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  1. Homenaje al Dr. Eduardo Vargas Alvarado

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    Carlos Abarca Barrantes

    2003-03-01

    Full Text Available La Universidad Latina rinde homenaje al Dr. Eduardo Vargas Alvarado, Decano de la Facultad de Medicina de esta Universidad. El Dr. Eduardo VaIgas Alvarado desarrollo la Morgue Judicial, desde su inicio en de enero de 1965, y desde 1975 hasta su jubilación del Poder Judicial en 1992 fue el Jefe del Departamento de Medicina Legal. La Dra. Leslie Solano Calderón es la Jefa actual de dicho Departamento y junto con el Dr. Abarca, fueron discípulos de Don Eduardo. El Dr. Vargas ha escrito varios libros de Medicina Legal, ha recibido múltiples reconocimientos por su labor en la Medicina Legal Latinoamericana y es el Presidente Honorario de la Asociación Costarricense de Medicina Forense. El Departamento de Medicina Legal y la Asociación Costarricense de Medicina Forense se han sumado a este justo y oportuno reconocimiento.The Latina University give honor to Dr. Eduardo Vargas Alvarado, Dean of the Medicine Faculty of this University. Dr. Vargas developed the Judicial Morgue, from its very beginning, January 1, of 1965; and from 1975 until his jubilation from the Judicial Power in 1992 was the Boss of the Legal Medicine Department. Dr. Leslie Solano Calderon, the actual Boss of this Department, and Dr. Abarca were disciples of Mr. Vargas. Dr. Vargas has written many books of Legal Medicine and has received many acknowledgements because of his legal medicine work in Latin America and is the Honorary President of the Costa Rican Forensic Medicine Association. The Legal Medicine Department and the Costa Rican Forensic Medicine Association are added to this just and opportune acknowledge.

  2. Pancreaticoduodenectomy for periampullary tumors at Dr. Cipto Mangunkusumo Hospital, Jakarta

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    Toar J.M. Lalisang

    2004-09-01

    Full Text Available We reported our experience on 31 pancreaticoduodenectomy out of 141 periampullary tumors during 1994 until 2002; 16 of them were female, and age average 17-68 years. Jaundice was the most common presenting sign; 14 patients showed plasma albumin lower than 3.5 g/dl, and 10 patients had bilirubin level more than 10 mg/dl. We performed classical Whipple technique in 17, pyloric preserving pancreaticoduodenectomy in 11, and total pancreaticoduodenectomy in 3 patients. The mean of operative time was 436 minutes (290-570 minutes. The patients were grouped into 2 periods, between 1994-1999 and thereafter. With experience, the amount of blood loss has decreased from 2000 ml to 400 ml. Histopathologic results showed adenocarcinoma of the pancreas head in 11, adenocarcinoma of the ampulla of Vater in 11, carcinoma of duodenum in 4, head of pancreas benign cyst in 2, and benign tumor in 3 patients. The surgical mortality was 4 in the first 12 patients, in contrast to only 1 in the last 19 patients. The most serious complication was pancreatic leakage in 14 patients, in 4 of them it was responsible as the cause of death. The length of stay after operation varied between 12 and 47 days. Until the end of this report 7 patients are still alive, and 4 patients lost of contact. Recurrence was detected in 13 out of 22 survivors, occurring between 4 to 24 months after operation and 12 patients died 2-3 months later. Three patients died due to other causes. We conclude that pancreoticoduodenectomy is an effective technique, and the operative mortality is decreasing. Furthermore, morbidity especially from pancreatic leakages can be treated in our hospital. (Med J Indones 2004; 13: 166-70 Keywords: operative outcome, Whipple technique, pancreatic leakage

  3. Parenteral Admixture Compatibility in Neurosurgery Ward in Prof. Dr. Margono Soekarjo Regional Public Hospital

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    Laksmi Maharani

    2014-03-01

    Full Text Available Parenteral admixtures (intravenous admixtures have been done commonly in hospitals. However, it has a possibility of failures, like incompatibilities and changes in drug stabilities. The aim of this study was to determine the rate of drug incompatibilities in mixing parenteral preparations in neurosurgery ward in Prof. Dr. Margono Soekarjo Regional Public Hospital which undergo physical incompatibility observed in organoleptic. This study was a prospective descriptive research for one month period. Data were collected and analyzed descriptively. The results showed that from 667 parenteral admixtures in neurosurgery ward in Prof Dr Margono Soekarjo Hospital in February 2010, there were 0.45% potential incompatibility and 2.55% actual incompatibility happened. Actual incompatibility shown as crystal 0.17%, sediment 0.17%, and 2.04% was non-permanent haze in phenytoin and sodium chloride or ringer lactate admixtures.

  4. Homenaje al Dr. Fernando Merino Niño

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    Lisbeth Berrueta

    2013-12-01

    Full Text Available encuentra tu pasión y hazla posible, dale un propósito a tu vida por encima de todo; que la motivación por alcanzar tus metas sea siempre mayor que el temor al fracaso” Anónimo FERNANDO MERINO NINO (1946-2011 DEDICO SU VIDA A SU PASION MÁS GRANDE: LA INVESTIGACION. Nació en España y a los 7 años de edad se mudó con su familia a Caracas, Venezuela, en donde creció y se obtuvo su título de Médico Cirujano a los 22 años de edad, en las aulas de la ilustre Universidad Central de Venezuela (UCV. Posteriormente, continuo su formación académica en Búfalo en el estado de Nueva York, USA, donde obtuvo el grado de Doctor en Ciencias y luego regresa a Venezuela e inicia su carrera como investigador en el Centro de Medicina Experimental del Instituto Venezolano de Investigaciones Científicas (IVIC y paralelamente como profesor de la UCV adscrito al Instituto Anatomopatológico de la Universidad Central de Venezuela. Fernando

  5. Indications of Tonsillectomy and Adenoidectomy in Dr. Hasan Sadikin General Hospital Bandung

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    Dini Atiyah

    2015-03-01

    Full Text Available Background: Tonsillectomy is the intervention to take out the palatine tonsils either whole or sub capsular, while adenoidectomy is the intervention of extraction of the adenoid gland which is commonly done with curettage method. Both interventions are done to eliminate repeated infections and also obstructions due to inflammation and hypertrophy of the tonsils and adenoids. This study was conducted to examine the indications of tonsillectomy and adenoidectomy in the Departement of Otorhinolaryngology and Head Neck Surgery Dr. Hasan Sadikin General Hospital Bandung in the period of January 2009–December 2011. Methods: A cross-sectional descriptive study was conducted in October–November of 2012 using 207 medical records of patients who had tonsillectomy and adenoidectomy executed in the Department of Otorhinolaryngology and Head Neck Surgery Dr. Hasan Sadikin General Hospital, Bandung in the period of January 2009–December 2011. Data collected were age, gender, main complaint, tonsil size, history of repeated infections, history of snoring as well as of Obstructive Sleep Apnea Syndrome (OSAS. The indication for tonsillectomy and adenoidectomy such as infection, obstruction and neoplasia was selected. Results: The indications of tonsillectomy and adenoidectomy were infection at 106 (51.2% patients, obstruction at 100 (48.3% patients, and neoplasia at 1 (0.05% patient. Conclusions: The most numerous indications for tonsillectomy and tonsilloadenoidectomy in the Department of Otorhinolaryngology and Head Neck Surgery Dr. Hasan Sadikin General Hospital were infection.

  6. Acceptance of Medical Resume Completion at Dr. Radjiman Wediodiningrat Lawang Psychiatric Hospital

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    Silvia Shinta Devi

    2017-02-01

    Sistem kesehatan di Indonesia mengalami perubahan besar dengan diberlakukannya program Asuransi Kesehatan Nasional. Resume medis memiliki peran penting dalam klaim asuransi kesehatan, sehingga resume medis yang terlambat dan tidak lengkap akan mengganggu proses klaim asuransi. Penelitian ini bertujuan untuk mengetahui pengaruh persepsi kemudahan penggunaan, persepsi manfaat, dan sikap pada penerimaan dokter dalam menyelesaikan resume medis. di Dr Radjiman Wedyodiningrat Psychiatric Hospital Lawang berdasarkan Technology Acceptance Model. Technology Acceptance Model digunakan sebagai model dalam penelitian ini karena resume medis merupakan salah satu bentuk teknologi informasi yang masih dilakukan secara manual. Pengumpulan data untuk penelitian ini dilakukan pada bulan Maret 2016 dengan menggunakan kuesioner yang diberikan kepada 32 dokter di Rumah Sakit Jiwa Dr Radjiman Wediodiningrat Lawang. Skala Likert lima tingkat digunakan untuk mengukur setiap item variabel. Data dianalisis dengan menggunakan Partial Least Square. Hasil penelitian menunjukan bahwa secara umum, acceptance dokter di RSJ Dr. Radjiman Wediodiningrat Lawang terhadap pengisian resume medis masuk dalam kategori ringgi dan memiliki perceived usefulness and attitude yang dalam kategori baik, sedangkan perceived ease of use dalam kategori sedang.

  7. Surveillance of nosocomial infections in Dr. Cipto Mangunkusumo National General Hospital, Jakarta, 1999-2002

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    Djoko Widodo

    2004-06-01

    Full Text Available Nosocomial infection are one of the main problem in hospital which are associated with significant morbidity, mortality and increased economic cost. Surveillance should be attempted regularly to obtain local data of incidence of nosocomial infections, types of infection, pathogen and resistance pattern. We reported the results of nosocomial surveillance in Dr. Cipto Mangunkusumo National General Hospital, Jakarta, in year 1999 to 2002. The data were obtained from surveillance, conducted by Nosocomial Infection Control Committee. Surveillance were performed to patient in risk of nosocomial infections such as underwent surgical procedure, urinary catheter, peripheral or central venous catheter, ventilator and other invasive procedure. Criteria for nosocomial infection which were used, based on technical guidelines of nosocomial infection in Dr. Cipto Mangunkusumo National General Hospital, year 1999; which referred to CDC definition of nosocomial infections. Incidence rate of nosocomial infections in year 1999, 2000, 2001 and 2002 were 1.1, 0.9, 0.6 and 0.4 % respectively. Type of nosocomial infection include catheter related, surgical wound, urinary tract and respiratory tract infections, ranged between 0 to 5.6 %. Gram negative bacteria consist of Pseudomonas sp, Enterobacter aerogenes, Escherichia coli, Proteus mirabilis were the most common nosocomial pathogen. Gram positive bacteria consist of Staphylococcus epidermidis, Staphylococcus aureus and Streptococcus anhemolyticus. Trend of increasing incidence of Gram positive nosocomial infection also showed in our surveillance. Mostly Gram negative bacteria had been resistant to penicillin, co amoxicillin-clavulanic acid and 3rd generation cephalosporin, but still sensitive to 4th generation cephalosporin and aminoglycoside. The Gram positive bacteria were still sensitive to penicillin, co amoxicillin-clavulanic acid, 4th generation cephalosporin and aminoglycoside. (Med J Indones 2004; 13: 107

  8. Herniated Nucleus Pulposus in Dr. Hasan Sadikin General Hospital Bandung Indonesia

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    Annisa Ikhsanawati

    2015-06-01

    Full Text Available Background: Herniated nucleus pulposus (HNP is one of the most common diseases of the spine. For an optimal management and prevention, there’s a need for data on factors related to the onset of complaints because this disease lowers the quality of life and increases morbidity. This study is aimed to see the scale and pattern of the HNP in Dr. Hasan Sadikin General Hospital, Bandung. Methods: This is a descriptive study with the design of case series, data was obtained from medical records of patients with the diagnosis of HNP in the inpatient care of Dr. Hasan Sadikin General Hospital in the period of 2007–2011. Results: According to the study on 79 patients, with 43 men and 36 women, the highest incidence was at the age group of 51–60 years old (31.6% and most common occupation was civil servant (11.4%. The most common clinical symptoms were sciatica (51.9% and low back pain (51.9%. Most frequent location was in the lumbar vertebrae at the level of L5–S1 (58.2%. Trauma was found to be the highest relatable history in the patients (39.2%. Therapy of choice was primarily conservative (58.2% and most patients went home after the progression (84.8%. The year 2007 showed the highest prevalence of HNP at 25.3%. The most common clinical symptoms were sciatica (51.9% and low back pain (51.9% Conclusions: The most common clinical symptoms were sciatica and low back pain. Most frequent location was in the lumbar vertebrae at the level L5–S1.

  9. Clinical features of severe malnutrition at the pediatric ward of Dr. Pirngadi Hospital Medan.

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    Barus, S T; Rani, R; Lubis, N U; Hamid, E D; Tarigan, S

    1990-01-01

    A retrospective study on severe malnutrition concerning children hospitalized at the Pediatric ward of Dr. Pirngadi Hospital, Medan from January 1 to December 31, 1988 was conducted. Patients less than five years old were included in this study. The purpose of this study was to know the incidence of severe malnutrition, its symptoms and signs, the immunization status, feeding pattern and socio-economic factors. Out of the 3370 hospitalized patients, 2453 (72.78%) were children under five years old. Of these, 312 (12%) suffered from severe malnutrition. It consisted of marasmus 131 (41.9%), marasmic kwashiorkor 94 (30.1%) and kwashiorkor 87 (27.8%). The highest incidence was found in the age group of 0-2 years (58%). Clinical manifestation of marasmus were old man face (131 or 100%), muscular hypotrophy (118 or 71.9%) and decreased subcutaneous fat (116 or 71.1%) in marasmic kwashiorkor children 46 or 50% had their hair easily picked out, 45 or 46.3% showed hyperpigmentation and 48 or 52% had pretibial edema in the kwashiorkor group 29 or 63% had moon face, 52 or 60.4% showed crazy pavement dermatosis, 77 or 51.3% had hepatomegaly and 87 or 48% pretebial edema. Moon face was seen in 29 (63%), crazy Pavement Dermatosis in 52 (60.4%), hepatomegaly in 77 (51.3%), and pretebial edema in 87 (48%) of kwashiorkor cases. The accompanying diseases were mostly diarrhea (95%) and bronchopneumonia (22%). Immunization status showed that BCG comprised 50.6%, while DPT III and OPV III in 13.7% and 10.5% respectively and measles only 0.64%. More than half (59.6%) of them were breast-fed up to 6 months.(ABSTRACT TRUNCATED AT 250 WORDS)

  10. Aeromycological study at the intensive care unit of the "Dr. Manuel Gea Gonzalez" General Hospital

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    José Manuel Ríos-Yuil

    2012-10-01

    Full Text Available INTRODUCTION: An aeromycological study verifies the presence and quantifies the concentration of fungal propagules in the air. It is very important in the hospital setting because of the increasing numbers of immunosuppressed and severely ill patients. The objective of this study was to determine the concentration of fungi in the air of the intensive care unit (ICU of "Dr. Manuel Gea González" General Hospital. METHODS: This is a descriptive, observational cross-sectional study. Air samples were obtained with a single stage Thermo-Andersen Viable Particle Sampler (Thermo Electron Corporation -Massachusetts, U.S.A. in a Petri dish with potato dextrose agar for 15 minutes at two different times (morning and afternoon and heights (1 and 1.5 meters. The Petri dishes were incubated for five to seven days at 27ºC, the number of colonies was counted, and the total CFU/m³ was determined. The isolated fungal genera were identified by morphological features. Epi Info v. 3.4.3 © was used for statistical analysis. RESULTS: The mean concentration of fungi in the air of the ICU was 85.08 ± 29.19 CFU/m³; while in the outside air it was 84.3 ± 17.23 CFU/m³ (p = 0.96. The fungi isolated were: Cladosporium spp., Penicillium spp., Aspergillus spp. (non-fumigatus, Fusarium spp., Exophiala spp., Syncephalastrum spp., and Acremonium spp. DISCUSSION: Fungal spores were found in the air of the ICU and Cladosporium spp. was the most frequently isolated fungi. There was no difference according to sampling time or height.

  11. Dr Walter Henry Anderson (1870-1937) and the mission hospital at Safed, Palestine.

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    Stokes, Gordon S

    2013-02-01

    Walter Henry Anderson, a brewer's clerk in Burton-upon-Trent, became a missionary doctor, supported by a society promoting welfare and evangelism in Jewish communities abroad. His family background was rich in pastoral ministry at home and adventure abroad. Arguably, this background played a part in his decision to serve the Jews of Safed. His life in Palestine entailed much enterprise and hardship as he raised a family, fought disease and set up a mission hospital serving not only the Jewish community but persons of all faiths. His years in Palestine, from 1894 to 1915, were times of peace in the Middle East before the turmoil unleashed by the Great War. Jews from the Diaspora were gaining an increasing foothold in Palestine, their 'Promised Land'. Themes of that era - the rise of Zionism, confrontation between Judaism and evangelical Christianity, conflict between immigrant Jew and Palestinian Arab and the remarkable travels of Lawrence of Arabia were interwoven with the lives of Dr Anderson and his family.

  12. Profile of Hand Compartment Syndrome in Dr. Hasan Sadikin General Hospital, West Java, 2008−2012

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    Kajendaran Manogaran

    2015-12-01

    Full Text Available Background: Compartment syndrome is a serious disorder caused by elevated pressure in a muscle compartment that can progress to muscle and nerve damage. This disorder can happen to anyone but more frequently in young adults. The occurrence frequency of hand compartment syndrome is relatively low. The aim of this study is to identify the profile of compartment syndrome in patients hand Methods: A descriptive study was perfomed to 15 cases that were collected from medical records from 2008-2012, in Dr. Hasan Sadikin General Hospital. The profile of the case consisted of age, sex, symptoms and signs, etiology, facsiotomy schedule after admission, length of stay and patient’s outcome. The collected data were presented using tables. Results: The study showed that 12 out of 15 cases were males and 7 out of 15 cases were 20−39 years old patients. The common clinical findings were swelling, pain, limited range of motion and normal sensibility. The faciotomy procedure was conducted 1 day after the admission with length of stay more than 1 week. The patients condition were improved after operation. Conclusions: Hand compartment syndrome is a rare case, mostly affects younger adults and male. Most of the symptoms and signs are swelling, limitation of movement, pain in the location area with normal sensibility. The faciotomy procedure is conducted 1 day after admission. The length of stay is more than 1 week with an improved outcome.

  13. Association between atopy and allergic contact dermatitis in Dr. Sardjito General Hospital Yogyakarta

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    Fitria Retno Danarti Hardyanto Soebono

    2014-04-01

    Full Text Available Association between atopy and development of allergic contact dermatitis (ACD remains controversial. T cell disfunctions in a patient with atopy complicate the process of nickel sensitization. On the other, the decrease of the skin barrier function and overexpression of Langerhans cells in the patient facilitate the sensitization.  This study aimed to evaluate the association between atopy and incidence of nickel ACD. A case-control study was carried out in Allergic and Immunology Sub Department of Dermato-Venereology Policlinic, Dr. Sardjito General Hospital, Yogyakarta, involving 54 nickel ACD patients as case group and 74 healthy subjects as control group. All subjects underwent prick test allergens i.e. house dust, dust mite, cockroach, mixed fungi, nuts and egg white. The skin reaction was considered as a positive result if a wheal diameter of at least 3 mm larger than the negative control or a minimum of half of the positive control. The relationship between atopy and the nickel ACD incidence was analyzed using Chi-Square test with confidence interval (CI of 95%. A significant association between atopy and the nickel ACD incidence was observed in this study. Subjects with atopy to  ≥1 allergen had risk of nickel ACD 3.74 higher than subjects without atopy (odds ratio/OR=3.74; 95%CI = 1.64-8.53.  Furtheremore, subjects with atopy to  ≥2 allergens had risk of nickel ACD 3.74 higher than subjects without atopy (OR=2.08; 95%CI = 1.01-4.29. In conclusion, atopy is a risk factor of nickel ACD. Key words: atopy - allergic contact dermatitis - nickel allergy – prick test – allergen

  14. Revisiting the Life and Thought of Dr. Burhanuddin al-Helmy

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    Suzy Aziziyana Saili

    2013-06-01

    Full Text Available Burhanuddin al-Helmy is the least known name in Malaysian history. However, his role and thought cannot simply be dismissed although some of it were considered as controversial, and him be labelled as radical Malay leader. But one has to browse through his life and thought in order to determine his nature of being. Dr. Burhanuddin is a man of his time, experiencing the downside of British colonization and Japanese occupation. His personal experience in India and Palestine had shaped his conviction that Malaya and the Malay world need to be independent from the British rule. An active man in politics seen especially in his involvement in PKMM (Parti Kebangsaan Melayu Malaya and Parti Islam seTanah Melayu (PAS, but what is more important is his three most prevalent ideology. He stressed on Malay nationalism; he envision it as a nationalism for independence, humanity and well being; the idea of Greater Malaya; a unification with Indonesia in which he sees it as a political unification for all Malays in the Malay world, and; the influence of Malay rulers; which he is kind of sceptic towards the Malay sultan whom he viewed as jeopardizing the interests of the people.

  15. Homenaje al Profesor Dr. Adolfo Gelsi Bidart. Entrega de título de Doctor Honoris Causa

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    Jorge Brovetto

    2015-09-01

    Full Text Available Con motivo de otorgarle al Dr. Adolfo Ge1si Bidart el título de Dr. Honoris Causa, se celebró el día 8 de octubre de 1996, un brillante y emotivo acto en el Paraninfo de la Universidad de la República. De dicho homenaje se transcribe la parte oratoria en su totalidad y las cartas enviadas por profesores extranjeros con excepción de las numerosas adhesiones enviadas por autoridades, académicos y amigos del homenajeado, tanto a nivel nacional como internacional.

  16. Gestión de la bioseguridad hospitalaria en los servicios de la salud. Estudio realizado en el servicio de emergencias urgencias del Hospital del IESS "Dr. Teodoro Maldonado Carbo", en el año 2014.

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    Macías Carpio, Mireya Martha

    2015-01-01

    La investigación presente, gestión de la bioseguridad hospitalaria en el Servicio de Emergencia del Hospital Dr. Teodoro Maldonado Carbo, tiene como objetivo analizar el cumplimiento de las medidas de bioseguridad del personal de la salud y de limpieza, según la gestión actual de manejo de la bioseguridad del hospital. Para cumplir con el objetivo, se empleó la observación directa del sitio, la entrevista al Comité de Control de Infecciones y las encuestas al personal. Durante el estudi...

  17. [Prevalence of gastrointestinal disorders in adults with common variable immunodeficiency at Specialty Hospital Dr. Bernardo Sepulveda].

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    Rodríguez-Negrete, Elda Victoria; Mayoral-Zavala, Arturo; Rodríguez-Mireles, Karen Alicia; Díaz de León-Salazar, Oscar Edmundo; Hernández-Mondragón, Oscar; Gómez-Jiménez, Luz María; Moreno-Alcántar, R; González-Virla, Baldomero

    2015-01-01

    Antecedentes: la incidencia de la inmunodeficiencia común variable (IDCV) es de 1 por cada 15,000 a 117,000 casos, sin predominio de género. La incidencia de manifestaciones gastrointestinales en estos pacientes es de 20 a 60% y pueden ser la primera y única manifestación clínica de IDCV. En México existe escasa información en relación con el tipo y frecuencia de alteraciones gastrointestinales que padecen los pacientes adultos con IDCV. Objetivo: determinar la prevalencia de alteraciones gastrointestinales en pacientes adultos con inmunodeficiencia común variable. Material y método: estudio descriptivo, observacional y transversal en el que participaron pacientes con inmunodeficiencia común variable de la Clínica de Inmunodeficiencias del Servicio de Alergia e Inmunología Clínica del Hospital de Especialidades, Centro Médico Nacional Siglo XXI. A todos los pacientes se les aplicó un cuestionario de síntomas gastrointestinales y se les realizaron estudios de laboratorio, gabinete, endoscopia y prueba de aliento para determinar sobrepoblación bacteriana. Resultados: evaluamos 17 pacientes, 8 hombres y 9 mujeres, con edad promedio de 36 años y diagnóstico definitivo de inmunodeficiencia común variable de acuerdo con criterios internacionales. El 59% refirió dolor abdominal, 53% distensión abdominal y 17.6% estreñimiento. El 47% tenía diarrea crónica, en dos de ellos (11.8%) acompañada de pujo rectal. Las enfermedades gastrointestinales de esta población fueron: 18% diarrea crónica, enfermedad celiaca y sobrepoblación bacteriana, 24% trastorno funcional digestivo, 12% estreñimiento, 6% dispepsia. Sólo un paciente (6%) no tenía síntomas gastrointestinales. Conclusión: la prevalencia de las enfermedades gastrointestinales en pacientes adultos con inmunodeficiencia común variable fue de 94%, sin predominio de género. Debido a la frecuencia de manifestaciones gastrointestinales, es importante realizar protocolos de estudio al respecto

  18. The Contribution of the Dr. Gustavo Aldereguía Lima Hospital to Medical Education in Cienfuegos, 1979-2016

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    Alfredo Darío Espinosa Brito

    2016-04-01

    Full Text Available This paper presents a historical review of the contribution of the Dr. Gustavo Alderguía Lima Hospital to the emergence and development of higher medical education in Cienfuegos, emphasizing on the early stages. It highlights the fact that, true to the provincial tradition, everything was organized, implemented and developed with our own professionals. It includes some events that demonstrate the role played by this institution, its faculty, workers in general, and undergraduate and graduate students in achieving better health and education in the province, as well as the integration with other institutions. A group of difficulties and challenges in the field of teaching faced by the hospital for almost four decades is also discussed. It is argued that the university hospital of the future in Cienfuegos must be based on the general policies of our health system, but adapting them to the local context to be consistent with Marti's dream "with all and for the good of all", bearing in mind that we have to fulfill the mandate that the hospital must be “a symbol of the health, life, and happiness of the people of Cienfuegos” and that “it is impossible to close the doors”.

  19. Video assisted thoracic surgery. Experiences in Dr. Gustavo Aldereguia Lima hospital. Cirugía torácica asistida por video. Experiencias en el HospitalDr. Gustavo Aldereguía Lima”.

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    Francisco Cabarroca Castillo

    2008-04-01

    Full Text Available Background: Video assisted thoracic surgery is an intervention which advantages should be reaffirmed through studies aimed to characterize and describe it, based on real experiences. Objective: To verify the efficacy of this kind of surgery in the department of minimal access surgery in the university hospital Dr. Gustavo Aldereguia Lima. Methods: Descriptive, retrospective study of 135 patients operated through video assisted thoracic surgery in the university hospital in Cienfuegos during a period of seven years (1998-2005. The analyzed variables were: disease that determined the intervention, goals, of the intervention, complications and post-operatory period. Results: The most frequent causes of intervention were pneumothorax, pulmonary tumors, pleural effusion and empyema. There was high accordance between pre and pos operatory diagnosis. There was a prevalence of therapeutic surgeries (55 %, over diagnostic surgeries. The pos-operatory period in the Surgery Department was less than seven days in most of the cases. Conclusion: The study’s results show that the use of this technique has a positive impact on the economic and social indicators of the province.

    Fundamento: La cirugía torácica asistida por video es un proceder cuyas ventajas deben ser reafirmadas a través de estudios que la caractericen y la describan, partiendo de experiencias reales. Objetivo: Comprobar la eficacia de la cirugía asistida por video en el Servicio de Cirugía de mínimo acceso del Hospital Universitario “Dr. Gustavo Aldereguía Lima¨. Métodos: Estudio descriptivo y retrospectivo de 135 pacientes operados mediante cirugía torácica asistida por video, en el hospital universitario “Dr. Gustavo Aldereguía Lima” de Cienfuegos, en un período de 7 años (1998-2005. Las variables del estudio fueron: enfermedad que

  20. Tratamiento de la obesidad con catgupuntura y diagnóstico oriental en el hospitalDr. Ernesto Guevara” de Las Tunas, enero- diciembre del 2012

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    Alejandro Cervantes Palomino

    2015-11-01

    Full Text Available Se realizó un estudio prospectivo longitudinal en el HospitalDr. Ernesto Guevara de la Serna”,  en el período comprendido de enero a diciembre del 2013, con un universo y muestra de 286 pacientes, que acudieron a la consulta de Medicina Natural y Tradicional de forma voluntaria, o que  fueron remitidos por otras especialidades médicas con diagnóstico de obesidad y podían o no estar acompañados de otra patología (asma, diabetes mellitus, gota, hipertensión arterial, etc.. A estos pacientes se les realizó diagnóstico oriental, para posterior tratamiento con catgupuntura, la que se aplicó en los puntos escogidos al efecto. Del total de los pacientes (193 femeninas, 93 masculinos evolucionaron de forma satisfactoria 178 y no así el resto. El grupo de edades que más acudió fue el de 26 a 35 años y este mismo grupo etario fue el que mejor respuesta al tratamiento tuvo,  poniéndose de manifiesto la efectividad de la terapia aplicada, a la que se le conjugaron dietoterapia y ejercicios.

  1. Educación, pobreza y desigualdad. Entrevista al Dr. Fernando Reimers

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    Graciela Cordero Arroyo

    1999-11-01

    Full Text Available En esta entrevista, el Dr. Reimers presenta algunos planteamientos sobre la necesidad de garantizar igualdad de oportunidades educativas para los niños de grupos sociales que están por debajo de la línea de la pobreza. Se hace un análisis de los factores escolares, familiares y sociales que afectan la igualdad de oportunidades educativas para los niños de bajos recursos en América Latina. Se presentan algunas líneas de análisis que ayudan a estructurar un marco para el diseño de políticas que puedan incrementar sus oportunidades educativas.

  2. MINIMALLY INVASIVE SPINE SURGERY IN THE NUEVO HOSPITAL CIVIL DE GUADALAJARA "DR. JUAN I. MENCHACA"

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    MIGUEL ÁNGEL ANDRADE-RAMOS

    Full Text Available ABSTRACT Objective: To describe our experience on a case series treated with minimal invasive techniques in spine surgery, with short-term follow-up and identify complications. Methods: A prospective analysis was performed on 116 patients operated on by the same team from September 2015 to June 2016. Evaluating the short-term follow-up we registered the surgical time, bleeding, complications, hospital stay, pre- and postoperatively neurological status, as well as scales of disability and quality of life. Demographic and surgical procedure data were analyzed with SPSS version 20 program. Results: A total of 116 patients with a mean age of 49.7 + 15.7 (21-85 years underwent surgery being 76 (65% with lumbar conditions and 37 (32% with cervical conditions. The most common procedures were tubular discectomies (31, tubular bilateral decompression (17, lumbar MI-TLIFs (7, and anterior cervical discectomy and fusion (35. The mean blood loss was 50.6 cc, the hospital stay was 1.7 day, pre- and postoperative pain VAS were 7.4 % and 2.3%, respectively, pre- and postoperative Oswestry (ODI were 64.6% and 13.1%, respectively, pre- and postoperative SF-36 of 37.8% and 90.3%. There were no major complications, except for a surgical wound infection in diabetic patient and three incidental durotomies, one of these being a contained fistula, treated conservatively. Conclusions: The current tendency towards minimally invasive surgery has been justified on multiple studies in neoplastic and degenerative diseases, with the preservation of the structures that support the spine biomechanics. The benefits should not replace the primary objectives of surgery and its usefulness depends on the skills of the surgeon, pathology and the adequate selection of the techniques. We found that the tubular access allows developing techniques such as discectomy, corpectomy and fusion without limiting exposure, avoiding manipulation of adjacent structures, reducing complications and

  3. Airborne Fungi in Chronic Rhinosinusitis Patients Maxillary Sinus Lavage at Dr. Saiful Anwar Hospital Malang

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    Iriana Maharani

    2016-05-01

    Full Text Available Background: Chronic rhinosinusitis has a significant impact on the quality of life and health of adult population. Role of airborne fungi remains a controversy and have become the source of discussion for decades. Objective to know the prevalence of airborne fungi in the chronic rhinosinusitis with or without polyps patients and to know the possible effect of airborne fungi on chronic rhinosinusitis inflammation. Methods: This is a cross sectional research in the Saiful Anwar Public Hospital Malang, there were 29 patients involved. We examine fungi culture, H&E staining and DNA fungi by using PCR from sinus lavage sample. From the blood serum we examine allergen specific IgE, IgG3, IL-13 and IL-5. Results: Fungi culture there were 31,03 % of sample growth but only matches the PCR result in 3 samples (10,34 %. From PCR examinations we found all sample were positive with 2-5 species fungi, Alternaria alternata was found positive in 24,13% samples. There was an increment of IgE allergen specific and IL-5, a decrement of IL-13 and IgG3 in all of our samples regardless presence of nasal polyps and species of fungi found in PCR. Conclusions: PCR is a more reliable method compare to fungal culture. The presence of fungi in all of our samples could indicate fungi contribution to the disease pathophysiology. The increased level of Il-5 was not followed by IL-13; it may happen through PRR pathway. 

  4. Reasons for inpatients not to seek clarity at Dr George Mukhari Academic Hospital, Pretoria

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    Langalibalele H. Mabuza

    2014-01-01

    Full Text Available Background: Healthcare practitioners should provide patients with information regarding their clinical conditions. Patients should also feel free to seek clarity on information provided. However, not all patients seek this clarity.Objectives: To explore the reasons inpatients gave for not seeking clarity on information that was received but not understood.Methods: This was a qualitative arm of a larger study, titled ‘Are inpatients aware of the admission reasons and management plans of their clinical conditions? A survey at a tertiary hospital in South Africa’, conducted in 2010. Of the 264 inpatients who participated in the larger study, we extracted the unstructured responses from those participants (n = 152 who had indicated in the questionnaire that there was information they had not understood during their encounter with healthcare practitioners, but that they had nonetheless not sought clarity.Data were analysed thematically.Results: Themes that emerged were that inpatients did not ask for clarity as they perceived healthcare practitioners to be ‘too busy’, aloof, non-communicators and sometimes uncertain about patients’ conditions. Some inpatients had unquestioning trust in healthcare practitioners,whilst others had experiences of bad treatment. Inpatients had poor self-esteem, incapacitating clinical conditions, fear of bad news and prior knowledge of their clinical conditions. Some inpatients stated that they had no reason for not seeking clarity.Conclusion: The reasons for not seeking clarity were based on patients’ experiences with the healthcare practitioners and their perceptions of the latter and of themselves. A programme should be developed in order to educate inpatients on effective communication with their healthcare practitioners.

  5. Resultados obstétricos y neonatales de pacientes secundigestas con antecedente de cesárea, Hospital Dr. Rafael Ángel Calderón Guardia, 2006-2007

    OpenAIRE

    Manrique Leal-Mateos; Loretta Giacomin-Carmiol; Rafael Ángel Moya-Sibaja

    2010-01-01

    Objetivo: Analizar los resultados obstétricos y neonatales de pacientes con antecedente de cesárea. Materiales y Métodos: Se realizó un estudio observacional de corte transversal. Se analizaron 306 historias clínicas de pacientes gestantes atendidas en el servicio de Obstetricia del Hospital Dr. Rafael Ángel Calderón Guardia (HCG) del 1 de enero de 2006 al 31 de diciembre de 2007. Las variables maternas relacionadas con el control prenatal fueron edad e indicación obstétrica que motivó la ces...

  6. Análisis medicolegal de las muertes ocurridas en el foco de un incendio: tragedia del Hospital Dr. Rafael Ángel Calderón Guardia en julio del 2005 Medical legal analysis of the deaths occurred in the focus of a fire: tragedy at Dr. Rafael Angel Calderon Guardia Hospital in July, 2005

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    Dra. Zarela Abarca Villalobos

    2006-09-01

    Full Text Available El pasado 12 de julio del 2005, el Hospital Dr. Rafael Ángel Calderón Guardia, uno de los principales centros médicos públicos de Costa Rica sufrió un incendio parcial en la parte más antigua de su estructura. El siniestro causó la muerte de 21 personas, 19 de ellas en el mismo sitio de la tragedia, pérdidas materiales por más de 20 millones de dólares y un menoscabo significativo al sistema hospitalario público costarricense. En el presente trabajo se analizan desde el punto de vista médico legal, este desastre y la totalidad de muertes ocurridas en focos de incendios en Costa Rica, en el período comprendido entre los años 2000 al 2005, y se establece un perfil demográfico de las víctimas, se comparan los hallazgos de las autopsias y los resultados de los exámenes complementarios solicitados. Esto con el fin de sugerir un manejo uniforme por parte del Médico Forense, frente a cadáveres recuperados de incendios, incluyendo cuerpos carbonizados y siniestros con gran número de víctimas mortales.Last July 12th 2005, in the "Dr. Calderon Guardia" Hospital, located in San José, Costa Rica, a tragic fire happened in the oldest section of its structure. This hospital is one of the main public medical centers in our country. In the fire, 21 deaths were produced: 19 of them inside the building. Also, material losses were produced for more than 20 million dollars and a serious reduction in the public hospital system in Costa Rica. In this paper, we are doing a forensic analysis about this disaster and the totality of deaths that have happened in fire focus in Costa Rica in the period between years 2000 to the 2005, in order to establish a demographic profile of the victims to compare the findings of the autopsies and the results of complementary examinations. This, with the purpose of suggesting a uniform forensic pathological handling, of the bodies recovered from fire focuses, including carbonized bodies and fires with great number

  7. Infecciones nosocomiales en la Unidad de Cuidados Intermedios del Hospital General “Dr. Ernesto Guevara de la Serna”, 2007-2011

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    Ana Maryani Gallardo Pedraza

    2015-12-01

    Full Text Available Se realizó una investigación observacional, descriptiva y retrospectiva, en la Unidad de Cuidados Intermedios del Hospital General Docente “Dr. Ernesto Guevara de la Serna” de la provincia Las Tunas, durante el período comprendido entre enero de 2007 a diciembre de 2011, con el objetivo de caracterizar el comportamiento de las infecciones nosocomiales. La muestra la constituyeron los 390 pacientes con infección hospitalaria, se identificaron y describieron algunas tasas y variables de interés. Se utilizaron fuentes primarias para la obtención de la información, y los datos fueron procesados utilizando la estadística descriptiva mediante el análisis porcentual. La Tasa de Infección Hospitalaria Global tuvo un comportamiento que no se corresponde con la media nacional, la tasa de mortalidad está disminuida, respecto al indicador establecido; según las localizaciones, el sistema respiratorio fue el más afectado; el índice de positividad de las muestras fue elevado; la cepa del germen predominante fue el Citrobacter diversus.

  8. The characteristics of HIV and AIDS patients with deep vein thrombosis at Dr. George Mukhari Academic Hospital

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    Indiran Govender

    2015-02-01

    Full Text Available Background: Deep vein thrombosis (DVT is 10 times more prevalent in HIV and AIDS patients than in the general population and is more common in patients with severe immune suppression (CD4 < 200 cells/mL. Opportunistic infections render HIV and AIDS patients susceptible to a hypercoaguable state, including lower protein S levels. Aim and setting: To present the profile of HIV and AIDS patients who developed DVT in the primary care wards of Dr. George Mukhari Academic Hospital (DGMAH, Garankuwa. Methods: Cross-sectional study of clinical records of admitted HIV and AIDS patients without DVT to the primary care wards, DGMAH, from 01 February 2010 to 31 January 2011. Results: Two hundred and twenty-nine patients were admitted and 17 (7.4% developed DVT. Of those that developed DVT, eight (47% had infection with tuberculosis (TB, four (24% had pneumonia and four (24% had gastroenteritis. The risk of developing DVT was 8/94 (8.5% in those with TB, 4/53 (7.5% in those with gastroenteritis and 4/75 (5.3% in those with pneumonia. The mean duration of stay was 14.1 days in those with DVT versus 4.0 days in those without. Conclusion: HIV (and AIDS is a hypercoaguable state and the risk of DVT is relatively high in patients with opportunistic infections. HIV and AIDS patients who are admitted to hospital with opportunistic infections may benefit from anti-thrombotic prophylaxis and further studies are needed to evaluate this.

  9. Recidivas de hemorragia digestiva alta en pacientes atendidos en el Hospital General Docente Dr. Ernesto Guevara de la Serna

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    Alina Torreblanca Xiques

    2014-11-01

    Full Text Available Se realizó un estudio descriptivo en pacientes con hemorragia digestiva alta por úlcera péptica que hicieron resangrado, con el objetivo de caracterizarlos. Se estudiaron las variables de grupos de edades y sexo afectados, los hallazgos endoscópicos, las formas de presentación, así como factores asociados. La población de estudio estuvo constituida por los 82 pacientes, que ingresaron en el servicio de gastroenterología del Hospital Provincial Docente “Dr. Ernesto Guevara de la Serna” de la provincia de Las Tunas, desde febrero 2012 a febrero del 2014. El sexo más afectado fue el masculino, predominando en la sexta década de la vida, la gastritis erosiva hemorrágica es el hallazgo endoscópico que se presentó con mayor frecuencia, siendo la cara anterior del bulbo duodenal la ubicación topográfica más afectada. La hipertensión arterial fue la enfermedad asociada a la hemorragia digestiva alta que predominó, en 45 pacientes, presentando como factor frecuente la ingestión de antiinflamatorios no estereoideos (AINES, constituyendo la melena la forma de aparición más frecuente

  10. Los modelos clásticos del Dr. Auzoux, del aula al museo

    OpenAIRE

    Gomis Blanco, Alberto; Ruiz Berdún, María Dolores

    2016-01-01

    El objetivo de este trabajo es demostrar el gran interés que suscitaron, en los docentes españoles, los modelos clásticos del médico francés Louis Auzoux, elaborados en papel maché, desde fecha muy temprana. Se ha constatado, también, la llegada a los Institutos y Universidades Españolas, en la segunda mitad del siglo XIX, de un buen nú- mero de piezas salidas de los talleres que Auzoux estableció en su localidad natal de Saint Aubin d´Ecosville en 1828. Desgraciadamente, al...

  11. Características del control prenatal y el parto de las mujeres inmigrantes atendidas en el Hospital "Dr. Rafael Ángel Calderón Guardia"

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    Manrique Leal-Mateos

    2008-06-01

    Full Text Available Justificación y objetivo: El presente estudio tiene como objetivo principal dar a conocer las características más sobresalientes del control prenatal y del parto de la población inmigrante que acude al Servicio de Obstetricia del Hospital Dr. Rafael A. Calderón Guardia, Costa Rica y comparar los resultados obtenidos con los observados en la población costarricense, con el fin de determinar si difieren entre sí. Materiales y métodos: Se realizó un estudio observacional analítico de corte transversal. Mediante un muestreo consecutivo se analizaron 360 historias clínicas de pacientes gestantes atendidas en HCG entre el 1 de agosto y 7 de septiembre de 2007. Se excluyó del análisis toda paciente que no perteneciera al área de atracción del HCG o que presentara de forma incompleta alguna de las variables de interés. La recolección de la información se realizó mediante una hoja precodificada diseñada con base la que se utiliza para el control prenatal en el sistema de salud nacional. Resultados: Aproximadamente una de cada 5 pacientes embarazadas que dan a luz en el HCG son inmigrantes. La mayor parte de ellas son de origen nicaragüense, relativamente jóvenes, multíparas y con controles prenatales adecuados. Además, presentan una morbilidad previa e inducida por el embarazo semejante a la encontrada en las gestantes nacionales. Si bien aproximadamente la mitad de las pacientes inmigrantes se captan de forma tardía y presentan una cantidad menor de consultas prenatales a la observada en las embarazadas costarricenses, este aspecto no parece influir en los resultados derivados de la atención de su parto ni en las características de los recién nacidos al momento de su nacimiento. Conclusión: Las características de la población inmigrante que da a luz en el Hospital no son diferentes a las encontradas en las mujeres costarricenses.

  12. Factores de riesgo de neumonía nosocomial en terapia intensiva. HospitalDr. Ernesto Guevara”

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    Yadira Santiesteban Escalona

    2015-11-01

    Full Text Available Se realizó un estudio analítico, de tipo caso control pareados 1:2, para determinar los factores de riesgo de neumonía nosocomial en pacientes ingresados en terapia intensiva del HospitalDr. Ernesto Guevara de la Serna” de Las Tunas, en el período de enero de 2010 a diciembre de 2011. El universo fue de 1035 pacientes ingresados en terapia intensiva (UCI, en dicho período, de ellos constituyeron la muestra, denominada “casos”, 56 pacientes que desarrollaron Neumonía Nosocomial durante su estadía en UCI. Para el “control” de los factores de confusión, por cada caso, se parearon dos pacientes sin diagnóstico de neumonía. La información se obtuvo de fuentes secundarias (historias clínicas. A los casos y a los controles se les llenó una planilla de vaciamiento de datos con las variables analizadas. Los datos se procesaron utilizando el paquete de programas estadísticos Epinfo, versión 6. Para el estudio de los factores de riesgo se realizaron análisis univariados, evaluándose: ODDS RATIO, intervalo de confianza y probabilidad. Resultaron ser factores de riesgo para presentar neumonía nosocomial: la intubación endotraqueal, los trastornos de conciencia, el aislamiento de bacilos no fermentadores, citrobacter diversus y/o klebsiella ssp., haber requerido neurocirugía, el uso de tratamiento antibiótico previo, antiácidos anti H2, nutrición parenteral y la estadía en UCI mayor de siete días.

  13. Antimicrobial Suspectibility of Bacterial Isolated from Burn Unit in Dr. Hasan Sadikin General Hospital Bandung, Indonesia from June to September 2013

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    Yodya Evila

    2015-09-01

    Full Text Available Background: Development of infection in burned patients is a crucial matter because it may increase morbidity and mortality. Factors contributing to high risk for infections are disrupted skin barrier, dysfunction of the immune system and prolonged hospitalization. Crowded hospital condition and transfer of patients from one unit to another can affect development of infection caused by environmental factors. The aim of the study was to identify the antimicrobial suspectibility of bacterial isolated from Burn Unit in Dr. Hasan Sadikin General Hospital, Bandung. Methods: A descriptive study was carried out in Burn Unit Dr. Hasan Sadikin General Hospital Bandung, Indonesia, from June to September 2013. A total of 30 environment samples were collected and cultured to identify the bacterias. Futhermore, the colonies found, underwent antimicrobial susceptibility test. Results: Most common bacteria found from the environmental samples in Burn Unit was Staphylococcus saprophyticus (24%. Other bacterias found were Klebsiella pneumonia (17%, Acinetobacter baumanii (15%, Staphylococcus epidermidis (12%, Bacillus sp.(12%, Pseudomonas sp.(7%, Staphylococcus aureus (5%, Enterobacter aerogenes (5% and Serratia sp. (2%. Some bacteria still had good sensitivity to antibiotics while the Enterobacteriaceae were almost completely resistant to antimicrobial used in the study. Conclusions: The most common bacteria found from the environment samples in Burn Unit is Staphylococcuss aprophyticus. Additionally, Klebsiella pneumoniae as one of the Enterobacteriaceae groups, appears as an emerging hospital associated infection pathogen with their resistant to many antimicrobials.

  14. Determinación de HLA en pacientes con Síndrome de Parry Romberg atendidos en el Servicio de Cirugía Plástica y Reconstructiva del Hospital General "Dr. Manuel Gea González"

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    Damián Palafox

    Full Text Available Introducción y Objetivo. El síndrome de Parry Romberg se caracteriza por atrofia hemifacial progresiva; afecta piel y tejidos blandos y en ocasiones provoca también atrofia de músculos, cartílago y estructuras óseas subyacentes. Su diagnóstico diferencial incluye: esclerodermia generalizada, morfea y síndrome de CREST. Las alteraciones en piel se asocian con variantes alélicas (polimórficas del sistema HLA (antígeno leucocitario humano. La esclerodermia se ha asociado con HLA DR11, el CREST con DR1 y DR3, en tanto que la morfea no parece asociarse a genes del HLA en población mexicana. El propósito de este trabajo es explorar la posibilidad de asociación del síndrome de Parry Romberg con algún alelo del sistema HLA con el fin de entender el mecanismo fisiopatogénico y el probable papel de la etnicidad en la prevalencia e incidencia de esta enfermedad en individuos mestizos mexicanos. Material y método. Estudiamos 24 pacientes con Parry Romberg, de la consulta externa de Cirugía Plástica y Reconstructiva del Hospital General "Dr. Manuel Gea González" de la Ciudad de México. El diagnóstico se basó en hallazgos clínicos, imagenología e histopatología de las lesiones dérmicas. Establecimos las frecuencias génicas y haplotípicas de los antígenos del sistema HLA en los 24 pacientes (48 haplotipos. El estudio incluyó los loci HLA A, B, DR, DQ. Comparamos los resultados con las frecuencias presentes en un grupo de 99 controles mestizos mexicanos sin antecedentes de enfermedades autoinmunes y/o metabólicas. Analizamos las diferencias en las frecuencias génicas mediante estadística no paramétrica que incluyó prueba de Chi cuadrado y exacta de Fisher, además de determinación de RM (razón de momios e intervalos de confianza de 95%. Resultados. Encontramos en los pacientes con Parry Romberg aumento significativo del HLA DRB1*16 (frecuencia génica: 14% en SPR vs 1% en normales. p=0.002, OR: 6.5, IC 95%: 1.9-21.7 y

  15. Dr. Daniel Carter

    Science.gov (United States)

    1998-01-01

    Dr. Daniel Carter, president of New Century Pharmaceuticals in Huntsville, Al, is one of three principal investigators in NASA's microgravity protein crystal growth program. Dr. Carter's experties is in albumins. Albumins are proteins in the bloodstream that transport materials, drugs, nutrients, and wastes. Photo credit: NASA/Marshall Space Flight Center

  16. Educational process in the Orthopedics and Traumatology Service; twenty six years later, University HospitalDr. Gustavo Aldereguía Lima”

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    Félix Rafael Rodríguez Fernández

    2009-03-01

    Full Text Available With this small historical review we want to acknowledge the work of a group of professors who began teaching at a very young age, since the founding of Higher Medical Teaching in the Medical school Raúl Dorticós Torrado in Cienfuegos, and in the Orthopaedics and Traumatology Service in the University hospital Dr. Gustavo Aldereguía Lima. The first group of Pre and Post Graduated courses began in September, 1st 1982, with the arrival of the first group of fifth year of Medicine from Santa Clara Medical School and the beginning of the residency by Dr. Eduardo Sarmiento Sánchez after an educational accreditation of the Service by a National Commission headed by Professor René Lorie Pérez.

  17. Trombosis de senos durales: casuística del Hospital Dr. Rafael Angel Calderón Guardia, período 1996-1999

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    Kwok Ho Sánchez-Suen

    2001-10-01

    Full Text Available Justificación: La oclusión trombótica de las venas cerebrales o senos durales es una causa menos frecuente de enfermedad cerebrovascular que la trombosis arterial. Sin embargo; los estudios epidemiológicos indican que esta entidad no es tan inusual como o ser pensaba previamente. Hasta donde sabemos, no hay ningún estudio publicando al respecto en la literatura nacional, siendo precisamente el motivo del presente trabajo. Objetivos: Identificar las características demográficas, clínicas y diagnósticas de los pacientes que sufrieron una trombosis de senos venosos durales. Describir los métodos terapéuticos empleados y la evolución que tuvieron estos pacientes. Materiales y métodos: Se revisaron los expedientes clínicos de 11 casos diagnosticados de trombosis de senos durales en el Hospital Dr. Rafael Ángel Calderón Guardia, en el período comprendido entre enero de 1996 a enero de 1999. Se analizaron los posibles factores de riego, formas de presentación clínica, estudios de radio imagen y tratamiento empleado. Resultados: El promedio de edad fue de 32,6 años. Un 18,2% fueron varones, mientras que el 81,8% correspondió a mujeres. Las manifestaciones más frecuentes fueron: cefalea (100%, vómito (91%, déficit motor 882%, alteración del sensorio (73%, papiledema (54,5%, crisis convulsiva (54,5% y datos de irritación meníngea (36,4%: el signo del delta vacío se documentó en 27,3% de los estudios tomográficos. El seno sagital superior fue el más frecuentemente afectado (91%. Se anticoaguló con heparina intravenosa al 54, 5% de los casos. Conclusiones: Aunque somos conscientes de las limitaciones de nuestra serie, nuestra intención ha sido llamar la atención sobre una patología vascular cerebral, que aunque no es tan frecuente como su contraparte arterial, debe tenerse en consideración por sus potenciales efectos sobre la salud del paciente. El conocimiento adecuado de esta condición es importante, debido a que a

  18. Survival in patients with acute non-lymphoblastic leukemia at the "Dr. Gustavo Aldereguía Lima". Hospital. A ten years experience

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    Rafael Alejandro Gómez Baute

    2010-11-01

    Full Text Available Background: acute non-lymphoblastic leukemias account for 80% of leukemias in adults. Its incidence increases with age up to 20 per 100 000 in over 70 years old patients. Objective: To characterize the survival of patients with acute non-lymphoblastic leukemia at the "Dr. Gustavo Aldereguía Lima " Hospital of Cienfuegos. Methods: A case series which included all patients who underwent diagnosis of acute non-lymphoblastic leukemia between 1999 and 2010 at the Hospital of Cienfuegos. Data were obtained from the record book of hematological malignancies from the Oncohematology Department. Such variables like age, sex, morphological variant of the leukemia, incidence per year and overall survival were analyzed according to sex, morphological variant, origin, age and bone marrow transplant. Results: The average age of the studied series was 55 years old . Males were predominant with 55 cases. The most common morphological variant was the myelomonocytic. Overall survival of the series was 20% with a median follow-up of 60 months. Overall survival was slightly higher in females (25% vs 18%. The patients who underwent some form of transplant had a better survival (75% vs 13%. Conclusions: The survival of patients with acute non-lymphoblastic leukemia at the "Dr. Aldereguía Gustavo Lima" Hospital is very limited.

  19. EVALUACIÓN DE LAS COMPETENCIAS LABORALES Y SU INFLUENCIA EN LA CALIDAD DEL SERVICIO DEL HOSPITALDR. MARIO MUÑOZ MONROY”

    OpenAIRE

    Lázaro Quintana Tápanes; Yadney Miranda Lorenzo; Varna Hernández Junco

    2009-01-01

    En el artículo se identifican, evalúan las competencias laborales a nivel organizacional, de procesos clínicos – quirúrgicos y se determina su influencia en la calidad del servicio del HospitalDr. Mario Muñoz Monroy”. Se elaboran los perfiles de competencias correspondientes y se calcula el indicador desviación compe...

  20. Infecciones nosocomiales en la Unidad de Cuidados Intermedios del Hospital General “Dr. Ernesto Guevara de la Serna”, 2007-2011

    OpenAIRE

    2015-01-01

    Se realizó una investigación observacional, descriptiva y retrospectiva, en la Unidad de Cuidados Intermedios del Hospital General Docente “Dr. Ernesto Guevara de la Serna” de la provincia Las Tunas, durante el período comprendido entre enero de 2007 a diciembre de 2011, con el objetivo de caracterizar el comportamiento de las infecciones nosocomiales. La muestra la constituyeron los 390 pacientes con infección hospitalaria, se identificaron y describieron algunas tasas y variables de interés...

  1. Tratamiento de la obesidad con catgupuntura y diagnóstico oriental en el hospitalDr. Ernesto Guevara” de Las Tunas, enero- diciembre del 2012

    OpenAIRE

    2015-01-01

    Se realizó un estudio prospectivo longitudinal en el HospitalDr. Ernesto Guevara de la Serna”,  en el período comprendido de enero a diciembre del 2013, con un universo y muestra de 286 pacientes, que acudieron a la consulta de Medicina Natural y Tradicional de forma voluntaria, o que  fueron remitidos por otras especialidades médicas con diagnóstico de obesidad y podían o no estar acompañados de otra patología (asma, diabetes mellitus, gota, hipertensión arterial, etc.). A estos pacientes ...

  2. Acalasia, experiencia de 6 años. Hospital "Dr. Rafael Ángel Calderón Guardia" (2001-2007)

    OpenAIRE

    Viviana Hernández-de Mezerville; Edgar Izquierdo-Sandí; Gerardo Avendaño-Alvarado; Ricardo Barahona-García; Alessia Ávalos-Giugliarelli; Rolando Páez-Sáenz; Rigoberto Salas-Aguilar

    2009-01-01

    Objetivos: Caracterizar la población de pacientes vistos con esta entidad en el Hospital "Dr. Rafael Angel Calderón Guardia" durante los últimos 6 años y determinar su presentación clínica, método(s) de diagnóstico utilizado (s), tratamiento brindado y evolución durante el primer año postratamiento. Materiales y métodos: Se analizaron los expedientes clínicos de hospitalización de los pacientes con acalasia atendidos desde enero de 2001 hasta enero de 2007; luego se revisaron las notas de evo...

  3. CONOCIMIENTO DE LA LEY GENERAL DE SALUD RESPECTO DE LAS TRANSFUSIONES SANGUÍNEAS EN MÉDICOS Y PACIENTES TESTIGOS DE JEHOVÁ DEL HOSPITAL DR. DARÍO CONTRERAS DE REPÚBLICA DOMINICANA

    OpenAIRE

    Díaz Santana,Elsa

    2010-01-01

    Este estudio evalúa hasta qué grado el cuerpo médico del Hospital Dr. Darío Contreras de República Dominicana conoce, respeta, informa y aplica la Ley General de Salud, con relación al derecho del paciente Testigo de Jehová de negarse a ser transfundido (respeto a su autonomía). También si los Testigos de Jehová conocen la Ley General de Salud y hasta qué grado se han beneficiado con la puesta en marcha de la misma. El estudio reveló que ni médicos ni Testigos de Jehová conocen suficientement...

  4. Protocolo de tratamiento de cicatrices queloides en el pabellón auricular del Hospital General Dr. Manuel Gea González Treatment protocol of auricular keloid scars in the General Hospital Dr. Manuel Gea González

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    C. Gutiérrez Gómez

    2012-03-01

    Full Text Available Las cicatrices queloideas son una de las patologías de más difícil tratamiento por el alto porcentaje de recidivas que presentan, hasta un 100 % en tratamientos únicos y un 50 % en tratamientos combinados. El pabellón auricular es un blanco frecuente de esta patología. Presentamos el protocolo de tratamiento empleado en nuestro hospital en los últimos 6 años con terapia combinada en 51 pacientes y 64 pabellones auriculares afectados por queloides. Aplicamos de forma preoperatoria 3 dosis de triamcinolona o betametasona intralesional, con diferencia de 4 a 6 semanas entre dosis y 4 semanas después de la última dosis, realizamos resección de la cicatriz dejando piel suficiente para el cierre sin tensión. En los pacientes que presentaban antecedente de resección quirúrgica se añadió al tratamiento el uso de colchicina, comenzando el día de la cirugía y manteniéndolo durante 8 semanas, a dosis de 1 mg. al día, con control de pruebas de función hepática pre y postratamiento. En el 74.5 % de los casos la cicatriz queloide fue unilateral; el 56.8 % de los pacientes fueron mujeres; las edades fluctuaron entre los 8 y los 61 años con una media de 24 años de edad. En el 65 % de los casos el queloide se presentó en el pabellón auricular derecho y en cuanto a su localización dentro del mismo, el 42 % se presentó en el lóbulo. La causa en el 56 % de los casos fue por perforación. El 18.6 % de las cicatrices tratadas cedieron con la infiltración intralesional; de las 48 cicatrices que recibieron tratamiento quirúrgico, hubo recidiva en el 12.5 % (6 cicatrices, con un seguimiento de entre 8 meses a 6 años.Keloid scars are one of the most difficult pathologies to treat because its high rate of recurrence, from 100 % with single treatment to 50 % with combined therapy. The auricle is a frequent localization of keloids. We report our experience in the last 6 years with combined therapy in 51 patients and 64 auricles with keloid

  5. Leiomioma esofágico: Experiencia con diez casos operados en el "Hospital Dr. Rafael Ángel Calderón Guardia"

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    Giovanna Mainieri-Breedy

    2012-09-01

    Full Text Available Objetivo: informar la experiencia adquirida con la cirugía para leiomiomas esofágicos en el Servicio de Cirugía de Tórax del Hospital Dr. R. A. Calderón Guardia. Métodos: durante el período de 12 años comprendido entre 1999 y 2011, fueron referidos 14 pacientes con tumores submucosos del esófago al Servicio de Cirugía de Tórax del Hospital Calderón Guardia. En cuatro pacientes asintomáticos con tumores pequeños se decidió observar, y diez fueron operados, confirmándose el diagnóstico histológico de leiomioma. Previa autorización del Comité de Ética del Hospital, se revisaron los expedientes clínicos, analizando las características personales, los síntomas, los métodos de diagnóstico, el tratamiento quirúrgico y la evolución de los pacientes operados. Resultados: se encontró que de los diez pacientes operados, ocho fueron varones, en edades entre los 38 y 71 años, con un promedio de 56 años. El síntoma principal fue disfagia, pero en 3 casos el tumor fue un hallazgo incidental de una endoscopia de rutina. El método de detección en todos los casos fue la endoscopia en la que se describió un tumor submucoso o una compresión extrínseca de la pared esofágica. El ultrasonido endoscópico se correlacionó con un tumor originado en la cuarta capa, posible leiomioma. En dos casos, debido a las dimensiones de la lesión, se planteó la posibilidad de malignidad. La tumoración se intervino en nueve casos por toracotomía y en uno, por laparotomía. En 7 casos se enucleó sin que se abriera la mucosa, en dos se realizó esofagectomía parcial con anastomosis y parche de diafragma, y en un caso, excepcional, la tumoración se extendía desde el esófago cervical hasta la unión esófago-gástrica, de manera que se realizó una esofagectomía total, con ascenso gástrico y anastomosis cervical. No hubo ningún caso de mortalidad. Un paciente presentó una pequeña fuga de la anastomosis, la cual resolvió espont

  6. Body Mass Index and Western Ontario & McMaster Universities Osteoarthritis Index in Patients with Knee Osteoarthritis in Dr. Hasan Sadikin General Hospital, Bandung in November 2012

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    Ainna Binti Mohamad Dat

    2015-09-01

    Full Text Available Background: Osteoarthritis is one of the major disabilities among elderly. One of its well-recognized potent risk factors is obesity. The aim of this study was to identify the body mass index and severity of knee osteoarthritis patients who were treated in Dr. Hasan Sadikin General Hospital Bandung. Methods: A descriptive study was carried out to 9 patients of the Medical Rehabilitation Policlinic at Dr. Hasan Sadikin General Hospital Bandung in November 2012. Patients were diagnosed as having knee Osteoarthritis based on American College of Rheumatology clinical classification. Exclusion criteria were patient having previous trauma in spine and lower limb, having bleeding disorder like hemophilia, incomplete data in medical records and incomplete data in questionnaire. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC was used to measure the intensity of pain, stiffness, and functional difficulty. The weight (kg and height (cm of the patients were measured and the Body Mass Index was calculated by Weight (kg/Height² (m. The data were analyzed using frequency distribution. Results: The patients who came to the Medical Rehabilitation Policlinic had ranged in age from 57 to78 years, mostly female with knee Osteoarthritis bilateral. Out of 9 patients, 5 patients were overweight, followed by normal BMI and obese type I. Patient with obese type 1 had the highest WOMAC score. Conclusions: Most of the patients with knee osteoarthritis bilateral are overweight and the patient with obese type 1 has the highest WOMAC score.

  7. Visions of Knowledge a Nurse about the Triage System in Health Services at Emergency Care Unit at General Hospital Dr Wahidin Sudirohusodo Makassar

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    Ismail

    2016-01-01

    Full Text Available Triage is a special process to select the patients based on the severity of injury or illness to determine what type of emergency care would be done immediately. This study is aimed to describe the nurse's knowledge about the health care system of triage in the emergency department at General Hospital (dr Wahidin Sudirohosodo Makassar. This research is a quantitative research using descriptive design where the design of this study, researcher will describe the nurse's knowledge about the system triage in health care in the emergency department. Sampling of this research is study using incidental sampling technique that is done by taking a case or respondents existing or available at the time of the study. Results show Obtained 16 respondents. Excel data collection and statistical program (SPSS. Data analysis using frequency distribution and percentage. The results of data analysis showed that out of 16 respondents nurses meticulous 14 respondents (87.5% both knowledgeable and just 2 respondents (12.5% were less knowledgeable about the triage system in the ministry of health of the patients. Conclusions of this study are that nurses in the emergency department Hospital. DR. Wahidin Sudirohusodo Makassar mostly gains good knowledge about triage system in emergence patient care.

  8. Comentarios al Trabajo del Académico Dr. Ernesto Bustamante Z. sobre “Agresión”

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    Efraim Otero Ruiz

    1992-06-01

    Full Text Available

    Señores académicos, señoras, señores:

    Quiero ante todo congratular al académico Bustamante Zuleta por esta nueva incursión en el tema de la agresión, tema que, por la misma situación convulsionada que vive el país, ha sido de gran interés para esta Academia en los últimos lustros. Esta vez hemos oído las opiniones de alguien que, aunque proveniente de la neurología y la neurocirugía, es además un reflexivo filósofo y un acertado analista del comportamiento humano.

    Por eso no es de extrañar que, en la primera parte de su trabajo, se dedique a analizar los móviles de la agresi6n y de la violencia humanas, yendo desde las culturas más primitivas, cuando el hombre se convirti6 en predador de sus semejantes o en el “horno homini lupus” de Hobbes, hasta la conducta agresiva y la violencia que vivimos en nuestros días y en que los m6viles pueden ser políticos, econ6micos, sociales o religiosos, acompañados de lo que él denomina la “regresión social” en el sentido que le da Elliot en su tratado de Neuropsiquiatria.

    Uno de los problemas que tiene que abocar quien enfrenta estos temas es la definición misma del término “agresión” o “conducta agresiva”: ya en su presentación hace un año en esta Academia el psicobiologo sevillano Jesús Martín Ramírez nos señalaba la diferencia entre idiomas como el inglés y el español y la cantidad de definiciones que habían hecho decir a Johnson, que “el término agresi6n lo han hecho significar tantas cosas que, en realidad, lo que han hecho es hacerle perder su significado”. Infortunadamente el trabajo del Dr. Martín Ramírez (que esperamos sea publicado muy pronto en el volumen de “Temas Médicos” pr6ximo a aparecer era tan extenso y escrito en un lenguaje tan técnico que mucho de él se perdi6 al tratar el autor de resumirlo para su presentaci6n en esta Academia.

    De todas maneras, como lo podrá comprobar quien lo lea despacio, su

  9. Educational process in the Orthopedics and Traumatology Service; twenty six years later, University HospitalDr. Gustavo Aldereguía Lima” Docencia en el Servicio de Ortopedia y Traumatología. Veintiséis años después en el Hospital Universitario "Dr. Gustavo Aldereguía Lima" de Cienfuegos.

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    Yanet María Rodriguez Pena

    2009-03-01

    Full Text Available With this small historical review we want to acknowledge the work of a group of professors who began teaching at a very young age, since the founding of Higher Medical Teaching in the Medical school Raúl Dorticós Torrado in Cienfuegos, and in the Orthopaedics and Traumatology Service in the University hospital Dr. Gustavo Aldereguía Lima. The first group of Pre and Post Graduated courses began in September, 1st 1982, with the arrival of the first group of fifth year of Medicine from Santa Clara Medical School and the beginning of the residency by Dr. Eduardo Sarmiento Sánchez after an educational accreditation of the Service by a National Commission headed by Professor René Lorie Pérez. Pretendemos con este modesto recuento histórico prospectivo, reconocer la labor desarrollada de un grupo de profesores que comenzaron siendo muy jóvenes desde la fundación de la docencia médica superior en nuestra Facultad de Ciencias Médicas Dr. Raúl Dorticos Torrado de Cienfuegos. En el Servicio de Ortopedia y Traumatología del Hospital Universitario Dr. Gustavo Aldereguia Lima, de Cienfuegos, la primera expresión de formación de Pre y Post Grado comenzó el 1ro. de Septiembre de 1982, con la llegada del primer grupo de 5to. año de Medicina proveniente del la Escuela de Medicina de Santa Clara, y el comienzo de la residencia por el Dr. Eduardo Sarmiento Sánchez, previa acreditación docente del Servicio por una Comisión Nacional encabezada por el Profesor René Lorie Pérez.

  10. Trombosis de senos durales: casuística del Hospital Dr. Rafael Angel Calderón Guardia, período 1996-1999

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    Kwok Ho Sánchez-Suen

    2001-10-01

    Full Text Available Justificación: La oclusión trombótica de las venas cerebrales o senos durales es una causa menos frecuente de enfermedad cerebrovascular que la trombosis arterial. Sin embargo; los estudios epidemiológicos indican que esta entidad no es tan inusual como o ser pensaba previamente. Hasta donde sabemos, no hay ningún estudio publicando al respecto en la literatura nacional, siendo precisamente el motivo del presente trabajo. Objetivos: Identificar las características demográficas, clínicas y diagnósticas de los pacientes que sufrieron una trombosis de senos venosos durales. Describir los métodos terapéuticos empleados y la evolución que tuvieron estos pacientes. Materiales y métodos: Se revisaron los expedientes clínicos de 11 casos diagnosticados de trombosis de senos durales en el Hospital Dr. Rafael Ángel Calderón Guardia, en el período comprendido entre enero de 1996 a enero de 1999. Se analizaron los posibles factores de riego, formas de presentación clínica, estudios de radio imagen y tratamiento empleado. Resultados: El promedio de edad fue de 32,6 años. Un 18,2% fueron varones, mientras que el 81,8% correspondió a mujeres. Las manifestaciones más frecuentes fueron: cefalea (100%, vómito (91%, déficit motor 882%, alteración del sensorio (73%, papiledema (54,5%, crisis convulsiva (54,5% y datos de irritación meníngea (36,4%: el signo del delta vacío se documentó en 27,3% de los estudios tomográficos. El seno sagital superior fue el más frecuentemente afectado (91%. Se anticoaguló con heparina intravenosa al 54, 5% de los casos. Conclusiones: Aunque somos conscientes de las limitaciones de nuestra serie, nuestra intención ha sido llamar la atención sobre una patología vascular cerebral, que aunque no es tan frecuente como su contraparte arterial, debe tenerse en consideración por sus potenciales efectos sobre la salud del paciente. El conocimiento adecuado de esta condición es importante, debido a que a

  11. Experiencia de la Clínica de Traqueostomía del Hospital Nacional de Niños "Dr. Carlos Sáenz Herrera", enero 2003 - julio 2007 Experience of the Tracheostomy Clinic of the National Children Hospital "Dr. Carlos Saenz Herrera", January 2003- July 2007

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    Inés Gutiérrez-Gutiérrez

    2009-12-01

    Full Text Available Justificación: La traqueostomía ha sido realizada en un grupo grande de pacientes pediátricos, pero no hay estudios nacionales publicados. El objetivo de esta investigación es describir las características epidemiológicas y clínicas de la población traqueostomizada, en el periodo de estudio, para mejorar, con base en los hallazgos, las pautas generales de manejo. Materiales y métodos: Se efectuó una revisión retrospectiva de la población traqueostomizada desde 2003 hasta el primer semestre de 2007, para cuantificar la realización de las traqueostomías, historial de hospitalizaciones, uso de tratamiento profiláctico, historial de decanulaciones, decanulaciones fallidas, causa de muerte y clasificación técnica de la población atendida en la Clínica de Traqueostomía del Hospital Nacional de Niños "Dr. Carlos Sáenz Herrera". Se incluyeron 50 casos que acudieron al menos a una consulta durante el periodo de estudio, y se recopilaron los datos de edad, sexo, causa de realización de traqueostomía, complicaciones post traqueostomía, gérmenes causales de infección local, tratamiento, patologías asociadas, costos del equipo y materiales para el egreso. Resultados: En promedio se realizaron 28 traqueostomías anuales. El grupo etario al que se colocaron más traqueostomías fue de 1 a 3 años, con predominio en el sexo masculino (M: F, 11:6; un 36% se efectuó a causa de parálisis cerebral infantil; se decanuló al 33% de los pacientes; hubo un 15% de decanulaciones fallidas. La mortalidad ocurrió en un 20% de los pacientes, por causas no relacionadas con la traqueostomía. El germen más frecuente causante de infección fue Pseudomona Aureoginosa (54%. El 22% de los pacientes con cultivos positivos utilizaron antibióticos profilácticos. Un 16% de los pacientes fue hospitalizado por problemas asociados con la traqueostomía. En el 88% de los casos las cuidadoras fueron las madres, y de ellas, el 72% eran casadas y el 56% ten

  12. Adherence to good practices in membrane premature rupture. Perinatology Service. University HospitalDr. Gustavo Aldereguía Lima”, Cienfuegos city. From January to December 2002. Adherencia a buenas prácticas en rotura prematura de membranas. Servicio Perinatología. Hospital "Dr. Gustavo Aldereguia Lima". Cienfuegos. Enero- diciembre 2002.

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    Yosleidy Capote Fragoso

    2004-12-01

    Full Text Available Fundament:Nursing good practice demands standardizationof care,in such a way that they guide and unite the different ways of performance. Objetive: to determine the adherence of the care plan to the guide of good nursing practice in the premature rupture of the membranes and the level of the staff for the level of preparation for its performance in the Service of Perinatology. Methods: Descriptive, correlational and prospective study applied to 622 pregnant women admitted at the Perinatology Service of ¨Dr. Gustavo Aldereguía Lima¨ Hospital from Cienfuegos province who had a rupture of the membrane. 311 patients (50% of the universe, selected with probabilistic simple randomized way, without exclusive criteria were studied. Adherence was measured by using evaluation means. Results:43 % of the assessed clinical records, received between 95 and 100 points . Among the 16 nurses evaluated , 43,7 % had difficulties, being 25 % technicians.

    Fundamento:Las buenas prácticas de enfermería exigen la estandarización de los cuidados, de modo que guíe y unifique los diferentes modos de actuación. Objetivo: Determinar la adherencia del plan de cuidado a la guía de la buena práctica de enfermería en la rotura prematura de membranas y el grado de preparación del personal para su realización en el Servicio de Perinatología.Métodos: Estudio descriptivo, correlacionar y retrospectivo realizado en un universo de 622 gestantes ingresadas en el Servicio de Perinatología del Hospital ¨Gustavo Aldereguía Lima¨ de Cienfuegos con rotura prematura de membranas, del que se tomó una muestra de 311 pacientes, el 50 % del universo, escogidas por el método probabilistico al azar simple por sorteo, sin criterios de exclusión. La adherencia fue medida a través de instrumentos de

  13. Response to Dr. Moya’s Comments to Article by Thoene M et al., Nutrients 2016, 8, 451

    Science.gov (United States)

    Thoene, Melissa; Anderson-Berry, Ann

    2016-01-01

    This reply is a supplementary addition to our previous article entitled “Comparison of a Powdered, Acidified Liquid, and Non-Acidified Liquid Human Milk Fortifier on Clinical Outcomes in Premature Infants” as published in Nutrients in July 2016. It provides a response to a comment made by Dr. Fernando Moya to this original article, so the purpose of this is to compare and contrast various perspectives between researchers conducting nutrition research in the preterm infant population. It specifically focuses on human milk fortification and subsequent outcomes. PMID:27999276

  14. Adherence to good practices in membrane premature rupture. Perinatology Service. University HospitalDr. Gustavo Aldereguía Lima”, Cienfuegos city. From January to December 2002.

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    Yusimi Miranda Pérez

    2004-12-01

    Full Text Available Fundament:Nursing good practice demands standardizationof care,in such a way that they guide and unite the different ways of performance. Objetive: to determine the adherence of the care plan to the guide of good nursing practice in the premature rupture of the membranes and the level of the staff for the level of preparation for its performance in the Service of Perinatology. Methods: Descriptive, correlational and prospective study applied to 622 pregnant women admitted at the Perinatology Service of ¨Dr. Gustavo Aldereguía Lima¨ Hospital from Cienfuegos province who had a rupture of the membrane. 311 patients (50% of the universe, selected with probabilistic simple randomized way, without exclusive criteria were studied. Adherence was measured by using evaluation means. Results:43 % of the assessed clinical records, received between 95 and 100 points . Among the 16 nurses evaluated , 43,7 % had difficulties, being 25 % technicians.

  15. EFFECTS OF CARDIOVASCULAR REHABILITATION IN PATIENTS ADMITTED TO THE “Dr Benedek Geza” Hospital of Rehabilitation IN CARDIOVASCULAR Diseases, COVASNA

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    Suceveanu Mihaela

    2015-02-01

    Full Text Available Background. Cardiovascular rehabilitation is an important objective of the treatment of cardiovascular patients in general, and ischemic heart disease patients in particular. The aim of the study is to monitor the effects of long-term cardiovascular rehabilitation in patients readmitted to the “Dr Benedek Geza” Hospital of Rehabilitation in Cardiovascular Diseases Covasna. Material and methods. The study included 92 patients with a mean age of 66.31±9 years, of which 63% women, who had two successive admissions to the “Dr Benedek Geza” Hospital of Rehabilitation in Cardiovascular Diseases, Covasna. At both admissions, all patients were evaluated for the presence of the main cardiovascular risk factors. All patients attended cardiovascular rehabilitation programs, including physical training, climatotherapy, CO2 baths, mofette therapy, aerotherapy, electrotherapy .. We mention that cardioprotective therapy (aspirin, angiotensin enzyme converting inhibitors, beta-blockers and statins did not undergo major changes from one admission to the other. Results. More than half of the patients had the following risk factors: hypertension - 79.35%, dyslipidemia - 64.13%, overweight and obesity - 76.4%. The complex rehabilitation programs attended by the patients consisted of physical training - 33.7%, CO2 baths - 85.9%, mofette therapy - 53.3%, aerotherapy - 96.7%, electrotherapy - 88%. A comparison of the main cardiovascular risk factors during both admissions showed no significant differences between these, except for LDL-cholesterol (3.151.26 vs 2.581.65 mmol/dl, p=0.004 and HDL-cholesterol (1.06±0.61 vs 1.194±0.41 mmol/dl, p=0.075 In conclusion, in cardiovascular patients, obtaining improvements of cardiovascular risk factors requires long-term cardiovascular rehabilitation programs, in parallel to the application of measures for lifestyle change and for secondary drug prevention.

  16. Dr. House: Patología Dual en el Médico

    OpenAIRE

    Bellina, Mariano A.; Braquehais, Maria Dolores

    2012-01-01

    [ES] Dr. House es una serie dramática estadounidense cuyo personaje central es el Dr. Gregory House, médico que dirige una unidad de diagnóstico (con otros tres doctores) en el Hospital Universitario Princeton‐ Plainsboro, en Nueva Jersey. Dr. House utiliza un proceso lógico especial como base para llegar al diagnóstico. La Unidad que dirige el Dr. House trata pacientes que han sido evaluados previamente por otros doctores sin haber alcanzado un diagnóstico. Los diagnósticos oscil...

  17. Resultados obstétricos y neonatales de pacientes secundigestas con antecedente de cesárea, Hospital Dr. Rafael Ángel Calderón Guardia, 2006-2007

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    Manrique Leal-Mateos

    2010-03-01

    Full Text Available Objetivo: Analizar los resultados obstétricos y neonatales de pacientes con antecedente de cesárea. Materiales y Métodos: Se realizó un estudio observacional de corte transversal. Se analizaron 306 historias clínicas de pacientes gestantes atendidas en el servicio de Obstetricia del Hospital Dr. Rafael Ángel Calderón Guardia (HCG del 1 de enero de 2006 al 31 de diciembre de 2007. Las variables maternas relacionadas con el control prenatal fueron edad e indicación obstétrica que motivó la cesárea anterior. Las variables relacionadas al parto fueron edad gestacional, tipo de parto, complicaciones obstétricas y días hospitalización. Las variables neonatales fueron peso al nacer, Apgar a los 5 minutos, complicaciones neonatales, necesidad de reanimación neonatal y de hospitalización del recién nacido y días de hospitalización. Resultados: El 59,1% de las pacientes analizadas sometidas a prueba de parto tuvieron un parto vaginal exitoso. El porcentaje de complicaciones maternas fue significativamente mayor en el grupo de pacientes a las que se les realizó cesárea intraparto. La ruptura uterina se presentó en el 1,3% Ninguna madre o producto falleció como consecuencia de esta complicación. El porcentaje de complicaciones neonatales fue semejante entre los grupos. No obstante, la necesidad de reanimación neonatal fue significativamente mayor en los productos de madres a las que se les realizó una cesárea electiva. Conclusiones: Los resultados indican que en el HCG una prueba de parto en pacientes secundigestas con antecedente de cesárea parece ser segura. Los porcentajes de parto vaginal exitoso, complicaciones obstétricas y de rotura uterina son semejantes a los reportados en la literatura internacional.Aim: To analyze neonatal and obstetric outcomes in second-pregnancy patients with 1 prior cesarean section. Materials and methods: This study is a cross-sectional observational study. We analyzed 306 medical records of

  18. Características del control prenatal de pacientes adolescentes atendidas en la consulta de obstetricia HospitalDr. Rafael Ángel Calderón Guardia”, 2010

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    Loretta Giacomin-Carmiol

    2012-06-01

    Full Text Available Objetivo: Comparar los resultados perinatales de las pacientes adolescentes que asisten a la consulta de control prenatal del HospitalDr. Rafael Ángel Calderón Guardia” con los publicados por el Centro Latinoamericano de Perinatología y Desarrollo Humano (CLAP para la población adolescente de Latinoamérica. Materiales y Métodos: Se estudiaron 360 historias clínicas de pacientes embarazadas menores de 18 años que llevaron su control prenatal en la Clínica de Adolescentes del Servicio de Ginecología y Obstetricia en el 2010. Las variables incluidas en el estudio abarcaban la atención prenatal, el parto y postparto. Para la comparación de los resultados obtenidos en la presente investigación con los reportados por el CLAP se utilizó una Prueba de Conformidad para el Contraste de Hipótesis. Se estableció como el nivel de significancia a valores de Z menores o mayores de 1,96. (p < 0.05. Resultados: El presente estudio mostró que la morbi-mortalidad materna de las pacientes adolescentes atendidas en nuestro hospital es menor a la reportada por el CLAP. Si bien, algunas patologías como las infecciones urinarias o la anemia presentaron porcentajes significativamente mayores en nuestra población. Con relación al recién nacido, no se encontraron diferencias significativas respecto al porcentaje de partos pretérmino, productos con bajo peso o muy bajo peso al nacer. El hecho de que aproximadamente el 97% de las pacientes tuvieran su parto al término o cercano a este (más de 34 semanas de gestación y el contar con una Unidad de Cuidados Intensivos Neonatales podría explicar la baja mortalidad neonatal presentada en nuestras adolescentes. Conclusiones: La morbi-mortalidad materna y neonatal de las pacientes adolescentes atendidas en nuestro hospital es menor a la reportada por el CLAP para la población adolescente.

  19. Timectomía por miastenia gravis en el Hospital Dr. Rafael Angel Calderón Guardia: Reporte de 24 casos

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    José A Mainieri Hidalgo

    2000-06-01

    Full Text Available Antecedentes: La miastenia gravis es una enfermedad autoinmune cuya etiología aún no está claramente definida. Desde 1912 se describió mejoría del cuadro posterior a timectomía. Este procedimiento es actualmente una de las formas aceptadas para su tratamiento. El objetivo del presente trabajo fue estudiar los resultados de la timectomía para el tratamiento de la miastenia gravis en el Hospital Rafael Angel Calderón Guardia. Materiales y Métodos: Estudio retrospectivo, basado en la revisión de los expedientes de 24 pacientes, a quienes se les realizó timectomía como parte de su tratamiento de miastenia gravis entre enero de 1992 y mayo de 1999, en el Hospital Dr. Rafael Angel Calderón Guardia. Resultados: Se encontró que un 75% de los pacientes presentaron una franca mejoría, 17% permaneció en igual condición y un 8% empeoró. No se observó diferencia en la evolución por sexo, edad o la presencia de timoma, sin embargo en los pacientes que presentaban únicamente síntomas oculares se dio una tendencia a persistir sintomáticos. Se observó que la preparación pre-operatoria del paciente con gamaglobulina y la modernización de la técnica anestésica disminuyó notablemente la necesidad de ventilación mecánica. Conclusión: La timectomía fue útil en el tratamiento del 75% de los pacientes, especialmente aquellos con no sólo ptosis palpebral y permitió disminuir la dosis de medicamentos en 12 de los 24 casos estudiados.Background: Miastenia gravis is an autoimmune disease, its etiology has not been defined clearly. The improvement of the clinical manifestations after thymectomy was first describes in 1912; and this procedure has become in one of the therapeutic alternativas for the disease nowadays. The aim of the present study was to investigase the results of thymectomy for miastenia gravis in the Hospital Dr. R. A. Calderón Guardia. Materials and Methods: Retrospective study, based in the revision of the clinical

  20. The use of brain CT Scan in craniocerebral trauma with Glasgow coma scale scores of 13 – 15 in Dr. Cipto Mangunkusumo Hospital 1999-2001

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    Jofizal Jannis

    2004-09-01

    Full Text Available There is still a controversy among the neurologists whether brain CT scan must be performed on the mild head trauma patients. This study was executed to find out the correlation between the brain CT scan image findings and its clinical impairment among the mild head trauma patients with Glasgow coma scale (GCS score of 13 to 15. The study was a retrospective study by analyzing the uniform medical records of the head trauma patients hospitalized at the Neurology ward of Dr. Cipto Mangunkusumo Hospital within the period of 1999 to 2001. During that period 1,663 patients were hospitalized due to head trauma, and 1,166 of them (70.1 % were suffered from mild head trauma patients with GCS score of 13-15. Among those with brain CT scan examinations (N: 271, the neurological abnormalities were found on 144 (53.1% of patients, consisted of cerebral edema (11,4%, intracerebral hemorrhage (5.5%, epidural hemorrhage (16.2%, subdural hemorrhage (18.1%, subarachnoid hemorrhage (5.5%, and combination (13.8%. The further analysis showed that cranial nerves disturbance, amnesia, loss of conciousness for more than 10 minutes, and vomiting are significantly correlated to the brain CT scan abnormality. Combination of the above four clinical signs and symptoms have sensitivity of 90 % in predicting brain insults. This findings may be used as a simple set of clinical criteria for identifying mild head trauma patients who need undergo CT scan examination. (Med J Indones 2004; 13: 156-60 Keywords: mild head injury, brain CT scan

  1. Causas de Acidosis Metabólica en el lactante, pre-escolar y escolar y análisis de los resultados del Anion Restante en la orientación etiológica : estudio realizado en el área de urgencias del Hospital de Niños Dr. Roberto Gilbert Elizalde período febrero 2014 - julio 2014.

    OpenAIRE

    Silva Galarza, Rina Johanna

    2014-01-01

    La acidosis metabólica es una alteración patológica, resultado de diversos trastornos; de etiología identificable mediante la utilización del anión restante, que relacionado con la clínica y examen físico del paciente, permiten realizar un diagnóstico y tratamiento oportuno. Objetivo: Identificar las causas de acidosis metabólica en los pacientes en etapa de lactante, preescolar y escolar que acuden al área de urgencias del Hospital Dr. Roberto Gilbert y utilidad del anión restante en la o...

  2. “Prevalencia del estreptococo ?-Hemolítico del grupo B en el tracto genital de mujeres con ruptura prematura de membranas: estudio realizado en el área de alto riesgo obstétrico del Departamento Materno-Infantil del Hospital Dr. Teodoro Maldonado Carbo. Período Enero - Diciembre 2010”

    OpenAIRE

    2012-01-01

    Antecedentes: El Estreptococo ?-hemolítico del grupo B, es un colonizador del tracto urogenital. En gestantes esta bacteria ingresa en el Saco Gestacional y produce una infección vertical en el feto, lo que puede favorecer el desarrollo de enfermedad en el neonato, esta posibilidad se incrementa con la presencia de Ruptura Prematura de Membranas. Se considera que la incidencia anual de esta patología estaría cercana al 3% en el HospitalDr. Teodoro Maldon...

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

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    Martínez Medina, Andrés

    2012-01-01

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

  4. Survival in patients with acute non-lymphoblastic leukemia at the "Dr. Gustavo Aldereguía Lima". Hospital. A ten years experience Sobrevida en pacientes con leucemia aguda no linfoblástica en el HospitalDr. Gustavo Aldereguía Lima”. Experiencia de diez años

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    Tamara Guerra Alfonso

    2010-11-01

    Full Text Available Background: acute non-lymphoblastic leukemias account for 80% of leukemias in adults. Its incidence increases with age up to 20 per 100 000 in over 70 years old patients. Objective: To characterize the survival of patients with acute non-lymphoblastic leukemia at the "Dr. Gustavo Aldereguía Lima " Hospital of Cienfuegos. Methods: A case series which included all patients who underwent diagnosis of acute non-lymphoblastic leukemia between 1999 and 2010 at the Hospital of Cienfuegos. Data were obtained from the record book of hematological malignancies from the Oncohematology Department. Such variables like age, sex, morphological variant of the leukemia, incidence per year and overall survival were analyzed according to sex, morphological variant, origin, age and bone marrow transplant. Results: The average age of the studied series was 55 years old . Males were predominant with 55 cases. The most common morphological variant was the myelomonocytic. Overall survival of the series was 20% with a median follow-up of 60 months. Overall survival was slightly higher in females (25% vs 18%. The patients who underwent some form of transplant had a better survival (75% vs 13%. Conclusions: The survival of patients with acute non-lymphoblastic leukemia at the "Dr. Aldereguía Gustavo Lima" Hospital is very limited.Introducción: las leucemias agudas no linfoblásticas representan el 80 % de las leucemias del adulto, su tasa de incidencia se incrementa con la edad hasta llegar a 20 por cada 100 000 en mayores de 70 años. Objetivo: caracterizar el comportamiento de la sobrevida de pacientes con leucemia aguda no linfoblástica en el HospitalDr. Gustavo Aldereguía Lima” de Cienfuegos. Métodos: estudio de serie de casos que incluyó todos los pacientes a los que se le realizó diagnóstico de leucemia aguda no

  5. Ventilación mecánica convencional en recién nacidos muy bajo peso ingresados en el hospital provincial Dr. Ernesto Guevara de la Serna

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    Lenny Carbonell García

    2015-02-01

    Full Text Available Se realizó un estudio descriptivo de corte transversal, para determinar el comportamiento de los recién nacidos muy bajo peso, ventilados en modalidades convencionales en el Hospital General Docente “Dr. Ernesto Guevara de la Serna”, en el período de enero de 2010 a julio de 2012. El universo estuvo constituido por 104 recién nacidos vivos muy bajo peso, tomándose como muestra a los 66 recién nacidos muy bajo peso que necesitaron apoyo ventilatorio. Las principales variables a estudiar fueron las causas de la ventilación, peso al nacer, edad gestacional, sexo, modalidades empleadas, supervivencia y complicaciones presentadas en estos recién nacidos. Se concluyó que la causa más frecuente de intubación y ventilación fue la depresión respiratoria neonatal (33,3 %, el peso que predominó fue entre 1251 y 1500 gramos, prevaleció el recién nacido ventilado de 32 y más semanas (40,9 %, del sexo masculino, la modalidad más utilizada fue la asistida/controlada y se alcanzó mayor sobrevida en las modalidades con soporte de presión y presión positiva continua, con un 100 %. Las complicaciones presentadas con mayor frecuencia fueron la atelectasia y la neumonía nosocomial

  6. Timectomía por miastenia gravis en el Hospital Dr. Rafael Angel Calderón Guardia: Reporte de 24 casos

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    José A Mainieri Hidalgo

    2000-06-01

    Full Text Available Antecedentes: La miastenia gravis es una enfermedad autoinmune cuya etiología aún no está claramente definida. Desde 1912 se describió mejoría del cuadro posterior a timectomía. Este procedimiento es actualmente una de las formas aceptadas para su tratamiento. El objetivo del presente trabajo fue estudiar los resultados de la timectomía para el tratamiento de la miastenia gravis en el Hospital Rafael Angel Calderón Guardia. Materiales y Métodos: Estudio retrospectivo, basado en la revisión de los expedientes de 24 pacientes, a quienes se les realizó timectomía como parte de su tratamiento de miastenia gravis entre enero de 1992 y mayo de 1999, en el Hospital Dr. Rafael Angel Calderón Guardia. Resultados: Se encontró que un 75% de los pacientes presentaron una franca mejoría, 17% permaneció en igual condición y un 8% empeoró. No se observó diferencia en la evolución por sexo, edad o la presencia de timoma, sin embargo en los pacientes que presentaban únicamente síntomas oculares se dio una tendencia a persistir sintomáticos. Se observó que la preparación pre-operatoria del paciente con gamaglobulina y la modernización de la técnica anestésica disminuyó notablemente la necesidad de ventilación mecánica. Conclusión: La timectomía fue útil en el tratamiento del 75% de los pacientes, especialmente aquellos con no sólo ptosis palpebral y permitió disminuir la dosis de medicamentos en 12 de los 24 casos estudiados.

  7. A survey of 110 cases of primary hyperparathyroidism in Dr.Shariati Hospital and the results of localizing the adenoma via MIBI scanning

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    Hedayat A

    1998-07-01

    Full Text Available Primary Hyperparathyroidism is a fairly common disease that is much more predominant in females. Treatment is surgery and includes removing the parathyroid adenoma or the hyperplastic parathyroid glands. Considering the difficulty of this operation procedure, localization test are utilized including ultrasound, MRI, CT scan, Thallium-Technesium subtraction scan, MIBI scan and a series of other tests. According to the studies regarding these tests, MIBI scan is superior to all the others. In this survery we have studied 110 primary hyperparathyroidism patients that were operated on in Dr.Shariati Hospital between 1356 and 1376. In order to localize the adenoma ultrasound was used in ten patients, thallium-technesium subtraction scan in 38 patients. MIBI scan in 30 patients and CT scan in 3 patients. The sensitivity of MIBI scan was 86% and its specificity was 100%. In comparison, the sensitivity of thallium-technesium scan was found to be about 65%. Our results show that MIBI scan has had a high degree of sensitivity and specificity in our patients and has shown to be the best localization test. Therefore we suggest this test for the localization of all parathyroid adenomas.

  8. Prevalencia de traumatismos dentoalveolares en pacientes infantiles del complejo asistencial Dr. Sótero del Río Prevalence of dental trauma of infants attended at Dr. Sótero del Río Hospital

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    PF Castro Brezzo

    2012-12-01

    Full Text Available En el presente estudio descriptivo de incidencia, 604 niños menores de 15 años fueron examinados y atendidos en la Clínica de Odontopediatría del Complejo Asistencial Dr. Sotero del Río, con diagnóstico de Traumatismo Dentoalveolar (TDA, desde Enero a Diciembre del 2010. El propósito de este estudio fue caracterizar los TDA de acuerdo a la clasificación de Andreasen y Andreasen, determinar su frecuencia y distribución estacional, tipo y número de dientes afectados, distribución de género y edad, lugar de ocurrencia y causa. Para ambas denticiones, en conjunto, más de dos dientes comprometidos presentaron una frecuencia de 58.77%. Los análisis se dividieron por dentición y hubo 636 dientes definitivos y 414 temporales. En dentición definitiva se observó una mayor frecuencia en Mayo (15.36%, Abril (13.02% y Noviembre (13.02%. Las fracturas coronarias no complicadas son las más frecuentes (40.88% y los dientes más afectados fueron los incisivos centrales maxilares (77.66%. Los niños sufren más TDA que las niñas (64.97%. La mayor frecuencia de TDA para ambos géneros es a los 8 años. La principal causa fue caídas en el colegio (46.87%. En dentición temporal se observó mayor cantidad de casos en primavera-verano (53.74%. Siendo más frecuente en los meses Noviembre y Febrero (30.84%. Subluxación fue el diagnostico más frecuentes con un 39.61%. Los dientes más afectados fueron los incisivos centrales maxilares en un 82.13%. El género masculino fue el más afectado (62.56%. La edad en que se observó mayor frecuencia de TDA fueron los 2 años. La principal causa fue caídas en la casa (29.07%.In this incidence descriptive study 604 infants less than fifteen years of age were examined and attended at the Pedodontic Clinic from Dr. Sótero del Río hospital with a diagnostic of dental trauma between January and December 2010. The purpose of this research protocol was to characterize dental trauma according to the Andreasen

  9. EVALUACIÓN DE LAS COMPETENCIAS LABORALES Y SU INFLUENCIA EN LA CALIDAD DEL SERVICIO DEL HOSPITALDR. MARIO MUÑOZ MONROY”

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    Lázaro Quintana Tápanes

    2009-02-01

    Full Text Available

    En el artículo se identifican, evalúan las competencias laborales a nivel organizacional, de procesos clínicos – quirúrgicos y se determina su influencia en la calidad del servicio del HospitalDr. Mario Muñoz Monroy”. Se elaboran los perfiles de competencias correspondientes y se calcula el indicador desviación competencial, que permite conocer el comportamiento de las competencias en la comparación entre el estado deseado y actual, en los niveles jerárquicos antes mencionados. Se emplean diferentes métodos y técnicas como: análisis documental, entrevista, cuestionario, pruebas de conocimientos, observación, dinámica de grupo, método delphi, análisis-síntesis, inducción-deducción y el paquete estadístico SPSS versión 12.0. La muestra seleccionada está compuesta por clientes internos (médicos, enfermeros y por clientes externos (pacientes-familiares.

    Se identifican las competencias menos desarrolladas y se proponen estrategias a implementar por la entidad que permitan mejorar la calidad a través de las competencias laborales.

  10. Experiencia de la Clínica de Traqueostomía del Hospital Nacional de Niños "Dr. Carlos Sáenz Herrera", enero 2003 - julio 2007

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    Inés Gutiérrez-Gutiérrez

    2009-12-01

    Full Text Available Justificación: La traqueostomía ha sido realizada en un grupo grande de pacientes pediátricos, pero no hay estudios nacionales publicados. El objetivo de esta investigación es describir las características epidemiológicas y clínicas de la población traqueostomizada, en el periodo de estudio, para mejorar, con base en los hallazgos, las pautas generales de manejo. Materiales y métodos: Se efectuó una revisión retrospectiva de la población traqueostomizada desde 2003 hasta el primer semestre de 2007, para cuantificar la realización de las traqueostomías, historial de hospitalizaciones, uso de tratamiento profiláctico, historial de decanulaciones, decanulaciones fallidas, causa de muerte y clasificación técnica de la población atendida en la Clínica de Traqueostomía del Hospital Nacional de Niños "Dr. Carlos Sáenz Herrera". Se incluyeron 50 casos que acudieron al menos a una consulta durante el periodo de estudio, y se recopilaron los datos de edad, sexo, causa de realización de traqueostomía, complicaciones post traqueostomía, gérmenes causales de infección local, tratamiento, patologías asociadas, costos del equipo y materiales para el egreso. Resultados: En promedio se realizaron 28 traqueostomías anuales. El grupo etario al que se colocaron más traqueostomías fue de 1 a 3 años, con predominio en el sexo masculino (M: F, 11:6; un 36% se efectuó a causa de parálisis cerebral infantil; se decanuló al 33% de los pacientes; hubo un 15% de decanulaciones fallidas. La mortalidad ocurrió en un 20% de los pacientes, por causas no relacionadas con la traqueostomía. El germen más frecuente causante de infección fue Pseudomona Aureoginosa (54%. El 22% de los pacientes con cultivos positivos utilizaron antibióticos profilácticos. Un 16% de los pacientes fue hospitalizado por problemas asociados con la traqueostomía. En el 88% de los casos las cuidadoras fueron las madres, y de ellas, el 72% eran casadas y el 56% ten

  11. Prevalencia de traumatismos dentoalveolares en pacientes infantiles del complejo asistencial Dr. Sótero del Río Prevalence of dental trauma of infants attended at Dr. Sótero del Río Hospital

    OpenAIRE

    PF Castro Brezzo; Dreyer Arroyo,E

    2012-01-01

    En el presente estudio descriptivo de incidencia, 604 niños menores de 15 años fueron examinados y atendidos en la Clínica de Odontopediatría del Complejo Asistencial Dr. Sotero del Río, con diagnóstico de Traumatismo Dentoalveolar (TDA), desde Enero a Diciembre del 2010. El propósito de este estudio fue caracterizar los TDA de acuerdo a la clasificación de Andreasen y Andreasen, determinar su frecuencia y distribución estacional, tipo y número de dientes afectados, distribución de género y e...

  12. Acalasia, experiencia de 6 años. Hospital "Dr. Rafael Ángel Calderón Guardia" (2001-2007

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    Viviana Hernández-de Mezerville

    2009-04-01

    Full Text Available Objetivos: Caracterizar la población de pacientes vistos con esta entidad en el Hospital "Dr. Rafael Angel Calderón Guardia" durante los últimos 6 años y determinar su presentación clínica, método(s de diagnóstico utilizado (s, tratamiento brindado y evolución durante el primer año postratamiento. Materiales y métodos: Se analizaron los expedientes clínicos de hospitalización de los pacientes con acalasia atendidos desde enero de 2001 hasta enero de 2007; luego se revisaron las notas de evolución de la consulta externa de Gastroenterología durante el año posterior a la terapia brindada. Resultados: Durante el periodo se analizaron 30 pacientes en total. Hubo una discreta predominancia del género masculino y la edad promedio en el momento del diagnóstico fue de 50,37 años. El 100% de los pacientes presentó disfagia de larga data y los síntomas asociados más frecuentes fueron la pérdida de peso y el dolor torácico. Los métodos diagnósticos más utilizados fueron la manometría esofágica, la endoscopía y el esofagograma. El tratamiento que más se empleó fue la dilatación neumática seguida de la cirugía. El 50% de los pacientes reinició o persistió con disfagia durante el año siguiente a su tratamiento. La incidencia de complicaciones fue baja y no hubo perforación esofágica. Conclusiones: Las características generales y la presentación clínica de los pacientes coincidieron con lo descrito en la bibliografía. El tratamiento que más se brindó fue la dilatación neumática. La mitad de los pacientes presentaron o continuaron con síntomas postratamiento.

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

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    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

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

    OpenAIRE

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

    2011-01-01

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

  15. Técnica de Rutkow y Robbins (tapón y parche para la reparación de hernias inguinales. Hospital Dr. Manuel Noriega Trigo IVSS San Francisco, Estado Zulia, Venezuela

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    Ángel S. Luque

    2009-09-01

    Full Text Available Objetivo: Caracterizar la reparación de las hernias inguinales según la técnica de Rutkow y Robbins (tapón y parche con malla de polipropileno.Material y Métodos: Se realizó un estudio descriptivo donde se evaluaron 102 pacientes de la Consulta de Cirugía General, del Hospital Dr. Manuel Noriega Trigo, San Francisco, Venezuela con diagnóstico de hernia inguinal primaria, en el lapso de enero 2002 a 30 de septiembre 2005. Se practicaron 124 hernioplastias porque 11 pacientes presentaban hernias bilaterales. Se valoró sexo, edad, tipo de hernia, tiempo quirúrgico, dolor postoperatorio, período de estancia hospitalaria, reincorporación al trabajo habitual y complicaciones.Resultados: Del total de pacientes, 91 (89.2% eran del sexo masculino y 11 (10.8% del femenino. El promedio de edad fue 42.7±18.29, con un rango que oscilaba entre 12 y 82 años, el grupo etario más frecuente fue de 21 a 30 años (23.5%. En el sexo masculino predominó la hernia inguinal indirecta con 47 casos de los cuales 25.5% eran derechas y 20.6% izquierdas, en el sexo femenino prevaleció la hernia directa con 4 casos (3.9%. El tiempo quirúrgico tuvo un promedio de 32.18±6.42 minutos. El dolor postoperatorio se informó como molestia (33.3% o leve (39.2% en la mayoría de los casos, moderado en 8.8% y en ningún caso se supo de dolor severo. La estancia hospitalaria fue 23.41±3.8 horas, con cifras entre 3 y 40 horas; el reintegro al trabajo promedió 21.56±6.5 días (entre 10 y 40. Las complicaciones post-operatorias se presentaron en 6.9% de los pacientes: infección de la herida, 1%; hematoma, 1%; seromas, 2%; 1% neuralgia inguinal, 1%; y retención urinaria, 2%.Conclusión: Técnica rápida de ejecutar, poca morbilidad postoperatoria, corta estancia, pronto reintegro laboral y escasas complicaciones, por lo que demostró ser segura para la reparación de las hernias inguinales.

  16. Acalasia, experiencia de 6 años. Hospital "Dr. Rafael Ángel Calderón Guardia" (2001-2007 Achalasia, a 6 Years Study at the Calderon Guardia Hospital

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    Viviana Hernández-de Mezerville

    2009-04-01

    Full Text Available Objetivos: Caracterizar la población de pacientes vistos con esta entidad en el Hospital "Dr. Rafael Angel Calderón Guardia" durante los últimos 6 años y determinar su presentación clínica, método(s de diagnóstico utilizado (s, tratamiento brindado y evolución durante el primer año postratamiento. Materiales y métodos: Se analizaron los expedientes clínicos de hospitalización de los pacientes con acalasia atendidos desde enero de 2001 hasta enero de 2007; luego se revisaron las notas de evolución de la consulta externa de Gastroenterología durante el año posterior a la terapia brindada. Resultados: Durante el periodo se analizaron 30 pacientes en total. Hubo una discreta predominancia del género masculino y la edad promedio en el momento del diagnóstico fue de 50,37 años. El 100% de los pacientes presentó disfagia de larga data y los síntomas asociados más frecuentes fueron la pérdida de peso y el dolor torácico. Los métodos diagnósticos más utilizados fueron la manometría esofágica, la endoscopía y el esofagograma. El tratamiento que más se empleó fue la dilatación neumática seguida de la cirugía. El 50% de los pacientes reinició o persistió con disfagia durante el año siguiente a su tratamiento. La incidencia de complicaciones fue baja y no hubo perforación esofágica. Conclusiones: Las características generales y la presentación clínica de los pacientes coincidieron con lo descrito en la bibliografía. El tratamiento que más se brindó fue la dilatación neumática. La mitad de los pacientes presentaron o continuaron con síntomas postratamiento.Objectives: To determine the general characteristics of patients with diagnosis of achalasia seen during the last 6 years at the Dr. Rafael Angel Calderon Guardia Hospital, their clinical presentation, diagnostic methods utilized, treatments given and the presence of disphagia within the following year after therapy. Methods: We analized the clinical records

  17. Características del control prenatal de pacientes adolescentes atendidas en la consulta de obstetricia HospitalDr. Rafael Ángel Calderón Guardia”, 2010 Characteristics of Prenatal Care of Pregnant Adolescents, Department of Obstetrics, HospitalDr. Rafael Angel Calderon Guardia”, 2010

    Directory of Open Access Journals (Sweden)

    Loretta Giacomin-Carmiol

    2012-06-01

    Full Text Available Objetivo: Comparar los resultados perinatales de las pacientes adolescentes que asisten a la consulta de control prenatal del HospitalDr. Rafael Ángel Calderón Guardia” con los publicados por el Centro Latinoamericano de Perinatología y Desarrollo Humano (CLAP para la población adolescente de Latinoamérica. Materiales y Métodos: Se estudiaron 360 historias clínicas de pacientes embarazadas menores de 18 años que llevaron su control prenatal en la Clínica de Adolescentes del Servicio de Ginecología y Obstetricia en el 2010. Las variables incluidas en el estudio abarcaban la atención prenatal, el parto y postparto. Para la comparación de los resultados obtenidos en la presente investigación con los reportados por el CLAP se utilizó una Prueba de Conformidad para el Contraste de Hipótesis. Se estableció como el nivel de significancia a valores de Z menores o mayores de 1,96. (p Aim: To compare perinatal results of pregnant adolescents that attend the prenatal control consultation at HCG with those published by the CLAP for adolescent population in Latin America. Materials and methods: 360 medical records of pregnant patients under 18 years, that undertook prenatal control at the Adolescents’ Clinic of the Department of Obstetrics of the HCG in 2010, were studied. The variables included in the study were those related with prenatal care, childbirth and postpartum. Hypothesis Testing was used to compare the results obtained in this investigation with those reported by the CLAP. 1.96 was adopted as the critical value from Z distribution (p <0.05. Results: This study showed that maternal morbidity and mortality of adolescent patients that received attention in our hospital is lower than that reported by the CLAP. Although there was a higher percentage of some diseases such as urinary tract infections or anemia in our population, this might be due to a better case detection system rather than to an increase in disease. With

  18. Ventilación mecánica convencional en recién nacidos muy bajo peso ingresados en el hospital provincial Dr. Ernesto Guevara de la Serna

    OpenAIRE

    Lenny Carbonell García; Alicia Fernández Chacón; Yadira Rodríguez Ramírez; Maribel Machado

    2015-01-01

    Se realizó un estudio descriptivo de corte transversal, para determinar el comportamiento de los recién nacidos muy bajo peso, ventilados en modalidades convencionales en el Hospital General Docente “Dr. Ernesto Guevara de la Serna”, en el período de enero de 2010 a julio de 2012. El universo estuvo constituido por 104 recién nacidos vivos muy bajo peso, tomándose como muestra a los 66 recién nacidos muy bajo peso que necesitaron apoyo ventilatorio. Las principales variables a estudiar fueron...

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

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

    2013-10-01

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

  20. Guidelines for Mental Health Interventions during Disasters at the “Dr. Gustavo Aldereguía Guía de intervención de salud mental en situaciones de desastres. HospitalDr. Gustavo Aldereguía Lima”. Cienfuegos. Cuba

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    Deysi Santana Castellón

    2010-02-01

    Full Text Available These guidelines for mental health intervention within a hospital in cases of catastrophic situations have been prepared not only under the national standards but under the Pan-American Health Organization ones taking into account the specialists and experts’ experience on the topic and it has had the approval of the Scientific Council of the University General HospitalDr. Gustavo Aldereguía Lima” from Cienfuegos. The guidelines describe the group of procedures to develop in the different cycles of disaster reduction (planning, quip and recovery mainly those related to patients, family members and hospital staff. This written record gathers the main psychological symptoms and diseases that result from these difficult situations and the main psychological techniques for such situations.La guía de intervención de salud mental en situaciones de desastres en una institución hospitalaria ha sido elaborada sobre la base de los lineamientos nacionales y de la Organización Panamericana de la Salud, se ha consultado a expertos y especialistas del tema y aprobado por el Consejo Científico del Hospital General Universitario “Dr. Gustavo Aldereguía Lima” de Cienfuegos. El documento describe el conjunto de procedimientos a realizar en las distintas fases del ciclo de reducción de desastres (planificación, respuesta y recuperación, principalmente los relacionados con pacientes, familiares y trabajadores de la salud. Incluye los principales síntomas y enfermedades que desencadenan estos fenómenos en la esfera psicológica; así como las principales técnicas psicológicas a aplicar en situaciones de desastres.

  1. Approaches to substance abuse in Cuba: Ricardo A. González MD PhD DrSc. Psychiatrist and consulting professor, Eduardo B. Ordaz Psychiatric Hospital, Havana. Interviewed by Christina Mills.

    Science.gov (United States)

    González, Ricardo

    2013-10-01

    For over 40 years, he has done one of the most difficult jobs in medicine; 4000 of his patients are among those many might write off as "lost causes." Yet he radiates optimism, his stories and experience reflecting a belief in the human potential to change and grow and a vocation to help his patients do so. Now an internationally recognized expert on addictions, in 1976 Dr González founded Cuba's first patient service for substance abuse at the Eduardo B. Ordaz Psychiatric Hospital in Havana, a program he directed until last year. It is now the national reference center for another 17 such programs, two more in Havana and one in every other Cuban province. In addition, it serves as a model for treatment centers catering to international patients (undoubtedly the most well known among them Diego Maradona, the Argentine soccer star): two in Holguin Province and one in Santiago Province, with another being developed at Las Praderas International Health Center in Havana. Dr González's 25 books on psychiatry, medical ethics and addictions attest to a prolific career in research and practice. Today, he continues to work "from retirement" as consulting professor and psychiatrist in the addiction service he founded, and also chairs Cuba's National Medical Ethics Commission. In this interview, Dr González shares insights from his years of experience addressing substance abuse, as well as on repercussions and management of such conditions in Cuba.

  2. Interviu cu Dr. Robert Grünbaum, Director adjunct al Fundației Federale pentru Cercetarea Dictaturii Comuniste din Germania (The democratization of Germany can be considered accomplished in 1990. Interview with Dr. Robert Grünbaum

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    Alexander RUBEL

    2015-03-01

    Full Text Available From 26 to 28 November 2014, within the project “After 25 years. Communism in Eastern Europe", conducted by the Faculty of Political Science from "Petre Andrei" University of Iași, the Institute for the Study of Ideologies and the "Polis" magazine, took place an event called "25 years since the fall of the Berlin Wall", organized in partnership with the German Cultural Centre of Iași. The event brought together: the opening exhibition "The wall. A boundary inside Germany" (organized by "The Federal Foundation for the Investigation of Communist Dictatorship" with help from the newspapers "BILD" and "Die Welt", two conferences, film projections and a concert in memory of the victims of communism, conducted by Ulrich Backofen. Invited to this event, Dr. Robert Grünbaum held the Conference entitled "The peaceful Revolution and the fall of the wall. The GDR in the fall of 1989 ". His presence in Iași was an occasion for an interview about the fall of the Berlin wall and the meaning it had and still has for Germany and for the entire Europe.

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

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    Ahmadreza Izadi

    2015-01-01

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

  4. Reseción esofágica por cáncer, experiencia del Servicio de Cirugía de Tórax del Hospital Dr. Rafael Á. Calderón Guardia

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    José Alberto Mainieri-Hidalgo

    2007-10-01

    Full Text Available Durante el período comprendido entre 1990 y 2006, 28 pacientes fueron sometidos a resección esofágica por cáncer en el Servicio de Cirugía de Tórax del Hospital Dr. Rafael Á. Calderón Guardia. La edad promedio fue de 65 años y la relación hombre mujer, de 6 a 1. El antecedente de tabaquismo se confirmó en un 80%, etilismo en un 75% y 8 pacientes eran conocidos portadores de esófago de Barret. Disfagia, dolor epigástrico y pérdida de peso fueron los síntomas más frecuentes; siendo la epigastralgia debida a otra patología digestiva coexistente, como reflujo o enfermedad péptica. Los pacientes clasificados como estadio IIb, III y IV recibieron terapia de inducción y aunque en 3 de estos no se encontró tumor residual en la pieza quirúrgica, en 2 casos quedó tumor adherido a la aorta. A 21 pacientes se les realizó esofagectomía total con ascenso gástrico y anastomosis cervical y a 7 esofagectomía parcial con ascenso gástrico al tórax en 5 y 2 esófago-yeyuno anastomosis, una intratorácica y otra abdominal. La complicación más frecuente fue la claudicación respiratoria por bronconeumonía, que se produjo en 7 pacientes y que fue mortal en 3. Dos de estos pacientes presentaron además fuga de anastomosis, una en el cuello y otra en el tórax. A largo plazo la complicación más frecuente fue estrechez de la anastomosis, que en los 7 casos se ha manejado con dilataciones. La mortalidad quirúrgica fue del 10.7% y en los 3 casos la bronconeumonía fue la causa principal. La supervivencia a 5 y 10 años fue del 31.5% y el 18%, respectivamente.

  5. Dr Edward Macgowan (1795-1860), a long-term pioneer physician in mid-nineteenth century Jerusalem: founder and director of the first modern hospital in the Holy Land.

    Science.gov (United States)

    Lev, Efraim; Perry, Yaron

    2008-02-01

    At the age of 46, Dr Edward Macgowan, by now a well-established physician, joined the ranks of the London Society for Promoting Christianity among the Jews with the aim of establishing the first modern hospital in Palestine. For the first six months of 1842, Macgowan established his work among the Jerusalem population on a regular basis and managed to establish a close relationship with the Jewish community and some of its leaders in Jerusalem. On 12 December 1844, the Jews' Hospital was opened in Jerusalem and became a source of great pride for the missionaries. Edward Macgowan died in Jerusalem after 18 years of service and was buried in the Protestant cemetery in his beloved city.

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

    OpenAIRE

    2015-01-01

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

  7. Response to Dr Stevens' letter ref. Visitisen et al: "Short-term effects of night shift work on breast cancer risk: a cohort study of payroll data".

    Science.gov (United States)

    Kolstad, Henrik A; Garde, Anne Helene; Hansen, Åse Marie; Frydenberg, Morten; Christiansen, Peer; Vistisen, Helene Tilma; Bonde, Jens Peter E

    2017-01-01

    We thank Dr Richard Stevens for his comments (1) on our recent article that showed no increased risk of breast cancer following recent night shift work when compared with recent day shift work (2). This finding was based on linkage of day-by-day information on working hours and breast cancer incidence data. Results are thus less likely to have been biased by differential misclassification than findings from earlier studies relying on self-report (3). We defined a night shift as ≥3 hours of work between 24:00-05:00 hours and a day shift as ≥3 hours work between 6:00-20:00 hours. This day shift definition did not exclude shifts starting before 05:00 or ending after 24:00 hours. However, this affected only 0.02% and 0.3% of all day shifts, respectively. This diminutive misclassification, that is expected to be non-differential, can hardly explain our negative findings. It is suggested that shifts that begin after 07:00 and end before 18:00 would constitute a more sensible baseline comparison group. Since the biological mechanism is not certain, it is not obvious to us if this will be a more appropriate reference than the present. However, we agree that future studies should test how different definitions of shifts affect the risk of breast cancer, which will be possible using this type of data. We only had information on working hours from 2007 and onwards, and night shift work prior to 2007 could have confounded our analyses towards no effect but only if inversely associated with night shift work in 2007 or later. We find this unlikely. Left truncation could also have biased findings towards the null. We therefore supplemented analyses of the total study population with analyses of the one-third of the population with first recorded employment in 2008 or later (the inception population). Even if the mean age was 35.5 years - and many undoubtedly had been working (with and without night shifts) prior to 2008 - this population should be less affected by such

  8. Organización de la atención médica en la Epidemia de Dengue hemorrágico en el Hospital "Dr. Enrique Baltodano" de Liberia, 2003

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    Anabelle Alfaro Obando

    2006-10-01

    Full Text Available Justificación y objetivos: El dengue es una enfermedad endémica, lo que implica que todos los años se presentan brotes en el país que justifican establecer una organización especial de los servicios de salud para garantizar una atención oportuna a la población. Método: Se realizó un estudio transversal descriptivo en 1153 casos internados en el Hospital "Dr. Enrique Baltodano" de la ciudad de Liberia, durante 2003. Se efectuó un análisis descriptivo de sexo, edad, estancia hospitalaria y diagnóstico de egreso. Se describió la organización de la atención y el manejo médico de los pacientes en una epidemia de dengue. En ese año el laboratorio de referencia de dengue de Instituto Costarricense de Investigación en Nutrición y Salud (INCIENSA detectó la circulación del virus dengue serotipo 2. No se reportaron defunciones en el país por dengue hemorrágico. Resultados: Se estudiaron 1153 pacientes hospitalizados por dengue, 549 (47.6% del sexo masculino y 604 (52.4% del sexo femenino. La edad promedio fue de 33 años, con un rango de 2 a 94, de los cuales 52 (5% cumplieron criterios para dengue hemorrágico; del resto, 949 (82% tenían conteo de plaquetas menores de 100.000/mm³, y 152 (13% presentaron manifestaciones hemorrágicas; no se detectó en estos dos grupos datos de extravasación de plasma por ultrasonido. No se presentaron complicaciones ni fallecidos durante la hospitalización. La estancia hospitalaria promedio fue de 2.26 días (IC95%=2.32 - 2.19. Conclusión: Los resultados obtenidos evidencian la necesidad de contar con una estrategia para organizar la atención en epidemias de dengue. Esto garantiza una tasa de letalidad del 0% y estancias hospitalarias bajas. Lo anterior se logra mediante la identificación temprana de criterios de ingreso, utilizando datos clínicos y de laboratorio. Esta metodología disminuye los costos económicos y está al alcance de todos los servicios de salud.Aim: Dengue is an endemic

  9. Leiomioma esofágico: Experiencia con diez casos operados en el "Hospital Dr. Rafael Ángel Calderón Guardia" Esophageal leiomyoma: Experience with nine surgical patients

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    Giovanna Mainieri-Breedy

    2012-09-01

    Full Text Available Objetivo: informar la experiencia adquirida con la cirugía para leiomiomas esofágicos en el Servicio de Cirugía de Tórax del Hospital Dr. R. A. Calderón Guardia. Métodos: durante el período de 12 años comprendido entre 1999 y 2011, fueron referidos 14 pacientes con tumores submucosos del esófago al Servicio de Cirugía de Tórax del Hospital Calderón Guardia. En cuatro pacientes asintomáticos con tumores pequeños se decidió observar, y diez fueron operados, confirmándose el diagnóstico histológico de leiomioma. Previa autorización del Comité de Ética del Hospital, se revisaron los expedientes clínicos, analizando las características personales, los síntomas, los métodos de diagnóstico, el tratamiento quirúrgico y la evolución de los pacientes operados. Resultados: se encontró que de los diez pacientes operados, ocho fueron varones, en edades entre los 38 y 71 años, con un promedio de 56 años. El síntoma principal fue disfagia, pero en 3 casos el tumor fue un hallazgo incidental de una endoscopia de rutina. El método de detección en todos los casos fue la endoscopia en la que se describió un tumor submucoso o una compresión extrínseca de la pared esofágica. El ultrasonido endoscópico se correlacionó con un tumor originado en la cuarta capa, posible leiomioma. En dos casos, debido a las dimensiones de la lesión, se planteó la posibilidad de malignidad. La tumoración se intervino en nueve casos por toracotomía y en uno, por laparotomía. En 7 casos se enucleó sin que se abriera la mucosa, en dos se realizó esofagectomía parcial con anastomosis y parche de diafragma, y en un caso, excepcional, la tumoración se extendía desde el esófago cervical hasta la unión esófago-gástrica, de manera que se realizó una esofagectomía total, con ascenso gástrico y anastomosis cervical. No hubo ningún caso de mortalidad. Un paciente presentó una pequeña fuga de la anastomosis, la cual resolvió espont

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

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    Jiovany Jhan Carlos Saldaña-Gastulo

    2009-01-01

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

  11. Reseción esofágica por cáncer, experiencia del Servicio de Cirugía de Tórax del Hospital Dr. Rafael Á. Calderón Guardia

    Directory of Open Access Journals (Sweden)

    José Alberto Mainieri-Hidalgo

    2007-10-01

    Full Text Available Durante el período comprendido entre 1990 y 2006, 28 pacientes fueron sometidos a resección esofágica por cáncer en el Servicio de Cirugía de Tórax del Hospital Dr. Rafael Á. Calderón Guardia. La edad promedio fue de 65 años y la relación hombre mujer, de 6 a 1. El antecedente de tabaquismo se confirmó en un 80%, etilismo en un 75% y 8 pacientes eran conocidos portadores de esófago de Barret. Disfagia, dolor epigástrico y pérdida de peso fueron los síntomas más frecuentes; siendo la epigastralgia debida a otra patología digestiva coexistente, como reflujo o enfermedad péptica. Los pacientes clasificados como estadio IIb, III y IV recibieron terapia de inducción y aunque en 3 de estos no se encontró tumor residual en la pieza quirúrgica, en 2 casos quedó tumor adherido a la aorta. A 21 pacientes se les realizó esofagectomía total con ascenso gástrico y anastomosis cervical y a 7 esofagectomía parcial con ascenso gástrico al tórax en 5 y 2 esófago-yeyuno anastomosis, una intratorácica y otra abdominal. La complicación más frecuente fue la claudicación respiratoria por bronconeumonía, que se produjo en 7 pacientes y que fue mortal en 3. Dos de estos pacientes presentaron además fuga de anastomosis, una en el cuello y otra en el tórax. A largo plazo la complicación más frecuente fue estrechez de la anastomosis, que en los 7 casos se ha manejado con dilataciones. La mortalidad quirúrgica fue del 10.7% y en los 3 casos la bronconeumonía fue la causa principal. La supervivencia a 5 y 10 años fue del 31.5% y el 18%, respectivamente.Between 1990 and 2006, 28 patients had esophageal cancer resection at the Department of Thoracic Surgery of the Hospital Calderón Guardia of the Costa Rican Social Security System. The mean age was 65 years with a high male predominance of 6:1. Eighty percent of the patients were smokers, 75% drinkers and 8 patients had previous diagnosis of Barret’s esophagus. Dysphagia, epigastric

  12. Análisis del manejo quirúrgico de la enfermedad de Hirschsprung en el Hospital Nacional de Niños Dr. Carlos Sáenz Herrera, durante el periodo 2000-2010 Surgical treatment of Hirschsprung’s disease at the National Children’s HospitalDr. Carlos Saenz Herrera” during the period 2000-2010

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    Fabián García-Arias

    2013-06-01

    Full Text Available Antecedentes: la enfermedad de Hirschsprung es causa de obstrucción intestinal baja en neonatos. Se caracteriza por ausencia de inervación en un segmento intestinal. El tratamiento radica en la resección de ese segmento intestinal enfermo para permitir el funcionamiento correcto del intestino sano. Se analizó el manejo de esta patología en el Hospital Nacional de Niños Dr. Carlos Sáenz Herrera, durante el periodo 2000 -2010 y su epidemiología. Métodos: se realizó un estudio observacional retrospectivo; se revisó 130 expedientes usando Microsoft Excel y el programa estadístico JMP. Resultados: se identificó una relación de hombre: mujer de 4:1, la mayoría de los casos se presentó en recién nacidos de término. Los síntomas iniciales más frecuentes fueron distensión abdominal y vómitos biliosos. La edad de presentación, en el 78% de los casos, fue de menos de 1 mes. Dentro de las cirugías realizadas se evidenció que en el 35 % de los casos se utilizó la técnica del descenso endorrectaltransanal y en el 48%, la técnica de Duhamel. Entre las complicaciones postoperatorias en el grupo de descenso endorrectaltransanal, la más frecuente fue la enterocolitis, en 14 de 19 casos, mientras que la complicación más frecuente en el grupo de Duhamel, fue el tabique rectal, en 8 de 21 casos. Conclusión: las características clínicas y epidemiológicas de los casos de enfermedad de Hirschsprung analizados, son similares a las descritas en la bibliografía. Las complicaciones postoperatorias y la morbilidad fue similar para ambas técnicas quirúrgicas.Background: Hirschsprung´s disease (congenital megacolon is a common cause of lower bowel obstruction in neonates. Its main characteristic is that a section of the bowel is unable to relax, causing functional colonic obstruction. Treatment for this disease requires the resection of the abnormal bowel segment in order to restore the functions of the healthy part of the intestine. The

  13. The past, present, and future of paediatric cardiology training at the Johns Hopkins Hospital, in the tradition of Dr Helen Taussig.

    Science.gov (United States)

    Beasley, Gary S; Murphy, Anne M; Brenner, Joel I; Ravekes, William J

    2016-12-01

    Johns Hopkins has been a leader in paediatric cardiology for over 85 years. In the 1940s, Dr Helen Taussig began training fellows in paediatric cardiology at Johns Hopkins at a time when the diagnosis and treatment of CHD were in the earliest stage. Under her leadership, the fellowship developed a strong foundation that has continued to evolve to meet the current needs of learners and educators. In the current era, the Johns Hopkins programme implements the current theories of adult education and actively engages our fellows in learning as well as teaching. The programme uses techniques such as flipped classroom, structured case-based small-group learning, observed and structured clinical examination, simulations, and innovative educational technology. These strategies combined with our faculty and rich history give our fellows a unique educational experience.

  14. Large Customers (DR Sellers)

    Energy Technology Data Exchange (ETDEWEB)

    Kiliccot, Sila [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2011-10-25

    State of the large customers for demand response integration of solar and wind into electric grid; openADR; CAISO; DR as a pseudo generation; commercial and industrial DR strategies; California regulations

  15. 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.

  16. Plan para la Dirección del Proyecto Construcción y Equipamiento del Departamento de Hemato Oncología del Hospital Dr. Rafael Ángel Calderón Guardia

    OpenAIRE

    Pacheco-Solano, Alejandro; Acuña-Rivas, Gregory Andrés

    2013-01-01

    Proyecto de Graduación (Maestría en Gerencia de Proyectos) Instituto Tecnológico de Costa Rica, Área Académica de Gerencia de Proyectos, 2013. El trabajo de graduación consiste en la elaboración del Plan para la Dirección del Proyecto Construcción y Equipamiento del Departamento de Hemato Oncología del Hospital Dr. Rafael Ángel Calderón Guardia, a cargo de la Unidad Proyecto Red Oncológica, adscrita a la Dirección Administración de Proyectos Especiales de la Caja Costarricense de Seguro So...

  17. 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.

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

    Directory of Open Access Journals (Sweden)

    Alireza Ahmadi

    2014-01-01

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

  19. Dr. Cheng Yichun's Experience in Treating Hyperthyroidism

    Institute of Scientific and Technical Information of China (English)

    Sun Fenglei; Feng Jianhua; Wang Xinzhong

    2006-01-01

    @@ Having been engaged in the TCM clinical practice for more than 40 years, Dr. Cheng Yichun from the Affiliated Hospital of Shandong University of TCM has rich experience in treating endocrine metabolic diseases. Authors have had the good fortune to follow Dr. Chen for 10 years. Following is his train of thought in diagnosing and treating hyperthyroidism and his prescriptions most in use for the disease.

  20. Dr. Shi Hanzhang's Experience in Treating Andropathy

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    @@ Dr. Shi Hanzhang (施汉章) of Dongzhimen Hospital affiliated to Beijing University of Traditional Chinese Medicine is experienced in both teaching and clinical practice, especially in treating andropathy, such as sexual disorder, infertility, and hyperplasia of the prostate. The author has the honour to follow him for study and really learned a lot from him. A brief introduction to Dr. Shi's way of thinking in treatment is as follows.

  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. Incidencia de labio y paladar hendido en el Hospital General "Dr. Aurelio Valdivieso" del estado de Oaxaca de 2008 a 2010

    OpenAIRE

    Flor de María Contreras-Acevedo; Carlo Eduardo Medina-Solís; Santa Adriana Martínez-Mendoza; América Patricia Pontigo-Loyola; Herman Adolfo Estrada-Meráz; Mauricio Escoffié-Ramírez

    2012-01-01

    Introducción: las fisuras de labio y/o paladar o ambas, son las anomalías craneofaciales más frecuentes. Objetivo: determinar la incidencia del labio y/o paladar o ambas, en pacientes de un hospital de Oaxaca (2008-2010). Material y métodos: estudio transversal y retrospectivo realizado en nacidos vivos con hendidura orofacial no sindrómica. Las variables fueron: labio y/o paladar hendidos sexo y año de nacimiento. Se revisaron los expedientes clínicos de los nacidos labio y/o paladar hendido...

  3. Assessment of Risk Factors in Patients with Chronic Hepatitis B Referred to Dr. Labbafi Nejad’s Hospital Hepatitis Clinic 2012-2014

    Directory of Open Access Journals (Sweden)

    Sara Abolghasemi

    2017-01-01

    Full Text Available Background: With the growing trend of unhealthy behaviors in the community, the likelihood of transmission of hepatitis B virus from infected people to society is increasing. So, early detection for preventing disease progression in patients and preventing the spread to the community has an important role. The aim of this study is assessment of risk factors in patients with chronic hepatitis B referred to Labbafi nejad’s Hospital hepatitis Clinic during 2012-2014.Materials and Methods: This cross-sectional study is done on 329 hepatitis B confirmed patients that were admitted to Labbafi nejad’s Hospital hepatitis Clinic 2012-15. Information was collected by interviewing patients by researcher-made questionnaire. Variables are, all risk factors for hepatitis B, respectively. Statistical analysis was performed by SPSS version 21. Average and frequency was used for descriptive and chi-square test was used for analysis.Results: 329 persons (59% males, 41%females with a mean age of 44/83 years. 33/7% of these individuals have been identified through routine screening. The frequency of exposure to risk factors in this study are as follows: Some groups, such as history of dentist visit (62.3%, major surgery (45.5% and hospitalization (54.7% had higher prevalence than other groups. There were no cases of hepatitis B in history of cosmetics and splice joint, common use of blades and razors, HCV disease in patients at the same time, Family history of HIV positive in patients and HIV disease in patients at the same time.Conclusion: It seems to be of great importance to pay more attention to certain jobs, lifestyles and cultural matters in Iran that predispose people to a number of risk factors so as to implement measures to control HBV spread. Also, given the high levels of hepatitis B infection among housewives (in this study, it seems that increased awareness and social - health education in order to avoid unprotected sexual contact with an infected

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

    Science.gov (United States)

    Qhalib, Hana A.; Zain, Gamal H.

    2014-01-01

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

  5. Drømmejobbet

    DEFF Research Database (Denmark)

    Harrebye, Silas

    2012-01-01

    Medarbejdere vil i fremtiden også kunne arbejde, mens de sover. Virksomheder tilbyder snart deres ansatte interne kurser i ‘lucid dreaming’. Disse giver mulighed for, at man i sine drømme bliver bevidst om, at man drømmer og således kan manipulere dem. Det skal nu udnyttes. Management...

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

    Directory of Open Access Journals (Sweden)

    Yamalí Benites-Condor

    2012-09-01

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

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

    Directory of Open Access Journals (Sweden)

    Yamalí Benites-Cóndor

    2011-01-01

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

  8. Bronquiectasias, estudio de 36 pacientes intervenidos en el hospitalDr. Rafael Ángel Calderón Guardia”

    Directory of Open Access Journals (Sweden)

    José Alberto Mainieri-Hidalgo

    2011-09-01

    Full Text Available Objetivo: Analizar el resultado de la cirugía por bronquiectasias en el Servicio de Cirugía de Tórax del Hospital Calderón Guardia. Método: Se revisaron los expedientes clínicos de 36 pacientes operados, con un total de 44 intervenciones por bronquiectasias. Resultados: Se encontró una prevalencia muy significativa de la enfermedad en mujeres, con una relación de 11 a 1. La etiología fue en 10 casos el antecedente de tuberculosis, en uno el síndrome de Kartagener, y en 25 no se logró establecer. Todos los pacientes tenían antecedente de tos y expectoración mucopurulenta de larga evolución, y 29 habían sido clasificados como asmáticos, aunque 10 no tenían ningún antecedente familiar. La radiografía de tórax fue anormal en todos los casos, mostrando áreas de fibrosis, infiltrados o nódulos, pero no fue útil para establecer el diagnóstico de bronquiectasias, contrario a la TAC, que en todos mostró las lesiones bronquiales. El resultado de la cirugía, contrario a lo esperado, no logró establecer un indicador de éxito, pues pacientes con lesiones muy localizadas continuaron expectorando e infectándose, y otros con patología difusa y bilateral, mejoraron sustancialmente. Conclusiones: La cirugía por bronquiectasias está indicada cuando el tratamiento médico no logra controlar satisfactoriamente los cuadros infecciosos bronquiales. Existe franca posibilidad de mejoría, pero no un indicador de éxito para el procedimiento quirúrgico.

  9. Happy Birthday, Dr. Seuss!

    Science.gov (United States)

    Brodie, Carolyn S.

    2002-01-01

    Reports on the career of Theodor Seuss Geisel and suggests activities to celebrate his birthday. Lists selected children's books by Dr. Seuss, selected Seuss videos, Web sites, biographical resources, and biographical videos. (LRW)

  10. Dr.GEO

    Directory of Open Access Journals (Sweden)

    Francesca Campora

    2004-01-01

    Full Text Available Presentazione di Dr. Geo, un prodotto software Open Source progettato per lo studio interattivo della geometria euclidea piana e per un primo approccio ai fondamenti della programmazione in linguaggio Scheme.

  11. KODAK Directview DR Systems

    Directory of Open Access Journals (Sweden)

    Stefan Baum

    2007-08-01

    Full Text Available KODAK DIRECTVIEW DR 9500 System. The flexibility of a dual detector system in a unique, sin-gle detector design. The DR 9500 easily moves "around" the patient, making it ideal for all horizontal, upright and angled projections, and added convenience for patients - particularly those with limited mobility. "nKODAK DIRECTVIEW DR 7500 System New-generation system provides the ultimate in digital radiography flexibility. Modular components ena-ble you to easily configure a DR system to fit your space, applications, workflow - and budget."nHighest operator comfort:"n• Auto tracking (tube, table, wall stand, both direc-tions"n• Automatic, perpendicular centring to detectors center for table and wall stand"n• Auto positioning (choice of 16, customer programmable tube-detector positions"n• Manual or full motorised up and down motion and motorised detector tilt capability"n• Overhead tube system optional motorised, standard length rail system (5x3m"n• Floor mounted or with floor rails equipped DR 7500WM wall stand"n• Moveable, motorised table with floating top table"nScaleable: "n• degree of motorisation, degree of automatic func-tions"nKODAK DIRECTVIEW DR 3000 System This powerful multipurpose system is designed to handle a full range of general radiography procedures. With its simple design, space saving footprint, and advanced "ease of use" features, this system can enhance departmental workflow, productivity, and the quality of patient care.

  12. White Dwarfs in SDSS DR9 and DR10

    Science.gov (United States)

    Gentile Fusillo, Nicola Pietro; Gänsicke, Boris; Koester, Detlev

    2015-06-01

    Currently the largest catalogue of spectroscopically identified WDs is based on the 7th Data Release (DR) of the Sloan Digital Sky Survey and contains over 20000 WDs (Kleinman et al. 2013). However, only a fraction of all WDs in the photometric footprint of SDSS have been spectroscopically followed up. Using DR7 spectroscopy as a training sample, we developed a method to select high confidence photometric WD candidates. The novelty of our selection is that it allows us to assign to any object with multi-colour and proper motion data a well-defined "probability of being a white dwarf" (or a contaminant). Exploiting this selection method we compiled a catalogue (Gentile Fusillo et al. in prep) which currently covers the entire photometric footprint of SDSS, 14555sq deg, with a limiting magnitude of g ≤ 19. The catalogue contains over 20000 high-confidence WDs and WD candidates 11500 of which have not yet been followed up with Sloan spectroscopy. Even though, so far, our catalogue relies only SDSS we plan to extend the sky coverage as additional deep multi-colour large area surveys become available. DR10 includes over 1.4 million spectra taken with the new BOSS spectrograph, which improves over the original SDSS spectograph in both resolution and wavelength coverage, but has so far not been systematically mined for WD science. As part of this project, we also inspected over 8000 BOSS spectra of bright (g ≤ 19) colour selected sources and classified 1765 new WDs. We used this independent, spectroscopically confirmed sample to further validate our selection method. Finally we discuss possible application of our catalogue , focusing on the selection and follow up of 9 new DZs which show strong pollution from elements other than Ca and IR excess emission emission consistent with the presence of debris discs.

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

    Directory of Open Access Journals (Sweden)

    María Cristina Quijano M.

    2008-01-01

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

  14. Hospitals

    DEFF Research Database (Denmark)

    Mullins, Michael

    2013-01-01

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

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

    OpenAIRE

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

    2013-01-01

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

  16. Experiencia de 10 años con cirugía mínimamente invasiva del tórax, en el Hospital Dr. Rafael Ángel Calderón Guardia

    Directory of Open Access Journals (Sweden)

    José Alberto Mainieri-Hidalgo

    2010-03-01

    Full Text Available Objetivo: Analizar lo útil que ha sido el desarrollo de la toracoscopía en el Hospital Dr. Rafael A. Calderón Guardia. Materiales y métodos: Con el fin de valorar la experiencia adquirida con la cirugía mínimamente invasiva del tórax durante los primeros 10 años, se estudiaron los datos clínicos de 788 pacientes tomados de una base de datos del Servicio de Cirugía de Tórax, desde marzo de 1999 a marzo del 2009. Resultados: Se encontró que durante el período de 10 años un 25% de las intervenciones del servicio se realizaron por toracoscopia. Este porcentaje subió a un 49% durante los dos últimos años del período estudiado. Se analizaron los expedientes clínicos de los pacientes que fueron sometidos a procedimientos diagnósticos o a resecciones tumorales. En el 97.4% de los pacientes que fueron intervenidos con fines de diagnóstico se obtuvo el mismo; los tumores que resultaron de más difícil diagnóstico, fueron los del mediastino, en dos de los cuales el patólogo solicitó un espécimen más grande. No se realizaron procedimientos mayores por este método. No se dio ningún caso de mortalidad. El porcentaje de conversión fue de un 2.6% y de este 20% fue por sangrado y 80% para realizar un procedimiento mayor. Conclusión: El procedimiento de toracoscopia ha revolucionado el campo de la medicina, en donde antes se utilizaban métodos como la toracotomía para cirugías menores, esto ha permitido realizar intervenciones y procedimientos complejos. Los resultados obtenidos muestran resultados satisfactorios para el paciente y de gran utilidad para la institución.Aim: To analyze the usefulness of VAT Surgery at the Dr. Rafael A. Calderón Guardia Hospital. Materials and Methods: With the purpose of assessing the experience acquired with the practice of VAT Surgery during the first 10 years, clinical data of 788 patients treated via thoracoscopic procedures at the Thoracic Surgery Department via, from March 1999 to March

  17. Perfil epidemiológico dos recém-nascidos prematuros com retinopatia da prematuridade no Hospital Regional de São José Dr. Homero de Miranda Gomes

    Directory of Open Access Journals (Sweden)

    Mara Barreto Theiss

    2016-04-01

    Full Text Available RESUMO Objetivo: Avaliar a prevalência da retinopatia da prematuridade (ROP em recém-nascidos (RN prematuros (Idade Gestacional (IG < 37 semanas e/ou peso ao nascimento (PN £ 1500g e os que possuem fatores de risco, nascidos no HRSJ entre janeiro de 2007 e janeiro de 2011. Método: Estudo transversal, retrospectivo, analítico e observacional. Os dados foram obtidos a partir de prontuários no Hospital Regional de São José Dr. Homero de Miranda Gomes. Resultados: Observou-se a presença de retinopatia em 37,81% dos RNs, sendo o estágio 1 o mais prevalente. Verificou-se que não houve diferença estatística entre os sexos (p=0,993. A presença da ROP foi maior no grupo com PN < 1000 gramas (83,33%, avaliados com mais de 6 semanas de vida e com IG menor que 32 semanas (49,48%. Os fatores de risco com significado estatístico foram: oxigenioterapia, ventilação mecânica, persistência do canal arterial, asfixia perinatal, síndrome do desconforto respiratório, transfusão sanguínea, hemorragia intraventricular, sepsis, infecção neonatal e doença da membrana hialina. Conclusão: Conclui-se que o fator sexo e gestação múltipla não tiveram significância estatística. Os RNs com menor PN e IG tem um maior risco de desenvolver ROP. Em relação à oxigenioterapia, a prevalência nos expostos é maior e proporcional ao tempo de utilização de oxigênio.

  18. The DR-2 project

    DEFF Research Database (Denmark)

    Ølgaard, Povl Lebeck

    2003-01-01

    DR-2 was a 5 MW tank type, water moderated and cooled research reactor, which was operated at the Risø National Laboratory from 1959 to 1975. After the close-down in1975 the DR-2 has been kept in safe enclosure until now. The aim of the DR-2 projectreported here was to characterize the present...... their activity had been measured. The activity of the radiation shield of the reactor was measured in three different ways: By drilling two cored holes through the shield, by thermo-luminescence dosimeter measurements in vertical tubes in theconcrete shield and by measurements through an open beam hole...... state of the reactor and to determine, which radionuclides remain where in the reactor in what amounts. The first part of the reactor to be investigated was the reactor tank. The lids at the reactor top wereremoved, air samples taken and smear test made in the tank. Then the control rods, the magnet...

  19. Goldie Brangman Remembers the Operation to Save Dr King.

    Science.gov (United States)

    Koch, Evan; Brangman, Goldie

    2015-12-01

    In September 1958 the Rev Dr Martin Luther King Jr was stabbed and nearly assassinated. Surgeons at Harlem Hospital in New York City removed a 17.8-cm (7-in)-long letter opener from Dr King's chest. Certified Registered Nurse Anesthetist Goldie Brangman remembers this event because she participated in Dr King's anesthetic. This article correlates Brangman's memories with published accounts of the event. It also places the event within the context of the modern civil rights movement that Dr King led.

  20. توحيد القلوب في رسائل النور - Dr. Umid Najm al-Din Jamil al-Mufti: The Union of Hearts in the Risale-i Nur (According to the Principles of Fiqh)

    OpenAIRE

    المفتي, د. أميد نجم الدين جميل

    2015-01-01

    توحيد القلوب في رسائل النور – رؤ توحيد القلوب في رسائل النور– رؤية أصولية فقهية – –ABSTRACT– The Union of Hearts in the Risale-i Nur (According to the Principles of Fiqh) Dr. Umid Najm al-Din Jamil al-Mufti Oftentimes, contemporary Muslims feel that it is important to find methods that can help achieve unity between them, especially given that Muslims have different methods of thinking. Although Muslim scholars and thinkers throughout Islami...

  1. Drømmebilleder

    DEFF Research Database (Denmark)

    Fausing, Bent

    2014-01-01

    Bogen beskriver i en række intense analyser forbindelsen mellem ydre og indre billeder: altså mellem de moderne mediers billedverden og drømmens og erindringens indre billeder. I fokus for undersøgelsen er desuden kønnet, altså hvordan billeder viser, omformer eller skjuler kønnet, 'det andet', s...

  2. Incidencia y pronóstico de disfunción multiorgánica en el área de UCIP del Hospital de Niños Dr. Roberto Gilbert en el año 2012

    OpenAIRE

    Cevallos Cedeño, Andrea Marina

    2013-01-01

    El Síndrome de Disfunción Multiorgánica (SDMO) representa la principal causa de muerte en UCI pediátricas. Es un proceso agudo, con mortalidad entre el 50 al 80 %.No existen escalas pediátricas que permitan diferenciar entre disfunción de un órgano, falla total, y su repercusión sobre la gravedad del paciente. El objetivo fue determinar la incidencia y el pronóstico de los niños que realizaron SDMO en la UCIP del Hospital Roberto Gilbert año 2012, planteando como hipótesis que el 30% de lo...

  3. Bronquiectasias, estudio de 36 pacientes intervenidos en el hospitalDr. Rafael Ángel Calderón Guardia” Bronchiectasis, Results of Surgical Intervention in 36 Patients

    Directory of Open Access Journals (Sweden)

    José Alberto Mainieri-Hidalgo

    2011-09-01

    Full Text Available Objetivo: Analizar el resultado de la cirugía por bronquiectasias en el Servicio de Cirugía de Tórax del Hospital Calderón Guardia. Método: Se revisaron los expedientes clínicos de 36 pacientes operados, con un total de 44 intervenciones por bronquiectasias. Resultados: Se encontró una prevalencia muy significativa de la enfermedad en mujeres, con una relación de 11 a 1. La etiología fue en 10 casos el antecedente de tuberculosis, en uno el síndrome de Kartagener, y en 25 no se logró establecer. Todos los pacientes tenían antecedente de tos y expectoración mucopurulenta de larga evolución, y 29 habían sido clasificados como asmáticos, aunque 10 no tenían ningún antecedente familiar. La radiografía de tórax fue anormal en todos los casos, mostrando áreas de fibrosis, infiltrados o nódulos, pero no fue útil para establecer el diagnóstico de bronquiectasias, contrario a la TAC, que en todos mostró las lesiones bronquiales. El resultado de la cirugía, contrario a lo esperado, no logró establecer un indicador de éxito, pues pacientes con lesiones muy localizadas continuaron expectorando e infectándose, y otros con patología difusa y bilateral, mejoraron sustancialmente. Conclusiones: La cirugía por bronquiectasias está indicada cuando el tratamiento médico no logra controlar satisfactoriamente los cuadros infecciosos bronquiales. Existe franca posibilidad de mejoría, pero no un indicador de éxito para el procedimiento quirúrgico.Aim: To analyze the results of surgical interventions due to bronchiectasias at the Thoracic Surgery Department of the Dr. R. A. Calderón Guardia Hospital. Methods: In order to review the results of 44 surgical interventions due to bronchiectasias at the Thoracic Surgery Department of Calderón Guardia Hospital, the clinical files of 36 patients were examined. Results: A significant prevalence of the disease in female patients was observed, in proportion of 11 to 1. In most cases, causal

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

    Directory of Open Access Journals (Sweden)

    C. Cereceda Fernández

    2003-04-01

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

  5. 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

  6. Análisis sobre el uso de exámenes preoperatorios en pacientes sometidas a cirugías programadas en el Servicio de Ginecología del Hospital "Dr. Rafael Ángel Calderón Guardia", durante 2009

    Directory of Open Access Journals (Sweden)

    Manrique Leal-Mateos

    2010-07-01

    Full Text Available Objetivo: Evaluar el uso de los exámenes preoperatorios en las pacientes sometidas a cirugía programada en el Servicio de Ginecología del Hospital "Dr. Rafael Angel Calderón Guardia", durante 2009. Métodos: Se realizó un estudio observacional analítico de corte transversal. Se analizaron 272 historias clínicas de pacientes operadas entre el 1 de enero y el 3 de junio de 2009. Las variables analizadas fueron: edad; cantidad y tipo de enfermedades coexistentes antes de la cirugía; cantidad y tipo de exámenes preoperatorios realizados, faltantes y adicionales, y tipo de cirugía realizada. La determinación sobre la cantidad y tipo de exámenes preoperatorios necesarios en cada paciente, según las patologías de fondo que padecen, se hizo con base en las guías emitidas por la Sociedad Americana de Anestesiólogos de 2002. Resultados: El promedio de exámenes preoperatorios por paciente fue de 4,3 (DS+ 2,1.Únicamente, al 44,9% (IC 95% 38,8-51,0 de las pacientes se les realizaron de forma completa los exámenes requeridos por el ASA, según su morbilidad. El promedio de exámenes faltantes fue de 1,7 (DS +1,1 por paciente. Al 93% (IC 95% 89,3-95,7 de las pacientes se les realizaron de forma adicional un promedio de 2,5 (DS+1,6 exámenes preoperatorios. El 9,5% de los exámenes perioperatorios realizados de forma adicional mostraron resultados anormales. Solo en el 7,6% (IC 95% 2,5-16,8 de los expedientes de las pacientes que presentaron resultados anormales se mostró alguna acción dirigida a corregir estas anormalidades y únicamente al 3% (IC 95% 0,4-10,5 de ellas se les suspendió la cirugía. Conclusión: La investigación evidenció el uso inadecuado de los exámenes preoperatorios, no solo porque aproximadamente a la mitad de las pacientes se les realizaron de forma incompleta, sino también porque a la mayoría de ellas se les solicitó una cantidad considerable de pruebas sin justificación.

  7. Experiencia de 10 años con cirugía mínimamente invasiva del tórax, en el Hospital Dr. Rafael Ángel Calderón Guardia

    Directory of Open Access Journals (Sweden)

    José Alberto Mainieri-Hidalgo

    2010-03-01

    Full Text Available Objetivo: Analizar lo útil que ha sido el desarrollo de la toracoscopía en el Hospital Dr. Rafael A. Calderón Guardia. Materiales y métodos: Con el fin de valorar la experiencia adquirida con la cirugía mínimamente invasiva del tórax durante los primeros 10 años, se estudiaron los datos clínicos de 788 pacientes tomados de una base de datos del Servicio de Cirugía de Tórax, desde marzo de 1999 a marzo del 2009. Resultados: Se encontró que durante el período de 10 años un 25% de las intervenciones del servicio se realizaron por toracoscopia. Este porcentaje subió a un 49% durante los dos últimos años del período estudiado. Se analizaron los expedientes clínicos de los pacientes que fueron sometidos a procedimientos diagnósticos o a resecciones tumorales. En el 97.4% de los pacientes que fueron intervenidos con fines de diagnóstico se obtuvo el mismo; los tumores que resultaron de más difícil diagnóstico, fueron los del mediastino, en dos de los cuales el patólogo solicitó un espécimen más grande. No se realizaron procedimientos mayores por este método. No se dio ningún caso de mortalidad. El porcentaje de conversión fue de un 2.6% y de este 20% fue por sangrado y 80% para realizar un procedimiento mayor. Conclusión: El procedimiento de toracoscopia ha revolucionado el campo de la medicina, en donde antes se utilizaban métodos como la toracotomía para cirugías menores, esto ha permitido realizar intervenciones y procedimientos complejos. Los resultados obtenidos muestran resultados satisfactorios para el paciente y de gran utilidad para la institución.

  8. Análisis del manejo quirúrgico de la enfermedad de Hirschsprung en el Hospital Nacional de Niños Dr. Carlos Sáenz Herrera, durante el periodo 2000-2010

    Directory of Open Access Journals (Sweden)

    Fabián García-Arias

    2013-06-01

    Full Text Available Antecedentes: la enfermedad de Hirschsprung es causa de obstrucción intestinal baja en neonatos. Se caracteriza por ausencia de inervación en un segmento intestinal. El tratamiento radica en la resección de ese segmento intestinal enfermo para permitir el funcionamiento correcto del intestino sano. Se analizó el manejo de esta patología en el Hospital Nacional de Niños Dr. Carlos Sáenz Herrera, durante el periodo 2000 -2010 y su epidemiología. Métodos: se realizó un estudio observacional retrospectivo; se revisó 130 expedientes usando Microsoft Excel y el programa estadístico JMP. Resultados: se identificó una relación de hombre: mujer de 4:1, la mayoría de los casos se presentó en recién nacidos de término. Los síntomas iniciales más frecuentes fueron distensión abdominal y vómitos biliosos. La edad de presentación, en el 78% de los casos, fue de menos de 1 mes. Dentro de las cirugías realizadas se evidenció que en el 35 % de los casos se utilizó la técnica del descenso endorrectaltransanal y en el 48%, la técnica de Duhamel. Entre las complicaciones postoperatorias en el grupo de descenso endorrectaltransanal, la más frecuente fue la enterocolitis, en 14 de 19 casos, mientras que la complicación más frecuente en el grupo de Duhamel, fue el tabique rectal, en 8 de 21 casos. Conclusión: las características clínicas y epidemiológicas de los casos de enfermedad de Hirschsprung analizados, son similares a las descritas en la bibliografía. Las complicaciones postoperatorias y la morbilidad fue similar para ambas técnicas quirúrgicas.

  9. Colecistectomía laparoscópica temprana y tardía por colecistitis aguda: Relación en la estadía hospitalaria. Hospital Dr. Gustavo Fricke, Chile 2011.

    Directory of Open Access Journals (Sweden)

    Iván Fuentes Z

    2014-04-01

    Full Text Available INTRODUCCIÓN: La colecistitis aguda es la inflamación aguda de la vesícula biliar, cuya resolución es mayoritariamente mediante colecistectomía laparoscópica (CL, siendo el momento de intervención aún controvertido. OBJETIVO: Determinar la relación entre el momento de intervención y la estadía postoperatoria de los pacientes colecistectomizados. PACIENTES Y MÉTODOS: Estudio observacional, retrospectivo, analítico. Se analizaron las fichas clínicas de pacientes intervenidos por colecistectomía laparoscópica en el Hospital Dr. Gustavo Fricke de Viña del Mar, entre Enero y Octubre de 2011. Criterios de inclusión: Edad entre 18 a 80 años, diagnóstico de colecistitis aguda e indicación de colecistectomía laparoscópica. Criterios de Exclusión: Pacientes según clasificación American Society of Anesthesiologists (ASA IV ó V. Las variables consideradas fueron: edad, género, ASA, cirugía abdominal previa, estadía hospitalaria, tiempo operatorio y complicaciones. RESULTADOS: Se analizaron los datos de 88 pacientes, 57 de ellos fueron intervenidos posterior a 72 horas de iniciados sus síntomas (CL tardía y 31 pacientes antes de 72 horas desde el inicio de su sintomatología (CL temprana. La mediana de la estadía hospitalaria en el grupo CL tardía fue de nueve días y en el grupo CL temprana de tres días, diferencia estadísticamente significativa (p=0,00001. No se encontraron diferencias estadísticamente significativas en relación a las características demográficas, clínicas, tiempo operatorio, complicaciones, ni estadía postoperatoria. DISCUSIÓN: Dada la menor estadía hospitalaria total, no influyendo en la estadía postoperatoria, tiempo operatorio ni complicaciones parece conveniente la realización de una CL antes de 72 horas iniciados los síntomas de los pacientes con colecistitis aguda.

  10. PCCF flow analysis -- DR Reactor

    Energy Technology Data Exchange (ETDEWEB)

    Calkin, J.F.

    1961-04-26

    This report contains an analysis of PCCF tube flow and Panellit pressure relations at DR reactor. Supply curves are presented at front header pressures from 480 to 600 psig using cold water and the standard 0.236 inch orifice with taper down stream and the pigtail valve (plug or ball) open. Demand curves are presented for slug column lengths of 200 inches to 400 inches using 1.44 inch O.D. solid poison pieces (either Al or Pb-Cd) and cold water with a rear header pressure of 50 psig. Figure 1 is a graph of Panellit pressure vs. flow with the above supply and demand curves and clearly shows the effect of front header pressure and charge length on flow.

  11. Disquinesia tardía inducida por neurolépticos y discapacidad en usuarios de larga estancia del Hospital Psiquiátrico Dr. Roberto Chacón Paut

    Directory of Open Access Journals (Sweden)

    José Rodolfo Gutiérrez -Villalobos

    2003-09-01

    Full Text Available Justificación y objetivo: Los usuarios de larga estancia del Hospital Dr. Roberto Chacón Paut reciben tratamientos prolongados con neurolépticos, lo cual los expone a sufrir disquinesia tardía (DT. Este estudio tiene como objetivo determinar la prevalencia de DT inducida por neurolépticos, la discapacidad que genera, los factores de riesgo de sufrir disquinesia y sus efectos discapacitantes en esta población. Métodos: A 173 usuarios, se les administraron los instrumentos: Criterios de investigación DSM-IV para DT inducida por neurolépticos, Escala de movimientos involuntarios anormales e Indice de Barthel, con el fin de determinar la prevalencia de DT y la discapacidad por movimientos anormales y para ABVD. Se utilizó un análisis de regresión logística para establecer los factores de riesgo de sufrir DT y sus efectos discapacitantes. Resultados: La prevalencia general de DT fue del 54%. Este porcentaje fue superior en mujeres y aumentó en los grupos de mayor edad y con tratamientos prolongados. Las mujeres presentaron discapacidad más severa que los varones. La edad avanzada y años de tratamiento con neurolépticos, se asociaron con una discapacidad menos severa. Se encontró un riesgo significativo de sufrir DT y discapacidad moderada por movimientos anormales, 1,06 veces más frecuente por cada año de tratamiento, y de total dependencia para ABVD, 10,07 veces más frecuente en mujeres que en varones. Conclusiones:\tLos años de tratamiento con neurolépticos fue el único factor de riesgo identificado en la ocurrencia de DT y discapacidad moderada por movimientos anormales. El sexo femenino se asoció con total dependencia para ABVD.Background and aim: To establish the prevalence of tardive dyskinesia (TD induced by neuroleptics. The risk factors involved and the disability effects in chronic users at the Chacón Paut Psychiatric Hospital. Method: 173 patients were studied. The DSM-IV Investigation Criteria for Tardive

  12. Enfermedad de Castleman. Reporte de 14 casos de 1990-2002 en el "Hospital Dr. Rafael Angel Calderón Guardia", dos con presentación inusual y revisión de literatura

    Directory of Open Access Journals (Sweden)

    Eduardo Fiedler-Velásquez

    2005-07-01

    Full Text Available La enfermedad de Castleman (hamartoma linfoideo, linfoma gigante benigno, hiperplasia angiofolicular de los nódulos linfáticos es un transtorno linfoproliferativo raro, de curso usualmente benigno de etiología desconocida y pobremente entendido. Resulta de un crecimiento no regulado del tejido linfático y puede manifestarse clínicamente en 2 formas, localizada y diseminada o multicéntrica, con 3 variantes histopatológicas, vascular hialino, plasmocelular y mixto o transicional. Usualmente la forma vascular hialina tiene una evolución clínica benigna manifestada solamente por adenopatías, en cambio, la forma plasmocelular o mixta puede manifestar alteraciones físicas y de laboratorio, tales como fiebre, pérdida de peso, anemia e hiper-globulinemia. Las 2 últimas condiciones clínicas pueden resultar en transformación maligna similar al linfoma de Hodgkin. Revisamos la base de datos del Servicio de Patología de nuestro hospital y encontramos 14 casos reportados desde enero de 1990 hasta enero del 2002, 2 mostraron presentación inusualCastleman’s disease is a rare lymphoproliferative disorder. Its etiology is unknown and its course is usually benign. It is secondary to an irregular growth of lymphatic tissue and it can exhibirt 2 forms: a localized and a disseminated or multicentric. Histopathologically there are 3 forms: hialine vascular, plasma cell and mixed or transitional. The first type usually has a benign clinical course and is characterized by adenomegalies, the plasma cell or mixed forms, however, may exhibit clinical or laboratory anomalies, such as fever, weight loss, anemia and hyperglobulinemia. The latter forms may evolve to Hodgkin lymphoma. We found 14 cases at the Calderon Guardia Hospital Pathology Department data base (1990-2002. The clinical course of 2 patients is presented

  13. Hasta siempre Profesor Manuel Fernández: Palabras en homenaje al ex Decano de la Facultad de Arquitectura y Urbanismo Dr. Arqto. Manuel Fernández Hechenleitner (1946- 2003. / Farewell, Professor Manuel Fernandez: Words in tribute to the former - Dean of the Faculty of Architecture and Planning Dr. Arqto. Manuel Fernández Hechenleitner (1946 - 2003.

    Directory of Open Access Journals (Sweden)

    Javier de Cárdenas

    2003-06-01

    Full Text Available Académicos, ex alumnos y amigos de la Facultad de Arquitectura y Urbanismo de la Universidad de Chile, recuerdan la personalidad del Dr. Arquitecto Manuel Fernández Hechenleitner (1946-2003, ex Decano de la F.A.U., con motivo de su fallecimiento./Academics, ex - students and friends of the School of Architecture and Urbanism of the University of Chile, remember the personality of Dr. Manuel Fernandez Hechenleitner Architect (1946-2003, ex - Dean of the FAU, on the occasion of his death.

  14. Mortalidad por causas accidentales en niños menores de 5 años en el Hospital Nacional de Niños "Dr. Carlos Sáenz Herrera", 2002-2004

    Directory of Open Access Journals (Sweden)

    Adriana Benavides-Lara

    2008-03-01

    Full Text Available Las lesiones traumáticas por causas externas corresponden en Costa Rica a la segunda causa de muerte en niños menores de 5 años, con una tasa para 2004 de 9.23 x 100000 habitantes, y la primera causa de años de vida potencialmente perdidos (37% para esta edad. El objetivo de esta investigación fue evaluar el impacto de este tipo de lesiones como causa de muerte en niños menores de 5 años, atendidos en el Hospital Nacional de Niños (HNN, y caracterizar esta población. Materiales y métodos: Se realizó un estudio caso control pareado, donde se incluyeron todos los niños menores de 5 años egresados del HNN desde diciembre de 2001 a diciembre de 2004, con diagnóstico de lesión no intencional por causas externas. Los casos los constituyeron los niños que egresaron fallecidos y para cada uno se eligió al azar un control de la misma edad y sexo que no hubiera fallecido por causa de la lesión traumática. Resultados: Hubo un total de 36 casos distribuidos igualmente por sexo.Las principales causas de muerte resultaron,en orden de importancia:los accidentes de tránsito y los ahogamientos.La mayoría de los casos provinieron de la provincia de San José.No se encontraron diferencias estadísticamente significativas en la mayoría de variables estudiadas entre casos y controles.La mayoría de muertes ocurrieron durante los meses de verano y típicos de vacaciones escolares; además,el 35%de estas ocurrieron durante el fin de semana.La mayoría de los niños ingresó al hospital durante el segundo turno (2pm-10pmy la gran mayoría de las lesiones (64%ocurrieron en la casa (p<0.05.La no supervisión figuró,dentro del estudio,como un factor de riesgo de ocurrencia de una lesión no intencional (p<0.05. Conclusiones: El registro de este tipo de lesiones es aún muy deficiente en Costa Rica,lo cual dificulta la realización de un estudio analítico sobre prevalencia y factores de riesgo de lesiones no intencionales por causas externas.

  15. Hospital marketing.

    Science.gov (United States)

    Carter, Tony

    2003-01-01

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

  16. Dr. julio iribarne

    OpenAIRE

    Revista de la, Facultad de Medicina

    2011-01-01

    El Dr. lribarne fue profesor titular de Ginecología, dos veces Decano de la Facultad de Ciencias Médicas de Buenos Aires, uno de los profesores más ilustres, llamado el Decano de las reformas universitarias, escritor y sociólogo profundo conocidoy respetado en todos los centros científicos de Europa y del Nuevo Continente, director de la "Revista Médica Latino Americana". Lamentamos el fallecimiento de este colega que no solamente era una gloria del cuerpo médico argentino, sino de la América...

  17. Enfermedad de Castleman. Reporte de 14 casos de 1990-2002 en el "Hospital Dr. Rafael Angel Calderón Guardia", dos con presentación inusual y revisión de literatura

    Directory of Open Access Journals (Sweden)

    Eduardo Fiedler-Velásquez

    2005-07-01

    Full Text Available La enfermedad de Castleman (hamartoma linfoideo, linfoma gigante benigno, hiperplasia angiofolicular de los nódulos linfáticos es un transtorno linfoproliferativo raro, de curso usualmente benigno de etiología desconocida y pobremente entendido. Resulta de un crecimiento no regulado del tejido linfático y puede manifestarse clínicamente en 2 formas, localizada y diseminada o multicéntrica, con 3 variantes histopatológicas, vascular hialino, plasmocelular y mixto o transicional. Usualmente la forma vascular hialina tiene una evolución clínica benigna manifestada solamente por adenopatías, en cambio, la forma plasmocelular o mixta puede manifestar alteraciones físicas y de laboratorio, tales como fiebre, pérdida de peso, anemia e hiper-globulinemia. Las 2 últimas condiciones clínicas pueden resultar en transformación maligna similar al linfoma de Hodgkin. Revisamos la base de datos del Servicio de Patología de nuestro hospital y encontramos 14 casos reportados desde enero de 1990 hasta enero del 2002, 2 mostraron presentación inusual

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

    Directory of Open Access Journals (Sweden)

    A. Aziane

    2015-07-01

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

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

    Directory of Open Access Journals (Sweden)

    A. Aziane

    2014-12-01

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

  20. Factores asociados a la infección hospitalaria de la herida operatoria en pacientes de cirugía limpia electiva en el Hospital "Dr. Rafael Ángel Calderón Guardia" de Costa Rica

    Directory of Open Access Journals (Sweden)

    Moraima Guevara-Rodríguez

    2010-07-01

    Full Text Available Objetivo: Las infecciones hospitalarias de la herida operatoria (IHHO se ubican entre las primeras 3 causas de infección hospitalaria en el mundo, con altos costos sociales y médicos. Este estudio tiene como objetivo identificar y cuantificar factores de riesgo para IHHO de un hospital de Costa Rica. Métodos: Estudio de cohorte en 488 pacientes, intervenidos entre abril y junio de 2006. Los pacientes fueron divididos en 2 grupos: aquellos en los que se restringió el tránsito de personas en la sala, grupo A, y aquellos en que no se restringió, grupo B. El análisis se realizó en 2 grandes fases: descriptiva y analítica. En la primera, se calcularon medidas de frecuencias (absolutas y relativas; y la segunda fase se efectuó en 2 etapas, ambas por regresión logística no condicional, análisis univariado y análisis multivariado. Resultados: Hubo una incidencia global del 35,2% (172/488 IHHO. La incidencia acumulativa en los no expuestos fue del 31,8% (76/239, mientras que en los expuestos fue del 38,6% (96/249 (p=0.12 Únicamente las cirugías de órgano y hueso/articulación presentaron mayor riesgo de IHHO (OR 2,42; IC 95% 1,5 - 3,8; las cirugías en las salas de tránsito irrestricto y la diabetes no se asociaron con la infección. Conclusión: La diabetes y la profundidad del plano quirúrgico deben incluirse en el perfil del paciente con riesgo de IHHO; además, aunque no hubo asociación epidemiológica, la diferencia porcentual en la incidencia de IHHO según la exposición, en un hospital con miles de intervenciones al año, sugiere la restricción del tránsito de personas ajenas a la cirugía.

  1. Las medidas de bioseguridad y su relación con la calidad de los servicios de la Salud del Área de Emergencia del Hospital del Día Dr. Efrén Jurado López-IESS.

    OpenAIRE

    2015-01-01

    El Instituto Ecuatoriano de Seguridad Social (IESS), incorpora en su estructura nuevos modelos de Hospitales como lo es el Hospital del Día Dr. Efrén Jurado López en la ciudad de Guayaquil el mismo que brinda atención clínica-quirúrgica ambulatoria, pero con otros servicios de mayor impacto como: emergencia y triage; el mismo que cuenta con equipo de última tecnología, infraestructura moderna, personal médico especializado con experiencia y capacidad para brinda servicio de salud en f...

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

    Directory of Open Access Journals (Sweden)

    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.

  3. Tarjetas de funciones del área de ingeniería del Hospital General Universitario Dr. Gustavo Aldereguía Lima de Cienfuegos ante situaciones de desastre

    Directory of Open Access Journals (Sweden)

    Victor René Navarro Machado

    2012-06-01

    Full Text Available Fundamento: la preparación de los sistemas ingenieros en una institución de salud es clave para el nivel de respuesta ante un desastre. Objetivos: rediseñar el plan de respuesta del área de ingeniería hospitalaria ante situaciones de desastre. Métodos: investigación realizada en el Hospital General de Cienfuegos, durante el segundo semestre de 2011, que rediseñó el plan para respuesta a situaciones de desastre del área de ingeniería, mediante tarjetas de funciones, para nueve sistemas ingenieros definidos como principales. Se precisó de revisión documental, entrevista a informantes clave y técnica de grupo focal. Para la implementación se capacitó a todo el personal. Las tarjetas, impresas en papel fotocopiadora de señalizaciones, fueron ubicadas en los puestos de trabajo. Resultados: fueron definidos como sistemas ingenieros principales: eléctrico, abasto de agua, vapor, gases medicinales, clima, electromedicina, mantenimiento constructivo, equipos no médicos y redes de corrientes débiles. Para cada jefe y operario fueron definidas las principales acciones. El criterio de ingenieros (8 y técnicos (14 sobre el rediseño del plan mostró como respuestas de muy bien y excelente: utilidad (100 %, aplicabilidad (90,1 %, estructura del sistema (86,4 %, coherencia (90,1 % y mejora de la respuesta (100 %. Conclusiones: las acciones diseñadas para los sistemas ingenieros principales, mediante tarjetas de funciones, son útiles, factibles, facilitan el cumplimiento de la estrategia de respuesta de la institución ante situaciones de desastre y tributan al perfeccionamiento del plan de reducción de estos fenómenos.

  4. Entrevista al Dr. en Comunicación (UNLP) Carlos Giordano sobre su tesis doctoral: "23 tesis sobre la tesis. La comunicación para la transformación de la gestión educativa"

    OpenAIRE

    Giordano, Carlos José; Clavellino, Marcos Sebastián

    2014-01-01

    El Dr. en Comunicación de la UNLP Carlos Giordano, en el programa Radiofotos de FM 107.5 Radio Universidad, dialoga con el periodista Marcos Clavellino y explica el contenido de su tesis doctoral para que los oyentes puedan conocer su investigación.

  5. 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

  6. Factores asociados a la infección hospitalaria de la herida operatoria en pacientes de cirugía limpia electiva en el Hospital "Dr. Rafael Ángel Calderón Guardia" de Costa Rica Factors Associated with Surgical Wound Infection in Patients for Elective Clean Surgery at the Hospital"Dr. Rafael Ángel Calderón Guardia, Costa Rica

    Directory of Open Access Journals (Sweden)

    Moraima Guevara-Rodríguez

    2010-07-01

    Full Text Available Objetivo: Las infecciones hospitalarias de la herida operatoria (IHHO se ubican entre las primeras 3 causas de infección hospitalaria en el mundo, con altos costos sociales y médicos. Este estudio tiene como objetivo identificar y cuantificar factores de riesgo para IHHO de un hospital de Costa Rica. Métodos: Estudio de cohorte en 488 pacientes, intervenidos entre abril y junio de 2006. Los pacientes fueron divididos en 2 grupos: aquellos en los que se restringió el tránsito de personas en la sala, grupo A, y aquellos en que no se restringió, grupo B. El análisis se realizó en 2 grandes fases: descriptiva y analítica. En la primera, se calcularon medidas de frecuencias (absolutas y relativas; y la segunda fase se efectuó en 2 etapas, ambas por regresión logística no condicional, análisis univariado y análisis multivariado. Resultados: Hubo una incidencia global del 35,2% (172/488 IHHO. La incidencia acumulativa en los no expuestos fue del 31,8% (76/239, mientras que en los expuestos fue del 38,6% (96/249 (p=0.12 Únicamente las cirugías de órgano y hueso/articulación presentaron mayor riesgo de IHHO (OR 2,42; IC 95% 1,5 - 3,8; las cirugías en las salas de tránsito irrestricto y la diabetes no se asociaron con la infección. Conclusión: La diabetes y la profundidad del plano quirúrgico deben incluirse en el perfil del paciente con riesgo de IHHO; además, aunque no hubo asociación epidemiológica, la diferencia porcentual en la incidencia de IHHO según la exposición, en un hospital con miles de intervenciones al año, sugiere la restricción del tránsito de personas ajenas a la cirugía.Aim: Surgical wound infection (SWI is one of the most frequent causes of nosocomial infection world wide, leading to important social and medical costs. This study aims to identify and quantify risk factors for SWI in a costarican hospital. Methods: A cohort study of 488 elective patients, operated between April and June 2006, was carried

  7. Efficacy of DR, CT and MRI in bone tumors

    Institute of Scientific and Technical Information of China (English)

    Yanjiao Zhang; Xuefeng Cui; Changcheng Li; Shenjiang Li

    2014-01-01

    Objective:The aim of the study was to investigate the ef icacy of digital radiography (DR), computed tomography (CT) and magnetic resonance imaging (MRI) in bone tumors. Methods:Fifty-five patients with histological y confirmed bone tumors underwent imaging examinations. Fifty-five patients were performed DR, 21 CT and 20 MRI. Results:DR of 51 pa-tients clearly revealed bone changes. DR of 40 patients wel showed marginal. Twenty tumors appeared periosteal reaction on DR and 19 calcification on DR. CT scan of 21 patients clearly depicted bone changes, marginal and calcification and CT scan of 8 revealed periosteal reaction. MRI scan of 20 patients al showed marginal and soft-tissue mass and bone marrow edema was prominent in 8 patients. Conclusion:DR is the first imaging approach for born tumors. CT wel reveal the extent and minute structure of the bone tumors, the extent, soft-tissue mass and bone marrow edema are more dramatical y demon-strated on MRI imaging. DR integrates with CT and MRI, is helpful in diagnosis of bone tumors.

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

    Directory of Open Access Journals (Sweden)

    Slimane Semghouli

    2015-09-01

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

  9. Teaching Peace with Dr. Seuss.

    Science.gov (United States)

    Pace, Rosemarie; Podesta, Andrea

    1999-01-01

    Educators seeking novel ways to instill conflict-resolution skills in young children should consider Dr. Seuss, whose books provide a synthesis of fantasy and reality that works for teaching values endemic to peace education. This paper discusses how students can learn peace and educators can teach peace using Dr. Seuss books, examining steps to…

  10. DR-current intensity variations during substorm development

    Science.gov (United States)

    Zaitseva, S. A.; Drobinina, T. A.; Pudovkin, M. I.

    2003-04-01

    According to the concept dominated by the last time, the intensification of the DR-current takes place during the polar substorm development. In the recent papers Iyemori and Rao claim that geomagnetic storms and substorms are independent processes, and SYM-index (essentially the same as Dst-index) tends to decay after the onset of substorms. In this paper we tried to clear up the cause of this contradiction by studying the connection of ring current development with polar substorms basing on the new data: ASY-, SYM-indices describing asymmetric and symmetric parts of DR-current correspondingly and AL-index as a measure of polar disturbances. It is shown that the hourly-mean SYM- and ASY-indices correlate with AL-index (r=0.63 and 0.69 correspondingly), and the connection between these values becomes worse for strong storms. Besides, at the substorm expansive phase onset, the energy can put mainly to the asymmetric part rather than into symmetric part of DR-current. Empirical Q-index based on solar wind parameters describes the energy input into DR-current; Q correlates rather well with SYM, ASY and AL-indices. Thus the intensifications of polar disturbances and DR-current take place simultaneously and have the same source.At the same time, the proportion in which the solar wind energy is distributed between the DR-current, polar ionosphere and magnetotail depends on the Dst variation phase.

  11. 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)

  12. Análisis sobre el uso de exámenes preoperatorios en pacientes sometidas a cirugías programadas en el Servicio de Ginecología del Hospital "Dr. Rafael Ángel Calderón Guardia", durante 2009 Analysis of Preoperative Test Screening in Patients Undergoing Elective Surgery at the Gynaecology Service of the "Rafael Ángel Calderon Guardia" Hospital during 2009

    Directory of Open Access Journals (Sweden)

    Manrique Leal-Mateos

    2010-07-01

    Full Text Available Objetivo: Evaluar el uso de los exámenes preoperatorios en las pacientes sometidas a cirugía programada en el Servicio de Ginecología del Hospital "Dr. Rafael Angel Calderón Guardia", durante 2009. Métodos: Se realizó un estudio observacional analítico de corte transversal. Se analizaron 272 historias clínicas de pacientes operadas entre el 1 de enero y el 3 de junio de 2009. Las variables analizadas fueron: edad; cantidad y tipo de enfermedades coexistentes antes de la cirugía; cantidad y tipo de exámenes preoperatorios realizados, faltantes y adicionales, y tipo de cirugía realizada. La determinación sobre la cantidad y tipo de exámenes preoperatorios necesarios en cada paciente, según las patologías de fondo que padecen, se hizo con base en las guías emitidas por la Sociedad Americana de Anestesiólogos de 2002. Resultados: El promedio de exámenes preoperatorios por paciente fue de 4,3 (DS+ 2,1.Únicamente, al 44,9% (IC 95% 38,8-51,0 de las pacientes se les realizaron de forma completa los exámenes requeridos por el ASA, según su morbilidad. El promedio de exámenes faltantes fue de 1,7 (DS +1,1 por paciente. Al 93% (IC 95% 89,3-95,7 de las pacientes se les realizaron de forma adicional un promedio de 2,5 (DS+1,6 exámenes preoperatorios. El 9,5% de los exámenes perioperatorios realizados de forma adicional mostraron resultados anormales. Solo en el 7,6% (IC 95% 2,5-16,8 de los expedientes de las pacientes que presentaron resultados anormales se mostró alguna acción dirigida a corregir estas anormalidades y únicamente al 3% (IC 95% 0,4-10,5 de ellas se les suspendió la cirugía. Conclusión: La investigación evidenció el uso inadecuado de los exámenes preoperatorios, no solo porque aproximadamente a la mitad de las pacientes se les realizaron de forma incompleta, sino también porque a la mayoría de ellas se les solicitó una cantidad considerable de pruebas sin justificación.Aim:To analyze the use of routine

  13. Dr. Vernon W. Hughes, 81, authority on the subatomic

    CERN Multimedia

    Lavietes, S

    2002-01-01

    "Dr. Vernon W. Hughes, a Yale physicist whose investigation of particles called muons poked holes in standard subatomic theory and provided evidence for the existence of previously undetected matter, died at Yale-New Haven Hospital last Tuesday" (1/2 page).

  14. Dr. Feng Xinghua's Experience in Treating Ankylosing Spondylitis

    Institute of Scientific and Technical Information of China (English)

    Liu Hongxiao

    2006-01-01

    @@ Ankylosing spondylitis (AS) is a rheumatic disease mainly involving the axial joints, characterized by sacro-iliilis and rigid spine. Dr. Feng Xinghua from Guang'anmen Hospital affiliated to China Academy of Chinese Medical Sciences has been engaged in the clinical research and treatment of arthralgia syndrome for more than 30 years. His experience is summarized as follows.

  15. Hemodilución isovolémica preoperatoria en pacientes con histerectomía radical por cáncer de cérvix: experiencia de 12 casos en el Hospital Dr. Rafael Ángel Calderón Guardia

    Directory of Open Access Journals (Sweden)

    Kwok Ho Sánchez-Suen

    2002-12-01

    Full Text Available Justificación: El cáncer de cérvix es la patología neoplásica más frecuente entre la población femenina. En casos de invasión localizada, la histerectomía radical puede considerarse un tratamiento curativo, sin embargo, el sangrado transoperatorio significativo hace necesaria la transfusión en muchos casos, con todas las complicaciones que esta conlleva. Hasta donde sabemos, no hay ningún estudio publicado en la bibliografía nacional, acerca de la técnica de hemodilución isovolémica para reducir los requerimientos transfusionales en estas pacientes. Objetivos: a Hacer experiencia clínica con la Hemodilución isovolémica en pacientes sometidas a histerectomía radical por cáncer de cérvix; b Evaluar la utilidad de la Hemodilución isovolémica como un método para reducir la necesidad de transfusión de sangre alogénica. Materiales y métodos: El estudio fue prospectivo. Se seleccionó en forma consecutiva a todas las pacientes sometidas a histerectomía radical por cáncer de cérvix, del Servicio de Ginecología Oncológica del Hospital Dr. Rafael Ángel Calderón Guardia, entre los meses de enero de 2000 a enero de 2001. Se realizó sangría, a través de una línea arterial, un volumen hemático calculado con base en el peso y el hematocrito de la paciente. La sangre autóloga fue retransfundida al término de la cirugía. Resultados: Un total de 12 pacientes fueron incluidas en el estudio. La edad promedio fue de 55,5 + 10,4 años. La mayoría tuvo el cáncer de cérvix en estadío I-B1 (n = 10, el resto, en el estadío I-B2 (n = 1 y I-A2 (n = 1. Se obtuvo un promedio de 1208 ml de sangre autóloga por paciente. El procedimiento fue bien tolerado, excepto en una, quien presentó compromiso hemodinámico atribuible a la sangría. Al comparar los valores basales con los obtenidos antes de la retransfusión, se observó un descenso promedio de la hemoglobina, hematocrito y plaquetas de 4,2 g/dl, un 14,4% y 52.000

  16. Dr. Antonio Roldan Betancur

    Directory of Open Access Journals (Sweden)

    Antonio Roldan Betancur

    1989-02-01

    Full Text Available

    Nació en Briceño, Antioquia, el 17 de febrero de 1946; fueron sus padres Angel e Inés, su esposa Gloria y sus hijas Natalia y Daniela. Bachiller del Liceo Antioqueño: 1964. Médico y Cirujano de la Facultad de Medicina de la Universidad de Antioquia: 1971. Medicatura rural en Betulia, Antioquia: 1971-1972. Médico de planta del Hospital Regional de Urabá: 1972. Alcalde y Concejal de Apartadó. Dirigente deportivo. Gerente de Corpurabá. Director de Coldeportes, Antioquia. Gerente de la Fabrica de Licores de Antioquia. Jefe del Servicio Seccional de Salud de Antioquia. Gobernador del Departamento de Antioquia. Falleció el4 de Julio de 1989.

  17. How Dr. Pierce Promoted Himself

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This article is about Dr. Raymond V Pierce who owned St. Vincent Island before it became a refuge. The doctor painted advertisements for his famous “Woman’s Tonic”...

  18. Dr. Millie Cleveland: chiropractic achiever.

    Science.gov (United States)

    Nash, J

    1998-06-01

    Dr. Mildred Genoa Allison-Cleveland, affectionately known as "Dr. Millie," was an important part of life at Cleveland Chiropractic College for over thirty years, serving first as a clerical assistant, then instructor, administrative assistant, and trusted right hand of her husband, Dr. Carl Cleveland, Jr. Yet Mildred Cleveland, like many other women who have helped the profession grow and survive over the years, has never been the subject of an article in print. In this paper, the author will strive to outline Dr. Mildred Cleveland's accomplishments, as well as to give the reader as clear a picture as possible of the woman who was the wife of one chiropractic pioneer and mother of another.

  19. Dr Stanislaw Huskowski, Mayor of Wroclaw, Poland

    CERN Document Server

    Patrice Loïez

    2002-01-01

    Dr Stanislaw Huskowski, Mayor of Wroclaw, Poland visiting the ATLAS magnet assembly hall, building 180. From l to r: Mr Carlo Lamprecht, State Councillor, Dr Stanislaw Huskowski and Dr Peter Jenni, ATLAS Spokesperson

  20. Dr Stanislaw Huskowski, Mayor of Wroclaw, Poland

    CERN Multimedia

    Patrice Loïez

    2002-01-01

    Dr Stanislaw Huskowski, Mayor of Wroclaw, Poland visiting the ATLAS magnet assembly hall, building 180 with Mr Carlo Lamprecht, State Councillor, Dr Stanislaw Huskowski and Dr Peter Jenni, ATLAS Spokesperson

  1. 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.

  2. Dr. Jaime Quintero Esguerra

    Directory of Open Access Journals (Sweden)

    Diego Soto Jiménez

    2009-01-01

    Full Text Available

    Falleció en Bogotá, el 1 de marzo pasado el eminente Profesor y Maestro JAIME QUINTERO ESGUERRA a los 87 años de edad. Su deceso enluta no solamente a su familia, sino a la cirugía Ortopédica Colombiana de la cual fue pionero notable.

    Nacido en Bogotá y terminado su bachillerato, ingresa a la Facultad de Medicina de la Universidad Nacional en 1938.

    Finaliza sus estudios en 1943 dentro de una promoción médica considerada como excepcional. Como quiera que muy pronto tales profesionales, ocuparon lugar de privilegio en el concierto de la medicina de Colombia, y dentro de los más distinguidos de esta promoción el doctor Jaime Quintero Esguerra, quien de inmediato se inicia en la Ortopedia Infantil, en la Ortopedia General y la Traumatología, en los dos centros científicos de esa época, el Hospital de la Misericordia y el Hospital San Juan de Dios.

    En 1947 complementa los estudios de la especialidad en el Hospital de Aedo del Gran Buenos Aires, Argentina. Fueron sus profesores el doctor Piñeiro Sorondo, Agustín Salvati del más reconocido prestigio científico y sus instructores en cirugía los doctores Ferré y Leoncio Fernández, verdaderos maestros de la técnica quirúrgica y de talla mundial.

    A su regreso a Bogotá para 1948, contrae matrimonio con la señora doña Lucía Laverde y tuvieron 8 hijos, todos ellos profesionales distinguidos, uno de ellos el doctor Jaime Quintero Laverde, muy distinguido especialista de Bogotá. Concursó una a una las etapas y escalas hasta culminar dentro de los concursos más honestos, para ganar el título de Profesor Titular de la Universidad Nacional. De enorme éxito en el ejercicio privado de su especialidad y dueño de la más nutrida clientela, se puede decir que sin hipérbole que la docencia constituyó para él parte tan importante como su ejercicio privado.

    De su propia iniciativa, surgieron de los Congresos anuales de la SCOTT, Sociedad

  3. Dr Luigi Orlando, Dr Sergio Ceccuzzi, Dr. Armando Sbrana, Europa Metalli, Italy, Dr Albert Scherger, Member of KM Europa Metal AG, Osnabr ck, Germany, Prof. Filippo Menzinger, Scientific Attaché, Permanent Mission of Italy in Geneva

    CERN Multimedia

    Patrice Loïez

    2001-01-01

    Photo 01: Dr Lyn Evans and Dr Luigi Orlando Photo 04: L. to r.: Dr Lyn Evans, Dr Luigi Orlando, Prof. Luciano Maiani and Prof. Filippo Menzinger Photo 06: L. to r.: Prof. Philippo Menzinger, Dr Armando Sbrana, Prof. Luciano Maiani, Dr Albert Scherger, Dr Lyn Evans, Dr Luigi Orlando, Dr Sergio Ceccuzzi, visiting the LHC superconducting magnet test hall, SM18

  4. Factores de riesgo asociados al embarazo ectópico

    OpenAIRE

    Jónathan Hernández Núñez; Magel Valdés Yong; Andrés Oscar Torres Chávez

    2013-01-01

    Fundamento: el embarazo ectópico se ha duplicado en la mayor parte de los países industrializados y representa una de las principales causas de muerte materna. Objetivo: identificar factores de riesgo que predisponen al embarazo ectópico.Métodos: estudio de casos y controles realizado en un universo de 132 pacientes del Municipio Habana del Este, operadas de embarazo ectópico en el Hospital Dr. Luís Díaz Soto desde el 2009 al 2011. Se escogió una muestra al azar de 66 pacientes que constituyó...

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

    Directory of Open Access Journals (Sweden)

    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

  6. Diabetic retinopathy (DR: everybody's business

    Directory of Open Access Journals (Sweden)

    David Yorston

    2011-09-01

    Full Text Available Diabetes is on the increase worldwide, due mainly to the rise in the number of people with type 2 diabetes. Type 2 diabetes is becoming more common because:* People are living longer, and diabetes is more prevalent in older people.* As people increasingly migrate to urban areas, exercise less, eat more, and eat less healthy food, more people are becoming obese – a primary cause of type 2 diabetes.Diabetes increases the risk of a range of eye diseases, including cataract, but the main cause of blindness associated with diabetes is diabetic retinopathy (DR. DR usually develops between ten and twenty years after the onset of diabetes, and develops faster when diabetes is undiagnosed and untreated.People with DR whose sight is at risk can be treated, most commonly with laser, to prevent visual impairment and blindness. Sadly, there is no treatment that can restore vision that has already been lost.

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

    Directory of Open Access Journals (Sweden)

    José Joaquín Mira

    2010-01-01

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

  8. In Memoriam Dr. M. Jacobs

    NARCIS (Netherlands)

    Kalkman, C.

    1983-01-01

    Dr. Marius Jacobs, a senior staff member of the Rijksherbarium, died suddenly on 28 April 1983, following a heart attack some days earlier. He was only 53 years old and his death came as a great shock, not only to his colleagues at our institute. Jacobs was a many-sided man with interests in many fi

  9. Dr. John Marburger visits DESY

    CERN Multimedia

    2003-01-01

    Dr. John Marburger, Director of the United States Office of Science and Technology Policy, visited the research center DESY in Hamburg. The American physicist wanted to inform himself about the status of the TESLA X-ray laser and the TESLA linear collider as well as the international collaboration at DESY (1/2 page).

  10. Dr. Hermann otto Sleumer retired

    NARCIS (Netherlands)

    Steenis, van C.G.G.J.

    1971-01-01

    On March 1st, 1971, Dr. Hermann Otto Sleumer, senior staff member of the Rijksherbarium, retired on reaching the age of 65 years. I have expressly omitted to say ‘from active service’, because his work has gone on uninterruptedly and he even had objections against spending one afternoon, on Febr. 26

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

    Directory of Open Access Journals (Sweden)

    C. Martín A Alvarado-Dulanto

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

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

    Directory of Open Access Journals (Sweden)

    Benicia Vidal Galache

    2014-12-01

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

  13. HUBUNGAN AUTOLOGOUS SERUM SKIN TEST/ASST DENGAN KEPARAHAN KLINIS URTIKARIA KRONIK IDIOPATIK DI RSUP Dr. MOH HOESIN PALEMBANG

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    Suryadi Tjekyan

    2008-06-01

    Full Text Available Severity of Chronic Idiopathic Urticaria In RSUP Dr. Moh. Hoesin Palembang. There were differences in clinical finding among authors about autologous serum skin test/ASST result in chronic idiopathic urtikaria/CIU. Tanus et al (1996 reported there was no significant differences in clinical features of CIU, whereas Sabroe et al (1999 found significant differences in duration and itch of CIU patients. The prevalence of urticaria in General Hospital Dr. Moh. Hoesin Palembang showed increased tendency but there was no data about CIU and the severity of clinical features. The objectives of this study were to find out the significant correlation between ASST and severity of clinical features of CIU, and compared the difference of clinical features of CIU with and without positive ASST. This study was an observational analytic study, with cross sectional design. Fifty four subjects included in this study after following selection. Ethical approval was obtained from Bioethics and Humanities Unit, Faculty of Medicine Sriwijaya University and Dr. Moh. Hoesin Hospital Palembang. The clinical feature of 54 patients with CIU were evaluated. The data of physical examination and the anamnesis about clinical scores collected and analyzed using SPSS software and Spierman correlation was used to analyze the correlation between clinical severity of CIU and ASST result. Student’s t-test was used to analyze the differences in clinical severity of CIU with and without positive ASST. There was significant correlation between the severity clinical feature of CIU and ASST result (p=0,00 ; R=0,598. Patients with positif ASST results (46,3% had more duration of illness (0,00, higher pruritus score (0,00, and angiodema score (0,024. The CIU patients with severity clinical score of 27 (cut-off point, 11 times more likely to develop autoimmune urticaria than the patients with cut-off below 27 (p=0,00.

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

    OpenAIRE

    2015-01-01

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

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

    OpenAIRE

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

    1982-01-01

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

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

    OpenAIRE

    Espinoza Cisneros, Michel Viviana

    2016-01-01

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

  17. Sproglige drømmerier

    DEFF Research Database (Denmark)

    Farø, Ken Joensen

    2015-01-01

    blev tidligere brugt i Danmarks Radio som pausesignal, afspillet på en spilledåse. Ak ja, det var dengang. Gå ind på nettet og lyt til den, hvis du ikke kender melodien. Det er national kulturarv. Mange bevingede ord indeholder en form af ”drøm(me)”, fx Martin Luther Kings ”I have a Dream”. Eller...

  18. Hemodilución isovolémica preoperatoria en pacientes con histerectomía radical por cáncer de cérvix: experiencia de 12 casos en el Hospital Dr. Rafael Ángel Calderón Guardia

    Directory of Open Access Journals (Sweden)

    Kwok Ho Sánchez-Suen

    2002-12-01

    Full Text Available Justificación: El cáncer de cérvix es la patología neoplásica más frecuente entre la población femenina. En casos de invasión localizada, la histerectomía radical puede considerarse un tratamiento curativo, sin embargo, el sangrado transoperatorio significativo hace necesaria la transfusión en muchos casos, con todas las complicaciones que esta conlleva. Hasta donde sabemos, no hay ningún estudio publicado en la bibliografía nacional, acerca de la técnica de hemodilución isovolémica para reducir los requerimientos transfusionales en estas pacientes. Objetivos: a Hacer experiencia clínica con la Hemodilución isovolémica en pacientes sometidas a histerectomía radical por cáncer de cérvix; b Evaluar la utilidad de la Hemodilución isovolémica como un método para reducir la necesidad de transfusión de sangre alogénica. Materiales y métodos: El estudio fue prospectivo. Se seleccionó en forma consecutiva a todas las pacientes sometidas a histerectomía radical por cáncer de cérvix, del Servicio de Ginecología Oncológica del Hospital Dr. Rafael Ángel Calderón Guardia, entre los meses de enero de 2000 a enero de 2001. Se realizó sangría, a través de una línea arterial, un volumen hemático calculado con base en el peso y el hematocrito de la paciente. La sangre autóloga fue retransfundida al término de la cirugía. Resultados: Un total de 12 pacientes fueron incluidas en el estudio. La edad promedio fue de 55,5 + 10,4 años. La mayoría tuvo el cáncer de cérvix en estadío I-B1 (n = 10, el resto, en el estadío I-B2 (n = 1 y I-A2 (n = 1. Se obtuvo un promedio de 1208 ml de sangre autóloga por paciente. El procedimiento fue bien tolerado, excepto en una, quien presentó compromiso hemodinámico atribuible a la sangría. Al comparar los valores basales con los obtenidos antes de la retransfusión, se observó un descenso promedio de la hemoglobina, hematocrito y plaquetas de 4,2 g/dl, un 14,4% y 52.000

  19. Obituary: Dr Dianne Johnson (1947-2012)

    CERN Document Server

    Hamacher, Duane W

    2014-01-01

    It is with great sadness that I report the passing of Dr Dianne Johnson in May 2012. Dr Johnson was a pivotal and important figure in the field of Australian cultural astronomy and in the campaign for Aboriginal rights.

  20. Effectiveness of Self Instructional Module on Knowledge and Skills Regarding Use of Glasgow Coma Scale in Neurological Assessment of Patients among Nurses Working in Critical Care Units of KLE Dr. Prabhakar Kore Hospital and Medical Research Centre, Belgaum

    Directory of Open Access Journals (Sweden)

    Milka Madhale

    2013-01-01

    Full Text Available Background: The brain is the central unit that controls all the functions of our body. The brain cannot function all by its self without the neurons. The proper functioning of the brain and its relationship with the world is known as consciousness. The level of consciousness is the sensitive and reliable indicator of the patient’s neurological status. The alteration in the consciousness helps to determine if there is any damage in the nervous system that can occur even without visible damage to the head. There are numerous tools used to determine level of consciousness. The most common tool used to determine level of consciousness is the Glasgow Coma Scale (GCS. It was used with ease and helped to standardize clinical observations of the patients with impaired consciousness. A proper neurological assessment using the Glasgow Coma Scale is the essential part of nursing care. It is very essential for the nurse to have knowledge and skills about neurological assessment and the Glasgow Coma Scale.Hence the present study to evaluate the effectiveness of Self Instructional Module (SIM on knowledge and skill regarding Glasgow Coma Scale was undertaken. Aim and Objectives: 1]To assess the knowledge and skills regarding the use of Glasgow Coma Scale in neurological assessment of patients among the staff nurses. 2] To determine the effectiveness of the Self Instructional Module on knowledge and skills regarding the GCS in neurological assessment of patients. 3] To find association between the pre test knowledge and skills scores and demographic variables. 4] To find the correlation between the knowledge score sand the skills scores regarding the GCS in neurological assessment of patients. Material and Methods: The study was evaluative in nature. A purposive sampling technique was used for the study. A total of 55 staff nurses working in Critical Care Units of KLES Hospital and MRC,Belgaum were selected for the study. A structured questionnaire and an

  1. FOREWORD: Dr Trevor J Hicks Dr Trevor J Hicks

    Science.gov (United States)

    Goossens, Darren

    2009-03-01

    This issue of Journal of Physics: Condensed Matter has been assembled to recognize the valuable contribution of Dr Trevor J Hicks to the field of neutron scattering and magnetism. Trevor began his study of magnetism as a PhD student at Monash University in Melbourne in the early 1960s, working with Professor Jack Smith. From the very beginning magnetism in alloys, and disordered systems in general, became a key aspect of his career. After a postdoctoral position at Harwell working with Dr Graeme Low Trevor returned to Australia and took up a position with Monash. He soon became a key figure in developing the capability for neutron scattering using the HIFAR reactor at the Australian Atomic Energy Commission, now the Australian Nuclear Science and Technology Organisation, ANSTO. The instrumentation was always developed to further his studies of magnetism. The development of polarization analysis measurements of diffuse magnetic scattering, first using iron filters and then his own design of supermirror benders for beam polarization, took place through the 1970s, 1980s and into the 1990s. Throughout this time, Trevor mentored a series of PhD students and postdoctoral fellows, many of whom have contributed to this issue (and, indeed, guest edited it). As befits a scientist and university academic for whom teaching has always been important, Trevor has not only created a strong body of significant research, he has also made a major contribution to preparing several generations of neutron scattering scientists, and this issue reflects that. When I approached Journal of Physics: Condensed Matter with a proposal for an issue in honour of Trevor, the response was immediate and positive. It is with great pleasure that I present the result of that proposal. The great diversity of the content, all centred on neutron scattering and magnetism, reflects the breadth of Trevor's own career and of the scientists with whom he has interacted. Finally, I would like to make some

  2. Dr Jan Theodoor Henrard (with portrait)

    NARCIS (Netherlands)

    Goddijn, W.A.

    1946-01-01

    On October 16th 1946 Dr J. Th. Henrard will have reached the pensionable age of sixty five years. In accordance with the legal prescriptions he is due to take leave officially as keeper of the ”Rijksherbarium“. The present director, Prof. Dr H. J. Lam, invited me to write a short biography of Dr Hen

  3. 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

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

    Directory of Open Access Journals (Sweden)

    Hadi Kazemi

    2017-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Mogahid Y. Nassar

    2016-12-01

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

  6. Interview with Dr Anna Matamala

    Directory of Open Access Journals (Sweden)

    Lucinea Marcelino Villela

    2016-12-01

    Full Text Available In this interview, which took place in June 2016, Dr Anna Matamala described some details about her long professional experience in Audiovisual Translation, especially in dubbing from English into Catalan, and we talked about many other things like her interest in lexicography, her point of view on some contemporary topics in Audiovisual Translation Studies: the use of technology, the relation between AVT and Accessibility Studies, AVT and Filmmaking fields, the importance of keeping in touch with other countries and even continents outside Europe, and she also gave some advice to the new generation of Translation students.

  7. CARACTERIZACIÓN DE PUÉRPERAS DEL HOSPITAL GUSTAVO FRICKE DE VIÑA DEL MAR, CHILE

    Directory of Open Access Journals (Sweden)

    Egidio Céspedes G.

    2014-01-01

    Full Text Available Objetivos: Caracterización de las puérperas atendidas en el servicio de Ginecología y Obstetricia del hospital Dr. Gustavo Fricke de Viña del Mar, Chile. Métodos: Estudio transversal retrospectivo. El universo de estudio fue la base de datos del servicio de Ginecología y Obstetricia correspondiente al Libro de Partos del hospital Dr. Gustavo Fricke de Viña del Mar, Quinta Región, Chile, año 2012. Resultados: Se incluyeron 1348 puérperas. La edad promedio fue de 25,6 ± 6,66 años. Las mujeres tuvieron un IMC de 26,21 ± 5,34. El 71,7% cursó estudios secundarios, siendo todas alfabetas. El 36,8% era primigesta, el 17,36% ya había tenido alguna cesárea antes. El 37,3% presentaba al menos una patología. El 72,5% de las mujeres se encontraba en alguna relación al momento de dar a luz, de las cuales sólo el 21,5% estaban casadas. Solo un pequeño porcentaje presentó algún tipo de enfermedad durante el embarazo. Conclusiones: Las mujeres que dan a luz en el hospital Dr. Gustavo Fricke tienen características similares a las encontradas a nivel nacional Palabras Clave: Epidemiology, Hospitals, Parturition

  8. Comentario del Académico Dr. Efraím Otero Ruiz al Libro “Diabetes en Colombia. Recuento Histórico y Bibliográfico”

    Directory of Open Access Journals (Sweden)

    Efraím Otero Ruiz

    2005-03-01

    El otro gran pilar de la endocrinología y de la Asociación fue Jaime Cortázar, muerto a comienzos de este mes, el mismo día de Ronald Reagan y casi con los mismos años de ausencia del mundo cognoscitivo que afectaron al presidente norteamericano. Para mi formación Jaime fue más que pilar una brújula y un orientador y un apoyo en esos momentos en que uno se ve forzado a pasar de la adolescencia del pregrado a la madurez de la vida profesional. Mi amistad y mi devoción por él la he dejado consignada en varios de mis libros y en muchos de mis escritos. Mario Sánchez en su prólogo y Alfredo en su libro consagran cómo ellos dos, pero yo diría que sobre todo Jaime, se precuparon por hacer de la diabetes una preocupación nacional y para ello llevarla precozmente a los estrados políticos. Lo mismo que se está haciendo ahora, medio siglo después, pero sin la sencillez y la diafanidad que caracterizaron a nuestros pioneros. Jaime aprovechó su reciente designación como Director del Instituto Nacional de Cancerología, en 1955, para visitar continuamente el Ejecutivo y el Legislativo y hacer conocer el problema y promulgar los decretos que apoyaran el Comité Nacional de Lucha contra la Diabetes, que vió su luz ese año y cuya presidencia ocupó. Su apoyo moral eran la consulta de Endocrinología del Instituto (44.8% de todos los pacientes con alteraciones endocrinas no neoplásicas en los 30 años analizados por Jácome y Mesa en su análisis de dicha consulta, publicado en Medicina el año pasado, fueron diabéticos y la Asociación Colombiana de Diabetes que, como lo dice muy bien el autor, muy pronto acogió a la naciente Sociedad Colombiana de Endocrinología. ¡La presencia estimulante de Jaime vivirá para siempre en el recuerdo de todos sus amigos!...

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

    OpenAIRE

    Guaman Agualongo, Lourdes Belén

    2015-01-01

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

  10. [Dr. John Baptiste Edouard Gélineau].

    Science.gov (United States)

    Janković, S; Susić, V; Sokić, D; Lević, Z

    1996-01-01

    became the "Intern" of the Navy Hospital and next year a "Surgeon of the Third Class". As a Navy surgeon he visited French colonies in the Indian ocean: first the Reunion island and then Mayotte island of the Commores Archipelago. Of this period he wrote "Voyage a i'lle de la Réunion", memoirs published much later, in 1905, in which he described colonial life and abolition of slavery. The story of Elise, a beauteous Creole woman, a concubine of a young naval Commander, who delivered a child that soon died, inexorably points to the autobiographic character of his work. He defended a doctoral thesis "Aperçu Medical de I'lle de Mayotte" at Montpellier University School of Medicine in 1858, using the data collected during his year-and-a-half stay on a Mayotte island; at that time he was a "Navy Surgeon of the Second Class". For his dedication in fighting against epidemics that broke out during the French-German war in 1870 he was nominated for the Legion of Honor, but received it only later. In 1871 Gélineau introduced "Doctor Gélineau's tablets" for the treatment of epilepsy (contained bromide and arsenic). He was a member of the Société de Médicine, Société d' Hypnologie, La-Société Française d' Hygiène, and a few others. After retirement at the age of 72, Gélineau switched to wine production, continuing the family tradition; for the quality of his Bordeaux wines he was awarded gold medals at the Anvers and Paris Exhibitions. Dr. Gélineau died on March 2, 1906, at Argeles Gazost in Pyrnees honored by the titles of Chevalier de la Légion d' Honneur, Officier d'Academie and Commander of Nichan of the Ottoman Empire.

  11. Dr. Zhang's Experience in Massotherapy for Treatment of Vertebral-Artery-Type Cervical Spondylopathy

    Institute of Scientific and Technical Information of China (English)

    谢利民; 张涛

    2002-01-01

    @@ Thirty cases of vertebral-artery-type cervical spondylopathy were treated by Dr. Zhang Tao's technique. The cure rate was 50%, and the total effective rate was 100%.The vertebral-artery-type cervical spondylopathy is a commonly-seen condition in the aged people, often accompanied with arteriosclerosis. Based on the techniques performed by Dr. Du Ziming (the late famous TCM physician of our hospital), Dr. Zhang Tao has developed a set of therapeutic techniques for this condition. From June 1997 to April 1998, the author had treated 30 cases of the disease, with satisfactory results reported in the following.

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

    Directory of Open Access Journals (Sweden)

    Jessica Hanae Zafra-Tanaka

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

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

    Directory of Open Access Journals (Sweden)

    Hasan Al-Dahamsheh

    2012-09-01

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

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

    Directory of Open Access Journals (Sweden)

    Rocío Martínez Malqui

    2010-08-01

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

  15. Dr. Harry Whelan With the Light Emitting Diode Probe

    Science.gov (United States)

    1999-01-01

    The red light from the Light Emitting Diode (LED) probe shines through the fingers of Dr. Harry Whelan, a pediatric neurologist at the Children's Hospital of Wisconsin in Milwaukee. Dr. Whelan uses the long waves of light from the LED surgical probe to activate special drugs that kill brain tumors. Laser light previously has been used for this type of surgery, but the LED light illuminates through all nearby tissues, reaching parts of tumors that shorter wavelengths of laser light carnot. The new probe is safer because the longer wavelengths of light are cooler than the shorter wavelengths of laser light, making the LED less likely to injure normal brain tissue near the tumor. Also, it can be used for hours at a time while still remaining cool to the touch. The probe was developed for photodynamic cancer therapy under a NASA Small Business Innovative Research Program grant. The program is part of NASA's Technology Transfer Department at the Marshall Space Flight Center.

  16. The SDSS DR6 Luminosity Functions of Galaxies

    CERN Document Server

    Montero-Dorta, Antonio D

    2008-01-01

    We present number counts, luminosity functions (LFs) and luminosity densities of galaxies obtained using the Sloan Digital Sky Survey Sixth Data Release in all SDSS photometric bands. Thanks to the SDSS DR6, galaxy statistics have increased by a factor of ~9 in the u-band and by a factor of ~4-5 in the rest of the SDSS bands with respect to the previous work of Blanton et al. (2003b). In addition, we have achieved a high redshift completeness in our galaxy samples. Firstly, by making use of the survey masks, provided by the NYU-VAGC DR6, we have been able to define an area on the sky of high angular redshift completeness. Secondly, we guarantee that brightness-dependent redshift incompleteness is small within the magnitude ranges that define our galaxy samples. With these advances, we have estimated very accurate SDSS DR6 LFs in both the bright and the faint end. In the {0.1}^r-band, our SDSS DR6 luminosity function is well fitted by a Schechter LF with parameters Phi_{*}=0.90 +/- 0.07$, M_{*}-5log_{10}h=-20....

  17. Dr. von Braun Briefing Walt Disney

    Science.gov (United States)

    1965-01-01

    Dr. von Braun began his association with Walt Disney in the 1950s when the rocket scientist appeared in three Disney television productions related to the exploration of space. Years later, Dr. von Braun invited Disney and his associates to tour the Marshall Space Flight Center (MSFC) in Huntsville, Alabama. This photograph is dated April 13, 1965. From left are R.J. Schwinghamer from the MSFC, Disney, B.J. Bernight, and Dr. von Braun.

  18. In Memoriam: Dr. Frank John Fenner

    Centers for Disease Control (CDC) Podcasts

    2011-04-22

    This podcast reflects on one of the greatest pioneers in virology, Dr. Frank John Fenner. Dr. Frederick Murphy, a member of EID's editorial board and the Institute of Medicine, and professor of Pathology at the University of Texas Medical Branch in Galveston, shares professional and personal stories of Dr. Frank Fenner.  Created: 4/22/2011 by National Center for Emerging Zoonotic and Infectious Diseases (NCEZID).   Date Released: 4/26/2011.

  19. Puesta en valor del fondo particular Dr. Guillermo A. Bibiloni

    OpenAIRE

    Amicuzzi, Silvia Andrea; Canaparo, Juan Francisco; Lasarte, Martín Jorge; Leoz, María Mercedes; Paladini, Rafaela Irene

    2013-01-01

    La puesta en valor del fondo particular “Dr. Guillermo A. Bibiloni”, docente e investigador de Física, abarcó las tareas de conservación de la documentación y del material bibliográfico que lo forman, dígase acondicionamientos, digitalización y difusión, para disponerlo a la consulta o darlo a conocer, tanto al público especializado como también al público en general, dadas las varias temáticas que lo constituye.

  20. China's Investment Leade Dr, Alyce Su

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    @@ I. Professional Background Dr. Alyce Su specializes in investment managemeng, managing portfolios consisted of investment opportunities originated from China's growth and internationalization, both'outbound and inbound.

  1. On Hospital Wards, Patient Crises May Have 'Domino Effect'

    Science.gov (United States)

    ... https://medlineplus.gov/news/fullstory_162758.html On Hospital Wards, Patient Crises May Have 'Domino Effect' When ... should serve as a wake-up call for hospital-based physicians," study author Dr. Matthew Churpek, an ...

  2. Dr Valter Rukavina - amateur painter.

    Science.gov (United States)

    Glavocic, Daina

    2008-01-01

    In this essay Dr Valter Rukavina (Rijeka 1896-1972), excellent specialist in infectious diseases and professor of the Rijeka University School of Medicine, is presented as successful amateur painter. He had been refining his talent through relentless practice since the school days, complementing it with skills and advice from established painters he associated with. He favoured figurative, realistic and somewhat romantic expression for his themes such as coastal landscapes, marinas, Quarnero sceneries, still life in tempera or oil, and drawings in ink or sepia. Despite partial colour blindness, he successfully used colour. He featured in a number of group exhibitions such as that of amateur painters of Rijeka in 1950, of painters physicians of Yugoslavia (Zagreb, 1956), in the Second International Exhibition of Contemporary Art (Florence, 1964), exhibition of the Rijeka branch of the Croatian Association of Visual Artists (Belgrade, 1966), and the 1969 exhibition in Opatija. His native city hosted two one-man exhibitions, the first retrospective in 1971, while he was still alive, and the second posthumous in 2007, with a good selection of his life's work.

  3. Dr Andrea Granelli, Vice President, Telecom Italia

    CERN Multimedia

    Patrice Loïez

    2002-01-01

    Photo 06: Dr Andrea Granelli, Chief Executive Officer, Telecom Italia Lab (second from right) visiting the LHC superconducting magnet test hall with (from left to right) M. Cecchi , F. Gagliardi and G. Cavallari. Photo 15: Dr Andrea Granelli, Chief Executive Officer, Telecom Italia Lab (left) visiting the LHC superconducting magnet test hall with (from left to right) M. Cecchi and G. Cavallari.

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

    Directory of Open Access Journals (Sweden)

    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

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

    Directory of Open Access Journals (Sweden)

    Hernández-Garduño Adolfo Gabriel

    2000-01-01

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

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

    Directory of Open Access Journals (Sweden)

    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

    Directory of Open Access Journals (Sweden)

    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. Factores asociados al consumo de calcio en adolescentes mexicanas embarazadas

    OpenAIRE

    2014-01-01

    Oetivo Explorar los hábitos de alimentación y los factores socioeconómicos y demográficos que se asocian al consumo de calcio en adolescentes embarazadas Mtoos En un estudio transversal analítico se inclu- yeron 321 participantes de 13 a 19 años de edad que acu- dieron a la consulta externa de la división de Gineco-obs- tetricia del Hospital Civil de Guadalajara Dr. Juan I. Menchaca. Todas eran sanas, en cualquier trimestre del embarazo y pertenecían a los estratos socioeconómicos bajo y medi...

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

    Directory of Open Access Journals (Sweden)

    Edith Miyeri Segura Valdés

    2012-01-01

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

  10. Monocytic HLA DR antigens in schizophrenic patients.

    Science.gov (United States)

    Krause, Daniela; Wagner, Jenny; Matz, Judith; Weidinger, Elif; Obermeier, Michael; Riedel, Michael; Gruber, Rudolf; Schwarz, Markus; Mueller, Norbert

    2012-01-01

    A genetic association of specific human leukocyte antigens (HLA) DR genes and schizophrenia has recently been shown. These HLA play a fundamental role in the control of immune responses. Furthermore infectious agents have been proposed to be involved in the pathogenesis of schizophrenia. In this study we investigated the rate of HLA DR positive monocytes in schizophrenic patients compared to controls with a special focus on the adaption to in vitro stimulation with toll-like receptor ligands. Patients with schizophrenia and matched controls were included. For each individual, we evaluated the rate of HLA DR positive monocytes (either incubated at 37 °C or after stimulation with lipopolysaccharide or Poly I:C). We found a significantly higher percentage of schizophrenic patients with elevated HLA DR positive cells (p=0.045) as compared to controls. The adjustment rate from baseline levels of monocytic HLA DR positive cells to stimulation with Poly I:C was significantly lower in schizophrenic patients (p=0.038). The increased monocytic HLA DR in schizophrenic patients and the maladjustment of their monocytic HLA DR levels to an infectious stimulus might be a sign for a disturbed monocytic immune balance in schizophrenic individuals.

  11. [Interculturality in the medical practice of Dr. Albert Schweitzer].

    Science.gov (United States)

    Campos-Navarro, Roberto; Ruiz-Llanos, Adriana

    2004-01-01

    Albert Schweitzer (1875-1965) was a young and promising German who at age 29 decided to undertake the profession of Medical Doctor at the University of Strassburg after finishing a career in musical studies in Paris (1899) and obtaining in Berlin a doctoral degree in Philosophy and Theology. Surprisingly, Albert Schweitzer, despite his comfortable life in Europe, decided in 1913 to practice his medical career in a remote and small Equatorial African country. He devoted nearly 50 years of his life caring for the Black population at Lamaberene, where he built a hospital. In this paper, we attempt to develop some theoretical aspects related with interculturality in the medical practice of Dr. Albert Schweitzer. We begin by considering certain sociocultural variables in hospitals that give care to patients with cultural characteristics that are substantially different from those of the health care personnel who organize, administer, and execute medical functions.

  12. [Portrait of Dr Milenko Petrović (1884-1950)].

    Science.gov (United States)

    Kljaić, Leposava; Borota, Radoslav

    2008-01-01

    Dr Milenko Petrović was one of the very distinguished physicians in the history of Sombor city, who significantly contributed to the development of health care in Voivodina. His father Dimitrije was a professor in the High Teacher-training School in Sombor, recognized writer and politician of his epoch. He was born in Sombor in 1884, where he was educated and finished grammar school. For medical studies he moved to Budapest as a boarder of the famous Tekelianum, and graduated in 1908. He started specialisation in surgery, but being a great patriot he voluntarily recruited in the Serbian army to fight in Balkan liberation wars against Turkey. For his excellent work as a war surgeon he obtained many recognitions. After completing specialization in surgery in Debrecin, he returned to his native city Sombor, where he intended to practice as a physician, but because af the outbreak of the first world he was mobilized and sent to the front in Galicia. After the war he again returned to Sombor where he was immediatelly nominated for the main county physician and then begins his fruitful many year's work on the establishment and promotion of the health care in Sombor and broader territory. As the main county phsician he initiated the foundation and construction of the hospital in Sombor, because of high mortality rate among children, and spreading of contagious diseases like tuberculosis and trachoma. The construction of the hospital was completed in 1925 and Dr. Petrović was appointed its first director and this duty he performed for many years till the World War 2 in 1941. Under his management the hospital in Sombor became one of the best quality hospitals in the country and gave a big contribution to the promotion of health of the inhabitants of Voivodina. In spite of his extensive duties in the hospital. Dr. Milenko Petrović was very much engaged in social work, as the president of library "Laza Kosti ć". in the Soko association, Fire brigade, Rotary club, and he

  13. 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.

  14. Analysis of Coupling between DR and Microstrip

    Institute of Scientific and Technical Information of China (English)

    LIAO Juan; LIU Guanghu

    2003-01-01

    The coupling between dielectric resonator (DR) and microstrip is theoretically analyzed in this paper. The equivalent circuit and corresponding components' expression are achieved. Also, the formula of the coupling ratio is deduced, which is the critical parameter to calculate the values of components. The analysis of the paper can be used in modeling and strict design in DR applications such as dielectric resonator oscillators(DROs)and DR filters. At the end of the paper, an example of DRO design based on the analysis above is given. The coincidence between modulation and measure shows the significance of the paper.

  15. An Interview with Dr. Walter Lear

    Directory of Open Access Journals (Sweden)

    The Editors

    2009-03-01

    Full Text Available In this issue of the English version of Social Medicine we are publishing the first of several pamphlets loaned to us by the US Health Activism History Collection. To introduce this collection we travelled to Philadelphia on June 18, 2008 to interview Dr. Walter J. Lear. Dr Lear, born in 1923, is the person responsible for the collection. In a wide-ranging interview in his home Dr. Lear discussed his personal background, the origins and purpose of the collection, the impact of the McCarthy period on the US health left, as well as his vision for the future.

  16. Obituary - Dr. A. Venkoba Rao

    Directory of Open Access Journals (Sweden)

    Ajai R. Singh

    2005-11-01

    Full Text Available I have to inform with great regret the sad demise of Dr Venkoba Rao, one of the senior most and highly esteemed psychiatrists this country has produced. His research work in psychiatry and medicine, as well as his work in philosophy and the human predicament, have been noteworthy indeed. He was a researcher and an academician of the highest order.It was always a great pleasure interacting with him. Both juniors and his peers will remember him with great regard and equal fondness. He never made himself difficult to approach, and was open to all positive inputs, from whatever source.He was highly appreciative of the work done by the Mens Sana Research Foundation too. I treasure the encouraging letter he wrote to us sometime back about the Mens Sana Monograph Psychiatry, Science, Religion and Health, of which here is an excerpt:The articles in general are of high standard and are very readable.....Imust tell you that your monograph makes an enjoyable and informative reading and my personal congratulations to you on your achievement.In fact, he was encouraging towards all efforts in the field of mental health.His wide knowledge of philosophy and Indian thought, coupled with active research interest in mainstream psychiatry, made him a unique presence in the field.His absence will be felt for a long long time indeed.But I have lived, and have not lived in vain;My mind may lose its force, my blood its fire,And my frame perish even in conquering pain:But there is that within me which shall tireTorture and Time, and breathe when I expire;Something unearthly, which they deem not of,Like the remembered tone of a mute lyre....Byron ( Childe Harold On behalf of the Mens Sana Editorial Board, our subscribers, readers, as well as the Mensanamonographs group, I offer our deepest condolences to his bereaved family.May his soul rest in peace.

  17. From the Field: Speech Therapy Outcome Measures--Interview with Dr. Pam Enderby

    Science.gov (United States)

    Montgomery, Judy K.

    2015-01-01

    This article is an interview with Dr. Pam Enderby--a speech language therapist and professor at the Institute of General Practice and Primary Care at the University of Sheffield, Community Sciences Centre, Northern General Hospital, in the United Kingdom--conducted by Judy Montgomery, Editor in Chief, of "Communication Disorders…

  18. [Dr Jovan Nenadović].

    Science.gov (United States)

    Bobić, Branko; Radovanović, Anica Bobić

    2012-01-01

    Jovan Nenadović was a famous physician and meritorious citizen of Novi Sad. The occasion to restore the memory of him has arisen sixty years after his death. PROFESSIONAL CARRIER: Jovan Nenadović graduated from Medical Faculty in Graz in 1900. In 1919 he established Dermatovenerology Department at the City Hospital in Novi Sad and Venerology Out-patient Department. He was lifelong honorable president of Dermatovenerology Section of Serbian Medical Society. Nenadović was the first president of the Medical Chamber of Danube Banovina and president of the Society of Physicians of Vojvodina. SOCIAL ACTIVITIES: Nenadović was a vice president of Red Cross Society of Banat, Backa and Baranja. He was well known as patron of the arts, he was a president of the Association of Cultural Societies of Novi Sad and a member of board of Matica Srpska.

  19. 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

  20. Dr. Irvin Yalom Discusses Group Psychotherapy.

    Science.gov (United States)

    Forester-Miller, Holly

    1989-01-01

    In this interview, Dr. Irvin Yalom, director of the Adult Psychiatry Clinic at Stanford University School of Medicine, discusses his beginnings as a group psychotherapist, current issues in group work, and the future of group work. (Author/TE)

  1. But Dr. Meisels Is Not Convinced.

    Science.gov (United States)

    Meisels, Samuel J.

    1987-01-01

    Commenting on the Gesell Institute's response to his original article concerning the Gesell assessments, Dr. Meisels continues to maintain that the Gesell readiness tests lack sufficient proof of validity. (BB)

  2. Implementing Python for DrRacket

    OpenAIRE

    Ramos, Pedro Palma; Leitão, António Menezes

    2014-01-01

    The Python programming language is becoming increasingly popular in a variety of areas, most notably among novice programmers. On the other hand, Racket and other Scheme dialects are considered excellent vehicles for introducing Computer Science concepts. This paper presents an implementation of Python for Racket and the DrRacket IDE. This allows Python programmers to use Racket libraries and vice versa, as well as using DrRacket's pedagogic features. In particular, it allows architects and d...

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

    Directory of Open Access Journals (Sweden)

    Hassan A Al-Shamahy

    2012-02-01

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

  4. [Dr. Torafumi Okuyama, naval medical officer and the author of the dictionaries of medical terms].

    Science.gov (United States)

    Fukase, Y

    1996-03-01

    Dr. Genryo Torafumi Okuyama, the second son of Dr. Genchu Okuyama of the Kaminoyama clan, was born on Dec. 4th, 1847. His elder brother Dr. Toraakira Okuyama was promoted to Dai Ikan (Senior Captain), the highest rank of medical officer in the Japanese Navy, and rendered distinguished services in the establishment of the naval medical systematization in the early Meiji era. Dr. Trafumi Okuyama, who was appointed as medical officer of the Yokohama army Hospital and transferred to Daibyoin in Edo, was engaged in medical treatment of injured soldiers during the Boshin-war in 1868. He went to Kagoshima with William Willis and as one of the founders of the Kagoshima Medical school, gave students education there. He resigned his naval position in 1874, when he was Dai Gun I (Senior Leutenant) and died at the age of 41 in April 16th 1887. Dr. Torafumi Okuyama compiled A medical vocabulary in English and Japanese ("Igo Ruizyu") and Deutsch-Japanisches Hand-Wörterbuch für Medizin ("Dokuwa Igaku Ziten) and published "Koen Hikki", the translation of the lectures by Dr. Edwin Wheeler.

  5. Structural basis of LaDR5, a novel agonistic anti-death receptor 5 (DR5 monoclonal antibody, to inhibit DR5/TRAIL complex formation

    Directory of Open Access Journals (Sweden)

    Qiao Chunxia

    2012-07-01

    Full Text Available Abstract Background As a member of the TNF superfamily, TRAIL could induce human tumor cell apoptosis through its cognate death receptors DR4 or DR5, which can induce formation of the death inducing signaling complex (DISC and activation of the membrane proximal caspases (caspase-8 or caspase-10 and mitochondrial pathway. Some monoclonal antibodies against DR4 or DR5 have been reported to have anti-tumor activity. Results In this study, we reported a novel mouse anti-human DR5 monoclonal antibody, named as LaDR5, which could compete with TRAIL to bind DR5 and induce the apoptosis of Jurkat cells in the absence of second cross-linking in vitro. Using computer-guided molecular modeling method, the 3-D structure of LaDR5 Fv fragment was constructed. According to the crystal structure of DR5, the 3-D complex structure of DR5 and LaDR5 was modeled using molecular docking method. Based on distance geometry method and intermolecular hydrogen bonding analysis, the key functional domain in DR5 was predicted and the DR5 mutants were designed. And then, three mutants of DR5 was expressed in prokaryotic system and purified by affinity chromatograph to determine the epitope of DR5 identified by LaDR5, which was consistent with the theoretical results of computer-aided analysis. Conclusions Our results demonstrated the specific epitope located in DR5 that plays a crucial role in antibody binding and even antineoplastic bioactivity. Meanwhile, revealed structural features of DR5 may be important to design or screen novel drugs agonist DR5.

  6. أواصر العناصر الكونية من منظور الأستاذ النورسي - Dr. ‘Uthman Muhammad Gharib: The Bonds of the Universal Elements from the Viewpoint of Bedi‘uzzaman al-Nursi

    OpenAIRE

    غريب, د. عثمان محمد

    2015-01-01

    أواصر العناصر الكونية من منظور ا أواصر العناصر الكونيةمن منظور الأستاذ بديع الزمان النورسي -ABSTRACT- The Bonds of the Universal Elements from the Viewpoint of Bedi'uzzaman al-Nursi Dr. 'Uthman Muhammad Gharib The researcher indicates the bonds of the elements of the universe as reflected in the "Nur Letters", which is a vision that elucidates the comprehensive identity of man. That identity is connected to the manifestations of existence and elements in the universe and i...

  7. VizieR Online Data Catalog: X-ray luminosities of SDSS DR7 clusters from RASS (Wang+, 2014)

    Science.gov (United States)

    Wang, L.; Yang, X.; Shen, S.; Mo, H. J.; van den Bosch, F. C.; Luo, W.; Wang, Y.; Lau, E. T.; Wang, Q. D.; Kang, X.; Li, R.

    2015-07-01

    The optical data used in our analysis are taken from the SDSS galaxy group catalogues of Yang et al. (2007ApJ...671..153Y), constructed using the adaptive halo-based group finder of Yang et al. (2005MNRAS.356.1293Y), here updated to DR7. The parent galaxy catalogue is the New York University Value-Added Galaxy Catalog (NYU-VAGC; Blanton et al. 2005AJ....129.2562B) based on the SDSS DR7 (Abazajian et al. 2009ApJS..182..543A), which contains an independent set of significantly improved reductions. (1 data file).

  8. [Development of internal medicine since the establishment of the Regional Hospital in Sarajevo from 1894 until today].

    Science.gov (United States)

    Grujić, M

    1994-01-01

    The first bigger regular hospital in Sarajevo was built by the Bosnian vali Osman-pasha in the year 1866 and had only 32 beds. The construction expenses and keeping, according the Porta's approval was supported by Gazi-Husrevbeg's Vakuf, the name was The Vakuf's Hospital. In the year 1894, initiated by the Regional Government (Landesregierung) the Regional Hospital (Landesspital) came to existence, 1894, when opened had 238 beds, with modern outfits and technical facilities. There were 4 departments: Internal, Surgery, Dermatovenerology and Gynecology-Obstetrics. The Department for Internal Diseases had 50 beds. The first chief was Primarius Dr Geza Kobler, came from the Viennese Medical Faculty and had been assistant to Prof. Schretter. Simultaneously, he was director of the Hospital. His assistants were: Dr Berthold Haas to 1898 and Dr Heinrich Propper to 1900 and the interns were: Dr Bodo Koloman, Dr Alexander Dorner, Dr Erwin Horn, Dr Dragan Plentaj and Dr Risto Jeremić. Later, as chief was appointed Dr Ludomil Sas-Korcinski, professor of the Cracau University, his associates were to the year 1910: Dr Hamdija Karamehmedović, later to became chief of the Department for Infectious Diseases and the Intern, Dr Mustafa Kadić. At the eve of the World War 1, in 1914, the pavilion "K" was built, where the Department housed. At that time chief was Primarius Dr Ljubo Bilić, while his associates were Dr Gavro Bozić, Dr Vjekoslav Kusan and Dr Duro Ostojić. Later, some other doctors same, having a permanent job, Dr Bogdan Zimonjić, Dr Miron Simić, Dr David Pinto, Dr Sreten Kaluräercić and Dr David Baruh.(ABSTRACT TRUNCATED AT 250 WORDS)

  9. Dræb, dræb, dræb! Nej ... liiiige et øjeblik: De machiavelliske følelser i Game of Thrones

    DEFF Research Database (Denmark)

    Schubart, Rikke

    2013-01-01

    Blogindlæg om Machiavelliske følelser i HBO tv-serien Game of Thrones: "Dræb, dræb, dræb! Nej ... liiiige et øjeblik: De machiavelliske følelser i Game of Thrones"......Blogindlæg om Machiavelliske følelser i HBO tv-serien Game of Thrones: "Dræb, dræb, dræb! Nej ... liiiige et øjeblik: De machiavelliske følelser i Game of Thrones"...

  10. Evaluación del estado nutricional de pacientes en un hospital con lepra en Argentina Nutritional status assessment in leprous hospitalized patients in Argentina

    OpenAIRE

    M. Canicoba; Feldman, N.; S. Lipovetzky; O. Moyano

    2007-01-01

    Introducción: En la República Argentina la Lepra es un problema de salud pública regional. Se observa un continuo descenso de la tasa de prevalencia en los últimos 10 años. El hospital Nac. Dr. Baldomero Sommer brinda asistencia integral al enfermo de Lepra en las modalidades de atención de los pacientes en pabellones y salas de internación en casas que habitan enfermos autoválidos y sus familiares, donde se les provee asistencia alimentaria . Objetivos: Evaluar el estado nutricional de pacie...

  11. Dr. David Syz, State Secretary for Economic Affairs, Switzerland

    CERN Multimedia

    Patrice Loïez

    2003-01-01

    Photo 01: Dr. David Syz (left) with Professor Roger Cashmore, Research Director for Collider Programmes.Photo 02: Dr. David Syz signing the VIP visitors' book, with Prof. Roger Cashmore.Photo 03: Dr. David Syz signing the VIP visitors' book.Photo 04: Handshake between Dr. David Syz (left) and Prof. Roger Cashmore.

  12. 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)

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2001-12-15

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

  14. 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)

  15. 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)

  16. 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.

  17. 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)

  18. 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)

  19. 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)

  20. 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)

  1. 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)

  2. 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)

  3. 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)

  4. 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)

  5. 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)

  6. 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)

  7. 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)

  8. 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)

  9. 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)

  10. 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.

  11. 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)

  12. 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)

  13. 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)

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2001-12-15

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

  15. 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)

  16. An interview with Dr Barbara A. Carper.

    Science.gov (United States)

    Eisenhauer, Elizabeth R

    2015-01-01

    In 1978, Dr Barbara A. Carper's foundational work, "Fundamental Patterns of Knowing in Nursing," arguably created a paradigm shift in nursing. However, her voice has been absent from the nursing literature in recent years. I was privileged to conduct a personal interview with Dr Carper in 2014. The edited interview includes a synopsis of her background, career trajectory, sources of inspiration, and her perspective on the current state of nursing. She reaffirmed her passion for reflective nursing practice, the importance incorporating the arts and humanities into nursing education, and using an integrated approach with the patterns of knowing in nursing.

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

    Science.gov (United States)

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

    2013-09-01

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

  18. 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

  19. In Memoriam- Prof. Dr. Andries Willem Lategan

    Directory of Open Access Journals (Sweden)

    S. P. Ligthelm

    1965-03-01

    Full Text Available Hierdie Curriculum Vitae sou voorgelees gewees het met die inougurele rede van wyle prof. dr. A. W. Lategan met die aanvaarding van 'n ereprofessoraat aan die P.U. vir C.H.O. op 29 Oktober 1965. Prof. Lategan is op 23 Oktober 1965 oor- lcde. Sy inougurele rede verskyn as ’n bylaag in hierdie uit- gawe.

  20. Walt Disney and Dr. Wernher von Braun

    Science.gov (United States)

    1954-01-01

    Dr. Werhner von Braun, then Chief, Guided Missile Development Operation Division at Army Ballistic Missile Agency (ABMA) in Redstone Arsenal, Alabama, was visited by Walt Disney in 1954. In the 1950's, von Braun worked with Disney Studio as a technical director, making three films about space exploration for television. A model of the V-2 rocket is in background.

  1. Dr D. F. van Slooten †

    NARCIS (Netherlands)

    Lam, H.J.

    1953-01-01

    On March 7, 1953 the Rijksherbarium suffered a severe loss by the sudden death of its honorary co-operator Dr. D. F. van Slooten, the wellknown specialist particularly of Dipterocarpaceae. To honour his memory the following lines may serve as an obituary note. Dirk Fok van Slooten was born in Amersf

  2. ["Allergy testing" with "Dr. Voll electroacupuncture"].

    Science.gov (United States)

    Bresser, H

    1993-06-01

    Electroacupuncture according to Dr. Voll (EAV) is one of the numerous unconventional methods propagated for allergy testing in Germany. From an experimental examination for "drug testing" of this method, it can be concluded that EAV is unsuitable for any form of allergy testing.

  3. Dr. Strangelove and Irrational Collective Rationality

    Institute of Scientific and Technical Information of China (English)

    韩蕾

    2012-01-01

      Dr. Strangelove or: How I learned to Stop Worrying and Love the Bomb is a 1964 black comedy film with satire of arm races and nuclear scare by the director Stanley Kubrick. In the movie, irrational practice and ideologies manifest them⁃selves as collective rationality and result in the destruction of the earth.

  4. Dr. A.F.M. Reijnders, centenarian

    NARCIS (Netherlands)

    Bas, C.

    1999-01-01

    A few weeks ago a reprint was distributed of an interesting paper on the formation of spores by metamorphosis of basidia in fruiting bodies of Mycocalia and Scleroderma. That in itself was not so remarkable. But it is really a small miracle that this paper was written by Dr. A.F.M. Reijnders at the

  5. Dr. Bakhuizen van den Brink retires

    NARCIS (Netherlands)

    Kalkman, C.

    1976-01-01

    On 11 September 1976 dr. Reinier Cornelis Bakhuizen van den Brink will reach the age of 65 and so he must retire from his position as a senior botanist at the Rijksherbarium. He has worked in our institute since December 1943, after having obtained his doctor’s degree in Utrecht. At the Rijksherbari

  6. Non-gyroscope DR and adaptive information fusion algorithm used in GPS/DR device

    Institute of Scientific and Technical Information of China (English)

    Li Qingli; Xue Yongqi; Shang Yanlei; Shi Pengfei

    2006-01-01

    In view of the problems existing in GPS, a non-gyroscope DR is introduced. The operating principle and the algorithm of the GPS/DR device are also presented. By operating measured data synthetically, linear observation equations are obtained for the information fusion algorithm. This approach avoids model error due to linearizing nonlinear observation equations in the conventional algorithm, so that the stability of information fusion algorithm is improved and computation expenses are reduced. Field running experiments show that satisfactory accuracy can be obtained by the proposed navigation model and algorithm for the non-gyroscope GPS/DR device.

  7. Dr. Mrs. Dhanalakshmi De Sousa 1938-2005: A Tribute

    Directory of Open Access Journals (Sweden)

    Avinash De Sousa

    2006-03-01

    Full Text Available It is always tough when one has to write a tribute to one's mother and tougher still when the same has to be written after her demise and when we remember her most. Yet I undertake this onerous task. Many people know her as the past Professor and Head of the Department of Psychiatry at Lokmanya Tilak Municipal Medical College and General Hospital, but it is the personal side of her personality that I wish to highlight here.Born on 3rd October 1938 and brought up in a traditional South Indian family, she lost her father at an early age when she was just 8 years old. Yet she struggled and studied hard, her efforts earning her an admission for the medical graduation course at Seth G.S. Medical College, Mumbai. She joined the Department of Psychiatry at K.E.M. Hospital in 1965 under Dr. V.N. Bagadia and said it was chance that led her to do so. Later she told me it was her destiny, as she had to meet her love and husband Dr. Alan De Sousa there.She was instrumental in starting the Child Guidance Clinic at Nair Hospital that has today risen to be one of the best in the city. She joined Sion Hospital in 1971 as a Honorary Professor and had an avid interest in teaching both post graduates and under graduate students. She worked there till 1989 when she retired as the Prof and Head of the Department. Her retirement was premature for which I take the blame. She always knew what her priorities were and gave me all the best she could. Once when I told her that she was too busy and did not have time for me, it was the very next day that she submitted her resignation from the Department. It was a courageous decision, one for which I hope I fulfill all her dreams. She had a special interest in child psychiatry, substance abuse and psychiatric problems in women. [No abstract available.

  8. Combination of TRAIL with bortezomib shifted apoptotic signaling from DR4 to DR5 death receptor by selective internalization and degradation of DR4.

    Directory of Open Access Journals (Sweden)

    Maxim L Bychkov

    Full Text Available TRAIL (tumor necrosis factor-related apoptosis-inducing ligand mediates apoptosis in cancer cells through death receptors DR4 and DR5 preferring often one receptor over another in the cells expressing both receptors. Receptor selective mutant variants of TRAIL and agonistic antibodies against DR4 and DR5 are highly promising anticancer agents. Here using DR5 specific mutant variant of TRAIL--DR5-B we have demonstrated for the first time that the sensitivity of cancer cells can be shifted from one TRAIL death receptor to another during co-treatment with anticancer drugs. First we have studied the contribution of DR4 and DR5 in HCT116 p53+/+ and HCT116 p53-/- cells and demonstrated that in HCT116 p53+/+ cells the both death receptors are involved in TRAIL-induced cell death while in HCT116 p53-/- cells prevailed DR4 signaling. The expression of death (DR4 and DR5 as well as decoy (DcR1 and DcR2 receptors was upregulated in the both cell lines either by TRAIL or by bortezomib. However, combined treatment of cells with two drugs induced strong time-dependent and p53-independent internalization and further lysosomal degradation of DR4 receptor. Interestingly DR5-B variant of TRAIL which do not bind with DR4 receptor also induced elimination of DR4 from cell surface in combination with bortezomib indicating the ligand-independent mechanism of the receptor internalization. Eliminatory internalization of DR4 resulted in activation of DR5 receptor thus DR4-dependent HCT116 p53-/- cells became highly sensitive to DR5-B in time-dependent manner. Internalization and degradation of DR4 receptor depended on activation of caspases as well as of lysosomal activity as it was completely inhibited by Z-VAD-FMK, E-64 and Baf-A1. In light of our findings, it is important to explore carefully which of the death receptors is active, when sensitizing drugs are combined with agonistic antibodies to the death receptors or receptor selective variants of TRAIL to enhance

  9. Combination of TRAIL with bortezomib shifted apoptotic signaling from DR4 to DR5 death receptor by selective internalization and degradation of DR4.

    Science.gov (United States)

    Bychkov, Maxim L; Gasparian, Marine E; Dolgikh, Dmitry A; Kirpichnikov, Mikhail P

    2014-01-01

    TRAIL (tumor necrosis factor-related apoptosis-inducing ligand) mediates apoptosis in cancer cells through death receptors DR4 and DR5 preferring often one receptor over another in the cells expressing both receptors. Receptor selective mutant variants of TRAIL and agonistic antibodies against DR4 and DR5 are highly promising anticancer agents. Here using DR5 specific mutant variant of TRAIL--DR5-B we have demonstrated for the first time that the sensitivity of cancer cells can be shifted from one TRAIL death receptor to another during co-treatment with anticancer drugs. First we have studied the contribution of DR4 and DR5 in HCT116 p53+/+ and HCT116 p53-/- cells and demonstrated that in HCT116 p53+/+ cells the both death receptors are involved in TRAIL-induced cell death while in HCT116 p53-/- cells prevailed DR4 signaling. The expression of death (DR4 and DR5) as well as decoy (DcR1 and DcR2) receptors was upregulated in the both cell lines either by TRAIL or by bortezomib. However, combined treatment of cells with two drugs induced strong time-dependent and p53-independent internalization and further lysosomal degradation of DR4 receptor. Interestingly DR5-B variant of TRAIL which do not bind with DR4 receptor also induced elimination of DR4 from cell surface in combination with bortezomib indicating the ligand-independent mechanism of the receptor internalization. Eliminatory internalization of DR4 resulted in activation of DR5 receptor thus DR4-dependent HCT116 p53-/- cells became highly sensitive to DR5-B in time-dependent manner. Internalization and degradation of DR4 receptor depended on activation of caspases as well as of lysosomal activity as it was completely inhibited by Z-VAD-FMK, E-64 and Baf-A1. In light of our findings, it is important to explore carefully which of the death receptors is active, when sensitizing drugs are combined with agonistic antibodies to the death receptors or receptor selective variants of TRAIL to enhance cancer treatment

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

    Directory of Open Access Journals (Sweden)

    Ana Célia Caetano de Souza

    2009-08-01

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

  11. Professor Dr. Chen Anmin voted in as the new president of Chinese German Society of Medicine

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    @@ On June 24th 2006, Chinese German Society of Medicine (Chinesisch-Deutsche Gesellschaft für Medizin, CDGM) convened a representative assembly in Wuhan. Prof. Dr. Chen Anmin was elected as the new president of CDGM, who is also the director of Tongji Hospital, Tongji Medical College of Huazhong University of Science & Technology. In the mean time the Director Council and the Permanent Director's council were also selected. Mr.Dong Weiguo has been voted in as secretary-general.

  12. Leading Healthcare Change Across the Care Continuum: An Interview With Dr Kenneth Rempher.

    Science.gov (United States)

    Murphy, Lyn Stankiewicz; Joseph, M Lindell

    2016-01-01

    Kenneth Rempher, PhD, MBA, CENP, RN, is the chief nursing officer for the University of Iowa (UI) Hospitals and Clinics. In his 20-year career, he has distinguished himself as a visionary healthcare leader. Colleagues describe Dr Rempher as a strong, transformational leader, guiding the UI enterprise through a time of uncertainty and change. This interview by the CGEAN provides insight to his leadership style, successes, and ideas on the future of care delivery.

  13. Decommissioning of DR 1, Final report

    Energy Technology Data Exchange (ETDEWEB)

    Lauridsen, Kurt

    2006-01-15

    The report describes the decommissioning activities carried out at the 2kW homogeneous reactor DR 1 at Risoe National Laboratory. The decommissioning work took place from summer 2004 until late autumn 2005. The components with the highest activity, the core vessel the recombiner and the piping and valves connected to these, were dismantled first by Danish Decommissioning's own technicians. Demolition of the control rod house and the biological shield as well as the removal of the floor in the reactor hall was carried out by an external demolition contractor. The building was emptied and left for other use. Clearance measurements of the building showed that radionuclide concentrations were everywhere below the clearance limit set by the Danish nuclear regulatory authorities. Furthermore, measurements on the surrounding area showed that there was no contamination that could be attributed to the operation and decommissioning of DR 1. (au)

  14. 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

  15. Musikvideo og tilskuer: Fjernsyn, ideologi og drøm

    Directory of Open Access Journals (Sweden)

    Marsha Kinder

    1987-08-01

    Full Text Available Denne artikel af Marcha Kinder er allerede en klassiker. I næsten al litteratur om musikvideoer henvises der til den - også herhjemme. Det er især hendes typologi over musikvideoerne, som der refereres til, mens artiklens percep- tionspsykologiske sammenligninger mellem musikvideoer og drømme næsten ikke har været inddraget i debatten. Marcha Kinder har arbejdet med medier i en årrække og udgav sammen med Beverle Houston "Self and Cinema A Transformalist Perspective" /(Redgrave Publishing Vompany i 1980. Artiklen "Musikvideo og tilskuer" er oversat i sin helhed fra "Music Video and the Spectator": Television, Ideology and Dream, Film Quarterly, vol. XXXVIII, no. I 1984 af Jim Høyer.

  16. This Is Not Dr. Conn's Aldosterone Anymore

    OpenAIRE

    Brown, Nancy J.

    2011-01-01

    In 1955, Dr. Jerome Conn described a patient with severe hypertension and hypokalemia and an aldosterone-secreting adenoma. The prevalence of hyperaldosteronism is increased among patients with obesity or resistant hypertension. Angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers reduce the secretion of aldosterone, but with chronic treatment aldosterone concentrations “escape” back to baseline values. Mineralocorticoid receptor (MR) antagonism reduces mortality i...

  17. [Homage to Professor Dr. Nicasio Etchepareborda].

    Science.gov (United States)

    1998-11-01

    During a solemn academic act, de Main Classroom of the Facultad de Odontologia de Buenos Aires was named after Prof. Dr. Nicasio Etchepareborda. He has been the first professor at the Escuela de Odontologia and its organizer, after having obtained his Dentistry degree at the Dental School of Paris, in 1882. The new school was founded in 1891, and its activities began the following year.

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

    OpenAIRE

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

    2016-01-01

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

  19. VizieR Online Data Catalog: PACS Evolutionary Probe (PEP-DR1) catalogs (Lutz+, 2011)

    Science.gov (United States)

    Lutz, D.; Poglitsch, A.; Altieri, B.; Andreani, P.; Aussel, H.; Berta, S.; Bongiovanni, A.; Brisbin, D.; Cava, A.; Cepa, J.; Cimatti, A.; Daddi, E.; Dominguez-Sanchez, H.; Elbaz, D.; Foerster Schreiber, N. M.; Genzel, R.; Grazian, A.; Gruppioni, C.; Harwit, M.; Le Floc'h, E.; Magdis, G.; Magnelli, B.; Maiolino, R.; Nordon, R.; Perez Garcia, A. M.; Popesso, P.; Pozzi, F.; Riguccini, L.; Rodighiero, G.; Saintonge, A.; Sanchez Portal, M.; Santini, P.; Shao, L.; Sturm, E.; Tacconi, L. J.; Valtchanov, I.; Wetzstein, M.; Wieprecht, E.

    2013-11-01

    PACS catalogs built by the PEP team, with key contributions by Stefano Berta, Benjamin Magnelli, Paola Popesso, Dieter Lutz, Francesca Pozzi, Bruno Altieri, Herve Aussel, Hoseong Hwang, Emeric Le Floc'h, Georgios Magdis, Raanan Nordon, Albrecht Poglitsch, Laurie Riguccini, Amelie Saintonge, Li Shao. For more details, please refer to Lutz et al. (2011A&A...532A..90L) and to the PDF documentation associated to the release. Data and catalogs can be retrieved from the web page http://www.mpe.mpg.de/ir/Research/PEP/publicdatareleases.php See the PDF documentation associated to the PEP DR1 release, http://www.mpe.mpg.de/resources/PEP/DR1tarballs/readmePEP_global.pdf and http://www.mpe.mpg.de/resources/PEP/DR1tarballs/readmePEP_SPIRE.pdf for more details. (69 data files).

  20. Dr. William C. Harris, Director-General, Science Foundation Ireland

    CERN Multimedia

    Maximilien Brice

    2002-01-01

    Photo 01: Dr William C. Harris, Director-General, Science Foundation Ireland (left) with R. Cashmore. Photos 02, 03: Dr William C. Harris, Director-General, Science Foundation Ireland signing the CERN guest book with R. Cashmore.

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

    OpenAIRE

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

    2012-01-01

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

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

    OpenAIRE

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

    2003-01-01

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

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

    OpenAIRE

    2016-01-01

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

  4. 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

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

    OpenAIRE

    EPUL MACAYA, PAMELA NILDA

    2012-01-01

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

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

    OpenAIRE

    Fontal Vargas, Paola Andrea

    2014-01-01

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

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

    OpenAIRE

    MENDEZ MENDEZ, NAZARIO CELSO

    2011-01-01

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

  8. Determinan Tindakan Perawat Dalam Membuang Limbah Medis Padat Di Rumah Sakit Umum Dr. Pirngadi Kota Medan Tahun 2008

    OpenAIRE

    Tarigan, Ika Yuniati

    2011-01-01

    Solid medical waste at RSU dr. Pirngadi Hospital Medan as a consequence of hospital’s input, process and output is included to toxic and hazardous type of waste which bring disadvantages to patients, nurses, staff, visitors, surrounding community and management of hospital medical waste. Whether solid medical waste is put in a secure place or not is related to nurses behavior disposing solid medical waste. This observasional study with cross sectional design is aimed to analyze the influe...

  9. KARAKTERISTIK KLIEN YANG DIRAWAT DI RUANG MODEL PRAKTEK KEPERAWATAN PROFESIONAL RUMAH SAKIT Dr. H. MARZOEKI MAHDI BOGOR

    OpenAIRE

    Ice Yulia Wardani; Mustikasari; Budi Anna Keliat

    2003-01-01

    Since September 2000, Community and Mental Health Department Faculty of Nursing University of Indonesia, have developed Professional Nursing Practice Model (PNPM) on Psychiatric Nursing at Dr. H. Marzoeki Mahdi Health Hospital. PNPM at Marzoeki Mahdi Hospital is the first PNPM especially for mental health. The study was a quantitative cross sectional study conducted during the period February 4th to July 30th 2001 and covering 79 client. The aim of the study was to identify characteristics o...

  10. 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....

  11. 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...

  12. 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...

  13. 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.

  14. Académico Dr. José Mora Rubio

    Directory of Open Access Journals (Sweden)

    Zoilo Cuéllar-Montoya

    2007-12-01

    Mora Rubio, diplomado en neurocirugía por el Seraffi mer Lasarette de Estocolmo, dejó una verdadera constelación de excelentes neurocirujanos, sus discípulos, que hoy lo lloran en el dolor de su partida hacia le eternidad: creó una verdadera escuela neuroquirúrgica en al Hospital de San Juan de Dios de Bogotá, que perduró en su docencia mientras permaneció abierto a la población doliente, la menos favorecida de la ciudad y del país, el vetusto Hospital de Caridad, el Hospital de Jesús, José y María, fundado por Fray Juan de los Barrios en la Santafé de 1564 como el Hospital de San Pedro y transformado, en 1730, por los Hermanos de San Juan de Dios que, con el uso y el paso del tiempo, fue denominado por la gente como “Hospital de nuestro Padre San Juan de Dios”, y sus enseñanzas, su escuela práctica, fue continuada por todos y cada uno de sus discípulos en su práctica profesional a lo largo y ancho de Colombia.

  15. Dr. David Syz, State Secretary for Economic Affairs, Switzerland

    CERN Document Server

    Maximilien Brice

    2003-01-01

    Dr. David Syz, State Secretary for Economic Affairs, Switzerland, toured the assembly hall of the ATLAS experiment on a recent visit to CERN.Photos 01, 02: Dr. Peter Jenni, spokesperson for the ATLAS experiment (second from left), explains to Dr. David Syz (fourth from left) and accompanying visitors the process of integration of a 26-metre-long coil of the barrel toroid magnet system into its coil casing.Photo 03: Dr. Peter Jenni (extreme right) with Dr. David Syz (front row, fourth from right) behind a stack of 26-metre-long 'racetrack' coils awaiting integration into their coil casings.

  16. An Interview with Dr.Joseph Hung

    Institute of Scientific and Technical Information of China (English)

    包天仁

    2007-01-01

    @@ Prof.Bao Tianren(Bao):Dr.Hung,thank you for joining us in the 2nd National English as a Foreign Language Teaching Conference for Primary and Secondary Teachers of English in Guangzhou.We organize this conference every year and the theme of this year is Approaches on Raising China's English Language Teaching and Learning Efficiency.The current ELT situation for primary and secondary students in China is rather ineffective.Students learn English for 3 years or more in primary schools,but when they upgrade in junior schools,most of them will have to study English from the very beginning again.

  17. Prof. DR. F. C. Eloff - An appreciation

    Directory of Open Access Journals (Sweden)

    G de Graaff

    1984-12-01

    Full Text Available I have been requested to write an appreciation of the man to whom these proceedings of a symposium on the Kalahari Ecosystem are dedicated @ Prof. Dr. F. C. Eloff, or Fritz as he is popularly referred to. I undertook the task with some trepidation and the only claim to the honour to write this article may be the fact that I have known Professor Eloff since 1949 when I was a green-shanked first year veterinary student at the University of Pretoria where he lectured in zoology to the new students.

  18. Biography of Dr. Simao Nascimento de Sousa

    Digital Repository Service at National Institute of Oceanography (India)

    Sarkar, A.^red.

    , 2004. Dr. de Sousa was born on the 26th of February, 1944 at Corlim, Ilhas, Goa. He graduated with BSc (Hons.) in 1969 and MSc with Physical Chemistry in 1971 from the University of Bombay (Mumbai), India. He began his career with studies in the Mandovi... projects sponsored by different agencies. He has participated in several cruises on board worldwide with 10 different research vessels and has put in 891 days out at sea in the past 31 years of his career. He has to his credit a large number of research...

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

    OpenAIRE

    Pérez Plazas, Natalia

    2010-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Karla Morales-Navarro

    2011-06-01

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

  1. Profil Pasien Rinosinusitis Kronik di Poliklinik THT-KL RSUP DR.M.Djamil Padang

    Directory of Open Access Journals (Sweden)

    Hesty Trihastuti

    2015-09-01

    Full Text Available Abstrak Rinosinusitis kronik adalah inflamasi kronik pada mukosa hidung dan sinus paranasal yang sering terjadi, tetapi belum ada data mengenai profil pasien rinosinusitis kronik di RSUP Dr.M.Djamil Padang. Penelitian ini merupakan penelitian deskriptif dengan mengambil data rekam medis THT-KL RSUP Dr.M.Djamil periode 1 Januari – 31 Desember 2012 dengan metode total sampling. Terdapat 63 kasus rinosinusitis kronik di poliklinik THT-KL RSUP Dr.M.Djamil Padang periode 1 Januari – 31 Desember 2012. Kasus rinosinusitis kronik paling banyak terjadi pada kelompok usia 46 – 55 tahun (22,22% dan banyak terjadi pada perempuan (60,32%. Berdasarkan tanda dan gejala yang ditemukan paling banyak adalah deviasi septum (41,27%. Gejala klinik paling banyak adalah hidung tersumbat (88,89%. Berdasarkan pemeriksaan rinoskopi anterior dan nasoendoskopi ditemukan kelainan pada kavum nasi, konka inferior, konka media, dan sekret. Disimpulkan bahwa rinosinusitis kronik banyak terjadi pada usia dewasa, jenis kelamin perempuan, tanda dan gejala yang ditemukan deviasi septum, gejala berupa hidung tersumbat, sertaditemukan kelainan berdasarkan pemeriksaan rinoskopi anterior dan nasoendoskopi.Kata kunci: rinosinusitis kronik, pemeriksaan rinoskopi anterior, pemeriksaan nasoendoskopi AbstractChronic rhinosinusitis is a common chronic inflammation of the nose and paranasal sinuses mucosa, but there  is no data about profile of chronic rhinosinusitis patients at ENT clinic Dr.M.Djamil general hospital Padang. This research uses descriptive method by taking the data from the medical records at ENT clinic of Dr.M.Djamil general hospital during 1 January – 31 December 2012 with the method is total sampling. There are 63 chronic rhinosinusitis cases at ENT clinic Dr.M.Djamil Padang general hospital during 1 January – 31 December 2012. Most cases of chronic rhinosinusitis occurred in the age group 46 – 55 years old (22.22% and higher in female (60.32%. The most sign

  2. 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)

  3. 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)

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

    OpenAIRE

    Laffita B.,Alfredo

    2005-01-01

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

  5. 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...

  6. 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...

  7. 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.

  8. 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

  9. 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.

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

    Directory of Open Access Journals (Sweden)

    Rocío Mosquera Álvarez

    2012-03-01

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

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

    OpenAIRE

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

    2008-01-01

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

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

    OpenAIRE

    2011-01-01

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

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

    OpenAIRE

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

    2007-01-01

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

  14. [Questions on the first operation with ethyl ether as anaesthetic by Dr. Peter Parker].

    Science.gov (United States)

    Chen, Q

    2017-01-28

    Ethyl ether was the first accepted effective general anaesthetic. It was introduced into China by an America missionary, Dr. Peter Parker. This was one of the historical events of medical communication between China and the West. In the records of the first operation with ether, however, Dr. Parker unusually omitted the patient's medical record number and the date of the operation, while those of other operations with ether anesthetics were all available. This was very unusual for a doctor like Peter Parker who always recorded every important case in detail in the hospital reports. It seems that he deliberately rather than carelessly omitted the information for some reasons. Based on the analysis of Parker's reports, a conclusion is made that the anesthetic effect of the case was actually ineffective. Furthermore, possible answers to this are outlined and question by discussion based on the situation that Parker faced in the late Qing era.

  15. VIP Visit Her Excellency Dr Dalia Grybauskaite

    CERN Multimedia

    2016-01-01

    Her Excellency Dr Dalia Grybauskaite President Republic of Lithuania. Wednesday 20 January 2016. General introduction to CERN’s activities by CERN Director-General F. Gianotti. CERN Director-General introduces CMS Collaboration Deputy Spokesperson K. Borras and CMS Lithuanians A. Rinkevicius with V. Rapsevicius. Met by J. Shiers, IT Department Data Preservation Project Leader, and walk to 1st floor Data Centre Visit Point. CERN Data Centre Visit Point, 1st floor, building 513. View the robotic arms of the CERN IT data centre automated libraries (J. Shiers) CERN Computer Centre, building 513, level -1. Physics hands-on and virtual visit with a High School class in Lithuania (S. Schmeling) CERN S’cool Lab, building 143. Meeting with the Lithuanian community at CERN. Signature of the Guest Book with CERN Director-General witnessed by the Lithuanian community at CERN. Family photograph with the Lithuanian community at CERN.

  16. Decommissioning of DR 2. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Strufe, N.

    2009-02-15

    This report describes the work of dismantling and demolishing reactor DR 2, the waste volumes generated, the health physical conditions and the clearance procedures used for removed elements and waste. Since the ultimate goal for the decommissioning project was not clearance of the building, but downgrading the radiological classification of the building with a view to converting it to further nuclear use, this report documents how the lower classification was achieved and the known occurrence of remaining activity. The report emphasises some of the deliberations made and describes the lessons learned through this decommissioning project. The report also intends to contribute towards the technical basis and experience basis for further decommissioning of the nuclear facilities in Denmark. (au)

  17. Dr Harold Frederick Shipman: an enigma.

    Science.gov (United States)

    Gunn, John

    2010-07-01

    Dr. Shipman was the worst known serial killer in British history, at least in terms of numbers of victims, and possibly the worst in world history, if politicians are excluded. He killed at least 215 patients and may have begun his murderous career at the age of 25, within a year of finishing his medical training. His case has had a profound impact on the practice of medicine in the United Kingdom. Was he a special case? What were the origins of this behaviour? Could the behaviour have been prevented? It is necessary to learn what we can from a few personal facts and largely circumstantial evidence. He withheld himself from any useful clinical investigation or treatment once he had been taken into custody. Could he have been treated at any stage?

  18. Generic Data Pipelining Using ORAC-DR

    Science.gov (United States)

    Allan, Alasdair; Jenness, Tim; Economou, Frossie; Currie, Malcolm J.; Bly, Martin J.

    A generic data reduction pipeline is, perhaps, the holy grail for data reduction software. We present work which sets us firmly on the path towards this goal. ORAC-DR is an online data reduction pipeline written by the Joint Astronomy Center (JAC) and the UK Astronomy Technology Center (ATC) and distributed as part of the Starlink Software collection (SSC). It is intended to run with a minimum of observer interaction, and is able to handle data from many different instruments, including SCUBA, CGS4, UFTI, IRCAM and Michelle, with support for IRIS2 and UIST under development. Recent work by Starlink in collaboration with the JAC has resulted in an increase in the pipeline's flexibility, opening up the possibility that it could be used for truly generic data reduction for data from any imaging, and eventually spectroscopic, detector.

  19. Dr. Hans Chang, Director, Physics Research Committee, Stichting voor Fundamenteel Onderzoek der Materie (FOM), Dr. Joris Van Enst, Head of Science Policy Division, Ministry of Education, Culture and S cience, Dr. Jan Bezemer, NL Delegate CERN, Netherlands

    CERN Document Server

    Patrice Loiez

    1999-01-01

    Dr. Hans Chang, Director, Physics Research Committee, Stichting voor Fundamenteel Onderzoek der Materie (FOM), Dr. Joris Van Enst, Head of Science Policy Division, Ministry of Education, Culture and S cience, Dr. Jan Bezemer, NL Delegate CERN, Netherlands

  20. Académico Dr. Sigfrido Demner 1923 – 2006

    Directory of Open Access Journals (Sweden)

    Gilberto Rueda Pérez

    2006-03-01

    A su regreso al país fue nombrado Cirujano agregado, djunto y asociado n el Hospital de la Samaritana ntre 1962 y 1968 para ser ascendido a Jefe del servicio de Cirugía y coordinador de todos los Servicios quirúrgicos. A este Hospital dedicó sus mejores cualidades y servicios tanto en la cirugía como en la docencia con la Universidad Javeriana por 34 años continuos hasta merecer el título de Profesor Emérito. Desempeñándose así mismo como Profesor asociado de Cirugía General y de Tórax en la Escuela de Medicina Juan N Corpas de Bogotá...

  1. The life-work of Prof. MUDr. Zdenek Lojda, Dr.Sc., Dr. Med. et Iur. h.c.

    Science.gov (United States)

    Hach, P

    2008-01-01

    Professor Zdenek Lojda, MD., Dr.Sc., Dr. Med.h.c., Dr. Jur. h.c., vice-rector emeritus of the Charles University and director emeritus of the Institute of Histology and Embryology of the 1st Medical Faculty of the Charles University in Prague died on the 24th April 2004. Born in Trebíc (in a local maternal hospital on the 7th December 1927) he grew up in Moravské Budejovice where he graduated from a primary and secondary school (he passed out each class as well as the leaving exam at the local gymnasium in 1946 cum laude). He was growing up in an inspiring atmosphere of a family of a professor at gymnasium that helped him to form his fundamental moral attitude and to gain high knowledge of an almost Renaissance comprehension. He was a gifted linguist (he spoke fluently several languages including Latin) and musician (he did community singing among others) and he was interested in natural sciences. In 1946 he enrolled for the medical faculty and coincidentally he was grouped among students that completed histology and embryology at the Institute of Embryology headed by professor Zdenek Frankenberger, MD., who had recognised his interest in this field of study. The young student gave himself and his free time to the work of an unqualified lab-worker and only later he became assistant conducting practical tutorials. He took his degree cum laude in 1952 and he received certificate of competence because of his excellent results. He showed his preoccupation with histology (strongly influenced by the personality of professor Frankenberger) after the graduation when he entered the job of the assistant professor at the Institute of Embryology and he stayed there until 1961. When he was about to decide which problems he should target, professor Frankenberger drew his attention to a very interesting part of histology that was just in advance and that was the use of diazonic salts for formation of colour reaction product demonstrating enzyme activity in tissues. In 1962

  2. DR-model-based estimation algorithm for NCS

    Institute of Scientific and Technical Information of China (English)

    HUANG Si-niu; CHEN Zong-ji; WEI Chen

    2006-01-01

    A novel estimation scheme based on dead reckoning (DR) model for networked control system (NCS)is proposed in this paper.Both the detailed DR estimation algorithm and the stability analysis of the system are given.By using DR estimation of the state,the effect of communication delays is overcome.This makes a controller designed without considering delays still applicable in NCS Moreover,the scheme can effectively solve the problem of data packet loss or timeout.

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

    OpenAIRE

    LIZARRAGA MARROQUIN, Christian Alberto; PROAÑO DE CASALINO, Doris

    2013-01-01

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

  4. Screening for Depression In Hospitalized Pediatric Patients

    Directory of Open Access Journals (Sweden)

    Mohammad-Reza ESMAEELI

    2014-01-01

    Full Text Available How to Cite This Article: Esmaeeli M, Erfani Sayar R, Saghebi A, Elmi Saghi, Rahmani Sh, Elmi S, Rabbani Javadi A. Screening for Depression in Hospitalized Pediatric Patients. Iran J Child Neurol. 2014 Winter; 8(1:47-51. ObjectiveIn chronically ill children who are hospitalized, many mood changes occur. For example, in children with cancer or renal failure, prolonged hospitalization and chemotherapy can lead to depression. With the improved survival of childhoodmalignancies, the effect of treatment on child’s psychosocial well-being becomes increasingly relevant. In this study, we examined the prevalence of depression in hospitalized children with chronic and acute conditions in Dr Sheikh Pediatrics Hospital in Mashhad.Materials & MethodsAfter receiving the approval from the Ethics Committee of Mashhad University of Medical Sciences, we did this cross-sectional descriptive study, from April to June 2012 in Dr Sheikh Pediatric Hospital in Mashhad. Ninety children, aged between 8 to 16 years, were screened for depression. The sampling method was census. Children with a history of depressive or other mental disorders were excluded.Three groups of children (children with chronic renal disease, malignancy, and acute disease were evaluated for depression using standard Children Depression Inventory Questionnaire (CDI. Two specifically trained nurses with the supervisionof a psychiatrist filled out the questionnaires at patients’ bedside. Depression scores were then analyzed by SPSS software.ResultsOf 90 children, 43(47.7% were male and 47(52.2% were female. The Children’s mean age was 11±2.3 years, and the mean length of hospitalization was 8±5.3 days.Depression was detected in various degrees in 63% of patients (N=57, and 36.6% of children (N=32 had no symptoms of depression. Severe depression was not seenin any of the patients with acute illness. More than half of patients with cancer and chronic kidney disease had moderate

  5. 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.

  6. The DraC usher in Dr fimbriae biogenesis of uropathogenic E. coli Dr(+) strains.

    Science.gov (United States)

    Zalewska-Piatek, Beata; Kur, Marta; Wilkanowicz, Sabina; Piatek, Rafał; Kur, Józef

    2010-05-01

    Biogenesis of Dr fimbriae encoded by the dra gene cluster of uropathogenic Escherichia coli strains requires the chaperone-usher pathway. This secretion system is based on two non-structural assembly components, the DraB periplasmic chaperone and DraC outer-membrane usher. The DraB controls the folding of DraE subunits, and DraC forms the assembly and secretion platform for polymerization of subunits in linear fibers. In this study, mutagenesis of the DraC N-terminus was undertaken to select residues critical for Dr fimbriae bioassembly. The DraC-F4A, DraC-C64, DraC-C100A and DraC-W142A significantly reduced the adhesive ability of E. coli strains. The biological activity of the DraC mutants as a assembly platform for Dr fimbriae polymerization was verified by agglutination of human erythrocytes and adhesion to DAF localized at the surface of CHO-DAF(+) and HeLa cells. The residue F4 of the DraC usher conserved among FGL and FGS chaperone-assembled adhesive organelles can be used to design pillicides blocking the biogenesis of Dr fimbriae. Because the draC and afaC-III genes share 100% identity the range of the virulence determinant inhibitors could also be extended to E. coli strains encoding afa-3 gene cluster. The investigations performed showed that the usher N-terminus plays an important role in biogenesis of complete fiber.

  7. Rheumatic fever in Ireland: the role of Dr Monica Lea Wilson (1889-1971).

    Science.gov (United States)

    Ward, O Conor

    2013-02-01

    In 1869 William Stokes pointed out that the severity of rheumatic fever in Dublin had declined over recent decades. Similar worldwide decline led to the closure of many internationally famous rheumatic fever centres. The discovery by Robert Collis that rheumatic fever was a sequel to haemolytic streptococcal infection and the subsequent discovery of penicillin accelerated the decline. St Gabriel's Hospital in Dublin opened in 1951 under the clinical direction of Dr Monica Lea Wilson. Contrary to contemporary medical opinion a regimen of very prolonged bed rest was enforced. From 1961 the family doctors became concerned at the adverse psychological effects of the unnecessarily prolonged hospital stay. Twenty-seven of the 56 inpatients were re-assessed. None of them showed any evidence of active rheumatic fever and their parents took them home. The hospital closed in 1968. Dr Lea Wilson distanced herself from mainstream medicine and she is best remembered for having presented an unrecognized Caravaggio painting to the Jesuit Order in recognition of their pastoral support at the time of the controversial assassination in 1920 of her husband Percival, an Inspector in the Royal Irish Constabulary.

  8. 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.

  9. 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

  10. ¿Quién es el Dr. Alvarado?

    Directory of Open Access Journals (Sweden)

    Arturo Jauretche

    2012-01-01

    1955, el Dr. Alvarado es separado de su cargo por la Revolución Libertadora, momento en que la Organización Panamericana de la Salud lo designa asesor regional y entre 1959 y 1964 lo nombran jefe del programa de erradicación de la malaria de la Organización Mundial de la Salud, en Ginebra, Suiza. A su regreso al país en 1966, organiza el Plan de Salud Rural, creando para ello la figura del "agente sanitario" y la "ronda sanitaria" anticipándose a conceptos que varios años después se plasmarían en la Atención Primaria de la Salud. El texto de Jauretche fue publicado originalmente en 1967 en el libro Los profetas del odio, por la editorial de Arturo Peña Lillo, editor de los grandes títulos del "pensamiento nacional" argentino. Su reedición en la sección "Memoria e historia" es un modo de rendir homenaje a una de las figuras indiscutibles de la Salud Pública argentina.

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

    Directory of Open Access Journals (Sweden)

    Raheel Ahmed Syed

    2012-01-01

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

  12. Vínculos de sangre: de Carmilla y Drácula a Alucarda

    Directory of Open Access Journals (Sweden)

    Carlos Gerardo Zermeño-Vargas

    2015-01-01

    Full Text Available A partir del marco teórico elaborado por Sergio Wolf para analizar las resignificaciones por las que pasa una narración literaria cuando es adaptada al cine, se estudió la película Alucarda , del mexicano Juan López Moctezuma, cuya mitología está construida a partir de dos novelas góticas: Carmilla y Drácula . Se observó especialmente la manera en que los rasgos de la literatura fantástica y de terror fueron transformados al ser llevados a la pantalla grande. Se concluye que la adaptación de obras literarias al lenguaje cinematográfico (transposición constituye un proceso cargado de valor artístico y es el resultado de una serie de decisiones que no necesariamente buscan la fidelidad al texto original.

  13. Enrico Fermi Awards Ceremony for Dr. Allen J. Bard and Dr. Andrew Sessler, February 2014 (Presentations, including remarks by Energy Secretary, Dr. Ernest Moniz)

    Energy Technology Data Exchange (ETDEWEB)

    Moniz, Ernest [U.S. Energy Secretary

    2014-02-03

    The Fermi Award is a Presidential award and is one of the oldest and most prestigious science and technology honors bestowed by the U.S. Government. On February 3, 2014 it was conferred upon two exceptional scientists. The first to be recognized is Dr. Allen J. Bard, 'for international leadership in electrochemical science and technology, for advances in photoelectrochemistry and photocatalytic materials, processes, and devices, and for discovery and development of electrochemical methods including electrogenerated chemiluminescence and scanning electrochemical microscopy.' The other honoree is Dr. Andrew Sessler, 'for advancing accelerators as powerful tools of scientific discovery, for visionary direction of the research enterprise focused on challenges in energy and the environment, and for championing outreach and freedom of scientific inquiry worldwide.' Dr. Patricia Dehmer opened the ceremony, and Dr. Ernest Moniz presented the awards.

  14. Galactic rotation in Gaia DR1

    CERN Document Server

    Bovy, Jo

    2016-01-01

    The spatial variations of the velocity field of local stars provide direct evidence of Galactic differential rotation. The local divergence, shear, and vorticity of the velocity field---the traditional Oort constants---can be measured based purely on astrometric measurements and in particular depend linearly on proper motion and parallax. I use data for 304,267 main-sequence stars from the Gaia DR1 Tycho-Gaia Astrometric Solution to perform a local, precise measurement of the Oort constants at a typical heliocentric distance of 230 pc. The pattern of proper motions for these stars clearly displays the expected effects from differential rotation. I measure the Oort constants to be: A = 15.3+/-0.4+/- 0.5 (syst.) km/s/kpc, B = -11.9+/-0.4 km/s/kpc, C = -3.2+/-0.4 km/s/kpc and K = -3.3+/-0.6 km/s/kpc, where the systematic uncertainty in A is due to its uncertain correction for the asymmetric drift. These measurements imply local values for the rotational frequency of \\Omega_0 = 27.1+/-0.5+/- 0.5 (syst.) km/s/kpc,...

  15. Invited commentary: the testimony of Dr. Snow.

    Science.gov (United States)

    Vandenbroucke, J P

    2000-07-01

    This paper presents a commentary on the testimony delivered by Dr. John Snow before the British Parliamentary Committee in 1855. It is noted that in Snow's testimony was highlighted his extremely strong belief in germ theory and contagion and his consequent contempt for anything close to the rivaling theory that miasmatic emanations cause disease. Snow's unreasonableness may have been because he already held his germ theory and drinking water convictions before he made his observations. In addition, based on his published books it has become apparent that even his data analysis was guided by such preconceptions. Although Snow's opinion on germ theory created contemporaries, it is noted however, that Snow did not truly sway contemporary opinion, and his theories were not agreed as a complete breakthrough in the way that they are often presented as being in epidemiological textbooks. Overall, the fundamental problem with the miasma and contagion theories at the time was that both failed to answer certain questions, including transmission of diseases, development of diseases, and the issue of temporary carriers of causative germs.

  16. An interview with Dr Diane Austin

    Directory of Open Access Journals (Sweden)

    Patricia Preston-Roberts

    2011-03-01

    Full Text Available For many years Dr Diane Austin has been developing a very special use of the voice in her practice as a music psychotherapist. The transformational aspects of this approach have been witnessed by colleagues who have heard Diane present at conferences or have read of her work in various publications. There are now further opportunities for colleagues to find out more about her work by reading her recent book or participating in her trainings. On behalf of the editors of the series of interviews for Voices I am delighted to be able to introduce this interview with Diane by one of her colleagues Patricia Preston-Roberts. There is also a linked audio example. In the interview Diane explains how her approach evolved and she identifies some of the key features of the work. She provides some links to the theories underpinning her practice and talks very openly about some issues of countertransference that arise as part of this very powerful and profound way of working. Throughout the interview we are aware how all aspects of the voice have an enormous influence on the development of a warm and trusting therapeutic relationship. From the moment a client enters Diane's consulting room it is clear that her deep and empathic listening ability enables her to make connections to every vocal nuance, whether spoken or sung. As she points out "the whole session" can be viewed "as an improvisation."

  17. SDSS DR7 White Dwarf Catalog

    CERN Document Server

    Kleinman, S J; Koester, D; Pelisoli, Ingrid; Peçanha, Viviane; Nitta, A; Costa, J E S; Krzesinski, J; Dufour, P; Lachapelle, F -R; Bergeron, P; Yip, Ching-Wa; Harris, Hugh C; Eisenstein, Daniel J; Althaus, L; Córsico, A

    2012-01-01

    We present a new catalog of spectroscopically-confirmed white dwarf stars from the Sloan Digital Sky Survey Data Release 7 spectroscopic catalog. We find 20,407 white dwarf spectra, representing 19,712 stars, and provide atmospheric model fits to 14,120 DA and 1011 DB white dwarf spectra from 12,843 and 923 stars, respectively. These numbers represent a more than factor of two increase in the total number of white dwarf stars from the previous SDSS white dwarf catalog based on DR4 data. Our distribution of subtypes varies from previous catalogs due to our more conservative, manual classifications of each star in our catalog, supplementing our automatic fits. In particular, we find a large number of magnetic white dwarf stars whose small Zeeman splittings mimic increased Stark broadening that would otherwise result in an overestimated log(g) if fit as a non-magnetic white dwarf. We calculate mean DA and DB masses for our clean, non-magnetic sample and find the DB mean mass is statistically larger than that for...

  18. This is not Dr. Conn's aldosterone anymore.

    Science.gov (United States)

    Brown, Nancy J

    2011-01-01

    In 1955, Dr. Jerome Conn described a patient with severe hypertension and hypokalemia and an aldosterone-secreting adenoma. The prevalence of hyperaldosteronism is increased among patients with obesity or resistant hypertension. Angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers reduce the secretion of aldosterone, but with chronic treatment aldosterone concentrations "escape" back to baseline values. Mineralocorticoid receptor (MR) antagonism reduces mortality in patients with heart disease who are already taking an ACE inhibitor and diuretic. In addition to affecting sodium and potassium homeostasis via classical MR-dependent pathways, aldosterone induces inflammation and causes cardiovascular remodeling and renal injury. Some of these effects involve MR-independent pathways. At the same time, ligands other than aldosterone can activate the MR. This paper reviews mechanism(s) for the proinflammatory and profibrotic effects of aldosterone and presents data indicating that endogenous aldosterone, acting at the MR, contributes to many of the pro-inflammatory and pro-fibrotic effects of angiotensin II in vivo.

  19. Dr. Otto "Tiger" Freer: inventor and innovator.

    Science.gov (United States)

    Chittiboina, Prashant; Connor, David E; Nanda, Anil

    2012-08-01

    Every neurosurgeon develops his or her own standard approach to common intracranial pathologies in terms of the order in which different stages are performed and which instruments are used to perform individual tasks. The majority of the basic steps in performing a craniotomy are learned through repetition and practice during residency training. Significant amounts of energy are devoted to mastering technical skills and developing an operative rhythm. What often receives little attention is the historical origin of the instruments that make the work possible. The Freer elevator represents a particularly interesting example. To people unfamiliar with the accomplishments of turn-of-the-century laryngologist Otto "Tiger" Freer, it can be assumed that the name of the instrument in one's hand is simply named for what it can do, that is, to "free" the nasal mucosa from the bony and cartilaginous septum during the transsphenoidal approach. The technique this master surgeon spent his life and career perfecting is now repeated almost daily by skull base neurosurgeons approaching pathologies from the inferior frontal lobe to the foramen magnum. In reviewing his life and work, the authors of this paper discovered an interesting creative process that led to the design of the eponymous instrument. Additionally, they discovered important advances toward the development of the transnasal approach and in our understanding of the anterior skull base. They present a historical perspective on the life and accomplishments of Dr. Freer and the ubiquitous surgical instrument that he invented and popularized.

  20. Carbon stars from LAMOST DR2 data

    CERN Document Server

    Ji, Wei; Liu, Chao; Luo, Ali; Zhao, Gang; Zhang, Bo

    2016-01-01

    In this work, we present the new catalog of carbon stars from the LAMOST DR2 catalog. In total, 894 carbon stars are identified from multiple line indices measured from the stellar spectra. Combining the CN bands in the red end with \\ctwo\\ and other lines, we are able to identify the carbon stars. Moreover, we also classify the carbon stars into spectral sub-types of \\ch, \\CR, and \\cn. These sub-types approximately show distinct features in the multi-dimensional line indices, implying that in the future we can use them to identify carbon stars from larger spectroscopic datasets. Meanwhile, from the line indices space, while the \\cn\\ stars are clearly separated from the others, we find no clear separation between \\CR\\ and \\ch\\ sub-types. The \\CR\\ and \\ch\\ stars seem to smoothly transition from one to another. This may hint that the \\CR\\ and \\ch\\ stars may not be different in their origins but look different in their spectra because of different metallicity. Due to the relatively low spectral resolution and low...

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

    Directory of Open Access Journals (Sweden)

    Gino Guillermo Tapia-Zegarra

    2001-12-01

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

  2. DR with a DSLR: Digital Radiography with a Digital Single-Lens Reflex camera.

    Science.gov (United States)

    Fan, Helen; Durko, Heather L; Moore, Stephen K; Moore, Jared; Miller, Brian W; Furenlid, Lars R; Pradhan, Sunil; Barrett, Harrison H

    2010-02-15

    An inexpensive, portable digital radiography (DR) detector system for use in remote regions has been built and evaluated. The system utilizes a large-format digital single-lens reflex (DSLR) camera to capture the image from a standard fluorescent screen. The large sensor area allows relatively small demagnification factors and hence minimizes the light loss. The system has been used for initial phantom tests in urban hospitals and Himalayan clinics in Nepal, and it has been evaluated in the laboratory at the University of Arizona by additional phantom studies. Typical phantom images are presented in this paper, and a simplified discussion of the detective quantum efficiency of the detector is given.

  3. Dr. E. Kits van Waveren (1906—1995)

    NARCIS (Netherlands)

    Bas, C.

    1996-01-01

    With the death on 3 September 1995 of Dr. E. Kits van Waveren, the Dutch mycologists lost one of their most prominent, internationally known amateurs, a specialist on the taxonomy of the genus Psathyrella and an ardent collector. Dr. Kits van Waveren, honorary staff member of the Rijksherbarium at L

  4. Dr. Shawn Mehlenbacher 2012 Wilder Silver Medal Recipient

    Science.gov (United States)

    Dr. Shawn Mehlenbacher, Oregon State University, was awarded the 2012 Wilder Medal by the American Pomological Society for his contributions to hazelnut genetics and cultivar development. Dr. Mehlenbacher took over the leadership of the Oregon State University hazelnut breeding program in 1986 aft...

  5. Dr. Lai Xinsheng's Experience in Acupuncture Treatment of Refractory Diseases

    Institute of Scientific and Technical Information of China (English)

    Lin Shaozhen; Lai Xinsheng; Duan Shumin

    2006-01-01

    @@ Having been engaged in teaching, clinical practice and research for many years, Dr. Lai Xinsheng is good at acupuncture and the combined acupuncture and medication therapy to treat refractory diseases with satisfactory therapeutic effect. Sample cases treated by Dr. Lai are selected as follows.

  6. Balance Between the Worlds: A Conversation with Dr. Richard Vedan

    Directory of Open Access Journals (Sweden)

    Carolyn B Kenny

    2015-11-01

    Full Text Available In this article, Dr. Richard Vedan, a Secwepmec, lodge keeper, and medical social worker converses with Dr. Carolyn Kenny about critical elements of medical ethnomusicology as seen and experienced through an Indigenous context. Dilemmas of individualism versus collectivism and isolation versus connectivity underlie the entire conversation. Relevant themes in the traditional use of music in Indigenous healing are discussed.

  7. Celebrating the Life and Legacy of Dr. John Hope Franklin

    Science.gov (United States)

    Harris, Robert L., Jr.; Levering-Lewis, David; French, John D.; Wharton, Clifton R., Jr.

    2009-01-01

    Dr. John Hope Franklin chronicled the experiences of African-Americans like no one before him, forcing America to recognize Black history as American history. His contributions were innumerable and his impact was abiding. In celebration of his life and legacy, the authors profile the celebrated scholar and activist, Dr. John Hope Franklin.

  8. Dr. Albert Carr--Science Educator 1930-2000

    Science.gov (United States)

    Lopez, Leslie

    2013-01-01

    The very first issue of "Educational Perspectives" was published in October of 1962. Dr. Albert Carr wrote one of the inaugural essays on the topic of current developments in science education, and he went on to write several other articles for the journal. This article shares why Dr. Albert Carr's colleagues remember him for his…

  9. VizieR Online Data Catalog: VPHAS+ DR2 survey (Drew+, 2016)

    Science.gov (United States)

    Drew, J. E.; Gonzalez-Solares, E.; Greimel, R.; Irwin, M. J.; Kupcu Yoldas, A.; Lewis, J.; Barentsen, G.; Eisloffel, J.; Farnhill, H. J.; Martin, W. E.; Walsh, J. R.; Walton, N. A.; Mohr-Smith, M.; Raddi, R.; Sale, S. E.; Wright, N. J.; Groot, P.; Barlow, M. J.; Corradi, R. L. M.; Drake, J. J.; Fabregat, J.; Frew, D. J.; Gansicke, B. T.; Knigge, C.; Mampaso, A.; Morris, R. A. H.; Naylor, T.; Parker, Q. A.; Phillipps, S.; Ruhland, C.; Steeghs, D.; Unruh, Y. C.; Vink, J. S.; Wesson, R.; Zijlstra, A. A.

    2016-10-01

    The Second VPHAS data release (DR2) covers the first 21 months of data-taking in which the survey progressed to 24 percent completion. Much of the Galactic mid-plane is now covered (especially in the r, i and Hα filters). This release supersedes DR1. For access to the release documents and ESO archive entry, see ESO's public survey pages (http://eso.org/rm/publicAccess#/dataReleases). The appropriate journal reference for the use of VPHAS+data is to: Drew et al., 2014MNRAS.440.2036D. If making use of data from this release, please use the following statement in the acknowledgements: "Based on data products from observations made with ESO Telescopes at the La Silla Paranal Observatory under public survey programme ID, 177.D-3023". (1 data file).

  10. Caracterización de los recién nacidos extremadamente bajo peso en el hospital “Ernesto Guevara de la Serna”, 2007- 2010

    OpenAIRE

    Martha Pequeño Rondón; Yodalis Cedeño Ramírez; Xiomara Bermúdez Pérez; Rigoberto Rodríguez Arévalo; Adolfo Alfredo Arzuaga Nuñez

    2015-01-01

    Se realizó un estudio  de tipo descriptivo, longitudinal, con el objetivo de caracterizar clínico-epidemiológicamente  a los recién nacidos extremadamente bajo peso al nacer, en la Unidad de Cuidados Intensivos Neonatales del Hospital General Docente “Dr. Ernesto Guevara de la Serna”, en el periodo comprendido desde enero 2007hasta diciembre 2010. El universo estuvo constituido por 17517 nacidos vivos, tomándose como muestra 36 recién nacidos prematuros extremos. La información se obtuvo de l...

  11. Análisis de Variables Clínicas en pacientes con Obstrucción Arterial Aguda en Hospital Gustavo Fricke.

    OpenAIRE

    Diego Villagrán R.; Natalia Jorquera P.; Carlo Zuñiga G.; Felipe Cardemil M.; Carolina Opazo T.

    2009-01-01

    INTRODUCCIÓN: La obstrucción arterial aguda (OAA) de extremidades es un cuadro grave, con una mortalidad cercana al 20%, por lo que requiere un diagnostico etiológico y manejo oportuno. El objetivo del presente estudio fue analizar sobrevida y variables clínicas según etiología. MATERIAL Y MÉTODO: Estudio observacional analítico de casos de OAA no traumáticos atendidos entre años 2003 y 2007 en el Hospital Dr. Gustavo Fricke, con seguimiento vía registro civil y telefónico para obtener datos...

  12. 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

  13. Induction of Tumor Cell Apoptosis via Fas/DR5

    Institute of Scientific and Technical Information of China (English)

    Wenzhu Li; Shengyu Wang; Caixia Chen; Guohong Zhuang

    2006-01-01

    The apoptosis inducing effects on tumor cell lines MGC803, BEL7402 and HL60 by Fas ligand and anti-human DR5 monoclonal antibodies (anti-DR5 mAb) and the underlying mechanism was studied, Fas/DR5 mRNA was detected by RT-PCR. Cytotoxicity exerted by FasL/anti-DR5 mAb on tumor cell lines was measured by MTT assay and the induced apoptosis was determined by agarose gel electrophoresis. Flow cytometry was employed to analyze the mode of cell death. The mRNA expression of DR5 in MGC803 and BEL7402 cells after giving anti-DR5 mAb was up-regulated compared with control group, while it was down-regulated in HL60 cells in the same condition.The mRNA expression of Fas in HL60 was higher after giving FasL compared with control group, while it was lower in MGC803 and BEL7402. MGC803 and BEL7402 were sensitive to anti-DR5 mAb but partially to FasL,and HL60 was sensitive to FasL but less sensitive to anti-DR5 mAb. Apoptosis induced by Fas ligand and anti-DR5 mAb vary among tumor cell lines. The underlying mechanism may be relevant to Fas/DR5 mRNA expression,which was presented as the release of caspase-8 and Bcl-2.

  14. Study of HLA-DR synthesis in cultured human keratinocytes.

    Science.gov (United States)

    Wikner, N E; Huff, J C; Norris, D A; Boyce, S T; Cary, M; Kissinger, M; Weston, W L

    1986-11-01

    Within the normal human epidermis only Langerhans and indeterminate cells express HLA-DR. Human keratinocytes (HK), however, may also express HLA-DR in certain disease states characterized by mononuclear cell infiltrates. Previous studies have shown that HK synthesize HLA-DR in response to stimulation by interferon gamma (INF-gamma). The purposes of this study were to define conditions under which cultured HK might express HLA-DR and to compare the HLA-DR synthesis of HK with that of monocytes. HLA-DR expression by HK as determined by indirect immunofluorescence of HK cultures was absent under standard low calcium conditions and remained absent with the addition of calcium, serum, mitogens, and supernatants from Pam-212 cells containing epidermal thymocyte-activating factor. HLA-DR expression in HK was induced by cocultivation with concanavalin A-stimulated peripheral blood mononuclear cells (PBMC), but not unstimulated PBMC. This effect was time-dependent and directly related to the number of PBMC. HLA-DR expression was also induced in a time- and dose-dependent manner by addition of supernatant from stimulated PBMC (SS) or by addition of recombinant INF-gamma but not by addition of interleukin (IL)-1 or IL-2. Induction by either SS or INF-gamma was blocked by an antiserum to INF-gamma. As determined by a semiquantitative immunoprecipitation technique, HLA-DR synthesis by HK was directly related to INF-gamma concentration. The pattern of HLA-DR peptides produced by HK was similar to that of monocytes, but the relative quantity synthesized was far less than that of monocytes.

  15. Pengaruh Sumber Daya Komite Medik terhadap Pelaksanaan Kegiatan Audit Medis di Rumah Sakit Umum dr. Pirngadi Medan

    OpenAIRE

    2012-01-01

    Good clinical governance requires the medical committee to providing medical audit activities to achieve excellent medical care. Medical audit activities conducted systematic and regular would improve the clinical quality indicators. The results of preliminary survey done by the researchers at dr. Pirngadi General Hospital in Medan showed that the net death rate (NDR) in 2003 to 2007 about 34.17 to 62.19 ‰. The Ministry of Health approved NDR is below 25 ‰. The purpose of this study was to...

  16. Unidad de la Tinción de Gram en el diagnóstico y tratamiento oportuno de la infección de vías urinarias en menores de cinco años : estudio realizado en el Hospital del Niño Dr. Francisco Ycaza Bustamante de marzo - agosto de 2014.

    OpenAIRE

    Carrera Buri, Grace Natalie

    2014-01-01

    La infección de vías urinarias (IVU) tiene una prevalencia del 2 al 5%, y una incidencia de 5-8% en menores de 5 años, su etiología corresponde a E. coli un 80-90%. El diagnóstico definitivo lo da el urocultivo, aunque para tomar decisiones terapéuticas inmediatas se recomienda la Tinción de Gram, que tiene una sensibilidad de 100% y una especificidad del 87%. OBJETIVOS: Determinar la utilidad de la tinción de Gram y establecer una correlación diagnóstica entre tinción de Gram y urocultivo...

  17. Protocolos de atención de enfermería para la prevención de Úlceras por Presión (UPP) en pacientes politraumatizados de 1 mes a 16 años de edad en el área de terapia intensiva del Hospital "Dr. Roberto Gilbert Elizalde", año 2010

    OpenAIRE

    Banda Barragán, Azucena

    2012-01-01

    El presente trabajo de investigación trata sobre las úlceras por presión que son las lesiones producidas por la tensión de la piel al permanecer largos períodos en una sola posición, éstas representan un problema asistencial por su prevalencia, el impacto sobre la salud y la calidad de vida del paciente; además, es importante resaltar que la prevalencia de las úlceras por presión, son reportadas a nivel mundial de acuerdo a la OMS, están entre el 5 y 12%, siendo en América, el 7%. Por la i...

  18. Utilidad de la craneotomía descompresiva en el manejo del trauma craneoencefálo grave en pacientes ingresados en la Unidad de Cuidados Intensivos Pediátricos del Hospital de Niños Dr. Roberto Gilbert Elizalde período 2009 - 2010

    OpenAIRE

    Solórzano Cordero, Roxana

    2013-01-01

    El niño es más frágil frente al traumatismo cerebral ya que su cerebro está menos mielinizado, los huesos craneales son más blandos y la relación cabeza-cuerpo es mayor. En la actualidad, el TCE es una endemia en los países desarrollados y en vía de desarrollo, siendo en muchos de ellos la primera causa de muerte e invalidez en los niños. En nuestro país el trauma craneoencefálico es una de las principales causas de mortalidad infantil. Sabiendo que el incremento de ...

  19. Civil de Guadalajara (México “Dr. Juan I. Menchaca”

    Directory of Open Access Journals (Sweden)

    J. Jesús Pérez M.

    2005-01-01

    Full Text Available Esta publicación muestra la prevalencia de apéndice preauricular y la frecuencia de algunas variables relevantes. Se estudió la de prevalencia en 254 neonatos con apéndice preauricular diagnosticada en el momento del nacimiento, en 129,426 nacimientos consecutivos ocurridos en el Hospital Civil de Guadalajara (México “Dr. Juan I Menchaca” durante el período de 1990 a 2003. Con una entrevista directa a las madres se obtuvo información de las variables relevantes. Se midió la prevalencia de apéndice preauricular y la frecuencia de las variables de estudio. Por 1,000 nacidos vivos 1.96 sufrían de apéndice preauricular. Masculinos 55 por ciento y 45 por ciento femeninos, relación masculino / femenino de 1.2. De los 254 sujetos con apéndice preauricular, 228 (90% lo presentaron en una oreja y en ambas 26 (10%; el lado más afectado fue el derecho. La edad gestacional en los casos y en los controles fue de 39±2 semanas y con antropometría similar. En nueve sujetos (3% se documentó al menos otra malformación congénita adicional. Infección en vías urinarias, cervicovaginitis y gripe resultaron las enfermedades más frecuentes en las madres de los neonatos con apéndice preauricular. Once madres emplearon anticonceptivos cerca de la fecha de la concepción. La prevalencia de apéndice preauricular muestra poca diferencia a la reportada en Europa, pero menor que la de África y Asia. El lado derecho de la cara es donde más común aparece la malformación. La frecuencia relativamente elevada de enfermedades durante el embarazo en las madres de los neonatos con apéndice preauricular, sugiere la necesidad de estudiar más para profundizar en la relación de estas variables

  20. Hospitals may be bound by terms added in supplier's acceptance of an offer.

    Science.gov (United States)

    Decker, R

    1992-03-01

    A hospital materials manager reports that a supplier is attempting to hold the hospital to new terms that the supplier added in the acceptance of an offer to buy. The offer to buy was made in the hospital's purchase order. In this dialogue, Dr. Decker develops the law relating to such a transaction.

  1. Hospitality within hospital meals –

    DEFF Research Database (Denmark)

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

    2016-01-01

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

  2. Dr. Steve Thompson, Chief Executive, The Royal Society of New Zealand

    CERN Multimedia

    Maximilien Brice

    2002-01-01

    L. to r.: Dr Austin Ball, Deputy Technical Coordinator, CMS experiment; Dr Roland Horisberger, Paul Scherrer Institute and CERN, CMS experiment; Dr Steve Thompson, Chief Executive, The Royal Society of New Zealand; Dr Michel Della Negra, Spokesman, CMS experiment and Dr Alick Macpherson, Paul Scherrer Institute and CERN, CMS experiment, in the CMS Silicon Tracker assembly hall.

  3. Enrico Fermi Awards Ceremony for Dr. Mildred S. Dresselhaus and Dr. Burton Richter, May 2012 (Presentations, including remarks by Energy Secretary, Dr. Steven Chu)

    Energy Technology Data Exchange (ETDEWEB)

    Chu, Steven (U.S. Energy Secretary)

    2012-05-07

    The Fermi Award is a Presidential award and is one of the oldest and most prestigious science and technology honors bestowed by the U.S. Government. On May 7, 2012 it was conferred upon two exceptional scientists: Dr. Mildred Dresselhaus, 'for her scientific leadership, her major contributions to science and energy policy, her selfless work in science education and the advancement of diversity in the scientific workplace, and her highly original and impactful research,' and Dr. Burton Richter, 'for the breadth of his influence in the multiple disciplines of accelerator physics and particle physics, his profound scientific discoveries, his visionary leadership as SLAC Director, his leadership of science, and his notable contributions in energy and public policy.' Dr. John Holder, Director of the White House Office of Science and Technology Policy, opened the ceremony, and Dr. Bill Brinkman, Director of DOE's Office of Science introduced the main speaker, Dr. Steven Chu, U.S. Energy Secretary.

  4. War, plague and exploitation in DR Congo

    Directory of Open Access Journals (Sweden)

    Dimčevska Antoaneta K.

    2007-01-01

    Full Text Available Late in autumn 2006 one of the headlines in world media was the first democratic elections in DR Congo. They took place after 30 years of Mobutu Sese Seko’s dictatorship and bloody civil wars in the period 1996-2002. These conflicts, which took approximately 4 million human lives, are called "The First African World War". Elections were held but they did not guarantee the end of trouble for the divided and tormented people in the northeast of Congo, the real scene of bloodshed. The area is still turbulent because it abounds in mineral wealth - gold, diamonds and raw materials for nuclear technology. For a whole decade, unscrupulous actors of the African crisis were fighting there, for illegal profits (achievable in the chaos of bloodshed rather than for democracy, defense of tribal interests, security, etc. as they claimed. In the mines of Eastern Congo unprecedented exploitation of people is still going on, especially of children, victims of conflicts, who suffer in great numbers from violence, starvation and diseases. These slaves of the crisis make local "warlords" and their mentors rich. The looting of the mines has stabilized the crisis because it makes possible enormous accumulation of wealth among armed decision-makers - which also includes availability of countless slaves-miners who have lost everything except their bare lives. Eastern Congo is, however, one of world’s three old focuses of plague; wild exploitation of ores in the area of this endemic disease has activated a sleepy focus and added pneumonic plague to the burdens suffered by the population of the rich but ill-fated region. This was to be expected because endemic plague in the gold-bearing evil circumstances impedes safe mining - and this will be the crucial challenge in the future of Congo. This article is an anthropological outline of the area where gold, plague, weapons and incomparable suffering of people merge together just because of cynic greed producing abuse

  5. Análisis de la motivación del recurso humano: comparación entre los servicios de cirugía del Hospital Dr. Calderón Guardia y patología forense del Organismo de Investigacion Judicial

    Directory of Open Access Journals (Sweden)

    Ana Marilin Allen Norman

    1998-12-01

    Full Text Available Se hace una revisión de las circunstancias que motivan al personal a realizar correctamente su trabajo, las cuales son diferentes para cada persona, y varían de acuerdo a las necesidades, valores sociales, y capacidades de cada individuo. El conocimiento básico de las necesidades de cada persona ayuda a las jefaturas a motivar a los empleados que tienen a su cargo. Se realiza una comparación del personal de dos servicios de diferentes instituciones en la cual se analizan elementos satisfactores e insatisfactores del medio ambiente laboral.A check up of the situation is done, which involves the circumstances that motivate the staff to do correctly their work, which are different in each case, and may vary to the needs, social value and capability of each employee. The basic knowledge of every person's needs helps a great deal to their employers, because they can find the right ways to motivate their employees in charge. A comparisson between two different institutions is done , in which the satisfactory and insactisfactory elements are analized in their working enviroment.

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

    Directory of Open Access Journals (Sweden)

    Bernardo Dámaso-Mata

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

  7. Gambaran Pola Kuman pada Bilah Laringoskop di Ruang Operasi Rumah Sakit Dr. Hasan Sadikin Bandung

    Directory of Open Access Journals (Sweden)

    Edwin Haposan Martua

    2016-12-01

    Full Text Available The habit of cleaning laryngoscope blades can cause complications due to potential contact with patogenic microorganisms that may cause nosocomial infections. The aim this study was to determine the microbial patterns on the laryngoscope blades cleaned using the cleaning methods applied in Dr. Hasan Sadikin General Hospital (RSHS Bandung. This study was conducted using the descriptive observational method by taking samples of bacterial culture from 19 laryngoscope blades before laryngoscopy procedures and 19 cleaned laryngoscope after laryngoscopy, as well as from the 14 water sources that were used for cleaning laryngoscope blades in the operating theaters of RSHS Bandung in December 2014–January 2015. The results of this study revealed a commensal microbial pattern of Bacillus spp. on 10 of 19 laryngoscope blades before they were used in laryngoscopy precedures. It was revealed that among the laryngoscopes blade that had been cleaned after laryngoscopy in the operating room. 1 of 19 was found to have a non-Candida albicans pattern, 1 of 19 had Acinobacter baumannii and Staphylococcus haemolyticus pattern, and 1 of 19 had Klebsiella pneumoniae and Pseudomonas aeruginosa pattern. Hence, it can be concluded that pathogenic germs are found in laryngoscope bplades that have been cleaded after laryngoscopy and water that is used to clean them in Dr. Hasan Sadikin General Hospital Bandung.

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

    OpenAIRE

    Celi Carrión, Luisa Ivonne

    2016-01-01

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

  9. 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

  10. 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

  11. Pavimentos flexibles (conferencia del Dr. Dipl. Kucera

    Directory of Open Access Journals (Sweden)

    Llamazares, O.

    1969-09-01

    Full Text Available La Dirección General de Carreteras consciente de la necesidad de seguir la evolución tecnológica para información del personal facultativo de la Administración y la Contrata, convoca, con continuidad, cursos y conferencias que en los últimos diez años han permitido mantenerse al día a sus cuadros directivos para la aplicación de nuevos métodos de proyecto y procesos de construcción.

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

    Directory of Open Access Journals (Sweden)

    Juana Pacífico

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

  13. Three Typical Dermatological Cases Treated by Dr. Li Yueping

    Institute of Scientific and Technical Information of China (English)

    Xie Shaoqiong

    2005-01-01

    @@ Dr. Li Yueping has been engaged in dermatological clinic for more than 40 years, accumulating rich experience in treating dermatological diseases. The following is three typical cases she gave successful treatment.

  14. Adipose tissue resistin gene expression in DIO and DR rats

    Institute of Scientific and Technical Information of China (English)

    Yuanyuan Zhao; Yuhui Ni; Xirong Guo; Haixia Gong; Xia Chi; Ronghua Chen

    2006-01-01

    Objective: To investigate the expression of resistin gene in diet-induced obesity (DIO) and diet resistance (DR)rats. Methods: DIO and DR models were prepared with male SD rats after 6 weeks feeding by a diet of relatively high fat, sucrose, and caloric content (HE diet). Body-weight, fat mass, and the concentration of serum insulin were measured, and the expression of resistin and Peroxisome proliferator-activated receptory-γ(PPAR-γ) gene in whit adipose tissue (WAT) was also detected by RT-PCR. Results: ①Body weight, fat mass and the concentration of serum insulin were significantly increased in DIO rats and decreased in DR rats. ② The expression of resistin and PPARγ gene was upregulated in DIO group and supressed in DR group, but the expression of resistin was not detectable in all samples within three groups. Conclusion: Resistin may serve as a link between obesity and insulin resistance, but the individual difference is enormous.

  15. Grantee Spotlight: Dr. Kolawole Okuyemi - Improving Cervical Cancer Screening Attitudes

    Science.gov (United States)

    Dr. Kolawole Okuyumi is studying cervical cancer screening attitudes and behaviors of African immigrants and refugees in Minnesota, and introducing “cancer” and “cervix” to their everyday vocabulary.

  16. Dr Abraham Pais, 82, physicist and science historian dies

    CERN Multimedia

    Glanz, J

    2000-01-01

    Obituary of Dr. Pais who died of heart failure in Copenhagen. He helped build the conceptual foundations of particle physics and then became a science historian, writing a critically acclaimed biography of Einstein (1 pg).

  17. Glaucoma: Eye-to-Eye with Dr. Rachel Bishop

    Science.gov (United States)

    ... of this page please turn JavaScript on. Feature: Glaucoma Eye-to-Eye with Dr. Rachel Bishop Past ... nerves are pale and cupped—signs of advanced glaucoma. Yet the patient wasn't aware of any ...

  18. VizieR Online Data Catalog: Nearby M subdwarfs from LAMOST DR2 (Bai+, 2016)

    Science.gov (United States)

    Bai, Y.; Luo, A.-L.; Comte, G.; Zhao, J.-K.; Yang, H.-F.; Guo, Y.-X.; Wang, Y.-F.; Li, Y.-B.; Du, B.; Hou, W.; Kong, X.; Yi, Z.-P.; Song, Y.-H.; Bai, Z.-R.; Zhang, J.-N.; Wang, M.-X.; Chen, J.-J.; Chen, X.-Y.; Wu, K.-F.; Zuo, F.; Wu, Y.; Cao, Z.-H.; Hou, Y.-H.; Wang, Y.-F.; Zhang, Y.

    2016-09-01

    LAMOST (Cui et al., 2012RAA....12.1197C), a 4m-class telescope, characterized by both a large field of view (5°) and large aperture (3.6m-4.9m), is a powerful instrument dedicated to astronomical studies of large samples. The DR2 of the regular survey contains 226 985 M type spectra with a resolution of R~1800. Our sdM sample was selected from this subset, using only spectroscopic criteria. (3 data files).

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

    Directory of Open Access Journals (Sweden)

    Karla Morales-Navarro

    2011-06-01

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

  20. Hospitality Industry

    Directory of Open Access Journals (Sweden)

    Marian Ionel

    2017-03-01

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

  1. Portrait of Dr. Von Braun with Walt Disney, 1954.

    Science.gov (United States)

    1954-01-01

    Marshall Center Director Dr. Wernher Von Braun is pictured with Walt Disney during a visit to the Marshall Space Flight Center in 1954. In the 1950s, Dr. Von Braun while working in California on the Saturn project, also worked with Disney studios as a technical director in making three films about Space Exploration for television. Disney's tour of Marshall in 1965 was Von Braun's hope for a renewed public interest in the future of the Space Program at NASA.

  2. Dr. David Syz, State Secretary for Economic Affairs, Switzerland

    CERN Document Server

    Maximilien Brice

    2003-01-01

    Dr. David Syz, State Secretary for Economic Affairs, Switzerland is seen here (seventh from right) visiting the assembly hall for the ATLAS experiment during his recent visit to CERN. To his right is Dr. Peter Jenni (blue shirt), spokesperson for the ATLAS Collaboration. The horizontal metal cylinder behind the group is one of the eight vacuum vessels for the superconducting coils of the ATLAS barrel toroid magnet system.

  3. A periodontal case report by Dr. S.L. Clemens.

    Science.gov (United States)

    Maloney, W J

    2010-07-01

    Mark Twain provides a humorous and insightful look into the origins of periodontal therapy and anesthesia in "Happy Memories of the Dental Chair". The main character of this story is Dr. John Riggs, the father of periodontics. Dr. Horace Wells, a pioneer in the field of anesthesia, also appears in the story. Twain presents his autobiographical experiences with dentistry in his literary work in a form that can be seen to be similar to a case report in a professional dental journal.

  4. Den som dræber spændingen

    DEFF Research Database (Denmark)

    Agger, Gunhild

    2011-01-01

    TV 2's stort lancerede krimithriller ’Den som dræber’ er klicheernes holdeplads. Det gør det til en kedelig oplevelse at tænde for TV 2 søndag aften kl. 20. TV 2 har udfordret DR på sendetidspunktet, men har for lidt at byde på. Der er tale om ren rutine. Ingen af genrens centrale elementer glimrer...

  5. Dr. Peter Emil Becker and the Third Reich.

    Science.gov (United States)

    Hill, Frank

    2013-08-01

    In 1985 the physician after whom Becker Muscular Dystrophy is named, German neurologist Dr. Peter Emil Becker (1908-2000), published an autobiographical article in the American Journal of Medical Genetics in which he disavowed any association with the Nazi Party. A closer look at the evidence, however, suggests otherwise. Review of war records and related sources raise concern for Dr. Becker's affiliation with the Nazi Party and his contributions to its ideology.

  6. [Hospitals' evolution through the ages].

    Science.gov (United States)

    de Micheli, Alfredo

    2005-01-01

    The predecessor institutions of modern hospitals--Byzantine nosocómeion, European hospitale and Islamic maristan--were dissimilar both in their patients and their aims. The first charitable organizations in West Europe (Rome) and in the East (Cesarea in Cappadocia) were rather hospices. After the collapse of the Western Roman Empire (476 A.D.), some monastic centers were prepared to provide medical assistance to religious and secular patients. Since the XI and XII Centuries in all of Christian Europe the charitable institutions, designated as hospitale, multiplied. Among the Italian ones, the Roman Santo Spirito (Holy Ghost) Hospital, built in the 1201-1204 period, reached a preeminet position. This one soon became the most important of the entire Christendom (archihospital), with a lot of affiliated hospitals in Europe and later in America. The first American hospital, Saint Nicholas Hospital, opened on December 29, 1503 in Santo Domingo, obtained in 1541 its affiliation to the Santo Spirito archihospital. Regarding continental America, the first health centers were established in Mexico: the Immaculate Conception Hospital and the Saint Lazarus Hospital, both established by Hernán Cortés. For its part, clinical teaching was systematized at the Saint Francis Hospital in Padua and by there moved to Leyden. In Mexico, the chair of medical clinics or practical medicine was established in 1806 at the Saint Andrew Hospital. During the XX century, Dr. Ignacio Chávez was the driving force behind the creation of the modern Mexican Health Institutes. These ones are dedicated to the treatment of poor patients, as well as to medical teaching and research.

  7. Biochemical characteristic of biofilm of uropathogenic Escherichia coli Dr(+) strains.

    Science.gov (United States)

    Zalewska-Piątek, Beata; Wilkanowicz, Sabina; Bruździak, Piotr; Piątek, Rafał; Kur, Józef

    2013-07-19

    Urinary tract infections caused by Escherichia coli are very common health problem in the developed countries. The virulence of the uropathogenic E. coli Dr(+) IH11128 is determined by Dr fimbriae, which are homopolymeric structures composed of DraE subunits with the DraD protein capping the fiber. In this study, we have analyzed the structural and biochemical properties of biofilms developed by E. coli strains expressing Dr fimbriae with or without the DraD tip subunit and the surface-exposed DraD protein. We have also demonstrated that these E. coli strains form biofilms on an abiotic surface in a nutrient-dependent fashion. We present evidence that Dr fimbriae are necessary during the first stage of bacterial interaction with the abiotic surface. In addition, we reveal that the DraD alone is also sufficient for the initial surface attachment at an even higher level than Dr fimbriae and that chloramphenicol is able to reduce the normal attachment of the analyzed E. coli. The action of chloramphenicol also shows that protein synthesis is required for the early events of biofilm formation. Additionally, we have identified reduced exopolysaccharide coverage in E. coli that express only Dr fimbrial polyadhesins at the cell surface with or without the DraD capping subunit.

  8. Norovirus - hospital

    Science.gov (United States)

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

  9. Gambaran Laboratorium Leukemia Kronik di Bagian Penyakit Dalam RSUP Dr. M. Djamil Padang

    Directory of Open Access Journals (Sweden)

    Muthia Rendra

    2013-09-01

    presentasi blast pada darah tepi, tetapi selularitas tidak dapat dinilai.Kata kunci: leukemia kronik, darah tepi, BMPAbstractLeukemia is a malignant disease of blood cells derived from the bone marrow characterized by the proliferation of white blood cells, with the manifestation of the abnormal cells in the peripheral blood. In 2006, leukemia was ranked 5th of all cancer patients in Indonesia. Chronic leukemia is the most common leukemia in adult and the elderly. In general, chronic leukemia classified on chronic myelocytic leukemia (CML and chronic lymphocytic leukemia (CLL. The onset of chronic leukemia is insidious and accompanied by symptoms that are not typical, this research aims to describe the laboratory findings of chronic leukemia patients treated at Internal Medicine Department of Dr. M. Djamil Hospital Padang.This research is a retrospective descriptive research. The instruments used in this research are the secondary data derived from the Medical Record Departement Dr. M. Djamil Hospital Padang in the form of leukemia chronic patients’ data who were treated in Internal Medicine Department of Dr. M. Djamil Hospital Padang since January 1st 2010 – December 31st 2012. The results of this research showed that of 16 cases of chronic myelocytic leukemia contained 37.5% of the patients had moderate anemia, leukocytosis 100%, platelet count can be decreased, normal, and increased the percentage of each 25%, 25%, and 50%. The morphology of erythrocytes mostly normocytic anisocytosis. Half of peripheral blood examination showed an increase in the percentage of myelocyte, 31.25% showed an increase in the percentage metamyelocyte and eosinophils, as well as most of the shows presentation blast. The bone marrow are hypercellular, compressing erythropoietic, myelopoietic hyperactivity and thrombopoietic mostly normal in number. Chronic lymphocytic leukemia consisting of 1 case shows the laboratory findings are moderate anemia, leukocytosis, thrombocytopenia, the

  10. Volume celebrating the 60th birthday of Professor Dr. Franz Fie; Professor Dr. Franz Fiedler zum 60. Geburtstag

    Energy Technology Data Exchange (ETDEWEB)

    Beheng, K.D. [ed.

    1998-01-01

    This report was compiled in honor of Professor Dr. Franz Fiedler on the occasion of his 60th birthday on 7 January 1998. Its contributions deal with mesoscale modelling, the propagation of air pollutants, measurements of precipitation using radar, and prediction models. (orig./KW) [Deutsch] Dieser Bericht wurde aus Anlass des 60. Geburtstags von Herrn Prof. Dr. Franz Fiedler am 7. Januar 1998 zusammengestellt. Die Beitraege behandeln mesoskalige Modellierung, Ausbreitung von Luftschadstoffen, Niederschlagsmessung mit Radar und Vorhersagemodelle. (orig.)

  11. Remaining Sites Verification Package for 132-DR-1, 1608-DR Effluent Pumping Station, Waste Site Reclassification Form 2005-035

    Energy Technology Data Exchange (ETDEWEB)

    R. A. Carlson

    2005-09-22

    Radiological characterization, decommissioning and demolition of the 132-DR-1 site, 1608-DR Effluent Pumping Station was performed in 1987. The current site conditions achieve the remedial action objectives and the corresponding remedial action goals established in the Remaining Sites ROD. Residual concentrations support future land uses that can be represented by a rural-residential scenario and pose no threat to groundwater or the Columbia River based on RESRAD modeling.

  12. Gambaran Jumlah Eosinofil Darah Tepi Penderita Asma Bronkial di Bangsal Paru RSUP Dr. M. Djamil Padang

    Directory of Open Access Journals (Sweden)

    Demas Nico M Manurung

    2013-09-01

    , and Platelet Activating Factor that will damage airway epithelium and cause inflammation. The research was conducted in January 2012 through December 2012 at Medical Records Department of RSUP Dr. M. Djamil Padang aiming to see the overview of peripheral blood eosinophil number in patient with bronchial asthma who are hospitalized. The research conducted is using descriptive retrospective review. The study is done by looking medical record data of bronchial asthma patient hospitalized in pulmonary ward of RSUP Dr. M. Djamil Padang in the period of January 2010-December 2012. In the two year period, there are 18 patients which are used in the study. The results are 4 patients had normal peripheral blood eosinophil number (40-400/mm3(22,22%, 14 patients had low peripheral blood eosinophil number (<40/mm3(77,78%. There is no patient with eosinophilia (>400/mm3. Peripheral blood eosinophil number in bronchial asthma patient is mostly low.Keywords: Bronchial Asthma, Eosinophil

  13. 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

  14. 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...

  15. CASO DR. JOSÉ EDGAR DUQUE ECHEVERRY:

    Directory of Open Access Journals (Sweden)

    Academia Nacional de Medicina

    2016-11-01

    Full Text Available COMUNICADO Junta Directiva Academia Nacional de Medicina de Colombia. La reciente sentencia de la Sala de Casación Penal de la Corte Suprema de Justicia, en la que se condena de manera definitiva al médico patólogo José Edgar Duque Echeverry por el delito de "Lesiones personales culposas" y se confirma la sanción que incluye prisión de seis meses, privación del derecho de ejercer la profesión por el término de 24 meses y una multa equivalente al valor de 6,932 salarios mínimos mensuales legales vigentes, sentencia de la Honorable Corte Suprema de Justicia, contra la que no procede ningún recurso en el ámbito de la justicia en el país, constituye un ejemplo de la forma como se podría estar criminalizando el ejercicio de la medicina en Colombia. La medicina es arte y ciencia; como tal, durante su ejercicio se pueden presentar innumerables situaciones en las que no siempre será posible haber tenido certeza en la decisión, o en el diagnóstico, o en el tratamiento; esto es el "acto médico"; acto que al analizarse de forma retrospectiva puede dar otra interpretación o verdad generando entonces lo que se considera o define como un error en la práctica médica. Lo anterior ha existido y seguirá existiendo porque la medicina es ejercida por seres humanos y en toda acción humana existe margen o posibilidad de error; en este ejercicio tan delicado, el médico siempre utilizará todos los medios a su alcance y expondrá lo mejor de su conocimiento. Procurará por principios, por su formación profesional, por su ética y su humanismo la intención de lograr los mejores resultados en la salud de su paciente. Nunca en el acto médico habrá el dolo de realizar el mal o perjuicio hacia el paciente. El error diagnóstico, susceptible de ocurrir en el ejercicio de la medicina, no debería ser criminalizado y debería ser juzgado por los mismos profesionales médicos (pares en los tribunales de ética médica y a la luz de Lex Artis. Se

  16. [Red Cross hospital in Krapina, during the First world war from 1914 to 1918].

    Science.gov (United States)

    Fures, Rajko; Habek, Dubravko; Kozina, Drago

    2016-08-01

    Red Cross Hospital in Krapina, during the First World War, was active from 1914 to 1918. Hospital led by Dr. Mirko Crkvenac, oriented humanist. The hospital is operated thanks to the help of municipalities and citizens. The hospital staff concern is for civilian and military victims of the First World War. Dr. Crkvenac, with the support of the City of Krapina and Mayor Vilibald Sluga, he succeeds to the organization and operation of the hospital to an enviable level. Across the Austro-Hungarian Empire and Croatian, Hospitals Red Cross, had a significant role in caring for the wounded, injured and sick soldiers and civilians. Red Cross Hospital in Krapina, is an example of a well-organized hospital in the toughest conditions. Such an organization was not simple in its implementation, and left the valuable lessons and experience.

  17. Adaptación de Drácula en el cine del expresionismo alemán : Nosferatu

    OpenAIRE

    Sandín López, Rafael

    2015-01-01

    El expresionismo alemán se caracteriza por adaptar numerosas obras y cuentos folklóricos, sobre todo nacionales. Entre los cientos de películas del mismo movimiento destaca Nosferatu de F.W. Murnau. Se pretende analizar la adaptación literaria de Drácula , basada libremente en el esquema de Sánchez Noriega en su libro De la literatura al cine.

  18. Hospital Princesa Margarita

    Directory of Open Access Journals (Sweden)

    Powell y Moya, Aquitectos

    1961-04-01

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

  19. Overall properties of the Gaia DR1 reference frame

    Science.gov (United States)

    Liu, N.; Zhu, Z.; Liu, J.-C.; Ding, C.-Y.

    2017-03-01

    Aims: The first Gaia data release (Gaia DR1) provides 2191 ICRF2 sources with their positions in the auxiliary quasar solution and five astrometric parameters - positions, parallaxes, and proper motions - for stars in common between the Tycho-2 catalogue and Gaia in the joint Tycho-Gaia astrometric solution (TGAS). We aim to analyze the overall properties of Gaia DR1 reference frame. Methods: We compare quasar positions of the auxiliary quasar solution with ICRF2 sources using different samples and evaluate the influence on the Gaia DR1 reference frame owing to the Galactic aberration effect over the J2000.0-J2015.0 period. Then we estimate the global rotation between TGAS with Tycho-2 proper motion systems to investigate the property of the Gaia DR1 reference frame. Finally, the Galactic kinematics analysis using the K-M giant proper motions is performed to understand the property of Gaia DR1 reference frame. Results: The positional comparison between the auxiliary quasar solution and ICRF2 shows negligible orientation and validates the declination bias of -0.1mas in Gaia quasar positions with respect to ICRF2. Galactic aberration effect is thought to cause an offset 0.01mas of the Z axis direction of Gaia DR1 reference frame. The global rotation between TGAS and Tycho-2 proper motion systems, obtained by different samples, shows a much smaller value than the claimed value 0.24mas yr-1. For the Galactic kinematics analysis of the TGAS K-M giants, we find possible non-zero Galactic rotation components beyond the classical Oort constants: the rigid part ωYG = -0.38±0.15mas yr-1 and the differential part ω^primeYG = -0.29±0.19mas yr-1 around the YG axis of Galactic coordinates, which indicates possible residual rotation in Gaia DR1 reference frame or problems in the current Galactic kinematical model. Conclusions: The Gaia DR1 reference frame is well aligned to ICRF2, and the possible influence of the Galactic aberration effect should be taken into consideration

  20. HLA-DR-positive cells in large plaque (atrophic) parapsoriasis.

    Science.gov (United States)

    McMillan, E M; Wasik, R; Everett, M A

    1981-10-01

    The development of a monoclonal antibody directed against HLA DR (Ia-like) antigens of B cells and monocytes but not against normal peripheral human T cells suggested that this antibody might be used as a marker of B cells and monocytes in tissue sections. The T cell nature of large plaque (atrophic) parapsoriasis has recently been demonstrated by the immunoperoxidase technic. Immunoperoxidase examination of serial sections of tissues from two cases of large plaque parapsoriasis with one T cell antiserum, two monoclonal T cell antibodies, and one monoclonal reagent directed against HLA DR indicated that T cells in the cutaneous infiltrates were also HLA DR-positive. Evidence is accumulating that HLA DR positivity may be expressed by activated T cells. The findings here therefore suggest that many of the T lymphoid cells in two cases of large plaque (atrophic) parapsoriasis examined were activated in nature, and that HLA DR may not be a specific marker for B cells and monocytes in certain pathologic conditions. Caution should therefore presently be exercised in attempting to use this marker for the specific identification of B cells and monocytes in pathologic specimens, without simultaneous testing for T cell markers.

  1. Gambaran Status Gizi Pasien Tuberkulosis Anak di RSUP Dr. M. Djamil Padang

    Directory of Open Access Journals (Sweden)

    Chika Aulia Husna

    2016-01-01

    Full Text Available AbstrakPrevalensi kejadian tuberkulosis pada anak di Sumatera Barat cukup tinggi, salah satu faktor risikonya adalah status gizi. Anak dengan gizi buruk akan mengakibatkan kekurusan, lemah, dan rentan terserang infeksi tuberkulosis. Tujuan penelitian ini adalah untuk mengetahui gambaran status gizi pasien tuberkulosis anak di RSUP Dr. M. Djamil Padang.Telah dilakukan penelitian deskriptif dengan menggunakan data rekam medik pasien tuberkulosis anak yang terdaftar di RSUP Dr. M. Djamil Padang periode 1 Januari 2013 – 31 Desember 2013 dengan menggunakan metode total sampling, sehingga diperoleh 187 sampel.Hasil penelitian yang didapatkan yaitu tuberkulosis pada anak mayoritas berada di poliklinik anak 64% dengan perbandingan 1,8 : 1. Pasien tuberkulosis pada anak laki – laki dan anak perempuan berjumlah sama di instalasi rawat inap anak 50% dan tidak begitu jauh berbeda di poliklinik anak dengan jumlah pada anak perempuan sedikit lebih banyak 53%. Pasien tuberkulosis anak lebih banyak pada kelompok usia 5 -<14 tahun 44,1% di instalasi rawat inap anak dan 56,3% di poliklinik anak.  Status gizi kurang 57,4% di instalasi rawat inap anak dan 52,1% di poliklinik anak. Kasus tuberkulosis anak masih banyak ditemukan,oleh karena itu diperlukan sosialisasi dan informasi kepada masyarakat akan bahaya tuberkulosis agar dapat menghindarkan diri dari faktor risiko khususnya tentang status gizi.Kata Kunci:tuberkulosis pada anak, status gizi, umur, jenis kelamin AbstractThe prevalence of tuberculosis in children on West Sumatra are quite high, the most of the risk factors is nutritional status. Children with severe malnutrition will lead to emaciation, weak and susceptible infectious tuberculosis. The objective of this study was to identify the nutritional status on children of tuberculosis patients in Dr. M. Djamil Padang hospital. This research is descriptive study using medical records of children with tuberculosis enrolled in Dr. M. Djamil Padang

  2. Statistical Study of 2XMMi-DR3/SDSS-DR8 Cross-correlation Sample

    CERN Document Server

    Yan-Xia, Zhang; Yong-Heng, Zhao; Xue-Bing, Wu; 10.1088/0004-6256/145/2/42

    2013-01-01

    Cross-correlating the XMM-Newton 2XMMi-DR3 catalog with the Sloan Digital Sky Survey (SDSS) Data Release 8, we obtain one of the largest X-ray/optical catalogs and explore the distribution of various classes of X-ray emitters in the multidimensional photometric parameter space. Quasars and galaxies occupy different zones while stars scatter in them. However, X-ray active stars have a certain distributing rule according to spectral types. The earlier the type of stars, the stronger X-ray emitting. X-ray active stars have a similar distribution to most of stars in the g-r versus r-i diagram. Based on the identified samples with SDSS spectral classification, a random forest algorithm for automatic classification is performed. The result shows that the classification accuracy of quasars and galaxies adds up to more than 93.0% while that of X-ray emitting stars only amounts to 45.3%. In other words, it is easy to separate quasars and galaxies, but it is difficult to discriminate X-ray active stars from quasars and...

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

    OpenAIRE

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

    2009-01-01

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

  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. Guidelines for Mental Health Interventions during Disasters at the “Dr. Gustavo Aldereguía

    Directory of Open Access Journals (Sweden)

    Teresa Rodríguez Rodríguez

    2010-02-01

    Full Text Available These guidelines for mental health intervention within a hospital in cases of catastrophic situations have been prepared not only under the national standards but under the Pan-American Health Organization ones taking into account the specialists and experts’ experience on the topic and it has had the approval of the Scientific Council of the University General HospitalDr. Gustavo Aldereguía Lima” from Cienfuegos. The guidelines describe the group of procedures to develop in the different cycles of disaster reduction (planning, quip and recovery mainly those related to patients, family members and hospital staff. This written record gathers the main psychological symptoms and diseases that result from these difficult situations and the main psychological techniques for such situations.

  6. Tun Dr. Mahathir’s Leadership Communication: The Confucian Perspective

    Directory of Open Access Journals (Sweden)

    Cheah Joyce Lynn-Sze

    2017-01-01

    Full Text Available Previous studies have provided valuable insights into the impact of culture on the concept of leadership communication. However, only a few studies that focused on exploring and understanding the values of Confucianism and its impact on the Chinese culture, especially in Malaysia. Thus, this study is among the first study to examine the leadership communication from the perspective of Confucianism towards the leadership of Dr. Mahathir from the perspective of the Chinese community in Malaysia. This study aims to assess the role of Confucian values in Dr. Mahathir’s leadership communication. This study interviewed 15 Chinese leaders. The findings reveal that three main Confucian values are relevant to Dr. Mahathir’s leadership communication. The Confucian values are Zhi (wisdom, Xin (trust and Xiao (filial piety. This study provides a new perspective on leadership communication from the context of cultural diversity in Malaysia which emphasizes on Confucian values.

  7. 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...

  8. Professor Bakytzhan Abdiraiym Rector of the L. Gumilov Eurasian National University, Astana, Kazakhstan accompanied by Prof. Kairat Kuterbekov, Dr Bekzat Prmantayeva, Dr Kuralay Maksut with the Director-General, Dr Tadeusz Kurtyka, Adviser for Non-Member States, Mrs Julia Andreeva, Department of Information Technologies and Dr Nikolai Zimine, ATLAS Collaboration, Joint Institute for Nuclear Research, Dubna

    CERN Multimedia

    Maximilien Brice

    2011-01-01

    Professor Bakytzhan Abdiraiym Rector of the L. Gumilov Eurasian National University, Astana, Kazakhstan accompanied by Prof. Kairat Kuterbekov, Dr Bekzat Prmantayeva, Dr Kuralay Maksut with the Director-General, Dr Tadeusz Kurtyka, Adviser for Non-Member States, Mrs Julia Andreeva, Department of Information Technologies and Dr Nikolai Zimine, ATLAS Collaboration, Joint Institute for Nuclear Research, Dubna

  9. Dr Louis T. Wright and the NAACP: pioneers in hospital racial integration.

    Science.gov (United States)

    Reynolds, P P

    2000-06-01

    Louis Tompkins Wright, the son of a man born into slavery, was an outstanding African American surgeon who devoted his life to the racial integration of health care in the United States. Despite the fact that both his father and stepfather were physicians, despite his innate intellectual gifts and disciplined character, Wright experienced discrimination throughout his life and career. This experience led him to fight for the rights of African Americans, both health care professionals and patients. In addition to making numerous contributions in the fields of surgery and infectious disease, Wright held leadership positions in the National Association for the Advancement of Colored People for more than 20 years, leaving a legacy of equity for African Americans in medical education and in health care.

  10. The value of DR dual energy subtraction technology in the diagnosis of pneumothorax%DR 双能量减影技术在气胸诊断中的应用价值

    Institute of Scientific and Technical Information of China (English)

    梁树生; 周国永; 郑华英; 吴伟雄; 朱玉莉

    2016-01-01

    Objective To explore the value of DR dual energy subtraction technology in the diagnosis of pneumothorax. Methods 46 cases of pneumothorax examined by dual energy subtraction technology in our hospital during Mar 2015 to May 2016 were selected and got three images respectively as regular DR image, soft tissue image and bone tissue image at the same time. Compared the detection rate of pneumothorax and lung bullae which was the potential causes of pneumothorax by dual en-ergy subtraction technology and conventional DR. Results The detection rate of middle and large amount of pneumothorax by dual energy subtraction technology were the same as conventional DR. The detection rate of little amount of pneumothorax and lung bullae by dual energy subtraction technology were higher than conventional DR[90.0% vs 60.0%,81.3% vs 37.5%],the dif-ference was statistically significant (P<0.05). Conclusion The detection rates of dual energy subtraction technology in pneu-mothorax and lung bullae are higher than conventional DR, it can reduce missed diagnosis, and it is worthy of popularization and application in the clinic.%目的:探讨 DR 双能量减影技术在气胸诊断中的应用价值。方法选择我院2015年3月~2016年5月经双能量减影技术检查的气胸患者46例,所有患者一次检查同时得到3幅图像,分别为常规 DR 片、骨组织图像、软组织图像,比较双能量减影技术与常规 DR 对气胸的检出率,同时观察双能量减影技术与常规 DR 对气胸的潜在病因肺大泡的检出率。结果双能量减影技术对中、大量气胸检出率与常规 DR 相同;对少量气胸的检出率双能量减影技术高于常规 DR,检出率分别为90.0%(18/20)、60.0%(12/20);两者肺大泡检出率分别为81.3%(13/16)、37.5%(6/16),双能量减影技术肺大泡检出率高于常规 DR,差异均有统计学意义(P<0.05)。结论双能量减影技术对气胸及肺

  11. Study of photoluminescence properties of thin films DR1

    Energy Technology Data Exchange (ETDEWEB)

    Herman,, E-mail: herman@fi.itb.ac.id; Ulya, Naily, E-mail: naily.ulya@gmail.com [Physics of Magnetism and Photonics Group, Faculty of Mathematics and Natural Sciences, Institut Teknologi Bandung (Indonesia)

    2015-09-30

    Fabrication of thin films DR1 have been carried out by the EFA-PDF (Electric Field-Assisted Physical Vapor Deposition) method to obtain films with parallel dipole arrangement. Molecular deposition process is performed by applying an electric field that is placed between the substrate ITO (Indium Tin Oxide) and copper mesh. The resulting films were characterized by using a spectrofluorometer. Analysis of the emission spectrum, indicate that DR1 molecules in the film oriented perpendicular to the substrate and arranged in parallel order (H-aggregate). As an effect, the peak of the emission spectrum appears stronger along with the increase of electric field strength.

  12. Dr. Xie Haizhou's Experience in Treating Senile Dementia

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    @@ Dr. Xie Haizhou, a renowned TCM physician, comes from an aristocratic TCM family, and is now a distinguished research fellow in China Academy of Chinese Medical Sciences. Having been engaged in TCM clinical practice, scientific research and teaching for more than 60 years, Dr. Xie has obtained rich experience in the treatment of obstinate and miscellaneous diseases, especially diseases of the brain and spinal cord. The authors have been fortunate enough to study under him and benefited a lot from his experience. The following is a brief introduction to his experience in the treatment of senile dementia.

  13. ENVIRONMENTAL DEPENDENCE OF ALL FIVE BAND LUMINOSITIES FOR SDSS-III/BOSS GALAXIES IN THE SDSS DR9

    Directory of Open Access Journals (Sweden)

    Xin-Fa Deng

    2014-01-01

    Full Text Available Utilizamos la muestra CMMASS con corrimientos al rojo entre 0.44 y 0.5 9 para investigar la dependencia ambiental de las luminosidades en cinco bandas de esta mues- tra proveniente del Sloan Digital Sky Survey Versi ́on 9 (SDSS DR9. Para dismi nuir el efecto de selecci ́on radial dividimos la muestra CMASS en diferentes submuestras con corrimientos al rojo agrupados en celdas con △ z = 0 . 01 y analizamos para cada sub- muestra la dependencia ambiental de las luminosidades en cinco bandas. Encontramos que todas las luminosidades est ́an d ́ebilmente correlacionadascon el ambiente lo cal.

  14. Luaran Penutupan Duktus Arteriosus Persisten Transkateter di Rumah Sakit Dr. Hasan Sadikin Bandung

    Directory of Open Access Journals (Sweden)

    Rahmat Budi Kuswiyanto

    2016-12-01

    Full Text Available Transcatheter closure of patent ductus arteriosus (PDA is a treatment of choice with good efficacy, shorter hospitalization, less risks, and chest scar free. The objective of this study was to evaluate the immediate and mid-term outcomes of transcatheter closure of PDA. An analytic descriptive study was peformed on patients underwent transcatheter PDA occlusion in Dr. Hasan Sadikin General Hospital Bandung between May 2011 and June 2014. Evaluation was conducted through clinical examination and echocardiography 24 hours, 1, 3, 6 and 12 months after the procedure. The procedure was successful in 132 PDA patients (42 males and 90 females. The median age, body weight, systolic pulmonary artery pressure, PDA size, flow ratio, fluoroscopy time, and procedure time were 3.9 years, 11.25 kg, 56 mmHg, 3.4 mm, 2.8, 16 minutes, and 67 minutes, respectively. Immediately after the procedure, 54% patients had complete closure, 41% experienced smoky residual shunt and only 5% experienced small residual shunt. The mortality and complication rate was 3.8%. Most of the patients were discharged the next day after the procedure. All patients showed complete closure during followed-up. Transcatheter closure of PDA is safe and effective with shorter hospitalization and minimum complications. [MKB. 2016;48(4:234–40

  15. STATISTICAL STUDY OF 2XMMi-DR3/SDSS-DR8 CROSS-CORRELATION SAMPLE

    Energy Technology Data Exchange (ETDEWEB)

    Zhang Yanxia; Zhou Xinlin; Zhao Yongheng [Key Laboratory of Optical Astronomy, National Astronomical Observatories, Chinese Academy of Sciences, 20A Datun Road, Chaoyang District, 100012 Beijing (China); Wu Xuebing, E-mail: zyx@bao.ac.cn [Department of Astronomy, Peking University, 100871 Beijing (China)

    2013-02-01

    Cross-correlating the XMM-Newton 2XMMi-DR3 catalog with the Sloan Digital Sky Survey (SDSS) Data Release 8, we obtain one of the largest X-ray/optical catalogs and explore the distribution of various classes of X-ray emitters in the multidimensional photometric parameter space. Quasars and galaxies occupy different zones while stars scatter in them. However, X-ray active stars have a certain distributing rule according to spectral types. The earlier the type of stars, the stronger its X-ray emitting. X-ray active stars have a similar distribution to most stars in the g - r versus r - i diagram. Based on the identified samples with SDSS spectral classification, a random forest algorithm for automatic classification is performed. The result shows that the classification accuracy of quasars and galaxies adds up to more than 93.0% while that of X-ray emitting stars only amounts to 45.3%. In other words, it is easy to separate quasars and galaxies, but it is difficult to discriminate X-ray active stars from quasars and galaxies. If we want to improve the accuracy of automatic classification, it is necessary to increase the number of X-ray emitting stars, since the majority of X-ray emitting sources are quasars and galaxies. The results obtained here will be used for the optical spectral survey performed by the Large sky Area Multi-Object fiber Spectroscopic Telescope (LAMOST, also named the Guo Shou Jing Telescope), which is a Chinese national scientific research facility operated by the National Astronomical Observatories, Chinese Academy of Sciences.

  16. Antecedentes de las curas en ambiente húmedo (CAH: El "método español" de tratamiento de heridas de guerra y el Hospital Sueco-Noruego de Alcoy History of cures in moist enviroment (CME: The "Spanish Method" of wound war treatment and the Swedish-Norwegian hospital in Alcoy

    Directory of Open Access Journals (Sweden)

    Francisco Enrique Moltó Abad

    2013-03-01

    Full Text Available Durante la Guerra Civil española se instaló en Alcoy un hospital de sangre. Esto fue posible gracias a la solidaridad de los pueblos sueco y noruego. Los escandinavos desplazaron hasta Alcoy personal médico y de enfermería especializado, junto con todo el material necesario para instalar un hospital destinado para atender heridos de guerra. Tras su marcha, se hizo cargo de los servicios quirúrgicos del hospital el Dr. D. Manuel Bastos Ansart, cirujano, traumatólogo, ortopeda militar y toda una autoridad en el tratamiento de heridas de guerra. El Dr. Bastos junto con el Dr. D. Josep Trueta i Raspall fueron los padres del método oclusivo de curas, base y fundamento de las actuales curas en ambiente húmedo. Gracias al "método español" se consiguió evitar infinidad de amputaciones y muertes debidas a las septicemias producidas por heridas de guerra. Este sistema de curas nació como la suma de diferentes técnicas y tratamientos de diversos cirujanos que se fueron acumulando y depurando a lo largo del tiempo. El "método español" consistía en una limpieza exahustiva de la herida y posterior exéresis de todo el tejido desvitalizado, aplicando después un apósito de escayola que se debía mantener sin cambiar el máximo tiempo posible (siempre y cuando el paciente no presentara complicaciones. Acabada la Guerra Civil española, y ya durante la Segunda Guerra Mundial, fue el Dr. Trueta quien depuró, sistematizó y divulgó el método entre el bando aliado, siendo aún hoy en día el método de elección de tratamiento de las heridas y fracturas abiertas de guerra.During the Spanish Civil War, a hospital of blood is installed in Alcoy. This was posible thanks to the solidarity of Swedish and Norwegian people. Medical and specialized nursing staff were sent by the Scandinavians, with all the necesary material, to install a hospital to see war wounded. Dr. D. Manuel Bastos Ansart was the surgical chief when the scandinavians left Alcoy. He

  17. [Dr. Joseph Chazanowicz (1844-1919) and the National Library in Jerusalem].

    Science.gov (United States)

    Ohry, Avi

    2014-01-01

    Dr. Joseph Chazanowicz (1844-1919), was a Russian physician, and founder of the Jewish National Library in JerusaLem. After completing his studies at the Jewish school and at the gymnasium of Grodno, Chazanowicz went to Königsberg, Germany to study medicine and finished his studies in 1872. Returning to Russia, he began to practice at Byelostok's Jewish hospital. Chazanowicz founded the Hovevei Ziyyon ["Lovers of Zion"] society and also the Linat Ha-Zedek ("Hospice for the Poor")--caring for the poor. In 1890 he visited Palestine and conceived the idea of founding a library in Jerusalem, together with the B'nai B'rith organization. In 1896 he sent his large collection of books, amounting to nearly 10,000 volumes, to Jerusalem as the beginning of the Abarbanel library. The enlargement of this library and the collection of funds to erect a special building for it became the life-work of Chazanowicz.

  18. In Dr. Norman Bethune’s Hometown——A Visit to Canada

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    <正>At the invitation of the Federation of Canada-China Friendship Associations (FCCFA), a CPAFFC working group paid a goodwill visit to Canada from September 5 to 15, 2008. The two members of the group, who visited Canada for the first time, were deeply impressed by the country’s vast land, tranquil and clear lakes, magnificent undulating mountains and hospitable people of various ethnic groups. During the visit, the group through contacting the Canadian friendship-with-China organizations enhanced mutual understanding, visited the birthplace of Doctor Norman Bethune and the cities where he had studied and worked, and had exchanges and sought cooperation with various sides of Canada for the activities to be held in 2009 in commemoration of the 70th anniversary of the death of Dr. Bethune and the publication of Chairman Mao’s article In Memory of Norman Bethune.

  19. Dr. Haakon Sæthre: a Norwegian neuroscientist and his resistance against Nazi Germany.

    Science.gov (United States)

    Zeidman, Lawrence A

    2013-01-01

    Dr. Haakon Sæthre was a leader of Norwegian neurology and psychiatry. He was resourceful, compassionate and had immense pride in his independent homeland. He described Sæthre-Chotzen syndrome (acrocephalosyndactyly type III). When Nazi Germany occupied Norway during World War II, Sæthre fearlessly and actively resisted, from revoking his medical association membership, to hiding persecuted Jews as patients in his psychiatric ward and aiding in their escape to Sweden, to managing the largest "illegal" food warehouse in Oslo with Danish humanitarian aid. As a prominent and noticeable citizen, he was arrested and executed by the Nazis in reprisal for the resistance's assassination of a hated Norwegian Nazi. His legacy lives on in Norway, where he was honored by a scholarship fund, a portrait and multiple plaques at Ullevål Hospital, and a street and memorial statue in his hometown. He was a hero and should be remembered by all who practice neurology.

  20. Oxygen and Metastasis: A Conversation with Dr. Nick Restifo

    Science.gov (United States)

    Dr. Nick Restifo, a senior investigator in NCI’s Center for Cancer Research, discusses his recently published study finding that Oxygen, a molecule necessary for life, paradoxically aids cancer metastasis to the lung by impairing cancer-killing immune cells.

  1. Improving College Students English Learning with Dr. Eye Android Mid

    Science.gov (United States)

    Yang, Ju Yin; Che, Pei-Chun

    2015-01-01

    This paper investigates college students' English language learning through use of Dr. Eye Android handheld mobile Internet device (MID). Compared to related studies, students' English learning using MIDs has not been evaluated and fully understood in the field of higher education. Quantitatively, the researchers used TOEIC pretest and posttest to…

  2. Frau Dr Anna Weber—van Bosse, neunzig Jahre

    NARCIS (Netherlands)

    Westerdijk, Johanna

    1942-01-01

    In Eerbeek, in einem der schön gelegenen Dörfer der Provinz Gelderland, steht ein altes Schloss, von der Verkehrsstrasse weit entfernt, und am Bach entlang zu erreichen. Es ist das sogenannte ”Huis Eerbeek“, das Haus der Frau Dr. Weber, die Herrin im wahren Sinne des Wortes. Da können wir heute der

  3. Obituary Dr A. W. Kloos (1880—1952)

    NARCIS (Netherlands)

    Ooststroom, van S.J.

    1952-01-01

    At the end of the previous number of “Blumea” could just be inserted the death notice of one of the honorary collaborators of the Rijksherbarium, Dr Ir A. W. Kloos, who passed away in his home at Dordrecht on June 3rd, 1952. A more detailed obituary may follow here. Abraham Willem Kloos was born at

  4. Shepard Award Winners, Part 2: Dr. Tracie Williams

    Centers for Disease Control (CDC) Podcasts

    2009-07-29

    This podcast highlights the accomplishments of Dr. Tracie Williams, recipient of the prestigious 2009 CDC Charles C. Shepard Award.  Created: 7/29/2009 by Centers for Disease Control and Prevention (CDC).   Date Released: 7/29/2009.

  5. Shepard Award Winners, Part 1: Dr. Stephen Thacker

    Centers for Disease Control (CDC) Podcasts

    2009-07-22

    This podcast highlights the accomplishments of Dr. Stephen Thacker, recipient of the prestigious 2009 CDC Charles C. Shepard Award.  Created: 7/22/2009 by Centers for Disease Control and Prevention (CDC).   Date Released: 7/22/2009.

  6. Shepard Award Winners, Part 3: Dr. Larissa Roux

    Centers for Disease Control (CDC) Podcasts

    2009-09-22

    This podcast highlights the accomplishments of Dr. Larissa Roux, recipient of the prestigious 2009 CDC Charles C. Shepard Award.  Created: 9/22/2009 by Centers for Disease Control and Prevention (CDC).   Date Released: 9/22/2009.

  7. Dr.Xuan Guowei's Experience in Treating Dermatosis

    Institute of Scientific and Technical Information of China (English)

    刘爱民

    2004-01-01

    @@ Dr. Xuan Guowei has been engaged in medical practice, teaching and scientific research on dermatosis for nearly 40 years, and is famous for his meticulous scholarship and outstanding art of healing. The following are some examples of his unique academic ideas and creative clinical practice.

  8. Dr Jacob van der Land, marine biologist extraordinary

    NARCIS (Netherlands)

    Bruggen, van A.C.

    2001-01-01

    This contribution is an attempt to sketch the life and works of Dr Jacob van der Land, curator of worms and chief marine biologist of the National Museum of Natural History, on the occasion of his official retirement. Born in 1935, Jacob van der Land read biology at Leiden University (1958-1964), wh

  9. Another Use for Dr. Seuss: Reading for Social Skills

    Science.gov (United States)

    Wolf, Janice J.; Baker, Pamela Hudson

    2012-01-01

    Time is limited. Teachers often struggle to address the diverse needs of learners in their classrooms, especially when faced with academic and social skills concerns. Finding effective ways to teach social skills in the context of academic instruction makes sense. Books by Dr. Seuss provide a variety of high-interest stories that can be used to…

  10. Dr. Martin Luther King: A Unit for Primary Grades.

    Science.gov (United States)

    Sweet, Kelli

    1986-01-01

    Presents a unit consisting of 4 lessons which focus on Dr. Martin Luther King, Jr.'s childhood, his adult life and family, his civil rights work, and the national holiday which commemorates his birthday. Each lesson features specific objectives, learning activities, and instructional guidelines for the teacher. (TRS)

  11. Dr. Yi Juqing's Experience in Treating Female Infertility

    Institute of Scientific and Technical Information of China (English)

    Meng Jimin

    2006-01-01

    @@ With rich experience accumulated in medical practice for 40 years, Dr. Yi Juqing (易菊清), a chief physician, is good at treating various kinds of refractory diseases. The following is an introduction of his experience in treating female infertility.

  12. Dr. Long Wenjun's Experience in Auriculo-Acupuncture

    Institute of Scientific and Technical Information of China (English)

    Tian Yongping; Hou Chunying

    2007-01-01

    @@ Having been engaged in TCM practice for more than 40 years, Dr. Long Wenjun from Gansu College of Traditional Chinese Medicine is very good at treating acute infectious diseases, acute painful diseases and certain obstinate diseases with auriculo-acupuncture. Following is an introduction to his experience with some sample cases.

  13. HLA-DR expression and disease activity in ulcerative colitis

    DEFF Research Database (Denmark)

    Poulsen, L O; Elling, P; Sørensen, Flemming Brandt

    1986-01-01

    In 12 patients with active ulcerative colitis (UC) the rectal epithelial cells were analyzed for HLA-DR antigens by an immunohistochemical technique. The clinical, rectoscopic, and histologic stages were also determined. The investigations were carried out at the beginning of the study and 2 weeks...

  14. Keeping the Dream Alive. Dr. Martin Luther King, Jr.

    Science.gov (United States)

    Cassells, Linda; And Others

    1993-01-01

    Presents activities for teaching elementary students about Dr. Martin Luther King's life, the civil rights movement, and King's accomplishments. Suggestions include shoebox dioramas, acronym games, oral histories, multicultural awareness activities, pledge cards, community service projects, special commemorative ceremonies, and a book of dreams.…

  15. Dr. Edward de Bono's Six Thinking Hats and Numeracy

    Science.gov (United States)

    Paterson, Anne

    2006-01-01

    In education, the term "metacognition" describes thinking about thinking. Within mathematics, the term "metacomputation" describes thinking about computational methods and tools. This article shows how Dr. Edward de Bono's Six Thinking Hats can be used to demonstrate metacognition and metacomputation in the primary classroom. The article suggests…

  16. Celebrate the legacy of Dr. Martin Luther King Jr.

    OpenAIRE

    Lazenby, Jenna

    2006-01-01

    In celebration of the life and legacy of Dr. Martin Luther King, Jr., Virginia Tech will host a variety of educational and cultural programs and community service events Jan. 14-19, 2007. All events are free and open to the public.

  17. Dr. Martin Luther King, Jr. Washington State Resource Guide.

    Science.gov (United States)

    Washington Office of the State Superintendent of Public Instruction, Olympia, WA. Div. of Instructional Programs and Services.

    The Washington State Resource Guide on Martin Luther King, Jr., supplies a wide variety of materials for use with all grade levels in classroom and assembly presentations in public schools. The goal is for every child enrolled in Washington State schools to learn about Dr. King during the days of January 15 to January 17. Resolutions supporting an…

  18. A Dr. Martin Luther King, Jr. Curriculum: Playing the Dream.

    Science.gov (United States)

    Clemens, Sydney Gurewitz

    1988-01-01

    Discusses curriculum for young children centered around the beliefs and teachings of Dr. Martin Luther King, Jr. His works are interpreted in a human rights context in which children find their voice in the peaceable resolution of everyday conflicts. Describes the Child of the Day program. (Author/RWB)

  19. In memoriam dr. Anne van Wijngaarden (1925-2004)

    NARCIS (Netherlands)

    Broekhuizen, S.; Laar, van V.

    2005-01-01

    Op 4 oktober 2004 overleed Dr. Anne van Wijngaarden op 78-jarige leeftijd in zijn huis bij Millac- Carlux, Frankrijk. Hij was een van de Nederlandse oprichters van de Vereniging voor Zoogdierkunde en Zoogdierbescherming. Nadat zijn eindexamen op de middelbare school wilde Anne aanvankelijk geologie

  20. Dr.Zhu Hongming's Experience in Treating Chronic Gastritis

    Institute of Scientific and Technical Information of China (English)

    朱传伟

    2004-01-01

    @@ Dr. Zhu Hongming has engaged in TCM internal medicine for more than 40 years and accumulated rich clinical experience, especially in the treatment of diseases of the spleen and stomach. The following is a brief introduction to his experience in TCM differential treatment of chronic gastritis.

  1. Use of new plug-ins for image J for the quality control of CR and DR systems; Uso de nuevos complementos de image J para el control de calidad de sistemas CR y DR

    Energy Technology Data Exchange (ETDEWEB)

    Olasolo Alonso, J.; Miquelez Alonso, S.; Otal Palacin, A.; Fuentemilla Urio, N.; Martin Albina, M. L.; Pellejro Pellejero, S.; Maneru Camara, F.; Lozares Cordero, S.; Rubio Arroniz, A.; Soto Prados, P.

    2013-07-01

    Image J COQ complement has been analyzed 1 as a tool for the quality control of the output image in CR and DR systems, conventional Radiology and mammography. In terms of MTF, NNPS or DQE, its algorithm is compared with employees in the worksheets of the Radio physics service of the hospital complex of Navarre (Mathcad v11) and with employees by other previously validated Image J accessories 2 . It describes and discusses the utility of the other tools provided by the plugin. (Author)

  2. Dynamic Star Formation in the Massive DR21 Filament

    Energy Technology Data Exchange (ETDEWEB)

    Schneider, N.; /Saclay; Csengeri, T.; /Saclay; Bontemps, S.; /OASU, Floirac; Motte, F.; /Saclay; Simon, R.; /Cologne U.; Hennebelle, P.; /Paris Observ.; Federrath, C.; /ZAH, Heidelberg; Klessen, R.; /ZAH, Heidelberg /KIPAC, Menlo Park

    2010-08-25

    The formation of massive stars is a highly complex process in which it is unclear whether the star-forming gas is in global gravitational collapse or an equilibrium state supported by turbulence and/or magnetic fields. By studying one of the most massive and dense star-forming regions in the Galaxy at a distance of less than 3 kpc, i.e. the filament containing the well-known sources DR21 and DR21(OH), we attempt to obtain observational evidence to help us to discriminate between these two views. We use molecular line data from our {sup 13}CO 1 {yields} 0, CS 2 {yields} 1, and N{sub 2}H{sup +} 1 {yields} 0 survey of the Cygnus X region obtained with the FCRAO and CO, CS, HCO{sup +}, N{sub 2}H{sup +}, and H{sub 2}CO data obtained with the IRAM 30m telescope. We observe a complex velocity field and velocity dispersion in the DR21 filament in which regions of the highest column-density, i.e., dense cores, have a lower velocity dispersion than the surrounding gas and velocity gradients that are not (only) due to rotation. Infall signatures in optically thick line profiles of HCO{sup +} and {sup 12}CO are observed along and across the whole DR21 filament. By modelling the observed spectra, we obtain a typical infall speed of {approx}0.6 km s{sup -1} and mass accretion rates of the order of a few 10{sup -3} M{sub {circle_dot}} yr{sup -1} for the two main clumps constituting the filament. These massive clumps (4900 and 3300 M{sub {circle_dot}} at densities of around 10{sup 5} cm{sup -3} within 1 pc diameter) are both gravitationally contracting. The more massive of the clumps, DR21(OH), is connected to a sub-filament, apparently 'falling' onto the clump. This filament runs parallel to the magnetic field. Conclusions. All observed kinematic features in the DR21 filament (velocity field, velocity dispersion, and infall), its filamentary morphology, and the existence of (a) sub-filament(s) can be explained if the DR21 filament was formed by the convergence of flows

  3. 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

  4. 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

  5. Six new DR52-associated DRB1 alleles, three of DR8, two of DR11, and one of DR6, reflect a variety of mechanisms which generate polymorphism in the MHC.

    Science.gov (United States)

    Smith, A G; Nelson, J L; Regen, L; Guthrie, L A; Donadi, E; Mickelson, E M; Hansen, J A

    1996-08-01

    We have sequenced DNA from six new DR52-associated DRB1 alleles initially detected by PCR/SSOP analysis. Three DR8 associated alleles differed from previously known alleles by single nucleotide substitutions. DRB1*0807 and DRB1*0811 both vary from DRB1*08021 at codon 57 resulting in two different amino acids at this residue. DRB1*0807 was identified in samples of Brazilian origin while *0811 was identified among samples from the Tlingit Native American population of Southeast Alaska. DRB1*0814, identified in a family of Chinese origin, differed from DRB1*08032 at codon 12 at both the nucleotide and the amino acid level. In addition, two alleles of DR11, DRB1*1113 and *1119, were each detected in Caucasian individuals. DRB1*1113 differs from other DR11 alleles at codons 37, 67, 70 and 74, while DRB1*1119 differs from *1101 by a single nucleotide substitution at codon 67. Finally, DRB1*1418 was detected in a sample from an Asian or Pacific Islander and shares sequences with several other DR52-associated DRB1 alleles. These six DRB1 alleles appear to have been generated by either gene conversion events, DRB1*1113 and *1418, or by point mutations, DRB1*0814, *0807, *0811 and *1119, although the single nucleotide substitutions found in the latter three alleles are also present in at least one other DRB1 allele and, therefore, could have been the product of gene conversions.

  6. Immunoregulatory T cells, LFA-3 and HLA-DR in autoimmune thyroid diseases

    Directory of Open Access Journals (Sweden)

    Aml Mohamed Nada

    2014-01-01

    Full Text Available Several reports have claimed a role for T regulatory cells (Tregs in the pathogenesis of various autoimmune diseases, including autoimmune thyroid diseases (AITD. Naturally occurring CD4+ regulatory T cells, the majority of which express CD25, are engaged in dominant control of self-reactive T cells, contributing to the maintenance of immunologic self-tolerance. Their depletion or functional alteration leads to the development of autoimmune diseases. CD8+ Tcells are also claimed to have a suppressive effect on autoimmune diseases. Lymphocyte function antigen-3 and human leucocyte antigen (HLA-DR are involved in antigen presentation, initiation, and maintenance of autoimmune processes. Aim: The aim of the present study was to examine the changes in the expression of T-cell activation markers, namely CD4+ CD25+ and CD8+ in patients with AITD, namely Graves′ disease and Hashimoto′s thyroiditis as well as colloid nodular goitre. HLA-DR, LFA-3, and peripheral total lymphocytic count are also measured. Materials and Methods: We compared the expression of CD4, CD25, and CD8 surface markers in peripheral blood lymphocyte in Graves′ disease and Hashimoto′s thyroiditis as autoimmune thyroid diseases, as well as colloid goitre in comparison with healthy controls. Also, LFA-3 and HLA-DR were measured in the same groups using three-color flow cytometry. Total lymphocytic count in peripheral blood, thyroid function tests, antithyroid antibodies were also included in the laboratory investigations. The total number of participants was 65. All were recruited from endocrine clinics in a tertiary care hospital in the southern region of Saudi Arabia. All participants underwent history taking, clinical examination, laboratory workup, and radiological investigations. Neck ultrasound, technecium pertechnetateψψ thyroid uptake, and fine-needle aspiration and cytology (FNAC of the thyroid were done when indicated. The study was approved by the Hospital

  7. Social contract of academic medical centres to the community: Dr Howard Atwood Kelly (1858-1943), a historical perspective.

    Science.gov (United States)

    Allen, Paul

    2016-05-01

    Academic medical centres have traditionally been bastions of teaching and research. Outreach to the community at large and involvement in community affairs have sometimes been lacking in the overall mission and activities of academic medical centres. This paper provides an historical perspective first on the numerous achievements of a physician and surgeon and then on the topic of involvement in community affairs by reviewing the many contributions of America's pioneer gynaecological surgeon and one of the four physician founders of the Johns Hopkins Hospital and School of Medicine in 1889 - Dr Howard Atwood Kelly.

  8. Dr Percy Charles Edward d'Erf Wheeler (1859-1944): a notable medical missionary of the Holy Land.

    Science.gov (United States)

    Perry, Yaron; Lev, Efraim

    2008-05-01

    Dr Percy Charles Edward d'Erf Wheeler, a medical missionary of the London Society for Promoting Christianity Amongst the Jews, spent 24 years (1885-1909) as head of the English medical institution in Jerusalem. Wheeler dedicated the years he served in Palestine to promote the medical condition of the Jews as a means of missionary work. The most significant of his achievements was his leading role in the founding of the new British Hospital for the Jews in Jerusalem, the flagship of the British presence in Palestine, to be inaugurated in 1897.

  9. 78 FR 29781 - Before Administrative Judges: Ronald M. Spritzer, Chairman, Dr. Anthony J. Baratta, Dr. Randall J...

    Science.gov (United States)

    2013-05-21

    ... COMMISSION Atomic Safety and Licensing Board Before Administrative Judges: Ronald M. Spritzer, Chairman, Dr... submitted to: Mail: Administrative Judge Ronald M. Spritzer, Atomic Safety and Licensing Board Panel, Mail... statement should be sent to the Chairman of this Licensing Board as follows: Mail: Administrative...

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

    OpenAIRE

    2015-01-01

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

  11. Dr. Anil Kakodkar, Director, Bhabha Atomic Research Centre (BARC), Chairman-Designate of the Atomic Energy Commission Secretary, Department of Atomic Energy, India

    CERN Multimedia

    Patrice Loïez

    2000-01-01

    Photo 01: Dr. A. Kakodkar signing the Guest Book with Dr. L. Evans, LHC Project Leader and Prof. R. Cashmore, Director for Collider Programmes Photo 02: Dr. A. Kakodkar with Dr. L. Evans Photo 03: Dr. A. Kakodkar

  12. Lesão medular no Centro de Reabilitação e Readaptação Dr. Henrique Santillo (CRER- GO Lesión medular en el Centro de Rehabilitación y Readaptación Dr. Henrique Santillo (CRER-GO Spinal cord injury in Dr. Henrique Santillo Rehabilitation and Readaptation Center (CRER-GO

    Directory of Open Access Journals (Sweden)

    Natália Ribeiro de Oliveira Custódio

    2009-09-01

    . RESULTADOS: fueron evaluados 208 pacientes, con predominio de sexo masculino (78.85%, edad promedio de 35.3 años. El déficit neurológico más relevante fue paraplejia (64.90%, siendo 54.33% clasificados como ASIA A (lesión completa de acuerdo con la clasificación de la American Spinal Injury Association (ASIA. El tiempo promedio de una lesión a la admisión en el CRER fue de 129.7 días y media estancia en el hospital para la rehabilitación de estos pacientes fue de 44.9 días. La principal etiología de la lesión medular fue traumática, siendo 44.70% representados por accidente de tráfico. La complicación más común en la internación fue infección del tracto urinario. CONCLUSIÓN: los datos epidemiológicos de pacientes con lesión medular admitidos en el CRER para rehabilitación se mostraron en conformidad con aquellos ya descritos en la literatura, demostrando cada vez mayor importancia de la divulgación y realización de campañas de prevención del trauma raquimedular. También hay necesidad de remitir de forma precoz a estos pacientes al centro de rehabilitación, una vez que la gran mayoría son pacientes jóvenes, con secuelas neurológicas graves y altamente discapacitantes.OBJECTIVE: retrospective epidemiological analysis of spinal cord injury patients admitted to Centro de Reabilitação e Readaptação Dr. Henrique Santillo (CRER in Goiânia, Goiás. METHODS: retrospective epidemiological study based on the analysis of medical records data of patients who were hospitalized in the period from March 2007 to March 2009. RESULTS: 208 patients were analyzed, predominantly male (78.85% with a mean age of 35.3 years. The most neurological deficit was paraplegic (64.90%, and 54.33% of the patients were classified as ASIA A (complete lesion, according to the American Spinal Injury Association (ASIA. The average time from injury to admission was 129.7 days, and the mean time of hospitalization was 44.9 days. The main cause was traumatic spinal cord injury

  13. Clouds, Streams and Bridges. Redrawing the blueprint of the Magellanic System with Gaia DR1

    CERN Document Server

    Belokurov, Vasily; Deason, Alis J; Koposov, Sergey E; De Angeli, Francesca; Evans, Dafydd Wyn; Fraternali, Filippo; Mackey, Dougal

    2016-01-01

    We present the discovery of stellar tidal tails around the Large and the Small Magellanic Clouds in the Gaia DR1 data. In between the Clouds, their tidal arms are stretched towards each other to form an almost continuous stellar bridge. Our analysis relies on the exquisite quality of the Gaia's photometric catalogue to build detailed star-count maps of the Clouds. We demonstrate that the Gaia DR1 data can be used to detect variable stars across the whole sky, and in particular, RR Lyrae stars in and around the LMC and the SMC. Additionally, we use a combination of Gaia and Gale to follow the distribution of Young Main Sequence stars in the Magellanic System. Viewed by Gaia, the Clouds show unmistakable signs of interaction. Around the LMC, clumps of RR Lyrae are observable as far as ~20 degrees, in agreement with the most recent map of Mira-like stars reported in Deason et al (2016). The SMC's outer stellar density contours show a characteristic S-shape, symptomatic of the on-set of tidal stripping. Beyond se...

  14. HLA-DR-expressing cells and T-lymphocytes in sural nerve biopsies

    DEFF Research Database (Denmark)

    Schrøder, H D; Olsson, T; Solders, G;

    1988-01-01

    was confirmed. HLA-DR expression was found in all biopsies and thus was not restricted to any particular type of neuropathy. The HLA-DR expression appeared to correlate with severity and activity of the neuropathy. HLA-DR-expressing macrophages wrapping myelinated fibers were prominent in primary demyelinating......Thirty-five sural nerve biopsies were stained immunohistochemically for HLA-DR antigen. HLA-DR was expressed on nonmyelinating Schwann cells, macrophages, vascular endothelium, and perineurium. By means of double immunofluorescence staining the identity of the HLA-DR presenting structures...

  15. Care for patients with cerebrovascular disease in a general hospital. 2 years experience Atención a pacientes con enfermedad cerebrovascular en un hospital general. Experiencia de 2 años

    Directory of Open Access Journals (Sweden)

    Julio López Arguelles

    2010-08-01

    Full Text Available Background: The care of patients with cerebrovascular disease requires an organized system from pre-hospital care until discharge of the patient, to ensure the continuity of rehabilitation. In order to provide differentiated services to patients with this condition was created in the General Hospital Universitario "Dr. Gustavo Lima Aldereguía "a specialized room for attention to these diseases and the rehabilitation of patients. Objective: To determine the benefits obtained with differentiated services to patients with cerebrovascular disease in a general hospital. Methods: Descriptive case series that included 1038 patients admitted to the specialized chamber for cerebrovascular disease. We analyzed the following variables: stay, type of cerebrovascular disease, clinical classification, the Barthel index and discharge status. Results: 972 patients suffered from cerebrovascular disease, hospital stay was reduced by two days, the attention of specialized equipment increased from 51.75% to 79.2% patients were discharged with a mild degree of functional dependence. Conclusions: The differentiated services to cerebrovascular disease in general hospitals shows benefits for patients.Fundamento: la atención a pacientes con enfermedad cerebrovascular requiere un sistema organizado desde la atención prehospitalaria hasta el egreso del paciente, que asegure la continuidad de la rehabilitación. En aras de brindar una atención diferenciada a los pacientes con esta afección se creó en el Hospital General Universitario “Dr. Gustavo Aldereguía Lima” una sala especializada para la atención a estas enfermedades y la rehabilitación de los pacientes. Objetivo: determinar los beneficios que se obtienen con la atención diferenciada a pacientes con enfermedad cerebrovascular en un hospital general. Métodos: estudio

  16. Hubungan Karakteristik Pasien dengan Pemahaman Persetujuan Tindakan Kedokteran pada Tindakan Bedah di Rumah Sakit Umum dr Pirngadi Kota Medan tahun 2009

    OpenAIRE

    Perangin-angin, Edison

    2011-01-01

    Lack of information given by doctors to patients, both before and after surgery at dr Pirngadi General Hospital in Medan likely to result in a risk from mild to severe risk of a trigger of conflict between doctors and patients. The methode of this study was explanatory survey that aimed to analyze the characteristics of the patient's relationship with the understanding of surgical services in the implementation of inform consent to medical treatment. Population were all patients admitted ...

  17. Redox pioneer: Professor Wulf Dröge.

    Science.gov (United States)

    Kinscherf, Ralf

    2011-06-01

    Dr. Wulf Dröge is recognized here as a redox pioneer because he has published as first author an article on antioxidant/redox biology that has been cited more than 2000 times and over 10 articles that have been cited more than 100 times. One of the key discoveries (1987) was the stimulatory effect of superoxide radicals and hydrogen peroxide on lymphocyte functions, which triggered a series of studies on the role of reactive oxygen species, glutathione, and its precursor cysteine in physiological and pathological processes. He discovered abnormally low cysteine and glutathione levels in human immunodeficiency virus-infected patients and the age-related decline in the postabsorptive plasma cysteine concentration, which is believed to cause age-related oxidative stress. He developed a theoretical concept of the mechanism of aging and death, which is outlined in his books Avoiding the First Cause of Death and Challenging the Limits of the Human Lifespan.

  18. DR Experiments in the 60 years since the Bates paper

    Science.gov (United States)

    Johnsen, Rainer

    2011-07-01

    About 60 years have passed since David Bates in a 1950 Physical Review Letter to the Editor first clarified the dissociative recombination mechanism (DR) of molecular ions and provided the conceptual basis for the process that plays an important role in the ionospheres of Earth and other planets, the interstellar medium, and electrical discharges. His visionary (and characteristically "terse") thumbnail sketch of the DR mechanism only hinted at the subtleties that have kept atomic theorists and experimentalists busy for many years. In my talk, I will focus on experiments on N2+ recombination, beginning with plasma afterglows, and then move on to the "after"-afterglow period that is now dominated by the powerful storage-ring methods.

  19. Star Formation in the DR21 Region (B)

    Science.gov (United States)

    2004-01-01

    [figure removed for brevity, see original site] Annotated mosaic Hidden behind a shroud of dust in the constellation Cygnus is an exceptionally bright source of radio emission called DR21. Visible light images reveal no trace of what is happening in this region because of heavy dust obscuration. In fact, visible light is attenuated in DR21 by a factor of more than 10,000,000,000,000,000,000,000,000,000,000,000,000,000 (ten thousand trillion heptillion). New images from NASA's Spitzer Space Telescope allow us to peek behind the cosmic veil and pinpoint one of the most massive natal stars yet seen in our Milky Way galaxy. The never-before-seen star is 100,000 times as bright as the Sun. Also revealed for the first time is a powerful outflow of hot gas emanating from this star and bursting through a giant molecular cloud. The upper image is a large-scale mosaic assembled from individual photographs obtained with the InfraRed Array Camera (IRAC) aboard Spitzer. The image covers an area about two times that of a full moon. The mosaic is a composite of images obtained at mid-infrared wavelengths of 3.6 microns (blue), 4.5 microns (green), 5.8 microns (orange) and 8 microns (red). The brightest infrared cloud near the top center corresponds to DR21, which presumably contains a cluster of newly forming stars at a distance of 10,000 light-years. Protruding out from DR21 toward the bottom left of the image is a gaseous outflow (green), containing both carbon monoxide and molecular hydrogen. Data from the Spitzer spectrograph, which breaks light into its constituent individual wavelengths, indicate the presence of hot steam formed as the outflow heats the surrounding molecular gas. Outflows are physical signatures of processes that create supersonic beams, or jets, of gas. They are usually accompanied by discs of material around the new star, which likely contain the materials from which future planetary systems are formed. Additional newborn stars, depicted in green, can be

  20. Allied fractal - Signal 731-40 engines to HE. Mr. Dr-HC Jakob OETAMA''

    Science.gov (United States)

    Maksoed, Wh-

    2016-10-01

    Firstly :*) Boeing 85% probability wind 4 Pax-ISA conditions NBAA for `highly efficient AlliedSignal 731-40 engines of SpX, herewith adopts Beeckman -D to Beechjet 400A usually used by HE. Mr. Prof. Dr-Ing B.J. HABIBIE by ``per se''. For ``Fractal signals & Space-time Cartoons'' planned to be presented April 17, 2016 in SouthFoyer Room , Salt Lake City- UTAH, the US ever retrieved M. Riebe, et al.: Deterministic Quantum Teleportation with Atoms'', NPG-2004. Further, for poetic `fractal Heart' in an coincidences are ``the hardest thing in the World to understand is the income TAX'' notion from Albert Einstein to ``TinTin'' through Gilles Holst & ``dimer Holstein'' as well as took a terms of reference of Liu & Zhang: Adiabatic Limits & Foliations'' to relates infinite Hund coupling to suji leafs of dracaena angustifolia courtesies of Willybrordus Surendra Rendra. Heartfelt Gratitudes to HE. Mr. Prof. Ir. HANDOJO.

  1. COLOR-DENSITY RELATION IN THE LOW Z SAMPLE OF THE SDSS DR10

    Directory of Open Access Journals (Sweden)

    Xin-Fa Deng

    2015-01-01

    Full Text Available El objetivo de este estudio es examinar la dependencia ambiental de los colores u - r, u - g, g - r, r - i e i - z en la muestra de baja z del Sloan Digital Sky Survey Data Release 10 (SDSS DR10. Para disminuir el efecto de selección radial, divido la muestra de baja z en submuestras agrupadas en intervalos de ∆z=0.01 y analizo la dependencia ambiental de los colores para estas submuestras en cada intervalo de corrimiento al rojo. Los resultados estadísticos indican que los cinco colores de la muestra de baja z están levemente correlacionados con las propiedades ambientales locales, lo cual coincide con lo encontrado para galaxias principales a z > 0.15 y para galaxias GMASS.

  2. Dr. John H. Hopps Jr. Research Scholars Program

    Science.gov (United States)

    2014-10-20

    graduates’ majors, honors/awards and their acceptance to a doctoral program. Also, assisting with securing the keynote speaker, Dr. Jimmie Lee Davis, Jr...experiences during school semesters and in the summers, and scholastic information such as college majors, minors, graduations, degree pursuits, fellowships...climate change. The Morehouse Hopps Alumni Panel included seven graduates who are currently in various levels of graduate school. Their candid

  3. 105-DR Large Sodium Fire Facility closure activities evaluation report

    Energy Technology Data Exchange (ETDEWEB)

    Adler, J.G.

    1996-04-22

    This report evaluates the closure activities at the 105-DR Large Sodium Fire Facility. The closure activities discussed include: the closure activities for the structures, equipment, soil, and gravel scrubber; decontamination methods; materials made available for recycling or reuse; and waste management. The evaluation compares these activities to the regulatory requirements and closure plan requirements. The report concludes that the areas identified in the closure plan can be clean closed.

  4. 105-DR Large Sodium Fire Facility closure plan. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    1993-05-01

    The Hanford Site, located northwest of the city of Richland, Washington, houses reactors, chemical-separation systems, and related facilities used for the production of special nuclear materials, and activities associated with nuclear energy development. The 105-DR Large Sodium Fire Facility (LSFF), which was in operation from about 1972 to 1986, was a research laboratory that occupied the former ventilation supply room on the southwest side of the 105-DR Reactor facility. The LSFF was established to provide a means of investigating fire and safety aspects associated with large sodium or other metal alkali fires in the liquid metal fast breeder reactor (LMFBR) facilities. The 105-DR Reactor facility was designed and built in the 1950`s and is located in the 100-D Area of the Hanford Site. The building housed the 105-DR defense reactor, which was shut down in 1964. The LSFF was initially used only for engineering-scale alkali metal reaction studies. In addition, the Fusion Safety Support Studies program sponsored intermediate-size safety reaction tests in the LSFF with lithium and lithium lead compounds. The facility has also been used to store and treat alkali metal waste, therefore the LSFF is subject to the regulatory requirements for the storage and treatment of dangerous waste. Closure will be conducted pursuant to the requirements of the Washington Administrative Code (WAC) 173-303-610. This closure plan presents a description of the facility, the history of waste managed, and the procedures that will be followed to close the LSFF as an Alkali Metal Treatment Facility. No future use of the LSFF is expected.

  5. Tindakan Perawatan Dekubitus oleh Perawat di RSUD Dr. Pirngadi Medan

    OpenAIRE

    2014-01-01

    Decubitus treatment is an action in maintaining skin integrity of the patients of bed rest which consists of patients preparation, maintaining hygiene, maintaining moisture, maintaining pressure, assessment, and communication. This research uses descriptive design with the purpose to know the action of decubitus treatment by nurses in RSUD dr. Pirngadi Medan which consists of patients preparation, maintaining hygiene, maintaining moisture, maintaining pressure, assessment, and communication....

  6. DR services in Fiji: attitudes, barriers and screening practices

    Directory of Open Access Journals (Sweden)

    Bridget Kool

    2015-06-01

    Full Text Available The aim of this study was to describe the attitudes and perceptions of primary health care doctors in Fiji regarding the importance of eye care in diabetes mellitus (DM management, to explore current eye care practice, and to investigate awareness and use of relevant clinical practice guidelines. The study builds on earlier research conducted in Fiji that identified a rapid increase of late-stage DR patients presenting for treatment, at a time when surgery was the only option.

  7. Dynamic star formation in the massive DR21 filament

    CERN Document Server

    Schneider, N; Bontemps, S; Motte, F; Simon, R; Hennebelle, P; Federrath, C; Klessen, R

    2010-01-01

    The formation of massive stars is a highly complex process in which it is not clear whether the star-forming gas is in global gravitational collapse or in an equilibrium state, supported by turbulence. By studying one of the most massive and dense star-forming regions in the Galaxy at a distance of less than 3 kpc, the filament containing the well-known sources DR21 and DR21(OH), we expect to find observational signatures that allow to discriminate between the two views. We use molecular line data from our 13CO 1-0, CS 2-1, and N2H+ 1-0 survey of the Cygnus X region obtained with the FCRAO and high-angular resolution observations of CO, CS, HCO+, N2H+, and H2CO, obtained with the IRAM 30m telescope. We observe a complex velocity field and velocity dispersion in the DR21 filament in which regions of highest column-density, i.e. dense cores, have a lower velocity dispersion than the surrounding gas and velocity gradients that are not (only) due to rotation. Infall signatures in optically thick line profiles of ...

  8. Practitioner Profile: An Interview with Dr. Jerry Gale, LMFT

    Directory of Open Access Journals (Sweden)

    Jerry Gale

    2012-06-01

    Full Text Available Dr. Jerry Gale is an Associate Professor and the Clinical Director of the Marriage and Family Therapy Doctoral Program at the University of Georgia. He is a Licensed Marriage and Family Therapist and an approved supervisor of the American Association of Marriage and Family Therapists. He earned a B.A. from the University of Michigan, a MEd from the University of Arizona, and a Ph.D. from Texas Tech University. Over the course of his career, Dr. Gale has authored three books and over 60 articles and book chapters. He is a co-developer of a relational financial therapy approach that combines financial counseling with family therapy and has extensive training in clinical hypnosis, couples therapy, and family therapy, as well as mindfulness meditation. He is the recipient of the American Family Therapy Academy 2006 Outstanding Research Award. In addition to his work at the University of Georgia, Dr. Gale conducts therapy at Athens Associates for Counseling and Psychotherapy.

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

    OpenAIRE

    Toledo Mariño, Gastby

    2011-01-01

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

  10. High Blood Cholesterol Q&A Dr. Michael Lauer | NIH MedlinePlus the Magazine

    Science.gov (United States)

    ... high cholesterol research. Dr. Michael Lauer and his wife, Dr. Robin Avery, agree on the health benefits ... trial of the drug methotrexate in high-risk patients with vascular disease. We have come to appreciate ...

  11. Enigmas from the Sloan Digital Sky Survey DR7 Kleinman White Dwarf Catalog

    CERN Document Server

    Liebert, James; Wickramasinghe, Dayal; Smith, Paul

    2015-01-01

    We report results from a continuation of our searches for high field magnetic white dwarfs paired in a detached binary with non degenerate companions. We made use of the Sloan Digital Sky Survey DR7 catalog of Kleinman et al. (2013) with 19,712 spectroscopically-identified white dwarfs. These include 1,735 white dwarf plus M dwarf detached pairs (almost 10\\% of the Kleinman at al.'s list). No new pairs were found, although we did recover the polar (AM~Herculis system) ST\\,LMi in a low state of accretion. With the larger sample the original situation reported ten years ago remains intact now at a much higher level of statistical significance: in the selected SDSS sample, high field magnetic white dwarfs are not found in an apparently-detached pairing with an M dwarf, unless they are a magnetic CV in a low state of accretion. This finding strengthens the case that the fields in the isolated high field magnetic white dwarfs are generated by stellar mergers but also raises questions on the nature of the progenito...

  12. Screening for Depression In Hospitalized Pediatric Patients

    Directory of Open Access Journals (Sweden)

    Mohammad-Reza ESMAEELI

    2013-12-01

    Full Text Available Abstract How to Cite This Article: Esmaeeli M, Erfani Sayar R, Saghebi A, Elmi Saghi, Rahmani Sh, Elmi S, Rabbani Javadi A. Screening for Depression in Hospitalized Pediatric Patients. Iran J Child Neurol. 2014 Winter; 8(1:47-51. Objective In chronically ill children who are hospitalized, many mood changes occur. For example, in children with cancer or renal failure, prolonged hospitalization and chemotherapy can lead to depression. With the improved survival of childhood malignancies, the effect of treatment on child’s psychosocial well-being becomes increasingly relevant. In this study, we examined the prevalence of depression in hospitalized children with chronic and acute conditions in Dr Sheikh Pediatrics Hospital in Mashhad. Materials & Methods After receiving the approval from the Ethics Committee of Mashhad University of Medical Sciences, we did this cross-sectional descriptive study, from April to June 2012 in Dr Sheikh Pediatric Hospital in Mashhad. Ninety children, aged between 8 to 16 years, were screened for depression. The sampling method was census. Children with a history of depressive or other mental disorders were excluded. Three groups of children (children with chronic renal disease, malignancy, and acute disease were evaluated for depression using standard Children Depression Inventory Questionnaire (CDI. Two specifically trained nurses with the supervision of a psychiatrist filled out the questionnaires at patients’ bedside. Depression scores were then analyzed by SPSS software. Results Of 90 children, 43(47.7% were male and 47(52.2% were female. The Children’s mean age was 11±2.3 years, and the mean length of hospitalization was 8±5.3 days. Depression was detected in various degrees in 63% of patients (N=57, and 36.6% of children (N=32 had no symptoms of depression. Severe depression was not seen in any of the patients with acute illness. More than half of patients with cancer and chronic kidney disease had

  13. Curriculum Vitae of Prof. Dr. Gürer GÜLSEVİN and Prof. Dr. Ayşe İLKER’s Impressions About Him Prof. Dr. Gürer GÜLSEVİN’in Özgeçmişi ve Prof. Dr. Ayşe İLKER’in Onun Hakkındaki İzlenimleri

    Directory of Open Access Journals (Sweden)

    Özgür AY

    2011-01-01

    Full Text Available Curriculum Vitae of Prof. Dr. Gürer GÜLSEVİN and Prof. Dr. Ayşe İLKER’s Impressions About Him Prof. Dr. Gürer GÜLSEVİN’in Özgeçmişi ve Prof. Dr. Ayşe İLKER’in Onun Hakkındaki İzlenimleri

  14. Gambaran Pasien Tuli Mendadak di Bagian THT-KL RSUP Dr. M. Djamil Padang

    Directory of Open Access Journals (Sweden)

    Hedo Hidayat

    2016-08-01

    Full Text Available AbstrakTuli mendadak adalah penurunan pendengaran sensorineural yang berlangsung dalam waktu kurang dari 72 jam. Penyakit ini merupakan salah satu kegawatdaruratan neurotologi dan memerlukan penatalaksanaan dini untuk menghindari kecacatan yang dapat ditimbulkan. Tujuan penelitian ini adalah melihat gambaran kejadian tuli mendadak di Bagian THT-KL RSUP Dr. M.Djamil. Ini merupakan penelititan deskriptif retrospektif dengan menggunakan data rekam medik di RSUP Dr. M. Djamil Padang selama tahun 2010 sampai tahun 2013. Didapatkan hasil sebanyak 26 kasus yang masuk kriteria inklusi pada periode tersebut. Sebaran umur penderita dari 8 sampai 79 tahun, dengan distribusi terbanyak pada usia 40 – 60 tahun. Faktor resiko yang ditemukan berupa hipertensi dan diabetes melitus sama besar yaitu 11,54%. Gejala klinis terdiri atas tinitus (76,92%, diikuti vertigo (38,46%, dan rasa penuh di telinga (15,38%. Pasien terbanyak pada derajat ketulian sangat berat (38,46%, kemudian derajat sedang berat dan berat (23,08%, diikuti derajat ringan (11,54% dan sedang (3,85%. Distribusi onset terapi terbanyak pada 0 – 7 hari (50,00%, kemudian onset > 14 hari (30,77% dan onset 8 – 14 hari (19,23%. Perbaikan pendengaran ditemukan sama banyak pada kategori sangat baik dan baik sebanyak 6 kasus dan diikuti kategori sembuh satu kasus. Dari penelitian ini dapat dikatakan tidak hanya satu faktor yang menentukan perbaikan tuli mendadak.Kata kunci: tuli mendadak, retrospektif, gejala klinis1Mahasiswa FK Unand, 2Bagian Pulmonologi FK Unand, 3Bagian Patologi Anatomi FK UnandAbstractSudden deafness is a sensorineural hearing loss  in less than 72 hours. Sudden deafness is a neurotological emergency and requiring an early management to avoid the defects that can be caused. The objective of  this study was to see cases of sudden deafness in Dr. M. Djamil General Hospital. This was a descriptive research with retrospective design using medical record data in Dr. M. Djamil General

  15. Diffusely adherent Escherichia coli strains expressing Afa/Dr adhesins (Afa/Dr DAEC): hitherto unrecognized pathogens.

    Science.gov (United States)

    Le Bouguénec, Chantal; Servin, Alain L

    2006-03-01

    Diffusely adherent Escherichia coli (DAEC) strains are currently considered to constitute a putative sixth group of diarrheagenic E. coli. However, on the basis of their diffuse adherence to HEp-2 and HeLa cells, the detection of afa/dra/daa-related operons encoding this adherence phenotype, and the mobilization of decay-accelerating factor, both commensal and pathogenic strains can be classified as Afa/Dr DAEC isolates. Furthermore, strains associated with diarrheal diseases and strains causing extra-intestinal infections can also be identified as Afa/Dr DAEC strains. Although several cell signaling events that occur after epithelial cells have been infected by Afa/Dr DAEC have been reported, the pathophysiological processes that allow intestinal and extra-intestinal infections to develop are not fully understood. This review focuses on the genetic organization of the afa/dra/daa-related operons and on the virulence factors that trigger cellular responses, some of which are deleterious for the host cells. Finally, this review suggests future lines of research that could help to elucidate these questions.

  16. Enhancing Price Response Programs through Auto-DR: California's 2007 Implementation Experience

    Energy Technology Data Exchange (ETDEWEB)

    Kiliccote, Sila; Wikler, Greg; Chiu, Albert; Piette, Mary Ann; Kiliccote, Sila; Hennage, Dan; Thomas, Chuck

    2007-12-18

    This paper describes automated demand response (Auto-DR) activities, an innovative effort in California to ensure that DR programs produce effective and sustainable impacts. Through the application of automation and communication technologies coupled with well-designed incentives and DR programs such as Critical Peak Pricing (CPP) and Demand Bidding (DBP), Auto-DR is opening up the opportunity for many different types of buildings to effectively participate in DR programs. We present the results of Auto-DR implementation efforts by the three California investor-owned utilities for the Summer of 2007. The presentation emphasizes Pacific Gas and Electric Company's (PG&E) Auto-DR efforts, which represents the largest in the state. PG&E's goal was to recruit, install, test and operate 15 megawatts of Auto-DR system capability. We describe the unique delivery approaches, including optimizing the utility incentive structures designed to foster an Auto-DR service provider community. We also show how PG&E's Critical Peak Pricing (CPP) and Demand Bidding (DBP) options were called and executed under the automation platform. Finally, we show the results of the Auto-DR systems installed and operational during 2007, which surpassed PG&E's Auto-DR goals. Auto-DR is being implemented by a multi-disciplinary team including the California Investor Owned Utilities (IOUs), energy consultants, energy management control system vendors, the Lawrence Berkeley National Laboratory (LBNL), and the California Energy Commission (CEC).

  17. Prospective HLA-DR matching in cadaveric renal transplants: a single center study.

    Science.gov (United States)

    Mendez, R; Iwaki, Y; Mendez, R; Bogaard, T; Self, B

    1983-03-01

    We reviewed 77 potential cadaveric allograft recipients who had undergone prospective HLA-A and B locus and HLA-DR antigen identification. Matching was accomplished, giving first priority to HLA-DR compatibility and relying on HLA-A and B antigen matching only in situations of total HLA-DR incompatibility. Complete HLA-DR identification occurred in 56 per cent of all patients. There were 15 patients (19.5 per cent) who received a 2/2 HLA-DR perfect match, with 86.7 plus or minus 8.8 per cent 1-year actuarial graft survival, and 41 (53 per cent) who received a 1/2 HLA-DR match, with 58.2 plus or minus 7.8 per cent 1-year actual allograft survival. Finally, 21 patients (27 per cent) received a 0/2 HLA-DR match, with 64.9 plus or minus 10.7 per cent actual survival. These results and their mirrored mismatching results showed statistically significant allograft success in only the HLA-DR 2/2 matches. Matching for HLA 2 DR donors proved a statistically significant success over the other HLA-DR allograft matches and the older controversial matching system based on HLA-A and B locus antigens. The restricted gene polymorphism of the HLA-DR systems allows for a relatively high percentage of perfect HLA-DR matches.

  18. Dr. Wernher Von Braun greeting dignitaries at the Redstone Arsenal airfield.

    Science.gov (United States)

    1999-01-01

    Dr. George E. Mueller, center, associate administrator for manned space flight, is flanked by Dr. Wernher Von Braun, left, and Dr. Eberhard Rees at the Redstone Arsenal airstrip. the associate adminstrator was making his annual staff visit to the Marshall Space Flight Center.

  19. Human immune responsiveness to Lolium perenne pollen allergen Lol p III (rye III) is associated with HLA-DR3 and DR5.

    Science.gov (United States)

    Ansari, A A; Freidhoff, L R; Meyers, D A; Bias, W B; Marsh, D G

    1989-05-01

    A well-characterized allergen of Lolium perenne (perennial rye grass) pollen, Lol p III, has been used as a model antigen to study the genetic control of the human immune response. Associations between HLA type and IgE or IgG antibody (Ab) responsiveness to Lol p III were studied in two groups of skin-test-positive Caucasoid adults (N = 135 and 67). We found by nonparametric and parametric analyses that immune responsiveness to Lol p III was significantly associated with HLA-DR3 and DR5. No association was found between any DQ type and immune responsiveness to Lol p III. Geometric mean IgE or IgG Ab levels to Lol p III were not different between B8+, DR3+ subjects and B8-, DR3+ subjects, showing that HLA-B8 had no influence on the association. Lol p III IgG Ab data obtained on subjects after grass antigen immunotherapy showed that 100% of DR3 subjects and 100% of DR5 subjects were Ab+. A comparison of all the available protein sequences of DRB gene products showed that the first hypervariable region of DR3 and DR5 (and DRw6), and no other region, contains the sequence Glu9-Tyr-Ser-Thr-Ser13. Our observations are consistent with the possibility that immune responsiveness to the allergen Lol p III is associated with this amino acid sequence in the first hypervariable region of the DR beta 1 polypeptide chain.

  20. VizieR Online Data Catalog: SDSS-DR7 QSOs with X-ray and UV luminosities (Lusso+, 2016)

    Science.gov (United States)

    Lusso, E.; Risaliti, G.

    2016-05-01

    Our sample starts with the catalog of quasar properties presented by Shen et al. (2011, J/ApJS/194/45), which contains 105783 spectroscopically confirmed broad-lined quasars. The SDSS quasar sample is cross-matched with the source catalog 3XMM-DR5 (Rosen et al. 2016A&A...590A...1R, see IX/46). 3XMM-DR5 is the third generation catalog of serendipitous X-ray sources available online and contains 396910 unique X-ray sources made public on or before 2013 December 31. The net sky area covered (taking into account overlaps between observations) is ~877deg2, for a net exposure time >=1ks. For the matching we have adopted a maximum separation of 3 arcsec. This yields 4069 XMM observations; see section 2 for further explanations. We extracted simultaneous data from the latest release of XMM-Newton Optical Monitor Serendipitous UV Source Survey catalog (Page et al. 2012MNRAS.426..903P, XMMSUSS2.1) available online. XMMSUSS2.1 includes all data to the end of 2013 and contains 7170 observations for a total number of entries of 6246432 (4329363 unique sources) detected in one to six broad-band UV and optical filters in the Optical Monitor (XMM-OM) on board the XMM-Newton observatory. (2 data files).

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

    OpenAIRE

    Figueroa Jaramillo, Mariana de Jes?s

    2015-01-01

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

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

    OpenAIRE

    Mochas Torres, Luis Geovanny

    2015-01-01

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

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

    OpenAIRE

    2014-01-01

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

  4. Discourse Analysis of Dr. Mahathir’s Business Speech

    Directory of Open Access Journals (Sweden)

    Aliakbar Imani

    2015-10-01

    Full Text Available Discourse analysis is one of the methods of identifying ideologies reflected in text as well as the communication strategies used to convey those ideologies effectively to the addressed audience. Political business speeches defined as ‘a relatively autonomous discourse produced orally by a politician in front of an audience with the main purpose of persuading the audience into accepting a business proposition’ can be a good source to understand (a the dominant business ideologies in a country, and (b the reasons of success or failure of a political leader in conveying his/her business ideologies and/or justifying his/her business proposition. Hence, this article was aimed to identify Dr. Mahathir’s ideologies on Asia-Europe business relationships as well as the communication strategies he used to convey his ideologies to the audience. Analyzing one of Dr. Mahathir’s speeches delivered at an international business summit in the year 2000 revealed some of his ideologies with regard to Euro-Asia business relationships as well as the communication strategies he used to convey these ideologies to the audience. In this speech, Dr. Mahathir strongly believes in ‘equal power in Euro-Asia relationships’ as well as ‘unity and solidarity among Asian countries’ as the two main ideologies in this speech; and he tries to convey these ideologies by ‘referring to the bitter history of Euro-Asia relationships’ as well as ‘using pronouns’ as the two salient strategies used in this speech.

  5. Perubahan asupan zat gizi tidak berpengaruh terhadap lama rawat inap pada pasien dewasa di RSUP Dr. Sardjito Yogyakarta

    Directory of Open Access Journals (Sweden)

    Nurmala Nurmala

    2016-08-01

    Full Text Available ABSTRACTBackground: Adequate nutrient intake for in patients is much required in efforts to prevent declining nutrition status during hospitalization. Malnutrition may occur before hospitalization due to the disease or inadequate nutrient intake; however malnutrition may also occur during hospitalization. The result of a preliminary study shows that 75% of patients undergo declining nutrition status during hospitalization. Nutrition is an integral part of medication or recovery process and shortens length of stay.Objectives: To identify effect of changes in nutrient intake to nutrition status and length of stay of adult in patients.Methods: The study was observational with prospective cohort approach using subject that got inadequate intake (<80% in the beginning of hospitalization as exposed group and those that got adequate intake (≥80% in the beginning of hospitalization as non exposed group. Assessment of inpatients was made after three days in hospital and then comparison was made to average intake prior to discharge.Results: Changes in intake and nutritional status did not significantly (p>0.05 affect length of stay of adult inpatients at internal medicine and neurology wards of Dr.Sardjito Hospital Yogyakarta. Nutrition therapy significantly (p=0.04 affected change in nutritional status of in patients with RR=2.24.Conclusions: Changes in intake and nutritional status did not affect length of stay. Nutrition therapy affected as much as 2.24 times to changes in nutritional status of adult inpatients at internal medicine and neurology wards of Dr. Sardjito Hospital Yogyakarta.KEYWORDS: length of stay, nutritional status, nutrient intake, nutrition therapyABSTRAKLatar belakang: Asupan zat gizi yang cukup bagi pasien sangat diperlukan untuk mencegah penurunan status gizi selama dirawat di rumah sakit. Malnutrisi juga dapat terjadi sejak sebelum masuk rumah sakit karena penyakit yang diderita maupun asupan zat gizi yang tidak adekuat, namun

  6. Hospital Presbiteriano Valley

    Directory of Open Access Journals (Sweden)

    Luckman, Charles

    1964-12-01

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

  7. Državni notranji revizorji in varnost informacijskih sistemov

    OpenAIRE

    Berkopec, Janez

    2015-01-01

    Na področju informacijske tehnologije je edina stalnica to, da se vse stalno spreminja. Ni več organizacije, posebej pa ne v okviru državne uprave, ki ne uporablja informacijske tehnologije pri svojem poslovanju. Ker se stalno posodabljajo stari informacijski sistemi oziroma uvajajo novi, je treba posvetiti posebno pozornost delovanju notranjih kontrol na tem področju, saj le vzpostavljene in pravilno delujoče notranje kontrole na vseh področjih zagotavljajo, da so podatki pravilni in zaneslj...

  8. Prof dr J H Koekemoer as kerkman en akademikus

    Directory of Open Access Journals (Sweden)

    P. J. van der Merwe

    2000-01-01

    Full Text Available Prof Dr J H Koekemoer in service of church and university. Prof Johannes Hendrik Koekemoer's career as minister of the Nederduitsch Hervormde Kerk started in 1960. In 1989 he became a full member and in 1992 Dean of the Faculty of Theology (Section A, Universiteit of Pretoria. This second part of his career ended on 31 December 1999 when he retired. He played a major role in the restructuring and amalgamation of the Faculty of Theology. The article reviews his work and contribution in both fields of church and university.

  9. Mediastinal pathology and the contributions of Dr. Juan Rosai.

    Science.gov (United States)

    Wick, Mark R

    2016-09-01

    Dr. Juan Rosai is one of the most prolific contributors to the literature on mediastinal pathology, and he has added steadily to that body of work over a 50-year period. Rosai has written several landmark articles in this topical area, including articles on thymic epithelial lesions, mediastinal neuroendocrine tumors, mediastinal lymphoma and other hematopoietic lesions, thymolipoma, thymoliposarcoma, mediastinal solitary fibrous tumor, intrathymic langerhans-cell histiocytosis, mediastinal germ cell neoplasms, and multilocular thymic cyst. This review recounts his role as one of the principal figures in the surgical pathology of mediastinal diseases.

  10. The UV-bright Quasar Survey (UVQS): DR1

    CERN Document Server

    Monroe, TalaWanda R; Tejos, N; Worseck, G; Hennawi, Joseph F; Schmidt, Tobias; Tumlinson, Jason; Shen, Yue

    2016-01-01

    We present the first data release (DR1) from our UV-bright Quasar Survey (UVQS) for new $z \\sim 1$ active galactic nuclei (AGN) across the sky. Using simple GALEX UV and WISE near-IR color selection criteria, we generated a list of 1450 primary candidates with $FUV 0.5$. Including a small set of observed secondary candidates, we report the discovery of 217 AGN with $FUV < 18$ mag that had no previously reported spectroscopic redshift. These are excellent potential targets for UV spectroscopy before the end of the {\\it Hubble Space Telescope} mission. The main data products are publicly released through the Mikulski Archive for Space Telescopes.

  11. Progress in inflammatory neuropathy -the legacy of Dr Jack Griffin.

    Science.gov (United States)

    Feldman, Eva L; Hughes, Richard A C; Willison, Hugh J

    2015-11-01

    The past quarter of a century has brought incredible advances in our understanding of inflammatory neuropathies, and the insights into Guillain-Barré syndrome (GBS) began in the 1990s with the seminal work of Dr Jack Griffin and his colleagues. In this essay, we provide a tribute to Jack, and review the recent progress in a field that he termed his personal favourite. In particular, we discuss the new developments in our understanding and diagnosis of inflammatory neuropathies, the recent emergence of the node of Ranvier and the paranode as sites of intensive investigation, and the mechanistic evidence that is providing a platform for therapeutic development studies.

  12. Dr. von Braun on the Mobility Test Article (MTA)

    Science.gov (United States)

    1966-01-01

    In this June 1966 photograph, Marshall Space Flight Center Director Dr. Wernher von Braun test-drives the Mobility Test Article (MTA), a developmental vehicle built by the Bendix Corporation to test lunar mobility vehicle concepts. The data provided by the MTA helped in designing the Lunar Roving Vehicle (LRV), developed under the direction of the MSFC. The LRV was designed to allow Apollo astronauts a greater range of mobility during lunar exploration missions. The LRVs were deployed during the last three Apollo missions; Apollo 15, Apollo 16, and Apollo 17.

  13. A "new" primed lymphocyte typing (PLT) defined DP-antigen associated with a private HLA--DR antigen

    DEFF Research Database (Denmark)

    Morling, N; Jakobsen, B K; Platz, P

    1980-01-01

    We have recently described a "new" private HLA-DR antigen, DR"LTM", which has a frequency of approximately 0.6% in Danes. Primed Lymphocyte Typing (PLT) cells directed towards DR"LTM"-associated determinants were generated in vitro by haplotype primings in two unrelated families with DR"LTM" posi......We have recently described a "new" private HLA-DR antigen, DR"LTM", which has a frequency of approximately 0.6% in Danes. Primed Lymphocyte Typing (PLT) cells directed towards DR"LTM"-associated determinants were generated in vitro by haplotype primings in two unrelated families with DR...

  14. St. James Hospital. Lutcher, Louisiana

    Directory of Open Access Journals (Sweden)

    Curtis & Davis, Arquitectos

    1958-05-01

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

  15. DR Resources for Energy and Ancillary Services in the West (Presentation)

    Energy Technology Data Exchange (ETDEWEB)

    Hummon, M.; Kiliccote, S.

    2014-04-01

    Demand response (DR) resources present a potentially important source of grid flexibility however, DR in grid models is limited by data availability and modeling complexity. This presentation focuses on the co-optimization of DR resources to provide energy and ancillary services in a production cost model of the Colorado "test system". We assume each DR resource can provide energy services by either shedding load or shifting its use between different times, as well as operating reserves: frequency regulation, contingency reserve, and flexibility (or ramping) reserve. There are significant variations in the availabilities of different types of DR resources, which affect both the operational savings as well as the revenue for each DR resource. The results presented include the system-wide avoided fuel and generator start-up costs as well as the composite revenue for each DR resource by energy and operating reserves.

  16. Dr. Mostafa Moin, Minister of Science, Research and Technology, Islamic Republic of Iran

    CERN Multimedia

    Patrice Loïez

    2001-01-01

    L. to. r.:Dr Henrik Foeth, Team Leader, CMS experiment; Dr Daniel Denegri, Physics Coordinator, CMS experiment; Prof. Tejinder Virdee, Deputy Spokesman, CMS experiment; Prof. Luciano Maiani, CERN Director-General (signing); Mr Jean-Marie Dufour, Head of the Legal Service, Mr Ghodratollah Habibpour Gharakol (back); Dr Abdolali Sharghi, Advisor to the Minister and Director General, Office of International Scientific Cooperation, Ministry of Science, Research and Technology; Dr Mostafa Moin, Minister of Science, Research and Technology, Islamic Republic of Iran (signing); Dr Reza Mansouri, Director, International Scientific Meetings Office, Ministry of Science, Research and Technology; H. E. Dr Ali Khorram, Extraordinary and plenipotentiary Ambassador to the United Nations in Geneva and Dr Hans F. Hoffmann, CERN Director for Technology Transfer & for Scientific Computing. _

  17. VizieR Online Data Catalog: Final Kepler transiting planet search (DR25) (Twicken+, 2016)

    Science.gov (United States)

    Twicken, J. D.; Jenkins, J. M.; Seader, S. E.; Tenenbaum, P.; Smith, J. C.; Brownston, L. S.; Burke, C. J.; Catanzarite, J. H.; Clarke, B. D.; Cote, M. T.; Girouard, F. R.; Klaus, T. C.; Li, J.; McCauliff, S. D.; Morris, R. L.; Wohler, B.; Campbell, J. R.; Uddin, A. K.; Zamudio, K. A.; Sabale, A.; Bryson, S. T.; Caldwell, D. A.; Christiansen, J. L.; Coughlin, J. L.; Haas, M. R.; Henze, C. E.; Sanderfer, D. T.; Thompson, S. E.

    2017-01-01

    The Kepler spacecraft is in an Earth-trailing heliocentric orbit and maintained a boresight pointing centered on α=19h22m40s, δ=+44.5° during the primary mission. The Kepler photometer acquired data on a 115-square-degree region of the sky. The data were acquired on 29.4-minute intervals, colloquially known as "long cadences". Long-cadence pixel values were obtained by accumulating 270 consecutive 6.02s exposures. Science acquisition of Q1 data began at 2009-05-13 00:01:07Z, and acquisition of Q17 data concluded at 2013-05-11 12:16:22Z. This time period contains 71427 long-cadence intervals. A total of 198709 targets observed by Kepler were searched for evidence of transiting planets in the final Q1-Q17 pipeline run (see Table1). The results of past Kepler Mission transiting planet searches have been presented in Tenenbaum et al. 2012 (Cat. J/ApJS/199/24) for Quarter 1 through Quarter 3 (i.e., Q1-Q3), Tenenbaum et al. 2013ApJS..206....5T for Q1-Q12, Tenenbaum et al. 2014ApJS..211....6T for Q1-Q16, and Seader et al. 2015 (Cat. J/ApJS/217/18) for Q1-Q17. We now present results of the final Kepler transiting planet search encompassing the complete 17-quarter primary mission. The data release for the final Q1-Q17 pipeline processing is referred to as Data Release 25 (DR25). (3 data files).

  18. Clinical and molecular studies in full trisomy 22: Further delineation of the phenotype and review of the literature. Reply to Dr. Robinson and Dr. Kalousek

    Energy Technology Data Exchange (ETDEWEB)

    Bacino, C.A.; Graham, J.M. Jr. [UCLA School of Medicine, Los Angeles, CA (United States)

    1996-03-01

    This {open_quotes}Letter to the Editor{close_quotes} responds to the comments by Dr. Robinson and Dr. Kalousek regarding the implications of meiotic versus somatic chromosomal aberrations. The survival time of the patient may depend on the detection of mosicism; the discussion of the existence of full trisomy 22 remains controversial. 2 refs.

  19. Gambaran Kejadian Persalinan Disfungsional pada Pasien Anemia dalam Kehamilan di RSUP Dr. M. Djamil Periode 2010–2012

    Directory of Open Access Journals (Sweden)

    Mega Redha Putri

    2015-05-01

    the incidence of dysfunctional labor in patients with anemia on pregnancy based on the degree of anemia in Dr. M. Djamil Hospital Padang. This research was a descriptive study using retrospective data from medical record of Dr M. Djamil Hospital Padang on period 2010-2012. The samples used were 61 samples. The results showed the distribution of the high incidence of dysfunctional labor is mild anemia as many as 4 people (8.7%, on moderate anemia is 1 person (8.3% and there is none on the severe degree (0%. The study shows that the degree of anemia in preganacy doesn’t affect the incidence of dysfunctional labor.Keywords: anemia in pregnancy, dysfunctional labor, dystocia, pregnant woman

  20. Insidens Riwayat Hipertensi dan Diabetes Melitus pada Pasien Penyakit Jantung Koroner di RS. Dr. M. Djamil Padang

    Directory of Open Access Journals (Sweden)

    Putri Yuriandini Yulsam

    2015-05-01

    Full Text Available AbstrakPenyakit jantung koroner (PJK merupakan salah satu penyakit non-infeksi yang menjadi sorotan dunia. Hal ini terkait dengan adanya perubahan gaya hidup seiring dengan perkembangan zaman. WHO pada tahun 2008 memperkirakan 17,3 juta jiwa meninggal akibat penyakit kardiovaskular, 7,3 juta jiwa diakibatkan oleh PJK dan 6,2 juta akibat strok. Tujuan penelitian ini adalah untuk mengetahui gambaran insidens riwayat hipertensi dan diabetes melitus pada pasien PJK di RS. Dr. M. Djamil Padang. Ini merupakan penelitian deskriptif dengan rancangan potong lintang yang dilakukan di Bagian Rekam Medik RS. Dr. M. Djamil Padang yang berlangsung dari Februari 2012 sampai Maret 2013. Populasi penelitian sebanyak 184 rekam medik, tetapi yang memenuhi kriteria inklusi dan eksklusi sebanyak 124 sampel Pengolahan data dilakukan secara manual dan ditampilkan dalam bentuk tabel distribusi frekuensi. Hasil penelitian menunjukkan distribusi frekuensi pasien PJK berdasarkan usia yaitu kelompok usia 51-56 tahun sebesar 30,64% dan sebagian besar adalah laki-laki (75%. Prevalensi riwayat hipertensi pada pasien PJK didapatkan sebesar 46,77%, sedangkan riwayat diabetes melitus sebesar 10,48%.Kata kunci: penyakit jantung koroner, hipertensi, diabetes mellitus AbstractCoronary heart disease (CHD is one of the non-infectious disease that become the world spotlight. It is associated with a change in lifestyle paralel to the era development. WHO in 2008 estimated that 17,3 million people died from cardiovascular disease, 7,3 million attributable to CHD, and 6,2 million died due to stroke. The objective of this study was to describe the incident history of hypertension and diabetes mellitus in patient with CHD in Dr. M. Djamil Hospital Padang. This was a descriptive study with cross sectional design which carried out in Medical Record of Dr. M. Djamil Hospital Padang from February 2012 until March 2013. The population in this study were 184 medical record, but the samples had