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  1. 36 Annual Meeting of Spanish Nuclear Society, Oct. 6-9 2010 Santiago de Compostela, Spain

    2010-01-01

    The Spanish Nuclear Society (SNE) is a non-profit association, made up of professionals and institutions in order to promote awareness and dissemination of science and nuclear technology. The 36th meeting of the SNE was held in Santiago de Compostela between 6 and 8 October 2010. Participants discussed the situation of nuclear energy and its challenges, the development of electric cars and their distributional implications, and the study of nuclear advertising on other countries and their potential application to the case of Spain.

  2. Analysis and Diagnosis of the Church of Santiago in Jerez de la Frontera (Spain

    Rodríguez-Mayorga, E.

    2015-12-01

    Full Text Available The church of Santiago (Jerez de la Frontera, Spain has its origin in a small chapel built in the XIII century. Three naves added in the XV century gave rise to the current temple. The church has been modified along the history due to two main reasons: (I the interest for its enlargement and embellishment and (II to solve some structural problems documented since the XVII century. The most relevant problems that have affected the structure can be summarized in two partial collapses (1695 and 1956 and the substitution of two columns (1902 and 1928 to prevent new catastrophes. However, at the beginning of the XXI century important damage in columns and walls caused to close the temple and initiate an ample investigation on the church and its structural behaviour. The conclusions of this analysis, together with a preliminary proposal for restoration, are the main goal of this paper.La Iglesia de Santiago (Jerez de la Frontera, España tiene su origen en una pequeña capilla del siglo XIII. En el siglo XV se le añadieron tres naves, dando como resultado el templo actual. La Iglesia se ha modificado en determinadas ocasiones debido principalmente a: (I el interés por ampliarla y embellecerla y (II solucionar algunos problemas estructurales documentados desde el siglo XVII. De estos últimos, los más relevantes en relación a la estructura pueden resumirse en dos colapsos parciales (1695 y 1956 y la sustitución de dos pilares (1902 y 1928 para evitar otras dos catástrofes. Al inicio del siglo XXI, la nueva aparición de daños en pilares y muros condujo al cierre del templo y al inicio de una investigación sobre el comportamiento estructural de la iglesia. Las conclusiones de este análisis, junto a una propuesta preliminar para su reparación, constituyen el objetivo principal de este artículo.

  3. [Anesthesia in urology: notes on its history and development in Spain, 1847 to 1950].

    Franco, A; Cortés, J; Hernández, B; Alvarez, J

    2007-01-01

    This review of the historical course of anesthesia performed in the context of urology in Spain relies on primary sources: doctoral theses, dissertations, published articles, inaugural addresses, conference proceedings, and books belonging to various archives and libraries. We collected a large number of documents relating to urology and of particular interest regarding anesthesia, classified them, and subjected them to critical analysis. This allowed us to carefully follow the development of anesthesia and urology itself, both of which attained notable clinical and scientific importance in Spain. Anesthesia with chloroform and incomplete anesthesia were the norm during the second half of the 19th century. However, during the first half of the 20th century, the most widely used techniques were the application of ether or spinal or local infusions, although epidural and intravenous techniques were also mentioned.

  4. [History of rachianesthesia and epidural anesthesia in Spain].

    Gonzalo Rodríguez, Victoria; Rivero Martínez, Ma Dolores; Pérez Albacete, Mariano; López López, Ana I; Maluff Torres, Alejandro

    2007-10-01

    To show the beginning of spinal and epidural anesthesia in our country and the contributions of Spanish urologists. We reviewed books and writings of History of Medicine, Urology and Anesthesia and Doctoral thesis about spinal and epidural anesthesia. In the 20th century, surgeons also gave the anesthetic drugs to the patients. Spinal and epidural anesthesia were used for the first time in 1900. A lot of Spanish urologists like F Rusca Doménech, J.M. Batrina, M. Barragán Bonet, R. Lozano Monzón, L. Guedea Calvo, Gil Vernet, Fidel Pagés Miravé, V Sagarra Lascurain, Gómez Ulla, etc, did research, writings in scientific journals and Doctoral thesis about anesthesia.

  5. The triple spiral staircase in the Convent of Santo Domingo de Bonaval (Santiago of Compostela, Spain: design and construction hypothesis

    M. C. Fernández Cabo

    2017-06-01

    Full Text Available By 1700 Domingo de Andrade, at that time master builder of the Santiago de Compostela cathedral (North-west of Spain, built a unique spiral staircase in the Santo Domingo de Bonaval’s Convent, on the outskirts of the city. This paper provides a construction process hypothesis based on the available knowledge and technical resources at that time, involving the geometry, layout, stonework of the steps and their positioning on the site. A 1:5 scale model has been made to demonstrate that the staircase could have been built with no scaffolding at all. That would have meant for Andrade, architect and builder, an important cost reduction. Moreover been a masterpiece with an undeniable show of prowess, it is quite possible that economic reasons had driven the master to this bold design.

  6. Anesthesia

    ... arm or leg. A common type is epidural anesthesia, which is often used during childbirth. General - makes ... afterwards. Sedation can be used with or without anesthesia. The type of anesthesia or sedation you get ...

  7. 36 Annual Meeting of Spanish Nuclear Society, Oct. 6-9 2010 Santiago de Compostela, Spain; 36 Reunion Anual Sociedad Nuclear Espanola, 6-8 de Octubre de 2010, Santiago de Compostela, Espana

    NONE

    2010-07-01

    The Spanish Nuclear Society (SNE) is a non-profit association, made up of professionals and institutions in order to promote awareness and dissemination of science and nuclear technology. The 36th meeting of the SNE was held in Santiago de Compostela between 6 and 8 October 2010. Participants discussed the situation of nuclear energy and its challenges, the development of electric cars and their distributional implications, and the study of nuclear advertising on other countries and their potential application to the case of Spain.

  8. [Stays in Paris of professors and students from the Faculty of Pharmacy of Santiago de Compostela (Spain), 1900-1936].

    Beatriz Arias, Brasa; Landín Pérez, Mariana

    2011-10-01

    In the early twentieth century, if there were an European Capital of biomedical research, it was definitely Paris. It was in this city where microbiology was born in the 19th century due to the crucial influence of Louis Pasteur. In 1888 he founded the Pasteur Institute in Paris where the rabies vaccine, that Pasteur himself had discovered in 1885, was administrated. This institution was also a place to continue his research on infectious diseases and to disseminate its findings. It is a private non-profit state-approved foundation that has attracted along the years many scientists from France and abroad who have been traditionally called "pasteuriens". So it was a world reference centre which has produced important scientific discoveries at a rapid pace and where resources both material and human, were abundant. The Pasteur institute therefore became one of the favourite research facilities of teachers and students from Spanish universities during the first third of the twentieth century, thanks to new regulations that encouraged training abroad. Scholarship policy promoted by the Spanish Government by an organization called Junta para la Ampliación de Estudios e Investigaciones Científicas (Council for Higher Studies and Scientific Research from, 1907 to 1936) formed scientists abroad. The Faculty of Pharmacy of Santiago de Compostela sent some of its members to the French capital between 1905 and 1933. We found that the vast majority chose the Pasteur Institute to conduct the studies of biological chemistry and drug synthesis, but always dependent of the Faculty of Pharmacy of Paris. Our study focuses on teachers and students who went to Paris, the dates, the course of their scientific stay and how these studies influenced their later work, once they returned to the Faculty of Pharmacy of Santiago de Compostela.

  9. Territorial organization in Spain and in Colombia: “Report on Spain. Rethinking the State or destroying it”. Santiago Muñoz Machado

    Catalina Ana Larach Del Castillo

    2013-12-01

    Full Text Available Two recently published books, one from Spain (Muñoz Machado, 2012 and the other from Colombia (Mendoza Martelo, 2013, evince concerns with respect to the territorial organization in both countries. What is the appeal of the territorial model? With common constitutional errors occurring in the territorial area, and a crisis in both function and coordination in various levels of the Government –as well as in the different regions and autonomous communities–, is legal reform preferable to constitutional change? These are some of the issues raised and evaluated in current debates. In the work in question, the main problems in Spain are analyzed and the author proposes ways of solving or diminishing these problems, such as a return to centralism, the partial conservation of autonomous communities, the replacement of the current model with a federal State, as well as the possibilities of self-determination and separatism. The proposed study will serve to revise certain aspects of Colombia’s territorial system, in order to determine whether or not reformation is necessary.

  10. A GEOMETRICAL SIMILARITY PATTERN AS AN EXPERIMENTAL MODEL FOR SHAPES IN ARCHITECTURAL HERITAGE: A CASE STUDY OF THE BASE OF THE PILLARS IN THE CATHEDRAL OF SEVILLE AND THE CHURCH OF SANTIAGO IN JEREZ, SPAIN

    J. J. Moyano

    2017-02-01

    Full Text Available This paper proposes a procedure for the search of a geometrical similarity pattern in architectural heritage by means of calculating probability indexes to support hypotheses initially endorsed by documentary sources. The buildings analysed are the Cathedral of Seville and the Church of Santiago, in Jerez, Spain. The 3D models of their selected pillars are obtained by means of Terrestrial Laser Scanning (TLS, Optical Scanning (OS and photogrammetry through image-based modelling software (SFM-IBM. To this end, a procedure for the comparison of shapes is established. It is based on similarity statistics, the determination of homologous points and the agreement of characteristic sections. Here, two key aspects are considered: on the one hand, the metric standpoint; on the other hand, historical-graphical features of the 3D models: composition, techniques, styles, and historical-graphical documentary sources. Thus, putting aside the mere dimensional analysis, the sections are compared with graphical patterns and models of which the same authorship – stonemasons working in that age – is accurately known. As a result, the outcomes of this research reveal the geometrical similarity between the elements of the pillars of the Cathedral of Seville and the Church of Santiago.

  11. Spain

    Zoppo, C.E.

    1990-01-01

    This paper reports on nuclear export activities in Spain, as elsewhere, which occur in a political, economic, and technological context. The factors operating the process are not always explicitly related in the public and the private sectors, nor between these sectors, by the relevant decision makers. A redefinition of Spain's policies in the nuclear sector has been going on since at least 1984, when a new energy plan was legislated by the newly elected Socialist government. It would be accurate to suggest that this process remains dynamic and not fully completed for policy purposes. This condition has resulted from the fact that Spain underwent a crucial political regime change from dictatorship to parliamentary democracy about a decade ago, with the transition to democracy only recently consolidated. Moreover, no policy in regard to nuclear nonproliferation existed during the Franco regime. Instead, Spain's official position was to maintain the right to preserve a nuclear option for national defense. However, this option was not developed into a concerted program to develop a nuclear military capability

  12. Spain.

    1985-03-01

    Spain is a constitutional monarchy with a population of 38.3 million growing at .5%/year. The most striking topographical features are the high plateaus and internal compartmentalization by mountain and river barriers. Nearly 3/4 of the country is arid. The Iberian peninsula was the scene of successive invasions and warfare for centuries. Phoenicians, Greeks, Carthaginians, Moors, Celts, Romans, and Visigoths all invaded at some time. The present language, religion, and laws stem from the Roman Period. The Reconquest from the North African Moors lasted over 700 years until they were driven out in 1492. The unification of present day Spain was complete by 1512. A period of dictatorial rule from 1923-31 ended with establishment of the Second Republic which saw increasing political polarization culminating in the Spanish Civil War. Franco's victory in 1939 was followed by official neutrality but pro-Axis policies during World War II. Spain's economy began to recover during the 1950s, but large scale modernization and development did not occur until the 1960s. Prince Juan Carlos de Borbon y Borbon, Franco's personally designated heir, assumed the title of king and chief of state with Franco's death in 1975. Franco's last prime minister was replaced in July 1976 in order to speed the pace of post-Franco liberalization. Spain's 1st parliamentary elections since 1936 were held in 1977, and a new constitution protecting human and civil rights and granting due process was overwhelmingly approved in 1978. The constitution also authorized creation of regional autonomous governments. By the mid-1970s, Spain had developed a strong and diversified industrial sector and a thriving tourist industry. From 1975-83, there were 8 years of double-digit inflation, an average growth rate of 1.5% in real terms, and an increase in unemployment from about 4.7% to 18.4%. By 1984 there was substantial improvement in inflation and the balance of payments. Goals of current government economic

  13. Spain

    2001-01-01

    Spanish low and intermediate level radioactive wastes are disposed of at the El Cabril Disposal Facility, in the province of Cordoba (SPAIN). The fundamental safety objective of the facility consists of the immediate and longer term protection of people and the environment. This objective leads to the need to isolate the wastes from the human surroundings, such that any release of the radionuclides contained in them does not pose any radiological risk for either people or the environment over the necessary time period. Consequently, it is necessary to fully protect the wastes against external aggression, from both the climatic and biological point of view (infiltration of water, temperature variations, chemical action of water, attacks by living macro and microorganisms, plants, etc.). This waste isolation is achieved by means of a multi-barrier system separating the activity stored from the aforementioned actions

  14. El color a las puertas de Santiago

    García Martínez, Alberto

    1995-08-01

    Full Text Available On the occasion of the Xacobeo 93, within the program of the works carried out to complete the urban infrastructures, Santiago de Compostela decided to undertake the morphological adaptation of the area located in the eastern part of the city, the arrival point of the Pilgrims Road to Santiago. In different parts of Spain, small chromatic actions are being carried out, mostly on the heritage of old buildings; on the contrary, the project which is the object of this article, beside being characteristic for its large scope, also has the peculiarity of referring to a recent architecture, dating from the 60s-70s.

    Dentro del programa de obras realizadas por completar las infraestructuras urbanas, con motivo del Xacobeo 93, Santiago de Compostela decide la adecuación morfológica del barrio situado al Este de la ciudad, llegada del Camino Jacobeo. Si bien en distintos puntos de nuestro país se están produciendo pequeñas actuaciones cromáticas, éstas recaen siempre en el patrimonio edificado antiguo; por el contrario, el proyecto objeto de este artículo, además de la amplitud de su intervención, tiene la particularidad de referirse a una arquitectura reciente, de los años 60-70.

  15. Grit or Grace: Packing for the Camino de Santiago

    Havard, Megan

    2017-01-01

    As the director of a new collegiate study-abroad program that will invite students to complete a segment of a Christian pilgrimage across northern Spain, the Camino de Santiago (Way of St. James), I am tasked with setting the expectations of students, parents and administrators, and with addressing the needs of student travellers. The present chapter analyses several genres of cultural artefacts that novice pilgrims, such as my students, are likely to encounter prior to departure: travel guid...

  16. Anesthesia Basics

    ... Staying Safe Videos for Educators Search English Español Anesthesia Basics KidsHealth / For Teens / Anesthesia Basics What's in ... español Conceptos básicos sobre la anestesia What Is Anesthesia? No doubt about it, getting an operation can ...

  17. Santiago de Cali

    Ana María Sanabria

    2007-01-01

    Full Text Available En el presente trabajo se estudia la prevalencia del tipo de acto delictivo en un grupo de jóvenes infractores de Leyes colombianas. Se estudiaron datos de la Policía Nacional, en la cual se encontraban reportados los jóvenes que presentaron conductas delictivas en el año 2003 en Santiago de Cali, dentro de las categorías tipo o descripción del acto delictivo, edad y sexo. La unidad de análisis estuvo conformada por 3,677 jóvenes infractores, habitantes de diferentes comunas de la ciudad, con edades entre los 10 y los 17 años. La edad media de los jóvenes fue de 15,75 años. El acto delictivo más prevalente en ambos sexos fue el hurto, seguido del tráfico, fabricación o porte de estupefacientes en las mujeres; y, la fabricación, tráfico y porte de armas de fuego o municiones en los hombres. Siendo los últimos quienes, con mayor frecuencia manifiestan actos delictivos en comparación con las mujeres, observados con mayor frecuencia en el grupo de jóvenes entre 16 y 17 años. Los resultados muestran la importancia de variables biológicas y evolutivas, como la edad y el sexo, en la manifestación de este comportamiento; en consecuencia, la importancia de plantear programas de intervención diferenciados con perspectiva de género y edad que puedan generar un impacto relevante en esta población para la prevención y/o disminución de la delincuencia juvenil.

  18. [The anesthesia of anesthesia].

    Pfleiderer, G

    2005-03-01

    Viewed from a cultural-ethical perspective, anesthesiology can be understood as a comprehensive concept of medicine in general. As such it contains two dilemmas: very often pain must be inflicted in order to alleviate pain and this can only be done by somebody who is himself relatively free of pain. The necessary apathy or anesthesia of the anesthetist is correlated with a general twentieth century-type of perception: the cool observer. Nevertheless, it is also a modern variation of the original religious constellation of the priest in relationship to the sick person. Curing occurs by representation. The weak self of the sick person is able to take over the strong self, represented by the therapist. In twentieth century art and literature this process of self-therapy by representation was often illustrated. On the background of a phenomenological philosophy that process can be understood as the regaining of a balance between body and soul. In the psalms of the biblical Book of Job there a variety of fundamental forms of pain which may be helpful even in this secular age.

  19. Effects of Anesthesia

    ... About Policymakers Media ASA Member Toolkit Anesthesia 101 Effects of Anesthesia Explore this page: Effects of Anesthesia ... the types of anesthesia and their side effects? Effects of Anesthesia If you’re having surgery, you ...

  20. Anesthesia Fact Sheet

    ... Education About NIGMS NIGMS Home > Science Education > Anesthesia Anesthesia Tagline (Optional) Middle/Main Content Area En español ... Version (464 KB) Other Fact Sheets What is anesthesia? Anesthesia is a medical treatment that prevents patients ...

  1. Administration of Anesthesia

    Full Text Available ... Contact Find a Surgeon What We Do Anesthesia Anesthesia Oral and maxillofacial surgeons are extensively trained to ... and Facial Pain Wisdom Teeth Management Procedures Anesthesia Anesthesia Oral and maxillofacial surgeons are extensively trained to ...

  2. Administration of Anesthesia

    Full Text Available ... information Anesthesia: Safety and Comfort in the OMS Office Part I Introduction and History of Dental Anesthesia ... OMS Anesthesia Team and Patient Care Part IV Office Anesthesia Evaluation Part V Broad Access to Care, ...

  3. Administration of Anesthesia

    Full Text Available ... extensively trained to appropriately administer local anesthesia, all forms of sedation and general anesthesia. Click here to ... extensively trained to appropriately administer local anesthesia, all forms of sedation and general anesthesia. Click here to ...

  4. Santiago Pérez Triana

    Sergio Elías Ortíz

    1958-09-01

    Full Text Available El nombre de Santiago Pérez Triana, aunque suena en el ambiente colombiano, algunas veces confundido con el de su ilustre padre, como el de un escritor notable y hasta como un orador de fama internacional, no se lo conoce, a nuestro juicio, en todo lo que vale y pesa, no digamos en el dominio de las letras castellanas, pero ni siquiera en su propia patria de origen, excepto en pequeño círculo intelectuales capacitado para valorar a conciencia los quilates de pensador de este hombre prodigioso que paseó su inteligencia sobre temas, diversos , con capacidad múltiple, e ilustración inagotable.

  5. Administration of Anesthesia

    Full Text Available ... OMS Office Part I Introduction and History of Dental Anesthesia Part II OMS Education and Training Part III The OMS Anesthesia Team and Patient Care Part IV Office Anesthesia Evaluation Part V Broad ...

  6. Administration of Anesthesia

    Full Text Available ... Anesthesia Evaluation Part V Broad Access to Care, Patient Safety and Comfort Oral and maxillofacial surgeons (OMSs) are trained in all aspects of anesthesia administration. Following dental ... evaluate patients for anesthesia, deliver the anesthetic and monitor post- ...

  7. Society for Ambulatory Anesthesia

    ... SAMBA Link Digital Newsletter Educational Bibliography Research IARS/Anesthesia & Analgesia SCOR About SCOR Sponsor SAMBA Meetings Affinity Sponsor Program We Represent Ambulatory and Office-Based Anesthesia The Society for Ambulatory Anesthesia provides educational opportunities, ...

  8. Administration of Anesthesia

    Full Text Available ... and History of Dental Anesthesia Part II OMS Education and Training Part III The OMS Anesthesia Team and Patient Care Part IV Office Anesthesia Evaluation Part V Broad Access to Care, Patient Safety ...

  9. Administration of Anesthesia

    Full Text Available ... We Do Who We Are News Videos Contact Find a Surgeon What We Do Anesthesia Anesthesia Oral ... of sedation and general anesthesia. Click here to find out more. Cleft Lip/Palate and Craniofacial Surgery ...

  10. Administration of Anesthesia

    Full Text Available ... in the OMS Office Part I Introduction and History of Dental Anesthesia Part II OMS Education and Training Part III The OMS Anesthesia Team and Patient Care Part IV Office Anesthesia Evaluation Part V Broad ...

  11. Administration of Anesthesia

    Full Text Available ... further information Anesthesia: Safety and Comfort in the OMS Office Part I Introduction and History of Dental Anesthesia Part II OMS Education and Training Part III The OMS Anesthesia ...

  12. Santiago, una ciudad con temor

    Enrique Oviedo S.

    1999-04-01

    Full Text Available El objetivo general de este artículo es evaluar los efectos de la inseguridad ciudadana en el uso del espacio público. Dicha evaluación exige analizar dos relaciones que se establecen en el ámbito de la violencia: la relación entre victimización y percepción de inseguridad; y la que se establece entre actitudes sociales y resolución pacífica de conflictos nacionales. Para ello, se analizaron las variables victimización, percepción de inseguridad, uso del espacio físico, actitudes hacia el sistema institucional político y social y hacia la resolución de conflictos nacionales, y las posibles relaciones entre ellas. Los datos para realizar el estudio se obtuvieron por medio de una encuesta que se llevó a cabo con 1 200 personas de 18 y 70 años de edad residentes en la ciudad de Santiago. Los resultados indican que Santiago es una ciudad de habitantes con temor y que el aumento de la percepción de inseguridad de sus habitantes contrasta con el hecho de que las tasas de victimización se hayan mantenido, más o menos, constantes en los años que precedieron a la encuesta. El temor se relaciona con el abandono del espacio público físico y sociopolítico, así como con el refugio en los espacios y la vida privados. La actitud de resolver los conflictos por medios no pacíficos es frecuente y se asocia en mayor medida con la inseguridad, la actitud negativa hacia la democracia y la falta de expectativas sobre el futuro del país. Los resultados de este estudio respaldan la idea de que para superar el temor la gente tiende a adaptarse a la realidad adoptando una postura conformista, homogeneizando las creencias y los comportamientos, y sobreestimando la fuerza como medio para resolver las diferencias.

  13. Santiago, una ciudad con temor

    Oviedo S. Enrique

    1999-01-01

    Full Text Available El objetivo general de este artículo es evaluar los efectos de la inseguridad ciudadana en el uso del espacio público. Dicha evaluación exige analizar dos relaciones que se establecen en el ámbito de la violencia: la relación entre victimización y percepción de inseguridad; y la que se establece entre actitudes sociales y resolución pacífica de conflictos nacionales. Para ello, se analizaron las variables victimización, percepción de inseguridad, uso del espacio físico, actitudes hacia el sistema institucional político y social y hacia la resolución de conflictos nacionales, y las posibles relaciones entre ellas. Los datos para realizar el estudio se obtuvieron por medio de una encuesta que se llevó a cabo con 1 200 personas de 18 y 70 años de edad residentes en la ciudad de Santiago. Los resultados indican que Santiago es una ciudad de habitantes con temor y que el aumento de la percepción de inseguridad de sus habitantes contrasta con el hecho de que las tasas de victimización se hayan mantenido, más o menos, constantes en los años que precedieron a la encuesta. El temor se relaciona con el abandono del espacio público físico y sociopolítico, así como con el refugio en los espacios y la vida privados. La actitud de resolver los conflictos por medios no pacíficos es frecuente y se asocia en mayor medida con la inseguridad, la actitud negativa hacia la democracia y la falta de expectativas sobre el futuro del país. Los resultados de este estudio respaldan la idea de que para superar el temor la gente tiende a adaptarse a la realidad adoptando una postura conformista, homogeneizando las creencias y los comportamientos, y sobreestimando la fuerza como medio para resolver las diferencias.

  14. Pilgrimage and Pilgrim Hierarchies in Vernacular Discourse: Comparative Notes from the Camino de Santiago and Glastonbury

    Tiina Sepp

    2014-06-01

    Full Text Available 0 false 18 pt 18 pt 0 0 false false false This article is based on my fieldwork conducted in two important destinations in the spiritual landscape of European vernacular religion – the Camino de Santiago (pilgrimage route to Santiago de Compostela in northern Spain, and Glastonbury in southwest England. In this comparison between modern expressions of pilgrimage, I look into the power relationships that exist on the pilgrimage, describe how hierarchies of pilgrims are created and maintained, and reflect on the meaning of the words pilgrim and pilgrimage. The co-existence of the different belief systems of Christianity and New Age and the conflicts and tension between them will be explored. I will also examine discourse around competing male and female energies. 

  15. Topical anesthesia

    Mritunjay Kumar

    2015-01-01

    Full Text Available Topical anesthetics are being widely used in numerous medical and surgical sub-specialties such as anesthesia, ophthalmology, otorhinolaryngology, dentistry, urology, and aesthetic surgery. They cause superficial loss of pain sensation after direct application. Their delivery and effectiveness can be enhanced by using free bases; by increasing the drug concentration, lowering the melting point; by using physical and chemical permeation enhancers and lipid delivery vesicles. Various topical anesthetic agents available for use are eutectic mixture of local anesthetics, ELA-max, lidocaine, epinephrine, tetracaine, bupivanor, 4% tetracaine, benzocaine, proparacaine, Betacaine-LA, topicaine, lidoderm, S-caine patch™ and local anesthetic peel. While using them, careful attention must be paid to their pharmacology, area and duration of application, age and weight of the patients and possible side-effects.

  16. Types of Anesthesia

    ... Videos for Educators Search English Español Types of Anesthesia KidsHealth / For Teens / Types of Anesthesia What's in ... Get? Print en español Tipos de anestesia About Anesthesia Anesthesia is broken down into three main categories: ...

  17. In-seam seismic surveys at Polio and Santiago collieries during the month of January

    1987-01-01

    In-seam seismic surveys were carried out over the last two weekends in January in order to assess two coal panels, one in seam Cuatro at Polio colliery between levels 4 and 5 of the Centella field and the other in the Mariana seam at Santiago colliery between levels 3,5, and 7 in the Desquite zone. Geological research called in-seam seismics, which is just being developed in Spain, is a geophysical method developed specially for detailed investigation of coal seams.

  18. Brazos Santiago Inlet, Texas, Shoaling Study

    2018-02-01

    Development Center 3909 Halls Ferry Road Vicksburg, MS 39180-6199 Final report Approved for public release; distribution is unlimited. Prepared...focus of this study was to understand the shoaling process in the BSI and to suggest sand management alternatives to reduce inlet maintenance ...Santiago Inlet Entrance Channel maintenance dredging quantities (normal distribution). ........................................................ 20

  19. Administration of Anesthesia

    Full Text Available ... OMSs) are trained in all aspects of anesthesia administration. Following dental school, they complete at least four ... complications and emergencies that may arise during the administration of anesthesia. Before your surgery, your OMS will ...

  20. Administration of Anesthesia

    ... OMSs) are trained in all aspects of anesthesia administration. Following dental school, they complete at least four ... complications and emergencies that may arise during the administration of anesthesia. Before your surgery, your OMS will ...

  1. Administration of Anesthesia

    Full Text Available ... in a hospital-based surgical residency program alongside medical residents in general surgery, anesthesia and other specialties. During this time, OMS residents serve on the medical anesthesiology service, where they evaluate patients for anesthesia, ...

  2. Administration of Anesthesia

    Full Text Available ... in face, mouth and jaw surgery.™ What We Do Who We Are News Videos Contact Find a Surgeon What We Do Anesthesia Anesthesia Oral and maxillofacial surgeons are extensively ...

  3. Administration of Anesthesia

    Full Text Available ... Oral Surgeries Facial Cosmetic Surgery Facial Injury / Trauma Surgery Obstructive Sleep Apnea (OSA) Oral, Head and Neck Pathology TMJ and Facial Pain Wisdom Teeth Management Procedures Anesthesia Anesthesia Oral and maxillofacial surgeons are ...

  4. Administration of Anesthesia

    Full Text Available ... more. Anesthesia Download Download the ebook for further information Anesthesia: Safety and Comfort in the OMS Office ... comfortable as possible when you get home. The information provided here is not intended as a substitute ...

  5. Administration of Anesthesia

    Full Text Available ... Part III The OMS Anesthesia Team and Patient Care Part IV Office Anesthesia Evaluation Part V Broad Access to Care, Patient Safety and Comfort Oral and maxillofacial surgeons ( ...

  6. Administration of Anesthesia

    Full Text Available ... Training Part III The OMS Anesthesia Team and Patient Care Part IV Office Anesthesia Evaluation Part V Broad Access to Care, Patient Safety and Comfort Oral and maxillofacial surgeons (OMSs) ...

  7. Santiago Pérez: el dramaturgo

    Marina Lamus Obregón

    2001-09-01

    Full Text Available La vida de Santiago Pérez como escritor de poemas y dramas fue muy corta y pertenece a sus años de juventud. En la edad madura esta incursión la consideró un pecado que lo hacía ruborizar: por ello compraba los libros editados por la generosidad de Lorenzo María Lleras y los quemaba. Y es que el "señorito" Santiago Pérez, alumno aventajado del colegio del Espíritu Santo y después profesor de literatura y filosofía, recibió también de su maestro, don Lorenzo María Lleras, influencia política, literaria y teatral.

  8. The Procession that Travels Inside: Yuyachkani's "Santiago"

    Miguel Rubio Zapata

    2008-06-01

    Full Text Available In collaborative theater projects like Yuyachkani , it is hard to define the exact moment when a new project begins. Generally we have a very imprecise idea as our initial point of departure and we explore it more fully in the day-to-day work, where it changes a great deal. Santiago is a project that began as a processional performance piece in the public plazas before premiering as a theatrical work in its current form, as a largely Quechua-language play focusing on permutations of faith in an almost uninhabited Andean village. The final project arrived as a result of this complex process of research and exploration. Santiago has a very long road to its current form, always with the indispensable accompaniment of the writer Peter Elmore, the co-author of the play.

  9. Rutas literarias en el Camino de Santiago

    Octavio Uña Juarez

    2013-01-01

    Desde los marcos teóricos de la sociología de la literatura y desde la consideración del lenguaje poético se presenta el Camino de Santiago como una gran realización humana y como una construcción simbólica de la sociedad española y europea desde las profundidades de la Edad Media hasta la tardomodernidad. La vía de Santiago ha sido una metáfora viva del encuentro, un signo vertebrador de la conciencia europea. Unas puntuales consideraciones revisan posiciones de filósofos, teólogos, semiólog...

  10. El Parque Portal Bicentenario en Santiago de Chile / Portal Bicentennial Park in Santiago de Chile

    Beach Lobos, Myriam;

    2007-06-01

    Full Text Available Se presenta los principios que orientaron el diseño del Parque Portal Bicentenario, un parque de 50 hás. que será el eje principal de la nueva urbanización “Ciudad Parque Bicentenario”, actualmente en construcción en los terrenos del ex aeropuerto de Los Cerrillos en Santiago de Chile.The following text was submitted to the Architecture Competition together with the project drawings. It presents the principles that leaded the design. The 123 acres park will be the main axis of a new urban development in Santiago “Ciudad Parque Bicentenario” at present under construction on the area occupied by the former Cerrillos Airport, Santiago de Chile.

  11. [Complications in pediatric anesthesia].

    Becke, K

    2014-07-01

    As in adult anesthesia, morbidity and mortality could be significantly reduced in pediatric anesthesia in recent decades. This fact cannot conceal the fact that the incidence of anesthetic complications in children is still much more common than in adults and sometimes with a severe outcome. Newborns and infants in particular but also children with emergency interventions and severe comorbidities are at increased risk of potential complications. Typical complications in pediatric anesthesia are respiratory problems, medication errors, difficulties with the intravenous puncture and pulmonal aspiration. In the postoperative setting, nausea and vomiting, pain, and emergence delirium can be mentioned as typical complications. In addition to the systematic prevention of complications in pediatric anesthesia, it is important to quickly recognize disturbances of homeostasis and treat them promptly and appropriately. In addition to the expertise of the performing anesthesia team, the institutional structure in particular can improve quality and safety in pediatric anesthesia.

  12. Anesthesia information management systems

    Feri Štivan; Janez Benedik; Tomaž Lužar

    2014-01-01

    Introduction: The use of anesthesia information management systems (AIMS) is on the increase. This is particularly true for academic anesthesia departments. The main reasons for slow adoption of these systems in the past are financial barriers associated with implementation of these systems and their not so traditionally obvious potential to improve patient care. In addition, a major obstacle to acceptance of this technology is the concern of users over the impact of the electronic anesthesia...

  13. ENRIQUE LIHN: SANTIAGO, PARÍS, MANHATTAN

    Adriana Valdés

    2008-04-01

    Full Text Available En este trabajo, se estudia el trauma y el viaje en la poesía de Enrique Lihn, analizando las relaciones entre lo traumático, la escritura y la experiencia cultural que el poeta trabajó, con una perspectiva crítica, en tres lugares clave: Santiago, París y Manhattan. En todos ellos, un extranjero que solo se asienta en el acto de escribir: "días de mi escritura/ solar del extranjero". Extranjero respecto de su ciudad de origen, tanto la primera dimensión traumática de los años de formación, como en su escritura posterior en Santiago durante la dictadura militar. Extranjero en París, ciudad que no reconoce el deseo ferviente de quienes, en otras latitudes, han venerado su cultura. Y extranjero en la Babel moderna, en Manhattan, lugar en que el poeta trabaja el frenético anonimato de una civilización basada en las imágenes efímeras y en el espectáculo.This text studies trauma and travel in Enrique Lihn's poetry, analyzing relationships between trauma, writing and the cultural experience the poet worked on, from a critical perspective, in three key places: Santiago, Paris and Manhattan. In all three, a foreigner, a stranger, whose homeland is not to be found in aplace, but only in the act of writing itself ("días de mi escritura/ solar del extranjero". A stranger in his city of origin, both in the earlier traumatic dimension of his formative years, and in the later writing in Santiago during the military dictatorship. A stranger in Paris, a city that does not recognize the fervent desire of those raised elsewhere, in the veneration of its culture. And a stranger in modern Babel, Manhattan, aplace in which the poet perceives the frantic anonimity of a civilization based on ephemeral images and spectacle.

  14. Administration of Anesthesia

    Full Text Available ... Oral, Head and Neck Pathology TMJ and Facial Pain Wisdom Teeth Management Procedures Anesthesia Anesthesia Oral and maxillofacial surgeons are ... more. TMJ and Facial Pain TMJ and Facial ... Teeth Management Wisdom Teeth Management An impacted wisdom tooth can ...

  15. Intraosseous anesthesia: a review.

    Brown, R

    1999-10-01

    The recent introduction of intraosseous injection devices has renewed interest in the modality of local anesthesia. Three devices currently available are the Stabident System, the Hypo Brand Intraosseous Needle, and the Cyberjet System. The Stabident System is the most popular and the only one for which published research is available. Primary intraosseous anesthesia is 45 percent to 93 percent effective but of short duration. Supplemental intraosseous anesthesia is 80 percent to 90 percent effective and provides profound anesthesia of long duration (60 minutes or longer). It is used when a prior conventional infiltration or nerve block is inadequate. During use of an anesthetic solution with a vasoconstrictor for intraosseous anesthesia, 46 percent to 100 percent of patients reported an increase in heart rate. There was a 2 percent to 27 percent incidence of moderate and sometimes severe pain during the intraosseous procedure. Postoperative complications occurred in 2 percent to 15 percent of patients and lasted one to 14 days.

  16. Continuous spinal anesthesia.

    Moore, James M

    2009-01-01

    Continuous spinal anesthesia (CSA) is an underutilized technique in modern anesthesia practice. Compared with other techniques of neuraxial anesthesia, CSA allows incremental dosing of an intrathecal local anesthetic for an indefinite duration, whereas traditional single-shot spinal anesthesia usually involves larger doses, a finite, unpredictable duration, and greater potential for detrimental hemodynamic effects including hypotension, and epidural anesthesia via a catheter may produce lesser motor block and suboptimal anesthesia in sacral nerve root distributions. This review compares CSA with other anesthetic techniques and also describes the history of CSA, its clinical applications, concerns regarding neurotoxicity, and other pharmacologic implications of its use. CSA has seen a waxing and waning of its popularity in clinical practice since its initial description in 1907. After case reports of cauda equina syndrome were reported with the use of spinal microcatheters for CSA, these microcatheters were withdrawn from clinical practice in the United States but continued to be used in Europe with no further neurologic sequelae. Because only large-bore catheters may be used in the United States, CSA is usually reserved for elderly patients out of concern for the risk of postdural puncture headache in younger patients. However, even in younger patients, sometimes the unique clinical benefits and hemodynamic stability involved in CSA outweigh concerns regarding postdural puncture headache. Clinical scenarios in which CSA may be of particular benefit include patients with severe aortic stenosis undergoing lower extremity surgery and obstetric patients with complex heart disease. CSA is an underutilized technique in modern anesthesia practice. Perhaps more accurately termed fractional spinal anesthesia, CSA involves intermittent dosing of local anesthetic solution via an intrathecal catheter. Where traditional spinal anesthesia involves a single injection with a

  17. Rutas literarias en el Camino de Santiago

    Octavio Uña Juarez

    2013-09-01

    Full Text Available Desde los marcos teóricos de la sociología de la literatura y desde la consideración del lenguaje poético se presenta el Camino de Santiago como una gran realización humana y como una construcción simbólica de la sociedad española y europea desde las profundidades de la Edad Media hasta la tardomodernidad. La vía de Santiago ha sido una metáfora viva del encuentro, un signo vertebrador de la conciencia europea. Unas puntuales consideraciones revisan posiciones de filósofos, teólogos, semiólogos y creadores literarios para presentar la característica específica de la peregrinación jacobea y sus itinerarios: la edificación de un sistema de comunicación con lenguajes propios, un constructo significativo de orden religioso. El viaje así aparece como arte y discurso narrado, recreado por mil ejercicios del lenguaje elaborado y en mil juegos de la memoria hasta constituir una inmensa acumulación de significado y sentido.

  18. Robotic anesthesia - A vision for the future of anesthesia

    Hemmerling, Thomas M.; Taddei, Riccardo; Wehbe, Mohamad; Morse, Joshua; Cyr, Shantale; Zaouter, Cedrick

    2011-01-01

    Summary This narrative review describes a rationale for robotic anesthesia. It offers a first classification of robotic anesthesia by separating it into pharmacological robots and robots for aiding or replacing manual gestures. Developments in closed loop anesthesia are outlined. First attempts to perform manual tasks using robots are described. A critical analysis of the delayed development and introduction of robots in anesthesia is delivered.

  19. The Hospital de Santiago in Cuenca: an institution with 800 years history

    Julián Solís García del Pozo

    2018-04-01

    Full Text Available The Hospital de Santiago in the city of Cuenca is one of the Spanish healthcare institutions that has maintained its activity for a longer time. Initially, this hospital was an institution for the redemption of captives in a border area of the kingdom of Castile with Al-Andalus, later it functioned as a hospital for the sick poor, maintaining its assistance activity despite the different destructions that the building has gone throughout its history. Currently, the hospital is a geriatric residence. Historical studies on hospitals have extended their scope of action, leaving the particular scope of institutional functioning and entering into areas as the hospital's relationship with the political, religious, social and economic environment. From this point of view, the hospital in Cuenca is still a little-explored ground to study these relationships in a city in interior Spain during a large part of the historical stages it has gone through, and especially from the Modern Age.

  20. Administration of Anesthesia

    Full Text Available ... Download Download the ebook for further information Anesthesia: Safety and Comfort in the OMS Office Part I ... Evaluation Part V Broad Access to Care, Patient Safety and Comfort Oral and maxillofacial surgeons (OMSs) are ...

  1. Administration of Anesthesia

    Full Text Available ... in the OMS Office Part I Introduction and History of Dental Anesthesia Part II OMS Education and ... experts in face, mouth and jaw surgery Contact Us Sitemap Terms of Use Privacy Policy © Copyright AAOMS ...

  2. Administration of Anesthesia

    Full Text Available ... find out more. Wisdom Teeth Management Wisdom Teeth Management An impacted wisdom tooth can damage ... I Introduction and History of Dental Anesthesia Part II OMS Education and ...

  3. Administration of Anesthesia

    Full Text Available ... find out more. Wisdom Teeth Management Wisdom Teeth Management An impacted wisdom tooth can damage neighboring teeth or become infected. It can also ... Part IV Office Anesthesia Evaluation ...

  4. Administration of Anesthesia

    Full Text Available ... find out more. Wisdom Teeth Management Wisdom Teeth Management An impacted wisdom tooth can damage neighboring teeth or become ... I Introduction and History of Dental Anesthesia Part II OMS ...

  5. Administration of Anesthesia

    Full Text Available ... OMSs) are trained in all aspects of anesthesia administration. Following dental school, they complete at least four years of training in a hospital-based surgical residency program alongside medical residents in ...

  6. Administration of Anesthesia

    Full Text Available ... It can also invite bacteria that lead to gum disease. Click here to find out more. Who We ... It can also invite bacteria that lead to gum disease. Click here to find out more. Anesthesia Download ...

  7. Administration of Anesthesia

    Full Text Available ... find out more. Wisdom Teeth Management Wisdom Teeth Management An impacted wisdom tooth can damage neighboring ... II OMS Education and Training Part III The OMS Anesthesia Team ...

  8. Administration of Anesthesia

    Full Text Available ... find out more. Wisdom Teeth Management Wisdom Teeth Management An impacted wisdom tooth can damage neighboring teeth or become infected. It can also invite ... Part IV Office Anesthesia Evaluation ...

  9. Administration of Anesthesia

    Full Text Available ... general surgery, anesthesia and other specialties. During this time, OMS residents serve on the medical anesthesiology service, ... during and after the operation. This is the time to discuss any concerns you may have about ...

  10. Administration of Anesthesia

    Full Text Available ... Team and Patient Care Part IV Office Anesthesia Evaluation Part V Broad Access to Care, Patient Safety ... and jaw surgery Contact Us Sitemap Terms of Use Privacy Policy © Copyright AAOMS 2008-2018 Facebook Twitter ...

  11. Pediatric anesthesia and neurotoxicity

    Disma, Nicola; Hansen, Tom G.

    2016-01-01

    Many studies have demonstrated a neurodegenerative effect of anesthetic drugs in cubs and young animals, raising the concern that similar effects can happen in children, and that the administration of anesthesia in young children undergoing surgical or diagnostic procedures may cause long- Term...... neurocognitive impairment. Thus, several epidemiological studies have been performed with the aim to find a possible association between early anesthesia exposure and poor long- Term outcome, like learning disabilities or worse school grading and two prospective trials are currently running, the GAS...... and the PANDA study. Interim results from the GAS study, which compared infants undergoing general and regional anesthesia for hernia repair, have demonstrated that a single exposure of about one hour of anesthesia does not affect the neurological outcome at 2 years of age. Nowadays, most of the knowledge...

  12. Administration of Anesthesia

    Full Text Available ... find out more. Wisdom Teeth Management Wisdom Teeth Management An impacted wisdom tooth can damage neighboring teeth or ... I Introduction and History of Dental Anesthesia Part II OMS ...

  13. El discurso político de Santiago Carrillo durante la Transición. Aplicaciones metodológicas / The political discourse of Santiago Carrillo in the process of Democratic Transition. Methodological applications

    Antonio Pantoja Chaves

    2010-01-01

    Full Text Available Resumen: Continuando con el análisis de los discursos de los líderes más importantes del proceso de Transición democrática en España, en esta entrega nos centramos en la trayectoria política de Santiago Carrillo y su liderazgo del comunismo en España. A diferencia del resto de los oradores analizados, su perfil no muestra ningún punto de inflexión que refuerce su discurso, más bien asiste a un declive continuo y progresivo, desde un discurso que equilibra dos posiciones contrarias ante un auditorio comprometido y agraciado por las palabras del orador, hasta presentar un perfil que reproduce el eclipse de la autoridad del líder comunista.Summary: Continuing with the analysis of the speeches of the most important leaders of the democratic transition process in Spain, in this installment we focus on the political trajectory of Santiago Carrillo and his leadership of communism in Spain. Unlike the rest of the speakers discussed, his profile shows no turning point to strengthen his speech, rather attends a continuous and progressive decline, from a speech that balances two opposing positions before an audience engaged and graced by the speaker's words, to present a profile that reproduces the eclipse of the communist leader's authority.

  14. [Classification of local anesthesia methods].

    Petricas, A Zh; Medvedev, D V; Olkhovskaya, E B

    The traditional classification methods of dental local anesthesia must be modified. In this paper we proved that the vascular mechanism is leading component of spongy injection. It is necessary to take into account the high effectiveness and relative safety of spongy anesthesia, as well as versatility, ease of implementation and the growing prevalence in the world. The essence of the proposed modification is to distinguish the methods in diffusive (including surface anesthesia, infiltration and conductive anesthesia) and vascular-diffusive (including intraosseous, intraligamentary, intraseptal and intrapulpal anesthesia). For the last four methods the common term «spongy (intraosseous) anesthesia» may be used.

  15. Focus: Spain

    Ferguson, M.P.

    1992-01-01

    Historically, Spain's nuclear program has had its share of successes and challenges. The country currently operates nine nuclear reactors totalling over 7,100 MWe of capacity and accounting for more than a third of Spain's electricity generation. Yet four reactors at advanced stages of construction remain mothballed due to a government-imposed moratorium, and a fire at one reactor in 1989 led to its premature closure and to a revival of anti-nuclear sentiment in the country. In the new national energy plan, Spain opted to continue the moratorium and rely upon conservation measures, additional natural gas imports, and electricity imports to meet expected demand. The current nuclear facilities will continue to operate, and the government will continue to pursue advanced reactor research, and expansion of the country's domestic uranium industry. Spain's integration into the European Community also is affecting the country's energy plans, prompting consolidation within the Spanish electricity sector in order to be more competitive in Europe

  16. El Parque Portal Bicentenario en Santiago de Chile / Portal Bicentennial Park in Santiago de Chile

    Beach Lobos, Myriam;; Montealegre Klenner, Alberto

    2007-01-01

    Se presenta los principios que orientaron el diseño del Parque Portal Bicentenario, un parque de 50 hás. que será el eje principal de la nueva urbanización “Ciudad Parque Bicentenario”, actualmente en construcción en los terrenos del ex aeropuerto de Los Cerrillos en Santiago de Chile.The following text was submitted to the Architecture Competition together with the project drawings. It presents the principles that leaded the design. The 123 acres park will be the main axis of a new urban dev...

  17. Anesthesia for radiologic procedures

    Forestner, J.E.

    1987-01-01

    Anesthetic techniques for neurodiagnostic studies and radiation therapy have been recently reviewed, but anesthetic involvement in thoracic and abdominal radiology has received little attention. Patient reactions to radiologic contrast media may be of concern to the anesthesiologist, who is often responsible for injecting these agents during diagnostic procedures, and thus is included in this discussion. Finally, the difficulties of administering anesthesia for magnetic resonance imaging (MRI) scans are outlined, in an effort to help anesthesiologist to anticipate problems with this new technologic development. Although there are very few indications for the use of general anesthesia for diagnostic radiologic studies in adults, most procedures performed with children, the mentally retarded, or the combative adult require either heavy sedation or general anesthesia. In selecting an anesthetic technique for a specific procedure, both the patient's disease process and the requirements of the radiologist must be carefully balanced

  18. Pediatric ambulatory anesthesia.

    August, David A; Everett, Lucinda L

    2014-06-01

    Pediatric patients often undergo anesthesia for ambulatory procedures. This article discusses several common preoperative dilemmas, including whether to postpone anesthesia when a child has an upper respiratory infection, whether to test young women for pregnancy, which children require overnight admission for apnea monitoring, and the effectiveness of nonpharmacological techniques for reducing anxiety. Medication issues covered include the risks of anesthetic agents in children with undiagnosed weakness, the use of remifentanil for tracheal intubation, and perioperative dosing of rectal acetaminophen. The relative merits of caudal and dorsal penile nerve block for pain after circumcision are also discussed. Copyright © 2014 Elsevier Inc. All rights reserved.

  19. Risk in pediatric anesthesia.

    Paterson, Neil; Waterhouse, Peter

    2011-08-01

    Risk in pediatric anesthesia can be conveniently classified as minor or major. Major morbidity includes cardiac arrest, brain damage and death. Minor morbidity can be assessed by clinical audits with small patient samples. Major morbidity is rare. It is best assessed by very large clinical studies and by review of closed malpractice claims. Both minor and major morbidity occur most commonly in infants and children under three, especially those with severe co-morbidities. Knowledge of risk profiles in pediatric anesthesia is a starting point for the reduction of risk. © 2010 Blackwell Publishing Ltd.

  20. NEURAXIAL ANESTHESIA and OBESITY

    Aynur sahin

    2013-09-01

    Full Text Available Obesity is one of the serious condition that commonly effects health in modern age. It was reported that obesity was three-fold increased in the last three decades. According to the statement by World Health Organisation in 2005, 700 million people will be estimated obese in 2015. While neuraxial anesthesia is a commonly used technique in the worldwide, the process may have difficulties in obese patients. In this review, the pathophysiological changes and challenges in neuraxial anesthesia procedure in obesity were assessed with current literatures. [J Contemp Med 2013; 3(3.000: 234-236

  1. Anesthesia for interventional radiology

    van Sonnenberg, E.; Casola, G.; Varney, R.R.; D'Agostino, H.B.; Zornow, M.; Mazzie, W.

    1989-01-01

    We recognized that the complexity and surgical nature of many interventional radiology procedures dictate essential radiologic involvement into traditional anesthesiologic areas. They reviewed our experience with a variety of interventional procedures to document complications and problems related to anesthetic use (or misuse) and compile recommendations for rational monitoring and control for these procedures. In particular, the authors have studied complications of drug therapies and the treatment of these complications; use of complex anesthesia procedures (e.g., epidural anesthesia, succinylcholine blockage); reasons for choice of drugs (e.g., fentanyl vs meperidine vs morphine); and medico-legal aspects of radiologist performing traditional anesthesiology-type procedures

  2. The Develoment of Anesthesia.

    Davis, Audrey B.

    1982-01-01

    Until the eighteenth century, doctors were reluctant to use chemicals to alleviate pain because they accepted the religious/moral beliefs of their day, claiming that pain was beneficial for the body. Traces technical developments in the control of pain, discussing relationships of anesthesia to social, cultural, and scientific factors and…

  3. Administration of Anesthesia

    Full Text Available ... of training in a hospital-based surgical residency program alongside medical residents in general surgery, anesthesia and ... of Use Privacy Policy © Copyright AAOMS 2008-2018 Facebook Twitter Instagram Pinterest YouTube Vimeo American Association of ...

  4. Defining depth of anesthesia.

    Shafer, S L; Stanski, D R

    2008-01-01

    In this chapter, drawn largely from the synthesis of material that we first presented in the sixth edition of Miller's Anesthesia, Chap 31 (Stanski and Shafer 2005; used by permission of the publisher), we have defined anesthetic depth as the probability of non-response to stimulation, calibrated against the strength of the stimulus, the difficulty of suppressing the response, and the drug-induced probability of non-responsiveness at defined effect site concentrations. This definition requires measurement of multiple different stimuli and responses at well-defined drug concentrations. There is no one stimulus and response measurement that will capture depth of anesthesia in a clinically or scientifically meaningful manner. The "clinical art" of anesthesia requires calibration of these observations of stimuli and responses (verbal responses, movement, tachycardia) against the dose and concentration of anesthetic drugs used to reduce the probability of response, constantly adjusting the administered dose to achieve the desired anesthetic depth. In our definition of "depth of anesthesia" we define the need for two components to create the anesthetic state: hypnosis created with drugs such as propofol or the inhalational anesthetics and analgesia created with the opioids or nitrous oxide. We demonstrate the scientific evidence that profound degrees of hypnosis in the absence of analgesia will not prevent the hemodynamic responses to profoundly noxious stimuli. Also, profound degrees of analgesia do not guarantee unconsciousness. However, the combination of hypnosis and analgesia suppresses hemodynamic response to noxious stimuli and guarantees unconsciousness.

  5. Hand Surgery: Anesthesia

    ... All Topics A-Z Videos Infographics Symptom Picker Anatomy Bones Joints Muscles Nerves Vessels Tendons About Hand Surgery What is a Hand Surgeon? What is a Hand Therapist? Media Find a Hand Surgeon Home Anatomy Hand Surgery Anesthesia Email to a friend * required ...

  6. [Indoor air pollution in southeast Santiago, Chile].

    Pino, P; Oyarzún, M; Walter, T; von Baer, D; Romieu, I

    1998-04-01

    Indoor air pollution could play an important role in the susceptibility to respiratory diseases of vulnerable individuals, such as elders and infants. To evaluate indoor air pollution in a low income population of South East Santiago. A domiciliary survey of contaminant sources was carried out in the bouses of a cohort of 522 children less than one year old. Using a case-control design, 121 children consulting for respiratory diseases were considered as cases and 131 healthy infants of the same age and sex were considered as controls. In the houses of both groups, active monitors for particulate matter (PM10) and passive monitors for NO2 were installed. Forty two percent of fathers and 30% of mothers were smokers, and in two thirds of the families there was at least one smoker. Eighty five percent used portable heaters in winter. Of these, 77% used kerosene as fuel. Only 27% had water heating appliances. The rest heated water on the kitchen store or on bonfires. Most kitchen stoves used liquid gas as fuel. Twenty four hour PM10 was 109 +/- 3.2 micrograms/m3. Mean indoor and outdoor NO2 in 24 h was 108 +/- 76.3 and 84 +/- 53.6 micrograms/m3 respectively. Indoor NO2 levels were related to the use of heating devices and smoking. No differences in PM10 and NO2 levels were observed between cases and controls. There is a clear relationship between indoor pollution and contaminating sources. Indoor NO2 levels are higher than outdoors.

  7. Anesthesia Methods in Laser Resurfacing

    Gaitan, Sergio; Markus, Ramsey

    2012-01-01

    Laser resurfacing technology offers the ability to treat skin changes that are the result of the aging process. One of the major drawbacks of laser resurfacing technologies is the pain associated with the procedure. The methods of anesthesia used in laser resurfacing to help minimize the pain include both noninvasive and invasive procedures. The noninvasive procedures can be divided into topical, cryoanesthesia, and a combination of both. The invasive methods of anesthesia include injected forms (infiltrative, nerve blocks, and tumescent anesthesia) and supervised anesthesia (monitored anesthesia care and general anesthesia). In this review, the authors summarize the types of anesthesia used in laser resurfacing to aid the provider in offering the most appropriate method for the patient to have as painless a procedure as possible. PMID:23904819

  8. Aerosol composition and source apportionment in Santiago de Chile

    Artaxo, Paulo; Oyola, Pedro; Martinez, Roberto

    1999-04-01

    Santiago de Chile, São Paulo and Mexico City are Latin American urban areas that suffer from heavy air pollution. In order to study air pollution in Santiago area, an aerosol source apportionment study was designed to measure ambient aerosol composition and size distribution for two downtown sampling sites in Santiago. The aerosol monitoring stations were operated in Gotuzo and Las Condes during July and August 1996. The study employed stacked filter units (SFU) for aerosol sampling, collecting fine mode aerosol (dpsource apportionment was performed using Absolute Principal Factor Analysis (APFA). Very high aerosol concentrations were observed (up to 400 μg/m 3 PM 10). The main aerosol particle sources in Santiago are resuspended soil dust and traffic emissions. Coarse particles account for 63% of PM 10 aerosol in Gotuzo and 53% in Las Condes. A major part of this component is resuspended soil dust. In the fine fraction, resuspended soil dust accounts for 15% of fine mass, and the aerosols associated with transportation activities account for a high 64% of the fine particle mass. Sulfate particle is an important component of the aerosol in Santiago, mainly originating from gas-to-particle conversion from SO 2. In the Gotuzo site, sulfates are the highest aerosol component, accounting for 64.5% of fine mass. Direct traffic emissions are generally mixed with resuspended soil dust. It is difficult to separate the two components, because the soil dust in downtown Santiago is contaminated with Pb, Br, Cl, and other heavy metals that are also tracers for traffic emissions. Residual oil combustion is observed, with the presence of V, S and Ni. An aerosol components from industrial emissions is also present, with the presence of several heavy metals such as Zn, Cu and others. A factor with molybdenum, arsenic, copper and sulfur was observed frequently, and it results from emissions of copper smelters.

  9. Peregrinação, turismo e nova era: caminhos de Santiago de Compostela no Brasil

    Carlos Alberto Steil

    2008-07-01

    Full Text Available Desde o início dos anos 2000 o panorama das peregrinações realizadas no Brasil vem sendo incrementado com a entrada em cena das novas rotas que têm por inspiração o Caminho de Santiago de Compostela, na Espanha. Entre estas rotas, destacam-se as conhecidas como Caminho da Luz (Minas Gerais, Caminho do Sol (São Paulo, Passos de Anchieta (Espírito Santo, Caminho da Fé (Minas Gerais e São Paulo e Caminho das Missões (Rio Grande do Sul. Neste artigo analisamos essas cinco rotas que passaram a integrar roteiros turísticos, com intuito comparativo e buscamos compreender tanto os aspectos recorrentes e as tendências gerais desses eventos na atualidade quanto as singularidades e modalidades que adquirem em cada contexto específico.Since the years 2000 the panorama of pilgrimage in Brazil has been increased with the addition of new routes of pilgrimage which are inspired in the Route of Santiago of Compostela, in Spain. Amongst these routes, five became quite known as Caminho da Luz (Light Path, Minas Gerais, Caminho do Sol (Sun Path, São Paulo, Passos de Anchieta (Anchieta Path, Espírito Santo, Caminho da Fé (Faith Path, Minas Gerais and São Paulo, and Caminho das Missões (Missions Path, Rio Grande do Sul. In this article we analyze these five routes, which have become part of touristic programs, from a comparative perspective while trying to understand the longstanding aspects and general tendencies of these events in present time as well as their peculiarities and modalities within each specific context.

  10. [Anesthesia in bronchial asthma].

    Bremerich, D H

    2000-09-01

    Asthma is defined as a chronic inflammatory airway disease in response to a wide variety of provoking stimuli. Characteristic clinical symptoms of asthma are bronchial hyperreactivity, reversible airway obstruction, wheezing and dyspnea. Asthma presents a major public health problem with increasing prevalence rates and severity worldwide. Despite major advances in our understanding of the clinical management of asthmatic patients, it remains a challenging population for anesthesiologists in clinical practice. The anesthesiologist's responsibility starts with the preoperative assessment and evaluation of the pulmonary function. For patients with asthma who currently have no symptoms, the risk of perioperative respiratory complications is extremely low. Therefore, pulmonary function should be optimized preoperatively and airway obstruction should be controlled by using steroids and bronchodilators. Preoperative spirometry is a simple means of assessing presence and severity of airway obstruction as well as the degree of reversibility in response to bronchodilator therapy. An increase of 15% in FEV1 is considered clinically significant. Most asymptomatic persons with asthma can safely undergo general anesthesia with and without endotracheal intubation. Volatile anesthetics are still recommended for general anesthetic techniques. As compared to barbiturates and even ketamine, propofol is considered to be the agent of choice for induction of anesthesia in asthmatics. The use of regional anesthesia does not reduce perioperative respiratory complications in asymptomatic asthmatics, whereas it is advantageous in symptomatic patients. Pregnant asthmatic and parturients undergoing anesthesia are at increased risk, especially if regional anesthetic techniques are not suitable and prostaglandin and its derivates are administered for abortion or operative delivery. Bronchial hyperreactivity associated with asthma is an important risk factor of perioperative bronchospasm. The

  11. Awareness in cardiac anesthesia.

    Serfontein, Leon

    2010-02-01

    Cardiac surgery represents a sub-group of patients at significantly increased risk of intraoperative awareness. Relatively few recent publications have targeted the topic of awareness in this group. The aim of this review is to identify areas of awareness research that may equally be extrapolated to cardiac anesthesia in the attempt to increase understanding of the nature and significance of this scenario and how to reduce it.

  12. Mentorship in anesthesia.

    Flexman, Alana M; Gelb, Adrian W

    2011-12-01

    This article will provide a review of mentorship in academic medicine. The review will include definitions and an overview of the evidence supporting the benefits, barriers, and structure of mentorship programmes in academic medicine and anesthesia. Finally, we will identify areas of further research. Mentorship in medicine has been increasingly recognized as a core component of training and career advancement in academic medicine. Mentoring provides many benefits to both mentor and mentee and facilitates the growth of academic departments by improving research productivity, faculty career satisfaction, recruitment, and educational performance. Mentorship programmes may be formal or informal and should include some form of mentor education. There are several barriers to successful mentorship including time constraints, limited availability of mentors, gender, minority status, and generational differences. These barriers may be overcome with improved awareness and sensitivity. Further investigation into the prevalence of mentorship and specific needs in our specialty are urgently required. Mentorship has been demonstrated to be an integral part of training and career development in academic medicine and benefits both mentees and mentors. Despite the promotion of mentorship in many academic anesthesia departments, little is published in the available literature supporting mentorship in anesthesia.

  13. Safe Anesthesia For Every Tot

    Weiss, Markus; Vutskits, Laszlo; Hansen, Tom G

    2015-01-01

    PURPOSE OF REVIEW: The term 'safe use of anesthesia in children is ill-defined and requires definition of and focus on the 'safe conduct of pediatric anesthesia'. RECENT FINDINGS: The Safe Anesthesia For Every Tot initiative (www.safetots.org) has been set up during the last year to focus...... on the safe conduct of pediatric anesthesia. This initiative aims to provide guidance on markers of quality anesthesia care. The introduction and implementation of national regulations of 'who, where, when and how' are required and will result in an improved perioperative outcome in vulnerable children....... The improvement of teaching, training, education and supervision of the safe conduct of pediatric anesthesia are the main goals of the safetots.org initiative. SUMMARY: This initiative addresses the well known perioperative risks in young children, perioperative causes for cerebral morbidity as well as gaps...

  14. Surveillance System for Infectious Diseases of Pets, Santiago, Chile

    López, Javier; Abarca, Katia; Valenzuela, Berta; Lorca, Lilia; Olea, Andrea; Aguilera, Ximena

    2009-01-01

    Pet diseases may pose risks to human health but are rarely included in surveillance systems. A pilot surveillance system of pet infectious diseases in Santiago, Chile, found that 4 canine and 3 feline diseases accounted for 90.1% and 98.4% of notifications, respectively. Data also suggested association between poverty and pet diseases. PMID:19861073

  15. Spinal anesthesia: the Holy Grail?

    Voet, Marieke; Slagt, Cornelis

    2017-01-01

    Marieke Voet, Cornelis SlagtDepartment of Anesthesiology, Pain and Palliative Care, Radboud University Medical Center, Nijmegen, The NetherlandsAfter reading the paper recently published in Local and Regional Anesthesia by Whitaker et al:1 “Spinal anesthesia after intraoperative cardiac arrest during general anesthesia in an infant,” we would like to share our thoughts. In a recently published paper by Habre et al,2 the incidence of severe critical events in pediatric anes...

  16. [Crisis management in pediatric anesthesia].

    Takeuchi, Mamoru; Otsuka, Yoji; Taga, Naoyuki; Sato, Yuki; Iwai, Hidetaka; Okada, Osamu

    2009-05-01

    We describe the risk management of pediatric anesthesia. The most important risk management of pediatric anesthesia is airway and temperature management. Neonates and infants easily become hypoxic due to their insufficient functional residual capacity. Therefore airway management is most important not only during induction of anesthesia but also during maintenance of anesthesia and extubation. The management of patients' temperature, including control of room temperature should be taken into consideration. In addition, careful attention should be paid not to introduce air bubbles in any lines, especially in patients with congenital heart diseases.

  17. Anesthesia for ambulatory anorectal surgery.

    Gudaityte, Jūrate; Marchertiene, Irena; Pavalkis, Dainius

    2004-01-01

    The prevalence of minor anorectal diseases is 4-5% of adult Western population. Operations are performed on ambulatory or 24-hour stay basis. Requirements for ambulatory anesthesia are: rapid onset and recovery, ability to provide quick adjustments during maintenance, lack of intraoperative and postoperative side effects, and cost-effectiveness. Anorectal surgery requires deep levels of anesthesia. The aim is achieved with 1) regional blocks alone or in combination with monitored anesthesia care or 2) deep general anesthesia, usually with muscle relaxants and tracheal intubation. Modern general anesthetics provide smooth, quickly adjustable anesthesia and are a good choice for ambulatory surgery. Popular regional methods are: spinal anesthesia, caudal blockade, posterior perineal blockade and local anesthesia. The trend in regional anesthesia is lowering the dose of local anesthetic, providing selective segmental block. Adjuvants potentiating analgesia are recommended. Postoperative period may be complicated by: 1) severe pain, 2) urinary retention due to common nerve supply, and 3) surgical bleeding. Complications may lead to hospital admission. In conclusion, novel general anesthetics are recommended for ambulatory anorectal surgery. Further studies to determine an optimal dose and method are needed in the group of regional anesthesia.

  18. A Escola de Veterinaria na Universidade de Santiago

    Barral Martínez, Margarita

    2002-12-01

    Full Text Available Although Eugenio Montero Ríos was one of the big onQS primates of the system of dominance by the local boss developed during the stage of the Restoration, his patronage paper in Santiago's city and of patronage in the University of Santiago had a considerable importance, an unknown topic, or even forgotten by all the negative connotations with those that commonly and in a simplistic way they associate to the term cacique. The University of Santiago grew beside the protection that Montero lent him since representative of this district had left in 1886 and his strong influence in the central Government from Madrid it allowed him to reach momentous concessions for this institution, like it has been the case of the School of Veterinary Science.

    [gl] Aínda que Eugenio Montero Ríos foi un dos grandes primates do caciquismo desenvolvido durante a etapa da Restauración, o seu papel de padroado na cidade de Santiago e de mecenado na Universidade compostelá tiveron unha importancia considerable, un tema descoñecido ou mesmo esquecido por tódalas connotacións negativas coas que comunmente e de xeito simplista se asocian ó termo cacique. A Universidade de Santiago medrou ó carón da protección que lie prestou Montero dende que saíra representante deste distrito en 1886 e a súa forte influencia no Gobernó central de Madrid permitiulle acadar concesións trascendentais para dita institución, como foi o caso da Escola de Veterinaria.

  19. Anesthesia for Adults Having Eye Surgery

    ... comfort. Medication is sometimes helpful. What are the risks of anesthesia? Serious anesthesia complications, such as brain damage or ... hereditary conditions, which are associated with a greater risk. Although ... reactions to anesthesia are extremely rare. All precautions are taken to ...

  20. Anesthesia -- What to Expect (For Teens)

    ... Staying Safe Videos for Educators Search English Español Anesthesia - What to Expect KidsHealth / For Teens / Anesthesia - What ... Operating Room After Surgery Print Different Kinds of Anesthesia If you're having any kind of procedure ...

  1. Estudio del campo ocupacional del traductor en Santiago de Chile (A Study of Opportunities for Professional Translators in Santiago, Chile).

    Cabrera, Ileana; And Others

    A study of translation as a profession in Chile covered two areas: a diagnostic study of the real need for literary, scientific, and technical translations, and a followup study of graduates of the translation degree program at the Catholic Pontifical University of Chile (Santiago). The analysis considered the relationship between the need for…

  2. Ethical and deontological aspects of media coverage in technological disasters: case study of the Santiago de Compostela railway accident (2013

    Alba ALMENARA LORENZO

    2016-12-01

    Full Text Available This study examines the ethical-deontological aspects in media coverage of technological disasters, taking as case subject the most important railway accident in Spain of the last 40 years, which took place on the 24 of July 2013 in Santiago de Compostela. To do so, in first place, it presents a systematic review of Spanish selfregulation of journalistic documents related to the coverage of accidents, disasters, in particular technological disasters. Secondly, an analysis of text and photograph is carried out taking as examples four of the most influential online newspapers amongst the Spanish and Galician public media. The results allow us to confirm that deontological transgressions occurred to some extent in all the digital media studied, both in photographs and text. Lastly, a proposal is included with guidelines for a better coverage of technological disasters, using as a reference the findings of previous analysis.

  3. Anesthesia for intellectually disabled

    Kapil Chaudhary

    2017-01-01

    Full Text Available Anesthetizing an intellectually disabled patient is a challenge due to lack of cognition and communication which makes perioperative evaluation difficult. The presence of associated medical problems and lack of cooperation further complicates the anesthetic technique. An online literature search was performed using keywords anesthesia, intellectually disabled, and mentally retarded and relevant articles were included for review. There is scarcity of literature dealing with intellectually disabled patients. The present review highlights the anesthetic challenges, their relevant evidence-based management, and the role of caretakers in the perioperative period. Proper understanding of the associated problems along with a considerate and unhurried approach are the essentials of anesthetic management of these patients.

  4. Anesthesia for thoracoscopic surgery

    Conacher I

    2007-01-01

    Full Text Available Anesthesia for thoracoscopy is based on one lung ventilation. Lung separators in the airway are essential tools. An anatomical shunt as a result of the continued perfusion of a non-ventilated lung is the principal intraoperative concern. The combination of equipment, technique and process increase risks of hypoxia and dynamic hyperinflation, in turn, potential factors in the development of an unusual form of pulmonary edema. Analgesia management is modelled on that shown effective and therapeutic for thoracotomy. Perioperative management needs to reflect the concern for these complex, and complicating, processes to the morbidity of thoracoscopic surgery.

  5. Fucosidosis and anesthesia

    Soltani, Alireza E.; Moharari, Reza S.; Ghaffari, R.; Zahedi, H.; Hajmahmoodi, M.

    2007-01-01

    Fucosidosis is a rare, autosomal recessive lysosomal storage disorder caused by a severe deficiency of alpha -L-fucosidase. Patients usually have some problems with glycoprotein storage in the brain and other organs and some structural abnormalities that need special consideration in anesthesia. It has 2 types, the early onset or infantile and the juvenile. Here we present 8-year-old girl with deformities in the maxillofacial region, with big tongue, small and retracted chin, saddle nose and short neck that could not be extended, causing difficult intubation and congenital cardiac problems requiring a special anesthetic strategy. (author)

  6. [Anesthesia and bodybuilding].

    Hokema, Frank; Pietsch, Uta-Carolin; Führer, Dagmar; Kaisers, Udo

    2008-05-01

    A strong tendency toward body enhancement and body forming in western industrial societies makes it more likely for each anesthesiologist to get involved in the care of bodybuilders. These patients quite frequently consume androgenic anabolic steroids, human growth hormone and other drugs or substances which are believed to accelerate muscle gain. Cardiovascular, hepatic, psychiatric, hormonal and infectious side effects or complications are common and rarely monitored by health care professionals. The anesthesia risk is not exactly known but seems to be determined mainly by cardiovascular events like myocardial ischemia and dysrhythmias.

  7. Aerosol composition and source apportionment in Santiago de Chile

    Artaxo, Paulo; Oyola, Pedro; Martinez, Roberto

    1999-01-01

    Santiago de Chile, Sao Paulo and Mexico City are Latin American urban areas that suffer from heavy air pollution. In order to study air pollution in Santiago area, an aerosol source apportionment study was designed to measure ambient aerosol composition and size distribution for two downtown sampling sites in Santiago. The aerosol monitoring stations were operated in Gotuzo and Las Condes during July and August 1996. The study employed stacked filter units (SFU) for aerosol sampling, collecting fine mode aerosol (dp 10 mass of particles smaller than 10 μm) and black carbon concentration were also measured. Particle-Induced X-ray Emission (PIXE) was used to measure the concentration of 22 trace elements at levels below 0.5 ng m -3 . Quantitative aerosol source apportionment was performed using Absolute Principal Factor Analysis (APFA). Very high aerosol concentrations were observed (up to 400 μg/m 3 PM 10 ). The main aerosol particle sources in Santiago are resuspended soil dust and traffic emissions. Coarse particles account for 63% of PM 10 aerosol in Gotuzo and 53% in Las Condes. A major part of this component is resuspended soil dust. In the fine fraction, resuspended soil dust accounts for 15% of fine mass, and the aerosols associated with transportation activities account for a high 64% of the fine particle mass. Sulfate particle is an important component of the aerosol in Santiago, mainly originating from gas-to-particle conversion from SO 2 . In the Gotuzo site, sulfates are the highest aerosol component, accounting for 64.5% of fine mass. Direct traffic emissions are generally mixed with resuspended soil dust. It is difficult to separate the two components, because the soil dust in downtown Santiago is contaminated with Pb, Br, Cl, and other heavy metals that are also tracers for traffic emissions. Residual oil combustion is observed, with the presence of V, S and Ni. An aerosol components from industrial emissions is also present, with the presence of

  8. Identidad y fronteras urbanas en Santiago de Chile

    Francisca Márquez

    2003-12-01

    Full Text Available Este articulo analiza a través de un ejercicio etnográfico los procesos de construcción identitaria de los habitantes de barrios pobres y medios de la ciudad de Santiago de Chile. Se plantea que las identidades que alli se construyen son expresión de los procesos de segregación urbana de la ciudad de Santiago y ellas dan cuenta del debilitamiento de un modelo urbano asentado en la heterogeneidad social, la noción de espacio público y valores como la ciudadanía política y la integración social. Paradojalmente, esta misma segregación urbana abre también paso a un imaginario y una práctica de vida comunitaria y tribal que refuerza y protege al nosotros de la peligrosidad de los otros.

  9. Mil rosas roubadas, Work of Silviano Santiago a Bakhitinian Analysis

    Renata Coelho Marchezan

    2017-10-01

    Full Text Available This article analyzes Mil rosas roubadas, written by Silviano Santiago in 2014, dealing with the notions of (autobiography, (autobiographical novel, metafiction and autofiction. Although the creation of this last word may indicate the existence of a new genre – it is even adopted by the writer himself to name his work –, the article shows the pertinence of placing Mil rosas roubadas in the route of the transformations and stylisations of the (autobiographical novel, such as examined by M. Bakhtin. The novel is, for Bakhtin, a genre without rigid forms, an unfinished genre, as it always follows the inflections of social life. In this way the ressemantization of the self, proposed by Silviano Santiago, is analyzed.

  10. Dos versiones de Santiago Matamoros del escultor Ruiz del Peral

    Miguel Ángel León Coloma

    2009-12-01

    Full Text Available El culto a Santiago Matamoros en el setecientos español, tolerado desde posiciones ilustradas, sigue siendo una devoción alentada por una Iglesia sustancialmente contrarreformista. En Granada este tema iconográfico, con un especial  arraigo  desde  su conquista,  cuenta  en el siglo  XVIII  con  dos  interesantes  realizaciones  escultóricas,  la del convento  de las Comendadoras  de Santiago  y la de la Iglesia  de Santa Ana y San Gil, cuya atribución a Torcuato Ruiz del Peral proponemos en estas páginas.

  11. Historias e identidades barriales del Gran Santiago: 1950-2000

    Francisca Márquez B

    2009-12-01

    Full Text Available A pesar de la segregación urbana y social que caracteriza a la ciudad de Santiago; en ella coexisten también identidades territoriales fuertes en su propuesta de integración social y urbana. Esta investigación aborda desde la perspectiva de sus habitantes, los procesos de construcción identitaria en ocho barrios de Santiago, desde los años cincuenta en adelante. La conclusión es que, pese a los enormes cambios experimentados en la sociedad y la persistencia de la segregación territorial, los barrios analizados destacan por la fuerza de sus identidades y la capacidad de diálogo con la ciudad. A diferencia de otros territorios, estos nacieron de proyectos identitarios y urbanos sólidos pensados e implementados por un conjunto de actores sociales diversos. Hoy sus habitantes se identifican con el barrio y lo defienden sin aplicar mecanismos de aislamiento, y en este proceso histórico, construyen y reafirman el derecho a la ciudad.I spite of Santiago, Chile's socioeconomic segregation,two territorially based identities also are present within this metropolitan area that offer strong proposals for social and urban integration. This study examines how inhabitants of eight neighborhoods in Santiago have constructed local identities since the 1950s. The study's findings indicate that in spite of the enormous changes experienced by Chilean society during this period and the persistence of socio-spatial segregation, the neighborhoods studied reveal the strength of their identities and their capacity to engage in a dialogue with the city. In contrast to other areas of the city, these communities initially emerged with solid identity and urban projects conceived and implemented by a diverse group of social actors. Today, residents identify with and defend their neighborhoods without relying on mechanisms designed to isolate themselves; and within this historical process, they construct and reaffirm the right to the city.

  12. [Santiago Ramon y Cajal in literature, cinema and television].

    Collado-Vazquez, S; Carrillo, J M

    2016-11-16

    The life and work of Santiago Ramon y Cajal has been portrayed in scientific papers, biographical and autobiographical works, comics, films, television series or documentaries that have attempted to reflect upon his life or his contributions to science and to bring him closer to the general public. To analyse the different ways Santiago Ramon y Cajal has been represented in literature, cinema and television, and to become more closely acquainted with this scientist through his fictional writings. A number of biographical works have been written about Santiago Ramon y Cajal, including scientific papers, comics, books for children and youngsters, as well as the autobiographical writings, essays and even science fiction stories, which provide a good introduction to the life of the scientist and his work. His life has also been adapted to film (Leap to fame) or television (Ramon y Cajal, historia de una voluntad; The butterflies of the soul), which have, with varying degrees of success and accuracy, made him better known to the general population. The numerous biographical writings, historical notes, articles, the scientific work itself, the essays and fictional works by Cajal, as well as the portrayals of the Spanish Nobel Prize winner produced for films and television, can be used to obtain some interesting insights into the scientist, teacher, science populariser, humanist physician and, in short, the man who made such important contributions to neuroscience.

  13. Premarital sexual activity and contraceptive use in Santiago, Chile.

    Herold, J M; Valenzuela, M S; Morris, L

    1992-01-01

    The Santiago Young Adult Reproductive Health Survey was conducted in 1988 to examine the sexual behavior of and contraceptive use among young adults in Chile. The survey was based on multistage household probability samples of 865 women and 800 men aged 15-24 who were living in Santiago in 1988. Findings show that 35 percent of females and 65 percent of males had had premarital intercourse. Among those who had done so, the median age at first experience was 18.4 years for women and 16.4 years for men. Only 20 percent of females and 19 percent of males used contraceptives at first premarital intercourse. Use of contraceptives increased with age at the time of that event. Fertility data reveal that 70 percent of first births were premaritally conceived, and more than one-third of these were born prior to union. The high rates of premarital and unintended pregnancy among young women and the low prevalence of effective contraceptive use indicate a need for greater emphasis on sex education and family planning services directed at adolescents and unmarried young adults in Santiago.

  14. Speak Up: Anesthesia and Sedation

    ... and you may be given oxygen. You may sleep until the drugs wear off. Tell your doctor or anesthesia professional about • General health issues and any recent changes • Allergies to medicines, ...

  15. Anesthesia Methods in Laser Resurfacing

    Gaitan, Sergio; Markus, Ramsey

    2012-01-01

    Laser resurfacing technology offers the ability to treat skin changes that are the result of the aging process. One of the major drawbacks of laser resurfacing technologies is the pain associated with the procedure. The methods of anesthesia used in laser resurfacing to help minimize the pain include both noninvasive and invasive procedures. The noninvasive procedures can be divided into topical, cryoanesthesia, and a combination of both. The invasive methods of anesthesia include injected fo...

  16. Clinical relevance in anesthesia journals

    Lauritsen, Jakob; Møller, Ann M

    2006-01-01

    The purpose of this review is to present the latest knowledge and research on the definition and distribution of clinically relevant articles in anesthesia journals. It will also discuss the importance of the chosen methodology and outcome of articles.......The purpose of this review is to present the latest knowledge and research on the definition and distribution of clinically relevant articles in anesthesia journals. It will also discuss the importance of the chosen methodology and outcome of articles....

  17. Pediatric anesthesia in developing countries.

    Bösenberg, Adrian T

    2007-06-01

    To highlight the problems faced in developing countries where healthcare resources are limited, with particular emphasis on pediatric anesthesia. The fact that very few publications address pediatric anesthesia in the developing world is not surprising given that most anesthetics are provided by nonphysicians, nurses or unqualified personnel. In compiling this article information is drawn from pediatric surgical, anesthetic and related texts. In a recent survey more than 80% of anesthesia providers in a poor country acknowledged that with the limited resources available they could not provide basic anesthesia for children less than 5 years. Although many publications could be regarded as anecdotal, the similarities to this survey suggest that the lack of facilities is more generalized than we would like to believe. The real risk of anesthesia in comparison to other major health risks such as human immunodeficiency virus, malaria, tuberculosis and trauma remains undetermined. The critical shortage of manpower remains a barrier to progress. Despite erratic electrical supplies, inconsistent oxygen delivery, paucity of drugs or equipment and on occasion even lack of running water, many provide life-saving anesthesia. Perioperative morbidity and mortality is, however, understandably high by developed world standards.

  18. Estimating anesthesia and surgical procedure times from medicare anesthesia claims.

    Silber, Jeffrey H; Rosenbaum, Paul R; Zhang, Xuemei; Even-Shoshan, Orit

    2007-02-01

    Procedure times are important variables that often are included in studies of quality and efficiency. However, due to the need for costly chart review, most studies are limited to single-institution analyses. In this article, the authors describe how well the anesthesia claim from Medicare can estimate chart times. The authors abstracted information on time of induction and entrance to the recovery room ("anesthesia chart time") from the charts of 1,931 patients who underwent general and orthopedic surgical procedures in Pennsylvania. The authors then merged the associated bills from claims data supplied from Medicare (Part B data) that included a variable denoting the time in minutes for the anesthesia service. The authors also investigated the time from incision to closure ("surgical chart time") on a subset of 1,888 patients. Anesthesia claim time from Medicare was highly predictive of anesthesia chart time (Kendall's rank correlation tau = 0.85, P < 0.0001, median absolute error = 5.1 min) but somewhat less predictive of surgical chart time (Kendall's tau = 0.73, P < 0.0001, median absolute error = 13.8 min). When predicting chart time from Medicare bills, variables reflecting procedure type, comorbidities, and hospital type did not significantly improve the prediction, suggesting that errors in predicting the chart time from the anesthesia bill time are not related to these factors; however, the individual hospital did have some influence on these estimates. Anesthesia chart time can be well estimated using Medicare claims, thereby facilitating studies with vastly larger sample sizes and much lower costs of data collection.

  19. Alzheimer disease and anesthesia.

    Inan, Gözde; Özköse Satirlar, Zerrin

    2015-01-01

    Alzheimer disease (AD) is one of the most common neurodegenerative diseases and the most prevalent form of dementia. Some factors in the development of AD, age being the best-known one, have been suggested; however, no causes have been found yet. The pathophysiology of the disease is highly complex, current therapies are palliative, and a cure is still lacking. Adverse effects of anesthetics in the elderly have been reported since the 1950s; however, awareness of this old problem has recently gained inportance again. Whether exposure to surgery and general anesthesia (GA) is associated with the development of AD has been questioned. As the population is aging, many elderly patients will need to be anesthetized, and maybe some were already anesthetized before they were diagnosed. Exposure to anesthetics has been demonstrated to promote pathogenesis of AD in both in vitro and in vivo studies. However, to date, there have not been any clinical trials to address a link between exposure to GA and the development of AD in humans. Therefore, before making any conclusions we need further studies, but we should be aware of the potential risks and take cautions with vulnerable elderly patients.

  20. Anesthesia and Tau Pathology

    Whittington, Robert A.; Bretteville, Alexis; Dickler, Maya F.; Planel, Emmanuel

    2013-01-01

    Alzheimer’s disease (AD) is the most common form of dementia and remains a growing worldwide health problem. As life expectancy continues to increase, the number of AD patients presenting for surgery and anesthesia will steadily rise. The etiology of sporadic AD is thought to be multifactorial, with environmental, biological and genetic factors interacting together to influence AD pathogenesis. Recent reports suggest that general anesthetics may be such a factor and may contribute to the development and exacerbation of this neurodegenerative disorder. Intra-neuronal neurofibrillary tangles (NFT), composed of hyperphosphorylated and aggregated tau protein are one of the main neuropathological hallmarks of AD. Tau pathology is important in AD as it correlates very well with cognitive dysfunction. Lately, several studies have begun to elucidate the mechanisms by which anesthetic exposure might affect the phosphorylation, aggregation and function of this microtubule-associated protein. Here, we specifically review the literature detailing the impact of anesthetic administration on aberrant tau hyperphosphorylation as well as the subsequent development of neurofibrillary pathology and degeneration. PMID:23535147

  1. Analyzing the cost effectiveness of Santiago, Chile's policy of using urban forests to improve air quality

    Francisco J. Escobedo; John E. Wagner; David J. Nowak; Carmen Luz De la Maza; Manuel Rodriguez; Daniel E. Crane

    2008-01-01

    Santiago, Chile has the distinction of having among the worst urban air pollution problems in Latin America. As part of an atmospheric pollution reduction plan, the Santiago Regional Metropolitan government defined an environmental policy goal of using urban forests to remove particulate matter less than 10 µm (PM10) in the Gran...

  2. When memory becomes heritage: Experiences from Santiago, Chile

    Chiara Bianchini, Maria

    2014-12-01

    Full Text Available This article explores the relationships between memory politics and urban heritage in the construction of a twenty-first century democratic society. It focuses on the case of Chile and concentrates on three examples of public buildings in the capital city, Santiago. Given what can be considered a difficult heritage –linked to the recent experience of dictatorship and state sponsored violence– these buildings have been in recent years objects of heritage politics, directed to address a public memory related to those events. Based on these case studies, the article critically discusses the materialization of the dominant human rights discourse in the current memory politics affecting Santiago’s urban heritage.Este artículo aborda las relaciones entre políticas de memoria y patrimonio urbano en el proceso de construcción de una sociedad democrática del siglo XXI. El análisis se centra en el caso de Chile y presenta tres ejemplos de edificios públicos de la capital, Santiago. Los tres sitios representan lo que puede considerarse un patrimonio difícil –vinculado a una reciente experiencia de dictadura y violencia de Estado– y, por esta razón, han sido objeto, en años recientes, de políticas patrimoniales dirigidas a gestionar la memoria pública de esos eventos. A través de estos casos, el artículo analiza críticamente la materialización del discurso dominante de los derechos humanos en las actuales políticas de memoria que afectan al patrimonio urbano de Santiago.

  3. Informality wears uniform: Beauty salons’ workers in Santiago, Chile

    Rosario Palacios Ruiz de Gamboa

    2018-01-01

    Full Text Available This article examines how flexible work economy has been affecting a group of beauty salons’ workers in Santiago, Chile. They do not have a work contract and receive their payment as if they were giving an independent service, but depend on the rules their bosses impose them. The kind of work described in the article appears to be a new arrangement within the context of urban informality, which has present and future implications regarding social security and uncertainty. Drawing on ethnographic observation in four beauty salons, I describe how the embodied belief of being an independent worker helps to enact many skills required by the flexible work economy.

  4. Safeguarding musical heritage. Memories of the rescue of the Hymn of Santiago de Cuba

    Daylenis Blanco-Lobaina

    2017-09-01

    Full Text Available The musicality that highlights Santiago de Cuba as one of its fundamental attractions motivated one of the lines of work of the Escalinata project, focused on communication and promotion of Santiago's heritage. The city treasures several hymns composed in different periods and historical contexts, among them some dedicated to the Virgin of the Charity of the Copper and Santiago Apostle, patron of the city. However, dedicated to the city, Santiago's musical history has revealed the existence of a single anthem, which is why a process of restoration and digitization of its scores began in function of the rescue of this musical composition of the early nineteenth century. This work reveals the process of safeguarding and enhancing the value of this piece of music, considered to be the city's cultural heritage, just 88 years after it was premiered in the Municipal Government of Santiago de Cuba.

  5. Spinal anesthesia; the Holy Grail?

    Voet M

    2017-06-01

    Full Text Available Marieke Voet, Cornelis SlagtDepartment of Anesthesiology, Pain and Palliative Care, Radboud University Medical Center, Nijmegen, The NetherlandsAfter reading the paper recently published in Local and Regional Anesthesia by Whitaker et al:1 “Spinal anesthesia after intraoperative cardiac arrest during general anesthesia in an infant,” we would like to share our thoughts. In a recently published paper by Habre et al,2 the incidence of severe critical events in pediatric anesthesia was investigated. In 261 hospitals across Europe (33 countries, severe critical events were registered. In total, 31,127 anesthetic procedures in 30,874 children were included. Age, medical history, and physical condition were the major risk factors for a serious critical event. In total, 1,478 patients had a critical event, most of them during or immediately after anesthesia. Children younger than 3 years of age are at risk for critical events.View the original paper by Whitaker and colleagues.

  6. From Scandinavia to Spain: a Viking-Age reliquary in León and its meaning

    Roesdahl, Else

    2010-01-01

    Presentation and discussion of a small box, which is highly decorated in the Scandinavian Mammen style and preserved in the treasury of the Church of San Isodoro in León, in northern Spain. This is the only Viking objects so far identified in Spain. The box, which is from the late 10th century an...... and probably was a reliquary, may be an aristocratic gift to the local royalty brought by a pilgrim on his way to Santiago de Compostela....

  7. [Reproductive health survey of young adults in greater Santiago].

    Valenzuela, M S; Herold, J M; Morris, L; López, I M

    1992-01-01

    In 1988 a survey was carried out in order to obtain information on knowledge about reproduction, sexual activity, attitudes, and use of contraceptive methods among residents between 15 and 24 years of age in Greater Santiago. For this purpose, a multistage, self-weighted, non-replacement probability sample was chosen from the entire Santiago urban area. After 2,898 households were visited, 865 women and 800 men were selected and interviewed. For the interview, a questionnaire with 156 questions was developed; many questions were similar to those included in similar surveys in Brazil and Guatemala. The interviewers were professionals who had received prior training. Although 75% of the interviewees had attended sex education classes, they had erroneous ideas on various basic subjects. Sixty-nine percent of the women interviewed had undergone menarche before attending these classes. In addition, 35.4% of the women and 65.0% of the men had had sexual relations prior to marriage, and less than 20% had used any contraceptive method. More than 60% of the interviewees who had children had conceived them before marrying. These findings point up the necessity of offering sex education classes for children and young people, as well as facilitating their access to family planning services, in order to decrease the number of illegitimate and unwanted children that are born in Chile.

  8. Providing intraosseous anesthesia with minimal invasion.

    Giffin, K M

    1994-08-01

    A new variation of intraosseous anesthesia--crestal anesthesia--that is rapid, site-specific and minimally invasive is presented. The technique uses alveolar crest nutrient canals for anesthetic delivery without penetrating either bone or periodontal ligament.

  9. EEG entropy measures in anesthesia

    Zhenhu eLiang

    2015-02-01

    Full Text Available Objective: Entropy algorithms have been widely used in analyzing EEG signals during anesthesia. However, a systematic comparison of these entropy algorithms in assessing anesthesia drugs’ effect is lacking. In this study, we compare the capability of twelve entropy indices for monitoring depth of anesthesia (DoA and detecting the burst suppression pattern (BSP, in anesthesia induced by GA-BAergic agents.Methods: Twelve indices were investigated, namely Response Entropy (RE and State entropy (SE, three wavelet entropy (WE measures (Shannon WE (SWE, Tsallis WE (TWE and Renyi WE (RWE, Hilbert-Huang spectral entropy (HHSE, approximate entropy (ApEn, sample entropy (SampEn, Fuzzy entropy, and three permutation entropy (PE measures (Shannon PE (SPE, Tsallis PE (TPE and Renyi PE (RPE. Two EEG data sets from sevoflurane-induced and isoflu-rane-induced anesthesia respectively were selected to assess the capability of each entropy index in DoA monitoring and BSP detection. To validate the effectiveness of these entropy algorithms, phar-macokinetic / pharmacodynamic (PK/PD modeling and prediction probability analysis were applied. The multifractal detrended fluctuation analysis (MDFA as a non-entropy measure was compared.Results: All the entropy and MDFA indices could track the changes in EEG pattern during different anesthesia states. Three PE measures outperformed the other entropy indices, with less baseline vari-ability, higher coefficient of determination and prediction probability, and RPE performed best; ApEn and SampEn discriminated BSP best. Additionally, these entropy measures showed an ad-vantage in computation efficiency compared with MDFA.Conclusion: Each entropy index has its advantages and disadvantages in estimating DoA. Overall, it is suggested that the RPE index was a superior measure.Significance: Investigating the advantages and disadvantages of these entropy indices could help improve current clinical indices for monitoring DoA.

  10. EEG entropy measures in anesthesia

    Liang, Zhenhu; Wang, Yinghua; Sun, Xue; Li, Duan; Voss, Logan J.; Sleigh, Jamie W.; Hagihira, Satoshi; Li, Xiaoli

    2015-01-01

    Highlights: ► Twelve entropy indices were systematically compared in monitoring depth of anesthesia and detecting burst suppression.► Renyi permutation entropy performed best in tracking EEG changes associated with different anesthesia states.► Approximate Entropy and Sample Entropy performed best in detecting burst suppression. Objective: Entropy algorithms have been widely used in analyzing EEG signals during anesthesia. However, a systematic comparison of these entropy algorithms in assessing anesthesia drugs' effect is lacking. In this study, we compare the capability of 12 entropy indices for monitoring depth of anesthesia (DoA) and detecting the burst suppression pattern (BSP), in anesthesia induced by GABAergic agents. Methods: Twelve indices were investigated, namely Response Entropy (RE) and State entropy (SE), three wavelet entropy (WE) measures [Shannon WE (SWE), Tsallis WE (TWE), and Renyi WE (RWE)], Hilbert-Huang spectral entropy (HHSE), approximate entropy (ApEn), sample entropy (SampEn), Fuzzy entropy, and three permutation entropy (PE) measures [Shannon PE (SPE), Tsallis PE (TPE) and Renyi PE (RPE)]. Two EEG data sets from sevoflurane-induced and isoflurane-induced anesthesia respectively were selected to assess the capability of each entropy index in DoA monitoring and BSP detection. To validate the effectiveness of these entropy algorithms, pharmacokinetic/pharmacodynamic (PK/PD) modeling and prediction probability (Pk) analysis were applied. The multifractal detrended fluctuation analysis (MDFA) as a non-entropy measure was compared. Results: All the entropy and MDFA indices could track the changes in EEG pattern during different anesthesia states. Three PE measures outperformed the other entropy indices, with less baseline variability, higher coefficient of determination (R2) and prediction probability, and RPE performed best; ApEn and SampEn discriminated BSP best. Additionally, these entropy measures showed an advantage in computation

  11. Optimal Technique in Cardiac Anesthesia Recovery

    Svircevic, V.

    2014-01-01

    The aim of this thesis is to evaluate fast-track cardiac anesthesia techniques and investigate their impact on postoperative mortality, morbidity and quality of life. The following topics will be discussed in the thesis. (1.) Is fast track cardiac anesthesia a safe technique for cardiac surgery? (2.) Does thoracic epidural anesthesia have an effect on mortality and morbidity after cardiac surgery? (3.) Does thoracic epidural anesthesia have an effect on quality of life after cardiac surgery? ...

  12. 42 CFR 415.178 - Anesthesia services.

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Anesthesia services. 415.178 Section 415.178 Public..., AND RESIDENTS IN CERTAIN SETTINGS Physician Services in Teaching Settings § 415.178 Anesthesia... schedule payment may be made if a physician is involved in a single anesthesia procedure involving an...

  13. 21 CFR 868.6700 - Anesthesia stool.

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Anesthesia stool. 868.6700 Section 868.6700 Food... DEVICES ANESTHESIOLOGY DEVICES Miscellaneous § 868.6700 Anesthesia stool. (a) Identification. An anesthesia stool is a device intended for use as a stool for the anesthesiologist in the operating room. (b...

  14. La situación del arbolado urbano en Santiago./ The state of urban trees in Santiago.

    Jaime Hernández Palma

    2008-06-01

    Full Text Available En la mayoría de los países desarrollados el concepto de manejo de la vegetación urbana ha evolucionado desde funciones meramente estética a funciones medioambientales, incluyendo los beneficios económicos cuantificables de árboles y espacios verdes. En Santiago se constata una gran diferencia entre los distintos municipios respecto de sus políticas y capacidades técnicas asociadas al manejo ("sustentable" de este recurso. Las diferencias de cobertura arbórea pueden llegar a ser de 10 a 1, entre comunas de estratos socioeconómicos altos y bajos. Por ello los servicios ambientales de la vegetación urbana también presentan una gran variabilidad espacial en la ciudad./ The management of the urban vegetation has evolved in the Developed World, from aesthetics to environmental considerations including the economic evaluation of it. In the developing countries the situation is different; in Santiago de Chile there's a deficit in the politics and technical assistance related to the management of the environment. The inequality between the rich and the poor neighbors in terms of trees in public spaces can be as much as 10 to 1. So, the environmental impact of the urban vegetation is not something to consider locally.

  15. Cuando la pintura es poesía: versos y jeroglíficos con que la Universidad de Santiago lloró a Carlos II

    Nieves Pena Sueiro

    2007-01-01

    Full Text Available La muerte de Carlos II abría un período de incertidumbre que supuso el fin del reinado de la casa de Austria en España. Por este motivo las ceremonias que conmemoraron su muerte se llenaron de símbolos referentes a las dos dinastías. Presentamos la edición y estudio de un texto, único testimonio, que refleja cómo la Universidad de Santiago lloró a Carlos II a la vez que daba la bienvenida a Felipe V. The death of Carlos II supposed the aim of the reign of the house of Austria in Spain. For this reason the ceremonies that commemorated their death filled of referring symbols to the two dynasties. We present the edition and study of a text, only testimony, that reflects how the University of Santiago wept to Carlos II simultaneously that was giving the welcome to Philip V.

  16. Intestinal circulation during inhalation anesthesia

    Tverskoy, M.; Gelman, S.; Fowler, K.C.; Bradley, E.L.

    1985-01-01

    This study was designed to evaluate the influence of inhalational agents on the intestinal circulation in an isolated loop preparation. Sixty dogs were studied, using three intestinal segments from each dog. Selected intestinal segments were pumped with aortic blood at a constant pressure of 100 mmHg. A mixture of 86 Rb and 9-microns spheres labeled with 141 Ce was injected into the arterial cannula supplying the intestinal loop, while mesenteric venous blood was collected for activity counting. A very strong and significant correlation was found between rubidium clearance and microsphere entrapment (r = 0.97, P less than 0.0001). Nitrous oxide anesthesia was accompanied by a higher vascular resistance (VR), lower flow (F), rubidium clearance (Cl-Rb), and microspheres entrapment (Cl-Sph) than pentobarbital anesthesia, indicating that the vascular bed in the intestinal segment was constricted and flow (total and nutritive) decreased. Halothane, enflurane, and isoflurane anesthesia were accompanied by a much lower arteriovenous oxygen content difference (AVDO 2 ) and oxygen uptake than pentobarbital or nitrous oxide. Compared with pentobarbital, enflurane anesthesia was not accompanied by marked differences in VR, F, Cl-Rb, and Cl-Sph; halothane at 2 MAC decreased VR and increased F and Cl-Rb while isoflurane increased VR and decreased F. alpha-Adrenoceptor blockade with phentolamine (1 mg . kg-1) abolished isoflurane-induced vasoconstriction, suggesting that the increase in VR was mediated via circulating catecholamines

  17. Periocular Anesthesia in Aesthetic Surgery

    Skibell, Bentley C.; Soparkar, Charles N.S.; Tower, Robert N.; Patrinely, James R.

    2007-01-01

    This article focuses on the administration of anesthesia for periocular aesthetic procedures. Special emphasis is given to office-based procedures, most often without any systemic sedation, highlighting the importance of open communication with patients. Finally, attention is given to potential pitfalls including anesthetic systemic toxicity, ocular injuries, and orbicularis myotoxicity.

  18. How to teach regional anesthesia.

    Bröking, Katrin; Waurick, René

    2006-10-01

    The demand for peripheral nerve blocks and neuroaxial blocks from both patients and surgeons has increased over the last few years. This change in attitude towards regional anesthesia is prompted by the insight that adequate perioperative pain management leads to earlier ambulation, shorter hospital stay, reduced cost and increased patient satisfaction. To avoid serious complications of these techniques structured residency programs need to be available. Until 2004, the Residency Review Committee for Anesthesiology in the United States required a minimum of 50 epidurals, 40 spinals and 40 peripheral nerve blocks during residency. Similarly, the German Society for Anesthesia and Intensive Care required 100 neuroaxial blocks and 50 peripheral nerve blocks. In 2004 the American Society of Regional Anesthesia and Pain Medicine endorsed standardized guidelines for regional anesthesia fellowships which regulate the administrative, equipment and educational demands. This review introduces the reader to the different teaching methods available, including cadaver workshops, three-dimensional videoclips, video filming, ultrasound guidance and acoustic assist devices as well as demonstrating their advantages and disadvantages. Moreover, an overview is given of future residency training programs, which integrate administrative, material and educative demands as well as the teaching means into the daily clinical routine.

  19. Anesthesia and the developing brain

    Davidson, Andrew J; Becke, Karin; de Graaff, Jurgen

    2015-01-01

    It is now well established that many general anesthetics have a variety of effects on the developing brain in animal models. In contrast, human cohort studies show mixed evidence for any association between neurobehavioural outcome and anesthesia exposure in early childhood. In spite of large...

  20. Specialist training in pediatric anesthesia

    Hansen, Tom G

    2009-01-01

    There has been a great deal of focus on specialist training in pediatric anesthesia in the last decade or so. Internationally, however, there is still no uniform agreement as to how such a training program should be arranged and organized. Since September 2003, the Scandinavian Society of Anaesth......There has been a great deal of focus on specialist training in pediatric anesthesia in the last decade or so. Internationally, however, there is still no uniform agreement as to how such a training program should be arranged and organized. Since September 2003, the Scandinavian Society...... of Anaesthesiology and Intensive Care Medicine has coordinated an advanced Inter-Nordic educational program in pediatric anesthesia and intensive care. The training program is managed by a Steering Committee. This program is intended for physicians who recently have received their specialist degree in anesthesiology...... and intensive care. The training period is 12 months of which 9 months are dedicated to pediatric anesthesia and 3 months to pediatric intensive care. During the 1-year training period, the candidates are designated a Scandinavian host clinic (at a tertiary pediatric center in Scandinavia approved...

  1. Providing value in ambulatory anesthesia.

    Fosnot, Caroline D; Fleisher, Lee A; Keogh, John

    2015-12-01

    The purpose of this review is to discuss current practices and changes in the field of ambulatory anesthesia, in both hospital and ambulatory surgery center settings. New trends in ambulatory settings are discussed and a review of the most current and comprehensive guidelines for the care of ambulatory patients with comorbid conditions such as postoperative nausea and vomiting (PONV), obstructive sleep apnea and diabetes mellitus are reviewed. Future direction and challenges to the field are highlighted. Ambulatory anesthesia continues to be in high demand for many reasons; patients and surgeons want their surgical procedures to be swift, involve minimal postoperative pain, have a transient recovery time, and avoid an admission to the hospital. Factors that have made this possible for patients are improved surgical equipment, volatile anesthetic improvement, ultrasound-guided regional techniques, non-narcotic adjuncts for pain control, and the minimization of PONV. The decrease in time spent in a hospital also decreases the risk of wound infection, minimizes missed days from work, and is a socioeconomically favorable model, when possible. Recently proposed strategies which will allow surgeons and anesthesiologists to continue to meet the growing demand for a majority of surgical cases being same-day include pharmacotherapies with less undesirable side-effects, integration of ultrasound-guided regional techniques, and preoperative evaluations in appropriate candidates via a telephone call the night prior to surgery. Multidisciplinary communication amongst caregivers continues to make ambulatory settings efficient, safe, and socioeconomically favorable.It is also important to note the future impact that healthcare reform will have specifically on ambulatory anesthesia. The enactment of the Patient Protection and Affordable Care Act of 2010 will allow 32 million more people to gain access to preventive services that will require anesthesia such as screening

  2. Anesthesia-induced epilepsy: causes and treatment.

    Zhao, Xiaojuan; Wang, Xuefeng

    2014-09-01

    Epilepsy is a type of chronic brain disease that results from an abnormally high synchronization of neuronal discharge. The typical clinical features of epilepsy are paroxysms and transient and stereotyped brain dysfunction. Many cases of epileptic seizures occurring during anesthesia have been reportedx. Recently, risk assessment of epileptic seizures during surgery and anesthesia has gained increasing attention. In this review, we systematically summarize the influence of anesthesia on epileptic seizures; the types, durations and frequencies of seizures related to anesthesia; and the epidemiology, prevention, treatment and prognosis of epilepsy. We also explore the possible mechanism of epilepsy and provide guidance for anesthesia during surgeries.

  3. Production planning in the Combinado Lácteo Santiago

    Edith Carmen Fajardo-Alcolea

    2017-12-01

    Full Text Available A planning, programming and control of the production procedure is designed in this paper to consider all the technical and organizational aspects that are involved in planning, using the balance and normative method, and a variant of the General Algorithm for the Calculation of the Capacities. This procedure is supported by an innovative computer application designed to assist students, technicians and specialists in the planning stages. The procedure is applied in the company “Combinado Lácteo de Santiago de Cuba” to plan the production in 2016. As a result, an innovation of an organizational type is obtained that allows the Production Master Plan, disaggregated in the different time horizons, consider the real capacity of the plants. For its evaluation it was compared to the production plan prepared by the company and the actual production data of the first quarter of the year to determine the existing differences.

  4. Las aguas en la estructura urbana de Santiago de Chile.

    Jonás Figueroa Salas

    2009-07-01

    The water resources are necessary for development of production processes, human consumption and as a climate and landscape, among others. The last time the weather events have transformed the waters in dire terms of natural disasters, with a high impact on the people and the natural and built heritage in urban areas. This article presents some scope of an investigation about the role of river water and rainwater in the urban morphological structure of the nineteenth century city and the physical growth of the twentieth century. It concludes with the idea of turning water into instruments of sustainability in order to redevelop large parts of Santiago de Chile lacking quality elements, thereby surpassing the treatment of public works exclusively with which today is handled the issue.

  5. Santiago de Cuba: between july 1955 and november 1956

    Manuel Pevida-Pupo

    2016-12-01

    Full Text Available This article analyzes the historical context of the city of Santiago de Cuba in the months prior to November 30, 1956, when the armed uprising took place in support of the landing of the Granma yacht expedition led by Fidel Castro Ruz; The material and human assurances made by the 26th of July Revolutionary Movement (MR-26-7 to provide all possible assistance to those arriving at the coast of the country; Among this action is the making of uniforms and the location of medical kits. It also emphasizes the role played by young teacher Frank País García at the front of the plan drawn up months before 

  6. Anglicism in the press of Santiago de Cuba city

    Yusnel Tabares-Tabares

    2017-06-01

    Full Text Available The preliminary findings from an unfinished investigation having a synchronic approach are presented. The objective of this study is to analyze the English loanwords that appear in the press of Santiago de Cuba city at the beginning of the XX century. This analysis will allow to draw significant conclusions concerning the presence of anglicisms in the Spanish spoken in Cuba. The methodology is based on a random revision of “El Cubano Libre” newspaper, at the time it is counted some aspects, namely: how many anglicisms were found, their typology, grammatical category, their frequency of appearance, and the year they were published in the dictionary of the Spanish Royal Academy.  Among the outstanding results is remarkable that few English loanwords were registered in the dictionary of the Spanish Royal Academy, the topics more profitable to search were those of politics and sport, and the sort of anglicisms more frequent belong to the category of patent loanword.

  7. The time of things. About La Ausencia of Santiago Porter

    Paola Cortes-Rocca

    2015-09-01

    Full Text Available In his photographic work The Absence, Santiago Porter gathers portraits and objects: photographs of relatives of the victims of the attack on Argentina Israelite Mutual Association in 1994 and objects that used to belong to the deaths. Far from referentiality and witnessing, the work of Porter reviews the gaze as a way of encountering the other and as a bond that solidifies certain forms of the community. The photographic image is marked by reality: not because as proof of existence, or due to its resemblance to what it shows, but because it is subject to time. The real (as a temporal and special net gets into the photographic image, it is its condition and its materiality. Photography challenges the tripartite organization of time: images do not follow each other, they die and survive in ways that differs to those of other species.

  8. Male attitudes to family planning education in Santiago, Chile.

    Hall, M F

    1977-01-01

    Male attitudes toward family planning education were assessed through a study of 720 men in Santiago and 240 men in a nearby rural area of Chile. Interviews were conducted by male students at the University of Chile School of Public Health. A large majority of the men were using or planned to use contraception in the future. There was a near consensus that adults should be informed regarding family planning. More than a majority of the respondents favored provision of contraceptive information for unmarried women, but most did not approve of premarital sexual activity for females. Most respondents favored the teaching of sex education in schools "according to the age of the children." Younger and higher class males tended to hold the most liberal attitudes.

  9. Biogas potential in the meat installation of Santiago de Cuba

    Recio Recio, Angel Amado; Martinez Rotger, Jose Luis; Palacios Barrera, Antonio

    2011-01-01

    The Meat Processing Center of Santiago is located 13 kilometers from the city of the same name in the National Freeway. There, 61 heads of bovine livestock are sacrificed daily approximately around 325 Kg. of weight average and 197 pigs of 80 kg. of weight average, which has a demurrage average between 2 and 3 days in the corrals of the Meat Processing Center which generates a significant amount of excretes, rumen (food not digested by the bowels), bleed fluff, slops, meat residuals and fatty, as well as tripes, all that which constitutes a waste of a discharge at the present time loads pollutant that besides not taking advantage, for the maintenance of some appropriate norms of hygiene, the Meat Processing Center of meat by products is under the obligation of using big quantities of water, which constitutes an important factor of the elaboration cost. After that, the treatment in the plant and its final discharge in acceptable drains increase the general expenses. The big slaughterhouses can produce waste waters with a biochemical demand of oxygen of five days of 1300 ppm. The treatment of the waste and elimination of the waste waters coming from slaughterhouses and meat processing plants are an economic necessity and of public health. The main objectives of this work were: 1) To calculate the energy potentialities of the residuals of the productions pig, bovine and other residuals to transform them into energy and their effluents like organic fertilizer cleans of pathogen elements, by means of the process of anaerobic fermentation. 2) To Transform the Biomass into energy given by the different economic activities of the entity, taking advantage of the same one in the process. To achieve these results we have used the literature in this respect and the experience that exists in the province of Santiago from Cuba in this direction, as for the use of the residuals for the biogas production and to dedicate it to the cooking of food and the production of electric

  10. Clasicismo, Neomedievalismo y Eclecticismo en la obra de Domingo Rodríguez Sesmero como arquitecto diocesano de Tui y Santiago de Compostela (1882-1897

    García Filgueira, Marta

    2005-12-01

    Full Text Available With the present article we try to contribute to the knowledge of the architectural work of Domingo Rodriguez Sesmero in Galice during the last thirty years of the XIX th century. It is his work as a diocesan architect of Tui and Santiago de Compostela which we study here, in the context of the process of recovering of the religious architecture in Spain during the political period of the restoration of the Spanish monarchy. We focus the study from the stylistic point of view, attending to the movement of historicism caracteristic of that period in Europe, Spain and Galice. We analyse aswell the aspects regarding architectural preservation and restoration in Galice and it's relation with european models.

    Con el presente artículo se pretende contribuir al conocimiento de la actividad arquitectónica de Domingo Rodríguez Sesmero en Galicia durante el último tercio del siglo XIX. En concreto es la faceta como arquitecto diocesano de Tui y de Santiago de Compostela la que es aquí analizada. Para ello se contextualiza dicha actividad dentro del marco de la recuperación de la edilicia religiosa en España durante los años de la Restauración borbónica. Se enfoca el estudio desde un punto de vista estilístico, valorando la obra de Domingo Rodríguez Sesmero dentro del contexto del historicismo del siglo XIX en Galicia y su relación con modelos foráneos. Se analizan también los aspectos relativos a la conservación y restauración arquitectónica de los templos gallegos teniendo en cuenta las ideas sobre el patrimonio construido propias del último tercio del XIX.

  11. HEMOGLOBIN AND HEMATOCRITE CHANGES DURING UNCOMPLICATED ANESTHESIA: GENERAL ANESTHESIA AND LOCAL ANESTHESIA

    KH NAGHIBI

    2002-12-01

    Full Text Available Introduction. Despite of vital role of blood and it"s components as an only curable treatment, it"s transfusion is accompanied by many complications. In the other way, the most important adverse effects of anemia is decrease in oxygen supply to the tissues. Therefore, it is essential to determine those patients need to blood transfusion and exact hemoglobine and hematocrite level which transfusion become necessary. Recent studies show that during general anesthesia due to vasodilation in the level of microcirculation and passage of many red blood cells from microcirculation there is a decreasing in hemoglobine level measured in peripheral veins which named plasma skimming. So, during sampling of hemoglobine and hematocrite from peripheral veins, there is a pseudodecrease in Hb and HCT levels. In this study we want to determine this decrease in Hb and HeT. Methods. Study was done in 182 patients with ASA 1 and 2 undergoing general or local anesthesia for cataract surgery. Duration of nill per os (NPO, preoperotive and intraoperative intravenous fluid administration were simillar in two groups. A sample of blood for preoperative evaluation and another one immediately after operation achevied and compared with each other. Results. There was not significant differences between mean Hb and HCT in two groups preoperotive. But postoperative, there was a significant differences between mean Hb and HCT in general anesthesia vs local anesthesia (P < 0.01. This decrease in Hb and HCT was orderly 0.91 ± 1.14 gr/dl for Hb and 2.862±3.6 percent for Hct. Discussion. In determining of Hb and HCT immediately after general anesthesia, there is some pseudo decrease due to plasma skimming that must be appreciated.

  12. Indicator based sustainability analysis of future energy situation of Santiago de Chile

    Stelzer, Volker; Quintero, Adriana; Vargas, Luis; Paredes, Gonzalo; Simon, Sonja; Nienhaus, Kristina; Kopfmüller, Jürgen

    2014-01-01

    Up to now, the Chilean Energy system has fulfilled the energy needs of Santiago de Chile considerably well. However, development trends of the current system impose significant future risks on the energy system. A detailed sustainability analysis of the energy sector of the Metropolitan Region of Santiago de Chile was conducted, using selected energy indicators and a distance-to-target approach. Risks for the sustainable development of the energy sector are detected, such...

  13. Palliative sedation in nursing anesthesia.

    Wolf, Michael T

    2013-04-01

    Palliative sedation is a technique of providing a sedative for end-of-life care to patients with intractable pain. The literature discusses the techniques and use of palliative sedation. Numerous articles have been written regarding the issues surrounding its use, but no literature has discussed the prescription or administration of palliative sedation by a nurse anesthetist. By understanding the concept and ethics involved in its use and providing nursing care that is theory based, the author argues that the involvement of nursing anesthesia is appropriate and within the scope of practice. Few other healthcare disciplines can provide the patient care and empirical knowledge that is imperative in the care of the dying patient. This article discusses the concept and ethics of palliative sedation and presents a case of providing palliative sedation to a terminally ill patient by an experienced nurse anesthetist. Palliative sedation should be understood, embraced, and utilized as an area of expertise suited for nursing anesthesia.

  14. Santiago Ramón y Cajal and Ivan Petrovic Pavlov: their parallel scientific lives, schools and nobel prizes.

    Rozo, Jairo A; Rodríguez-Moreno, Antonio

    2015-01-01

    Santiago Ramón y Cajal was not only a great scientist but he was also a dedicated teacher who managed to create his own School in Spain. Cajal was active at the end of the XIX and the beginning of the XX century, a period in which Ivan Petrovich Pavlov, another great contemporary scientist, also established a strong School in Russia. While these two acclaimed scientists shared a similar vision on science, a view they also conveyed to their disciples, they applied quite distinct criteria in the way they dealt with their followers. Interestingly, despite the geographic and idiomatic barriers that had to be overcome, the paths of these two great figures of XX century science crossed at least three times. First when they competed for the City of Moscow Prize, second when they both attended the "Congreso Internacional de Medicina de Madrid" (Medicine International Congress in Madrid) in 1903 and finally, they competed on four consecutive occasions for the Nobel Prize in Physiology or Medicine. Here we discuss their scientific vision, their different attitudes in the interaction with disciples and the distinct circumstances in which their paths crossed.

  15. Santiago Ramón y Cajal and Ivan Petrovic Pavlov: their parallel scientific lives, Schools and Nobel Prizes

    Jairo Alonso Rozo

    2015-06-01

    Full Text Available Santiago Ramón y Cajal was not only a great scientist but he was also a dedicated teacher who managed to create his own School in Spain. Cajal was active at the end of the XIX and the beginning of the XX century, a period in which Ivan Petrovich Pavlov, another great contemporary scientist, also established a strong School in Russia. While these two acclaimed scientists shared a similar vision on science, a view they also conveyed to their disciples, they applied quite distinct criteria in the way they dealt with their followers. Interestingly, despite the geographic and idiomatic barriers that had to be overcome, the paths of these two great figures of XX century science crossed at least three times. First when they competed for the City of Moscow Prize, second when they both attended the Congreso Internacional de Medicina de Madrid (Medicine International Congress in Madrid in 1903 and finally, they competed on four consecutive occasions for the Nobel Prize in Physiology or Medicine. Here we discuss their scientific vision, their different attitudes in the interaction with disciples and the distinct circumstances in which their paths crossed.

  16. The elderly and general anesthesia

    Steinmetz, J; Rasmussen, L S

    2010-01-01

    Due to the aging population, the number of elderly patients taking advantage of healthcare services is increasing. A general physical decline of all organ systems and a high frequency of chronic disease accompanying aging.Comorbidity and polypharmacy are therefore common in the elderly. Hence, th......, the administration of general anesthesia to the elderly can be a very challenging task. This paper aims to highlight some of the important issues presented to the elderly undergoing surgery and to suggest some strategies for management....

  17. [Anesthesia in the Inca empire].

    Fairley, H Barrie

    2007-11-01

    The Incas had no written language and their chroniclers say little about their surgery and nothing about their methods for relieving the pain it caused. It is possible that they did have some form of anesthesia. Available plants that had central effects include maize (which they used in different ways to prepare an alcoholic beverage called chicha), Datura, espingo, tobacco, San Pedro cactus, and coca. The Incas used chicha to induce unconsciousness during minor surgical operations and it was still being used in those regions in the 19th century to perform female circumcision. Datura, espingo, tobacco, and San Pedro cactus can produce a deep trance and, in all probability, anesthesia. There is evidence that they used Datura as a total or partial anesthetic. The Incas chewed coca leaves with lime and swallowed the resulting juice, and this allowed them to work long hours without eating or drinking. Modern-day Peruvian Indians say that coca only numbs the mouth, though it was observed in the 19th century that coca leaves placed in wounds provided pain relief. It is possible that the Incas used chicha - probably in combination with another narcotic - to achieve the total or partial anesthesia needed for their surgery. A decoction of coca leaves may have been used as a topical anesthetic.

  18. Needle-less local anesthesia: clinical evaluation of the effectiveness of the jet anesthesia Injex in local anesthesia in dentistry.

    Dabarakis, Nikolaos N; Alexander, Veis; Tsirlis, Anastasios T; Parissis, Nikolaos A; Nikolaos, Maroufidis

    2007-01-01

    To clinically evaluate the jet injection Injex (Rösch AG Medizintechnik) using 2 different anesthetic solutions, and to compare the jet injection and the standard needle injection techniques. Of the 32 patients in the study, 10 received mepivacaine 3% anesthetic solution by means of the jet injection technique, while the remaining 22 patients received lidocaine 2% with epinephrine 1:80,000 by the same method. The 14 patients in whom pulp anesthesia was achieved were selected for an additional evaluation of the pulp reaction using standard needle injection anesthesia. The differences between the 2 compounds with Injex were statistically evaluated by means of independent-samples t test analysis. The differences between subgroups receiving both jet injection and needle injection anesthesia were evaluated by means of paired t test analysis. The administration of mepivacaine 3% using Injex did not achieve pulp anesthesia in any of the 10 patients, although the soft tissue anesthesia was successful. The administration of lidocaine with epinephrine using Injex resulted in pulp anesthesia in only 14 patients; soft tissue anesthesia was observed in all patients of this group. There was no statistically significant difference between Injex and the needle injection technique in onset of anesthesia. However, the duration of anesthesia was significantly longer for the needle infiltration group than for the Injex injection group. The anesthetic solution should be combined with a vasoconstriction agent when the Injex technique is implemented.

  19. A General Overview of Natural Sources in Spain

    Poncela, L.S.Q.; Fernandez, C.S.; Merino, I.F.; Villanueva, J.L.G.

    2011-01-01

    Nationwide and regional surveys have been conducted to evaluate natural radiation exposure of the Spanish population. In these surveys, indoor radon, external gamma dose rates outdoors and indoors were measured. In the nationwide radon survey, 9% of the tested houses presented radon levels above 200 Bq/m 3 and 25% of houses with radon concentrations above this reference level were located in areas with high radon indoor levels. In 2010, the Radon Group in collaboration with two research groups from the University of Santiago de Compostela and University Autonoma de Barcelona has started the Radon 10 x 10 project which is bases on radon integrated measurements using track-etched detectors using grid 10 x 10 km 2 . In this work we present data measured during the last 30 years in Spain as well as some preliminary results of this new project

  20. Preventing and managing awareness during general anesthesia

    Jelena Berger

    2014-03-01

    Full Text Available Background: General anesthesia is a reversible state of a temporary loss of consciousness, analgesia, muscle paralysis, blunted autonomic responses and amnesia. To achieve this, an adequate depth of anesthesia should be maintained throughout the surgery. Awareness is a serious complication of general anesthesia, which occurs when the depth of anesthesia is not appropriate due to various causes.In this paper the underlying neurobiology of intraoperative awareness is presented, as well as risk factors for awareness and methods for assessing the depth of anesthesia. Possible psychological consequences of awareness and their management are also discussed. At the end, the recommendations for preventing intraoperative awareness are given.Conclusions: Awareness during general anesthesia may have adverse psychological sequelae in individual patients, therefore guidelines for preventing and managing of intraoperative awareness need to be adopted. In case of a possible awareness, the recommendations for offering a psychological support should also be followed.

  1. Caudal anesthesia in pediatric surgical practice.

    Rahman, S; Siddiqui, M A; Haque, M; Majumder, S K; Ali, M S; Majid, M A; Hasan, M R

    2006-07-01

    Prospective study was carried out on 100 patients since May 2005 in my private practice and in the department of pediatric surgery of MMCH. Under caudal anesthesia along with or without ketaminie induction and gas inhalation all the patients underwent different surgical procedure namely anorectal surgery (eg. anoplasty, rectal polyp), urogenital surgery (Circumcision, hypospadias, meatotomy), groin surgery (hernia, hydrocele) and foot & leg surgery. Calculated dose schedule of drugs used in anesthesia and volume were maintained. Time of giving anesthesia and time of starting analgesia were recorded. Per-operative and postoperative analgesia were evaluated. Every parent was explained regarding the merit of caudal anesthesia calculated and compared with that of general anesthesia. Application of caudal anesthesia with or without ketamine & diazepam induction can be used safely and cost effectively and may be put into protocol in many of the pediatric surgical practice both in institute and also in private practice.

  2. Actitudes lingüísticas en Santiago de Chile

    Darío Rojas

    2014-11-01

    Full Text Available Resumen Este artículo analiza las actitudes lingüísticas de hablantes nativos de español de la ciudad de Santiago, hacia al español de Chile y hacia el español de los otros países hispanohablantes: El artículo es parte de los resultados del Proyecto LIAS (Linguistic Identity and attitudes in Spanish-speaking Latin America, financiado por El Consejo Noruego de Investigación (RCN. La recolección de los datos se realizó en la capital del país, entrevistando una muestra de 400 informantes estratificada con las variables de edad, sexo y nivel socioeconómico. Entre nuestros hallazgos, destacan los siguientes: 1 los santiaguinos muestran seguridad lingüística en comparación con variedades regionales del español de Chile, pero una gran inseguridad cuando se comparan con el habla de otros países; 2 sus actitudes se ven influenciadas tanto por características lingüísticas (modelo ideal de lengua, conservador y de raigambre colonial como por características extralingüísticas (estatus social; 3 el concepto de mayor peso dentro de la ideología lingüística de los santiaguinos es la corrección idiomática, que se articula con otros dos conceptos clave: el de unidad lingüística y el de entendimiento (o comprensión lingüística. Abstract This article analyzes the linguistic attitudes of Spanish speakers from Santiago, towards Spanish spoken in Chile and in the other Spanish-speaking countries. It is a result of the LIAS-Project (Linguistic Identity and attitudes in Spanish-speaking Latin America, funded by The Research Council of Norway (RCN. The data were gathered in the capital of the country, interviewing a stratified sample of 400 persons based on the variables of age, sex and socioeconomic status. Our main findings are the following: 1 Santiaguinos show linguistic confidence when they compare their speech to regional varieties of Chilean Spanish, but they show great insecurity when they compare their speech to those of other

  3. Spain: Europe's California.

    Wilvert, Calvin

    1994-01-01

    Contends that, as Spain integrates into the European Economic Community, it is considered to be Europe's California. Asserts that making regional comparisons between California and Spain can be an effective teaching method. Provides comparisons in such areas as agriculture and tourism. (CFR)

  4. Energy Made in Spain

    Ruiz del Arbol, M.

    2011-01-01

    Spain is the first country in Europe and the second worldwide in installed thermoelectric solar power, the second place in Europe and fourth worldwide in wind energy. Moreover, Spain is the second country in photovoltaic energy so in Europe as in the World.

  5. Analysis of contaminating elements in tree rings in Santiago, Chile

    Romo-Kroeger, C.M.; Avila, M.J.; Eaton, L.C.; Lopez, L.A.

    1996-01-01

    Using the 22'' isochronous cyclotron at the University of Chile, we have performed PIXE analyses on a group of samples collected from trees of metropolitan parks in Santiago. Dendrochronology was performed on each sample, which was then sectioned for the PIXE and other analyses, neutron activation and electro-chemistry. Available samples are trunk sections or cores obtained by the use of a 4.0 mm stainless steel incremental corer. We took three cores from each tree with permission of the municipalities. For the PIXE we use infinitely thick targets, as wood slabs taken along the trunk radius, and thin targets obtained by acid digestion of wood pieces and deposition on Kapton foils. Self supporting thick targets were placed directly in the PIXE chamber in a position so as to allow the irradiation of a specific annual ring. Potassium and Calcium appear as the most abundant elements in wood. Other elements such as S, Cu, Zn, As, Br and Pb were detected in amounts above the natural background in wood, and can be attributed to environmental contamination. The K/Ca ratios appear to be different for each species of tree, and seem to be related to the physico-chemical properties of wood. Preliminary results show important amounts of As and Cu (supposedly from mining origin) with increasing presence in the recent years. Pb and Zn (supposedly from vehicle origin) are also higher in recent years. (author)

  6. Analysis of contaminating elements in tree rings in Santiago, Chile

    Romo-Kroeger, C.M.; Avila, M.J.; Eaton, L.C.; Lopez, L.A. [Faculty of Sciences. Univ. of Chile, Santiago (Chile)

    1996-12-31

    Using the 22`` isochronous cyclotron at the University of Chile, we have performed PIXE analyses on a group of samples collected from trees of metropolitan parks in Santiago. Dendrochronology was performed on each sample, which was then sectioned for the PIXE and other analyses, neutron activation and electro-chemistry. Available samples are trunk sections or cores obtained by the use of a 4.0 mm stainless steel incremental corer. We took three cores from each tree with permission of the municipalities. For the PIXE we use infinitely thick targets, as wood slabs taken along the trunk radius, and thin targets obtained by acid digestion of wood pieces and deposition on Kapton foils. Self supporting thick targets were placed directly in the PIXE chamber in a position so as to allow the irradiation of a specific annual ring. Potassium and Calcium appear as the most abundant elements in wood. Other elements such as S, Cu, Zn, As, Br and Pb were detected in amounts above the natural background in wood, and can be attributed to environmental contamination. The K/Ca ratios appear to be different for each species of tree, and seem to be related to the physico-chemical properties of wood. Preliminary results show important amounts of As and Cu (supposedly from mining origin) with increasing presence in the recent years. Pb and Zn (supposedly from vehicle origin) are also higher in recent years. (author)

  7. Entrevista a Santiago Álvarez de Mon

    Sergio López

    2006-09-01

    Full Text Available Santiago Álvarez de Mon es un profesor de obligada referencia académica y profesional en el ámbito de los valores humanos en la alta dirección empresarial. Doctor en sociología y ciencias políticas por la Universidad de Salamanca (España, es profesor en el Instituto de Estudios Superiores de la Empresa de la Universidad de Navarra (IESE, actualmente considerada como una de las diez escuelas de negocios más prestigiosas del mundo. Álvarez de Mon es autor de varios artículos y libros sobre el liderazgo empresarial, entre los que destacan “El mito del líder” o “Desde la adversidad: liderazgo, cuestión de carácter”, basado en las historias de vida e investigación sobre destacados personajes como Nelson Mandela, Hellen Keller, José Carreras o Lance Armstrong, entre otros. Ha trabajado como directivo en la banca española, así como en el sector de grandes cadenas de distribución, y actualmente combina su labor docente con el asesoramiento a varias compañías en materias de liderazgo y trabajo en equipo.

  8. Detecting depression among adolescents in Santiago, Chile: sex differences.

    Araya, Ricardo; Montero-Marin, Jesus; Barroilhet, Sergio; Fritsch, Rosemarie; Gaete, Jorge; Montgomery, Alan

    2013-04-23

    Depression among adolescents is common but most cases go undetected. Brief questionnaires offer an opportunity to identify probable cases but properly validated cut-off points are often unavailable, especially in non-western countries. Sex differences in the prevalence of depression become marked in adolescence and this needs to be accounted when establishing cut-off points. This study involved adolescents attending secondary state schools in Santiago, Chile. We compared the self-reported Beck Depression Inventory-II with a psychiatric interview to ascertain diagnosis. General psychometric features were estimated before establishing the criterion validity of the BDI-II. The BDI-II showed good psychometric properties with good internal consistency, a clear unidimensional factorial structure, and good capacity to discriminate between cases and non-cases of depression. Optimal cut-off points to establish caseness for depression were much higher for girls than boys. Sex discrepancies were primarily explained by differences in scores among those with depression rather than among those without depression. It is essential to validate scales with the populations intended to be used with. Sex differences are often ignored when applying cut-off points, leading to substantial misclassification. Early detection of depression is essential if we think that early intervention is a clinically important goal.

  9. Estudio sobre las motivaciones para recorrer el Camino de Santiago

    Antonio Granero Gallegos

    2007-09-01

    Full Text Available Este estudio se ha centrado en conocer las motivaciones del viajero jacobeo actual, mayor de 15 años, que andando o en bicicleta recorre el Camino de Santiago, analizando las relaciones referentes a las necesidades de evasión de la vida cotidiana y la experiencia activa a través de la actividad físico-deportiva. La investigación se ha desarrollado mediante la aplicación de un cuestionario autoadministrado a una muestra de 1.071 sujetos, utilizando el procedimiento de muestreo estratificado polietápico con afijación proporcional, con un margen de error muestral del ± 3 % y un nivel de confianza del 95,5%. Los resultados han puesto de manifiesto la adaptación de esta ruta, tradicionalmente recorrida por motivos religiosos, a la época contemporánea, constituyendo, en la actualidad, un escenario en el que están presentes los distintos elementos del ocio y las actividades físico-deportivo-recreativas en el medio natural, vinculada con el turismo rural, deportivo, de aventura o cultural, y donde el sujeto busca también alejarse del cotidiano estrés urbano.

  10. Common mental disorders and the built environment in Santiago, Chile.

    Araya, Ricardo; Montgomery, Alan; Rojas, Graciela; Fritsch, Rosemarie; Solis, Jaime; Signorelli, Andres; Lewis, Glyn

    2007-05-01

    There is growing research interest in the influence of the built environment on mental disorders. To estimate the variation in the prevalence of common mental disorders attributable to individuals and the built environment of geographical sectors where they live. A sample of 3870 adults (response rate 90%) clustered in 248 geographical sectors participated in a household cross-sectional survey in Santiago, Chile. Independently rated contextual measures of the built environment were obtained. The Clinical Interview Schedule was used to estimate the prevalence of common mental disorders. There was a significant association between the quality of the built environment of small geographical sectors and the presence of common mental disorders among its residents. The better the quality of the built environment, the lower the scores for psychiatric symptoms; however, only a small proportion of the variation in common mental disorder existed at sector level, after adjusting for individual factors. Findings from our study, using a contextual assessment of the quality of the built environment and multilevel modelling in the analysis, suggest these associations may be more marked in non-Western settings with more homogeneous geographical sectors.

  11. Familial periodontal disease in the Cayo Santiago rhesus macaques.

    Gonzalez, Octavio A; Orraca, Luis; Kensler, Terry B; Gonzalez-Martinez, Janis; Maldonado, Elizabeth; Ebersole, Jeffrey L

    2016-01-01

    Substantial ongoing research continues to explore the contribution of genetics and environment to the onset, extent and severity of periodontal disease(s). Existing evidence supports that periodontal disease appears to have an increased prevalence in family units with a member having aggressive periodontitis. We have been using the nonhuman primate as a model of periodontal disease for over 25 years with these species demonstrating naturally occurring periodontal disease that increases with age. This report details our findings from evaluation of periodontal disease in skulls from 97 animals (5-31 years of age) derived from the skeletons of the rhesus monkeys (Macaca mulatta) on Cayo Santiago. Periodontal disease was evaluated by determining the distance from the base of the alveolar bone defect to the cemento-enamel junction on 1st/2nd premolars and 1st/2nd molars from all four quadrants. The results demonstrated an increasing extent and severity of periodontitis with aging across the population of animals beyond only compensatory eruption. Importantly, irrespective of age, extensive heterogeneity in disease expression was observed among the animals. Linking these variations to multi-generational matriarchal family units supported familial susceptibility of periodontitis. As the current generations of animals that are descendants from these matrilines are alive, studies can be conducted to explore an array of underlying factors that could account for susceptibility or resistance to periodontal disease. © 2016 Wiley Periodicals, Inc.

  12. Estudio del propoleos de Santiago del Estero, Argentina Estudo de própolis de Santiago del Estero, Argentina

    Lucrecia Lucía Chaillou

    2004-03-01

    Full Text Available El objetivo principal de este trabajo fue determinar las características físico-químicas del propóleos de la provincia de Santiago del Estero. Las muestras se recolectaron de colmenas ubicadas en los departamentos Capital, Banda y Robles. Se determinaron: color, olor, sabor consistencia y aspecto. Las muestras por lo general, se presentaron en trozos irregulares con brillo, de estructura homogénea, consistencia dura. El color fue marrón oscuro, olor resinoso aromático y sabor picante. El porcentaje de impurezas mecánicas, cera y resinas se encuentran de valores normales. El índice de oxidación, las concentraciones de compuestos fenólicos y flavonoides y la actividad antibacteriana frente a Staphylococcus aureus permiten concluir que la calidad del propóleos de los departamentos estudiados es buena.O objetivo principal deste trabalho foi a determinação das caracteristicas físico-químicas de própolis de Santiago del Estero. As amostras foram coletadas de departamentos Capital, Banda e Robles. A cor, o odor, o sabor, a consistência e a aparência externa foram analisados. As impurezas mecânicas, a cera, a resina, o índice da oxidação, os compostos fenólicos e os flavonóides foram testados. A atividade antimicrobiana foi determinada. As amostras foram apresentadas com estrutura homogênea, em parcelas irregulares brilhantes e a consistência era dura ou pouco macia na maioria dos casos. A cor era marrom-escura e o aroma resinoso aromático e o sabor picante. Porcentagem das impurezas, das ceras, da resina estavam entre valores normais. O índice de oxidação, as concentrações de compostos fenólicos e de flavonóides e a atividade antimicrobiana na Staphylococcus aureus permitam concluir que a qualidade dos própolis de departamentos Capital, Banda e Robles é boa.

  13. Dexmedetomidine: Expanding role in anesthesia

    Jyotsna S Paranjpe

    2013-01-01

    Full Text Available The potential uses of dexmedetomidine (DEX, a highly selective α2 - adrenoceptor agonist are very diverse. DEX appears to mimic many of the actions of mythical ′ideal′ sedative/analgesic agent. Although not orally active, DEX shows good bioavailability when administered via various other routes like intranasal, buccal, IM than intra-venous. DEX has similar pharmacokinetics in all age groups. Its side effects are predictable and easily treatable, hence it has found place as a part of fast-tracking anesthesia regimens in children. DEX is the sedative of choice for peri-operative use in high risk patients, since it is cardioprotective, neuroprotective and renoprotective. Premedication with DEX obtunds the autonomic pressor responses due to laryngoscopy and endotracheal intubation when used as an adjuvant to general anesthesia. DEX in high doses offers another approach to managing morbidly obese patients and patients with a compromised airway; without causing any cardio-respiratory depression. It is near ideal hypotensive agent used for controlled hypotension. Its value as a primary sedative and analgesic is becoming more accepted and evident in critically ill patients; in adult and paediatric intensive care units. Besides use in locoregional anesthesia, it is also used as an opioid substitute, for treatment of substance withdrawal, as an anti-shivering agent, for treatment of delirium and as an end of life medication. Availability of an antidote (Atipamezole with similar elimination half life is taking the drug into new frontiers. However, use of DEX is contraindicated in patients with hepatic failure, hypovolemic shock, advanced heart block or ventricular dysfunction.

  14. Anesthesia in a Combat Environment

    1981-09-25

    volunteers, 5. Horan BF, 1’rys-Roberts C, Hamilton WK, Roberts IG. Hie- I’ac2 rturnd t ner omalvalus, ut ardivas irodyftamic responses to enflurane anaesthesia...prolonged mainte- 77-81. nance of anesthesia. 19. Henry RI, Cannon DC., Winktlinail 1W, eds. (li ilheinitry,principles anid techiniques. 2nd ed. New York I...spinal cord injuries, particularly in the cervical or high thoracic regions, result in a "spinal shock" syndrome . Large volumes of intravenous fluid may

  15. Teaching Medical Students Clinical Anesthesia.

    Curry, Saundra E

    2018-05-01

    There are many reasons for evaluating our approach and improving our teaching of America's future doctors, whether they become anesthesiologists (recruitment) or participate in patient management in the perioperative period (general patient care). Teaching medical students the seminal aspects of any medical specialty is a continual challenge. Although no definitive curricula or single clinical approach has been defined, certain key features can be ascertained from clinical experience and the literature. A survey was conducted among US anesthesiology teaching programs regarding the teaching content and approaches currently used to teach US medical students clinical anesthesia. Using the Accreditation Council for Graduate Medical Education website that lists 133 accredited anesthesiology programs, residency directors were contacted via e-mail. Based on those responses and follow-up phone calls, teaching representatives from 125 anesthesiology departments were identified and asked via e-mail to complete a survey. The survey was returned by 85 programs, yielding a response rate of 68% of individuals contacted and 63% of all departments. Ninety-one percent of the responding departments teach medical students, most in the final 2 years of medical school. Medical student exposure to clinical anesthesia occurred as elective only at 42% of the institutions, was requirement only at 16% of responding institutions, and the remainder had both elective and required courses. Anesthesiology faculty at 43% of the responding institutions reported teaching in the preclinical years of medical school, primarily in the departments of pharmacology and physiology. Forty-five percent of programs reported interdisciplinary teaching with other departments teaching classes such as gross anatomy. There is little exposure of anesthesiology faculty to medical students in other general courses. Teaching in the operating room is the primary teaching method in the clinical years. Students are

  16. Local anesthesia for prostate brachytherapy

    Wallner, Kent; Simpson, Colleen; Roof, James; Arthurs, Sandy; Korssjoen, Tammy; Sutlief, Steven

    1999-01-01

    Purpose: To demonstrate the technique and feasibility of prostate brachytherapy performed with local anesthesia only. Methods and Materials: A 5 by 5 cm patch of perineal skin and subcutaneous tissue is anesthetized by local infiltration of 10 cc of 1% lidocaine with epinephrine, using a 25-gauge 5/8-inch needle. Immediately following injection into the subcutaneous tissues, the deeper tissues, including the pelvic floor and prostate apex, are anesthetized by injecting 15 cc lidocaine solution with approximately 8 passes of a 20-gauge 1.0-inch needle. Following subcutaneous and peri-apical lidocaine injections, the patient is brought to the simulator suite and placed in leg stirrups. The transrectal ultrasound (TRUS) probe is positioned to reproduce the planning images and a 3.5- or 6.0-inch, 22-gauge spinal needle is inserted into the peripheral planned needle tracks, monitored by TRUS. When the tips of the needles reach the prostatic base, about 1 cc of lidocaine solution is injected in the intraprostatic track, as the needle is slowly withdrawn, for a total volume of 15 cc. The implants are done with a Mick Applicator, inserting and loading groups of two to four needles, so that a maximum of only about four needles are in the patient at any one time. During the implant procedure, an additional 1 cc of lidocaine solution is injected into one or more needle tracks if the patient experiences substantial discomfort. The total dose of lidocaine is generally limited to 500 mg (50 ml of 1% solution). Results: To date, we have implanted approximately 50 patients in our simulator suite, using local anesthesia. Patients' heart rate and diastolic blood pressure usually showed moderate changes, consistent with some discomfort. The time from first subcutaneous injection and completion of the source insertion ranged from 35 to 90 minutes. Serum lidocaine levels were below or at the low range of therapeutic. There has been only one instance of acute urinary retention in the

  17. Anesthesia and the developing brain.

    Aker, John; Block, Robert I; Biddle, Chuck

    2015-04-01

    Despite the profound evolution in the safety and efficacy of neonatal and pediatric anesthesia, questions remain concerning the long-term neurotoxic and neurocognitive effects of the drugs used in anesthetic care. A variety of prospective animal models and retrospective human studies exist that inconsistently demonstrate a detrimental effect of early life exposure to anesthetic drugs and subsequent learning performance. Limitations associated with both non-human and human observational studies are critiqued. Research currently underway is briefly described. A framework for discussing the relevant issues with concerned parents is presented.

  18. Presbycusis: reversible with anesthesia drugs?

    Kocher, Carl A

    2009-02-01

    Age-related hearing impairment, or presbycusis, is a degenerative condition not currently treatable by medication. It is therefore significant that the author, as a patient, experienced a reversal of high-frequency hearing loss during a 2-day period following abdominal surgery with general anesthesia. This report documents the surgery and the subsequent restoration of hearing, which was bilateral and is estimated to have exceeded 50dB at 4kHz. A possible role is noted for anesthetic agents such as lidocaine, propofol, or fentanyl. This experience may hold a clue for research toward the development of medical treatments for presbycusis.

  19. [Anesthesia practice in Catalan hospitals and other health care facilities].

    Villalonga, Antonio; Sabaté, Sergi; Campos, Juan Manuel; Fornaguera, Joan; Hernández, Carmen; Sistac, José María

    2006-05-24

    The aim of this arm of the ANESCAT study was to characterize anesthesia practice in the various types of health care facilities of Catalonia, Spain, in 2003. We analyzed data from the survey according to a) source of a facility's funding: public hospitals financed by the Catalan Public Health Authority (ICS), the network of subsidized hospitals for public use (XHUP), or private hospitals; b) size: facilities without hospital beds, hospitals with fewer than 250 beds, those with 251 to 500, and those with over 500; and c) training accreditation status: whether or not a facility gave medical resident training. A total of 131 facilities participated (11 under the ICS, 47 from the XHUP, and 73 private hospitals). Twenty-six clinics had no hospital beds, 78 facilities had fewer than 250, 21 had 251 to 500, and 6 had more than 500. Seventeen hospitals trained medical residents. XHUP hospitals performed 44.3% of all anesthetic procedures, private hospitals 36.7%, and ICS facilities 18.5%. Five percent of procedures were performed in clinics without beds, 42.9% in facilities with fewer than 250 beds, 35% in hospitals with 251 to 500, and 17.1% in hospitals with over 500. Anesthetists in teaching hospitals performed 35.5% of all procedures. The mean age of patients was lower in private hospitals, facilities with fewer than 250 beds, and hospitals that did not train medical residents. The physical status of patients was worse in ICS hospitals, in facilities with over 500 beds, and in teaching hospitals. It was noteworthy that 25% of anesthetic procedures were performed on an emergency basis in XHUP and ICS hospitals, in facilities with more than 250 beds, and in teaching hospitals. Anesthesia for outpatient procedures accounted for 40% of the total in private hospitals and 31% of the practice in ICS and XHUP hospitals. The duration of anesthesia and postanesthetic recovery was longer in ICS hospitals, in facilities with over 500 beds, and in those with medical resident

  20. Simulation for Nurse Anesthesia Program Selection: Redesigned

    Roebuck, John Arthur

    2017-01-01

    Purpose: This project is meant to answer the research question: What applicant character traits do Nurse Anesthesia Program Directors and Faculty identify as favorable predictors for successful completion of a nurse anesthesia program, and what evaluation methods are best to evaluate these traits in prospective students? Methods: A prospective…

  1. Providing anesthesia in resource-limited settings.

    Dohlman, Lena E

    2017-08-01

    The article reviews the reality of anesthetic resource constraints in low and middle-income countries (LMICs). Understanding these limitations is important to volunteers from high-income countries who desire to teach or safely provide anesthesia services in these countries. Recently published information on the state of anesthetic resources in LMICs is helping to guide humanitarian outreach efforts from high-income countries. The importance of using context-appropriate anesthesia standards and equipment is now emphasized. Global health experts are encouraging equal partnerships between anesthesia health care providers working together from different countries. The key roles that ketamine and regional anesthesia play in providing well tolerated anesthesia for cesarean sections and other common procedures is increasingly recognized. Anesthesia can be safely given in LMICs with basic supplies and equipment, if the anesthesia provider is trained and vigilant. Neuraxial and regional anesthesia and the use of ketamine as a general anesthetic appear to be the safest alternatives in low-resource countries. Environmentally appropriate equipment should be encouraged and pulse oximeters should be in every anesthetizing location. LMICs will continue to need support from outside sources until capacity building has made more progress.

  2. Meatotomy using topical anesthesia: A painless option

    Vinod Priyadarshi

    2015-01-01

    Conclusion: Use of topical anesthesia in form of Prilox (EMLA cream for meatotomy is safe and effective method that avoids painful injections and anxiety related to it and should be considered in most of such patients as an alternative of conventional penile blocks or general anesthesia.

  3. Optimal Technique in Cardiac Anesthesia Recovery

    Svircevic, V.

    2014-01-01

    The aim of this thesis is to evaluate fast-track cardiac anesthesia techniques and investigate their impact on postoperative mortality, morbidity and quality of life. The following topics will be discussed in the thesis. (1.) Is fast track cardiac anesthesia a safe technique for cardiac surgery?

  4. Pilgrimage, Past and Present. Norwegian Perspectives with emphasis on Santiago de Compostela

    Roger Jensen

    2017-09-01

    Full Text Available In this article, we discuss the phenomenon of pilgrimage from a Norwegian perspective, exemplified by the past and present role and significance of Santiago de Compostela as a holy site and destination for pilgrims. By taking a historical view, the transformation of meaning and role is stressed. In the Middle Ages, Santiago was an important pilgrimage destination for people living in Northern Europe. Following the subsequent Protestant Reformation and the era of confessionalization, Santiago came to exemplify all the problems and challenges related to pilgrimage and the name of the city became a derogatory word. From this background, the present-day rediscovery of pilgrimage in Norway and the role of the city of Santiago, as the foremost example of the renaissance of the pilgrimage phenomena in present day postmodern times, are discussed. It is argued that the “rehabilitation” of Santiago and the new interest in pilgrimage in Norway were made possible due to the redefinition of pilgrimage that has taken place on what can be characterized as an ideological level. It is a redefinition that reflects the postmodern renaissance of pilgrimage and which is documented in recent social scientific empirical studies on the Camino.

  5. Spain: NATO or Neutrality,

    1980-04-01

    having Spain as a member. Spain is a traditional country in many ways. Religion is still a strongly-felt part of national life and atheism is looked at... Siglo XXI, 30 April 1979. Pedro J. Ramirez, "Diez Razones a favor de la OTAN," ABC, 17 September 1978, p. 7. 8 Ibid. Il 167 - SPAIN - WHAT’S IN IT...Cordoba and Granada. All three of the country’s major religions lived in relative harmony primarily in Moorish kingdoms, where the arts, commerce, and the

  6. Discovery of a secular trend in Cayo Santiago macaque reproduction.

    Hernández-Pacheco, Raisa; Rawlins, Richard G; Kessler, Matthew J; Delgado, Diana L; Ruiz-Lambides, Angelina V; Sabat, Alberto M

    2016-02-01

    Reproductive synchrony and the consequent clustering of births are hypothesized to be regulated by seasonal changes in rainfall and food availability. Such climate-related seasonality is, however, questionable in tropical populations occupying temporally invariant habitats year round. Using the long-term data of the Cayo Santiago rhesus macaques from 1973 to 2013, this study distinguishes synchrony (a greater than chance clustering of births) from seasonality (a cluster of births during a period of the year when abiotic conditions are favorable) and shows that females are highly synchronized (>72% of births in a 3-month period) but the effects of environmental zeitgebers on reproduction are overridden by biological factors. Specifically, biotic and abiotic factors including (i) loss of immature offspring; (ii) population density; (iii) age at delivery; (iv) rainfall; and (v) changes in colony management were modeled in relation to the annual onset of births and the median birth date. Females experiencing loss of immature offspring had an interbirth interval of trend in both the onset of births and the median date of birth is documented and the model predicts that the median birth date will advance across all calendar-based seasons by 2050. The secular trend in reproduction appears to be triggered by changes in the age at delivery of females, the absence of physiological constraints from maternal investment due to offspring loss, shorter interbirth interval, and a higher degree of coordination due to increasing population density. This study challenges the reproductive phenology previously described for rhesus macaques highlighting the importance of long-term studies in addressing the ultimate causes of reproductive synchrony. © 2015 Wiley Periodicals, Inc.

  7. Corporal Punishment and Youth Externalizing Behavior in Santiago, Chile

    Ma, Julie; Han, Yoonsun; Grogan-Kaylor, Andrew; Delva, Jorge; Castillo, Marcela

    2012-01-01

    Objectives Corporal punishment is still widely practiced around the globe, despite the large body of child development research that substantiates its short- and long-term consequences. Within this context, this paper examined the relationship between parental use of corporal punishment and youth externalizing behavior with a Chilean sample to add to the growing empirical evidence concerning the potential relationship between increased corporal punishment and undesirable youth outcomes across cultures. Methods Analysis was based on 919 adolescents in Santiago, Chile. Descriptive and multivariate analyses were conducted to examine the extent to which parents’ use of corporal punishment and positive family measures were associated with youth externalizing behavior. Furthermore, the associations between self-reported externalizing behavior and infrequent, as well as frequent, use of corporal punishment were investigated to contribute to understanding how varying levels of parental use of corporal punishment were differently related to youth outcomes. Results Both mother’s and father’s use of corporal punishment were associated with greater youth externalizing behavior. Additionally, increases in positive parenting practices, such as parental warmth and family involvement, were met with decreases in youth externalizing behavior when controlling for youth demographics, family socioeconomic status, and parents’ use of corporal punishment. Finally, both infrequent and frequent use of corporal punishment were positively associated with higher youth problem behaviors, though frequent corporal punishment had a stronger relationship with externalizing behavior than did infrequent corporal punishment. Conclusions Parental use of corporal punishment, even on an occasional basis, is associated with greater externalizing behavior for youth while a warm and involving family environment may protect youth from serious problem behaviors. Therefore, findings of this study add

  8. INES in Spain

    Zarzuela, J.

    1997-01-01

    The presentation discusses the INES activities in Spain addressing the following issues: applicability; rating procedure; public information; activities in 1997; events above level 0 (October 1996 - September 1997); difficulties

  9. Application of Time-Domain Electromagnetic Method in Investigating Saltwater Intrusion of Santiago Island (Cape Verde)

    Gonçalves, Rui; Farzamian, Mohammad; Monteiro Santos, Fernando A.; Represas, Patrícia; Mota Gomes, A.; Lobo de Pina, A. F.; Almeida, Eugénio P.

    2017-11-01

    Santiago Island, the biggest and most populated island of the Cape Verde Republic, is characterised by limited surface waters and strong dependence on groundwater sources as the primary source of natural water supply for extensive agricultural activity and human use. However, as a consequence of the scarce precipitation and high evaporation as well as the intense overexploitation of the groundwater resources, the freshwater management is also in a delicate balance with saltwater at coastal areas. The time-domain electromagnetic (TDEM) method is used to locate the extent of saltwater intrusion in four important agricultural regions in Santiago Island; São Domingos, Santa Cruz, São Miguel, and Tarrafal. The application of this method in Santiago Island proves it to be a successful tool in imaging the fresh/saltwater interface location. Depths to the saline zones and extensions of saline water are mapped along eight TDEM profiles.

  10. Effect of Nearby Forest Fires on Ground Level Ozone Concentrations in Santiago, Chile

    María A. Rubio

    2015-12-01

    Full Text Available On 4 and 8 January 2014, at the height of the austral summer, intense wildfires in forests and dry pastures occurred in the Melipilla sector, located about 70 km to the southwest of Santiago, the Chilean capital, affecting more than 6 million inhabitants. Low level winds transported the forest fire plume towards Santiago causing a striking decrease in visibility and a marked increase in the concentration of both primary (PM10 and CO and secondary (Ozone pollutants in the urban atmosphere. In particular, ozone maximum concentrations in the Santiago basin reached hourly averages well above 80 ppb, the national air quality standard. This ozone increase took place at the three sampling sites considered in the present study. These large values can be explained in terms of high NOx concentrations and NO2/NO ratios in biomass burning emissions.

  11. Molecular Gastronomy in Spain

    García-Segovia, Purificación; Garrido, María Dolores; Vercet Tormo, Antonio; Arboleya, Juan Carlos; FISZMAN DAL SANTO, SUSANA; Martínez Monzó, Javier; Laguarda, Sergio; Palacios, Victor; Ruiz Carrascal, Jorge

    2014-01-01

    [EN] Beyond the overwhelming international success of Ferrán Adria, Spain has been one of the countries with a more active implication in molecular gastronomy as a scientific discipline but also in the use of ingredients, technologies, and equipment from the scientificand technological universe in the culinary area. Nowadays, this is a well-established discipline in Spain, with a number of research groups covering related topics, several companies commercializing appliances and additives worl...

  12. [Comparison of epidural anesthesia and general anesthesia for patients with bronchial asthma].

    Kasaba, T; Suga, R; Matsuoka, H; Iwasaki, T; Hidaka, N; Takasaki, M

    2000-10-01

    We prospectively investigated the incidence of asthmatic attacks in 94 patients (1.5%) who were diagnosed as definite asthma. We separated the patients into three groups: epidural anesthesia (n = 10) including combined spinal/epidural anesthesia (n = 7), combined epidural and general anesthesia (n = 23), and general anesthesia (n = 54). General anesthesia was induced with propofol or midazolam and maintained with N2O and O2 with sevoflurane in adults. Patients who underwent epidural anesthesia and combined spinal and epidural anesthesia showed no asthmatic attacks. The incidence of bronchospasm with combined epidural and general anesthesia was 2/23. The incidence of bronchospasm with general anesthesia was 4/54. Bronchoconstriction occurred after tracheal intubation in 5 patients except in one patient, in whom it occurred after induction of anesthesia with midazolam. All episodes of bronchospasm in the operative period were treated successfully. The frequency of bronchospasm did not depend on the severity of asthmatic symptoms or the chronic use of bronchodilators before operation. These findings suggest that tracheal intubation, not the choice of anesthetic, plays an important role in the pathogenesis of bronchospasm.

  13. Spinal anesthesia after intraoperative cardiac arrest during general anesthesia in an infant

    Whitaker EE

    2017-03-01

    Full Text Available Emmett E Whitaker,1,2 Veronica Miler,1,2 Jason Bryant,1,2 Stephanie Proicou,1 Rama Jayanthi,3,4 Joseph D Tobias1,2 1Department of Anesthesiology & Pain Medicine, Nationwide Children’s Hospital, 2Department of Anesthesiology & Pain Medicine, The Ohio State University College of Medicine, 3Division of Pediatric Urology, Nationwide Children’s Hospital, 4Department of Urology, The Ohio State University College of Medicine, Columbus, OH, USA Abstract: Although generally safe and effective, severe perioperative complications, including cardiac arrest, may occur during general anesthesia in infants. With the emergence of evidence that specific anesthetic agents may affect future neurocognitive outcomes, there has been an increased focus on alternatives to general anesthesia, including spinal anesthesia. We present a case of cardiac arrest during general anesthesia in an infant who required urologic surgery. During the subsequent anesthetic care, spinal anesthesia was offered as an alternative to general anesthesia. The risks of severe perioperative complications during general anesthesia are reviewed, etiologic factors for such events are presented, and the use of spinal anesthesia as an alternative to general anesthesia is discussed. Keywords: child, pediatric anesthesia, complications

  14. Creating Three New Bike Tours in Santiago de Chile Case Study: Huaso Tours & Bike Rental

    Heino, Jenni

    2015-01-01

    The purpose of this Bachelor´s thesis was to create new bike tour services for the thesis case company Huaso Tours & Bike Rental, based in Santiago de Chile. The idea for the thesis was perceived from a free time activity of mountain biking in Santiago de Chile´s popular tourist attraction San Cristobal hill. This park draws thousands of bikers monthly to enjoy the green areas of the city, however, there is no mountain bike service offered to visit this hill. By conducting a small pre-researc...

  15. Santiago, four Decades and a Half from the University of East

    Reynier Rodríguez-Pérez

    2016-02-01

    Full Text Available The text introduces the Taller Literario and the Revista de la Universidad de Oriente as direct antecedent of the Santiago magazine, in that sense it places the magazine in the center of an editorial process generated by the university after the addition to the institution of Nils Castro, a professor from Panama. The text also values the circumstances of the period were the Santiago magazine abandons it printed format and projects the way followed by the institution in the next years. In adittion, the review celebrates the role of the editor of scientific magazines in the communication of science and technological innovation results of universities.

  16. Los cabildos catedralicios de Santiago y Orense en el reinado de Felipe V: algunos resultados

    María SEIJAS MONTERO

    2017-06-01

    Full Text Available Este artículo presenta los primeros resultados del estudio realizado sobre los cabildos catedralicios de Santiago y Orense durante el reinado de Felipe V. El objetivo fundamental se centra en dar a conocer la estructuración del personal de las catedrales, es decir, el número y ocupaciones de los capitulares, su procedencia geográfica para el caso compostelano, las relaciones de parentesco y la interrelación de sus miembros con los gobiernos locales de Santiago y Orense.

  17. Regional anesthesia practice in China: a survey.

    Huang, Jeffrey; Gao, Huan

    2016-11-01

    Neuraxial anesthesia has been widely used in China. Recently, Chinese anesthesiologists have applied nerve stimulator and ultrasound guidance for peripheral nerve blocks. Nationwide surveys about regional anesthesia practices in China are lacking. We surveyed Chinese anesthesiologists about regional anesthesia techniques, preference, drug selections, complications, and treatments. A survey was sent to all anesthesiologist members by WeChat. The respondents can choose mobile device or desktop to complete the survey. Each IP address is allowed to complete the survey once. A total of 6589 members read invitations. A total of 2654 responses were received with fully completed questionnaires, which represented an overall response rate of 40%. Forty-one percent of the respondents reported that more than 50% of surgeries in their hospitals were done under regional anesthesia. Most of the participants used test dose after epidural catheter insertion. The most common drug for test dose was 3-mL 1.5% lidocaine; 2.6% of the participants reported that they had treated a patient with epidural hematoma after neuraxial anesthesia. Most anesthesiologists (68.2%) performed peripheral nerve blocks as blind procedures based on the knowledge of anatomical landmarks. A majority of hospitals (80%) did not stock Intralipid; 61% of the respondents did not receive peripheral nerve block training. The current survey can serve as a benchmark for future comparisons and evaluation of regional anesthesia practices in China. This survey revealed potential regional anesthesia safety issues in China. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. Recent advances in topical anesthesia

    2016-01-01

    Topical anesthetics act on the peripheral nerves and reduce the sensation of pain at the site of application. In dentistry, they are used to control local pain caused by needling, placement of orthodontic bands, the vomiting reflex, oral mucositis, and rubber-dam clamp placement. Traditional topical anesthetics contain lidocaine or benzocaine as active ingredients and are used in the form of solutions, creams, gels, and sprays. Eutectic mixtures of local anesthesia cream, a mixture of various topical anesthetics, has been reported to be more potent than other anesthetics. Recently, new products with modified ingredients and application methods have been introduced into the market. These products may be used for mild pain during periodontal treatment, such as scaling. Dentists should be aware that topical anesthetics, although rare, might induce allergic reactions or side effects as a result of an overdose. Topical anesthetics are useful aids during dental treatment, as they reduce dental phobia, especially in children, by mitigating discomfort and pain. PMID:28879311

  19. Historical development of modern anesthesia.

    Robinson, Daniel H; Toledo, Alexander H

    2012-06-01

    Of all milestones and achievements in medicine, conquering pain must be one of the very few that has potentially affected every human being in the world. It was in 1846 that one of mankind's greatest fears, the pain of surgery, was eliminated. This historical review article describes how the various elements of anesthesiology (gasses, laryngoscopes, endotracheal tubes, intravenous medications, masks, and delivery systems) were discovered and how some brilliant entrepreneurs and physicians of the past two centuries have delivered them to humanity. One name stands out amongst all others when the founder of modern anesthesia is discussed, William T.G. Morton (1819-1868). A young Boston Dentist, Dr. Morton had been in the search for a better agent than what had been used by many dentists: nitrous oxide. With Dr. Morton's tenacity driven by enthusiasm and discovery, he and renowned surgeon at Massachusetts General Hospital, John Collins Warren (1778-1856) made history on October 16, 1846 with the first successful surgical procedure performed with anesthesia. Dr. Morton had single-handedly proven to the world that ether is a gas that when inhaled in the proper dose, provided safe and effective anesthesia. One of the first accounts of an endotracheal tube being used for an airway comes from the pediatrician Joseph O'Dwyer (1841-1898). He used the metal "O'dwyer" tubes in diphtheria cases and passed them into the trachea blindly. Adding a cuff to the tube is credited to Arthur Guedel (1883-1956) and Ralph M. Waters (1883-1979) in 1932. This addition suddenly gave the practitioner the ability to provide positive pressure ventilation. The anesthesiologist Chevalier Jackson (1865-1958) promoted his handheld laryngoscope for the insertion of endotracheal tubes and its popularity quickly caught hold. Sir Robert Reynolds Macintosh's (1897-1989) breakthrough technique of direct laryngoscopy came after being appointed Nuffield professor of anesthetics at the University of Oxford

  20. The evolution of thoracic anesthesia.

    Brodsky, Jay B

    2005-02-01

    The specialty of thoracic surgery has evolved along with the modem practice of anesthesia. This close relationship began in the 1930s and continues today. Thoracic surgery has grown from a field limited almost exclusively to simple chest wall procedures to the present situation in which complex procedures, such as lung volume reduction or lung transplantation, now can be performed on the most severely compromised patient. The great advances in thoracic surgery have followed discoveries and technical innovations in many medical fields. One of the most important reasons for the rapid escalation in the number and complexity of thoracic surgical procedures now being performed has been the evolution of anesthesia for thoracic surgery. There has been so much progress in this area that numerous books and journals are devoted entirely to this subject. The author has been privileged to work with several surgeons who specialized in noncardiac thoracic surgery. As a colleague of 25 years, the noted pulmonary surgeon James B.D. Mark wrote, "Any operation is a team effort... (but) nowhere is this team effort more important than in thoracic surgery, where near-choreography of moves by all participants is essential. Exchange of information, status and plans are mandatory". This team approach between the thoracic surgeon and the anesthesiologist reflects the history of the two specialties. With new advances in technology, such as continuous blood gas monitoring and the pharmacologic management of pulmonary circulation to maximize oxygenation during one-lung ventilation, in the future even more complex procedures may be able to be performed safely on even higher risk patients.

  1. Effect of general anesthesia and orthopedic surgery on serum tryptase

    Garvey, Lene H; Bech, Birgitte Louise; Mosbech, Holger

    2010-01-01

    Mast cell tryptase is used clinically in the evaluation of anaphylaxis during anesthesia, because symptoms and signs of anaphylaxis are often masked by the effect of anesthesia. No larger studies have examined whether surgery and anesthesia affect serum tryptase. The aim of this study...... was to investigate the effect of anesthesia and surgery on serum tryptase in the absence of anaphylaxis....

  2. Alzheimer’s disease and anesthesia

    Marie-Amélie ePapon

    2011-01-01

    Full Text Available Cognitive disorders such as post-operative cognitive dysfunction, confusion, and delirium, are common following anesthesia in the elderly, with symptoms persisting for months or years in some patients. Alzheimer's disease (AD patients appear to be particularly at risk of cognitive deterioration following anesthesia, and some studies suggest that exposure to anesthetics may increase the risk of AD. Here, we review the literature linking anesthesia to AD, with a focus on the biochemical consequences of anesthetic exposure on AD pathogenic pathways.

  3. Modern technologies of local injection anesthesia in dental practice

    Sohov S.Т.

    2013-09-01

    Full Text Available Objective: To assess the importance of using the new system Quick Sleeper for local anesthesia, to highlight benefits of quick and comfortable anesthesia. Material and Methods. The examination of effectiveness, convenience of this kind of anesthesia has been carried out. Results. All patients, taking part in this examination, confirmed more comfortable condition after this anesthesia than conductor and infiltration methods of anesthesia. The effect of anesthesia is better than after conductor anesthesia. Conclusion. This technology guarantees equal introduction and spread of anesthetic, independently of tissue density, eliminating the risk of carpule breakage.

  4. Oxidation capacity of the city air of Santiago, Chile

    Y. F. Elshorbany

    2009-03-01

    Full Text Available The oxidation capacity of the highly polluted urban area of Santiago, Chile has been evaluated during a summer measurement campaign carried out from 8–20 March 2005. The hydroxyl (OH radical budget was evaluated employing a simple quasi-photostationary-state model (PSS constrained with simultaneous measurements of HONO, HCHO, O3, NO, NO2, j(O1D, j(NO2, 13 alkenes and meteorological parameters. In addition, a zero dimensional photochemical box model based on the Master Chemical Mechanism (MCMv3.1 has been used to estimate production rates and total free radical budgets, including OH, HO2 and RO2. Besides the above parameters, the MCM model has been constrained by the measured CO and volatile organic compounds (VOCs including alkanes and aromatics. Both models simulate the same OH concentration during daytime indicating that the primary OH sources and sinks included in the simple PSS model predominate. Mixing ratios of the main OH radical precursors were found to be in the range 0.8–7 ppbv (HONO, 0.9–11 ppbv (HCHO and 0–125 ppbv (O3. The alkenes average mixing ratio was ~58 ppbC accounting for ~12% of the total identified non-methane hydrocarbons (NMHCs. During the daytime (08:00 h–19:00 h, HONO photolysis was shown to be the most important primary OH radical source comprising alone ~55% of the total initial production rate, followed by alkene ozonolysis (~24% and photolysis of HCHO (~16% and O3 (~5%. The calculated average and maximum daytime OH production rates from HONO photolysis was 1.7 ppbv h−1 and 3.1 ppbv h−1, respectively. Based on the experimental results a strong photochemical daytime source of HONO is proposed. A detailed analysis of the sources of OH radical precursors has also been carried out.

  5. Comparative study between manual injection intraosseous anesthesia and conventional oral anesthesia

    Peñarrocha-Oltra, David; Ata-Ali, Javier; Oltra-Moscardó, María J.; Peñarrocha-Diago, María; Peñarrocha, Miguel

    2011-01-01

    Objective: To compare intraosseous anesthesia (IA) with the conventional oral anesthesia techniques. Materials and methods: A simple-blind, prospective clinical study was carried out. Each patient underwent two anesthetic techniques: conventional (local infiltration and locoregional anesthetic block) and intraosseous, for res-pective dental operations. In order to allow comparison of IA versus conventional anesthesia, the two operations were similar and affected the same two teeth in opposite...

  6. Side effects and complications of intraosseous anesthesia and conventional oral anesthesia

    Peñarrocha-Oltra, David; Ata-Ali, Javier; Oltra-Moscardó, María J.; Peñarrocha-Diago, María; Peñarrocha, Miguel

    2011-01-01

    Objective: To analyze the side effects and complications following intraosseous anesthesia (IA), comparing them with those of the conventional oral anesthesia techniques. Material and method: A simple-blind, prospective clinical study was carried out. Each patient underwent two anesthetic techniques: conventional (local infiltration and locoregional anesthetic block) and intraosseous, for respective dental operations. In order to allow comparison of IA versus conventional anesthesia, the two ...

  7. Santiago de Chile: antecedentes demográficos, expansión urbana y conflictos./ Santiago de Chile: demographic background for the urban sprawl and its conflicts.

    Francisco Ferrando Acuña

    2008-06-01

    Full Text Available Cuando la expansión de Santiago se efectuó sobre los sectores rurales circundantes y también, en los últimos decenios, en polígonos altos en busca de mejores condiciones ambientales y de calidad de vida, también impensadamente, se efectuó hacia áreas de mayor riesgo. La ciudad ha cuadruplicado su superficie en los últimos 50 años y se acerca al límite de su capacidad de carga, presionado por la ocupación de áreas morfodinámicamente inestables. Son, por lo tanto, motivo de especial preocupación los desastres asociados en parte a procesos naturales, a los que están expuestas ciudades como Santiago, con una expansión asociada a un proceso de desplanificación activado desde 1979 y que dio término a los 50 años del Estado Planificador (1929-1979./When the urban growth of Santiago overlapped its rural environment, it also overlapped risk zones. in the last half century, the city has quadrupled its surface and is getting to the limit of usable land before using morphodynamic unstable zones.

  8. Children at risk: A comparison of child pedestrian traffic collisions in Santiago, Chile, and Seoul, South Korea.

    Blazquez, Carola; Lee, Jae Seung; Zegras, Christopher

    2016-01-01

    We examine and compare pedestrian-vehicle collisions and injury outcomes involving school-age children between 5 and 18 years of age in the capital cities of Santiago, Chile, and Seoul, South Korea. We conduct descriptive analysis of the child pedestrian-vehicle collision (P-VC) data (904 collisions for Santiago and 3,505 for Seoul) reported by the police between 2010 and 2011. We also statistically analyze factors associated with child P-VCs, by both incident severity and age group, using 3 regression models: negative binomial, probit, and spatial lag models. Descriptive statistics suggest that child pedestrians in Seoul have a higher risk of being involved in traffic crashes than their counterparts in Santiago. However, in Seoul a greater proportion of children are unharmed as a result of these incidents, whereas more child pedestrians are killed in Santiago. Younger children in Seoul suffer more injuries from P-VCs than in Santiago. The majority of P-VCs in both cities tend to occur in the afternoon and evening, at intersections in Santiago and at midblock locations in Seoul. Our model results suggest that the resident population of children is positively associated with P-VCs in both cities, and school concentrations apparently increase P-VC risk among older children in Santiago. Bus stops are associated with higher P-VCs in Seoul, and subway stations relate to higher P-VCs among older children in Santiago. Zone-level land use mix was negatively related to child P-VCs in Seoul but not in Santiago. Arterial roads are associated with fewer P-VCs, especially for younger children in both cities. A share of collector roads is associated with increased P-VCs in Seoul but fewer P-VCs in Santiago. Hilliness is related to fewer P-VCs in both cities. Differences in these model results for Santiago and Seoul warrant additional analysis, as do the differences in results across model type (negative binomial versus spatial lag models). To reduce child P-VCs, this study

  9. Are Anesthesia Providers Ready for Hypnosis? Anesthesia Providers' Attitudes Toward Hypnotherapy.

    Stone, Alexander B; Sheinberg, Rosanne; Bertram, Amanda; Seymour, Anastasia Rowland

    2016-04-01

    This study sought to measure current attitudes toward hypnosis among anesthesia providers using an in-person survey distributed at a single grand rounds at a single academic teaching hospital. One hundred twenty-six anesthesia providers (anesthesiologists and nurse anesthetists) were included in this study. A 10-question Institutional Review Board (IRB)-approved questionnaire was developed. One hundred twenty-six (73% of providers at the meeting) anesthesia providers completed the survey. Of the respondents, 54 (43%) were anesthesiologists, 42 (33%) were trainees (interns/residents/fellows) in anesthesia, and 30 (24%) were nurse anesthetists. Over 70% of providers, at each level of training, rated their knowledge of hypnosis as either below average or having no knowledge. Fifty-two (42%) providers agreed or strongly agreed that hypnotherapy has a place in the clinical practice of anesthesia, while 103 (83%) believed that positive suggestion has a place in the clinical practice of anesthesia (p hypnosis were that it is too time consuming (41%) and requires special training (34%). Only three respondents (2%) believed that there were no reasons for using hypnosis in their practice. These data suggest that there is a self-reported lack of knowledge about hypnosis among anesthesia providers, although many anesthesia providers are open to the use of hypnosis in their clinical practice. Anesthesia providers are more likely to support the use of positive suggestion in their practice than hypnosis. Practical concerns should be addressed if hypnosis and therapeutic verbal techniques are to gain more widespread use.

  10. Spain's uranium industry

    Ferguson, M.P.

    1992-01-01

    Spain currently operates nine nuclear reactors totalling over 7,100 MWe of capacity, contributing about one-third of all electricity generated in Spain. Four reactors at advanced stages of construction remain mothballed as the result of a government-imposed moratorium, and a fire at Vandellos 1 in 1989 led to its premature closure and to a revival of anti-nuclear sentiment in the country. In the new national energy plan, which was sent to the Spanish Parliament on July 25, 1991, Spain opted to continue the nuclear moratorium that began in 1984 and rely upon conservation measures, additional natural gas imports, and electricity imports to meet expected demand. Under the new plan, nuclear power's share of Spain's total installed electrical generating capacity will fall from about 17 percent in 1990, to approximately 14 percent by the end of the century, as only the current nuclear facilities will continue to operate and no new nuclear plants will be built. Spain's integration into the European Community also is affecting the country's energy plans, prompting consolidation within the Spanish electricity sector in order to be more competitive in Europe. To supply the existing reactors, the government is supporting a major expansion of the country's domestic uranium industry

  11. Open hemorrhoidectomy under local anesthesia for symptomatic ...

    standard treatment for prolapsed hemorrhoids. The procedure is commonly done under general or regional anesthesia. This study is aimed to assess the feasibility and tolerability of open – hemorrhoidectomy under local anaesthesia in our setting.

  12. Anesthesia - what to ask your doctor - child

    ... supposed to take everyday If my child has asthma, diabetes, seizures, heart disease, or any other medical problems, do I need to do anything special before my child has anesthesia? Can my child take a tour of the ...

  13. Anesthesia - what to ask your doctor - adult

    ... am supposed to take everyday If I have asthma, COPD, diabetes, high blood pressure, heart disease, or any other medical problems, do I need to do anything special before I have anesthesia? If I am nervous, can I get medicine ...

  14. Anesthesia in a Baird's tapir (Tapirus bairdii).

    Trim, C M; Lamberski, N; Kissel, D I; Quandt, J E

    1998-06-01

    A Baird's tapir (Tapirus bairdii) was satisfactorily immobilized on two occasions with i.m. detomidine (0.065-0.13 mg/kg) and butorphanol (0.13-0.2 mg/kg). On the second occasion, anesthesia was induced by i.v. administration of ketamine (2.2 mg/kg). Twenty minutes later, endotracheal intubation was performed after an additional i.v. injection of ketamine (1.5 mg/kg). Anesthesia was maintained with isoflurane, which provided excellent conditions for radiology and surgery. Anesthesia was associated with hypoxemia when the tapir was allowed to breathe air and with hypoventilation. Mean arterial pressure remained satisfactory. No antagonist drugs were administered, and recovery from anesthesia was rapid and smooth.

  15. Fiberoptic laryngoscopy under general anesthesia in neonates

    L.J. Hoeve (Hans); R.H.M. van Poppelen

    1990-01-01

    textabstractAbstract In the Sophia Children's Hospital we perform fiberoptic laryngoscopy in neonates under general anesthesia without the use of muscle relaxants in the diagnostics of functional laryngeal disorders. The necessary diagnostic and anesthetic equipment is described. Special attention

  16. "Acupuncture anesthesia"--a clinical study.

    Modell, J H; Lee, P K; Bingham, H G; Greer, D M; Habal, M B

    1976-01-01

    Forty-two patients who were to undergo plastic surgical procedures were asked whether they would accept acupuncture as a substitute for local anesthesia. Eight patients agreed to acupuncture; one of these had 2 operative procedures with acupuncture. Five of the 9 procedures were successful; the remaining 4 required conversion to local anesthesia. After interviewing the patients, we felt that the success of "acupuncture anesthesia" was largely dependent on patient motivation, and that a patient may experience pain during surgical procedures without any change in facial expression or vital signs. We concluded that "acupuncture anesthesia" is of little value in our patient population at present. Its results are unpredictable; therefore, we anticipate that patient acceptance will be small.

  17. Consent for pediatric anesthesia: an observational study.

    Lagana, Zoe; Foster, Andrew; Bibbo, Adriana; Dowling, Kate; Cyna, Allan M

    2012-08-01

    Informed consent prior to anesthesia is an important part of the pediatric pre-anesthetic consultation. This study aimed to observe and identify the number and nature of the anesthesia risks considered and communicated to parents/guardians and children during the pediatric informed consent process on the day of elective surgery. A convenience sample of anesthetists had their pre-anesthesia consultations voice recorded, prior to elective surgery, during a 4-month period at the largest tertiary referral centre for pediatric care in South Australia. A data collection form was used to note baseline demographic data, and voice recording transcripts were independently documented by two researchers and subsequently compared for accuracy regarding the number and nature of risks discussed. Of the 96 voice recordings, 91 (92%) were suitable for the analysis. The five most commonly discussed risks were as follows: nausea and vomiting (36%); sore throat (35%); allergy (29%); hypoxia (25%); and emergence delirium (19%). Twenty-seven pre-anesthetic consultations (30%) were found to have had no discussion of anesthetic risk at all while a further 23 consultations (26%) incorporated general statements inferring that anesthesia carried risks, but with no elaboration about their nature, ramifications or incidence. The median number of risks (IQR) specifically mentioned per consultation was higher, 3 (1) vs 1 (1), P anesthesia experience odds ratio 0.34, 95% CI [0.13, 0.87], P = 0.025. The pediatric anesthesia risk discussion is very variable. Trainees tend to discuss more specific risks than consultants and a patient's previous experience of anesthesia was associated with a more limited discussion of anesthesia risk. © 2011 Blackwell Publishing Ltd.

  18. Anesthesia Approach in Endovascular Aortic Reconstruction

    Ayşin Alagöl

    2013-03-01

    Full Text Available Introduction: We have analyzed our initial results of our anesthesia techniques in our new-onset endovascular aortic reconstruction cases.Patients and Methods: The perioperative data of 15 elective and emergent endovascular aortic reconstruction cases that were operated in 2010-2011 were collected in a database. The choice of anesthesia was made by the risk factors, surgical team’s preferences, type and location of the aortic pathology and by the predicted operation duration. The data of local and general anesthesia cases were compared.Results: Thirteen (86.7% cases were male and 2 (13.3% female. Eleven patients were in ASA Class III. The demographic parameters, ASA classifications, concurrent diseases were similar in both groups. Thirteen (86.7% cases had infrarenal abdominal aortic aneurysm and 2 (13.3% had Type III aortic dissection. The diastolic arterial pressures were lower in general anesthesia group in 20th and 40th minutes’ measurements just like the mean arterial pressure measurements at the 40th, 100th minutes and during the deployment of the graft. Postoperative mortality occurred in 3 (20.0% patients and they all had general anesthesia and they were operated on emergency basis. Postoperative morbidity occurred in four patients that had general anesthesia (acute renal failure, multi-organ failure and pneumonia. The other patient had atrial fibrillation on the 1st postoperative day and was converted to sinus rhythm with amiodarone infusion.Conclusion: Edovascular aortic reconstruction procedures can safely be performed with both general and local anesthesia less invasively compared to open surgery. General anesthesia may be preferred for the better hemodynamic control.

  19. Anesthesia related Complications in Pediatric GI Endoscopy

    A Sabzevari

    2014-04-01

    Full Text Available Introduction: Elective upper and lower GI endoscopy is usually performed in children on an outpatient basis with the child under sedation or general anesthesia (GA. The objective of this study was to describe Anesthesia related complications in   children undergoing elective GI endoscopy.   Materials and Methods: The study design was descriptive on 1388 patients undergoing elective GI endoscopy in Sheikh Hospital from 2009 to 2013. All patient received propofol or standard inhalational anesthesia. We examined patients’ demographic data  ,  location of GI endoscopy ,  perioperative vital singe ,  recovery time , respiratory and cardiac complications , post operative nausea and vomiting , agitation , diagnosis and outcome   Results: Pediatric patients aged 2 to 17 years. 29 % of elective GI endoscopy was upper GI endoscopy and 70.3 % was lower GI endoscopy and 0.7 was both of them. 47.7 % of Pediatric patients were female and 52.3 % was male. We haven’t significant or fatal anesthesia related respiratory and cardiac complications (no apnea, no cardiac arrest. 8 patients (0.5% have transient bradicardia in post operative care Unit. 83 patients (5.9% have post operative nausea and vomiting controlled by medication.  6 patients (0.4% have post operative agitation controlled by medication.   Conclusions: General anesthesia and deep sedation in children undergoing elective GI endoscopy haven’t significant or fatal anesthesia related complications. We suggest Anesthesia for infants, young children, children with neurologic impairment, and some anxious older children undergoing elective GI endoscopy. Keyword: Anesthesia, Complication, Endoscopy, Pediatric.

  20. Mérida, clave en la fundación de la Orden de Santiago

    José Antonio Ballesteros Díez

    2004-01-01

    Full Text Available En este articulo se expone qué la razón por la cual la Orden de los Fratres de Caceras se transformó en la Orden Militar de Santiago, a instancias del obispo de Compostela, radicó en que, a cambio de unos beneficios que éste concedió a Pedro Fernández, el maestre de los cacereños, la nueva Orden, en su avance reconquistador hacia el Sur, no debería reclamar la restauración de la sede arzobispal de Mérida, trasladada interinamente a Santiago mientras su sede emeritense estuviera ocupada por los musulmanes.In this article we are golng to expose that the reason for which the Order of the Fratres of Cáceres was transformed into the Military Order of Santiago at the request of the bishop of Compostela was possible because in exchange for some benefits that he gave Pedro fernández, the Knight of the cecereños, the new Orden in its reconquest advance to the South, shouldn't reclaim the retornatlon of the archiepiscopal see of Mérida, moved temporally to Santiago while it was occupied by the Moslem.

  1. Characterization of airborne particulate matter in Santiago, Chile. Part 6: elemental determination by neutron activation analysis

    Cassorla, V.; Rojas, X.; Andonie, O.; Gras, N.

    1995-01-01

    Instrumental neutron activation analysis was used for the chemical characterization of airborne particulate matter from some locations in the city of Santiago, Chile. The following elements were determined: Al, As, Br, Ca, Cl, Co, Cu, Cr, Fe, Mn, Na, Sb, Sc, V y Zn. The accuracy of the experimental procedure was evaluated using a standard reference material. (author). 3 refs, 3 figs, 4 tabs

  2. LA IMAGEN DE SANTIAGO DE COMPOSTELA EN EL MERCADO TURÍSTICO ITALIANO

    Lucrezia Lopez

    2009-01-01

    Full Text Available El sector turístico se está convirtiendo en uno de los sectores económicos más importantes en la economía gallega y compostelana. Durante los últimos años se han desarrollado nuevas y exitosas políticas turísticas para diversificar la oferta turística de Santiago y al mismo tiempo para renovar su imagen. En la actualidad, Santiago deja de ser sólo meta religiosa o de peregrinaje, y la presencia turística es cada vez más internacional; por su parte las motivaciones de viaje se van diversificando. Para comprobar el éxito de estas políticas hacia el exterior, el presente trabajo toma en consideración la imagen que la ciudad de Santiago proyecta hacia el mercado italiano (uno de los más importantes en la actualidad gracias a un trabajo de campo mediante encuestas y entrevistas dirigido a los turistas italianos en Santiago.

  3. Respiratory disease and particulate air pollution in Santiago Chile: Contribution of erosion particles from fine sediments

    Pablo A. Garcia-Chevesich; Sergio Alvarado; Daniel G. Neary; Rodrigo Valdes; Juan Valdes; Juan Jose Aguirre; Marcelo Mena; Roberto Pizarro; Paolo Jofre; Mauricio Vera; Claudio Olivares

    2014-01-01

    Air pollution in Santiago is a serious problem every winter, causing thousands of cases of breathing problems within the population. With more than 6 million people and almost two million vehicles, this large city receives rainfall only during winters. Depending on the frequency of storms, statistics show that every time it rains, air quality improves for a couple of...

  4. Geochemical stratigraphy of submarine lavas (3-5 Ma) from the Flamengos Valley, Santiago, Cape Verde

    Barker, Abigail K; Holm, Paul Martin; Peate, David W.

    2009-01-01

    New high-precision Pb-Sr-Nd isotope, major and trace element and mineral chemistry data are presented for the submarine stage of ocean island volcanism on Santiago, one of the southern islands of the Cape Verde archipelago. Pillow basalts and hyaloclastites in the Flamengos Valley are divided...

  5. The many arts in Santiago, by João Moreira Salles

    Jacques Fux

    2012-05-01

    Full Text Available This article discusses the documentary Santiago, by João Moreira Salles, exploring the many arts of the main character Santiago. Besides being very rich in its autobiographic approach, the film allows us to establish some connections with literature and some characters of Borges and Flaubert, as it relates to performance and documentary theories. Santiago, disguised as a butler for over four decades, began to accumulate delusions. While working at the residence of the Moreira Salles, he typed 30,000 cards, classified and cataloged his own story and the “history of great men”. His notes are the record of his passage through Literature and History. The film by João Moreira Salles ensures Santiago’s posterity, in the same way that reports of Dante and the creations and inventions of Borges ensure the existence of their characters. Santiago, as a Flaubert’s copyist, lives and is reinvented on the screen through his testimony, memory, art and through the auto fictional documentary by Salles.

  6. EL DESARROLLO DE LA INDUSTRIA LIMPIA EN EL PARQUE INDUSTRIAL SANTIAGO TIANGUISTENCO

    Verónica Miranda Rosales

    2009-01-01

    El objetivo de este trabajo es analizar la implementación de la industria limpia en el Parque Industrial Santiago Tianguistenco, para determinar en qué medida se ha logrado una certificación de la industria limpia en las empresas que se asientan en el parque.

  7. Os fantasmas pornô de Santiago Nazarian e seus adolescentes bizarros

    Aileen El-Kadi

    2013-01-01

    Full Text Available This article analyses the book of short stories Pornofantasma (Record, 2011 by Santiago Nazarian. The focus of this analysis is the connections between the text and the genre of pornography and pop culture, as well as the way the author ques- tions centers and margins of power using the aforementioned genres.

  8. Developing Strategies for Waste Reduction by Means of Tailored Interventions in Santiago De Cuba

    Tobias, Robert; Brugger, Adrian; Mosler, Hans-Joachim

    2009-01-01

    This article introduces an approach to tailoring behavior-change campaigns to target populations using the example of solid waste reduction in Santiago de Cuba. Tailoring is performed in the following steps: (1) Psychological constructs are selected to detect problems in performing the target behavior, and data are gathered on these constructs.…

  9. Technical project of a solar water heating system for Hostal FRATERNIDAD, Santiago de Cuba

    Arzuaga Machado, Yusnel; Torres Ten, Alonso; Fonseca Fonseca, Susana; Fuetes lombá, Osmanys; Massipe Hernández, J. Raúl; Gonzalez, Wagner Roberto

    2017-01-01

    It is presented the technical project of a solar water heating system for Hostal FRATERNIDAD, Santiago de Cuba, Cuba, 20 Cabannas type tourism and a one of 2 square meter flat solar collector will be used, with a storage tank of 200 liters capacity, that is to say one system per cabin. (author)

  10. El turismo cultural como factor estratégico de desarrollo: el Camino de Santiago

    Precedo Ledo, Andrés

    2007-06-01

    Full Text Available The objective of this investigation is to study one of the strategies of territorial marketing of greater success: the promotion of the Way of Santiago and the mark of the Xacobeo. The approach of the study attack from the perspective of its contribution to the territorial, as much rural development (the Galician section of the Way like urban (the city of Santiago de Compostela. The departure hypothesis is that, in both cases, the cultural tourism has worked like a complementary factor of development being necessary to insert it in a model of integrated development to optimize its potential of share capital.

    El objetivo de esta investigación es estudiar una de las estrategias de marketing territorial de mayor éxito: la promoción del Camino de Santiago y la marca del Xacobeo. El enfoque del estudio se aborda desde la perspectiva de su contribución al desarrollo territorial, tanto rural (el tramo gallego del Camino como urbano (la ciudad de Santiago de Compostela. La hipótesis de partida es que, en ambos casos, el turismo cultural ha funcionado como un factor complementario de desarrollo siendo necesario insertarlo en un modelo de desarrollo integrado para optimizar su potencial de capital social.

  11. Topical Drug Formulations for Prolonged Corneal Anesthesia

    Wang, Liqiang; Shankarappa, Sahadev A.; Tong, Rong; Ciolino, Joseph B.; Tsui, Jonathan H.; Chiang, Homer H.; Kohane, Daniel S.

    2013-01-01

    Purpose Ocular local anesthetics (OLA’s) currently used in routine clinical practice for corneal anesthesia are short acting and their ability to delay corneal healing makes them unsuitable for long-term use. In this study, we examined the effect on the duration of corneal anesthesia of the site-1 sodium channel blocker tetrodotoxin (TTX), applied with either proparacaine or the chemical permeation enhancer OTAB. The effect of test solutions on corneal healing was also studied. Methods Solutions of TTX, proparacaine, and OTAB, singly or in combination were applied topically to the rat cornea. The blink response, an indirect measure of corneal sensitivity, was recorded using a Cochet-Bonnet esthesiometer, and the duration of corneal anesthesia calculated. The effect of test compounds on the rate of corneal epithelialization was studied in vivo following corneal debridement. Results Combination of TTX and proparacaine resulted in corneal anesthesia that was 8–10 times longer in duration than that from either drug administered alone, while OTAB did not prolong anesthesia. The rate of corneal healing was moderately delayed following co-administration of TTX and proparacaine. Conclusion Co-administration of TTX and proparacaine significantly prolonged corneal anesthesia but in view of delayed corneal re-epithelialization, caution is suggested in use of the combination. PMID:23615270

  12. Nominal Address and Rapport Management in Informal Interactions among University Students in Quito (Ecuador), Santiago (Chile) and Seville (Spain)

    Placencia, María Elena; Fuentes Rodríguez, Catalina; Palma-Fahey, María

    2015-01-01

    Nominal and pronominal address forms, which play a central role in the construction of interpersonal relations (cf. Bargiela et al. 2002; Clyne et al. 2009), have been the focus of attention in different linguistics subfields for several decades now. Less attention, however, has been paid to these forms from a variational pragmatics (Schneider and…

  13. Development of methods for evaluating options for improving air quality in Santiago, Chile and its environs. Final report

    Williams, M.D.; Brown, M.J.

    1993-10-01

    Santiago, Chile has a serious air pollution problem. Aerosols reach very high levels and ozone exceeds US ambient standards on over 100 days a year. Chileans are very concerned about the poor air quality of Santiago and the effect of emissions from their copper smelters both near Santiago and at other sites. Officials from both the Santiago metropolitan air quality commission (La Comision Especial de Descontaminacion de le Region Metropolitana) and a government owned copper development company (La Empress Nacional de Mineria (ENAMI)) have asked for assistance to deal with the air quality problems in the city and associated with smelter emissions. This report describes the first steps in that effort. Santiago lies in a valley between a small coastal range to the west and the towering Andes to the cast. Air motion is greatly affected by the major topographical features which include the Pacific Ocean, the coastal range, and the Andes. In this first year of work the authors concentrated on gathering information on the meteorology, topography, and air quality of the metropolitan region. They examined two smelter sites and applied models to them to help their understanding and to provide assistance to ENAMI. One smelter, Ventanas, was located on the Pacific coast to the northwest of Santiago, while the other, Paipote, was located several hundred kilometers to the north. The Ventanas emissions may potentially affect Santiago air quality. Several advantages of working with the smelters in the first phase of the project are: (1) there is more monitoring in the vicinity of the smelters, (2) the development of a useful emission inventory is easier, (3) they pose a simpler problem of immediate interest whose resolution will provide an early benefit to the Chilean colleagues, and (4) the authors gain important experience as they prepare to delve deeper into Santiago`s air pollution problems.

  14. Quality assurance in Spain

    Villate, J.

    1980-01-01

    The first part of this lecture is devoted to present the energy program in Spain and the three generations of nuclear plants. The evolution of QA is outlined pointing out how IAEA Codes of Practice on QA is now a requirement and also how USA regulations, codes and standards have constituted, up to now, the main framework to develop QA activities in Spain. A general idea is given of the Spanish program of courses to qualify the personnel to be involved in QA tasks in nuclear power plants. Finally a general scheme is given, emphasizing the three main aspects: design, procurement and fabrication; construction (QA on site). (orig./RW)

  15. Spain investigates PLEX options

    Hevia, F.

    1990-01-01

    Spain's nuclear generation capacity will be reduced by some 6000MWe by the year 2015 if decommissioning of the units currently in operation takes place at the end of their 40-year design life. Bearing this in mind, in 1988 the Santa Maria de Garona BWR and the Jose Cabrera PWR were chosen by their respective owners as reference units for plant life extension (PLEX) activities. These plants are the oldest of their types operating in Spain and PLEX programmes were already under way. (author)

  16. Evolution of aerosol loading in Santiago de Chile between 1997 and 2014

    Pistone, Kristina; Gallardo, Laura

    2015-04-01

    While aerosols produced by major cities are a significant component of anthropogenic climate forcing as well as an important factor in public health, many South American cities have not been a major focus of aerosol studies due in part to relatively few long-term observations in the region. Here we present a synthesis of the available data for the emerging megacity of Santiago, Chile. We report new results from a recent NASA AERONET (AErosol RObotic NETwork) site in the Santiago basin, combining these with previous AERONET observations in Santiago as well as with a new assessment of the 11-station air quality monitoring network currently administered by the Chilean Environment Ministry (MMA, Ministerio del Medio Ambiente) to assess changes in aerosol composition since 1997. While the average surface concentration of pollution components (specifically PM2.5 and PM10) has decreased, no significant change in total aerosol optical depth was observed. However, changes in aerosol size and composition are suggested by the proxy measurements. Previous studies have revealed limitations in purely satellite-based studies over Santiago due to biases from high surface reflection in the region, particularly in summer months (e.g. Escribano et al 2014). To overcome this difficulty and certain limitations in the air quality data, we next incorporate analysis of aerosol products from the Multi-angle Imaging SpectroRadiometer (MISR) instrument along with those from the Moderate Resolution Imaging Spectroradiometer (MODIS) instrument, both on NASA's Terra satellite, to better quantify the high bias of MODIS. Thus incorporating these complementary datasets, we characterize the aerosol over Santiago over the period 1997 to 2014, including the evolution of aerosol properties over time and seasonal dependencies in the observed trends. References: Escribano et al (2014), "Satellite Retrievals of Aerosol Optical Depth over a Subtropical Urban Area: The Role of Stratification and Surface

  17. Use of Local Anesthesia During Dental Rehabilitation With General Anesthesia: A Survey of Dentist Anesthesiologists

    Townsend, Janice A.; Hagan, Joseph L.; Smiley, Megann

    2014-01-01

    The purpose of this study was to document current practices of dentist anesthesiologists who are members of the American Society of Dentist Anesthesiologists regarding the supplemental use of local anesthesia for children undergoing dental rehabilitation under general anesthesia. A survey was administered via e-mail to the membership of the American Society of Dentist Anesthesiologists to document the use of local anesthetic during dental rehabilitations under general anesthesia and the rationale for its use. Seventy-seven (42.1%) of the 183 members responded to this survey. The majority of dentist anesthesiologists prefer use of local anesthetic during general anesthesia for dental rehabilitation almost always or sometimes (90%, 63/70) and 40% (28/70) prefer its use with rare exception. For dentist anesthesiologists who prefer the administration of local anesthesia almost always, they listed the following factors as very important: “stabilization of vital signs/decreased depth of general anesthesia” (92.9%, 26/28) and “improved patient recovery” (82.1%, 23/28). There was a significant association between the type of practice and who determines whether or not local anesthesia is administered during cases. The majority of respondents favor the use of local anesthesia during dental rehabilitation under general anesthesia. PMID:24697820

  18. General anesthesia versus segmental thoracic or conventional lumbar spinal anesthesia for patients undergoing laparoscopic cholecystectomy

    Yousef, Gamal T.; Lasheen, Ahmed E.

    2012-01-01

    Background: Laparoscopic cholecystectomy became the standard surgery for gallstone disease because of causing less postoperative pain, respiratory compromise and early ambulation. Objective: This study was designed to compare spinal anesthesia, (segmental thoracic or conventional lumbar) vs the gold standard general anesthesia as three anesthetic techniques for healthy patients scheduled for elective laparoscopic cholecystectomy, evaluating intraoperative parameters, postoperative recovery an...

  19. Molecular gastronomy in Spain

    García-Segovia, P.; Garrido, M. D.; Vercet, A.

    2014-01-01

    Beyond the overwhelming international success of Ferrán Adria, Spain has been one of the countries with a more active implication in molecular gastronomy as a scientific discipline but also in the use of ingredients, technologies, and equipment from the scientific and technological universe...... with scientists for facing the future of Spanish gastronomy....

  20. Clinically Enhancing Local Anesthesia Techniques for Endodontic Treatment.

    Bahcall, James; Xie, Qian

    2017-02-01

    Local anesthesia is one of the most important drugs given to patients who undergo endodontic treatment. Yet, clinicians often do not view local anesthetic agents as drugs and, therefore, struggle clinically to consistently achieve profound pulpal anesthesia. To improve the clinical effects of local anesthesia for endodontic treatment, in conjunction with selecting the correct type of local anesthesia, clinicians need to thoroughly understand how the local anesthetic process works and how to objectively test for clinical signs of pulpal anesthesia and integrate supplemental anesthesia when appropriate.

  1. Una arteria norte-sur y el Santiago de Chile „non plus ultra’: la historia de un largo trayecto. / A north-south artery and Santiago de Chile 'non plus ultra

    María Isabel Pavez Reyes

    2011-06-01

    Full Text Available Este escrito resume la prehistoria e historia del Complejo Vial Norte-Sur, de Santiago de Chile, como parte de las acciones del Estado de Chile, en la época del urbanismo realizado por el sector público. /This paper summarizes the prehistory and history of North-South Road Complex, Santiago de Chile, as part of the actions of the State of Chile, at the time of planning by the public sector.

  2. Una arteria norte-sur y el Santiago de Chile „non plus ultra’: la historia de un largo trayecto. / A north-south artery and Santiago de Chile 'non plus ultra

    María Isabel Pavez Reyes

    2011-01-01

    Este escrito resume la prehistoria e historia del Complejo Vial Norte-Sur, de Santiago de Chile, como parte de las acciones del Estado de Chile, en la época del urbanismo realizado por el sector público. /This paper summarizes the prehistory and history of North-South Road Complex, Santiago de Chile, as part of the actions of the State of Chile, at the time of planning by the public sector.

  3. Intestinal transplantation: The anesthesia perspective.

    Dalal, Aparna

    2016-04-01

    Intestinal transplantation is a complex and challenging surgery. It is very effective for treating intestinal failure, especially for those patients who cannot tolerate parenteral nutrition nor have extensive abdominal disease. Chronic parental nutrition can induce intestinal failure associated liver disease (IFALD). According to United Network for Organ Sharing (UNOS) data, children with intestinal failure affected by liver disease secondary to parenteral nutrition have the highest mortality on a waiting list when compared with all candidates for solid organ transplantation. Intestinal transplant grafts can be isolated or combined with the liver/duodenum/pancreas. Organ Procurement and Transplantation Network (OPTN) has defined intestinal donor criteria. Living donor intestinal transplant (LDIT) has the advantages of optimal timing, short ischemia time and good human leukocyte antigen matching contributing to lower postoperative complications in the recipient. Thoracic epidurals provide excellent analgesia for the donors, as well as recipients. Recipient management can be challenging. Thrombosis and obstruction of venous access maybe common due to prolonged parenteral nutrition and/or hypercoaguability. Thromboelastography (TEG) is helpful for managing intraoperative product therapy or thrombosis. Large fluid shifts and electrolyte disturbances may occur due to massive blood loss, dehydration, third spacing etc. Intestinal grafts are susceptible to warm and cold ischemia and ischemia-reperfusion injury (IRI). Post-reperfusion syndrome is common. Cardiac or pulmonary clots can be monitored with transesophageal echocardiography (TEE) and treated with recombinant tissue plasminogen activator. Vasopressors maybe used to ensure stable hemodynamics. Post-intestinal transplant patients may need anesthesia for procedures such as biopsies for surveillance of rejection, bronchoscopy, endoscopy, postoperative hemorrhage, anastomotic leaks, thrombosis of grafts etc. Asepsis

  4. [Anesthesia simulators and training devices].

    Hartmannsgruber, M; Good, M; Carovano, R; Lampotang, S; Gravenstein, J S

    1993-07-01

    Simulators and training devices are used extensively by educators in 'high-tech' occupations, especially those requiring an understanding of complex systems and co-ordinated psychomotor skills. Because of advances in computer technology, anaesthetised patients can now be realistically simulated. This paper describes several training devices and a simulator currently being employed in the training of anaesthesia personnel at the University of Florida. This Gainesville Anesthesia Simulator (GAS) comprises a patient mannequin, anaesthesia gas machine, and a full set of normally operating monitoring instruments. The patient can spontaneously breathe, has audible heart and breath sounds, and palpable pulses. The mannequin contains a sophisticated lung model that consumes and eliminates gas according to physiological principles. Interconnected computers controlling the physical signs of the mannequin enable the presentation of a multitude of clinical signs. In addition, the anaesthesia machine, which is functionally intact, has hidden fault activators to challenge the user to correct equipment malfunctions. Concealed sensors monitor the users' actions and responses. A robust data acquisition and control system and a user-friendly scripting language for programming simulation scenarios are key features of GAS and make this system applicable for the training of both the beginning resident and the experienced practitioner. GAS enhances clinical education in anaesthesia by providing a non-threatening environment that fosters learning by doing. Exercises with the simulator are supported by sessions on a number of training devices. These present theoretical and practical interactive courses on the anaesthesia machine and on monitors. An extensive system, for example, introduces the student to the physics and clinical application of transoesophageal echocardiography.(ABSTRACT TRUNCATED AT 250 WORDS)

  5. Santiago de Chile: Metropolización, globalización, desigualdad

    Alfredo Rodríguez

    2001-05-01

    Full Text Available El siguiente artículo describe cómo la pobreza y la exclusión dentro de Santiago ha sido pasada por alto en parte debido al fuerte desempeño económico y al positivo conjunto de indicadores sociales que la ciudad exhibe. Enfatiza cuán segregada se ha vuelto la ciudad, subrayando la fragmentación política y las grandes diferencias entre las 34 municipalidades que conforman el Gran Santiago en lo que se refiere a ingreso per cápita, calidad de la educación, cobertura de la inversión en edificación y los niveles de ingreso y gasto de las autoridades municipales. También describe la pérdida de espacio social y físico para la interacción pública y el crecimiento de una percepción de inseguridad. Sugiere que tales problemas en parte se relacionan con una falta de estructuras democráticas en Santiago ya que la ciudad carece de un gobierno metropolitano representativo y además el poder, los recursos y la toma de decisiones permanecen en un plano nacionalThe paper describes how poverty and exclusion within Santiago has been overlooked, in part, because of the city’s strong economic performance and impressive aggregate social indicators. It highlights how segregated the city has become -for instance the political fragmentation and the difference between the 34 municipalities that conform Santiago in terms of their per capita income, quality of education, extent of new building investment, and municipal authority levels of income and expenditure. It also describes the loss of social and physical space for public interaction and the rising perception of insecurity. It suggests that such problems are in part linked to the lack of democratic structures within Santiago since it lacks a democratic metropolitan government. Power, resources and decisions remain within national ministries

  6. Vialidad, Transporte y Planeamiento urbano-regional en Santiago de Chile, 1950-1979

    María Isabel Pávez Reyes

    2007-04-01

    The thesis describes and interprets the work of Road Network and Transport 1950–1979 - in the frame of 50 years of the Planning State (1929-1979- in its capacity to contribute both to order the territory of the Inter communal and the region of Santiago, as well as the Interregion formed by Valparaíso-Santiago (Chile, and Mendoza (Argentina with a time horizon to the year 2000, contributing in this way to the discussion about the value of this experience of the Planning State of Chile. The hypothesis state: • That the preparation of the modern concepts of Roar Network and Transport had arisen from the group of Chilean architects devoted to Urban and Regional planning, which were thoughtful and critical with respect to part of the doctrines of the Modern Movement, and considered the road networks as the starting point for the territorial ordering relating the technical possibilities with the service of the Chilean urban regions. • That the work 1950-1979 in Road Network and Transport had been coherent with the coordinated growing forms proposed for the metropolis of Santiago in the inter-commune and in the region by the Urban and Regional Vialidad y Transporte en la Metrópolis de Santiago - nº 51 - marzo / abril 2007 5 Planning 1950-1979, becoming a structuring system properly connected to the national territory, and that would allow the access to the new human settlements metropolitan equipment prepared in the urban and regional territory, contributing to configure a modern urban region since it considered all its aspects as an “interior” from the point of view of sustainability and duration as a whole. • That the concept behind the work 1950-1979, had foreseen its projection on a central macro region of Chile, for being immersed in a bi national economy of three nucleuses, that considered Santiago, Valparaíso and Mendoza, the later in Argentina, which has the Corredor Transandino Central Valparaíso-Buenos Aires as the fundamental axle. • And that

  7. Effect of intraosseous anesthesia on control of hemostasis in pigs.

    Baker, Tyler F; Torabinejad, Mahmoud; Schwartz, Stephen F; Wolf, David

    2009-11-01

    Intraosseous anesthesia is used to deliver anesthetic into cancellous bone adjacent to the root apices. No study has assessed the effect of this anesthetic technique on hemostasis. The purpose of this study was to compare the amount of bleeding from soft tissue and bone in pig jaws after preoperative intraosseous or infiltration anesthesia with 2% lidocaine containing 1:50,000 epinephrine. Twelve pigs were divided into 3 groups. The first group received infiltration anesthesia on one half of the jaw and no anesthesia on the other half. The second group received intraosseous anesthesia on one half of the jaw and no anesthesia on the other half. The third group received infiltration anesthesia on one half of the jaw and intraosseous anesthesia on the second half. Blood was collected during flap reflection to measure the volume of soft tissue bleeding. Osteotomies were then prepared with blood collected from the surgical site to measure the volume of osseous bleeding. The median soft tissue blood loss observed in animals receiving infiltration anesthesia (1.14 mL) was significantly less as compared with animals that received no anesthesia (4.49 mL) or intraosseous anesthesia (2.45 mL). Compared with median hard tissue blood loss observed in animals without anesthesia (1.51 mL), significantly less blood loss was observed in animals receiving either infiltration anesthesia (0.67 mL) or intraosseous anesthesia (0.76 mL). Infiltration anesthesia resulted in significantly less soft tissue bleeding (p = .004) as compared with no anesthesia. Infiltration and intraosseous anesthesia resulted in significantly less osseous bleeding than the use of no anesthetic (p < .001). The volume of blood loss for each animal was shown to be below the maximum safe volume of blood loss for a single procedure.

  8. Anesthesia related complications of laparoscopic cholecystectomy

    Qureshi, F.A.

    2003-01-01

    Objective: To determine the incidence of intraoperative anesthesia-related complications of laparoscopic cholecystectomy. Results: One hundred patients with male to female ratio of 1:8.09 in the age range of 20-80 years (mean 39 years) underwent general anesthesia for laparoscopic cholecystectomy. The duration of operation in 94 laparoscopic cholecystectomy was from 20 to 80 minutes (mean 60.63 minutes). The incidence of intraoperative hypotension was 9%. Four percent of the patients developed arrhythmias. Increase in end-tidal-carbon dioxide (ETCO/sub 2/) was observed in 3% of cases. Conversion rate to open cholecystectomy was 6%. Damage to intraabdominal vessels with trocar insertion occurred in 1% of cases. Conclusion: Although laparoscopic cholecystectomy has major surgical and anesthetic advantages, there are anesthesia related complications requiring specific anesthetic interventions to improve patients outcome without compromising their safety. (author)

  9. Lift-(gasless) laparoscopic surgery under regional anesthesia.

    Kruschinski, Daniel; Homburg, Shirli

    2005-01-01

    The objective of this Chapter was to investigate the feasibility and outcome of gasless laparoscopy under regional anesthesia. A prospective evaluation of Lift-(gasless) laparoscopic procedures under regional anesthesia (Canadian Task Force classification II-1) was done at three endoscopic gynecology centers (franchise system of EndGyn(r)). Sixty-three patients with gynecological diseases comprised the cohort. All patients underwent Lift-laparoscopic surgery under regional anesthesia: 10 patients for diagnostic purposes, 17 for surgery of ovarian tumors, 14 to remove fibroids, and 22 for hysterectomies. All patients were operated without conversion to general anesthesia and without perioperative or anesthesiologic complications. Lift-laparoscopy under regional anesthesia can be recommended to all patients who desire laparoscopic intervention without general anesthesia. For elderly patients, those with cardiopulmonary risks, during pregnancy, or with contraindications for general anesthesia, Lift-laparoscopy under regional anesthesia should be the procedure of choice.

  10. Percutaneous Nephrolithotomy under Spinal Anesthesia with Marcaine

    S.M.R. Rabani

    2010-01-01

    Full Text Available Introduction & Objective: The efficacy of Percutaneous Nephrolithotomy (PCNL in the treatment of renal stones has been proven in its indications. The main method of anesthesia in this procedure is general anesthesia. We used spinal anesthesia (SA as an alternative method of anesthesia with many benefits. This study was intended to show the possibility of SA as a more comfortable method of anesthesia for the surgeon , the anesthesiologist and the patient via more cooperation of the patient during changing the position and prevention of some complications mostly in upper extremities and neck. Materials & Methods: In a prospective clinical trial study, a total of 112 patients underwent PCNL under SA with marcaine , from Nov 2004 till Feb 2009. Their mean age was 36 years (22-48, at first the syringe was stained by epinephrine and then 2 -3.5 ml marcaine was used for SA and addition of analgesics , sedatives or both., if needed. The rest of the procedure was done as routine.Results: Stone clearance was achieved in 82% of the patients and the rest were managed by ESWL. The mean operation time was 126 minutes (90-220, 36% of the patients needed sedation, analgesia, or both, specially those with bigger stones. 6% of the patients had upper pole stones .Blood transfusion was needed only in one patient. No significant complication was observed in this study.Conclusion: PCNL under SA afforded the surgeon and the anesthesiologist the opportunity of more patient cooperation during position changes and precludes some morbidities that may happen under general anesthesia because the patient is awake and able to portend.

  11. La evaluación del proceso de descentralización en Santiago de Chile

    Carlos GUERRA RODRÍGUEZ

    2009-11-01

    Full Text Available RESUMEN: Trás presentar el contexto creado por la Reforma Administrativa del Régimen Militar en Chile, se identifica la problemática que lleva a impulsar la Reforma Comunal de la provincia de Santiago. Se consideran objetivos, estrategias, localización, proceso, calendario y desarrollo de esta Reforma. Por último, se evalúa el alcance.ABSTRACT: After explaining the context created by the Administrative Reform of the Military Regime in Chile. The author identifies the problematic aspects which impulsed the communal reform in the Province of Santiago. In the article are considerated objectives, strategies, localizations, process, timing. and development of this reform. At the end. there is also an evaluation of its scope.

  12. Quality control to the service of diagnostic radiology in policlinics and hospitals of Santiago de Cuba

    Grinnan Torres, Reinaldo; Parra Caboberde, Hector; Semanat Sanchez, Lino A.

    2002-01-01

    The work presents the results obtained in the Quality Control in diagnostic X-ray equipment accomplished in 33 clinics of Santiago de Cuba city. The performed test were, to the X-ray generator, X-ray tube, devices collimation and alignment, as well as to the light boxes, dark rooms, and radiographic screen-film combinations. Moreover the work presents the results of the Entrance Doses for a reference patient in radiographic projections of frequent use in clinics of Santiago de Cuba city (chest, lumbar spine, abdomen, and pelvis). For the evaluation of the verified technical parameters were used the tolerance criterions recommended by the Technical Guide elaborated by the State Control Centre of Medical of Cuba. In the case of the Entrance Dose were used the dose levels that recommended by the International Basic Safety Standards for protection against ionizing radiation and for safety of radiation sources

  13. Santiago de Chile, ¿ejemplo de una reestructuración capitalista global?

    Luis Fuentes

    2004-12-01

    Full Text Available Términos como "ciudad global", "ciudad difusa", "ciudad dual", entre otros, merecen ser rediscutidos y contrastados con el proceso de transformaciones experimentado por Santiago de Chile producto de la reestructuración capitalista. En este sentido, este trabajo pretende discutir acerca de la conveniencia de otorgar a la capital de Chile éstos y otros adjetivos frecuentemente utilizados en la literatura urbanística internacional.Terms like "global city", "diffuse city", "dual city", among others, deserve to be discussed and contrasted with urban processes that are been taking part in Santiago de Chile in the last decades. This article attempts to discuss the convenience of grant to Chile’s capital city these and others adjectives, commonly used in the urban literature

  14. Air pollution in Santiago (Chile) as a studied by nuclear and other techniques

    Toro, P.

    1994-01-01

    Santiago, the capital of Chile is becoming one of the most polluted cities in the world as regards its atmospheric environment. The present project aims at comparing the composition of airborne particulate matter collected in Santiago with other collected in a clear area and to optimize the analytical methodology, based on NAA, XRF and PIXE, for this type of samples. The possibility of using total reflection XRF (TRXRF) for quantitative determination of air particulate matter will be evaluated. Analysis of wet deposition by ion chromatography and TRXRF will also be performed. The feasibility of using biomonitors for environmental pollution purposes will also be studied. The project foresees the evaluation of the analytical data as regards its analytical quality and its statistical interpretation. The identification of emission sources will be attempted. (author). 7 refs, 1 fig., 3 tabs

  15. The Telephony in the City of Santiago of Cuba (1893 - 1959

    Maithe Sánchez-Garrido

    2016-02-01

    Full Text Available In spite of the substantial advantages which it specifically contributed the restoration of the telephone in Cuba and in the oriental locality, like an element of modernity that contributed to improve the form of life of the population, as well as the quality of mass media, the subject from its arrival to Santiago of Cuba is very little disclosed and/or not known, to grief that with the triumph of the Cuban Revolution considerably spread the use of the same one and some writings were published on the matter. The present research shows an analysis of the historical evolution of the telephony in the Island, but having like attention center the city of Santiago of Cuba. For it the antecedents of this phenomenon consider, the political, economic-social and cultural circumstances that influenced in their evolution and development, as well as their within the framework local incidence.

  16. Precisiones sobre un altar de la iglesia madrileña de las Comendadoras de Santiago

    Jesús Ángel Sánchez Rivera

    2011-01-01

    Full Text Available Analizamos el altar del Santísimo Sacramento que se localiza en la iglesia de las Comendadoras de Santiago (Madrid, en cuya realización participaron diversos artistas: el arquitecto José Fernández Piedra, el pintor Jacinto Gómez Pastor y, acaso, uno de los hermanos Michel (Roberto y Pedro, o algún escultor de su círculo.We analyse the altar of the Saint Sacrament that it`s located in the church of the Comendadoras of Santiago (Madrid, in whose realisation several artists participated: the architect José Fernández Piedra, the painter Jacinto Gómez Pastor and, maybe, one of the Michel brothers (Roberto and Pedro, or some sculptor of his circle.

  17. Immigration, Galician and Santiago de Cuba: a Vision from the Notarial Protocols (1850-1898

    Mónica García-Salgado

    2016-02-01

    Full Text Available The present research intends to approach the topic of the Galician presence in the jurisdiction of Santiago de Cuba, declared as such from the year 1847. It includes a balance on the factors of attraction and repulsion that facilitate the Galician immigrant's establishment in Cuba and Santiago de Cuba in the period 1850-1898, as well as characteristic some of their main ones. The study has been carried out starting from the information that offers the Notarial Protocols among those that Manuel Caminero´s Clerkships, Heraclio García, José Knot, the Real one Public of Government and of Guerra, and those of Caney and Copper.

  18. Respiratory disease and particulate air pollution in Santiago Chile: contribution of erosion particles from fine sediments.

    Garcia-Chevesich, Pablo A; Alvarado, Sergio; Neary, Daniel G; Valdes, Rodrigo; Valdes, Juan; Aguirre, Juan José; Mena, Marcelo; Pizarro, Roberto; Jofré, Paola; Vera, Mauricio; Olivares, Claudio

    2014-04-01

    Air pollution in Santiago is a serious problem every winter, causing thousands of cases of breathing problems within the population. With more than 6 million people and almost two million vehicles, this large city receives rainfall only during winters. Depending on the frequency of storms, statistics show that every time it rains, air quality improves for a couple of days, followed by extreme levels of air pollution. Current regulations focus mostly on PM10 and PM2.5, due to its strong influence on respiratory diseases. Though more than 50% of the ambient PM10s in Santiago is represented by soil particles, most of the efforts have been focused on the remaining 50%, i.e. particulate material originating from fossil and wood fuel combustion, among others. This document emphasizes the need for the creation of erosion/sediment control regulations in Chile, to decrease respiratory diseases on Chilean polluted cities. Copyright © 2014 Elsevier Ltd. All rights reserved.

  19. Spinal anesthesia using Taylor′s approach helps avoid general anesthesia in short stature asthmatic patient

    Amarjeet Dnyandeo Patil

    2015-01-01

    Full Text Available The case history of a 35-year-old female patient with short stature is presented. She was posted for rectopexy in view of rectal prolapse. She was a known case of bronchial asthma. She had crowding of intervertebral spaces, which made administration of spinal anesthesia via the normal route very difficult. Taylor′s approach for administration of the same was tried and proved successful, thus saving the patient from receiving general anesthesia in the presence of bronchial asthma, for a perineal surgery. The possible cause for the difficulty in administration of spinal anesthesia and the Taylor′s approach are discussed, and reports of similar cases reviewed.

  20. Anesthesia for pediatric external beam radiation therapy

    Fortney, Jennifer T.; Halperin, Edward C.; Hertz, Caryn M.; Schulman, Scott R.

    1999-01-01

    Background: For very young patients, anesthesia is often required for radiotherapy. This results in multiple exposures to anesthetic agents over a short period of time. We report a consecutive series of children anesthetized for external beam radiation therapy (EBRT). Methods: Five hundred twelve children ≤ 16 years old received EBRT from January 1983 to February 1996. Patient demographics, diagnosis, anesthesia techniques, monitoring, airway management, complications, and outcome were recorded for the patients requiring anesthesia. Results: One hundred twenty-three of the 512 children (24%) required 141 courses of EBRT with anesthesia. Anesthetized patients ranged in age from 20 days to 11 years (mean 2.6 ± 1.8 ). The frequency of a child receiving EBRT and requiring anesthesia by age cohort was: ≤ 1 year (96%), 1-2 years (93%), 2-3 years (80%), 3-4 years (51%), 4-5 years (36%), 5-6 years (13%), 6-7 years (11%), and 7-16 years (0.7%). Diagnoses included: primary CNS tumor (28%), retinoblastoma (27%), neuroblastoma (20%), acute leukemia (9%), rhabdomyosarcoma (6%), and Wilms' tumor (4%). Sixty-three percent of the patients had been exposed to chemotherapy prior to EBRT. The mean number of anesthesia sessions per patient was 22 ± 16. Seventy-eight percent of the treatment courses were once daily and 22% were twice daily. Anesthesia techniques included: short-acting barbiturate induction + inhalation maintenance (21%), inhalation only (20%), ketamine (19%), propofol only (12%), propofol induction + inhalation maintenance (7%), ketamine induction + inhalation maintenance (6%), ketamine or short-acting barbiturate induction + inhalation maintenance (6%). Monitoring techniques included: EKG (95%), O 2 saturation (93%), fraction of inspired O 2 (57%), and end-tidal CO 2 (55%). Sixty-four percent of patients had central venous access. Eleven of the 74 children with a central line developed sepsis (15%): 6 of the 11 were anesthetized with propofol (55%), 4 with a

  1. Advances in local anesthesia in dentistry.

    Ogle, Orrett E; Mahjoubi, Ghazal

    2011-07-01

    Local pain management is the most critical aspect of patient care in dentistry. The improvements in agents and techniques for local anesthesia are probably the most significant advances that have occurred in dental science. This article provides an update on the most recently introduced local anesthetic agents along with new technologies used to deliver local anesthetics. Safety devices are also discussed, along with an innovative method for reducing the annoying numbness of the lip and tongue following local anesthesia. Copyright © 2011 Elsevier Inc. All rights reserved.

  2. Achieving profound anesthesia using the intraosseous technique.

    Coury, K A

    1997-10-01

    The intraosseous technique has been described as a useful adjunct to primary anesthetic administration. It has several advantages (Table 3) over other supplemental techniques in that it is relatively simple to implement into routine practice, it affords fast, predictable results, and it is relatively painless. The technique has been shown to be very successful in achieving profound pulpal anesthesia when administered as a supplement to the inferior alveolar nerve block and is effective in achieving profound anesthesia in irreversibly inflamed teeth, especially mandibular molars.

  3. Nuclear energy in Spain

    Isla, M.

    1984-01-01

    The 'Plan Energetico Nacional de 1983' (1983 National Energy Program)(PEN-83) was approved recently by the Spanish Government and presented to the 'Cortes Espanolas' (Spanish Parliament) in May 1984. The PEN-83 is being discussed at present in the Parliament and it is possible that some modifications be introduced, but expectedly will be rather limited and minor. PEN-83 covers the period 1983-1992. It includes a comparative analysis of the evolution and situation in OECD countries and in Spain. In Spain the offer, supply and consumption of primary energy and of the interrelation with other economic indicators, such as the gross domestic product, inflation rate and unemployment compared with that of the industrialized OECD countries, has shown a much lower capability to adapt its structure to the energy price increases

  4. Role of intraseptal anesthesia for pain-free dental treatment

    Gazal, G; Fareed, WM; Zafar, MS

    2016-01-01

    Pain control during the dental procedure is essentials and challenging. A complete efficacious pulp anesthesia has not been attained yet. The regional anesthesia such as inferior alveolar nerve block (IANB) only does not guarantee the effective anesthesia with patients suffering from irreversible pulpitis. This main aim of this review was to discuss various aspects of intraseptal dental anesthesia and its role significance in pain-free treatment in the dental office. In addition, reasons of f...

  5. Phrenic nerve blocage with spinal anesthesia for laparoscopic Nissen fundoplication

    Murat Dursun

    2015-06-01

    Full Text Available In this case, we describe a patient having laparoscopic Nissen fundoplication (LNF under spinal anesthesia with phrenic nerve blockade. It’s emphasized that in this type of operations, spinal anesthesia may be an alternative method rather the general anesthesia and the resulting shoulder pain in laparoscopic surgery performed under spinal anesthesia can be prevented by phrenic nerve blockade. J Clin Exp Invest 2015; 6 (2: 186-188

  6. Nuclear power in Spain

    1979-01-01

    the plans of the Spanish Government to reduce their dependence on oil over the next ten years by a considerable increase in nuclear generating capacity are outlined. Data on the type, generating power, location and commissioning data of a number of nuclear power stations in Spain are tabulated. The use of foreign companies for the design and construction of the nuclear stations and the national organisations responsible for different aspects of the programme are considered. (UK)

  7. Snakebite poisoning in Spain.

    Martín-Sierra, Cristina; Nogué-Xarau, Santiago; Pinillos Echeverría, Miguel Ángel; Rey Pecharromán, José Miguel

    2018-01-01

    Emergencies due to snakebites, although unusual in Spain, are potentially serious. Of the 13 species native to the Iberian peninsula, only 5 are poisonous: 2 belong to the Colubridae family and 3 to the Viperidae family. Bites from these venemous snakes can be life-threatening, but the venomous species can be easily identified by attending to certain physical traits. Signs denoting poisoning from vipers, and the appropriate treatment to follow, have changed in recent years.

  8. Cultural Identity and Citizenship in Poverty–Stricken Areas in Santiago, Chile

    Cristian Cabalin

    2012-07-01

    Full Text Available Based on a qualitative study in La Victoria, a shantytown in Santiago de Chile with a long history of urban mobilization that goes back to the 50's, this paper examines how cultural identities shape political representation and contribute to social exclusion. The results suggest that the origins of the shantytown left an important imprint on its residents delineating their cultural identity in ways that limit their political and social integration.

  9. Santiago de Chile, ¿ejemplo de una reestructuración capitalista global?

    Luis Fuentes

    2004-12-01

    Full Text Available Términos como "ciudad global", "ciudad difusa", "ciudad dual", entre otros, merecen ser rediscutidos y contrastados con el proceso de transformaciones experimentado por Santiago de Chile producto de la reestructuración capitalista. En este sentido, este trabajo pretende discutir acerca de la conveniencia de otorgar a la capital de Chile éstos y otros adjetivos frecuentemente utilizados en la literatura urbanística internacional.

  10. Posicionamiento de las mujeres como locutoras en las transmisiones de programas radiales en Santiago de Chile

    Tomas, Dodds.; Amor, I.M.

    2016-01-01

    Este artículo busca describir el rol de las mujeres en las radios de Frecuencia Modulada que transmiten en Santiago de Chile. Para ello levanta información respecto a la cantidad de mujeres que ocupan roles de locución y observa a través de la categorización de los programas qué espacios se les han

  11. Bio-Inspired Design Approach Analysis: A Case Study of Antoni Gaudi and Santiago Calatrava

    Marzieh Imani

    2017-01-01

    Antoni Gaudi and Santiago Calatrava have reputation for designing bio-inspired creative and technical buildings. Even though they have followed different independent approaches towards design, the source of bio-inspiration seems to be common. Taking a closer look at their projects reveals that Calatrava has been influenced by Gaudi in terms of interpreting nature and applying natural principles into the design process. This research firstly discusses the dialogue between Biomimicry and archit...

  12. Ethnobotanical Research at the Kutukú Scientific Station, Morona-Santiago, Ecuador

    Bracco, Francesco; Cerna, Marco; Vita Finzi, Paola; Vidari, Giovanni

    2016-01-01

    This work features the results of an ethnobotanical study on the uses of medicinal plants by the inhabitants of the region near to the Kutukú Scientific Station of Universidad Politécnica Salesiana, located in the Morona-Santiago province, southeast of Ecuador. In the surroundings of the station, one ethnic group, the Shuar, has been identified. The survey hereafter reports a total of 131 plant species, with 73 different therapeutic uses. PMID:28074189

  13. Living City: community mobilization to build active transport policies and programs in Santiago, Chile

    L. Sagaris

    2010-01-01

    Although the usefulness of walking and cycling to promote health is increasingly recognized, the importance of civil society leadership in developing new policies and activities is often overlooked. This case study, of Living City (Ciudad Viva) a community-based organization in Santiago, Chile, examines how several communities used knowledge about transport’s impact on the environment and health, gained through opposition to a major highway project, to build effective sustainable urban transp...

  14. Voluntariado y Edades: Observaciones desde la juventud, adultez y vejez voluntaria de la ciudad de Santiago

    Nelson Sepúlveda Miranda; Antonio Muñoz Mayne-Nicholls

    2009-01-01

    El voluntariado, entendido como una manifestación de la colaboración, se construye a partir de los observadores que describen y explican su realidad. En este sentido, el presente texto abordará las comunicaciones más recurrentes sobre voluntariado, identificadas por jóvenes, adultos y adultos mayores voluntarios de la ciudad de Santiago de Chile; quienes, al producir comunicaciones colaborativas, construyen -a su vez- sus propias edades.

  15. Voluntariado y Edades: Observaciones desde la juventud, adultez y vejez voluntaria de la ciudad de Santiago

    Nelson Sepúlveda Miranda

    2009-01-01

    Full Text Available El voluntariado, entendido como una manifestación de la colaboración, se construye a partir de los observadores que describen y explican su realidad. En este sentido, el presente texto abordará las comunicaciones más recurrentes sobre voluntariado, identificadas por jóvenes, adultos y adultos mayores voluntarios de la ciudad de Santiago de Chile; quienes, al producir comunicaciones colaborativas, construyen -a su vez- sus propias edades.

  16. Ethnobotanical Research at the Kutukú Scientific Station, Morona-Santiago, Ecuador

    Jose Luis Ballesteros

    2016-01-01

    Full Text Available This work features the results of an ethnobotanical study on the uses of medicinal plants by the inhabitants of the region near to the Kutukú Scientific Station of Universidad Politécnica Salesiana, located in the Morona-Santiago province, southeast of Ecuador. In the surroundings of the station, one ethnic group, the Shuar, has been identified. The survey hereafter reports a total of 131 plant species, with 73 different therapeutic uses.

  17. Ethnobotanical Research at the Kutukú Scientific Station, Morona-Santiago, Ecuador.

    Ballesteros, Jose Luis; Bracco, Francesco; Cerna, Marco; Vita Finzi, Paola; Vidari, Giovanni

    2016-01-01

    This work features the results of an ethnobotanical study on the uses of medicinal plants by the inhabitants of the region near to the Kutukú Scientific Station of Universidad Politécnica Salesiana, located in the Morona-Santiago province, southeast of Ecuador. In the surroundings of the station, one ethnic group, the Shuar, has been identified. The survey hereafter reports a total of 131 plant species, with 73 different therapeutic uses.

  18. Walking Meditation: Being Present and Being Pilgrim on the Camino de Santiago

    Alison T. Smith

    2018-01-01

    The Camino de Santiago has witnessed an unprecedented number of walkers in recent years. Traditionalists feel that the Camino is suffering from excess—too many visitors and too much strain on the infrastructure, accompanied by an ignorance of what it means to be an “authentic” pilgrim. Contemporary pilgrims often use ancillary services to transport their bags, approaching the Camino as an athletic event or a holiday excursion. For scholars and people of faith, these superficial attitudes to t...

  19. Nurse Anesthetists' Perceptions Regarding Utilization of Anesthesia Support Personnel

    Ford, Mary Bryant

    2010-01-01

    Anesthesia support personnel (ASP) provide direct support to health care providers administering anesthesia (Certified Registered Nurse Anesthetists [CRNAs] and anesthesiologists). Because these anesthesia providers are caring for a patient whom they cannot legally or ethically leave unattended, ASP are employed to bring them extra supplies or…

  20. 21 CFR 868.5240 - Anesthesia breathing circuit.

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Anesthesia breathing circuit. 868.5240 Section 868...) MEDICAL DEVICES ANESTHESIOLOGY DEVICES Therapeutic Devices § 868.5240 Anesthesia breathing circuit. (a) Identification. An anesthesia breathing circuit is a device that is intended to administer medical gases to a...

  1. 21 CFR 868.5170 - Laryngotracheal topical anesthesia applicator.

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Laryngotracheal topical anesthesia applicator. 868... topical anesthesia applicator. (a) Identification. A laryngotracheal topical anesthesia applicator is a device used to apply topical anesthetics to a patient's laryngotracheal area. (b) Classification. Class...

  2. 21 CFR 868.5120 - Anesthesia conduction catheter.

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Anesthesia conduction catheter. 868.5120 Section... (CONTINUED) MEDICAL DEVICES ANESTHESIOLOGY DEVICES Therapeutic Devices § 868.5120 Anesthesia conduction catheter. (a) Identification. An anesthesia conduction catheter is a flexible tubular device used to inject...

  3. 21 CFR 868.5140 - Anesthesia conduction kit.

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Anesthesia conduction kit. 868.5140 Section 868...) MEDICAL DEVICES ANESTHESIOLOGY DEVICES Therapeutic Devices § 868.5140 Anesthesia conduction kit. (a) Identification. An anesthesia conduction kit is a device used to administer to a patient conduction, regional, or...

  4. 21 CFR 884.5100 - Obstetric anesthesia set.

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Obstetric anesthesia set. 884.5100 Section 884... § 884.5100 Obstetric anesthesia set. (a) Identification. An obstetric anesthesia set is an assembly of... anesthetic drug. This device is used to administer regional blocks (e.g., paracervical, uterosacral, and...

  5. 21 CFR 868.5150 - Anesthesia conduction needle.

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Anesthesia conduction needle. 868.5150 Section 868...) MEDICAL DEVICES ANESTHESIOLOGY DEVICES Therapeutic Devices § 868.5150 Anesthesia conduction needle. (a) Identification. An anesthesia conduction needle is a device used to inject local anesthetics into a patient to...

  6. 21 CFR 868.5130 - Anesthesia conduction filter.

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Anesthesia conduction filter. 868.5130 Section 868...) MEDICAL DEVICES ANESTHESIOLOGY DEVICES Therapeutic Devices § 868.5130 Anesthesia conduction filter. (a) Identification. An anesthesia conduction filter is a microporous filter used while administering to a patient...

  7. Outcome after regional anesthesia: weighing risks and benefits

    Lirk, P.; Hollmann, M. W.

    2014-01-01

    Regional anesthesia has become a widely used method to provide intraoperative anesthesia, and postoperative analgesia. This review seeks to address the question whether patient outcomes are improved to an extent that justifies using regional anesthesia as a routine method. During the past decade, a

  8. Factors That Condition the Attitude Toward Living Related Kidney Donation Among Santiago of Cuba's Population.

    Ríos, A; López-Navas, A I; Sánchez, Á; Martínez-Alarcón, L; Ayala, M A; Garrido, G; Sebastián, M J; Ramis, G; Hernández, A M; Ramírez, P; Parrilla, P

    2018-03-01

    Living kidney donation is currently the most important kidney donor source in Latin America, and it is necessary to further increase its rates. To analyze the attitude toward living kidney donation among the Santiago de Cuba's population and to determine the sociopersonal factors with which it is associated. The population over 15 years old residing in Santiago de Cuba, stratified by sex and age, was screened. The "PCID-LKD Ríos" attitude questionnaire toward living kidney donation was administered to a random selection of the people surveyed according to the stratification and the census data. The completion was anonymized and self-administered. Verbal consent was obtained. The study was completed by 445 people, of whom the 86% (n = 389) were in favor of living related kidney donation. This attitude is associated with the level of education (P donation (P = .006); attitude toward cadaveric organ donation (P donation (P = .001); religious beliefs (P = .001); and assessment of the risk of living kidney donation (P donation; (3) carrying out of prosocial activities; and (4) risk assessment of living donation. Living related donation is very well accepted among the Santiago de Cuba's population. Copyright © 2017 Elsevier Inc. All rights reserved.

  9. Thermal and lighting perception in four fully glazed office buildings in Santiago, Chile

    Claudio Vásquez

    2013-12-01

    Full Text Available Corresponding author: Claudio Vásquez, School of Architecture, Catholic University of Chile. 1916 El Comendador str. Providencia, Santiago, ZIP: 7530091, Chile. Tel.: +56 9 92826305; E-mail: clvasque@uc.cl This paper is part of a general research project whose main objective is to establish a baseline for post-occupancy energy consumption and indoor environmental quality for office buildings in Santiago, Chile. This study aims at understanding how architectonical variables relate to, and can even determine, user comfort perception. Thus, one-year continuous monitoring in several floors at four office buildings was performed and seasonal surveys were completed. Survey participants were asked a series of questions regarding spatial orientation and comfort perception in their workspace. The data from the comfort survey and onsite measurements such as season of the year, case study, type of workspace and possibility of an outdoor view from the workstation were contrasted with the components obtained by a Principal Component Analysis (PCA. Three components were selected from the PCA, and three Maps of Perception (MP were produced. These maps were then analyzed and interpreted so as to obtain information on the general perception of thermal and lighting comfort at workspaces within several office buildings in Santiago.

  10. Ecological Factors and Adolescent Marijuana Use: Results of a Prospective Study in Santiago, Chile

    Jorge Delva

    2014-03-01

    Full Text Available Purpose: Despite the growing evidence that ecological factors contribute to substance use, the relationship of ecological factors and illicit drugs such as marijuana use is not well understood, particularly among adolescents in Latin America. Guided by social disorganization and social stress theories, we prospectively examined the association of disaggregated neighborhood characteristics with marijuana use among adolescents in Santiago, Chile, and tested if these relationships varied by sex. Methods: Data for this study are from 725 community-dwelling adolescents participating in the Santiago Longitudinal Study, a study of substance using behaviors among urban adolescents in Santiago, Chile. Adolescents completed a two-hour interviewer administered questionnaire with questions about drug use and factors related to drug using behaviors. Results: As the neighborhood levels of drug availability at baseline increased, but not crime or noxious environment, adolescents had higher odds of occasions of marijuana use at follow up, approximately 2 years later (odds ratio [OR] = 1.39; 95% CI = 1.16–1.66, even after controlling for the study’s covariates. No interactions by sex were significant. Discussion: The findings suggest that “poverty”, “crime”, and “drug problems” may not be synonyms and thus can be understood discretely. As Latin American countries re-examine their drug policies, especially those concerning decriminalizing marijuana use, the findings suggest that attempts to reduce adolescent marijuana use in disadvantaged neighborhoods may do best if efforts are concentrated on specific features of the “substance abuse environment”.

  11. Respiratory disease and particulate air pollution in Santiago Chile: Contribution of erosion particles from fine sediments

    Garcia-Chevesich, Pablo A.; Alvarado, Sergio; Neary, Daniel G.; Valdes, Rodrigo; Valdes, Juan; Aguirre, Juan José; Mena, Marcelo; Pizarro, Roberto; Jofré, Paola; Vera, Mauricio; Olivares, Claudio

    2014-01-01

    Air pollution in Santiago is a serious problem every winter, causing thousands of cases of breathing problems within the population. With more than 6 million people and almost two million vehicles, this large city receives rainfall only during winters. Depending on the frequency of storms, statistics show that every time it rains, air quality improves for a couple of days, followed by extreme levels of air pollution. Current regulations focus mostly on PM10 and PM2.5, due to its strong influence on respiratory diseases. Though more than 50% of the ambient PM10s in Santiago is represented by soil particles, most of the efforts have been focused on the remaining 50%, i.e. particulate material originating from fossil and wood fuel combustion, among others. This document emphasizes the need for the creation of erosion/sediment control regulations in Chile, to decrease respiratory diseases on Chilean polluted cities. - We emphasize the urgent need to implement erosion and sediment control politics in Santiago, to decrease PM10 concentrations in the city's air, based on the US experience

  12. Waiting list in a public health facility in Santiago, Chile

    Alejandro Letelier

    2014-07-01

    Full Text Available Introduction Waiting lists are a well-known problem in public healthcare systems worldwide. For instance, England had over one million people in waiting lists for elective surgical procedures in 2000. Spain had over 360 000 patients in surgical waiting lists in 2007. Chile has been trying to manage waiting times through the GES (Explicit Guarantees in Healthcare plan, which was established by the Chilean government in 2005. Waiting lists for the guaranteed-care diseases in the GES plan had 380 000 patients at the beginning of 2010, and that number was reduced to zero in 2011. Internationally, there are some descriptive studies about waiting lists that focus on variables such as waiting times and number of patients in the list. In Chile, however, this type of study is lacking. Purpose This study aims to describe the characteristics of waiting lists for medical specialties between April and October 2011. It also aims to identify the components of management models in public healthcare centers, and to identify and analyze waiting-time frames of patients referred to a secondary or tertiary healthcare public center from a public primary healthcare center. Methods A descriptive cross-sectional study of the waiting list for first-time consultations for medical specialties was carried out. Referred patients were described and grouped using indicators of access to healthcare and waiting time between April and October 2011. Each consultation request or referral of a new patient was included in the waiting list and analyzed. Results There were 15 935 requests for consultations; 5 717 requests were resolved, and 8 544 were not (54% of the total requests for consultation. There was a mean waiting time of 498 days for non-resolved requests for consultation, and a mean of 141 days for resolved requests. The specialties in highest demand were orthopedic surgery and ophthalmology. The main waiting-list management processes were referral and reception of requests

  13. Comparison of Depth of Anesthesia in Different Parts of Maxilla When Only Buccal Anesthesia Was Done for Maxillary Teeth Extraction

    Isik, Kubilay; Kalayci, Abdullah; Durmus, Ercan

    2011-01-01

    Objective. Recently, some authors reported that maxillary teeth could be extracted without using palatal anesthesia, but they did not clearly specify the extracted teeth. This is important, because apparently the local anesthetic solution infiltrates the maxilla and achieves a sufficient anesthesia in the palatal side. Thus, thickness of the bone may affect the depth of anesthesia. The aim of this study was to compare the depth of anesthesia in different parts of the maxilla when only a bucca...

  14. [YouTube as an information source of spinal anesthesia, epidural anesthesia and combined spinal and epidural anesthesia].

    Tulgar, Serkan; Selvi, Onur; Serifsoy, Talat Ercan; Senturk, Ozgur; Ozer, Zeliha

    Social media as YouTube have become a part of daily life and many studies evaluated health-related YouTube videos. Our aim was to evaluate videos available on YouTube for the conformity to textbook information and their sufficiency as a source for patient information. A search of the YouTube website was performed using the keywords "spinal anesthesia, epidural anesthesia, combined spinal epidural anesthesia". Firstly, 180 videos were evaluated and the characteristics of the video were noted, and the features of the video too were noted if the video was regarding neuraxial anesthesia. Questionnaire 1 (Q1) evaluating the video quality relating to neuraxial anesthesia was designed using a textbook as reference and questionnaire 2 (Q2) was designed for evaluating patient information. After exclusions, 40 videos were included in the study. There was no difference in Q1 or Q2 scores when videos were grouped into 4 quarters according to their appearance order, time since upload or views to length rate (p>0.05). There was no statistical difference between Q1 or Q2 scores for spinal, epidural or combined videos (p>0.05). Videos prepared by a healthcare institute have a higher score in both Questionnaires 1 and 2 (10.87±4.28 vs. 5.84±2.90, p=0.044 and 3.89±5.43 vs. 1.19±3.35, p=0.01 respectively). Videos prepared by institutes, societies, etc. were of higher educational value, but were still very lacking. Videos should be prepared in adherence to available and up-to-date guidelines taking into consideration appropriate step by step explanation of each procedure, patient safety and frequently asked questions. Copyright © 2016 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.

  15. Breastfeeding after Anesthesia: A Review for Anesthesia Providers Regarding the Transfer of Medications into Breast Milk.

    Cobb, Benjamin; Liu, Renyu; Valentine, Elizabeth; Onuoha, Onyi

    Doctors, nurses, and midwives often inform mothers to "pump and dump" their breast milk for 24 hours after receiving anesthesia to avoid passing medications to the infant. This advice, though cautious, is probably outdated. This review highlights the more recent literature regarding common anesthesia medications, their passage into breast milk, and medication effects observed in breastfed infants. We suggest continuing breastfeeding after anesthesia when the mother is awake, alert, and able to hold her infant. We recommend multiple types of medications for pain relief while minimizing sedating medications. Few medications can have sedating effects to the infant, but those medications are specifically outlined. For additional safety, anesthesia providers and patients may screen medications using the National Institute of Health' LactMed database.

  16. Correlation of bupivacaine 0.5% dose and conversion from spinal anesthesia to general anesthesia in cesarean sections

    Seljogi, D; Wolff, A P; Scheffer, G J; van Geffen, G J; Bruhn, J

    2016-01-01

    BACKGROUND: Failed spinal anesthesia for cesarean sections may require conversion to general anesthesia. The aim of this study was to determine whether the administered spinal bupivacaine dose for performing a cesarean section under spinal anesthesia was related to the conversion rate to general

  17. Modelling the fine and coarse fraction of heavy metals in Spain

    García Vivanco, Marta; González, M. Angeles

    2014-05-01

    Heavy metals, such as cadmium, lead, nickel, arsenic, copper, chrome, zinc and selenium, are present in the air due to natural and anthropogenic emissions, normally joined to particles. These metals can affect life organisms via inhalation or ingestion, causing damages in human health and ecosystems. Small particles are inhaled and embebed in lungs and alveolus more easily than coarse particles. The CHIMERE model is a eulerian air quality model extensively used in air quality modelling. Metals have been recently included in this model in a special version developed in the CIEMAT (Madrid, Spain) modelling group. Vivanco et al. (2011) and González et al. (2012) showed the model performance for some metals in Spain and Europe. However, in these studies, metals were considered as fine particles. Some studies based on observed heavy metals air concentration indicate the presence of metals also in the coarse fraction, in special for Cu and Zn. For this reason, a new attempt of modelling metals considering a fine (Arsenic, Lead, Cadmium and Nickel Ambient Air Concentrations in Spain, 2011. Proceedings of the 11 th International Conference on Computational Science and Its Applications (ICCSA 11) 243-246 - González, Ma Vivanco, Marta; Palomino, Inmaculada; Garrido, Juan; Santiago, Manuel; Bessagnet, Bertrand Modelling Some Heavy Metals Air Concentration in Europe. // Water, Air & Soil Pollution;Sep2012, Vol. 223 Issue 8, p5227

  18. Awareness during general anesthesia: An Indian viewpoint

    Reshma P Ambulkar

    2016-01-01

    Conclusion: Awareness under anesthesia is a distressing complication with a potential for long-term psychological consequences, and every effort should be undertaken to prevent it. It is reassuring though that our data in Indian cancer patients at high risk for intra-operative awareness suggests that it is an uncommon occurrence.

  19. Anesthesia: A Topic for Interdisciplinary Study.

    Labianca, Dominick A.; Reeves, William J.

    1977-01-01

    Describes an interdisciplinary approach for teaching the topic of anesthesia as one aspect of a chemistry-oriented course for nonscience majors which focuses on timely topics such as the energy crisis and drugs. Historical treatment with the examination of literature is emphasized in teaching. (HM)

  20. Syringe-delivered tumescent anesthesia made easier

    Lapid, Oren

    2011-01-01

    A simple method for the infiltration of tumescent anesthesia is presented. An assembly is made using an infusion set, a three-way tap, and two unidirectional valves. The assembly and use of this system are straightforward and easy. The addition of unidirectional valves prevents the risk of reverse

  1. Testing haptic sensations for spinal anesthesia.

    2011-01-01

    Having identified key determinants of teaching and learning spinal anesthesia, it was necessary to characterize and render the haptic sensations (feeling of touch) associated with needle insertion in the lower back. The approach used is to match recreated sensations (eg, "pop" through skin or dura mater) with experts\\' perceptions of the equivalent clinical events.

  2. Sensory and motor effects of etomidate anesthesia

    Engelmann, J.; Bacelo, J.; Burg, E.H. van den; Grant, K.

    2006-01-01

    The effects of anesthesia with etomidate on the cellular mechanisms of sensory processing and sensorimotor coordination have been studied in the active electric sense of the mormyrid fish Gnathonemus petersii. Like many anesthetics, etomidate is known to potentiate GABA(A) receptors, but little is

  3. Intraosseous anesthesia: implications, instrumentation and techniques.

    Kleber, Christopher H

    2003-04-01

    The author reviews historical methods and the instruments used to bring about intraosseous anesthesia, or IOA; discusses the criteria for successful use of the intraosseous injection, or IOI, technique; and provides recommendations. Articles from before 1990 consisted of subjective reports of patient types and procedures performed using IOI as a primary technique. Studies published after 1990 yielded subjective findings on indications for expanded clinical use. The author discusses the expansion of the role of IOI relative to integrated local anesthetic delivery systems. The literature and studies verify the efficacy of IOI as a supplemental or primary technique. The author recommends anesthetics and infusion sites, and reports on the patients' perceptions of comfort. IOI can be used as a supplemental or primary technique to bring about local anesthesia in routine dental procedures. It can be used as a supplemental technique with mandibular nerve blocks to enhance deep pulpal anesthesia. It can be used as a primary technique so that patients do not experience numb lips or tongues postoperatively. Dentists can appreciate the immediate onset of anesthesia and reduced dosage levels of anesthetics associated with using IOI.

  4. General anesthesia for horses with specific problems

    Hodgson, D.S.; Dunlop, C.I.

    1990-01-01

    We have discussed anesthetic techniques, special considerations, and expected complications involved in anesthetizing horses for abdominal, orthopedic, and head and neck surgery, and myelography and have described expected physiologic dysfunction that may require changes in anesthetic technique or supportive measures. The objective is high-quality patient care and reduction in anesthesia-related morbidity and death

  5. The Biochemical Impact of Surgery and Anesthesia

    J.W. Hol (Jaap Willem)

    2014-01-01

    markdownabstract__Abstract__ General anesthesia has been considered by some medical historians as one of the most important contributions to modern medicine second to perhaps the concept of antiseptic medicine and hygiene. The first historical mention of a deep unnatural sleep so that surgery

  6. [Anesthesia and Alzheimer disease - Current perceptions].

    Marques, Ana Filipa Vieira da Silva Ferreira; Lapa, Teresa Alexandra Santos Carvalho

    It has been speculated that the use of anesthetic agents may be a risk factor for the development of Alzheimer disease. The objective of this review is to describe and discuss pre-clinical and clinical data related to anesthesia and this disease. Alzheimer disease affects about 5% of the population over 65 years old, with age being the main risk factor and being associated with a high morbidity. Current evidence questions a possible association between anesthesia, surgery, and long-term cognitive effects, including Alzheimer disease. Although data from some animal studies suggest an association between anesthesia and neurotoxicity, this link remains inconclusive in humans. We performed a review of the literature in which we selected scientific articles in the PubMed database, published between 2005 and 2016 (one article from 1998 due to its historical relevance), in English, which address the possible relationship between anesthesia and Alzheimer disease. 49 articles were selected. The possible relationship between anesthetic agents, cognitive dysfunction, and Alzheimer disease remains to be clarified. Prospective cohort studies or randomized clinical trials for a better understanding of this association will be required. Copyright © 2017 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.

  7. Human mediotemporal EEG characteristics during propofol anesthesia.

    Fell, J.; Widman, G.; Rehberg, B.; Elger, C.E.; Fernandez, G.S.E.

    2005-01-01

    Evidence for a response-control-related kind of declarative memory during deep propofol anesthesia has recently been reported. Connectivity within the mediotemporal lobe (MTL), and in particular rhinal-hippocampal synchronization within the gamma band, has been shown to be crucial for declarative

  8. Anesthesia for the patient with dementia

    Funder, Kamilia S; Steinmetz, Jacob; Rasmussen, Lars S

    2010-01-01

    With a growing aging population, more patients suffering from dementia are expected to undergo surgery, thus being exposed to either general or regional anesthesia. This calls for specific attention ranging from the legal aspects of obtaining informed consent in demented patients to deciding...

  9. Update on complications in pediatric anesthesia

    Giovanni de Francisci

    2013-02-01

    Full Text Available Complications in pediatric anesthesia can happen, even in our modern hospitals with the most advanced equipment and skilled anesthesiologists. It is important, albeit in a tranquil and reassuring way, to inform parents of the possibility of complications and, in general, of the anesthetic risks. This is especially imperative when speaking to the parents of children who will be operated on for minor procedures: in our experience, they tend to think that the anesthesia will be a light anesthesia without risks. Often the surgeons tell them that the operation is very simple without stressing the fact that it will be done under general anesthesia which is identical to the one we give for major operations. Different is the scenario for the parents of children who are affected by malignant neoplasms: in these cases they already know that the illness is serious. They have this tremendous burden and we choose not to add another one by discussing anesthetic risks, so we usually go along with the examination of the child without bringing up the possibility of complications, unless there is some specific problem such as a mediastinal mass.

  10. Regional anesthesia techniques for ambulatory orthopedic surgery.

    O'Donnell, Brian D

    2012-02-03

    PURPOSE OF REVIEW: The purpose of this review is to present advances in the use of regional anesthetic techniques in ambulatory orthopedic surgery. New findings regarding the use of both neuraxial anesthesia and peripheral nerve block are discussed. RECENT FINDINGS: Neuraxial anesthesia: The use of short-acting local anesthetic agents such as mepivacaine, 2-chloroprocaine, and articaine permits rapid onset intrathecal anesthesia with early recovery profiles. Advantages and limitations of these agents are discussed.Peripheral nerve block: Peripheral nerve blocks in limb surgery have the potential to transform this patient cohort into a truly ambulatory, self-caring group. Recent trends and evidence regarding the benefits of regional anesthesia techniques are presented.Continuous perineural catheters permit extension of improved perioperative analgesia into the ambulatory home setting. The role and reported safety of continuous catheters are discussed. SUMMARY: In summary, shorter acting, neuraxial, local anesthetic agents, specific to the expected duration of surgery, may provide superior recovery profiles in the ambulatory setting. A trend towards more peripheral and selective nerve blocks exists. The infrapatellar block is a promising technique to provide analgesia following knee arthroscopy. Improved analgesia seen in the perioperative period can be safely and effectively extended to the postoperative period with the use of perineural catheters.

  11. Optimizing anesthesia techniques in the ambulatory setting

    E. Galvin (Eilish)

    2007-01-01

    textabstractAmbulatory surgery refers to the process of admitting patients, administering anesthesia and surgical care, and discharging patients home following an appropriate level of recovery on the same day. The word ambulatory is derived from the latin word ambulare, which means ''to walk''. This

  12. Spinal anesthesia using Taylor's approach helps avoid general anesthesia in short stature asthmatic patient

    Patil, Amarjeet Dnyandeo; Bapat, Manasi; Patil, Sunita A.; Gogna, Roshan Lal

    2015-01-01

    The case history of a 35-year-old female patient with short stature is presented. She was posted for rectopexy in view of rectal prolapse. She was a known case of bronchial asthma. She had crowding of intervertebral spaces, which made administration of spinal anesthesia via the normal route very difficult. Taylor′s approach for administration of the same was tried and proved successful, thus saving the patient from receiving general anesthesia in the presence of bronchial asthma, for a perine...

  13. Source apportionment of ambient PM2.5 in Santiago, Chile: 1999 and 2004 results.

    Jorquera, Héctor; Barraza, Francisco

    2012-10-01

    A receptor model analysis has been applied to ambient PM(2.5) measurements taken at Santiago, Chile (33.5°S, 70.7°W) in 2004 (117 samples) and in 1999 (95 samples) on a receptor site on the eastern side of the city. For both campaigns, six sources have been identified at Santiago and their contributions in 1999/2004 are: motor vehicles: 28 ± 2.5/31.2 ± 3.4%, wood burning: 24.8 ± 2.3/28.9 ± 3.3%, sulfates: 18.8 ± 1.7/16.2 ± 2.5%, marine aerosol: 13 ± 2.1/9.9 ± 1.5%, copper smelters: 11.5 ± 1.4/9.7 ± 3.3% and soil dust: 3.9 ± 1.5/4.0 ± 2.4%. Hence relative contributions are statistically the same but the absolute contributions have been reduced because ambient PM(2.5) has decreased from 34.2 to 25.1 μg/m(3) between 1999 and 2004 at Santiago. Similarity of results for both data sets - analyzed with different techniques at different laboratory facilities - shows that the analysis performed here is robust. Source identification was carried out by inspection of key species in source profiles, seasonality of source contributions, comparison with published source profiles and by looking at wind trajectories computed using the Hybrid Single-Particle Lagrangian Integrated Trajectory (HYSPLIT) from USA's National Oceanic and Atmospheric Administration (NOAA); for the wood burning sources the MODIS burned area daily product was used to confirm wildfire events along the year. Using this combined methodology we have shown conclusively that: a) marine air masses do reach Santiago's basin in significant amounts but combined with anthropogenic sources; b) all copper smelters surrounding Santiago - and perhaps coal-fired power plants as well - contribute to ambient PM(2.5); c) wood burning is the second largest source, coming from residential wood burning in fall and winter and from regional wildfires in spring and summer. The results of the present analysis can be used to improve emission inventories, air quality forecasting systems and cost-benefit analyses at local

  14. Bias in Rating of Rodent Distress during Anesthesia Induction for Anesthesia Compared with Euthanasia.

    Baker, Brittany A; Hickman, Debra L

    2018-03-01

    Selection of an appropriate method of euthanasia involves balancing the wellbeing of the animal during the procedure with the intended use of the animal after death and the physical and psychologic safety of the observer or operator. The recommended practices for anesthesia as compared with euthanasia are very disparate, despite the fact that all chemical methods of euthanasia are anesthetic overdoses. To explain this disparity, this study sought to determine whether perception bias is inherent in the discussion of euthanasia compared with anesthesia. In this study, participants viewed videorecordings of the anesthesia of either 4 rats or 4 mice, from induction to loss of consciousness. Half of the participants were told that they were observing anesthesia; the other half understood that they were observing euthanasia. Participants were asked to rate the distress of the animals by scoring escape behaviors, fear behaviors, respiratory distress, and other distress markers. For mice, the participants generally rated the distress as high when they were told that the mouse was being euthanized, as compared with the participants who were told that the mouse was being anesthetized. For rats, the effect was not as strong, and the distress was generally rated higher when participants were told they were watching anesthesia. Because the interpretation of distress showed bias in both species-even though the bias differed regarding the procedure that interpreted as distressing-this study demonstrates that laboratory animal professionals must consider the influence of potential perception bias when developing policies for euthanasia and anesthesia.

  15. Postoperative Visual Analog Pain Scores and Overall Anesthesia Patient Satisfaction.

    Burch, Tony; Seipel, Scott J; Coyle, Nina; Ortega, Keri H; DeJesus, Ozzie

    2017-12-01

    Patient satisfaction is evolving into an important measure of high-quality health care and anesthesia care is no exception. Pain management is an integral part of anesthesia care and must be assessed to determine patient satisfaction; therefore, it is a measure for quality of care. One issue is how patients reflect individual experiences into their overall anesthesia experience. There is a need to identify how postoperative pain scores correlate with anesthesia patient satisfaction survey results. Postoperative pain is not a dominant measure in determining anesthesia patient satisfaction. Copyright © 2017 Elsevier Inc. All rights reserved.

  16. Chest CT in children: anesthesia and atelectasis

    Newman, Beverley; Gawande, Rakhee [Lucile Packard Children' s Hospital, Department of Radiology, Stanford, CA (United States); Krane, Elliot J. [Stanford University School of Medicine, Lucile Packard Children' s Hospital, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford, CA (United States); Holmes, Tyson H. [Stanford University School of Medicine, Lucile Packard Children' s Hospital, Department of Psychiatry and Behavioral Sciences, Stanford, CA (United States); Robinson, Terry E. [Stanford University School of Medicine, Lucile Packard Children' s Hospital, Department of Pulmonary Medicine and Cystic Fibrosis Center for Excellence in Pulmonary Biology, Stanford, CA (United States)

    2014-02-15

    There has been an increasing tendency for anesthesiologists to be responsible for providing sedation or anesthesia during chest CT imaging in young children. Anesthesia-related atelectasis noted on chest CT imaging has proven to be a common and troublesome problem, affecting image quality and diagnostic sensitivity. To evaluate the safety and effectiveness of a standardized anesthesia, lung recruitment, controlled-ventilation technique developed at our institution to prevent atelectasis for chest CT imaging in young children. Fifty-six chest CT scans were obtained in 42 children using a research-based intubation, lung recruitment and controlled-ventilation CT scanning protocol. These studies were compared with 70 non-protocolized chest CT scans under anesthesia taken from 18 of the same children, who were tested at different times, without the specific lung recruitment and controlled-ventilation technique. Two radiology readers scored all inspiratory chest CT scans for overall CT quality and atelectasis. Detailed cardiorespiratory parameters were evaluated at baseline, and during recruitment and inspiratory imaging on 21 controlled-ventilation cases and 8 control cases. Significant differences were noted between groups for both quality and atelectasis scores with optimal scoring demonstrated in the controlled-ventilation cases where 70% were rated very good to excellent quality scans compared with only 24% of non-protocol cases. There was no or minimal atelectasis in 48% of the controlled ventilation cases compared to 51% of non-protocol cases with segmental, multisegmental or lobar atelectasis present. No significant difference in cardiorespiratory parameters was found between controlled ventilation and other chest CT cases and no procedure-related adverse events occurred. Controlled-ventilation infant CT scanning under general anesthesia, utilizing intubation and recruitment maneuvers followed by chest CT scans, appears to be a safe and effective method to obtain

  17. Methylphenidate Actively Induces Emergence from General Anesthesia

    Solt, Ken; Cotten, Joseph F.; Cimenser, Aylin; Wong, Kin F.K.; Chemali, Jessica J.; Brown, Emery N.

    2011-01-01

    Background Although accumulating evidence suggests that arousal pathways in the brain play important roles in emergence from general anesthesia, the roles of monoaminergic arousal circuits are unclear. In this study we tested the hypothesis that methylphenidate (an inhibitor of dopamine and norepinephrine transporters) induces emergence from isoflurane anesthesia. Methods Using adult rats we tested the effect of methylphenidate IV on time to emergence from isoflurane anesthesia. We then performed experiments to test separately for methylphenidate-induced changes in arousal and changes in minute ventilation. A dose-response study was performed to test for methylphenidate–induced restoration of righting during continuous isoflurane anesthesia. Surface electroencephalogram recordings were performed to observe neurophysiological changes. Plethysmography recordings and arterial blood gas analysis were performed to assess methylphenidate-induced changes in respiratory function. Droperidol IV was administered to test for inhibition of methylphenidate's actions. Results Methylphenidate decreased median time to emergence from 280 to 91 s. The median difference in time to emergence without compared to with methylphenidate was 200 [155, 331] s (median, [95% confidence interval]). During continuous inhalation of isoflurane, methylphenidate induced return of righting in a dose-dependent manner, induced a shift in electroencephalogram power from delta to theta, and induced an increase in minute ventilation. Administration of droperidol (0.5 mg/kg IV) prior to methylphenidate (5 mg/kg IV) largely inhibited methylphenidate-induced emergence behavior, electroencephalogram changes, and changes in minute ventilation. Conclusions Methylphenidate actively induces emergence from isoflurane anesthesia by increasing arousal and respiratory drive, possibly through activation of dopaminergic and adrenergic arousal circuits. Our findings suggest that methylphenidate may be clinically

  18. Chest CT in children: anesthesia and atelectasis

    Newman, Beverley; Gawande, Rakhee; Krane, Elliot J.; Holmes, Tyson H.; Robinson, Terry E.

    2014-01-01

    There has been an increasing tendency for anesthesiologists to be responsible for providing sedation or anesthesia during chest CT imaging in young children. Anesthesia-related atelectasis noted on chest CT imaging has proven to be a common and troublesome problem, affecting image quality and diagnostic sensitivity. To evaluate the safety and effectiveness of a standardized anesthesia, lung recruitment, controlled-ventilation technique developed at our institution to prevent atelectasis for chest CT imaging in young children. Fifty-six chest CT scans were obtained in 42 children using a research-based intubation, lung recruitment and controlled-ventilation CT scanning protocol. These studies were compared with 70 non-protocolized chest CT scans under anesthesia taken from 18 of the same children, who were tested at different times, without the specific lung recruitment and controlled-ventilation technique. Two radiology readers scored all inspiratory chest CT scans for overall CT quality and atelectasis. Detailed cardiorespiratory parameters were evaluated at baseline, and during recruitment and inspiratory imaging on 21 controlled-ventilation cases and 8 control cases. Significant differences were noted between groups for both quality and atelectasis scores with optimal scoring demonstrated in the controlled-ventilation cases where 70% were rated very good to excellent quality scans compared with only 24% of non-protocol cases. There was no or minimal atelectasis in 48% of the controlled ventilation cases compared to 51% of non-protocol cases with segmental, multisegmental or lobar atelectasis present. No significant difference in cardiorespiratory parameters was found between controlled ventilation and other chest CT cases and no procedure-related adverse events occurred. Controlled-ventilation infant CT scanning under general anesthesia, utilizing intubation and recruitment maneuvers followed by chest CT scans, appears to be a safe and effective method to obtain

  19. A psychometric evaluation of the Pediatric Anesthesia Emergence Delirium scale.

    Ringblom, Jenny; Wåhlin, Ingrid; Proczkowska, Marie

    2018-04-01

    Emergence delirium and emergence agitation have been a subject of interest since the early 1960s. This behavior has been associated with increased risk of injury in children and dissatisfaction with anesthesia care in their parents. The Pediatric Anesthesia Emergence Delirium Scale is a commonly used instrument for codifying and recording this behavior. The aim of this study was to psychometrically evaluate the Pediatric Anesthesia Emergence Delirium scale, focusing on the factor structure, in a sample of children recovering from anesthesia after surgery or diagnostic procedures. The reliability of the Pediatric Anesthesia Emergence Delirium scale was also tested. One hundred and twenty-two children younger than seven years were observed at postoperative care units during recovery from anesthesia. Two or 3 observers independently assessed the children using the Pediatric Anesthesia Emergence Delirium scale. The factor analysis clearly revealed a one-factor solution, which accounted for 82% of the variation in the data. Internal consistency, calculated with Cronbach's alpha, was good (0.96). The Intraclass Correlation Coefficient, which was used to assess interrater reliability for the Pediatric Anesthesia Emergence Delirium scale sum score, was 0.97 (P Pediatric Anesthesia Emergence Delirium scale for assessing emergence delirium in children recovering from anesthesia after surgery or diagnostic procedures. The kappa statistics for the Pediatric Anesthesia Emergence Delirium scale items essentially indicated good agreement between independent raters, supporting interrater reliability. © 2018 John Wiley & Sons Ltd.

  20. Robotic anesthesia: not the realm of science fiction any more.

    Hemmerling, Thomas M; Terrasini, Nora

    2012-12-01

    Robots are present in surgery, to a much lesser extent in the field of anesthesia. The purpose of this review is to show the latest and most important findings in robotic anesthesia. Moreover, this review argues the importance and utility of robots in anesthesia. Over the years, many closed-loop systems have been developed; they were able to control only one or two of the three components of anesthesia: hypnosis, analgesia, or muscle relaxation. McSleepy controls all three components of anesthesia, from induction to emergence of anesthesia. Telemedical applications have not only led to remote monitoring but even to remotely controlled anesthesia, such as transcontinental anesthesia. A new closed-loop system for sedation, called Sedasys, could revolutionize the field of nonoperating room sedation. 'Manual robots' are used to help and replace anesthesiologists performing anesthesia procedures. Specific robots for intubation and nerve blocks have been developed and tested in humans. Robots can improve performance in anesthesia and healthcare. Closed-loop systems are the basis for pharmacological robots. Safe anesthetic care might be delivered through teleanesthesia whenever qualified personnel are not available or need support. Mechanical robots are being developed for anesthesia care.

  1. Role of intraseptal anesthesia for pain-free dental treatment.

    Gazal, G; Fareed, W M; Zafar, M S

    2016-01-01

    Pain control during the dental procedure is essentials and challenging. A complete efficacious pulp anesthesia has not been attained yet. The regional anesthesia such as inferior alveolar nerve block (IANB) only does not guarantee the effective anesthesia with patients suffering from irreversible pulpitis. This main aim of this review was to discuss various aspects of intraseptal dental anesthesia and its role significance in pain-free treatment in the dental office. In addition, reasons of failure and limitations of this technique have been highlighted. Literature search was conducted for peer-reviewed articles published in English language in last 30 years. Search words such as dental anesthesia, pain control, intraseptal, and nerve block were entered using a web of knowledge and Google scholar databases. Various dental local anesthesia techniques were reviewed. A combination of block anesthesia, buccal infiltration and intraligamentary injection resulted in deep anesthesia (P = 0.003), and higher success rate compared to IANB. For pain-free management of conditions such as irreversible pulpitis, buccal infiltration (4% articaine), and intraosseous injection (2% lidocaine) are better than intraligamentary and IANB injections. Similarly, nerve block is not always effective for pain-free root canal treatment hence, needing supplemental anesthesia. Intraseptal anesthesia is an efficient and effective technique that can be used in maxillary and mandibular adult dentition. This technique is also beneficial when used in conjunction to the regional block or local dental anesthesia.

  2. Role of intraseptal anesthesia for pain-free dental treatment

    G Gazal

    2016-01-01

    Full Text Available Pain control during the dental procedure is essentials and challenging. A complete efficacious pulp anesthesia has not been attained yet. The regional anesthesia such as inferior alveolar nerve block (IANB only does not guarantee the effective anesthesia with patients suffering from irreversible pulpitis. This main aim of this review was to discuss various aspects of intraseptal dental anesthesia and its role significance in pain-free treatment in the dental office. In addition, reasons of failure and limitations of this technique have been highlighted. Literature search was conducted for peer-reviewed articles published in English language in last 30 years. Search words such as dental anesthesia, pain control, intraseptal, and nerve block were entered using a web of knowledge and Google scholar databases. Various dental local anesthesia techniques were reviewed. A combination of block anesthesia, buccal infiltration and intraligamentary injection resulted in deep anesthesia (P = 0.003, and higher success rate compared to IANB. For pain-free management of conditions such as irreversible pulpitis, buccal infiltration (4% articaine, and intraosseous injection (2% lidocaine are better than intraligamentary and IANB injections. Similarly, nerve block is not always effective for pain-free root canal treatment hence, needing supplemental anesthesia. Intraseptal anesthesia is an efficient and effective technique that can be used in maxillary and mandibular adult dentition. This technique is also beneficial when used in conjunction to the regional block or local dental anesthesia.

  3. The beginnings of dermatopathology and dermatologic microbiology in Spain.

    del Río, E

    2014-03-01

    Crisóstomo Martínez from Valencia was a pioneering microscopist in 17th-century Europe. The first microscopic representations of skin in Spain appeared in an 18th-century work by Martín Martínez. Microbiology and histopathology progressed considerably in the late 19th century thanks to anatomists like Maestre de San Juan and surgeons like Federico Rubio Galí. The first Spanish pathologist to specialize in dermatology was Antonio Mendoza, a colleague of José Eugenio de Olavide at the Hospital San Juan de Dios in Madrid. Claudio Sala and Juan de Azúa also made significant contributions, including the description of pseudoepithelioma. Several disciples of Santiago Ramón y Cajal and Jorge FranciscoTello, such as Lorenzo Ruiz de Arcaute and Guillermo de la Rosa King, consolidated the dermatology laboratory, but the Civil War sent many into exile or deprived them of their professional status. Juan Rubió in Barcelona and Julio Rodríguez Puchol in Madrid were the immediate predecessors of today's dermatopathologists. Copyright © 2012 Elsevier España, S.L. y AEDV. All rights reserved.

  4. Estimating pediatric general anesthesia exposure: Quantifying duration and risk.

    Bartels, Devan Darby; McCann, Mary Ellen; Davidson, Andrew J; Polaner, David M; Whitlock, Elizabeth L; Bateman, Brian T

    2018-05-02

    Understanding the duration of pediatric general anesthesia exposure in contemporary practice is important for identifying groups at risk for long general anesthesia exposures and designing trials examining associations between general anesthesia exposure and neurodevelopmental outcomes. We performed a retrospective cohort analysis to estimate pediatric general anesthesia exposure duration during 2010-2015 using the National Anesthesia Clinical Outcomes Registry. A total of 1 548 021 pediatric general anesthetics were included. Median general anesthesia duration was 57 minutes (IQR: 28-86) with 90th percentile 145 minutes. Children aged 3 hours. High ASA physical status and care at a university hospital were associated with longer exposure times. While the vast majority (94%) of children undergoing general anesthesia are exposed for risk for longer exposures. These findings may help guide the design of future trials aimed at understanding neurodevelopmental impact of prolonged exposure in these high-risk groups. © 2018 John Wiley & Sons Ltd.

  5. [Suicide in Spain today].

    Ruiz-Pérez, Isabel; Olry de Labry-Lima, Antonio

    2006-03-01

    Spain presents one of the lowest suicide rates (8.7 per 100,000) but, as well as Ireland, it has also experienced one of the highest rate increases both within Europe and within the world. In our country, it can be observed an increase in the suicide rates from 1975 to 1994, being this increase greater in men than in women. It can also be noted that there was a stabilisation in the following years. Social factors, specially those which have to deal with gender roles and changes in these roles, are the most common explanations. Another possible explanation for the observed increase in mortality due to suicide among young men could be the AIDS epidemic and intravenous drug addiction, that was observed in Spain during the eighties and nineties. Furthermore, we are witnessing an epidemic related to violence against children and women. Literature strongly suggests that child abuse (psychological and sexual) is associated with increased suicide risk in adolescent or adult life. Women experience violence from their intimate partners and have a greater risk of suffering from chronic pain, diverse somatisations, greater substance use like drugs and alcohol, depression and suicide attempt. The association between work precariousness and suicide seems to be due to economic and social and family support factors, which can lead to greater vulnerability to mental health problems. These factors are of great relevance, since Spain presents one of the highest unemployment and temporary employment rates in the European Union. It seems reasonable that, due to the individualism that characterises the contemporary society, its demands and the new role of women in the work market that cause, among others, a greater difficulty in combining work and family life, are factors that could explain the lack of decrease in suicide rates.

  6. Energy planning in Spain

    Cortina Garcia, J.

    1995-01-01

    This report aims to describe energy planning in Spain. It briefly analyses the three completed national energy plans (Plan Energetico Nacional, PEN). The fourth PEN 1991-2000 is analysed in detail, by reference to its objectives and characteristics and to developments during its first five years in operation. The Ministry of Industry and Energy has updated PEN en 1995, almost halfway through its period, and this is also summarised. Finally, there are some reflections on the future of energy planning. (Author) 46 refs

  7. Nuclear material control in Spain

    Velilla, A.

    1988-01-01

    A general view about the safeguards activities in Spain is presented. The national system of accounting for and control of nuclear materials is described. The safeguards agreements signed by Spain are presented and the facilities and nuclear materials under these agreements are listed. (E.G.) [pt

  8. Early Childhood Inclusion in Spain

    Giné, Climent; Balcells-Balcells, Anna; Cañadas, Margarita; Paniagua, Gema

    2016-01-01

    This article describes early childhood inclusion in educational settings in Spain. First, we address the legislative framework of preschool education in Spain and offer a brief analysis of some relevant issues, including the current situation of early childhood education and inclusion at this stage. Second, current policies and practices relating…

  9. Pharmacologic Considerations for Pediatric Sedation and Anesthesia Outside the Operating Room: A Review for Anesthesia and Non-Anesthesia Providers.

    Khurmi, Narjeet; Patel, Perene; Kraus, Molly; Trentman, Terrence

    2017-10-01

    Understanding the pharmacologic options for pediatric sedation outside the operating room will allow practitioners to formulate an ideal anesthetic plan, allaying anxiety and achieving optimal immobilization while ensuring rapid and efficient recovery. The authors identified relevant medical literature by searching PubMed, MEDLINE, Embase, Scopus, Web of Science, and Google Scholar databases for English language publications covering a period from 1984 to 2017. Search terms included pediatric anesthesia, pediatric sedation, non-operating room sedation, sedation safety, and pharmacology. As a narrative review of common sedation/anesthesia options, the authors elected to focus on studies, reviews, and case reports that show clinical relevance to modern day sedation/anesthesia practice. A variety of pharmacologic agents are available for sedation/anesthesia in pediatrics, including midazolam, fentanyl, ketamine, dexmedetomidine, etomidate, and propofol. Dosing ranges reported are a combination of what is discussed in the reviewed literature and text books along with personal recommendations based on our own practice. Several reports reveal that ketofol (a combination of ketamine and propofol) is quite popular for short, painful procedures. Fospropofol is a newer-generation propofol that may confer advantages over regular propofol. Remimazolam combines the pharmacologic effects of remifentanil and midazolam. A variety of etomidate derivatives such as methoxycarbonyl-etomidate, carboetomidate, methoxycarbonyl-carboetomidate, and cyclopropyl-methoxycarbonyl metomidate are in development stages. The use of nitrous oxide as a mild sedative, analgesic, and amnestic agent is gaining popularity, especially in the ambulatory setting. Utilizing a dedicated and experienced team to provide sedation enhances safety. Furthermore, limiting sedation plans to single-agent pharmacy appears to be safer than using multi-agent plans.

  10. Environmental performance reviews: Spain

    NONE

    2004-10-01

    The second OECD Review of Spain's environmental performance reviews Spain's progress in the context of OECD environmental strategy for the first decade of the 21st century in relation to its own policy objectives. It praises a number of achievements such as in commitments to climate change policies and developments of cogeneration and renewable energy sources. Although emissions of sulphur dioxide from the energy sector have fallen since 1990 they are still high when measured per capita and per unit of GDP. The OECD recommends further control of emissions of SOx, NOx, VOCs and NH{sub 3}. Subsidies such as compulsory purchase of domestic coal by electricity producers are set to increase. The report recommends the phasing out of environmental subsidies (which has begun) and making use of economic instruments to encourage efficient resource management and reduction of pollutants. Greenhouse gas emissions increased by 38% between 1990 and 2002 and the outlook for the next few years is pessimistic. 39 figs., 31 tabs.

  11. Nuclear energy in Spain

    Villota, C. de

    2007-01-01

    Carlos Villota. Director of Nuclear Energy of UNESA gave an overview of the Spanish nuclear industry, the utility companies and the relevant institutions. Companies of the nuclear industry include firms that produce heavy components or equipment (ENSA), manufacturers of nuclear fuel (ENUSA), engineering companies, the National Company for Radioactive Waste Management (ENRESA), and nuclear power plants (nine units at seven sites). Nuclear energy is a significant component of the energy mix in Spain: 11% of all energy produced in Spain is of nuclear origin, whilst the share of nuclear energy in the total electricity generation is approximately 23%. The five main players of the energy sector that provide for the vast majority of electricity production, distribution, and supply have formed the Spanish Electricity Industry Association (UNESA). The latter carries out co-ordination, representation, management and promotion tasks for its members, as well as the protection of their business and professional interests. In the nuclear field, UNESA through its Nuclear Energy Committee co-ordinates aspects related to nuclear safety and radiological protection, regulation, NPP operation and R and D. Regarding the institutional framework of the nuclear industry, ENSA, ENUSA and ENRESA are controlled by the national government through the Ministry of Economy and Finance and the Ministry of Science and Technology. All companies of the nuclear industry are licensed by the Ministry of Industry, Tourism and Trade (MITYC), while the regulatory body is the Nuclear Safety Council (CSN). It is noteworthy that CSN is independent of the government, as it reports directly to Parliament. (author)

  12. Vivienda social periurbana en Santiago de Chile: la exclusión a escala regional del trasurbanita de Santiago de Chile

    César Cáceres-Seguel

    2017-01-01

    Full Text Available La localización periurbana de vivienda social en Santiago de Chile ha sido am-pliamente estudiada desde sus implicancias territoriales y políticas, sin embargo,poco sabemos del impacto de estas urbanizaciones en la calidad de vida delhabitante. Mediante entrevistas con residentes de proyectos localizados en Lampase sugiere el surgimiento detrasurbanitas, para ellos, el acceso a un bienestarbásico depende de habitar cotidianamente territorios fragmentados entre lavivienda periurbana y comunas centrales que albergan servicios urbanos elemen-tales. El subsidio de vivienda desencadena la exclusión a escala regional congrupos habitando bordes periurbanos carentes de transporte público eficiente yservicios básicos.

  13. Endocarditis infecciosa: experiencia quirúrgica en el Cardiocentro de Santiago de Cuba Infectious endocarditis: surgical experience at the Cardiology Center of Santiago de Cuba

    Frank Josué Perdomo García

    2011-06-01

    Full Text Available Se realizó un estudio epidemiológico, descriptivo y transversal, de 104 pacientes intervenidos en el Cardiocentro del Hospital Provincial Clinicoquirúrgico Docente "Saturnino Lora" de Santiago de Cuba, desde enero de 1988 hasta diciembre del 2008, por presentar endocarditis infecciosa. Entre los hallazgos sobresalió el predominio del grupo etario de 15-45 años, del sexo masculino, de la cardiopatía reumática como factor predisponerte, de la forma de presentación séptico-infecciosa, de los estafilococos como gérmenes y de los hemocultivos negativos. La disfunción valvular fue la principal indicación quirúrgica, seguida de la insuficiencia cardíaca. La mortalidad representó 16,3 %, atribuible fundamentalmente al fallo multiorgánico por sepsis y al bajo gasto cardiaco. Los resultados de estas operaciones son buenos en la mencionada institución.A descriptive cross-sectional and epidemiological study was carried out in 104 patients operated due to infectious endocarditis at the Cardiology Center of the "Saturnino Lora "Provincial Teaching Clinical Surgical Hospital in Santiago de Cuba from January 1988 to December 2008. Among the findings was the prevalence of the 15-45 year-old patients, male sex, rheumatic heart disease as predisposing factor, and septic and infectious presentation, staphylococci as pathogens and negative blood cultures. Valve disease was the main surgical indication followed by heart failure. The mortality was 16,3 % attributable mainly to multiorgan failure due to sepsis and to the low cardiac output. The results of these interventions are favorable in that institution.

  14. Anesthesia for cesarean section in pregnancies complicated by placenta previa

    Imarengiaye, Charles O.; Osaigbovo, Etinosa P.; Tudjegbe, Sampson O.

    2008-01-01

    Objective was to evaluate the factors affecting the choice of anesthetic technique for cesarean section in women with placenta previa. In this retrospective study, the records of the labor Ward Theatre of the University of Benin Teaching Hospital, Benin City, Nigeria were examined from January 2000 to December 2004 to identify all the women who had cesarean section for placenta previa. The patient's socio-demographic characteristics, type of placenta previa, anesthesia technique, estimated blood loss, maternal and fetal outcomes were recorded. One hundred and twenty-six patients had cesarean section for placenta previa, however, only 81 patients 64.3% were available for analysis. General anesthesia was administered to 52/81 patients 64.2% and 29/81 patients 35.8% received spinal anesthesia. A history of antepartum bleeding was recorded in 61.7% n=50. Of 31 patients without antepartum hemorrhage APH, 15/31 had general anesthesia and 16/31 had spinal anesthesia. The patients who had APH, 37/50 had general anesthesia and 1/50 had spinal anesthesia. There was an increased chance of using general anesthesia and if APH were present p=0.03, odds ratio=3.1, 95% confidence interval=1.2-7.7. Spinal anesthesia may useful in patients with placenta previa. The presence of APH may encourage the use of general anesthesia for cesarean delivery. (author)

  15. General anesthesia versus segmental thoracic or conventional lumbar spinal anesthesia for patients undergoing laparoscopic cholecystectomy.

    Yousef, Gamal T; Lasheen, Ahmed E

    2012-01-01

    Laparoscopic cholecystectomy became the standard surgery for gallstone disease because of causing less postoperative pain, respiratory compromise and early ambulation. This study was designed to compare spinal anesthesia, (segmental thoracic or conventional lumbar) vs the gold standard general anesthesia as three anesthetic techniques for healthy patients scheduled for elective laparoscopic cholecystectomy, evaluating intraoperative parameters, postoperative recovery and analgesia, complications as well as patient and surgeon satisfaction. A total of 90 patients undergoing elective laparoscopic cholecystectomy, between January 2010 and May 2011, were randomized into three equal groups to undergo laparoscopic cholecystectomy with low-pressure CO2 pneumoperitoneum under segmental thoracic (TSA group) or conventional lumbar (LSA group) spinal anesthesia or general anesthesia (GA group). To achieve a T3 sensory level we used (hyperbaric bupivacaine 15 mg, and fentanyl 25 mg at L2/L3) for LSAgroup, and (hyperbaric bupivacaine 7.5 mg, and fentanyl 25 mg at T10/T11) for TSAgroup. Propofol, fentanyl, atracurium, sevoflurane, and tracheal intubation were used for GA group. Intraoperative parameters, postoperative recovery and analgesia, complications as well as patient and surgeon satisfaction were compared between the three groups. All procedures were completed laparoscopically by the allocated method of anesthesia with no anesthetic conversions. The time for the blockade to reach T3 level, intraoperative hypotensive and bradycardic events and vasopressor use were significantly lower in (TSA group) than in (LSA group). Postoperative pain scores as assessed throughout any time, postoperative right shoulder pain and hospital stay was lower for both (TSA group) and (LSA group) compared with (GA group). The higher degree of patients satisfaction scores were recorded in patients under segmental TSA. The present study not only confirmed that both segmental TSA and conventional

  16. Diffuse CO2 fluxes from Santiago and Congro volcanic lakes (São Miguel, Azores archipelago)

    Andrade, César; Cruz, José; Viveiros, Fátima; Branco, Rafael

    2017-04-01

    Diffuse CO2 degassing occurring in Santiago and Congro lakes, both located in depressions associated to maars from São Miguel Island (Azores, Portugal), was studied through detailed flux measurements. Four sampling campaigns were developed between 2013 and 2016 in each water body, split by the cold and wet seasons. São Miguel has an area of 744.6 km2, being the largest island of the archipelago. The geology of the island is dominated by three quiescent central volcanoes (Sete Cidades, Fogo and Furnas), linked by volcanic fissural zones (Picos and Congro Fissural Volcanic systems). The oldest volcanic systems of the island are located in its eastern part (Povoação-Nordeste). Santiago lake, with a surface area of 0.26 km2 and a depth of 30.5 m, is located inside a maar crater in the Sete Cidades volcano at an altitude of 355 m. The watershed of the lake has an area of 0.97 km2 and a surface flow estimated as 1.54x10 m3/a. A total of 1612 CO2 flux measurements using the accumulation chamber method were made at Santiago lake, 253 in the first campaign (November 2013), and 462, 475 and 422 in the three other campaigns, respectively, in April 2014, September 2016 and December 2016. The total CO2 flux estimated for this lake varies between 0.4 t d-1 and 0.59 t d-1, for the surveys performed, respectively, in November 2013 and September 2016; higher CO2 outputs of 1.57 and 5.87 t d-1 were calculated for the surveys carried out in April 2014 and December 2016. These higher CO2 emissions were associated with a period without water column stratification. Similarly to Santiago lake, Congro lake is located inside a maar, in the Congro Fissural Volcanic system, and has a surface area of 0.04 km2 with 18.5 m depth and a storage of about 2.4x105 m3/a. The lake, located at an altitude of 420 m, is fed by a watershed with an area of 0.33 km2 and a runoff estimated as about 8x104 m3/a. In Congro lake a total of 713 CO2 flux measurements were performed during four surveys from

  17. Side effects and complications of intraosseous anesthesia and conventional oral anesthesia.

    Peñarrocha-Oltra, David; Ata-Ali, Javier; Oltra-Moscardó, María-José; Peñarrocha-Diago, María; Peñarrocha, Miguel

    2012-05-01

    To analyze the side effects and complications following intraosseous anesthesia (IA), comparing them with those of the conventional oral anesthesia techniques. A simple-blind, prospective clinical study was carried out. Each patient underwent two anesthetic techniques: conventional (local infiltration and locoregional anesthetic block) and intraosseous, for respective dental operations. In order to allow comparison of IA versus conventional anesthesia, the two operations were similar and affected the same two teeth in opposite quadrants. Heart rate was recorded in all cases before injection of the anesthetic solution and again 30 seconds after injection. The complications observed after anesthetic administration were recorded. A total of 200 oral anesthetic procedures were carried out in 100 patients. Both IA and conventional anesthesia resulted in a significant increase in heart rate, though the increase was greater with the latter technique. Incidents were infrequent with either anesthetic technique, with no significant differences between them. Regarding the complications, there were significant differences in pain at the injection site, with more intense pain in the case of IA (x2=3.532, p=0.030, Φ2=0.02), while the limitation of oral aperture was more pronounced with conventional anesthesia (x2=5.128, panesthesia. Post-anesthetic biting showed no significant differences between the two techniques.

  18. General anesthesia plus ilioinguinal nerve block versus spinal anesthesia for ambulatory inguinal herniorrhapy

    Lucía Vizcaíno-Martínez

    2014-01-01

    Full Text Available Objective: The aim was to evaluate general anesthesia (GA plus ilioinguinal nerve block (IIB versus spinal anesthesia (SA in patients scheduled for ambulatory inguinal hernia repair regarding pain management, anesthesia recovery and reducing potential complications. Materials and Methods: A double-blind, prospective, randomized, controlled study in patients American Society of Anesthesiologists I-III randomized into two groups: GA plus IIB group, induction of anesthesia with propofol, maintenance with sevoflurane, airway management with laryngeal mask allowing spontaneous ventilation and ultrasound-guided IIB; SA group, patients who underwent spinal block with 2% mepivacaine. The study variables were pain intensity, assessed by visual analog scale, analgesic requirements until hospital discharge, time to ambulation and discharge, postoperative complications-related to both techniques and satisfaction experienced. Results: Thirty-two patients were enrolled; 16 patients in each group. The differences regarding pain were statistically significant at 2 h of admission (P < 0.001 and at discharge (P < 0.001 in favor of the GA plus ilioinguinal block group. In addition in this group, analgesic requirements were lower than SA group (P < 0.001, with times of ambulation and discharge significantly shorter. The SA group had a higher tendency to develop complications and less satisfaction. Conclusion: General anesthesia plus IIB is better than SA regarding postoperative analgesia, time to mobilization and discharge, side-effect profile and satisfaction experienced by the patients.

  19. Intraligamentary--intraosseous anesthesia. A radiographic demonstration.

    Garfunkel, A A; Kaufman, E; Marmary, Y; Galili, D

    1983-10-01

    Intraligamentary dental anesthesia has become a widely accepted technique. The periodontal ligament seems to provide easy access to the tooth apex. In the present study, radiopaque material was injected into baboon monkeys. Serial radiographs during incremental injections showed clouding of the crestal bone. The material was seen gradually advancing through the alveolar bone crest, apically. The spread was noticed through the marrow spaces, unexpectedly avoiding the PDL route.

  20. Chemical characterization and source identification of airborne particular matter in Santiago, Chile

    Cortes, Eduardo

    1997-01-01

    A long term study on the behaviour and chemical characterization of airbone particulate matter (APM) in Santiago, Chile, has been undertaken. This study uses neutron activation analysis (NAA), x-ray fluorescence (XRF), proton induced x-ray emission (PIXE) and atomic absorption spectrometry (AAS) Collection of APM in Santiago and a rural site was carried out using PM-10 Ghent Sample Collector. The analytical data was interptreted in two ways. On one hand, factor analysis applied to the data to detect elements with similar behaviour and probably of the same origin. On the other hand, the data obtained from the urban residential sites were compared to that of the rural station. Analytical quality control for NAA, XRF and AAS was based, mainly, in the exchange of samples among laboratories. For this purpose, a set of special samples were collected simultaneously To determine if the material on the membrane was distributed homogeneouly, a collimated x-ray beam was used to survey the distribution of the element Fe on the filter. A total of 18 elements were measured in the samples collected in the three mentioned stations. In addition, black carbon was measured using a smoke stain reflectometer. The fine fraction mass correlates quite well with black carbon. Lead and Br also correlates well and Al, Fe and Si also show similar behaviour. These last elements, which are attributed a natural origin, soil, show no large difference between the urban and rural sites. The elements As, Cu and S correlates quite well which could indicate a common origin. This is particular interesting since there might be a possible contribution of copper smelters located rather far (100 Km) from Santiago to the airbone particulate matter of the city. Factor analysis was performed with the data and the results of this study confirms the correlations mentioned above and clearly distinguish four factors. These factors can be attibuted to car and buses emissions, soil, biomass burning and, possible

  1. Something new about ketamine for pediatric anesthesia?

    Lois, Fernande; De Kock, Marc

    2008-06-01

    This review discusses the place of the old anesthetic ketamine in pediatric anesthesia. Despite the availability of modern alternatives, ketamine remains a frequently used drug particularly for anesthesia in high-risk children and for procedures outside the operating room. In adult patients undergoing surgery, a renewed interest in this drug is noted. It is the consequence of recent demonstrations of the following effects. First, ketamine is highly effective against surgery and opiate-induced hyperalgesia. Second, it has original antiproinflammatory properties. In other words, it promotes self-limitation of the inflammatory response that follows surgery. In the pediatric population, these benefits wait to be confirmed. Finally, questions arise about the safety of ketamine anesthesia. Ketamine is a potent proapoptotic drug. In rodents treated during the critical period for central nervous system development, long-term behavioral deficits were noted after an anesthetic dose of ketamine. The exact consequences of these proapoptotic properties on human brain tissue development have to be exactly determined and are still debatable. Ketamine has not yet revealed all its interactions in humans. Recent discoveries indicate interesting properties on the one hand and potentially deleterious effects on the other.

  2. Analgesia/anesthesia for external cephalic version.

    Weiniger, Carolyn F

    2013-06-01

    Professional society guidelines recommend that women with breech presentation be delivered surgically due to a higher incidence of fetal risks compared with vaginal delivery. An alternative is attempted external cephalic version, which if successful, enables attempted vaginal delivery. Attitudes towards external cephalic version (ECV) will be considered in this review, along with pain relief methods and their impact on ECV success rates. Articles suggest that ECV is infrequently offered, due to both physician and patient factors. Success of ECV is higher in multiparous women, complete breech, posterior placenta, or smaller fetus. Preterm ECV performance does not increase vaginal delivery rates. Neuraxial techniques (spinal or epidural) significantly increase ECV success rates, as do moxibustion and hypnosis. Four reviews summarized studies considering ECV and neuraxial techniques. These reviews suggest that neuraxial techniques using high (surgical) doses of local anesthetic are efficacious compared with control groups not using anesthesia, whereas techniques using low-doses are not. Low-dose versus high-dose neuraxial analgesia/anesthesia has not been directly compared in a single study. Based on currently available data, the rate of cephalic presentation is not increased using neuraxial techniques, but vaginal delivery rates are higher. ECV appears to be a low-risk procedure. The logistics of routine ECV and provision of optimal neuraxial techniques for successful ECV require additional research. Safety aspects of neuraxial anesthesia for ECV require further investigation.

  3. HEMODYNAMIC EFFECTS OF XENON ANESTHESIA IN CHILDREN

    M. V. Bykov

    2014-01-01

    Full Text Available The study was aimed at hemodynamic effects of xenon on operative interventions in children. Patients and methods: the study involved 30 5-17-year-old children – 10 (33.3% girls and 20 (66.7% boys with ASA score 1-3 admitted for surgical treatment. The children underwent endotracheal anesthesia with xenon-oxygen mixture (Xe:O2 = 60-65:30% and fentanyl (2.5‑3.5  mcg/kg per hour for the following operations: appendectomy – 10 (33.3% patients, herniotomy – 8 (26.7% patients, Ivanissevich procedure – 6 (20.0% patients, plastic surgery of posttraumatic defects of skin and soft tissues – 4 (13.3% patients, abdominal adhesiotomy – 2 (6.7% patients. Central hemodynamics was studied echocardiographically (Philips HD 11, the Netherlands using the Teichholz technique along the cephalocaudal axis (parasternal access. Results: the anesthesia was notable for hemodynamic stability during the operation: as a result, a statistically significant (p < 0.05 increase in systolic, diastolic and mean arterial pressure by 10, 18 and 17%, respectively, was observed. Conclusion: the analysis demonstrated that xenon anesthesia improves lusitropic myocardial function statistically significantly increasing cardiac output by 12% by way of increasing stroke volume by 30%. 

  4. Anesthesia Practices for Interventional Radiology in Europe

    Vari, Alessandra, E-mail: alessandra.vari@uniroma1.it [University La Sapienza, Department of Anesthesiology, Intensive Care and Pain Medicine (Italy); Gangi, Afshin, E-mail: gangi@unistra.fr [Les Hôpitaux Universitaires de Strasbourg, Chef de Pôle, Imagerie (France)

    2017-06-15

    PurposeThe Cardiovascular and Interventional Radiological Society of Europe (CIRSE) prompted an initiative to frame the current European status of anesthetic practices for interventional radiology, in consideration of the current variability of IR suite settings, staffing and anesthetic practices reported in the literature and of the growing debate on sedation administered by non-anesthesiologists, in Europe.MethodsAnonymous online survey available to all European CIRSE members to assess IR setting, demographics, peri-procedural care, anesthetic management, resources and staffing, pain management, data collection, safety, management of emergencies and personal opinions on the role CIRSE should have in promoting anesthetic care for interventional radiology.ResultsPredictable differences between countries and national regulations were confirmed, showing how significantly many “local” factors (type and size of centers, the availability of dedicated inpatient bed, availability of anesthesia staff) can affect the routine practice and the expansion of IR as a subspecialty. In addition, the perception of the need for IR to acquire more sedation-related skills is definitely stronger for those who practice with the lowest availability of anesthesia care.ConclusionSignificant country variations and regulations along with a controversial position of the anesthesia community on the issue of sedation administered by non-anesthesiologists substantially represent the biggest drawbacks for the expansion of peri-procedural anesthetic care for IR and for potential initiatives at an European level.

  5. Dinámicas migratorias transnacionales: el caso de los inmigrantes sudamericanos en Santiago de Chile

    Baeza Virgilio, Pablo

    2016-01-01

    La presente investigación se centra en la inmigración sudamericana en la ciudad de Santiago de Chile. Se analizan los elementos políticos, económicos y sociales que conforman el espacio social de incorporación en el que los inmigrantes se insertan. A través de los datos producidos por una encuesta, identificamos las características, magnitud e intensidades de las prácticas transnacionales que los inmigrantes sudamericanos despliegan en la ciudad como parte de sus estrategias de incorporación....

  6. Asociaciones políticas de inmigrantes peruanos y la "Lima Chica" en Santiago de Chile

    Luque Brazán, José Carlos

    2007-01-01

    El presente trabajo describe y examina la emergencia y desarrollo de tres asociaciones políticas de inmigrantes peruanos y su relación con el surgimiento de un "vecindario cultural", conocido por sus habitantes, la prensa chilena y algunos investigadores como la "Lima Chica", en Santiago de Chile. Nos referimos al Comité de Refugiados Peruanos en Chile, a la Asociación de Inmigrantes por la Integración Latinoamericana y del Caribe (APILA) y al Programa Andino para la Dignidad Humana (Proandes...

  7. LOCALIZACIONES PARA UNA ESPACIALIDAD: TERRITORIOS DE LA MIGRACIÓN PERUANA EN SANTIAGO DE CHILE

    Garcés H, Alejandro

    2012-01-01

    El siguiente artículo aborda algunas transformaciones del espacio urbano de santiago de Chile que son inducidas o producidas a partir del proceso de incremento del flujo migratorio peruano de los últimos 15 años. Desde una perspectiva etnográfica y a través de las biografías y trayectorias individuales de los migrantes y de la observación de sus usos y apropiaciones de los espacios urbanos, se ha detectado la configuración de éstos como locus proveedores de recursos para las nuevas comunidade...

  8. To Trade or Not to Trade: Firm-Level Analysis of Emissions Trading in Santiago, Chile

    Coria, Jessica; Loefgren, Aasa; Sterner, Thomas

    2009-01-01

    Whether tradable permits are appropriate for use in transition and developing economies - given special social and cultural circumstances, such as the lack of institutions and lack of expertise with market-based policies - is much debated. We conducted interviews and surveyed a sample of firms subject to emissions trading programs in Santiago, Chile, one of the first cities outside the OECD that has implemented such trading. The information gathered allow us to study what factors affect the performance of the trading programs in practice and the challenges and advantages of applying tradable permits in less developed countries

  9. Factores predictores del consumo de tabaco entre adolescentes del Colegio Universitario Santiago de Cali, 2005

    Yamileth Ortiz-Gómez; Jorge Martín Rodríguez-Hernández

    2009-01-01

    Objetivos: Identificar los factores predictores del consumo de tabaco entre los adolescentes del Colegio Santiago de Cali. Materiales y métodos: Estudio transversal con una muestra de 286 adolescentes matriculados y activos de grado 6 a 9 en el año lectivo 2005. A partir de la prevalencia del consumo de tabaco, se estimaron diferencias para las variables independientes con Ji2 y valores P. Los factores predictores fueron establecidos con un modelo logístico no condicional, previa evaluación d...

  10. Contaminación del aire en Santiago: Estado actual y soluciones

    Raúl O'Ryan; Luis Larraguibel

    2000-01-01

    En el presente trabajo se discute el problema de la contaminación atmosférica en Santiago y de los esfuerzos en marcha para su solución, representados formalmente por el Plan de Prevención y Descontaminación de la Región Metropolitana (PPDA). A modo de introducción se definen términos y conceptos utilizados en el PPDA, los cuales son de uso frecuente en el área de contaminación urbana. Posteriormente, se analizan el estado actual, la evolución y tendencias de los indicadores representativos d...

  11. Emilio Duhart: Seminario del Gran Santiago -1957. Precisiones del Proyecto Urbano

    Cristián Berríos Flores

    2013-12-01

    En el año 1957 se realiza en Chile el “Seminario del Gran Santiago”, donde se convoca a diversos especialistas para abordar ampliamente los problemas urbanos que se estaban suscitando en la capital. Entre los expositores se encuentra el arquitecto Emilio Duhart Harosteguy, quien realiza un detallado análisis y propuestas urbanas para Santiago. Se puede detectar a priori una directa influencia de los principios de la arquitectura moderna en su exposición, pero también una cierta autonomía intelectual al momento de proponer estructuras urbanas sobre el espacio público.

  12. Nicolae Ceausescu and Santiago Carrillo. On the reform of proletarian internationalism

    Cezar Stanciu

    2014-11-01

    Full Text Available This article analyzes the close relations developed between the Romanian and Spanish Communist parties in the context of the Soviet-led intervention in Czechoslovakia. It explores the similarities and differences between the visions of Nicolae Ceaușescu and Santiago Carrillo on the reform of the world Communist movement and also the new meaning attributed by both to proletarian internationalism. Drawing on transcripts of their conversations in crucial political moments, the article reveals how Eastern and Western Communists found ways to work together in order to undermine Soviet control over world Communism.

  13. GORDURA, DISCRIMINACIÓN Y CLASISMO: UN ESTUDIO EN JÓVENES DE SANTIAGO DE CHILE

    María Alejandra Energici Sprovera; Elaine Acosta Gonzáles; Florencia Borquez Grancelli; Macarena Huaiquimilla Paredes

    2017-01-01

    Resumen El estudio de la obesidad desde la psicología social se ha realizado principalmente desde una aproximación cognitivo conductual omitiendo los contextos sociales en que se realizan juicios discriminadores. Con el objetivo de comprender los significados con que se construye la gordura y su interacción con otras formas de exclusión social, hemos realizado un estudio cualitativo de jóvenes de Santiago de Chile. Trabajamos con tres grupos de discusión, que analizamos siguiendo las directri...

  14. Susceptibility profile of Aedes aegypti from Santiago Island, Cabo Verde, to insecticides.

    Rocha, Hélio Daniel Ribeiro; Paiva, Marcelo Henrique Santos; Silva, Norma Machado; de Araújo, Ana Paula; Camacho, Denise Dos Reis da Rosa de Azevedo; Moura, Aires Januário Fernandes da; Gómez, Lara Ferrero; Ayres, Constância Flávia Junqueira; Santos, Maria Alice Varjal de Melo

    2015-12-01

    In 2009, Cabo Verde diagnosed the first dengue cases, with 21,137 cases reported and Aedes aegypti was identified as the vector. Since the outbreak, chemical insecticides and source reduction were used to control the mosquito population. This study aimed to assess the susceptibility of A. aegypti populations from Santiago, Cabo Verde to insecticides and identify the mechanisms of resistance. Samples of A. aegypti eggs were obtained at two different time periods (2012 and 2014), using ovitraps in different locations in Santiago Island to establish the parental population. F1 larvae were exposed to different concentrations of insecticides (Bacillus thuringiensis var israelensis (Bti), diflubenzuron and temephos) to estimate the lethal concentrations (LC90) and calculate the respective rate of resistance (RR90). Semi-field tests using temephos-ABATE(®) were performed to evaluate the persistence of the product. Bottle tests using female mosquitoes were carried out to determine the susceptibility to the adulticides malathion, cypermethrin and deltamethrin. Biochemical and molecular tests were performed to investigate the presence of metabolic resistance mechanisms, associated with the enzymes glutathione S-transferases (GSTs), esterases and mixed-function oxidases (MFO) and to detect mutations or alterations in the sodium channel and acetylcholinesterase genes. A. aegypti mosquitoes from Santiago exhibited resistance to deltamethrin, cypermethrin (mortality<80%) and temephos (RR90=4.4) but susceptibility to malathion (mortality≥98%), Bti and diflubenzuron. The low level of resistance to temephos did not affect the effectiveness of Abate(®). The enzymatic analysis conducted in 2012 revealed slight changes in the activities of GST (25%), MFO (18%), α-esterase (19%) and β-esterase (17%), but no significant changes in 2014. Target site resistance mutations were not detected. Our results suggest that the A. aegypti population from Santiago is resistant to two major

  15. Santiago Ramón y Cajal and three-dimensional cinema.

    Santarén, Juan Fernández

    2015-01-01

    In this article, I present and comment on two unpublished letters written by the Spanish engineer Carlos Mendizábal Brunet to Santiago Ramón y Cajal informing him of the development of a new device for three-dimensional cinema and asking for his approval. Fortunately, the answers given by Cajal to these two letters have also been preserved, and they reveal his interest in three-dimensional cinema; in the letters, he reported that he himself had designed a prototype capable of creating on a screen a feeling of 3-D relief, a subject about which he was always passionate.

  16. Air pollution in Santiago (Chile) as studied by nuclear and other techniques. Appendix 6

    Toro, P.; Cortes, E.

    1995-01-01

    The elemental characterization of the urban aerosol in Santiago and of a rural area using different non-destructive analytical techniques such as PIXE, NAA and XRF was performed. In addition, AAS was used for selected samples and intercomparison purposes. The distribution of selected elements on membrane filters was studied using XRF. To assure adequate quality of the analytical data, an analytical quality control exercise was planned and carried out. Furthermore, different analytical techniques were used for the determination of the same elements in the same sample as further quality control procedure. (author)

  17. Exercises to improve the decision making of judokas youth of Santiago de Cuba

    Gerardo Antonio Rodríguez-Vázquez

    2018-01-01

    Full Text Available The weaknesses identified in the EIDE "Captain Orestes Acosta" in Santiago de Cuba in the process of tactical preparation in judo in female youth category motivated the author to develop an investigation with the following scientific problem: How to encourage perfect Offensive making decisions in combating youth team athletes Judo? The objective of this research is the refine of special exercises to promote the development of decision-making in combating youth team athletes Judo. Different theoretical and empirical methods were used to evidence the weaknesses identified. It further emphasizes the novelty of the proposal to use special exercises imbalance, defense, counterattack and combinations favoring decisions in combat.

  18. El arzobispado de Don Gonzalo de Aguilar en Santiago de Compostela (1348-1351

    Sánchez Sánchez, Xosé M.

    2010-06-01

    Full Text Available In the middle of the 14th century the prelature of Santiago de Compostela is occupied by Don Gonzalo de Aguilar, archbishop transferred from Sigüenza and whose pontificate is extended between 1348 and 1351, when he is transferred to Toledo. He is a figure that remained until now in the complete darkness of the history of the Compostellan church, disappearing in fact, in many cases, of the historical considerations, that they avoided him or simply they did not have noticed of his figure, extending the bordering prelatures (Peter V and Gómez Manrique until eliminate his one. It responds to the completely absence of sources and mentions in the Compostellan archives; in order to palliate this fact, we resorted to the bibliography of other seats and, specially, to the sources of the Vatican Secret Archive, with whose aid we can form one first, new and relatively complete vision of its reign in Santiago.

    A mediados del siglo XIV ocupa el arzobispado de Santiago de Compostela Don Gonzalo de Aguilar, prelado trasladado desde Sigüenza y cuyo pontificado se extiende entre los años 1348 y 1351, momento en que es promovido a Toledo. Se trata de una figura que permanecía hasta ahora en la completa penumbra de la historia de la iglesia compostelana, hasta el punto de haber desaparecido en muchos casos de las consideraciones históricas, que obviaban o simplemente desconocían su figura, extendiendo las prelaturas limítrofes, las de Pedro V y Gómez Manrique, hasta eliminar la suya. Ello responde a la completa falta de fuentes y menciones existente en los archivos compostelanos. Para paliar este hecho, recurrimos tanto a la bibliografía de otras sedes como, especialmente, a las fuentes del Archivo Secreto Vaticano, con cuya ayuda podemos configurar una primera, novedosa y relativamente completa visión de su gobierno en Santiago.

  19. Arquitectura y pensamiento ilustrado en la catedral de Santiago: promotores y artífices

    Singul, Francisco

    2012-01-01

    El último cuarto del siglo XVIII fue una época de gran actividad contructiva en la catedral de Santiago. Durante el episcopado de Rajoy (1751-72) y Malvar (1783-95), la Basílica Jacobea fue el centro de una floreciente experiencia en el ámbito de la arquitectura de la Ilustración. La catedral –la fachada de la Azabachería, la capilla de la Comunión y los proyectos de reforma integral de espacios– evoca soluciones y formas tomadas de muchos de los edificios y maestros del mundo clá...

  20. Mercado metropolitano de trabajo y desigualdades sociales en el Gran Santiago: ¿Una ciudad dual?

    Carlos A. de Mattos

    2002-12-01

    Full Text Available Los cambios estructurales en los mercados metropolitanos de trabajo bajo los procesos de reestructuración-informacionalización-globalización, se han situado como un tema central para el estudio de la transformación de las ciudades durante las últimas décadas. Desde esta perspectiva, el presente trabajo analiza los impactos que los procesos de modernización capitalista en Chile han tenido sobre su mercado de trabajo y sobre la evolución de la distribución del ingreso, y sobre esta base, observa sus efectos sobre la estructuración socio-territorial del Gran Santiago, discutiendo especialmente la pertinencia de la tesis de la dualización para este caso particular. Para ello, en una primera parte se esbozan los rasgos fundamentales de esta tesis, se analizan los fundamentos con los que ha sido presentada y las causas que se le atribuyen. En la segunda parte se revisan las principales transformaciones producidas en esta fase de modernización capitalista en Chile, y la evolución de las desigualdades sociales y la segregación urbana en el Gran Santiago a la luz de las transformaciones producidas en su mercado de trabajo. En la tercera y última parte, se plantea la discusión sobre la aplicabilidad de la tesis de la dualización al caso chilenoStructural changes in metropolitan labour markets under the process of reestructutration-informationalization-globalization, had become a central issue for the study of the transformation of the cities during the last decades. According to this perspective, this article analizes the impacts that the capitalist modernization in Chile has had on their labor market and the evolution of income distribution, and upon this base, observes their effects on socio-territorial estructuration of the Great Santiago, specially discussing the pertinence of the dualization theory for this particular case. For that, main characteristics of this theory are drawn; at the same time, the basis with that has been

  1. Residential Solar PV Planning in Santiago, Chile: Incorporating the PM10 Parameter

    Gustavo Cáceres

    2014-12-01

    Full Text Available This paper addresses an economic study of the installation of photovoltaic (PV solar panels for residential power generation in Santiago, Chile, based on the different parameters of a PV system, such as efficiency. As a performance indicator, the Levelized Cost of Energy (LCOE was used, which indicates the benefit of the facility vs. the current cost of electrical energy. In addition, due to a high level of airborne dusts typically associated with PM10, the effect of the dust deposition on PV panels’ surfaces and the effect on panel performance are examined. Two different scenarios are analyzed: on-grid PV plants and off-grid PV plants.

  2. Severe Bradycardia Possibly due to a Local Anesthetic Oral Mucosal Injection during General Anesthesia

    Satoh, Kenichi; Ohashi, Ayako; Kumagai, Miho; Hoshi, Hideki; Otaka, Kousei; Joh, Shigeharu

    2015-01-01

    Local anesthesia may induce systemic complications leading to parasympathetic activity leading to bradycardia and hypotension. We report a case of a 50-year-old man undergoing dental surgery under general anesthesia who experienced severe bradycardia and hypotension after local anesthesia infiltration. Concerns regarding the utilization of a relatively large lumen injection needle for local anesthesia during general anesthesia are discussed.

  3. Burnup credit in Spain

    Conde, J.M.; Recio, M.

    2001-01-01

    The status of development of burnup credit for criticality safety analyses in Spain is described in this paper. Ongoing activities in the country in this field, both national and international, are resumed. Burnup credit is currently being applied to wet storage of PWR fuel, and credit to integral burnable absorbers is given for BWR fuel storage. It is envisaged to apply burnup credit techniques to the new generation of transport casks now in the design phase. The analysis methodologies submitted for the analyses of PWR and BWR fuel wet storage are outlined. Analytical activities in the country are described, as well as international collaborations in this field. Perspectives for future research and development of new applications are finally resumed. (author)

  4. A comparative evaluation of pain and anxiety levels in 2 different anesthesia techniques: locoregional anesthesia using conventional syringe versus intraosseous anesthesia using a computer-controlled system (Quicksleeper).

    Özer, Senem; Yaltirik, Mehmet; Kirli, Irem; Yargic, Ilhan

    2012-11-01

    The aim of this study was to compare anxiety and pain levels during anesthesia and efficacy of Quicksleeper intraosseous (IO) injection system, which delivers computer-controlled IO anesthesia and conventional inferior alveolar nerve block (IANB) in impacted mandibular third molars. Forty subjects with bilateral impacted mandibular third molars randomly received IO injection or conventional IANB at 2 successive appointments. The subjects received 1.8 mL 2% articaine. IO injection has many advantages, such as enabling painless anesthesia with less soft tissue numbness and quick onset of anesthesia as well as lingual and palatal anesthesia with single needle penetration. Although IO injection is a useful technique commonly used during various treatments in dentistry, the duration of injection takes longer than conventional techniques, there is a possibility of obstruction at the needle tip, and, the duration of the anesthetic effect is inadequate for prolonged surgical procedures. Copyright © 2012 Elsevier Inc. All rights reserved.

  5. Promotional cultural poster: Major features of the sociocultural peak in Santiago de Cuba city, between 1970-1980

    Zoilo Rafael Fernández-Hernández

    2016-09-01

    Full Text Available During 70´s and 80´s of the last century, the promotional cultural poster in Santiago de Cuba gained a remarkable peak, due to historical and culturals conditions. Many important institutions were founded, that promote graphic design and sociocultural actions in the city, expressed in a lot of cultural events in that period. Nonetheless is impossible deny the education that acquired artists and designers, who with their creations increased the graphic arts movement in Santiago de Cuba, because they had a unique style. Because they had developed a unique style, apart of the Havana´s art movement.

  6. A five million year record of compositional variations in mantle sources to magmatism on Santiago, southern Cape Verde archipelago

    Barker, Abigail K.; Holm, Paul Martin; Peate, David W.

    2010-01-01

    High-precision Pb isotope data and Sr-Nd-Hf isotope data are presented together with major and trace element data for samples spanning the 4.6 Ma history of volcanism at Santiago, in the southern Cape Verde islands. Pb isotope data confirm the positive ¿8/4 signature of the southern islands...... indicating that the north-south compositional heterogeneity in the Cape Verde archipelago has persisted for at least 4.6 Ma. The Santiago volcanics show distinct compositional differences between the old, intermediate and young volcanics, and suggest greater involvement of an enriched mantle (EM1)-like...

  7. [Percutaneous maxillary nerve block anesthesia in maxillofacial surgery].

    Robiony, M; Demitri, V; Costa, F; Politi, M

    1999-01-01

    Personal experience in percutaneous maxillary nerve block anesthesia in association with transmucosal anesthesia of the sphenopalatine ganglion in oral and maxillofacial surgery, is presented. Six Caldwell-Luc, 9 anthrotomies and biopsies of maxillary sinus, 8 removals of extensive odontogenic cysts and 12 surgical maxillary expansions were performed from 1994 to 1996 at our Department. Maxillary transcutaneous nerve block in association with transmucosal anesthesia of the sphenopalatine ganglion were performed. Carbocaine without adrenaline in association with NaCO3 1/10 for maxillary nerve block anesthesia and lidocaineoprilocaine cream (EMLA) for transmucosal anesthesia were employed. Intra- and post-operative pain were evaluated by visual analogue scale in all the patients. Anesthesiological procedures revealed to be effective in all surgical interventions and postoperative analgesia allowed easier pain control. The simplicity of execution, the effective pre- and postoperative anesthesia and the absence of side effects make this procedure particularly indicated in oral and maxillofacial surgery.

  8. Anesthesia Quality and Patient Safety in China: A Survey.

    Zhu, Bin; Gao, Huan; Zhou, Xiangyong; Huang, Jeffrey

    There has been no nationwide investigation into anesthesia quality and patient safety in China. The authors surveyed Chinese anesthesiologists about anesthesia quality by sending a survey to all anesthesiologist members of the New Youth Anesthesia Forum via WeChat. The respondents could choose to use a mobile device or desktop to complete the survey. The overall response rate was 43%. Intraoperative monitoring: 77.9% of respondents reported that electrocardiogram monitoring was routinely applied for all patients; only 55% of the respondents reported that they routinely used end-tidal carbon dioxide monitoring for their patients under general anesthesia. 10.3% of respondents admitted that they had at least one wrong medicine administration in the past 3 months; 12.4% reported that they had at least one case of cardiac arrest in the past year. This is the first anesthesia quality survey in China. The findings revealed potential anesthesia safety issues in China.

  9. Special aspects of pharmacokinetics of inhalation anesthesia.

    Hendrickx, J F A; De Wolf, A

    2008-01-01

    Recent interest in the use of low-flow or closed circuit anesthesia has rekindled interest in the pharmacokinetics of inhaled anesthetics. The kinetic properties of inhaled anesthetics are most often modeled by physiologic models because of the abundant information that is available on tissue solubilities and organ perfusion. These models are intuitively attractive because they can be easily understood in terms of the underlying anatomy and physiology. The use of classical compartment modeling, on the other hand, allows modeling of data that are routinely available to the anesthesiologist, and eliminates the need to account for every possible confounding factor at each step of the partial pressure cascade of potent inhaled agents. Concepts used to describe IV kinetics can readily be applied to inhaled agents (e.g., context-sensitive half-time and effect site concentrations). The interpretation of the F(A)/F(I) vs time curve is expanded by reintroducing the concept of the general anesthetic equation-the focus is shifted from "how F(A) approaches F(I)" to "what combination of delivered concentration and fresh gas flow (FGF) can be used to attain the desired F(A)." When the desired F(A) is maintained with a FGF that is lower than minute ventilation, rebreathing causes a discrepancy between the concentration delivered by the anesthesia machine (=selected by the anesthesiologist on the vaporizer, F(D)) and that inspired by the patient. This F(D)-F(I) discrepancy may be perceived as "lack of control" and has been the rationale to use a high FGF to ensure the delivered matched the inspired concentration. Also, with low FGF there is larger variability in F(D) because of interpatient variability in uptake. The F(D)-F(I) discrepancy increases with lower FGF because of more rebreathing, and as a consequence the uptake pattern seems to be more reflected in the F(D) required to keep F(A) constant. The clinical implication for the anesthesiologist is that with high FGF few F

  10. Parents' satisfaction with pediatric ambulatory anesthesia in northeast of Thailand.

    Boonmak, Suhattaya; Boonmak, Polpun; Pothiruk, Kittawan; Hoontanee, Nattakhan

    2009-12-01

    Study the satisfaction of parents with ambulatory anesthesia and associated factors, including characteristics of the patients and their parents. This was a prospective, descriptive, observation study. The authors included children who were scheduled for ambulatory anesthetic service between birth and 14 years of age and attended at Srinagarind Hospital, Khon Kaen, Thailand. The authors excluded patients whose parents could not be reached by telephone. Before anesthesia, the authors recorded the patients and parents' characteristics, level of information perception (pre-, peri- and post-anesthesia and complications). After anesthesia, the anesthesia technique and any complications were recorded. The day after anesthesia, the authors made phone calls to the patients to record the parents' satisfaction score (viz, of overall, pre-, peri- and post-anesthesia care, and information about the level of patient care at home), and any anesthesia related complications. Ninety-two patients and their parents were included in the present study. Overall parents 'satisfaction with the anesthesia service was 96.7% (i.e., 89/92) (95% CI 90.8-99.3). Parents' satisfaction with pre- and peri-anesthesia care was 100% (95% CI 96.1-100) and 97.9% (95% CI 92.4-99.7), respectively. Parents' satisfaction with the PACU care and information of patient care at home was 96.7% (95% CI 90.8-99.3) and 91.3% (95% CI 83.6-96.2), respectively. Associated factors where parents were dissatisfied included PACU care satisfaction (i.e., relative risk 22.5 (95% CI 3.2-158)) and patient care information at home (i.e., relative risk 13.3 (95% CI 1.3-136.0)). The present study showed a high level of parents' satisfaction. Parents' dissatisfaction associated with PACU care and information about post anesthesia care at home. Additionally information on parents' characteristics provides invaluable data for improving pediatric ambulatory anesthesia in Srinagarind Hospital.

  11. Delayed recovery from anesthesia: A postgraduate educational review

    Misal, Ullhas Sudhakarrao; Joshi, Suchita Annasaheb; Shaikh, Mudassir Mohd

    2016-01-01

    Delayed awakening from anesthesia remains one of the biggest challenges that involve an anesthesiologist. With the general use of fast-acting anesthetic agents, patients usually awaken quickly in the postoperative period. The time to emerge from anesthesia is affected by patient factors, anesthetic factors, duration of surgery, and painful stimulation. The principal factors responsible for delayed awakening following anesthesia are anesthetic agents and medications used in the perioperative p...

  12. A Rare Complication of Spinal Anesthesia: Subdural Hematoma

    Fuldem Yıldırım Dönmez

    2014-03-01

    Full Text Available The most common complication of spinal anesthesia is postdural puncture headache. Any injury of the dura may cause headache. After the injury of the dura, CSF leakage may occur and due to the tension of the veins between the cortex and the dural sinuses, subdural hematoma may be seen. Herein, we present a patient with persistent headache after the spinal anesthesia given during delivery of her baby, and emphasize a rare complication of spinal anesthesia which is subdural hematoma

  13. Butorphanol suppresses fentanyl-induced cough during general anesthesia induction

    Cheng, Xiao-Yan; Lun, Xiao-Qin; Li, Hong-Bo; Zhang, Zhi-Jie

    2016-01-01

    Abstract Fentanyl-induced cough (FIC) is unwanted in the patients requiring stable induction of general anesthesia. This study was designed to evaluate the suppressive effects of butorphanol pretreatment on the incidence and severity of FIC during the induction of general anesthesia. A total of 315 patients of American Society of Anesthesiologists physical status I and II, scheduled for elective surgery under general anesthesia were randomized into 3 equally sized groups (n = 0105). Two minut...

  14. Segmental thoracic spinal anesthesia in patient with Byssinosis undergoing nephrectomy.

    Patel, Kiran; Salgaonkar, Sweta

    2012-01-01

    Byssinosis is an occupational disease occurring commonly in cotton mill workers; it usually presents with features of chronic obstructive pulmonary disease (COPD). The management of patients with COPD presents a significant challenges to the anesthetist. Regional anesthesia is preferred in most of these patients to avoid perioperative and postoperative complications related to general anesthesia. We report a known case of Byssinosis who underwent nephrectomy under segmental spinal anesthesia at the low thoracic level.

  15. [Experience with combined spinal and epidural anesthesia at cesarean section].

    Levinzon, A S; Taran, O I; Pura, K R; Mishchenko, G S; Mamaeva, N V

    2006-01-01

    The paper analyzes some experience gained in using various modes of regional anesthesia as an anesthetic appliance at cesarean sections and comparatively characterizes various types of central segmental blocks. The results of 213 cases of cesarean section performed under spinal or combined spinal and epidural anesthesia (CSEA) were generalized by the following parameters: block onset, maternal and fetal action, the quality of anesthesia and postoperative analgesia, which leads to the conclusion that CSEA is the method of choice.

  16. Segmental thoracic spinal anesthesia in patient with Byssinosis undergoing nephrectomy

    Patel, Kiran; Salgaonkar, Sweta

    2012-01-01

    Byssinosis is an occupational disease occurring commonly in cotton mill workers; it usually presents with features of chronic obstructive pulmonary disease (COPD). The management of patients with COPD presents a significant challenges to the anesthetist. Regional anesthesia is preferred in most of these patients to avoid perioperative and postoperative complications related to general anesthesia. We report a known case of Byssinosis who underwent nephrectomy under segmental spinal anesthesia ...

  17. The application of sacral block anesthesia in pediatric interventional therapy

    Zhong Liang; Qin Zenghui

    2009-01-01

    Objective: To discuss the management and feasibility of sacral block anesthesia in pediatric interventional therapy. Methods: A total of 80 pediatric patients were randomly and equally divided into two groups. Patients in group A received sacral block anesthesia together with basic anesthesia with propofol, while patients in group B received intravenous anesthesia with propofol. Small amount of ketamine as maintaining dose was used in both groups when needed. Results: The interventional management was successfully completed in all patients. A marked decrease in blood pressure occurred in three patients of group A receiving sacral block anesthesia. In group B receiving intravenous anesthesia, a decrease of SpO 2 to below 90 percent was seen in 8 cases, and obvious bradycardia developed in 12 cases. All these patients were treated with intravenous medication or by reducing the dose of propofol. Additional small dose of ketamine was needed in 4 patients during the procedure. Conclusion: Sacral block anesthesia combined with intravenous anesthesia is one of the effective anesthesia management schemes for pediatric interventional therapy. (authors)

  18. Effects of combined general anesthesia and thoracic epidural ...

    2015-11-02

    Nov 2, 2015 ... Key words: Bupivacaine, combined-general-epidural anesthesia, inflammatory cytokines, laparoscopic cholecystectomy, ..... spinal-epidural anaesthesia for caesarean section. Left lateral ... laparoscopic segmental colectomy.

  19. The Advantages of Low-Flow Inhalational Anesthesia

    P. Torok

    2005-01-01

    Full Text Available The paper deals with the economical and ecological use of inhalation anesthetics in low-flow anesthesia (LFA, 1—0.5 l/ min and high-flow anesthesia (HFA, more than 2—6 l/min. Four hundred and ninety six inhalational anesthesias lasting at least 80 minutes were analyzed in each group under consideration. The concentration of inhalation anesthetics was measures in the atmosphere of an operative theatre if inhalational anesthesia lasted more than 4 hours. There is evidence for the economical and ecological benefits in the use of LFA in terms of the availability of appropriate anesthesiological equipment, monitoring, and a highly skilled anesthesiologist.

  20. Caudal epidural anesthesia during intracavitary brachytherapy for cervical cancer

    Isoyama-Shirakawa, Yuko; Abe, Madoka; Nakamura, Katsumasa

    2015-01-01

    It has been suggested that pain control during intracavitary brachytherapy for cervical cancer is insufficient in most hospitals in Japan. Our hospital began using caudal epidural anesthesia during high-dose-rate (HDR) intracavitary brachytherapy in 2011. The purpose of the present study was to retrospectively investigate the effects of caudal epidural anesthesia during HDR intracavitary brachytherapy for cervical cancer patients. Caudal epidural anesthesia for 34 cervical cancer patients was performed during HDR intracavitary brachytherapy between October 2011 and August 2013. We used the patients' self-reported Numeric Rating Scale (NRS) score at the first session of HDR intracavitary brachytherapy as a subjective evaluation of pain. We compared NRS scores of the patients with anesthesia with those of 30 patients who underwent HDR intracavitary brachytherapy without sacral epidural anesthesia at our hospital between May 2010 and August 2011. Caudal epidural anesthesia succeeded in 33 patients (97%), and the NRS score was recorded in 30 patients. The mean NRS score of the anesthesia group was 5.17 ± 2.97, significantly lower than that of the control group's 6.80 ± 2.59 (P = 0.035). The caudal epidural block resulted in no side-effects. Caudal epidural anesthesia is an effective and safe anesthesia option during HDR intracavitary brachytherapy for cervical cancer. (author)

  1. INTERPRETACIÓN DE LA COSMOVISIÓN AMAZÓNICA SHUAR A TRAVÉS DE UN MONOLITO ANTROPOZOOMORFO PROCEDENTE DE WAPULA (MORONA SANTIAGO, ECUADOR (Interpretation of the Shuar Amazonian Worldview through an Anthropozoomorphic Monolith from Wapula, Morona Santiago, Ecuador

    Edwin Hernán Ríos Rivera

    2017-06-01

    Full Text Available El presente trabajo pretende introducirse en el proceso cognoscitivo de paradigmas y estructuras teocráticas, posiblemente politeístas —representadas en el código iconográfico, iconológico y morfoespacial— a través del estudio de un monolito de andesita procedente del sitio arqueológico de Wapula (Morona Santiago, Ecuador. La pieza, sin contexto arqueológico conocido pero con una clara iconografía shuar, ha sido seleccionada para hacer un acercamiento a la cosmovisión de este pueblo y la importancia de la figura del uwishin en la misma. El estudio de estas piezas contribuye a la puesta en valor y conservación preventiva de uno de los más importantes bienes culturales del enclave amazónico ecuatoriano. El monolito en cuestión permite entender la cosmovisión del pueblo shuar a través del estudio de sus características, lo cual se vio ampliado con un análisis químico-mineralógico realizado en el Instituto Universitario de Restauración del Patrimonio de la Universidad Politécnica de Valencia (España. ENGLISH: This article is intended to introduce readers to the cognitive processes of potentially polytheistic theocratic structures and paradigms represented in the iconographic, iconological, and morpho-spatial characteristics of an andesite monolith from the archaeological site of Wapula (Morona Santiago, Ecuador. The piece, whose archaeological context is unknown but whose iconography is clearly Shuar, was selected in order to study the worldview of Wapula and the importance of the uwishin figure there. The study of these figures contributes to the valuation and preventative conservation of one of the most important pieces of cultural heritage in the Ecuadorian Amazon. Our analysis of allowed us to understand the Shuar worldview through the analysis of its features; this was amplified by a chemical-mineralogical analysis accomplished in the University Institute of Heritage Restoration, Polytechnic University of Valencia

  2. Spent fuel management in Spain

    Gonzalez, J.L.

    2002-01-01

    The spent fuel management strategy in Spain is presented. The strategy includes temporary solutions and plans for final disposal. The need for R and D including partitioning and transmutation, as well as the financial constraints are also addressed. (author)

  3. Thermal and lighting perception in four fully glazed office buildings in Santiago, Chile

    Claudio Vásquez Záldivar

    2013-12-01

    Full Text Available This paper is part of a general research project whose main objective is to establish a baseline for post-occupancy energy consumption and indoor environmental quality for office buildings in Santiago, Chile. This study aims at understanding how architectonical variables relate to, and can even determine, user comfort perception.  Thus, one-year continuous monitoring in several floors at four office buildings was performed and seasonal surveys were completed.  Survey participants were asked a series of questions regarding spatial orientation and comfort perception in their workspace.The data from the comfort survey and onsite measurements such as season of the year, case study, type of workspace and possibility of an outdoor view from the workstation were contrasted with the components obtained by a Principal Component Analysis (PCA. Three components were selected from the PCA, and three Maps of Perception (MP were produced. These maps were then analyzed and interpreted so as to obtain information on the general perception of thermal and lighting comfort at workspaces within several office buildings in Santiago.

  4. Formación de un enclave transnacional en la ciudad de Santiago de Chile

    Carolina Stefoni

    2013-01-01

    Full Text Available La llegada de inmigrantes a Chile ha transformado distintos lugares de Santiago, siendo un caso emblemático el sector de Plaza de Armas, centro histórico de la ciudad aquí analizado. Se sostiene que la concentración de actividades comerciales y prácticas cotidianas de los migrantes configuran un enclave transnacional. El objetivo del artículo es ofrecer un modelo de análisis que permita reconocer, describir y comprender el carácter transnacional que puede adquirir un espacio como el que se encuentra en la ciudad de Santiago. Utilizando el caso de los cibercafés emplazados dentro del enclave, se analizarán las prácticas y relaciones sociales, así como las materialidades que circulan y se desarrollan de manera transfronteriza. El objetivo es analizar cómo estas tres dimensiones configuran un modo de habitar que logra construir el carácter transnacional que adquiere el enclave.

  5. Gender Equality and Women Empowerment Gleaned in the Selected Speeches of Senator Miriam Defensor Santiago

    Maria Luisa A. Valdez

    2017-02-01

    Full Text Available Gender inequality and the resulting discrimination of women are deeply rooted in history, culture and tradition. It is said to be detrimental to the mental health of women and persists as a debilitating stigma which lowers their dignity and sense of self-worth. Thus, this qualitative research was conducted to underscore the issue of gender equality and women empowerment as core topics in selected speeches of Senator Miriam Defensor Santiago. Findings of the analysis showed that the issue of gender gap in the Philippines was manifested and discussed forthrightly by the senator in her speeches in terms of educational attainment, health and survival, economic participation and opportunity, and political empowerment, all being effectively touched by the senator with the signature wit, eloquence, astuteness and passion she was widely known for; that gender equality and women empowerment were likewise gleaned in the selected speeches, all of which were delivered by Miriam Defensor Santiago with the motive of persuading her audience to espouse the same advocacy, and this she achieved through her unique and distinct style of utilizing the persuasive ability of literature; and, that the implications of the author's advocacy on gender equality and gender empowerment delegated the monumental task upon the shoulders of the Filipino youth, in ways that their thinking will be directly influenced by her advocacy and thus promote within them a sense of urgency to embrace and espouse the same advocacies in order for them to be able to contribute to nation building.

  6. Nutritional profile of schoolchildren from different socio-economic levels in Santiago, Chile.

    Liberona, Yessica; Castillo, Oscar; Engler, Valerie; Villarroel, Luis; Rozowski, Jaime

    2011-01-01

    To assess the nutritional status, food intake and physical activity patterns in schoolchildren attending 5th and 6th grade in basic schools from different socio-economic levels in the metropolitan region of Santiago. Cross-sectional study in children 5th and 6th grade of eighteen basic schools in the metropolitan region of Santiago. Boys and girls aged 9-12 years from basic schools were evaluated in terms of physical capacity. An anthropometric evaluation was also performed which included weight, height and triceps and subscapular skinfold thicknesses. Food intake was evaluated by a 24 h recall, socio-economic level by the ESOMAR method and physical activity by a questionnaire. Boys and girls aged 9-12 years (n 1732). The average prevalence of overweight and obesity was 40 %, with the highest prevalence in males and those from lower socio-economic level. A majority (64 %) of the children had a low level of physical activity. A higher intake of fat and protein and a higher intake of carbohydrate were found in the higher and lower socio-economic levels, respectively. Both males and females showed adequacy greater than 75 % in macronutrient intake except for fibre, with both groups showing a deficit in the consumption of fruits, vegetables, legumes, fish and milk products according to Chilean recommendations. A high prevalence of malnutrition by excess was observed in both sexes and a better eating and physical activity pattern was seen in children from higher socio-economic level.

  7. La gobernabilidad metropolitana de Santiago: la dispar relación de poder de los municipios

    ARTURO ORELLANA

    2009-04-01

    Full Text Available En ausencia de un gobierno metropolitano, las grandes ciudades que sostienen la problemática de una gestión multinivel, es decir, donde se sobrepone la acción del gobierno central, regional y de un conjunto significativo de municipios, generan un escenario complejo para la gobernabilidad en pro de un desarrollo urbano y territorial equilibrado. Desde esta perspectiva, la gran disparidad en la configuración socioterritorial que muestra el Área Metropolitana de Santiago constituye un reflejo de la estructura de poder sobre el espacio metropolitano, donde las comunas del cono oriente muestran un mejor posicionamiento para orientar las acciones públicas y privadas a favor del interés público de su población residenteIn the absence of metropolitan level government, large cities retain the problems associated with multilevel management whereby the activities of central government, regional government and numerous municipal governments overlap, generating in turn a complex scenario for governance in favour of balanced urban and regional development. From this perspective, the significant disparity in socio-spatial configuration within the Santiago Metropolitan Area reflects the structure of power within this metropolitan space, whereby municipalities in the eastern cone are better able to shape public and private actions in support of the public interests of their resident populations.

  8. Staying in the Global City: Patterns of Luxury Hotel Localization in Santiago de Chile

    Rodrigo Hidalgo

    2016-07-01

    Full Text Available Chile, for a long time a backwater of international tourism, is about to turn itself into a top–end destination, with the capital Santiago taking a leading role. In recent decades, international chains have constructed numerous luxury hotels aimed at the requirements of international city and business tourists. The continuing bicentric orientation of the city (core city and ‘modern town’, which has withstood all fragmentation processes, has led to a polycentric distribution of luxury hotels, with the largest, most expensive and most luxurious hotels situated in the ‘modern town’. The airport, the innovation centers and business parks, as well as the city center, have also seen investment. When compared with models of hotel localization in cities, it is evident that Santiago has overcome the traditional model of city tourism under the influence of globalization trends. Today the needs of global travelers, both city and business tourists, transport links and the surroundings of the hotels play an important role. This is reflected in the pricing structure and the distribution of luxury hotels across the city.

  9. El mestizaje creativo : Santiago Calatrava entre la arquitectura y la ingeniería

    Javier Hernando Carrasco

    1998-01-01

    Full Text Available El temprano reconocimiento internacional alcanzado por Santiago Calatrava es fruto tanto del interés y calidad de sus realizaciones como de su peculiar manera de abordarlas, pues en ellas compatibilizan recursos técnicos y formales arquitectónicos e ingenieriles. El resultado de este mestizaje se concreta en unos objetos en los que la condición tecnológica se conjuga con la formal. En el presente texto se repasan sintéticamente los materiales y los elementos del proyecto de los que se sirve y que hacen posibles tales resultados.The early International recognition reached by Santiago Calatrava is not only due to the quality and interest of his works, but also to his peculiar way to tackie them, because technical and formal architectural resources and engineering means are combined in his works. The result of this mixture is materialized in things where the technological nature matches the formal one. In this text we briefly revise the componets ofprojects and materials which are used by him to make this results possible.

  10. A decade of theory of mind research on Cayo Santiago: Insights into rhesus macaque social cognition.

    Drayton, Lindsey A; Santos, Laurie R

    2016-01-01

    Over the past several decades, researchers have become increasingly interested in understanding how primates understand the behavior of others. One open question concerns whether nonhuman primates think about others' behavior in psychological terms, that is, whether they have a theory of mind. Over the last ten years, experiments conducted on the free-ranging rhesus monkeys (Macaca mulatta) living on Cayo Santiago have provided important insights into this question. In this review, we highlight what we think are some of the most exciting results of this body of work. Specifically we describe experiments suggesting that rhesus monkeys may understand some psychological states, such as what others see, hear, and know, but that they fail to demonstrate an understanding of others' beliefs. Thus, while some aspects of theory of mind may be shared between humans and other primates, others capacities are likely to be uniquely human. We also discuss some of the broader debates surrounding comparative theory of mind research, as well as what we think may be productive lines for future research with the rhesus macaques of Cayo Santiago. © 2016 Wiley Periodicals, Inc.

  11. A typology of female sex work in the Metropolitan Region of Santiago, Chile.

    Belmar, Julieta; Stuardo, Valeria; Folch, Cinta; Carvajal, Bielka; Clunes, Maria José; Montoliu, Alexandra; Casabona, Jordi

    2018-04-01

    In Chile, sex work takes place covertly in a variety of venues and locations. Formative research using time-location sampling methods is important in order to understand the nature of this diversity. This study used qualitative methods to develop a typology of female sex work in the Metropolitan Region of Santiago, Chile, using semi-structured interviews, focus groups and ethnographic fieldwork during visits to sex work venues. The study identified seven types of venue, which reflect the context and regulatory framework of the country and the structural vulnerabilities that affect female sex workers in Chile. These venues and locations include: cafés con piernas (coffee with legs); nightclubs, topless bars and cabarets; brothels; hotels; street and highway soliciting; massage parlours; and private residences. Formative research methods were helpful in identifying and characterising the venues and locations in which sex work occurred. Barriers to accessing and mapping specific locations were also identified. Recommendations for addressing these barriers include working with non-governmental organisations to map venues and initiate contact with the populations of interest. A comprehensive typology of sex work in the Metropolitan Region of Santiago, Chile, is an essential element for future time-location sampling and bio-behavioural research in the context of second-generation surveillance for HIV and sexually transmitted infections in Chile.

  12. Scorpion envenoming in Morona Santiago, Amazonian Ecuador: Molecular phylogenetics confirms involvement of the Tityus obscurus group.

    Román, Juan P; García, Fernanda; Medina, Doris; Vásquez, Manolo; García, José; Graham, Matthew R; Romero-Alvarez, Daniel; Pardal, Pedro P de Oliveira; Ishikawa, Edna A Y; Borges, Adolfo

    2018-02-01

    Scorpion envenoming by species in the genus Tityus is hereby reported from rural locations in the Amazonian province of Morona Santiago, southeastern Ecuador. Twenty envenoming cases (18 patients under 15 years of age) including one death (a 4-year-old male) were recorded at the Macas General Hospital, Morona Santiago, between January 2015 and December 2016 from the counties of Taisha (n=17), Huamboyo (n=1), Palora (n=1), and Logroño (n=1). An additional fatality from 2014 (a 3-year-old female from Nayantza, Taisha county) is also reported. Leukocytosis and low serum potassium levels were detected in most patients. We observed a significant negative correlation between leukocytosis and hypokalemia. Scorpions involved in three accidents from Macuma, Taisha County, were identified as genetically related to Tityus obscurus from the Brazilian Amazonian region based on comparison of mitochondrial DNA sequences encoding cytochrome oxidase subunit I. These cases, along with previously reported envenoming from northern Manabí, reinforce the notion that scorpionism is a health hazard for children in Ecuador and emphasizes the need to supply effective antivenoms against local species, which are not currently available. The genetic affinity of the Ecuadorian specimens with T. obscurus may underlay toxinological, clinical, and venom antigenic relationships among Amazonian scorpions that deserves further exploration for designing therapeutic strategies to treat scorpionism in the region. Copyright © 2017 Elsevier B.V. All rights reserved.

  13. Retrospective study of histological types of esophageal cancer prevalent in the Metropolitan Region of Santiago, Chile

    Andrés Torrealba Bustos

    2010-11-01

    Full Text Available This study tries to determine the statistical relation between the most frequent histological types of oesophageal carcinoma in the Metropolitan region of Santiago, Chile. For it there were obtained clinical samples of different laboratories of Pathological Anatomy of the Metropolitan region corresponding to the south and east sector of Santiago, gathering a total of 348 cases, which were diagnosed by means of endoscopic biopsy, using as parameters the morphologic characteristics of neoplastic tissue evaluated by light microscopy with hematoxylin-eosin dye. The obtained information was submitted to a model of logistic multiple regression, in order to determine the associations between the most frequent histological types of oesophageal cancer (adenocarcinoma and squamous carcinoma, topographic location compromised to the moment of the diagnosis, age and sex of the patients in study. The proportion between the histological types of cancer of esophagus did not present significant differences, which contrasts with the results of international publications. The analyses demonstrated that the low third is the only parameter that is subject to variation, which relates to the metaplasia of Barrett and the development of oesophageal adenocarcinoma.

  14. Santiago de Chile de cara a la globalización: ?(spanishotra ciudad?

    Mattos Carlos A. de

    2002-01-01

    Full Text Available Este trabalho propõe-se a identificar e caracterizar a "outra cidade" resultante das transformações que afetaram a área metropolitana de Santiago do Chile em função da assunção, a partir de meados de 1975, de uma nova estratégia macroeconômica, onde tanto uma crescente liberalização econômica, como uma ampla abertura externa, favoreceram a progressiva globalização da economia nacional. Nesse contexto, observa-se como junto a importantes modificações na base econômica metropolitana começou a processar-se na grande Santiago uma radical reestruturação de seu mercado de trabalho e uma maior dispersão territorial das atividades produtivas e da população. Nesse novo cenário, analisa-se como as transformações que afetaram a cidade emergente incidiram na afirmação, de um lado, de uma morfologia social donde persiste a polarização social e a segregação residencial e, de outra, de uma morfologia territorial onde impera a periurbanização e a policentralidade, transformações essas que correspondem às tendências que atualmente se observam nas grandes áreas metropolitanas tanto dos países centrais como das economias emergentes.

  15. Mercado metropolitano de trabajo y desigualdades sociales en el Gran Santiago: ¿Una ciudad dual?

    Carlos A. de Mattos

    2002-12-01

    Full Text Available Los cambios estructurales en los mercados metropolitanos de trabajo bajo los procesos de reestructuración-informacionalización-globalización, se han situado como un tema central para el estudio de la transformación de las ciudades durante las últimas décadas. Desde esta perspectiva, el presente trabajo analiza los impactos que los procesos de modernización capitalista en Chile han tenido sobre su mercado de trabajo y sobre la evolución de la distribución del ingreso, y sobre esta base, observa sus efectos sobre la estructuración socio-territorial del Gran Santiago, discutiendo especialmente la pertinencia de la tesis de la dualización para este caso particular. Para ello, en una primera parte se esbozan los rasgos fundamentales de esta tesis, se analizan los fundamentos con los que ha sido presentada y las causas que se le atribuyen. En la segunda parte se revisan las principales transformaciones producidas en esta fase de modernización capitalista en Chile, y la evolución de las desigualdades sociales y la segregación urbana en el Gran Santiago a la luz de las transformaciones producidas en su mercado de trabajo. En la tercera y última parte, se plantea la discusión sobre la aplicabilidad de la tesis de la dualización al caso chileno

  16. El proyecto de estructuras en el Museo de las Peregrinaciones (Santiago de Compostela

    Estévez, J.

    2015-03-01

    Full Text Available The article describes the structural design of the Museum of Pilgrimage (Santiago de Compostela, projected by the renowned architect Manuel Gallego Jorreto. It is a rehabilitation work in a monumental environment, subjected to multiple external and internal constraints. Among others: open exhibition areas, spatial complexity, management of the natural light, limitations of transport and supply, preservation and stabilization of facades with different levels of degradation, and discovery of archaeological remains. Several steel solutions are described, capable of resolving noticeable spans with low weight. In all cases, these structures were built and transported in fractions for reassembly in the construction site.El artículo describe el diseño estructural del Museo de las Peregrinaciones (Santiago de Compostela, proyectado por el reconocido arquitecto Manuel Gallego Jorreto. Se trata de una obra de rehabilitación en un entorno monumental, sometida a múltiples condicionantes externos e internos. Entre otros: áreas expositivas diáfanas, complejidad espacial, gestión de la luz natural, limitaciones de transporte y suministro, preservación y estabilización de fachadas con diferentes niveles de degradación, y hallazgo de restos arqueológicos. Se describen las soluciones metálicas empleadas a fin de resolver luces importantes con reducido peso. En todos los casos, estas estructuras fueron fabricadas y transportadas en fracciones para su posterior ensamblaje en obra.

  17. Lead isotopic characterization of respirable urban aerosols and related sources, Santiago-Chile

    Diaz, M; Kawashita, K; Antinao, J.L

    2001-01-01

    Santiago de Chile is located in a poorly ventilated valley at 33 o 30' latitude south at an altitude of 550m. Local climate is semi-arid with mean annual rainfall below 350mm. The atmospheric particles constitute one of the main factors of urban air pollution in the city. Morphological characterization of airborne particles of Santiago done by Scanning Electron Microscopy showed the presence of three groups of particles: crystalline. spherical and agglomerate particles. The crystalline shapes originated in geologic sources have perfectly defined crystallographic parameters. The agglomerated shapes are formed by organic material and submicrometrical mineral particles derived from combustion of fossil fuel and the spherical shapes are products of metallurgical activities. Some of them could been associated with the wear of motorcars. Samples of aerosols. sediments and leaded petrol of different distributors were collected. Aerosols were sampled in two sites of Santiago: the Movil monitoring station, at east of the city, and Parque O'Higgins monitoring station in downtown. These two monitoring stations belong to the MACAM network. Sediments of Mapocho, Maipo, San Francisco and Zanjon de la Aguada rivers and two samples from Disputada and Merceditas ores were studied. All the samples have been measured for their 206 Pb/ 204 Pb, 207 Pb/ 204 Pb and 208 Pb/ 204 Pb ratios. The experimental chemical procedures of sample dissolution and Pb separation by anion exchange chromatography were developed in the Sernageomin clean laboratory of Santiago de Chile. The isotopic measurements were made using a VG-Sector isotope ratio mass spectrometer fitted with a thermal ion source, multi Faraday collector and Daly collector of the Isotopic Geology Laboratory in the Universidade Federal de Rio Grande do Sul, Brazil. The measurements were corrected using NBS 981 and 982 standards. Isotopic results plotted in a 208 Pb/ 204 Pb versus 206 Pb/ 204 Pb diagram and in a 207 Pb/ 204 Pb versus

  18. Expectativas hacia la jubilación del personal de la Universidad de Santiago de Compostela Retirement expectations of the staff of the University of Santiago de Compostela

    Ana María Cal Crespo

    2006-06-01

    Full Text Available Involucrados en la importancia que el fenómeno jubilación tiene en la actualidad, hemos llevado a cabo un estudio sobre las expectativas hacia la misma de un grupo de trabajadores de la Universidad de Santiago de Compostela (USC, cuestionando parámetros como edad de jubilación, sostenibilidad del Sistema de Pensiones, y motivados especialmente en la repercusión subjetiva sobre los individuos, a través de la administración de un cuestionario que mide actividad, vinculación social, expectativas hacia la jubilación y satisfacción laboral y vital, junto con variables de identificación personal (edad, sexo, estado civil, etc. A través del programa estadístico SPSS realizamos un análisis descriptivo entre las variables de estudio, lo que nos ha llevado a concluir que las actitudes hacia la jubilación son de esperanza e ilusión, con un interés manifiesto por seguir en la vida activa, donde el mayor temor suscitado es ver limitado el poder adquisitivo.Since we are involved in the importance of the retirement nowadays, questioning parameters as age of retirement, sustainability of pension systems, and we pay special attention on the subjective impact on individuals, we have carried out an study about the expectations on retirement, among a group of workers in the University of Santiago de Compostela (USC. In order to do so, we have made a survey, measuring activity, social link, expectations on retirement and labour and vital satisfaction, as well as personal identification variables (age, sex, marital status, etc. By using the SPSS software, we made a descritpive analysis among the variables of study. This lead us to conclude that the attitude about retirement is hope. We also found a stated interest to continue the active life. The biggest fear is to see a restriction of the purchasing power.

  19. Empoderamiento sanitario en entidades laborales de la zona industrial de Santiago de Cuba Health empowerment in working entities of the industrial area of Santiago de Cuba

    Soraya Victoria Samada Durán

    2013-02-01

    Full Text Available Se realizó una intervención comunitaria en los trabajadores de 30 entidades laborales ubicadas en la zona industrial del municipio de Santiago de Cuba, durante el bienio 2009-2010, para establecer el empoderamiento sanitario en ellos. Entre los principales resultados figuró el logro de la capacitación de todos los líderes sindicales y políticos, así como de la brigada de vigilancia y lucha antivectorial, por el contrario de los dirigentes administrativos, de los cuales solo 86,6 % participó en el estudio porque no lo consideraban una responsabilidad inherente a su cargo. Respecto a la situación ambiental, se observó un incremento de los criaderos de Aedes aegypti durante la temporada lluviosa, asociado a una mayor acumulación de agua en los depósitos naturales o artificiales, o ambos; no obstante, hubo un impacto social en el ordenamiento del medio en 9 de estas instituciones a través de la integración de los intereses comunitarios, la planificación en conjunto y la evaluación participativa, que conformó la principal estrategia. Finalmente, se recomendó implementar este proceso de empoderamiento sanitario en el resto de los centros de trabajo de la zona industrial con vistas a prevenir las enfermedades transmitidas por mosquitos y roedores.A community intervention was performed in workers of 30 entities located in the industrial area of Santiago de Cuba municipality during the biennium 2009 -2010 to establish the health empowerment in them. Among the main results was the training for all union and political leaders and antivectorial surveillance and control brigade, unlike administrative leaders, of whom only 86.6% participated in the study because they considered it was not their responsibility. Regarding the environmental conditions, an increment of Aedes aegypti breeding sites was observed during the rainy season, associated with increased accumulation of water in natural or artificial reservoirs or both. However, there was

  20. The Effectiveness of the Human Patient Simulator in Teaching Anesthesia Pharmacology to First Year Nurse Anesthesia Students

    Hall, Annie

    2002-01-01

    .... There is no substitute for case-based experience; however, recent innovations in computer technology provide high fidelity, realistic simulators, which are being used in many anesthesia programs...

  1. Spinal anesthesia instead of general anesthesia for infants undergoing tendon Achilles lengthening

    AlSuhebani M

    2018-05-01

    Full Text Available Mohammad AlSuhebani,1 David P Martin,1,2 Lance M Relland,1,2 Tarun Bhalla,1,2 Allan C Beebe,3 Amanda T Whitaker,3 Walter Samora,3 Joseph D Tobias1,2 1Department of Anesthesiology & Pain Medicine, Nationwide Children’s Hospital, Columbus, OH, USA; 2Department of Anesthesiology & Pain Medicine, The Ohio State University College of Medicine, Columbus, OH, USA; 3Department of Orthopedic Surgery, Nationwide Children’s Hospital and The Ohio State University College of Medicine, Columbus, OH, USA Abstract: Spinal anesthesia (SA has been used relatively sparingly in the pediatric population, as it is typically reserved for patients in whom the perceived risk of general anesthesia is high due to comorbid conditions. Recently, concern has been expressed regarding the potential long-term neurocognitive effects of general anesthesia during the early stages of life. In view of this, our center has developed a program in which SA may be used as the sole agent for applicable surgical procedures. While this approach in children is commonly used for urologic or abdominal surgical procedures, there have been a limited number of reports of its use for orthopedic procedures in this population. We present the use of SA for 6 infants undergoing tendon Achilles lengthening, review the use of SA in orthopedic surgery, describe our protocols and dosing regimens, and discuss the potential adverse effects related to this technique. Keywords: spinal anesthesia, orthopedic surgery, tendon Achilles lengthening

  2. Assessment of different anesthesia depth under total intravenous anesthesia on postoperative cognitive function in laparoscopic patients

    Delin Zhang

    2016-01-01

    Full Text Available Background: This study aimed to compare the effects of different depths of sedation during total intravenous anesthesia (TIVA with remifentanil and propofol given by target-controlled infusion (TCI on postoperative cognitive function in young and middle-aged patients undergoing gynecological laparoscopic surgery. Materials and Methods: A total of 150 American Society of Anesthesiologists physical Status I/II patients scheduled for gynecological laparoscopic operation were randomly divided into three groups. Anesthesia was maintained with intravenous infusion of TCI propofol and remifentanil, intermittent injected intravenously with rocuronium. The infusion concentration of propofol and remifentanil was adjusted to maintain bispectral index (BIS at 30 24 sores on the day before anesthesia and the day after surgery in all three groups. However, the first group had the significantly higher MMSE scores than the other two groups after surgery (P < 0.05. Compared with that before anesthesia, TMT completion time was shorter on the day after surgery in the first group, while prolonged in the third group (P < 0.05. The first group had the significantly lower TMT completion time than the other two groups (P < 0.05. Conclusion: The depth of sedation, 30 < BIS value ≤ 40, under TIVA with remifentanil and propofol given by TCI had the minimal influence on postoperative cognitive function.

  3. Peripheral nerve blocks in pediatric anesthesia

    Novaković Dejan

    2009-01-01

    Full Text Available Introduction Most children undergoing surgery can benefit from regional anesthetic techniques, either as the sole anesthetic regimen or, as usual in pediatric practice, in combination with general anesthesia. The use of peripheral nerve blocks (PNBs in pediatric anesthesia is an effective way to decrease the side-effects and complications associated with central blocks. In spite of their many advantages, including easy performance end efficacy, peripheral nerve blocks are still underused. Objective This article discusses a general approach to PNBs in children and provides data concerning the practice of this regional technique in different age groups. Methods Data from 1,650 procedures were prospectively collected during the period from March 1, 2007 to February 29, 2008. The type of PNB, if any, as well as the patient age were noted. Our patients were divided into four groups: 0-3 years, 4-7 years, 8-12 years and 13-18 years. Results During the investigated period, PNBs as a sole technique or in anesthetized children were performed in 7.45% of cases. Ilioingunal/iliohypogastric nerve block and penile block were the most common (70% of all PNBs distributed mainly among the children between 4-7 years of age (p<0.05. In older children, extremity PNBs predominate in regard to other types of blocks. PNBs are most frequently performed under general anesthesia (85%, so the perineural approach requires a safe technique to avoid nerve damage. Conclusion The observed differences in PNB usage seem to be related to patient age and correlate with common pathology and also with technical availability of PNB performance.

  4. Updates of Topical and Local Anesthesia Agents.

    Boyce, Ricardo A; Kirpalani, Tarun; Mohan, Naveen

    2016-04-01

    As described in this article, there are many advances in topical and local anesthesia. Topical and local anesthetics have played a great role in dentistry in alleviating the fears of patients, eliminating pain, and providing pain control. Many invasive procedures would not be performed without the use and advances of topical/local anesthetics. The modern-day dentist has the responsibility of knowing the variety of products on the market and should have at least references to access before, during, and after treatment. This practice ensures proper care with topical and local anesthetics for the masses of patients entering dental offices worldwide. Copyright © 2016 Elsevier Inc. All rights reserved.

  5. Anatomy of an anesthesia information management system.

    Shah, Nirav J; Tremper, Kevin K; Kheterpal, Sachin

    2011-09-01

    Anesthesia information management systems (AIMS) have become more prevalent as more sophisticated hardware and software have increased usability and reliability. National mandates and incentives have driven adoption as well. AIMS can be developed in one of several software models (Web based, client/server, or incorporated into a medical device). Irrespective of the development model, the best AIMS have a feature set that allows for comprehensive management of workflow for an anesthesiologist. Key features include preoperative, intraoperative, and postoperative documentation; quality assurance; billing; compliance and operational reporting; patient and operating room tracking; and integration with hospital electronic medical records. Copyright © 2011 Elsevier Inc. All rights reserved.

  6. Oxidative Stress and Anesthesia in Diabetic Patients

    Peivandi Yazdi A

    2014-04-01

    Full Text Available Free radical and peroxide production lead to intracellular damage. On the other hand, free radicals are used by the human immune system to defend against pathogens. The aging process could be limited by oxidative stress in the short term. Chronic diseases like diabetes mellitus (DM are full-stress conditions in which remarkable metabolic functional destructions might happen. There is strong evidence regarding antioxidant impairment in diabetes. Performing a particular method for anesthesia in diabetic patients might prevent or modify excessive free radical formation and oxidative stress. It seems that prescribing antioxidant drugs could promote wound healing in diabetics.  

  7. Anesthesia for the patient with dementia

    Funder, Kamilia S; Steinmetz, Jacob; Rasmussen, Lars S

    2010-01-01

    With a growing aging population, more patients suffering from dementia are expected to undergo surgery, thus being exposed to either general or regional anesthesia. This calls for specific attention ranging from the legal aspects of obtaining informed consent in demented patients to deciding...... on the use of premedication, choice of anesthetics, and management of postoperative pain. This review reflects on both general considerations concerning geriatric patients but also on the specific features of perioperatively used drugs and anesthetics that might have an impact on patients with Alzheimer...

  8. Pigmentation, anesthesia, behavioral factors, and salicylate uptake.

    Jastreboff, P J; Issing, W; Brennan, J F; Sasaki, C T

    1988-02-01

    In four experiments, 54 pigmented rats were used to examine the time course of sodium salicylate uptake in serum, cerebrospinal fluid, and perilymph. Subjects were tested under sodium pentobarbital anesthesia or while conscious. Compared with previously reported data from albino rats, pigmented subjects generally showed increased salicylate uptake. Moreover, the data suggested two different, time-dependent clearance mechanisms in conscious animals not observed in anesthetized rats. Daily injections of salicylate did not produce an accumulation of salicylate in serum. Systematically higher levels of salicylate were observed in perilymph compared with cerebrospinal fluid. Behavioral procedures, including water deprivation and conditioned suppression of ongoing drinking levels, had no effect on salicylate levels.

  9. En torno a un informe académico sobre Emilio de Santiago Simón

    Martínez Montávez, Pedro

    2016-01-01

    Estas líneas quieren ser solamente mi testimonio de recuerdo y mi homenaje personal a ese insán único y auténtico —descarado a veces, desvalido y entrañable siempre— que fue Emilio de Santiago Simón, amigo de honda huella y querido y admirado compañero

  10. Historia de la universalización del acceso al agua y alcantarillado en Santiago de Chile (1970-1995

    GÉRALDINE PFLIEGER

    2008-12-01

    Full Text Available ¿Cuáles son los factores que explican la universalización de las redes de agua y de saneamiento en Santiago de Chile? Analizaremos los papeles respectivos de las políticas de la vivienda y de las primeras reformas del servicio en la universalización del acceso al agua potable a lo largo de los ochenta. En una segunda fase, destacaremos las dificultades que trae para estas redes el crecimiento urbano del Gran Santiago en los ochenta, las que generan una segunda ola de reformas. Estudiaremos, finalmente, el diseño de la reforma reglamentaria y gerencial de 1989 y sus efectos en términos de accesibilidad espacial y social al servicio.What factors explain the growth of universal access to potable water and sewage networks in Santiago, Chile? We will analyse the respective roles of housing policies and the first wave of service reforms in achieving universal access to drinking water during the 1980s. The second part of the article focuses on the difficulties linked to urban growth in Gran Santiago that coincided with the expansion of water and sewer lines during the 1980s, eventually leading to a second wave of reforms. Finally, we shall examine the design of the 1989 regulatory and management reforms and their effects on service access as it varies by social group and geographic location.

  11. Nuclear power in Spain

    Koryakin, Yu.I.

    1977-01-01

    The present states of nuclear power in Spain is shortly surveyed. Data are provided on NPPs currently in operation, under construction, designed and planned. In line with the 10-year ''National programme of electricity supply'' a major and all increasing part of the electricity generation growth is to be ensured by NPPs and to account for more than 50% by the end of the period (1987). Out of the 7 units of NPPs now under construction, 6 units utilize PWR reactors and only 1 unit- a BWR reactor. The roles of private and public sectors are noted. Main characteristics of the ''ENSA'' plant now under construction are provided where components of NPPs with PWR and BWR reactors will be fabricated. Major developments in the fields of mining, milling and extraction of U from lignites, U enrichment, fuel fabrication and spent fuel reprocessing are considered. Measures now taken to improve the licensing procedure, surveillance of NPPs and personnel training are to advance the nuclear power development programme in the country

  12. “The ghost of the water’s power”: Emil Rathenau and his electrical networks in Chile and Spain

    Marion Steiner

    2017-12-01

    Full Text Available In 1902, the founder of AEG in Berlin, Emil Rathenau, called water power a “ghost ... that has completed his tour around the world.” The vast majority of electrical systems his company had built at that time were based on the use of coal and, in Spain, its thermal power plants already supplied much of the cities. In Chile, on the contrary, according to contracts signed with the municipalities of Santiago and Valparaiso in 1898 and 1902, AEG was obliged to install hydroelectric systems. This article re-constructs the corresponding disputes between the company and the municipality on the use of hydraulic force in Santiago and contrasts them with the situation in Catalonia. Both cases are contextualized from a global perspective of geopolitical analysis that allows for also explaining the global network of actors involved and the strategies implemented by German electric companies and banks to conquer the world market, up to a little beyond the end of World War I.

  13. Pectoral nerve block (Pecs block) with sedation for breast conserving surgery without general anesthesia.

    Moon, Eun-Jin; Kim, Seung-Beom; Chung, Jun-Young; Song, Jeong-Yoon; Yi, Jae-Woo

    2017-09-01

    Most regional anesthesia in breast surgeries is performed as postoperative pain management under general anesthesia, and not as the primary anesthesia. Regional anesthesia has very few cardiovascular or pulmonary side-effects, as compared with general anesthesia. Pectoral nerve block is a relatively new technique, with fewer complications than other regional anesthesia. We performed Pecs I and Pec II block simultaneously as primary anesthesia under moderate sedation with dexmedetomidine for breast conserving surgery in a 49-year-old female patient with invasive ductal carcinoma. Block was uneventful and showed no complications. Thus, Pecs block with sedation could be an alternative to general anesthesia for breast surgeries.

  14. General anesthesia suppresses normal heart rate variability in humans

    Matchett, Gerald; Wood, Philip

    2014-06-01

    The human heart normally exhibits robust beat-to-beat heart rate variability (HRV). The loss of this variability is associated with pathology, including disease states such as congestive heart failure (CHF). The effect of general anesthesia on intrinsic HRV is unknown. In this prospective, observational study we enrolled 100 human subjects having elective major surgical procedures under general anesthesia. We recorded continuous heart rate data via continuous electrocardiogram before, during, and after anesthesia, and we assessed HRV of the R-R intervals. We assessed HRV using several common metrics including Detrended Fluctuation Analysis (DFA), Multifractal Analysis, and Multiscale Entropy Analysis. Each of these analyses was done in each of the four clinical phases for each study subject over the course of 24 h: Before anesthesia, during anesthesia, early recovery, and late recovery. On average, we observed a loss of variability on the aforementioned metrics that appeared to correspond to the state of general anesthesia. Following the conclusion of anesthesia, most study subjects appeared to regain their normal HRV, although this did not occur immediately. The resumption of normal HRV was especially delayed on DFA. Qualitatively, the reduction in HRV under anesthesia appears similar to the reduction in HRV observed in CHF. These observations will need to be validated in future studies, and the broader clinical implications of these observations, if any, are unknown.

  15. [Safe local anesthesia in patients with bronchial asthma].

    Anisimova, E N; Gromovik, M V

    The paper presents the analysis of studies of local anesthesia in patients with bronchial asthma. It was found that the diagnosis of hypersensitivity to sodium metabisulfite in patients with bronchial asthma must be optimized for development of local anesthesia selection algorithm in outpatient dentistry.

  16. Epidural Anesthesia Complicated by Subdural Hygromas and a Subdural Hematoma

    Vien, Christine; Marovic, Paul; Ingram, Brendan

    2016-01-01

    Inadvertent dural puncture during epidural anesthesia leads to intracranial hypotension, which if left unnoticed can cause life-threatening subdural hematomas or cerebellar tonsillar herniation. The highly variable presentation of intracranial hypotension hinders timely diagnosis and treatment. We present the case of a young laboring adult female, who developed subdural hygromas and a subdural hematoma following unintentional dural puncture during initiation of epidural anesthesia.

  17. The effect of anesthesia type on stress hormone response ...

    Aim: The aim of this study was to investigate the effect of different types of anesthesia on stress hormones. Materials and Methods: The study was included 60 ASAI-II cases scheduled for major lower extremity surgery. The cases were randomized into 2 groups: The EA group was administered epidural anesthesia and the ...

  18. Effects of combined general anesthesia and thoracic epidural ...

    Background: Severe postoperative pain is not often experienced in laparoscopic cholecystectomy. Anesthesia, surgery, and pain are stressful and cause different reactions in neuro‑immuno‑endocrine systems. Many factors such as the pharmacological effect of the drugs used, as well as the type and depth of anesthesia, ...

  19. Recent advances and perspectives in topical oral anesthesia.

    Franz-Montan, Michelle; Ribeiro, Lígia Nunes de Morais; Volpato, Maria Cristina; Cereda, Cintia Maria Saia; Groppo, Francisco Carlos; Tofoli, Giovana Randomille; de Araújo, Daniele Ribeiro; Santi, Patrizia; Padula, Cristina; de Paula, Eneida

    2017-05-01

    Topical anesthesia is widely used in dentistry to reduce pain caused by needle insertion and injection of the anesthetic. However, successful anesthesia is not always achieved using the formulations that are currently commercially available. As a result, local anesthesia is still one of the procedures that is most feared by dental patients. Drug delivery systems (DDSs) provide ways of improving the efficacy of topical agents. Areas covered: An overview of the structure and permeability of oral mucosa is given, followed by a review of DDSs designed for dental topical anesthesia and their related clinical trials. Chemical approaches to enhance permeation and anesthesia efficacy, or to promote superficial anesthesia, include nanostructured carriers (liposomes, cyclodextrins, polymeric nanoparticle systems, solid lipid nanoparticles, and nanostructured lipid carriers) and different pharmaceutical dosage forms (patches, bio- and mucoadhesive systems, and hydrogels). Physical methods include pre-cooling, vibration, iontophoresis, and microneedle arrays. Expert opinion: The combination of different chemical and physical methods is an attractive option for effective topical anesthesia in oral mucosa. This comprehensive review should provide the readers with the most relevant options currently available to assist pain-free dental anesthesia. The findings should be considered for future clinical trials.

  20. Information processing during general anesthesia: Evidence for unconscious memory

    A.E. Bonebakker (Annette); B. Bonke (Benno); J. Klein (Jan); G. Wolters (G.); Th. Stijnen (Theo); J. Passchier (Jan); P.M. Merikle (P.)

    1996-01-01

    textabstractMemory for words presented during general anesthesia was studied in two experiments. In Experiment 1, surgical patients (n=80) undergoing elective procedures under general anesthesia were presented shortly before and during surgery with words via headphones. At the earliest convenient

  1. 42 CFR 482.52 - Condition of participation: Anesthesia services.

    2010-10-01

    ... of Medicine and Nursing about issues related to access to and the quality of anesthesia services in... 42 Public Health 5 2010-10-01 2010-10-01 false Condition of participation: Anesthesia services. 482.52 Section 482.52 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND...

  2. Temporal evolution of main ambient PM2. 5 sources in Santiago, Chile, from 1998 to 2012

    Barraza, Francisco; Lambert, Fabrice; Jorquera, Héctor; María Villalobos, Ana; Gallardo, Laura

    2017-08-01

    The inhabitants of Santiago, Chile have been exposed to harmful levels of air pollutants for decades. The city's poor air quality is a result of steady economic growth, and stable atmospheric conditions adverse to mixing and ventilation that favor the formation of oxidants and secondary aerosols. Identifying and quantifying the sources that contribute to the ambient levels of pollutants is key for designing adequate mitigation measures. Estimating the evolution of source contributions to ambient pollution levels is also paramount to evaluating the effectiveness of pollution reduction measures that have been implemented in recent decades. Here, we quantify the main sources that have contributed to fine particulate matter (PM2. 5) between April 1998 and August 2012 in downtown Santiago by using two different source-receptor models (PMF 5.0 and UNMIX 6.0) that were applied to elemental measurements of 1243 24 h filter samples of ambient PM2.5. PMF resolved six sources that contributed to ambient PM2. 5, with UNMIX producing similar results: motor vehicles (37.3 ± 1.1 %), industrial sources (18.5 ± 1.3 %), copper smelters (14.4 ± 0.8 %), wood burning (12.3 ± 1.0 %), coastal sources (9.5 ± 0.7 %) and urban dust (3.0 ± 1.2 %). Our results show that over the 15 years analyzed here, four of the resolved sources significantly decreased [95 % confidence interval]: motor vehicles 21.3 % [2.6, 36.5], industrial sources 39.3 % [28.6, 48.4], copper smelters 81.5 % [75.5, 85.9], and coastal sources 58.9 % [38.5, 72.5], while wood burning did not significantly change and urban dust increased by 72 % [48.9, 99.9]. These changes are consistent with emission reduction measures, such as improved vehicle emission standards, cleaner smelting technology, introduction of low-sulfur diesel for vehicles and natural gas for industrial processes, public transport improvements, etc. However, it is also apparent that the mitigation expected from the above regulations has been partially

  3. Diversidad de especies vegetales en fincas de la agricultura suburbana en Santiago de Cuba

    Belyani Vargas Batis

    2016-04-01

    Full Text Available Resumen La investigación tuvo lugar con el objetivo evaluar el comportamiento de la diversidad de especies arvenses y arbóreas y arbustivas en cuatro fincas de la agricultura suburbana de Santiago de Cuba. Se delimitaron parcelas de 100 m2 para el conteo de las especies presentes en el área. Identificadas las especies se elaboró un listado florístico y se calcularon los indicadores de diversidad Alfa Riqueza de especies (S, Dominancia (Simpson D y Diversidad general (Shannon H´. En el caso de la diversidad Beta se tuvieron en cuenta los índices de Jaccard (Ij, Morisita-Horn (IM-H y Subordinación Ecológica (SE. Se registraron62 509 individuos pertenecientes a 65 familias, 154 géneros y 183 especies. Para ambos grupos de especies los indicadores de diversidad Alfa mostraron una tendencia al aumento de un período al otro con valores dentro del rango establecido para cada indicador, excepto para la finca La Caballería donde el índice de Shannon H´ no estuvo dentro del establecido para una correcta diversidad y abundancia en la época poco lluviosa. Los indicadores de la diversidad Beta arrojaron disimilitud entre las muestras que se comparan lo que evidencia la presencia de especies específicas adaptadas a las condiciones ambientales del lugar. Plant diversity on farm of sub urban agriculture in Santiago de Cuba. ABSTRACT The research was carried out to evaluate the performance of the diversity of weeds and tree and shrub species in four farms of suburban agriculture Santiago de Cuba. Plots of 100 m2 were sampled for counting the species. Identified plant species list was developed and diversity indicators were calculated alfa (α species richness (S, Dominance (Simpson D and General Diversity (Shannon H'. In the case of the beta (β diversity indices Jaccard (Ij, Morisita-Horn (IM-H and Subordination Environment (SE were taken into account. 62 509 individuals belonging to 65 families, 154 genera and 183 species were recorded. For

  4. “Corte Transversal”: una mega escultura entre el río Mapocho y la autopista Costanera Norte en Santiago de Chile/ “Corte Transversal”: a mega sculpture between the Mapocho River and the Costanera Norte toll road in Santiago de Chile

    Revista de Urbanismo, Departamento de Urbanismo de la Facultad de Arquitectura y Urbanismo de la Universidad de Chile. (Reportaje de M.I.PavezR.- M.P.Henríquez.O

    2008-12-01

    Full Text Available “Corte Transversal”: una mega escultura entre el río Mapocho y la autopista Costanera Norte en Santiago de Chile/“Corte Transversal”: a mega sculpture between the Mapocho River and the Costanera Norte toll road in Santiago de Chile

  5. Anesthesia during and Immediately after Spaceflight

    Seubert, Christoph N.; Price, Catherine; Janelle, Gregory M.

    2006-01-01

    The increasing presence of humans in space and long-duration manned missions to the Moon or Mars pose novel challenges to the delivery of medical care. Even now, cumulative person-days in space exceed 80 years and preparations for a return to the Moon are actively underway. Medical care after an emergent de-orbit or an accident during a non-nominal landing must not only address the specific disease or injuries but also the challenges posed by physiologic adaptations to microgravity. In the highly autonomous situation of a long-term space mission the situation is even more complex, because personnel, equipment, specific training, and clinical experience are by definition limited. To summarize our current knowledge specifically for anesthetic care during and immediately after spaceflight, we will review physiologic adaptations to microgravity with particular emphasis on the resulting anesthetic risks, discuss veterinary experiences with anesthesia in weightlessness or in animals adapted to microgravity, describe current research that pertains to anesthesia and spaceflight and point out unresolved questions for future investigation.

  6. Fibromyalgia: A Primer for the Anesthesia Community

    Brummett, Chad M.; Clauw, Daniel J.

    2012-01-01

    Purpose of the Review The present review is intended to give an overview of fibromyalgia for the anesthesiologist. While the basics of the treatment of fibromyalgia are included, the intent is to provide context to discuss the potential implications in perioperative management. Recent Findings One of the most important changes in the last year is the new criteria established by the American College of Rheumatology for the diagnosis of fibromyalgia. Instead of a combination of self-report and a tender point examination, there is a new self-report questionnaire that is now used diagnose fibromyalgia. This tool incorporates aspects of widespread body pain and some of the known comorbid symptoms. A score of 0-31 is given, which allows for the disease to be viewed as a continuum of sensitivity and symptomatology, instead of as a binary diagnosis. This continuum has been termed “fibromyalgia-ness.” This article also reviews the advances in understanding of the pathophysiology and emerging therapies. Little is known about the impact of fibromyalgia in the perioperative period. Summary The impact of fibromyalgia on anesthesia care is not known. Years of quality research have clearly demonstrated multiple pathophysiologic changes that could impact anesthesia care and future study is needed. PMID:21799404

  7. Anesthesia for subglottic stenosis in pediatrics

    Eid Essam

    2009-01-01

    Full Text Available Any site in the upper airway can get obstructed and cause noisy breathing as well as dyspnea. These include nasal causes such as choanal atresia or nasal stenosis; pharyngeal causes including lingual thyroid; laryngeal causes such as laryngomalacia; tracheobronchial causes such as tracheal stenosis; and subglottic stenosis. Lesions in the oropharynx may cause stertor, while lesions in the laryngotracheal tree will cause stridor. Subglottic stenosis is the third leading cause of congenital stridors in the neonate. Subglottic Stenosis presents challenges to the anesthesiologist. Therefore, It is imperative to perform a detailed history, physical examination, and characterization of the extent and severity of stenosis. Rigid endoscopy is essential for the preoperative planning of any of the surgical procedures that can be used for correction. Choice of operation is dependent on the surgeon′s comfort, postoperative capabilities, and severity of disease. For high-grade stenosis, single-stage laryngotracheal resection or cricotracheal resection are the best options. It has to be borne in mind that the goal of surgery is to allow for an adequate airway for normal activity without the need for tracheostomy. Anesthesia for airway surgery could be conducted safely with either sevofl uraneor propofol-based total intravenous anesthesia.

  8. General Anesthesia Time for Pediatric Dental Cases

    Forsyth, Anna R.; Seminario, Ana Lucia; Scott, JoAnna; Berg, Joel; Ivanova, Iskra; Lee, Helen

    2012-01-01

    Purpose The purpose of this study was to describe the use of operating room (OR) time for pediatric dental procedures performed under general anesthesia (GA) at a regional children’s hospital over a 2-year period. Methods A cross-sectional review of a pediatric dental GA records was performed at Seattle Children’s Hospital. Data were collected for 709 0- to 21-year-old patients from January 2008 to December 2009. Demographic data, dental and anesthesia operator types, and procedures were recorded. Utilization of OR time was analyzed. Results The mean age of patients was 7.1 years (±4.2 SD), and 58% were male. Distribution by American Society of Anesthesiology (ASA) classifications were: ASA I 226 (32%); ASA II 316 (45%); ASA III 167 (24%). Cases finished earlier than the scheduled time by an average of 14 minutes (±28). Overrun time was significantly associated with: patient age (P=.01); ASA classification (P=.006); treatment type (P<.001); number of teeth treated (P<.001); and dentist operator type (P=.005). Conclusions Overall, 73% of dental procedures under GA finished early or on time. Significant variables included patient age, medical status, treatment type and extent, and dentist operator type. Assessing factors that impact the time needed in GA may enhance efficiency for pediatric dental procedures. PMID:23211897

  9. Respiratory diagnostic possibilities during closed circuit anesthesia.

    Verkaaik, A P; Erdmann, W

    1990-01-01

    An automatic feed back controlled totally closed circuit system (Physioflex) has been developed for quantitative practice of inhalation anesthesia and ventilation. In the circuit system the gas is moved unidirectionally around by a blower at 70 l/min. In the system four membrane chambers are integrated for ventilation. Besides end-expiratory feed back control of inhalation anesthetics, and inspiratory closed loop control of oxygen, the system offers on-line registration of flow, volume and respiratory pressures as well as a capnogram and oxygen consumption. Alveolar ventilation and static compliance can easily be derived. On-line registration of oxygen consumption has proven to be of value for determination of any impairment of tissue oxygen supply when the oxygen delivery has dropped to critical values. Obstruction of the upper or lower airways are immediately detected and differentiated. Disregulations of metabolism, e.g. in malignant hyperthermia, are seen in a pre-crisis phase (increase of oxygen consumption and of CO2 production), and therapy can be started extremely early and before a disastrous condition has developed. Registration of compliance is only one of the continuously available parameters that guarantee a better and adequate control of lung function (e.g. atalectasis is early detected). The newly developed sophisticated anesthesia device enlarges tremendously the monitoring and respiratory diagnostic possibilities of artificial ventilation, gives new insights in the (patho)physiology and detects disturbances of respiratory parameters and metabolism in an early stage.

  10. Simulation in teaching regional anesthesia: current perspectives

    Udani AD

    2015-08-01

    Full Text Available Ankeet D Udani,1 T Edward Kim,2,3 Steven K Howard,2,3 Edward R Mariano2,3On behalf of the ADAPT (Anesthesiology-Directed Advanced Procedural Training Research Group1Department of Anesthesiology, Duke University School of Medicine, Durham, NC, USA; 2Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA; 3Anesthesiology and Perioperative Care Service, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USAAbstract: The emerging subspecialty of regional anesthesiology and acute pain medicine represents an opportunity to evaluate critically the current methods of teaching regional anesthesia techniques and the practice of acute pain medicine. To date, there have been a wide variety of simulation applications in this field, and efficacy has largely been assumed. However, a thorough review of the literature reveals that effective teaching strategies, including simulation, in regional anesthesiology and acute pain medicine are not established completely yet. Future research should be directed toward comparative-effectiveness of simulation versus other accepted teaching methods, exploring the combination of procedural training with realistic clinical scenarios, and the application of simulation-based teaching curricula to a wider range of learner, from the student to the practicing physician.Keywords: regional anesthesia, simulation, medical education, ultrasound, nerve block, simulator

  11. Anesthesia considerations in the obese gravida.

    Tan, Terry

    2011-12-01

    Obesity is associated with serious morbidity during pregnancy, and obese women also are at a high risk of developing complications during labor, leading to an increased risk for instrumental and Cesarean deliveries. The engagement of the obstetrical anesthetist in the management of this group of high-risk patients should be performed antenatally so that an appropriate management strategy can be planned in advance to prevent an adverse outcome. Good communication between all care providers is essential. The obese patient in labor should be encouraged to have a functioning epidural catheter placed early in labor. Apart from providing analgesia and alleviating physiological derangements during labor, the presence of a functioning epidural catheter can also be used to induce anesthesia quickly in the event of an emergency cesarean section, thus avoiding a general anesthesia, which has exceedingly high risks in the obese parturient. Successful management of the obese patient necessitates a comprehensive strategy that encompasses a multidisciplinary and holistic approach from all care-providers.

  12. Improving Patient Safety in Anesthesia: A Success Story?

    Botney, Richard

    2008-01-01

    Anesthesia is necessary for surgery; however, it does not deliver any direct therapeutic benefit. The risks of anesthesia must therefore be as low as possible. Anesthesiology has been identified as a leader in improving patient safety. Anesthetic mortality has decreased, and in healthy patients can be as low as 1:250,000. Trends in anesthetic morbidity have not been as well defined, but it appears that the risk of injury is decreasing. Studies of error during anesthesia and Closed Claims studies have identified sources of risk and methods to reduce the risks associated with anesthesia. These include changes in technology, such as anesthetic delivery systems and monitors, the application of human factors, the use of simulation, and the establishment of reporting systems. A review of the important events in the past 50 years illustrates the many steps that have contributed to the improvements in anesthesia safety

  13. A rare complication of spinal anesthesia: Intracranial subdural hemorrhage

    Cengiz Kaplan

    2015-02-01

    Full Text Available Spinal (subarachnoid anesthesia (SA is a widely used general-purpose anesthesia. Postdural Puncture Headaches (PDPHs represent one of the principal complications of spinal anesthesia. A 21-year-old man underwent inguinal herniorrhaphy and orchiectomy using spinal anesthesia. Postoperatively, our patient started to have a headache with nausea. The patient received symptomatic therapy, but the severe headache persisted even in the supine position, with his vital signs and neurological examination being normal. Cranial MRI showed a bilateral subdural hematoma from his frontal to temporal region. A postdural puncture headache is a frequent complication after spinal anesthesia. However, serious complications, such as an intracranial subdural hemorrhage, can rarely occur. [Arch Clin Exp Surg 2015; 4(1.000: 54-56

  14. Procedural mishaps with trephine-based intraosseous anesthesia.

    Small, Joel C; Witherspoon, David E; Regan, John D; Hall, Ellen

    2011-01-01

    Failure to achieve profound anesthesia during dental treatment can be a significant problem for dental clinicians, especially for endodontic procedures on teeth in the mandibular arch with irreversible pulpitis. A number of supplemental local anesthesia techniques exist, the most effective of which may be the intraosseous injection. Two cases are presented demonstrating the dangers associated with the use of the intraosseous anesthesia technique. While the technique can provide profound anesthesia in otherwise difficult to anesthetize cases, care must be taken during its administration. Both cases show the damage done to the root and overlying bone by the injudicious use of the trephine. It is incumbent on the clinician to fully consider the anatomy in the area prior to insertion of the trephine. Intraosseous anesthesia techniques are a valuable addition to the clinicians' armamentarium. However careless administration can result in problems of endodontic or periodontal nature that may be difficult to rectify.

  15. Demand for radiotherapy in Spain.

    Rodríguez, A; Borrás, J M; López-Torrecilla, J; Algara, M; Palacios-Eito, A; Gómez-Caamaño, A; Olay, L; Lara, P C

    2017-02-01

    Assessing the demand for radiotherapy in Spain based on existing evidence to estimate the human resources and equipment needed so that every person in Spain has access to high-quality radiotherapy when they need it. We used data from the European Cancer Observatory on the estimated incidence of cancer in Spain in 2012, along with the evidence-based indications for radiotherapy developed by the Australian CCORE project, to obtain an optimal radiotherapy utilisation proportion (OUP) for each tumour. About 50.5 % of new cancers in Spain require radiotherapy at least once over the course of the disease. Additional demand for these services comes from reradiation therapy and non-melanoma skin cancer. Approximately, 25-30 % of cancer patients with an indication for radiotherapy do not receive it due to factors that include access, patient preference, familiarity with the treatment among physicians, and especially resource shortages, all of which contribute to its underutilisation. Radiotherapy is underused in Spain. The increasing incidence of cancer expected over the next decade and the greater frequency of reradiations necessitate the incorporation of radiotherapy demand into need-based calculations for cancer services planning.

  16. Forum on stakeholder confidence: Spain

    Vari, A.; Pescatore, C.

    2006-01-01

    The FSC workshop in Spain provided an important opportunity to carry out an in-depth examination of decision-making processes undertaken in an NEA member country, and to reflect on the evolution that has taken place over time. It offered a well-rounded perspective on the inclusion of stakeholders in decision making, and the atmosphere of the meetings was conducive to an honest and open exchange of ideas. The workshop started with the introduction of two case studies: the earlier attempt in Spain to locate a potential site for a high-level waste (HLW) disposal facility, and the dismantling of the Vandellos-I nuclear power plant. This was followed by two days of presentations and round-table discussions based on the recent COWAM Spain initiative (stemming from the EU-wide project on Community Waste Management), which aims at developing recommendations for institutional arrangements and decision-making processes concerning the siting of waste management facilities in Spain. This article provides a brief summary of the case studies and the COWAM Spain initiative, followed by some of the lessons learnt from an international perspective. (authors)

  17. Comparison of Sedation With Local Anesthesia and Regional Anesthesia in Transurethral Resection of Prostate (TURP

    H Aghamohammadi

    2008-12-01

    Full Text Available ABSTRACT: Introduction & Objective: Transurethral Resection of Prostate (TURP is usually performed under regional or general anesthesia. An alternative to conventional anesthesia is performing of TURP under local anesthetic infiltration with sedation. The aim of this study was to evaluate the efficacy and complication of sedoanalgesia in TURP. Material & Methods: In a prospective clinical trial from September 2006 to December 2007, 60 patients (30 in each group with prostate hypertrophy, candidate for TURP, were randomly assigned into two groups. In the first group, standard spinal anesthesia was done. In the second group, five minutes before the operation, 25 mgs of diazepam plus 25-50 mgs of pethedine was intravenously administered followed by injection of 10 ml lidocaine 2% gel in the urethra and the skin in the suprapubic area was anesthetized with 2 ml of 1% lidocaine. Using a 22 gauge nephrostomy needle, the suprapubic skin was punctured and the needle was directed toward prostate apex and 10-20ml of 1% lidocaine was injected at the serosal aspect of the rectal wall. For dorsal nerve block, 5-10ml of 1% lidocaine was injected at penopubic junction, and then a standard TURP was performed. Patients were switched to another anesthetic technique if the selected technique failed. Severity of pain was assessed by visual analogue scale. Results: The average prostate size was 25 grs (range10-50grs in the local anesthetic group (group 1 and 27.5 grs (range 10-50 grs in the spinal group (group2. In the local anesthetic group, 82.3% had no or mild pain while moderate to severe pain was reported in 16, 7% of the patients. In the group with spinal anesthesia, these were 93.1% and 6.9% respectively. Intolerable pain was observed in 23.3% and 13.8% of groups 1 and 2 respectively (p>0.05. Two patients in spinal group and 5 in local anesthetic group (3 due to severe pain and 2 for unsatisfaction required conversion to general anesthesia or receiving

  18. Transportation, Social Inequality and Spatial Capital: Comparative Analysis between Buenos Aires and Santiago de Chile

    Ricardo Apaolaza

    2016-09-01

    Full Text Available This paper studies how the characteristics of Latin American urban transportation generate dimensions of dispute of ‘spatial capital’, meaning an individually internalizable type of urban resource which results from the combination of objective material conditions and subjective socio-cultural conditions. These conditions determine a socially differentiated use of territory and sometimes are decisive elements in opening new niches for high-end real-estate producers and consumers, hence linking with processes of displacement and exclusion. The study cases compare four neighborhoods from Buenos Aires and Santiago de Chile, two peripherals and two pericentrals. The results show, considering the role of new infrastructure, a strong difference between residents from the peripheral cases and little difference in the pericentral cases, identifying, however, processes of a dispute over the ownership and use of urban space and the neighborhood, in all the cases.

  19. COMPREHENSIVE AND STRATEGIC PROFILE PERFORMANCE ASSESSMENT ON THE BASIS OCCUPATIONAL SKILLS TRANSTUR S.A. SANTIAGO

    Marianela Bermejo-Salmón

    2016-01-01

    Full Text Available The essential purpose of this work is the design and application of the profile integrative and strategies of the performance evaluation based in labours competitions for the tetchiness A in the rent cars Transtur of Santiago de Cuba. For it were applied several methods and tetchiness such as: delphi method , holistic and integrated focus, experts judment, ishikawa diagram, surveys, acting observation, command tableriou, and technical computational among others. The achieved results allow to evaluate and characterizer of the profile evaluation performance from an approach integrative and strategies that is sustained in a theoretical conception- methodological and practice possibility the perfection of he Capital Humans of Gestation in the Branch. 

  20. Santiago Ramón y Cajal and the Spanish school of neurology.

    Andres-Barquin, Pedro J

    2002-11-01

    Advances in neurology are now possible thanks to the endeavours of a few scientists who in the past laid firm foundations for the study of the nervous system. Santiago Ramón y Cajal (1852-1934) was one such pioneer of brain exploration and is acknowledged as the founder of modern neuroscience. He described the structure and organisation of virtually all parts of the nervous system and developed theories, including the neuron doctrine and the law of functional polarisation, that are the cornerstones of neuroscience. In addition to devoting his life to research, Ramón y Cajal was a dedicated teacher and mentor and created a school that greatly contributed to the flourishing of neurology.

  1. Mortality due to malignancies in Santiago de Cuba province during 2010

    Soler Santana, Raxsy; Soler Santana, Angel Luis; Carbonel Garcia, Isabel Cristina; Brossard Cisnero, Marlenis

    2011-01-01

    A descriptive and cross-sectional study on mortality due to cancer in Santiago de Cuba province during 2010 was carried out, taking into account 1 819 deceased at a rate of 173,9 every 100 000 inhabitants. This rate increased compared to the previous year with a male mortality predominance of elderly aged 75 and over, as well as mortality in Mella and II Frente municipalities. Most common malignancies in women were detected in lungs, breast, and colon; while in men, they were preponderantly diagnosed in prostate, lungs, and colon. For this reason, it is recommendable addressing and planning health actions according to the stratified mortality risk in each municipality of this province. (author)

  2. INMIGRACIÓN Y RACISMO: EXPERIENCIAS DE LA NIÑEZ PERUANA EN SANTIAGO DE CHILE

    Pavez Soto,Iskra

    2012-01-01

    El objetivo de este artículo es analizar las experiencias de discriminación y racismo que han vivido las niñas y los niños peruanos inmigrantes en Santiago de Chile, a partir de la perspectiva de género y la comprensión teórica de la sociología de la infancia, que entiende a este como grupo social con capacidad de agencia. Se constata que el contexto social y económico determina situaciones de precariedad y exclusión para las familias peruanas; un escenario que agudiza la discriminación y el ...

  3. HIV prevalence, AIDS knowledge, and condom use among female sex workers in Santiago, Chile.

    Barrientos, Jaime E; Bozon, Michel; Ortiz, Edith; Arredondo, Anabella

    2007-08-01

    This paper describes HIV seroprevalence, knowledge of HIV transmission, and condom use among female sex workers (FSW) attending five specialized sexually transmitted disease (STD) clinics in Santiago, Chile. A short questionnaire with socio-demographic, AIDS knowledge, and condom-use variables was administered to 626 FSW. HIV seroprevalence was estimated with a blood test sent to the Chilean Public Health Institute. ELISA was used to confirm HIV in suspected cases. HIV prevalence was 0%. FSW showed adequate overall knowledge of HIV, even better than reported for the Chilean general population on some items. Condom use with clients was high ("always" = 93.4%), although regular use with steady partners was low ("always" = 9.9%). The zero HIV seroprevalence and consistent condom use with clients confirms the positive impact of intervention strategies for FSW, increasing both correct knowledge of AIDS and condom use with clients and helping decrease these women's HIV/AIDS vulnerability.

  4. Procedure for the Formulation of Comercial Strategies in a Receptive Travel Agency of Santiago de Cuba

    Damaris Valdés–Ferrer

    2015-12-01

    Full Text Available The present research was carried out in the travel Agency Cubatur Santiago de Cuba with the objective of proposing strategies in order to contribute to the improvement of its commercial administration. It was carried out it an internal and external diagnosis, a DAFO analysis and a scenario analysis which they were defined the objectives, strategies and commercials actions. In this paper were employed different methods, technical and tools such as: the Method of Analysis - Synthesis, the Method ABC and the surveys. Computer programs were also used as the statistical package SPSS version 15.0, the software “Decisions” and the software package MIC-MAC, MACTOR y SMIC-PROB-EXPERT. The research provide a procedure that allows to identify the fundamental problems that affect the commercial activity in the company, as well as the formulation of objectives, strategies and actions in order to improve the making decisions process and to increase the competitiveness. 

  5. Automation of the Distillation of Alcohol from the RUM Distillery UEB Santiago de Cuba

    MSc. Mónica Mulet-Hing

    2016-02-01

    Full Text Available This paper deals with the analysis of the current situation and prospects for solutions to the lack of automation in the plant belonging to the rum distillery UEB Santiago de Cuba, Cuba Ron, that leads to limited productivity of your process; also do a survey of its operational status, and seeks to transform the instrumentation and control form. It defines the structure and control system variables, demonstrating the feasibility of the proposed solution. The key result of the work consists in presenting a proposal for automation of the structure consists of a control algorithm to the distillation process, taking into account the requirements, technical means for their execution, the variables that must be observed and processed and final action items proposed to the respective field instrumentation and purchase of the PLC to perform satisfactorily the control with the minimum possible investment.

  6. Assessment of groundwater salinization mechanisms in Santiago Island - Cabo Verde: An environmental isotopic approach

    Carreira, P.M.; Nunes, D.; Marques, J.M.; Pina, A.; Mota Gomes, A.; Almeida, E.; Goncalves, R.; Monteiro Santos, F.

    2007-01-01

    Two sampling campaigns were carried out at Santiago Island - Cabo Verde under the scope of an isotopic and geochemical research study. An evaluation of the groundwater systems was carried out through the application of environmental isotopes and geochemical data in order to answer questions such as: origin and mechanisms of groundwater recharge; relation between the hydrochemical evolution of the groundwater systems with the geological matrix (minerals dissolution) or mixture with seawater and aerosol marine influence; identification of seawater intrusion mechanisms and, determination of the apparent groundwater 'age'. The results obtained so far are not conclusive on the identification of the process responsible for the increase of salinity. In general, all the data obtained seems to indicate that the waters have the same isotopic history but different geochemical evolution, which depends on the weathering and permeability of the rocks. (author)

  7. Towards a feminist own voice in the Peasants movement of Santiago del Estero

    Mariela Pena

    2017-06-01

    Full Text Available This work addresses the issue of the multiple trajectories of feminisms in Latin American rural social movements as a part of the experiences of democratic participation, and its intersections with other categories of oppression. For this purpose, we explore the case of the MovimientoCampesino de Santiago del Estero, from Argentina, and its connections with the feminist standpoints of the broader global organizations that the peasant movement is part of. Our approach is ethnographic, based on field work, interviews to activist women and the analysis of written sources. Findings suggest that the organization has elaborated its own significant frame in relation to gender and it is trying to solve some tensions in between difference feminism or ecofeminism, extended in the region, and a perspective based on equality amidst sexes, grounded on their local political experience.

  8. El comercio informal de calle en las comunas Santiago y Concepción

    Mônica Virginia De Souza

    2017-05-01

    Full Text Available El objetivo de este artículo es analizar los resultados de la investigación empírica sobre el comercio callejero de las comunas de Santiago y Concepción realizada entre marzo de 2015 y febrero de 2016. Dichos resultados fundamentaron la elaboración de un Mapa del comercio informal de calle y contribuyeron a la identificación de aspectos importantes de ese fenómeno, como su extensión sobre el territorio, el número de trabajadores involucrados, rasgos del comportamiento de dichos trabajadores y la relación de esa actividad con el espacio urbano.

  9. The Reengineering of Processes a Tool in the Administration of Business: Case Cereales "Santiago"

    Roberto René Moreno-García

    2015-12-01

    Full Text Available The article presents the research result on the application of the Reengineering of processes in the company Cereales Santiago and the introduction of the information sciences through the PesajeVoz software. In the research it is characterized the main deficiencies of the strategic process of commercialization that affect the economic result of the company and the satisfaction of their clients, by the losses and delays when receiving their raw materials. A study is also realized on the evolution of the reengineering of processes concept from its initial formulation and a characterization of some of the methodologies for its application, reference is made to an own methodology generic for the application of the reengineering of processes in the Cuban system of companies, that have been validated it in the company study object, allowed obtaining of results of impacts in quantitative and qualitative benefits for the company and its clients. 

  10. Los significados culturales sobre la naturaleza en el asentamiento poblacional Siboney. Santiago de Cuba

    MSc. Roxana Cruz-Doimeadios

    2015-10-01

    Full Text Available Se realiza un estudio sobre los significados otorgados a la naturaleza después del evento meteorológico Sandy que azotó el país en el mes de octubre del año 2012 en el asentamiento poblacional Siboney, ubicado en el municipio Santiago de Cuba. Con anterioridad, los significados estaban asociados a percepciones de seguridad, tanto de nesecidades materiales como espirituales. Los resultados muestran la diversidad que caracteriza los significados culturales, los que se diferencian entre los actores individuales y los grupos, estas diferencias se reflejan en las acciones que desarrollan a través de las estrategias para el manejo de la naturaleza en el asentamiento.

  11. Screening for prostate cancer in 8 health areas from Santiago de Cuba province

    Barrios Lopez, Yusimy; Perera Fernandez, Francisco; Carvajal Beltran, Irma Iris; Perez Rodriguez, Arnoldo

    2012-01-01

    A descriptive and cross-sectional study was carried out in 28 917 men over 50 years of age, belonging to 8 health areas of Santiago de Cuba, from November 2007 to July 2010, to determine the prostate-specific antigen (PSA) and thus detect prostate cancer hidden morbidity. The test was performed in 18 007 screened individuals, of whom 1 745 had pathological findings, and of them 1 630 were evaluated at the urology department of the selected polyclinic according to the established flow chart. Finally, 125 males were diagnosed with the disease, so that it was confirmed the importance of having a greater dissemination of PSA test, benefits of which allow the family physician to know the health of their patients, and the risk population obtain such assistance annually through the doctor's offices

  12. Seismic microzoning of Santiago de Cuba An approach by SH waves modelling

    Alvarez, L; Femandez, B; García, J; González, B; Panza, G F; Pico, R; Reyes, C; Vaccari, F; Zapata, R J A

    2002-01-01

    The expected ground motion in Santiago de Cuba basin from earthquakes which occurred in the Oriente fault zone is studied. Synthetic SH-waves seismograms have been calculated along four profiles in the basin by the hybrid approach (modal summation for the path source-profile and finite differences for the profile) for a maximum frequency of 1 Hz. The response spectra ratio (RSR) has been determined in 49 sites, distributed along all considered profiles with a spacing of 900 m. The corresponding RSR versus frequency curves have been classified using a logical-combinatorial algorithm. The results of the classification, in combination with the uppermost geological setting (geotechnical information and geological geometry of the subsoil) are used for the seismic microzoning of the city. Three different main zones are identified, and a small sector characterised by big resonance effects, due to the particular structural conditions. Each zone is characterized in terms of its expected ground motion parameters for th...

  13. ENVIRONMENTAL TAX IN CUBA, CONTROL YOUR FUND IN SANTIAGO DE CUBA

    Maira Vázquez-Díaz

    2016-01-01

    Full Text Available By issuing the Law 73 of the Tax System in 1994, the taxation on the usage and exploitation of natural resources began to be applied to promote a rational usage of these resources on the protection of the environment. This article refers to the application of this tax in Cuba based on records of imprinted and digital bibliography containing considerations of environmental economists about the subject on a legal approach. It also offers the reader a general view of the application of this tax in the province of Santiago de Cuba as well as information for the specialists incharge of collecting its income which is used to encourage the protection of the environment. 

  14. LOS MARCADORES DE REFORMULACIÓN EN EL CORPUS PRESEEA DE SANTIAGO DE CHILE

    Abelardo San Martín Núñez

    2016-01-01

    Full Text Available El objetivo de este trabajo es ampliar nuestra aproximación variacionista, informada en Rojas et al. (2012, a los marcadores de reformulación en el español hablado en Santiago de Chile. Para tal propósito, se identificaron las partículas que cumplían la mencionada función en una muestra de 54 entrevistas que conforman el Corpus Sociolingüístico de preseea de Santiago. En el análisis, se consideraron el concepto y la clasificación de los marcadores del discurso de Martín Zorraquino y Montolío (1998; Martín Zorraquino y Portolés (1999; Portolés (2001; y Loureda y Acín (2010. Se identificaron las partículas que cumplían la función de reformulación, según diferentes subtipos (explicación, rectificación, recapitulación y distanciamiento. Basándonos en la conmutabilidad funcional (semántica y pragmática de estos marcadores, se procedió a su análisis cuantitativo, según las variables sexo, edad y nivel educacional de los informantes. En general, los resultados del estudio muestran que las partículas o sea, igual y al final, así como el subtipo de los reformuladores explicativos, son los más frecuentes. Asimismo, el factor edad de los sujetos es el más sensible al empleo de las partículas relevadas.

  15. Peligrosidad sísmica de la región de Santiago de Cuba

    Tomás J. Chuy-Rodríguez

    2001-03-01

    Full Text Available Se caracteriza la peligrosidad sísmica de la provincia y ciudad de Santiago de Cuba, en términos de intensidad, aceleración, velocidad y desplazamiento. Los parámetros de peligrosidad sísmica se presentan en forma de mapas independientes utilizando períodos de recurrencia para cada valor de los parámetros de la amenaza; a tiempo que, de forma probabilística para diferentes tiempos de vida útil y probabilidad de ocurrencia para una red de cuadrículas de 1 km2 en toda la cuenca de Santiago de Cuba, se definen para cada una de ellas, las correspondientes curvas de nivel de amenaza. Los parámetros de peligrosidad sísmica están preparados como Bases de Datos Digitales, para su implementación en Sistemas de Información Geográfica (SIG con fines de prevención y manejo de desastres sismológicos, por ser imprescindibles para la planificación, proyección y diseño del desarrollo socioeconómico de estos territorios, ya que permiten la valoración del nivel de riesgo que se quiera asumir en áreas de interés. En la actualidad son la base de referencia y consulta para el establecimiento de definiciones de planeamiento urbano y de uso de suelos, así como para proyectos ubicados en estos territorios. Constituyen, igualmente, un elemento de consulta por la Defensa Civil en los planes de medidas para caso de terremotos

  16. Seismic microzoning from synthetic ground motion parameters: Case study, Santiago de Cuba

    Alvarez, Leonardo; Vaccari, Franco; Panza, Giuliano F.; Pico, Ramon

    2003-08-01

    Synthetic seismograms (P - SV and SH waves) have been calculated along 6 profiles in Santiago de Cuba basin, with a cutoff frequency of 5 Hz, by using the hybrid approach (modal summation for a regional (ID) structure plus finite differences for a local (2D) structure embedded in the first). They correspond to a scenario earthquake of M S = 7 that may occur in Oriente fault zone, directly south of the city. As initial data for a seismic microzoning, the characterisation of earthquake effects has been made considering several relative (2D/1D) quantities (PGDR, PGVR, PGAR, DGAR, I A R etc.) and functions representative of the ground motion behaviour in soil (2D) with respect to bedrock (ID). The functions are the response spectra ratio RSR(f), already routinely used in this kind of work, and the elastic energy input ratio E I R(f), defined, for the first time, in this paper. These data, sampled at 105 sites within all the profiles have been classified in two steps, using logical combinatory algorithms: connected sets and compact sets. In the first step, from the original ground motion parameters or functions extracted from the synthetic seismograms, 9 sets have been classified and the partial results show the spatial distribution of the soil behaviour as function of the component of motion. In the second step, the results of the classification of the 9 sets have been used as input for a further classification that shows a spatial distribution of sites with a quasi-homogeneous integral ground motion behaviour. By adding the available geological surface data, a microzoning scheme of Santiago de Cuba basin has been obtained. (author)

  17. Climas urbanos y contaminación atmosférica en Santiago de Chile

    Hugo Romero

    2010-12-01

    Full Text Available Se analizan las relaciones existentes entre temperaturas urbanas y concentraciones de material particulado a una escala que representa la totalidad de la ciudad, destacando su división en dos zonas bien delimitadas, que ubicadas al oriente y poniente de la misma, durante los días de ocurrencia de las peores condiciones de contaminación atmosférica. A escala más detallada, que representa a tipos característicos de morfología urbana, se correlacionan los usos y coberturas de suelos con los niveles de vegetación y las temperaturas de las llamadas "subzonas climáticas", en las comunas de Peñalolén, Santiago Centro y Cerrillos, que representan diversas localizaciones en los espacios naturales y socioeconómicos de la ciudad, concluyéndose que existen áreas de condiciones adversas para la población y configuraciones que resaltan su heterogeneidad y diversidad.Current relationships between urban temperatures and particulate matter concentrations at a scale that is representative of the whole city have been analyzed, highlighting a clear division in two zones, the eastern and western part of the city during the days that register the worst air pollution. On a more detailed scale, based on characteristic urban morphology types, land uses and extensions are correlated with vegetation cover and surface temperatures in so-called climatic sub-zones, in the municipalities of Peñalolén, Santiago Centro and Cerrillos, that represent different urban locations, natural cover and socioeconomic variables across the city. The article concludes that there are areas with adverse conditions for the population and configurations that highlight the heterogeneity and diversity of these municipalities.

  18. School intervention to improve mental health of students in Santiago, Chile: a randomized clinical trial.

    Araya, Ricardo; Fritsch, Rosemarie; Spears, Melissa; Rojas, Graciela; Martinez, Vania; Barroilhet, Sergio; Vöhringer, Paul; Gunnell, David; Stallard, Paul; Guajardo, Viviana; Gaete, Jorge; Noble, Sian; Montgomery, Alan A

    2013-11-01

    Depression can have devastating effects unless prevented or treated early and effectively. Schools offer an excellent opportunity to intervene with adolescents presenting emotional problems. There are very few universal school-based depression interventions conducted in low- and middle-income countries. To assess the effectiveness of a school-based, universal psychological intervention to reduce depressive symptoms among adolescents from low-income families. A 2-arm, parallel, cluster, randomized clinical trial was conducted in secondary schools in deprived socioeconomic areas of Santiago, Chile. Almost all students registered in the selected schools consented to take part in the study. A total of 2512 secondary school students from 22 schools and 66 classes participated. Students in the intervention arm attended 11 one-hour weekly and 2 booster classroom sessions of an intervention based on cognitive-behavioral models. The intervention was delivered by trained nonspecialists. Schools in the control arm received the standard school curriculum. Scores on the self-administered Beck Depression Inventory-II at 3 months (primary) and 12 months (secondary) after completing the intervention. There were 1291 participants in the control arm and 1221 in the intervention arm. Primary outcome data were available for 82.1% of the participants. There was no evidence of any clinically important difference in mean depression scores between the groups (adjusted difference in mean, -0.19; 95% CI, -1.22 to 0.84) or for any of the other outcomes 3 months after completion of the intervention. No significant differences were found in any of the outcomes at 12 months. A well-designed and implemented school-based intervention did not reduce depressive symptoms among socioeconomically deprived adolescents in Santiago, Chile. There is growing evidence that universal school interventions may not be sufficiently effective to reduce or prevent depressive symptoms. isrctn.org Identifier: ISRCTN

  19. Uranium and plutonium in anoxic marine sediments of the Santiago River mouth (Eastern Pacific, Mexico).

    Almazán-Torres, María Guadalupe; Ordóñez-Regil, Eduardo; Ruiz-Fernández, Ana Carolina

    2016-11-01

    The uranium (U) and plutonium (Pu) content with depth in a sediment core collected in the continental shelf off the mouth of the Santiago River in the Mexican Pacific was studied to evaluate the contamination effects of the effluent of the Santiago-Lerma River as it moves into the sea. The large mass of terrestrial detritus delivered by the river influences the physicochemical and geochemical processes in the seafloor. Abnormal concentrations of U and Pu in sediments were examined as indicative of the effects of anoxic conditions. One of the indicators of pollution of seawater is the bacterial activity of the shallow seabed layer; and among the prevailing bacteria, the magnetotactic ones induce the formation of euhedral and framboidal shapes (pyrite). These pyrite entities are by-products of anoxic environments loaded with decomposing detrital material and are very abundant in the surface layers of the sediment core analyzed. The pyrite formation is the result of a biochemical reaction between iron and organic sulphur reduced by bacteria, and the pyrite entities precipitate to the seafloor. In the same upper zone of the profile, 238 U is readily immobilized, while 234 U is oxidized and dissolved in seawater by the effect of hot atom chemistry. This may cause the activity ratio (AR) 234 U/ 238 U disequilibrium (near 0.41). Furthermore, in the shallow layer of the sediment core, an abnormally high concentration of 239+240 Pu was detected. In this upper layer, the activity concentrations found were 3.19 Bq kg -1 for 238 U, 1.32 kg -1 for 234 U and 2.78 Bq kg -1 for 239+240 Pu. In the lower fractions of the sediment core, normal values of AR 234 U/ 238 U (≈1) were found, with traces of 239+240 Pu. Copyright © 2016 Elsevier Ltd. All rights reserved.

  20. Meteorological air pollution potential for Santiago, Chile: Towards an objective episode forecasting.

    Rutllant, J; Garreaud, R

    1995-02-01

    The geography and climate of the Santiago basin are, in general, unfavorable for the diffusion of air pollutants. Consequently, extreme events occur frequently during the high pollution season extending from April to August. The meteorological conditions concurrent with those extreme events are mainly associated with the leading edges of coastal lows that bring down the base of the semipermanent temperature inversion reducing the dirunal growth of the surface mixed layer. In order to produce an objective 12 to 24-hour episode forecast, a two-way multivariate discriminant analysis has been used in the definition of a meteorological air-pollution potential index (MAPPI), separating high and low meteorological air-pollution potential days. The same procedure has been applied in the selection of the most efficient predictors for the MAPPI objective forecast, based on 12 and 24 UTC radiosonde data at Quintero, about 100 km to the NW of Santiago. Results indicate about 70% correctly forecasted days, with satisfactory skill-scores relative to persistency. The strong persistency characterizing the most efficient predictors in the 12-hour objective forecast scheme, makes the prediction of the first and last days of any particular air-pollution potential episode particularly difficult. To overcome this problem, a new set of predictors based on continuous measurements near the level of the top of the temperature inversion layer (900 hPa during air-pollution episodes) is being tested. Preliminary results indicate that the time-integrated zonal wind component at that level is a reliable precursor for both the onset and the end of air-pollution potential episodes.

  1. Spain: Success story in space

    Longdon, Norman

    From the early 1960's, European governments were aware that they had to take part in the exploration, and potential exploitation, of space, or be left behind in a field of high-technology that had far-reaching possibilities. It was also realized that financial and manpower constraints would limit the extent to which individual nations could carry out their own national programs. They, therefor, joined forces in two organizations: the European Space Research Organization (ESRO) and the European Launcher Development Organization (ELDO). By 1975, when the potential of space development had been more fully appreciated, the two organizations were merged into the Europeans Space Agency (ESA) of which Spain was a founding member. ESA looks after the interest of 13 member states, one associated member state (Finland), and one cooperating state (Canada) in the peaceful uses of space. Its programs center around a mandatory core of technological research and space science to which member states contribute on the basis of their Gross National Product. Spain in 1992 contributes 6.46% to this mandatory program budget. The member states then have the chance to join optional programs that include telecommunications, observation of the earth and its environment, space transportation systems, microgravity research, and participation in the European contribution to the International Space Station Freedom. Each government decides whether it is in its interest to join a particular optional program, and the percentage that it wishes to contribute to the budget. Although in the early days of ESA, Spain participated in only a few optional programs, today Spain makes a significant contribution to nearly all of ESA's optional programs. This document presents Spain's contributions to particular ESA Programs and discusses Spain's future involvement in ESA.

  2. Acupuncture in ambulatory anesthesia: a review

    Norheim AJ

    2015-09-01

    Full Text Available Arne Johan Norheim,1 Ingrid Liodden,1 Terje Alræk1,2 1National Research Center in Complementary and Alternative Medicine (NAFKAM, Department of Community Medicine, Faculty of Health Sciences, University of Tromsø – The Arctic University of Norway, Tromsø, 2The Norwegian School of Health Sciences, Institute of Acupuncture, Kristiania University College, Oslo, NorwayBackground: Post-anesthetic morbidities remain challenging in our daily practice of anesthesia. Meta-analyses and reviews of acupuncture and related techniques for postoperative nausea and vomiting (POVN and postoperative vomiting (POV show promising results while many clinicians remain skeptical of the value of acupuncture. Given the interest in finding safe non-pharmacological approaches toward postoperative care, this body of knowledge needs to be considered. This review critically appraises and summarizes the research on acupuncture and acupressure in ambulatory anesthesia during the last 15 years.Methods: Articles were identified through searches of Medline, PubMed, and Embase using the search terms “acupuncture” or “acupuncture therapy” in combination with “ambulatory anesthesia” or “ambulatory surgery” or “day surgery” or “postoperative”. A corresponding search was done using “acupressure” and “wristbands”. The searches generated a total of 104, 118, and 122 references, respectively.Results: Sixteen studies were included; eight studies reported on acupuncture and eight on acupressure. Nine studies found acupuncture or acupressure effective on primary endpoints including postoperative nausea and vomiting, postoperative pain, sore throat, and emergence agitation. Four studies found acupuncture had a similar effect to antiemetic medication.Conclusion: Overall, the studies were of fairly good quality. A large proportion of the reviewed papers highlights an effect of acupuncture or acupressure on postoperative morbidities in an ambulatory setting

  3. Light pollution in Spain 2010

    Sánchez de Miguel, A.; Zamorano, J.; Pila-Díez, B.; Rubio, J.; Ruiz, R.; Rodríguez-Herranz, I.; González-Pérez, A.

    2011-11-01

    The most recent data on electricity consumption for public lighting inSpain is presented and compared with light pollution measurements asderived from night satellite imagery. NOAA-MSP images (low-resolution)and higher resolution images obtained with conventional DSLR cameras on board the International Space Station (ISS) have been used.We show that the data can be related to night sky brightness maps with a study conducted within the Comunidad Autónoma de Madrid. Weintend to extend our work to the rest of Spain through tight collaborationwith amateur astronomers.

  4. Determinantes sociales de la salud y discapacidad: caso Santiago de Cali / Social determinants of health and disability: the Santiago de Cali case

    Consuelo Vélez A

    2013-08-01

    Full Text Available Objetivo: establecer la relación entre los determinantes sociales de la salud y la discapacidad en Santiago de Cali. Metodología: estudio descriptivo correlacional. Se incluyeron para el análisis 38.071 personas registradas en la base de datos del Dane (Cali; la información se procesó en SPSS 19.0: determinantes estructurales, género, edad, nivel educativo, raza, zona de residencia, estrato y determinantes intermedios como trabajo y vivienda; se realizó análisis univariado y bivariado empleando la prueba de x2 . Resultados: el 52% de las personas pertenecía al género femenino; el promedio de la edad fue de 48 años +/– 24,1 años y la raza predominante, la mestiza. El 28% de las personas registradas no tenía ningún nivel de estudio; un 76% de las personas pertenecen a estratos 1 y 2. El 100% tienen al menos una deficiencia y una discapacidad y el 25% presentan restricción en la participación. El género femenino presenta menos restricción en la participación, comparado con el masculino (71,2% y 66,8% respectivamente. Se encontró asociación entre los determinantes sociales estructurales e intermedios y la restricción en la participación p < 0,05. Conclusiones: existe interacción de los determinantes sociales de la salud, como género, educación, empleo, barreras arquitectónicas y servicios de salud, entre otros, con la restricción en la participación Objective: to establish the relationship between the social determinants of health and disability in Santiago de Cali. Methodology: a correlational descriptive study. The analysis included a total of 38,071 people who had been registered in the dane database (Cali, and the data was processed using the spss 19.0 software. Structural Determinants: gender, age, education level, race, area of residence, and intermediate determinants such as job and housing information. In addition, univariate and bivariate analyses were conducted using the x2 test. Results: of the participants

  5. [Intensive medicine in Spain].

    2011-03-01

    the future of intensive care medicine in Spain and in Europe, recommendations are made towards specialization in intensive care medicine incorporating in the training program those competences (knowledge, skills and attitudes) that should be present an intensivist in Europe and that are extensively fulfilled by the current Spanish training program. The trajectory followed by intensive care medicine in Europe and recently in China, shows the increasing need of intensive care and the progressive recognition of the specialty in economically growing countries, and emphasizes the need of homogenization in the training of future specialists in intensive care medicine globally. Copyright © 2010 Elsevier España, S.L. y SEMICYUC. All rights reserved.

  6. Comparative study between manual injection intraosseous anesthesia and conventional oral anesthesia.

    Peñarrocha-Oltra, D; Ata-Ali, J; Oltra-Moscardó, M-J; Peñarrocha-Diago, M-A; Peñarrocha, M

    2012-03-01

    To compare intraosseous anesthesia (IA) with the conventional oral anesthesia techniques. A simple-blind, prospective clinical study was carried out. Each patient underwent two anesthetic techniques: conventional (local infiltration and locoregional anesthetic block) and intraosseous, for respective dental operations. In order to allow comparison of IA versus conventional anesthesia, the two operations were similar and affected the same two teeth in opposite quadrants. A total of 200 oral anesthetic procedures were carried out in 100 patients. The mean patient age was 28.6±9.92 years. Fifty-five vestibular infiltrations and 45 mandibular blocks were performed. All patients were also subjected to IA. The type of intervention (conservative or endodontic) exerted no significant influence (p=0.58 and p=0.62, respectively). The latency period was 8.52±2.44 minutes for the conventional techniques and 0.89±0.73 minutes for IA - the difference being statistically significant (panesthesia sensation, the infiltrative techniques lasted a maximum of one hour, the inferior alveolar nerve blocks lasted between 1-3 hours, and IA lasted only 2.5 minutes - the differences being statistically significant (p≤0.0000, Φ=0.29). Anesthetic success was recorded in 89% of the conventional procedures and in 78% of the IA. Most patients preferred IA (61%)(p=0.0032). The two anesthetic procedures have been compared for latency, duration of anesthetic effect, anesthetic success rate and patient preference. Intraosseous anesthesia has been shown to be a technique to be taken into account when planning conservative and endodontic treatments.

  7. PSA results and trends for Spain's NPPs

    Carretero, J.A.

    1993-01-01

    The Spain regulatory authority CSN demanded performance of PSA for all Spain nuclear power plants. The specific data analysis carried out as a part of the PSA has contributed to the realistic view on the results which could be achieved by the PSA. The main characteristics of the PSA in Spain and PSA trends in the development are presented in the paper

  8. The development of pediatric anesthesia and intensive care in Scandinavia.

    Nilsson, Krister; Ekström-Jodal, Barbro; Meretoja, Olli; Valentin, Niels; Wagner, Kari

    2015-05-01

    The initiation and development of pediatric anesthesia and intensive care have much in common in the Scandinavian countries. The five countries had to initiate close relations and cooperation in all medical disciplines. The pediatric anesthesia subspecialty took its first steps after the Second World War. Relations for training and exchange of experiences between Scandinavian countries with centers in Europe and the USA were a prerequisite for development. Specialized pediatric practice was not a full-time position until during the 1950s, when the first pediatric anesthesia positions were created. Scandinavian anesthesia developed slowly. In contrast, Scandinavia pioneered both adult and certainly pediatric intensive care. The pioneers were heavily involved in the teaching and training of anesthetists and nurses. This was necessary to manage the rapidly increasing work. The polio epidemics during the 1950s initiated a combination of clinical development and technical innovations. Blood gas analyses technology and interpretation in combination with improved positive pressure ventilators were developed in Scandinavia contributing to general and pediatric anesthesia and intensive care practice. Scandinavian specialist training and accreditation includes both anesthesia and intensive care. Although pediatric anesthesia/intensive care is not a separate specialty, an 'informal accreditation' for a specialist position is obtained after training. The pleasure of working in a relatively small group of devoted colleagues and staff has persisted from the pioneering years. It is still one of the most inspiring and pleasant gifts for those working in this demanding specialty. © 2014 John Wiley & Sons Ltd.

  9. Total spinal anesthesia in an achondroplasic patient: case report

    Amiri H R

    2008-06-01

    Full Text Available Background: Total spinal anesthesia is a complication of lumbar epidural anesthesia following undiagnosed subarachnoid or subdural injection of local anesthetic. Although many achondroplastic dwarfs have a normal spine, catheter insertion may be more problematic with a narrow epidural space making a subarachnoid tap more probable.  Other malformations associated with achondroplasia, such as prolapsed intervertebral discs, reduced interpedicular distance, shortened pedicles, and osteophyte formation, combined with a narrow epidural space may make identification of the space difficult and increases the risk of dural puncture. Furthermore, subarachnoid tap or dural puncture may be hard to recognize if a free flow of CSF is difficult to achieve due spinal stenosis. Yet, for those who meet the criteria, epidural regional anesthesia is frequently preferred over other forms, which often have more or more dangerous side effects in this type of patient.Case report: A 22-year-old achondroplastic male dwarf patient was scheduled for pelvic mass resection and was considered a candidate for continuous epidural anesthesia. The anesthesia became complicated by total spinal anesthesia, which was reversed following supportive management for about two hours.Conclusion: There is significant debate over the composition and volume of the test dose, especially for patients with achondroplasia. We nevertheless recommend repeated test-doses during the accomplishment of epidural anesthesia to exclude unintended intravascular, intrathecal or subdural injection, keeping in mind that a test dose of local anesthetic does not completely prevent complications.

  10. Colonoscopic Polypectomy of Colorectal Polyps in Children Under General Anesthesia

    Chien-Heng Lin

    2009-02-01

    Full Text Available In many countries, general anesthesia is not routinely used for colonoscopic polypectomy in children because of either feasibility or cost-effectiveness issues. However, we have been using general anesthesia for colonoscopic polypectomy in pediatric patients in our hospital for the past 5 years. The aim of this study was to evaluate the safety of the procedure and the degree of satisfaction that the patients' parents and endoscopists had with the use of general anesthesia. We retrospectively analyzed the results of colonoscopic polypectomies under general anesthesia in 18 patients performed between January 2001 and December 2005. The removed polyps were examined histologically and the patients were observed to assess complications during the first 24-hour postoperative period. The patients' parents' and endoscopists' satisfaction with the use of general anesthesia was surveyed after the procedure. In our patient group, there were 10 boys and eight girls. The mean age was 5.5 ± 3.4 years (range, 2–15 years. Seventeen of the 18 patients had rectal bleeding (mean duration, 3.7 months as the main symptom. There were 12 patients with juvenile polyps, four with hyperplastic polyps, one with juvenile polyposis and one with Peutz-Jeghers syndrome. The majority (70.6% of the polyps were located in the rectosigmoid colon. No significant complications related to colonoscopic polypectomy or anesthesia were observed. Satisfaction among parents and endoscopists ranged from good to excellent. General anesthesia is recommended for pediatric patients undergoing colonoscopic polypectomy.

  11. A holistic view of anesthesia-related neurotoxicity in children

    Clausen NG

    2015-11-01

    Full Text Available Nicola G Clausen, Tom G Hansen Department of Anesthesia and Intensive Care, Odense University Hospital, Odense, Denmark Introduction: Animal studies (including in nonhuman primates have shown that most general anesthetics cause enhanced neuroapoptosis in the immature brain with subsequent long-term neurocognitive deficits later in life. Whether human neurons are equally affected is yet unknown, but a final answer to this issue is still pending. To date, most human studies within the field are of observational nature and the results are conflicting. Some studies indicate an association between exposure to anesthesia and surgery while others do not. Objective: This review summarizes results from preclinical and observational studies. Controversies and challenges regarding the interpretation of these results are presented. Crucial aspects of neurocognitive safety during pediatric anesthesia and surgery are highlighted. International initiatives aiming to improve the safe conductance of pediatric anesthesia are introduced. Conclusion: So far, anesthesia-related neurotoxicity in humans remains an area of concern but it cannot be completely excluded. Clinical practice should not be changed until there are definite proofs that anesthetic exposure causes neurocognitive impairment later in life. Withholding necessary and timely surgeries as a consequence of any such concerns could result in worse harm. Focus of current research should also be redirected to include other factors, than merely anesthetics and surgery, that influence the neurocognitive safety of children perioperatively. Keywords: pediatric anesthesia, neurotoxicity, anesthesia safety, neurocognitive development 

  12. An anesthesia information system for monitoring and record keeping during surgical anesthesia.

    Klocke, H; Trispel, S; Rau, G; Hatzky, U; Daub, D

    1986-10-01

    We have developed an anesthesia information system (AIS) that supports the anesthesiologist in monitoring and recording during a surgical operation. In development of the system, emphasis was placed on providing an anesthesiologist-computer interface that can be adapted to typical situations during anesthesia and to individual user behavior. One main feature of this interface is the integration of the input and output of information. The only device for interaction between the anesthesiologist and the AIS is a touch-sensitive, high-resolution color display screen. The anesthesiologist enters information by touching virtual function keys displayed on the screen. A data window displays all data generated over time, such as automatically recorded vital signs, including blood pressure, heart rate, and rectal and esophageal temperatures, and manually entered variables, such as administered drugs, and ventilator settings. The information gathered by the AIS is presented on the cathode ray tube in several pages. A main distributor page gives an overall view of the content of every work page. A one-page record of the anesthesia is automatically plotted on a multicolor digital plotter during the operation. An example of the use of the AIS is presented from a field test of the system during which it was evaluated in the operating room without interfering with the ongoing operation. Medical staff who used the AIS imitated the anesthesiologist's recording and information search behavior but did not have responsibility for the conduct of the anesthetic.

  13. Behavior Assessment in Children Following Hospital-Based General Anesthesia versus Office-Based General Anesthesia

    LaQuia A. Vinson

    2016-08-01

    Full Text Available The purpose of this study was to determine if differences in behavior exist following dental treatment under hospital-based general anesthesia (HBGA or office-based general anesthesia (OBGA in the percentage of patients exhibiting positive behavior and in the mean Frankl scores at recall visits. This retrospective study examined records of a pediatric dental office over a 4 year period. Patients presenting before 48 months of age for an initial exam who were diagnosed with early childhood caries were included in the study. Following an initial exam, patients were treated under HBGA or OBGA. Patients were followed to determine their behavior at 6-, 12- and 18-month recall appointments. Fifty-four patients received treatment under HBGA and 26 were treated under OBGA. OBGA patients were significantly more likely to exhibit positive behavior at the 6- and 12-month recall visits p = 0.038 & p = 0.029. Clinicians should consider future behavior when determining general anesthesia treatment modalities in children with early childhood caries presenting to their office.

  14. [Women in labor and migration. The female labor market between 1950 and 1990 and migration of women to Santiago, Chile].

    Szasz, I

    1994-06-01

    Changes in the volume of female migration to Santiago and in the employment patterns of migrant women are analyzed in relationship to changes in the female labor market from 1950 onward, with special emphasis on the years 1970-90. Data sources include published works, the censuses of 1952 to 1982, a 1962 survey on in-migration to Santiago, employment surveys conducted by the University of Chile and the National Institute of Statistics, special tabulations for subsamples of the 1970 and 1982 censuses, and household employment survey information from the fourth quarter of 1993. In 1973 Chile embarked on a process of structural adjustments that affected social expenditures and employment, profoundly modifying urban labor markets. The Chilean economy is currently in a phase of consolidating its productive transformation, with positive results for economic growth and recuperation of employment, but with no reduction of poverty. The explanation of the growth in poverty should be sought in modifications in the conditions of employment of the Chilean population during the productive transformation. Modernization processes such as increased education and access to fertility control contributed to an increase in the number of highly educated women in nonmanual occupations in Santiago, but have not significantly influenced the volume or direction of female migration or modified the disadvantageous occupational profile of migrant women. Gender considerations including cultural norms governing female sexual behavior and nuptiality appear to exercise a decisive influence on the occupational status of migrant women in Santiago. Low status, single women migrating to Santiago have been concentrated in domestic service in part because of their need to find work providing safe living quarters. After 1975, migrant women encountered an increasing proportion of urban women working and looking for work and a structural transformation of domestic service marked by massive absorption of

  15. Newly postulated neurodevelopmental risks of pediatric anesthesia.

    Hays, Stephen R; Deshpande, Jayant K

    2011-04-01

    Recent animal and human studies have raised concern that exposure to anesthetic agents in children may cause neuronal damage and be associated with adverse neurodevelopmental outcomes. Exposure of young animals to anesthetic agents above threshold doses and durations during a critical neurodevelopmental window in the absence of concomitant painful stimuli causes widespread neuronal apoptosis and subsequent abnormal behaviors. The relevance of such animal data to humans is unknown. Untreated neonatal pain and stress also are associated with enhanced neuronal death and subsequent maladaptive behaviors, which can be prevented by exposure to these same anesthetic agents. Retrospective observational human studies have suggested a dose-dependent association between multiple anesthetic exposures in early childhood and subsequent learning disability, the causality of which is unknown. Ongoing prospective investigations are underway, the results of which may clarify if and what neurodevelopmental risks are associated with pediatric anesthesia. No change in current practice is yet indicated.

  16. Vasoconstrictors in local anesthesia for dentistry.

    Sisk, A. L.

    1992-01-01

    Addition of a vasoconstrictor to a local anesthetic may have several beneficial effects: a decrease in the peak plasma concentration of the local anesthetic agent, increase in the duration and the quality of anesthesia, reduction of the minimum concentration of anesthetic needed for nerve block, and decrease of blood loss during surgical procedures. The addition of a vasoconstrictor to a local anesthetic may also have detrimental effects. A review of the literature indicates that vasoconstrictor concentrations in local anesthetics marketed for dental use in the United States are not always optimal to achieve the purposes for which they are added. In most cases, a reduced concentration of vasoconstrictor could achieve the same goal as the marketed higher concentration, with less side-effect liability. PMID:8250339

  17. Photobiomodulation: Implications for Anesthesia and Pain Relief.

    Chow, Roberta T; Armati, Patricia J

    2016-12-01

    This review examines the evidence of neural inhibition as a mechanism underlying pain relief and anesthetic effect of photobiomodulation (PBM). PBM for pain relief has also been used for more than 30 years; however, the mechanism of its effectiveness has not been well understood. We review electrophysiological studies in humans and animal models and cell culture studies to examine neural responses to PBM. Evidence shows that PBM can inhibit nerve function in vivo, in situ, ex vivo, and in culture. Animal studies using noxious stimuli indicate nociceptor-specific inhibition with other studies providing direct evidence of local conduction block, leading to inhibited translation of pain centrally. Evidence of PBM-disrupted neuronal physiology affecting axonal flow, cytoskeleton organization, and decreased ATP is also presented. PBM changes are reversible with no side effects or nerve damage. This review provides strong evidence in neuroscience identifying inhibition of neural function as a mechanism for the clinical application of PBM in pain and anesthesia.

  18. Simulation in teaching regional anesthesia: current perspectives.

    Udani, Ankeet D; Kim, T Edward; Howard, Steven K; Mariano, Edward R

    2015-01-01

    The emerging subspecialty of regional anesthesiology and acute pain medicine represents an opportunity to evaluate critically the current methods of teaching regional anesthesia techniques and the practice of acute pain medicine. To date, there have been a wide variety of simulation applications in this field, and efficacy has largely been assumed. However, a thorough review of the literature reveals that effective teaching strategies, including simulation, in regional anesthesiology and acute pain medicine are not established completely yet. Future research should be directed toward comparative-effectiveness of simulation versus other accepted teaching methods, exploring the combination of procedural training with realistic clinical scenarios, and the application of simulation-based teaching curricula to a wider range of learner, from the student to the practicing physician.

  19. Anesthesia in pregnancy with heart disease

    Ankur Luthra

    2017-01-01

    Full Text Available Management of pregnant women with heart disease remains challenging due to the advancement of innovations in cardiac surgery and correction of complex cardiac anomalies, and more recently, with the successful performance of heart transplants, cardiac diseases are not only likely to coexist with pregnancy, but will also increase in frequency over the years to come. In developing countries with a higher prevalence of rheumatic fever, cardiac disease may complicate as many as 5.9% of pregnancies with a high incidence of maternal death. Since many of these deaths occur during or immediately following parturition, heart disease is of special importance to the anesthesiologist. This importance arises from the fact that drugs used for preventing or relieving pain during labor and delivery exert a major influence – for better or for worse – on the prognosis of the mother and newborn. Properly administered anesthesia and analgesia can contribute to the reduction of maternal and neonatal mortality and morbidity.

  20. Contribution of the Faculty of Pharmacy of Santiago de Compostela to the development of the spanish scientific research in the first third of the 20th century (1900-1936

    Brasa Arias, Beatriz

    2010-06-01

    Full Text Available The Faculty of Pharmacy of Santiago de Compostela was founded in 1857, but research activities did not start until the beginning of the 20th century. The new Spanish regulations promoting the experimentation at universities and the stages of professors and recently graduated students outside Spain contributed to generate a remarkable research group in a provincial university. The excessive university centralism at that time in Spain and the characteristics of the headquarters of the faculty —a 16th century Renaissance palace— hindered, in general, the research development. However, the scientific spirit of professors and students, and their work were imposed and they achieved an estimable status in pharmacy research in Galicia. The facilities were the staff's highest priority and it raised more than a protest. A remarkable investment in apparatuses and laboratory materials was carried out and researchers started to publish original research papers in local journals, such as the «Revista de farmacia», published by their own University. In the previous years to the Spanish Civil War (1936 the research status in drug development and the background of the staff and students were important, allowing them to join the military laboratory that Franco’s army created at the faculty of pharmacy. The research work continued in a small scale and was specially focused on the production of «copy drugs» copying European specific drugs which were scarce at that time. The first third of the 20th century was the germ of the great research prestige that the Faculty of Pharmacy of Santiago de Compostela enjoys at present.

    La Facultad de Farmacia de Santiago de Compostela se fundó en 1857, pero no fue hasta comienzos del siglo XX cuando comenzó a desarrollar una labor de investigación en medicamentos. Las nuevas reglamentaciones que fomentaban la experimentación en los laboratorios universitarios y la formación de profesores y reci

  1. Anesthesia-related mortality in pediatric patients: a systematic review.

    Gonzalez, Leopoldo Palheta; Pignaton, Wangles; Kusano, Priscila Sayuri; Módolo, Norma Sueli Pinheiro; Braz, José Reinaldo Cerqueira; Braz, Leandro Gobbo

    2012-01-01

    This systematic review of the Brazilian and worldwide literature aimed to evaluate the incidence and causes of perioperative and anesthesia-related mortality in pediatric patients. Studies were identified by searching EMBASE (1951-2011), PubMed (1966-2011), LILACS (1986-2011), and SciElo (1995-2011). Each paper was revised to identify the author(s), the data source, the time period, the number of patients, the time of death, and the perioperative and anesthesia-related mortality rates. Twenty trials were assessed. Studies from Brazil and developed countries worldwide documented similar total anesthesia-related mortality rates (anesthesia-related mortality rates in the past decade. Higher anesthesia-related mortality rates (2.4-3.3 per 10,000 anesthetics) were found in studies from developing countries over the same time period. Interestingly, pediatric perioperative mortality rates have increased over the past decade, and the rates are higher in Brazil (9.8 per 10,000 anesthetics) and other developing countries (10.7-15.9 per 10,000 anesthetics) compared with developed countries (0.41-6.8 per 10,000 anesthetics), with the exception of Australia (13.4 per 10,000 anesthetics). The major risk factors are being newborn or less than 1 year old, ASA III or worse physical status, and undergoing emergency surgery, general anesthesia, or cardiac surgery. The main causes of mortality were problems with airway management and cardiocirculatory events. Our systematic review of the literature shows that the pediatric anesthesia-related mortality rates in Brazil and in developed countries are similar, whereas the pediatric perioperative mortality rates are higher in Brazil compared with developed countries. Most cases of anesthesia-related mortality are associated with airway and cardiocirculatory events. The data regarding anesthesia-related and perioperative mortality rates may be useful in developing prevention strategies.

  2. Lack of effect of spinal anesthesia on drug metabolism

    Whelan, E.; Wood, A.J.; Shay, S.; Wood, M.

    1989-01-01

    The effect of spinal anesthesia on drug disposition was determined in six dogs with chronically implanted vascular catheters using propranolol as a model compound. On the first study day, 40 mg of unlabeled propranolol and 200 microCi of [3H]propranolol were injected into the portal and femoral veins respectively. Arterial blood samples were taken for 4 hr for measurement of plasma concentrations of labeled and unlabeled propranolol by high-pressure liquid chromatography (HPLC) and of [3H]propranolol by liquid scintillation counting of the HPLC eluant corresponding to each propranolol peak. Twenty-four hr later, spinal anesthesia was induced with tetracaine (mean dose 20.7 +/- 0.6 mg) with low sacral to midthoracic levels and the propranolol infusions and sampling were then repeated. Spinal anesthesia had no significant effect on either the intrinsic clearance of propranolol (2.01 +/- 0.75 L/min before and 1.9 +/- 0.7 L/min during spinal anesthesia), or on mean hepatic plasma flow (2.01 +/- 0.5 L/min before and 1.93 +/- 0.5 L/min during spinal anesthesia). The systemic clearance and elimination half-life of propranolol were also unchanged by spinal anesthesia (0.9 +/- 0.23 L/min on the first day, 0.7 +/- 0.1 L/min during spinal anesthesia; and 101 +/- 21 min on the first day, 115 +/- 16 min during spinal anesthesia, respectively). The volume of distribution (Vd) of propranolol was similarly unaffected by spinal anesthesia

  3. Utilization of Smartphone Applications by Anesthesia Providers

    Michael S. Green

    2018-01-01

    Full Text Available Health care-related apps provide valuable facts and have added a new dimension to knowledge sharing. The purpose of this study is to understand the pattern of utilization of mobile apps specifically created for anesthesia providers. Smartphone app stores were searched, and a survey was sent to 416 anesthesia providers at 136 anesthesiology residency programs querying specific facets of application use. Among respondents, 11.4% never used, 12.4% used less than once per month, 6.0% used once per month, 12.1% used 2-3 times per month, 13.6% used once per week, 21% used 2-3 times per week, and 23.5% used daily. Dosage/pharmaceutical apps were rated the highest as most useful. 24.6% of the participants would pay less than $2.00, 25.1% would pay $5.00, 30.3% would pay $5–$10.00, 9.6% would pay $10–$25.00, 5.1% would pay $25–$50.00, and 5.1% would pay more than $50.00 if an app saves 5–10 minutes per day or 30 minutes/week. The use of mobile phone apps is not limited to reiterating information from textbooks but provides opportunities to further the ever-changing field of anesthesiology. Our survey illustrates the convenience of apps for health care professionals. Providers must exercise caution when selecting apps to ensure best evidence-based medicine.

  4. 42 CFR 415.110 - Conditions for payment: Medically directed anesthesia services.

    2010-10-01

    ... anesthesia services. 415.110 Section 415.110 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... directed anesthesia services. (a) General payment rule. Medicare pays for the physician's medical direction of anesthesia services for one service or two through four concurrent anesthesia services furnished...

  5. 42 CFR 414.46 - Additional rules for payment of anesthesia services.

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Additional rules for payment of anesthesia services... Physicians and Other Practitioners § 414.46 Additional rules for payment of anesthesia services. (a... each anesthesia code that reflects all activities other than anesthesia time. These activities include...

  6. Papeleros urbanos vs aseo del centro de Santiago de Chile.Impacto de las variables formales de los papeleros urbanos existentes en los paseos peatonales Ahumada y Huérfanos. /Waste containers vs. cleaning in downtown Santiago, Chile.

    Muñoz Peralta, Osvaldo

    2009-12-01

    Full Text Available El diseño que presentan los papeleros urbanos de los paseos peatonales del centro de Santiago no facilita su uso adecuado, lo que contribuye a la suciedad de sus calles peatonales. Como elementos de mobiliario urbano en el espacio público, deberían tener un mejor diseño en orden a mejorar su función y facilitar su uso. /The urban trash cans design, on pedestrian walks in Santiago downtown, doesn't facilitate its appropriate use, what contributes to the dirt of its pedestrian streets. As part of urban furniture in public space, they should have a better design in order to improve their function and to facilitate their use.

  7. Caffeine accelerates recovery from general anesthesia via multiple pathways.

    Fong, Robert; Khokhar, Suhail; Chowdhury, Atif N; Xie, Kelvin G; Wong, Josiah Hiu-Yuen; Fox, Aaron P; Xie, Zheng

    2017-09-01

    Various studies have explored different ways to speed emergence from anesthesia. Previously, we have shown that three drugs that elevate intracellular cAMP (forskolin, theophylline, and caffeine) accelerate emergence from anesthesia in rats. However, our earlier studies left two main questions unanswered. First, were cAMP-elevating drugs effective at all anesthetic concentrations? Second, given that caffeine was the most effective of the drugs tested, why was caffeine more effective than forskolin since both drugs elevate cAMP? In our current study, emergence time from anesthesia was measured in adult rats exposed to 3% isoflurane for 60 min. Caffeine dramatically accelerated emergence from anesthesia, even at the high level of anesthetic employed. Caffeine has multiple actions including blockade of adenosine receptors. We show that the selective A 2a adenosine receptor antagonist preladenant or the intracellular cAMP ([cAMP] i )-elevating drug forskolin, accelerated recovery from anesthesia. When preladenant and forskolin were tested together, the effect on anesthesia recovery time was additive indicating that these drugs operate via different pathways. Furthermore, the combination of preladenant and forskolin was about as effective as caffeine suggesting that both A 2A receptor blockade and [cAMP] i elevation play a role in caffeine's ability to accelerate emergence from anesthesia. Because anesthesia in rodents is thought to be similar to that in humans, these results suggest that caffeine might allow for rapid and uniform emergence from general anesthesia in humans at all anesthetic concentrations and that both the elevation of [cAMP] i and adenosine receptor blockade play a role in this response. NEW & NOTEWORTHY Currently, there is no method to accelerate emergence from anesthesia. Patients "wake" when they clear the anesthetic from their systems. Previously, we have shown that caffeine can accelerate emergence from anesthesia. In this study, we show that

  8. Effects of leucovorin and methylcobalamin with N2O anesthesia

    Kano, Y.; Sakamoto, S.; Sakuraya, K.; Kubota, T.; Taguchi, H.; Miura, Y.; Takaku, F.

    1984-01-01

    Results of the deoxyuridine suppression test, a good marker for defining biochemical megaloblastosis caused by deficiency of folate and vitamin B 12 , became abnormal (> 10%) after 6 hours of administration of nitrous oxide anesthesia. 5-Formyltetrahydrofolate and methylcobalamin administration during nitrous oxide anesthesia have no remarkable effect on the correction of deoxyuridine suppression test values. On the other hand, 5-formyltetrahydrofolate and methylcobalamin administrated at the end of nitrous oxide anesthesia corrected the abnormal deoxyuridine suppression test values nearly to normal range within 1 hour. 19 references, 4 figures, 3 tables

  9. Advanced techniques and armamentarium for dental local anesthesia.

    Clark, Taylor M; Yagiela, John A

    2010-10-01

    Computer-controlled local anesthetic delivery (C-CLAD) devices and systems for intraosseous (IO) injection are important additions to the dental anesthesia armamentarium. C-CLAD using slow infusion rates can significantly reduce the discomfort of local anesthetic infusion, especially in palatal tissues, and facilitate palatal approaches to pulpal nerve block that find special use in cosmetic dentistry, periodontal therapy, and pediatric dentistry. Anesthesia of single teeth can be obtained using either C-CLAD intraligamentary injections or IO injections. Supplementary IO anesthesia is particularly suited for providing effective pain control of teeth diagnosed with irreversible pulpitis. Copyright © 2010 Elsevier Inc. All rights reserved.

  10. [Cranial nerve damage after neuroaxial methods of anesthesia in puerperas].

    Floka, S E; Shifman, E M

    2007-01-01

    The paper describes cranial nerve damage, a rare complication of neuroaxial anesthesia in obstetric care. In the literature, there are summarized data on 17 cases of neurological deficit developing after subarachnoidal or epidural anesthesia in puerperas. The etiological and pathogenetic factors of the above complications may be suggested to be the high disposition of a local anesthetic, arterial hypotension due to neuroaxial anesthetics, the outflow of cerebrospinal fluid after pachymeningeal puncture (including after unintended puncture during epidural anesthesia), and ischemic injury after the blood packing performed to relieve postpuncture headache. Closer consideration of these risk factors seems to reduce the incidence of cranial nerve damage in puerperas.

  11. Pediatric anesthesia and neurotoxicity. What the radiologist needs to know

    Barton, Katherine; Nickerson, Joshua P.; Higgins, Timothy [The University of Vermont College of Medicine, Department of Radiology, Burlington, VT (United States); Williams, Robert K. [The University of Vermont College of Medicine, Department of Anesthesiology, Burlington, VT (United States)

    2018-01-15

    The use of cross-sectional imaging in the pediatric population continues to rise, particularly the use of MRI. Limiting motion artifact requires cooperative subjects who do not move during imaging, so there has been an increase in the need for pediatric sedation or anesthesia. Over the last decade, concern has increased that exposure to anesthesia might be associated with long-term cognitive deficits. In this review we report current understanding of the effects of anesthesia on the pediatric population, with special focus on long-term developmental and cognitive outcomes, and suggest how radiologists can use new technologies or imaging strategies to mitigate or minimize these potential risks. (orig.)

  12. Pediatric anesthesia and neurotoxicity. What the radiologist needs to know

    Barton, Katherine; Nickerson, Joshua P.; Higgins, Timothy; Williams, Robert K.

    2018-01-01

    The use of cross-sectional imaging in the pediatric population continues to rise, particularly the use of MRI. Limiting motion artifact requires cooperative subjects who do not move during imaging, so there has been an increase in the need for pediatric sedation or anesthesia. Over the last decade, concern has increased that exposure to anesthesia might be associated with long-term cognitive deficits. In this review we report current understanding of the effects of anesthesia on the pediatric population, with special focus on long-term developmental and cognitive outcomes, and suggest how radiologists can use new technologies or imaging strategies to mitigate or minimize these potential risks. (orig.)

  13. Predictors of failure of awake regional anesthesia for neonatal hernia repair: data from the General Anesthesia compared to Spinal anesthesia (GAS) study: comparing apnoea and neurodevelopmental outcomes

    Frawley, Geoff; Bell, Graham; Disma, Nicola; Withington, Davinia E.; de Graaff, Jurgen C.; Morton, Neil S.; McCann, Mary Ellen; Arnup, Sarah J.; Bagshaw, Oliver; Wolfler, Andrea; Bellinger, David; Davidson, Andrew J.

    2015-01-01

    Background Awake regional anesthesia (RA) is a viable alternative to general anesthesia (GA) for infants undergoing lower abdominal surgery. Benefits include lower incidence of postoperative apnea and avoidance of anesthetic agents that may increase neuroapoptosis and worsen neurocognitive outcomes. The General Anesthesia compared to Spinal anesthesia (GAS) study compares neurodevelopmental outcomes following awake RA or GA in otherwise healthy infants. Our aim was to describe success and failure rates of RA in this study and report factors associated with failure. Methods This was a nested cohort study within a prospective randomized, controlled, observer blind, equivalence trial. Seven hundred twenty two infants ≤ 60 weeks postmenstrual age, scheduled for herniorrhaphy under anesthesia were randomly assigned to receive RA (spinal, caudal epidural or combined spinal caudal anesthetic) or GA with sevoflurane. The data of 339 infants, where spinal or combined spinal caudal anesthetic was attempted, was analyzed. Possible predictors of failure were assessed including: patient factors, technique, experience of site and anesthetist and type of local anesthetic. Results RA was sufficient for the completion of surgery in 83.2% of patients. Spinal anesthesia was successful in 86.9% of cases and combined spinal caudal anesthetic in 76.1%. Thirty four patients required conversion to GA and an additional 23 (6.8%) required brief sedation. Bloody tap on the first attempt at lumbar puncture was the only risk factor significantly associated with block failure (OR = 2.46). Conclusions The failure rate of spinal anesthesia was low. Variability in application of combined spinal caudal anesthetic limited attempts to compare the success of this technique to spinal alone. PMID:26001028

  14. Effect of Epidural Block under General Anesthesia on Pulse Transit Time

    Choi, Byeong Cheol; Kim, Seong Min; Jung, Dong Keun; Kim, Gi Ryon; Lee, He Jeong; Jeon, Gye Rock

    2005-01-01

    Epidural block under general anesthesia has been widely used to control postoperative pain. In this anesthetic state many hemodynamic parameters are changed. Moreover pulse transit time is influenced by this memodynamic change. PPT change in the finger and the toe due to relaxation of arterial wall muscle after general anesthesia and epidural block under general anesthesia. This study, in the both general anesthesia and epidural block under general anesthesia, ΔPTT of the toe and of the finger are measured. In addition, ΔPTT(toe-finger) of the epidural block under general anesthesia and of the general anesthesia were compared

  15. Recaída y factores de riesgo asociados en pacientes con tuberculosis en Santiago de Cuba (2002-2008 Relapse and associated risk factors in patients with tuberculosis in Santiago de Cuba (2002-2008

    Yanara Toledano Grave de Peralta

    2010-11-01

    Full Text Available Se hizo un estudio descriptivo y transversal de los 36 pacientes con recaídas por tuberculosis en la provincia de Santiago de Cuba desde el 2002 hasta el 2008, para caracterizarles según algunas variables clinicoepidemiológicas. Se observó que las recaídas tuvieron una tendencia ascendente, fundamentalmente en el municipio de Santiago de Cuba, con preponderancia en el sexo masculino, el grupo etario de 60 años y más, las personas solteras y los que tenían nivel escolar primario y condiciones económicas regulares o malas. Se evidenció una inadmisible demora entre la fecha de inicio de los síntomas y la confirmación del diagnóstico, por lo que se recomendó mantener como prioridades la vigilancia y el control del Programa Nacional de Tuberculosis en la comunidad, de manera que permita disminuir la prevalencia de recaída por esta enfermedad en el territorio.A descriptive and cross-sectional study was carried out in 36 patients with relapses due to tuberculosis in Santiago de Cuba province from 2002 to 2008, to characterize them according to some clinical and epidemiological variables. It was observed that relapses had an upward tendency, mainly in Santiago de Cuba municipality, with predominance in male sex, in the age group of 60 years and over, single people and those that had primary school level and middling or bad economic status. An inadmissible delay was evidenced between the date of beginning of the symptoms and the confirmation of the diagnosis, thus recommending to maintain as priorities the surveillance and control of the National Program of Tuberculosis in the community, so that it allows to reduce prevalence of relapses due to this condition in the territory.

  16. Clinical outcomes after external cephalic version with spinal anesthesia after failure of a first attempt without anesthesia.

    Massalha, Manal; Garmi, Gali; Zafran, Noah; Carmeli, Julia; Gimburg, Genady; Salim, Raed

    2017-12-01

    To determine whether repeat external cephalic version (ECV) with spinal anesthesia affects clinical outcomes and cesarean delivery rates. A retrospective study was conducted using data collected at one hospital in Israel between January 1, 2009, and December 31, 2015. Women with non-vertex singleton pregnancies (≥37 weeks) who had a failed ECV attempt without spinal anesthesia were included in the analysis. All women were offered a repeat ECV with spinal anesthesia. Outcomes assessed were rates of vertex presentation at delivery, successful repeat ECV, and cesarean delivery. Overall, 145 of 213 ECV attempts without spinal anesthesia were successful. Of the 68 women with a failed attempt, 5 (7%) experienced spontaneous version and 18 (26%) delivered at another institution or went into spontaneous labor. Among the remaining 45 women, 28 (62%) agreed to a repeat ECV with spinal anesthesia; 11 (39%) of these procedures were successful. All 11 women experienced vertex presentation at delivery versus none of the 17 women who refused repeat ECV (P=0.003). The cesarean delivery rate was 64% (18/28) versus 100% (17/17), respectively (P=0.007). Repeat ECV with spinal anesthesia after a failed first attempt without spinal anesthesia increased vertex presentation at birth and decreased the rate of cesarean delivery. © 2017 International Federation of Gynecology and Obstetrics.

  17. Novel lyssavirus in bat, Spain.

    Aréchiga Ceballos, Nidia; Vázquez Morón, Sonia; Berciano, José M; Nicolás, Olga; Aznar López, Carolina; Juste, Javier; Rodríguez Nevado, Cristina; Aguilar Setién, Alvaro; Echevarría, Juan E

    2013-05-01

    A new tentative lyssavirus, Lleida bat lyssavirus, was found in a bent-winged bat (Miniopterus schreibersii) in Spain. It does not belong to phylogroups I or II, and it seems to be more closely related to the West Causasian bat virus, and especially to the Ikoma lyssavirus.

  18. Novel Lyssavirus in Bat, Spain

    Ceballos, Nidia Ar?chiga; Mor?n, Sonia V?zquez; Berciano, Jos? M.; Nicol?s, Olga; L?pez, Carolina Aznar; Juste, Javier; Nevado, Cristina Rodr?guez; Seti?n, ?lvaro Aguilar; Echevarr?a, Juan E.

    2013-01-01

    A new tentative lyssavirus, Lleida bat lyssavirus, was found in a bent-winged bat (Miniopterus schreibersii) in Spain. It does not belong to phylogroups I or II, and it seems to be more closely related to the West Causasian bat virus, and especially to the Ikoma lyssavirus.

  19. The gas industry in Spain

    Jego, H.

    1999-01-01

    This short presentation of the Spanish gas industry looks at the industry's different players including Gas Natural, which controls almost all of the gas distribution in Spain. Natural gas, almost all of which is imported, accounts for an ever-growing share in the country's energy balance and has undergone great developments, particularly in industry and in thermal generating plants. (author)

  20. Translation and cultural adaptation of the CLEFT-Q for use in Colombia, Chile, and Spain.

    Tsangaris, Elena; Riff, Karen W Y Wong; Vargas, Federico; Aguilera, Mirta Palomares; Alarcón, Macarena Miranda; Cazalla, Asteria Albert; Thabane, Lehana; Thoma, Achilleas; Klassen, Anne F

    2017-11-28

    Cleft lip and/or palate (CL/P) is a common congenital craniofacial anomaly that may negatively affect an individual's appearance, health-related quality of life, or speech. In Spain, Colombia, and Chile the overall prevalence of CL/P ranges from 0.53 to 1.59 cases per 1000 live births. Currently, there is no patient-reported outcome (PRO) instrument that is specific for patients with CL/P. The CLEFT-Q is a new PRO instrument developed to measure outcomes of treatment in patients 8 to 29 years of age with CL/P. The aim of this study was to translate and culturally adapt the CLEFT-Q for use in Colombia, Chile, and Spain. The CLEFT-Q was translated from English to 3 Spanish language varieties (Colombian, Chilean, and Spanish (Spain)) and Catalan. Translation and cultural adaptation guidelines set forth by the International Society for Pharmacoeconomics and Outcomes Research were followed. The field- test version of the CLEFT-Q consisted of 13 scales (total 154 items) measuring appearance, health-related quality of life, and facial function. Forward translations revealed 10 (7%) items that were difficult to translate into Chilean, and back translations identified 34 (22%) and 21 (13%) items whose meaning differed from the English version in at least 1 of the 3 Spanish varieties and Catalan respectively. Twenty-one participants took part in cognitive debriefing interviews. Participants were recruited from plastic surgery centres in Bogotá, Colombia (n = 4), Santiago, Chile (n = 7), and Barcelona, Spain (n = 10). Most participants were males (n = 14, 67%) and were diagnosed with CL/P (n = 17, 81%). Participants reported difficulty understanding 1 item in the Colombian, 1 item in the Spanish (Spain), and 11 items from the Catalan version. Comparison of the 3 Spanish varieties revealed 61 (40%) of the 154 items whose wording differed across the 3 Spanish versions. Translation and cultural adaptation processes provided evidence of transferability of