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Sample records for al hospital regional

  1. 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

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    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. 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

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

    2002-01-15

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

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

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

    2002-01-15

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

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

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    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)

  5. 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

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    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)

  6. 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

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    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)

  7. 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

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    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)

  8. 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

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    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. Local hospital systems: forerunners of regional systems?

    Science.gov (United States)

    Luke, R D

    1992-01-01

    Over the past several decades, the hospital industry has been undergoing a major organizational change that has until now been little examined. Local hospital systems (LHSs) are combinations of two or more hospitals that are in the same company and located in or around the same metropolitan areas in this country. This article presents the first detailed examination of the 402 such systems that have been identified to date. LHSs offer great potential for achieving the cost, quality, and access benefits that are often attributable to regional systems. The degree to which LHSs have attained some basic structural features expected of regional systems are examined. Differences are compared within ownership categories. Issues and challenges facing leaders in the field, should they hope to achieve the potential of regional systems, are discussed. PMID:10122669

  10. Promoting Regional Disaster Preparedness among Rural Hospitals

    Science.gov (United States)

    Edwards, Janine C.; Kang, JungEun; Silenas, Rasa

    2008-01-01

    Context and Purpose: Rural communities face substantial risks of natural disasters but rural hospitals face multiple obstacles to preparedness. The objective was to create and implement a simple and effective training and planning exercise to assist individual rural hospitals to improve disaster preparedness, as well as to enhance regional…

  11. Provision of general paediatric surgical services in a regional hospital.

    LENUS (Irish Health Repository)

    Zgraj, O

    2012-01-31

    BACKGROUND: In Ireland, specialist paediatric surgery is carried out in paediatric hospitals in Dublin. General surgeons\\/consultants in other surgical specialities provide paediatric surgical care in regional centres. There has been a failure to train general surgeons with paediatric skills to replace these surgeons upon retirement. AIM: To assess paediatric surgical workload in one regional centre to focus the debate regarding the future provision of general paediatric surgery in Ireland. METHODS: Hospital in-patient enquiry (HIPE) system was used to identify total number of paediatric surgical admissions and procedures. Cases assessed requiring hospital transfer. RESULTS: Of 17,478 surgical patients treated, 2,584 (14.8%) were under 14 years. A total of 2,154 procedures were performed. CONCLUSION: Regional centres without dedicated paediatric surgeons deliver care to large numbers of paediatric patients. The demand for care highlights the need for formal paediatric services\\/appropriate surgical training for general surgical trainees.

  12. Driving hospital transformation with SLMTA in a regional hospital in Cameroon

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    Laura T. Eno

    2014-09-01

    Full Text Available Background: Inspired by the transformation of the Regional Hospital Buea laboratory through implementation of the Strengthening Laboratory Management Toward Accreditation (SLMTA programme, hospital management adapted the SLMTA toolkit to drive hospital wide quality improvement.Objective: This paper describes changes in the hospital following the quality improvement activities in hygiene and sanitation, the outpatient waiting area and the surgical and maternity wards.Methods: In March 2011, hospital management established a quality improvement task force and created a hospital-wide quality improvement roadmap, following the SLMTA model. The roadmap comprised improvement projects, accountability plans, patient feedback forms and log books to track quality indicators including patient wait time, satisfaction level, infectionrates, birth outcomes and hospital revenue.Results: There was steady improvement in service delivery during the 11 months after the introduction of the quality improvement initiatives: patient wait time at the reception was reduced from three hours to less than 30 minutes and patient satisfaction increased from 15% to 60%. Treatment protocols were developed and documented for various units, infrastructure and workflow processes were improved and there was increased staff awareness of the importance of providing quality services. Maternal infection rates dropped from 3% to 0.5% and stillbirths from 5% to < 1%. The number of clients increased as a result of improvedservices, leading to a 25% increase in hospital revenue.Conclusion: The SLMTA approach was adapted successfully to meet the needs of the entire hospital. Such a programme has the potential to impact positively on hospital quality systems; consideration should be made for development of a formal SLMTA-like programmefor hospital quality improvement.

  13. 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...

  14. Hospital-Based Coalition to Improve Regional Surge Capacity

    OpenAIRE

    James M. Learning; Terndrup, Thomas E.; R. Jerry Adams; Spencer Adoff

    2012-01-01

    Introduction: Surge capacity for optimization of access to hospital beds is a limiting factor in response to catastrophic events. Medical facilities, communication tools, manpower, and resource reserves exist to respond to these events. However, these factors may not be optimally functioning to generate an effective and efficient surge response. The objective was to improve the function of these factors. Methods: Regional healthcare facilities and supporting local emergency response ...

  15. Hospital-Based Coalition to Improve Regional Surge Capacity

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    James M. Learning

    2012-12-01

    Full Text Available Introduction: Surge capacity for optimization of access to hospital beds is a limiting factor in response to catastrophic events. Medical facilities, communication tools, manpower, and resource reserves exist to respond to these events. However, these factors may not be optimally functioning to generate an effective and efficient surge response. The objective was to improve the function of these factors.Methods: Regional healthcare facilities and supporting local emergency response agencies developed a coalition (the Healthcare Facilities Partnership of South Central Pennsylvania; HCFP¬SCPA to increase regional surge capacity and emergency preparedness for healthcare facilities. The coalition focused on 6 objectives: (1 increase awareness of capabilities and assets, (2 develop and pilot test advanced planning and exercising of plans in the region, (3 augment written medical mutual aid agreements, (4 develop and strengthen partnership relationships, (5 ensure National Incident Management System compliance, and (6 develop and test a plan for effective utilization of volunteer healthcare professionals.Results: In comparison to baseline measurements, the coalition improved existing areas covered under all 6 objectives documented during a 24-month evaluation period. Enhanced communications between the hospital coalition, and real-time exercises, were used to provide evidence of improved preparedness for putative mass casualty incidents.Conclusion: The HCFP-SCPA successfully increased preparedness and surge capacity through a partnership of regional healthcare facilities and emergency response agencies.

  16. Measuring Job Satisfaction Patterns in Saudi ArabiaÕs Southern Regions Hospitals: Implications for Hospital Staff Retention

    OpenAIRE

    Alshahrani Bander Sayaf

    2015-01-01

    Saudi Arabia Southern Region hospitals have shortage of health professionals especially doctors. Retention of quality doctors and minimizing staff turnover has, therefore, become a major priority for hospitals. Job satisfaction is recognized as key factor influencing retention of doctors. In our paper special emphasis is put on doctors working is Southern Region hospitals of Saudi Arabia. By conducting correlation analysis we determine the most important factors conducive to job satisfaction....

  17. Measuring Job Satisfaction Patterns in Saudi Arabia’s Southern Regions Hospitals: Implications for Hospital Staff Retention

    OpenAIRE

    Alshahrani Bander Sayaf

    2015-01-01

    Saudi Arabia Southern Region hospitals have shortage of health professionals especially doctors. Retention of quality doctors and minimizing staff turnover has, therefore, become a major priority for hospitals. Job satisfaction is recognized as key factor influencing retention of doctors. In our paper special emphasis is put on doctors working is Southern Region hospitals of Saudi Arabia. By conducting correlation analysis we determine the most important factors conducive to job satisfaction....

  18. A comparison of antibiotic point prevalence survey data from four Irish regional/general hospitals.

    LENUS (Irish Health Repository)

    Naughton, C

    2011-06-01

    Point prevalence surveys (PPS) are increasingly used to examining and compare hospital antibiotic consumption. The aim of this study was to identify the (1) point prevalence of antibiotic use in one regional hospital and (2) compare PPS data from similar regional\\/general hospitals.

  19. 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

  20. Results of percutaneous nephrolithotomy performed in a regional state hospital

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    Taner Çiftçi

    2011-12-01

    Full Text Available Aim: The aim of this study was to evaluate the results of percutaneous stone surgery that performe in a regional state hospital.Materials and methods: We retrospectively analyzed 183 percutaneous nephrolithotomy (PNL performed cases that treated at our clinic between June 2010 and July 2011. After necessary laboratory and radiological investigations, we performed PNL for the patients those diagnosed as having stones needed surgery. After surgery, we investigated radiologically whether residual stone fragments remained or not. When there were residual stone fragments (bigger than 4 mm, we performed ESWL, repeated percutaneous interventions and surveillance protocols. In six patients, open surgery was needed during PNL.Results: Of the totally 183 patients underwent PNL at our clinic, 102 were male and 81 were female. The mean age was 37.6 and mean stone burden was 35.5 mm2. Stone-free rate was 75.4% and the rate of the patients who have residual stones (bigger than 4mm was 25.7%. Stone free rates were 95% and 86% for stone burden lesser and more than 2 cm2, respectively. The mean blood loss was 186ml for per operational case. Totally four patients (8.5% underwent blood tranfusion.Conclusion: As a result, because of its high stone-free rates, the shorter hospital stay, minimal surgical scar and absence of wound infection, PNL is preserving its place for the treatment of stones bigger than 2 cm2. J Clin Exp Invest 2011; 2 (4: 371-374

  1. Improved blood culture identification by FilmArray in cultures from regional hospitals compared with teaching hospital cultures.

    Science.gov (United States)

    Inglis, Timothy J J; Bzdyl, Nicole; Chua, I-Ly Joanna; Urosevic, Nadezda M; Leung, Michael J; Geelhoed, Elizabeth

    2016-01-01

    Rapid identification of bacteria isolated from blood cultures by direct matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) is now in wide spread use in major centres but is not yet feasible in smaller hospital laboratories. A FilmArray multiplex PCR panel for blood culture isolate identification (BCID) provides an alternative approach to near point-of-care microbial identification in regional hospitals. We assessed the accuracy and time to identification of the BCID FilmArray in a consecutive series of 149 blood cultures from 143 patients in a teaching hospital and smaller regional hospitals, currently identified by direct MALDI-TOF and proprietary molecular methods. The BCID FilmArray contained 18 of 34 species and 20 of 23 species isolated from teaching and regional hospital, respectively. Overall, 85 % of the teaching hospital and 100 % of the regional hospital monomicrobial blood cultures were identified, compared with 60 and 68 %, respectively, for direct MALDI-TOF on the same cultures. There were no incorrect results from blood cultures containing Staphylococcus aureus, streptococci, Pseudomonas aeruginosa or Enterobacteriaceae. The three discrepant results were all in mixed cultures. The mean reduction in time to identification of blood culture isolates was 53 h, which did not include the time required to transport cultures from regional centres to a central laboratory. The overall performance of the BCID FilmArray is stronger in blood cultures from smaller regional hospitals that encounter a narrower range of bacterial species dominated by the commonest species. This approach is more suited to smaller clinical laboratories than the MALDI-TOF direct method.

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

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    A. Aziane

    2015-07-01

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

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

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    A. Aziane

    2014-12-01

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

  4. Point prevalence of hospital-acquired infections in two teaching hospitals of Amhara region in Ethiopia

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    Yallew WW

    2016-08-01

    Full Text Available Walelegn Worku Yallew,1 Abera Kumie,2 Feleke Moges Yehuala3 1Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, 2School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, 3Department of Medical Microbiology, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia Purpose: Hospital-acquired infection (HAI is a major safety issue affecting the quality of care of hundreds of millions of patients every year, in both developed and developing countries, including Ethiopia. In Ethiopia, there is no comprehensive research that presents the whole picture of HAIs in hospitals. The objective of this study was to examine the nature and extent of HAIs in Ethiopia. Methods: A repeated cross-sectional study was conducted in two teaching hospitals. All eligible inpatients admitted for at least 48 hours on the day of the survey were included. The survey was conducted in dry and wet seasons of Ethiopia, that is, in March to April and July 2015. Physicians and nurses collected the data according to the Centers for Disease Control and Prevention definition of HAIs. Coded and cleaned data were transferred to SPSS 21 and STATA 13 for analysis. Univariate and multivariable logistic regression analyses were used to examine the prevalence of HAIs and relationship between explanatory and outcome variables. Results: A total of 908 patients were included in this survey, the median age of the patients was 27 years (interquartile range: 16–40 years. A total of 650 (71.6% patients received antimicrobials during the survey. There were 135 patients with HAI, with a mean prevalence of 14.9% (95% confidence interval 12.7–17.1. Culture results showed that Klebsiella spp. (22.44% and Staphylococcus aureus (20.4% were the most commonly isolated HAI-causing pathogens in these hospitals. The association of patient age and hospital type with the occurrence of HAI was

  5. Patrones de las enfermedades raras congénitas en pacientes ingresados en un hospital regional

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    M.C. Martínez Cirre

    2013-08-01

    Full Text Available Fundamento. Describir el patrón de pacientes ingresados por enfermedades raras correspondientes a anomalías congénitas en un hospital regional. Métodos. Estudio transversal retrospectivo. Se consideraron las altas de hospitalización de los años 2009-2012 con diagnóstico principal entre los códigos CIE 9R MC 740-759. La fuente de información fue el Conjunto Mínimo Básico de Datos. Se analizaron variables sociodemográficas y clínicas. Resultados. Ingresan en el hospital por enfermedades raras congénitas un 1,6% de la población Un 58,5% fueron varones, con edad media de 21,4 ± 21,5 años. Las Categorías Diagnósticas Mayores más frecuentes fueron Enfermedades del sistema nervioso (86,9%, Enfermedades del aparato circulatorio (51,7% y Sistema músculo-esquelético (50,3%. El 18% de las hospitalizaciones correspondieron a reingresos de pacientes. El servicio con mayor número de episodios fue Cirugía Pediátrica, 29%, seguido de Neurocirugía, 20%. Conclusiones. El patrón de enfermedad rara congénita en el hospital Universitario Virgen de las Nieves corresponde a un paciente joven, con una enfermedad perteneciente al grupo de la Categoría Diagnóstica Mayor Enfermedad del sistema nervioso tratada quirúrgicamente y un porcentaje de reingresos no elevado.

  6. Morbidade Materna Grave e Near Misses em Hospital de Referência Regional

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    Márcia Lait Morse

    2011-06-01

    Full Text Available OBJETIVO: Analisar perfil epidemiológico da morbidade materna grave/near miss em uma maternidade pública de referência regional, utilizando diferentes critérios identificadores. MÉTODOS: Trata-se de um estudo descritivo de corte transversal dos casos de morbidade materna grave/near miss realizado em Hospital de referência regional entre junho e outubro de 2009, identificados a partir dos livros de registro de internação da maternidade e análise dos prontuários clínicos. Foram estudadas mulheres que, durante a gestação, parto ou puerpério, apresentaram qualquer quadro clínico compatível com os critérios definidores de morbidade materna grave/near miss de Waterstone et al., Mantel et al. e Organização Mundial de Saúde. RESULTADOS: Entre as 1.544 internações foram identificadas 89 mulheres com morbidade materna grave, considerando os critérios adotados. As razões de morbidade materna grave/near miss variaram entre 81,4 a 9,4 por 1.000 NV, dependendo do critério utilizado. O índice de Mortalidade foi de 3,2%, chegando a 23% no critério da OMS. Das 89 mulheres, apenas 40% fizeram mais de seis consultas de pré-natal e 10% não realizaram qualquer consulta. Os marcadores mais encontrados foram a pré-eclâmpsia grave seguida de hemorragia grave, internação em UTI, Síndrome HELLP e eclâmpsia. Ocorreram três mortes maternas por causas obstétricas com RMM de 280/100.000 NV e uma morte tardia. O critério da OMS se mostrou mais específico, identificando os casos mais graves, enquanto o de Waterstone foi mais sensível. CONCLUSÃO: O estudo da morbidade materna grave/near miss em um hospital de referência regional pode contribuir para o conhecimento da magnitude deste evento, como também identificar suas características e condições clínicas mais frequentes, sendo extremamente importante para o enfrentamento da morbi-mortalidade materna.

  7. 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.

  8. Multicultural healthcare providers in hospitals in the Gulf region

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    Aref Ibrahim Alabed

    2016-06-01

    Full Text Available In Gulf areas, most of the population more than 50% comprises of people form the other nationalities and hence the doctors in gulf area also belong from the different nationalities. The patient and ndash;physician relationship is inherently unequal given the status differences between clinicians and help-seekers. The multiculturalism / or due to different nationalities raises a lot of problems for doctors as well as the patients and this affect the satisfaction level of the patients. The absence of physician trust on behalf of this issue is considered to be a key mechanism underlying health care disparities. This study have been conducted to Gulf area are from different countries and this may lead to different ways of results in dealing with the patients at the same hospital which affects the patients' satisfaction level. The study have found out that patients' satisfaction level is highly dependent upon the nationality of doctors and similarity of the nationality. This issue can be overcome by training the healthcare professionals in leadership, communication, emotional intelligence and other skills in the hospital to have a higher patient satisfaction and to overcome the barriers that are aroused due to the different nationalities of the doctors. Descriptive research design is selected for this study because of its significance to the studies that will be directed in future and it is utilized to depict the specifications of the population under study. [Int J Res Med Sci 2016; 4(6.000: 2444-2448

  9. Morbidade Materna Grave e Near Misses em Hospital de Referência Regional

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    Márcia Lait Morse

    2011-06-01

    Full Text Available OBJETIVO: Analisar perfil epidemiológico da morbidade materna grave/near miss em uma maternidade pública de referência regional, utilizando diferentes critérios identificadores. MÉTODOS: Trata-se de um estudo descritivo de corte transversal dos casos de morbidade materna grave/near miss realizado em Hospital de referência regional entre junho e outubro de 2009, identificados a partir dos livros de registro de internação da maternidade e análise dos prontuários clínicos. Foram estudadas mulheres que, durante a gestação, parto ou puerpério, apresentaram qualquer quadro clínico compatível com os critérios definidores de morbidade materna grave/near miss de Waterstone et al., Mantel et al. e Organização Mundial de Saúde. RESULTADOS: Entre as 1.544 internações foram identificadas 89 mulheres com morbidade materna grave, considerando os critérios adotados. As razões de morbidade materna grave/near miss variaram entre 81,4 a 9,4 por 1.000 NV, dependendo do critério utilizado. O índice de Mortalidade foi de 3,2%, chegando a 23% no critério da OMS. Das 89 mulheres, apenas 40% fizeram mais de seis consultas de pré-natal e 10% não realizaram qualquer consulta. Os marcadores mais encontrados foram a pré-eclâmpsia grave seguida de hemorragia grave, internação em UTI, Síndrome HELLP e eclâmpsia. Ocorreram três mortes maternas por causas obstétricas com RMM de 280/100.000 NV e uma morte tardia. O critério da OMS se mostrou mais específico, identificando os casos mais graves, enquanto o de Waterstone foi mais sensível. CONCLUSÃO: O estudo da morbidade materna grave/near miss em um hospital de referência regional pode contribuir para o conhecimento da magnitude deste evento, como também identificar suas características e condições clínicas mais frequentes, sendo extremamente importante para o enfrentamento da morbi-mortalidade materna.OBJECTIVE: To investigate severe maternal morbidity/near misses in a tertiary

  10. [Regional early mortality in relation to social and hospital structure].

    Science.gov (United States)

    Obladen, M

    1985-01-01

    Detailed analysis of governmental mortality statistics yields information on regional differences in the care for preterm infants in West Germany. 68% of newborn infants dying within the first 7 days of life are of low birth weight. In the 11 states, highest/lowest early neonatal mortality fell from 11.6/6.0 to 6.2/3.1 during the years 1978 to 1982. In the 31 administrative districts, a small negative correlation (r = -0.37) exists for neonatal mortality and tax revenue. Increased regional mortality indicates diminished regionalization of perinatal care for preterm infants.

  11. 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.

  12. 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

  13. 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...

  14. Morbimortalidad neonatal durante seis meses en un hospital regional en Ghana

    Directory of Open Access Journals (Sweden)

    María Caridad Corría Santos

    2014-08-01

    Full Text Available Se realizó un trabajo descriptivo de corte transversal sobre la morbimortalidad en la unidad de cuidados intensivos neonatales del Hospital Regional Sunyani de Ghana, en un periodo de seis meses, desde agosto de 2009 hasta enero de 2010, con el objetivo de determinar el comportamiento de la morbimortalidad de 170 neonatos, que necesitaron de estos servicios en el periodo estudiado. Se revisaron las entidades o eventos clínicos definidos y diagnosticados al egreso, así como la cantidad de pacientes que sobrevivieron y los fallecidos. Los datos fueron obtenidos de historias clínicas y el libro de registro del referido servicio. Los resultados se presentaron en tablas y mediante el empleo de la estadística porcentual. La prematuridad estuvo presente en 89 pacientes (52%, seguido de la asfixia, en 51 (30% y de la sepsis neonatal, en 46 (27%. Fallecieron 33 neonatos (19,4% y sobrevivieron 137 (80,6%. Las entidades clínicas más frecuentes en los fallecidos fueron: prematuridad en 21 pacientes (63%, asfixia perinatal en 19 neonatos (57,6% y la sepsis en 9 (27,3%. Un paciente falleció (0,6% con diagnóstico de tétanos neonatal. La letalidad y la sobrevida se comportaron como en la generalidad de los países en vías de desarrollo

  15. Touristic specialization and returns on human capital in the hospitality sector of the Spanish regions

    Directory of Open Access Journals (Sweden)

    Alejandro García Pozo

    2012-03-01

    Full Text Available The aim of our study is to evaluate the existence and degree of specialization in tourism of the Spanish regions from the perspective of the human capital stock and the returns of their education, limiting the scope of study to the hospitality subsector. We use an expanded version of the Mincer wage equation (1974 and data from the 2006 Spanish Wage Structure Survey. All the regions under analysis show lower education returns (and other human capital variables in the hospitality sector when compared to other private services. There are significant differences in education returns between regions, especially in Catalonia and the Canary Islands.

  16. Incidence of hospital referred head injuries in Norway: a population based survey from the Stavanger region

    DEFF Research Database (Denmark)

    Rommer, Bertil Roland; Heskestad, Ben; Baardsen, Roald;

    2009-01-01

    BACKGROUND: In three previous Norwegian studies conducted between 1974 and 1993, the annual incidence rates of hospital admitted head injuries were 236, 200 and 169 per 100,000 population. The aim of this study was to describe the incidence of head injury in the Stavanger region and to compare...... it with previous Norwegian studies. METHODS: All head injured patients referred to Stavanger University Hospital during a one-year period (2003) were registered in a partly prospective and partly retrospective study. The catchment area for the hospital is strictly defined to a local population of 283......,317 inhabitants (2003). RESULTS: The annual incidence rate was 207/100,000 population for hospital referred head injury and 157/100,000 population for hospital admitted head injury. High age- and sex specific incidence rates were observed among the oldest, and the highest rate (882/100,000) among men above 90...

  17. Seasonal pattern of peptic ulcer hospitalizations: analysis of the hospital discharge data of the Emilia-Romagna region of Italy

    Directory of Open Access Journals (Sweden)

    Serra Mauro

    2010-04-01

    Full Text Available Abstract Background Previous studies have reported seasonal variation in peptic ulcer disease (PUD, but few large-scale, population-based studies have been conducted. Methods To verify whether a seasonal variation in cases of PUD (either compicated or not complicated requiring acute hospitalization exists, we assessed the database of hospital admissions of the region Emilia Romagna (RER, Italy, obtained from the Center for Health Statistics, between January 1998 and December 2005. Admissions were categorized by sex, age (per se in the region. For statistical analysis, the χ2 test for goodness of fit and inferential chronobiologic method (Cosinor and partial Fourier series were used. Results Of the total sample of PUD patients (26,848 [16,795 males, age 65 ± 16 yrs; 10,053 females, age 72 ± 15 yrs, p p p = 0.035, and several subgroups, with nadir in July. Finally, analysis of the monthly prevalence proportions yielded a significant (p = 0.025 biphasic pattern with a main peak in August-September-October, and a secondary one in January-February. Conclusions A seasonal variation in PUD hospitalization, characterized by three peaks of higher incidence (Autumn, Winter, and Spring is observed. When data corrected by monthly admission proportions are analyzed, late summer-autumn and winter are confirmed as higher risk periods. The underlying pathophysiologic mechanisms are unknown, and need further studies. In subjects at higher risk, certain periods of the year could deserve an appropriate pharmacological protection to reduce the risk of PUD hospitalization.

  18. Specialized consultant in radiological safety to the Salamanca regional hospital, PEMEX. V. - November of 2001

    International Nuclear Information System (INIS)

    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)

  19. Specialized consultant in radiological safety to the Salamanca regional hospital, PEMEX. VI. - December of 2001

    International Nuclear Information System (INIS)

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

  20. Specialized consultant in radiological safety to the Salamanca regional hospital, PEMEX. IV. - October of 2001

    International Nuclear Information System (INIS)

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

  1. Specialized consultant in radiological safety to the Salamanca regional hospital, PEMEX. I. - July of 2001

    International Nuclear Information System (INIS)

    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. Hospitalization for ambulatory care sensitive conditions and the role of primary care in Italian regions.

    Directory of Open Access Journals (Sweden)

    Aldo Rosano

    2011-03-01

    Full Text Available Abstract
    Background: Hospitalization may often be prevented by timely and effective outpatient care either by preventing the onset of an illness, controlling an acute illness or managing a chronic disease with an appropriate follow-up. The objective of the study is to examine the variability of hospital admissions within Italian regions for Ambulatory Care Sensitive Conditions (ACSCs, and their relationship with primary care supply.
    Methods: Hospital discharge data aggregated at a regional level collected in 2005 were analysed by type of ACS conditions. Main outcome measures were regional hospital admission rates for ACSCs. Negative binomial models were used to analyse the association with individual risk factors (age and gender and regional risk factors (propensity to hospitalisation and prevalence of specific conditions.
    Non-parametric correlation indexes between standardised hospital admission rates and quantitative measures of primary care services were calculated.
    Results: ACSC admissions accounted for 6.6% of total admissions, 35.7% were classified as acute conditions and 64.3% as chronic conditions. Admission rates for ACSCs varied widely across Italian regions with different patterns for chronic and acute conditions. Southern regions showed significantly higher rates for chronic conditions and North-eastern regions for acute conditions. We found a significant negative association between the provision of ambulatory specialist services and standardised hospitalization rates
    (SHR for ACS chronic conditions (r=-0.50; p=0.02 and an inverse correlation among SHR for ACS acute conditions and the rate of GPs per 1,000 residents, although the latter was not statistically significant.
    Conclusions: In Italy, about 480,000 inpatient hospital admissions in 2005 were attributable to ACSCs. Even
    adjusting for potential confounders

  3. Microstructural characterization of Cu/Al composites and effect of cooling rate at the Cu/Al interfacial region

    Institute of Scientific and Technical Information of China (English)

    Yan-qiu Han; Li-hua Ben; Jin-jin Yao; Chun-jing Wu

    2015-01-01

    Cu/Al composites are of vital importance in industrial applications because of their numerous advantages. The influence of bond-ing temperature and cooling rate on the microstructure and morphology of Cu/Al composites was investigated in this paper. The interfacial morphology and constituent phases at the Cu/Al interface were analyzed by optical microscopy and field-emission scanning electron mi-croscopy equipped with energy-dispersive X-ray spectroscopy. The results indicate that effective Cu–Al bonding requires a higher bonding temperature to facilitate interdiffusion between the two metals. The microstructural characteristics are associated with various bonding tem-peratures, which impact the driving force of interdiffusion. It is observed that cooling rate exerts a significant influence on the morphology and amount of the intermetallic compounds at the interfacial region. Meanwhile, microhardness measurements show that hardness varies with the bonding temperature and rate of cooling.

  4. Hospitals

    DEFF Research Database (Denmark)

    Mullins, Michael

    2013-01-01

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

  5. Developmental Outcome of Very Low Boy Weight Babies Born in a Regional Public Hospital in Hong Kong%Regional Public Hospital in Hong Kong

    Institute of Scientific and Technical Information of China (English)

    KNR Yuen; CB Chow; D Allison

    2009-01-01

    Objectives To investigate the Short term development outcome of a cohort of Very low Birth Weight(VLRW)babies(i.e.Birth-weight less than 1500 g.)born in a Hong Kong regional public hospital in 2001.Design Non-randomized prospective cohort Study.Setting Regional public hospital in Hong Kong.Partieipants 29 babies with birth weight of less than 1500 g(i.e.very low birth weight babies)who were bom and survived to discharge in Kwong Wah Hospital in the period between lst January 2001 to 31st December 2001.Main outoome measures Deveiopmcntal outcome.Results A total of 27 very low birth weight babies(15 males and 12 females)were included in the study.The mean gestational age of the cohort was 28.6 weeks±3.08 weeks.The mean birth weight of the cohort of babies was 1120 g±270 g.Two patients defaulted follow up and assessment in the first two years of life.At the chronological age of 4 vears old,21 out of 25 babies (84%)had normal growth and development.Four out of 25 babies were found to have developmental delay,including one baby with severe handicap.Conehmion With advances in medical care,many low birth weight babies can now 8urvive,but a number of these high risk babies may have long term developmental problems.It is important to monitor these patients closely after discharge from hospital so that early identification and rehabilitation of developmental problems can be possible.

  6. High-Reflectivity AlGaN/AlN Distributed Bragg Reflector in Ultraviolet Region

    Institute of Scientific and Technical Information of China (English)

    JI Xiao-Li; GONG Hai-Mei; JIANG Ruo-Lian; XIE Zi-Li; LIU Bin; ZHOU Jian-Jun; LI Liang; HAN Ping; ZHANG Rong; ZHENG You-Dou

    2007-01-01

    Thirty-pair Al0.3Ga0.7N/AlN distributed Bragg reflectors centred at 320nm are designed and grown on sapphire substrates by metalorganic chemical vapour deposition. No cracks are observed in the main area of the 2-inch wafer except for about 4 mm margin under an optical microscope. Regular stack of alternating layers is shown by scanning electron microscopy. Clear two-dimensional growth steps and very low surface roughness are shown by atomic force microscopy (AFM). Well-defined periodicity is shown by high resolution x-ray diffraction. High reflectivity of 93% at 313 nm with a bandwidth of 13 nm is obtained.

  7. Identifying geographical regions serviced by hospitals to assess laboratory-based outcomes

    Science.gov (United States)

    Gandhi, Sonja; Shariff, Salimah Z; Beyea, Michael M; Weir, Matthew A; Hands, Theresa; Kearns, Glen; Garg, Amit X

    2013-01-01

    Objective To define geographical regions (forward sortation areas; FSAs) in Southwestern Ontario, Canada from which patients would reliably present to a hospital with linked laboratory data if they developed adverse events related to medications dispensed in outpatient pharmacies. Design Descriptive research. Setting Forty-five hospitals in Southwestern Ontario, Canada, from 2003 to 2009. Participants Patients aged 66 years and older who received an outpatient prescription for any drug and presented to the emergency department in the subsequent 120 days. Main outcome measure The proportion of patients in a given FSA presenting to an emergency department at a hospital with linked laboratory data versus a hospital without linked laboratory data. To be included in the catchment area at least 90% of emergency department visits in an FSA must have occurred at laboratory-linked hospitals in a given year. Results Over the study period, there were 649 713 emergency department visits by patients with recent prescription claims from pharmacies in 1 of 118 FSAs. In total, 141 302 of these patients presented to an emergency department at a laboratory-linked hospital. For the year 2003, 12 FSAs met our criteria to be in the catchment area and this number grew to 25 FSAs by the year 2009. Conclusions The relevant geographical regions for hospitals with linked laboratory data have been successfully identified. Studies can now be conducted using these well-defined areas to obtain reliable information on the incidence and absolute risk of presenting to hospital with laboratory abnormalities in older adults dispensed commonly prescribed medications in outpatient pharmacies. PMID:23293246

  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. Three cases of Capnocytophaga canimorsus meningitis seen at a regional hospital in one year

    DEFF Research Database (Denmark)

    Monrad, Rikke Nygaard; Hansen, Dennis Schrøder

    2012-01-01

    Three cases of meningitis caused by the fastidious Gram-negative rod Capnocytophaga canimorsus have been observed at a regional hospital in 1 y. The difficulties connected with the correct diagnosis by classical culturing methods in contrast to molecular methods, as well as possible reasons...

  10. The Al-rich region of the Al–Fe–Mn alloy system

    Energy Technology Data Exchange (ETDEWEB)

    Balanetskyy, S. [IMF-IFF, Forschungszentrum Jülich, D-52425 Jülich (Germany); Department of Physical Chemistry of Inorganic Materials, I.N. Frantsevich Institute for Problems of Materials Science, 03680 Kyiv 142 (Ukraine); Pavlyuchkov, D. [Department of Physical Chemistry of Inorganic Materials, I.N. Frantsevich Institute for Problems of Materials Science, 03680 Kyiv 142 (Ukraine); Institute of Materials Science, Technical University of Freiberg, D-09599 Freiberg (Germany); Velikanova, T. [Department of Physical Chemistry of Inorganic Materials, I.N. Frantsevich Institute for Problems of Materials Science, 03680 Kyiv 142 (Ukraine); Grushko, B., E-mail: b.grushko@fz-juelich.de [PGI-5, Forschungszentrum Jülich, D-52425 Jülich (Germany)

    2015-01-15

    Highlights: • Constitution of Al–Fe–Mn was studied above 50 at.% Al at 650–1070 °C. • AlMn (A2) and AlFe (B2) phases form a continuous compositional region. • Al{sub 8}Mn{sub 5} and Al{sub 8}Fe{sub 5} γ-brass type phases form a continuous compositional region. • Al{sub 13}Fe{sub 4}, Al{sub 5}Fe{sub 2}, Al{sub 2}Fe, Al{sub 6}Mn, Al{sub 11}Mn{sub 4}, γ{sub 2} exhibit wide ternary extensions. • Four ternary intermetallics were revealed. - Abstract: Phase equilibria in the Al-rich region of the Al–Fe–Mn alloy system were studied at 1070, 1020, 950, 875, 800, 740, 695 and 650 °C. The continuous region of the bcc solid solution was estimated between the Al–Mn and Al–Fe terminals. Also the isostructural high-temperature Al–Mn and Al–Fe γ{sub 1}-phases (γ-brass type structure) form continuous regions. The Al{sub 6}Mn, high-temperature T-Al{sub 11}Mn{sub 4} and low-temperature γ{sub 2} phases dissolve up to 9.0, 14.5 and 31.0 at.% Fe, respectively, while the M-Al{sub 13}Fe{sub 4}, Al{sub 5}Fe{sub 2} and Al{sub 2}Fe phases dissolve up to 15.5, 11.5 and 10.0 at.% Mn, respectively. The thermodynamically stable decagonal D{sub 3}-phase with periodicity of 1.25 nm in the specific direction and two periodic intermetallics designated φ (P6{sub 3}/mmc; a = 0.7554, c = 0.7872 nm) and κ (P6{sub 3}/m; a = 1.7630, c = 1.2506 nm) were identified. An additional ternary phase of unknown structure was also revealed.

  11. Hospital care and capacity in the tri-state region of Indiana, Kentucky, and Ohio: analysis and insights.

    Science.gov (United States)

    Burns, David J; Chinta, Ravi; Kashyap, Vishal; Manolis, Chris; Sen, Amit

    2008-01-01

    Hospitals are a significant part of the burgeoning healthcare sector in the United States (U.S.) economy. Despite the availability of what some describe as the world's best healthcare, the U.S. suffers from wide discrepancies in healthcare provision across hospitals and regions of the country. Specifically, capacity, utilization, quality, and even financial performance of hospitals vary widely. Based on secondary data from 533 hospitals in the adjoining states of Indiana, Kentucky, and Ohio, this study develops several comparative metrics that enable benchmarking, which, in turn, leads to several inferences and implications for hospital administrators. The paper concludes with implications for hospital administrators and suggestions for future research. PMID:19042547

  12. Patient satisfaction with nursing care in a regional university hospital in southern Spain.

    Science.gov (United States)

    González-Valentín, Araceli; Padín-López, Susana; de Ramón-Garrido, Enrique

    2005-01-01

    Patient satisfaction is a valid indicator for measurement of service quality. Patients' opinions are important because dissatisfaction suggests opportunities for improvement. We evaluated the satisfaction of patients with nursing care in a regional university hospital in southern Spain and determined the relevant sociodemographic and attendance characteristics. A cross-sectional descriptive study was undertaken using the SERVQUAL questionnaire. Reliability and validity of the SERVQUAL instrument were established. The only interaction considered was gender and education level. Analysis of covariance showed that the only factors significantly associated with lower patient satisfaction were female gender, higher educational level, lower overall satisfaction with the hospital, and not knowing the name of the nurse. PMID:15686078

  13. Patient satisfaction with nursing care in a regional university hospital in southern Spain.

    Science.gov (United States)

    González-Valentín, Araceli; Padín-López, Susana; de Ramón-Garrido, Enrique

    2005-01-01

    Patient satisfaction is a valid indicator for measurement of service quality. Patients' opinions are important because dissatisfaction suggests opportunities for improvement. We evaluated the satisfaction of patients with nursing care in a regional university hospital in southern Spain and determined the relevant sociodemographic and attendance characteristics. A cross-sectional descriptive study was undertaken using the SERVQUAL questionnaire. Reliability and validity of the SERVQUAL instrument were established. The only interaction considered was gender and education level. Analysis of covariance showed that the only factors significantly associated with lower patient satisfaction were female gender, higher educational level, lower overall satisfaction with the hospital, and not knowing the name of the nurse.

  14. Substandard emergency obstetric care - a confidential enquiry into maternal deaths at a regional hospital in Tanzania

    DEFF Research Database (Denmark)

    Sorensen, Bjarke Lund; Elsass, Peter; Nielsen, Brigitte Bruun;

    2010-01-01

    OBJECTIVE: (i) To identify clinical causes of maternal deaths at a regional hospital in Tanzania and through confidential enquiry (CE) assess major substandard care and make a comparison to the findings of the internal maternal deaths audits (MDAs); (ii) to describe hospital staff reflections...... in 46 (74%) of the 62 cases reviewed. During the same time period MDA identified substandard care in 18 cases. Staff perceived poor organization of work and lack of training as important causes for substandard care. Local MDA was considered useful although time-consuming and sometimes threatening...

  15. Hospital workers' awareness of health and environmental impacts of poor clinical waste disposal in the Northwest Region of Cameroon

    DEFF Research Database (Denmark)

    Mochungong, Peter I K; Gulis, Gabriel; Sodemann, Morten

    2010-01-01

    a survey to evaluate hospital workers' awareness of health and environmental impacts of poor clinical waste disposal in Cameroon. We randomly distributed 500 questionnaires to hospital workers in three hospitals in the Northwest Region of Cameroon in April 2008. In addition, we observed collection...... management. Methods of collecting, segregating, transporting and disposing clinical waste at the three hospitals was poor. The development of a comprehensive policy on efficient clinical waste management in Cameroon is imperative....

  16. Hospital Workers' Awareness of Health and Environmental Impacts of Poor Clinical Waste Disposal in the Northwest Region of Cameroon

    DEFF Research Database (Denmark)

    Mochungong, Peter I. K.; Gulis, Gabriel; Sodemann, Morten

    2010-01-01

    a survey to evaluate hospital workers' awareness of health and environmental impacts of poor clinical waste disposal in Cameroon. We randomly distributed 500 questionnaires to hospital workers in three hospitals in the Northwest Region of Cameroon in April 2008. In addition, we observed collection...... management. Methods of collecting, segregating, transporting and disposing clinical waste at the three hospitals was poor. The development of a comprehensive policy on efficient clinicalwaste management in Cameroon is imperative....

  17. Awareness and Knowledge of BreastCancer Among University Students in Al Madina Al Munawara Region

    Directory of Open Access Journals (Sweden)

    Sherien Shalaby

    2010-10-01

    Full Text Available Background: Breast cancer, a critical health problem, is considered to be a progressive disease with a poor prognosis if detected late. Public education about the disease plays a pivotal rolein early detection and subsequent improvements in prognosis. The present study assesses the knowledge and awareness about various aspects of breast cancer among female university students.Methods: The knowledge of various aspects of breast cancer including incidence, early warning signs, risk factors, screening, early detection measures and sources of information was evaluated among female students in different faculties of Taibah University, Al Madina AlMunawara, Saudi Arabia, from December 1 to 31, 2008. A self-structured validated questionnaire that contained 23 itemized questions about breast cancer was randomly distributed to the participants. Respondents’ levels of knowledge were determined and transferred to electronic spreadsheets for further analysis.Results: Of 301 students, 247 (82% were available for final analysis with a mean age of 27 years (SD 12.1; age range: 18 to 39 years. Two hundred eleven (85.4% respondents were single, 218 (88% nulliparous and 213 (86% had no family history of breast cancer. Their knowledge about the incidence of the disease was poor; only 34% replied correctly. A total of 148 (59.9% respondents mentioned swelling in the skin/axilla while 123 (49.7% suggested skin changes as early warning signs of breast cancer. None of the participants expressed knowledge about all established risk factors of the disease. One hundred fifty-nine (64.4% did not know the proper way to perform a breast self-examination and 104 (42.2% had never performed this test. Additionally, 128 (51.8% knew that mammography was a screening toolfor breast cancer. Sources of information about the disease were: television and radio (139,56.2%, printed material in journals and newspapers (86, 34.8% and family physicians (13,15.2%.Conclusion: This study

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

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    Laksmi Maharani

    2014-03-01

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

  19. The development and evaluation of a health education programme for pregnant women in a regional hospital, southern Thailand.

    Science.gov (United States)

    Thassri, J; Kala, N; Chusintong, L; Phongthanasarn, J; Boonsrirat, S; Jirojwong, S

    2000-12-01

    The maternal mortality rate (MMR) in Thailand is higher than neighbouring developing countries including Malaysia and Singapore. The 1993 MMR of Thailand was 249 per 100 000 livebirths which was four times higher than the rates in Malaysia and Singapore (World Health Organization 1995). The major causes of these deaths were haemorrhage, toxaemia of pregnancy and sepsis which were likely to be prevented by adequate prenatal care (Thailand Ministry of Public Health 1996). A large proportion of Thai pregnant women have poor health. Between 1994 and 1995, a national study conducted by Thailand Ministry of Health showed that 39% of pregnant women were anaemic, defined as haemoglobin concentration lower than 33% (Supamethaporn 1997). Another study conducted in the southern region also indicated that 13.8% of pregnant women were anaemic caused by iron deficiency (Phatthanapreechakul et al. 1997). Other behaviours which increased risks associated with child birth included non-antenatal care (ANC) attendance, undertaking physically demanding tasks and failure to increase nutritional intake during their pregnancy period (N. Phiriyanuphong et al. 1992, unpublished report). These factors emphasize the importance of a health education programme which could facilitate women to, for example, increase protein and iron intake during pregnancy which would reduce complications from their poor health status. This study was conducted in a regional hospital in Thailand where there was no systematic and well-planned health education programme for pregnant women. The initial aim was to design a health education programme using input from the hospital health care professionals including obstetricians, nurses, nutritionists, health educators and health promoters. An active involvement of these personnel assisted to sustain the provision of the programme provided for pregnant women after the cessation of the study project. Another aim of the study was to evaluate the outcomes of the

  20. What drives patient mobility across Italian regions? Evidence from hospital discharge data.

    Science.gov (United States)

    Balia, Silvia; Brau, Rinaldo; Marrocu, Emanuela

    2014-01-01

    This chapter examines patient mobility across Italian regions using data on hospital discharges that occurred in 2008. The econometric analysis is based on Origin-Destination (OD) flow data. Since patient mobility is a crucial phenomenon in contexts of hospital competition based on quality and driven by patient choice, as is the case in Italy, it is crucial to understand its determinants. What makes the Italian case more interesting is the decentralization of the National Health Service that yields large regional variation in patient flows in favor of Centre-Northern regions, which typically are 'net exporters' of hospital treatments. We present results from gravity models estimated using count data estimators, for total and specific types of flows (ordinary admissions, surgical DRGs and medical DRGs). We model cross-section dependence by specifically including features other than geographical distance for OD pairs, such as past migration flows and the share of surgical DRGs. Most of the explanatory variables exhibit the expected effect, with distance and GDP per capita at origin showing a negative impact on patient outflows. Past migrations and indicators of performance at destination are effective determinants of patient mobility. Moreover, we find evidence of regional externalities due to spatial proximity effects at both origin and destination. PMID:24864385

  1. Mothers' satisfaction with referral hospital delivery service in Amhara Region, Ethiopia

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    Tayelgn Azmeraw

    2011-10-01

    Full Text Available Abstract Background A woman's satisfaction with the delivery service may have immediate and long-term effects on her health and subsequent utilization of the services. Providing satisfying delivery care increases service utilization. The objective of this study is to assess the satisfaction of mothers with referral hospitals' delivery service and identify some possible factors affecting satisfaction in Amhara region of Ethiopia. Methods A hospital-based cross-sectional survey that involved an exit interview was conducted from September to November 2009 in three referral hospitals in Ethiopia. A total of 417 delivering mothers were enrolled in the study. Client satisfaction was measured using a survey instrument adopted from the Donabedian quality assessment framework. We collect data systematically from every other postnatal woman who delivered in the referral hospitals. Multivariate and binary logistic regression was applied to identify the relative effect of each explanatory variable on the outcome (satisfaction. Results The proportion of mothers who were satisfied with delivery care in this study was 61.9%. Women's satisfaction with delivery care was associated with wanted status of the pregnancy, immediate maternal condition after delivery, waiting time to see the health worker, availability of waiting area, care providers' measure taken to assure privacy during examinations, and amount of cost paid for service. Conclusions The overall satisfaction of hospital delivery services in this study is found to be suboptimal. The study strongly suggests that more could be done to assure that services provided are more patient centered.

  2. Analysis of maxillofacial prosthetics at university dental hospitals in the capital region of Korea

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    Lee, Jong-Ho

    2016-01-01

    PURPOSE The purpose of this study was to investigate the demographic patterns of maxillofacial prosthetic treatment to identify the characteristics and geographic distribution of patients with maxillofacial prosthetics in the capital region of Korea. MATERIALS AND METHODS This retrospective analytical multicenter study was performed by chart reviews. This study included patients who visited the department of prosthodontics at four university dental hospitals for maxillofacial prosthetic rehabilitation. Patients with facial and congenital defects or with insufficient medical data were excluded. The patients were classified into three categories based on the location of the defect. Patients' sex, age, and residential area were analyzed. Pearson's chi-square test with a significance level of 0.05 was used to analyze the variables. RESULTS Among 540 patients with maxillofacial prosthetics, there were 284 (52.59%) male patients and 256 (47.41%) female patients. The number of the patients varied greatly by hospital. Most patients were older than 70, and the most common defect was a hard palate defect. Chi-square analysis did not identify any significant differences in sex, age, and distance to hospital for any defect group (P>.05). CONCLUSION The results of this study indicated that there was imbalance in the distribution of patients with maxillofacial prosthetic among the hospitals in the capital region of Korea. Considerations on specialists and insurance policies for the improvement of maxillofacial prosthetics in Korea are required. PMID:27350859

  3. Knowledge, Skills and Competencies of Hospitality Companies in the South Moravian Region

    OpenAIRE

    Klapalova Alena

    2013-01-01

    In 2009, a survey focused on barriers to entrepreneurship among managers and/or owners of companies in the hospitality industry in the South Moravian Region was carried out (Klapalová,2011) at the College of Business and Hotel Management in Brno. Results of this survey revealed that knowledge together with skills and competencies was considered to be the biggest barrier to sustainable successful entrepreneurship of these companies and this perception wasalso confirmed by Spearman’s correlatio...

  4. Benefits of an ISO 9001 certification--the case of a Swiss regional hospital.

    Science.gov (United States)

    Staines, A

    2000-01-01

    This paper reports the experience of a quality management project leading to an ISO 9001 certification in a Swiss regional hospital. It describes the motivations for the project, the process that was followed and the benefits of the approach. It also shows its limitations, problems encountered as well as costs and resources involved. The emphasis is on practical issues. Choices that were made are discussed and lessons are drawn.

  5. Geriatric Injuries among Patients Attending a Regional Hospital in Shinyanga Tanzania

    OpenAIRE

    Chalya, Phillipo L; Mabula, Joseph B; Ngayomela, Isdor H.; Mbelenge, Nkinda; Dass, Ramesh M; McHembe, Mabula; Ngallaba, Sospatro E.; Gilyoma, Japhet M

    2012-01-01

    Geriatric injuries pose a major challenge to surgeons and general practitioners in developing countries. The objective of this study was to determine the prevalence, injury characteristics and outcomes of geriatric injury among patients at Shinyanga Regional Hospital in Tanzania. Data was collected using a pre-tested, coded questionnaire and analyzed using SPSS computer system. A total of 94 geriatric trauma patients constituting 22.7% of all trauma admissions were studied. The male to female...

  6. Reducing Ambulance Diversion at Hospital and Regional Levels: Systemic Review of Insights from Simulation Models

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    M Kit Delgado

    2013-09-01

    Full Text Available Introduction: Optimal solutions for reducing diversion without worsening emergency department (ED crowding are unclear. We performed a systematic review of published simulation studies to identify: 1 the tradeoff between ambulance diversion and ED wait times; 2 the predicted impact of patient flow interventions on reducing diversion; and 3 the optimal regional strategy for reducing diversion.Methods: Data Sources: Systematic review of articles using MEDLINE, Inspec, Scopus. Additional studies identified through bibliography review, Google Scholar, and scientific conference proceedings. Study Selection: Only simulations modeling ambulance diversion as a result of ED crowding or inpatient capacity problems were included. Data extraction: Independent extraction by two authors using predefined data fields.Results: We identified 5,116 potentially relevant records; 10 studies met inclusion criteria. In models that quantified the relationship between ED throughput times and diversion, diversion was found to only minimally improve ED waiting room times. Adding holding units for inpatient boarders and ED-based fast tracks, improving lab turnaround times, and smoothing elective surgery caseloads were found to reduce diversion considerably. While two models found a cooperative agreement between hospitals is necessary to prevent defensive diversion behavior by a hospital when a nearby hospital goes on diversion, one model found there may be more optimal solutions for reducing region wide wait times than a regional ban on diversion.Conclusion: Smoothing elective surgery caseloads, adding ED fast tracks as well as holding units for inpatient boarders, improving ED lab turnaround times, and implementing regional cooperative agreements among hospitals. [West J Emerg Med. 2013;14(5:489-498.

  7. Human bite injuries in the oro-facial region at the Muhimbili National Hospital, Tanzania

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    Simon Elison NM

    2008-04-01

    Full Text Available Abstract Background Human bites in the maxillofacial region compromise function and aesthetics, resulting in social and psychological effects. There is paucity of information regarding human bite injuries in Tanzania. The aim of the study was to assess the occurrence, treatment modalities and prognosis of human bite injuries in the oro-facial region at the Muhimbili National Hospital Dar es Salaam, Tanzania. Methods In a prospective study the details of patients with human bite injuries in the oro-facial region who attended at the Department of Oral and Maxillofacial Surgery of the Muhimbili National Hospital between January 2001 and December 2005 were recorded. Data included information on age, sex, site, duration of the injury at the time of reporting to hospital, reasons, details of treatment offered and outcome after treatment. Results A total of 33 patients, 13 males and 20 females aged between 12 and 49 years with human bite injuries in the oro-facial region were treated. Thirty patients presented with clean uninfected wounds while 3 had infected wounds. The most (45.5% frequently affected site was the lower lip. Treatment offered included thorough surgical cleansing with adequate surgical debridement and primary suturing. Tetanus prophylaxis and a course of broad-spectrum antibiotics were given to all the patients. In 90% of the 30 patients who were treated by suturing, the healing was uneventful with only 10% experiencing wound infection or necrosis. Three patients who presented with wounds that had signs of infection were treated by surgical cleansing with debridement, antibiotics and daily dressing followed by delayed primary suturing. Conclusion Most of the human bite injuries in the oro-facial region were due to social conflicts. Although generally considered to be dirty or contaminated they could be successfully treated by surgical cleansing and primary suture with a favourable outcome. Management of such injuries often need

  8. Evaluation of hospital-learning environment for pediatric residency in eastern region of Saudi Arabia

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    Waleed H. BuAli

    2015-04-01

    Full Text Available Purpose: No study had been conducted to assess the hospitals’ environment for learning purposes in multicenter sites in Saudi Arabia. It aims to evaluate the environment of hospitals for learning purposes of pediatric residents. Methods: We applied Postgraduate Hospital Educational Environment Measure (PHEEM to measure the learning environment at six teaching hospitals in the Eastern Region of Saudi Arabia from September to December 2013. Results: The number of respondents was 104 (86.7% out of 120 residents and 37 females and 67 male residents have responded. The residents’ response scored 100 out of 160 maximum score in rating of PHEEM that showed overall learning environment is favorable for training. There were some items in the social support domain suggesting improvements. There was no significant difference between male and female residents. There was a difference among the participant teaching hospitals (p<0.05. Conclusion: The result pointed an overall positive rating. Individual item scores suggested that their social life during residency could be uninspiring. They have the low satisfactory level and they feel racism, and sexual discrimination. Therefore, there is still a room for improvement.

  9. EIGENSTNDIGE PR- UND NOTFALLKLINIK ALS ZENTRALES RETTUNGSZENTRUM FuR DIE REGION 10

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    Leuca Mirela

    2010-12-01

    Full Text Available The German health care system has been undergoing many reforms. The introduction of the DRG-financing system, as one of the major changes for the German hospital setting in the last decades, had huge impact on the evolution of the hospital resources and capacities, economic situation, organization, structure, processes and average length of stay. In this context, the optimal organization and structure of emergency departments is becoming a strategic factor of success for hospitals. This paper presents briefly the present situation with regard to the organization and structure of emergency care in Germany and describes the strategy, goals and expectations when establishing a new interdisciplinary emergency department for Region 10 in Germany.

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

    Science.gov (United States)

    Kitano, Seigo

    2003-04-01

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

  11. Institutional traps in the hospitality industry financing (by the example of Krasnodar region

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    Alla Yu. Baranova

    2016-09-01

    Full Text Available Objective to determine and classify the institutional traps in financing the hospitality industry in Russia. Methods abstractlogical generalization and observation. Results basing on the analysis of statistics and regional program of tourism development in Krasnodar region the challenges and obstacles were identified to the development and improvement of tourist services quality. The research result is the identification and systematization of institutional traps in the financing of tourism expressed in the increased public support of the sector. In particular a significant proportion of touristrecreational sector funding is still taken from the budget though the specific weight of profitable health resort organizations amounted to 60 over the past three years. In the process of research the author formulated a general concept of the institutional structure of the hospitality industry in Russia and the model of the sector financing through a system of incentives and benefits for vacationers forming the tourist clusters and forming a mechanism of dialogue between the authorities and representatives of tourist business. Scientific novelty the institutional traps are defined and systematized which are formed in the system of tourism financing measures to overcome them are proposed. Practical significance the proposed recommendations can be used by the entities of the hospitality industry to enhance business activities and by authorities to implement tasks outlined in the state programs.

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

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    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

  13. Occupational stressors, burnout and coping strategies between hospital and community psychiatric nurses in a Dublin region.

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    McTiernan, K; McDonald, N

    2015-04-01

    Burnout negatively impacts the delivery of mental health services. Psychiatric nurses face stressors that are distinct from other nursing specialities. The research was conducted in Ireland and captured a relatively large sample of respondents. The results compared the stressors, coping strategies and burnout levels between hospital and community-based psychiatric nurses. Occupational stress can negatively impact on the well-being of psychiatric nurses, which in turn can lead to poor client care. There is a dearth of published research conducted in Ireland that examines stress within the discipline. A between-groups study, undertaken in February 2011, investigated stressors, burnout and coping strategies between hospital and community-based psychiatric nurses in a Dublin region. Sixty-nine participants (8 males and 61 females), aged between 18 to 60 years voluntarily completed the Mental Health Professional Stress Scale, the Maslach Burnout Inventory and the PsychNurse Methods of Coping Scale. The findings revealed that nurses were operating in a moderately stressful environment. Stressors focused on organizational issues as opposed to client issues. The main stressors identified were lack of resources, workload and organizational structures/processes. Both groups reported average levels of emotional exhaustion, low levels of depersonalization and average levels of personal accomplishment. A Mann-Whitney U-test and Independent Samples t-test found significant differences between hospital and community-based nurses regarding depersonalization and personal accomplishment, respectively. Hospital nurses reported higher depersonalization scores, and community nurses had a greater sense of personal accomplishment. The personal accomplishment scores of hospital nurses were below mental health professional norms. No significant differences emerged regarding coping strategies. Avoidant coping strategies were favoured by both groups. It is recommended that interventions

  14. Prevalence and Correlates of Drug-drug Interactions in the Regional Hospital of Gjilan, Kosovo

    Science.gov (United States)

    Shabani, Driton; Tahiri, Zejdush; Bara, Petrit; Hudhra, Klejda; Malaj, Ledian; Jucja, Besnik; Bozalia, Adnan; Burazeri, Genc

    2014-01-01

    Aim: Our aim was to assess the prevalence and socioeconomic and clinical correlates of drug-drug interactions among the adult population of transitional Kosovo. Methods: A cross-sectional study was conducted including a representative sample of 1921 patients aged ≥18 years (mean age: 57.8±11.2 years; 50.3% women; overall response: 96%) from the regional hospital of Gjilan, Kosovo, during 2011-2013. Potential drug-drug-interactions were assessed and clinical data as well as demographic and socioeconomic information were collected. Binary logistic regression was used to assess the correlates of drug-drug interactions. Results: Upon multivariable adjustment for all the demographic and socioeconomic factors as well as the clinical characteristics, drug-drug interactions were positively and significantly related to older age (OR=2.1, 95%CI=1.3-2.8), a lower educational attainment (OR=1.4, 95%CI=1.1-1.9), a longer hospitalization period (OR=2.7, 95%CI=2.1-3.6), presence of three groups of diseases [infectious diseases (OR=1.7, 95%CI=1.3-2.4), cardiovascular diseases (OR=1.8, 95%CI=1.4-2.6), respiratory diseases (OR=1.6, 95%CI=1.2-2.5)], presence of comorbid conditions (OR=3.2, 95%CI=2.3-4.4) and an intake of at least four drugs (OR=5.9, 95%CI=4.6-7.1). Conclusions: Our study provides important evidence on the prevalence and socioeconomic and clinical correlates of drug-drug interactions among the hospitalized patients in the regional hospital of Gjilan, Kosovo. Findings from our study should raise the awareness of decision-makers and policy makers about the prevalence and determinants of drug-drug interactions in the adult population of post-war Kosovo. PMID:25395892

  15. Regional variation in obstetrical intervention for hospital birth in the Republic of Ireland, 2005–2009

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    Lutomski Jennifer E

    2012-11-01

    Full Text Available Abstract Background Obstetrical interventions during childbirth vary widely across European and North American countries. Regional differences in intrapartum care may reflect an inpatient-based, clinician-oriented, interventional practice style. Methods Using nationally representative hospital discharge data, a retrospective cohort study was conducted to explore regional variation in obstetric intervention across four major regions (Dublin Mid Leinster; Dublin Northeast; South; West within the Republic of Ireland. Specific focus was given to rates of induction of labour, caesarean delivery, epidural anaesthesia, blood transfusion, hysterectomy and episiotomy. Logistic regression analyses were performed to assess the association between geographical region and interventions while adjusting for patient case-mix. Results 323,588 deliveries were examined. The incidence of interventions varied significantly across regions; the greatest disparities were observed for rates of induction of labour and caesarean delivery. Women in the South had nearly two-fold odds of having prostaglandins (adjusted OR: 1.75, 95% CI 1.68-1.82, whereas women in the West had 1.85 odds (95% CI 1.77-1.93 of artificial rupture of membrane. Women delivering in the Dublin Northeast, South and West regions had more than two-fold increased odds of elective caesarean delivery relative to women delivering in the Dublin Mid Leinster region. The Dublin Northeast region had the highest odds of emergency caesarean delivery (adjusted OR: 1.36; 95% CI: 1.31-1.40. Conclusions Substantial regional variation in intrapartum care was observed within this small, relatively homogeneous population. The association of intervention use with region illustrates the need to encourage uptake of scientific based practice guidelines to better inform clinical judgment.

  16. Prevalence and Correlates of Drug-drug Interactions in the Regional Hospital of Gjilan, Kosovo

    OpenAIRE

    Shabani, Driton; Tahiri, Zejdush; Bara, Petrit; Hudhra, Klejda; Malaj, Ledian; Jucja, Besnik; Bozalia, Adnan; Burazeri, Genc

    2014-01-01

    Aim: Our aim was to assess the prevalence and socioeconomic and clinical correlates of drug-drug interactions among the adult population of transitional Kosovo. Methods: A cross-sectional study was conducted including a representative sample of 1921 patients aged ≥18 years (mean age: 57.8±11.2 years; 50.3% women; overall response: 96%) from the regional hospital of Gjilan, Kosovo, during 2011-2013. Potential drug-drug-interactions were assessed and clinical data as well as demographic and soc...

  17. Treatment of non-Hodgkin lymphoma and mature В-cell acute leukemia in children and adolescents: data of Russian regional hospitals

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    Ye. V. Samochatova

    2014-07-01

    Full Text Available The article presents treatment results of 233 patients (children and adolescents under 19 years old; median — 8.76 years with CD20-positive non-Hodgkin lymphomas and B-cell acute leukemia (B-NHL/B-AL received chemotherapy (BFM B-NHL 90–95 protocols or combined chemo-immunotherapy with rituximab (B-NHL-2004mab protocol. Combined chemo-immunotherapy was used for patients with Burkitt lymphoma, diffuse large cells lymphomas stage III–IV and B-AL, and included cytoreductive phase, 6 polychemotherapy (PCT courses and rituximab. PCT courses are similar to those of original BFM B-NHL90 protocol, except for the first 2 courses, where daily methotrexate dose was reduced from 5 to 1 g/m2/24 h. Rituximab infused IV 12 hours before the start of first 4 chemotherapy courses at a dose of 375 mg/m2. The data in the questionnaires form have been submitted from 28 pediatric specialized hospitals from 27 Russia regions over the past 5 years (2005–2009. Protocol with rituximab has proved to be more effective than chemotherapy alone. The authors discuss the possibility of using combined chemo-immunotherapy for the treatment of B-NHL/B-AL at regional hospitals and the prospects for further treatment results improvement in this group of tumors.

  18. Treatment of non-Hodgkin lymphoma and mature В-cell acute leukemia in children and adolescents: data of Russian regional hospitals

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    Ye. V. Samochatova

    2011-01-01

    Full Text Available The article presents treatment results of 233 patients (children and adolescents under 19 years old; median — 8.76 years with CD20-positive non-Hodgkin lymphomas and B-cell acute leukemia (B-NHL/B-AL received chemotherapy (BFM B-NHL 90–95 protocols or combined chemo-immunotherapy with rituximab (B-NHL-2004mab protocol. Combined chemo-immunotherapy was used for patients with Burkitt lymphoma, diffuse large cells lymphomas stage III–IV and B-AL, and included cytoreductive phase, 6 polychemotherapy (PCT courses and rituximab. PCT courses are similar to those of original BFM B-NHL90 protocol, except for the first 2 courses, where daily methotrexate dose was reduced from 5 to 1 g/m2/24 h. Rituximab infused IV 12 hours before the start of first 4 chemotherapy courses at a dose of 375 mg/m2. The data in the questionnaires form have been submitted from 28 pediatric specialized hospitals from 27 Russia regions over the past 5 years (2005–2009. Protocol with rituximab has proved to be more effective than chemotherapy alone. The authors discuss the possibility of using combined chemo-immunotherapy for the treatment of B-NHL/B-AL at regional hospitals and the prospects for further treatment results improvement in this group of tumors.

  19. Quality of Care: A Review of Maternal Deaths in a Regional Hospital in Ghana.

    Science.gov (United States)

    Adusi-Poku, Yaw; Antwil, Edward; Osei-Kwakye, Kingsley; Tetteh, Chris; Detoh, Eric Kwame; Antwi, Phyllis

    2015-09-01

    The government of Ghana and key stakeholders have put into place several interventions aimed at reducing maternal deaths. At the institutional level, the conduct of maternal deaths audit has been instituted. This also contributes to reducing maternal deaths as shortcomings that may have contributed to such deaths could be identified to inform best practice and forestall such occurrences in the future. The objective of this study was to review the quality of maternal care in a regional hospital. A review of maternal deaths using Quality of Care Evaluation Form adapted from the Komfo Anokye Teaching Hospital (KATH) Maternal Death Audit Evaluation Committee was used. About fifty-five percent, 18 (55%) of cases were deemed to have received adequate documentation, senior clinicians were involved in 26(85%) of cases. Poor documentation, non-involvement of senior clinicians in the management of cases, laboratory related issues particularly in relation to blood and blood products as well as promptness of care and adequacy of intensive care facilities and specialists in the hospital were contributory factors to maternal deaths . These are common themes contributing to maternal deaths in developing countries which need to be urgently tackled. Maternal death review with emphasis on quality of care, coupled with facility gap assessment, is a useful tool to address the adequacy of emergency obstetric care services to prevent further maternal deaths. PMID:26897915

  20. KPC-2-producing Klebsiella pneumoniae in a hospital in the Midwest region of Brazil.

    Science.gov (United States)

    Biberg, Camila Arguelo; Rodrigues, Ana Claudia Souza; do Carmo, Sidiane Ferreira; Chaves, Claudia Elizabeth Volpe; Gales, Ana Cristina; Chang, Marilene Rodrigues

    2015-06-01

    The emergence of β-lactamase-producing Enterobacteriaceae in the last few decades has become major challenge faced by hospitals. In this study, isolates of Klebsiella pneumoniae carbapenemase-2 (KPC-2)-producing K. pneumoniae from a tertiary hospital in Mato Grosso do Sul, Brazil, were characterized. Bacterial identification was performed by matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF; Bruker Daltonics, Germany) mass spectrometry. The minimum inhibitory concentrations of carbapenems were determined using the agar dilution method as recommended by the Clinical Laboratory Standards Institute guidelines. Carbapenemase production was detected using the modified Hodge test (MHT) and polymerase chain reaction (PCR), followed by DNA sequencing. Of 360 (12.2%) K. pneumoniae isolates obtained between May 2009 and May 2010, 44 (12.2%) were carbapenem nonsusceptible. Of these 44 isolates, thirty-six K. pneumoniae isolates that were positive by MHT and PCR carried the bla KPC-2 gene. Thus, KPC-2producing Klebsiella pneumoniae has been present in a Brazilian hospital located in the Midwest region since at least 2009. PMID:26273265

  1. KPC-2-producing Klebsiella pneumoniae in a hospital in the Midwest region of Brazil.

    Science.gov (United States)

    Biberg, Camila Arguelo; Rodrigues, Ana Claudia Souza; do Carmo, Sidiane Ferreira; Chaves, Claudia Elizabeth Volpe; Gales, Ana Cristina; Chang, Marilene Rodrigues

    2015-06-01

    The emergence of β-lactamase-producing Enterobacteriaceae in the last few decades has become major challenge faced by hospitals. In this study, isolates of Klebsiella pneumoniae carbapenemase-2 (KPC-2)-producing K. pneumoniae from a tertiary hospital in Mato Grosso do Sul, Brazil, were characterized. Bacterial identification was performed by matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF; Bruker Daltonics, Germany) mass spectrometry. The minimum inhibitory concentrations of carbapenems were determined using the agar dilution method as recommended by the Clinical Laboratory Standards Institute guidelines. Carbapenemase production was detected using the modified Hodge test (MHT) and polymerase chain reaction (PCR), followed by DNA sequencing. Of 360 (12.2%) K. pneumoniae isolates obtained between May 2009 and May 2010, 44 (12.2%) were carbapenem nonsusceptible. Of these 44 isolates, thirty-six K. pneumoniae isolates that were positive by MHT and PCR carried the bla KPC-2 gene. Thus, KPC-2producing Klebsiella pneumoniae has been present in a Brazilian hospital located in the Midwest region since at least 2009.

  2. 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...

  3. The $^{26}$Al Gamma-ray Line from Massive-Star Regions

    CERN Document Server

    Siegert, Thomas

    2016-01-01

    The measurement of gamma rays from the diffuse afterglow of radioactivity originating in massive-star nucleosynthesis is considered a laboratory for testing models, when specific stellar groups are investigated, at known distance and with well-constrained stellar population. Regions which have been exploited for such studies include Cygnus, Carina, Orion, and Scorpius-Centaurus. The Orion region hosts the Orion OB1 association and its subgroups at about 450~pc distance. We report the detection of $^{26}$Al gamma rays from this region with INTEGRAL/SPI.

  4. Internal medicine and emergency admissions: from a national hospital discharge records (SDO study to a regional analysis

    Directory of Open Access Journals (Sweden)

    Filomena Pietrantonio

    2016-02-01

    Full Text Available In Italy, the number of internists has grown by 10% since 1990 reaching 11,435 units, they manage 39,000 beds in 1060 Internal Medicine (IM wards. The Internists are expected to ensure a cost-effective management of poly-pathological and complex patients. A collaborative study between the Federation of Associations of Hospital Doctors on Internal Medicine (FADOI and the Consortium for Applied Health Economics Research (C.R.E.A. Sanità based on data from hospital discharge records has been conducted starting from November 2014. In this article the preliminary results are shown with focus on emergency admissions characteristics to contribute to define the role of hospital IM. Evaluation is performed comparing emergency and planned admissions, IM impact on hospital admissions, availability of community-based healthcare services, diagnosis-related groups (DRGs weight in IM and regional differences in managing hospital admissions with focus on IM department. In 2013 IM wards discharged 1,073,526 patients (16.18% of the total discharged by hospitals with a total economic value of 3,426,279.88 € (average DRG 3882.80 €, from 3682.19 to 4083.42. The average length of stay (LOS in IM was 9.3 days. IM covers 27% of admissions from Emergency Room. Determinants significantly affecting the emergency admissions are old age and comorbidities of the patients that also have a role in increasing LOS. 55% of Italian hospital admissions are emergency admissions. Hospitalization rates in emergency are systematically higher than those in election and the greatest differences are in the regions with inefficiently organized regional network. The role of the hospital IM appears central in the offer of beds to the emergency room by accepting 27% of urgent admissions. The increasing impact of IM on hospital management will put the internists as authoritative stakeholders in health policy.

  5. Antireflective bilayer coatings based on Al2O3 film for UV region

    Directory of Open Access Journals (Sweden)

    Marszałek Konstanty

    2015-03-01

    Full Text Available Bilayer antireflective coatings consisting of aluminium oxide Al2O3/MgF2 and Al2O3/SiO2 are presented in this paper. Oxide films were deposited by means of e-gun evaporation in vacuum of 5 × 10-3 Pa in the presence of oxygen, and magnesium fluoride was prepared by thermal evaporation on heated optical lenses made from quartz glass (Corning HPFS. Substrate temperature was maintained at 250 _C during the deposition. Thickness and deposition rate were controlled with a thickness measuring system Inficon XTC/2. The experimental results of the optical measurements carried out during and after the deposition process have been presented. Physical thickness measurements were made during the deposition process and resulted in 44 nm/52 nm for Al2O3/MgF2 and 44 nm/50 nm for Al2O3/SiO2 system. Optimization was carried out for ultraviolet region with minimum of reflectance at 300 nm. The influence of post deposition annealing on the crystal structure was determined by X-ray measurements. In the range from ultraviolet to the beginning of visible region, the reflectance of both systems decreased and reached minimum at 290 nm. The value of reflectance at this point, for the coating Al2O3/MgF2 was equal to R290nm = 0.6 % and for Al2O3/SiO2R290nm = 1.1 %. Despite the difference between these values both are sufficient for applications in the UV optical systems for medicine and UV laser technology.

  6. Differences between hospital- and community-acquired blood exposure incidents revealed by a regional expert counseling center.

    NARCIS (Netherlands)

    Wijk, P.T. van; Pelk-Jongen, M.; Boer, E. de; Voss, A.; Wijkmans, C.; Schneeberger, P.M.

    2006-01-01

    OBJECTIVE: One year (2003) regional analysis of all blood exposure incidents from hospitals as well as from the community. DESIGN: Establishment of an easily accessible regional expert counseling center, operating 24 h a day, for all accidental blood exposures. Tasks of the center were to register i

  7. [The computer assisted pacemaker clinic at the regional hospital of Udine (author's transl)].

    Science.gov (United States)

    Feruglio, G A; Lestuzzi, L; Carminati, D

    1978-01-01

    For a close follow-up of large groups of pacemaker patients and for evaluation of long term pacing on a reliable statistical basis, many pacemaker centers in the world are now using computer systems. A patient data system with structured display records, designed to give complete, comprehensive and surveyable information and which are immediately retrievable 24 hours a day, on display or printed sets, seems to offer an ideal solution. The pacemaker clinic at the Regional Hospital of Udine has adopted this type of system. The clinic in linked to a live, on-line patient data system (G/3, Informatica Friuli-Venezia Giulia). The input and retrieval of information are made through a conventional keyboard. The input formats have fixed headings with coded alternatives and a limited space for comments in free text. The computer edits the coded information to surveyable reviews. Searches can be made on coded information and data of interest.

  8. [Blastocystis infection in symptomatic patients at the Regional Hospital of Temuco, Chile].

    Science.gov (United States)

    Biolley, M A; Oberg, C

    1993-01-01

    At the Regional Hospital of Temuco, 670 adult and children patients, with intestinal complaints, were studied to determine the prevalence of infection by enteroparasites or commensals in a general way, and by Blastocystis hominis in a particular attempt. A coproparasitological study was carried out using a modified Telemann method. Infection by parasites and/or commensals was demonstrated in 446 (66.6%) patients. The most frequent agent was B. hominis (35.8%) followed by Giardia intestinalis (22.5%) among the protozoa. The frequencies of helminths and commensals were 7.7 and 42.5% respectively. The endemic characteristics of intestinal infections by parasites was ratified and the prevalence of infection by B. hominis was proved to be higher in comparison to other zones of the country. PMID:8110370

  9. Quality of stroke care at an Irish Regional General Hospital and Stroke Rehabilitation Unit.

    LENUS (Irish Health Repository)

    Walsh, T

    2012-01-31

    BACKGROUND: Robust international data support the effectiveness of stroke unit (SU) care. Despite this, most stroke care in Ireland are provided outside of this setting. Limited data currently exist on the quality of care provided. AIM: The aim of this study is to examine the quality of care for patients with stroke in two care settings-Regional General Hospital (RGH) and Stroke Rehabilitation Unit (SRU). METHODS: A retrospective analysis of the stroke records of consecutive patients admitted to the SRU between May-November 2002 and April-November 2004 was performed applying the UK National Sentinel Audit of Stroke (NSAS) tool. RESULTS: The results of the study reveal that while SRU processes of care was 74% compliant with standards; compliance with stroke service organisational standards was only 15 and 43% in the RGH and SRU, respectively. CONCLUSION: The quality of stroke care in our area is deficient. Comprehensive reorganisation of stroke services is imperative.

  10. [Consultation per video-conferencing with regional hospitals: the MEDKOM project of the Hannover Medical University].

    Science.gov (United States)

    Link, H; Poliwoda, H

    1999-01-01

    Consultations between doctors are necessary tools for decisions in diagnosis and treatment of patients. The mainstay is a sound communication between the participants, using verbal and audio-visual means. Usually clinical findings and imaging results are included. Using video technology with ISDN (integrated services digital network), such consulting can be performed across any distance. The department of hematology and oncology of the Medical School Hanover has introduced such a system in 1989 for conferencing with 12 regional hospitals and two private practices. It is now a well recognized and established system being applied for 270 sessions and for 1100 Patients per year. It is an integrated part of the co-operation, also allows medical education and quality improvement. PMID:10091308

  11. Clarification of the antecedents of hospital nurse organizational citizenship behavior -- an example from a Taiwan regional hospital.

    Science.gov (United States)

    Chu, Cheng-I; Lee, Ming-Shinn; Hsu, Hsiang-Ming; Chen, I-Chi

    2005-12-01

    Organizational citizenship behaviors (OCB) are deemed indispensable due to their importance in promoting positive relationships among employees and involving employees in the organization's activities. OCB is believed to facilitate attainment of a hospital's goals and enhance a hospital's performance. The aim of this study is to extend the work of previous studies by providing an integrated model of OCB and demonstrate its applicability in a non-Western culture. Questionnaires were completed by 314 non-supervisory hospital nurses, each of whom was given a supervisor rating for their OCB. Exploratory factor analysis was used to assess the convergent and discriminant validity of the variables in the model. Multiple regression analysis was used because it provided estimates of net effects and explanatory power. The results showed that job satisfaction, supervisor support, job involvement, and procedural justices had significant effects on the nurses' citizenship behaviors. Since the study used a non-Western site in one of Taiwan's health care institutions, its overall findings should contribute to further understanding of the cross-cultural aspects of OCB. PMID:16372242

  12. Clarification of the antecedents of hospital nurse organizational citizenship behavior -- an example from a Taiwan regional hospital.

    Science.gov (United States)

    Chu, Cheng-I; Lee, Ming-Shinn; Hsu, Hsiang-Ming; Chen, I-Chi

    2005-12-01

    Organizational citizenship behaviors (OCB) are deemed indispensable due to their importance in promoting positive relationships among employees and involving employees in the organization's activities. OCB is believed to facilitate attainment of a hospital's goals and enhance a hospital's performance. The aim of this study is to extend the work of previous studies by providing an integrated model of OCB and demonstrate its applicability in a non-Western culture. Questionnaires were completed by 314 non-supervisory hospital nurses, each of whom was given a supervisor rating for their OCB. Exploratory factor analysis was used to assess the convergent and discriminant validity of the variables in the model. Multiple regression analysis was used because it provided estimates of net effects and explanatory power. The results showed that job satisfaction, supervisor support, job involvement, and procedural justices had significant effects on the nurses' citizenship behaviors. Since the study used a non-Western site in one of Taiwan's health care institutions, its overall findings should contribute to further understanding of the cross-cultural aspects of OCB.

  13. Specialized consultant in radiological safety to the Villahermosa regional hospital, PEMEX. III. - September and October of 2002

    International Nuclear Information System (INIS)

    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)

  14. Specialized consultant in radiological safety to the Villahermosa regional hospital, PEMEX. IV. - November and December of 2002

    International Nuclear Information System (INIS)

    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)

  15. Sensitive, resistant and multi-drug resistant Acinetobacter baumanii at Saudi Arabia hospital eastern region.

    Science.gov (United States)

    Ahmed, Mughis Uddin; Farooq, Reshma; Al-Hawashim, Nadia; Ahmed, Motasim; Yiannakou, Nearchos; Sayeed, Fatima; Sayed, Ali Rifat; Lutfullah, Sualiha

    2015-05-01

    Since the Physicians start use of antibiotics long ago with un-notice drug resistance. However actual problem was recognized about 85 years ago. Antibiotic resistant and Multi-drug resistant bacterial strains are at rise throughout the world. It is physicians and researchers to take scientific research based appropriate action to overcome this ever-spreading problem. This study is designed to find out sensitive (S), resistant (R) and multi-drug resistant (MDR) Acinetobacter baumanii strain along with other isolates in the resident patients of Eastern Region of Saudi Arabia. Pseudomonas aeruginosa is excluded from other gram-negative organisms isolated from different sites as it will be dealt separately. This study is based in was retrospective observations designed to collect data of different stains of Acinetobacter baumanii with reference to their Sensitivity (S), Resistance (R), Multi-Drug Resistance (MDR) along with other Gram negative isolated from different sites (from 1st January 2004 to 31st December 2011) at King Abdulaziz Hospital located Eastern Region of Kingdom of Saudi Arabia (KSA). All necessary techniques were used to culture and perform sensitivity of these isolates. There were 4532 isolates out of which 3018 (67%) were from patients. Out of Acinetobacter baumanii infected were 906 (20%) while other 3626 (80%) isolates were miscellaneous. Numbers of patients or cases were 480 (53%) out of 906 isolates and numbers of patients or cases in other organisms were 2538 (70%) out of 3626 isolates. Acinetobacter baumanii infected patients 221 (46%) were male and 259 (54%) were female and the male and female ratio of 1:1.2. In other organisms this male female ratio was almost same. There was steady rise in number of patients and the hence the isolates from 2004 to 2011. Majority of the bacterial strains were isolated as single organism but some were isolated as double or triple or quadruple or more organisms from different sites. Sensitive, Resistant and

  16. 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.

  17. 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

  18. Profile of cancer morbidity in North Bengal region of India: A hospital based study

    Directory of Open Access Journals (Sweden)

    Pal PP, Ghosh Naskar B, Sarkar TK, Haldar B, Sharma S, Aikat A, Ghosal GK

    2012-01-01

    Full Text Available Background: Cancer usually means malignancy, has become one of the ten leading cause of death in India. The leading sites of cancer vary from country to country. Present study was conducted to find out the proportion of morbidity contributed by different type of cancer in North Bengal region of India.Methods: An observational record based analysis in rural tertiary care hospital settings. Data was collected for the year 2007-8 on the basis of the patients’ record in the hospital. Different sites of cancer were classified according to the International Classification of Diseases (ICD-10, WHO.Results: The three leading sites of cancer irrespective of sex in this study were a lip, oral cavity and pharynx (C00-14 23.7%, b female genital organ (C51-59 22.7% and c digestive organ (C15-26 14.4%. Cervical cancer was the main contributor of the female genital organ cancer (70.2%. The trend of cervical carcinoma increases with Gravida (p<0.05. The most vulnerable age group was 40-64 years. It was also found that malignancy in a respiratory and intrathoracic organ b lip, oral cavity and pharynx and c digestive organ were more prevalent among smokers.Conclusions: The present study only highlights the status of different types of cancer in North Bengal Zone, which partly follows the rank wise cancer prevalence in India. It is a record based study however, an organized population based study can reflect the real scenario.

  19. Sharps Injuries among Nurses in a Thai Regional Hospital: Prevalence and Risk Factors

    Directory of Open Access Journals (Sweden)

    S Klungboonkrong

    2011-09-01

    Full Text Available Background: Sharps injuries (SIs are one of the most serious occupational accidents among nurses due to the possible severe consequences, such as the transmission of infectious diseases and inducing of mental impairment.Objective: To discover the prevalence of SIs among nurses in a regional hospital in Thailand and to identify factors associated with SIs.Methods: A cross-sectional study was conducted in 2011. Stratified random sampling was used to select the respondents, with wards as the strata and the number of nurses selected proportional to the size of the ward nurse population. 261 self-administered questionnaires were distributed to nurses who used needles, syringes or other sharp medical equipment in their work. Data were analyzed using chi-square tests, correlation analysis and multiple logistic regression analysis.Results: The prevalence of SIs for the previous 12 months was 55.5% among the 250 nurses who returned a completed questionnaire. Of these, 91.1% were with blood. Needles (52.8% were the main cause of SIs. The reporting rate of SIs to the hospital was 23.8%. SIs had a significant association with each of marital status, work duration, work department, attitude regarding SI prevention, and preventive management. Using multiple logistic regression analysis, attitude was found to be the strongest predictor of SIs when adjusted for other factors. Nurses who had negative attitudes towards prevention of SIs were nearly two times more likely to have SIs than those with positive attitudes (adjusted odds ratio=1.86; 95% CI: 1.03–3.38.Conclusion: The study showed a high prevalence of SIs, but a low reporting rate. This suggests the reporting system requires simplification and also should include a quick response management component. Promoting positive attitudes to SI prevention, and improving the reporting system would reduce SIs.

  20. Exposure history and terrestrial ages of ordinary chondrites from the Dar al Gani region, Libya

    Science.gov (United States)

    Welten, K. C.; Nishiizumi, K.; Finkel, R. C.; Hillegonds, D. J.; Jull, A. J. T.; Franke, L.; Schultz, L.

    2004-03-01

    We measured the concentrations of noble gases in 32 ordinary chondrites from the Dar al Gani (DaG) region, Libya, as well as concentrations of the cosmogenic radionuclides 14C, 10Be, 26Al, 36Cl, and 41Ca in 18 of these samples. Although the trapped noble gases in five DaG samples show ratios typical of solar or planetary gases, in all other DaG samples, they are dominated by atmospheric contamination, which increases with the degree of weathering. Cosmic ray exposure (CRE) ages of DaG chondrites range from ~1 Myr to 53 Myr. The CRE age distribution of 10 DaG L chondrites shows a cluster around 40 Myr due to four members of a large L6 chondrite shower. The CRE age distribution of 19 DaG H chondrites shows only three ages coinciding with the main H chondrite peak at ~7 Myr, while seven ages are soils during wetter periods and were recently exhumed by removal of these soils due to deflation during more arid periods, such as the current one, which started ~3000 years ago. Finally, based on the 26Al/21Ne and 10Be/21Ne systematics in 16 DaG meteorites, we derived more reliable estimates of the 10Be/21Ne production rate ratio, which seems more sensitive to shielding than was predicted by the semi-empirical model of Graf et al. (1990) but less sensitive than was predicted by the purely physical model of Leya et al. (2000).

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

    Science.gov (United States)

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

    1972-01-01

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

  2. Poisoning by plants in the taza-al iioceima-taounate region in morocco

    International Nuclear Information System (INIS)

    A descriptive retrospective-study was carried out on poisoning cases by plants in Taza-Al hoceima-taounate region in Morocco, reported between 1984 and 2007 to the Moroccan Poison Control Centre. During this period, 104 cases of poisoning were recorded. Atractylis gummifera was the most incriminated plant. The average age of poisoned patients was 11+ - 7.8 years. The sex ratio (M/F) was 0.9. According to the data, poisoning by plants was primarily responsible for gastrointestinal system disorders, nervous system attacks, visual disorders and heart failure. A lethality rate of 33.65% was recorded, with a total of thirty-five deaths. (author)

  3. Under-reporting of notifiable infectious disease hospitalizations in a health board region in Ireland: room for improvement?

    LENUS (Irish Health Repository)

    Brabazon, E D

    2008-02-01

    Rapid notification of infectious diseases is essential for prompt public health action and for monitoring of these diseases in the Irish population at both a local and national level. Anecdotal evidence suggests, however, that the occurrence of notifiable infectious diseases is seriously underestimated. This study aims to assess the level of hospitalization for notifiable infectious diseases for a 6-year period in one health board region in Ireland and to assess whether or not there was any under-reporting during this period. All hospital in-patient admissions from 1997 to 2002 inclusive with a principal diagnosis relating to \\'infectious and parasitic diseases\\' (ICD codes 001-139) of residents from a health board region in Ireland were extracted from the Hospital In-Patient Enquiry System (HIPE). All notifiable infectious diseases were identified based on the 1981 Irish Infectious Disease Regulations and the data were analysed in the statistical package, JMP. These data were compared with the corresponding notification data. Analysis of the hospital in-patient admission data revealed a substantial burden associated with notifiable infectious diseases in this health board region: there were 2758 hospitalizations by 2454 residents, 17,034 bed days and 33 deaths. The statutory notification data comprises both general practitioner and hospital clinician reports of infectious disease. Therefore, only in cases where there are more hospitalizations than notifications can under-reporting be demonstrated. This occurred in nine out of 22 notifiable diseases and amounted to an additional 18% of notifications (or 572 cases) which were \\'missed\\' due to hospital clinician under-reporting. The majority of these under-reported cases were for viral meningitis (45%), infectious mononucleosis (27%), viral hepatitis C unspecified (15%) and acute encephalitis (5.8%). This study has highlighted the extent of under-reporting of hospitalized notifiable infectious diseases, in a

  4. Unravelling regolith material types using Mg/Al and K/Al plot to support field regolith identification in the savannah regions of NW Ghana, West Africa

    Science.gov (United States)

    Arhin, Emmanuel; Zango, Saeed M.

    2015-12-01

    The XRF analytical method was used to measure the weight % of the major oxides in regolith samples. The metal weight % of Mg, K and Al were calculated from their oxides and were normalised relative to immobile Al calculated from its oxide. The plot of Mg/Al and K/Al identified the regolith of the study area to consist of 137 transported clays, 4 ferruginous sediments or ferricrete, 2 lateritic duricrust and 4 saprolites. Surface regolith that had undergone secondary transformation and shows compositional overlaps were 4 transported clays with Fe-oxide impregnation may be referred to as nodular laterite and 5 ferruginous saprolites. The variable regolith materials features identified from the 154 samples enabled the characterisation and identification of the different sample materials because an overprint of bedrock geochemistry is reflected in the regolith. Plot of Mg/Al and K/Al highlighted the compositional variability of the regolith samples and refute the notion of the homogeneity of all the sampled materials in the area. The study thus recognized Mg/Al versus K/Al plots to be used in supporting field identification of regolith mapping units particularly in complex regolith terrains of savannah regions of Ghana and in similar areas where geochemical exploration surveys are being carried out under cover.

  5. 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.

  6. Estudio descriptivo de la enfermedad cerebrovascular en el Hospital Regional Docente de Ica-Perú 2003 - 2006

    Directory of Open Access Journals (Sweden)

    J. Jhonnel Alarco

    2009-01-01

    Full Text Available Objetivo, Determinar algunas características epidemiológicas de la enfermedad cerebro vascular (ECV, describir las características de la población estudiada según sexo, edad, procedencia, raza, forma de inicio, ubicación, tipos y subtipos, síntomas, antecedentes patológicos y mortalidad intrahospitalaria. Materiales y métodos, estudio descriptivo. Lugar, Hospital Regional Docente de Ica. Criterios de inclusión, pacientes ingresados con diagnóstico de accidente cerebrovascular. Intervenciones, revisión de historias clínicas de archivo entre los años 2003 y 2006 Principales medidas de resultados, análisis estadístico, porcentajes y medidas de tendencia central, tabuladas en una base de datos con ayuda del programa Microsoft Excel 2003 para Windows®. Resultados, de 152 pacientes ingresados al servicio de Medicina 119 fueron casos de ECV isquémico, 33 casos fueron ECV hemorrágico. El principal antecedente patológico fue la hipertensión arterial con un 75.0 %. El síntoma más frecuente fue el trastorno motor con 80.3% seguido por alteraciones del lenguaje con 55.9%. El mayor número fue encontrado entre la séptima y octava décadas de la vida. La edad mínima fue de 17 y máxima de 102 años. La mortalidad global fue de 18 casos obteniéndose una tasa de letalidad específica para el ECV isquémico de 0,8% y de 51,5% para el ECV hemorrágico. Conclusiones: Se distingue a la HTA como el principal antecedente modificable, cuya prevención reduciría notablemente su mortalidad.

  7. Study of radiological risk at the Regional Hospital of Trujillo-Peru

    International Nuclear Information System (INIS)

    The irradiation doses have been measured in operators, patients and members of public, who attend the diagnostic service of the Hospital Regional Docente in Trujillo, Peru by using TLD-100 and TLD-200. For cranium test, the results are 8,68 x 10-3 mSv in operators and 7,8 x 10-4 mSv in members of the public. It means a fatal cancer risk of 3,7 x 10-7 and 3,9 x 10-8, respectively. For patients, the equivalent doses in the examined organs are 0,181 mSv in lung; 4,982 mSv in spine; 6,466 mSv in abdomen; 6,039 mSv in pelvis and 2,174 mSv in cranium. In order to maximize benefits for patients, a quality control program was carried out in x-ray equipment. It consisted in the measurement of an effective, average and maximum kilovoltage, as well as in the determination of the HVL, linearity, exposition time and coincidence between luminous and radiation fields. It was concluded that the measured doses are similar to the international ones reported. In the same way, it is indicated that it is possible to reduce risks in patients and operators by regulating kilo-voltages, adjusting the radiation fields and electronic calibration equipment. (authors). 4 refs., 2 tabs

  8. Capnocytophaga canimorsus sepsis: two clinical cases at the Bolzano Regional Hospital

    Directory of Open Access Journals (Sweden)

    Patrizia Innocenti

    2010-12-01

    Full Text Available Capnocytophaga canimorsus is a commensal bacterium in the oral cavity of dogs and cats and has been isolated from humans with a history of dog or cat bites or scratches. C. canimorsus are capnophilic facultative anaerobic, fastidious gram negative fusiform rods, included in the CDC group DF-2 or dysgonic fermenter 2. The bacterium can cause severe illness in patients at elevated risk i.e. after splenectomy, with alcohol addiction, chronic lung or liver diseases or immunosuppression. In 2010 at the Bolzano Regional Hospital (Northern-Italy C. canimorsus was isolated from blood cultures in two splenectomised patients suffering from septicaemia.The bacterium is difficult to cultivate because of its specific requirements for nutrients as well as to identify with routine automated instruments; therefore we used molecular typing by 16S rDNA sequencing.The true number of C. canimorsus infections is probably underestimated due to the fastidious growth of the organism. However, given the severity of the disease and the poor outcome one should consider this bacterium to apply appropriate diagnostic methods for this etiologic agent.

  9. Knowledge, Skills and Competencies of Hospitality Companies in the South Moravian Region

    Directory of Open Access Journals (Sweden)

    Klapalova Alena

    2013-06-01

    Full Text Available In 2009, a survey focused on barriers to entrepreneurship among managers and/or owners of companies in the hospitality industry in the South Moravian Region was carried out (Klapalová,2011 at the College of Business and Hotel Management in Brno. Results of this survey revealed that knowledge together with skills and competencies was considered to be the biggest barrier to sustainable successful entrepreneurship of these companies and this perception wasalso confirmed by Spearman’s correlations analysis with statistically significant coefficient at the 0.05 level (Spearman’s rho=0.214, p=0.18, when analyzing the relation to financial performanceof companies. The issue of knowledge was not investigated deeper in the survey but it raised several questions for further research. This paper offers preliminary and partial results of an inquiry done during the autumn and winter 2011 and spring and summer 2012 which takes up the previous survey from 2009 with the aim to explore the types of knowledge, skills and competencies perceived as the most important for company success and as the most missing in nowadays entrepreneurship of inquired companies. Three relationships of knowledge categories were analysed: relation to the age and size of companies and relation to the indicators of financial performance. The findings have several managerial implications, both for business practice and educational organisations.

  10. Success Factors Associated with Health Information Systems Implementation: A study of an Australian Regional Hospital

    Directory of Open Access Journals (Sweden)

    Carmine Sellitto

    2014-09-01

    Full Text Available This paper identifies five factors from the literature that are important for the successful implementation of health information systems (HIS. The HIS factors identified include stakeholder engagement, the support of management and local champions, understanding HIS imposed change, user training and the impact of government incentives. The paper further explored the introduction of a commonly used HIS (Medical Director® in a regional Australian hospital and used the implementation factors as a guide for reporting stakeholder perceptions of the system. The implementation of the HIS in view of the systems users was a failure with all factors except the training issues poorly addressed. The study also reports the practicalities encountered with the system’s introduction and documents several new operational factors that were found to be associated with HIS implementation. Overall, the factors provided a sound criterion on which to judge the implementation performance (success or otherwise of the HIS. The factors identified have the potential to be used as a guide by others who are engaged with information systems in the health area.

  11. Impact of ALSO training on the management of prolonged labor and neonatal care at Kagera Regional Hospital, Tanzania

    DEFF Research Database (Denmark)

    Sorensen, Bjarke Lund; Rasch, Vibeke; Massawe, Siriel;

    2010-01-01

    OBJECTIVE: To evaluate the management of prolonged labor and neonatal care before and after Advanced Life Support in Obstetrics (ALSO) training. METHODS: Staff involved in childbirth at Kagera Regional Hospital, Tanzania, attended a 2-day ALSO provider course. In this prospective intervention study...

  12. Prevalence, risk factors and molecular epidemiology of highly resistant gram negative rods in hospitalized patients in the Dutch region Kennemerland

    NARCIS (Netherlands)

    Souverein, Dennis; Euser, Sjoerd M.; Herpers, Bjorn L.; Diederen, Bram; Houtman, Patricia; van Seventer, Marina; van Ess, Ingeborg; Kluytmans, Jan; Rossen, John W. A.; Den Boer, Jeroen W.

    2016-01-01

    Background: This paper describes (1) the Highly Resistant Gram Negative Rod (HR-GNR) prevalence rate, (2) their genotypes, acquired resistance genes and (3) associated risk factors of HR-GNR colonization among the hospitalized population in the Dutch region Kennemerland. Methods: Between 1 October 2

  13. 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...

  14. 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)

  15. Age and regional differences in clinical presentation and risk of hospitalization for dengue in Brazil, 2000-2014

    Science.gov (United States)

    Burattini, Marcelo N.; Lopez, Luis F.; Coutinho, Francisco A.B.; Siqueira, João B.; Homsani, Sheila; Sarti, Elsa; Massad, Eduardo

    2016-01-01

    OBJECTIVES: Dengue cases range from asymptomatic to severe, eventually leading to hospitalization and death. Timely and appropriate management is critical to reduce morbidity. Since 1980, dengue has spread throughout Brazil, affecting an increasing number of individuals. This paper describes age and regional differences in dengue’s clinical presentation and associated risk of hospitalization based on more than 5 million cases reported to the Brazilian Ministry of Health from 2000-2014. METHODS: We performed a retrospective analysis of ∼5,450,000 dengue cases, relating clinical manifestations and the risk of hospitalization to age, gender, previous infection by dengue, dengue virus serotype, years of formal education, delay to first attendance and the occurrence of dengue during outbreaks and in different Brazilian regions. RESULTS: Complicated forms of dengue occurred more frequently among those younger than 10 years (3.12% vs 1.92%) and those with dengue virus 2 infection (7.65% vs 2.42%), with a delay to first attendance >2 days (3.18% vs 0.82%) and with ≤4 years of formal education (2.02% vs 1.46%). The risk of hospitalization was higher among those aged 6-10 years old (OR 4.57; 95% CI 1.43-29.96) and those who were infected by dengue virus 2 (OR 6.36; 95% CI 2.52-16.06), who lived in the Northeast region (OR 1.38; 95% CI 1.11-2.10) and who delayed first attendance by >5 days (composite OR 3.15; 95% CI 1.33-8.9). CONCLUSIONS: In Brazil, the occurrence of severe dengue and related hospitalization is associated with being younger than 10 years old, being infected by dengue virus 2 or 3, living in the Northeast region (the poorest and the second most populated) and delaying first attendance for more than 2 days.

  16. Impact of regional left ventricular function on outcome for patients with AL amyloidosis.

    Directory of Open Access Journals (Sweden)

    Dan Liu

    Full Text Available OBJECTIVES: The aim of this study was to explore the left ventricular (LV deformation changes and the potential impact of deformation on outcome in patients with proven light-chain (AL amyloidosis and LV hypertrophy. BACKGROUND: Cardiac involvement in AL amyloidosis patients is associated with poor outcome. Detecting regional cardiac function by advanced non-invasive techniques might be favorable for predicting outcome. METHODS: LV longitudinal, circumferential and radial peak systolic strains (Ssys were assessed by speckle tracking imaging (STI in 44 biopsy-proven systemic AL amyloidosis patients with LV hypertrophy (CA and in 30 normal controls. Patients were divided into compensated (n = 18 and decompensated (n = 26 group based on clinical assessment and followed-up for a median period of 345 days. RESULTS: Ejection fraction (EF was preserved while longitudinal Ssys (LSsys was significantly reduced in both compensated and decompensated groups. Survival was significantly reduced in decompensated group (35% vs. compensated 78%, P = 0.001. LSsys were similar in apical segments and significantly reduced in basal segments between two patient groups. LSsys at mid-segments were significantly reduced in all LV walls of decompensated group. Patients were further divided into 4 subgroups according to the presence or absence of reduced LSsys in no (normal, only basal (mild, basal and mid (intermediate and all segments of the septum (severe. This staging revealed continuously worse prognosis in proportion to increasing number of segments with reduced LSsys (mortality: normal 14%, mild 27%, intermediate 67%, and severe 64%. Mid-septum LSsys<11% suggested a 4.8-fold mortality risk than mid-septum LSsys≥11%. Multivariate regression analysis showed NYHA class and mid-septum LSsys were independent predictors for survival. CONCLUSIONS: Reduced deformation at mid-septum is associated with worse prognosis in systemic amyloidosis patients with LV

  17. A case study of population health improvement at a Midwest regional hospital employer.

    Science.gov (United States)

    Long, D Adam; Sheehan, Paula

    2010-06-01

    This article reviews the population health improvement initiative of a Midwest regional hospital employer. Services included health risk assessments, health education, and motivational health coaching conducted telephonically. Outcomes categories for this program evaluation comprised participation rates, participant satisfaction, health status and behavior change, productivity change, health care claims savings, and return on investment. Participation rates varied widely with incentive structure, although retention of participants in coaching programs averaged 89%. The participant satisfaction rate for the last 14 months of interventions was 96%. Four years of population health status and behavior trending showed significant improvements in smoking status, dietary fat and fiber intake, exercise, mental health (ie, stress, effects depressive symptoms in the past year, life satisfaction), readiness to change (ie, diet, exercise, stress, smoking, body weight), perceptions of overall health, an index of good health habits, sum of lifestyle health risks, and sum of risks and chronic conditions. Body mass index showed nonsignificant improvements during the years of greatest participation (years 2 to 4). Indicators of productivity demonstrated improvements as well. These gains were noted for employees across all health risk statuses, which suggests population health improvement strategies can influence productivity even for healthy employees. Program year 3 was evaluated for health care claims savings using a 2-stage multivariate regression approach. Stage 1 was a computation of propensity-to-participate scores. Stage 2 was an estimation of per member per month (PMPM) claims savings for participant cohorts using a propensity score-weighted linear regression analysis. Participants averaged $40.65 PMPM savings over the control population. Program return on investment, including incentive costs and vendor fees, was 2.87:1. PMID:20521905

  18. Quality of diabetes care at Armed Forces Hospital, Southern Region, Kingdom of Saudi Arabia, 2006

    Directory of Open Access Journals (Sweden)

    Ibrahim S Al-Arfaj

    2010-01-01

    Full Text Available Objective: The aim of this study was to assess the current status of care provided by the Diabetes Center at Armed Forces Hospital, Southern Region. Materials and Methods : A total of 260 patients were randomly selected from the diabetic patients attending the Diabetes Center. Study tools comprised patients′ data sheets and patients′ interview questionnaire. Results : Two-thirds of the patients were aged 50 years or more. Half of patients had had the disease for less than 10 years. Diet therapy alone was followed by 2.3% of diabetic patients. More than half of patients (56.5% were on insulin. Most of the diabetic patients were tested for HbA1c at least once per year (88.1%, and 71.5% had their lipid profile done at least once within two years. Low indicators included having a dilated eye examination (35.4%, assessment for nephropathy (28.8%, and having a well-documented foot examination (12.7%. Highest risk HbA1c level (>9.5% was reached by 38.8% of patients, 48.8% had a low-density lipoprotein level of <130 mg/dl, and 36.5% of patients had controlled blood pressure (≤130/80 mmHg. Most patients were satisfied with their interaction with the treating doctor, 41.5% were satisfied with access to treatment. Hypertension was found to be the most frequent comorbidity (38.5%. Conclusion : The quality of services as regard to process and outcome are low at the Diabetes Center. The overall diabetic patients′ satisfaction was high, whereas their satisfaction was low as regards to access to treatment or health professionals.

  19. Hospital-based stroke care in Ireland: results from one regional register.

    LENUS (Irish Health Repository)

    Fan, C W

    2000-01-01

    Most patients with acute stroke are admitted to hospital. If stroke services in this country are to be improved, we need accurate and reliable information about the types of stroke patients being admitted, their present management and outcome.

  20. The optimalization of the health care waste management in the regional hospital.

    OpenAIRE

    Kasalíková, Martina

    2012-01-01

    The thesis examines the subject of waste disposal in the healthcare area. In the case of hospitals, however, this issue is even more significant as the resulting waste is dangerous to human health and in many cases also to the environment. The involved hazardous often waste can cause serious problems and it is especially infectious waste which belongs to the hazardous wastes produced by hospitals. The objective of the thesis is to assess the system of waste management in a particular regi...

  1. 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

  2. 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...

  3. Study of Patients Absconding Behavior in a General Hospital at Southern Region of Iran

    Directory of Open Access Journals (Sweden)

    Mohammad Khammarnia

    2015-03-01

    Full Text Available Background Patients’ escape from hospital imposes a significant cost to patients as well as the health system. Besides, for these patients, exposure to adverse events (such as suicide, self-harm, violence and harm to hospital reputation are more likely to occur compared to others. The present study aimed to determine the characteristics of the absconding patients in a general hospital through a case-control design in Shiraz, Iran. Methods This case-control study was conducted on 413 absconded patients as case and 413 patients as control in a large general hospital in Shiraz, southern Iran. In this study, data on the case and control patients was collected from the medical records using a standard checklist in the period of 2011–3. Then, the data were analyzed using descriptive and analytical statistics, through SPSS 16. Results The finding showed that 413 patients absconded (0.50% and mean of age in case group was 40.98 ± 16.31 years. In univariate analysis, variables of gender [Odds Ratio (OR= 2], ward (OR= 1.22, insurance status (OR= 0.41, job status (OR= 0.34 and residence expenditure were significant. However, in multivariate analysis significant variables were age (ORadj= 0.13, gender (ORadj= 2.15, self-employment/unemployed (ORadj= 0.47, emergency/admission (ORadj= 2.14, internal/admission (ORadj= 3.16, insurance status (ORadj= 4.49 and residence expenditure (ORadj= 1.15. Conclusion Characteristics such as middle age, male gender, no insurance coverage, inability to afford hospital expenditures and admission in emergency department make patients more likely abscond from the hospital. Therefore, it may be necessary to focus efforts on high-risk groups and increase insurance coverage in the country to prevent absconding from hospital.

  4. Lung cancer risk and pollution in an industrial region of Northern Spain: a hospital-based case-control study

    OpenAIRE

    Aragonés Nuria; Pérez-Gómez Beatriz; García-Pérez Javier; López-Cima María; López-Abente Gonzalo; Tardón Adonina; Pollán Marina

    2011-01-01

    Abstract Background Asturias, an Autonomous Region in Northern Spain with a large industrial area, registers high lung cancer incidence and mortality. While this excess risk of lung cancer might be partially attributable to smoking habit and occupational exposure, the role of industrial and urban pollution also needs to be assessed. The objective was to ascertain the possible effect of air pollution, both urban and industrial, on lung cancer risk in Asturias. Methods This was a hospital-based...

  5. Stillbirths and associations with education and sosiodemography : a registry study from a regional hospital in north-eastern Tanzania

    OpenAIRE

    Löfwander, Mariam Sy

    2012-01-01

    Background: Every year 2, 6 million women experience a stillbirth. The vast majority occur in Sub-Saharan countries. Education is a commonly used proxy for socioeconomic status (SES) and is closely linked to health. We wanted to investigate the associations between education and stillbirths in a regional referral hospital in north eastern Tanzania (Kilimanjaro Christian Medical Centre, KCMC ). In addition, we wanted to identify sosiodemographic differences between stillbirths and l...

  6. 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

  7. Strategic supporting role of a regional state-level hospital during medical rescue after Wenchuan earthquake.

    Science.gov (United States)

    Shi, Ying Kang; Zheng, Shang Wei

    2008-11-01

    Shortly after the Wenchuan earthquake, the administrative leaders of West China Hospital accurately defined the role of the hospital during the medical rescue work as the treatment center for seriously wounded people, the support center for local hospitals and clinics in the disaster areas in Sichuan Province, and the logistics support center for medical teams from other provinces. Integrated leadership of management and efficient multidepartment co-ordination and co-operation were emphasized. The hospital was immediately transformed from regular mode into a double-track emergency mode. Scientific allocation and dispatch of resources were ensured to meet the changing demand from all levels of rescue work. Three stages were defined based on the conditions of wounded people delivered to the hospital, with different main focuses for each stage. Because of the multidisciplinary co-operation and concerted efforts of a large number of experts from other provinces and countries, an effective and efficient medical rescue service was offered to all wounded people. Until 2 June 2008, 2618 injured people from the disaster area have been treated, of whom 1751 were admitted to the inpatient department, 1135 were seriously wounded, 127 were admitted into the intensive care unit, 1239 underwent surgery, and 77 were treated with haemodialysis. There was an inpatient mortality less than 0.7%. Moreover, even during such a period, routine medical service was offered to patients other than people wounded in the disaster.

  8. Estudio descriptivo de la enfermedad cerebrovascular en el Hospital Regional Docente de Ica-Perú 2003 – 2006

    Directory of Open Access Journals (Sweden)

    J. Jhonnel Alarco

    2010-09-01

    Full Text Available Objetivo: Determinar algunas características epidemiológicas de la enfermedad cerebro vascular (ECV, describir las características de la población estudiada según sexo, edad, procedencia, raza, forma de inicio, ubicación, tipos y subtipos, síntomas, antecedentes patológicos y mortalidad intrahospitalaria. Materiales y métodos: estudio descriptivo. Lugar: Hospital Regional Docente de Ica. Criterios de inclusión: pacientes ingresados con diagnóstico de accidente cerebrovascular. Intervenciones: revisión de historias clínicas de archivo entre los años 2003 y 2006. Principales medidas de resultados: análisis estadístico: porcentajes y medidas de tendencia central, tabuladas en una base de datos con ayuda del programa Microsoft Excel 2003 para Windows®. Resultados: de 152 pacientes ingresados al servicio de Medicina 119 fueron casos de ECV isquémico, 33 casos fueron ECV hemorrágico. El principal antecedente patológico fue la hipertensión arterial con un 75.0 %. El síntoma más frecuente fue el trastorno motor con 80.3% seguido por alteraciones del lenguaje con 55.9%. El mayor número fue encontrado entre la séptima y octava décadas de la vida. La edad mínima fue de 17 y máxima de 102 años. La mortalidad global fue de 18 casos obteniéndose una tasa de letalidad específica para el ECV isquémico de 0,8% y de 51,5% para el ECV hemorrágico. Conclusiones: Se distingue a la HTA como el principal antecedente modificable, cuya prevención reduciría notablemente su mortalidad. Palabras clave:  accidente cerebrovascular, epidemiología, hospitales, Perú.

  9. High Power 940 nm Al-free Active Region Laser Diodes and Bars with a Broad Waveguide

    Institute of Scientific and Technical Information of China (English)

    FANG Gaozhan; XIAO Jianwei; MA Xiaoyu; XU Zuntu; ZHANG Jinming; TAN Manqing; LIU Zongshun; LIU Suping; FENG Xiaoming

    2002-01-01

    The 940 nm Al-free active region laser diodes and bars with a broad waveguide were designed and fabricated. The stuctures were grown by metal organic chemical vapour deposition. The devices show excellent performances. The maximum output power of 6.7 W in the 100 μm broad-area laser diodes has been measured, and is 2.5 times higher than that in the Al-containing active region laser diodes with a narrow waveguide and 1.7 times higher than that in Al-free active region laser diodes with a narrow waveguide. The 19% fill-factor laser diode bars emit 33 W, and they can operate at 15W with low degradation rates.

  10. The effects of B/(B+Al) ratio on glass formation regions and properties of phosphate edge-cladding glasses

    Institute of Scientific and Technical Information of China (English)

    Fenggang Zhao; Qinglei Dong; Lili Hu

    2007-01-01

    The glass-forming region of P2O5-Al2O3-B2O3-ZnO-Na2O-CuCl system with different Al2O3 and B2O3 contents was studied. The dependence of glasses properties on B/(B+Al) ratio was investigated. The absorption coefficient of copper ion in a specific glass was measured. These results are very helpful to the designing of a cladding glass for large size neodymium phosphate glass.

  11. The impact of ice-skating injuries on orthopaedic admissions in a regional hospital.

    LENUS (Irish Health Repository)

    Dillon, J P

    2012-02-03

    Since the opening of a temporary ice-rink in our hospital\\'s catchment area, we have observed an increase in patients requiring in-patient treatment for orthopaedic intervention. The authors performed a prospective analysis of all patients admitted to our unit over a one-month period. Epidemiological data, wearing of protective gear and skater experience were collected. Fracture type, treatment required, average length of hospital stay and number of days missed from work was also recorded. Ice-skating injuries accounted for 7.7% of our total admissions over the study period. There was a significant variation noted in the types of fracture sustained ranging from comminuted fractures of the radial head to spiral fractures of the tibia. The average length of hospital stay was 2.6 days and average time missed from work was 6.1 weeks. This paper highlights the potential serious injuries that can occur in ice-skating and their impact on admissions to our orthopaedic unit.

  12. Clinical experience of large colorectal laterally spreading tumor in a regional hospital: 2-year results

    Directory of Open Access Journals (Sweden)

    Wen-Hsin Hsu

    2014-06-01

    Conclusion: Although long-term outcome comparison was lacking, endoscopic treatment should be considered firstly for colorectal LST under the consideration of shorter hospitalization. Most of our analyses between the G and NG groups were statistically insignificant, which is likely to be due to the small population base.

  13. ENTEROBACTERIACAE, PRODUCING ESBLS AND METALLO-β-LACTAMASE NDM-1, ISOLATED IN HOSPITALS OF BALTIC REGION COUNTRIES

    Directory of Open Access Journals (Sweden)

    S. A. Egorova

    2013-01-01

    Full Text Available Abstract. We studied the prevalence of K. pneumoniae and E. coli resistance to extended spectrum cephalosporins and carbapenems, isolated from patients of eight hospitals in St-Petersburg from January to May, 2012. Prevalence of cephalosporin resistant isolates varied in different hospitals: E. coli – from 7,8 to 50%, K. pneumoniae – from 25,4 to 88,4%. Isolates produced extended spectrum beta-lactamases СТХ-М, mainly СТХ-М-1, also СТХ-М-2 and СТХ-М-9. Twenty two carbapenem-resistant K. pneumoniae strains (also resistant to other antimicrobials were isolated in three hospitals. MALDI-TOF MS showed that carbapenem resistance was caused by carbapenemase. Carbapenemases of all isolates belonged to metallo-β-lactamases according to results of the ROSCO Diagnostica tests. The gene coding production of New Delhi metallo-β-lactamase (blaNDM-1 were detected in all strains. Our data confirmed that the main cephalosporin resistance mechanism of E. coli и K. pneumoniae in Baltic region (including Russia, St-Petersburg is CTX-M-1 production. For the first time in Russia K. pneumoniae strains  producing metallo-β-lactamases NDM-1 were isolated in several hospitals of St-Petersburg.

  14. Factors influencing surgical delay after hip fracture in hospitals of Emilia Romagna Region, Italy: a multilevel analysis.

    Science.gov (United States)

    Belotti, Laura Maria Beatrice; Bartoli, Simona; Trombetti, Susanna; Montella, Maria Teresa; Toni, Aldo; De Palma, Rossana

    2013-01-01

    Hip fracture is becoming a major public health concern, with associated mortality and morbidity particularly in the elderly. This study aims to investigate factors (i.e. patient factors and hospital variables) associated with increased risk for delaying surgery after hip fractures, and to assess whether and to what extent timing was associated with mortality risk. All patients aged 65 and over, resident in Emilia Romagna Region (Italy) and admitted to hospital for hip fracture (2009 - 2010) were selected. Data on surgical delay were adjusted using multilevel logistic regression model. A Cox proportional hazard model was fitted to a propensity score matched sample to assess mortality between delayed and early treated patients. Of the 10, 995 patients included (mean age: 83.3 years), 44.9% underwent surgery within 2 days. Significant risk factors for delayed surgery were: gender (OR: 1.16), comorbidity (OR: 1.29), anticoagulant (OR: 7.64) ,antiplatelet medication (OR: 2.43) , type of procedure (OR: 1.37) and day of admission (OR: Thu-Fri: 6.05; Sat-Sun: 1.17). Type of hospital and annual volume of hip fracture surgeries were not sufficient to explain hospital variability. A significant difference in mortality rate between early and delayed surgery emerged six months post surgery. PMID:23397198

  15. Dynamic viscoelasticity of Zr-Al-Ni-Cu metallic glass in the glass transition region

    International Nuclear Information System (INIS)

    Viscoelastic behaviour of a metallic glass Zr55Al10Ni5Cu30 has been studied by measuring the dynamic shear modulus G under forced vibration at low frequencies below 1 Hz. In measurements with increasing temperature, the shear modulus falls markedly at temperatures around the glass transition but at different rates under different vibration frequencies. The dynamic viscosity η has been evaluated using the relation η = G/(iω), where ω is the angular frequency. The curves of |η| vs temperature of different frequencies converge to a single curve in the glass transition region, and the converged curve is in fair agreement with the data reported in the literature. The dynamic glass transition point, defined as the vibration frequency and temperature at which the curves of the storage modulus G1 and the loss modulus G2 cross each other, obeys the Arrhenius law. The pre-exponential factor and the activation energy of the transition frequency are unusually large, suggesting that collective movements of atoms control the transition.

  16. Functional regions of Candida albicans hyphal cell wall protein Als3 that determine interaction with the oral bacterium Streptococcus gordonii.

    Science.gov (United States)

    Bamford, Caroline V; Nobbs, Angela H; Barbour, Michele E; Lamont, Richard J; Jenkinson, Howard F

    2015-01-01

    The opportunistic pathogen Candida albicans colonizes the oral cavity and gastrointestinal tract. Adherence to host cells, extracellular matrix and salivary glycoproteins that coat oral surfaces, including prostheses, is an important prerequisite for colonization. In addition, interactions of C. albicans with commensal oral streptococci are suggested to promote retention and persistence of fungal cells in mixed-species communities. The hyphal filament specific cell wall protein Als3, a member of the Als protein family, is a major determinant in C. albicans adherence. Here, we utilized site-specific in-frame deletions within Als3 expressed on the surface of heterologous Saccharomyces cerevisiae to determine regions involved in interactions of Als3 with Streptococcus gordonii. N-terminal region amino acid residue deletions Δ166-225, Δ218-285, Δ270-305 and Δ277-286 were each effective in inhibiting binding of Strep. gordonii to Als3. In addition, these deletions differentially affected biofilm formation, hydrophobicity, and adherence to silicone and human tissue proteins. Deletion of the central repeat domain (Δ434-830) did not significantly affect interaction of Als3 with Strep. gordonii SspB protein, but affected other adherence properties and biofilm formation. Deletion of the amyloid-forming region (Δ325-331) did not affect interaction of Als3 with Strep. gordonii SspB adhesin, suggesting this interaction was amyloid-independent. These findings highlighted the essential function of the N-terminal domain of Als3 in mediating the interaction of C. albicans with S. gordonii, and suggested that amyloid formation is not essential for the inter-kingdom interaction.

  17. Candida species distribution and fluconazole susceptibility of blood isolates at a regional hospital in Passo Fundo, RS, Brazil

    Directory of Open Access Journals (Sweden)

    Maira Giseli C. Silva

    2015-06-01

    Full Text Available ABSTRACT Introduction: Candidemia is a bloodstream infection produced by Candida genus yeasts. Objective: The purpose of this study was to characterize the epidemiology and the fluconazole susceptibility in Candida species isolated from patients at a regional hospital in Passo Fundo, RS. Methods: Records from the laboratory were used to identify patients with positive blood cultures for Candida between 2010 and 2011. The in vitro activity of fluconazole was determined using the disk diffusion method. Results: Were analyzed 24 positive blood cultures for Candida and found a 54.16% mortality rate. C. albicans was the most prevalent species, followed by C. parapsilosis and C. krusei. For susceptibility to fluconazole, C. albicans, C. parapsilosis and C. tropicalis showed 100% sensitivity. However, C. krusei was 100% resistant; and C. glabrata, 50% resistant. Conclusion: The high mortality and fluconazole resistance rates emphasize the importance of the diagnosis of candidemia in a hospital environment.

  18. [Isolated yeast species in urine samples in a Spanish regional hospital].

    Science.gov (United States)

    Heras-Cañas, Victor; Ros, Luis; Sorlózano, Antonio; Gutiérrez-Soto, Blanca; Navarro-Marí, José María; Gutiérrez-Fernández, José

    2015-01-01

    Candiduria detection in hospitalized or immunocompromised patients is of great clinical significance. The aim of our study was to describe the isolation frequency of significant species of yeasts in urine samples processed in our hospital during the period 2010- 2013, and to analyze their susceptibility to commonly used antifungal agents. Species identification was performed by seeding on a chromogenic medium, the filamentation test and automated systems (ASM Vitek and MALDI Biotyper), while susceptibility was determined using the ASM Vitek system. Of the 632 yeast isolates in urine, 371 were Candida albicans species and 261 non-C. albicans Candida spp. The species with the highest number of resistant isolates were Candida glabrata and Candida krusei. Based on the results obtained, we believe that species identification and the susceptibility study should be current practice in the laboratories when species other than C. albicans are isolated.

  19. The lived experience of patients regarding patients' rights practice at hospitals in Amhara Region, northern Ethiopia

    Directory of Open Access Journals (Sweden)

    Berhane A

    2016-05-01

    Full Text Available Adugnaw Berhane,1 Fikre Enquselassie2 1College of Health Sciences, Debre Berhan University, Debre Berhan, 2School of Public Health, Addis Ababa University, Addis Ababa, EthiopiaBackground: There are a number of different international guidelines promoting the practice of observing patients’ rights in the health care service. Patients experience greater satisfaction in the health care service when their rights are protected. The purpose of this study was to examine patients’ experiences regarding their rights in hospital settings in northern Ethiopia.Patients and methods: Data were collected using semistructured interviews of 22 patients, who have had experience of health care service in the hospital setting. The patients were selected from the outpatient and inpatient departments of referral and district hospitals in northern Ethiopia. The interview data were tape-recorded, transcribed, translated, reviewed, and analyzed using a phenomenographic approach. Categories of descriptions were constructed based on the patients’ conceptions and ways of understanding the phenomenon of patients’ rights practice.Results: The findings revealed four main qualitatively different ways of understanding patients’ rights practice from the patients’ perspective. These main categories of description were patient-centered practice, being secured, respecting patients’ dignity, and getting referral.Conclusion: The different conceptions of patient rights give us a deeper understanding of how patients may experience patients’ rights practice. The result provides a foundation for developing health care practice that equips the patient with a positive experience, thus contributing in drafting patients’ bill of rights in the local context.Keywords: patient rights, phenomenography, hospital health care, patient experience

  20. Plasmodium vivax Hospitalizations in a Monoendemic Malaria Region: Severe Vivax Malaria?

    OpenAIRE

    Quispe, Antonio M.; Pozo, Edwar; Guerrero, Edith; Durand, Salomón; Baldeviano, G. Christian; Edgel, Kimberly A.; Graf, Paul C. F.; Lescano, Andres G.

    2014-01-01

    Severe malaria caused by Plasmodium vivax is no longer considered rare. To describe its clinical features, we performed a retrospective case control study in the subregion of Luciano Castillo Colonna, Piura, Peru, an area with nearly exclusive vivax malaria transmission. Severe cases and the subset of critically ill cases were compared with a random set of uncomplicated malaria cases (1:4). Between 2008 and 2009, 6,502 malaria cases were reported, including 106 hospitalized cases, 81 of which...

  1. Incidence of Community-associated Methicillin-resistant Staphylococcus aureus Infections in a Regional Hospital

    OpenAIRE

    Kawabata, Hidenobu; Murakami, Manabu; Kisa, Kengo; Maezawa, Masaji

    2011-01-01

    Background and Objective: Since the early 2000s, the incidence of methicillin-resistant Staphylococcus aureus (MRSA) infections among the community of people lacking known healthcare risk factors has increased. This MRSA infection is referred to as community-associated MRSA (CA-MRSA) infection and is distinct from hospital-associated MRSA (HA-MRSA) infection, which occurs among people with known healthcare risk factors. Understanding the epidemiology of CA-MRSA infections is critical; however...

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

    Science.gov (United States)

    Grujić, M

    1994-01-01

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

  3. Hospital-based register of stroke in the Molise Region: focus on main subtypes of stroke. Years 2009-2013.

    Science.gov (United States)

    Iacoviello, Licia; Costanzo, Simona; Persichillo, Mariarosaria; Sparano, Antonio; Bartolo, Michelangelo; Polizzi, Bianca Maria; Donati, Maria Benedetta; de Gaetano, Giovanni

    2016-02-01

    We determined incidence and intra-hospital mortality rate of stroke in Molise, Italy, to provide information for planning regional healthcare facilities and to ameliorate stroke management in this region. This study is part of the "Rete Molisana dell'Ictus Cerebrale (REMOLIC)" study, a population-based Cerebrovascular Registry in Molise, from 2009 to 2013, with a cold pursuit approach. The crude annual incidence rates for total stroke per 100,000 inhabitants, notified by hospital discharge records, were 198 for 2009, 185 for 2010, 169 for 2011, and 176 for both 2012 and 2013. There was a significant decrease in risk in the years 2011-2013 [RR2011 vs. 2009: 0.85 (0.76-0.98), RR2012 vs. 2009: 0.89 (0.79-0.99), RR2013 vs. 2009: 0.89 (0.79-0.99)] as compared with 2009. For the year 2010, after adjustment to the Italian, European, and world populations, the overall incidence rates were 165, 134, and 67 per 100,000/year, respectively. Similar trends were found when men and women were analyzed separately. In the average, 20.8 % of subjects admitted for a cerebrovascular accident died during the hospitalization, among these 93.5 % in the first 28 days. The duration of hospital stay was constant in the years (2009-2012), except during 2013, where there was a significant decrease in the average (p years. This study underlines the need to plan better stroke management in Italy, in order to obtain outcomes more similar to those of the best performing countries.

  4. Caesarean delivery in the Limbé and the Buea regional hospitals, Cameroon: frequency, indications and outcomes

    Science.gov (United States)

    Tanyi, Tanyi John; Atashili, Julius; Fon, Peter Nde; Robert, Tchounzou; Paul, Koki Ndombo

    2016-01-01

    Introduction Neonatal outcomes can be directly and indirectly affected by caesarean delivery (CD). Data on CD rates in semi-urban and rural hospitals in resource-limited settings are scarce and yet are needed to better guide the care of women and neonates in these settings. we carried out this study to determine the frequency of CD, its indications and the frequency of the various adverse neonatal outcomes (ANO) in the Limbe Regional Hospital (LRH) and the Buea Regional Hospital (BRH), Cameroon. We also assessed the relationship between the indication for CD and ANO in the said hospitals. Methods This was a hospital-based retrospective and prospective cross-sectional study using descriptive and analytic methods conducted in the LRH and the BRH maternity units within a nine months period in 2015. Informed consent was obtainedfrom mothers of the neonates. Data analyses were performed using Epi-Info 3.5.4 software. Results We recruited 199 neonates born through CD. The prevalence of CD was 13.3% with cephalopelvic disproportion (CPD) being the most frequent (32.2%) indication for CD. There were 52 (26.1%) ANO following CD and respiratory distress was the most common 24 (46.2%) of all ANO. Emergency indications for CD were associated with more ANO 49 (34.5%) as compared to elective indications for CD 3 (5.3%) [p-value<0.001]. We noted a significant association between indications for CD and the various type of ANO, with CPD having the worse prognostic neonatal outcomes 30.8% [p-value=0.02]. Conclusion The prevalence of ANO associated with CD in our hospitals was high with a worrying prognosis. While the exact reasons are unknown, the creation of well-equipped neonatal units with trained staff, may contribute to reduce neonatal morbidity and fatalities. Furthermore, the association of CPD to worse prognostic neonatal outcomes calls for clinicians, to consider additional management options, such as antibiotic prophylaxis and oxygen therapy to the neonates, prior to CD.

  5. Al-free active region laser diodes at 894 nm for compact Cesium atomic clocks

    Science.gov (United States)

    Von Bandel, N.; Bébé Manga Lobé, J.; Garcia, M.; Larrue, A.; Robert, Y.; Vinet, E.; Lecomte, M.; Drisse, O.; Parillaud, O.; Krakowski, M.

    2015-03-01

    Time-frequency applications are in need of high accuracy and high stability clocks. Compact industrial Cesium atomic clocks optically pumped is a promising area that could satisfy these demands. However, the stability of these clocks relies, among others, on the performances of laser diodes that are used for atomic pumping. This issue has led the III-V Lab to commit to the European Euripides-LAMA project that aims to provide competitive compact optical Cesium clocks for earth applications. This work will provide key experience for further space technology qualification. We are in charge of the design, fabrication and reliability of Distributed-Feedback diodes (DFB) at 894nm (D1 line of Cesium) and 852nm (D2 line). The use of D1 line for pumping will provide simplified clock architecture compared to D2 line pumping thanks to simpler atomic transitions and larger spectral separation between lines in the 894nm case. Also, D1 line pumping overcomes the issue of unpumped "dark states" that occur with D2 line. The modules should provide narrow linewidth (<1MHz), very good reliability in time and, crucially, be insensitive to optical feedback. The development of the 894nm wavelength is grounded on our previous results for 852nm DFB. Thus, we show our first results from Al-free active region with InGaAsP quantum well broad-area lasers (100μm width, with lengths ranging from 2mm to 4mm), for further DFB operation at 894nm. We obtained low internal losses below 2cm-1, the external differential efficiency is 0.49W/A with uncoated facets and a low threshold current density of 190A/cm², for 2mm lasers at 20°C.

  6. 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.

  7. Bartonella henselae en niños con adenitis regional atendidos en un hospital nacional del Perú, 2012

    Directory of Open Access Journals (Sweden)

    Edwin Miranda-Choque

    2014-04-01

    Full Text Available Con el objetivo de determinar la frecuencia de casos seropositivos a Bartonella henselae en niños con adenitis regional atendidos en un hospital nacional del Perú, se realizó un estudio trasversal en 106 niños con adenitis regional mayor de 1 cm de diámetro, de aparición aguda, con tiempo de enfermedad mayor de cinco días, atendidos en el Instituto Nacional de Salud del Niño durante el año 2012. Se definió seropositividad para B. henselae mediante el examen de inmunofluorescencia indirecta, siendo positivos 86 niños (81,1% con una mediana de edad de 7 años, rango de 5 a 11; en el análisis bivariado se encontraron como factores asociados, edad mayor de 5 años, antecedentes de fiebre, adenopatía mayor de 4 cm y reporte de contacto con gato. En conclusión, los niños con adenitis regional atendidos en este hospital de referencia nacional presentaron una frecuencia alta de serología positiva para B. henselae

  8. Bartonella henselae en niños con adenitis regional atendidos en un hospital nacional del Perú, 2012

    Directory of Open Access Journals (Sweden)

    Edwin Miranda-Choque

    2014-06-01

    Full Text Available Con el objetivo de determinar la frecuencia de casos seropositivos a Bartonella henselae en niños con adenitis regional atendidos en un hospital nacional del Perú, se realizó un estudio trasversal en 106 niños con adenitis regional mayor de 1 cm de diámetro, de aparición aguda, con tiempo de enfermedad mayor de cinco días, atendidos en el Instituto Nacional de Salud del Niño durante el año 2012. Se definió seropositividad para B. henselae mediante el examen de inmunofluorescencia indirecta, siendo positivos 86 niños (81,1% con una mediana de edad de 7 años, rango de 5 a 11; en el análisis bivariado se encontraron como factores asociados, edad mayor de 5 años, antecedentes de fiebre, adenopatía mayor de 4 cm y reporte de contacto con gato. En conclusión, los niños con adenitis regional atendidos en este hospital de referencia nacional presentaron una frecuencia alta de serología positiva para B. henselae

  9. Treatment outcome for a sample of patients with Class II division 1 malocclusion treated at a regional hospital orthodontic department.

    LENUS (Irish Health Repository)

    Burden, D J

    1998-01-01

    This retrospective study assessed the outcome of orthodontic treatment of 264 patients with Class II division 1 malocclusion (overjet greater than 6 mm). The sample comprised patients who had completed their fixed appliance orthodontic treatment at a regional hospital orthodontic unit in the Republic of Ireland. The PAR Index (Peer Assessment Rating) was used to evaluate treatment outcome using before and after treatment study casts. The results revealed that treatment for this particular type of malocclusion was highly effective with a very few patients failing to benefit from their orthodontic treatment.

  10. A training network for introducing telemedicine, telecare and hospital informatics in the Adriatic-Danube-Black Sea region.

    Science.gov (United States)

    Anogeianaki, Antonia; Ilonidis, George; Anogianakis, George; Lianguris, John; Katsaros, Kyriakos; Pseftogianni, Dimitra; Klisarova, Anelia; Negrev, Negrin

    2004-01-01

    DIMNET is a training mechanism for a region of central Europe. The aim is to upgrade the information technology skills of local hospital personnel and preserve their employability following the introduction of medical informatics. DIMNET uses Internet-based virtual classrooms to provide a 200-hour training course in medical informatics. Training takes place in the cities of Drama, Kavala, Xanthi and Varna. So far, more than 600 people have benefited from the programme. Initial results are encouraging. DIMNET promotes a new vocational training culture in the Balkans and is supported by local governments that perceive health-care as a fulcrum for economic development. PMID:15603593

  11. A training network for introducing telemedicine, telecare and hospital informatics in the Adriatic-Danube-Black Sea region.

    Science.gov (United States)

    Anogeianaki, Antonia; Ilonidis, George; Anogianakis, George; Lianguris, John; Katsaros, Kyriakos; Pseftogianni, Dimitra; Klisarova, Anelia; Negrev, Negrin

    2004-01-01

    DIMNET is a training mechanism for a region of central Europe. The aim is to upgrade the information technology skills of local hospital personnel and preserve their employability following the introduction of medical informatics. DIMNET uses Internet-based virtual classrooms to provide a 200-hour training course in medical informatics. Training takes place in the cities of Drama, Kavala, Xanthi and Varna. So far, more than 600 people have benefited from the programme. Initial results are encouraging. DIMNET promotes a new vocational training culture in the Balkans and is supported by local governments that perceive health-care as a fulcrum for economic development.

  12. Recording and Management of CCT in a Public Hospital in the Region of Laconia in Greece

    Directory of Open Access Journals (Sweden)

    Georgia Gkiouzeli

    2013-01-01

    Full Text Available Background: Cranium-cerebral traumas in today’s era are a serious public health problem with bothsocial and economic dimensions. They are characterized as an ‘epidemic’, due to the increase in car accidents and they particularly affect the productive population.The objective of this study was to investigate the occurrence and allocation of Cranium-cerebral traumas among the population in the Prefecture of Laconia, in order to determine the explanatory factors or risk factors, the record of how they are managed (diagnosis, therapy, and outcome and their correlation with demographics and other factors.Methodology: This study was conducted with the collection of data from hospital archives and Emergency Department logbooks from the General Hospital of Sparta. Specifically designed record forms were used which included patient demographics, means of arrival to the hospital, the clinical pictures, the gravity of the injury, possible accompanying injuries, diagnostic tests, treatment and outcome, as well as evidence related to the causes of the injury.Results: 2352 cases of children and adults with Cranium-cerebral traumas were included in this study who came to the Emergency Department from 1st of January 2005 to 31st of December 2010. The cause of Cranium-cerebral traumas in adults is affected by gender, nationality and place of residence, while in children it is affected by place of residence and the means of arrival to the Emergency Department. Respectively, the outcome of Cranium–cerebral traumas in adults is affected by place of residence and their means of arrival to the hospital while in children it is affected by nationality and place of residence.Conclusions: This study has revealed the magnitude of the problem and the epidemiological characteristics of Cranium-cerebral traumas in the Prefecture of Laconia, with the ultimate need for intervention at a level of prevention. Proposals regard the improvement in road networks, informative

  13. [Development of a microbiology data warehouse (Akita-ReNICS) for networking hospitals in a medical region].

    Science.gov (United States)

    Ueki, Shigeharu; Kayaba, Hiroyuki; Tomita, Noriko; Kobayashi, Noriko; Takahashi, Tomoe; Obara, Toshikage; Takeda, Masahide; Moritoki, Yuki; Itoga, Masamichi; Ito, Wataru; Ohsaga, Atsushi; Kondoh, Katsuyuki; Chihara, Junichi

    2011-04-01

    The active involvement of hospital laboratory in surveillance is crucial to the success of nosocomial infection control. The recent dramatic increase of antimicrobial-resistant organisms and their spread into the community suggest that the infection control strategy of independent medical institutions is insufficient. To share the clinical data and surveillance in our local medical region, we developed a microbiology data warehouse for networking hospital laboratories in Akita prefecture. This system, named Akita-ReNICS, is an easy-to-use information management system designed to compare, track, and report the occurrence of antimicrobial-resistant organisms. Participating laboratories routinely transfer their coded and formatted microbiology data to ReNICS server located at Akita University Hospital from their health care system's clinical computer applications over the internet. We established the system to automate the statistical processes, so that the participants can access the server to monitor graphical data in the manner they prefer, using their own computer's browser. Furthermore, our system also provides the documents server, microbiology and antimicrobiotic database, and space for long-term storage of microbiological samples. Akita-ReNICS could be a next generation network for quality improvement of infection control.

  14. Problems and solutions on issues of medical care quality in community-acquired pneumonia in hospitals of Saratov region

    Directory of Open Access Journals (Sweden)

    Lotsmanov Yu.F.

    2011-06-01

    Full Text Available Qualitative assessment of diagnostics and treatment of patients with community-acquired pneumonia (CAP was carried out in ten therapeutic departments of urban and district hospitals of Saratov region, using quality indicators (Qls. Each case of CAP was assessed in expert health care quality (HCQ card according to the diagnostic and treatment quality federal standards and the basic Ql. The application of Ql in CAP patients allowed revealing the following: low CAP agent isolation rate; late hospitalization of CAP patients; low frequency of sputum bacteriological and bacterioscopic investigations prior to antibiotic therapy; insufficient frequency of step-by-step introduction of antibiotics. Recommendations on CAP patients dispenserization were not properly prescribed; recommendations on vaccination were absent. The basic measures of HCQ improvement are as follows: organizing for each CAP patient therapeutic and diagnostic quality control according to Ql; quick administrative decisions; using of HCQ expertise during the first 2-3 days of treatment to correct diagnosis and treatment; optimizing hospital diagnostic resources (laboratory and instrumental and rational pharmacotherapy

  15. Evaluation of AlGaN-based deep ultraviolet emitter active regions by temperature dependent time-resolved photoluminescence

    Energy Technology Data Exchange (ETDEWEB)

    Sampath, A.V.; Shen, H.; Wraback, M. [Sensors and Electron Devices Directorate, U.S. Army Research Laboratory, Adelphi, MD (United States); Sun, W.; Shatalov, M.; Hu, X.; Yang, J.; Bilenko, Y.; Lunev, A.; Shur, M.S.; Gaska, R. [Sensor Electronic Technology, Inc., Columbia, SC (United States); Grandusky, J.R.; Schowalter, L.J. [Crystal IS, Inc., Green Island, NY (United States); Garrett, G.A.

    2010-10-15

    Temperature dependent time-resolved photoluminescence is used to study the development of active regions for optoelectronic devices employing AlGaN nanostructures for deep-UV emission. The changing importance of dislocation versus point defects and their relationship to different forms of carrier localization are discussed. The results presented suggest that AlGaN nanostructure development for deep-UV emitters require both point defect/impurity suppression for improved efficiency and lower dislocation density for improved interface quality. (copyright 2010 WILEY-VCH Verlag GmbH and Co. KGaA, Weinheim) (orig.)

  16. Plasmodium vivax hospitalizations in a monoendemic malaria region: severe vivax malaria?

    Science.gov (United States)

    Quispe, Antonio M; Pozo, Edwar; Guerrero, Edith; Durand, Salomón; Baldeviano, G Christian; Edgel, Kimberly A; Graf, Paul C F; Lescano, Andres G

    2014-07-01

    Severe malaria caused by Plasmodium vivax is no longer considered rare. To describe its clinical features, we performed a retrospective case control study in the subregion of Luciano Castillo Colonna, Piura, Peru, an area with nearly exclusive vivax malaria transmission. Severe cases and the subset of critically ill cases were compared with a random set of uncomplicated malaria cases (1:4). Between 2008 and 2009, 6,502 malaria cases were reported, including 106 hospitalized cases, 81 of which fit the World Health Organization definition for severe malaria. Of these 81 individuals, 28 individuals were critically ill (0.4%, 95% confidence interval = 0.2-0.6%) with severe anemia (57%), shock (25%), lung injury (21%), acute renal failure (14%), or cerebral malaria (11%). Two potentially malaria-related deaths occurred. Compared with uncomplicated cases, individuals critically ill were older (38 versus 26 years old, P malaria monoinfection with critical illness is more common than previously thought.

  17. An exploratory study of the pattern of consent for autopsy in a regional hospital setting.

    LENUS (Irish Health Repository)

    Kaar, T K

    2012-02-03

    A prospective study of the pattern of responses to requests for autopsy in a general surgical unit was performed. Information on the characteristics of the deceased, of the requestee and of the requester was documented in the case of 66 patients who died while in hospital. Permission to perform autopsy was not requested in 39 out of 66 cases and this was the most frequent contributory factor to the low rate of autopsy. Once a decision to grant or refuse autopsy is made by relatives of the deceased, the decision is unlikely to be reversed. Permission to perform autopsy was more likely to be sought when the deceased was male than when deceased was female. The relatives of patients who had recently undergone surgery were more likely to refuse permission for autopsy than were those of patients who had not had recent surgery.

  18. ELEMENTE DE INTERDISCIPLINARITATE ÎN STUDIUL REGIONAL AL ŢĂRII VRANCEI

    Directory of Open Access Journals (Sweden)

    Alexandru MUREŞAN

    2011-04-01

    Full Text Available Elements of interdisciplinarity in the regional study of the Vrancea Land. Pointing out specific elements of a land type region in Romania within a study of regional geography is a vast work. These regions being so complex, both regarding the component elements, as well as the processes and phenomena that are to be found at regional level, studying them means using interdisciplinary methods, or methods that are specific to other fields of research. This work has as purpose highlighting the connections that the regional geography has with other sciences and the way it can be influenced by those.

  19. Feasibility study for epidemic prevention and control in a regional hospital.

    Science.gov (United States)

    Chen, Yung-Liang; Yeh, Ming-Yang; Huang, Shau-Yen; Liu, Chi-Ming; Sun, Chi-Chen; Lu, Hsu-Feng; Chiu, Tsan-Hung; Hsia, Te-Chun; Chung, Jing-Gung

    2012-03-01

    Epidemic prevention policies in hospitals address issues such as, indoor air quality control, cleanliness of medical staff clothing and employee hand-washing procedures. Our hospital employed Bio-Kil to treat air-conditioning filters and nursing staff uniforms. We also assessed the efficacy of different detergents. Using Bio-Kil technology, the mean bacterial count in the air was reduced from 108.8 CFU/h/plate (n=420) to 68.6 CFU/h/plate (n=630). On the lower hems of the Bio-Kil-treated gowns, the mean bacterial count was 1,201 CFU/100 cm(2), markedly lower than the bacterial count of 7,753 CFU/100 cm(2), found on the parts of the gowns not treated with Bio-Kil (p=0.0401). On the cuffs of sleeves treated with Bio-Kil, the mean count was 1,165 CFU/100 cm(2), markedly lower than that of 2,131 CFU/100 cm(2), found on the cuffs not treated with Bio-Kil (p=0.0073). With regard to the mean bacterial eradication rates of antimicrobial solutions, Steridal Solution, 75% alcohol and Bio-Kil (3rd generation) were shown to be the most effective, with rates exceeding 80%. Hibiscrub with paper towels and Fresh Protect Skin were the second most effective. Bio-Kil (1st generation), tap water with paper towels, liquid hand soap with paper towels and ozone water were the least effective. One important observation was that hand-washing without the use of paper towels increased the bacterial count by as much as 84% . Bio-Kil is effective in reducing bacterial counts in the air, on nursing staff uniforms and is an effective detergent. PMID:22200785

  20. PATIENT SAFETY IN SURGERY: THE QUALITY OF IMPLEMENTATION OF PATIENT SAFETY CHECKLISTS IN A REGIONAL HOSPITAL

    Directory of Open Access Journals (Sweden)

    V. Karyadinata

    2012-09-01

    Full Text Available Introduction. Patient safety and the avoidance of inhospital adverse events is a key focus of clinical practice and medical audit. A large of proportion of medical errors affect surgical patients in the peri-operative setting. Safety checklists have been adopted by the medical profession from the aviation industry as a cheap and reliable method of avoiding errors which arise from complex or stressful situations. Current evidence suggests that the use of periooperative checklists has led to a decrease in surgical morbidity and hospital costs. Aim. To assess the quality of implementation of a modified patient safety checklist in a UK district general hospital. Methods. An observational tool was designed to assess in real time the peri-operative performance of the surgical safety checklist in patients undergoing general surgical, urological or orthopaedic procedures. Initiation of the checklist, duration of performance and staff participation were audited in real time. Results. 338 cases were monitored. Nurses were most active in initiating the safety checklist. The checklist was performed successfully in less than a minute in most cases. 11-24% of staff (according to professional group present in the operating room did not participate in the checklist. Critical safety checks (patient identity and procedure name were performed in all cases across all specialties. Variations were noted in checking other categories, such as deep vein thrombosis (DVT prophylaxis or patient warming. Conclusions. There is still a potential for improving the practice and culture of surgical patient safety activities. Staff training and designation of patient safety leadership roles is needed in increasing compliance and implementation of patient safety mechanism, such as peri-operative checklists. There is significant data to advocate the need to implement patient safety surgical checklists internationally

  1. Feasibility study for epidemic prevention and control in a regional hospital.

    Science.gov (United States)

    Chen, Yung-Liang; Yeh, Ming-Yang; Huang, Shau-Yen; Liu, Chi-Ming; Sun, Chi-Chen; Lu, Hsu-Feng; Chiu, Tsan-Hung; Hsia, Te-Chun; Chung, Jing-Gung

    2012-03-01

    Epidemic prevention policies in hospitals address issues such as, indoor air quality control, cleanliness of medical staff clothing and employee hand-washing procedures. Our hospital employed Bio-Kil to treat air-conditioning filters and nursing staff uniforms. We also assessed the efficacy of different detergents. Using Bio-Kil technology, the mean bacterial count in the air was reduced from 108.8 CFU/h/plate (n=420) to 68.6 CFU/h/plate (n=630). On the lower hems of the Bio-Kil-treated gowns, the mean bacterial count was 1,201 CFU/100 cm(2), markedly lower than the bacterial count of 7,753 CFU/100 cm(2), found on the parts of the gowns not treated with Bio-Kil (p=0.0401). On the cuffs of sleeves treated with Bio-Kil, the mean count was 1,165 CFU/100 cm(2), markedly lower than that of 2,131 CFU/100 cm(2), found on the cuffs not treated with Bio-Kil (p=0.0073). With regard to the mean bacterial eradication rates of antimicrobial solutions, Steridal Solution, 75% alcohol and Bio-Kil (3rd generation) were shown to be the most effective, with rates exceeding 80%. Hibiscrub with paper towels and Fresh Protect Skin were the second most effective. Bio-Kil (1st generation), tap water with paper towels, liquid hand soap with paper towels and ozone water were the least effective. One important observation was that hand-washing without the use of paper towels increased the bacterial count by as much as 84% . Bio-Kil is effective in reducing bacterial counts in the air, on nursing staff uniforms and is an effective detergent.

  2. Enterococcal urinary tract infections: eight years experience at a regional hospital in Trinidad, West Indies

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    Objective To investigate the prevalence of significant enterococcal isolates from urine and determine what factors are associated with the increased prevalence, with particular reference to antibiotic susceptibilities. Methods Retrospective analysis over an 8-year period of hospital laboratory records of urinary isolates of enterococci was done. Species were identified via colony morphology, growth in 6.5% sodium chloride and their ability to hydrolyze esculin in the presence of 40% bile salts. Susceptibility testing via the disc diffusion technique with 9 commonly used antibiotics was also done as defined by the National Committee for Clinical Laboratory Standards. Results From 39?881 urine specimens, 9116 (22.9%) were culture positive. Of this 9116, 1001 (11.0%) were enterococci, the 4th most common urinary isolate. E. coli was the most common (36.2%). Most enterococci were from pediatric patients (28.4%) and the urology unit (24.5%). All enterococci were fully sensitive to ampicillin and augmentin (amoxicillin-clavulanic acid). Sensitivity to gentamicin decreased significantly from 79% in 1990 to 58% in 1997 (P<0.005). Sensitivity to the cephalosporins and nitrofuratoin were relatively stable, but sensitivity to nalidixic acid varied. No resistance to vancomycin was detected during the study, and no cases of bacteremia complicated bacteriuria were seen. Conclusion Isolation of enterococci was relatively stable during the 8-year period, and all isolates were fully sensitive to the older β-lactams, ampicillin, cefaclor and augmentin, but displayed varying degrees of multi-resistance to other commonly used urinary agents such as nalidixic acid and co-trimoxazole (trimethoprim-sulfamethoxazole). Because of the emergence of multi-resistant enterococci in many countries, and the high cost of drugs in our society, it is imperative that vigilance be maintained in monitoring enterococcal infections in hospitals.

  3. A realist evaluation of the management of a well- performing regional hospital in Ghana

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    Kegels Guy

    2010-01-01

    Full Text Available Abstract Background Realist evaluation offers an interesting approach to evaluation of interventions in complex settings, but has been little applied in health care. We report on a realist case study of a well performing hospital in Ghana and show how such a realist evaluation design can help to overcome the limited external validity of a traditional case study. Methods We developed a realist evaluation framework for hypothesis formulation, data collection, data analysis and synthesis of the findings. Focusing on the role of human resource management in hospital performance, we formulated our hypothesis around the high commitment management concept. Mixed methods were used in data collection, including individual and group interviews, observations and document reviews. Results We found that the human resource management approach (the actual intervention included induction of new staff, training and personal development, good communication and information sharing, and decentralised decision-making. We identified 3 additional practices: ensuring optimal physical working conditions, access to top managers and managers' involvement on the work floor. Teamwork, recognition and trust emerged as key elements of the organisational climate. Interviewees reported high levels of organisational commitment. The analysis unearthed perceived organisational support and reciprocity as underlying mechanisms that link the management practices with commitment. Methodologically, we found that realist evaluation can be fruitfully used to develop detailed case studies that analyse how management interventions work and in which conditions. Analysing the links between intervention, mechanism and outcome increases the explaining power, while identification of essential context elements improves the usefulness of the findings for decision-makers in other settings (external validity. We also identified a number of practical difficulties and priorities for further

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

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    Inass Taha

    2013-07-01

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

  5. Antireflective bilayer coatings based on Al2O3 film for UV region

    OpenAIRE

    Marszałek Konstanty; Winkowski Paweł; Marszałek Marta

    2015-01-01

    Bilayer antireflective coatings consisting of aluminium oxide Al2O3/MgF2 and Al2O3/SiO2 are presented in this paper. Oxide films were deposited by means of e-gun evaporation in vacuum of 5 × 10-3 Pa in the presence of oxygen, and magnesium fluoride was prepared by thermal evaporation on heated optical lenses made from quartz glass (Corning HPFS). Substrate temperature was maintained at 250 _C during the deposition. Thickness and deposition rate were controlled with a thickness measuring syste...

  6. Gastroenteritis in a regional hospital in Kuwait: some aspects of the disease.

    Science.gov (United States)

    Khuffash, F A; Majeed, H A; Sethi, S K; Al-Nakib, W

    1982-09-01

    A review of the clinical course of gastroenteritis in 274 hospitalized children revealed a severe form of the disease. Eight-eight per cent were aged 12 months or under and 20% had severe associated malnutrition. The commonest clinical manifestations were diarrhoea (100%), dehydration (98.9%), vomiting (81.4%) and fever (77.7%). Pathogens were isolated from 75.2% of cases (rotavirus 24.5%, Escherichia coli 20.8%, salmonellae 20%, shigellae 6.2%, campylobacter 2.2% and Yersinia enterocolitica in 1.5%). Septicaemia was confirmed in 12 patients (4.4%) and strong clinical evidence of septicaemia was present in 36 more cases (13%). Dehydration was isonatraemic in 68%, hyponatraemic in 21% and hypernatraemic in 11% of cases. There was a clear association between septicaemia and hyponatraemia. The overall mortality rate was 1.8%. Data from our study show that the use of intravenous hyperalimentation, and/or antibiotics in the management of gastroenteritis in selected patients, can significantly reduce morbidity and mortality.

  7. Pattern of gastrointestinal diseases in adult patients admitted to Samtah General Hospital, Gizan region, Saudi Arabia

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    Aderoju Emmanuel

    1999-01-01

    Full Text Available To determine the relative frequencies of gastrointestinal diseases (GI in patients admitted to Samtah General Hospital, Gizan, the records of 2,442 adults admitted to the medical and surgical services for gastrointestinal diseases during the period 1413 to 1416 were analyzed retrospectively. 1,028 patients had acute appendicitis. The remaining 1,414 patients were admitted for various other GI diseases. In these 1,414 patients the commonest diseases were gastrointestinal infections (36.4%, peptic ulcer disease (19%, gall bladder disease (18.5%, viral hepatitis and its sequelae (20.7%. Despite the high prevalence of cholelithiasis, acute pancreatitis was uncommon (0.1 %. Inflammatory bowel disease was rare. There was no gender - related difference in the prevalence of gastrointestinal infections, peptic ulcer disease and carcinoma of the stomach. Males were significantly more afflicted than females with viral hepatitis (p< 0.0001, cirrhosis of the liver (p< 0.0001, hepatocellular carcinoma (p< 0.0005, variceal bleeding (p< 0.0005, and peptic ulcer bleeding (p< 0.005. As a large proportion of our patients had preventable diseases, it is expected that immunization and other public health measures will reduce the frequency of these diseases in the future.

  8. Changing trends in nervous system diseases among hospitalized children in the Chongqing region

    Institute of Scientific and Technical Information of China (English)

    Xin Zou; Nong Xiao; Bei Xu

    2008-01-01

    OBJECTIVE: To investigate the changing trends of nervous system diseases among hospitalized children and the risk factors of death. METHOD: The disease was statistically classified according to the International Statistical Classification of Disease and Health Problem (ICD10). The retrospective investigation includes demographic characteristics, as well as categories and fatality rates for nervous system diseases. All data was statistically analyzed. RESULTS: The percentage of nervous system diseases among inpatients in all wards was 2.4% (2 537/ 107 250) between January 1993 and December 1999, and 3.6% (6 082/170 619) between January 2000 and December 2006. The first ten patterns of various etiologic forms of nervous system diseases were identical-epilepsies and seizures, infections of the central nervous system, autoimmune and demyelination disorders, cerebral palsy, motor unit disorders, hypoxic-ischemic encephalopathy, hydrocephalus, extra-pyramidal disorders, congenital abnormalities of nervous system, and headache. Epilepsies and seizures took first place in both year groups, with 29.4% and 35%, respectively. Bacterial infections were responsible for the majority of cranial infections in both year groups, with 78.9% and 63.6% respectively. The death rate in the year group January 2000 to December 2006 was significantly less than in the year group January 1993 to December 1999 (X2= 27.832, P<0.01). CONCLUSION: Among all nervous system diseases, epilepsies and seizures were among the most common, with the lowest fatality rate.

  9. Indicators of breast cancer severity and appropriateness of surgery based on hospital administrative data in the Lazio Region, Italy

    Science.gov (United States)

    Schifano, Patrizia; Papini, Paolo; Agabiti, Nera; Scarinci, Marina; Borgia, Piero; Perucci, Carlo A

    2006-01-01

    Background Administrative data can serve as an easily available source for epidemiological and evaluation studies. The aim of this study is to evaluate the use of hospital administrative data to determine breast cancer severity and the appropriateness of surgical treatment. Methods the study population consisted of 398 patients randomly selected from a cohort of women hospitalized for first-time breast cancer surgery in the Lazio Region, Italy. Tumor severity was defined in three different ways: 1) tumor size; 2) clinical stage (TNM); 3) severity indicator based on HIS data (SI). Sensitivity, specificity, and positive predictive value (PPV) of the severity indicator in evaluating appropriateness of surgery were calculated. The accuracy of HIS data was measured using Kappa statistic. Results Most of 387 cases were classified as T1 and T2 (tumor size), more than 70% were in stage I or II and the SI classified 60% of cases in medium-low category. Variation from guidelines indications identified under and over treatments. The accuracy of the SI to predict under-treatment was relatively good (58% of all procedures classified as under-treatment using pT where also classified as such using SI), and even greater predicting over-treatment (88.2% of all procedures classified as over treatment using pT where also classified as such using SI). Agreement between clinical chart and hospital discharge reports was K = 0.35. Conclusion Our findings suggest that administrative data need to be used with caution when evaluating surgical appropriateness, mainly because of the limited ability of SI to predict tumor size and the questionable quality of HIS data as observed in other studies. PMID:16464258

  10. Indicators of breast cancer severity and appropriateness of surgery based on hospital administrative data in the Lazio Region, Italy

    Directory of Open Access Journals (Sweden)

    Scarinci Marina

    2006-02-01

    Full Text Available Abstract Background Administrative data can serve as an easily available source for epidemiological and evaluation studies. The aim of this study is to evaluate the use of hospital administrative data to determine breast cancer severity and the appropriateness of surgical treatment. Methods the study population consisted of 398 patients randomly selected from a cohort of women hospitalized for first-time breast cancer surgery in the Lazio Region, Italy. Tumor severity was defined in three different ways: 1 tumor size; 2 clinical stage (TNM; 3 severity indicator based on HIS data (SI. Sensitivity, specificity, and positive predictive value (PPV of the severity indicator in evaluating appropriateness of surgery were calculated. The accuracy of HIS data was measured using Kappa statistic. Results Most of 387 cases were classified as T1 and T2 (tumor size, more than 70% were in stage I or II and the SI classified 60% of cases in medium-low category. Variation from guidelines indications identified under and over treatments. The accuracy of the SI to predict under-treatment was relatively good (58% of all procedures classified as under-treatment using pT where also classified as such using SI, and even greater predicting over-treatment (88.2% of all procedures classified as over treatment using pT where also classified as such using SI. Agreement between clinical chart and hospital discharge reports was K = 0.35. Conclusion Our findings suggest that administrative data need to be used with caution when evaluating surgical appropriateness, mainly because of the limited ability of SI to predict tumor size and the questionable quality of HIS data as observed in other studies.

  11. Lung cancer risk and pollution in an industrial region of Northern Spain: a hospital-based case-control study

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    Aragonés Nuria

    2011-01-01

    Full Text Available Abstract Background Asturias, an Autonomous Region in Northern Spain with a large industrial area, registers high lung cancer incidence and mortality. While this excess risk of lung cancer might be partially attributable to smoking habit and occupational exposure, the role of industrial and urban pollution also needs to be assessed. The objective was to ascertain the possible effect of air pollution, both urban and industrial, on lung cancer risk in Asturias. Methods This was a hospital-based case-control study covering 626 lung cancer patients and 626 controls recruited in Asturias and matched by ethnicity, hospital, age, and sex. Distances from the respective participants' residential locations to industrial facilities and city centers were computed. Using logistic regression, odds ratios (ORs and 95% confidence intervals (95%CIs for categories of distance to urban and industrial pollution sources were calculated, with adjustment for sex, age, hospital area, tobacco consumption, family history of cancer, and occupation. Results Whereas individuals living near industries displayed an excess risk of lung cancer (OR = 1.49; 95%CI = 0.93-2.39, which attained statistical significance for small cell carcinomas (OR = 2.23; 95%CI = 1.01-4.92, residents in urban areas showed a statistically significant increased risk for adenocarcinoma (OR = 1.92; 95%CI = 1.09-3.38. In the Gijon health area, residents in the urban area registered a statistically significant increased risk of lung cancer (OR = 2.17; 95%CI = 1.25-3.76, whereas in the Aviles health area, no differences in risk were found by area of exposure. Conclusions This study provides further evidence that air pollution is a moderate risk factor for lung cancer.

  12. Why does it take so long? ‘Lean processing’ in the aseptic compounding unit at the Midland Regional Hospital Tullamore

    LENUS (Irish Health Repository)

    Greene, C

    2011-06-01

    Increasing numbers of oncology\\/haematology patients attending Midland Regional Hospital Tullamore (MRHT) has increased the workload of the Regional Oncology Haematology Pharmacy (ROHP) compounding unit. Staff restrictions require optimisation of current workflow practices. This audit (November 2010 and June 2011) focused on workflow in the aseptic compounding unit.\\r\

  13. Regional and temporal variations in coding of hospital diagnoses referring to upper gastrointestinal and oesophageal bleeding in Germany

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    Garbe Edeltraut

    2011-08-01

    Full Text Available Abstract Background Health insurance claims data are increasingly used for health services research in Germany. Hospital diagnoses in these data are coded according to the International Classification of Diseases, German modification (ICD-10-GM. Due to the historical division into West and East Germany, different coding practices might persist in both former parts. Additionally, the introduction of Diagnosis Related Groups (DRGs in Germany in 2003/2004 might have changed the coding. The aim of this study was to investigate regional and temporal variations in coding of hospitalisation diagnoses in Germany. Methods We analysed hospitalisation diagnoses for oesophageal bleeding (OB and upper gastrointestinal bleeding (UGIB from the official German Hospital Statistics provided by the Federal Statistical Office. Bleeding diagnoses were classified as "specific" (origin of bleeding provided or "unspecific" (origin of bleeding not provided coding. We studied regional (former East versus West Germany differences in incidence of hospitalisations with specific or unspecific coding for OB and UGIB and temporal variations between 2000 and 2005. For each year, incidence ratios of hospitalisations for former East versus West Germany were estimated with log-linear regression models adjusting for age, gender and population density. Results Significant differences in specific and unspecific coding between East and West Germany and over time were found for both, OB and UGIB hospitalisation diagnoses, respectively. For example in 2002, incidence ratios of hospitalisations for East versus West Germany were 1.24 (95% CI 1.16-1.32 for specific and 0.67 (95% CI 0.60-0.74 for unspecific OB diagnoses and 1.43 (95% CI 1.36-1.51 for specific and 0.83 (95% CI 0.80-0.87 for unspecific UGIB. Regional differences nearly disappeared and time trends were less marked when using combined specific and unspecific diagnoses of OB or UGIB, respectively. Conclusions During the study

  14. Cosmogenic Records in 18 Ordinary Chondrites from the Dar Al Gani Region, Libya. 1; Noble Gases

    Science.gov (United States)

    Schultz, L.; Franke, L.; Welten, K. C.; Nishiizumi, K.; Jull, A. J. T.

    2003-01-01

    In the last decade thousands of meteorites have been recovered from hot deserts in the Sahara and Oman. One of the main meteorite concentration surfaces in the Sahara is the Dar al Gani plateau in Libya, which covers a total area of 8000 km2. More than 1000 meteorites have been reported from this area. The geological setting, meteorite pairings and the meteorite density of the Dar al Gani (DaG) field are described in more detail in [1]. In this work we report concentrations of the noble gas isotopes of He, Ne, Ar as well as 84Kr and 132Xe in 18 DaG meteorites. In a separate paper we will report the cosmogenic radionuclides [2]. We discuss the thermal history and cosmic-ray exposure (CRE) history of these meteorites, and evaluate the effects of the hot desert environment on the noble gas record.

  15. Seroprevalence of HDV among non-hospitalized HBsAg positive patients from KPK-region of Pakistan

    Institute of Scientific and Technical Information of China (English)

    Ismail Jalil; Muhammad Arshad; Zara Rafaque; Fazle Raziq; Robina Wazir; Sajid Malik; Javid Iqbal Dasti

    2016-01-01

    Objective: To study the seroprevalence of hepatitis B virus (HBV) and hepatitis delta virus (HDV) infections in patients visiting outpatient department of a major tertiary care hospital in Khyber Pakhtunkhwa region of Pakistan. Methods: Blood samples were collected from non-hospitalized patients. Serological analysis was done by ELISA and viral DNA was amplified by PCR. The amplified DNA was analyzed by agarose gel electrophoresis. Results: Altogether, 946 blood samples were screened, overall percentage of HBsAg-positive patients remained 22.41%(prevalence:224.10/1 000;CI:0.197 5 ± 0.250 7) with the highest incidence rates among relatively younger age groups (20–29 years). The prevalence of HBV–HDV co-infection was found to be 46.75/1 000;CI:0.031 8 ± 0.061 7. In HBsAg-positive patients, anti-HBc-total was detected in 86.79%while 25.00% were positive for anti-HBc-immunoglobulin M. Similarly, among these patients, HBV DNA was detected in 64.13% and 10.85% were co-infected with HDV. Different symptoms were associated with the prevailing infection, including malaise (62%), anorexia (66%) and fa-tigue (73%). The most commonly associated symptom was abdominal discomfort. Among these patients, certain risk factors, including surgery, visit to dentist and intravenus infusions were frequently associated with the infection (c2=95.23;df=11;P<0.000 1). Conclusions: Overall, this study confirmed higher prevalence of active HBV/HDV infection, among young patients from Khyber Pakhtunkhwa region having no prior history of viral hepatitis.

  16. Methodological issues on the use of administrative data in healthcare research: the case of heart failure hospitalizations in Lombardy region, 2000 to 2012

    OpenAIRE

    Mazzali, Cristina; Paganoni, Anna Maria; Ieva, Francesca; Masella, Cristina; Maistrello, Mauro; Agostoni, Ornella; Scalvini, Simonetta; Frigerio, Maria; ,

    2016-01-01

    Background Administrative data are increasingly used in healthcare research. However, in order to avoid biases, their use requires careful study planning. This paper describes the methodological principles and criteria used in a study on epidemiology, outcomes and process of care of patients hospitalized for heart failure (HF) in the largest Italian Region, from 2000 to 2012. Methods Data were extracted from the administrative data warehouse of the healthcare system of Lombardy, Italy. Hospit...

  17. Nutritional assessment of adult patients admitted to a hospital of the Amazon region Evaluación nutricional de pacientes adultos ingresados en un hospital de la región amazónica

    Directory of Open Access Journals (Sweden)

    K. Acuña

    2003-06-01

    Full Text Available Changes in nutritional status are important in clinical practice because they relate to an increase in morbidity and mortality. Studies about nutritional problems in hospitalized adults have been reported since the 1970s. The prevalence of malnutrition has varied from 10 to 70%, depending on the diagnostic criteria used. The hospital studied and the duration of admission. Aim: To assess, in the first day of hospital stay, the nutritional status of adults admitted to undergo elective surgery in a public hospital of the State of Acre, Amazon Region, Brazil. Study design: Sectional study from April 7 to May 22, 2002. Patients and methods: 155 consecutive nutritional evaluations were performed using several parameters - global subjective assessment (GSA, anthropometric measurement and some laboratory tests. For the diagnosis of malnutrition the Index Suggestive of Malnutrition (ISM, as proposed by Waitzberg, was adopted. In the evaluation of obesity the BMI (Body Mass Index, with cutoffs suggested by WHO was used. Results: 75.2% were women. Average age was 34.4 ± 10.1 years. Mulatto (63.1% was the prevailing racial group. Gynecological (43.6% was the most frequent surgery. ISM disclosed a 12.1% prevalence of malnutrition. BMI classified 2.0% of the patients as grade I overweight and 15.4% as being obese. Among 76 patients classified as normal by BMI, 15 (19.7% were considered malnourished by ISM criteria. Concordance between ISM and BMI was weak (k = 0.07. GSA classified 100% of the cases as well nourished. Conclusion: Lack of a golden standard to make the diagnosis of changes in nutritional status has been one of the determinants of the wide variations observed in the pertinent literature and it has hindred valid comparisons. The present study suggests that BMI should be used as an indicator of proportion and not of nutritional status. GSA underestimates the diagnosis of malnutrition. This paper concludes that establishing uniform standards for

  18. Temperature dependence of convective heat transfer with Al2O3 nanofluids in the turbulent flow region.

    Science.gov (United States)

    Kwon, Younghwan; Lee, Kwangho; Park, Minchan; Koo, Kyoungmin; Lee, Jaekeun; Doh, Youngjin; Lee, Soowon; Kim, Doohyun; Jung, Yoongho

    2013-12-01

    An experimental investigation on the characteristics of the convective heat transfer in the fully developing region of a circular straight tube with a constant heat flux was carried out with Al2O3 nanofluids. Stable nanofluids, which were water-based suspensions of Al2O3 nanoparticles, were prepared by two-step method. The effects of the thermal conductivity, viscosity, and heat capacity of the nanofluids on convective heat transfer were investigated. The result showed that the coefficient enhancement of the convective heat transfer in the Al2O3 nanofluids was increased with increasing fluid temperature compared to that of water at a volume fraction of 3.0% in the turbulent flow region. Thermal conductivity was increased from 8% to 20%, and the increment of convective heat transfer coefficient was enhanced from 14% to 30% with fluid temperature from 22 degrees C to 75 degrees C, respectively. We observed that the increment of convective heat transfer coefficient in nanofluids was much higher than that of the thermal conductivity at a given temperature condition. The enhancement of Brownian motion due to the decreasing kinematic viscosity led to a higher convective heat transfer coefficient at a higher temperature condition.

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

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    Rocío Martínez Malqui

    2010-08-01

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

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

    Directory of Open Access Journals (Sweden)

    Hasan Al-Dahamsheh

    2012-09-01

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

  1. Experiência de farmacovigilância no Hospital Universitário Regional de Maringá, Estado do Paraná Pharmacovigilance at Regional University Hospital in Maringá, PR

    Directory of Open Access Journals (Sweden)

    Ana Carolina Feitoza Bohm

    2002-04-01

    Full Text Available Este trabalho relata a experiência da investigação dos casos suspeitos de reações adversas registrados no Hospital Universitário Regional de Maringá, Estado do Paraná. Descreve-se o procedimento para a coleta dos dados e a estratégia das visitas domiciliares utilizadas tanto para o esclarecimento do diagnóstico, como para que as medidas de orientação do uso e armazenamento correto de medicamentos sejam fornecidas a estas pessoas e aos seus familiares. No período de 1996 a 2000, foram registrados 316 casos suspeitos de reações adversas, dos quais foi possível realizar visita domiciliar em 105. A aplicação do algoritmo de Naranjo permitiu classificar os casos suspeitos em casos provados (4,8%, prováveis (56,7%, possíveis (34,6% e duvidosos (3,9%. Verificou-se também que a maioria das notificações são provenientes de busca ativa nos prontuários e que as notificações voluntárias ainda são mínimas. Portanto, estratégias visando ao aumento das notificações voluntárias por parte dos profissionais de saúde, independentemente da gravidade dos casos suspeitos ou das reações serem conhecidas ou não, deverão ser elaboradasThis work describes the investigative experience of suspected cases of adverse drug reactions reported at Regional University Hospital of Maringá. Data collection and home visit procedures are described as both - a way to clarify the diagnosis; a way to provide these people and their family information about using and storage of medication. From 1996 to 2000, 316 cases of suspicious adverse drug reactions were registered. From the total, in only 105 cases the home visit was carried out. The application of the Algorithm of Naranjo allowed classifying the suspicious cases in evident cases (4,8%, probable (56,7%, possible (34,6% and doubtful (3,9%. It was also verified that most of the notifications originate from active search in medical files and that the spontaneous reporting are still few. Therefore

  2. Del fracaso del desarrollo al desarrollo endógeno sustentable: La nueva Organización de Desarrollo Regional

    OpenAIRE

    José J. Contreras; Alejandro Ochoa Arias; Claudia Pilonieta Blanco

    2007-01-01

    El objetivo del presente artículo es colaborar en el debate en torno al fracaso del paradigma tecno-económico del desarrollo en Venezuela y sus implicaciones en la organización de Desarrollo Regional. En este orden de ideas el artículo presenta un breve esbozo del paradigma tecno-económico del desarrollo y del fracaso de su implantación en Venezuela. El fracaso se entenderá en términos de una catástrofe cultural en Venezuela que alcanza su crisis a finales del siglo XX. Como contr...

  3. Regions of High Out-Of-Hospital Cardiac Arrest Incidence and Low Bystander CPR Rates in Victoria, Australia

    Science.gov (United States)

    Straney, Lahn D.; Bray, Janet E.; Beck, Ben; Finn, Judith; Bernard, Stephen; Dyson, Kylie; Lijovic, Marijana; Smith, Karen

    2015-01-01

    Background Out-of-hospital cardiac arrest (OHCA) remains a major public health issue and research has shown that large regional variation in outcomes exists. Of the interventions associated with survival, the provision of bystander CPR is one of the most important modifiable factors. The aim of this study is to identify census areas with high incidence of OHCA and low rates of bystander CPR in Victoria, Australia Methods We conducted an observational study using prospectively collected population-based OHCA data from the state of Victoria in Australia. Using ArcGIS (ArcMap 10.0), we linked the location of the arrest using the dispatch coordinates (longitude and latitude) to Victorian Local Government Areas (LGAs). We used Bayesian hierarchical models with random effects on each LGA to provide shrunken estimates of the rates of bystander CPR and the incidence rates. Results Over the study period there were 31,019 adult OHCA attended, of which 21,436 (69.1%) cases were of presumed cardiac etiology. Significant variation in the incidence of OHCA among LGAs was observed. There was a 3 fold difference in the incidence rate between the lowest and highest LGAs, ranging from 38.5 to 115.1 cases per 100,000 person-years. The overall rate of bystander CPR for bystander witnessed OHCAs was 62.4%, with the rate increasing from 56.4% in 2008–2010 to 68.6% in 2010–2013. There was a 25.1% absolute difference in bystander CPR rates between the highest and lowest LGAs. Conclusion Significant regional variation in OHCA incidence and bystander CPR rates exists throughout Victoria. Regions with high incidence and low bystander CPR participation can be identified and would make suitable targets for interventions to improve CPR participation rates. PMID:26447844

  4. Regions of High Out-Of-Hospital Cardiac Arrest Incidence and Low Bystander CPR Rates in Victoria, Australia.

    Directory of Open Access Journals (Sweden)

    Lahn D Straney

    Full Text Available Out-of-hospital cardiac arrest (OHCA remains a major public health issue and research has shown that large regional variation in outcomes exists. Of the interventions associated with survival, the provision of bystander CPR is one of the most important modifiable factors. The aim of this study is to identify census areas with high incidence of OHCA and low rates of bystander CPR in Victoria, Australia.We conducted an observational study using prospectively collected population-based OHCA data from the state of Victoria in Australia. Using ArcGIS (ArcMap 10.0, we linked the location of the arrest using the dispatch coordinates (longitude and latitude to Victorian Local Government Areas (LGAs. We used Bayesian hierarchical models with random effects on each LGA to provide shrunken estimates of the rates of bystander CPR and the incidence rates.Over the study period there were 31,019 adult OHCA attended, of which 21,436 (69.1% cases were of presumed cardiac etiology. Significant variation in the incidence of OHCA among LGAs was observed. There was a 3 fold difference in the incidence rate between the lowest and highest LGAs, ranging from 38.5 to 115.1 cases per 100,000 person-years. The overall rate of bystander CPR for bystander witnessed OHCAs was 62.4%, with the rate increasing from 56.4% in 2008-2010 to 68.6% in 2010-2013. There was a 25.1% absolute difference in bystander CPR rates between the highest and lowest LGAs.Significant regional variation in OHCA incidence and bystander CPR rates exists throughout Victoria. Regions with high incidence and low bystander CPR participation can be identified and would make suitable targets for interventions to improve CPR participation rates.

  5. 18th-century Al Zubarah and the genesis of the modern Gulf region

    DEFF Research Database (Denmark)

    Walmsley, Alan; Al Na'imi, Faisal

    2014-01-01

    regional player; a busy conduit in which peoples from diverse backgrounds lived fully and communally, and soon attracted the direct intervention of neighbouring empires. In the study of the vibrant historical events that marked the subsequent emergence of a post-colonial Gulf from the 18th century onwards...... significant than the foundation and development of the modern emirate states along the south coast. The yoke of imperial control – real or threatened – was cast off and replaced with an indigenous political, cultural and economic independence; a transforming achievement, attained through astute leadership...

  6. The Challenges and Opportunities of Social Media in the Hospitality Industry. A Study of the North East Region of Romania

    Directory of Open Access Journals (Sweden)

    Andreea Maha

    2015-05-01

    and YouTube are apparently not that popular. Social Media accounts are not used at their full capacity and from the total number identified on each segment, not all have a direct reference from their own site, for in case of Facebook 31 out of 48, Twitter 7 out of 10 and YouTube 7 out of 10. The most important limitation is considered to be the consistency of the sample we used. We only investigated the hotels (rated 3 to 5 stars from the North-East region of Romania. A sample including all the hotels from Romania would have given a more realistic view of the use of Social Media in the hospitality industry. Another possible study limitation can be that the Social Media accounts may have been missed as it did not feature in the first three pages search results. The worst part is that the same mistake would be made by the potential customers searching for that hotel that is why we considered this error an acceptable one. As we made only a qualitative research, the results must be validated in a future research. The results of this research can be used by hotel managers and also by those who manage Internet websites. Business people who intend to enter on hospitality market might also be interested in this information. For the North-East region of Romania, during our documentation stage for this article, there was no study identified, similar to the one we realized. Also Romania, as a country where tourism industry it is in early stages of development, needs to benefit from this kind of research, for creating new strategies and implement best practices in the field.

  7. Costs and Benefits Associated with the MRSA Search and Destroy Policy in a Hospital in the Region Kennemerland, The Netherlands.

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    Dennis Souverein

    Full Text Available The objective of this study was to analyze the costs and benefits of the MRSA Search and Destroy (S&D policy between 2008 and 2013 in the Kennemer Gasthuis, a 400 bed teaching hospital in the region Kennemerland, the Netherlands.A patient registration database was used to retrospectively calculate costs, including screening, isolation, follow-up, contact tracing, cleaning, treatment, deployment of extra healthcare workers, salary for an infection control practitioner (ICP and service of isolation rooms. The estimated benefits (costs and lives when no MRSA S&D was applied were based on a varying MRSA prevalence rate (up to 50%.When no MRSA S&D policy was applied, the additional costs and deaths due to MRSA bacteraemia were estimated to be € 1,388,907 and 33 respectively (at a MRSA prevalence rate of 50%. Currently, the total costs were estimated to be € 290,672 (€ 48,445 annually and a MRSA prevalence rate of 17.3% was considered as break-even point. Between 2008 and 2013, a total of 576 high risk patients were screened for MRSA carriage, of whom 19 (3.3% were found to be MRSA positive. Forty-nine patients (72.1% were found unexpectedly.Application of the MRSA S&D policy saves lives and money, although the high rate of unexpected MRSA cases is alarming.

  8. Diversity of CTX-M beta-lactamases and their promoter regions from Enterobacteriaceae isolated in three Parisian hospitals.

    Science.gov (United States)

    Saladin, Michèle; Cao, Van Thi Bao; Lambert, Thierry; Donay, Jean-Luc; Herrmann, Jean-Louis; Ould-Hocine, Zahia; Verdet, Charlotte; Delisle, Françoise; Philippon, Alain; Arlet, Guillaume

    2002-04-01

    Nine clinical isolates of Enterobacteriaceae (six Escherichia coli and three Proteus mirabilis) isolated in three Parisian hospitals between 1989 and 2000 showed a particular extended-spectrum cephalosporin-resistance profile characterized by resistance to cefotaxime and aztreonam but not to ceftazidime. CTX-M-1, CTX-M-2, CTX-M-9, CTX-M-14 and two novel plasmid-mediated CTX-M beta-lactamases (CTX-M-20, and CTX-M-21) were identified by polymerase chain reaction and isoelectric focusing (pI>8) and were associated in eight cases with TEM-1 (pI=5.4) or TEM-2 (pI=5.6) beta-lactamases. We used internal ISEcp1 and IS26 forward primers and the CTX-M consensus reverse primer to characterize the CTX-M beta-lactamase promoter regions and showed their high degree of structure diversity. We found upstream of some bla(CTX-M) genes, a 266-bp sequence 100% identical to the sequence upstream of the Kluyvera ascorbata beta-lactamase gene, suggesting that this chromosomal enzyme is the progenitor of the CTX-M-2/5 cluster.

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

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    Manrique leal-Mateos

    2005-04-01

    Full Text Available Justificación y objetivo: Debido a que el infarto agudo al miocardio representa una de las principales causas de muerte en nuestro país, la autoridades de salud decidieron, en 2003, incluirlo como una enfermedad sujeta a vigilancia epidemiológica. El presente trabajo tiene como propósito dar a conocer la información más sobresaliente del sistema de vigilancia epidemiológica para el IAM, implementado en el servicio de Medicina Interna del Hospital Calderón Guardia. Metodología: Se realizó un análisis descriptivo de la información recolectada desde el 1 de octubre de 2003, al 30 de septiembre de 2004. Las variables cualitativas se analizaron mediante frecuencias y proporciones. Las variables cuantitativas se expresaron por medio de medidas de tendencia central y dispersión. Las diferencias entre promedios y proporciones se compararon mediante la prueba de t Student. La significancia estadística fue fijada en p 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

  10. 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.

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

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    J. G. Gutiérrez Reyes

    2007-12-01

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

  12. Adsorptive, thermodynamic and kinetic performances of Al/Ti and Al/Zr-pillared clays from the Brazilian Amazon region for zinc cation removal

    Energy Technology Data Exchange (ETDEWEB)

    Guerra, Denis L. [Instituto de Quimica, Universidade Estadual de Campinas, Caixa Postal 6154, 13084-971 Campinas, Sao Paulo (Brazil); Airoldi, Claudio [Instituto de Quimica, Universidade Estadual de Campinas, Caixa Postal 6154, 13084-971 Campinas, Sao Paulo (Brazil)], E-mail: airoldi@iqm.unicamp.br; Lemos, Vanda P.; Angelica, Romulo S. [Universidade Federal do Para, Centro de Geociencia, Caixa Postal 1611, 66075-110 Belem, Para (Brazil)

    2008-06-30

    Smectite clay samples from the Amazon region, Brazil, were pillarized by intercalating the species obtained from the chemical reactions: (i) AlCl{sub 3}.6H{sub 2}O/NaOH, (ii) titanium ethoxide in hydrochloric acid and (iii) direct use of ZrOCl{sub 2}.8H{sub 2}O solution. The natural matrices and the pillaring solutions were maintained under vigorous stirring at 298 K for 3 h and then subjected to calcination at temperatures of 723 and 873 K. Natural and pillared matrices were characterized by XRD, FTIR, TG-DTG and nitrogen adsorption-desorption isotherms. The resulting materials were used for zinc adsorption from aqueous solution at room temperature. The Langmuir, Freundlich and Temkin adsorption isotherm models have been applied to fit the experimental data and the Freundlich model is limited for higher concentrations. The pillaring process increases the thermal stability, the basal spacing of the natural clay sample (A{sub 1}) from 1.55 to 2.06 nm and the surface area from 44.30 to 223.73 m{sup 2} g{sup -1}. Kinetic studies demonstrated an equilibrium time of 180 min for zinc adsorption on the pillared matrices. Pseudo-first-order, Lagergren pseudo-second-order and Elovich equations demonstrated a better agreement with second-order kinetics was obtained with K{sub 2} = 4.17-10.43 x 10{sup -3} g mg{sup -1} min{sup -1} for the A{sub 1} sample.

  13. Wide band antireflective coatings Al2O3 / HfO2 / MgF2 for UV region

    Science.gov (United States)

    Winkowski, P.; Marszałek, Konstanty W.

    2013-07-01

    Deposition technology of the three layers antireflective coatings consists of hafnium compound are presented in this paper. Oxide films were deposited by means of e-gun evaporation in vacuum of 5x10-5 mbar in presence of oxygen and fluoride films by thermal evaporation. Substrate temperature was 250°C. Coatings were deposited onto optical lenses made from quartz glass (Corning HPFS). Thickness and deposition rate were controlled by thickness measuring system Inficon XTC/2. Simulations leading to optimization of thickness and experimental results of optical measurements carried during and after deposition process were presented. Physical thickness measurements were made during deposition process and were equal to 43 nm/74 nm/51 nm for Al2O3 / HfO2 / MgF2 respectively. Optimization was carried out for ultraviolet region from 230nm to the beginning of visible region 400 nm. In this region the average reflectance of the antireflective coating was less than 0.5% in the whole range of application.

  14. High temperature and risk of hospitalizations, and effect modifying potential of socio-economic conditions: A multi-province study in the tropical Mekong Delta Region.

    Science.gov (United States)

    Phung, Dung; Guo, Yuming; Nguyen, Huong T L; Rutherford, Shannon; Baum, Scott; Chu, Cordia

    2016-01-01

    The Mekong Delta Region (MDR) in Vietnam is highly vulnerable to extreme weather related to climate change. However there have been hardly any studies on temperature-hospitalization relationships. The objectives of this study were to examine temperature-hospitalization relationship and to evaluate the effects of socio-economic factors on the risk of hospitalizations due to high temperature in the MDR. The Generalized Linear and Distributed Lag Models were used to examine hospitalizations for extreme temperature for each of the 13 provinces in the MDR. A random-effects meta-analysis was used to estimate the pooled risk for all causes, and for infectious, cardiovascular, and respiratory diseases sorted by sex and age groups. Random-effects meta-regression was used to evaluate the effect of socio-economic factors on the temperature-hospitalization association. For 1°C increase in average temperature, the risk of hospital admissions increased by 1.3% (95% CI, 0.9-1.8) for all causes, 2.2% (95% CI, 1.4-3.1) for infectious diseases, and 1.1% (95% CI, 0.5-1.7) for respiratory diseases. However the result was inconsistent for cardiovascular diseases. Meta-regression showed population density, poverty rate, and illiteracy rate increased the risk of hospitalization due to high temperature, while higher household income, houses using safe water, and houses using hygienic toilets reduced this risk. In the MDR, high temperatures have a significant impact on hospitalizations for infectious and respiratory diseases. Our findings have important implications for better understanding the future impacts of climate change on residents of the MDR. Adaptation programs that consider the risk and protective factors should be developed to protect residents from extreme temperature conditions. PMID:27060418

  15. High temperature and risk of hospitalizations, and effect modifying potential of socio-economic conditions: A multi-province study in the tropical Mekong Delta Region.

    Science.gov (United States)

    Phung, Dung; Guo, Yuming; Nguyen, Huong T L; Rutherford, Shannon; Baum, Scott; Chu, Cordia

    2016-01-01

    The Mekong Delta Region (MDR) in Vietnam is highly vulnerable to extreme weather related to climate change. However there have been hardly any studies on temperature-hospitalization relationships. The objectives of this study were to examine temperature-hospitalization relationship and to evaluate the effects of socio-economic factors on the risk of hospitalizations due to high temperature in the MDR. The Generalized Linear and Distributed Lag Models were used to examine hospitalizations for extreme temperature for each of the 13 provinces in the MDR. A random-effects meta-analysis was used to estimate the pooled risk for all causes, and for infectious, cardiovascular, and respiratory diseases sorted by sex and age groups. Random-effects meta-regression was used to evaluate the effect of socio-economic factors on the temperature-hospitalization association. For 1°C increase in average temperature, the risk of hospital admissions increased by 1.3% (95% CI, 0.9-1.8) for all causes, 2.2% (95% CI, 1.4-3.1) for infectious diseases, and 1.1% (95% CI, 0.5-1.7) for respiratory diseases. However the result was inconsistent for cardiovascular diseases. Meta-regression showed population density, poverty rate, and illiteracy rate increased the risk of hospitalization due to high temperature, while higher household income, houses using safe water, and houses using hygienic toilets reduced this risk. In the MDR, high temperatures have a significant impact on hospitalizations for infectious and respiratory diseases. Our findings have important implications for better understanding the future impacts of climate change on residents of the MDR. Adaptation programs that consider the risk and protective factors should be developed to protect residents from extreme temperature conditions.

  16. Implications of climate change on crop water requirements in arid region: An example of Al-Jouf, Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Shakhawat Chowdhury

    2016-01-01

    Full Text Available This study investigated possible implications of climate change on crop water requirements (CWRs from 2011 to 2050 in Al-Jouf, Saudi Arabia. CWR were predicted for four scenarios: (i current temperature and rainfall (S1; (ii temperature in 2050 and current state of rainfall (S2; (iii rainfall in 2050 and current state of temperature (S3 and (iv temperature and rainfall in 2050 (S4. Assuming no change in the regulations relating to agriculture and irrigation in future, CWR were predicted to be 873 and 931 million cubic meters (MCM per year for the S1 and S4 scenarios, respectively, indicating an increase of 58 MCM from 2011 to 2050. On an average, 1 °C increase in temperature may increase the overall CWR by 2.9% in this region. Following linear pattern of increase, slope of CWR was determined as 1.5 MCM/year from 2011, which is equivalent to the CWR of producing approximately 600 tons of wheat/year. The increase of CWR was due to the increase in temperature mainly, while the effect of rainfall changes was minimal. Sensitivity analysis on crop growing seasons showed that the shift of wheat growing season might conserve significant amount of groundwater. This study might be useful in explaining the negative effects of climate change on CWR in Al-Jouf and better planning for water resources management.

  17. Manejo hospitalario del paciente pediátrico con quemaduras de segundo y tercer grados, en un hospital regional

    Directory of Open Access Journals (Sweden)

    Ivonne Cubillo-López

    2015-09-01

    Full Text Available Antecedentes: las quemaduras en la población pediátrica son el segundo trauma más frecuente; la atención debe guiarse por evidencia científica que promueva un manejo adecuado. El objetivo del estudio fue determinar el manejo hospitalario de las quemaduras de 2º y 3º grados, en pacientes pediátricos. Métodos: revisión de expedientes clínicos de pacientes con diagnóstico de quemadura de 2º y 3º grados, durante el periodo 2010 - 2012, en el Servicio de Cirugía Pediátrica, Hospital Dr. Enrique Baltodano Briceño, con una población de 50 pacientes que cumplió los criterios de inclusión. Resultados: un 52% de los casos diagnosticados corresponde al sexo femenino, con una distribución de edades entre 0 y 5 años, en el 72%. Existe desuso de la hoja de paciente quemado en el 60% de los expedientes clínicos. Para estimar la profundidad se emplea la clasificación de Fortunato Benaim y la de Cover Smith. Se usó líquidos endovenosos en el 78% de la población, aunque solo 5 casos cumplieron los criterios de fluidoterapia; la fórmula de Parkland es la más utilizada. En el 76% de los casos se empleó antibioticoterapia durante la hospitalización, pero solo para el 44,7% se registró la razón de su uso. La evolución de las quemaduras fue satisfactoria en el 90%. La media de reepitelización clínica con obtención del 95% es de 5,1 días, y el promedio de estancia hospitalaria es de 7,76 días, para la población del estudio. Conclusión: se estima debilidades en torno a fluidoterapia, empleo de hoja de quemados oficial pediátrica, antibioticoterapia y diagnóstico de profundidad, según recomendaciones vigentes.

  18. Prevalence and Risk Factors of Diabetic Nephropathy in Omani Type 2 Diabetics in Al-Dakhiliyah Region

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    Abdulhakeem Hamood Alrawahi

    2012-05-01

    Full Text Available Objective: To assess the prevalence and risk factors of diabetic nephropathy among Omani type 2 diabetics in Al-Dakhiliyah region of the Sultanate of Oman.Methods: A cross-sectional and a case control study designs were used to assess the prevalence and risk factors respectively. For the prevalence study a sample of 699 diabetic subjects were selected randomly from two polyclinics in Al-Dakhiliyah region; Sumail and Nizwa polyclinics. For the case control study, a sample consisting of 215 cases and 358 controls were randomly selected from those who were included in the cross-sectional study. A well designed questionnaire has been used to collect data regarding the disease and risk factors. Data was analyzed using SPSS19 statistical program.Results: Total prevalence of diabetic nephropathy was calculated as 42.5% (95% C.I: 38.83% - 46.15%. The difference in the prevalence in the two polyclinic catchment area was not significant. The prevalence was significantly higher among males (51.6% compared to females (36.5%. Crude analysis of the risk factors showed significant association between diabetic nephropathy and the following factors; male gender, decreased literacy, long duration of diabetes mellitus, hypertension, retinopathy, neuropathy, family history of diabetic nephropathy, poor glycemic control (high HbA1c, and hypertriglyceridemia. Multivariate analysis showed the following factors to be independent risk factors; male gender, decreased literacy, long duration of diabetes, family history of diabetic nephropathy and poor glycaemic control (high HbA1c.Conclusion: The prevalence of diabetic nephropathy in this study was 42.5% and the significant risk factors associated with it included male gender, decreased literacy, long duration of diabetes, family history of diabetic nephropathy and poor glycemic control (high HbA1c.

  19. Knowledge translation lessons from an audit of Aboriginal Australians with acute coronary syndrome presenting to a regional hospital

    Directory of Open Access Journals (Sweden)

    Emma Haynes

    2016-07-01

    Full Text Available Objective: Translation of evidence into practice by health systems can be slow and incomplete and may disproportionately impact disadvantaged populations. Coronary heart disease is the leading cause of death among Aboriginal Australians. Timely access to effective medical care for acute coronary syndrome substantially improves survival. A quality-of-care audit conducted at a regional Western Australian hospital in 2011–2012 compared the Emergency Department management of Aboriginal and non-Aboriginal acute coronary syndrome patients. This audit is used as a case study of translating knowledge processes in order to identify the factors that support equity-oriented knowledge translation. Methods: In-depth interviews were conducted with a purposive sample of the audit team and further key stakeholders with interest/experience in knowledge translation in the context of Aboriginal health. Interviews were analysed for alignment of the knowledge translation process with the thematic steps outlined in Tugwell’s cascade for equity-oriented knowledge translation framework. Results: In preparing the audit, groundwork helped shape management support to ensure receptivity to targeting Aboriginal cardiovascular outcomes. Reporting of audit findings and resulting advocacy were undertaken by the audit team with awareness of the institutional hierarchy, appropriate timing, personal relationships and recognising the importance of tailoring messages to specific audiences. These strategies were also acknowledged as important in the key stakeholder interviews. A follow-up audit documented a general improvement in treatment guideline adherence and a reduction in treatment inequalities for Aboriginal presentations. Conclusion: As well as identifying outcomes such as practice changes, a useful evaluation increases understanding of why and how an intervention worked. Case studies such as this enrich our understanding of the complex human factors, including

  20. IDENTIFICATION OF MICROORGANISMS CARRIED BY VECTOR MECHANICS IN HOSPITAL ENVIRONMENT IN A CITY OF THE NORTHWEST REGION OF THE STATE OF RIO GRANDE DO SUL

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    Cristina Jacobs

    2015-04-01

    Full Text Available Backgound and Objectives: Arthropods are considered the most important vectors hospital, it has the ability to carry pathogenic microorganisms related to hospital infections. AIM: To identify microorganisms carried by ants in a hospital in Santo Angelo-RS. Methods: This was a cross-sectional study through a collection of 250 ants in hospitals from April to June 2013 collection was proposed by Tanaka et al (2007. They were collected aseptically with sterile clamps and conditioned in sterile test tubes. Each tube contained 5 ants, which corresponded to 50 samples analyzed. Within the tube were placed 5 mL of BHI broth, incubated at 37°C 24h. After each tube was subjected to depletion by seeding with calibrated loop (10uL in Mac Conckey media agar and sheep blood agar 5%; The plates were incubated at 37 °C for 24 to 48 hours. The isolated microorganisms were identified according to microbiological methods.1 Results: Nine hospitals unit were observed, and four were found the presences of ants: Unit Pre/Post Surgical (SUS, maternity, Pre/Post surgical (Covenants and administration unit. Among the wards studied, there was a greater presence of ants in the wing of the Pre-Post Surgical Unit (SUS. Four types of pathogens were isolated: Staphylococcus coagulase negative (SCN, Staphylococcus aureus, Acinetobacter baumannii and Candida albicans, the most frequent SCN (46.2%. Conclusion: This study confirmed the potential of ants as vectors of pathogenic microorganisms in a hospital in Santo Angelo, Brazil. KEYWORDS: Arthropod Vectors. Cross Infection. Ants

  1. Recent evolution of a novel begomovirus causing tomato leaf curl disease in the Al-Batinah region of Oman.

    Science.gov (United States)

    Khan, Akhtar J; Akhtar, Sohail; Singh, Achuit K; Al-Shehi, Adel A; Al-Matrushi, Abdulrahman M; Ammara, Ume; Briddon, Rob W

    2014-03-01

    For last two decades, begomoviruses (family Geminiviridae) have been a major constraint for tomato production in Oman, particularly in the Al-Batinah region, the major agricultural area of Oman. Farms in the Al-Batinah region were surveyed during January-March and November-December in 2012 and January-February in 2013. Leaf samples of tomato plants showing typical leaf curl disease symptoms were collected and analyzed for begomoviruses. Out of fifteen begomovirus clones sequenced, seven were shown to be tomato yellow leaf curl virus strain Oman (TYLCV-OM); three, chili leaf curl virus strain Oman (ChLCV-OM); and one, tomato leaf curl Oman virus (ToLCOMV) - viruses that have previously been shown to occur in Oman. Four sequences were shown to have relatively low percent identity values to known begomoviruses, with the highest (86 %) to isolates of pepper leaf curl Lahore virus, indicating that these should be included in a new species, for which the name "Tomato leaf curl Al Batinah virus" (ToLCABV) is proposed. Although the betasatellite tomato leaf curl betasatellite (ToLCB; 7 full-length sequences isolated) was identified with some isolates of ChLCV-OM, TYLCV-OM and ToLCOMV, it was not identified in association with any of the ToLCABV isolates. Analysis of the sequences of the TYLCV-OM and ToLCOMV isolates characterized here did not show them to differ significantly from previously characterized isolates of these viruses. The three isolates of ChLCV-OM characterized were shown to have a recombination pattern distinct from earlier characterized isolates. ToLCABV was shown to have resulted from recombination between ChLCV-OM and ToLCOMV. A clone of ToLCABV was infectious by Agrobacterium-mediated inoculation to Nicotiana benthamiana and tomato, inducing symptoms typical of those seen in tomato in the field. Additionally, ToLCABV was shown to be able to interact in planta with ToLCB, resulting in a change in symptom phenotype, although the betasatellite did not

  2. Changes in the response of the AL Index with solar cycle and epoch within a corotating interaction region

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    R. L. McPherron

    2009-08-01

    Full Text Available We use observations in the solar wind and on the ground to study the interaction of the solar wind and interplanetary magnetic field with Earth's magnetosphere. We find that the type of response depends on the state of the solar wind. Coupling functions change as the properties of the solar wind change. We examine this behavior quantitatively with time dependent linear prediction filters. These filters are determined from ensemble arrays of representative events organized by some characteristic time in the event time series. In our study we have chosen the stream interface at the center of a corotating interaction region as the reference time. To carry out our analysis we have identified 394 stream interfaces in the years 1995–2007. For each interface we have selected ten-day intervals centered on the interface and placed data for the interval in rows of an ensemble array. In this study we use Es the rectified dawn-dusk electric field in gsm coordinates as input and the AL index as output. A selection window of width one day is stepped across the ensemble and for each of the nine available windows all events in a given year (~30 are used to calculate a system impulse response function. A change in the properties of the system as a consequence of changes in the solar wind relative to the reference time will appear as a change in the shape and/or the area of the response function. The analysis shows that typically only 45% of the AL variance is predictable in this manner when filters are constructed from a full year of data. We find that the weakest coupling occurs around the stream interface and the strongest well away from the interface. The interface is the time of peak dynamic pressure and strength of the electric field. We also find that coupling appears to be stronger during recurrent high-speed streams in the declining phase of the solar cycle than it is around solar maximum. These results are consistent with the

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

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    L. Villamayor Blanco

    2006-04-01

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

  4. Legal Preparedness for Hurricane Sandy: Authority to Order Hospital Evacuation or Shelter-in-Place in the Mid-Atlantic Region.

    Science.gov (United States)

    McGinty, Meghan D; Burke, Thomas A; Resnick, Beth A; Smith, Katherine C; Barnett, Daniel J; Rutkow, Lainie

    2016-01-01

    Hospitals were once thought to be places of refuge during catastrophic hurricanes, but recent disasters such as Hurricanes Katrina and Sandy have demonstrated that some hospitals are unable to ensure the safety of patients and staff and the continuity of medical care at key times. The government has a duty to safeguard public health and a responsibility to ensure that appropriate protective action is taken when disasters threaten or impair the ability of hospitals to sustain essential services. The law can enable the government to fulfill this duty by providing necessary authority to order preventive or reactive responses--such as ordering evacuation of or sheltering-in-place in hospitals--when safety is imperiled. We systematically identified and analyzed state emergency preparedness laws that could have affected evacuation of and sheltering-in-place in hospitals in order to characterize the public health legal preparedness of 4 states (Delaware, Maryland, New Jersey, and New York) in the mid-Atlantic region during Hurricane Sandy in 2012. At that time, none of these 4 states had enacted statutes or regulations explicitly granting the government the authority to order hospitals to shelter-in-place. Whereas all 4 states had enacted laws explicitly enabling the government to order evacuation, the nature of this authority and the individuals empowered to execute it varied. We present empirical analyses intended to enhance public health legal preparedness and ensure these states and others are better able to respond to future natural disasters, which are predicted to be more severe and frequent as a result of climate change, as well as other hazards. States can further improve their readiness for catastrophic disasters by ensuring explicit statutory authority to order evacuation and to order sheltering-in-place, particularly of hospitals, where it does not currently exist. PMID:27081887

  5. An analysis of hospital preparedness capacity for public health emergency in four regions of China: Beijing, Shandong, Guangxi, and Hainan

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    Huang Jianshi

    2008-09-01

    Full Text Available Abstract Background Hospital preparedness is critical for the early detection and management of public health emergency (PHE. Understanding the current status of PHE preparedness is the first step in planning to enhance hospitals' capacities for emergency response. The objective of this study is to understand the current status of hospital PHE preparedness in China. Methods Four hundred hospitals in four city and provinces of China were surveyed using a standardized questionnaire. Data related to hospital demographic data; PHE preparation; response to PHE in community; stockpiles of drugs and materials; detection and identification of PHE; procedures for medical treatment; laboratory diagnosis and management; staff training; and risk communication were collected and analyzed. Results Valid responses were received from 318 (79.5% of the 400 hospitals surveyed. Of the valid responses, 264 (85.2% hospitals had emergency plans; 93.3% had command centres and personnel for PHE; 22.9% included community organisations during the training for PHE; 97.4% could transport needed medical staff to a PHE; 53.1% had evaluated stockpiles of drugs; 61.5% had evaluated their supply systems; 55.5% had developed surveillance systems; and 74.6% could monitor the abnormity(See in appendix. Physicians in 80.2% of the analyzed hospitals reported up-to-date knowledge of their institution's PHE protocol. Of the 318 respondents, 97.4% followed strict laboratory regulations, however, only about 33.5% had protocols for suspected samples. Furthermore, only 59.0% could isolate and identify salmonella and staphylococcus and less than 5% could isolate and identify human H5N1 avian flu and SARS. Staff training or drill programs were reported in 94.5% of the institutions; 50.3% periodically assessed the efficacy of staff training; 45% had experts to provide psychological counselling; 12.1% had provided training for their medical staff to assess PHE-related stress. All of the above

  6. Requirements for an Advanced Low Earth Orbit (LEO) Sounder (ALS) for Improved Regional Weather Prediction and Monitoring of Greenhouse Gases

    Science.gov (United States)

    Pagano, Thomas S.; Chahine, Moustafa T.; Susskind, Joel

    2008-01-01

    Hyperspectral infrared atmospheric sounders (e.g., the Atmospheric Infrared Sounder (AIRS) on Aqua and the Infrared Atmospheric Sounding Interferometer (IASI) on Met Op) provide highly accurate temperature and water vapor profiles in the lower to upper troposphere. These systems are vital operational components of our National Weather Prediction system and the AIRS has demonstrated over 6 hrs of forecast improvement on the 5 day operational forecast. Despite the success in the mid troposphere to lower stratosphere, a reduction in sensitivity and accuracy has been seen in these systems in the boundary layer over land. In this paper we demonstrate the potential improvement associated with higher spatial resolution (1 km vs currently 13.5 km) on the accuracy of boundary layer products with an added consequence of higher yield of cloud free scenes. This latter feature is related to the number of samples that can be assimilated and has also shown to have a significant impact on improving forecast accuracy. We also present a set of frequencies and resolutions that will improve vertical resolution of temperature and water vapor and trace gas species throughout the atmosphere. Development of an Advanced Low Earth Orbit (LEO) Sounder (ALS) with these improvements will improve weather forecast at the regional scale and of tropical storms and hurricanes. Improvements are also expected in the accuracy of the water vapor and cloud properties products, enhancing process studies and providing a better match to the resolution of future climate models. The improvements of technology required for the ALS are consistent with the current state of technology as demonstrated in NASA Instrument Incubator Program and NOAA's Hyperspectral Environmental Suite (HES) formulation phase development programs.

  7. Prevalence of malaria, prevention measures, and main clinical features in febrile children admitted to the Franceville Regional Hospital, Gabon

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    Maghendji-Nzondo Sydney

    2016-01-01

    Full Text Available Recently, major progress has been made in controlling malaria in Africa. However, in Gabon, little information is available on the role of malaria in childhood febrile syndromes, the use and efficacy of preventive measures, and Plasmodium species distribution. Here, we characterized malaria in febrile children in Franceville, Gabon through a cross-sectional study at the pediatric unit of the Franceville Regional Hospital. We registered 940 febrile children. Their general condition was markedly altered in 11.7% of cases (n = 89/760; among them 19 (21.4% had a severely altered condition. Malaria was the second most frequent etiology (22.0%; n = 162/738, after respiratory tract infections (37.3%; n = 275/738. Children with malaria (63 ± 39 months were older than children without malaria (40 ± 37 months (p = 0.0013. Hemoglobin, red blood cell, white blood cell, and platelet values were lower in children with malaria than in those without malaria (p < 0.0001. Anemia was the most common feature of severe malaria (70.6%; n = 12/17, followed by neurological involvement (23.5%; n = 4/17. The prevalence of malaria was significantly higher in children older than 60 months than in younger children (40% vs. 15.5%; p < 0.0001. Plasmodium falciparum accounted for 97.5% of cases (158/162, followed by Plasmodium malariae (2.5%; n = 4/162. Bed net use was high (74.4%; n = 697/936 and contributed to malaria prevention (p = 0.001. Good basic knowledge of malaria also had a preventive effect (p < 0.0001. The prevalence of malaria in children in Franceville did not decrease significantly from 2009 to 2012, remaining at about 20%, highlighting that preventive measures should be reinforced.

  8. Reversal of English trend towards hospital death in dementia: a population-based study of place of death and associated individual and regional factors, 2001–2010

    OpenAIRE

    Sleeman, Katherine E; Ho, Yuen K.; Verne, Julia; Gao, Wei; Higginson, Irene J.

    2014-01-01

    Background England has one of the highest rates of hospital death in dementia in Europe. How this has changed over time is unknown. This study aimed to analyse temporal trends in place of death in dementia over a recent ten year period. Methods Population-based study linking Office for National Statistics mortality data with regional variables, in England 2001–2010. Participants were adults aged over 60 with a death certificate mention of dementia. Multivariable Poisson regression was used to...

  9. Offshore fault system in the Al Hoceima region from new high-resolution bathymetric and seismic reflection data

    Science.gov (United States)

    Lafosse, Manfred; d'Acremont, Elia; Rabaute, Alain; Mercier de l'Epinay, Bernard; Gorini, Christian; André Gutscher, Marc; Poort, Jeffrey; Ammar, Abdellah; Tahayt, Abdelilah; Leroy, Pascal; Smit, Jeroen; Do Couto, Damien; Cancouët, Romain; Prunier, Christophe; Ercilla, Gemma

    2014-05-01

    The Al-Hoceima Region (Morocco) is the one of the most active seismic area of the western Mediterranean Sea. Detailed surveys in a shallow water environment are required to identify the connecting onshore-offshore active structures and to propose a tectonic framework. We use combined high-resolution seismic reflection and swath-bathymetry data from the Marlboro-2 cruise, which took place in 2012 off the coast of Al Hoceima, to detail the fault system through the Nekor basin, between the Trougout Fault and the Boussekour Agdal fault. The Boussekour-Agdal fault is a N026 oriented fault, dipping east and affecting the plio-quaternary sequence offshore and the internal units of the oriental Rif onshore. The fault trace shows a vertical offset of 6.5 m on the high-resolution swath bathymetry close to the shoreline, while the northern prolongation of the fault is buried. The Bokkoya fault (Calvert et al. 1997) is a N029 oriented fault dipping east. The vertical offset at the seafloor is 13m. This fault affects sedimentary structures above a paleo-terrace at -105mbsl, probably related to the last sea-level fall. The onshore-offshore N-S oriented Trougout fault corresponds to the eastern boundary between the plio-quaternary Nekor basin and the volcano-clastic deposits of Ras Tarf. This fault produces a vertical offset of 2.3m at the sea-floor. These three major fault zones limit two basins: the Nekor basin between the Bokkoya and the Trougout faults, and a depression between the Boussekour-Agdal and the Bokkoya Faults. The quaternary deposits are syn-tectonic. In the Nekor basin secondary normal faults are oriented N150, shift the sea-floor and affect the Messinian unconformity. Successive positions of a paleo-canyon (seen in the seismic lines) show a migration of the subsidence from east to west inside the Nekor basin. Faults affecting the Messinian unconformity control this subsidence. Between the Boussekour-Agdal and the Bokkoya faults, the thickness and the geometry of

  10. Factors Contributing To The Sustainability Of 5S Programmes In Government Hospitals In Regional Director Of Health Services Area Kurunegala

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    Dr. K.W.C.U.K Kendangamuwa

    2015-03-01

    Full Text Available Abstract Introduction 5S is the stepping stone for many quality improvement concepts and its roots date back to 16th century. When successfully implemented 5S gives many benefits to the organization as well as its stakeholders. Though 5S itself has a tool to sustain most of the organizations find it difficult to sustain the 5S practice over the time. Therefore the objective of this study was to find out the factors contributing to sustainability of 5S programmes in Government Hospitals in RDHS area Kurunegala. Methodology This study was a descriptive cross sectional study with two components. First component was to identify the 5S sustaining hospitals from not sustaining hospitals by validated evaluation sheet. Second component was to determine the factors contributing to sustainability of 5S programmes in selected study setting. Self-administrated questionnaire was used for this purpose. Total study population was 543 employees of all the categories of hospital staff. Calculated sample size was 422 and 375 were responded to the questionnaire giving response rate of 88.9. Results The study revealed that the implemented 5S programmes were sustaining in eight hospitals out of ten i.e. sustaining rate was 80. When it considered the degree of sustainability 50 of the selected hospitals reported more than 70 sustainability. This was considered as favourable trend in government health sector in healthcare quality point of view. Ten factors were studied as contributing factors for the 5S sustainability. Socio- demographic factors were also considered. Those ten factors were top management commitment leadership of the organization commitment of middle amp frontline managers commitment amp satisfaction of employees training amp changing attitude of employees motivation of employees organizational culture group cohesiveness community participation and customer satisfaction. Study revealed that organizational leadership customer satisfaction community

  11. Factors influencing integration of TB services in general hospitals in two regions of China: a qualitative study

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    Zou Guanyang

    2012-01-01

    Full Text Available Abstract Background In the majority of China, the Centre for Disease Control (CDC at the county level provides both clinical and public health care for TB cases, with hospitals and other health facilities referring suspected TB cases to the CDC. In recent years, an integrated model has emerged, where the CDC remains the basic management unit for TB control, while a general hospital is designated to provide clinical care for TB patients. This study aims to explore the factors that influence the integration of TB services in general hospitals and generate knowledge to aid the scale-up of integration of TB services in China. Methods This study adopted a qualitative approach using interviews from sites in East and West China. Analysis was conducted using a thematic framework approach. Results The more prosperous site in East China was more coordinated and thus had a better method of resource allocation and more patient-orientated service, compared with the poorer site in the West. The development of public health organizations appeared to influence how effectively integration occurred. An understanding from staff that hospitals had better capacity to treat TB patients than CDCs was a strong rationale for integration. However, the economic and political interests might act as a barrier to effective integration. Both sites shared the same challenges of attracting and retaining a skilled workforce for the TB services. The role of the health bureau was more directive in the Western site, while a more participatory and collaborative approach was adopted in the Eastern site. Conclusion The process of integration identifies similarities and differences between sites in more affluent East China and poorer West China. Integration of TB services in the hospitals needs to address the challenges of stakeholder motivations and resource allocation. Effective inter-organizational collaboration could help to improve the efficiency and quality of TB service. Key

  12. Modeling Spread of KPC-Producing Bacteria in Long-Term Acute Care Hospitals in the Chicago Region, USA

    NARCIS (Netherlands)

    Haverkate, Manon R.; Bootsma, Martin C. J.; Weiner, Shayna; Blom, Donald; Lin, Michael Y.; Lolans, Karen; Moore, Nicholas M.; Lyles, Rosie D.; Weinstein, Robert A.; Bonten, Marc J. M.; Hayden, Mary K.

    2015-01-01

    OBJECTIVE. Prevalence of bla(KPC)-encoding Enterobacteriaceae (KPC) in Chicago long-term acute care hospitals (LTACHs) rose rapidly after the first recognition in 2007. We studied the epidemiology and transmission capacity of KPC in LTACHs and the effect of patient cohorting. METHODS. Data were avai

  13. Modeling spread of KPC-producing bacteria in long-term acute care hospitals in the Chicago region, USA

    NARCIS (Netherlands)

    Haverkate, Manon R; Bootsma, Martin C J; Weiner, Shayna; Blom, Donald; Lin, Michael Y; Lolans, Karen; Moore, Nicholas M; Lyles, Rosie D; Weinstein, Robert A; Bonten, Marc J M; Hayden, Mary K

    2015-01-01

    OBJECTIVE: Prevalence of bla KPC-encoding Enterobacteriaceae (KPC) in Chicago long-term acute care hospitals (LTACHs) rose rapidly after the first recognition in 2007. We studied the epidemiology and transmission capacity of KPC in LTACHs and the effect of patient cohorting. METHODS: Data were avail

  14. Intensidade de ruído em hospital de 222 leitos na 18ª Regional de Saúde - PR Noise level in a 222 bed hospital in the 18th health region - PR

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    Marcelo Henrique Otenio

    2007-04-01

    Full Text Available A poluição sonora ambiental torna-se hoje onipresente e beira o intolerável. Nos hospitais, os avanços tecnológicos trazem, como conseqüência, níveis de ruído potencialmente danosos. Muito do ruído no hospital provém mais de dentro, do que de fora desse ambiente, sendo as principais causas de ruído em Unidade de Terapia Intensiva, por exemplo, os equipamentos e a conversação entre a equipe hospitalar. O objetivo deste trabalho foi avaliar o nível de ruído nos diversos ambientes hospitalares, em Hospital de 222 leitos na 18ª RS de Saúde - PR. MATERIAIS E MÉTODOS: Conduziu-se, em março de 2005 no período de 24 horas, em dez setores. Forma de Estudo: Aferição do nível de ruído ambiental utilizando um Decibelímetro modelo 1350. RESULTADOS: O nível de ruído encontrado em nosso estudo apresentou média total de 63,7 dB(A, que excede os valores máximos permitidos de 45 dB recomendados pela Associação Brasileira de Normas Técnicas (1987. CONCLUSÃO: Nos setores analisados, o nível de ruído encontrado neste está consideravelmente acima do recomendado. A equipe hospitalar deve estar consciente do ruído e dos efeitos deste, para que possa atuar de maneira mais efetiva na redução da poluição sonora, beneficiando assim a função laborativa dos profissionais e recuperação dos pacientes.Environment noise pollution is common place today, at intolerable levels. In hospitals, technological developments have, as a consequence, potentially harmful noise levels. Much of the hospital noise comes from inside, rather than outside, and the major source of such noise is the Intensive Care Unit, for example equipment and hospital staff talk. Our goal with the present study was to investigate the noise level present in the different hospital environments, within a 222 bed hospital located at the 18th health zone, PR. MATERIALS AND METHODS: The study was carried out in March, 2005, during a period of 24 hours, in tem different

  15. Determination of antibiotics in sewage from hospitals, nursery and slaughter house, wastewater treatment plant and source water in Chongqing region of Three Gorge Reservoir in China

    Energy Technology Data Exchange (ETDEWEB)

    Chang Xiaosong [Department of Environmental Hygiene, School of Military Preventive Medicine, Third Military Medical University, Chongqing 400038 (China); Meyer, Michael T. [United States Geological Survey, 4821 Quail Crest Place, Lawrence, Kansas 66049 (United States); Liu Xiaoyun [Center for Disease Prevention and Control, Lanzhou Military Region, Lanzhou 730020 (China); Zhao Qing; Chen Hao; Chen Jian; Qiu Zhiqun; Yang Lan [Department of Environmental Hygiene, School of Military Preventive Medicine, Third Military Medical University, Chongqing 400038 (China); Cao Jia [Department of Military Toxicology, School of Military Preventive Medicine, Third Military Medical University, Chongqing 400038 (China); Shu Weiqun, E-mail: xm0630@sina.co [Department of Environmental Hygiene, School of Military Preventive Medicine, Third Military Medical University, Chongqing 400038 (China)

    2010-05-15

    Sewage samples from 4 hospitals, 1 nursery, 1 slaughter house, 1 wastewater treatment plant and 5 source water samples of Chongqing region of Three Gorge Reservoir were analyzed for macrolide, lincosamide, trimethoprim, fluorouinolone, sulfonamide and tetracycline antibiotics by online solid-phase extraction and liquid chromatography-tandem mass spectrometry. Results showed that the concentration of ofloxacin (OFX) in hospital was the highest among all water environments ranged from 1.660 mug/L to 4.240 mug/L and norfloxacin (NOR, 0.136-1.620 mug/L), ciproflaxacin (CIP, ranged from 0.011 mug/L to 0.136 mug/L), trimethoprim (TMP, 0.061-0.174 mug/L) were commonly detected. Removal range of antibiotics in the wastewater treatment plant was 18-100% and the removal ratio of tylosin, oxytetracycline and tetracycline were 100%. Relatively higher removal efficiencies were observed for tylosin (TYL), oxytetracycline (OXY) and tetracycline (TET)(100%), while lower removal efficiencies were observed for Trimethoprim (TMP, 1%), Epi-iso-chlorotetracycline (EICIC, 18%) and Erythromycin-H{sub 2}O (ERY-H{sub 2}O, 24%). Antibiotics were removed more efficiently in primary treatment compared with those in secondary treatment. - This study give the first insight into the concentration of antibiotics in receiving waters from 4 hospitals, 1 nursery, 1 slaughter house, 1 wastewater treatment plant and 5 source water of Chongqing region of Three Gorge Reservoir

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2001-12-15

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

  17. 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)

  18. 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)

  19. 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)

  20. 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.

  1. 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)

  2. 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)

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2001-12-15

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

  4. 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)

  5. 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)

  6. 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)

  7. 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)

  8. 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)

  9. 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.

  10. 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)

  11. 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)

  12. [The Asahi Model-Regional Mental Health Services at Department of Psychiatry and Child Psychiatry, Asahi General Hospital].

    Science.gov (United States)

    Aoki, Tsutomu

    2015-01-01

    The Asahi model, Psychiatric Services of Department of Psychiatry and Child Psychiatry, Asahi General Hospital, is characterized by multiple dimensions of mental health services, such as multidisciplinary team approach, medical cooperation, specialized psychiatric treatment of acute care, clozapine and modified ECT, outreach services of home nursing and assertive community treatment, and the close and mutual coordination with housing services and social welfare services. The Asahi Model makes it possible to be deinstitutionalized, to improve patients satisfaction, to shorten hospitalization, to decrease psychiatric emergency visits and to be of service in a natural disaster. It also might prevent the relapse of schizophrenics within twelve months after discharge and improve the quality of mental health staffs trainings to support patients better. In the future, we will need to work on providing sectorized care, early psychosis intervention programs, to construct networking systems of clozapine and modified ECT, to strengthen growth of home nursing, and to take place mental health anti-stigma campaigns. PMID:26552318

  13. Relationship of Characteristics of Baby’s Mother with the Low Birth Weight in Regional General Hospital in Sorong

    OpenAIRE

    Agustina Naa; Rantetampang, A. L; Bernard Sandjaja

    2016-01-01

    The mortality rate of low birth weight is part of a reflection of the public health status. Low birth weight babies are born with birth weight less than 2,500 grams regardless of pregnancy. The aim of research to determine the relationship characteristic of mothers of infants with LBW. This type of research is observational analytic with cross sectional design. Collecting data through observation sheet on record medic mothers who gave birth in hospitals 2014, in Sorong, West Papua Province in...

  14. Analysis of clinical symptoms and selected hematological indices in hospitalized children with Ascaris lumbricoides infection from the northeastern region of Poland.

    Science.gov (United States)

    Wasilewska, Jolanta; Kaczmarski, Maciej G; Sawicka-Zukowska, Małgorzata; Tomaszewska, Barbara; Majewska, Anna; Plewa, Katarzyna; Ołdak, Elzbieta; Debkowska, Katarzyna

    2011-01-01

    Ascariasis is the most common soil-transmitted helminth infection in the world. The objective of this study was to analyze the clinical symptoms and selected hematological indices of ascariasis in hospitalized children from the northeastern region of Poland. Patients in the Pediatric Ward hospitalized in the Regional Hospital in Dabrowa Białostocka in the period of 2005-2007 were included in this retrospective study. The intestinal stage of ascariasis was diagnosed on the basis of positive coprological survey performed using the decantation technique. A total of 938 patients were included in the study, 1801 stool samples were evaluated, and A. lumbricoides-positive tests were obtained from 252 children. Ascaris-positive young children (Ascaris-positive preschool-aged children (4-7 yrs) accounted for 8.1% and school-aged children (8-18 yrs) for 15.8%. Seasonal patterns were observed in the prevalence of A. lumbricoides (maximum in August-December). There was no relationship between BMI z-score, hemoglobin levels and prevalence of infection with Ascaris lumbricoides. Significant predictors of intestinal stage ascariasis in a multivariate logistic regression model were: abdominal pain as a reason for hospital admission (OR-2.19; 95% CI 1.62-2.95; p < 0.001) and age from 4 to 7 years (OR-2.0; 95% CI 1.41-2.80; p < 0.001). The prevalence rate of ascariasis was not higher in the group of patients with atopic diseases (bronchial asthma, allergic rhinitis, atopic dermatitis) and co-existing ascariasis did not affect the eosinophil counts in the peripheral blood. Ascariasis is still a current pediatric clinical problem characterized by non-specific clinical manifestations, which should be taken into consideration in the differential diagnosis of children's diseases.

  15. Microstructure Evolution in the Near-Surface Region During Homogenization of a Twin-Roll Cast AlFeMnSi Alloy

    Science.gov (United States)

    Wang, Junjie; Zhou, Xiaorong; Thompson, George E.; Hunter, John A.; Yuan, Yudie

    2016-08-01

    A near-surface deformed layer, comprising ultrafine grains of 50-500 nm diameters with the grain boundaries being decorated by a high population density of fine cubic α-Al15(FeMn)3Si2 dispersoids and oxide/lubricant particles, was generated in a foil stock AlFeMnSi alloy during twin-roll casting due to severe shear deformation within the near-surface region. During a subsequent multi-step homogenization treatment at temperatures in the range of 713 K and 853 K (440 °C and 580 °C), the fine cubic α-Al15(FeMn)3Si2 dispersoids within the near-surface layer were dissolved, while sparse, large lath-shaped Al3Fe particles formed in the same region. Significant grain growth took place within the near-surface layer due to the loss of grain boundary pinning by the dispersoids, leading to the removal of the ultrafine-grained microstructure within the near-surface region. However, at local regions where the population density of oxide particles was sufficiently high to provide grain boundary pinning, the ultrafine-grained microstructure was preserved within the near-surface layer.

  16. An Audit of Medical Autopsy: Experience at the University of Uyo Teaching Hospital (UUTH, Niger Delta Region, Nigeria

    Directory of Open Access Journals (Sweden)

    Ekpo Memfin Dan

    2011-01-01

    Full Text Available Background: Autopsy is an essential auditing tool in clinical practice. ObjectiveS: The study set out to review all autopsies that were performed over a four-year period in order to determine the rate, indications, as well as the age and sex distribution of dead bodies, which autopsies were performed on them in the Hospital. Setting and Design: This was a retrospective study that was undertaken at the department of Pathology of the University of Uyo Teaching Hospital (UUTH, Uyo, Nigeria between January 2007 and December 2010. Materials and Methods: All the cases of death that underwent pathological autopsies in the UUTH were reviewed. The autopsy records, clinical case notes, gross and histopathological specimens as well as slides were retrieved and examined. Results: A total of 1679 dead bodies were received at the mortuary of the institution studied during the 4-year period. Autopsies were performed in 78 cases giving a request rate of 4.7%. Coroner′s autopsy was commonly performed, and this accounted for 60 (76.9% cases, while the remaining 18 (23.1% were clinical autopsies. Autopsies were commonly performed on male bodies more than females (M: F = 2.6:1.0 with the majority having died at their second decade of life. It was observed that the majority (57.7% of the request for autopsies were from peripheral centers outside the teaching hospital, while the remaining 42.3% cases were drawn from various clinical departments in the teaching hospital. Road traffic accident was the leading indication for coroner′s autopsy (51.7%, while gastroenteritis and chronic liver disease were the two most common indications for clinical autopsy, 27.8% and 22.2% respectively. The concordance rate between clinical diagnosis and autopsy diagnosis was found to be 72.2% (13/18 cases. Conclusion: The rate of request for Autopsy at the University of Uyo Teaching Hospital during the period of this study was low, similar to other previous reports.

  17. 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

  18. Análisis de situación y adecuación de dietas para disfagia en un hospital provincial Situation and adequacyanalysis of dysphagia diets at a regional hospital

    Directory of Open Access Journals (Sweden)

    C. Moreno

    2006-02-01

    Full Text Available El estudio pretende confirmar la adecuación de las dietas prescritas para disfagia durante la hospitalización a través de una encuesta específica para identificación, asesoramiento y manejo de la disfagia. Comparar y analizar la dieta para Disfagia que se ofrece en el Hospital con las recomendaciones para una dieta para disfagia en bibliografía nutricional reciente. A partir de los resultados obtenidos establecer mejoras en la dieta (si es necesario, y útiles de trabajo para enfermería dirigidos a detección precoz de problemas en la deglución y disminución de riesgos de malnutrición, deshidratación y aspiración SUJETOS Y MÉTODO: Se realiza un estudio transversal de los enfermos de nuestro hospital con prescripción de dieta para DISFAGIA, valorando la utilidad de la dieta, las características que tiene a 30 pacientes, ingresados en el complejo Hospitalario de Segovia en distintas Unidades de Enfermería y con Dieta establecida para Disfagia, durante dos meses y con diferentes patologías:. Las edades estaban comprendidas entre 65-85 años. RESULTADOS: La encuesta fue analizada y se comprobó que todos los pacientes presentaban un deterioro en la deglución.. El análisis nutricional mostró una inadecuada adaptación en la dieta hospitalaria para pacientes con Disfagia con respecto a la consistencia en algunos plato y fue significativo el escaso aporte en energía (X 1339 kcal, escaso aporte de proteínas 58 gr, también era deficiente en algún mineral (hierro y Calcio y vitaminas (vitamina C CONCLUSIONES: La Disfagia es un problema que afecta a un número importante de pacientes de nuestro Hospital (10-15%. La dieta que suministraba el Hospital era inadecuada antes del estudio. Se ha diseñado una dieta. más adecuada en cuanto al valor nutricional y en la consistencia, se amplía su indicación, así como las medidas de intervención y valoración previa del paciente. La Unidad de Dietética ha puesto en marcha mejoras del

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

    Science.gov (United States)

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

    2013-09-01

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

  20. High-level consumer services in polycentric urban regions - hospital care and higher education between duplication and complementarity

    OpenAIRE

    Meijers, Evert

    2005-01-01

    In many European countries, territorial development strategies identify the development potential of so-called polycentric urban regions: regions in which a multitude of more or less similar-sized, formerly independent and distinct cities are located close to each other and among which functional relationships seem to be on the increase. Often, such polycentric urban regions are referred to using metaphors as city networks or urban networks. Well-known examples are the Randstad and Brabantsta...

  1. Uma avaliação do ambulatório de puericultura do Hospital Universitário regional do norte do Paraná

    OpenAIRE

    Jurani Barbosa

    1985-01-01

    The aim of the present study was to assess weight length and head circumference in children during the first year of life. The population comprised infants attending the "Welfare out patient" at the "Hospital Universitário Regional do Norte do Parana". The data were compared to the standard graphs "Santo André grupo IV" Undernourishment was found in 16,7% of children at 12 months of age which was not statically different of that found in children at 2 months of age.Foi feita revisão de uma am...

  2. Intensidade de ruído em hospital de 222 leitos na 18ª Regional de Saúde - PR Noise level in a 222 bed hospital in the 18th health region - PR

    OpenAIRE

    Marcelo Henrique Otenio; Edivaldo Cremer; Elis Marina Turini Claro

    2007-01-01

    A poluição sonora ambiental torna-se hoje onipresente e beira o intolerável. Nos hospitais, os avanços tecnológicos trazem, como conseqüência, níveis de ruído potencialmente danosos. Muito do ruído no hospital provém mais de dentro, do que de fora desse ambiente, sendo as principais causas de ruído em Unidade de Terapia Intensiva, por exemplo, os equipamentos e a conversação entre a equipe hospitalar. O objetivo deste trabalho foi avaliar o nível de ruído nos diversos ambientes hospitalares, ...

  3. Increasing incidence of Clostridium difficile infections: results from a 5-year retrospective study in a large teaching hospital in the Italian region with the oldest population.

    Science.gov (United States)

    Alicino, C; Giacobbe, D R; Durando, P; Bellina, D; DI Bella, A M; Paganino, C; Del Bono, V; Viscoli, C; Icardi, G; Orsi, A

    2016-09-01

    Limited information is available on the incidence of Clostridium difficile infections (CDIs) in Italian hospitals. In this study, we assessed the changes in the incidence of CDI over a 5-year period in a teaching hospital in Liguria, the Italian region with the oldest population. Secondary endpoints were the development of severe CDI and 30-day mortality. The annual incidence of CDI/10000 patient-days significantly increased from 0·54 in 2010 to 3·04 in 2014 (χ 2 for trend, P < 0·001). The median age of patients with CDI was 81 years. As many as 81% and 89% of these patients had comorbid conditions and previous exposure to antibiotics, respectively. In the multivariate analysis of risk factors for severe CDI, previous therapy with histamine 2 blockers and low serum albumin were associated with severe CDI, while diabetes appeared to be protective. In the multivariate model of risk factors for 30-day mortality, high leukocyte count, low serum albumin, and increased serum creatinine were unfavourably associated with outcome. Strict adherence to infection control measures was of utmost importance to counteract the increasing incidence of CDI in our hospital, particularly because of the advanced age of the patients and their very high frequency of chronic conditions and use of antibiotics, which readily predispose them to the development of CDI. PMID:27193828

  4. Mutations in specific structural regions of immunoglobulin light chains are associated with free light chain levels in patients with AL amyloidosis.

    Directory of Open Access Journals (Sweden)

    Tanya L Poshusta

    Full Text Available BACKGROUND: The amyloidoses are protein misfolding diseases characterized by the deposition of amyloid that leads to cell death and tissue degeneration. In immunoglobulin light chain amyloidosis (AL, each patient has a unique monoclonal immunoglobulin light chain (LC that forms amyloid deposits. Somatic mutations in AL LCs make these proteins less thermodynamically stable than their non-amyloidogenic counterparts, leading to misfolding and ultimately the formation of amyloid fibrils. We hypothesize that location rather than number of non-conservative mutations determines the amyloidogenicity of light chains. METHODOLOGY/PRINCIPAL FINDINGS: We performed sequence alignments on the variable domain of 50 kappa and 91 lambda AL light chains and calculated the number of non-conservative mutations over total number of patients for each secondary structure element in order to identify regions that accumulate non-conservative mutations. Among patients with AL, the levels of circulating immunoglobulin free light chain varies greatly, but even patients with very low levels can have very advanced amyloid deposition. CONCLUSIONS: Our results show that in specific secondary structure elements, there are significant differences in the number of non-conservative mutations between normal and AL sequences. AL sequences from patients with different levels of secreted light chain have distinct differences in the location of non-conservative mutations, suggesting that for patients with very low levels of light chains and advanced amyloid deposition, the location of non-conservative mutations rather than the amount of free light chain in circulation may determine the amyloidogenic propensity of light chains.

  5. Caracterización de recién nacidos reanimados durante el año 2011 en el Hospital Clínico Regional de Concepción.

    Directory of Open Access Journals (Sweden)

    Michelle Vinet M

    2014-05-01

    Full Text Available INTRODUCCIÓN: La asfixia es responsable del 19% de las muertes neonatales que ocurren en el mundo. La reanimación neonatal disminuye la mortalidad en estos Recién Nacidos (RN. 10% de los RN requieren maniobras de reanimación, de éstos, 1% requiere reanimación avanzada. OBJETIVOS: Caracterizar los RN reanimados durante el año 2011 en un hospital público. Materiales y métodos: Estudio descriptivo retrospectivo, con historias clínicas correspondientes a la totalidad de RN durante el 2011 en el Hospital Clínico Regional de Concepción. Se seleccionaron RN que requirieron maniobras de reanimación desde ventilación a presión positiva. Se analizaron datos demográficos, Apgar, maniobras realizadas y antecedentes maternos. RESULTADOS: Del total de RN vivos (4095 fueron reanimados 130 (3,17%, de estos últimos un 57,69% de término. El 11,5% fue de muy bajo peso y el 11,5% de extremo bajo peso al nacer. Hubo parto vaginal en 49,6% y cesárea urgencia 40,8%. En relación al Apgar al (1’ resultó <7 en 93,18% de los RN. Se utilizó Ventilación a Presión Positiva (VPP en 66,15%; reanimándose sólo con aire un 12,9% de RN de término y todos los RN Pretérmino fueron reanimados con oxígeno, regulado por oximetría de pulso. Se realizó intubación endotraqueal en 26,92%; 6,92% requirió masaje cardiaco y medicamentos. El 96,15% sobrevivió y 48,15% fueron hospitalizados en UCI. DISCUSIÓN: El porcentaje de RN reanimados fue bajo en comparación a lo señalado en la literatura, pese a ser un centro de referencia. La mayoría de los reanimados fue de término. La maniobra más utilizada fue la VPP.

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

    Directory of Open Access Journals (Sweden)

    Ana Célia Caetano de Souza

    2009-08-01

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

  7. 76 FR 35017 - United States et al. v. United Regional Health Care System; Public Comments and Response on...

    Science.gov (United States)

    2011-06-15

    ... effectively prevented insurers from contracting with United Regional's competitors (``exclusionary contracts... entry of its competitors, likely leading to higher health-care costs and higher health insurance... competitors. The Complaint sought to enjoin United Regional from entering exclusionary contracts with...

  8. Uma avaliação do ambulatório de puericultura do Hospital Universitário regional do norte do Paraná

    Directory of Open Access Journals (Sweden)

    Jurani Barbosa

    1985-11-01

    Full Text Available The aim of the present study was to assess weight length and head circumference in children during the first year of life. The population comprised infants attending the "Welfare out patient" at the "Hospital Universitário Regional do Norte do Parana". The data were compared to the standard graphs "Santo André grupo IV" Undernourishment was found in 16,7% of children at 12 months of age which was not statically different of that found in children at 2 months of age.Foi feita revisão de uma amostra de prontuários das crianças atendidas no primeiro ano de vida no Ambulatório de Puericultura do Hospital Universitário Regional do Norte do Paraná, com o objetivo de verificar o peso, estatura e perímetro cefálico, aos 2, 4y 6, 9 e 12 meses, comparando-os com as curvas padrão. A prevalência de desnutrição encontrada aos 12 meses foi de 16,7% estatisticamente igual à prevalência aos 2 meses.

  9. Prevalence of [i]Legionella pneumophila[/i] in water distribution systems in hospitals and public buildings of the Lublin region of eastern Poland

    Directory of Open Access Journals (Sweden)

    Agnieszka Sikora

    2015-05-01

    Full Text Available Objective. The aim of this study was to determine the prevalence of [i]L. pneumophila[/i] in water supply systems, hospitals and public buildings in the Lublin region of eastern Poland. Material and methods. The study was carried out in 26 different objects in the Lublin region. The number of [i]Legionella[/i] bacteria in water samples was determined by the membrane filtration method and/or by surface inoculation in accordance with the standards. Results. The study showed the presence of[i] L. pneumophila[/i] in 166 hot water samples (74.77%. In 34.33% (n=57 of water samples the count of tested bacteria exceeded the acceptable level of >100 CFU/100 ml. Of the samples where an acceptable level of bacteria was exceeded, 49 samples had an average level of [i]L. pneumophila[/i] (100–1,000 CFU/100 ml, and the level in 8 samples was high (>1,000 CFU/100 ml. Conclusions. The water samples collected form the hot water supply system of hospitals and public buildings showed exceeded counts of[i] L. pneumophila[/i], indicating the risk of infection. The constant monitoring of water distribution systems is an important element of the control of infections caused by these organisms.

  10. Beta Cell Pancreas Dysfunction and Hyperglycemia in Patient Schizophrenia that Uses Haloperidol at Region Special Dadi Hospital Province South Sulawesi

    Directory of Open Access Journals (Sweden)

    Rahmawati

    2016-01-01

    Full Text Available Schizophrenic patients at high risk for development of type 2 diabetes as a side effect of the antipsychotic medication This research is aimed to find out (1 the level of HbA1c and the description of hyperglycemia incidence, (2 the value of HOMA-β and the description of beta cell dysfunction incidence, (3 the correlation between HOMA-β value with HbA1c level, (4 the duration correlation between the use of haloperidol with the HOMA-β value and the HbA1c level, (5 the duration correlation the use of haloperidol and the HbA1c level through HOMA-β value. This study was conducted at the inpatient ward of Dadi Hospital, South Sulawesi Province using quantitative method with cross sectional study. By using total sampling way, 64 were chosen. The data were then analyzed by using frequency distribution test and Spearman correlation. The result of the study indicates that sufferer schizophrenia at Dadi Hospital who use haloperidol have problems of hyperglycemia (HbA1c >5,5%. The longer the use of haloperidol the more the excelsior level of HbA1c found. About 4,3% hyperglycemia in use of haloperidol 1 year. The mechanism the hyperglycemia incidence mentioned above suffered through dysfunction of beta cell. The longer the use of haloperidol the lower the HOMA-β value. It reaches 28,3% dysfunction of beta cell in use of haloperidol 1 year. The dysfunction of beta cell has relation with the duration in the use of haloperidol. The lower HOMA-β value level the more the excelsior level of HbA1c. The incidence of Hyperglycemia is correlated with the dysfunction of beta cell.

  11. 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

  12. 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...

  13. Dilemas del desarrollo regional hidráulico al interior de México: Conflictos en la gestión regional del agua y nueva fórmula política en la Cuenca Lerma-Chapala

    Directory of Open Access Journals (Sweden)

    José Juan Pablo Rojas Ramírez

    2013-01-01

    Full Text Available Durante las últimas dos décadas, en lo que concierne al manejo regional de los re - cursos hidrológicos en México, sólo se replantearon los mecanismos por los cuales se podía seguir dotando del recurso a las actividades productivas, a partir de la creación de infraestructura y atendiendo secundariamente el deterioro del agua y su saneamiento. Por lo que, dicha dinámica trajo consigo conflictos sociales e intergubernamentales, al momento en el que el agua de calidad para las actividades humanas escaseo, además de problemas ambientales y de salud.

  14. Balance historiográfico de la novela histórica en Colombia. Una aproximación al ámbito regional

    OpenAIRE

    José Eduardo Rueda Enciso

    2016-01-01

    El artículo ofrece un balance bibliográfico de las novelas históricas publicadas en Colombia entre 1844-2014. Luego de caracterizar que es novela histórica y su desenvolvimiento en el país, y plantear ciertas especificaciones de la narrativa regional, se destacan los autores y novelas del género consideradas como representativas, así como las que abordan el ámbito regional. Se muestran los cambios, desde el romanticismo decimonónico al posmodernismo, producidos a lo largo de 160 años. Se seña...

  15. Source extension region scaling for AlGaN/GaN high electron mobility transistors using non-alloyed ohmic contacts

    Science.gov (United States)

    Takhar, Kuldeep; Akhil Kumar, S.; Meer, Mudassar; Upadhyay, Bhanu B.; Upadhyay, Pankaj; Khachariya, Dolar; Ganguly, Swaroop; Saha, Dipankar

    2016-08-01

    Here we have demonstrated AlGaN/GaN based high electron mobility transistors with scaled source extension regions using non-alloyed ohmic contacts to two-dimensional electron gas (2-DEG). We show that the scaling of the extension region has profound impact on the device radio frequency (RF) response and the performance peaks at an optimum extension region length. The unity current gain (fT) and power gain frequencies (fmax) have been found to be 79.6 and 96.2 GHz, respectively, for a 260 nm gate length (Lg) and 120 nm extension region length. The devices show a very large fT × Lg product of 20.7 GHz μm at the optimum extension length. The presence of the optimum extension length and the equivalence of source extension and gate length scaling may serve as additional design rules for high performance HEMTs.

  16. Molecular Dynamics Study of the Microstructure of the Near Grain Boundary Distortion Region in Small Grain Nano-NiAl Alloy

    Institute of Scientific and Technical Information of China (English)

    WANG Jing-Yang; WANG Xiao-Wei; J.Rifkin; LI Dou-Xing

    2001-01-01

    Using the molecular dynamics simulation method, the microstructure of the distortion region near the curved amorphous-like grain boundary in nano-NiAl alloy is studied. The results show that due to the internal elastic force of the high-energy grain boundary, a distortion layer exists between the grain and grain boundary. The lattice expansion and the decreasing structure factor are observed in this region. The stacking fault in samples with a grain size of 3.8 nm is clearly observed across the distortion region at the site very close to the grain. The inItuences of different grain sizes on average distortion degree and volume fractions of the distortion region, grain and grain boundary are also discussed.

  17. 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

  18. Relationship of Characteristics of Baby’s Mother with the Low Birth Weight in Regional General Hospital in Sorong

    Directory of Open Access Journals (Sweden)

    Agustina Naa

    2016-02-01

    Full Text Available The mortality rate of low birth weight is part of a reflection of the public health status. Low birth weight babies are born with birth weight less than 2,500 grams regardless of pregnancy. The aim of research to determine the relationship characteristic of mothers of infants with LBW. This type of research is observational analytic with cross sectional design. Collecting data through observation sheet on record medic mothers who gave birth in hospitals 2014, in Sorong, West Papua Province in July-August 2015. The results reveal no relationship nutritional status of mothers with LBW (p = 0.000 and 9.54 RP. No relationship of anemia in mothers with LBW (p = 0.000 and 9.20 RP, no relationship of pregnancy range with LBW births (p = 0.000 and 5.01 RP, no maternal employment status relationship with the incidence of low birth weight (p = 0.001 and RP 3.22, there is a relationship with the mother's education level LBW (p = 0.005 and 2.82 RP, no correlation between age mothers with LBW (p = 0.011 and 2.51 RP and the biggest risk factors based on the RP is factor of maternal nutritional status (p = 0.000 and 9.54 RP.

  19. Regional Variation in Diabetic Outcomes by Country-of-Origin and Language in an Urban Safety Net Hospital.

    Science.gov (United States)

    Wilhelm, April K; Jacobson, Debra J; Guzman-Corrales, Laura; Fan, Chun; Baker, Karen; Njeru, Jane W; Wieland, Mark L; Boehm, Deborah H

    2016-08-01

    Adherence to diabetic care guidelines among US immigrants remains low. This study assesses adherence to diabetic care guidelines by country-of-origin and language among a limited English-proficient (LEP) population. Timely completion of diabetic measures and acceptable levels of hemoglobin A1c (A1c), low density lipoprotein (LDL) cholesterol, and blood pressure (BP) were compared between LEP and English-proficient (EP) patients in this 2013 retrospective cohort study of adult diabetics. More LEP patients met BP targets (83 vs. 68 %, p < 0.0001) and obtained LDL targets (89 vs. 85 %, p = 0.0007); however, they had worse LDL control (57 vs. 62 %, p = 0.0011). Ethiopians and Somalians [adjusted OR (95 % CI) = 0.44 (0.30, 0.63)] were less likely than Latin Americans to meet BP goals. LEP patients outperformed EP peers on several diabetic outcomes measures with important variation between groups. These data highlight the success of a safety net hospital in improving diabetes management among diverse populations.

  20. FCGR3B gene frequencies among ethnic Thai blood donors from a regional hospital in Eastern Thailand.

    Science.gov (United States)

    Kongmaroeng, C; Kumkaen, K

    2015-02-01

    The FCGR3B gene encodes three human neutrophil antigens which consist of HNA-1a, HNA-1b, and HNA-1c. These antigens are encoded by three alleles in the FCGR3B locus: FCGR3B*01, FCGR3B*02, and FCGR3B*03 alleles, respectively. The frequencies of FCGR3B alleles have been reported in different ethnic populations. This study compared the FCGR3B gene frequencies among 230 unrelated healthy Eastern Thai blood donors in Rayong hospital with the previously published studies. The polymerase chain reaction-sequence-specific primers method was performed to determine FCGR3B genotypes. The results showed that the allele frequencies of FCGR3B*01, FCGR3B*02, and FCGR3B*03 were 0.722, 0.274, and 0.009, respectively. The FCGR3B*01 and FCGR3B*02 frequencies found in the Eastern Thais were similar to the previous reports investigating in Northern Thais, Chinese Han, Taiwanese, and Japanese populations. Interestingly, our data showed statistically significant difference (P American, German, and Italian populations. In addition, one FCGR3Bnull , which represents a gene deletion, was also found in this study. This information is important not only for the assessment of neutrophil antibody-mediated clinical conditions and for disease association studies but also for anthropological studies.

  1. De-hospitalization of the pediatric day surgery by means of a freestanding surgery center: pilot study in the lazio region

    Directory of Open Access Journals (Sweden)

    Mangia Giovanni

    2012-02-01

    Full Text Available Abstract Background Day surgery should take place in appropriate organizational settings. In the presence of high volumes, the organizational models of the Lazio Region are represented by either Day Surgery Units within continuous-cycle hospitals or day-cycle Day Surgery Centers. This pilot study presents the regional volumes provided in 2010 and the additional volumes that could be provided based on the best performance criterion with a view to suggesting the setting up of a regional Freestanding Center of Pediatric Day Surgery. Methods This is an observational retrospective study. The activity volumes have been assessed by means of a DRG (Diagnosis Related Group-specific indicator that measures the ratio of outpatients to the total number of treated patients (freestanding indicator, FI. The included DRGs had an FI exceeding the 3rd quartile present in at least a health-care facility and a volume exceeding 0.5% of the total patients of the pediatric surgery and urology facilities of the Lazio Region. The relevant data have been provided by the Public Health Agency and relate to 2010. The best performance FI has been used to calculate the theoretical volume of transferability of the remaining facilities into freestanding surgery centers. Patients under six months of age and DRGs common to other disciplines have been excluded. The Chi Square test has been used to compare the FI of the health-care facilities and the FI of the places of origin of the patients. Results The DRG provided in 2010 amounted to a total of 5768 belonging to 121 types of procedures. The application of the criteria of inclusion have led to the selection of seven final DRG categories of minor surgery amounting to 3522 cases. Out of this total number, there were 2828 outpatients and 694 inpatients. The recourse of the best performance determines a potential transfer of 497 cases. The total outpatient volume is 57%. The Chi Square test has pointed to a statistically significant

  2. 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....

  3. Biological properties of Staphylococcus genus strains from patients of Mechnikov Dnіpropetrovsk region clinical hospital

    Directory of Open Access Journals (Sweden)

    Y. Y. Nikulina

    2011-04-01

    Full Text Available It was investigated the biological properties of 494 strains of Staphylococcus genus isolated from pathological material of patients from 15 Departments of Mechnikov Dnipropetrovsk Region Clinical Hospita. All microflora was presented by four bacteria species: Staphylococcus aureus, S. epidermidis, S. haemolyticus and S. saprophyticus. S. aureus was the most extended agent of infections. All bacteria were the most sensitive to linezolid, gentamycin and meropenem.

  4. PATTERN OF HBsAg POSITIVITY IN SELECTED GROUPS AT KING KHALID GENERAL HOSPITAL - HAIL REGION, KINGDOM OF SAUDI ARABIA

    OpenAIRE

    Mahaba, Hisham M.; El-Tayeb, Abd El Kader A.; El-Sekibi, Dahl K; El Gofaei, Ali F.; El-Baz, Hisham S.; Ismail, Nanees A.

    1997-01-01

    Background: Hepatitis B virus (HBV) is endemic in the Kingdom of Saudi Arabia. The acquisition of infection occurs early in life. The availability of safe and efficacious vaccines has led to the feasibility of an effective control of HBV infection. This study compares the pattern of HBsAg positivity among selected groups of patients with similar groups in other regions in the Kingdom of Saudi Arabia. Objectives: This study is conducted to determine the prevalence of HBsAg positive subjects am...

  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. Treatment outcome of human immunodeficiency virus and tuberculosis co-infected patients in public hospitals of eastern and southern zone of Tigray region, Ethiopia

    Directory of Open Access Journals (Sweden)

    Mehretu Belayneh

    2015-02-01

    Full Text Available Background:Tuberculosis is a leading cause of death among people living with human immunodeficiency virus. In sub-Saharan Africa, tuberculosis accounts for more than 78% of all deaths among people with human immunodeficiency virus.Objectives:To assess tuberculosis treatment outcome and the associated factors in adult tuberculosis/human immunodeficiency virus co-infected patients in four public hospitals of eastern and southern zone of Tigray region, Ethiopia.Methodology:Institution based cross-sectional study design was used to examine secondary data from tuberculosis/human immunodeficiency virus co-infected patients attending four public hospitals of eastern and southern zone of Tigray, from January 2009 to August 2011. Systematic random sampling technique was used to select individual patient cards from the respective hospitals. Univariate analysis and multivariate logistic regression modeling was used to assess the impact of each variable in predicting treatment outcome.Results:Out of 342 patients included, 199 (58.2% patients completed treatment, 43 (12.6% patients were cured, 88 (25.7% died, 7 (2% defaulted, and 5 (1.5% patients failed treatment. Treatment success rate was around 71%. In the multivariate logistic regression analysis the factors that were strongly associated with unfavorable tuberculosis treatment outcomes were WHO stage IV (AOR = 3.2, CI = 1.58-6.82, p-value = 0.001, age greater than 45 years (AOR = 6.08, CI = 2.28-16.23 and baseline CD4 count less than 200 cells/L (AOR = 6.19, CI = 2.28-16.89, p-value = 0.001.Conclusion:The rate of treatment success in this study was lower than the rate newly recommended by WHO. Therefore, efforts should be undertaken to improve treatment success rates of both diseases.

  7. 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...

  8. [Epidemiological and clinical profile of neurocysticercosis patients assisted by the Hospital Universitário Regional de Maringá, Paraná, Brazil].

    Science.gov (United States)

    Benedeti, Márcia Regina; Falavigna, Dina Lúcia Morais; Falavigna-Guilherme, Ana Lúcia; Araújo, Silvana Marques de

    2007-03-01

    The aim of this study was to drawn an epidemiological and clinical profile of the neurocysticercosis (NCC) patients assisted by Hospital Universitário Regional de Maringá. A transversal, retrospective and descriptive study based on 6,100 records of the Neurology, Neuropediatry, Neurosurgery and Psychiatry clinics was done from January/1998 to December/2004. Of these, 48 were selected with diagnosis of NCC. The prevalence was greater in female (p<0.001), 31-60 years (43.7%), and urban zone (93.8%). The number of NCC cases overcame those notified to the Epidemic Surveillance in 1998, 1999, 2001, 2002 and 2004. The epilepsy due to NCC (CI=1.77;16.07; p=0.0024) was generalized and of late onset in 91.7% patients, being associated to headache in 37.5% ones. There was need of hospitalization in 22.9% of the patients (medium time of 3.91+/-3.35 days). It was concluded that the epidemiological and clinical profile observed is peculiar, displaying some common points with other Brazilian studies.

  9. Determination of antibiotics in sewage from hospitals, nursery and slaughter house, wastewater treatment plant and source water in Chongqing region of Three Gorge Reservoir in China

    Science.gov (United States)

    Chang, Xiaotian; Meyer, M.T.; Liu, Xiuying; Zhao, Q.; Chen, H.; Chen, J.-a.; Qiu, Z.; Yang, L.; Cao, J.; Shu, W.

    2010-01-01

    Sewage samples from 4 hospitals, 1 nursery, 1 slaughter house, 1 wastewater treatment plant and 5 source water samples of Chongqing region of Three Gorge Reservoir were analyzed for macrolide, lincosamide, trimethoprim, fluorouinolone, sulfonamide and tetracycline antibiotics by online solid-phase extraction and liquid chromatography-tandem mass spectrometry. Results showed that the concentration of ofloxacin (OFX) in hospital was the highest among all water environments ranged from 1.660????g/L to 4.240????g/L and norfloxacin (NOR, 0.136-1.620????g/L), ciproflaxacin (CIP, ranged from 0.011????g/L to 0.136????g/L), trimethoprim (TMP, 0.061-0.174????g/L) were commonly detected. Removal range of antibiotics in the wastewater treatment plant was 18-100% and the removal ratio of tylosin, oxytetracycline and tetracycline were 100%. Relatively higher removal efficiencies were observed for tylosin (TYL), oxytetracycline (OXY) and tetracycline (TET)(100%), while lower removal efficiencies were observed for Trimethoprim (TMP, 1%), Epi-iso-chlorotetracycline (EICIC, 18%) and Erythromycin-H2O (ERY-H2O, 24%). Antibiotics were removed more efficiently in primary treatment compared with those in secondary treatment. ?? 2009 Elsevier Ltd. All rights reserved.

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

    Directory of Open Access Journals (Sweden)

    Sushna Maharjan

    2014-12-01

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

  11. Preliminary study of community-acquired Staphylococcus aureus infection in Manaus Hospital, Amazonia Region, Brazil Estudo preliminar das infeccões por Staphylococcus aureus na comunidade de um Hospital em Manaus, Região do Amazonas, Brasil

    Directory of Open Access Journals (Sweden)

    Jesus M. Egido

    2003-12-01

    Full Text Available Methicillin resistant Staphylococcus aureus is considered a public health problem with a strong potential for dissemination and high rates of morbidity and mortality. In this study we describe bacteriological and epidemiological characteristics of Staphylococcus aureus in Manaus (Amazon region. During the one-year study period (2000-2001, sixteen cases of acute pyogenic multiple abscess were evaluated. Community-acquired S. aureus was identified as causative agent in 10 (62.5% patients. The strains tested with antimicrobials by discs diffusion method, exhibited a high rate of sensitivity to cephalexin (100%, erythromycin (90%. Oxacillin-susceptible Staphylococcus aureus was 90%. No isolate was resistant to Vancomycin. To our knowledge, no series of community-acquired Staphylococcus aureus in Manaus hospital has been published. Our partial results showed a high rate of antimicrobial sensitivity among community-acquired Staphylococcus aureus in the hospital of Tropical Medicine Institute of Manaus, Amazon Region.O Staphylococcus aureus resistente a meticilina é considerado como um problema na saúde publica por seu grande potencial de disseminação e altas porcentagens de morbidade e mortalidade. No estudo descrevemos as características bacteriológicas e epidemiológicas do Staphylococcus aureus na cidade de Manaus. No período de um ano (2000-2001 avaliou-se dezesseis casos de abscessos piogênicos múltiplos. Em 10 (62,5% doentes o agente causal foi identificado como Staphylococcus aureus adquirido na comunidade O estudo das bacterias isoladas frente aos diferentes antimicrobianos, seguindo o método de difusão em disco, mostrou boa sensibilidade a cefalexina (100% e eritromicina (90%. Noventa porcento dos Staphylococcus aureus isolados foram sensíveis ao oxacilina. Nenhum dos isolados mostrou ser resistente a Vancomicina. Não temos informações sobre publicações dos Staphylococcus aureus adquiridos na comunidade em hospitais de Manaus

  12. Fetal deaths at Hospital Universitário Regional do Norte do Paraná from 1997 to 2000 Óbito fetal no Hospital Universitário Regional do Norte do Paraná de 1997 a 2000

    Directory of Open Access Journals (Sweden)

    Denise Cavenaghi Prete

    2002-11-01

    prevalência em diversas populações, ao serem estudados podem incrementar a assistência pré-natal, obstétrica e neonatal.Objetivos: Conhecer a freqüência, analisar e classificar os óbitos fetais que ocorreram no Hospital Universitário do Norte do Paraná no período de 4 (quatro anos, de 1997 a 2000. Verificar aspectos epidemiológicos e métodos de investigação dos óbitos fetais e comparar dados com a literatura.Métodos: Neste estudo descritivo, todos os casos de óbito fetal do HURNP, no período de 4 anos (de 1997 a 2000, foram revistos retrospectivamente. Os dados foram coletados dos prontuários médicos e submetidos a análise estatística pelo programa EPI INFO.Resultados: Foram identificados 97 casos de óbito fetal no período estudado no HURNP, com idade gestacional de vinte semanas ou mais, e peso fetal maior ou igual a 500 gramas. A maior proporção dos casos deu entrada no Pronto-Socorro em óbito fetal (73,4%, e em 26,6% dos casos o óbito ocorreu no período de internamento para tratamento ou investigação. Primigestas (36,6% e secundigestas (21,9% predominaram. A idade materna variou de 14 a 44 anos, com média de 31,88. Faixas etárias mais jovens predominaram. Movimentação fetal diminuída ou ausente (22,2% e 15,6% e dor abdominal (23,3%, foram as queixas mais freqüentes. Patologias associadas a doença hipertensiva (34% e causas indeterminadas (32% foram as mais encontradas.Conclusão: Os casos de óbito fetais no HURNP, no período estudado, indicam a predominância de patologias associadas a doença hipertensiva e casos sem patologia associada, indeterminados. A investigação diagnóstica e epidemiológica foram pouco aplicadas e merecem aprofundamento através de protocolos específicos.

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

    Directory of Open Access Journals (Sweden)

    Karla Morales-Navarro

    2011-06-01

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

  14. 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)

  15. 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)

  16. Nutritional assessment of adult patients admitted to a hospital of the Amazon region Evaluación nutricional de pacientes adultos ingresados en un hospital de la región amazónica

    OpenAIRE

    K. Acuña; Portela, M; A. Costa-Matos; L. Bora; M. Rosa Teles; D. L. Waitzberg; T. Cruz

    2003-01-01

    Changes in nutritional status are important in clinical practice because they relate to an increase in morbidity and mortality. Studies about nutritional problems in hospitalized adults have been reported since the 1970s. The prevalence of malnutrition has varied from 10 to 70%, depending on the diagnostic criteria used. The hospital studied and the duration of admission. Aim: To assess, in the first day of hospital stay, the nutritional status of adults admitted to undergo elective surgery i...

  17. Emission spectrum from an Al/Mg tracer in the blow-off region of a radiativelv ablated cansule

    Institute of Scientific and Technical Information of China (English)

    Pu Yu-Dong; Chen Bo-Lun; Zhang Lu; Yang Jia-Min; Huang Tian-Xuan; Ding Yong-Kun

    2011-01-01

    A study of X-ray emissions from Al/Mg tracers buried at two different depths in a plastic shell is presented. The X-rays originating from the K-shell transitions of the Al/Mg ions begin to irradiate after the ablative heating wave has passed through the trace layer and are recorded with a streaked crystal spectrometer. Only emissions from the capsule with the trace layer buried at a smaller depth are observed. Hydrodynamic simulations and a collisional-radiative model including detailed atomic physics are used to investigate the measured spectrum. It is found that the effects of the radiative heating play important roles in the formation of the K-shell emission. The time correlation between the simulations and the measurements is obtained by comparing the measured time profile of the He a emission with the calculated one. The line ratio of Ly a to He a is also calculated and is found to be in fairly good agreement with the experimental data. Finally,the relation between the time profile of the He a emission and the ablation velocity is also discussed.

  18. Dilemas del desarrollo regional hidráulico al interior de México: Conflictos en la gestión regional del agua y nueva fórmula política en la Cuenca Lerma-Chapala

    Directory of Open Access Journals (Sweden)

    Rojas Ramírez José Juan Pablo

    2013-06-01

    Full Text Available Durante las últimas dos décadas, en lo que concierne al manejo regional de los recursos hidrológicos en México, sólo se replantearon los mecanismos por los cuales se podía seguir dotando del recurso a las actividades productivas, a partir de la creación de infraestructura y atendiendo secundariamente el deterioro del agua y su saneamiento. Por lo que, dicha dinámica trajo consigo conflictos sociales e intergubernamentales, al momento en el que el agua de calidad para las actividades humanas escaseo, además de problemas ambientales y de salud. Dilemmas of Regional Hydraulic Develop in México, Conflicts in Regional Management of Water and New Politic Formula in Lerma´s-Chapala BasinAbstractFor two decades, in the management of hydraulics resources in México, only were redesigned the mechanisms for distribute the fresh water to the productive activities. The implementation of hydraulic infrastructure was the criteria used and not the sanitation of water. In consequences arisen social conflicts and intergovernmental conflicts when the quality water diminished. This is the reality in the Cuenca Lerma-Chapala in México, a region economically important and high density demographically.

  19. Deep green emission at 570nm from InGaN/GaN MQW active region grown on bulk AlN substrate

    Science.gov (United States)

    Shahedipour-Sandvik, F.; Grandusky, J. R.; Jamil, M.; Jindal, V.; Schujman, S. B.; Schowalter, L. J.; Liu, R.; Ponce, F. A.; Cheung, M.; Cartwright, A.

    2005-09-01

    Relatively intense deep-green/yellow photoluminescence emission at ~600 nm is observed for InGaN/GaN multi quantum well (MQW) structures grown on bulk AlN substrates, demonstrating the potential to extend commercial III-Nitride LED technology to longer wavelengths. Optical spectroscopy has been performed on InGaN MQWs with an estimated In concentration of greater than 50% grown by metalorganic chemical vapor phase epitaxy at 750oC. Temperature- and power-dependence, time-resolved photoluminescence as well as spatially resolved cathodoluminescence measurements and transmission electron microscopy have been applied to understand and elucidate the nature of the mechanism responsible for radiative recombination at 600nm as well as higher energy emission band observed in the samples. A comparison between samples grown on bulk AlN and sapphire substrates indicate a lower degree of compositional and/or thickness fluctuation in the latter case. Our results indicate the presence of alloy compositional fluctuation in the active region despite the lower strain expected in the structure contrary to that of low In composition active regions deposited on bulk GaN substrates. Transient photoluminescence measurements signify a stretched exponential followed by a power decay to best fit the luminescence decay indicative of carrier hopping in the active region. Our results point to the fact that at such high In composition (>30%) InGaN compositional fluctuation is still a dominant effect despite lower strain at the substrate-epi interface.

  20. Evaluation of the Impact of AlRS Radiance and Profile Data Assimilation in Partly Cloudy Regions

    Science.gov (United States)

    Zavodsky, Bradely; Srikishen, Jayanthi; Jedlovec, Gary

    2013-01-01

    Parallel experiments using AIRS L1B and L2 retrieved profiles were run for 29 case study days for early Winter 2011. Forecasts over and downstream regions of low, opaque cloudy regions yield improved T and Z anomaly correlations when non-thinned set of profiles is assimilated instead of radiances. Initial results indicate that GSI does a good job on the whole of determining cloud-free radiances there are some areas coincident with areas of larger profile impact that are misrepresented (compared to MODIS) that may result in reduced analysis impact.

  1. 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...

  2. 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...

  3. Chemistry of groundwater of Al-Ahsa Oasis eastern region Saudi Arabia and its predictive effects on soil properties.

    Science.gov (United States)

    Al-Zarah, Abdullah I

    2008-02-01

    Saudi Arabia is an arid and the largest country in the middle east with a total land area of 2.253 x 10(6) km2. Recent urban and rural expansion has shown manifold increases in water use in various sectors. Water resources are limited and non-renewable coupled with unpredicted scanty rainfall. In order to meet the rising water needs, evaluation of water quality is important for allocation to various uses. A total of 101 well water samples were collected from Al-Ahsa Oasis. Water samples were analyzed for total salt concentration, pH, Ca, Mg, Na, K, HCO3, Cl, SO4, NO3, F and B contents. Soil Salinity Development (SSD), adjusted sodium adsorption ratio (adj.SAR), adjusted sodium adsorption ratio (adj. R(Na)) and Exchangeable Sodium Percentage (ESP) were calculated. The EC of groundwater ranged between 1.23 and 5.05 dS m(-1). Sodium was the most abundant cation followed by Ca, Mg and K in descending order. Chloride was the most abundant anion followed by SO4 and HCO3 in groundwater of Al-Ahsa Oasis. A significant correlation was found between Na and Cl (R2 = 0.936). Thermodynamics calculation revealed that an appreciable amount of Ca and Mg is associated with Cl and SO4 ions. The SAR and ESP values are within the permissible limits according to Ayers and Westcot, 1985. The NO3 concentration is within safe limits for drinking purpose according to WHO (1998) standards. The Saturation Indices (SI) indicated that groundwater is under-saturated (negative SI) with respect to certain minerals (for example: calcite, dolomite, gypsum, anhydrite, halite, pyrite, fluorite and aragonite) and oversaturated (positive SI) with respect to some other minerals (For example: Goethite, Siderite and hematite). The negative saturation index (SI) reveals that most of minerals are in un-saturated state and will dissolve more Ca and Mg into the soil solution after irrigation. A good relationship exists between Cl and other ions (Na, Ca and Mg) as well as between SO4 and Ca and Mg ion of

  4. Caracterização dos traumas abdominais em pacientes atendidos no Hospital Universitário Regional de Maringá, 2006 = Abdominal trauma at the University Hospital of Maringá, 2006

    Directory of Open Access Journals (Sweden)

    Orlando Ribeiro Prado Filho

    2008-07-01

    Full Text Available De todas as mortes por causas externas por trauma, metade poderia ser evitada, e um terço delas é dito potencialmente evitável. Objetiva-se determinar as características comuns referentes ao paciente com traumatismo abdominal. Realizou-se um estudo de 57 casos de pacientes com traumatismo abdominal atendidos no Hospital UniversitárioRegional de Maringá, no período de janeiro a dezembro de 2006. Constatou-se que a maioria das vítimas é do sexo masculino; a faixa etária mais acometida é a terceira década de vida; o trauma abdominal aberto mostrou-se discretamente mais frequente, sendo o ferimento por arma branca mais comum; a maioria das contusões abdominais se deveu aacidentes de trânsito; a realização de intervenção cirúrgica supera o tratamento conservador nos traumas abdominais abertos; nos traumas contusos, o baço e os rins foram os órgãos mais acometidos, enquanto nos ferimentos abertos a víscera mais acometida foi o intestinodelgado; a evolução para óbito predominou nos traumas abdominais abertos. Em virtude da prevalência, gravidade e importância do tema, sugere-se que mais estudos sejam realizados para que, assim, seja possível estabelecer condutas cada vez mais apropriadas à realidade doSistema Único de Saúde.Of all the deaths due to external cause trauma, half could be avoided, and a third are potentially preventable. The objective of this study was to determine the common characteristics related to patients with abdominal trauma. A study was conducted of 57 cases of abdominal trauma at the University Hospital of Maringá, during the period from January to December 2006. The majority of victims are male; the most affected age group is in its third decade oflife; open abdominal trauma proved to be slightly more prevalent, and wounds from cold steel weapons were the most common; most abdominal injuries were due to traffic accidents; the conduct of surgical intervention overcomes conservative treatment in

  5. High packing density laser diode stack arrays using Al-free active region laser bars with a broad waveguide and discrete copper microchannel-cooled heatsinks

    Institute of Scientific and Technical Information of China (English)

    Zhigang Liu; Gaozhan Fang; Kecheng Feng

    2009-01-01

    A high packing density laser diode stack array is developed utilizing Al-free active region laser bars with a broad waveguide and discrete copper microchannel-cooled heatsinks. The microchannel cooling technology leads to a 10-bar laser diode stack array having the thermal resistance of 0.199 ℃/W, and enables the device to be operated under continuous-wave (CW) condition at an output power of 1200 W. The thickness of the discrete copper heatsink is only 1.5 mm, which results in a high packing density and a small bar pitch of 1.8 mm.

  6. 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.

  7. 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.

  8. Mecanismos kaldorianos del crecimiento regional: Aplicación empírica al caso del ALADI (1980-2007

    Directory of Open Access Journals (Sweden)

    Christine Carton Madura

    2009-05-01

    Full Text Available According to Kaldor (1970, regional growth patterns arise from a cumulative causation process as broadly combining two substantial mechanisms i.e. a productivity regime, known as the “Kaldor-Verdoorn” law, and a demand regime due to the expansion of exportations. This paper attempts to assess empirically the Kaldor’s framework in characterizing economic growth for 11 ALADI countries from a panel data set over period 1980 to 2007. After having controlled industrial heterogeneity, the results are indicating the existence of two regional trends within member states, especially in terms of external demand constraint. It can be pointed out a group of countries for which the link between productivity gains and demand growth has become weaker, due to an increasing external dependence as well as a detrimental competitive position. Finally, findings are quite conclusive insofar as the existence of the Kaldorian mechanisms is corroborated in explaining trajectories of ALADI countries while both increasing returns to scale and demand led growth are seemingly playing a significant role in the region.

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

    OpenAIRE

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

    2008-01-01

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

  10. 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 ...

  11. Bleaching effect in passive regions of powerful 1.02 μm InGaAs/AlGaAs DQW laser diodes with ridged waveguide structure

    Science.gov (United States)

    Ryabtsev, G. I.; Bezyazychnaya, T. V.; Bogdanovich, M. V.; Parastchuk, V. V.; Yenzhyieuski, A. I.; Burov, L. I.; Gorbatsevich, A. S.; Ryabtsev, A. G.; Shchemelev, M. A.; Bezotosnyi, V. V.; Shore, K. A.; Banerjee, S.

    2008-03-01

    It has been shown that the cavity trapped amplified luminescence (CTAL) flux formed within the active region of a powerful 1.02 μm InGaAs/AlGaAs DQW laser diode (LD) with a ridged waveguide structure, can cause the bleaching of passive areas leading to abrupt hysteresis-type changes in the light-current and spectral characteristics. The post-threshold rise of the CTAL flux within the non-lasing parts of the active region is most likely to play significant role in the nonlinear optical phenomena observed in investigated LDs. The frequency-integrated CTAL flux density at which bleaching takes place is equal to 6.5×108 W/m2. The hysteresis-type loop can be removed through the LD “run-in” procedure or high-temperature annealing of the LD chip in an hydrogen atmosphere.

  12. High-Performance 1.55-µm Superluminescent Diode Based on Broad Gain InAs/InGaAlAs/InP Quantum Dash Active Region

    KAUST Repository

    Khan, Mohammed Zahed Mustafa

    2014-08-01

    We report on the high-performance characteristics from superluminescent diodes (SLDs) based on four-stack InAs/InGaAlAs chirped-barrier thickness quantum dash (Qdash) in a well structure. The active region exhibits a measured broad gain spectrum of 140 nm, with a peak modal gain of ~41 cm-1. The noncoated two-section gainabsorber broad-area and ridge-waveguide device configuration exhibits an output power of > 20 mW and > 12 mW, respectively. The corresponding -3-dB bandwidths span ~82 nm and ~72 nm, with a small spectral ripple of <; 0.2 dB, related largely to the contribution from dispersive height dash ensembles of the highly inhomogeneous active region. These C-L communication band devices will find applications in various cross-disciplinary fields of optical metrology, optical coherent tomography, etc.

  13. Balance historiográfico de la novela histórica en Colombia. Una aproximación al ámbito regional

    Directory of Open Access Journals (Sweden)

    José Eduardo Rueda Enciso

    2016-01-01

    Full Text Available El artículo ofrece un balance bibliográfico de las novelas históricas publicadas en Colombia entre 1844-2014. Luego de caracterizar que es novela histórica y su desenvolvimiento en el país, y plantear ciertas especificaciones de la narrativa regional, se destacan los autores y novelas del género consideradas como representativas, así como las que abordan el ámbito regional. Se muestran los cambios, desde el romanticismo decimonónico al posmodernismo, producidos a lo largo de 160 años. Se señalan algunos hechos y circunstancias que han influido en esta producción literaria, y se lanzan algunas conclusiones preliminares.

  14. Epidemiological and spatial analysis of scorpion stings in two regions of Morocco: Marrakesh-Tensift-Al Haouz and Souss-Massa-Draa

    Directory of Open Access Journals (Sweden)

    Moulay Abdelmonaim El Hidan

    2016-04-01

    Full Text Available Objective: To describe and compare the epidemiological features of scorpionism during six years (2005–2010 in two regions of Morocco: Marrakesh-Tensift-Al Haouz and Souss-MassaDraa. Methods: Clinical and epidemiological data were obtained from medical records of the Moroccan Poison Control Center during 2005–2010. The data comprised demographics, sting characteristics and clinical severity classes. Digital maps were produced for envenomation and death incidence with the distribution of all scorpion species present on the studied area. Results: A total of 75313 scorpion sting cases were notified. The incidence of scorpion stings was 244 cases/100000 population/year and was significantly higher at Marrakesh-Tensift-Al Haouz than Souss-Massa-Draa. The general lethality rate was on an average of 0.28% with a higher rate in Marrakesh-Tensift-Al Haouz compared to Souss-Massa-Draa. There was a different distribution of cases between genders in the two studied regions. With respect to age groups, adults (more than 15 years were affected most compared to children. When analyzed according to the incidence in each province, the highest envenomation incidence was observed in Chichaoua. Concerning lethality, the highest lethality incidence was observed in the Kelaa. Based on this study, we could distinguish three zones: low scorpion stings occurrence without death, high incidence with low lethality and high scorpion stings rate with high lethality. Conclusions: Our data clearly demonstrate the correlation between scorpion stings incidence and the percentage of rural population in the different provinces. Additionally, the lethality incidence could be linked to the scorpion species of the studied area.

  15. High-Temperature Deformation Behavior of a Ti-6Al-7Nb Alloy in Dual-Phase (α + β) and Single-Phase (β) Regions

    Science.gov (United States)

    Pilehva, F.; Zarei-Hanzaki, A.; Moemeni, S.; Khalesian, A. R.

    2016-01-01

    The present study aimed to characterizing the microstructure evolution of a Ti-6Al-7Nb biomedical type titanium alloy during hot working through hot compression tests. The hot deformation cycles were conducted under the strain rate of 0.0025, 0.025, and 0.25 s-1 in the temperature range of 850-1150 °C where both dual-phase (α + β) and single-phase (β) regions could be accessible. The flow stress behavior of the material for the entire deformation regime was interpreted via microstructural observations. The results indicated that in the single-phase β region (1050-1150 °C), the dynamically recrystallized (DRX) grains were formed at the deformed and elongated beta grain boundaries as a necklace-like structure. The variations in the dynamically recrystallized grain size were determined to follow the Zener-Hollomon relationship where DRX grain size was decreased by reducing the temperature and increasing the strain rate. The alloy deformation characteristics in α + β region were somewhat different. During deformation in the upper α + β temperature range (e.g., 1000 °C), the β phase would accommodate most of the deformation, while α regions remained undeformed. In the lower α + β temperature range (e.g., 850-950 °C), the kinking/bending of α lamellae as well as the subsequent globularization of α layers were postulated to be responsible for the observed flow softening behavior.

  16. 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.

  17. ANALYSIS OF COST STRUCTURE FOR PHARMACOTHERAPY OF PATIENTS WITH STABLE ANGINA (THE CASE OF CARDIOLOGY DEPARTMENT OF TVER REGIONAL CLINICAL HOSPITAL

    Directory of Open Access Journals (Sweden)

    M. A. Demidova

    2015-12-01

    Full Text Available Aim. To analyze the cost structure for pharmacotherapy of patients with stable angina (SA, in particular, to compare the cost of pharmacotherapy with drugs, both included and not included into the official Standard of care (SC. Material and methods. Medical records of patients with SA (n=100 admitted to the cardiology department of Tver Regional Clinical Hospital in January-July 2010 were studied retrospectivelly. Costs of treatment with drugs specified in SC for patients with SA as well as drugs not included in SC were considered. Costs of pharmacotherapy and cost structure were determined. Pharmacoeconomical methods, especially ABC analysis, were partially used.  Results. Totally 65502.39 ruble was spent for pharmacotherapy of 100 patients with SA. Cost structure was the following: 32679.34 ruble was spent for drugs recommended by SC, 23698.18 ruble — for drugs not included in SC, and 9124.87 ruble — for drugs to treat concomitant diseases which are not taken into account by SC for patients with SA. Conclusion. SA pharmacotherapy counts 50% of the total cost for drugs recommended by SC, 36% — for drugs not included in SC but belonged to pharmacological class presented in SC, and 14% — drugs from pharmacological class not included in SC. In the process of new SC elaboration for SA patients it is necessary to take into account treatment costs of concomitant diseases especially diabetes mellitus which can account up to 9.5% of total treatment cost of SA patients.

  18. Characterization of Enterococcus faecium with macrolide resistance and reduced susceptibility to quinupristin/dalfopristin in a Japanese hospital: detection of extensive diversity in erm(B)-regulator regions.

    Science.gov (United States)

    Isogai, Nayuta; Urushibara, Noriko; Kawaguchiya, Mitsuyo; Ghosh, Souvik; Suzaki, Keisuke; Watanabe, Naoki; Quiñones, Dianelys; Kobayashi, Nobumichi

    2013-08-01

    Cross-resistance to macrolide, lincosamide, and streptogramin B (MLSB) antibiotics is mainly mediated by the erm (erythromycin ribosome methylation) genes that encode 23S rRNA methylases in enterococi, and various mechanisms are involved in the streptogramin B resistance. Prevalence of MLSB resistance and its genetic mechanisms were analyzed for a total of 159 strains of Enterococcus faecium isolated from clinical specimens in a university hospital in Japan from 1997 to 2006. Resistance to erythromycin (EM) and clindamycin was detected in 88.1% and 89.9% of all the strains examined, respectively, and expression of resistance was totally constitutive. Although none of the strain was resistant to quinupristin/dalfopristin (Q/D), 28 strains (17.6%) showed intermediate resistance to Q/D (MIC: 2 μg/ml). The erm(B) gene was detected in 139 strains (87.4%), and msrC was found in all the strains examined, whereas no other known MLSB resistance genes were identified. The erm(B) regulator region (RR) containing a coding region of the leader peptide was classified into 13 genetic variations (L1-L3, M, S1-S7, D, and R genotypes) in 56 strains. However, no relatedness was identified between the erm(B) RR genotype and EM resistance, or reduced susceptibility to Q/D, although most of Q/D-intermediate strains were assigned to the L1, L2, and S1 genotypes. Q/D-intermediate strains were classified into five multiple-locus variable-number tandem-repeat analysis (MLVA) types, including four types of clonal complex (CC)-C1, five sequence types (STs), including four STs of CC-17, and several resistance gene/virulence factor profiles. The present study revealed the occurrence of Q/D-intermediate E. faecium, which are composed of heterogeneous strains in Japan, and more genetic diversity in the erm(B) RRs than those reported previously.

  19. Characterization of Enterococcus faecium with macrolide resistance and reduced susceptibility to quinupristin/dalfopristin in a Japanese hospital: detection of extensive diversity in erm(B)-regulator regions.

    Science.gov (United States)

    Isogai, Nayuta; Urushibara, Noriko; Kawaguchiya, Mitsuyo; Ghosh, Souvik; Suzaki, Keisuke; Watanabe, Naoki; Quiñones, Dianelys; Kobayashi, Nobumichi

    2013-08-01

    Cross-resistance to macrolide, lincosamide, and streptogramin B (MLSB) antibiotics is mainly mediated by the erm (erythromycin ribosome methylation) genes that encode 23S rRNA methylases in enterococi, and various mechanisms are involved in the streptogramin B resistance. Prevalence of MLSB resistance and its genetic mechanisms were analyzed for a total of 159 strains of Enterococcus faecium isolated from clinical specimens in a university hospital in Japan from 1997 to 2006. Resistance to erythromycin (EM) and clindamycin was detected in 88.1% and 89.9% of all the strains examined, respectively, and expression of resistance was totally constitutive. Although none of the strain was resistant to quinupristin/dalfopristin (Q/D), 28 strains (17.6%) showed intermediate resistance to Q/D (MIC: 2 μg/ml). The erm(B) gene was detected in 139 strains (87.4%), and msrC was found in all the strains examined, whereas no other known MLSB resistance genes were identified. The erm(B) regulator region (RR) containing a coding region of the leader peptide was classified into 13 genetic variations (L1-L3, M, S1-S7, D, and R genotypes) in 56 strains. However, no relatedness was identified between the erm(B) RR genotype and EM resistance, or reduced susceptibility to Q/D, although most of Q/D-intermediate strains were assigned to the L1, L2, and S1 genotypes. Q/D-intermediate strains were classified into five multiple-locus variable-number tandem-repeat analysis (MLVA) types, including four types of clonal complex (CC)-C1, five sequence types (STs), including four STs of CC-17, and several resistance gene/virulence factor profiles. The present study revealed the occurrence of Q/D-intermediate E. faecium, which are composed of heterogeneous strains in Japan, and more genetic diversity in the erm(B) RRs than those reported previously. PMID:23442208

  20. Increased rate of day surgery use for inguinal and femoral hernia repair in a decade of hospital admissions in the Veneto Region (north-east Italy): a record linkage study

    OpenAIRE

    Saia, Mario; Mantoan, Domenico; Buja, Alessandra; Bertoncello, Chiara; Baldovin, Tatjana; Zanardo, Chiara; Callegaro, Giampietro; Baldo, Vincenzo

    2013-01-01

    Background Worldwide, there has been a marked increase in the number of inguinal and femoral hernia repairs performed as day surgery procedures. This study aimed to outline the epidemiology of the procedures for repairing unilateral inguinal and femoral hernia in the Veneto Region, and to analyze the time trends and organizational appropriateness of these procedures. Methods Drawing from the anonymous computerized database of hospital discharge records for the Veneto Region, we identified all...

  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

    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

  2. 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.

  3. 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

  4. 11-W CW 100-μm fiber-coupled 971-nm Al-free active region pump source

    Science.gov (United States)

    Larat, Christian; Auzanneau, Sophie-Charlotte; Calligaro, Michel; Parillaud, Olivier; Krakowski, Michel; Boulant, Benoit; Laugustin, Arnaud; Fillardet, Thierry

    2004-05-01

    Laser diodes at 980 nm have important applications in medicine (surgery, dentistry) and Telecoms for WDM, high bit rate networks (Er or Er/Yb doped fibre amplifiers). These applications need a high coupling efficiency of the source into a fibre. High brightness mini-bars with an emissive length of 2.7 mm have been recently developed. These devices consist of an array of aluminium free active region index guided tapered laser diodes with standard AR/HR coatings. We have improved the performances as a result of a new epitaxial layer and a new mini-bar design. We measure an optical output power of 25W at 40A under CW operation at 15°C. At 25°C and 33A, we obtain 20W CW and the far field along the slow axis has a Gaussian shape, with a low FWHM value of 3.5°. Along the fast axis, the far-field also has a Gaussian shape and a FWHM of 31,5°. To couple this tapered diode laser mini-bar into a 100μm diameter fibre (0.26 numerical aperture), we use a patented collective beam shaping technique for optical coupling. We obtain a coupled power of 11.2W under CW operation at 971 nm, 21°C with an emitted power from the mini-bar of 21.7W, resulting in a coupling efficiency of 52%. The conductively cooled mini-bar, all the optics and the optical fibre connector are assembled into a 82x62x23mm package. To our knowledge this is the highest reported power coupled into 100μm optical fibre from a single laser diode chip using a collective coupling scheme without any array of micro-optics.

  5. A Survey of Nursing Home Organizational Characteristics Associated with Potentially Avoidable Hospital Transfers and Care Quality in One Large British Columbia Health Region

    Science.gov (United States)

    McGregor, Margaret J.; Baumbusch, Jennifer; Abu-Laban, Riyad B.; McGrail, Kimberlyn M.; Andrusiek, Dug; Globerman, Judith; Berg, Shannon; Cox, Michelle B.; Salomons, Kia; Volker, Jan; Ronald, Lisa

    2011-01-01

    Hospitalization of nursing home residents can be futile as well as costly, and now evidence indicates that treating nursing home residents in place produces better outcomes for some conditions. We examined facility organizational characteristics that previous research showed are associated with potentially avoidable hospital transfers and with…

  6. Pressure effect on crystallization of metallic glass Fe72P11C6Al5B4Ga2 alloy with wide supercooled liquid region

    DEFF Research Database (Denmark)

    Jiang, Jianzhong; Olsen, J. S.; Gerward, Leif;

    2000-01-01

    The effect of pressure on the crystallization behavior of metallic glass Fe72P11C6Al5B4Ga2 alloy with a wide supercooled liquid region has been investigated by in situ high-pressure and high-temperature x-ray diffraction measurements using synchrotron radiation. In the pressure range from 0 to 2.......4 GPa, the crystallization temperature, Tx, increases with pressure, p, having a slope of 30 K/GPa while a minimum in Tx was detected in the range from 2.4 to 3.9 GPa. With a further increase of p, Tx is independent of p. The Tx vs p behavior can be qualitatively explained by the suppression of atomic...

  7. 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

  8. Identification and characterization of novel associations in the CASP8/ALS2CR12 region on chromosome 2 with breast cancer risk

    Science.gov (United States)

    Lin, Wei-Yu; Camp, Nicola J.; Ghoussaini, Maya; Beesley, Jonathan; Michailidou, Kyriaki; Hopper, John L.; Apicella, Carmel; Southey, Melissa C.; Stone, Jennifer; Schmidt, Marjanka K.; Broeks, Annegien; Van't Veer, Laura J.; Th Rutgers, Emiel J.; Muir, Kenneth; Lophatananon, Artitaya; Stewart-Brown, Sarah; Siriwanarangsan, Pornthep; Fasching, Peter A.; Haeberle, Lothar; Ekici, Arif B.; Beckmann, Matthias W.; Peto, Julian; Dos-Santos-Silva, Isabel; Fletcher, Olivia; Johnson, Nichola; Bolla, Manjeet K.; Wang, Qin; Dennis, Joe; Sawyer, Elinor J.; Cheng, Timothy; Tomlinson, Ian; Kerin, Michael J.; Miller, Nicola; Marmé, Frederik; Surowy, Harald M.; Burwinkel, Barbara; Guénel, Pascal; Truong, Thérèse; Menegaux, Florence; Mulot, Claire; Bojesen, Stig E.; Nordestgaard, Børge G.; Nielsen, Sune F.; Flyger, Henrik; Benitez, Javier; Zamora, M. Pilar; Arias Perez, Jose Ignacio; Menéndez, Primitiva; González-Neira, Anna; Pita, Guillermo; Alonso, M. Rosario; Álvarez, Nuria; Herrero, Daniel; Anton-Culver, Hoda; Brenner, Hermann; Dieffenbach, Aida Karina; Arndt, Volker; Stegmaier, Christa; Meindl, Alfons; Lichtner, Peter; Schmutzler, Rita K.; Müller-Myhsok, Bertram; Brauch, Hiltrud; Brüning, Thomas; Ko, Yon-Dschun; Tessier, Daniel C.; Vincent, Daniel; Bacot, Francois; Nevanlinna, Heli; Aittomäki, Kristiina; Blomqvist, Carl; Khan, Sofia; Matsuo, Keitaro; Ito, Hidemi; Iwata, Hiroji; Horio, Akiyo; Bogdanova, Natalia V.; Antonenkova, Natalia N.; Dörk, Thilo; Lindblom, Annika; Margolin, Sara; Mannermaa, Arto; Kataja, Vesa; Kosma, Veli-Matti; Hartikainen, Jaana M.; Wu, Anna H.; Tseng, Chiu-Chen; Van Den Berg, David; Stram, Daniel O.; Neven, Patrick; Wauters, Els; Wildiers, Hans; Lambrechts, Diether; Chang-Claude, Jenny; Rudolph, Anja; Seibold, Petra; Flesch-Janys, Dieter; Radice, Paolo; Peterlongo, Paolo; Manoukian, Siranoush; Bonanni, Bernardo; Couch, Fergus J.; Wang, Xianshu; Vachon, Celine; Purrington, Kristen; Giles, Graham G.; Milne, Roger L.; Mclean, Catriona; Haiman, Christopher A.; Henderson, Brian E.; Schumacher, Fredrick; Le Marchand, Loic; Simard, Jacques; Goldberg, Mark S.; Labrèche, France; Dumont, Martine; Teo, Soo Hwang; Yip, Cheng Har; Hassan, Norhashimah; Vithana, Eranga Nishanthie; Kristensen, Vessela; Zheng, Wei; Deming-Halverson, Sandra; Shrubsole, Martha J.; Long, Jirong; Winqvist, Robert; Pylkäs, Katri; Jukkola-Vuorinen, Arja; Kauppila, Saila; Andrulis, Irene L.; Knight, Julia A.; Glendon, Gord; Tchatchou, Sandrine; Devilee, Peter; Tollenaar, Robert A.E.M.; Seynaeve, Caroline; Van Asperen, Christi J.; García-Closas, Montserrat; Figueroa, Jonine; Lissowska, Jolanta; Brinton, Louise; Czene, Kamila; Darabi, Hatef; Eriksson, Mikael; Brand, Judith S.; Hooning, Maartje J.; Hollestelle, Antoinette; Van Den Ouweland, Ans M.W.; Jager, Agnes; Li, Jingmei; Liu, Jianjun; Humphreys, Keith; Shu, Xiao-Ou; Lu, Wei; Gao, Yu-Tang; Cai, Hui; Cross, Simon S.; Reed, Malcolm W. R.; Blot, William; Signorello, Lisa B.; Cai, Qiuyin; Pharoah, Paul D.P.; Perkins, Barbara; Shah, Mitul; Blows, Fiona M.; Kang, Daehee; Yoo, Keun-Young; Noh, Dong-Young; Hartman, Mikael; Miao, Hui; Chia, Kee Seng; Putti, Thomas Choudary; Hamann, Ute; Luccarini, Craig; Baynes, Caroline; Ahmed, Shahana; Maranian, Mel; Healey, Catherine S.; Jakubowska, Anna; Lubinski, Jan; Jaworska-Bieniek, Katarzyna; Durda, Katarzyna; Sangrajrang, Suleeporn; Gaborieau, Valerie; Brennan, Paul; Mckay, James; Slager, Susan; Toland, Amanda E.; Yannoukakos, Drakoulis; Shen, Chen-Yang; Hsiung, Chia-Ni; Wu, Pei-Ei; Ding, Shian-ling; Ashworth, Alan; Jones, Michael; Orr, Nick; Swerdlow, Anthony J; Tsimiklis, Helen; Makalic, Enes; Schmidt, Daniel F.; Bui, Quang M.; Chanock, Stephen J.; Hunter, David J.; Hein, Rebecca; Dahmen, Norbert; Beckmann, Lars; Aaltonen, Kirsimari; Muranen, Taru A.; Heikkinen, Tuomas; Irwanto, Astrid; Rahman, Nazneen; Turnbull, Clare A.; Waisfisz, Quinten; Meijers-Heijboer, Hanne E. J.; Adank, Muriel A.; Van Der Luijt, Rob B.; Hall, Per; Chenevix-Trench, Georgia; Dunning, Alison; Easton, Douglas F.; Cox, Angela

    2015-01-01

    Previous studies have suggested that polymorphisms in CASP8 on chromosome 2 are associated with breast cancer risk. To clarify the role of CASP8 in breast cancer susceptibility, we carried out dense genotyping of this region in the Breast Cancer Association Consortium (BCAC). Single-nucleotide polymorphisms (SNPs) spanning a 1 Mb region around CASP8 were genotyped in 46 450 breast cancer cases and 42 600 controls of European origin from 41 studies participating in the BCAC as part of a custom genotyping array experiment (iCOGS). Missing genotypes and SNPs were imputed and, after quality exclusions, 501 typed and 1232 imputed SNPs were included in logistic regression models adjusting for study and ancestry principal components. The SNPs retained in the final model were investigated further in data from nine genome-wide association studies (GWAS) comprising in total 10 052 case and 12 575 control subjects. The most significant association signal observed in European subjects was for the imputed intronic SNP rs1830298 in ALS2CR12 (telomeric to CASP8), with per allele odds ratio and 95% confidence interval [OR (95% confidence interval, CI)] for the minor allele of 1.05 (1.03–1.07), P = 1 × 10−5. Three additional independent signals from intronic SNPs were identified, in CASP8 (rs36043647), ALS2CR11 (rs59278883) and CFLAR (rs7558475). The association with rs1830298 was replicated in the imputed results from the combined GWAS (P = 3 × 10−6), yielding a combined OR (95% CI) of 1.06 (1.04–1.08), P = 1 × 10−9. Analyses of gene expression associations in peripheral blood and normal breast tissue indicate that CASP8 might be the target gene, suggesting a mechanism involving apoptosis. PMID:25168388

  9. L' influenza nella regione Lazio dal 1999 al 2003: casi di sindrome influenzale, ricoveri ospedalieri per malattie respiratorie e coperture vaccinali

    Directory of Open Access Journals (Sweden)

    A. Pasquarella

    2003-05-01

    Full Text Available

    Obiettivi: 1 Descrivere l’andamento dei ricoveri ospedalieri per patologie respiratorie acute e croniche concomitanti alle epidemie stagionali da virus influenzale dal 1999 al 2003, in relazione con la segnalazione dei casi di sindrome influenzale (ILI da parte dei medici sentinella. 2 Misurare l’eccesso dell’ospedalizzazione influenza-correlata nelle diverse fasce di età rispetto ai periodi non epidemici. 3 Analizzare le modificazioni del ricorso al ricovero ospedaliero in relazione al tasso di copertura della vaccinazione antinfluenzale nella popolazione anziana, su scala regionale e nelle diverse ASL.

    Metodi: sono stati estratti dal Sistema Informativo
    Ospedaliero i ricoveri per patologie respiratorie
    influenza-correlate (codici ICD9-CM: 480-487; 460-
    466; 490-496 relativi agli anni 1999-2003.
    L’incidenza di ILI è stata stimata sulla base delle
    segnalazioni dei medici sentinella afferenti alla
    rete FLU-ISS dell’Istituto Superiore di Sanità.

    Per il calcolo dei tassi di copertura è stato utilizzato l’archivio
    nominativo dei soggetti vaccinati contro l’influenza,
    attivo nella regione Lazio dal 1999. Nel periodo considerato sono stati messi in relazione i tassi di ospedalizzazione età-specifici, le incidenze di ILI e le coperture vaccinali. L’eccesso di ospedalizzazione è stato misurato confrontando i tassi relativi ai periodi epidemici e non epidemici.

    Risultati: i tassi di ospedalizzazione per malattie respiratorie sono risultati costantemente superiori nei periodi di maggiore circolazione virale, in particolare negli ultrasessantaquattrenni. Con il progressivo aumento del tasso di copertura vaccinale regionale (da circa il 25% della stagione 1999-2000 a oltre il 60% della stagione 2002-2003 non si è registrata una corrispondente diminuzione dei ricoveri ospedalieri per patologie influenza-correlate.
    L

  10. Perfil epidemiológico dos pacientes com ptose congênita no hospital regional de São José

    Directory of Open Access Journals (Sweden)

    Astor Grumann Júnior

    2011-12-01

    Full Text Available OBJETIVO: Traçar um perfil epidemiológico dos pacientes com ptose congênita no Hospital Regional de São José (HRSJ, descrevendo as características gerais das ptoses congênitas, incluindo a coexistência de estrabismo e a prevalência de ambliopia. MÉTODOS: Foi realizado um estudo epidemiológico com delineamento transversal, baseado na análise dos prontuários de pacientes com ptose congênita atendidos no Departamento de Plástica Ocular e Órbita do HRSJ, no período de julho de 1998 a julho de 2008. RESULTADOS: Foram analisados 42 pacientes (56 olhos. A idade média foi de 7,2 anos e o gênero mais prevalente foi o masculino (66,7%. Foi encontrado unilateralidade da ptose em 66,7% dos casos, associação com estrabismo em 19% e fenômeno de Marcus Gunn em 9,5%. Ambliopia foi encontrada em 17% dos olhos afetados. Na classificação, 38,5% dos olhos tinham ptose severa e 63% tinham excursão do elevador fraca ou ausente. A conduta foi cirúrgica para 57,2% dos casos e a técnica mais prevalente foi elevação ao Frontal (75%. CONCLUSÃO: No presente estudo, a prevalência de ambliopia nos pacientes com ptose congênita foi maior que da população geral, reforçando a importância de uma avaliação oftalmológica precoce destes pacientes.

  11. Predictors and outcomes of patient safety culture in hospitals

    OpenAIRE

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

    2011-01-01

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

  12. Non-monotonic magnetoresistance in an AlGaN/GaN high-electron-mobility transistor structure in the ballistic region

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Y. T.; Woo, T. P.; Lo, S. T. [National Taiwan University, Taipei, Taiwan (China); Kim, G. H. [Sungkyunkwan University, Suwon (Korea, Republic of); Liang, C. T. [Sungkyunkwan University, Suwon (Korea, Republic of); National Taiwan University, Taipei, Taiwan (China)

    2014-05-15

    In this report, we will discuss the nonmonotonic magnetoresistance (MR) in an AlGaN/GaN high-electron-mobility transistor (HEMT) in a perpendicular magnetic field B in the ballistic region (k{sub B}T τ/h > 1) and in the weakly-disordered limit (k{sub F}l = 159 >> 1), where k{sub B}, T, τ , h, k{sub F} , and l represent the Boltzmann constant, temperature, elastic scattering time, reduced Planck constant, Fermi wave vector and mean free path, respectively. The MR shows a local maximum between the weak localization (WL) and the Shubnikov-de Haas regions. In the low magnetic field regime, the quantum correction to the conductivity is proportional to T{sup -3/2}, which is consistent with a recent theory [T. A. Sedrakyan, and M. E. Raikh, Phys. Rev. Lett. 100, 106806 (2008)]. According to our results, as the temperature is increased, the position of the MR maximum in B increases. These results cannot be explained by present theories. Moreover, in the high-magnetic-field regime, neither the magnetic and nor the temperature dependences of the observed MR is consistent with present theories. We, therefore, suggest that while some features of the observed nonmonotonic MR can be successfully explained, further experimental and theoretical studies are necessary to obtain a thorough understanding of the MR effects.

  13. Regional increase in value with vegetable oil as motor fuel and raw material; Regionale Wertschoepfung mit Pflanzenoel als Kraft- und Rohstoff

    Energy Technology Data Exchange (ETDEWEB)

    Wolf, J.; Santruschek, R.; Oettel, E.

    2001-07-01

    The Incentive Association Renewable Energies (Foerdergesellschaft Erneuerbare Energien e.V) and Charitable Association for Education and Development (Gemeinnuetzige Bildungs- und Entwicklungsgesellschaft) 'Schliebener Land mbH' took the initiative in the Land Brandenburg three years ago to build a regional chain of increase in value with rape oil in conjunction with the retrofitting of diesel operated vehicles (with chamber engines) to vegetable oil operation. Core of this joint initiative is the use of natural rape oil as motor fuel that is supplemented with the use of the rape oil substances and other vegetable oil gained from regional cultivation. The authorisation of the peripheral retrofitting in terms of operation technology and emission by certified state authorities was the absolute pre-condition. (orig.) [German] Gemeinsam haben die Foerdergesellschaft Erneuerbare Energien e.V. und die Gemeinnuetzige Bildungs- und Entwicklungsgesellschaft (GBE) 'Schliebener Land' mbH, Hohenbucko vor drei Jahren im Land Brandenburg die Initiativen ergriffen, eine regionale Wertschoepfungskette mit Rapsoel in Verbindung mit der Umruestung von Dieselfahrzeugen (mit Kammermotoren) auf Pflanzenoelbetrieb aufzubauen. Kern dieser gemeinsamen Initiative ist die Nutzung von naturbelassenem Rapsoel als Kraftstoff, das durch die Stoffliche Nutzung von Rapsoel und anderen Pflanzenoelen aus regionalem Anbau ergaenzt wird. Absolute Voraussetzung war dabei die betriebstechnische und emissionsrechtliche Zulassung der peripheren Umruestung durch zertifizierte staatliche Stellen. (orig.)

  14. Neurocisticercose em pacientes internados por epilepsia no Hospital Regional de Chapecó região oeste do Estado de Santa Catarina Prevalence of neurocysticercosis among epileptic in-patients in the west of Santa Catarina - Southern Brazil

    Directory of Open Access Journals (Sweden)

    PAULO CESAR TREVISOL-BITTENCOURT

    1998-03-01

    Full Text Available Neurocisticercose é condição provocada pela infecção do sistema nervoso pelo Cysticercus cellulosae, a forma larvária da Taenia solium. Ela é, muito provavelmente, a principal responsável pela elevada prevalência de epilepsia no Brasil. Em diversas áreas do país, possui um caráter endêmico, gerando grande dispêndio financeiro para um enfrentamento das diversas complicações neurológicas relacionadas a ela. Sabe-se que por suas peculariedades sócio-econômicas, com suinocultura disseminada, a região sul do Brasil, é considerada pelo ministério da Saúde como uma área de alto risco. Para averiguar sua importância entre nós, um estudo, considerando internações por epilepsia e sua etiologia, foi realizado na cidade de Chapecó, principal cidade do oeste de Santa Catarina. O período coberto pela investigação foi de 1995, entrada em funcionamento de tomógrafo computadorizado no Hospital Regional daquela cidade, até o mês de novembro de 1996. Uma expressiva prevalência de neurocisticercose, aproximada de 24%, foi observada entre os indivíduos internados pelo diagnóstico de epilepsia. Algo em torno de 40% dos infectados apresentava lesões em sua fase ativa, sugerindo uma aquisição recente. Nossos dados sugerem que a despeito desta região sediar agro-indústrias de projeção internacional, a cisticercose grassa endemicamente na área. Um controle deste flagelo terceiro mundista poderia ser obtido com a difusão de mensagens educativas, em linguajar apropriado, para uma sensibilização de toda a população vivendo naquela região. Além disso, todos aqueles indivíduos envolvidos em suinocultura, independentemente de como seja esta classificada, deveriam ser objeto de atenção especial.Neurocysticercosis (NC is an endemic condition in several areas of Brazil. It is most likely the major responsible for the high prevalence of epilepsy in our country, estimated in 1-2% of general population. We performed a study to

  15. 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.

  16. 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

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

    Directory of Open Access Journals (Sweden)

    Karla Morales-Navarro

    2011-06-01

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

  18. Prevalencia de dislipidemias en los pacientes con lupus eritematoso sistémico en el Hospital Clínico Regional de Concepción.

    Directory of Open Access Journals (Sweden)

    Michelle Vinet M.

    2011-12-01

    Full Text Available INTRODUCCIÓN: El lupus eritematoso sistémico es considerado un factor de riesgo cardiovascular. En estos pacientes es frecuente hallar dislipidemias. La terapia corticoesteroide favorece las alteraciones lipídicas. HIPÓTESIS: Los pacientes con lupus eritematoso sistémico presentan hipercolesterolemia, hipertrigliceridemia o ambos, en mayor proporción que la población general. OBJETIVO: Determinar la prevalencia de dislipidemias en los pacientes diagnosticados de lupus eritematoso sistémico y controlados en el policlínico de reumatología del Hospital Clínico Regional de Concepción. MATERIAL Y MÉTODO: Estudio descriptivo transversal en pacientes diagnosticados de lupus eritematoso sisté-mico, y que se han controlado durante el 2010 en el policlínico de reumatología. Las variables estudiadas fueron: sexo, edad, hipercolesterolemia, hipertrigliceridemia, dosis/ tiempo de uso de corticoides e hidroxicloroquina. RESULTADOS: Total de pacientes estudiados (n=154, 88,9% (n=137 mujeres, edad promedio 45,6 + 5 años, 40,9% (n=43 presenta hipertrigliceridemia; 55,2% (n=58 presenta hipercolesterolemia y 65,9% (n=100 presenta ambas alteraciones. Pacientes con evolución menor de 10 años: 50% (n=29 presenta hipercolesterolemia, 34,5% (n=20 presentaba hipertrigliceridemia; con 11-20 años de evolución: 56,25% (n=18 presenta hipercolesterolemia.; 43,75% (n=14 presenta hipertrigliceridemia Con evolución mayor a 20 años: 73,3% (n=11 presenta hipercolesterolemia; 60% (n=9 presentaba hipertrigliceridemia Usuarios de corticoides 89% (n=138 y de hidroxicloroquina 92,4% (n=142. DISCUSIÓN: La principal alteración es hipercolesterolemia. Pacientes con más años de evolución presentan mayor número de dislipidemias. La mayoría son usuarios de corticoides. Concluimos que la prevalencia de dislipidemias es más frecuente en pacientes con lupus eritematoso sistémico que la población general. Mientras más años de evolución, se aprecia mayor

  19. The effect of race on the discriminatory accuracy of models to predict biochemical recurrence after radical prostatectomy: results from the Shared Equal Access Regional Cancer Hospital and Duke Prostate Center databases

    OpenAIRE

    Moreira, DM; Presti, JC; Aronson, WJ; Terris, MK; Kane, CJ; Amling, CL; Sun, LL; Moul, JW; Freedland, SJ

    2009-01-01

    To evaluate whether race modifies the accuracy of nomograms to predict biochemical recurrence (BCR) after radical prostatectomy among subjects from the Shared Equal Access Regional Cancer Hospital (SEARCH) and Duke Prostate Center (DPC) databases. Retrospective analysis of 1721 and 4511 subjects from the SEARCH and DPC cohorts, respectively. The discrimination accuracy for BCR of seven previously published predictive models was assessed using concordance index and compared between African-Ame...

  20. Prevalência de neurocisticercose em pacientes atendidos no setor de neurologia do Hospital Universitário Regional de Maringá, Estado do Paraná, Brasil = Neurocysticercosis prevalence in patients assisted at the neurology sector of the Hospital Universitário Regional de Maringá, state of Paraná, Brazil

    Directory of Open Access Journals (Sweden)

    Maria da Luz Ribeiro Moitinho

    2007-01-01

    Full Text Available Com o objetivo de estimar a prevalência de neurocisticercose, livros de registro de pacientes internados e ambulatoriais atendidos no setor de neurologia do Hospital Universitário Regional de Maringá, Estado do Paraná, no período de janeiro de 2000 a junho de 2003, foram analisados. Dos 1.713 atendimentos realizados, observaram-se 13(0,8% pacientes com diagnóstico de neurocisticercose. Em quatro pacientes o diagnóstico foi estabelecido no período de estudo; nos demais, entre os anos de 1993 e 1999. Com relação ao sexo, a prevalência de neurocisticercose foi de 0,8% no sexo masculino e 0,7% no sexo feminino. Quanto à idade, a prevalência foi maior na faixa etária de 11 a 30 anos (1,3% e acima dos 50 anos (1,2%. Dos municípios que tiveram casos de neurocisticercose, os de Ângulo, Marialva, Floresta e Mandaguaçu apresentaram as maiores prevalências.Manifestações epilépticas e cefaléia foram as principais queixas dos pacientes diagnosticados. A observação de um caso com a forma ativa e um com a forma transicional, entre os quatro diagnosticados no período analisado, indica que a infecção continua ativa em nosso meio,merecendo das autoridades sanitárias constante vigilância.Register books of ambulatory patients and of the ones in hospital, assisted at the neurology sector of the Hospital Universitário Regional de Maringá, State of Paraná, from January, 2000 to June, 2003, were evaluated with the purpose of estimating the neurocysticercosis prevalence. Out of the 1,713 individuals attended, 13 (0.8% patients were given the diagnosis of neurocysticercosis. In four patients, such a diagnosis was established during the study period, and the others were evaluated from 1993 to 1999. Concerning sex, the prevalence of neurocysticercosis was of 0.8% in males and 0.7% in females. As for age, the prevalence was greater in 11-30-year-old patients (1.3% and in individuals who were above 50 years old (1.2%. With respect to the

  1. Suscetibilidade a antifúngicos in vitro de Candida spp. em pacientes do Hospital Universitário Regional de Maringá-PR Antifungal susceptibility of Candida spp. in vitro among patients from Regional University Hospital of Maringá-PR

    Directory of Open Access Journals (Sweden)

    Fernanda de Oliveira Demitto

    2012-10-01

    Full Text Available INTRODUÇÃO: No ambiente hospitalar, são frequentes as infecções por leveduras do gênero Candida spp., o que torna esse assunto um importante alvo de estudos. OBJETIVO: Avaliar o perfil de suscetibilidade aos antifúngicos de espécies de Candida de pacientes internados no Hospital Universitário Regional de Maringá-PR (HURM. MATERIAL E MÉTODOS: As amostras foram submetidas ao teste de microdiluição em caldo (MD, segundo o documento M27-A3 para determinação da concentração inibitória mínima (CIM, e ao teste de difusão em disco de acordo com o documento M44-A2, ambos do Clinical Laboratory Standarts Institute (CLSI. RESULTADOS E DISCUSSÃO: Foram obtidos 91 isolados provenientes de amostras de urina, hemocultura, ponta de cateter, secreção orotraqueal, entre outros, sendo 38 Candida albicans, 23 C. tropicalis, 16 C. gabrata, 10 C. parapsilosis e quatro C. krusei. Dos antifúngicos testados, anfotericina B, voriconazol e anidulafungina foram os mais eficazes. CONCLUSÃO: A comparação entre as metodologias de microdiluição em caldo e disco difusão (DD mostrou boa correlação para fluconazol para a maioria das espécies de Candida spp., sendo possível destacar que a DD é útil para triagem dos principais antifúngicos usados na prática clínica. No entanto, casos de resistência detectados por DD devem ser confirmados por meio do método de MD, evitando, assim, resultados falsos resistentes, melhorando a eficácia e a segurança do tratamento.INTRODUCTION: Due to the ubiquity of nosocomial yeast infections of the genus Candida spp., studies in this area have become increasingly relevant. OBJECTIVE: To evaluate the antifungal Candida spp. susceptibility profile of hospitalized patients from the Regional University Hospital of Maringá-PR (HURM. MATERIAL AND METHODS: The samples were submitted to broth microdilution test (MD according to protocol M27-A3 in order to determine the minimum inhibitory concentration (MIC and disk

  2. Influência da lista única de uma regional de transplantes de córnea em um Banco de Olhos vinculado a um hospital escola Influence of a single regional list for corneal transplantation on the eye bank of a university hospital

    Directory of Open Access Journals (Sweden)

    Lauro Augusto de Oliveira

    2003-10-01

    Full Text Available OBJETIVO: Avaliar como a implantação do sistema de lista única para transplantes de córnea influenciou um Banco de Olhos vinculado a um hospital escola. Analisar sua interferência nas córneas (captação e destino, no número de transplantes realizados e também na média de tempo de espera pela cirurgia. MÉTODOS: Foi realizado estudo retrospectivo, avaliando os prontuários dos pacientes submetidos a ceratoplastia penetrante e também os dados do Banco de Olhos da Faculdade de Medicina de São José do Rio Preto - SP. O estudo comparou dados relativos ao funcionamento do serviço por um ano antes e após a criação da lista única. RESULTADOS: O número de cirurgias aumentou de 60 para 92 cirurgias. A média mensal de córneas retiradas aumentou de 13,83 ± 6,57 para 18,16 ± 4,80 (p=0,07. O número de córneas enviadas por esta instituição foi maior que o número de córneas recebidas de outros serviços (p=0,003. Não houve diferença significativa entre o tempo de espera pela cirurgia antes e após a criação da fila única (desconsiderando o período de cadastramento. CONCLUSÕES: Este Banco de Olhos funcionou como fornecedor de córneas para outras instituições. Após seu primeiro ano de funcionamento, a implantação da lista única não alterou o tempo de espera dos pacientes pela cirurgia. Apesar disso, evidenciou-se uma tendência à homogeneização do tempo de espera pela ceratoplastia penetrante entre os pacientes.PURPOSE: To evaluate how the implantation of a single regional list for corneal transplants influenced an eye bank of a university hospital. To analyze the influence of the regional list on the corneas (procurement and destiny, the number of transplantations made and the average waiting time for surgery. METHODS: A retrospective study was made to compare the records of patients who underwent penetrating keratoplasty and also the data of the eye bank of the Medical School of São José do Rio Preto, São Paulo

  3. 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

  4. Hospital Princesa Margarita

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    Powell y Moya, Aquitectos

    1961-04-01

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

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

    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...

  6. 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

  7. Does outsourcing affect hospital profitability?

    Science.gov (United States)

    Danvers, Kreag; Nikolov, Pavel

    2010-01-01

    Organizations outsource non-core service functions to achieve cost reductions and strategic benefits, both of which can impact profitability performance. This article examines relations between managerial outsourcing decisions and profitability for a multi-state sample of non-profit hospitals, across 16 states and four regions of the United States. Overall regression results indicate that outsourcing does not necessarily improve hospital profitability. In addition, we identify no profitability impact from outsourcing for urban hospitals, but somewhat positive effects for teaching hospitals. Our regional analysis suggests that hospitals located in the Midwest maintain positive profitability effects with outsourcing, but those located in the South realize negative effects. These findings have implications for cost reduction efforts and the financial viability of non-profit hospitals.

  8. 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

  9. Fast Facts on U.S. Hospitals

    Science.gov (United States)

    ... for-Profit Community Hospitals 2,870 Number of Investor-Owned (For-Profit) Community Hospitals 1,053 Number ... on www.aha.org is granted to AHA Institutional Members, their employees and State, Regional and Metro ...

  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. An experience of the introduction of a blood bank automation system (Ortho AutoVue Innova) in a regional acute hospital.

    Science.gov (United States)

    Cheng, Yuk Wah; Wilkinson, Jenny M

    2015-08-01

    This paper reports on an evaluation of the introduction of a blood bank automation system (Ortho AutoVue(®) Innova) in a hospital blood bank by considering the performance and workflow as compared with manual methods. The turnaround time was found to be 45% faster than the manual method. The concordance rate was found to be 100% for both ABO/Rh(D) typing and antibody screening in both of the systems and there was no significant difference in detection sensitivity for clinically significant antibodies. The Ortho AutoVue(®) Innova automated blood banking system streamlined the routine pre-transfusion testing in hospital blood bank with high throughput, equivalent sensitivity and reliability as compared with conventional manual method.

  12. Performance of health product risk management and surveillance conducted by health personnel at sub-district health promotion hospitals in the northeast region of Thailand

    OpenAIRE

    Kanjanarach T; Jaisa-ard R; Poonaovarat N

    2014-01-01

    Tipaporn Kanjanarach,1,2 Raksaworn Jaisa-ard,1,2 Nantawan Poonaovarat3 1Faculty of Pharmaceutical Sciences, Khon Kaen University, Khon Kaen, Thailand; 2Center for Research and Development of Herbal Health Products, Khon Kaen University, Khon Kaen, Thailand; 3Health Consumer Protection, Chaiyapum Health Provincial Office, Chaiyapum, Thailand Background: Health personnel at sub-district health promotion hospitals (SD-HPHs) are assigned to take responsibility for 15 activities related to health...

  13. Profiles of gall bladder cancer reported in the hospital cancer registry of a Regional Cancer Center in the North-East India

    OpenAIRE

    Srabana Misra Bhagabaty; Jagannath Dev Sharma; Manigreeva Krishnatreya; Pintu Nandy; Amal Chandra Kataki

    2014-01-01

    Background: The incidence of gall bladder cancer (GBC) is very high in this part of the world and there is little information on the descriptive epidemiology of GBC from our population. Methods: A retrospective study on the data set of hospital cancer registry was analyzed. The data set consisted of patient information registered during the period of January 2011 to December 2012. The cases included for the present study were histologically confirmed and radiologically diagnosed cases of G...

  14. A démarche stratégique (gestão estratégica hospitalar: um instrumento de coordenação da prática hospitalar baseado nos custos de oportunidade e na solidariedade The hospital strategic management: one regional coordination mean of hospital practice based on opportunity costs and solidarity

    Directory of Open Access Journals (Sweden)

    Elizabeth Artmann

    2003-01-01

    Full Text Available Este texto é uma apresentação geral da metodologia de gestão estratégica hospitalar de M. Crémadez e F. Grateau (França, incluindo os objetivos, as fases e as principais ferramentas do enfoque. O trabalho destaca os aspectos microeconômicos do mesmo e suas possibilidades para estruturar redes de serviços através da pactuação de metas e objetivos entre hospitais. Inclui a apresentação de um caso de aplicação do enfoque como instrumento de coordenação regional da especialidade de cirurgia geral dos hospitais de uma área programática (AP-4 da cidade do Rio de Janeiro.This text is a general presentation of the hospital strategic management methodology elaborated by M. Crémadez and F. Grateau (France, including the goals, phases and main tools of the approach. The work takes into account the microeconomic aspects of the methodology and its potentials to stucture health care networks based on negotiation of hospitals goals. The text includes the presentation of one experience of implementation of the approach as a regional coordination mean applied by general surgery discipline of programatic area (AP-4 hospitals of Rio de Janeiro city.

  15. 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

  16. Treatment of non-Hodgkin lymphoma and mature В-cell acute leukemia in children and adolescents: data of Russian regional hospitals

    OpenAIRE

    Ye. V. Samochatova; L. N. Shelikhova

    2014-01-01

    The article presents treatment results of 233 patients (children and adolescents under 19 years old; median — 8.76 years) with CD20-positive non-Hodgkin lymphomas and B-cell acute leukemia (B-NHL/B-AL) received chemotherapy (BFM B-NHL 90–95 protocols) or combined chemo-immunotherapy with rituximab (B-NHL-2004mab protocol). Combined chemo-immunotherapy was used for patients with Burkitt lymphoma, diffuse large cells lymphomas stage III–IV and B-AL, and included cytoreductive phase, 6 polychemo...

  17. 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

  18. 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...

  19. Hospital marketing.

    Science.gov (United States)

    Carter, Tony

    2003-01-01

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

  20. AL-USRCRN Station Information

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Documentation of United States Alabama Regional Climate Reference Network (AL-USRCRN) installations in 2006. Installations documented are for AL-USRCRN pilot...

  1. Key operating and financial ratios for Alberta hospitals.

    Science.gov (United States)

    Jacobs, P; Hall, E M

    1994-01-01

    Comparative financial and operating ratios in Canadian hospitals are examined to reveal sources of increased efficiency. The study involved 70 Alberta hospitals, which were divided into three groups: teaching hospitals, regional hospitals and smaller rural hospitals. Data were obtained from HS-1 and HS-2 reports. Hospitals across Canada can calculate their own ratios to give them a general idea of how they compare with the hospitals in this report.

  2. 浅谈医院净化区域智能化系统在工程中的应用%The Applications in the Engineering of the Hospital Purification Region Intelligent Systems

    Institute of Scientific and Technical Information of China (English)

    李静娟; 王晨旭

    2012-01-01

    主要介绍医院净化区域智能化系统的设置,特别是手术部智能化各子系统设置内容,且着重强调了一体化手术室实现的具体功能。%This paper introduces the intelligent system settings in the hospital purification region, especially the intelligent subsystem settings in the Department of operation, and it emphasis on the specific functions for the achieve- ment of the integration of the operating room.

  3. Frequency of cranium-cerebral traumas in children. Study at a hospital in the region during the period 2005-2010

    Directory of Open Access Journals (Sweden)

    Gioyzeli G.

    2013-07-01

    Full Text Available Introduction: The aim of this study was to look into the occurrence and distribution of Cranium-cerebral traumas among the pediatric population in the Prefecture of Laconia during the years 2005-2010, with the aim of seeking causes or risk factors, the record of the typed of treatment (diagnosis, therapy, outcome and the correlation with demographic and other factors. Material-Method: This study was conducted with collected data from the hospital records and emergency log bogs from the Emergency Department of the General Hospital of Sparta. Specifically modified record from were used, which included the demographic facts of the patients, the methods of their arrival to the hospital, their clinical picture, the type and the gravity of their injury, possible accompanying injuries, diagnostic test, treatment and the outcome and facts that are relevant to the injury and the cause of it. The statistical analysis was done by using parametric tests and statistical; analysis concerning the descriptive characteristics of variables made in Microsoft Office Excel 2007, PASW Statistics 18. Results: There were 569 cases of children with head injuries, who came to the Emergency Department from the 1 January 2005 until 31 December 2010. Out of the told of the cases, 68,5% was for boys while 31,5% was for girls. The cause of cranium cerebral trauma in children is influenced by the place of residence and their means of arrival at the Emergency Department, while the outcome of cranium cerebral trauma are influenced by nationality and place of residence.Conclusions: This study highlighted the magnitude and the epidemiological characteristics of the problems of Cranium cerebral trauma in the Prefecture of Laconia, with a view for the need of intervention at a level of prevention.

  4. Epidemiological features and specificities of HCV infection: a hospital-based cohort study in a university medical center of Calabria region

    Directory of Open Access Journals (Sweden)

    Liberto MC

    2012-11-01

    Full Text Available Abstract The epidemiological status of HCV in Europe, and in particular in Mediterranean countries, is continuously evolving. The genotype distribution is related to improvement of healthcare conditions, expansion of intravenous drug use and immigration. We review and characterize the epidemiology of the distribution of HCV genotypes within Calabria, an area of Southern Italy. We focus on the pattern of distinct HCV genotype changes over the last 16 years; particularly subtype 1b and genotype 4. We collected data by evaluating a hospital-based cohort of chronic hepatitis C patients; in addition, we report an update including new patients enrolled during last eight months.

  5. [Cooperation between the family physician, rheumatologist, hospital and rehabilitation clinic. Contribution of regional cooperative rheumatic disease centers for total quality management].

    Science.gov (United States)

    Hülsemann, J L

    1998-12-01

    The building-up of multipurpose arthritis centers in Germany led to a network including outpatient and inpatient services, primary care physicians, rheumatologists, physiotherapists, occupational therapists, psychologists, acute care clinics, and rehabilitation centers. The structural improvement in the care of patients with chronic inflammatory rheumatic diseases has to be followed by an improvement of processes in the care of these patients and by an improvement of outcome. Coordination offices can help not only to further improve cooperation between primary care physicians, specialized rheumatologists and hospitals but also to establish a comprehensive clinical quality management.

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

    Directory of Open Access Journals (Sweden)

    J. Domínguez-Ortega

    2011-04-01

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

  7. [Satisfaction of hospitalized patients in a hospital in Apurimac, Peru].

    Science.gov (United States)

    Sihuin-Tapia, Elsa Yudy; Gómez-Quispe, Oscar Elisban; Ibáñez-Quispe, Vladimiro

    2015-01-01

    In order to determine the satisfaction of hospitalized patients in the Sub-regional Hospital of Andahuaylas, 175 patients were surveyed using the Servqual multidimensional model. The estimate of variables associated with the satisfaction of the hospitalized patients was performed by using bivariate and multivariate logistic regression analysis. We found 25.0% satisfaction. Lower levels of satisfaction were associated with having a secondary level education (aOR: 0.05; 95% CI: 0.01 to 0.64) and with having been hospitalized in the surgery department (aOR 0.14, CI: 95%: 0.04 to 0.53). It was concluded that there was a low level of satisfaction with the quality of care received by hospitalized patients and this was associated with the level of education and type of hospital department. PMID:26338391

  8. [Satisfaction of hospitalized patients in a hospital in Apurimac, Peru].

    Science.gov (United States)

    Sihuin-Tapia, Elsa Yudy; Gómez-Quispe, Oscar Elisban; Ibáñez-Quispe, Vladimiro

    2015-01-01

    In order to determine the satisfaction of hospitalized patients in the Sub-regional Hospital of Andahuaylas, 175 patients were surveyed using the Servqual multidimensional model. The estimate of variables associated with the satisfaction of the hospitalized patients was performed by using bivariate and multivariate logistic regression analysis. We found 25.0% satisfaction. Lower levels of satisfaction were associated with having a secondary level education (aOR: 0.05; 95% CI: 0.01 to 0.64) and with having been hospitalized in the surgery department (aOR 0.14, CI: 95%: 0.04 to 0.53). It was concluded that there was a low level of satisfaction with the quality of care received by hospitalized patients and this was associated with the level of education and type of hospital department.

  9. 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

  10. Knowledge of women`s issues in epilepsy: a survey of residents at a tertiary hospital in Calabar, Niger delta region of Nigeria

    Directory of Open Access Journals (Sweden)

    Williams Uduak

    2012-11-01

    Full Text Available Background: Reports reveal deficiencies in the knowledge of women related issues in epilepsy, among health care professionals, with consequent inadequate health education and poor health care delivery to this set of patients.Aim: To assess the knowledge of women`s issues in epilepsy among residents at the University of Calabar Teaching Hospital, Nigeria.Method: Seventy two consenting residents from the Internal medicine, Family Medicine and Obstetrics & Gynecology departments of the hospital, were requested to complete the KOWIE II questionnaire designed to assess knowledge of women`s issues in epilepsy. Results: One fifth of the respondents knew about the effects of sex hormones on seizures. Two fifths knew of the higher incidence of sexual dysfunction among women with epilepsy, the undesirable effects of anti-epileptic drugs (AEDs on bone health, and the best choice of anti-epileptic drug in pregnancy. Two thirds knew of reduction in contraceptive efficacy by some AEDs, and the need to administer vitamin K to neonates of women on AEDs. Four fifths knew that women on AEDs should be given folic acid, and that majority of women with epilepsy have healthy children. Half of the respondents knew that women on AEDs can safely breast feed. The overall mean KOWIE II score was 56.7%. Conclusion: The Residents were poorly informed about the issues affecting women with epilepsy. There is need for continuing medical education efforts to bridge the gap in knowledge.

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

    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

  12. Análise da produção e taxa de geração de resíduos sólidos de serviços de saúde do Hospital Universitário Regional de Maringá = Production analysis and generation rate of solid health-care waste at Maringá Regional University Hospital

    OpenAIRE

    Lucila Akiko Nagashima; Carlos de Barros Junior; Carlos Edmundo Rodrigues Fontes

    2007-01-01

    Os resíduos sólidos de serviços de saúde (RSSS) representam reduzida parcela do total dos resíduos sólidos urbanos gerados diariamente por uma cidade. Considerando a própria origem, parte desses resíduos apresenta riscos e dificuldades especiais em seu manejo, devido especialmente ao caráter infeccioso de alguns componentes. Estasconstatações associadas à necessidade de conhecer a situação dos RSSS do Hospital Universitário Regional de Maringá motivaram a elaboração do estudo. A pesquisa busc...

  13. Exploration and practice of public welfare activities and regionalization in public hospitals%公立医院区域化公益活动的探索与实践

    Institute of Scientific and Technical Information of China (English)

    严建军

    2014-01-01

    The article introduced a“medical alliance beneficial to the community”in one hospital through the regional cooperation,which focused on the common requirements and goals,and actively explored the regionalization, specialization,socialization and project management of medical services with mutual benefits.%介绍了某医院通过区域化合作,组成“惠民医盟”社团组织,着眼共同需求、共同目标,积极探索区域化、专业化、社会化、项目化的医疗服务机制,形成了互惠共赢的局面。

  14. Structural determinants of hospital closure.

    Science.gov (United States)

    Longo, D R; Chase, G A

    1984-05-01

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

  15. The determination of the solidification paths and the liquidus surface in the quasicrystalline region of the Al-Cu-Ru systems

    Energy Technology Data Exchange (ETDEWEB)

    Haines, S.

    1995-12-06

    Objective is to determine if conventional slow-growth methods will be successful for growing single quasicrystals in this system. Reaction schemes, isopleths, and a ternary liquidus diagram were constructed using DTA, XRD, microscopy, and energy dispersive spectroscopy. Results suggest a peak in the liquidus near the predicted compositions of Al{sub 65}Cu{sub 23}Ru{sub 12} or Al{sub 65}Cu{sub 20}Ru{sub 15} in the face-centered icosahedral phase field. Further study is needed to verify the existence of a congruently melting phase. There appears to be composition for which slow-growth methods will produce a single-quasicrystal. Directional solidification studies were done on 65Al25Cu10Ru.

  16. Volver al desarrollo

    Directory of Open Access Journals (Sweden)

    Jaime Ornelas Delgado

    2012-01-01

    Full Text Available El desarrollo, categoría empleada para expresar el crecimiento económico, surge durante la "guerra fría" y si bien fue propuesta por teóricos metropolitanos, se asumió en Latinoamérica como parte de los instrumentos disponibles para lograr el crecimiento y alternativa al socialismo. El desarrollo mantuvo su vigencia entre 1945 y 1975, cuando al advenimiento del neoliberalismo fue paulatinamente retirado de la agenda de las preocupaciones nacionales e internacionales. Al iniciarse el siglo xxi, el fracaso del mercado autorregulado trajo de nueva cuenta al debate los problemas del desarrollo, lo que obliga a revisarlo críticamente, tanto como al concepto mismo para mostrar su carácter colonial, si se quiere construir caminos ajenos al neoliberal y superar los problemas que han hecho de Latinoamérica una de las regiones más desiguales del mundo.

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

    Directory of Open Access Journals (Sweden)

    Paula Cristina Nogueira

    2006-06-01

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

  18. Academic Hospitality

    Science.gov (United States)

    Phipps, Alison; Barnett, Ronald

    2007-01-01

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

  19. Hospital Malnutrition

    OpenAIRE

    Asumadu-Sarkodie, Samuel

    2012-01-01

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

  20. Hospitality Management.

    Science.gov (United States)

    College of the Canyons, Valencia, CA.

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

  1. ALS - resources

    Science.gov (United States)

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

  2. Los determinantes de la capacidad innovadora regional : una aproximación econométrica al caso español : recopilación de estudios y primeros resultados

    OpenAIRE

    Baumert, Thomas,; HEIJS Joost

    2002-01-01

    Este trabajo analiza, mediante un modelo econométrico, los determinantes de la capacidad innovadora del sistema regional de I+D español. Para ello se revisan las principales teorías acerca de los sistemas de innovación que se conjugan para explicar la generación de nuevas ideas. A continuación se presentan los principales estudios econométricos que se han llevado a cabo al respecto, tanto para las regiones estadounidenses, como para las españolas, dedicándole especial atención a un estudio an...

  3. PATTERN OF DISTRIBUTION AND DEMOGRAPHIC PROFILE OF BURN INJURIES WITH ASSESSMENT OF VARIOUS FACTORS AFFECTING MORBIDITY AND MORTALITY IN VINDHYA REGION, SGM HOSPITAL REWA, MADHYA PRADESH, INDIA

    Directory of Open Access Journals (Sweden)

    Mayank

    2016-04-01

    Full Text Available BACKGROUND Burn injuries are one of the most devastating injuries resulting into higher morbidity and mortality rates. Its higher incidence in developing countries like India creating a formidable health problem. OBJECTIVE To study the pattern of distribution of burn injuries in relation to various epidemiological, demographic and socio-cultural aspect and their impact assessment on mortality and morbidity. MATERIAL AND METHODS It was a prospective 1-year study conducted in all patients (n=499 admitted in Burn Unit of Dept. of Surgery, SGMH, Rewa (M.P., during the period August 2014-July 2015. The data regarding sex, age predisposition, geographical origin, mode and nature of injury were obtained by questionnaire-interview with the patient themselves. Clinical assessment was done in the form of depth and extent of injury. The information obtained was tabulated and analysed, mean, Standard Deviation (SD were calculated where applicable. Chi-square test was used as a test of significance. RESULTS Incidence of burn injury was 6.02% out of total surgical ward admission. Females were 59.31%, while males were 40.68%. Majority 45.9% of patients were from 15-29 years’ age group; 83.5% victims belonged to rural areas and 88.37% patients were below poverty line. Housewives 39.67% followed by students 23.24%; 87.7% was accidental followed by suicidal 9%, homicidal 3.2%. Flame burn 71.74% was commonest and chimney 28.1% was most common source of heat. 54.7% of cases were hospitalized within 5-12 hours of injury. Mean TBSA was 45.3%, it was higher in intentional burns and females. Kitchen 67.53% was the commonest place. 67.13% of burns were superficial to deep. Mean hospital stay was 11.63 days. Overall mortality was 39.47%, septicemia 56.85% was the most common cause of death. CONCLUSION Female sex, accidental, extensive burn, young age, low socioeconomic status, rural area were the factors associated with increased mortality and morbidity. Preventive

  4. Burnout and Related Factors among Hospital Nurses

    OpenAIRE

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

    1999-01-01

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

  5. 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...

  6. Regional Variations in Medical Expenditure and Hospitalization Days for Heart Attack Patients in Japan: Evidence from the Tokai Acute Myocardial Study (TAMIS)

    OpenAIRE

    Noguchi, Haruko; Shimizutani, Satoshi; Masuda, Yuichiro

    2007-01-01

    The use of percutaneous transluminal coronary angioplasty (PTCA), a costly high-tech treatment for patients with acute myocardial infarction (AMI), is much more frequent in Japan than in other developed countries, resulting in large medical expenditure. Using chart-based data from the Tokai Acute Myocardial Infarction Study (TAMIS) and exploiting regional variations, we explore what factors explain the intensive use of PTCA in Japan, employing propensity score matching to estimate the average...

  7. Análise da produção e taxa de geração de resíduos sólidos de serviços de saúde do Hospital Universitário Regional de Maringá = Production analysis and generation rate of solid health-care waste at Maringá Regional University Hospital

    Directory of Open Access Journals (Sweden)

    Lucila Akiko Nagashima

    2007-07-01

    Full Text Available Os resíduos sólidos de serviços de saúde (RSSS representam reduzida parcela do total dos resíduos sólidos urbanos gerados diariamente por uma cidade. Considerando a própria origem, parte desses resíduos apresenta riscos e dificuldades especiais em seu manejo, devido especialmente ao caráter infeccioso de alguns componentes. Estasconstatações associadas à necessidade de conhecer a situação dos RSSS do Hospital Universitário Regional de Maringá motivaram a elaboração do estudo. A pesquisa buscou identificar as diferentes fontes geradoras, caracterizar qualitativa e quantitativamente osresíduos gerados determinando a taxa de geração diária. A caracterização foi efetuada mediante a pesagem dos resíduos, acompanhamento das atividades internas do hospital, quanto aos procedimentos de coleta, armazenamento interno e externo e transporte de seus resíduos sólidos. Constatou-se que do total de resíduos gerados, cerca de 53% são considerados contaminados, percentual creditado como não-satisfatório para uma parcela significante de bibliografia consultada.Solid health-care waste (SHCW represents only a small fraction of the total urban solid waste generated daily in a city. Taking its origin into consideration, part of this waste presents risks and special difficulties in handling, especially due to the infectious aspects of some components. The elaboration of study was motivated by these findings, associated with the need to find out the conditions of the SHCW from the Maringá Regional University Hospital. The research attempted to identify the different generating sources, quantifying and qualifying the generated waste, and determining the daily generated rate. The characterization was done by weighing the waste, observing internal hospital activities regarding collection procedures, internal and external storage and transportation of the waste. It was verified that from the total generated waste, around 53% is considered

  8. Performance of health product risk management and surveillance conducted by health personnel at sub-district health promotion hospitals in the northeast region of Thailand

    Directory of Open Access Journals (Sweden)

    Kanjanarach T

    2014-10-01

    Full Text Available Tipaporn Kanjanarach,1,2 Raksaworn Jaisa-ard,1,2 Nantawan Poonaovarat3 1Faculty of Pharmaceutical Sciences, Khon Kaen University, Khon Kaen, Thailand; 2Center for Research and Development of Herbal Health Products, Khon Kaen University, Khon Kaen, Thailand; 3Health Consumer Protection, Chaiyapum Health Provincial Office, Chaiyapum, Thailand Background: Health personnel at sub-district health promotion hospitals (SD-HPHs are assigned to take responsibility for 15 activities related to health product risk management and surveillance (HP-RM&S. This cross-sectional survey aimed to identify factors that determined their job performance and to record their expressed needs to support HP-RM&S operation. In this study, job performance was defined as completion of all 15 activities. Methods: Self-administered postal questionnaires were used to collect data from 380 randomly selected health personnel who were in charge of HP-RM&S at SD-HPHs in the northeast of Thailand. Results: Thirty-six point one percent (n=137 of the respondents were able to perform all 15 of the HP-RM&S activities assigned to SD-HPHs. A logistic regression model identified three factors that statistically significantly determined the completion of all 15 HP-RM&S activities. These were: receiving a high or very high level of support from the community (adjusted odds ratio [OR]: 2.5; 95% confidence interval [CI]: 1.5, 4.1, the responsible persons for HP-RM&S did not hold an administrative position (adjusted OR: 1.7; 95% CI: 1.1, 2.7, and having at least one training session related to HP-RM&S per year (adjusted OR: 1.7; 95% CI 1.1, 2.6. There were 1,536 expressed needs which can be classified into four major categories, ie, training needs (41.6%, n=639, resource support (28.3%, n=435, mechanisms that facilitate HP-RM&S operation (24.1%, n=370 and adjusting of the scope of HP-RM&S (6.0%, n=92. The topics most frequently referred to in training needs were drug law, food law, and cosmetics

  9. Die regionalökonomische Bedeutung der Wissenschaft für das Ruhrgebiet - Hochschulen und außeruniversitäre Forschungseinrichtungen als Motor der regionalen Entwicklung

    Science.gov (United States)

    Kriegesmann, Bernd; Böttcher, Matthias; Lippmann, Torben

    2016-08-01

    The Ruhr area has advanced to the largest university region in Germany - often unnoticed within and outside. At the same time scientific institutions have become a major economic factor. Because of the higher and extra-university research institutions about 2.5 billion euros are effective as a demand potential in the region. 1.7 billion euros of this amount are directly associated with investments and operating expenditures of the scientific institutions as well as consumptions of employees and students. Additional 770 million euros result in revenues of many branches such as trade, housing, gastronomy sector, handcraft industry etc. It should not be underestimated that higher and extra-university research institutions generate with their research activities particular funding from the European Union or the rest of Germany for benefit of the region. Each euro spent by the state government for basic funding creates 39 cents third-party funding. These regional-economic effects result in noticeable employment impacts within the region. Around 25,000 people are directly employed in higher and extra-university research institutes or student unions (Studierendenwerke), about 22,000 jobs in other economic sectors are ensured or created by the induced demand. Science has thus become an important economic factor and represents an essential counterbalance to employment decline in shrinking industries of the region. The specific inclusion of science in a regional development strategy and targeted relining with appropriate measures to strengthen the science creates therefore an effective starting point for the design of structural change.

  10. RIESGOS DE ENFERMEDAD EN EL TRABAJO DE MÉDICOS Y ENFERMEROS EN UN HOSPITAL REGIONAL DEL ESTADO BRASILEÑO DE MATO GROSSO

    Directory of Open Access Journals (Sweden)

    Nereida Maria Guabiroba Coelho Barros

    2015-08-01

    Full Text Available Este artículo, tiene como base la Psico-dinámica del Trabajo, analiza los riesgos de enfermedad en el trabajo de médicos y enfermeros que atienden las emergencias en un hospital público del estado brasileño de Mato Grosso. Se realizó una investigación descriptiva cualitativa a través de entrevista semiestructurada, inspirada en Inventario de Trabajo y Riesgos de Enfermedad (ITRA, de Mendes y Ferreira (2007. Los núcleos de sentido que surgieron del estudio revelaron que el contexto de los encuestados está delimitado por el ritmo intenso de trabajo, por la precariedad de las condiciones laborales y por relaciones socio profesionales debilitadas por la falta de integración. El trabajo que ejecutan exige estado constante de concentración y alerta, elección de atención a pacientes, situaciones que provocan dolores en el cuerpo, problemas gástricos y desgaste emocional derivados del hecho de enfrentarse cotidianamente con la vida y la muerte. Los entrevistados dijeron sentir placer en lo que hacen porque salvan vidas, poseen libertad para expresar opiniones y son reconocidos por colegas, pacientes y familiares. Sin embargo, sufren con la sobrecarga de trabajo, la falta de recursos y las deficiencias de orden gerencial. La inteligencia perspicaz, el uso de la espiritualidad, el individualismo y el aislamiento están entre los mecanismos más utilizados por los profesionales para lidiar con el sufrimiento en el trabajo.

  11. A retrospective analysis of ultrasound-guided large core needle biopsies of breast lesions at a regional public hospital in Durban, KwaZulu-Natal, South Africa

    Directory of Open Access Journals (Sweden)

    Schene Bhayroo

    2016-03-01

    Full Text Available Background: Histological confirmation of a breast lesion is an important step to determine the aetiology and direct further management. Evidence supports ultrasound-guided large core needle biopsy (US-LCNB (14 gauge as the preferred diagnostic method over traditional open surgical biopsy.Objective: To assess the influence of technical variables on the diagnostic yield of breast specimens obtained by using US-LCNB, and the sensitivity of detecting malignancy during the study period.Methods: A retrospective chart review was conducted of all patients who had US-LCNBs from March 2011 – September 2012 at Addington Hospital in Durban, KwaZulu-Natal. Histopathological findings were correlated to the size of the breast lesion, rank of the radiologist performing the procedure and the number of cores obtained. The sensitivity of the technique was determined.Results: During the study period, 147 biopsies were performed. The majority of lesions were>5 mm (85.5%. The average number of cores was 4, and 79.5% of the biopsies were performed by the senior radiologist. Of the 147 biopsies, 132 specimens were eligible for inclusion in the study. Histopathology revealed 71 malignant lesions of which 60 were confirmed histologically at excision. In 11 patients, no excision was performed. Therefore, the sensitivity of detecting malignancy was 100%.Conclusion: Although the study did not establish a statistically significant relationship between the above mentioned technical variables and the histological outcome, the overall diagnostic yield and the sensitivity of detecting malignancy using US-LCNB is comparable to other similar international studies. A prospective study with long-term follow-up of patients would be of value.

  12. Análise retrospectiva das gestações múltiplas no Hospital Universitário Regional de Maringá no período de janeiro de 2000 a julho de 2003 Retrospective analysis of multiple gestation in the Regional University Hospital of Maringá (HURM between January 2000 and July 2003

    Directory of Open Access Journals (Sweden)

    Nelson Shozo Uchimura

    2005-03-01

    Full Text Available A gestação múltipla representa um dos maiores desafios ao manejo obstétrico por estar associada a um pior prognóstico tanto materno quanto fetal. Esse estudo tem como objetivo analisar e comparar as complicações obstétricas e neonatais em gemelares e em não gemelares nascidos no HURM no período de janeiro de 2000 a julho de 2003. A amostra estudada é composta por 50 gestações múltiplas e 2.229 gestações únicas. A incidência de gemelares foi de 1 a cada 50 gestações e de trigemelares 1 a cada 1.250. A ocorrência de trabalho de parto prematuro, ruptura prematura de membranas e diabetes gestacional foi significativamente maior em gemelares em relação a não gemelares. A principal complicação das gestações múltiplas neste estudo foi a prematuridade, a qual costuma estar associada a outras condições e comorbidades como o baixo peso e o muito baixo peso ao nascer, a doença da membrana hialina, taquipnéia transitória do recém-nascido, distúrbios metabólicos, infecções e hipóxia neonatal sendo responsável por um aumento no tempo de internação e maior mortalidade desses lactentes. Ocorreram 6 óbitos em 50 gestações múltiplas, sendo 3 intra-útero e 3 neonatais. Concluindo, a gemelaridade está associada a um risco maior de complicações tanto para a mãe quanto para o fetoMultiple gestation was one of the most challenges for obstetric medicine, because they usually have more maternal complications and perinatal morbidity and mortality than singletons. The aim of this study is to analyze and to compare the obstetrics and neonatal complications in twins versus singletons in the Regional University Hospital of Maringá between January 2000 and July 2003. The sample studied was composed of 50 multiple gestations and 2229 single gestations. The incidence of twins was 1/50 and the triplets was 1/1250. The occurrence of preterm labor, rupture premature of membranes and gestational diabetes mellitus were

  13. AVALIAÇÃO DA PERCEPÇÃO MATERNA E FREQÜÊNCIA DE ALTERAÇÕES BUCAIS EM RECÉMNASCIDOS DO HOSPITAL REGIONAL DE PRESIDENTE PRUDENTE - SP

    Directory of Open Access Journals (Sweden)

    Roberta Konstansky Novais

    2010-06-01

    Full Text Available Given the diversity of the oral conditions affecting children at an early age, the main objective of this research is to analyze the most frequently encountered oral diseases in newborns, and to investigate whether mothers and other health team professionals seeking to look at the mouths of newborn yet born at the maternity ward and see if the oral changes cause discomfort during breastfeeding. We examined 100 newborn infants healthy and who were rooming in with their mothers at the Maternity of the Hospital Regional de Presidente Prudente - SP and their mothers were interviewed. After examination of the oral cavity of newborns, it founded that 28% of those had some type of oral changes. Of the oral conditions present, 89.2% had nodules of Bohn, 5.4% had cysts and 5.4% had dental lamina brake short lingual. It was also observed that only 3% of healthcare professionals in hospital and 23% of mothers had looked into the mouth of babies and 100% of mothers of newborns who presented some oral changes were not difficult breastfeeding. The results confirm that oral changes in newborns are not rare, so important for dentists to know and can inform parents and other healthcare professionals care about them.

  14. Modelo de gestión del Hospital Regional de Alta Especialidad del Bajío (HRAEB): Relación inversionista proveedor - Secretaría de Salud

    OpenAIRE

    Armando Blanco

    2009-01-01

    Presentación expuesta durante el Segundo Encuentro Técnico de Capacitación en Materia de Estructuración de Proyectos de Asociación Público-Privada, llevado a cabo en Ciudad de Guanajuato, México, junio, 2009. El objetivo de la presentación es exponer claramente la conformación y dinámica del modelo de gestión del HRAEB (Hospital Regional de Alta Especialidad del Bajío) en lo referente a los aspectos generales y específicos de la relación entre la Secretaría de Salud y el Inversionista Proveed...

  15. Performance Ratio Analysis: A National Study on Iranian Hospitals Affiliated to Ministry of Health and Medical Education

    Directory of Open Access Journals (Sweden)

    Peivand Bastani

    2013-08-01

    Full Text Available Background: This study was designed to present and compare Iranian hospitals` performance applying ratio analysis technique.Methods: This cross-sectional survey was conducted to present an instant image of 139 Iranian hospitals` performance status applying ratio analysis as one of the non parametric technical efficiency assessment methods in 2008. Data was collected using nine dimensional questionnaires supported by world wide web to achieve main hospital ratios. Final analysis was performed applying classic statistics and relevant statistical tests on significant level of 0.05. Results: Four hospital performance indicators were estimated in the studied hospitals as follows: Bed turnover rate (BTR was fluctuated from 64.5 to 114.8 times for hospitals located in rich and poor areas respectively. Moreover Bed Interval Rate (BIT was calculated 1.36 versus 2.4 in the poor and rich areas. Average length of stay (ALS was computed 1.82 for the poor regions but 3.27 for the rich ones furthermore, a positive statistical significant correlation was seen between ALS and the hospital size (P=0.001,r=0.28. Average bed occupancy rate (BOR was 57.8% and its variation was from 31.4% to 64.5% depending on the hospital size so that there was a positive statistical significant relationship between the hospital size and BOR (P=0.006, r=0.32.Conclusion: Regarding that BOR, ALS, BTR and BIT along with mortality rates are mentioned as the most considerable performance indicators, applying analytic frameworks more than considering single and raw indicators are severely recommended.

  16. Experiencia piloto: apoyo al aprendizaje de Administración I utilizando herramientas de educación a distancia en el Centro Regional de Tres Arroyos

    OpenAIRE

    Alvarez Gelves, Diego; Villarruel, Mónica; Scaramellini, Nora

    2009-01-01

    La experiencia se propone generar y evaluar experiencias sobre el uso de herramientas de Educación a Distancia que favorezcan el aprendizaje en el proceso de formación universitaria y contribuyan al mejoramiento de dichas estrategias. La educación ha mediatizado desde siempre la relación pedagógica a través de distintos medios y estrategias. No obstante, las restricciones de temporalidad y radicación, son un escollo a la hora de impartir educación universitaria. La aparición de nuevos ento...

  17. [Historical exploration of Acapulco hospitals, Guerrero, Mexico].

    Science.gov (United States)

    Fajardo-Ortiz, Guillermo; Salcedo-Alvarez, Rey Arturo

    2006-01-01

    This study attempts to recount the history of the main hospitals of the port of Acapulco from colonial times until the end of the 20th century. The Augustine friars began hospital care at the end of the first part of the 16th century. Later, Bernardino Alvarez (1514?-1584), with the support of the Spanish crown, founded the first formal hospital in Acapulco called Hospital de Nuestra Señora de la Consolación (Our Lady of Consolation Hospital). During the 16th and 17th centuries, the sick were attended by friars, and by the end of the 19th century there were physicians and surgeons. From the end of the Independence War until the end of the 19th century, the port did not have any true hospital. The first degreed physicians and surgeons arrived and resided in Acapulco in 1920. In 1938, the Hospital Civil Morelos (Morelos Civil Hospital) began providing services. It was replaced by the Hospital General de Acapulco (General Hospital of Acapulco). At the fourth decade of the past century the Cruz Roja (Red Cross) was created. In 1957 the hospital services of the Instituto Mexicano del Seguro Social (IMSS, Mexican Institute of Social Security), which was founded in 1963, was inaugurated with the Unidad Medico/Social (Medical and Social Unit) of the IMSS in Acapulco. This began the journey of modernity in Acapulco. In 1992, Hospital Regional Vicente Guerrero (Regional Hospital Vicente Guerrero) of the IMSS, initiated its services. In 1960, medical services for civil workers and their families were housed in the Hospital Civil Morelos (Morelos Civil Hospital). Shortly afterwards, the Instituto de Seguridad y Servicios Sociales para los Trabajadores del Estado (ISSSTE, Security and Social Services Institute for State Employees) had their own hospital. During the 20th century, Acapulco has added other hospital services to care for members of the navy and armed forces, as well as for those persons with financial resources for private care.

  18. Dilemas del desarrollo regional hidráulico al interior de méxico: conflictos en la gestión regional del agua y nueva fórmula política en la cuenca lerma-chapala

    OpenAIRE

    Rojas Ramírez José Juan Pablo

    2013-01-01

    Durante las últimas dos décadas, en lo que concierne al manejo regional de los recursos hidrológicos en México, sólo se replantearon los mecanismos por los cuales se podía seguir dotando del recurso a las actividades productivas, a partir de la creación de infraestructura y atendiendo secundariamente el deterioro del agua y su saneamiento. Por lo que, dicha dinámica trajo consigo conflictos sociales e  intergubernamentales, al momento en el que el agua de calidad para las actividades humanas ...

  19. 某区域军队医院药学人力资源动态变化分析%Analysis on dynamic changes of pharmacy human resources in military hospitals in a region

    Institute of Scientific and Technical Information of China (English)

    栾智鹏; 霍花; 顾洪双; 黄海波

    2016-01-01

    目的 为优化某区域军队医院药学资源配置提供参考依据.方法 提取2006年和2013年2次军队医院药学资源现状调查的某区域15家军队医院药学人力资源数据,按医院床位数分成399张以下、400~600张和1000张以上3组,比较分析2001-2005年和2010-2012年这8年间某区域军队医院药学人力资源变化情况.结果 2010-2012年间1000张以上医院组药学人力资源平均年增长率为7.11%,400~600张医院组为5.05%,399张以下医院组为2.28%,延续了2005年以来的增长趋势;3组医院的药学人力资源平均年增长率远低于医院门诊量平均年增长率;高学历和高职称药学人员集中于1000张以上医院组,3组医院本科学历药学人员均占一半左右;2005年以来引进人员基本是初、中级职称.结论 药学人员占医技人员比重偏低,药学部门人均工作量逐年增加,应增加药学人员数量;调剂、制剂等传统岗位与静脉药物配置、临床药学等新兴岗位竞争药学人力资源,应理性控制临床药学发展对人力资源的需求;区域内高层次人力资源分布集中,应从整体出发优化区域药学人力资源布局.%Objective To provide a reference for optimizing pharmacy human resources allocation in military hospitals in a region .Methods Data of pharmacy human resources of 15 military hospitals in a region were collected from 2 pharmacy re-sources investigations of military hospitals in 2006 and 2013 .For comparison analysis on the changes of pharmacy human re-sources in regional military hospitals in 8 years during 2001-2005 and 2010-2012 ,15 military hospitals were divided into 3 groups according actual beds number ,as 399 beds or less ,400-600 beds ,1000 beds above .Results 2010-2012 ,the average annual growth rate of pharmacy human resources was 7 .11% in 1000 beds above group ,5 .05% in 400-600 beds group ,and 2 .28% in 399 beds or less group .It was showed that the changes of pharmacy human

  20. Risk factors for intracerebral hemorrhage and coronary heart diseases over a 3-year period in patients admitted to some hospitals of Tongliao city of Nei Monggol Autonomous Region Retrospective analysis on case data

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    BACKGROUND: Intracerebral hemorrhage(ICH) and coronary heart disease (CHD) have the same pathological base, atherosclerosis, and the similar risk factors, such as smoking ,drinking, hypertension,hyperlipemia, diabetes mellitus, etc; but the distributions of two diseases are very different in the populations.This may be related to the exposure of risk factors and different effects of risk factors on two diseases.OBJECTIVE: To analyze the distribution difference of risk factors for ICH and CHD in the populations of Tongliao city of Nei Monggol Autonomous Region.DESIGN: Retrospective analysis.SETTING: School of Radiation Medicine and Public Health, Soochow University; Tongliao Hospital, Nei Monggol Autonomous Region.PARTICIPANTS: Random sampling was used toselect 6 hospitals from 10 hospitals affiliated to Tongliao City ofNei Monggot Autonomous Region. Totally 1 672 medical records of patients with ICH and 2 195 medical records of patients with CHD admitted to Department of Neurology and Department of Cardiovascular Internal Medicine of above-mentioned 6 hospitals between January 2003 and December 2005 were collected according to the investigation need.METHODS: The subjects, whose medical records were involved, were performed retrospective analysis with pre-prepared questionnaire "Stroke and Coronary Heart Disease Epidemiologic Questionnaire". The main contents included: ①Social demography condition: The distributions of gender, age, nationality, etc. ②Previous history of disease: hypertension, diabetes mellitus, etc. ③Related risk factors: systolic blood pressure, diastolic blood pressure, total cholesterol, triglyceride, high-density lipoprotein cholesterol,low-density lipoprotein cholesterol, smoking, drinking and glucose (GLU). The database of Epidata was transformed to SPSS database. Single-and multiple-factor non-conditional Logistic regression analysis were performed on the data, and OR value and 95% CI were calculated. The distribution differences of

  1. Hospital Presbiteriano Valley

    Directory of Open Access Journals (Sweden)

    Luckman, Charles

    1964-12-01

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

  2. Identification and characterization of novel associations in the CASP8/ALS2CR12 region on chromosome 2 with breast cancer risk

    DEFF Research Database (Denmark)

    Lin, Wei-Yu; Camp, Nicola J; Ghoussaini, Maya;

    2015-01-01

    Previous studies have suggested that polymorphisms in CASP8 on chromosome 2 are associated with breast cancer risk. To clarify the role of CASP8 in breast cancer susceptibility, we carried out dense genotyping of this region in the Breast Cancer Association Consortium (BCAC). Single-nucleotide po...

  3. Identification and characterization of novel associations in the CASP8/ALS2CR12 region on chromosome 2 with breast cancer risk

    NARCIS (Netherlands)

    Wei-Yu Lin; N.J. Camp (Nicola); M. Ghoussaini (Maya); J. Beesley (Jonathan); K. Michailidou (Kyriaki); J. Hopper (John); C. Apicella (Carmel); M.C. Southey (Melissa); J. Stone (Jennifer); M.K. Schmidt (Marjanka); A. Broeks (Annegien); L.J. van 't Veer (Laura); E.J. Th Rutgers (Emiel J.); K.R. Muir (K.); A. Lophatananon (Artitaya); S. Stewart-Brown (Sarah); P. Siriwanarangsan (Pornthep); P.A. Fasching (Peter); L. Haeberle (Lothar); A.B. Ekici (Arif); M.W. Beckmann (Matthias W.); J. Peto (Julian); I. dos Santos Silva (Isabel); O. Fletcher (Olivia); N. Johnson (Nichola); M.K. Bolla (Manjeet); Q. Wang (Qing); J. Dennis (Joe); E.J. Sawyer (Elinor); T. Cheng (Timothy); I.P. Tomlinson (Ian); M. Kerin (Michael); N. Miller (Nicola); Frederik Marmé; H. Surowy (Harald); B. Burwinkel (Barbara); P. Guénel (Pascal); T. Truong (Thérèse); F. Menegaux (Florence); C. Mulot (Claire); S.E. Bojesen (Stig); B.G. Nordestgaard (Børge); S.F. Nielsen (Sune); H. Flyger (Henrik); J. Benítez (Javier); M.P. Zamora (Pilar); J.I.A. Perez (Jose Ignacio Arias); P. Menéndez (Primitiva); A. González-Neira (Anna); G. Pita (G.); M. Rosario Alonso; N. Álvarez (Nuria); D. Herrero (Daniel); H. Anton-Culver (Hoda); H. Brenner (Hermann); A.K. Dieffenbach (Aida Karina); V. Arndt (Volker); C. Stegmaier (Christa); A. Meindl (Alfons); P. Lichtner (Peter); R.K. Schmutzler (Rita); B. Müller-Myhsok (B.); H. Brauch (Hiltrud); T. Brüning (Thomas); Y.-D. Ko (Yon-Dschun); D.C. Tessier (Daniel C.); D. Vincent (Daniel); F. Bacot (Francois); H. Nevanlinna (Heli); K. Aittomäki (Kristiina); C. Blomqvist (Carl); S. Khan (Sofia); K. Matsuo (Keitaro); H. Ito (Hidemi); H. Iwata (Hisato); A. Horio (Akiyo); N.V. Bogdanova (Natalia); N.N. Antonenkova (Natalia); T. Dörk (Thilo); A. Lindblom (Annika); S. Margolin (Sara); A. Mannermaa (Arto); V. Kataja (Vesa); V-M. Kosma (Veli-Matti); J.M. Hartikainen (J.); A.H. Wu (Anna H.); C.-C. Tseng (Chiu-chen); D. Van Den Berg (David); D.O. Stram (Daniel O.); P. Neven (Patrick); E. Wauters (Erwin); H. Wildiers (Hans); D. Lambrechts (Diether); J. Chang-Claude (Jenny); A. Rudolph (Anja); P. Seibold (Petra); D. Flesch-Janys (Dieter); P. Radice (Paolo); P. Peterlongo (Paolo); S. Manoukian (Siranoush); B. Bonnani (Bernardo); F.J. Couch (Fergus); X. Wang (Xianshu); C. Vachon (Celine); K. Purrington (Kristen); G.G. Giles (Graham G.); R.L. Milne (Roger L.); C.A. McLean (Catriona Ann); C.A. Haiman (Christopher); B.E. Henderson (Brian); F.R. Schumacher (Fredrick); L. Le Marchand (Loic); J. Simard (Jacques); M.S. Goldberg (Mark); F. Labrèche (France); M. Dumont (Martine); S.-H. Teo; C.H. Yip (Cheng Har); N. Hassan (Norhashimah); E.N. Vithana (Eranga); V. Kristensen (Vessela); W. Zheng (Wei); S.L. Deming-Halverson (Sandra); M. Shrubsole (Martha); J. Long (Jirong); R. Winqvist (Robert); K. Pykäs (Katri); A. Jukkola-Vuorinen (Arja); S. Kauppila (Saila); I.L. Andrulis (Irene); J.A. Knight (Julia); G. Glendon (Gord); S. Tchatchou (Sandrine); P. Devilee (Peter); R.A.E.M. Tollenaar (Rob); C.M. Seynaeve (Caroline); C.J. van Asperen (Christi); M. García-Closas (Montserrat); J.D. Figueroa (Jonine); J. Lissowska (Jolanta); L.A. Brinton (Louise); K. Czene (Kamila); H. Darabi (Hatef); M. Eriksson (Mikael); J.S. Brand (Judith S.); M.J. Hooning (Maartje); A. Hollestelle (Antoinette); A.M.W. Van DenOuweland (Ans M.W.); A. Jager (Agnes); J. Li (Jingmei); J. Liu (Jianjun); M.K. Humphreys (Manjeet); X.-O. Shu (Xiao-Ou); W. Lu (Wei); Y. Gao; H. Cai (Hui); S.S. Cross (Simon); M.W.R. Reed (Malcolm); W.J. Blot (William); L.B. Signorello (Lisa B.); Q. Cai (Qiuyin); P.D.P. Pharoah (Paul); B. Perkins (Barbara); M. Shah (Mitul); F. Blows (Fiona); D. Kang (Daehee); K.Y. Yoo; D-Y. Noh (Dong-Young); J.M. Hartman (Joost); X. Miao; K.S. Chia (Kee Seng); T.C. Putti (Thomas Choudary); U. Hamann (Ute); C. Luccarini (Craig); C. Baynes (Caroline); S. Ahmed (Shahana); M. Maranian (Melanie); S. Healey (Sue); A. Jakubowska (Anna); J. Lubinski (Jan); K. Jaworska-Bieniek (Katarzyna); K. Durda (Katarzyna); S. Sangrajrang (Suleeporn); V. Gaborieau (Valerie); P. Brennan (Paul); J.D. McKay (James); S. Slager (Susan); A.E. Toland (Amanda); D. Yannoukakos (Drakoulis); C-Y. Shen (Chen-Yang); C.-N. Hsiung (Chia-Ni); P.-E. Wu (Pei-Ei); S.-L. Ding (Shian-Ling); A. Ashworth (Alan); M. Jones (Michael); N. Orr (Nick); A.J. Swerdlow (Anthony ); H. Tsimiklis (Helen); E. Makalic (Enes); D.F. Schmidt (Daniel); Q.M. Bui (Quang); S.J. Chanock (Stephen); D. Hunter (David); R. Hein (Rebecca)

    2015-01-01

    textabstractPrevious studies have suggested that polymorphisms in CASP8 on chromosome 2 are associated with breast cancer risk. To clarify the role of CASP8 in breast cancer susceptibility, we carried out dense genotyping of this region in the Breast Cancer Association Consortium (BCAC). Single-nucl

  4. Identification and characterization of novel associations in the CASP8/ALS2CR12 region on chromosome 2 with breast cancer risk

    NARCIS (Netherlands)

    Wei-Yu Lin, Lin; Camp, Nicola J.; Ghoussaini, Maya; Beesley, Jonathan; Michailidou, Kyriaki; Hopper, John L.; Apicella, Carmel; Southey, Melissa C.; Stone, Jennifer; Schmidt, Marjanka K.; Broeks, Annegien; Van't Veer, Laura J.; Th Rutgers, Emiel J.; Muir, Kenneth; Lophatananon, Artitaya; Stewart-Brown, Sarah; Siriwanarangsan, Pornthep; Fasching, Peter A.; Haeberle, Lothar; Ekici, Arif B.; Beckmann, Matthias W.; Peto, Julian; Dos-Santos-Silva, Isabel; Fletcher, Olivia; Johnson, Nichola; Bolla, Manjeet K.; Wang, Qin; Dennis, Joe; Sawyer, Elinor J.; Cheng, Timothy; Tomlinson, Ian; Kerin, Michael J.; Miller, Nicola; Frederik Marmé, Marmé; Surowy, Harald M.; Burwinkel, Barbara; Guénel, Pascal; Truong, Thérèse; Menegaux, Florence; Mulot, Claire; Bojesen, Stig E.; Nordestgaard, Børge G.; Nielsen, Sune F.; Flyger, Henrik; Benitez, Javier; Pilar Zamora, M.; Perez, Jose Ignacio Arias; Menéndez, Primitiva; González-Neira, Anna; Pita, Guillermo; Rosario Alonso, M.; Álvarez, Nuria; Herrero, Daniel; Anton-Culver, Hoda; Brenner, Hermann; Dieffenbach, Aida Karina; Arndt, Volker; Stegmaier, Christa; Meindl, Alfons; Lichtner, Peter; Schmutzler, Rita K.; Müller-Myhsok, Bertram; Brauch, Hiltrud; Brüning, Thomas; Ko, Yon Dschun; Tessier, Daniel C.; Vincent, Daniel; Bacot, Francois; Nevanlinna, Heli; Aittomäki, Kristiina; Blomqvist, Carl; Khan, Sofia; Matsuo, Keitaro; Ito, Hidemi; Iwata, Hiroji; Horio, Akiyo; Bogdanova, Natalia V.; Antonenkova, Natalia N.; Dörk, Thilo; Lindblom, Annika; Margolin, Sara; Mannermaa, Arto; Kataja, Vesa; Kosma, Veli Matti; Hartikainen, Jaana M.; Wu, Anna H.; Tseng, Chiu Chen; Van Den Berg, David; Stram, Daniel O.; Neven, Patrick; Wauters, Els; Wildiers, Hans; Lambrechts, Diether; Chang-Claude, Jenny; Rudolph, Anja; Seibold, Petra; Flesch-Janys, Dieter; Radice, Paolo; Peterlongo, Paolo; Manoukian, Siranoush; Bonanni, Bernardo; Couch, Fergus J.; Wang, Xianshu; Vachon, Celine; Purrington, Kristen; Giles, Graham G.; Milne, Roger L.; Mclean, Catriona; Haiman, Christopher A.; Henderson, Brian E.; Schumacher, Fredrick; Marchand, Loic Le; Simard, Jacques; Goldberg, Mark S.; Labrèche, France; Dumont, Martine; Teo, Soo Hwang; Yip, Cheng Har; Hassan, Norhashimah; Vithana, Eranga Nishanthie; Kristensen, Vessela; Zheng, Wei; Deming-Halverson, Sandra; Shrubsole, Martha J.; Long, Jirong; Winqvist, Robert; Pylkäs, Katri; Jukkola-Vuorinen, Arja; Kauppila, Saila; Andrulis, Irene L.; Knight, Julia A.; Glendon, Gord; Tchatchou, Sandrine; Devilee, Peter; Tollenaar, Robert A E M; Seynaeve, Caroline; Van Asperen, Christi J.; García-Closas, Montserrat; Figueroa, Jonine; Lissowska, Jolanta; Brinton, Louise; Czene, Kamila; Darabi, Hatef; Eriksson, Mikael; Brand, Judith S.; Hooning, Maartje J.; Hollestelle, Antoinette; Van DenOuweland, Ans M W; Jager, Agnes; Li, Jingmei; Liu, Jianjun; Humphreys, Keith; Shu, Xiao Ou; Lu, Wei; Gao, Yu Tang; Cai, Hui; Cross, Simon S.; Reed, Malcolm W R; Blot, William; Signorello, Lisa B.; Cai, Qiuyin; Pharoah, Paul D P; Perkins, Barbara; Shah, Mitul; Blows, Fiona M.; Kang, Daehee; Yoo, Keun Young; Noh, Dong Young; Hartman, Mikael; Miao, Hui; Chia, Kee Seng; Putti, Thomas Choudary; Hamann, Ute; Luccarini, Craig; Baynes, Caroline; Ahmed, Shahana; Maranian, Mel; Healey, Catherine S.; Jakubowska, Anna; Lubinski, Jan; Jaworska-Bieniek, Katarzyna; Durda, Katarzyna; Sangrajrang, Suleeporn; Gaborieau, Valerie; Brennan, Paul; Mckay, James; Slager, Susan; Toland, Amanda E.; Yannoukakos, Drakoulis; Shen, Chen Yang; Hsiung, Chia Ni; Wu, Pei Ei; Ding, Shian Ling; Ashworth, Alan; Jones, Michael; Orr, Nick; Swerdlow, Anthony J.; Tsimiklis, Helen; Makalic, Enes; Schmidt, Daniel F.; Bui, Quang M.; Chanock, Stephen J.; Hunter, David J.; Hein, Rebecca; Dahmen, Norbert; Beckmann, Lars; Aaltonen, Kirsimari; Muranen, Taru A.; Heikkinen, Tuomas; Irwanto, Astrid; Rahman, Nazneen; Turnbull, Clare A.; Waisfisz, Quinten; Meijers-Heijboer, Hanne E J; Adank, Muriel A.; Van Der Luijt, Rob B.; Hall, Per; Chenevix-Trench, Georgia; Dunning, Alison; Easton, Douglas F.; Cox, Angela

    2015-01-01

    Previous studies have suggested that polymorphisms in CASP8 on chromosome 2 are associated with breast cancer risk. To clarify the role of CASP8 in breast cancer susceptibility, we carried out dense genotyping of this region in the Breast Cancer Association Consortium (BCAC). Single-nucleotide polym

  5. Prevalência de infecções hospitalares e comunitárias e uso de antimicrobianos em pacientes internados no mês de janeiro de 1981 no Hospital Universitário Regional do Norte do Paraná (HURNP. I. Casuística, prevalência das infecções e letalidadeslPrevalence of nosocomial and community-acquired infections and antimicrobial use in patients hospitalized in January 1981 at the Regional University Hospital of Northern Parana (HURNP. I. Study, prevalence of infection and mortality rates

    Directory of Open Access Journals (Sweden)

    Sueli Crema

    1982-11-01

    Full Text Available Estudo realizado com dados relativos a 543 pacientes internados no mês de janeiro de 1981 no Hospital Universitário Regional do Norte do Paraná (HURNP, da Universidade Estadual de Londrina, analisando-se, nos 294 (55,1% indivíduos que receberam antimicrobianos, a prevalência de infecção hospitalar e comunitária. Os pacientes foram agrupados de acordo com a idade, o sexo e a categoria (previdenciários e "não contribuintes" e tempo de internação. Oitenta e nove pacientes (30,3% receberam antimicrobianos com finalidade profilática. A prevalência de infecção hospitalar foi de 6,2% e a de infecção comunitária de 32,2% Analisa-se a ocorrência de infecção hospitalar e comunitária, considerando-se o tipo e a localização anatômica nos que receberam transfusão de sangue e/ou plasma e nos submetidos a procedimentos invasivos. Entre os 205 doentes que receberam antimicrobianos terapéuticamente, em 33 (16,1% a infecção foi hospitalar e em 172 (83,9% foi comunitária. A letalidade, em relação aos doentes que apresentaram infecção hospitalar, foi de 27,2% e a dos que apresentaram infecção comunitária foi de 9,9%; em oito dos nove doentes com infecção hospitalar a causa de óbito foi associada com a infecção (letalidade de 24,2%.Article based on data related to 543 interned patients in January, 1981, in the Hospital Universitário Regional do Norte do Paraná (HURNP, of Universidade Estadual de Londrina, analysing the prevalence of community or hospital infection in 294 (55,1% individuals who have been treated with antimicrobian drugs. The patients were selected by sex, age, category (social security affiliated and non-affiliated and time of intemation. Eighty-nine patients (30,3% received antimicrobians with pprophylatic purpose. The prevalence of hospital infection was 6,2% and the community infection was analysed considering the type and anatomic localization on patients who have through blood-transfusion and

  6. Ferroindialite (Fe2+,Mg)2Al4Si5O18, a new beryl-group mineral from the Eifel volcanic region, Germany

    Science.gov (United States)

    Chukanov, N. V.; Aksenov, S. M.; Pekov, I. V.; Ternes, B.; Schüller, W.; Belakovskiy, D. I.; Van, K. V.; Blass, G.

    2014-12-01

    A new mineral, ferroindialite, a Fe2+-dominant analog of indialite, has been found in a pyrometamorphosed xenolith of pelitic rock hosted in alkaline basalts. Associated minerals are phlogopite, sanidine, sillimanite, pyroxenes of the enstatite-ferrosilite series, wagnerite, fluorapatite, tridymite, zircon and almandine. Ferroindialite forms brown-purple to gray with a violet-blue tint short prismatic or thick tabular hexagonal crystals up to 1.5 mm in size. The new mineral is brittle, with a Mohs' hardness of 7. Cleavage is not observed. D meas = 2.66(1), D calc = 2.667 g/cm3. IR spectrum shows neither H2O nor OH groups. Ferroindialite is anomalously biaxial (-), α = 1.539(2), β = 1.552(2), γ = 1.554(2), 2 V meas = 30(10)°. The mineral is weakly pleochroic, ranging from colorless on X to pale violet on Z. Dispersion is weak, r < v. The chemical composition (electron microprobe, mean of five point analyses, wt %) is as follows: 0.14 Na2O, 0.46 K2O, 4.95 MgO, 1.13 MnO, 12.66 FeO, 2.64 Fe2O3, 30.45 Al2O3, 47.22 SiO2, total is 99.65. The distribution of total iron content between Fe2+ and Fe3+ was carried out according to structural data. The empirical formula of ferroindialite is: (K0.06Na0.03)(Fe{1.12/2+}Mg0.78Mn0.10)Σ2.00(Al3.79Fe{0.21/3+})Σ4.00Si4.98O18. The simplified formula is: (Fe2+,Mg)2Al4Si5O18. The crystal structure has been refined on a single crystal, R = 0.049. Ferroindialite is hexagonal, space group P6/ mcc; a = 9.8759(3), c = 9.3102(3) Å, V = 786.40(3) Å3, Z = 2. The strongest lines in the X-ray powder diffraction pattern [ d, Å ( I, %) ( hkl)] are: 8.59 (100) (100), 4.094 (27) (102), 3.390 (35) (112), 3.147 (19) (202), 3.055 (31) (211), 2.657 (12) (212), 1.695 (9) (224). The type specimen of ferroindialite is deposited in the Fersman Mineralogical Museum, Russian Academy of Sciences, Moscow, registration number 4400/1.

  7. The prevalence of Giardia intestinalis and Entamoeba histolytica/dispar in Van Regional Training and Research Hospital: A four-year monitoring

    Directory of Open Access Journals (Sweden)

    Yasemin Bayram

    2013-03-01

    Full Text Available Objective: The aim of this retrospective study was to determinethe frequency rates of Giardia and E.histolytica/E.dispar and their distribution by years as well as agegroups and gender distribution during a four-year period.Materials and methods: A total of 9911 stool samplessent to our laboratory between January 2008 and December2011 were tested for parasites. Native-Lugol and formolethyl acetate sedimentation methods were utilized formicroscopic identification of Entamoeba sp. and Giardiatrophozoites and cysts in fresh stool samples. Additionally,trichrome staining was performed in stool sampleswhere the distinctive diagnosis could not be confirmed.Results: From a total of 9911 stool samples analyzedduring the study, 4.7% were positive for Giardia and 6.2%were positive for Entemoeba histolytica/ Entemoeba dispar.Of Giardia-positive patients 57% were male and 43%female. Similarly, 56% of Entemoeba histolytica/ Entemoebadispar positive patients were male and 44% werefemale. Both parasites’ higher frequency rates seen inmale groups were found statistically significant (p<0.01.Conclusion: It is seen that intestinal protozoon infectionsare still present as an important public health problemin our region. In order to prevent this problem, personalhygiene and sanitation rules education for community aswell as infrastructure improvements are necessary.Key words: Giardia, Entemoeba histolytica/ Entemoeba dispar, prevalence

  8. Estudio piloto de un plan de mejora de la calidad con cribaje nutricional sistemático de pacientes ingresados en un hospital comarcal A pilot study on a quality improvement plan with systematic nutritional screening in patients admitted to a regional hospital

    Directory of Open Access Journals (Sweden)

    M. Gimeno

    2009-04-01

    Full Text Available Objetivo: Estudio piloto para evaluar la factibilidad de la instauración de un protocolo hospitalario de cribaje nutricional sistemático de pacientes ingresados. Método: Estudio descriptivo transversal. Se incluyeron de forma sistemática, en las primeras 48 horas de estancia hospitalaria, los pacientes ingresados en el Servicio de Traumatología del Hospital Comarcal de Alcañiz desde febrero a septiembre del 2007. Los sistemas de cribaje que se utilizaron fueron el Indice de Riesgo Nutricional (IRN, el sistema de Control Nutricional CONUT y un indicador basado en las recomendaciones de la SENPE. Se definió como necesidad de soporte nutricional la presencia de cualquiera de las siguientes circunstancias: desnutrición moderada o grave según los métodos IRN o CONUT o desnutrición según las recomendaciones adaptadas de la SENPE. Resultados: 36,4% de los pacientes valorados necesitan soporte nutricional. El grado de desnutrición según CONUT es del 13,6%, según criterios SENPE de 27,3% y según IRN de 29,5%. La concordancia entre los métodos comparados entre sí es estadísticamente significativa y clínicamente aceptable: Kappa entre IRN y CONUT de 0,547, entre IRN y SENPE de 0,609, entre CONUT y SENPE de 0,593. Conclusiones: La aplicación de un protocolo estructurado de recogida de parámetros antropométricos y bioquímicos, con implicación de un equipo hospitalario multidisciplinar, es capaz de identificar pacientes en los que un soporte nutricional adecuado puede mejorar el pronóstico durante su estancia hospitalaria.Objective: A pilot study to assess the feasibility of implementing a hospital protocol for systematic nutritionalscreening of admitted patients. Method: Descriptive cross-sectional study. Patients admitted to the Orthopedic Surgery Department of the Regional Hospital of Alcañiz were systematically included within the first 48 hours of hospitalization, from February to September of 2007. The screening methods used

  9. [Leadership in the hospital].

    Science.gov (United States)

    Schrappe, Matthias

    2009-01-01

    Current concepts in leadership and governance on the level of supervisory board, management and departments are often considered as insufficient to cope with the profound structural change which actually takes place in the German health care system. While vertical and horizontal disconnecting is typical of the professional bureaucracy of hospitals, transition from functional to divisional structure further increases this risk. Accordingly, medical experts are oriented towards their professional peers and patient care on the one side; on the other side the management gets isolated and looses operative and strategic control. Several studies provide evidence for the relevance of role models to serve as agents of change, which are now developed into the concept of "Clinical Governance": evidence-based medicine, guidelines, continuous quality improvement, safety culture, resource accountability and organisational learning. The present situation makes it necessary to extend this conception, which focuses on the departmental level in an organisation with divisional features, to one of "Clinical Corporate Governance". This term, which also includes supervisory structures and the management board and is relevant for the total hospital and company, respectively, is based on the corporate governance concept. Inside the hospital, the management and the heads of the departments have to agree that (1) experts really need to be integrated into the decision process, and that (2) the outcomes of the entire hospital have to be regarded as equal or superior to the aims of a single department. The public image of the hospital should be one of a strong and reliable partner in health care and health care business on a local, regional and national level. Members of the supervisory board should clearly put corporate aspects above political and other implications and pay attention to personal independence from the leaders of the medical departments.

  10. [Leadership in the hospital].

    Science.gov (United States)

    Schrappe, Matthias

    2009-01-01

    Current concepts in leadership and governance on the level of supervisory board, management and departments are often considered as insufficient to cope with the profound structural change which actually takes place in the German health care system. While vertical and horizontal disconnecting is typical of the professional bureaucracy of hospitals, transition from functional to divisional structure further increases this risk. Accordingly, medical experts are oriented towards their professional peers and patient care on the one side; on the other side the management gets isolated and looses operative and strategic control. Several studies provide evidence for the relevance of role models to serve as agents of change, which are now developed into the concept of "Clinical Governance": evidence-based medicine, guidelines, continuous quality improvement, safety culture, resource accountability and organisational learning. The present situation makes it necessary to extend this conception, which focuses on the departmental level in an organisation with divisional features, to one of "Clinical Corporate Governance". This term, which also includes supervisory structures and the management board and is relevant for the total hospital and company, respectively, is based on the corporate governance concept. Inside the hospital, the management and the heads of the departments have to agree that (1) experts really need to be integrated into the decision process, and that (2) the outcomes of the entire hospital have to be regarded as equal or superior to the aims of a single department. The public image of the hospital should be one of a strong and reliable partner in health care and health care business on a local, regional and national level. Members of the supervisory board should clearly put corporate aspects above political and other implications and pay attention to personal independence from the leaders of the medical departments. PMID:19545081

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

    Science.gov (United States)

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

    2001-04-01

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

  12. Cooperación al desarrollo : transferencia de tecnología eólica en la fabricación de micro-aerogeneradores mediante tecnologías apropiadas en regiones rurales andinas del Perú

    OpenAIRE

    Lucas Cabañas, Gerardo de

    2010-01-01

    El presente documento ilustra el proceso de elaboración de aerogeneradores de baja potencia para electrificación en instalaciones aisladas. El proyecto de cooperación al desarrollo para la transferencia de tecnología de fabricación y puesta en marcha, se ha llevado a cabo bajo las especificaciones técnicas requeridas para obtener un correcto funcionamiento en las regiones andinas del Perú. Alcanzar estas metas ha supuesto un reto en el diseño de los parámetros constructivos de la máquina eléc...

  13. Improving radiotherapy quality and safety: a common objective of A.S.N. and the Ile de France Regional Hospital Agency. Thoughts on successful cooperation in Ile de France

    International Nuclear Information System (INIS)

    Radiotherapy recent development in cancer treatment needs strong procedures and quality assessment to improve safety both for patients and professionals. In Ile de France territory, a coordinated action between ASN inspectors and medical doctors specialized in public health (MISP), working as civil servants in health administration, was initiated at the end of 2007. An inspection guideline was implemented in a workshop between ASN and Regional Hospital Agency (ARH). The MISP as health administrator has to verify if care organisation responds to treatment cancer regulatory framework: as a doctor he is authorized to access to patient records to know which treatment was chosen. He has to assure if the therapeutic guidelines are respected. His comprehensive approach is essentially patient-oriented. The MISP inspection coordinated with ASN inspectors is a very pertinent pluri-disciplinary approach, undeniably necessary in such a medical technic. The effectiveness of the radiotherapy pluri-disciplinary team is funded on sharing procedures and experiences, respecting different knowledge and practices in daily work. This on site audit'. seems to be very fertile both for the radiotherapy team, the MISP and ASN inspectors. Continuous quality improvement in radiotherapy in the Ile de France region is a fertile issue between ANS and ARH teams. Confronting knowledge and procedures during the 'on site audit' in a transparent way will contribute improving radiotherapy for the 30.000 Francilian patients which receive this treatment each year. This challenge is our main concern to facilitate the patients access to the best standards treatments. (author)

  14. 我国不同地区三甲医院护士工作压力现状调查%Investigation of Nurse Work Stress in Grade 3 Hospitals from Different Regions in China

    Institute of Scientific and Technical Information of China (English)

    柳红; 李国红; 张智若; 毛贻浩

    2013-01-01

    Objective: To analyze work stress of clinical nurses in grade 3 hospitals from different regions of China, so as to better help the management and nurses themselves build a view of job stress in hospital, thus improving their work efficiency and quality of care for nurses. Methods: By selecting 1145 nurses working in 10 hospitals from Gansu, Henan and Shanghai as investigation samples, we used the questionnaire based on internationally accepted ERI Scale. SPSS was applied to make statistical analysis for the collecting data. Results: There is statistical difference in the field of high pay low gain percent,the percent in Shanghai is 89% ,but Gansu 45% ,Henan 39% , x2 =303. 15,P = 0.00. Conclusion: We recommend that departments in health management in charge of nurses should build encouragement - based promotion to lower the work pressure of nur-ses, according to local medical status, economic and demographic conditions.%目的:了解我国不同地区三甲医院护士工作压力现状,以帮助医院管理层及护士正确的认识工作压力,从而提高护士的工作效率及护理质量.方法:采用国际通用的ERI量表,随机选取甘肃省、河南省、上海市共10家医院1145名临床护士进行问卷调查.结果:上海市护士高付出低获得者比例最高,达89%,甘肃省为45%,河南省为39%,3地区ERI领域分布有显著性差异,χ2=303.15,P=0.00.结论:卫生行政管理部门和医疗机构应根据各地区的医疗水平、经济和人口状况制定相应的护理人才激励机制,降低护士的工作压力.

  15. Balance historiográfico de la novela histórica en Colombia. Una aproximación al ámbito regional

    Directory of Open Access Journals (Sweden)

    José Eduardo Rueda Enciso

    2016-01-01

    Full Text Available This paper offers a detailed bibliographic review of those Colombian historical novels published between years 1844 and 2014. At a first glance, the author defines what is understood as 'historical novel' and how this concept has been applied in the Colombian literature, from middle 19th century until today; then several authors and novels are highlighted as representatives of several country regions. Finally, changes produced along 160 years are described, covering from 19th´s romanticism to post-modernism. As a conclusion, the author points out some historical facts and circumstances, which have influenced literature production in Colombia.

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

    Directory of Open Access Journals (Sweden)

    Fabiane Carvalhais Regis

    2005-02-01

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

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

    OpenAIRE

    Domingo Pozo, Manuela

    2004-01-01

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

  18. Aproximaciones al rol de los planificadores regionales de la Iniciativa para la Integración de la Infraestructura Regional Suramericana (IIRSA

    Directory of Open Access Journals (Sweden)

    Damián Lobos

    2015-09-01

    Full Text Available En el presente artículo se analiza el rol central que vienen cumpliendo los planificadores regionales alineados con la visión del regionalismo abierto cepalino en la actual estrategia de inserción de América Latina en el capitalismo global, en vista de su sujeción a los imperativos mundiales del capital transnacionalizado. Para ello se enfoca la atención en los instrumentos metodológicos de la Planificación Territorial Indicativa (PTI de la Iniciativa para la Integración de la Infraestructura Regional Suramericana (IIRSA, entendiendo a esta última como institución reproductora del regionalismo abierto de la CEPAL desde su propuesta general de integración física regional. Se exponen cuatro secciones donde se desarrollan la emergencia del regionalismo abierto cepalino como estrategia espacial del Estado y la relevancia de IIRSA en torno a la reproducción del mismo, para luego analizar el rol que desempeñan en la misma los planificadores regionales desde la creación de consenso por medio de la PTI, hasta la creación de territorialidades particulares.

  19. Studies of total bremsstrahlung in thick targets of Al, Ti, Sn and Pb for 90Sr beta particles in the photon energy region of 1-100 keV

    Science.gov (United States)

    Singh, Amrit; Dhaliwal, A. S.

    2016-02-01

    Total bremsstrahlung (BS) spectra in thick targets of Al, Ti, Sn and Pb produced by beta emitter 90Sr (End point energy=546 keV) are studied in the photon energy range of 1-100 keV. The experimentally measured BS spectra are compared with the theoretical spectral distributions calculated from Elwert corrected (non relativistic) Bethe-Heitler [EBH] theory, modified Elwert factor (relativistic) Bethe-Heitler [Fmod BH] theory for ordinary bremsstrahlung (OB) and the Avdonina and Pratt [Fmod BH+PB] theory, which include the contribution of polarization bremsstrahlung (PB) into OB. The present results are indicating the correctness of Fmod BH+PB theory in the low energy region, where PB dominates into the BS, but at the middle and higher photon energy region of the bremsstrahlung spectrum, the Fmod BH theory is more close to the experimental results. The description of the bremsstrahlung process in stripped atom (SA) approximation, which indicates the suppression of the bremsstrahlung at higher energy ends due to the production of PB in the low energy region, needs further considerations. Hence, the present measurements for BS for different target materials indicates that the considerations of the screening effects along with other secondary effects during the interaction of incident electrons with the target nuclei are important while describing the production of bremsstrahlung, particularly for the higher energy regions.

  20. Aspectos epidemiológicos dos traumatismos cranioencefálicos atendidos no Hospital Regional do Agreste de Pernambuco de 2006 a 2007 - doi:10.5020/18061230.2010.p4

    Directory of Open Access Journals (Sweden)

    Emília Maria Santos Ramos

    2012-01-01

    Full Text Available Objetivo: Identificar a prevalência de traumatismo cranioencefálico (TCE e de fatores relacionados em vítimas atendidas no Hospital Regional do Agreste de Pernambuco (HRAPE e caracterizar o perfil sociodemográfico destas vítimas. Método: Trata-se de um estudo documental com coleta de dados individuais das fichas de internamento dos pacientes que deram entrada no HRA-PE com diagnóstico de TCE nos anos de 2006 e 2007. As variáveis estudadas foram: prevalência de casos, procedência das vítimas, sexo, idade, causa relacionada ao trauma e quadro neurológico a partir da escala de Glasgow. Resultados: A amostra foi composta de prontuários de 171 vítimas. O maior número de casos ocorreu em 2007, com 125 (73,1% casos. Dos casos registrados, 139 (81,4% eram do sexo masculino, 92(53,8% solteiros e 45(26,3% na faixa de 21 a 30 anos. A queda foi causa em 52 (30,4% casos, seguida por 34 (19,9% casos de acidentes de moto. Lesões vasculares ocorreram em 55(32,2% casos, sendo de maior frequencia que as lesões ósseas e nervosas, ocorridas em 39 (22,8% e 34 (19,9% casos, respectivamente. A Escala de Coma de Glasgow média foi de 11+ 4. Do total da amostra pesquisada, 20 (11,7% pacientes estavam alcoolizados no momento do trauma, 106 (62% precisaram de tratamento conservador e 18 (10,5% evoluíram para o óbito. Conclusão: Houve uma elevada prevalência de traumatismo cranioencefálico no Hospital Regional do Agreste-PE nos anos de 2006 e 2007, com predominância de vítimas jovens do sexo masculino, solteiros. O consumo de álcool pode ser constatado em percentual representativo das vítimas e as lesões mais frequentes foram decorrentes de quedas e acidentes de moto.

  1. Los desafíos al desarrollo urbano-regional en la economía global contemporánea

    Directory of Open Access Journals (Sweden)

    Ricardo Carlos Gaspar

    2015-03-01

    Full Text Available La urbanización acelerada y los cambios tecnológicos verificados en las últimas décadas están produciendo una nueva geografía de poder en el mundo, con centros metropolitanos y regiones asumiendo creciente importancia en la economía y política globales. El presente análisis aborda esas transformaciones, postulando que el nuevo énfasis en los gobiernos locales y en los espacios urbanos no significa que el Estado-nación haya perdido su centralidad, pues aún es la instancia de poder decisiva para dar soporte, sostenibilidad y coherencia a las estrategias regionales y locales de desarrollo, en un marco de crecientes y complejas interacciones entre distintas escalas geográficas.

  2. Phase Separation and Microstructure Evolution of Zr48Cu36Ag8Al8 Bulk Metallic Glass in the Supercooled Liquid Region%过冷液态Zr48Cu36Ag8Al8块体非晶合金的相分离及组织演变

    Institute of Scientific and Technical Information of China (English)

    孙琳琳; 王军; 寇宏超; 李金山; 张平祥

    2016-01-01

    The effect of annealing temperature on the microstructure evolution of Zr48Cu36Ag8Al8 bulk metallic glass was investigated by X-ray diffraction (XRD),differential scanning calorimetry (DSC) and transmission electron microscopy (TEM).Results show that the as-cast Zr48Cu36Ag8Al8 alloy by rapid solidification exhibits a typical characteristic of an amorphous structure.After annealed at 703 K for 20 min,a homogeneous amorphous matrix is separated into two different glassy phases,namely,phase separation occurs.Because phase separation structure will compete with the amorphous matrix during isothermal annealing,this structure is easily decomposed and transformed into the crystalline phases AlZr2 and AlAg3 with annealing temperature increasing.The microstructure of Zr48Cu36Ag8Al8 bulk metallic glass undergoes the local structure transformation,phase separation and nano-crystallization transformation during heat treatment in the supercooled liquid region,which implies that the rnicrostructure of Zr48Cu36Ag8Al8 bulk metallic glass is sensitive to the annealing temperature.In addition,the formation of phase separation will accelerate the formation ofnano-crystals.%通过X射线衍射(XRD)、差示扫描量热法(DSC)和透射电子显微镜(TEM)研究了退火温度对Zr48Cu36Ag8Al8金属玻璃微观结构演化的影响.结果表明,快速凝固获得的样品为典型的非晶态结构.当样品在703 K保温20 rmin时,均一的非晶基体相分离成2种非晶合金,即,发生相分离.由于相分离结构与非晶基体在等温退火过程是竞争的关系,这个结构很容易向晶化态进行转变,形成AlZr2和AlAg3相.Zn8Cu36Ag8l8金属玻璃的微观结构在过冷液相区等温退火过程中经历了局部结构转变,相分离以及纳米晶转变,这个过程意味着Zr48Cu36Ag8Al8金属玻璃的微观结构对退火温度十分敏感.此外,相分离的形成可以加速纳米晶的形成.

  3. 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

  4. 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...

  5. 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

  6. Critical load of acid precipitations. Mapping of Italian regions; Mappa dei carichi critici di acidita' totale riferita al territorio italiano

    Energy Technology Data Exchange (ETDEWEB)

    Bonanni, P.; Brini, S.; Delmonaco, G.; Liburdi, R.; Trocciola, A.; Vetrella, G. [ENEA Centro Ricerche Casaccia, S. Maria di Galeria, RM (Italy). Dipt. Ambiente

    1999-07-01

    In this report the mapping of critical loads of acidity for the Italian terrestrial ecosystems is presented. The level O method (Stockholm Environment Institute) has been used to determine sensitivity to acid deposition; this semi-quantitative method has been modified to address some Italian characteristics. The results show that the sensitivity of the Italian soils to acidification is not particularly elevated: there are really only few small areas with poor tolerance to acid depositions. These areas are in the north-east of Italy, in Alpine and Prealpine region. [Italian] Nel rapporto vengono riportati i risultati della mappatura, riferita agli ecosistemi terrestri del territorio italiano, dei carichi critici per l'acidita' totale. Il calcolo dei carichi critici e' stato eseguito sulla base della metodologia messa a punto dallo Stokholm Environment Institute; a questo metodo semi-quantitativo sono state apportate alcune modifiche per meglio adattarlo alle caratteristiche del territorio italiano. Dall'analisi dei risultati ottenuti, si evince come la sensibilita' dei suoli italiani all'acidificazione non sia particolarmente elevata: sono state riscontrate infatti solo alcune aree, peraltro con superficie limitata, con una scarsa tolleranza alle deposizioni acide. Tali aree sono localizzate nell'Italia nord-orientale, in zona alpina e prealpina.

  7. Hospital-acquired pneumonia

    Science.gov (United States)

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

  8. 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...

  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. 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 ...

  11. 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 ...

  12. 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...

  13. The relationship between adherence to clinic appointments and year-one mortality for newly enrolled HIV infected patients at a regional referral hospital in Western Kenya, January 2011-December 2012.

    Science.gov (United States)

    Kimeu, Muthusi; Burmen, Barbara; Audi, Beryl; Adega, Anne; Owuor, Karen; Arodi, Susan; Bii, Dennis; Zielinski-Gutiérrez, Emily

    2016-01-01

    This retrospective cohort analysis was conducted to describe the association between adherence to clinic appointments and mortality, one year after enrollment into HIV care. We examined appointment-adherence for newly enrolled patients between January 2011 and December 2012 at a regional referral hospital in western Kenya. The outcomes of interest were patient default, risk factors for repeat default, and year-one risk of death. Of 582 enrolled patients, 258 (44%) were defaulters. GEE revealed that once having been defaulters, patients were significantly more likely to repeatedly default (OR 1.4; 95% CI 1.12-1.77), especially the unemployed (OR 1.43; 95% CI 1.07-1.91), smokers (OR 2.22; 95% CI 1.31-3.76), and those with no known disclosure (OR 2.17; 95% CI 1.42-3.3). Nineteen patients (3%) died during the follow-up period. Cox proportional hazards revealed that the risk of death was significantly higher among defaulters (HR 3.12; 95% CI 1.2-8.0) and increased proportionally to the rate of patient default; HR was 4.05 (95% CI1.38-11.81) and 4.98 (95% CI 1.45-17.09) for a cumulative of 4-60 and ≥60 days elapsed between all scheduled and actual clinic appointment dates, respectively. Risk factors for repeat default suggest a need to deliver targeted adherence programs.

  14. Factores que conllevan al abandono de perros en una región de Cuba (Factors that lead to abandonment of dogs in a region of Cuba

    Directory of Open Access Journals (Sweden)

    Yunaisy Guerra Llorens

    2007-12-01

    Full Text Available ResumenEn el presente trabajo se determinaron los factores que conllevan al abandono de perros en el Consejo Popular Centro de la ciudad de Camagüey, Cuba. Para ello, se Visitaron las casas donde se declarara la existencia de perros, en el mes de febrero del 2006; recopilándose la cantidad, sexo y edad de los canes, así como la presencia de ectoparásitos, enfermedades dermatológicas y estado reproductivo. De igual forma, se encuestó a los dueños las causas de abandono de perros, en caso de que lo hubieran hecho. Los datos fueron procesados por el Programa SPSS versión 11 de 2002, mediante el uso de tablas de frecuencia y de contingencia cruzada, tomándose la decisión mediante el Test de Chi-Cuadrado. Del estudio se obtuvo que existe una elevada población, integrada por 1 914 canes, distribuidos en el 87.6 % de las viviendas, con una proporción de 1.3 canes por casa, que en la población canina de esta zona predominan las hembras y animales en plena capacidad reproductiva, de acuerdo con la edad; sólo el 5.06 % de la población está esterilizada; el 60.2 % de la población está representada por los canes Mestizos; así como el 9.3 % de la muestra se encuentra afectada por enfermedades dermatológicas y el 23.2 % por ectoparásitos. Por otra parte, los encuestados confirmaron que la primera causa de abandono de perros radica en las enfermedades dermatológicas (51 %, seguido de las reproducciones no deseadas (19 % y por último, (19 % y por último, agresiones a familiares o conocidos (9 %, Además, el 21 % de los criadores posee perros que deambulan sin control por las calles. SummaryIn the present work the factors were determined that cause the increase of streetdogs in the city of Camagüey. Visiting each one of the houses where dogs in the month of February of the 2006 exist; compiling the amount, sex and age of the dogs, as well as the dermatological diseases, presence of ectoparasite, reproductive state and the causes of

  15. 宁夏地区42家医院静脉治疗专业发展现状调查与对策%Survey and countermeasures on the development of venous therapy in 42 hospitals in Ningxia region

    Institute of Scientific and Technical Information of China (English)

    丁雯; 刘敬莉; 周红; 官海琴

    2016-01-01

    目的 了解宁夏地区静脉治疗的发展和管理现状及存在的问题.方法 对宁夏地区42家医院的护理人员进行问卷调查.结果 42家医院静脉血管通路工具使用情况:100%使用头皮钢针进行输液,73.80%医院使用静脉留置针,14.28%医院开展了PICC置管,仅有1家有新生儿脐静脉置管,中长导管和植入式输液港均没有开展;静脉治疗配置设备情况:3家医院有静脉配置中心,39家医院的静脉配置工作在治疗室完成,在生物柜完成抗肿瘤药物配置的只有3家医院;静脉治疗管理情况:3家医院成立静脉治疗团队开展会诊工作,23家医院有静脉治疗的相关流程,2家医院开展专项质控工作.结论 宁夏医院静脉治疗使用工具相对滞后,静脉配置职业防护存在安全隐患,在静脉治疗组织管理、培训、科研等方面需要向体系化、专业化和标准化方面发展.%Objective To investigate the current situation and existing problem of development and management of intravenous therapy in Ningxia region. Methods A total of 42 hospitals from Ningxia region were admitted to questionnaire survey. Results Venous vascular access tools usage:42 hospitals used scalp needle for infusion, 73. 80% of the hospitals used intravenous indwelling needle, 14. 28% of the hospitals carried out the PICC tube, only 1 hospital had umbilical vein for newborns, med-long catheter and implantable infusion port were not carried out in all hospitals; intravenous therapy equipment: 3 hospitals had vein of the configuration center, 39 hospitals 3 hospitals with a vein of the configuration center, 39 hospitals in the therapeutic room of the hospital to complete the work in the to complete the anti tumor drug allocation of only 3 hospitals completed the work in the therapeutic room, only 3 hospitals completed the anti tumor drug distribution in the biological cabinet; management of intravenous therapy: 3 hospitals established venous treatment team

  16. Prevalência de neurocisticercose em pacientes atendidos no setor de neurologia do Hospital Universitário Regional de Maringá, Estado do Paraná, Brasil - DOI: 10.4025/actascihealthsci.v29i1.111 Neurocysticercosis prevalence in patients assisted at the neurology sector of the Hospital Universitário Regional de Maringá, state of Paraná, Brazil- DOI: 10.4025/actascihealthsci.v29i1.111

    Directory of Open Access Journals (Sweden)

    Maria da Luz Ribeiro Moitinho

    2007-12-01

    Full Text Available Com o objetivo de estimar a prevalência de neurocisticercose, livros de registro de pacientes internados e ambulatoriais atendidos no setor de neurologia do Hospital Universitário Regional de Maringá, Estado do Paraná, no período de janeiro de 2000 a junho de 2003, foram analisados. Dos 1.713 atendimentos realizados, observaram-se 13 (0,8% pacientes com diagnóstico de neurocisticercose. Em quatro pacientes o diagnóstico foi estabelecido no período de estudo; nos demais, entre os anos de 1993 e 1999. Com relação ao sexo, a prevalência de neurocisticercose foi de 0,8% no sexo masculino e 0,7% no sexo feminino. Quanto à idade, a prevalência foi maior na faixa etária de 11 a 30 anos (1,3% e acima dos 50 anos (1,2%. Dos municípios que tiveram casos de neurocisticercose, os de Ângulo, Marialva, Floresta e Mandaguaçu apresentaram as maiores prevalências. Manifestações epilépticas e cefaléia foram as principais queixas dos pacientes diagnosticados. A observação de um caso com a forma ativa e um com a forma transicional, entre os quatro diagnosticados no período analisado, indica que a infecção continua ativa em nosso meio, merecendo das autoridades sanitárias constante vigilância.Register books of ambulatory patients and of the ones in hospital, assisted at the neurology sector of the Hospital Universitário Regional de Maringá, State of Paraná, from January, 2000 to June, 2003, were evaluated with the purpose of estimating the neurocysticercosis prevalence. Out of the 1,713 individuals attended, 13 (0.8% patients were given the diagnosis of neurocysticercosis. In four patients, such a diagnosis was established during the study period, and the others were evaluated from 1993 to 1999. Concerning sex, the prevalence of neurocysticercosis was of 0.8% in males and 0.7% in females. As for age, the prevalence was greater in 11-30-year-old patients (1.3% and in individuals who were above 50 years old (1.2%. With respect to the

  17. Apoyo familiar en el apego al tratamiento de la hipertensión arterial esencial Family support and drug therapy compliance in essential hypertension

    OpenAIRE

    Florentina Marín-Reyes; Martha Rodríguez-Morán

    2001-01-01

    Objetivo. Determinar la asociación entre apoyo familiar (AF) y apego al tratamiento de la hipertensión arterial esencial (HAS). Material y métodos. Estudio de casos y controles al que se integraron 80 sujetos con diagnóstico establecido de HAS, con 40 pacientes en cada grupo. Se consideró como casos a los pacientes con apego y como controles a los pacientes sin apego al tratamiento. El estudio se realizó de mayo a diciembre de 1999, en el Hospital Regional del IMSS, en la ciudad de Durango, D...

  18. Analysis of the characteristics of hospitalized patients with systemic lupus erythematosus in Ningxia Hui Autonomous Region%宁夏地区系统性红斑狼疮住院患者发病特点分析

    Institute of Scientific and Technical Information of China (English)

    张芮君; 曾小峰; 王莉; 朱蓉; 竺红

    2014-01-01

    Objective To analyze the characteristics of hospitalized patients with systemic lupus erythematosus (SLE) in Ningxia Hui Autonomous Region,and to characterize the epidemiology of SLE.Methods The data of 184 patients admitted to Ningxia Medical College Hospital during January 2008 to December 2013 were retrospectively analyzed.The data analysis included the initial symptoms,system involvement and clinical situations.Chi-square test,t test,Mann-Whitney U test and Logistic analysis were used for statistical analysis.Results ① The ratio of male and female was 1∶9.8.The most common clinical symptoms was rash in 72 cases (39%),and followed by joint pain in 61 cases (33%),swelling in 28 cases (15%) and fatigue in 21 cases (11%).② Eighteen percent (33/184) patients were late-onset SLE patients.Compared with regular SLE patients,the interval was longer in late-onset SLE patients between clinical symptoms onset and the time when they saw the doctor.③ Blood and kidney were the most commonly affected organs.④ The highest diagnosis rate occurred in rheumatology department,the highest diagnosis rate occurred in the kidney department for patients with dropsy as starting symptom.Conclusion SLE primarily occurs in childbearing aged women.The reason of misdiagnosis of SLE is mainly due to the incorrect hospital selection for the first visit.Delayed diagnosis will lead to delay in the treatment.%目的 分析宁夏回族自治区SLE住院患者的发病及预后情况.方法 采用回顾性病例分析方法,选取2008年1月至2013年12月在宁夏医科大学总医院住院的SLE患者,收集其首发症状、系统累及和就诊情况,并采用t检验,Mann-Whitney U检验,x2检验和Logistic相关性分析进行统计学分析.结果 ①在184例住院患者中,男∶女为1∶9.8,首发临床表现以皮疹最为多见,占39%(72/184),其次为关节痛、浮肿、乏力,分别占33%(61/184)、15%(28/184)、11%(21/184).②晚发性SLE患者占18%(33

  19. 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...

  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. AL Amyloidosis

    Directory of Open Access Journals (Sweden)

    Desport Estelle

    2012-08-01

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

  2. Evaluation of surrogate markers for human immunodeficiency virus infection among blood donors at the blood bank of "Hospital Universitário Regional Norte do Paraná", Londrina, PR, Brazil

    Directory of Open Access Journals (Sweden)

    Reiche Edna Maria Vissoci

    2003-01-01

    Full Text Available This study evaluated the usefulness of the anti-HBc, hepatitis C virus antibodies (anti-HCV, human T cell lymphotropic virus I and II antibodies (anti-HTLV I/II, serologic tests for syphilis, and surface antigen of hepatitis B virus (HBsAg as surrogate markers for the risk for HIV infection in 80,284 serum samples from blood donors from the Blood Bank of "Hospital Universitário Regional Norte do Paraná", Londrina, Paraná State, Brazil, analyzed from July 1994 to April 2001. Among 39 blood donors with positive serology for HIV, 12 (30.8% were anti-HBc positive, 10 (25.6% for anti-HCV, 1 (2.6% for anti-HTLV I/I, 1 (2.6% was positive for syphilis, and 1 (2.6% for HBsAg. Among the donors with negative serology for HIV, these markers were detected in 8,407 (10.5%, 441 (0.5%, 189 (0.2%, 464 (0.6%, and 473 (0.6% samples, respectively. The difference was statistically significant (p < 0.001 for anti-HBc and anti-HCV. Although the predictive positive value for these surrogate markers were low for HIV infection, the results confirmed the anti-HBc and anti-HCV as useful surrogate markers for HIV infection thus reinforcing the maintenance of them in the screening for blood donors contributing to the prevention of the small number of cases in which HIV is still transmitted by transfusion.

  3. The relationship between adherence to clinic appointments and year-one mortality for newly enrolled HIV infected patients at a regional referral hospital in Western Kenya, January 2011–December 2012

    Science.gov (United States)

    Kimeu, Muthusi; Burmen, Barbara; Audi, Beryl; Adega, Anne; Owuor, Karen; Arodi, Susan; Bii, Dennis; Zielinski-Gutiérrez, Emily

    2016-01-01

    This retrospective cohort analysis was conducted to describe the association between adherence to clinic appointments and mortality, one year after enrollment into HIV care. We examined appointment-adherence for newly enrolled patients between January 2011 and December 2012 at a regional referral hospital in western Kenya. The outcomes of interest were patient default, risk factors for repeat default, and year-one risk of death. Of 582 enrolled patients, 258 (44%) were defaulters. GEE revealed that once having been defaulters, patients were significantly more likely to repeatedly default (OR 1.4; 95% CI 1.12–1.77), especially the unemployed (OR 1.43; 95% CI 1.07–1.91), smokers (OR 2.22; 95% CI 1.31–3.76), and those with no known disclosure (OR 2.17; 95% CI 1.42–3.3). Nineteen patients (3%) died during the follow-up period. Cox proportional hazards revealed that the risk of death was significantly higher among defaulters (HR 3.12; 95% CI 1.2–8.0) and increased proportionally to the rate of patient default; HR was 4.05 (95% CI1.38–11.81) and 4.98 (95% CI 1.45–17.09) for a cumulative of 4–60 and ≥60 days elapsed between all scheduled and actual clinic appointment dates, respectively. Risk factors for repeat default suggest a need to deliver targeted adherence programs. PMID:26572059

  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. Microstructural and surface property variations due to the amorphous region formed by thermal annealing in Al-doped ZnO thin films grown on n-Si (1 0 0) substrates

    International Nuclear Information System (INIS)

    X-ray diffraction (XRD) patterns revealed that the as-grown and annealed Al-doped ZnO (AZO) films grown on the n-Si (1 0 0) substrates were polycrystalline. Transmission electron microscopy (TEM) images showed that bright-contrast regions existed in the grain boundary, and high-resolution TEM (HRTEM) images showed that the bright-contrast regions with an amorphous phase were embedded in the ZnO grains. While the surface roughness of the AZO film annealed at 800 deg. C became smoother, those of the AZO films annealed at 900 and 1000 deg. C became rougher. XRD patterns, TEM images, selected-area electron diffraction patterns, HRTEM images, and atomic force microscopy (AFM) images showed that the crystallinity in the AZO thin films grown on the n-Si (1 0 0) substrates was enhanced resulting from the release in the strain energy for the AZO thin films due to thermal annealing at 800 deg. C. XRD patterns and AFM images show that the crystallinity of the AZO thin films annealed at 1000 deg. C deteriorated due to the formation of the amorphous phase in the ZnO thin films.

  6. 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...

  7. Veterinary Teaching Hospital introduces radioactive iodine therapy for feline hyperthyroidism

    OpenAIRE

    Douglas, Jeffrey S.

    2008-01-01

    The Virginia-Maryland Regional College of Veterinary Medicine's Veterinary Teaching Hospital has introduced a new radioactive iodine therapy for an endocrine disorder that commonly affects older cats.

  8. 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...

  9. Sviluppo della metodologia HTA per la valutazione multidimensionale e multidisciplinare sulla corretta applicazione delle linee guida nazionali e regionali per l'appropriato ricorso al parto cesareo nell'AOU Federico II: analisi economica gestionale e confronto con la regione Veneto.

    OpenAIRE

    De Pascale, Teresa

    2015-01-01

    La valutazione tramite HTA sulla corretta applicazione delle linee guida nazionali e regionali per l'appropriato ricorso al parto cesareo, nella regione Campania ha permesso di monitorare l'appropriatezza nel ricorso al parto cesareo ed effettuare un'analisi delle implicazioni medico-cliniche, sociali, organizzative, economiche, etiche e legali del taglio cesareo relativamente ai Dipartimenti Ostetrico Ginecologici dell'AOU Federico II. Dal 2012 ad oggi sono stati effettuati una serie di cont...

  10. 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…

  11. 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

  12. Adherence to hospital drug formularies and cost of drugs in hospitals in Denmark

    DEFF Research Database (Denmark)

    Plet, H. T.; Hallas, J.; Kjeldsen, L. J.

    2013-01-01

    hospitals used a significantly higher total number of substances (median 165 vs. 139, p = 0.019) and cost/DDD [(median 5 vs. 2 Euros, p = 0.033), p = 0.033] in the DU90% segment than the regional hospitals. Index of adherence varied between 43 % and 91 %. For the selected ATC codes, the index of adherence...

  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 application of hospitality elements in hospitals.

    Science.gov (United States)

    Wu, Ziqi; Robson, Stephani; Hollis, Brooke

    2013-01-01

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

  15. 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.

  16. 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...

  17. Analysis on Nutrition of Patients and Management Strategies iu Wenling Regional Hospitals%温岭市某医院临床患者营养分析与管理对策

    Institute of Scientific and Technical Information of China (English)

    丁军辉; 任蓓

    2012-01-01

    目的:分析温岭市某医院临床患者营养状况,探讨营养管理的对策.方法:对5个不同临床科室300例患者进行营养状况调查.结果:所有患者BMI平均值为(22.67±4.27)kg/m2,各科患者BMI值之间差异有统计学意义(P<0.05).其中普通外科轻体重率最高,内分泌科超重和肥胖率最高(P<0.05).所有患者营养不良率、贫血率及存在营养风险率分别为23.33%、21.33%及48.00%.各科营养不良率、贫血率及存在营养风险率之间差异均有统计学意义(P<0.01).结论:营养科应有针对性的为不同科室患者提供良好的营养支持,提高治疗效果和患者的生活质量.%Objective: To analyze the nutritional status of patients in Wenling regional hospital, to explore the nutritional management strategies. Methods: The nutritional status of 300 pattens in 5 different clmica! departments were investigated. Results: an average BMI in All patients was 22.67 + 4.27kg/m2, BMIs of 5 different clinical departments were statistically significant difference(P<0.05), the rate of light weight in general surgery was highest, the rate of overweight and obesity in endocrinology was highest. The rates of malnutrition, anemia and nutritional risk in all patients were 23.33%, 21.33% and 48.00%. The malnutrition, anemia rates and nutritional risks of patients in different departments were statistically significant differences(P <0.01). Conclusion: Nutrition department should be targeted for different sections of the patients with different nutritional supports to improve patient quality oflife.

  18. A Comparison of the Diabetes Risk Score in HIV/AIDS Patients on Highly Active Antiretroviral Therapy (HAART and HAART-Naive Patients at the Limbe Regional Hospital, Cameroon.

    Directory of Open Access Journals (Sweden)

    Christian Akem Dimala

    Full Text Available Highly active antiretroviral therapy (HAART has been associated with dysglycaemia. However, there is scarce data on the risk of developing diabetes mellitus (DM in HIV/AIDS patients in Africa.Primarily to quantify and compare the risk of having diabetes mellitus in HIV/AIDS patients on HAART and HAART-naïve patients in Limbe, Cameroon; and secondarily to determine if there is an association between HAART and increased DM risk.A cross-sectional study was conducted at the Limbe Regional Hospital HIV treatment center between April and June 2013, involving 200 HIV/AIDS patients (100 on first-line HAART regimens for at least 12 months matched by age and gender to 100 HAART-naïve patients. The Diabetes Risk Score (DRS was calculated using a clinically validated model based on routinely recorded primary care parameters. A DRS ≥ 7% was considered as indicative of an increased risk of developing DM.The median DRS was significantly higher in patients on HAART (2.30% than in HAART-naïve patients (1.62%, p = 0.002. The prevalence of the increased DM risk (DRS ≥ 7% was significantly higher in patients on HAART, 31% (95% CI: 22.13-41.03 than in HAART-naïve patients, 17% (95% CI: 10.23-25.82, p = 0.020. HAART was significantly associated with an increased DM risk, the odds ratio of the HAART group compared to the HAART-naïve group was 2.19 (95% CI: 1.12-4.30, p = 0.020. However, no association was found after adjusting for BMI-defined overweight, hypertension, age, sex, family history of DM and smoking (Odds ratio = 1.22, 95% CI: 0.42-3.59, p = 0.708. Higher BMI and hypertension accounted for the increased risk of DM in patients on HAART. Also, more than 82% of the participants were receiving or had ever used Zidovudine based HAART regimens.HIV/AIDS patients on HAART could be at a greater risk of having DM than HAART-naïve patients as a result of the effect of HAART on risk factors of DM such as BMI and blood pressure.

  19. 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.

  20. 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...

  1. 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...

  2. 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...

  3. Farming Families' Access to Water in the Pampa Region: A multidimensional analysis El acceso al agua de los agricultores familiares de la región pampeana: Un análisis multidimensional

    Directory of Open Access Journals (Sweden)

    Alejandra Moreyra

    2012-01-01

    Full Text Available This paper presents the conceptual and methodological perspective of participatory action research with an interdisciplinary approach. Specifically, this research examines different dimensions that condition the access to water for farming families in the Pampa region. Together with famers and extension workers, we defined the problems, considering that water as mediator of social relations among different actors involved - resource appropriation for irrigation and agricultural production and other sectors' productions, family consumption and sewage-. In the last sections of the document, the research team presents observations, analysis and reflections on the progress of field work we have done so farEste artículo presenta, en su primera parte, el enfoque conceptual y metodológico de un proyecto de investigación-acción participativa abordado de forma interdisciplinaria. La investigación refiere a las diferentes dimensiones que condicionan el acceso al agua de los agricultores familiares en distintos sitios de la región pampeana. La problemática se define en la dinámica con los actores involucrados, considerando que el agua mediatiza las relaciones sociales -de apropiación para el riego y la producción agrícola y de otros sectores, el consumo y la eliminación de residuos- entre diferentes actores. En las últimas secciones se presentan algunas de las observaciones y reflexiones del equipo de investigación en base a los primeros avances del trabajo de campo

  4. 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

  5. Comunicação como instrumento básico no cuidar humanizado em enfermagem ao paciente hospitalizado La comunicación como el instrumento básico en el cuidar humanizado en enfermería al paciente hospitalizado Communication as a basic instrument in providing humanized nursing care for the hospitalized patient

    Directory of Open Access Journals (Sweden)

    Gilvânia Smith da Nóbrega Morais

    2009-06-01

    Full Text Available A humanização é uma expressão que vem sendo comumente usada no sentido de associação dos recursos tecnológicos ao reconhecimento da individualidade do paciente, compreendido como ser integral e ao mesmo tempo singular em suas necessidades. Considerando que a humanização do cuidado em enfermagem vem sendo bastante enfatizada nas instituições de saúde e que a comunicação permite à equipe compreender as necessidades do paciente vulnerabilizado pela doença e hospitalização, surge a necessidade de refletir a respeito da relevância da comunicação no processo do cuidar humanizado em enfermagem. Sob esse prisma, o presente estudo, de natureza bibliográfica, teve por objetivo destacar a comunicação como instrumento básico no processo do cuidar humanizado em enfermagem ao paciente hospitalizado. A partir desta pesquisa os autores ressaltam a valoração do processo de comunicação como componente básico na humanização do cuidado em enfermagem.La humanización es una expresión que comúnmente viene siendo usada en el sentido de asociación de los recursos tecnológicos al reconocimiento de la individualidad del paciente, comprendido como ser integral y al mismo tiempo singular en sus necesidades. Considerando que la humanización del cuidado en enfermería está siendo enfatizada en las instituciones de salud y que la comunicación permite al equipo comprender las necesidades del paciente vulnerabilizado por la enfermedad y la hospitalización, surge la necesidad de reflexionar respecto a la relevancia de la comunicación en el proceso del cuidar humanizado en enfermería. Bajo este prisma, en el presente estudio, de naturaleza bibliográfica, se tuvo por objetivo destacar la comunicación como instrumento básico en el proceso del cuidar humanizado en enfermería, al paciente hospitalizado. A partir de esta investigación los autores resaltan la valoración del proceso de comunicación como componente básico en la humanizaci

  6. Childhood Asthma Management Pre- and Post-Incident Asthma Hospitalization

    OpenAIRE

    Bianchi, Marina; Clavenna, Antonio; Sequi, Marco; Bortolotti, Angela; Fortino, Ida; Merlino, Luca; Bonati, Maurizio

    2013-01-01

    Many hospitalizations for asthma could potentially be avoided with appropriate management. The aim of this study was to analyze data on disease management of a paediatric population with a hospitalization for asthma. The study population comprised 6–17 year old subjects belonging to three local health units of the Lombardy Region, northern Italy. Regional administrative databases were used to collect data on: the number of children with an incident hospitalization for asthma during the 2004–2...

  7. 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.

  8. 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...

  9. Assessment of protocols for surgical-site preparation in a regional network of hospitals Evaluación de la normalización de la preparación prequirúrgica en una red regional de hospitales Avaliação da normatização da preparação pré-cirúrgica em uma rede regional de hospitais

    Directory of Open Access Journals (Sweden)

    Maria Dolores Peñalver-Mompeán

    2012-04-01

    Full Text Available Surgical-site infection is a preventable adverse event. Implementation of good practices for correct surgical-site preparation can contribute to lessen this safety problem. The objective of this study was to describe the presence and quality of protocols on surgical-site preparation in the Murcia (Spain regional network of public hospitals. The indicator "existence of protocol for surgical-site preparation" was assessed, as well as the formal quality (expected attributes and contents (compared to current evidence-based recommendations of existing documents. Seven of the nine hospitals have a protocol for surgical-site preparation. Opportunities to improve have been identified in relation to the protocols' formal quality and contents. Recommendations related to skin asepsis are incomplete and those related to hair removal contradict existing evidence. Most hospitals have protocols for surgical-site preparation; however, there is great room for improvement, in relation to their expected attributes and to the inclusion of evidence-based recommendations.La infección del sitio quirúrgico es un evento adverso prevenible mediante la implementación de buenas prácticas de preparación prequirúrgica. El objetivo del presente estudio fue describir la existencia y calidad de protocolización de la preparación prequirúrgica en la red regional de hospitales públicos de Murcia (España. Se evaluó el indicador "Existencia de protocolo/norma de preparación prequirúrgica", analizando la calidad formal (atributos y de contenido (presencia de recomendaciones basadas en evidencia de los documentos existentes. Siete (de nueve hospitales acreditaron tener protocolos de preparación prequirúrgica. Existen oportunidades de mejora en la calidad formal y de contenido. Las recomendaciones sobre asepsia son incompletas en la mayoría de los documentos, y las de eliminación del vello contrarias a la evidencia. La preparación prequirúrgica está protocolizada

  10. Santa Barbara Cottage Hospital.

    Science.gov (United States)

    1984-01-01

    The 465-bed Santa Barbara Cottage Hospital is the largest medical facility on the California coast between Los Angeles and the San Francisco bay area. The hospital dates back to 1888, when a group of local citizens began raising funds to build a "cottage-style" hospital for the growing community. Their original plans called for a complex in which each medical specialty would be housed in a separate bungalow. Even then, however, such a decentralized plan was too costly, so work began instead on a single cottage for all hospital departments. The first Cottage Hospital opened in 1891, with 25 beds housed in a two story Victorian building. Now a hugh medical complex employing some 1,500 people, the hospital continues to be called "Cottage" after the original home-like building. Rodney J. Lamb has been Hospital Administrator for the last 30 years.

  11. Hospital doctors' assessment of baseline spirometry.

    OpenAIRE

    Stephenson, N.; Morgan, R.; Abdel-Rahman-Abdel-Wahab, E.; Turnbull, C. J.

    1998-01-01

    Baseline spirometry is useful in diagnosing and managing pulmonary disease. In a questionnaire survey of 100 hospital doctors in two hospitals in the Mersey region, their views and ability to interpret baseline spirometry was assessed. Of the 70 doctors who responded, 65% felt they could accurately interpret baseline spirometry. However, only 12% accurately interpreted all five vitalographs in the questionnaire. The majority (72%) felt they had not had adequate teaching in interpretation of s...

  12. La atención hospitalaria al paciente con ictus en Cataluña: Resultados del «Primer Audit Clínic de l'Ictus. Catalunya, 2005/2006» In-hospital stroke care in Catalonia [Spain]: Results of the «First Clinical Audit of Stroke. Catalonia, 2005/2006»

    Directory of Open Access Journals (Sweden)

    Sònia Abilleira

    2008-12-01

    Full Text Available Objetivo: Analizar la calidad de la atención hospitalaria al paciente con ictus en los hospitales públicos catalanes antes de la difusión de la Guía de Práctica Clínica (GPC del ictus, estudiando el grado de adhesión a determinadas recomendaciones de la GPC. Métodos: Mediante revisión retrospectiva de historias clínicas de pacientes con ictus definidos mediante los códigos CIE-9 431, 433.x1, 434.x1, 436, e ingresados consecutivamente en 48 hospitales públicos catalanes en el primer semestre de 2005, se recogió información sobre distintos indicadores del proceso asistencial al ictus seleccionados según su evidencia científica o su importancia clínica. Los hospitales participantes reclutaron 20, 40 o 60 casos, según el número de ingresos/año. Se llevó a cabo una auditoría externa en el 9,3% de los casos reclutados en cada centro, tras selección aleatoria, para determinar la calidad de los datos recogidos. Los indicadores se agruparon en 6 perfiles relacionados con diferentes aspectos de la práctica clínica. Resultados: Se incluyeron 1.791 casos, un 53,9% hombres, con una media (desviación estándar de edad de 75,6 (12,4 años. La concordancia global entre observadores fue de 0,7. El cumplimiento de los perfiles asistenciales (porcentaje medio [intervalo de confianza del 95%] fue: calidad de la historia clínica, 78,5% (77,5-79,4; estándares de atención básica, 92,4% (91,5-93,2; evaluación neurológica, 38,3% (37,3-39,3; medidas iniciales del tratamiento rehabilitador, 44,9% (43,2-46,7; prevención y manejo de complicaciones, 68,4% (66,9-70, y medidas preventivas iniciales, 78,9% (77,3-80,4. Conclusiones: En 2005 la atención hospitalaria al ictus era mejorable, sobre todo los aspectos relacionados con la evaluación y el seguimiento neurológico del paciente y la rehabilitación.Objective: To determine the quality of in-hospital stroke care in public acute care hospitals in Catalonia before the implementation of a

  13. 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.

  14. Hospital, en Charlotte (U. S. A.

    Directory of Open Access Journals (Sweden)

    Odell, A. G.

    1965-03-01

    Full Text Available This hospital has been built in several stages. It consists of the following buildings: the hospital itself; a recuperation house for patients; a dormitory block for the nurses; another one, two storeys high, for the washing and ironing of linen, which also houses the new steam producing plant. There is also a nurses school, and a hostel where the resident staff lives. The hospital is fitted with the latest medical equipment, and also serves as a medical school for doctors, nurses and assistants. The Charlotte Memorial Hospital, in its external aspect, is extremely modern. This effect is emphasized by the balance of its volumes, and such details as the canopy over the entrance.Construido en varias fases, este complejo sanitario consta de las siguientes edificaciones: el hospital propiamente dicho, un edificio para los pacientes en período de restablecimiento total, un bloque de dormitorios para enfermeras, otro con dos plantas destinado al lavado de ropa y plancha, y la nueva planta de vapor, además del edificio para la instrucción de enfermeras, y el de alojamiento para el personal interno. El conjunto está dotado de los últimos adelantos en el campo de la medicina y sirve al propio tiempo como Centro de formación profesional de médicos, enfermeras y técnicos sanitarios. El tratamiento dado a sus fachadas, marquesinas de entrada, y juego de volúmenes de las distintas alas y edificios, imprimen una gran modernidad al Charlotte Memorial Hospital.

  15. Epidemiology of hospitalized pediatric glaucoma patients in Beijing Tongren Hospital

    Institute of Scientific and Technical Information of China (English)

    QIAO Chun-yan; WANG Liang-hai; TANG Xin; WANG Tao; YANG Di-ya; WANG Ning-li

    2009-01-01

    Background No population-based assessment of the prevalence and incidence of pediatric glaucoma in China are available. Here we describe the spectrum of hospitalized pediatric glaucoma patients in Beijing Tongren Hospital in China.Methods We reviewed the charts of pediatric patients, from birth to 18 years old, with a discharge diagnosis of glaucoma in Beijing Tongren Hospital, from 2002 to 2008. All children were admitted for anti-glaucoma surgery, treating the sequelae of the glaucoma, or managing postoperative complications. We evaluated the demographic characteristics and the proportion of different glaucoma subtypes.Results Pediatric patients (n=1452) accounted for 12.91% of the total glaucoma in-patients from 2002 to 2008, and at last data of pediatric glaucoma were presented for 1055 children who came from 28 provinces, municipalities and autonomous regions in China. Boys were more common in all subtypes and et all ages, with a total ratio of boys to girls of 2.32:1. Congenital glaucoma was the most common subtype, accounting for 46.07% in all patients and accounting for 69.95% in children under 3 years of age. The median presenting age of congenital glaucoma patients was 2 years.Patients with traumatic glaucoma were the second most common group (n=128, 12.13%), and presented at older age (the median presenting age was 11 years). The majority of traumatic glaucoma occurred in children between 10 and 15 years of age (n=72, 56.25%). Aphakic glaucoma was the third most common (9.19%) subtype.Conclusions Congenital glaucoma is the most prevalent glaucoma subtype in hospitalized pediatric patients in Beijing Tongren Hospital. The prevention and treatment of traumatic glaucoma can reduce the incidence of visual damage in developing countries. Close follow-up for glaucoma is important after pediatric cataract surgery.

  16. 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.

  17. Plan prospectivo para el desarrollo agrario en las regiones colombianas a partir del posconflicto al año 2025 (prospective plan for the agricultural development in the colombian regions starting from the post-conflict up to the year 2025

    Directory of Open Access Journals (Sweden)

    Efrain Guerrero Sanchez

    2014-12-01

    Full Text Available Resumen. El presente texto derivado de investigación, presenta los resultados del análisis prospectivo para el desarrollo agrario de las regiones colombianas, de cara a un posible acuerdo fruto de las actuales (2014 negociaciones de Paz entre la guerrilla de las Farc-EP y el Gobierno Colombiano, acuerdo que de firmarse permitiría a la sociedad Colombiana entrar en lo que por ahora se ha denominado posconflicto. En este texto se proyectan posibles escenarios al año 2025; nos planteamos 4 posibles escenarios, dos alternos identificados como: Bienestar a Media y Sobreviviendo, un escenario catastrófico denominado Pobreza Absoluta y nuestro escenario apuesta: Paz y Prosperidad. Abstract. The current text, which was derived from research, introduces t he results of the prospective analysis for the agricultural development in the Colombian regions, with a view of a possible agreement, as a result of the current (2014 peace negotiations between the FARC-EP guerrilla forces and the Colombian government, an agreement which, in the event of its being signed, would let the Colombian society enter into what by now has been called post-conflict. In this text, some possible scenarios are projected to the year 2025; four possible scenarios, two alternate ones, which are identified as: Average Welfare and Surviving, a catastrophic scenario known as Absolute Poverty, and our bet stage: Peace and Prosperity.

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

    Directory of Open Access Journals (Sweden)

    Eliene Reis de Oliveira

    1997-05-01

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

  19. Pesados: Hospitality, Tedium and the Footsteps of Al-Andalus

    Directory of Open Access Journals (Sweden)

    Gutwirth, Eleazar

    2006-12-01

    Full Text Available The transmission, translation and recreation of ancient and medieval ideas are one aspect of Hispano-Jewish Culture which is generally accepted in histories of philosophy, science, literature, religion. In some cases the “links” (Greek, Syriac, Arabic, Hebrew, Romance, etc. in this chain of transmission are relatively well documented. In others the evidence to substantiate hypotheses of continuity is yet to be discovered. In between these poles there is a range of possibilities and different states of research. In the following lines an attempt will be made to argue that there is such a chain operating in the fields ofwisdom and literature (metered poetry, rhymed prose. This can be observed in a precise case: That of the development of the theme of the pesado.La transmisión, la traducción y la recreación de ideas de la Antigüedad son un aspecto de la cultura hispano-judía medieval que ha sido aceptada generalmente en las historias de la filosofía, la ciencia, la literatura o la religión. En algunos casos, los eslabones en la cadena de transmisión han sido relativamente bien documentados. En otros, es preciso aún sustanciar ciertas hipótesis de continuidad. Entre ambos extremos se sitúa una amplia gama de posibilidades y diferentes niveles de investigación. En este artículo se muestra que una cadena de transmisión funciona en el campo de la literatura sapiencial, como puede observarse en un caso preciso, el del desarrollo del tema del pesado.

  20. The Impact Evaluation and Satisfaction Analyzes of the"Helpful Mandate"of Inner Mongolia Autonomous Region County Level Hospitals%内蒙古自治区旗县级公立医院"帮扶式托管"的效果评价与满意度分析

    Institute of Scientific and Technical Information of China (English)

    李敏; 范艳存

    2014-01-01

    Objective Evaluate the impacts and satisfaction of the "Helpful Mandate" model of Inner Mongolia Autonomous Region, where three level hospital helped country level hospital. Methods Visit six hospitals which form three helpful mandate relationships and take the medical staf questionnaire. Results After the helpful mandate, these hospitals have achieved good economic and social benefits, won the satisfaction from the government, staf s and patients. The tertiary hospitals have set up good social image. Conclusion The method of"Helpful Trusteeship"has showed the validity and extensibility.%目的对内蒙古自治区三级公立医院对旗县级公立医院"帮扶式托管"的效果和满意度进行评价。方法对三对形成托管关系的医院进行问卷调查和走访。结果旗县级医院在实施"帮扶型托管"改革后,受到了来自三级医院的支持与帮助,取得了良好的经济效益和社会效益,赢得了政府、职工和患者的三方满意。承担托管任务的三级医院,也同时锻炼了队伍、扩大了影响力、累积了管理经验、树立了良好的社会形象。结论在内蒙古自治区旗县级医院的发展过程中,"帮扶式托管"显示出了有效性,具有可推广性。

  1. Ohio hospital PR pros collaborate on crisis communications plan.

    Science.gov (United States)

    Rees, Tom

    2002-01-01

    Two member hospitals of the Akron Regional Hospital Association (ARHA), Ohio, experienced crisis situations which severely strained their public relations resources. These events were the genesis for the development of a comprehensive plan for sharing public relations resources among 11 member hospitals. The plan details procedures for sharing help in the event of a crisis or specific hospital media event. It identifies three potential situations in which it can be implemented: internal disaster, external disaster, or a specific incident unique to one of the hospitals. No occasion has yet arisen to implement the plan.

  2. Prolonged length of hospital stay in Denmark after nephrectomy

    DEFF Research Database (Denmark)

    Azawi, Nessn H; Christensen, Tom; Petri, Anette Lykke;

    2012-01-01

    Implementation of the principles of a fast-track surgical programme resulted in a decrease in the length of hospital stay after open nephrectomies. The aim of this study was to describe the regional distribution of nephrectomies, postoperative hospital stay and mortality.......Implementation of the principles of a fast-track surgical programme resulted in a decrease in the length of hospital stay after open nephrectomies. The aim of this study was to describe the regional distribution of nephrectomies, postoperative hospital stay and mortality....

  3. Association of Hospital Prices for Coronary Artery Bypass Grafting With Hospital Quality and Reimbursement.

    Science.gov (United States)

    Giacomino, Bria D; Cram, Peter; Vaughan-Sarrazin, Mary; Zhou, Yunshu; Girotra, Saket

    2016-04-01

    Although prices for medical services are known to vary markedly between hospitals, it remains unknown whether variation in hospital prices is explained by differences in hospital quality or reimbursement from major insurers. We obtained "out-of-pocket" price estimates for coronary artery bypass grafting (CABG) from a random sample of US hospitals for a hypothetical patient without medical insurance. We compared hospital CABG price to (1) "fair price" estimate from Healthcare Bluebook data using each hospital's zip code and (2) Society of Thoracic Surgeons composite CABG quality score and risk-adjusted mortality rate. Of 101 study hospitals, 53 (52.5%) were able to provide a complete price estimate for CABG. The mean price for CABG was $151,271 and ranged from $44,824 to $448,038. Except for geographic census region, which was weakly associated with price, hospital CABG price was not associated with other structural characteristics or CABG volume (p >0.10 for all). Likewise, there was no association between a hospital's price for CABG with average reimbursement from major insurers within the same zip code (ρ = 0.07, p value = 0.6), Society of Thoracic Surgeoncomposite quality score (ρ = 0.08, p value = 0.71), or risk-adjusted CABG mortality (ρ = -0.03 p value = 0.89). In conclusion, the price of CABG varied more than 10-fold across US hospitals. There was no correlation between price information obtained from hospitals and the average reimbursement from major insurers in the same market. We also found no evidence to suggest that hospitals that charge higher prices provide better quality of care.

  4. Análisis de la inclusión de la policía en la respuesta de emergencias al paro cardiorrespiratorio extrahospitalario Analysis of the inclussion of police personnel on the out of hospital cardiac arrest emergency response

    Directory of Open Access Journals (Sweden)

    Andrea Aguilera-Campos

    2012-02-01

    Full Text Available OBJETIVO: El presente estudio busca analizar una alternativa al pronóstico de paro cardiorrespiratorio extrahospitalario (PCE como problema de salud pública al involucrar a los cuerpos policiacos en la respuesta de emergencias. MATERIAL Y MÉTODOS: Se analizó retrospectivamente un registro de PCE iniciado en junio de 2009. Se contrastó un modelo basado en un número limitado de ambulancias con primera respuesta por la policía. RESULTADOS: La mortalidad fue de 100%, tiempos de respuesta elevados y 10.8% recibió reanimación cardiopulmonar (RCP por testigos presenciales. En 63.7% de los eventos la policía llegaba antes que la ambulancia y en 1.5% el policía dio RCP. El costo por vida salvada fue 5.8-60 millones de pesos en un modelo sólo con ambulancias vs. 0.5-5.5 millones de pesos en un modelo con primera respuesta policiaca. CONCLUSIONES: La intervención de la policía en la ciudad de Querétaro facilitaría la disminución de la mortalidad por PCE a un menor costo.OBJETIVE: Out-of-hospital cardiac arrest (OCHA is a public health problem in which survival depends on community initial response among others. This study tries to analyze what's the proportional cost of enhancing such response by involving the police corps in it. MATERIALS AND METHODS: We analyzed retrospectively an OCHA registry started on June 2009. We contrasted a model with limited number of ambulances and police based first response. RESULTS: Mortality was 100%, response times high and 10.8% of the victims were receiving cardiopulmonary resuscitation (CPR by bystanders. In 63.7% of the events the police arrived before the ambulance, in 1.5% of these cases the police provided CPR. The cost for each saved life was of 5.8-60 million Mexican pesos per life with only ambulance model vs 0.5-5.5 million Mexican pesos on a police first response model with 12 ambulances. CONCLUSIONS: In Queretaro interventions can be performed taking advantage of the response capacity of the

  5. 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 collaborat......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 framework...

  6. ROLE OF HOSPITAL ADMINISTRATION

    OpenAIRE

    UDAYSINH R. MANEPATIL

    2013-01-01

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

  7. Mental hospitals in India.

    Science.gov (United States)

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

    2000-04-01

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

  8. Hospitality, Tourism, and Recreation.

    Science.gov (United States)

    Novachek, James

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

  9. Hospitality Services. Curriculum Guide.

    Science.gov (United States)

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

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

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

    Directory of Open Access Journals (Sweden)

    Regina Aparecida Garcia de Lima

    1999-04-01

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

  11. [Civil hospital of Zamora de Hidalgo].

    Science.gov (United States)

    Gómez de Lara, José Luis

    2015-01-01

    The city of Zamora de Hidalgo is home to one of the most important hospitals in the region, built in 1841 and named the Civil Hospital of Zamora. Built following demand for municipal health needs and with the support of the City Council of Zamora and private donations, it functioned as a hostel for pilgrims, the destitute and the sick. It was administered and maintained by residents, subsequently by the mothers of the Sacred Heart of Jesus, and finally by the federal Government. It currently gives the Zamorano community services, and admits sick people from other locations such as Jacona, Jiquilpan, Patamban Ocumicho, Chavinda, Tangancicuaro, Chilchota, and Tangamandapio, among others. It was called the Civil hospital because as the only hospital that operated in Zamora, it ceased to be administered by the Ecclesiastic Chapter, and passed into the hands of the State. PMID:25739493

  12. Patient life in hospital

    DEFF Research Database (Denmark)

    Ludvigsen, Mette Spliid

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

  13. [Management strategies and choice of antithrombotic treatment in patients admitted with acute coronary syndrome--executive summary for clinical practice. Consensus Document of the Regional Chapters of the Italian National Association of Hospital Cardiologists (ANMCO) and of the Italian Society of Emergency Medicine (SIMEU)].

    Science.gov (United States)

    Uguccioni, Massimo; Pugliese, Francesco; De Luca, Leonardo; Tubaro, Marco; Ruggieri, Maria Pia; Colivicchi, Furio; Ammirati, Fabrizio; Ansalone, Gerardo; Avella, Andrea; Azzolini, Paolo; Bertazzoni, Giuliano; Brama, Paolo; Cacciatore, Giuseppe; De Luca, Massimo; De Simone, Massimo; Di Fusco, Stefania Angela; Ferraiuolo, Giuseppe; Ferranti, Fabio; Granatelli, Antonino; Loschiavo, Paolo; Mezzanotte, Roberto; Mirante, Enrico; Monti, Francesco; Pajes, Giuseppe; Pandolfo, Luciano; Proiettil, Fabrizio; Revello, Alessandra; Rigattieri, Stefano; Sabetta, Francesco; Sciahbasi, Alessandro; Scioli, Roberto; Serdoz, Roberto; Susi, Beniamino; Vincentelli, Giovanni Maria; Zuccalà, Giuseppe; Zulli, Luigi

    2013-03-01

    This document has been developed by the Lazio regional chapters of two scientific associations, the Italian National Association of Hospital Cardiologists (ANMCO) and the Italian Society of Emergency Medicine (SIMEU), whose members are actively involved in the everyday management of Acute Coronary Syndromes (ACS). The document is aimed at providing a specific, practical, evidence-based guideline for the effective management of antithrombotic treatment (antiplatelet and anticoagulant) in the complex and ever changing scenario of ACS. The document employs a synthetic approach which considers two main issues: the actual operative context of treatment delivery and the general management strategy.

  14. Hospital Executives’ Perceptions of End-of-Life Care

    Directory of Open Access Journals (Sweden)

    Kimberly K. Garner

    2015-06-01

    Full Text Available Hospital executives are key stakeholders in the hospital setting. However, despite extensive medical and nursing literature on the importance of end-of-life (EOL care in hospitals, little is known about hospital executives’ perceptions of the provision of EOL care in their facilities. The objective of this study was to capture hospital executives’ perceptions of the provision of EOL care in the hospital setting. This descriptive, naturalistic phenomenological, qualitative study utilized in-person interviews to explore executives’ opinions and beliefs. The sample consisted of 14 individuals in the roles of medical center directors, chiefs of staff, chief medical officers, hospital administrators, hospital risk managers, and regional counsel in Arkansas, Louisiana and Texas. An interview guide was developed and conducted utilizing a global question followed by probes concerning perceptions of EOL care provision. Hospital executives acknowledged that EOL care was a very important issue, and more attention should be paid to it in the hospital setting. Their comments and suggestions for improvement focused on (a current EOL care, (b barriers to changing EOL care, and (c enhancing provision of EOL care in the hospital setting. The findings of this study suggest that hospital executives although key change agents, may have insufficient EOL information to implement steps toward cultural and infrastructural change and should therefore be included in any EOL discussions and education.

  15. A New Phase in ALS Research.

    Science.gov (United States)

    Chong, P Andrew; Forman-Kay, Julie D

    2016-09-01

    In this issue of Structure, Conicella et al. (2016) present evidence that the low complexity C-terminal region of TDP-43 undergoes liquid-liquid phase separation. ALS-associated mutations alter this phase separation process, providing a possible mechanism for the pathology caused by these TDP-43 mutations. The work is strongly supportive of toxic loss of RNA processing function in ALS. PMID:27602988

  16. [Military history of evacuation hospital No 3457 and the head of this hospital -- Porfirii Ivanovich Zabolotnyi].

    Science.gov (United States)

    Poddubnyĭ, M V

    2014-05-01

    The article is devoted to publication of an archive document "History of evacuation hospital AN 3457". This archive document was found in one of the deserted country house in Sumy Oblast, Ukraine. 32 pages of text is bright and eloquent testimony of the period of the Great Patriotic War. Hospital was founded in 1941 in Sumy Oblast and then was deployed in Siberia, in the region of the Far North, again in Ukraine and in Hungary. Army medical officer Porfirii Zabolotnyi was the chef of evacuation hospital during this period.

  17. Preference of hospital usage in India

    Directory of Open Access Journals (Sweden)

    Sarda Prasad

    2013-01-01

    Full Text Available Health is important and money is not matter, if people are concerned for the treatment of various ailments. A collective acceptance with regard to hospital usage is that most of the people prefer to use private hospitals even if the cost of private hospital tends to be high. Public hospitals are not preferred due to poorer quality of their services, even though these services are provided at low cost. At the time of independence, nearly 15% of the people used private sector. In a recent study by World Bank, it has been found that about 80% of the people use the private hospitals in India. In order to understand the preference of hospitals of ailing persons, we make use of the National Sample Survey Organization′s 60 th round data on morbidity and health-care conducted in 2004. Using this data, we first described the demographic, social and economic characteristics of person who use the hospitals. We have also used primary data collecting during May-September 2010 in Bundelkhand region, Uttar Pradesh. There were 360 farmers have interviewed from three villages from each Banda and Hamirpur districts. We have tried to understand the preference of hospital usage among the migrant and non-migrant households. We have found that migrant households preferred private hospital for any type of treatment whereas non-migrant households still have faith on herbal and magician for the treatment. Migrant household preferred institutional delivery and spent money on healthy food such as fruits and vegetables. Migrant households were more health conscious and more exposed about the health awareness programs such as polio, immunization and health check-up of the children. Interesting to note that migrants households have first aid box and some general medicine such paracetamol, B-complex table and syrup. Some of them have thermometer and they are able to measure the body temperature and apply medicine to control fever if any time appeared among the member of

  18. Hospital diversification: evaluating alternatives.

    Science.gov (United States)

    Hammer, L

    1987-05-01

    The appropriateness of diversification as a growth strategy for hospitals is discussed, and planning for diversification is described. Because new forms of health-care delivery are now in direct competition with hospitals, many hospitals are confronting environmental pressures and preparing for future survival through diversification. To explore the potential risks and benefits of diversification, the hospital must identify opportunities for new business ventures. Diversification can be "related," through an expansion of the primary product line (health care), or "unrelated," into areas not directly associated with health care. The hospital must establish specific criteria for evaluating each diversification alternative, and the two or three most attractive options should be analyzed further through a financial feasibility study. The hospital should also seek legal advice to determine the implications of diversification for maintenance of tax status, antitrust limitations, and applicability of certificate of need. Although diversification may not be appropriate for every institution, hospitals should consider it as a strategy for increasing their revenue base, confronting environmental pressures, and securing future survival. PMID:3300300

  19. Hospital diversification: evaluating alternatives.

    Science.gov (United States)

    Hammer, L

    1987-05-01

    The appropriateness of diversification as a growth strategy for hospitals is discussed, and planning for diversification is described. Because new forms of health-care delivery are now in direct competition with hospitals, many hospitals are confronting environmental pressures and preparing for future survival through diversification. To explore the potential risks and benefits of diversification, the hospital must identify opportunities for new business ventures. Diversification can be "related," through an expansion of the primary product line (health care), or "unrelated," into areas not directly associated with health care. The hospital must establish specific criteria for evaluating each diversification alternative, and the two or three most attractive options should be analyzed further through a financial feasibility study. The hospital should also seek legal advice to determine the implications of diversification for maintenance of tax status, antitrust limitations, and applicability of certificate of need. Although diversification may not be appropriate for every institution, hospitals should consider it as a strategy for increasing their revenue base, confronting environmental pressures, and securing future survival.

  20. The impact of critical total quality management practices on hospital performance in the ministry of health hospitals in saudi arabia.

    Science.gov (United States)

    Alaraki, Mohammad Shamsuddin

    2014-01-01

    Total Quality Management (TQM) offers a method for solving quality and patient safety problems and bringing significant improvement to hospital performance. However, only few studies have been conducted in this area in developing countries, particularly in Saudi Arabia. This research is carried out in an attempt to address this gap, exploring the impact of applying TQM practices on hospital performance in the Saudi Ministry of Health hospitals. The study has included 4 hospitals in Tabuk Region, namely, King Khaled Hospital, King Fahad Hospital, Maternity and Children Hospital, and Hagel General Hospital. The data collection was done by the researcher when 400 questionnaires were distributed using a convenient sampling technique to access the required data. The response rate was 67.25% of the total questionnaires distributed. The TQM practices used in the study were as follows: leadership, employee management, information analysis, training, customer focus, continuous improvement, process management, and supplier management. The findings of the research show a significant positive correlation between the 8 practices of TQM and hospital performance with a correlation coefficient r value of 0.9 (P = .0001). The study also reveals that Saudi hospitals are facing difficulties in engaging the clinical staff in their quality initiative. Moreover, our findings show that accredited hospitals have significantly applied TQM practices more than unaccredited hospitals.

  1. Cuidados com o sistema de drenagem torácica em adultos internados no Hospital Universitário Regional de Maringá, Estado do Paraná, Brasil Care with the thoracic drainage system in adults at the Universitary Hospital of Maringá, Paraná State, Brazil

    OpenAIRE

    César Orlando Peralta Bandeira; Guilón Otávio Santos Tenório; Diego Ricardo Colferai; Bruno Donegá Sarrão; Gustavo Nishida

    2011-01-01

    Avaliou-se, prospectivamente, o manejo dos sistemas de drenagem torácica fechada em pacientes adultos no Hospital Universitário de Maringá, Estado do Paraná, no período de dez meses. Foram acompanhadas 90 drenagens em 75 pacientes. Predominou a causa traumática em pacientes jovens como determinante de indicação da drenagem pleural (61/90, 68%). A falta do curativo em meso e contrameso, como fixação complementar do dreno, foi a ocorrência isolada mais comum no manejo, sendo encontrado rotineir...

  2. Identification of the decision maker for a patient's hospital choice: who decides which hospital?

    Science.gov (United States)

    Sloane, G; Tidwell, P; Horsfield, M

    1999-01-01

    If marketers wish to communicate the positive characteristics of purchasing the private hospital experience, the marketers need to be able to identify which of the participants in the purchasing process is acting in the role of decision maker. Research was undertaken of doctors in the rural setting. Potential respondents were selected from Orange to Broken Hill; from Coonabarabran to Young. Two private hospitals are known to be located within this region--one in Orange and one in Dubbo. In most cases, patients in the rural setting are having the final say as to which hospital to attend. They are filling the role of decision maker. The factors that potential patients are considering in their decision include the services provided by the hospital--specifically factors relating to accommodation, services and cost. These observations are those as interpreted by the doctors who see these patients. Based on the findings of the survey a number of recommendations have been made: (1) Any marketing communication by hospitals should target primarily patients and then doctors. (2) Further research should be undertaken to attempt to accurately determine what characteristics are considered when patients and doctors refer to hospital services. (3) Research should be undertaken to determine the identity of all parties involved in the purchasing decision process. (4) Further research should be undertaken of the general population to determine what factors relating to a hospital are considered when making the hospital purchasing decision. (5) Further in depth analysis should be conducted with the raw data. PMID:10623196

  3. Hospital sector: further trends in privatization

    DEFF Research Database (Denmark)

    Christiansen, Terkel

    2009-01-01

    Due to a strike among nurses in the spring of 2008, the existing waiting time guarantee of one month was suspended until June 1, 2009. Regions turned to private hospitals to assist reducing the hump of patients. It has been claimed that the private sector used to be favorably treated by the Liber...

  4. Decontamination exercise at a general hospital

    International Nuclear Information System (INIS)

    By using a luminescent material as a substitute for radioactive contamination a realistic assessment of the emergency plans for dealing with contaminated radiation casualties at a Regional General Hospital was made. The areas where problems arose in these plans are described and the changes now made to them given. (author)

  5. On spaces of hospitality

    DEFF Research Database (Denmark)

    Greve, Anni

    Although specialists in hospitality have worked extensively on hospitality with respect to relations between different nations or between nations and individuals of a different nationality, for instance when they seek asylum, Jacques Derrida preferred to focus instead upon the relationship between...... the market place, the religious sanctuary and places for the performing arts and cultural heritage. For the modern city they are the tightly woven fabric of social reality, and their configuration can make certain cities more hospitable than others, is the leading idea....

  6. Hospital overcrowding: an opportunity for case managers.

    Science.gov (United States)

    Simmons, Florence M

    2005-01-01

    Hospital overcrowding is primarily a shortage of inpatient beds, not a lack of emergency department capacity, as initially assumed. According to Asplin et al., many factors contribute to overcrowding, including inadequate or inflexible nurse-to-patient staffing ratios, isolation precautions, or delays in cleaning rooms after patient discharge; an overreliance on intensive care or telemetry beds; inefficient diagnostic and ancillary services on inpatient units; and delays in discharging hospitalized patients to postacute-care facilities. Hospital overcrowding presents a challenge for hospital employees and clients, often leading to frustration and dissatisfaction. Overcrowding also has a direct effect on patient care, including compromised patient safety, increased costs, increased length of stay, and increased mortality and morbidity rates. The emergency department is changed from a temporary holding area to an extended patient care unit, decreasing its ability to handle new admissions and to manage a mass casualty. Beds in the critical care units become filled with inappropriate patients if floor beds are not available, making placement of seriously ill patients difficult. Trauma patients may have to be diverted to other hospitals to receive the appropriate level of care. Patients who require specialty services may have to wait for extended periods to obtain a bed in a referral center.

  7. 地市级三甲医院绿色通道无缝衔接现状调查%Investigation and Analysis on fast passage’s seamless in regional first-class hospital

    Institute of Scientific and Technical Information of China (English)

    何顶秀; 刘小琴; 陈忠毅; 袁松林; 姜伟; 黄楷森

    2014-01-01

    Objective To investigate the operational status of seamless fast passage in People’s Hospital of Deyang City, and to provide the basis for improving the fast passage. Methods A retrospective study was carried out to collect the data including the general situation, pre-hospital time, emergency room time and transit time from January 2013 to June. Results There were 1427 cases of emergency critically ill patients. The average time of pre-hospital、emergency room and transit was respectively(7.79±6.54)min、(26.44±19.27)min、(9.45±5.12) min.Also it indicated the fast passage should be improved. Conclusions There were many problems with fast passage’s seamless.To analyzed and grasp the operational status of each hospital, to further improve the rules and regulations, to improve the hardware conditions, and to undertake the ongoing exercise is bound to improve the quality of the fast passage.%目的:通过调查分析德阳市人民医院急诊绿色通道无缝衔接的运行现状,为完善绿色通道提供依据。方法回顾分析2013年1月~6月的急诊危重患者绿色通道的运行情况,包括一般情况,院外急救时间,抢救室时间,转运时间进行分析。结果共纳入1427例急诊危重患者,院外急救时间平均(7.79±6.54)min,抢救室时间(26.44±19.27) min,转运时间(9.45±5.12) min,表明急诊危重患者绿色通道有待改善。结论绿色通道的无缝衔接方面还存在许多问题,这需要我们掌握本院本地区的绿色通道现状,建立完整的规章制度,提高硬件条件,落实各个环节,不断的演练,才能提高绿色通道质量。

  8. Comparison and Influencing Factors of Social Responsibility Evaluation from Patients in Public Tertiary Hospitals in Different Regions%不同地区三级医院患者公益性评价比较及影响因素研究

    Institute of Scientific and Technical Information of China (English)

    胡献之; 陈英耀; 梁斐; 谷茜; 刘文彬; 邓伟; 赵列宾; 庞伟明

    2012-01-01

    Objective To explore social responsibility of public tertiary hospitals and its influencing factors from patients in different regions. Methods Questionnaire survey was used to investigate outpatients and inpatients from public tertiary hospitals distributed in the eastern, central and western China, and the data was analyzed by Pearson Chi-square, non-parametric test and Logistic regression method. Results Levels of social responsibility vary in different regions, but the impact factors of social responsibility overall assessment are similar, and the appropriateness and fairness of medical services are the main influencing factors. Conclusion Enhancing the social responsibility of public tertiary hospitals should focus on improving the appropriateness of medical services, and increasing the fairness of medical services.%目的 了解不同地区患者对三级公立医院公益性的评价,探究公益性评价的影响因素.方法 通过问卷的形式,在东、中、西3个地区选择在三级医院就诊的患者进行调查,使用Pearson Chi-square、非参数检验和Logistic回归方法对数据进行分析.结果 患者对公立医院的公益性评价存在一定的地区差异,但公益性总体评价的影响因素类似,医疗服务的适宜性和公平性是主要影响因素.结论 加强三级公立医院的公益性应该着重提高医疗服务的适宜性,提高医疗服务的公平性.

  9. Optimal Hospital Layout Design

    DEFF Research Database (Denmark)

    Holst, Malene Kirstine

    This PhD project presents a design model that generates and evaluates hospital designs with respect to long-term performances and functionalities. By visualizing and quantifying costs and performances in the early design phases, it is possible to make design choices based on a qualified, profound...... foundation. The basis of the present study lies in solving the architectural design problem in order to respond to functionalities and performances. The emphasis is the practical applicability for architects, engineers and hospital planners for assuring usability and a holistic approach of functionalities...... and performances. By formal descriptions, a design model can weigh and compare the impact of different perspectives and, even in the early design phase, it can visualize and quantify consequences for design choices. By qualitative study of hospital design and hospital functionality, formal descriptions develop...

  10. Hospital Readmissions Reduction Program

    Data.gov (United States)

    U.S. Department of Health & Human Services — In October 2012, CMS began reducing Medicare payments for Inpatient Prospective Payment System hospitals with excess readmissions. Excess readmissions are measured...

  11. Hospital Readmission Reduction

    Data.gov (United States)

    U.S. Department of Health & Human Services — In October 2012, CMS began reducing Medicare payments for Inpatient Prospective Payment System hospitals with excess readmissions. Excess readmissions are measured...

  12. Service Robots for Hospitals

    DEFF Research Database (Denmark)

    Özkil, Ali Gürcan

    services to maintain the quality of healthcare provided. This thesis and the Industrial PhD project aim to address logistics, which is the most resource demanding service in a hospital. The scale of the transportation tasks is huge and the material flow in a hospital is comparable to that of a factory. We...... believe that these transportation tasks, to a great extent, can be and will be automated using mobile robots. This thesis consequently addresses the key technical issues of implementing service robots in hospitals. In simple terms, a robotic system for automating hospital logistics has to be reliable...... manual work and offer many advantages beyond robotics. Finally, this thesis outlines our contributions in representation of multi-floor buildings, which is a vital requirement to achieve robust and practical, real-world service robot applications....

  13. Hospital Compare Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — These are the official datasets used on the Medicare.gov Hospital Compare Website provided by the Centers for Medicare and Medicaid Services. These data allow you...

  14. Hospitals of The Future

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    An overseas biometric and RFID solutions provider eyes up China’s emerging healthcare IT solutions market New mothers in China can look forward to more peaceful hos-pital stays without worries that their precious newborns might be

  15. Physician-Owned Hospitals

    Data.gov (United States)

    U.S. Department of Health & Human Services — Section 6001 of the Affordable Care Act of 2010 amended section 1877 of the Social Security Act to impose additional requirements for physician-owned hospitals to...

  16. Hospital Outpatient PPS

    Data.gov (United States)

    U.S. Department of Health & Human Services — Section 4523 of the Balanced Budget Act of 1997 (BBA) provides authority for CMS to implement a prospective payment system (PPS) under Medicare for hospital...

  17. Outpatient Imaging Efficiency - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — Use of medical imaging - provider data. These measures give you information about hospitals' use of medical imaging tests for outpatients. Examples of medical...

  18. Premier Hospital Historical Data

    Data.gov (United States)

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

  19. Grove - Stobhill Hospital

    OpenAIRE

    Urquhart, Donald

    2009-01-01

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

  20. Trick questions: cosmopolitan hospitality

    OpenAIRE

    Eleanor Byrne

    2013-01-01

    Byrne’s paper consists of two parallel texts. The first explores the limits of cosmopolitanism in practice, taking as its subject the Life in the UK Citizenship Test, inaugurated under the Labour Government in 2005. It argues that the test exemplifies the predicament of all attempts at cosmopolitan hospitality as unconditional welcoming, through a discussion of the relation between questioning and welcoming the stranger. Establishing the relationship between cosmopolitanism and hospitality a...