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  1. Oncology patients hospitalized in the Clinicas Hospital Dr. Manuel Quintela

    International Nuclear Information System (INIS)

    This work was carried out by a nursery licensed group in the Clinicas Hospital - Dr. Manuel Quintela.The nature and functioning of Services and the allocation of resources, are essential for the analysis of the Survey of the hospitalized oncology patients in the Institution. To develop a model of care that constitutes a health care as well as teaching and research in the country regarding the quality of care was defined the following topics: lower risks for the patient, safer care, personal trained and specialized to promote relationship between the offering and the person receiving the service. The assessment and management performance of the services involved in the operation are the result of the degree of user satisfaction. Objective: To determine the human and material necessary for the care of cancer resources users, considering their number, treatment, complications and nursing care derived from each pathology and stage of disease. Methodology: A comparative descriptive study of the same population was conducted in two transverse sections in relation to two different times which are based on the design of a form that allowed hospitalized to collect information on users 6/12/03 and 6/16/04. Other instruments used were the clinical history and the daily census staff Patients and Nursing Division. Results and conclusions: A comparative descriptive analysis already mentioned are: increased internships and cancer patients; between 50 and 64 is the highest number of patients; diagnoses Face and Neck and maintain the Digestive System more cases; the number of patients doubles and Hematology Neurological from one to another period. Chemotherapy is the treatment choice and there is a decrease in the surgical and medical; more patients in the study; in the origin, Montevideo has the largest number of patients followed by Canelones. Line of nursing intervention will be carried out in short, medium and long term

  2. ASSESSMENT OF THE ORGANIZATIONAL CULTURE OF THE COUNTY EMERGENCY HOSPITAL "DR. CONSTANTIN OPRIS", BAIA MARE

    OpenAIRE

    Gavrilescu Liviu; Barbul Claudia

    2010-01-01

    The study proposes assessing the organizational culture of the County Emergency HospitalDr. Constantine Opris” of Baia Mare, as a basis for developing a strategic plan to facilitate the successful implementation of organizational goals and objectives. As research instruments were used: OCAI (Organizational Culture Assessment Instrument) and the semi-structured interview. The identified organizational culture of the County Emergency HospitalDr. Constantin Opris” has characteristics of a we...

  3. Video assisted thoracic surgery. Experiences in Dr. Gustavo Aldereguia Lima hospital.

    OpenAIRE

    Arístides Sánchez Sánchez; Lidia Torres Aja; Rubén Mena Guerra; Francisco Cabarroca Castillo

    2008-01-01

    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...

  4. 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

  5. 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.

  6. Homenaje al Dr. Fernando Merino Niño

    OpenAIRE

    Lisbeth Berrueta; Siham Salmen

    2013-01-01

    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 Universi...

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

    OpenAIRE

    Suzy Aziziyana Saili; Khairulnizam Mat Karim

    2013-01-01

    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 convi...

  8. Changing Smoking Behavior of Staff at Dr. Zainoel Abidin Provincial General Hospital, Banda Aceh

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    Said Usman

    2014-01-01

    Full Text Available Smoking tobacco is a habit of individuals. Determinants of smoking behavior are multiple factors both within the individual and in the social environment around the individual. Staff smoking has been an undesirable phenomenon at Dr. Zainoel Abidin Provincial General Hospital in Banda Aceh. Health promotion efforts are a strategy that has resulted in behavioral changes with reductions in smoking by staff. This action research was designed to analyze changes in smoking behavior of hospital staff. The sample for this research was all 152 male staff who were smokers. The results of this research showed that Health Promotion Interventions (HPI consisting of personal empowerment plus social support and advocacy to improve employee knowledge and attitudes influenced staff to stop or to significantly. HPI employed included counseling programs, distribution of antismoking leaflets, putting up antismoking posters, and installation of no smoking signs. These HPI proved effective to increase knowledge and create a positive attitude to nonsmoking that resulted in major reductions in smoking by staff when offsite and complete cessation of smoking whilst in the hospital. Continuous evaluation, monitoring, and strengthening of policies banning smoking should be maintained in all hospitals.

  9. 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

  10. Decreased Monocyte HLA-DR Expression in Patients After Non-Shockable out-of-Hospital Cardiac Arrest.

    Science.gov (United States)

    Venet, Fabienne; Cour, Martin; Demaret, Julie; Monneret, Guillaume; Argaud, Laurent

    2016-07-01

    Out-of-hospital cardiac arrest (OHCA) constitutes a major health care problem with the development in immediate survivors of a post-cardiac arrest syndrome including systemic inflammatory response as observed in sepsis. As a decreased monocyte HLA-DR expression (mHLA-DR) has been repeatedly described in septic patients in association with an increased risk of death and nosocomial infections, we tested whether this immune alteration could also be observed after OHCA. Fifty-five non-shockable OHCA patients sampled at Day 0 (D0: within 4 h after OHCA), D1 (the next day), and D3: (after 2 additional days) were included. CD4+ lymphocyte count and mHLA-DR were evaluated by flow cytometry. We observed a marked decrease in mHLA-DR as early as D0 in patients compared with normal values. This decrease persisted till D3 and was associated with a moderate decrease in the number of circulating CD4+ lymphocytes. No correlations were identified between mHLA-DR and usual prognostic markers after OHCA. However, overtime evolution in mHLA-DR values appeared different between survivors and non-survivors with a quasisystematic decrease between D1 and D3 in non-survivors versus an increased expression in survivors. In conclusion, this preliminary pilot study describes the occurrence of OHCA-induced immune alterations as illustrated by a decreased mHLA-DR and CD4+ lymphopenia. Furthermore, we show for the first time the differential overtime evolution in mHLA-DR between survivors and non-survivors without association with usual prognostic markers and multiple organ failure. These initial results should now be confirmed in a larger cohort of OHCA patients. PMID:26796574

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

    Science.gov (United States)

    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. PMID:23610230

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

    OpenAIRE

    Francisco Cabarroca Castillo; Rubén Mena Guerra; Lidia Torres Aja; Arístides Sánchez Sánchez

    2008-01-01

    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 th...

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

    OpenAIRE

    Alfredo Darío Espinosa Brito

    2016-01-01

    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 ...

  14. Approach to medical missions: Dr. Neil Macvicar and the Victoria Hospital, Lovedale, South Africa, circa 1900-1950

    OpenAIRE

    Lunde, Martin Jacob

    2009-01-01

    This thesis examines the thought, work, and impact of the Scottish medical missionary, Dr Neil Macvicar, as well other personnel connected to the Victoria Hospital at the Lovedale mission in the Eastern Cape. Of special concern for study in medical history, missiology, and relief development studies, this work centres on Macvicar’s modern Western conceptions of Christianity, biomedicine, civilisation, African cosmological understandings, and traditional methods of healing, within the last ye...

  15. 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.

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

    Directory of Open Access Journals (Sweden)

    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”.

  17. 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.

  18. 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

  19. 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.

  20. 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

  1. 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.

  2. Prognosis of tetanus patients in the intensive care unit of Provincial Hospital Jason Sendwe, Lubumbashi, DR Congo

    Science.gov (United States)

    Muteya, Michel Manika; Kabey, Alain Kabey a; Lubanga, Théophile Muyumba; Tshamba, Henri Mundongo; Nkoy, Albert Mwembo Tambwe a

    2013-01-01

    Tetanus is still a public health problem in developing countries including the Democratic Republic of Congo. The objective of this study was to determine the prognosis of patients with tetanus admitted in the Intensive Care Unit (ICU) of Provincial Hospital Jason Sendwe, Lubumbashi, DR Congo. This is a descriptive study which collected information from registers and medical records of patients admitted for tetanus in the ICU of Jason Sendwe Hospital, between January 2005 and December 2009. We calculated the parameters of position, dispersion as well as frequencies. We used the test of independent association of prognosis (death versus survival). Tetanus constituted 2.1% of admissions in the ICU during the 5-year period. The average age of patients was 39.38 ± 17; majority of patients were males (95.5%). The majority of patients lived the townships of Kampemba (27.3%), Kenya (22.7%), and Annexe (18.2%). All patients presented the generalized form of the infection. The door of entry was detectable in 71.5% of cases, localized mainly to the lower limbs (61.9%). The average length of stay was 11.29 ± 11.39 days. Mortality was observed in 52.4% of cases. This mortality was statistically significant in patients aged mrore than 40 years (p=0.029) but not not related to the length of stay (p=0.080) nor the location of point of entry(p=0.28). In our environment the prognosis of tetanus remains severe. This disease is still frequent in the city of Lubumbashi; sensibilisation of population on preventive strategies as well as setting up appropriate structures for better management of cases is required. PMID:23717709

  3. 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

  4. Homenatge al Dr. Jesús Lalinde Abadía

    OpenAIRE

    Sánchez-Lauro, Sixto

    2008-01-01

    La celebració d'aquest homenatge tributat al doctor Jesús Lalinde Abadía per la Reial Acadèmia de Bones Lletres de Barcelona i la Societat Catalana d'Estudis Jurídics (filial de l'Institut d'Estudis Catalans) en aquesta data pròxima a l'any del seu traspàs, és per a mi un acte entranyable i reconfortant, alhora que just i necessari com a reconeixement de la singularitat científica de l'homenatjat.

  5. 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.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    OpenAIRE

    Jofizal Jannis

    2004-01-01

    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...

  8. Factors influencing changes in levels of radiation doses received by patients during gastroduodenal series procedures in the Hospital Dr. Max Peralta de Cartago

    International Nuclear Information System (INIS)

    A measurement was made of the number of radiation doses emitted by fluoroscopy equipment used in Hospital Dr. Max Peralta, specifically at the Centro de Deteccion de Cancer Gastrico. The analysis has included the factors could be influencing on increase of the total dose to the patient, by means of indicators that directly affect the unnecessary increase in dose, such as: the procedure, sequences of images, indicators of dosage levels, varying conditions of actual studies, variations dose levels and production process factors.

  9. 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

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

    Directory of Open Access Journals (Sweden)

    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. 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.

  12. 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...

  13. Bibliometric Characterization of Scientific Production in the General University Hospital ’’Dr. Aldereguía Gustavo Lima’’. Cienfuegos: January 2004 to September 2009 Caracterización bibliométrica de la producción científica del Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos: enero 2004-septiembre 2009

    Directory of Open Access Journals (Sweden)

    Alexis Sebastián García Somodevilla

    2011-08-01

    Full Text Available Fundamento: la Bibliometría permitió que la visualización de las publicaciones de los profesionales del Hospital General Universitario ¨Dr. Gustavo Aldereguía Lima¨. Cienfuegos, en una base de datos, tenga una interpretación que la relaciona con un mapa del conocimiento. Objetivo: caracterizar cómo se comportó la producción científica del Hospital General Universitario de Cienfuegos, contenida en la base de datos que actualiza su Centro de Información. Método: estudio bibliométrico, descriptivo, realizado en la base de datos que contiene las publicaciones hechas por sus profesionales, tanto en Cuba como en el extranjero, y que abarcó el período comprendido entre enero de 2004 y septiembre de 2009. Las variables que se estudiaron fueron: número de artículos por autores, número de artículos por especialidades, idioma de los artículos, tipología, producción por año, y lugar de publicación. Resultados: el mayor número de publicaciones se realizó en la revista electrónica Medisur, de manera predominante en idioma español, aunque existe una cantidad apreciable de publicaciones en inglés, hechas en la revista British Medical Journal. Las especialidades más prolíficas fueron: Medicina Interna, Medicina Intensiva, y Cardiología. La tipología de los trabajos se caracterizó por un mayor número de trabajos originales. Conclusiones: a los médicos perteneció el mayor número de publicaciones, liderado por el grupo de autores aspirantes (2 a 4 trabajos. La revista electrónica Medisur fue el lugar donde más se publicó. Los autores clasificados como grandes productores (17,2 autor/artículo como promedio conceden una gran importancia al idioma inglés.Background: bibliometrics allowed that the visualization in a database of publications by professionals in the General University Hospital ‘’Dr. Gustavo Alderegu

  14. 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

  15. 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

    Directory of Open Access Journals (Sweden)

    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

  16. 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.

    Directory of Open Access Journals (Sweden)

    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

  17. Solide Handwerksarbeit als Vorlage für Frauen- und Geschlechterforschung Creating a Mould for Women’s Studies and Gender Studies: Dr. Marie Baum

    Directory of Open Access Journals (Sweden)

    Ilona Scheidle

    2002-07-01

    Full Text Available Die Universitätsbibliothek Heidelberg veröffentlichte das „Nachlaßverzeichnis Dr. Marie Baum” (1874–1964, Ehrenbürgerin der alma mater. Das Repertorium dokumentiert die Zeugnisse ihres Lebens: als Pionierin der modernen Sozialarbeit, Vertreterin der bürgerlichen Frauenbewegung, Abgeordnete der Nationalversammlung und des Reichstages, als Wissenschaftlerin, Politikerin, Publizistin und als Ricarda Huchs Freundin. Das Findbuch ist ein Katalog zum Identifizieren und zum Auffinden einzelner Dokumente und zugleich ein Beitrag zur Biographie der Nachlaßgeberin.The university library at Heidelberg University published a “Catalogue of the Estate of Dr. Marie Baum” (1874–1964. This collection documents her life as pioneer of modern social work, as a leader of the women’s movement, as a politician during the Weimar Republic, a scientist, author and lifelong friend of Ricarda Huch. This catalogue is useful for identifying and finding select documents as well as a contribution to the biographie of Marie Baum.

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

    OpenAIRE

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

    2013-01-01

    Introduction: Personnel working in hospitals are exposed to many occupational hazards that may threaten their health and safety. Physical hazards that are encountered in hospital working environment include temperature, illumination, noise, electrical injuries, and radiation. Objectives: The objectives of this study were to identify physical health hazards in all departments of Al-Azhar University Hospital in new Damietta, to measure risk level of these hazards, and to recognize safety me...

  19. Características del control prenatal de pacientes adolescentes atendidas en la consulta de obstetricia HospitalDr. Rafael Ángel Calderón 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 < 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.

  20. 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

    Directory of Open Access Journals (Sweden)

    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

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

    Directory of Open Access Journals (Sweden)

    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

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

    Directory of Open Access Journals (Sweden)

    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

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

    Directory of Open Access Journals (Sweden)

    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

  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. 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.

  6. 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

  7. 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.

  8. 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

  9. 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

  10. 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

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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 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

  11. 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...

  12. 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.

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

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    Cruz García Lirios

    2013-06-01

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

  14. 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

  15. 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

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

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    Jiovany Jahn Carlos Saldaña-Gastulo

    2011-01-01

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

  17. The art of rejection: Comparative analysis between Computed Radiography (CR) and Digital Radiography (DR) workstations in the Accident & Emergency and General radiology departments at a district general hospital using customised and standardised reject criteria over a three year period

    International Nuclear Information System (INIS)

    Aims: Reject analysis continues to play an integral part of a Quality Assurance (QA) program. This study aims to show how Computed Radiography (CR) and Digital Radiography (DR) reject analysis data can be customised by the user to aid in the interpretation of exported data and identify trends and issues relating to technique and training. Materials and methods: Reject analysis was reviewed for the period of 2011–2014 using exported data from CR and DR systems in the Accident and Emergency (A&E) and General radiology departments at a district general hospital. Reject criteria was customised to departmental needs and standardised across all workstation's with monthly data collection for amalgamation onto a central spreadsheet. Results: Analysis by workstation and department was performed with regards to total number of exposure events, rejects and reject ratios (%) and reasons for film rejection (positional and exposure) were reviewed. Annual overall reject ratios (%) were shown to be on average within levels acceptable by the World Health Organisation (WHO)1 with some variability on monthly basis according to workloads experienced. Conclusions: A number of improvements have been suggested to improve data reliability for future analysis and the continuation of a review of the physical rejected image is recommended as this can highlight problematic areas and help to reveal trends which pure data cannot show. - Highlights: • Retrospective analysis of three years CR/DR rejects using customised QA program. • Reviewed data by individual workstations and departments. • Highlighted trends between workstations and departments. • Overall annual reject rates shown to be within WHO recommendations. • Recommendations for future improvements for reject analysis within department and continued review of JPEG images

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

    International Nuclear Information System (INIS)

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

  19. Literature search and review of research involving radioisotopes conducted by Dr. G.E. Burch at Charity Hospital in New Orleans, Louisiana under the auspices of Tulane University during the 1940s,1950s, and 1960s

    International Nuclear Information System (INIS)

    This report presents a synopsis of research performed by Dr. G.E. Burch during the 1940s, 1950s, and 1960s at Charity Hospital in New Orleans, Louisiana. Four technical experts have reviewed twenty-seven research published in peer-reviewed research journals and proceedings by Dr. Burch and his colleagues between the years 1946 and 1968. The papers were grouped prior to the review into three categories represented in this report by the following chapter titles: Studies Involving Human Subjects; Isotopic Studies Not Involving Human or Canine Subjects; and Studies Involving Dogs as Test Models. The experts' reviews addressed five areas. What, if Any, Is the Scientific Value of the Research on Which These Studies Are Based?; Did the Research Provide Medicine with New and Useful Information?; What Contributions Did This Research Make to Patient Care or to the Understanding of the Disease Process?; What Was Known Medically about Matters Addressed by This Research at the Time It Was Being Conducted? and Is There Documentation That Shows Informed Consent?

  20. 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...

  1. 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

  2. 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.

  3. Function Cards for Engineering in Cases of Disaster at the Dr. Gustavo Aldereguía Lima General University Hospital in Cienfuegos 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

    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. Hospitals

    DEFF Research Database (Denmark)

    Mullins, Michael

    2013-01-01

    The challenge could be briefly seen in these terms: hospitals as places for treatment where there’s a technology focus and hospitals for healing where there’s a human focus. In the 60s - 70s wave of new hospital building, an emphasis on technology can be seen. It’s time to move from the technology...... is to minimize the negative effects of stress inducing environments based on research results. Which stress inducing factors? We can look around at some old hospitals and see they are noisy, confusing, ugly, monotonous, hard, cold, artificial, and dark; qualitative terms which can indicate what we shouldn......’t be doing in hospitals. Design factors which should be carefully considered include: Light, as in daylight, artificial light, its color, its temperature, the level and quality of lighting and the effects of light on circadian rhythms. There is documented evidence in: users’ satisfaction, orientation, 24...

  5. [Influence of tobacco smoking on newborn's birth weight--analisys of dates concerning births from Maternity Hospital named. Dr S. Mossor's in Opole City].

    Science.gov (United States)

    Guzikowski, Wojciech; Pirogowicz, Iwona

    2008-01-01

    Despite wide education, tobacco smoking while being pregnant is very important issue in perinatology. It is important problem because of life style of polish society, including pregnant women. Clinical observation of this issue is pointing on risk of occurring pathology in pregnancy, unfavorable consequences for neonate also many distant pathological effects among children. Purpose of this was getting an answer for question: whether in current social and economic situation there is connection between low birth mass and smoking tobacco during pregnancy. Under analysis were found births between 38th and 40th one hundred successive births (according to book of birth-room from 2860 labors in hospital in Opol, 2007) of mothers are smoking up to 10 cigarettes a day (group I), mothers smoking 11-20 cigarettes a day (group II) and mothers that are not smoking. This works affirms that smoking has negative influence on child birth mass. It is also displayed that higher the number of smoked cigarettes the higher percent of newborns with low birth mass and higher number o fetus with intrauterine growth retardation. Among mothers that are smoking the biggest group were young women (mean. 24, years) and multipara female (58%). PMID:19189515

  6. 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.

  7. 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...

  8. Dr. Dampe - Doctor Democracy

    DEFF Research Database (Denmark)

    Andreasen, John

    2009-01-01

    On Dr.phil. J.J.Dampe's fight for democracy in the first part of the 19th century in Denmark and his dramatic writings......On Dr.phil. J.J.Dampe's fight for democracy in the first part of the 19th century in Denmark and his dramatic writings...

  9. Response to the letter to the editor by Dr Waldinger et al: Hardy Weinberg Equilibrium in Genetic PE Research Remains Critical to Avoid Misinterpretation

    Institute of Scientific and Technical Information of China (English)

    Emin Ozbek; Ali I. Tasci; Volkan Tugcu; Yusuf O. Ilbey; Abdulmuttalip Simsek; Levent Ozcan; Emre C. Polat; Vedat Koksal

    2009-01-01

    @@ Dear Editor; We have read the article by Waldinger et al [1]. First of all, once again we do apologise for the mistake in our article regarding a possible asssociation of the 5-HTTLPR gene polymorphisn and lifelong premature ejaculation (PE) in Turkish men. Previously, the total number of patients and controls had been mistakenly written as '70'instead of '69'. The percentage of L/S and S/S had also been written mistakenly 53% and 28% instead of 54%and 29%, respectively. In addition, the number of 'S'allele '74' should be corrected as '77' in Table 1. 'The S allele of the 5-HTTLPR gene was significantly more frequent in PE patients than in controls (P<0.025)'expression should be added to the 'Results' section of the study. No change has been applied on the other sections (introduction, material and methods, and discussion) of the study.

  10. 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.

  11. 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. PMID:26742331

  12. 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.

  13. 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

  14. Biotechnology Symposium - In Memoriam, the Late Dr. Allan Zipf

    Science.gov (United States)

    A one-day biotechnology symposium was held at Alabama A&M University (AAMU), Normal, AL on June 4, 2004 in memory of the late Dr. Allan Zipf (Sept 1953-Jan 2004). Dr. Zipf was a Research Associate Professor at the Department of Plant and Soil Sciences, AAMU, who collaborated extensively with ARS/MS...

  15. 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.

  16. 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

  17. Dr. Goddard Transports Rocket

    Science.gov (United States)

    1974-01-01

    Dr. Robert H. Goddard tows his rocket to the launching tower behind a Model A Ford truck, 15 miles northwest of Roswell, New Mexico. 1930- 1932. Dr. Goddard has been recognized as the 'Father of American Rocketry' and as one of three pioneers in the theoretical exploration of space. Robert Hutchings Goddard was born in Worcester, Massachusetts, on October 15, 1882. He was a theoretical scientist as well as a practical engineer. His dream was the conquest of the upper atmosphere and ultimately space through the use of rocket propulsion. Dr. Goddard, who died in 1945, was probably as responsible for the dawning of the Space Age as the Wright Brothers were for the begining of the Air Age. Yet his work attracted little serious attention during his lifetime. When the United States began to prepare for the conquest of space in the 1950's, American rocket scientists began to recognize the debt owed to the New England professor. They discovered that it was virtually impossible to construct a rocket or launch a satellite without acknowledging the work of Dr. Goddard. This great legacy was covered by more than 200 patents, many of which were issued after his death.

  18. 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...

  19. Environment- Dr.Ducret

    CERN Multimedia

    Ducret

    1973-01-01

    Le Dr.Ducret, biologiste à Genève, fait une analyse de la situation actuelle et des futurs possibles pour l'homme. Il essaie de trouver les raisons qui font que nous avons actuellement une situation qui paraît pour certains très difficile à surmonter

  20. 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.

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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...... 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...... dosimeters. Next the hold-up tank room and the concrete cave (the igloo) in front of the thermal column wereopened. They had been used as storage rooms for various components and all movable components were removed, measured and, if active, cut into waste drums. Only large and active objects remain stored...

  8. 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.

  9. The DR-2 project

    Energy Technology Data Exchange (ETDEWEB)

    Oelgaard, P.L

    2003-06-01

    DR-2 was a 5 MW tank type, water moderated and cooled research reactor, which was operated at the Risoe 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 project reported here was to characterize the present 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 were removed, air samples taken and smear test made in the tank. Then the control rods, the magnet rods and other active components were removed from the tank, measured, cut up, and disposed of in waste drums. The beryllium reflector elements were stored in specially prepared containers. When all movable parts had been taken out, the remaining radiation field was measured by use of thermoluminescence dosimeters. Next the hold-up tank room and the concrete cave (the igloo) in front of the thermal column were opened. They had been used as storage rooms for various components and all movable components were removed, measured and, if active, cut into waste drums. Only large and active objects remain stored in the igloo and the hold-up tank room. A number of graphite stringers were taken out of the thermal column and their activity measured. It was a surprise to find, that the stringers contained significant 152Eu and 154Eu activity. Some of the beam plugs and irradiation tubes were extracted and reinserted after 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 the concrete shield and by measurements through an open beam hole. At the start of the project the activity in DR-2 was about 45-50 GBq. Now it is about 5-10 GBq. Based on the results of the DR-2 project it is believed that the reactor

  10. 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.

  11. 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

  12. 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.

  13. 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.

  14. Late Dr. (Mrs. Dhanalakshmi De Sousa

    Directory of Open Access Journals (Sweden)

    K.P. Dave

    2006-03-01

    Full Text Available Dr. (Mrs. Dhanalakshmi De Sousa was my senior colleague at K.E.M. Hospital during our post-graduate studies and at L.T.M.G. Hospital during our professional career as a staff member. I had an opportunity to be with her for about 18 years. As a Registrar at K.E.M., she appeared busy with her studies and sincere about her commitments. At L.T.M.G. Hospital, she worked in her initial years at the Child Guidance Clinic and was later promoted to adult psychiatry. She maintained a good relationship with patients and their relatives. She often went out of the way to seek social and economic help for the patients' welfare. When she became Chief after Dr. Bassa's retirement, she showed her genuine interest in the development of the Department of Psychiatry. She took great pains to get funds for equipments like EEG, ECT machines, and Behaviour Therapy instruments. She wanted to develop other diagnostic and treatment modalities which were not there during Dr. Bassa's tenure as chief. She made efforts to develop good relationship with other departments in the hospitals, and encouraged residents to do the same. Post-graduate teaching, nurses' education and research projects were the areas where she actively participated. Social activities like picnics and parties, which helped to improve interpersonal relationships, were a frequent feature during her tenure as Head. She contributed generously from her personal income to encourage under­graduates to take interest in Psychiatry. She started the 'Dr. De Sousa Award' for a competitive examination in Psychiatry for the under-graduates. We were surprised to find her asking for premature retirement from L.T.MG. Hospital as a staff member at a time when she was most needed. We came to know later it was to bring up her son, Avinash, now a Psychiatrist in his own right. A courageous, and probably wise, decision to take. We had less and less interaction with her after her retirement. But we always remembered her and

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

    Directory of Open Access Journals (Sweden)

    Sahar I. Al-Niemat

    2014-07-01

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

  16. Dr. Wernher Von Braun

    Science.gov (United States)

    1960-01-01

    On September 8, 1960 President Dwight D. Eisenhower visited Huntsville, Alabama to dedicate a new NASA field center in honor of General George C. Marshall, Eisenhower's wartime colleague and the founder of the famous Marshall Plan for European recover after World War II. The new George C. Marshall Space Flight Center was placed under the control of Dr. Wernher Von Braun shown here talking with President Eisenhower. As parto f his remarks dedicating the center, President Eisenhowe refereed to General Marshall as a 'man of yar, yet a builder of peace'. the Marshall Center's first major assignment including building the huge Saturn V rocket that launched human beings on their first journey to the surface of the moon in 1969.

  17. 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.

  18. 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)

  19. Human radiation studies: Remembering the early years. Oral history of Dr. Nadine Foreman, M.D., August 19, 1994

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-07-01

    Dr. Nadine Foreman was interviewed by representatives of the US DOE Office of Human Radiation Experiments (OHRE). Dr. Foreman was selected for interview because of the position she held at the University of California, San Francisco. Following a brief biographical sketch, Dr. Foreman describes her work with Dr. Mayo Soley using I-131 in treatment of hyperthyroidism, selection criteria for patients in the radioiodine project, work with Dr. Earl Miller, work at Highland Hospital, radioiodine treatment of diffuse toxic goiter (myxedema), the radiophosphorus and radioiodine programs with Dr. Bert Low-Beer, and treatment of polycythemia vera.

  20. Human radiation studies: Remembering the early years. Oral history of Dr. Nadine Foreman, M.D., August 19, 1994

    International Nuclear Information System (INIS)

    Dr. Nadine Foreman was interviewed by representatives of the US DOE Office of Human Radiation Experiments (OHRE). Dr. Foreman was selected for interview because of the position she held at the University of California, San Francisco. Following a brief biographical sketch, Dr. Foreman describes her work with Dr. Mayo Soley using I-131 in treatment of hyperthyroidism, selection criteria for patients in the radioiodine project, work with Dr. Earl Miller, work at Highland Hospital, radioiodine treatment of diffuse toxic goiter (myxedema), the radiophosphorus and radioiodine programs with Dr. Bert Low-Beer, and treatment of polycythemia vera

  1. 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…

  2. 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.

  3. 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

  4. 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

  5. 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.

  6. 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).

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

    OpenAIRE

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

    2012-01-01

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

  8. 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

  9. 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”...

  10. Dr. Carson K. Eoyang, Biography

    OpenAIRE

    Eoyang, Carson K.

    2013-01-01

    Dr. Carson K. Eoyang Emeritas Professor Naval Postgraduate School Dr. Eoyang retired as the Chancellor of National Intelligence University and was a former Associate Provost at the Naval Postgraduate School. He has served in the Office of Science and Technology Policy in the White House, the Chief Training Officer for the FAA, and the Director of Training forNASA. He was awarded the Presidential Rank of Meritorious Executive in 1993 after serving on the Vice President Gore's National...

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

    Directory of Open Access Journals (Sweden)

    Lujain A. Al-Khazragy

    2008-01-01

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

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

    OpenAIRE

    José Alberto Mainieri-Hidalgo

    2011-01-01

    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 establec...

  13. Adecuación de la terapéutica analgésica en el dolor agudo postoperatorio en el Hospital Universitario de Gran Canaria Dr. Negrín durante el período 2005-2010

    OpenAIRE

    Sadarangani Pestana, Airam

    2015-01-01

    Programa de doctorado: Patología quirúrgica, reproducción humana y factores psicológicos y el proceso de enfermar [ES]El dolor portoperatorio se podría considerar como un dolor de carácter agudo secundario a una agresión directa o indirecta que se produce durante el acto quirúrgico. El 30-50% de los pacientes presentan dolor moderado-severo durante el periodo postoperatorio. Objetivo: evaluar la calidad de la analgesia postoperatoria proporcionada en el Hospital...

  14. 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.

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

    Directory of Open Access Journals (Sweden)

    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.

  16. 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).

  17. 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

  18. 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

  19. Expression of HLA-DR in pheripheral nerve of amyotrophic lateral sclerosis

    Directory of Open Access Journals (Sweden)

    A.S.B. Oliveira

    1994-12-01

    Full Text Available To investigate the possibility of local antigen presentation within the peripheral nerve in amyotrophic lateral sclerosis (ALS, cryostat sections of 83 peripheral nerve biopsies were stained for the demonstration of HLA-DR using a monoclonal antibody. Forty samples showed increased expression of HLA-DR in endoneurium. The phenotypic characteristics of the HLA-DR positive cells are chiefly Schwann cells, using S-100 protein as a marker. We did not detect any co-expression between HLA-DR and NF (axons and HLA-DR and myelin marker. We also detected co-expression between HLA-DR and NGFr in a majority of HLA-DR positive cells. Inflammatory cells were infrequent, being detected only in 11 cases, predominantly around epineurial blood vessels. Motor and sensory nerve biopsies performed simultaneously showed higher expression of HLA-DR in motor nerves in 2 out of 4 patients. The significance of these findings is not clear. The presence of endoneurial cells expressing HLA-DR suggests that an autoimmune mechanism may be involved in ALS having Schwann as the main target.

  20. 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

  1. 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

  2. Dr.Lu Zhizheng's Experience in Treating Sicca Syndrome

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    @@ Sicca syndrome belongs to ‘Dryness Syndrome’ in TCM. It occurs mostly in women over 40 years of age. Dr. Lu Zhizheng (路志正) of Beijing Guang' anmen Hospital of China Academy of TCM has engaged in the TCM treatment of sicca syndrome for more than 20 years and gained rich experience. The following is an introduction of his experience in this aspect.

  3. Dr. Wu Liangcun's Experience in Treating Primary Liver Cancer

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    @@ Having been engaged in clinical treatment of tumors and cancers for more than 40 years, Dr. Wu Liangcun (吴良村),professor of Zhejiang Provincial Hospital of Traditional Chinese Medicine, has put forward a unique method for treatment of liver cancer. His academic thought is to nourish yin, clear away heat, soothe the liver and strengthen the spleen, and clinically, he has obtained good therapeutic results as introduced in the following.

  4. 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

  5. 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.

  6. 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...

  7. [Prevention of hepatitis B--HLA DR/DQ in HBs Ag nonresponder].

    Science.gov (United States)

    Ouchi, E; Hoshino, A; Miura, T; Nagahara, N; Kudo, Y; Tamura, M

    1989-11-01

    To evaluate the immunological background in HBs Ag nonresponders against hepatitis B vaccine, the lymphocyte surface marker and HLA-DR/DQ antigen were determined on hospital personnel, 70 males and 256 females, injected hepatitis B vaccine for three times. The vaccine made from the plasma of HBs Ag carriers was injected at the first and second vaccination and recombinant hepatitis B vaccine was injected at the third vaccination. A month after the third vaccination, blood was withdrawn for HBs antigen test by RIA. Border line cases (cut off index 1.0-1.9) are included in nonresponder (cut off index less than 0.9). Both nonresponders and low responders (cut off index 2-49) are more often seen in males than females and high responder (cut off index 50 or more) are seen more often in young females than males. Lymphocyte surface markers were studied by flow cytometry using the following monoclonal antibodies; OKT 3, 4, 8, DR, NK, Ia 1 and B7. No differences between lymphocyte surface markers of nonresponders and responders were noted. HLA-DR/DQ antigens were studied by the cytotoxicity test using Locus DR/DQ, Terasaki Second DR W-60 Tray and using following antibodies; DR 1, DR 2, DRW 15, DR 4, DR 5, DR 7, DR 9, DRW 10, DRW 8, DRW 12, DRW 13, DRW 6, DRW 52, DRW 53, DQW 1, DQW 6, DQW 2, DQW 3, DQW 7 and DQW 4. No significant differences between HLA-DR/DQ of nonresponders and responders were noted. PMID:2601078

  8. 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

  9. 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

  10. 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.

  11. 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

  12. [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.

  13. Interview with Dr. Charley Zeanah

    Science.gov (United States)

    2013-01-01

    Dr. Charles Zeanah is the Mary K. Sellars-Polchow Chair in Psychiatry, Professor of Clinical Pediatrics and Vice Chair for Child and Adolescent Psychiatry in the Department of Psychiatry and Behavioral Sciences at Tulane University School of Medicine in New Orleans. He is also Executive Director of the Institute for Infant and Early Childhood Mental Health at Tulane. He is the recipient of multiple awards including the Irving Phillips Award for Prevention, (AACAP), the Presidential Citation for Distinguished Research and Leadership in Infant Mental Health (American Orthopsychiatric Association), the Sarah Haley Memorial Award for Clinical Excellence (International Society for Traumatic Stress Studies), the Blanche F. Ittelson Award for Research in Child Psychiatry (APA), and the Serge Lebovici Award for International Contributions in Infant Mental Health (World Association for Infant Mental Health). Dr. Zeanah is a Distinguished Fellow of AACAP, a Distinguished Fellow of the APA and a Board Member of Zero to Three. He is the Editor of Handbook of Infant Mental Health (3rd edition) considered as the state of the art textbook and standard reference in the field of Infant Mental Health. PMID:23667354

  14. 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.

  15. 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

  16. 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.

  17. 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

  18. Stimulating and Simulating Creativity with Dr Inventor

    OpenAIRE

    O'Donoghue, Diarmuid P.; Abgaz, Yalemisew; Hurley, Donny; Ronzano, Francesco

    2015-01-01

    Dr Inventor is a system that is at once, a computational model of creative thinking and also a tool to ignite the creativity process among its users. Dr Inventor uncovers creative bisociations between semi-structured documents like academic papers, patent applications and psychology materials, by adopting a “big data” perspective to discover creative comparisons. The Dr Inventor system is described focusing on the transformation of this textual information into the gra...

  19. 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.

  20. Thank you to Dr. Dudley S. Childress

    OpenAIRE

    Editor JRRD

    2011-01-01

    Upon his retirement from the Board, we want to thank Dr. Dudley S. Childress for his service to JRRD and the broader research community. A professor of physical medicine and rehabilitation and biomedical engineering, Dr. Childress served on JRRD's Editorial and Scientific Advisory Boards for 32 years. In this capacity, he contributed significantly to the journal's quality, scientific rigor, and prominence.We have enjoyed working with Dr. Childress and learning from his vast knowledge and expe...

  1. 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.

  2. Entrevista al Dr. Alberto Rex González

    Directory of Open Access Journals (Sweden)

    Sebastián Matera

    2005-12-01

    Full Text Available Como estudiantes avanzados de la carrera Arqueología (Ciencias Antropológicas con orientación en Arqueología en la Universidad de Buenos Aires sentíamos la necesidad de contar con una obra integradora que refleje algunos de los aspectos principales del desarrollo reciente de la Arqueología en Argentina.

  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. 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

  5. [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.

  6. [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. PMID:15633574

  7. [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

  8. Association between HLA-DR1 and -DR3 antigens and unexplained repeated miscarriage

    DEFF Research Database (Denmark)

    Christiansen, O B; Ring, Mette; Rosgaard, A;

    1999-01-01

    antigens--other studies have been unable to demonstrate such associations. For the present meta-analysis, 18 cross-sectional or case-control studies (published or unpublished) reporting on frequencies of HLA-DR1 and -DR3 antigens among Caucasian women with unexplained repeated miscarriage were identified......Few, mostly small, studies have investigated the distribution of HLA class II antigens among women with unexplained recurrent miscarriage. Although some studies have reported statistically significant associations between this syndrome and certain HLA-DR antigens--especially the -DR1 and -DR3...... patients and because patients with only two miscarriages were included in many studies; this is defined as repeated miscarriage. The odds ratios of repeated miscarriage for the HLA-DR1 and -DR3 antigens were calculated for the individual studies and subsequently the pooled odds ratios for the studies were...

  9. [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)

  10. 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.

  11. Halo Stream candidates in the LAMOST DR2

    Science.gov (United States)

    Zhao, Jingkun

    2015-08-01

    We have detected eight stellar halo stream candidates in the solar neighborhood using a sample including 64,819 FGK metal-poor ([Fe/H] match among the LAMOST DR2, WISE, 2MASS and PPMXL catalogues. With the strategy of halo stream detection in Klement et al, several significant ‘phase-space overdensi- ties” of stars on very similar orbits are identified. Three structures are known previously. Five new halo stream candidates are also found. The kinematics and metallicity of these stream candidates are then analyzed. Detailed element abundance are needed to better know the ori-gin of these streams.

  12. Der Drüsige Ehrenpreis (Veronica acinifolia) in Hessen

    OpenAIRE

    Teuber, Dietmar; Emrich, Peter

    2004-01-01

    Der Drüsige Ehrenpreis hat ein mediterran-submediterranes Areal und erreicht in Hessen seine nördliche Verbreitungsgrenze. Er wächst auf kalkarmen, sauren bis mäßig basenreichen und mäßig nährstoffreichen Böden, die im Frühjahr feucht bis nass sind. Die Standorte sind offenerdig und weisen nur eine lückige Vegetationsdecke auf. Die Art wird als segetaler Kulturfolger bezeichnet und ist vermutlich erst infolge der Ackerbaunutzung in historischer Zeit nach Mitteleuropa gelangt. Veronica acinifo...

  13. 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).

  14. Dr. Francis Collins Is New NIH Director

    Science.gov (United States)

    ... 2008. In August, the U.S. Senate confirmed his appointment by a unanimous vote. Announcing his choice, the President said, "Dr. Collins is one of the top scientists in the world, and his groundbreaking work has changed the very ...

  15. 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)

  16. 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)

  17. Hvad skal de unge med DR?

    OpenAIRE

    Caroline, Gøetze Foldberg; Tilde Liv, Andersen; Lauge, Hendriksen; Sophus August, Jackobsen Bojesen; Kasper, Hunnicke Jensen

    2013-01-01

    This project examines Denmark's only fully funded public service broadcaster DR’s, inability to attract and retain young people in the age 18 and 30, to their channels. The report presents the prerequisites that DR, as a public institution, has to follow in their broadcasting. One of the demands is that DR must produce TV to everyone in the Danish society and how they handle the preconditions for doing just that is investigated in this study. Hereby the project studies presents...

  18. 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...

  19. 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)

  20. 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)

  1. 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)

  2. 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)

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

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J

    2001-09-15

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2002-01-15

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

  5. Specialized consultant in radiological safety to the 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)

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2003-02-15

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

  7. Specialized consultant in radiological safety to the 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)

  8. 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)

  9. 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)

  10. 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)

  11. 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)

  12. 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)

  13. 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)

  14. 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)

  15. 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)

  16. 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.

  17. 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)

  18. 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)

  19. 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)

  20. 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)

  1. 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)

  2. 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)

  3. Modulation of TRAIL resistance in colon carcinoma cells: Different contributions of DR4 and DR5

    Directory of Open Access Journals (Sweden)

    de Vries Elisabeth GE

    2011-01-01

    Full Text Available Abstract Background rhTRAIL is a therapeutic agent, derived from the TRAIL cytokine, which induces apoptosis in cancer cells by activating the membrane death receptors 4 and 5 (DR4 and DR5. Here, we investigated each receptor's contribution to rhTRAIL sensitivity and rhTRAIL resistance. We assessed whether agonistic DR4 or DR5 antibodies could be used to circumvent rhTRAIL resistance, alone or in combination with various chemotherapies. Methods Our study was performed in an isogenic model comprised of the SW948 human colon carcinoma cell line and its rhTRAIL resistant sub-line SW948-TR. Effects of rhTRAIL and agonistic DR4/DR5 antibodies on cell viability were measured using MTT assays and identification of morphological changes characteristic of apoptosis, after acridine orange staining. Sensitivity to the different death receptor ligands was stimulated using pretreatment with the cytokine IFN-gamma and the proteasome inhibitor MG-132. To investigate the mechanisms underlying the changes in rhTRAIL sensitivity, alterations in expression levels of targets of interest were measured by Western blot analysis. Co-immunoprecipitation was used to determine the composition of the death-inducing signalling complex at the cell membrane. Results SW948 cells were sensitive to all three of the DR-targeting agents tested, although the agonistic DR5 antibody induced only weak caspase 8 cleavage and limited apoptosis. Surprisingly, agonistic DR4 and DR5 antibodies induced equivalent DISC formation and caspase 8 cleavage at the level of their individual receptors, suggesting impairment of further caspase 8 processing upon DR5 stimulation. SW948-TR cells were cross-resistant to all DR-targeting agents as a result of decreased caspase 8 expression levels. Caspase 8 protein expression was restored by MG-132 and IFN-gamma pretreatment, which also re-established sensitivity to rhTRAIL and agonistic DR4 antibody in SW948-TR. Surprisingly, MG-132 but not IFN

  4. 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.

  5. 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

  6. 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.

  7. HLA-DR Typing by Polymerase Chain Reaction with Sequence- Specific Primers Compared to Serological typing

    Directory of Open Access Journals (Sweden)

    M Adib

    2004-12-01

    Full Text Available Background: Considering the role of HLA matching in transplant outcome, the quality of HLA-DR typing is clearly an important issue. In recent years, serological methods have been replaced with DNA based typing methods. The main objective of this study was to compare HLA-DR typing data obtained from existing serologic method with data obtained by the new PCR-SSP method. Methods: 55 peripheral blood samples were collected from randomly selected individuals who were referred to the transplantation laboratory of Isfahan, in Aliasghar Hospital, and were typed for HLA-DR antigens by both methods. HLA-DR typing by serologic method was performed using 30 different antisera and for PCR-SSP method, specific primers were used for HLA-DRB1*01-10(except DR6, 8, 10, and also for HLA-DR52, and DR53. After DNA extraction, 13 pairs specific primers were used for each sample separately and PCR reaction were done. In this study, the third intron of DR locus was used as internal positive control. After PCR amplification, products of reaction electrophoresis was performed on 2% agarose gel, and after taking photo of gel, interpretation and comparison of results were performed. Results: The results of 31 samples (56.3% corresponded completely to serological method, 12 samples (22% were assigned heterozygous in serology and homozygous in molecular typing, 7 samples (12.7% were heterozygous in both methods but different in one allele. 2 samples (3.6% were homozygous in serology and heterozygous in molecular typing, and also one sample (1.8% was homozygous in both methods but so that in serology DR14, and in molecular typing DR11 were assigned. And finally 2 samples from 55 (3.6% were not detectable in serological method. Conclusion: The typing data obtained from the conventional and the new methods were compared. Sensitivity, specificity, positive predictive value (PPV, and negative predictive value (NPV were calculated. The results indicated that the DNA based method

  8. Combination of TRAIL with Bortezomib Shifted Apoptotic Signaling from DR4 to DR5 Death Receptor by Selective Internalization and Degradation of DR4

    OpenAIRE

    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 fr...

  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. 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.

  11. Modulation of TRAIL resistance in colon carcinoma cells : Different contributions of DR4 and DR5

    NARCIS (Netherlands)

    van Geelen, Caroline M. M.; Pennarun, Bodvael; Le, Phuong T. K.; de Vries, Elisabeth G. E.; de Jong, Steven

    2011-01-01

    Background: rhTRAIL is a therapeutic agent, derived from the TRAIL cytokine, which induces apoptosis in cancer cells by activating the membrane death receptors 4 and 5 (DR4 and DR5). Here, we investigated each receptor's contribution to rhTRAIL sensitivity and rhTRAIL resistance. We assessed whether

  12. An interview with Dr. Ruth Breeze and Dr. Florentina Taylor on foreign language teaching and learning

    OpenAIRE

    Jiménez, Ricardo-María

    2015-01-01

    The author conducted an online interview with Dr. Ruth Breeze (University of Navarra, Spain) and Dr. Florentina Taylor (University of Greenwich, UK) about the present and future of foreign language teaching, following up on conversations initiated in York, Pamplona and Lancaster.

  13. Entrevista al Dr. en Ciencias Informáticas (UNLP) Gonzalo Luján Villarreal sobre su tesis doctoral: "Un entorno de aprendizaje y una propuesta de enseñanza de Simulación de Eventos Discretos con GPSS"

    OpenAIRE

    Villarreal, Gonzalo Luján; Clavellino, Marcos Sebastián

    2014-01-01

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

  14. FacilitiesHospitals_HOSPITAL

    Data.gov (United States)

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

  15. Dr. Sheng Xiesun's Experience in Acupuncture Techniques

    Institute of Scientific and Technical Information of China (English)

    陈峰; 戴晴

    2001-01-01

    @@Dr. Sheng Xiesun, from a TCM physician's family, has practised acupuncture for 50 years. In Dr. Sheng's view, although the traditional acupuncture techniques were based on Miraculous Pivot (灵枢经), and already well-developed in the Jin and Yuan Dynasties, we must be aware that the formation and development of acupuncture techniques have been going along with the improvement of acupuncture needles. The acupuncture techniques described in Internal Classic (内经) are the ones practiced in the times of the "nine needlings"; while in the Song and Ming Dynasties the needling techniques were based on the use of filiform needles.

  16. Biography of Dr. Simao Nascimento de Sousa

    Digital Repository Service at National Institute of Oceanography (India)

    Sarkar, A.^red.

    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... the projects he has handled are the Coastal Ocean Monitoring and Prediction System (COMAPS) and Integrated Coastal and Marine Area Management Plan for Goa (ICMAM-Goa). Dr. de Sousa was a silent worker of high caliber with exceptional leadership qualities. Dr. A...

  17. 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

  18. 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

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

    OpenAIRE

    García Patiño, José Heriberto

    2012-01-01

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

  20. PERANCANGAN SISTEM INFORMASI MANAJEMEN PADA KLINIK SKALA KECIL (Studi Kasus : Klinik Dr. Jonni

    Directory of Open Access Journals (Sweden)

    Ayuliana

    2014-12-01

    Full Text Available The purpose of this research was to develop a database application at dr. Jonni clinic which can be used for processing and recording of operational data with an attractive user interface. Through the integrated database application, data on dr. Jonni clinic would be more structured, therefore data retrieval will go faster and more accurate, data security administration will be increased, data redundancy will be eliminated and service performance clinic dr. Jonni will also be increased. The method of analysis includes the study of literature, examination of documentation, observation, and interviews. While in the design, the method includes application design using the waterfall method models, database design and data modeling application screens using State Transition Diagrams. The results achieved from this research is an application of data base management hospital. With database applications, all data and information can be integrated well, so that it would improve the quality of services as well as facilitate storing and accessing data. The conclusions obtained from this research is the application of data base management hospital helps in generating quick and accurate information that is used to support operations and decision-making in the clinic dr. Jonni.

  1. 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.

  2. ASSESSMENT OF THE ORGANIZATIONAL CULTURE OF THE COUNTY EMERGENCY HOSPITAL

    OpenAIRE

    Gavrilescu Liviu; Barbul Claudia

    2010-01-01

    The study proposes assessing the organizational culture of the County Emergency HospitalDr. Constantine Opris” of Baia Mare, as a basis for developing a strategic plan to facilitate the successful implementation of organizational goals and objectives. As research instruments were used: OCAI (Organizational Culture Assessment Instrument) and the semi-structured interview. The identified organizational culture of the County Emergency HospitalDr. Constantin Opris” has characteristics of a we...

  3. 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

  4. Dr. Caleb Williams Saleeby: The Complete Eugenicist.

    Science.gov (United States)

    Rodwell, Grant

    1997-01-01

    Profiles the work of Dr. Caleb Williams Saleeby, a late 19th-century propagandist for eugenics. Eugenics is a science that deals with the transmission of hereditary racial traits, coupled with a desire to use this for the elimination of social ills. Discusses Saleeby's work with the Eugenics Education Society. (MJP)

  5. 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.

  6. ["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.

  7. 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

  8. Dr P. Jansen (1882—1955)

    NARCIS (Netherlands)

    Ooststroom, van S.J.

    1955-01-01

    On April 2nd of this year Dr P. Jansen, agrostologist and honorary member of the staff of the Rijksherbarium, suddenly passed away at Amsterdam, 73 years old. Pieter Jansen was born at Rotterdam on January 25th, 1882. Trained to be a teacher, his appointment as such followed in 1900. His study in ma

  9. Interview with Professor dr. Daniella Tilbury

    OpenAIRE

    Majda Naji

    2014-01-01

    Interview with Professor dr. Daniella Tilbury Dean of Sustainability, The University of Gloucestershire, UK, President, the Copernicus Alliance of Universities for Sustainable Development, Chair, UNESCO Global Monitoring and Evaluation Expert Group in ESD, UK government nominated Member, UNECE Expert Group on ESD Competences, Co-leader, Sustainable Futures Leadership Academy

  10. Dr. Eklund re-appointed Director General

    International Nuclear Information System (INIS)

    By acclamation the delegates at the thirteenth session of the General Conference confirmed the Board of Governors' decision to re-appoint Dr. Sigvard Eklund Director General of the Agency. His speech after being sworn in emphasized the challenge presented by the Non-Proliferation Treaty and the anxieties about the present state of its political acceptance. (author)

  11. 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.

  12. 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.

  13. M-giant star candidates identified in LAMOST DR 1

    Science.gov (United States)

    Zhong, Jing; Lépine, Sébastien; Li, Jing; Chen, Li; Hou, Jin-Liang; Yang, Ming; Li, Guang-Wei; Zhang, Yong; Hou, Yong-Hui

    2015-08-01

    We perform a discrimination procedure with the spectral index diagram of TiO5 and CaH2+CaH3 to separate M giants from M dwarfs. Using the M giant spectra identified from LAMOST DR1 with high signal-to-noise ratio, we have successfully assembled a set of M giant templates, which show more reliable spectral features. Combining with the M dwarf/subdwarf templates in Zhong et al., we present an extended library of M-type templates which includes not only M dwarfs with a well-defined temperature and metallicity grid but also M giants with subtypes from M0 to M6. Then, the template-fitting algorithm is used to automatically identify and classify M giant stars from LAMOST DR1. The resulting catalog of M giant stars is cross-matched with 2MASS JHKs and WISE W1/W2 infrared photometry. In addition, we calculated the heliocentric radial velocity of all M giant stars by using the cross-correlation method with the template spectrum in a zero-velocity rest frame. Using the relationship between the absolute infrared magnitude MJ and our classified spectroscopic subtype, we derived the spectroscopic distance of M giants with uncertainties of about 40%. A catalog of 8639 M giants is provided. As an additional result of this analysis, we also present a catalog of 101 690 M dwarfs/subdwarfs which are processed by our classification pipeline.

  14. 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

  15. The Ten Methods Used by Dr.CHEN Guo-feng for Treating Allergic Rhinitis

    Institute of Scientific and Technical Information of China (English)

    FU Xiao-dong; WANG Xin-zhong

    2010-01-01

    @@ According to the TCM theory, allergic rhinitis is usually caused by dysfunction of the lung, spleen and kidney, deficiency of the vital-qi, and invasion of exopathogenic factors of wind and cold.Dr.CHEN Guo-feng, director of the Ear-Nose-Throat Department of Jiangsu Provincial TCM Hospital, has obtained rich experience in the treatment of allergic rhinitis, which is introduced in the following.

  16. 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.

  17. 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. PMID:27442899

  18. Gambaran Morbiditas dan Mortalitas Ibu Paska Seksio Sesarea Darurat di RSUD dr. Pirngadi pada Tahun 2012

    OpenAIRE

    Siahaan, Lasa Dhakka

    2014-01-01

    Emergency caesarean delivery is delivery process that decided incidentally without pre-operative care and plan because of emergency situation to save mothers and babies life. Emergency Caesarean delivery have a high mortality rate with nine times bigger risk of death than normal spontaneous delivery. The aim of this research is to examine morbidity and mortality of mothers post-emergency caesarean delivery in Dr. Pirngadi General Hospital in 2012. This research is a descriptive study wi...

  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. 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...

  1. 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....

  2. 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.

  3. Decommissioning of DR 2. Experiences learnt from the completion; Dekommissionering af DR 2. Erfaringer fra gennemfoerelsen

    Energy Technology Data Exchange (ETDEWEB)

    Strufe, N.

    2009-10-15

    The report describes experiences gathered from the decommissioning of DR 2. The experiences encompasses planning and management of the project, methods of accomplishment, and various materials categories. Additionally, the report describes the experience with specific tools used in the project.

  4. 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...

  5. Dr. von Braun and Dr. Stuhlinger With a Model of the Nuclear-Electric Vehicles

    Science.gov (United States)

    2004-01-01

    In this photo, taken at the Walt Disney Studios in California, Dr. Wernher von Braun and Dr. Ernst Stuhlinger are shown discussing the concepts of nuclear-electric spaceships designed to undertake the mission to the planet Mars. As a part of the Disney 'Tomorrowland' series on the exploration of space, the nuclear-electric vehicles were shown in the last three television films, entitled 'Mars and Beyond,' which first aired in December 1957.

  6. 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...

  7. Dr. Richard J. Whelan: Seeing the Field of Emotional and Behavior Disorders through the Lens of a Pioneer

    Science.gov (United States)

    Kaff, Marilyn S.; Teagarden, Jim; Zabel, Robert H.

    2011-01-01

    Dr. Richard J. Whelan is a distinguished professor emeritus at the University of Kansas. His earliest professional experiences were at the Children's Hospital (Southard School) of the Menninger Clinic, where he served as a recreational therapist, teacher, and director of education. During his career at the University of Kansas and the KU Medical…

  8. CLINICO PATHOLOGICAL REVIEW OF MEGALOBLASTIC ANAEMI A IN CHILDREN- A 7 YEAR PAEDIATRIC HOSPITAL EXPERIENCE

    Directory of Open Access Journals (Sweden)

    Ramani

    2013-06-01

    Full Text Available ORIGINAL ARTICLE Journal of Evolution of Medical and Dental Sciences / Volume 2/ Issue 23/June 10, 2013 Page 4136 CLINICO PATHOLOGICAL REVIEW OF MEGALOBLASTIC ANAEMI A IN CHILDREN- A 7 YEAR PAEDIATRIC HOSPITAL EXPERIENCE M.Ramani 1 , D.Ranganath 2 ,O. H.RadhikaKrishna 3 , K.Geetha 4 , M.Keerthika 5 , Puja Deshmukh 6 , S.P.Krupani 7 , G. Sunitha 8 . 1. Professor, Department of Pathology, Niloufer hospit al, Institute of child health, Hyderabad. 2. Professor, Department of Pediatrics, Niloufer hospi tal, Hyderabad 3. Assistant professor, Department of Pathology, Nilou fer hospital, Hyderabad. 4. Assistant professor, Department of Pathology, Nilou fer hospital, Hyderabad. 5. III yr , Undergraduate, Osmania Medical College, H yderabad 6. Post graduate, Department of Pathology, Niloufer ho spital, Hyderabad. 7. III yr Undergraduate, Osmania Medical College, Hyd erabad 8. Post graduate, Department of Pathology, Niloufer ho spital, Hyderabad CORRESPONDING AUTHOR: Dr. M. Ramani, Niloufer Hospital, Red Hills, Hyderabad, Andhra Pradesh. E-mail: drmramani@sify.com HOW TO CITE THIS ARTICLE: M. Ramani, D.Ranganath, O.H. RadhikaKrishna, K.Geet ha, M.Keerthika, PujaDeshmukh, S.P.Krupani, G. Sunitha . “Clinico Pathological Review of Megaloblastic Ana emia in Children-A 7 Year Paediatric Hospital Experience.”Journal of Evolution of Medical and Den tal Sciences 2013; Vol2, Issue 23, June 10; Page: 4 136- 4142.

  9. 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.

  10. 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)

  11. 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.

  12. Dr. John McGinn: University of Limerick oral history

    OpenAIRE

    O'Connor, Catherine

    2011-01-01

    Interviewee is Dr. John McGinn, former Director of Cooperative Education and Careers in University of Limerick. Interview transcript and audio clip. Interview conducted on 31st May 2011 by Dr. Catherine O'Connor.

  13. Dr. Yu Wang, Director, Natural Science Division, National Science Council, Taiwan

    CERN Multimedia

    Patrice Loïez

    2001-01-01

    Photo 01: L. to r.: Dr. Philippe Bloch, CERN CMS ECAL Deputy Project Manager, Dr. Yu Wang, Dr. Etiennette Auffray, CERN, responsible of the CERN ECAL Regional Centre. Photo 02: L. to r.: Dr. Yu Wang, Dr. Philippe Bloch, Dr. Apollo GO, National Central University, Taiwan, Dr. Etiennette Auffray.

  14. [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.

  15. SCIENTOMETRIC PORTRAIT OF Dr. B RAMESH BABU

    OpenAIRE

    Kuri, Ramesh

    2014-01-01

    Scientometrics is an application of quantitative methods used in the history of science. It is one of the techniques for documenting works of eminent scientist and researchers. In this paper an attempt has been made to identify Dr B Ramesh Babu’s 236 articles distribute in various facets which include from single authorship to four authorship pattern; Domain wise contributions; Year wise Distributions, Authorship pattern & Collaboration and Channels of Communication.

  16. 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)

  17. 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)

  18. DR JOHN ADAMCZYK AND DR LONNIE REID EXAMINE SOFTWARE FOR THE NEW START-UP SOFTWARE - ELECTRONICS - A

    Science.gov (United States)

    1999-01-01

    DR JOHN ADAMCZYK AND DR LONNIE REID EXAMINE SOFTWARE FOR THE NEW START-UP SOFTWARE - ELECTRONICS - AND COMMUNICATIONS - SEC - INCUBATOR OPENED MAY 1 1999 AS PART OF THE LEWIS INCUBATOR FOR TECHNOLOGY - LIFT

  19. 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...

  20. 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...

  1. 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.

  2. [Life and work of Dr. Bozo Pericić (1865-1947), genius of our medicine].

    Science.gov (United States)

    Perović, Slavko; Sirovica, Stjepan

    2004-01-01

    The paper describes the life and work of on of our most distinguished physicians--Dr Bozo Pericić. Togheter with another young physician Dr Nikola Lalić the Sibenik hospital became a sort of Meca for medical people. Dr Pericić succeded to clarify an unknown disease--so called "Skrljevo disease", paved the path of to the knowledge about achinococcus etc. He published also number of valuable medical articles and books and avarded a number af aknowledgements. One of the biggest was his nomination for membership of the Supreme Haelth Council in Wienna. He contributed e lot to the medical journals, especially to the "Physician's Journal". As person of wide culture, famous linguist and polyglot Dr Pericić published the "Medical dictionary of Croatian and German Language". He lay foundation of the craniology, quite a new branch of arheology at the time. His accounts of travels, reviews on famous writers, translation of Hamlet, etc--are valuable literary works. PMID:15918326

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

    CERN Multimedia

    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.

  4. 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.

  5. 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...

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

    OpenAIRE

    José Rojas-Camayo; Ivá Huamaní

    2009-01-01

    Realizamos un estudio de casos y controles, en 123 pacientes con diagnóstico de cáncer mamario (casos) y 208 pacientes sanas (controles). En la medición se consideró el índice de masa corporal (IMC) antiguo (peso promedio de la vida adulta de la persona) e IMC actual (peso cuantificado al momento de efectuar la investigación) y otros factores de riesgo conocidos. Los IMC antiguos mostraron un riesgo incrementado tanto en mujeres en la premenopausia: sobrepeso OR: 7,29 (IC95%: 1,75 - 30,38) y ...

  7. 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

  8. 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.

  9. 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.

  10. Vjeronauk ususret državnoj maturi

    OpenAIRE

    Filipović, Ana Thea

    2010-01-01

    Državna matura, koja se prvi puta polaže školske godine 2009./2010., novost je u odgojno-obrazovnom sustavu Republike Hrvatske. Kao oblikom vanjskog vrednovanja ishoda srednjeg obrazovanja njome se želi: promicati standardiziranje obrazovnih ishoda i mjernih instrumenata, zatim na temelju mjerljivih rezultata učenja ukazati na neke jake i slabe strane našeg odgojno-obrazovnog sustava, potaknuti nove, učinkovitije oblike školskog poučavanja i učenja, pridonijeti izgradnji kvalitetnog sustava p...

  11. An interview with Dr Diane Austin

    OpenAIRE

    Patricia Preston-Roberts

    2011-01-01

    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 interview...

  12. 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.

  13. 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 Multimedia

    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

  14. 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

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

    International Nuclear Information System (INIS)

    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.

  16. 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.

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

    Directory of Open Access Journals (Sweden)

    Reanne Frank

    2004-02-01

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

  18. 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

  19. Researcher Profile: An Interview With Dr. Rebecca J. Travnichek

    OpenAIRE

    Rebecca J. Travnichek

    2011-01-01

    Dr. Rebecca Travnichek is a Family Financial Education Specialist with University of Missouri Extension. Dr. Travnichek currently serves as the Annual Conference Program Chair. She is also very active in the Association for Financial Counseling and Planning Education, where she serves on the Board of Directors. Dr. Travnichek has participated in leadership development programs at the state and national levels. She was involved in the initial proposal development of th...

  20. Decommissioning of DR 2. Final report

    International Nuclear Information System (INIS)

    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)

  1. 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?

  2. The cold neutron source in DR 3

    International Nuclear Information System (INIS)

    A description of the cold neutron source in DR 3 is given. The moderator of the cold neutron source is supercritical hydrogen at about 30degK and 15 bar abs. The necessary cooling capacity is supplied by two Philips Stirling B20 cryogenerators. The hydrogen is circulated between the cryogenerators and the in-pile moderator chamber by small fans. The safety of the facility is based on the use of triple containment preventing contact between hydrogen and air. The triple containment is achieved by enclosing the high vacuum system, surrounging the hydrogen system, in a helium blanket. The achieved spectrum of the thermal neutron flux and the gain factor are given as well as the experience from more than 5 years of operation. Finally some work on extension of the facility to operate two cold sources is reported. (author)

  3. Eigenspectra of the SDSS DR1 quasars

    CERN Document Server

    Yip, C W; Vanden Berk, Daniel E; Ma, Z; Frieman, Joshua A; Subba-Rao, M; Szalay, A S; Yip, Ching-Wa; Connolly, Andrew; Berk, Daniel Vanden; Ma, Zhaoming; Frieman, Joshua; Rao, Mark Subba; Szalay, Alex

    2004-01-01

    We construct eigenspectra from the DR1 quasars in the SDSS using the Karhunen-Lo\\`eve (KL) transform (or Principal Component Analysis, PCA) in different redshift and luminosity bins. We find that the quasar spectra can be classified, by the first two eigenspectra, into a continuous sequence in the variation of the spectral slope. We also find a dependence on redshift and luminosity in the eigencoefficients. The dominant redshift effect is the evolution of the blended Fe~II emission (optical) and the Balmer continuum (the ``small-bump'', $\\lambda_{rest} \\approx 2000-4000$\\AA), while the luminosity effect is related to the Baldwin effect. Correlations among several major broad emission lines are found, including the well-known ``Eigenvector-1''.

  4. 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)

  5. 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.

  6. 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

  7. 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.

  8. 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.

  9. ¿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.

  10. 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).

  11. 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.

  12. 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.

  13. 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

  14. Hubungan Rotasi Kerja Dan Burnout Dengan Kepuasan Kerja Perawat Di Rumah Sakit Jiwa Prof. Dr. Muhammad Ildrem Medan

    OpenAIRE

    Damanik, Derma Wani

    2016-01-01

    Psychiatric nursing is an area which has the high burnout level with the low work satisfaction. Implementation of work rotation is considered to be able to improve efficiency of management resource to prepare competent nurses, professional knowledge, and provide inspiration to reach the high performance to improve nursing care quality. The objective of the research is to test the correlation of work rotation and burnout with the nurse’s work satisfaction in Mental Hospital Prof. Dr. Muhammad ...

  15. 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,...

  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. Results from DR and Instrumentation Test Facilities

    CERN Document Server

    Urakawa, Junji

    2005-01-01

    The KEK Accelerator Test Facility (ATF) is a 1.3GeV storage ring capable of producing ultra-low emittance electron beams and has a beam extraction line for ILC R&D. The ATF has proven to be an ideal place for researches with small, stable beams. 2x1010 single bunch and low current 20 bunch-train with 2.8nsec bunch spacing have been extracted to develop Nano-Cavity BPM’s, FONT, Nano Beam Orbit handling (FEATHER), Optical Diffraction Radiation (ODR) monitor, a precision multi-bunch laser-based beam profile monitor and polarized positron beam generation via backward-Compton scattering by the international collaboration. A set of three cavity BPM's is installed in the ATF extraction line on a set of extremely stiff supports. The KEK group installed another set of three BPM's, with their own support mechanism. The full set of 6 will prove extremely useful. In the DR (Damping Ring), we are researching the fast ion instability, micro-wave instability with four sets of damping wiggler and developing pul...

  18. 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...

  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. 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

    2015-03-01

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

  1. 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

  2. 78 FR 29781 - Before Administrative Judges: Ronald M. Spritzer, Chairman, Dr. Anthony J. Baratta, Dr. Randall J...

    Science.gov (United States)

    2013-05-21

    ... From the Federal Register Online via the Government Publishing Office NUCLEAR REGULATORY COMMISSION Atomic Safety and Licensing Board Before Administrative Judges: Ronald M. Spritzer, Chairman, Dr. Anthony J. Baratta, Dr. Randall J. Charbeneau; In the Matter of Detroit Edison Company (Fermi...

  3. Pengaruh Kualitas Pelayanan terhadap Kepuasan Pasien Rawat Inap Peserta Askes Sosial di Rumah Sakit Umum Daerah Dr. Pirngadi Medan

    OpenAIRE

    Haryanti, Trisna

    2012-01-01

    The patient satisfaction is one indicator of hospital services. Based on the result of the preliminary survey conducted at dr. Pirngadi General Hospital Medan, it is found that the visit of the Social Health Assurance in-patients decreased for 10.5% within the period of 2009-2010. The decrease is assumed to the level of satisfaction of the Social Health Assurance in-patients. The purpose of this explanatory survey study was to analyze the influence of quality of Service on the satisfacti...

  4. 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

  5. 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.

  6. Gambaran Derajat Merokok Pada Penderita PPOK di Bagian Paru RSUP Dr. M. Djamil

    Directory of Open Access Journals (Sweden)

    Fadhil el Naser

    2016-08-01

    Full Text Available AbstrakPenyakit Paru Obstuktif Kronik (PPOK adalah penyakit dengan karakteristik keterbatasan saluran napas yang tidak sepenuhnya reversibel dan dapat dicegah. Indonesia merupakan salah satu negara berkembang yang memiliki jumlah perokok aktif yang tinggi. Tujuan penelitian ini adalah untuk mengetahui gambaran derajat merokok pada penderita PPOK di Bagian Paru Rumah Sakit Umum Pusat Dr. M. Djamil Padang. Ini adalah penelitian deskriptif retrospektif dengan menggunakan data rekam medik penderita merokok dengan yang dirawat di Bagian Paru Rumah Sakit Umum Pusat Dr. M. Djamil. Data sekunder diambil dari rekam medik penderita Penyakit Paru Obstruktif Kronik (PPOK yang dirawat di Bagian Paru Rumah Sakit Umum Pusat dari  1 Januari 2013 sampai 31 Desember 2013. Data diolah secara manual dan disajikan dalam bentuk tabel distribusi frekuensi. Sebanyak 20 subjek didapatkan nilai indeks brinkman berat sebanyak 15 orang. Setelah dilakukan uji statistik didapatkan hubungan yang signifikan antara derajat merokok dengan derajat keparahan PPOK (p = 0,033 dan korelasi yang kuat antara keduanya (r  = 0,577. Terdapat hubungan yang signifikan dan korelasi yang kuat antara derajat merokok dengan derajat keparahan PPOK.Kata kunci: merokok. indeks Brinkman, PPOK AbstractCOPD is a disease with airway limitation characteristic. That is not fully reversible and can be prevented. Smoking is the leading cause of COPD. Indonesia is one of the developing countries that have a high number of active smokers. The increase in prevalence is also occurred in the province of West Sumatra, which increased from 30.2% in 2007 to 38.4% in 2010. The objective of this study was to describe the degree of smoking in patients with COPD in Pulmonary Section General Hospital Dr. M. Djamil. This study used a retrospective descriptive design using medical record data of smoker patients with Chronic Obstructive Pulmonary Disease (COPD who were treated in the Pulmonary Section General Hospital

  7. Your Town Television Show: GSBPP Dean Dr. William Gates, Dr. Keenan Yoho, Terry Rea Interview [video

    OpenAIRE

    Naval Postgraduate School (U.S.)

    2012-01-01

    Dean Bill Gates of GSBPP was a featured guest on the Your Town Television program on February 14, 2012 which offered an in-depth look at the highly acclaimed business school, which is planning a series of events in 2012 to commemorate 50 years of graduate business education and research at NPS. Dr. Keenan Yoho, assistant professor of operations and logistics management, and Terry Rea, a business school alumnus and former military associate dean of the school, were also guests on the program.

  8. [DR. SHOSHANA SZKOP-FRENKIEL: THE FIRST FEMALE PLASTIC SURGEON IN ISRAEL].

    Science.gov (United States)

    Shehory-Rubin, Zipora

    2015-11-01

    In the history of Israeli medicine, Dr. Shoshana Szkop-Frenkiel is regarded as the first plastic surgeon in the country and among the founders of the profession of plastic surgery. This article describes the long road she traveled, from her acceptance into medical studies in Vilna--at a time when the entry of any woman to the faculty of medicine was strictly limited and of Jewish women in particular; her emigration to Eretz Israel and her struggles as she underwent training in internal medicine at the "Hadassah" Hospital in Tel-Aviv, when she was denied training as a surgeon; and up to the moment she was accepted by the plastic surgery unit of the Tel Hashomer Hospital and became the first such female practitioner in Israel. Dr. Shoshana Szkop-Frenkiel thus fulfilled a childhood dream to become a surgeon at a time when women were excluded from surgery on the grounds that it called for "male" characteristics. This article is intended to illustrate the character of a female doctor pursuing a career in surgery during the time of the British Mandate, to illuminate her professional travails in Israel, and to emphasize her important contribution in the field. PMID:26821508

  9. The decisive decade. Interview: Dr. Nafis Sadik.

    Science.gov (United States)

    1989-01-01

    The interview with Dr. Nafis Sadik, Director of the UN Family Planning Association (UNFPA), involved questions about the Fund's major achievements, the effect of withdrawal of US funds on UNFPA programs, the role of UNFPA in bridging environmental, population, and development objectives as stated in the Bruntland Commission initiatives, awareness building, the role of UNFPA in dealing with resource deficits in countries with high growth populations, the seriousness of the 1990s decade as critical to the future. and UNFPA's priorities for the next 10 years. The Fund's accomplishments are in getting political systems to recognize as an important part of development, in broadening the concept of population to include quality of life and spatial distribution and growth, and in obtaining funding to continue operating without US funds. The US withdrawal of funds has affected UNFPA's funding in Africa since 1985. UNFPA is actively working to help other agencies integrate FP into conservation strategies, and to consider the education of women and provision for FP information in a variety of programs. Sustainable development must occur at the grass roots level, or from the ground up. Programs must be implemented with an understanding of local needs and desires and with cultural sensitivity. A review of findings over 20 years led to an understanding that many countries had no strategy or plans for population programs even with a lot of development assistance, and programs were transplanted without consideration of local needs. UNFPA is not urging that national development strategies must incorporate population planning, and to target education to young people who will soon be entering reproductive ages during the decade ahead. Governments have begun to recognize that the next 10 years will determine the future, and population does affect the crisis of resources. UNFPA's priorities are to the education of youth, to design special curricula in schools for educating about

  10. Evidence for a new HLA class II determinant present on cells from HLA-DR1 and/or -DR4 individuals.

    Science.gov (United States)

    Lepage, V; Alcalay, D; Douay, C; Mallet, C; Loiseau, P; Degos, L; Colombani, M; Colombani, J

    1985-02-01

    Evidence for a new HLA class II specificity is presented. It is recognized by LE serum, which reacts with most DR1 and/or DR4 individuals (r = 0.86). Its frequency in the French population is 0.33. Absorption-elution experiments showed that the serum reactivity was not due to a mixture of anti-DR1 and anti-DR4 antibodies, but to a single antibody population which could be absorbed on and eluted from both DR1(+) or DR4(+) cells. LE specificity seemed to be expressed on DR but not on DQ molecules since the serum reacted with and could be absorbed by DR+,DQw- cells; it did not react with a DR-,DQw+ mutant cell, but did react with the DR+,DQw+ parental cell. The relationship between LE specificity and MC1 and Te23 specificities remains to be determined. PMID:2581334

  11. 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.

  12. Tri razsežnosti pravne države

    OpenAIRE

    Kristan, Andrej

    2014-01-01

    Le redko kdo poudarja, da dostop posameznikov do ustavnega sodišča ni namenjen zgolj varstvu človekovih pravic, ampak pomembno pripomore tudi k resnični ustavnosti pravnega reda. Ob napovedovanih ustavnih spremembah zato v tej razpravi razčlenim povezavo med zasebnim dostopom do ustavnega sodišča in pojmom pravne države. V ta namen izrišem tudi velik del pomenskega ogrodja pravne države. Na koncu različne oblike ustavnonadzornih ureditev razvrstim glede na to, ali pravno državo krepijo ali pa...

  13. [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.

  14. [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. PMID:27598958

  15. 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

  16. 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.

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

    OpenAIRE

    Lúcia Marinilza Beccaria; Neide Fávero

    2000-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Raquel Azevedo de Castro

    2010-06-01

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

  19. 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

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

    Science.gov (United States)

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

    2016-01-01

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

  1. 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

  2. Dr. J.G. Thoomes - bovenmeester en dominee

    OpenAIRE

    Thoomes, D.T.

    2010-01-01

    Ter gelegenheid van het 25-jarig bestaan van de Vereniging Oud-Veenendaal verscheen in 2010 de bundel 'Markante Veenendalers'. Eén van de levensverhalen gaat over het schoolhoofd dr. J.G. Thoomes (1909-2004).

  3. 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.

  4. Dr. Zhang Zhijun'S Experience in Treating Stroke with Medicinal Insects

    Institute of Scientific and Technical Information of China (English)

    Zhang Liling; Zhang Gang; Zhang Liping

    2005-01-01

    @@ Dr. Zhang Zhijun, father of the authors, had rich experience in treating senile cardiovascular diseases with integrated TCM and western medicine. The following is an introduction to his experience in the treatment of stroke with medicinal insects.

  5. 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.

  6. 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.

  7. 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.

  8. Prof. Dr. Asuman Efe's Cirriculum Vitea and Scientific Publications

    OpenAIRE

    Akkemik, Ünal

    2011-01-01

    AbstractProf. Dr. Asuman Efe, born in Ardahan in 1955, passed away in a terrible traffic accident on June 08, 2010 too sadly. Prof. Efe was the Chairmanship of the Department of Forest Botany, Faculty of Forestry, İstanbul University. She served as an academician about 32 years in the Department of Forest Botany. She published many books and research papers in the international and national scientific journals.Keywords:Prof. Dr. Asuman Efe, Department of Forest Botany

  9. 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...

  10. 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.

  11. 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.

  12. Dr-FtsA, an actin homologue in Deinococcus radiodurans differentially affects Dr-FtsZ and Ec-FtsZ functions in vitro.

    Directory of Open Access Journals (Sweden)

    Kruti Modi

    Full Text Available The Deinococcus radiodurans genome encodes homologues of divisome proteins including FtsZ and FtsA. FtsZ of this bacterium (Dr-FtsZ has been recently characterized. In this paper, we study FtsA of D. radiodurans (Dr-FtsA and its involvement in regulation of FtsZ function. Recombinant Dr-FtsA showed neither ATPase nor GTPase activity and its polymerization was ATP dependent. Interestingly, we observed that Dr-FtsA, when compared with E. coli FtsA (Ec-FtsA, has lower affinity for both Dr-FtsZ and Ec-FtsZ. Also, Dr-FtsA showed differential effects on GTPase activity and sedimentation characteristics of Dr-FtsZ and Ec-FtsZ. For instance, Dr-FtsA stimulated GTPase activity of Dr-FtsZ while GTPase activity of Ec-FtsZ was reduced in the presence of Dr-FtsA. Stimulation of GTPase activity of Dr-FtsZ by Dr-FtsA resulted in depolymerization of Dr-FtsZ. Dr-FtsA effects on GTPase activity and polymerization/depolymerisation characteristics of Dr-FtsZ did not change significantly in the presence of ATP. Recombinant E. coli expressing Dr-FtsA showed cell division inhibition in spite of in trans expression of Dr-FtsZ in these cells. These results suggested that Dr-FtsA, although it lacks ATPase activity, is still functional and differentially affects Dr-FtsZ and Ec-FtsZ function in vitro.

  13. Dr-FtsA, an actin homologue in Deinococcus radiodurans differentially affects Dr-FtsZ and Ec-FtsZ functions in vitro.

    Science.gov (United States)

    Modi, Kruti; Misra, Hari S

    2014-01-01

    The Deinococcus radiodurans genome encodes homologues of divisome proteins including FtsZ and FtsA. FtsZ of this bacterium (Dr-FtsZ) has been recently characterized. In this paper, we study FtsA of D. radiodurans (Dr-FtsA) and its involvement in regulation of FtsZ function. Recombinant Dr-FtsA showed neither ATPase nor GTPase activity and its polymerization was ATP dependent. Interestingly, we observed that Dr-FtsA, when compared with E. coli FtsA (Ec-FtsA), has lower affinity for both Dr-FtsZ and Ec-FtsZ. Also, Dr-FtsA showed differential effects on GTPase activity and sedimentation characteristics of Dr-FtsZ and Ec-FtsZ. For instance, Dr-FtsA stimulated GTPase activity of Dr-FtsZ while GTPase activity of Ec-FtsZ was reduced in the presence of Dr-FtsA. Stimulation of GTPase activity of Dr-FtsZ by Dr-FtsA resulted in depolymerization of Dr-FtsZ. Dr-FtsA effects on GTPase activity and polymerization/depolymerisation characteristics of Dr-FtsZ did not change significantly in the presence of ATP. Recombinant E. coli expressing Dr-FtsA showed cell division inhibition in spite of in trans expression of Dr-FtsZ in these cells. These results suggested that Dr-FtsA, although it lacks ATPase activity, is still functional and differentially affects Dr-FtsZ and Ec-FtsZ function in vitro.

  14. Hospital fundamentals.

    Science.gov (United States)

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

    2014-07-01

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

  15. 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.

  16. 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.

  17. 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

  18. 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

  19. 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

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

    Directory of Open Access Journals (Sweden)

    Maristela Santini Martins

    2008-03-01

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

  1. 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.)

  2. 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.

  3. 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...

  4. 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

  5. Karakteristik Penderita Penyakit Jantung Bawaan pada Anak di RSUP Dr. M. Djamil Padang Periode Januari 2010 – Mei 2012

    Directory of Open Access Journals (Sweden)

    Nur Ain

    2015-09-01

    Full Text Available Abstrak Penyakit jantung bawaan (PJB merupakan defek lahir yang sering ditemukan dan merupakan penyebab kematian terbanyak dari semua jenis kelainan bawaan. Banyak penelitian yang menunjukkan bahwa adanya variasi secara geografik yang penting pada insiden PJB. Tujuan penelitian ini adalah untuk mengetahui variasi karakteristik dari penderita PJB anak di RSUP Dr. M. Djamil Padang. Jenis penelitian yang digunakan adalah penelitian deskriptif dengan melihat karakteristik penderita anak dengan PJB pada data rekam medik. Sampel penelitian ini adalah 55pasien anak yang menderita penyakit jantung bawaan di RSUP Dr. M. Djamil Padang dari Januari 2010 sampai Mei 2012. Mayoritas penderita adalah perempuan (61,8%, dan mayoritas umur sampel terdapat pada kelompok umur kurang dari 1 tahun (56.4%. Jenis PJB terbanyak adalah TF (21,8% dan gejala yang paling sering dijumpai adalah sesak nafas (50,9%. Sebanyak (34,5% penderita memiliki penyakit kongenital lain, dengan penyakit nonsindroma terbanyak adalah atresia ani dan omfalokel dengan masing-masing (22,2% dan penyakit sindroma terbanyak adalahsindroma Down (40%. Gagal tumbuh terdapat pada (49,1% penderita. Nilai Hb PJB sianotik lebih tinggi berbanding asianotik. Tingkat tindakan operatif kasus PJB anak di RSUP Dr. M. Djamil Padang adalah 1,8%. Terdapat variasi karakteristik dari penderita PJB yang ada di RSUP Dr. M. Djamil Padang.Kata kunci: penyakit jantung bawaan, anak, variasi karakteristik Abstract Congenital heart disease (CHD is a common birth defect, and a leading cause of deaths linked to birth defects. Many studies show that the presence of significant geographic variation in the incidence of CHD. The objective of this study was to determine the variation of the characteristics of patients with CHD in Dr. M. Djamil Hospital Padang. This research is a descriptive research by observing at the characteristics of children with CHD using the medical record data. The total sample of this study was 55

  6. Hubungan Status Gizi dengan Derajat Pneumonia pada Balita di RS. Dr. M. Djamil Padang

    Directory of Open Access Journals (Sweden)

    Mia Nurnajiah

    2016-01-01

    2014 in medical record centre of. Dr.  M. Djamil Padang Hospital. Subjects of this research were 105 children aged less than 5 years which are selected by inclusion and exclusion criterias. The indicator used for nutritional status was based on weight per age with CDH chart referred by WHO-NCHS. Fifty one subjects (91,1% with pneumonia (mil to moderate had good nutritional status and 18 subjects (8,9% with severe pneumonia were lack in their nutritional status. The result showed a significant relationship between nutritional status and pneumonia with p < 0,05. The conclusion is that a nutritional status has significant relationship to pneumonia severity of children aged less than 5 years in Dr. M. Djamil Padang Hospital. Most of those children suffered from severe pneumonia are in undernutrition.Key words: nutritional status, pneumonia severity, children aged less than 5 years

  7. 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.

  8. 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

  9. 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

  10. 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

  11. The development of a specialty: an interview with Dr. Mark C. Rogers, a pioneering pediatric intensivist.

    Science.gov (United States)

    Mai, Christine L; Firth, Paul G; Ahmed, Zulfiqar; Rodriguez, Samuel; Yaster, Myron

    2014-09-01

    Dr. Mark C. Rogers (1942-), Professor of Anesthesiology, Critical Care Medicine, and Pediatrics at the Johns Hopkins University, was recruited by the Department of Pediatrics at Johns Hopkins Hospital in 1977 to become the first director of its pediatric intensive care unit. After the dean of the medical school appointed him to chair the Department of Anesthesia in 1979, Rogers changed the course and culture of the department. He renamed it the Department of Anesthesiology and Critical Care Medicine, and developed a long-term strategy of excellence in clinical care, research, and education. However, throughout this period, he never lost his connection to pediatric intensive care. He has made numerous contributions to pediatric critical care medicine through research and his authoritative textbook, Rogers' Textbook of Pediatric Intensive Care. He established a training programme that has produced a plethora of leaders, helped develop the pediatric critical care board examination, and initiated the first World Congress of Pediatric Intensive Care. Based on a series of interviews with Dr. Rogers, this article reviews his influential career and the impact he made on developing pediatric critical care as a specialty. PMID:25065470

  12. 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...

  13. GINGIVAL HYPERPLASIA IN HYPERTENSION PATIENTS AT THE ENDOCRINE CLINIC DR. WAHIDIN SUDIROHUSODO HOSPITAL MAKASSAR

    OpenAIRE

    Adam, Mardiana

    2013-01-01

    Hypertension is a common disease found in communities and routinely treated with long-term antihypertension regimens. Most internist who treat hypertension patients underestimated periodontal tissues health and not connecting to the hypertension events or medication used. This medications stimulate fibroblast cells proliferation, and eventually cause gingival hyperplasia. This study conducted to observe hyperplasia events in hy...

  14. 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.

  15. 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.

  16. 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.

  17. Study of photoluminescence properties of thin films DR1

    Science.gov (United States)

    Herman, Ulya, Naily

    2015-09-01

    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.

  18. Academic Hospitality

    Science.gov (United States)

    Phipps, Alison; Barnett, Ronald

    2007-01-01

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

  19. Hospital Malnutrition

    OpenAIRE

    Asumadu-Sarkodie, Samuel

    2012-01-01

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

  20. Hospitality Management.

    Science.gov (United States)

    College of the Canyons, Valencia, CA.

    A project was conducted at College of the Canyons (Valencia, California) to initiate a new 2-year hospitality program with career options in hotel or restaurant management. A mail and telephone survey of area employers in the restaurant and hotel field demonstrated a need for, interest in, and willingness to provide internships for such a program.…

  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. ALS - resources

    Science.gov (United States)

    Resources - ALS ... The following organizations are good resources for information on amyotrophic lateral sclerosis : Muscular Dystrophy Association -- mda.org/disease/amyotrophic-lateral-sclerosis National Amyotrophic Lateral Sclerosis (ALS) Registry -- ...

  3. Cold imprint of supervoids in the Cosmic Microwave Background re-considered with Planck and BOSS DR10

    CERN Document Server

    Kovács, András

    2015-01-01

    We analyze publicly available void catalogs of the Baryon Oscillation Spectroscopic Survey Data Release 10 at redshifts $0.4DR10 void catalog provides the first chance to spectroscopically probe the volume of the Granett et al. (2008) supervoid catalog that constitutes the only set of voids which has shown a significant detection of a cross-correlation signal between void locations and average CMB chill. We found that the positions of voids identified in the spectroscopic DR10 CMASS galaxy catalog typically do not coincide with the locations of the Granett et al. (2008) supervoids in the overlapping volume, in spite of the presence of large underdense regions of high void-density in DR10. The stacking of filtered CMB temperatures at these different void locations shows a $\\Delta T = - 6.2 \\pm 3.4 ~\\mu K$ signal for the 120 largest voi...

  4. Handlungsspielräume und Zwänge in der Medizin im Nationalsozialismus : Das Leben und Werk des Psychiaters Dr. Hans Roemer (1878-1947)

    OpenAIRE

    Plezko, Anna

    2011-01-01

    Der letzte Direktor der psychiatrischen Anstalt Illenau (Baden), Dr. Hans Roemer, war ein überzeugter Eugeniker und somit ein starker Befürworter der Sterilisationspolitik. Mit der Machtübernahme durch die Nationalsozialisten 1933 und deren Gesetzgebung zur Vernichtung des lebensunwerten Lebens 1939 änderte sich Dr. Hans Roemers Einstellung zur Eugenik, denn der Euthanasie wollte er nicht Folge leisten. Als Geschäftsführer des Dt. Vereins für psychische Hygiene sorgte er durch seine vehemente...

  5. 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.

  6. Burnout and Related Factors among Hospital Nurses

    OpenAIRE

    Higashiguchi, Kazuyo; Morikawa, Yuko; Miura, Katsuyuki; Nishijo, Muneko; Tabata, Masaji; Ishizaki, Masao; Nakagawa, Hideaki

    1999-01-01

    Burnout and Related Factors among Hospital Nurses: Kazuyo HIGASHIGUCHI, et al. Department of Nursing, Kanazawa Medical University—The overall goal of this study is to examine the relationship between burnout in hospital nurses and three parameters: occupational factors, individual attributes, and workplace stressors. Two hundred and sixty-eight female nurses from two public general hospitals were surveyed. Three forms were used: first, a demographic data form to ascertain personal attributes;...

  7. Hospital infections in neonatal intensive care units

    OpenAIRE

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

    2005-01-01

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

  8. 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

  9. Dr. Zhao Jianxiong's Experience in Treating Allergic Purpura

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    @@ Dr. Zhao Jianxiong (赵健雄) has been engaged in traditional Chinese medicine for more than 40 years. He is good at treating severe and obstinate diseases of internal medicine and gynecology with his empirical prescriptions, and excels in the treatment of hematopathy. The following is a brief summary of his experience in the treatment of allergic purpura.

  10. 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

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. 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.

  16. Researcher Profile: An Interview With Dr. Rebecca J. Travnichek

    Directory of Open Access Journals (Sweden)

    Rebecca J. Travnichek

    2011-04-01

    Full Text Available

    Dr. Rebecca Travnichek is a Family Financial Education Specialist with University of Missouri Extension. Dr. Travnichek currently serves as the Annual Conference Program Chair. She is also very active in the Association for Financial Counseling and Planning Education, where she serves on the Board of Directors. Dr. Travnichek has participated in leadership development programs at the state and national levels. She was involved in the initial proposal development of the Financial Security for All Community of Practice with eXtension and continues to be involved through several roles. She is active in the National Extension Association of Family and Consumer Sciences at the national and state levels, serving in multiple leadership roles. For the past three years, Dr. Travnichek has also served as the Editor of the Journal of the National Extension Association of Family and Consumer Sciences. She represents the type of person who makes the Financial Therapy Association a dynamic organization linking practitioners and academicians.

  17. 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

  18. Bullying Among Teenage Girls: An Interview with Dr. Harriet Mosatche

    Science.gov (United States)

    Prevention Researcher, 2004

    2004-01-01

    Dr. Harriet Mosatche is an advice columnist on a web site for teen girls, as well as the Senior Director of Research and Programs at the Girl Scouts of the USA. Because of these dual roles, she has a unique perspective on the bullying issue. In this interview she answers a number of questions about bullying among teenage girls, including how boys…

  19. 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.

  20. Dr. Gerd Kaminski Receives Title of Friendship Ambassador

    Institute of Scientific and Technical Information of China (English)

    YinShenglun; LuHongwei

    2004-01-01

    The Austrian Association for Promotion of Friendship and Cultural Relations with China (AAPFCRC) was founded in 1971 at the initiation of Dr. Gerd Kaminski. The Association receives support from the Federal Council, the National Council, the Federal Government and all major political parties of Austria,

  1. 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...

  2. Dr. Wang Huiwu's Experience of in Treating Pruritus

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    @@ Pruritus is a common symptom that can be seen in many diseases, and it is also a disease if with only the itching sensation but with no other primary diseases. Dr. Wang Huiwu (王辉武) is good at treating various types of pruritus with medicinal herbs, as summarized as follows.

  3. 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…

  4. 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

  5. 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

  6. Genetic variants of complement component 3 (C3) in DR4 positive and DR4 negative rheumatoid arthritis.

    OpenAIRE

    Thomson, W; Dyer, P A; Sanders, P A; Grennan, D M

    1986-01-01

    C3 allotypes were defined in 86 Caucasoid patients with rheumatoid arthritis living in the north west of England and in 80 local, healthy controls. C3 allotype and phenotype frequencies were similar in RA (whether DR4 positive or negative) and control groups.

  7. Karakteristik Pasien Tonsilitis Kronis pada Anak di Bagian THT-KL RSUP Dr. M. Djamil Padang Tahun 2013

    Directory of Open Access Journals (Sweden)

    Ivan Maulana Fakh

    2016-08-01

    Full Text Available AbstrakTonsilitis Kronis merupakan penyakit yang paling sering terjadi diantara semua penyakit tenggorok terutama pada anak.  Penyakit ini terjadi karena adanya serangan lanjutan pada tonsil yang telah mengalami peradangan sebelumnya yang disebabkan oleh virus atau bakteri.Tonsilitis Kronis menempati urutan kedua tertinggi penyakit THT di Indonesia. Tujuan penelitian ini adalah mengetahui karakteristik tonsilitis kronis pada anak  di Bagian THT-KL RSUP Dr. M. Djamil Padang. Penelitian ini bersifat deskriptif dengan Case Series yang dilakukan di RSUP Dr. M. Djamil Padang. Populasi adalah data pasien tonsilitis kronis dengan usia <18  tahun yang datang ke bagian poliklinik THT RSUP Dr. M. Djamil Padang sejak Januari sampai Desember 2013. Sampel diambil dari semua data rekam medis yang termasuk dalam populasi yakni sebanyak 50 sampel. Berdasarkan data rekam medis didapatkan pasien tonsilitis kronis pada anak paling banyak terdapat pada kelompok umur 10-14 tahun sebanyak 50%, jenis kelamin perempuan sebanyak 56%, keluhan utama nyeri menelan berulang sebanyak 56%, ukuran tonsil T3-T3 sebanyak 68%, penatalaksanaan secara operatif sebanyak 88%. Kesimpulan studi ini ialah karakteristik pasien tonsilitis kronis pada anak paling banyak ditemukan pada perempuan dengan usia 10-14 tahun, memiliki keluhan utama nyeri menelan berulang dengan ukuran tonsil t3-t3, dan ditatalaksana dengan cara operatif.Kata kunci: tonsilitis kronis, anak, keluhan Abstract   Chronic tonsillitis  is  the most common disease among throats disease specially in children. Chronic tonsillitis happened because of recurrent inflammation in tonsil that caused by bacteria or virus. This disease is the second most common ENT disease in Indonesia.The objective of this study was to investigate the characteristic of chronic tonsillitis in children in Dr. M. Djamil Hospital in Padang. This was a descriptive study with case series design on medical records of  tonsillitis chronic

  8. 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.

  9. [Identification of HLA-DR antigenic disparities favorable and unfavorable in renal transplantation].

    Science.gov (United States)

    Vereerstraeten, P; Dupont, E; Andrien, M; Kinnaert, P; Toussaint, C

    1989-01-01

    In order to detect possible influences of donor (D)/recipient (R) HLA-DR antigen disparities on graft survival, 310 renal cadaver transplantations performed from January 1980 to July 1988 were analyzed. For each DR1 to DR7 specificity, 4 combinations were considered according to the presence (pos) or the absence (neg) of the antigen in the D and in the R. Logistic regression was used to study graft survival during two postoperative periods: A (month 1 to 3) and B (month 4 to 24). The following combinations exerted a beneficial effect on survival: DR5 and DR7 Dpos/Rneg for period A, DR4 Dpos/Rneg and DR5 Dneg/Rpos for period B, whereas DRw6 and DR7 Dneg/Rpos for period A, DR1 and DR2 Dpos/Rneg, DR2 and DRw6 Dneg/Rpos for period B exerted a detrimental effect. Graft survival at two years was similar (83%) in HLA-DR identical pairs and in recipients with beneficial and no detrimental HLA-DR disparities, contrasting with poorer outcome in patients with either mixed beneficial and detrimental HLA-DR disparities (67%: p less than 0.05) or detrimental (and no beneficial) HLA-DR disparities (55%: p less than 0.001). The use of relevant D/R HLA-DR disparities for predicting graft outcome could lead to results similar to those currently reported with the best HLA-matched kidneys, from a much smaller pool of recipients. PMID:2654687

  10. An investigation on implementation of clinical governance: A case study of an Iranian hospital

    Directory of Open Access Journals (Sweden)

    Elahe Parsaamal

    2013-10-01

    Full Text Available Clinical Governance (CG generally aims to enhance the quality of clinical services, increases the accountability of those who are responsible for health affairs. This study examines the quality of presenting medical services in Dr. Shariati hospital in Tehran after executing the CG project. To attain the aforesaid goal, this research also surveys the implementation rate of CG in Dr. Shariati hospital based on the CG seven-pillar model. The study is a descriptive and cross-sectional research fulfilled in summer 2013. Statistical population contains the employees of Dr. Shariati hospital in Tehran and the research sample includes 80 people of the mentioned population who were selected, randomly. Data was gathered through a questionnaire and the experts confirmed its validity and the reliability was approved via Cronbach's alpha of 0.947 and then, the analysis was carried out by the SPSS software and T-test. The findings for each CG pillar in Dr. Shariati hospital have placed less than the medium amount and they are not in desirable level. The CG at the above-mentioned hospital places in a medium rank so that the efforts by the managers will create successful changes at the hospital; meanwhile, the managers will be able to utilize the CG method in systematic prediction of changeable priorities to present the best strategies for achievable performance of managerial techniques and processes.

  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. Peptide binding predictions for HLA DR, DP and DQ molecules

    DEFF Research Database (Denmark)

    Wang, P.; Sidney, J.; Kim, Y.;

    2010-01-01

    their performance. CONCLUSION: We found that 1) prediction methodologies developed for HLA DR molecules perform equally well for DP or DQ molecules. 2) Prediction performances were significantly increased compared to previous reports due to the larger amounts of training data available. 3) The presence...... include all training data for maximum performance. 4) The recently developed NN-align prediction method significantly outperformed all other algorithms, including a naïve consensus based on all prediction methods. A new consensus method dropping the comparably weak ARB prediction method could outperform......BACKGROUND: MHC class II binding predictions are widely used to identify epitope candidates in infectious agents, allergens, cancer and autoantigens. The vast majority of prediction algorithms for human MHC class II to date have targeted HLA molecules encoded in the DR locus. This reflects...

  13. INTAS Secretary General Dr. J. Sinnaeve visiting Athena experiment.

    CERN Multimedia

    Patrice Loiez

    2002-01-01

    Photo 1: INTAS Secretary General Dr. J. Sinnaeve, N. Koulberg, Prof. H. Bokemeyer Head of Physics at INTAS, D.O.Williams and Rolf Landua visiting ATHENA. Photo 2: Prof. H. Bokemeyer Head of Physics at INTAS, INTAS Secretary General J. Sinnaeve and Rolf Landua visiting ATHENA. Photo 3: In the control room of ATHENA, Rolf Landua, Prof. H. Bokemeyer Head of Physics at INTAS and INTAS Secretary General Dr. J. Sinnaeve. INTAS is an independent International Association formed by the European Community, European Union´s Member States and like minded countries acting to preserve and promote the valuable scientific potential of the NIS partner countries through East-West Scientific co-operation.

  14. A Study of Dr. Gao Huiyuan's New Prescriptions

    Institute of Scientific and Technical Information of China (English)

    Wang Fawei; Hao Aizhen

    2006-01-01

    @@ Dr. Gao Huiyuan (1922- 2002) was born in a family of doctors of TCM who have practiced for generations, and was later a student of the well-known TCM expert Pu Fuzhou. Dr. Gao Huiyuan not only excelled in treating diseases of internal medicine, gynecology, and pediatrics with TCM, but also in the clinical treatment and health care of senile diseases and emergency treatment of intractable and serious diseases. Based on his more than 60 years clinical practice, he had gradually formed his own treating style of using less drugs,small in dosage and mild in property and developed many new prescriptions, which were very effective for some stubborn diseases. Following is an introduction of some of his new prescriptions.

  15. 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.

  16. THE MAN HAD LINGUISTICS LIKED: PROF. DR. DOĞAN AKSAN DİL BİLİMİNİ SEVDİREN ADAM: PROF. DR. DOĞAN AKSAN (1929-2010

    Directory of Open Access Journals (Sweden)

    Ahmet Turan SİNAN

    2010-10-01

    Full Text Available Who is the linguistics studies’ the one of innovators in Turkey, Prof. Dr. Doğan Aksan is very important scientist who fall in love with Turkish, reweal the richness and power of expression of our mother tangue. He displays a lot of European turcologits’ delussions as A. von Gabain, R. Giraud, J. Kramsky for Turkish with his studies. Aksan, who writes a lot of studies for shabbiness, semantic features, expression, flexibility of Turkish, Turkish education, takes place between founders of linguistic in Turkey. He displays the big love to Turkish by serving to Turkish in the light of the methods and techniques of universal linguistic. Prof. Dr. Doğan Aksan will be remember always as a very important scientist and the man had linguistics liked. Türkiye’deki dil bilim çalışmalarının öncülerinden olan Prof. Dr. Doğan Aksan; Türkçeye gönül vermiş, anlam bilim çalışmaları ile ana dilimizin zenginliğini ve anlatım gücünü gözler önüne seren çok önemli bir bilim adamıdır. Bu çalışmaları ile A. von Gabain, R. Giraud, J. Kramsky gibi birçok Avrupalı Türkologun Türkçeye yönelik yanılgılarını da ortaya koymuştur. Türkçenin eskiliğine, anlamsal özelliklerine, anlatım gücü ve esnekliğine, Türkçe öğretimine yönelik birçok esere imza atan Aksan, Türkiye’de dil bilimin kurucuları arasında yer alır. Türkçeye olan büyük sevgisini evrensel dil bilimin yöntem ve teknikleri ışığında hizmet ederek göstermiştir. Prof. Dr. Doğan Aksan, çok önemli bir bilim adamı ve her şeyden önce dil bilimi sevdiren kişi olarak daima hatırlanacaktır.

  17. Talking Agricultural Sustainability Issues - an Interview with Dr. Gurdev Khush

    OpenAIRE

    Bhullar, Gurbir S

    2013-01-01

    Dr. Gurdev Khush is an agricultural scientist well known to the world for his remarkable role in the development of high-yielding rice varieties, which greatly contributed towards ushering a number of countries (particularly in Asia) into the Green Revolution. While leading research at the International Rice Research Institute in the Philippines, as Principal Plant Breeder and Head of the Plant Breeding, Genetics and Biochemistry division, he contributed more than 300 rice varieties including...

  18. Experience of Dr. Ding Guangdi in Treating Chronic Enteritis

    Institute of Scientific and Technical Information of China (English)

    Shi Yiping

    2007-01-01

    @@ Chronic enteritis, with long-term diarrhea as its main symptom, can easily affect people over 40.Engaged in medical practice for more than 60 years,Dr. Ding Guangdi of Nanjing University of Traditional Chinese Medicine has inherited experience of ancient physician Li Dongyuan in treating the spleen and stomach and achieved very good curative effect in treating chronic enteritis.His experience is introduced as follows.

  19. 105-DR Large Sodium Fire Facility closure plan

    International Nuclear Information System (INIS)

    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

  20. Dr. John Stack and other NASA Langley Research Center Visitors

    Science.gov (United States)

    2008-01-01

    Front Row, left to right: Mrs. Elsa Hoare and Major Philip L. Teed - staff members, Vickers-Armstrongs, Ltd., Weybridge, England: Dr. Barnes Wallis - Chief of Aeronautical Research, Vicers-Armstrong, Ltd., Weybridge, England. Back Row, left to right: Norman W. Boorer and Cecil W. Hayes - Staff members, Vickers-Armstrongs, Ltd., Weybridge, England; John R. Christie - Ministry of Supply, London, England; Philip A. Hufton - Chief Supt., Royal Aircraft Establishment, Bedford, England; Lindsey I. Turner, Jr. - Langley Research Center. Photographed November 13, 1958.

  1. 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.

  2. Prof. Dr. Predrag Terzić 1918–2012

    OpenAIRE

    Nikola Solarić; Drago Špoljarić

    2012-01-01

    Our highly estimated Prof. Dr. Predrag Terzić left us suddenly on Tuesday, the 10 April 2012. On Friday, the 20 April, we have escorted him to his final rest at the City cemetery Mirogoj. In the name of the Faculty of Geodesy,University of Zagreb, the dean, Prof. Miodrag Roić gave euology, and Prof. Nikola Solarić, one of his closest associates made a commemorative speech.

  3. 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).

  4. 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.

  5. Dr.LiTHO: a development and research lithography simulator

    Science.gov (United States)

    Fühner, Tim; Schnattinger, Thomas; Ardelean, Gheorghe; Erdmann, Andreas

    2007-03-01

    This paper introduces Dr.LiTHO, a research and development oriented lithography simulation environment developed at Fraunhofer IISB to flexibly integrate our simulation models into one coherent platform. We propose a light-weight approach to a lithography simulation environment: The use of a scripting (batch) language as an integration platform. Out of the great variety of different scripting languages, Python proved superior in many ways: It exhibits a good-natured learning-curve, it is efficient, available on virtually any platform, and provides sophisticated integration mechanisms for existing programs. In this paper, we will describe the steps, required to provide Python bindings for existing programs and to finally generate an integrated simulation environment. In addition, we will give a short introduction into selected software design demands associated with the development of such a framework. We will especially focus on testing and (both technical and user-oriented) documentation issues. Dr.LiTHO Python files contain not only all simulation parameter settings but also the simulation flow, providing maximum flexibility. In addition to relatively simple batch jobs, repetitive tasks can be pooled in libraries. And as Python is a full-blown programming language, users can add virtually any functionality, which is especially useful in the scope of simulation studies or optimization tasks, that often require masses of evaluations. Furthermore, we will give a short overview of the numerous existing Python packages. Several examples demonstrate the feasibility and productiveness of integrating Python packages into custom Dr.LiTHO scripts.

  6. 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

  7. 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

  8. Dr. Scratch: Análisis Automático de Proyectos Scratch para Evaluar y Fomentar el Pensamiento Computacional

    OpenAIRE

    Moreno-León, Jesús; Robles, Gregorio; Román-González, Marcos

    2015-01-01

    Una de las barreras de entrada de la programación informática en las escuelas es la falta de herramientas que ayuden al profesorado en la evaluación de los proyectos del alumnado. Con el objetivo de resolver esta situación, este artículo presenta Dr. Scratch, una aplicación web que permite a educadores y alumnos analizar automáticamente proyectos Scratch, el lenguaje de programación más utilizado globalmente en educación primaria y secundaria, para comprobar si se han programado correctamente...

  9. Geógrafos de la Real Academia de Córdoba. El Dr. Antonio López Ontiveros

    OpenAIRE

    Naranjo-Ramírez, J.

    2013-01-01

    En el contexto de la conmemoración del Bicentenario fundacional de la Real Academia de Córdoba de Ciencias, Bellas Letras y Nobles Artes, se ofrece una semblanza humana, docente e investigadora del Académico Dr. Antonio López Ontiveros, geógrafo e iniciador de una modesta (pero fructífera) escuela cordobesa de Geografía. Tras una breve consideración acerca de la práctica geográfica en Córdoba, se aborda una aproximación biográfica del protagonista, al tiempo que se consideran los aspectos ...

  10. 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.

  11. The Hospital for Special Surgery Affiliates with Cornell University Medical College and New York Hospital, 1951; Philip D. Wilson Retires as Surgeon-in-Chief, 1955

    OpenAIRE

    Levine, David B.

    2009-01-01

    When World War II ended in 1945, the Hospital for Special Surgery (HSS), the oldest orthopedic hospital in the country, was entering its eighth decade. Only 5 years previously, its name was changed from the Hospital for the Ruptured and Crippled (R & C). In 1934, Dr. Philip D. Wilson (1886–1969) had been recruited to fill the office of the fifth Surgeon-in-Chief with a key charge to restore the hospital as the leading orthopedic institution in our country, a role it originally held for over h...

  12. Serviço de Emergência Psiquiátrica em hospital geral: estudo retrospectivo Servicio de emergencia psiquiátrica en hospital general: estudio retrospectivo Emergency psychiatric service in general hospitals: a retrospective study

    Directory of Open Access Journals (Sweden)

    Fernando Sérgio Pereira de Sousa

    2010-09-01

    Full Text Available O Serviço de Emergência Psiquiátrica em Hospital Geral (SEPHG é uma proposta articulada com o movimento da reforma psiquiátrica. Objetivou-se caracterizar os clientes com sofrimento psíquico assistidos no SEPHG Dr. Estevam, em Sobral-CE. Este é um estudo do tipo documental, com abordagem quantitativa, envolvendo 191 clientes atendidos no SEPHG no período de janeiro a dezembro de 2007. Os dados foram coletados a partir de um livro de registro, cujas informações nele contidas foram retiradas dos prontuários dos clientes. Observou-se predomínio de pacientes do sexo masculino (70,15%, com idade entre 30-49 anos (48,71% e solteiros (74,86%. A maioria era proveniente da cidade de Sobral (69,64 %. Em 42,40% dos casos, o diagnóstico foi transtorno do uso de álcool. Grande parte da clientela (66,50% deu entrada no serviço por demanda espontânea. Após avaliação do SEPHG, 43,45% desses clientes foram encaminhados ao CAPS-ad. Pelos resultados, depreende-se o quão imprescindíveis são os serviços de saúde mental.El Servicio de Emergencia Psiquiátrica en Hospital General (SEPHG es una propuesta vinculada al movimiento de la reforma psiquiátrica. Se objetivó caracterizar a los pacientes con trastornos psiquiátricos atendidos en el SEPHG Dr. Estevam, en Sobral-Ceará-Brasil. Estudio de tipo documental con abordaje cualitativa, involucrando 191 pacientes atendidos en el SEPHG entre enero y diciembre de 2007. Los datos fueron recogidos a partir de un libro de registro, cuyas informaciones fueron extraídas de las historias clínicas de los pacientes. Se observó prevalencia de pacientes de sexo masculino (70,15%, con edad entre 30-49 años (48,71% y solteros (74,86%. La mayoría provenía de la ciudad de Sobral (69,64%. En el 42,40% de los casos, el diagnóstico fue trastorno provocado por abuso de alcohol. Una gran cantidad de pacientes (66,50% se presentó en el servicio en forma espontánea. Con posterioridad a la evaluación del

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

    Directory of Open Access Journals (Sweden)

    Jose M. Martínez-Sánchez

    2010-06-01

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

  14. Factores de riesgo asociados al embarazo ectópico

    Directory of Open Access Journals (Sweden)

    Jónathan Hernández Núñez

    2013-12-01

    Full Text Available 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 el grupo estudio; se contó con otro grupo control de igual cantidad de pacientes no operadas de embarazo ectópico en dicho período. Se analizaron variables relacionadas con factores de riesgo sociodemográficos, ginecobstétricos y quirúrgicos, conducta sexual y hábito de fumar. Se empleó la media, desviación estándar, porcentaje, test de Student, estadígrafo chi cuadrado y odds ratio. Resultados: el embarazo ectópico fue más frecuente en mujeres de color de piel blanca, entre 25 y 34 años de edad; el antecedente de enfermedad inflamatoria pélvica, endometriosis, tres o más abortos provocados, así como la historia de infertilidad, embarazo ectópico previo, inicio precoz de las relaciones sexuales, múltiples compañeros sexuales y el empleo de dispositivos intrauterinos fueron factores predisponentes para el embarazo ectópico; no así la escolaridad, ocupación, paridad, apendicectomía y cirugía tubárica previa, ni tabaquismo.Conclusiones: existen múltiples factores de riesgo que predisponen al embarazo ectópico y que contribuyen al incremento de la morbimortalidad materna, muchos de los cuales son susceptibles de ser modificados desde la atención primaria de salud.

  15. ASSESSMENT OF THE ORGANIZATIONAL CULTURE OF THE COUNTY EMERGENCY HOSPITAL

    Directory of Open Access Journals (Sweden)

    Gavrilescu Liviu

    2010-07-01

    Full Text Available The study proposes assessing the organizational culture of the County Emergency HospitalDr. Constantine Opris” of Baia Mare, as a basis for developing a strategic plan to facilitate the successful implementation of organizational goals and objectives. As research instruments were used: OCAI (Organizational Culture Assessment Instrument and the semi-structured interview. The identified organizational culture of the County Emergency HospitalDr. Constantin Opris” has characteristics of a weak culture with strong hierarchical accents. Regarding the preferred situation, is obvious the predilection for type clan culture values, based on participation, group cohesion and individual development. The results obtained from the application of the OCAI questionnaire reveals a mismatch between current organizational culture and preferred organizational culture, which requires adapting to contemporary society.

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

    Directory of Open Access Journals (Sweden)

    Fabiane Carvalhais Regis

    2005-02-01

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

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

    OpenAIRE

    Domingo Pozo, Manuela

    2004-01-01

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

  18. Hubungan Keteraturan Penggunaan Kortikosteroid Inhalasi dengan Tingkat Kontrol Asma Pasien Berdasarkan ACT di Poliklinik Paru RSUP Dr. M. Djamil Padang

    Directory of Open Access Journals (Sweden)

    Wulan Prisilla Prisilla

    2016-01-01

    . M. Djamil Padang Hospital. A cross sectional analitic was conducted from September to December 2013. The population is patient aged ≥14 years old who were diagnosed with asthma by a doctor. The number of samples is 96 people. The data were processed and analyzed using the Kolmogorov-Smirnov test. The incidence of asthma was highest in the elderly (60,4%. Most patients do not regularly use inhaled corticosteroids (63.5% and patients with uncontrolled asthma had the highest proportion (59.4% in this research. Based on statistic analisys, there was significant association between regularity of inhaled corticosteroids application and patient’s level of asthma control based on ACT in the lung clinic of Dr. M. Djamil Padang Hospital (p=0,002.Keywords: inhaled corticosteroids,  ACT, level of asthma control

  19. 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

  20. 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

  1. 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. _

  2. Untersuchungen zur Anatomie und Histologie des Verdauungstrakts von Thamnophis sirtalis sirtalis unter spezieller Berücksichtigung der Drüsen

    OpenAIRE

    Teschner, Katja

    2009-01-01

    Die vorgelegte Arbeit beschreibt die spezielle Anatomie und Histologie des Verdauungstrakts von Thamnophis sirtalis sirtalis als Prototyp einer aktiv jagenden Schlange. Hierfür wurden 9 Strumpfbandnattern seziert und Material für licht- und elektronenmikroskopische Untersuchungen entnommen. Histologische Übersichtsfärbungen geben Aufschluß über die Ausstattung mit Drüsen und damit über die Verdauungsphysiologie dieser Schlangenart. Weiterhin eingesetzte immunhistochemische Verfahren und...

  3. 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.

  4. Dr. Stanko Sielski (1891–1958: Physician, scientist, humanist

    Directory of Open Access Journals (Sweden)

    Husref Tahirović

    2015-11-01

    Full Text Available This work presents the results of research into the life and work of Dr. Stanko Sielski, related to his professional, scientific and humanitarian work. He was born in Gračanica, Bosnia and Herzegovina (BH in1891, to a family of Polish origins. He attended high school in Travnik and completed his studies of medicine in Vienna in 1919. During the First World War he served on the frontlines with the Austro-Hungarian army. He began his service as a doctor in Konjic, Prozor and Glamoč, and then worked in Varcar Vakuf, Zenica, Travnik, Bihać, Banja Luka, Sarajevo and Tuzla. At that time in BH living conditions were very bad, the level of education of the people insufficient, there were many epidemics of infectious diseases, and the mortality of the population was high. Dr. Stanko Sielski made a significant contribution to treating the sick, preventing various diseases and the health education of the people. In the realm of the history of medicine in BA, he researched the life and work of doctors from previous generations, the work of medical institutions, old medical manuscripts written in Arabic, Persian and Turkish, folk beliefs about the origins and treatment of a variety of illnesses, and the role of herbal medicine and amulets in treating the sick. In addition, he undertook research in the fields of archaeology, ethnology and sociology. He published the results of his research in scholarly journals. In the Second World War he saved the lives of many Jewish doctors and their families from persecution in concentration camps, and as a result in 2014 he was posthumously declared “Righteous Among the Nations”. Conclusion. Dr. Stanko Sielski, alongside his work as a doctor, was also involved in a variety of scientific research and publication work, which contributed to the preservation and a better understanding of the material and spiritual heritage of BH.

  5. Amplification of a single-locus variable-number direct repeats with restriction fragment length polymorphism (DR-PCR/RFLP) for genetic typing of Acinetobacter baumannii strains.

    Science.gov (United States)

    Nowak-Zaleska, Alicja; Krawczyk, Beata; Kotłowski, Roman; Mikucka, Agnieszka; Gospodarek, Eugenia

    2008-01-01

    In search of an effective DNA typing technique for Acinetobacter baumannii strains for hospital epidemiology use, the performance and convenience of a new target sequence was evaluated. Using known genomic sequences of Acinetobacter baumannii strains AR 319754 and ATCC 17978, we developed single-locus variable-number direct-repeat analysis using polymerase chain reaction-restriction fragment length polymorphism (DR-PCR/RFLP) method. A total of 90 Acinetobacter baumannii strains isolated from patients of the Clinical Hospital in Bydgoszcz, Poland, were examined. Initially, all strains were typed using macrorestriction analysis of the chromosomal DNA by pulsed-field gel electrophoresis (REA-PFGE). Digestion of the chromosomal DNA with the ApaI endonuclease and separation of the fragments by PFGE revealed 21 unique types. Application of DR-PCR/RFLP resulted in recognition of 12 clusters. The results showed that the DR-PCR/RFLP method is less discriminatory than REA-PFGE, however, the novel genotyping method can be used as an alternative technique for generating DNA profiles in epidemiological studies of intra-species genetic relatedness of Acinetobacter baumannii strains.

  6. Diabetic retinopathy, visual impairment and ocular status among patients with diabetes mellitus in Yemen: A hospital-based study

    OpenAIRE

    Bamashmus Mahfouth; Gunaid Abdallah; Khandekar Rajiv

    2009-01-01

    Background : We present a series of patients with diabetes mellitus (DM) who attended an eye hospital in Sana, Yemen during 2004. Aim: To determine the magnitude and risk factors of diabetic retinopathy (DR). Design: Cross-sectional study. Materials and Methods: Ophthalmologists assessed vision, ocular pressure, ocular media and posterior segment to note ocular manifestations among patients with DM. DR was graded by using bio-microscope and Volk lens. The prevalence and 95% confi...

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

    Directory of Open Access Journals (Sweden)

    Ice Yulia Wardani

    2003-06-01

    Full Text Available 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 of clients at PNPM. It was found that most of the clients were males, aged 20-55 years, living in the area of Jabotabek (Jakarta, Bogor, Tangerang and Bekasi, especially in Bogor, the city of the hospital. Most of them had no job, with a senior high school education whereas the number with unmarried status was nearly the same with the number with married status and belonged to the Sundanese ethnic group. Characteristics of the family were mostly as followed: big family, with more than 2 children, closed communication and family meeting during meals. On health status it was found that clients were admitted to the hospital because of angry/violence, angry/violence and talking/laughing by themselves, whereas the number of clients in the group never nursed in a hospital before were nearly the same as the number in the group ever nursed before, with average length of staying in hospital 9 days. It was revealed that the problem of hallucination was mostly found among the nursing problems. Health education was mostly on efforts to eliminate paranoid problems and Activity Group Therapy was focused on efforts to socialize the clients. The medical diagnosis of most of the clients was paranoid schizophrenia. It was concluded that in this study characteristics of the clients in PNPM was very varied. For optimal nursing criteria of clients at PNPM who should be admitted should be established.

  8. Photometric Redshift Probability Distributions for Galaxies in the SDSS DR8

    CERN Document Server

    Sheldon, Erin S; Mandelbaum, Rachel; Brinkmann, J; Weaver, Benjamin A

    2011-01-01

    We present redshift probability distributions for galaxies in the SDSS DR8 imaging data. We used the nearest-neighbor weighting algorithm presented in Lima et al. 2008 and Cunha et al. 2009 to derive the ensemble redshift distribution N(z), and individual redshift probability distributions P(z) for galaxies with r < 21.8. As part of this technique, we calculated weights for a set of training galaxies with known redshifts such that their density distribution in five dimensional color-magnitude space was proportional to that of the photometry-only sample, producing a nearly fair sample in that space. We then estimated the ensemble N(z) of the photometric sample by constructing a weighted histogram of the training set redshifts. We derived P(z) s for individual objects using the same technique, but limiting to training set objects from the local color-magnitude space around each photometric object. Using the P(z) for each galaxy, rather than an ensemble N(z), can reduce the statistical error in measurements t...

  9. Dr. Mainte. Integrated simulator of maintenance optimization of LWRs

    International Nuclear Information System (INIS)

    Dr. Mainte, an integrated simulator for maintenance optimization of LWRs (Light Water Reactors) has been developed based on PFM (Probabilistic Fracture Mechanics) analyses. The concept of the simulator is to provide a decision-making system to optimize maintenance activities for representative components and piping systems in nuclear power plants totally and quantitatively in terms of safety, availability and economic efficiency, environmental impact and social acceptance. For the further improvement of the safety and availability, the effect of human error and its reduction on the optimization of plant maintenance activities and approaches of reducing it have been studied. (author)

  10. Rapidity: The Special Relativity Work of Dr. Vladimir Karapetoff

    Science.gov (United States)

    Carter, Hamilton

    2014-03-01

    Between 1924 and 1944 Dr. Vladimir Karapetoff, a professor in the electrical engineering department of Cornell University, authored 11 papers on the topic of special relativity. While his initial papers focused on the then popular oblique angle treatment of special relativity, he soon became a vocal proponent of performing special relativistic calculations using rapidity, a technique that emphasizes the hyperbolic geometric nature of Minkowski space-time. While rapidity has fallen out of usage with the exception of a specialized dialect within particle physics, it offers interesting technical and pedagogical perspectives on the geometrical nature of space-time not evident in the present day relativistic parlance.

  11. Integrated marketing communication plan : Case company: Dr. Johanna Budwig

    OpenAIRE

    Pham Van

    2013-01-01

    The study’s research topic is integrated marketing communication and this is a product-oriented thesis. This study is made to create an efficient integrated marketing communication plan for the case company Dr. Johanna Budwig. The main product line in focus is flaxseed oil, which is very healthy and also good in preventing different diseases including cancer. The company home market, Germany, is the target market of the study. The objective set by the company is to increase sales by 10000, wh...

  12. Dr. von Braun and Army Ballistics Missile Agency (ABMA) Group

    Science.gov (United States)

    1959-01-01

    This photograph of Dr. von Braun, shown here to the left of General Bruce Medaris, was taken in the fall of 1959, immediately prior to Medaris' retirement from the Army. At the time, von Braun and his associates worked for the Army Ballistics Missile Agency in Huntsville, Alabama. Those in the photograph have been identified as Ernst Stuhlinger, Frederick von Saurma, Fritz Mueller, Hermarn Weidner, E.W. Neubert (partially hidden), W.A. Mrazek, Karl Heimburg, Arthur Rudolph, Otto Hoberg, von Braun, Oswald Lange, Medaris, Helmut Hoelzer, Hans Maus, E.D. Geissler, Hans Heuter, and George Constan.

  13. 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.

  14. 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.

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

    Directory of Open Access Journals (Sweden)

    Ruth Oliveira Santos Woiski

    2010-03-01

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

  16. Hospital Outpatient PPS Partial Hospitalization Program LDS

    Data.gov (United States)

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

  17. Can hospitals compete on quality? Hospital competition.

    Science.gov (United States)

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

    2015-09-01

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

  18. SHG Materials Based on the AlPO4-5 Single Crystals

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Large AlPO4-5 molecular sieve single crystals with high optical quality were synthesized hydrothermally by using TPA as template. As-synthesized crystals were calcined under O2 atmosphere to remove the organic templates in the channels. Disperse-Red-1 (DR1) and p-nitroaniline (pNA) molecules have been successfully incorporated into the one-dimensional channels of AlPO4-5 single crystals respectively by means of vapor phase diffusion. XRD patterns reveal that the loading of organic molecules has not destroyed the structures of AlPO4-5 crystals. Polarizing microscope and SHG results indicate that the DR1 and pNA molecules are well aligned in a preferred direction along the crystal channels. The different polarization-dependence SH intensity shows that different SHG processes occur in the DR1- and pNA-loaded AlPO4-5 crystals.

  19. Influence of pEgr1-hsTRAIL plasmid on radiosensitivity and DR4 and DR5 expression levels in lung adencarcinoma A549 cells

    International Nuclear Information System (INIS)

    Objective: To measure the changes of the radiosensitivity in human lung adenocarcinoma A549 cells transfected with pEgr1-hsTRAIL plasmid and the effect on death receptor (DR) 4 and DR5 expressions, and to explore the radiosensitizing effect of pEgr1-hsTRAIL plasmid and possible mechanism on inducing apoptosis. Methods: There were normal control, pEgr1-hsTRAIL, 6 Gy X-rays, and pEgr1-hsTRAIL + 6 Gy X-rays groups in the experiment. After the A549 cells were transfected with liposome, and irradiated with X-rays, colony formation assay was used to measure the radiosensitivity, and reverse transcription PCR (RT-PCR) was performed to detect the DR4 and DR5 mRNA expressions, and Western blotting was applied to determine the DR4 and DR5 protein expressions. Results: The D0 values of A549 cells in normal control group and pEgr1-hsTRAIL group were 3.26 and 1.91 Gy, respectively, it indicated that pEgr1-hsTRAIL plasmid could enhance the radiosensitivity in A549 cells. The RT-PCR results showed that as compared with normal control group, the DR4 and DR5 mRNA expression levels in pEgr1-hsTRAIL group had no significant change, but those in 6 Gy X-rays group were increased significantly (P<0.05), and those in pEgr1-hsTRAIL + 6 Gy X-rays group were also increased significantly (P<0.05); the DR5 mRNA expression level in pEgr1-hsTRAIL + 6 Gy X-rays group was higher than that in 6 Gy X-rays group (P<0.05). The Western blotting results showed that the DR4 and DR5 protein expressions in pEgr1-hsTRAIL group did not change obviously compared with normal control group, but those in 6 Gy X-rays and pEgr1-hsTRAIL + 6 Gy X-rays groups were increased, and the DR5 protein expression in pEgr1-hsTRAIL + 6 Gy X-rays group was increased mostly. Conclusion: The recombinant plasmid pEgr1-hsTRAIL can enhance the radiosensitivity of A549 cells, and has the enhancing effect on DR5 expression induced by radiation, but no same effect on DR4 expression. (authors)

  20. Zašto postoje države-nacije, a ne svjetska država? Prilog raspravi o teoriji moderne Jacquesa Bideta

    OpenAIRE

    Katunarić, Vjeran

    2009-01-01

    U ovom se članku kritički razmatraju odgovori na pitanja “Zašto postoje države- nacije?”, odnosno “Zašto ne samo jedna država-nacija?”, koje je Jacques Bidet dao u svom djelu Opća teorije moderne. U prvom dijelu članka razmatra se Bidetova analogija između nastanka nacija-država i složenijih država poput EU-a, a napose mogućnosti stvaranja svjetske demokratske države koju je Bidet na inovativan način zamislio kao jamca jednakosti među narodima. S obzirom na normativni karakt...

  1. DRŽAVNA NAGRADA ZA ZNANOST ZA 2010. GOD., Nagrada za životno djelo prof. em. dr. sc. dr. h. c. BRANIMIRU PRPIĆU

    OpenAIRE

    2011-01-01

    Uoči Dana neovisnosti,u Hrvatskom saboru svečano su uručene Državne nagrade za 2010. godinu. Nagrada za ži­votno djelo –Državna nagradu za znanost – područje biotehničkih znanosti, dodijeljena je Prof. em. dr. sc. dr. h. c.Branimiru Prpiću. Stručno povjerenstvo za biotehničke znanosti, držeći se načela da se nagrade za znanost mogu do­dijeliti samo vrhunskim znanstvenicima koji postižu izvrsne rezultateiz svoga znanstvenog djelokruga, dalo je naosnovi izvješća recenzenata za pojedinog kandida...

  2. Hospital-acquired pneumonia

    Science.gov (United States)

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

  3. Structural Measures - Hospital

    Data.gov (United States)

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

  4. Hospitals as health educators

    Science.gov (United States)

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

  5. Critical Access Hospitals (CAH)

    Science.gov (United States)

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

  6. Surgery, Hospitals, and Medications

    Science.gov (United States)

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

  7. Patient survey (HCAHPS) - Hospital

    Data.gov (United States)

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

  8. Risk Factors for Hospital-Acquired Infection in a Neonatology Service Factores de riesgo de infección intrahospitalaria en un Servicio de Neonatología

    Directory of Open Access Journals (Sweden)

    Hilda María Delgado Acosta

    2012-02-01

    Full Text Available

    Background: almost 5 million newborns die every year all over the world. 98% of them belong to developing countries. From 30% to 40% of neonatal deaths are related to infections. Objective: to determine risk factors influencing the occurrence of hospital-acquired infections in a neonatology service. Methods: a case-control study was conducted in the Neonatology Service of the Dr. Gustavo Aldereguía Lima General University Hospital of Cienfuegos in 2007. Cases included 76 newborns with hospital-acquired infection and their controls as well as neonates without hospital-acquired infection at a rate of one control per case. The following variables were analyzed: sex, birth weight, age, prenatal medical history, type and duration of labor, use of antibiotics and type of sepsis. Chi-square method was used with a maximum error of 5% and the risk odds ratio was used with a confidence interval of 95%. Results: 42, 1% of those infected were between 1500 g and 2499 g at birth. Infants whose mothers had presented vaginal sepsis had a higher risk for infection (62, 3%, OR = 5.9. Preterm delivery (89, 5%, premature rupture of membrane (22.4%, and instrumentation were potential risks for hospital-acquired infection. Conclusions: Preterm birth, low birth weight, the use of instrumentation and vaginal sepsis in mothers were the main risk factors for the occurrence of hospital-acquired infections in neonates.

    Fundamento: en el mundo fallecen casi 5 millones de recién nacidos al año, 98 % en países subdesarrollados. De 30 a 40 % de las muertes neonatales tienen relación con las infecciones. Objetivo: determinar los factores de riesgo que influyeron en la aparición de infecciones nosocomiales en un Servicio de Neonatología. Métodos: estudio de casos y controles realizado en el Servicio de Neonatología del Hospital

  9. CENSUS OF BLUE STARS IN SDSS DR8

    Energy Technology Data Exchange (ETDEWEB)

    Scibelli, Samantha [Burnt Hills-Ballston Lake High School, 88 Lake Hill Road, Ballston, NY 12027 (United States); Newberg, Heidi Jo; Carlin, Jeffrey L. [Department of Physics, Applied Physics and Astronomy, Rensselaer Polytechnic Institute, 110 8th Street, Troy, NY 12180 (United States); Yanny, Brian, E-mail: heidi@rpi.edu [Experimental Astrophysics Group, Fermi National Accelerator Laboratory, P.O. Box 500, Batavia, IL 60510 (United States)

    2015-01-01

    We present a census of the 12,060 spectra of blue objects ((g – r){sub 0} < –0.25) in the Sloan Digital Sky Survey (SDSS) Data Release 8 (DR8). As part of the data release, all of the spectra were cross-correlated with 48 template spectra of stars, galaxies, and QSOs to determine the best match. We compared the blue spectra by eye to the templates assigned in SDSS DR8. 10,856 of the objects matched their assigned template, 170 could not be classified due to low signal-to-noise ratio, and 1034 were given new classifications. We identify 7458 DA white dwarfs, 1145 DB white dwarfs, 273 rarer white dwarfs (including carbon, DZ, DQ, and magnetic), 294 subdwarf O stars, 648 subdwarf B stars, 679 blue horizontal branch stars, 1026 blue stragglers, 13 cataclysmic variables, 129 white dwarf-M dwarf binaries, 36 objects with spectra similar to DO white dwarfs, 179, quasi-stellar objects (QSOs), and 10 galaxies. We provide two tables of these objects, sample spectra that match the templates, figures showing all of the spectra that were grouped by eye, and diagnostic plots that show the positions, colors, apparent magnitudes, proper motions, etc., for each classification. Future surveys will be able to use templates similar to stars in each of the classes we identify to automatically classify blue stars, including rare types.

  10. Show: Dr. H, the life and death of pancakes

    CERN Multimedia

    2012-01-01

    Dr. H, the life and death of pancakes, a comic theatrical creation, written and performed by Heiko Buchholz.   Monday 2 April 2012 in German Tuesday 3 April 2012 in English Wednesday 4 April 2012 in French 8:30 p.m. at the Globe of Science and Innovation. This production takes a comic look at scientific methods, as applied to a common object: the pancake. More specifically, Dr H. regales his audience with statistics, experiments and scientific data surrounding this egg-and-milk-based culinary delight. And although these zany sketches are nothing short of absurd, the audience is drawn in more often than you might expect… and taken on quite an unexpected journey into the behavioural disorders, personality quirks and psychoanalysis of the base pancake. This show playfully mocks scientific logic and discourse, forcing the audience to reflect on their gullibility in the face of science and its impenetrable jargon. It purports to be neither explanation nor illustration of scientific fact,...

  11. Census of blue stars in SDSS DR8

    CERN Document Server

    Scibelli, Samantha; Carlin, Jeffrey L; Yanny, Brian

    2014-01-01

    We present a census of the 12,060 spectra of blue objects ($(g-r)_0<-0.25$) in the Sloan Digital Sky Survey (SDSS) Data Release 8 (DR8). As part of the data release, all of the spectra were cross-correlated with 48 template spectra of stars, galaxies and QSOs to determine the best match. We compared the blue spectra by eye to the templates assigned in SDSS DR8. 10,856 of the objects matched their assigned template, 170 could not be classified due to low signal-to-noise (S/N), and 1034 were given new classifications. We identify 7458 DA white dwarfs, 1145 DB white dwarfs, 273 rarer white dwarfs (including carbon, DZ, DQ, and magnetic), 294 subdwarf O stars, 648 subdwarf B stars, 679 blue horizontal branch stars, 1026 blue stragglers, 13 cataclysmic variables, 129 white dwarf - M dwarf binaries, 36 objects with spectra similar to DO white dwarfs, 179 QSOs, and 10 galaxies. We provide two tables of these objects, sample spectra that match the templates, figures showing all of the spectra that were grouped by ...

  12. Alloantiserum recognizing a DQw2 split which is associated with DR3.

    Science.gov (United States)

    Flesch, B; Neppert, J; Ziegler, P; Achtert, G

    1991-01-01

    A typing serum MUE 38539 II, was found to recognize a DR3-associated split of DQw2. In cytotoxicity tests, MUE 38539 II yielded positive test results with B lymphocytes but not with monocytes of DR3-positive cell donors. This was in contrast to other typing reagents for DR3 that react with B lymphocytes as well as monocytes. Lymphocytotoxicity tests using MUE 38539 II were negative with DR7- and DQw2-positive cells. The assumption that the serum recognizes a DR3-associated split of DQw2, and not DR3 itself, was confirmed by the lack of reactivity with a DQw4- and DR3-positive lymphoblastoid cell line (RSH). The assumption was also corroborated using reagents from a family in which DR3 and DQw2 were not found in the usually described linkage. In two lines, DR3 was associated with DQw- (2707 and 2710), and in the cell line 2704, DQw2 was associated with DRw-. The serum MUE 38539 II was exclusively cytotoxic with lymphoblastoid cell lines from those family members who were positive for DQw2, independently of the DR3 antigens of the cells. PMID:2031339

  13. Analisis Ketahanan Hidup Lima Tahun Kanker Tiroid yang Dikelola di RSUP Dr. M. Djamil Padang

    Directory of Open Access Journals (Sweden)

    Oktahermoniza Oktahermoniza

    2013-09-01

    Full Text Available AbstrakKanker tiroid merupakan kanker yang jarang terjadi, namun kanker tersering pada organ endokrin. Tujuan penelitian ini untuk mengetahui ketahanan hidup lima tahun kanker tiroid yang di tatalaksana di RS Dr. M. Djamil Padang dari Januari 2007 sampai dengan Desember 2011. Metode: Subjek penelitian adalah 117 penderita kanker tiroid yang ditatalaksana di RS Dr. M. Djamil Padang dari Januari 2007 sampai dengan Desember 2011. Data dianalisis dengan pendekatan survival time menggunakan Kaplan-Meier survival curve dan Log rank test. Hasil: Median umur 39 tahun (range, 11 sampai 77 tahun, median waktu follow up 32 bulan (range, 1 sampai 70 bulan, median ukuran tumor 6 cm (range, 1 sampai 16 cm. Didapatkan 100 (85,5% % penderita sehat bebas tumor, 7 (6% penderita kambuh lokal, 1 (0,9% metastasis jauh serta 9 (7,7% penderita meninggal. Overall five survival rate pada penelitian ini 92,3%. Faktor umur, ukuran tumor, dan jenis histopatologi berhubungan secara bermakna dengan survival (p 0,000, (p= 0,046 dan (p= 0,000. Sedangkan faktor-faktor jenis kelamin, jenis operasi, dan terapi adjuvan tidak mempunyai hubungan bermakna dengan survival. Pembahasan: Umur, ukuran tumor, dan jenis histopatologi memiliki hubungan bermakna dengan survival. Jenis kelamin, jenis operasi, dan terapi adjuvan tidak tidak berhubungan bermakna dengan survival.Kata kunci: Umur, Ukuran Tumor, Jenis Histopatologi, Survival, Kanker TiroidAbstractThyroid cancer is a rare cancer, but most common in endocrine organ. The purpose of this research is to determine about at five year survival of thyroid cancer which recorded at RS M. Djamil Padang Hospital from January 2007 until December 2011. Methods: Subjects were 117 patients with thyroid cancer be recorded in hospital Dr. M. Djamil Padang from January 2007 to December 2011. Data were analyzed with the survival time using Kaplan-Meier survival curve and log rank test. Result: Median age 39 years (range, 11 to 77 years, median follow

  14. Diabetic retinopathy, visual impairment and ocular status among patients with diabetes mellitus in Yemen: A hospital-based study

    Directory of Open Access Journals (Sweden)

    Bamashmus Mahfouth

    2009-01-01

    Full Text Available Background : We present a series of patients with diabetes mellitus (DM who attended an eye hospital in Sana, Yemen during 2004. Aim: To determine the magnitude and risk factors of diabetic retinopathy (DR. Design: Cross-sectional study. Materials and Methods: Ophthalmologists assessed vision, ocular pressure, ocular media and posterior segment to note ocular manifestations among patients with DM. DR was graded by using bio-microscope and Volk lens. The prevalence and 95% confidence interval of ocular complications of DM were calculated. Risk factors of DR like age, sex, duration of diabetes and hypertension were evaluated. Statistical a0 nalysis : Univariate and multivariate analysis. Results : Our series comprised 350 patients suffering from DM. The duration of diabetes was ≥15 years in 101 (29% patients. Physician was treating 108 DM patients with insulin. The prevalence of DR was 55% (95% CI 49.6-60.1. The proportions of background diabetic retinopathy (BDR, preproliferative diabetic retinopathy (PPDR, proliferative diabetic retinopathy (PDR and diabetic macular edema were 20%, 13%, 17% and 22% respectively. The prevalence of blindness among DM patients was 16%. The prevalence of cataract and glaucoma was 34.3% and 8.6%. Duration of DM was the predictor of DR. One-fifth of the patients had sight-threatening DR and needed laser treatment. Conclusions : DR was of public health magnitude among our patients. An organized approach is recommended to address DR in the study area.

  15. [Dr. Elizabeth Ross: heroine and victim of the World War I in Serbia].

    Science.gov (United States)

    Mikić, Želimir; Lešić, Aleksandar

    2012-01-01

    At the beginning of 1915, several months after the World War I started, Serbia was in an extremely difficult situation.The country was war-ravaged, full of sick and wounded soldiers, there was a desperate shortage of doctors, nurses and other medical personnel, and the epidemic of typhus fever exploded and violently attacked the entire country. At that time, however, a number of both foreign allied medical missions and individual volunteers, from various countries, mostly from Great Britain, came to Serbia to help. Among them mostly were women, and they were of enormous support to Serbia in that grave situation. It is estimated that there were more than 600 foreign women volunteers in Serbia at that time and that 22 of them died there. Dr. Elizabeth Ross was one of those brave volunteers who came to Serbia early in 1915. That noble Scottish lady doctor was born in 1878 and finished her medical studies at the University of Glasgow in 1901. After graduation she worked in various places in Great Britain until 1909, when she went to Persia (Iran), where she worked until the beginning of the so called Great War. When she heard of the urgent need in Serbia she left Persia as soon as she could and volunteered to serve in Serbia. She came to Kragujevac at the beginning of January 1915, where she worked at the First Military Reserve Hospital, which at that time was actually a typhus hospital. Working there intensively and devotedly for several weeks under shocking conditions she contracted typhus herself and died there on her 37th birthday on February 14th, 1915. She was buried in Kragujevac, next to two British ladies who also died in Serbia of typhus. Her grave was restored in 1980 when the town of Kragujevac started holding commemorations at the graveside every February 14th at noon to honor her and all other brave and noble women who lost their lives helping Serbia at that unfortunate time.

  16. Poda drástica de verão e produção de cultivares de amoreira-preta em região subtropical

    Directory of Open Access Journals (Sweden)

    Maraisa Hellen Tadeu

    2015-02-01

    Full Text Available O objetivo deste trabalho foi avaliar o manejo de podas em cultivares de amoreira-preta (Rubus spp., submetidas à poda drástica de verão, em regiões subtropicais. O experimento foi conduzido em blocos ao acaso, em arranjo fatorial 2x7 (podas x cultivares, no Município de Lavras, MG. Foram utilizadas as cultivares Comanche, Caingangue, Choctaw, Tupy, Guarani, Brazos e Cherokee, que receberam poda convencional (controle e poda drástica de verão. Foram avaliados dados fenológicos, vegetativos e produtivos nos ciclos de produção 2012/2013 e 2013/2014, além de características físico-químicas dos frutos e da incidência de doenças, no último ciclo de produção. A poda drástica de verão aumenta a produção das cultivares em regiões subtropicais. Não há diferença na qualidade dos frutos colhidos de plantas submetidas aos sistemas de poda avaliados. A poda drástica de verão não é eficiente na redução ou no controle de doenças.

  17. [Favourable effects of some HLA-DR disparities on kidney graft survival. Proposal for a new recipient selection policy].

    Science.gov (United States)

    Vereerstraeten, P; Andrien, M; de Pauw, L; Dupont, E; Goldman, M; Abramowicz, D; Kinnaert, P

    1991-11-27

    In a previous retrospective study conducted from 1980 to 1987 on 275 renal cadaveric transplants, we have shown that HLA-DR disparities between donor and recipient exerted differential effects on graft survival. Thus, the presence of DR4, DR5 and DR7 in the donor, or of DR5 in the recipient was associated with an excellent survival, whereas disparities due to the presence of DR1 and DR2 in the donor, or of DR2, DRw6 and DR7 in the recipient were detrimental for the graft. A prospective study on 158 renal cadaveric transplants performed from 1988 to 1990 yielded results that were similar to those of the retrospective study. Graft survival at 18 months was similar in recipients who had either the same DR antigens as those present in their donor or beneficial DR disparities only (83-90 percent), and significantly higher than in recipients with DR detrimental disparities only (62-65 percent). Graft survival in recipients with either mixed or neutral DR disparities occupied an intermediate position (77-78 percent). In conclusion, grafts with excellent outcome, similar to that observed in DR identical pairs, may be proposed to an ever increasing number of patients awaiting a renal transplant by adopting a selection policy based on the choice of beneficial DR disparities when a DR identical recipient is not available in the pool. PMID:1837109

  18. MICROESTRUCTURA, CINÉTICA DE PRECIPITACIÓN Y PROPIEDADES MECÁNICAS DE MATERIALES COMPUESTOS Al(6061)-15vol%SiCw EXTRUIDOS A DIFERENTES TEMPERATURAS

    OpenAIRE

    Borrego Díez, Alberto

    2003-01-01

    Quiero expresar mi agradecimiento a mi director de tesis, Dr. Gaspar González Doncel, que siempre ha confiado en mí y me ha enseñado a pensar en el complejo mundo de la Ciencia de Materiales. También al Dr. Marcelino Torralba que me abrió la puerta del centro una mañana de octubre. Y a mi amigo, Dr. Mohammed Eddahbi, que me enseño a pulir y a rascar mi piel con mis propias uñas. Y a mi amigo, Dr. Pablo Pérez, que siempre me ha brindado su apoyo. Ambos estimularon mi creativi...

  19. VizieR Online Data Catalog: Infrared photometry of YSOs in Cygnus-X DR15 (Rivera-Galvez+, 2015)

    Science.gov (United States)

    Rivera-Galvez, S.; Roman-Zuniga, C. G.; Jimenez-Bailon, E.; Ybarra, J. E.; Alves, J. F.; Lada, E. A.

    2016-06-01

    Near-infrared images of the Cygnus-X DR15 region were obtained with the OMEGA 2000 camera at the 3.5m telescope of the Calar Alto Observatory, atop Sierra de los Filabres in Almeria, Spain, during the nights of 2010, February 2nd and March 3rd. The data set consists of 900s co-added exposures in the J, H, and K bands (1.209, 1.648, and 2.208μm, respectively). The seeing values-measured directly from the average FWHM of stars in the final reduced mosaics-were 1.17, 1.13, and 0.98" in J, H, and K, respectively. The Spitzer Space Telescope has observed the DR15 cluster with the IRAC and MIPS detectors as part of the Spitzer Cygnus-X Legacy Survey (Hora et al. 2009 ASP Conf. Ser., Reionization to Exoplanets: Spitzer's Growing Legacy ed P. Ogle (San Francisco, CA: ASP) 26; hereafter CXLS). We obtained archival enhanced product mosaics from the Spitzer Heritage Archive as well as a photometric catalog coincident with our region of interest directly from the CXLS Data Release 1 (DR1). The catalog contains calibrated magnitudes for sources detected with IRAC in its four cryogenic mission channels (3.6, 4.5, 5.8, and 8.0μm), as well as in the 24μm channel of MIPS. The DR15 cluster was observed with the Imaging Array of the Chandra Advanced CCD Imaging Spectrometer (ACIS-I) on 2011 January 25 (ObsID12390, P.I. Wright). We made use of the Five College Radio Observatory (FCRAO) 13CO(1-0) molecular radio emission map of the south Cygnus-X region from the study of Schneider et al. (2011A&A...529A...1S). In Tables 2-4 we list YSO sources identified as Class I, Class II, and Class III in our region of study. (3 data files).

  20. [Dr. Piotr Borsukiewicz--one of the pleiad of physicians in Lublin (the 75th anniversary of his death)].

    Science.gov (United States)

    Staszyc, J

    1992-01-01

    Seventy years have passed since the death of dr Piotr Borsukiewicz. He spent 9 out of his 22 years of work in Lublin (1909-1918) being the head of the paediatric hospital (1911-1918), the member of the Lublin Medical Society, the president and vice president of some other public service organizations and inscribed himself in letters of gold in the history of medicine and people of Lublin. He worked and lived in the difficult years of two wars (1904-1905 and 1914-1918), the rapid development of medical sciences and the separation of medical specialties. His diligence, loyalty to the Hippocratic code and the instructions of dr W. Biegański as well as to the patriotic dictates resulted in the union of the meaning of his own existence with the deep belief in man and the favourite work as a physician. Helping the poor and those in need he contracted spotted fever but belittled his complaints and died on April 12, 1918 in Lublin. He left us the special patterns of the ideal medical care which are still alive today, so non omnis moriar. PMID:1365791

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

    OpenAIRE

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

    2006-01-01

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

  2. Dr. William Gates, Dean, Graduate School of Business and Public Policy, Biography

    OpenAIRE

    2012-01-01

    Biography of Dr. William Gates, Dean, Graduate School of Business and Public Policy, Naval Postgraduate School, Monterey, CA. Dr. William (Bill) Gates, Associate Professor and Associate Dean of Research, was appointed the Dean of the Graduate School of Business and Public Policy (GSBPP) effective February 1, 2009. A graduate of Yale University (Ph.D.) and UC San Diego, Dr. Gates has been a professor of economics in GSBPP since 1988. Prior to joining NPS he was an economist at the Jet...

  3. Hospital marketing revisited.

    Science.gov (United States)

    Costello, M M

    1987-05-01

    With more hospitals embracing the marketing function in their organizational management over the past decade, hospital marketing can no longer be considered a fad. However, a review of hospital marketing efforts as reported in the professional literature indicates that hospitals must pay greater attention to the marketing mix elements of service, price and distribution channels as their programs mature. PMID:10283019

  4. Kepemimpinan Efektif Head Nurse Meningkatkan Penerapan Budaya Keselamatan Pasien oleh Perawat Pelaksana di RSUPN Dr. Cipto Mangunkusumo Jakarta

    Directory of Open Access Journals (Sweden)

    Dwi Setiowati

    2013-07-01

    Full Text Available Effective Leadership of Head Nurse Increase the Implementation ofd Patient Safety Culture by Nurse Practitioners of Dr. Cipto Mangunkusumo National Hospital, Jakarta. Leadership effectiveness is one factor that contributes to successfully patient safety culture applied. This study aimed to identify the correlation of leadership effectiveness of head nurse to apply the patient safety culture in the wards. Research design used correlation analytic with cross sectional approach to 206 clinical nurses as samples. Data analysis used Pearson, Spearman, t independent and linier regression. This study shown there was a weak positive correlation between head nurse leadership effectiveness and the application of patient safety culture by clinical nurses. This study’s recommendation were 1 improvement of the head nurses’ knowledge related to organizational function, 2 appropriate job description, 3 patient safety culture training, 4 continuing nursing education program, and 5 relevant reward system based on patient safety achievement.

  5. Searching for Classical Be Stars from the LAMOST DR1

    CERN Document Server

    Lin, C C; Chen, L; Shao, Z Y; Zhong, J; Yu, P C

    2015-01-01

    We report on searching for Classical B-type emission-line (CBe) stars from the first data release (DR1) of the Large Sky Area Multi-Object fiber Spectroscopic Telescope (LAMOST; also named the Guoshoujing Telescope). A total of 192 (12 known CBes) objects were identified as CBe candidates with prominent He~I~$\\lambda4387$, He~I~$\\lambda4471$, and Mg~II~$\\lambda4481$ absorption lines, as well as H$\\beta$~$\\lambda4861$ and H$\\alpha$~$\\lambda6563$ emission lines. These candidates significantly increases current CBe sample of about 8\\%. Most of the CBe candidates are distributed at the Galactic Anti-Center due to the LAMOST observing strategy. Only two of CBes are in the star clusters with ages of 15.8 and 398~Myr, respectively.

  6. GPS/DR Error Estimation for Autonomous Vehicle Localization.

    Science.gov (United States)

    Lee, Byung-Hyun; Song, Jong-Hwa; Im, Jun-Hyuck; Im, Sung-Hyuck; Heo, Moon-Beom; Jee, Gyu-In

    2015-01-01

    Autonomous vehicles require highly reliable navigation capabilities. For example, a lane-following method cannot be applied in an intersection without lanes, and since typical lane detection is performed using a straight-line model, errors can occur when the lateral distance is estimated in curved sections due to a model mismatch. Therefore, this paper proposes a localization method that uses GPS/DR error estimation based on a lane detection method with curved lane models, stop line detection, and curve matching in order to improve the performance during waypoint following procedures. The advantage of using the proposed method is that position information can be provided for autonomous driving through intersections, in sections with sharp curves, and in curved sections following a straight section. The proposed method was applied in autonomous vehicles at an experimental site to evaluate its performance, and the results indicate that the positioning achieved accuracy at the sub-meter level. PMID:26307997

  7. DR og musikken - en blues til 90´erne

    Directory of Open Access Journals (Sweden)

    Lars Ole Bonde

    1991-08-01

    Full Text Available Musikken i radioen er et af de mange underbelyste temaer inden for me- dieforskningen i Danmark. Forfatteren til den følgende artikel har gennem nogle år arbejdet som musik-medarbejder i Danmarks Radio - med base i Østjyllands Radio. I artiklen fokuserer han på produktionsaspektet. Hvilke funktionssammenhænge indgår musikken i inden for den kanalombrudte Danmarks Radio - både som selvstændig programform og som "akkompag- nement" til andet programstof? Dernæst følger man musikproduktionens mange former og får her afdækket både ex- og implicitte rammer for musik- politikken i institutionen. Herudfra rejses spørgsmålet om musikkens rolle i DR som aktiverende eller registrerende i forhold til det musikliv, som findes uden for institutionen.

  8. Dr. Euler's fabulous formula Cures many mathematical ills

    CERN Document Server

    Nahin, Paul J

    2006-01-01

    I used to think math was no fun'Cause I couldn't see how it was doneNow Euler's my heroFor I now see why zeroEquals e[pi] i+1--Paul Nahin, electrical engineer In the mid-eighteenth century, Swiss-born mathematician Leonhard Euler developed a formula so innovative and complex that it continues to inspire research, discussion, and even the occasional limerick. Dr. Euler's Fabulous Formula shares the fascinating story of this groundbreaking formula--long regarded as the gold standard for mathematical beauty--and shows why it still lies at the heart of complex number theory. This book is the seque

  9. A 10,000 Years Old Explosion in DR21

    CERN Document Server

    Zapata, Luis A; Perez-Goytia, Nadia; Ho, Paul T P; Rodriguez, Luis F; Loinard, Laurent; Cruz-Gonzalez, Irene

    2013-01-01

    Sensitive high angular resolution ($\\sim$ 2$"$) CO(2-1) line observations made with the Submillimeter Array (SMA) of the flow emanating from the high-mass star forming region DR21 located in the Cygnus X molecular cloud are presented. These new interferometric observations indicate that this well known enigmatic outflow appears to have been produced by an explosive event that took place about 10,000 years ago, and that might be related with the disintegration of a massive stellar system, as the one that occurred in Orion BN/KL 500 years ago, but about 20 times more energetic. This result therefore argues in favor of the idea that the disintegration of young stellar systems perhaps is a frequent phenomenon present during the formation of the massive stars. However, many more theoretical and observational studies are still needed to confirm our hypothesis.

  10. Mr. Jan Hendrik Bannier and Dr. Gosta Funke

    CERN Multimedia

    1966-01-01

    (on the left) : Mr. Jan Hendrik Bannier has been President of the Council at CERN for the years 1964, 1965 and 1966 and was President of the Finance Committee from 1958 to 1960. He is now a member of the Site Evaluation Panel for the 300 GeV accelerator project. In the Netherlands, he is Director of ZWO (Organization for the Advancement of Pure Research) and also Vice-President of the National Commission for UNESCO. (on the right) : Dr. Gosta Funke, who has represented his country at CERN Council sessions since the beginning of the Organization, was elected President of the Council for 1967 at its Thirty-third Session, in December. In Sweden, he has been Secretary-General of the State Council for Atomic Research since 1959. He is also President of the Council of ESO (European Southern Observatory), an organization building in Chili.

  11. Prof dr FJ van Zyl as mens, kerkman en godsdiensfilosoof

    Directory of Open Access Journals (Sweden)

    P. J. van der Merwe

    1989-01-01

    Full Text Available Prof Dr FJ van Zyl as person, church personality and philosopher of religion Professor Francois Jacobus van Zyl (1913-05-06 - served as Head of the Department of Science of Religion and Missiology, Faculty of Theology (Section: Nederduitsch Hervormde Kerk, University of Pretoria, during the period 1960-1978. This article (written by a former student of his and present Head of the same Department contains a short biography, a discussion of his views on Theology, Science of Religion and Philosophy of Religion, and a bibliography. He is portrayed as a theologian with Barthian convictions, while been influenced by Emil Brunner and to a lesser extent by Hendrik Kraemer also. His primary audience was the Nederduitsch Hervormde Kerk and his theological activities (especially in the period 1960-1983 must be seen in relation to his influential role in same church.

  12. Dr. Arthur Conan Doyle and the case of congenital syphilis.

    Science.gov (United States)

    Silverstein, Arthur M; Ruggere, Christine

    2006-01-01

    In 1894, Dr. Arthur Conan Doyle wrote "The Third Generation," a short story involving the transmission of congenital syphilis from generation to generation. Analysts of his writings have interpreted the pathogenetic mechanism involved in modern terms: infection of mother by father and then transplacental infection of the fetus. However, a review of the contemporary literature and the history of the concepts of congenital and "hereditary" syphilis demonstrates that the late 19th-century understanding of the process involved a Lamarckian transmission of paternal infection, via the sperm at the moment of conception. It was undoubtedly this concept that Doyle learned in medical school in the late 1870s and that provided the background to his story.

  13. The Chymistry of "The Learned Dr Plot" (1640-96).

    Science.gov (United States)

    Roos, Anna Marie

    2014-01-01

    In the seventeenth century, there were developing norms of openness in the presentation of scientific knowledge that were at odds with traditions of secrecy among chymists, particularly practitioners of chrysopoeia, or the transmutation of metals. This chapter analyzes how Dr. Robert Plot, the first professor of chymistry at Oxford, negotiated these boundaries within an institutional context. I first delineate his chymical and experimental practice, which incorporated procedures from medieval alchemical sources, particularly the Lullian corpus, as well as more novel practices from seventeenth-century chymistry. Then, I analyze how personal and institutional ambitions and economic considerations shaped to what extent Plot negotiated the boundaries between secrecy and the public dissemination of chymical knowledge.

  14. GPS/DR Error Estimation for Autonomous Vehicle Localization

    Directory of Open Access Journals (Sweden)

    Byung-Hyun Lee

    2015-08-01

    Full Text Available Autonomous vehicles require highly reliable navigation capabilities. For example, a lane-following method cannot be applied in an intersection without lanes, and since typical lane detection is performed using a straight-line model, errors can occur when the lateral distance is estimated in curved sections due to a model mismatch. Therefore, this paper proposes a localization method that uses GPS/DR error estimation based on a lane detection method with curved lane models, stop line detection, and curve matching in order to improve the performance during waypoint following procedures. The advantage of using the proposed method is that position information can be provided for autonomous driving through intersections, in sections with sharp curves, and in curved sections following a straight section. The proposed method was applied in autonomous vehicles at an experimental site to evaluate its performance, and the results indicate that the positioning achieved accuracy at the sub-meter level.

  15. AL Amyloidosis

    Directory of Open Access Journals (Sweden)

    Desport Estelle

    2012-08-01

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

  16. The most dangerous hospital or the most dangerous equation?

    Directory of Open Access Journals (Sweden)

    Tu Yu-Kang

    2007-11-01

    Full Text Available Abstract Background Hospital mortality rates are one of the most frequently selected indicators for measuring the performance of NHS Trusts. A recent article in a national newspaper named the hospital with the highest or lowest mortality in the 2005/6 financial year; a report by the organization Dr Foster Intelligence provided information with regard to the performance of all NHS Trusts in England. Methods Basic statistical theory and computer simulations were used to explore the relationship between the variations in the performance of NHS Trusts and the sizes of the Trusts. Data of hospital standardised mortality ratio (HSMR of 152 English NHS Trusts for 2005/6 were re-analysed. Results A close examination of the information reveals a pattern which is consistent with a statistical phenomenon, discovered by the French mathematician de Moivre nearly 300 years ago, described in every introductory statistics textbook: namely that variation in performance indicators is expected to be greater in small Trusts and smaller in large Trusts. From a statistical viewpoint, the number of deaths in a hospital is not in proportion to the size of the hospital, but is proportional to the square root of its size. Therefore, it is not surprising to note that small hospitals are more likely to occur at the top and the bottom of league tables, whilst mortality rates are independent of hospital sizes. Conclusion This statistical phenomenon needs to be taken into account in the comparison of hospital Trusts performance, especially with regard to policy decisions.

  17. The M giant candidates identified in the LAMOST DR1

    Science.gov (United States)

    Zhong, Jing

    2015-08-01

    M giants are red-giant-branch (RGB) stars with low surface temperature and high luminosity in the late-phase of stellar evolution. Its luminous nature allows us to use these stars as good tracers to study the outer Galactic halo and distant substructures. A well classified M-giant stars sample has important scientific values for the statistic research. In order to fully utilize the spectral data of LAMOST spectroscopic survey, we perform a discrimination procedure with the spectral index diagram of TiO5 and CaH2+CaH3 to separate M giants from M dwarfs. Using the M giant spectra identified from the LAMOST DR1 with high signal-to-noise ratio, we have successfully assembled a set of M giant templates from M0 to M6. Then, the template-fit algorithm were used to automatically identify and classify M giants from the LAMOST DR1. In addition, we calculated the heliocentric radial velocity of all M giants by using the cross-correlation method with the template spectrum in a zero-velocity rest frame. Using the relationship between the absolute infrared magnitude MJ and our classified spectroscopic subtype, we derived the spectroscopic distance of M giants, with uncertainties of about 40%. Finally, we present a spectroscopic catalog of 8639 M giants including stellar parameters like photometry, proper motion, radial velocity, distance, spectral type and so on. In particular, the large sample of M giants is carried out for the first time. We will further use this sample to study the sub-structures and tidal stream in the Galactic Anti-Center.

  18. Safety evaluation for packaging for 1720-DR sodium-filled tank

    International Nuclear Information System (INIS)

    Preparations are under way to sell the sodium stored in the 1720-DR tank in the 1720-DR building. This will require that the tank, as well as the 1720-DR facility, be moved to the 300 Area, so that the sodium may be melted and transferred into a railroad tanker car. Because the sodium is a hazardous material and is being shipped in a nonspecification packaging, a safety evaluation for packaging (SEP) is required. This SEP approves the sodium-filled tank for a single shipment from the 105-DR area to the 300 Area

  19. E pluribus unum: ustavnost država članica američke federacije

    OpenAIRE

    Kostadinov, Biljana

    2007-01-01

    Izučavanje federalizma i saveznog Ustava SAD-a ne daje potpunu sliku ustavnopolitičkog sustava SAD-a, nedovoljno je jer zanemaruje državni konstitucionalizam. Razlike između državnih ustava i Ustava SAD-a toliko su brojne da opravdano možemo govoriti o dvije ustavne tradicije. Američka državna ustavna tradicija oduvijek je ohrabrivala nepovjerenje u vlast koju predstavljaju izabrani zastupnici i time činila neposrednu demokraciju privlačnom. U tekstu autorica razmatra evoluciju državnog konst...

  20. Expression and mutational analysis of DinB-like protein DR0053 in Deinococcus radiodurans.

    Directory of Open Access Journals (Sweden)

    Deepti Appukuttan

    Full Text Available In order to understand the mechanism governing radiation resistance in Deinococcus radiodurans, current efforts are aimed at identifying potential candidates from a large repertoire of unique Deinococcal genes and protein families. DR0053 belongs to the DinB/YfiT protein family, which is an over-represented protein family in D. radiodurans. We observed that dr0053 transcript levels were highly induced in response to gamma radiation (γ-radiation and mitomycin C (MMC exposure depending on PprI, RecA and the DrtR/S two-component signal transduction system. Protein profiles demonstrated that DR0053 is a highly induced protein in cultures exposed to 10 kGy γ-radiation. We were able to determine the transcriptional start site of dr0053, which was induced upon irradiation, and to assign the 133-bp promoter region of dr0053 as essential for radiation responsiveness through primer extension and promoter deletion analyses. A dr0053 mutant strain displayed sensitivity to γ-radiation and MMC exposure, but not hydrogen peroxide, suggesting that DR0053 helps cells recover from DNA damage. Bioinformatic analyses revealed that DR0053 is similar to the Bacillus subtilis protein YjoA, which is a substrate of bacterial protein-tyrosine kinases. Taken together, the DNA damage-inducible (din gene dr0053 may be regulated at the transcriptional and post-translational levels.

  1. Characteristics of dr1790 disruptant and its functional analysis in Deinococcus radiodurans.

    Science.gov (United States)

    Cheng, Jianhui; Wang, Hu; Xu, Xin; Wang, Liangyan; Tian, Bing; Hua, Yuejin

    2015-06-01

    Deinococcus radiodurans (DR) is an extremophile that is well known for its resistance to radiation, oxidants and desiccation. The gene dr1790 of D. radiodurans was predicted to encode a yellow-related protein. The primary objective of the present study was to characterize the biological function of the DR1790 protein, which is a member of the ancient yellow/major royal jelly (MRJ) protein family, in prokaryotes. Fluorescence labeling demonstrated that the yellow-related protein encoded by dr1790 is a membrane protein. The deletion of the dr1790 gene decreased the cell growth rate and sensitivity to hydrogen peroxide and radiation and increased the membrane permeability of D. radiodurans. Transcript profiling by microarray and RT-PCR analyses of the dr1790 deletion mutant suggested that some genes that are involved in protein secretion and transport were strongly suppressed, while other genes that are involved in protein quality control, such as chaperones and proteases, were induced. In addition, the expression of genes with predicted functions that are involved in antioxidant systems, electron transport, and energy metabolism was significantly altered through the disruption of dr1790. Moreover, the results of proteomic analyses using 2-DE and MS also demonstrated that DR1790 contributed to D. radiodurans survival. Taken together, these results indicate that the DR1790 protein from the ancient yellow protein family plays a pleiotropic role in the survival of prokaryotic cells and contributes to the extraordinary resistance of D. radiodurans against oxidative and radiation stresses.

  2. Expression and mutational analysis of DinB-like protein DR0053 in Deinococcus radiodurans.

    Science.gov (United States)

    Appukuttan, Deepti; Seo, Ho Seong; Jeong, Sunwook; Im, Sunghun; Joe, Minho; Song, Dusup; Choi, Jungjoon; Lim, Sangyong

    2015-01-01

    In order to understand the mechanism governing radiation resistance in Deinococcus radiodurans, current efforts are aimed at identifying potential candidates from a large repertoire of unique Deinococcal genes and protein families. DR0053 belongs to the DinB/YfiT protein family, which is an over-represented protein family in D. radiodurans. We observed that dr0053 transcript levels were highly induced in response to gamma radiation (γ-radiation) and mitomycin C (MMC) exposure depending on PprI, RecA and the DrtR/S two-component signal transduction system. Protein profiles demonstrated that DR0053 is a highly induced protein in cultures exposed to 10 kGy γ-radiation. We were able to determine the transcriptional start site of dr0053, which was induced upon irradiation, and to assign the 133-bp promoter region of dr0053 as essential for radiation responsiveness through primer extension and promoter deletion analyses. A dr0053 mutant strain displayed sensitivity to γ-radiation and MMC exposure, but not hydrogen peroxide, suggesting that DR0053 helps cells recover from DNA damage. Bioinformatic analyses revealed that DR0053 is similar to the Bacillus subtilis protein YjoA, which is a substrate of bacterial protein-tyrosine kinases. Taken together, the DNA damage-inducible (din) gene dr0053 may be regulated at the transcriptional and post-translational levels.

  3. Characteristics of dr1790 disruptant and its functional analysis in Deinococcus radiodurans

    Directory of Open Access Journals (Sweden)

    Jianhui Cheng

    2015-06-01

    Full Text Available Deinococcus radiodurans (DR is an extremophile that is well known for its resistance to radiation, oxidants and desiccation. The gene dr1790 of D. radiodurans was predicted to encode a yellow-related protein. The primary objective of the present study was to characterize the biological function of the DR1790 protein, which is a member of the ancient yellow/major royal jelly (MRJ protein family, in prokaryotes. Fluorescence labeling demonstrated that the yellow-related protein encoded by dr1790 is a membrane protein. The deletion of the dr1790 gene decreased the cell growth rate and sensitivity to hydrogen peroxide and radiation and increased the membrane permeability of D. radiodurans. Transcript profiling by microarray and RT-PCR analyses of the dr1790 deletion mutant suggested that some genes that are involved in protein secretion and transport were strongly suppressed, while other genes that are involved in protein quality control, such as chaperones and proteases, were induced. In addition, the expression of genes with predicted functions that are involved in antioxidant systems, electron transport, and energy metabolism was significantly altered through the disruption of dr1790. Moreover, the results of proteomic analyses using 2-DE and MS also demonstrated that DR1790 contributed to D. radiodurans survival. Taken together, these results indicate that the DR1790 protein from the ancient yellow protein family plays a pleiotropic role in the survival of prokaryotic cells and contributes to the extraordinary resistance of D. radiodurans against oxidative and radiation stresses.

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

    OpenAIRE

    Maristela Santini Martins; Maria Cristina Komatsu Braga Massarollo

    2008-01-01

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

  5. Hypoglycemia in the hospital

    OpenAIRE

    Shomali, Mansur

    2011-01-01

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

  6. Gambaran Karakteristik Ibu Hamil pada Persalinan Preterm di RSUP Dr. M. Djamil Padang Tahun 2012

    Directory of Open Access Journals (Sweden)

    Verdani Leoni Edrin

    2014-09-01

    Full Text Available AbstrakAngka kematian bayi di Indonesia menurut Survei Demografi dan Kesehatan Indonesia 2002-2003 sebanyak 57% terjadi pada umur dibawah 1 bulan. Persalinan preterm merupakan salah satu penyebab kematian bayi. Tujuan penelitian ini adalah untuk mengetahui gambaran karakteristik ibu hamil pada persalinan preterm di RS. Dr. M. Djamil Padang pada tahun 2012. Ini merupakan penelitian deskriptif dengan mengambil data bulan Januari - Desember 2012. Populasi dalam penelitian ini adalah seluruh ibu yang melahirkan preterm sebanyak 72 orang. Sampel yang digunakan adalah total populasi. Data yang dikumpulkan adalah data sekunder. Alat ukur dalam penelitian ini adalah checklist dengan melihat catatan rekam medik pasien, analisis yang di gunakan adalah univariat. Hasil penelitian didapatkan persalinan preterm yang terbanyak adalah ibu hamil berusia 20-35 tahun (65,28%, paritas risiko tinggi (55,56%, jarak persalinan <2 tahun (61,11%, memiliki pendidikan tinggi (80,56%, mengalami anemia (76,39%, dan tidak melakukan kunjungan antenatal dengan lengkap (72,22%. Kesimpulan yang dapat diambil dari penelitian ini adalah bahwa persalinan preterm dapat dipengaruhi oleh faktor usia, paritas, jarak persalinan, pendidikan, anemia dan tingkat kunjungan antenatal.Kata kunci: persalinan preterm, karakteristik ibu hamil, faktor risiko persalinan pretermAbstractIndonesia infant mortality rate in Indonesia Demographic and Health Survey 2002 – 2003 occurs in as many as 57% under the age of 1 month. Preterm labor is one of the causes of infant mortality. The purpose of this study was to know the characteristic of pregnant women in preterm labor at Dr. M. Djamil Padang Hospital in 2012. This research used a descriptive method based on the data from January to December 2012. The population in this study were all of mother who delivered preterm were 72 people. The sample that had been used was the total value of population. The data that had been gathered was a secondary data

  7. Jürgen Dröge : Eestimaa lilled panevad südame põksuma / Jürgen Dröge ; interv. Annika Poldre

    Index Scriptorium Estoniae

    Dröge, Jürgen, 1941-

    2005-01-01

    Ametist lahkuv Saksamaa Liitvabariigi suursaadik Eestis Jürgen Dröge oma karjäärist välisteenistuses, Eestist saadud muljetest, Saksamaa ja Venemaa suhetest, Balti riikide arengust Euroopa Liidus

  8. Kejadian Preeklampsi Berat pada Ibu Hamil dan Bersalin Studi Kasus terhadap Pasien di Rumah Sakit Umum Dr. Pirngadi Kota Medan Tahun 2012

    OpenAIRE

    Sihotang, Lisnawati

    2012-01-01

    Preeclampsia is a disease with the typical signs of high blood pressure, followed by proteinurine, with or without oedema caused by pregnancy. Preeclampsia can progress into a severe preeclampsia because of not knowing or not getting help on time, so that the maternal mortality rate cannot be reduced yet. The incidence of severe preeclampsia at dr. Pirngadi General Hospital, Medan was increased, from 43 cases of 531pregnancy (8.1 %) in 2010 into 73 cases of 644 pregnancy (11.3 %) in 2011...

  9. The properties of Brightest Cluster Galaxies in the SDSS DR6 adaptive matched filter cluster catalogue

    CERN Document Server

    Pipino, A; Pierpaoli, E; MacKenzie, S M; Dong, F

    2010-01-01

    We study the properties of Brightest Cluster Galaxies (BCGs) drawn from a catalogue of more than 69000 clusters in the SDSS DR6 based on the adaptive matched filter technique (AMF, Szabo et al., 2010). Our sample consists of more than 14300 galaxies in the redshift range 0.1-0.3. We test the catalog by showing that it includes well-known BCGs which lie in the SDSS footprint. We characterize the BCGs in terms of r-band luminosities and optical colours as well as their trends with redshift. In particular, we define and study the fraction of blue BCGs, namely those that are likely to be missed by either colour-based cluster surveys and catalogues. Richer clusters tend to have brighter BCGs, however less dominant than in poorer systems. 4-9% of our BCGs are at least 0.3 mag bluer in the g-r colour than the red-sequence at their given redshift. Such a fraction decreases to 1-6% for clusters above a richness of 50, where 3% of the BCGs are 0.5 mag below the red-sequence. A preliminary morphological study suggests t...

  10. Search for primordial non-Gaussianity in the quasars of SDSS-III BOSS DR9

    CERN Document Server

    Karagiannis, Dionysios; Ross, Nicholas P

    2013-01-01

    We analyse the clustering of 22,361 quasars between redshift 2.2 < z < 2.9 observed with the Sloan Digital Sky Survey (SDSS)-III Baryon Oscillation Spectroscopic Survey (BOSS), which are included in the ninth data release (DR9). We fit the clustering results with a LCDM model to calculate the linear bias of the quasar sample, b=3.74\\pm 0.12. The measured value of bias is consistent with the findings of White et al. (2012), where they analyse almost the same quasar sample, although only in the range, s < 40 Mpc/h. Fitting the standard cosmological model at small and intermediate scales (3-120 Mpc/h) of the quasar clustering produces a rejection at the 2.2 sigma significance level. At larger scales we observe an excess or plateau in the clustering correlation function. Including this large-scale feature in the fit produces a rejection of LCDM at the 2.7 sigma level. By fitting a model that incorporates a scale dependent additional term in the bias introduced by primordial non-Gaussianity of the local t...

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

    OpenAIRE

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

    2008-01-01

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

  12. Dr Ji Wenhuang's Experience in TCM Treatment of Thyropathy

    Institute of Scientific and Technical Information of China (English)

    陶小英

    2004-01-01

    @@ Engaged in medical practice for more than 40 years,Professor Ji Wenhuang (季文煌) of Shuguang Hospital affiliated to Shanghai University of Traditional Chinese Medicine has accumulate d rich experience in TCM treatment of thyropathy.Honorably apprenticed to him, the author has summed up his experience as follows.

  13. Locus-specific detection of HLA-DQ and -DR antigens by antibodies against synthetic N-terminal octapeptides of the beta chain

    DEFF Research Database (Denmark)

    Deufel, T; Grove, A; Kofod, Hans;

    1985-01-01

    detected a 29 kDa component in immunoblots of Raji and AL-34 cell plasma membrane proteins separated by SDS gel electrophoresis. The binding of either N-terminal peptide antiserum was selectively inhibited only by the peptide used as antigen. Indirect immunofluorescence analysis by flow cytofluorometry......Antibodies against synthetic peptides representing the class-II antigen HLA-DR and -DQ beta chain N-terminal sequences were prepared in rabbits. The two octapeptides only share two amino acids and enzyme-linked immuno-assays showed the antisera only to bind to its own antigen. Both peptide antisera...... chains of HLA-DR and -DQ have been prepared by the preparation by the production of antibodies against the N-terminal sequences of each polypeptide....

  14. Star Formation in the DR21 Region (A)

    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 a stellar nursery called DR21, which is giving birth to some of the most massive stars in our galaxy. Visible light images reveal no trace of this interstellar cauldron 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 colorful image (top panel) is a large-scale composite mosaic assembled from data collected at a variety of different wavelengths. Views at visible wavelengths appear blue, near-infrared light is depicted as green, and mid-infrared data from the InfraRed Array Camera (IRAC) aboard NASA's Spitzer Space Telescope is portrayed as red. The result is a contrast between structures seen in visible light (blue) and those observed in the infrared (yellow and red). A quick glance shows that most of the action in this image is revealed to the unique eyes of Spitzer. The image covers an area about two times that of a full moon. Each of the constituent images is shown below the large mosaic. The Digital Sky Survey (DSS) image (lower left) provides a familiar view of deep space, with stars scattered around a dark field. The reddish hue is from gas heated by foreground stars in this region. This fluorescence fades away in the near-infrared Two-Micron All-Sky Survey (2MASS) image (lower center), but other features start to appear through the obscuring clouds of dust, now increasingly transparent. Many more stars are discerned in

  15. Hospitable Classrooms: Biblical Hospitality and Inclusive Education

    Science.gov (United States)

    Anderson, David W.

    2011-01-01

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

  16. Hospital demand for physicians.

    Science.gov (United States)

    Morrisey, M A; Jensen, G A

    1990-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Yessenia Brenes Madrigal

    2010-09-01

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

  18. Gambaran Kejadian Hemoptisis pada Pasien di Bangsal Paru RSUP Dr. M. Djamil Padang Periode Januari 2011 – Desember 2012

    Directory of Open Access Journals (Sweden)

    Intan Irfa

    2014-09-01

    Pulmonary Department of Dr. M. Djamil Hospital Padang period January 2011 – December 2012. This research was a descriptive survey based on retrospective study design that reviewed the medical record of hospitalized patients with hemoptysis in Pulmonary Department of Dr. M. Djamil Hospital period January 2011 – December 2012. The result has shown that since January 2011 – December 2012 there were 103 patients with hemoptysis, and the prevalence of hemoptysis is 3.6%. Most of patients with hemoptysis are male (65% with highest frequency distribution based on age group of patients is 31 – 40 years old. While the highest frequency distribution based on patients’ history of education is high school diploma (32%, based on patients’ profession is housewife (29.1% and most of patients live in Padang. Moderate hemoptysis (34% were the highest frequency distribution based on classification of hemoptysis, with pulmonary tuberculosis as the main etiology (47.6%. Mortality rate of patients with hemoptysis in this study was 6,8% of all hemoptysis cases.Keywords: hemoptysis, prevalence, tuberculosis

  19. [WHO AFFECTS THE PATIENT, DR. GOOGLE OR THE DOCTOR?].

    Science.gov (United States)

    Mishali, Moshe; Avrech, Tova

    2015-09-01

    In the last decade the World Wide Web has become one of the prime sources for medical data searches. The abundance of information and emphasis on consumer communication, which are the main characteristics of the new generation of the web named "Web 2.0", enable users to engage and educate others by sharing and collaborating knowledge. It also enables them to receive medical information based on the experience of other patients, while the duration of the traditional physician's visit has shortened. However, using Web 2.0 for health collaboration has drawbacks as well: When alternative ways of "knowing" replace objective medical facts, there is danger of misinformation and truth "flattening". This article examines the distribution of medical misinformation online: Its characteristics, the nature of the messages presented online and the means that might help protect users and patients from it. The authors hold positions in the Israeli Dairy Board (IDB): Dr. Averch manages the health field on the IDB, and the findings in this article are based on research that she is leading as part of this position, and Dr. Mishali is a trained psychologist, and acts as a strategic consultant for IDB in the field of coping with the opposition to milk and its products. In this article it is initially shown how the characteristics of information distribution in general help spreading medical misinformation online: The decline of doctors' authority as sole providers of medical information, disillusionment and suspicion towards science and the notion of expertise, and the emergence of new ways to evaluate information, based on community ties. The nature of this pseudo-medical information will then be discussed, including the range of the phenomenon and the probability of users to be affected by it. Furthermore, we will raise specific tactics in which anti-establishment messages are portrayed; examples will be given of the use of emotion evoking content in the anti-establishment messages

  20. The Honorable Dr Adolfo Urso, Vice Minister for Foreign Trade, "Viceministro delle Attivita' Produttive, Italia"

    CERN Multimedia

    Patrice Loïez

    2002-01-01

    Photo 01: The Honorable Dr Adolfo Urso, Deputy Minister for Productive Activities, Italy, visiting SM18 with (from l to r): Dr Roberto Saban, Technical Coordination and Planning, LHC machine; Prof. Luciano Maiani, CERN Director-General; Dr Mario Gerbino, Director General of the Ministry and Prof. Lucio Rossi, LHC Main Magnet and Superconductors (MMS) Group Leader. Photo 02: Prof. Luciano Maiani, CERN Director-General and The Honorable Dr Adolfo Urso, Deputy Minister for Productive Activities, Italy, in front of one of the LHC superconducting magnet in SM18. Photo 03 :In front of one of the LHC superconducting magnets - from left to right Dr Roberto Saban, Technical Coordination and Planning, LHC machine; The Honorable Dr Adolfo Urso, Deputy Minister for Productive Activities, Italy and Prof. Luciano Maiani, CERN Director-General. Photo 04: In the SM18 hall (from l. to r.) Prof. Luciano Maiani, CERN Director-General, The Honorable Dr Adolfo Urso, Deputy Minister for Productive Activities, Italy and Dr Mario Ge...

  1. Evolutionary relationship between human major histocompatibility complex HLA-DR haplotypes

    Energy Technology Data Exchange (ETDEWEB)

    Svensson, A.C.; Setterblad, N.; Pihlgren, U.; Rask, L.; Andersson, G. [Swedish Univ. of Agricultural Sciences, Uppsala (Sweden)

    1996-09-01

    HLA-DR haplotypes of the human major histocompatibility complex are organized in five different groups. They can be identified based on the serological specificity expressed by the polymorphic DRB1 locus and by the presence of a characteristic set of DRB genes. The nucleotide sequences of introns 4 and 5 of the two DRB genes (DRB1*01 and DRB6*01) from a DR1 haplotype and the three DRB genes (DRB1*15, DRB6*15, and DRB5*15), from a DR51 haplotype were determined. This study identified endogenous retroviral long terminal repeat elements (ERV9 LTR) located at identical positions in intron 5 of the DRB1 genes in both the DR1 and DR51 haplotypes. Phylogenetic analyses revealed a close evolutionary relationship between these two haplotypes. The DRB5 gene, unique for the DR51 haplotype, may have been lost by a recent gene deletion event creating the DR1 haplotype. A model for the evolution of the human DR haplotypes involving separate duplication and contraction events is presented. 55 refs., 5 figs., 2 tabs.

  2. HLA class II genes polymorphism in DR4 giant cell arteritis patients.

    Science.gov (United States)

    Bignon, J D; Ferec, C; Barrier, J; Pennec, Y; Verlingue, C; Cheneau, M L; Lucas, V; Muller, J Y; Saleun, J P

    1988-11-01

    We have previously reported a significant increase of HLA-DR4 antigen frequency in giant cell arteritis (GCA). This finding suggested an important role of immunogenetic factors in this syndrome. Recent data suggest that inherited susceptibility to several autoimmune diseases was associated with specific DR4 associated DQ beta alleles. DNAs from 27 DR4 positive patients with GCA were digested with Taq I and Bam HI, analysed on 0.7% agarose gel and hybridized with DR beta, DQ alpha and DQ beta probes. DR beta hybridization produced no variant detectable within DR4. DQ beta probe confirmed two clusters among DR4 associated DQW3 alleles: DQW 3.1 (Bam HI 360 Kb) and DQw 3.2 (Taq I 1.9 Kb and Bam HI 11 Kb). Among our 27 DR4 positive patients, 34% were DQW 3.1 and 66% were DQW 3.2. These frequencies are the same as those observed in healthy controls. PMID:2906182

  3. Data of evolutionary structure change: 1DR8B-3DMSA [Confc[Archive

    Lifescience Database Archive (English)

    Full Text Available 1DR8B-3DMSA 1DR8 3DMS B A --------------------------MKVAVLPGDGIGP...D>3DMS A 3DMSA AVEKAYGGKKKIH ...entryChain> 3DMS A 3DMSA TKVYGPDV...90 SER CA 526 3DMS A 3DMSA...ine>PHE CA 324 3DMS A 3DMSA

  4. Data of evolutionary structure change: 1DR8A-1ISOA [Confc[Archive

    Lifescience Database Archive (English)

    Full Text Available 1DR8A-1ISOA 1DR8 1ISO A A ------------------------MKVAVLPGDGIGPEV...70 1ISO A 1ISO...CA 388 PHE CA 401 PRO CA 322 GLU CA 240 1ISO... A 1ISOA TQVYGQDV...VAL CA 456 VAL CA 489 SER CA 527 1ISO

  5. A review of the contributions of Dr. Alexander F. H. Goetz to imaging spectroscopy

    NARCIS (Netherlands)

    Ustin, S.; Macdonald, J.; Schaepman, M.E.

    2006-01-01

    All aspects of the science and engineering of imaging spectrometry have been advanced by the work of Dr. Alexander F.H. Goetz over the past 30 years. Dr. Goetz¿s pioneering efforts were among the first to realize that it was feasible to obtain laboratory like spectra from space that would quantify e

  6. Dr. Bernard Langer - inductee into the Canadian Medical Hall of Fame.

    Science.gov (United States)

    Greig, Paul D; Rotstein, Ori D

    2015-04-01

    Dr. Bernard Langer's induction into the Canadian Medical Hall of Fame acknowledges his profound effect on medicine and surgery in Canada and an impact that has been truly international. In this brief biography, we highlight the major accomplishments that have made Dr. Langer a pre-eminent leader, innovator, teacher and exemplary surgeon. PMID:25799243

  7. Dr. Bernard Langer — inductee into the Canadian Medical Hall of Fame

    Science.gov (United States)

    Greig, Paul D.; Rotstein, Ori D.

    2015-01-01

    Summary Dr. Bernard Langer’s induction into the Canadian Medical Hall of Fame acknowledges his profound effect on medicine and surgery in Canada and an impact that has been truly international. In this brief biography, we highlight the major accomplishments that have made Dr. Langer a pre-eminent leader, innovator, teacher and exemplary surgeon. PMID:25799243

  8. Genomic analysis identifies class II mismatches in serologically DR-compatible human renal allografts.

    Science.gov (United States)

    Bushell, A; Wood, K J; Morris, P J

    1988-11-01

    Many studies, including those from our own center, have shown that matching the donor and recipient for HLA-DR antigens has a beneficial effect on the outcome of cadaveric renal transplantation. However, cases of irreversible graft rejection are sometimes seen in patients who have received an HLA-DR-compatible kidney, suggesting that serologic compatibility for HLA-DR may not always ensure reduced alloreactivity toward the graft. We have examined a number of recipients and their serologically DR-compatible cadaveric donors by Southern blotting and hybridization with locus specific HLA class II probes in order to determine whether in these patients there were class II mismatches that had been undetected by serology. The results show that the analysis of DR beta restriction fragment patterns does little more than complement and confirm the serologic identification of HLA-DR. Hybridization with DQ alpha and DQ beta probes, however, significantly extends the number of DQ specificities that can be detected and suggests that DQ mismatches in DR-compatible donor-recipient pairs may be more common than previously supposed, although it is not possible to draw any conclusions on the influence of DQ incompatibilities in the presence of DR compatibility on graft outcome.

  9. HLA-DR and -DQ gene polymorphism in Latvian patients with insulin-dependent diabetes mellitus.

    Science.gov (United States)

    Shtauvere, A; Rumba, I; Dzivite, I; Sanjeevi, C B

    1998-10-01

    Latvian insulin-dependent diabetes mellitus (IDDM) patients (n=101) and healthy controls (n=111) were analyzed for HLA-DR and DQ polymorphism. DR3-DQ2 and DR4-DQ8 were positively associated and DR15-DQ6, DR13-DQ6, DR1-DQ5 and DQ7 negatively associated with the disease. The incidence of IDDM in Latvia is very low (6.5 per 100,000) compared to Sweden (24.4 per 100,000), even though Latvia is close to Sweden. The reasons for the decreased incidence are not clear. When the negatively associated DQ were taken together in the healthy controls, more than 75% of the healthy controls were positive for one of the four negatively associated DQ molecules. The excess frequency of the negatively associated DQ molecules in the general population could explain the lower incidence of IDDM in Latvia. Association of HLA-DR and DQ genes with autoantibody markers shows DR3, but not DQ2, to be increased in GAD65 antibody-positive compared to antibody-negative patients. This association was not observed with ICA512 antibodies.

  10. Dr. James McGee shows three astronauts how to handle non-poisonous snake

    Science.gov (United States)

    1967-01-01

    Dr. James W. McGee (right), Medical Operations Office, Manned Spacecraft Center, shows three astronauts how to handle a non-poisonous snake during desert survival training in Washington state. Left to right, are Astronauts Thomas K. Mattingly, Alfred M. Worden, and John L. Swigert Jr.; and Dr. McGee. The astronauts are dressed in faked Arab clothing.

  11. 78 FR 7438 - Prospective Grant of Exclusive License: Development of Human Monoclonal Antibodies Against DR4

    Science.gov (United States)

    2013-02-01

    ... Human Monoclonal Antibodies Against DR4 AGENCY: National Institutes of Health, Public Health Service... Monoclonal Antibodies Against DR4'' (HHS Ref. No. E-158-2010/0) to Customized Biosciences, Inc., which is..., rheumatoid arthritis, systemic lupus erythematosus, multiple sclerosis, amyotrophic lateral sclerosis,...

  12. The application of hospitality elements in hospitals.

    Science.gov (United States)

    Wu, Ziqi; Robson, Stephani; Hollis, Brooke

    2013-01-01

    In the last decade, many hospital designs have taken inspiration from hotels, spurred by factors such as increased patient and family expectations and regulatory or financial incentives. Increasingly, research evidence suggests the value of enhancing the physical environment to foster healing and drive consumer decisions and perceptions of service quality. Although interest is increasing in the broader applicability of numerous hospitality concepts to the healthcare field, the focus of this article is design innovations, and the services that such innovations support, from the hospitality industry. To identify physical hotel design elements and associated operational features that have been used in the healthcare arena, a series of interviews with hospital and hotel design experts were conducted. Current examples and suggestions for future hospitality elements were also sought from the experts, academic journals, and news articles. Hospitality elements applied in existing hospitals that are addressed in this article include hotel-like rooms and decor; actual hotels incorporated into medical centers; hotel-quality food, room service, and dining facilities for families; welcoming lobbies and common spaces; hospitality-oriented customer service training; enhanced service offerings, including concierges; spas or therapy centers; hotel-style signage and way-finding tools; and entertainment features. Selected elements that have potential for future incorporation include executive lounges and/or communal lobbies with complimentary wireless Internet and refreshments, centralized controls for patients, and flexible furniture. Although the findings from this study underscore the need for more hospitality-like environments in hospitals, the investment decisions made by healthcare executives must be balanced with cost-effectiveness and the assurance that clinical excellence remains the top priority. PMID:23424818

  13. The application of hospitality elements in hospitals.

    Science.gov (United States)

    Wu, Ziqi; Robson, Stephani; Hollis, Brooke

    2013-01-01

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

  14. dr1127: A novel gene of Deinococcus radiodurans responsible for oxidative stress

    Institute of Scientific and Technical Information of China (English)

    WU YuanYuan; TIAN Bing; HUA YueJin

    2007-01-01

    The functional analysis of dr1127, a novel gene in Deinococcus radiodurans was performed in this paper. The dr1127 gene was found occasionally in our microarray and 2-DE gel experiments. Mutation of the dr1127 gene decreased the γ-radiation and H2O2 resistance of D. radiodurans, and weakened the scavenging abilities of cell extracts for free radicals (superoxide anion, hydrogen peroxide, and hydroxyl radical). Further oxidative damage assays demonstrated that the purified DR1127 protein of D. radiodurans could bind to double stranded DNA in vitro and protect DNA from oxidative damage in this way. These results suggest that the dr1127 gene is an important gene that can maintain γ-radiation and oxidative resistance in D. radiodurans and may take part in the oxidative stress process.

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

    OpenAIRE

    Marwan, Yousef

    2013-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Niño Serna, Laura

    2014-04-01

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

  17. [Life and work of Dr. Jovan Jovanović Zmaj].

    Science.gov (United States)

    Lesić, Aleksandar; Bumbasirević, Marko; Zizić-Borjanović, Slavica

    2006-10-01

    The year of 2004 was the 100th anniversary of death of the poet and physician Dr. Jovan Jovanović Zmaj. Jovan Jovanović Zmaj was born in 1833 in Novi Sad, and died in 1904 in Sremska Kamenica J.J. Zmaj himself studied law and worked in the Novi Sad magistrate court. It was not until he turned 30 that he began practicing medicine. He developed as a poet as early as during his studies. He remained loyal to the vocations of physician and poet throughout his life. He wrote over 5000 poems, ranging from those for children through those for adults and those with which he addressed the rulers satirically. He was a founder of a number of magazines (Javor, Neven, Komarac, Danica). At that time of Romanticism, the work of J.J. Zmaj also had a national character. However, he succeeded in achieving something more: he introduced a literary genre till then unknown in Serb literature--literature for children. Through his genre he promoted not only Serbian language but also hygiene, by which he played a significant health care role, similar to that played by his friend Milan Jovanović Batut, only from a different aspect. He also used to draw, and his drawing of the emblem of the Serbian Literary Association has remained on the cover of every book published by it until these days. PMID:18172968

  18. The case of the missing fingerprints or Dr Watson's cosmology

    International Nuclear Information System (INIS)

    The cosmological problem has four main areas of uncertainty -the origin of isotropy of the universe, the origin of the fluctuations from which galaxies form, the explanation of why we live in a matter universe rather than one composed of equal amounts of matter and antimatter and why the Universe seems to be within a factor of 10 of the critical, flat universe. These cannot be explained satisfactorily within the Hot Big Bang theory after a millisecond or so. The solutions are presumed, therefore, to lie in the very early universe when it was less than about a millisecond old. The clues which lead to this conclusion are set out in terms of a detective story with Sherlock Holmes explaining the facts about the universe to Dr Watson. Holmes first explains the size of the universe in terms of distances and sizes of stars, galaxies and galaxy clusters. Evidence from pictures of the universe at different temperatures, (X-ray pictures, gamma-ray pictures, far infra-red pictures and pictures at radio and millimetre wavelengths) is presented. Holmes then starts to build up a realistic model of the universe using two of the facts collected (the isotropy of the universe and the expansion of the universe), one assumption (the cosmological principle) and one theory of gravity (General Relativity). However the universe which emerges does not solve the four problems mentioned. Quasars, which provide information (illustrated) from earlier epochs of the universe may, therefore, help to solve the problems. (U.K.)

  19. Three moving groups detected in the LAMOST DR1 archive

    International Nuclear Information System (INIS)

    We analyze the kinematics of thick disk and halo stars observed by the Large Sky Area Multi-Object Fiber Spectroscopic Telescope. We have constructed a sample of 7993 F, G, and K nearby main-sequence stars (d < 2 kpc) with estimates of position (x, y, z) and space velocity (U, V, W) based on color and proper motion from the Sloan Digital Sky Survey DR9 catalog. Three 'phase-space overdensities' are identified in (V, √(U2+2V2)) with significance levels of σ > 3. Two of them (the Hyades-Pleiades stream and the Arcturus-AF06 stream) have been identified previously. We also find evidence for a new stream (centered at V ∼ –180 km s–1) in the halo. The formation mechanisms of these three streams are analyzed. Our results support the hypothesis that the Arcturus-AF06 stream and the new stream originated from the debris of a disrupted satellite, while the Hyades-Pleiades stream has a dynamical origin.

  20. Dr. Monaco Examines Lab-on a-Chip

    Science.gov (United States)

    2003-01-01

    Dr. Lisa Monaco, Marshall Space Flight Center's (MSFC's) project scientist for the Lab-on-a-Chip Applications Development (LOCAD) program, examines a lab on a chip. The small dots are actually ports where fluids and chemicals can be mixed or samples can be collected for testing. Tiny channels, only clearly visible under a microscope, form pathways between the ports. Many chemical and biological processes, previously conducted on large pieces of laboratory equipment, can now be performed on these small glass or plastic plates. Monaco and other researchers at MSFC in Huntsville, Alabama, are customizing the chips to be used for many space applications, such as monitoring microbes inside spacecraft and detecting life on other planets. The portable, handheld Lab-on-a Chip Application Development Portable Test System (LOCAD-PTS) made its debut flight aboard Discovery during the STS-116 mission launched December 9, 2006. The system allowed crew members to monitor their environment for problematic contaminants such as yeast, mold, and even E.coli, and salmonella. Once LOCAD-PTS reached the International Space Station (ISS), the Marshall team continued to manage the experiment, monitoring the study from a console in the Payload Operations Center at MSFC. The results of these studies will help NASA researchers refine the technology for future Moon and Mars missions. (NASA/MSFC/D.Stoffer)