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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. Análisis organizacional del Hospital "Dr. Ángel Pintos"

    OpenAIRE

    Gallardo, Estefanía

    2013-01-01

    En el presente trabajo se realiza un análisis organizacional del Hospital Municipal "Dr. Ángel Pintos" de la ciudad de Azul. Para ello se adoptó la modalidad de una investigación aplicada con trabajo de campo y recolección de información de fuentes primarias y secundarias, analizadas a partir de las consideraciones planteadas por Aldo Schlemenson en referencia al tema. Las consideraciones a que se refiere dicho autor son: proyecto, tarea y tecnología, estructura organizativa, relaciones inter...

  3. 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...

  4. 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...

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

    Directory of Open Access Journals (Sweden)

    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

  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. 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.

  8. 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

  9. 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...

  10. Adjuvant chemo radiation in gastric cancer Hospital Dr. R. A. Calderon Guardia

    International Nuclear Information System (INIS)

    This work establishes the associated factors to the early recurrence of gastric cancer in the patients who have received adjuvant chemoradiation in the Hospital Dr. R. A. Calderon Guardia. It was determined if the personal factors such as age and gender influence in the evolution of theses cases. The importance of characteristics of the tumour as T, N, location, Borrmann type and histological type in the evolution of the disease was estimated, too. It mentions the epidemiological characteristics of patients who have received the therapy and describes the toxicity of the treatment. A retrospective-descriptive method was utilized and the clinical records of the patients of the hospital with gastric cancer diagnosis were reviewed. These patients were surgery candidates and then they received adjuvant ia with chemoradiation from 2003 and with at lest 12 months of monitoring. The main conclusions are: Hospital Calderon Guardia practices the surgery with D2 ganglionar dissection as treatment of potentially curable gastric cancer. The population with gastric cancer has a predominance of men and people between seventh and fifth decade of life. The studied series had a recurrent tendency for female sex. To major pT (pathologic size) of the tumour there is more risks of recurrence. The pattern of regional recurrence in peritoneal carcinomathosis shape is which has a tendency to predominate after the adjuvant treatment in gastric cancer. The toxicity of the adjuvant treatment for gastric cancer is not severe and it is manageable without necessity of suspend the treatment in the majority of the cases

  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. 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

  13. 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...

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

    OpenAIRE

    2012-01-01

    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 histológ...

  15. 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 ...

  16. 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...

  17. Diagnóstico del sistema de manejo de desechos sólidos generados en el HospitalDr. Julio Criollo Rivas” Evaluation of the solid waste management program of the Dr. Julio Criollo Rivas Hospital

    OpenAIRE

    Johanna García; Fabiola Hernández; Glacelidys Rodríguez; Neil Mago

    2010-01-01

    Los Desechos Sólidos Hospitalarios (DSH), contienen agentes patógenos o infecto-contagiosos, que representan un riesgo potencial para el personal que labora en las instituciones de salud, los pacientes y público en general. En consecuencia, el presente estudio tiene por finalidad diagnosticar la situación actual del manejo de los desechos sólidos generados en el HospitalDr. Julio Criollo Rivas”, en Ciudad Bolívar - estado Bolívar, durante el último semestre del año 2007, a través de una inv...

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

    Directory of Open Access Journals (Sweden)

    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.

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

    OpenAIRE

    Alina Torreblanca Xiques

    2014-01-01

    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 p...

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

    OpenAIRE

    Yadira Santiesteban Escalona; Eduardo José Ortiz Bello; Héctor Rodríguez Martínez; Osmany Rojas Téllez; Nadiezhda Georgina Girbau Vistorte

    2015-01-01

    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 e...

  1. 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”.

  2. 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.

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

    Directory of Open Access Journals (Sweden)

    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

  4. 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

  5. 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.

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

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    Indiran Govender

    2015-02-01

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

  7. 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

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

    Directory of Open Access Journals (Sweden)

    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

  9. Relationship Between Nursing Managers’ Leadership Styles and Nurses’ Job Burnout: A Study at Shahid Dr. Faghihi Hospital, Shiraz, Iran

    Directory of Open Access Journals (Sweden)

    Ebrahimzade

    2015-08-01

    Full Text Available Background Burnout, which is mostly found among workers in social services like nursing and teaching, is a continued response to stressful stimuli at work. Objectives Considering the importance of management in nursing, we investigated the relationship between managers’ leadership styles and nurses’ burnout. Patients and Methods This cross-sectional study was performed at Shahid Dr. Faghihi Hospital, Shiraz, in 2011. It was based on the Maslach Burnout Model. A random sample of 207 nurses completed a questionnaire assessing demographic characteristics, a burnout measure, and the multifactor leadership questionnaire (MLQ. Data were statistically analyzed using SPSS. The study period was from January to March 2011. Results Burnout scores for emotional exhaustion were above average (27.26, for depersonalization were low (5.96, and for reduced personal accomplishment were high (30.85. In addition, both transformational (P = 0.03 and transactional leadership (P = 0.04 had a significant negative relationship with total burnout and also with emotional exhaustion (P value = 0.01 and depersonalization (P = 0.003. Laissez-faire leadership had a significant negative relationship with reduced personal accomplishment (P = 0.004. Conclusions This study sheds light on the effective role of transformational leadership in improving nursing management and reducing burnout among nurses. Because this style of leadership enhances creativity and motivation among nurses, it can decrease burnout. Transactional leadership, because of its emphasis on collaboration, also reduces burnout. Therefore a combination of these two styles can reduce nurses’ burnout.

  10. 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.

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

    OpenAIRE

    Suceveanu Mihaela; Pop Dana; Suceveanu Paul; Sitar Tǎut Adela Viviana; Zdrenghea Dumitru; Hâncu Nicolae

    2015-01-01

    Background. Cardiovascular rehabilitation is an important objective of the treatment of cardiovascular patients in general, and ischemic heart disease patients in particular. The aim of the study is to monitor the effects of long-term cardiovascular rehabilitation in patients readmitted to the “Dr Benedek Geza” Hospital of Rehabilitation in Cardiovascular Diseases Covasna. Material and methods. The study included 92 patients with a mean age of 66.31±9 years, of which 63% women, who had...

  12. 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.

  13. 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...

  14. 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.

  15. CASUÍSTICA DE EXAMES RADIOGRÁFICOS REALIZADOS NO HOSPITAL VETERINÁRIO DA FACULDADE DR. FRANCISCO MAEDA NO SEGUNDO SEMESTRE DE 2008

    Directory of Open Access Journals (Sweden)

    ABUD, Sara Felícia Assaff

    2010-05-01

    Full Text Available The radiographic examination is an auxiliary method of diagnosis used in further elucidation ofmost of the diseases that affect pets, being extremely efficient, fast and low cost. The more diversified are themethods of diagnosis by images such as ultrasound, computed tomography, magnetic resonance imaging andnuclear medicine, the more the importance of radiology becomes more useful, facilitating the possibility ofdirecting a first investigation, especially in emergencies, and contribute to some minimally invasive surgicalinterventions. The equipment radiographic systems to the study of bone and joint and other organs located inboth the thoracic and abdominal cavity, thus becoming an essential tool in the supplementary examination Thisstudy aimed to conduct a survey of radiographic examinations performed at Veterinary Hospital Dr. MaedaFrancisco School of the year of 2008 and described them according to region and position radiography, evenidentifying the species, breed, sex of animal and clinical suspicion, where it can be concluded that in the year2008 were radiographic examinations performed in 73 animals, with dogs, female and mixed breed withsuspected fractures were the most performed using X-rays more frequently the latero-lateral position forobservation of chest and limbs.O exame radiográfico é o método auxiliar de diagnóstico mais utilizado na elucidação de grandeparte das patologias que acometem os animais de companhia, por ser extremamente eficiente, rápido e de custorelativamente baixo. Quanto mais diversificam-se os métodos de diagnóstico por imagens como ultra-som,tomografia computadorizada, ressonância magnética e medicina nuclear, mais a importância do radiodiagnósticose torna mais útil, facilitando a possibilidade de orientar uma primeira investigação, especialmente nasemergências, além de contribuir para algumas intervenções cirúrgicas minimamente invasivas. Os equipamentosradiográficos permitem o estudo dos

  16. 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

  17. 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

  18. Vulvovaginal candidosis caused by Candida non-albicans, proportion and clinical characteristics in the Dr. Cipto Mangunkusumo National General Hospital, Jakarta

    Directory of Open Access Journals (Sweden)

    Midi Haryani

    2003-09-01

    Full Text Available The prevalence of vulvovaginal candidosis (VVC caused by C. non-albicans tends to increase, recently. The aim of this study was to obtain data about proportion and clinical characteristic of C. non-albicans VVC at dr. Cipto Mangunkusumo General Hospital, Jakarta. This is a cross-sectional study on all female patients with symptoms of VVC visiting Obstetri-gynaecology and Dermatovenereology outpatient clinics at dr. Cipto Mangunkusumo General Hospital, Jakarta. All subjects had positive Gram stain, showed Candida spp. on culture with CHROMagar Candida, and had no other specific genital infections. Sixty nine subjects aged 26–44 years old (averaged 29 years old were included in this study. Candida non-albicans was found in 30.4% subject, and consisted of: C. glabrata (61.9%, C. tropicalis (28.6% and C. parapsilosis (9.5%. We found that C. non-albicans VVC infections are more common in women above 45 years old, using non-hormonal contraceptives, whose sexual partner has erythema and pruritus in glands penis, and having the disease for more than 1 year. No differences in clinical symptoms were noted between C. albicans and C. non-albicans infection. We concluded from this study that the proportion of C. non-albicans infections at dr. Cipto Mangunkusumo General Hospital, Jakarta, with C. glabrata represents the most prevalent species. No characteristic clinical symptoms were found from the subjects with C. non-albicans VVC when compared with those infected by C. albicans. (Med J Indones 2003; 12: 142-7 Keywords: vulvovaginal candidosis, Candida non-albicans, CHROMagar Candida

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

    OpenAIRE

    Lázaro Quintana Tápanes; Yadney Miranda Lorenzo; Varna Hernández Junco

    2009-01-01

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

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

    OpenAIRE

    Alejandro Cervantes Palomino; Ileana Vila Rodríguez; Eraclio Delgado Rifá

    2015-01-01

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

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

    Directory of Open Access Journals (Sweden)

    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

  2. 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

  3. 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

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

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    Ni N. Susanti

    2003-09-01

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

  5. Dr. House: Patología Dual en el Médico

    OpenAIRE

    Bellina, Mariano A.; Braquehais, Maria Dolores

    2012-01-01

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

  6. 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...

  7. 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.

  8. 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.

  9. 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

  10. 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

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

    OpenAIRE

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

    2013-01-01

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

  12. Experiencia en tumores glómicos en el Hospital General "Dr. Manuel Gea González" (México: Reporte de casos Experience in glomus tumors in the General Hospital "Dr. Gea González" (México: Case report

    Directory of Open Access Journals (Sweden)

    C. Gargollo Orvañanos

    2010-12-01

    Full Text Available Los tumores glómicos fueron descritos en 1924; están formados por elementos vasculares, musculares y nerviosos por debajo de la uña y pueden afectar la regulación de la irrigación de la punta del dedo con el frío. Constituyen el 1-2% de los tumores de la mano. Aunque no se trata de una patología frecuente, el cirujano plástico debe estar familiarizado con ella para un diagnóstico y tratamiento adecuados. Presentamos la experiencia en tumores glómicos de la clínica de mano del Hospital Dr. Manuel Gea González; reportamos los hallazgos clínicos y el manejo en cada caso mediante resección quirúrgica y enfatizamos sobre la importancia de una exposición adecuada durante la cirugía para resecar el tumor completamente y evitar recidivas.Glomus tumors were described in 1924; they involve vascular, muscle and nerve elements under the nail and can affect vascular supply of the finger tip. It represents 1-2% of hand tumors. Although it is not a common pathology, plastic surgeons must be familiarized to be able to diagnose and treat it properly. We present the experience of glomus tumor in our hand clinic at Hospital Dr. Manuel Gea González, reporting the clinical presentation and the surgical excision. We emphasize the importance of a good exposition of the tumor in the surgery for a complete excision and to avoid recurrences.

  13. 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

    Directory of Open Access Journals (Sweden)

    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

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

    Directory of Open Access Journals (Sweden)

    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.

  15. 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

  16. 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

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

    OpenAIRE

    PF Castro Brezzo; E Dreyer Arroyo

    2012-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Loretta Giacomin-Carmiol

    2012-06-01

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

  19. 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...

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

    OpenAIRE

    Slimane Semghouli; Bouchra Amaoui; Abdellatif Maamri

    2015-01-01

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

  1. 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.

  2. 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...

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

    Directory of Open Access Journals (Sweden)

    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

  4. 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

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

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    Cruz García Lirios

    2013-06-01

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

  6. 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

  7. 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?

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

    Directory of Open Access Journals (Sweden)

    Jiovany Jahn Carlos Saldaña-Gastulo

    2011-01-01

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

  9. 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

  10. 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

  11. Description of preoperative risk factors and postoperative complications of radical hysterectomy in patients of Hospital Dr. Rafael Angel Calderon Guardia: period 2000-2006

    International Nuclear Information System (INIS)

    Preoperative risk factors and postoperative complications were determined in patients with radical hysterectomy in gynecologic oncology service of Hospital Rafael Angel Calderon Guardia in 2000-2006. Radical hysterectomy Piver type II and III was carried out among women in the gynecology service. The information derived from the qualitative variables were analyzed using frequency distributions and percentages. The most common preoperative comorbidity has been hypertension, the most frequently encountered complication has been urinary incontinence. Postoperative complications have been located in a period less than three months.

  12. 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.

  13. 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.

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

    Directory of Open Access Journals (Sweden)

    Hana A. Qhalib

    2014-10-01

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

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

    OpenAIRE

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

    2010-01-01

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

  16. Brain metastasis of gynecologic tumors. Experience in the laboratory of neuropathology in a period of 5 years (1998-2003). Clinical Hospital Dr. Manuel Quintela, Montevideo Uruguay

    International Nuclear Information System (INIS)

    Intracranial metastases occur in 13.5 to 37% of patients with cancer spread, the most common primary sites lung, breast, kidney and gastrointestinal tract. Gynecologic malignancies rarely give brain metastases, with the exception of choriocarcinoma. The incidence of metastasis ovarian carcinomas brain varies between 0.9 and 3.3%, although figures are increasing due to improved survival with treatment chemotherapy and early detection of lesions. Secondly, figures of between 0.4 and 1.2% are metastases cervix. They are usually poorly differentiated tumors with disease advanced locoregional and disseminated systemic disease. carcinomas endometrium are less common, with an incidence of 0.3%. Generally have widely disseminated disease.The purpose of this study is to document the occurrence of brain metastases gynecologic origin in the Laboratory of Neuropathology of the Clinical Hospital between 1998 and 2003 In this period 273 cases were studied brain metastases of whom 4.7% (n = 13) had a primitive gynecological. Of these 38.4% were for ovarian primitive, 30.7% a primitive cervical and 30.7% to a primitive endometrium. Analyzed clinical features, the topography of the lesions and histological type. While metastases from gynecologic tumors are rare, should be considered patients with one or more brain mass, even in those cases where primary disease is unknown

  17. [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

  18. Hospitals

    DEFF Research Database (Denmark)

    Mullins, Michael

    2013-01-01

    is to minimize the negative effects of stress inducing environments based on research results. Which stress inducing factors? We can look around at some old hospitals and see they are noisy, confusing, ugly, monotonous, hard, cold, artificial, and dark; qualitative terms which can indicate what we shouldn...... in the navigation experience and wasted time of medical staff in providing directions. Space in hospitals: space can be divided into personal, social and outdoor space. Personal space: single rooms have been well documented in: admission length, mortality rates, comfort levels, sense of privacy, all users......’ satisfaction. Social space: attention to spatial qualities, volume and interior design in terms of encouraging physical contact between users in wards, waiting areas and semi-private rooms. Outdoor space: Landscape and gardens are not enough in themselves; they should be visible, centrally or strategically...

  19. 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.

  20. 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...

  1. 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...

  2. Primer caso de dengue autóctono atendido en el Hospital de Enfermedades Infecciosas Dr. Lucio Córdova The first case of autochthonous Dengue disease admitted at the Lucio Cordova Infectious Diseases Hospital

    Directory of Open Access Journals (Sweden)

    PILAR OLEA M.

    2003-01-01

    Full Text Available Se presenta el caso de un paciente de sexo masculino de 51 años con cuadro clínico de dengue contraído en Isla de Pascua durante el verano del 2002. Este caso se produjo durante la epidemia de esta enfermedad, que ocurrió en ese territorio, a partir de febrero- marzo de ese año. El paciente tuvo una evolución favorable y su diagnóstico fue confirmado mediante serología (IgM en el Instituto de Salud Pública (ISP. Fue el segundo caso de dengue autóctono diagnosticado durante la epidemia, y el primero en ser atendido en un hospital del servicio público de salud de Santiago. Se revisa brevemente el cuadro clínico y criterios diagnósticos para esta enfermedad.We present the case of a 50 year old male patient with dengue acquired at Easter Island in the summer of 2002. This occurred in the context of the epidemic of this disease, that started on the island in February 2002. The patient had a mild illness and the diagnosis was made by serology (IgM done by the Reference Laboratory at the Public Health Institute. This patient was the second with a diagnosis of autochthonous dengue and the first to be admitted to a Public Health Service Hospital in Santiago. We briefly review the clinical features and the laboratory tests that contribute to the diagnosis.

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

    Directory of Open Access Journals (Sweden)

    I. Osés

    2007-01-01

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

  4. 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.

  5. 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.

  6. 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

  7. HLA Dr beta 1 alleles in Pakistani patients with rheumatoid arthritis

    International Nuclear Information System (INIS)

    Objective: To determine frequencies of HLA DR beta 1 alleles in rheumatoid arthritis in Pakistani patients. Study Design: Cross sectional / analytical study. Place and Duration of Study: Department of Immunology, Armed Forces Institute of Pathology, Rawalpindi in collaboration with Rheumatology departments of Military Hospital, Rawalpindi and Fauji Foundation Hospital, Rawalpindi, from January 2009 to January 2010. Methodology: HLA DR beta 1 genotyping of one hundred Pakistani patients, diagnosed as having RA as per American College of Rheumatology revised criteria 1987, was done. HLA DR beta 1 genotyping was carried out at allele group level (DR beta 1*01-DR beta 1*16) by sequence specific primers in RA patients. Comparison of HLA DR beta 1 allele frequencies between patients and control groups was made using Pearson's chi-square test to find possible association of HLA DR?1 alleles with RA in Pakistani rheumatoid patients. Results: HLA DR beta 1*04 was expressed with significantly increased frequency in patients with rheumatoid arthritis (p <0.05). HLA DR?1*11 was expressed statistically significantly more in control group as compared to rheumatoid patients indicating a possible protective effect. There was no statistically significant difference observed in frequencies of HLA DR beta 1 allele *01, DR beta 1 allele *03, DR beta 1 allele *07, DR beta 1 allele *08, DR beta 1 allele *09, DR beta 1 allele *10, DR beta 1 allele *12, DR beta 1 allele *13, DR beta 1 allele *14, DR?1 allele *15 and DR beta 1 allele *16 between patients and control groups. Conclusion: The identification of susceptible HLA DR beta 1 alleles in Pakistani RA patients may help physicians to make early decisions regarding initiation of early intensive therapy with disease modifying anti rheumatic medicines and biological agents decreasing disability in RA patients. (author)

  8. 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

  9. Evolution of the dose values and image quality for the X-ray of thorax postero/anterior in mature patients of the service of imagenology of the Hospital Dr. Juan Noe of Arica

    International Nuclear Information System (INIS)

    Full text: International Atomic Energy Agency defined guidance level for medical exposure, for the exams of general radiology, reason why the objective of the present work was to evaluate the evolution of the doses for the radiological exam of thorax posterior/anterior among the years 2005 at 2007. The used design was of traverse, descriptive, analytic and comparative type. The study population corresponded to 2 groups of 50 patients selected at random, of both sexes that attended the imagenology service of the public hospital Dr. Juan Noe Crevanni of the city of Arica, to be carried out a X-ray of thorax posterior/anterior. The first group of patients corresponded the participants in the project ARCAL LXXV (Determination of guidance level for Conventional Radiology and Interventionist) carried out in the year 2005. The second group of patients was those incorporate ones during the year 2007 to the project RLA/9/057 (Radiological Protection of Patient in Medical Exhibitions). Both investigations were sponsored by the International Atomic Energy Agency, The Institute of Health Publishes and the Chilean Commission of Nuclear Energy. The stages of the study were divided in: characterization of the yield of the teams, taking of exams, evaluation image quality, estimate of the dose values and statistical analysis. The mean values from entrance surface air kerma for the radiological exam of thorax posterior/anterior vary of 0,14 mGy (S.D. 0.29) to 0.08 mGy (S.D. 0.31), among the years 2005 and 2007 respectively, being this significant difference (p=0.001). Both values are inferior to the value recommended in the Adenda III of the BSS. As for the proportions of execution of the approaches of image quality this it was of 0.95 for the project ARCAL LXXV and 0.92 for the project RLA/9/057, without being this significant difference. The continuous evaluation of the guidance level for medical exposure, associated to the quality of the images constitutes an estimator on the

  10. 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.

  11. 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...

  12. 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

  13. 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

  14. The DR-2 project

    International Nuclear Information System (INIS)

    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

  15. 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.

  16. 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

  17. 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.

  18. Le pronom personnel sujet dans le parler de Chantemerle-les-Blés (Drôme. Variation aléatoire ou systématique dans une zone de transition linguistique ?

    Directory of Open Access Journals (Sweden)

    Fréchet Claudine

    2014-07-01

    Full Text Available Chantemerle-les-Blés se trouve dans la partie septentrionale de la Drôme où, des parlers occitans nord provençaux, on passe aux parlers francoprovençaux. L’emploi irrégulier du pronom personnel sujet est probablement le trait le plus explicite pour mettre en évidence la situation de Chantemerle-les-Blés dans une zone de transition. L’étude de ce pronom à partir de l’œuvre en prose d’Eloi Abert (1849-1914, écrite dans le parler de Chantemerle-les-Blés, peut apporter une contribution intéressante aux diverses études déjà effectuées sur la forme et l’emploi de ce pronom. Cette irrégularité est-elle systématique ou est-elle le fait de la versatilité d'Eloi Abert ? Après une présentation des formes relevées dans le corpus retenu, des pistes d’explication seront proposées et comparées à celles données par Jean-Claude Bouvier auteur des Parlers provençaux de la Drôme. Dans le parler de Chantemerle-les-Blés, le pronom conjoint peut être absent, comme dans les parlers occitans. Mais l’on peut dire aussi que le pronom conjoint est présent, et cela s’applique à toutes les personnes, comme dans les parlers francoprovençaux ou d’oïl. La langue utilisée par Eloi Abert est un occitan influencé par les parlers du Nord et du Sud. En effet, dans les parlers francoprovençaux voisins, l’emploi et la forme du pronom sujet est fluctuant, comme à Chantemerle-les-Blés, et ce n’est qu’en français que l’emploi du pronom est obligatoire. Comme les parlers francoprovençaux, les parlers nord-occitans, de la vallée du Rhône, sont influencés par le français. Par ailleurs, une évolution syntaxique a eu lieu, entre le parler écrit par Eloi Abert et celui décrit par Jean-Claude Bouvier ; il ne s’agit pas réellement d’une simplification mais plutôt d’une systématisation de l’emploi du pronom sujet. L’emploi de ce pronom à Chantemerle-les-Blés montre la variation par rapport à une norme et

  19. 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

  20. 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.

  1. 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)

  2. Drømmefabrikken

    Directory of Open Access Journals (Sweden)

    Paulo Affonso Grisolli

    1994-09-01

    Full Text Available Som mangeårig producent af telenovelaer både i Brasilien og Portugal, kender Grisolli alle sider af telenovelaen: Novelaen som de fattiges drøm om rigdom og succes, novelaen som et redskab i TV-kanalernes kamp om seerne, som exportvare, som glansbillede under det brasillianske dik- tatur, som industriprodukt og som politisk igangsætter. I denne artikel be- skriver Grisolli sine erfaringer med gode og dårlige sider af telenovela- fascinationen i Latinamerika og præsenterer en ny genre, som er på vej frem i Brasilien, mini-serien. Artiklen er Grisollis foredrag på Folkekirkens Nødhjælps Konference om TV og Video i Latinamerika, november 1992.

  3. 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.

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

    OpenAIRE

    Giordano, Carlos José; Clavellino, Marcos Sebastián

    2014-01-01

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

  5. 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.

  6. 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.

  7. 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

  8. 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.

  9. Analisis Kesiapan Rumah Sakit Umum Dr. FL. Tobing Sibolga Dalam Implementasi Kebijakan Jaminan Kesehatan Nasional Tahun 2014

    OpenAIRE

    Siti, Marlina

    2016-01-01

    The enforcement of Law No. 40/2004 on SJSN (National Social Security System) and Law No. 24/2011 on BPJS (Social Security Provider Board) needs complete preparedness by a hospital as health security provider. Dr. FL. Tobing General Hospital, Sibolga, is one of the hospitals which provide SJSN. The objective of the research was to find out the preparedness of Dr. FL. Tobing General Hospital, Sibolga, in implementing the policy in the National Health Security, in 2014. The research used qua...

  10. 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).

  11. 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...

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

    OpenAIRE

    Wageeh A. Nafei

    2014-01-01

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

  13. Factores de riesgo asociados al embarazo ectópico

    OpenAIRE

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

    2013-01-01

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

  14. 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

  15. Tenor bass, dr02, Central Symphony

    OpenAIRE

    Helmlinger, Aurélie

    2011-01-01

    Tenor bass, dr02, augmented, Central Symphony Steel Orchestra panyard, Government House road, Tobago( erreur dans le nom de fichier : "central_symphony_steel_tenor_bass_1_dr02" ; nom correct ="central_symphony_tenor_bass_1_dr02 " )

  16. Dr. Antonio Roldan Betancur

    Directory of Open Access Journals (Sweden)

    Antonio Roldan Betancur

    1989-02-01

    Full Text Available

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

  17. How Dr. Pierce Promoted Himself

    Data.gov (United States)

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

  18. Dr. 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...

  19. 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...

  20. 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.

  1. Clinical Practice Guideline for the Care of Elderly Patients Hospitalized with Delirium

    OpenAIRE

    Ángel Julio Romero Carbrera; Leocadia Amores Hernández; Ernesto Alonso Cabrera; Francisco Olascoaga Pérez; Eduardo Fernández Casteleiro

    2015-01-01

    Delirium is a frequent disorder found in people of advanced age in the hospital setting. It is characterized by an acute disorder of consciousness and alterations in behavior, posing a diagnostic and therapeutic challenge for the doctors that look after geriatric patients. A clinical practice guideline drawn up by consensus is presented. It highlights the clinical and therapeutic aspects of this complex syndrome. An algorithm that facilitates the management of this condition at Dr. Gustavo Al...

  2. 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.

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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.

  8. 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.

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

    OpenAIRE

    Soledad Freijo; Analía Mengoni

    2010-01-01

    Introducción: La mayoría de los pacientes con diagnóstico de VIH/SIDA se internan con complicaciones propias de la enfermedad que repercuten en su estado nutricional. Objetivo: Describir el comportamiento de los componentes del perfil nutricional de los pacientes con diagnóstico de VIH/SIDA que se internan en el Hospital General de Agudos Juan A. Fernández (Argentina). Materiales y métodos: Estudio descriptivo, transversal, y prospectivo. Se analizaron los datos correspondientes a pacientes c...

  10. 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

  11. Prof. Dr. Karlheinz Rosenbauer verstorben

    OpenAIRE

    Müller, W.

    2006-01-01

    Am 28. Mai 2006 verstarb in Köln der ehemalige Schriftführer der AWMF, Prof. Dr. med. Karlheinz Rosenbauer, im Alter von fast 79 Jahren. 1927 in Köln geboren, studierte Prof. Rosenbauer Medizin an der Universität Köln, wo er 1955 zum Doktor promovierte. Er arbeitete und forschte in Köln, in der damaligen Medizinischen Akademie Düsseldorf (heute Heinrich-Heine-Universität Düsseldorf) und in den USA.

  12. 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.

  13. [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

  14. Main: DR5GMGH3 [PLACE

    Lifescience Database Archive (English)

    Full Text Available DR5GMGH3 S000337 7-Sep-2000 (last modified) seki DR5; A highly active synthetic auxin response e ... t; Created by site-directed mutations in a natural composite ... AuxRE found in the soybean GH3 promoter; The DR5 s ...

  15. 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

  16. Pengaruh Lingkungan Kerja, Stres Kerja, dan Insentif Terhadap Prestasi Kerja Kepala Ruanga Pada Rumah Sakit Umum Dr. Pirngadi Medan

    OpenAIRE

    Sibuea, Dian Vebi Yanti Br

    2015-01-01

    The purpose of this study was to determine the influence of the work environment, work stress, and incentives on job performance Head Room at the General Hospital Dr. Pirngadi Medan. This research is associative causal research aimed to analyze the relationship between one variable with another variable or how a variable affect other variables. The population in this study are all Head room General Hospital Dr. Pirngadi field as many as 53 people. The sampling method using census method that ...

  17. 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 < 0.05. Se utilizó el programa Epilnfo 2002 para el procesamiento de los datos. Resultados: El promedio de edad fue de 64,6 años (DE + 12,2 años. El 66,1 % (n=84 de los pacientes eran hombres. El porcentaje de paciente con dislipidemias fue significativamente mayor en las mujeres que en los hombres (p=0,007. El mismo resultado se obtuvo con la hipertensión arterial (p=0,007. Por el contrario, el porcentaje de pacientes que fumaban fue significativamente mayor en los hombres que en las mujeres (p < 0,0001. El 71,7% (n=91 de los pacientes fueron clasificados como Killip-Kimball I. El 18,4% (n=23 presentaron complicaciones durante su estancia hospitalaria. La mortalidad en el servicio de Medicina Interna del Hospital Calderón Guardia fue del 6,3% (n=8. Conclusión: El sistema de vigilancia epidemiológica para el infarto agudo al miocardio propuesto en este trabajo, se presenta como una herramienta útil para orientar las estrategias necesarias que contribuyan a mejorar el conocimiento que se tiene del paciente que padece de

  18. 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.

  19. Optimization on scoliosis examination on Canons DR system

    DEFF Research Database (Denmark)

    Precht, Helle

    2007-01-01

    recordings of scoliosis today are carried out on CR systems even though most radiological departments have DR systems available. Theoretically speaking the two modalities are similar regarding dose and image quality. In this project consequently, the focus will be to obtain images of equal dose and quality...... at a DR system when using different receptors during the exam. This is a completely new opportunity, as it has earlier been difficult to compare distinct scintilators connected to the receptors due to unlike processing of the image. Given that Canon have released a receptor with CsI scintilator we...... study in which theory is used as a background for the test setup and later audit appraisal. Two tests are carried out on two different hospitals with each their receptor, and afterwards the results are compared. To guarantee comparable tests the results are verified through status checks and statistical...

  20. 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

  1. 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

  2. Study on image quality and dosage comparison of F/S system and DR system

    International Nuclear Information System (INIS)

    Currently, many hospital are hastening to introduce digital radiography systems. This is a direct result of the intentions to improve medical services and to digitalized radiology information systems, and is also leading to the improvement of medical imaging technology. Throughout F/S system's long history, many people have researched the image quality and dosage concerning these systems, and as a result, huge improvements in the dosage of patients were possible. Similarly, I believe that DR systems need the same kind of effort. Of course, decreases in dosage that ignore image quality are unthinkable. The results of experiments conducted by five hospitals during a period of 3 months brought to us the conclusions listed below. Based on the comparison and analysis of the exposure control of F/S systems and DR systems, DR systems generally showed higher exposure control for parts of the phantom that became thicker, and the exposure control improved rapidly as the thickness increased. DR systems still proved to be somewhat deficient in resolution measurements compared to existing F/S systems. The image processing part of DR systems contributed much to these result. Under conditions used clinically, the dosage measurements of DR systems were generally higher regardless of region. According to the evaluation of image quality, DR systems showed a higher degree of satisfaction as the thickness of the region became thinner. As mentioned above and based on the mutual relationship experiments between the dosage and image quality of F/S systems and DR systems, research to increase the satisfaction of DR systems must be considered

  3. 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.

  4. 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

  5. Dr. von Braun Briefing Walt Disney

    Science.gov (United States)

    1965-01-01

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

  6. 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...

  7. 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.

  8. 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...

  9. 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.

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

    Directory of Open Access Journals (Sweden)

    Abbas Gookizadeh

    2012-01-01

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

  11. Dr. von Braun Discusses 'Bottle Suit' Concept

    Science.gov (United States)

    1954-01-01

    Dr. Wernher von Braun (center), then Chief of the Guided Missile Development Division at Redstone Arsenal, Alabama, discusses a 'bottle suit' model with Dr. Heinz Haber (left), an expert on aviation medicine, and Willey Ley, a science writer on rocketry and space exploration. The three men were at the Disney studios appearing in the motion picture, entitled 'Man in Space.'

  12. 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.

  13. Dr. Francis Collins Is New NIH Director

    Science.gov (United States)

    ... that, with Dr. Collins at the helm, the Human Genome Project met its milestones ahead of schedule and under budget. The project concluded successfully in April 2003 with the complete map of the human genome, the instruction book for peoples' DNA. Dr. Collins ...

  14. 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

  15. 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...

  16. 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...

  17. Thank you to Dr. Dudley S. Childress

    Directory of Open Access Journals (Sweden)

    Editor JRRD

    2011-07-01

    Full Text Available 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 experiences. His dedication and hard work have been motivating to us all. He will be sincerely missed. We wish him happiness in the future and a wonderful time with family and friends.

  18. 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.

  19. 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...

  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 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. 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)

  4. 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)

  5. 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)

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

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J

    2001-09-15

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

  7. Specialized consultant in radiological safety to the Salamanca regional hospital, PEMEX. 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)

  8. 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)

  9. 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.

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2002-01-15

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2002-01-15

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2002-01-15

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2003-02-15

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2002-01-15

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

  15. Specialized consultant in radiological safety to the 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)

  16. 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)

  17. 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)

  18. 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)

  19. 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.

  20. 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)

  1. 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)

  2. 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 ...

  3. 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...

  4. 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...

  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. [Dr. Moritz Wallach--a century of medicine and tradition in Shaare Zedek].

    Science.gov (United States)

    Navot, Orit

    2003-06-01

    Dr. Wallach, who founded the Shaare Zedek Hospital and managed the institution for forty-five years, was instrumental in providing modern medical care to Jerusalem residents since his arrival in the city in 1891. He dedicated his life to medicine, to the Jerusalem Jewish community, and to improving the quality of service provided by the existing medical establishment. He was one of the outstanding personalities in a city and community struggling for existence. The Jewish religious character that marks today's Shaare Zedek hospital was determined 100 years ago by Dr. Wallach, who integrated the ancient Jewish moral spirit into a modern medical service tradition. While fulfilling his daily tasks, both as a practicing physician and as the hospital-director, Dr. Wallach became a role model to those who followed him. He mixed freely with the "elite" and his personal relations with local dignitaries, political figures, influential westerners, intellectuals, and important foreign diplomats contributed significantly to the growth, success, and reputation the hospital enjoyed during the last century. On the other hand, he was also personally involved with destitute new immigrants to Eretz Israel and actively engaged in finding jobs, housing, and employment for them. Dr. Wallach became a legend in his own time, both locally and internationally. Due to his professional status and personality, Dr. Wallach became a representative of the Jewish community. He had the ability to speak for the Jews with the Ottoman authorities, and afterwards with the British Mandate authorities. He played a significant role in educating the population in public responsibility, while concurrently leaving his mark on generations of physicians who learned from him the value of precision, loyalty, professional secrecy, and medical responsibility. He was one of the "Giants" of the land (Yishuv) in its critical formative years. PMID:12858837

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

    International Nuclear Information System (INIS)

    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. 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. 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-gamma could also increase DR5-mediated apoptosis in SW948

  8. 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

  9. 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.

  10. 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...

  11. 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....

  12. 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...

  13. 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...

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

    Directory of Open Access Journals (Sweden)

    Lúcia Marinilza Beccaria

    2000-04-01

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

  15. 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.

  16. 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.

  17. Biography of Dr. Simao Nascimento de Sousa

    Digital Repository Service at National Institute of Oceanography (India)

    Sarkar, A.^red.

    , 2004. Dr. de Sousa was born on the 26th of February, 1944 at Corlim, Ilhas, Goa. He graduated with BSc (Hons.) in 1969 and MSc with Physical Chemistry in 1971 from the University of Bombay (Mumbai), India. He began his career with studies in the Mandovi... then onwards he served the Institute in various capacities. In 1979, he was deputed to the University of Liverpool, UK where he completed a postgraduate diploma in Marine Pollution Chemistry. Dr. de Sousa has worked in various National and International...

  18. 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.

  19. 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.

  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. 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...

  2. 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...

  3. 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.

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2000-10-01

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

  5. 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.

  6. 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...

  7. Norovirus - hospital

    Science.gov (United States)

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

  8. Walt Disney and Dr. Wernher von Braun

    Science.gov (United States)

    1954-01-01

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

  9. 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)

  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. 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

  12. 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

  13. 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

  14. 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...

  15. 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.

  16. 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...

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

    OpenAIRE

    Tarigan, Ika Yuniati

    2011-01-01

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

  18. 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...

  19. 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.

  20. 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

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

    Directory of Open Access Journals (Sweden)

    Julio Nazer H

    2003-06-01

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

  2. 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…

  3. 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.

  4. Musikvideo og tilskuer: Fjernsyn, ideologi og drøm

    Directory of Open Access Journals (Sweden)

    Marsha Kinder

    1987-08-01

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

  5. 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

  6. 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)

  7. 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)

  8. 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)

  9. Decommissioning of DR 1, Final report

    International Nuclear Information System (INIS)

    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)

  10. The DR-2 decommissioning project, Denmark

    International Nuclear Information System (INIS)

    The DR-2 reactor of the Risoe National Laboratory was closed down in 1975, the fuel removed, the circuits drained and the reactor sealed. In 1997 the DR-2 Study Project was initiated to determine the remaining radioactivity in the reactor and to plan the final decommissioning. So far all movable components have been removed from the reactor tank, measured and stored. The same is true, with two exceptions, for the hold-up tank room and work is under way on the components of the igloo at the thermal column. Later the thermal column, beam tubes and the interior of the primary circuit will be examined and holes will be drilled through the concrete shield. The lessons learned during the project are discussed. (author)

  11. Prof dr FJ van Zyl as sendingteoloog

    Directory of Open Access Journals (Sweden)

    D. J.C. vanWyk

    1989-01-01

    Full Text Available Prof Dr FJ van Zyl as mission theologian In this article, the theology of mission of Prof dr FJ van Zyl is being explored. This is done by way of his lectures in the Science of Mission at the University of Pretoria during 1960-1978 and also from articles in the magazines of the Nederduitsch Hervormde Kerk dating back approximately forty years. It is found that almost none of his dictions is outdated. The radical cataclysm in the theology of mission, especially after 1961, he sharply detected and exposed. His theology of mission is built on a very broad theological base which can be described as theology of the Word. To him mission is proclamation.

  12. 1895: Dr W G Grace's golden summer.

    OpenAIRE

    Toghill, P.

    1995-01-01

    One hundred years ago there was another wonderful summer. Dr. W G Grace, England's greatest cricketer, in his 47th year, completed his "century of centuries" and scored 2346 runs. This remarkable achievement was celebrated with enthusiasm and affection by the Victorian public. In more practical terms generous testimonials raised 9073 pound sterling 8s 6d, which made it a golden summer in more ways than one.

  13. 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.

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

    Directory of Open Access Journals (Sweden)

    Teodoro J. Oscanoa

    2011-06-01

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

  15. 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.

  16. 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.

  17. 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

  18. 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.

  19. [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

  20. 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.

  1. 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 ...

  2. 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...... and 3 months later. The rectal epithelial cells were HLA-DR-positive in all patients at the first two examinations. After 3 months five patients had changed to an HLA-DR-negative stage, whereas the other seven patients remained HLA-DR-positive. Closer analyses showed that expression/nonexpression of...... HLA-DR antigens on rectal epithelial cells of patients with UC could not be predicted from the clinical, rectoscopic, or histologic findings. HLA-DR expression is normally restricted to immunocompetent cells. The presence of HLA-DR antigens on epithelial cells may be a consequence of immunological...

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

    OpenAIRE

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

    2015-01-01

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

  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

    OpenAIRE

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

    2006-01-01

    Antecedentes y Objetivos: Las altas cifras iniciales de prevalencia de desnutrición en los enfermos hospitalizados-cercanos al 40%- es un dato preocupante. Esto permite deducir que la identificación precoz de enfermos desnutridos o en riesgo de estarlo, mediante métodos de valoración nutricional eficaces puede constituir una herramienta fundamental de cara a la planificación nutricional. El objetivo del presente trabajo ha sido aplicar a un mismo grupo de pacientes distintos métodos de valora...

  5. G.hnem for AMI and DR

    DEFF Research Database (Denmark)

    Rossello Busquet, Ana

    2012-01-01

    The power grid is evolving into the Smart Grid, by incorporating Information and Communication Technologies (ICT) and new functionalities. Some of the Smart Grid functionalities, such as Advanced Metering Infrastructure (AMI) and Demand Response (DR), require information about customers’ energy...... consumption and production. Power Line Communication (PLC) is a candidate technology for connecting the customers and utilities as it is easy to deploy and has extensive coverage. ITU-T G.hnem standard defines a narrowband PLC, which was specially designed for Smart Grid applications. This paper proposes a...

  6. 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...

  7. Prof. dr. Gisbert Krekeler: 1941. – 2007.

    OpenAIRE

    Kobler, Pavel; Cekić-Arambašin, Ana

    2008-01-01

    Nije lako kada vam stigne obavijest da je umro vaš dragi prijatelj, kolega, veliki znalac u području dentalne implantologije i to čujete na skupu implantologa u Salzburgu. To se dogodilo u prosincu baš nama iz Zagreba, a prof. dr. Krekeler bio je gost-profesor našeg fakulteta od godine 1997. No, bio je i više od toga - bio je prijatelj koji je svakoga rado pozvao na Sveučilišnu kliniku za stomatologiju i Stomatološki fakultet Albert Ludwig u Freiburgu, gdje je djelovao od godine 1966. sve do ...

  8. 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...

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

    Directory of Open Access Journals (Sweden)

    ML Mercado

    2006-10-01

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

  10. 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.

  11. HLA- DR Alleles in Pakistani Patients of Pemphigus Vulgaris

    International Nuclear Information System (INIS)

    Objective: To determine frequency of HLA-DR alleles in Pakistani patients of pemphigus vulgaris in comparison with local healthy controls. Study Design: Cross-sectional, comparative study. Place and Duration of Study: Department of Immunology, Armed Forces Institute of Pathology (AFIP), Rawalpindi, from January 2011 to January 2014. Methodology: Twenty eight patients with biopsy proven diagnosis of pemphigus vulgaris referred from Department of Dermatology, Military Hospital, Rawalpindi were included. Patients were compared with a group of 150 unrelated local healthy subjects. DNA was extracted from peripheral blood collected in Tri-potassium EDTA. HLA-DRB1 typing was carried out on allele level (DRB1*01 - DRB1*16) using SSP (sequence specific primers). HLA type was determined by agarose gel electrophoresis and results recorded. Phenotype frequency of various alleles among patient group and control group was calculated by direct counting and significance of their association was determined by Fisher's exact test/ Chi square test. Results: A total of 12 male and 16 female patients, with age ranging from 21 to 34 (mean 23.4 years) were genotype for HLA-DRB1 loci. A statistically significant association of the disease with HLA-DRB1*04 was observed (50% versus 20.7% in controls, p < 0.05). Conclusion: There is a strong association of HLA-DRB1*04 with pemphigus vulgaris in Pakistani population. (author)

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

    Directory of Open Access Journals (Sweden)

    José Carlos Bermejo Higuera

    2010-09-01

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

  13. 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.

  14. 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

  15. 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.

  16. 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

  17. 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)

  18. 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''.

  19. 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)

  20. 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.

  1. 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)

  2. 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...

  3. Hospital Hints

    Science.gov (United States)

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

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

    Directory of Open Access Journals (Sweden)

    Rosely Moralez de Figueiredo

    2001-01-01

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

  5. Hubungan Faktor-Faktor Kecerdasan Emosi dengan Komunikasi Interpersonal Perawat dengan Pasien Rawat Inap di RSUD Dr. Djasamen Saragih Pematangsiantar

    OpenAIRE

    Manurung, Yentiar Hotmauli

    2013-01-01

    In doing interpersonal communication, the nurse needs to pay attention to emotional intelligence. The observation was aimed to know the relationship between emotional intelligence factors and the nurse interpersonal communication with hospitalized patients in Dr. Djasamen Saragih Pematangsiantar. The number of the sample in this observation was 60 respondece which were taken by using slovin formula. To know the result of this observation correlation, we used product moment. The nurses were th...

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

    OpenAIRE

    Dwi Setiowati; Allenidekania Allenidekania; Luknis Sabri

    2013-01-01

    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 20...

  7. 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 ...

  8. ¿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.

  9. [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

  10. 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

  11. 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...

  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. Praveen Chaudhari named director of Brookhaven National Laboratory

    CERN Multimedia

    2003-01-01

    "Brookhaven Science Associates announced today the selection of Dr. Praveen Chaudhari as Director of the U.S. Department of Energy's Brookhaven National Laboratory. Dr. Chaudhari, who will begin his new duties on April 1, joins Brookhaven Lab after 36 years of distinguished service at IBM as a scientist and senior manager of research" (1 page).

  14. Análisis contrastivo de la localización al español y catalán de los aceleradores en LibreOffice: Estudio de los menús de la interfaz de usuario Directrice : Dr. Lucía MORADO VÁZQUEZ Jurée :

    OpenAIRE

    Ginovart Cid, Clara

    2015-01-01

    Esta tesina analiza la localización al español y al catalán de las teclas aceleradoras de los menús de la interfaz de usuario de LibreOffice 4.4.0 a través de la compilación de un corpus multilingüe que recoge las opciones de los menús del software. A través de su explotación, se ha observado que la tendencia en localización de aceleradores es no alejarse del original. La directriz de no alejarse del inglés en lo que al carácter o a la ubicación se refiere no satisface, a nuestro criterio, la...

  15. 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

  16. 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.

  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. 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."

  19. 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...

  20. A Tribute to Prof Dr Da Ruan

    CERN Document Server

    Kerre, Etienne

    2013-01-01

    This volume is a tribute to Professor Dr Da Ruan, who passed away suddenly on July 31, 2011, aged 50. The flood of emails that spread throughout the fuzzy logic research community with the tragic news was testimony to the respect and liking felt for this remarkable man. Da was a hardworking , highly productive scientist who, during his short life, published 35 books and more than 250 research papers in highly ranked journals and conference proceedings. He established two successful conferences, FLINS and ISKE, as well as the international journal, JCIS. This book is a collection of contributions from 88 of Da's academic friends from 47 institutes, presented in 60 chapters and over 70 pictures. A Foreword by Lotfi Zadeh begins Da's story. Section 1 provides an overview of Da's funeral on August 6, 2011. Part II outlines Da’s scientific life, his education, scientific career, publications and keynote talks. Part III presents testimonials by Da's colleagues of academic activities, including guest professorship...

  1. HLA-DR alleles among Pakistani patients of coeliac disease

    International Nuclear Information System (INIS)

    Objectives: To investigate whether certain DR alleles might also contribute to the genetic susceptibility among Coeliac disease patients in Pakistan. Methods: The case-control study was conducted at the Military Hospital, Rawalpindi, from October 2011 to January 2012, and analysed 25 children diagnosed to have coeliac disease as per the criteria set by the European Society of Paediatric Gastroenterology and Nutrition, which included histopathological alterations in duodenal biopsies, clinical response to gluten withdrawal, and presence of anti-endomyseal antibodies. Patients were compared with a group of 150 healthy subjects. Dioxyribonucleic acid was extracted from peripheral blood collected in ethylenediaminetetraacetic acid.K3. Human leukocyte antigen DRB1 typing was carried out on allele level (DRB1*01 - DRB1*16) using sequence specific primers. Human leukocyte antigen type was determined by agarose gel electrophoresis and results were recorded. Phenotype frequency of various alleles among the patient group and the control group was calculated by direct counting, and significance of their association was determined by Fisher Exact Test. Results: A total of 11 (44%) female paediatric coeliac patients in age range 1-9 (mean 7.2+-4.8 years) and 14 (56%) male paediatric patients in the age range 6-14 (mean 8.6+-5.1 years) were genotyped for HLA-DRB1 loci. A statistically significant positive association of the disease with HLA-DRB1*03 (n=23; 92% versus n=31; 21% in controls, p <0.01) was observed. Conclusion: HLA-DRB1*03 is associated with increased risk of developing coeliac disease. (author)

  2. 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...

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

    Directory of Open Access Journals (Sweden)

    Mario Ortiz

    2011-12-01

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

  4. 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.

  5. Comparaison du Srōš Drōn avec le Drōn Yašt

    OpenAIRE

    Redard, Céline

    2015-01-01

    This paper draws a parallel between two texts having the same textual base: The Srōš Drōn, derived from the Long Liturgy and the Drōn Yašt, belonging to the short liturgies. The goal is to establish the similarities and the discrepancies between these two texts.

  6. 78 FR 27485 - Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the...

    Science.gov (United States)

    2013-05-10

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

  7. Removal Action Work Plan for 105-DR and 105-F Building Interim Safe Storage Projects and Ancillary Buildings

    International Nuclear Information System (INIS)

    This document contains the removal action work plan for the 105-DR and 105-F Reactor buildings and ancillary facilities. These buildings and facilities are located in the 100-D/DR and 100-F Areas of the Hanford Site, which is owned and operated by the US Department of Energy (DOE), in Benton County, Washington. The 100 Areas (including the 100-D/DR and 100-F Areas) of the Hanford Site were placed on the US Environmental Protection Agency's (EPA's) National Priorities List under the ''Comprehensive Environmental Response, Compensation, and Liability Act of 1980'' (CERCLA). The DOE has determined that hazardous substances in the 105-DR and 105-F Reactor buildings and four ancillary facilities present a potential threat to human health or the environment. The DOE has also determined that a non-time critical removal action is warranted at these facilities. Alternatives for conducting a non-time critical removal action were evaluated in the ''Engineering Evaluation/Cost Analysis for the 105-DR and 105-F Reactor Facilities and Ancillary Facilities'' (DOE-RL 1998a). The engineering evaluation/cost analysis (EE/CA) resulted in the recommendation to decontaminate and demolish the contaminated reactor buildings (except for the reactor blocks) and the ancillary facilities and to construct a safe storage enclosure (SSE) over the reactor blocks. The recommendation was approved in an action memorandum (Ecology et al. 1998) signed by the Washington State Department of Ecology (Ecology), EPA, and DOE. The DOE is the agency responsible for implementing the removal actions in the 105-D/DR and 105-F Areas. Ecology is the lead regulatory agency for facilities in the 100-D/DR Area, and EPA is the lead regulatory agency for facilities in the 100-F Area. The term ''lead regulator agency'' hereinafter, refers to these authorities. This removal action work plan supports implementation of the non-time critical removal action

  8. 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

  9. [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

  10. 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...

  11. 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.

  12. 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

  13. 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.

  14. 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

  15. 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...

  16. 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

  17. Faktor-Faktor Yang Mempengaruhi Kejadian Insomnia di Poliklinik Saraf RS DR. M. Djamil Padang

    Directory of Open Access Journals (Sweden)

    Lydia Susanti

    2015-09-01

    Full Text Available Abstrak Faktor risiko seperti usia lanjut, jenis kelamin wanita, penyakit penyerta (depresi dan penyakit lain, status sosial ekonomi rendah menyebabkan insomnia. Penelitian mengenai prevalensi dan faktor-faktor yang mempengaruhi kejadian insomnia di Poliklinik Saraf RS DR. M. Djamil Padang belum pernah dilakukan. Tujuan penelitian ini adalah menentukan faktor-faktor yang mempengaruhi terjadinya insomnia di poliklinik saraf RS DR. M. Djamil Padang. Penelitian ini merupakan penelitian cross sectional. Jumlah sampel dihitung menggunakan rumus yang dikembangkan oleh Snedecor & Cochran dan didapatkan jumlah sampel 100 orang. Pengambilan sampel dilakukan secara acakdimana pasien yang memenuhi kriteria inklusi langsung menjadi sampel penelitian. Pengambilan data menggunakan kuesioner dan beberapa skala, Insomnia Severity Index, dan Beck depression inventory scale. Data dikumpulkan dari t 1 Juli sampai 31 Agustus 2013. Data ditampilkan dalam bentuk tabel distribusi frekuensi dan dilakukan analisis bivariatdan multivariat.  Kejadian Insomnia dialami oleh 38% (38 orang pasien yang berkunjung ke poliklinik saraf RS DR. M.Djamil Padang dengan jenis kelamin terbanyak pada wanita 24(45,3% dan pada kelompok umur  61-70 tahun (3,3%. Insomnia berhubungan dengan depresi (p= 0,00 dan tidak berhubungan dengan umur (p=0,472, jenis kelamin (p=0,111, status ekonomi (p=0,075, riwayat insomnia di keluarga (p=0,197. Depresi (p=0,00; OR=9,20 dan nyeri  kronik (p=0,031; OR=4.253 merupakan faktor yang dominan berhubungan dengan kejadian Insomnia. Kata Kunci: insomnia, tidur, insomnia severity index, beck depression inventory scaleAbstract A number of risk factors such as advanced age, female gender, co-morbidities (such as depression and other diseases, low socioeconomic status causes insomnia. Research on the frequency of insomnia in DR. M. Djamil hospital Padang has never been done. The objective of this study was to determine the factors that influence the incidence

  18. 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

  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. 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. 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).

  2. 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.

  3. 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.

  4. 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.

  5. 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.

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

    CERN Document Server

    Glanz, J

    2000-01-01

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

  7. 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…

  8. 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.

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

    Science.gov (United States)

    1954-01-01

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

  10. 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

  11. Costa Rica Five Years after CAFTA-DR

    OpenAIRE

    Koehler-Geib, Friederike; Sanchez, Susana M.

    2015-01-01

    For Costa Rica, the Dominican Republic-Central America-free trade agreement (CAFTA-DR) has been more than a trade agreement. Costa Rica has used trade liberalization and promotion of international trade as a core development strategy for decades. CAFTA-DR consolidated benefits that had previously been unilaterally extended under the Caribbean Basin Initiative (CBI) into a multilateral FTA, providing a much more stable environment for trade relationships. Beyond just being a trade agreement, C...

  12. 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...

  13. 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 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.

  14. 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.

  15. Hospitality and hostility in hospitals

    DEFF Research Database (Denmark)

    Jensen, Tina Blegind; Aanestad, Margunn

    2007-01-01

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

  16. ‘Er heerst te veel optimisme over zelfrijdende auto’s’ : interview met prof.dr. Marjan Hagenzieker.

    OpenAIRE

    2014-01-01

    Slimme auto’s, ingewikkelde verkeerssituaties in steden en het gedrag van verkeersdeelnemers; dit zijn de onderwerpen waar gedragswetenschapper prof.dr. Marjan Hagenzieker zich over buigt. Hagenzieker doet al vijfentwintig jaar onderzoek naar de gevaren op de weg. Ze is wetenschappelijk adviseur bij de Stichting Wetenschappelijk Onderzoek Verkeersveiligheid SWOV en is sinds dit najaar ook hoogleraar bij de afdeling transport en planning van de TU Delft. Ze waarschuwt voor te veel optimisme ov...

  17. 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...

  18. 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

  19. 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

  20. 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

  1. Effects of diuretics on the whole body bone scans at Dr G Mukhari/Medunsa Hospital

    International Nuclear Information System (INIS)

    Full text: Introduction: Patient preparation for scintigraphic whole body 99mTcMDP bone scans often includes hydrating the patient with almost a liter of water after 99mTcMDP injection. It has been generally accepted that this hydration would increase renal filtration of MDP which would result in reduced (flush-out) tissue background activity and improve bone contrast. The effect of hydration were investigated and reported by four groups at the 1998 Joint Congress of the European Association of Nuclear Medicine and the World Federation of Biology. An attempt to improve on our image contrast and explanation to these findings encouraged us to evaluate the effects of diuretics on bone scans. Material and methods: Twenty patients including 4 obese patients were injected with 40mg/kg of Lasix 30 minutes prior to the administration of 740 MBq of Tc-99m MDP. Twenty patients under went the routine Tc-99m MDP whole body scans including hydration with a liter of without administration of Lasix. Single photon emission computed tomography (SPECT) was also done on some of the cases where it was indicated. Results: The visual comparison demonstrated better image contrast on all the patients that received Lasix. The lesion-to-background contrast was also better on the patients that received Lasix, more so on the obese cases. Conclusion: The improved image contrast is probably due to a reduction in extracellular volume (ECV) causing an increased concentration of MOP in the blood stream resulting in faster removal of MOP by the kidneys. Thus, this should lead to the possibility of performing bone scans earlier after 99mTcMDP injection. Lasix also causes an increase in calcium excretion, this may contribute to increased 99mTcMDP from less calcium competition for uptake. Injection of Lasix prior to whole body bone scans also be of use in obese patients where contrast is poor. (author)

  2. Catalogs of Compact Groups of Galaxies from the Enhanced SDSS DR12

    CERN Document Server

    Sohn, Jubee; Hwang, Ho Seong; Zahid, H Jabran; Lee, Myung Gyoon

    2016-01-01

    We apply a friends-of-friends algorithm to an enhanced SDSS DR12 spectroscopic catalog including redshift from literature to construct a catalog of $1588~N\\ge3$ compact groups of galaxies containing 5179 member galaxies and covering the redshift range $0.01 < z < 0.19$. This catalog contains 18 times as many systems and reaches 3 times the depth of similar catalog of Barton et al. (1996). We construct catalogs from both magnitude-limited and volume-limited galaxy samples. Like Barton et al. (1996) we omit the frequently applied isolation criterion in the compact group selection algorithm. Thus the groups selected by fixed projected spatial and rest frame line-of-sight velocity separation produce a catalog of groups with a redshift independent median size. In contrast with previous catalogs, the enhanced SDSS DR12 catalog (including galaxies with $r < 14.5$) includes many systems with $z\\leq 0.05$. The volume-limited samples are unique to this study. The compact group candidates in these samples have ...

  3. 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

  4. Type 1 Diabetes in the Spanish Population: additional factors to Class II HLA-DR3 and -DR4

    Directory of Open Access Journals (Sweden)

    Ibarra José M

    2005-04-01

    Full Text Available Abstract Background The Major Histocompatibility Complex is the main genetic contributor to susceptibility to type 1 diabetes (T1D; genome-wide scans have consistently mapped increased predisposition to this region. The highest disease risk has been associated with HLA-DR3 and HLA-DR4. In particular, the DR3-positive ancestral haplotype 18.2 was reported as highly diabetogenic. We aimed to corroborate whether this haplotype increases the susceptibility conferred by the DQ2-DR3 alleles in a Mediterranean population. We also searched for additional susceptibility factors to the classic DQ2-DR3 and DQ8-DR4. Results Genetic MHC markers were analysed in a case-control study with 302 T1D patients and 529 ethnically matched controls. DR3-TNFa1b5 carrier rate was significantly higher in DR3-positive heterozygous T1D patients than in DR3-positive heterozygous controls (p = 0.0019; odds ratio OR [95% confidence interval CI] = 2.26 [1.3–3.93]. This data was confirmed analysing the allelic frequency, which includes the information corresponding to the DR3-homozygous individuals (p = 0.001; OR = 2.09 and by using the Arlequin software to check the DR3-positive haplotypes (p = 0.004;OR = 1.93. The present results provide strong evidence of a second susceptibility region in the ancestral haplotype 18.2 in the Spanish population. Moreover, we searched for T1D susceptibility factors in addition to the MHC classical ones, within the DR2-DQ6/DR3-DQ2/DR4-DQ8 negative population. Several genetic markers in both MHC class II (DQA1*0101-DQB1*0501 [p = 0.007;OR = 2.81], DQA1*0201-DQB1*0202 [p = 0.03; OR = 2.35] and III (TNFa2b1 [p = 0.01 OR = 2.74], BAT-2*2 [p = 0.004; OR = 3.19] were found. These different alleles associated with T1D were not independent and we observed linkage disequilibrium among them leading us to describe two new risk haplotypes (DQA1*0101-DQB1*0501-TNFa2b1 and DQA1*0201-DQB1*0202- BAT-2*2. Finally, we studied a T1D susceptibility

  5. A Simple Insightful Approach to Investigating a Hospital Standardised Mortality Ratio: An Illustrative Case-Study

    OpenAIRE

    Mohammed, Mohammed A; Stevens, Andrew J

    2013-01-01

    Background Despite methodological concerns Hospital Standardised Mortality Ratios (HSMRs) are promoted as measures of performance. Hospitals that experience an increase in their HSMR are presented with a serious challenge but with little guidance on how to investigate this complex phenomenon. We illustrate a simple penetrating approach. Methods Retrospective analysis of routinely collected hospital admissions data comparing observed and expected deaths predicted by the Dr Foster Unit case mix...

  6. Residential therapy. Hospitals take on finding housing for homeless patients, hoping to reduce readmissions, lower costs.

    Science.gov (United States)

    Evans, Melanie

    2012-09-24

    As they grapple with containing the cost of caring for patients who frequently return to the ER or hospital for care, some hospitals are trying a new route: housing. In San Francisco, plans are under way to house 50 homeless patients. "Hospitalization is a failure of the medical system. It means that the condition has gotten so out of control that someone is at risk of life or limb," says Dr. Kelly Pfeifer, left, of the San Francisco Health Plan. PMID:23163192

  7. 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

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

    CERN Multimedia

    Maximilien Brice

    2011-01-01

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

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

    OpenAIRE

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

    2004-01-01

    Introduction: corticoid administration is the usual treatment of Crohn' disease (CD) and ulcerative colitis (UC) attacks. How-ever, information available on response rates and their predictive factors is scarce. Objective: to establish response to steroidal treatment in an homogeneous group of patients with CD or UC during their first admission to hospital. Methods: restrospective analysis of 86 patients who received systemic steroidal treatment for a severe flare-up during their first hospit...

  10. 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...

  11. 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)

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

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

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

  13. ¿Quién es el Dr. Alvarado?

    OpenAIRE

    Arturo Jauretche

    2012-01-01

    Este texto, escrito por Arturo Jauretche, recupera la figura del Dr. Carlos Alberto Alvarado (1904-1986) quien, en tiempos en que Ramón Carrillo era secretario de Salud Pública de la Nación, dirige una campaña que logra controlar el paludismo en el noroeste argentino con una reducción muy importante del número de casos, alcanzando una amplia repercusión mundial. En 1955, el Dr. Alvarado es separado de su cargo por la Revolución Libertadora, momento en que la Organización Panamericana de...

  14. 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.

  15. Study of photoluminescence properties of thin films DR1

    International Nuclear Information System (INIS)

    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

  16. ALS Association

    Science.gov (United States)

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

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

    Science.gov (United States)

    Allen, Paul

    2016-05-01

    Academic medical centres have traditionally been bastions of teaching and research. Outreach to the community at large and involvement in community affairs have sometimes been lacking in the overall mission and activities of academic medical centres. This paper provides an historical perspective first on the numerous achievements of a physician and surgeon and then on the topic of involvement in community affairs by reviewing the many contributions of America's pioneer gynaecological surgeon and one of the four physician founders of the Johns Hopkins Hospital and School of Medicine in 1889 - Dr Howard Atwood Kelly. PMID:24906403

  18. Use of new plug-ins for image J for the quality control of CR and DR systems

    International Nuclear Information System (INIS)

    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)

  19. Genomic evaluation of HLA-DR3+ haplotypes associated with type 1 diabetes.

    Science.gov (United States)

    Kumar, Neeraj; Kaur, Gurvinder; Tandon, Nikhil; Kanga, Uma; Mehra, Narinder K

    2013-04-01

    We have defined three sets of HLA-DR3(+) haplotypes that provide maximum risk of type 1 disease development in Indians: (1) a diverse array of B8-DR3 haplotypes, (2) A33-B58-DR3 haplotype, and (3) A2-B50-DR3 occurring most predominantly in this population. Further analysis has revealed extensive diversity in B8-DR3 haplotypes, particularly at the HLA-A locus, in contrast to the single fixed HLA-A1-B8-DR3 haplotype (generally referred to as AH8.1) reported in Caucasians. However, the classical AH8.1 haplotype was rare and differed from the Caucasian counterpart at multiple loci. In our study, HLA-A26-B8-DR3 (AH8.2) was the most common B8-DR3 haplotype constituting >50% of the total B8-DR3 haplotypes. Further, A2-B8-DR3 contributed the maximum risk (RR = 48.7) of type 1 diabetes, followed by A2-B50-DR3 (RR = 9.4), A33-B58-DR3 (RR = 6.6), A24-B8-DR3 (RR = 4.5), and A26-B8-DR3 (RR = 4.2). Despite several differences, the disease-associated haplotypes in Indian and Caucasian populations share a frozen DR3-DQ2 block, suggesting a common ancestor from which multiple haplotypes evolved independently. PMID:23387390

  20. 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.

  1. 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

  2. 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.

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

    CERN Multimedia

    Patrice Loïez

    2000-01-01

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

  5. 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...

  6. 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…

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

    Institute of Scientific and Technical Information of China (English)

    刘爱民

    2004-01-01

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

  8. Dr. von Braun, Mayor Searcy, and General Medaris

    Science.gov (United States)

    1959-01-01

    Dr. Wernher von Braun, Director of the U.S. Army Ballistic Missile Agency's (ABMA) Development Operations Division, talks to Huntsville Mayor R. B. 'Speck' Searcy, center, and Army Ordnance Missile Command (ARMC) Major General John B. Medaris, right, during 'Moon Day' celebrations in downtown Huntsville, Alabama. (Courtesy of Huntsville/Madison County Public Library)

  9. 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,

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

    OpenAIRE

    Lazenby, Jenna

    2006-01-01

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

  11. 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.

  12. 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.

  13. Focus on Fitness: Q&A with Dr. Greene

    Science.gov (United States)

    Greene, Alan

    2005-01-01

    Dr. Greene answers the following question in this brief article focusing on fitness: Everyone knows that children need plenty of exercise to stay healthy--But what does "fitness" really involve for young children? Following this discussion, the topics presented include: snack of the month; nutrition fact; and activities, "Move to the Music" and…

  14. 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.

  15. 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

  16. 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.

  17. 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.

  18. 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.

  19. Karakteristik Penderita Bronkitis Yang Dirawat Jalan Pada Kelompok Umur > 15 Tahun Di RSU Dr. Ferdinand Lumban Tobing Sibolga Tahun 2010 - 2012

    OpenAIRE

    Simanjuntak, Rinaldi Togap

    2014-01-01

    Bronchitis (Inflamation bronchi) is described as inflammation of the bronchial vessels. It is characterized by inflammation of the bronchial tubes and divided into acute and chronic forms. Indonesia does not have accurate data on morbidity of acute or chronic bronchitis. Bronchitis including ten biggest disease in the outpatient Dr. Ferdinan L. Tobing General Hospital. Total cases of bronchitis in 2010-2012 there were 442 cases. To determine the characteristics of patients with bronchitis ...

  20. Hospitals for sale.

    Science.gov (United States)

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

    2011-01-01

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

  1. 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...

  2. 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.

  3. Data and computing intensive applications in GENESI-DR

    Science.gov (United States)

    Cossu, Roberto; Pacini, Fabrizio; Gonçalves, Pedro; Fusco, Luigi

    2010-05-01

    GENESI-DR (Ground European Network for Earth Science Interoperations - Digital Repositories) is a European Commission (EC)-funded project, kicked-off early 2008 lead by ESA; partners include Space Agencies (DLR, ASI, CNES), both space and no-space data providers such as ENEA (I), Infoterra (UK), K-SAT (N), NILU (N), JRC (EU) and industry as Elsag Datamat (I), CS (F) and TERRADUE (I). GENESI-DR intends to meet the challenge of facilitating "time to science" from different Earth Science disciplines in discovery, access and use (combining, integrating, processing, …) of historical and recent Earth-related data from space, airborne and in-situ sensors, which are archived in large distributed repositories. GENESI-DR provides a framework where data repositories can be easily integrated and users are given a single access point for discovery and access to heterogeneous data and processing resources. Processing services can be easily integrated as well so supporting the users in the analysis of the data. Coupled with high-performance and sizeable computing resources managed by Grid technologies, GENESI-DR provides indeed the necessary flexibility for building a virtual environment that gives transparent, fast, and easy access to data (even heterogeneous and dispersed among different archives), processing services, computing resources, and results. These characteristics make GENESI-DR an ideal platform for processing large amounts of heterogeneous data (e.g., satellite and in-situ data), developing services which require fast production and delivery of results, comparing approaches and fully validating algorithms. Security solutions adopted in GENESI-DR guarantee that only authorized users can access data, processing services and processing resources. GENESI-DR is designed to support the need for an effective exploitation of the large archives. Among the different applications already integrated in GENESI-DR, in this presentation we will describe some results related to

  4. Sampling From the Proteome to the Human Leukocyte Antigen-DR (HLA-DR) Ligandome Proceeds Via High Specificity.

    Science.gov (United States)

    Mommen, Geert P M; Marino, Fabio; Meiring, Hugo D; Poelen, Martien C M; van Gaans-van den Brink, Jacqueline A M; Mohammed, Shabaz; Heck, Albert J R; van Els, Cécile A C M

    2016-04-01

    Comprehensive analysis of the complex nature of the Human Leukocyte Antigen (HLA) class II ligandome is of utmost importance to understand the basis for CD4(+)T cell mediated immunity and tolerance. Here, we implemented important improvements in the analysis of the repertoire of HLA-DR-presented peptides, using hybrid mass spectrometry-based peptide fragmentation techniques on a ligandome sample isolated from matured human monocyte-derived dendritic cells (DC). The reported data set constitutes nearly 14 thousand unique high-confident peptides,i.e.the largest single inventory of human DC derived HLA-DR ligands to date. From a technical viewpoint the most prominent finding is that no single peptide fragmentation technique could elucidate the majority of HLA-DR ligands, because of the wide range of physical chemical properties displayed by the HLA-DR ligandome. Our in-depth profiling allowed us to reveal a strikingly poor correlation between the source proteins identified in the HLA class II ligandome and the DC cellular proteome. Important selective sieving from the sampled proteome to the ligandome was evidenced by specificity in the sequences of the core regions both at their N- and C- termini, hence not only reflecting binding motifs but also dominant protease activity associated to the endolysosomal compartments. Moreover, we demonstrate that the HLA-DR ligandome reflects a surface representation of cell-compartments specific for biological events linked to the maturation of monocytes into antigen presenting cells. Our results present new perspectives into the complex nature of the HLA class II system and will aid future immunological studies in characterizing the full breadth of potential CD4(+)T cell epitopes relevant in health and disease. PMID:26764012

  5. 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

  6. Hospital Outpatient PPS Partial Hospitalization Program LDS

    Data.gov (United States)

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

  7. Can hospitals compete on quality? Hospital competition.

    Science.gov (United States)

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

    2015-09-01

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

  8. 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. 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 ...

  10. 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...

  11. 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...

  12. 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 ...

  13. 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 ...

  14. 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.

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

    OpenAIRE

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

    2000-01-01

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

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

    DEFF Research Database (Denmark)

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

    2010-01-01

    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 a...... significant gap in knowledge as HLA DP and DQ molecules are presumably equally important, and have only been studied less because they are more difficult to handle experimentally. RESULTS: In this study, we aimed to narrow this gap by providing a large scale dataset of over 17,000 HLA-peptide binding...... affinities for a set of 11 HLA DP and DQ alleles. We also expanded our dataset for HLA DR alleles resulting in a total of 40,000 MHC class II binding affinities covering 26 allelic variants. Utilizing this dataset, we generated prediction tools utilizing several machine learning algorithms and evaluated...

  17. 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.

  18. 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.

  19. 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...

  20. 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.

  1. 105-DR Large Sodium Fire Facility closure activities evaluation report

    International Nuclear Information System (INIS)

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

  2. Editorial: Applying psychology: A feitschrift for Dr. Elizabeth A. Dunne

    OpenAIRE

    McCarthy, John; Quayle, Ethel; Aylwin, Sue; Lyddy, Fiona

    2008-01-01

    This special issue of The Irish Journal of Psychology is dedicated to the memory of Dr. Elizabeth Dunne, our friend and colleague, and especially to her commitment to the application of psychology. It celebrates her particular contribution by surveying the variety of ways in which psychology is applied through, for example, practical problem solving, education, and advocacy. Applying psychology is a complex and often controversial practice; complex because most real world pr...

  3. 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.

  4. 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.

  5. Dr. Ambedkar's Dhamma and the Untouchables' Conversion to Buddhism

    OpenAIRE

    2005-01-01

    The starting point of this thesis is the mass conversion to Buddhism, in Nagpur in October 1956. The people who converted were all untouchables, and most of them were Maharashtrian Mahars, the caste to which Dr. Bhimrao Ramji Ambedkar (1891-1956) belonged. Ambedkar was the undisputed leader of the conversion movement, and it was due him his followers chose Buddhism. In 1935, he said he would leave Hinduism. I try to understand how Ambedkar provided legitimacy and support for the conversion to...

  6. 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.

  7. 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...

  8. 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

  9. 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

  10. 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.

  11. Optimal Participation of DR Aggregators in Day-Ahead Energy and Demand Response Exchange Markets

    OpenAIRE

    Heydarian-Forushani, Ehsan; Shafie-khah, Miadreza; Damavandi, Maziar,; Catalão, João,

    2014-01-01

    Aggregating the Demand Response (DR) is approved as an effective solution to improve the participation of consumers to wholesale electricity markets. DR aggregator can negotiate the amount of collected DR of their customers with transmission system operator, distributors, and retailers in Demand Response eXchange (DRX) market, in addition to participate in the energy market. In this paper, a framework has been proposed to optimize the participation of a DR aggregator in day-ahead energy and i...

  12. 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

  13. 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).

  14. 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...

  15. 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 ...

  16. 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...

  17. Denmark: Experience gained during the decommissioning of Danish research reactors DR 1 and DR2: Innovative and adaptive technologies in decommissioning of nuclear facilities (TS.40.07)

    International Nuclear Information System (INIS)

    The two research reactors DR 1 and DR 2 have been the first out of five facilities at Risoe National Laboratory in Denmark to be decommissioned by Danish Decommissioning. They thus have a particular potential for posing challenges and unforeseen problems that would necessitate the use of special equipment and methods. The two nuclear facilities that were expected to give the smallest problems, DR 1 (only 2 kW) and DR 2 (5 MW, but the reactor has been closed for more than 25 years), should serve as test beds prior to the decommissioning of the other nuclear facilities, in particular the reactor DR 3 (10 MW, shut down in 2000). The decommissioning of DR 1 and DR 2 was planned to take place from 2004 -mid 2009. Decommissioning of all facilities at the Risoe site is planned to run through 2018. The overall objective of the decommissioning at the Risoe sites is to reach 'green field' so that the area and possible remaining buildings can be used for other purposes without any restrictions. To a large extent, dismantling works have, therefore, been carried out by use of tools and skills already available in DD. However, a number of special tools have been acquired or considered for specific operations and works. This paper focuses on the methods and special tools acquired or being considered for the decommissioning of the DR 1 and DR 2. (author)

  18. Monomeric DR2/MOG-35-55 recombinant TCR ligand treats relapses of experimental encephalomyelitis in DR2 transgenic mice.

    Science.gov (United States)

    Link, Jason M; Rich, Cathleen M; Korat, Maya; Burrows, Gregory G; Offner, Halina; Vandenbark, Arthur A

    2007-04-01

    Treatment of human autoimmune diseases such as multiple sclerosis (MS) will likely require agents that can prevent or reverse the inflammatory process that results in clinical relapses and disease progression. We evaluated the ability of a newly designed monomeric recombinant TCR ligand (RTL342M) containing HLA-DR2 peptide-binding domains covalently linked to MOG-35-55 peptide to prevent and treat both the initial episode and subsequent relapses of experimental autoimmune encephalomyelitis (EAE) in HLA-DR2 transgenic mice. Single doses of RTL342M given either i.v. or s.c. to HLA-DR2 mice produced a rapid (within 24 h) and dose-dependent reversal of clinical signs of paralytic EAE, and even a single dose RTLs may be 50 times more potent than molar equivalent doses of myelin peptide alone. RTL342M given prior to induction of EAE prevented disease in most mice, and the remainder could be successfully retreated with RTL. Most important for clinical application, RTL342M was highly effective for treating EAE relapses when given periodically prior to the relapse or even after relapses had occurred. These data demonstrate the rapid and potent clinical effects of RTL342M at disease onset and during relapses in EAE and establish important principles governing the application of this novel approach as a possible therapy for patients with MS. PMID:17257899

  19. 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...

  20. 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

  1. Retention of chromium by modified Al-Bentonite

    OpenAIRE

    Volzone C.; Garrido L. B.

    2002-01-01

    Retention of chromium (III) from a tanning wastewater by modified Al-bentonites was studied. One bentonite from San Juan province, Argentina, was used. Al-bentonite was prepared by contact of bentonite with hydrolyzed OH-Al solutions (0.10 M in Al) for 24 hours. The modified Al-bentonites were obtained by: a) treatment with 0.5 M sodium chloride; b) with 0.5 M sodium chloride adjusted at pH 8; and c) treatment with an hexametaphosphate solution after sodium addition. Then, the samples were dr...

  2. 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.

  3. 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

  4. 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

  5. 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

  6. Retention of chromium by modified Al-Bentonite Retenção de cromo por Al-bentonita modificada

    OpenAIRE

    C. Volzone; L.B. Garrido

    2002-01-01

    Retention of chromium (III) from a tanning wastewater by modified Al-bentonites was studied. One bentonite from San Juan province, Argentina, was used. Al-bentonite was prepared by contact of bentonite with hydrolyzed OH-Al solutions (0.10 M in Al) for 24 hours. The modified Al-bentonites were obtained by: a) treatment with 0.5 M sodium chloride; b) with 0.5 M sodium chloride adjusted at pH 8; and c) treatment with an hexametaphosphate solution after sodium addition. Then, the samples were dr...

  7. 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...

  8. 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

  9. 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.

  10. [DR. Hanka Weinberg-Heruti: the pediatrician from Merchavia--the first woman-doctor 'Kibbutznik' in the Kibbutz Ha'artzi].

    Science.gov (United States)

    Shehory-Rubin, Zipora

    2015-07-01

    Dr. Hanka Weinberg-Heruti, a pediatrician at the Ha'Emek Hospital and a member of Kibbutz Merchavia is regarded in the history of medicine in Eretz Israel as the first female physician in the Kibbutz Ha'Artzi movement-Hashomer Hatsa'ir, and one of the founders of children's medicine in the country. Dr. Weinberg-Heruti was able to break the accepted norms of the period and prove "you could be both a hospital doctor and a loyal kibbutz member". This was far from simple for there was an iron rule in that kibbutz movement: "Every member must perform physical labour to build the kibbutz and to work in its framework. This principle is inviolable nor can one deviate from the norm". Dr. Weinberg-Heruti dared to break that rule and prove that a successful combination of both her purposes in life was possible. Thus, the aim of the article is twofold: to survey her unique position as hospital doctor and faithful 'kibbutznik', who dared to break the "holy" principle at the ideological roots of kibbutz life--that it was unthinkable for a member to refrain from physical labour. Secondly, to illuminate her medical career as pediatrician in Ha'Emek Hospital, and describe the innovations she introduced to the children's ward, survey her groundbreaking research, that examined the influence of the Beit Shean Valley climate on infant development. Her conclusions dramatically affected the treatment and upbringing of children in that climate, and were adopted not only in local kibbutzim but throughout the country. PMID:26380468

  11. A Survey of the Epidemiology and Antibiotic Resistance Patterns of Enteropathogens Isolates in an Iranian Hospital

    OpenAIRE

    Mirjafari Tafti; Rahbar; Eslami, MR; Hashemi; Hajia; Gharehbaghi Dori; Abdinia

    2016-01-01

    Background Infectious diarrhea is one of the most frequent diseases among children, especially in developing countries. Objectives The aim of this study was to determine the etiological agents and drug resistance patterns of common enteric pathogens isolated in an Iranian 1000-bed tertiary care hospital. Patients and Methods In a retrospective study, we analyzed the etiology and dr...

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

    Science.gov (United States)

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

    2016-06-01

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

  13. 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. _

  14. 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.

  15. In memoriam Prof. dr. sc. Vladimir Lapter 1923. - 2002.

    OpenAIRE

    Carek, Vlado

    2002-01-01

    Rođen je 21. travnja 1923. godine u Varaždinu, gdje je polazio osnovnu školu i gimnaziju. Godine 1945. upisuje Medicinski fakultet Sveučilišta u Zagrebu i diplomira 1952. godine. Nakon liječničkog staža i obveznog terenskog rada (1952.-1954.) započinje na Klinici za maksilofacijalnu kirurgiju kod akademika prof.dr. Ive Čupara specijalizaciju iz stomatologije i polaže specijalistički ispit 1957. godine. U jesen iste godine počinje akademsku karijeru kao asistent u Zavodu za ortodonciju, gdj...

  16. Prof. dr. sc. Ivo Miše: 1981. - 2001.

    OpenAIRE

    Knežević, Goran

    2001-01-01

    Dne 17. ožujka 2001. prošlo je dvadeset godina od smrti prof. dr. sc. Ive Miše predstojnika katedre za oralnu kirurgiju i jednog od dekana Stomatološkog fakulteta Sveučilišta u Zagrebu. Današnji naraštaji studenata Stomatološkog fakulteta čuli su za njegovo ime preko knjige “Oralna kirurgija”, koju su nakon Miπiše smrti izdali njegovi suradnici i koja je imala tri izdanja, a mnogi pak današnji mlađi djelatnici Fakulteta nisu ga imali prilike upoznati.

  17. Državni notranji revizorji in varnost informacijskih sistemov

    OpenAIRE

    Berkopec, Janez

    2015-01-01

    Na področju informacijske tehnologije je edina stalnica to, da se vse stalno spreminja. Ni več organizacije, posebej pa ne v okviru državne uprave, ki ne uporablja informacijske tehnologije pri svojem poslovanju. Ker se stalno posodabljajo stari informacijski sistemi oziroma uvajajo novi, je treba posvetiti posebno pozornost delovanju notranjih kontrol na tem področju, saj le vzpostavljene in pravilno delujoče notranje kontrole na vseh področjih zagotavljajo, da so podatki pravilni in zaneslj...

  18. Dr. Lorenzo Dojmi Di Delupis - Viški "Gepard"

    OpenAIRE

    Jamnicki Dojmi, Mirko

    2011-01-01

    Dr. Lorenzo Dojmi di Delupis (1845.–1927.) odvjetak je ugledne viške grane plemićke obitelji Dojmi di Delupis. Sin je Petra Dojmija di Delupisa (1809.–1886.), pravnika, umjerenoga dalmatinskog autonomaša talijanske provenijencije, dugogodišnjega viškog načelnika i Margherite Siminiati. Kao tek završeni liječnik, s diplomom Medicinskog fakulteta u Grazu (1870.), Lorenzo Dojmi di Delupis krenuo je na dvogodišnji put kao liječnik turske vojske dospjevši čak do Bagdada i Basre. O toj dramatičnoj ...

  19. 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.

  20. 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)

  1. 'We're running risks' - interview with Dr. Cor Schuurmans

    International Nuclear Information System (INIS)

    In an interview Dr. Cor Schuurmans, chairman of the Dutch Climate Committee which advises the Minister of the Environment and leader of the Dutch delegation to the April 1993 International Negotiating Committee for the Framework Convention answered questions relating to climate change. These included his views on the effects of climate change on our daily lives, the role of the many international organizations involved in climate research, his opinions on the recent Royal Netherlands Meteorological Office (KNMI) report on climate, the reasons for scientific research into climate and the role of the National Research Programme on Climate Change in the Netherlands

  2. Dr Robert Proust: a gynaecologist's contribution to world literature.

    Science.gov (United States)

    de Costa, Caroline

    2013-09-01

    Dr Robert Proust, though overshadowed in history by his more famous brother, the novelist Marcel Proust, was an eminent and innovative French surgeon who achieved recognition largely as a gynaecologist, but also was an accomplished urologist and general surgeon. He was the author of a textbook, The surgery of the female genital tract, that was very successful in his lifetime and ran to six editions. He was always very supportive of his brother's writing, and after Marcel's premature death Robert edited and arranged for publication of the final three volumes of his novel À la recherche du temps perdu, which has been called the greatest novel of the twentieth century. PMID:23820137

  3. 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...

  4. 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.

  5. The UV-bright Quasar Survey (UVQS): DR1

    CERN Document Server

    Monroe, TalaWanda R; Tejos, N; Worseck, G; Hennawi, Joseph F; Schmidt, Tobias; Tumlinson, Jason; Shen, Yue

    2016-01-01

    We present the first data release (DR1) from our UV-bright Quasar Survey (UVQS) for new $z \\sim 1$ active galactic nuclei (AGN) across the sky. Using simple GALEX UV and WISE near-IR color selection criteria, we generated a list of 1450 primary candidates with $FUV 0.5$. Including a small set of observed secondary candidates, we report the discovery of 217 AGN with $FUV < 18$ mag that had no previously reported spectroscopic redshift. These are excellent potential targets for UV spectroscopy before the end of the {\\it Hubble Space Telescope} mission. The main data products are publicly released through the Mikulski Archive for Space Telescopes.

  6. Drøm fra Disneyland, en retorisk analyse

    OpenAIRE

    Holm, Anwar

    2014-01-01

    I denne oppgaven tar jeg for meg kronikken Drøm fra Disneyland. Oppgaven analyserer argumentasjonen i kronikken med et retorisk utgangspunkt. Analysen er også støttet opp av en stemmeanalyse. Debatten som fulgte blir trukket inn som en viktig del av konteksten i diskusjonskapittelet.. Analyseobjektet har flere nivåer som kan være mulig å analysere og diskutere. I argumentasjonsanalysen analyseres først og fremst argumentasjonene som forfatterne av kronikken bruker. I stemmeanalysen vises det ...

  7. The Financial Performance Evaluation Through EVA, CR, and DR

    Directory of Open Access Journals (Sweden)

    Ali Reza Modanlo Joibary

    2012-09-01

    Full Text Available Economic Value Added (EVA differs from traditional performance measures accounting, because it takes into account the cost of all capital employed.The principal aim of this study is to investigate relationship Economic Value Added (EVA as dependent variable and Current Ratio (CR and Debt Ratio (DR as independent variables in listed companies of Tehran stock Exchange (TSE during 2005-2009. The sample size of the study is 180 listed companies of Tehran stock Exchange (TSE and this study calculated EVA with WACC by Dividend Discount Model (DDM and WACC by Capital asset pricing model (CAPM that these named EVAwith models 1 and 2.

  8. Researcher Profile: An Interview with Dr. Jeff Dew

    Directory of Open Access Journals (Sweden)

    Jeffrey Dew

    2012-12-01

    Full Text Available

    Jeff Dew earned a dual-title Ph.D. in Human Development and Family Studies and Demography from Pennsylvania State University. He then completed a two-year research post-doctoral position in Sociology at the University of Virginia. He has been an assistant professor in the department of Family, Consumer, and Human Development at Utah State University for three years. Dr. Dew sees himself as a family studies researcher who is interested in how financial issues are associated with relationship quality.

  9. Prof.dr.sci. Dragutin Tomić

    OpenAIRE

    Linčir, Ileana

    2000-01-01

    Dana 27. travnja ove godine napustio nas je tiho i skromno, kao što je i živio profesor dr. Dragutin Tomić, umirovljeni profesor Stomatološkog fakulteta, naš dragi Karlek. Rođen je 1912. u Goraždu. Osnovnu i srednju školu pohađao je u Poljskoj i u Čehoslovačkoj, gdje je 1931. godine maturirao na realnoj gimnaziji. Nakon mature studirao je farmaciju na Sveučilištu u Zagrebu, gdje je godine 1935. diplomirao. Nakon toga radio je dvije godine u ljekarnama raznih mjesta Hrvatske i Bosne. Godin...

  10. 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.

  11. 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...

  12. 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...

  13. 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)

  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. 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...

  16. 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...

  17. 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

  18. 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…

  19. 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,...

  20. 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 ...

  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. 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

  3. 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

  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. Hospital-acquired pneumonia

    Science.gov (United States)

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

  6. Staph infections - hospital

    Science.gov (United States)

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

  7. Hospital Compare - Archived Data

    Data.gov (United States)

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

  8. HCAHPS Hospital Survey

    Data.gov (United States)

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

  9. [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

  10. Interruptions: Derrida and Hospitality

    OpenAIRE

    Mark W. Westmoreland

    2008-01-01

    Come in. Welcome. Be my guest and I will be yours. Shall we ask, in accordance with the Derridean question, "Is not hospitality an interruption of the self?" What is the relationship between the interruption and the moment one enters the host's home? Derrida calls us toward a new understanding of hospitality - as an interruption. This paper will illuminate the history of hospitality in the West as well as trace Derrida's discussions of hospitality throughout many of works. The overall goal of...

  11. 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.

  12. 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.

  13. Early interleukin-6 and slope of monocyte human leukocyte antigen-DR: a powerful association to predict the development of sepsis after major trauma.

    Directory of Open Access Journals (Sweden)

    Aurélie Gouel-Chéron

    Full Text Available OBJECTIVE: Major trauma is characterized by a pro-inflammatory response, followed by an immunosuppression. Recently, in trauma patients, the lack of recovery of monocyte Human Leukocyte Antigen DR (mHLA-DR, a biomarker of ICU-acquired immunosuppression between days 1-2 and days 3-4 has been demonstrated to be independently associated with sepsis development. The main objective of this study was to determine whether early measurements of IL-6 (interleukin-6 and IL-10 plasma concentrations (as markers of initial severity could improve, in association with mHLA-DR recovery, the prediction of sepsis occurrence in severe trauma patients. DESIGN: Prospective observational study over 24 months in a Trauma ICU at university hospital. PATIENTS: Trauma patients with an ISS over 25 and age over 18 were included. MEASUREMENTS AND MAIN RESULTS: mHLA-DR was assessed by flow cytometry, IL-6 and IL-10 concentrations by ELISA. 100 consecutive severely injured patients were monitored (mean ISS 37±10. 37 patients developed sepsis. IL-6 concentrations and slope of mHLA-DR expression between days 1-2 and days 3-4 were significantly different between septic and non-septic patients. IL-10 was not detectable in most patients. After adjustment for usual clinical confounders, when assessed as a pair, multivariate logistic regression analysis revealed that a slope of mHLA-DR expression (days 3-4/days 1-2≤1.1 and a IL-6 concentration ≥ 67.1 pg/ml remained highly associated with the development of sepsis (adjusted OR 18.4, 95% CI 4.9; 69.4, p = .00002. CONCLUSIONS: After multivariate regression logistic analysis, when assessed as a pair, a high IL-6 concentration and a persistent mHLA-DR decreased expression were found to be in relation with the development of sepsis with the best predictive value. This study underlines the usefulness of daily monitoring of immune function to identify trauma patients at a high risk of infection.

  14. 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.

  15. 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.

  16. 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

  17. 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

  18. 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.

  19. 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.

  20. 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.

  1. 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...

  2. Interruptions: Derrida and Hospitality

    Directory of Open Access Journals (Sweden)

    Mark W. Westmoreland

    2008-06-01

    Full Text Available Come in. Welcome. Be my guest and I will be yours. Shall we ask, in accordance with the Derridean question, "Is not hospitality an interruption of the self?" What is the relationship between the interruption and the moment one enters the host's home? Derrida calls us toward a new understanding of hospitality - as an interruption. This paper will illuminate the history of hospitality in the West as well as trace Derrida's discussions of hospitality throughout many of works. The overall goal of this project is to provide readers of Derrida with a sort of reference guide for his discussions on and deconstructive approach to hospitality.

  3. 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.

  4. Medicare Hospital Spending Per Patient - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — The "Medicare hospital spending per patient (Medicare Spending per Beneficiary)" measure shows whether Medicare spends more, less or about the same per Medicare...

  5. GENESI-DR Portal: a scientific gateway to distributed repositories

    Science.gov (United States)

    Goncalves, Pedro; Brito, Fabrice; D'Andria, Fabio; Cossu, Roberto; Fusco, Luigi

    2010-05-01

    GENESI-DR (Ground European Network for Earth Science Interoperations - Digital Repositories) is a European Commission (EC)-funded project, kicked-off early 2008 lead by ESA; partners include Space Agencies (DLR, ASI, CNES), both space and no-space data providers such as ENEA (I), Infoterra (UK), K-SAT (N), NILU (N), JRC (EU) and industry as Elsag Datamat (I), CS (F) and TERRADUE (I). GENESI-DR intends to meet the challenge of facilitating "time to science" from different Earth Science disciplines in discovery, access and use (combining, integrating, processing, …) of historical and recent Earth-related data from space, airborne and in-situ sensors, which are archived in large distributed repositories. "Discovering" which data are available on a "geospatial web" is one of the main challenges ES scientists have to face today. Some well- known data sets are referred to in many places, available from many sources. For core information with a common purpose many copies are distributed, e.g., VMap0, Landsat, and SRTM. Other data sets in low or local demand may only be found in a few places and niche communities. Relevant services, results of analysis, applications and tools are accessible in a very scattered and uncoordinated way, often through individual initiatives from Earth Observation mission operators, scientific institutes dealing with ground measurements, service companies or data catalogues. In the discourse of Spatial Data Infrastructures, there are "catalogue services" - directories containing information on where spatial data and services can be found. For metadata "records" describing spatial data and services, there are "registries". The Geospatial industry coins specifications for search interfaces, where it might do better to reach out to other information retrieval and Internet communities. These considerations are the basis for the GENESI-DR scientific portal, which adopts a simple model allowing the geo-spatial classification and discovery of

  6. 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

  7. 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...

  8. 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.

  9. A good start in life: breast-feeding in hospital.

    Science.gov (United States)

    de Boer, A S; Darnton-Hill, I

    1994-01-01

    The World Health Organization (WHO) and UNICEF introduced the Baby- Friendly Hospital Initiative in 1992 to foster breast feeding in hospitals. The balanced composition of breast milk fulfills the 4-6 month old infant's nutrient requirements. Colostrum is rich in antibodies and immunoglobulins, which protect the newborn against infection. As economic development progresses, more mothers use infant formulas while fewer mothers breast feed. Between 1960 and 1985 in Japan, the proportion of mothers breast feeding 1-2 month old infants fell from 68% to 50%. Between 1975 and 1968 in Western Samoa, it fell from 69% to 48% in urban areas and 78% to 59% in rural areas. Hospital practices that discourage breast feeding include separation of mother and newborn, prelacteal feedings, and free samples of infant formula. These practices occur even in areas, such as the Western Pacific Region, where most mothers deliver at home. Hospital baby-friendly criteria include a written breast-feeding policy, training of all health care staff in skills needed to implement this policy, informing all pregnant women about the benefits and management of breast feeding, assisting mothers to begin breast feeding within 30 minutes of delivery, demonstrating to mothers how to breast feed and to maintain lactation, no prelacteal feeds, newborn rooming-in with mother, promoting breast feeding on demand, no artificial teats or pacifiers, and breast-feeding support groups. The Western Pacific Region supports the Baby-Friendly Hospital Initiative. Between March 1991 and March 1993, the number of baby-friendly hospitals in the Philippines rose from 4 to 103. Dr. Jose Fabella Memorial Hospital in Manila is a model baby-friendly hospital for other hospitals in the region. It does not release mothers until milk flow has been established. By late 1992, 21 Chinese hospitals were baby-friendly. The WHO Western Pacific Region distributes information about breast feeding and the Initiative and provides breast

  10. Perbedaan Perlukaan Genitalia Perempuan Berdasarkan Posisi Persetubuhan Diluar Perkawinan di RSUP Dr. M. Djamil Padang Tahun 2010-2012

    Directory of Open Access Journals (Sweden)

    Ami Tri Nursasmi

    2014-05-01

    Full Text Available AbstrakPersetubuhan diluar perkawinan menjadi suatu masalah di pengadilan karena banyaknya perbedaan pendapat mengenai perlukaan selaput dara. Penelitian ini dilakukan untuk membuktikan perbedaan perlukaan selaput dara tersebut yang dilakukan di RSUP Dr. M. Djamil Padang, mencakup karakteristik korban, perlukaan selaput dara, perlukaan dibagian tubuh lain, dan hubungan perlukaan berdasarkan posisi persetubuhan. Penelitian ini bersifat analitik. Sampel sebanyak 81 responden yang telah mengalami persetubuhan diluar perkawinan. Data diambil dari Bagian Forensik RSUP Dr. M. Djamil Padang periode bulan Juli 2010 sampai dengan Juli 2012. Data diolah dengan menggunakan program komputer dan dianalisis melalui uji chi square. Dari 81 subjek penelitian ditemukan hasil tertinggi berupa usia korban adalah 12-18 tahun (62%, pekerjaan sebagai pelajar (56%, alamat berada di Kecamatan Koto Tangah (20%, hubungan korban dengan pelaku sebagai pacar (48%, perlukaan selaput dara pada arah jarum jam selain 5 dan 7 (47%, tidak tampaknya tanda-tanda kekerasan dibagian tubuh lain (81%. Dari uji chi square didapatkan nilai p = 0,585 dengan demikian Ha penelitian ditolak (p>0,05. Penelitian ini dapat disimpulkan bahwa tidak terdapatnya hubungan yang signifikan antara perlukaan selaput dara dengan posisi persetubuhan diluar perkawinan.Kata kunci: Persetubuhan, selaput dara, perlukaanAbstractNon marital sexual activity has been being a big issues on the court because there are contradictions argument about wounded hymen. This research is conducted to prove the difference of that wound occurs in public hospital of dr.M.Djamil Padang, including the victim’s character, hymen’s injury, another injury in other parts body, and the connection of each injuries based on intercourse position. This research having an analitical nature. 81 respondents of sample who done non marital sexual activity. The data taken from Forensics division of RSUP dr.M.Djamil Padang for period of July

  11. 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...

  12. 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...

  13. Keberhasilan Early Goal-Directed Therapy dan Faktor Pengganggu pada Pasien Sepsis Berat di Instalasi Gawat Darurat Rumah Sakit Dr. Hasan Sadikin Bandung yang Akan Menjalani Pembedahan

    OpenAIRE

    Mira Silviana; Doddy Tavianto; Rudi K. Kadarsah

    2015-01-01

    Early goal-directed therapy (EGDT) is conducted to reduce morbidity and mortality in patients with severe sepsis and septic shock. The purpose of this study was to evaluate the success of EGDT in patients with severe sepsis in the emergency room (ER) of Dr. Hasan Sadikin General Hospital Bandung who were going to undergo surgery and the factors that contributed to the success of EGDT. This study was a descriptive observational study that took place in June–August 2014. Subjects were ER patien...

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

    DEFF Research Database (Denmark)

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

    2016-01-01

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

  15. 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.

  16. 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...

  17. Terapia ocupacional en un hospital general de pacientes agudos = Occupational therapy in a general hospital for acute pacients

    Directory of Open Access Journals (Sweden)

    Ocello, M. G

    2006-09-01

    Full Text Available RESUMEN Desde su creación, el Hospital Provincial “Dr. José María Cullen” posee la característica de ser un hospital de emergencias, sostenido por la Sociedad de Beneficencia y la Hermanas de la Caridad.Su funcionamiento responde a un Modelo Clínico-Asistencial, lo cual influye en la inserción de Terapia Ocupacional debiendo adaptar sus funciones a las características de la Institución.Los marcos de referencia teóricos y programas que se implementandeber ser acordes con las necesidades surgidas de un Hospital General de Agudos y de emergencias.En el Sector de Terapia Ocupacional se desarrolla la actividad docente cumpliendo con los requisitos reglamentados por el Ministerio de Salud de la Provincia de Santa Fe.ABSTRACT Ever since its start the Provincial HospitalDr. José María Cullen” is characterised for being an emergency hospital under the guidance of the Benfit Society of Hermanas de la Caridad.Its function responds to a Clinical Assistential Model, which influences the insertion of Occupational Therapy, adapting its functiones to the characteristics of the Institution as and when called for.The theoretical points of reference and programmes that are used must be in accordance with tehe necessities that appear in an Acute and Emergency General Hospital.In the Occupational Therapy Sector the teaching activity is developed as required by rules and regulations of the Ministry of Health for the Province of Santa Fe.

  18. Hospital diversification strategy.

    Science.gov (United States)

    Eastaugh, Steven R

    2014-01-01

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

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

    International Nuclear Information System (INIS)

    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

  20. Alnu'uman Hospital Wastewater Assessment - Baghdad

    Directory of Open Access Journals (Sweden)

    Salwa H. Ahmed

    2013-05-01

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

  1. 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...

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

    Directory of Open Access Journals (Sweden)

    Paula Cristina Nogueira

    2006-06-01

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

  3. Dialogando con los autores "Dr. Antonio María Béguez César in memoriam" Talking to the authors «Dr. Antonio María Béguez César in memoriam»

    Directory of Open Access Journals (Sweden)

    María Antonia Peña Sánchez

    Full Text Available Como parte de las actividades efectuadas en la XIX Feria Internacional del Libro en Santiago de Cuba, se desarrolló en el Teatro Heredia de esta ciudad el primer encuentro denominado Dialogando con los autores "Dr. Antonio María Béguez César in memoriam", al que asistieron escritores del Repertorio "Los profesionales de la salud santiagueros en las editoriales cubanas y extranjeras", así como otras personalidades de la comunidad científica del territorio y de la Editorial Oriente, algunos de los cuales fueron homenajeados por su encomiable labor en defensa de la veracidad y divulgación de las ciencias médicas y ramas afines.As part of the activities undertaken in the XIX International Book Fair in Santiago de Cuba, the first meeting called Talking to the Authors "Dr. Antonio María Béguez Cesar in memoriam" took place in Heredia theater, attended by writers of the Repertoire "Santiago health professionals in Cuban and foreign publishing houses", as well as other personalities of the scientific community in the territory and the Editorial Oriente, some of whom were honored by their commendable work in defense of truthfulness and spread of medical sciences and related branches.

  4. 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.

  5. 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

  6. Drög að staðli um leigusamninga og áhrif á Eimskipafélag Íslands hf.

    OpenAIRE

    Ásgeir Sigurðsson 1969; Ingimundur Guðjónsson 1990

    2014-01-01

    Þessi ritgerð fjallar um drög að nýjum staðli um leigusamninga og möguleg áhrif þess á reikningsskil og kennitölur Eimskipafélags Íslands, verði drögin að veruleika. Verkefninu er skipt upp í tvo hluta. Fyrri hlutinn er fræðileg umfjöllun og seinni hlutinn er verkefni unnið í samstarfi við Eimskip. Í fræðilegum hluta ritgerðarinnar er fjallað um alþjóðlega reikningsskilaráðið, ferlið sem nauðsynlegt er til að reikningsskilastaðall sé settur og notkun reikningsskilastaðla. Farið er yfir st...

  7. Neumonia adquirida en la comunidad en dos poblaciones hospitalarias Community-acquired pneumonia in patients from two different hospitals

    Directory of Open Access Journals (Sweden)

    O. J. Caberlotto

    2003-01-01

    Full Text Available Se estudiaron en forma prospectiva pacientes con diagnóstico de neumonía adquirida en la comunidad que acudieron a la consulta en un hospital general y en un centro especializado en medicina respiratoria ubicados en la provincia de Buenos Aires, y que requirieron internación. Se evaluaron la distribución por sexo y edad, las comorbilidades asociadas, los agentes etiológicos, su incidencia y la mortalidad. Se incluyeron 52 pacientes (marzo 1998-febrero 1999 del Hospital General de Agudos Manuel Belgrano (HMB y 23 pacientes (junio 2000-mayo 2001 del Hospital del Tórax Dr. Antonio A. Cetrángolo (HCET. Se excluyeron pacientes con tuberculosis o micosis pulmonar, neoplasia de pulmón y diagnóstico serológico para HIV. Se completó una historia clínica y se realizaron estudios microbiológicos para gérmenes comunes, virus respiratorios y micobacterias. Para el estudio de los agentes productores de neumonías atípicas (Chlamydia spp, Coxiella burnetii, Mycoplasma pneumoniae y Legionella spp. y como complemento del estudio virológico, se utilizaron pruebas serológicas. No se observaron diferencias por sexo y edad en los dos grupos. En el HMB las comorbilidades más frecuentes fueron EPOC, diabetes e insuficiencia cardíaca, en tanto que en el HCET fueron EPOC, asma y fibrosis pulmonar. Se obtuvo un diagnóstico microbiológico en el 48% y 65.2% de los pacientes para ambos grupos. Los agentes hallados más frecuentemente fueron Mycoplasma pneumoniae, Streptococcus pneumoniae, influenza A y Legionella spp, este último germen con una incidencia del 12% en pacientes que evolucionaron favorablemente y que en su mayoría pertenecían al HMB. La mortalidad fue similar para ambos grupos (13.3%. En el HMB estuvo relacionada con la existencia de comorbilidades en 7 de 8 casos y en el HCET con el agravamiento de la insuficiencia respiratoria crónica.Patients hospitalized with community acquired pneumonia were studied prospectively in two hospitals

  8. Towards the collaborative hospital

    DEFF Research Database (Denmark)

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

    2015-01-01

    Hospitals are increasingly faced with conflicting demands as they have to respond to increasing patient demands as well as financial, clinical and quality challenges. To handle these demands the hospital need to reconfigure its organization, and we propose to build on a concept for the...... collaborative hospital as new organizational form which is better equipped to respond to the challenges facing modern hospitals. The collaborative hospital is an ambidextrous organization that opens for pursuing both exploration and exploitation within the same organizational structure. The basic principles of...... the collaborative hospital concern the creation of an appropriate balance between standardization and local autonomy, shared purpose centred around providing the best possible care, and use of enabling structures that sustain the new ways of collaborative work. The chapter builds on the theoretical...

  9. [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

  10. Radiation protection measures during the decommissioning of DR 2

    International Nuclear Information System (INIS)

    DR 2 (Danish Reactor 2), one of the research reactors at the Riso site, has been in the process of being decommissioned during the last two years. The decommissioning will be completed in 2008. The reactor went critical for the first time in late 1958 and was shut down in 1975. The construction was a 5 MW light-water moderated and cooled tank type reactor. Although the process of decommissioning was formally initiated in 2005, it was preceded by a characterization project with the purpose of determining activity contents in key materials and dose rates at relevant spots in the reactor. The paper describes the removal of neutron beam plugs, grid plate and a thermal column with focus on radiation protection issues. The primary objective is, however, to describe the measures taken to control radiation doses during the removal of the reactor block concrete and the reactor tank.The demolition and removal of concrete was done by an external contractor. The contractor had to comply with a comprehensive set of requirements. This included splitting activated concrete from concrete containing activities below clearance levels with no use of fluids of any kind, as the risk of not being able to control diffusion of contaminated fluids was an important issue. The experience from the decommissioning of the DR 1 reactor in 2005 showed that water-cooled cutting made it very difficult to monitor the levels of air contamination as the filters of the air monitors were blocked frequently. Certainly, dry cutting turned out to be a great technical challenge to the external contractor. Another demand was that the work should take place inside a de-pressurized containment in order to control air contamination and thereby minimize internal doses. The experience gathered from the practical implementation of dose reducing measures will be discussed. Problems involving the use of external contractors will be discussed, including training of personnel with no prior knowledge of radioactivity

  11. Laudation to Professor Dr.Dr.h.c.Qiu Fazu--Greetings to his 90th Birthday%裘法祖教授九十华诞贺词

    Institute of Scientific and Technical Information of China (English)

    W.-W.H(o)pker

    2004-01-01

    @@ The story goes back to the early time of 1945, a very cold winter in Germany. The temperature of Munich and its vicinities dropped to 20 degree of frost and it was snowing heavily. German army was suffering defeat on both eastern and western fronts. The bombers of the Allied Army bombed almost all German cities and towns, with 80% of the cities being destroyed. American army would soon liberate the Dachau, a city near Munich. SS-troops,with jail prisoners under their escort, retreated to Bad Tolz. A branch of Munchen-Schwabing Municipal Hospital happened to be in the city. Many wounded, among them were children and elderly persons, were brought to there to shelter from the bombing in Munich. First affected were the patients in the Department of Surgery of the hospital. The director of the department then was Prof. Bronner. Apart from patients in Bad Tolz, he had to take care of those scattered in other places. When he was away, his work was handled by a young deputy-director,Dr. Qiu Fazu.

  12. Alnu'uman Hospital Wastewater Assessment - Baghdad

    OpenAIRE

    Salwa H. Ahmed; Salah F. Sharif

    2013-01-01

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

  13. 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.

  14. 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...

  15. The Scholarship of Dr. Asa G. Hilliard, III: Implications for Black Principal Leadership

    Science.gov (United States)

    Tillman, Linda C.

    2008-01-01

    For over 40 years the scholarship of Dr. Asa G. Hilliard has impacted the fields of educational psychology, testing and measurement, teacher education, and African and African American history. Dr. Hilliard was also concerned about school leadership, and much of his work is closely aligned with current discussions about school reform and…

  16. 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

  17. 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

  18. 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

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

    Directory of Open Access Journals (Sweden)

    María Claudia Espinel-Bermúdez

    2011-02-01

    Full Text Available OBJETIVO: Evaluar el impacto del programa Atención Domiciliaria al Enfermo Crónico (ADEC comparado con la atención habitual (AH a ancianos con dependencia funcional, derechohabientes del Instituto Mexicano del Seguro Social (IMSS. MATERIAL Y MÉTODOS: Cohorte prospectiva a tres meses a partir del egreso hospitalario en dos hospitales de la Ciudad de México. Se ingresaron 130 ancianos con dependencia funcional, 70 insertados al programa ADEC y 60 con atención habitual. Se midió impacto en reingresos hospitalarios y calidad de vida a partir de la escala Perfil de Impacto de la Enfermedad (SIP, por sus siglas en inglés. RESULTADOS: La edad promedio de los ancianos fue de 74 años (61/103 y 60% fueron mujeres. El principal diagnóstico fue enfermedad vascular cerebral (EVC (30.77%. El grupo de ADEC mejoró la calidad de vida en la dimensión psicosocial [46.26 (±13.85 comparado con 29.45 (±16.48 vs. 47.03 (±16.47 a 42.36 (±16.35 p0.05. CONCLUSIONES: El programa mejoró la dimensión psicosocial de calidad de vida.OBJECTIVE: To evaluate the impact of the ADEC program (acronym in Spanish as compared with the typical care provided to disabled elderly affiliated with the Mexican Institute of Social Security (IMSS. MATERIAL AND METHODS: Prospective cohort at three months after discharge from two general hospitals in Mexico City. A total of 130 patients with functional dependency were studied, 70 in the ADEC program and 60 with typical care. Impact was measured using hospital readmissions and quality of life based on the Sickness Impact Profile (SIP. RESULTS: Average age was 74 (61/103 years and 60% were women. The main diagnosis was cerebrovascular disease (30.77%. The quality of life in the psychosocial dimension improved for the ADEC group (from 46.26 (±13.85 to 29.45(±16.48 as compared with 47.03 (±16.47 to 42.36 (±16.35 for those receiving typical care (p0.05. CONCLUSIONS: HC program improved the psychosocial dimension of quality of

  20. Asylum Doctor Extraordinaire: Dr. Thomas Drapes (1847-1919).

    Science.gov (United States)

    Kelly, B D

    2015-09-01

    Dr. Thomas Drapes (1847-1919) was resident medical superintendent of Enniscorthy District Asylum in County Wexford, Ireland from 1883 to 1919, and one of the leading figures in Irish asylum medicine for several decades. Drapes' career was as complex as it was remarkable. Drapes was elected president of the Medico-Psychological Association for the term 1911-12 but had to decline on health grounds. In 1912, however, he was unanimously elected as co-editor of the Journal of Mental Science, to which he devoted his considerable energies and intellect. Drapes published widely, opposing Emil Kraepelin's proposed division of "functional" psychosis into manic-depressive illness and dementia praecox; openly examining the use of "punitive measures" in asylums (Enniscorthy had notably low rates of restraint and seclusion); and publicly bemoaning the folly of "psychophysical parallelism", or the spurious division between mental and physical symptoms in medicine. Although not immune to passing trends in medical thought (e.g. regarding sterilisation of the mentally ill to prevent further mental disorder), Drapes was generally independent-minded, insightful and incisive, and his legacy was to help shape Irish mental health care for many decades. PMID:25833354