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  1. Central line infections - hospitals

    Science.gov (United States)

    ... risk is higher if you: Are in the intensive care unit (ICU) Have a weakened immune system or serious ... unless you have washed your hands. Tell your nurse if your central line: Gets dirty Is coming ...

  2. 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)

  3. 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)

  4. 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)

  5. 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.

  6. 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)

  7. 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)

  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 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)

  10. 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)

  11. 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)

  12. Guidance and Orientation Manual : Internal Diseases Ward 11 - Central Finland Central Hospital

    OpenAIRE

    Hirjaba, Marina

    2009-01-01

    The purpose of this Bachelor’s Thesis is to create an initiation manual for the foreign students, foreign visitors or anyone else interested about Internal Diseases ward 11, Central Finland Central Hospital. The aim of the guidance material is to help the foreign students, who are practicing on ward 11, to become acquainted with the Finnish Healthcare System, Central Finland Central Hospital and to offer orientation upon the nursing and organisation of Internal Diseases ward 11. It is taken i...

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

    OpenAIRE

    Inmaculada Gómez-Villegas; Belén Ruíz-Pérez; Dolores López-del-Pino; Francisco García-España

    2015-01-01

    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. R...

  14. ACUTE LIFE-THREATENING ASTHMA IN ASIR CENTRAL HOSPITAL

    OpenAIRE

    Al-Ghamdi, Badr R.; Taklu, Bayu G.

    1997-01-01

    Aim: This study was conducted to analyze the severe acute asthma admissions in Asir Central Hospital (ACH) in Abha, Saudi Arabia. In particular, it aimed to identify risk factors and final outcome of acute life-threatening asthma. Method: All patients admitted to the Intensive Care Unit (ICU) with acute bronchial asthma from June 1989 to May 1995 were analyzed. Total admis-sions to the ICU were obtained to determine the prevalence of asthma admission to the ICU. Results: There were 13 admissi...

  15. 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.

  16. Sympathetic dysfunction of central origin in patients with ALS

    DEFF Research Database (Denmark)

    Karlsborg, M; Andersen, E B; Wiinberg, N; Gredal, O; Jørgensen, L; Mehlsen, J

    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 the ...

  17. Drowning in children: Aseer Central Hospital experience, Southwestern Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Suliman H Al-Fifi

    2011-01-01

    Full Text Available Aim: To study the reasons, magnitude and outcome of drowning following submersion in water of children admitted to the Pediatric Intensive Care Unit in Aseer Province, Saudi Arabia. Materials and Methods: A retrospective cohort study of all pediatric patients (0-13 years old who drowned and were admitted to the Pediatric Intensive Care Unit, Aseer Central Hospital, Southwestern Saudi Arabia, between January 1st 1999 and December 31st 2009. Results: A total of 19 cases were admitted following submersion in water. The mean age was 5.2 years ±3.8. Majority of victims (94.1% were from the highland areas. Events most frequently occurred in the summer (46.7%, followed by spring and winter, 33.3% and 20%, respectively. Home events constituted 44.4% of submersion cases. Of these, 55.6% drowned in a washing container, While 53.4% submersed in swimming pools. Twenty-two percent of these accidents occurred in the sea and in wells while 11.1% occurred in a lake. The mean duration of submersion was 4.04 minutes ± 5.35. Cardiac arrest was reported upon arrival at hospital in 42.1% of the victims. There were seven deaths (36.8 % and in one patient (5.2 % there was severe brain injury. In all deceased cases, no adults were watching the children when the accidents occurred. Conclusion: Drowning is a significant risk factor facing our children and can claim lives. The media as well as the authority should play a major role in increasing the public awareness to minimize or prevent such a problem.

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

    OpenAIRE

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

    2013-01-01

    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 me...

  19. Central Line-Associated Bloodstream Infections (CLABSI) In Hospitals, 2013

    Data.gov (United States)

    U.S. Department of Health & Human Services — This table shows the Centers for Disease Control and Prevention National Healthcare Safety Network (NHSN) central line-associated bloodstream infection (CLABSI)...

  20. System-Wide Impacts of Hospital Payment Reforms : Evidence from Central and Eastern Europe and Central Asia

    OpenAIRE

    Moreno-Serra, Rodrigo; Wagstaff, Adam

    2009-01-01

    Although there is broad agreement that the way that health care providers are paid affects their performance, the empirical literature on the impacts of provider payment reforms is surprisingly thin. During the 1990s and early 2000s, many European and Central Asian countries shifted from paying hospitals through historical budgets to fee-for-service or patient-based-payment methods (mostly...

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

    Directory of Open Access Journals (Sweden)

    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.

  2. Splenectomy for hematological diseases: The Qatif Central HospitalExperience

    International Nuclear Information System (INIS)

    In the Eastern Province of Saudi Arabia, an area known for varioushemoglobinopathies, splenectomy is performed rather frequently. This study isan analysis of our experience with splenectomy performed for varioushematological disorders between 1988 and 1997, outlining the indications,complications and outcome. This is a retrospective analysis of all patientswho had splenectomy at our hospital during this period. One hundred andforty-three patients were treated for various hematological disorders at ourhospital. These disorders included sickle cell disease (SCD) (100 patients),sickle thalassemia (S-B-thalassemia) (13 ITP) (5 patients), Gaucher's disease(2 patients), hereditary spherocytosis (1 patient), autoimmune hemolyticanemia (1 patient), thalssemia intermediate (2 patients) and chronic myeloidleukemia (1 patient). The indications for splenectomy in those with SCD andthalassemia were: hypersplenism (26 patients), major splenic sequestrationcrisis (50 patients), splenic abscess (12 patients), and massive splenicinfarction (2 patients). Splenectomy in these patients was beneficial inreducing their transfusion requirements and its attendant risks, eliminatingthe discomfort from mechanical pressure of the enlarged spleen, avoiding therisks of acute splenic sequestration crisis, and managing splenic abscess.For those with Thalassemia, total splenectomy was beneficial in reducingtheir transfusion requirements, while partial splenectomy was beneficial onlyas a temporary measure, as regrowth of splenic remnant in these patientssubsequently led to increase in their transfusion requirements. Those withITP, hereditary spherocytosis, and autoimmune hemolytic anemia showedexcellent response following splenectomy. There was no mortality, and thepostoperative morbidity was 5.6%. With careful perioperative management,splenectomy is both safe and beneficial in a selected group of patients withhematological diseases. (author)

  3. [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. PMID:25286563

  4. Quality of life in peptic ulcer patients referring to Al-Zahra hospital of Isfahan, Iran

    OpenAIRE

    Hafez, Asghar Ashrafi; Tavassoli, Elahe; Hasanzadeh, Akbar; Reisi, Mahnoush; Javadzade, Seyed Homamodin; Imanzad, Masoumeh

    2013-01-01

    Aim The purpose of this study was to determine quality of life in peptic ulcer patients referring to Al-Zahra hospital of Isfahan. Background Peptic ulcer disease (PUD) is one of the most prevalent diseases. Its prevalence is 6-15% and about 10% of people experience its symptom in their life. PUD can have a considerable impact on patients’ quality of life (QOL). Patients and methods This descriptive- analytic survey was done on 93 randomly patients referred to Al-Zahra hospital of Isfahan cit...

  5. 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. PMID:26809115

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

    Science.gov (United States)

    Zingg, Walter; Cartier, Vanessa; Inan, Cigdem; Touveneau, Sylvie; Theriault, Michel; Gayet-Ageron, Angèle; Clergue, François; Pittet, Didier; Walder, Bernhard

    2014-01-01

    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. PMID:24714418

  7. Hospitals

    DEFF Research Database (Denmark)

    Mullins, Michael

    2013-01-01

    is to minimize the negative effects of stress inducing environments based on research results. Which stress inducing factors? We can look around at some old hospitals and see they are noisy, confusing, ugly, monotonous, hard, cold, artificial, and dark; qualitative terms which can indicate what we shouldn...... 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......’ satisfaction. Social space: attention to spatial qualities, volume and interior design in terms of encouraging physical contact between users in wards, waiting areas and semi-private rooms. Outdoor space: Landscape and gardens are not enough in themselves; they should be visible, centrally or strategically...

  8. 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

  9. Clinical Spectrum of Acute Renal Failure in Dammam Central Hospital, Dammam, Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Ghacha Reda

    2000-01-01

    Full Text Available Fifty consecutive patients of acute renal failure (ARF seen over a period of two years at the Dammam Central Hospital, Dammam were studied. The mean age of the patients was 39.3 years ranging from 14 to 90 years. The main etiological factors for ARF were acute tubular necrosis (67.5% and obstructive uropathy (30%. The mortality rate was 26% and the poor prognostic factors included sepsis, acidosis, shock and the need for emergency hemodialysis.

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

    OpenAIRE

    Seada Mohammed; Tewelde Tesfaye Gebremariam

    2015-01-01

    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...

  11. Features of central serous chorioretinopathy presenting at a tertiary care hospital in Lahore

    International Nuclear Information System (INIS)

    Objective: To evaluate the clinical, angiographic and optical coherence tomographic features of central serous chorioretinopathy in patients presenting at a tertiary care centre in Lahore. Methods: The observational study was conducted at the Layton Rehmatulla Benevolent Trust Eye and Cancer Hospital Lahore from July 15, 2010 to December 15, 2011. Patients who had received prior treatment for the condition and allergy to fluorescein were excluded. There were 86 eyes of 64 adult patients with central serous chorioretinopathy. The following data was recorded: history, signs and symptoms, best corrected visual acuity, fundus fluorescein angiography, and central macular thickness measurement with optical coherence tomography. Data was analyzed using SPSS 17. Results: Mean age of patients who presented during the study duration was 39.52+-8.85 years. There were 53(82.8%) males and 11(17.2%) females. Of the total, 42(65.6%) cases had unilateral and 22(34.4%) cases had bilateral involvement. Chronic central serous chorioretinopathy was seen in 27(42.2%) cases while 37 (57.8%) cases were acute presentations. Retinal pigment epithelial detachment was observed in 29 (45.3%) cases. On fundus fluorescein angiography, there were 62 (72.1%) eyes that showed ink blot pattern. Median visual acuity at presentation was 0.25. Median central macular thickness at presentation was 550.5 (meu). Conclusion: Central serous chorioretinopathy in the study sample was associated with pigment epithelial detachment, bilateral involvement, and presence of systemic diseases. (author)

  12. [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. PMID:12774744

  13. Status of Thyroid Disorders in Central Nepal: A Tertiary Care Hospital Based Study

    Directory of Open Access Journals (Sweden)

    RV Mahato

    2015-03-01

    Full Text Available Background: Nepal is a Himalayan, landlocked country surrounded by India and China. It is endemic for iodine deficiency disease. Thyroiddysfunction is major health problem among the Nepalese people. Its prevalence increases with age. Screening of thyroid disease is advised inhigh risk population. Objectives: To find out the prevalence of thyroid dysfunction among subjects who attended Biochemistry Departmentof Tribhuwan University Teaching Hospital, Kathmandu, Nepal. Material and Methods: This is a hospital based retrospective studyconducted in the Department of Biochemistry Tribhuwan University Teaching Hospital, Institute of Medicine. This study was designed toinvestigate status of thyroid dysfunction in central Nepal. A total of 5230 cases from all over Nepal were studied in a single year. Blood sampleswere collected, serum separated and thyroid hormones (fT3, fT4 and TSH were assayed by Vitros ECIQ analyser Ortho Clinical DiagonosticsUSA. Result and discussion: Among 5230 subjects prevalence of thyroid dysfunction was 29.0% with subclinical hypothyroidism17%,hypothyroidism 8%, hyperthyroidism 3%, subclinical hyperthyroidism1% and euthyroidism 71%.Higher prevalence was seen in the age group31-45. Conclusion: This study revealed that subclinical and overt hypothyroidism is preponderant followed by sub clinical hyperthyroidism.Females are more vulnerable to the thyroid dysfunction. Since it is a hospital based study, the prevalence of thyroid dysfunction may not beapplicable. So an extensive demographic survey should be done to provide accurate data of thyroid dysfunction in the general population

  14. Factors Promoting and Hindering Performance of Unit Nurse Managers at Kamuzu and Queen Elizabeth Central Hospitals in Malawi

    OpenAIRE

    Caroline Chitsulo; Mercy Pindani; Idesi Chilinda; Alfred Maluwa

    2014-01-01

    Unit nurse managers in Malawi experience many challenges in the course of performing their roles. This affects their performance and service delivery including the quality of nursing care to patients. This study was conducted to determine the factors that hindered performance of unit managers in relation to expected quality of nursing services at two referral facilities (Kamuzu and Queen Elizabeth Central hospitals) in Malawi. These two central hospitals have the same structural settings...

  15. Aetiologies of Central Nervous System infections in adults in Kathmandu, Nepal: A prospective hospital-based study

    OpenAIRE

    Giri, Abhishek; Arjyal, Amit; Koirala, Samir; Karkey, Abhilasha; Dongol, Sabina; Thapa, Sudeep Dhoj; Shilpakar, Olita; Shrestha, Rishav; Van Tan, Le; Thi Thuy Chinh, Bkrong Nguyen; Krishna K. C., Radheshyam; Pathak, Kamal Raj; Shakya, Mila; Farrar, Jeremy; Van Doorn, H. Rogier

    2013-01-01

    We conducted a prospective hospital based study from February 2009-April 2011 to identify the possible pathogens of central nervous system (CNS) infections in adults admitted to a tertiary referral hospital (Patan Hospital) in Kathmandu, Nepal. The pathogens of CNS infections were confirmed in cerebrospinal fluid (CSF) using molecular diagnostics, culture (bacteria) and serology. 87 patients were recruited for the study and the etiological diagnosis was established in 38% (n = 33). The bacter...

  16. Characteristics and visual outcomes of patients hospitalized for ocular trauma in central China: 2006-2011

    Institute of Scientific and Technical Information of China (English)

    Ying; Qi; Feng-Yan; Zhang; Guang-Hua; Peng; Yu; Zhu; Guang-Ming; Wan; Wen-Zhan; Wang; Jing; Ma; Shi-Jie; Ren

    2015-01-01

    AIM: To complete the data of ocular trauma in central China, as a well-known tertiary referral center for ocular trauma, we documented the epidemiological characteristics and visual outcomes of patients hospitalized for ocular trauma in this region.METHODS: A retrospective study of patients hospitalized for ocular trauma in central China from 2006 to 2011 was performed.· RESULTS: This study included 5964 eyes of 5799 patients. The average age was 35.5 ±21.8y with a male-to-female ratio of 2.8:1. The most common age was 45-59 y age group. Most patients were farmers and workers(51.9%). The most common injuries were firework related(24.5%), road traffic related(24.2%), and work related(15.0%). Among the most common causative agents were firecrackers(24.5%), followed by metal/knife/scissors(21.4%). Most injuries occurred in January(14.2%),February(27.0%), and August(10.0%). There were 8.5%patients with ocular injuries combined with other injuries.The incidence of open ocular injuries(4585 eyes, 76.9%)was higher than closed ocular injuries(939 eyes, 15.7%).The incidences of chemical and thermal ocular injuries were 1.2% and 0.6%. Ocular trauma score(OTS)predicted final visual acuity at non light perception(NLP), 20/200-20/50 and 20/40 with a sensitivity of 100%,and light perception(LP) /hand motion(HM) and 1/200-19/200 with a specificity of 100%.· CONCLUSION: This study provides recent epidemiological data of patients hospitalized for ocular trauma in central China. Some factors influencing the visual outcome include time interval between injury and visit to the clinic, wound location, open or closed globe injury, initial visual acuity, and OTS.

  17. We are family? Spanish law and lesbian normalization in Hospital Central.

    Science.gov (United States)

    Calvo, Mónica; Escudero, Maite

    2009-01-01

    After four decades of a repressive dictatorial regime during which homosexuality was banned and punished with prison sentence and electroshock, Spain became a democratic country in 1978. The social, political, and legal debates previous to the passing of the law on same-sex marriage in June 2005 fueled lesbian visibility in the media. Considering that the emergence of lesbian representation has been linked to these social and political changes, our contribution centers on the ways in which the prime time TV series Hospital Central unravels as a vehicle for the normalization of lesbian relationships and families as addressed to a mostly heterosexual audience. PMID:19197662

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

    Directory of Open Access Journals (Sweden)

    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

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

    OpenAIRE

    Slimane Semghouli; Bouchra Amaoui; Abdellatif Maamri

    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...

  20. 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.

  1. 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...

  2. 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...

  3. 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)

  4. 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.

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

    Directory of Open Access Journals (Sweden)

    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. Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. II.- August of 2001

    International Nuclear Information System (INIS)

    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 south central hospital of high speciality, PEMEX. V. - November of 2001

    International Nuclear Information System (INIS)

    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)

  8. Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. IV. - October of 2001

    International Nuclear Information System (INIS)

    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)

  9. Specialized consultant in radiological safety to the clinical north central hospital of high speciality, PEMEX. IV. - December of 2001

    International Nuclear Information System (INIS)

    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)

  10. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. I. - May-June of 2003

    International Nuclear Information System (INIS)

    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)

  11. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. I. - July of 2001

    International Nuclear Information System (INIS)

    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)

  12. Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. I. - July of 2001

    International Nuclear Information System (INIS)

    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)

  13. Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. III.- September of 2001

    International Nuclear Information System (INIS)

    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)

  14. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. III. - September of 2001

    International Nuclear Information System (INIS)

    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)

  15. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. II. - August of 2001

    International Nuclear Information System (INIS)

    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)

  16. 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.

  17. Dose determination in interventional procedures at a hospital, using Al2O3:C detectors

    International Nuclear Information System (INIS)

    Full text: Interventional practices have increased in most countries over the past 20 years, combining diagnostic and therapeutic procedures. However, the determination of staff doses in fluoroscopy is difficult, because the examinations are dynamic in nature. Such procedures are complex and they involve prolonged irradiations, providing high radiation doses to patients and to the staff. The effective dose of the staff can be estimated by direct methods, using the optically stimulated luminescence (OSL) technique. In the present work inLight dosimeters and an inLight microstar reader, Landauer, were utilized. These dosimeters are formed by four aluminium oxide (Al2O3:C) detectors and there are aluminium, copper and plastic filters and an open window in each badge. In this work, the dosimeters were utilized for the dose determinations in interventional procedures. Initially the calibration factors and the energy dependence of Al2O3:C dosimeters were obtained in the range of 60 to 120 kV. The doses were evaluated at different positions on the staff during the routine procedures at the Hospital Sao Paulo. The results will be compared with those previously obtained using thermoluminescent CaSO4:Dy

  18. Early management of traumatic brain injury in a Tertiary hospital in Central Kenya: A clinical audit

    Directory of Open Access Journals (Sweden)

    Clifford Chacha Mwita

    2016-01-01

    Full Text Available Background: Traumatic brain injury (TBI is a major cause of death and disability worldwide and is mostly attributed to road traffic accidents in resource-poor areas. However, access to neurosurgical care is poor in these settings and patients in need of neurosurgical procedures are often managed by general practitioners or surgeons. Materials and Methods: A retrospective clinical audit of the initial management of patients with TBI in Thika Level 5 Hospital (TL5H, a Tertiary Hospital in Central Kenya. Seventeen audit criteria divided into five clinical domains were identified and patient case notes reviewed for compliance with each criterion. Data were analyzed separately for those below 13 years owing to differences in response to brain trauma in those below this age. Results: Overall, there was poor compliance with audit criteria in both groups. Among those below 13 years of age, only 3 out of 17 criteria achieved compliance and 4 out of 17 criteria achieved compliance for those above 13 years of age. Assessment for the need for a cervical radiograph (7.1% and 8.8% compliance and administration of oxygen (21.4% and 20.6% compliance had the worst performance in both groups. Conclusion: Poor compliance to audit criteria indicates the low quality of care for patients with TBI in TL5H. Quality improvement strategies with follow-up audits are needed to improve care. There is a need to develop and enforce evidence-based protocols and guidelines for use in the management of patients with TBI in sub-Saharan Africa.

  19. A novel SOD1-ALS mutation separates central and peripheral effects of mutant SOD1 toxicity.

    Science.gov (United States)

    Joyce, Peter I; Mcgoldrick, Philip; Saccon, Rachele A; Weber, William; Fratta, Pietro; West, Steven J; Zhu, Ning; Carter, Sarah; Phatak, Vinaya; Stewart, Michelle; Simon, Michelle; Kumar, Saumya; Heise, Ines; Bros-Facer, Virginie; Dick, James; Corrochano, Silvia; Stanford, Macdonnell J; Luong, Tu Vinh; Nolan, Patrick M; Meyer, Timothy; Brandner, Sebastian; Bennett, David L H; Ozdinler, P Hande; Greensmith, Linda; Fisher, Elizabeth M C; Acevedo-Arozena, Abraham

    2015-04-01

    Transgenic mouse models expressing mutant superoxide dismutase 1 (SOD1) have been critical in furthering our understanding of amyotrophic lateral sclerosis (ALS). However, such models generally overexpress the mutant protein, which may give rise to phenotypes not directly relevant to the disorder. Here, we have analysed a novel mouse model that has a point mutation in the endogenous mouse Sod1 gene; this mutation is identical to a pathological change in human familial ALS (fALS) which results in a D83G change in SOD1 protein. Homozgous Sod1(D83G/D83G) mice develop progressive degeneration of lower (LMN) and upper motor neurons, likely due to the same unknown toxic gain of function as occurs in human fALS cases, but intriguingly LMN cell death appears to stop in early adulthood and the mice do not become paralyzed. The D83 residue coordinates zinc binding, and the D83G mutation results in loss of dismutase activity and SOD1 protein instability. As a result, Sod1(D83G/D83G) mice also phenocopy the distal axonopathy and hepatocellular carcinoma found in Sod1 null mice (Sod1(-/-)). These unique mice allow us to further our understanding of ALS by separating the central motor neuron body degeneration and the peripheral effects from a fALS mutation expressed at endogenous levels. PMID:25468678

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

    Directory of Open Access Journals (Sweden)

    Hana A. Qhalib

    2014-10-01

    Full Text Available 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.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

  3. Molecular epidemiology of Acinetobacter baumannii in central intensive care unit in Kosova Teaching Hospital.

    Science.gov (United States)

    Raka, Lul; Kalenć, Smilja; Bosnjak, Zrinka; Budimir, Ana; Katić, Stjepan; Sijak, Dubravko; Mulliqi-Osmani, Gjyle; Zoutman, Dick; Jaka, Arbëresha

    2009-12-01

    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 Acinetobacter baumannii 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. PMID:20464330

  4. Current status of Staphylococcus aureus infection in a central teaching hospital in Shanghai, China

    OpenAIRE

    Li, Tianming; Song, Yan; Zhu, Yuanjun; Du, Xin; Li, Min

    2013-01-01

    Background To control the spread of methicillin-resistant Staphylococcus aureus (MRSA) in hospitals, infection control measures such as hand hygiene practices were introduced into the teaching hospitals in Shanghai, China, in 2008. Currently, there is limited information characterizing the latest hospital-acquired S. aureus infections in this area. Therefore, we sought to determine the prevalence, molecular characteristics, and genotype-phenotype correlation of hospital-acquired S. aureus inf...

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

    Directory of Open Access Journals (Sweden)

    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.

  6. Humanización de la atención al parto y nacimiento: la historia del Hospital Sofia Feldman

    OpenAIRE

    Ana Flávia Coelho LOPES; Erika da Silva DITTZ; Lélia Maria MADEIRA; Vera Cristina Augusta Marques BONAZZI

    2010-01-01

    Este artículo presenta elementos que expresan la humanización de la atención a la mujer y al recién nacido en el Hospital Sofia Feldman. La búsqueda constante de la integralidad de la asistencia a la mujer y al recién nacido motivó al Hospital a promover prácticas asistenciales innovadoras que se reflejan en la calidad de la atención a la población. Se destaca el modelo de gestión, el cuidado orientado por las necesidades de la usuaria y su familia, y la inversión en la formación de sus trab...

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

    International Nuclear Information System (INIS)

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

    International Nuclear Information System (INIS)

    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

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

    Directory of Open Access Journals (Sweden)

    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.

  10. 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.

  11. Micro satellite instability in colorectal cancer stage II. Hospital Central de las fuerzas armadas

    International Nuclear Information System (INIS)

    Introduction: micro satellite instability (MSI) is a good prognostic factor in colorectal cancer (CRC) located. Its value as a predictive marker against adjuvant treatment of chemotherapy (CT) has been shown fluoropyrimidine in various publications. The MSI occurs in 15% of colorectal tumors and sporadic in 90% of tumors in the context of colorectal cancer syndrome hereditary nonpolyposis. In Uruguay there are no studies about this phenomenon. Objective: To determine the incidence of micro satellite instability in a sample of patients using the Hospital Central de las fuerzas armadas oncology service, association with a compatible family history and the histological features of the tumors associated therewith. Methods: The medical records of patients were analyzed with CRC diagnosed stage II between 01/2001 and 12/2009. Data of the patients were analyzed which had complete histology and evolution. Results: 30/52 patients (57.6%) were analyzed. 40% had a detected MSI by kits for Pcr (polymerase chain reaction) to D2S123, D5S250, D17S346, BAT25 and BAT26 according to the Bethesda criteria. In those patients they filed a MSI: the median age was 70 years; 58.3% male. No patient had a family history consistent with HNPCC. 5.6% (3) they received Adjuvant chemotherapy treatment. Regarding tumor characteristics: 75% (9) were T3, and T4 were 25% (3); 8.3% histologic grade I (1) II 58.3% (7) 8.3% III (1) without Data 33% (6). This tumor lymphocyte infiltration was reported in 25% (3), absent 33.3% (4), not reported in 41.6% (5). Conclusions: This is the first analysis of these characteristics carried out in Uruguay. The same has been detected MSI percentage higher than reported in the literature International. In either case a compatible family history met HNPCC

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

    International Nuclear Information System (INIS)

    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

  13. One Rural Hospital's Experience Implementing the Society for Healthcare Epidemiology of America Guidelines to Decrease Central Line Infections.

    Science.gov (United States)

    Curlej, Maria H; Katrancha, Elizabeth

    2016-01-01

    In an effort to take advantage of the Highmark Quality Blue Initiative () requiring information from hospitals detailing their central line-associated blood stream infections (CLABSIs) surveillance system, quality improvement program, and statistics regarding the CLABSI events, this institution investigated the latest evidence-based recommendations to reduce CLABSIs. Recognizing the baseline rate of 2.4 CLABSIs per 1,000 central line days and its effect on patient outcomes and medical costs, this hospital made a commitment to improve their CLABSI outcomes. As a result, the facility adopted the Society for Healthcare Epidemiology of America (SHEA) guidelines. The purpose of this article is to review the CLABSI rates and examine the prevention strategies following implementation of the SHEA guidelines. A quantitative, descriptive retrospective program evaluation examined the hospital's pre- and post-SHEA implementation methods of decreasing CLABSIs and the subsequent CLABSI rates over 3 time periods. Any patient with a CLABSI infection admitted to this hospital July 2007 to June 2010 (N = 78). CLABSI rates decreased from 1.9 to 1.3 over the study period. Compliance with specific SHEA guidelines was evaluated and measures were put into place to increase compliance where necessary. CLABSI rates at this facility remain below the baseline of 2.4 for calendar year 2013 (0.79), 2014 (0.07), and 2015 (0.33). PMID:27618377

  14. 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

  15. [Evaluation of the oropharyngeal tularemia cases admitted to our hospital from the provinces of Central Anatolia].

    Science.gov (United States)

    Uyar, Melek; Cengiz, Buğra; Unlü, Murat; Celebi, Bekir; Kılıç, Selçuk; Eryılmaz, Adil

    2011-01-01

    Tularemia caused by the bacterium Francisella tularensis is a zoonotic infection which has re-emerged in Turkey in recent years as water-borne endemics. Oropharyngeal form is the most frequently reported form of the disease from Turkey. The aim of this study was to evaluate the clinical and laboratory findings of oropharyngeal tularemia patients admitted to ear, nose & throat outpatient clinic between January-March 2010. A total of 10 patients (age range: 16-80 years, mean age: 43.9 years; nine were male) inhabiting in the provinces in Central Anatolia, Turkey, were admitted to our hospital with the complaints of fever, sore throat and painful cervical lump. They have been previously diagnosed as tonsillo-pharyngitis at different medical centers and empirical antibiotic therapy has initiated, however, their complaints have not recovered. Endoscopic laryngoscopic examination revealed that oropharynx, larynx and hypopharynx were normal. Physical examination of the neck yielded localized fixed masses with diameters between 2-7 cm. The lesions were localized at right submandibular (n= 4), upper jugular (n=3) and one of each at left posterior cervical, left submandibular and left jugulodigastric regions. The patients were hospitalized with the pre-diagnosis of "neck mass with unknown origin" for further investigation and treatment. The mean white blood cell count of the cases was 9730 (7500-15.100) cells/µl; the mean erythrocyte sedimantation rate was 68.7 (46-85) mm3/hours and the mean C-reactive protein level was 4.3 (1.5-7.4) µg/dl. Salmonella, Brucella, Toxoplasma gondii, rubella, cytomegalovirus, herpes simplex virus, Epstein-Barr virus and viral hepatitis serology did not indicate acute infections. Serum and tissue samples were sent to Refik Saydam National Public Health Agency in order to test for tularemia, namely culture, microagglutination test (MAT), direct fluorescence antibody (DFA) test and in-house polymerase chain reaction (PCR). All of the patients

  16. Motivation and Factors Affecting It among Health Professionals in the Public Hospitals, Central Ethiopia

    OpenAIRE

    Dagne, Tesfaye; Beyene, Waju; Berhanu, Negalign

    2015-01-01

    Background Motivation is an individual's degree of willingness to exert and maintain an effort towards organizational goals. This study assessed motivational status and factors affecting it among health professionals in public hospitals of West Shoa Zone, Oromia Region. Method Facility based cross-sectional survey was employed. All health professionals who served at least for 6 months in Ambo, Gedo and Gindeberet hospitals were included. Self-administered Likert scale type questionnaire was u...

  17. Early management of traumatic brain injury in a Tertiary hospital in Central Kenya: A clinical audit

    OpenAIRE

    Clifford Chacha Mwita; Johnstone Muthoka; Stephen Maina; Phillip Mulingwa; Samson Gwer

    2016-01-01

    Background: Traumatic brain injury (TBI) is a major cause of death and disability worldwide and is mostly attributed to road traffic accidents in resource-poor areas. However, access to neurosurgical care is poor in these settings and patients in need of neurosurgical procedures are often managed by general practitioners or surgeons. Materials and Methods: A retrospective clinical audit of the initial management of patients with TBI in Thika Level 5 Hospital (TL5H), a Tertiary Hospital in Cen...

  18. Results of the radiological survey at 1110 Central Avenue, Albany, New York (AL215)

    International Nuclear Information System (INIS)

    A number of properties in the Albany/Colonie area have been identified as being potentially contaminated with uranium originating from the former National Lead Company's uranium forming plant in Colonie, New York. The property at 1110 Central Avenue in Albany, New York (AL215) was the subject of a radiological investigation initiated May 4, 1987. This commercial property consists of a one-story concrete block office building (Building 1), a one-story concrete block warehouse (Building 2), and four connected storage buildings constructed variously of wood, metal, or concrete block. The structures are situated on an irregularly shaped lot. A diagram of the property showing the approximate boundaries and the 10-m grid network established for measurements outside the buildings is shown. The lot included in the radiological survey was /approximately/45 m wide by 98 m deep. Two views of the property are shown. 13 refs., 6 figs., 5 tabs

  19. 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

    OpenAIRE

    Iván O Espinoza; Ochoa, Theresa J.; Susan Mosquito; Francesca Barletta; Roger Hernández; María del Pilar Medina; María Luisa Stiglich; Claudia Ugarte; Daniel Guillén

    2011-01-01

    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 h...

  20. Comparison of Total Hospital-Acquired Bloodstream Infections to Central Line-Associated Bloodstream Infections and Implications for Outcome Measures in Infection Control

    OpenAIRE

    Leekha, Surbhi; Li, Shanshan; Thom, Kerri A.; Anne Preas, Michael; Caffo, Brian S.; Morgan, Daniel J.; Harris, Anthony D.

    2013-01-01

    Validity of the central line-associated bloodstream infection (CLABSI) measure is compromised by subjectivity. We observed significant decreases in both CLABSI and total hospital-acquired bloodstream infection (BSI) following a CLABSI prevention intervention in adult intensive care units. Total hospital-acquired BSI could be explored as an adjunct, objective CLABSI measure.

  1. Bacterial-resistance among outpatients of county hospitals in China: significant geographic distinctions and minor differences between central cities.

    Science.gov (United States)

    Xiao, Yonghong; Wei, Zeqing; Shen, Ping; Ji, Jinru; Sun, Ziyong; Yu, Hua; Zhang, Tiantuo; Ji, Ping; Ni, Yuxing; Hu, Zhidong; Chu, Yunzhuo; Li, Lanjuan

    2015-06-01

    The purpose of this study was to survey antibacterial resistance in outpatients of Chinese county hospitals. A total of 31 county hospitals were selected and samples continuously collected from August 2010 to August 2011. Drug sensitivity testing was conducted in a central laboratory. A total of 2946 unique isolates were collected, including 634 strains of Escherichia coli, 606 Klebsiella pneumoniae, 476 Staphylococcus aureus, 308 Streptococcus pneumoniae, and 160 Haemophilus influenzae. Extended-spectrum β-lactamases were detected in E. coli (42.3% strains), K. pneumoniae (31.7%), and Proteus mirabilis (39.0%). Ciprofloxacin-resistance was detected in 51.0% of E. coli strains. Salmonella spp. and Shigella spp. were sensitive to most antibacterial agents. Less than 8.0% of Pseudomonas aeruginosa isolates were resistant to carbapenem. For S. aureus strains, 15.3% were resistant to methicillin, and some strains of S. pneumoniae showed resistance to penicillin (1.6%), ceftriaxone (13.0%), and erythromycin (96.4%). β-lactamase was produced by 96.5% of Moraxella catarrhalis strains, and 36.2% of H. influenzae isolates were resistant to ampicillin. Azithromycin-resistant H. influenzae, imipenem-resistant but meropenem-sensitive Proteus, and ceftriaxone- and carbapenem non-sensitive M. catarrhalis were recorded. In conclusion, cephalosporin- and quinolone-resistant strains of E. coli and Klebsiella pneumonia and macrolide-resistant Gram-positive cocci were relatively prominent in county hospitals. The antibacterial resistance profiles of isolates from different geographical locations varied significantly, with proportions in county hospitals lower than those in their tertiary counterparts in the central cities, although the difference is diminishing. PMID:25708671

  2. 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

  3. 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

  4. INTRODUCTION OF CENTRAL USER MANAGEMENT IN A LARGE UNIVERSITY HOSPITAL - A CASE STUDY

    OpenAIRE

    Jürgen Klutke, Peter; Mertens, Tobias

    2002-01-01

    The department “organization and information technology” (OIT) of the Faculty of Medicine of the “Ludwig-Maximilians-Universität München” introduced a system to centrally manage user accounts and security during the last two years. The initial state was that we had several user directories for different services, resulting in high operating expense. We describe the aims, the concepts, the techniques, the realization and the difficulties we had introducing a central user directory. The new cen...

  5. Incidence and Predictive Factors of Central Nervous System Dysfunction in Patients Consulting for Dengue Fever in Cayenne Hospital, French Guiana

    Science.gov (United States)

    Djossou, Félix; Vesin, Guillaume; Bidaud, Bastien; Mosnier, Emilie; Simonnet, Christine; Matheus, Séverine; Prince, Christelle; Balcaen, John; Donutil, Gerd; Egmann, Gérald; Okandze, Antoine; Malvy, Denis; Nacher, Mathieu

    2016-01-01

    Introduction The frequency, the clinical characteristics, and the prognosis of dengue is highly variable. Dengue fever is associated with a range of neurological manifestations. The objective of the present study was to determine the incidence of neurological signs and their predictive factors using data from cases of dengue seen and followed in Cayenne Hospital during the Dengue 2 epidemic in 2013. Methods In 2013, a longitudinal study using data from all cases of dengue seen in Cayenne hospital was collected. Medical records used a standardized form to collect demographic information, clinical signs and biological results and the date at which they were present. The analysis used Cox proportional modeling to obtain adjusted Hazard ratios. Results A total of 1574 patients were included 221 of whom developed central nervous system signs. These signs were spontaneously resolutive. There were 9298person days of follow-up and the overall incidence rate for central nervous system signs was 2.37 per 100 person-days. The variables independently associated with central nervous system anomalies were headache, Adjusted Hazard ratio (AHR) = 1.9(95%CI = 1.4–2.6), bleeding AHR = 2 ((95%CI = 1.3–3.1), P = 0.001, abdominal pain AHR = 1.9 ((95%CI = 1.4–2.6), P<0.001, aches AHR = 2.1 ((95%CI = 1.5–2.9), P<0.001, and fatigue AHR = 1.5 ((95%CI = 1.3–1.7), P<0.001. Discussion Overall, the present study suggests that neurological signs of dengue are not exceptional even in patients without the most severe features of dengue. These manifestations were spontaneously resolutive. Here it was not possible to distinguish between encephalitis or encephalopathy. Further studies would require more in depth exploration of the patients. PMID:26981859

  6. HISTOPATHOLOGICAL STUDY OF SPECTRUM OF THE LESIONS OF CENTRAL NERVOUS SYSTEM IN A TERTIARY CARE HOSPITAL

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    Kasa

    2015-01-01

    Full Text Available The aim of our study was to establish the relative frequency of biopsy proven tumors of central nervous system (CNS. Two hundred and forty two (242 CNS Biopsy specimens were studied in a one year period. Out of 72 CNS tumors, 66 were primary 4 were metastatic. Among 4 metastatic tumors, the most common histological type is adenocarcinoma. The most frequent type of CNS tumour was astrocytoma followed by meningioma.

  7. 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.

  8. 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.

  9. 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 < 0.05. Se utilizó el programa Epilnfo 2002 para el procesamiento de los datos. Resultados: El promedio de edad fue de 64,6 años (DE + 12,2 años. El 66,1 % (n=84 de los pacientes eran hombres. El porcentaje de paciente con dislipidemias fue significativamente mayor en las mujeres que en los hombres (p=0,007. El mismo resultado se obtuvo con la hipertensión arterial (p=0,007. Por el contrario, el porcentaje de pacientes que fumaban fue significativamente mayor en los hombres que en las mujeres (p < 0,0001. El 71,7% (n=91 de los pacientes fueron clasificados como Killip-Kimball I. El 18,4% (n=23 presentaron complicaciones durante su estancia hospitalaria. La mortalidad en el servicio de Medicina Interna del Hospital Calderón Guardia fue del 6,3% (n=8. Conclusión: El sistema de vigilancia epidemiológica para el infarto agudo al miocardio propuesto en este trabajo, se presenta como una herramienta útil para orientar las estrategias necesarias que contribuyan a mejorar el conocimiento que se tiene del paciente que padece de

  10. Specialized consulting in radiological safety to the south central hospital of high specialty, PEMEX. VI. December of 2001

    International Nuclear Information System (INIS)

    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)

  11. Specialized consulting in radiological safety to the North Central Hospital of high specialty, PEMEX. V. November of 2001

    International Nuclear Information System (INIS)

    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)

  12. 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

  13. Addressing the Child and Maternal Mortality Crisis in Haiti through a Central Referral Hospital Providing Countrywide Care.

    Science.gov (United States)

    Jacobs, Lee D; Judd, Thomas M; Bhutta, Zulfiqar A

    2016-01-01

    The neonatal, infant, child, and maternal mortality rates in Haiti are the highest in the Western Hemisphere, with rates similar to those found in Afghanistan and several African countries. We identify several factors that have perpetuated this health care crisis and summarize the literature highlighting the most cost-effective, evidence-based interventions proved to decrease these mortality rates in low- and middle-income countries.To create a major change in Haiti's health care infrastructure, we are implementing two strategies that are unique for low-income countries: development of a countrywide network of geographic "community care grids" to facilitate implementation of frontline interventions, and the construction of a centrally located referral and teaching hospital to provide specialty care for communities throughout the country. This hospital strategy will leverage the proximity of Haiti to North America by mobilizing large numbers of North American medical volunteers to provide one-on-one mentoring for the Haitian medical staff. The first phase of this strategy will address the child and maternal health crisis.We have begun implementation of these evidence-based strategies that we believe will fast-track improvement in the child and maternal mortality rates throughout the country. We anticipate that, as we partner with private and public groups already working in Haiti, one day Haiti's health care system will be among the leaders in that region. PMID:26934625

  14. 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. PMID:22754264

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

    OpenAIRE

    I. Bodega Quiroga; P. Tejedor Togores; M.A. Sáez García; J.M. Peraza Casajús; C. Gutiérrez Ortega; N. Rosado Dawid; A. Serrano Muñoz

    2013-01-01

    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 malign...

  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. Prescription pattern of antimicrobials in tertiary care hospital in central India

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    Pallavi Dnyaneshwar Admane

    2015-03-01

    Full Text Available Objective: Antimicrobial agents are the greatest contribution to 20th century, which are used for cure and prevention of infections. Widespread use of antimicrobials has facilitated the development of resistance.Aim: the study was to assess the use of antimicrobials in tertiary care hospital in Maharashtra.Method: Prescription audit was done to assess the use of antimicrobials. Total 1942 prescriptions were analyzed for average number of drugs prescribed, antimicrobials prescribed by generic name or brand name, percentage of antibiotics among the prescribed drugs, use of fixed drug combinations, if any.Statistical analysis used: Data was analyzed by percentage.Result: Demographic analysis showed that out of 1942 patients in OPD, most were male (56.38 and in the age group between 35 to 50 years.  In 1942 prescription, 30.25% drugs were antimicrobials. Three drugs were prescribed in 52.15% of the prescription, followed by 4 drugs in 19.78% prescriptions.  79.18% prescriptions were prescribed by generic name while 20.82% were prescribed by brand name. 29.18% of drugs were fixed dose combinations of all the antibiotics were prescribed empirically on the basis of provisional diagnosis. Of the total of antibiotics prescribed, amoxicillin was prescribed in 50.66% of patients, followed by cotrimoxazole in 26.05 % patients, cephalexin (8.50%   were used commonly.  Conclusion: The rational use of antimicrobial agents is one of the main contributors to control worldwide emergence of antibacterial resistance, side effects and reduced cost of the treatment.

  18. A novel SOD1-ALS mutation separates central and peripheral effects of mutant SOD1 toxicity

    OpenAIRE

    Joyce, Peter I.; McGoldrick, Philip; Saccon, Rachele A.; Weber, William, L.; Fratta, Pietro; West, Steven J.; Zhu, Ning; Carter, Sarah; Phatak, Vinaya; Stewart, Michelle; Simon, Michelle; Kumar, Saumya; Heise, Ines; Bros-Facer, Virginie; Dick, James

    2014-01-01

    Transgenic mouse models expressing mutant superoxide dismutase 1 (SOD1) have been critical in furthering our understanding of amyotrophic lateral sclerosis (ALS). However, such models generally overexpress the mutant protein, which may give rise to phenotypes not directly relevant to the disorder. Here, we have analysed a novel mouse model that has a point mutation in the endogenous mouse Sod1 gene; this mutation is identical to a pathological change in human familial ALS (fALS) which results...

  19. Carotid intima-media thickness and apolipoproteins in patients of ischemic stroke in a rural hospital setting in central India: A cross-sectional study

    OpenAIRE

    Jyoti Jain; Tejal Lathia; Om Prakash Gupta; Vishakha Jain

    2012-01-01

    Context: Carotid intima-media thickness (CIMT) and apolipoproteins have been found as a risk factor for ischemic stroke . Objective: The objective was to study the carotid intima-media thickness, apolipoproteins, and their relation in patients of ischemic stroke in central rural India. Settings and Design: A cross-sectional study was performed in a rural hospital in central India. Materials and Methods: In all patients of ischemic stroke proven by computerized tomography (CT), CIMT, apolipopr...

  20. 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.

  1. Hospital- and Laboratory-Based Investigations of Hospitalized Children with Central Nervous System-Related Symptoms To Assess Japanese Encephalitis Virus Etiology in Cuddalore District, Tamil Nadu, India

    OpenAIRE

    Kabilan, Lalitha; Ramesh, S; Srinivasan, S; Thenmozhi, V.; S. Muthukumaravel; Rajendran, R

    2004-01-01

    A collaborative investigation of hospitalized encephalitic children in south India, between July 2002 and February 2003, has indicated that Japanese encephalitis was confirmed in 27.3% of these children. In developing countries, assessment of actual Japanese encephalitis disease burden requires strengthening of diagnostic laboratory capacities at hospitals.

  2. 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 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 is not recommended. PMID:26717371

  3. 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

    Directory of Open Access Journals (Sweden)

    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

  4. 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.

  5. 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.

  6. 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.

  7. Antibiotic Prescribing Patterns in Outpatient Emergency Clinics at Queen Rania Al Abdullah II Children's Hospital, Jordan, 2013

    Directory of Open Access Journals (Sweden)

    Sahar I. Al-Niemat

    2014-07-01

    Full Text Available Objective: To investigate antibiotics prescribing patterns in the outpatient pediatric emergency clinic at Queen Rania Al Abdullah II Children’s Hospital at Royal Medical Services in Amman, Jordan. Methods: The data was collected from the emergency pharmacy over the period of a -five consecutive months. The methodology recommended by the World Health Organization for investigating drug use in a health facility was followed. The study measures the percentage of encounter with a prescribed antibiotic and the percentage share of each antibiotic category. The distribution of diagnostic categories that accounted for all antibiotics being prescribed and the distribution of each antibiotic being prescribed for upper respiratory tract infections (URTIs were also measured. Results: Antibiotic prescribing was frequent during pediatric visits to the outpatient pediatric emergency clinic resulting in a high percentage of encounters (85% when compared to appropriate. Emergency physicians continue to frequently prescribe broad spectrum antibiotics which accounted for approximately (60% of the total prescribed antibiotics and (83% of prescribed antibiotics for upper respiratory tract infections and macrolides (primarily azithromycin were the leading class among them. Conclusion: Our results showed high consumption of antibiotics by emergency department pediatricians which highlight the importance for interventions to promote rational and judicious prescribing. An insight into factors influencing antibiotics prescribing patterns by military prescribers is required.

  8. 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)

  9. Measurement of central corneal thickness by ultrasonic pachymeter and oculus pentacam in patients with well-controlled glaucoma: hospital-based comparative study

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    Rashid RF

    2016-03-01

    Full Text Available Riyam Faihan Rashid, Qasim K Farhood Department of Ophthalmology, College of Medicine, University of Babylon, Babylon, Iraq Background: The measurement of central corneal thickness (CCT plays an important role in the diagnosis and treatment of glaucoma and many corneal diseases.Objective of the study: To compare the measurement of CCT by ultrasonic pachymeter with that measured by oculus pentacam in both normal subjects and patients with well-controlled glaucoma.Patients and methods: In 173 eyes of both controls and patients with open-angle glaucoma (normal intraocular pressure attending Ibn Al Haitham Teaching Eye Hospital, CCT was measured by oculus pentacam and then by ultrasound pachymeter at the same morning by the same technicians.Results: The results showed no significant difference in CCT readings measured by the two devices in both glaucoma and control groups (glaucoma group: 547.29±49.32 µm with pentacam vs 547.66±45.24 µm with ultrasound pachymeter; control group: 551.02±36.28 µm with pentacam vs 541.25±34.96 µm with ultrasound pachymeter. P-values were >0.05 in both groups (statistically not significant.Conclusion and recommendation: Ultrasonic pachymeter and oculus pentacam can be used interchangeably in measuring CCT, and we recommend a nontouch method (in this study, pentacam Scheimpflug camera for measuring CCT during assessment of patients with glaucoma or any ocular disease or surgery. Keywords: CCT, open-angle glaucoma, ultrasound pachymeter, Scheimpflug camera

  10. 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.

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

    OpenAIRE

    López-Moreno, J. I.; Vicente-Serrano, S. M.; Zabalza, J.; J. Revuelto; Gilaberte, M.; C. Azorín-Molina; Morán-Tejeda, E.; García-Ruiz, J.M.; Tague, C.

    2014-01-01

    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 effe...

  12. Study of the central collisions in the reactions Ni + Al and Ni + Ni at 28 A.MeV; Etude des collisions centrales dans les reactions Ni + Al et Ni + Ni a 28 A.MeV

    Energy Technology Data Exchange (ETDEWEB)

    Lebreton, L.

    1995-12-01

    The work is in characterisation of mechanisms in the energy range of onset of multifragmentation (excitation energy of composed nucleus around 4 - 5 AMeV). This work focused on an experiment performed at the SARA facility, in Grenoble, using the AMPHORA multi detection array. I have been particularly interested in central collisions in the Ni + Al and Ni + Ni systems. The possibility to detect complete events for Ni + Al, and quasi-complete events for the Ni + Ni case, is the reason of this choice. Furthermore Ni + Ni presents the interest of a symmetrical system, for which the excitation energy per nucleon is maximum. The study of these reactions has been focused on the quasi-complete events (events for which at least 80 % of the total charge has been detected). Heavy ions produced in peripheral collisions are very likely emitted along the beam line or stopped in the plastic detectors, energy thresholds are too high for the quasi-target products detection, consequently by requiring complete or quasi-complete measurement of the total charge, we are able to detect mostly central events. The knowledge of informations like charge, energy or detection angles allows to isolate the source(s) and to reconstruct the size and the excitation energy of the source(s). Comparisons with simulations like sequential emission (GEMINI code), very deep inelastic collision or instantaneous emission (Berliner code) allows to characterise the first stage of the collision (binary collisions or central collisions) and the type of deexcitation of the source(s). Some calculations was also performed with the statistical model code MODGAN. Indeed azimuthal correlations seem to be a good tool in getting more information about involved reaction mechanisms. Comparisons with MODGAN provide information about angular momentum of the source and time delay between emissions of the two particles (separation between sequential or instantaneous process). (author). 69 refs.

  13. 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.

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

    Directory of Open Access Journals (Sweden)

    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

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

    OpenAIRE

    López-Moreno, Juan I.; Vicente Serrano, Sergio M.; Zabalza, Javier; Revuelto, Jesús; Gilaberte-Búrdalo, M.; Azorín-Molina, César; Morán-Tejeda, Enrique; García-Ruiz, José María; Tague, C.

    2014-01-01

    [ES] 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 hidro-ecológico 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...

  16. Study of the central collisions in the reactions Ni + Al and Ni + Ni at 28 A.MeV

    International Nuclear Information System (INIS)

    The work will be presented is in line of characterisation of mechanisms in the energy range of onset of multifragmentation (excitation energy of composed nucleus around 4 - 5 AMeV). This work is focused on an experiment performed at the SARA facility, in Grenoble, using the AMPHORA multi detection array. I have been particularly interested in central collisions in the Ni + Al and Ni + Ni systems. The possibility to detect complete events for Ni + Al, and quasi-complete events for the Ni + Ni case, due to the way AMPHORA has been designed, is the reason of this choice. Furthermore Ni + Ni presents the interest of a symmetrical system, for which the excitation energy per nucleon is maximum. The study of these reactions has been focused on the quasi-complete events (events for which at least 80 % of the total charge has been detected). Heavy ions produced in peripheral collisions are very likely emitted along the beam line or stopped in the plastic detectors, energy thresholds are too high for the quasi-target products detection, consequently by requiring complete or quasi-complete measurement of the total charge, we are able to detect mostly central events. The knowledge of informations like charge, energy or detection angles allows to isolate the source(s) and to reconstruct the size and the excitation energy of the source(s). Comparisons with simulations like sequential emission (GEMINI code), very deep inelastic collision or instantaneous emission (Berliner code) allows to characterise the first stage of the collision (binary collisions or central collisions) and the type of deexcitation of the source(s). Some calculations was also performed with the statistical model code MODGAN. Indeed azimuthal correlations seem to be a good tool in getting more information about involved reaction mechanisms. Comparisons with MODGAN provide information about angular momentum of the source and time delay between emissions of the two particles (separation between sequential or

  17. Del derecho al poder: el camino central de la obra de Norberto Bobbio

    OpenAIRE

    Ruiz Miguel, Alfonso

    2005-01-01

    En este artículo, el autor propone como hilo conductor de la vasta obra de N. Bobbio a la filosofía del Derecho y a la filosofía política, dos caminos centrales que pueden ser vistos también como un único camino. Se exponen los rasgos de este hilo conductor en dos pasos sucesivos: primero, describiendo las estrechas relaciones que según Bobbio mantienen la filosofía jurídica y la filosofía política en su propuesta metodológica sobre la estructura temática de una y otra materia; y, segundo, si...

  18. 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

  19. Assessing the effectiveness of interpersonal communication skills training on job satisfaction among nurses in Al-Zahra Hospital of Isfahan, Iran

    OpenAIRE

    Dehaghani, Abdollah Rezaei; Akhormeh, Kobra Ahmadi; Mehrabi, Tayyebeh

    2012-01-01

    Background: The worldwide nursing shortage is threatening the quality of healthcare. The two most common causes in maintaining nurses are job satisfaction, a positive working environment, and good relationships among staff. This study aimed to determine the effect of interpersonal communication skills training on job satisfaction among the nurses working in Al-Zahra Hospital affiliated to Isfahan University of Medical Sciences, Isfahan, Iran, in 2011. Materials and Methods: This study was a q...

  20. Assessing Employee Attitudes towards Organizational Commitment and Change: The Case of King Faisal Hospital in Al-Taif Governorate, Kingdom of Saudi Arabia

    OpenAIRE

    Wageeh A. Nafei

    2014-01-01

    This study investigates the attitudes of employees toward organizational commitment and change. It was conducted at King Faisal Hospital in Al-Taif Governorate, KSA. It is the first empirical work in the field of Human Resources Management aiming at analyzing the attitudes of employees toward organizational commitment and change. The study tackles the linkage between employees’ attitudes towards organizational commitment and change which is one of the most significant constructs in organiz...

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

    Directory of Open Access Journals (Sweden)

    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

  2. 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

  3. 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

    OpenAIRE

    Renata Mie Oyama Okajima; Thaís Helena Proença de Freitas; Clarisse Zaitz

    2004-01-01

    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 estud...

  4. 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

  5. Tiempo de espera y su relación con la satisfacción de los usuarios de la farmacia central de un hospital general de Lima

    OpenAIRE

    Ericson Gutierrez; Willy Ramos; Martha Uribe; Ortega-Loayza, Alex G; Christian Torres; Montesinos; Oscar León; Carlos Galarza

    2009-01-01

    Para determinar la influencia del tiempo de espera sobre la satisfacción del usuario en la farmacia central del Hospital Nacional Dos de Mayo (HNDM), se realizó un estudio transversal donde se registró los tiempos de espera por cada subproceso de atención (facturación, pago en caja y entrega de medicamentos) mediante la observación directa de los usuarios. Se evaluó el nivel de satisfacción del usuario según una escala Likert. Se incluyó 150 usuarios, 59% fueron mujeres, la edad promedio fue ...

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

    OpenAIRE

    Alok Kumar; Satish Sharma,; Narayan Shyamrao Ingole; Nitin Gangane

    2014-01-01

    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 thes...

  7. Responses of Emergency Unit Physicians and Administrators to Q-Statements Regarding Quality of Medical Services at Emergency Unit at Al Kindy Teaching Hospital

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    Lujain A. Al-Khazragy

    2008-01-01

    Full Text Available The aim of this study is to evaluate the quality of medical services applied at the emergency unit at Al-kindy teaching hospital. Data were collected during one month duration through a survey using special form of questioner; the total number of studied sample was 51, which includes all the resident doctors working in the emergency unit including the post graduate residency doctors. The first part of the study shows lack of organization in many fields of the emergency unit including the arrival of patients and classification of severity of the injuries. absence of defined protocol for management of emergency cases in addition to lack of enough staff and supplies, yet other fields like the availability of functioning unit along 24 h a day and availability of radio communication with the ambulance and other departments of hospital shows good organization.

  8. Analysis of economic efficiency of decentralized versus centralized reprocessing of patients' beds and practical consequences for a maximum-care hospital

    Directory of Open Access Journals (Sweden)

    Kramer, Axel

    2008-05-01

    Full Text Available Problem: The documentation of hospital services in terms of secondary services is suboptimal. Technical hygiene is one of the secondary services of a hospital. As one aspect of technical hygiene whose realisation is currently a topic of debate, the reprocessing of beds should be analyzed under economic points of view, because up to now no thorough cost analysis exists. The following aspects should be considered: The analysis must include the legal requirements on reprocessing of beds. In addition to statements on output, i.e., on the benefit of the given procedure to the patient, the input is measured with a cost analysis to identify the procedure with the best cost:benefit ratio. Moreover, options for cost reduction based on the cost-cutting potential of a given procedure are emphasized. Additionally, in terms of bed reprocessing, continuing aspects for reducing costs should be indicatedMethod: The three types of reprocessing performed in Germany were analyzed: decentralized, centralized-manual, and centralized-mechanical reprocessing of beds. First, a literature search was done to determine the legal requirements. The analysis of the actual situation was based on plant-site inspections at manufacturers of reprocessing equipment, inspections in hospitals, interviews with manufacturers, operators, and persons responsible for equipment at central bed reprocessing facilities, interviews with those performing the work in and persons responsible for various management areas in the hospital. For the cost analysis, essential cost categories were examined. The cost calculation was based on the fictive description of a maximum provider. If possible, real data were used. The used prices refer to list prices without considering discounts or cash discounts. The data acquired were compared and evaluated in terms of output and input. Results and discussion: Expert opinions in medical hygiene show that each type of reprocessing leads to the necessary

  9. Radiometric profiles of uranium dispersal pattern adjacent to cretaceous phosphatic sediments in Wadi Qasser Al-Hallabat basin, central Syria

    International Nuclear Information System (INIS)

    A radiometric survey was carried out over clastic sediments in the immediate vicinity of some phosphatic sediments of Cretaceous age in the Wadi Qasser Al-Hallabat basin of central Syria. the objective was to explore for uranium and to define its dispersion pattern. This was based on ground radiometric surveys and geological studies. All ground surveys (using radon emanometry, track etching, gamma-ray survey and geochemistry) gave similar results outlining the locations of the radioactive phosphatic formations in the basin, and indicating the dispersion pattern of uranium in the clastic sediments in the surrounding area. The dispersal of uranium from upper Cretaceous phosphatic formation occurs by mechanical weathering and chemical leaching by oxidizing surface waters. A rough estimate is that about one-third of the original uranium content of the cretaceous sediments has been dispersed. Mechanical erosion is responsible for the main part of this released uranium, which now occurs in Recent sediments. However, the occurrences of spotty secondary U mineralization indicates that another small part of the available uranium must have been chemically leached out by the prevailing oxidizing waters, forming minor surficial minerals. (Author)

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

    Directory of Open Access Journals (Sweden)

    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

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

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    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

  12. [HEPATIC HIDATIDOSIS: REVIEW OF CASES WITH SURGICAL INTERVENTION IN THE CENTRAL MILITARY HOSPITAL(LIMA 1990-1999)

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    Correa Tineo, Santos; Culqui Lévano, Carlos; Pinto Paz, M.; Huillca, Lisbeth; Salinas Alva, Edgardo

    2000-01-01

    We present a retrospective and descriptive study of 21 surgeries of echinocociosis of the liver, corresponding to 30% of a universe of 70 patients that were studied at HMC from 1990 to 1999; other places were 67% in the lung, 1.5% in peritoneal cavity and 1.5% in the spleen.We analyzed frequency in relation to sex, age, origin of the patient, clinical findings, serological tests, radiological tests, abdominal ecography, CT, surgical procedure, morbility and mortality and stay at hospital.These are the results:The average age was 29 years; 76.19% male and 23.81 %female; pain of the right superior quadrant was 66%, palpable mass with 38%.57.14% were from endemic region. We did serological test in 52.4% of the patients; V arc 42.8%; ELISA 23.8%; W. Blot in 33% with 100% of positive results. Eosinophilia was found in 80.95%; echographic studies were realized in 100%; CT in 61.9%; hepatic gammagraphy in 14.2%. Surgical treatment was conservative in 95.2% and radical in 4.3%.42.8% were complicated cysts. Postoperative complications were present in 66%; the most frequent was fever. The rate of mortality was 0%. The average of stay at hospital was 74 days. PMID:12140587

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

    OpenAIRE

    Soledad Freijo; Analía Mengoni

    2010-01-01

    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 c...

  14. 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

  15. Microbial infection and antibiotic patterns among intensive care unit patients in a tertiary hospital in Central Nepal

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    RK Sanjana

    2013-09-01

    Full Text Available Aims The present study is a fundamental effort to evaluate the bacteriological and antibiotic patterns in the Intensive Care Unit (ICU setting in a tertiary care hospital. This study was carried out to guide the clinician in choosing the appropriate antibiotics and to prevent emergence of multidrug resistance bacteria. Materials and Methods Between March 2009 to Feb 2012, the samples from various ICUs that were submitted to the microbiology laboratory for culture and sensitivity were included in this study. All the organisms were identified morphologically and biochemically by standard laboratory procedure and antibiotic susceptibility pattern was determined by disc diffusion methods. Result Of 3,780 specimens, 2,312 (61.1% isolates were recovered. Single organisms were isolated from 1,746 (75.5% samples while the remaining 566 (24.4% had two or more organisms isolated. Pseudomonas aeruginosa was the most common isolate 819 (35.4%, followed by Klebsiella pneumoniae 637 (27.5%. Antibiotics sensitivity of Pseudomonas aeruginosa showed that almost all isolates were resistant to cephalexin (97.8% and ciprofloxacin (80.3%. However (95.8% of the isolates were sensitive to tobramycin, (92.0% to meropenem & (74.80 % to amikacin. Conclusion It is concluded that Pseudomonas aeruginosa is the predominate pathogen isolated from ICUs of this Hospital. Most of the frequently isolated pathogens are resistant to cephalosporins and quinolone antibiotics as compared to aminoglycosides and carbapenem. Regular surveillance of antibiotic susceptibility pattern is very important for setting a guideline to the clinician in choosing an appropriate therapy of infected patients of ICUs. Journal of College of Medical Sciences-Nepal, 2012, Vol-8, No-3, 1-8 DOI: http://dx.doi.org/10.3126/jcmsn.v8i3.8678

  16. 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

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

    Science.gov (United States)

    Breurec, Sébastien; Vanel, Noémie; Bata, Petulla; Chartier, Loïc; Farra, Alain; Favennec, Loïc; Franck, Thierry; Giles-Vernick, Tamara; Gody, Jean-Chrysostome; Luong Nguyen, Liem Binh; Onambélé, Manuella; Rafaï, Clotaire; Razakandrainibe, Romy; Tondeur, Laura; Tricou, Vianney; Sansonetti, Philippe; Vray, Muriel

    2016-01-01

    Background 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. Methods 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. Results 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%. Conclusions 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

  18. An analysis on the delay of cervical cancer patients in seeking medical check up in Dr. Cipto Mangunkusumo National Central General Hospital Jakarta

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    Ni N. Susanti

    2003-09-01

    Full Text Available In Indonesia, most cervical cancer patients seek medical help after the cancer has reached advanced stage (62 %. This has caused cervical cancer to contribute to 66 % of gynecological deaths.1 The objective of this study is to find out factors related to the delay of cervical cancer patients in seeking for medical help. This research employs quantitative and qualitative methods. Samples were obtained from all of the new cervical cancer patients who came for the first time between 2000 to 2001 and returned to the Dr. Cipto Mangunkusumo National Central General Hospital Jakarta from August until October 2001. It is concluded that variables significantly correlated with the delay for medical check up are knowledge, attitude, the availability of Pap smear service and husband support. The availability of Pap smear plays as dominant variabel. (Med J Indones 2003; 12: 162-5 Keywords: Cervical cancer, knowledge, attitude, the availability of Pap smear service, husband support, late medical check up

  19. Epidemiology and medical cost of hospitalization due to rotavirus gastroenteritis among children under 5 years of age in the central-east of Tunisia.

    Science.gov (United States)

    Soltani, M S; Salah, A Ben; Bouanene, I; Trabelsi, A; Sfar, M T; Harbi, A; Gueddiche, M N; Farhat, E Ben

    2015-08-01

    Data on the economic burden of rotavirus infection in Tunisia are needed to inform the decision to include rotavirus in routine childhood immunizations. This study aimed to describe the epidemiological profile of rotavirus disease in central-east Tunisia and to estimate its hospital cost. In the first stage - the prospective collection of epidemiological data - we enrolled all patients cost data were collected retrospectively using an activity-based costing method from the medical records of the children who were positively diagnosed with rotavirus. The average cost of care per child was TD 433 (SD 134). This is a significant economic burden in Tunisia, where a safe and effective vaccine is available but not yet introduced to the immunization schedule. PMID:26446530

  20. 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.

  1. 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.

  2. A retrospective analysis of mature cystic teratomas of the ovary: a cross sectional study from a tertiary care hospital of central region of Nepal

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    Sushna Maharjan

    2014-12-01

    Full Text Available Background Mature cystic teratoma (MCT, usually known as dermoid cysts derived from primordial germ cells. Comparing with different other types of germ cell tumors like dysgerminomas, and endodermal sinus tumors, they are most commonly observed. The aim of this study was to evaluate the prevalence, clinical and pathological characteristics; and complications of MCT of the ovary in Chitwan district, central region of Nepal. Methods A retrospective, hospital based study was carried out in all histopathologically proven cases of MCT from July 2011 to June 2014. Relevant data were retrieved from the records of Pathology Department of Chitwan Medical College-Teaching Hospital. According to the guidelines of World Health Organization (WHO, classification of ovarian tumors was done mainly based on histogenetic principles. Results Seventy four MCTs were studied from 62 patients. Majority of the patients (74.19% were in reproductive age group of 21-40years. Chief complaint was abdominal pain. Ascites was the most common complication found in 6.45% patients. The rate of torsion was 4.84%; larger tumors underwent torsion more frequently than smaller tumors (P <0.05. Right-sided tumors outnumbered the left-sided tumors. The bilaterality rate was 19.35%. Conclusion Integrated MCT accounts for 49% of all ovarian neoplasm and occur principally during the reproductive years. Postmenopausal women or children sometimes affected. Prevalence rates of torsion were relatively less. Larger tumors have more risk of undergoing torsion than smaller tumors.

  3. Awareness of cervical cancer and Pap smear among nursing staff at a rural tertiary care hospital in Central India

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    S M Jain

    2016-01-01

    Full Text Available Background: Cancer cervix is the leading cause of cancer deaths in females in developing countries and one in five women suffering from cervical cancer lives in India. Aims: The aim of this study is to determine the awareness about cervical cancer and Pap smear among nurses working in a tertiary care institute. Study Setting and Design: Cross-sectional survey in a tertiary care institute. Materials and Methods: Nurses working at our institute excluding those who have worked or working in the Obstetrics and Gynecology department were provided with a pre-designed questionnaire testing their knowledge about cervical cancer. Results: Approximately, 86% were aware about cancer cervix and 69% were aware of a pre-cancerous stage. 42.3% were not aware of any risk factor and 27.6% were not aware of any symptom of cancer cervix. 86.2% were aware about Pap smear, but only 58.6% were aware that facilities of Pap smear were available at our hospital. Conclusions: Knowledge about cervical cancer and awareness of Pap smear as screening test was inadequate in nursing staff. Awareness programs about cervical cancer and screening are needed to increase awareness for this preventable condition. Recommendation: There is a need to arrange reorientation programs to sensitize nurses and establish cytology clinics to offer facilities for easily accessible and affordable screening.

  4. 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

  5. Tiempo de espera y su relación con la satisfacción de los usuarios de la farmacia central de un hospital general de Lima

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    Ericson Gutierrez

    2009-01-01

    Full Text Available Para determinar la influencia del tiempo de espera sobre la satisfacción del usuario en la farmacia central del Hospital Nacional Dos de Mayo (HNDM, se realizó un estudio transversal donde se registró los tiempos de espera por cada subproceso de atención (facturación, pago en caja y entrega de medicamentos mediante la observación directa de los usuarios. Se evaluó el nivel de satisfacción del usuario según una escala Likert. Se incluyó 150 usuarios, 59% fueron mujeres, la edad promedio fue de 41,4±12,6 años. El promedio de tiempo total de espera fue de 37,1±14,7 minutos. El tiempo de espera fue significativamente mayor en el subproceso de facturación (p<0,001; asimismo el tiempo que los usuarios tardaron en hacer colas fue mayor que el tiempo efectivo (30,1±14.0 frente a 6,3±4,4; p<0,001. El 17,3% de los usuarios de la farmacia central del HNDM mostraron algún grado de satisfacción. El tiempo de espera menor a 20 minutos fue un predictor de satisfacción del usuario (OR: 4,6 [1,1-18,3]; p<0,05 independientemente de los otros factores. En conclusión, el tiempo de espera prolongado principalmente en el subproceso de facturación, condiciona un bajo nivel de satisfacción del usuario en la farmacia central del HNDM.

  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. La política exterior de los gobiernos no centrales: introducción al caso argentino

    OpenAIRE

    Esposto, Lucía

    2006-01-01

    En un mundo crecientemente interdependiente e interconectado, se hace imposible desconocer la importancia de las actividades de los gobiernos no centrales en la política internacional. La actividad diplomática de estos actores se entrelaza con la de los Estados centrales, en una política de múltiples niveles, con intereses y medios particulares. En la Argentina, la presencia internacional de las provincias es cada vez más significativa. Las participaciones en ferias, congresos, así como la...

  9. 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.

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

    OpenAIRE

    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.

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

    OpenAIRE

    R. Collazo Carceller; H. López Salinas; A. Días Romero

    2009-01-01

    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, ...

  12. 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

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

    OpenAIRE

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

    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 ce...

  14. 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

    Directory of Open Access Journals (Sweden)

    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.

  15. Viral Aetiology of Central Nervous System Infections in Adults Admitted to a Tertiary Referral Hospital in Southern Vietnam over 12 Years

    Science.gov (United States)

    Tan, Le Van; Thai, Le Hong; Phu, Nguyen Hoan; Nghia, Ho Dang Trung; Chuong, Ly Van; Sinh, Dinh Xuan; Phong, Nguyen Duy; Mai, Nguyen Thi Hoang; Man, Dinh Nguyen Huy; Hien, Vo Minh; Vinh, Nguyen Thanh; Day, Jeremy; Chau, Nguyen Van Vinh; Hien, Tran Tinh; Farrar, Jeremy; de Jong, Menno D.; Thwaites, Guy; van Doorn, H. Rogier; Chau, Tran Thi Hong

    2014-01-01

    Background Central nervous system (CNS) infections are important diseases in both children and adults worldwide. The spectrum of infections is broad, encompassing bacterial/aseptic meningitis and encephalitis. Viruses are regarded as the most common causes of encephalitis and aseptic meningitis. Better understanding of the viral causes of the diseases is of public health importance, in order to better inform immunization policy, and may influence clinical management. Methodology/Principal Findings Study was conducted at the Hospital for Tropical Diseases in Ho Chi Minh City, a primary, secondary, and tertiary referral hospital for all southern provinces of Vietnam. Between December 1996 and May 2008, patients with CNS infections of presumed viral origin were enrolled. Laboratory diagnostics consisted of molecular and serological tests targeted at 14 meningitis/encephalitis-associated viruses. Of 291 enrolled patients, fatal outcome and neurological sequelae were recorded in 10% (28/291) and 27% (78/291), respectively. Mortality was especially high (9/19, 47%) amongst those with confirmed herpes simplex encephalitis which is attributed to the limited availability of intravenous acyclovir/valacyclovir. Japanese encephalitis virus, dengue virus, herpes simplex virus, and enteroviruses were the most common viruses detected, responsible for 36 (12%), 19 (6.5%), 19 (6.5%) and 8 (2.7%) respectively, followed by rubella virus (6, 2%), varicella zoster virus (5, 1.7%), mumps virus (2, 0.7%), cytomegalovirus (1, 0.3%), and rabies virus (1, 0.3%). Conclusions/Significance Viral infections of the CNS in adults in Vietnam are associated with high morbidity and mortality. Despite extensive laboratory testing, 68% of the patients remain undiagnosed. Together with our previous reports, the data confirm that Japanese encephalitis virus, dengue virus, herpes simplex virus, and enteroviruses are the leading identified causes of CNS viral infections in Vietnam, suggest that the

  16. 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.

  17. Trilobites from the Çal Tepe Formation (Cambrian), Near Seydişehir, Central Taurides, Southwestern Turkey

    OpenAIRE

    DEAN, WILLIAM T.

    2005-01-01

    The type section of the Çal Tepe Formation, near Seydişehir, is reviewed. The basal dolomite member is unfossiliferous, but the succeeding black limestone member (24 m), light-grey limestone member (10.15 m), and red nodular limestone member (46.7 m) are subdivided into thirty-seven numbered, often fossiliferous beds. Trilobites from the black limestone member, late Early Cambrian, exhibit affinities with Morocco, Spain and northwestern Europe; they include one new genus and species (Pamphyli...

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

    Directory of Open Access Journals (Sweden)

    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

  19. FacilitiesHospitals_HOSPITAL

    Data.gov (United States)

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

  20. 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

  1. No limit to fusion in nucleus-nucleus central collisions. Study of 40Ar on 27Al from 25 to 85 MeV/u

    International Nuclear Information System (INIS)

    Light charged particles and fragments emitted in collisions between 40Ar projectiles (from 25 to 85 MeV/u) and 27Al target nuclei have been detected in a 2Π geometry, i.e. nearly 4Π in the center-of-mass frame. An event-by-event analysis based on the use of the momentum sphericity tensor allowed to identify part of the central collision events. The angular distribution of light charged particles and fragments show that an incomplete fusion nucleus is formed and decays via isotropic emission at all incident energies, although no heavy residue is left above 36 MeV/u. Fusion is less and less complete as the incident energy increases. Nevertheless, a steady increase in the multiplicity of charged particles shows that the average excitation energy increases

  2. 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.

  3. Use of tritium for estimation of groundwater mean residence time, a case study of the Ain Al-Samak Karst springs (Central Syria)

    International Nuclear Information System (INIS)

    This work is an attempt to estimate the mean residence time of groundwater in the Ain Al-Tanour and Ain-Samak, which are the major karst springs in the Upper Orontes Basin (Central Syria). This estimate, which consists on the application of a mathematical modeling approach, was based on the use of tritium, as a natural radioisotope tracer and a tool for ground water age dating. By adopting a completely mixed reservoir model, linked with exponential time distribution function, the mean residence time (turnover time) of these two springs was evaluated to be about 50 years. This result is in good agreement with previous estimation obtained for the Figeh main spring, which belongs to the same aquifer (Cenomanian-Turonian complex) in the Damascus Basin. On the basis of this evaluation, a value of about 800 million m3 was obtained for the maximum groundwater reservoir size

  4. 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)

  5. 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)

  6. 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)

  7. 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)

  8. 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)

  9. 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)

  10. 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)

  11. 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)

  12. 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)

  13. 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)

  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. 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)

  16. 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)

  17. 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)

  18. 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.

  19. 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.

  20. 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

  1. Disfunción sexual asociada al uso de gabapentina en el tratamiento del dolor central Associated sexual dysfunction to the use of gabapentin in the treatment of the central pain

    Directory of Open Access Journals (Sweden)

    E. Calderón

    2006-06-01

    Full Text Available El dolor neuropático de origen central es uno de los síndromes dolorosos más complejos, su tratamiento es difícil y, en general, poco satisfactorio. Gabapentina (GBP es un anticonvulsivante usado en el tratamiento de la epilepsia, dolor neuropático, desórdenes bipolares, y es generalmente bien tolerado. Los anticonvulsivantes de segunda generación cuentan entre sus ventajas con una menor incidencia de efectos secundarios. No obstante, estamos hablando de fármacos relativamente nuevos, sobre todo para su utilización al margen de los trastornos no epilépticos, como es el caso del dolor neuropático, por lo que es necesario un estudio y seguimiento más completo de sus posibles efectos secundarios. Presentamos 2 casos de disfunción sexual en hombre y mujer en relación con la administración de gabapentina para control del dolor de origen central. El aumento de la concentración de serotonina podría ser la causa de las alteraciones sexuales relacionadas con el tratamiento con GBP a las dosis utilizadas en nuestros pacientes, superiores a 1.800 mg/día. Este efecto es dosis-dependiente y el tratamiento consiste en disminuir o ajustar la dosis para maximizar el intervalo de tiempo entre la toma previa y el acto sexual.The neuropathic central pain, is one of the more complex painful syndromes, its treatment is difficult and, in general, little satisfactory. Gabapentin (GBP, it is a anticon-vulsant used in the treatment of the epilepsy, neuropathic pain, disorder bipolar, and it is generally well tolerated The anticonvulsants of second generation count between their advantages with a smaller incidence of secondary effects. However, we are considering of relatively new drugs, mainly for its use to the margin of epilepsy, as it is the case of the neuropathic pain. For this reason it is necessary a study and more complete pursuit of its possible secondary effects. We presented 2 cases of sexual dysfunction in a man and a woman in relation to

  2. 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...

  3. 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....

  4. 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.

  5. 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

  6. The room of the X-rays equipment for Siti Aminah Hospital Bumi Ayu Central Java has been designed to achieve 125 kV and 200 mA capacity

    International Nuclear Information System (INIS)

    The room of the X-rays equipment for Siti Aminah Hospital Bumi Ayu Central Java has been designed to achieve 125 kV and 200 mA capacity, so as to provide radiation properly during operation. In order to achieve safe radiation exposure to the operator and patient, analysis and calculation are needed regarding time exposure, distance and shield width as required by radiation standard, procedure and principle. The result of calculation are expected to give exact maximum doses both for operator and patients. The shielding of the room, consist of concrete and Pb. (author)

  7. 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

  8. 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

  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. 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

  12. 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.

  13. ESTUDIO DE PACIENTES CON DEFECTO DE CIERRE DE TUBO NEURAL QUE INGRESAN AL HOSPITAL INFANTIL DE MORELIA EVA SAMANO DE LOPEZ MATEOS 2005-2008.

    OpenAIRE

    García Patiño, José Heriberto

    2012-01-01

    En los últimos años en México al igual que en otros países, hay cambio importantes en el panorama epidemiológico al grado que los padecimientos no transmisibles han sustituido los transmisibles en las principales causas de mortalidad. Entre estos padecimientos no transmisibles se contabilizan los defectos al nacimiento, observándose que alrededor del 2% de los neonatos cursan con alguna malformación importante con daño funcional y estético directo. (1-3) Entre los defe...

  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. PMID:23424818

  15. Norovirus - hospital

    Science.gov (United States)

    Gastroenteritis - norovirus; Colitis - norovirus; Hospital acquired infection - norovirus ... fluids ( dehydration ). Anyone can become infected with norovirus. Hospital patients who are very old, very young, or ...

  16. 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...

  17. Prevalencia al nacimiento de aberraciones cromosómicas en el Hospital Clínico de la Universidad de Chile: Período 1990-2001 Frequency of chromosomal aberrations at birth in a University Clinical Hospital

    Directory of Open Access Journals (Sweden)

    Julio Nazer H

    2003-06-01

    Full Text Available Background: A cytogenetical study should be performed to every newborn with malformations. If a chromosomal aberration is found, parents must be studied to give an adequate genetic advise. Aim: To study the frequency of chromosomal aberrations in newborns with malformations. Patients and methods: In the Clinical Hospital of the University of Chile all malformations in newborns are registered, as part of the Collaborative Latin American Study of Congenital Malformations (ECLAMC. The frequency of chromosomal aberrations, determined by cytogenetical studies, was determined in newborns with malformations. Results: In the study period, there were 32,214 births. Of these, 2,268 live newborns and 43 stillbirths had malformations. Ninety nine children with malformations had chromosomal aberrations (4.3%. Trisomy 21 was the most common aberration with a rate of 23/10,000 births, followed by trisomy 18 with a rate of 4/10,000 and trisomy 18 with a rate of 1.2/10,000. Ninety four percent of these children were born alive and 16.1% died before discharge from the hospital. The masculinity indexes for Down syndrome and for trisomy 18 were 0.38 and 0.61 respectively. Conclusions: A higher frequency of female gender for trisomy 21 and male gender for trisomy 18 has not been reported previously (Rev Méd Chile 2003; 131: 651-658

  18. 某军队中心医院2007-2013年科研课题立项的规范化管理%Standardized Management of Scientific Research Projects from 2007 to 2013 in Certain Military Central Hospital

    Institute of Scientific and Technical Information of China (English)

    桑秋菊; 周培立; 范文超; 张现格; 沈慧; 王光辉

    2014-01-01

    Objective To discuss the existing problems on the approval and management of scientific re-search projects in hospitals , to put forward the strategies and measures for sustainable development .Methods the number and grade of various scientific research subjects approved by a certain central army hospital in 2007 -2013 , and the age , degree , technical titles structure of project directors as well as other main indexes related were analyzed retrospectively .Results Young and middle-aged scientific and technological personnel is the backbone of scientific research teams of hospitals , highly educated and titled research talents cultivated emphasized have dominant effects on the declarations of research projects .Conclusion speeding up the construction of comprehen-sive hospital disciplines comprehensively , training young professionals , standardizing research management , exploi-ting the military and local resources availability , strengthening the advantages and comprehensively improving the scientific level of the building hospitals , are important measures to achieve sustainable development and enhance hospital core competitiveness .%目的:探讨医院科研课题立项与管理存在的问题,提出可持续发展的策略与措施。方法对军队某中心医院2007-2013年各级各类中标科研课题数量、等级、课题负责人的年龄、学位、专业技术职称结构情况等主要指标进行回顾性分析。结果中青年科技人才是医院科技队伍的中坚力量,高学历、高职称、重点培养的学科人才对课题的申报具有主导作用。结论全面加快医院学科建设,注重人才培养,规范科研管理,有效利用军地资源,强化自身优势,全面提高医院科研建设水平,是实现可持续发展,增强核心竞争能力的重要举措。

  19. Measurement of central corneal thickness by ultrasonic pachymeter and oculus pentacam in patients with well-controlled glaucoma: hospital-based comparative study

    OpenAIRE

    Rashid RF; Farhood QK

    2016-01-01

    Riyam Faihan Rashid, Qasim K Farhood Department of Ophthalmology, College of Medicine, University of Babylon, Babylon, Iraq Background: The measurement of central corneal thickness (CCT) plays an important role in the diagnosis and treatment of glaucoma and many corneal diseases.Objective of the study: To compare the measurement of CCT by ultrasonic pachymeter with that measured by oculus pentacam in both normal subjects and patients with well-controlled glaucoma.Patients and methods: In 17...

  20. 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 blaKPC-2, with one positive for both blaKPC-2 and blaNDM-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 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 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 cases

  1. 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.

    OpenAIRE

    R. Collazo-Carceller; H López-Salinas; A. Días-Romero.

    2009-01-01

    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...

  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

    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

  3. 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

  4. 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.

  5. 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.

  6. 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

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

    OpenAIRE

    José Rojas-Camayo; Ivá Huamaní

    2009-01-01

    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 ...

  8. 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.

  9. 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.

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

    OpenAIRE

    L. Villamayor Blanco; G Llimera Rausell; V Jorge Vidal; C. González Pérez-Crespo; C. Iniesta Navalón; M.ª C. Mira Sirvent; M Martínez Penella; S. Rabell Íñigo

    2006-01-01

    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 valora...

  11. The Hygiene Evaluation of Central Air Conditioning Ventilation Systems of Hospital and Hotel in Shenzhen City%深圳市罗湖区医院、宾馆集中式空调系统卫生学评价

    Institute of Scientific and Technical Information of China (English)

    吴浩生; 林奕嘉; 余伟欣; 曹惠珍; 方丽芳; 陈延妮

    2012-01-01

    目的 了解深圳市罗湖区医院及宾馆集中空调通风系统的卫生状况,探索有效的卫生管理对策.方法 于2009~2010年随机抽取深圳市罗湖区6家宾馆及2家医院集中空调通风系统的卫生管理状况进行调查,检测新风量、冷却水军团菌、送风中可吸入颗粒物(PM10)、采集风管内表面积尘和空调送风进行微生物检测.结果 6家宾馆送风中PM10、细菌总数、真菌总数和β -溶血性链球菌的合格率分别为81.2%、82.9%、51.4%、100.0%;2家医院送风中PM10、细菌总数、真菌总数和β -溶血性链球菌的合格率分别为46.8%、33.3%、53.3%、100.0%.医院和宾馆在PM10(χ2=19.4 P=0.000 1)和真菌总数(P=0.001 9)上合格率不同,差异有统计学意义.6家宾馆冷却水军团菌的检出率为20.0%,冷凝水嗜肺军团菌的检出率为0;2家医院冷却水、冷凝水军团菌的检出率为0.结论 深圳市罗湖区医院及宾馆集中空调通风系统存在一定程度的污染,并且医院的污染比宾馆更严重.因此,应该加强空调系统的运行管理,提高空调环境卫生状况,促进人群健康.%Objectives The study was aimed to detect the sanitary conditions of central air conditioning ventilation systems of hospital and hotel in Luohu district in Shenzhen, and to explore some effective supervision measures for central air conditioning ventilation systems. Methods In this randomized study, 6 hotels and 2 hospitals in Shenzhen were selected to determine the total count of bacteria and fungi in internal surface of pipe and blowing air, the air change flow, legionella in cooling tower water, inhalable particulate matter (PM10) in air blow and the dust volume of internal surfaces of pipes. Results The 6 hotels' qualified rate of the total count of PM10 , bacteria, fungi and β-hemolytic streptococcus were respectively 81. 2% , 82. 9 % , 51. 4 % , 100. 0% in air blow; the 2 hospitals' qualified rate of the total count of PM10

  12. Clinico-pathological pattern, classification and staging of urinary bladder carcinomas - a five years experience at a tertiary care hospital in central punjab

    International Nuclear Information System (INIS)

    In Pakistan, urinary bladder carcinoma is the 8th commonest malignancy while being the fourth commonest cancer in men. The relative occurrence of a particular histological type of bladder carcinoma depends on the clinical setting. Both grade and stage of these cancers are highly correlated with recurrence, progression and patient survival rates. Methods: This cross-sectional study comprised of 122 patients with newly diagnosed operable primary bladder carcinomas who underwent cystoscopy associated transurethral resection of bladder tumour at the Urology Department of Punjab Employees Social Security Hospital, Lahore. All participants completed a detailed questionnaire and underwent an in-depth interview to obtain data. The surgical specimens were referred to the Pathology department. Gross observations of the tumour recorded. Result: A total of 114 cases, classified according to WHO/ISUP criteria, low-grade papillary lesions, comprising Papillary Urothelial Neoplasm of Low Malignant Potential (PUNLMP) and Papillary Low Grade carcinomas, accounted for 43% of tumours. Male to female ratio being 5.3:1 (74%). Lateral walls were involved in 44%, posterior wall in 25.3%, trigone in 10.7%, bladder neck in 7.2%, dome in 5.8%, ureteric orifice in 4.13%, anterior wall in 2% and left ureter in 0.87% cases. Tumour staging revealed an overall 11.5% of tumours with stage Ta and 31.5% with stage T3-4. About 29% tumours were non invasive. About n=13 of low-grade carcinomas and n=68 of high-grade carcinomas were invasive. For tumours classified by WHO/ISUP criteria, the percentage of women was larger for PUNLMP than for the other categories of urothelial tumours (p-value 0.006); no statistically significant difference was found by age or gender with respect to tumour stage (p-value 0.138 and 0.452). Conclusion: Transitional Cell Carcinoma (TCC) is the commonest among middle aged men. (author)

  13. 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

  14. 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.

  15. 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...

  16. 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...

  17. 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

  18. 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%Design and application on post definition mode in public hospital: case study on Shaoyang Central Hospital

    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.

  19. Low birth weight in Mexico: new evidence from a multi-site postpartum hospital survey Bajo peso al nacer en México: nueva evidencia a partir de una encuesta postparto multi-hospitalaria

    Directory of Open Access Journals (Sweden)

    Reanne Frank

    2004-02-01

    Full Text Available OBJECTIVE: To identify factors related to cases of low birth weight among a sample of Mexican women. MATERIAL AND METHODS: The present analysis utilizes data from a post partum survey of 565 women implemented in eight different social security hospitals in western Mexico during 2001. Women giving birth to low weight infants (2.5 kgs were oversampled and make up half of the sample. RESULTS: A series of logistic regression equations are presented that estimate the risk of low birth weight. Study findings indicate that, although behavioral factors appear to be highly significant in predicting the odds of low birth weight, socioeconomic and sociodemographic factors were found to be important in determining utilization of prenatal care. CONCLUSIONS: The key role of behavioral characteristics in determining low birth weight risk and the role of socioeconomic and sociodemographic factors in determining prenatal care usage highlights the need to improve prenatal care utilization by disadvantaged populations.OBJETIVO: Objetivo. Identificar los factores relacionados con el bajo peso al nacer en mujeres mexicanas. MATERIAL Y MÉTODOS: Se analizan datos de una encuesta recientemente aplicada en 2001 a 565 mujeres en condición de posparto, en ocho hospitales de la Secretaría de Salud, en el Occidente de la República Mexicana, que permite una evaluación detallada de los factores que contribuyen al riesgo de bajo peso. La mitad de las mujeres había dado a luz a recién nacidos de bajo peso (menos de 2.5 kgs y el resto de peso normal. Este trabajo presenta los resultados de una serie de regresiones logísticas que estiman el riesgo de bajo peso al nacer. RESULTADOS: Los resultados indican que mientras los factores de comportamiento están asociados significativamente al bajo peso al nacer, los factores sociodemográficos y socioeconómicos están más relacionados con la utilización de servicios de atención prenatal. CONCLUSIONES: El papel clave de las

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

    Directory of Open Access Journals (Sweden)

    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.

  1. 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

  2. Hospital Hints

    Science.gov (United States)

    ... and your family. They can help find homecare, rehabilitation, social services, long-term care, and support groups. Inside the Hospital Hospitals have many patient-care areas. For example, the intensive care unit (also called the ICU) has special equipment and staff to care for ...

  3. 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.

    OpenAIRE

    Eloísa Maldonado

    2014-01-01

    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 Fo...

  4. 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

  5. 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.

  6. Hospital fundamentals.

    Science.gov (United States)

    Althausen, Peter L; Hill, Austin D; Mead, Lisa

    2014-07-01

    Under the current system, orthopaedic trauma surgeons must work in some form of hospital setting as our primary service involves treatment of the trauma patient. We must not forget that just as a trauma center cannot exist without our services, we cannot function without their support. As a result, a clear understanding of the balance between physicians and hospitals is paramount. Historical perspective enables physicians and hospital personnel alike to understand the evolution of hospital-physician relationship. This process should be understood upon completion of this chapter. The relationship between physicians and hospitals is becoming increasingly complex and multiple forms of integration exist such as joint ventures, gain sharing, and co-management agreements. For the surgeon to negotiate well, an understanding of hospital governance and the role of the orthopaedic traumatologist is vital to success. An understanding of the value provided by the traumatologist includes all aspects of care including efficiency, availability, cost effectiveness, and research activities. To create effective and sustainable healthcare institutions, physicians and hospitals must be aligned over a sustained period of time. Unfortunately, external forces have eroded the historical basis for the working relationship between physicians and hospitals. Increased competition and reimbursement cuts, coupled with the increasing demands for quality, efficiency, and coordination and the payment changes outlined in healthcare reform, have left many organizations wondering how to best rebuild the relationship. The principal goal for the physician when partnering with a hospital or healthcare entity is to establish a sustainable model of service line management that protects or advances the physician's ability to make impactful improvements in quality of patient care, decreases in healthcare costs, and improvements in process efficiency through evidence-based practices and protocols. PMID

  7. 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

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

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    Juana Pacífico

    2015-03-01

    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.

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

    OpenAIRE

    Marisa Durand; Núria Mach

    2013-01-01

    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, ...

  11. Situación actual de la energía nuclear. Un estudio relativo al proceso constructivo de centrals nucleares

    OpenAIRE

    Tarrasón Pérez, Juan Carlos

    2011-01-01

    El importante crecimiento económico en nuestra sociedad desde mediados del siglo pasado ha estado asociado a un muy notable aumento del consumo energético, consustancial a la mejora del nivel de vida de la ciudadanía. Sin embargo, este mismo incremento, y especialmente el hecho de estar basado en un modelo energético fuertemente centrado en el uso de combustibles fósiles provoca problemas ambientales y económicos que pueden acabar frenando el desarrollo y afectar al bienestar de la humanidad....

  12. Hospitalizaciones asociadas al diagnóstico de fibrilación auricular en Chile: Tendencia creciente en la última década Hospitalization for atrial fibrillation in chile: a growing tendency in the last decade

    Directory of Open Access Journals (Sweden)

    Mario Ortiz

    2011-12-01

    Full Text Available Antecedentes: Publicaciones internacionales señalan que las hospitalizaciones por fibrilación auricular (FA están aumentando, lo que tiene importantes implicaciones para la salud pública y el cardiólogo. En Chile no se dispone de mayor información sobre el problema. Objetivo: Estudiar las hospitalizaciones asociadas al diagnóstico de FA en Chile. Métodos: Los egresos hospitalarios con el diagnóstico de FA fueron obtenidos del Ministerio de Salud (código 1^48 FA de la Clasificación Internacional de Enfermedades. Hubo datos disponibles solo para los años 2002 al 2007; se analizó género, grupos etarios y regiones del país. Las tasas (T de egresos hospitalarios con este diagnóstico por 10.000 habitantes (H fueron calculadas en base a la población proyectada del último censo nacional para los años señalados. Para el análisis estadístico se utilizó el test de proporsiones de Z. Resultados: La T total de egreso hospitalario asociada al diagnóstico de FA el año 2002 fue de 2,2/10.000 H la que aumentó gradualmente hasta una T de 2,8/10.000 H el año 2007 (P80 años las T fueron de 32,4 y 43,7/10.000 H respectivamente (P 65 años, y en las regiones del sur del país. Se requiere profundizar en las causas de este aumento.Background: Hospitalization for atrial fibrillation (AF is reported to be increasing worldwide, becoming a cardiovascular health problem. Scarce data on this subject is available in Chile. Aim: To describe hospitalizations related to AF in Chile. Method: The discharge diagnosis of AF (ICD I48was obtained form the Ministry of Health reports. Only data from 2002 through 2007 was available. Gender, age and location (regions were analyzed. A projection derived form the last population census was used to estimate rates per 10.000 people discharged with a diagnosis of AF Results: The rate of discharges with a diagnosis of AF increased from 2.2 per 10.000 in 2002 to 2.8 per 10.000 in 2007. Male and female rates were 2

  13. Early Mortality during Initial Treatment of Tuberculosis in Patients Co-Infected with HIV at the Yaounde Central Hospital, Cameroon: An 8-Year Retrospective Cohort Study (2006-2013.

    Directory of Open Access Journals (Sweden)

    Jean Joel R Bigna

    Full Text Available Understanding contributors to mortality during the initial phase of tuberculosis (TB treatment in patients co-infected with HIV would guide targeted interventions to improve survival. The aim of this study was to ascertain the incidence of death during the initial 2 months (new cases and 3 months (retreatment cases of TB treatment and to assess correlates of mortality in HIV co-infected patients.We conducted a hospital-based retrospective cohort study from January 2006 to December 2013 at Yaoundé Central Hospital, Cameroon. We reviewed medical records to identify co-infected TB/HIV inpatients aged 15 years and older who died during TB treatment. Death was defined as any death occurring during TB treatment, as per World Health Organization recommendations. We collected socio-demographic, clinical and laboratory data. We conducted multivariable logistic binary regression analysis to identify factors associated with death during the intensive phase of TB treatment. Magnitudes of associations were expressed by adjusted odds ratio (aOR with 95% confidence interval. A p value < 0.05 was considered statistically significant.The 99 patients enrolled had a mean age of 39.5 (standard deviation 10.9 years and 53% were male. Patients were followed for 276.3 person-months of observation (PMO. Forty nine patients were died during intensive phase of TB treatment. Death incidence during the intensive phase of TB treatment was 32.2 per 100 PMO. Having a non-AIDS comorbidity (aOR 2.47, 95%CI 1.22-5.02, p = 0.012, having extra-pulmonary TB (aOR 1.89, 95%CI 1.05-3.43, p = 0.035, and one year increase in duration of known HIV infection (aOR 1.23, 95%CI 1.004-1.49 were independently associated with death during the intensive phase of TB treatment.Mortality incidence during intensive phase of TB treatment was high among TB/HIV co-infected patients during TB treatment; and strongly associated with extra pulmonary TB suggesting advanced stage of immunosuppression and

  14. 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.

  15. 78 FR 27485 - Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the...

    Science.gov (United States)

    2013-05-10

    ... fiscal year FPL Federal poverty line FQHC Federally qualified health center FR Federal Register FTE Full... CFR Parts 412, 418, 482, et al. Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Proposed Fiscal...

  16. 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

  17. 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...

  18. Distúrbios psiquiátricos relacionados ao álcool associados a diagnósticos de clínica médica e/ou intervenções cirúrgicas, atendidos num hospital geral Disturbios psiquiátricos relacionados al alcohol, asociados a diagnósticos de clínica médica y/o intervenciones quirúrgicas, atendidos en un hospital general Psychiatric disorders related to alcohol and associated to general clinical medical diagnoses and/or surgical interventions in patients admitted in a general hospital

    Directory of Open Access Journals (Sweden)

    Eliene Reis de Oliveira

    1997-05-01

    Full Text Available Através de um inquérito epidemiológico, buscou-se detectar as co-morbidades dos diagnósticos psiquiátricos relacionados ao álcool. Para tanto, investigou-se os atendimentos num Hospital de Urgências Médicas no Setor de Psiquiatria, no período de 1988 a 1991, tendo por objetivo identificar quais as doenças clínicas e outros incidentes que acometem a população referida. Fizeram parte do levantamento os diagnóstico relacionados ao álcool, conforme CID 9 (291; 303 e 305.0 e os associados não pertencentes à psiquiatria. Evidenciou-se no período, 1835 casos com diagnósticos relacionados ao álcool e destes 487 (26.5% se referiram aos grupos 291-303-305.0, associados à outros não psiquiátricos. Desse total a maior frequência de casos ocorreu nos grupos 340-349 (Outros transtornos do SNC e 800-859 (Lesões e complicações traumáticas com 80 (16.4% atendimentos, respectivamente. Observando-se os dados por ano, constata-se que dos diagnósticos relacionados ao álcool (com diagnósticos clínicos associados o 303 (Síndrome de Dependência Alcoólica foi o que teve maior número de atendimento com 326 (67% casos, seguido de 291 (Psicose Alcoólica com 117 (24% e 305.0 (Álcool com 44 (9%. No período, tanto o diagnóstico psiquiátrico 303 como o 291, apareceram mais frequentemente associados ao grupo de diagnóstico clínicos 340-349, com 55 (11.2% e 12 (2.4% casos, respectivamente e o 305.0 teve o grupo 800-859 com 10 (2% casos, como o mais frequente.Usando un formulario de notificación epidemiológica, se buscó detectar las co-morbilidades de los diagnósticos psiquiátricos relacionados con el alcohol. Para esto se investigó las atenciones realizadas en un hospital de urgencias médicas en el sector de psiquiatría, durante el periodo de 1988 a1991; teniendo como objetivo identificar cuales son las enfermedades clínicas y otros incidentes padece la población referida. Hicieron parte los diagnósticos relacionados al

  19. Adesão ao tratamento de pacientes com insuficiência cardíaca em um hospital universitário Adhesión al tratamiento farmacológico y no farmacológico de pacientes con insuficiencia cardíaca en hospital universitario Adherence of patients with heart failure to pharmacological and non-pharmacological treatment in a teaching hospital

    Directory of Open Access Journals (Sweden)

    Raquel Azevedo de Castro

    2010-06-01

    Full Text Available A baixa adesão ao tratamento de pacientes com insuficiência cardíaca (IC é um dos fatores relacionado a re-internações. Nesta perspectiva, este estudo, conduzido em um hospital universitário no Rio Grande do Sul, buscou descrever a adesão ao tratamento farmacológico e não farmacológico de pacientes admitidos com IC descompensada, relacionando-a com o número de internações e re-internações hospitalares no período de um ano. A adesão farmacológica foi avaliada pela escala de Morisky, e a não farmacológica por meio de um questionário previamente validado. Incluíram-se 252 pacientes, idade média 63±13 anos e 151 (60% do sexo masculino. Quanto à adesão ao tratamento farmacológico, 118 (47% referiram alta adesão e 45 (18% eram aderentes ao tratamento não farmacológico. Não houve relação entre adesão ao tratamento (farmacológico e não farmacológico e re-internações. Conhecimento prévio dos cuidados não farmacológicos, identificação dos sintomas de congestão e aqueles que já faziam tratamento para IC foram relacionados à adesão.La baja adhesión al tratamiento de pacientes con insuficiencia cardíaca (IC es uno de los factores relacionados a las re-internaciones. En esta perspectiva, este estudio, realizado en hospital universitario en Rio Grande do Sul, Brasil, buscó describir la adhesión al tratamiento farmacológico y no farmacológico de pacientes con IC descompensada, relacionándola con el número de internaciones y re-internaciones hospitalarias en el período de un año. La adhesión farmacológica fue evaluada por la escala de Morisky, y la no farmacológica, por medio de un cuestionario previamente validado. Se incluyeron 252 pacientes, media de edad 63±13 años, 60% (151 masculino. Sobre la adhesión al tratamiento farmacológico y no farmacológico, se relató alta adhesión en 47% (118 y 18% (45, respectivamente. No hubo relación entre la adhesión al tratamiento y re

  20. Adaptación de centrales térmicas de carbón al proceso de oxi-combustión

    OpenAIRE

    Alcalá Carrasci¡o, Adrián

    2011-01-01

    El proceso de Oxi-combustión es una de las posibles alternativas para la generación de energía eléctrica, que permite la Captura y Almacenamiento de CO2, con el fin de cumplir los ambiciosos objetivos de reducción de emisiones. Es una prometedora tecnología que permitirá la generación de electricidad mediante combustibles fósiles durante los próximos años. Esta técnica se caracteriza por poder ser implementada en centrales térmicas convencionales, requiriendo en ellas un número mínimo de modi...

  1. 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

    OpenAIRE

    Jacinta Sanchez Pelayo; Leandro Augusto Calixto; Ligia Maira dos Santos Rogeri; Raquel Girardello; Regina Mariuza Borsato Quesada; Claudia Ross

    2006-01-01

    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 t...

  2. Gestión óptima de embalses en avenidas incorporando al concepto de incertidumbre : aplicación a embalses con central hidroeléctrica

    OpenAIRE

    Bianucci, Sandra Paola

    2013-01-01

    Esta tesis realiza una contribución metodológica al problema de la gestión óptima de embalses hidroeléctricos durante eventos de avenidas, considerando un enfoque estocástico y multiobjetivo. Para ello se propone una metodología de evaluación de estrategias de laminación en un contexto probabilístico y multiobjetivo. Además se desarrolla un entorno dinámico de laminación en tiempo real con pronósticos que combina un modelo de optimización y algoritmos de simulación. Estas herramientas asisten...

  3. Validating the use of Hospital Episode Statistics data and comparison of costing methodologies for economic evaluation: an end-of-life case study from the Cluster randomised triAl of PSA testing for Prostate cancer (CAP)

    Science.gov (United States)

    Thorn, Joanna C; Turner, Emma L; Hounsome, Luke; Walsh, Eleanor; Down, Liz; Verne, Julia; Donovan, Jenny L; Neal, David E; Hamdy, Freddie C; Martin, Richard M; Noble, Sian M

    2016-01-01

    Objectives To evaluate the accuracy of routine data for costing inpatient resource use in a large clinical trial and to investigate costing methodologies. Design Final-year inpatient cost profiles were derived using (1) data extracted from medical records mapped to the National Health Service (NHS) reference costs via service codes and (2) Hospital Episode Statistics (HES) data using NHS reference costs. Trust finance departments were consulted to obtain costs for comparison purposes. Setting 7 UK secondary care centres. Population A subsample of 292 men identified as having died at least a year after being diagnosed with prostate cancer in Cluster randomised triAl of PSA testing for Prostate cancer (CAP), a long-running trial to evaluate the effectiveness and cost-effectiveness of prostate-specific antigen (PSA) testing. Results Both inpatient cost profiles showed a rise in costs in the months leading up to death, and were broadly similar. The difference in mean inpatient costs was £899, with HES data yielding ∼8% lower costs than medical record data (differences compatible with chance, p=0.3). Events were missing from both data sets. 11 men (3.8%) had events identified in HES that were all missing from medical record review, while 7 men (2.4%) had events identified in medical record review that were all missing from HES. The response from finance departments to requests for cost data was poor: only 3 of 7 departments returned adequate data sets within 6 months. Conclusions Using HES routine data coupled with NHS reference costs resulted in mean annual inpatient costs that were very similar to those derived via medical record review; therefore, routinely available data can be used as the primary method of costing resource use in large clinical trials. Neither HES nor medical record review represent gold standards of data collection. Requesting cost data from finance departments is impractical for large clinical trials. Trial registration number ISRCTN92187251

  4. 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

  5. Mudanças na assistência ao idoso após promulgação do Estatuto do Idoso segundo profissionais de hospital geriátrico Cambios en asistencia al anciano después promulgación del Estatuto del Anciano según profesionales de hospital geriátrico Changes in the care of the elderly after the enactment of the Elderly Statute according to professionals of a geriatric hospital

    Directory of Open Access Journals (Sweden)

    Maristela Santini Martins

    2008-03-01

    Full Text Available Este estudo objetivou conhecer o contato da equipe multiprofissional com o Estatuto do Idoso e qual a interferência dessa Lei na assistência ao idoso institucionalizado. O cenário do estudo foi um Hospital Geriátrico de São Paulo, onde residem 297 idosos. Participaram 35 profissionais integrantes da equipe multiprofissional da Instituição que responderam a um questionário composto de perguntas abertas e fechadas. Os resultados foram divididos em categorias e submetidos à análise descritiva. Destacou-se que 68,6% dos profissionais acreditam estar ocorrendo mudanças na assistência, mesmo que lentamente, após a promulgação da Lei, e que elas ocorreram na equipe multiprofissional, que buscou especialização específica, melhorando a assistência; nas instituições que se adaptaram para atender às especificidades dos idosos; nos próprios idosos e em suas famílias que, sentindo-se respaldados pela Lei, passaram a reivindicar mais os seus direitos.En este estudio se tuvo como objetivo conocer el contacto del equipo multiprofesional con el Estatuto del anciano y la interferencia de la ley en la asistencia al anciano institucionalizado. El escenario del estudio fue un Hospital Geriátrico de Sao Paulo, donde residen 297 ancianos. Participaron 35 profesionales integrantes del equipo multiprofesional de la institución los cuales respondieron a un cuestionario compuesto de preguntas abiertas y cerradas. Los resultados fueron divididos en categorías y sometidos al análisis descriptivo. El 68,6% de los profesionales consideran que está ocurriendo cambios en la asistencia, aunque lentamente, después de la promulgación de la ley, y que ellos se produjeron en el equipo multiprofesional, buscando especialización específica, mejorando así la asistencia en las instituciones, que se adaptaron para atender las especificidades de los ancianos, en los propios ancianos y en sus familias, los que sintiéndose respaldados por la ley pasaron a

  6. Academic Hospitality

    Science.gov (United States)

    Phipps, Alison; Barnett, Ronald

    2007-01-01

    Academic hospitality is a feature of academic life. It takes many forms. It takes material form in the hosting of academics giving papers. It takes epistemological form in the welcome of new ideas. It takes linguistic form in the translation of academic work into other languages, and it takes touristic form through the welcome and generosity with…

  7. Hospital Malnutrition

    OpenAIRE

    Asumadu-Sarkodie, Samuel

    2012-01-01

    Malnutrition seen in hospitals usually occurs as some form of protein-energy malnutrition (PEM). Primary PEM results from an acute or chronic deficiency of both protein and calories. Secondary PEM, or cachexia, results from a disease or medical condition such as cancer or gastrointestinal disease that alters requirements or impairs utilization of nutrients.

  8. Identifying spectrometric signatures of phosphate deposits and enclosing sediments in Al-Awabed area, Northern Palmyrides, Central Syria, by the use of statistical factor analysis

    International Nuclear Information System (INIS)

    In previous published research, a factor analysis approach has been applied to airborne spectrometric data of Al-Awabed area, Northern Palmyrides, Syria. A model of four factors (F1, F2, F3 and F4) has proven to be sufficient to represent the acquired data, where 94% of the total data variance is explained. A powerful tool for direct differentiation of various rocks units is obtained through the mapping of these four factors, where a scored lithological map including 11 radiometric units is established. Ninty nine rock samples have been taken according to the four factors to be analyzed by the γ-spectrometry technique in order to determine their content of eU, eTh and K%. The analysis of 65 samples according to F1 indicates that uranium concentration varies between 2.74 and 123.3 ppm with an average of 58.85 ppm and a standard deviation of 32.53 ppm. The analysis of 18 samples taken according to F2 indicates that K% concentration varies between 0.001 and 0.324 with an average of 0.145 and a standard deviation of 0.122. The analysis of 16 samples taken according to F3 indicates that K% concentration varies between 0.024 and 0.558 with an average of 0.227 and a standard deviation of 0.133. These γ-results are expected and fit very well with the results obtained by the factor analysis approach. Therefore, the validity and efficacy of the factor analysis approach, to be widely used as a guide in exploration and smart sampling for mining programs, are well demonstrated. The established phosphate maps show a width extension and distribution, and clearly indicate the potential of the research area, and it merits to be followed by economic exploration

  9. Identifying spectrometric signatures of phosphate deposits and enclosing sediments in Al-Awabed area, Northern Palmyrides, Central Syria, by the use of statistical factor analysis

    International Nuclear Information System (INIS)

    In previous published research, a factor analysis approach has been applied to airborne spectrometric data of Al-Awabed area, Northern Palmyrides, Syria. A model of four factors (F1, F2, F3 and F4) has proven to be sufficient to represent the acquired data, where 94% of the total data variance is explained. A powerful tool for direct differentiation of various rocks units is obtained through the mapping of these four factors, where a scored lithological map including 11 radiometric units is established. Ninety nine rock samples have been taken according to the four factors to be analyzed by the gamma spectrometry technique in order to determine their content of e U, e Th and K%. The analysis of 65 samples according to F1 indicates that uranium concentration varies between 2.74 and 123.3 ppm with an average of 58.85 ppm and a standard deviation of 32.53 ppm. The analysis of 18 samples taken according to F2 indicates that K% concentration varies between 0.001 and 0.324 with an average of 0.145 and a standard deviation of 0.122. The analysis of 16 samples taken according to F3 indicates that K% concentration varies between 0.024 and 0.558 with an average of 0.227 and a standard deviation of 0.133. These gamma-results are expected and fit very well with the results obtained by the factor analysis approach. Therefore, the validity and efficacy of the factor analysis approach, to be widely used as a guide in exploration and smart sampling for mining programs, are well demonstrated. The established phosphate maps show a width extension and distribution, and clearly indicate the potential of the research area, and it merits to be followed by economic exploration

  10. Hospitality and hostility in hospitals

    DEFF Research Database (Denmark)

    Jensen, Tina Blegind; Aanestad, Margunn

    2007-01-01

    The purpose of this paper is to discuss the adoption of healthcare information systems (HIS) from a user perspective. Our case study concerns how a group of orthopaedic surgeons experienced and reacted to the adoption and mandatory use of an Electronic Patient Record system in a Danish hospital. We...... propose to use the concepts of hospitality and hostility to turn our attention to the interaction between the host (the surgeons) and the guest (the information system) and consider how the boundaries between them evolved in the everyday work practices. As an alternative to previous studies on technology...

  11. Hospitable radiopharmaceuticals

    International Nuclear Information System (INIS)

    Two types of hospitalary radiopharmaceutical was given in Nuclear Medicine: the centralized and hospitalary radiopharmaceuticals. The good practice in the use, instrumentation and quality control of radiopharmaceuticals are used in nuclear medicine for diagnostic and therapy diseases

  12. 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.

  13. 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

  14. 某军队医院聘用制医务人员满意度分析%An Analysis of Income and Job Satisfaction of Employed Healthcare Workers in a Military Central Hospital

    Institute of Scientific and Technical Information of China (English)

    徐蕾; 张运明; 李东华; 吴骋

    2015-01-01

    Objective The article aimed to achieve income satisfaction and job satisfaction of employed healthcare workers in a military central hospital as well as their relationship and to provide advice and policies to improve the professional stability and loyalty of the workers.Methods Questionnaires and interviews were used to survey 642 employed healthcare workers.Statistical methods, such as correlation analysis and logistic regression were used to analyze the data by software SAS9.3.Results Healthcare workers'satisfaction was 3.41, which has no relationship with income(r =0.105,P >0.05), yet has relationship with income satisfaction(r =0.356,P <0.001).Income satisfaction is relatively low.Dissatisfaction rate of workers from surgical departments was 56.41%, which was lower than 76% of medicine departments and 78.26% of accessory departments.Intention of quit was much strong in workers whose work time was less than 2 years or between 5 -8 years.Conclusion It is suggested to follow the orientation of health reform of Shanghai and to build harmonious working surroundings to im-prove job satisfaction.Income allocation system should be modified to improve income satisfaction.Scientific and effective system should be used to evaluate workers'performance and keep talents in military hospital.%目的:了解某军队中心医院聘用制医务人员收入满意度和工作满意度状况,以及两者之间的关系,针对发现的问题提出政策建议,以提高医务人员职业稳定性和忠诚度。方法对642名聘用制医务人员进行满意度开放式问卷调查,对数据运用 SAS 9.3软件进行统计描述,采用相关分析和 logistic 回归分析进行相关检验与影响因素筛选。结果聘用制医务人员工作满意度处于一般水平,为3.41分,与薪酬无相关关系(r =0.105,P >0.05),与收入满意度存在相关关系(r =0.356,P <0.001)。收入满意度总体较低,外科片对收入不

  15. Hospital infections in neonatal intensive care units

    OpenAIRE

    Đurišić Jasna; Marković-Denić Ljiljana N.; Ilić Slobodanka; Ramadani Ruždi

    2005-01-01

    Introduction Sick newborn babies in the neonatal intensive care units (NICU) are al increased risk for hospital-acquired infections (HI). The aim of our study was to determine the incidence and localization of neonatal hospital infections in NICU. Material and methods A prospective, six-month study was carried out in a NICU. All patients hospitalized in NICU longer then 48 hours were examined according to their basic descriptive-epidemiological characteristics and the incidence of all hospita...

  16. 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

  17. 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

  18. 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

    OpenAIRE

    M. Abu-Suboh Abadía; F. Casellas; Vilaseca, J; J-R. Malagelada

    2004-01-01

    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 hospit...

  19. [Evolution of the hospital pharmacies in public and private hospitals in the cancer network in Lorraine: Oncolor].

    Science.gov (United States)

    May, I; Paulus, C; Vigneron, J; Watelet, M; Veyrier, B; Bichet, F; Bideaux, S; Bey, P

    2001-04-01

    With the objective of improvement of quality in oncology, an assessment of chemotherapy practice in hospital pharmacies in public and private hospitals was carried out by the regional committee of oncology in Lorraine. The 36 hospitals reporting using chemotherapy, had varied practices. The results of this survey lead to the elaboration of guideline for hospital pharmacies in the oncology regional network Oncolor. This paper describes the different aspects of the hospital pharmacies in public and private hospitals included in the network Oncolor from 1996 to 2000. In 1996, 9 hospital pharmacies had centralized preparation for chemotherapy, whereas at the end of 2000, 26 pharmacies on 28 will fulfill the guidelines. PMID:11371380

  20. 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.

  1. ALS Association

    Science.gov (United States)

    ... toward a world without ALS! Walk to Defeat ALS® Walk to Defeat ALS® draws people of all ... We need your help. I Will Advocate National ALS Registry The National ALS Registry is a congressionally ...

  2. 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. PMID:24853932

  3. 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. PMID:26990983

  4. Hospitals for sale.

    Science.gov (United States)

    Costello, Michael M; West, Daniel J; Ramirez, Bernardo

    2011-01-01

    The pace of hospital merger and acquisition activity reflects the economic theory of supply and demand: Publicly traded hospital companies, private equity funds, and large nonprofit hospital systems are investing capital to purchase and operate freestanding community hospitals at a time when many of those hospitals find themselves short of capital reserves and certain forms of management expertise. But the sale of those community hospitals also raises questions about the impact of absentee ownership on the communities which those hospitals serve. PMID:21864058

  5. The architecture of enterprise hospital information system.

    Science.gov (United States)

    Lu, Xudong; Duan, Huilong; Li, Haomin; Zhao, Chenhui; An, Jiye

    2005-01-01

    Because of the complexity of the hospital environment, there exist a lot of medical information systems from different vendors with incompatible structures. In order to establish an enterprise hospital information system, the integration among these heterogeneous systems must be considered. Complete integration should cover three aspects: data integration, function integration and workflow integration. However most of the previous design of architecture did not accomplish such a complete integration. This article offers an architecture design of the enterprise hospital information system based on the concept of digital neural network system in hospital. It covers all three aspects of integration, and eventually achieves the target of one virtual data center with Enterprise Viewer for users of different roles. The initial implementation of the architecture in the 5-year Digital Hospital Project in Huzhou Central hospital of Zhejiang Province is also described. PMID:17281875

  6. 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...

  7. Can hospitals compete on quality? Hospital competition.

    Science.gov (United States)

    Sadat, Somayeh; Abouee-Mehrizi, Hossein; Carter, Michael W

    2015-09-01

    In this paper, we consider two hospitals with different perceived quality of care competing to capture a fraction of the total market demand. Patients select the hospital that provides the highest utility, which is a function of price and the patient's perceived quality of life during their life expectancy. We consider a market with a single class of patients and show that depending on the market demand and perceived quality of care of the hospitals, patients may enjoy a positive utility. Moreover, hospitals share the market demand based on their perceived quality of care and capacity. We also show that in a monopoly market (a market with a single hospital) the optimal demand captured by the hospital is independent of the perceived quality of care. We investigate the effects of different parameters including the market demand, hospitals' capacities, and perceived quality of care on the fraction of the demand that each hospital captures using some numerical examples. PMID:25711185

  8. Hospitals as health educators

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000862.htm Hospitals as health educators To use the sharing features ... health education, look no further than your local hospital. From health videos to yoga classes, many hospitals ...

  9. 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...

  10. 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...

  11. Critical Access Hospitals (CAH)

    Science.gov (United States)

    ... will not. Each hospital must perform its own financial analysis to determine if being a Prospective Payment System (PPS) hospital or a CAH would result in a better financial return. For financially distressed hospitals, even if CAH ...

  12. Surgery, Hospitals, and Medications

    Science.gov (United States)

    ... OTC products that are not commonly stocked in hospital pharmacies. Examples include: Salagen ® , Evoxac ® , and Restasis ® Eye drops, ... of your medication will be sent to the hospital pharmacy for verification. Depending on hospital policy, you may ...

  13. 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

  14. 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

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

    OpenAIRE

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

    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...

  16. 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

  17. Preventing catheter-associated infections in the Pediatric Intensive Care Unit: impact of an educational program surveying policies for insertion and care of central venous catheters in a Brazilian teaching hospital

    Directory of Open Access Journals (Sweden)

    Marcelo Luiz Abramczyk

    2011-12-01

    Full Text Available Objectives: To determine the impact of an educational program on the prevention of central venous catheter-related infections in a Brazilian Pediatric Intensive Care Unit. Patients and Methods: All patients admitted to the unit between February 2004 and May 2005 were included in the cohort study in a longitudinal assessment. An educational program was developed based on the Centers for Disease Control and Prevention recommendations for prevention of catheter-associated infections and was adapted to local conditions and resources after an initial observational phase. Incidence of catheter-associated infections was measured by means of on-site surveillance. Results: One hundred eighteen nosocomial infections occurred in 253 patients (46.6 infections per 100 admissions and in 2,954 patient-days (39.9 infections per 1,000 patient-days. The incidence-density of catheter infections was 31.1 episodes per 1.000 venous central catheter-days before interventions, and 16.5 episodes per 1,000 venous central catheter-days afterwards (relative risk 0.53 [95% CI 0.28-1.01]. Corresponding rates for exit-site catheter infections were 8.0 and 2.5 episodes per 1,000 venous central catheter-days [0.32 (0.07-1.49], and the rates for bloodstream infections were 23.1 and 13.9 episodes per 1,000 venous central catheter-days, before and after interventions [0.61 (0.32-1.14]. Conclusion: A prevention strategy targeted at the insertion and maintenance of vascular access can decrease rates of vascular-access infections in pediatric intensive care unit.

  18. De los cuidados registrados al diagnóstico de enfermería: análisis cualitativo de las expresiones prediagnósticas registradas por las enfermeras del Hospital General Universitario de Alicante

    OpenAIRE

    Domingo Pozo, Manuela

    2004-01-01

    Este trabajo se presentó como tesina fin de carrera de la licenciatura de Enfermería de la Hogeschool Zeeland. Estudio de tipo descriptivo y analítico cuyo objetivos son: 1)Clasificar las expresiones utilizadas por las enfermeras en la hoja de cuidados del paciente en el Hospital General Universitario de Alicante (HGUA) en un sistema de categorías teóricas establecido por el equipo investigador en un estudio piloto. 2) Analizar las expresiones prediagnósticas que registran las enfermer...

  19. 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. PMID:10283019

  20. 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.

  1. Hypoglycemia in the hospital

    OpenAIRE

    Shomali, Mansur

    2011-01-01

    Hypoglycemia is a common adverse event affecting hospitalized patients with diabetes. This paper reviews the data regarding optimization of glucose in hospitalized patients, discusses the scope and significance of hypoglycemia in the hospital, and makes recommendations on how to reduce the risk of this serious adverse event. Keywords: hypoglycemia; hospital; diabetes; insulin(Published: 18 July 2011)Citation: Journal of Community Hospital Internal Medicine Perspectives 2011, 1: 7217 - DOI: 10...

  2. 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

  3. Japanese hospitals--culture and competition: a study of ten hospitals.

    Science.gov (United States)

    Anbäcken, O

    1994-01-01

    Japanese health care is characterized by a pluralistic system with a high degree of private producers. Central government regulates the prices and the financing system. All citizens are covered by a mandatory employment-based health insurance operating on a non-profit basis. The consumer has a free choice of physician and hospital. A comparison between Japan, Sweden and some other countries shows significant dissimilarities in the length of stay, number of treatments per hospital bed and year and the staffing of hospitals. About 80 per cent of the hospitals and 94 per cent of the clinics are privately owned. The typical private hospital owned by a physician has less than 100 beds. In this paper, data collected (1992/93) in an empirical study of Japanese hospitals and their leadership is presented. Also discussed are the hospitals' style of management, tools and strategies for competition and competences--personal and formal skills required of the leadership in the hospital. There follows a study of ten hospitals, among which hospital directors and chief physicians were interviewed. Interviews are also made with key persons in the Ministry of Health and Welfare and other organizations in the health care field. The result is also analysed from a cultural perspective--'what kind of impact does the Japanese culture have on the health care organization?' and/or 'what kind of sub-culture is developed in the Japanese hospitals'. Some comparisons are made with Sweden, USA, Canada and Germany. The different roles of the professions in the hospital are included in the study as well as the incentives for different kinds of strategies--specialization, growing in size, investments in new equipment, different kind of ownership and hospitals. Another issue discussed is the attempt to uncover whether there is an implicit distribution of specialties--silent agreements between hospitals, etc. PMID:10137135

  4. Hospital implementation of resuscitation guidelines and review of CPR training programmes: a nationwide study.

    Science.gov (United States)

    Schmidt, Anders S; Lauridsen, Kasper G; Adelborg, Kasper; Løfgren, Bo

    2016-06-01

    This study aimed to investigate cardiopulmonary resuscitation (CPR) guideline implementation and CPR training in hospitals. This nationwide study included mandatory resuscitation protocols from each Danish hospital. Protocols were systematically reviewed for adherence to the European Resuscitation Council (ERC) 2010 guidelines and CPR training in each hospital. Data were included from 45 of 47 hospitals. Adherence to the ERC basic life support (BLS) algorithm was 49%, whereas 63 and 58% of hospitals adhered to the recommended chest compression depth and rate. Adherence to the ERC advanced life support (ALS) algorithm was 81%. Hospital BLS course duration was [median (interquartile range)] 2.3 (1.5-2.5) h, whereas ALS course duration was 4.0 (2.5-8.0) h. Implementation of ERC 2010 guidelines on BLS is limited in Danish hospitals 2 years after guideline publication, whereas the majority of hospitals adhere to the ALS algorithm. CPR training differs among hospitals. PMID:26181002

  5. Current Status of Human Resources of Central Sterile Supply Department in 104 Secondary Hospitals and above in Xinjiang%新疆104家二级以上医院消毒供应中心(室)人力资源现状调查分析

    Institute of Scientific and Technical Information of China (English)

    张金梅; 杨薇; 李正英

    2016-01-01

    ObjectiveTo investigate the human resource status of the central sterile supply department (CSSD) in Secondary Hospitals and above in Xinjiang, to provide the basis policy for health administrative department.MethodsBy using questionnaires 104 secondary and above hospital disinfection supply center were investigated.ResultsIIn Xinjiang, the ratio of tertiary hospitals and secondary hospital of nurses to disinfection supply room of the patient were 1.6:100 and 1.8:100; In CSSD of tertiary hospitals, the number of bachelar degree holder ,college degree holder and people graduated from technical secondary school degree, and working age in all different stages were all higher than those of secondary hospital, the difference was statistically significant (P<0.05). Thinking about professional qualifications (the number of workers who has a pressure vessel certificate) aspects, tertiary hospitals had 3.62±2.714 person and above, secondary hospital had 2.38±1.730 person, the difference was statistically significant(P<0.05). ConclusionHuman resource configuration of the disinfection supply centeris is not reasonable in Xinjiang. Medical staff are in low education, low title, long service, and aged. Disinfection workers without pressure vessel license are exist.%目的:了解新疆二级以上医院消毒供应中心(室)(CSSD)的人力资源状况,为卫生行政部门制定政策提供依据。方法采用自设问卷对104家新疆二级以上各医疗机构的消毒供应中心(室)的人力资源现状进行问卷调查。结果新疆三级医院和二级医院消毒供应室护理人员总数与病床之比分别为1.6:100和1.8:100;三级医院CSSD本科、专科、中专学历人数以及均不同阶段工龄人数高于二级医院,差异有统计学意义(P<0.05),专业资质(拥有压力容器上岗证)方面,三级医院拥有3.62±2.714人,高于二级医院2.38±1.730人,差异有统计学意义(P<0.05)。结论新疆

  6. 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.

  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. PMID:15087154

  8. Hospital demand for physicians.

    Science.gov (United States)

    Morrisey, M A; Jensen, G A

    1990-01-01

    This article develops a derived demand for physicians that is general enough to encompass physician control, simple profit maximization and hospital utility maximization models of the hospital. The analysis focuses on three special aspects of physician affiliations: the price of adding a physician to the staff is unobserved; the physician holds appointments at multiple hospitals, and physicians are not homogeneous. Using 1983 American Hospital Association data, a system of specialty-specific demand equations is estimated. The results are consistent with the model and suggest that physicians should be concerned about reduced access to hospitals, particularly as the stock of hospitals declines. PMID:10104050

  9. Hospitable Classrooms: Biblical Hospitality and Inclusive Education

    Science.gov (United States)

    Anderson, David W.

    2011-01-01

    This paper contributes to a Christian hermeneutic of special education by suggesting the biblical concept of hospitality as a necessary characteristic of classroom and school environments in which students with disabilities and other marginalized students can be effectively incorporated into the body of the classroom. Christian hospitality, seen…

  10. 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

  11. 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)

  12. 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...

  13. 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...

  14. 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...

  15. Mudanças na assistência ao idoso após promulgação do Estatuto do Idoso segundo profissionais de hospital geriátrico Cambios en asistencia al anciano después promulgación del Estatuto del Anciano según profesionales de hospital geriátrico Changes in the care of the elderly after the enactment of the Elderly Statute according to professionals of a geriatric hospital

    OpenAIRE

    Maristela Santini Martins; Maria Cristina Komatsu Braga Massarollo

    2008-01-01

    Este estudo objetivou conhecer o contato da equipe multiprofissional com o Estatuto do Idoso e qual a interferência dessa Lei na assistência ao idoso institucionalizado. O cenário do estudo foi um Hospital Geriátrico de São Paulo, onde residem 297 idosos. Participaram 35 profissionais integrantes da equipe multiprofissional da Instituição que responderam a um questionário composto de perguntas abertas e fechadas. Os resultados foram divididos em categorias e submetidos à análise descritiva. D...

  16. Hospital-acquired pneumonia

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/000146.htm Hospital-acquired pneumonia To use the sharing features on this page, please enable JavaScript. Hospital-acquired pneumonia is an infection of the lungs ...

  17. Staph infections - hospital

    Science.gov (United States)

    ... or skin cysts. Anyone can get a staph infection. Hospital patients can get staph infections of the skin: ... for and promptly reporting any sign of wound infections Many hospitals encourage patients to ask their providers if they ...

  18. 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...

  19. 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...

  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. Interruptions: Derrida and Hospitality

    OpenAIRE

    Mark W. Westmoreland

    2008-01-01

    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...

  2. The activities of hospital nursing unit managers and quality of patient care in South African hospitals: a paradox?

    OpenAIRE

    Armstrong, Susan J; Laetitia C. Rispel; Loveday Penn-Kekana

    2015-01-01

    Background: Improving the quality of health care is central to the proposed health care reforms in South Africa. Nursing unit managers play a key role in coordinating patient care activities and in ensuring quality care in hospitals. Objective: This paper examines whether the activities of nursing unit managers facilitate the provision of quality patient care in South African hospitals. Methods: During 2011, a cross-sectional, descriptive study was conducted in nine randomly selected hospital...

  3. The activities of hospital nursing unit managers and quality of patient care in South African hospitals: a paradox?

    OpenAIRE

    Armstrong, Susan J; Laetitia C. Rispel; Penn-Kekana, Loveday

    2015-01-01

    Background: Improving the quality of health care is central to the proposed health care reforms in South Africa. Nursing unit managers play a key role in coordinating patient care activities and in ensuring quality care in hospitals.Objective: This paper examines whether the activities of nursing unit managers facilitate the provision of quality patient care in South African hospitals.Methods: During 2011, a cross-sectional, descriptive study was conducted in nine randomly selected hospitals ...

  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. 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...

  6. Medical and surgical ward rounds in teaching hospitals of Kuwait University: students’ perceptions

    OpenAIRE

    Marwan, Yousef

    2013-01-01

    Sara AlMutar,1 Lulwa AlTourah,1 Hussain Sadeq,2 Jumanah Karim,2 Yousef Marwan3 1Department of Medicine, 2Department of Pediatrics, Mubarak Al-Kabeer Hospital, 3Department of Orthopedic Surgery, Al-Razi Orthopedic Hospital, Kuwait City, Kuwait Background: Teaching sessions for medical students during ward rounds are an essential component of bedside teaching, providing students with the opportunity to regard patients as actual people, and to observe their physical conditions directly, allowin...

  7. Hospital implementation of resuscitation guidelines and review of CPR training programmes

    DEFF Research Database (Denmark)

    Schmidt, Anders S; Lauridsen, Kasper G; Adelborg, Kasper; Løfgren, Bo

    2016-01-01

    This study aimed to investigate cardiopulmonary resuscitation (CPR) guideline implementation and CPR training in hospitals. This nationwide study included mandatory resuscitation protocols from each Danish hospital. Protocols were systematically reviewed for adherence to the European Resuscitation...... Council (ERC) 2010 guidelines and CPR training in each hospital. Data were included from 45 of 47 hospitals. Adherence to the ERC basic life support (BLS) algorithm was 49%, whereas 63 and 58% of hospitals adhered to the recommended chest compression depth and rate. Adherence to the ERC advanced life...... hospitals adhere to the ALS algorithm. CPR training differs among hospitals....

  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. 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...

  10. Central serous chorioretinopathy: a pathogenetic model

    OpenAIRE

    et al; Manuela Imparato; Filippo Romanazzi; Antonio Caccavale

    2011-01-01

    Antonio Caccavale1, Filippo Romanazzi1, Manuela Imparato1, Angelo Negri2, Anna Morano3, Fabio Ferentini21Department of Ophthalmology, Neuropthalmology and Ocular Immunology Service, 2Department of Ophthalmology, Hospital “C. Cantù”, Abbiategrasso, Milan, Italy; 3University Eye Clinic, Foundation IRCCS San Matteo Hospital, Pavia, ItalyAbstract: Despite numerous studies describing predominantly its demography and clinical course, many aspects of central serous cho...

  11. 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...

  12. 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...

  13. [Evaluation of the efficiency and quality of hospitals publicly owned with private management and hospitals of the public sector].

    Science.gov (United States)

    Giraldes, Maria Do Rosário

    2007-01-01

    , and by the Garcia de Orta Hospital, which are the less efficient hospitals. In Group V, with central hospitals and hospitals with functions of central hospital, it is the Hospital of Vila Real/Régua, EPE, to present the best situation of the Composite Efficiency Indicator, followed by the Santo António Hospital, EPE, the Santa Maria Hospital, EPE, and the HUC, while the hospitals with a worst situation of the Composite Efficiency Indicator are the Hospitals of Faro, Evora and S. José. In Group VI hospitals with a better Composite Efficiency Indicator are the hospitals of Santa Marta, Gama Pinto Institute and Orthopedic Hospital of Outão, while the Estefânia Hospital is the most inefficient. Tondela, Valongo and Peniche Hospitals (Group I), have a good value of the Composite Efficiency and Quality Indicator, while Barcelos, Oliveira de Azeméis and Póvoa de Varzim/Vila do Conde Hospitals (Group II) present also good values of this indicator. The Hospitals of Vila Franca de Xira, Bragança and Setúbal (Group III), the Hospitals of Santarém, Garcia de Orta, and Curry Cabral (Group IV), the Hospital of Vila Real/Régua, the Egas Moniz Hospital and the Santa Maria Hospital (Group V), and the Gama Pinto Institute, the Orthopedic Hospital of Outão, and the Santa Cruz Hospital (Group VI) are the best classified in their groups. EPE Hospitals (Hospitals publicly owned with private management) are the best classified in their groups in what efficiency is concerned, what is a better result tan the one shown in 2003. The lower inequality in relation to management indicators, in all hospital groups, exists in the areas of expenditure with inpatient care by user, what shows the existence of a norm of proceeding, in this traditional hospital area. The higher inequalities are those of day hospital, drugs in day hospital, drugs in outpatient care and rehabilitation by user. In what management indicators are concerned incentives must be created. The most efficient hospitals

  14. Hospital diversification strategy.

    Science.gov (United States)

    Eastaugh, Steven R

    2014-01-01

    To determine the impact of health system restructuring on the levels of hospital diversification and operating ratio this article analyzed 94 teaching hospitals and 94 community hospitals during the period 2008-2013. The 47 teaching hospitals are matched with 47 other teaching hospitals experiencing the same financial market position in 2008, but with different levels of preference for risk and diversification in their strategic plan. Covariates in the analysis included levels of hospital competition and the degree of local government planning (for example, highly regulated in New York, in contrast to Texas). Moreover, 47 nonteaching community hospitals are matched with 47 other community hospitals in 2008, having varying manager preferences for service-line diversification and risk. Diversification and operating ratio are modeled in a two-stage least squares (TSLS) framework as jointly dependent. Institutional diversification is found to yield better financial position, and the better operating profits provide the firm the wherewithal to diversify. Some services are in a growth phase, like bariatric weight-loss surgery and sleep disorder clinics. Hospital managers' preferences for risk/return potential were considered. An institution life cycle hypothesis is advanced to explain hospital behavior: boom and bust, diversification, and divestiture, occasionally leading to closure or merger. PMID:25223156

  15. Alnu'uman Hospital Wastewater Assessment - Baghdad

    Directory of Open Access Journals (Sweden)

    Salwa H. Ahmed

    2013-05-01

    Full Text Available      Wastewater of  hospitals creates serious environmental problems since  it may contain viruses, poisonous medical materials and heavy materials. Thus, extensive care should be given for such wastes before disposing  to surface water or city sanitary network. In this research, a detailed investigation for the wastewater discharged from different departments of Al-Nu'uman general hospital has been performed during the period February – June, 2005. It is found that wastewater discharge from that hospital is 0.76 m3/(day.bed which is very close to the Iraqi and International health regulations. This research program includes measurements of  different wastewater characteristics including BOD = 180 mg/l , COD  = 474 mg /l, PO4= = 15 mg/l , SO4=   = 108  mg/l , SS = 1979 mg/l , pH = 7.5 , average Temperature of ( 23° C .     The results of this work indicated that the range of Al-Nu'uman general hospital wastewater characteristics fall within the general limits of hospital wastewater characteristics.

  16. 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!.

  17. 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

  18. 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.

  19. Towards the collaborative hospital

    DEFF Research Database (Denmark)

    Prætorius, Thim; Hasle, Peter; Edwards, Kasper;

    2015-01-01

    Hospitals are increasingly faced with conflicting demands as they have to respond to increasing patient demands as well as financial, clinical and quality challenges. To handle these demands the hospital need to reconfigure its organization, and we propose to build on a concept 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 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...

  20. Neonatal screening for sickle cell disease, Glucose-6-PhosphateDehydrogenase deficiency and Alpha-Thalassemia in Qatif and Al-Hasa

    International Nuclear Information System (INIS)

    Screening programs to determine the frequency of sickle cell,glucose-6-phosphate dehydrogenase deficiency and alpha-thalassemia gene areavailable in Saudi Arabia, although not used frequently. Greater use of theseprograms will decrease the morbidity and mortality of Saudi children affectedby these disorders. Neonatal hemoglobin electrophoresis andglucose-6-dehydrogenase fluorescent spot tests were performed on new bornbabies delivered between December 1992 and December 1993 at the Qatif CentralHospital and at the King Fahd Hospital in Al-Hasa. Cord blood samples werecollected from babies born in these two hospitals. Babies born in otherhospitals had blood collected in their first visit to Qatif primary carecenters at the time of vaccination. All specimens were sent to Dammam CentralLaboratory. The diagnosis of sickle cell and alpha-thalassemia was based oncellulose acetate electrophoresis and confirmed by agar gel electrophoresisand glucose-6-phosphate dehydrgenase was confirmed by fluorescent spot test.A total of 12,220 infants, including 11,313 Saudis (92.6%), were screenedover a 12-month period. The common phenotype detected in these infantsincluded AF, SFA, SFA Bart's, FS and FS Bart's. In Saudi infants, homozygoussickle cell disease was detected in 2.35% and 1.08% in Qatif and Al-Hasa,respectively. The frequencies of sickle cell gene were 0.1545% and 0.1109% inQatif and Al-Hasa. Alpha-thalassemia genes based on an elevated level of HbBart's were 28% and 16.3% in Qatif and Al-Hasa. The screening for G6PDdeficiency revealed a high prevalence of 30.6% and 14.7% in Qatif andAl-Hasa. In the non-Saudi infants the frequencies were low. The outcome ofthis study indicates that the Saudi populations in Qatif and Al-Hasa are atrisk for hemoglobinopathies and G6PD. Neonatal screening programs areessential and cost effective and should be maintained as a routine practice.(author)

  1. Alnu'uman Hospital Wastewater Assessment - Baghdad

    OpenAIRE

    Salwa H. Ahmed; Salah F. Sharif

    2013-01-01

         Wastewater of  hospitals creates serious environmental problems since  it may contain viruses, poisonous medical materials and heavy materials. Thus, extensive care should be given for such wastes before disposing  to surface water or city sanitary network. In this research, a detailed investigation for the wastewater discharged from different departments of Al-Nu'uman general hospital has been performed during the period February – June, 2005. It is found that wastewater discharge from ...

  2. 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.

  3. 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

  4. Significado para la madre de su participación en el cuidado al neonato prematuro hospitalizado

    OpenAIRE

    Motta Robayo, Claudia Lorena

    2014-01-01

    El objetivo fue describir el significado que atribuye la madre a su participación en el cuidado al recién nacido prematuro en la unidad de cuidados neonatales, en un grupo de madres que tenían sus hijos hospitalizados en la unidad neonatal, del Hospital Militar Central de Bogotá. Estudio de diseño cualitativo y método de Etnoenfermería; apoyado en conceptos de la teoría de la diversidad y universalidad de los cuidados culturales de Madeleine Leininger. Se realizaron entrevistas a profundidad,...

  5. Central diffractive resonance production at the LHC

    Science.gov (United States)

    Fiore, Roberto; Jenkovszky, Laszlo; Schicker, Rainer

    2016-07-01

    Central production of resonances resulting from the scattering of Pomerons in the central rapidity region of proton-proton scattering is studied. Estimates for relevant cross sections are presented. L.J. gratefully acknowledges an EMMI visiting Professorship at the University of Heidelberg for completion of this work. He is grateful to the organizers of this meeting for their hospitality and support. His work was supported also by DOMUS, Hungarian Academy of Sciences

  6. Thrombolysis in acute ischemic stroke: a simulation study to improve pre- and in-hospital delays in community hospitals.

    Directory of Open Access Journals (Sweden)

    Maarten M H Lahr

    Full Text Available BACKGROUND: Various studies demonstrate better patient outcome and higher thrombolysis rates achieved by centralized stroke care compared to decentralized care, i.e. community hospitals. It remains largely unclear how to improve thrombolysis rate in decentralized care. The aim of this simulation study was to assess the impact of previously identified success factors in a central model on thrombolysis rates and patient outcome when implemented for a decentral model. METHODS: Based on a prospectively collected dataset of 1084 ischemic stroke patients, simulation was used to replicate current practice and estimate the effect of re-organizing decentralized stroke care to resemble a centralized model. Factors simulated included symptom onset call to help, emergency medical services transportation, and in-hospital diagnostic workup delays. Primary outcome was proportion of patients treated with thrombolysis; secondary endpoints were good functional outcome at 90 days, Onset-Treatment-Time (OTT, and OTT intervals, respectively. RESULTS: Combining all factors might increase thrombolysis rate by 7.9%, of which 6.6% ascribed to pre-hospital and 1.3% to in-hospital factors. Good functional outcome increased by 11.4%, 8.7% ascribed to pre-hospital and 2.7% to in-hospital factors. The OTT decreased 17 minutes, 7 minutes ascribed to pre-hospital and 10 minutes to in-hospital factors. An increase was observed in the proportion thrombolyzed within 1.5 hours; increasing by 14.1%, of which 5.6% ascribed to pre-hospital and 8.5% to in-hospital factors. CONCLUSIONS: Simulation technique may target opportunities for improving thrombolysis rates in acute stroke. Pre-hospital factors proved to be the most promising for improving thrombolysis rates in an implementation study.

  7. The Structure and Main Issues of “al-Tasdid” of Husam al-Din al-Syghnaqi

    Directory of Open Access Journals (Sweden)

    Daniyar B. Shalkarov

    2015-07-01

    Full Text Available The study of the theological maturidia in the Central Asia was developed by the majority of outstanding scientists in the Turkic area and was known from generation to generation with manuscripts. One of these famous scientists was Abu al-Mu‘in al-Nasafi. In Central Asia, in the branch of the Islamic kalam theology there were the works “Tabsira al-Adilla”, “Bahr al-Kalam”, “al-Tamheed li qawa‘id al-Tawheed”, which considered the issues of maturidia theological study. In the XIV century the great scientist from Syghanaq Husam al-din al-Syghnaqi made a detailed research of the work “al-Tamheed li qawa‘id al-Tawheed” of Abu al-Mu‘in al-Nasafi and wrote the work “al-Tasdeed fi sharh al-Tamheed” by giving a full explanation of all questions relating to the issue. This article considers the content and the kept versions in the World libraries and the importance of this work for today. There is a different information about the original version of the manuscript. The first, the manuscript is by Amca Zade Huseyn 309 number, written by Husam al-din al-Syghnaqi personally and kept in the turkic library. This information is written in the work “Syghanaq Sanlagi/ The star of the Syghanaq” of Shamshaddin Kerim, the second manuscript is kept in the Egypt Arabic Republic, in the library “Dar al-Kutub Misrya”. It is written in this manuscript, that the manuscript was published in 1125 according hizhra calendar. Therefore the article gives an explanation of the main maturidia kalam principles, which cover five chapters of the work. 

  8. Las implicaciones de la ordenación de los espacios públicos suburbanos y de borde central en la ciudad europea : ¿es pertinente recurrir al 'derecho a la ciudad' de Henri Lefebvre?

    OpenAIRE

    Ghorra-Gobin, Cynthia

    2011-01-01

    El problema que se estudia aquí parte de la siguiente premisa: existe una fuerte demanda de espacios públicos urbanos (EPU) --defi nidos como soporte material privilegiado de la animación urbana-- en las ciudades y en las metrópolis. Esta situación se analiza en una primera parte como un verdadero desafío para el urbanismo en la medida en que el pensamiento planifi cador del siglo XX ha ignorado prácticamente los EPU, si exceptuamos quizás los espacios centrales históricos. La segunda parte e...

  9. ROLE OF HOSPITAL ADMINISTRATION

    OpenAIRE

    UDAYSINH R. MANEPATIL

    2013-01-01

    Hospital administration is the management of the hospital as a business. The administration is made up of medical and health services managers (sometimes called health care executives and health care administrators) and assistant administrators. Administrations range in size and the duties of the administrator depends on the size of the administration.

  10. Mental hospitals in India.

    Science.gov (United States)

    Krishnamurthy, K; Venugopal, D; Alimchandani, A K

    2000-04-01

    This review traces the history of the mental hospital movement, initially on the world stage, and later in India, in relation to advances in psychiatric care. Mental hospitals have played a significant role in the evolution of psychiatry to its present statusThe earliest hospital in India were established during the British colonial rule. They served as a means to isolate mentally ill persons from the societal mainstream and provide treatments that were in vogue at the time. Following India's independence, there has been a trend towards establishing general hospital psychiatry units and deinstitutionalization, while at the same time improving conditions in the existing mental hospitals.Since 1947, a series of workshops of superintendents was conducted to review the prevailing situations in mental hospitals and to propose recommendations to improve the same. Implementation of the Mental Health Act, 1987, and grovernmental focus upon mental hospital reform have paved way for a more specific and futuristic role for mental hospitals in planning psychiatric services for the new millenium, especially for severe mental illnesses. PMID:21407925

  11. Hospitality, Tourism, and Recreation.

    Science.gov (United States)

    Novachek, James

    The Northern Arizona Hospitality Education Program is an exemplary three-year project designed to help students, mainly Indian, obtain job skills and attitudes necessary for successful employment in the hospitality industry. Nine high schools from Apache, Coconino, and Navajo Counties participated in the project. Objectives included providing an…

  12. Hospitality Services. Curriculum Guide.

    Science.gov (United States)

    Texas Tech Univ., Lubbock. Home Economics Curriculum Center.

    This guide, which was developed as part of Texas' home economics education program, is intended to assist teachers of a hospitality services course focusing on the food and lodging segments of the hospitality and tourism industry. The first 40% of the approximately 600-page guide consists of strategies for teaching each of 29 essential…

  13. 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

  14. Patient life in hospital

    DEFF Research Database (Denmark)

    Ludvigsen, Mette Spliid

    Patient life in hospital.A qualitative study of informal relationships between hospitalised patients Introduction Within a patientology framework, this PhD dissertation is about an empirical study on patient life that provides insight into the nature of informal relationships between patients in...... hospitals today. Purpose The purpose was to explore how informal relationships between patients affect their hospital experiences in the hospital. The assumption is that, on the one hand, the impacts on patients' suffering affect the way they act and experience encounters with fellow patients for good or....... Methods The study is designed within a phenomenological-hermeneutical philosophic frame of reference and is based on ethnographic fieldwork among hospitalised patients in a Danish university hospital. Data for the study were collected through participant observations over a period of 18 months. Nine males...

  15. 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......, adaptable and scalable. Robots have to be semi-autonomous, and should reliably navigate in large and dynamic environments in the hospital. The complexity of the problem has to be manageable, and the solutions have to be flexible, so that the system can be applicable in real world settings. This thesis...

  16. 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

  17. Internationalization process of Finnish hospitality firms

    OpenAIRE

    Nurmi, Johanna

    2013-01-01

    The importance of the service industry has increased notably during the past decades, making it the most central source of livelihood around the globe. Consequently, internationalizing services has grown importance and has also become a current issue in the Finnish market, thus there is a need for more research. This paper presents the current research on the internationalization process of service firms and adapts the information to the Finnish hospitality industry. Moreover, one of th...

  18. DISCUSSION ON ORIGIN CENTRALIZE REGULARITY AND INDUSTRY VALUE OF THE AlO(OH)3 ORE IN PINGGUO%试论平果三水铝石成因、富集规律及工业价值

    Institute of Scientific and Technical Information of China (English)

    卢文华; 韦永坚; 黎乾汉; 廖思福

    2001-01-01

    平果岩溶堆积型铝土矿系一水硬铝石铝土矿床,原矿中含有大量的准胶结物——红土。研究资料证实,红土中的三水铝石含量甚高,不少地段已达到工业利用的要求。其他矿物质来源于原生沉积铝土矿床,并与堆积矿同产于一个层位。%The karst accumulative bauxite in Pingguo is bauxite deposit of AlO(OH)3, The primary accumulative bauxite include many agglutinate--ruddle. Investigative datum confirm, the content of AlO(OH)3 bauxite in ruddle is very high many ruddle have attained industry require. The metallogenic matter are derived from the primary sedimentary bauxite, and granted accumulative bauxite located in the same position.

  19. 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

  20. Hacia un hospital sin látex

    Directory of Open Access Journals (Sweden)

    Paz Uribe Llopis

    2008-09-01

    Full Text Available El objetivo principal de este trabajo es, describir los pasos que se han dado en un hospital público para ir «Hacia un Hospital sin Látex». El aumento de la prevalencia de las enfermedades alérgicas, nos lleva a realizar una serie de actuaciones englobadas dentro de una política hospitalaria para disminuir la presencia de látex en el hospital. Con ello, queremos conseguir disminuir la alergia allátex de los trabajadores y evitar en los pacientes especialmente sensibles las posibles reacciones alérgicas al ser intervenidos quirúrgicamente.The main objective of this work is to describe the steps that hand been given in a public hospital in order to go «Towards a hospital without latex». The increasing of allergy illness is the reason because of that; we have to make a number of actions in a hospitable policy, with the purpose of decreasing the latex content in the hospital. With theses actions we want to get a latex allergy decreasing in the workers avoiding in the sensitive patients the possible allergy reactions when they are performed an operation.

  1. 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.

  2. Influenza and other respiratory viruses in three Central American countries

    Science.gov (United States)

    Laguna‐Torres, Victor A.; Sánchez‐Largaespada, José F.; Lorenzana, Ivette; Forshey, Brett; Aguilar, Patricia; Jimenez, Mirna; Parrales, Eduardo; Rodriguez, Francisco; García, Josefina; Jimenez, Ileana; Rivera, Maribel; Perez, Juan; Sovero, Merly; Rios, Jane; Gamero, María E.; Halsey, Eric S.; Kochel, Tadeusz J.

    2010-01-01

    Please cite this paper as: Laguna‐Torres et al. (2011) Influenza and other respiratory viruses in three Central American countries. Influenza and Other Respiratory Viruses 5(2), 123–134. Background  Despite the disease burden imposed by respiratory diseases on children in Central America, there is a paucity of data describing the etiologic agents of the disease. Aims  To analyze viral etiologic agents associated with influenza‐like illness (ILI) in participants reporting to one outpatient health center, one pediatric hospital, and three general hospitals in El Salvador, Honduras, and Nicaragua Material & Methods  Between August 2006 and April 2009, pharyngeal swabs were collected from outpatients and inpatients. Patient specimens were inoculated onto cultured cell monolayers, and viral antigens were detected by indirect and direct immunofluorescence staining. Results  A total of 1,756 patients were enrolled, of whom 1,195 (68.3%) were under the age of 5; and 183 (10.4%) required hospitalization. One or more viral agents were identified in 434 (24.7%) cases, of which 17 (3.9%) were dual infections. The most common viruses isolated were influenza A virus (130; 7.4% of cases), respiratory syncytial virus (122; 6.9%), adenoviruses (63; 3.6%), parainfluenza viruses (57; 3.2%), influenza B virus (47; 2.7% of cases), and herpes simplex virus 1 (22; 1.3%). In addition, human metapneumovirus and enteroviruses (coxsackie and echovirus) were isolated from patient specimens. Discussion  When compared to the rest of the population, viruses were isolated from a significantly higher percentage of patients age 5 or younger. The prevalence of influenza A virus or influenza B virus infections was similar between the younger and older age groups. RSV was the most commonly detected pathogen in infants age 5 and younger and was significantly associated with pneumonia (p < 0.0001) and hospitalization (p < 0.0001). Conclusion  Genetic analysis of influenza

  3. What do Diaconal Hospital Managers really do? Management at Diakonhjemmet Hospital: Context, Intention and Practice

    OpenAIRE

    Askeland, Harald

    2011-01-01

    What does it mean to be a manager, and how does the practice of managing a diaconal hospital manifest itself in everyday practice? Even though diaconal institutions have played a central part of the church’s ministry for over a hundred years, little attention has been given to diaconal management. This article addresses the everyday practice of a single manager’s job in a private faith-affiliated hospital in Norway, and is based on data from an observational study combined with...

  4. 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...

  5. 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...

  6. 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...

  7. Premier Hospital Historical Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — To provide a historical overview of the participating hospitals, before the first project report, Premier Healthcare Informatics has used data already available for...

  8. On spaces of hospitality

    DEFF Research Database (Denmark)

    Greve, Anni

    the guest and the host. This has provided a much-needed rethinking of how to understand hospitality as a way of relating, as an ethics and as a politics. Within this work, there have often appeared discussions of ‘spaces of hospitality’, but these spaces have remained largely abstract. This is where...... this paper comes in: It will re open discussions of spaces of hospitality with an introduction into an on-going research project that studies the performative, structural and social dynamics of cultural encounters focusing on forms of hospitality that are related to particular sites in the city, namely...... 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....

  9. American Hospital Association

    Science.gov (United States)

    ... 2017 (Members Only) Special Bulletin: CMS Releases Hospital Star Ratings (Members Only) Special Bulletin: CMS Proposes New ... Term Care & Rehabilitation Psychiatric & Substance Abuse Services Maternal & Child Health Key Relationships AHA-Related Organizations Partnerships & Strategic ...

  10. 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...

  11. 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...

  12. 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...

  13. 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.

  14. 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....

  15. Trick questions: cosmopolitan hospitality

    OpenAIRE

    Eleanor Byrne

    2013-01-01

    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 a...

  16. Toward a network hospitality

    OpenAIRE

    Germann Molz, Jennie

    2014-01-01

    The growing popularity of online hospitality exchange networks like Couchsurfing and Airbnb point toward a new paradigm of sociality for a mobile and networked society as hospitable encounters among friends and strangers become entangled with social media and networking technologies. Inspired by Andreas Wittel’s notion of ‘network sociality’, this paper introduces the concept of ‘network hospitality’ to describe the kind of sociality that emerges around these new mobile, peer–to–peer, and onl...

  17. Grove - Stobhill Hospital

    OpenAIRE

    Urquhart, Donald

    2009-01-01

    Grove - Stobhill Hospital; A series of permanent artworks installed within the new build Stobhill Hospital in Glasgow, with the artists Ken Dingwall, Olwen Shone and Andreas Karl Shulze made in response to text works by Thomas A Clark. Project managed by Reiach and Hall Architects & Chris Fremantle. Commissioned by NHS Greater Glasgow & Clyde. Applying a conceptual approach to landscape representation the works examine the therapeutic aspect of contemporary art within an architectural...

  18. Patient safety culture in teaching hospitals in Iran: assessment by the hospital survey on patient safety culture (HSOPSC)

    OpenAIRE

    Mohammad Zakaria Kiaei; Amir Ziaee; Rafat Mohebbifar; Hamideh Khoshtarkib; Elnaz Ghanati; Azadeh Ahmadzadeh; Saeideh Teymoori; Omid Khosravizadeh; Masoumeh Zieaeeha

    2016-01-01

    Introduction: Patient safety culture is an important part of improvement in the safety of health care. Knowing its present status is required for development of safety culture. The present study aimed to evaluate the current status of Patient safety culture in hospitals of three central provinces of Iran. Method: The present cross-sectional study was performed in teaching hospitals of Tehran, Alborz, and Qazvin provinces. The standard HSOPSC questionnaire was used for evaluation of the pat...

  19. 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

  20. 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

  1. PRIMARY CENTRAL NERVOUS SYSTEM LYMPHOMA

    Directory of Open Access Journals (Sweden)

    S.S. Anvari

    2009-08-01

    Full Text Available ObjectivePrimary central nervous system lymphoma (PCNSL is an extremely rare condition in childhood. We report the first case of PCNSL in a child in Iran.Clinical presentationA nine-year-old boy was referred to Mofid Hospital with the history of headache of four months and seizure of 2 months duration. Magnetic resonance imaging of the brain revealed a hyper-intense lesion in left fronto-parietal area with secondary satellite lesions. Biopsy of the brain mass was performed. Pathologic findings showed brain lymphoma and immunohistochemistry confirmed this diagnosis. The treatment started with intrathecal and systemic chemotherapy in combination with radiotherapy.Keywords:Lymphoma, Primary central nervous system lymphoma (PCNSL, Children

  2. 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 PMID:27180468

  3. Forskelle mellem hospitaler i prognose efter hjertestop uden for hospital

    DEFF Research Database (Denmark)

    Kjaergaard, Jesper; Bro-Jeppesen, John; Rasmussen, Lars Simon;

    2009-01-01

    the patients admitted to hospital. Survival was determined using the Central Population Registry through Statistics Denmark. RESULTS: Patients admitted to a tertiary facility were younger, more frequently male, they had more commonly ventricular fibrillation/pulseless ventricular tachycardia (VF....../pVT) as their initial rhythm, and they had more frequently received bystander cardiopulmonary resuscitation. Survival at 4.6 years was 41% in patients admitted to the tertiary hospital and 10% in patients admitted to other hospitals, p < 0.0001. After adjustment for other known risk factors, patients...... admitted to other hospitals had a hazard ratio of 1.8 for death (95% confidence interval: 1,4-2,5) compared with patients admitted to a tertiary facility. CONCLUSION: The survival rate after out-of-hospital cardiac arrest was significantly higher in patients admitted to a tertiary facility than among...

  4. 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.

  5. 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.

  6. Religiousness in hospitals

    Directory of Open Access Journals (Sweden)

    John Koutelekos

    2011-10-01

    Full Text Available The aim of the present study was to review the literature about religiousness within hospitals. The method οf this study included bibliography research from both the review and the research literature, in the "pubmed data base" which referred to the religiousness within hospitals. Results : According to the literature research an administrative institution, such as hospital does not include only one culture but on the contrary many different cultures that interact since health professionals have their own background. Hospital as a place of special care, that has its' own culture, is expected to fulfill patients' needs (family, social, occupational, health and disease. Faith is encouraged in hospitals where the icons and Christian churches are prevalent, while faith individuals express their deeper need for pray. The tendency of religious individuals to ask for an upper support mainly in difficult circumstances such as for recovery in the clinical environment is deeply rooted in its' soul and consists an element of its' nature. Conclusions: In contemporary Greek reality, medical science has always had at the practice a great charity: religion.

  7. 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

  8. 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.

  9. 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. PMID:9358257

  10. London Hospital Food Project

    OpenAIRE

    Westley Consulting Ltd.,

    2004-01-01

    The aim of the London is to incresae the amount of local and organic food served in four London hospitals. It is hoped that the project will not only result in healthier and better quality meals for hospital patients, staff and visitors, but will also benefit local communities, through supporting farming and food businesses in London and the South East. It is funded by the King's Fund, Defra and the European Agricultural Guidance and Guarantee Fund, and focuses on the food served in the ...

  11. Hospitality and aesthetics

    OpenAIRE

    Bergflødt, Sigurd

    2013-01-01

    Tobias Nygren is Professor and Head of Department at the School of Hospitality, Culinary Arts, and Meal Science in Grythyttan, Sweden. He has been working for several years on meals, restaurants and hospitality. We meet at Grythyttan, and we need a few more lines to describe the place, which is quite unique in the Nordic food landscape. The School of Culinary Arts is a branch of the Örebro University and since 1993 it has offered multidisciplinary studies, combining science with practical sk...

  12. 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. PMID:15982957

  13. Hospitals as food arenas

    DEFF Research Database (Denmark)

    Poulsen, Signe; Jørgensen, Michael Søgaard

    2010-01-01

    Purpose: To analyse the interaction between hospital employees’ working conditions, and their health and dietary habits, including the role of canteen take-away schemes. Design/Methodology/approach: An international literature review combined with case studies based on stakeholder research...... 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...

  14. Acquisition of electroencephalographic data in a large regional hospital - Bringing the brain waves to the computer.

    Science.gov (United States)

    Low, M. D.; Baker, M.; Ferguson, R.; Frost, J. D., Jr.

    1972-01-01

    This paper describes a complete electroencephalographic acquisition and transmission system, designed to meet the needs of a large hospital with multiple critical care patient monitoring units. The system provides rapid and prolonged access to a centralized recording and computing area from remote locations within the hospital complex, and from locations in other hospitals and other cities. The system includes quick-on electrode caps, amplifier units and cable transmission for access from within the hospital, and EEG digitization and telephone transmission for access from other hospitals or cities.

  15. 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. PMID:12365069

  16. 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.

  17. Cells in the Body Politic: Social identity and hospital construction in Peronist Argentina

    Directory of Open Access Journals (Sweden)

    J Hagood

    2012-09-01

    Full Text Available This article examines the critical role played by social identity in the construction of hospitals in the Argentine health care sector during the 1940s and 1950s by uncovering the way in which the “jungle” of hospitals withstood attempts by the state to apply some sense of order, purpose, and centralized organization. The first section examines how physicians envisioned the “modern” hospital they hoped to construct. The second section reveals the important antecedents of nationalized hospitalization schemes found in the collaboration between physicians’ unions and the state. In the third section, an analysis of political speeches illuminates how Juan and Evita Perón packaged new hospitals as gifts to the people from their leader. The fourth section outlines specific plans to increase the number of hospital beds. The final section surveys examples of hospital construction to demonstrate how sub-national identities were instrumental to fragmenting both Argentine society and its hospital infrastructure.

  18. Recognition and Ranking Critical Success Factors of Business Intelligence in Hospitals - Case Study: Hasheminejad Hospital

    OpenAIRE

    Marjan Naderinejad; Mohammad Jafar Tarokh; Alireza Poorebrahimi

    2014-01-01

    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. Th...

  19. Central Pain Syndrome

    Science.gov (United States)

    ... Enhancing Diversity Find People About NINDS NINDS Central Pain Syndrome Information Page Table of Contents (click to ... being done? Clinical Trials Organizations What is Central Pain Syndrome? Central pain syndrome is a neurological condition ...

  20. Configurations of Leadership Practices in Hospital Units

    DEFF Research Database (Denmark)

    Meier, Ninna

    2015-01-01

    Purpose: – The purpose of this paper is to explore how leadership is practiced across four different hospital units. Design/methodology/approach: – The study is a comparative case study of four hospital units, based on detailed observations of the everyday work practices, interactions and...... apply in all clinical settings. Future research is invited to extend the findings presented here by exploring leadership practices from a micro-level perspective in additional health care contexts: particularly the embedded and emergent nature of such practices. Practical implications: – This paper...... 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...

  1. [The founding of Zemun Hospital].

    Science.gov (United States)

    Milanović, Jasmina; Milenković, Sanja; Pavlović, Momcilo; Stojanović, Dragos

    2014-01-01

    This year Zemun Hospital--Clinical Hospital Center Zemun celebrates 230th anniversary of continuous work, thus becoming the oldest medical facility in Serbia.The exact date of the hospital founding has been often questioned in history. Various dates appeared in the literature, but the most frequent one was 25th of February 1784. Until now, the document which confirms this has never been published. This article represents the first official publication of the document which confirms that Zemun Hospital was indeed founded on this date. The first hospitals started emerging in Zemun when the town became a part of the Habsburg Monarchy. The first sanitary facility ever formed was the"Kontumac"--a quarantine established in 1730. Soon after, two more confessional hospitals were opened.The Serbian (Orthodox) Hospital was founded before 1769, whereas the German (Catholic) Hospital started working in 1758. Both hospitals were financed, amongst others, by the Town Hall--the Magistrate. In order to improve efficiency of these hospitals, a decision was made to merge them into a single City Hospital. It was founded on 25th February 1784, when the General Command ordered the Magistrate of Zemun to merge the financess of all existing hospitals and initiate the construction of a new building. Although financially united, the hospitals continued working in separate buildings over a certain period of time.The final, physical merging of these hospitals was completed in 1795. PMID:25233701

  2. The founding of Zemun Hospital

    Directory of Open Access Journals (Sweden)

    Milanović Jasmina

    2014-01-01

    Full Text Available This year Zemun Hospital - Clinical Hospital Center Zemun celebrates 230th anniversary of continuous work, thus becoming the oldest medical facility in Serbia. The exact date of the hospital founding has been often questioned in history. Various dates appeared in the literature, but the most frequent one was 25th of February 1784. Until now, the document which confirms this has never been published. This article represents the first official publication of the document which confirms that Zemun Hospital was indeed founded on this date. The first hospitals started emerging in Zemun when the town became a part of the Habsburg Monarchy. The first sanitary facility ever formed was the “Kontumac” - a quarantine established in 1730. Soon after, two more confessional hospitals were opened. The Serbian (Orthodox Hospital was founded before 1769, whereas the German (Catholic Hospital started working in 1758. Both hospitals were financed, amongst others, by the Town Hall - the Magistrate. In order to improve efficiency of these hospitals, a decision was made to merge them into a single City Hospital. It was founded on 25th February 1784, when the General Command ordered the Magistrate of Zemun to merge the financess of all existing hospitals and initiate the construction of a new building. Although financially united, the hospitals continued working in separate buildings over a certain period of time. The final, physical merging of these hospitals was completed in 1795. [Projekat Ministarstva nauke Republike Srbije, br. 47030

  3. Optimal Hospital Layout Design

    DEFF Research Database (Denmark)

    Holst, Malene Kirstine

    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...

  4. Cost characteristics of hospitals.

    Science.gov (United States)

    Smet, Mike

    2002-09-01

    Modern hospitals are complex multi-product organisations. The analysis of a hospital's production and/or cost structure should therefore use the appropriate techniques. Flexible functional forms based on the neo-classical theory of the firm seem to be most suitable. Using neo-classical cost functions implicitly assumes minimisation of (variable) costs given that input prices and outputs are exogenous. Local and global properties of flexible functional forms and short-run versus long-run equilibrium are further issues that require thorough investigation. In order to put the results based on econometric estimations of cost functions in the right perspective, it is important to keep these considerations in mind when using flexible functional forms. The more recent studies seem to agree that hospitals generally do not operate in their long-run equilibrium (they tend to over-invest in capital (capacity and equipment)) and that it is therefore appropriate to estimate a short-run variable cost function. However, few studies explicitly take into account the implicit assumptions and restrictions embedded in the models they use. An alternative method to explain differences in costs uses management accounting techniques to identify the cost drivers of overhead costs. Related issues such as cost-shifting and cost-adjusting behaviour of hospitals and the influence of market structure on competition, prices and costs are also discussed shortly. PMID:12220092

  5. 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...

  6. Radiation accidents in hospitals

    International Nuclear Information System (INIS)

    Some of the radiation accidents that have occurred in Indian hospitals and causes that led to them are reviewed. Proper organization of radiation safety minimizes such accidents. It has been pointed out that there must be technical competence and mental preparedness to tackle emergencies when they do infrequently occur. (M.G.B.)

  7. Hospitals Embrace SMS Technology

    Institute of Scientific and Technical Information of China (English)

    Julie Clothier; 张琳

    2004-01-01

    @@ It is great for organizing meetings, to tell someone a piece of information and even voting for your favorite "Big Brother"① housemate. Now, text messaging is increasingly being used by UK hospitals to remind patients about outpatient② appointments-and could potentially save the National Health Service③ millions of pounds every year.

  8. 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. PMID:15137570

  9. 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…

  10. 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

  11. [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. PMID:19545081

  12. Rethinking Philosophy:a Proposed Model Aimed at Improving the Philosophy of Education Within Hospitality Management in Ireland

    OpenAIRE

    O'Connor, Colin

    2003-01-01

    This study explores the philosophy of higher education within hospitality management education in Ireland. The central aim of this study is to develop a model to assist educators examine and improve their philosophy of hospitality education. The study reveals the positive contribution that the philosophy of education can make to educators of hospitality management and the hospitality industry. The purpose and role of educational philosophy is both a fundamental and valid concept for those ...

  13. Hospitals, Hospital locations, Published in unknown, Trempealeau County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Hospitals dataset, was produced all or in part from Orthoimagery information as of unknown. It is described as 'Hospital locations'. Data by this publisher are...

  14. A comparative study of ICU patient diaries vs. hospital charts

    DEFF Research Database (Denmark)

    Egerod, Ingrid; Christensen, Doris

    2010-01-01

    discharge. The central question we posed in this study was: Why do nurses write diaries in addition to conventional charting in the medical record? To answer this question, we compared intensive care diaries and hospital charts using textual analysis and narrative theory. The aims of our study were to...

  15. Biological control and surveillance measures for hospital radiopharmacy

    International Nuclear Information System (INIS)

    Radiopharmaceuticals by definition are pharmaceuticals labelled with radionuclides, formulated either as injections (sterile and apyrogenic) or oral preparations, under conditions which satisfy both pharmaceutical and radiation safety requirement. The principles and procedures for the surveillance measures and the care required to be observed in hospital radiopharmacy, though much of the aspects are quite valid for centralized and industrial radio pharmacies are described

  16. Hospital Variation in Survival After In‐hospital Cardiac Arrest

    OpenAIRE

    Merchant, Raina M.; Berg, Robert A.; Yang, Lin; Becker, Lance B.; Groeneveld, Peter W.; Chan, Paul S.; ,

    2014-01-01

    Background In‐hospital cardiac arrest (IHCA) is common and often fatal. However, the extent to which hospitals vary in survival outcomes and the degree to which this variation is explained by patient and hospital factors is unknown. Methods and Results Within Get with the Guidelines‐Resuscitation, we identified 135 896 index IHCA events at 468 hospitals. Using hierarchical models, we adjusted for demographics comorbidities and arrest characteristics (eg, initial rhythm, etiology, arrest locat...

  17. 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.

  18. 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.

  19. Pre-hospital advanced airway management by experienced anaesthesiologists: a prospective descriptive study

    OpenAIRE

    Rognås, Leif; Hansen, Troels Martin; Kirkegaard, Hans; Tønnesen, Else

    2013-01-01

    Introduction We report data from the first Utstein-style study of physician-provided pre-hospital advanced airway management. Materials and methods Anaesthesiologists from eight pre-hospital critical care teams in the Central Denmark Region (a mixed rural and urban region with 1.27 million inhabitants) prospectively registered data according to the template for reporting data from pre-hospital advanced airway management. Data collection took place from February 1st 2011 to October 31st 2012. ...

  20. Performance Measurement in Belgian Hospitals : a state-of-the-art

    OpenAIRE

    Van Caillie, Didier; Rouhana, Rima; Santin, Sarah

    2007-01-01

    This communication proposes a global state-of-the-art around the central question : "How is performance measured and controlled in Belgian hospitals. As a first step in a global research project dedicated to the use of Balanced ScoreCard in publics hospitals around the world, it is essentially focused on global economic aspects and on major macroeconomic statistics.

  1. 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 in...

  2. 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

  3. Thrombolysis in Acute Ischemic Stroke : A Simulation Study to Improve Pre-and in-Hospital Delays in Community Hospitals

    NARCIS (Netherlands)

    Lahr, Maarten M.H.; van der Zee, Durk-Jouke; Vroomen, Patrick C. A. J.; Luijckx, Gert-Jan; Buskens, Erik

    2013-01-01

    Background: Various studies demonstrate better patient outcome and higher thrombolysis rates achieved by centralized stroke care compared to decentralized care, i.e. community hospitals. It remains largely unclear how to improve thrombolysis rate in decentralized care. The aim of this simulation stu

  4. 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 ...

  5. The general NFP hospital model.

    Science.gov (United States)

    Al-Amin, Mona

    2012-01-01

    Throughout the past 30 years, there has been a lot of controversy surrounding the proliferation of new forms of health care delivery organizations that challenge and compete with general NFP community hospitals. Traditionally, the health care system in the United States has been dominated by general NFP (NFP) voluntary hospitals. With the number of for-profit general hospitals, physician-owned specialty hospitals, and ambulatory surgical centers increasing, a question arises: “Why is the general NFP community hospital the dominant model?” In order to address this question, this paper reexamines the history of the hospital industry. By understanding how the “general NFP hospital” model emerged and dominated, we attempt to explain the current dominance of general NFP hospitals in the ever changing hospital industry in the United States. PMID:22324062

  6. Guide to Choosing a Hospital

    Science.gov (United States)

    ... Hospital It really helps when I take time to write down my questions before my doctor’s appointment. Before ... Look At Hospital Quality Notes Use this page to write down important notes. 19 SECTION Medicare and Your ...

  7. 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...

  8. Influence of hospital volume and outcomes of adult structural heart procedures

    OpenAIRE

    Panaich, Sidakpal S; Patel, Nilay; Arora, Shilpkumar; Patel, Nileshkumar J; Patel, Samir V; Savani, Chirag; Singh, Vikas; Sonani, Rajesh; Deshmukh, Abhishek; Cleman, Michael; Mangi, Abeel; Forrest, John K.; Apurva O Badheka

    2016-01-01

    Hospital volume is regarded amongst many in the medical community as an important quality metric. This is especially true in more complicated and less commonly performed procedures such as structural heart disease interventions. Seminal work on hospital volume relationships was done by Luft et al more than 4 decades ago, when they demonstrated that hospitals performing > 200 surgical procedures a year had 25%-41% lower mortality than those performing fewer procedures. Numerous volume-outcome ...

  9. BIOMEDICAL SOLID WASTE MANAGEMENT PRACTICES IN MAJOR PUBLIC HOSPITALS OF SHIMLA CITY

    Directory of Open Access Journals (Sweden)

    Saurabh

    2014-04-01

    Full Text Available BACKGROUND: The actual biomedical waste management situation in the democratic developing country like India is grim. Even though there are Rules stipulating the method of safe disposal of Bio-medical Waste (BMW, hospital waste generated by Government Hospitals is still largely being dumped in the open, waiting to be collected along with general waste. OBJECTIVES: To assess the waste handling and treatment system of hospital bio-medical solid waste METHODOLOGY: A Cross sectional study was conducted in the major public hospitals of Shimla city. The study comprised of cross sectional survey of the personnel handling and monitoring the biomedical waste and observational survey of the hospitals using INCLEN (International Clinical Epidemiology Network data collection tools. RESULTS: The results were described under quantification of waste, segregation and collection, transport, storage, offsite transport, final treatment and disposal, occupational safety. The mean hazardous biomedical waste generated by the major public hospitals was found to be 191.5 g/bed/day (SD 93.83. In 91(86.1% of the patient care areas of the hospitals segregation of the wastes was not observed. None of the patient care areas had designated waste route inside the hospital. All the hospitals except one public hospital had central waste storage facility. Only two of the hospitals (public hospitals had a central storage cum treatment facility. None of the cleaning workers were using complete personal protective measures in any of the public hospitals. CONCLUSION: All major public hospitals of Shimla city in the study area practice poor management of biomedical wastes. The practices for segregation, transportation, storage and treatment and disposal of wastes generated at the major hospitals need change and major improvements

  10. To centralize or not to centralize?

    OpenAIRE

    Campbell, Andrew; Kunisch, Sven; Müller-Stewens, Günter

    2011-01-01

    The CEO's dilemma-were the gains of centralization worth the pain it could cause?-is a perennial one. Business leaders dating back at least to Alfred Sloan, who laid out GM's influential philosophy of decentralization in a series of memos during the 1920s, have recognized that badly judged centralization can stifle initiative, constrain the ability to tailor products and services locally, and burden business divisions with high costs and poor service.1 Insufficient centralization can deny bus...

  11. Parametric Optimization of Hospital Design

    DEFF Research Database (Denmark)

    Holst, Malene Kirstine; Kirkegaard, Poul Henning; Christoffersen, L.D.

    2013-01-01

    Present paper presents a parametric performancebased design model for optimizing hospital design. The design model operates with geometric input parameters defining the functional requirements of the hospital and input parameters in terms of performance objectives defining the design requirements...... and preferences of the hospital with respect to performances. The design model takes point of departure in the hospital functionalities as a set of defined parameters and rules describing the design requirements and preferences....

  12. Pseudomonas aeruginosa from hospital environment

    OpenAIRE

    Milind Davane; Namdev Suryawanshi; Asha Pichare; Basavraj Nagoba

    2014-01-01

    Hospital acquired infection is an additional affliction to the patient admitted to the hospital for some serious illness and is caused by pathogens which are prevalent in hospital environment. In the hospital, microbes are ubiquitous; and can reach the sick patient through various sources, such as air, water, food, contaminated equipments, linen, catheters, scopes, ventilators, contaminated disinfectants and other preparations used for treatment, visitors, infected patients, etc.

  13. Hacking the hospital environment

    DEFF Research Database (Denmark)

    Boisen, Kirsten A; Boisen, Anne Bank; Thomsen, Stine Legarth;

    2016-01-01

    ). Students in architecture, design, engineering, communication and anthropology participated (27 young adults) - forming eight groups. Adolescents and young adults (AYA) with current or former cancer experience participated as sparring partners. We provided workspace and food during the weekend. The groups...... in two-bed wardrooms and social contact with other hospitalized AYA. The winning project included an integrated concept for both wardrooms and the AYA day room, including logos and names for the rooms and an 'energy wall' in the day room. CONCLUSION: A hackathon event was an effective mode of youth...... 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....

  14. All About ALS

    Science.gov (United States)

    ... please review our exit disclaimer . Subscribe All About ALS Understanding a Devastating Disorder In the summer of ... of research dollars—for a fatal disease called ALS. ALS stands for amyotrophic lateral sclerosis. It’s also ...

  15. Vocabulary of hospitality

    OpenAIRE

    Bedir, M.

    2014-01-01

    Attitudes about refugees begin with the words we ascribe them. In Turkey – which has historically absorbed newcomers from a variety of outside conflicts – the term ‘guest’ is commonly used. Taking this as a starting point, Merve Bedir questions the laws of hospitality in Turkey, and the inherent hostility embedded in the word. She argues for a heightened understanding of the vocabulary around refugees, as a necessary first step to an improved refugee policy.

  16. Exploring hospitality within hospital meals by means of visual methodologies

    DEFF Research Database (Denmark)

    Justesen, Lise

    2016-01-01

    ABSTRACT This paper reflects the application of visual methodologies adapted in an explorative study on hospitality and hospital meals. It takes point of departure in a multi-sited ethnographic fieldwork placed at a general hospital in 2012. Visual methodologies were applied in multiple ways. This...... includes visual methodologies as part of observation and interview strategies. The paper presents and discusses how the application of different visual methodologies can contribute to the construction of ethnographical knowledge on hospitality and hospital meals. Finally ethical considerations as well as...

  17. 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 and...... needs is based on an approach of understanding the complexity of the hospital functionalities based on capacities, qualities and times beforehand specific department or units are described. This approach attempts to create an overview of the hospital functionalities respecting capacities, qualities and...

  18. Hospital successes and failures indicate change in hospital marketing.

    Science.gov (United States)

    Krampf, R F; Miller, D W

    1993-01-01

    Marketing has become an essential management function for hospitals during the past decade. A number of changes have occurred in hospital marketing as they have progressed through the marketing adoption process. A survey of Hospital CEOs reporting hospital successes and failures in the area of marketing have recently placed emphasis on sales and advertising based upon marketing research programs thus indicating entrance into the "Integrated Tactical Marketing" phase. This study also indicates that a few hospitals have entered the "Strategic Marketing Orientation" phase while future plans reported by the CEOs provide evidence that this trend is likely to continue. PMID:10129242

  19. Dimensão cuidadora da enfermagem e da família na assistência à criança hospitalizada: concepções da enfermagem Dimensión cuidadora de la enfermería y de la familia en la asistencia al niño hospitalizado: concepciones de la enfermería Dimension of nursing and family care to hospitalized children: conceptions of nursing

    Directory of Open Access Journals (Sweden)

    Erika Acioli Gomes Pimenta

    2009-09-01

    Full Text Available A dimensão e o modo de participação da família, no cuidado à criança hospitalizada, tem sido tema de estudo da enfermagem. O objetivo desta pesquisa foi analisar como está delineada a dimensão cuidadora da enfermagem e da família na assistência à criança hospitalizada. Trata-se de uma pesquisa qualitativa, realizada com a equipe de enfermagem de um hospital-escola, por meio de entrevista semiestruturada. A organização dos dados pautou-se na análise temática. Os resultados apontam que o trabalho realizado pela enfermagem está centrado em procedimentos; que a interação com a criança e sua família é tangencial no processo de cuidar; e que a família tem dividido cuidados com a equipe mas não tem sido compreendida como co-participante, tampouco incluída na perspectiva do cuidado. Defende-se que a criação de vínculo pode promover uma lógica do processo de trabalho, na perspectiva da integralidade e resgate da dimensão cuidadora da enfermagem.A dimensión y el modo de participación de la familia, en el cuidado al niño hospitalizado, ha sido tema de estudios de la enfermería. El objetivo de esta investigación fue analizar como está delineada la dimensión cuidadora de la enfermería y de la familia en la asistencia al niño hospitalizado. Se trata de una investigación cualitativa, realizada con el equipo de enfermería de un hospital escuela, por medio de entrevistas semiestruturadas. La organización de los datos se orientó por el análisis temático. Los resultados apuntan que el trabajo realizado por la enfermería está centrado en procedimientos. La interacción con el niño y su familia es tangencial en el proceso de cuidar. La familia ha dividido los cuidados con el equipo y no ha sido entendida como copartícipe, también no ha sido incluida en la perspectiva del cuidado. Defendemos que la producción de un vínculo puede promover una lógica del proceso de trabajo en la perspectiva integradora y rescatar la

  20. Hospitality in College Composition Courses

    Science.gov (United States)

    Haswell, Janis; Haswell, Richard; Blalock, Glenn

    2009-01-01

    There has been little discussion of hospitality as a practice in college writing courses. Possible misuses of hospitality as an educational and ethical practice are explored, and three traditional and still tenable modes of hospitality are described and historicized: Homeric, Judeo-Christian, and nomadic. Application of these modes to…

  1. Library Hospitality: Some Preliminary Considerations

    Science.gov (United States)

    Johnson, Eric D. M.; Kazmer, Michelle M.

    2011-01-01

    Library scholars and practitioners have frequently reflected on the various factors that in combination make up a hospitable library, but there has been little theoretical synthesis of the notion of the library as a place of hospitality. The hospitality industry provides a rich vein of theoretical material from which to draw definitions of…

  2. Hospitality Studies: Escaping the Tyranny?

    Science.gov (United States)

    Lashley, Conrad

    2015-01-01

    Purpose: The purpose of this paper is to explore current strands in hospitality management education and research, and suggest that future programs should reflect a more social science informed content. Design/methodology/approach: The paper reviews current research in hospitality management education and in the study of hospitality and…

  3. Latex allergies - for hospital patients

    Science.gov (United States)

    ... latex to be removed from your room The pharmacy and dietary staff to be told about your latex allergy so they do not use latex when they prepare your medicines and food Alternative Names Latex products - hospital; Latex allergy - hospital; Latex sensitivity - hospital; Contact dermatitis - ...

  4. Hospitality Services. Student Activity Book.

    Science.gov (United States)

    Texas Tech Univ., Lubbock. Home Economics Curriculum Center.

    This student activity book contains pencil-and-paper activities for use in a hospitality services course focusing on the food and lodging segments of the hospitality and tourism industry. The activities are organized into 29 chapters on the following topics: hospitality services industry; professional ethics; organization/management structures in…

  5. Correspondence Education and the Hospital.

    Science.gov (United States)

    Hospital Research and Educational Trust, Chicago, IL.

    Based primarily on questionnaire responses from 423 hospitals in the United States, this study dealt with noncredit correspondence courses designed to upgrade hospital personnel job skills and raise job performance and/or job level. It inquired into uses of correspondence as noted in the literature; awareness and use of the method in hospitals;…

  6. [The hospital ship Jutlandia].

    Science.gov (United States)

    Winge, M

    1996-01-01

    The Danish contribution to the United Nations action during the Korean War (1950-52) was the hospital ship "Jutlandia". The motorvessel Jutlandia - 8.500 tons - was built by the Nakskov Shipyard in 1934, and was rebuilt in three months at the same shipyard to a modern hospital ship with 300 beds, 3 operating theatres, a dental clinic, an x-ray department etc. The crew and the hospital staff consisted approximately each of 100 persons. Jutlandia sailed for Korea on Jan. 23. 1951 and the expedition ended in Copenhagen on Oct. 16. 1953. On the first two cruises the ship was stationed at Pusan. During the first period mostly as an "evacuation sick-bay" and during the second period the ship was opened for Korean military and civil patients, and extensive help was given to the local population on shore. While in Denmark between the second and third cruise a helicopter deck was installed and the operating theatre for neuro-surgery was changed to an opthalmic clinic. This time the ship was stationed at the Bay of Ichon so close to the front, that the wounded could be admitted directly from the advanced dressing stations. On the return journeys to Europe patients were sailed to their home countries. Commodore Kai Hammerich was in charge of the expedition and captain Christen Kondrup was in charge of the ship, throughout the whole expedition. PMID:11625136

  7. Management of hospitals solid waste in Khartoum State.

    Science.gov (United States)

    Saad, Suhair A Gayoum

    2013-10-01

    This research had been conducted during year 2012 to review existing data on hospital waste management for some of Khartoum town hospitals and to try to produce appropriate proposals acceptable for waste management and final treatment methods. The overall status of hospital waste management in Khartoum has been assessed through direct visits and designated questionnaires. Eight main hospitals were covered in the study with an overall bed capacity of 2,978. The current waste management practice observed at all studied hospitals was that most of waste, office, general, food, construction debris, and hazardous chemical materials were all mixed together as they are generated, collected, and finally disposed of. Only a small portion of waste in some hospitals (part of potentially infectious, body parts, and sharps) are collected separately and treated in a central incinerator. The estimated value of per bed generation rate in the studied hospitals was found to be 0.87 kg/day, which lies within the range for the low-income countries. In all studied hospitals, it was found that workers were working under very poor unsafe conditions with very low salaries ($35 to $45 per month on average). About 90 % were completely illiterate or had very low education levels. At the national level, no laws considering hospital waste, or even hazardous waste, were found; only some federal general environmental regulations and some procedures from town and city localities for controlling general municipal waste exist. At the hospital level, no policies or rules were found, except in the radiotherapy center, where they manage radioactive wastes under the laws of the Sudanese Atomic Agency. Urgent actions are needed for the remediation and prevention of hazards associated with this type of waste. PMID:23644667

  8. Ozonation for degradation of pharmaceutical in hospital wastewater

    DEFF Research Database (Denmark)

    Bester, Kai; Hansen, Kamilla S; Spiliotopoulou, Aikaterini;

    There is an increasing concern about hospital wastewater as a point source of chemical pollution to municipal wastewater. Thus in Denmark a project with focus ion cleaning point source at hospitals was established. Pilot scale Moving-Bed-Biofilm-Reactors (MBBR) in stages were used to treat...... wastewater from a hospital followed by ozonation. As the treatment was close to the source, a high variety in the quality of the wastewater was observed (e.g. change in pH and dissolved organic carbon). High DOC results in relative high ozone doses needed to remove non-biodegradable micro......-pollutants (Antoniou et al., 2013). In the present work, ozonation of biological treated hospital wastewater spiked with pharmaceuticals were performed to determine the required ozone dose for 90 % removal of the investigated pharmaceuticals. Effluents with different DOC level were used to investigate the effect of...

  9. Does governance matter? Board configuration and performance in not-for-profit hospitals.

    Science.gov (United States)

    Alexander, Jeffrey A; Lee, Shoou-Yih D

    2006-01-01

    As performance accountabilities, external oversight, and market competition among not-for-profit (NFP) hospitals have grown, governing boards have been given a more central leadership role. This article examines these boards' effectiveness, particularly how their configuration influenced a range of performance outcomes in NFP community hospitals. Results indicate that hospitals governed by boards using a corporate governance model, versus hospitals governed by philanthropic-style boards, were likely to be more efficient and have more admissions and a larger share of the local market. Occupancy and cash flow were generally unrelated to hospitals' governing board configuration. However, effects of governance configuration were more pronounced in freestanding and public NFP hospitals compared with system-affiliated and private NFP hospitals, respectively. PMID:17096640

  10. The association of debt financing with not-for-profit hospitals' provision of uncompensated care.

    Science.gov (United States)

    Magnus, Stephen A; Smith, Dean G; Wheeler, John R C

    2004-01-01

    Not-for-profit hospitals undertook unprecedented amounts of debt in the mid to late 1990s. Corporate finance theory and the literature on hospital financing suggest that debt may constrain hospitals' capacity to deliver uncompensated care. Using data from audited financial statements for a sample of hospitals, this article explores whether debt financing is associated with hospitals' provision of uncompensated care, an output central to many hospitals' service missions. Contrary to expectations, our analysis finds that higher debt is associated with higher levels of uncompensated care. However, the results may reflect the unusual economic and stock-market conditions prevailing in the mid 1990s, and they are consistent with the views of hospital financial managers and other practitioners whom we interviewed. PMID:15682952

  11. Organizing for the Collaborative Hospital

    DEFF Research Database (Denmark)

    Prætorius, Thim; Hasle, Peter; Nielsen, Anders Paarup

    highlights a management paradox that calls for balancing a both/and approach to bureaucratization and collaboration in hospitals. Through a qualitative multiple, embedded case study of four hospitals, the paper investigates how standardized processes and structural arrangements—instances of organizational...... design—facilitate collaboration in hospitals. This is important as the literature on formal organization is disconnected from the informal aspects of the organization, thereby limiting the understanding of how hospitals function. Findings suggest that hospitals use many different types of organizational...... design to foster and maintain collaboration, thereby pointing towards mechanisms for developing the collaborative hospital. The findings also provide insights to managers which can be utilized for the further development of hospitals....

  12. Interação familiar/acompanhante e equipe de enfermagem no cuidado à criança hospitalizada: perspectivas para a enfermagem pediátrica Interacción familia/acompañante y equipo de enfermería en el cuidado al niño hospitalizado: perspectivas para la enfermería pediátrica Interaction of family/companion and nurse team in hospitalized child care: pediatric nursing perspectives

    Directory of Open Access Journals (Sweden)

    Tania Vignuda de Souza

    2010-09-01

    grado de complejidad. La familia/acompañante considera que el equipo de enfermería ha tenido atención con el niño. Cabe señalar que en el momento en que el niño es admitido en el hospital, pueden presentarse interferencias por parte de su familia y/o acompañantes, tales como miedo y falta de confianza. Llegamos a la conclusión de que los miembros de la familia y/o acompañantes que permanecen más tiempo en la institución hospitalaria - o que retornan a ella porque su familiar es readmitido - aprenden a asimilar la cultura del hospital, adoptan el uso de la terminología científica y desarrollan estrategias para proteger al niño.The objectives of the present study are to describe the care provided by the family/companion and the nursing team for children during their hospitalization, to analyze the strategies established between the family/companion and the nursing team used in the care of the child and to discuss the interaction of family/companion and the nursing team during the care of hospitalized children. This is a qualitative case study. The subjects of this research were the family members/companions and the members of the nursing team. The data was analyzed using thematic analysis. The family/companion's care is equal to the one provided at home and also the nursing team care is the one that requires a certain degree of complexity. The family/companion considers that the nurse team gives attention to their children. When the child is admitted to the hospital, some degree of interference is observed, such as fear and mistrust. We concluded that family members and companions who stay in the hospital for longer periods of time - or return because their family member is readmitted - learn to assimilate the hospital culture, adopt the use of scientific terminology and develop strategies to protect the child.

  13. Estimation for large non-centrality parameters

    Science.gov (United States)

    Inácio, Sónia; Mexia, João; Fonseca, Miguel; Carvalho, Francisco

    2016-06-01

    We introduce the concept of estimability for models for which accurate estimators can be obtained for the respective parameters. The study was conducted for model with almost scalar matrix using the study of estimability after validation of these models. In the validation of these models we use F statistics with non centrality parameter τ =‖λ/‖2 σ2 when this parameter is sufficiently large we obtain good estimators for λ and α so there is estimability. Thus, we are interested in obtaining a lower bound for the non-centrality parameter. In this context we use for the statistical inference inducing pivot variables, see Ferreira et al. 2013, and asymptotic linearity, introduced by Mexia & Oliveira 2011, to derive confidence intervals for large non-centrality parameters (see Inácio et al. 2015). These results enable us to measure relevance of effects and interactions in multifactors models when we get highly statistically significant the values of F tests statistics.

  14. Hospital Variation in Survival After In‐hospital Cardiac Arrest

    Science.gov (United States)

    Merchant, Raina M.; Berg, Robert A.; Yang, Lin; Becker, Lance B.; Groeneveld, Peter W.; Chan, Paul S.

    2014-01-01

    Background In‐hospital cardiac arrest (IHCA) is common and often fatal. However, the extent to which hospitals vary in survival outcomes and the degree to which this variation is explained by patient and hospital factors is unknown. Methods and Results Within Get with the Guidelines‐Resuscitation, we identified 135 896 index IHCA events at 468 hospitals. Using hierarchical models, we adjusted for demographics comorbidities and arrest characteristics (eg, initial rhythm, etiology, arrest location) to generate risk‐adjusted rates of in‐hospital survival. To quantify the extent of hospital‐level variation in risk‐adjusted rates, we calculated the median odds ratio (OR). Among study hospitals, there was significant variation in unadjusted survival rates. The median unadjusted rate for the bottom decile was 8.3% (range: 0% to 10.7%) and for the top decile was 31.4% (28.6% to 51.7%). After adjusting for 36 predictors of in‐hospital survival, there remained substantial variation in rates of in‐hospital survival across sites: bottom decile (median rate, 12.4% [0% to 15.6%]) versus top decile (median rate, 22.7% [21.0% to 36.2%]). The median OR for risk‐adjusted survival was 1.42 (95% CI: 1.37 to 1.46), which suggests a substantial 42% difference in the odds of survival for patients with similar case‐mix at similar hospitals. Further, significant variation persisted within hospital subgroups (eg, bed size, academic). Conclusion Significant variability in IHCA survival exists across hospitals, and this variation persists despite adjustment for measured patient factors and within hospital subgroups. These findings suggest that other hospital factors may account for the observed site‐level variations in IHCA survival. PMID:24487717

  15. Hospital mission and cost differences.

    Science.gov (United States)

    Sorrentino, E A

    1989-01-01

    The results show no significant differences on average length of stay, cost per patient day, or cost per admission among non-profit, government, and for-profit hospitals when controlling for bed capacities, occupancy rates, number of Medicare/Medicaid days, and hospitals without nurseries. For-profit hospital manhours per patient day were significantly lower than non-profit and government hospitals. This is an important finding because patient-care delivery is labor-intensive. A majority of for-profit hospitals do not have nurseries, which means that they should have more manhours per patient day. As indicated earlier, the manhours for hospitals with nurseries are higher than those for hospitals without nurseries. This indicates cost-cutting behavior on the part of a majority of for-profit hospitals. This method of limiting expenditures by decreasing labor costs associated with certain services is consistent with profit-maximization. The findings of this study with regard to cost differences among non-profit and for-profit hospitals contradict previous research. However, a recent study by Kralewski, Gifford and Porter (1988) noted that whereas ownership, when considered alone, differentiates hospitals, when evaluated within each community, most of the investor-owned and non-for-profit hospital differences disappear. Similar questions have been raised as to whether non-profit hospitals truly differ from for-profit hospitals (Pauly 1987). Caution needs to be exercised in attempting to extrapolate the findings of this study, because of the dynamic health care environment. Hospital ownership changes over time, reimbursement rules affect behavior, and internal factors in organizational operation affect outcomes. These should be considered in future studies exploring organizational mission and cost differences. PMID:10293600

  16. Support for al-Shabaab through the diaspora

    OpenAIRE

    Mitchell Sipus

    2011-01-01

    While the presence of non-state armed group al-Shabaab is primarily concentrated in Mogadishu and central Somalia, their influence has extended beyond the borders out into the lives of Somali refugees who sought to escape the violence....

  17. Controlling hospital library theft

    OpenAIRE

    Cuddy, Theresa M.; Marchok, Catherine

    2003-01-01

    At Capital Health System/Fuld Campus (formerly Helene Fuld Medical Center), the Health Sciences Library lost many books and videocassettes. These materials were listed in the catalog but were missing when staff went to the shelves. The hospital had experienced a downsizing of staff, a reorganization, and a merger. When the library staff did an inventory, $10,000 worth of materials were found to be missing. We corrected the situation through a series of steps that we believe will help other li...

  18. Predictors of mortality in HIV-associated hospitalizations in Portugal: a hierarchical survival model

    Directory of Open Access Journals (Sweden)

    Dias Sara S

    2009-07-01

    Full Text Available Abstract Background The beneficial effects of highly active antiretroviral therapy, increasing survival and the prevention of AIDS defining illness development are well established. However, the annual Portuguese hospital mortality is still higher than expected. It is crucial to understand the hospitalization behaviour to better allocate resources. This study investigates the predictors of mortality in HIV associated hospitalizations in Portugal through a hierarchical survival model. Methods The study population consists of 12,078 adult discharges from patients with HIV infection diagnosis attended at Portuguese hospitals from 2005–2007 that were registered on the diagnosis-related groups' database. We used discharge and hospital level variables to develop a hierarchical model. The discharge level variables were: age, gender, type of admission, type of diagnoses-related group, related HIV complication, the region of the patient's residence, the number of diagnoses and procedures, the Euclidean distance from hospital to the centroid of the patient's ward, and if patient lived in the hospital's catchment area. The hospital characteristics include size and hospital classification according to the National Health System. Kaplan-Meier plots were used to examine differences in survival curves. Cox proportional hazard models with frailty were applied to identify independent predictors of hospital mortality and to calculate hazard ratios (HR. Results The Cox proportional model with frailty showed that male gender, older patient, great number of diagnoses and pneumonia increased the hazard of HIV related hospital mortality. On the other hand tuberculosis was associated with a reduced risk of death. Central hospital discharge also presents less risk of mortality. The frailty variance was small but statistically significant, indicating hazard ratio heterogeneity among hospitals that varied between 0.67 and 1.34, and resulted in two hospitals with HR

  19. Predictors of mortality in HIV-associated hospitalizations in Portugal: a hierarchical survival model

    Science.gov (United States)

    Dias, Sara S; Andreozzi, Valeska; Martins, Maria O; Torgal, Jorge

    2009-01-01

    Background The beneficial effects of highly active antiretroviral therapy, increasing survival and the prevention of AIDS defining illness development are well established. However, the annual Portuguese hospital mortality is still higher than expected. It is crucial to understand the hospitalization behaviour to better allocate resources. This study investigates the predictors of mortality in HIV associated hospitalizations in Portugal through a hierarchical survival model. Methods The study population consists of 12,078 adult discharges from patients with HIV infection diagnosis attended at Portuguese hospitals from 2005–2007 that were registered on the diagnosis-related groups' database. We used discharge and hospital level variables to develop a hierarchical model. The discharge level variables were: age, gender, type of admission, type of diagnoses-related group, related HIV complication, the region of the patient's residence, the number of diagnoses and procedures, the Euclidean distance from hospital to the centroid of the patient's ward, and if patient lived in the hospital's catchment area. The hospital characteristics include size and hospital classification according to the National Health System. Kaplan-Meier plots were used to examine differences in survival curves. Cox proportional hazard models with frailty were applied to identify independent predictors of hospital mortality and to calculate hazard ratios (HR). Results The Cox proportional model with frailty showed that male gender, older patient, great number of diagnoses and pneumonia increased the hazard of HIV related hospital mortality. On the other hand tuberculosis was associated with a reduced risk of death. Central hospital discharge also presents less risk of mortality. The frailty variance was small but statistically significant, indicating hazard ratio heterogeneity among hospitals that varied between 0.67 and 1.34, and resulted in two hospitals with HR different from the average risk

  20. Electronic Cigarettes on Hospital Campuses

    Directory of Open Access Journals (Sweden)

    Clare Meernik

    2015-12-01

    Full Text Available Smoke and tobacco-free policies on hospital campuses have become more prevalent across the U.S. and Europe, de-normalizing smoking and reducing secondhand smoke exposure on hospital grounds. Concerns about the increasing use of electronic cigarettes (e-cigarettes and the impact of such use on smoke and tobacco-free policies have arisen, but to date, no systematic data describes e-cigarette policies on hospital campuses. The study surveyed all hospitals in North Carolina (n = 121 to assess what proportion of hospitals have developed e-cigarette policies, how policies have been implemented and communicated, and what motivators and barriers have influenced the development of e-cigarette regulations. Seventy-five hospitals (62% completed the survey. Over 80% of hospitals reported the existence of a policy regulating the use of e-cigarettes on campus and roughly half of the hospitals without a current e-cigarette policy are likely to develop one within the next year. Most e-cigarette policies have been incorporated into existing tobacco-free policies with few reported barriers, though effective communication of e-cigarette policies is lacking. The majority of hospitals strongly agree that e-cigarette use on campus should be prohibited for staff, patients, and visitors. Widespread incorporation of e-cigarette policies into existing hospital smoke and tobacco-free campus policies is feasible but needs communication to staff, patients, and visitors.

  1. Does Hospital Reputation Influence the Choice of Hospital?

    OpenAIRE

    Pilny, Adam; Mennicken, Roman

    2014-01-01

    A number of recent empirical studies document significant effects of in-patient care quality indicators on the choice of hospital. These studies use either objective quality indicators based on quantitative figures, or if subjective reputation scores are used, scores based on the opinion of hospital market insiders. We contribute to the current debate by using a subjective reputation score resorting to patient perceptions and examine its impact on the choice of hospital of patients undergoing...

  2. [Rethinking the visiting nurse system at a major regional hospital].

    Science.gov (United States)

    Sueda, M; Kitamikado, H; Sugihara, S; Enomoto, K; Tanaka, T; Mori, H; Fukuyama, Y

    1999-12-01

    The authors' hospital is a National Health Insurance System Hospital near four cities. It serves as the central hospital for a region with a population of about 330,000 people. The hospital has 585 beds and sees an average of 1,500 outpatients each day. The average number of hospitalized patients each day is 500. Its visiting nurse department is located in a regional medical center and functions as a "Visiting Nurse Center". The purpose of the present study was to review the visiting nurse system at our hospital that has been operating for the past 8 years. The motivation for this review was our intention to actively increase the number of people advantage of such services, and attempt to provide continuous care for each individual patient. By looking back on the system as it has been practiced, its procedures, and results during the 8 years from 1990 to 1997, we can consider points for improvement from among the problem points discovered. The problems uncovered in our practice of home nursing care are listed below. 1. It is difficult to present a list with an estimated period for the release from the hospital. 2. Instructions for leaving the hospital are not sufficiently detailed. 3. Arranging the schedule and actual visits for diagnosis and treatment is complex. 4. The system for cooperation with the activities that are done in the hospital is insufficient. 5. The system for cooperation with local public health nurses is insufficient. 6. The system for managing equipment is insufficient. 7. The 24-hour support system for terminal patients is inadequate. PMID:10630227

  3. Association between value-based purchasing score and hospital characteristics

    Directory of Open Access Journals (Sweden)

    Borah Bijan J

    2012-12-01

    Full Text Available Abstract Background Medicare hospital Value-based purchasing (VBP program that links Medicare payments to quality of care will become effective from 2013. It is unclear whether specific hospital characteristics are associated with a hospital’s VBP score, and consequently incentive payments. The objective of the study was to assess the association of hospital characteristics with (i the mean VBP score, and (ii specific percentiles of the VBP score distribution. The secondary objective was to quantify the associations of hospital characteristics with the VBP score components: clinical process of care (CPC score and patient satisfaction score. Methods Observational analysis that used data from three sources: Medicare Hospital Compare Database, American Hospital Association 2010 Annual Survey and Medicare Impact File. The final study sample included 2,491 U.S. acute care hospitals eligible for the VBP program. The association of hospital characteristics with the mean VBP score and specific VBP score percentiles were assessed by ordinary least square (OLS regression and quantile regression (QR, respectively. Results VBP score had substantial variations, with mean score of 30 and 60 in the first and fourth quartiles of the VBP score distribution. For-profit status (vs. non-profit, smaller bed size (vs. 100–199 beds, East South Central region (vs. New England region and the report of specific CPC measures (discharge instructions, timely provision of antibiotics and beta blockers, and serum glucose controls in cardiac surgery patients were positively associated with mean VBP scores (p Conclusions Although hospitals serving the poor and the elderly are more likely to score lower under the VBP program, the correlation appears small. Profit status, geographic regions, number and type of CPC measures reported explain the most variation among scores.

  4. 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

  5. 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

  6. Design of paediatric hospitals.

    Science.gov (United States)

    Lambert, Veronica

    2016-05-01

    The impact of healthcare environments on children and young people's (CYP) health and psychosocial wellbeing has attracted much attention in recent years. This sits within the realm of the political drive for enhanced awareness of the need to take account of the rights and voice of the child. Perhaps as a direct result of the United Nations Convention on the Rights of the Child, and recognition from evidence in adult population studies of the impact of healthcare environments on psychosocial healing, contemporary times have witnessed a discernible movement towards enhancing quality care by promoting child and adolescent-friendly hospital environments. The Council of Europe guidelines on child-friendly health care moved to place the rights and needs of children at the heart of health care. The Council acknowledges that the delivery of child-oriented services, which includes the notion of family-centred care, should be delivered in child and family friendly environments. However, knowledge about what constitutes a child-friendly healthcare environment from CYP's perspective is often lacking with hospital architectural blueprints predominantly designed around adult proxy-reported assumptions about the needs and desires of children. PMID:27214414

  7. Characterization of Hospital Residuals

    International Nuclear Information System (INIS)

    The main objective of this investigation is the characterization of the solid residuals. A description of the handling of the liquid and gassy waste generated in hospitals is also given, identifying the source where they originate. To achieve the proposed objective the work was divided in three stages: The first one was the planning and the coordination with each hospital center, in this way, to determine the schedule of gathering of the waste can be possible. In the second stage a fieldwork was made; it consisted in gathering the quantitative and qualitative information of the general state of the handling of residuals. In the third and last stage, the information previously obtained was organized to express the results as the production rate per day by bed, generation of solid residuals for sampled services, type of solid residuals and density of the same ones. With the obtained results, approaches are settled down to either determine design parameters for final disposition whether for incineration, trituration, sanitary filler or recycling of some materials, and storage politics of the solid residuals that allow to determine the gathering frequency. The study concludes that it is necessary to improve the conditions of the residuals handling in some aspects, to provide the cleaning personnel of the equipment for gathering disposition and of security, minimum to carry out this work efficiently, and to maintain a control of all the dangerous waste, like sharp or polluted materials. In this way, an appreciable reduction is guaranteed in the impact on the atmosphere. (Author)

  8. 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. PMID:26944242

  9. 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...

  10. Pre-hospital thrombolysis.

    Science.gov (United States)

    Vaishnav, Aditi; Vaishnav, Avani; Khandekar, Santosh; Vaishnav, Sudhir

    2011-12-01

    Coronary heart disease (CHD) is a major cause of mortality in India. Patients in India, who have acute coronary syndromes, have a higher rate of STEMI than do patients in developed countries. Since most of these patients are poor, they are less likely to get evidence-based treatments, and have a greater 30-day mortality. Reduction of delays in access to hospital and provision of affordable treatments could reduce this. Treatment regimes for AMI should aim to open the artery as soon as possible and as wide as possible. In patients suitable for thrombolytic treatment, time is critical and reperfusion should be initiated as soon as possible. Some adjunctive therapies are also beneficial, in particular, the antiplatelet agent aspirin, which should be given in the prehospital setting when a diagnosis of AMI is suspected. Despite availability of good treatment, mortality from AMI is showing no further reduction due to the prehospital phase and in-hospital delays. Thrombolysis is almost always delivered to patients after arriving in hospital, losing valuable time (and hence heart muscle). Newer drugs combined with recognition of improved outcomes have prompted attempts to decrease the time from symptom onset to treatment delivery via Pre Hospital Thrombolysis (PHT). However, PHT is significantly superior to in-hospital thrombolysis (IHT). This is especially important in regions where PCI is not available. In the RIKS-HIA and NRMI, PHT had better outcomes than IHT, but patients who received PPCI had lower mortality and re-infarction rates. They concluded that within 2 h of symptom onset, patients should receive PHT only if PPCI is not available within 4 h. In CAPTIM, which compared PPCI and PHT followed by PCI if thrombolysis failed and in GRACIA-1 trial, which tested the role of systematic PCI within 24 h of thrombolysis, the policy of systematic PCI following thrombolysis yielded better results than conservative management. The American Heart Association (AHA) and the

  11. Central and peripheral demyelination

    OpenAIRE

    Man Mohan Mehndiratta; Natasha Singh Gulati

    2014-01-01

    Several conditions cause damage to the inherently normal myelin of central nervous system, perepheral nervous system or both central and perepheral nervous system and hence termed as central demyelinating diseases, perepheral demyelinating diseases and combined central and perepheral demyelinating diseases respectively. Here we analysed and foccused on the etiology, prevalance, incidence and age of these demyelinating disorders. Clinical attention and various diagnostic tests are needed to ad...

  12. Hospital discharge of elderly patients to primary health care, with and without an intermediate care hospital – a qualitative study of health professionals’ experiences

    Directory of Open Access Journals (Sweden)

    Unni Alice Dahl

    2014-04-01

    Full Text Available Introduction: Intermediate care is an organisational approach to improve the coordination of health care services between health care levels. In Central Norway an intermediate care hospital was established in a municipality to improve discharge from a general hospital to primary health care. The aim of this study was to investigate how health professionals experienced hospital discharge of elderly patients to primary health care with and without an intermediate care hospital.  Methods: A qualitative study with data collected through semi-structured focus groups and individual interviews. Results: Discharge via the intermediate care hospital was contrasted favourably compared to discharge directly from hospital to primary health care. Although increased capacity to receive patients from hospital and prepare them for discharge to primary health care was viewed as a benefit, professionals still requested better communication with the preceding care level concerning further treatment and care for the elderly patients. Conclusions: The intermediate care hospital reduced the coordination challenges during discharge of elderly patients from hospital to primary health care. Nevertheless, the intermediate care was experienced more like an extension of hospital than an included part of primary health care and did not meet the need for communication across care levels.

  13. Estudio epidemiológico descriptivo de pacientes presentados al Comité de Oído del Servicio de ORL del Hospital Clínico de la Universidad de Chile entre los años 2004 y 2011 Descriptive epidemiological study of patients presented at Ear committee of the ORL Department of the Hospital Clínico de la Universidad de Chile between the years 2004 and 2011

    OpenAIRE

    Eugenio Alzérreca A; Camila Seymour M; Felipe Panussis F; Carlos Stott C

    2012-01-01

    Introducción: En el Servicio de Otorrinolaringología del Hospital Clínico de la Universidad de Chile, existe una instancia de revisión semanal de los casos que generan más discusión diagnóstica en patología de oído y del sistema vestibular, que denominamos Comité de Oído. Objetivos: En este trabajo se pretende describir las características epidemiológicas de los pacientes evaluados en este comité. Material y método: Se realizó un estudio de tipo retrospectivo donde se revisaron los registros ...

  14. Screening for Depression In Hospitalized Pediatric Patients

    Directory of Open Access Journals (Sweden)

    Mohammad-Reza ESMAEELI

    2014-01-01

    Donald R, Limbers C, et al. Pediatric end stage renal disease health-related quality of life differs by modality: a PedsQL ESRD analysis. Pediatr Nephrol 2009;24(8:1553-60.Thomalla G, Barkmann C, Romer G. Psychosocial symptoms in children of hemodialysis patients. Prax Kinderpsychol Kinderpsychiatr 2005;54(5:399-416.Laffond C, Dellatolas G, Alapetite C, Puget S, Grill J, Habrand JL, et al. Quality of life, mood and executive functioning after childhood craniopharyngioma treated with surgery and proton beam therapy. Brain Inj 2012;26(3:270-81.Chung TK, Lynch ER, Fiser CJ, Nelson DA, Agricola K, Tudor C, et al. Psychiatric coomorbidity and treatment response in patients with tuberous sclerosis complex. Ann Clin Psychiatry 2011;23(4:263-9.Kinahan KE, Sharp LK, Seidel K, Leisenring W, Didwania A, Lacouture ME, et al. Scarring, disfigurement, and quality of life in long-term survivors of childhood cancer: a report from the Childhood Cancer Survivor study. J Clin Oncol 2012;30(20:2466-74.Adduci A, Jankovic M, Strazzer S, Massimino M, Clerici C, Poggi G. Parent-child communication and psychological adjustment in children with a brain tumor. Pediatr Blood Cancer 2012;59(2:290-4Szabo A, Mezei G, Kovari E, Cserhati E. Depressive symptoms amongst asthmatic children caregivers. Peditr Allergy Immunol 2012;21(4 Pt 2:e667-73.Arabiat DH, Elliot B, Draper P. The prevalence of depression in pediatric oncology patients undergoing chemotherapy treatment in Jordan. Pediatr Oncol Nurs 2012;29(5:283-8.Li HC, Williams PD, Lopez V, Chung JO. Relationships among therapy-related symptoms, depressive symptoms, and quality of life in Chinese children hospitalized with cancer: an exploratory study. Cancer Nurs 2013;36(5:346-54.

  15. Varig bolig framfor hospits

    OpenAIRE

    2007-01-01

    This is a study of how actors in Norwegian municipalities cooperate to establish more permanent housing for persons living in various forms of temporary housing shelters. In particular, it focuses on the cooperation between the staff at shelters and local government representatives, to establish housing that is both suits individual needs and satisfies quality criteria. The central actors’ views on the possibilities and barriers related to this work have been important to trace...

  16. Hospitals focus on physician relations.

    Science.gov (United States)

    Rubright, R

    1987-09-01

    Many hospital administrators are shifting their marketing focus from consumers and referral agents to the hospital's attending physicians. These new comprehensive physician relations or retention programs are much broader than those implemented in the past and are used to build mutual exchanges between hospitals and physicians, sharpen the physicians' awareness of the hospital's most appealing attributes, compete with nearby hospitals that develop their own aggressive physician relations programs, and ensure a more promising financial picture for both parties. "Cutting-edge" physician relations plans in Catholic hospitals include the following: Marketing plans for the medical staff alone or with key medical staff sections; A strong physician data base; A physician referral system; A director of medical affairs; Practice enhancement and business assistance services; A young physicians section; Continuing marketing auditing and research into physicians' opinions, attitudes, and behavior patterns; Physician inclusion in all major programs, services, policies, and events; Programs for physician office staff; Marketing committees consisting of physicians. PMID:10283486

  17. Pulling Drugs Along the Supply Chain: Centralization of Hospitals’ Inventory

    OpenAIRE

    Raffaele Iannone; Alfredo Lambiase; Salvatore Miranda; Stefano Riemma; Debora Sarno

    2014-01-01

    Due to the economic crisis and the predominance of drug expenditure in healthcare costs, the cooperation of groups of hospitals to negotiate with suppliers and centralize warehouses has been a recent trend in the pharmaceutical supply chain. This paper shows the economic convenience of centralizing the hospitals’ inventory decisions (how much/when to order) based on the sharing of medical prescriptions of patients along the supply chain. The logistic network under investigation (TO BE model) ...

  18. Standards for hospital libraries 2002

    OpenAIRE

    Gluck, Jeannine Cyr; Hassig, Robin Ackley; Balogh, Leeni; Bandy, Margaret; Doyle, Jacqueline Donaldson; Kronenfeld, Michael R.; Lindner, Katherine Lois; Murray, Kathleen; Petersen, JoAn; Rand, Debra C.

    2002-01-01

    The Medical Library Association's “Standards for Hospital Libraries 2002” have been developed as a guide for hospital administrators, librarians, and accrediting bodies to ensure that hospitals have the resources and services to effectively meet their needs for knowledge-based information. Specific requirements for knowledge-based information include that the library be a separate department with its own budget. Knowledge-based information in the library should be directed by a qualified libr...

  19. Estimating Influenza Hospitalizations among Children

    OpenAIRE

    Grijalva, Carlos G.; Craig, Allen S.; DUPONT, William D.; Bridges, Carolyn B.; Schrag, Stephanie J.; Iwane, Marika K.; Schaffner, William; Edwards, Kathryn M.; Griffin, Marie R.

    2006-01-01

    Although influenza causes more hospitalizations and deaths among American children than any other vaccine-preventable disease, deriving accurate population-based estimates of disease impact is challenging. Using 2 independent surveillance systems, we performed a capture-recapture analysis to estimate influenza-associated hospitalizations in children in Davidson County, Tennessee, during the 2003–2004 influenza season. The New Vaccine Surveillance Network (NVSN) enrolled children hospitalized ...

  20. RFID solution benefits Cambridge hospital.

    Science.gov (United States)

    James, Andrew

    2013-10-01

    Keeping track of thousands of pieces of equipment in a busy hospital environment is a considerable challenge, but, according to RFID tagging and asset tracking specialist, Harland Simon, RFID technology can make the task considerably simpler. Here Andrew James, the company's RFID sales manager, describes the positive benefits the technology has brought the Medical Equipment Library (MEL) at Addenbrooke's Hospital, one of the world's most famous teaching hospitals. PMID:24341115

  1. Data mining based hospital management

    Institute of Scientific and Technical Information of China (English)

    TSUMOTO Yuko; TSUMOTO Shusaku

    2008-01-01

    Rapid progress in information technology has come to enable us to store all the information in a hospital in- formation system, including management data, patient records, discharge summary and laboratory data. Although the reuse of those data has not started, it has been expected that the stored data will contribute to analysis of hospi-tal management. In this paper, the diseharge summary of Chiba University Hospital, which has been stored since 980's were analyzed to characterize the university hospital. The results show several interesting results, which uggests that the reuse of stored data will give a powerful tool to support a long-period management of a university ospital.

  2. Hospital waste management in Lebanon

    International Nuclear Information System (INIS)

    Hospital wastes comprises approximately 80% domestic waste components, also known as non-risk waste and 20% hazardous or risk waste. The 20% of the hospital waste stream or the risk waste (also known as infectious, medical, clinical wastes) comprises components which could be potentially contaminated with infections, chemical or radioactive agents. Therefore, it should be handled and disposed of in such a manner as to minimize potential human exposure and cross-contamination. Hospital risk waste and be subdivided into seven general categories as follows: infections, anatomical/pathological, chemical, pharmaceutical, radioactive waste, sharps and pressurised containers. These waste categories are generated by many types of health care establishments, including hospitals, clinics, infirmaries.... The document presents also tables of number of hospitals and estimated bed number in different regions in Lebanon; estimated hospital risk and non-risk waste generation per tonnes per day for the years 1998 until 2010 and finally sensitivity analysis of estimated generation of hospital risk waste in Lebanon per tonnes per day for the years 1998 until 2010. The management, treatment and disposal of hospital risk waste constitute important environmental and public safety issues. It is recognised that there is alack of infrastructure for the safe and environmentally acceptable disposal of hospital waste in Lebanon

  3. Resource allocation in public hospitals: is it effective?

    Science.gov (United States)

    Withanachchi, Nimnath; Uchida, Yasuo; Nanayakkara, Shyama; Samaranayake, Dulani; Okitsu, Akiko

    2007-02-01

    The allocative inefficiency is a fundamental flaw in the public hospitals of the developing countries. The inefficiencies drain the limited public resources allotted for healthcare. Sri Lanka's public health system faces worsening budget constraints. The resource allocation practices of the Ministry of Health focus on increasing the cadre of hospital staff, consequently crowding out the investments on facility development. The purpose of the study is to assess the impact of resource allocation in the tertiary-care public hospitals that are under the central Ministry of Health. The model is based on the assumption that the hospital managers and other agents of a public hospital pursue the objective of quality maximization (in the absence of a profit motive). The inpatient mortality rate is selected as the indicator of quality. With the use of panel data fixed-effects, and first-differencing estimation methods, we study the impact of the resource allocation on the hospital mortality rates. The selected models are statistically significant at 0.1% level. The elasticity effect of the capital is considerably larger than the effects of the human resources, in servicing the patients. The results suggest that the human resource utilization is suboptimal, due to the inadequacy of the capital (i.e. medical equipment, etc.). The reorientation of the resource allocation towards the capital investments may save more lives. PMID:16678297

  4. Medicina e hospital

    Directory of Open Access Journals (Sweden)

    Alcindo Antônio Ferla

    2011-12-01

    Full Text Available Este texto é resultado de uma revisão das análises históricas de Michel Foucault a respeito da constituição da Medicina Moderna e de suas relações com outros saberes. Descreve-se de que modo a organização da atenção à saúde se efetuou a partir da tecnologia hospital e das relações de poder que investiram os corpos individuais e coletivos na concretização de um projeto de sociedade. Pergunta-se como a vida entrou em cena pela via de uma biopolítica e como se constituiu a anátomo-política em seus efeitos no campo da organização dos serviços médicos e dos modos de gerir a saúde.

  5. Practice and hospital economics.

    Science.gov (United States)

    Senagore, Anthony J

    2006-08-01

    There has been a significant effort over the past 10 years to attempt to control the rate of increase in the cost of medical care. However, as is true of any economic system, there are multiple stakeholders involved and often competing motivations. The single largest source of medical inflation is the cost of pharmaceuticals; however, this topic is not directly discussed in this article Similarly, the cost of medical insurance products is not included as these issues cannot be directly addressed by physician behavior. The body of this discussion focuses on costs directly experienced by or potentially controlled by physicians. These areas include practice expense and margin and hospital direct costs and margin. It is essential for physicians to understand fully factors they can potentially control and areas they may be able to influence in this troubling era of cost containment. PMID:20011377

  6. Pre-hospital emergency medicine.

    Science.gov (United States)

    Wilson, Mark H; Habig, Karel; Wright, Christopher; Hughes, Amy; Davies, Gareth; Imray, Chirstopher H E

    2015-12-19

    Pre-hospital care is emergency medical care given to patients before arrival in hospital after activation of emergency medical services. It traditionally incorporated a breadth of care from bystander resuscitation to statutory emergency medical services treatment and transfer. New concepts of care including community paramedicine, novel roles such as emergency care practitioners, and physician delivered pre-hospital emergency medicine are re-defining the scope of pre-hospital care. For severely ill or injured patients, acting quickly in the pre-hospital period is crucial with decisions and interventions greatly affecting outcomes. The transfer of skills and procedures from hospital care to pre-hospital medicine enables early advanced care across a range of disciplines. The variety of possible pathologies, challenges of environmental factors, and hazardous situations requires management that is tailored to the patient's clinical need and setting. Pre-hospital clinicians should be generalists with a broad understanding of medical, surgical, and trauma pathologies, who will often work from locally developed standard operating procedures, but who are able to revert to core principles. Pre-hospital emergency medicine consists of not only clinical care, but also logistics, rescue competencies, and scene management skills (especially in major incidents, which have their own set of management principles). Traditionally, research into the hyper-acute phase (the first hour) of disease has been difficult, largely because physicians are rarely present and issues of consent, transport expediency, and resourcing of research. However, the pre-hospital phase is acknowledged as a crucial period, when irreversible pathology and secondary injury to neuronal and cardiac tissue can be prevented. The development of pre-hospital emergency medicine into a sub-specialty in its own right should bring focus to this period of care. PMID:26738719

  7. 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...

  8. Amyotrophic Lateral Sclerosis (ALS)

    Science.gov (United States)

    ... benefit of 16 months before onset of severe respiratory failure. Other treatments are designed to relieve symptoms and ... of ALS. Most people with ALS die from respiratory failure, usually within 3 to 5 years from the ...

  9. Initial Symptoms of ALS

    Science.gov (United States)

    ... Chapters Certified Centers and Clinics Support Groups About ALS About Us Our Research In Your Community Advocate ... Diagnosis En español Symptoms The initial symptoms of ALS can be quite varied in different people. One ...

  10. The Invention of a Medical Institution? A Discussion of Hospitals Around 1800

    Directory of Open Access Journals (Sweden)

    Dross, Fritz

    2006-11-01

    Full Text Available The article considers the position of the hospital in the discussion on health care between self-help and formal poor relief. This is done for the late 18th and early 19th centuries when besides the famous hospital foundations e.g. in Vienna and Würzburg, a lot of hospital foundations failed. Although hospitals had been considered to be quite useful for the state by influential publicists, in the German territories neither public opinion nor doctors favoured central hospital care for the poor around 1800. A policinical model with an essential portion of curing the sick in their homes had been the modernist model of medical help in terms of late 18th / early 19th century discourse. The process of inventing the hospital as a new medical institution was based on the acceptance of family and kinship networks as requisite parts of medical help.

  11. Punishment on Stage: Application of Islamic Criminal Law by Harakat al-Shabaab al-Mujahideen

    OpenAIRE

    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...

  12. Emergencies in the hospital environment

    International Nuclear Information System (INIS)

    Every hospital center must have an emergency plan, which in case of an accident would immediately set off. The present article describes the particularities of radioactive installations already in existence in hospitals in case of an emergency and the radiologic risks which must be taken into account. (Author)

  13. Faculty Internships for Hospitality Instructors

    Science.gov (United States)

    Lynn, Christine; Hales, Jonathan A; Wiener, Paul

    2007-01-01

    Internships can help hospitality faculty build industry relationships while also ensuring the best and most current training for their students. Many hospitality organizations have structured faculty internships available or are willing to work with faculty to provide individualized internship opportunities. Career and technical educators in…

  14. Segmentation in local hospital markets.

    Science.gov (United States)

    Dranove, D; White, W D; Wu, L

    1993-01-01

    This study examines evidence of market segmentation on the basis of patients' insurance status, demographic characteristics, and medical condition in selected local markets in California in the years 1983 and 1989. Substantial differences exist in the probability patients may be admitted to particular hospitals based on insurance coverage, particularly Medicaid, and race. Segmentation based on insurance and race is related to hospital characteristics, but not the characteristics of the hospital's community. Medicaid patients are more likely to go to hospitals with lower costs and fewer service offerings. Privately insured patients go to hospitals offering more services, although cost concerns are increasing. Hispanic patients also go to low-cost hospitals, ceteris paribus. Results indicate little evidence of segmentation based on medical condition in either 1983 or 1989, suggesting that "centers of excellence" have yet to play an important role in patient choice of hospital. The authors found that distance matters, and that patients prefer nearby hospitals, moreso for some medical conditions than others, in ways consistent with economic theories of consumer choice. PMID:8417270

  15. Practicing Hospitality in the Classroom

    Science.gov (United States)

    Burwell, Rebecca; Huyser, Mackenzi

    2013-01-01

    This article explores pedagogical approaches to teaching students how to practice hospitality toward the other. Using case examples from the college classroom, the authors discuss the roots of Christian hospitality and educational theory on transformative learning to explore how students experience engaging with others after they have…

  16. Partners: group practices and hospitals.

    Science.gov (United States)

    Schryver, D L

    1990-02-01

    Many hospital executives see the emergence of medical group practices as a threat to their autonomy. However, the degree of future success of hospitals and group practices may depend on their willingness and ability to develop common goals and strategies. PMID:10106349

  17. Latex in the Hospital Environment

    Science.gov (United States)

    LATEX in the Hospital Environment Updated Fall 2015 This list provides a guide to some of the most common objects containing latex and offers some ... remover–Sepha Pharm) 1 LATEX in the Hospital Environment (continued) Frequently contains LATEX OR/Infection Control masks, ...

  18. Video interpretations in Danish hospitals

    DEFF Research Database (Denmark)

    Søbjerg, Lene Mosegaard; Noesgaard, Susanne; Henriksen, Jan Erik;

    2013-01-01

    This article presents a study of an RCT comparing video interpretation with in-person interpretation at the Endocrinology Ward at Odense University Hospital.......This article presents a study of an RCT comparing video interpretation with in-person interpretation at the Endocrinology Ward at Odense University Hospital....

  19. New directions in hospital governance.

    Science.gov (United States)

    Shortell, S M

    1989-01-01

    This article suggests new directions for hospital governance to meet the demands of a rapidly changing health care environment. Board members must increasingly play roles as risk takers, strategic directors, experts, mentors, and evaluators. Lessons from other industries regarding risk taking, use of expertise, and streamlining decision making must be adapted to meet hospital needs. Recent data suggest that these needs may still differ by hospital ownership despite a convergence in investor-owned and not-for-profit corporate structures. The effectiveness of hospital boards in the future will depend on their ability to: (1) manage a diverse group of stakeholders; (2) involve physicians in the management and governance process; (3) meet the governance needs of multi-institutional systems and hospital restructuring; (4) meet the challenges of diversification and vertical integration; and (5) understand strategy formulation and implementation as interdependent and interrelated processes. PMID:10303235

  20. Brief hospitalizations of elderly patients

    DEFF Research Database (Denmark)

    Strømgaard, Sofie; Rasmussen, Søren Wistisen; Schmidt, Thomas Andersen

    2014-01-01

    BACKGROUND: Crowded departments are a common problem in Danish hospitals, especially in departments of internal medicine, where a large proportion of the patients are elderly. We therefore chose to investigate the number and character of hospitalizations of elderly patients with a duration of less...... than 24 hours, as such short admissions could indicate that the patients had not been severely ill and that it might have been possible in these cases to avoid hospitalization. METHODS: Medical records were examined to determine the number of patients aged 75 or more who passed through the emergency...... department over a period of two months, and the proportion of those patients who were discharged after less than 24 hours. The reasons for the hospitalization, the diagnoses and the treatment given were noted. RESULTS: There was a total of 595 hospitalizations of patients aged 75 or above in the emergency...

  1. [In-hospital emergency management].

    Science.gov (United States)

    Jantzen, Tanja; Fischer, Matthias; Müller, Michael P; Seewald, Stephan; Wnent, Jan; Gräsner, Jan-Thorsten

    2013-06-01

    5-10% of in-hospital patients are affected by adverse events, 10% of these requiring CPR. Standardized in-hospital emergency management may improve results, including reduction of mortality, hospital stay and cost. Early warning scores and clinical care outreach teams may help to identify patients at risk and should be combined with standard operation procedure and consented alarm criteria. These teams of doctors and nurses should be called for all in hospital emergencies, providing high-end care and initiate ICU measures at bedside. In combination with standard means of documentation assessment and evaluation--including entry in specific registers--the quality of in-hospital emergency management and patient safety could be improved. PMID:23828085

  2. Mobile Robots for Hospital Logistics

    DEFF Research Database (Denmark)

    Özkil, Ali Gürcan

    services to maintain the quality of healthcare provided. Logistics 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 talk 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, adaptable and scalable. Robots have to be semi-autonomous, and...... a redundant layer for localization. The system features automatic annotation, which significantly reduces manual work and offer many advantages beyond robotics. A case study on logistics solutions is finally presented. A robotic solution is tested in a hospital to handle the transportation of blood...

  3. Light Atmosphere in Hospital Wards

    DEFF Research Database (Denmark)

    Stidsen, Lone Mandrup

    At the moment, the future of hospital design is a subject of interest and thereby also a subject of discussion. It is a fact that new hospitals have an increased focus on user perspectives and an interest for improving the physical environment in such a way it supports the user needs...... and preferences and thereby the experience of an admission to the hospital. Recent literature such as ‘Hospitals of the senses’ and ‘Healing Architecture’ presents research and design solutions focused on senses and experience of the design. The Danish Regions ask for ‘Evidence Based Design’ to future prove...... the hospitals by research base the design of the buildings. The present PhD project expands the existing knowledge of lighting research by focusing on the experienced light atmosphere. The project uses multi strategies of methodology based on a flexible design to elaborate on the sociocultural aspect of light...

  4. Effects of Stress on Mothers of Hospitalized Children in a Hospital in Iran

    Directory of Open Access Journals (Sweden)

    Tayebeh HASAN TEHRANI

    2013-01-01

    .Commodari E. Children staying in hospital: a research on psychological stress of caregivers. Ital J Pediatr. 2010 May 25;36:40.Burke SO, Handley-Derry MH, Costello EA, Kauffmann E, Dillon MC. Stress-point intervention for parents of children of repeatedly hospitalized children with chronic conditions. Res Nurs Health. 1997 Dec;20(6: 475-85.Kristensson-Hallstrom I. Parental participation in pediatric surgical care. AORN J. 2000 May;71(5: 1021-4, 1026-9.Garro A, Thurman SK, Kerwin ME, Ducette JP. Parent/caregiver stress during pediatric hospitalization for chronic feeding problems. J Pediatr Nurs. 2005 Aug;20(4:268-75.Shields L, Kristensson-Hallström  I. We have needs, too: parental needs during a child’s hospitalisation. Online Brazilian Journal of Nursing (OBJN-ISSN 1676-4285 [online] 2004  December; 3(3 Available in: www.uff.br/nepae/objn303shieldsetal.htm.Hallstrom I, Runesson I, Elander G. Obeserved parental needs during their child’s hospitalization. J Pediatr Nurs. 2002 Apr;17(2:140-8.Little L. Differences in stress and coping for mothers and fathers of childrens with Aspergers syndrome and nonverbal learning disorders. Pediatr Nurs. 2002 Nov-Dec;28(6:565-70.Soderback M, Christensson K. family involvement in the care of a hospitalized child. Int J Nurs Stud. 2008 Dec;45(12:1778-88.Mwangi R, Chandler C, Nasuwa F, Mbakilwa H, Poulsen A, Bygbjerg IC et al. Perceptions of mothers and hospital staff paediatric care in 13 public hospitals in northern Tanzania. Trans R Soc Trop Med Hyg. 2008 Aug;102(8:805-10.Chilman AM, Thomas M. Understanding nursing care. Third edition. Edinburgh: Churchill Livingstone; 1987. p. 636.Esmaeilzadeh H. Stressors of mothers of hospitalized neonates in Qods hospital JQUMS. 2003;6(4:40-5.Miles MS, Burchinal P, Holditch-Davis D, Brunssen S, Wilson SM. Perceptions of stress, worry and support in Black and White mothers of hospitalized, medically fragile infants. J Pediatr Nurs. 2002 Apr;17(2:82-8.Lam LW, Chang AM, Morrissey J. Parents

  5. Prescrição do dia: infusão de alegria. Utilizando a arte como instrumento na assistência à criança hospitalizada Prescripción del día: infusión de alegría, utilizando el arte como instrumento, en la asistencia al niño hospitalizado Prescription for the day: infusion of joy. Using art as an instrument for the care of hospitalized children

    Directory of Open Access Journals (Sweden)

    Giovana Müler Françani

    1998-12-01

    Full Text Available O objetivo deste trabalho é relatar a experiência de um grupo de alunas do Curso de Graduação em Enfermagem da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo que utiliza a arte (aspectos do teatro Clown como recurso auxiliar da enfermagem na assistência à criança hospitalizada. Baseado no trabalho realizado pelo grupo "Doutores da Alegria" e nos conhecimentos teóricos das disciplinas de Psicologia e Enfermagem Pediátrica e Neonatal estas alunas criaram a Companhia do Riso que procura resgatar o riso da criança/família hospitalizada. A partir desta experiência pode-se observar algumas transformações no dia-a-dia: o espaço hospitalar tornou-se mais informal e descontraído, o riso pode ser ouvido com maior freqüência e objetos, sons, movimentos, cores, espaços e personagens podem se tornar brinquedos.El objetivo de este trabajo es relatar la experiencia de un grupo de alumnos de curso de pregrado de Enfermería de la Escuela de Enfermería de Ribeirão Preto de la Universidad de San Pablo, que utiliza el arte (aspectos del teatro Clon, como recurso auxiliar de Enfermería en la asistencia al niño hospitalizado. Basado en el trabajo realizado por el grupo "Doctores de la alegría" y en los conocimientos teóricos de las disciplinas de Sicología y Enfermería Pediátrica y Neonatal, estas alumnas crearon la compañía de la risa, que procura rescatar la risa de los niños y su familia en el hospital. A partir de esta experiencia se puede observar algunas transformaciones en el diario vivir: El espacio hospitalario se tornó más informal y sin ambiente pesado, la risas pueden ser oídas con mayor frecuencia, sonidos, movimientos, colores, espacios y personas pueden transformarse en juguetes.The purpose of this study is to report on the experiment of a group of undergraduate students from the University of São Paulo at Ribeirão Preto College of Nursing, who use art (some aspects of the Clown Theatre as a

  6. Distúrbios psiquiátricos relacionados ao álcool associados a diagnósticos de clínica médica e/ou intervenções cirúrgicas, atendidos num hospital geral Disturbios psiquiátricos relacionados al alcohol, asociados a diagnósticos de clínica médica y/o intervenciones quirúrgicas, atendidos en un hospital general Psychiatric disorders related to alcohol and associated to general clinical medical diagnoses and/or surgical interventions in patients admitted in a general hospital

    OpenAIRE

    Eliene Reis de Oliveira; Margarita Anto nia Villar Luis

    1997-01-01

    Através de um inquérito epidemiológico, buscou-se detectar as co-morbidades dos diagnósticos psiquiátricos relacionados ao álcool. Para tanto, investigou-se os atendimentos num Hospital de Urgências Médicas no Setor de Psiquiatria, no período de 1988 a 1991, tendo por objetivo identificar quais as doenças clínicas e outros incidentes que acometem a população referida. Fizeram parte do levantamento os diagnóstico relacionados ao álcool, conforme CID 9 (291; 303 e 305.0) e os associados não per...

  7. Evaluation Of Methadone Poisoning in Hospitalized Children: A Short Review

    Directory of Open Access Journals (Sweden)

    Gholamali Maamouri

    2014-08-01

    Full Text Available Upload poisoning is one of the most dangerous and common poisoning in Iranian children. Depression of the respiratory and central nervous systems may lead to significant toxicity. Even low doses of uploads are dangerous in pediatrics under 6 years old. Methadone is the most toxic of the uploads; small doses as low as a single tablet can lead to death. According to this information we decided to evaluate methadone poisoning in Hospitalized Children

  8. Bureaucracy friend or foe? - organizing for social capital in hospitals

    DEFF Research Database (Denmark)

    Prætorius, Thim; Hasle, Peter; Nielsen, Anders Paarup

    2015-01-01

    work together to solve organizational tasks.Trust, collaboration skills and fairness are three central aspects. Organizational design concerns how the organization solves its tasks, and it is operationalized along the eight dimensions in the findings section. FINDINGS: (1) Enabling and participatory......INTRODUCTION: A strong criticism of bureaucracy in hospitals has emerged during the last years. It is related to standard procedures, quality control systems, patient safety and performance management. The critique claims that professional judgement is getting jeopardized, limited resources are...

  9. CENTRAL ASIA'S POWER DILEMMAS

    OpenAIRE

    Budkin, Viktor

    2006-01-01

    It turned out to be much harder to create new power structures in Central Asia than elsewhere in the post-socialist world: no matter how hard it was for the Central European countries to acquire new political institutions, their advance toward the Western democratic model was much smoother. In the European part of the post-Soviet geopolitical expanse, Russia, Ukraine, and Moldova experienced fewer problems than the Central Asian region (CAR for short), though they too had their share of contr...

  10. Hospital decentralisation in Romania: stakeholders' perspectives in the newsprint media.

    Science.gov (United States)

    Popa, Adela Elena

    2014-01-01

    In the summer of 2010, Romania undertook a process of hospital decentralisation as part of the reform in the healthcare sector. The national newsprint media covered the process thoroughly. This paper is a study of how key stakeholders' views, attitudes, beliefs and attitudes towards decentralisation are represented in print media. 106 articles, published between June and September 2010, retrieved from the online databases of six leading national dailies were analysed. A mixed methodology was used in the data analysis stage. The qualitative data exploration identified five voices belonging to stakeholders involved directly or indirectly in the process: the representatives of central government, the local authorities (district and local councils, municipal mayors), health professionals (managers and physicians in hospitals), the media (journalists, analysts) and finally voices from civil society, professional associations and advocacy groups. These were the main actors negotiating the subjective meanings of the decentralisation process. An imbalance between these key actors were observed in the frequency, content and tone of the messages delivered in media during the four months. Central government and the local authorities were the most active voices, but the respective discourses differed significantly. An analysis of the accounts identified three main themes: the financial problem (hospitals liabilities and future spending), human resource in hospitals (the impact of decentralisation upon it) and the political character of the decentralisation. PMID:23558922

  11. Physicians and foundation hospitals.

    Science.gov (United States)

    Cooper, John; Black, Carol

    2003-01-01

    Foundation NHS Trusts will be constituted in the same way as Mutual Societies, and local people and patients will be invited to become subscribers. Subscribers will elect a board of governors who will appoint the non-executive directors of the Trusts. Foundation Trusts will be outside the performance management system, but will be subject to a regulator and to inspection. Contracts with commissioners will be legally enforceable. Issues discussed in the article include: financial borrowing; whether competition is being reintroduced; poaching staff; fears of a two-tier health service; fragmentation of the NHS; the impact on research and teaching; and the impact on the current 'target culture'. Local communities and patient groups may welcome involvement with their local hospitals, but special interest groups could be a danger. Foundation Trusts may bring back some of the better features of NHS Trusts as originally conceived, and offer better opportunities for clinicians to influence local policies and priorities. Fears of yet another organisational change are an important issue. Only time will tell whether the outcome will justify the effort the changes will involve. PMID:14703035

  12. Central Laboratories Services

    Data.gov (United States)

    Federal Laboratory Consortium — The TVA Central Laboratories Services is a comprehensive technical support center, offering you a complete range of scientific, engineering, and technical services....

  13. Identification of bacteria and fungi in the solid waste generated in hospitals of Sana'a city, Yemen

    OpenAIRE

    Alwabr, Gawad M. A.; Al-Mikhlafi, Ahmed S.; Al-Hakimi, Saif A.; Dughish, Munira A.

    2016-01-01

    A medical establishment such as hospitals and medical centers generate a sizable amount of hazardous waste. In Yemen, the hospitals' wastes are still largely mismanaged, mainly because the sector did not know what to do with the waste. The present study was undertaken to determine the bacterial and fungal agents present in different various of the hospitals' solid waste. The samples were collected from the different wards/departments and from the central storage rooms/dustbins of the ...

  14. Comparison of Pre-operative Central Corneal Thickness in Pediatric Cataract Cases versus Normal

    International Nuclear Information System (INIS)

    Objective: To compare the pre-operative central corneal thickness (CCT) in paediatric cataract patients with reference to normal control group. Study Design: A case control study. Place and Duration of Study: Paediatric Ophthalmology Clinic of Al-Shifa Trust Eye Hospital (ASTEH), Rawalpindi, from November 2009 to May 2010. Methodology: The study included 116 subjects with equal number of cases and controls. Demographic profile of all the subjects was noted followed by history and detailed ophthalmic examination. CCT was measured using an ultrasonic pachymeter (model Pac Scan 300). The mean of three measurements from the central cornea were recorded in microns. Results were analyzed using SPSS version 17.0. Results: Mean CCT values of the cases was 566.83 +- 37.646 microns while the control group had a mean CCT of 535.81 +- 24.466 microns. Difference between the CCT values of the two groups was highly significant (p < 0.001). Conclusion: Eyes with congenital cataracts have greater CCT values as compared to normal paediatric population. This factor must be kept in mind while interpreting intra-ocular pressure in such patients. (author)

  15. Temporal Trends in Hospitalization for Acute Decompensated Heart Failure in the United States, 1998-2011.

    Science.gov (United States)

    Agarwal, Sunil K; Wruck, Lisa; Quibrera, Miguel; Matsushita, Kunihiro; Loehr, Laura R; Chang, Patricia P; Rosamond, Wayne D; Wright, Jacqueline; Heiss, Gerardo; Coresh, Josef

    2016-03-01

    Estimates of the numbers and rates of acute decompensated heart failure (ADHF) hospitalization are central to understanding health-care utilization and efforts to improve patient care. We comprehensively estimated the frequency, rate, and trends of ADHF hospitalization in the United States. Based on Atherosclerosis Risk in Communities (ARIC) Study surveillance adjudicating 12,450 eligible hospitalizations during 2005-2010, we developed prediction models for ADHF separately for 3 International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) code 428 discharge diagnosis groups: 428 primary, 428 nonprimary, or 428 absent. We applied the models to data from the National Inpatient Sample (11.5 million hospitalizations of persons aged ≥55 years with eligible ICD-9-CM codes), an all-payer, 20% probability sample of US community hospitals. The average estimated number of ADHF hospitalizations per year was 1.76 million (428 primary, 0.80 million; 428 nonprimary, 0.83 million; 428 absent, 0.13 million). During 1998-2004, the rate of ADHF hospitalization increased by 2.0%/year (95% confidence interval (CI): 1.8, 2.5) versus a 1.4%/year (95% CI: 0.8, 2.1) increase in code 428 primary hospitalizations (P estimated number of hospitalizations with ADHF is approximately 2 times higher than the number of hospitalizations with ICD-9-CM code 428 in the primary position. The trend increased more steeply prior to 2005 and was relatively flat after 2005. PMID:26895710

  16. The effect of managed care on hospital marketing orientation.

    Science.gov (United States)

    Loubeau, P R; Jantzen, R

    1998-01-01

    Marketing is a central activity of modern organizations. To survive and succeed, organizations must know their markets, attract sufficient resources, convert these resources into appropriate services, and communicate them to various consuming publics. In the hospital industry, a marketing orientation is currently recognized as a necessary management function in a highly competitive and resource-constrained environment. Further, the literature supports a marketing orientation as superior to other orientation types, namely production, product and sales. In this article, the results of the first national cross-sectional study of the marketing orientation of U.S. hospitals in a managed care environment are reported. Several key lessons for hospital executives have emerged. First, to varying degrees, U.S. hospitals have adopted a marketing orientation. Second, hospitals that are larger, or that have developed strong affiliations with other providers that involve some level of financial interdependence, have the greatest marketing orientation. Third, as managed care organizations have increased their presence in a state, hospitals have become less marketing oriented. Finally, contrary to prior findings, for-profit institutions are not intrinsically more marketing oriented than their not-for-profit counterparts. This finding is surprising because of the traditional role of marketing in non-health for-profit enterprises and management's greater emphasis on profitability. An area of concern for hospital executives arises from the finding that as managed care pressure increases, hospital marketing orientation decreases. Although a marketing orientation is posited to lead to greater customer satisfaction and improved business results, a managed care environment seems to force hospitals to focus more on cost control than on customer satisfaction. Hospital executives are cautioned that cost-cutting, the primary focus in intense managed care environments, may lead to short

  17. Organizational Factors that Contribute to Operational Failures in Hospitals

    OpenAIRE

    Tucker, Anita Lynn; Heisler, W Scott; Janisse, Laura D.

    2014-01-01

    The performance gap between hospital spending and outcomes is indicative of inefficient care delivery. Operational failures—breakdowns in internal supply chains that prevent work from being completed—contribute to inefficiency by consuming 10% of nurses’ time (Hendrich et al. 2008, Tucker 2004). This paper seeks to identify organizational factors associated with operational failures, with a goal of providing insight into effective strategies for removal. We observed nurses on medical/ surgi...

  18. Impact of hospital accreditation on patients' safety and quality indicators

    OpenAIRE

    Al-Awa, Bahjat

    2011-01-01

    Ecole de Santé Publique Université Libre de Bruxelles Academic Year 2010-2011 Al-Awa, Bahjat Impact of Hospital Accreditation on Patients' Safety and Quality Indicators Dissertation Summary I. Introduction: There is increased interest around the world in the evaluation of healthcare, coming not only from governments, but also from providers and consumers [1]. Therefore initiatives to address quality of health care have become worldwide phenomena [2]. As quality is crucial fa...

  19. Predictors and outcomes of patient safety culture in hospitals

    OpenAIRE

    Jaafar Maha; Jamal Diana; Dimassi Hani; El-Jardali Fadi; Hemadeh Nour

    2011-01-01

    Abstract Background Developing a patient safety culture was one of the recommendations made by the Institute of Medicine to assist hospitals in improving patient safety. In recent years, a multitude of evidence, mostly originating from developed countries, has been published on patient safety culture. One of the first efforts to assess the culture of safety in the Eastern Mediterranean Region was by El-Jardali et al. (2010) in Lebanon. The study entitled "The Current State of Patient Safety C...

  20. An investigation of the emotions elicited by hospital clowns in comparison to circus clowns and nursing staff

    OpenAIRE

    Auerbach, Sarah; Hofmann, Jennifer; Platt, Tracey; Ruch, Willibald

    2013-01-01

    The present research aims at identifying emotional states induced in observers of hospital clown interventions utilizing a list of clown-specific ratings, the 29 Clown Emotion List (CLEM-29, Auerbach et al. 2012a). Study 1 investigated whether hospital clowns elicit emotional states other than those already covered by scales representing existing models of emotional states. One hundred and nineteen adults watched videos of hospital clowns and circus clowns and, after each video, completed a g...