 had different diagnoses and in eight cases diagnoses remained unknown even after autopsy was performed. Conclusions. Autopsy remains an important tool for obtaining definitive diagnosis, determining cause of death to explain pathogenesis of diseases, medical auditing and a vital source of data for health statistics and planning.

  10. ANALYSIS OF DISCARD OF WHOLE BLOOD AND BLOOD COMPONENTS IN GOVERNMENT HOSPITAL BLOOD BANK IN CENTRAL INDIA

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    Vedita Bobde

    2015-02-01

    Full Text Available BACKGROUND: Transfusion requests are always more than the supply due to advances in health care delivery . Injudicious use of whole blood and blood components strains the transfusion services. This mandates the proper analysis of real need of transfusion and the discard of this scarce resource. MATERIALS & METHODS: Total 31143 voluntary and replacement donors donated blood during January 2012 to December 2014 in blood bank of tertiary care Government hospital in Central India. The donors record, transfusion transmitted infections (TTI testing record, component preparation record & discard record during the same period were screened for analysis. RESULT: Out of total 31143 blood collection during study period TTI positive blood were 377 (1.21% comprising of 13.4% of total discarded blood bags. Components prepared 19545 and discarded 1610 (8.2%. Among components discarded most common units were platelets due to date expiry followed by FFP discarded due to leakage of bag. CONCLUSION: Analysis of reasons of discard of whole blood and blood components helps in forming policies to reduce the gap between demand and supply at local as well as national level

  11. Respuesta hidrológica del Pirineo central al cambio ambiental proyectado para el siglo XXI

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    López-Moreno, J. I.

    2014-12-01

    Full Text Available Streamflows in five Mediterranean mountain headwaters in the central Spanish Pyrenees were projected under various climate and land use change scenarios. Streamflows were simulated using the Regional Hydro-Ecologic Simulation System (RHESSys. The results show that changes in precipitation and temperature could cause a decline of annual streamflow between 13% and 23%, depending on the considered catchment. When the effect of increased forest cover in the basins is added to climate change effects, the decrease in annual streamflow is enhanced up to 19% and 32%. The largest hydrological changes resulting from environmental change are projected mainly in early spring, summer and autumn, when the decline may exceed 40%. Winter is the least affected season by environmental change because of increased runoff as a consequence of reduced storage of water in the snowpack and an earlier onset of the snowmelt, and the lower consumption of water by vegetation during the cold season. The magnitude of hydrological change as a result of the assumed environmental change scenarios may lead to serious impacts on water management and ecology of the studied region, as well as the water availability in the Ebro basin.Se han simulado los caudales de cinco cabeceras de ríos en los Pirineos centrales españoles, considerando diferentes escenarios de cambio climático y de uso del suelo. Los caudales fueron simulados utilizando el modelo hidroecológico RHESSys (Regional Hydro-Ecologic Simulation System. Los resultados muestran que los cambios proyectados por un conjunto de modelos climáticos regionales en precipitaciones y temperaturas en el siglo XXI podrían causar una disminución del caudal anual entre el 13% y el 23%, dependiendo de la cuenca considerada. Cuando se añade a los efectos del cambio climático el efecto del aumento de la cubierta forestal en las cuencas, la disminución de los caudales anuales oscila entre el 19% y el 32%, dependiendo de la cuenca

  12. Cost of drugs manufactured by the University Hospital - role of the Central Pharmacy Custo de medicamentos produzidos pelo Hospital Universitário, papel da Farmácia Central

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    Marcia Lucia M. Marin

    2001-04-01

    Full Text Available The hospital pharmacy in large and advanced institutions has evolved from a simple storage and distribution unit into a highly specialized manipulation and dispensation center, responsible for the handling of hundreds of clinical requests, many of them unique and not obtainable from commercial companies. It was therefore quite natural that in many environments, a manufacturing service was gradually established, to cater to both conventional and extraordinary demands of the medical staff. That was the case of Hospital das Clinicas, where multiple categories of drugs are routinely produced inside the pharmacy. However, cost-containment imperatives dictate that such activities be reassessed in the light of their efficiency and essentiality. METHODS: In a prospective study, the output of the Manufacturing Service of the Central Pharmacy during a 12-month period was documented and classified into three types. Group I comprised drugs similar to commercially distributed products, Group II included exclusive formulations for routine consumption, and Group III dealt with special demands related to clinical investigations. RESULTS: Findings for the three categories indicated that these groups represented 34.4%, 45.3%, and 20.3% of total manufacture orders, respectively. Costs of production were assessed and compared with market prices for Group 1 preparations, indicating savings of 63.5%. When applied to the other groups, for which direct equivalent in market value did not exist, these results would suggest total yearly savings of over 5 100 000 US dollars. Even considering that these calculations leave out many components of cost, notably those concerning marketing and distribution, it might still be concluded that at least part of the savings achieved were real. CONCLUSIONS: The observed savings, allied with the convenience and reliability with which the Central Pharmacy performed its obligations, support the contention that internal manufacture of

  13. Hospital Performance Indicators and Their Associated Factors in Acute Child Poisoning at a Single Poison Center, Central Saudi Arabia.

    Science.gov (United States)

    Alanazi, Menyfah Q; Al-Jeriasy, Majed I; Al-Assiri, Mohammed H; Afesh, Lara Y; Alhammad, Fahad; Salam, Mahmoud

    2015-12-01

    Admission rate and length of stay (LOS) are two hospital performance indicators that affect the quality of care, patients' satisfaction, bed turnover, and health cost expenditures. The aim of the study was to identify factors associated with higher admission rates and extended average LOS among acutely poisoned children at a single poison center, central Saudi Arabia.This is a cross-sectional, poison and medical chart review between 2009 and 2011. Exposures were child characteristics, that is, gender, age, body mass index (BMI), health history, and Canadian 5-level triage scale. Poison incident characteristics were, that is, type, exposure route, amount, form, home remedy, and arrival time to center. Admission status and LOS were obtained from records. Chronic poisoning, plant allergies, and venomous bites were excluded. Bivariate and regression analyses were applied. Significance at P Poison substances were pharmaceutical drugs (63%) versus chemical products (37%). Main exposure route was oral (98%). Home remedy was observed in (21.9%), which were fluids, solutes, and/or gag-induced vomiting. Almost (52%) arrived to center >1 h. Triage levels: non-urgent cases (58%), less urgent (11%), urgent (18%), emergency (12%), resuscitative (1%). Admission rate was (20.6%) whereas av. LOS was 13 ± 22 h. After adjusting and controlling for confounders, older children (adj.OR = 1.19) and more critical triage levels (adj.OR = 1.35) were significantly associated with higher admission rates compared to younger children and less critical triage levels (adj.P = 0.006) and (adj.P = 0.042) respectively. Home remedy prior arrival was significantly associated with higher av. LOS (Beta = 9.48, t = 2.99), compared to those who directly visited the center, adj.P = 0.003.Hospital administrators are cautioned that acutely poisoned children who received home remedies prior arrival are more likely to endure an extended LOS. This non-conventional practice

  14. Risk factors of Acute Respiratory Infection (ARI in under-fives in a rural hospital of Central India

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    Amar M. Taksande

    2015-11-01

    Full Text Available Introduction: Acute Respiratory Infection (ARI is a major cause of morbidity and mortality in developing countries in children especially in under-fives. Every year in the world, about 13 million under-5 children dies, 95% from developing countries; one third of total deaths are due to ARI. The aim of this study was to identify the significant risk factors for ARI in children less than five years of age living in rural areas of Central India.Methods: A hospital based case control study was undertaken to determine risk factors associated with respiratory tract infections in children. Children less than 5 years admitted in a pediatric ward with diagnosis of ARI were enrolled in the study as cases (n = 300 while the same number of controls (n = 300 were selected from neighborhood and were matched for age, sex and religion. Details of risk factors in cases and controls were recorded in pre-designed proforma. Results: A significant association was found between ARI and lack of breastfeeding, nutritional status, immunization status, delayed weaning, prelactal feeding, living in overcrowded conditions, mothers’ literacy status, low birth weight and prematurity. Among the environmental variables, inadequate ventilation, improper housing condition, exposure to indoor air pollution in form of combustion from fuel used for cooking were found as significant risk factors for ARI in under-fives.Conclusions: ARIs are affected by socio-demographic and socio-cultural risk factors, which can be modified with simple interventions. The various risk factors identified in this study were lack of breastfeeding, undernutrition, delayed weaning, overcrowding and prelactal feeding.

  15. Clinical characteristics of patients with atrial fibrillation at a tertiary care hospital in the central region of Saudi Arabia

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    Salih A Bin Salih

    2011-01-01

    Full Text Available Objective: To report on the clinical presentation, etiology, and laboratory features of acute and chronic atrial fibrillation (AF in a tertiary hospital in Riyadh, Saudi Arabia. Materials and Methods: We retrospectively studied records of 720 patients with AF seen in outpatients and inpatients departments at King Abdulaziz Medical City, Riyadh, during the period of 1 January 2002 to 31 August 2008. Results: Documented acute and chronic AF was present in 157 (21.8% and 563 (78.1% patients, respectively. Palpitations, dizziness and syncope were the most frequent symptoms in acute AF, while dyspnea and palpitations were the most common symptoms in the chronic type. Acute respiratory problems and acute myocardial infarction were significantly more common in acute AF, while congestive heart failure and acute respiratory problems (chest infection, bronchial asthma, and pulmonary embolism were significantly more common in chronic AF. The most common causes of both types of AF were diabetes mellitus (DM in 68.8%, hypertension (HTN in 59.3%, chronic lung diseases (bronchial asthma, chronic obstructive pulmonary disease and interstitial lung disease in 31.8%, valvular heart disease in 23.6%, and ischemic heart disease (IHD in 23.1%. In 9 (1.3% patients, no cause was detected. The echocardiographic findings of left ventricular hypertrophy, valve lesions, and depressed left ventricular function were significantly more common in chronic AF (P<0.01. Conclusions : Nowadays, DM, HTN, and IHD are becoming the most common predisposing factors for AF in the central region of Saudi Arabia and require prevention and control

  16. Prevalence of hemolytic anemia and hemoglobinopathies among the pregnant women attending a tertiary hospital in central India

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    Ranbir S. Balgir

    2015-10-01

    Full Text Available Anemia in pregnancy is one of the causes of maternal morbidity and, maternal and fetal mortality in India. Hemoglobin transports oxygen to different parts of the body. Any defect in hemoglobin structure leads to its adverse functions. Screening of pregnant women for hemoglobinopahties helps in early intervention for reducing morbidity and mortality. Although the prevalence of hemoglobinopathies especially of the sickle cell disorders is high in Madhya Pradesh but any study on pregnant women is lacking. This study had set the objectives to find the prevalence of anemia and hemoglobin disorders in pregnant women, and to determine the health status through hematological indices profile in central India. Hospital based a cross-sectional study showed 12.26% prevalence of hemoglobinopathies among 416 pregnant women, the sickle cell trait being 7.45%, followed by β-thalassemia trait (2.89%, hemoglobin E trait (0.24%, and sickle cell disease (1.68%. About 88% of the pregnant women were found free of hemoglobinopathies. Of the 9.13% pregnant women included in the study were suffering from sickle cell disorders. However, the overall 47.11% anemia was observed in pregnant women, ranging in between 45% to 66% and seemed to show a reduction in anemia after nutritional supplementations and improvement in maternal health care at antenatal check up due to accessibility to medical health facilities. A comparison of hematological indices of pregnant women afflicted with and without sickle cell disorders have revealed much reduced hemoglobin level, red blood cells count, mean corpuscular volume, hematocrit, and mean corpuscular hemoglobin; and raised leucocytosis in sickle cell disorder cases than among the normal pregnant women. A more vigorous and realistic campaign of prophylactic regime of supplementations for these pregnant women and child health care is suggested.

  17. Estado nutricional al ingreso de los pacientes internados con VIH Nutritional status of hospitalized HIV patients at admission

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    Soledad Freijo

    2010-03-01

    Full Text Available Introducción: La mayoría de los pacientes con diagnóstico de VIH/SIDA se internan con complicaciones propias de la enfermedad que repercuten en su estado nutricional. Objetivo: Describir el comportamiento de los componentes del perfil nutricional de los pacientes con diagnóstico de VIH/SIDA que se internan en el Hospital General de Agudos Juan A. Fernández (Argentina. Materiales y métodos: Estudio descriptivo, transversal, y prospectivo. Se analizaron los datos correspondientes a pacientes con VIH/SIDA que ingresaban a la institución. Se completó una ficha nutricional registrando componentes del perfil nutricional evaluados: % de pérdida de peso (%PP, compartimento graso (CG, compartimento proteico (CP, Índice de Masa Corporal (IMC, Valoración Global Subjetiva (VGS, Datos Bioquímicos (DB y Consulta Nutricional previa (CNP. Resultados: La muestra quedó conformada por 22 pacientes. El 32% presentó un %PP severo en los 6 meses previos a su internación (IC 95%=12,4 - 61,4. El 55,6% de las mujeres reflejó un CG superior al rango máximo recomendado (IC 95%=13,6 - 79,1, el 30,8% de los hombres superó el rango máximo (IC 95%=9,0 - 61,7. El 36% presentó un CP disminuido (IC 95%=15,8 - 65,6. El 63,6% presentó un IMC adecuado (IC 95%=34,3 - 84,1. El 59,1% presentó una VGS inadecuada (IC 95%=30,3 - 80%. El 86,3% manifestó nunca haber tenido consulta nutricional previa (IC 95%=62,8 - 97,0. Conclusión: el análisis de los componentes del perfil nutricional refleja como la población infectada que ingresa a la unidad de internación, presenta un perfil nutricional inadecuado con alteraciones en el compartimento proteico y graso las cuales pueden o no ser justificadas por el tratamiento antirretroviral o por el curso propio de la enfermedad.Introduction: Most of the patients diagnosed with HIV/AIDS are hospitalized with complications that are typical of the disease and which have an impact on their nutritional status. Objective: To

  18. Propuesta de mejora para el Complejo Hospitalario de Navarra, Hospital D: manual de procedimientos para la Central de Esterilización

    OpenAIRE

    2014-01-01

    La esterilización es una ciencia en la que se emplean tecnologías muy variadas con el fin de lograr la destrucción de todos los microorganismos. Una vez que se ha esterilizado todo el material, debe mantenerse esa condición hasta el momento de “uso” de los equipos. La central de esterilización (en adelante CE o Central), es una unidad de vital importancia dentro de la estructura de un hospital. Recibe una enorme cantidad y variedad de instrumental quirúrgico que debe ser recogido, limpiad...

  19. Correspondence: risk factors of acute respiratory infection in under-fives in a rural hospital of Central India – Authors’ reply

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    Amar Taksande

    2016-07-01

    Full Text Available Dear Editor,We thank the authors for their interest and comments on our paper. They have raised some very valid points. This corrispondence refers to the following article:Taksande AM, Yeole M. Risk factors of Acute Respiratory Infection (ARI in under-fives in a rural hospital of Central India. J Pediatr Neonat Individual Med. 2016;5(1:e050105. doi: 10.7363/050105 br />Comments can be found in the following article:Mandal A, Sahi PK. Correspondence: risk factors of acute respiratory infection in under-fives in a rural hospital of Central India. J Pediatr Neonat Individual Med. 2016;5(2:e050207. doi: 10.7363/050207

  20. Paleobiogeografía del arribo de mamíferos suramericanos al sur de América Central de previo al gran intercambio biótico americano: un vistazo al GABI en América Central Paleobiogeography of the arrival of south american mammals to southern Central America prior to the great american biotic interchange: a look at the GABI in Central America

    Directory of Open Access Journals (Sweden)

    César A Laurito

    2012-06-01

    Full Text Available A la luz de los nuevos registros fósiles de xenarthras en la Formación Curré, se realiza un análisis paleobiogeográfico de la fauna de vertebrados de la localidad fosilífera de San Gerardo de Limoncito en el sur de Costa Rica de edad Hemphilliano temprano. Esta asociación faunística se caracteriza por la mezcla de vertebrados de origen Paleártico, Neártico y Neotropical, a la vez que registra el arribo más temprano, hasta ahora conocido, de mamíferos suramericanos al sur de América Central. La llegada de mamíferos suramericanos al Istmo de Panamá se debió al acortamiento de los pasos oceánicos entre las islas, producto de la subducción normal asociada al Arco de Islas, el rápido levantamiento que experimentó el sur de América Central debido a la colisión del sur del Arco de Islas Costa Rica-Panamá con el noroeste de Colombia y por los elementos climáticos prevalecientes en esa época, que favorecieron el predominio de bosques húmedos, cálidos y basales tanto en el noroeste de Colombia como en el sur de América Central, lo que permitió a los xenarthras, considerados fuertes nadadores y saltadores de islas migrar al norte. Estas condiciones climáticas por el contrario, limitaron la migración al sur de los mamíferos norteamericanos, cuyo arribo a América del Sur se postergó hasta el Blancano con la aparición de condiciones más secas y el establecimiento de un corredor terrestre continuo. Adicionalmente se analiza el estado actual del Gran Intercambio Biótico entre las Américas en América Central.In reference to the discovery of new fossil xenarthrans that was made in the Curré Formation, a paleobiogeographical analysis of the early Hemphillian age vertebrates will be made for the fossiliferous location of San Gerardo de Limoncito in southern Costa Rica. This vertebrate locality has a mixture is mainly formed by vertebrates from the Palearctic, Nearctic and Neotropical regions and it records the early arrival

  1. BACTERIAL CAUSES OF LOWER RESPIRATORY TRACT INFECTIONS IN PATIENTS ATTENDING CENTRAL REFERRAL HOSPITAL, GANGTOK WITH REFERENCE TO ANTIBIOTIC RESISTANCE PATTERN

    OpenAIRE

    Priyanka Paul; Tukaram Prabhu

    2013-01-01

    ABSTRACT: BACKGROUND: There is inadequate information from India on various lower respiratory tract pathogens and their resistance pattern in hospital settings. The present study was undertaken to see the bacteriological profile an d the antibiotic resistance pattern of the isolates causing LRTI from this geographic region. OBJECTIVE: To identify and characterize bacterial pathogens causing community acquired and hospital acquired infections with reference to ant...

  2. Pattern and prevalence of tobacco use and associated oral mucosal lesions: a hospital based cross sectional study at a tertiary care hospital in central India

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    Ambrish Mishra

    2015-09-01

    Conclusions: The number of tobacco users visiting the dental hospital is reasonably high; Tobacco consumption is a common cause of addiction, preventable illness, disability and death. The public health system should be strengthened for effectively designing, implementing and evaluating tobacco control and prevention programs. All health care professionals should be sensitized and educated for implementing measures for tobacco control and cessation. [Int J Res Med Sci 2015; 3(9.000: 2169-2173

  3. Noticias de prensa sobre errores clínicos y sensación de seguridad al acudir al hospital News items about clinical errors and safety perceptions in hospital patients

    Directory of Open Access Journals (Sweden)

    José Joaquín Mira

    2010-01-01

    Full Text Available Objetivo: Analizar el tratamiento informativo que realiza la prensa de los errores clínicos y su influencia en los pacientes. Métodos: Estudio cualitativo y cuantitativo. Primero, análisis de contenido de las noticias publicadas en 6 periódicos entre abril y noviembre de 2007. Segundo, encuesta a 829 pacientes de 5 hospitales de 4 comunidades autónomas. Resultados: Se analizan 90 casos que generan 128 noticias, con una media de 16 impactos mensuales. En 91 (71,1% se contrastó la fuente. En 78 (60,9% apareció el autor. El impacto de las noticias fue de -4,86 puntos (intervalo de confianza del 95% [IC95%]: -4,15-5,57. En 59 casos (57% se atribuye el error al sistema, en 27 (21,3% a los profesionales y en 41 (32,3% a ambos. Ni el número de columnas (p=0,702, ni la inclusión de postitular (p=0,195, ni el apoyo gráfico (p=0,9 se mostraron relacionados con las consecuencias del error. De 829 pacientes, 515 (62,1%; IC95%: 58,8-65,4% afirmaron haber visto u oído recientemente noticias sobre errores clínicos en prensa, radio o televisión. La percepción de seguridad disminuye cuando coinciden la preocupación por ser víctima de un error clínico y el impacto reciente de noticias sobre errores en la prensa (c² o = 15,17; p=0,001. Conclusiones: Todas las semanas aparece alguna noticia sobre errores clínicos en algún medio. El tratamiento en el periódico de las denuncias de supuestos errores es similar al de las noticias sobre sentencias judiciales por negligencia con daño irreparable. Las noticias sobre errores generan inseguridad en los pacientes. Es aconsejable crear espacios de encuentro entre periodistas y profesionales sanitarios.Objective: To analyze how news items about clinical errors are treated by the press in Spain and their influence on patients. Methods: We performed a quantitative and qualitative study. Firstly, news items published between April and November 2007 in six newspapers were analyzed. Secondly, 829 patients from

  4. [Children's department and child care institutions of the Central military, hospital of People's commissariat during the Great Patriotic War].

    Science.gov (United States)

    Simonenko, V B; Krainyukov, P E; Abashin, V G

    2016-01-01

    The article presents historical data about paediatric health care delivery and escort of children of the Command of the Red Army during their evacuation from Moscow in 1941. Data on foundation of kindergartens of People's commissariat in 1942-1943, their support and foundation of children's department in the hospital is given. Special subdivision governed by the head of child care institutions of the hospital was formed for managing child care institutions.

  5. Hospital costs of central line-associated bloodstream infections and cost-effectiveness of closed vs. open infusion containers. The case of Intensive Care Units in Italy

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    Torbica Aleksandra

    2010-05-01

    Full Text Available Abstract Objectives The aim was to evaluate direct health care costs of central line-associated bloodstream infections (CLABSI and to calculate the cost-effectiveness ratio of closed fully collapsible plastic intravenous infusion containers vs. open (glass infusion containers. Methods A two-year, prospective case-control study was undertaken in four intensive care units in an Italian teaching hospital. Patients with CLABSI (cases and patients without CLABSI (controls were matched for admission departments, gender, age, and average severity of illness score. Costs were estimated according to micro-costing approach. In the cost effectiveness analysis, the cost component was assessed as the difference between production costs while effectiveness was measured by CLABSI rate (number of CLABSI per 1000 central line days associated with the two infusion containers. Results A total of 43 cases of CLABSI were compared with 97 matched controls. The mean age of cases and controls was 62.1 and 66.6 years, respectively (p = 0.143; 56% of the cases and 57% of the controls were females (p = 0.922. The mean length of stay of cases and controls was 17.41 and 8.55 days, respectively (p Conclusions CLABSI results in considerable and significant increase in utilization of hospital resources. Use of innovative technologies such as closed infusion containers can significantly reduce the incidence of healthcare acquired infection without posing additional burden on hospital budgets.

  6. Pronóstico al año tras sufrir el debut de enfermedad cerebrovascular en pacientes de un hospital nacional de Lima, Perú

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    C. Martín A Alvarado-Dulanto

    Full Text Available En Latinoamérica la información del pronóstico de pacientes con enfermedad cerebrovascular (ECV es limitada. Por ello, se buscó determinar el pronóstico vital y funcional al año, de pacientes con debut de ECV. Se desarrolló un estudio de cohorte prospectivo, con seguimiento al año a pacientes con primer evento cerebrovascular reclutados en el servicio de medicina de un hospital nacional. Se recolectó datos sociodemográficos, antecedentes patológicos e información del evento. Se halló proporciones de mortalidad, diferencias entre subgrupos y se comparó la funcionalidad inicial y al año. Se incluyó 101 pacientes, 20,8% falleció durante el seguimiento, encontrándose mayor mortalidad en los mayores de 65 años y en aquellos severamente discapacitados tras el evento. La funcionalidad no mejoró al año. Se concluye que uno de cinco pacientes que debuta con ECV fallece al año, con mayor mortalidad en ancianos y en pacientes gravemente discapacitados. Es pertinente crear un sistema de seguimiento y soporte para prevenir evolución desfavorable en pacientes que sufren ECV

  7. Detecting the environmental impact of off-road vehicles on Rawdat Al Shams in central Saudi Arabia by remote sensing.

    Science.gov (United States)

    Dewidar, K; Thomas, J; Bayoumi, S

    2016-07-01

    Off-road vehicles can have a devastating impact on vegetation and soil. Here, we sought to quantify, through a combination of field vegetation, bulk soil, and image analyses, the impact of off-road vehicles on the vegetation and soils of Rawdat Al Shams, which is located in central Saudi Arabia. Soil compaction density was measured in the field, and 27 soil samples were collected for bulk density analysis in the lab to quantify the impacts of off-road vehicles. High spatial resolution images, such as those obtained by the satellites GeoEye-1 and IKONOS-2, were used for surveying the damage to vegetation cover and soil compaction caused by these vehicles. Vegetation cover was mapped using the Normalized Difference Vegetation Index (NDVI) technique based on high-resolution images taken at different times of the year. Vehicle trails were derived from satellite data via visual analysis. All damaged areas were determined from high-resolution image data. In this study, we conducted quantitative analyses of vegetation cover change, the impacts of vehicle trails (hereafter "trail impacts"), and a bulk soil analysis. Image data showed that both vegetation cover and trail impacts increased from 2008 to 2015, with the average percentage of trail impacts nearly equal to that of the percentage of vegetation cover during this period. Forty-six species of plants were found to be present in the study area, consisting of all types of life forms, yet trees were represented by a single species, Acacia gerrardii. Herbs composed the largest share of plant life, with 29 species, followed by perennial herbs (12 species), grasses (5 species), and shrubs (3 species). Analysis of soil bulk density for Rawdat Al Shams showed that off-road driving greatly impacts soil density. Twenty-two plant species were observed on the trails, the majority of which were ephemerals. Notoceras bicorne was the most common, with a frequency rate of 93.33 %, an abundance value of 78.47 %, and a density of 0

  8. Benefit of hospital pharmacy intervention on the current status of dry powder inhaler technique in patients with asthma and COPD: a study from the Central Development Region, Nepal

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    Poudel RS

    2016-12-01

    Full Text Available Ramesh Sharma Poudel,1 Rano Mal Piryani,2 Shakti Shrestha,3 Aastha Prajapati1 1Hospital Pharmacy, 2Department of Internal Medicine, Chitwan Medical College Teaching Hospital, 3Department of Pharmacy, Shree Medical and Technical College, Chitwan, Nepal Background: The majority of patients with asthma and chronic obstructive pulmonary disease (COPD have been known to perform inhaler technique inadequately. We aimed to evaluate the benefit of hospital pharmacy intervention on the current status of dry powder inhaler (Rotahaler® technique in such patients and the factors associated with the correct use. Methods: A pre–post interventional study was conducted at the outpatient pharmacy in a teaching hospital of the Central Development Region, Nepal, in patients with asthma and COPD currently using a Rotahaler device. Patients’ demographics and Rotahaler technique were assessed before intervention. Those who failed to demonstrate the correct technique were educated and trained by the pharmacist, and their technique was reassessed after 2 weeks of intervention. Descriptive statistics, including Wilcoxon signed rank test, Mann–Whitney U test, Spearman’s correlations and Kruskal–Wallis test, were performed for statistical analysis. Results: Before intervention, only 5.7% (10 of 174 of the patients demonstrated the correct Rotahaler technique and the most common errors observed were failure to breathe out gently before inhalation (98.8% and failure to hold breath for about 10 seconds after inhalation (84.8%. After the intervention (n=164, 67.1% of the patients showed their technique correctly (p≤0.001 and failure to breathe out gently before inhalation was the most common error (27.44%. Age (p=0.003, previous instruction (p=0.007, patient’s education level (p=0.013 and source of instruction (p<0.001 were associated with an appropriate technique before intervention, while age (p=0.024, duration of therapy (p=0.010 and gender (p=0.008 were

  9. Tenosinovitis piógena flexora de la mano: experiencia en el Hospital Universitario Central de Asturias

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    Irene García-Martínez

    Full Text Available Introducción y Objetivos. La tenosinovitis piógena flexora de la mano es una infección severa de los tejidos blandos de la mano. Se asocia a secuelas funcionales graves que varían desde rigideces de las articulaciones interfalángicas y metacarpofalángicas hasta la necesidad de amputaciones digitales. La rapidez en la instauración de tratamiento antibiótico endovenoso de amplio espectro y el drenaje quirúrgico urgente son las claves para minimizar la aparición de secuelas. Nuestro objetivo es estudiar las características de los pacientes con dicha patología en nuestro medio. Material y método. Presentamos un estudio retrospectivo de 24 casos de infección de la vaina sinovial flexora diagnosticados y tratados por el Servicio de Cirugía Plástica del Hospital Universitario Central de Asturias (Oviedo, España durante un periodo de 8 años. Resultados. Los dedos más afectados fueron el índice y el medio y en todos los casos estuvo presente alguno de los 4 signos de Kanavel. Un 71% de nuestros pacientes precisó intervención quirúrgica urgente: 88% drenaje abierto, 76% abordaje volar tipo Bruner, 6% abordaje mediolateral longitudinal, y otro 6% desbridamiento amplio incluyendo piel. Los demás fueron tratados con antibioticoterapia endovenosa de amplio espectro, inmovilización y elevación de la extremidad afecta. En todos los casos se realizó lavado intraoperatorio con suero salino y/o antiséptico, y en el 65% irrigación postoperatoria continua. El germen más frecuénteme aislado fue Staphylococus aureus si bien en el 75% de los casos no se obtuvo crecimiento microbiológico. La media de estancia hospitalaria fue de 7.3 días. Todos siguieron rehabilitación precoz; el 42% lograron recuperación completa, el 29% sufrió limitación de extensión y el 16% déficit de flexio-extensión del dedo afecto. Conclusiones. Nuestros hallazgos ponen de manifiesto que la tenosinovitis piógena flexora es una patología poco frecuente en

  10. [Hi-tech center of outpatient care (To the 40th anniversary of the Branch N 6 of the Vishnevsky Central military clinical hospital N 3)].

    Science.gov (United States)

    Popov, A P

    2015-10-01

    The authors present the history of the branch N 6 of the Federal States Organization "the Vishnevsky Central Military Clinical Hospital N 3" of the Ministry of Defense of the Russian Federation, which dates back to November 1, 1974. Over the past years, organizational and staff structure; and the name of the clinic (45th central polyclinic, 45th central consultative-diagnostic polyclinic, 52nd Advisory Diagnostic Center of Defense) has repeatedly changed, but the core the work stays unchangeable--to continually improve patient care technology, to be the leader in the outpatient care for soldiers, reserve officers (retired), members of their families. The. branch consists of 58 medical and 19 specialized diagnostic departments, including 4 hospital departments, 1845 employee work at the branch. Among them 4 doctors of medical science and 43 candidates of medical sciences, 20 honoured physicians and 10 honoured health workers of republic. 70% of doctors and 93% of nurses have the highest qualification category. To health care in the Branch are more than 110 thousand people.

  11. DON ANTONIO ALFARO, UN CORSARIO AL FRENTE DEL HOSPITAL DE SAN CARLOS EN LA ISLA DE LEÓN

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    Benicia Vidal Galache

    2014-12-01

    Full Text Available Ante la inminencia de la llegada de las tropas de Napoleón a la Isla de León, hoy San Fernando, se improvisó en la localidad un hospital para la atención de los prisioneros franceses enfermos y heridos en la batalla de Bailén. La dirección del establecimiento se encomendó a D. Antonio Alfaro, cirujano naval formado en el Real Colegio de Cirugía de Cádiz. En la plantilla de facultativos hubo también médicos, cirujanos y practicantes escogidos entre los prisioneros franceses. Analizamos la vida de Alfaro y las especiales circunstancias en las que se inició aquel hospital militar.DON ANTONIO ALFARO, A CORSAIR LEADING THE SAN CARLOS HOSPITAL IN THE ISLA DE LEÓNWith the imminence of the arrival of the troops of Napoleon to the Isla de Leon, today San Fernando, a hospital for the care of the sick and wounded French prisoners at the battle of Bailén was improvised at the village. The address of the establishment was entrusted to D. Antonio Alfaro, naval surgeon trained in the Real Colegio de Cirugía of Cádiz. The staff was composed also by doctors, surgeons and medical assistants chosen among the French prisoners. We analyse the life of Alfaro and the special circumstances in which that military hospital was started.

  12. ACTITUDES DE LAS ENFERMERAS EN EL CUIDADO AL PACIENTE CON CÁNCER EN ETAPA TERMINAL ATENDIDO EN UN HOSPITAL DE CHICLAYO

    OpenAIRE

    2015-01-01

    El cáncer es una de las principales causas de mortalidad en el Perú, por ello el cuidado enfermero es fundamental, en el que debe prevalecer actitudes que revelen humanización del mismo. En este sentido, el objetivo de este trabajo fue describir y comprender las actitudes de las enfermeras en el cuidado al paciente adulto con cáncer en etapa terminal atendido en los servicios de Medicina y Ginecología de un hospital de Chiclayo en enero del 2015. Se utilizó el Estudio de Caso con enfoque cual...

  13. Estudio de Puriscal VI: Transferencia de la tecnología de rehidratación oral del hospital al hogar rural

    OpenAIRE

    Jiménez, Patricia; Mata, Leonardo; García, María Eugenia; Vargas, William

    1982-01-01

    Artículo científico -- Universidad de Costa Rica, Instituto de Investigaciones en Salud. 1982 La presente investigación tuvo por objeto desarrollar una metodología que permitiese adaptar el método de rehidratación oral a las condiciones del hogar, ya que la diarrea deshidratante en lugares alejados de los recursos de salud, puede resultar en la muerte prematura del niño. Para ello fue preciso desarrollar una técnica de transferencia de Ia tecnología del hospital al hogar. Enton...

  14. Beneficios de la hidrocortisona agregada al tratamiento estándar de neumonías en niños de 1 a 5 años, ingresados al Hospital Vicente Corral Moscoso, Cuenca 2014-2015

    OpenAIRE

    Espinoza Cisneros, Michel Viviana

    2016-01-01

    Introducción: La neumonía adquirida en la comunidad permanece como la causa más común de muerte por infección y la octava causa de muerte en los Estados Unidos. La literatura disponible no ha demostrado un beneficio claro del uso de los corticoides en la neumonía. Objetivo: Determinar los beneficios de la Hidrocortisona vía venosa agregada al tratamiento estándar de neumonías en niños de 1 a 5años, ingresados al Hospital Vicente Corral Moscoso. Cuenca 2014. Material y métodos: Se r...

  15. Sulfato de magnesio y respuesta hemodinámica en laringoscopia e intubación endotraqueal. Hospital Militar Central 2015

    OpenAIRE

    Rojas Farfán, Gissela Roxana

    2015-01-01

    Objetivos: Identificar los efectos del sulfato de magnesio en la respuesta hemodinámica durante la laringoscopia e intubación endotraqueal en pacientes sometidos a anestesia general en el Hospital Militar Central del Perú durante el periodo setiembre - octubre del 2015. Material y Métodos: Estudio de cohortes, retrospectivo, analítico, cuantitativo y no experimental en 60 pacientes sometidos a cirugía electiva bajo anestesia general; divididos en dos grupos: un grupo recibió 10 mg/kg de sulfa...

  16. Characteristics of pregnant Women admitted with 2009 H1N1 Influenza in a referral maternity hospital at Al-Madinah, Saudi Arabia

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    Inass Taha

    2013-07-01

    Full Text Available Background: To date there has been no study done in Saudi Arabia to identify the risk factors for poor outcome of H1N1 infection in pregnancy. Objectives: we aimed to evaluate the epidemiological data, clinical course, treatment modalities, and maternal and fetal outcomes of 33 pregnant women diagnosed with H1N1 Influenza A in a referral maternity and children hospital at Al- Madinah Saudi Arabia on the period from June 2009 till February 2010.Methods: This retrospective cohort study reported 33 pregnant women (9.1% primigravida aged 27.7±5.6 years who were laboratory-confirmed cases diagnosed with H1N1 Influenza A in a referral maternity and children hospital at Al- Madinah Saudi Arabia on the period from June 2009 till February 2010. Their mean gestation age was 23.5±10.9 weeks with history of bronchial asthma in 45.5%.Results: The mean duration between symptoms’ onset and hospital presentation was 5.0±2.2 days with late presentation in 10 cases (30,3%. Large number of cases presented with fever more than 39 (24 (72.7%, sore-throat (24 (72.7% and cough (29 (87.9% while 19 patients presented with dyspnea (57.6%. Pregnant patients with H1N1 received Tamiflu (oseltamivir from 2 to 7 days with a mean of 4.7±1.3 days. They stayed at hospital for variable periods from 2 to 28 days with a mean of 7.9±6.6 days (Table 4. Most patients (31(93.9% received antibiotics. Maternal poor outcome included hypoxia in 6 patients (18.2%, ICU admission for 2-3 days with mechanical ventilation in 4(12.1%. The main fetal poor outcome was intrauterine fetal death in 2 (6.1% babies .Conclusion:The main presentation of H1N1 among pregnant women was typical influenza-like illness. Considerable percentage of patients presented late (30.3%. The duration of hospital admission is variable up to 28 days. Bronchial asthma was prevalent (45.5% among pregnant women with H1N1 infection. The main poor outcomes were maternal respiratory failure (18.2% and intrauterine fetal

  17. Evaluation of Antimicrobial Susceptibility Among Acintobacter baumannii by E-Test Method at Khatam-Al-Anbia Hospital During 2013 - 2015

    Directory of Open Access Journals (Sweden)

    Hadi Kazemi

    2017-01-01

    Full Text Available Background Nosocomial infections are one of the health problems of modern societies, which are rising with unusual organisms. Acintobacter, which is the main cause of nosocomial infections such as pneumonia and nosocomial pneumonia, is caused by mechanical ventilation. Acinetobacter species are becoming resistant to antibiotics. One the most important agent of nosocomial infections with high mortality is infections by Acinetobacter baumannii which is Gram- negative opportunistic Coccobacilli. Treatment in these infections is difficult and sometimes impossible, due to multidrug resistance in strains isolated from nosocomial infections. Objectives The aim of the current study was to evaluate antibiotic resistance in A. baumannii isolates Khatam-Al-Anbia Hospital, Tehran, Iran. Methods In this cross-sectional study 100 of Acintobacter baumannii were isolated from hospitalized patients during 2013-2015 in Khatam-Al-Anbia hospital in Tehran. In this study samples of A. baumannii isolated from trachea, blood, urine, sputum and wound samples of patients bedridden in Intensive care unit (ICU wards. Antimicrobial susceptibility and minimum inhibitory concentration (MIC were determined by E-test methods. We used descriptive statistics to analyze the data by using SPSS 21 software. Results A total of 100 A. baumannii were isolated from clinical samples. The organism was resistant to rifampicin (46%, gentamicin (67%, meropenem (100%, piperacilin (98%, colistin (0%, and ceftazidin (96%. Conclusions The antibiotic resistance against most of the antibiotics especially meropenem is very high in this study. Moreover, colistin was most effective antibiotic to be used in A. baumannii infections. Colistin is the best choices for treatment of Acinetobacter.

  18. Underlying Primary Causes of Chronic Renal Failure: A Three-Year Study in Al-Thawra General Hospital, Sana'a, Yemen

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    Mogahid Y. Nassar

    2016-12-01

    Full Text Available Objective: To estimate the underlying primary diseases of chronic renal failure (CRF among patients attending Al-Thawra General Hospital, Sana'a, and Yemen. Methods: This was a cross-sectional, hospital-based study of 566 patients diagnosed with chronic kidney diseases (CKD. It studied the cases attending Al-Thawra General Hospital over a three‐year period from January 2013 to De-cember 2015. Results: Out of 566 patients, 339 (59.9% were males. The mean age of the patients at diagnosis of CKD was 39.51 years, most of whom (36.6% were of the age group of 21–35 years. Hypertension was the most frequent cause (43.2% of CRF, followed by different infectious diseases such as malaria, schistosomiasis and bacterial infections (19% and obstructive nephropathy (17.9%. On the other hand, CRF of unknown etiology represented 15.2% of cases. Other causes of CRF diabetic nephropathy (9.7%, effect of antibiotics and analgesics (7.0%, ischemic heart disease (4.8%, polycystic kidney disease (3.5% and congenital anomalies (3.4%. The least common causes were autoimmune diseases, bleeding, traumatic accidents and chronic diarrhea, being responsible for 2.2%, 1.8%, 0.9% and 0.4% of CRF cases, respectively. Conclusions: The majority of CKD cases in our study were males aged between 21 and 35 years old. In addition, most cases of CKD are due to hypertension, followed by infections and obstructive nephropathy. Application of future prevention and control measures are highly recommended to reduce the burden of CRF in Yemen for early detection and proper management of its underlying primary conditions/diseases.

  19. Central nervous system tuberculosis in children: review of 35 cases at the Hospital Universitario San Vicente de Paúl in Medellín, Colombia.1997-2004. Meningoencefalitis tuberculosa en niños: Revisión de 35 casos en el Hospital Universitario San Vicente de Paúl en Medellín, Colombia. 1997-2004

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    José William Cornejo Ochoa; Dagoberto Nicanor Cabrera Hémer; Rodrigo Andrés Solarte Mila

    2005-01-01

    Objetive. To document the clinical and diagnostic features and to explore factors associated with central nervous system tuberculosis at the “Hospital San Vicente de Paúl (HUSVP)” in Medellín-Colombia. Patients and methods. Review of the patient’s records to obtain information on demographic data, medical history, clinical manifestations, laboratory results, treatment and complications of 35 children with central nervous system tuberculosis admitted to the hospital between July 1997 and July ...

  20. [Organization of scientific-methodological work in Central Military Clinical Hospital named after A.A. Vishnevskiĭ].

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    Beliakin, S A; Fokin, Iu N; Kokhan, E P; Frolkin, M N

    2009-09-01

    There was congested a wide experience of organization and management of scientific work in the 3rd CMCH by Vishnevsky A.A. for a term of more than 40 years. This experience is subjected to generalization, analyze for the purpose of determination of it's priority orientations of improvement. Scientific-methods work in hospital is rated as a complex of measures, organisationaly-planed and coordinated by purpose and reinforcement of scientific schools of the 3rd CMCH by Vishnevsky A.A., as a basis of effective delivery of specialized medical aid. The vector of scientific researches is directed, generally, to solving questions of military and field medicine.

  1. Lactancia materna y la relación filial en madres adolescentes que acuden al Hospital IESS Macas

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    Guaman Agualongo, Lourdes Belén

    2015-01-01

    El presente trabajo de investigación se realizó en Venezuela por el Autor: Ruiz Ernemelys J, en el año Junio 2010 quien determina la influencia de un programa educativo sobre lactancia materna en el conocimiento de las adolescentes embarazadas, que asistieron al control prenatal, IVSS “Lino Mara dey”, Ciudad Bolívar, durante el primer trimestre del año 2010. Se diseñó el presente estudio, de tipo cuasi experimental y prospectivo. Se evaluaron 30 gestantes adolescentes, a través de una encuest...

  2. A Rare case of bear attack on the face and the treatment in a tertiary hospital in Central Nepal

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    Ashutosh Kumar Singh

    2015-11-01

    Full Text Available This case report presents a case of wild bear attack in the central region of Nepal causing extensive maxillofacial injuries and its management. The patient suffered bilateral comminuted midface fractures with extensive soft tissue lacerations. Management included multidisciplinary approach including maxillofacial surgeons, ENT surgeons and cosmetic surgeon to realign the injured soft tissue and bone to pre injury state. Outcome was satisfactory given the initial presentation of patient.JCMS Nepal. 2015; 11(2:31-33

  3. Estigma relacionado a VIH/SIDA asociado con adherencia al tratamiento antirretroviral en pacientes de un hospital de Lima, Perú 2014

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    Jessica Hanae Zafra-Tanaka

    Full Text Available Objetivos.Determinar el nivel de estigma relacionado a VIH/SIDA y su asociación con la adherencia al tratamientoantirretroviral (TARV en pacientes de un hospital nacional de Lima, Perú. Materiales y métodos. Estudio transversal que incluyó a pacientes adultos que seguían el programa de TARV con un mínimo de seis meses. Se consideró el estigma como la desvalorización de la persona por tener la infección de VIH y se midió con la escala de Berger para estigma relacionado a VIH, la adherencia a la toma adecuada de los medicamentos fue medida con la encuesta Simplified medication adherence questionaire (SMAQ. Para evaluar los factores asociados a estigma se calcularon razones de prevalencia (RP usando la regresión de Poisson. Resultados. Se analizaron 339 encuestas, la mediana de edad fue 39 años (RIC: 16 donde 74,0% eran hombres. Se halló un estigma alto en 25,4% y moderado en 47,5% de los encuestados. Una reducción de 10 puntos en la escala de estigma relacionado a VIH/SIDA se asoció a un aumento de 5% de adherencia al TARV en hombres (RPa 0,95, IC95%: 0,91-0,99 y un aumento del 7% en mujeres (RPa 0,93, IC95%: 0,87-0,98. Conclusiones. Existe un alto nivel de estigma relacionado a VIH/SIDA y se asocia a la falta de adherencia al tratamiento con diferencias de acuerdo al sexo. Se recomiendan intervenciones dirigidas a reducir el estigma relacionado a divulgación de estatus en las mujeres y el relacionado a actitudes públicas en hombres.

  4. GANANCIA FUNCIONAL Y ESTANCIA HOSPITALARIA EN LA UNIDAD GERIATRICA DE MEDIA ESTANCIA DEL HOSPITAL CENTRAL DE CRUZ ROJA DE MADRID

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    Juan J. Baztán

    2004-01-01

    Full Text Available Fundamento: Las unidades geriátricas de media estancia o convalecencia fueron definidas por el Insalud en 1996 como aquel nivel asistencial geriátrico hospitalario destinado a restablecer aquellas funciones, actividades o secuelas, alteradas como resultado de diferentes procesos previos. El objetivo de este trabajo es evaluar las características de los pacientes asociadas a la ganancia funcional y estancia en las unidades geriátricas de media estancia. Métodos: Se estudió a todos los pacientes ingresados entre mayo de 2000 y diciembre de 2001. Se evaluó la ganancia funcional semanal y global con el Indice de Barthel, la estancia hospitalaria y la eficiencia (IB al alta-IB al ingreso/estancia. Se estableció como umbral de eficacia la mejora en la ganancia semanal > 5 puntos en IB. Resultados: Fueron evaluados 459 pacientes con una edad media de edad de 80,56 (±7,45 ingresados para recuperación funcional de secuelas de ictus (48,4%, patología ortopédica (26,3% e inmovilismo por otras patologías (23,5%. La ganancia funcional total fue de 29,71 (±16,75 puntos en el Indice de Barthel, con una estancia media de 24,93 (±12,94 días y una eficiencia de 1,44 (±1,02. La ganancia funcional semanal estuvo por encima del umbral establecido en las tres primeras semanas, independientemente de la edad y patología motivo de ingreso. En el análisis de regresión multivariante la edad, el ingreso por ictus, el deterioro funcional previo y cognitivo al ingreso, la comorbilidad y demora en el ingreso se asociaron a menor ganancia funcional. El ingreso por ictus y la mejor situación funcional previa y cognitiva al ingreso se asociaron a mayor estancia. Conclusiones: La estancia hospitalaria en unidades geriátricas de media estancia es adecuada, al menos, en las tres primeras semanas. La comparación de los resultados entre unidades debiera ajustarse por edad, patología motivo de ingreso, comorbilidad y situación funcional y cognitiva de los

  5. Spontaneous intracerebral hemorrhage: Clinical and computed tomography findings in predicting in-hospital mortality in Central Africans

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    Michel Lelo Tshikwela

    2012-01-01

    Full Text Available Background and Purpose: Intracerebral hemorrhage (ICH constitutes now 52% of all strokes. Despite of its deadly pattern, locally there is no clinical grading scale for ICH-related mortality prediction. The first objective of this study was to develop a risk stratification scale (Kinshasa ICH score by assessing the strength of independent predictors and their association with in-hospital 30-day mortality. The second objective of the study was to create a specific local and African model for ICH prognosis. Materials and Methods: Age, sex, hypertension, type 2 diabetes mellitus (T2DM, smoking, alcohol intake, and neuroimaging data from CT scan (ICH volume, Midline shift of patients admitted with primary ICH and follow-upped in 33 hospitals of Kinshasa, DR Congo, from 2005 to 2008, were analyzed using logistic regression models. Results: A total of 185 adults and known hypertensive patients (140 men and 45 women were examined. 30-day mortality rate was 35% (n=65. ICH volume>25 mL (OR=8 95% CI: 3.1-20.2; P 7 mm, a consequence of ICH volume, was also a significant predictor of mortality. The Kinshasa ICH score was the sum of individual points assigned as follows: Presence of coma coded 2 (2 × 2 = 4, absence of coma coded 1 (1 × 2 = 2, ICH volume>25 mL coded 2 (2 × 2=4, ICH volume of ≤25 mL coded 1(1 × 2=2, left hemispheric site of ICH coded 2 (2 × 1=2, and right hemispheric site of hemorrhage coded 1(1 × 1 = 1. All patients with Kinshasa ICH score ≤7 survived and the patients with a score >7 died. In considering sex influence (Model 3, points were allowed as follows: Presence of coma (2 × 3 = 6, absence of coma (1 × 3 = 3, men (2 × 2 = 4, women (1 × 2 = 2, midline shift ≤7 mm (1 × 3 = 3, and midline shift >7 mm (2 × 3 = 6. Patients who died had the Kinshasa ICH score ≥16. Conclusion: In this study, the Kinshasa ICH score seems to be an accurate method for distinguishing those ICH patients who need continuous and special management

  6. Suspected appendicitis during pregnancy: prevalence and management at prince Hashem Ben AL-Hussein Hospital (Zarqa/Jordan

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    Hasan Al-Dahamsheh

    2012-09-01

    Full Text Available To evaluate the clinical picture and outcome of suspected appendicitis in pregnant women. Retrospective analytic study of 28 appendectomies performed during pregnancy for suspected appendicitis in our hospital at period April 2004 to September 2006. All files and medical records of these patients were analyzed and studied. Those including variables (demographic, clinical, laboratory and surgical outcomes data were collected retrospectively. Prevalence of appendicitis was calculated from the total number of deliveries and abortions that occurred during this period. Numbers of correct and wrong diagnosis were reported and comparison of perinatal outcome, maternal morbidity and different variables in negative and positive laparotomies performed. The prevalence of suspected appendicitis in pregnancy is 0.29%. Incidences of negative laparotomies were 36%. The most diagnostic findings for acute appendicitis were history of periumbilical pain, anorexia and Rt iliac fossa findings. Half of wrong diagnosis were related to premature labor pain or abortion. The prevalence of suspected appendicitis during pregnancy in our environment during this period was higher than the reported incidence and rate of wrong diagnosis still high. Good clinical assessment with adjunct ultrasonic examination could reduce the incidence of negative laparotomies or prevent late complication. Delay in operation leading to higher rate of maternal morbidity and adversely affect the obstetric outcome. Journal of College of Medical Sciences-Nepal,2012,Vol-8,No-1, 36-43 DOI: http://dx.doi.org/10.3126/jcmsn.v8i1.6824

  7. A retrospective clinical audit of 696 central venous catheterizations at a tertiary care teaching hospital in India

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    Sanjay Agrawal

    2012-01-01

    Full Text Available Background: Malpositions after central venous cannulation are frequently encountered and may need a change in catheter. The incidence of malpositions are varied according to various studies and depend on the experience of the operator performing the cannulation. Aim: To access the incidence of malpositions and related complications associated with landmark-guided central venous cannulation in a 15-bedded medical surgical ICU over a period of three years. Settings and Design: Retrospective analysis of records of all the central venous cannulation done in a 15- bedded medical- surgical ICU over the period of three years (April 2008 to June 2011 were evaluated for the site and side of insertion, number of attempts of puncture, arterial puncture as well as the malpositions on post procedural chest X-ray. The records were also evaluated for the experience of the operator performing cannulation and relationship between experience of operator to malpositions of catheter. Statistical Analysis: Analysis was done using SPSS v 17.0 for Windows. Chi-square test was applied to evaluate the statistical significance. P > 0.05 was significant. Results: Records of 696 cannulations were evaluated. Malpositions occurred in 40 patients. Subclavian vein cannulation resulted in increased malpositions in relation to internal jugular vein cannulation. More common with left sided cannulation. Experience of operator had positive correlation with malpositions and arterial puncture. Arterial puncture was common in 6%, while more than one attempt for cannulation was taken in 100 patients. Conclusion: Incidence of malpositions was low. We conclude that experience of operator improves successful catheterization with lesser number of complications.

  8. Implementación del cuadro de mando integral como herramienta de gestión complementaria al plan estratégico en un hospital

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    Rocío Martínez Malqui

    2010-08-01

    Full Text Available Uno de los grandes problemas que afronta un gobierno es la asistencia sanitaria accesible y de calidad a la población, siendo alta la exigencia en los resultados de las instituciones de salud. Este estudio se centra en el proceso de aplicación del Cuadro de Mando Integral (CMI, como instrumento de gestión que alinea y comunica los objetivos estratégicos a la organización. El objetivo fue valorar la implementación del CMI como herramienta complementaria al Plan Estratégico Institucional (PEI en un hospital peruano de salud pública de alta complejidad. La metodología se basó en un diseño de tipo descriptivo, observacional y retrospectivo. Nuestros resultados mostraron que la aplicación del CMI, permitió mejorar el control de la gestión institucional en todas las áreas, logrando alto impacto en el incremento de los ingresos por prestaciones del Seguro Integral de Salud, reducción de las intervenciones quirúrgicas suspendidas y optimización de la utilización de camas, además de alinear el Plan Operativo con el PEI y generar una cultura de gestión por resultados; este estudio contribuye a demostrar que en un hospital público de alta complejidad la implementación del CMI genera impactos favorables y motiva al desarrollo de nuevas investigaciones en instituciones similares.

  9. BACTERIAL CAUSES OF LOWER RESPIRATORY TRACT INFECTIONS IN PATIENTS ATTENDING CENTRAL REFERRAL HOSPITAL, GANGTOK WITH REFERENCE TO ANTIBIOTIC RESISTANCE PATTERN

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    Priyanka Paul

    2013-10-01

    Full Text Available ABSTRACT: BACKGROUND: There is inadequate information from India on various lower respiratory tract pathogens and their resistance pattern in hospital settings. The present study was undertaken to see the bacteriological profile an d the antibiotic resistance pattern of the isolates causing LRTI from this geographic region. OBJECTIVE: To identify and characterize bacterial pathogens causing community acquired and hospital acquired infections with reference to antibiogram pattern. MET HODS: A total of 137 samples from patients suffering from lower respiratory tract infections were studied. All the sputum samples were subjected to gram staining, culture. Various organisms were identified by standard methods. The Kirby – Bauer method was e mployed to perform the antibiotic sensitivity on Mueller Hinton agar [MHA]. For Streptococcus pneumoniae blood agar was used. MHA with 4% NaCl was used to detect methicillin resistant Staphylococcus aureus [MRSA]. RESULTS: Growth of pathogens was obtained in 66.4% of sputum samples in case of inpatients and in 33.5% outpatients. Klebsiella pneumonia [15.3%] was the predominant isolate among the inpatients whereas Streptococcus pneumonia [8.5%] was the most common pathogen isolated from outpatients. Haemophi lus influenzae was not isolated. Quinolone was found to be most effective antibiotic against gram negative organi sms. A single isolate of Morax ella catarrhalis was isolated from a case of MDR - TB. CONCLUSION : Culture and susceptibility reports should be enc ouraged before therapy to combat the problem of emergence of MDR, ESBL and MRSA strains and to subside the economic burden due to increase in cost according to the consequence of development of antibiotic resistant microbial strains

  10. Prevalence and correlation of infectious agents in hospitalized children with acute respiratory tract infections in Central China.

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    Jia Liu

    Full Text Available Acute respiratory tract infections (ARTIs are associated with significant morbidity and mortality worldwide, especially in children under the age of 5 years. Almost 2 million children die from ARTIs each year, and most of them are from developing countries. The prevalence and correlation of pathogens in ARTIs are poorly understood, but are critical for improving case prevention, treatment, and management. In this study, we investigated the prevalence and correlation of infectious agents in children with ARTIs. A total of 39,756 children with one or more symptoms, including fever, cough, sore throat, tonsillitis, pharyngitis, herpangina, pneumonia, and bronchiolitis, were enrolled in the study. All patients were hospitalized in Wuhan Children's Hospital between October 1, 2010 and September 30, 2012, and were evaluated for infectious agents. Pathogens, including Mycoplasma pneumoniae, influenza A virus, influenza B virus, adenoviruses, respiratory syncytial virus, parainfluenza virus, Legionella pneumophila, Chlamydophila pneumoniae, and Coxiella burnetii, were screened simultaneously in patient blood samples using anti-pathogen IgM tests. Regression analysis was used to reveal correlations among the pathogens. Our results showed that one or more pathogens were identified in 10,206 patients, and that Mycoplasma pneumoniae, adenoviruses, and influenza B virus were the leading infectious agents. Mixed-infections of pathogens were detected in 2,391 cases, with Mycoplasma pneumoniae as the most frequent pathogen. The most common agents in the co-infections were Mycoplasma pneumoniae and influenza B virus. Regression analysis revealed a linear correlation between the proportion of mixed infections and the incidence of multi-pathogen infections. The prevalence of infectious agents in children with ARTIs was determined. Equations were established to estimate multiple infections by single-pathogen detection. This revealed a linear correlation for

  11. Etiology and Epidemiology of Diarrhea in Hospitalized Children from Low Income Country: A Matched Case-Control Study in Central African Republic.

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    Sébastien Breurec

    2016-01-01

    Full Text Available In Sub-Saharan Africa, infectious diarrhea is a major cause of morbidity and mortality. A case-control study was conducted to identify the etiology of diarrhea and to describe its main epidemiologic risk factors among hospitalized children under five years old in Bangui, Central African Republic.All consecutive children under five years old hospitalized for diarrhea in the Pediatric Complex of Bangui for whom a parent's written consent was provided were included. Controls matched by age, sex and neighborhood of residence of each case were included. For both cases and controls, demographic, socio-economic and anthropometric data were recorded. Stool samples were collected to identify enteropathogens at enrollment. Clinical examination data and blood samples were collected only for cases.A total of 333 cases and 333 controls was recruited between December 2011 and November 2013. The mean age of cases was 12.9 months, and 56% were male. The mean delay between the onset of first symptoms and hospital admission was 3.7 days. Blood was detected in 5% of stool samples from cases. Cases were significantly more severely or moderately malnourished than controls. One of the sought-for pathogens was identified in 78% and 40% of cases and controls, respectively. Most attributable cases of hospitalized diarrhea were due to rotavirus, with an attributable fraction of 39%. Four other pathogens were associated with hospitalized diarrhea: Shigella/EIEC, Cryptosporidium parvum/hominis, astrovirus and norovirus with attributable fraction of 9%, 10%, 7% and 7% respectively. Giardia intestinalis was found in more controls than cases, with a protective fraction of 6%.Rotavirus, norovirus, astrovirus, Shigella/EIEC, Cryptosporidium parvum/hominis were found to be positively associated with severe diarrhea: while Giardia intestinalis was found negatively associated. Most attributable episodes of severe diarrhea were associated with rotavirus, highlighting the urgent

  12. RESISTENCIA AL CONGELAMIENTO EN ESPECIES ALTO-ANDINAS DE CHILE CENTRAL: VARIACIONES ESPACIALES Y TEMPORALES DE DISTINTA ESCALA

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    SIERRA ALMEIDA ; ANGELA PAOLA

    2010-01-01

    Aunque las plantas de alta montaña tienen la habilidad de resistir temperaturas congelantes, esta habilidad disminuye considerablemente durante el período de crecimiento, incrementando el riesgo que las plantas sufran daños severos producto de las heladas. La magnitud y causas de la disminución de la resistencia al congelamiento están en estrecha relación con la temperatura ambiental que experimentan las plantas. Por ello, la resistencia al congelamiento de las plantas de alta ...

  13. IMPACT OF EDUCATIONAL INTERVENTION ON KNOWLEDGE, ATTITUDE AND PRACTICE OF PHARMACOVIGILANCE AMONG MEDICAL GRADUATES OF RURAL TERTIARY CARE, TEACHING HOSPITAL OF CENTRAL INDIA

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    VARMA SUSHIL KUMAR

    2013-01-01

    Full Text Available To assess the awareness of Pharmacovigilance among the medical graduates and to evaluate the need of inclusion of KAP (Knowledge, Attitude and Practice of Pharmacovigilance in Internship Training Programme as an educational intervention.Material and Methods: The present study was conducted in the Internship orientation program in a rural hospital of central India. It was a Hospital Based Cross Sectional Study in which 65 Interns (medical graduates were participated. Semi-structured, Pre-Designed, Pre-tested Questionnaire was used for data collection. Data was entered and analyzed using statistical software ‘EPI INFO 3.5.3’.Results: In our study a total of 65 medical graduates were responded and involved in the pre KAP and post KAP survey questionnaires. The overall response rate between pre intervention and post intervention was statistically significant and that shows effectiveness of educational intervention for improving awareness of Pharmacovigilance among medical graduates.Conclusion: Imparting the knowledge and awareness of Pharmacovigilance among the medical graduates by mean of continuous educational intervention would bring update of knowledge for drug safety into their everyday clinical practice and also bring the adverse drug reactions(ADRs reporting culture among them.

  14. Vitamin D deficiency in medical patients at a central hospital in Malawi: a comparison with TB patients from a previous study.

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    Yamikani Mastala

    Full Text Available OBJECTIVES: To determine the prevalence of vitamin D deficiency (VDD in adult medical, non-tuberculous (non-TB patients. To investigate associations with VDD. To compare the results with a similar study in TB patients at the same hospital. DESIGN: Cross-sectional sample. SETTING: Central hospital in Malawi. PARTICIPANTS: Adult non-TB patients (n = 157, inpatients and outpatients. OUTCOME MEASURES: The primary outcome was the prevalence of VDD. Potentially causal associations sought included nutritional status, in/outpatient status, HIV status, anti-retroviral therapy (ART and, by comparison with a previous study, a diagnosis of tuberculosis (TB. RESULTS: Hypovitaminosis D (≤75 nmol/L occurred in 47.8% (75/157 of patients, 16.6% (26/157 of whom had VDD (≤50 nmol/L. None had severe VDD (≤25 nmol/L. VDD was found in 22.8% (23/101 of in-patients and 5.4% (3/56 of out-patients. In univariable analysis in-patient status, ART use and low dietary vitamin D were significant predictors of VDD. VDD was less prevalent than in previously studied TB patients in the same hospital (68/161 = 42%. In multivariate analysis of the combined data set from both studies, having TB (OR 3.61, 95%CI 2.02-6.43 and being an in-patient (OR 2.70, 95%CI 1.46-5.01 were significant independent predictors of VDD. CONCLUSIONS: About half of adult medical patients without TB have suboptimal vitamin D status, which is more common in in-patients. VDD is much more common in TB patients than non-TB patients, even when other variables are controlled for, suggesting that vitamin D deficiency is associated with TB.

  15. Hacia la mejora del servicio al cliente: Lecciones sobre la creación y consolidación de la Central Única de Atención al Cliente ITE (ICC)

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    Banco Interamericano de Desarrollo (BID)

    2009-01-01

    En medio de un cambio institucional de grandes proporciones, el Departamento de Tecnología de la Información (ITE) del BID asumió el reto de mejorar la eficacia y eficiencia de sus servicios informáticos y técnicos, consolidándolos en lo que hoy se conoce como Central Única de Atención al Cliente de ITE (ICC). Esta experiencia ha dejado varias enseñanzas relevantes para el Banco que se comparten en esta nota.

  16. HIV-Associated Central Nervous System Disease in Patients Admitted at the Douala General Hospital between 2004 and 2009: A Retrospective Study

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    Henry Namme Luma

    2013-01-01

    Full Text Available Background. Studies on HIV-associated central nervous system (CNS diseases in Cameroon are rare. The aim of this study was to describe the clinical presentation, identify aetiological factors, and determine predictors of mortality in HIV patients with CNS disease. Methods. From January 1, 2004 and December 31, 2009, we did at the Douala General Hospital a clinical case note review of 672 admitted adult (age ≥ 18 years HIV-1 patients, and 44.6% (300/672 of whom were diagnosed and treated for HIV-associated CNS disease. Results. The mean age of the study population was years, and median CD4 count was 49 cells/mm3 (interquartile range (QR: 17–90. The most common clinical presentations were headache (83%, focal signs (40.6%, and fever (37.7%. Toxoplasma encephalitis and cryptococcal meningitis were the leading aetiologies of HIV-associated CNS disease in 32.3% and 25% of patients, respectively. Overall mortality was 49%. Primary central nervous system lymphoma (PCNSL and bacterial meningitis had the highest case fatality rates of 100% followed by tuberculous meningitis (79.8%. Low CD4 count was an independent predictor of fatality (AOR: 3.2, 95%CI: 2.0–5.2. Conclusions. HIV-associated CNS disease is common in Douala. CNS symptoms in HIV patients need urgent investigation because of their association with diseases of high case fatality.

  17. Frequency of Antiseptic Resistance Among Staphylococcus aureus and Coagulase-Negative Staphylococci Isolated From a University Hospital in Central Iran

    Science.gov (United States)

    Taheri, Nona; Ardebili, Abdollah; Amouzandeh-Nobaveh, Alireza; Ghaznavi-Rad, Ehsanollah

    2016-01-01

    Objectives Reduced biocide susceptibility in Staphylococci is associated with various antiseptic resistance genes encoding efflux systems. Our aim was to determine the susceptibility to three disinfectant agents, including benzalkonium chloride (BAC), benzethonium chloride (BZT), and chlorhexidine digluconate (CHDG) among clinical isolates of Staphylococcus aureus and coagulase-negative Staphylococci (CoNS). Methods The minimum inhibitory concentration (MIC) of 60 methicillin-resistant S. aureus (MRSA), 54 methicillin-sensitive S. aureus (MSSA) and 51 CoNS isolates from a single hospital to three biocidal agents (BAC, BZT, and CHDG) was determined. Biocide resistance genes (qacA/B, smr, qacG, qacH, qacJ, and norA) were analyzed by the polymerase chain reaction assay. Results All isolates had MICs for BAC and BZT from 0.25 to 8 µg/mL, and for CHDG from 0.5 to 64 µg/mL. qacA/B was the most common biocide resistance gene among all 165 Staphylococcus isolates (76; 46%), which comprised 38 (63.3%) MRSA, 14 (25.9%) MSSA, and 24 (47%) CoNS. Eleven (6.7%) and 24 (14.5%) isolates among the 165 Staphylococci carried smr and norA genes, respectively. In contrast, other resistance genes such as qacG, qacH, and qacJ were absent in all Staphylococci studied. The qacA/B and smr genes were detected concomitantly in 3% of isolates, and 23.6% strains of the total 165 Staphylococcus isolates were negative for each studied gene. Conclusions The carriage of several biocide resistance genes, including qacA/B, smr, and norA, alone or concurrently, is associated with reduced susceptibility. Use of antiseptics may select for antibiotic-resistant strains and assist their survival in the healthcare environment. PMID:27974958

  18. Estudo clínico de 35 pacientes com diagnóstico de erisipela internados no Hospital Central da Irmandade da Santa Casa de Misericórdia de São Paulo Erysipelas: a clinical study of 35 pacients hospitalized at the São Paulo Central Hospital of Irmandade da Santa Casa de Misericórdia

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    Renata Mie Oyama Okajima

    2004-05-01

    Full Text Available FUNDAMENTOS: Erisipela e celulite são infecções cutâneas freqüentes. OBJETIVOS: Com o objetivo de avaliar incidência, fatores de risco, principais complicações, esquemas terapêuticos utilizados e evolução. MÉTODOS: Foram estudados 35 pacientes com diagnóstico de erisipela internados nas enfermarias do Hospital Central da Irmandade da Santa Casa de Misericórdia de São Paulo no período de abril a agosto de 2002. RESULTADOS: A incidência de pacientes com diagnóstico de erisipela no período estudado foi de 0,87%. O fator de risco local mais encontrado foi o linfedema, seguido por episódios prévios de erisipela. Dos fatores de risco gerais, aqueles que comprometem a imunidade, como diabetes mellitus, etilismo e neoplasias, foram os mais observados em associação ao quadro de infecção dermatológica. Sinais inflamatórios locais foram encontrados em 97,8% dos casos. Verificaram-se quatro casos com complicações: necrose, abscesso, trombose venosa profunda e septicemia. A evolução dos pacientes foi satisfatória em mais de 97% dos casos. CONCLUSÕES: O tratamento com penicilina cristalina foi associado ao menor número de complicações (pBACKGROUND: Erysipelas and cellulitis are common skin infections. OBJECTIVES: The aim of this paper is to investigate the frequency, risk factors, clinical features, complications, principal drugs used for treatment and the disease course. METHODS: The authors studied 35 ward patients who had been diagnosed with erysipelas, and were admitted to the Central Hospital of Irmandade da Santa Casa de Misericórdia de São Paulo between April and August 2002. RESULTS: Among the patients in the ward during the study 0.87% had been diagnosed with erysipelas. The most common local risk factor was lymphedema, followed by previous episodes of erysipelas. Among the general risk factors, diabetes mellitus, alcohol abuse and cancer were most frequently observed. Local inflammatory signs were found in 97

  19. Evaluación de las causas de los eventos adversos o incidentes que afectan la seguridad del paciente, en el hospital central de la policía de enero 2012 a diciembre 2013

    OpenAIRE

    Alarcon Ruiz, Diego Jesus; Gil Vargas, Luis Fabio

    2016-01-01

    TITULO DEL TRABAJO: Evaluación de las causas de los eventos adversos o incidentes que afectan la seguridad del paciente, en el hospital central de la policía de enero 2012 a diciembre 2013. OBJETIVO: Determinar y analizar la causa raíz de los principales factores de riesgo que afectan la seguridad del paciente que puedan ocasionar eventos adversos en la atención de los pacientes, con el uso de la teoría de restricciones TOC en el Hospital Central de la Policía HOCEN. MATERIALES Y METODO: Se r...

  20. CONFIGURATION OF VO(OR)2Cl-Al(i-Bu)3 CATALYST SYSTEM AND CHARGE DISTRIBUTION OF VANADIUM CENTRAL ION

    Institute of Scientific and Technical Information of China (English)

    JIAO Shuke; LU Chongxian; JIANG Jian

    1987-01-01

    According to the calculation of quantum chemistry it could be deduced that configurations of the catalysts VO(OR)2Cl-Al (i-Bu)3, for the alternating copolymerization of butadiene with propene, the highest reactive configuration was A. When the catalyst complex forms the configuration A, the energy of the system was the lowest; the central vanadium atom had relatively high positive charge and whose frontier orbital overlapped easily with the frontier orbital of butadiene to form coordination complex, so it was concluded from the experimental results and calculations that the configuration of the catalyst of relatively high activity was A.

  1. A retrospective study of central nervous system shunt infections diagnosed in a university hospital during a 4-year period

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    Coskun Erdal

    2006-03-01

    Full Text Available Abstract Background Ventriculoperitoneal (VP shunts are used for intracranial pressure management and temporary cerebrospinal fluid (CSF drainage. Infection of the central nervous system (CNS is a major cause of morbidity and mortality in patients with CSF shunts. The aim of the present study was to evaluate the clinical features, pathogens, and outcomes of 22 patients with CSF shunt infections collected over 4 years. Methods The patients with shunt insertions were evaluated using; age, sex, etiology of hydrocephalus, shunt infection numbers, biochemical and microbiological parameters, prognosis, clinical infection features and clinical outcome. Results The most common causes of the etiology of hydrocephalus in shunt infected patients were congenital hydrocephalus-myelomeningocele (32% and meningitis (23%. The commonest causative microorganism identified was Staphylococcus (S. aureus, followed by Acinetobacter spp., and S. epidermidis. Conclusion In a case of a shunt infection the timely usage of appropriate antibiotics, according to the antimicrobial susceptibility testing, and the removal of the shunt apparatus is essential for successful treatment.

  2. Notes from the field: hospitalizations for respiratory disease among unaccompanied children from Central America - multiple States, June-July 2014.

    Science.gov (United States)

    Nyangoma, Edith N; Arriola, Carmen Sofia; Hagan, Jose; Socias, Christina; Tomczyk, Sara; Watkins, Louise Francois; Westercamp, Matthew; Kim, Curi

    2014-08-15

    During October 2013-June 2014, approximately 54,000 unaccompanied children, mostly from the Central American countries of El Salvador, Guatemala, and Honduras, were identified attempting entry into the United States from Mexico, exceeding numbers reported in previous years. Once identified in the United States, U.S. Customs and Border Protection, an agency of the U.S. Department of Homeland Security, processes the unaccompanied children and transfers them to the Office of Refugee Resettlement (ORR), an office of the Administration for Children and Families, U.S. Department of Health and Human Services. ORR cares for the children in shelters until they can be released to a sponsor, typically a parent or relative, who can care for the child while their immigration case is processed. In June 2014, in response to the increased number of unaccompanied children, U.S. Customs and Border Protection expanded operations to accommodate children at a processing center in Nogales, Arizona. ORR, together with the U.S. Department of Defense, opened additional large temporary shelters for the children at Lackland Air Force Base, Texas; U.S. Army Garrison Ft. Sill, Oklahoma; and Naval Base Ventura County, California.

  3. Comparability of Point-of-Care versus Central Laboratory Hemoglobin Determination in Emergency Patients at a Supra-Maximal Care Hospital

    Science.gov (United States)

    Dolscheid-Pommerich, Ramona C.; Dolscheid, Sarah; Grigutsch, Daniel; Stoffel-Wagner, Birgit; Graeff, Ingo

    2016-01-01

    Fulfilling the requirements of point-of-care testing (POCT) training regarding proper execution of measurements and compliance with internal and external quality control specifications is a great challenge. Our aim was to compare the values of the highly critical parameter hemoglobin (Hb) determined with POCT devices and central laboratory analyzer in the highly vulnerable setting of an emergency department in a supra maximal care hospital to assess the quality of POCT performance. In 2548 patients, Hb measurements using POCT devices (POCT-Hb) were compared with Hb measurements performed at the central laboratory (Hb-ZL). Additionally, sub collectives (WHO anemia classification, patients with Hb 85y.) were analyzed. Overall, the correlation between POCT-Hb and Hb-ZL was highly significant (r = 0.96, p2.5g/dl occurred. McNemar´s test revealed significant differences regarding anemia diagnosis according to WHO definition for male, female and total patients (♂ p<0.001; ♀ p<0.001, total p<0.001). Hb-ZL resulted significantly more often in anemia diagnosis. In samples with Hb<8g/dl, McNemar´s test yielded no significant difference (p = 0.169). In suprageriatric patients, McNemar´s test revealed significant differences regarding anemia diagnosis according to WHO definition in male, female and total patients (♂ p<0.01; ♀ p = 0.002, total p<0.001). The difference between Hb-ZL and POCT-Hb with Hb<8g/dl was not statistically significant (<8g/dl, p = 1.000). Overall, we found a highly significant correlation between the analyzed hemoglobin concentration measurement methods, i.e. POCT devices and at the central laboratory. The results confirm the successful implementation of the presented POCT concept. Nevertheless some limitations could be identified in anemic patients stressing the importance of carefully examining clinically implausible results. PMID:27880783

  4. Molecular Phylogenetic Diversity of Dermatologic and Other Human Pathogenic Fusarial Isolates from Hospitals in Northern and Central Italy▿

    Science.gov (United States)

    Migheli, Quirico; Balmas, Virgilio; Harak, Henry; Sanna, Silvana; Scherm, Barbara; Aoki, Takayuki; O'Donnell, Kerry

    2010-01-01

    Fifty-eight fusaria isolated from 50 Italian patients between 2004 and 2007 were subject to multilocus DNA sequence typing to characterize the spectrum of species and circulating sequence types (STs) associated with dermatological infections, especially onychomycoses and paronychia, and other fusarioses in northern and central Italy. Sequence typing revealed that the isolates were nearly evenly divided among the Fusarium solani species complex (FSSC; n = 18), the F. oxysporum species complex (FOSC; n = 20), and the Gibberella (Fusarium) fujikuroi species complex (GFSC; n = 20). The three-locus typing scheme used for members of the FSSC identified 18 novel STs distributed among six phylogenetically distinct species, yielding an index of discrimination of 1.0. Phylogenetic analysis of the FOSC two-locus data set identified nine STs, including four which were novel, and nine isolates of ST 33, the previously described widespread clonal lineage. With the inclusion of eight epidemiologically unrelated ST 33 isolates, the FOSC typing scheme scored a discrimination index of 0.787. The two-locus GFSC typing scheme, which was primarily designed to identify species, received the lowest discrimination index, with a score of 0.492. The GFSC scheme, however, was used to successfully identify 17 isolates as F. verticillioides, 2 as F. sacchari, and 1 as F. guttiforme. This is the first report that F. guttiforme causes a human mycotic infection, which was supported by detailed morphological analysis. In addition, the results of a pathogenicity experiment revealed that the human isolate of F. guttiforme was able to induce fusariosis of pineapple, heretofore its only known host. PMID:20107100

  5. Capacitación sobre lactancia materna al personal de enfermería del Hospital General de México

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    Hernández-Garduño Adolfo Gabriel

    2000-01-01

    Full Text Available OBJETIVO: Evaluar el cambio de conocimientos acerca de la lactancia entre el personal de enfermería del Hospital General de México que asistió a un curso teórico-práctico sobre lactancia materna de 18 horas de duración. MATERIAL Y MÉTODOS: Se realizó una intervención educativa sobre lactancia materna, con evaluación inicial y final, en el Hospital General de México, de mayo de 1996 a mayo de 1997. Se capacitó a 152 enfermeras. Se aplicó la prueba t de Student para muestras dependientes y análisis de varianza. RESULTADOS: De 152 participantes, 140 (92% respondieron ambas evaluaciones. Los resultados globales de la evaluación inicial y final fueron 5.39±1.37 y 7.74±0.79, respectivamente, y resultaron estadísticamente significativos (p<0.001. La significancia se mantuvo aun después de ajustar por el nivel de instrucción de los participantes. En la evaluación final se observó que a mayor nivel de escolaridad, mayores conocimientos sobre lactancia (p=0.004. CONCLUSIONES: Un curso de capacitación en lactancia de tipo teórico-práctico y de 18 horas de duración, dirigido al personal de enfermería, permite un cambio significativo en los conocimientos alcanzados.

  6. Drug dependence and psychotic symptoms: a retrospective study of adolescents who abuse drugs at Al-Amal Hospital in Jeddah, Saudi Arabia

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    Osama Alibrahim

    2012-03-01

    Full Text Available Drug abuse is reported to be on the increase among young persons using illicit substances but little is known about the frequency with which they occur, the symptoms on presentation to health institutions, and the different substances abused. To establish this, we reviewed patient data collected at Al-Amal Hospital in Jeddah Kingdom of Saudi Arabia on young persons who are refered to the hospital for problems related to drug abuse. Data on 69 adolescent drug users were reviewed and analyzed using the Composite International Diagnostic Interview - Substance Abuse Model (CIDI-SAM to assess dependence on substances including amphetamines, cannabis, cocaine, and opioids. Furthermore, we assessed the adolescents’ data on history of delusions and hallucinations in the context of use of, or withdrawal from, these specific substances. Our analysis shows that 10 to 79.6% of users of amphetamines, cannabis, cocaine, and opiates met DSM-III-R dependence criteria for each specific substance. The prevalence of psychotic symptoms associated with each specific substance ranged from users with no diagnosis to users with severe dependence as follows: amphetamines (3-100%, cannabis (7- 60.0%, cocaine (5-70.7%, and opiates (4- 88%. The risk of psychotic symptoms increased for respondents who abused (OR=7.2 or had mild (OR=8.1, moderate (OR=20.0, or severe dependence (OR=14.0 on cocaine when compared to those who were users with no diagnosis. A similar pattern was evident in cannabis, opiate, and amphetamine users. In conclusion, most adolescent drug users in Saudi Arabia who are dependent on illicit substances experience psychotic symptoms in the context of use of, or withdrawal from, these substances. Psychotic symptoms increased with the severity of the disorders associated with use of all four substances. These findings underscore the importance of developing services to target this population; a population at risk of developing psychotic symptoms.

  7. Prevalencia de desnutrición del adulto mayor al ingreso hospitalario Prevalence of hyponutrition in the elderly at admission to the hospital

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    J. G. Gutiérrez Reyes

    2007-12-01

    Full Text Available Antecedentes: Los cambios demográficos en México están aumentando la proporción de adultos mayores de 60 años en riesgo de inseguridad alimentaria. La desnutrición en este grupo de edad es frecuente en la comunidad pero se exacerba durante las hospitalizaciones frecuentes, lo que aumenta la morbi-mortalidad y los costos en los servicios de salud. Objetivo: Describir la frecuencia de desnutrición al ingreso hospitalario de pacientes mayores de 60 años. Diseño: Observacional, transversal y descriptivo. Ubicación: Hospital de tercer nivel de referencia. Sujetos: 97 pacientes mayores de 60 años de edad ingresados consecutivamente a los sectores de hospitalización durante un periodo de seis meses del año 2006. Intervenciones: Al ingreso se realizó la valoración nutricional mediante la aplicación de la Mini Valoración Nutricional (MNA: Mini Nutritional Assessment y la Valoración Global Subjetiva más la recolección de datos de laboratorio rutinarios (albúmina sérica y linfocitos totales y del estado socioeconómico y educativo. Resultados: De 97 pacientes incluidos, 48% sólo completaron educación primaria y 66% tenían ingresos económicos medios. La Mini Valoración Nutricional clasificó a 69% de los pacientes con riesgo franco asociado a desnutrición (18% severa y 50% moderada lo que se correlacion o a la versión corta de este instrumento que identificó a 73% de los individuos en riesgo. La Valoración Global Subjetiva clasificó a 46% de pacientes con desnutrición moderada y 20% con desnutrición severa. El valor de Kappa entre ambos métodos fue del 42%. El Índice de Riesgo Nutricio promedio fue de 85,9 ± 11 puntos, con 80% de los pacientes con riesgo asociado a desnutrición moderada y severa, siendo la concordancia con la Mini Valoración Nutricional de sólo 11%. 70% de los pacientes tuvieron valores de albúmina menores de 3 g/dl. Según el método Chang 52% tuvieron desnutrición calórica, 29% proteica y 18

  8. Introducción al problema central de la geometría riemanniana en dimensión dos

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    Claudia Granados Pinzón

    2006-01-01

    Full Text Available En este trabajo introducimos el problema central de la geometría de Riemann en el caso bidimensional, y usamos la inversa de la proyección estereográfica y la métrica extraída (pullback en inglés para mostrar una métrica conforme a la usual en el plano euclidiano (R2 , δij y tal que la constante positiva K = 1 es su curvatura de Gauss.

  9. Microbiological analysis of the central venous catheter tips from hospitalized patients at Hospital Universitário of Universidade Estadual de Londrina Análise microbiológica de pontas de cateteres venosos centrais provenientes de pacientes internados no Hospital Universitário da Universidade Estadual de Londrina

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    Jacinta Sanchez Pelayo

    2006-10-01

    Full Text Available Central Venous Catheters (CVC are used in intravenous therapy in order to facilitate diagnosis and treatment. They allow medicine administration, parenteral nutrition and also vascular access in hemodialysis. However, the use of these catheters offers risks of systemic and local infection, including endocarditis and bacteremia. The aim of this study was to isolate microorganisms from CVC utilizing the semiquantitative culture technique, and to identify them through conventional biochemical tests and an automated system. For the study, 198 CVC tips were evaluated and 105 (53% were considered positive, that is, showed microbial growth ³ 15 CFU. The microorganisms found were the following: 63.8% Grampositive bacteria, 30.5% Gram-negative bacteria, and 5.7% yeast. The most isolated were: coagulasenegative Staphylococci (35.2%, Staphylococcus aureus (25.7%, Klebsiella pneumoniae (8.5%, Pseudomonas aeruginosa (7.6%, Acinetobacter baumannii (7.6% and Candida albicans (4.7%. The increase of infection cases related to catheter has been observed worldwide reflecting the increase of invasive medical procedures used to treat patients. This work allowed the identification of the microorganisms most frequently isolated from CVC tips at a teaching hospital in the region of Londrina- PR. The identification of these microorganisms is extremely important in order to optimize the treatment of the infections and to establish methods of prevention. Cateteres venosos centrais (CVC são utilizados na terapia intravenosa com a finalidade de facilitar o diagnóstico e o tratamento do paciente, pois permitem a administração de medicamentos, nutrição parenteral, além de serem usados como acesso vascular para hemodiálise. Entretanto, o uso desses cateteres oferece riscos de infecção local e sistêmica, incluindo endocardite e bacteremia. O presente estudo teve por objetivo isolar microrganismos de CVC, utilizando a técnica de cultura semi-quantitativa, e

  10. Avaliação da mortalidade de neonatos e crianças relacionada ao uso do cateter venoso central: revisão sistemática Evaluación de la mortalidad de neonatos y niños relacionada al uso del cateter venoso central: revisión sistemática Evaluation of the mortality of neonates and children related to the use of central venous catheters: a systematic review

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    Janislei Giseli Dorociaki Stocco

    2012-01-01

    significativo para la mortalidad en neonatos y niños. CONCLUSIÓN: Se observó en esta revisión que la sepsis primaria fue la complicación más prevalente relacionada al cateter central.OBJECTIVE: To analyze mortality related to infections in the use of central venous catheters in newborns and hospitalized children. METHODS: This was a systematic review, using studies that were identified in the databases of MEDLINE, EMBASE, Lilacs, CINAHL, SciELO and Cochrane, in bibliographical references of articles, and other reviews. Two reviewers independently identified relevant studies, analyzed the methodological quality, and subsequently, extracted data. RESULTS: We encountered 1,000 articles, of which 16 were related to catheter infection and only two mentioned mortality. Findings of these two studies verified that sepsis was the principal complication related to the use of central venous catheters, and the most prevalent microorganisms in these infections were Candida sp. and Enterococcus sp., with significant impact on neonatal and child mortality. CONCLUSION: It was observed in this review that sepsis was most prevalent complication related to central catheters.

  11. Clinical evaluation of BIOXTRA in relieving signs and symptoms of dry mouth after head and neck radiotherapy of cancer patients at Seyed-al-Shohada Hospital, Isfahan, Iran

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    Abbas Gookizadeh

    2012-01-01

    Full Text Available Background: Radiotherapy of head and neck cancers causes acute and chronic xerostomia and acute mucositis. Xerostomia increases risk of radiation caries and affects on oral comfort, fit of prostheses, speech, swallowing, and the growth of caries-producing organisms. Salivary flow rate can be measured by asking patients some questions. There are different types of commercial synthetic saliva such as BIOXTRA, but until now, no one can effectively relieve xerostomia. We tried to design a clinical research on BIOXTRA efficacy for treating xerostomia. Materials and Methods: In this research, 58 patients with head and neck cancer (except salivary gland cancers treated in Seyed-al-Shohada Hospital. The patients received at least 40-50 GY; and after 2 months of compilation treatment, they were evaluated by asking about having xerostomia. Before and after treatment with the BIOXTRA, the PH of the oral cavity, candida albicans, and lactobacillus counts measured and documented in laboratory. We used BIOXTRA for 2 weeks, 3 times daily, and then re-evaluated patients with some questions. Results: The counts of candida albicans and lactobacilli statistically significant decreased. Conclusion: Xerostomia for most patients improved clinically during the day and night while PH of the oral cavity increased.

  12. Prevalence of antimicrobial resistance in bacteria isolated from central nervous system specimens as reported by U.S. hospital laboratories from 2000 to 2002

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    Karlowsky James A

    2004-03-01

    Full Text Available Abstract Background Bacterial infections of the central nervous system, especially acute infections such as bacterial meningitis require immediate, invariably empiric antibiotic therapy. The widespread emergence of resistance among bacterial species is a cause for concern. Current antibacterial susceptibility data among central nervous system (CNS pathogens is important to define current prevalence of resistance. Methods Antimicrobial susceptibility of pathogens isolated from CNS specimens was analyzed using The Surveillance Database (TSN® USA Database which gathers routine antibiotic susceptibility data from >300 US hospital laboratories. A total of 6029 organisms derived from CNS specimen sources during 2000–2002, were isolated and susceptibility tested. Results Staphylococcus aureus (23.7% and Streptococcus pneumoniae (11.0% were the most common gram-positive pathogens. Gram-negative species comprised approximately 25% of isolates. The modal patient age was 1 or S. aureus from cerebrospinal fluid (CSF and brain abscesses were 29.9–32.9%. Penicillin resistance rates were 16.6% for S. pneumoniae, 5.3% for viridans group streptococci, and 0% for S. agalactiae. For CSF isolates, ceftriaxone resistance was S. pneumoniae (3.5%, E. coli (0.6%, Klebsiella pneumoniae (2.8%, Serratia marcescens (5.6%, Enterobacter cloacae (25.0%, Haemophilus influenzae (0%. Listeria monocytogenes and N. meningitidis are not routinely susceptibility tested. Conclusions Resistance is commonly detected, albeit still at relatively low levels for key drugs classes such as third-generation cephalosporins. This data demonstrates the need to consider predominant resistance phenotypes when choosing empiric therapies to treat CNS infections.

  13. Reform Practice of Centralized Material Purchasing in Military Hospital%军队医院物资集中采购改革实践

    Institute of Scientific and Technical Information of China (English)

    卢敬飞; 宋风兵; 温亮

    2015-01-01

    深化采购制度改革,是贯彻落实军委、总部一系列决策部署的制度创新。军队医院物资采购金额大、品种多、时效强,要重点加强采购决策层、管理层、操作层的组织领导,严格采购管理,规范采购实施,完善人员、信息、档案管理配套建设,推进采购制度改革实践。%Deepening the reform of the purchasing system is one institutional innovation to implement the strategic deployment of the Central Military Commission .The material purchasing of military hospital features enor-mous amount of money , multi-species and timely .Organization and leadership of the decision level , operation level and management level should be strengthened to enhance purchasing management and standardize procurement procedure .Also improving the supporting construction including personnel , information and file management was needed , so as to actively promote the reform of procurement system .

  14. Analysis of reasons for discarding blood and blood components in a blood bank of tertiary care hospital in central India: A prospective study

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    Alok Kumar

    2014-01-01

    Full Text Available Background: Many modern surgical procedures could not be carried out without the use of blood. There are no substitutes for human blood. Thus, proper utilization of blood is necessary with minimal wasting. Materials and Methods: A total of 10,582 donors donated blood during the study period of 19 months in blood bank of a tertiary care hospital, central India from 1 st of November 2009 to 31 st May 2011, which were screened. Results: A total of 346 whole blood bags were discarded. Out of these 346 blood bags, 257 (74.30% were discarded because of seropositivity for transfusion transmissible infectious diseases. A total of 542 blood components were discarded against 3702 blood components prepared during the study period. Among blood components discarded, most common units were platelets. The most common cause of discarding the blood components was expiry of date due to non-utilization (87.00%. Conclusion: A properly conducted donor interview, notification of permanently deferred donors will help in discarding less number of bags from collected units. Similarly, properly implemented blood transfusion policies will also help in discarding less number of blood bags due to expiry. These discarded bags, because they are unutilized are both financially as well as socially harmful to the blood bank.

  15. Hepatitis C as a risk factor for diabetes type 2: lack of evidence in a hospital in central-west Brazil

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    Luce Marina Freires Corrêa da Costa

    2008-02-01

    Full Text Available In order to assess the importance of HCV infection as a possible risk factor for type 2 diabetes mellitus, a case-control study was conducted, comparing the prevalence of HCV infection among diabetic and non-diabetic patients. Diabetic outpatients attending to a University Hospital in Central-West Brazil were evaluated between April and October 2005. A control group composed by patients from the same institution was matched by gender and age. Candidates to control group were included only if fasting glucose measures were under 100 mg/dL. Diabetics and controls had blood samples taken in order to test for antibodies against HCV (anti-HCV by enzyme-immunoassay. Polymerase chain reaction and immunoblot were performed to confirm the anti-HCV status. Each group included 206 participants. Despite of the groups were in general comparable. The diabetics had a greater body mass average and smaller family income. The prevalence of confirmed anti-HCV in the diabetic group was of 1.4%, which was similar to the controls (1%. Finding statistical difference may have been hampered by the low frequency of HCV infection in both groups. It was not possible to demonstrate a role of HCV as an etiologic factor in type 2 diabetes, since HCV infected patients represented a small portion of the overall diabetes cases. This finding does not allow to recommend regular screening for HCV infection in type 2 diabetics in this region.

  16. Valoración nutricional al ingreso hospitalario: iniciación al estudio entre distintas metodologías Nutritional assessment at the time of hospital-admission: study initiation smong different methodologies

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    L. Villamayor Blanco

    2006-04-01

    Full Text Available Antecedentes y Objetivos: Las altas cifras iniciales de prevalencia de desnutrición en los enfermos hospitalizados-cercanos al 40%- es un dato preocupante. Esto permite deducir que la identificación precoz de enfermos desnutridos o en riesgo de estarlo, mediante métodos de valoración nutricional eficaces puede constituir una herramienta fundamental de cara a la planificación nutricional. El objetivo del presente trabajo ha sido aplicar a un mismo grupo de pacientes distintos métodos de valoración nutricional (objetivos y subjetivos a su ingreso hospitalario, a fin de valorar el grado de efectividad para su aplicación en la clínica. Ámbito, Pacientes e Intervenciones: Se diseña un estudio prospectivo y aleatorio, en el cual se incluyen 50 pacientes ingresados en nuestro hospital entre el 1 de octubre y el 31 de diciembre del 2004, siendo desestimados 9 casos por fallos en las analíticas. En los tres primeros días de estancia hospitalaria se les realiza antropometría(peso, talla, circunferencia del brazo y medida del pliegue tricipital, bioquímica (hemograma, alb��mina, prealbúmina,proteína ligada al retinol, transferrina y colesterol dos encuestas de valoración nutricional (Valoración Subjetiva Global (VSG y Mini Nutricional Assessment (MNA. Resultados: Se ha aplicado el test de χ² para comparar los resultados obtenidos de los diferentes métodos objetivos, por separado y en conjunto, con métodos MNA y VSG, estableciéndose las siguientes comparaciones:Antropometría/MNA, Bioquímica/MNA, Inmunología/ MNA, Chang/MNA, Antropometría/VSG, Bioquímica/VSG, Inmunología/VSG, Chang/VSG y MNA/VSG.La significación estadística se ha considerado para un valor de p Background and objectives: The elevated prevalence figures of hyponutrition in hospitalized patients -near 40%- is an issue of concern. This allows deducing that early identification of malnourished, or at risk for hyponutrition, patients by means of effective

  17. Tululite, Ca14(Fe3+,Al)(Al,Zn,Fe3+,Si,P,Mn,Mg)15O36: a new Ca zincate-aluminate from combustion metamorphic marbles, central Jordan

    Science.gov (United States)

    Khoury, Hani N.; Sokol, Ella V.; Kokh, Svetlana N.; Seryotkin, Yurii V.; Nigmatulina, Elena N.; Goryainov, Sergei V.; Belogub, Elena V.; Clark, Ian D.

    2016-02-01

    Tululite (Ca14(Fe3+,Al)(Al,Zn,Fe3+,Si,P,Mn,Mg)15O36 (the hypothetical end-member formula Ca14{Fe3+O6}[SiO4][Zn5Al9]O26) (IMA2014-065) is a new natural Ca zincate-aluminate, identified in medium-temperature (800-850 °C) combustion metamorphic (CM) spurrite-fluorellestadite marbles from central Jordan. The type locality (Tulul Al Hammam area) is situated in the northern part of the Siwaqa complex, the largest area of the "Mottled Zone" Formation in the Dead Sea region. The marbles originated from bitumen-rich chalky marine sediments of the Maastrichtian-Paleogene Muwaqqar Chalk Marl Formation, which have low clay content (and, consequently, low Al) and high Zn, Cd, and U enrichments. The bulk CM rocks derived from the low-Al protolith have unusually high (Zn + Cd)/Al ratios ( 0.2) and, as a result, a mineralogy with negligibly small percentages of Ca aluminates having low Ca:Al molar ratios (minerals of mayenite supergroup, Ca:Al = 6:7) common to most of calcareous CM rocks in the Mottled Zone. Instead, the mineral assemblage of the Zn-rich marbles contains tululite, with high Ca:Al = 2.55 molar ratios and Zn substituting for a large portion of Al (Zn:Al = 1.1). Tululite occurs in thin clusters as irregular grains with indented outlines (20-100 μm in size), having typical open-work textures associated with rock-forming calcite, fluorellestadite, spurrite, and accessory Zn-rich periclase, lime-monteponite solid solutions, calcium uranates, and zincite. Marbles also bear brownmillerite, dorrite, fluormayenite, high-fluorine Ca aluminate, and lakargiite. Secondary phases are brucite, gel-like calcium silicate hydrates and calcium silicate aluminate hydrates, including Zn- and U-bearing and Cd-rich compounds, Si-bearing hydrated compounds after calcium uranates, and basic Cd chlorides. The empirical formula of the holotype tululite (a mean of 32 analyses) is (Ca13.29Cd0.75)Σ14.04(Al5.46Zn5.20Fe3+ 2.23Si0.95Mn3+ 1.01Mg0.78P0.41)Σ16.04O36. Tululite is cubic, space

  18. Paleoecology of Benthic Foraminifera in Coral Reefs Recorded in the Jurassic Tuwaiq Mountain Formation of the Khashm Al-Qaddiyah Area, Central Saudi Arabia

    Institute of Scientific and Technical Information of China (English)

    Mohamed Youssef; Abdelbaset S El-Sorogy

    2015-01-01

    Thirty three benthic foraminiferal species belong to 23 genera and 16 families have been recorded from the coral reefs of the Callovian Tuwaiq Formation, Khashm Al-Qaddiyah area, Central Saudi Arabia. Three species:Astacolus qaddiyahensis, Nodosaria riyadhensis, Siderolites jurassica are believed to be new. Nearly all identified foraminifera are of Atlantic-Miditeranean affinity. The fo-raminiferal assemblage recorded in the present work is mixed of open marine, moderately deep ma-rine conditions associations and shallow to deep lagoon. The reefal part of upper Twiaq Formation may have been deposited in shallow water of lower to middle shelf depth (20–50 m) as indicated by abundant corals and benthic foraminifera. The coral fauna and bearing benthic foraminifera indi-cated moderate water energy.

  19. Central nervous system tuberculosis in children: review of 35 cases at the Hospital Universitario San Vicente de Paúl in Medellín, Colombia.1997-2004. Meningoencefalitis tuberculosa en niños: Revisión de 35 casos en el Hospital Universitario San Vicente de Paúl en Medellín, Colombia. 1997-2004

    Directory of Open Access Journals (Sweden)

    José William Cornejo Ochoa

    2005-04-01

    Full Text Available Objetive. To document the clinical and diagnostic features and to explore factors associated with central nervous system tuberculosis at the “Hospital San Vicente de Paúl (HUSVP” in Medellín-Colombia. Patients and methods. Review of the patient’s records to obtain information on demographic data, medical history, clinical manifestations, laboratory results, treatment and complications of 35 children with central nervous system tuberculosis admitted to the hospital between July 1997 and July 2004. Results. Of the 35 patients, 20 were males and 15 females. Mean age was 3.7 years. Thirty (85.7% patients were in stage III of the disease and 5 (14.3% in stage II. A symptomatic respiratory close contact was documented in 19 cases (54.3%. Malnutrition was present in 18 patients (51.4%. Fever was present in 88.6%, vomiting in 62.9%, consciousness alteration in 80%, and seizures in 51.4%. Mean duration of symptoms was 10 days. Physical examination revealed meningeal signs in 77%, movement disorders in 31.4%, stupor or coma in 82.9%, hemiparesis in 60% and fundoscopic abnormalities in 31.4%. Objetivo: documentar los rasgos clínicos y diagnósticos y explorar los factores asociados con la muerte de niños con meningoencefalitis tuberculosa (MT en el Hospital Universitario San Vicente de Paúl, Medellín, Colombia. Método: revisión de las historias clínicas para obtener los datos demográficos, clínicos, de laboratorio, de tratamiento y de las complicaciones de 35 niños con tuberculosis del sistema nervioso central, entre julio de 1997 y julio de 2004. Resultados: veinte de los 35 pacientes eran niños y 15 niñas. La edad promedio era 3.7 años; 30 (85.7% estaban en el estadio III de la enfermedad y 5 (14.3%, en el estadio II. Se documentó un contacto sintomático respiratorio en 19 casos (54.3%. Diez y ocho pacientes (51.4% estaban desnutridos. Hubo fiebre en 88.6%, vómito en 62.9%, alteración de la conciencia en 80% y convulsiones en 51

  20. Aucas en la ciudad de Santiago. La rebelión mapuche de 1723 y el miedo al «otro» en Chile central

    Directory of Open Access Journals (Sweden)

    Contreras Cruces, Hugo

    2013-06-01

    Full Text Available Within the context of the so-called indigenous rebellion in 1723, this article reconstructs the actions carried out to suppress an alleged rebel attack on the city of Santiago in October of that year, an attack which never occurred, but nevertheless brought to jail over one hundred Indians, inhabitants of the nearby city areas, and most of whom were immigrants who had come from the border of the river Biobio or from within the Araucania. This process is studied from the perspective of fear of the «other» who was in this case an indigenous migrant carrying language, customs and religion all of which were mostly incomprehensible to the hispanocriollos of central Chile, thereby making them immediately to appear suspicious and be referred to as «Auca», or rebel.En el contexto de la llamada rebelión general indígena de 1723, este artículo reconstituye las acciones llevadas a cabo para reprimir un supuesto ataque rebelde a la ciudad de Santiago en octubre de dicho año, el cual nunca llegó a realizarse, pero que llevó a la cárcel a más de una centena de indios que habitaban en las cercanías de la ciudad, la mayoría de los cuales eran inmigrantes venidos de la frontera del río Biobío o desde el interior de la Araucanía. Dicho proceso se estudia desde la perspectiva del miedo al «otro», en este caso al indígena migrante, portador de un idioma, costumbres y una religiosidad mayormente incomprensibles para los hispanocriollos de Chile central, lo que los convertía inmediatamente en sospechosos y se les calificaba como «aucas» o rebeldes.

  1. Types of Bacteria associated with Neonatal Sepsis in Al-Thawra University Hospital, Sana’a, Yemen, and their Antimicrobial Profile

    Directory of Open Access Journals (Sweden)

    Hassan A Al-Shamahy

    2012-02-01

    Full Text Available Objectives: This study was undertaken to investigate the organisms causing sepsis in the Neonatal Unit at Al-Thawra Hospital, Sana’a, Yemen, determine their resistance to antibiotics, and recommend policy for empirical treatment. Methods: A total of 158 neonates having one or more signs of sepsis, and aged from 0 to 28 days, were enrolled in this study. A blood sample was taken from each subject, cultured, and then antibacterial susceptibility tests were performed for isolates. Results: 90 (57% cases yielded positive cultures. Early-onset sepsis showed higher positive culture results (61.7% than late-onset sepsis (32%. Significant positive culture results were found among the group with birth weight 0.9–2 Kg (78.6%. Gram negative bacteria constituted 97.8% of the total isolates, of which Klebsiella pneumoniae was the predominant pathogen (36.7%, followed by Pseudomonas species (30.0%. The commonest symptoms among the cases were respiratory distress (72.2%, jaundice (62.2%, cyanosis (51.1%, and lethargy (47.8%; the mortality rate was 27.8%. All Gram negative bacterial isolates were sensitive to imipenem and some isolates were sensitive to fourth-generation cephalosporins, but most isolates were highly resistant to the majority of other antibiotics tested. Conclusion: Gram negative organisms were the most frequent causative agents of bacterial sepsis, which is a significant cause of mortality and morbidity in the newborn, and particularly in those of very low birth weight. It can also be concluded that imipenem and fourth-generation cephalosporins can be used for empirical treatment of bacterial sepsis.

  2. Propuesta para la recuperación de los machetes Zuazaga de los centrales azucareros con electrodos de acero al cromo.

    Directory of Open Access Journals (Sweden)

    R. Collazo Carceller

    2009-09-01

    Full Text Available El trabajo resume el estudio y análisis desarrollado, para la presentación de una propuesta tecnológica de recuperación de los machetes Zuazaga, en nuestros centrales azucareros. Se determinó la influencia de los parámetros, energía introducida (Hi, número de capas (Nc y ancho del depósito (Ad, en la morfología y el incremento de la resistencia al desgaste abrasivo, utilizando el electrodo de acero al cromo DUR 600. Se realizó una valoración económica de la propuesta tecnológicaThis work, sumarises the study and the analisys developed, to prupose the Zuazaga cut cane thecnology recuperation, in aur sugar mills. The parameters influency was determinated, Heat input (Hi, Number of layers (Nc and the Cord whith (Ad, in the mofology and the abrasive wear resistance increase, using the cromiun steel UTP DUR - 600. The economical calculation of the thecnology was done.

  3. Infecciones del torrente sanguíneo asociadas al catéter venoso central en el servicio de cuidado intensivo neonatal

    Directory of Open Access Journals (Sweden)

    Marlen Villegas Sánchez

    2012-10-01

    Full Text Available Las bacteremias asociadas a los abcesos vasculares son una complicación grave y frecuente dentro de las infeccionesvinculadas con dispositivos vasculares. Están relacionadas con el tiempo de la cateterización y la atención recibida duranteel proceso instrumental. La mayoría de los microorganismos implicados proceden de la piel. El grupo más afectado es el delos recién nacidos; además de otros factores como el bajo peso, la edad gestacional y la inmadurez del sistema inmunológicoque los vuelve más susceptibles a adquirir enfermedades. En el servicio de Neonatología del Hospital Nacional de Niños,durante el primer semestre del 2011, un 80% de las infecciones se diagnosticaron como septicemias y, de estas, más del 50%se asoció con el uso de Catéter Venoso Central. Se formuló una pregunta en formato PICO (pacientes, intervención,comparación, observación, posteriormente se realizó una búsqueda de información en las diferentes bases de datossugeridas en el Curso de Práctica Clínica de Enfermería Basada en la Evidencia, impartido por CIEBE-CR. Se obtuvo 20artículos relacionados con el tema, 6 de los cuales fueron analizados mediante la aplicación de los criterios que estableceCASPe para contestar a la pregunta clínica. Se concluye que la aplicación de los “bundles” reduce las infecciones asociadasal catéter venoso central; además, el seguimiento diario de los dispositivos permite controlar y por lo tanto aplicar medidasde prevención en el momento oportuno.

  4. Clinico-radiological profile and outcome of dengue patients with central nervous system manifestations: A case series in an Eastern India tertiary care hospital

    Directory of Open Access Journals (Sweden)

    Souren Pal

    2016-01-01

    Full Text Available Background and Objective: Dengue, an acute viral disease, transmitted by Aedes mosquitoes, has a variable clinical spectrum ranging from asymptomatic infection to life-threatening dengue hemorrhagic fever and dengue shock syndrome. However, neurological complications, in general, are unusual but have been observed more frequently in the recent past, and some studies highlighted varied neurological complications during the course of illness. Although dengue is classically considered a nonneurotropic virus, there is increasing evidence for dengue viral neurotropism. In this study, we have evaluated clinico-radiological profile and outcome of nine serologically confirmed dengue patients having varied manifestations of central nervous system (CNS involvement. Materials and Methods: All the consecutive patients presented with neurological complications with positive serology for dengue infection (IgM positivity in Department of Medicine, in a tertiary care hospital in Eastern India from August 2013 to October 2014 were included in the study. These patients were subjected to a detailed clinical evaluation, laboratory assessment including complete hemogram, coagulation profile, liver function test, serum electrolytes, and routine CSF (Cerebrospinal Fluid study with the exclusion of other common neuroinvasive pathogens. Results: Out of 9 patients with neurological complications associated with confirmed dengue infection, 2 (22% patients had dengue encephalopathy, 5 (56% patients have dengue encephalitis, 1 (11% patient had dengue meningitis, and 1 (11% patient had postdengue immune-mediated CNS involvement. Conclusion: This case series reaffirms the occurrence of varied CNS manifestations in dengue virus infection and underlines the importance of inclusion of dengue in the differential diagnosis of acute encephalitis syndrome.

  5. Reply to Comment by Xu et al. on "Sr-Nd isotope composition and clay mineral assemblages in eolian dust from the central Philippine Sea over the last 600 kyr: Implications for the transport mechanism of Asian dust" by Seo et al.

    Science.gov (United States)

    Seo, Inah; Lee, Yong Il; Yoo, Chan Min; Kim, Hyung Jeek; Hyeong, Kiseong

    2016-12-01

    Against Xu et al. (2016), who argued that East Asian Desert (EAD) dust that traveled on East Asian Winter Monsoon winds dominates over Central Asian Desert (CAD) dust in the Philippine Sea with presentation of additional data, we reconfirm Seo et al.'s (2014) conclusion that CAD dust carried on the Prevailing Westerlies and Trade Winds dominates over EAD dust in overall dust budget of the central Philippine Sea. The relative contribution of dust from EADs and CADs using clay mineral composition should be evaluated with elimination of mineralogical contribution from the volcanic end-member which is enriched in kaolinite and overestimate the contribution of EAD dust.

  6. Hospital Presbiteriano Valley

    Directory of Open Access Journals (Sweden)

    Luckman, Charles

    1964-12-01

    Full Text Available This hospital is built on the circular system. This arrangement has economic and functional advantages. The nurses walk 40 % less distance than in a hospital of similar size, of conventional layout. The rooms are situated along the external perimeter and the beds are orientated towards the corridor, rather than towards the window. However, the patients can see out of doors by turning on their side. The hospital is most carefully fitted out, and is very comfortable. There is air conditioning, and patients can control their own TV sets. There are also curtains separating each bed form the rest, thus providing maximum independence. Warm colours have been adopted in the decoration of rooms facing north, whilst those facing south are painted in cooler tones. The circular design arrangement makes the distribution far more flexible, and it will be easier to include further units later on; by adding small adjustments to the central building. To reduce external noise, and to improve the surrounding landscape, small sand hills have been provided in the garden, and the parking site also serves to partially absorb the noise.Presenta esta solución de unidades circulares numerosas ventajas de tipo económico, ahorra espacio y da eficiencia a la circulación— las enfermeras recorren un 40 por 100 menos de camino que en otro hospital de dimensiones similares—. Las habitaciones están distribuidas a lo largo del perímetro exterior y tienen las camas orientadas hacia los corredores, en lugar de hacia las ventanas, pero de tal modo que los pacientes puedan contemplar el exterior al volverse sobre uno de sus costados. Están cuidadosamente diseñadas y dotadas de las máximas comodidades: aire acondicionado y aparatos de televisión controlados por el paciente; así como cortinas divisorias que le proporcionan el grado de aislamiento deseado.

  7. Hospitalized Patients and Fungal Infections

    Science.gov (United States)

    ... These types of infections are called healthcare-associated infections (HAIs). Hospital staff and healthcare providers do everything they can ... IV tube) can increase your risk for fungal infection. During your hospital stay you may need a central venous catheter, ...

  8. Accounting and management of aseptic materials at the central sterile supply department of hospital%医院消毒供应中心无菌物品的核算与管理

    Institute of Scientific and Technical Information of China (English)

    周彬; 王亚娟

    2015-01-01

    文章结合原国家卫生部2009年颁布的《消毒供应中心三项标准》和2012年颁布的《医院财务制度》和《医院会计制度》中的相关条款,探讨医院消毒供应中心无菌物品的核算与管理工作。%In the paper, the accounting and management of aseptic materials at the Center Sterile Supply Department of hospital is discussed in accordance with relevant provisions in the Three Standards for Central Sterile Supply Departments promulgated by the former Ministry of Health of China in 2009, as well as the Hospital Financial System and Hospital Accounting System issued in 2012.

  9. Specialized consultant in radiological safety to the Tula general hospital, PEMEX. VI. - December of 2001; Asesoria especializada en seguridad radiologica al hospital general Tula, PEMEX. VI.- Diciembre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F

    2002-01-15

    The Tula general hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  10. Specialized consultant in radiological safety to the Salamanca regional hospital, PEMEX. IV. - October of 2001; Asesoria especializada en seguridad radiologica al hospital regional Salamanca, PEMEX. IV.- Octubre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F

    2002-01-15

    The Salamanca regional hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  11. Specialized consultant in radiological safety to the Villahermosa regional hospital, PEMEX. IV. - November and December of 2002; Asesoria especializada en seguridad radiologica al Villahermosa hospital regional, PEMEX, IV.- Noviembre y Diciembre de 2002

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Hernandez C, J.E.; Rodriguez A, F.; Garcia A, J

    2003-02-15

    The Villahermosa regional hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  12. Specialized consultant in radiological safety to the Ciudad del Carmen general hospital, PEMEX. III.- September and October of 2002; Asesoria especializada en seguridad radiologica al hospital general Ciudad del Carmen, PEMEX. III.- Septiembre y Octubre de 2002

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Rodriguez A, F.; Garcia A, J

    2003-02-15

    The Ciudad del Carmen general hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  13. Specialized consultant in radiological safety to the Salamanca regional hospital, PEMEX. II. - August of 2001; Asesoria especializada en seguridad radiologica al hospital regional Salamanca, PEMEX. II.- Agosto de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F

    2002-01-15

    The Salamanca regional hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  14. Specialized consultant in radiological safety to the Tula general hospital, PEMEX. IV. - October of 2001; Asesoria especializada en seguridad radiologica al hospital general Tula, PEMEX. IV.- Octubre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F

    2002-01-15

    The Tula general hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  15. Specialized consultant in radiological safety to the Salamanca regional hospital, PEMEX. III. - September of 2001; Asesoria especializada en seguridad radiologica al hospital regional Salamanca, PEMEX. III.- Septiembre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F

    2002-01-15

    The Salamanca regional hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  16. Specialized consultant in radiological safety to the Salamanca regional hospital, PEMEX. VI. - December of 2001; Asesoria especializada en seguridad radiologica al hospital regional Salamanca, PEMEX. VI.- Diciembre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F

    2002-01-15

    The Salamanca regional hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  17. Specialized consultant in radiological safety to the Tula general hospital, PEMEX. V. - November of 2001; Asesoria especializada en seguridad radiologica al hospital general Tula, PEMEX. V.- Noviembre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F

    2002-01-15

    The Tula general hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  18. Specialized consultant in radiological safety to the Tula general hospital, PEMEX. I.- July of 2001; Asesoria especializada en seguridad radiologica al hospital general Tula, PEMEX. I.- Julio de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J

    2001-09-15

    The Tula general hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic. The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  19. Specialized consultant in radiological safety to the Salamanca regional hospital, PEMEX. V. - November of 2001; Asesoria especializada en seguridad radiologica al hospital regional Salamanca, PEMEX. V.- Noviembre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F

    2002-01-15

    The Salamanca regional hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  20. Specialized consultant in radiological safety to the Salamanca regional hospital, PEMEX. I. - July of 2001; Asesoria especializada en seguridad radiologica al hospital regional Salamanca, PEMEX. I.- Julio de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A

    2001-09-15

    The Salamanca regional hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  1. Specialized consultant in radiological safety to the Tula general hospital, PEMEX. II.- August of 2001; Asesoria especializada en seguridad radiologica al hospital general Tula, PEMEX. II.- Agosto de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Rodriguez A, F.; Garcia A, J

    2001-10-15

    The Tula general hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  2. Specialized consultant in radiological safety to the Tula general hospital, PEMEX. III.- September of 2001; Asesoria especializada en seguridad radiologica al hospital general Tula, PEMEX. III.- Septiembre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Rodriguez A, F.; Garcia A, J

    2001-12-15

    The Tula general hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  3. Specialized consultant in radiological safety to the Villahermosa regional hospital, PEMEX. III. - September and October of 2002; Asesoria especializada en seguridad radiologica al hospital regional Villahermosa, PEMEX, III.- Septiembre y Octubre de 2002

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Rodriguez A, F.; Garcia A, J

    2003-02-15

    The Villahermosa regional hospital, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiolpogic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  4. Aspergilosis cervical con diseminación al sistema nervioso central. Presentación de un caso y revisión de bibliografía

    Science.gov (United States)

    Vergara, Guillermo Enrique; Roura, Natalia; del Castillo, Marcelo; Mora, Andrea; Alcorta, Santiago Condomi; Mormandi, Rubén; Cervio, Andrés; Salvat, Jorge

    2015-01-01

    Introducción: la Aspergilosis Invasiva (AI) del Sistema Nervioso Central (SNC) es infrecuente y ocurre generalmente en pacientes inmunocomprometidos. Puede presentarse con cuadros de meningitis, aneurismas micóticos, infartos o abscesos. Es una infección con pronóstico reservado y puede afectar el SNC de forma primaria o secundaria a partir de un foco que se disemina por vía hematógena. Presentamos el caso de un paciente con AI con invasión primaria a nivel óseo y diseminación posterior al cerebro. Caso clínico: Paciente masculino de 25 años con diagnóstico de leucemia linfática aguda en tratamiento quimioterápico que presentó neumonitis por metotrexate por lo que inicia tratamiento con corticoides. Posteriormente agregó cervicalgia y con el diagnóstico de osteomielitis cervical se realiza punción bajo tomografía computada (TC) sin aislarse gérmenes. Se colocó Halo Vest e inició tratamiento antibiótico empírico. Posteriormente presentó afasia de expresión secundaria a lesión frontal izquierda. Se realizó evacuación de absceso cerebral aislando A. fumigatus. El tratamiento antibiótico específico posterior permitió una buena respuesta clínica y radiológica. Conclusión: La presencia de lesiones en el SNC de pacientes inmunocomprometidos debe incluir a las micosis como diagnóstico diferencial. La evacuación quirúrgica permite llegar rápidamente al diagnóstico mejorando la respuesta posterior al tratamiento antibiótico. Para evaluar la respuesta terapéutica y posibles recaídas se debe realizar un seguimiento periódico clínico radiológico. Palabras clave: Aspergilosis cerebral; Aspergilosis cervical; Aspergilosis invasiva; Voriconazol. PMID:26600985

  5. Audit of maternal mortality ratio and causes of maternal deaths in the largest maternity hospital in Cairo, Egypt (Kasr Al Aini) in 2008 and 2009: lessons learned.

    Science.gov (United States)

    Saleh, Wael F; Ragab, Wael S; Aboulgheit, Samah S

    2013-09-01

    This study examined maternal deaths at Cairo University Maternity Hospital between January 2008 and December 2009. The aim was to calculate Maternal Mortality Ratio (MMR) as well as identify the causes and predisposing factors to maternal deaths. Data were collected from the files of the hospitalized pregnant women in the hospital. There were 38 maternal deaths and MMR was 79 per 100,000 live births for the two years examined. The main causes of death were obstetric hemorrhage, hypertensive disorders of pregnancy and cardiac arrest. Substandard medical care and the delay in seeking of medical advice were two contributing factors to maternal deaths recorded. The need for audit and publication of all obstetric hospitals MMR to compare and identify areas of improvements is recommended.

  6. Tradução e adaptação para a língua portuguesa do In-hospital Utstein Style Traducción y adaptación al idioma portugués del instrumento In-hospital Utstein Style Translation and adaptation of the In-Hospital Utstein Style into the portuguese language

    Directory of Open Access Journals (Sweden)

    Patrícia do Amaral Avansi

    2008-09-01

    Full Text Available A parada cardiorrespiratória (PCR é um evento potencialmente letal e a qualidade do atendimento prestado depende da agilidade, conhecimento e habilidade de toda a equipe envolvida. Desenvolvido em 1997, o In-hospital Utstein Style é um relatório padrão para coleta de dados significativos em PCR. O estudo objetivou realizar a tradução e adaptação à língua portuguesa do instrumento. O instrumento foi submetido ao processo de tradução e adaptação cultural. O resultado deste processo gerou um instrumento aplicado em fase de pré-teste a 20 pacientes vítimas de PCR. As variáveis de resultado não foram coletadas, pois pressupõe o acompanhamento destes pacientes ao longo do tempo. O ritmo de PCR mais comum foi atividade elétrica sem pulso (65%; o tempo médio para desfibrilar foi de 1,25 minutos. Houve itens sem resposta. Podemos concluir que o instrumento é aplicável à realidade brasileira, buscando melhor atendimento ao evento da PCR.El paro cardiopulmonar (PCP es un estado potencialmente letal, donde la calidad del servicio depende de la agilidad, conocimiento y habilidad del equipo involucrado. El In-hospital Utstein Style fue elaborado en 1997. Este instrumento que recolecta datos de importancia durante un PCP fue traducido y adaptado al portugués. De esta forma fue sometido al proceso de traducción y adaptación cultural. Se obtuvo como resultado un instrumento, el cual fue aplicado a 20 victimas de PCP a través de un pre-test. Las variables de resultado no fueron consideradas en la recolección de datos, pues suponía el seguimiento de los pacientes por un periodo prolongado. El ritmo del PCP más común fue la actividad eléctrica sin pulso (65% y el tiempo promedio de desfibrilación fue de 1,25 minutos. Algunos ítems no fueron respondidos. Se concluye que el instrumento puede ser aplicado al contexto brasileño, en busca de una mejor atención en casos de PCP.Cardiopulmonary arrest (CPA is a potentially lethal event

  7. Acesso ao serviço de emergência pelos usuários com crise hipertensiva em um hospital de Fortaleza, CE, Brasil Aceso al servicio de urgencia por clientes con crisis de presión alta en un hospital de Fortaleza, CE, Brasil Access to the emergency service by clients with hipertensive crisis in a hospital in Fortaleza, CE, Brazil

    Directory of Open Access Journals (Sweden)

    Ana Célia Caetano de Souza

    2009-08-01

    Full Text Available A crise hipertensiva é uma elevação abrupta e sintomática da pressão arterial com risco de deterioração aguda de órgãos-alvo. Embora na literatura a prevalência do agravo seja de 1%, os riscos de complicações e de morte associadas ao problema de saúde nos serviços de emergência têm revelado a necessidade de aprofundar questões relacionadas ao acesso ao serviço de saúde. Trata-se de uma pesquisa de natureza quantitativa, descritiva, realizada em um hospital público do município de Fortaleza, no período de abril a julho de 2006, com 118 pacientes. Os resultados demonstram que a população com crise hipertensiva tem procurado os serviços de saúde, principalmente os de emergência, a fim de obter atendimento. O estudo indica o acesso como um elemento essencial para satisfação das necessidades dos usuários que procuram os serviços de saúde, sendo o tempo de espera, a resolubilidade e o acolhimento parâmetros importantes na qualidade do atendimento.La crisis hipertensiva es una elevación abrupta y sintomática de la presión arterial con riesgo de deterioro agudo de órganos-blanco. Aunque en las publicaciones la prevalencia del agravamiento sea de 1%, los riesgos de complicaciones y de muerte asociadas al problema de salud en los servicios de emergencia han revelado la necesidad de profundizar en las cuestiones relacionadas al acceso al servicio de salud. Se trata de una investigación de naturaleza cuantitativa, descriptiva, realizada en un hospital público del municipio de Fortaleza, en el periodo de abril a julio de 2006, con 118 pacientes. Los resultados demuestran que la población con crisis hipertensiva ha buscado los servicios de salud, principalmente los de emergencia, para obtener atención. El estudio indica el acceso como un elemento esencial para la satisfacción de las necesidades de los usuarios que buscan los servicios de salud, siendo el tiempo de espera, la resolutividad y la acogida, los par

  8. Expectativas de gerentes e assessores de enfermagem quanto ao estilo gerencial do diretor executivo de um hospital de ensino Expectativas de gerentes y asesores de enfermería referente al estilo gerencial del director eyecutivo de un hospital escuela The managerial style of an executive director of a university hospital: perceptions and expectations of nursing managers and assistants

    Directory of Open Access Journals (Sweden)

    Lúcia Marinilza Beccaria

    2000-04-01

    Full Text Available Este estudo focalizou as expectativas de 13 enfermeiros de um hospital de ensino, quanto ao estilo gerencial do diretor executivo. Utilizou-se o Grid Gerencial de BLAKE & MOUTON (1987, como referencial teórico e aplicou-se um questionário baseado no Instrumento Grid & Liderança em enfermagem, de TREVIZAN (1993. Os resultados evidenciaram que o estilo mais esperado corresponde, no Grid Gerencial, à "gerência em equipe", ou 9.9. O segundo estilo desejado foi a "gerência do homem organizacional, "ou 5.5. Concluiu-se que, para esses enfermeiros, existem expectativas significativas relacionadas à gerência que invista em valores como confiança, respeito, comprometimento, empenho pessoal e trabalho em equipe para o alcance dos objetivos organizacionais.Este estudio enfocó las expectativas de 13 enfermeros del hospital escuela, con relación al estilo directivo del director ejecutivo. El "grid" gerencial de BLAKE & MOUTON (1987, fue usado como referencial teórico y una encuesta se aplicó basada en el Instrumento Grid & Liderazgo en enfermería, de TREVIZAN (1993. Los resultados evidenciaron el estilo más esperado fue "la gerencia en equipo", o 9.9. EL segundo estilo fue la "gerencia organizacional del hombre," o 5.5. Se concluye que, para esos enfermeros existen expectativas significativas relacionadas con la dirección que invierte en valores como confianza, respeto, compromiso, empeño personal y trabajo en equipo para el alcance del objetivos organizacionales.The present study focussed the expectations of 13 nurses from a University hospital regarding to the executive director's managerial style. The Managerial Grid of BLAKE & MOUTON (1987 was used as a theoretical reference and a questionnaire was applied based on the Grid & Leadership in Nursing Instrument elaborated by TREVIZAN (1993. Results evidenced that the most expected style corresponds, considering the Managerial Grid, to "team management", or 9.9. The second style was the

  9. 荆州市中心医院新一代HIS系统建设分析%Construction about A New Generation of HIS in Jingzhou Central Hospital

    Institute of Scientific and Technical Information of China (English)

    巴江波; 董卫国; 汤绍迁

    2011-01-01

    目的 通过对医院信息系统及网络结构的分析,以及通过新一代HIS系统的建设,探索地市级医院建立数字化医院的模式与途径.方法 ①通过对医院现有硬软件系统情况的调查,实地或通过资料调研全国部分数字化示范医院,提出对本院数字化医院的模型和规划.通过对HIS系统组成和软件选择的分析.提出"长远规划,分步实施,不断完善"的医院实施数字化的原则.及各阶段的内容和目标;②通过对医院网络结构的整体分析规划,完善医院网络安全体系,建立医院完整合理的有线及无线综合网络系统.结论 新一代HIS系统的建设和完善医院网络体系提高了医院数字化应用水平,提高了工作效率和病人的满意度.%Objective Through the analysis of hospital information sistem and the network structure, and trough the construction of a new generation of HIS, to explore the mode and approach of digital hospital.Methods a. Through the situation investigation of hospital existing hard software system,we put forward mode and programme of digital hospital. Trough analysis of HIS structure and software, we put forward the principle and objectives of digital hospital.b.Through programme analysis of hospital network structure, we perfected the hospital network security system, and constructed a integral and reasonable network system.Conclusion The new generation of HIS system and the consummation hospital network system have raised the hospital digitization application level,and enhanced the working efficiency and patient's degree of satisfaction.

  10. The Use of the Peripherally Inserted Central Catheter (Picc in the Hospital Environment La utilización del catéter central de inserción periférica (CCIP en el ambiente hospitalario A utilização do cateter central de inserção periférica (CCIP no ambiente hospitalar

    Directory of Open Access Journals (Sweden)

    Graziella Gasparotto Baiocco

    2010-12-01

    Full Text Available The study aimed to analyze the history of the use of the peripherally inserted central catheters in adult patients admitted to hospital from 2000 to 2007. The historical cohort approach was used with retrospective data collection from medical records of the Catheter Group of the Moinhos de Vento Hospital Association in Porto Alegre, RS, totaling 229 catheters inserted. The growth curve in the use of the PICC was from 1 catheter inserted in 2000 to 57 in 2007. The most prevalent pathology was oncology (17.9%, n=41. In relation to the indications of use, antibiotic use prevailed (54.1%, n=124. In the radiological confirmation the vena cava was prevalent (68.1%, n=156. The use of the PICC in the hospital environment is expanding and nursing has a fundamental role in its insertion, maintenance and removal.El estudio objetivó analizar el histórico de la utilización del catéter central de inserción periférica en pacientes adultos e internados en ambiente hospitalario de 2000 a 2007. Tuvo abordaje de cohorte histórico con recolección de datos retrospectivo en fichas del Grupo de Catéteres de la Asociación Hospitalaria Molinos de Viento en Porto Alegre, RS, totalizando 229 catéteres inseridos. La curva de crecimiento en la utilización del CCIP fue de 1 catéter inserido en 2000 a 57 inseridos en 2007. La prevalencia inherente a la patología fue oncológica (17,9%, n=41. En relación a las indicaciones de uso prevaleció la terapia con antibióticos (54,1%, n=124. En la confirmación radiológica la vena cava fue prevalente (68,1%, n=156. La utilización del CCIP en el ambiente hospitalario está en expansión y la enfermería tiene un papel fundamental en la inserción, manutención y remoción.O estudo objetivou analisar o histórico da utilização do cateter central de inserção periférica em pacientes adultos e internados, em ambiente hospitalar, de 2000 a 2007. Teve abordagem de coorte histórica, com coleta de dados retrospectiva em

  11. Mortalidad en recién nacidos de extremo bajo peso al nacer en la unidad de neonatología del Hospital Nacional Cayetano Heredia entre enero 2000 y diciembre 2004.

    OpenAIRE

    LOHMANN GANDINI-BILLINGHURST, Pablo; RODRÍGUEZ ESPINOZA, Manuel; WEBB LINARES, Verónica; ROSPIGLIOSI LÓPEZ, Maria Luz

    2012-01-01

    Objetivos: Identificar los factores demográficos y clínicos más frecuentes en recién nacidos con peso menor a 1 000g al nacimiento (extremo bajo peso) fallecidos en la unidad de neonatología del Hospital Nacional Cayetano Heredia. Material y métodos: El estudio diseñado es una serie de casos. Se evaluaron las epicrisis y la base de datos NEOCOSUR de los pacientes con estas características, fallecidos durante la hospitalización, de enero 2000 a diciembre 2004. Resultados: Se encontraron 99 pac...

  12. Evaluación del manejo del dolor y factores asociados en usuarios adscritos al Policlínico del Dolor y Cuidados Paliativos del Hospital Herminda Martín de Chillán, Chile

    OpenAIRE

    Araneda Pagliotti, Gloria; Acuña Ortiz, Héctor; Gutiérrez Cádiz, Claudia; Troncoso Véjar, Marcelo; Zañartu Gaete, Fernanda

    2003-01-01

    Estudio descriptivo, cuyo propósito fue identificar el manejo y evaluación del Dolor, considerando algunos de sus factores asociados en usuarios adultos y adultos mayores adscritos al Policlínico Alivio del Dolor y Cuidados Paliativos del Hospital Herminda Martín de Chillán. La muestra la constituyeron 59 usuarios, de ambos sexos, de zona urbana y rural, de fácil acceso, que se encontraran en su domicilio, que fueran capaces de contestar las preguntas realizadas,...

  13. Portadores de bacterias multirresistentes de importancia clínica en áreas críticas (UCI-UCIN) de un hospital al norte del Perú

    OpenAIRE

    2016-01-01

    Objetivo: Determinar la frecuencia de portadores de bacterias multirresistentes (BMR) y su perfil de resistencia en áreas críticas (UCI-UCIN) de un hospital público al norte del Perú (HRL).Material y métodos: Se realizó un estudio observacional de corte transversal durante febrero - mayo 2015 en 48 pacientes y 32 personales de salud. Se consideraron 4 regiones anatómicas para el muestreo y emplearon medios suplementados con antibióticos para el aislamiento primario de BMR. El fenotipo de resi...

  14. Quality in hospitals environment; La qualita' nell'ambiente ospedaliero. Studio di prevalenza sull'abitudine al fumo di tabacco tra gli operatori di un ospedale cittadino

    Energy Technology Data Exchange (ETDEWEB)

    Callegaro, G.; Saia, M.; Mariotto, A. [Unita' Sanitaria Locale 16, Padua (Italy). Direzione sanitaria; Buttarello, M. [Ospedale Geriatrico, Padua (Italy). Laboratorio di Patologia Clinica

    2000-10-01

    The WHO (World Health Organization) indicated hospitals as privileged places for Health Promotion with the objective to create health services free of tobacco smoke and ULSS 16 Local Health Unit of Padua complied with HPH Regional Net and the study is collocated in this ambit. In the february of 1998 a questionary validated by other previous analyses conducted by the Veneto Regional Center for Health Education. 246 subjects complied with this study, about the half of the staff, and 30.5% of responders has smoked daily in the last six months, 29% were non-smokers and 30.5% ex-smokers. The results of this cognitive research indicate a hospital staff smoke habit comparable with other hospital experiences and the deepening of habits shall consent the future strategies of intervention. [Italian] Il fumo di tabacco rappresenta, tra i fattori di rischio per la salute potenzialmente eliminabili, il piu' importante in termini di mortalita' e morbosita', sia nei Paesi industrializzati che, ultimamente e in modo sempre piu' rilevante, nei Paesi in via di sviluppo. Circa il 30% di tutti i decessi per neoplasia sono causati dal fumo che rappresenta, inoltre, un' importante concausa di gravi affezioni non neoplastiche a carico dell'apparato respiratorio e cardiocircolatorio. L'Organizzazione Mondiale della Sanita' (OMS) stima che circa un terzo della popolazione adulta mondiale fumi (circa un miliardo e cento milioni di persone) e imputa al tabagismo 3 milioni e mezzo di decessi/anno, dei quali un milione nel Terzo Mondo. Una delle iniziative dell'Azienda ULSS 16 aderente al Progetto HPH (Health Promoting Hospitals) e si inserisce in una serie di strategie atte a ridurre i comportamenti a rischio a tutti i livelli. Lo studio e' stato condotto presso l'Ospedale Geriatrico di Padova. Hanno aderito all'iniziativa 246 soggetti pari al 44, 7% del totale dei dipendenti del nosocomio. Il 30.5% dei rispondenti al questionario

  15. FACTORES QUE INFLUYEN EN EL MANEJO DE LA DIABETES MELLITUS TIPO II EN PACIENTES BAJO CONTROL DEL CONSULTORIO ADOSADO AL HOSPITAL SAN JOSE DE MAIPO EN EL AÑO 2010

    OpenAIRE

    EPUL MACAYA, PAMELA NILDA

    2012-01-01

    El presente estudio, de tipo cualitativo y con enfoque fenomenológico, tuvo como objetivo identificar, a partir del relato de los pacientes, los factores que influyen en el manejo de la diabetes mellitus tipo 11 y su vivencia cotidiana relacionada con ésta, para lo cual se utilizó la entrevista semiestructurada como herramienta. Se entrevistó a 10 pacientes bajo control en el Programa de Salud Cardiovascular (PSCV) del consultorio adosado al Hospital San José de Maipo y se utilizó el cr...

  16. Adherencia al tratamiento farmacológico y no farmacológico en pacientes con factores de riesgo cardiovascular del Hospital Divino Niño de Buga Valle

    OpenAIRE

    Fontal Vargas, Paola Andrea

    2014-01-01

    El objetivo de esta investigación fue determinar el grado de adherencia al tratamiento farmacológico y no farmacológico en personas con factores de riesgo cardiovascular de la E.S.E Hospital Divino Niño Guadalajara de Buga Valle del Cauca, Colombia. Metodología: El estudio fue de tipo descriptivo cuantitativo, realizado con 335 pacientes inscritos en el programa de crónicos. Se aplicó la cuarta versión del instrumento diseñado por Bonilla y de Reales “Para evaluar los factores que influyen...

  17. ESTUDIO COMPARATIVO DEL EFECTO DE CRANEO-ACUPUNTURA VS ACUPUNTURA CORPORAL, EN PACIENTES CON SECUELAS DE ENFERMEDAD VASCULAR CEREBRAL EN EL HOSPITAL REGIONAL DEL INSTITUTO DE SEGURIDAD SOCIAL AL SERVICIO DE LOS TRABAJADORES DEL ESTADO DE PUEBLA

    OpenAIRE

    MENDEZ MENDEZ, NAZARIO CELSO

    2011-01-01

    ESTUDIO COMPARATIVO DEL EFECTO DE LA CRANEOACUPUNTURA VS ACUPUNTURA CORPORAL, EN PACIENTES CON SECUELAS DE ENFERMEDAD VASCULAR CEREBRAL EN EL HOSPITAL REGIONAL DEL INSTITUTO DE SEGURIDAD SOCIAL AL SERVICIO DE LOS TRABAJADORES DEL ESTADO DE PUEBLA. LAS SECUELAS DE EVC SON UN PROBLEMA DE SALUD PUBLICA, CON MAYOR FRECUENCIA DE LA ISQUEMIA 81.25 POR CIENTO POR CIENTO Y EN SEGUNDO LUGAR LA HEMORRÁGICA CON EL 18.75 POR CIENTO, EL SEXO FEMENINO ES LA MAS FRECUENTE Y LA EDAD MAS AFECTADA ES DE LO...

  18. Hospitals; hospitals13

    Data.gov (United States)

    University of Rhode Island Geospatial Extension Program — Hospital Facilities information was compiled from several various sources. Main source was the RI Department of Health Facilities Regulation database, License 2000....

  19. FacilitiesHospitals_HOSPITAL

    Data.gov (United States)

    Vermont Center for Geographic Information — This data layer contains point locations of all major community, regional, comprehensive health, and healthcare provider hospitals in the state of Vermont. The...

  20. Capacitación sobre lactancia materna al personal de enfermería del Hospital General de México

    OpenAIRE

    Hernández-Garduño Adolfo Gabriel; Rosa-Ruiz Leticia de la

    2000-01-01

    OBJETIVO: Evaluar el cambio de conocimientos acerca de la lactancia entre el personal de enfermería del Hospital General de México que asistió a un curso teórico-práctico sobre lactancia materna de 18 horas de duración. MATERIAL Y MÉTODOS: Se realizó una intervención educativa sobre lactancia materna, con evaluación inicial y final, en el Hospital General de México, de mayo de 1996 a mayo de 1997. Se capacitó a 152 enfermeras. Se aplicó la prueba t de Student para muestras dependientes y anál...

  1. Lazer, a vida além do trabalho para uma equipe de futebol entre trabalhadores de hospital El ocio, la vida más allá del trabajo para un equipo de fútbol entre trabajadores de hospital Leisure, life besides work for a soccer team of hospital workers

    Directory of Open Access Journals (Sweden)

    Rosângela Andrade Aukar de Camargo

    2003-08-01

    . Trabajan en locales cercanos dentro del hospital, favoreciendo contactos entre ellos para los juegos. Dan significado esencial al trabajo, garantizando la supervivencia personal y familiar. Valorizan las amistades y el fútbol, destacando esa actividad como medio propulsor de la promoción de salud, rescate de la autoestima, alegría, libertad, creatividad, espontaneidad, preparándole mejor para la vida personal y profesional.With a view to promoting workers' mental health, minimizing professional stress and fatigue, we investigate the meaning of work, leisure and their implications for 24 male workers at a São Paulo hospital school, who are part of a soccer team and attend the recreation association of this unit. We chose to realize Research-Action from a humanist, qualitative approach, analyzing discourse according to categories, to be of help in elaborating the educational project. Data were collected through interviews and participant observation, using photography as a support instrument. Most participants are married, have children, receive an average salary of R$ 650.00 and work near the unit, which favors contact for games. In their opinion, work guarantees personal and family survival, while leisure means fun, relaxing, integration and valorizing family and friends. They emphasize the importance of challenge in soccer as a means of promoting health, rescuing self-esteem, happiness, freedom, creativity, spontaneity, resulting in better preparation for personal and professional life.

  2. Calidad en la recogida de muestras microbiológicas en la Unidad de Urgencias de Pediatría del Hospital Universitario Central de Asturias

    OpenAIRE

    Gómez Morales, Carmen

    2013-01-01

    Estudio observacional, descriptivo y prospectivo desarrollado en dos fases: primera fase observacional y segunda fase de entrega de cuestionario al personal de enfermería de la Unidad de Urgencias de Pediatría del HUCA

  3. Central venous catheter-related blood stream infection rate in critical care units in a tertiary care, teaching hospital in Mumbai

    Directory of Open Access Journals (Sweden)

    K Chopdekar

    2011-01-01

    Full Text Available Blood stream infections related to central venous catheterization are one of the major device-associated infections reported. Patients admitted in critical care units requiring central venous catheterization and presenting with signs of septicemia during catheterization period were investigated for catheter-related blood stream infections (CRBSI. The CRBSI rate was 9.26 per 1000 catheter days in general with highest rate in neonatal intensive care unit (27.02/1000 days. Site of insertion of catheter and duration of catheterization did not show the influence on the CRBSI rate. Coagulase-negative Staphylococci were the predominant cause. Mortality of 33% was observed in patients with CRBSI. Since central venous catheters are increasingly being used in the critical care, regular surveillance for infection associated them are essential.

  4. L'ús dels mitjans de comunicació socials en la promoció de l'alimentació saludable als hospitals nord-americans

    OpenAIRE

    Pérez Plazas, Natalia

    2010-01-01

    En el present estudi s'ha analitzat, de quina manera els millors hospitals dels EEUU, fan servir els mitjans de comunicació social per promocionar un tipus de vida saludable, en concret, una dieta saludable. Els mitjans més utilitzats són la pàgina web, YouTube, Facebook, Twiter i els blogs, i l'ús que se'n fa d'aquests mitjans va des de la promoció de dietes saludables, fins a consells nutricionals en general o en casos de malalties o embaràs. En el presente estudio se ha analizado, de qu...

  5. Análisis de las hemoglobinas glucosiladas de los pacientes diabéticos diagnosticados del 2006 al 2008 en el Hospital Nacional de Niños

    Directory of Open Access Journals (Sweden)

    Karla Morales-Navarro

    2011-06-01

    Full Text Available Objetivo: La hemoglobina glucosilada se ha utilizado como una de las principales herramientas para monitorear el adecuado control de la diabetes. El estudio tiene por objetivo describir los valores de hemoglobina glucosilada de los pacientes diabéticos diagnosticados durante el período 2006-2008, en control en el Hospital Nacional de Niños. Métodos: Estudio observacional descriptivo de 115 pacientes diabéticos en control en el Hospital Nacional Niños, diagnosticados en el período 2006-2008. Se determinó el promedio de los valores de hemoglobina glucosilada al diagnóstico y durante el control, y el porcentaje de cumplimiento de las metas de hemoglobina glucosilada según la Asociación Americana de Diabetes. Para el procesamiento de los datos se utilizó el programa Microsoft Excel 2003. Resultados: De los 115 pacientes, el 79,13% son diabéticos tipo 1, el 16,52% tipo 2 y el 4,35% otros tipos. El promedio de hemoglobina glucosilada durante el control por grupos etarios fue del 7,05% de 0-6 años, del 6,87% de 6-12 años y del 7,04% los mayores de 12 años. Según tipo de diabetes el promedio corresponde a 7,03% para tipo1; 7,04% el tipo 2 y el 6,45% otros. El porcentaje de diabéticos tipo1 que cumplen con la meta de hemoglobina glucosilada, corresponde al 90,00% de 0-6 años, al 90,47% de 6-12 años y al 66,66% los mayores de 12 años; el cumplimiento general es del 85,71%. Conclusión: La diabetes tipo1 continúa siendo la más frecuente en los niños y adolescentes. Sin embargo, la diabetes tipo 2 está en aumento en la población infantojuvenil costarricense. Los pacientes diabéticos en control en el Hospital Nacional de Niños, presentan promedios de hemoglobina glucosilada control acorde con las metas propuestas por la Asociación Americana de Diabetes.

  6. 医院中央空调低碳节能技术的改造措施%Remodeling steps of low carbon energy technology saving for central air conditioning in hospital

    Institute of Scientific and Technical Information of China (English)

    李静; 王金荣; 冯凯林; 郭善水; 邓泽江

    2016-01-01

    Through the analysis of building energy saving at home and broad, we conduct research to explore effective ways of managing, running and energy saving for hospital central air conditioning. With the rapid development of the national economy, building energy consumption has proportionally increased compared to the overall energy consump-tion cost; the share of building energy saving development in China is gradually increasing to compensate for the in-creased energy consumption cost. Effective management of energy saving for central air conditioning will directly influ-ence the realization of building energy-saving goals. After upgrading central air conditioning with low carbon energy and constructing automation systems in hospital, we can save significant amount of money each year and reduce operat-ing costs for the hospital, providing support for a virtuous growth cycle in the long-term development of the hospital.%通过对国内外建筑节能情况分析,掌握现代建筑节能的切入点,结合医院中央空调设备、运行、管理进行节能研究。随着国民经济的飞速发展,建筑能耗占整个能耗的比例逐渐提高,建筑节能在我国的可持续发展中所占比重也在逐渐加大,中央空调设备运行效率的高低、运行策略的好坏都直接影响着能否实现建筑节能的目标。医院中央空调低碳节能与楼宇自控系统升级改造工程完成后,可以为医院每年节约可观的资金,降低医院的运营成本,为医院的良性循环与长远发展提供支持与帮助。

  7. 平衡计分卡在军队中心医院医疗成本控制中的应用%Implementation of Balanced Scorecard in Cost Control of Military Central Hospitals

    Institute of Scientific and Technical Information of China (English)

    刘乐斌; 周赤龙; 陈俊国; 李瑛; 王方芳; 陈虹

    2011-01-01

    将平衡计分卡运用到军队中心医院成本管理中,从财务、患者、内部流程、学习与成长4个维度将军队医院成本控制这一战略目标转变为可衡量的目标和方法,建立起平衡计分卡医院成本控制评价指标体系.有效增加了医院总收入.降低了成本,医院市场竞争活力明显增强.%The application of balanced scorecard in military central hospital cost control effectively increased the total income and reduced the medical cost, and significantly enhanced hospital medical market competition activity, by means of changing strategic management into measurable goal from four dimensions, which were financial, patients,internal processes, learning and growth, in order to establish key performance indicator of military hospital cost control.

  8. FACTORES QUE INFLUYEN EN EL APGAR BAJO AL NACER, EN EL HOSPITAL AMÉRICA ARIAS DE LA HABANA, CUBA, 2000

    OpenAIRE

    Laffita B.,Alfredo

    2005-01-01

    Objetivo: Identificar los factores perinatales y maternos que influyen en el Apgar bajo al nacer. Material y método: Análisis retrospectivo y descriptivo de algunos antecedentes clínicos en 87 neonatos con Apgar < 7 puntos al minuto y 5º minuto de vida. Resultados: Las patologías asociadas fueron: hipertensión arterial crónica 20%, asma bronquial 15% e infección urinaria 15%; 55% de las pacientes no presentaban patologías. De los recién nacidos: el 16,1% eran de pretérmino y 14,9% de postérmi...

  9. Hospital Compare

    Data.gov (United States)

    U.S. Department of Health & Human Services — Hospital Compare has information about the quality of care at over 4,000 Medicare-certified hospitals across the country. You can use Hospital Compare to find...

  10. HCAHPS - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — A list of hospital ratings for the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). HCAHPS is a national, standardized survey of hospital...

  11. Capacitación sobre lactancia materna al personal de enfermería del Hospital General de México Experience of nurse breastfeeding training

    Directory of Open Access Journals (Sweden)

    Adolfo Gabriel Hernández-Garduño

    2000-04-01

    Full Text Available OBJETIVO: Evaluar el cambio de conocimientos acerca de la lactancia entre el personal de enfermería del Hospital General de México que asistió a un curso teórico-práctico sobre lactancia materna de 18 horas de duración. MATERIAL Y MÉTODOS: Se realizó una intervención educativa sobre lactancia materna, con evaluación inicial y final, en el Hospital General de México, de mayo de 1996 a mayo de 1997. Se capacitó a 152 enfermeras. Se aplicó la prueba t de Student para muestras dependientes y análisis de varianza. RESULTADOS: De 152 participantes, 140 (92% respondieron ambas evaluaciones. Los resultados globales de la evaluación inicial y final fueron 5.39±1.37 y 7.74±0.79, respectivamente, y resultaron estadísticamente significativos (pOBJECTIVE: To evaluate the change of knowledge in nurses attending an eighteen-hour lactation course at the General Hospital of Mexico. MATERIAL AND METHODS: The study was conducted from May 1996 to May 1997 and consisted of a breastfeeding training course and pre and post-test course evaluations of nurse participants. One-hundred-and-forty out of 152 nurses were trained and evaluated. Statistical analysis consisted of a paired t-test and analysis of variance. RESULTS: Of 152 nurses attending the course, 140 (92% completed pre and post-course evaluations. Global results of pre and post-tests were 5.39±1.37 and 7.74±0.79, (p<0.001. The difference was still significant after we compared the instruction level of participants. There was a trend towards a higher level of instruction among those with higher knowledge on lactation in the post-course evaluation (p=0.004. CONCLUSIONS: An 18-hour course given to nurses significantly increased in knowledge on lactation.

  12. Diagnóstico de problemas relacionados con medicamentos en adultos mayores al momento de ser hospitalizados Diagnosis of drug-related problems in elderly patients at the time of hospitalization

    Directory of Open Access Journals (Sweden)

    Teodoro J. Oscanoa

    2011-06-01

    Full Text Available Objetivos. Diagnosticar los Problemas Relacionados con Medicamentos (PRM en pacientes mayores de 64 años al momento de ser hospitalizados. Materiales y métodos. La detección de sobreprescripción y disprescripción de medicamentos se realizó con el Índice de Uso Apropiado de Medicamentos. Para subprescripcion se usaron los indicadores de Uso Adecuado de Medicamentos en adultos mayores vulnerables y la prueba de Evaluación de Subutilizacion de Medicamentos. La valoración de la adherencia a la medicación y de las reacciones adversas medicamentosas se realizó con el cuestionario de Morisky-Green y el Algoritmo de Karch y Lasagna, respectivamente. Resultados. El estudio se realizó en 100 pacientes del servicio de geriatría de un hospital de alta complejidad en Lima Perú; la media de edad fue de 76,26 + 6,91; 55% de sexo masculino. Al evaluar 555 fármacos con el Índice de Uso Apropiado de Medicamentos, 254 (45,8% tuvieron al menos uno o más de los criterios de prescripción inadecuada, lo que correspondió a 89 pacientes estudiados. Se encontró subutilización de medicamentos en pacientes que debieron recibir betabloqueadores por antecedente de infarto agudo de miocardio (59% y warfarina o aspirina por la condición de fibrilación auricular (21%. La no adherencia y la frecuencia de reacciones adversas que motivaron la hospitalización fueron de 63% y 24%, respectivamente. Conclusiones. El diagnóstico de los PRM en adultos mayores al momento de ser hospitalizados utilizando instrumentos validados, es de gran utilidad y debería formar parte de la valoración geriátrica integral en el adulto mayor.Objectives. To diagnose drug-related problems (DRPs in patients over 64 years of age at the time of hospitalization. Materials and methods. The detection of overprescription and misprescription of medications was done using the Index of Appropriate Drug Use, and for underprescription the Indication of Adequate Drug Use in Vulnerable Elderly

  13. Perfil de sensibilización alérgica en inmigrantes residentes en la zona centro de España Allergic sensitization profile in the immigrant population living in the central region of Spain

    Directory of Open Access Journals (Sweden)

    J. Domínguez-Ortega

    2011-04-01

    allergy is determined by genetic heredity, influenced by environmental factors. Migration is a good epidemiological model for assessing the influence of the environment. We present the clinical characteristics of respiratory allergy in immigrants in the central region of Spain. Methods. We prospectively collected data on all immigrants referred to the allergy units of 7 different hospitals in Madrid, Cuenca and Ciudad Real in March 2010. Respiratory Allergy was diagnosed using a standard study for allergic diseases. Results in immigrants were compared with data from a similar Spanish population. Results. Sixty-two immigrants and 32 Spanish patients were evaluated (63% female, mean age 28.4 years. Their countries of origin were uniformly distributed among 3 macroareas (North of Africa, Latin America, and Eastern Europe. More than 96% presented rhinitis, although persistent rhinitis was more prevalent amongst Latin Americans (76.9% than in the Spanish population (48%. No differences were observed in asthma prevalence, although immigrants had higher rates of non-controlled and partially controlled asthma. The mean time of onset of symptoms after immigration was 43 months. Grass pollen was the most relevant allergen with the exception of Arab patients. Sensitization to polcalcin was rare. Otherwise, 44.1% of the Spanish population was sensitized to profilin (only 4.88% among immigrants although this sensitization did not associate allergy to fruits or other vegetables. Conclusions. In summary, a multicentric study is presented where significant differences have been observed in the sensitization pattern and clinical evolution of respiratory allergy in immigrants and the Spanish population.

  14. The application of hospitality elements in hospitals.

    Science.gov (United States)

    Wu, Ziqi; Robson, Stephani; Hollis, Brooke

    2013-01-01

    In the last decade, many hospital designs have taken inspiration from hotels, spurred by factors such as increased patient and family expectations and regulatory or financial incentives. Increasingly, research evidence suggests the value of enhancing the physical environment to foster healing and drive consumer decisions and perceptions of service quality. Although interest is increasing in the broader applicability of numerous hospitality concepts to the healthcare field, the focus of this article is design innovations, and the services that such innovations support, from the hospitality industry. To identify physical hotel design elements and associated operational features that have been used in the healthcare arena, a series of interviews with hospital and hotel design experts were conducted. Current examples and suggestions for future hospitality elements were also sought from the experts, academic journals, and news articles. Hospitality elements applied in existing hospitals that are addressed in this article include hotel-like rooms and decor; actual hotels incorporated into medical centers; hotel-quality food, room service, and dining facilities for families; welcoming lobbies and common spaces; hospitality-oriented customer service training; enhanced service offerings, including concierges; spas or therapy centers; hotel-style signage and way-finding tools; and entertainment features. Selected elements that have potential for future incorporation include executive lounges and/or communal lobbies with complimentary wireless Internet and refreshments, centralized controls for patients, and flexible furniture. Although the findings from this study underscore the need for more hospitality-like environments in hospitals, the investment decisions made by healthcare executives must be balanced with cost-effectiveness and the assurance that clinical excellence remains the top priority.

  15. Chest trauma experience over eleven-year period at al-mouassat university teaching hospital-Damascus: a retrospective review of 888 cases

    Directory of Open Access Journals (Sweden)

    Al-Koudmani Ibrahim

    2012-04-01

    Full Text Available Abstract Background Thoracic trauma is one of the leading causes of morbidity and mortality in developing countries. In this study, we present our 11-year experience in the management and clinical outcome of 888 chest trauma cases as a result of blunt and penetrating injuries in our university hospital in Damascus, Syria. Methods We reviewed files of 888 consequent cases of chest trauma between January 2000 and January 2011. The mean age of our patients was 31 ± 17 years mostly males with blunt injuries. Patients were evaluated and compared according to age, gender, etiology of trauma, thoracic and extra-thoracic injuries, complications, and mortality. Results The leading cause of the trauma was violence (41% followed by traffic accidents (33%. Pneumothorax (51%, Hemothorax (38%, rib fractures (34%, and lung contusion (15% were the most common types of injury. Associated injuries were documented in 36% of patients (extremities 19%, abdomen 13%, head 8%. A minority of the patients required thoracotomy (5.7%, and tube thoracostomy (56% was sufficient to manage the majority of cases. Mean hospital LOS was 4.5 ± 4.6 days. The overall mortoality rate was 1.8%, and morbidity (n = 78, 8.7%. Conclusions New traffic laws (including seat belt enforcement reduced incidence and severity of chest trauma in Syria. Violence was the most common cause of chest trauma rather than road traffic accidents in this series, this necessitates epidemiologic or multi-institutional studies to know to which degree violence contributes to chest trauma in Syria. The number of fractured ribs can be used as simple indicator of the severity of trauma. And we believe that significant neurotrauma, traffic accidents, hemodynamic status and GCS upon arrival, ICU admission, ventilator use, and complication of therapy are predictors of dismal prognosis.

  16. La visión en Galicia sobre la asistencia al paciente crónico y pluripatológico; del hospital al sistema sanitario del futuro: Estrategia SERGAS 2014

    Directory of Open Access Journals (Sweden)

    Rocío Mosquera Álvarez

    2012-03-01

    Full Text Available Como se ha expresado en los artículos anteriores, se precisan nuevos paradigmas en la atención a los pacientes pluripatológicos que superen la tradicional división compartimentada de la asistencia sanitaria, para lograr una asistencia integrada y eficiente, que sitúe permanentemente al paciente en el radar sanitario. Se define así la organización sanitaria integrada, cuyas características básicas se exponen en la tabla

  17. Five-minute grid of marine bird biomass density surveyed off central California - all seasons, 1980-2001 (CDAS data set AL0_MASS.shp)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — AL0_MASS is a polygon shapefile representing 5 minute x 5 minute latitude x longitude cells that house the overall total biomass densities (kg/sq.km.) of 76 species...

  18. Five-minute grid of marine bird density off central California - all seasons, 1980-2001 (CDAS data set AL0_DENS.shp)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — AL0_DENS is a polygon shapefile representing 5 minute x 5 minute latitude x longitude cells that contain the overall, combined densities (birds/sq.km.), of 76...

  19. Caracterización de la esclerosis tuberosa en pacientes que consultan al Hospital Universitario San Vicente de Paúl, Medellín, Colombia

    OpenAIRE

    Dagoberto Nicanor Cabrera Hémer; Jaime Carrizosa Moog; Olga Juliana Cuéllar; Dionis Vallejo Mesa; José Vladimir Tobón Areiza; José William Cornejo Ochoa

    2008-01-01

    La esclerosis tuberosa (ET) es una enfermedad autosómica dominante, que afecta muchos sistemas y cursa con diversas manifestaciones clínicas, entre ellas epilepsia, retardo mental y lesiones cutáneas. Se hizo un estudio retrospectivo para contribuir a la caracterización de la esclerosis tuberosa en Medellín, Colombia. Se revisaron 21 historias, 62% mujeres y 38% hombres; la edad media al momento del diagnóstico fue 23 meses, todos los pacientes tenían epilepsia y lesiones cutáneas, las crisis...

  20. Correlacion clinica-patologica de corioamnionitis en pacientes que ingresan al servicio ginecologia en el año 2009 en el Hospital Universitario Clinica San Rafael

    OpenAIRE

    2011-01-01

    Este trabajo tuvo como utilidad básica determinar cuál es la correlación del diagnóstico clínico con los criterios de Gibss y con el Gold estándar que es la patología en las paciente con corioamnionitis para así poder establecer si el diagnostico se realizó en forma adecuada y cuáles son los criterios más relevantes para su diagnóstico. Dicha investigación se realizó de la siguiente manera: 1. Se Identificaron las pacientes que ingresaron al servicio de urgencias...

  1. Prevalencia de desnutrición del adulto mayor al ingreso hospitalario Prevalence of hyponutrition in the elderly at admission to the hospital

    OpenAIRE

    J. G. Gutiérrez Reyes; A. Serralde Zúñiga; M. Guevara Cruz

    2007-01-01

    Antecedentes: Los cambios demográficos en México están aumentando la proporción de adultos mayores de 60 años en riesgo de inseguridad alimentaria. La desnutrición en este grupo de edad es frecuente en la comunidad pero se exacerba durante las hospitalizaciones frecuentes, lo que aumenta la morbi-mortalidad y los costos en los servicios de salud. Objetivo: Describir la frecuencia de desnutrición al ingreso hospitalario de pacientes mayores de 60 años. Diseño: Observacional, transversal y desc...

  2. Outbreak by ventilator-associated ST11 K. pneumoniae with co-production of CTX-M-24 and KPC-2 in SICU of a tertiary teaching hospital in central China

    Directory of Open Access Journals (Sweden)

    Longhua Hu

    2016-08-01

    Full Text Available The emergence of carbapenem-resistant Klebsiella pneumoniae (CRKP often responsible for numerous hospital-associated outbreaks has become an important public health problem. From January 2013 to February 2014, a total of 41 non-duplicate K. pneumoniae isolates with carbapenem resistance, were collected at a tertiary teaching hospital in Nanchang, central China. Among 41 K. pneumoniae isolates, 28 were isolated from hospitalized patients including 19 from the patients in surgery intensive care unit (SICU and 13 were isolated from ventilators. Twenty-four of 28 patients infected by CRKP have been submitted to mechanical ventilation using ventilator. More than 95% of the CRKP isolates were resistant to 13 antimicrobials tested.All CRKP isolates were confirmed as carbapenemase producer and were positive for blaKPC-2, with one positive for both blaKPC-2 and blaNDM-1. All carbapenemase-producing isolates harbored at least one of extended spectrum βlactamase genes tested, among which95.1% (39/41 of the tested isolates were found to harbor both blaCTX-M-24 and blaKPC-2, Of note, one isolate harbored simultaneously two carbapenemase genes (blaKPC-2 and blaNDM-1 and two ESBL genes (blaCTX-M-3 and blaTEM-104 . To the best of our knowledge, coexistence of blaKPC-2 and blaCTX-M-24 in one isolate is first reported. MLST results showed that 41 CRKP isolates belonged to 4 sequence types (STs including ST11, novel ST1854, novel ST1855 and ST1224. PFGE results displayed 3 PFGE clusters. Thirty-eight ST11 CRKP isolates (92.7%, 38/41 including all 13 isolates from ventilators and 25 isolates from patients from 7 wards (18 from是ICU belonged to same PFGE cluster, indicating these isolates were clonally related. Fifteen isolates have an identical undistinguished pattern (100% similarity forming a single clonal population. Moreover, this clone was exclusively linked to the cases attended in SICU and linked to the Ventilators. Additionally, the other SICU cases were

  3. Outbreak by Ventilator-Associated ST11 K. pneumoniae with Co-production of CTX-M-24 and KPC-2 in a SICU of a Tertiary Teaching Hospital in Central China.

    Science.gov (United States)

    Hu, Longhua; Liu, Yanling; Deng, Linqiang; Zhong, Qiaoshi; Hang, Yaping; Wang, Zengzeng; Zhan, Lingling; Wang, Liangxing; Yu, Fangyou

    2016-01-01

    The emergence of carbapenem-resistant Klebsiella pneumoniae (CRKP) often responsible for numerous hospital-associated outbreaks has become an important public health problem. From January 2013 to February 2014, a total of 41 non-duplicate K. pneumoniae isolates with carbapenem resistance, were collected at a tertiary teaching hospital in Nanchang, central China. Among 41 K. pneumoniae isolates, 28 were isolated from hospitalized patients including 19 from the patients in surgery intensive care unit (SICU) and 13 were isolated from ventilators. Twenty-four of 28 patients infected by CRKP have been submitted to mechanical ventilation using ventilator. More than 95% of the CRKP isolates were resistant to 13 antimicrobials tested. All CRKP isolates were confirmed as carbapenemase producer and were positive for bla KPC-2, with one positive for both blaKPC-2 and bla NDM-1. All carbapenemase-producing isolates harbored at least one of extended spectrum β-lactamase genes tested, among which 95.1% (39/41) of the tested isolates were found to harbor both bla CTX-M-24 and bla KPC-2, Of note, one isolate harbored simultaneously two carbapenemase genes (bla KPC-2 and bla NDM-1) and two ESBL genes (bla CTX-M-3 and bla TEM-104). To the best of our knowledge, coexistence of bla KPC-2 and bla CTX-M-24 in one isolate is first reported. MLST results showed that 41 CRKP isolates belonged to four sequence types (STs) including ST11, novel ST1854, novel ST1855, and ST1224. PFGE results displayed three PFGE clusters. Thirty-eight ST11 CRKP isolates (92.7%, 38/41) including all 13 isolates from ventilators and 25 isolates from patients from seven wards (18 from SICU) belonged to same PFGE cluster, indicating these isolates were clonally related. Fifteen isolates have an identical undistinguished pattern (100% similarity) forming a single clonal population. Moreover, this clone was exclusively linked to the cases attended in SICU and linked to the Ventilators. Additionally, the other SICU

  4. La jamaʿat al Tabligh en Asie centrale : réactivation des liens islamiques avec le sous continent indien et insertion dans un islam mondialisé

    Directory of Open Access Journals (Sweden)

    Bayram Balci

    2012-02-01

    Full Text Available Très fortes jusqu’à l’arrivée de la Russie en Asie centrale au XIXe siècle, notamment sous la dynastie moghole originaire d’Asie centrale, les relations islamiques entre l’Inde et l’Asie centrale ont été considérablement amoindries pendant la période russe et soviétique où l’islam centrasiatique était particulièrement coupé du monde musulman. Toutefois, à la faveur des indépendances en 1991, un important processus de recréation de liens voire d’intégration, permet à l’islam d’Asie centrale de se mettre en réseau avec l’islam du monde entier, turc, arabe, mais aussi indien. Ce dernier, sans doute le moins étudié par la communauté des chercheurs sur l’Asie centrale, s’implante en force dans toute la région, mais plus particulièrement au Kirghizstan et au Kazakhstan, grâce au dynamisme d’une organisation islamique, née dans l’Inde britannique des années 1920, la Jamaʿat al Tabligh. Non radical et apolitique, prêchant un « islam minimal » qui insiste sur les vertus de la foi et de la pratique, l’islam de cette mouvance semble bénéficier du soutien tacite des autorités politiques en place, qui trouvent dans la Jamaʿat al Tabligh un allié dans leur lutte contre l’islam contestataire de l’ordre établi.

  5. Hospital central air conditioning ventilation system knowledge about nosocomial infection investigation and countermeasure%医院中央空调通风系统医院感染相关知识现状调查

    Institute of Scientific and Technical Information of China (English)

    汪春云; 朱小平; 凌红; 许晓萍; 丁华

    2012-01-01

    Objective The hospital being ventilated systematically by the (act that the relevance personnel grasps central authority air-conditioning infects the administration request, observe central authority air-conditioning ventilation system cleaning degassing and run administrative working system strictly, be work out simple and direct, have order, safety, pragmatic, have an effect to prevent from controlling measure, guard against yard inner cross-infection , provide a basis. Method Adopi a questionnaire to inquire into the method composing in reply a scene examination (observation) , the systematic air-conditioning ventilation relevance knowledge and central authority air-conditioning usage current situation carrying out central authority on entire 24 yard disease area and 191 staff members investigate whether. Result Relevance personnel cognition to systematic relevance of central authority air-conditioning ventilation degassing managerial know-how, the god of the earth stays in cognition stage, Air-conditioning there exists the sum knowing that the blind area employee takes up investigation in sigmatism and degassing administration to central authority 69.1%. Do not carry out relevance knowledge to the middle acting. Conclusions The behavior regulations that the conclusion asks to promote the relevance personnel, changes central authority air-conditioning ventilation system usage current situation, trains except perfecting the relevance knowledge's, have relevance procedure in hand being hit by key control point and the request, improve hospital infection taking precautions a-gainst and controlling availability, that important being needs to reinforce the functional departments supervision strength besides the standard working out the central authority air-conditioning ventilation system usage upkeep maintenance handles directive rules(SOP),ensures SOP measure feeling at ease, makes infection control a job further scientist , normalizing.%目的 通过相关人员

  6. Duchenne, Charcot and Babinski, three neurologists of La Salpetrière Hospital, and their contribution to concepts of the central organization of motor synergy.

    Science.gov (United States)

    Clarac, François; Massion, Jean; Smith, Allan M

    2009-11-01

    Many currently accepted notions of motor control originate from a few seminal concepts developed in the latter half of the 19th century (see Bennett and Hacker, 2002). The goal of this review is to retrace some current ideas about motor control back to the thought of three French neurologists of Hospital of the Salpetrière hospital in Paris during the latter half of the 19th century and early 20th century (Fig. 1): Guillaume Duchenne de Boulogne (1806-1875), Jean-Martin Charcot (1825-1893), and Joseph Babinski (1857-1932). A common theoretical and methodological thread unites these three men as Charcot was taught neurology by Duchenne, and Babinski was trained by Charcot. The influential concepts developed by these pioneering French neurologists have been neglected for nearly a century and only rediscovered recently. We intend to highlight how these astute clinicians used their meticulous clinical observations of patients to reveal novel and original perspectives of motor co-ordination. Between 1850 and 1930, all three men played a major role in developing and shaping the entire field of normal and pathological motor control in addition to making important contributions to three major scientific issues; the centralist view of muscle sense, the emerging concept of muscle synergy in voluntary movements and in locomotion and finally the specific role of the cerebellum in muscle synergy. The important contributions of these men will be considered in the context of other significant schools of neurology from other countries. Finally, the concept of cerebellar asynergy as proposed by Babinski anticipated the development of the internal models which much later were able to provide a theoretical basis for understanding the mechanism of learned motor co-ordination involving the cerebellum.

  7. Knowledge, attitude and practice about breast cancer and breast self-examination among women seeking out-patient care in a teaching hospital in central India

    Directory of Open Access Journals (Sweden)

    Rao Siddharth

    2016-01-01

    Full Text Available Background: Breast cancer (BC continues to be a major cause of morbidity and mortality throughout the world. Early detection of BC and early treatment increases the chance of survival. According to Breast Health Global Initiative guidelines for low and middle income countries, diagnosing BCs early by promoting breast self-awareness; clinical breast examination (CBE and resource adapted mammographic screening will reduce BC mortality. There is a paucity of data on the knowledge and awareness of BC and self-breast examination in India. We designed this hospital based cross sectional descriptive study to evaluate the current status of knowledge, awareness and practices related to BC and breast self-examination in the female rural population attending a teaching hospital. Materials and Methods: We did a random sampling to identify and enroll 360 women and their female relatives. We excluded a participant from the study if she had already undergone a screening mammography or had had a BC. The data was collected by a self-administered questionnaire in vernacular language. Results: Our study population included 360 women with a mean age of 45.81 (±10.9 years. Only 5 (1.38% females had a family history of BC. A whopping 81% of women did not have any knowledge about BC. All the women thought that CBE by doctors was the only way for screening BC. Conclusions: We concluded that with the results of this study, it is imperative to increase awareness about BC and its detection methods in the community through health education campaigns. We should have major policy changes to increase future screening programs and health education programs which would have an overall positive impact on reducing the disease burden.

  8. La enfermedad periodontal como factor de riesgo de parto pretérmino y de bajo peso al nacer en el Hospital Nacional Cayetano Heredia 2002-2003.

    OpenAIRE

    LIZARRAGA MARROQUIN, Christian Alberto; PROAÑO DE CASALINO, Doris

    2013-01-01

    Objetivo: Evaluar la relación entre parto pretérmino (PP) y de bajo peso (BP) al nacer (PPBP) y la enfermedad periodontal (EP) materna. Materiales y Métodos: Estudio tipo casos y controles de 156 madres, 53 casos (madres de bebés con PPBP) y 103 controles (bebés de madres nacidos con >37 semanas y más de 2 500g). Se interrogó a las madres y se revisó las historias clínicas, se registraron datos como: grado de instrucción, estado civil, hábitos de fumar, alcohol, drogas y otros factores de ...

  9. Historia de obesidad como factor asociado al cáncer de mama en pacientes de un hospital público del Perú

    Directory of Open Access Journals (Sweden)

    José Rojas-Camayo

    2009-07-01

    Full Text Available Realizamos un estudio de casos y controles, en 123 pacientes con diagnóstico de cáncer mamario (casos y 208 pacientes sanas (controles. En la medición se consideró el índice de masa corporal (IMC antiguo (peso promedio de la vida adulta de la persona e IMC actual (peso cuantificado al momento de efectuar la investigación y otros factores de riesgo conocidos. Los IMC antiguos mostraron un riesgo incrementado tanto en mujeres en la premenopausia: sobrepeso OR: 7,29 (IC95%: 1,75 - 30,38 y obesidad OR: 23,43 (IC95%: 2,4 - 229.7; como en mujeres posmenopáusicas: obesidad OR: 3,33 (IC95%: 1,54 - 7,19 y obesidad OR: 6,04 (IC95%: 1,78 - 20,50. Por otro lado, al evaluar el IMC actual, se encontró asociación en las premenopáusicas donde el sobrepeso es un factor protector OR: 0,23 (IC95%: 0,05 - 0,99 y la obesidad no muestra asociación OR: 0,37 (IC95%: 0,08 - 1,8, asimismo, en las posmenopáusicas no se evidenció asociación con el sobrepeso OR: 0,79 (IC95%:0,35 - 1,85 ni con la obesidad OR: 1,19 (IC95%: 0,42 - 3,38. Se concluye que la historia de obesidad está asociada con un incremento de riesgo de cáncer mamario tanto en mujeres premenopáusicas y posmenopáusicas.

  10. Adoption of the Energy-saving Technology of Central Air Conditioner in Modern Hospital%现代医院中央空调节能技术的应用

    Institute of Scientific and Technical Information of China (English)

    鲁晶; 彭承琳; 牟帮易

    2012-01-01

      能源是当今世界性的迫切问题,提高空调的制冷效果对于节约能源和减少医院的运营成本,都具有十分重要的意义。鉴于当前节能环保、全球气候异常等问题,本文对医院中央空调系统如何“节能”问题进行了论述。目前利用废热、余热作为能源的溴化锂吸收式冷水机组越来越受到关注。本文对溴化锂吸收式冷水机组的新技术及应用也进行了介绍,并作了中央空调系统关于节能的几个方面的比较。%  Energy is the most urgent problem in the world. To improve the cooling efficiency of air conditioner plays an important role in saving energy and cost control of hospital operations. As the environmental issues and global climate changes have drawn the concern of governments and people worldwide at present time, this article elaborates energy saving of central air conditioner system in hospital. LiBr absorption chil ers which use the waste heat as the power source are get ing more and more popular today. Some new technologies and applications of LiBr absorption Chil er are also discussed in the article. Energy saving of the central air conditioning system are analyzed and compared in some aspects at the same time.

  11. An audit of obstetric admissions to intensive care unit in a medical college hospital of central India: lessons in preventing maternal morbidity and mortality

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    Manisha Jain

    2015-02-01

    Full Text Available Background: The spectrum of causes leading to maternal morbidity and mortality may be well reflected in the clinical profile of obstetric patients admitted to the Intensive Care Unit (ICU. An audit of these patients may help in devising intervention strategies and implementing preventive measures. This is expected to contribute to the ongoing concerted multipronged efforts towards reducing maternal mortality as a step towards the millennium development goals. The aim was to study the clinical and demographic profile of antenatal and postpartum women requiring admission to the ICU, the interventions required in these women and the final outcome. The overall goal is to identify the contributing factors towards maternal morbidity and mortality. Methods: A retrospective analysis of hospital records of all antenatal, post-abortal and postpartum women admitted to the ICU at People's hospital, Bhopal over a period of 3 years (June 2011 to May 2014. Results: A total of 157 records were identified and analyzed: 22 (14% antenatal, seven (4% post-abortion, 114 (73% postpartum, and 14(9% post-laparotomy women. The mean age was 25 years (Range 18-38 years; SD 4.49, two thirds being from rural areas. Majority (78% had no earlier visit. The gestational age at admission to ICU ranged from 6-43 weeks (Mean 31 weeks; SD 9.06. One third (24% of patients had severe anemia, 18 patients needed ventilation, 25 required inotropic support, 4 required dialysis and 17 underwent surgical intervention. Blood or blood component therapy was needed in 60% cases with total blood units transfused being 225. The average duration of stay in intensive care unit was 79 hours. Analyzing as organ-system dysfunctions: Cardiovascular dysfunction (22%, hematological (20%, hepatic (16%, neurological (11%, septicemia (11%, renal (9%. There were 19 maternal deaths. Conclusions: Maternal anemia and consequences still contribute significantly to maternal morbidity. Non-utilization of

  12. Caracterización de la esclerosis tuberosa en pacientes que consultan al Hospital Universitario San Vicente de Paúl, Medellín, Colombia

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    Dagoberto Nicanor Cabrera Hémer

    2008-11-01

    Full Text Available La esclerosis tuberosa (ET es una enfermedad autosómica dominante, que afecta muchos sistemas y cursa con diversas manifestaciones clínicas, entre ellas epilepsia, retardo mental y lesiones cutáneas. Se hizo un estudio retrospectivo para contribuir a la caracterización de la esclerosis tuberosa en Medellín, Colombia. Se revisaron 21 historias, 62% mujeres y 38% hombres; la edad media al momento del diagnóstico fue 23 meses, todos los pacientes tenían epilepsia y lesiones cutáneas, las crisis más frecuentes fueron las parciales con generalización secundaria (66%, 47% tuvieron espasmos infantiles, la mayoría presentaron dos o más tipos de crisis (90%. Todos los pacientes recibieron anticonvulsivantes, los más frecuentemente utilizados fueron: fenobarbital, ácido valproico, vigabatrina, carbamazepina y clonazepam. En general, la mayoría de los pacientes requirieron varios medicamentos durante la evolución de su enfermedad y los pocos que lograron un adecuado control de la epilepsia, lo hicieron con anticonvulsivantes de primera generación. CONCLUSIÓN:las características de nuestra serie son similares a las reportadas en la literatura mundial. Los antiepilépticos de primera generación siguen siendo la principal herramienta terapéutica para el tratamiento inicial de los pacientes Medellín.

  13. Cessation of In-line Filters in Central Venous Catheters Does Not Significantly Influence the Incidence of Bloodstream Infections and Mortality in a Hospital Hematological Ward.

    Science.gov (United States)

    Tanaka, Hiroaki; Ambiru, Satoshi; Kawaguchi, Takeharu; Sugita, Yasumasa; Kawajiri, Chika; Nagao, Yuhei; Shimura, Takenori

    2016-01-01

    Objective The use of intravenous in-line filters is effective for the mechanical removal of large particles, precipitates, bacteria, fungi, large lipid globules, and air. However, the routine use of in-line filters remains controversial. Many patients with hematological diseases frequently suffer from bloodstream infections (BSIs) with fatal outcomes. Methods The year before cessation of an in-line filter was defined as the "filter period" and the year after its cessation was defined as the "non-filter period." The number of central line-associated bloodstream infections (CLABSIs), which are defined through surveillance, the catheter utilization rate, the number of patient deaths within 7 days after removal of the central venous catheters (CVCs), and the overall survival rate following CVC insertion were measured. Results During both periods, 84 patients had a total of 140 CVCs with a total number of catheter days of 3,407. There were 10 CVCs with CLABSIs, and the overall CLABSI rate was 2.9/1,000 catheter days, including 4 CVCs with CLABSIs (2.5/1,000 catheter days) during the filter period and 6 CVCs with CLABSIs (3.3/1,000 catheter days) during the non-filter period. The CLABSI rate, catheter utilization rate, and mortality did not differ significantly between the two periods. The only independent variable that was found to be significantly associated with the development of CLABSIs was a neutrophil count of line filters from CVCs does not significantly influence the incidence of BSIs and mortality in patients with hematological disease. To confirm our results, however, a large-scale randomized controlled study is warranted.

  14. Rate and time to develop first central line-associated bloodstream infections when comparing open and closed infusion containers in a Brazilian Hospital

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    Margarete Vilins

    2009-10-01

    Full Text Available The objective of the study was to determine the effect of switching from an open (glass or semi-rigid plastic infusion container to a closed, fully collapsible plastic infusion container (Viaflex® on rate and time to onset of central lineassociated bloodstream infections (CLABSI. An open-label, prospective cohort, active healthcare-associated infection surveillance, sequential study was conducted in three intensive care units in Brazil. The CLABSI rate using open infusion containers was compared to the rate using a closed infusion container. Probability of acquiring CLABSI was assessed over time and compared between open and closed infusion container periods; three-day intervals were examined. A total of 1125 adult ICU patients were enrolled. CLABSI rate was significantly higher during the open compared with the closed infusion container period (6.5 versus 3.2 CLABSI/1000 CL days; RR=0.49, 95%CI=0.26- 0.95, p=0.031. During the closed infusion container period, the probability of acquiring a CLABSI remained relatively constant along the time of central line use (0.8% Days 2-4 to 0.7% Days 11-13 but increased in the open infusion container period (1.5% Days 2-4 to 2.3% Days 11-13. Combined across all time intervals, the chance of a patient acquiring a CLABSI was significantly lower (55% in the closed infusion container period (Cox proportional hazard ratio 0.45, p= 0.019. CLABSIs can be reduced with the use of full barrier precautions, education, and performance feedback. Our results show that switching from an open to a closed infusion container may further reduce CLABSI rate as well as delay the onset of CLABSIs. Closed infusion containers significantly reduced CLABSI rate and the probability of acquiring CLABSI.

  15. Proyección del estudiante de Patología y Clínica Estomatológica desde el ámbito del claustro de la Facultad al Hospital Público: Registro retrospectivo de las patologías observadas Projection of oral pathology and Clinical Stomatology student from faculty class room to public hospital: Retrospective analyse of the observed diseases

    Directory of Open Access Journals (Sweden)

    ML Mercado

    2006-10-01

    Full Text Available Estableciendo las bases del proceso Enseñanza/Aprendizaje de la Estomatología para alumnos del último nivel de la currícula de Odontología, y en especial de la Asignatura Patología y Clínica Estomatológica, se ha diseñado este estudio. El mismo se ha llevado a cabo teniendo en cuenta los siguientes Objetivos: 1 La observación del desempeño de los estudiantes en un hospital público, en donde han realizado su trabajo en terreno. 2 Un relevamiento de las lesiones y enfermedades que se han presentado con la observación y guía por el personal docente y la resolución de los casos clínicos. Material y Métodos: los alumnos del nivel quinto de la Asignatura de Patología y Clínica Estomatológica de la Facultad de Odontología de la Plata, año tras año han sido citados, por comisiones pequeñas (no más de 7 alumnos por cada una con el fin de observar y participar de la tarea hospitalaria que realiza un equipo docente de Estomatología dentro del funcionamiento del Servicio de Odontología de un Hospital de Agudos. Se tomaron los datos correspondientes a un tiempo estimado en horas de 1.800 horas paciente/docente-alumno. De 495 pacientes fueron evaluados los datos de edad, sexo, ocupación, estado civil, hábitos y factores ambientales. Se registraron los datos correspondientes a las lesiones y enfermedades y se realizó el análisis estadístico de los mismos. Resultados: 1 Los alumnos demostraron interés y entusiasmo al concurrir a la Unidad Hospitalaria. Este resultado se midió por la cantidad de alumnos que solicitaron poder concurrir al Hospital fuera de las horas de clases en forma voluntaria: 40%. 2 Del estudio del relevo de datos, las micosis superficiales fueron las más prevalentes seguidas por aftas, líquenes atípicos y carcinomas a células escamosas. Conclusiones: 1 Se observa que el Hospital docente asistencial pareciera brindar al mecanismo de Enseñanza/ Aprendizaje, la posibilidad de insertar al alumno en la

  16. A STUDY OF PSYCHIATRIC FACTORS IN PATIENTS PRESENTED WITH ATTEMPTED SUICIDE IN A STATE CAPITAL MEDICAL COLLEGE HOSPITAL IN CENTRAL INDIA

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    Keshav

    2016-01-01

    Full Text Available Suicide is one of the commonest psychiatric emergencies. According to WHO report, 1999 suicide was one of the top three leading causes of death among people aged 15-34 years in all countries. In recent years, attempted suicide has become the focus of research as it has been found to be the predictor of suicide. Psychiatric factors are one of the important determinants in attempted suicide. OBEJCTIVES The aim of the present study was to analyse the psychiatric factors in attempted suicide. METHODS The present study was conducted in the Department of Medicine and Department of Psychiatry, Gandhi Medical College and associated Hamidia Hospital Bhopal. Study based on the patients admitted in Medicine/Psychiatry ward or attending Out Patients Department with history of suicidal attempts, during the period December 2006 to November 2007. RESULTS Psychiatric disorders were present in 74.25%, while no psychiatric disorder was present in rest of 25.75%. CONCLUSION Major depressive disorder accounting for 34.69% cases, was the most common concurrent psychiatric illness among the study group.

  17. Prevalence of temporomandibular joint disorders in outpatients at Al-Badar Dental College and Hospital and its relationship to age, gender, occlusion and psychological factors

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    Raheel Ahmed Syed

    2012-01-01

    Full Text Available Background: Temporomandibular disorder (TMD is a collective term that encompasses many clinical problems involving the masticatory muscles, temporomandibular joints (TMJ and associated structures and it has high prevalence among populations. Aims and objectives: To determine the prevalence of TMD and its relationship to age, gender, occlusion and psychological factors and to evaluate which age group, gender, malocclusion parameters and psychological factors contribute to the prevalence of TMD. Materials and methods: The study includes a sample of 250 young adults (134 girls and 116 boys with age ranging from 18 to 25 years, the presence and severity of TMD was determined using a self-administered anamnestic questionnaire composed of 10 questions regarding common TMD symptoms. Morphologic occlusion was evaluated according to Angle′s classification (molar classes I, II, III and to evaluate the psychological factors, The hospital anxiety and depression scale (HADS developed by Zigmond and Snaith was used. Results: Data were computerized and the SPSS package (version 11.2 was used and nonparametric test of Chi-square for data analysis and unpaired t-test was also used for statistical data analysis. Anamnestic index (AI showed that the percentage of women (5522% had higher degree of TMD symptoms than compared with men (50.86%, comparing the age of men and women free TMD and with TMD, the statistical difference was not significant as (t = 1.35, p > 0.5, distribution of the cases among Angle′s class I, II, III occlusion the difference was not statistically significant as (p > 0.5, the degree of anxiety and TMD degree among men and women patients, women had higher anxiety levels as compared to men and no statistical difference was found between the cases of men and women in the depression levels. Conclusion: Prevalence of TMD symptoms in our sample of 250 patients was high for women- Morphologic occlusion was not associated with the presence of TMD

  18. Factores contribuyentes al desarrollo de infecciones adquiridas en la comunidad en diabéticos tipo 2 admitidos en salas de medicina del Hospital Nacional Cayetano Heredia Factors contributing to the development of community-acquired infections in type-2 diabetics admitted to the Cayetano Heredia National Hospital

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    Gino Guillermo Tapia-Zegarra

    2001-12-01

    Full Text Available El propósito del estudio es identificar factores contribuyentes al desarrollo de infecciones adquiridas en la comunidad en diabéticos tipo 2 hospitalizados. De tal forma, se siguió el diseño de un estudio de casos y controles no apareado. Consecuentemente, se eligieron en forma aleatoria 105 diabéticos con infección adquirida en la comunidad y 105 diabéticos con patología no infecciosa, obtenidos de los Servicios de Medicina de un hospital universitario, entre 1991 y 1998. Mediante el análisis bivariado y multivariado, se obtuvo la estimación ajustada del valor de odds ratio. Los resultados permitieron, según análisis estratificado por edad y sexo, obtener a neuropatía autonómica como factor contribuyente de infecciones urinarias (OR = 4,07. En el modelo multivariado se aisló a vasculopatía periférica (R²: 0,24 como contribuyente de infección de piel y partes blandas (OR = 6,79. Los intervalos de confianza fueron significativos y de 95% de confiabilidad. En conclusión, vasculopatía periférica y vejiga neurogénica contribuyen al desarrollo de infecciones adquiridas en la comunidad en diabéticos tipo 2 hospitalizados.This study aims to identify factors contributing to the development of community-acquired infections in hospitalized type-2 diabetics, using an unmatched case-control design. A total of 105 pairs of diabetic patients with community-acquired infections as compared to non-infectious diseases, respectively, were chosen randomly from the discharge registry of the clinical wards of a teaching hospital from 1991 to 1998. Bivariate and multivariate analysis was conducted with estimation of the adjusted odds ratio. According to stratified analysis controlling for age and sex, autonomic neuropathy proved to be a contributing factor to development of urinary tract infections (OR = 4.07. In the multivariate model, peripheral vasculopathy was isolated (R²: 0.24 as a contributing factor in the development of soft

  19. Cateter central de inserção periférica em pediatria e neonatologia: possibilidades de sistematização em hospital universitário

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    Cristine Ruviaro de Oliveira

    2014-09-01

    Full Text Available Objetivo: Descrever a sistematização do uso do cateter central de inserção periférica em neonatos e crianças, em um hospital universitário do sul do Brasil. Métodos: Estudo qualitativo, desenvolvido com o método criativo sensível. Foram desenvolvidas três dinâmicas com dez enfermeiras. Os dados foram submetidos à análise de discurso francesa. Resultados: Os resultados apontaram que, a sistematização da assistência de enfermagem deve ser aplicada durante todo o processo de utilização do cateter central de inserção periférica; deve ser criado um serviço ambulatorial articulado com o setor de internação e as famílias para que as crianças possam fazer uso do cateter ambulatorialmente. Conclusão: Os protocolos institucionais para o uso deste cateter devem ser desenvolvidos a partir da sistematização da assistência de enfermagem, tendo por base as necessidades do paciente, as evidências científicas, a realidade institucional e o diálogo entre a equipe de enfermagem e médica e a família.

  20. La bandera sigue al mercado : El paso del Banco de Emisión al Banco Central y su incidencia en la soberanía de las naciones en Colombia y América Latina: 1914-1945

    OpenAIRE

    2013-01-01

    Este trabajo hace referencia a la historia del proceso mediante el cual se institucionalizan los bancos centrales tomando el modelo de la Reserva Federal estadounidense; se subraya el proceso histórico donde lo instituyente, pasa a instituido o a ser una dimensión fundamental que atraviesa y se funde a todos los niveles de la estructura económica, política y social. Se hace énfasis en los procesos históricos instituyentes de crítica, reclamación, interrogación, acusación o denuncia que acompa...

  1. El ácido alfa lipoico y su poder antioxidante frente al cáncer y las patologías de sensibilización central

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    Marisa Durand

    2013-08-01

    Full Text Available Introducción: El ácido alfa lipoico (ALA puede controlar y limitar la cantidad de radicales libres, influyendo el desarrollo de patologías como el cáncer o las enfermedades de sensibilización central, aunque los mecanismos moleculares implicados en este proceso aún están dilucidándose. Objetivo: Reunir y contrastar información sobre las propiedades antioxidantes del ALA en la prevención y desarrollo de las patologías relacionadas con el estrés oxidativo. Material y métodos: En este trabajo, se analizan más de 100 artículos publicados en los últimos 20 años que relacionan el consumo de ALA y la prevalencia y desarrollo de patologías relacionadas con el estrés oxidativo. Los artículos han sido obtenidos en diferentes bases de datos (PubMed central, Web of Science, Elsevier Journal, Science Direct, e incluyen experimentos en células, animales y humanos. Las palabras clave utilizadas fueron: cáncer, enfermedades de sensibilización central, radicales libres, y ALA. Resultados y discusión: Se han reunido resultados de trabajos realizados in vitro y en animales de laboratorio en los que se pone de manifiesto el efecto del ALA en el control de la apoptosis celular de diferentes tipos de cánceres mediante un aumento de las especies reactivas de oxígeno, así como también el retardo en el crecimiento de las mismas. Aparte, se ha demostrado que la capacidad antioxidante del ALA y su potencial para regenerar otros antioxidantes es de gran importancia para tratar las patologías de sensibilización central. Conclusiones: El ALA ha demostrado un papel significativo como antioxidante y prooxidante en el cáncer y las patologías de sensibilización central, aunque son necesarias más investigaciones en humanos.

  2. The Centralized Management and Clinical Application of Ventilators in Modern Hospital%现代医院呼吸机的集中管理与临床应用

    Institute of Scientific and Technical Information of China (English)

    何莺; 邢素美; 夏文俊

    2011-01-01

    目的 探讨现代医院呼吸机的集中管理模式及在临床中的推广应用.方法 观察、总结、分析近3年195例机械通气患者呼吸机集中管理的效果.结果 集中专人负责呼吸机的保管、供应、调试、保养、维护、消毒及故障排除,195例机械通气患者虽遇到各类报警950例,但由于发现及时、处理得当,均未对患者造成重大影响,呼吸机的完好率及使用率均达百分之百.结论 加强现代医院呼吸机的集中科学管理,培养造就一支高素质的专业人才队伍,将显著提高呼吸机的使用率和重症患者救治的成功率.%Objective To investigate the centralized management mode and clinical promotion of ventilators in modern hospitals.Methods 0bserved,9ummarized,and analyzed the centralized ventilators management effects of 195 patients with mechanical ventilation.Results Set persons specially designated for the jobs of storage, supply, debugging, maintenance, protection, disinfection and troubleshooting. 195 cases of patients with mechanical ventilation encountered 950 cases of various types of alarm,because of dealing with these problems timely and properly ,there was no significant loss on the patients, and the rate of the ventilators in good condition and urilization reached 100 percent.Conclsion By strengthening the centralized modern hospital ventilator scientific management,training and fostering a high quality team of professionals,we will significantly improve the utilization rate of the ventilator and the success rate rescue of critical patients.

  3. Derivaciones al Servicio de Urgencias del hospital en una población de ancianos residentes: Estudio retrospectivo sobre sus causas y adecuación Hospital transfers from a population of elderly residents: A retrospective study about the causes and suitability

    Directory of Open Access Journals (Sweden)

    José Carlos Bermejo Higuera

    2010-09-01

    Full Text Available Objetivo: analizar las causas y la adecuación de las derivaciones de ancianos institucionalizados al Servicio de Urgencias del hospital. Método: estudio descriptivo retrospectivo transversal sobre la población de una residencia de la Comunidad de Madrid. Se recogieron datos de 45 pacientes derivados durante el año 2008, con un total de 62 derivaciones. Derivación adecuada o pertinente fue aquella que cumpliera uno de los siguientes criterios: 1 el paciente ingresó o estuvo en observación más de 24 horas; 2 precisó ser valorado por un especialista y/o requirió pruebas diagnósticas no disponibles en el centro; y 3 necesitó tratamiento no disponible en el centro. Análisis estadístico descriptivo. Resultados: el 98,4% de las derivaciones cumplió los criterios de adecuación; 67% Criterio 1,21% Criterio 2 y no otros, y 77,4% Criterio 3. La causa más frecuente de derivación fue la sospecha de fractura poscaída (32,3%. El porcentaje anual de fallecidos (22,38% fue menor que el observado en otras residencias madrileñas, de ellos, el 15,55% falleció en el hospital.Aim: to analyse the causes and suitability of elderly resident transfers to hospital emergencies service. Methods: a retrospective and descriptive study about the resident population in a Residence of Comunidad de Madrid. We recorded data from 45 patients transferred in 2008, out of a total of 62 transfers. A suitable or appropriate derivation was one fulfilling at least one of the following criteria: 1-the patient was admitted to hospital or stayed in observation for more than 24 hours, 2- the patient had to be seen by a specialist or required a diagnosis test that was not available in the centre, 3- the patient needed treatment that was not available in the centre. The statistical analysis was descriptive. Results: 98.4% of the transfers complied with the suitability criteria: 67% criterion 1,21% criterion 2 but not other and 77% criterion 3. The most frequent cause for

  4. Multivariate optimization of process parameters in the synthesis of calcined Ca‒Al (NO3) LDH for defluoridation using 3(3) factorial, central composite and Box-Behnken design.

    Science.gov (United States)

    Ghosal, Partha S; Gupta, Ashok K; Sulaiman, Ayoob

    2016-01-01

    Response surface methodology was applied for the first time in the optimization of the preparation of layered double hydroxide (LDH) for defluoridation. The influence of three vital process parameters (viz. pH, molar ratio and calcination temperature) in the synthesis of the adsorbent 'Calcined Ca‒Al (NO3) LDH' was thoroughly examined to maximize its fluoride scavenging potential. The process parameters were optimized using the 3(3) factorial, face centered central composite and Box-Behnken designs and a comparative assessment of the methods was conducted. The maximum fluoride removal efficiency was achieved at a calcination temperature of approximately 500ºC; however, the efficiency decreased with increasing pH and molar ratio. The outcome of the comparative assessment clearly delineates the case specific nature of the models. A better predictability over the entire experimental domain was obtained with the 3(3) factorial method, whereas the Box-Behnken design was found to be the most efficient model with lesser number of experimental runs. The desirability function technique was performed for optimizing the response, wherein face centered central composite design exhibited a maximum desirability. The calcined Ca‒Al (NO3) LDH, synthesized under the optimum conditions, demonstrated the removal efficiencies of 95% and 99% for the doses of 3 g L(-1) and 5 g L(-1), respectively.

  5. Hospitality within hospital meals –

    DEFF Research Database (Denmark)

    Justesen, Lise; Gyimóthy, Szilvia; Mikkelsen, Bent Egberg

    2016-01-01

    Hospital meals and their role in nutritional care have been studied primarily from a life and natural science perspective. This article takes a different approach and explores the idea of hospitality inspired by Jacques Derrida’s work on the ontology of hospitality. By drawing on ethnographic...... fieldwork in a Danish hospital, hospitality practices were studied using a socio-material assemblage approach. The study showed that rethinking the meal event could change the wards into temporary “pop-up-restaurants,” transcending the hospital context and providing a scene for shifting host...... and management involved in hospital food service and in nutritional care to work more systematically with the environment for improved hospital meal experiences in the future...

  6. Design and application on post definition mode in public hospital: case study on Shaoyang Central Hospital%公立医院定岗定编模型的设计与运用:以邵阳市中心医院为例

    Institute of Scientific and Technical Information of China (English)

    张国华; 封梅姣; 申帅; 文学斌

    2016-01-01

    Human resource management has been a difficult problem among public hospital operation management. How to comply with the requirements of healthcare reform while taking into account the market operating characteristics, and establishing market requirements of"high quality, efficient, low cost", hospital human resource management system, job preparation management is the foundation. Started with the Central Hospital of Shaoyang innovative management practices and according to the analysis of organization structure, human resources allocation mode in different department which can descried as based on bed and based on integrated doctor and nurse in clinical department, based on workload mode in outpatient medical technology mode and based on post responsibility mode in administrative department has been designed and assessed.%人力资源配置一直是公立医院运营管理的难点所在,如何在顺应医改要求的同时,建立符合医改要求的"优质、高效、低耗"型医院人力资源管理体系,岗位编制管理是基础.笔者从邵阳市中心医院创新岗位编制管理实践入手,阐述了依据组织结构的不同,建立相应的岗位编制测算模型,其中临床科室建立"基于编制床位数配比模型"、"基于医护一体化配比模型";在门诊医技科室建立"基于工作量的医技人员配比模型";在行政后勤部门建立"基于岗位工作量的行政后勤人员配比模型",以及这些模型运行后取得的实际效果.

  7. Structural determinants of hospital closure.

    Science.gov (United States)

    Longo, D R; Chase, G A

    1984-05-01

    In a retrospective case-control study, structural characteristics of hospitals that closed during the years 1976-1980 were contrasted with three comparison groups: hospitals that were acquired in a merger; hospitals that joined a multihospital system; and hospitals that remained autonomously opened, to investigate these characteristics as predictors of closure. Characteristics investigated included environmental, structural, and process variables. The independent variables were measured 5 years prior to outcome. Findings indicate that closed hospitals resemble hospitals acquired in a merger ("failure"), and likewise autonomous hospitals resemble hospitals that join a multihospital system ("success"). The most important predictors of hospital failure were the physician-to-population ratio, the East North Central and West North Central census regions, the level of diversification, low occupancy rate, location in a standard metropolitan statistical area, the chief executive officer's lack of affiliation in the American College of Hospital Administrators, profit status, bed size of less than 50, and presence in a state with a rate-setting agency. Surprisingly, this study shows the bed-to-population ratio to be unrelated to closure. In addition, the findings strongly support the open-system perspective, which, unlike the closed-system perspective, is concerned with the vulnerability of the organization to the uncontrollable and often unpredictable influences of the environment.

  8. ASSESSMENT OF IMPROVEMENT IN SPEECH PERCEPTION AND LANGUAGE DEVELOPMENT IN COCHLEAR IMPLANT SURGERY : AN INTERESTING STUDY FROM A TERTIARY CARE HOSPITAL OF CENTRAL INDIA

    Directory of Open Access Journals (Sweden)

    Sunil

    2015-10-01

    Full Text Available Severe to profound prelingual deafness that is either congenital or acquired is estimated to occur in 0.5 to 3 per 1000 live births. This is often associated with early delays in language development, speech perception, socialization and results in lower academic achievement. These de velopmental and behavioral problems are severe as 90 % of children are born to normal patients whereas with deaf parents it is less as they have a mutual communication. After much research in this field the first 22 channel cochlear implant surgery was don e in 1982. The number of prelingually deafened adults seeking cochlear implant is increasing as these individuals can derive substantial benefit, although their performance is poorer than adults with post - lingual deafness. MATERIAL AND METHODS : The present prospective study was conducted in the Department of ENT, Pt. J.N.M. Medical College and Dr. B. R.A.M. Hospital, Raipur (C.G. The subject selected were prelingually deafened individuals who were undergoing post cochlear implant speech therapy in the Depar tment. This study included individuals, who underwent cochlear implant surgery in this Department during the period of July, 2008 to September, 2010 and the age was within 10 years at the time of surgery. The study was designed as a prospective longitudina l analysis to asses functioning of patients, who underwent cochlear implantation. A total 37 cochlear implant surgeries were carried out in Department. Of these 3 cases were outside the age criteria of the present study and another 2 cases were lost in fol low up. Pre - operatively, detailed information of subject including the age, sex and address as well as contact number was collected. Then a General Examination was followed with reference to Built, Nutrition, Pulse, and Blood pressure, Oedema, Cyanosis, Cl ubbing and Citrus. A systemic examination was also performed. A Local Examination with special emphasis to tympanic membrane and any middle ear

  9. Estimación de costos económicos en la atención de la neumonía nosocomial en un hospital regional peruano, 2009 al 2011

    Directory of Open Access Journals (Sweden)

    Bernardo Dámaso-Mata

    Full Text Available RESUMEN Objetivos. Estimar los costos económicos en la atención de la neumonía nosocomial al compararlo con el grupo sin neumonía nosocomial en Hospital II Huánuco EsSalud, 2009 -2011. Materiales y métodos. Evaluación económica parcial. Diseño de casos y controles pareado. Se empleó una ficha de recolección. Variable dependiente: neumonía nosocomial. Variables independientes: costos directos sanitarios, costos directos no sanitarios, costos indirectos, ocupación, comorbilidad, procedencia y grado de instrucción. Se realizó análisis bivariado. Resultados. Se identificaron 40 pares de casos y controles. Los casos estuvieron hospitalizados más de dos semanas y emplearon más de dos antibióticos. Los costos directos sanitarios asociados fueron por hospitalización, antibióticos, exámenes auxiliares, evaluaciones especializadas y otras medicaciones. Los costos directos no sanitarios y los costos indirectos asociados fueron por transporte, alimentación, alojamiento, ingresos por planilla dejados de percibir, ingresos por honorarios profesionales dejados de percibir, gastos extrainstitucionales, pago a cuidadores durante hospitalización y por telefonía. Conclusiones. Los costos directos sanitarios en neumonía nosocomial fueron más del triple, mientras los costos directos no sanitarios y costos indirectos fueron más del doble al compararlo con el grupo sin infección. Se identificaron variables con mayor impacto en los costos.

  10. Evaluación del conocimiento sobre la prevención de infecciones de vías urinarias a través de técnicas educativas a pacientes mujeres que acuden al servicio de consulta externa - área de ginecología del Hospital IESS del cantón Ambato

    OpenAIRE

    Celi Carrión, Luisa Ivonne

    2016-01-01

    Según Daza (2010), en su trabajo de investigación realizado en el “Hospital Natalia Huerta de Niemes” del cantón Rocafuerte provincia de Manabí titulado “Implementación de un programa preventivo de infecciones de vías urinarias en pacientes que acuden al área ginecológica del “Hospital Natalia Huerta de Niemes” del cantón Rocafuerte”, afirma que “existe una alta incidencia de infecciones de vías urinarias en pacientes que acuden al área ginecológica del “Hospital Natalia Huerta de Niemes” del...

  11. Adesão de pacientes com AIDS ao tratamento com antiretrovirais: dificuldades relatadas e proposição de medidas atenuantes em um hospital escola Adhesión del paciente con SIDA al tratamiento con antiretrovirales: dificultades relatadas y propuesta de medidas atenuantes en un hospital escuela Adherence of AIDS patients to treatment with antiretroviral drugs in a university hospital: difficulties observed and suggestions of interventions

    Directory of Open Access Journals (Sweden)

    Rosely Moralez de Figueiredo

    2001-01-01

    Full Text Available Com finalidade de propor medidas que facilitem a adesão do paciente com AIDS ao tratamento, este trabalho teve como objetivo caracterizar os erros e as principais dificuldades relatadas por 61 pacientes com AIDS atendidos junto ao Hospital de Clínicas da UNICAMP. Os erros mais freqüentes foram referentes às combinações entre as drogas e falta de jejum; as dificuldades relatadas foram: quantidade de medicamentos e reações adversas. As autoras propuseram, a partir destes dados, a utilização de um roteiro ilustrado para realização de orientações relativas aos medicamentos. Espera-se assim que a orientação individualizada possa contribuir para minimizar as falhas da adesão à terapêutica.Con la finalidad de proponer medidas que faciliten la adhesión del paciente con SIDA al tratamiento, este trabajo tuvo como objetivo caracterizar los errores y las principales dificultades relatadas por 61 pacientes con SIDA atendidos en el Hospital Clínicas de la UNICAMP. Los errores más frecuentes estuvieron relacionados con las combinaciones entre las drogas y la falta de ayuno; las dificultades relatadas fueron: Cantidad de medicamentos y reacciones adversas. Las autoras propusieron, a partir de estos datos, la utilización de una guía ilustrada para dar orientaciones relacionadas con los medicamentos. Se espera que la orientación individualizada pueda contribuir para disminuir las fallas en la adhesión al tratamiento.This study aimed at identifying the incidence of drug intake errors and the main therapy-related difficulties among AIDS patients as well as at proposing measures to increase patients' adherence to treatment. Sixty-one patients with AIDS assisted by the University Hospital of São Paulo State University at Campinas were interviewed. The most frequent errors concerned the combinations of drugs and the length of fasting. The difficulties reported were adverse effects and the variety of drugs. Based on these data, the authors

  12. Response of first attack of inflammatory bowel disease requiring hospital admission to steroid therapy Respuesta al tratamiento esteroideo del primer brote de enfermedad inflamatoria intestinal que requiere ingreso hospitalario

    Directory of Open Access Journals (Sweden)

    M. Abu-Suboh Abadía

    2004-08-01

    Full Text Available Introduction: corticoid administration is the usual treatment of Crohn' disease (CD and ulcerative colitis (UC attacks. How-ever, information available on response rates and their predictive factors is scarce. Objective: to establish response to steroidal treatment in an homogeneous group of patients with CD or UC during their first admission to hospital. Methods: restrospective analysis of 86 patients who received systemic steroidal treatment for a severe flare-up during their first hospital admission between 1995 and 2000. Patients were treated per protocol with fluid therapy, absolute diet, IV 6-methyl-prednisolone 1 mg/kg/day, and enoxaparin at prophylactic doses. Clinical response at 30 days was considered good in case of complete remission, and poor in case of partial or absent remission. Univariate and multivariate analyses according to non-parametric statistics were performed for sociodemographic and biologic variables. Results: 45 patients with CD and 41 with UC were included. Good response rates were 64.4% for CD and 60.9% for UC. The univariate analysis showed that patients with good response have shorter evolution times and fewer previous flare-ups (p Introducción: la administración de corticoides constituye el tratamiento habitual de los brotes de enfermedad de Crohn (EC y colitis ulcerosa (CU. Sin embargo, existe poca información sobre las tasas de respuesta y los factores que puedan predecirla. Objetivo: determinar la respuesta al tratamiento esteroideo en un grupo homogéneo de pacientes de EC y CU que ingresan por primera vez en el hospital. Métodos: análisis retrospectivo de 86 pacientes que en su primer ingreso hospitalario recibieron tratamiento esteroideo sistémico por brote grave de EC o CU entre 1995 y 2000. Fueron tratados de forma protocolizada con sueroterapia, dieta absoluta, 6-metil-prednisolona 1 mg/kg/día IV y enoxaparina a dosis profilácticas. Se ha considerado la respuesta clínica a los 30 días como

  13. Información sobre la medicación y adherencia al tratamiento antirretroviral de gran actividad en pacientes con VIH/SIDA de un hospital de Lima, Perú

    Directory of Open Access Journals (Sweden)

    Juana Pacífico

    Full Text Available Objetivos. Determinar la asociación entre la información sobre la medicación y adherencia al tratamiento antirretroviral de gran actividad (TARGA en pacientes con VIH/SIDA de un hospital de Lima, Perú. Materiales y métodos. Estudio de corte transversal analítico. Por medio de entrevistas se aplicó el cuestionario SIMS (Satisfaction with Information about Medicines Scale para medir la satisfacción con la información recibida sobre los medicamentos y el cuestionario SMAQ (Simplified Medication Adherence Questionnaire para determinar la adherencia al TARGA. Mediante revisión de historias clínicas se recogieron datos sociodemográficos y clínicos. Resultados. Se encuestaron 364 pacientes. La satisfacción con la información recibida sobre los medicamentos no estuvo asociada a la adherencia a TARGA (p=0,611. Factores asociados a la satisfacción con la información fueron: sexo femenino (ORa= 0,52; IC 95% 0,30- 0,90; el grado de instrucción superior (ORa=0,45; IC 95% 0,27-0,75 y la edad: ORa= 1,05 (IC 95% 1,02-1,08. Hubo mayor satisfacción con los informes recibidos sobre la acción y uso de los medicamentos frente a la información sobre sus potenciales reacciones adversas (48,9 vs. 43,1%; p=0,0291. Conclusiones. La satisfacción con la información recibida sobre los medicamentos no estuvo asociada a la adherencia a TARGA. La satisfacción con la información recibida sobre el TARGA se incrementa con la edad y es menor en mujeres y el grado de instrucción superior. Hay deseos de mayor información sobre las potenciales reacciones adversas al TARGA.

  14. Análisis de las hemoglobinas glucosiladas de los pacientes diabéticos diagnosticados del 2006 al 2008 en el Hospital Nacional de Niños Glycated Hemoglobin Analysis of Diabetic Patients Diagnosed from 2006 to 2008 at the National Children’s Hospital

    Directory of Open Access Journals (Sweden)

    Karla Morales-Navarro

    2011-06-01

    Full Text Available Objetivo: La hemoglobina glucosilada se ha utilizado como una de las principales herramientas para monitorear el adecuado control de la diabetes. El estudio tiene por objetivo describir los valores de hemoglobina glucosilada de los pacientes diabéticos diagnosticados durante el período 2006-2008, en control en el Hospital Nacional de Niños. Métodos: Estudio observacional descriptivo de 115 pacientes diabéticos en control en el Hospital Nacional Niños, diagnosticados en el período 2006-2008. Se determinó el promedio de los valores de hemoglobina glucosilada al diagnóstico y durante el control, y el porcentaje de cumplimiento de las metas de hemoglobina glucosilada según la Asociación Americana de Diabetes. Para el procesamiento de los datos se utilizó el programa Microsoft Excel 2003. Resultados: De los 115 pacientes, el 79,13% son diabéticos tipo 1, el 16,52% tipo 2 y el 4,35% otros tipos. El promedio de hemoglobina glucosilada durante el control por grupos etarios fue del 7,05% de 0-6 años, del 6,87% de 6-12 años y del 7,04% los mayores de 12 años. Según tipo de diabetes el promedio corresponde a 7,03% para tipo1; 7,04% el tipo 2 y el 6,45% otros. El porcentaje de diabéticos tipo1 que cumplen con la meta de hemoglobina glucosilada, corresponde al 90,00% de 0-6 años, al 90,47% de 6-12 años y al 66,66% los mayores de 12 años; el cumplimiento general es del 85,71%. Conclusión: La diabetes tipo1 continúa siendo la más frecuente en los niños y adolescentes. Sin embargo, la diabetes tipo 2 está en aumento en la población infantojuvenil costarricense. Los pacientes diabéticos en control en el Hospital Nacional de Niños, presentan promedios de hemoglobina glucosilada control acorde con las metas propuestas por la Asociación Americana de Diabetes.Aim: Glycated hemoglobin has been used as one of the main tools to achieve a successful control of diabetes mellitus. This study’s aim is to describe glycated hemoglobin values

  15. Hospitality Industry

    Directory of Open Access Journals (Sweden)

    Marian Ionel

    2017-03-01

    Full Text Available Development of accommodation, as basic services offered to tourists, led to the creation of a genuine hospitality industry. Currently, the hospitality industry is no longer just the accommodation service itself but also requires an atmosphere that ensures leisure tourists in the hotel. Thus, hospitable unit manager offers its service in addition to accommodation and catering services, leisure services, treatment services, business services required.. The existence of factors such as revenue growth, increasing leisure time, the development of transport services, the emergence of new tourist attractions have caused increasing international flows of tourists, with consequent development of units hospitable, and therefore a strong hospitality industry. In Romania, after 1990, the tourism sector experienced a true expansion, both through the development of the hotel sector, but also by developing rural hospitality units.

  16. Norovirus - hospital

    Science.gov (United States)

    Gastroenteritis - norovirus; Colitis - norovirus; Hospital acquired infection - norovirus ... are not treated with antibiotics because antibiotics kill bacteria, not viruses. Receiving plenty of extra fluids through ...

  17. Assistência à criança hospitalizada: reflexões acerca da participação dos pais Asistencia al niño hospitalizado: reflexiones a cerca de la participación de los padres Care to hospitalized children: reflections about parents' participation

    Directory of Open Access Journals (Sweden)

    Regina Aparecida Garcia de Lima

    1999-04-01

    Full Text Available A assistência à criança hospitalizada vem sofrendo transformações significativas e, numa perspectiva mais atual, a estratégia central parece incentivar os pais ou responsáveis a permanecerem com suas crianças durante as internações. O objetivo desta investigação é analisar a participação dos pais no processo de hospitalização de seus filhos. Optamos pela metodologia qualitativa, tendo como referencial teórico-metodológico o Modelo de Organização Tecnológica do Trabalho. A partir da conformação do processo de trabalho assinalamos que trazer a mãe para a enfermaria não é uma questão simples pois implica na reorganização do trabalho em nível teórico e prático. Conceitos como cooperação e parceria estão sendo construídos, entretanto, compartilhar saberes, poderes e espaços, também não se constitui ato simples, decorrente da adesão a um discurso. Implica, sim, em mudanças de valores e atitudes, tanto por parte dos pais como dos profissionais.La asistencia al niño hospitalizado ha sufrido transformaciones significativas y en una perspectiva mas actual, a estrategia central parece incentivar a los padres o personas responsables a que permanezcan con sus niños durante las hospitalizaciones. El objetivo de esta investigación es evaluar la participación de los padres en el proceso de hospitalización de sus hijos. Optamos por la metodologia cualitativa, teniendo como referencial teórico - metodológico el Modelo de Organización Tecnológica del Trabajo. A partir de la conformación del proceso de trabajo encontramos que traer a la madre para la habitación no es una cuestión simple, pues implica una reorganización del trabajo a nível teórico y práctico. Conceptos como cooperación y compañía están siendo construidos, sin embargo, compartir saberes, poderes y espacios no constituye un acto simple, en consecuencia de la adhesión a un discurso. Implica, si, un cambio de valores y actitudes, tanto de

  18. Arquitectura defensiva en el Castro de Castromaior (Lugo. Análisis de las técnicas constructivas en el acceso al recinto central del poblado

    Directory of Open Access Journals (Sweden)

    López Marcos, Miguel Ángel

    2011-12-01

    Full Text Available The analysis of the building techniques of the pre-Roman fort of Castromaior (Lugo is here presented. The archaeological methodology is employed from an analytical point of view by means of the systematic archaeological excavation and in order to obtain a hypothetical reconstruction of one of the access to the village. Stratigraphical analysis and excavation have together revealed enough results to identify different building phases. After a brief description of the site, the results are analysed archaeologically, focusing the attention on the architecture belonging to the demarcation structures. Once analysed the results, a reconstruction of the access area is proposed. This brief work offers a new vision of the pre-Roman forts in the northwestern area of the Iberian Peninsula based on the analysis of the architecture of demarcation.Se presenta un análisis de técnicas constructivas en el castro prerromano de Castromaior (Lugo, donde se utiliza la metodología arqueológica desde un punto de vista analítico, a través de la excavación sistemática, para llegar a una reconstrucción hipotética de uno de los accesos al poblado. La lectura estratigráfica y la excavación han proporcionado suficientes datos para poder diferenciar fases constructivas. Tras una breve presentación del yacimiento se analizarán los resultados a nivel arqueológico, centrando el estudio en la arquitectura de las estructuras de delimitación. Una vez analizados los resultados, se proyecta una reconstrucción de la zona de entrada. Este pequeño estudio presenta una nueva visión de la edilicia castreña en el noroeste peninsular enfocada desde el punto de vista de la arquitectura de delimitación.

  19. Cirques have growth spurts during deglacial and interglacial periods: Evidence from 10Be and 26Al nuclide inventories in the central and eastern Pyrenees

    Science.gov (United States)

    Crest, Y.; Delmas, M.; Braucher, R.; Gunnell, Y.; Calvet, M.

    2017-02-01

    Cirques are emblematic landforms of alpine landscapes. The statistical distribution of cirque-floor elevations is used to infer glacial equilibrium-line altitude, and the age of their frontal moraines for reconstructing glacial chronologies. Very few studies, however, have sought to measure cirque-floor and supraglacial ridgetop bedrock downwearing rates in order to confront these denudation estimates with theoretical models of Quaternary mountain landscape evolution. Here we use 10Be nuclide samples (n = 36) from moraines, bedrock steps, and supraglacial ridgetops among a population of cirques in the east-central Pyrenees in order to quantify denudation in the landscape and detect whether the mountain topography bears any relevance to the glacial buzzsaw hypothesis. Minimum exposure ages (MEAs) obtained for a succession of moraines spanning the Oldest Dryas to the Holocene produced a deglaciation chronology for three different Pyrenean ranges: Maladeta, Bassiès, and Carlit. Based on a series of corrections, calibrations, and chronostratigraphic tuning procedures, MEAs on ice-polished bedrock exposures were further used to model denudation depths at nested timescales during the Würm, the Younger Dryas, and the Holocene. Results show that subglacial cirque-floor denudation was lower during glacial periods (Würm: 10 mm/ka) than during deglacial and interglacial periods (tens to hundreds of mm/ka). The relative inefficiency of glacial denudation in the cirque zone during the Würm would have resulted from (i) cold-based and/or (ii) low-gradient glaciers situated in the upper reaches of the icefield; and/or from (iii) glacier-load starvation because of arrested clast supply from supraglacial rockslopes situated in the permafrost zone. Denudation peaked during the Younger Dryas and Holocene glacial advances, a time when cirque glaciers became steeper, warmer-based, and when frost cracking weakened supraglacial ridgetops, thus enhancing subglacial erosion by providing

  20. Central de regulação de leitos do SUS em Belo Horizonte, Minas Gerais, Brasil: avaliação de seu papel pelo estudo das internações por doenças isquêmicas do coração The hospital bed referral center under the Unified National Health System in Belo Horizonte, Minas Gerais State, Brazil: the case of hospitalization for ischemic heart disease

    Directory of Open Access Journals (Sweden)

    Patrícia Alves Evangelista

    2008-04-01

    Full Text Available A Central de Internações de Belo Horizonte, Minas Gerais, Brasil, visa tornar ágil o acesso às internações pelo Sistema Único de Saúde (SUS. Entretanto, muitas internações ocorrem diretamente nos hospitais, sem intermediação da Central de Internação. O estudo comparou as características das internações realizadas em 2002, com relação à via de acesso. Foram selecionadas internações com hipótese diagnóstica de infarto agudo do miocárdio e insuficiência coronariana aguda. De 3.705 internações, 24,9% foram realizadas pela Central de Internação e 75,1% por via direta. As proporções de internações via direta foram maiores que pela Central de Internação para pacientes > 70 anos, internados por insuficiência coronariana aguda, na clínica cirúrgica e no fim de semana. Os percentuais das internações via Central de Internação foram maiores que os feitos por via direta para residentes em outros municípios, em hospitais não públicos e com utilização de UTI. O número de dias de internação também foi diferente entre as vias. O estudo mostrou diferenças nas características das internações realizadas pelas duas vias de acesso.The hospital admissions center in Belo Horizonte, Minas Gerais State, Brazil, aims to assure fast, timely, and equitable access to hospitalization services through the Unified National Health System. However, many patients are admitted directly to the hospitals, without going through the admissions center. This study compared the characteristics of hospitalizations in Belo Horizonte in 2002 according to type of access. All admissions for acute myocardial infarction and acute coronary disease were included. Of 3,705 admissions, 24.9% were processed through the hospital admissions center and 75.1% through direct access. Direct hospitalizations were more common as compared to processing by the hospital admissions center for patients > 70 years , those with presumptive diagnosis of acute

  1. La cultura del sentimiento en los medios de comunicación de masas: un análisis semiótico de dos noticias del 24 Horas al Día de TVN y 24 Horas Central

    Directory of Open Access Journals (Sweden)

    Jimena Maiz Sáenz-Villarreal

    2013-08-01

    Full Text Available Según la concepción postmoderna, la sociedad debe ser entendida como una estructura compleja, en la que coexisten los contrarios, y en la que, según Maffesoli, se ponen de manifiesto fenómenos que representan el nacimiento de una nueva cultura: la cultura del sentimiento. Con ello se inaugura una forma de solidaridad social que no es contractual, sino que se elabora a partir de un proceso complejo en el que se reflejan distintas pasiones. Por tratarse de una cultura de la representación que se fundamenta en la capacidad de seducir, los medios de comunicación de masas juegan un papel central en su consolidación, lo que determina, en algunos casos, un tratamiento afectivo de ciertas noticias que se orienta hacia la búsqueda preferente de respuestas cordiales o pasionales por parte de los destinatarios. Para demostrar lo señalado, se analizarán, dentro del marco del paradigma de Charles Morris y de la semiótica de las pasiones de Greimas, dos ejemplos seleccionados del noticiario 24 Horas Central y 24 Horas Al Día de TVN.

  2. Assistência humanizada ao neonato prematuro e/ou de baixo peso: implantação do Método Mãe Canguru em Hospital Universitário Asistencia humanizada al recién nacido prematuro y/o de bajo peso: implantación del Método Madre Canguro en el Hospital Universitario Humanized assistence to premature and/or low weigh newborn: implantation of Kangaroo-Mother Method at a University Hospital

    Directory of Open Access Journals (Sweden)

    Fabrícia Adriana Mazzo Neves

    2006-09-01

    Full Text Available Relato de experiência de enfermeiros e equipe multiprofissional no processo de implantação do Método Mãe Canguru no Hospital Universitário, da Universidade Estadual de Maringá, Paraná, em 2002, com os objetivos de: humanizar o cuidado ao recém-nascido prematuro e/ou de baixo peso, aprimorando o suporte familiar; promoção de maior nível de satisfação da equipe assistencial. O bebê fica em contato pele a pele com o peito da mãe, pai ou familiar significativo, com benefícios para seu peso, temperatura, afetividade, aleitamento materno, além da provável redução no tempo de internação e risco de infecção. Capacitada pelo Ministério da Saúde, uma equipe passou à implantação e multiplicação do Método; elaborado um Projeto de Extensão institucional, multiprofissional, como organizador e integrador do ensino à assistência. Dificuldades encontradas foram em relação à associação entre tecnologia, relacionamento interpessoal e entre as diversas áreas, cuidado humano e participação familiar.Se trata del relato de experiencia de enfermeros y grupo multiprofesional en el proceso de implantación del Método Madre Canguro en el Hospital Universitario, de la Universidad Estatal de Maringá, Paraná, en el 2002, con los objetivos de: humanizar el cuidado al recién nacido prematuro o bajo peso, mejorando el soporte familiar, promoción de mayor nivel de satisfacción del grupo asistencial. El bebé permanece en contacto piel a piel con el pecho de la madre, padre o familiar significativo, con beneficios para el peso, temperatura, afecto, amamantamiento, además de la probable reducción en el tiempo de internamiento y riesgos de infección. Capacitado por el Ministerio de Salud, un grupo pasó a la implantación y multiplicación del Método; elaborado un Proyecto de Extensión institucional multiprofesional como organizador e integrador de la enseñanza y asistencia. Fueron encontradas dificultades en relación a la

  3. Expectativas de gerentes e assessores de enfermagem quanto ao estilo gerencial do diretor executivo de um hospital de ensino Expectativas de gerentes y asesores de enfermería referente al estilo gerencial del director eyecutivo de un hospital escuela The managerial style of an executive director of a university hospital: perceptions and expectations of nursing managers and assistants

    OpenAIRE

    Lúcia Marinilza Beccaria; Neide Fávero

    2000-01-01

    Este estudo focalizou as expectativas de 13 enfermeiros de um hospital de ensino, quanto ao estilo gerencial do diretor executivo. Utilizou-se o Grid Gerencial de BLAKE & MOUTON (1987), como referencial teórico e aplicou-se um questionário baseado no Instrumento Grid & Liderança em enfermagem, de TREVIZAN (1993). Os resultados evidenciaram que o estilo mais esperado corresponde, no Grid Gerencial, à "gerência em equipe", ou 9.9. O segundo estilo desejado foi a "gerência do homem organizaciona...

  4. Propuesta para la recuperación de los machetes Zuazaga de los centrales azucareros con electrodos de acero al cromo. // Proposal for Recuperation of Sugar Mill Cut Cane by Using Chromium Steel Electrodes.

    Directory of Open Access Journals (Sweden)

    R. Collazo-Carceller

    2009-09-01

    Full Text Available El trabajo resume el estudio y análisis desarrollado, para la presentación de una propuestatecnológica de recuperación de los machetes Zuazaga, en nuestros centrales azucareros. Sedeterminó la influencia de los parámetros, energía introducida (Hi, número de capas (Nc y anchodel depósito (Ad, en la morfología y el incremento de la resistencia al desgaste abrasivo, utilizandoel electrodo de acero al cromo DUR 600. Se realizó una valoración económica de la propuestatecnológica.Palabras claves: morfología, desgaste abrasivo, parámetro de soldadura, dendrites._____________________________________________________________________________AbstractThis work, sumarises the study and the analisys developed, to prupose the Zuazaga cut canethecnology recuperation, in aur sugar mills. The parameters influency was determinated, Heatinput (Hi, Number of layers (Nc and the Cord whith (Ad, in the mofology and the abrasive wearresistance increase, using the cromiun steel UTP DUR - 600. The economical calculation of thethecnology was done.Key words: morphology abrasive wear, welding parameters. dendrites, modeling

  5. Hospital Princesa Margarita

    Directory of Open Access Journals (Sweden)

    Powell y Moya, Aquitectos

    1961-04-01

    Full Text Available El amplio programa desarrollado en este grande e importante Centro sanitario, abarcó tres fases de construcción, al final de las cuales se consiguió el Hospital General, capaz para 600 camas. En la primera parte se construyeron los siguientes departamentos: Enfermos del exterior, Accidentes, Medicina Física, Patología, Rayos X, y el primero de los cuatro núcleos quirúrgicos.

  6. Aspectos ergonômicos na transferência de pacientes: um estudo realizado com trabalhadores de uma central de transportes de um hospital universitário Aspectos ergonómicos en la transferencia de enfermos: un estudio hecho com trabajadores de una central de transportes de un hospital universitário The transfer of patients and its ergonomic aspects: a study conducted at a university hospital lifting center

    Directory of Open Access Journals (Sweden)

    Cristiane Gonzales Rossi

    2001-09-01

    Full Text Available Com o objetivo de avaliar aspectos ergonômicos na transferência de pacientes com a utilização de maca e cadeira de rodas, observou-se 249 transferências realizadas por trabalhadores da Seção de Escolta de um Hospital Universitário. Os resultados sugerem que a existência dessa equipe é uma iniciativa que deve ser estimulada mas que esses trabalhadores precisam de treinamento específico sobre movimentação e transporte de pacientes e de terem à disposição materiais auxiliares e equipamentos mecânicos.Com el objetivo de avaliar aspectos ergonómicos de transferencia de enfermos com utilización de maca y silla de ruedas, observarán se 249 transferencias realizadas por trabajadores de la Sección de Escolta (Acompañamiento de un Hospital Universitário. Los resultados sugerem que la existencia desse equipo es una iniciativa que debrá ser estimulada. Pero esos trabajadores necessitan entrenamiento especifico sobre mobilizacion y transporte de enfermos e necessitam tener a disposicion materiales auxiliares y equipamentos mecânicos.The purpose of this study was to evaluate ergonomic aspects involved in using a stretcher and a wheel chair to transfer patients. 249 transfers carried out by the workers of a university hospital lifting sector were observed. The observations showed that the idea of having a team to transfer patients has to be stimulated but the members of the team require specific training in handling and transferring patients. Mechanical equipment and other devices should also be available.

  7. Acesso ao serviço de emergência pelos usuários com crise hipertensiva em um hospital de Fortaleza, CE, Brasil Aceso al servicio de urgencia por clientes con crisis de presión alta en un hospital de Fortaleza, CE, Brasil Access to the emergency service by clients with hipertensive crisis in a hospital in Fortaleza, CE, Brazil

    OpenAIRE

    Ana Célia Caetano de Souza; Thereza Maria Magalhães Moreira; Maria Rocineide Ferreira da Silva; Paulo César de Almeida

    2009-01-01

    A crise hipertensiva é uma elevação abrupta e sintomática da pressão arterial com risco de deterioração aguda de órgãos-alvo. Embora na literatura a prevalência do agravo seja de 1%, os riscos de complicações e de morte associadas ao problema de saúde nos serviços de emergência têm revelado a necessidade de aprofundar questões relacionadas ao acesso ao serviço de saúde. Trata-se de uma pesquisa de natureza quantitativa, descritiva, realizada em um hospital público do município de Fortaleza, n...

  8. Conocimiento sobre melanoma y prácticas de protección frente al sol en pacientes del Hospital Cullen de Santa Fe, Argentina Knowledge of melanoma and sun-protective practices in patients at José M. Cullen Hospital of Santa Fe, Argentine

    Directory of Open Access Journals (Sweden)

    A Loza

    2011-09-01

    Full Text Available Introducción. Melanoma es un cáncer de piel de mortalidad alta, cuya incidencia ha aumentado mundialmente en los últimos años. El siguiente estudio está destinado a detectar el conocimiento de la población sobre melanoma y las medidas de protección frente a la radiación UV (RUV, considerando que las dos terceras partes de los casos de melanoma se asocian al sol. Objetivo general. Detectar el conocimiento sobre melanoma y las prácticas de protección solar, en pacientes que consultan en el Servicio de Dermatología e internados en Clínica Médica del Hospital José M. Cullen. Materiales y métodos. Estudio observacional, prospectivo, longitudinal y descriptivo. La población abarcó 275 pacientes, entre 16 y 85 años, voluntarios del consultorio de Dermatología e internados en Clínica Médica del Hospital José M. Cullen. Mediante el programa Statistical Package for the Social Sciences 15.0, se realizó un análisis descriptivo y la prueba de Chi cuadrado, para determinar asociación estadística, entre variables cualitativas con significancia de pBackground. Melanoma is one of the deadliest forms of skin cancer, showing an increasing incidence worldwide over the past years. The aim of this study was to assess people's knowledge about melanoma, and their protective measures against UV radiation, considering that two-thirds of melanoma cases are associated to sun exposure. General objective. To assess the knowledge about melanoma and the sun protective practices in patients who attended the Department of Dermatology and in those admitted to the General Internal Medicine Unit of José M. Cullen Hospital. Material and methods. It was an observational, prospective, longitudinal, descriptive study. A sample of 275 participants aged between 16-85 years was included, composed of voluntary patients from the Department of Dermatology and inpatients from the General Internal Medicine Unit of José M. Cullen Hospital. The Statistical Package for

  9. Hospital Inspections

    Data.gov (United States)

    U.S. Department of Health & Human Services — Welcome to hospitalinspections.org, a website run by the Association of Health Care Journalists (AHCJ) that aims to make federal hospital inspection reports easier...

  10. Facility management in German hospitals.

    Science.gov (United States)

    Gudat, H

    2000-04-01

    Facility management and optimum building management offer for hospitals a chance to reduce costs and to increase quality, process sequences, employee motivation and customer satisfaction. Some years ago simple services such as cleaning, catering or laundry were outsourced. Now, German hospitals progress to more complex fields such as building and medical technology, clinical support processes such as pharmacy, central laboratory and sterilization, goods and logistics services.

  11. Hospital marketing.

    Science.gov (United States)

    Carter, Tony

    2003-01-01

    This article looks at a prescribed academic framework for various criteria that serve as a checklist for marketing performance that can be applied to hospital marketing organizations. These guidelines are drawn from some of Dr. Noel Capon of Columbia University's book Marketing Management in the 21st Century and applied to actual practices of hospital marketing organizations. In many ways this checklist can act as a "marketing" balanced scorecard to verify performance effectiveness and develop opportunities for innovation.

  12. Clinical characteristics and medical costs of diabetics with amputation at central urban hospitals in China%中国城市医院糖尿病截肢的临床特点及医疗费用分析

    Institute of Scientific and Technical Information of China (English)

    王爱红; 许樟荣; 纪立农

    2012-01-01

    Objective To explore the clinical characteristics,medical costs and its influencing factors in diabetics with amputation.Methods The data of diabetic amputation for the whole year of 2010 at 39 central municipal Class 3A hospitals all across China were retrospectively analyzed according to a unified protocol,including demographic characteristics, diabetic complications, classification of diabetic foot disease,level and prognosis of amputation and medical costs at hospitals.Results Among them,28.2 % of all amputated patients or 39.5% of non-traumatic patients were diabetics.There were 313 males and 162 females.The average age and duration of diabetes were (66 ± 12) years and ( 130 ±94) months.The level of HbA1c was 8.9% ± 2.4%. Among all amputated diabetics,the concurrent conditions included neuropathy ( 50.1% ),peripheral artery disease ( 74.8% ),nephropathy ( 28.4% ) and retinopathy (25.9%).The patients with foot ulcer at Wagner 4 (50.3% ) were more common.Among them,67.5% had minor amputation with a median hospitalization stay of 33.0 (24.0 -45.O)days and a medical cost of 26 138( 16 155 - 46 021 ) yuan RMB. The duration of diabetes,diabetic complications,severity and location of ulcers and amputation level influenced their hospitalization durations and medical costs.Conclusion The patients with diabetes and amputation are elder with more chronic diabetic complications and uncontrolled hyperglycemia. Most of them have complications of local gangrene and require minor amputation at admission.Their hospital stays are longer and medical costs higher significantly correlated with diabetic complications,severity and location of foot ulcers and level of amputations.%目的 调查中国城市医院糖尿病截肢率、分析糖尿病截肢的临床特点、医疗费用及其影响因素.方法 对全国39家三甲医院2010年全年糖尿病截肢患者进行回顾性地调查,分析内容包括人口学特征、糖尿病并发症、糖尿病足

  13. Reseña Bibliográfica: Bastías, C. (et. al. 2011, Mujeres de la Vega. Género, memoria y trabajo en la Vega Central de Santiago. Chile Santiago, Salesianos Impresores S.A.

    Directory of Open Access Journals (Sweden)

    Eloísa Maldonado

    2014-01-01

    Full Text Available Una sugerente portada, que representa la gráfica y los colores de los carteles que habitualmente ofrecen los productos agrícolas, nos invita a entrar al mun­do de la Vega, uno de los mercados más importantes de Santiago. “Mujeres de la Vega. Género, memoria y trabajo en la Vega Central de Santiago” es el libro donde se dan a conocer los resultados de una investigación realizada entre agosto de 2010 y enero de 2011, financiada por el Consejo Nacional de la Cul­tura y las Artes, a través del Fondart Regional 2010. Sus autoras, Carolina Bastías, Licenciada en Historia de la Universidad Finis Terrae, Consuelo Hayden, Profesora de Historia y Ciencias Sociales de la Uni­versidad de Valparaíso y Magister (c en Estudios Latinoamericanos de la Uni­versidad de Chile, y Daniela Ibáñez, Antropóloga Social de la Universidad Aca­demia de Humanismo Cristiano y Magister (c en Estudios Latinoamericanos de la Universidad de Chile, se propusieron en esta investigación “dar a conocer, valorar y divulgar las prácticas que despliegan las mujeres de la Vega Central a partir de su trabajo en este espacio, con un énfasis especial en la dimensión de la memoria.”(Bastías, et. al, 2011, p.11 Se trata también de un esfuerzo por visibilizar su trabajo y aportar en la desmitificación que muchas veces instalan los medios de comunicación, de este mercado como un espacio masculino, de camiones, de carga y descarga de productos. Para esto no sólo profundizaron en un análisis sobre el trabajo femenino, sino también buscaron sus antecedentes en los orígenes mismos de La Vega como espacio de comercio y en la intimidad de la vida de once de sus trabajadoras, que revelaron en entrevistas en profundidad, sus historias, sus rutinas y sus ilusiones.

  14. Acciones educativas dirigidas al personal médico y de enfermería para disminuir las infecciones del tracto sanguíneo relacionadas a catéteres venosos centrales

    Directory of Open Access Journals (Sweden)

    Milena Villegas Sánchez

    2014-10-01

    Full Text Available Introducción. La bacteriemia relacionada a Catéter Venoso  Central  es una de las principales complicaciones en los pacientes a quienes se les instala un catéter intravascular. Las acciones educativas han mostrado disminución en la tasa de estas infecciones en diferentes estudios.  El objetivo fue determinar la tasa de Infecciones del tracto sanguíneo relacionadas al catéter venoso central (ITS/CVC, en el Servicio de Cuidado Intensivo Neonatal, implementar las acciones preventivas y cuantificar el impacto.Metodología. Es un estudio descriptivo en donde se compara la tasa de ITS/CVC, antes y después de una intervención educativa, en  los pacientes ingresados a SECIN.  La tasa de ITS/CVC  se obtuvo dividiendo el número de éstas entre el número de días-catéter y se multiplicó por 1 000.Resultado. Un resultado relevante es que en el periodo  pre intervención se observa una  tasa  de 32,84 infecciones por 1 000 días (cuarto trimestre del 2012 y primer trimestre del 2013  y en el periodo post intervención la tasa fue de 8,28 infecciones por 1 000 días. (Tercer trimestre y cuarto trimestre del 2013.Conclusión. Se concluye que las acciones educativas para disminuir la tasa de ITS/CVC fueron efectivas.

  15. Designing a modern hospital pharmacy.

    Science.gov (United States)

    Kay, B G; Boyar, R L; Raspante, P S

    1986-02-01

    Cooperation between the pharmacy director and the hospital's architects in planning a modern hospital pharmacy is described. The pharmacy director at an 870-bed voluntary nonprofit institution and the hospital's architects planned the design for a new 3250-square foot pharmacy department. They developed a preliminary floor plan based on the following functions that the pharmacy would perform: centralized unit dose drug distribution; compounding; bulk and unit dose prepackaging; preparation of sterile products; controlled substance storage; outpatient and employee prescription dispensing; reserve stock storage; purchasing, receiving, and inventory control; drug information services; and administrative services. A final floor plan was designed that incorporated these functions with structural and utility requirements, such as placement of the computer system and dispensing and lighting fixtures. By integrating modern material management concepts with contemporary hospital pharmacy practice, the pharmacy director and the hospital's architects were able to plan and construct a pharmacy that receives, processes, and dispenses medication efficiently.

  16. Comentarios al Salto Social

    Directory of Open Access Journals (Sweden)

    Facultad de Ciencias Económicas

    1995-06-01

    Full Text Available 1. El Plan considera que la política social es un componente central de la estrategia macroeconómica. A diferencia de la administración Gaviria, lo social ha dejado de ser un asunto marginal, es consustancial al desarrollo y, por tanto, se le confiere una dimensión cualitativamente diferente.

  17. Adesão ao tratamento e hospitalizações entre pacientes que realizam aplicações de Flufenazina Depot Adhesión al tratamiento y hospitalización entre pacientes que realizan aplicaciones de Flufenazina Depot Compliance with treatment and hospitalization among patients using Flufenazine Depot

    Directory of Open Access Journals (Sweden)

    José Menna Oliveira

    2003-08-01

    Full Text Available OBJETIVOS: Os autores revisam a bibliografia sobre medicação depot e apresentam dados referentes à adesão ao tratamento e hospitalizações entre os pacientes que realizam aplicações de enantato de flufenazina em regime ambulatorial no Hospital Espírita de Pelotas. MÉTODO: Analisaram-se os prontuários de pacientes que foram incluídos no regime depot anteriormente a maio de 2001 e que realizaram pelo menos uma aplicação entre maio de 2001 e junho de 2002, quanto à adesão ao tratamento e eventuais hospitalizações. RESULTADOS: De um total de 100 pacientes, 66 permaneciam em regime depot ao término do período estudado. Destes, 40 (61% apresentavam boa adesão ao tratamento, enquanto 26 (39% apresentavam má adesão. Houve um total de 25 pacientes que sofreram hospitalizações, entre os quais a maioria não estava em tratamento no término do estudo ou apresentava má adesão. Entre os pacientes procedentes do mesmo bairro em que se situa o hospital, 10 (67% apresentavam boa adesão em comparação com 30 pacientes (59% procedentes de bairros distintos. DISCUSSÃO: O número de hospitalizações variou visivelmente, conforme a permanência ou não em tratamento e a adesão ao mesmo. Pacientes provenientes de bairros distantes do hospital tenderam a apresentar pior adesão ao tratamento. CONCLUSÕES: É possível que pacientes em regime de aplicação depot residentes próximos ao local de aplicação beneficiem-se mais do tratamento que aqueles residentes em locais distantes. São necessários mais estudos comparando administrações depot com VO em termos de adesão e investigando fatores preditores de boa adesão ao tratamento.OBJETIVOS: Los autores revisan la bibliografía sobre medicación depot y presentan datos referentes a la adhesión al tratamiento y hospitalizaciones entre los pacientes que realizan aplicaciones de enantato de flufenazina en régimen ambulatorio en el Hospital Espiritista de Pelotas. MÉTODO: Fueron

  18. Estado de la provisión de cuidados nutricionales al paciente quemado: Auditoría de procesos en un Servicio de Quemados de un hospital terciario Current status of nutritional care provision to burnt patients: Processes audit of a burnt patients department from a tertiary hospital

    Directory of Open Access Journals (Sweden)

    L. M. Miquet Romero

    2008-08-01

    Full Text Available Justificación: La respuesta al tratamiento médico-quirúrgico del paciente quemado pudiera depender tanto de los estragos provocados por la agresión térmica, a saber las demandas metabólicas incrementadas, la aparición del Síndrome de Respuesta Inflamatoria Sistémica, y las infecciones microbianas; como de las prácticas culturales incluidas dentro de los procesos institucionales de cuidados nutricionales. Objetivo: Evaluar cómo la conducción de los procesos nutricionales de evaluación e intervención influye sobre los indicadores de la efectividad terapéutica de los Servicios de Quemados. Serie de estudio: Cuarenta y dos pacientes atendidos con una superficie corporal quemada (SCQ > 10%, entre enero del 2001-diciembre del 2003, en el Servicio de Quemados del Hospital Clínico Quirúrgico "Hermanos Ameijeiras" (Ciudad La Habana, Cuba. Métodos: Los procesos nutricionales de evaluación e intervención conducidos en el paciente quemado se auditaron mediante revisión de las historias clínicas. Los procesos auditados se declararon como Completados (o no. El grado de completamiento del proceso se relacionó con las tasas de complicaciones y mortalidad, y el índice de hospitalización predicho de la SCQ. Resultados: Los procesos nutricionales de evaluación e intervención se completaron en el 49,4% y 22,6% de las historias auditadas, respectivamente. El registro evolutivo del peso corporal se asoció con una menor mortalidad. La evaluación nutricional temprana y un aporte energético suficiente en lesionados con SCQ > 20% se asociaron con menores tasas de complicaciones y un mejor cumplimiento del índice de hospitalización. Conclusiones: Este trabajo constituye la primera aproximación al comportamiento del Servicio de Quemados de la institución, como antesala del diseño e implementación de un programa de mejoría continua de la calidad en la atención médica. Se pudo comprobar que, a pesar del estado actual de completamiento

  19. Representações de adoecimento e cura de pacientes do Centro de Dependência Química do Hospital Central da Marinha Representations on patient illness and cure at the Chemical Dependency Center of the Central Navy Hospital

    Directory of Open Access Journals (Sweden)

    Elizabeth Espindola Halpern

    2012-04-01

    Full Text Available Este artigo apresenta um dos segmentos de uma pesquisa etnográfica feita ao longo de dois anos, por meio da observação participante, no Centro de Dependência Química (CEDEQ da Marinha do Brasil (MB. Pacientes de dois grupos terapêuticos foram observados durante 24 sessões de grupoterapia. Entrevistas individuais após as sessões ocorreram com 13 pacientes escolhidos aleatoriamente dentre os 22 militares dos dois grupos. Objetivou-se examinar suas representações de adoecimento e cura relacionadas aos seus diagnósticos de transtorno mental e comportamental devido ao uso de drogas, além de investigar a influência do ambiente de trabalho no envolvimento dos pacientes com drogas, em particular com o álcool. Resultados apontam que os pacientes passam a crer que são os principais responsáveis pelo seu adoecimento e alcance da sobriedade, e que nunca serão curados. Todavia, eles nem sempre aderem ao discurso médico vigente e à visão dos Alcoólicos Anônimos de que são doentes alcoólicos em recuperação, construindo percepções sobre seus diagnósticos, prognósticos e tratamentos. Concluiu-se que traços culturais peculiares à vida naval indicam que as categorias analisadas são, sobretudo, sociais e que certas condições laborativas colaboram para a emergência do alcoolismo de muitos pacientes, apesar do uso de drogas geralmente ser abordado pelo viés administrativo.This article presents one of the segments of ethnographic research which was conducted over a two-year period, by means of participant observation, at the Chemical Dependency Center of the Brazilian Navy. Patients of 2 treatment groups were observed during 24 sessions of group therapy. Among the 22 existing patients of the two groups, 13 patients were randomly selected for individual interviews. Their illness and healing representations related to mental and behavioral disorders caused by drugs were examined, and also the influence of the work environment on

  20. Drug resistance analysis of Streptococcus pneumoniae isolated from paediatric patients hospitalized for community-acquired pneumonia in Xiangtan central hospital%湘潭市中心医院社区获得性肺炎住院患儿肺炎链球菌的耐药性研究

    Institute of Scientific and Technical Information of China (English)

    龚晓辉; 唐曼娟; 谭菊香

    2012-01-01

    Objective To investigate the drug resistance of Streptococus pneumoniae (SP) isolated from paediatric patients hospitalized for community-acquired pneumonia in Xiangtan central hospital. Methods A total of 115 SP strains isolated from children in hospital from 2010 to 2011 were analyzed. Bacterial susceptibility test was carried out by using Kirby-Bauer and E-test metods. Results The resistance rates of SP against penicillin, erythromycin, clindamycin, levofloxacin, ceftriaxone, vancomycin, linezolid and sulfamethoxazole-trimethoprim were 6.1%, 95.6%, 94.8%, 1.7%, 6.9%, 0%, 0% and 73.9% respectively. Conclusion The susceptible rate of SP to erythromycin and clindamycin is extremely low, but it is very high to penicillin and ceftriaxone.%目的 了解湘潭市中心医院因社区获得性肺炎住院的患儿肺炎链球菌(SP)的耐药情况.方法 对本院2010-2011年住院患儿分离的115株SP进行分析,采用K-B纸片琼脂扩散法及浓度梯度法(E测试)检测SP对青霉素、头孢曲松、红霉素、克林霉素、左氧氟沙星、万古霉素、利奈唑胺、复方磺胺甲噁唑的耐药性.结果 115株SP中青霉素敏感肺炎链球菌(PSSP)占86.1%,青霉素中介肺炎链球菌(PISP)占7.8%,青霉素耐药肺炎链球菌(PRSP)占6.1%.SP对红霉素、克林霉素及复方磺胺甲噁唑的耐药率分别为95.6%、94.8%和73.9%,左氧氟沙星的耐药率为1.7%,头孢曲松的耐药率为6.9%,未发现对万古霉素及利奈唑胺耐药的SP菌株.结论 本院分离的SP对儿科常用抗生素青霉素及头孢曲松钠仍高度敏感,但对大环内酯类抗生素红霉素、林可酰胺类抗生素克林霉素耐药情况严重.

  1. A Computerized Hospital Patient Information Management System

    Science.gov (United States)

    Wig, Eldon D.

    1982-01-01

    The information processing needs of a hospital are many, with varying degrees of complexity. The prime concern in providing an integrated hospital information management system lies in the ability to process the data relating to the single entity for which every hospital functions - the patient. This paper examines the PRIMIS computer system developed to accommodate hospital needs with respect to a central patient registry, inpatients (i.e., Admission/Transfer/Discharge), and out-patients. Finally, the potential for expansion to permit the incorporation of more hospital functions within PRIMIS is examined.

  2. Auditoría de gestión al área de gestión hotelera del hospital provincial general docente riobamba, período 2013. Propuesta alternativa

    OpenAIRE

    2015-01-01

    The theme; Auditing the area of Hotel Management of Provincial General Hospital of Riobamba, 2013 period. Alternative proposal. It responds to the need of establishing how the processes are performed in the area of Hotel Management. The purpose of this research was to conduct the audit of the Hotel Management Area of Provincial General Hospital Riobamba, 2013 period to measure the effectiveness and efficiency in the implement processes, for their achievement I worked in three specific obje...

  3. 驻海岛中心医院体系部队健康促进工作做法%Health Promotion Measures of Army Served by Central Hospital Located in Island

    Institute of Scientific and Technical Information of China (English)

    蔡宏伟; 谭小云; 朱长发

    2015-01-01

    建院以来,医院始终立足院区医疗拓展院外服务,方式从巡诊、邮路、电话服务向网络、培训、代职服务转变,有力推动体系部队健康促进工作开展。通过巡诊服务送健康、院内服务给健康、网络互动教健康、院队合作强健康四方面分析,总结医院在体系部队健康促进工作中的做法,提出加强组织领导、开展院队协同、强化人才培训的建议,为进一步做好部队健康促进提供有益的经验方法。%Since hospital establishing, our hospital has always been based on medical school in hospital ar-ea to expand services outside the hospital.Our service mode converts from rounds, postman, telephone service to the network, training and vocational help services.Hospital practiced effectively promotes system health promotion work carried troops.The article summarized the hospital practice in health promotion from itinerant service delivery health, hospital services for health, health education network interaction, teamwork and strong health hospital.We proposed to strengthen the organization and leadership, carried out the hospital team collaboration, strengthened personnel training advice, and provided useful empirical method for further improving health promotion.

  4. Central Dogma Goes Digital.

    Science.gov (United States)

    Lin, Yihan; Elowitz, Michael B

    2016-03-17

    In this issue of Molecular Cell, Tay and colleagues (Albayrak et al., 2016) describe a new technique to digitally quantify the numbers of protein and mRNA in the same mammalian cell, providing a new way to look at the central dogma of molecular biology.

  5. Channeling the Central Dogma.

    Science.gov (United States)

    Calabrese, Ronald L

    2014-05-21

    How do neurons and networks achieve their characteristic electrical activity, regulate this activity homeostatically, and yet show population variability in expression? In this issue of Neuron, O'Leary et al. (2014) address some of these thorny questions in this theoretical analysis that starts with the Central Dogma.

  6. Especialización y concentración espacial de barrios comerciales: evidencias en base al caso de la comuna de Santiago./ Specialization and spatial concentration of commercial neighborhoods: evidence based on the Santiago central area case study

    Directory of Open Access Journals (Sweden)

    Carlos Sandoval

    2013-12-01

    Full Text Available El objetivo del trabajo es analizar y comprender las causas y dinámicas de la especialización de los barrios comerciales de la comuna de Santiago, asumiendo la pregunta: ¿Por qué y cómo, algunos barrios comerciales de la comuna de Santiago se especializan en la venta de ciertos bienes y/o servicios, concentrando su oferta con un patrón espacial definido, siendo que su localización podría presentarse diversificada sectorialmente y/o diseminada dentro de la ciudad? La investigación utiliza un conjunto de métodos cuantitativos y cualitativos, para proponer una metodología de análisis de la actividad comercial, considerando su nivel de especialización y arreglo espacial, al mismo tiempo que se identifican un conjunto de barrios concentrados, los cuales que se presentan en dos formas específicas: de manera polarizada (caso de los barrios Brasil y Diez de Julio y como un sistema de barrios especializados (casos de los barrios de San Diego en sus segmentos de libros, bicicletas y de cueros y calzados. La principal contribución de la investigación, es la aplicación de una metodología de identificación de barrios que permite proponer un conjunto de causas posibles para explicar el origen de la especialización comercial al interior de la ciudad./ This article focuses on analyzing the Santiago district, in order to understanding the causes specialization of commercial neighborhoods and their dynamics, by addressing the following question: Why and how does commercial specialization occur in some neighborhoods of the Central Santiago district, concentrating their in a defined spatial pattern, instead of spreading through the urban fabric?Qualitative and quantitative methods are used to develop an in depth analysis of commercial activities, taking into consideration their specialization level and spatial arrangement. Through this study, a series of specialized commercial neighborhoods where identified and classified, revealing two specific

  7. Humanização: representações sociais do hospital pediátrico Humanización: representaciones sociales del hospital pediátrico Humanization: social representations of the pediatric hospital

    Directory of Open Access Journals (Sweden)

    Carla Bergan

    2009-12-01

    Full Text Available Este trabalho visa investigar os aspectos da arquitetura e ambiente construído no processo de humanização do hospital pediátrico e sua influência na recuperação da criança hospitalizada. Baseando-se na Teoria das Representações Sociais, procedeu-se à análise estrutural, utilizando associação livre de palavras e questionários semi-estruturados na coleta de dados. O estudo foi realizado em um hospital público do Rio de Janeiro e os resultados apresentados referem-se às representações produzidas por 75 acompanhantes dos pacientes. No núcleo central da representação aparece o elemento "atendimento", enquanto "reforma", "medicamentos", "organização" e "carinho" aparecem no sistema periférico. A humanização para estes sujeitos parece estar fortemente ligada ao direito à saúde e acesso aos serviços. Porém, aspectos que modalizam a qualidade do atendimento, e que têm sido arrolados como humanização, não são negligenciados. Os resultados permitem estabelecer recomendações para o aprimoramento dos programas arquitetônicos para o hospital contemporâneo e para a qualidade do serviço.Este trabajo visa investigar los aspectos de la arquitectura y ambiente construido en el proceso de humanización del hospital pediátrico y su influencia en la recuperación de niños hospitalizados. Embasado en la Teoría de las Representaciones Sociales se procedió al análisis estructural, utilizando libre asociación de palabras y cuestionarios semi-estructurados en la recolección de datos. El estudio fue realizado en un hospital público en Rio de Janeiro, Brasil, y los resultados presentados se refieren a las representaciones producidas por 75 acompañantes de niños hospitalizados. El núcleo central aparece compuesto por "atendimiento", mientras que los elementos "reforma", "remedios", "organización" y "afecto" aparecen como sistema periférico. Para este grupo la humanización parece estar fuertemente ligada al derecho a la

  8. [Hospital structure and control measures].

    Science.gov (United States)

    Gürkan, I

    1995-01-01

    A new legislation concerning financial matters of hospitals in Germany requires fundamental changes and adjustment. Formerly grown structures of a high-grade centralization erode into a process of change. Despite hospitals will maintain their non-profit character in public health services, modifications of medical care processes will promote elements of cost-centres. All medical care units as well as hospital management are confronted with rising requirements concerning performance and transparency. Increasingly patients and social health insurances behave like self-confident customers not willing to accept rising costs. Public health services loose their character of a planned economy. Hospitals with features of health-entrepreneurship are on the incline. A process of quality-planning and efficient management has been evoqued.

  9. Características clínicas y epidemiológicas de las pacientes sometidas a hsiterectomía abdominal total en el Hospital carlos Lanfranco, 2005 al 2010

    OpenAIRE

    Toledo Mariño, Gastby

    2011-01-01

     BJETIVODeterminar las características clínicas y epidemiológicas de las pacientes sometidas a histerectomía abdominal total en el hospital Carlos Lanfranco.MATERIAL Y MÉTODOSe incluyeron 275 pacientes sometidas a histerectomía abdominal total durante el periodo Enero 2005  a Diciembre 2010,  del Servicio de Ginecología, del Hospital Carlos Lanfranco  La Hoz de Puente Piedra. Se hizo una búsqueda sistematizada de las historias clínicas y llenado de una ficha de recolección de datos convenient...

  10. Pursuing Centralization amidst Decentralization: The Politics of Brazil’s Innovative Response to HIV/AIDS Centralizando en un contexto de descentralización: La política de la innovadora respuesta de Brasil al SIDA

    Directory of Open Access Journals (Sweden)

    Eduardo Jesus Gómez

    2011-01-01

    Full Text Available In recent years, Brazil has been highly revered for its response to HIV/AIDS. Despite the government’s delayed response, why and how did the national AIDS program eventually become so successful? This is even further puzzling when one considers the challenges associated with Brazil’s decentralized response to healthcare needs, lack of subnational resources and political will to effectively implement AIDS policy. This article maintains that Brazil’s successful response eventually required the strategic centralization of national AIDS bureaucratic and policy authority, entailing policies designed to aid local governments while creating fiscal policies incentivizing sub-national compliance with the national bureaucracy and more effective policy implementation. Taking advantage of renewed political support, kindled by international pressures and the president’s reputation-building pursuits, the sources of AIDS officials’ success, however, resided not in their technical and financial prowess, but in their ability to forge historically-based partnerships with civic AIDS NGOs and social movements sharing like-minded ideational beliefs in policy centralization. This article also discusses how these findings contribute new insights into theories addressing the reasons for centralization, as well as the ideational sources of gradual institutional change.En los últimos años, Brasil ha sido muy reconocida por su respuesta al SIDA. A pesar del retraso en la respuesta del gobierno, ¿por qué y cómo el programa nacional del SIDA ha resultado tan exitoso? Esto es aún más sorprendente si tenemos en cuenta los desafíos asociados con la respuesta descentralizada de Brasil a las necesidades de atención médica, la falta de recursos subnacionales y la voluntad política para aplicar eficazmente la política de SIDA. En este artículo se sostiene que el éxito de la respuesta de Brasil se basa en la centralización estratégica de los programas

  11. Análisis de la repelencia al agua en una pequeña cuenca hidrográfica afectada por fuego controlado en el área montañosa central de Portugal

    Directory of Open Access Journals (Sweden)

    Ceballos, A.

    1999-12-01

    Full Text Available In this work it is described and analyzed the water repellency observed in a small catchment subject to prescribed burning and located in mountainous central part of Portugal. As well, a discussion about the methodologies usually used to measure the soil hydrophobocity, the replicability between field and laboratory data is established. The results show the little influence in soil physical parameters and organic matter content of prescribed burning and indicate a close relationship between spatial distribution of Erica sp. and water repellency. The replicability between soil hydrophobocity data from the field and laboratory is limited; nevertheless, a high level of correspondence exists between Molarity of an Ethanol Droplet and Water Drop Penetration Time data in the laboratory.

    [es] - En el presente trabajo se describe y analiza la repelencia al agua detectada en una pequeña cuenca hidrográfica afectada por fuego controlado en el área montañosa central de Portugal. También se establece una discusión acerca de los métodos utilizados para medir la hidrofobia y el grado de correspondencia entre los resultados obtenidos en el campo y en el laboratorio. Los resultados muestran la escasa influencia del fuego controlado sobre los parámetros físicos y contenido de materia orgánica del suelo, indicando, sin embargo, una estrecha relación entre la distribuci��n espacial de Erica sp. y suelos más hidrófobos. El grado de replicación entre la hidrofobia medida en el campo y en el laboratorio es discreto; no obstante, en el laboratorio sí se ha encontrado un buen nivel de correspondencia entre las dos técnicas utilizadas (Molarity of an Ethanol Droplet y Water Drop Penetration Time. [fr] Dans cet article est décrit puis analysé le phénomène de répulsion à l'eau qui a été observé dans un petit bassin hydrographique soumis au feu contrôlé dans la zone montagneuse centrale du Portugal. Une discussion est

  12. Evaluar el cumplimiento de normas de asepsia y antesepsia en colocación de vía venosa central en pacientes adultos en el servicio de emergencia del Hospital Carlos Andrade Marín, desde mayo hasta julio del 2012.

    OpenAIRE

    Tipantuña Toapanta, María Ángela

    2015-01-01

    El catéter venoso central, es un dispositivo plástico que permite acceder al compartimiento intravascular a nivel central, varía según se utilice en forma temporal días, o permanente semanas, meses; así como también, en el número de lúmenes, y en el motivo por el cual se instala. El uso de estos dispositivos ha sido de gran utilidad clínica ya que permiten un acceso rápido y seguro al torrente sanguíneo, pudiendo ser utilizados para la administración de fluidos endovenosos, medicamentos, p...

  13. Deployable centralizers

    Energy Technology Data Exchange (ETDEWEB)

    Grubelich, Mark C.; Su, Jiann-Cherng; Knudsen, Steven D.

    2017-02-28

    A centralizer assembly is disclosed that allows for the assembly to be deployed in-situ. The centralizer assembly includes flexible members that can be extended into the well bore in situ by the initiation of a gas generating device. The centralizer assembly can support a large load carrying capability compared to a traditional bow spring with little or no installation drag. Additionally, larger displacements can be produced to centralize an extremely deviated casing.

  14. Current status investigation of nursing support system in the central and eastern of China among the second grade hospitals%我国中、东部二级医院护理工作支持现状的调查

    Institute of Scientific and Technical Information of China (English)

    曹晶; 吴欣娟; 贺茜; 陈亚丹; 徐园; 刘戈

    2015-01-01

    目的:探讨我国中、东部地区的二级医院在人力配置、后勤支持以及护理管理范畴方面对护理工作的支持状况。方法采用自行设计的调查问卷,于2013年4月采用便利抽样方法抽取全国13个省市的63所二级医院的护理管理者进行调查,调查内容包括一般资料、医院的一般情况、护理队伍建设情况、医院后勤保障体系、护理部职能等。结果63所二级医院已100%开展责任制整体护理工作,82.54%的医院处在护士岗位管理“启动、准备、取得成效”阶段。在护理队伍建设方面,二级医院平均床护比为1∶0.54,39.68%的医院大专以上学历护士比例小于50%,58.73%的医院护师及以下职称护士比例大于60%,73.02%的医院中工作3年以下护士比例大于25%,69.84%的医院未配置护理员。在医院后勤保障方面,50%以上医院已开展专人下收下送消毒物品、配送办公物品、取送检验标本、护送患者检查、维护病房秩序和清洁,但只有12.7%的医院有专人配置静脉液体。护理管理范畴方面,做到开展质量控制、院内培训、院内调配护士人力的医院达到90%以上,能参与护士招募与护士长任免的医院61.90%,能实现奖金与绩效分配的医院占41.27%。结论中、东部二级医院已广泛推行责任制整体护理,并逐步推进护士岗位管理。护理人力配置初步改善,但与国家十二五规划要求存在一定差距,队伍结构存在年轻化、低职称、低学历特点;后勤保障配备与护理管理体制需进一步完善。二级医院应立足自身特点,进一步加强对护理工作的支持,推动护理改革进程。%Objective To explore the support status in nursing work among the second grade hospitals from such perspectives as the allocation of nursing human resources, logistics support system and nursing management model in the central and eastern regions of China. Methods Totally 63 second

  15. Reclasificación histopatológica de los tumores de sistema nervioso central tratados en el Hospital Eugenio Espejo de Quito. En el período 2003-2007

    OpenAIRE

    Ortíz Galarza, Dorys Malena; Quishpe Defaz, Maritza Llovana

    2015-01-01

    Contexto: La Organización Mundial de la Salud realizó una revisión de la Clasificación de los Tumores del Sistema Nervioso Central, publicada en el año 2007, que incluyó nuevas entidades para encasillar a aquellas referidas como inclasificables. Objetivo: Determinar las características histopatológicas y de gradación de las Neoplasias del Sistema Nervioso Central de acuerdo a la Clasificación de Tumores del Sistema Nervioso Central de la Organización Mundial de la Salud publicada en el año 20...

  16. Modulaci?n emocional con m?sica cl?sica del dolor y ansiedad asociados a la venopunci?n en los ni?os entre 3 y 12 a?os que acuden al servicio de emergencias del Hospital Metropolitano de Quito de junio a diciembre de 2014

    OpenAIRE

    Figueroa Jaramillo, Mariana de Jes?s

    2015-01-01

    En ni?os, el procedimientos m?dico m?s doloroso es la venopunci?n. Entre junio a diciembre de 2014 se realiz? un estudio prospectivo, anal?tico, cuasiexperimental en Emergencias del Hospital Metropolitano de Quito para determinar el efecto de la m?sica cl?sica en el dolor y ansiedad durante la venopunci?n en ni?os entre 3 y 12 a?os. La muestra fue de 84 ni?os, 42 en el grupo control y estudio. La asignaci?n se realiz? de acuerdo al orden de llegada. Los cuidadores completaron la sub - escala ...

  17. Prevalencia de hipotiroidismo tanto cl?nico como subcl?nico y su efecto sobre el perfil lip?dico en pacientes con diabetes mellitus tipo 2, pertenecientes al Club de Diabetes del Hospital de Especialidades de las Fuerzas Armadas en la ciudad de Quito - Ecuador

    OpenAIRE

    Mochas Torres, Luis Geovanny

    2015-01-01

    Objetivo. El objetivo del presente estudio es determinar la prevalencia de hipotiroidismo cl?nico y subcl?nico y su efecto sobre el perfil lip?dico y control gluc?mico en pacientes con diabetes mellitus tipo 2. Pacientes y m?todos. Se realiz? un estudio de corte transversal en pacientes diab?ticos tipo 2 pertenecientes al club de diab?ticos del Hospital de Especialidades de las Fuerzas Armadas de la ciudad de Quito, durante el periodo de enero a abril del 2014. De un total de 300 pac...

  18. Efectividad y seguridad del bloqueo epidural lumbar simple bajo con lidocaína sin epinefrina al 2% en salpingectomías parciales bilaterales programadas en puerperio fisiológico inmediato en el Hospital Gineco-Obstétrico "Enrique C. Sotomayor" 2012-2013.

    OpenAIRE

    2014-01-01

    El objetivo del presente estudio fue determinar la efectividad y seguridad del bloqueo epidural lumbar simple bajo con lidocaína sin epinefrina al 2% en salpingectomías parciales bilaterales (SPB) programadas en puerperio fisiológico inmediato en el Hospital Gineco-Obstétrico “Enrique C. Sotomayor” de la ciudad de Guayaquil. Se realizó un estudio prospectivo, experimental, aleatorizado simple que comparó bloqueo epidural lumbar simple bajo BELSB (casos) con sedoanalgesia más bloqueo loc...

  19. Strategic human resource management issues in hospitals: a study of a university and a community hospital.

    Science.gov (United States)

    Khatri, Naresh; Wells, Jack; McKune, Jeff; Brewer, Mary

    2006-01-01

    The human factor is central to healthcare, yet its proper management has remained beyond the reach of healthcare organizations. This qualitative study examines strategic human resource management (HRM) issues in a university and a community hospital. The findings indicate that the two hospitals lacked a clear understanding of their strategic intent and objectives; as a result, their human resource (HR) practices lacked coherence and direction. Whereas the community hospital understood the interrelationship between culture and HRM, the university hospital did not. Moreover, the university hospital showed only a modest understanding of competencies needed in managing HR function, which hampered its ability to identify competent HR managers and employees. The community hospital made significant gains in the past few years in managing its culture and people by recruiting a competent HR manager. The relationship between HR practices and clinical outcomes was much less clear in the university hospital than it was in the community hospital.

  20. Image acquisition system for a hospital enterprise

    Science.gov (United States)

    Moore, Stephen M.; Beecher, David E.

    1998-07-01

    Hospital enterprises are being created through mergers and acquisitions of existing hospitals. One area of interest in the PACS literature has been the integration of information systems and imaging systems. Hospital enterprises with multiple information and imaging systems provide new challenges to the integration task. This paper describes the requirements at the BJC Health System and a testbed system that is designed to acquire images from a number of different modalities and hospitals. This testbed system is integrated with Project Spectrum at BJC which is designed to provide a centralized clinical repository and a single desktop application for physician review of the patient chart (text, lab values, images).

  1. [Hospital clinical ethics committees].

    Science.gov (United States)

    Gómez Velásquez, Luis; Gómez Espinosa, Luis Néstor

    2007-01-01

    The scientific and technological advances have been surprising, more in the two last decades, but they don't go united with to the ethical values of the medical professional practice, it has been totally escaped, specially when the biological subsistence, the maintenance of the life through apparatuses and the mechanisms that prolong the existence are who undergoes an alteration that until recently time was mortal shortly lapse. It is common listening that exist a crisis in the medical profession, but what really is it of human values, which as soon and taken into nowadays, actually professional account, which gives rise to a dehumanization towards the life, the health, the disease, the suffering and the death. The ideal of the doctor to give to service to the man in its life and health, as well to be conscious that the last biological process that must fulfill is the death, and when it appears, does not have considered as a actually professional failure. It has protect to the patient as the extreme cruelty therapeutic, that it has right a worthy death. It's taking to the birth of the hospital ethics committees, they have like function to analyze, to advise and to think about the ethical dilemmas that appear actually clinical or in the biomedical investigation. In 1982 in the UEA only 1% of its hospitals had a ethics committees; by 1988, it was 67% and the 100% in 2000. In Mexico the process of the formation by these committees begins, only in the Military Central Hospital, to count the ethics committee on 1983, also the Hospital no. 14 of the IMSS in Guadalajara, it works with regularity from 1995, with internal teaching of bioethic. The Secretariat of Health has asked the formation of the bioethical committees in each hospital, and order the it was be coordinated by the National Committee of Bioética. The integration of these committees is indispensable that their members have the knowledge necessary of bioética. The Mexican Society of Ortopedia, conscious of

  2. Estrategias reproductivas de la vegetación y sus respuestas al pulso de la inundación en las zonas inundables de la Amazonía Central

    Directory of Open Access Journals (Sweden)

    M.T.F. Piedade

    2010-01-01

    Full Text Available Los humedales o áreas que sufren largos períodos de inundaciones periódicas, asociadas a los grandes ríos, cubren aproximadamente el 6% de la Amazonia Brasileña. Precisamente en esta región se encuentran localizados los bosques inundados con mayor extensión y diversidad vegetal del mundo. En esos ambientes, la altura de la columna de agua puede fluctuar durante todo el año, llegando a valores promedio de hasta 10 m. La previsibilidad y duración del pulso de las inundaciones, la abrupta transición en las condiciones ambientales a lo largo del gradiente topográfico en los márgenes de los ríos principales y la intensidad de las corrientes de agua y la dinámica de los sedimentos representan una fuerte presión selectiva sobre las poblaciones de plantas y sus sistemas de reproducción. En este trabajo se examina y discute cómo el ciclo del agua influye en las estrategias de reproducción sexual y asexual que conducen a la realización del ciclo de vida de las plantas, permitiendo el mantenimiento de sus poblaciones. También se abordan las posibles restricciones sobre los procesos de germinación, el establecimiento de plántulas y la formación de bancos de semillas. Además, se indican algunas lagunas en el conocimiento existente sobre las estrategias reproductivas de la vegetación en las planicies de inundación de la Amazonía Central y se proponen líneas futuras de investigación. Se enfatiza en las especies herbáceas, debido a la gran variedad de formas de vida y estrategias reproductivas y su fuerte dinámica temporal y espacial en respuesta al ciclo hidrológico. El estudio de la vegetación de los ambientes inundados presentados aquí es relevante, especialmente, debido a los efectos previstos en las poblaciones de estas comunidades ante los escenarios de cambio climático previstos para la Amazonia.

  3. Human parechovirus associated sepsis and central nervous system infections in hospitalized children%人副肠孤病毒与儿童脓毒症和中枢神经系统感染的相关性

    Institute of Scientific and Technical Information of China (English)

    罗雷; 朱汝南; 赵林清; 邓洁; 王芳; 孙宇; 宋秦伟; 丁雅馨; 钱渊

    2014-01-01

    family of Picornaviridae.As a possible new pathogen of neonatal sepsis,meningoencephalitis and other infections in young children,HPeV gets more and more attention.This study aimed to better understand the association of HPeV with central nervous system (CNS) infectious diseases and sepsis among hospitalized children in Beijing.Method A total of 577 cerebrospinal fluid (CSF) samples were retrospectively collected from 557 children suspected of CNS infections in 2012.Three hundred and fifty-one of them were male and 206 were female.HPeV was screened by reverse transcription-nested PCR (RT-nPCR) with the universal primers which target the highly conserved 5'UTR.The positive samples were genotyped by amplifying and sequencing for the VP3/VP1 junction region.The sequences were compared with the HPeV sequences from GenBank and performed phylogenetic analysis.Some samples other than CSF from HPeV positive children,including serum,nasopharyngeal aspirate and stool,were collected and carried out screening for HPeV.Result With the RT-nPCR by universal primers,HPeVs were detected in 18 out of 577 CSF samples obtained from 18 children with a positive rate of 3.1%.The ratio of male and female was 2 ∶ 1.There were no statistically significant differences on infection rate between boys (12/351,3.4%) and girls (6/206,2.9%).All of 18 positive CSF samples were negative for enterovirus,Epstein-Barr virus (EBV),human cytomegalovirus (HCMV),and herpes simplex virus 1 and 2 (HSV).HPeVs from 10 positive CSF samples were genotyped successfully,consisting of 7 HPeV3 and 3 HPeV1.In addition,2 of 8 serum samples were positive for HPeV3 and 1 of 2 stool samples were positive for HPeV 1.HPeVs were identified in CSF from children aged from 15 days to 14 years,in which 7 cases were infants younger than 3 months and 5 cases were infants from 3 months to one year.Three children older than the age of 9 years (9,13 and 14 years) were positive for HPeV.Most of the children (6/8) infected with HPe

  4. St. James Hospital. Lutcher, Louisiana

    Directory of Open Access Journals (Sweden)

    Curtis & Davis, Arquitectos

    1958-05-01

    Full Text Available Un hospital debe estar proyectado, especialmente, para la comodidad y el cuidado de los enfermos. Atendiendo a este postulado, en el hospital St. James se ha buscado que los dormitorios se orienten al sur, y que desde ellos puedan apreciarse a través de amplias superficies acristaladas, la belleza del paisaje circundante. El gran ventanal corrido que compone la fachada meridional está protegido con parteluces giratorios verticales, que cada paciente puede abrir o cerrar a voluntad desde la misma cama.

  5. Valoración de impacto del programa de recuperación funcional en pacientes adultos mayores con depresión que ingresaron al Hospital del Día, del Hospital de Atención Integral del Adulto Mayor en el período Abril 2013 a Marzo 2014.

    OpenAIRE

    2015-01-01

    Objetivos: Evaluar el impacto del Programa de Recuperación Funcional, implementado en el Hospital del Día del Hospital de Atención Integral del Adulto Mayor, en los pacientes con diagnóstico de Depresión, en el periodo de Abril del 2013 a Marzo del 2014 . Materiales y métodos: Se realizó un estudio observacional, transversal de período, descriptivo e inferencial de tipo retro-prospectivo en pacientes adultos mayores deprimidos, fueron evaluados en forma global, abordando prioritariamente su e...

  6. Aspectos sociales de la muerte materna: análisis de 5 años en el Hospital General de Occidente: Jalisco, México

    OpenAIRE

    Mejía M,Martha Leticia; Ortiz V,Roberto Carlos; Laureano E,Jorge; Alcántara H,Elizabeth Clotilde Guillermina; López Z,María del Carmen; Gil H,Elisa

    2013-01-01

    Objetivo: Analizar los aspectos sociales de las muertes maternas ocurridas en el Hospital General de Occidente, Jalisco, México (2006-2010). Método: Se recurrió al archivo del hospital para identificar los expedientes de las muertes maternas ocurridas durante el periodo de estudio. Las fuentes de información fueron certificados de defunción, autopsia verbal, cuestionario confidencial y dictamen de las muertes. Se utilizó estadística descriptiva y medidas de tendencia central para el análisis ...

  7. Cambios en las expectativas y las actitudes de los trabajadores de la hostelería después de la ley de medidas sanitarias frente al tabaquismo Changes in hospitality workers' expectations and attitudes after the implementation of the Spanish smoking law

    Directory of Open Access Journals (Sweden)

    Jose M. Martínez-Sánchez

    2010-06-01

    Full Text Available Objetivo: Evaluar los cambios en las expectativas y las actitudes sobre la Ley 28/2005 de medidas sanitarias frente al tabaquismo de los trabajadores de la hostelería tras 2 años de su entrada en vigor. Métodos: Estudio longitudinal de una cohorte de trabajadores del sector de la hostelería de cinco comunidades autónomas (n=431 antes de la entrada en vigor de la ley y 24 meses después. Se comparararon el conocimiento de la ley, las expectativas de cumplimiento y los conocimientos sobre los efectos adversos del tabaquismo pasivo antes y después de la ley. Resultados: De los 431 trabajadores participantes iniciales se obtuvo respuesta de 219 a los 2 años (tasa de seguimiento del 50,8%. El 79,0% de los trabajadores conocía el proyecto de ley antes de su entrada en vigor, frente al 94,1% que afirmó conocerla después (pObjective: To assess changes in hospitality workers' expectations and attitudes towards the Spanish smoking law before and 2 years after the smoking ban. Methods: We performed a longitudinal study of a cohort (n=431 of hospitality workers in five regions in Spain before the law came into effect and 24 months later. Expectations and attitudes towards the ban and knowledge about the effect of second-hand smoke on health were compared before and after the ban. Results: We recruited 431 hospitality workers in the baseline survey and 219 were followed-up 24 months later (overall follow-up rate of 50.8%. The percentage of hospitality workers who knew the law was 79.0% before it was passed and was 94.1% 24 months later (p<0.05. We observed an increase in support to the smoke-free ban in all public places, including bars and restaurants (54.1% to 65.8%; p<0.05. The percentages of support for the current ban, perception of compliance with the ban by employees and customers, and knowledge of the effect of second-hand smoke on health also increased. Conclusions: Knowledge and support to the Spanish smoking law among hospitality workers

  8. The Market for Hospital Medicine in Denmark

    DEFF Research Database (Denmark)

    Hostenkamp, Gisela

    2012-01-01

    increases and use summary statistics to compare market performance in both sectors. The market for hospital medicine is more concentrated than the pharmaceutical retail sector and the share of generics and parallel imported products is significantly lower. Between 2005 and 2009 expenditures for hospital...... for hospital medicines and their procurement are still poorly understood. The present paper characterises the market for hospital medicines in Denmark in terms of its organisation and developments between 2005 and 2009. In Denmark hospital medicines are publicly financed and procurement is centrally organised....... 98% of all medicines administered at Danish public hospitals are purchased through a public procurement agency by means of public tenders. Using data on actual contract prices we decompose pharmaceutical expenditure growth into the contributions from newly introduced medicines, price and volume...

  9. Análise do cuidado ao bebê hospitalizado segundo a perspectiva Winnicottiana Analise del cuidado al bebe hospitalisado según la perspectiva Winnicottiana Analysis of delivered care to hospitalized babies according to Winnicottian perspective

    Directory of Open Access Journals (Sweden)

    Fabiane Carvalhais Regis

    2005-02-01

    Full Text Available O objetivo deste trabalho foi verificar o holding proporcionado pelas auxiliares de enfermagem, enfermeiras, mães e pais aos bebês internados em uma unidade neonatal de médio risco de um hospital escola do Município de São Paulo. Trata-se de um estudo qualitativo descritivo que utilizou o referencial teórico de Winnicott. Os dados foram coletados por meio de filmagens. Os resultados revelaram que há profissionais que falham no fornecimento do holding, enquanto outras, proporcionam um holding satisfatório. Embora pais e mães proporcionem holding adequado, por vezes também falham nesta provisão. Acreditamos ser necessário rever a prática assistencial de enfermagem de modo que todos os componentes da equipe, mães e pais sejam capazes de fornecer o holding adequado, visando o desenvolvimento do bebê.El objetivo de este trabajo fue verificar el holding proporcionado por auxiliares de enfermería, enfermeras, madres y padres a bebes internados en unidad neonatal de medio riesgo de hospital escuela del Municipio de São Paulo. Es un estudio cualitativo descriptivo que utilizo el referencial teórico de Winnicott.. Los datos fueron colectados por medio de filmagen. Los resultados relevaron que hay profesionales que fallan en suministro del holding, mientras que otros, proporcionan un holding satisfactorio. A pesar de que padres proporcionan holding adecuado, algunas veces también fallan en esta provisión. Creemos que es necesario rever la práctica asistencial de enfermería de forma que todos componentes del equipo, madres y padres sean capaces de fornecer holding adecuado, visando desenvolvimiento del bebé.This work aimed to analyze the holding provided by nurse aides, nurses, mothers, and fathers to infants newborn hospitalized at the middle risk neonatal unit of a university hospital in the city of São Paulo. This is a qualitative descriptive study based on Winnicott's theoretical framework. Data were collected by means of

  10. 研究中心集中式管理模式在供应室控制医院感染管理中的效果分析%Research Center Centralized Management Model in the Supply Room of Hospital Infection Control Management Effectiveness Analysis

    Institute of Scientific and Technical Information of China (English)

    周金菊; 张颖兰; 樊友道

    2016-01-01

    目的:探讨中心集中式管理模式在消毒供应中心控制医院感染管理中的效果。方法随机采集2013年1月至2013年12月期间消毒供应中心相关资料作为对照组,2014年1月至2014年12月期间消毒供应中心相关资料作为研究组,比较两组手术器械清洗合格率、手术器械消毒灭菌合格率、医院感染率、医护人员卫生合格率、手术台卫生合格率、手术服卫生合格率与物品卫生合格率的差异。结果两组临床指标的比较结果显示,手术器械清洗合格率、手术器械消毒灭菌合格率、医护人员卫生合格率、手术台卫生合格率、手术服卫生合格率与物品卫生合格率明显高于对照组,两组比较差异具有统计学意义(P<0.05),观察组医院感染率明显低于对照组,两组比较差异具有统计学意义(P<0.05)。结论中心集中式管理模式在消毒供应中心控制医院感染管理中的效果显著,有助于显著降低医院感染率,提高手术器械与卫生物品合格率。%Objective To investigate the centralized management center in central sterile supply management in hospital infection control effect. Methods Collection from January 2013 to December 2013 during the central sterile supply relevant information as a control group, disinfecting January 2014 to December 2014 period as supply relevant information center study group were compared surgical instrument cleaning pass rate the difference sterilization of surgical instruments passing rate, hospital infection, health care workers health qualified rate, the rate of qualified health operating table, surgical gowns and sanitary goods passing rate of qualified health rates. Results The result of the comparison of clinical indicators show:the passing rate of the surgical instrument cleaning, disinfection and sterilization of surgical instruments passing rate, the rate of qualified medical personnel hygiene, sanitation passing rate operating table

  11. Neo-adjuvant chemotherapy followed by radiotherapy adapted to the tumour response in the primary seminoma of the central nervous system: experience of the Pitie-Salpetriere Hospital and review of literature; Chimiotherapie neoadjuvante suivie d'une radiotherapie adaptee a la reponse tumorale dans les tumeurs germinales seminomateuses du systeme nerveux central: experience de l'hopital de la Pitie-Salpetriere et revue de la litterature

    Energy Technology Data Exchange (ETDEWEB)

    Calugaru, V.; Taillibert, S.; Lang, P.; Simon, J.M.; Mazeron, J.J. [Groupe Hospitalier de la Pitie-Salpetriere, APHP, Service de Radiotherapie Oncologique, 75 - Paris (France); Taillibert, S.; Delattre, J.Y. [Groupe Hospitalier de la Pitie-Salpetriere, APHP, Service de Neuro-Oncologie, 75 - Paris (France)

    2007-05-15

    Purpose. Retrospective analysis of ten cases of germinoma of the central nervous system treated in Pitie Salpetriere Hospital, Paris. Patients and methods- - Ten male patients were treated from 1997 to 2005 for histologically verified primary seminoma of the central nervous system. The median age was 27 years (range 18 0 years). Our option for the treatment was the association of 3 cycles of neo-adjuvant chemotherapy (cisplatin and etoposide) to radiotherapy. Five patients received a craniospinal radiotherapy of 30 Gy (for one patient 36 Gy) followed by a tumoral boost from 20 to 24 Gy. For five patients, irradiated volume was limited to the tumour, total dose from 24 to 54 Gy (for three patients the total dose was from 24 to 30 Gy). Surgery was used for five patients, but only in one case was macroscopic complete. Results. Six patients were in situation of complete remission after neo-adjuvant chemotherapy. All the patients were in situation of complete remission after the irradiation. All the patients were alive free of disease with a median follow-up 46 months (range 13 0 months). Conclusion. In spite of the fact that the intracranial germinal tumours are not the subject of a consensual treatment strategy, this retrospective analysis pleads in favour of chemotherapy followed by limited dose and volume irradiation. (authors)

  12. Thrombotic obstruction of the central venous catheter in patients undergoing hematopoietic stem cell transplantation Obstrucción trombótica del catéter venoso central en pacientes sometidos al trasplante de células-tronco hematopoyéticas Obstrução trombótica do cateter venoso central em pacientes submetidos ao transplante de células-tronco hematopoéticas

    Directory of Open Access Journals (Sweden)

    Kátia Michelli Bertoldi Arone

    2012-08-01

    Full Text Available This is an integrative literature review with the aim of summarizing the prevention measures and treatment of thrombotic obstruction of long-term semi-implanted central venous catheters, in patients undergoing hematopoietic stem cell transplantation. The sample consisted of seven studies, being two randomized controlled clinical trials, three cohort studies and two case series. Regarding the prevention measures, one single study demonstrated effectiveness, which was a cohort study on the oral use of warfarin. In relation to the treatment measures, three studies evidenced effectiveness, one highlighted the efficacy of streptokinase or urokinase, one demonstrated the benefit of using low-molecular-weight heparin and the other treated the obstruction with heparin or urokinase. Catheter patency research shows a restricted evolution that does not follow the evolution of transplantations, mainly regarding nursing care.Se trata de una revisión integradora de la literatura con objeto de sintetizar las medidas de prevención y tratamiento de obstrucción trombótica del catéter venosos central de larga permanencia y semi-implantado, en pacientes sometidos al trasplante de células-tronco hematopoyéticas. La muestra abarcó a siete estudios: dos ensayos clínicos controlados aleatorizados, tres estudios de cohorte y dos series de casos. Respecto a las medidas de prevención, fue identificado un único estudio efectivo, uno cohorte sobre el uso de la warfarina oral. Sobre las medidas de tratamiento, tres estudios evidenciaron efectividad, uno apuntó la eficacia de la estreptoquinasa o uroquinasa, otro mostró beneficio del uso de heparina de bajo peso molecular y otro trató la obstrucción con heparina o uroquinasa. Se observa que la evolución de la investigación sobre la permeabilidad del catéter fue limitada, no acompañando la evolución del trasplante, principalmente respecto a los cuidados de enfermería.Trata-se de revisão integrativa da

  13. AL0_DENS. A map that shows a five-minute grid of density of marine birds (birds/sq.km.)off central CA in all seasons in the CDAS data set, 1980-2001.

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — AL0_DENS is a polygon shapefile representing 5'x5' latitude x longitude cells that contain the overall, combined densities (birds/sq.km.), of 76 species of marine...

  14. Five-minute grid of total marine bird biomass densities surveyed off central California - selected warm water periods, 1980-2001 (CDAS data set AL1_MASS.shp)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — AL0_MASS is a polygon shapefile representing 5 minute x 5 minute latitude x longitude cells that house the overall total biomass densities (kg/sq.km.) of 76 species...

  15. Hospital Outpatient PPS Partial Hospitalization Program LDS

    Data.gov (United States)

    U.S. Department of Health & Human Services — Hospital Outpatient Prospective Payment System (OPPS) Partial Hospitalization Program LDS This file contains select claim level data and is derived from 2010 claims...

  16. Estudio sobre la habilidad del cuidado de los cuidadores primarios de personas adultas discapacitadas por enfermedad cerebrovascular, asistentes al servicio de consulta externa del hospital universitario erasmo meoz y centro de rehabilitación del norte de santander

    Directory of Open Access Journals (Sweden)

    Olga Marina Vega-Angarita

    2006-01-01

    Full Text Available This study must like intention it describes the abilities of well-taken care of the primary caretakers of people in situation of chronic disease with secondary discapacidad to disease to cerebrovascular of the North of Santander, by means of the application of instrument CAI (Caring Hability Inventory, Proposed by doctor Ngozi Or Nkongho with the intention of quantifying the degree of ability of taken care of a person to take care of to another one. The design applied in the study was cross-sectional descriptive type with quantitative boarding in 70 participant primary caretakers in the external advisory service of the University Hospital Erasmo Meoz and Center de Rehabilitación. The found results make evident that on the ability of single total care a 30% count on the ability required for the care delivery, remaining percentage 70% present/display deficiencies in the roll.

  17. Cuidado de enfermagem à criança vítima de violência sexual atendida em unidade de emergência hospitalar Cuidado de la enfermería al niño víctima de violencia sexual atendido en unidad de emergencia hospitalaria Nursing care for sexually abused children in hospital emergency units

    Directory of Open Access Journals (Sweden)

    Ruth Oliveira Santos Woiski

    2010-03-01

    Full Text Available Objetivos: conhecer como a equipe de enfermagem percebe o cuidado efetivado à criança que sofreu violência sexual ao ser atendida em unidade de emergência hospitalar e especificar, a partir das expressões da equipe de enfermagem, as características que compõem o cuidado de enfermagem em unidade de emergência hospitalar à criança que sofreu violência sexual. Métodos: pesquisa qualitativa, pelo método exploratório-descritivo, utilizando a entrevista semiestruturada com 11 profissionais da equipe de enfermagem de uma unidade de emergência hospitalar. Resultados: pela análise de conteúdo de Bardin (1991, foram compreendidas três Unidades de Contexto e seis Unidades de Significação que revelam a percepção da equipe de enfermagem ao cuidar da criança vítima de violência sexual em unidade de emergência hospitalar. Conclusões: a equipe percebe que o cuidado vai além da técnica, envolvendo o emocional da criança, equipe e família. Percebeu-se o cuidado humanizado, porém sem a sistematização da assistência por meio do processo de enfermagem.Objetivos: Conocer cómo el equipo de enfermería percibe el cuidado destinado al niño victima de violencia sexual al ser atendido en una unidad de emergencia hospitalaria y especificar, a partir de las expresiones del equipo de enfermería, las características que conforman el cuidado de enfermería en una unidad de emergencia hospitalaria destinadas al niño que sufrió violencia sexual. Métodos: investigación cualitativa, a través del método exploratorio descriptivo: aplicó la entrevista semiestructurada con 11 profesionales del equipo de enfermería de una unidad de emergencia hospitalaria. Resultados: a través del análisis de contenido de Bardin (1991 se contemplaron tres Unidades de Contexto y seis Unidades de Significación que revelan la percepción del equipo de enfermería al cuidar del niño víctima de violencia sexual en una unidad de emergencia hospitalaria

  18. Structural Measures - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — A list of hospitals and the availability of structural measures at that hospital. A structural measure reflects the environment in which hospitals care for patients....

  19. Hospital-acquired pneumonia

    Science.gov (United States)

    ... tends to be more serious than other lung infections because: People in the hospital are often very sick and cannot fight off ... prevent pneumonia. Most hospitals have programs to prevent hospital-acquired infections.

  20. Patient survey (HCAHPS) - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — A list of hospital ratings for the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). HCAHPS is a national, standardized survey of hospital...

  1. Perceptions of the hospital ethical environment among hospital social workers in the United States.

    Science.gov (United States)

    Pugh, Greg L

    2015-01-01

    Hospital social workers are in a unique context of practice, and one where the ethical environment has a profound influence on the ethical behavior. This study determined the ratings of ethical environment by hospital social workers in large nationwide sample. Correlates suggest by and compared to studies of ethical environment with nurses are explored. Positive ratings of the ethical environment are primarily associated with job satisfaction, as well as working in a centralized social work department and for a non-profit hospital. Religiosity and MSW education were not predictive. Implications and suggestions for managing the hospital ethical environment are provided.

  2. Diagnóstico de problemas relacionados con medicamentos en adultos mayores al momento de ser hospitalizados Diagnosis of drug-related problems in elderly patients at the time of hospitalization

    OpenAIRE

    Teodoro J. Oscanoa

    2011-01-01

    Objetivos. Diagnosticar los Problemas Relacionados con Medicamentos (PRM) en pacientes mayores de 64 años al momento de ser hospitalizados. Materiales y métodos. La detección de sobreprescripción y disprescripción de medicamentos se realizó con el Índice de Uso Apropiado de Medicamentos. Para subprescripcion se usaron los indicadores de Uso Adecuado de Medicamentos en adultos mayores vulnerables y la prueba de Evaluación de Subutilizacion de Medicamentos. La valoración de la adherencia a la m...

  3. Factores que condicionan la práctica de la episiotomía en el marco de la estrategia de atención al parto normal en un hospital universitario de la Región de Murcia

    OpenAIRE

    Ballesteros Meseguer, Carmen

    2014-01-01

    Objetivos: Conocer el procedimiento de la episiotomía en el marco de la Estrategia de Atención al Parto Normal, su adecuación a la práctica clínica y la relación con distintos factores de tipo clínico y contextual que puedan influir en su práctica, así como estudiar la variabilidad existente entre los profesionales atendiendo a criterios de conocimiento y formación. Metodología: Estudio descriptivo, transversal y analítico, con un enfoque de investigación cuantitativa, de la actividad obst...

  4. Concentraciones de aminoácidos maternos secundarias al uso de betametasona para la

    OpenAIRE

    Keibis Jiménez-Castillejo; Eduardo Reyna-Villasmil; Duly Torres- Cepeda; Joel Santos-Bolívar; Jorly Mejia-Montilla

    2016-01-01

    El objetivo de la investigación fue determinar las concentraciones plasmáticas de aminoácidos maternos secundarias al uso de betametasona para la maduración pulmonar fetal. Se realizó una investigación con un diseño tipo cuasi-experimental y una muestra no probabilística intencional de 106 pacientes que acudieron a la Consulta Pe-Natal de Alto Riesgo del Hospital Central “Dr. Urquinaona". A las pacientes seleccionadas se les administró betametasona intramuscular (12 mg) por dos dí...

  5. Orden monetario y bancos centrales Monetary order and Central Banks

    Directory of Open Access Journals (Sweden)

    Aglietta Michel

    1996-06-01

    Full Text Available Con el enfoque evolucionista e institucionalista de la economía de las convenciones francesa, este trabajo analiza el surgimiento histórico de la banca central y la creación institucional del 'arte de la banca central'. El artículo estudia los modelos formales del orden monetario, la banca libre y la banca central, y analiza los eventos históricos que llevaron a que el Banco de Inglaterra inventara el arte de manejar los bancos centrales en conjunción con el aprendizaje colectivo e institucional que lo hizo posible. Aglietta muestra que la banca central no es una creación del Estado sino una creación institucional endógena al sistema de mercado.With the evolutionist and institutionalist focus of the economics of the French conventions, this paper analyzes the historical rise of the central bank and the institutional creation of the 'art of the central bank'. The article studies formal models of the monetary order, free banking and the central bank, and analyzes the historie events that led to the Bank of England inventing the art of managing the central banks, in conjunction with the collective and institutional learning that made it possible. Aglietta shows that the central bank is not a creation of the State, but rather aninstitutional creation endogenous to the market system.

  6. Discussion on Treatment Process of Dental Handpieces in Central Sterile Supplies Department of Hospital%医院消毒供应中心牙科手机处理流程探讨

    Institute of Scientific and Technical Information of China (English)

    胡佩俊; 张殷雷

    2014-01-01

    牙科手机是口腔科医生对牙科类疾病诊断治疗的重要工具,其使用前的无菌且功能完好直接影响临床应用与治疗效果。本文整合了有关牙科手机的处理经验,结合我院的实际情况,对牙科手机预处理、机械热力清洗和消毒、保养及灭菌环节的使用条件、流程进行说明,并分别提出了新的建议和方法。运用新方法对牙科手机进行清洗消毒,既能提高清洗质量确保灭菌效果,又能预防医院感染的发生。%Dental handpieces are important instruments for dentists to diagnose and treat dental diseases. The sterility and good condition of dental hand pieces can directly influence the clinical application and the treatment effect. Through integrating previous experience in disposing dental handpieces and combining with the actual conditions of our hospital, this paper gives a brief introduction for the use of dental handpieces from the aspects of preprocessing, wash and disinfect, using conditions and procedure, then puts forward some suggestions and methods. The new methods not only can improve the cleaning quality and ensure the sterilizing effect, but also can prevent hospital infection.

  7. Proyección del estudiante de Patología y Clínica Estomatológica desde el ámbito del claustro de la Facultad al Hospital Público: Registro retrospectivo de las patologías observadas Projection of oral pathology and Clinical Stomatology student from faculty class room to public hospital: Retrospective analyse of the observed diseases

    OpenAIRE

    ML Mercado; Rom, M; S Micinquevich; Z Casariego

    2006-01-01

    Estableciendo las bases del proceso Enseñanza/Aprendizaje de la Estomatología para alumnos del último nivel de la currícula de Odontología, y en especial de la Asignatura Patología y Clínica Estomatológica, se ha diseñado este estudio. El mismo se ha llevado a cabo teniendo en cuenta los siguientes Objetivos: 1) La observación del desempeño de los estudiantes en un hospital público, en donde han realizado su trabajo en terreno. 2) Un relevamiento de las lesiones y enfermedades que se han pres...

  8. Nurse effect in seedling establishment: facilitation and tolerance to damage in the Andes of central Chile Efecto nodriza en el establecimiento de plántulas: facilitación y tolerancia al daño en los Andes de Chile central

    Directory of Open Access Journals (Sweden)

    IAN S ACUÑA-RODRÍGUEZ

    2006-09-01

    ás relevante en ambientes estresantes. Este efecto sería particularmente importante durante el periodo de establecimiento de las plántulas debido a su alta vulnerabilidad a factores bióticos y abióticos como herbivoría y desecación. La tolerancia a la herbivoría evidencia la capacidad de las plantas de recrecer y reproducirse después del daño, pero esta capacidad es recurso-dependiente. En los Andes de Chile central, la planta en cojín Laretia acaulis (Apiaceae atenúa el efecto del estrés ambiental, aumentando la supervivencia de diversas especies de plantas asociadas. Proponemos que las plántulas que se encuentren creciendo dentro de los cojines de L. acaulis deberían evidenciar niveles mayores de tolerancia en relación a aquellas plántulas creciendo fuera de los cojines. Para probar esta hipótesis se llevó a cabo un experimento de campo con dos especies nativas perennes: Hordeum comosum (Poaceae y Haplopappus anthylloides (Asteraceae. Plántulas de ambas especies fueron sembradas dentro y fuera de los cojines de L. acaulis, y la mitad de ellas recibieron daño manual (50 % tejido foliar removido. En general, las plántulas que se encontraron creciendo dentro del cojín evidenciaron una mayor supervivencia independientemente del tratamiento de daño. A pesar de que la ubicación de las plántulas no afectó la respuesta en tolerancia por parte de H. anthylloides, sí afectó significativamente la tolerancia de H. comosum. Por lo tanto, encontramos valores similares para la supervivencia de plántulas de H. comosum dentro de los cojines, pero la supervivencia de plántulas dañadas fuera de los cojines fue significativamente menor que la de plántulas control. Se pudo evidenciar la ocurrencia de efecto nodriza por parte de L. acaulis sobre el establecimiento de ambas especies y conjuntamente un aumento en la tolerancia al daño para H. comosum en este hábitat estresante

  9. 77 FR 45061 - Hospital Outpatient Prospective and Ambulatory Surgical Center Payment Systems and Quality...

    Science.gov (United States)

    2012-07-30

    ... neutral. The frontier State wage index would only affect hospitals in the West North Central and Mountain... budget neutrality adjustments. Classifying hospitals by teaching status or type of ownership...

  10. Five-minute grid of total marine bird biomass densities surveyed off central California - selected cool water temperature periods, 1980-2001 (CDAS data set AL3_MASS.shp)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — AL3_MASS is a polygon shapefile representing 5 minute x 5 minute latitude x longitude cells that house the overall total biomass densities (kg/sq km) of up to 76...

  11. Five-minute grid of the total marine bird biomass densities surveyed off central California - selected neutral water temperature periods, 1980-2001 (CDAS data set AL2_MASS.shp)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — AL2_MASS is a polygon shapefile representing 5 minute x 5 minute latitude x longitude cells that house the overall total biomass densities (kg/sq.km.) of up to 76...

  12. Using In-Hospital Mortality as an Indicator of Quality Care and Hospital Performance

    Directory of Open Access Journals (Sweden)

    Badia BISBIS

    2016-06-01

    Full Text Available The in-hospital mortality (MIH is used as a performance indicator and quality healthcare in hospital. However, the majority of deaths resulted from an inevitable disease process (severity of cases and / or co-morbidity, and not medical errors or changes in the quality of care. This work aims to make a distribution of deaths in the Regional Hospital of Eastern, Al Farabi hospital and to highlight that more studies on the MIH are required consistently with detailed clinical data at the admission. The MIH showed its limitation as a health care  indicator. The overall rate of in-hospital deaths within the Al Farabi hospital has averaged 2.4%, with 8.4% in the emergency unit, 28% in intensive care unit, 22% Neonatology unit, 1.6% in pediatric unit. The MIH may depend, firstly, on the condition of patients before hospitalization and secondly, on the conditions of their transfer from one institution to another that supports them as a last resort. Al Farabi hospital supports patients transferred from the provinces of the eastern region. Thus, 6% of patients who died in 2014 come from Berkane, 2% from  Nador, 2% from Bouarfa, 4% from  Taourirt and 2% from Jerrada. One might question about  the procedures and the conditions of such transfers. In conclusion, the overall MIH measured from routine data do not allow proper comparison between hospitals or the assessment of the quality of care and patient safety in the hospital. To do so, we should ideally have detailed clinical data on admission (e.g. type of admission, age of patient, sex, comorbidity, .... The MIH is however an important indicator to consider as a tool to detect potential  problems related to admission procedures and to suspect an area of "non-quality" in healthcare . The MIH is interesting for the patient and for the hospital because it serves the improvement of quality healthcare.

  13. Hospital marketing revisited.

    Science.gov (United States)

    Costello, M M

    1987-05-01

    With more hospitals embracing the marketing function in their organizational management over the past decade, hospital marketing can no longer be considered a fad. However, a review of hospital marketing efforts as reported in the professional literature indicates that hospitals must pay greater attention to the marketing mix elements of service, price and distribution channels as their programs mature.

  14. 全自动片剂摆药机在我院中心药房的应用%Application of Full-Automatic Tablet Dispensing Machine in the Central Pharmacy of Our Hospital

    Institute of Scientific and Technical Information of China (English)

    訾梅; 古艳婷

    2015-01-01

    OBJECTIVE:To provide references for rational application of full-automatic tablet dispensing machine in the inpa-tient pharmacy of the hospital. METHODS:According to the work flow and use of the machine,the errors and problems arising from the use thereof by our hospital were summarized and analyzed,and corresponding improvement measures and solutions were put forward. RESULTS & CONCLUSIONS:Common errors in the use of full-automatic tablet dispensing machine included errors for the machine(including in-box drug shortage warnings accounting for 58.61% and abnormal responses to the quantity of in-box drugs accounting for 36.96%),errors caused by human factors(including errors of inputting doctor’s order and errors of pharma-cist’s adding drugs)and errors of material installation and operation. The solutions put forward are as follows as adjusting the tilt angle of the outlet mouth and controlling the quantity of the drugs added to the box to reduce the errors for the machine;two phar-macists’checking doctor’s order in the hospital information system in advance to reduce the errors caused by human factors;carry-ing out operation training for operators to reduce the errors of material installation;designating special personnel to maintain the ma-chine,etc.%目的:为医院住院药房合理应用全自动片剂摆药机提供参考。方法:根据全自动片剂摆药机的工作流程和使用情况,总结分析我院在其使用中发生的差错及问题,并提出改进措施和解决方法。结果与结论:使用全自动片剂摆药机的常见差错包括自动摆药机发生的差错(其中药盒缺药报警占58.61%,药盒内数量反应错误占36.96%)、人为因素产生的差错(包括医嘱录入错误和药师加药错误)以及耗材安装操作差错。提出的解决方法包括调整出药口的倾斜角度、控制贮药盒内药品添加的数量以减少自动摆药机发生的差错;药师提前审核医院信

  15. AL Amyloidosis

    Directory of Open Access Journals (Sweden)

    Desport Estelle

    2012-08-01

    Full Text Available Abstract Definition of the disease AL amyloidosis results from extra-cellular deposition of fibril-forming monoclonal immunoglobulin (Ig light chains (LC (most commonly of lambda isotype usually secreted by a small plasma cell clone. Most patients have evidence of isolated monoclonal gammopathy or smoldering myeloma, and the occurrence of AL amyloidosis in patients with symptomatic multiple myeloma or other B-cell lymphoproliferative disorders is unusual. The key event in the development of AL amyloidosis is the change in the secondary or tertiary structure of an abnormal monoclonal LC, which results in instable conformation. This conformational change is responsible for abnormal folding of the LC, rich in β leaves, which assemble into monomers that stack together to form amyloid fibrils. Epidemiology AL amyloidosis is the most common type of systemic amyloidois in developed countries with an estimated incidence of 9 cases/million inhabitant/year. The average age of diagnosed patients is 65 years and less than 10% of patients are under 50. Clinical description The clinical presentation is protean, because of the wide number of tissues or organs that may be affected. The most common presenting symptoms are asthenia and dyspnoea, which are poorly specific and may account for delayed diagnosis. Renal manifestations are the most frequent, affecting two thirds of patients at presentation. They are characterized by heavy proteinuria, with nephrotic syndrome and impaired renal function in half of the patients. Heart involvement, which is present at diagnosis in more than 50% of patients, leading to restrictive cardiopathy, is the most serious complication and engages prognosis. Diagnostic methods The diagnosis relies on pathological examination of an involved site showing Congo red-positive amyloid deposits, with typical apple-green birefringence under polarized light, that stain positive with an anti-LC antibody by immunohistochemistry and

  16. Investigation in related influencing factors of satisfaction degree with nursing in central injection room of our hospital%影响医院中心注射室护理工作满意度的相关因素调查

    Institute of Scientific and Technical Information of China (English)

    陶风英; 侯静

    2012-01-01

    目的 对中心注射室护理工作的满意度进行调查,了解影响医院护理工作满意度的因素.方法 选择2011年1~12月在中心注射室接受治疗的患者252例为研究对象,采用问卷法对患者进行调查,并分析影响注射室护理工作满意度的因素.结果 接受调查的住院患者中,患者的满意度得分与患者的年龄、受教育程度、收入水平、住院科室、住院天数以及是否手术存在相关性.结论 护理人员应重视和加强护理工作质量和效率,提高临床患者对护理工作的满意程度.%Objective To understand the influencing factors of satisfaction degree with nursing in our hospital by investigation in satisfaction degree in central injection room.Methods 252 patients were selected in our hospital from January to December 2011 as the research object,questionnaires were used to investigate the patients,and the influencing factors of satisfaction degree of nursing work were analyzed.Results Among the patients who accepted the investigation,patients' satisfaction scores were correlated with the patients' age,education level,income level,inpatient department,hospital stay time and whether they accepted an operation.Conclusions Nursing staff should pay attention to and strengthen the nursing work quality and efficiency,improve the satisfaction degree with nursing of clinical patients.

  17. Implementation of the industry standards of central sterile supply depart-ments in 39 hospitals in Jilin Province%吉林省39所医院消毒供应中心行业标准实施调查

    Institute of Scientific and Technical Information of China (English)

    孙丽萍; 杨云海; 朱孝民

    2014-01-01

    目的:了解消毒供应中心(CSSD)三项行业标准的执行情况、成效及存在的问题,为标准的修订和卫生行政部门推进标准的实施提供依据。方法2012年12月,采用卫生部医管所统一的调查方案,对吉林省39所不同级别医院CSSD和医院管理部门两个层面进行调查。结果调查省部级(10所)、地市级(9所)和县区级(20所)医院共39所。2009年4月1日后有28所医院进行了整体扩建或改建,同时全部依据CSSD三项标准对CSSD进行扩建或改建。纳入医疗质量管理的医院38所,占97.44%;采用信息技术建立CSSD质量管理与追溯系统的医院4所,正在开发的医院18所;CSSD平均面积为542 m2,平均配备14.37人,配备人数与100张床位比为1.75:100;检查包装灭菌区的温度符合标准要求的医院25所,合格率为64.10%,湿度符合标准的医院23所,合格率为58.97%;清洗消毒设备配备率79.48%;终末漂洗用水,纯化水使用构成比为51.28%;环氧乙烷灭菌器配备率28.21%,过氧化氢等离子体灭菌器配备率56.41%;包装材料为棉织布的医院39所;按标准频率对压力蒸汽灭菌器进行生物监测的医院占89.74%。结论 CSSD行业标准发布后,吉林省各医院高度重视,在CSSD建筑布局、使用面积、人员配备及个人防护用品、清洗消毒设备和清洗耗材配备方面有较大提高。%Objective To realize the status,effectiveness and existed problems in the implementation of three in-dustry standards of central sterile supply departments (CSSDs),and provide a scientific basis for the revision and execution of standards by public health authorities.Methods In December 2012,CSSDs and administration sections in 39 different level hospitals in Jilin Province were investigated by unified method of National Institute of Hospital Administration.Results A total of 39 hospitals

  18. Intracranial germ cell tumors. The experience of the Bordeaux University Hospital and a literature review; Les dysgerminomes du systeme nerveux central. Experience du centre hospitalier universitaire de Bordeaux et analyse de la litterature

    Energy Technology Data Exchange (ETDEWEB)

    Bonichon, N.; Dahan, O.; Maire, J.P.; Caudry, M. [Hopital Saint-Andre, 33 - Bordeaux (France); San Galli, F.; Dautheribes, M.; Perel, Y. [Hopital Pellegrin, 33 - Bordeaux (France)

    1999-08-01

    Retrospective analysis of 17 patients with intracranial germ cell tumors treated in a multidisciplinary consultation at the Bordeaux University Hospital a and literature review. Seventeen consecutive patients were treated from 1978 to 1995 for a primary intracranial germ cell tumor. Median age was 14 (range 3-29 years). There were two malignant teratoma, six proved germinoma and nine presumed germinoma (diagnostic based on biological, radiological and treatment criteria). All received radiotherapy from 30 to 60 Gy (median 40 Gy) in different volumes. Chemotherapy was administered in 15 cases, three after surgery and 12 after radiotherapy. All tumours were in complete remission after initial treatment. The two malignant teratomas recurred in non-irradiated area after nine and 48 months, and the patients died. None of the germinoma recurred within a follow-up period of two to 17 years (median 65 months). Five and 10 year actuarial overall survival rates were the same: 84 % for all histories and 100 % for germinomas. Only two patients developed school difficulties and six presented an hypopituitarism, of which one was consecutive to radiotherapy. Chemotherapy was well tolerated. This retrospective study and literature analysis are in favor of limited dose and volume of radiation therapy associated with chemotherapy. (authors)

  19. Análisis de la repelencia al agua en una pequeña cuenca hidrográfica afectada por fuego controlado en el área montañosa central de Portugal

    OpenAIRE

    1999-01-01

    In this work it is described and analyzed the water repellency observed in a small catchment subject to prescribed burning and located in mountainous central part of Portugal. As well, a discussion about the methodologies usually used to measure the soil hydrophobocity, the replicability between field and laboratory data is established. The results show the little influence in soil physical parameters and organic matter content of prescribed burning and indicate a close relationship between s...

  20. A Study to Assess the Factors and Out of Pocket Expenditures in the Patients of Road Traffic Accidents Admitted in a Tertiary Care Hospital in a Central India District

    Directory of Open Access Journals (Sweden)

    Srivastava DK

    2014-12-01

    Full Text Available Background: Road traffic injuries are estimated to be the eighth leading cause of death globally, with an impact similar to that caused by many communicable diseases, such as malaria. road traffic injuries are estimated to cost low- and middle-income countries between 1–2 % of their Gross Domestic Product (GDP, an estimate of about US$ 100 billion a year. Objectives: To study the epidemiological profile of Road Traffic Injuries among the patients admitted in a tertiary care centre and too find out the various out of pocket expenditure in the patients of Road Traffic Accidents. Material and Method: The present study was a hospital based Descriptive Prospective Study. A list of all the patients admitted due to Road Traffic Accident in last one week was obtained from the ward sisters of Orthopedic Department. All the selected participants were interviewed on the two fixed days. A pre tested structured open ended questionnaire was used for data collection. Results: Of the 48 participants interviewed, 34male and 14 females. Most common age group affected was 21-25 years followed by 16-20 years. The rate of accidents was most common on the weekends. The rate of accidents was more in users of two wheelers. Majority of the expenditure in the First week of admission was on the purchase of medicines followed by diagnosis. Majority of the victims also suffered huge financial loss due to loss of salary, closure of shop, loss due to daily wages etc. Conclusion: The present study hereby concludes that there is an urgent need for creating awareness about Road Traffic Accident. The study also concludes that majority of the out of pocket expenditure in the first week of admission is on the medication.

  1. Estado de la provisión de cuidados nutricionales al paciente quemado: Auditoría de procesos en un Servicio de Quemados de un hospital terciario Current status of nutritional care provision to burnt patients: Processes audit of a burnt patients department from a tertiary hospital

    OpenAIRE

    L. M. Miquet Romero; R. Rodríguez Garcell; J. Barreto Penié; S. Santana Porbén

    2008-01-01

    Justificación: La respuesta al tratamiento médico-quirúrgico del paciente quemado pudiera depender tanto de los estragos provocados por la agresión térmica, a saber las demandas metabólicas incrementadas, la aparición del Síndrome de Respuesta Inflamatoria Sistémica, y las infecciones microbianas; como de las prácticas culturales incluidas dentro de los procesos institucionales de cuidados nutricionales. Objetivo: Evaluar cómo la conducción de los procesos nutricionales de evaluación e interv...

  2. The market for hospital medicine in Denmark

    Directory of Open Access Journals (Sweden)

    Gisela Hostenkamp

    2011-11-01

    Full Text Available Pharmaceutical expenditure growth has outpaced GDP and healthcare expenditure growth rates in Denmark as in most OECD countries for the last decade. A major part of this increase was due to high growth rates in specialist areas that are typically located in hospital settings. Yet the market for hospital medicines and their procurement are still poorly understood. The present paper characterises the market for hospital medicines in Denmark in terms of its organisation and developments between 2005 and 2009. In Denmark hospital medicines are publicly financed and procurement is centrally organised. 98% of all medicines administered at Danish public hospitals are purchased through a public procurement agency by means of public tenders. Using data on actual contract prices we decompose pharmaceutical expenditure growth into the contributions from newly introduced medicines, price and volume increases and use summary statistics to compare market performance in both sectors. The market for hospital medicine is more concentrated than the pharmaceutical retail sector and the share of generics and parallel imported products is significantly lower. Between 2005 and 2009 expenditures for hospital medicines more than doubled -accounting for almost 40% of the total Danish pharmaceutical market in 2009. Price increases however - although positive and higher than in the pharmaceutical retail sector - were only moderate. The majority of the expenditure growth was due to an increase in utilisation and the introduction of new medicines in the hospital sector. Centralised tendering may therefore have important implications for competition and industry structure in the long run.

  3. Mathematical-statistical models of generated hazardous hospital solid waste.

    Science.gov (United States)

    Awad, A R; Obeidat, M; Al-Shareef, M

    2004-01-01

    This research work was carried out under the assumption that wastes generated from hospitals in Irbid, Jordan were hazardous. The hazardous and non-hazardous wastes generated from the different divisions in the three hospitals under consideration were not separated during collection process. Three hospitals, Princess Basma hospital (public), Princess Bade'ah hospital (teaching), and Ibn Al-Nafis hospital (private) in Irbid were selected for this study. The research work took into account the amounts of solid waste accumulated from each division and also determined the total amount generated from each hospital. The generation rates were determined (kilogram per patient, per day; kilogram per bed, per day) for the three hospitals. These generation rates were compared with similar hospitals in Europe. The evaluation suggested that the current situation regarding the management of these wastes in the three studied hospitals needs revision as these hospitals do not follow methods of waste disposals that would reduce risk to human health and the environment practiced in developed countries. Statistical analysis was carried out to develop models for the prediction of the quantity of waste generated at each hospital (public, teaching, private). In these models number of patients, beds, and type of hospital were revealed to be significant factors on quantity of waste generated. Multiple regressions were also used to estimate the quantities of wastes generated from similar divisions in the three hospitals (surgery, internal diseases, and maternity).

  4. 综合性医院口腔门诊器械消毒供应中心集中式管理效果%The effect of centralized management used in dental instrument sterilization and supply center in general hospital

    Institute of Scientific and Technical Information of China (English)

    刘慧

    2013-01-01

    目的:探讨综合性医院口腔门诊器械消毒供应中心集中式管理效果.方法:将口腔门诊所有器械统一经消毒供应中心人员按标准流程进行处理.结果:经消毒供应中心处理的器械清洗、包装、灭菌质量均高于口腔科自行处理的口腔器械,减少了口腔护士工作量,提高口腔护理质量.结论:口腔器械经消毒供应中心统一处理,能保证器械质量,有效控制医院内感染,保证患者安全.%Objective:To discuss the effect of oral debate instrument sterilization and supply center for centralized management.Methods:Dental clinic for all devices united by central sterile supply department personnel as standard procedure to handle dental instruments.Results:Central sterile supply processing apparatus of cleaning,disinfection and sterilization quality of packaging,it was higher than themselves in stomatology of dental instruments,reduced oral nursing workload,improved the quality of dental nursing.Conclusion:Dental instrument sterilization and supply center for the integrated treatment,can guarantee the quality of equipment,the effective control of hospital infection,ensure patient's safety.

  5. Central Solenoid

    CERN Multimedia

    2002-01-01

    The Central Solenoid (CS) is a single layer coil wound internally in a supporting cylinder housed in the cryostat of the Liquid Argon Calorimeter. It was successfully tested at Toshiba in December 2000 and was delivered to CERN in September 2001 ready for integration in the LAr Calorimeter in 2003. An intermediate test of the chimney and proximity cryogenics was successfully performed in June 2002.

  6. Aplicación de la teoría de perturbación método diferencial al estudio de sensibilidad en generadores de vapor de centrales nucleares tipo PWR

    OpenAIRE

    Giol, Roberto

    1989-01-01

    En este trabajo se presenta una ampliación del formalismo diferencial de la teoría de perturbación a un modelo homogéneo de simulación del comportamiento estacionario de generadores de vapor de centrales nucleares PWR. El programa PERGEVAP, desarrollado a partir del modelo del código GEVAP de Souza, permite realizar cálculos de la sensibilidad de funciones lineales (como la temperatura media del primario) y no-lineales (como el flujo de calor medio) a variaciones en los parámetros termohidráu...

  7. Economies of scale and scope in Vietnamese hospitals.

    Science.gov (United States)

    Weaver, Marcia; Deolalikar, Anil

    2004-07-01

    Hospitals consume a large share of health resources in developing countries, but little is known about the efficiency of their scale and scope. The Ministry of Health of Vietnam and World Bank collected data in 1996 from the largest sample ever surveyed in a developing country. The sample included 654 out of 815 public hospitals, six categories of hospitals and a broad range of sizes. These data were used to estimate total variable cost as a function of multiple products, such as admissions and outpatient visits. We report results for two specifications: (1) estimates with a single variable for beds and (2) estimates with interaction terms for beds and the category of hospital. The coefficient estimates were used to calculate marginal costs, short-run returns to the variable factor, economies of scale, and economies of scope for each category of hospital. There were important differences across categories of hospitals. The measure of economies of scale was 1.09 for central general and 1.05 for central specialty hospitals with a mean of 516 and 226 beds, respectively, indicating roughly constant returns to scale. The measure was well below one for both provincial general and specialty hospitals with a mean of 357 and 192 beds, respectively, indicating large diseconomies of scale. The measure was 1.16 for district hospitals and 0.89 other ministry hospitals indicating modest economies and diseconomies of scale, respectively. There were large economies of scope for central and provincial general hospitals. We conclude that in a system of public hospitals in a developing country that followed an administrative structure, the variable cost function differed significantly across categories of hospitals. Economies of scale and scope depended on the category of the hospital in addition to the number of beds and volume of output.

  8. Europa central

    Directory of Open Access Journals (Sweden)

    Karel BARTOSEK

    2010-02-01

    Full Text Available La investigación francesa continúa interesándose por Europa Central. Desde luego, hay límites a este interés en el ambiente general de mi nueva patria: en la ignorancia, producto del largo desinterés de Francia por este espacio después de la Segunda Guerra Mundial, y en el comportamiento y la reflexión de la clase política y de los medios de comunicación (una anécdota para ilustrar este ambiente: durante la preparación de nuestro coloquio «Refugiados e inmigrantes de Europa Central en el movimiento antifascista y la Resistencia en Francia, 1933-1945», celebrado en París en octubre de 1986, el problema de la definición fue planteado concreta y «prácticamente». ¡Y hubo entonces un historiador eminente, para quién Alemania no formaría parte de Europa Central!.

  9. Hallazgos clínicos y de laboratorio presentes en mujeres adolescentes embarazadas residentes en Costa Rica y con al menos dos consultas de control prenatal en el Hospital Calderón Guardia del 10 de mayo al 21 de mayo del 2010

    Directory of Open Access Journals (Sweden)

    Yessenia Brenes Madrigal

    2010-09-01

    Full Text Available El presente es un estudio descriptivo observacional de cincuenta y tres expedientes de pacientes de la clínica de adolescentes del Hospital Calderón Guardia de donde se obtuvieron datos de hemoglobina, hematocrito, peso, talla y otros, con el fin de determinar la frecuencia de anemia y los patrones de ganancia de pero adecuados e inadecuados. Menos del 10 % de las pacientes presentaron anemia y aproximadamente la mitad tuvieron una inadecuada ganancia de peso y de estas la gran mayoría por pobre ganancia de peso. No se encontró una alta incidencia de anemia en esta población sin embargo en las que si la presentaron se encontraba asociada a un bajo peso para la edad gestacional, lo cual concuerda en la literatura existente. En cuanto a la ganancia de peso se obtuvieron resultados que demuestran que en las adolescentes embazadas la presencia de una inadecuada ganancia de peso es frecuente por lo que se debe tener en cuenta como factores asociados a este cuando se trabaja en el área de salud.This is an observational descriptive study about fifty-three patients records from the adolescents clinic at Calderon Guardia Hospital. Data about hemoglobin, hematocrit, weight and height, among others, were taken into account in order to determine the frequency of anemia and the adequate and inadequate weight gain patterns. Less than 10% of patients had anemia, and about half of them had inadequate weight gain or poor weight gain. There was not a high incidence of anemia in this population; however, in the ones in which anemia was found, it was due to low weight on gestational age, as it has been shown in the existing literature in this field . Research showed that inadequate weight gain on pregnant teenagers is common, and that this aspect should be taken into account when working in the health area.

  10. Bacteriological assessment of the hospital environment in two referral hospitals in Yaoundé-Cameroon

    OpenAIRE

    Gonsu, Kamga Hortense; Guenou, Etienne; Toukam, Michel; Ndze, Valantine Ngum; Mbakop, Calixte Didier; Tankeu, Dongmo Norbert; Mbopi-Keou, Francois Xavier; Takongmo, Samuel

    2015-01-01

    Introduction Many studies still show significant numbers of surgical patients contracting nosocomial infections each year globally with high morbidity and mortality. The aim of this study was to identify potential bacteria reservoirs that may be responsible for nosocomial infection in surgical services in the Yaoundé University Teaching Hospital (YUTH) and the Central Hospital Yaoundé (CHY). Methods A cross sectional descriptive study was conducted from June to August 2012. Air, water, and su...

  11. 我院手术支持中心的药事管理模式探索%Exploration on the New Pharmaceutical Administration Pattern of Central Surgery Service Department in Our Hospital

    Institute of Scientific and Technical Information of China (English)

    戴春雷; 缪旭东; 朱元琴; 卜晓光; 陈金凤

    2012-01-01

    目的:加强手术药品的管理.方法:成立手术支持中心,从工作流程改造、运用信息技术等各环节入手,对其药事管理模式进行探索.结果:该药事管理模式大大减少了医护人员手术准备时间和患者等待时间;保证了手术期间麻醉和精神药品使用情况能及时、准确地登记,便于统一管理;能做好药品数量与金额的双重管理,做到账物相符.结论:该管理模式能保证手术药品供应质量,避免差错.%OBJECTIVE: To strengthen the management of surgical drugs. METHODS: The management of the central surgery service department was guided through drug position, workflow reform and information management to explore the pattern of pharmaceutical administration. RESULTS: The new pharmaceutical administration pattern had reduced the operator's preparing time and the patient's waiting time, ensured that the cases of using narcotic and psychotropic drugs could be booked exactly in time, and manage the amount and sum of drugs to make the account fit the contents. CONCLUSIONS: The pattern can ensure efficiency and quality of drug supply and avoid errors.

  12. Development of pediatric hydronephrosis patients visiting the San Vicente Foundation University Hospital, Medellín, Colombia = Evolución de los pacientes pediátricos con diagnóstico de hidronefrosis que consultaron al Hospital Universitario San Vicente Fundación, Medellín, Colombia, entre 1960 y 2010

    Directory of Open Access Journals (Sweden)

    Niño Serna, Laura

    2014-04-01

    Full Text Available INTRODUCTION: Hydronephrosis is one of the most common congenital malformations detected on prenatal ultrasounds. Moderate and severe cases are often associated with ureteropelvic junction obstruction, posterior urethral valves and vesicoureteral reflux (VUR. OBJECTIVE: To describe a series of pediatric patients diagnosed with hydronephrosis determining their etiology, prenatal diagnosis and frequency of chronic kidney disease (CKD. MATERIALS AND METHODS: A descriptive, retrospective study, through the reviewing of records of patients attending the outpatient department of pediatric nephrology at St. Vincent Hospital Foundation of Medellin, Colombia, for diagnosis of hydronephrosis during the years 1960-2010. RESULTS: The records of 924 patients between the ages of 0 and 18 years were evaluated, 35.7% female and 64.3% male. In 14.4% (133 the diagnosis was prenatal. Hydronephrosis was bilateral in 198 patients (28.5%. In 18.3% (169 no associated urological abnormality was found, reaching 4.2% in CKD (7. Ureteropelvic stenosis was diagnosed in 23.3% (216 followed with 21.5% VUR (199 and posterior urethral valves in 9.4% (87, reaching 10.2% ERC (93 CONCLUSION: Hydronephrosis allows the detection of underlying urologic abnormalities susceptible of trace or surgical correction. Prenatal diagnosis has allowed finding severe cases avoiding future complications such as urinary tract infection, presence of renal scarring and even chronic renal disease.

  13. Profile of patients with spinal cord injuries and occurrence of pressure ulcer at a university hospital Perfil de pacientes con lesión traumática de médula espiñal y ocurrencia de úlceras por decúbito en un hospital universitario Perfil de pacientes com lesão traumática da medula espinhal e ocorrência de úlcera de pressão em um hospital universitário

    Directory of Open Access Journals (Sweden)

    Paula Cristina Nogueira

    2006-06-01

    Full Text Available Patients with traumatic spinal cord injury (TSCI have an increased risk of developing pressure ulcers (PU. It is a retrospective study done by review of records in order to identify the characteristics of patients who were assisted at a tertiary hospital as well as the occurrence of PU. Most patients were male, white and 36,2% between 21 and 30 years. The most common causes of TSCI were wound by fire weapons followed by vehicle crash/overturn. There was a predominance of injury at the toracic level followed by cervical. The PU occurred in 20 pacientes (42,5%. The most frequent regions of occurrence were the sacral and heels. Only 25% of the records had PU's dimensions charted, 80% stated the aspect, and 52.1% did not state the stage. There is a need for better documentation of PU so that interventions used for treatment can be evaluated.Pacientes con lesión traumática de médula espinal (LTME tienen riesgo elevado de desarrollar úlceras de presión (UP. Este estudio retrospectivo identificó a través de la revisión de las historias clínicas en hospital nivel III, carácterísticas de pacientes atendidos y la ocurrencia de UP. La mayoría fue de sexo masculino, blanca y el 36,2% entre 21 a 30 años de edad. La causa más frecuente de LTME fue herida por arma de fuego, seguida de choque/volcadura de auto. Hubo predominio de lesión a nivel toráxico, seguido del cervical. Las UP aparecieron en 20 pacientes (42,5%. Las regiones de mayor frecuencia fueron la sacra y los calcaneos. Solo el 25% de las historias tenía registro sobre la dimesión de la UP, el 80% describió el aspecto y el 52,1% no registró el estadio. Se observa la necesidad de un mejor registro de las UP para que las intervenciones utilizadas en el tratamiento puedan ser evaluadas.Pacientes com lesão traumática da medula espinhal (LTME têm risco elevado para desenvolver úlcera de pressão (UP. O estudo é retrospectivo e, pela revisão dos registros nos prontu

  14. Sentimentos de familiares acompanhantes de adultos face ao processo de hospitalização Sentimientos de los familiares acompañantes de adultos frente al proceso de hospitalización Feelings of family companions of adults regarding hospitalization process

    Directory of Open Access Journals (Sweden)

    Margrid Beuter

    2012-03-01

    Full Text Available O estudo teve como objetivo descrever os sentimentos dos familiares acompanhantes durante a hospitalização de um membro da família e identificar as estratégias adotadas pela equipe de enfermagem para auxiliar o familiar acompanhante no enfrentamento da hospitalização do doente em uma unidade de clínica médica. Trata-se de uma pesquisa qualitativa, utilizando-se o Método Criativo e Sensível para produção dos dados através da dinâmica "Almanaque". Os dados foram submetidos à análise de discurso francesa, emergindo dois temas: sentimentos de familiares acompanhantes oriundos do processo de hospitalização e estratégias da equipe de enfermagem para auxiliar o familiar acompanhante no enfrentamento da hospitalização do doente. Identificaram-se os sentimentos de solidão, abandono, apreensão, desespero e impotência. Constata-se que estratégias como a realização de grupos de apoio e de oração, a utilização da comunicação clara e coesa e o estabelecimento de uma relação solidária com o familiar acompanhante contribuirão na superação daqueles sentimentos.El estudio tuvo como objetivo describir los sentimientos de los familiares acompañantes durante la hospitalización de un miembro de su familia e identificar las estrategias adoptadas por el equipo de enfermería para auxiliar al familiar acompañante en el enfrentamiento de la hospitalización del enfermo en una unidad de clínica médica. La investigación utilizó el Método Creativo y Sensible para producir los datos. Se definieron dos temas: el sentimiento de familiares acompañantes provenidos del proceso de hospitalización y las estrategias del equipo de enfermería para auxiliar al familiar acompañante en el enfrentamiento de la hospitalización del enfermo. Se identificó los sentimientos de soledad, abandono, aprensión, desespero e impotencia. Se constata que las estrategias como la realización de grupos de apoyo y de oración, la utilización de la

  15. Hospital Compare - Archived Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — Hospital Compare is a consumer-oriented website that provides information on how well hospitals provide recommended care to their patients. This information can help...

  16. HCAHPS Hospital Survey

    Data.gov (United States)

    U.S. Department of Health & Human Services — Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Hospital Survey The intent of the HCAHPS initiative is to provide a standardized survey...

  17. Hospitals as health educators

    Science.gov (United States)

    ... look no further than your local hospital. From health videos to yoga classes, many hospitals offer information families need to stay healthy. You also may be able to find ways to save money on health supplies and services.

  18. Central pain.

    Science.gov (United States)

    Singh, Supreet

    2014-12-01

    Questions from patients about pain conditions and analgesic pharmacotherapy and responses from authors are presented to help educate patients and make them more effective self-advocates. The topic addressed in this issue is central pain, a neuropathic pain syndrome caused by a lesion in the brain or spinal cord that sensitizes one's perception of pain. It is a debilitating condition caused by various diseases such as multiple sclerosis, strokes, spinal cord injuries, or brain tumors. Varied symptoms and the use of pharmacological medicines and nonpharmacological therapies will be addressed.

  19. central t

    Directory of Open Access Journals (Sweden)

    Manuel R. Piña Monarrez

    2007-01-01

    Full Text Available Dado que la Regresión Ridge (RR, es una estimación sesgada que parte de la solución de la regresión de Mínimos Cuadrados (MC, es vital establecer las condiciones para las que la distribución central t de Student que se utiliza en la prueba de hipótesis en MC, sea también aplicable a la regresión RR. La prueba de este importante resultado se presenta en este artículo.

  20. Impacto de un programa de atención domiciliaria al enfermo crónico en ancianos: calidad de vida y reingresos hospitalarios Impact of the program home care for the chronically ill for elderly: quality of life and hospital readmissions

    Directory of Open Access Journals (Sweden)

    María Claudia Espinel-Bermúdez

    2011-02-01

    Full Text Available OBJETIVO: Evaluar el impacto del programa Atención Domiciliaria al Enfermo Crónico (ADEC comparado con la atención habitual (AH a ancianos con dependencia funcional, derechohabientes del Instituto Mexicano del Seguro Social (IMSS. MATERIAL Y MÉTODOS: Cohorte prospectiva a tres meses a partir del egreso hospitalario en dos hospitales de la Ciudad de México. Se ingresaron 130 ancianos con dependencia funcional, 70 insertados al programa ADEC y 60 con atención habitual. Se midió impacto en reingresos hospitalarios y calidad de vida a partir de la escala Perfil de Impacto de la Enfermedad (SIP, por sus siglas en inglés. RESULTADOS: La edad promedio de los ancianos fue de 74 años (61/103 y 60% fueron mujeres. El principal diagnóstico fue enfermedad vascular cerebral (EVC (30.77%. El grupo de ADEC mejoró la calidad de vida en la dimensión psicosocial [46.26 (±13.85 comparado con 29.45 (±16.48 vs. 47.03 (±16.47 a 42.36 (±16.35 p0.05. CONCLUSIONES: El programa mejoró la dimensión psicosocial de calidad de vida.OBJECTIVE: To evaluate the impact of the ADEC program (acronym in Spanish as compared with the typical care provided to disabled elderly affiliated with the Mexican Institute of Social Security (IMSS. MATERIAL AND METHODS: Prospective cohort at three months after discharge from two general hospitals in Mexico City. A total of 130 patients with functional dependency were studied, 70 in the ADEC program and 60 with typical care. Impact was measured using hospital readmissions and quality of life based on the Sickness Impact Profile (SIP. RESULTS: Average age was 74 (61/103 years and 60% were women. The main diagnosis was cerebrovascular disease (30.77%. The quality of life in the psychosocial dimension improved for the ADEC group (from 46.26 (±13.85 to 29.45(±16.48 as compared with 47.03 (±16.47 to 42.36 (±16.35 for those receiving typical care (p0.05. CONCLUSIONS: HC program improved the psychosocial dimension of quality of

  1. Comunicação como instrumento básico no cuidar humanizado em enfermagem ao paciente hospitalizado La comunicación como el instrumento básico en el cuidar humanizado en enfermería al paciente hospitalizado Communication as a basic instrument in providing humanized nursing care for the hospitalized patient

    Directory of Open Access Journals (Sweden)

    Gilvânia Smith da Nóbrega Morais

    2009-06-01

    Full Text Available A humanização é uma expressão que vem sendo comumente usada no sentido de associação dos recursos tecnológicos ao reconhecimento da individualidade do paciente, compreendido como ser integral e ao mesmo tempo singular em suas necessidades. Considerando que a humanização do cuidado em enfermagem vem sendo bastante enfatizada nas instituições de saúde e que a comunicação permite à equipe compreender as necessidades do paciente vulnerabilizado pela doença e hospitalização, surge a necessidade de refletir a respeito da relevância da comunicação no processo do cuidar humanizado em enfermagem. Sob esse prisma, o presente estudo, de natureza bibliográfica, teve por objetivo destacar a comunicação como instrumento básico no processo do cuidar humanizado em enfermagem ao paciente hospitalizado. A partir desta pesquisa os autores ressaltam a valoração do processo de comunicação como componente básico na humanização do cuidado em enfermagem.La humanización es una expresión que comúnmente viene siendo usada en el sentido de asociación de los recursos tecnológicos al reconocimiento de la individualidad del paciente, comprendido como ser integral y al mismo tiempo singular en sus necesidades. Considerando que la humanización del cuidado en enfermería está siendo enfatizada en las instituciones de salud y que la comunicación permite al equipo comprender las necesidades del paciente vulnerabilizado por la enfermedad y la hospitalización, surge la necesidad de reflexionar respecto a la relevancia de la comunicación en el proceso del cuidar humanizado en enfermería. Bajo este prisma, en el presente estudio, de naturaleza bibliográfica, se tuvo por objetivo destacar la comunicación como instrumento básico en el proceso del cuidar humanizado en enfermería, al paciente hospitalizado. A partir de esta investigación los autores resaltan la valoración del proceso de comunicación como componente básico en la humanizaci

  2. Medicare Hospital Spending Per Patient - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — The "Medicare hospital spending per patient (Medicare Spending per Beneficiary)" measure shows whether Medicare spends more, less or about the same per Medicare...

  3. Ten Year Trend of Percutaneous Coronary Intervention in Central-western Urban Hospitals of China--Results From China PEACE-Retrospective CathPCI Study%中国中西部城市医院经皮冠状动脉介入治疗十年趋势--China PEACE回顾性CathPCI研究结果

    Institute of Scientific and Technical Information of China (English)

    郑昕; 白雪珂; 王斌; 霍西茜; 王思铭; 苏萌; 李静; 李希; 蒋立新

    2016-01-01

    Objective: To assess the trends in clinical characteristics, treatment, and outcomes for hospitalized patients undergoing percutaneous coronary intervention (PCI) in central-western urban hospitals of China in 2001, 2006 and 2011. Methods: We used a 2-stage, random sampling strategy to create a Chinese central-western urban hospital representative sample of 2152 patients undergoing PCI at 26 hospitals in China PEACE- retrospective CathPCI study and calculated the weighted data of clinical information in each year. Results: Between 2001 and 2011, the admission rate for PCI increased by 46 folds. Compared with 2001, the patients undergoing PCI were more likely to be female, older than 80 years, and to have history of diabetes, dyslipidemia and PCI in 2011. The proportion of trans-radial PCIs increased from 3.5% in 2001 to 87.6% in 2011 (Ptrend < 0.0001); the proportion of drug eluting stents (DES) among all the implanted stents increased from 16.4% in 2001 to 95.7% in 2011 (Ptrend < 0.0001), largely due to increased use of domestic DES. Less than 5% of medical record of admission for PCI documented door time and balloon time. The median length of stay decreased from 13 days in 2001 to 10 days in 2011 (Ptrend < 0.0001). In-hospital mortality did not change signiifcantly, but both any bleeding and access bleeding events were decreased signiifcantly over time (Ptrend < 0.05). Conclusion: There has been a rapid increase in the volume and significant change in treatment patterns of PCI over the 10-year period from 2001 to 2011 in Chinese central-western urban hospitals. We identiifed quality gaps that represent opportunities to improve medical care.%目的:评价2001年至2011年间中国中西部城市医院行经皮冠状动脉介入治疗(PCI)患者的临床特征、治疗模式和院内结局的变化趋势。方法:使用“冠心病医疗结果评价和临床转化(China PEACE)研究”——回顾性冠脉造影和介入治疗(Cath

  4. Interruptions: Derrida and Hospitality

    Directory of Open Access Journals (Sweden)

    Mark W. Westmoreland

    2008-06-01

    Full Text Available Come in. Welcome. Be my guest and I will be yours. Shall we ask, in accordance with the Derridean question, "Is not hospitality an interruption of the self?" What is the relationship between the interruption and the moment one enters the host's home? Derrida calls us toward a new understanding of hospitality - as an interruption. This paper will illuminate the history of hospitality in the West as well as trace Derrida's discussions of hospitality throughout many of works. The overall goal of this project is to provide readers of Derrida with a sort of reference guide for his discussions on and deconstructive approach to hospitality.

  5. Towards the collaborative hospital

    DEFF Research Database (Denmark)

    Prætorius, Thim; Hasle, Peter; Edwards, Kasper;

    2015-01-01

    of the collaborative hospital concern the creation of an appropriate balance between standardization and local autonomy, shared purpose centred around providing the best possible care, and use of enabling structures that sustain the new ways of collaborative work. The chapter builds on the theoretical framework...... for the collaborative hospital as new organizational form which is better equipped to respond to the challenges facing modern hospitals. The collaborative hospital is an ambidextrous organization that opens for pursuing both exploration and exploitation within the same organizational structure. The basic principles...... of the collaborative organization which is used for a discussion of theoretical and empirical aspects of the collaborative hospital....

  6. 胜利油田中心医院2014年药品不良反应报告540例分析%Adverse drug reactions during 2014 in Shengli Oil Field Central Hospital:analysis of 540 cases

    Institute of Scientific and Technical Information of China (English)

    贺德勇

    2016-01-01

    Objective To investigate the characteristics of adverse drug reaction( ADR) in Shengli Oil Field Central Hospital and promote clinical rational use of drug.Methods 540 ADR cases collected in our hospital during 2014 were analyzed statistically in terms of patients'age and gender,drug types and route of administration,clinical manifestation etc.Results The 540 ADR cases occurred in male/female ratio of 1.01:1;209 cases(38.7%) aged≥60 years;425 cases(78.7%) were induced via intravenous injection;69 cases(12.8%) were induced by oral drugs;the anti-infective drugs ranked the first in terms of ADR incidence;285 cases ( 35.14%) manifested as lesions of skin and its appendants;148 cases involved the basic drugs.Conclusion It is important to strengthen ADR monitoring in hospital and achieve rational and standard use of anti-infective drugs so as to avoid or reduce the occurrence of severe ADR.%目的:分析胜利油田中心医院(以下简称“该院”)药品不良反应( ADR)的发生情况,以促进临床合理用药。方法回顾性调查2014年该院收集、报告的540例ADR报告,从患者的年龄、性别、药品种类、给药途径、ADR的临床表现等方面进行统计、分析与评价。结果540例ADR中,男女比例接近1.01瞷1;≥60岁患者209例(占38.7%);静脉给药425例(占78.7%),口服给药69例(占12.8%);抗感染药物引起的ADR最多;ADR临床表现主要为皮肤及其附件损害285例,占52.78%;涉及基本药物148例。结论应加强医院ADR监测工作,合理、规范使用抗感染药物,避免或减少严重的ADR发生。

  7. Mujer y poder en el reino nazarí de Granada: la sultana Fāṭima bint al-Aḥmar, la perla central del collar de la dinastía (siglo XIV

    Directory of Open Access Journals (Sweden)

    Boloix Gallardo, Bárbara

    2016-06-01

    Full Text Available Within the history of the Nasrid kingdom of Granada, a number of women tresspassed the threshold of their harem to play important roles in different aspects of the court. This was specifically the case of the sultana Fāṭima bint al-Aḥmar (d. 749/1349, the daughter of emir Muḥammad II, who can be considered the first lady of this lineage to participate in the political affairs of the kingdom. Due to the great influence that this woman exerted in the political arena, this article will be devoted to reconstructing both her life and her personality, according to the information provided by the preserved Arabic sources. Her political activities, developed throughout the complex rules of her two brothers, Muḥammad III y Naṣr, her first-born son Ismā῾īl I, and her two grandsons Muḥammad IV y Yūsuf I, will be also analyzed in depth because of their importance for the kingdom’s history.En la historia del reino nazarí de Granada, hubo mujeres que traspasaron el umbral del harén para ejercer importantes papeles en distintos ámbitos de la corte. Tal fue, en concreto, el caso de la sultana Fāṭima bint al-Aḥmar (m. 749/1349, hija del emir Muḥammad II, quien puede ser considerada la primera fémina conocida de esta estirpe en participar en los asuntos políticos del reino. Dada la gran influencia que esta mujer llegó a ejercer en el ámbito político, el presente artículo estará dedicado a la reconstrucción de su vida y de su personalidad, en función de la información suministrada por las fuentes árabes conservadas. Asimismo, se analizará de manera profunda su actividad política durante los complejos reinados de sus dos hermanos, Muḥammad III y Naṣr, de su primogénito Ismā῾īl I, y de sus dos nietos, Muḥammad IV y Yūsuf I, durante los cuales la labor de Fāṭima resultó decisiva en los designios del reino de Granada.

  8. Santa Barbara Cottage Hospital.

    Science.gov (United States)

    1984-01-01

    The 465-bed Santa Barbara Cottage Hospital is the largest medical facility on the California coast between Los Angeles and the San Francisco bay area. The hospital dates back to 1888, when a group of local citizens began raising funds to build a "cottage-style" hospital for the growing community. Their original plans called for a complex in which each medical specialty would be housed in a separate bungalow. Even then, however, such a decentralized plan was too costly, so work began instead on a single cottage for all hospital departments. The first Cottage Hospital opened in 1891, with 25 beds housed in a two story Victorian building. Now a hugh medical complex employing some 1,500 people, the hospital continues to be called "Cottage" after the original home-like building. Rodney J. Lamb has been Hospital Administrator for the last 30 years.

  9. UTILIZAÇÃO DE CATETER VENOSO CENTRAL EM PACIENTES INTERNADOS EM UMA UNIDADE DE TERAPIA INTENSIVA

    OpenAIRE

    2013-01-01

    El objetivo fue describir la utilización del catéter venoso central de corta permanencia en Unidad de Cuidados Intensivos cuanto a la inserción, mantenimiento y remoción, e identificar el perfil de pacientes que recibieron el catéter entre junio y diciembre/2012, en hospital privado de Fortaleza-CE, Brasil. Datos fueron recogidos a través de cuestionario con informaciones contenidas en registros médicos de pacientes y observación. Con respecto al tipo de catéter utilizado y sitio de punción d...

  10. La atención hospitalaria al paciente con ictus en Cataluña: Resultados del «Primer Audit Clínic de l'Ictus. Catalunya, 2005/2006» In-hospital stroke care in Catalonia [Spain]: Results of the «First Clinical Audit of Stroke. Catalonia, 2005/2006»

    Directory of Open Access Journals (Sweden)

    Sònia Abilleira

    2008-12-01

    Full Text Available Objetivo: Analizar la calidad de la atención hospitalaria al paciente con ictus en los hospitales públicos catalanes antes de la difusión de la Guía de Práctica Clínica (GPC del ictus, estudiando el grado de adhesión a determinadas recomendaciones de la GPC. Métodos: Mediante revisión retrospectiva de historias clínicas de pacientes con ictus definidos mediante los códigos CIE-9 431, 433.x1, 434.x1, 436, e ingresados consecutivamente en 48 hospitales públicos catalanes en el primer semestre de 2005, se recogió información sobre distintos indicadores del proceso asistencial al ictus seleccionados según su evidencia científica o su importancia clínica. Los hospitales participantes reclutaron 20, 40 o 60 casos, según el número de ingresos/año. Se llevó a cabo una auditoría externa en el 9,3% de los casos reclutados en cada centro, tras selección aleatoria, para determinar la calidad de los datos recogidos. Los indicadores se agruparon en 6 perfiles relacionados con diferentes aspectos de la práctica clínica. Resultados: Se incluyeron 1.791 casos, un 53,9% hombres, con una media (desviación estándar de edad de 75,6 (12,4 años. La concordancia global entre observadores fue de 0,7. El cumplimiento de los perfiles asistenciales (porcentaje medio [intervalo de confianza del 95%] fue: calidad de la historia clínica, 78,5% (77,5-79,4; estándares de atención básica, 92,4% (91,5-93,2; evaluación neurológica, 38,3% (37,3-39,3; medidas iniciales del tratamiento rehabilitador, 44,9% (43,2-46,7; prevención y manejo de complicaciones, 68,4% (66,9-70, y medidas preventivas iniciales, 78,9% (77,3-80,4. Conclusiones: En 2005 la atención hospitalaria al ictus era mejorable, sobre todo los aspectos relacionados con la evaluación y el seguimiento neurológico del paciente y la rehabilitación.Objective: To determine the quality of in-hospital stroke care in public acute care hospitals in Catalonia before the implementation of a

  11. THE ALLIANCE TRACHYNION DISTACHYAE RIVAS-MARTINEZ 1978 IN CENTRAL ITALYIN CENTRAL ITALY

    Directory of Open Access Journals (Sweden)

    M. DE SANCTIS

    2010-01-01

    Full Text Available The therophytic basiphilous vegetation of Central Italy has been generally framed in a single association Trifolio scabri- Hypochoeridetum achyrophori Biondi et al. 1997. We show that a considerable floristic variation exists inside Trifolio-Hypochoeridetum in Central Italy, and that it should be treated as a complex of no less than five different associations: Medicagini rigidulae-Trifolietum scabri Fanelli et al. hoc loco, Trifolio scabri-Hypochoeridetum achyrophori Biondi, Izco. Ballelli & Formica 1997 s.s, Hippocrepido siliquosae- Brachypodietum distachyi Fanelli et al. ad interim, Trigonello gladiatae-Brachypodietum distachyi Fanelli et al. hoc loc, Crucianello latifoliae-Hypochoeridetum achyrophori Filesi, Blasi, Di Marzio 1996. These associations are floristically and ecologically distinct, and show different geographical ranges in Central Italy. The great diversity of Trachynion distachyae in Central Italy is related to the widespread occurrence of limestone and calcareous alluvial rocks and to a climate with abundant winter and autumn rains very favourable to the development of winter annuals.

  12. The financial performance of hospitals belonging to health networks and systems.

    Science.gov (United States)

    Bazzoli, G J; Chan, B; Shortell, S M; D'Aunno, T

    2000-01-01

    The U.S. health industry is experiencing substantial restructuring through ownership consolidation and development of new forms of interorganizational relationships. Using an established taxonomy of health networks and systems, this paper develops and tests four hypotheses related to hospital financial performance. Consistent with our predictions, we find that hospitals in health systems that had unified ownership generally had better financial performance than hospitals in contractually based health networks. Among health network hospitals, those belonging to highly centralized networks had better financial performance than those belonging to more decentralized networks. However, health system hospitals in moderately centralized systems performed better than those in highly centralized systems. Finally, hospitals in networks or systems with little differentiation or centralization experienced the poorest financial performance. These results are consistent with resource dependence, transaction cost economics, and institutional theories of organizational behavior, and provide a conceptual and empirical baseline for future research.

  13. Hospital, en Charlotte (U. S. A.

    Directory of Open Access Journals (Sweden)

    Odell, A. G.

    1965-03-01

    Full Text Available This hospital has been built in several stages. It consists of the following buildings: the hospital itself; a recuperation house for patients; a dormitory block for the nurses; another one, two storeys high, for the washing and ironing of linen, which also houses the new steam producing plant. There is also a nurses school, and a hostel where the resident staff lives. The hospital is fitted with the latest medical equipment, and also serves as a medical school for doctors, nurses and assistants. The Charlotte Memorial Hospital, in its external aspect, is extremely modern. This effect is emphasized by the balance of its volumes, and such details as the canopy over the entrance.Construido en varias fases, este complejo sanitario consta de las siguientes edificaciones: el hospital propiamente dicho, un edificio para los pacientes en período de restablecimiento total, un bloque de dormitorios para enfermeras, otro con dos plantas destinado al lavado de ropa y plancha, y la nueva planta de vapor, además del edificio para la instrucción de enfermeras, y el de alojamiento para el personal interno. El conjunto está dotado de los últimos adelantos en el campo de la medicina y sirve al propio tiempo como Centro de formación profesional de médicos, enfermeras y técnicos sanitarios. El tratamiento dado a sus fachadas, marquesinas de entrada, y juego de volúmenes de las distintas alas y edificios, imprimen una gran modernidad al Charlotte Memorial Hospital.

  14. 南京市某医院药品集中招标采购对药品价格和医院收入的影响%The Effect of Drug Purchase by Centralized Bidding on Drug Price and Revenue of a Hospital,Nanjing

    Institute of Scientific and Technical Information of China (English)

    张宇; 陈玉文

    2015-01-01

    目的:探讨南京市某三甲医院药品集中招标采购对药品价格和医院收入的影响.方法:查询南京市某三甲医院西药库计算机管理系统2009-2015年全部药品管理信息,分类汇总并统计分析中标药品种数、价格、差价率等管理指标数据.结果:2009-2015年采购中标药品品种构成比呈逐年上升趋势;部分药品零售价在招标采购的情况下有一定程度降低,抗生素类具有较大的降价幅度;其中国产氟康唑注射液具有最大的降价幅度,达到了86.68%;合资或进口药品零售价显著高于国产药品(P<0.05),同时其降价幅度显著低于国产药品(P<0.05);中标药品和非中标药品的差价率均逐年降低,中标药品差价率年降幅显著高于非中标药品(P<0.05);中标药品购入金额占总购入金额的百分比逐年提升.结论:南京某医院药品集中招标采购能够有效降低药品价格,在一定程度上提升医院收入.%Objective: To investigate the effect of drug purchase by centralized bidding on drug price and revenue of a hospital in Nanjing . Methods: The information of pharmaceutical administration in computer management system from 2009 to 2015 at one top three hospital was in-quired.Some management indicator including kinds, price, price differences rate and so on were classified, collected and statistically analyzed. Results:From 2009 to 2015, the drug variety constituent ratio showed an increasing trend year by year.The retail price of some drugs represented a certain extent of decrease.Antibiotics possessed a large extent of depreciation, and domestic fluconazole injection was the maximal with 86. 68%.For joint-ventured and imported drugs, the retail price was significantly higher than domestic drugs (P<0.05), and the extent of depre-ciation was significantly lower than domestic drugs (P<0.05).The price differences rate of bidding drugs and unbidding drugs was reducing year by year.The price differences rate of

  15. Analysis of Application of Oral Hypoglycemic Drugs in Outpatient Department of the Central Hospital of Nanchong during 2012-2014%2012—2014年南充市中心医院门诊口服降糖药应用分析

    Institute of Scientific and Technical Information of China (English)

    徐秀华; 冯婧; 王龙飞

    2015-01-01

    目的:分析南充市中心医院(以下简称"我院")2012—2014年门诊口服降糖药的应用情况和发展趋势,为糖尿病药物治疗提供参考.方法:回顾性统计分析我院2012—2014年门诊降糖药的销售数量、销售总金额、用药频度( defined daily dose system,DDDs)、限定日费用( daily drug cost,DDC),并根据各药的DDDs排序和销售金额排序,算出排序比.结果:我院门诊口服降糖药销售金额整体呈上升趋势,磺酰脲类、双胍类、α-葡萄糖苷酶抑制剂的销售金额增幅大;二甲双胍使用频率高,连续3年居第1位;二甲双胍日平均费用较低,排序比连续3年大于1.结论:我院2012—2014年门诊口服降糖药临床使用基本合理,二甲双胍使用频率高,符合安全、有效、经济的用药原则.%OBJECTIVE:To analyze the status quo and development tendency of oral hypoglycemic drugs for outpatients in the Central Hospital of Nanchong( hereinafter referred to as "our hospital") during 2012-2014,and to provide reference for the medication of diabetes.METHODS: Retrospective analysis was conducted in terms of the consumption amount,consumption sum,defined daily dose system ( DDDs ),and daily drug cost ( DDC ); and the ranking ratio was calculated based on the ranking of DDDs and medication cost of oral hypoglycemic drugs.RESULTS:The consumption sum of oral hypoglycemic drugs for outpatients in our hospital showed an increase tendency in general,especially for sulfonylurea,biguanides and alpha glucosidase inhibitors.The use frequency of metformin continuously dominated the first place during the three years,which had a low cost per day,and the ranking ratio was over 1 during the three years.CONCLUSIONS: The application of oral hypoglycemic drugs for inpatients in our hospital is basically rational during 2012-2014,and metformin has a high frequency of usage,which is conform to the principle of safe,effective and economic medication.

  16. [Water hygiene in hospitals].

    Science.gov (United States)

    Kerwat, Klaus; Wulf, Hinnerk

    2013-10-01

    As a general rule drinking water in hospitals does not represent a risk for the normal patient. However, for high-risk patients with compromised immune defense systems drinking water in hospitals may become a source of nosocomial infections. It may be contaminated with microorganisms that may have the potential to be infectious agents in the hospital environment. Of particular significance in such circumstances are the Gram-negative rods such as Pseudomonas aeruginosa, Acinetobacter spp. and Legionella bacteria. Accordingly, specific behavior patterns and measures in the handling of drinking water in hospitals are meaningful in order to reduce the risks of water-associated nosocomial infections.

  17. Carta al Editor

    Directory of Open Access Journals (Sweden)

    Darío Maldonado Romero

    1991-03-01

    establecidos estalló la Primera Guerra Mundial y en su calidad de Alsacianos fueron internados en un campo de concentración y el Doctor empezó a escribir su Filosofía de la Civilización. El Respeto a la Vida infundióle ánimo para soportar las dificultades que los abrumaron al ser remitidos a Europa al Campo de Concentración de Sr. Remy. Cuando se firmó el Armisticio habían almacenado fortaleza física y espiritual.

    Estaba más decidido que nunca a ir a donde mas lo necesitaran yen 1924 volvió al África a su hospital haciéndose a fondos con recitales de órgano y dando conferencias para proseguir su obra en Lambarené. Tendría que pasar largos períodos reclutando dineros, dando conferencias y recibiendo distinciones en diversos países.

    La ciudad de Francfort le confirió un premio en dinero, en memoria de Goethe, por “servicios a la comunidad” y la Reina Isabel lo honró con la Insignia de Miembro Honorario de la Orden del Mérito, que solamente había sido concedida a otro, no británico, el Presidente Eisenhower.

    En 1939 se declaró la Segunda Guerra Mundial y las dos fuerzas, la de Vichy y la de Francia Libre, sobrevolaron con sus aviones sobre el pueblito de Lambarené, quedando los alsacianos como franceses; el trabajo en el hospital había disminuido mucho pero después de algún tiempo llegó como visitante distinguida la esposa del Doctor a quien éste le había agradecido mucho que le hubiera dejado volver solo. En mayo de 1945 terminó la guerra.

    El hospital nuevamente iba creciendo. El Doctor trataba de escribir un poco cada noche, pero, si había enfermos graves, prefería atenderlos; en una sala se celebraban oficios religiosos y el doctor predicaba con dos intérpretes, que repetían sus palabras en las dos lenguas nativa” principales, sobre temas sencillos como las parábolas del hijo pródigo y el buen samaritano.

    La nauseabunda medicación chalmúgrica oral y la dolorosa ineficacia de los esteres inyectados

  18. SPINE GUNSHOT WOUNDS AT THE CENTRAL MILITARY HOSPITAL IN MEXICO

    Directory of Open Access Journals (Sweden)

    ISAAC ENRIQUE HERNÁNDEZ TÉLLEZ

    Full Text Available ABSTRACT Objective: To compare the measurement of the Cobb angle in printed radiographs and digitalized radiographs displayed with the "PixViewer" tool. Methods: Pre-operative radiographs of 23 patients were performed in printed films and using the software "PixViewer". The same evaluator, a spine surgeon, chose the proximal and distal end vertebrae at the limit of the main curve in printed radiographs without identifying patients, and measured the Cobb angle based on these parameters. The same parameters and measurements were performed in digitalized radiographs. The measurements were compared, as well as the choice of end vertebrae. Results: The average change in the Cobb angle between the methods was 1.48±1.73°. The intraclass correlation coefficient (ICC was 0.99, demonstrating excellent reproducibility. Conclusion: The Cobb method can be used to evaluate scoliosis through the "PixViewer" tool with the same reliability of the classic method on printed radiographs.

  19. Deconstruction of the asbestos cement roof of the central market in Alicante difficulties in the practical application of RD 396/2006 (works with risk of exposure to asbestos); Deconstruccion de la cubierta de asbesto-cemento del Mercado Central de Abastos de Alicante. Dificultades en la aplicacion practica del RD 396/2006 (trabajos con riesgo de exposicion al amianto)

    Energy Technology Data Exchange (ETDEWEB)

    Sirvent Perez, C. D.

    2010-07-01

    The project and the works described below mainly deal with the deconstruction of the current asbestos-cement roof of the Central Market in Alicante in order to replace it with another roof of zinc diamond scales, similar to the original which was implementation in 1921 when the building went into service. These works were necessary to avoid the causes (and consequences) that generate the appearance of rainwater infiltration, as was described in an earlier report that was done in 2006, also drafted by the undersigned technicians. The article shows the difficulty of the practical application of RD 396/2006 (minimum health and safety requirements for works with risks of exposure to asbestos) in a case of a certain complexity such as this, especially in areas such as economic (rising costs), technical (increasing difficulty of implementation), and the total duration of the work (total time extension due to interference with other trades). (Author) 14 refs.

  20. Abu al-Layth al-Libi

    Science.gov (United States)

    2015-02-01

    He has described at length the various methods to which the prisoners were subjected, including sleep depravation, nudity and the use of electrodes...suspects of the Riyadh bombing acknowledge their involvement on television , he was under the impression that they too had been subjugated to this... sleeping , al-Libi, al-Zawi and `Abd al-Karim managed to escape by jumping from the six-meter-tall wall of al-Ruways.38 Their breakout led to a

  1. en los pivotes centrales

    Directory of Open Access Journals (Sweden)

    Reynaldo Roque Rodés

    2005-01-01

    Full Text Available Se hace una revisión y comentarios sobre las ventajas y limitantes del empleo del LEPA (Low Enery Precision Aplication en los sistemas de riego de pivotes centrales. Estos sistemas o filosofía de manejo del agua para condiciones de escasez o mala calidad del líquido es una alternativa viable para la producción de alimentos. Introducida en la década del 80 en las planicies del sur de Texas, donde la alta evaporación del agua y la necesidad de regar grandes áreas con pivotes centrales obligaba a la búsqueda de una alternativa para incrementar al máximo la eficiencia de aplicación del riego. Aún en fase de estudio e introducción en Cuba para áreas específicas, puede ser una solución de incremento de los rendimientos de los cultivos, empleando menos agua y aguas con calidad limitada

  2. Virtual Pediatric Hospital

    Science.gov (United States)

    ... Digital Storytelling System for Teaching Common Pediatric Problems Virtual Pediatric Hospital is the Apprentice's Assistant™ Last revised ... pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com Virtual Pediatric Hospital is curated by Donna M. D' ...

  3. Hospital benefit segmentation.

    Science.gov (United States)

    Finn, D W; Lamb, C W

    1986-12-01

    Market segmentation is an important topic to both health care practitioners and researchers. The authors explore the relative importance that health care consumers attach to various benefits available in a major metropolitan area hospital. The purposes of the study are to test, and provide data to illustrate, the efficacy of one approach to hospital benefit segmentation analysis.

  4. The Ethic of Hospitality

    OpenAIRE

    Christopher Muller

    2013-01-01

    The idea of hospitality is evident in several types of human behavior including obligatory duties, commercial activity, and prosocial action. These are intertwined and revolve around the commitment to caring for others whether they are relatives, guests, or strangers. This article explores the ethic of hospitality in its various forms.

  5. The Ethic of Hospitality

    Directory of Open Access Journals (Sweden)

    Christopher Muller

    2013-04-01

    Full Text Available The idea of hospitality is evident in several types of human behavior including obligatory duties, commercial activity, and prosocial action. These are intertwined and revolve around the commitment to caring for others whether they are relatives, guests, or strangers. This article explores the ethic of hospitality in its various forms.

  6. Participatory simulation in hospital work system design

    DEFF Research Database (Denmark)

    Andersen, Simone Nyholm

    When ergonomic considerations are integrated into the design of work systems, both overall system performance and employee well-being improve. A central part of integrating ergonomics in work system design is to benefit from emplo y-ees’ knowledge of existing work systems. Participatory simulation...... (PS) is a method to access employee knowledge; namely employees are involved in the simulation and design of their own future work systems through the exploration of models representing work system designs. However, only a few studies have investigated PS and the elements of the method. Yet...... understanding the elements is essential when analyzing and planning PS in research and practice. This PhD study investigates PS and the method elements in the context of the Danish hospital sector, where PS is applied in the renewal and design of public hospitals and the work systems within the hospitals...

  7. Análisis de la inclusión de la policía en la respuesta de emergencias al paro cardiorrespiratorio extrahospitalario Analysis of the inclussion of police personnel on the out of hospital cardiac arrest emergency response

    Directory of Open Access Journals (Sweden)

    Andrea Aguilera-Campos

    2012-02-01

    Full Text Available OBJETIVO: El presente estudio busca analizar una alternativa al pronóstico de paro cardiorrespiratorio extrahospitalario (PCE como problema de salud pública al involucrar a los cuerpos policiacos en la respuesta de emergencias. MATERIAL Y MÉTODOS: Se analizó retrospectivamente un registro de PCE iniciado en junio de 2009. Se contrastó un modelo basado en un número limitado de ambulancias con primera respuesta por la policía. RESULTADOS: La mortalidad fue de 100%, tiempos de respuesta elevados y 10.8% recibió reanimación cardiopulmonar (RCP por testigos presenciales. En 63.7% de los eventos la policía llegaba antes que la ambulancia y en 1.5% el policía dio RCP. El costo por vida salvada fue 5.8-60 millones de pesos en un modelo sólo con ambulancias vs. 0.5-5.5 millones de pesos en un modelo con primera respuesta policiaca. CONCLUSIONES: La intervención de la policía en la ciudad de Querétaro facilitaría la disminución de la mortalidad por PCE a un menor costo.OBJETIVE: Out-of-hospital cardiac arrest (OCHA is a public health problem in which survival depends on community initial response among others. This study tries to analyze what's the proportional cost of enhancing such response by involving the police corps in it. MATERIALS AND METHODS: We analyzed retrospectively an OCHA registry started on June 2009. We contrasted a model with limited number of ambulances and police based first response. RESULTS: Mortality was 100%, response times high and 10.8% of the victims were receiving cardiopulmonary resuscitation (CPR by bystanders. In 63.7% of the events the police arrived before the ambulance, in 1.5% of these cases the police provided CPR. The cost for each saved life was of 5.8-60 million Mexican pesos per life with only ambulance model vs 0.5-5.5 million Mexican pesos on a police first response model with 12 ambulances. CONCLUSIONS: In Queretaro interventions can be performed taking advantage of the response capacity of the

  8. Hjertestop uden for hospital

    DEFF Research Database (Denmark)

    Frandsen, F; Nielsen, J R; Gram, L;

    1989-01-01

    During the period 1.10.1986-30.9.1987, all patients with cardiac arrest outside hospital brought to the casualty department in Odense Hospital were registered. Out of 160 patients, 133 (83%) could be primarily resuscitated, 19 (12%) were resuscitated but died later in hospital and eight patients (5......%) were resuscitated and could be discharged alive from hospital. Out of the eight patients who were discharged alive, only two (1%) had retained reasonable cerebral function as assessed by dementia testing. Treatment of the cardiac arrest prior to the arrival of the ambulance, duration of the cardiac...... arrest for less than six minutes and staffing of the ambulance with three first-aid men were factors of decisive importance for survival of the patients. The results of this investigation demonstrate that treatment of cardiac arrest outside hospital is unsatisfactory. Proposals for improvement...

  9. Tasa de reingresos de un hospital comarcal

    OpenAIRE

    García Ortega Cesáreo; Almenara Barrios José; García Ortega José Javier

    1998-01-01

    FUNDAMENTO: El objetivo de este trabajo es describir la frecuencia de reingresos en el Hospital "Punta de Europa" de Algeciras. MÉTODO: La fuente de información ha sido el Conjunto Mínimo Básico de Datos al alta Hospitalaria (CMBDH) de los años 1995 y 1996, analizándose un total de 24.613 episodios de hospitalización. El reingreso ha sido definido como todo ingreso con idéntico diagnóstico principal en los 30 días siguientes al alta. Se ha realizado un análisis descriptivo de las variables ed...

  10. Benefícios da utilização do brinquedo durante o cuidado de enfermagem prestado a criança hospitalizada Beneficios de la utilización del juguete durante el cuidado de enfermería dispensado al niño hospitalizado Benefits from the use of toys during nursing care delivered to hospitalized children

    Directory of Open Access Journals (Sweden)

    Michele Ferraz Jansen

    2010-06-01

    . Las características del juguete facilitaron la comunicación, la participación, la aceptación de procedimientos y motivación del niño, lo que posibilitó manutención de la individualidad, disminución del estrés y posibilidad de implementación de un cuidado atraumático al niño y su familia.It is a qualitative research study, descriptive-exploratory in nature, which aims to verify the benefits from the use of toys during nursing care to hospitalized children. Ten subjects participated in the study, that is, three children and seven mothers of hospitalized children. Data were collected between May and July of 2008 by means of specific instruments for each age group and further organized in thematic categories: the use of toys to lessen hospitalization stress; toys facilitating understanding and acceptance of procedures and the experience of using toys and hospitalization process. It is concluded that the use of toys is an excellent nursing resource in order to render care to admitted children. The features of the toys facilitated communication, participation, acceptance of procedure and child motivation which enabled them to keep their individuality, lessen the stress and the possibility to implement children's and families' non-traumatic care.

  11. Los hábitos de movilidad gracias al emplazamiento del Sistema de Metro en el Municipio de Alcorcón. El caso de la construcción del Metrosur perteneciente al tramo I estaciones: Puerta del Sur, Parque Lisboa, Alcorcón Central y Parque Oeste

    Directory of Open Access Journals (Sweden)

    Flor María Fariñas Embos

    2013-04-01

    Full Text Available ResumenUno de los principales debates de este inicio de siglo es cómo alcanzar el equilibrio entre el desarrollo urbanístico, las necesidades ciudadanas de movilidad y comunicación cómoda y rápida, y el mantenimiento del respeto al medio ambiente. El objetivo principal es profundizar en la esencia del tema a partir de las encuestas realizadas por el Consorcio de Transportes de la Comunidad de Madrid en el año 2004 y que permiten dar continuidad con el propósito de encontrar soluciones a los propios problemas, el papel crucial que las redes de transporte de personas adquieren en la estructura de la ciudad, especialmente cuando se alcanza una dimensión de tipo metropolitana.Palabras claveAlcorcón, Transporte, Metrosur, Desarrollo UrbanoAbstract One of the main debates beginning of this century is how to achieve a balance between urban development, citizens' needs for mobility and communication convenient and fast, and maintaining respect for the environment. The main objective is to deepen the essence of the subject from the surveys conducted by the Transport Consortium of the Community of Madrid in 2004 and ensuring continuity in order to find solutions to their own problems, the crucial role transport networks of people acquire in the structure of the city, especially when it reaches a metropolitan type dimension.KeywordsAlcorcón, Transport, Metrosur, Urban Development.

  12. Correlation analysis on drug resistance ofKlebsiella pneumoniae and dose of antibiotics in Central People’s Hospital of Zhanjiang from 2010 to 2014%2010-2014年湛江中心人民医院肺炎克雷伯菌耐药性与抗菌药物用量的相关性分析

    Institute of Scientific and Technical Information of China (English)

    何清华; 张亮; 曹堃; 郭卫; 黎汉坤; 黄云平

    2015-01-01

    目的:分析湛江中心人民医院肺炎克雷伯菌耐药性与抗菌药物用量的相关性,为临床合理用药提供参考。方法采用回顾性调查方法,统计湛江中心人民医院2010—2014年13种抗菌药物的用药频度(DDDs)及同期肺炎克雷伯菌的耐药率,采用Pearson法对肺炎克雷伯菌耐药性与抗菌药物用量的相关性进行统计分析。结果肺炎克雷伯菌对亚胺培南的耐药率与亚胺培南用量呈显著正相关,与头孢噻肟用量呈显著负相关;对莫西沙星的耐药率与头孢哌酮/舒巴坦、头孢西丁用量呈显著正相关;对美罗培南的耐药率与头孢唑林、左氧氟沙星用量呈显著负相关(P<0.05)。结论肺炎克雷伯菌对抗菌药物耐药水平变化与抗菌药物用量存在相关关系,临床应合理选用抗菌药物,以减少或延缓耐药菌株的产生。%Objective To analyze the correlation between drug resistance ofKlebsiella pneumoniae and dose of antibiotics in Central People’s Hospital of Zhanjiang, and to provide reference for rational drug use.MethodsDefined daily doses (DDDs) of 13 antibiotics and drug resistance rate of K. pneumoniae in Central People’s Hospital of Zhanjiang from 2010 to 2014 were reviewed, retrospectively. The correlation between drug resistance ofK. pneumoniae and dose of antibiotics were analyzed by Pearson method.ResultsThe resistance rate ofK. pneumoniae against immipenam had positive correlation with the dose of immipenam, and negative correlation with the dose of cefotaxime. The resistance rate against moxifloxacin had positive correlation with the doses of cefoperazone/sulbactam and cefoxitin. The resistance rate against meropenem had negative correlation with the doses of cefozolin and levofloxacin, respectively (P < 0.05).ConclusionsThe resistance changes ofK. pneumoniae have correlation with the doses of antibiotics. The proper choice of antibiotics could reduce or delay the

  13. HOW COULD HOSPITALS ACT IN AN AGEING SOCIETY?

    Directory of Open Access Journals (Sweden)

    Leuca Mirela

    2011-12-01

    Full Text Available The demographic changes are of great importance for all European societies. Their impact and effects have multiple, deep facets. Each European healthcare and welfare system will be facing considerable changes in the new demographic context. The hospital sector plays an important role in each health system. This paper focuses on the impact of the demographic changes on hospitals, presents and analyzes statistical data for the German hospitals sector in order to underline the importance of the older age groups for the number of the hospital inpatient cases, the provided range of medical services and disciplines and for the hospital disease costs. The paper also reveals main findings from 30 interviews conducted in 2010 with German health experts (from hospitals, health insurance companies, universities, institutes and regional healthcare policy makers that accepted to answer questions referring to the demographic impact on the German healthcare system and hospital sector. The results of the interviews show that hospitals will have to act and react to the demographic changes. German hospitals might play different roles in the healthcare service provision for older people when engaging in new models of integrated care that will have to be developed. Processes, structures, human resources expertise, hospital service provision and medical departments will undergo major changes in response to the demographic challenges. Networks, centres of excellence for older persons and integrated care will probably be indispensable structures of the German healthcare system in the future. Strategic partnerships with pre- and post-hospital healthcare service providers are considered to be top priorities for German hospitals when facing the demographic challenge. Central case management and process optimization can be essential factors of success in the hospital care of the older, multimorbid patients. Acute geriatric medicine will be a main quality feature for the

  14. Hospital diversification: evaluating alternatives.

    Science.gov (United States)

    Hammer, L

    1987-05-01

    The appropriateness of diversification as a growth strategy for hospitals is discussed, and planning for diversification is described. Because new forms of health-care delivery are now in direct competition with hospitals, many hospitals are confronting environmental pressures and preparing for future survival through diversification. To explore the potential risks and benefits of diversification, the hospital must identify opportunities for new business ventures. Diversification can be "related," through an expansion of the primary product line (health care), or "unrelated," into areas not directly associated with health care. The hospital must establish specific criteria for evaluating each diversification alternative, and the two or three most attractive options should be analyzed further through a financial feasibility study. The hospital should also seek legal advice to determine the implications of diversification for maintenance of tax status, antitrust limitations, and applicability of certificate of need. Although diversification may not be appropriate for every institution, hospitals should consider it as a strategy for increasing their revenue base, confronting environmental pressures, and securing future survival.

  15. On spaces of hospitality

    DEFF Research Database (Denmark)

    Greve, Anni

    Although specialists in hospitality have worked extensively on hospitality with respect to relations between different nations or between nations and individuals of a different nationality, for instance when they seek asylum, Jacques Derrida preferred to focus instead upon the relationship between...... the market place, the religious sanctuary and places for the performing arts and cultural heritage. For the modern city they are the tightly woven fabric of social reality, and their configuration can make certain cities more hospitable than others, is the leading idea....

  16. ALS diagnostic criteria, El Escorial, and Philip II of Spain: a historical perspective.

    Science.gov (United States)

    Belsh, J M

    1999-12-01

    El Escorial, a magnificent palace-monastery in central Spain, was the setting in 1990 for a meeting of ALS experts who developed a consensus document called the El Escorial ALS Diagnostic Criteria. El Escorial was originally conceived by the Spanish Habsburg monarch, Philip II (1527-1598), as an elaborate burial place for his parents, Emperor Charles V and Isabella. It soon became a symbol of the Spanish empire and Philip's Catholic leadership of the Counter-Reformation. El Escorial included a monastery, palace, basilica, mausoleum, seminary, library, and hospital. Nothing was spared by Philip in obtaining the finest examples of religious art, architecture, music, and books. Philip, as absolute monarch, inherited a vast empire which stretched over Europe, Asia, North Africa, and the New World. His style of personal micro-management and poor economic planning hampered his ability to manage both national and foreign affairs. Philip had a special interest in medicine, including royal hospitals, improved government standards for physicians, medicinal plants, and the health benefits of alchemy and sacred relics. El Escorial's grand scale has generated both illustrious praise and critical condemnation over the last four centuries. Its place in Spanish and world history is assured.

  17. Hospital Geriátrico Ellesmere Gran Bretaña

    Directory of Open Access Journals (Sweden)

    Stow, Derek

    1980-11-01

    Full Text Available This center was designed to serve as a prototype for geriatric hospitals, in accordance with the program drawn up by the health authorities of the southeast area of the Thames; for this reason, its design had to be such that it could be reused in different hospital complexes. It consists of a pavilion with an infirmary equipped with different clinical, therapeutical and social services for senior citizens. In order to render possible the realization of the prototype on locations with different conditioning factors —in this case the unit was built on the grounds of an important medical center—, the auxiliary and service premises were designed separately, thus facilitating a different implementation with respect to the central nucleus, in accordance with varying circumstances

    Este centro se concibió para que sirviera como prototipo de hospital geriátrico, de acuerdo con el programa confeccionado por las autoridades sanitarias del suroeste del Támesis; por ello su diseño debía hacerle capaz de ser reutilizado en distintos complejos hospitalarios. Consta de un pabellón con ambulatorio equipado con distintos servicios clínicos, terapéuticos y de tipo social dirigidos a la tercera edad. Con el fin de posibilitar la realización del prototipo en parcelas sometidas a distintos condicionantes —en este caso, la unidad se construyó en los terrenos de un importante centro médico—, los locales auxiliares y de servicio fueron objeto de un diseño independiente facilitando, por tanto, su distinta implantación respecto al núcleo central, de acuerdo con las diferentes circunstancias.

  18. Anemia intrahospitalaria y descenso de hemoglobina en pacientes internados Hospital-acquired anemia and decrease of hemoglobin levels in hospitalized patients

    Directory of Open Access Journals (Sweden)

    Carina V. Gianserra

    2011-06-01

    Full Text Available Es frecuente observar el desarrollo de anemia durante la internación, especialmente en pacientes graves. Esto se ha relacionado a extracciones de laboratorio. Pocos estudios evaluaron su prevalencia y factores asociados en pacientes internados en sala general. El objetivo fue determinar la prevalencia, características y factores clínicos asociados a anemia intrahospitalaria y descenso de hemoglobina en pacientes internados. Se efectuó un estudio transversal, prospectivo, descriptivo. Se analizaron 192 internaciones consecutivas en sala general. Se determinó aquellas que presentaron un descenso del valor de hemoglobina = 2 g/dl y se analizaron factores de riesgo asociados. Presentaron anemia 139 pacientes (72.4%, 89 (46.4% al ingreso y 50 (26% durante la internación. Se presentaron 47 casos de descenso de hemoglobina = 2 g/dl (24.47%, en los que se observaron los valores más bajos de hematocrito y hemoglobina al alta (p = 0.01, hidratación parenteral con mayor volumen (p = 0.01 y estadías hospitalarias más prolongadas (p = 0.0001. En el análisis univariado las variables leucocitosis = 11 000mm³ (OR; IC95%: 2.02; 1.03-4; p = 0.01, días de internación = 7 (OR; IC95%: 3.39; 1.62-7.09; p = 0.0006, hidratación parenteral = 1500 ml/día (OR; IC95%: 2.47; 1.06-6.4; p = 0.01, vía central (OR; IC95%: 10.29; 1.75-108.07, p = 0.003 y anemia intrahospitalaria (OR; IC95%: 7.06; 3.41-15.83; p = 0.00000004 fueron estadísticamente significativos como factores de riesgo para descenso de hemoglobina = 2 g/dl. En el análisis multivariado las variables leucocitosis = 11 000 mm³ (OR; IC95%:2.45; 1.14-5.27; p = 0.02; días de internación = 7 (OR; IC95%: 5.15; 2.19-12.07; p = 0.0002; hidratación parenteral = 1500 ml/día (OR; IC95%: 2.95; 1.13-7.72; p = 0.02 y vía central (OR; IC95%:8.82; 1.37-56.82; p = 0.02 fueron factores predictivos independientes de descenso de hemoglobina = 2 g/dl. La anemia intrahospitalaria tuvo una elevada prevalencia. La

  19. Optimal Hospital Layout Design

    DEFF Research Database (Denmark)

    Holst, Malene Kirstine

    foundation. The basis of the present study lies in solving the architectural design problem in order to respond to functionalities and performances. The emphasis is the practical applicability for architects, engineers and hospital planners for assuring usability and a holistic approach of functionalities......This PhD project presents a design model that generates and evaluates hospital designs with respect to long-term performances and functionalities. By visualizing and quantifying costs and performances in the early design phases, it is possible to make design choices based on a qualified, profound...... and performances. By formal descriptions, a design model can weigh and compare the impact of different perspectives and, even in the early design phase, it can visualize and quantify consequences for design choices. By qualitative study of hospital design and hospital functionality, formal descriptions develop...

  20. Critical Access Hospitals (CAH)

    Science.gov (United States)

    ... healthcare facilities finance new construction, refinance debt, or purchase new equipment such as hospital beds and office ... our site? Suggest a resource SHARE THIS PAGE Facebook Twitter LinkedIn Google+ Email © 2002–2017 Rural Health ...

  1. Hospital Readmissions Reduction Program

    Data.gov (United States)

    U.S. Department of Health & Human Services — In October 2012, CMS began reducing Medicare payments for Inpatient Prospective Payment System hospitals with excess readmissions. Excess readmissions are measured...

  2. Hospital Readmission Reduction

    Data.gov (United States)

    U.S. Department of Health & Human Services — In October 2012, CMS began reducing Medicare payments for Inpatient Prospective Payment System hospitals with excess readmissions. Excess readmissions are measured...

  3. Allegheny County Diabetes Hospitalization

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This data includes the number of people hospitalized with diabetes between 2013-2015, by age group, for Allegheny County Zip Codes.

  4. Speech intelligibility in hospitals.

    Science.gov (United States)

    Ryherd, Erica E; Moeller, Michael; Hsu, Timothy

    2013-07-01

    Effective communication between staff members is key to patient safety in hospitals. A variety of patient care activities including admittance, evaluation, and treatment rely on oral communication. Surprisingly, published information on speech intelligibility in hospitals is extremely limited. In this study, speech intelligibility measurements and occupant evaluations were conducted in 20 units of five different U.S. hospitals. A variety of unit types and locations were studied. Results show that overall, no unit had "good" intelligibility based on the speech intelligibility index (SII > 0.75) and several locations found to have "poor" intelligibility (SII speech intelligibility across a variety of hospitals and unit types, offers some evidence of the positive impact of absorption on intelligibility, and identifies areas for future research.

  5. VT Hospital Site Locations

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) This data layer contains point locations of all major community, regional, comprehensive health, and healthcare provider hospitals in the state of...

  6. Hospital Outpatient PPS

    Data.gov (United States)

    U.S. Department of Health & Human Services — Section 4523 of the Balanced Budget Act of 1997 (BBA) provides authority for CMS to implement a prospective payment system (PPS) under Medicare for hospital...

  7. Outpatient Imaging Efficiency - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — Use of medical imaging - provider data. These measures give you information about hospitals' use of medical imaging tests for outpatients. Examples of medical...

  8. Physician-Owned Hospitals

    Data.gov (United States)

    U.S. Department of Health & Human Services — Section 6001 of the Affordable Care Act of 2010 amended section 1877 of the Social Security Act to impose additional requirements for physician-owned hospitals to...

  9. Hospital Compare Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — These are the official datasets used on the Medicare.gov Hospital Compare Website provided by the Centers for Medicare and Medicaid Services. These data allow you to...

  10. Service Robots for Hospitals

    DEFF Research Database (Denmark)

    Özkil, Ali Gürcan

    services to maintain the quality of healthcare provided. This thesis and the Industrial PhD project aim to address logistics, which is the most resource demanding service in a hospital. The scale of the transportation tasks is huge and the material flow in a hospital is comparable to that of a factory. We...... believe that these transportation tasks, to a great extent, can be and will be automated using mobile robots. This thesis consequently addresses the key technical issues of implementing service robots in hospitals. In simple terms, a robotic system for automating hospital logistics has to be reliable...... manual work and offer many advantages beyond robotics. Finally, this thesis outlines our contributions in representation of multi-floor buildings, which is a vital requirement to achieve robust and practical, real-world service robot applications....

  11. Hospitals of The Future

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    An overseas biometric and RFID solutions provider eyes up China’s emerging healthcare IT solutions market New mothers in China can look forward to more peaceful hos-pital stays without worries that their precious newborns might be

  12. Allegheny County Hypertension Hospitalization

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Hypertension Hospitalization data for 2013-2015, by age group, for Allegheny County. The information provided shows the number of individuals who were diagnosed...

  13. American Hospital Association

    Science.gov (United States)

    ... replay of the AHA’s breakdown of the 2016 election results and what they mean for hospitals. Click ... Forum Trustee and Community Leadership Volunteers and Auxiliary Leaders Workforce Center News Center Press Releases AHA Awards ...

  14. Exposición al humo ambiental de tabaco en locales de hostelería de Barcelona: medición de partículas respirables Second-hand smoke exposure in hospitality venues in Barcelona: measurement of respirable particles

    Directory of Open Access Journals (Sweden)

    Nazmy Villarroel

    2011-06-01

    Full Text Available Objetivo: Medir la concentración de partículas respirables de tamaño igual o menor que 2,5µm (PM2,5 como marcador del humo ambiental de tabaco (HAT en locales de hostelería de Barcelona 2 años después de la entrada en vigor de la Ley 28/2005. Métodos: Se trata de un estudio descriptivo transversal. La población de estudio fueron 40 locales de la ciudad de Barcelona seleccionados por muestreo de ruta aleatoria con representación de los distintos tipos de regulación existentes tras la aplicación de la Ley (permitido fumar, prohibido fumar y locales con zonas para fumadores y no fumadores. El trabajo de campo se realizó entre octubre y diciembre de 2007. El HAT se cuantificó determinando las PM2,5 con un monitor con fotómetro láser (Side Pack AM 510 Personal Aerosol Monitor. Se realizaron mediciones iniciales de 5 minutos en el exterior del local y de 30 minutos en el interior. Además, se recogieron variables de tipo observacional relacionadas con las características del local y los signos de consumo tabaco. Resultados: La concentración de PM2,5 en los locales donde se permite fumar es cinco veces más alta que en los que se ha prohibido (182 µg/m³ y 34 µg/m³, respectivamente, y supera la concentración establecida como perjudicial por la Environmental Protection Agency: de Estados Unidos (35 µg/m³. En aquellos locales en que se ha prohibido fumar, la concentración de PM2,5 no supera este estándar ni muestra diferencias significativas con la concentración en el exterior del local. Conclusiones: Dos años después de la entrada en vigor de la Ley de medidas sanitarias frente al tabaquismo, la exposición al HAT en los locales de hostelería donde se permitía fumar seguía siendo muy alta. Esto suponía un importante riesgo para la salud de los trabajadores de este sector.Objectives: To quantify the concentration of respirable particles equal to or smaller than 2.5 µm (PM2.5 as a marker of second-hand smoke (SHS exposure

  15. Hospital overcrowding: an opportunity for case managers.

    Science.gov (United States)

    Simmons, Florence M

    2005-01-01

    Hospital overcrowding is primarily a shortage of inpatient beds, not a lack of emergency department capacity, as initially assumed. According to Asplin et al., many factors contribute to overcrowding, including inadequate or inflexible nurse-to-patient staffing ratios, isolation precautions, or delays in cleaning rooms after patient discharge; an overreliance on intensive care or telemetry beds; inefficient diagnostic and ancillary services on inpatient units; and delays in discharging hospitalized patients to postacute-care facilities. Hospital overcrowding presents a challenge for hospital employees and clients, often leading to frustration and dissatisfaction. Overcrowding also has a direct effect on patient care, including compromised patient safety, increased costs, increased length of stay, and increased mortality and morbidity rates. The emergency department is changed from a temporary holding area to an extended patient care unit, decreasing its ability to handle new admissions and to manage a mass casualty. Beds in the critical care units become filled with inappropriate patients if floor beds are not available, making placement of seriously ill patients difficult. Trauma patients may have to be diverted to other hospitals to receive the appropriate level of care. Patients who require specialty services may have to wait for extended periods to obtain a bed in a referral center.

  16. [Hospital organizational structure].

    Science.gov (United States)

    Bittar, O J

    1994-01-01

    The basic point for an Institution to work is the existence of a definite organizational structure that puts together similar areas allowing decisions and the operationalization of different tasks. Knowledge and analysis of structures of private and public hospitals and a bibliography review about the issue is the purpose of this paper. Suggestions are given about the elaboration of small structures and the utilization of matrix management in order to accomplish the hospitals objectives.

  17. Nutrition support in hospitals

    DEFF Research Database (Denmark)

    Kondrup, Jens

    2005-01-01

    Nutrition support in hospitals is becoming an area of focus because of the evidence showing improved clinical outcome with nutrition support, its status as a human rights issue and its integration into quality assurance.......Nutrition support in hospitals is becoming an area of focus because of the evidence showing improved clinical outcome with nutrition support, its status as a human rights issue and its integration into quality assurance....

  18. Hospitality, Tourism, and Politics

    OpenAIRE

    Stephen W. Litvin

    2012-01-01

    Government policy has a significant impact on the hospitality and tourism industry, but it is unclear if political leaders fully understand this economic sector when crafting policies. This article offers new research about the direct involvement of industry practitioners in the political process, by analyzing the backgrounds of legislators in the six New England states. The data indicate that only 3% of these legislators have current or former careers related to hospitality and tourism. The ...

  19. [Hospital-acquired anemia and decrease of hemoglobin levels in hospitalized patients].

    Science.gov (United States)

    Gianserra, Carina V; Agüero, Andrés P; Chapelet, Adrián G; Paradiso, Bruno; Spanevello, Valeria A; Del Pino, María A

    2011-01-01

    It is common to observe the development of anemia in hospitalized patients, especially in critical cases. Few studies have evaluated its prevalence and associated factors in patients in the general ward. The purpose of this study is to determine the prevalence, characteristics and associated clinical factors of hospital-acquired anemia and the drop of hemoglobin concentration in hospitalized patients. This is a cross-sectional, prospective and descriptive study. A total of 192 consecutive in-patients in the general ward were studied. Associated risk factors to the drop in hemoglobin by ≥ 2g/dl were analyzed; 139 patients (72.4%) presented anemia; 89 of them (46.4%) had it at admission and 50 (26%) developed hospital-acquired anemia, 47 out of 192 showed a drop in hemoglobin ≥ 2 g/dl(24.48%). They also presented lower values of hematocrite and hemoglobin at discharge (p = 0.01), parenteral hydration at a higher volume (p = 0.01), and lengthier hospitalizations (p = 0.0001). In the univariate analysis, the following variables were statistically significant risk factors: leukocytosis ≥ 11000 mm3 (OR; IC95%: 2,02; 1.03-4; p = 0.01), hospitalization days ≥ 7 (OR; IC95%:3.39; 1.62-7.09; p = 0.0006), parenteral hydration ≥ 1500 ml/day (OR; IC95%: 2.47; 1.06-6.4; p = 0.01), central venous access (OR; IC95%:10.29; 1.75-108.07; p = 0.003) and hospital-acquired anemia (OR; IC95%: 7.06; 3.41-15.83; p = 0.00000004). In the multivariate analysis, the following variables were independent predictive factors of the hemoglobin decrease = 2 g/dl: leukocytosis ≥ 11000 mm3 (OR; IC95%: 2.45; 1.14-5,27; p = 0.02), hospitalization days ≥ 7 (OR; IC95%:5.15; 2.19-12.07; p = 0.0002), parenteral hydration ≥ 1500 ml/day (OR; IC95%: 2.95; 1.13-7.72; p = 0.02), central venous access (OR; IC95%:8.82; 1.37-56.82; p = 0.02). Hospital-acquired anemia has a high prevalence. Lengthier stays, presence of leukocytosis, parenteral hydration and central venous access placement are

  20. Sisters in Dutch hospitals.

    Science.gov (United States)

    van den Bergh-Braam, A H

    1985-11-01

    This study focuses on hospital sisters in 30 Dutch hospitals. The so-called role-set approach has been adopted. In this approach the sisters are the focal persons. Direct superiors, specialists, registered nurses and student nurses acted as role-senders. The possible number of respondents is 600 (120 of each group). The response of hospital sisters is 100%, that of role-senders 88%. The study started out as an attempt to collect background information on the causes of wastage of sisters. High wastage rates are generally regarded as an indication of an unfavourable working environment. Since hospital sisters occupy a key position in hospitals, the ward problems will be studied from their angle. Although wastage rates have dropped recently, it does not necessarily follow that the working environment has improved. Wastage is known to act as a safety valve, thus allowing tensions to resolve. The threat of unemployment clogs this outlet, which increases the tensions on the hospital ward. Data from the study show that work overload is one of the major stress factors for sisters. Analyses demonstrated that there exists a relationship between work overload and tensions with the management and direct superiors, tensions in job execution, irritableness on the ward, low self-esteem, health complaints and psychological condition. Sisters with an excessive job involvement refer to work overload more often than their moderate colleagues. There is a relationship between an unfavourable working environment and irritableness of sisters.

  1. Al-Anon and recovery.

    Science.gov (United States)

    Cermak, T L

    1989-01-01

    The history of Al-Anon and its current demographics are reviewed. In order to understand 12-step recovery and psychotherapy for family members of alcoholics, the concept of codependence is defined with a set of diagnostic criteria consistent with the DSM-III-R definition of personality traits and disorders. At the core of codependence are denial and an unrealistic relationship to willpower. The therapeutic implications of considering codependence as a personality disorder are explored, as are the characteristics that make codependence unique among personality disorders: the central role of denial and the existence of a self-help organization to facilitate recovery. The dynamics of working the 12 steps on codependent characteristics are outlined. A synergistic relationship between psychotherapy and the 12 steps is described. Special attention is given the emergence of Al-Anon adult children of alcoholic meetings, and the future of codependence is discussed.

  2. A música como recurso no cuidado à criança hospitalizada: uma intervenção possível? La musica como recurso en el cuidado al niño hospitalizado: una intervención possible? Musica as a resource in care for hospitalized children: a possible intervention?

    Directory of Open Access Journals (Sweden)

    Caroline Cristina Moreira Ferreira

    2006-10-01

    Full Text Available Trata-se de um estudo bibliográfico realizado a partir das bases de dados MEDLINE e LILACS e vias não-sistematizadas, no período de 1994 a 2004. Teve como objetivo analisar a produção bibliográfica da enfermagem pediátrica quanto à utilização da música como recurso terapêutico no espaço hospitalar, a fim de identificar o estado do conhecimento desta área nesse campo. Da análise do material empírico, emergiram três unidades de significados: o cenário, as intervenções e as repercussões. Os resultados evidenciaram os benefícios da música para a criança hospitalizada, seus familiares e equipe de saúde e constatou-se que este recurso pode ser utilizado no espaço hospitalar como uma intervenção de baixo custo, não-farmacológica e não-invasiva, promovendo um processo de desenvolvimento que visa à saúde da criança, da família e dos trabalhadores.Se trata de un estudio bibliográfico realizado a partir de bases de datos MEDLINE, LILACS y vías no sistematizadas que comprendió el período de 1994 al 2004. Tiene como objetivo analizar la producción bibliográfica relacionada a enfermería pediátrica la música con el fin de identificar el estado del conocimiento en ese campo. Del análisis del material empírico, surgieron tres unidades de significado: el escenario, las intervenciones y las repercusiones. Los resultados evidenciaron los beneficios de la música para el niño hospitalizado, sus familiares y equipo de salud. Verificamos que la música puede ser utilizada en los hospitales como una intervención de bajo costo, no farmacológica y no invasiva, promoviendo los procesos de desarrollo, visualizando la salud del niño, de la familia y de los trabajadores.This bibliographic study involved the Medline and LILACS databases as well as non-systematized searches and covered the period from 1994 to 2004. We aimed to analyze the bibliographic production on pediatric nursing and music, in order to identify current

  3. Frecuencia de genes que codifican factores de virulencia en Staphylococcus aureus aislados de niños que concurrieron al Hospital General Pediátrico Niños de Acosta Ñú, durante el año 2010

    Directory of Open Access Journals (Sweden)

    Fatima Rodríguez Acosta

    2015-04-01

    Full Text Available Staphylococcus aureus es un microorganismo con habilidad de infectar diferentes tejidos celulares, por portar genes que le confieren resistencia a antibióticos, factores de virulencia y su plasticidad genética, que podrían contribuir a una progresión rápida y complicada de la enfermedad. El Paraguay no cuenta con datos epidemiológicos que indiquen los factores de virulencia que presentan las cepas de S. aureus, por lo que el objetivo del trabajo fue determinar un perfil de virulencia detectando los genes codificantes de: hemolisinas α y β, enterotoxinas A, B, C, D, H y toxinas exfoliativas A y B. Este estudio observacional descriptivo de corte transverso, con muestreo no probabilístico de casos consecutivos, incluyó 50 aislados de S. aureus obtenidos a partir de muestras clínicas de secreciones de piel, partes blandas o líquidos corporales de pacientes menores de 17 años que concurrieron al Hospital General Pediátrico Niños de Acosta Ñú durante el año 2.010. Las reacciones de PCR incluyeron la detección de los genes: sea+seb+sec+ADNr16S, hlA+hlB, eta+etb, sed y seh. El 82% de los aislados provenía de niños que presentaron cuadros clínicos compatibles con infecciones de piel y partes blandas y el 18% de cuadros clínicos graves como sepsis, osteomielitis y neumonías. Los aislados contaban con datos de portación de Leucocidina de Panton-Valentine, el cual fue el factor de virulencia más frecuentemente detectado (58%, seguido de las hemolisinas alfa (16% y beta (8%. Las enterotoxinas y las toxinas exfoliativas fueron menos frecuentes (0-2%, y no se detectaron genes codificantes de las enterotoxinas C y D.

  4. [The Main Military Hospital during the Great Patriotic War].

    Science.gov (United States)

    Maksimov, I B; Kozakov, S P; Ovchinnikova, M B

    2010-04-01

    Was characterized activity of the Central Military Clinical Hospital by Burdenko N.N. during the Great Patriotic War. From the first days work of the hospital was reorganized in dependence of needs of war time. More then 50% of physicians went in army, leading specialists were established main surgeons and therapeutics of fronts and armies. During the war efforts of collective were aimed on the main purpose--return life and health to the biggest number of patients, and the hospital pulled off this mission. During the war were treated more then 74 000 of ill and wounded persons, 82% of them were returned in troops.

  5. The keys to successful diversification: lessons from leading hospital systems.

    Science.gov (United States)

    Shortell, S M; Morrison, E; Hughes, S

    1989-01-01

    Hospitals have engaged in a variety of diversification activities over the past five years--many of which have not met expectations. Based on a nationwide study of 570 hospitals belonging to eight leading hospital systems (both investor-owned and not-for-profit), four key factors are identified that differentiate the winners from the losers. These include strategies for working effectively with physicians; learning to combine centralized and decentralized strategic planning approaches; understanding partially related diversification; and effectively applying the experience curve. Putting these lessons to work will increase the probability of a more effectively diversified health care system in the future.

  6. Construction and Application of a Refined Hospital Management Chain.

    Science.gov (United States)

    Lihua, Yi

    2016-01-01

    Large scale development was quite common in the later period of hospital industrialization in China. Today, Chinese hospital management faces such problems as service inefficiency, high human resources cost, and low rate of capital use. This study analyzes the refined management chain of Wuxi No.2 People's Hospital. This consists of six gears namely, "organizational structure, clinical practice, outpatient service, medical technology, and nursing care and logistics." The gears are based on "flat management system targets, chief of medical staff, centralized outpatient service, intensified medical examinations, vertical nursing management and socialized logistics." The core concepts of refined hospital management are optimizing flow process, reducing waste, improving efficiency, saving costs, and taking good care of patients as most important. Keywords: Hospital, Refined, Management chain

  7. SERVICE MARKETING MIX OF INDIAN HOSPITALS: A CRITICAL REVIEW

    Directory of Open Access Journals (Sweden)

    Dharmesh, MOTWANI

    2014-07-01

    Full Text Available Sreenivas, Srinivasarao and Srinivasa (2013 said that “The health care market has become consumer centered and expecting high quality care at a reasonable price. The mushroomed development of corporate hospitals in India, competition is also bringing massive changes in industry structure. In this context, hospital services’ marketing is slowly and surely coming of age and is being woven into the fabric of hospitals planning and public relations programmes.” The essence of any marketing activity is marketing mix, and the central theme of the present paper revolves around the contemporary service marketing mix offered by Indian hospitals. In this paper author has critically reviewed 51 papers to describe elements of hospital service marketing mix; product, price, place, promotion, people, process and physical evidence.

  8. Características funcionales y ecocardiográficas de un grupo de pacientes con infarto traumático de miocardio, al inicio y a los seis meses, captados en el Hospital Universitario San Vicente de Paúl, Medellín, 2002-2004

    Directory of Open Access Journals (Sweden)

    Alejandro Osorio Ramírez

    2008-02-01

    Full Text Available

    OBJETIVO: presentar y analizar el comportamiento de las características funcionales y ecocardiográficas de un grupo de pacientes con infarto traumático de miocardio al inicio y a los seis meses del evento.

    PROCEDIMIENTOS: se realizó un estudio descriptivo y prospectivo de 11 pacientes con infarto traumático de miocardio, captados entre enero de 2002 y abril de 2004 en el Servicio de Rehabilitación Cardíaca del Hospital Universitario San Vicente de Paúl. RESULTADOS: en la primera evaluación la fracción de eyección (FE y la fracción de acortamiento (FA fueron relativamente bajas. En el seguimiento se observó un incremento en el diámetro diastólico del ventrículo izquierdo (DDVI, en el diámetro sistólico del ventrículo izquierdo (DSVI y en el índice de masa ventricular izquierda (IMVI, pero sin que fueran estadísticamente significativos. El grosor relativo (GR disminuyó en forma estadísticamente significativa (p = 0,010. La FE y la FA mejoraron pero sin significancia estadística. El estado funcional se incrementó en forma significativa. La media de diferencias para el DDVI y el DSVI mostró tendencia al incremento en los diámetros.

    CONCLUSIONES: los pacientes presentaron infartos extensos con compromiso apical y anterolateral y con lesiones importantes en la arteria descendente

  9. Perfil epidemiológico e avaliação da resposta ao tratamento cirúrgico nos pacientes com espondilodiscite atendidos no serviço de cirurgia da coluna do Hospital Getúlio Vargas em Recife/PE Perfil epidemiológico y evaluación de la respuesta al tratamiento quirúrgico en pacientes con espondilodiscitis tratados en el servicio de cirugía de la columna del Hospital Vargas en Recife/PE Epidemiologic profile and assessment of response to surgery in patients with spondylodiscitis in the department of spine surgery at Hospital Getulio Vargas in Recife/PE

    Directory of Open Access Journals (Sweden)

    Jocemir Paulino da Silva Junior

    2011-01-01

    Full Text Available OBJETIVO: Analisar a epidemiologia da população acometida por espondilodiscite e avaliar a resposta ao tratamento cirúrgico . MÉTODO: Foram avaliados 13 pacientes, sendo três do sexo feminino e 10 do sexo masculino, com diagnóstico de espondilodiscite e tratados cirurgicamente no período de outubro de 2007 a janeiro de 2010. A média da idade no momento da cirurgia foi de 54 anos. Foram analisados os prontuários e entrevistados os pacientes, considerando-se os seguintes parâmetros: gênero, faixa etária, etiologia, nível comprometido, sintomatologia, tempo de evolução até a cirurgia, alterações neurológicas, tratamento realizado, complicações pós-operatórias e evolução clínica. RESULTADOS: O sexo masculino foi mais acometido, assim como indivíduos mais idosos; a dor na região comprometida foi o sintoma inicial em 80% dos pacientes. O tempo médio entre o inicio dos sintomas e o tratamento cirúrgico foi de 20,25 meses. O segmento lombar foi o mais acometido, seguido pelo torácico e toracolombar, e a forma piogênica foi a mais frequente. O procedimento em dois tempos cirúrgicos pela via posterior (VP e via anterior (VA, foi utilizado em 53% dos pacientes. CONCLUSÃO: Os pacientes do sexo masculino e os idosos foram os mais acometidos. O tratamento cirúrgico em dois tempos foi seguro e apresentou menor morbidade para os pacientes com espondilodiscite.OBJETIVO: Analizar la epidemiología de la población afectada por espondilodiscitis y evaluar la respuesta al tratamiento quirúrgico en estos pacientes. MÉTODO: Trece pacientes, tres mujeres y diez hombres con diagnóstico de espondilodiscitis tratados quirúrgicamente en el Departamento de Cirugía de Columna del Hospital Getulio Vargas de octubre de 2007 a enero de 2010. La edad promedio de pacientes sometidos a la cirugía fue de 54 años. El historial clínico fue analizado y se entrevistó a los pacientes, comprobándose: sexo, edad, etiología, nivel de peligro

  10. Trick questions: cosmopolitan hospitality

    Directory of Open Access Journals (Sweden)

    Eleanor Byrne

    2013-08-01

    Full Text Available Byrne’s paper consists of two parallel texts. The first explores the limits of cosmopolitanism in practice, taking as its subject the Life in the UK Citizenship Test, inaugurated under the Labour Government in 2005. It argues that the test exemplifies the predicament of all attempts at cosmopolitan hospitality as unconditional welcoming, through a discussion of the relation between questioning and welcoming the stranger. Establishing the relationship between cosmopolitanism and hospitality as envisaged in Derrida’s reading of Kant it asks what kind of cosmopolitan hospitality is either possible or desirable by exploring what Derrida calls the ‘perversions’ inherent in the structures of hospitality. It focuses on the concept of the ‘trick questions’ that the state asks the foreigner observed by Derrida in his reading of The Apology of Socrates; questions that seem to invite answers but foreclose the possibilities of a free response. The second text asks how this logic that Derrida identifies can be pushed or coaxed into new ways of addressing the perceived threats of ‘unconditional’ hospitality through a reading of ‘unconditional hospitality’ as queer in the work of Tove Jansson.

  11. Market structure and hospital-insurer bargaining in the Netherlands.

    Science.gov (United States)

    Halbersma, R S; Mikkers, M C; Motchenkova, E; Seinen, I

    2011-12-01

    In 2005, competition was introduced in part of the hospital market in the Netherlands. Using a unique dataset of transactions and list prices between hospitals and insurers in the years 2005 and 2006, we estimate the influence of buyer and seller concentration on the negotiated prices. First, we use a traditional structure-conduct-performance model (SCP-model) along the lines of Melnick et al. (J Health Econ 11(3): 217-233, 1992) to estimate the effects of buyer and seller concentration on price-cost margins. Second, we model the interaction between hospitals and insurers in the context of a generalized bargaining model similar to Brooks et al. (J Health Econ 16: 417-434, 1997). In the SCP-model, we find that the market shares of hospitals (insurers) have a significantly positive (negative) impact on the hospital price-cost margin. In the bargaining model, we find a significant negative effect of insurer concentration, but no significant effect of hospital concentration. In both models, we find a significant impact of idiosyncratic effects on the market outcomes. This is consistent with the fact that the Dutch hospital sector is not yet in a long-run equilibrium.

  12. Central bank Financial Independence

    OpenAIRE

    J.Ramon Martinez-Resano

    2004-01-01

    Central bank independence is a multifaceted institutional design. The financial component has been seldom analysed. This paper intends to set a comprehensive conceptual background for central bank financial independence. Quite often central banks are modelled as robot like maximizers of some goal. This perspective neglects the fact that central bank functions are inevitably deployed on its balance sheet and have effects on its income statement. A financially independent central bank exhibits ...

  13. Recognition and Ranking Critical Success Factors of Business Intelligence in Hospitals - Case Study: Hasheminejad Hospital

    Directory of Open Access Journals (Sweden)

    Marjan Naderinejad

    2014-04-01

    Full Text Available Background and Aim: Business Intelligence, not as a tool of a product but as a new approach is propounded in organizations to make tough decisions in business as shortly as possible. Hospit al managers often need business intelligence in their fiscal, operational, and clinical reports and indices. Rec ognition of critical success factors (CSF is necessary for each organization or project. Yet, there is not a va lid set of SCF for implementing business intelligence. The main goal of recognition and ranking CSF is implementation of a business intelligent system in hospitals to increase success factor of applicati on of business intelligence in health and treatment sector. Materials and Methods: T his paper is an application and descriptive - analytical one, in which we use questionnaires to gather data and we used SPSS and LISREL to analyze them. Its statistical society i s managers and personnel of Hasheminejad hospital and case studies are selected by Cochran formula. Results: The findings show that all three organizational, process, and technological factors equally affect implementation of business intelligence based on Yeoh & Koronis approach, where the assumptions are based upon it. The proposed model for CSFs of business intelligence in hospitals include: declaring perspective, goals and strategies, development of human and financial resources, clarification of organizational culture, documentation and process mature, management support, etc. Co nclusion: Business intelligence implementation is affected by different components. Center of Hasheminejad hospital BI system as a leader in providing quality health care, partially succeeded to take advantage of the benefits the organization in passing th e information revolution but the development of this system to achieve intelligent hospital and its certainty is a high priority, thus it can`t be said t hat the hospital - wide BI system is quite favorable. In this regard, it can be concluded

  14. Internal auditing in hospitals.

    Science.gov (United States)

    Edwards, Don; Kusel, Jim; Oxner, Tom

    2003-01-01

    The authors analyzed two national surveys to determine answers for two basic questions: How do the roles of internal auditors compare with those of their counterparts in other industries and to what extent over the past 6 years have the activities of internal auditors changed? Internal auditors in hospitals allocate their time primarily to financial/compliance and operational types of audits, as do their counterparts. The current trend is toward more operational types of audits. In the early years of employment, staff turnover in hospitals is significantly higher than in all combined industries, often leading to internal auditors' filling other positions in the organization. Hospital staff salaries are higher than are salaries in other industries combined. Staff composition continues to reflect the growing presence of women in the field. The majority of internal auditing directors believe that their salaries are fair, would recommend internal auditing as a career position, and are treated as valued consultants in the organization.

  15. /Cu-Al System

    Science.gov (United States)

    Kish, Orel; Froumin, Natalya; Aizenshtein, Michael; Frage, Nachum

    2014-05-01

    Wettability and interfacial interaction of the Ta2O5/Cu-Al system were studied. Pure Cu does not wet the Ta2O5 substrate, and improved spreading is achieved when relatively a high fraction of the active element (~40 at.% Al) was added. The Al2O3 and AlTaO4 phases were observed at the Ta2O5/Cu-Al interface. A thermodynamic evaluation allowed us to suggest that the lack of wetting bellow 40 at.% Al is due to the presence of a native oxide, which covers the drop. The conditions of the native oxide decomposition and the formation of the volatile Al2O suboxide strongly depend on the vacuum level during sessile drop experiments and the composition of the Cu-Al alloy. In our case, Al contents greater than 40% provides thermodynamic conditions for the formation of Al2O (as a result of Al reaction with Al2O3) and the drop spreading. It was suggested that the final contact angle in the Ta2O5/Cu-Al system (50°) is determined by Ta adsorption on the newly formed alumina interlayer.

  16. Marketing the hospital library.

    Science.gov (United States)

    Bridges, Jane

    2005-01-01

    Many librarians do not see themselves as marketers, but marketing is an essential role for hospital librarians. Library work involves education, and there are parallels between marketing and education as described in this article. It is incumbent upon hospital librarians actively to pursue ways of reminding their customers about library services. This article reinforces the idea that marketing is an element in many of the things that librarians already do, and includes a list of suggested marketing strategies intended to remind administrators, physicians, and other customers that they have libraries in their organizations.

  17. Drawing Hospital Foodscapes

    DEFF Research Database (Denmark)

    Tvedebrink, Tenna Doktor Olsen; Fisker, Anna Marie; Kirkegaard, Poul Henning

    This poster presents a series of drawings depicting the initial considerations made with the Ph.D. project for an improved ‘Interior Design for Food’ in a Danish hospital ward. The project concerns a study on the ontological and symbolic interrelationship possibly existing between food and archit......This poster presents a series of drawings depicting the initial considerations made with the Ph.D. project for an improved ‘Interior Design for Food’ in a Danish hospital ward. The project concerns a study on the ontological and symbolic interrelationship possibly existing between food...

  18. Toward healthier hospitals.

    Science.gov (United States)

    Mintzberg, H

    1997-01-01

    This article builds around a framework of cure, care, control, and community, with collaboration at the center, to consider 12 issues common to many hospitals. These include, among others, the fragmentation of efforts, confusion in mission (and in mission statements), the problems of bundling research with clinical work, selectivity in informing board members, the dangers of professional management, and the difficulties of combining external advocacy with internal reconciliation in the senior manager's job. The article concludes that hospitals could better learn how to solve systemic problems systemically, and that to do so will require not the wish lists of strategic planning and structural reorganizing, but tangible changes in their collective behavior.

  19. Hospitality, Tourism, and Politics

    Directory of Open Access Journals (Sweden)

    Stephen W. Litvin

    2012-09-01

    Full Text Available Government policy has a significant impact on the hospitality and tourism industry, but it is unclear if political leaders fully understand this economic sector when crafting policies. This article offers new research about the direct involvement of industry practitioners in the political process, by analyzing the backgrounds of legislators in the six New England states. The data indicate that only 3% of these legislators have current or former careers related to hospitality and tourism. The author suggests that practitioners should seek election to political office, to better influence government policy.

  20. Hospital Prices Increase in California, Especially Among Hospitals in the Largest Multi-hospital Systems

    Directory of Open Access Journals (Sweden)

    Glenn A. Melnick PhD

    2016-06-01

    Full Text Available A surge in hospital consolidation is fueling formation of ever larger multi-hospital systems throughout the United States. This article examines hospital prices in California over time with a focus on hospitals in the largest multi-hospital systems. Our data show that hospital prices in California grew substantially (+76% per hospital admission across all hospitals and all services between 2004 and 2013 and that prices at hospitals that are members of the largest, multi-hospital systems grew substantially more (113% than prices paid to all other California hospitals (70%. Prices were similar in both groups at the start of the period (approximately $9200 per admission. By the end of the period, prices at hospitals in the largest systems exceeded prices at other California hospitals by almost $4000 per patient admission. Our study findings are potentially useful to policy makers across the country for several reasons. Our data measure actual prices for a large sample of hospitals over a long period of time in California. California experienced its wave of consolidation much earlier than the rest of the country and as such our findings may provide some insights into what may happen across the United States from hospital consolidation including growth of large, multi-hospital systems now forming in the rest of the rest of the country.

  1. German hospital database-allocation of patients to appropriate hospitals.

    Science.gov (United States)

    Schneider, Rita; Reiners, Christoph

    2010-06-01

    Effective response to radiological emergencies requires information about available qualified hospitals and defined methods to timely allocate patients to appropriate hospitals. In Germany, updated information about hospitals concerning their qualification and willingness to treat radiological emergency patients is not summarized. The objectives were to identify qualified hospitals, assess hospital capacities and treatment capabilities, to examine willingness to respond to various radiological emergencies and to develop a concept for matching patients to hospitals. A Germany-wide combined postal/Web survey of 99 selected hospitals conducted in 2007 covered relevant organizational characteristics, hospital resources, treatment expertise, and the willingness to accept radiological emergency patients by a self-reported written questionnaire with 57 items. Survey results were documented in a Microsoft Access database. A database-driven Web application was developed to allocate patients to hospitals. Of 99 hospitals, 69 responded and 54 indicated their willingness to accept radiological emergency patients. 17,512 total hospital beds, 2,084 intensive care, and 170 reverse isolation beds were reported. Availability of laboratory and in-patient departments ranged from 14 radiobiology to 47 laboratory medicine departments and from 13 burn care to 52 trauma surgery departments. 48 and 40 hospitals stated treatment competence for local and whole body external exposure, respectively. 34 and 29 hospitals reported treatment expertise for contamination and incorporation, respectively. In this publication baseline data of qualified hospitals concerning capacities and competence to manage radiological emergency patients are presented, and an allocation concept for radiological emergency patients is provided.

  2. Community benefit activities of private, nonprofit hospitals.

    Science.gov (United States)

    Bazzoli, Gloria J; Clement, Jan P; Hsieh, Hui-Min

    2010-12-01

    The definition of hospital community benefits has been intensely debated for many years. Recently, consensus has developed about one group of activities being central to community benefits because of its focus on care for the poor and on needed community services for which any payments received are low relative to costs. Disagreements continue, however, about the treatment of bad debt expense and Medicare shortfalls. A recent revision of the Internal Revenue Service's Form 990 Schedule H, which is required of all nonprofit hospitals, highlights the agreed-on set of activities but does not dismiss the disputed items. Our study is the first to apply definitions used in the new IRS form to assess how conclusions about the adequacy of nonprofit hospital community benefits could be affected if bad debt expenses and Medicare shortfalls are included or excluded. Specifically, we examine 2005 financial data for California and Florida hospitals. Overall, we find that conclusions about community benefit adequacy are very different depending on which definition of community benefits is used. We provide thoughts on new directions for the current policy debate about the treatment of bad debts and Medicare shortfalls in light of these findings.

  3. Guidelines for hand hygiene in hospital

    Directory of Open Access Journals (Sweden)

    Christina Sotnikova

    2013-10-01

    Full Text Available The appropriate compliance of rules regarding hand hygiene, have been and continue to be, one of the basic points of all prevention programs of nosocomial infections. Aim: The aim of the present study was the presentation of guidelines for hand hygiene by nurses. Method and material: Study of international and Greek literature from electronic databases Medline, PubMed and scientific journals, KEELPNO mainly from the last three years. The keywords used were: nosocomial infections, hand hygiene, antiseptics and guidelines. Results: There are numerous studies that demonstrate the central role of hand hygiene of employees in transmission of microorganisms in the hospital environment. Hand hygiene is a process, which should not be omitted or replaced by the use of antiseptics. The professionals position in the hospital, the workplace and staff shortages, in conjunction with the large number of hospitalized patients seem to be the main factors that negatively affect the compliance with hand hygiene. The staff working in the hospital, especially with high-risk patients (ICU, surgery should not wear artificial nails, nail polish and jewelry - rings and should not have inflammation or infection on their hands. Conclusions: Hand hygiene should be applied before and after contact with each patient. Nurses have to comply with these guidelines, in order for the effective prevention and control of nosocomial infections.

  4. Aussprache als motorische Fertigkeit

    DEFF Research Database (Denmark)

    Bonner, Maria

    2013-01-01

    Authentische Aussprache gilt im Fremdsprachenunterricht als schwer erreichbares Ziel, fremdsprachlicher Akzent wird als nahezu unvermeidbar gesehen. Weder die Hypothese einer kritischen Periode für den Erwerb einer authentischen Aussprache noch das Konzept der Fossilierung im Sprachlernprozess...

  5. Amyotrophic Lateral Sclerosis (ALS)

    Science.gov (United States)

    ... ALS Neurons' broken machinery piles up in ALS Esclerosis Lateral Amiotrófica Dormant viral genes may awaken to ... Dementia Information Page Multifocal Motor Neuropathy Information Page Multiple Sclerosis Information Page Muscular Dystrophy Information Page Myasthenia ...

  6. Survey among doctors related with bronchial asthma patients in central hospitals of region level cities in Shaanxi province%陕西省地区级城市中心医院支气管哮喘相关科室医师的调查分析

    Institute of Scientific and Technical Information of China (English)

    宋立强; 吴昌归; 呼彩莲; 李海东; 李文革; 何小鹏; 张和平

    2008-01-01

    表示为每位接诊的哮喘患者制定了长期用药方案及随访计划.结论 通过调查了解了陕西省地区级城市中心医院医师对哮喘知识的掌握程度.总体来看,呼吸内科医师的掌握程度高于其他专科,但距离普及规范化治疗理念还任重而道远.这些资料将为联盟在西部地区的医师教育工作提供参考.%Objective To evaluate the situation of grasping bronchial asthma(asthma) knowledge ofdoctors related with asthma patients in central hospitals of region level cities in Shaanxi province, and toappraise the effect of doctor education in order to provide evidence for the next step of education. MethodsSix hospitals were selected from six region level cities, where questionnaire survey was completed in thedorctors from the department of respiratory medicine, internal medicine, emergency or pediatrics. Thequestionnaire involved pathogenesy, prevention, treatment and advencement of global initiative for asthma(GINA). Results 187 doctors completed the qusetionnaire,and the ratio of every speciality was 29.9%,23.0%,26.7% and 20.3%, respectively. 58.9%-62.5% dorctors in respiratory knew the organization ofasthma clearly and the ratio was very higher than that in other spciality. But 10.7% dorctors did not knowthe significance of GINA. World Asthma Day was known in 87.6%. 69.9% doctors understood thepathogenesy of slow airway inflammation, while the highest ratio was 78.6% in repiralogy and the lowestone was 55.8% in internal medcine. Repiratory doctor knew the classification of asthma according tocontroled level most clearly in all people. 54.8%-75.0% doctors knew the importance of inhaledcorticosteroid (ICS)in therapy. But the effect of asthma control test and stort-acting β2-agonist wasunderstood only by 7.1% and 42.9% respiratory doctors. 37.8% doctors knew the use of long-actingβ2-agonist should be combined with ICS. 52.0%-76.4% doctors knew the blocker of leukotriene receptorwas control medcine. 51

  7. Discussion on a Public Hospital's Practice in Culture Shaping and Innovative Development.

    Science.gov (United States)

    Zhang, Peiying

    2015-05-01

    Culture shaping is an important part of a hospital's quality management to enhance its medical service, improve doctor-patient relations, and cement its brand image (Jianping and Hong in Chinese Hospital Management 29(1):36-37, 2009). First built in 1953, Xuzhou Central Hospital is a tertiary general hospital in the Huaihai Economic Zone and has won a series of honorary titles for its reforms, innovations, and the level of medical services provided. In recent years, the hospital has increased its efforts in culture shaping through the construction of special departments, medical services, hospital culture, and professional ethics. This has resulted in substantial progress in the hospital's medical capabilities and service quality, and laid a solid foundation to achieve its ambitious goal of becoming a nationally prestigious hospital, among the best in Jiangsu and a regional healthcare center in the Huaihai Economic Zone.

  8. Mechanical engineering in hospitals.

    Science.gov (United States)

    Wallington, J W

    1980-10-01

    The design of a modern hospital owes more to engineering than the layman may realize. In this context, many engineers are in the position of laymen, being unfamiliar with the multitude of services that lies behind the impressive facade of a modern hospital. In recent years medicine and surgery themselves have taken on many of the characteristics of a technology. This has required a matching development of the services both mechanical and electrical that are required in modern health care buildings. In medical terms, if the architectural features provide the 'skin' of the hospital, the mechanical and electrical engineering services provide the nerves and sinews. If we take as an example the recently completed Freeman Hospital, Newcastle upon Tyne, (Fig. 1), which cost 10 million pounds at current cost, the service network was responsible for about half the total cost. About 400 miles (643 km) of electrical wiring and more than 40 mile (64.5 km) of copper and steel piping were used to service 3000 separate rooms. This compares with percentages of between 18 and 25 per cent for other large buildings such as office blocks, hotels and sports complexes.

  9. Hospitals as food arenas

    DEFF Research Database (Denmark)

    Poulsen, Signe; Jørgensen, Michael Søgaard

    2010-01-01

    also identified. Research limitations: The assessment of the dietary changes based on the canteen take-away food was only based on indirect assessments based on interviews with users and non-users and furthermore based on a questionnaire at one of the hospitals. Value/originality: Canteen take...

  10. Innovations in Hospitality Industry

    Science.gov (United States)

    Dzhandzhugazova, Elena A.; Blinova, Ekaterina A.; Orlova, Liubov N.; Romanova, Marianna M.

    2016-01-01

    The article focuses on the study of the role and importance of innovation, its classification, the problems of its application in the hotel industry with emphasis on the application of sensory marketing tools in the development of the innovative marketing mix within the hospitality industry. The article provides an analysis of the "seven…

  11. Responsible Hospitality. Prevention Updates

    Science.gov (United States)

    Colthurst, Tom

    2004-01-01

    Responsible Hospitality (RH)--also called Responsible Beverage Service (RBS)--encompasses a variety of strategies for reducing risks associated with the sale and service of alcoholic beverages. RH programs have three goals: (1) to prevent illegal alcohol service to minors; (2) to reduce the likelihood of drinkers becoming intoxicated; and (3) to…

  12. Hospital restructuring and burnout.

    Science.gov (United States)

    Greenglass, Esther R; Burke, Ronald J

    2002-01-01

    Increasingly, organizations are experiencing changes as a result of extensive downsizing, restructuring, and merging. In Canada, government-sponsored medicine has been affected as hospitals have merged or closed, reducing essential medical services and resulting in extensive job loss for hospital workers, particularly nurses. Hospital restructuring has also resulted in greater stress and job insecurity in nurses. The escalation of stressors has created burnout in nurses. This study examines predictors of burnout in nurses experiencing hospital restructuring using the MBI-General Survey which yields scores on three scales: Emotional exhaustion, Cynicism, and Professional efficacy. Multiple regressions were conducted where each burnout scale was the criterion and stressors (e.g., amount of work, use of generic workers to do nurses' work), restructuring effects, social support, and individual resources (e.g., control coping, self-efficacy, prior organizational commitment) were predictors. There were differences in the amount of variance accounted for in the burnout components by stressors and resources. Stressors contributed most to emotional exhaustion and least to professional efficacy. Individual resources were more likely to contribute to professional efficacy and least to emotional exhaustion. Stressors and resources accounted for approximately equal amounts of variance in cynicism. Three conclusions were drawn. First, present findings parallel others by showing that individual coping patterns contribute to professional efficacy. Second, emotional exhaustion was found to be the prototype of stress. Third, prior organizational commitment, self-efficacy, and control coping resulted in lower burnout.

  13. Sensibilidad al cambio de dominio y resolución de tres configuraciones del modelo climático regional RegCM 4.3 para la región de América Central y el Caribe

    Directory of Open Access Journals (Sweden)

    Alejandro Vichot-Llano

    2014-09-01

    Full Text Available Se utilizaron tres configuraciones del modelo climático regional RegCM, del ICTP, versión 4.3, para dos dominios en la región de América Central y el Caribe, con tres esquemas de parametrización de cúmulo, con el objetivo de estudiar la sensibilidad del modelo al cambio de resolución y dimensiones del dominio. Los esquemas convectivos utilizados son el de Emanuel (EM, una combinación del esquema de Grell sobre tierra y Emanuel sobre el océano (GE y el esquema de Tiedtke (TI. Las condiciones de frontera se obtuvieron de los reanálisis ERA-Interim. El primer dominio se extendió de 26 a 116 grados oeste y de 5 a 33 grados norte, con 50 km de resolución horizontal, mientras que el segundo, interior a éste, se limitó a una parte de América Central y las Antillas, con resolución de 25 km y se definió un área de estudio común entre ambos dominios para realizar las comparaciones. El periodo de simulación fue desde el año 2000 hasta el 2001. La base de datos satelital TRMM fue usada como criterio de comparación para la precipitación y las del CRU y MERRA para los campos de temperatura. Los resultados alcanzados indican que el modelo posee una habilidad razonable para reproducir los patrones espaciales de la lluvia en el Caribe, pero presenta sesgos cuyo valor depende del esquema de cumulo que utiliza, y en menor medida de la resolución espacial. Para el período poco lluvioso, el modelo presenta poca sensibilidad al cambio de dominio y resolución tanto en la simulación de la precipitación como de la temperatura, donde la combinación GE da los mejores resultados para la precipitación mientras para el periodo lluvioso, TI y GE presentan los menores sesgos independientemente de la resolución, aunque para 25 km, los sesgos son algo menores y presentan una distribución más homogénea en el área de estudio. La temperatura simulada por el modelo fue bien representada por todas las configuraciones, y principalmente por el esquema

  14. [Leadership in the hospital].

    Science.gov (United States)

    Schrappe, Matthias

    2009-01-01

    Current concepts in leadership and governance on the level of supervisory board, management and departments are often considered as insufficient to cope with the profound structural change which actually takes place in the German health care system. While vertical and horizontal disconnecting is typical of the professional bureaucracy of hospitals, transition from functional to divisional structure further increases this risk. Accordingly, medical experts are oriented towards their professional peers and patient care on the one side; on the other side the management gets isolated and looses operative and strategic control. Several studies provide evidence for the relevance of role models to serve as agents of change, which are now developed into the concept of "Clinical Governance": evidence-based medicine, guidelines, continuous quality improvement, safety culture, resource accountability and organisational learning. The present situation makes it necessary to extend this conception, which focuses on the departmental level in an organisation with divisional features, to one of "Clinical Corporate Governance". This term, which also includes supervisory structures and the management board and is relevant for the total hospital and company, respectively, is based on the corporate governance concept. Inside the hospital, the management and the heads of the departments have to agree that (1) experts really need to be integrated into the decision process, and that (2) the outcomes of the entire hospital have to be regarded as equal or superior to the aims of a single department. The public image of the hospital should be one of a strong and reliable partner in health care and health care business on a local, regional and national level. Members of the supervisory board should clearly put corporate aspects above political and other implications and pay attention to personal independence from the leaders of the medical departments.

  15. [Plastic surgery in day hospital conditions: comparison between two hospital models].

    Science.gov (United States)

    Faga, A; Carminati, M; Falconi, D; Gatti, S; Rottino, A

    2003-12-01

    Personal experience of plastic surgery carried out in Day Hospital conditions is reported. The experience took place within the hospital structure through two different organisational models called here transversal and divisional organisation models: characteristic of the former is that it uses a dedicated interdivisional structure within the hospital involving the centralization of all day-surgery activities, whereas the latter organizes Day Surgery activities within the operating unit whose structures it shares. On the basis of a comparison between the two models we were able to note advantages and disadvantages. We can review our experience in brief by stating that our own preference went to the transversal model which presents the indubitable advantage of being a logistic structure which is hinged on daytime activity and is ready therefore to satisfy on the one hand the needs of this type of patient and, on the other, the needs of the structure itself in efficiency terms. We propose to correct the disadvantages of the transversal model which can be outlined in its lack of homogeneity in the pathology treated and in the subtraction of the criterion of clinical priority in waiting lists through the attainment of a critical dimensional threshold such as to permit programmable sessions with patients with homogeneous pathology (i.e. belonging to the same hospital unit) and through the maintenance of a certain number of Day Hospital beds (around 25%) reserved for new emergency clinical cases.

  16. El síndrome coronario agudo y otros diagnósticos provocan subregistro del infarto agudo del miocardio en el Hospital México, Costa Rica

    Directory of Open Access Journals (Sweden)

    Manuel Francisco Jiménez-Navarrete

    2013-03-01

    Full Text Available Justificación: el infarto agudo del miocardio es un problema mayor de salud pública. Es necesario verificar su adecuado registro en Costa Rica para atender eficientemente su problemática. Materiales y métodos: estudio descriptivo y observacional. Se recopilaron los pacientes egresados del Hospital México con diagnósticos de síndrome coronario agudo, infarto agudo del miocardio, angina inestable y cardiopatía isquémica, de agosto 2005 a julio 2006, analizándose los registros de la oficina de Bioestadística y Unidades (Coronaria, Terapia Intensiva, Hemodinamia y Ecocardiogramas. Resultados: el Hospital México reportó 110 pacientes con el diagnóstico de infarto agudo del miocardio. Al incluir egresados con diagnósticos de síndrome coronario agudo, angor inestable o cardiopatía isquémica y que eran infartos agudos del miocardio, el número aumentó a 172. La muestra analizada finalmente fue de 138 pacientes al eliminar el restante por datos incompletos, significando un subregistro de al menos 36%. El 78.1% fueron hombres y la edad promedio para ambos sexos fue 65.2 años. No se le midió la troponina al 49,3% de la muestra y la cuarta parte no fueron valorados por cardiólogos. El 20.3% de los pacientes que fueron egresados con otros diagnósticos eran portadores también de infarto agudo del miocardio. Conclusiones: existe subregistro de infarto agudo del miocardio en el Hospital México y en oficinas centrales del Ministerio de Salud y la Caja Costarricense de Seguro Social. Este hallazgo también es probable que se presente en otros hospitales costarricenses.

  17. Configurations of Leadership Practices in Hospital Units

    DEFF Research Database (Denmark)

    Meier, Ninna

    2015-01-01

    shows leadership practices to be primarily embedded in the clinical work and often shared across organizational or professional boundaries. Originality/value: – This paper demonstrated how leadership practices are embedded in the everyday work in hospital units. Moreover, the analysis shows how...... and interviews with ten interdisciplinary clinical managers. Findings: – Comparing leadership as configurations of practices across four different clinical settings, the author shows how flexible and often shared leadership practices were embedded in and central to the core clinical work in all units studied...

  18. The politics of hospital payment.

    Science.gov (United States)

    Feder, J; Spitz, B

    1979-01-01

    This paper analyzes the politics of hospital payment over the last decade. The authors explain how provider interests and judgments became a standard for appropriate hospital payment: the impact of that standard on hospital costs; and the political obstacles to imposing an alternative standard and controlling hospital costs. The authors draw lessons from this experience, here and in other countries, to propose an alternative approach to hospital payment that would allow policymakers, accountable to the public, to make explicit choices about the level and nature of hospital expenditures.

  19. Punishment on Stage: Application of Islamic Criminal Law by Harakat al-Shabaab al-Mujahideen

    OpenAIRE

    Skjelderup, Michael

    2011-01-01

    Harakat al-Shabaab al-Mujahideen, usually referred to as al-Shabaab (“the youth”), is mostly known as a Somali terrorist group. But since the end of 2008 it has functioned as a state power in large parts of Southern and Central Somalia. In this study I sketch out the structure and function of the legal system of the group. Over the last three years they have developed an administrative structure and a legal system which is unprecedented in the Somali conflict, which has lasted for more than 2...

  20. Hospital-acquired infections - when are hospitals legally liable?

    Science.gov (United States)

    McQuoid-Mason, David

    2012-04-12

    Hospital-acquired infections (nosocomial infections) are acquired in healthcare settings by patients admitted for reasons unrelated to the infection or not previously infected when admitted to the facility. Liability for hospital-acquired infections depends on whether the hospital: (i) has introduced best practice infection control measures; (ii) has implemented best practice infection control measures; or (iii) will be vicariously liable for negligent or intentional failures by staff to comply with the infection control measures implemented. A hospital and hospital administrators may be held directly liable for not introducing or implementing best practice infection control measures, resulting in harm to patients. The hospital may also be held vicariously liable where patients have been harmed because hospital staff negligently or intentionally failed to comply with the infection control measures that have been implemented by the hospital, during the course and scope of their employment.

  1. NIDDK Central Repository

    Data.gov (United States)

    U.S. Department of Health & Human Services — The NIDDK Central Repository stores biosamples, genetic and other data collected in designated NIDDK-funded clinical studies. The purpose of the NIDDK Central...

  2. Central Neuropathic Pain Syndromes.

    Science.gov (United States)

    Watson, James C; Sandroni, Paola

    2016-03-01

    Chronic pain is common in patients with neurologic complications of a central nervous system insult such as stroke. The pain is most commonly musculoskeletal or related to obligatory overuse of neurologically unaffected limbs. However, neuropathic pain can result directly from the central nervous system injury. Impaired sensory discrimination can make it challenging to differentiate central neuropathic pain from other pain types or spasticity. Central neuropathic pain may also begin months to years after the injury, further obscuring recognition of its association with a past neurologic injury. This review focuses on unique clinical features that help distinguish central neuropathic pain. The most common clinical central pain syndromes-central poststroke pain, multiple sclerosis-related pain, and spinal cord injury-related pain-are reviewed in detail. Recent progress in understanding of the pathogenesis of central neuropathic pain is reviewed, and pharmacological, surgical, and neuromodulatory treatments of this notoriously difficult to treat pain syndrome are discussed.

  3. Central venous catheter - flushing

    Science.gov (United States)

    ... during cancer treatment Bone marrow transplant - discharge Central venous catheter - dressing change Peripherally inserted central catheter - flushing Sterile technique Surgical wound care - open Review Date 9/22/2016 Updated by: ...

  4. Hospital malnutrition: a 33-hospital screening study.

    Science.gov (United States)

    Kamath, S K; Lawler, M; Smith, A E; Kalat, T; Olson, R

    1986-02-01

    A collaborative study involving nutrition screening of 3,047 patients (excluding 125 pregnant women) at admission to 33 hospitals in and around the greater Chicago area was carried out to identify patients at nutritional risk. Information on sex, age, admitting diagnosis, serum albumin, hemoglobin, total lymphocyte count, and height and weight was collected from the medical chart within 48 hours of admission. Nutrition screening could not be completed for a larger number of patients (60%) because data at admission were not available. Of the remaining 40% of patients, more than 50% had below normal values for one or more of the variables studied: serum albumin, hemoglobin, and total lymphocyte count. A large number of the patients (40%) also were considered at nutritional risk as judged by the criteria of weight/height (measured only). Early nutrition intervention for high-risk patients cannot be implemented, nor can the efficacy of nutrition services be evaluated, unless nutrition screening is carried out on patients at admission.

  5. Seguimiento de enfermería a la madre y al recién nacido durante el puerperio: traspasando las barreras hospitalarias Nursing monitoring to mother and newborn during the postpartum period: going beyond hospital barriers Acompanhamento de enfermagem à mãe e ao recém nascido durante o puerpério: ultrapassando as barreiras hospitalares

    Directory of Open Access Journals (Sweden)

    MUNÉVAR ROSA YOLANDA

    2009-12-01

    Full Text Available Este artículo ofrece una visión global del estado del arte de cinco trabajos de grado en modalidad de pasantía, realizados por estudiantes de pregrado de la Universidad Nacional de Colombia, Facultad de Enfermería, entre 2004 y 2007, desarrollados en los servicios de puerperio de cuatro hospitales de Bogotá, dentro del proyecto “Seguimiento domiciliario a la madre y al recién nacido durante el puerperio”. Refiere la vinculación de madres en periodo de puerperio, sus neonatos, padres y familias como grupo de apoyo, a quienes les realizaron seguimiento mediante llamadas telefónicas y visitas domiciliarias, para identificar factores de riesgo y signos de alarma que les comprometieran la salud y la vida. Congruentes con los hallazgos en las valoraciones de enfermería y el seguimiento, los estudiantes y docentes ejecutaron acciones de promoción de la salud y prevención de la enfermedad, mediante sesiones educativas en espacios institucional y domiciliario, dirigidas a fortalecer e iniciar oportunamente cuidados de enfermería, promover la participación de la familia, motivar la consulta temprana y ofrecer apoyo en lactancia materna, estilos de vida saludable, fortalecimiento del vínculo afectivo madre- hijo-padre, respetando las prácticas culturales. Las intervenciones de cuidado ejecutadas por estudiantes y docentes fueron estrategias para participar en la disminución de las tasas de morbilidad y mortalidad materna y neonatal por causas evitables. Además los trabajos evidenciaron que el cuidado de enfermería sobrepasa los espacios hospitalarios y reviste importancia en escenarios de vida cotidiana como el hogar.This article offers a global vision of the state of the art of five graduation work pieces produced by pre-grade students from Universidad Nacional de Colombia, Nursing Faculty, between 2004 and 2007, developed in the postpartum services of four hospitals of Bogotá, within the project “Home monitoring of mother and

  6. Seguimiento de enfermería a la madre y al recién nacido durante el puerperio: traspasando las barreras hospitalarias Acompanhamento de enfermagem à mãe e ao recém nascido durante o puerpério: ultrapassando as barreiras hospitalares Nursing monitoring to mother and newborn during the postpartum period: going beyond hospital barriers

    Directory of Open Access Journals (Sweden)

    ONAIDY ALINA BOHÓRQUEZ GAMBA

    Full Text Available Este artículo ofrece una visión global del estado del arte de cinco trabajos de grado en modalidad de pasantía, realizados por estudiantes de pregrado de la Universidad Nacional de Colombia, Facultad de Enfermería, entre 2004 y 2007, desarrollados en los servicios de puerperio de cuatro hospitales de Bogotá, dentro del proyecto " Seguimiento domiciliario a la madre y al recién nacido durante el puerperio" . Refiere la vinculación de madres en periodo de puerperio, sus neonatos, padres y familias como grupo de apoyo, a quienes les realizaron seguimiento mediante llamadas telefónicas y visitas domiciliarias, para identificar factores de riesgo y signos de alarma que les comprometieran la salud y la vida. Congruentes con los hallazgos en las valoraciones de enfermería y el seguimiento, los estudiantes y docentes ejecutaron acciones de promoción de la salud y prevención de la enfermedad, mediante sesiones educativas en espacios institucional y domiciliario, dirigidas a fortalecer e iniciar oportunamente cuidados de enfermería, promover la participación de la familia, motivar la consulta temprana y ofrecer apoyo en lactancia materna, estilos de vida saludable, fortalecimiento del vínculo afectivo madre-hijo-padre, respetando las prácticas culturales. Las intervenciones de cuidado ejecutadas por estudiantes y docentes fueron estrategias para participar en la disminución de las tasas de morbilidad y mortalidad materna y neonatal por causas evitables. Además los trabajos evidenciaron que el cuidado de enfermería sobrepasa los espacios hospitalarios y reviste importancia en escenarios de vida cotidiana como el hogar.Este artigo apresenta uma visão global do estado da arte de cinco trabalhos de graduação na modalidade de estágio, realizados por estudantes de prégraduação da Universidade Nacional da Colômbia, Faculdade de Enfermagem, entre 2004 e 2007, desenvolvidos nos serviços de puerpério de quatro hospitais de Bogot

  7. Texas hospitals share creative uses of non-clinical staff to reduce ER costs.

    Science.gov (United States)

    2006-01-01

    Texas hospitals share creative uses of non-clinical staff to reduce ER costs. In central Texas, Christus Spohn Hospital and Seton Health Care are independently exploring the use of non-clinical staff to improve utilization of clinical and emergency services, but their existing programs employ different structures and outcomes measurements.

  8. How to move things around a hospital: transport logistics at St. Michael's.

    Science.gov (United States)

    Yau, A; Zorn, R; McLaughlin, J

    1998-01-01

    Ongoing fiscal restraint challenges hospitals to focus their resources primarily on core services. Support services receive much less attention. This article describes the experience of Toronto's St. Michael's Hospital when it re-engineered its transport logistics by consolidating centralized support services into a logistics department and creating new roles and processes to enhance patient care.

  9. On Hospital Design – Identifying Building Attributes of Hospital Design

    DEFF Research Database (Denmark)

    Holst, Malene Kirstine; Kirkegaard, Poul Henning; Christoffersen, Lars D.

    The present paper surveys the input parameters in hospital design and describes them formally as building attributes in preparation for facilitating planning and designing of hospitals with the aim of a more optimal design process. The overview of the hospital functionalities, bonds, logistics...

  10. Hospital femenino e instituto psiquiátrico - Chicago – (EE. UU.

    Directory of Open Access Journals (Sweden)

    Goldberg, Bertrand

    1976-11-01

    , con forjados planos de hormigón, y un cerramiento exterior de muros-cortina. La torre es, en su totalidad, de hormigón armado ligero, con arcos en voladizo que concentran las cargas sobre el núcleo central. El Hospital se completa con un variado, moderno y completo programa de instalaciones. El diseño de la torre de habitaciones, cual escultura sobre un edificio convencional, presta singularidad al conjunto.

  11. Hacking the hospital environment

    DEFF Research Database (Denmark)

    Boisen, Kirsten A; Boisen, Anne Bank; Thomsen, Stine Legarth

    2017-01-01

    BACKGROUND: There is a need for youth-friendly hospital environments as the ward environment may affect both patient satisfaction and health outcomes. OBJECTIVE: To involve young people in designing youth-friendly ward environment. METHODS: We arranged a design competition lasting 42 h (Hackathon...... participation. The design concepts and ideas were in line with current evidence regarding pleasing hospital environment and youth-friendly inpatient facilities and may be applicable to other young patients....... presented their products to a jury and relevant stakeholders. RESULTS: The groups created eight unique design concepts. The young designers were extremely flexible listening to ideas and experiences from the young patients, which led to common features including individual and flexible design, privacy...

  12. Hospitals report on cancer centers.

    Science.gov (United States)

    Rees, T

    2001-01-01

    Woman's Hospital, Baton Rouge, La., is first-place winner among cancer centers. Holy Cross Hospital's Michael and Dianne Bienes Comprehensive Cancer Center, Ft. Lauderdale, Fla., is named second; and, Cardinal Health System's Ball Cancer Center, Muncie, Ind., third.

  13. Wearing gloves in the hospital

    Science.gov (United States)

    ... gloves; PPE - wearing gloves; Nosocomial infection - wearing gloves; Hospital acquired infection - wearing gloves ... Wearing gloves in the hospital helps prevent the spread of germs. This helps protect both patients and health care workers from infection.

  14. Hospital ICUs May Be Overused

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_162801.html Hospital ICUs May Be Overused Single medical center study ... While this is a study of just one hospital and results may differ at other medical centers, ...

  15. HSIP Hospitals in New Mexico

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — Hospitals in New Mexico The term "hospital" ... means an institution which- (1) is primarily engaged in providing, by or under the supervision of physicians, to...

  16. Preventing Infections in the Hospital

    Science.gov (United States)

    ... Share | With attention increasing on the incidence of infection in hospitals, patients everywhere need sensible principles to manage their ... will reduce the chance of developing a lung infection while in the hospital and may also improve your healing abilities following ...

  17. E-procurement in hospitals.

    Science.gov (United States)

    Hidalgo, Julio Villalobos; Orrit, Joan; Villalobos, Juan Pablo

    2011-01-01

    This article describes the history, current status, advantages of and opposition to the implementation of e-procurement in hospitals and examines the results of its implementation in a psychiatric hospital.

  18. Little hospital has big ideas.

    Science.gov (United States)

    Friedman, E

    1980-11-16

    Many hospitals have been looking at diversification of services with increased interest in recent years, and a small hospital in rural Wisconsin has shown that the concept need not be limited to large, urban institutions.

  19. Centralized rehabilitation after servere traumatic brain injury

    DEFF Research Database (Denmark)

    Engberg, Aase Worså; Liebach, Annette; Nordenbo, Annette Mosbæk

    2006-01-01

    OBJECTIVES: To present results from the first 3 years of centralized subacute rehabilitation after very severe traumatic brain injury (TBI), and to compare results of centralized versus decentralized rehabilitation. MATERIAL AND METHODS: Prospectively, the most severely injured group of adults from...... an uptake area of 2.4 million in Denmark were included at admission to a regional brain injury unit (BIU), on average 19 days after injury. Patients in the retrospective study used for comparison were randomly chosen from the national hospital register. RESULTS AND CONCLUSIONS: Out of 117 patients...... post-trauma was 0.29, and at 1 year 0.055 per 100,000 population. By comparison of 39 patients from the centralized unit injured in 2000-2003 with 21 patients injured in 1982, 1987 or 1992 and with similar PTA- and age distributions and male/female ratio, Glasgow Outcome Scale score at discharge...

  20. Centralized rehabilitation after servere traumatic brain injury

    DEFF Research Database (Denmark)

    Engberg, Aase Worså; Liebach, Annette; Nordenbo, Annette Mosbæk

    2006-01-01

    post-trauma was 0.29, and at 1 year 0.055 per 100,000 population. By comparison of 39 patients from the centralized unit injured in 2000-2003 with 21 patients injured in 1982, 1987 or 1992 and with similar PTA- and age distributions and male/female ratio, Glasgow Outcome Scale score at discharge......OBJECTIVES: To present results from the first 3 years of centralized subacute rehabilitation after very severe traumatic brain injury (TBI), and to compare results of centralized versus decentralized rehabilitation. MATERIAL AND METHODS: Prospectively, the most severely injured group of adults from...... an uptake area of 2.4 million in Denmark were included at admission to a regional brain injury unit (BIU), on average 19 days after injury. Patients in the retrospective study used for comparison were randomly chosen from the national hospital register. RESULTS AND CONCLUSIONS: Out of 117 patients...